February 2015 Nugget by Sacramento District Dental Society (SDDS)

the

February 2015

Controlled Drugs The Prescription for Safety & Compliance Inside:

Who are the ‘Shadow Children’?

A PUBLICATION OF THE SACRAMENTO DISTRICT DENTAL SOCIETY

DON’T MISS THESE UPCOMING EVENTS! save the date!

special events Swing for Smiles Golf Tourney

Dental Day at Raley Field!

May 8, 2015

June 18, 2015

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

February 19 & 20, 2015

• cultivate connections!

sacramento convention center

• farm fresh food included!

upcoming general meetings

continuing education 8:30am–1:30pm • SDDS Classroom • 5 CEU, core • $175

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

Guest Night

Practice Team Motivation

Oral Health Does the Heart Good

Presented by: Amy Morgan (Pride Institute)

Presented by: Kimberly S. Newlin, RN, CNS, NP & Toni Adams, RDH, MA

Friday, March 13, 2015

Tuesday, March 10, 2015

• Create a compelling statement of goals for your practice • Learn the key essentials to creating a culture that values team energy • Identify methods of improving performance shortfalls that affect morale • Reward and recognize your team based on performance

• Summarize the links between oral and general health • Acquire strategies to decrease risk of cardiovascular disease

Alma Mater Night X-Rated Imaging Pearls

Presented by: David C. Hatcher, DDS, MSc, MRCD

business forum

Tuesday, April 14, 2015

6:30pm–9:00pm • SDDS Classroom • 2.5 CEU, core • $69

• Be able to recognize key anatomic boundary conditions

The Business of Dentistry

Foundation Night

Presented by: Amy Morgan (Pride Institute)

The Dentists, the Patients, and the Community Presented by: Craig S. Yarborough, DDS, MBA

Tuesday, May 12, 2015 • Challenges facing the new dentist—the profession and their patients

FRIDAY, MAY 8, 2015 •

Thursday, March 12, 2015 • Building your culture based on your values and vision • Matching your goals to your vision • Gaining buy-in from your team by promoting an environment of care and interdependence

annual golf tournament

Annual Golf Tournament to benefit Sacramento District Dental Society's Foundation

May 8, 2015 Empire Ranch Golf Club (Folsom, CA) • 8:00am Shotgun CONTESTS! • DRINKS ON THE COURSE! • RAFFLE PRIZES! • GOLF SOUVENIRS! All SDDS members and their guests are invited! Hope to see you there!

Contents February 2015

COVER IMAGE CREDIT: ISTOCK

FEATURES

VOLUME 61, NUMBER 2

Controlled Substances &

Proper Disposal of

Don’t Be a Pharmacy—

Prescription Writing Gregory Heise, DDS

Controlled Substances Beverly Kodama, DDS

3 Steps to Preventing Abuse & Complying with the Law William E. Frey, DDS

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

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

Awards

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

2007 • Overall Newsletter 2007 • Outstanding Cover 2007 • Golden Pen, honorable mention

Antibiotic Prophylaxis Protocol from

the American Heart Association Nick Rotas, DDS, MS

Specials

18-19 Who are the ‘Shadow Children’? Mitchell A. Goodis, DDS

Meet the 2015 Board of Directors & Committee Chairs

Regulars:

4 5 6 7 9 16 21 22 23

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

25 27 28 29 30 31–33 34 35 36

Board Report Event Highlights We’re Blowing Your Horn! Membership Update Advertiser Index Vendor Members Job Bank Classified Ads SDDS Calendar of Events

Article / series of articles of interest to the profession

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

President’s Message By Viren Patel, DDS 2015 SDDS President

Member Benefit...Again!

intangible aspects of maintaining our practices. In this case, an existing prescription pad law is now being implemented. The secure pads now require a line at the bottom of the pad where the prescriber must write in the number of different drugs ordered on this one page (to prevent patients from adding drugs). This information was passed on to the inquiring dentist and is now available in this issue of The Nugget —another great SDDS member benefit! (See below and throughout this issue for information on handling controlled drugs in the dental office.) 

New line at the end of the prescription pad Prescription is void if the number of drugs prescribed is not noted.

4 | The Nugget • Sacramento District Dental Society

IMAGE CREDIT: RXPAPER.COM

ast year, the Drug Enforcement Agency (DEA) reclassified hydrocodone as a Schedule II drug with all the restrictions and precautions that it entails. The SDDS, however, is “unrestricted” in our ability to help our members stay informed. Just recently, the SDDS office received a call from a dentist who was having an issue with prescriptions being rejected by the pharmacy. The doctor knew to call SDDS to get accurate and expedient information. This is the strength of our organization. We get calls daily to aid our members in dealing with those

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 Guy Acheson, DDS Dean Ahmad, DDS, MS Margaret Delmore, MD, DDS Volki Felahy, DDS Bryan Judd, DDS Beverly Kodama, DDS Lisa Laptalo, DDS Peter Worth, DDS Robert Gillis, DMD, MS Terry Jones, DDS

EXECUTIVE COMMITTEE

BOARD OF DIRECTORS

It’s Time...

By Cathy B. Levering

SDDS Executive Director

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

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

SPECIAL EVENTS OTHER

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.

s the 2015 dues bills are out, members are paying their ADA/CDA and SDDS membership and continuing to ask the question, “what does my membership ‘get’?” The easy answer is member benefits. The harder answer is advocacy. But what does that mean? Of course the global answers are ADA and CDA advocacy and their constant attention to regulations, laws and rules that may help or hinder the members’ ability to own and run their businesses. CDA fought to get a State Dental Director. Some will ask, “How is that going to help YOUR business?” As I write this article, Gov. Jerry Brown’s new budget does not reflect any increases in Denti-Cal funding. That’s sad. SDDS has been actively trying to make our point that something needs to change in Sacramento County and the surrounding counties within our component. Geographic Managed Care (GMC) (the “pilot program” started in 1994!) is ONLY mandatory in Sacramento County. For 10 years we have been gathering information, statistics and data to prove to the State that this program is NOT serving the people of our community the best way it could. Conversely, the reimbursement rates to our doctors continue to be decreased. While Adult Denti-Cal was “brought back” last year, more and more of our member dentists can’t continue to accept Denti-Cal patients because they can’t afford to. With the help of the First 5 Sacramento County Dental Task Force, and specifically Dr. Terry Jones, we will continue to strive to find ways to “fix” this. But, honestly, yesterday’s announcement was disappointing. CDA has jumped in to help as well. While we are fighting this on the local level, it obviously has statewide implications. Dr. Richard Pan, our new State Senator, has been a champion for us in this arena. Last October, he put Director Toby Douglas “on notice” to fix the problem. Douglas assured Dr. Pan (Chair of the Assembly Health Committee) that he would work hard to find an immediate solution. He has now resigned (not because of this, of course), and the new budget showed no progress. So we start again with a new director (two down from the Governor). CDA will continue to fight on our members’ behalf. So will we. But as February begins and our Smiles for Kids project culminates on February 7 with SFK Day, it gives us more information with which to continue our fight. While our numbers aren’t final at this printing, it looks like we screened 25,000 school children this fall—thank you SDDS doctors for helping to screen! We plan to have 24 offices host at least 500 kids FOR FREE and in one day. Thank you SDDS member dentists and staff for giving up your Saturday morning to help these kids who either have no insurance or have “fallen between the cracks.” While this is not a member benefit, per se, it’s a community benefit that our members offer. Community service is a member benefit because it helps the community realize how important, generous and necessary our dental community is. It’s time indeed! 

www.sdds.org • February 2015

VOLUNTEER Opportunities SMILES FOR KIDS

Smiles for Kids Day FEB 7, 2015

VOLUNTEERS NEEDED: Doctors to volunteer on Smiles for Kids Day (February 7, 2015); doctors to “adopt” patients seen on Smiles for Kids Day for follow-up care. CONTACT INFO: SDDS office (916.446.1227 • smilesforkids@sdds.org)

MEMBERSHIP DUES DEADLINE REMINDER March 31: Grace period for dues payment ends (if dues are not yet paid, membership is cancelled and $100 reinstatement fee is required in order to renew)

RENEW TODAY: (800) CDA-SMILE • www.cda.org/member

LINK OF THE

MONTH Interested in Advertising in The Nugget? SDDS members receive a 5% off discount on display ads! See insert to submit • www.sdds.org/advertise

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)

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

THE GATHERING INN VOLUNTEERS NEEDED: Dentists, dental assistants, hygienists and lab participants for onsite clinic. CONTACT INFO: Kathi Webb (916.743.5351 • kwebbft@aol.com) Custom Dental Cabinets and Medical Cabinets

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services available

5% DISCOUNT FOR ALL SDDS MEMBERS

(COALITION FOR CONCERNED MEDICAL PROFESSIONALS)

Plus complimentary CAD drawings with every signed contract

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

6 | The Nugget • Sacramento District Dental Society

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Know

you should

Handling Emergency Schedule II Prescriptions Reprinted with permission from CDA. Following the October 2014 reclassification under federal law of hydrocodone combination products (HCPs) such as Vicodin and Norco from federal Schedule III to federal Schedule II, some dentists report pharmacies refusing to fill emergency prescriptions telephoned in for HCPs, under circumstances in which they may traditionally have been accepted. This article is intended to clarify the state of the law with regard to such HCPs and help dentists understand the requirements and limitations on oral prescriptions for a Schedule II drug. Under both federal* and California law,** the requirements for Schedule II drugs specify that prescribers may only telephone in prescriptions for Schedule II drugs in very limited emergency situations. However, as some differences between federal and California law may be a source of confusion, to ensure a patient’s need for pain medication is met appropriately, dentists should be aware of the following information: With regard to emergency prescriptions, federal law limits its definition of an “emergency situation” authorizing the issuance of an oral prescription for a Schedule II to those situations in which the prescriber determines: • Immediate administration of the controlled substance is necessary for proper treatment of the intended ultimate user. • No appropriate alternative treatment is available, including administration of a nonSchedule II drug. • It is not reasonably possible for the prescribing practitioner to provide a written prescription to be presented to the dispenser, prior to dispensing.

Further, federal law permits a pharmacist to dispense a Schedule II drug based on an oral authorization from a prescriber only when: • The quantity prescribed and dispensed is limited to an amount adequate to treat the patient during the emergency period. • The prescription is immediately reduced to writing by the pharmacist and contains all the legally required information. • The prescriber is either already known to the pharmacist or the pharmacist makes a reasonable effort to determine that the oral authorization came from an authorized prescriber, which may include calling back the prescriber or other efforts to verify identity. • Within seven days after authorizing an emergency oral prescription, the prescriber delivers (or mails) a paper or electronic prescription for the emergency quantity prescribed to the dispensing pharmacist that, in addition to conforming to the other requirements, must have written on its face “Authorization for Emergency Dispensing” and the date of the oral order.

The pharmacist must notify the Drug Enforcement Administration (DEA) if the prescriber fails to deliver the paper or electronic prescription in a timely manner, and failure by the pharmacist to do so renders the prescription invalid. California law on emergency dispensing for Schedule II drugs is similar to the federal requirements, and dentists should also be aware of the emergency dispensing limits that apply under state law. For instance, California law defines an emergency justifying dispensing pursuant to an emergency oral prescription

for a Schedule II drug only “… where failure to issue a prescription may result in loss of life or intense suffering …” With the increasing scrutiny of opioid abuse, the pharmacy profession, which is regulated by the California Board of Pharmacy, has been charged with enforcing its responsibility to reduce the use of addictive substances, and interprets narrowly the circumstances where “intense suffering” may require a Schedule II prescription; this has historically been primarily limited to patients in hospice care and in skilled nursing and long-term care facilities. This may result in the pharmacist who receives a call from a dentist for an emergency Schedule II prescription counseling the prescriber on other options for pain relief that are not Schedule II. When an emergency prescription is accepted by the pharmacist, it is similarly subject to several stringent requirements under California law, including that the pharmacy reduces any oral order to hard copy form prior to dispensing the controlled substance and that the prescriber provides a written prescription on a controlled substance prescription form that meets state requirements, by the seventh day following the oral order. California law also requires the pharmacy to notify the Department of Justice in writing within 144 hours of a prescriber’s failure to supply the required follow-up written prescription. Dentists should anticipate these new barriers to prescribing emergency pain relief to patients using Schedule II drugs and should make every attempt possible to provide the patient with a written prescription. As a last result, if a dentist must telephone in a prescription for a Schedule II drug, the prescriber should provide only the number of pills required to address the emergency, be prepared to explain to the pharmacist how the failure to provide a patient with the drug is medically necessary and/or may result in intense suffering, why a written prescription is not possible, and assure the pharmacist that a written prescription that complies with all requirements will follow within seven days. A dentist should also consider the effectiveness of prescribing a Schedule III drug instead and is encouraged to talk with pharmacist colleagues about any new contemporary pain relief medications that may fit the patient’s circumstance. If a pharmacy refuses to fill a prescription for what you believe is an emergency that meets the standards as outlined in state law, please report the incident to CDA Practice Support at 800.232.7645. CDA continues to discuss the situation with the California Board of Pharmacy and California Pharmacists Association. *21 CFR § 290.10, and 21 CFR § 1306.11(d) ** California Health and Safety Code section 11167 

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

www.sdds.org • February 2015

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From the Editor’s Desk Controlled Drugs

By Bevan Richardson, DDS

Editor Emeritus (Not yet “posthumous”)

In Your Dental Office Twenty years ago, I put together a number of contributors to address this very topic. As I looked back through our history, I felt that this was an issue we could revisit with the same authors, repeating what we had said earlier, to a mostly new audience. I contacted each of those authors and sent them a copy of their earlier research, asking them for permission to re-publish each piece. Each of these authors got back to me, after doing a little new research, and informed me that everything had changed.

or the most part, major changes. In fact, one author was not inclined to try to dredge up all the new variances that have been created. Not only had these issues changed in the last 20 years, but it is more than likely that all of these issues have changed a number of times in the last 20 years. We shouldn’t be expected to keep up with the ever-changing whims of those who make the rules, but in fact, we are expected to do just that. One of our contributors, as you will see, discovered that on a particular topic, there is a federal guideline that differs from the California guideline, which differs from our own ADA directive on the same subject. Good luck with that. He advised me that, at this current time, CDA is trying to get state and federal minds together to come up with common ground. Good luck with that also. We all need to be mindful of the impact our own Dental Board of California (DBC) can have on your practice of

dentistry. In the event that you have a complaint against your office, the DBC can come in and investigate all aspects from of your practice. None of us is perfect, and there are a number of unknown the inside, as we are, issues that you can be accused of. The will be at greater risk best defense, of course, is a good offense. If you keep all of your patients happy by of incurring problems doing good work and correcting your with authorities. own mistakes (we all make them), then there will be no reason for anyone to investigate your practice. And, I will say, since you are a member in good standing with organized dentistry, you are aware of best practices and the potential for a peer review. You probably already know how to protect yourself. Those who are not informed from the inside, as we are, will be at greater risk of incurring problems with authorities.

Those who are not informed

On a personal note, I have been an editor with SDDS for about 25 years. Along the way I was advised that I was going to be referred to as “Editor Emeritus” on our Nugget masthead. As I stood to respond to the unexpected title, my wife, who was sitting with me said, “Aren’t you glad it isn’t “Editor Posthumous?” Indeed I was. And I am still trying not to achieve that alternative title. 

Do you “like” us? www.facebook.com/sddsandf www.sdds.org • February 2015

CONTROLLED SUBSTANCES

Controlled Substances & Prescription Writing

By Gregory Heise, DDS

he Controlled Substance Act of 1970 controls the distribution of depressant and stimulant drugs, (e.g., opiates, barbiturates and amphetamines), and other drugs, which the Drug Enforcement Agency (DEA) designates as having potential for abuse. This act defined five categories of drugs based on their potential for abuse, medical usefulness and the degree to which they may lead to physical or psychological dependence. Classification of Controlled Substances: Category: 1. High abuse potential: Available only for approved research. Examples include heroin and LSD. The risk of creating drug resistant micro-organisms, or creating an anaphylactic experience, may outweigh the possible benefits of pre-medicating. 2. High abuse potential: May lead to severe physical or psychological dependence. Prescriptions must be written in ink or typewritten and signed by the practitioner on a secure blank form. Verbal prescriptions must be confirmed in writing within 72 hours and used only in a

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

The Controlled Substance Act of 1970 controls the distribution of depressant and stimulant drugs and other drugs, which the DEA designates as having potential for abuse. This act defined five categories of drugs based on their potential for abuse, medical usefulness and the degree to which they may lead to physical and psychological dependence.

genuine emergency. The recent DEA reclassification of hydrocodone-containing medications as a Schedule II drug has generated much controversy and confusion. Several dental journals have recently published articles stating that in an emergency situation, prescribers may phone in a prescription. The problem is what defines an emergency. The federal and state governments have slightly different definitions. Pharmacists are under pressure from the California Pharmacy Board to adhere to the strictest definition, which defines an emergency as an end of life emergency situation. The California Pharmacy Association and California Dental Association are now aware of this and working together to issue a joint statement of agreement. This is expected to be made in February 2015. No renewals are allowed. Examples include norco, Percocet, morphine and Demerol. 3. Some potential for abuse: Use may lead to low-moderate physical dependence or high psychological dependence. Prescriptions may be oral or written. Up to five renewals are permitted within six months. Examples include Tylenol #3, (codeine). 4. Low potential for abuse: Use may lead to limited physical or psychological dependence. Prescriptions may be oral and/or written. Up to five renewals are permitted within six months. Examples include Valium and phenobarbital. Following the advice of the patient’s cardiologist would supercede a risk that a treating dentist would otherwise want to avoid. 5. Low potential for abuse: Subject to state or local regulation a prescription may not be required. Examples include codeine 200 mg.

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In order to prescribe controlled substances, the licensed practitioner must register with the DEA. A DEA license is issued to the individual’s name under one address. If this practitioner has additional offices, they may write or phone in prescriptions for Category III through V drugs. Category II drugs require a secure blank form, which includes among other things the category of professional licensure and the address registered with DEA; therefore, Category II drugs may only be written from the facility that is on file with a DEA. Furthermore, if a practitioner is administering or dispensing medications, each location must be registered. If you are not administering or dispensing from your second office, a second DEA license is not necessary for that office. Prescription pads may be preprinted for use when prescribing Category III through V drugs with the practitioner’s name and address. The DEA number does not have to be printed on prescriptions as long as it is on file with the pharmacy they utilize. However, pharmacists prefer the DEA number and even the NPI number to be printed on prescription.

The DEA offers the following suggestions for writing prescriptions for controlled substances: 1. Keep prescription blanks in a safe place where they cannot be stolen easily. Minimize the number of prescription pads in use. 2. Write prescription orders for schedule II drugs in ink or indelible pencil, or use a typewriter. They must be signed by the clinician. Prescribing controlled substances by telephone is discouraged unless the patient is familiar or the validity of request can be substantiated. 3. Write out the actual amount prescribed in addition to giving an Arabic number or Roman numeral, in order to discourage the alteration of prescription orders. 4. Avoid writing prescription orders for large quantities of medications, especially controlled drugs, unless it is determined that such quantities are necessary. 5. Maintain just a minimum stock of controlled drugs in the office, only if you must have them. 6. Keep all controlled drugs under lock. 7. Be cautious when the patient says that another clinician has been prescribing a specific controlled drug product or claims that only one product works for him or her. Consult the clinician or the hospital records or else examine the patient thoroughly and decide independently if the drug product should be prescribed. 8. Prescription blanks should be used only for writing prescription orders, not for notes or memos. A drug abuser could easily erase the message and use the blank to forge a prescription order. 9. Never sign prescription blanks in advance. 10. Maintain an accurate record of controlled drug products that have been dispensed or administered as required by the Controlled Substances Act of 1970 and its regulations. 11. Assist the pharmacist who telephones in verifying information about a prescription order. A corresponding responsibility rests with the pharmacist who dispenses the prescribed medication. 12. Telephone the nearest office of the DEA to obtain or to furnish information. Calls will be held in the strictest confidence.  www.sdds.org • February 2015

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CONTROLLED SUBSTANCES

By Beverly Kodama, DDS

Proper Disposal

Of Controlled Substances In December of 1995, I wrote an article regarding the proper disposal of controlled medications. Though some of the points I made at that time are still salient, some things have changed. One of the changes regards the recent reclassification of hydrocodone and other pain medications to Schedule II medications.

disposal is to use an approved disposal company, which is a reverse distribution industry.

On Oct. 17, 2014, the DEA sent a letter to health care practitioners, basically stating that that pharmaceutical waste should be properly recorded, stored, and destroyed in accordance with DEA regulations and all other applicable laws and regulations. The DEA registrant shall not place remaining, unusable controlled substance in a collection receptacle (the trash) as a means of disposal.

12 | The Nugget • Sacramento District Dental Society

The required means of disposal is to use an approved disposal company, which is a reverse distribution industry. I contacted the company that I referenced in the 1995 article. “EXP” does still provide this service. I spoke at length with VP of Corporate Operations Mark Harvey who is extremely knowledgeable regarding this subject. The company has moved and is now in the Bay area. EXP has forms for drug disposal, which can be downloaded at www.expworld.com. Harvey also suggested that dentists could call EXP Inside Sale Coordinator Kaiser Shah who handles accounts and is a liaison to help out with the appropriate documents. Seventyfive percent of EXP’s client base is composed of hospitals, independent pharmacies, surgicenters, medical and dental offices. Any questions that Shah cannot answer may be answered by a local DEA field office, DEA Diversion Control, Liaison and Policy section at 1.202.307.7297. 

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The required means of

nother area of concern is the disposal of out-of-date or unwanted controlled substances. The Drug Enforcement Agency (DEA) no longer accepts the return of drug wastes or expired medications. The California State Board of Pharmacy has not made a ruling for drug “take back.” This differs from a recent American Dental Association (ADA) article that stated that an option for hospitals and clinics with on-site pharmacies could have collection receptacles or voluntary mail-back programs according with the DEA rule. Apparently, this is not the rule presently used by California.

CONTROLLED SUBSTANCES

Don’t Be a Pharmacy—

3 Steps to Preventing Abuse & Complying with the Law

he subpoena arrived the same day our editor called and asked me to contribute to this issue of The Nugget. One of the people I had worked with had been arrested and charged with falsely obtaining drugs that come under the jurisdiction of the Controlled Substances Act. There isn’t any doubt that the potential for abuse of these agents in dental practices is high, I just never thought that it would come this close to directly affecting me. The challenge for us, of course, is to continue to provide our patients with appropriate care, including the provision of these drugs as needed, and also to know and follow the laws so we can protect ourselves from potential investigation and enforcement actions of governmental agencies, such as the California Dental Board and the Drug Enforcement Agency. In preparation for this article, I reviewed a number of the investigated cases and the role of each of these agencies. It soon became ap-

parent that there are three big steps that each of us can take to help prevent abuse and, at the same time, comply with the rules and regulations applicable to our profession. Step One The first of these steps is to resist the temptation to run a pharmacy in your office. Just as there is a Dental Practice Act that establishes the rules and regulations affecting the practice of dentistry in our state, there is also a similar set of laws applicable to pharmacy. Most of us haven’t a clue as to these regulations. For instance, who may dispense of medications? Did you know that a controlled substance can be handed to the patient only by the dentist and not by an assistant or other auxiliary? Do you know how to properly label containers and keep records or did you know that a Schedule II drug may not be dispensed in more than a 72-hour supply from our office supplies? We avoid a whole array of problems and headaches if we leave the pharmacy business to the pharmacists.

By William E. Frey, DDS

Step Two The second step is to prescribe only for those conditions that you are treating and are licensed to treat. This seems self-evident on the surface, but what would you do if one of your employees with a physician’s prescription for norco to treat a non-dental condition asked you to fill the script from your office supply, or to order the drug from a wholesale distributor or to call in the script in your name? If you do any of these, it can be interpreted that you are now treating the condition for which the physician prescribed the medication. Step Three The third step is to install a system in your office to limit phone-in prescriptions from your office. Phone-in prescriptions for Type II medications are no longer allowed. Phonein prescriptions for antibiotic medications are still allowed. 

annual golf tournament TO BENEFIT THE SDDS FOUNDATION

FRIDAY:

May 8, 2015

Empire Ranch Golf Course (Folsom, CA)

Bring your foursome! • Become a sponsor! • See insert to sign up! www.sdds.org • February 2015

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CONTROLLED SUBSTANCES

Antibiotic Prophylaxis Protocol

By Nick Rotas, DDS, MS

From the American Heart Association It was concluded that antibiotic treatments prior to most dental procedures were unnecessary and ineffectual regarding infective endocarditis.

he protocols listed here were developed by the American Heart Association (AHA) and adopted by the American Dental Association (ADA) in April of 2007. It was concluded that antibiotic treatments prior to most dental procedures were unnecessary and ineffectual regarding infective endocarditis. Determinations stated were as follows: 1. During dental procedures, antibiotic prophylaxis may prevent only an extremely small number of cases of infective endocarditis. It is understood that under all circumstances, antibiotic prophylaxis is not 100 percent effective. 2. The risk of creating drug resistant microorganisms, or creating an anaphylactic experience, may outweigh the possible benefits of pre-medicating. 3. The potential for infective endocarditis is far more likely to occur from bacteria released during daily hygiene events, such as brushing, flossing, or from blowing your nose and also from having hemorrhoids. Daily bacterial incursions outside of dentistry are said to be as much as 5.6 million times greater than during a single tooth extraction. 4. The AHA guidelines emphasize that maintaining optimal oral health and practicing daily oral hygiene are more important in reducing the risk of endocarditis than taking preventive antibiotics before a dental visit. 5. Antibiotic prophylaxis should be recommended only for patients with underlying cardiac conditions associated with the highest risk of adverse outcome from infective endocarditis.

14 | The Nugget • Sacramento District Dental Society

6. Following the advice of the patient’s cardiologist would supercede a risk that a treating dentist would otherwise want to avoid. 7. Those people with preexisting conditions calling for antibiotic prophylaxis do exist however. They are those with: a). an artificial cardiac valve; b). a previous experience with infective endocarditis; c). congenital heart conditions, including valves, shunts and prosthetic materials; and/or d). cardiac transplant. Antibiotic prophylaxis for dental patients with total joint replacement: The ADA and the American Academy of Orthopedic Surgeons (AAOS), in 2012, released the first co-developed evidencebased guideline on the prevention of orthopedic implant infection in patients undergoing dental procedures. The review at that time, found no direct evidence that dental procedures cause orthopedic implant infections. However:

Patients’ preference or physicians’ preference should have a substantial influencing role in this decision. There are some patients at increased risk of hematogenous total joint infection: If the patient is immunocompromised or immunosuppressed; or if the patient is insulin dependent with type 1 diabetes; or has had previous prosthetic joint infection; or is malnourished, hemophilic, obese, or a smoker; consideration should be given to prophylactic protection. Again, the patient’s orthopedic surgeon may make the determination regarding premedication. 

Converge Medical Solutions offers online as well as onsite infection control, workplace safety and “CAL-OSHA” compliance trainings, which includes continuing education units for our clients.

ber mem fit bene

30% DISCOUNT on full service waste & compliance program for SDDS members.

Normally $270; now $189 per month (Includes complete OSHA Compliance Training, Bi-Monthly BioWaste pick-up & ONE 5-gallon Amalgam disposal service annually)

20% OFF off all services and products

Thank You! Sacramento Dental Society Dennis Nelson, CPA

Neil Beeman, CPA

It is both with excitement and regret that I write this to the Society. I have been looking for someone with high professional standards to take over my practice. I wanted someone who is highly personable and who adheres to professional tax and accounting standards and is familiar with the unique needs of a dentist.

I am pleased to say that I have found that “someone” in Neil Beeman, a partner with the firm of Mann, Urrutia, Nelson CPAs (MUN CPAs). Neil, will work with you on your tax and accounting needs, as well as my current staff, who are also part of this transition.

I am confident your tax and accounting needs will be well taken care of as well as the high-quality service you deserve.

Thank you for all the years! Dennis Nelson

MANN • URRUTIA • NELSON CPAs & ASSOCIATES, LLP Roseville, Glendale & Tahoe Offices WWW.MUNDENTAL.COM

CPAS SPECIALIZING IN THE DENTAL INDUSTRY 916-774-4208

www.sdds.org • February 2015

| 15

Foundation of the Sacramento

Smiles For Kids Day is February 7, 2015!

District Dental Society Lots to be t hankful for!

Grants, crowns, supplies, dedicated Board Members, and volunteers!

Thank you!

Grants received to support the SDDS Foundation for Smiles for Kids and Smiles for BIG Kids!

Smiles for Kids®

SDDS FOUNDATION

2015 BOARD

Kevin Keating, DDS, MS President

Victor Hawkins, DDS Vice President

Robert Daby, DDS Treasurer

Nancy Archibald, DDS Secretary

Adrian Carrington, DDS Steve Cavagnolo, DDS Kent Daft, DDS Debra Finney, MS, DDS Kelly Giannetti, DMD, MS Robert Gillis, DMD, MSD Beverly Kodama, DDS Dennis Peterson, DDS Kathi Webb

SACRAMENTO DISTRICT DENTAL FOUNDATION DOES…

Thank you!

for supporting Crowns for Kids

WITH YOUR HELP, THE CROWNS FOR KIDS PROGRAM HAS RAISED

$200,000

IN DONATIONS FOR SMILES FOR KIDS!

MARCH 18, 2015 SEE INSERT TO SIGN UP!

16 | The Nugget • Sacramento District Dental Society

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annual rebate for 3 years!* Call your Patterso branch for more n details!

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www.sdds.org • February 2015

| 17

Who are the ‘Shadow Children’?

A Plea to Provide Care to the Overlooked and Underserved Last year’s Smiles for Kids Day presented me with the opportunity to briefly look into the lives of “shadow children in El Dorado. Our county employs a significant number of what we term “the working poor.” Of these, some are illegal immigrants who came to America seeking respite from lawlessness, violence, drug crime, poverty, and lack of opportunity for their children. They work in low paying jobs for minimal pay and get by on a day to day basis. They pick our grapes, pack our vegetables, and trim our gardens. By Mitchell A. Goodis, DDS

iving significantly below the poverty level, most receive Denti-Cal for emergency services only. Their children, brought to the U.S. at a young age, are illegal immigrants and live in the shadows of our society. They speak English, listen to pop music, attend our schools, and dress and think just like the children of American citizens, but they are not. They are without status. They live in the shadows and we see them in the dental clinic when they have an abscess or are in pain. Often they have had teeth removed without space maintainers being placed. They may have extreme crowding, but orthodontic care is out of their reach. They have loving parents

18 | The Nugget • Sacramento District Dental Society

and suffer not from neglect, but rather from inability to afford care. So Smiles for Kids Day was approaching and we contacted a teacher at a local elementary school in the foothills. She, in turn, contacted a parents group and within a few hours, our schedule for Smiles for Kids Day was filled. “Wow!” I thought, “Some of these kids are coming out of the shadows!” I spread the word to my staff and asked for volunteers to work on Saturday, offering them nothing more in compensation than the warm smiles of the children and their parents. The word definitely did get out. Twice as many as scheduled showed up at the clinic door. We saw them all!

A CHARITABLE 501-C3 ORGANIZATION Almost our entire staff participated, ready and willing to work. And work they did. Isabel Garcia, RDA and Amparo Lopez, RDA did cleanings. Malia Jackson, DA, Dalia Lopez, DA (our Pre-Dental Student) and Martha Pliego, DA, took radiographs. Lupita Gonzalez, RDA, ran the front desk, and Marina Gonzalez, RDAEF2, was kept busy placing restorations. We took radiographs, cleaned teeth, did restorations, extracted teeth, placed space maintainers, gave OHI, and wrote prescriptions for fluoride. Each of my staff members thanked me for giving them the opportunity to give back to the community. For a brief moment, we brought these kids out of the shadows and into the light. Of the more than 12 million illegal immigrants live in the U.S., many are children, brought here by parents whose only hope is that their children will have opportunities that were not available to them. Our representatives in Washington are busily debating the status of these kids, allowing them only basic emergency services from our medical support system. Immigration

bills are being developed that will give these children more than bare bones status for medical or dental care and help lift them out of the shadows. None, however, have passed. President Obama supports immigration reform. To immigrant families, he has said, “You can come out of the Shadows.” However, even his recent executive action allowing migrants to work legally without the fear of deportation had not addressed extending health benefits to undocumented indigent children.

For a brief moment, we brought these kids out of the shadows and into the light.

While Congress continues to debate reform, they quietly continue as ‘shadow children’ and wait. And wait. On Smiles for Kids Day, I had the opportunity to look into their eyes and their lives for a brief moment. In that time, I realized how much we (dentists, physicians, and politicians) have yet to do to make lasting positive changes in the lives of these children. The day ended. The children smiled at me and quietly slipped back into the shadows. 

Left: Martha Pliego-Lopez, DA takes radiographs on Fatima Talavera at Diamond Springs Dental Center on Smiles for Kids Day 2014.

We look forward to another year of Smiles for Kids on February 7, 2015!

Above: Eva Talavera receives a cleaning from Isabel Garcia, RDA, while mom and her sister look on.

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www.sdds.org • February 2015

| 19

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20 | The Nugget • Sacramento District Dental Society

YOU

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

THE DENTIST, THE EMPLOYER

law information pertinent to you —

BER MEM IT! F E N BE

Spring Cleaning Means

Cleaning Up Your Handbook!

the dentist, the employer.

SDDS HR Hotline FREE TO SDDS MEMBERS!

1.800.399.5331

By Mari Bradford, CEA Regional Director and “HR Hotline Lady” California Employers Association (CEA)

he start of the new year is a great time to ramp up your HR best practices so that you have a fun, successful, and violation free year! One of the best things you can do for your dental practice is ensure that your employee handbook is up to date with the most current laws and regulations. Did you know that SDDS has a sample employee handbook that was created specifically for dental offices? This userfriendly handbook has every policy already written for you by the team at the California Employers Association (CEA), our HR Hotline partner. All you need to do is a some minor customization for your office and you will have a complete employee handbook that contains all the required policies from At-Will, to Harassment and Discrimination Prevention, Paid Sick Leave and Environmental Workplace policies. And that is just a quick sample of the great policies contained in this easy to use, Microsoft Word template. Just call SDDS to order your copy today and you will be on the road to HR compliance before you know it!

Do you already have an SDDS handbook? If so, it’s time for an update. Each year CEA compiles a list of the handbook changes that are made to the template. You can access a copy of the updated changes below and

2. Moved a statement from the PTO/Vacation section to the our Company section.

SDDS has a sample employee handbook that was created specifically for dental offices?

3. Rewrote the Benefits Section to include Paid Sick Leave.

simply cut and paste in to your handbook and you can be up to date. Below is a list of the revisions that were made from the 2014 to the 2015 CEA Sample Employee Handbook for you to reference. You can find the details regarding all changes on the CEA website at employers.org. We strongly encourage you to review your handbook annually. We also encourage you to attend one of our 2015 Labor Law Updates in person or attend the webinar to ensure you are in compliance with the new laws.

6:30pm–9:00pm • SDDS Classroom • 2.5 CEU, core • $69

The Business of Dentistry Thursday, March 12, 2015

1. Added details to the Harassment Free Workplace (bulleted section).

Did you know does that

business forum

Presented by: Amy Morgan (Pride Institute)

If you have any questions regarding your handbook, or need assistance assembling it, please contact the SDDS HR Hotline at 800399-5331, and we will be happy to help you.

4. Renamed Volunteer Firefighters, Volunteer Peace Officers and Volunteer Emergency Rescue Section. 5. Deleted language from the Electronic Communication Section. 6. Arbitration – deleted verbiage from handbook. Please consult legal counsel for arbitration assistance. 7. Amended the Drug Free Workplace policy. 8. Updated the Acknowledgement form. 

SEE INSERT TO ORDER YOUR 2015 EMPLOYEE HANDBOOK!

continuing education 8:30am–1:30pm • SDDS Classroom • 5 CEU, core • $175

Practice Team Motivation Presented by: Amy Morgan (Pride Institute)

Friday, March 13, 2015 www.sdds.org • February 2015

| 21

YOU

THE DENTIST, THE BUSINESS OWNER

YOU ARE A DENTIST. You’ve been to school, taken your Boards and settled into practice. End of story? Not quite. Are you up to speed on tax laws, potential deductions and other important business issues? In this monthly column, we will offer information pertinent to you, the dentist as the business owner.

Business Plan Key

For Dental Practice Success

By CDA Practice Support

A dentist’s business plan is a critical tool for starting a practice. It provides the blueprint for how the dentist will establish a successful practice and it demonstrates to a lender how well they have researched and thought out the necessary elements of a practice.

he real value of creating a business plan for a dentist, however, lies in the simple process of researching and thinking about their business in a systematic way.

supply companies, dental practice brokers and practice management consultants) in researching information to include in their business plan.

“The act of planning helps you to think things through thoroughly, study and research if you are not sure of the facts, and look at your ideas critically. It takes time now, but avoids costly, perhaps disastrous, mistakes later,” said Michael Perry, DDS, former chairman of the CDA Practice Support Task Force.

Aside from this assistance, CDA Practice Support has a business plan template available to member dentists at cda.org/ practicesupport that is modifiable to fit their particular circumstance.

The act of planning helps you to think things through thoroughly, study and research if you are not sure of the facts, and look at your ideas critically.

“It typically takes several weeks to complete a good plan. Most of that time is spent in research and rethinking your ideas and assumptions,” Perry said. “Be sure to keep detailed notes on your sources of information and on the assumptions underlying your financial data.” CDA’s business plan template was developed from information provided by SCORE “Counselors to America’s Small Business” and CDA member dentists. The business plan template includes the following: • Cash flow statement sheet;

A business plan should consist of a narrative and several financial worksheets. The narrative template is the body of the business plan and can contain more than 150 questions divided into several sections. Perry recommends that dentists seek professional assistance (from financial companies, dental

• Profit and loss outline; • Break-even analysis; • Projected balance sheet; • Four-year profit projection sheet; • Opening day balance sheet; and • A start-up expenses sheet.

22 | The Nugget • Sacramento District Dental Society

“All of these resources will help dentists get their practice on a path toward success,” Perry said. Some dentists may want to use their business plan to present to lenders. If that is the case, CDA Practice Support recommends the dentist include the following: • Amount of the loan; • How the funds will be used; • What this will accomplish and how it will make the business stronger; • Requested repayment terms (number of years to repay); • Collateral offered; and • A list of all existing liens against collateral.

“You can use the business plan annually to check attainment of practice goals. It’s a good idea to update the plan every five to ten years to account for either changes in the market, changes in community demographics, or changes you want to make to your practice goals and objectives,” Perry said.  For more information, visit cda.org/ practicesupport, or to connect with a CDA Practice Support content expert, call 866.232.6362.

Committee Corner By Kelly Giannetti, DMD, MS

Putting Together

2014 SDDS President

The Little Pieces of ‘Why’ Being involved in SDDS has been more fun than I could have ever imagined. WHY? Because of all of you.

y favorite part of participating in organized dentistry has been getting to know and work with passionate and bright people who love dentistry and know WHY they do what they do. Everyone has his or her own personal WHY, but we can all agree that the reason we wake up every morning is to help the oral health of the community. By getting involved, we support and inspire one another so that we can best serve. We grow by learning from the diverse array of perspectives that we bring to the table--all coming together to achieve one set of goals. So what does getting involved involve?

Overall, there is too much for just one person to take on. So we divide all that needs to be done into a lot of little pieces. We do this so that no one commitment will be overwhelming in terms of responsibility and time. Some roles only involve three to four meetings a year and these are great ways to get your feet wet. As one’s experience grows in group dynamics, then we welcome you to break off a larger piece and into a leadership role. The Leadership Development Committee will meet during the next couple of months to develop candidates for the various “pieces” in our Society. With your help, this process

will result in a complete, strategic and inspiring work of art. So if you are interested in getting involved, this is a chance to try it out and explore your WHY even more. I am confident that you too will discover how fun being involved can be. To get involved in SDDS, please fill out the nomination form and submit it by FEBRUARY 15, 2015. We look forward to seeing you and to all your perspectives as we work together to grow our profession and serve our community. 

2015 SDDS Committee Schedule TASK FORCES

ADVISORY COMMITTEES

LEADERSHIP

STANDING COMMITTEES

1T1B (6:15pm)

Amalgam Advisory

Board of Directors (6:00pm) March 3 • May 5 • Sept 1 • Nov 3

CPR (6:00pm) April 18 • May 18 • Aug 7 • Nov 6

CE (6:15pm)

Budget and Finance

Executive Committee (7:00am)

Ethics (6:15pm)

Feb 3

Feb 4

GMC Denti-Cal Schedule as needed

Schedule as needed Schedule as needed

Bylaws

Schedule as needed

Large Group Practice/ Corporate (6:00pm)

Fluoridation

Feb 3

Legislative (6:00pm)

Schedule as needed

Social Media (6:00pm)

Meeting Dates TBA

WORKGROUPS

Mass Disaster/ Forensics (6:30pm)

Feb 9

Dental Careers Schedule as needed

Geriatric Outreach Schedule as needed

April 21 • Oct 26

Feb 13 • April 17 • Aug 14 • Oct 9 FOUNDATION

Foundation Board (6:15pm) Feb 9 • May 19 • Sept 14 • Dec 2

Golf Tournament (6:00pm) March 9

OTHER

Membership (6:30pm)

March 16 • May 26 • Sept 14 • Nov 18

Leadership Development (6:00pm)

Feb 3 • March 9 • TBA

Peer Review (6:00pm) March 18 • April 16 • May 20 July 15 • Aug 20 • Sept 16 Oct 15 • Nov 18 • Dec 10

Sac Pac

Nugget Editorial (6:15pm)

Schedule as needed

Strategic Planning

Sep 28 • Oct 7

May 18 • Oct 26

May 5 • Oct 27

CDA Delegates (6:00pm)

Schedule as needed

www.sdds.org • February 2015

| 23

2015 SDDS EXECUTIVE COMMITTEE &

BOARD OF DIRECTORS

EXECUTIVE COMMITTEE

EX-OFFICIO

EX-OFFICIO:

Carl Hillendahl, DDS Editor (2015)

Cathy Levering Executive Director Trustees: President

Immediate Past President

President Elect/Treasurer

Secretary

Viren Patel, DDS

Kelly Giannetti, DMD, MS

Wallace Bellamy, DMD

Nancy Archibald, DDS

Robert Gillis, DMD, MSD Terrence Jones, DDS

BOARD OF DIRECTORS Guy Acheson, DDS

Dean Ahmad, DDS, MS

Margaret Delmore, MD, DDS

General Practitioner

Periodontist

Oral & Maxillofacial Surgeon

SDDS Member since 1983

SDDS Member since 2004

SDDS Member since 1992

Volki Felahy, DDS

Lisa Laptalo, DMD

Bryan Judd, DDS

General Practitioner

SDDS Member since 2002

SDDS Member since 2007

SDDS Member since 1985

Beverly Kodama, DDS

Peter Worth, DDS

General Practitioner

Orthodontist

SDDS Member since 1983

SDDS Member since 1977

2015 SDDS

COMMITTEE CHAIRS STANDING COMMITTEES

ADVISORY COMMITTEES

CPR Greg Heise, DDS

Amalgam Wai Chan, DDS / Viren Patel, DDS

Ethics Jagdev Heir, DMD, MD

Budget & Finance Wallace Bellamy, DMD

Membership Kristen Adams, DDS

Bylaws Kelly Giannetti, DMD, MS

Leadership Development Kelly Giannetti, DMD, MS

Fluoridation Kim Wallace, DDS / Rick Kennedy, DDS

Peer Review Brett Peterson, DDS WORKGROUPS Dental Careers Workgroup Robin Berrin, DDS

Legislative Steve Leighty, DDS Mass Disaster/Forensics Mark Porco, DDS Nugget Editorial Carl Hillendahl, DDS

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

Strategic Planning Wallace Bellamy, DMD / Nancy Archibald, DDS TASK FORCES 1T1B Medical Outreach Guy Acheson, DDS Continuing Education Nancy Archibald, DDS GMC Denti-Cal Terry Jones, DDS / Warren McWilliams, DDS Large Group Practice Peter Worth, DDS Social Media Kristen Adams, DDS / Bryan Judd, DDS

SPECIAL EVENTS / OTHER Golf Tournament Damon Szymanowski, DMD SacPAC Matt Campbell, Jr, DDS Smiles for Kids Donald Rollofson, DMD

Board Report Respectfully Submitted by Nancy Archibald, DDS Secretary

January 6, 2015 Highlights of the Board Meeting Call to Order

New Business

President Dr. Viren Patel called the first meeting of the new year to order at 6:15 p.m.; no conflicts of interest were disclosed.

• Board liaisons and task force chairs were appointed, as well as area representatives (for the counties of Sacramento, Placer, Yolo, Amador and El Dorado).

Secretary’s Report Dr. Nancy Archibald reported the following: • Our membership market share is currently down slightly from our previous report because CDA added nonmembers from the Dental Board list to the database of nonmembers. That has caused our market share of what was 79.8 percent to drop to 78 percent. Cathy is working with CDA to verify the new additions, since our nonmember lists were all verified early in the fall. We currently have 55 DHP members.

Treasurer’s Report Dr. Wallace Bellamy reported the following: • The 2014 fiscal year will end well; our income was right on target and our expenses were less than projected. Membership continues to be high and our dues have not been raised in several years. No dues increase is expected.

members serving on various committees, task forces, etc. That’s 28 percent of our active membership—THAT IS HUGE! (hand clap emoticon for us!)

• Task Forces for 2015: 1. Large Group Practice / Corporate Dentistry Task Force (Dr. Peter Worth,Chair) 2. Social Media Task Force (Drs. Bryan Judd & Kristen Adams, Co-chairs) 3. CE Task Force / Focus Group (Nancy Archibald, Chair) 4. GMC/Denti-Cal Task Force (Dr. Guy Acheson will be Co-chair with Dr. Warren McWilliams and will serve as the Board liaison)

Old Business • Dr. Carl Hillendahl was appointed as Editor-in-Chief for 2015 (He’s not “old”; the subject was old because it was carried over from the November Board meeting!).

Executive Director’s Report Cathy Levering reported on the following:

• Staff: The Board welcomed new staff member, Delia Ramirez, to the SDDS staff. She will be working with SFK and is a member liaison for events and registrations.

Trustee Report Dr. Terry Jones reported on the following: • The CDA is working on the final stages of the development of The Dentist Service Company (TDSC); they will present the business plan to the HOD. Note: TDSC is already a legal for-profit entity. The CDA trustees voted to move the practice advising and practice support programs and expenses to TDSC. The practice advisory section of TDSC will charge clients. The practice support center and its material will remain a free member benefit.

Adjournment The meeting was adjourned at 8:30 p.m. Next Board Meeting: March 3, 2015 at 6 p.m.

• Committee schedules and member placement: We currently have 350

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.

www.sdds.org • February 2015

| 25

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

General Meeting

January 13, 2015 | Hygiene Night | Prognosis for the Periodontally Compromised Tooth

3 7

65 8

1 Drs. Ken Frostad (left) and Matt Comfort. 2 Dr. Viren Patel (left) and Dr. Bevan Richardson (right) present Carrington College graduate Laura Neiss with the SDDS Hygiene Award.

3 4 5 6

Dr. Jon Fuiks and Dr. Jeanette Okazaki. Dr. Diana Fat (middle) with her staff. Dr. Terry Jones (left) presents Dr. Richard Pan with the 2014 Helen Andrus Award. Dr. James Musser, recipient of the 2014 Presidentâ&#x20AC;&#x2122;s Award, was gifted a framed cover of the November issue of The Nugget to thank him for his 10 years as Editor-in-Chief.

7 Rashida Lilani (right) of Vendor Member Lilani Wealth Management and her assistant. 8 Dr. Nancy Archibald (center) with new members Drs. Tim Carpenter and Monica Crooks. 9 Dr. Herb Jensen has a laugh. 10 Speaker Dr. Thomas Kepic (left) and his son Michael Kepic.

Next General Membership Meeting: March 10, 2015

See General Meeting insert or go to sdds.org to sign up! www.sdds.org â&#x20AC;˘ February 2015

| 27

We’re Blowing

Your Horn!

The Dental Equipment Specialists

Join us to celebrate the G of Sacramento’s first a stand alone Dental S

Congratulations to...

The Dental Showroom is a collabo Desco Dental Equipment, CMT Co Healthcare Cabinet Company.

Desco and Healthcare Cabinet Company (both SDDS Vendor Members) on the grand opening of their new all-inclusive, stand alone dental showroom. An open house celebration will be held on Feb. 5, 2015 from 5-9 p.m. at 3517 Marconi Ave., Suite 100, Sacramento. (1)

This is the first of its kind showroom

Dennis Nelson, CPA (SDDS Vendor Member) on his retirement, and to Neil Beeman, CPA, and Mann, Urrutia, Nelson, CPAs who bought his practice!

Meet with a general contractor, a c ufacturer and a dental equipment s one roof.

Stephen Giannetti (husband of Dr. Kelly Giannetti) on his art exhibition from April 11-May 23 in the Jay Jay Art Gallery at 5520 Elvas Avenue, Sacramento. (2)

See different finishes and floor See different cabinet configura See multiple dental equipment

SDDS on being named an “Outstanding Organization” by the Del E. Webb Foundation (DEWF). To receive this honor, in the last 10 years the organization must have had at least one grant unanimously approved by all DEWF board members. Yay for Smiles for Big Kids! 

1 Where: 3517 Marconi Ave., Suite 100 Sacramento, CA 95816

28 | The Nugget • Sacramento District Dental Society

Food, drink, raffle drawings ●

Please RSVP to: 91

Feb

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

New Members MONICA CROOKS, DDS

General Practitioner 931 Howe Avenue Sacramento, CA 95825 916.922.2027

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

Welcome Back!

General Practitioner 2335 American River Drive, Suite 307 Sacramento, CA 95825 916.929.0331

Dr. Grant Irwin graduated from Loma Linda University in 1984. He currently practices in Sacramento and resides in Folsom. Welcome back Dr. Irwin!

PRASHANT POPALI, DDS

Transferred from Butte-Sierra District Dental Society General Practitioner 89 Putnam Way Arbuckle, CA 95912 415.297.6589 Dr. Prashant Poplai graduated from UCSF School of Dentistry in 2013. He currently practices in Arbuckle and resides in Sacramento

Back in time…

KEEP US

UPDATED! Moving? Opening a new office?

Can you identify this SDDS Member? The first SDDS member to call the SDDS office (916.446.1227) with the correct answer wins $10 OFF their next General Meeting registration. Only the winner will be notified. Member cannot identify oneself.

Offering new services?

WATCH FOR THE ANSWER IN THE MARCH 2015 NUGGET!

Share your information with the Society!

Answer from the January 2015 issue: Dr. John Anderson

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

Give us a call at (916) 446-1227

2015

SHIKHA RATHI, BDS, MS

Welcome Back!

Dr. Monica Crooks graduated from UCLA School of Dentistry in 1980 with her DDS. Dr. Crooks currently practices in Sacramento and resides in Granite Bay. Fun fact: Dr. Crooks is a backup singer in a band by the name of Flight 19. Rock on Dr. Crooks!

GRANT IRWIN, DDS

FEBRUARY

Oral & Maxillofacial Radiology 2110 Professional Drive, Suite 101 Roseville, CA 95661 916.788.2620 Dr. Shikha Rathi graduated from D.Y. Patil in India in 2004 with her BDS. In 2008 she obtained her MS from the University of Texas HSC at San Antonio in 2011. She currently practices and resides in Roseville.

Fun fact: Dr. Rathi just recently moved from Texas to the Roseville area. She enjoys biking, hiking, skiing and exploring the region.

Pending Applicants FRANK CHEN, DDS AMANDA CHEN, DDS REGINALD FULFORD, DDS MICHEAL KUCSERA, DDS THUY NGA VU, DDS BABAK PAHLAVAN, DDS JONAH RASKIN, DDS MITCHEL RUFFMAN, DDS KIMBERLY WHIPPY, DDS

TOTAL MEMBERSHIP (AS OF 1/14/15): 1,622 TOTAL ACTIVE MEMBERS: 1,296 TOTAL RETIRED: 240 TOTAL DUAL MEMBERS: 4 TOTAL AFFILIATE MEMBERS: 8 TOTAL STUDENT/PROVISIONAL MEMBERS: 10 TOTAL APPLICANTS: 9 TOTAL DHP MEMBERS: 55 DROPPED FOR NON-PAYMENT OF DUES: 59

MARKET SHARE: 78%

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

In Memoriam JUANITA LYN “COOKIE” ALIOTO (IVOCLAR VIVADENT) Juanita Lyn “Cookie” passed away Nov. 25, 2014. She was born in Heidelberg, Germany and lived most of her life as a California resident. She had a long career in the dental industry and was most recently an accomplished sales representative for Ivoclar Vivadent. She was registered as an exhibitor next MidWinter. We will surely miss her. www.sdds.org • February 2015

| 29

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

Benco Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30, 32 Burkhart Dental Supply . . . . . . . . . . . . . . . . . . . . . 17, 32 DESCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28, 32 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Patterson Dental . . . . . . . . . . . . . . . . . . . . . . . . . 17, 32 Procter & Gamble Distributing Co (Crest / Oral B). . . . 32

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

Bank of the West . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Dennis Nelson, CPA . . . . . . . . . . . . . . . . . . . . . . . . . 15 Fechter & Company, CPAs . . . . . . . . . . . . . . . . . 34, 32 Financial Management Associates, LLC. . . . . . . . . . 32 First U.S. Community Credit Union . . . . . . . . . . . . . 32 Innovative Solutions CPAs & Advisors LLP . . . . . . . . . 32 Mann, Urrutia & Nelson, CPAs . . . . . . . . . . . 15, 26, 32 TDIC & TDIC Insurance Services . . . . . . . . . . . . . . 8, 33 Union Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Vendor Member Wells Fargo Bank . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Financial & Investment Services Vendor Member Consolidated Pension Consultants, Inc. . . . . . . . . . . . 32 Vendor Member Lilani Wealth Management. . . . . . . . . . . . . . . . . . . . . . 31

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

Legal Services Vendor Member Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

The Goldman Law Firm. . . . . . . . . . . . . . . . . . . . . . . . 6

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

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

Publications & Media Vendor Member Sacramento Magazine . . . . . . . . . . . . . . . . . . . . 31, 33

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

Technology / HIPAA Compliance Vendor Member Pact-One . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Vendor Member xTerraLink, Inc . . . . . . . . . . . . . . . . . . . . . . . . . . . 20, 33

Technology & Media Vendor Member Comcast Business . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Vendor Member iHeartMEDIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Waste Management Services Vendor Member Converge Medical Solutions, LLC . . . . . . . . . . . . 15, 33 Vendor Member Star Group Dental Refining . . . . . . . . . . . . . . . . . . 17, 33

30 | The Nugget • Sacramento District Dental Society

philanthropy environment smile dentist’s desk reference

dreams continuous

improvement continuing education

service

supplies bencoNET

ideas

excellence

bluchip rewards

the centerpoint experience

value

success

painless web

stakeholders

sustainability

family

digital x-ray suite

associates

responsibility

trust

bencolab

Practice Support

growth customer

benco rep

accountability

Vendor Member Henry Schein Wagner . . . . . . . . . . . . . . . . . . . . . . . . . 30 Vendor Member Integrity Practice Sales . . . . . . . . . . . . . . . . . . . . . . . . .31 Vendor Member Western Practice Sales . . . . . . . . . . . . . . . . . 20, 31, 33

friendly

choice

Practice Sales, Lease, Management &/or Consulting

We deliver success smile after smile®

vision

Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . 26, 33 Healthcare Cabinet Co. . . . . . . . . . . . . . . . . . . . . . 6, 33 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Olson Construction, Inc. . . . . . . . . . . . . . . . . . . . . . 33 Wells Construction. . . . . . . . . . . . . . . . . . . . . . . . . . . 33

incisal edge

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

equipment reinvestment

practice coaching

partnership

big big deals

technology preventive maintenance

office design goals

boosters

customer satisfaction services

success scorecard

At Benco Dental, we work hard to produce innovative products and services that help our customers stay one step ahead. We’re proud to offer dentists more equipment and supply options than any national dental company. Our mission is to provide dentists with everything they need to achieve their goals.

That’s the Benco Difference. Rocklin Showroom 6560 Lonetree Blvd, Suite 100 Rocklin, CA 95765 916.788.1776

BENCO.COM

•

1.800.GO.BENCO

VENDOR MEMBER SPOTLIGHTS:

Western Practice Sales is the only brokerage firm that represents Sellers and locates Buyers throughout California, Nevada and Arizona, operating out of a main Corporate Office in Northern California.

Products & Services: We are the largest dental practice broker in the Western United States, with a Buyer database over 6,000 strong. Bypassing older, more established firms through a steady stream of referrals and a commitment to excellence keeps us in Good Standing with Sellers throughout the region.

Benefits, Services, Special Pricing and/or Discounts Extended to SDDS Members: We bring a critical inside perspective to the table, when dealing with Buyers and Sellers by understanding the different practice complexities, personalities, strengths and weaknesses of one practice over another. Tim Giroux, DDS, President (530) 218-8968 cell wps@succeed.net

Sacramento Magazine is more than an expression of the community it serves. For 40 years, Sacramento magazine has been committed to chronicling the past, present and future development of this vibrant region with an experienced editorial team, signature events, media partnerships and innumerable charity sponsorships.

Service Packages Include: Monthly city regional magazine. Print subscribers also have free access to our digital edition and iPad app. sacmag.com/ digital-edition Becki Bell, Marketing Director (916) 452-6200, ext. 3031 becki@sacmag.com Joe Chiodo, Co-Publisher (916) 452-6200, ext. 3039 jchiodo@sacmag.com www.sacmag.com

Jon Noble, MBA (916) 531-9004 cell wps@succeed.net 415 Century Park Drive, Suite B, Yuba City, CA 95991 Phone: (800) 641-4179 â&#x20AC;˘ Fax: (530) 674-9765 www.westernpracticesales.com

Integrity Practice Sales Brian Flanagan & Kirsi Kilpelanien 855.337.4337 www.integritypracticesales.com

www.sdds.org â&#x20AC;˘ February 2015

VENDOR A / SINCE 2014

Lori Grbac, Account Manager 916.576.2131 www.iHeartMedia.com

Practice Sales

iHeartMEDIA VENDOR A / SINCE 2014

Rashida Lilani 916.782.7752 www.lilaniwealthmanagement.com

Radio/Advertising

Lilani Wealth Management VENDOR A / SINCE 2014

Financial Services

NEW VENDOR MEMBERS!

| 31

Kyra Gauldin, Operations 916.784.8200 www.burkhartdental.com

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

DESCO Dental Equipment

Henry Schein Dental

Tony Vigil, President 916.259.2838 www.descodentalequipment.com

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

VENDOR A / SINCE 2012

Crest / Oral B

DENTAL

VENDOR A / SINCE 2011

Robert Kiddoo — Regional Manager 800.462.3626 www.benco.com

VENDOR B / SINCE 2005

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

VENDOR B / SINCE 2013

Burkhart Dental Supply

VENDOR B / SINCE 2004

Benco Dental

VENDOR B / SINCE 2002

Dental Supplies, Equipment, Repair & Labs

Analgesic Services, Inc.

The Dental Equipment Specialists

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

32 | The Nugget • Sacramento District Dental Society

Craig Fechter, CPA 916.333.5360 www.fechtercpa.com

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

VENDOR A / SINCE 2014

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

VENDOR A / SINCE 2014

xTerraLink, Inc.

VENDOR MEMBER SUPPORT KEEPS YOUR DUES LOW! Vendor Members support Sacramento District Dental Society through advertising, special discounts to members, table clinics and exhibitor space at SDDS events. SDDS members are encouraged to support our Vendor Members as OFTEN AS POSSIBLE when looking for products and services. For more information on the Vendor Membership Program, visit www.sdds.org/vendor_member.htm

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

VENDOR A / SINCE 2010

Financial Management Associates, LLC

Fechter & Company VENDOR A / SINCE 2009

Dennis Gacutan, President 916.646.4900 cpc@cpctpa.com

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

VENDOR A / SINCE 2005

Consolidated Pension Consultants, Inc.

Bank of the West VENDOR A / SINCE 2013

Ben Anders, CPA 916.646.8180 www.innovativecpas.com

THIS COULD BE YOU!

www.descodentalequipment.com

VENDOR A / SINCE 2014

Innovative Solutions CPAs & Advisors, LLP

4095 Del Mar Ave. #13 Rocklin, CA 95677

VENDOR B/ SINCE 2011

Financial & Insurance Services

James Ryan 800.736.4688 www.pattersondental.com

VENDOR A / SINCE 2003

Patterson Dental

IT & HIPAA Compliance

916-624-2800 800-649-6999

SD Reliance Management

Debbie Kemper 916.993.4182 www.resourcestaff.com

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

Mark Movassate 408.436.2000 www.convergemedical.com

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

VENDOR A / SINCE 2013 VENDOR B / SINCE 2014 VENDOR A / SINCE 2007

Practice Sales

Western Practice Sales

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

Star Group Global Refining VENDOR A / SINCE 2014

Waste Management

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

Converge Medical Solutions, LLC

VENDOR A / SINCE 2014

Resource Staffing Group

PACT-ONE Solutions

VENDOR B / SINCE 2002

VENDOR A / SINCE 2010 VENDOR A / SINCE 2004

David Olson 209.366.2486 www.olsonconstructioninc.com

Technology /Telecom

VENDOR A / SINCE 2007

Nicole Wells 916.788.4480 www.wellsconstruction.com

Olson Construction, Inc.

VENDOR B / SINCE 2003

Practice Management

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

Wells Construction, Inc.

THIS COULD BE YOU!

VENDOR B / SINCE 2013

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

Becki Bell, Marketing Director 916.452.6200 www.sacmag.com

VENDOR A / SINCE 2014

Blue Northern Builders, Inc.

Sacramento Magazine

Jim Ryan, Sales Consultant 800.333.9990 www.stargrouprefining.com

www.sdds.org • February 2015

VENDOR A / SINCE 2009

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

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

Media & Marketing

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

VENDOR A / SINCE 2010

Wood & Delgado VENDOR B / SINCE 2004

CA Employers Association

Healthcare Cabinet Co.

Technology

Lydia Ramirez, Vice President 916.321.3145 www.unionbank.com

VENDOR A / SINCE 2011

Chris Stafford 800.733.0633 www.tdicsolutions.com

Wells Fargo Bank

Union Bank

VENDOR B / SINCE 2011

Financial, Cont’d HR & Legal Office Construction

The Dentists Insurance Company

| 33

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

ASSOCIATE POSITIONS AVAILABLE Rina Ambaram, DDS • Sacramento • part/Wed • GP Jeffrey Chantry, DDS • Elk Grove • full • GP Chapa-De Indian Health Program • Grass Valley • part/on call • OS/GP George Chen, DDS • Folsom • part • GP Reuben Clark, DDS • El Dorado • part • GP CommuniCare Health Centers • Yolo County • on call • GP Grant Irwin, DDS • Sacramento • part/full • Endo/Ortho/Perio Sukhjeet Kaur, DDS • Sacramento • part/full • GP Neelofar Khan, DDS • Sacramento • part/full • GP Kids Care Dental • Sacramento • part • Pedo/GP Make a Smile Dental • Multiple Locations • full • Pedo Alex Moradzadeh, DDS • Sacramento • part/full • GP/Endo/Pedo/OS Sacramento City College • Sacramento• GP Brian Steele, DDS • Sacramento/Placerville • full • GP Yusuke Suzuki, DMD • Lodi • part • GP Hoang Truong, DDS • Sacramento • part • GP Steven Tsuchida, DDS • Elk Grove • part • OS/Ortho/Endo Clifford Wong, DMD, MSD • Rocklin • part • Endo DOCS SEEKING EMPLOYMENT Russell Anders, DDS • temp/ fill-in work; M-F • GP Andrea Azevedo, DDS, MPH • part; 1-2days/wk. • GP & Pedo Randy Davey, DDS • full • GP Shahryar Khodai, DDS • part/full (Mondays and Thursdays) • GP Steve Murphy, DMD • part/full • Endo Sadia Niazi, DDS, MMSc • part • Ortho Harpreet Tiwana, DDS • part/full • GP Ronald Rott, DDS • part • Perio Michael Sunwoo, DDS • full • Ortho Harpreet Tiwana, DDS • full/part • GP Gary Vedenoff, DDS • part (Wed, Fri, Sat) • GP Brandon Webb, DDS • part/full • Endo DOCS LOOKING TO BUY A PRACTICE Ryan Hecht, DMD, MS • Folsom, Sacramento, Roseville • Ortho Shahryar Khodai, DDS • Sacramento • GP Richard Nichols, DDS • Davis, Woodland, Winters • GP Oladimeji Sorunke, BDS • Sacramento • GP For contact information of any of the job bankers listed below please check our website at www.sdds.org.

34 | The Nugget • Sacramento District Dental Society

Classified Ads EMPLOYMENT OPPORTUNITIES

PRACTICES FOR SALE

FOR LEASE

REGISTERED DENTAL ASSISTANT needed in Grass Valley, CA – This is a F/T benefited position. For a not-profit community health clinic providing to Native Americans and the economically disadvantaged. Visit www.Chapa-De.org /jobs or Email resume to HR@chapa-de.org. 2-15

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

DENTAL OFFICE SUBLEASE AVAILABLE IN EL DORADO HILLS. Incredible opportunity to start your own practice without incurring tremendous debt. Fully furnished with state-of-theart equipment. Perfect for general dentist or pediatric dental specialist. Call 916.622.9707 for more details. 02-15

PART-TIME ORAL& MAXILLOFACIAL SURGEON NEEDED–2 days a week. Tuesday in Grass Valley and Wednesday in Auburn. For a non-profit community health clinic providing care to Native Americans and the economically disadvantaged. Visit www. Chapa-de.org/jobs or Email resume to HR@chapa-de.org. 2-15 ON-CALL DENTISTS NEEDED –to help fill in at clinics in Grass Valley, CA and in Auburn, CA. For a non-profit community health clinic providing care to Native Americans and the economically disadvantaged. Visit www.Chapa-de.org/jobs or Email resume to HR@chapa-de.org. 2/15 GENERAL/PEDIATRIC — Kids Care Dental seeks another Super Star DDS to join our amazing team. Specialists or generals who love working with kids welcome. Non-traumatic philosophy focuses on superior customer service and exceptional patient care. A great place to practice, with great people, and great pay. Beautiful private offices (no govt or HMO) with amazing teams and a culture that can’t be beat! Patients love us. Come find out why! Email dboyes@kidscaredentalgroup.com. 08/09-14

SACRAMENTO DENTAL OFFICE/CONDO FOR SALE— Equipped. Great Start up or Satellite Space. 3 Ops with office could be plumbed for a 4th 1,200 Sq. ft. $235,000. Arden Mall. Contact Joe Hruban at 530.746.8839 or joe@omni-pg. 11-14 com, Omni Practice Group #01821307.

POSITIONS WANTED

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

EQUIPMENT FOR SALE

GENERAL DENTIST NEEDED, SACRAMENTO, CA. Excellent opportunity in an established, growing office that needs general dentists to join our team. F/T, P/T and days are flexible. Experienced preferred. denise@hdgdentalcare.com. 12/14

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

JUST MOVED—selling equipment that didn’t make the move: Pelton crane chairs, lights, Gendex X-ray unit, lab equipment and other miscellaneous items. Please call 916.443-8908 or 916.215.5834 for more information. 01-15 ARUS DENTAL CHAIR LIKE NEW. Applicable for all patient treatment. Tan, flawless, and immediately available. Asking $1400. Inquire at confirm@bingsonwongdds.com for pix and 02-15-C questions. BRAND NEW CAVITRON PLUS ultrasonic scaling unit in unopened box. Tap-on wireless foot pedal and Steri-mate 12-14 handpiece included. $2,000. Call 530.622.6370.

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.

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 10-11 Street. Please call for details: (916) 448-5702. LOCATION, LOCATION, LOCATION: DENTAL OFFICE AVAILABLE, 3000 L Street 1,535 sf with 5 operatories, recently remodeled. Fully serviced lease with ample free parking. Contact Kelly Gorman (916) 929-8100. 03-13 EL CAMINO DENTAL BUILDING has one beautiful suite for lease. 5 ops - 1441 sq ft. Completely remodeled with new flooring and laminate cabinets. Please contact Dr. Gordon Douglas at 04-14 (916) 483-4964. SUNRISE DENTAL PLAZA, SUITE #106 FOR LEASE, 7916 Pebble Beach Dr., Citrus Heights. Four operatories and a lab with 1304 square feet. Well established professional dental building. For more information, please call or email Marty at (916) 966-5772 or mshep6944@aol.com. 08/09-14 5-STAR, AD A-COMPLIANT, COUNTRY CLUB DENTAL BUILDING premium location, 1901 Watt Ave. Rare opportunity for space. Design your success for 3 modern, open operatories, plus private, dental treatment room. Air and vacuum ready for hook up. Call 916.225.8768. Email evangelinmiller@gmail.com. 02-15

The SDDS LCD projector is available for rent!

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

SDDS member dentists can place classified ads

FOR FREE! See insert to submit ad!

MEMB E BENEF R IT!

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 FEBRUARY

9 Foundation Board Meeting

3 Large Group Practice/Corporate Dentistry Task Force Meeting

13 Executive Committee Meeting

6:15pm / SDDS Office 7:00am / SDDS Office

6:00pm / SDDS Office

Leadership Development Meeting 6:00pm / SDDS Office

1st Tooth OR 1st Birthday Meeting 6:15pm / SDDS Office

4 CE Focus Group/Task Force Meeting

19-20 35th Annual MidWinter Convention Fresh from the SDDS Farm! Sacramento Convention Center

MARCH 3 SDDS Board of Directors Meeting

6:15pm / SDDS Office

6:00pm / SDDS Office

7 Smiles for Kids Day!

6:00pm / SDDS Office

12 Business Forum How to Work “ON” the Business CE while Working “IN” Your Business 6:30pm–9:00pm / SDDS Classroom 13 Continuing Education Practice Team Motivation 8:30am–1:30pm / SDDS Classroom

9 Leadership Development Meeting

9 Social Media Task Force Meeting 6:00pm / SDDS Office

10 General Membership Meeting Oral Health Does the Heart Good Kimberly S. Newlin, RN, CNS, NP CE & Toni Adams, RDH, MA Guest Night 5:45pm Social / 6:45pm Dinner & Program Hilton Sacramento Arden West

Golf Tourney Committee Meeting 6:00pm / SDDS Office

save the date!

EARN

CE UNITS!

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

February 19 & 20, 2015

• cultivate connections!

sacramento convention center

• farm fresh food included!

March 10, 2015:

Oral Health Does the Heart Good

LEARNING OBJECTIVES:

Presented by: Kimberly S. Newlin, RN, CNS, NP & Toni Adams, RDH, MA

• Summarize the links between oral and general health

• Review evidence of the relationship between oral and cardiovascular health • Identify CVD patients who need prophylactic antibiotics prior to dental procedures

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

• Understand modifications for dental patients taking anticoagulant and antiplatelet medications • Acquire education strategies to decrease risk of cardiovascular disease This program reviews the relationship between poor oral health and cardiovascular disease, as well as the interrelationships with diabetes and the obstructive sleep apnea.

MARCH GENERAL MEMBERSHIP MEETING: GUEST NIGHT BRING A GUEST!

GUEST NIGHT