December 2012 by Sacramento District Dental Society (SDDS)

DECEMBER 2012

33rd Annual SDDS MidWinter Convention February 7â&#x20AC;&#x201C;8, 2013 Sacramento Convention Center

DON’T MISS THESE UPCOMING EVENTS! cpr course

general meeting JANUARY 8, 2013

HYGIE NIGH NE T!

PRACTICAL METHODS FOR TREATING ELDERS IN THE COMMUNITY Presented by: SDDS Geriatric Oral Health Workgroup

JANUARY 19, 2013 — RENEWAL 8:30AM–12:30PM • 4 CEU, Core SUTTER GENERAL HOSPITAL — CANCER CENTER (BUHLER BUILDING)

COURSE OBJECTIVES: • Teaching modules for dentists to educate caregivers • Practical methods and procedures to improve the oral health of our seniors • Behavioral case management pearls that will help caregivers deal with the challenge of this aging population at health care facilities • Outreach efforts, implementation and opportunities for our dental community to work with our local senior health care facilities • Hospital acquired pneumonia as it relates to geriatric oral health issues 6:30PM–8:30PM • 3 CEU, Core SACRAMENTO HILTON ARDEN WEST

sdds.org/SDDF_Broadway.htm

JANUARY 23, 2013

Sacramento District Dental Society presents the 33rd Annual MidWinter Convention & Expo

the Year of

Good ...

FEBRUARY 7 & 8, 2013 • Sacramento Convention Center (1400 J St)

Holiday Party Sacramento District Dental Society

December 4, 2012 at Del Paso Country Club

TABLE OF CONTENTS

THE NUGGET

DECEMBER 2012 VOLUME 58, NUMBER 10

FEATURES 7

Dental Insurance Billing — Is There Anything We Can Do? Gary Dougan, DDS, MPH

8–9

Diodes, ND:YAG and PDT Adjunctive to SRP: Evidence vs. Clinical Perception Charles Cobb, DDS, PhD

10–11 Communicating Treatment Possibilities at the Chair

NUGGET EDITORIAL BOARD James Musser, DDS Editor

Debra Engelhart-Nash

Paul Binon, DDS, MSD

SPECIALS

Donna Galante, DMD

New Regulations for Radiographic Film Quality Assurance

Alexander Malick, DMD

Federal Medical Device Excise Tax

James McNerney, DMD

Changes for Controlled Substances Prescribers

Christy Rollofson, DDS Ash Vasanthan, DDS, MS

19–23 MidWinter 2013 Course Descriptions 24

Thank You, MidWinter 2013 Sponsors & Exhibitors!

Membership Milestones

Delegates Head to the House — CDA House of Delegates Recap

EDITORS EMERITUS William Parker, DMD, MS, PhD Bevan Richardson, DDS

REGULARS 4

President’s Message

From the Editor’s Desk

Letter to the Editor

Cathy’s Corner

Foundation Page

Ethics Corner

Committee Corner

Committee Meetings

OUTSTANDING COVER (2007)

From the Archives

Remarkable cover

YOU: The Dentist… the Employer

OVERALL NEWSLETTER (2007)

THE NUGGET IS A FIVE-TIME INTERNATIONAL COLLEGE OF DENTISTS JOURNALISM AWARD WINNER: GOLDEN PEN (HONORABLE MENTION, 2007) Article or series of articles of interest to the profession

26–27 Vendor Members

Exceptional publication overall

Vendor Member Spotlights

PLATINUM PENCIL (2010)

We’re Blowing Your Horn!

Link of the Month

Back in Time — Can you identify this SDDS member?

Volunteer Opportunities

Advertiser Index

Outstanding use of graphics

OVERALL NEWSLETTER (2012) Exceptional publication overall

33–34 Membership Update 37

Board Report

Event Highlights

Classified Ads

SDDS Calendar of Events

MidWinter topic

www.sdds.org • December 2012 |

PRESIDENT’S MESSAGE A Look Back at 2012 —

Thank You for the Opportunity

ell, it’s hard for me to believe a year has gone by already but this is my final monthly President’s Message to you for 2012. Representing SDDS at every dental function and event has been an honor I will never forget. SDDS has a wonderful reputation in the dental world. In California we have one of the most active, productive well attended programs of all the 32 components. I feel that SDDS is making a great contribution to the communities we serve. The volunteerism is unbelievable and everyone’s willingness to serve the underserved is unsurpassed anywhere in America. We are making a difference and it is so humbling to be a part of this continuing effort! Thanks to all of you for giving me the opportunity of a lifetime to be the President of such a prestigious organization during one of the most productive times in the history of the Sacramento District Dental Society. The continuity of our SDDS performance year after year is made possible by the talents of our Executive Director, Cathy Levering and our Executive Committee. We work as a “close knit” team to accomplish our Strategic Plan, do our due diligence towards our fiduciary responsibilities, and serve SDDS membership tirelessly wherever we are needed. Our reward is the satisfaction each of us feels when we see the SDDS “Success Train,” going in the right direction, on the right track, full steam ahead. We are Moving Forward Together! I have immensely enjoyed working with the SDDS ExComm members over the past several years. When I step down as President at the end of 2012 I am fortunate to have one more year to serve SDDS ExComm as Immediate Past President. Dr. Gary Ackerman will begin his term as President on January 1 2013. Dr. Ackerman has held many positions of responsibility in SDDS, CDA and ADA and carries with

him a wealth of knowledge that benefits us all. We have worked closely together and I can tell you SDDS will be in good hands with Dr. Ackerman at the helm. Dr. Wai Chan has been another “go to guy” for me and he has provided direction for me and others all along the way. As Immediate Past President, this will be Dr. Wai’s last year on ExComm. Thank you Dr. Wai for all you have done and are doing for SDDS, CDA, ADA and each of us personally! The next person going through the chairs to become a future SDDS President is our present SDDS Secretary, Dr. Kelly

Representing SDDS at every dental function and event has been an honor I will never forget. Giannetti. Dr. Giannetti is brilliant and is the first Secretary I have ever seen to have the minutes of every meeting in printable form BEFORE she leaves each meeting. Some of our best ideas have come from Dr. Giannetti. Thank you Kelly for all you do for SDDS and all of us. Dr. Viren Patel will be joining our Executive Committee next year for the first time. Dr. Patel will be our Secretary. Dr. Patel has served SDDS in many positions of responsibility and demonstrated his leadership capabilities in every way possible. SDDS is very fortunate to have Dr. Patel going through the Chairs to be our future President. Thank you Dr. Patel for accepting this huge commitment! Dr. Jim Musser is a member of our Executive Committee and has been for several years. Dr. Musser is the Editor of our monthly publication, the Nugget. What a superb job he and his committee have done. The

| The Nugget • Sacramento District Dental Society

By Victor Hawkins, DDS Nugget has earned national attention and numerous awards over the last several years making us all very proud! Thanks Dr. Musser for all you have done and continue to do for SDDS, our members and dentistry in general! ExComm’s direct connection to CDA Leadership is through our tireless, informative, hard working, can do “local grown” CDA Trustees, Drs. Kevin Keating and Bob Gillis. We could not survive without their advice and input. Both have served as chairs on various committees, task forces, and special projects, gone through the SDDS Chairs in ExComm and are past SDDS Presidents. Drs. Keating and Gillis are mentors for everyone and always set the example. SDDS owes many of its recent successes to the individual efforts of these talented individuals. Thanks Drs. Keating and Gillis! December is a time for all to be grateful for our lives in the field of dentistry. Of course we are thankful every minute of every day that we have a very special ability to help others and change peoples lives forever, but December is a festive season, the end of the calendar year and a special time to reflect. I am grateful for everything dentistry has brought into my life. I became a dentist to help others, keep them from dental pain and improve their lives any way I could. I never dreamed in my wildest dreams that dentistry would take me where I have been. I thank God every day that I chose to be a dentist for my life’s work. I thank my instructors, my mentors, family and friends that believed in me along the way making it possible for me to succeed. I especially thank all of you at SDDS for choosing me to serve as your President for 2012! Life doesn’t get any better than that. Thank you all from the bottom of my heart. May you all have the very best Holiday Season ever. 

FROM THE EDITOR’S DESK

The of r a e y Good les

The Year of Good…

Artic

CE!

By Jonathan Szymanowski, DMD, MMSc

Chair, Continuing Education Committee

Start your year on a GOOD foot at the 33rd Annual SDDS MidWinter Convention and Expo!

he Sacramento District Dental Society’s Continuing Education Committee wants you to start off on a GOOD foot this year on February 7th and 8th with the 33rd Annual MidWinter Convention and Expo — The Year of Good… You may be asking yourself is there anything GOOD to warrant my attendance this year. Well, aside from supporting SDDS programing and spending quality time with your colleagues, MidWinter has plenty of topics to make GOOD on your investment. Dental implants are a predictable long-term tooth replacement solution. However, it is likely there are some patients in your practice with implants that don’t look so GOOD

around the collar. Dr. Jin Kim and Ms. Heidi Christopher, RDH will help you avoid peri-implant inflammatory hard and soft changes with proper placement, restoration and maintenance. Are you confused by all the new adhesives, composites and techniques for posterior composites? Dr. Harald Heymann will help you through the GOOD and the bad with facts based on research not just hype or opinion. If you have a laser in your practice, you must come see Dr. Cobb present on how GOOD your laser therapy is. He is the only researcher to publish comprehensive review articles on laser efficacy in dentistry. You can never get enough oral pathology. Dr. Darren Cox will

present the GOOD, bad, and the ugly using problem based learning. Does your dental team need a tune up? Ms. Debra EngelhardtNash will show you how GOOD your team can be through effective leadership, customer service and hiring all-star team members. Lastly, does 5% off your TDIC professional liability premiums sound GOOD to you? Our own Dr. Beverly Kodama and Mr. Art Curley will be back this year discussing “The High Costs of Shortcuts.” The Continuing Education Committee is very proud of the comprehensive program we have put together and thank you in advance for attending. We look forward to seeing you in February and have a great holiday season. 

LETTER TO THE

EDITOR

Dear Editor / Dr. Musser, I have heard a great many complaints recently about third party payers and especially about Delta Dental Plan. I am writing this as a private individual although some of my information is from my involvement in organized dentistry. In the past several years there have been adequate and numerous reason to be upset and frustrated with Delta. Some of these have been addressed by the recent dental plan disclosure bill, which goes into effect January 2013. (see November 2012 CDA Update).

a reduced rate. These are for-profit companies competing in the market place. At the same time, as dentists we are restricted in our discussion of fees by the FTC. — this is not imaginary. I was Chair of the Direct Reimbursement Committee and for almost a year we had to deal with the FTC because of a meeting that some of our society members may have attended. Should this happen again, our Society could be subject to financial consequences that would prove extremely expensive.

Some of our members have wondered, “What is CDA doing to help us?” Over a year ago CDA organized the Dental Benefits Task Force to address these questions. There are two articles in the November 2012 CDA Update that discuss information that the Task Force has gathered to date.

We live in interesting times or as Bob Dylan wrote, “The times; they are a changing.” All of us must stay informed and be involved; read the CDA Update and the CDA Journal. More information is forthcoming. Our old model of insurance-based private practice is dying; new models are being developed perhaps in ways not yet imagined. Change, especially change that threatens us financially, creates fear. All of us together can influence these changes, especially if we continue to work for the best care for our patients.

Dental benefits are changing: employees and employers are looking for ways to pay less for health care and dental benefits are being cut. Delta Dental has not sold a new premier plan in three years and the percentage of employers choosing PPO plans has dramatically increased. Delta also must compete with many companies that bundle dental with medical and can offer their plans at

Sincerely, Robert E. Gillis Jr. DMD, MSD www.sdds.org • December 2012 |

CATHY’S CORNER

SACRAMENTO DISTRICT DENTAL SOCIETY

Amador • El Dorado • Placer • Sacramento • Yolo

LEADERSHIP

A Nugget

of Truth!

By Cathy B. Levering

SDDS Executive Director

I have just finished proofing the Nugget, one of my most favorite parts of my job! Each month I get the opportunity to… • proof all the articles; • check to make sure all important information is included; • ensure that all law changes and alerts are placed at a place where you all will notice them; • make certain that proper notification(s) are placed in a timely manner as per our organizational bylaws and policies and much more. Ah, the pleasures of being the Managing Editor. In addition to gathering information, searching other publications for good information and articles, and “nagging” to help contributors meet our deadlines (this is the hard part!), I always have the opportunity to learn what our members really need or want to help run their businesses and be good employers as well as good business people. For the last five years, you have rated the Nugget as one of the top member benefits of SDDS. Thank you! I just want you all to know that we don’t take that “honor” lightly; nor do we sit back on our laurels or be complacent.

President — Victor Hawkins, DDS Immediate Past President — Wai Chan, DDS President Elect / Treasurer — Gary Ackerman, DDS Secretary — Kelly Giannetti, DMD, MS Editor — James Musser, DDS Executive Director — Cathy Levering

EXECUTIVE COMMITTEE

Nancy Archibald, DDS Wallace Bellamy, DMD Jennifer Goss, DDS Dan Haberman, DDS, MS Carl Hillendahl, DDS Beverly Kodama, DDS Viren Patel, DDS Kim Wallace, DDS

BOARD OF DIRECTORS

Kevin Keating, DDS, MS Robert Gillis, DMD, MS CE: Jonathan Szymanowski, DMD, MMSc CPR: Margaret Delmore, MD, DDS Ethics: Volki Felahy, DDS Foundation: Robert Daby, DDS Leadership Development: Wai Chan, DDS Membership: Lisa Laptalo, DDS Peer Review: Bryan Judd, DDS / Brett Peterson, DDS

TRUSTEES COMMITTEES STANDING

AD HOC ADVISORY TASK FORCES WORKGROUPS

We continue to encourage our members to write articles and letters to the editor — so you all can share your thoughts.

1T1B Medical Outreach: Guy Acheson, DDS Access to Care: Terrence Jones, DDS Amalgam: Wai Chan, DDS / Viren Patel, DDS Dental Careers Workgroup: Robin Berrin, DDS Budget & Finance Advisory: Gary Ackerman, DDS Bylaws Advisory: Wai Chan, DDS Fluoridation Advisory: Kim Wallace, DDS Forensics Advisory: Mark Porco, DDS / George Gould, DDS Geriatric Outreach: Viren Patel, DDS Legislative: Mike Payne, DDS, MSD / Gabrielle Rasi, DDS Strategic Planning Advisory: Gary Ackerman, DDS

We continue to feature theme sections, like “You, the Employer, Link of the Month, Committee Corner, and sometimes YOU, the Business Owner” — so you can be on top of important trends, laws and information.

Golf Tournament: Damon Szymanowski, DMD SacPAC: Matt Campbell, Jr., DDS Smiles for Kids: Donald Rollofson, DMD

SPECIAL EVENTS OTHER

Cathy Levering - Executive Director Della Yee - Program Manager/Executive Assistant Melissa Brown - Publications Coordinator Lisa Murphy - Member Liaison/Peer Review Coordinator Kristen Calderon - Member Liaison/ Smiles for Kids Coordinator Liz Bassey - Member Liaison/Graphic Design

SDDS STAFF

We continue to make changes in design — so you will notice the important things. We continue to recruit advertisers — so you will be connected to those who can help you run your businesses better.

Our Nugget Editorial Committee is small but mighty. They met earlier this month to plan next year’s topics. They are not set in stone, so if something topical comes up, we move things around. That said, if there is a topic that any of you would like to see addressed, please let us know. (AND… if you would like to contribute an article or a few, please send them our way.) The committee is always looking for members interested in serving on this committee; it’s really easy — the lead editor is responsible for one theme issue a year — three or four articles only… we do all the rest!) As the holidays approach, once again I am so thankful to work for such a wonderful group of men and women who so love what they do. Thank you, SDDS Members! And I would be remiss not to mention the awesome SDDS staff members who start each of my mornings with a warm smile, a pleasant “good morning” and a daily and ongoing commitment to help our members, be their primary resource, and to do their best. Thank you Della, Lisa, Melissa, Kristen and Liz — so glad you are all part of our team! Happy holidays — enjoy the season, savor the hugs and family moments, and take care of yourselves... (2013 is right around the corner and will start off with a bang with Smiles for Kids and Midwinter Convention)! 

| The Nugget • Sacramento District Dental Society

Advertising rates and information are sent upon request. 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.

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, 915 28th Street, Sacramento, CA 95816 (916) 446-1211. Subscriptions are free to SDDS members, $50 per year for CDA/ADA members and $125 per year for nonmembers for postage and handling. Third class postage paid at Sacramento, CA.

Postmaster: Send address changes to SDDS, 915 28th Street, Sacramento, CA 95816.

THE YEAR OF GOOD ARTICLES!

For more MidWinter Convention info, visit: w w w.sdds.org/MW2013 . ht m

Dental Insurance Billing —

Is There Anything We Can Do?

By Gary Dougan, DDS, MPH

Speaker, 2013 SDDS MidWinter Convention

Doctors tend to rely on office billing staff to keep up on code changes. However, if a doctor has some idea of how the codes are written for his most frequent procedures, he can increase his chances of receiving effective payment for them.

ental insurance billing has certainly changed over the years. Many Stage IV dentists (with 25 or more years of practice) may remember the days of hand-written claim forms, home-grown procedure codes printed on the back of proprietary claim forms for each carrier, with no consistency, unclear and variable fee and payment guidelines and other “nightmares.” Things have gotten a lot more predictable over the years, with electronic claims and attachment submission, electronic funds transfer payments, consistent procedure codes, established dispute and complaint processes and other improvements. Still, many dentists and office managers grapple with those nagging individual claim problems each month — the handful of claims that just seem to not get paid despite all efforts.

submission. These presentations are designed to keep SDDS dental offices current with essential things they should know to minimize their dental claims problems.

For those attending the Sacramento District Dental Society’s 33rd Annual MidWinter Convention and Expo, entitled “The Year of Good,” there is hope in the resolution of some of these nagging insurance-related problems.

Claims Processing

Defensive charting is very important in today’s dental practice. Two separate courses, offered on Thursday, will provide some tips and tools for overcoming these frustrations and obstacles. Though solutions to all problems are not available, most problems stem from obvious errors and misunderstandings that start with the dental examination, treatment plan and procedure coding; culminating in the informed consent process, the claim form preparation and

CDT Coding The Thursday morning (February 7th) session, “CDT Coding and What Every Office Should Know About Dental Coding,” will cover updated CDT 2013 codes that will become effective January 1. This is a particularly big year for revisions affecting areas of dental radiology, preventive dentistry, implant dentistry and other areas. In addition to new codes, and deletions of some commonly used codes, there are descriptor changes that can affect the “how and when” we use some of our old favorite codes.

At the Thursday afternoon session, “Secrets of Smoother Claims Processing,” the top 10 reasons claims are rejected by dental carriers will be reviewed, as well as how to prevent this from happening. Some are common mistakes that may be naively overlooked and can have significant consequences in the payment and collection dollars. Most of these helpful hints are designed to reduce the amount of time billing staff members spend chasing unpaid claims and can reduce writeoffs. Defensive charting is very important in today’s dental practice. Making your dental chart, a legal document, stand up to insurance scrutiny as well as legal scrutiny can be your best defense when patients or insurance cases get sticky.

Fraud Many carriers are getting more aggressive in researching and prosecuting dental fraud

cases In some cases, commonly performed billing practices that are actually considered fraud or abuse might be overlooked in an office for a variety of reasons. In some cases “it is just the way we bill.” Perhaps a new staff member comes on board, bringing billing techniques and practices learned in other offices. In most cases, dentists may be held responsible for the illegal actions done on their behalf by their staff members, whether done knowingly or not. Some dental carriers are removing dentists from their participation panels when they have identified patterns of submission that are unusual, excessive, abusive or downright fraudulent. Since most dental offices rely on referrals from the dental plans in which they choose to participate, these referrals can be greatly reduced when the carriers cancel these relationships. The SDDS MidWinter Convention and Expo will set you up for a more successful and productive 2013, with improved insurance billing practices and enhanced dental code knowledge.  Dr. Dougan is the current National Dental Director of MetLife and an experienced dental plan administrator for over 18 years. He is a Certified Dental Consultant (from the American Association of Dental Consultants) and a Certified Dental Quality Assurance reviewer (formerly called Certified Dental Auditor, from the California Association of Dental Plans Quality Assurance Committee, a group of dental directors of California’s dental plans). Views expressed will be his own from years of private practice, and working for various insurance carriers and not necessarily the views of MetLife. Bring your claims for possible troubleshooting! www.sdds.org • December 2012 |

THE YEAR OF GOOD ARTICLES!

For more MidWinter Convention info, visit: w w w.sdds.org/MW2013 . ht m

Diodes, ND:YAG and

PDT Adjunctive to SRP: Evidence vs. Clinical Perception

By Charles Cobb, DDS, PhD

Speaker, 2013 SDDS MidWinter Convention

A realistic overview of the use of the diode and Nd:YAG lasers and PDT in the treatment of chronic periodontitis

t has been twenty years, two decades, since Marsh Midda first proposed the use of lasers for the treatment of periodontal disease.1, 2 Yet their use, either as a monotherapy or adjunctive to traditional scaling and root planing (SRP), remains controversial. Acceptance of the laser as an alternative instrument for the treatment of periodontal disease has struggled for wide acceptance. Why is this so? The biggest reason for this ambivalence toward laser mediated periodontal therapy is the lack of consistent and convincing clinical evidence that demonstrates a significant benefit. Even following two decades of history of lasers in periodontics, the number of well-designed clinical studies remains severely limited and the overall quality of the body of evidence is insufficient to support use of lasers for routine periodontal therapy. In fact, one can legitimately argue that deriving an evidence-based treatment decision from the published studies would be overtly speculative as the body of evidence is weak and often confusing. Although the adjunctive use of the diode and Nd:YAG lasers or photodynamic therapy (PDT) with traditional treatment modalities (i.e., conventional therapy + laser) is less controversial. Recently published clinical trials3-16 indicate that, at best, only a slightly greater additive benefit should be expected. Thus, if used at all, these lasers play a secondary role in periodontal therapy and currently they cannot legitimately replace conventional treatment. Obviously, clinical experience, technical ability and intuition are indispensable in the practice of dentistry. However, these attributes are no longer sufficient as the sole skills necessary to provide the best possible

result from periodontal therapy. The ultimate applicability and strength of recommendation for a specific treatment modality must be based on the weight of evidence. Because of the greater potential for bias when observations are made under uncontrolled conditions, the randomized, controlled, longitudinal clinical trial carries more weight than even a large series of case observations. The dental literature is replete with clinical observations that have evolved from private-practice settings. However, such studies rarely involve

The biggest reason for this ambivalence toward laser mediated periodontal therapy is the lack of consistent and convincing clinical evidence that demonstrates a significant benefit.

concurrent controls, randomization of patients, blinding and calibration of examiners and, therefore, the effectiveness of treatment is likely to be overstated. The number of longitudinal, randomized clinic a l t ria ls e va lu at ing va riou s periodontal treatments is considerable. Current recommendations for periodontal treatment and the appropriate modalities of therapy are based on such studies. Simply put, evidence-based treatment uses the accumulated evidence derived from

| The Nugget • Sacramento District Dental Society

published studies that have been subjected to the peer-review process. So what do the human clinical studies, designed to test efficacy of using the diode laser or the Nd:YAG laser or PDT in the treatment of periodontal disease, reveal in terms of improved clinical parameters and reductions in subgingival bacteria? Collectively, the studies present nearly as many different study designs as there are studies. This diversity in study designs makes meaningful comparisons impossible, but the collected studies indicate reductions in subgingival microbial populations and probing depth, and modest gains in clinical attachment levels. However, in most of the studies in which scaling and root planing or subgingival curettage were compared to laser therapy, the results were either not significant or marginally so. To quote Dr. Debora C. Matthews,17 “Although there appear to be many claims surrounding the use of laser therapy in addition to or in place of traditional therapy, there is no evidence that any laser system adds clinical value over and above SRP and conventional surgical treatment. No long-term clinical studies have shown that laser therapy alone can be used effectively to treat adult chronic periodontitis. Such therapy does, however, add to patient cost for periodontal therapy.” Thus, the big elephant in the room is this: Given the low level of evidence, why do clinicians and commercial marketing persist in making claims of superior results? And, why cannot the few randomized, blinded, longitudinal, controlled clinical trials produce the same results? The answer may lie in “conformational bias.” Simply put, confirmation bias is the tendency to look

for and perceive evidence consistent with our hypotheses and to deny, dismiss or distort evidence that is not. Confirmation bias not only may impact the perception of the clinician but also that of the scientist. The scientist may become strongly attached to his/her own theory and perpetually look for evidence that supports rather than challenges that theory. Bottom line, know the science relevant to your profession, know how to analyze the research literature, be honest with yourself, and depend on good scientific principles to help make up your mind regarding a new technology or modalities of treatment.  Dr. Charles Cobb graduated from the University of Missouri-Kansas City (UMKC), School of Dentistry in 1964. He received a Certificate of Specialty in Periodontics and a Master of Science degree in Microbiology, both from UMKC in 1966. Following two years of active duty with the U. S. Navy, Dr. Cobb returned to school at Georgetown University, graduating in 1971 with a Ph.D. in Anatomy. After graduation from Georgetown, he held teaching and research positions at Louisiana State University and the University of Alabama in Birmingham. Dr. Cobb devoted 15 years to full-time private practice in periodontics and 17 years to academics. He is a Diplomate of the American Board of Periodontology, has published over 190 peer-review articles and presented over 180 programs at regional, national and international meetings. He was recently selected as the 2012 Outstanding Periodontal Educator by the American Academy of Periodontolgy. Lastly, Dr. Cobb retired from the U. S. Army Reserves with the rank of Colonel and is one of the few Reservists to have received the “A” Specialty Designator from the Office of the U. S. Army Surgeon General and induction into the Order of Military Medical Merit.

REFERENCES: 1. Midda M. Lasers in periodontics. Periodontal Clinical Investigations 1992;14(1):14-20. 2. Midda M. The use of lasers in periodontology. Current Opinion in Dentistry 1992;2:104-108. 3. De Micheli G, de Andrade AK, Alves VT, Seto M, Pannuti CM, Cai S. Efficacy of high intensity diode laser as an adjunct to non-surgical periodontal treatment: a randomized controlled trial. Lasers in Medicine and Science 2011;26(1):43-48. 4. Lin J, Bi L, Wang L, Song Y, Ma W, Jensen S, Cao D. Gingival curettage study comparing 810 nm diode laser treatment to hand instruments. Lasers in Medicine and Science 2011;26:7-11. 5. Dukic W, Bago I, Aurer A, Roguljic M. Clinical effectiveness of diode laser therapy as adjunct to non-surgical periodontal treatment: a randomized clinical study. Journal of Periodontology 2013; In Press. 6. Qadri T, Poddani P, Javed F, Tunér J, Gustafsson A. A short-term evaluation of Nd:YAG laser as an adjunct to scaling and root planning in the treatment of periodontal inflammation. Journal of Periodontology 2010;81:1161-1166. 7. Jensen J, Lulic M, Heitz-Mayfield LJA, Joss A, Lang NP. Nd:YAG (1064 nm) laser for the treatment of chronic periodontitis: a pilot study. Journal of Investigative Clinical Dentistry 2010;1:16-22. 8a. Qadri T, Javed F, Poddani P, Tunér J, Gustafsson A. Long-term effects of a single application of a watercooled pulsed Nd:YAG laser in supplement to scaling and root planning in patients with periodontal inflammation. Lasers in Medicine and Science 2011;26(6):763-766. 8b. Slot DE, et al. Adjunctive effect of a water-cooled Nd:YAG laser in the treatment of chronic periodontitis. Journal of Clinical Periodontology 2011;38:470-478. 9. Gomez, C, Dominguez A, Garcia-Kass AI, Garcia-Nunez JA. Adjunctive Nd:YAG laser application in chronic periodontitis: clinical, immunological, and microbiological aspects. Lasers in Medicine and Science 2011;26(4):453-463. 10. Qadri T, Javed F, Poddani P, Tunér J, Gustafsson A. Long-term effects of a single application of a water-cooled pulsed Nd:YAG laser in supplement to scaling and root planning in patients with periodontal inflammation. Lasers in Medicine Science 2011;26(6):763-766. 11. Slot DE, Timmerman MF, Versteeg PA, van der Velden U, van der Weijden FA. Adjunctive clinical effect of a water-cooled Nd:YAG laser in a periodontal maintenance care program: a randomized controlled trial. Journal of Clinical Periodontology 2013; In Press. 12. Sigusch BW, Engelbrecht M, Völpel A, Holletschke A, Pfister W, Schhze J. Full-mouth antimicrobial photodynamic therapy in Fusobacterium nucleatum-infected periodontitis patients. Journal of Periodontology 2010;81:975-981. 13. Al-Zahrani MS, Austah ON. Photodynamic therapy as an adjunctive to scaling and root planing in treatment of chronnic periodontitis in smokers. Saudi Medical Journal 2011;32(11):1183-1188. 14. Lui J, Corbet EF, Jin L. Combined photodynamic and low-level laser therapies as an adjunct to nonsurgical treatment of chronic periodontitis. Journal of Periodontal Research 2011;46:89-96. 15. Ge L, Shu R, Li Y, Li C, Luo L, Song Z, Xie Y, Liu D. Adjunctive effect of photodynamic therapy to scaling and root planing in the treatment of chronic periodontitis. Photomedicine and Laser Surgery 2011;29(1):33-37. 16. Cappuyns I, Cionca N, Wick P, Giannopoulou C, Mombelli A. Treatment of residual pockets with photodynamic therapy, diode laser, or deep scaling. A randomized split-mouth controlled clinical study. Lasers in Medicine and Science 2012; November 21: Online Ahead of Print. 17. Matthews DC. Seeing the Light — The truth about soft tissue lasers and nonsurgical periodontal therapy. Journal of the Canadian Dental Association 2010;76:a30-a35.

NEW REGULATIONS FOR RADIOGRAPHIC FILM QUALITY ASSURANCE New state regulations establishing quality assurance standards at medical and dental facilities that use traditional film radiography became effective October 3, 2012. The state Department of Public Health adopted the regulations pursuant to AB 929 (Oropeza), which was enacted in 2005. Although the legislation was intended to apply to all types of

radiographic equipment, DPH states that it hopes to develop regulations for digital equipment in the future “when standards have been established, accepted, or published by nationally recognized radiation protection organizations.” Information on the regulations, instructions for creating a reference film, a sample office policy, and a sample

log sheet can be found with “Dental Radiographic Film Quality Assurance Requirements,” available on cdacompass.com. 

www.sdds.org • December 2012 |

THE YEAR OF GOOD ARTICLES!

For more MidWinter Convention info, visit: w w w.sdds.org/MW2013 . ht m

Communicating Treatment Possibilities at the Chair

By Debra Engelhart-Nash

Charlotte, NC

here are a myriad of duties in the daily regimen of the chairside assistant — orchestrating the delivery of treatment, arranging armamentarium, complying with OSHA and HIPAA and maneuvering the schedule to optimize chair time. In addition, the Clinical Assistant is responsible for communicating quality at the chair. This is accomplished by demonstrating knowledge, empathy, enthusiasm, sincerity and presence.

able to share with the patient. Confirming the doctor’s diagnosis and helping define the treatment plan aids in patient understanding and promotes treatment acceptance.

KNOWLEDGE

Team meetings that are focused on patient communication familiarize auxiliaries with patients’ questions and appropriate responses.

Additional training in new techniques and technology will boost team confidence in talking to patients. A well-informed auxiliary will help patients better understand treatment recommendations. The more knowledgeable in materials, treatment processes and technology, the more information they are

| The Nugget • Sacramento District Dental Society

A commitment to ongoing training keeps the team abreast in the latest clinical techniques and practice management. Providing inoffice training programs, sharing journals and manufacturer’s materials for review helps the team stay current in dentistry.

With the use of visual aids, the chairside assistant can explain treatment. Photographs, intra-oral cameras, and media learning improve patient communication. The chairside assistant should be adept with learning technology and

PHOTO CREDIT: DEBRA ENGELHARDT-NASH

The dental team has a unique opportunity to affect the patient experience. A few simple reminders will help ensure that this experience is a positive one.

use them to augment a patient’s understanding of his/her treatment. Teaching the assistant to share patient information improves chairside efficiency and doctor / auxiliary utilization. This Team member can assume a lot of the responsibility of patient communication while the doctor is attending to other treatment needs. Knowing the details of patient care helps the Chairside Assistant become the Treatment Ambassador.

Empathy Patients are looking for validation of treatment choices. They want the assurance that they have chosen the right office and the right doctor for their dental care. The Assistant becomes the liaison between doctor and patient. Time must be allocated to listen without interruption. Appropriate body language telegraphs empathy and interest to the patient. The assistant should sit at eye level with the patient, at their side, and slightly forward. Eye contact must be maintained and the assistant leans into the patient. This body language says “What you are saying is important and I am paying attention.” Data entry and record keeping is integrated in such a way that does not take precedence over patient focus. Full attention is paid to what the patient is conveying, not what the response will be. Other distractions to patient focus is eliminated or minimized.

Enthusiasm Being excited about treatment possibilities transmits to patients. The Chairside Assistant must convey her / his zeal for the practice. Praising the doctor and exhibiting enthusiasm for what the treatment plan can offer the patient in dental health and appearance

translates to the patient. When the team is genuinely excited about the office, and proud of the doctor’s care, it captures the patient’s interest. Patients like to be surrounded by a team of professionals who exude confidence and show interest in their care. The enthusiasm of the team captivates the patient.

Sincerity Patient communication must be genuine. In order to be believed, the message must be heartfelt. The dental assistant must communicate with authority and sincerity. Scripting may be a helpful tool in designing communication, but if the message is not believed by the team member, the patient may feel the remarks rehearsed and contrived. Time must be spent in helping team members understand and appreciate treatment philosophy, practice systems and desired treatment outcomes. The patient will witness care from all team members when everyone genuinely agrees on the core values of the practice. The message may be articulated differently, blending individuality with the philosophical foundation of the practice, but the core belief is the underlying theme in all communication processes.

Presence In order to communicate effectively, the dental assistant must be fully present. This is more than physical attendance. The Assistant must be in the moment, paying attention to the words and watching for signs that the communication connection is successful. The patient may be reluctant to tell the doctor that they don’t understand or haven’t fully grasped the treatment dialogue. This is when the Chairside Assistant becomes an interpreter.

When the doctor is not in the room, the Chairside Assistant reviews information, confirms treatment recommendations and asks the patient, “What questions can I answer for you?” This allows the patient to ask for more information and gain more assurance in the treatment plan and procedure. The schedule must be structured to allow the dental assistant to attend the patient in the operatory rather than leave them stranded while attending to non-patient duties. Sterilization time, chart completion and preparing for patient care must be factored into patient treatment time to avoid leaving the patient alone to attend to these functions. Patients want to feel well cared for and are more interested in how they are been treated, rather than if the next operatory is being stocked. Sitting with the patient while the doctor is out of the room, or during a planned waiting period during the procedure, aids in the communication process. Using this time as an opportunity to discuss their care, their potential treatment results and the additional services the practice can offer builds rapport and patient loyalty. There are many tasks that need to be accomplished by the assistant. Exceptional assistants are specialists in infection control, materials management and operatory efficiency. In addition to these clinical duties, effective patient communication is an essential skill for the chairside dental assistant. What drives all of the practice tasks is patient care. Patient care is improved when communication processes are fine-tuned. Opportunities abound to improve and enhance chairside communication. The result is improved patient comfort and increased treatment acceptance. Patient satisfaction is achieved and practice potential expands. 

FEDERAL MEDICAL DEVICE EXCISE TAX Despite strong lobbying from the ADA and other dental organizations, this new tax becomes effective on January 1, 2013. Dentists should be aware, however, that the impact of the tax on dental practices is not entirely clear.

The IRS has not yet published final regulations or provided interpretations as to how it applies to dentistry. The ADA has posted an article on its site. You can also read more about it on the CDA Compass Blog. 

SDDS HR Hotline:

1-800-399-5331 www.sdds.org • December 2012 |

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| The Nugget • Sacramento District Dental Society

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sdds

Sacramento District Dental Society presents the 33rd Annual MidWinter Convention & Expo

the Year of Good ... THURSDAY & FRIDAY: FEBRUARY 7 & 8, 2013 • Sacramento Convention Center good fortune awaits you ...

good team building

ATTEND MIDWINTER AS A STAFF AND LEAVE AS A TEAM!

good opportunities

TO NETWORK, LEARN AND DISCOVER NEW VENDORS

good value

FOOD INCLUDED, LOW TRAVEL COSTS AND MORE!

good ce credits EARN UP TO 14 CE CREDITS IN 2 DAYS!

good speakers!

SDDS MidWinter vs. CDA Presents Reg Parking Meals Gas Hotel Toll

SDDS Doctor $320 $16 included $5 $0 $0

CDA Doctor $0 $90 $75 $60 $200 $10

Total $341 $435

SDDS Staff $159 $16 included $5 $0 $0

CDA Staff $20 $90 $75 $60 $200 $10

$180 $455

All SDDS classes are included in registration price

based on two days

SO YOU THINK IT’S “FREE”? In recent surveys, some SDDS members have said they don’t usually attend because there is a charge and CDA Presents is “free”…

CONFIRMED SPEAKERS AS OF 7/20/2012

Peggy Blackburn, RDH • Leslie Canham, CDA, RDA Heidi Christopher, RDH • Charles Cobb, DDS, MS, PhD Darren Cox, DDS, MBA • Art Curley, Esq. Gary Dougan, DDS, MPH • Debra Englehardt-Nash Lisa Fitzpatrick, OTR/CHT, CAE, CEAS Katie Fornelli, Practice Analyst, Practice Support Center, (CDA) Harald Heymann, DDS, MEd • Jin Y. Kim, DDS, MPH, MS Beverly Kodama, DDS • Tim Mickiewicz, DDS Robert Tavelli VP, Business Dev./Client Relations, USCB, Inc. Patrick Wood, Esq.

4 February 7–8, 2013 is our 33rd Annual Midwinter Convention. 4 It’s two days (Thursday and Friday). 4 It’s full of some great CE courses and speakers (people come from all over the country to speak for us). Please consider this: • Lunch, coffee and mini breakfast are included in the price • Parking is cheaper than other cities (except Lodi) P • We give away $100 bills in the Expo REGISTRRE• Our charge is all inclusive, no add-on course costs DEADLINATION E IS • You can get 14–16 units of CE J A T N 18 H! • It’s a great way to network with your peers • Our Expo has all the local vendors ready to talk to you • There is plenty of room for everyone So, if you haven’t attended our MW Convention, please consider it. (Even if you plan to attend ADA and CDA Conventions, we have room for you too!) Please consider bringing your staff members as well. Look for the prospectus in the mail later this summer.

More MidWinter info always available at:

www.sdds.org/MW2013.htm

There is plenty of time to plan ahead — February 7th and 8th. It’s all … “goOD!” www.sdds.org • December 2012 |

SACRAMENTO DISTRICT DENTAL SOCIETY FOUNDATION

A CHARITABLE 501-C3 ORGANIZATION

Smiles for Kids Day is February 2, 2013! Phase 1 (screening) is almost completed — see below. Phase 2 (SFK Day) is in the works! 64 participating schools • 17,108 kids to be screened Over 30 volunteer screening doctors Screening Doctor(s) # schools # kids screened Gary Borge, DDS . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 300 John Birch DDS . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 353 Carrington College . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . . . . 1,621 Wai Chan DDS . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 600 David Crippen DDS . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 186 Robert Daby DDS . . . . . . . . . . . . . . . . . . . . . . 2 . . . . . . . . . . . . 786 Raymond Carbowell Bautista DMD . . . . . . . . . 1 . . . . . . . . . . . . 210 Steven Christensen DMD . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . . 300 Dale Edgerton, RN . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 175 Kimberly Fong DDS/ Melissa Fong DDS . . . . . . 2 . . . . . . . . . . . . . 638 Jennifer Goss DDS/ April Skinner DDS . . . . . . 1 . . . . . . . . . . . . . 66 Dan Harlan, DDS . . . . . . . . . . . . . . . . . . . . . . 8 . . . . . . . . . . 2,451 Gordon Harris, DDS . . . . . . . . . . . . . . . . . . . . 9 . . . . . . . . . . 3,072 Russell Hirano DDS . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 993 Mark Kujiraoka, DDS . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 240 Larry Masuoka DMD . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 435 John Noe, DDS . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . . . . . . 488 Michael Gade, DDS . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 110 George Oatis DDS . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . 315 Hanh Pham, DDS . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . 36 Marianne Quinn . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . . . . . . 380 Darryl Ragland, DDS . . . . . . . . . . . . . . . . . . . . 2 . . . . . . . . . . . . 130 Gabrielle Rasi, DDS . . . . . . . . . . . . . . . . . . . . 5 . . . . . . . . . . 2,200 Jeffrey Routsong, DDS . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 102 SmileKeepers . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . 1,476 Scott Thompson, DDS/ Gwendelyn Enriquez, DMD/ Matt Gustafsson, DDS/ Kerry Hanson, DDS/ Paul Denzler, DDS/ Paul Porco, DDS . . . . . . . 1 . . . . . . . . . . . . 500 Thomas Tinney . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 400 Misc Screeners . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . 500 TOTALS 69 19,063

sdds.org/SDDF_Broadway.htm

JANUARY 23, 2013

| The Nugget • Sacramento District Dental Society

Spiritof Giving

www.sdds.org/ HolidayGiving.htm

Please consider a donation to the Spirit of Giving program. SDDS members have been our greatest resource from the beginning. Together we have created a fund that has made some of our visions a reality.

WHAT YOU GIVE IS WHAT WE CAN DO! See insert for more information and to donate today!

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CHANGES FOR CONTROLLED SUBSTANCES PRESCRIBERS A new state law, SB 360 (DeSaulnier), makes a few changes to the process of ordering tamper-resistant prescription forms and requires reporting the theft or loss of the forms within a specified period. The new law also establishes rules for accessing and using the information in the Prescription Drug Monitoring Program (PDMP), the state’s database of patient controlled substance history information. Finally, the DEA announced last week that registration fees will increase starting next month.

Access to PDMP can assist prescribers in making better prescribing decisions to cut down on prescription drug abuse. Prescribers may use the information in PDMP only for patient care. HIPAA and state health information privacy laws apply to the use of PDMP information. DOJ may conduct audits of the system and its users, and cite and fine entities for violations of those rules. Any misuse or inappropriate access of patient data can be subject to disciplinary, civil or criminal actions by DOJ and the appropriate licensing agency.

Tamper-resistant forms must now have the prescriber’s address preprinted. Forms without a preprinted address will not be accepted by pharmacies after July 1, 2012. Printers of tamper-resistant forms must require photo identification from a customer who personally picks up the forms, and only established customers may pick up the forms in person. If mailing the forms to a prescriber, the printer must use certified mail or other means that requires the recipient’s signature, and must send the forms to the prescriber’s address that is on file with the DEA.

Prescribers with DEA numbers may apply online for access to PDMP.

The theft or loss of tamper-resistant prescription forms must be reported to local law enforcement and the state Department of Justice (DOJ) no later than three days after discovery of the loss or theft. After filing a report with local law enforcement, file a report with DOJ by going to this web site or calling 916.227.3843.

Also, DEA registration fees go up starting next month, from $551 to $731 per three-year period. It’s a $60 per year increase, or as the DEA puts it, $5 per month increase. The agency announced last July that it was planning to increase fees. The ADA vigorously opposed the methodology used by the agency to calculate the proposed increased. DEA’s letter to registrants and a fact sheet on the registration fees can be found online under the “What’s New” column. An article, “Controlled Substances Prescribing and Dispensing,” available on this web site, has up-to-date information on applicable state and federal laws.  Teresa Pichay | CDA Practice Support Center

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| The Nugget • Sacramento District Dental Society

Gordon Gerwig, Business Services Manager (916) 576-5650 gordon@firstus.org

COMMITTEE CORNER Ethics Committee

Social Couponing

Submitted by SDDS Ethics Committee

As marketing moves in the direction of social media, dentists are increasingly utilizing services such as Living Social® and Groupon® to find new patients. Is this ethical? In an ever-changing economy, active marketing for new patients has become common for modern dental practices. Many dentists are now considering including social couponing services, such as Groupon and Living Social, in their marketing plans. “Social couponing” is an online method for a business to offer a steep discount on a service, anywhere from

begins to address this issue, the American Dental Association (ADA) has provided some guidance. According to the ADA Principles of Ethics and Code of Professional Conduct, advisory opinion 4.E.1, a dentist is engaged in unethical fee-splitting if the business arrangement between a dentist and an advertising service allows the service to

PRESENT THIS COUPON FOR UP TO

55% off!

50% to 90%, that customers can share with their friends through social media sites, such as Facebook and Twitter. The consumer pays upfront for the procedure, the coupon service keeps a share of the fee paid and the advertiser hopes to be compensated for the reduced fees with increased volume. Can this type of arrangement constitute fee-splitting? The definition of fee-splitting is sharing any part of your fee for a service with a third party in return for patient referrals. While the California Dental Board

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collect a fee for treatment from a prospective patient, retain a specified portion of the fee as payment for the advertising service provided to the dentist, and remit the remainder of the fee collected to the dentist. Dentists considering social couponing in their marketing plans are advised to inquire about a flat-fee arrangement with the advertising service, rather than a fee based on the number of referrals or coupons sold. Advertising by professionals on these coupon sites raises other ethical issues. First, there

is a concern that these advertising services demean the decision-making involved in undertaking a procedure and interfere with informed consent. What if the patient really does not want to move forward with the service they purchased after reviewing the risks and benefits, but feels obligated to do so because they prepaid? What if the patient has perio issues or carious involvement of the dentition that contraindicates the treatment they purchased online, but insists on the treatment because they prepaid? Patients have the right to expect us to place their welfare above any business interests. Second, this type of advertising reduces dental services to a commodity, diminishing the value of the service. Third, it suggests to consumers that dentists recommend certain procedures randomly or encourage unnecessary treatment for financial gain. Finally, these deep discounts encourage consumers to shop around, rather than build a dentist-patient relationship that preserves continuity of care. The auto industry started down the road of offering deep discounts long ago. They have taught the car consumer that if you paid the asking price, you have been cheated. Our profession deserves better. 

FROM THE

ARCHIVES March 1982 Congressman Robert Matsui attends the National Children’s Dental Health Month poster contest with SDDS Member Dentists. Left: Letter from Congressman Matsui to Dr. James Coyle • Top right: Dr. James Coyle, Congressman Matsui and contest participants. • Bottom right: Congressman Matsui chats with SDDS member dentists www.sdds.org • December 2012 |

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 law

THE DENTIST, THE EMPLOYER

information pertinent to you — the dentist, the employer.

SDDS HR Hotline

Yes!

FREE TO SDDS MEMBERS!

It’s Time for a New Poster!

1.800.399.5331

From CEA (California Employers Association)

t’s time to purchase your 2013 Labor Law Poster from SDDS and CEA! This allin-one poster is immediately available for order from SDDS.

Requirements All employers must post current mandatory state, federal, and OSHA postings in their workplace to stay in compliance. The 2013 Labor Law Poster provides the most current required postings all on one poster.

Changes for 2013? • The Employee Polygraph Notice was revised in March of 2012 to include a new TTY number and QR phone reader • San Francisco minimum wage will increase to $10.55 per hour effective January 1, 2013 (San Francisco employers should visit our store to purchase a separate City poster). • The Department of Fair Employment and Housing (DFEH) is revising the

discrimination and harassment posting to reflect Fair Employment and Housing Act (FEHA) amendments. • Cal/OSHA’s “Safety and Health Protection on the Job” had a June 2012 revision, with minor changes in the contact information.

What about the NLRA Posting? A notice which advises employees of their rights under the National Labor Relations Act is not required by employers at this time. This posting is not included in the all-in-one poster because: • The posting requirement (rule) which had been scheduled to take effect on April 30, 2012, will not take effect until the legal issues are resolved. There is no new deadline for the posting requirement at this time. • If / when the ruling does take effect, it may not be a required posting for all businesses. For further information about the NLRA posting, visit www.nlrb.gov/faq/poster.

Employer Responsibility: While this poster has been made as simple as possible, there are still a few sections where you need to fill in details prior to posting. • PAYDAY NOTICE: Enter the day and frequency of payment. • WORKERS’ COMPENSATION: Enter the name of your insurance carrier, and the ID number. • PAID DISABILITY LEAVE: Fill in information for person to contact regarding eligibility for leave. • EMERGENCY INFORMATION: Fill in pertinent emergency information including ambulance, hospital, fire-rescue info, physician, police, and CAL/OSHA contact. • CAL/OSHA — ACCESS TO MEDICAL AND EXPOSURE RECORDS: Fill in from whom files may be obtained and where they are located. 

ER 2013 EMPLOYMENT LAW POST IS YOUR OFFICE UP TO DATE?

Required postings for all employers! Includes changes for 2013!

$24rice

member p

To order, see insert at the center of this issue, or visit www.sdds.org/sale.htm 18

| The Nugget • Sacramento District Dental Society

Thursday FEBRUARY 7, 2013 7:30am – 9:30am (2 CEU, Core) Infection Control — How to Meet the California Standards Leslie Canham, CDA, RDA

This seminar focuses on the California minimum infection control standards Section 1005 as required for dental license renewal. The participant will be able to determine if their current infection control procedures meet CA regulations infection control and will be provided resources for infection control training and information. • Recognize and prevent pitfalls to successful sterilization • Learn how to select appropriate disinfectants and understand levels of disinfection • Create written protocols for infection control This course satisfies the Dental Board of California’s mandatory licensure renewal requirement.

8:00am – 9:30am (1.5 CEU, Core) Understanding and Creating the Ideal Periodontal and Peri-Implant Environment Jin Y. Kim, DDS, MPH, MS Today, dental implants have the potential to be extremely predictable. Predictable soft and hard tissue regeneration, so crucial to the clinical success of each case is highly dependent on the appropriate selection of material as well as the technique and approach. This presentation will focus on a variety of surgical and restorative techniques; and principles crucial in creating the environment needed for an ideal implant restoration. • Understand clinical factors relevant to health around teeth and dental implants • Understand critical differences in characteristics between teeth and dental implants • Appreciate the ideal environment needed around a dental implant for long-term stability

8:00am – 10:00am (2 CEU, 20%) CDT Coding and What Every Office Should Know About Dental Coding Gary Dougan, DDS, MPH This course will review the latest ADA CDT codes effective as of January 2013, including any new codes, retired codes and changed code descriptors. The course will also review some of the most commonly mistakes made when coding dental claims, and codes that are particularly under scrutiny by insurance carriers. This will prepare you and your staff to know and understand how dental coding affects the success of your insurance billing. • Know and understand the new CDT codes effective Jan 2013 • Know and understand the changes to existing dental procedure codes • Learn how to avoid typical errors in dental coding that can affect the success of your insurance billing

8:15am – 9:15am (1 CEU, 20%) Good Posture, Bad Posture and Ergonomic Modifications for Dental Professionals Lisa Fitzpatrick, OTR/CHT, CAE, CEAS

Partially underwritten by The Dentists Insurance Company (TDIC)

9:45am – 11:45am (2 CEU, Core) Got OSHA? 6 Steps to Office Safety Leslie Canham, CDA, RDA

The California Division of Occupational Safety and Health enforces laws and regulations pertaining to workplace safety and health issues. These regulations must be followed by all dental healthcare workers, including employers and employees alike. This course is designed to provide an annual review of California OSHA regulations which pertain to the practice of dentistry. • Identify the specific safety plans required by OSHA • Understand the basic elements of a Bloodborne pathogen program • Set up an exposure control incident plan • Understand and implement new changes to the Hazard Communication Standard This course satisfies your annual OSHA requirement.

9:45am – 11:45am (2 CEU, Core) Implant Maintenance in the Hygiene Operatory Heidi Christopher, RDH In the United States over 800,000 dental implants were placed last year. Maintaining implant periodontal health is becoming an integral part of our daily hygiene routine. As science and research evolves so does our knowledge and ability to help our patients effectively maintain oral health. This course is designed to update the participants’ knowledge of current assessment and maintenance options for implant patients. • Suitable implant periodontal architecture • Accurate periodontal assessment of implants • Hand instrument options • Ultrasonic instrumentation • Peri-implantitis vs. peri-implant mucositis • When to add an adjunct to treatment • Innovative implant oral hygiene options

9:45am – 11:45am (2 CEU, Core) Oral Cancer: What's New in Something Old? Darren Cox, DDS, MBA Review of oral precancerous and malignant lesions with an update on HPV induced lesions of the head and neck. Oral precancerous and malignant lesions of the head and neck will be reviewed with emphasis on recognition, diagnosis and treatment. In addition, oral mucosal lesions associated with the human papilloma virus will be reviewed with updates on malignancies of the head and neck caused by an oncogenic type of the human papilloma virus and how this malignancy is distinct from oral squamous cell carcinoma in response to treatment. • Become more adept at recognizing oral precancerous and malignant lesions • Become more adept at differentiating oral precancerous and malignant lesions from common mimics • Understand appropriate treatments and outcomes of oral precancerous and malignant lesions • Understand what human papilloma viruses cause benign and malignant lesions in the oral cavity and other head and neck sites

= courses intended for dentists = courses intended for hygienists = courses intended for assistants = courses intended for front office = courses intended for lab techs

licensure

LR = renewal course

OSHA

OR = renewal course

KEY

Do you go home every night with a sore neck, back or hands? Do you know that if you change just one thing about the way you work, some of your pain could be relieved? In this course, you will learn techniques to alleviate and avoid pain and possible surgery through preventative self-care measures with exercise and ergonomic considerations. • Recognizing risk factors associates with injuries to the back, neck and hands • Manage alternative treatment options for pain instead of using medication • Identify environmental changes that integrate ergonomic practices in the office

COURSE DESCRIPTIONS & OBJECTIVES

www.sdds.org • December 2012 |

Thursday FEBRUARY 7, 2013 10:30am – 11:30am (1 CEU, 20%) Good Posture, Bad Posture and Ergonomic Modifications for Dental Professionals Lisa Fitzpatrick, OTR/CHT, CAE, CEAS

Partially underwritten by The Dentists Insurance Company (TDIC) Do you go home every night with a sore neck, back or hands? Do you know that if you change just one thing about the way you work, some of your pain could be relieved? In this course, you will learn techniques to alleviate and avoid pain and possible surgery through preventative self-care measures with exercise and ergonomic considerations. • Recognizing risk factors associates with injuries to the back, neck and hands • Manage alternative treatment options for pain instead of using medication • Identify environmental changes that integrate ergonomic practices in the office

1:00pm – 3:00pm (2 CEU, Core) Lasers in Hygiene: Myths and Truths Heidi Christopher, RDH The pioneering technology of lasers in the dental hygiene practice is here to stay. Let's clear up the confusion and discover the truths of laser usage in dental hygiene. We will discuss who can use a laser, what types of lasers are being used to treat soft tissue and what laser procedures can the RDH perform — on WHO, WHEN and WHY? • How laser energy interacts with biological tissues • Laser bacterial reduction of the periodontal pocket (LBR) • Laser degranulation of the periodontal pocket (LD) • Laser root desensitization • Laser ulcer & lesion treatments

1:00pm – 3:00pm (2 CEU, 20%) Secrets of Smoother Claims Processing Gary Dougan, DDS, MPH This course will review the top 10 reasons claims are rejected by dental carriers and how to prevent this. It will also cover defensive charting - being prepared to justify your case, and various dental plan policies involving data analysis used by dental insurance plans. We will also review some common errors that could be interpreted as dental insurance fraud and abuse as well as dental office recourse to resolve problem claims or claims disputes. • Learn and understand how to submit flawless dental insurance claims • Learn and understand the 10 areas commonly leading to claims denials or delays, and how to avoid these pitfalls • Learn how insurance carriers look for dental fraud and abuse and how to avoid these involvements

good points! • Earn 14.5 CE units in 2 days (www.sdds.org/MW2013.htm)

• Support organized dentistry! • Save on travel expenses by staying local 20

| The Nugget • Sacramento District Dental Society

COURSE DESCRIPTIONS & OBJECTIVES (continued)

1:15pm – 3:15pm (2 CEU, Core) Practical Maintenance Protocol for Teeth and Implants Jin Y. Kim, DDS, MPH, MS This follow-up from the morning course will review existing evidence on the science of osseointegration and clinical studies that validate long-term health of dental implant restorations. The presenter will highlight various innovations in soft and hard tissue handling techniques in recent years. • Understand the pathology and pathogenesis of peri-implant breakdown • Understand the etiology of peri-implant breakdown • Understand the hygiene maintenance protocol for teeth and dental implants, and patient management protocols for long-term clinical success • Understand the home care protocols for implant patients, and the use of dental hygiene devices appropriate for dental implants.

1:30pm – 3:30pm (2 CEU, Core) Clincopathologic Correlation: Enhanced Understanding of Oral Pathology Through Real Cases Darren Cox, DDS, MBA Interesting cases involving the oral, maxillofacial, and head and neck regions, ranging from benign vessiculoerosive conditions of the oral mucosa to benign yet aggressive tumors of the jaw bones to malignancies involving all sites of the head and neck will be presented. Emphasis on recognition, development of a differential diagnosis and treatment options will be covered. • Become more adept at developing differential diagnoses for many types of lesions involving the oral mucosa and jaws • Gain a greater understanding of the treatment of many types of lesions involving the oral mucosa and jaws

1:30pm – 4:30pm (3 CEU, Core) The High Cost of Shortcuts Beverly Kodama, DDS and Art Curley, Esq.

Sponsored by The Dentists Insurance Company (TDIC) Shortcuts have their place, but not in dentistry. Incomplete documentation, the omission of necessary procedures and failure to fully inform patients are why even the best dentist will likely experience a lawsuit at least once throughout a career. With real TDIC cases, this course will illustrate why effective patient communication and continuity of care are imperative in delivering excellent dentistry. • Overcome patient objections to radiographs essential to quality dental care • Create a proactive approach when multiple dentists treat one patient • Establish office procedures when patients complain of pain • Develop strategies to educate patients on treatment recommendations • Deploy effective protocols for medical emergencies This course qualifies TDIC policyholders for a 5% professional liability discount.

3:15pm – 5:15pm (2 CEU, Core) California Dental Practice Act Patrick Wood, Esq.

This course is designed to cover key elements of the California Dental Practice Act. Participants will have a thorough understanding of those areas of the Dental Practice Act which they need to be mindful of in order to stay in compliance with the Dental Board of California. • Attendees will be able to renew their license by having the required two hour California Dental Practice Act completed This course satisfies the Dental Board of California’s mandatory licensure renewal requirement.

friday FEBRUARY 8, 2013 7:45am – 9:45am (2 CEU, Core) Micro Ultrasonic Update Peggy Blackburn, RDH Science and research continues to evolve, and new technology is developed and/or refined in an effort to better treat and maintain the health of our patients affected with periodontal disease. With this new information and technology comes a change in how we treat periodontal disease and the armamentarium that we use. Participants will gain knowledge of the evolution and advancement of Micro Ultrasonic technology and its proper role in treating periodontal disease and maintaining periodontal health. • The difference between Piezo vs. Magnetostrictive technology • The advantages of Micro Ultrasonic instrumentation • The role of Micro Ultrasonic instrumentation in the treatment and maintenance of periodontal patients • Proper tip or insert selection • Proper Micro Ultrasonic Technique

7:45am – 9:45am (2 CEU, 20%) Building a Strong Practice — Practice Management and Teamwork Debra Engelhardt-Nash The demands of today’s practice require office protocols and team behaviors that are not only efficient but also effective. This program will cover what it takes to be a highly productive practice and effective dental team. Learn practical steps to enrich the work environment, and the patient experience. Steps will include internal marketing strategies to attract and retain patients. • Leadership In Action • Practice Trends to watch • Re-care productivity — How to increase continue care impact • Customer Service Skills — Creating the “Wow” factor in the office • The Four Circles of Practice Development

8:00am – 10:00am (2 CEU, Core) "Bread and Butter" Adhesive and Restorative Dentistry Harald Heymann, DDS, MEd

Sponsored by Kerr Dental

Confused by all the different dental adhesives? What are MMPs and why are they important? What are the keys to success with posterior composites? Thermal and sonic insertion systems? Flowables? Desensitizers? Matrixing systems? What about nasal spray anesthesia? This presentation will provide information on what works and what doesn't in adhesive and conservative restorative dentistry. Get the FACTS based on research, not just opinion and hype. • Distinguish among the many types of adhesive systems • Describe optimal techniques for successful posterior composites • Identify effective steps for preventing sensitivity associated with restorative procedures

COURSE DESCRIPTIONS & OBJECTIVES

8:00am – 10:00am (2 CEU, Core) California Dental Practice Act Patrick Wood, Esq.

8:15am - 10:15am (NO CEU) Collection Techniques and the Art of Collecting Debts: The Collection Process — Playing to Win! Robert Tavelli, VP Business Development/Client Relations, USCB Collecting monies owed by your patients is the most difficult and frustrating task for your office. This course will teach that working smart can be better than working hard! Learn how to motivate your debtors to pay, understand the laws using ethics and direct communication and lastly, know when to let go of the emotional attachment to the debtor! • Know your customer and their ability to pay the entire amount owed (documentation and clear understanding of terms and conditions) • Create clear and effective communication skills from beginning to end (set clear expectations) • Conclude the account in the most cost effective manner (will they pay and when to let go of the account if they don’t)

10:15am – 11:45am (1.5 CEU, 20%) Reach for the Stars! Attracting and Retaining an All-Star Dental Team Debra Engelhardt-Nash Learn how to hire and implement the best team possible from ad placement to performance conferences and compensation reviews. Establish performance measurement tools to guide team members to success in their daily activities. This program will cover how to enhance morning huddles and staff meeting effectiveness. • Screening the Applicant — What Questions are Important • Performance Appraisals — When To Have Them, What to Talk About • Promoting Teamwork — Enhancing Effectiveness

WHAT DOES “CORE” & “20%” MEAN?

To facilitate California licensed dental professionals in complying with the Dental Board of California regulations, SDDS will identify each course’s content as either a “Core” or a “20%” course. The two categories are defined as follows: Core courses must make up a minimum of 80% of the credits in a renewal cycle. These include courses that directly enhance the licensee’s knowledge, skill and competence in the provision of service to patients or the community. 20% courses can make up only 20% of the credits in a renewal cycle. These include courses considered to be primarily of benefit to the licensee. www.sdds.org • December 2012 |

friday FEBRUARY 8, 2013 10:15am – 12:15pm (2 CEU, Core) TMD, Facial Pain, Sleep Medicine: Myths, Misconceptions, Debate, Reality Timothy Mickiewicz, DDS

10:45am – 11:45am (1 CEU, 20%) Proactive Practice Management: Managing Parents and Patients Katie Fornelli, Practice Analyst, Practice Support Center, CDA

Over the past 20+ years, Dr. Mickiewicz has fought tirelessly to integrate the acceptance of TMD and Dental Sleep Medicine by the medical community. This course covers the basic anatomical understanding of the complex, yet elegantly simple TMJ apparatus plus the latest research by the National Institute of Health (NIH) and how it applies to us. Throughout the journey of the lecture, Dr. Mickiewicz will demonstrate understanding the value of facial balance, airway space and developmental issues as they apply to your daily practice. We will put this puzzle together in an informative, provocative and potentially controversial recognition of how to recognize when to treat and when to refer. • Anatomy — knowing the basics • Physiology — advances in understanding of pain • Treatment modalities — splint designs and concepts of pharmacology • Degenerative Joint Disease — relationship to endocrinology • Controversies — Is CR really that important?

10:30am – Noon (1.5 CEU, Core) HIPAA — Privacy and Security Regulations — It's Easier Than It Looks! Leslie Canham, CDA, RDA This course will familiarize the participants with the basic rules and regulations of HIPAA. Discussion will include how these rules affect the typical dental office and what specific steps must be taken to ensure privacy and security compliance. • Learn how to set up a HIPAA Privacy and Security Program • Recognize breaches in privacy or security • Learn how HITECH and new requirements affect dental practices

10:30am – Noon (1.5 CEU, Core) Diodes, Nd: YAG and PDT Adjunctive to SRP: The Evidence vs. Clinical Perception Charles Cobb, DDS, MS, PhD This course will provide a realistic overview of the use of the diode and Nd:YAG lasers and PDT in the treatment of chronic periodontitis. The emphasis will be on the differences in marketing claims and what the peer-reviewed literature reports. In addition, the course will discuss the problems related to the lack of insurance coverage and the issue of confirmation bias, i.e., why can’t university-based clinical studies reproduce the results claimed by those in private practice? Upon completion, participants will be familiar with the difference between peer-reviewed evidence and marketing claims with respect to: • The benefits of subgingival curettage • The “sterilizing” of the subgingival pocket environment • The adjunctive use of the diode laser with SRP for treatment of periodontitis • The use of the Nd:YAG laser either as a monotherapy or adjunctive with SRP for treatment of periodontitis • The treatment of periodontitis using photodynamic therapy (PDT) • The conclusions of systematic reviews of the laser/periodontal literature

licensure

LR = renewal course OSHA

OR = renewal course

| The Nugget • Sacramento District Dental Society

KEY

= courses intended for dentists = courses intended for hygienists = courses intended for assistants = courses intended for front office = courses intended for lab techs

COURSE DESCRIPTIONS & OBJECTIVES (continued)

Do you feel caught in the middle when managing parents of your minor patients? Managing the parental and custodial relationship of minor patients in the dental practice can be challenging and frustrating. The front office team of the dental practice serves as the first line of communication to patients, and therefore is faced with the many obstacles that patients, and parents of patients, present. This course will teach you to proactively manage the most common challenges faced by the front office staff when working with parents. Such issues include managing treatment consent, financial consent, coordination of dental benefits, divorced parents and access to the minor patient’s records. • Learn to proactively manage the most challenging parent and minor patient scenarios such as divorced parents, treatment consent and financial consent • Learn effective communication techniques that provide excellent customer service while establishing sound patient management policies

1:30pm – 3:30pm (2 CEU, Core) Team Advancement for Surviving a Down Economy Peggy Blackburn, RDH Our current economy poses many challenges for patients. Through the utilization of technology, we can walk our patients through discovery, diagnosis and a comprehensive treatment plan. Drawing on our understanding of Generation X, Y, & Z will improve patient’s ability to make the right decision during case presentation. • The generation gap, X,Y, Z • The role of technology in discovery, diagnosis and case presentation • Individual team members roles • Advanced verbal skills for discovery, diagnosis and case presentation • Strategies for success

1:30pm – 3:30pm (2 CEU, Core) Infection Control — How to Meet the California Standards Leslie Canham, CDA, RDA

THE YEAR OF G O O D

friday FEBRUARY 8, 2013 1:30pm – 3:30pm (2 CEU, 20%) Are You Riding the Scheduling Roller Coaster? Katie Fornelli, Practice Analyst, Practice Support Center, CDA Let’s get you and your dental team off the scheduling roller coaster and teach you how to coast through the day. The schedule causes some of the greatest stress in the daily practice environment. After all, the schedule is the foundation of your practice – it impacts the practice’s growth, production, patient flow, customer service, internal marketing, and happiness of the entire dental team. An inefficient and poorly managed schedule can feel like a never-ending roller coaster ride – one day is up and one day is way down – leaving you and your team feeling out of control. This course will walk you through the process of designing and managing an efficient, organized, and balanced schedule. • Learn to design a productive and consistent schedule that allows you and your team to coast through the day • Learn to manage the schedule through staff training and effective internal communication • Understand how to empower your dental team to manage challenging patient scheduling obstacles

1:30pm – 4:00pm (2.5 CEU, Core) Practical Solutions for Real World Problems in Esthetic and Restorative Dentistry Harald Heymann, DDS, MEd Sponsored by Kerr Dental

In “real world” practices, many factors impact realistic solutions to challenging problems. Age, economics, caries risk and medical conditions often temper treatment options. This presentation will address a potpourri of practical topics. What fluoride containing materials really are therapeutic? What is CAMBRA and how do you best deal with the high risk caries patient? Probiotics? GIC sealants? Do abfractions really exist? How do you best treat them? What about conservative esthetic bonded bridges? Esthetic perio splinting? White spot removal? Esthetic improvement with vital bleaching? Antioxidants? These topics and more will be addressed and practical, “real-world” solutions offered. • Identify effective steps for managing the high risk caries patient • Describe the treatment involved in placing all-porcelain bonded bridges, esthetic perio splints, and vital tooth bleaching • Identify etiologic factors and treatment options for abfractions

good resources CHECK THE WEB! The SDDS MidWinter 2013 website is your go-to source for…. Confirmed Speakers • Class Schedule Maps & Directions • Course Materials Confirmed Exhibitors • Travel Information Tips to Maximize CE • AND MORE!

www.sdds.org/MW2013.htm

COURSE DESCRIPTIONS & OBJECTIVES (continued)

1:30pm - 4:00pm (2.5 CEU, Core) Periodontal Inflammation: Arteries, Hearts, Brains, Placentas and Other Stuff Charles Cobb, DDS, MS, PhD This course is primarily intended for the general dentist and dental hygienist with an interest in the role of inflammatory periodontal disease and the host systemic response. The course will provide evidence-based information regarding the role of specific bacteria in the pathogenesis of periodontal diseases, how the host responds to those bacteria and, in turn, how the host response impacts various systemic diseases such as atherosclerosis, cardiovascular and cerebrovascular disease, adverse pregnancy outcomes and diabetes. • Role of the “Red Complex” microbes and their association with inflammation and the systemic inflammatory response • Role of genetic susceptibility and periodontal disease • Relationship between periodontal disease and atherosclerosis, cardiovascular disease and ischemic stroke • Potential relationship between periodontal disease and adverse pregnancy outcomes • Relationship between periodontal disease, obesity, metabolic syndrome and diabetes • Screening periodontal patient’s for potential systemic disease involvement

new this year!

SDDS MidWinter Convention will offer AGD credit! The SDDS is designated an approved PACE Program Provider by the California Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state provincial board of dentistry or AGD endorsement.

Acadamy of General Dentistry Approved PACE Program Provider FAGD / MAGD Credit 04-01-12 to 03-31-16

PRE-REGISTRATION DEADLINE:

JANUARY 18, 2013 GOOD PRICE! SIGN UP TODAY AND SAVE! www.sdds.org • December 2012 |

thank you, thank you,

sponsors! Exhibitors! ASSOCIATIONS California Dental Association (CDA) Sacramento District Dental Foundation Sacramento District Dental Society

Patterson Dental Supply THURSDAY LUNCH SPONSOR LANYARD SPONSOR

Innova Periodontics & Implant Dentistry BAG SPONSOR

Kerr / Sybron Endo SPEAKER SPONSOR

DENTAL SUPPLIES, EQUIPMENT, REPAIR Burkhart Dental Supply DESCO Dental Henry Schein Dental Patterson Dental Supply Procter & Gamble RelyAid 3M ESPE-Unitek ACTEON North America (Satelec & Sopro companies) Benco Dental BioHorizons Brasseler USA Carestream Dental Dentsply Tulsa Dental Specialties DEXIS Digital X-Ray GlaxoSmithKline Consumer Healthcare iSmile Dental Products, Inc. Ivoclar Vivadent, Inc. Kerr/Sybron Dental KOMET USA Nobel Biocare U.S.A. Philips — Sonicare and Zoom Whitening Pulpdent Corporation SS White Burs Supply Doc, Inc. Ultradent Products, Inc. Ultralight Optics Zila, Inc. — A Tolmar Company DENTAL SERVICES AND JOB OPPORTUNITIES Pacific Dental Services 6th MRB, Seattle MRC, Sacramento Health Care Recruiting Center

TDIC Insurance Solutions SPEAKER SPONSOR

24 | The Nugget • Sacramento District Dental Society

FINANCIAL AND INSURANCE SERVICES Bank of Sacramento Bank of the West — Response Road Bank of the West — Capitol Mall Dennis Nelson, CPA, APC

sold out!

Fechter & Company, CPAs Financial Management Associates, Inc. First U.S. Community Credit Union Liberty Dental Plan Mann, Urrutia, Nelson CPAs The Dentists Insurance Company (TDIC) Union Bank Delta Dental Dentegra Insurance Company Elavon Lane Florence, LLC Merrill Lynch Paramount Equity Mortgage Wells Fargo Business Banking Group/ Wells Fargo Practice Finance LEGAL SERVICES Drobny Law Offices, Inc. MEDICAL GAS SERVICES Analgesic Services, Inc. OFFICE DESIGN AND CONSTRUCTION Andrews Construction, Inc. Blue Northern Builders, Inc. Olson Construction, Inc. PRACTICE SALES, LEASE, MANAGEMENT AND CONSULTING Western Practice Sales scaler2schedule PUBLICATIONS AND MEDIA Clear Channel Sacramento Magazine STAFFING SERVICES Resource Staffing Group TECHNOLOGY LIMEworks PACT-ONE Solutions, Inc. Uproar — Mobile Phone Apps Demandforce Info Star WASTE MANAGEMENT SERVICES Star Group OTHER Osteohealth

SDDS VENDOR MEMBER

DENTAL OFFICE C O N S T R U C T I O N

Campus Commons Periodontics

DESIGN/BUILD

S P E C I A L I S T S

A THUMBS UP EXPERIENCE Todd Andrews & Cas Szymanowski

Because we specialize in construction for the dental professionals, Andrews Construction, Inc understands the unique needs specific to dentists.

NEW CONSTRUCTION

Our 30+ years of experience assures you that we deliver QUALITY, SERVICE and SATISFACTION on every meticulously run project. Thumbs Up to that!

TENANT IMPROVEMENTS REMODELING

SDDS Vendor Member Since 2001

916 743-5151 andrewsconstructioninc.com

www.sdds.org â&#x20AC;˘ December 2012 |

since

2004

since

2002

Marc Davis • Morgan Davis • Lynda Doyle

Tom Evans, Branch Manager

916.949.2687 www.bankofthewest.com

916.772.4192 www.bluenorthernbuilders.com

since

2007

HUMAN RESOURCES

2004 D ENNIS NELSON

CPA, APC PLANNING & CONSULTING ASSOCIATES

800.399.5331 www.employers.org

FINANCIAL SERVICES

Dennis Nelson, CPA, APC

Dennis Nelson, CPA 916.988.8583 www.cpa4dentists.net

since

Dave Milner, President • 916.576.2223 Pamela Love, MBA • 916.335.7317

2012

www.clearchannel.com

The Dental Equipment Specialists

916-624-2800 800-649-6999 4095 Del Mar Ave. #13 Rocklin, CA 95677 www.descodentalequipment.com

2012

2011

2003

since

2012

916.419.2100 www.drobnylaw.com

First US Community Credit Union

since

2005

916.576.5650 www.firstus.org

INSURANCE

TECHNOLOGY

Melinda Bitney, Network Manager

Garrett Gatewood, President

since

888.273.2997 ext. 265 www.libertydentalplan.com

LIME Works

since

2011

CONSTRUCTION

Mann, Urrutia, Nelson, CPAs

Olson Construction, Inc.

John Urrutia, CPA, Partner Chris Mann, CPA, Partner

David Olson

since

2004 PATTERSON

209.366.2486 www.olsonconstructioninc.com

888.979.5463 www.limeworks.co

DENTAL SERVICES

Pacific Dental Services

Koert Takkunen Sarah Groft

since

2012

714.552.5517 www.PacificDentalServices.com

DENTAL SUPPLIES

Dan Edwards, President

James Ryan

866.722.8663 www.pact-one.com

800.736.4688 www.pattersondental.com

Ursula Klein 916.616.6845

DENTAL

since

2003

STAFFING SERVICES

since

Drobny Law Offices, Inc.

Liberty Dental Plan

Pact-One

2011

Mark Drobny, Esq. & Michelle Glenn

Gordon Gerwig, Business Services Manager

since

TECHNOLOGY

since

Tony Vigil, President

916.985.9559 www.fmacentral.com

FINANCIAL SERVICES

2010

LEGAL SERVICES/ ESTATE PLANNING

Ted Darrow, Client Relations & Marketing

2012

916.774.4208 www.muncpas.com

www.dentalcare.com

FINANCIAL SERVICES

Henry Schein Dental

since

2002

FINANCIAL SERVICES

DENTAL SUPPLIES

2005

since

Financial Management Associates, Inc.

Craig Fechter, CPA

since

Crest / Oral B

Lauren Herman • 209.969.6468 Kevin McKittrick • 916.765.9101

DENTAL SUPPLIES

916.747.8232 www.descodentalequipment.net

since

916.784.8200 www.burkhartdental.com

DENTAL SUPPLIES

DESCO Dental Equipment

Fechter & Company

916.626.3002 www.henryschein.com

2011

MEDIA

FINANCIAL SERVICES

916.333.5370 www.fechtercpa.com

since

Clear Channel Media & Entertainment

Kim Parker, Executive VP Mari Bradford, HR Hotline Manager

since

Burkhart Dental

Blue Northern Builders

California Employers Association

DENTAL

2011

916.648.2100 www.bankofsacramento.com

Mary Alajou, VP Sacramento/Butte Area Manager

2012

2009

since

DENTAL SUPPLIES

since

Shelley Laurel, SVP

Bank of Sacramento

CONSTRUCTION

Bank of the West

2011

Todd Andrews 916.743.5151 www.andrewsconstructioninc.com

FINANCIAL SERVICES

since

FINANCIAL SERVICES

Patterson Dental

RelyAid

since

2008

MAGAZINE

Resource Staffing Group

Sacramento Magazine

Debbie Kemper

Becki Bell, Marketing Director

916.993.4182 www.resourcestaff.com

916.452.6200 www.sacmag.com

since

| The Nugget • Sacramento District Dental Society

2002

www.relyaid.com

PRECIOUS METAL REFINING

Star Group Global Refining

since

2009

VENDOR MEMBER B

Geary Guy, VP Steve Shupe, VP 916.928.1068 www.asimedical.com

CONSTRUCTION

Andrews Construction, Inc.

Analgesic Services

Jim Ryan, Sales Consultant 800.333.9990 www.starrefining.com

VENDOR MEMBER A

MEDICAL GASES

INSURANCE

FINANCIAL SERVICES

The Dentists Insurance Company

Darnise Edwards 800.733.0633 www.cda.org

since

2011

since

www.unionbank.com

2010

Howard Harris 916.995.0022 howard.harris@ntspays.com

since

2012

www.uproar.pro

LEGAL SERVICES

Western Practice Sales

2007

UPROAR-Mobile Phone Apps

Lydia Ramirez 916.533.6882

TRANSITION BROKER

since

MARKETING/TECH

Union Bank

we love

Wood & Delgado

Tim Giroux, DDS, President John Noble, MBA

Patrick J. Wood, Esq. Jason Wood, Esq.

800.641.4179 www.westernpracticesales.com

1.800.499.1474 • 949.553.1474 www.dentalattorneys.com

since

2010

our SDDS Vendor Members!

VENDOR MEMBER SPOTLIGHTS: D ENNIS NELSON

CPA, APC PLANNING & CONSULTING ASSOCIATES

RELYAID was established in 1988 as a family-owned and operated company. For many years, the company exclusively supplied dental practices with protective gloves, infection control products, and other supplies. PRODUCTS AND SERVICES • Protective gloves • Infection control products SPECIAL OFFER TO ALL SDDS MEMBERS ONLY • Special discounts • Free freight

879 F Street, Ste 120-A West Sacramento, CA 95605 (800) 775-6412 phone (888) 775-8020 fax Ursula Klein — COO, CFO ursula.klein@relyaid.com (916) 868-0200 ext. 140 direct line

www.relyaid.com

A CPA Practice for Dental Practices: Dennis Nelson has been a supporter of SDDS since 1992. At Dennis Nelson, CPA, APC, we provide tax, accounting and bookkeeping services many dental practices and have been for over 26 years. We know dental practices and we know that we can meet or beat your expectations. PRODUCTS AND SERVICES Fixed Rates or Ala Carte: We offer special, fixed-rates specifically for Dentists. We also provide tailored, individualized services, including: Tax Planning and Preparation • Accounts Payable Management, Bill Payments and Payroll • Accounting, Bookkeeping and Financial Statements • QuickBooks training • Financial Planning • Performance Review and Practice buy/sell analysis • Retirement Planning • Children’s Education Planning • Tax Audit representation Whatever your choice of services, you can be assured they will be prompt, reliable and accurate. Contact us to see what we can do for you. ANNUAL FINANCIAL SURVEY RESULTS: Our Annual Financial Survey of Sacramento-area dental practices provides valuable insight into the region and how regional dentists have been performing. Contact us for a complimentary copy today. “Dennis Nelson and his staff have helped me achieve success.” - Bryan Randolph, DDS “Over the years, Dennis and his team of professionals have guided my practice with QuickBooks, tax planning and tax preparation. Whenever my staff or I call his office, we get our problem resolved right then or get a return phone call the same day, usually within the hour.” -J Craig Stevens, DDS

Dennis Nelson, CPA, APC 6611 Folsom Auburn Road, Suite C • Folsom, CA 95630 (916) 988-8583 phone • (916) 988-8801 fax

www.cpa4dentists.net • dnelson@cpa4you.net

www.sdds.org • December 2012 |

This could be the most

important decision of your career.

Are you sure

you hired the best legal counsel to protect you? We have represented more dentists in buying and selling their practices than any other law firm in the country. Practice Acquisitions/Sales • Partnerships • Business Transactions Lease Negotiations • Estate Planning

AT T O R N E Y S AT L AW

The Authority in Dental Law

800.499.1474 800.511.2138 Fax www.DentalAttorneys.com Represented over 4,000 dentists

Patrick J. Wood Jason P. Wood

Attorneys at Law

LOOK ONLINE FOR UPCOMING SEMINARS IN YOUR NEIGHBORHOOD!

| The Nugget • Sacramento District Dental Society

WE’RE COMMITTED TO BUSINESS BANKING.

We know every business comes with its own unique set of financial needs. That’s why for over 135 years Bank of the West has been committed to serving local businesses. Our experienced and knowledgeable business bankers provide one-on-one consultation to help find the banking solutions that meet your needs. And we follow up with great customer service. For more information, please contact Mary Alajou, Vice President, Sacramento Butte Area Manager, mary.alajou@bankofthewest.com, (916) 949-2687 or Annalisa Alvarado, AVP, Business Banking Officer, Annalisa.Alvarado@bankofthewest.com, (916) 893-0288. Equal Housing Lender. Member FDIC. © 2012 Bank of the West.

www.sdds.org • December 2012 |

WE’RE BLOWING YOUR HORN! Congratulations to... Have some news you’d like to share with the Society? Please send your information (via email, fax or mail) to SDDS for publication in the Nugget!

Dr. Jonathan Szymanowski, and his wife Teresa Wiley on the birth of their daughter Joy on September 24. She was 8.5 lbs. (photo #1 at right) Drs. Don Rollofson, Victor Hawkins, Christy Rollosfon and Steve Leighty, joining Dr. Wai Chan, Pierre Fauchard Fellow, as new inductees of the Pierre Fauchard Academy at ADA. SDDS Executive Director Cathy Levering also received a Special Appreciation Award for the work she has done on behalf of dentistry, especially the barriers to care for children. (photo #2 at right)

Dr. James Musser, on accepting the 2012 International College of Dentists Journalism Award for “Best Newsletter” presented by Dr. Leighton A. Wier. (photo #3 at right) Dr. Lisa Laptalo, and her husband Luko, on the birth of their daughter Nikolina Slavka on October 22. She was 8 lbs 4 oz and 20.5 inches long. (photo #4 at right) Dr. Mitch Goodis, on the use of his “Meth Mouth” videos and photos for use in an MSNBC documentary.

Dr. Debra Finney, who serves as President of the California Association of Periodontists! Dr. Dean Ahmad, his wife Comel and big brother Zane on the birth of their son Zachary Nadeem on October 11. He was 7 lbs 3 oz and 19.5 inches long. (photo #5 at right) 

LINK OF THE

MONTH MIDWINTER PRE-REGISTRATION DEADLINE IS JANUARY 18! Save your spot for the event of the year, at:

www.sdds.org/MW2013.htm 30

| The Nugget • Sacramento District Dental Society

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 2013 NUGGET! Answer from November 2012 issue: Dr. Cindy Weideman Correctly identified by Dr. Bob Gillis— nice job!

VOLUNTEEROpportunities SMILES F KIDS DAY OR FEB 2, 2 IS 013

SMILES FOR BIG KIDS

SMILES FOR KIDS

VOLUNTEERS NEEDED: Dentists willing to

VOLUNTEERS NEEDED: Doctors to “adopt” patients

TO VOLUNTEER, CONTACT:

CONTACT INFO:

WILLOW DENTAL CLINIC

THE GATHERING INN

VOLUNTEERS NEEDED: Dentists and hygienists

VOLUNTEERS NEEDED: Dentists, dental

“adopt” patients for immediate/emergency needs in their office. SDDS office (916.446.1227 • sdds@sdds.org)

EQUIPMENT NEEDED: Mobile equipment to

loan or donate — currently limited to using the mobile equipment and instruments brought in by Dr. Alex Tomaich and Dr. Dagon Jones TO VOLUNTEER, CONTACT:

seen on 2012 Smiles for Kids Day for follow-up care and 2013 Smiles for Kids Day volunteers. SDDS office (916.446.1227 • smilesforkids@sdds.org)

assistants, hygienists and lab participants for onsite clinic expansion. CONTACT INFO:

Ann Peck (916.296.4057 • annpeck49@aol.com) Volunteer Coordinator

Michael Robbins (530.864.8843 • marobbins@ucdavis.edu) Volunteering or donations

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:

FOR ADDITIONAL INFORMATION: on these volunteer opportunities and much more is available on the SDDS website: www.sdds.org/Volunteer.htm

Ed Gilbert (916.925.9379 • ccmp.pa@juno.com)

www.sdds.org • December 2012 |

Advertiser INDEX Dental Supplies, Equipment, Repair Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Burkhart Dental Supply . . . . . . . . . . . . . . . . . . . . . . . . 26 DESCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . 12, 25, 26 RelyAid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26, 27 Patterson Dental Supply, Inc. . . . . . . . . . . . . . . . 26, 35 Procter & Gamble Distributing Co. . . . . . . . . . . . . . . 26

Dental Services Vendor Member Pacific Dental Services . . . . . . . . . . . . . . . . . . . . . . . . 26

Education San Joaquin Valley College (SJVC) . . . . . . . . . . . . . . 25

Financial & Insurance Services Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Bank of Sacramento . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Bank of the West . . . . . . . . . . . . . . . . . . . . . . . . . 26, 29 Dennis Nelson, CPA . . . . . . . . . . . . . . . . . . . . . . 26, 27 Fechter & Company, CPAs . . . . . . . . . . . . . . . . . 26, 32 Financial Management Associates, Inc. . . . . . . . . . . 26 First U.S. Community Credit Union . . . . . . . . . . 16, 26 Liberty Dental Plan . . . . . . . . . . . . . . . . . . . . . . . . . 26 Mann, Urrutia & Nelson, CPAs . . . . . . . . . . . . . . . . 26 TDIC & TDIC Insurance Services . . . . . . . . . . . . . 15, 27 Union Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Human Resources Vendor Member California Employers Association (CEA) . . . . . . . . . . . 26

Legal Services Vendor Member Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . 27, 28 Vendor Member Drobny Law Offices, Inc. . . . . . . . . . . . . . . . . . . . . . . . 26

Medical Gas Services Vendor Member Analgesic Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . 26

Office Design & Construction Vendor Member Vendor Member Vendor Member Vendor Member

Andrews Construction . . . . . . . . . . . . . . . . . . . . . 25, 26 Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . 26, 29 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . 12, 25, 26 Olson Construction, Inc. . . . . . . . . . . . . . . . . . . . . . . 26

Practice Sales, Lease, Management &/or Consulting Vendor Member Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . 12, 25, 26 Vendor Member Western Practice Sales . . . . . . . . . . . . . . . . . . . . . . . 27

Marketing Vendor Member UPROAR-Mobile Phone Apps . . . . . . . . . . . . . . . . . . 27

Publications & Media Vendor Member Clear Channel Media & Entertainment . . . . . . . . . . . . 26 Vendor Member Sacramento Magazine . . . . . . . . . . . . . . . . . . . . . . . . 12

Staffing Services Vendor Member Resource Staffing Group . . . . . . . . . . . . . . . . . . . . . . 26

Technology Vendor Member Pact-One . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Vendor Member LIME Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12, 26

Waste Management Services Vendor Member Star Group Dental Refining . . . . . . . . . . . . . . . . . . . . . 26

| The Nugget â&#x20AC;˘ Sacramento District Dental Society

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

NEW MEMBERS KRISTEN ADAMS, DDS

PHILIP KAISER, DDS

Oral and Maxillofacial Surgeon 4420 Town Center Blvd, Ste 250 El Dorado Hills, CA 95762 (916) 933-3332

Dr. Kristen Adams graduated from the UOP Arthur A. Dugoni School of Dentistry earlier this year. She is currently practicing in Sacramento with her father, SDDS Member, Dr. Kosta Adams.

Dr. Philip Kaiser graduated from UOP Arthur A. Dugoni School of Dentistry in 2005 with his DDS and later completed his specialty in Oral and Maxillofacial Surgery in 2009 at Washington Hospital. He is currently practicing with SDDS member, Dr. Jason Straw, in the El Dorado Hills and Placerville offices and lives in El Dorado Hills with his wife, new SDDS member, Dr. Kristina Merriman.

MOHAMED RAMADAN AL ASSUTY, DDS

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

FUN FACT: Dr. Kaiser enjoys wakeboarding, wakesurfing, snowboarding, golf, camping, fishing, and working out.

General Practitioner 7521 W Stockton Blvd, Ste 130 Sacramento, CA 95823 (916) 689-9499

Dr. Mohamed Al Assuty graduated from Eastman Dental Hospital in London in 1994 with his DDS. He is currently practicing in Sacramento and lives in Elk Grove with his wife, Hebatallah.

VIR-PRATAP BRAR, DDS

General Practitioner 930 Florin Rd, Ste 202 Sacramento, CA 95831 (916) 421-2424

Dr. Vir-Pratap Brar graduated from UOP Arthur A. Dugoni School of Dentistry in 2004 with his DDS. He is currently practicing in Sacramento and lives in Elk Grove with his wife, Dr. Amandeep Brar.

AMIR CHALAK, DDS

Oral and Maxillofacial Surgeon UCSF Surgery Residency Program June 2017

KEEP US

UPDATED! Moving? Opening a new office?

2012

General Practitioner 2 Scripps Dr, Ste 307 Sacramento, CA 95825 (916) 927-0800

FUN FACT: Dr. Adams loves to cook and spend time with her fabulous family!

IMPORTANT NUMBERS:

DECEMBER

Dr. Kristina Merriman graduated from UOP Arthur A. Dugoni School of Dentistry in 2005 with her DDS and later completed her specialty in Orthodontics in 2012 at Montefiore University Hospital. She is currently practicing in El Dorado Hills with SDDS member, Dr. Jason Straw, and in Fair Oaks with SDDS member, Dr. Timothy Lyons, and lives in El Dorado Hills with her husband, new SDDS member, Dr. Philip Kaiser. FUN FACT: Dr. Merriman served as a Captain in the United States Army for three years before starting her orthodontic residency in New York.

MA KRISELDA SAYOC, DMD

Dr. Amir Chalak graduated from UCLA School of Dentistry in 2011 with his DDS. He currently enrolled in the UCSF Oral and Maxillofacial Surgery Residency Program. He is scheduled to complete the program in June 2017. He lives in Sacramento. FUN FACT: Dr. Chalak enjoys traveling during his free time. He also has degrees and certificates from four different UC’s... a true product of the public education system.

Offering new services?

KRISTINA MERRIMAN, DDS

Orthodontics 4420 Town Center Blvd, Ste 250 El Dorado Hills, CA 95762 (916) 933-3332

General Practitioner 3415 Martin Luther King, Jr. Blvd Sacramento, CA 95817 (916) 233-4910 Dr. Ma Kriselda Sayoc graduated from the University of the East Manila in 2005 with her DMD. She later completed a two-year AEGD residency at Lutheran Medical Center in 2011. She is currently practicing in Sacramento at The Effort’s Oak Park Children’s Dental Clinic with SDDS members, Drs. Alice Huang and Andrea Sosa, and lives in Sacramento with her husband, Aldrich Sy.

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

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

TOTAL MEMBERSHIP (AS OF 11/9/12): 1,616 TOTAL ACTIVE MEMBERS: 1,330 TOTAL RETIRED MEMBERS: 204 TOTAL DUAL MEMBERS: 2 TOTAL AFFILIATE MEMBERS: 10

TOTAL STUDENT/ PROVISIONAL MEMBERS: 12 TOTAL CURRENT APPLICANTS: 6 TOTAL DHP MEMBERS: 52

TOTAL NEW MEMBERS FOR 2012: 93 www.sdds.org • December 2012 |

EMIL TANASE, DDS

General Practitioner Pending Office Address

Dr. Emil Tanase graduated from NYU School of Dentistry earlier this year with his DDS. He is currently seeking employment in the greater Sacramento area and lives in North Highlands. FUN FACT: Dr. Tanase is originally from Romania, but lived in Germany some years before relocating to the U.S. He likes to spend time outdoors hiking, biking, and visiting/exploring new places. He also enjoys in his free time going on Mission Trips as part of a dental team to provide dental work to rural areas in third world countries. Also, one of his hobbies is investing in the stock market either as a day trader or long term investor.

KRISTINA YEKTA, DMD

General Practitioner Pending Office Address

Dr. Kristina Yekta graduated from UNLV School of Dentistry earlier this year with her DDS. She is currently seeking employment in the greater Sacramento area and lives in Sacramento with her husband, Ramean Behnam.

VALERIY JACOB DENISOV, DDS

Transferred from Tri-County Dental Society General Practitioner Pending Office Address Dr. Valeriy Jacob Denisov graduated from Loma Linda University earlier this year with his DDS. He is currently seeking employment in the greater Sacramento area and lives in Antelope.

Place this page in the “New Members” section of your 2012–13 SDDS Directory

COURTNEY NATEN, DDS

Transferred from Western Los Angeles Dental Society General Practitioner 8880 Elk Grove Blvd Elk Grove, CA 95624 (916) 685-2141 Dr. Courtney Naten graduated from UCLA School of Dentistry earlier this year with his DDS. He is currently practicing in Elk Grove with SDDS member, Dr. Mark Gjerde, and lives in Elk Grove with his family.

New Applicants JEANNINE EL MAASRI, DMD ZENITRA KUMAR, DDS

New Transfer Members IGOR BABENKOV, DDS

Transferred from Tri-County Dental Society General Practitioner 1701 Watt Ave Sacramento, CA 95825 (916) 973-1200

EHSAN MOSSAVI, DDS HESSAM SIAVASH, DDS, MD PATRICK TSAI, DDS ALEXANDER VILDERMAN, DDS

Dr. Igor Babenkov graduated from Loma Linda University earlier this year with his DDS. He is currently practicing in Sacramento and lives in Roseville.

Check out the NEW CDA Guide for the New Dentist This resource was created, by content experts and those who have walked this road before you, to help you easily navigate through your career from graduation to starting and managing a practice.

www.cda.org/newdentist

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

NEED AN ASSOCIATE? STAFF? BUYING OR SELLING A PRACTICE?

CHECK OUT THE JOB BANK AT WWW.SDDS.ORG!

| The Nugget • Sacramento District Dental Society

The NEW CEREC Omnicam Designed for easy handling. Color streaming for confidence. Powder free for convenience.

Fo r y o u r i n - o f f i c e C E R E C d e m o n s t r a t i o n , c o n t a c t Pa t t e r s o n D e n t a l a t

916-780-5100.

S i n g l e - v i s i t d e n t i s t r y.

Sacramento Branch | 1030 Winding Creek Rd., Ste. 150 | Roseville, CA 95678 P130743a (10/12)

916-780-5100 www.sdds.org â&#x20AC;˘ December 2012 |

MEMBERSHIP REPORT

Congratulations! MEMBERSHIP MILESTONES FOR 2012 The following members celebrated significant membership anniversaries in 2012:

60 years + Robert Coupe, DDS Robert Dorian, DDS Edward Driemeyer, DDS Harold Drury, DDS Kenneth Fox, DDS Spencer Gedestad, DMD John Hines, DDS Joe McCraw, DDS Hing Owyang, DDS Herbert Yee, DDS

50 years Melvin Bell, DDS Paul Favero, DDS Leon Futran, DDS Daniel Harlan, DDS John Haw, DDS, MS James Holifield, DDS Herbert Hooper, DDS Ray Johansen, DDS L. Neil Loveridge, DDS Donald MacDonald, DMD Michael Perich, DDS Francis Silvey, DDS Robert Stevenson, DDS

40 years Richard Bryan, DDS Robert Daby, DDS R. Kent Farnsworth, DDS Jon Fuiks, DDS Elmar Hoffmann, DDS Perry Kolander, DDS David Nelson, DDS, MS James Peters, DDS George Richards, III, DDS Robert Sanders, DDS Nicholas Stubbs, DDS Glen Tueller, DDS Michael Ward, DDS Robert Wynman, DDS Keith Zolla, DDS

30 years Kosta Adams, DDS Wai Chan, DDS

Michael De Anda, DDS Pamela Di Tomasso, DMD P. Scott Favero, DMD Clifford Fowler, DDS Carolyn Ishii, DMD Gary Jones, DDS Richard Kiholm, DDS David Miller, DDS Bruce Muff, DDS James Musser, DDS Michael O’Brien, DDS Gerard Ortner, DDS Donald Rollofson, DMD Wade Tambara, DMD Raymond Wong, DDS

20 years Crystal Anderson, DMD, MS Steven Anderson, DDS Frank Arostegui, DDS Thomas Arostegui, DDS Jill Beams, DDS Wallace Bellamy, DMD Bernard Benkel, DDS Joseph Borg, DDS Rodney Bughao, DDS Adrian Carrington, DDS Chris Cerceo, DDS Florence Chiang, DMD Tracey Cook, DDS Randy Davey, DDS Margaret Delmore, MD, DDS Jennifer Drew-Mathisen, DDS, MSD Lindsay Grady, DDS Kathleen Greene, DDS Ross Heyn, DDS Loche Johnson, DDS Merlin Lai, DDS Jeffrey Ma, DDS Kathryn Moore, DDS Dean Sands, DMD April Skinner, DDS Doug Stadler, DDS Steven Thomson, DDS Efrain Toledo, DDS

| The Nugget • Sacramento District Dental Society

Marston Wong, DDS, MS Janice Work, DDS David Yasuda, DDS

10 years Jose Aguilar, DDS Darryl Azouz, DDS Aneet Bal, DDS Tiffany Bal, DDS John Birch, DDS William Bohan, DMD Michael Casagrande, DDS Robert Catron, DDS Francisco Cervantes, DDS P. Kevin Chen, DMD, MS Eugene Daffner, DDS Louis Dang, DDS Anthony Digiorno, DDS Marc Dunn, DDS Herlin Dyal, DDS Nagy Elsemary, DDS Vahid Farahyar, DDS Volkmar Felahy, DDS Stephen Genus, DMD Keith Grote, DMD Gregory Hailey, DDS Michael Hinh, DDS Chester Hsu, DDS Troy Hull, DDS, MSD Paige Jeffs, DDS Chad Jensen, DDS Elizabeth Johnson, DDS Daniel Juarros, Jr., DDS K. Steve Kim, DDS Jeanelle Le, DDS Jason Lee, DDS Kang Lee, DDS Youngsyl Lee, DDS Yen Lieu, DMD Nancy Luu, DDS Edward Montalbo, DMD Young Ngo, DDS Nha-An Nguyen, DDS Tam Nguyen, DDS Kayla Nguyen, DDS Dorel Onea, DDS

Alan Pan, DDS Parastoo Parsa, DDS Steven Penn, DDS Flaviane Petersen, DDS Jeffrey Rosa, DDS Voltaire Sambajon, DDS, MD Phoenix Sinclair, DDS Charles Smurthwaite, DDS Oladimeji Sorunke, BDS Dale Stanec, Jr., DDS Archana Wakode, DDS James Wallace, DDS Michael Wonnacott, DDS

SCHEDULED TO RECEIVE LIFE MEMBERSHIP IN 2013 Awarded at SDDS Holiday Party (December 4, 2012)

Leo Angel, DDS Roger Ashworth, DDS Lawrence Bisauta, DDS Richard Brown, DDS Robert Daby, DDS Lowell Daun, DDS Harold Hanefield, DDS Robert Hays, DDS John Nerwinski, DDS Ronald Riesner, DDS Judson Roberts, DDS Dean Sands, DMD David Sorensen, DDS Jack Stansfield, Jr DDS Glen Tueller, DDS Thomas Wagner, DDS Kim Wallace, DDS Herbert Wanier, DDS W. Windle, DDS Janice Work, DDS Robert Wynman,DDS Note: Life membership is granted to an active or retired member who has been a member for 30 consecutive years and has attained the age of 65. It is effective the calendar year following the year in which requirements are fulfilled.

BOARD REPORT

Respectfully Submitted by Kelly Giannetti, DMD, MS Secretary

November 6, 2012 Highlights of the Board Meeting President’s Report

New Business

Dr. Hawkins thanked all the current Board members for their service this year. He especially thanked Dr. Kim Wallace, Dr. Dan Haberman and Dr. Wai Chan for their many years of service on the Board and their leadership. They will be leaving the Board this year. He also welcomed incoming Board members Dr. Margaret Delmore, Dr. Dean Ahmad and Dr. Peter Worth. Dr. Hawkins also appointed and the Board approved the nomination of Dr. Matt Campbell to serve as a Delegate for the upcoming CDA House.

• 2013 Committee chairs: nominated by Dr. Ackerman and approved.

Treasurer’s Report Dr. Ackerman presented the 2012 Budget and reviewed all income and expense expectations for the coming year. The Board unanimously approved the budget.

Secretary’s Report Dr. Giannetti reported that our membership is at an all-time high and our market share is over 80%.

• 401 K Plan for SDDS employees: approved to replace the current Sep IRA plan, at no increased cost to the Society. • SDDS Office relocation: Due to the fact that we have currently outgrown our building, there is a lack of storage, limitations for meetings, safety concerns, parking limitations, and no opportunity for growth, the Board discussed the positives and negatives of moving and leasing verses buying a new building. It was M/C to authorize the Executive Committee to negotiate and secure a new location for the SDDS office in a central location. • Annual awards were approved. • Fire inspection charges to dentists: members are informing SDDS that the various fire districts are inspecting, and charging, to inspect our members’ offices. It was a consensus that each fire district is

OUR MISSION: It is the mission of the Sacramento District

THE HOUSE

DELEGATES HEAD TO

Dental Society to be the recognized source for serving its members and for enhancing the oral health of the community.

different and they each have the ability to do these inspections as well as their own protocols for the inspection.

Executive Director’s Report Cathy Levering reported the following: • Staff update: the office is very busy and new staff members are place; cross training is happening. Please welcome both Kristen Calderon and Liz Bassey! • Member issues regarding 3rd party payers: there is a task force for the CDA to address these issues and CDA is working very hard on members’ behalf. Dr. Kodama reported that this is an employer issue and dentists really don’t have a lot of input on this. The reality is that the new practice model will not be insurance based.

Trustee Report Dr. Keating reported that CDA has a third party payer task force that is working hard on current issues and there will be a presentation at the HOD on Saturday.

Adjournment The meeting was adjourned at 9:00 PM.  Next Board Meeting: January 2, 2013 at 6:00pm (WEDNESDAY)

1 & 2: SDDS delegates worked hard at the HOD this year. Thank you for representing SDDS and its members so well! 3: Dr. Scott Szotko, CDA Membership Council Chair, receives the ADA Golden Apple Award for the CDA Compass’ Guide for the New Dentist. 4: Snacks — the most important part of a three-day meeting!

Hot topics discussed: Social media, Groupon, fee-splitting and the law (more on this soon), Salt Fluoridation, allowing dental students to provide services for events like CDA Cares.

www.sdds.org • December 2012 |

EVENT HIGHLIGHTS

General Membership Meeting (Staff Night) • November 13, 2012

3 7

6 8 1. 2. 3. 4.

10 9 38

| The Nugget • Sacramento District Dental Society

Dr. Robert Hays (second from left) and his staff Dr. Paul Bianchi (center) and his staff Dr. Ed Sims and his staff member, Sandy Uhl Jamiey Cha and Lynn Sage, from the office of Dr. Paul Raskin 5. Dr. Gordon Harris (center) and his staff 6. New Members: Drs. Carol Yeung, Patrick Tsai, Hessam Siavash and Jessica Wilson are introduced by Dr. Kelly Giannetti 7. Dr. Sean and Karen Roth 8. Dr. Debra Finney (third from left) and her staff 9. Margaret Souza, from the office of Dr. Scott Thompson — Raffle winner! 10. Dr. James Wood — Speaker

Next General Membership Meeting: JANUARY 8, 2013 www.sdds.org/genmeetingCE.htm

Classified Ads FOR LEASE

EMPLOYMENT OPPORTUNITIES

WANTED TO BUY

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

GREATER SACRAMENTO AREA MULTI-SPECIALTY OFFICE looking to fill an associate pediatric dentist position and an oral surgeon position. Fax resume (916) 817-4376 or email to smiles4abetterlife@gmail.com. 04-12

SPECIALIST LOOKING TO RENT TWO CHAIRS IN GP or speciality office in the downtown / midtown Sacramento area, one to four days per month. Please text to 916.847.7015. 11-12

DENTAL SPECIALIST IN EL DORADO HILLS, CA with 1400 sq ft office is seeking other dental specialist to share space. Ideal for endo or perio. Contact Business Manager at (916) 757-4858. 02-12

DENTAL CONSULTANT / FULL TIME: Delta Dental of California seeks a California licensed dentist to recruit dentists and increase utilization for the Denti-Cal program. Position requires extensive travel but is based in Sacramento. Ten years of clinical experience is desired. Excellent benefits. Please send resumes to jdenison@delta.org. 11-12

DENTAL OFFICE. 1355 Florin medical-dental building. 850 sf, 3 operatories, $1,200 monthly. Includes all utilities and janitor. Ample parking. (916) 730-4494. 06/07-12

DESIGN YOUR OWN SUITE in a beautiful Greenhaven dental building, approximately 2000 sq ft. Great space, front view, air/vacuum provided. Suite can be viewed upon request, 905 Secret River Drive, Sacramento, CA 95831. Contact, Dr. Roy A. Eakin, 916-714-5096 or Dr. Sam Stassi, 916-442-7962. 11-12

ASSOCIATE OPPORTUNITY FOR A GENERAL PRACTITIONER at the Monterey Peninsula Dental Group/ Monterey, CA. Our well established group practice is seeking an Associate who desires the opportunity to become a part of our growing business model. Strong clinical and communication skills are important, and the ability to create positive relationships with patients, team members, and Partners is essential. Our goal is to find a future partner who shares our core values of high standards and ethics, as well as willingness to collaborate, learn, and grow. If you’re a leader, and you’d like to become a part of a progressive environment in one of the most beautiful places in the world, please forward your curriculum vitae to:mpdghiring@gmail.com. 12-C1

PRACTICES FOR SALE

PROFESSIONAL SERVICES

DREAM OFFICE SHELL— Nicest in Sacramento. Near Watt/El Camino, close to shopping/restaurants. Build/Design 1,750 sf to suit. Brand new building/Full financing available. Call Dr. Favero (916) 487-9100. 11-12

EQUIPMENT FOR SALE

2 P&C 1800 CHAIRS, 2 P&C chair mount lights, 2 P&C chair mount monitor mounts, doctor’s stools, 3 P&C 2800 Duo wall mount units, 2 Forest Duo Carts, apollo air compressor, apollo vacuum, Kelcom 16 light 10 station comm. system. Contact Tim at (916) 217-2458 or timhermandds@gmail. 10-12

POSITIONS WANTED

EXPERIENCED BOARD ELIGIBLE ENDODONTIST seeks space-sharing arrangement and/or dental office space in Auburn and/or Grass Valley. Please contact Steve Murphy, DMD — (412) 855-9914 or murphy.steve@hotmail.com. 03-12

DENTISTS SERVING DENTISTS — Western Practice Sales invites you to visit our website, westernpracticesales. com to view all of our practices for sale and to see why we are the broker of choice throughout Northern California. (800) 641-4179. 03-09

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

To place an ad in the Nugget Classifieds, visit www.sdds.org/NUGGET.html

SDDS member dentists can place classified ads

FOR FREE!

FILL-IN / LOCUM TENENS — DENTISTRY, HYGIENE OR COMBINATION. UCSF Graduate. Weekdays and Saturdays. Sacramento County resident. Able to travel. Over 10 years locum tenens experience. Elizabeth Johnson, RDH, DDS (408) 499-9924. 06/07-12 PERIODONTIST — will treat periodontal patients in your own office. Over a decade experience working in GP offices. Reliable, easy to work with, able to travel. Contact: implantological@yahoo.com or text to: 916.847.7015. 12-12

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 (916) 446-1227. www.sdds.org • December 2012 |

PRSRT STD

SACRAMENTO DISTRICT DENTAL SOCIETY

US POSTAGE

915 28th Street • Sacramento, CA 95816 916.446.1211 • www.sdds.org

PAID PERMIT NO. 557 SACRAMENTO, CA

ADDRESS SERVICE REQUESTED

SDDS CALENDAR OF EVENTS DECEMBER 4 SDDS Holiday Party 6:00pm / Del Paso Country Club 7 Executive Committee Meeting 7:00am / Del Paso Country Club 10 President’s Thank You Dinner 6:15pm / Sutter Club 24–25 Christmas Holiday SDDS office closed

JANUARY 1 New Years Day SDDS office closed 2 Board of Directors Meeting 6:00pm / SDDS Office

8 General Membership Meeting Practical Methods for Treating Elders in the Community SDDS Geriatric Oral Health Workgroup Hygiene Night Hilton Sacramento Arden West 6:00pm Social / 7:00pm Dinner & Program 9 Forensics/Mass Disaster Committee 6:00pm / SDDS Office 14 Foundation Board Meeting 6:15pm / SDDS Office

23 Foundation Broadway Series Rock of Ages 8:00pm / Sacramento Community Center 30 Membership Committee 6:15pm / SDDS Office

FEBRUARY 2 Smiles for Kids Day SDDS member offices 7–8 33rd Annual MidWinter Convention The Year of Good… Sacramento Convention Center

17 HR Audio Conference New Labor Laws for 2013 Noon-1:00pm

For more calendar info, visit

19 CPR BLS Renewals Sutter General Hospital 8:30am–12:30pm

www.sdds.org

SAVE THE DATE FOR THE 33RD ANNUAL MIDWINTER CONVENTION TONS OF CE & A GREAT TIME! YOU WON’T WANT TO MISS IT! FEBRUARY 7–8, 2013 EARN

CE UNITS! 6pm: Social & Table Clinics 7pm: Dinner & Program Hilton Sacramento Arden West (2200 Harvard Street, Sac)

January 8, 2013:

Practical Methods for Treating Elders in the Community LEARNING OBJECTIVES:

Presented by: SDDS Geriatric Oral Health Workgroup

• Teaching modules for dentists to educate caregivers • Practical methods and procedures to improve the oral health of our seniors • Behavioral case management pearls that will help caregivers deal with the challenge of this aging population at health care facilities

• Outreach efforts, implementation and opportunities for our dental community to work with our local senior health care facilities • Hospital acquired pneumonia as it relates to geriatric oral health issues

JANUARY GENERAL MEMBERSHIP MEETING: HYGIENE NIGHT