December 2014 Nugget

the

December 2014

Holistic Dentistry Focus on the Whole Body Inside:

Introducing the New SDDS Website!

Smiles for Sacramento Gala A PUBLICATION OF THE SACRAMENTO DISTRICT DENTAL SOCIETY

DON’T MISS THESE UPCOMING EVENTS! general meeting

golf tournament Swing for Smiles!

May 8, 2015

cpr renewal

3 CEU, core • 5:45pm–9:00pm • Hilton, Arden West • $60

8:30am–12:30pm • SDDS Classroom • 4 CEU, core

Hygiene Night

Wednesday, January 21, 2015

Prognosis for the Periodontally Compromised Tooth

hr webinars

Presented by: Thomas Kepic, DDS, MSD

Noon–1:00pm • 1 CEU, 20% • Call from home or office • $35

Tuesday, January 13, 2015 • Identify the clinical factors used in assigning prognosis • Understand the historical research that leads to the modern day concept of prognosis • Define the new concept of periodontal diseases and host susceptibility as factors used in determining prognosis

2015 Labor Laws / Update Your Handbook Presented by: Mari Bradford, California Employers Associatino

Wednesday, January 28, 2015

save the date!

• 15 units of vitamin CE! • fun Exhibits & prizes!

February 19 & 20, 2015

• cultivate connections!

sacramento convention center

• farm fresh food included!

Join us for the

Sacramento District Dental Society

Holiday Party & Installation of Officers

December 9, 2014 • Del Paso Country Club

Contents December 2014 VOLUME 60, NUMBER 10

10

Holistic Dentistry:

A Focus on the Whole Body Atefeh Saffari, DDS

FEATURES

12

Holistic Dentistry:

History and Portrayal by the Media

COVER IMAGE CREDIT: ISTOCK

Hana Rashid, DDS

Nugget Editorial Board James Musser, DDS • Editor-in-Chief Paul Binon, DDS, MSD Donna Galante, DMD Matthew Hall, DDS James McNerney, DMD Hana Rashid, DDS Ash Vasanthan, DDS, MS

Editors Emeritus William Parker, DMD, MS, PhD Bevan Richardson, DDS

Awards

International College of Dentists (ICD) 2014 • Outstanding Cover, honorable mention 2014 • Golden Pen, honorable mention 2013 • Outstanding Cover 2012 • Overall Newsletter 2010 • Platinum Pencil Outstanding use of graphics

2007 • Overall Newsletter 2007 • Outstanding Cover 2007 • Golden Pen, honorable mention Article / series of articles of interest to the profession

14

Acupuncture in Dentistry

16

Confessions of a ‘Holistic Dentist’

Jeanette Okazaki, DDS

David B. Miller, DDS, MAGD

Specials: 4

Introducing the New SDDS Website!

17

We Love Our Veterans—an Addendum

18-19 Smiles for Sacramento Gala

Regulars: 4 5 6 7 9 11 20 22 23 25

President’s Message Cathy’s Corner MidWinter Convention & Expo 2015 You Should Know From the Editor’s Desk Volunteer Opportunities Foundation YOU: The Dentist… the Business Owner Committee Corner YOU: The Dentist… the Employer

26 27 28 29 30 31–33 34 35 36

Board Report Event Highlights We’re Blowing Your Horn!

Membership Update Advertiser Index Vendor Members Job Bank Classified Ads SDDS Calendar of Events

The Nugget • Sacramento District Dental Society • www.sdds.org

President’s Message Why Our Leaders Are Fierce!

T

his is my last issue of The Nugget as your President. I want to take this opportunity to thank you for allowing me to serve and trusting me to lead our organization in 2014. I have had a wonderful and rewarding year surrounded by FIERCE leaders who demand results and work to move us forward in the best interest of our members. As was evident in our strategic planning retreat last month, your future leaders know WHY they have been chosen to lead and WHY our members drive our decisions.

Why do I call your leaders fierce?

According to Fierce Leadership by Susan Scott, “A fierce leader commits to a way of life, not a business strategy. A way of life that over time becomes about we, not me. About one another. About what’s best for the greater good. About knocking down the walls that separate us. Not knowing the answers, but finding the answers. Not

Special Foundation Website

Calendar and Easy Event Sign Up

By Kelly Giannetti, DMD, MS 2014 SDDS President

having a business conversation, but a human one.”

I tried to be a fierce leader, and I hope 2015 brings each and every one of you a fierce year!

2014 Highlights: • 34% of our members are on a committee • Successful CE programs including MidWinter, business forums and CPR • Continued rental of our classroom to augment non-dues revenue • Raised $90,000 for Foundation with the Gala • The “No on Prop 46” campaign was successful • Growing membership with continued 80% market share • Launched our new website!

• Member Appreciation Week and Retired Members Reception • Balanced budget with money in reserves • New strategic plan 

Social Media and Up-to-date News

Mobile and Tablet Friendly

To better serve you and our dental community, SDDS collaborated with Sacramento-based visual communications firm Uptown Studios to develop a new responsive and user-friendly website: www.sdds.org, as well as our special Foundation website: www.sdds.org/foundation.

The SDDS website is a work-in-progress and ever-changing. We welcome you to navigate through the website’s fun features and contact us with your feedback!

4 | The Nugget • Sacramento District Dental Society

Cathy’s Corner LEADERSHIP President — Kelly Giannetti, DMD, MS Immediate Past President — Gary Ackerman, DDS President Elect / Treasurer — Viren Patel, DDS Secretary — Wallace Bellamy, DMD Editor — James Musser, DDS Executive Director — Cathy Levering Dean Ahmad, DDS, MS Nancy Archibald, DDS Wai Chan, DDS Margaret Delmore, MD, DDS Jennifer Goss, DDS Bryan Judd, DDS Beverly Kodama, DDS Peter Worth, DDS Robert Gillis, DMD, MS Terry Jones, DDS CPR: Greg Heise, DDS Ethics: Volki Felahy, DDS Leadership Development: Gary Ackerman, DDS Membership: Lisa Laptalo, DDS Peer Review: Brett Peterson, DDS

EXECUTIVE COMMITTEE

BOARD OF DIRECTORS

TRUSTEES

By Cathy B. Levering

SDDS Executive Director

Transition

W

ell... Here it is. It’s the end of the year and time to transition to another year, another strategic plan, and another team of new leaders.

COMMITTEES

It’s exciting.

STANDING

It’s a bit melancholy too.

We have had a great year.

CE Task Force: Carl Hillendahl, DDS 1T1B Medical Outreach: Guy Acheson, DDS Amalgam: Wai Chan, DDS / Viren Patel, DDS Dental Careers Workgroup: Robin Berrin, DDS Budget & Finance Advisory: Viren Patel, DDS Bylaws Advisory: Gary Ackerman, DDS Fluoridation Advisory: Victor Hawkins, DDS Forensics Advisory: Mark Porco, DDS GMC Denti-Cal Task Force: Terry Jones, DDS/ Warren McWilliams, DDS Legislative: Mike Payne, DDS Strategic Planning: Wallace Bellamy, DMD / Viren Patel, DDS

ADVISORY TASK FORCES WORKGROUPS

Foundation: Kevin Keating, DDS, MS Golf Tournament: Damon Szymanowski, DMD SacPAC: Matthew Campbell, Jr. DDS Smiles for Kids: Donald Rollofson, DMD

SPECIAL EVENTS OTHER

Cathy Levering | Executive Director Julia Marino | Publications Manager/ Graphic Designer Lacey Leeper | Membership Manager/ Executive Assistant Hilary Johnson | Member Liaison/ Smiles for Kids Coordinator Shelly Farrand | Office Manager Heather Hoskins | Programs & Vendor Coordinator Justine Parker | Programs & Member Recruitment

SDDS STAFF

Our Board and Committee chairs and committee volunteers have been wonderful. Thank you!

Drs. Terrence Jones and Robert Gillis—our Trustees—thanks for your contribution to making CDA run efficiently and focused on our members.

The Nugget is an opinion and discussion magazine for SDDS membership.

Opinions expressed by authors are their own, and not necessarily those of SDDS or The Nugget Editorial Board. SDDS reserves the right to edit all contributions for clarity and length, as well as reject any material submitted.

The Nugget is published monthly (except bimonthly in June/July and Aug/Sept) by the SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825 (916) 446-1211.

Acceptance of advertising in The Nugget in no way constitutes approval or endorsement by Sacramento District Dental Society of products or services advertised. SDDS reserves the right to reject any advertisement.

Postmaster: Send address changes to SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825.

Drs. Kelly Giannetti, Viren Patel, Gary Ackerman and Wallace Bellamy—your “fierce” strength and passion is awesome! Onward for the next adventure! And our President, Dr. Giannetti—you are “da bomb!” You did it with grace and fairness, and you were such fun. It has been a pleasure to work with you!

And, finally, to Dr. Jim Musser. Your 10 years as Editor-in-Chief of The Nugget has made our magazine and our society better. Thank you for your leadership, your bravery and your willingness to speak up!  Photo from left to right: Drs. Viren Patel, Kelly Giannetti and Wallace Bellamy

NEW continuing education course scheduled!

Oral Conscious Sedation Renewal Friday, May 29, 2015 Details coming in January. www.sdds.org • December 2014

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Featuring 62 Fresh Exhibitors!

February 19 & 20, 2015 sacramento convention center

Thank you to our Supreme Sponsors!

PATTERSON DENTAL

Innova Periodontics & Implant Dentistry Dr. Dean Ahmad

Drs. Giannetti and Booms, Orthodontic Specialists

Show Specials Coming Soon!

check back in the january issue for market fresh deals!

6 | The Nugget • Sacramento District Dental Society

Access Dental Services ACTEON North America American River Bank Analgesic Services, Inc. Anders Accounting, Inc. Andrews Construction Bank of America Bank of the West Benco Dental Blue Northern Builders, Inc. Brasseler USA Burkhart Dental California Employers Association Carestream Dental, LLC Colgate Oral Pharmaceuticals Comcast Consolidated Pension Consultants, Inc. Delta Dental Dentegra Insurance Company DENTSPLY North America Desco Dental Equipment Designs for Vision, Inc. DEXIS Digital X-Ray Digital Doc, LLC Fechter & Company, CPA’s Financial Management Associates First Citizens Bank First US Community Credit Union Garfield Refining Company GC America Inc. GlaxoSmithKline Healthcare Cabinet Company Henry Schein Dental iHeartMedia iSmile Dental Products Infusion Dental Arts Integrity Practice Sales Ivoclar Vivadent, Inc. Lilani Wealth Management Mann, Urrutia, Nelson, CPAs MIS Implants Technologies Inc. MME Consulting, Inc. Olson Construction, Inc. Omni Practice Group Pact-One Solutions Patterson Dental Supply, Inc. Patterson Dental Supply, Inc. Philips Sonicare and Zoom Whitening Procter and Gamble Resource Staffing Group Sacramento Magazine Corp ScentAir SD Reliance Management Inc. Star Group Straumann Supply Doc TDIC Ultradent Products Inc. Union Bank US Army Healthcare Recruiting Wells Construction Wells Fargo Bank Western Contract Interior Design Studio Western Practice Sales xTerraLink, Inc

SAVE UP YOUR ORDERS!

Know

you should

Data Breach Law Amendments Coming in January Reprinted with permission from CDA. California’s data breach notification law will undergo amendments effective Jan. 1, 2015. Some reports have indicated that AB 1710 will require companies to provide credit monitoring in the event of a data breach, which is not true.

It does state, however, that when companies experience a data breach and decide to offer credit monitoring to affected individuals, they must offer the services at their own expense and for no less than one year. The breach notification must also contain all material information individuals need to take advantage of the offer.

California’s data breach notification law requires any person or business in California that owns or licenses individuals’ computerized personal information to notify any resident of California following the discovery of a breach of their unencrypted personal information.

“Personal information” is defined as a person’s first name or first initial and last name in combination with any of the following: • Social security number.

• Driver’s license number or California identification card number.

• Account number, credit/debit card number, in combination with any required security code, access code or password that would allow access to the person’s financial account.

• Medical information, defined as “any information regarding an individual’s medical history, mental or physical condition, or medical treatment or diagnosis by a health care professional.”

• Health insurance information, defined as “an individual’s health insurance policy number or subscriber identification number, any unique identifier used by a health insurer to identify the individual, or any information in an individual’s application and claims history, including any appeals records.”

• A username or email address, in combination with a password or security question and answer that would permit access to an online account.

As stated above, the amendment does not require offering affected individuals credit monitoring. Companies often offer credit-monitoring services after a data breach, particularly when the breach involves an individual’s social security number. If the decision to offer credit monitoring is made, the offer must be in compliance with the amended law starting Jan. 1, 2015.

Encrypting data provides a safe harbor from breach notification. The recently released 2014 California Data Breach Report, published by the office of the California attorney general, reports that 70 percent of health care sector data breaches in 2012 and 2013 were the result of lost or stolen hardware or portable media containing unencrypted data.

The Executive Summary of the attorney general’s report states, “A recent study by the Ponemon Institute reports that criminal attacks targeting the health care system are growing and that employees’ use of unsecured portable devices is also increasing the risk of breach. The need to use encryption is a lesson that must be learned by the health care industry and we recommend that it be applied not only to laptops and portable media, but also to many computers in offices.”

Encrypting data on office computers and any removable media (such as USB sticks, tablets, smartphones, backup tapes) that contain personal information is highly recommended. In addition to providing safe harbor under California’s data breach notification law, encrypting electronic health information also provides a safe harbor under HIPAA’s data breach notification rule.

The full 2014 California Data Breach Report can be found here. It provides information on data breaches in California broken down by sector and type of breach. It also provides recommendations as to how businesses can protect their customers.

CDA Practice Support has several resources on preventing and responding to data breach incidents, including information on encryption and a sample data breach notification letter. They can be found at cda.org/practicesupport. 

Whistle Blower Changes Reprinted with permission from the California Employers Association.

More changes are coming!

California has released a revised Whistle blower Protections Posting. The new required posting, which must be 14 pt font: • Expands the rights and responsibilities under the California Whistle blower Laws.

More poster changes will take place between now and the end of 2014, so instead of buying a new poster today, we suggest you download the free posting at www.dir.ca.gov/dlse/WhistleblowersNotice.pdf. Downloaded postings meet an employer’s legal obligation and will hold you over until the 2015 California/Federal All In One posters are ready.

• Refers to the laws under CA Labor Code 1102.5, and

Look for the poster in your January Nugget! 

• Extends protections to employees who report suspected illegal behavior internally to a person with authority to investigate or correct a violation or externally to a public body conducting a hearing or investigation.

For more important information, watch your fax machine and email, or visit www.sdds.org

www.sdds.org • December 2014

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You are not a market segment.

And at The Dentists Insurance Company, TDIC, we won’t treat you like one, because we are not like other insurance companies. Here, business is about doing what’s best for our policyholders and treating people with the respect and care deserving of a member of the profession. That’s why we have an expert, in-house claims team at the ready 24/7 as well as a razor-sharp legal team to help protect your reputation. What’s more, with TDIC, you will never experience an automated decline. Every case is reviewed by a council of your peers. Why go to such lengths?

Because with TDIC, you’re not a market segment. You are a dentist.

Endorsed by the Sacramento District Dental Society

®

Protecting dentists. It’s all we do.

800.733.0633 | tdicsolutions.com | CA Insurance Lic. #0652783

From the Editor’s Desk How Not to Argue About

By Matt Hall, DDS Associate Editor

‘Something I Read Online’

I

t comes out of left field—you are chugging along, maybe doing a hygiene check. You sit the patient up to tell him about a cavity, cracked tooth, how nice his gums are looking, and wham!

He asks you a question about something he found online…

One time, a patient asked, “Doc, should I be oil pulling?” It took me a second to get my footing. I had no idea what oil pulling was.

Confused, I could only ask for her to please explain. “Oil pulling,” she told me, “takes all the toxins out of your teeth and gums.” Well, darn, I thought, they didn’t talk about this in dental school!

Modern humans are increasingly bombarded with information. Filtering what is real and important from what is irrelevant or misleading can be difficult. My sociology and psychology courses in undergrad taught me that people pay close attention to and make decisions based on social cues from their in-groups. With the proliferation of social media, ideas spread quickly and are easily believed because they appear to have this group backing. Furthermore, modern search engines and social media sources are designed to cater content based on past searches and activity, which shrinks the pool from which information is drawn.

The SDDS LCD projector is available for rent!

3 days — $100 Members only Call SDDS at 916.446.1227 for more information or to place a reservation.

There are a whole host of alternative dentistry concepts that a patient might encounter and may ask you about, from oil pulling to the safety of root canal therapy. It is our job as dentists to help our patients navigate these potentially treacherous electronic waters.

How a dentist approaches dealing with questions about her method, materials, and alternative treatments is personal. Some dentists may feel threatened or offended by such an inquiry. Others might worry about losing a patient over the ensuing discussion.

Below are 4 strategies that work for me when talking to patients about what they’ve read on the Internet.

1) Simple yet requiring due focus – really listen to the patient.

People asking questions like “Is it true that root canals cause cancer?” are not looking for information; they are expressing an emotion.

It is not helpful or trust-inducing to brush them off with an ADA factoid.

2) Decide where and when the conversation should occur.

I enjoy happy hygienists, so if it seems like it will be a lengthy discussion I will say something like, “This sounds important to you and I want you to have my complete attention. Let’s do this: when you check out, your hygienist will find us a time (at the end of the day) to talk in my consult room so I can fully address your concerns.”

On balance, when a patient might change his mind about a material on the day of treatment, I ensure that the patient is fully informed and comfortable with the material choice before proceeding.

3) Tell the patient you are really glad he is thinking about his oral and systemic health.

A patient concerned about health is a good thing. In fact, I want more patients who are.

I say, “I understand you are concerned and I am, too. After all, I care about your health and safety above all else.” Staying positive and making patients feel heard builds rapport. I also usually talk a little about information quality on the internet. Most people will admit that you cannot believe everything you read.

4) Focus on the possibilities.

We live in a wonderful age of dentistry with so many options. “This isn’t your great grandfather’s dental experience with the good-old belt-driven drill,” I joke. I give my reasoning about why I want to use a certain material and what the pros and cons are based on my expertise. I explain that I worry about recommending something that does not have a lot of scientific backing, because I really care about what happens to my patients. Finally, I give patients choices and let them direct the treatment.

To be the best oral health advocates for our patients, we need to be not only informed but also convincing. If we are caught offguard, it may lower our credibility. Luckily, we have access to the same resources as our patients: Social Media! I even ask my more media savvy friends and family members to help by forwarding dental health related memes and articles shared with them to me.

Thank you, in-group.

With the right approach, a question from a patient can build trust and your practice!  Dr. Matt Hall received his BS in Biology with minors in Chemistry and Psychology from the University of Denver and his DDS from Virginia Commonwealth University, where he was the recipient of the prestigious Daniel M. Laskin Oral and Maxiollofacial Surgery Award. www.sdds.org • December 2014

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HOLISTIC DENTISTRY

Holistic Dentistry:

A Focus on the Whole Body The birth of my second child marked an important transition in my life experience; one that initiated a redirection in my approach toward whole body health and well-being. Although the physical and emotional changes I felt after giving birth a second time were challenging, I am ever grateful for the lessons they have inspired in my personal, as well as, professional development.

By Atefeh Saffari, DDS

A holistic approach to health is one that tends toward “wholeness,” promoting greater health and wellness rather than focusing on symptoms and conditions of disease.

10 | The Nugget • Sacramento District Dental Society

T

he extra work and responsibility that comes from taking care of two children, along with the differential diagnosis of adrenal fatigue, chronic fatigue syndrome, hormonal changes and aging were among some of the changes I learned to accept. However, after attempts to address and treat each symptom, except of course aging, without achieving any sound improvement in health and after also, hearing of similar complaints from my patients, I was lead to take the search deeper with earnest self-reflection.

When I read about heavy metal toxicity, I realized that many of the symptoms listed in the literature accurately matched my own conditions. This came as surprising news to me at the time, as I remembered that during my four years of dental service in the Air Force, I had been placing mercury-based fillings on a daily basis, as well as removing them without any effectual safety measures. In fact, we were also making crowns with amalgam (which contains 50 percent mercury). So, when I asked my doctor to test me for heavy metals in my system, sure

enough my mercury, as well as cadmium (another toxic metal), levels were very high. I always remember the day I received the test results as an awakening moment. I realized that I had been working in a highly toxic environment without being told or having any prior knowledge of the dangers I was being exposed to regularly. I strongly believe that everything in life happens for a reason and this was no exception. It was in my journey toward detoxification that I learned about holistic dentistry.

What is holistic dentistry? The word holistic is derived from the word “wholistic,” which means to be whole or complete. A holistic approach to health is one that tends toward “wholeness,” promoting greater health and wellness rather than focusing on symptoms and conditions of disease. It differs from traditional dentistry by considering your overall health as a key factor to feeling and looking your best. It works to connect dental health with the whole body taking into consideration the interconnectedness of the body leading to an integrated state of whole body health.

The mouth has a very rich nerve and blood supply, it is an entry point for all the body‘s nutritional requirements. If amalgam fillings containing mercury are not removed safely, according to International Academy of Oral Medicine and Toxicology, your teeth are liable to transude trace amounts of toxic metals, which are likely to be reabsorbed through the digestive system creating a wide range of potential health problems.

In my quest to change my office to a safe and clean environment, I learned about various natural and traditional approaches to reducing bacteria and viruses, such as the use of ozone, homeopathy and essential oils. Ozone is an alternative version of oxygen; oxygen is formed from two oxygen atoms combined together and ozone is formed from three atoms of oxygen attached together, which makes it a great oxidizer.

We now use ozone during several procedures including gum treatment, and treatment after extraction, caries removal and root canals. Homeopathy involves using highly diluted doses of a substance to stimulate the body’s innate healing capacity.

MAGE CREDIT: ISTOCK

I have to admit that the process of changing my office from a conventional clinic to a holistic and safe environment required a lot of training and effort, but according to Roko Belic, who directed Move Happy, learning is one of the elements that brings about happiness.  A graduate of UC Berkeley, Northwestern University and a veteran of the U.S. Air Force, Dr. Atefeh Saffari is committed to providing leading edge integrated dental treatment with personal attention. She has special interests and skills in general and children’s dentistry with a holistic approach. She worked for a children’s non-profit organization for a year before establishing American Family dentistry over 12 years ago. She is a member of the Holistic Dental Association and a prospective member of the International Academy of Oral Medicine & Toxicology (IAOMT).

Dr Saffari completed her ozone training in 2013 and is proudly the only practitioner providing ozone therapy in the Sacramento area. For more information, please visit afdentistryroseville.com.

VOLUNTEER Opportunities SMILES FOR BIG KIDS VOLUNTEERS NEEDED: Dentists willing to “adopt” patients for immediate/emergency needs in their office.

Smiles for Kids Day FEB 7, 2015

TO VOLUNTEER, CONTACT: SDDS office (916.446.1227 • sdds@sdds.org)

SMILES FOR KIDS VOLUNTEERS NEEDED: Doctors to “adopt” patients seen on 2014 Smiles for Kids Day for follow-up care.

CONTACT INFO: SDDS office (916.446.1227 • smilesforkids@sdds.org)

CDA CARES, SACRAMENTO March 27–28, 2015 Cal Expo TO VOLUNTEER, CONTACT: Robyn Alongi (916.554.5305) www.cdafoundation.org/cda-cares

THE GATHERING INN VOLUNTEERS NEEDED: Dentists, dental assistants, hygienists and lab participants for onsite clinic.

CONTACT INFO: Kathi Webb (916.743.5351 • kwebbft@aol.com)

GLOBAL BRIGADES VOLUNTEERS DENTISTS AND AUTOCLAVES NEEDED. TO VOLUNTEER ABROAD VISIT: www.globalbrigades.org TO DONATE AN AUTOCLAVE, CONTACT: Dagon Jones, DDS (dagonjones@gmail.com)

CCMP

(COALITION FOR CONCERNED MEDICAL PROFESSIONALS)

VOLUNTEERS NEEDED: General dentists, specialists, assistants and hygienists.

ALSO NEEDED: Dental labs and supply companies to partner with; home hygiene supplies VOLUNTEERS CONTACT INFO: Ed Gilbert (916.925.9379 • ccmp.pa@juno.com)

www.sdds.org • December 2014

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HOLISTIC DENTISTRY

Holistic Dentistry:

By Hana Rashid, DDS Associate Editor

History and Portrayal by the Media Our control of online content is officially over. Anything can be “Googled” and there will almost always be pages upon pages of results. Worse yet, any information online spreads faster than gossip and becomes validated based on how often it shows up.

F

or over a year now, an article has been posted on Facebook titled, “97% of Terminal Cancer Patients Previously had this Dental Procedure.”1 It was circulating among friends of friends and gave people reason to believe that root canals were completely unsafe without even citing any evidence-based, published journal article.

This article was written by a dentist named Joseph Mercola. But it wasn’t him who started this movement against root canals. A dentist named Weston Price was the first to study the negative effects of root canal-treated teeth on the body, thereby developing the framework for holistic dentistry.

His publication in the Journal of the American Medical Association in 1925, “Dental Infections and Related Degenerative Diseases” made the oral-systemic connection we make today between infections of the mouth and illnesses such as heart disease and diabetes. He went a step further to say that rather than treat teeth endodontically, they should be extracted to prevent the risk of widespread damage to the body in the form of ailments such as ALS or cancer. This came to be known as his focal infection theory and plays a huge part in holistic dentistry as the basis for helping treat systemic disease.2 Furthermore, the focal infection theory applies to implants as well, as they are considered by holistic dentists to be just as harmful in spreading infection as root canals.

Like most dentists, I started receiving phone calls from patients about the matter and tried to advert a crisis without bashing anyone. Despite sharing my own education, some still opted to have their tooth pulled to

avoid the toxic root canals. I then realized, “If I can’t beat them, then join them” (but, not all the way) and so I started reading up on holistic dentistry and biological dentistry.

I was fascinated by how much was out there, but how little research was done to validate these claims. As dentists, we are in charge of educating our patients and giving them the

As dentists, we need to draw the line at where holistic-based treatment is a marketing gimmick versus supportive therapy. tools for proper oral healthcare and guiding them toward the appropriate treatment plans.

The fact that this information is out there should keep us abreast of what our patients are reading and trusting. Healthcare is facing a desperation crisis; due to the rising costs of healthcare, our patients are trying to maneuver around the loopholes by finding more cost-effective, natural remedies for their dental needs. We have seen numerous dentists, physicians (looking at you, Dr. Oz!) and other health gurus out there promoting and/or profiting from the sale of “natural” products on their websites and shows, despite regulation from the FDA regarding compliance with the Dietary Supplement Current Good Manufacturing Practices. As dentists, we need to draw the line at where

12 | The Nugget • Sacramento District Dental Society

holistic-based treatment is a marketing gimmick versus supportive therapy. The question is, “can dentistry ever become ‘natural’ and if so, how?”

Curing tooth decay naturally through holistic-based dentistry is another topic circulating the Internet and has about 50,000 hits. That is very misleading because once the DEJ has been crossed, there is no ability to heal, or remineralize. Dr. Josh Axe eloquently wrote an article trying to connect healing with diet modification. That article, and many more found online, does a great job discussing diet and cutting back processed sugar, while increasing the intake of minerals (calcium, magnesium and phosphorus) and fat-soluble vitamins (A, D, E and K).3 That’s something we have been incorporating in our Oral Hygiene Instructions, have we not? Diet modification is huge in preventing decay, but unfortunately, none of these online sources mention that once the decay process has started, there is only prevention of future decay and treatment is necessary for the affected teeth. These scientifically refuted facts distort the practice of holistic dentistry by creating hope in our patients that they are the “one-size fits all” answer to taking care of their oral health.

To further understand the practice of holistic-based dentistry, I contacted the Holistic Dental Association (HDA). Their philosophy recognizes that patients are entitled to receiving proper information about their overall health and well-being in order to make informed decisions about their dental treatment. Holistic dentistry, according to the HDA, promotes “an

Dentistry is a dynamic profession with many tools, restoratives and techniques, and there are infinite ways of performing the same procedure. As dentists, we need to keep each other in check and create open dialogue to make sure we operate within the scope of our license and certification and give our patients all options for treatment, despite what they don’t want to hear. In many ways, holistic dentistry should be changed to back to its original name, “wholistic dentistry” because of the whole body, or oral-systemic, approach.

Wholistic dentistry is already practiced by all of us, as we strive to create healthy smiles using materials that are up-to-date with the trends in dentistry and appropriate for each patient and their overall health. In addition to the dentistry we perform, we also provide nutritional counseling, which is key to ensuring stable oral and systemic health, as both are the cause and effect of the other. 

awareness of dental care as it relates to the entire person.” The HDA believes in “an interdisciplinary approach to health that facilitates the individual’s innate ability to heal her/himself.” The HDA has no mention of the guidelines for practicing holistic dentistry nor does it promote specific procedures over others.4 Dr. Hal Huggins set the guidelines that most holistic dentists practice. The Huggins Protocol begins with obtaining a Blood Chemistry Analysis (CBC included) to determine mercury levels in the body as well as Biocompatibility Testing to determine what dental materials are compatible with each patient’s immune system. The treatment process involves the extraction of endodontically-treated teeth and removal of amalgam restorations while the patient is receiving Intravenous Vitamin C to help the body heal from the removal of the “affected teeth.” Most importantly, the use of rubber dams is a must!5 I spoke with a dentist who practices holistic dentistry in Northern California regarding the methods he uses, but he unfortunately refused to go on record because of the controversial nature of the subject. He, however, makes clear to all his patients prior to beginning treatment that dental treatment alone will not cure their symptoms or health problems, but it will at least “lighten the load of mercury in the body.”

This is where Dr. Huggins had trouble with the FDA and the Colorado State Dental Board. He was accused of giving patients false diagnoses that any illness they had was solely from the mercury in their dental restorations.

By using an “Amalgameter,” (which was an Ammeter, but was manufactured and advertised by him to detect which restorations had negative or positive charges). Huggins then determined the sequence for how he was going to treat the affected teeth, with the negatively-charged teeth being treated first. These charges determine which way the electrical current flows from each tooth and if the negative charge was flowing out of the filling, then the positive charge was flowing into the nerve canals in the jaws affecting nerve conduction to the brain and causing an overproduction of hormones, according to a postulation made by Huggins. The FDA investigated Huggins once this claim came out because the device was not approved for mercury testing. As of 1989, Huggins was no longer using it, but it is still circulating to this day under a new name, the “Rita Meter.” Huggins lost his license in 1996, and since then has published numerous books regarding mercury toxicity and its effects on our health.6,7 Huggins created a mirage of what holistic dentistry can heal, but failed to properly educate his patients and practitioners on how to incorporate researchbacked science into holistic treatment.

Dr. Hana Rashid started out as a dental assistant for Beautiful Smiles Dentistry prior to attending dental school. She completed her undergraduate studies at UC Davis, with a major in Genetics and a minor in Psychology. A graduate of the University of the Pacific Arthur A. Dugoni School of Dentistry in 2009, she went on to complete a 1 year General Practice Residency in Fresno, CA. She joined her mother, Dr. Ibtisam Rashid in August 2010 as Associate Dentist. Spending time with patients and providing quality care in a friendly environment are her core values.

Sources 1. Mercola, Joseph. “97% of Terminal Cancer Patients Previously Had Root Canal Procedure.” Take Control of Your Health. articles.mercola.com/sites/articles/ archive/2012/02/18/dangers-of-root-canaledteeth.aspx.

2. Weston, Price. “Dental Infections and Related Degenerative Diseases: Some Structural and Biochemical Factors.” Journal of the American Medical Association. 1925; 84(4): 254-261.

3. Axe, Josh. “How to Reverse Cavities Naturally and Heal Tooth Decay”. Dr. Axe: Food Is Medicine. draxe.com/naturally-reversecavities-heal-tooth-decay.

4. Holistic Dental Association. holisticdental.org 5. American Bio Dental. “The Huggins Protocol.” www.americanbiodental.com/about/thehuggins-protocol.

6. Dental Watch. “Sale of Amalgameter Banned.” www.dentalwatch.org/reg/amalgameter.html.

2004.

7. Huggins, Hal. “It’s Right Under Your Nose!” Colorado Springs: Dragon Slayer Publications, 2005.

www.sdds.org • December 2014

| 13

HOLISTIC DENTISTRY

By Jeanette Okazaki, DDS

Acupuncture in Dentistry I am a general dentist practicing in Midtown Sacramento for 32 years. In 1991, after years of suffering from allergies to environmental grasses and pollutants, I was treated by an acupuncturist for the first time and I no longer needed to take antihistamines.

T

hen in 1992, I attended a course at UC San Francisco and became certified to do acupuncture in dentistry. Since then I have become a holistic dentist and use acupuncture on the majority of my patients.

Holistic dentistry is an approach to treating patients as whole beings. We discuss their oral health and disease from a cause and effect perspective and delve into habits, diets and stress levels of the patient that might be contributing to their oral disease. Oral hygiene techniques such as brushing and flossing are instructed; and for those with periodontal disease, we teach a therapy technique of using floss and yarn to clean the periodontal pockets.

We use tea tree oil rinses, distilled water in all the operatories and BPA-free composites. We are a fluoride-free office and do not advocate the use of toothpaste. We attempt to be as “green” as possible using cloth headrest covers and bibs (that are laundered), environmentally friendly disinfectants, digital X-rays, and amalgam separators. The Sacramento Area Sustainable Business Program awarded our office a Certificate of Achievement.

Acupuncture is the placement of sterile, disposable needles into points on the body that correlate to meridians of energy that flow to and from organs. When there is disease in the body it can be caused by the blockage of energy flow. Acupuncture, which stimulates the body to produce endorphins (our natural morphine), helps to heal, stimulates our immune system, can be relaxing and have an anesthetic effect.

Acupuncture anesthesia can also be accomplished using a Transcutaneous

14 | The Nugget • Sacramento District Dental Society

Electrical Nerve Stimulation (TENS) unit to send electrical stimulation to the needles, which increases the production of endorphins resulting in anesthesia. This anesthesia numbs the teeth, but the patient still feels cold sensations. And as soon as the stimulus and needles are removed, the anesthesia subsides.

In 1972, when President Nixon visited China, one of his staff was injured and had to visit the hospital where he was able to observe a surgery being performed with just acupuncture for anesthesia. They do brain surgery, open heart surgeries and other procedures with just acupuncture. Think about the postoperative healing that can occur without pharmaceutical drugs inhibiting healing.

That visit prompted the introduction of acupuncture to the Western World.

I use acupuncture on hygiene patients by placing a needle in their hand. It is the large intestine point where the energy flows up their arm to their mouth. Most patients tell me they feel more relaxed and some feel numb; and some say they don’t notice a change but that if it helps the immune system, they like it.

Many times patients have been sitting for at least 45 minutes with their mouths open, or they have a history of TMJ dysfunction, so I will do points on their jaw or TMJ to relieve them of discomfort.

On restorative cases before administering anesthetic (most patients still prefer traditional pharmaceutical anesthetic), I do the acupuncture to help relax the patient; and it enhances the traditional anesthetic so I don’t have to use as much. It also enhances the vaso constriction of the epinephrine. I know this

because while doing a surgical extraction case, a patient didn’t want acupuncture because of his fear of needles. After anesthetizing with 2 percent lidocaine with 1:100,000, epinephrine I made an incision and there was “normal” bleeding. He wasn’t quite numb enough so I knew if he let me do acupuncture I would get more profound anesthesia. So he agreed and let me do acupuncture. When I made the incision for the last extraction there was only a drop of blood. This showed me the effect acupuncture had on increasing the effectiveness of epinephrine and vaso constriction in the local area.

A few years back I had a call from a patient who was referred to me to do acupuncture anesthesia for a filling. At the previous dentist, she had been given lidocaine and went into anaphylactic shock and “died” in the chair, but was revived in the hospital. You can imagine her fear of dentistry, but she still had the toothache. I couldn’t even get her to walk into my operatory to exam her. I then sent her to a hypnosis therapist who was able to get her to sit in my chair where I proceeded to numb her up with the TENS unit and acupuncture and filled the tooth. Her fears were allayed and she has no problems coming in for recalls.

On a personal note, five months ago I had an accident and broke my neck and atlas and had an impinging disc that required surgery and being braced for two months. After my surgery, I saw my acupuncturist twice a week for three months and continue a once-a-week regimen. My physical therapist who has been practicing for 30 years told me that I am her star “fusion” patient because I’ve healed so well and quickly, and my muscles and flexibility are amazing. I know that the acupuncture was one of the natural healing methods I’ve used that helped me heal so fast.

Acupuncture has changed the way I practice dentistry. I look at disease as an imbalance in the body; and when properly stimulated and fed physically and spiritually, the body can heal. 

Acupuncture has changed the way I practice dentistry. I look at disease as an imbalance in the body; and when properly stimulated and fed physically and spiritually, the body can heal.

Dr. Jeannette Okazaki graduated from the University of the Pacific Dugoni School of Dentistry in 1979 before joining the US Air Force where she practiced dentistry in Japan. She has practiced general dentistry in Sacramento since 1982. Born and raised in Lodi, Sacramento was “a good fit,” and she has enjoyed living and practicing dentistry here.

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www.sdds.org • December 2014

| 15

HOLISTIC DENTISTRY

Confessions of a

By David B. Miller, DDS, MAGD

‘Holistic Dentist’

“Holistic or biologic dentistry are approaches to dental care, which consider patients’ dental health in the context of their entire physical health.”

Holistic or biologic dentistry are approaches to dental care, which consider patients’ dental health in the context of their entire physical health.

T

he holistic dental community is diverse in its practices and approaches, but commonly includes opposition to the use of amalgam because it contains mercury and anywhere other than the mouth it is considered to be toxic waste. Patients desiring a more holistic approach are becoming more aware of treatment options in dentistry. However, they still need our counsel and guidance concerning the risks and consequences of their autonomous decisions.

Traditional dentistry is recognizing the whole body effects of dental disease. The systemic effect of periodontal disease related to heart disease and diabetes is well established. Research has found that bacteria can be aspirated into the lungs to cause respiratory diseases such as pneumonia.

Researchers found that men with gum disease were 49 percent more likely to develop kidney cancer, 54 percent more likely to develop pancreatic cancer, and 30 percent more likely to develop blood cancers. Childhood allergies are connected to enlarged tonsils and adenoids; crowding the tongue and leading to malocclusion and dental crowding. These Class II occlusions are correlated with various systemic conditions such as sleep disordered breathing and systemic postural distortions.

I am a “holistic” dentist. I am also one of the ADA’s first class of Evidence-based Dentistry Champions. This makes me somewhat conflicted about the whole subject as I believe some premises of “holistic dentistry,” but have a healthy skepticism of other beliefs due to their lack of a scientific basis. A common problem with holistic dentistry is the belief that root canal therapy (RCT) is inherently harmful and dangerous to the patient’s health. Patients questioning the safety of RCT invariably cite research based on the work of Weston Price, DDS. He founded the research institute National Dental Association (NDA), which became the research section of

16 | The Nugget • Sacramento District Dental Society

the American Dental Association, and was the NDA’s chairman from 1914–1928. Dr. Price developed theories on the relationship between nutrition, dental health, and physical health. He researched the relationship between endodontic therapy and systemic disease, known as the focal infection theory. This theory held that infected teeth should be treated by dental extraction rather than root canals, to limit the risk of more general illness. By the 1930s, the theory of focal infection began to be reexamined, and new research shed doubt on the results of previous studies. The focal infection theory is now considered to be false and the research of Dr. Price suffered from technical limitations and questionable interpretations of results. Dr. Price made many valuable contributions to the development of modern dentistry. However, some of his theories are given undo credence on that wonderful and extensive, but often inaccurate information source, the Internet!

I sometimes have to dissuade patients from mutilating themselves by extracting teeth that could be saved by modern dental techniques.

The worst case I have seen of “holistic” dentistry failing a patient occurred several years ago when a 28-year-old man from Lodi came to me for help. He had 15 teeth removed because a “holistic” dentist misused a Cavitat device to diagnose dental cavitations (NICO lesions) and extracted those teeth. The patient became a dental cripple. “Biologic” or “holistic” dentistry has valid concepts for helping certain patients achieve better health. However, these concepts must also be supported by scientific evidence rather than the misconceptions of the past.  Dr. David Miller teaches orofacial pain and full mouth reconstruction at LVI, and has a general practice in Roseville with an emphasis on TMD, sleep disorders and neuromuscular restorative dentistry.

We Love Our Veterans!

SDDS Members Who Have Served 1

The following names and stories serve as an addendum to the November issue of The Nugget, which was dedicated to honoring our SDDS member veterans.

U.S. Army

2

Lawrence Bisauta, DDS Bill Frey, DDS Jerome R. Gutterman, DDS E Dean Jelden, DDS Skip Lawrence, DDS Donald Liberty, DDS Blong Ly, DDS* Alexander Malick, DMD, FAGD Les McIntyre, DDS Victoria Mosur, DDS Khari Nelson, DDS Paul Raskin, DDS Derrick Tanihara, DDS Joel Whiteman, DDS* Keith Wood, DDS Herbert Yee, DDS

U.S. Marine Corps

3

Victor Hawkins, DDS Mervin Nelson, DDS Gary Rawlinson, DDS

U.S. Navy 4

1. Dr. Frederick (Bill) Schubert was in the U.S. Navy

Reserve from 1953-1996. He is pictured center holding a camera to the right of Admiral Schreir from BuMed. He was on inspection in San Mateo as Staff Dental Officer for Readiness Command Region 20 in San Francisco. 2. Dr. George Gould (center) with his two sons who served in the military at the same time he was with the California Army National Guard. 3. Dr. Daniel G. Mazza, retired Colonel in the U.S. Air Force Reserves. 4. Dr. Edward J. Orgon (father of Dr. Edward M. Orgon) was drafted just out of dental school by the Air Force to serve in Korea in 1955. Pictured is the burned out M.A.S.H. where he treated soldiers as a dentist. The drilling unit was powered by pedaling during electrical power outages, and they would enlist a Korean boy for this task.

William Black, DDS Sonney Chong, DMD Chris Cooper, DMD Joseph Cullo, DDS Jerry Dobak, DDS R. L. (Bob) Dorian, DDS Timothy Durkin, DDS Ryan Grandpre, DDS Greg Heise, DDS David Marth, DDS Erik Matson, DMD James Musser, DDS George Oatis, DDS John C. Riach, DMD Donald Rollofson, DMD Sholi Rotblatt, DDS* Dean Sands, DMD Kevin Tanner, DDS Lien Truong, DDS Russ Webb, DDS

Frederick (Fritz) Wenck, DDS Frederick (Bill) Schubert, DDS

U.S. National Guard George A. Gould, DDS

U.S. Air Force Guy Acheson, DDS Kreston Anderson, DDS Robin Berrin, DDS Gary C. Borge, DDS Matt Campbell, DDS Teje Ellis, DDS Alan Fahndrich, DDS Mitchell A. Goodis, DDS Daniel Haberman, DDS David Jolkovsky, DDS L. Neil Loveridge, DDS Jeffrey Light, DDS William L. Marble, DDS Daniel G. Mazza, DDS James McNerney, DMD Feroz M. Nawabi, DDS Clark Nary, DDS David F. Nelson, DDS, MS Jeanette Okazaki, DDS Edward J. Orgon, DDS Michael H. Payne, DDS Irvin Ray Ramsey, DDS Benton J. Runquist, DDS, MS Timothy D. Scott, DDS Robert M. Shimada, DDS Walter Skinner, DDS R. Bruce Thomas, DDS Cas Szymanowski, DDS Kim Wallace, DDS Lee Wiggins, DDS

U.S. Public Health Service Robert E. Gillis Jr. DMD, MSD

1972

*Currently on active or reserve duty

Correction: In the November issue, Dr. James Musser was mistakenly listed as having served in the U.S. Air Force. He served in the U.S. Navy. www.sdds.org • December 2014

| 17

Thank You! O

n behalf of the entire Sacramento District Dental Society and its Foundation, we would like to thank all silent and live auction item givers, buyers, table captains, donors, sponsors, attendees and volunteers of our Smiles for Sacramento gala on Saturday, October 18. The evening was a wonderful success; people were happy, their wallets were open and it was a wonderful event to highlight our Foundation, its work and its volunteers.

The gala, which was held at Hyatt Regency Sacramento, was attended by more than 280 people. The event itself, as well as the online auction, raised $90,000 for the Foundation, which helps to support our many projects benefitting the community.

Once again, thank you for your continued support of our Foundation—the heart of the dental society! We couldn’t do it without you.  Dr. Wesley Yee Gala Chair

Dr. Kevin Keating Foundation President

18 | The Nugget • Sacramento District Dental Society

Special thanks to our sponsors!

PATTERSON DENTAL

Analgesic Services, Inc. First US Community Credit Union Heise & Alpha OMS Dr. Beverly Kodama & Will Galloway Merchants National Bank of Sacramento Sutter Health TDIC The Star Group

www.sdds.org • December 2014

| 19

A CHARITABLE 501-C3 ORGANIZATION

Thank you to our 2014 Foundation Members! as of November 1, 2014 Dentist Members

Reza Abbaszadeh, DDS Guy Acheson, DDS Gary Ackerman, DDS Terry Adair, DDS Eva Adams, DDS Gregory Adams, DDS, MS Kristen Adams, DDS Nima Aflatooni, DDS Dean Ahmad, DDS Craig Alpha, DDS Brad Archibald, DDS Nancy Archibald, DDS Mark Backhus, DDS Daisuke Bannai, DDS Richard Behl, DDS Wallace Bellamy, DMD Robin Berrin, DDS Paul Bianchi, DDS Paul Binon, DDS, MSD John Birch, DDS Ronald Blanchette, DDS Hendrick Blom, DDS Thais Booms, DDS, MSD Michael Boyce, DDS Damon Boyd, DDS Colleen Buehler, DDS Rodney Bughao, DDS David Burke, DDS Robert Burkhard, DDS Matthew Campbell, Jr., DDS Adrian Carrington, DDS Erin Carson, DDS Vince Castaldo, DMD Steven Cavagnolo, DDS Thad Champlin, DDS, MSD Wai Chan, DDS Richard Chang, DDS Shareen Char-Fat, DDS Kevin Chen, DMD, MS Ru Chen, DDS Regina Cheung, DDS Sonney Chong, DMD Stephen Christensen, DMD Lawrence Chu, DDS Michael Chu, DDS Darrell Chun, DDS Scott Churchill, DMD Matt Comfort, DDS Patrick Cook, DDS Christopher Cooper, DMD James Coyle, DDS Lee Crane, DDS, MPH Brian Crawford, DMD Paul Cripe, DDS David Crippen, DDS Gina Crippen, DDS Shama Currimbhoy, DDS John Cutter, DDS Jerome Daby, DDS Robert Daby, DDS Kent Daft, DDS Vincent D’Ascoli, DDS David Datwyler, DDS Jeffrey Davidson, DDS Martha De Los Rios, DDS Teresa DeGuzman, DMD James Delehanty, DDS Margaret Delmore, MD, DDS

Paul Denzler, DDS Friz Diaz, DDS Shaina DiMariano, DDS Pamela DiTomasso, DMD Hung Do, DDS Jerome Dobak, DDS Lisa Dobak, DDS Gordon Douglass, DDS Jennifer Drew, DDS, MSD Aly Elsayed, DDS James Everhart, DDS Diana Fat, DDS JC Fat, DDS, MS Kenneth Fat, DDS David Feder, DDS Volkmar Felahy, DDS Debra Finney, DDS Brian Fong, DMD, MD Leslie Fong, DDS Michael Forde, DDS, MS Rikard Forsberg, DDS Lora Foster Rode, DDS Beatriz Galofre, DDS Spencer Gedestad, DMD Richard Gere, DDS Kelly Giannetti, DMD, MS Herbert Gibbs, DDS Robert Gillis, DMD, MSD Mitchell Goodis, DDS Jennifer Goss, DDS Wayne Grossman, DDS Edi Guidi, DDS Dan Haberman, DDS, MS Gregory Hailey, DDS Nicky Hakimi, DDS, MSD Harold Hanefield, DDS Lauren Hanschu, DDS Kerry Hanson, DDS Daniel Harlan, DDS David Hatcher, DDS Elizabeth Harmon, DDS Victor Hawkins, DDS Robert Hays, DDS Jagdev Heir, DMD, MD Greg Heise, DDS Marsha Henry, DDS Timothy Herman, DDS Steven Higashi, DDS Carl Hillendahl, DDS Dennis Hiramatsu, DDS Craig Hollingsworth, DDS Michael Holm, DDS Mark Holt, DDS, MS Wesley Honbo, DDS Herbert Hooper, DDS Elizabeth Huynh, DDS Richard Jackson, DDS Herbert Jensen, DDS Elizabeth Johnson, DDS Daniel Jones, DDS Terrence Jones, DDS Bryan Judd, DDS Lynn Judd, DDS Robert Katibah, DDS Paul Katz, DDS David Keating, DDS Kevin Keating, DDS, MS Richard Keilson, DDS Sidney Kelly, DMD

20 | The Nugget • Sacramento District Dental Society

Richard Kennedy, Jr., DDS Neelofar Khan, BDS Jin Kim, DDS Peter Kim, DDS George Koch, DDS Beverly Kodama, DDS Matthew Korn, DDS Kevin Kurio, DDS Jeffrey Kwong, DDS, MSD Laurie LaDow, DDS Lisa Laptalo, DMD Lawrence Larsen, DDS Skip Lawrence, DDS Gordon Lee, DDS Grace Lee, DMD, MD Leland Lee, DDS Alan Leider, DDS Steve Leighty, DDS Donald Liberty, DDS Steve Longoria, DDS David Lopes, DDS Carol Lopez-Shams, DDS L. Neil Loveridge, DDS Donald MacDonald, DMD Abdon Manaloto, DDS Janine Ma-Golding, DDS William Marble, DDS Greg Maroni, DDS James McNerney, DDS Warren McWilliams, DDS James Meinert, DDS Timothy Mickiewicz, DDS Glenn Middleton, DDS David Miller, DDS Dwight Miller, DDS Daniel Miyasaki, DDS Edward Montalbo, DMD Rhonda Montalbo, DMD Jack Moore, DDS Kathryn Ann Moore, DDS Kenneth Moore, DDS Sydney Moore, DDS Megan Moyneur, DDS Steve Patrick Murphy, DMD Tania Nelson-Chrystal, DDS John F. Nelson, DDS Minh Nguyen, DDS Thanh-Truc Nguyen, DDS Daniel Nolan, DDS James Oates, DDS Michael O’Brien, DDS Kevin O’Dea, DDS, MS Kevin O’Neill, DDS, MSD John Oshetski, DDS Stephen Ott, DDS Deborah Owyang, DDS Gregory Owyang, DDS Viren Patel, DDS Michael Payne, DDS, MSD James Peck, DDS Joel Pedersen, DDS Patrick Penney, DDS Joshua Perisho, DDS Stacey Peters-Nelson, DDS Flaviane Petersen, DDS Brett Peterson, DDS Dennis Peterson, DDS Robert Phillips, DDS Paolo Poidmore, DDS, MSD

PLEASE JOIN FOR 2015!

(see enclosed insert)

Mark Porco, DDS Robert Pretel, DDS Michael Quessenberry, DDS Dexter Quiggle, DDS Alan Rabe, DDS Moji Radi, DDS Darryl Ragland, DDS Hana Rashid, DDS Ibtisam Rashid, DDS Gabrielle Rasi, DDS Ron Rasi, DDS Paul Raskin, DDS Joseph Rawlins, DDS Justin Reich, DDS Sean Rhee, DDS Bevan Richardson, DDS Lindsey Robinson, DDS Roda Leon III, DDS Christy Rollofson, DDS Donald Rollofson, DMD Nicholas Rotas, DDS Sean Roth, DDS Brian Royse, DDS Benton Runquist, DDS Navneet Sahota, DDS John Santamaria, DDS Cherag Sarkari, DDS William Schaedler, DDS Christopher Schiappa, DDS David Seman, DDS, MS Howard Shempp, DDS Richard Shipp, DDS Stefanie Shore, DDS James Silverman, DDS Walter Skinner, DDS William Sloan, DMD Andrea Sosa, DDS Norman Spalding, DDS Joelle Speed, DDS Charles Stamos, DDS Visse Storm, DDS Jeffrey Sue, DDS Victoria Sullivan, DDS Damon Szymanowski, DMD Art Tanimoto, DDS Larry Templin, DDS R. Bruce Thomas, DDS H. Scott Thompson, DDS Robert Tilly, DDS J. Alex Tomaich, DDS, MD Pedram Towfighi, DDS, MS Leo Townsend, DDS Patrick Tsai, DDS Kelvin Tse, DDS Glen Tueller, DDS Gregory Tuttle, DDS Lucy Valencia, DDS Asvin Vasanthan, DDS, MS Jenny Vassilian, DDS Jenny Victoria, DDS Chang Vong, DMD Tom Wagner, DDS Kim Wallace, DDS Melvin Walters, DDS Wayne Walters, DDS Kingsley Wang, DDS Glen Warganich-Stiles, DDS Ernie Watson, DDS Russell Weaver, DDS

Russell Webb, DDS Cynthia Weideman, DDS Michael Weideman, DDS Mark White, DDS Gregory Wilcox, DDS Ryan Wilgus, DDS Michael Wilson, DDS Bingson Wong, DDS Dennis Wong, DDS Ian Wong, DDS Kenneth Wong, DDS Timothy Wong, DDS Daniel Woodson, DDS Janice Work, DDS Peter Worth, DDS Jamson Wu, DDS, MSD Rosemary Wu, DMD, MS Lynn Yamamoto, DMD Thomas Yamamoto, DDS Bradley Yee, DDS H. Wesley Yee, DDS

Associate Members

California Dental Association CDA Foundation Comel Ahmad Debra Burke Irene Campbell Stephanie Cripe Lori Daby, RDH Peggy Daft JP DeGuzman Rachelle Doyle Kayla Nguyen Dringenber Fechter & Company Kathleen Ford Lori Forsberg Mary Ann Harris Beverlee Hawkins Margaret Jackson Kathy Jones Marion Jones Linda Judd Joe Kalinowski, CPA/PFS Sue Keating, RDH Leigh Kurio Cookie Lawrence Deborah Lee Karen Leighty Steve Leininger, CPA/PFS Cathy Levering Joyce Oates Ann Peck Gayle Peterson Julie Rawlins Kim Stiles Sherry Sue Brent Thomas, CPA/PFS Annette Tomaich Hans Walde Karen Walters Michelle Wang Kim Warganich-Stiles Kathi Webb Shelley Wong Gilbert Wyse Ruby Yu, MD

Sacramento TMD Orofacial Pain Study Group New Comprehensive 12-month Course Starting January

L

ouis Gallia MD, DMD, FACS presents a comprehensive study club focusing on the complex diagnosis and treatment of Temporomandibular and Orofacial Pain Disorders. This course is intended to help participants to become TMJ masters. The interactive study club will provide lecture and hands on exposure to this interesting group of disorders. Whether you are a novice or experienced TMD practitioner, this course will greatly enhance your ability to diagnose and treat the TMD orofacial pain patient. This course will be comprehensive, with the goal being to give dentists the tools to safely and predictably treat a difficult patient population. We will be bringing in outside speakers to enhance the learning experience, as well as lectures, literature review and case presentations. Live demonstrations of techniques including splint design, Botox injections, trigger point injections, intra-articular steroid injections diagnostic blocks will be included. A demonstration of your knowledge will be shared to the group through the presentation of case studies. Given the intense nature the course, participation will be strictly limited, so maximum learning can take place.

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www.sdds.org • December 2014

| 21

YOU

THE DENTIST, THE BUSINESS OWNER

YOU ARE A DENTIST. You’ve been to school, taken your Boards and settled into practice. End of story?

Not quite. Are you up to speed on tax laws, potential deductions and other important business issues?

In this monthly column, we will offer information pertinent to you, the dentist as the business owner.

As the Year Comes To a Close...

By Tim Giroux, DDS

Western Practice Sales (SDDS Vendor Member)

The past several year-end issues have been interesting. Two years ago, we saw a rush of sales in December as there was talk in Congress that the capital gains tax increase might be retroactive. That rumor caused many sellers to close in December who would have otherwise closed in January. The retro-active part of the tax increase did NOT happen while the tax increase did happen last year. I am not sure if the 5 percent increase in the tax had any effect on any seller’s retirement plans, but we are still seeing many retirement-age dentists working longer than they did prior to the economic shake-up of 2008.

A

s we approach the end of the year, interestingly enough, it is still a “seller’s market” out there.

Having said that, practices in the smaller, rural areas still take more time to sell and “facility-only opportunities without patients” are not moving as well as they had in the pre-economic shake-up, even in the larger urban markets. At some point in the next few years, hopefully sooner than later, we do expect a large increase of inventory as the baby boomers who graduated in the late 70’s and early 80’s will finally retire.

I believe we are just starting to see a more normalized market and sellers who have been hanging on are finally starting to decide to hang up their drills.

Here is my year end advice for sellers: If your practice is currently on the market or you are contemplating selling your practice next year, finish the year strong!! Lenders and Buyers value your practice almost exclusively on the most current year-end P&L. Try not to take too much time away from the office until January. Make all of your December bank deposits on time and try to have them posted before January, as opposed to some accountant’s advice for you to wait

22 | The Nugget • Sacramento District Dental Society

until January so that the tax burden is delayed for a year. If you are currently in contract, most accountants will again advise their sellers to close in January. If you are thinking of selling next year, begin the process to put your practice in tip-top condition with strong financials and “ready to market curb appeal” in mid-tolate January, which is traditionally the busiest time of the year for buyers coming into the market!.

Here is my year end advice to buyers: If you are frustrated searching for the right opportunity, we are expecting a healthy surge in listings and our inventory sometime soon. I expect that this activity will continue to increase. Sellers who have been holding on may decide that it is finally time to retire next year as they probably realize that taxes and expenses will only increase in the future. Their investment portfolios should have rebounded from the 2008 crisis and hopefully they can now consider retirement on their own terms!

Again, I wish you much success and continued prosperity for the years ahead and a safe and happy holiday season with the people you care about. 

Committee Corner Thank you to our

PLEASE DONATE

2014 PAC Contributors!

Terry Adair, DDS Gregory Adams, DDS, MS Craig Alpha, DDS Rina Ambaram, DDS Jenny Apekian, DDS Nancy Archibald, DDS Mark Backhus, DDS Paul Bianchi, DDS Rodney Bughao, DDS David Burke, DDS Matthew Campbell, DDS Steven Cavagnolo, DDS Thad Champlin, DDS, MSD Wai Chan, DDS Regina Cheung, DDS Sonney Chong, DMD Lawrence Chu, DDS Paul Cripe, DDS Kent Daft, DDS Lisa Dobak, DDS Jennifer Drew, DDS, MSD James Everhart, DDS Rikard Forsberg, DDS Robert Gillis, DMD, MSD Lauren Hanschu, DDS Victor Hawkins, DDS Robert Hays, DDS Gregory Heise, DDS Dennis Hiramatsu, DDS Chad Jensen, DDS Daniel Jones, DDS Terrence Jones, DDS Robert Katibah, DDS Kevin Keane, DDS Richard Kennedy, DDS Peter Kim, DDS

Matthew Korn, DDS Kevin Kurio, DDS Leland Lee, DDS Kenneth Marti, DDS Michael Miyasaki, DDS Edward Montalbo, DMD Rhonda Montalbo, DMD Jack Moore, DDS John Nelson, DDS Michael O’Brien, DDS Edward Orgon, DDS Gregory Owyang, DDS Michael Payne, DDS, MSD Patrick Penney, DDS Robert Phillips, DDS Dexter Quiggle, DDS Moji Radi, DDS Ike Rahimi, DMD Gabrielle Rasi,DDS Leon Roda, DDS Donald Rollofson, DMD Sean Roth, DDS Christopher Schiappa, DDS Richard Shipp, DDS Richard Smith, DDS Jeffrey Sue, DDS J. Alex Tomaich, DDS, MD Glen Tueller, DDS Kim Wallace, DDS Wayne Walters, DDS Wen-li Wang, DDS Glen Warganich-Stiles, DDS Ernest Watson, DDS Russell E. Weaver, DDS Cynthia Weideman, DDS Michael Weideman, DDS

Bingson Wong, DDS Daniel Woodson, DDS Lynn Yamamoto, DMD Bianca Yu-Aui Yee, DDS Dan Zendner, DDS

FOR 2015!

(see enclosed insert)

WHAT IS SACPAC? The Sacramento District Dental Society Political Action Committee (SacPAC) was created in 2001 for the purpose of establishing a fund to make contributions to candidates for local and state office. SacPAC contributes to those candidates and incumbents who support the concerns, beliefs and issues of the Sacramento District Dental Society and its members.

HOW CAN I CONTRIBUTE? Contributions to SacPAC are voluntary. To donate, please check the box on your DUES STATEMENT, or SIGN UP WITH THE ENCLOSED INSERT. You can contribute in any amount, even if you’ve already paid your dues this year!

HOW CAN I HELP? Follow the elections, candidates and issues this coming election year.

If you feel that SacPAC needs to support a candidate or an issue, let us know. Together, we can show our support!

SDDS Committee Sign Up There are many opportunities and “many hands make light work.” Sign up to join: Standing Committees

Ad Hoc / Advisory / Workgroups

Special Event Committees

• Membership Committee

• Continuing Education Committee

• Peer Review Committee

• Nugget Editorial Advisory

• Ethics Committee

• Mass Disaster / Forensics Advisory

• Golf Tournament Committee • Smiles for Kids (Adopt-a-Kid doctor) • Smiles for Kids (host site, Feb 7) • Smiles for Big Kids • Smiles for Kids Day volunteer, Feb 7 • Other events as needed

• Dental Careers Workgroup • Dental Screeners for Smiles for Kids Committee

To sign up, see enclosed insert and fax it back to us or visit www.sdds.org. There’s room for everyone! www.sdds.org • December 2014

| 23

24 | The Nugget • Sacramento District Dental Society

YOU

YOU ARE A DENTIST. You are also an employer. Employee evaluations, hiring and firing, labor laws and personnel files are an important part of that. This monthly column, will offer current employment

THE DENTIST, THE EMPLOYER

law information pertinent to you —

BER MEM IT! F E N BE

the dentist, the employer.

SDDS HR Hotline FREE TO SDDS MEMBERS!

Frequently Asked Questions

1.800.399.5331

On Holiday Pay

By Kim Parker, CEO

(California Employers Association)

Are employers required to provide employees time off for a holiday?

No. Although companies with 15 or more employees are subject to federal religious discrimination laws and may need to allow employees time off for religious observance.

Do employers have to pay their employees if the business is closed for a holiday?

No. Federal law and most state laws, including California, do not require employers to pay employees if time off for holidays is granted. Whether or not employees are paid for holidays is generally a matter of company policy. Employers need to be careful when it comes to exempt employees, though--as a general rule, if an exempt employee performs any work during a workweek, he or she must be paid the full salary amount.

Back in time…

Can you identify this SDDS Member?

The first SDDS member to call the SDDS office (916.446.1227) with the correct answer wins $10 OFF their next General Meeting registration.

Only the winner will be notified. Member cannot identify himself.

WATCH FOR THE ANSWER IN THE JANUARY 2015 NUGGET! Congratulations to Dr. Kim Wallace who correctly guessed the answer from the November 2014 issue: Dr. Mitchell Goodis

What about employees scheduled to work on a holiday if the business remains open?

No. Extra compensation (above and beyond an employee’s regular rate of pay) for work on holidays in California is a matter of company policy. Some companies pay employees at a special rate (such as time-and-a-half) for holiday shifts, however, an employee is only entitled to his or her regular pay, plus any overtime. A company’s paid holiday policy should always be communicated in their employee handbook.

Are holiday gifts or bonus checks to employees taxable?

Yes. Unfortunately, anything that equates to giving cash must be considered taxable income for the employee. This includes gift cards, gift certificates and bonus checks. The value of all of these must be included in the employee’s income and are subject to employment taxes.

However, if the employer buys a gift that is not equivalent to cash and gives it to the employee, it is not included in the employee’s income. Example: A $20 boxes of Godiva chocolates given as a gift to the employees is not taxable income for the employee. However, if the employer gives Godiva gift certificates to employees, it should “technically speaking” be included as part of the employee’s income.

Items such as turkeys, hams, chocolates and some entertainment tickets are considered “de minimis” benefits, which is “any property or service you provide to an employee that has so little value that accounting for it would be unreasonable or administratively impracticable” (IRS Publication 15-B, Employer’s Tax Guide to Fringe Benefits, 2008). These gifts must have a low market value and be given infrequently; otherwise, the IRS may question the practice.  www.sdds.org • December 2014

| 25

Board Report November 4, 2014

Respectfully Submitted by Wallace Bellamy, DMD

Highlights of the Board Meeting

Secretary

Call to Order President Dr. Kelly Giannetti called the meeting to order at 6:15 p.m. and thanked all Board members for their support during the year.

She gave special thanks to Drs. Wai Chan and Jennifer Goss for their service to the Board as their terms end. She also gave special thanks to Dr. James Musser for serving as editor of The Nugget for the past 10 years. Dr. Giannetti welcomed new Board members and guests Drs. Volki Felahy, Lisa Laptalo and Carl Hillendahl.

• Committee Chairs: Dr. Patel proposed and the Board approved nominations for 2015 chairs.

• Task Forces for 2015: The Board approved the following task forces for 2015: • Large Group Practice / Membership Task Force • Social Media Task Force • CE Task Force

Secretary’s Report

Executive Director’s Report

Dr. Wallace Bellamy reported on the following:

Treasurer’s Report

Cathy Levering reviewed new staff and committee liaison assignments.

She also reported that Dr. Russ Webb will receive the CDA Foundation Humanitarian of the Year Award at the House of Delegates. SDDS did the nomination for him. Congratulations Dr. Webb! Cathy also thanked and congratulated Dr. Musser for his 10 years as Nugget editor and for the November issue honoring SDDS veterans.

Dr. Viren Patel reported on the following:

Trustee Report

• The 2015 $1.2 million operational budget, which was unanimously approved.

No Report

• The SDDS market share is 79.8%. We have 55 Dental Health Professional (DHP) members—auxiliary and staff members of dentists who receive discounts at SDDS events and courses.

Old Business

Adjournment The meeting was adjourned at 8:25 p.m.

• Strategic Plan: Drs. Patel and Bellamy presented the new strategic plan, which was unanimously approved by the Board. The next process will be to assign the action suggestions of the strategic plan to the committees and the committee will act in accordance with the strategic plan.

Next Board Meeting: January 6, 2015 at 6 p.m.

• House of Delegates: Dr. Giannetti asked for approval of Dr. Bryan Judd as our additional delegate since SDDS earned an additional delegate based on our membership numbers.

New Business • Editor of The Nugget: Dr. Patel proposed Dr. Carl Hillendahl to be the 2015 Editor of The Nugget. The Board approved.

OUR MISSION It is the mission of the Sacramento District Dental Society to be the recognized source for serving its members and for enhancing the oral health of the community.

26 | The Nugget • Sacramento District Dental Society

General Meeting

November 11, 2014 | Staff Night | Practice & Team Fundamentals

2

1 33

1

4

5

7

6 9

8

1

Dr. Kent Daft (left) chats with his team—Donna Jacobson and Melody Vanderburg (right).

2 3 4 5 6

Dr. Ike Rahimi (far left) and Dr. John Nerwinski (far right) with staff.

7 8 9

Janice O’Donnell won the giant Integrity Practice Sales teddy bear raffle prize!

Dr. Robert Catron’s smile.

Dr. Jill Whitney (left) and her staff member.

Dr. Glen Tueller “photobombs” a staff photo!

Dr. Wallace Bellamy and raffle winners Rashelle Marnet, who won free admission to the 2015 MidWinter Convention & Expo.

Dr. Keith Grote won the raffle prize of a Crest / Oral-B gift basket.

Speaker Dr. Howard Farran (center) with Drs. Ann Marie Gorczyca (left) and Donna Galante (right).

Next General Membership Meeting: January 13, 2015

See General Meeting insert or go to sdds.org to sign up! www.sdds.org • December 2014

| 27

We’re Blowing

Your Horn!

Congratulations to...

Our Foundation on receiving the California School Nurses Organization’s Northern Section Partners in Children’s Health 2015 award “for outstanding contributions to the health of children in Northern California. (1) Dr. Jim Wood on being elected to represent the 2nd Assembly District in the California State Assembly. (2) 

1

2

LINK OF THE MONTH: Our newly redesigned website—www.sdds.org!

28 | The Nugget • Sacramento District Dental Society

WELCOME to SDDS’s new members, transfers and applicants.

New Members LOREN CADELINIA, DDS

Orthodontist 3635 N. Freeway Blvd., Ste. 110 Sacramento, CA 95834 916.285.6691 Dr. Loren Cadelinia graduated from UOP Arthur A. Dugoni School of Dentistry in 2010 with his DDS and later completed his specialty in Orthodontics at the University of Nevada in 2012. He currently practices and resides in Sacramento.

GEORGINA JAMISON, DDS

IMPORTANT NUMBERS: SDDS (doctor’s line) . . . . . (916) 446-1227 ADA . . . . . . . . . . . . . . . (800) 621-8099 CDA . . . . . . . . . . . . . . . (800) 736-8702 CDA Contact Center . . . . (866) CDA-MEMBER

(866-232-6362) CDA Practice Resource Ctr . cdacompass.com TDIC Insurance Solutions . (800) 733-0633 Denti-Cal Referral . . . . . . (800) 322-6384 Central Valley Well Being Committee . . . (559) 359-5631

Transferred from Tulare Kings Dental Society General Practitioner 31 Main Street Winters, CA 95964 530.795.2157 Dr. Georgina Jamison graduated from Loma Linda University in 2009. She currently practices at the Winters Health Clinic and resides in Winters. Fun fact:: Dr. Jamison loves to volunteer and travels overseas to help people in need of good oral hygiene.

ALICE GRACE MAGTOTO, DDS

General Practitioner 9640 Bruceville Road #101 Elk Grove, CA 95751 916.686.9030

Dr. Alice Grace Magtoto attended the UCSF School of Dentistry and graduated in 2014. She currently practices in Elk Grove and resides in Rancho Cordova.

Know any doctors who need some Society in their life?

KEEP US

UPDATED! Moving?

Opening a new office?

Offering new services?

Share your information with the Society!

We can only refer you if we know where you are; and we rely on having your current information on file to keep you informed of valuable member events!

Give us a call at (916) 446-1227

If so, send them our way! If they join in the month of December and pay dues for 2015 or sign up for the EDP program, they will get the entire month of December FREE! Please help us spread the word so the society can continue to flourish. For more information or for membership application(s) please contact SDDS.

DECEMBER

2014

MINH-KHANG NGO, DDS

Transferred from San Francisco Dental Society General Practitioner 2205 Francisco Drive #150 El Dorado Hills, CA 95762 916.934.0207 Dr. Minh-Khang Ngo graduated from UOP Arthur A. Dugoni School of Dentistry in 2014. He currently practices in El Dorado Hills and resides in Sacramento.

SEAN NOLAN, DDS

Transferred from West Los Angeles Dental Society General Practitioner 1530 3rd Street, Suite 201 Lincoln, CA 95648 916.645.1138 Dr. Sean Nolan graduated from UCLA School of Dentistry in 2013. He currently practices and resides in Lincoln.

Pending Applicants JONAH RASKIN, DDS ERICA HSIAO, DDS SHIKHA RATHI, BDS, MS KIMBERLY WHIPPY, DDS FRANK CHEN, DDS RAIKAMAL KAUR SOHI, DDS

TOTAL MEMBERSHIP

(AS OF 11/10/14): 1,612

NEW MEMBERS FOR 2014: 55 TOTAL ACTIVE MEMBERS: 1,303 TOTAL RETIRED: 226 TOTAL DUAL MEMBERS: 4 TOTAL AFFILIATE MEMBERS: 8 TOTAL STUDENT/PROVISIONAL MEMBERS: 11 TOTAL APPLICANTS: 7 TOTAL DHP MEMBERS: 53 DROPPED FOR NON-PAYMENT OF DUES: 59

CLIP OUT this handy NEW MEMBER UPDATE and insert it into your DIRECTORY under the “NEW MEMBERS” tab.

ALERT! PAY DUES MONTHLY! If you were an EFT dues payer in 2014, you will automatically be billed on a monthly basis in 2015.

This is only for monthly payments.

MARKET SHARE: 79.8%

You can still sign up for EFT if you would like to begin this monthly billing process. www.sdds.org • December 2014

| 29

Advertiser INDEX Dental Laboratories

Vendor Member Infusion Dental Arts . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

NEW COURSE STARTING JANUARY 2015

Dental Supplies, Equipment, Repair

Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Benco Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Burkhart Dental Supply . . . . . . . . . . . . . . . . . . . . . . . . 32 DESCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31, 32 Patterson Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Procter & Gamble Distributing Co (Crest / Oral B). . . . 32

Education Sacramento Implant Continuum . . . . . . . . . . . . . . . . 30 Sacramento TMD Orofacial Pain Study Group . . . . . 21 San Joaquin Valley College (SJVC) . . . . . . . . . . . . . . 30

LEARNING TOGETHER Debra S. Finney, MS, DDS PERIODONTIST

G

WORKING TOGETHER

Robert E. Gillis, DMD, MSD PROSTHODONTIST

Michael S. Phelps, DDS ORAL SURGEON

Financial & Insurance Services

Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Anders Accounting Inc. . . . . . . . . . . . . . . . . . . . . . . . 32 Bank of the West . . . . . . . . . . . . . . . . . . . . . . . . . 24, 32 California Dentists’ Guild . . . . . . . . . . . . . . . . . . . . . . . 32 Dennis Nelson, CPA . . . . . . . . . . . . . . . . . . . . . . 28,32 Fechter & Company, CPAs . . . . . . . . . . . . . . . . . . . . 32 Financial Management Associates, LLC. . . . . . . 31, 32 First U.S. Community Credit Union . . . . . . . . . . 15, 32 Mann, Urrutia & Nelson, CPAs . . . . . . . . . . . . . . . . . 32 TDIC & TDIC Insurance Services . . . . . . . . . . . . . . 8, 39 Union Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Wells Fargo Bank . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Financial & Investment Services

Vendor Member Consolidated Pension Consultants, Inc. . . . . . . . . 21, 32 Vendor Member Lilani Wealth Management. . . . . . . . . . . . . . . . . . . . . . 31

Human Resources

Vendor Member California Employers Association (CEA) . . . . . . . . . . . 33

Legal Services

Vendor Member Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

The Goldman Law Firm. . . . . . . . . . . . . . . . . . . . . . . 26

Medical Gas Services

Vendor Member Analgesic Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . 32

Office Design & Construction

Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Andrews Construction . . . . . . . . . . . . . . . . . . . . . . . . 33 Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . 24, 33 Healthcare Cabinet Co. . . . . . . . . . . . . . . . . . . . . . . . 33 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Olson Construction, Inc. . . . . . . . . . . . . . . . . . . . . . 33 Wells Construction. . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Practice Sales, Lease, Management &/or Consulting

Vendor Member Henry Schein Wagner . . . . . . . . . . . . . . . . . . . . . . . . . 34 Vendor Member Integrity Practice Sales . . . . . . . . . . . . . . . . . . . . . . . . .31 Vendor Member Western Practice Sales . . . . . . . . . . . . . . . . . . . . . . . 33

Practice Support

Vendor Member SD Reliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Publications & Media

Vendor Member Sacramento Magazine . . . . . . . . . . . . . . . . . . . . . . . 33

Staffing Services

Vendor Member Resource Staffing Group . . . . . . . . . . . . . . . . . . . . . . 33

Technology / HIPAA Compliance

Vendor Member Pact-One . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Vendor Member xTerraLink, Inc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Technology & Media

Vendor Member Comcast Business . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Vendor Member iHeartMEDIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Waste Management Services

Vendor Member Converge Medical Solutions, LLC . . . . . . . . . . . . . . . 33 Vendor Member Star Group Dental Refining . . . . . . . . . . . . . . . . . . . . . 33

30 | The Nugget • Sacramento District Dental Society

The Sacramento Implant Continuum (SIC) is a sevenmodule mini-residency course. It was developed to provide an opportunity for comprehensive instruction in placing and restoring basic implants. Emphasis is placed on diagnostics and treatment planning to assist in minimizing complications which may result from abbreviated training courses.

This unique program offers multidisciplinary learning from a prosthodontist, a periodontist and an oral surgeon as well as other adjunct faculty.

NOW ENROLLING OUR 10th CLASS! For more information please visit

www.sa c impla ntc o ntinuum.com

VENDOR MEMBER SPOTLIGHTS: Henry Schein Dental is the one-stop resource for “Everything Dental” in the dental community.

Service Packages Include: Dental Merchandise and Supplies, Dental Equipment, CADCAM, Dexis, Dentrix, Practice Management Software, Professional Practice Transitions, Inc.

Benefits, Services, Special Pricing and/or Discounts Extended to SDDS Members: Ask about our unique “Privileges” purchasing programs.

Mark Lowery • Regional Sales Manager 916.626.3002 • 1.800.645.6594 www.HenrySchein.com

we love

our SDDS Vendor Members!

Financial Management Associates, LLC, (FMA) provides estate, financial, retirement and wealth management planning services to the soon-to-be-affluent, affluent and wealthy as well as business entities and medical practices.

Service Packages Include: We recognize that with financial success comes increased responsibilities and complexity. FMA provides a comprehensive approach to managing our clients’ financial situations. By doing so, we can coordinate investments, income and estate taxes, providing income for retirement as well as business counseling and philanthropic decision-making to create your personal legacy. We recognize that our client’s unique estate, financial and retirement needs and goals change over time, therefore, we offer services to complement our client’s needs as they grow. We provide our clients with short and long-term benefits involving tax strategies and improved investment decisions. We also assist our clients in transferring assets to loved ones or to charitable entities, establish a trust or foundation, or to simply advise on financial decisions.

Ted Darrow • Client Relations/Marketing 916.985.9559 ted@fmacentral.com Arnold T. Beck • President 916.985.9559 arnie@fmacentral.com www.fmacentral.com

Integrity Practice Sales Brian Flanagan & Kirsi Kilpelanien 805.337.4337 www.integritypracticesales.com

www.sdds.org • December 2014

VENDOR A / SINCE 2014

Lori Grbac, Account Manager 916.576.2131 www.iHeartMedia.com

Practice Sales

iHeartMEDIA VENDOR A / SINCE 2014

Rashida Lilani 916.782.7752 www.lilaniwealthmanagement.com

Radio/Advertising

Lilani Wealth Management VENDOR B / SINCE 2014

Financial Services

NEW VENDOR MEMBERS!

| 31

Kyra Gauldin, Operations 916.784.8200 www.burkhartdental.com

Lauren Herman • 209.969.6468 Kevin McKittrick • 916.765.9101 www.dentalcare.com

DESCO Dental Equipment

Henry Schein Dental

Tony Vigil, President 916.259.2838 www.descodentalequipment.com

Mark Lowery, Regional Sales Manager 916.626.3002 www.henryschein.com

VENDOR A / SINCE 2012

Crest / Oral B

DENTAL

VENDOR A / SINCE 2011

Robert Kiddoo — Regional Manager 800.462.3626 www.benco.com

VENDOR B / SINCE 2005

Geary Guy, VP / Steve Shupe, VP 888.928.1068 www.asimedical.com

VENDOR B / SINCE 2013

Burkhart Dental Supply

VENDOR B / SINCE 2004

Benco Dental

VENDOR B / SINCE 2002

Dental Supplies, Equipment, Repair & Labs

Analgesic Services, Inc.

Ted Darrow, Client Relations/Marketing 916.985.9559 www.fmacentral.com

VENDOR A / SINCE 2014

Dennis Nelson, CPA, APC

Fechter & Company

Dennis Nelson, CPA 916.988.8583 www.cpa4dentists.net

Craig Fechter, CPA 916.333.5360 www.fechtercpa.com

D ENNIS NELSON

CPA, APC PLANNING & CONSULTING ASSOCIATES

First US Community Credit Union Gordon Gerwig, Business Services Mgr 916.576.5650 www.firstus.org

VENDOR A / SINCE 2011

VENDOR B / SINCE 2013

32 | The Nugget • Sacramento District Dental Society

Layla Shirazi 510.465.9021 www.cadentistsguild.org

VENDOR A / SINCE 2014

Mann, Urrutia, Nelson, CPAs John Urrutia, CPA, Partner Chris Mann, CPA, CFP, Partner 916.774.4208 www.muncpas.com

VENDOR A / SINCE 2010

Financial Management Associates, LLC

Rami J. Zreikat / Alnore Deen 916.608.9902 • 916.206.1858 www.xterralink.com

California Dentists’ Guild

VENDOR A / SINCE 2005

Dennis Gacutan, President 916.646.4900 cpc@cpctpa.com

VENDOR A / SINCE 2014

Consolidated Pension Consultants, Inc.

Mary Alajou, VP Sacramento / Butte Area Manager 916.949.2687 www.bankofthewest.com

xTerraLink, Inc.

VENDOR B / SINCE 2014

Bank of the West

Anders Accounting Inc Ben Anders, CPA 916.346.4005 admin@andersaccounting.com www.andersaccounting.com

Dennis Amatulli, Owner 916.724-9096 www.infusiondental.com

www.descodentalequipment.com

VENDOR B / SINCE 2014

4095 Del Mar Ave. #13 Rocklin, CA 95677

VENDOR B/ SINCE 2011

Financial & Insurance Services

James Ryan 800.736.4688 www.pattersondental.com

Infusion Dental Arts

VENDOR A / SINCE 2003

Patterson Dental

VENDOR A / SINCE 2009

916-624-2800 800-649-6999

IT & HIPAA Compliance

The Dental Equipment Specialists

Marc Davis / Morgan Davis / Lynda Doyle 916.772.4192 www.bluenorthernbuilders.com

Nicole Wells 916.788.4480 www.wellsconstruction.com

Debbie Kemper 916.993.4182 www.resourcestaff.com

Dennis Krohn Jr., President 916.367.4244 www.sdreliance.com

Converge Medical Solutions, LLC Mark Movassate 408.436.2000 www.convergemedical.com

Tim Giroux, DDS, President John Noble, MBA 800.641.4179 www.westernpracticesales.com

VENDOR A / SINCE 2013 VENDOR B / SINCE 2002 VENDOR A / SINCE 2007

Practice Sales

Western Practice Sales

Comcast Business Lisa Geraghty 916.817.9284 lisa_geraghty@cable.comcast.com business.comcast.com

Star Group Global Refining VENDOR A / SINCE 2014

Dan Edwards, President 866.722.8663 www.pact-one.com

Waste Management

PACT-ONE Solutions

VENDOR A / SINCE 2014

SD Reliance Management VENDOR B / SINCE 2003

Resource Staffing Group

Technology /Telecom

David Olson 209.366.2486 www.olsonconstructioninc.com

VENDOR A / SINCE 2004

VENDOR B / SINCE 2013

Olson Construction, Inc.

VENDOR A / SINCE 2014

VENDOR A / SINCE 2010

Todd Andrews 916.743.5151 www.andrewsconstructioninc.com

VENDOR A / SINCE 2007

Wells Construction, Inc.

VENDOR A / SINCE 2002

Blue Northern Builders, Inc.

VENDOR B / SINCE 2014

Becki Bell, Marketing Director 916.452.6200 www.sacmag.com

Andrews Construction, Inc.

Gordon St. Cyr and Gary St. Cyr 916.853.9556 www.dentalcabinets.biz

Practice Management

Sacramento Magazine

Jim Ryan, Sales Consultant 800.333.9990 www.stargrouprefining.com

www.sdds.org • December 2014

VENDOR A / SINCE 2009

Patrick J. Wood, Esq. Jason Wood, Esq. 800.499.1474 www.dentalattorneys.com

Philip Kong 916.533.6882 - cell philip.kong@wellsfargo.com www.wellsfargo.com

Media & Marketing

Kim Parker, Executive VP Mari Bradford, HR Hotline Manager 800.399.5331 www.employers.org

VENDOR A / SINCE 2010

Wood & Delgado VENDOR B / SINCE 2004

CA Employers Association

Healthcare Cabinet Co.

Technology

Lydia Ramirez, Vice President 916.321.3145 www.unionbank.com

VENDOR A / SINCE 2011

Chris Stafford 800.733.0633 www.tdicsolutions.com

Wells Fargo Bank

Union Bank

VENDOR B / SINCE 2011

Financial, Cont’d HR & Legal Office Construction

The Dentists Insurance Company

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Job Bank The SDDS Job Bank is a service offered only to SDDS Members. It is published on the SDDS website (www.sdds.org) and provides a forum for job-seekers to reach other Society members who may be looking for dentists to round out their practice, and vice versa. If you are a job seeker, associate seeker, selling or buying a practice, contact SDDS at (916) 446-1227 or complete the SDDS Job Bank form insert in this issue of The Nugget and cash in to the SDDS Job Bank!

ASSOCIATE POSITIONS AVAILABLE Rina Ambaram, DDS • Sacramento • part/Wed • GP Jeffrey Chantry, DDS • Elk Grove • full • GP Chapa-De Indian Health Program • Grass Valley • full • GP George Chen, DDS • Folsom • part • GP CommuniCare Health Centers • Yolo County • on call • GP Maria Eloisa Espirtu, DDS • Lincoln • GP Kids Care Dental • Sacramento • part • Pedo/GP Alex Moradzadeh, DDS • Sacramento • part/full • GP/Endo/Pedo/OS Yusuke Suzuki, DMD • Lodi • part • GP Hoang Truong, DDS • Sacramento • part • GP Steven Tsuchida, DDS • Elk Grove • part • OS/Ortho/Endo Wellspace • Multiple Locations • part/full • GP Dennis Wong, DDS • Sacramento • part/Saturdays • GP

SACRAMENTO DISTRICT DENTAL FOUNDATION DOES…

DOCS SEEKING EMPLOYMENT Nima Aflatooni, DDS • part/full• GP Russell Anders, DDS • temp/ fill-in work; M-F • GP Andrea Azevedo, DDS, MPH • part; 1-2days/wk. • GP & Pedo Shahryar Khodai, DDS • part/full (Mondays and Thursdays) • GP Steve Murphy, DMD • part/full • Endo Robert Nisson, DDS, MSD • part; 1-2 days/wk • Ortho Ronald Rott, DDS • part • Perio Brandon Webb, DDS • part/full (Mon, Tue, Thu) • Endo

DOCS LOOKING TO BUY A PRACTICE Shahryar Khodai, DDS • Sacramento • GP Richard Nichols, DDS • Davis, Woodland, Winters • GP Oladimeji Sorunke, BDS • Sacramento • GP

For contact information of any of the job bankers listed below please check our website at www.sdds.org.

34 | The Nugget • Sacramento District Dental Society

DECEMBER 28, 2014

MARCH 18, 2015

APRIL 15, 2015

See insert to sign up!

Classified Ads EMPLOYMENT OPPORTUNITIES GENERAL/PEDIATRIC — Kids Care Dental seeks another Super Star DDS to join our amazing team. Specialists or generals who love working with kids welcome. Non-traumatic philosophy focuses on superior customer service and exceptional patient care. A great place to practice, with great people, and great pay.

Beautiful private offices (no govt or HMO) with amazing teams and a culture that can’t be beat! Patients love us. Come find 08/09-14 out why! Email dboyes@kidscaredentalgroup.com.

MULTI-SPECIALTY PRACTICE SEEKS ASSOCIATE ENDODONTIST is part-time in Lincoln, CA. With help, building this specialty could be full-time. High-tech paperless office, digital x-ray and endo scope. Please email CV to resume@makeasmile.com 08/09-14 BUSY, MULTI-SPECIALTY OFFICE SEEKING ASSOCIATE DENTIST to provide quality dentistry for kids of all ages. Work experience and additional CE with pedo preferred, but not required to be board certified. Experience with hospital dentistry a plus. Competitive salary offered. Email CV to resume@makeasmile.com. 08/09-14 SMILE TIME DENTAL is seeking friendly, experienced GPs for full and part-time, associate positions at our practice. Modern office with paperless charting, digital X-rays, CAD CAM/CEREC. Email 08/09-14 resume to stdental2260@gmail.com SEEKING FULL-TIME ASSOCIATE ORTHODONTIST for multi-office practice. Digital, high-tech office with great support staff. Please fax CV to 916.817.4376 or email stdental2260@gmail.com 11-14 ASSOCIATE OPPORTUNITY! — Seeking a highly motivated and outstanding clinician to join our rapidly growing private practice. If you are a General Practitioner who wants to maximize your growth and potential, then look no further. Please email your cover letter and resume to greatopportunitydental@gmail.com 06/07-14 CHAPA-DE, A NON-PROFIT COMMUNITY CLINIC in Auburn and Grass Valley, CA, has the following benefited openings: PT Dentist, Registered Dental Asst; Dental Receptioniss. Visit www.Chapa-de.org/jobs 12/14

PRACTICES FOR SALE

FOR LEASE

DENTISTS SERVING DENTISTS — Western Practice Sales invites you to visit westernpracticesales.com to view our practices for sale and see why we are the broker of choice in Northern California.

Please call (800) 641-4179.

03-09

SACRAMENTO DENTAL COMPLEX has one small suite which can be equipped for immediate occupancy. Two other suites total 1630 sq. ft which can be remodeled to your personal office design with generous tenant improvements. 2525 K Street. Please call for details: (916) 448-5702.

10-11

LEASE HOLD IMPROVEMENT FOR SALE. Elk Grove, Ca. Excellent visibility. Low rent. Call Dr. Luu at 916.753.4852.

06/07-14 SACRAMENTO DENTAL OFFICE/CONDO FOR SALE— Equipped. Great Start up or Satellite Space. 3 Ops with office could be plumbed for a 4th 1,200 Sq. ft. $235,000. Arden Mall. Contact Joe Hruban at 530.746.8839 or joe@omni-pg. com, Omni Practice Group #01821307.

11-14 ESTABLISHED 40-YEAR-OLD GENERAL PRACTICE FOR SALE— Arden Arcade area. Owner retiring. 1200 sq. ft. office with 4 operatories. Collections approximately 500K for the last 3 years. CV and inquiries to pmc20618@onemain.com. 11-14

POSITIONS WANTED

DENTAL OFFICE FOR LEASE IN CARMICHAEL—1160 ft. This is a three operatory office with some equipment. New paint, countertops and flooring. Lease price is $1650 per month.

Includes water, sewer and garbage. Call Dr. Brian Fahey at 04-14 (916) 483-2484.

LOCATION, LOCATION, LOCATION: DENTAL OFFICE AVAILABLE, 3000 L Street 1,535 sf with 5 operatories, recently remodeled.

Fully serviced lease with ample free parking. Contact Kelly Gorman (916) 929-8100.

03-13 EL CAMINO DENTAL BUILDING has one beautiful suite for lease.

5 ops - 1441 sq ft. Completely remodeled with new flooring and laminate cabinets. Please contact Dr. Gordon Douglas at 04-14 (916) 483-4964.

SUNRISE DENTAL PLAZA, SUITE #106 FOR LEASE, 7916 Pebble Beach Dr., Citrus Heights. Four operatories and a lab with 1304 square feet. Well established professional dental building. For more information, please call or email Marty at (916) 966-5772 or mshep6944@aol.com.

08/09-14

LOCUM TENENS. UOP grad to work in your office while you are on vacation, sick or maternity leave or emergency. Great references. Please call (530) 644-3438.

04-13

ROCKLIN—3 FULLY EQUIPPED OPTS. Available for lease in a beautiful 7 opt. dental office. Digital X-ray, Pano. Dr. retiring.

Call 916.663.5555.

11-14

EQUIPMENT FOR SALE

PROFESSIONAL SERVICES

ASSOCIATE OPPORTUNITY IN MARYSVILLE—Full-time GP. Experience with children preferred. Contact Ted Fong at Peach Tree Health. Email him at tfong@pickpeach.org or call 916.749.3242. ext. 1336. Visit us at pickpeach.org. 10-14 DENTIST. CONSULTING FIRM SEEKING PRACTICE TRANSITION Consultant. Full Training and support. Unlimited earning potential. careers@paragon.us.com 866.898.1867. 11-14 GENERAL DENTIST NEEDED, SACRAMENTO, CA. Excellent opportunity in an established, growing office that needs general dentists to join our team. F/T, P/T and days are flexible.

Experienced preferred. denise@hdgdentalcare.com. 12/14

LEARN HOW TO PLACE IMPLANTS IN YOUR OFFICE OR MINE. Mentoring you at your own pace and skill level.

Incredible practice growth. Text name and address to (916) 952-1459.

04-12

Selling your practice? Need an associate? Have office space to lease? SDDS member dentists get one complimentary, professionally related classified ad per year (30 word maximum). For more information on placing a classified ad, please call the SDDS office at (916) 446-1227.

BRAND NEW CAVITRON PLUS ultrasonic scaling unit in unopened box. Tap-on wireless foot pedal and Steri-mate handpiece included. $2,000. Call 530.622.6370.

12-14-C

MEMB E BENEF R IT!

SDDS member dentists can place classified ads

FOR FREE!

PRSRT STD US POSTAGE PAID PERMIT NO. 557

2035 Hurley Way, Suite 200 • Sacramento, CA 95825 916.446.1211 • www.sdds.org

SACRAMENTO, CA

ADDRESS SERVICE REQUESTED

SDDS CALENDAR OF EVENTS DECEMBER

JANUARY

3 Foundation Board Meeting 6:15pm / SDDS Office

6 SDDS Board Meeting 6:15pm / SDDS Office

9 Holiday Party & Installation of Officers 6:30pm / Del Paso Country Club

13 General Membership Meeting Prognosis for the Periodontally Compromised Tooth CE Thomas Kepic, DDS, MSD Hygiene Night 5:45pm Social / 6:45pm Dinner & Program Hilton Sacramento Arden West

12 Executive Committee Meeting 7:00am / Del Paso Country Club 15 President’s Thank You Dinner 6:30pm / Sutter Club 24-Jan. 2 SDDS Office Closed 28 Dentists Do Broadway: Dirty Dancing 7:00pm / Sacramento Community Center

21 CPR BLS Renewal Course 6:00pm–9:30pm SDDS Classroom LR

save the date!

EARN

3

CE UNITS! 5:45pm: Social & Table Clinics 6:45pm: Dinner & Program Hilton Sacramento Arden West (2200 Harvard Street, Sac)

28 HR Webinar 2015 Labor Laws/Update CE Your Handbook California Employers Association Noon-1pm 23-24 Smiles for Kids Shopping Days 8:00am-4:00pm / SDDS Classroom

FEBRUARY 7 Smiles for Kids Day!

For more calendar info and to sign up for courses online, visit: www.sdds.org

• 15 units of vitamin CE! • fun Exhibits & prizes!

February 19 & 20, 2015

• cultivate connections!

sacramento convention center

• farm fresh food included!

January 13, 2015:

Prognosis for the Periodontally Compromised Tooth

Presented by: Thomas Kepic, DDS, MSD

LEARNING OBJECTIVES: • Identify the clinical factors used in assigning prognosis

• Understand the historical research that leads to the modern day concept of prognosis

HYGIE

• Define the new concept of periodontal diseases and host susceptibility as factors used in determining prognosis This course provides a historical perspective along with a short and long-term follow up of cases. Establishing an accurate periodontal prognosis is paramount to case success. Prognosis is often thought of as being “static,” established once, and never to change, but proper periodontal therapy can alter a tooth’s prognosis, if done in time.

JANUARY GENERAL MEMBERSHIP MEETING: HYGIENE NIGHT BRING YOUR DENTAL HYGIENIST!

NE

NIGHT