the
December 2015
Implants... the Choice is Clear A publication of the Sacramento District Dental Society
Get Ready For Our
upcoming events Dec
4
Annual Holiday Party
Coming In 2016...
Del Paso Country Club
Silent Auction | Installation of Officers | Party! It will be a wonderful evening of cocktails, dinner, dancing, friends & fun!
Jan
20
Friday 6pm-11pm
General Meeting 3 ceu, core • $64
Jan
12 tuesday 5:45pm-9pm
Hygiene Night • Preventing Hospital Acquired Pneumonia...One Clean Mouth at a Time Presented by Barbara Quinn, RN
Jan
22 Feb
6
This presentation will focus on the significance and prevention of non-ventilator hospital-acquired pneumonia (NV-HAP). NV-HAP is not related to a device and is an understudied, unmonitored and under-recognized preventable hospital-acquired infection.
HR Webinar • Wednesday, Noon-1pm 2016 Labor Law Update (1 CEU, 20%) Mari Bradford, California Employers Association (SDDS Vendor Member)
CPR Renewal • Friday, 8am-12pm SDDS Classroom (4 CEU)
Smiles for Kids Day
MidWinter Convention
February 18-19, 2016
www.sdds.org/foundation/donate-now
Our Foundation needs you!
The Foundation is the charitable arm of your dental society. This non-profit branch of your society was created to enable us to do some wonderful things for our community.
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. Please see the enclosed insert to make a donation.
Together we can make a difference.
Contents December 2015
Features
Cover image CREDIT: SHUTTERSTOCK
Volume 61, Number 10
Nugget Editorial Board Carl Hillendahl, DDS • Editor-in-Chief Paul Binon, DDS, MSD Brandon Martin, DDS, MS James Musser, DDS Hana Rashid, DDS Ash Vasanthan, DDS, MS
10
Prosthetic Advantage of Utilizing Technology for Surgical Guides
12
Bone Augmentation for Dental Implants with CBCT
14
Digitally Fabricated Abutments in Restorative Dentistry
16 18
No Bone, No Problem
Steve Longoria, DDS
Jagdev Heir, DMD, MD
Herlin Dyal, DDS, MS
Paul Binon, DDS, MSD
Caring for Dental Implants Jennifer Goss, DDS
Specials 7 8 22
Member Benefit Scavenger Hunt Winner Letter to the Editor
SDDS Wins its 4th Golden Apple Award
Editors Emeritus William Parker, DMD, MS, PhD Bevan Richardson, DDS
Awards
International College of Dentists (ICD) 2015 • Special Citation Award, unusual concept 2014 • Outstanding Cover, honorable mention 2014 • Golden Pen, honorable mention 2013 • Outstanding Cover 2012 • Overall Newsletter 2010 • Platinum Pencil Outstanding use of graphics
2007 • Overall Newsletter 2007 • Outstanding Cover 2007 • Golden Pen, honorable mention
Regulars
4 5 7 9 19 20 24 27 28 29
President’s Message Cathy’s Corner You Should Know From the Editor’s Desk Volunteer Opportunities Event Highlights An Ethical Dilemma YOU: The Dentist, The Business Owner Foundation Job Bank
31 33 35 36 37 39 40 42 43 44
Board Report YOU: The Dentist, The Employer Committee Corner We’re Blowing Your Horn! Membership Update Vendor Members Spotlight Vendor Members Listings Advertiser Index Classified Ads SDDS Calendar of Events
Article / series of articles of interest to the profession
The Nugget • Sacramento District Dental Society • www.sdds.org
President’s Message Thank You! It’s that time of year again. The year flew by and we are now firmly implanted in the holiday season. I hope your year has been a fruitful and successful one, both personally and professionally. I would like to take advantage of my last President’s Message to let you know that it has been a privilege to serve as your President this year and I am grateful for the opportunity to help guide SDDS. Our next President, Dr. Wallace Bellamy, I am sure, will serve
us exceptionally well and help us continue to be the excellent member oriented organization that we are. I also wanted to formally thank the team of ladies, led by Cathy, at SDDS for all the work they do in the background to keep us running. Remember we are a volunteer organization and I encourage you to step forward and partake in the fun and get involved. I wish you all a happy holiday season and may 2016 be a fantastic year for you all.
It Has Been a Pleasure
Having Dr. Patel as Our President This Past Year!
4 | The Nugget • Sacramento District Dental Society
By Viren Patel, DDS 2015 SDDS President
Cathy’s Corner Leadership President: Viren Patel, DDS Immediate Past President: Kelly Giannetti, DMD, MS President Elect/Treasurer: Wallace Bellamy, DMD Secretary: Nancy Archibald, DDS Editor: Carl Hillendahl, DDS Executive Director: Cathy Levering Dean Ahmad, DDS, MS Margaret Delmore, MD, DDS Volki Felahy, DDS Bryan Judd, DDS Beverly Kodama, DDS Matt Korn. DDS Lisa Laptalo, DDS Peter Worth, DDS Adrian Carrington, DDS Terry Jones, DDS
EXECUTIVE COMMITTEE
Board of Directors
Trustees
CPR: Greg Heise, DDS Ethics: Jag Heir, DMD, MD Leadership Development: Kelly Giannetti, DMD, MS Membership: Kristen Adams, DDS Peer Review: Brett Peterson, DDS
Committees
CE Task Force: Nancy Archibald, DDS Social Media Task Force: Kristen Adams, DDS/Bryan Judd, DDS 1T1B Task Force: Guy Acheson, DDS GMC Denti-Cal Task Force: Terry Jones, DDS/ Warren McWilliams, DDS Large Group Practice Task Force: Peter Worth, DDS Amalgam Advisory: Wai Chan, DDS/Viren Patel, DDS Budget & Finance Advisory: Wallace Bellamy, DMD Bylaws Advisory: Kelly Giannetti, DMD, MS Fluoridation Advisory: Kim Wallace, DDS/Rick Kennedy, DDS Forensics Advisory: Mark Porco, DDS Legislative Advisory: Steve Leighty, DDS Strategic Planning Advisory: Wallace Bellamy, DMD/Nancy Archibald, DDS
Task Forces Advisory Workgroups
Standing
Make your list…
and check it twice!
By Cathy B. Levering
SDDS Executive Director
Well, this fall season has just flown by! In the SDDS “Command Center” we have accomplished a lot… all in the interest of our members and the member benefits we offer. While you are just planning for your year-end activities, plans, business modifications, year-end taxes, holiday schedules, strategic and business plans for next year, we at SDDS are planning for 2017 already. Some of the member benefits that you will see we have added this year: • The SDDS Design Department – let us do your logo, your design, your printing and ordering! • The latest information, news, and laws and deadlines – all linked in the HOT TOPICS on our website! • SDDS HR Hotline – starting in January, we will have a dedicated hotline JUST for SDDS members (note new number on page 33)! • More CE classes and Lunch and Learns at the SDDS Classroom! So how (and why) do we plan so far in advance? We need contracts signed, strategic plan goals met, member engagement activities and awareness and, most of all, we need to continue to “take the pulse” of our members and their needs. So, when you get our new Member Survey via email, please participate. I promise it will be short. It will be easy to answer. It will have room for you to write what you want. And, I promise too, that we will read it, analyze it and try to do what you ask. We read every single comment and take it to heart. In the past, the member surveys have been very helpful in our program planning, our benefits planning and our strategic plan. Look for it in December. And please fill it out. It’s online. It’s easy. It’s essential for us to be the best we can for our members.
Foundation: Kevin Keating, DDS, MS Golf Tournament: Damon Szymanowski, DMD SacPAC: Matthew Campbell, Jr. DDS Smiles for Kids: Donald Rollofson, DMD
Special Events Other
Cathy Levering | Executive Director Justine Parker | Programs/Member Recruitment Beth Heneger | Membership/Peer Review Delia Ramirez | Member Liaison/SFK Jessica Luther | Graphic Designer Rachel Sheets | Graphic Designer Lourdes Camberos | Admin. Assistant (Future Dentist)
SDDS Staff
The Nugget is an opinion and discussion magazine for SDDS membership. Opinions expressed by authors are their own, and not necessarily those of SDDS or The Nugget Editorial Board. SDDS reserves the right to edit all contributions for clarity and length, as well as reject any material submitted. The Nugget is published monthly (except bimonthly in June/July and Aug/Sept) by the SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825 (916) 446-1211. Acceptance of advertising in The Nugget in no way constitutes approval or endorsement by Sacramento District Dental Society of products or services advertised. SDDS reserves the right to reject any advertisement. Postmaster: Send address changes to SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825.
So when you are making your list, and checking it twice, please add the SDDS Member Survey to your list. We’ll make sure we check your suggestions and input… even twice! Happy Holidays! Travel safely and hug those you love… even a bit tighter this year. And call a friend and give them a hug over the phone.
Top 10 Member Benefit Countdown! 1. January: You received a FREE 2015 Employment Law poster! 2. February: SDDS Midwinter Convention & Expo! 3. March: Amy Morgan Pride Institute programs (now Sept. 17-18, 2015)! 4. April: SDDS Vendor Members! 5. May: SDDS Job Bank! 6. June/July: The PAG! 7. August/September: OUR SDDS STAFF! 8. October: SDDS Design Department! 9. November: Membership! 10. December: Membership Surveys to Listen to Member Needs www.sdds.org • December 2015
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T H E S A C R A M E N T O D I S T R I C T D E N TA L S O C I E T Y P R E S E N T S
The 36th Annual MIDWINTER CONVENTION & EXPO
Bring Your Staff!
Sign up 5 staff, get the 6th free!
Front Office Bootcamp Courses
Exhibitors Up To Bat! (as of 11/16/15)
Insurance, Billing, and Benefits – Secrets of Successful Submissions
Access Dental
Innovative Solutions
ACETON North America
Integrity Practice Sales
by Sara Baker, SD Reliance (SDDS Vendor Member)
Ameriprise Financial
iSmile Dental Products, Inc.
Effective Collections: Is Your A/R Report FROZEN? When to “LET IT GO!”
Bank of America
Mann Urrutia Nelson
Blue Northern Builders
MME Consulting Inc.
by Sara Baker, SD Reliance (SDDS Vendor Member)
Brasseler USA
Neo Dental Lab
It's Showtime - What Your Patients Expect When They Walk in the Door
Burbank Dental Laboratory
Olson Construction Inc.
Burkhart Dental Supply
Patterson Dental
California Employers Association
Philips Oral Healthcare
Capitol Periodontal Group
Proctor & Gamble
Comcast
Resource Staffing
Denti-Cal
Sacramento Magazine
Dentsply Tulsa Dental Specialties
SD Reliance
DESCO
Star Group
Has your Doctor Made YOU the “Official” IT Person?
Digital Doc, LLC
Sunstar Americas, Inc.
by Dennis Krohn, SD Reliance (SDDS Vendor Member)
FADE
TDIC
Prescription for a More Secure Practice: Basic Security Tips and HIPAA Security Highlights
Fechter & Company
Ultradent Products Inc.
First US Community Credit Union
Ultralight Optics Inc.
by Joanne McNabb, CIPP/US, CIPP/G, CIPT; Rami Zrekiat, CISA, CISSP, HCISPP xTerralink, Inc. (SDDS Vendor Member)
GC America Inc.
Uptown Studios
Glaxosmithkline Consumer Healthcare
Wells Construction, Inc
SCHEDULING…Show Rate Successes vs. Filling the Openings Nightmare
Henry Schein Dental
Western Contract
Heraeus-Kulzer
Western Practice Sales
by Gayle Suarez, Dental Management Solutions
InfoStar
xTerraLink, Inc.
by Gayle Suarez, Dental Management Solutions
The Psychology of Patient Thinking by Noel Kelsch, RDH, RDHAP, AS, BS
YELP… on Yelp by Yelp representative
The Midwinter Convention is a first class time and venue to educate your staff and yourself with special attention by not getting lost in the crowd; small enough to learn well and large enough to bring in 1st class speakers and vendors right to you. Since SDDS Midwinter is local, you don't have to invest a bundle for traveling, lodging or meals for you and your staff. Our practice, in the small foothill town of Jackson, has grown from 1 patient to over 5,000 active patients with 6 doctors and 30 staff, partly due to our extreme commitment to continuing education. Annually we are committed to take our entire staff to the CDA in SF AND the SDDS Midwinter Convention in Sacramento. Dentistry is getting better and more fun every year. Don’t get left behind by learning! See you February 18 & 19 at the SDDS Midwinter Convention! - Ron Ask, DDS, Jackson Creek Dental
You should Know CURES enrollment deadline moved to July 1 Reprinted with permission from California Dental Association.
The CURES enrollment deadline for providers has officially been pushed back from January 1 to July 1 of 2016. The change comes after the Governor signed AB 679 (Allen). The bill was amended late in the legislative session due to concern that the most recent Controlled Substance Utilization Review and Evaluation System (CURES) update has fallen behind schedule. The CURES 2.0 was planned to be in use by July 1 of this year, yet the system is still not fully operational. The delay will give the Department of Justice (DOJ) time to finalize CURES 2.0 and for providers to enroll. CDA supported AB 679 due to concern that the CURES 2.0 rollout was not meeting deadlines, and had the potential to create unnecessary confusion among dentists, exacerbating frustrations that many dentists have had with the system already. Now, all dentists who are authorized to prescribe, order, administer, furnish or dispense controlled substances must register for CURES by July 1, 2016. Dispensed controlled substance prescriptions can be recorded in CURES, which allows prescribers to look up a patient’s controlled substance current usage and past history. The CURES requirement was established as part of a bill enacted in 2014 (SB 809 DeSaulneir). This legislation required the DOJ, in conjunction with the Department of Consumer Affairs (DCA) and licensing boards like the Dental Board of California, to develop a streamlined application and approval process to provide access to the CURES database, also known as the California Prescription Drug Monitoring Program (PDMP), for licensed health care practitioners and pharmacists. CDA will share information about CURES in the CDA Update and on cda.org as it becomes available. If dentists have any questions, they can email cures@doj.ca.gov.
SDDS MEMBER BENEFITS
SCAVENGER
HUNT Congratulations to the Winner Dr. James W. Elliot!
2016 Dues/EDP Auto Renew
All members that were on the EDP monthly dues payment program in 2015 will automatically renew on EDP for 2016. If you would like to change your banking information, you can do so by completing the 2016 EDP Form. If you would like to cancel EDP, you may do so by mailing payment in full, calling CDA to make payment by credit card or emailing membership@cda.org with your request to cancel EDP. When a request to cancel EDP is received, CDA will rebill for the 2016 membership dues.
Data breach notice requirements changing in January Reprinted with permission from California Dental Association. California’s data breach notification law will undergo amendments effective January 1, 2016. Specifically, new state legislation, SB 570, requires changes to the format of a breach notification notice. California’s data breach notification law requires any person or business in California that owns or licenses individuals’ computerized personal information to notify any resident of California following the discovery of a breach of their unencrypted personal information. Below is a summary of the changes required under SB 570: • The format of the notice shall be designed to call attention to the nature and significance of the information it contains. • The title and headings in the notice shall be clearly and conspicuously displayed. Headers are specified. • The text of the notice and any other notice provided pursuant to this section shall be no smaller than 10-point type. In addition, effective January 1, SB 964 defines “encryption” as “rendered unusable, unreadable, or indecipherable to an unauthorized person through a security technology or methodology generally accepted in the field of information technology.” To protect patient information, encrypting data on office computers and any removable media (such as USB sticks, tablets, smartphones and backup tapes) that contain personal information is highly recommended. In addition to providing safe harbor under California’s data breach notification law, encrypting electronic health information also provides a safe harbor under HIPAA’s data breach notification rule. CDA Practice Support has several resources on preventing and responding to data breach incidents, including information on encryption and a sample data breach notification letter. They can be found at cda.org/practicesupport.
www.sdds.org • December 2015
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Letter to the Editor Predicting the Future of Dentistry Reprinted with permission from the Los Angeles Dental Society Too many dentists are making bad choices to overcome what they view as negative trends in our profession. I am by no means an expert in predicting the future. However, I write this based on my over 40 years of private practice experience coupled with years of working in government and hospital administrations as well as many legal encounters. So what are we witnessing at the moment? In California, dentistry currently looks like a freefor-all. 1. Advertising is out of control. 2. General practitioners are using several techniques to keep their specialty production in-house, many times misleading patients about the need for specialty care because they are deciding the type of specialist to deliver a particular service. 3. There appears to be overuse of Cone Beam utilization. 4. Specialists are engaging in procedures historically not part of their specialty. 5. And if that weren’t enough, the latest court rulings are forcing us to say, in the state of California, “Buyer Beware!” 6. As for the immediate future, you may start to hear the term “Super GP” being used. I hope that this new title will not represent a “jack of all trades, master of none!”
By Alan Kaye, DDS
President, LA Dental Society
There was an article that appeared in the LA Times several weeks ago dated May 20, 2015, by Terri Lively, entitled “329 California Dentists Suspected of Profiting From Unnecessary Dental Treatments on Kids.”
Dentistry is on the cusp of change and it is not always easy to read the future. Does that sound like a familiar story to you? Whether or not the dentists involved are found guilty, there is plenty of unnecessary treatment going on and the State will attempt to stop it one way or another. In fact, dentistry is starting to feel the effects already by how the DentiCal and Medi-Cal programs are trying to manipulate the way anesthesia will be delivered in the future.
WESTERN PRACTICE SALES John M. Cahill Associates
All of this abuse will only lead to more regulation of our profession. Are we collectively killing the goose that laid the golden egg? Is this what we can expect as the profession morphs into corporate dentistry? Will this spell the death of private practice? Will we be using emergency rooms as our personal specialists to handle complications? Don’t forget that specialists are many times your enablers, and unfortunately, that helps promote the continued reluctance to stop performing procedures that are over your heads. I get the sense that our profession is rudderless, drifting in the abyss, not knowing what is ethical or legal. A perfect environment for unethical behavior! When I was in dental school, we were always told to treat patients as if they were our mothers, and of course, they hoped we all loved our mothers! But that statement is still valid today. Treat your patients as if they are part of your family. Dentistry is on the cusp of change and it is not always easy to read the future. We can only give it our best effort and with a little luck, get beneficial results. Wishing all of you a wonderful upcoming holiday season and a Happy New Year!
What separates us from other brokerage firms? Our extensive buyer database allows us to offer you
800.641.4179
A Better Candidate A Better Fit A Better Price Tim Giroux, DDS
8 | The Nugget • Sacramento District Dental Society
Jon Noble, MBA
From the Editor’s Desk The Clearest Choice This issue with the focus on dental implants is timed to be a follow up, after the “Implant Throw Down.” What a great concept of getting three of our very own members who are experts in their respective fields to sit on a stage, and pick apart cases, with the audience and their thought process in treatment planning of failing teeth. Digital technology has changed the workflow of the dental office and dental implants have in many aspects lead the way in this process. Bone and soft tissue regenerative procedures with advancing biologics and materials have opened more opportunities. Digital impressions, cone beam CT scans and CAD/CAM have been game changing for implants and this technology has enhanced the efficiency
The field of implant dentistry has evolved and advanced in leaps and bounds to what it is today.
and consistency of results that are obtained taking the guess work out and bringing the precision in. This entire issue has articles that emphasize the advent of technology in driving the dental implant treatment and information on the maintenance of periimplant health. Since the 1980’s when P-I Branemark published his long term results with dental implants as we know them today, implants have revolutionized dentistry with the concept of osseointegration. The field of implant dentistry has evolved and advanced in leaps and bounds to what it is today. This ever-advancing field has reached a stage where osseointegration and dental implant survival have become afterthoughts due to their high success rate. Today, most dental offices in Sacramento are probably offering dental implants as a service and treatment option. I remember the early days when Clear Choice® came to town. There seemed to be many questions from my dental colleagues as well as my patients and the community. It appears to me that since their arrival, the market for dental implants has grown. In my opinion, their marketing with television, radio, internet and full page newspaper ads created awareness about implants in general. The kind of marketing was something even
By Ash Vasanthan, DDS, MS
Guest Editor
professional associations were unable to do. I could clearly see more people enquiring about dental implants when extractions were discussed. Sometimes patients ask for dental implants when extractions are not needed. There has been discussion on trying to make Dental Implantology into a separate specialty recognized by the ADA and, every once in a while, there is the perception that it may be headed in that direction; but so far it hasn’t. I’m not sure what factors are required to qualify for a recognized specialty with the ADA but in my opinion, implant dentistry is best left where it is with specialists and dentists working together to advance the scientific literature and the clinical use. The term “standard of care” or “gold standard” can many times be a controversial term. I’m sure we all can agree that as of today, dental implants are the standard of care to replace missing teeth and provide retention/support for dentures. I believe dental implants have proven to be one of the most successful and durable treatment options in dentistry. To me, “standard of care” means every time a patient is missing a tooth or teeth, replacement options must include and probably start with implants as the first choice of treatment presented by the dentist. It is, without any doubt, the clearest choice!
Do you want a digital Directory on CD?
Fill out the enclosed insert to order one.
www.sdds.org • December 2015
|9
implants
Prosthetic Advantage
of Utilizing Technology for Surgical Guides
By Steve Longoria, DDS SDDS Member
Dr. Steve Longoria, has been working with CEREC CAD/CAM for 15 years. Dr. Longoria, is a graduate of Northwestern University Dental School and maintains his practice in Folsom, California. His practice focuses on using the Omnicam technology and Galileos CBCT for single visit implant placement and crowns. He is an industry leader in CEREC technology, often sought to educate other dentists about CAD/CAM dentistry at the national level.
Prior to opening my own practice in June of 1998, I was an associate for several different offices, both in Chicago and the Sacramento area. Many of these offices did not incorporate the benefits of the current technology at that time. Now, the options in technology for dentists are amazing. l feel very fortunate to have obtained my goal of building an implant practice which incorporates the best technology offered in the industry. Cone Beam Computer Tomography (CBCT ) combined with a digital impression has been a paradigm shift for me in the treatment planning of implants. The evolvement from 2D to 3D maxillofacial imaging expands the role of
Pre-Operative-Excessive Bone Loss
Planning After Bone Augmentation
10 | The Nugget • Sacramento District Dental Society
diagnosing to image guidance in surgical implant procedures. Omnicam’s Powder free digital optical impressions result in precise 3D digital models producing highly aesthetic restorations. The merger of these two technologies gives the clinician predictability in treatment planning an implant case that is restorative driven with guided surgery placement. Galileos CBCT allows the clinician to analyze tissue thickness, tooth orientation and bone structure. It also allows mapping of the implant case with far more precise placement of the implant. Omnicam provides the ability to mill the surgical guide, custom abutment, and f inal restoration.
Galileos Comfort Plus / Omnicam
General applications of CBCT are:
1 2 3 4 5 Contemporary implant dentistry utilizes technology, knowledge, stability, function and aesthetics. Not considering function and aesthetics in implant treatment planning and placement can result in dentists making adverse compromises when restoring a case.
communication. There is reduced chair time and minimal surgical invasiveness. It also helps with prefabrication of a provisional restoration before surgery. Finally, the face scan engages the patient when presenting the treatment plan resulting in higher case acceptance.
Workf low advantages of combining a digital impression with CBCT result in guided surgery that allows the clinician to have an accurate treatment plan that is restorative driven and the ability to finalize the treatment plan at consult. Challenges can be addressed before surgery because of improved surgical and restorative
Implant success is achieved when there is adequate bone, healthy gingiva, proper positioning, a nice emergence profile, and an aesthetic restoration. I have found great success in reversing the architecture of implant design. I first design an ideal restoration. Only then do I determine the implants optimal placement, making sure
Visualization of anatomical structures and osseous topography for preoperative surgical case planning Determining risk with the visualization of periodontal/ endodontic defects 3D clinical outcomes following bone augmentation Treatment planning implant position for guided surgery Preoperative case planning and patient engagement with integrated face scanner
there is 3mm of biological width from the cuff of the implant to the crown margin, and a minimum of 2mm of buccal bone. Technology has fundamentally changed the way I practice dentistry. 3D technology has enhanced my diagnosis, given me greater accuracy when placing restorativelydriven implants and has increased my case acceptance through the use of 3D rendering. I cannot imagine practicing dentistry without advanced technology. Finally, technology is exciting to me and makes me enjoy practicing dentistry more now than ever. ď Ž www.sdds.org • December 2015
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implants
Bone Augmentation
for Dental Implants with CBCT
By Jagdev Heir, DMD, MD
SDDS Member
Dr. Heir is an Oral & Maxillofacial Surgeon in Sacramento. He is double board certified in Cosmetic Surgery and in Oral & Maxillofacial Surgery. He was raised in NJ and moved here nine years ago and is in full time private practice serving others first.
The first bone graft was performed on a soldier who had a skull injury in 1682. At the time it was determined to be successful, but how successful it was came to be discovered when the Church ex-communicated the soldier and refused to bury him due to he not being entirely human at his death. At this time, doctors went in to remove the bone graft so the soldier could have a proper burial and it was realized how well the xenograft had assimilated with the native bone. With the advent of dental implants, initially implants were placed wherever the bone was, however, it was determined that implants could not be placed where the bone was, instead implants have to be placed in ideal positions to allow for proper functioning of implants with respect to esthetics, soft tissue coverage and mastication. Although, techniques of placing dental implants in the zygoma or the ‘All on Four’ technique amongst others have emerged to save patients time and money, there is a resurgence in grafting techniques, which allows for longterm success for implant retention and function. The purpose of this article is not to argue for or against any technique but to offer a perspective of how technology has advanced more predictable bone graft placement. Digital technology continues to revolutionize implant dentistry. With the advent of cone beam computed tomography (CBCT), an image can be taken and converted to a 3D image. Each layer of the 3D image can be isolated into thin slices which can be utilized to form layers in fabricating surgical guides, jigs and stents using computer aided design/ computer aided manufacturing (CAD/ CAM). While CBCT and CAD/CAM are wonderful for hard tissue, they do have limitations in reconstructing soft tissue.
2
CBCT can be used to determine bone density and for calculation of volume of bone necessary for socket preservation and sinus lift cases. It is also used for showing any pathology or aberrant anatomy such as
TheNugget Nugget••Sacramento SacramentoDistrict DistrictDental DentalSociety Society 12 ||The
a septum within the sinus or nerve location. This is important in the multiple grafting techniques, as the information is invaluable to avoid permanent complications such as nerve injury or iatrogenic injury to the vascular system during placement of the graft material. A newer technique developed by Ole Jensen, DDS to widen the ridge called the “Book” or “Island” flap allows bone rotating about its base (binding) in a green stick manner. Using the CBCT a 3-5 mm alveolar ridge width is necessary with some cancellous bone remaining, which allows success in this type of ridge augmentation. This procedure requires two stages with a healing period of 4-5 weeks in between both stages. Stage 1, a
Digital technology continues to revolutionize implant dentistry. corticotomy is made and a healing period of 4-5 weeks is necessary. At Stage 2, splitting and grafting is performed with minimal facial soft tissue dissection. This allows for widening the ridge without needing another surgical/donor site. Vertical bone loss is the most difficult to reconstruct and techniques such as osteodistraction have been utilized with variable success for implant surgery. A technique that has been used to build bone both vertically and horizontally is the sandwich osteotomy. After obtaining a CBCT, all the critical anatomy in the posterior mandible is identified. A paracrestal incision is made in the area of deficiency and an osteotomy is made
inferiorly, anteriorly and posteriorly. Using osteotomes, the osteotomy is completed and hinged on the intact lingual tissue. Bone graft material is added after the segment is fixated in position. This is allowed to heal for four months and then the retention plates are removed and implants placed. Proper pre-operative planning is required if there is a larger defect created by an infection that has destroyed a significant amount of bone or the presence of pathology such as an
Ameloblastoma. A CBCT aids in determining the amount and size of bone graft necessary. Using CAD/CAM techniques a surgical jig/ stent is utilized to harvest the exact shape and size of bone required from either the anterior or posterior iliac crest. This harvested bone is then secured with precision to a less then 1 mm gap using a pre-bent plate based on the CBCT. This allows for less surgical time and a better surgical outcome with regards to the quantity of bone required in preparation for implants to be placed at a later date.
As with dental implants, planning the bone grafting case with the end result in mind and working backwards using technology helps provide an optimum result for patients. Additional benefits include minimizing operative time and decreasing the chances of untoward events. This will allow for proper soft tissue drape of the cheeks and lips as well as the bony profile due to precise reconstruction. These techniques can be utilized for small grafting cases as well as larger cases. ď Ž
Sacramento Mobile Dental WE COME TO YOU!
Stephen Saffold, DDS
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Appointments or questions, contact SacramentoMobileDental@gmail.com | 916-715-2359
www.sdds.org • December 2015
| 13
IMPLANTS
Digitally Fabricated Abutments
in Restorative Dentistry Restorative dentistry and Prosthodontics are likely to experience dramatic changes through incorporation of digital technology. For instance, optical scanning of tooth preparations and dental implant positions has become highly accurate and predictable. Dental ceramics can be milled on machines that can accept ever improving algorithms to provide the most accurate prosthesis.
By Herlin Dyal, DDS, MS
Two types of digital data acquisition of tooth preparations:
SDDS Member
1
Dr. Herlin Dyal completed her dental degree from the University of Michigan in 1999 and Prosthodontic Residency from University of California, San Francisco in 2002. She is a partner at the Prosthodontic Dental Group, which has 6 locations in the greater Sacramento Area Sacramento, Fair Oaks, Rocklin, Vacaville, Woodland and Yuba City.
S ole Impression Systems... like iTero (Align), True definition Scanner (3M) and TRIOS scanner (3Shape) allow for only digital data collection. The acquired information is sent to a laboratory to make the restoration. The prepared tooth is provisionalized and the patient returns to get the final restoration.
2
CA D/CAM Impression systems... like PlanScan (Planmeca), CEREC 3D BlueCam and OmniCam (Sirona) and Carestream CS 3500 (Carestram Dental) allow for digital data collection, designing and milling the restorations in the office. The patient receives the final restoration in one appointment.
two types of workflow to digitally fabricate implant bars/custom abutments /restorations:
1
D igital impression ... is made using impression copings specifically designed for digital impressions. These impression copings are called scan bodies. A scan body is used to index the implant position and get a digital master cast. Almost all intra oral scanners (iTero, 3D Shape, 3M true definition, Cerec OmniCam) can make impressions of implant scan bodies.
2
C onventional impression ... is made and a master cast is fabricated. It is then verified for accuracy and scanned using a desktop scanner to fabricate a digital master cast. If there is no intra oral scanner in the dental office, there are several commercially available digital solutions to make custom abutments or milled superstructures. Some of them are: ATLANTIS (Dentsply), Nobel Procera (Nobel Biocare) and Bella Tek Encode (Biomet 3I). The majority of CAD/ CAM restorations fabricated these days utilize this workflow.
14 | The Nugget • Sacramento District Dental Society
These images show CAD/CAM Hybrid bar design using proprietary software from Panthera Dental
These images show milled bar with ISUS software from Atlantis (Dentsply)
The custom abutment or milled superstructure is digitally designed using patented software. Once the abutment/bar is designed, a link is sent to the dentist or laboratory technician to review and edit. Once the design of the custom abutment/bar is finalized and approved, it is milled and returned for fabrication of the final or provisional restoration. The restoration can be conventionally fabricated or milled. Extent of technology incorporation for restorative dentistry can be varied. In other words, the dentist does not necessarily have to move to a full-fledged CAD/CAM workflow. Options exist to utilize digital technology for some aspects of patient treatment and conventional materials and methods for others.
Whether we as individuals like it or not, digital impression making is here to stay. 3M, the world’s largest manufacturer of dental impression materials, has invested millions of dollars into digital imaging to eventually replace conventional impression making. As the dental profession is typically 10-20 years behind industry in accepting new technology, this transition will take time. The trend, however, is happening now. Patients like digital dentistry, as it minimizes the discomfort associated with traditional impressions. It also minimizes chair side and office time, improving accuracy and efficiency, and reduces retakes. Digital impressions are easier to store, since they do not take up space.
Predicting the future is difficult, but trends and developments can guide one to the correct answer. It is widely expected that conventional impression making may become secondary or even non-essential. The new generation of dentists entering dental schools will most likely learn to make dental impressions using intraoral scanners and utilize digital workflows to execute dental treatment. Technologies for digital impressions, manipulation of digital data for diagnosis and treatment planning, and production of CAD/CAM restorations are transforming how dentistry is practiced. ď Ž
www.sdds.org • December 2015
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IMPLANTS
No Bone,
No Problem By Paul Binon, DDS, MSD SDDS Member
Dr. Paul Binon has a private prosthodontic practice in Roseville. He has restored and placed dental implants since 1983. He has published extensively on implant interface stability and biomechanics and has lectured all over the world. Previously he was a research scientist at UCSF and Adjunct Professor in Prosthodontics at Indiana University.
Although the number of edentulous patients in the U.S. has decreased due to greater awareness of the importance of good dental health, it will be offset by a 79% increase in population aged 55 and older. Estimates although conservative indicate that patients enquiring full restoration will increase from 53.8 million to 61 million by 2020. 1 The Center for Disease Control reports that 45.9% of Americans aged 65
The need for extensive dental restoration will remain with us for some time. and older have lost six or more teeth due to periodontal disease and caries. 2 So the need for extensive dental restoration will remain with us for some time. Since the introduction of osseointegration in the early 1980’s, major improvements in materials and techniques have occurred that have provided a plethora of predictable solutions where previously few if any existed. Treatment of the severely resorbed complete or partially edentulous maxilla presents a set of unique problems. When the posterior dentition is lost the sinuses will enlarge due to the difference between external and internal pressure. Subsequently or concomitantly if the anterior teeth are lost the pre-maxillary area will resorb particularly if lower anterior
16 | The Nugget • Sacramento District Dental Society
teeth remain. That frequently leaves a maxillary arch that is decimated both vertically and horizontally in the absence of internal loading. Early treatment protocols called for sinus augmentation with a variety of material to build up the internal vertical height of the sinus floor so that implants could be placed. This is a viable protocol that essentially requires two surgeries. After the first surgery, a waiting period of 4 to 6 months to allow for graft maturation is necessary. At that time the implants can be placed and another 6 months is necessary for the implants to securely integrate in grafted bone. During this staged sequence the patient wears a complete denture. Total treatment time will range from 12 to 15 months. Typically this protocol requires 6 to 8 implants and results in a bar retained overdenture. In an effort to reduce the number of surgeries and allow for the immediate utilization of the implants, Dr. P-I Branemark developed the concept of remote implant support. It essentially involves making a window into the lateral sinus wall, raising the Schneiderian membrane and gaining direct visualization of the base of zygomatic arch. A series of special long drills are used to prepare an osteotomy in the medial wall of
“Major improvements in materials and techniques have occurred that have provided a plethora of predictable solutions where previously few if any existed.” the zygomatic arch until it exits at the outer cortex. Implant lengths and corresponding drills range from 35 to 52.5 mm. in length. The implants have a unique design with an
Classic treatment plan with 4 anterior implants and bilateral Zygoma implants.
Typical approach, similar to all on 4 with bilateral Zygoma implants.
Completely atrophy atrophic maxilla. Patient had undergone numerous previous surgeries (rib and hip bone grafts with no success).
implant body that goes from 4 mm to 5 mm in diameter. The coronal end has a 45 degree external hex connection, allowing it to be positioned perpendicular to the palate. In the classic approach, 2 to 4 anterior implants are placed in the premaxilla for optimal load distribution. Universal abutments are placed on the implants along with temporary cylinders and a previously made full denture is transitioned into a fixed palate-less provisional prosthesis. In the event that there is no bone for anchorage in the premaxilla, the quad zygoma approach can be utilized. It involves the placement of 2 zygoma implants on each side of the dental arch. The zygoma implant can also be used unilaterally in cases where
there is sufficient bone for conventional implant placement on one side of the arch and a serious deficiency on the other. It can also be used in conjunction with the “all on 4” approach when additional posterior support is necessary. The major advantages of this protocol is that it significantly reduces the treatment time line from 12 /14 months to 6/7 months, eliminates extensive grafting, requires only one surgery, and immediately results in a fixed prosthesis. There is ample long term documentation in the literature with 97% + long term success rates.3 Results for my patients have been most satisfying. Several examples of both typical and atypical applications are presented above.
REFERENCES 1. Douglass CW, Shih A, Ostry L: Will there be a need for complete dentures in the United States in 2020? J Prosthet Dent 87:5-8, 2002 2. Centers for Disease Control and Prevention, Division of Oral Health: Lost 6 or more teeth (website): http://apps.nccd.cdc.gov/nohss/ListV. asp?qkey=7&DadtaSet=2. Accessed Sept.2009 3. Aparicio C, Manresa C, Francisco K, Ouazzani W, Claros P, Potau JM, Aparicio A.: The long-term use of zygomatic implants: a 10-year clinical and radiographic report. Clin Implant Dent Relat Res. 16(3):447-59, 2014
www.sdds.org • December 2015
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IMPLANTS
Caring for Dental Implants
By Jennifer Goss, DDS SDDS Member
Dr. Jennifer Goss is a periodontist in private practice in Roseville, CA. She served four years on the SDDS Board of Directors, and on Council for Membership at CDA. Graduating from UCSF Dental School in 1996, and UCSF Periodontics in 1999, she was on the clinical faculty there and at UOP.
As a periodontist one of the most common questions I get from dental hygienists and general dentists is how to care for dental implants. Our dental hygiene colleagues want to know the best way to maintain implants and how to treat pockets around them; and general dentists want to know how to avoid complications. Dental implants are the standard of care now and we all are seeing large increases in dental implants in our practices. When I was a periodontal resident at UCSF in 1996, implant placement and restoration were the domain of specialists, today there is a significant trend towards general dentists placing and restoring implants. The dramatic increase in the number of implants being placed, as well as the variation in skill and training of dentists placing them, has resulted in more implant complications. So how do we avoid complications? Supportive maintenance is essential. Of course proper treatment planning including case selection and placement technique are critical, but are beyond the scope of this article. I tell my patients that implants can’t get cavities, and do not fracture as often as natural teeth, but they still grow bacteria! The evidence is clear that regular assessment of health, along with removal and plaque and calculus, every 3-6 months is just as important for implants as it is for teeth. Soft tissue health, pocket depth, presence of keratinized tissue, plaque control, bleeding on probing, presence of suppuration, mobility, radiographic bone level all are part of a thorough diagnosis. Once a diagnosis has been made, appropriate treatment can be recommended. Healthy dental implants (pocket depth less than 3mm, no bleeding or suppuration, stable bone level, absence of mobility) need only removal of plaque and calculus. There are many gold, titanium, and plastic, vitreous carbon scalers on the market to avoid scratching the titanium surface. Plastic covers are also available for ultrasonic and piezoelectric units. Ideally we want to avoid any scratches, but when there is calculus to be removed, this is not always possible.
18 | The Nugget • Sacramento District Dental Society
Education, hands on demonstration, and proper “tools” for plaque control at home are essential. I like to sit and show my patients how the right size proxy-brush, woven floss, rubber-tip stimulator, are valuable adjuncts to their toothbrush. Over the years I have found taking the time for this is critical to engaging the patient in their own health. Also dental implants are a significant investment of time and money, I emphasize this to patients - “use it or lose it!” What about unhealthy dental implants? Implant mucositis is an inf lammatory reaction where there can be pocket depth (4mm or greater), bleeding, suppuration, and or edema. Peri-implantitis indicates there is also bone loss that is progressive
So how do we avoid complications? Supportive maintenance is essential. (beyond the initial crestal bone loss associated with some implants). The majority of patients I see with unhealthy implants are asymptomatic. Almost always there is some associated factor: poor plaque control or maintenance, systemic health issues, smoking, occlusion, or prosthetic issues. In the case of implant mucositis treatment is typically debridement/scaling and root planing, anti-microbial irrigation (chlorhexidine or betadine), localized delivery antibiotics (Arestin), along with chlorhexidine use in the affected area at home. Uncontrolled infections may require systemic antibiotics. Peri-implantitis often benefits from the same treatment as mucositis, but if not controlled may require surgery to gain access to the infected implant for debridement, to recontour osseous defects, and perform regenerative therapy if possible. I have found the above treatments much more effective when rendered by someone with a lot of experience and training, such as a periodontist.
Volunteer opportunities Smiles for Kids
HOW COMFORTABLE ARE YOU WITH YOUR RETIREMENT PLAN?
Volunteers needed: Doctors to “adopt” patients seen on Smiles for Kids Day 2016 for follow-up care. To volunteer, Contact: SDDS office (916.446.1227 • smilesforkids@sdds.org)
Smiles for Big Kids VOLUNTEERS NEEDED: Dentists willing to “adopt” patients for immediate/emergency needs in their office. TO VOLUNTEER, CONTACT: SDDS office (916.446.1227 • sdds@sdds.org)
Given all the other stresses doctors and medical professionals face, wouldn’t it be nice to know retirement is taken care of? Want to learn more?
Call (916) 774-6250
or visit us at www.kaneskiassociates.com
April 16-17, 2016 • Ventura County Fairgrounds October 15-16, 2016 • Stockton (Location TBD) April 21-24, 2017 • San Mateo Event Center October 5-8, 2017 • Bakersfield/Kern County Fairgrounds TO VOLUNTEER: www.cdafoundation.org/cda-cares Robyn Alongi (916.554.5305 • robyn.alongi@cda.org) Auburn RenewaL Center Clinic
e Financial Professionals at Kaneski Associates have over 50 years of nancial expertise with doctor and medical professionals. We provide a customized process to develop a strong foundation for managing wealth and setting nancial goals. We believe hard work, determination and an authentic concern for others are the key components in building strong client relationships; we are committed to our clients and their nancial well-being.
VOLUNTEERS NEEDED: General dentists, specialists, dental assistants and hygienists. TO VOLUNTEER, CONTACT: Steve Holm (916.425.6766 • sholm@goldrush.com)
The Gathering Inn Volunteers needed: Dentists, dental assistants, hygienists and lab participants for onsite clinic. To volunteer, Contact: Kathi Webb (916.743.5351 • kwebbft@aol.com)
global brigades Endorced Executive Partner
Volunteers dentists and autoclaves needed. to volunteer abroad visit: www.globalbrigades.org to donate an autoclave, contact: Dagon Jones, DDS (dagonjones@gmail.com)
CCMP
(Coalition for Concerned Medical Professionals)
Volunteers needed: General dentists, specialists, dental assistants and hygienists. Also Needed: Dental labs and supply companies to partner with; home hygiene supplies To volunteer, Contact: Ed Gilbert (916.925.9379 • ccmp.pa@juno.com) www.sdds.org • December 2015
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General Meeting November 10, 2015 • Staff Night Your Practice, Your Patients & Your Team: Getting to Know the Right Balance
1
Drs. Bellamy and Daft, after Dr. Daft won a doctor registration for MidWinter.
2 3 4 5 6
Dr. Korn and his team.
7 8 9
The table clinics were a very busy place prior to the program. Dr. Delmore and her team. The Raffle Table just waiting for the numbers to be drawn. Dr. Patel introducing our newest members; Drs. Vinela Bakllamaja, Michelle Bruce and Vedran Dupanovic. Dr. Kingsley and his team. Dr. Bannai and his team. The evening’s speaker, Kerry Straine with Drs. Patel and Bellamy and a couple of Dr. Bellamy’s team members.
Bring your team! 20 | The Nugget • Sacramento District Dental Society
Next General Membership Meeting: January 12, 2016 www.sdds.org/general-meetings
In Memoriam Dr. George R. Koch
Dr. George S. Stewart
Dr. George Koch passed away on October 24, 2015, at the age of 88. He had been a member of the Sacramento District Dental Society since 1956 and, at the time of his death was a continuing life member. He always supported our SacPAC and was one of the original founders of the Sacramento District Dental Foundation. While active throughout his membership on various committees and task forces, he culminated his leadership by serving as President in 1972. Just this last September, Dr. Koch attended the Past President’s Dinner (thank you Dr. Matt Campbell for driving him). We will always remember his smile, his chuckle and his dedication and pride as a Sacramento District Dental Society leader. Donations may be made to the SPCA in his memory.
Dr. George Stewart passed away October 15, 2015 at the age of 93. He had been a member of the Sacramento District Dental Society since 1973. He was one of Sacramento’s first African American dentists, opening up his first dental practice in his home in 1954. Dr. Stewart was also a member of the National Dental Association and very active in leadership and civic affairs, as well as in the political arena. He also served as a Trustee for the Los Rios Community College. Donations may be directed to the Los Rios Foundation in his memory.
www.sdds.org • December 2015
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SDDS Wins its 4th ADA Golden Apple Award
for its Member Appreciation Week! The American Dental Association’s Golden Apple Awards Program is a unique opportunity for component dental societies to gain recognition for their leaders, members, and staff. The Sacramento District Dental Society won the Golden Apple Award in the Excellence in Membership Recruitment and Retention Activity Category! The Sacramento District Dental Society strives to show our members how much we appreciate them. Each day we try to find new and fun ways for member recruitment, engagement, and showing our members how valuable their membership really is. Member Appreciation Week was created to thank our members for their continued membership, support, and engagement.
22 | The Nugget • Sacramento District Dental Society
Member appreciation week program schedule monday and tuesdayPhone-a-thon Thanked 554 members in person over the phone for their membership, left messages for EVERY other member. Member satisfaction target exceeded our expectations!
thursday- new member reception and job bank introduction Invited new members to our office, have them meet each other and introduce them to our Job Bank process (for those looking for jobs), 25 attended.
wednesday- Retired member reception 20 percent of our retired members attended and they all had a great time. They walked out saying, “Please do this again next year!”
Friday- Shredding day for all members Provided free shredding to our members. We even had a taco truck and root beer floats! Shredded 629 boxes of papers and old files which is 14 tons of shredding!
n o h T a e n P ho
Retired Member Reception
Shred, S
nack & S
ip
www.sdds.org • December 2015
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An Ethical Dilemma Specialty Advertising In today’s ever-changing dental landscape, one of the most intriguing and perhaps convoluted ethical and legal challenges facing our profession occurs in the arena of specialty advertising. It is interesting to note that on the surface this seemingly simple issue has developed into a complex set of ethical and legal dilemmas. Court battles between state dental associations and the Federal Trade Commission have ensued over potential anti-competitive issues. Constitutional First Amendment freedom of speech rights have also colored the specialty advertising debate such that state dental boards no longer enforce former advertising restrictions as they were determined to be unconstitutional. First, it should be understood that the nine dental specialties recognized by the American Dental Association (ADA) and the designation for ethical specialty announcement and limitation of practice are Dental Public Health, Endodontics, Oral and Maxillofacial Pathology, Oral and Maxillofacial Radiology, Oral and Maxillofacial Surgery, Orthodontics and Dentofacial Orthopedics, Pediatric Dentistry, Periodontics and Prosthodontics. In order to announce as a specialist in one of these specialty areas of practice, a dentist must have successfully completed an educational program as prescribed by the ADA Council on Dental Education and Licensure. Section 6.A of the CDA Code of Ethics states, “It is unethical for a dentist to mislead a patient or misrepresent in any material respect either directly or indirectly the dentist’s identity, training, competence, services or fees. Likewise, it is unethical for a dentist to advertise or solicit patients in any form of communication in a manner that is false or misleading in any material respect.”
In addition, Section 6.B of the Code states, “Dentists may use the degrees conferred upon them by diploma from recognized dental colleges or schools legally empowered to confer the same, the letters “D.D.S.” as permitted by state law, and or the titles, “Doctor” or “Dentist” and any additional advanced academic degrees earned in health service areas. It is unethical for a dentist to use a title or degree in connection with the promotion of any dental or other commercial endeavor when such usage is false or misleading in any material respect.” Yet within the recent landscape, the lines of reality and legal/ethical specialty advertising have been blurred. The courts have ruled that freedom of speech and maintaining competitive marketplaces in some instances take precedence over potentially false or misleading announcements. We see in the legal precedent-setting case of Potts v. Hamilton, that even though Potts’ credentials did not meet the “formal full-time advanced education” requirement of the advertising statute, the 2010 U.S. District Court ruling found the advertising statute violated Potts’ rights of free speech and held the statute unconstitutional. As a result, in 2011, the Dental Board of California (DBC) removed the specialty sections of the advertising statute. In addition, previous to the DBC action, CDA removed the “Announcement of Specialization and Limitation of Practice” section of its code of ethics. As a practical guide, we can summarize what is prohibited and what is not prohibited for purposes of the CDA Code of Ethics as follows: 1. Dentists may not use “specialist in” one of the ADA recognized specialty areas of practice unless they have met the educational
24 | The Nugget • Sacramento District Dental Society
By Kenneth Jacobs, DDS, FACD Member of CDA Judicial Council
requirements and standards set forth by the ADA as mentioned previously. 2. Non-specialists who wish to announce the services available in their practices are not required to state that their services are being provided by a general dentist. 3. Specialists are not required to use “practice limited to,” nor are they required to limit their practice exclusively to announced specialty area of dental practice. 4. Non-specialists are not prohibited from using “practice limited to,” nor are they prohibited from limiting their practice to announced area of dental practice. 5. Non-specialists are not required to state “[Name of announcement area of dental practice] is not recognized as a specialty area by the ADA.” So what are the ethical principles that can guide us in our decision making process regarding this complex issue? Veracity, or simply telling the truth, tells us that the public, our peers and our patients in particular, rely on the information we disseminate to each so that truly informed decisions can be made. Furthermore, behaving with integrity enforces core values such that conflicts between actions and conscience are eliminated. Through open and honest disclosure, the possibility for a patient to be misled diminishes greatly and hence trust can flourish. Additional resources about specialty advertising are available on cda.org. For further guidance, contact a member of your local ethics committee.
Sacramento TMD Orofacial Pain Study Group New Comprehensive 12-month Course Starting January
L
ouis Gallia MD, DMD, FACS presents a comprehensive study club focusing on the complex diagnosis and treatment of Temporomandibular and Orofacial Pain Disorders. This course is intended to help participants to become TMJ masters. The interactive study club will provide lecture and hands on exposure to this interesting group of disorders. Whether you are a novice or experienced TMD practitioner, this course will greatly enhance your ability to diagnose and treat the TMD orofacial pain patient. This course will be comprehensive, with the goal being to give dentists the tools to safely and predictably treat a difficult patient population. We will be bringing in outside speakers to enhance the learning experience, as well as lectures, literature review and case presentations. Live demonstrations of techniques including splint design, Botox injections, trigger point injections, intra-articular steroid injections diagnostic blocks will be included. A demonstration of your knowledge will be shared to the group through the presentation of case studies. Given the intense nature the course, participation will be strictly limited, so maximum learning can take place.
48 Hours CDE | Free Tuition SDDS Members
916.570.3088 • www.SacTMD-OrofacialPainStudyGroup.com www.sdds.org • December 2015
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Reaching the Peak in Building for the Dental Industry Construction Management Remodels and Renovatoins Tenant Improvements New Construction
BlueNorthernBuilders.com
916.772.4192
Your Trusted Source For: • Commercial RE purchases • Construction loans • Business acquisition or expansion • Equipment/Inventory purchase • Refinancing • Working Capital
A Proud Vendor Member of SDDS since 2004
26 | The Nugget • Sacramento District Dental Society
CA Lic #820947
Business Financing from your neighborhood Credit Union Bob Miller, Business Development Officer (916) 576-5679 bmiller@firstus.org
you
the dentist, the business owner
You are a dentist. You’ve been to school, taken your Boards and settled into practice. End of story? Not quite. Are you up to speed on tax laws, potential deductions and other important business issues? In this monthly column, we will offer information pertinent to you, the dentist as the business owner.
Financial Planning Strategies to Consider Before Closing The Books On 2015
By Thomas Chandler
Ameriprise Financial - The Chandler Group SDDS Vendor Member
In a conversation with a dentist recently she told me "The practice of implant dentistry is as much about art and experience as it is about science.” The same could be said about Financial Planning, and just as implant surgery requires planning and preparation so too does prudent financial planning. With that in mind it's a great time to start preparing and planning for a prosperous 2016 by reviewing some end of year financial planning strategies. Flexible Spending Arrangements and Health Savings Accounts: FSAs allow employees to contribute pre-tax dollars to pay for out-of-pocket health care expenses; including deductibles, copayments and other qualified medical, dental or vision expenses not covered by the individual’s health insurance plan. Beginning in 2014 the U.S. Treasury Department issued new rules allowing employers to offer employees the ability to carry over a balance of up to $500. Even though the "use it or lose it" rules are no more, now is a good time to review your expense to see if you can use that remaining FSA balance above the $500 limit. It is also a good time to remind your patients as they may want to use their remaining balance above $500 toward any required treatment before years end. Health Savings Accounts are tax-deferred savings accounts available to taxpayers enrolled in an HSA qualified high deductible health plan. For 2015 Health Savings Account maximum contributions are $3,300 for individuals and $6,650 for
family coverage. Contributions grow taxdeferred and there's no deadline for making a withdrawal. Participants can reimburse themselves in future years for medical cost incurred now. Take time to review your 2015 contributions to make sure you and your patients have taken full advantage of these contribution limits. Harvest Tax Losses While no one likes taking a loss sometimes there can be a silver lining to that cloud. Tax loss harvesting allows you to "bank" losses today to offset future taxes. Here are a few things to be aware of; while there are no limits on the amount of capital gains that can be offset, you can only offset $3,000 of ordinary income with capital losses. Any remaining balance will be carried forward for use in future years. Also, be aware of "wash sale" rules. If you sell a security to bank the loss, you are not permitted to repurchase substantially the same security within a 30 day period. If you do the loss
will be disallowed. It's a good idea to get together with your tax professional to review any year-end tax moves. Beware of Mutual Fund Distributions If you are investing in mutual funds via a taxable account be aware you could get hit with taxes on capital gains you haven't earned. Most mutual funds will distribute capital gains to shareholders by December 31st. As an investor you are required to pay taxes on these gains no matter when you purchased the mutual fund. These taxes can either be ordinary income, short-term or long-term in nature depending on the type of distribution the mutual fund is making. If you plan on purchasing a mutual fund in taxable accounts at year end it would be advisable to call the fund company and find out when they are scheduled to make their 2015 distributions. By waiting until after the distributions have been paid you may avoid a tax-bomb you were not expecting.
www.sdds.org • December 2015
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Foundation of the Sacramento District Dental Society
Rayvonte’s Story
By Pam DiTomasso, DDS Smiles for Kids Volunteer
Over the years of participating in “Smiles For Kids” I have experienced an abundance of compassion for the conditions children in our underserved communities suffer daily with due to the lack of dental care. Doing “Smiles For Kids” has created a passion for helping others within our SDDS dental community.
I’ve strived to give you a comprehensive snapshot into what dental volunteerism means to the children of our SDDS “Smiles for Kids” family. In partnership with SDDS we have been able to provide high-quality care with skilled volunteers to address the children whom I feel fall through the cracks in our community, the working poor.
When I put out the cry for “calling” all dentists, dental hygienists, or students aspiring to work in the dental field—they happily sign up and roll up their sleeves, ready to go. In our office in particular we see 60 -90 children on that day. Due to the extensive needs of some participants (perio, endo and oral surgery) SDDS has worked hard to develop a network of general dentist and specialist that adopt them in to complete their care.
Rayvonte was referred to Smiles for Kids by his high school counselor. With low self-esteem she rarely saw him smile. In questioning him she found out he didn’t smile because his front teeth were rotten and missing. Once hearing about Smiles for Kids she got him signed up and brought him. Our practice adopted him to complete his work and he committed to making all of his appointments. He rode two buses and arrived early many times to make sure he was
28 | The Nugget • Sacramento District Dental Society
here. After his treatment the counselor called to tell us what a completely different young man he was. He made plans for college and now went on job interviews. What are we proud of? We gave him a future!
Doing “Smiles For Kids” has created a passion for helping others within our SDDS dental community.
2016 Smiles for kids sites (as of 11/10/15) eLK GROVE Dr. Andrea Cervantes Dr. Sireesha Penumetcha Dr. Sergio Pereira Dr. Ricky Tin
Jackson Jackson Creek Dental
truckee Dr. Kyle Adams Dr. Matthew Gustafsson
roseville Dr. Sharma Khodai Dr. David Miller Dr. Purvak Parikh Roseville Dental Group
SAcramento Dr. Christopher Chan Dr. Jennifer McCarthy
The SDDS Job Bank is a service offered only to SDDS Members. It is published on the SDDS website and provides a forum for job seekers to reach other Society members who are looking for dentists to round out their practice, and vice versa. If you are a job seeker, associate seeker, selling or buying a practice, contact SDDS at (916) 446-1227. For contact information of any of the job bankers please visit www.sdds.org.
gold river Dr. Jose Juarez
West SAcramento Dr. Paul A. Johnson
rocklin Drs. Dennis Peterson and Jude Crutchfield Dr. Allison Trout
folsom Dr. Garth Collins
davis Dr. Kim Wallace
el dorado hills Dr. Mitchell Goodis Dr. Victoria Sullivan
laguna Dr. Janice Work
Carmichael Drs. Victor Hawkins and Elizabeth Huynh
Job Bank
PLACERVILLE Dr. Ernest Watson
associate positions available Sacramento Oral Surgery • Sacramento • full • Oral Surgeon Matthew Comfort, DDS • Roseville/Rocklin • part/full • GP Jamson Wu, DDS • Elk Grove • part • Ortho Communicare • West Sac/Davis/Woodland • full • Pedio Christopher Cooper, DMD • Roseville/Lincoln • part/full • GP Abdon Manaloto, DDS • Roseville/Lincoln • part/full • GP Karla Nguyen, DDS • Roseville/Lincoln • part/full • GP Flaviane Peterson, DDS • Roseville/Lincoln • part/full • GP Victoria Sullivan, DDS • El Dorado Hills • part/full • Pedo Annie Barnes, DDS • Sacramento • full • GP/Endo/Perio Timothy Herman, DDS • Lincoln • part/full • GP Hung Le, DDS • South Sacramento, Stockton • part/full • GP Steven Tsuchida, DDS • Elk Grove • part/full • GP Darryl Azouz, DDS • Rocklin/Woodland • full (2 associates, 2 days) • GP Paul Binon, DDS, MSD • Roseville • part/full • Prosthodontist Chapa-De Indian Health Program • Auburn • on call • GP Chapa-De Indian Health Program • Grass Valley • on call • GP Gwendelyn Enriquez, DMD • Roseville • part/full • GP Sukhjeet Kaur, DDS • Sacramento • part/full • GP Sonny Lim, DMD • Woodland • part/full • GP Alex Moradzadeh, DDS • Sacramento • part/full • GP/Endo/Pedo/OS Christopher Schiappa, DDS • Pioneer • part • Endo/Ortho/OS Dennis Wong, DDS • Sacramento/Pocket • part (Sat./on call) • GP Wellspace Health • Multiple Locations • fill-in/part/full • GP
DOCS SEEKING EMPLOYMENT
VOLUNTEER for smiles for kids! SITES ARE STILL NEEDED IN SACRAMENTO AND CARMICHAEL Volunteers needed: Doctors to “adopt” patients seen on Smiles for Kids Day 2016 for follow-up care. To volunteer, Contact: SDDS office (916.446.1227 • smilesforkids@sdds.org)
Ajit Shokar, DDS • part • GP Russell Anders, DDS • part (fill in only) • GP John Nerwinski, DDS • part • GP Robert Nisson, DDS • part • Ortho Shahryar Khodai, DDS • Sacramento • full • GP Steve Saffold, DDS • Sacramento • GP Michael Sunwoo, DDS • full • Ortho Andrea Azevedo, DDS, MPH • part; 1-2days/wk. • GP & Pedo Amanda Chen, DDS • full/part • Ortho Steve Murphy, DMD • part/full • Endo Ronald Rott, DDS • part • Perio Brandon Webb, DDS • part/full • Endo
DOCS looking to buy a practice Duc-Vinh Vo, DDS • Sacramento • GP Sevan Yergatian • Rocklin/Roseville • GP Michael Sunwoo, DDS • Sacramento • Ortho Brandon Webb, DDS, MSD • Roseville • Endo Darryl Azouz, DDS • Rocklin • GP Ryan Hecht, DMD, MS • Folsom, Sacramento, Roseville • Ortho Shahryar Khodai, DDS • Sacramento • GP
DHP’S SEEKING EMPLOYMENT Caraline Chatigny • full • RDH Sammie Ghaysar-Lak • full • RDH Janice Dufort • full • RDH
www.sdds.org • December 2015
| 29
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Board Report November 3, 2015
Nancy Archibald, DDS
Highlights of the Board Meeting Call to Order
Secretary
New Business
President Dr. Viren Patel called his last board meeting of his year to order at 6:15pm on November 3rd. It has been a good year with great leadership. Thank you Dr. Patel.
• Approved by the Board:
President’s Report
• It was approved to sunset the following committees: Amalgam Advisory, Dental Careers, Membership (moving to 6 task forces), Social Media Taskforce (integrated in Member Benefits Task Force), Geriatric Outreach
Dr. Patel reported that the CDA House of Delegates has been postponed due to the sudden and unexpected loss of our own member, Dr. Steve Leighty. The new dates for the HOD are March 4-5, 2016. Dr. Gianetti brought wonderful cookies to share and “celebrate” her last official board meeting since 2006. We will miss you.
Secretary’s Report • Our market share of members stays strong at 79% as we approach year end.
Treasurer’s Report • The budget for 2016 was discussed and approved. 2015 will end in another positive number.
a. 2016 Committee Chairs b. 2016 Task Forces and Chairs
Executive Director’s Report • Our executive director, Cathy Levering, shared the upcoming Membership Benefits brochure being designed by our own SDDS design department as well as the Design Department Brochure. We have a full and busy 2016 to look forward to.
Adjournment
Our mission It is the mission of the Sacramento District Dental Society to be the recognized source for serving its members and for enhancing the oral health of the community.
The meeting was adjourned at 8:38 p.m. Next Board Meeting: January 5, 2016 at 6 p.m.
UPCOMING EVENTS
DEC
4
Friday 6pm-11pm
Holiday Party Dinner, Dancing, Auction & Fun! Del Paso Country Club
JAN
12 Tuesday 5:45pm-9pm
General Meeting 3 ceu, core • $64
Preventing Hospital Acquired Pneumonia... One Clean Mouth at a Time Presented by Barbara Quinn, RN
FEB
18-19 thurs/fri
MidWinter Convention
cover all your ce bases
SDDS’ biggest event of the year! It’s a two-day convention and expo held at the Sacramento Convention Center.
www.sdds.org • December 2015
| 31
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“My practice creates beautiful and healthy smiles. By switching to The Payment Exchange my practice saved $6000 in the first year alone! This makes me smile!” — Dr. Ryan Wilgus
Merchant Services Made Simple The Payment Exchange offers businesses the latest credit card processing solutions in the industry today. Call for SDDS Special Pricing!
32 | The Nugget • Sacramento District Dental Society
Local, Licensed, Customized Service Kraig Speckert, President kraig@thepayx.com 916.635.8800 ext. 301 www.thepayx.com
you
the dentist, the employer
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 information pertinent to you — the dentist, the employer.
ber Mem it! f e n e B
SDDS HR Hotline
Training and Travel Pay
FREE to SDDS members!
888.784.4031
By Mari Bradford, CEA Regional Director
California Employers Association (SDDS Vendor Member)
Training Time
Travel Time
A dental hygienist must take continuing education courses to keep her certification. Must the employer be required to pay for the cost of the course and/or pay the employee for the time they spend in the class?
I have two dental offices on opposite sides of town. I have a few employees who travel between the two offices, how do I pay them for their travel time from their home or from one office to another?
No. As long as the course is required to maintain their certification, this is non compensable time.
Time spent in home-to-work travel is not considered hours worked and does not have to be paid, even if the travel occurs in an employer provided vehicle. With the exception of travel from home to work and back, most travel time is considered work time. If you are sending an employee to work in another office that is farther than their normal commute or you ask them to travel between offices during the day, this time must be paid.
A dentist takes his entire office to a dental convention in Las Vegas. Costs involved include: travel expenses, hotel expenses, meal expenses, and the employees’ time. For which expenses is the dentist required to compensate his staff?
If the trip is completely voluntary the dentist is not required to pay for any of the time. If the trip is mandatory, the dentist needs to pay for all expenses the employee incurs (flight, hotel, registration, etc.). The dentist does not need to pay for expenses that the employee normally incurs if they did not go on the trip. For example, meals do not have to paid because an employee would normally be responsible for their own meals. But, if you require your employees to attend an after training dinner or team meeting, the dentist does need to pay for the event and the employee must be paid for the hours they are required to be at the dinner or meeting. A dentist requires his/her staff to take a CE course – does he/she have to pay for this course and for the employees time spent in the course and the time it takes to get to the course?
Yes. Can a different rate of pay be given for training time vs. regular office/work time?
Yes, as long as it is complies with CA Labor Laws; it must be at least minimum wage (or more), is established in advance and documented. Keep in mind that attendance at employee meetings, employersponsored training programs, lectures, work courses, or meetings is not voluntary if it is required by the employer or if the employee is led to believe that their non-attendance would adversely affect their current working conditions or continued employment.
For example, when an employee is required to report to a work site other than the regular site, and goes directly to that site without first going to the regular site, the employer must pay the employee travel time for any time in excess of the employee’s normal commute time to and from the regular site. Wait, are you telling me that if I send an employee to a training in Las Vegas, I have to pay for the time it takes them to go to the airport, fly to Vegas and get to the hotel?
Yes. However, just like training time, because traveling does not require the employee to employ his/her skills, pay for travel time may be at a rate of pay less than the employee’s normal rate of pay – it must be at least minimum wage (or more), must be established in advance and must be documented. Training and travel time is counted as work time, and thus overtime may be due.
ANNOUNCEMENT SDDS and CEA announce an even better partnership with our SDDS HR Hotline. Beginning January 1, SDDS will have its own dedicated HR Hotline with its own number 888.784.4031
www.sdds.org • December 2015
| 33
You are not a policy number.
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34 | The Nugget • Sacramento District Dental Society
Committee Corner Last Chance to Sign Up for Committees! Last year, more than 300 SDDS members participated in committees, projects and events. Please get involved—we’d love your input and participation! You, as an SDDS member, have an opportunity to contribute valuable knowledge and expertise for the betterment of your practice, organized dentistry and the profession of dentistry. Committee work
activities provide the pulse for responding to the ever-changing issues that we face today and a chance to anticipate needs and shape our future. If you have never been involved in an SDDS committee, all you have to do is call and ask any member of the SDDS staff. We also have positions available should you like to serve on the Sacramento District Dental Foundation, which is the
heart of SDDS. The Foundation organizes Smiles for Kids and other programs that give back to people who are underserved in our community. Included in this issue you will find a sign up form describing the opportunities—in detail. So, come, jump in and enjoy working with your peers!
2016 Committee Chairs Announced! Standing Committees
Task Forces
CPR
Large Group Practice Membership
Member Benefits and Services
Chair: Craig Alpha, DDS
Chair: Kristen Adams, DDS Purpose is to review and monitor SDDS member benefits and make sure members know about benefits; survey the needs of the members (as per the strategic plan).
Chair: Viren Patel, DDS
Chair: Rob Berrin, DDS and Viren Patel, DDS Purpose is to monitor and report to membership on corporate dentistry; also to monitor membership of large group practice owners and employees.
Peer Review
1st Tooth 1st Birthday
Chairs: Matt Korn, DDS Purpose is to educate and monitor members on current dental benefits, issues and options. Work with CDA to be able to relay dental benefits issues, activities and concerns; report back to the Board and membership.
Ethics Chair: Jagdev Heir, DMD, MD
Leadership Development
Chair: Brett Peterson, DDS
Advisory Committees Continuing Education Chair: George Chen, DDS
Mass Disaster / Forensics Chair: Mark Porco, DDS
Fluoridation
Chair: Guy Acheson, DDS Purpose is to reach out to medical community and organizations to education and enhance early dental education and screenings; work with First 5 on possible grant options and “inroads” to the medical community and publicity options. Sell our magnets to plans, offices, etc.!
GMC Denti-Cal
Strategic Planning
Chairs: Warren McWilliams, DDS Purpose is to engage those “in the trenches” and discuss issues affecting our members’ practices; to work with F5 Task force (chaired by Dr. Jones) but focus on the doctors’ challenges and concerns; to address current topics of concern as they arise.
Chairs: Margaret Delmore, DDS and Nancy Archibald, DDS
Pre-Dental Outreach
Chair: Kim Wallace, DDS and Rick Kennedy, DDS
Nugget Editorial Chair: Carl Hillendahl, DDS
Budget and Finance Chair: Nancy Archibald, DDS
Bylaws Chair: Viren Patel, DDS
Legislative Chair: Jenny Apekian, DDS
Dental Benefits
Member Events Chairs: Jennifer Drew, DDS Purpose is to monitor member engagement and offer events and activities to further engage members (as per the strategic plan).
Other Sac Pac Chair: Matt Campbell, DDS
Chair: Tania Nelson Chrystal, DDS Purpose is to engage with UCD and CSUS students; help them arrange for dentist speakers, monitor and offer suggestions for improvements to UCD intern program; connect students with dentists for advisory and mentoring purposes; support their efforts. Report back to Board and recommend changes, corrections.
www.sdds.org • December 2015
| 35
We’re Blowing your horn! Congratulations to... Paul Binon, DDS, on being voted a life member of the Pacific Coast Society for Prosthodontics at the June meeting. The recognition reads : “ In addition to maintaining your membership for 25 years, serving as the 2004 PCSP President for the memorable Monterey meeting and your research on the misfit of the external hex implant and related components are classics in the literature. We are proud to have you one of our own.” Monica Crooks, DDS on launching a new Ready-To-Drink Martini business, and being at the Emmy Awards gifting to the winners! (1)
1
2 36 | The Nugget • Sacramento District Dental Society
Herb Jensen, DDS, on being named the NCGA Super Senior Player of the Year for 2015. (2) Christy Rollofson Porrino, DDS, on being inducted into the International College of Dentists. (3) Chris Lee, DDS, on becoming a Board Certified Specialist in Pediatric Dentistry! (4) Russ Webb, DDS on being named to the Pac-12 All-Century Water Polo Team!
3
4
total membership (as of 11/15/15):
1,634 Market Share: 79% retention rate: 95%
total active members: 1,315 total retired members: 234 total Dual members: 4 total affiliate members: 13 total student/ provisional members: 9
New Members Samer Albadawi, DMD
December
2015
Vedran Dupanovic, DDS
Oral and Maxillofacial Surgery (916) 482-3444 1737 Professional Dr. Sacramento, CA 95825-2104
General Practitioner (916) 642-1868 3030 Explorer Dr. Sacramento, CA 95827
Dr. Samer Albadawi graduated from University of Pennslvania in 2010, and Rutgers School of Medicine in 2015. Fun Fact: If Dr. Albadawi had not become an oral surgeon, he wanted to be a pilot. Dr. Albadawi is married to SDDS Member Dr. Stephanie Kim.
Dr. Vedran Dupanovic graduated from University of Missouri-Kansas in 2015. Fun Fact: Dr. Dupanovic loves to go cycling and skiing.
Michelle Bruce, DMD
General Practitioner Transferred from Western Los Angeles Dental Society. (530) 754-4667 2051 John Jones RD. Davis, CA 95616-9701
Ahmad Eltejaye, DMD
General Practitioner (530) 350-3099 3100 Ponte Morino Dr. Cameron Park, CA 95682
Dr. Ahmad Eltejaye graduated from CA Western University of Health Sciences in 2013.
Ajit Shokar, DDS
Dr. Michelle Branch graduated from CA Western University of Health Sciences in 2015. Fun Fact: Dr. Bruce is getting married next year and she is a Past President of the CSUS Pre Dental Club!
General Practitioner Transferred from San Francisco Dental Society (916) 304-5663 125 Ascot Dr. Ste. D Roseville, CA 95661
Russel Dasalla, DDS
Dr. Ajit Shokar graduated from UOP, Arthur Dugoni School of Dentistry in 2015. Fun Fact: Dr. Ajit Shokar likes detailing cars and is learning to golf.
General Practitioner Transferred from Tri-County Dental Society (530) 795-2157 31 Main St. Winters, CA 95694-1722 Dr. Russel Dasalla graduated from CA Western University of Health Sciences in 2015. Fun Fact: Dr. Russel Dasalla loves to bake, but is usually stuck with the guilt of finishing it all.
Baban Dhariwal, DDS
General Practitioner (916) 421-2200 6030 S Land Park Dr Sacramento, CA 95822
Dr. Baban Dhariwal graduated from University of Florida in 2004. Fun Fact: Dr. Baban Dhariwal loves to go to dinner and the movies with her husband.
Fan Yang, DDS
General Practitioner Pending Office Address Dr. Fan Yang graduated from UCSF School of Dentistry in 2013. Fun Fact: Dr. Fan Yang likes paddle boarding, rafting, kayaking, hiking, and most enjoyably cooking and baking (her specialties are making Indian and Middle Eastern street desserts, and southern pies.)
Pending Applicants Alex Keith, DDS William Koett Jr, DDS James Lai, DDS Voltaire Sambajon, DDS Matthew Sandretti, DDS
total current applicants: 5 total dhp members: 52 TOTAL NEW MEMBERS FOR 2015: 89
CLIP OUT this handy NEW MEMBER UPDATE and insert it into your DIRECTORY under the “NEW MEMBERS” tab.
Welcome to SDDS’s new members, transfers and applicants.
Important Numbers: SDDS (doctor’s line) . . . . . (916) 446-1227 ADA . . . . . . . . . . . . . . . (800) 621-8099 CDA . . . . . . . . . . . . . . . (800) 736-8702 CDA Contact Center . . . . (866) CDA-MEMBER (866-232-6362)
CDA Practice Resource Ctr . cdacompass.com TDIC Insurance Solutions . (800) 733-0633 Denti-Cal Referral . . . . . . (800) 322-6384 Central Valley Well Being Committee . . . (559) 359-5631 www.sdds.org • December 2015
| 37
SDDS’s Newest Member Benefit - Now Accepting Clients!
Design Department We have the tools to help grow your business
Logo Design | Stationery | Business Cards | Appointment Cards | Magnets | Apparel | Mugs | And More
NEW COURSE STARTING JANUARY 2016 LEARNING TOGETHER Debra S. Finney, MS, DDS PERIODONTIST
G
WORKING TOGETHER
Michael D. Forde, DDS, MS PROSTHODONTIST
Michael S. Phelps, DDS ORAL SURGEON
The Sacramento Implant Continuum (SIC) is a sevenmodule mini-residency course. It was developed to provide an opportunity for comprehensive instruction in placing and restoring basic implants. Emphasis is placed on diagnostics and treatment planning to assist in minimizing complications which may result from abbreviated training courses. This unique program offers multidisciplinary learning from a prosthodontist, a periodontist and an oral surgeon as well as other adjunct faculty.
NOW ENROLLING OUR 11th CLASS! For more information please visit
www. sa c i m p l a n tc o n ti n u u m . c o m
38 | The Nugget • Sacramento District Dental Society
vendor member spotlights:
FECHTER & COMPANY
Certified Public Accountants
We strive to be your single source for all your dental office needs and to provide you with the best customer experience and personalized service available. Count on Patterson Dental Supply to be there when you need us.
Products and Services:
Fechter & Company, CPAs is a full-service accounting firm located in Sacramento, California providing a broad range of services to a number of industries.
Products and Services • Income tax preparation and planning
• Dental supplies
• Financial and business consulting
• Equipment
• Succession planning
• Full service technical department
• IRS audit representation
• Practice management • Office design • Financing • Cerec Tooth Restoration System
Benefits, Special Pricing and/or Discounts Extended to SDDS Members: 1-hour free consult, analysis of your overall tax situation, basic recommendations.
• Schick Digital X-ray • Eaglesoft Dental Software • Casey Education Systems • Patterson Office Supplies
Benefits, Special Pricing and/or Discounts Extended to SDDS Members: Screening supplies and free merchandise for participants of Smiles for Kids. Roy Fruehauf – Branch Manager (916) 780-5130 Cara Montoya – Operations Manager cara.montoya@pattersondental.com (800) 736-4688 phone (916) 780-5100 office (916) 780-5101 fax
Craig Fechter, CPA — President cfechter@fechtercpa.com (916) 333-5360 phone (916) 244-0116 fax www.fechtercpa.com
we love our SDDS Vendor Members!
www.pattersondental.com
www.sdds.org • November 2015
| 39
Tim Giroux, DDS, President John Noble, MBA 800.641.4179
www.integritypracticesales.com
Wood & Delgado
Debbie Kemper 916.993.4182
Patrick J. Wood, Esq. Jason Wood, Esq. 800.499.1474
xTerraLink, Inc. Rami J. Zreikat / Alnore Deen 916.608.9902 • 916.206.1858
Lisa Geraghty 916.817.9284 lisa_geraghty@cable.comcast.com business.comcast.com
Pacific Dental Services
40 | The Nugget • Sacramento District Dental Society W W W. S D R E L I A N C E . C O M
www.xterralink.com
Rayelle Theeck 916.705.4515 www.pacificdentalservices.com
www.dentalattorneys.com
Vendor Member since 2012 Vendor Member since 2003
This could be you! Education
www.resourcestaff.com
Dennis Krohn Jr., President 916.367.4244
Comcast Business
www.westernpracticesales.com
Resource Staffing Group
SD Reliance Management www.sdreliance.com
Vendor Member since 2014
Western Practice Sales
Brian Flanagan & Kirsi Kilpelainen 855.337.4337
Vendor Member since 2003
www.employers.org
Integrity Practice Sales
Vendor Member since 2015
Kim Parker, Executive VP Mari Bradford, HR Hotline Manager 800.399.5331
Vendor Member since 2004
CA Employers Association
www.pattersondental.com
Vendor Member since 2014
Practice Sales
www.sacmag.com
Vendor Member since 2002
Becki Bell, Marketing Director 916.452.6200
Vendor Member since 2014
Media & Advertising HR & Legal
Sacramento Magazine
www.heraeusdentalusa.com
Vendor Member since 2007
Roy Fruehauf, Branch Manager 800.736.4688
Vendor Member since 2015
Patterson Dental
Christina Vetter 408.649.8921
Vendor Member since 2005
Heraeus Kulzer
Mark Lowery, Regional Sales Manager 916.626.3002
Dental
IT, Billing & Security
www.descodentalequipment.com
Henry Schein Dental www.henryschein.com
Practice Services
www.burkhartdental.com
The Foundation for Allied Dental Education LaDonna Drury-Klein 916.357.6680 www.thefade.org
Vendor Member since 2015
www.asimedical.com
Vendor Member since 2010
Tony Vigil, President 916.259.2838
Vendor Member since 2011
DESCO Dental Equipment
Dave Little, Branch Manager 916.784.8200
Vendor Member since 2004
Burkhart Dental Supply
Geary Guy, VP / Steve Shupe, VP 888.928.1068
Vendor Member since 2014
Dental Supplies, Equipment, Repair
Analgesic Services, Inc.
our SDDS Vendor Members!
www.kp28dentallab.com
Chris Stafford 800.733.0633 www.tdicsolutions.com
Marc Davis / Morgan Davis / Lynda Doyle 916.772.4192
Nicole Wells 916.788.4480
www.bluenorthernbuilders.com
www.olsonconstructioninc.com
Vendor Member since 2007
www.wellsconstruction.com
Metal Refining
www.westerncontract.com/studio
This could be you!
Vendor Member since 2004
Wells Construction, Inc.
Claire Blocker 916.202.0624
Vendor Member since 2015
The Dentists Insurance Company
David Olson 209.366.2486
Western Contract
Vendor Member since 2015
Frank Sim 916.247.4072
Vendor Member since 2011
we love
KP28 Dental Laboratory
Olson Construction, Inc.
Blue Northern Builders, Inc.
Vendor Member since 2009
Vendor Member since 2014
www.thepayx.com
www.kaneskiassociates.com
Vendor Member since 2014
www.uptownstudios.net
Vendor Member since 2015
Uptown Studios
916.774.6250 800.316.3129
Star Group Global Refining Jim Ryan, Sales Consultant 800.333.9990 www.stargrouprefining.com
www.sdds.org • December 2015
Vendor Member since 2009
Vendor Member since 2010
Kraig Speckert, President 916.635.8800
Kaneski Associates
Dental Laboratory
www.innovativecpas.com
The Payment Exchange
Tina Reynolds 916.446.1082
www.fechtercpa.com
Insurance Services
Ben Anders, CPA 916.646.8180
John Urrutia, CPA, Partner Chris Mann, CPA, CFP, Partner 916.774.4208
Vendor Member since 2015
Marketing
www.bankofthewest.com
Mann, Urrutia, Nelson, CPAs
www.muncpas.com
Office Construction
Vendor Member since 2005
www.firstus.org
Craig Fechter, CPA 916.333.5360
Innovative Solutions CPAs & Advisors, LLP
First US Community Credit Union Gordon Gerwig, Business Services Mgr 916.576.5650
Fechter & Company
Mary Alajou, VP Sacramento / Butte Area Manager 916.949.2687
Vendor Member since 2013
www.ameripriseadvisors.com
Bank of the West
Vendor Member since 2015
Thomas Chandler 916.789.9393, ext. 03197
Vendor Member since 2015
Financial Services
Ameriprise Financial — The Chandler Group
| 41
Advertiser Index Dental Supplies, Equipment, Repair Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member
Analgesic Services Inc. . . . . . . . . . . . . . . . . . . . . . . . 40 Burkhart Dental Supply. . . . . . . . . . . . . . . . . . . . . . . 40 Desco Dental Equipment. . . . . . . . . . . . . . . . . . . . . . 40 Henry Schein Dental. . . . . . . . . . . . . . . . . . . . . . 30, 40 Heraeus Kulzer. . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Patterson Dental. . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Dental Services Vendor Member
Sacramento Mobile Dental . . . . . . . . . . . . . . . . . . . . 13 Pacific Dental Services. . . . . . . . . . . . . . . . . . . . . . . 40
Education Vendor Member
Sacramento Implant Continuum . . . . . . . . . . . . . . . . 38 Sacramento TMD Orofacial Pain Study Group . . . . . 25 The Foundation for Allied Dental Education. . . . . . . . 40
Financial, Insurance & Investment Services Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member
Ameriprise Financial – The Chandler Group . . . . . . . 41 Bank of the West. . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Fechter & Company. . . . . . . . . . . . . . . . . . . . . . . . . . 41 First US Community Credit Union . . . . . . . . . . . . 26, 41 Innovative Solutions CPAs & Advisors, LLP . . . . . 32, 41 Kaneski Associates . . . . . . . . . . . . . . . . . . . . . . 19, 41 Mann, Urrutia, Nelson, CPAs . . . . . . . . . . . . . . . . . . 41 The Payment Exchange . . . . . . . . . . . . . . . . . . . 32, 41 TDIC & TDIC Insurance Services . . . . . . . . . . . . 34, 41
Human Resources Vendor Member Vendor Member
Happy Holidays! Wishing all of you a Wonderful Holiday Season and Happy New Year. Thank you for all your business and support this past year. Gordon Stevenson, Senior VP
Real Estate Healthcare Specialist Dental/Medical Office Building Sales/Leasing
The Gordon Group Helping Those Who Help Others ♦ 33 Years Real Estate Experience ♦ (UNITED STATES DISABLED VETERAN OWNED BUSINESS)
TRI Commercial 2250 Douglas Blvd., Suite 200, Roseville, CA 95661 (916) 677 - 8150
www.gordongrouphcp.com gstevenson@tricommercial.com BRE Lic. #: 01092461
California Employers Association (CEA) . . . . . . . . . . 40 Resource Staffing Group. . . . . . . . . . . . . . . . . . . . . . 40
IT, Billing & Security Vendor Member Vendor Member
SD Reliance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 xTerraLink, Inc.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Legal Services Vendor Member
The Goldman Law Firm . . . . . . . . . . . . . . . . . . . . . . 42 Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Marketing Vendor Member
Uptown Studios. . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Media & Advertising Vendor Member Vendor Member
Comcast Business. . . . . . . . . . . . . . . . . . . . . . . 25, 40 Sacramento Magazine. . . . . . . . . . . . . . . . . . . . . . . . 40
Office Design & Construction Vendor Member Vendor Member Vendor Member Vendor Member
Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . 26, 41 Olson Construction . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Wells Construction . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Western Contract . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Practice Sales, Lease, Management &/or Consulting Vendor Member Vendor Member
Dental Management Solutions, Inc. . . . . . . . . . . . . . 42 Henry Schein - Wagner . . . . . . . . . . . . . . . . . . . . . . 38 Integrity Practice Sales . . . . . . . . . . . . . . . . . . . . . . . 40 Western Practice Sales . . . . . . . . . . . . . . . . . . . . . 8, 40
Real Estate TRI Commercial . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Waste Management Services Vendor Member
Star Group Global Refining . . . . . . . . . . . . . . . . . . . 41
42 | The Nugget • Sacramento District Dental Society
Contact your Contactus us today today for for your
Complimentary Practice “Check-Up” Onsite, “customized” Just like patients...Everyone needs a check-up! Practice Enhancement Workshop 916.784.6982 • gayles@dmsolutionsinc.com
Classified Ads Employment Opportunities
Practices for Sale
For For Lease Lease
DENTISTS SERVING DENTISTS — Western Practice Sales invites you to visit westernpracticesales.com to view our practices for sale and see why we are the broker of choice in Northern California. Please call 800.641.4179. 03-09 Looking for an ethical and technically sound dentist to join an established general dentistry practice. The position would be full time (32-40 hours per week), but I would entertain part-time as well. The practice just moved into a new office consisting of all state of the art equipment, including CAD/CAM dentistry. Call 858-699-1776 or email drjasoncass@yahoo.com 11/15 WE CATER TO COWARDS. Here at Dental Excellence, we strive to provide the ultimate calm and comforting patient experience. Looking for an associate with 3-5 years of experience. Must have confidence in their skills, gentle touch to accommodate our fearful patients and have a flexible schedule. Must be available to work on Saturdays. Email greenhavendental@ yahoo.com or call 916.395.5700. 06/07-15 WELLSPACE HEALTH ORGANIZATION (an FQHC) is taking applications for fill-in/part-time/full-time dentists. Send your resume/CV to kdubois@wellspacehealth.org. 01/15 DENTIST (MIDTOWN) Our amazing dental practice is in search of an awesome Dentist! We want a committed doctor to join forces and continue to evolve with our devotion to continuing our education! We’ll talk about hours and pay once we read your resume. This is a great opportunity to work in a true team environment. F/T or P/T position. Send us a current resume. Our Musts: High level work ethic and a passion to be a life-long learner. Check us out at DiTomassoDental.com. Send resume to: drpam@ditomassodental.com 10-15 Busy Private practice in El Dorado Hills seeking exceptional, enthusiastic, detail-oriented, pediatric dentist to join our growing team! Please sen CV to dpetersonmsd@gmail.com or fax to 916.941.1443 12-15 Dentist (sacramento/central valley) General DentistAssoc. position- Full or Part time. Excellent opportunity in a premier well established practice in Sac-Fair Oaks area. We need an experienced GP with outstanding people skills to focus on clinical excellence and patient care, supported by a team of highly skilled professionals. The growth potential is Excellent for the right Doctor-- Potential ownership for the future. Please email resume to hofferber@dental-mba.com. Compensation: Based on Skills and Experience. 12-15
SACRAMENTO DENTAL OFFICE BUILDING FOR SALE— 8,000 sq. ft. As is, needs your vision, two stories, elevator, near Arden Mall. Contact Joe Hruban at 530.746.8839 or joe@omni-pg. com, Omni Practice Group #01821307. 08/09-15 ADORABLE OFFICE in Elk Grove. Perfect for beginning or established Dentist. Fully loaded with all equipment and computers. Child friendly, Six chairs. 9340 West Stockton Blvd. Call Holly at 916.684.5456 10-15 YUBA CITY DIGITAL DENTAL OFFICE FOR SALE. Fully equipped 4 operatories, including computers in all rooms, 5th Op possible. Fully Networked together with Server (Dentrix G5). Call Dr. Pelton 218-1052 or tompelton@sbcglobal.net. 12-15C SANTA ROSA GENERAL PRACTICE and real estate offered for sale in well-established condominumized medical/dental complex conveniently located near Memorial Hospital Tastefully decorated with a homey décor, practice occupies 1,200 sq. ft. ~ 3 fully equipped ops, private office, staff lounge, etc. Seller is retiring after almost 20 years but will assist for a smooth transition. Average Gross Receipts $256k with adj. net of approx $110k. Asking price $160k for the practice, and $270k for the real estate. Contact Carroll & Company (650) 362-7004, dental@carrolandco.info. 12-15
Professional Services MONEY IS WALKING OUT THE DOOR. Have implants placed in your office and keep the profits. Text name and address 916.769.1098. 12-14 LEARN HOW TO PLACE IMPLANTS IN YOUR OFFICE OR MINE. Mentoring you at your own pace and skill level. Incredible practice growth. Text name and address to 916.952.1459. 04-12
Design your suite in a state-of-the-art Sacramento building near Watt & El Camino Avenue. FULL FINANCING AVAILABLE for 1750 sf. Come see it! Contact Dr. Favero 916.487.9100. 11/12-15, 01/02/03-16C START YOUR OWN DENTAL PRACTICE without incurring any debt. Sublease available in El Dorado Hills. State of the Art Office, Digital X-rays, everything you need to start seeing patients right away. Call 916.677.7221 for more information. 08/09-15 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 LOCATION, LOCATION, LOCATION: DENTAL OFFICE AVAILABLE, 3000 L Street 1,535 sf with 5 operatories, recently remodeled. Fully serviced lease with ample free parking. Contact Kelly Gorman 916.929.8100. 03-13 SUNRISE DENTAL PLAZA, SUITE #106 FOR LEASE, 7916 Pebble Beach Dr., Citrus Heights. Four operatories and a lab with 1304 square feet. Well established professional dental building. For more information, please call or email Marty at 916.966.5772 or mshep6944@aol.com. 08/09-14 FOR LEASE: One operatory dental suite, corner 39th and J street in desirable East Sacramento. For the dentist easing into retirement. Contact R.J. Frink, M.D. 916-801-5276 1 2-15
EQUIPMENT FOR SALE
Positions wanted CEREC 4.3 Bluecam/milling unit 2012 and Ivoclar Vivadent oven for SALE. Total 200 mills only. Under warranty. Total $70000. CALL 916-920-1170. 12-15C
LOCUM TENENS. UOP grad to work in your office while you are on vacation, sick or maternity leave or emergency. Great references. Please call 530.644.3438. 04-13
Selling your practice? Need an associate? Have office space to lease? SDDS member dentists get one complimentary, professionally related classified ad per year (30 word maximum). For more information on placing a classified ad, please call the SDDS office at 916.446.1227. www.sdds.org • December 2015
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PRSRT STD US POSTAGE PAID PERMIT NO. 557
2035 Hurley Way, Suite 200 • Sacramento, CA 95825 916.446.1211 • www.sdds.org
SACRAMENTO, CA
Address service requested
sdds calendar of events December
January
February
2
Foundation Board Meeting 6:15pm / SDDS Office
4
4
Executive Committee Meeting 7:00am / SDDS Office
12 General Membership Meeting CE Preventing Hospital Acquired Pneumonia...One Clean Mouth at a Time Barbara Quinn, RN Hilton Sacramento Arden West 5:45pm Social / 6:45pm Dinner & Program
Dentists Do Broadway: The Little Mermaid 6:30pm / Sacramento Community Theatre
6
Smiles for Kids Day!
4
Holiday Party 6:00 - 11:00pm / Del Paso Country Club
10 Peer Review Committee Meeting 6:00pm / SDDS Office
24-Jan. 2 SDDS Office Closed
19 Committee Chair Training 6:00pm / SDDS Office
20 HR Webinar
CE
CE
2016 Labor Law Update Mari Bradford, CEA 12:00pm–1:00pm / Home or Office
22 CPR BLS Renewal
18-19 36th Annual MidWinter Convention SDDS Knocks it out of The CE Park! Sacramento Convention Center
CE
8:00am–12:00pm / SDDS Classroom
Midwinter Convention
For more calendar info and to sign up for courses online, visit: www.sdds.org
front office bOOT CAMP
supreme sPEAKERS licensure renewal courses
Lots of CE & 70 Vendors
General Meeting: Hygiene Night 3 ceu, core • $64
Jan
12 tuesday 5:45pm-9pm
Preventing Hospital Acquired Pneumonia... One Clean Mouth at a Time Presented by Barbara Quinn, RN
Bring your hygiene team! (tables reserved for 7 or more)
• Be able to discuss the significance of non-ventilator hospital acquired pneumonia (NV-HAP) in the acute care setting • Be able to identify the most modifiable risk factors for NV-HAP • Be able to recognize medical/dental partnership opportunities for the prevention of NV-HAP
Are you registered for Hygiene Night?
5:45pm: Social & Table Clinics 6:45pm: Dinner & Program Hilton Sacramento Arden West (2200 Harvard Street, Sac)