December 2010 Nugget by Sacramento District Dental Society (SDDS)

December 2010

Under the Boardwalk Down by the C-E (E-E-E)

31st Annual SDDS MidWinter Convention February 3â&#x20AC;&#x201C;4, 2011 Sacramento Convention Center

Last Chance don’t miss these upcoming events!

to sign up at Regular Price! continuing education

cpr renewal course

November 5, 2010

November 6, 2010

Midwinter

Registration

Please print clearly

8:30am–12:30pm • 4 ceu, Core “Esthetics in Action” Sutter general hospital — Clinical Techniques, , Core To avoid duplication, either fax (916.447.3818) CE OR mail your registration form. One registration form Cancer Center (buhler building) & Technology perMaterials attendee (photocopy if necessary). Please print clearly. This information will be used to print name badges. Presented by: Ross Nash, DDS Attendee Name:

Win the battle against Member Dentist’s Name: biofilm: Leverage the Office Address: of ultrasonics power City: Presented by: Karen Hays, RDH

Title/Degree:

ADA #:

CE, Co

general meeting State:

Zip:

Fax: Email: November 9, 2010 target: Staff Mandatory creating systems for success CE, 20% Nigh t! FEESPresented (circle the rate for the above attendee) Jameson, CEO, Regular Onsite by: Cathy Patient First — (on Group or before JAN. 21) (after JAN. 21) Includes Food! Jameson Mgmt Full convention Maximize Every Interaction! registration includes: Dentists (ADA Members) $379 $399 Presented by: Dentists (ADA Members) — One Day Only Esthetics $295 $325 Course Objectives: Debbie• Castagna Moore All food& Virginia and refreshments Thursday ONLY Friday ONLY • Achieve color changes which look SDDS DHP Members $159 $179 realistic and satisfy the patient • All courses Auxiliary/Spouse (ADA Member*) $179 $199 Course Objectives: • Close spaces and perform “instant * if doctor is attending orthodontics” • Expo floor fullabout access • Get patients excited what you Auxiliary/Spouse (ADA Member**) $199 $219 have to offer ** if doctor is NOT attending Course Objectives: Ultrasonics • How that excitement leads to referrals Dentist (Non-ADA Members) $800 $900 REFUND/CANCELLATION POLICY: Cancellations received in • Compare and contrast the three • Deepen the enjoyment the less work writing by January 7, 2011 will receive ain full refund $25 per E’s(ofofNon-ADA hand, sonic and ultrasonic Auxiliary/Spouse Member) $350 $400 you do registrant processing fee. Cancellations received after this date are instrumentation techniques: $275 Lab Technicians $299 nonrefundable, but substitutions will be allowed. There will be no effectiveness, efficiency, ergonomics 6:00pm–9:00pm • 2 ceu, Core refund for “No Shows” or for registrations made after this date. Expo Only — 2 days (ADA Members) Meals complimentary complimentary NOT Sacramento Hilton — Arden West • Differentiate Th 2:00–5:30pm • Fr 8:00–10:30am the advantages and limitations included of the various Expo Only (Non-ADA Members) which drive power $125/day $150/day technologies scaling units Phone: On

PAYMENT METHOD:

Check Enclosed

Course Objectives: on Target • Maintain practice management systems that will help you Card #: have a smooth running and profitable business Cardholder Name: • Understand your role as a leader in the practice Billing Address:

Bill Me (SDDS Members only)

MasterCard

Visa

TOTAL: $

HR audio conference -

Exp. Date:

November 17, 2010

3-digit Security Code:

Investigating Employee

8:30am–1:30pm • 5 ceu (4 Core, 1 20%) Misconduct Please make checks payable to Sacramento District Dental Society (SDDS) Hyatt Regency thSacramento 915 28 Street • Sacramento, CA 95816 • 916.446.1227 ph by: CA • 916.447.3818 • www.sdds.org Presented Employersfx Association Noon–1:00pm • 1 ceu, 20% in your own office!

Confirmations, course information and other convention correspondence will be sent via EMAIL.

Dec 2010 Nugget

SDDS MidWinter Convention 2011

Table of Contents

THE NUGGET

December 2010 Volume 56, Number 10

Features 7

Principle-Based Dentistry to Achieve Restorative Success Michael Miyasaki, DDS

Chewing Your Life Away Lane Thomsen, DDS

Attend the Risk Management Seminar: Good Intentions, Bad Outcomes TDIC Staff

A Look at Aphthous Ulcers Lane Thomsen, DDS

Your Lease: It May Be the Most Important Document of Your Dental Practice Bette Robin, DDS, JD

Specials 15

Notice: Amalgam Separators Update

16–17

Tax Planning: Year End Considerations Craig R. Fechter, CPA (Fechter & Company, CPAs — SDDS Vendor Member)

19–23

MidWinter 2011 Course Descriptions

Thank You, 2011 MidWinter Convention Sponsors!

UC Davis Internship and Career Center Andrea Hanson and Janice Morand (Coordinators, Health and Biological Services, UC Davis Internship and Career Center)

30–31

Collateral Damage: How Fallout from Adult Methamphetamine Use Affects Children Alex Faigen (Pre-dental Student, Edinboro Univ. of Pennsylvania) Mitchell Goodis, DDS, Lt Col, USAF (ret)

Reduce Your Chances of a Tax Audit John Urrutia, CPA (Mann, Urrutia, Nelson, CPAs — SDDS Vendor Member)

Regulars 4 5 6 8 13 15 17 25 28 32 33 32–33 34–35 35 36 38 40–41 42 43 44 www.sdds.org

President’s Message From the Editor’s Desk Cathy’s Corner Our Condolences Board Report Trustee Report In Memoriam Foundation Update YOU: The Dentist… the Employer YOU: The Dentist… the Business Owner Link of the Month Committee Corner Vendor Members Vendor Member Spotlights Advertiser Index We’re Blowing Your Horn! Membership Update Event Highlights Classified Ads SDDS Calendar of Events

The Nugget is a four-time International College of Dentists Journalism Award Winner: Golden Pen (Honorable Mention, 2007) Article or series of articles of interest to the profession

Outstanding Cover (2007) Remarkable cover

Overall Newsletter (2007) Exceptional publication overall

Platinum Pencil (2010) Outstanding use of graphics

= MidWinter Topic

December November 2010 2007 | 3| 3

President’s Message December December is a wonderful month; the days are short, the nights are long, there are lots of parties and celebrations with tempting food and treats and plenty of gifts both given and received. December is also a time for reflection; a time to look back both on time past and forward on time yet to be. This venue, the President’s Message, has provided the opportunity for me to share my personal perspectives on SDDS matters and, as this year comes to a close, I wish to thank you for that opportunity. It has been an honor to serve as the President of our Dental Society, and these President’s Messages, spotlighting my individual voice are an exception in an organization that depends on the group. As President, I’m keenly aware of the debt of gratitude I owe so many dedicated people who helped make SDDS such a strong, successful organization. In this last message I deliver as President, I want to seize this opportunity to extend my thanks.

SDDS is a strong and respected organization because over 80% of all the practicing dentists in our five county region decided to join. We believe that these 1600 member dentists take pride in our shared profession and see the advantage of strength in numbers. We see that advantage as well. In countless meetings this year with members of the Sacramento City Council and the Board of Supervisors, I have witnessed first hand the respect SDDS is S THE 31ST shown. Our opinion matters in our community DWINTER because we do not go to these meetings alone… N & EXPO you go with us. Thank you.E E

By Terrence W. Jones, DDS the various Ad Hoc and Advisory groups such as Dental Careers Workgroup, Budget and Finance Bylaws, Forensics, Strategic Planning, Legislative, Golf Tournament, Smiles for Kids, SacPAC and our Foundation form the backbone

In countless meetings this year with members of the Sacramento City Council and the Board of Supervisors, I have witnessed first hand the respect SDDS is shown. of our organization. As you can see, we have many committees, each committee has many volunteers and each volunteer matters because the more voices we hear the better we can meet your needs. Thank you for volunteering.

UNDER THE BOARDWALK

Critical to the success of our many committees is the leadership provided by our committee chairs. They are knowledgeable and experienced, familiar with the issues discussed. Their leadership this year was greatly appreciated and proved particularly effective. Drs. Jonathan Szymanowski, Margaret Delmore, Dean Ahmad, Jay Henneberry, Adrian Carrington, Jennifer Goss, Bryan Judd and Brett Peterson. Thank you for your service.

SDDS is a strong and respected organization because so many of you have volunteered to serve on our committees. These committees: Continuing Education, CPR, Dental Health, Ethics, Foundation, Leadership Development, Legislative, Membership, Peer Review as well as

SDDS is a strong and effective organization because of the quality of its Board of Directors. The Board of Directors is responsible for all action of our Society. Their dedication and commitment, their attention to detail ensured that our society lived its mission: to serve its members and enhance the oral health of the community. This year our Board

31st annual SDDS MidWinter Convention

February 3–4, 2011 4 | The Nugget

members included Drs. Matt Comfort, Kelly Giannetti, Dan Haberman, Carl Hillendahl, Craig Johnson, Ken Moore, Viren Patel, Jeff Rosa, Brian Royse, and Kim Wallace. Thank you for your guidance. A select group of the Board is our Executive Committee. This group includes President-Elect Wai Chan, Immediate Past President Adrian Carrington, Treasurer Vic Hawkins, Secretary Gary Ackerman, our Editor Jim Musser and our Trustees Don Rollofson and Kevin Keating. I have relied a great deal on their advice and benefited immensely by their wise and thoughtful discussions. Thank you for that counsel. Finally, SDDS is a strong organization because it has a dedicated, experienced and professional staff. Day in and day out they answer our questions, organize our events and represent us to the public. Our outstanding Executive Director, Cathy Levering, is an immensely talented, highly respected leader. Her organizational knowledge and component effectiveness is recognized both locally and regionally. The remaining staff provides ongoing, substantial support to Cathy and all of the members. They are Della Yee, Program Manager/Executive Assistant; Erin Jones Castleberry, Member Liaison/ Smiles for Kids Coordinator; Lisa Murphy, Member Liaison/Peer Review Coordinator and Melissa Orth, Publications Coordinator. Thank you for making SDDS the best member service component in the state. It has been my honor and pleasure to serve as President of such an outstanding organization, composed of so many dedicated and caring individuals. I regret I was not able to speak to each and every one of you, so that I could thank you for membership and assure you that SDDS’ best years are yet to come. 

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Sacramento District Dental Society

MidWinter

From the Editor’s desk

2011 Topic

I Didn’t Know

I could UNDER do that! THE BOARDWALK

SDDS PRESENTS THE 31ST ANNUAL MIDWINTER CONVENTION EXPO This year’s& MidWinter Convention is going to bring a new format for group learning. We are calling them “user meetings.” Studies in education have consistently found students have better retention and understanding in a group, problem-based learning environment versus a conventional lecture presentation. This year we are going to focus on dental patient management software, specifically Eaglesoft, Dentrix and Softdent. The complexity and depth of these software programs have exploded in the last five years and most of us just barely scratch the surface of these programs. We have had the twoday introduction training from the software company consultant, but we all know the real learning happens on the job through trial and

www.sdds.org

By Jonathan Szymanowski, DMD, MMSc

CE Committee Chair

Eerror.E The respective companies are going to provide training consultant to facilitate the “users meetings.” So bring your problems and your experiences to help the entire group learn together. We are hoping we get a lot of “I didn’t know I could do that!” moments. 

Did you know?

The 2011 MidWinter Expo floor is SOLD OUT!

60 exhibitors! Bring your orders!

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February 3 & 4, 2011

Sacramento Convention Center

December 2010 | 5

Cathy’s Corner

Sacramento District Dental Society Amador • El Dorado • Placer • Sacramento • Yolo

Leadership

SDDS

By Cathy B. Levering SDDS Executive Director

Study Clubs

A new way, a new focus, a new start… for some As this year comes to a close, we are planning vigorously for an action-packed new year. All the committees are renewing and rejuvenating; the Board is changing over and we are ready to take on 2011. That said, I am pleased to announce a new project, sponsored by the Membership Committee. SDDS STUDY CLUBS!!! We’ll start them; You carry them on! We hear all the time… “How do we get asked to be in a study club?” “How do you start a study club?” “What good is a study club?” Well, SDDS is going to start one. Or two. Or three. Or more! The first 10–15 who sign up are the first club. Then we’ll start another one and so on. We’ll connect you with some speaker resources (we have lots of them!), topic suggestions, CE license information, outlines on formats, tricks of the trade; even menu samples! The purpose is to get you all connected with the information you need. If you are interested, please let us know and we’ll put you on the list. The first ones will be meeting in January. From that point, you can set your own schedule and… take flight! Have a wonderful holiday and see you at Midwinter! 

President — Terrence Jones, DDS Immediate Past President — Adrian Carrington, DDS President Elect — Wai Chan, DDS Treasurer — Victor Hawkins, DDS Secretary — Gary Ackerman, DDS Editor — James Musser, DDS Executive Director — Cathy Levering

EXECUTIVE COMMITTEE

Amador — Dan Haberman, DDS, MS El Dorado — Carl Hillendahl, DDS Placer — Matthew Comfort, DDS Placer — Kenneth Moore, DDS Sacramento — Craig Johnson, DDS Sacramento —Viren Patel, DDS Sacramento — Jeffrey Rosa, DDS Sacramento —Brian Royse, DDS Yolo — Kelly Giannetti, DMD, MS Yolo — Kim Wallace, DDS

Board of Directors

Kevin Keating, DDS, MS Donald Rollofson, DMD CE: Jonathan Szymanowski, DMD, MMSc CPR: Margaret Delmore, MD, DDS Dental Health: Dean Ahmad, DDS Ethics: Joseph Henneberry, III, DDS Foundation: Kent Daft, DDS Leadership Development: Adrian Carrington, DDS Legislative: Mike Payne, DDS, MSD / Gabrielle Rasi, DDS Membership: Jennifer Goss, DDS Peer Review: Bryan Judd, DDS / Brett Peterson, DDS Dental Careers Workgroup: Robin Berrin, DDS Beverly Kodama, DDS Budget & Finance Advisory: Victor Hawkins, DDS Bylaws Advisory: Adrian Carrington, DDS Fluoridation Advisory: Kim Wallace, DDS Forensics Advisory: George Gould, DDS Strategic Planning Advisory: Victor Hawkins, DDS/ Wai Chan, DDS Golf Tournament: Damon Szymanowski, DMD Smiles for Kids: Donald Rollofson, DMD SacPAC: Don Rollofson, DMD

Trustees Committees Standing

Ad hoc Advisory Task Forces Workgroups

Special Events Other

Nugget Editorial Board

SDDS Staff

James Musser, DDS

Cathy Levering

Editor

Paul Binon, DDS, MSD Donna Galante, DMD Alexander Malick, DMD James McNerney, DMD Christy Rollofson, DDS Ash Vasanthan, DDS, MS

Executive Director

Della Yee

Program Manager/ Executive Assistant

Melissa Orth

Publications Coordinator

Lisa Murphy

Member Liaison/ Peer Review Coordinator

Erin Castleberry

Member Liaison/ Smiles for Kids Coordinator

$650,000

• Dental building • Space built out • Arden near Watt GREG MARGETICH • Lic. 483870

(916) 617-4268

Editors Emeritus: William Parker, DMD, MS, PhD • Bevan Richardson, DDS Advertising rates and information are sent upon request. Acceptance of advertising in the Nugget in no way constitutes approval or endorsement by Sacramento District Dental Society of products or services advertised. SDDS reserves the right to reject any advertisement. The Nugget is an opinion and discussion magazine for SDDS membership. Opinions expressed by authors are their own, and not necessarily those of SDDS or the Nugget Editorial Board. SDDS reserves the right to edit all contributions for clarity and length, as well as reject any material submitted. The Nugget is published monthly (except bimonthly in June/July and Aug/Sept) by the SDDS, 915 28th Street, Sacramento, CA 95816 (916) 446-1211. Subscriptions are free to SDDS members, $50 per year for CDA/ADA members and $125 per year for nonmembers for postage and handling. Third class postage paid at Sacramento, CA.

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

6 | The Nugget

Sacramento District Dental Society

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MidWinter

2011 Speaker

Principle-Based Dentistry

To Achieve Restorative Success

Regarding case presentation, the stage for success is set from the very first phone call, which follows the principle of treating our patients as we would like to be treated, rather than how much of the health system treats us - as numbers in a voluminous mass of individuals. Following sound principles in your patient interaction, treatment and materials will allow you to increase your efficiency, patient satisfaction, profitability and the enjoyment you receive from your profession, while doing minimally invasive restorative dentistry. Our patients are still interested in looking their best, but with the economy the financial investment is a big concern. With principled treatment planning we should begin by offering the most conservative treatment suggestions. Smile whitening is still often an affordable option. I’ve seen surprising reports showing that the majority of patients often www.sdds.org

don’t realize there are professional whitening treatments available from their dentist, so they often try over-the-counter treatments that are less effective. 94% of those who undergo professional whitening are satisfied with their results and often recommend it to others. Whitening is one of the most conservative forms of aesthetic treatment we can provide and an area where most aesthetic restorative treatment should begin. If we are going to consider veneers for maximum aesthetics, how about considering no-prep or minimal prep veneers. We can understand the challenges and set our patients expectations properly.

with in-office procedures involving occlusion, one-visit restorative work with CAD/CAM technology and even smile whitening, the patients experience spa-like relaxation while undergoing treatment. This lowers the stress on the dental team. The stress of our patients transfers to those of us providing the treatment, which is why we may be feeling tired at the end of the day. The topics above are just some of the areas we’ll discuss in February, as you learn how integrating small changes into your practice can yield large returns and satisfaction. What a great way to begin the New Year. 

It is estimated that some 15% of Americans, or about 28 million individuals, suffer from headaches and migraines. It is my belief that much of this pain is related to occlusion and muscle hyperactivity. A principle in physiology is that muscle hyperactivity can lead to pain in other areas of our body. We need to let our patients know what we can do for them, since many do not realize that they should be sharing such information with us. By knowing how a few basic muscles function, we can assess whether or not a patient’s cervical and head pain are related to their occlusion in a reversible, but effective manner. Function often determines the success of our restorative treatment. How we deal with this, with a minimally invasive case of additive rather than subtractive dentistry, is again crucial to the success of our treatment. In an attempt to provide higher quality restorations, following today’s principle to minimize exposure of healthy tissue to bacteria, we have options in the CAD/CAM arena. We are able to transfer information electronically, create quality restorations and seal up biologic tissues in minutes that used to be exposed to bacteria for weeks, making this a service our patients can benefit from in many ways. A principle I like is to not over-medicate and today there are natural ways to relax our patients that are safe and effective. Teamed up

save the date!

It’s time to mark your calendars for the Sacramento District Dental Society’s MidWinter Convention in February. Education is often what I have seen separate those dental teams that really enjoy what they do from those that just do what they do without much success or satisfaction. I’ve always been intrigued by that which was new in our profession, and would try it, learn it and teach it. This progressive thinking is probably a trait I got from my father. I have learned that it is principles that transcend all that we do. Have a good material, use it correctly and the results can be phenomenal, but use it incorrectly and the results can be catastrophic. Principles in patient treatment often begin with learning more, which allows us to see more that we can do for our patients. Dr. Jankelson had a saying that, “The less you know, the more normal things look.” This doesn’t mean we over-treat, but properly treat. We are able to make suggestions to our patients to achieve not only dental health, but allow them to feel good about their entire stomatognathic system-comfort, function and the aesthetics.

By Michael Miyasaki, DDS

May 6, 2011 (Friday) Turkey Creek Golf Club (Lincoln, CA)

December 2010 | 7

MidWinter

2011 Speaker

Chewing

your life away A popular type of tobacco used today is smokeless tobacco. The main types used are chewing tobacco and snuff. Chewing tobacco can be found in loose leaf, plugs, moist or a twist. Snuff is a finely ground tobacco which can be found in the form of dry, moist or in little bag-like pouches. Most smokeless tobacco is used by holding the tobacco between the cheek and gingival which explains why the most common name for smokeless tobacco, is spit tobacco. This process is called “dipping.” When tobacco mixes with saliva in the mouth it forms juices that must be spit out. Many years ago, the main users of smokeless tobacco were men over 45, but today the main users are young men between 18 and 25 years of age. While cigarette consumption in the US continues to decline, consumption of moist snuff increased by more than 60% between 1992 and 2007. Three brands (Copenhagen, Skoal and Grizzly) dominate the market. It is estimated that 7% of all high school students and 3% of middle school students are current users of smokeless tobacco. Smokeless tobacco use is as high as 27% among male high school students in some areas of the U.S. and many develop the habit before the age of 13. States such as West Virginia, Wyoming, Montana and Arkansas, tend to have the highest use of smokeless tobacco. Some known statistics about smokeless tobacco are that there are five million users in the United States. Many people believe that smokeless tobacco is safe, but it contains at least 28 known cancer-causing agents. It is every bit as dangerous as smoking. Dip and chew contain more nicotine than cigarettes and it is retained at a high level for a longer period of

By Lane Thomsen, DDS time. Nicotine has been shown to be as addictive as cocaine or heroin. Holding an average-size dip in your mouth for 30 minutes gives you as much nicotine as smoking three cigarettes. A 2-can-a-week snuff dipper gets as much nicotine as a 1½ pack-a-day smoker does. The immediate effects of continued use of smokeless tobacco have both cosmetic and long lasting health effects. These include bad breath and yellowish-brown stains on the teeth. More serious effects are receding gingival, which can lead to the loss of teeth, increased dental cavities due to sweeteners placed in the tobacco and an increase in heart rate and blood pressure. A great concern is that upon continued use of smokeless tobacco, a white patch may develop in the area where the tobacco is placed in the mouth. This is due to prolonged contact of the tobacco to the tissue of the oral cavity. The medical term for this white patch is leukoplakia or smokeless tobacco keratosis. The development of this patch depends on the brand of tobacco used, the total number of hours that the tobacco is chewed each day and if the tobacco is placed is in the same site each day. The white patch usually takes from one to five years to develop and appears as a wrinkled leathery-looking area. Over a period of time this area may turn into oral cancer in some cases. Pain is rarely an early symptom of oral cancer and any user of smokeless tobacco should be concerned about any mouth sore that does not heal, a lump or white patch, a prolonged sore throat or difficulty in chewing. For this reason, all tobacco users need regular dental check-ups that include an oral cancer screening by their dentist or hygienist. In

addition, clinicians delivering dental health services should provide brief counseling interventions to all smokeless tobacco users. Adolescents who use smokeless tobacco are more likely to become cigarette smokers.

A white patch may develop in the area where tobacco is placed in the mouth.

In the last couple of years there have been some new tobacco products introduced. One of these is snus. It is a spitless tobacco that comes in little pouches and has been used in Sweden for many years. It is marketed in metal tin cans and kept refrigerated in stores. It is pasteurized. These small teabag-like pouches are placed between the upper lip and gingival. Each bag lasts for about 30 minutes. It appears to be less harmful than other types of smokeless tobacco sold in the U.S., but still may have health risks. The two brands of snus are Camel and Marlboro. United States snus delivers less nicotine than cigarettes. It does not make you spit so it can be used in areas where you can’t smoke. As no-smoking laws sweep the nation and cigarette sales continue to fall, snus is an effort by tobacco companies to boost sales with a new product. Other new products that are marketed in the U.S. are Camel orbs (small round pellets), Camel sticks (dissolvable tobacco), and Camel Strips (placed on the tongue). 

Our Condolences Dr. Monika Gugale’s office was tragically lost to fire on October 11, 2010. On a positive note, SDDS was able to find a doctor in Lincoln with space available for Dr. Gugale to see her patients during the transition period. Our thoughts are with Dr. Gugale and our thanks go out to our always generous SDDS members! 8 | The Nugget

Sacramento District Dental Society

Personal + Professional All your insurance needs from two great com

MidWinter

2011 Speaker

Attend the risk management seminar:

Your dedicated SDDS agents

Good Intentions, Bad Outcomes

Professional Liability | Offic By TDIC Staff Life | Health | Disability | W tdicsolutions.com | 800.7 explores how dentists can protect themselves policyholders, who complete the seminar in situations where a patientCAhas and accepted forSolutions TDIC coverage, areDental also Associatio Lic.unrealistic #0652783 | TDIC andare TDIC Insurance are California expectations or wants to dictate treatment. It eligible for this discount. also spotlights taking a team approach when Plan to attend this informative seminar multiple dentists treat a patient and how to on Thursday, February 3 from 2â&#x20AC;&#x201C;5pm in address employee embezzlement. Sacramento by registering for the Sacramento Pamela Trehub CA Lic. #0C87473

With dentists reporting that their patients are becoming more demanding in terms of personal time lines and unrealistic dental expectations, there is an ever-increasing need for dentists to create a system of checks and balances for employees. When dentists focus on providing dentistry instead of preparing staff for these types of patients, bad outcomes will surface. By attending the Good Intentions, Bad Outcomes TDIC risk management seminar at the Sacramento District Dental Societyâ&#x20AC;&#x2122;s MidWinter Convention on February 3, dentists will learn what to do when a bad outcome is the result of a dentist with good intentions. Through examination of actual TDIC cases, this seminar

Jason Caluza CA Lic. #0D97803

District Dental Society MidWinter Convention at www.sdds.org/MW2011.htm. ď Ž

â&#x20AC;˘ 5% professional liability premium discount for two years (for TDIC policyholders) â&#x20AC;˘ 3 CE credits â&#x20AC;˘ Professional advice and Q&A from an expert panel. The two-year, five percent discount takes effect for the upcoming policy renewal. Non-

5% professional liability discount for TDIC policyholders who attend this course!

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MidWinter

2011 Speaker

A Look at

Aphthous ulcers Recurrent aphthous ulcers (RAU) are the most common ulcers found in the oral cavity. There are three types of RAU â&#x20AC;&#x201D; minor, major and herpetiform, the most common being minor aphthae. The exact etiology of aphthous ulcers is unknown, but several different factors have been proposed. These include infectious agents, medications, foods, chemicals, trauma, nutritional deficiency, stress, family history, etc. No single triggering agent appears to be responsible, but evidence suggests that it is related to a focal immune dysfunction in which T lymphocytes play a significant role.

Recurrent Aphthous Ulcers

All three types are believed to have a common etiology, but they differ in their clinical manifestations and degree of severity. All have prodromal symptoms and are not preceded

10 | The Nugget

Abcess Minor

Abcess Major

Herpetiform Abcess

by vesicles as is seen in oral herpes simplex lesions. Aphthous lesions mainly occur on nonkeratinized tissue such as the vestibule, buccal mucosa, floor of mouth, soft palate and ventural tongue. Minor aphthous ulcers are by far the most common type. They usually appear as a single, oval, painful ulcer that is usually less than 0.5 cm in diameter. In some cases a patient may have as many as five lesions at a time. Lesions may be preceded by an erythematous macule. The ulcer is often covered by a yellow-white removable fibrinous membrane. Minor aphthous ulcers usually last for a period of five to ten days and recurrences vary from one person to another. Some people may have one per month and some have one per year. Major aphthous ulcerations are larger than minor aphthous and last longer. The ulcerations vary in size from one to three cm in diameter and each lesion may last up to six weeks. Because the ulcerations are deeper the lesions heal with scar formation. Some patients may experience several lesions at the same time or as one begins to heal another lesion starts. These lesions and very painful and patients experience difficulty in eating. The most common area of occurrence is the labial mucosa, soft palate, and tonsillar fauces. Herpetiform aphthous ulcers present as a group of recurrent small ulcers. Individual lesions are small and average from one to three millimeters in diameter. A patient may have as many as 50 to 100 ulcers at a time. Besides movable mucosa, the palatal and gingival tissue may also be involved. The lesions usually heal within seven to 14 days. Clinically these lesions may resemble a primary herpes infection, hence its name herpetiform. There appears to be a female predominance and it usually occurs in early adulthood. Treatment varies depending on the type and severity of the lesions. There is no definitive cure for aphthous ulcers. Palliative care can be provided to relieve pain, promote healing and prevent secondary infection. Various

By Lane Thomsen, DDS topical and systemic medications are available. Pain-relieving topical gels that can be dabbed on the lesion include 2% lidocaine and 20% benzocaine-based products (Colgate, Orabase, Orajel Ultra, Anbesol). Topical pain-relieving barrier agents that have shown to promote healing include octylcyanoacrylate (Soothe-N-Seal) and 5% amlexanox paste (Aphthasol). Topical corticosteroids are available in varying potencies. Triamcinolone acetonide paste (Kenalog in Orabase) is a medium-potency

Treatment varies on the type and severity of the lesions. prescription topical cortricosteroid that helps to reduce pain, inflammation and ulceration when applied two or three times a day. An alternative is 0.05% fluocinonide gel (Lidex) applied to the ulcer. This can also be mixed with Orabase (50/50) that will keep the gel on the lesion longer. Tetracycline rinse can also be helpful (250mg capsule dissolved in 30 ml of water). This is repeated up to four times a day. Some dentists choose to use Debacterol which is a chemical cauterizing agent applied to the lesion. Patients with diffuse minor or herpetiform aphthae respond well to 0.01% dexamethasone elixir (Decadron elixir) used as a rinse and empty method. For severe RAU, higher potency topical medications or systemic medications are needed. Topical Temovate cream 0.05%, applied four to five times a day, may be helpful. A regimen of systemic prednisone, 20 to 40 mg daily for one week followed by another week at half the dose, may be helpful in severe cases. In summary, aphthous lesions are a common condition. It is important to be able to perform an accurate differential diagnosis to ensure that the patient receives the appropriate treatment. ď Ž Sacramento District Dental Society

MidWinter

2011 Speaker

Your Lease:

it may be the most important document of your dental practice

Most dentists lease space for the operation of their dental office. Leased space allows access to premier practice locations and provides flexibility in the event of a move or sale. However, if you cannot transfer your lease to another dentist, usually you will not be able to sell your practice. Since the sale of a dentist’s practice often represents a significant portion of their expected retirement income, this can be a disaster. Therefore, signing a lease represents one of the most important business documents dentists will execute in their practice life, and one that will govern many issues in their practice. The most important clause in a lease is usually the transfer clause. “Transfer” is a broad term used to include assignments, subletting and a change of the type of business entity. The case of Steve Tsemetzin v. Coast Federal Savings and Loan Association describes why transfer clauses need to be carefully negotiated before execution. Mr. Tsemetzin owned property in Escondido, California, which he leased to Coast Federal Savings. The parties had many disagreements as to the lease, most significantly over the assignment terms in the lease. Coast Federal’s lease contained standard language, found in many of the office leases: Tenant agrees that he/she will not voluntarily transfer or assign this lease or any interest therein or sublet the premises in whole or in part, without

the prior written consent of the landlord. Coast Federal assigned their interest in the lease with consent from Mr. Tsemetzin, to Home Federal Savings. Home Federal Savings

Signing a lease represents one of the most important business documents dentists will execute in their practice life. subsequently defaulted on the lease and Mr. Tsemetzin turned to Coast Federal for rent past due and other monies owing under the lease. The court found for Mr. Tsemetzin and reminded Coast Federal that under state law, an assignment of a lease does not negate the obligations of the original tenant. This scenario can easily happen with a dental office sale. A retiring dentist assigns his rights in the lease to the purchaser of the practice, with the landlord’s consent. If the purchasing dentist becomes unable to meet his or her obligations, the landlord could legally pursue collection of past due amounts from the retiring dentist. It is extremely important to remember as the assignee, you remain obligated for rental payments and other associated liabilities even after an assignment, unless you are specifically released from such responsibility.

WESTERN PRACTICE SALES John M. Cahill Associates

By Bette Robin, DDS, JD

Considerations for transfer should include the following: 1. You want a complete release from any liability or responsibility, financial or otherwise, under the lease when the Landlord accepts assignment. You should be able to wind up your business with the Landlord and not have any responsibility for the actions of the new dentist. 2. You should be able to assign the options you have remaining under your lease to a new dentist. A dentist potentially purchasing your practice does not want to face the prospect of being forced to negotiate a new lease or lose the lease completely in a short period of time, and most lenders will not allow it. 3. Whether or not a Landlord consents to a transfer should be based on definitive objective criteria, and certainly not based on your net worth. Alternatively, the buyer and the landlord can agree to execute a new lease, on mutually agreeable terms and conditions. A new lease is always the preferred option of a selling dentist, if the property owner will agree, in that it completely severs continuing liability. Negotiating the lease should be your first step, not your final one! 

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www.sdds.org

Tim Giroux, DDS

Jon Noble, MBA

Mona Chang, DDS

John Cahill, MBA

Ed Cahill, JD

December 2010 | 11

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12 | The Nugget

Sacramento District Dental Society

Board Report

Submitted by Gary Ackerman, DDS

Secretary

November 2, 2010 PRESIDENT’S REPORT President Terry Jones welcomed Drs. Jennifer Goss and Wallace Bellamy to the 2011 Board. TDIC Director of Product Strategy, Matt Fisher brought the Board up to date on all things TDIC. He covered the Component Royalty program (SDDS receives $12,000 per year as this royalty); TDIC is working very hard as the “experts for insurance for dentists.” RAM update — RAM is confirmed for the first week of April in 2011. The RAM organizers are looking to raise $150,000 for supplies; they need 50–75 dentists for 4–5 days. Dr. Rollofson and Dr. Russ Webb will sit on the committee with CALAOMS (the oral surgeon’s association is the organizer of RAM) and RAM and work on getting the volunteers. Dr. Jones spoke with the medical society; they are willing to participate but need more info. Cathy and Dr. Jones spoke with Dr. Steve Leighty and the CALAOMS Executive Director and they will come to the January Board meeting. It was M/C (unanimously) that SDDS write a letter to CALAOMS and RAM asking for representatives from both RAM and CALAOMS to attend our January Board meeting and provide answers regarding: public safety, xrays, liability, volunteer , triage policies and the dental section of the manual pertaining to patient care, as well as their expectations of SDDS. We will also include Butte Sierra and San Joaquin leadership in this meeting. SECRETARY’S REPORT Dr. Gary Ackerman presented a look at membership demographics. Currently, SDDS has 1,563 members and continues to grow each year. TREASURER’S REPORT Dr. Vic Hawkins presented the Budget for approval. Our reserves continue to grow and our current budget proposed is a 0 based budget. Since 2001, we have gone from a $600,000 budget to a $1 million budget. Our SDDS dues have remained the same ($320) for the last four years. Our non dues revenue, sales, advertising and program contributes to 60% of our budget income. It was M/C to approve the 2011 Budget as presented by Dr. Vic Hawkins. EXECUTIVE DIRECTOR’S REPORT Cathy Levering reported on the following: • Board Manual training — the Board manual sections and all updated materials. • SDDF Gala — the SDDF fundraiser, “Smile Sacramento” , Gala will be held on October 1, 2011. All are encouraged to support this great event. Our goal is to raise $50,000.

www.sdds.org

• First Tooth, 1st Birthday Promotion (magnets, toothbrushes and other goodies!) — this outreach will go to our dentist members, the pediatricians, family practice docs and the OB GYNS in our community. UNFINISHED BUSINESS Updated Bylaws and policies — Dr. Craig Johnson reported on the following changes and modifications to the mailing label policy: It was M/C that the following clarifications be made to the mailing label policy: • Member uses such as announcement of a new practice location or associate; may be charged a lower fee than commercial use. • Member’s commercial use (such as CE or advertising promotion and/or opportunities) may be charged a higher fee • Member requests will be evaluated by the Executive Director, Editor or President to determine the fee category they belong in. Dental Health Committee — A Task Force was assigned to research the prophylaxis issue. Leadership Evaluations — All Committee chairs, Board members and Ex Comm will be evaluated via a Survey Monkey tool. NEW BUSINESS Committee Chair approval — It was M/C to accept the Committee Chairs as proposed by Dr. Chan. HOD Resolutions • Peer review resolution — Dr. Moore reviewed this resolution to ask CDA to eliminate a barrier to the calibration process. His suggestion includes a web-based training for both generals and specialists. It was M/C to support Dr. Moore’s resolution on web based training on Peer Review. • GMC resolution — It was M/C to support Dr. Jones resolution encouraging CDA to seek legislative means to do away with mandatory GMC in Sacramento County. TRUSTEE REPORT Dr. Keating brought the Board up to date with regard to the new membership software. They have stopped the implementation of the Association Management software it had intended on adopting. CDA will be sending out a new RFP that better suits its current and future needs. The meeting was adjourned at 9:30pm.  The next meeting will be on January 4, 2011 at 6:00pm. December 2010 | 13

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14 | The Nugget

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Sacramento District Dental Society

Trustee Report

Kevin M. Keating, DDS, MS Don P. Rollofson, DMD CDA Trustees

November 12–14, 2010 The 2010 CDA House of Delegates was held November 12-14th in Los Angeles, and your SDDS delegates again did an excellent job representing our active dental society. The House started with an address by Dr. Ray Giest, new ADA President. He then presented The Golden Apple Award to SDDS and our prez — Terry Jones for outstanding membership recruitment and retention. Way to go SDDS staff and membership committee. SDDS introduced a resolution to solicit CDA’s legislative assistance to make GMC in Sacramento County voluntary. This comes following a First 5 report recently completed, showing Geographic Managed Care to be a failure in Sacramento County. We will follow the process carefully as this is the fruit of over ten years of SDDS effort to eliminate the program that only Sacramento County has to endure. Many of our members were selected to be on CDA committees and councils as well as ADA delegates. Christy Rollofson was inducted as committee chair for the Committee of the New Dentist — congrats to all. The 2011 Budget was passed with no additional expenditures and no dues increase by CDA for the 12th consecutive year. The financial strength of CDA continues to be aided by our fantastic TDIC Insurance Company and CDA Presents.

amalgam Notice

Donations to the CDA Foundation and the ADA Political Action Committee were strong at the HOD. There were 49 new Friends of the Foundation for the weekend, and most of your Board and delegates are Friends. The Foundation is the heart and soul of CDA and its efforts to help the disadvantaged in our State. Won’t you consider becoming a Friend? 

www.sdds.org

Some dental offices received a letter stating that local municipalities are requiring dental practices to install an amalgam separator by December 31, 2010. The letter that SDDS and the Sacramento Regional County Sanitation District (SRCSD) saw was from Kerr Sybron Dental Specialties. Please note: this is not a current – nor pending – requirement for SRCSD’s service area, which covers the unincorporated areas of Sacramento County; the cities of Citrus Heights, Elk Grove, Folsom, Rancho Cordova, Sacramento and West Sacramento; and the communities of Courtland and Walnut Grove. Dental offices within these areas are not required to install an amalgam separator; however, if your dental office is outside SRCSD’s service area, please contact your local jurisdictions for their requirements.  Note from CDA: The EPA is expected to issue a ruling sometime in 2012 requiring all dental offices in the US to install a separator, so voluntary compliance is encouraged now.

December 2010 | 15

Tax Planning

Year-end considerations As year-end approaches, it is always important to take stock of your personal and business tax situation to be sure you’re taking advantage of the many opportunities out there to save on the taxes that you are paying. Below are some ideas for every dental professional to consider as this year comes to a close. Delaying Your Billings It is almost NEVER advisable to delay your billings for obvious reasons, but if for whatever reason you project lower income in 2011 or would simply like to avoid paying taxes on income that would have been received in 2010 until 2011, you could consider delaying your billings such that collections would not occur until January. Keep in mind that if you receive payment or otherwise are deemed to receive payment (such as a client offering to pay), such income must be included in 2010. The above is assuming that you are a cashbasis taxpayer. If accrual, income is accrued when earned irrespective of when the bill is sent out. Accelerating Your Expenses You could consider accelerating payment of vendor invoices that would normally be paid in January. An example of such invoices would be insurance, lab fees, dental supplies, utility bills, etc. Note that even if you are on the cash method of accounting, if such invoices are paid with a credit card they would still be deductible in 2010. Note that expenses may not be paid more than a year in advance in order to be deductible. Sport Utility Vehicles (SUVs) If you are in the market for a large sports utility vehicle (one that weighs more than 6,000 pounds), you may consider purchasing it and placing it into service prior to the end of the year. You will be able to depreciate it under Internal Revenue Code Section 179 as long as the primary usage of the vehicle is for business. The maximum 179 deduction for a vehicle is $25,000 in the first year. It is 16 | The Nugget

important to note that if business usage ever drops below 50% for the life of the vehicle, you will have to recapture the section 179 expense as income. Also note that in the event of an IRS audit, you must be able to show that business usage on the vehicle was above a certain % and the best way to substantiate is through a mileage log. Automobiles that weigh less than 6,000 pounds and cost more than $14,800 are limited to first year depreciation of $10,960, which is made up of first-year depreciation of $2,960 plus bonus depreciation of up to $8,000. Retirement Plan Contributions One of the largest discretionary deductions available to any dental professional is that of a retirement plan contribution. There are a menu of retirement plan choices available; from a 401(k) plan, to a simple IRA plan, to a more complicated defined benefit plan (which could be advisable if you are over the age of 50, have few employees and have large amounts of taxable income). You typically must have plans administered by a thirdparty and contributions may be accrued even if not paid as of the end of the year even if you are a cash basis taxpayer. Capital Gain & Loss “Harvesting” The relatively recent stock market swoon has certainly affected most investment accounts. However, the market has experienced a recovery of approximately 80% since its lowest point in March of 2009. If you have purchased any securities or investments during the current year that have produced a taxable gain, you could sell other investments which are currently held below their purchase price in order to offset that gain. Heightened Information Reporting Most of you are aware that when your business deducts an expense for services provided or for rent paid, you are required to file information form 1099 with the IRS. What you may not realize is that if you do not file these forms,

By Craig Fechter

Fechter & Co, CPAs (SDDS Vendor Member)

the Franchise Tax Board is STATUTORILY allowed to disallow the expense for income tax purposes even if the expense was actually paid for a service rendered. Enhanced Small Business Expensing In order to help businesses quickly recover the cost of capital expenses, small businesses can write off these expenses in the year of acquisition. The main change in this policy (Internal revenue code section 179) from previous years is now certain expenses paid for

One of the largest discretionary deductions available to any dental professional is that of a retirement plan contribution. leasehold improvements ALSO qualifies for immediate expensing (where-as before tenant improvements had to be depreciated over 15 years) AND the maximum amount that can be deducted in the first year is $500,000 (as opposed to the previous $250,000). In order to qualify for the enhanced expensing, the property must be placed in service by the end of the year. Deductibility of Health Insurance If your business is run as a Schedule C, you may now write off the cost of you and your family’s health insurance for the purposes of calculating self-employment tax. This is a major change as previously it could only be deducted for income tax purposes, not for the purposes of calculating the self-employment tax. Expiration of the Bush Tax Cuts While the overall tax regime will most likely remain unchanged throughout the remainder of the 2010 year, the much ballyhooed “Bush tax cuts” are set to expire at the end Sacramento District Dental Society

In memoriam Irol Van Allen, Jr, DDS

of this year. In short, this means that all tax brackets are slated to increase, the capital gains rates will increase from 15 to 20%, and a variety of other lesser provisions will also lapse. Overall, what this creates is the one thing that our economy needs least — uncertainty. While there has been a variety of discussions about what exactly will happen, Congress has not acted. The President has indicated that he would like to make the tax breaks permanent for those making less than $250,000. Other members of Congress have suggested making them permanent for those making less than $500,000. Others have said less than $1,000,000. While I have no idea what they will end up doing, the ineptitude they showed when letting the estate tax lapse for the 2010 year doesn’t provide anyone with the confidence that they will address the expiration prior to the end of the year. We realize that tax planning can be a complicated and stressful process, but with proper consideration of your business’ financial needs, you can appropriately assess whether or not any of the above considerations could lower your tax liability for this year and the years to come. 

Call the HR hotline with all your burning Human Resources questions!

SDDS HR Hotline:

1-800-399-5331 www.sdds.org

Dr. Irol Allen passed away at home on October 19, 2010. Dr. Allen grew up in Vallejo, CA and was a veteran of the Army, serving an important role as a helicopter mechanic during the Korean War. He moved to Placerville upon graduation from dental school, where he served its community for 28 years. With his wife, Marilyn, of the past 13 years, he enjoyed many wonderful trips across the country. Dr. Allen was a member of SDDS for 45 years.

Earle A Sylva, DDS Dr. Earle Sylva passed away on October 21, 2010, at the age of 94. Dr. Sylva was a native Sacramentan to an immigrant father and a mother from Claksburg. He graduated from U.C. Berkeley and UCSF dental school and served his country in World War II, where he met his wife, Jeannette. Dr. Sylva was an SDDS Past President (1957) and member of SDDS for 64 years. (See below for more about Dr. Sylva) 

By Gordon F. Harris, DDS

In Celebration … Reprint from November 2006 Nugget Earle Sylva is a true Sacramento “Home Town Boy.” After completing Sacramento City College, he attended The University of California Berkeley and graduated from the University of California San Francisco Dental School in June 1941. Little did he know what the next four and a half years would bring into his life.

By early 1945 the unit moved again up to the major campaign for the Philippine Islands. In April he married a beautiful army nurse even though neither of them knew how long the war would last because the next major campaign was to be November 1945 with an invasion of the Japanese homeland.

He decided to defer starting his home town dental practice in Sacramento and volunteered in the United States Army. He was required to enter as a private, go through basic infantry training and finally got his commission as a dental officer in November 1941.

As we all know, the war ended suddenly in August 1945 but Earle was not returned to the USA until late November. He was discharged from his lengthy army service, opened his long deferred Sacramento dental office in January 1946. He became president of the Sacramento District Dental Society in 1957 and retired after a distinguished career in 1981.

We all know what happened a few weeks later on December 7, 1941 at Pearl Harbor in Hawaii. By April 1942, Earle was in Australia attached to a station hospital caring for Marine and Army units who were stopping the rapidly advancing Japanese forces in the jungles of Guadalcanal. In late 1943 his unit was moved up the battle line to New Guinea supporting the American forces as they went methodically island by island up the Pacific. He was also promoted to Major and became a very young chief of the dental staff of his unit.

At age 90, he is the oldest member of SDDS and our oldest past president. He and the beautiful army nurse celebrated their 61st wedding anniversary this year. 

Col. Earle Sylva 1950

December 2010 | 17

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18 | The Nugget

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Sacramento District Dental Society

THURSDAY

February 3, 2011

7:45am – 9:15am (1.5 CEU, Core) OSHA Refresher LaDonna Drury-Klein, RDA, CDA, BS

Are you covering all the required subject areas in your annual training protocol? California Division of Occupational Safety and Health requires dental healthcare workers to obtain, at least annually, occupational safety training in specific areas to include exposure control, hazard communication and general office safety. This course will serve as a refresher to all dental healthcare workers current in their annual OSHA training protocols. t (BJO B CFUUFS VOEFSTUBOEJOH PG ZPVS SPMF BT DPNQMJBODF PöDFST FNQMPZFFT BOE employers within the healthcare setting t 7BMJEBUF DVSSFOU USBJOJOH QSPUPDPMT BOE DPOUFOU t -FBSO IPX UP CFUUFS USBJO BOE JNQMFNFOU FYJTUJOH DPNQMJBODF QSPUPDPMT

8:00am – 9:30am (No CEU) Basic PC Troubleshooting Tools Corina Leon, Owner, GJD Solutions Learn how your PC hardware works and what you can do to troubleshoot and fix common problems. You will learn troubleshooting techniques to fix many of the most common PC problems. This course will coach you on how to narrow down problems and find solutions. t 1$ DPNQPOFOU JTTVFT BOE FYQMBJO IPX UP USPVCMFTIPPU BOE SFNFEZ DPNNPO JTTVFT t #BTJD 0öDF /FUXPSL -BZPVU t 3FWJFX 1$ 4FDVSJUZ BOE CFTU QSBDUJDF UP LFFQJOH ZPVS 1$ TFDVSF BOE QSPUFDUFE t 3FWJFX &NBJM 4FDVSJUZ t 3FWJFX CBTJD )*1"" SFRVJSFNFOUT t 3FWJFX MJTU PG 1$ USPVCMFTIPPUJOH SFTPVSDFT

8:00am – 9:30am (1.5 CEU, 20%) Don’t Make Hygiene Your Practice’s “Loss Leader” — Enhance Hygiene to Improve Patient Care and Retention Robyn Thomason & Katie Fornelli, California Dental Association

Sponsored by CDA Practice Support Center Are you frustrated by patient cancellations and failed appointments? Do you wonder how you can make your hygiene schedule more efficient? Do you question whether your hygiene compensation structure is fair? How do you work breaks into a busy hygiene department? Learn how your hygiene department can be a valued benefit to your practice. t (BJO LOPXMFEHF SFMBUFE UP IJSJOH DPNQFOTBUJPO QFSGPSNBODF FWBMVBUJPOT GPS IZHJFOJTUT t *NQMFNFOU NFBM BOE SFTU CSFBLT JOUP UIF EBJMZ IZHJFOF TDIFEVMF t "OBMZ[F IZHJFOF QSPEVDUJPO NBYJNJ[F UIF TDIFEVMF BOE EFUFSNJOF TUBõ DBQBDJUZ t 6OEFSTUBOE UIF JNQPSUBODF PG B QFSJPEPOUBM NBOBHFNFOU QSPHSBN

8:15am – 9:45am (1.5 CEU, 20%) Becoming a Customer Service Star Kim Parker, Vice President, California Employers Association Customer service is receiving a great deal of attention in almost every business and industry. This presentation is to measure and increase customer service performance in both employees and managers. In Becoming a Customer Service Star you will learn the five points or facets of customer service. t 'FFM QPTJUJWFMZ UPXBSE DVTUPNFST FODPVSBHF DVTUPNFS GFFECBDL t 3FTQPOE UP DVTUPNFS QSPCMFNT EFWFMPQ SFQFBU SFMBUJPOTIJQT t 4FFL UP FYDFFE DVTUPNFS FYQFDUBUJPOT

KEY

licensure = courses intended for dentists LR = renewal = courses intended for hygienists course = courses intended for assistants OSHA O = renewal R SDDS MIDWINTER CONVENTION 2011 = courses intended for front office course www.sdds.org

Course Descriptions & Objectives

9:45am – 11:45am (2 CEU, Core) Infection Control LaDonna Drury-Klein, RDA, CDA, BS

This course includes the latest language pertaining to the Dental Board of California’s (DBC) Infection Control Regulations. This course will include subject areas such as the proper use of surface disinfectants, instrument care, sterilization procedures and barrier techniques. t 1BSUJDJQBOUT XJMM CF SFNJOEFE PG UIFJS MFHBM SFTQPOTJCJMJUJFT UP UIF TBGFUZ BOE IFBMUI of the patient via infection control protocols as dictated by regulation t (BJO B CFUUFS VOEFSTUBOEJOH PG UIF SPMF JOGFDUJPO DPOUSPM QMBZT JO UIF QBUJFOU T perspective of the dental office and their staff t 6TJOH UIF DVSSFOU %#$ *OGFDUJPO $POUSPM 3FHVMBUJPOT HBJO B CFUUFS VOEFSTUBOEJOH PG UIF intent of the language and how to better utilize the regulations in their workplace t 0CUBJO UIF MBUFTU JOGPSNBUJPO GPS JOGFDUJPO DPOUSPM FEVDBUJPO SFRVJSFNFOUT GPS unlicensed dental assistants effective this year. This course does NOT qualify for unlicensed dental assistants’ mandatory education requirement. Only a Board-approved 8-hour program meets the educational requirements for unlicensed staff effective 1/1/2010.

9:45am – 11:45am (2 CEU, 20%) A Day in a Dentrix Office: Let’s Go Chartless! Susan Lukins, Certified Dentrix Trainer, Henry Schein Dental This course will focus on the flow of working in a Dentrix chartless office. It will cover scheduling new patient appointments with on-line patient questionnaires, patient charting, perio charting, treatment planning and case presentation. t 6UJMJ[JOH %FOUSJY UP DSFBUF B DIBSUMFTT PöDF t $MJOJDBM OPUFT QFSJP DIBSUJOH DBTF QSFTFOUBUJPO t -BC $BTF .BOBHFS t 4DIFEVMJOH GSPN PQFSBUPSJFT

9:45am – 11:45am (2 CEU, 20%) Reduce Missed Appointments Without Losing Patients… During These Challenging Economic Times Kerry Straine, President, Straine Consulting How does your practice measure up? Are you competing with your patients’ “other” appointments? t -FBSO IPX UP EJõFSFOUJBUF CFUXFFO B USVF DPOEJUJPO WFSTVT BO PCKFDUJPO QBUJFOUT give for missing their appointments t -FBSO IPX UP BOBMZ[F JG ZPVS QBUJFOUT BSF NJTTJOH BQQPJOUNFOUT GPS DMJOJDBM PS administrative reasons t -FBSO IPX QSPQFS DPNNVOJDBUJPO XJUI QBUJFOUT JT NPSF FõFDUJWF UIBO DIBSHJOH GPS missed appointments

10:00am – Noon (2 CEU, Core) It’s Not What You Say…Or Is It? Effective Communication & Enrollment Skills for the Dental Team Karen Davis, RDH, BSDH, RDHMP Today’s dental consumer needs compelling reasons to invest two of their most valuable commodities: time and money in their dental health when “everything feels just fine.” For successful treatment enrollment today’s dental team must invest in mastering the art of effective communication...an investment that has substantial and long-lasting returns! t -FBSO IPX UP PWFSDPNF CBSSJFST UP FõFDUJWF DPNNVOJDBUJPO t -FBSO IPX UP SFTQPOE UP DPNNPO PCKFDUJPOT UP USFBUNFOU t -FBSO IPX UP DSFBUF EFTJSF GPS FMFDUJWF EFOUBM QSPDFEVSFT t -FBSO IPX UP HBJO DMPTVSF JO UIF USFBUNFOU SPPN

December 2010 | 19

THURSDAY

February 3, 2011

10:00am â&#x20AC;&#x201C; Noon (2 CEU, 20%) Eaglesoft â&#x20AC;&#x201D; Power Personalized! Lucinda Marquez, Technology Advisor, Patterson Dental Supply This course will explore the newly redesigned accounting and scheduling processes, the Core of your day to day operations. Patterson Eaglesoft software helps you run a successful dental practice by managing all front office, clinical and imaging procedures using a single patient record. Come learn all about this powerful new software and how it will open up infinite possibilities for your practice management. t "CJMJUZ UP VUJMJ[F UIF MBUFTU UPPMT BOE UBLF ZPVS QSBDUJDF UP UIF OFYU MFWFM t 3FDFJWF GBTUFS QBZNFOU PO DMBJNT BOE TUBUFNFOUT t 3FEVDF ZPVS BDDPVOUT SFDFJWBCMF BOE FTUJNBUFE JOTVSBODF CBMBODF

10:00am â&#x20AC;&#x201C; Noon (2 CEU, 20%) What DO Patients Really Want? Greg Psaltis, DDS This presentation deals with the findings of a dental survey in which more than 20,000 patients answered the questions, â&#x20AC;&#x153;What do you like about dental practices?â&#x20AC;? and â&#x20AC;&#x153;How would you make a dental practice better?â&#x20AC;?The top 10 responses are listed and the ensuing conversation concerns strategies for implementing these ideas into a practice. t -FBSO XIBU SPMF UFDIOJDBM TLJMMT QMBZ JO QBUJFOU TBUJTGBDUJPO t 4FF IPX ZPV DBO BEKVTU ZPVS 5FBN T CFIBWJPS UP NBLF QBUJFOUT IBQQJFS t 4USBUFHJ[F GPS HSFBUFS QSBDUJDF TVDDFTT CBTFE PO SFBM GFFECBDL t 6OEFSTUBOE UIF JNQPSUBODF PG DPNNVOJDBUJPO JO DMJFOUT PQJOJPOT

10:30am â&#x20AC;&#x201C; Noon (1.5 CEU, Core) Practical Implant Dentistry for the General Dentist â&#x20AC;&#x201D;Part I Tim Silegy, DDS This program is targeted toward the general dentist who wants to incorporate placing and restoring single tooth implants in the office. Part I begins with a discussion of the potential implant market that exists in the general dental practice. Barriers to success will be explained and participants will be given the tools necessary to break them down. The focus will then shift to patient selection and evaluation of the potential implant site. The benefits of various diagnostic studies will be reviewed and a simplified approach to implant planning will be explained. This session will conclude with a tutorial on extraction techniques and socket preservation techniques. t &ĂľFDUJWFMZ BEESFTT QBUJFOU DPODFSOT t "TTFTT QPUFOUJBM JNQMBOU TJUFT t 6OEFSTUBOE UIF JOEJDBUJPOT GPS EJĂľFSFOU JNBHJOH NPEBMJUJFT t 6UJMJ[F OFX UFDIOJRVFT UP SFNPWF UFFUI JO JNQMBOU TJUFT t 3FMJBCMZ QSFTFSWF BOE EFWFMPQ JNQMBOU SFDJQJFOU TJUFT XJUI IBSE BOE TPGU UJTTVF HSBGUJOH

1:00pm â&#x20AC;&#x201C; 3:30pm (2.5 CEU, Core) Practical Implant Dentistry for the General Dentist â&#x20AC;&#x201D; Part II Tim Silegy, DDS The afternoon session will continue where the morning left off. The concept of immediacy will be discussed and participants will understand how immediate temporization enhances the implant result. Finally, attendees will be exposed to immediate implant placement and temporization following dental extraction in the esthetic zone. t 6OEFSTUBOE UIF JOEJDBUJPOT GPS JNNFEJBUF MPBEJOH PG EFOUBM JNQMBOUT t 4JNQMJGZ UIF JNQMBOU QMBDFNFOU BOE SFTUPSBUJWF QSPDFTT t &BTJMZ BOE FTUIFUJDBMMZ UFNQPSJ[F EFOUBM JNQMBOUT t "QQSFDJBUF UIF CFOFmUT PG JNNFEJBUF MPBEJOH JO UIF FTUIFUJD BOE OPO FTUIFUJD [POFT

Course Descriptions & Objectives (continued)

1:15pm â&#x20AC;&#x201C; 2:45pm (1.5 CEU, 20%) Real Issues & Real Solutions Robyn Thomason & Katie Fornelli, California Dental Association

Sponsored by CDA Practice Support Center This course will examine a typical day in the practice and provide a variety of solutions to the many challenges you face each day. CDAâ&#x20AC;&#x2122;s Practice Support analysts will walk you through a normal day and present solutions and resources you can implement right away. t -FBSO UP NBOBHF UIF VOFYQFDUFE DIBOHFT JO UIF EBJMZ TDIFEVMF t 6OEFSTUBOE UFDIOJRVFT UP FNQMPZ XIFO DPNNVOJDBUJOH USFBUNFOU QMBOT t -FBSO IPX UP NBOBHF EBJMZ FNQMPZFF JTTVFT

1:15pm â&#x20AC;&#x201C; 3:15pm (2 CEU, Core) Creating the Ultimate Doctor-Patient Hygiene Exam Karen Davis, RDH, BSDH, RDHMP Learn how to prioritize the dental hygiene appointment through strategic screenings and turn that magical 5 to 7 minute doctorâ&#x20AC;&#x2122;s examination into one that confirms diagnosis, answers patientâ&#x20AC;&#x2122;s questions and generates treatmentâ&#x20AC;Ś without running everyoneâ&#x20AC;&#x2122;s schedule behind! t -FBSO IPX UP EFWFMPQ B QBSUOFSTIJQ GPS EJTDPWFSZ BOE DP EJBHOPTJT t *EFOUJGZ IPX UP QSJPSJUJ[F UIF WJTJU t *EFOUJGZ DBOEJEBUFT GPS DPNQSFIFOTJWF FYBNJOBUJPOT t 3FDPHOJ[F UIF EFOUBM IZHJFOJTU T SPMF JO JOJUJBUJOH SFTUPSBUJWF BFTUIFUJD conversations t 6UJMJ[F B iUSJBOHMF PG DPNNVOJDBUJPOw GPS UIF TZOPQTJT PG mOEJOHT

1:15pm â&#x20AC;&#x201C; 3:15pm (2 CEU, Core) If You Canâ&#x20AC;&#x2122;t Beatâ&#x20AC;&#x2122; em, Enjoy Them Greg Psaltis, DDS Have you ever wondered why pediatric dentists love their work? Imagine seeing nothing but children all day! For some, this may sound like your worst nightmare. Attend this engaging and informative program and discover simple keys to the best kept secret in dentistryâ&#x20AC;&#x201D;the joy of children. Child-friendly terminology, appropriate appointments and specific positive feedback are all parts of the successful visit for a child. Audience participation enhances the understanding of the childâ&#x20AC;&#x2122;s dental experiences. Parent guidelines will also be discussed. t 6OEFSTUBOE BQQSPQSJBUF UFSNJOPMPHZ t -FBSO IPX QBSFOUT DBO CF IFMQGVM BOE ZPVS CFTU QSPNPUJPOBM UPPMT t %JTDPWFS XIZ QPTJUJWF GFFECBDL XPSLT XFMM t 4FF XIZ FĂľFDUJWF DIJME NBOBHFNFOU JT B HSFBU QSBDUJDF CVJMEFS t $SFBUF B TDIFEVMF UIBU XJMM PQUJNJ[F TVDDFTT XJUI ZPVOH QBUJFOUT

1:15pm â&#x20AC;&#x201C; 3:15pm (2 CEU, 20%) Increase Cash Flow & Improve Internal Controls with a Sound Financial Policyâ&#x20AC;Ś During These Challenging Economic Times Kerry Straine, President, Straine Consulting How does your practice measure up? Do you like being owed money? t -FBSO IPX UP DPNQJMF B XSJUUFO 'JOBODJBM 1PMJDZ UIBU JEFOUJmFT UIF QBUJFOU NPWFNFOU through the practice t -FBSO IPX UP XPSL UISPVHI ZPVS QBUJFOUT mOBODJBM DPODFSOT CZ QSPWJEJOH PQUJPOT t -FBSO IPX UP VUJMJ[F ZPVS TPGUXBSF GPS NPSF UIBO KVTU B CJMMJOH BOE DPMMFDUJPO UPPM

SDDS MIDWINTER CONVENTION 2011 20 | The Nugget

Sacramento District Dental Society

THURSDAY

February 3, 2011

1:30pm – 3:30pm (2 CEU, 20%) Softdent: What’s New, Tips and Tricks Kathy Overman, Certified Trainer, Carestream Dental, LLC (formerly PracticeWorks) This course is for the dental team interested in utilzing the latest software features of Kodak Softdent practice management software. This program provides a networking opportunity with other practices as well as a trainer’s perspective. By the end of this course, you will be familiar with the new modules and features of the latest versions, including version 14 and the latest electronic services that are available. General knowledge of Kodak Softdent practice mangement software and current use of version – 14 is recommended. t *EFOUJGZ UIF OFX GFBUVSFT JO 4PGUEFOU t 6UJMJ[F 4PGUEFOU BENJOJTUSBUJWF TIPSUDVUT t *ODPSQPSBUF &MFDUSPOJD 4FSWJDFT

2:00pm – 5:00pm (3 CEU, 20%) Good Intentions — Bad Outcomes Beverly Kodama, DDS & Art Curley, Esq.

Sponsored by The Dentists Insurance Company (TDIC) It is natural to want to please patients, especially since happy patients return and refer their friends. Patients may insist upon impractical dental outcomes. Adhering to unrealistic demands requires additional time and may place patients at risk. Busy practice owners may also become dependent upon certain employees to take over key management functions. When this happens, everyday tasks that accompany owning a business are forgotten and lead to possible employee dishonesty. t &õFDUJWFMZ DPNNVOJDBUF EVSJOH UIF JOJUJBM BQQPJOUNFOU UP EFUFSNJOF JG UIF QBUJFOU is realistic in his or her treatment expectations t .BOBHF VOSFBTPOBCMF QBUJFOU USFBUNFOU FYQFDUBUJPOT CZ SFDPHOJ[JOH BOE SFBDUJOH to warning signs t 1MBDF BQQSPQSJBUF DIFDLT BOE CBMBODFT GPS FNQMPZFFT JO B CVTJOFTT TFUUJOH UP BWPJE embezzlement This course qualifies TDIC policyholders for a 5% professional liability discount.

FRIDAY

February 4, 2011

8:00am – 9:00am (1 CEU, 20%) Courage to Coach — Inspire Them, Don’t Fire Them! Mari Bradford, Human Resource Hotline Manager, California Employers Association Coaching — nobody has time to do it. But, as managers, we all have to. What’s the best way to handle difficult coaching decisions? Frank Pacetta of Xerox once said, “You win with people if you cherish them, develop them and show them that you sincerely care about their success.”The cost of turnover is equal to about 30% of a new hire’s annual salary. In this training, you will learn how communication is the key to any good relationship, and the importance of leaders to continually assess, develop and improve their skills. You will also learn nine steps of a great coach and the benefits of on-the-job training. This training program will provide participants with real-world skills to effectively coach employees to increase performance. t %FTDSJCF UIF QSPCMFN BOE UIF FYQFDUBUJPOT t (FU BHSFFNFOU PO UIF QSPCMFN t %FWFMPQ TPMVUJPOT UPHFUIFS t "HSFF PO BO BDUJPO QMBO t 'PMMPX VQ UP FOTVSF UIF TJUVBUJPO IBT JNQSPWFE

Course Descriptions & Objectives (continued)

3:15pm – 5:15pm (2 CEU, Core) California Dental Practice Act LaDonna Drury-Klein, RDA, CDA, BS

The Dental Board of California (DBC) requires all licentiates and permit holders to receive two CE units in the area of California Dental Practice Act (CDPA). This course meets all required elements such as scope of practice, license renewal requirements, use of auxiliaries in a dental practice, laws governing the prescription of drugs and acts in violation of the CDPA. This course will also include the newest scope of practice requirements for dental assisting and their impact on the licensing process. t (BJO BO VOEFSTUBOEJOH PG UIF MFHBM BOE FUIJDBM SFTQPOTJCJMJUJFT BT B EFOUBM IFBMUIDBSF worker as mandated by the CPDA t )FBS BDUVBM DBTF FYBNQMFT PG WJPMBUJPOT XJUIJO UIF QSPGFTTJPO GSPN B %#" QFSTQFDUJWF in order to demonstrate how violations affect the laws of the profession t (BJO B CBTJD LOPXMFEHF PG IPX SFHVMBUJPOT BOE TUBUVUF FõFDU UIF QSPGFTTJPO BOE UIFJS day-to-day activities This course qualifies for unlicensed dental assistants mandatory education requirement, effective 1/1/2010.

3:45pm – 4:45pm (No CEU) New Graduates: Understanding Associate Agreements, Leases & Partnerships Bette Robin, DDS, JD This course will explore various options newly graduated dentists should consider when signing associate agreements. Also covered will be issues and things to consider when leasing and entering into a partnership agreement, as well as the advantages of buying a practice. t 6OEFSTUBOEJOH JTTVFT XJUI BTTPDJBUF BHSFFNFOUT t 6OEFSTUBOEJOH JTTVFT XJUI MFBTFT t 6OEFSTUBOEJOH JTTVFT XJUI QBSUOFSTIJQT t "EWBOUBHFT PG CVZJOH ZPVS PXO QSBDUJDF

Course Descriptions & Objectives

8:00am – 9:00am (No CEU) What’s “Your” Number? Steve Raymond, Investment Advisor Representative Early career priorities and desires can cause many people to delay planning for their retirement years. This presentation will help you figure out how much income you will need to support your retirement activities, determine how much your current assets will be worth when you retire and create a plan to bridge the gap. It is never too early or too late to get started. t )PX NVDI NPOFZ ZPV NJHIU OFFE UP SFUJSF t 4PVSDFT PG SFUJSFNFOU GVOET t 8IFUIFS ZPV BSF PO USBDL UP SFUJSF PO TDIFEVMF t )PX UP CVJME B QMBO UP CSJEHF BOZ HBQ UIBU NJHIU FYJTU

JANUARY 21, 2011 PRE-REGISTRATION DEADLINE — SIGN UP TODAY!

SDDS MIDWINTER CONVENTION 2011 www.sdds.org

December 2010 | 21

FRIDAY

February 4, 2011

8:15am â&#x20AC;&#x201C; 9:15am (1 CEU, 20%) Oh My Achingâ&#x20AC;Ś Everything Heidi Jones, DC, QME

Sponsored by TDIC Insurance Solutions

Do you go home every night with a sore neck, back or hands? Do you know that if you change just one thing about the way you work, some of your pain could be relieved? In this course, you will learn techniques to alleviate and avoid pain and possible surgery through preventative self-care measures with exercise and ergonomic considerations. t -FBSO BCPVU XBZT UP BWPJE XPSL SFMBUFE JOKVSJFT QBJO BOE EJTDPNGPSU

8:00am â&#x20AC;&#x201C; 9:30am (No CEU) Practice Transitions, Important Issues to Consider When Selling Bette Robin, DDS, JD This course will explore various dental practice transition options and discuss the advantages and tax ramifications of each option. Strategies to maximize value and enhance the desirability will be the concluding topic. t 6OEFSTUBOEJOH PG EJĂľFSFOU USBOTJUJPO BOE TBMF PQUJPOT t "EWBOUBHFT PG UBY DPOTFRVFODFT PG EJĂľFSFOU USBOTJUJPO PQUJPOT t "OBMZTJT PG EJĂľFSFOU WBMVBUJPO TUSBUFHJFT

9:30am â&#x20AC;&#x201C; 11:30am (No CEU, 20%) Tried & True Tricks of the Dental Benefits Game â&#x20AC;&#x201D; Making the Most Out of Insurance Billing Greg Alterton & Patti Cheesebrough, California Dental Association One of CDAâ&#x20AC;&#x2122;s best member benefits is providing resources to assist staff in insurance billing, options and systems that will enhance the practice. The CDA Dental Benefits Handbook is designed to assist office staff to explain dental benefits to patients and submit claims to dental benefit carriers. This course will include information on eligibility verification, filing claims, avoiding common claim filing errors, COB and the claims appeal process. t &YQMBJO QMBO UZQFT UP QBUJFOUT t *NQMFNFOU DMBJN mMJOH UJQT t 6OEFSTUBOE UIF DMBJN BQQFBM QSPDFTT

9:30am â&#x20AC;&#x201C; Noon (2.5 CEU, Core) Successful Techniques & Materials in Aesthetic Conservative Dental Treatment James Dunn, DDS This course will discuss proven materials and techniques needed to treat aesthetic dental defects including diagnostic tools, digital photographic communication techniques, proper materials selection and clinical techniques from resin infusion of early caries, adhesive choices, composite selection and use, current ceramic choices and methods of cementation. For all of these materials and treatments to work, you will need to understand principles of smile aesthetics and patient cooperation in choosing treatment that meets their needs. t 6OEFSTUBOE XIJDI UPPMT BOE NFUIPET HJWF FOIBODFE JOGPSNBUJPO JO EFOUBM EJBHOPTJT t 6OEFSTUBOE DVSSFOUMZ BWBJMBCMF BEIFTJWF NBUFSJBMT BOE SFTUPSBUJWFT UIBU HJWF FĂľFDUJWF clinical results t 6OEFSTUBOE QJUGBMMT BOE TVDDFTT JO TFMFDUJOH BFTUIFUJDBMMZ BDDFQUBCMF UPPUI GPSN BOE position in anterior restorations t 6OEFSTUBOE UIF JNQPSUBODF BOE UFDIOJRVFT JO VTJOH EJHJUBM QIPUPHSBQIT JO successfully communication with patients in diagnosis, treatment/planning and with laboratories and marketing media

Course Descriptions & Objectives (continued)

9:30am â&#x20AC;&#x201C; Noon (2.5 CEU, Core) Principle-Based Dentistry to Achieve Aesthetic Success Michael Miyasaki, DDS Transcending the individual materials are principles that must be followed to achieve both clinical and practice success with conservative aesthetic treatment. This presentation will show you the principles you must follow and the materials you should use to increase your efficiency, patient satisfaction, profitability and enjoyment from your profession when doing minimally invasive aesthetic dentistry. t 6OEFSTUBOE UIF DMJOJDBM QSJODJQMFT OFFEFE UP BDIJFWF QSFEJDUBCMF DMJOJDBM PVUDPNFT t -FBSO TJNQMF UFDIOJRVFT UP JODSFBTF DBTF BDDFQUBODF VTJOH EJHJUBM BOE BDSZMJD QSFWJFXT t 6OEFSTUBOE IPX UP EFUFSNJOF UIF CFTU DMJOJDBM UFDIOJRVF GPS UIFJS QBUJFOUT t -FBSO UIF JNQPSUBOU PDDMVTBM DPOTJEFSBUJPOT GPS TVCUSBDUJWF BOE BEEJUJWF BFTUIFUJDT

9:45am â&#x20AC;&#x201C; 11:45am (2 CEU, Core) Innovations in Stannous Fluoride Dentifrice Technology Pam Hughes, RDH, MS

Sponsored by Procter & Gamble Professional Oral Health Gingivitis, caries and dentinal hypersensitivity are common oral problems affecting millions of adults. Stannous fluoride provides benefits for plaque, gingivitis, caries and sensitivity and may be found in several OTC and Rx products. A dentifrice containing the Polyfluorite Systemâ&#x201E;˘ has been introduced, providing therapeutic benefits of stabilized stannous fluoride without the stain. This is the first to combine stabilized stannous fluoride and sodium hexametaphosphate. This course will review the clinical data and therapeutic benefits the Polyfluorite System provides. t %FTDSJCF UIF BOUJNJDSPCJBM CFOFGJUT PG TUBOOPVT GMVPSJEF JUT FGGFDU PO QMBRVF gingival inflammation and bleeding, its benefits for caries protection and dentinal hypersensitivity. t *EFOUJGZ UIF CSPBE SBOHF PG QBUJFOUT XIP BSF CFTU TVJUFE GPS UIJT UIFSBQFVUJD IPNF care regimen.

9:45am â&#x20AC;&#x201C; 11:45am (2 CEU, Core) â&#x20AC;&#x153;What in the World is That?â&#x20AC;? A Review of Oral Soft Tissue Diseases Lane Thomsen, DDS This course will review the most common and most important soft tissue lesions likely to be encountered in a general dental practice. Emphasis will be placed on recognizing the clinical features most helpful in differentiating one lesion from another. Current treatment of these conditions will also be discussed. t %JĂľFSFOUJBUF CFUXFFO TPNF PG UIF DPNNPO PSBM TPGU MFTJPOT XF TFF JO UIF EFOUBM office and describe some of the common treatment modalities t %JĂľFSFOUJBUF CFUXFFO IFSQFT BOE BQIUIPVT t %FWFMPQ B EJĂľFSFOUJBM EJBHOPTJT PG TPNF CPUIFSTPNF WFTJDVMPCVMMPVT MFTJPOT JODMVEJOH lichen planus t *EFOUJGZ QJHNFOUFE MFTJPOT XIJDI TIPVME DBVTF ZPV DPODFSO t *EFOUJGZ UIF DMJOJDBM DIBSBDUFSJTUJDT PG PSBM DBODFS

FREE!

SDDS MIDWINTER CONVENTION 2011 22 | The Nugget

Sacramento District Dental Society

FRIDAY

February 4, 2011

10:00am â&#x20AC;&#x201C; Noon (2 CEU, Core) California Dental Practice Act Bette Robin, DDS, JD

Course Descriptions & Objectives (continued)

Legal issues increasingly plague dentists in todayâ&#x20AC;&#x2122;s modern practice. This is a practical seminar that meets and exceeds the California Dental Boardâ&#x20AC;&#x2122;s continuing education requirement for the Dental Practice Act. t 4DPQF PG 1SBDUJDF BOE 6UJMJ[BUJPO *TTVFT GPS %FOUJTUT BOE "VYJMJBSJFT t %SVH 1SFTDSJCJOH BOE 3FDPSEBUJPO 3FHVMBUJPOT t $JUBUJPOT 'JOFT 3FWPDBUJPO 4VTQFOTJPO BOE -JDFOTF 3FOFXBM 3FHVMBUJPOT t 1BUJFOU $POTFOU .FEJDBM 3FDPSET t .BOEBUPSZ 3FQPSUJOH $IJME BOE &MEFSMZ "CVTF BOE /FHMFDU

Sponsored by Procter & Gamble Professional Oral Health

Information overload is a growing problem for dental practitioners. We are expected to digest new clinical data from hundreds of studies each year while patients are given new health-related information daily. Using currently published systematic reviews on various dental products and some clinical practice recommendations, participants will be introduced to a step-by-step approach for identifying the best quality research as they make informed decisions. t (BJO BO VOEFSTUBOEJOH PG FWJEFODF CBTFE EFDJTJPO NBLJOH BOE JUT WBMVF UP UIF EFOUBM professional in evaluating clinical research. t 1SPWJEF B MJTU PG SFTPVSDFT GPS QVCMJDBUJPOT PSHBOJ[BUJPOT UIBU XJMM IFMQ TUSFBNMJOF the process of gathering information.

This course includes the latest language pertaining to the Dental Board of Californiaâ&#x20AC;&#x2122;s (DBC) Infection Control Regulations. This course will include subject areas such as the proper use of surface disinfectants, instrument care, sterilization procedures and barrier techniques. t 1BSUJDJQBOUT XJMM CF SFNJOEFE PG UIFJS MFHBM SFTQPOTJCJMJUJFT UP UIF TBGFUZ BOE IFBMUI of the patient via infection control protocols as dictated by regulation t (BJO B CFUUFS VOEFSTUBOEJOH PG UIF SPMF JOGFDUJPO DPOUSPM QMBZT JO UIF QBUJFOU T perspective of the dental office and their staff t 6TJOH UIF DVSSFOU %#$ *OGFDUJPO $POUSPM 3FHVMBUJPOT HBJO B CFUUFS VOEFSTUBOEJOH PG UIF intent of the language and how to better utilize the regulations in their workplace t 0CUBJO UIF MBUFTU JOGPSNBUJPO GPS JOGFDUJPO DPOUSPM FEVDBUJPO SFRVJSFNFOUT GPS unlicensed dental assistants effective this year. This course does NOT qualify for unlicensed dental assistantsâ&#x20AC;&#x2122; mandatory education requirement. Only a Board-approved 8-hour program meets the educational requirements for unlicensed staff effective 1/1/2010.

licensure

LR = renewal course OSHA

OR = renewal course

KEY

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

This course will present a simplified approach to dental photography, both for record keeping and more professional communication with patients, laboratories, referrals and marketing. This course will discuss and show how to choose the best camera equipment, image taking accessories, lighting, a simplified office portrait system, and how to manage the images from capture, to computer to patient, laboratory, referral or marketing. t ,OPXMFEHF UP QSPEVDF IJHI RVBMJUZ BUUSBDUJWF EFOUBM QIPUPHSBQIT VTFE GPS EFOUBM records and communication images as well as before-and-after portraits

1:30pm â&#x20AC;&#x201C; 4:00pm (2.5 CEU, Core) Principle-Based Dentistry to Achieve Restorative Success Michael Miyasaki, DDS

1:30pm â&#x20AC;&#x201C; 3:30pm (2 CEU, Core) Evidence-Based Decision Making Made Easier: Implications for Dentistry Pam Hughes, RDH, MS

1:30pm â&#x20AC;&#x201C; 3:30pm (2 CEU, Core) Infection Control LaDonna Drury-Klein, RDA, CDA, BS

1:30pm â&#x20AC;&#x201C; 4:00pm (2.5 CEU, Core) Dental Photography: Visually Communicating with Patient Records, Patients, Laboratories & Marketing James Dunn, DDS

Transcending the individual materials are principles that must be followed to achieve both clinical and practice success with conservative aesthetic treatment. This presentation will show you the principles to follow and the materials to use to increase efficiency, patient satisfaction, profitability and enjoyment from your profession when doing minimally invasive restorative dentistry. t 6OEFSTUBOE UIF DMJOJDBM QSJODJQMFT OFFEFE UP BDIJFWF QSFEJDUBCMF DMJOJDBM PVUDPNFT t -FBSO TJNQMF UFDIOJRVFT UP JODSFBTF DBTF BDDFQUBODF t 6OEFSTUBOE IPX UP EFUFSNJOF UIF CFTU NBUFSJBMT BOE DMJOJDBM UFDIOJRVFT GPS QBUJFOUT t -FBSO UIF JNQPSUBOU PDDMVTBM DPOTJEFSBUJPOT GPS FWFSZEBZ EFOUJTUSZ

1:30pm â&#x20AC;&#x201C; 4:00pm (2.5 CEU, Core) â&#x20AC;&#x153;What in the World is That?â&#x20AC;? A Review of Oral Bony Lesions Lane Thomsen, DDS This course will review the most common and most important oral bony lesions encountered in a general dental practice. Emphasis will be placed on recognizing radiographic features most helpful in differentiating one lesion from another. Current treatment of these conditions will be discussed. t *EFOUJGZ BOE EJBHOPTF PSBM IBSE UJTTVF EJTFBTFT t ,OPX UIF DPODFQUT PG USFBUNFOU BOE NBOBHFNFOU PG IBSE UJTTVF MFTJPOT t %FWFMPQ B EJĂľFSFOUJBM EJBHOPTJT PG CPUI CFOJHO BOE BHHSFTTJWF CPOZ MFTJPOT t *EFOUJGZ SBEJPHSBQIJD DIBSBDUFSJTUJDT PG CPOZ MFTJPOT UIBU TIPVME DBVTF DPODFSO

1:45pm â&#x20AC;&#x201C; 3:45pm (2 CEU, 20%) The Five Biggest Mistakes Stifling Productive Schedules â&#x20AC;&#x201D; Discover: The Difference that Makes the Difference Melinda Heryford, Owner, Heryford & Associates Practice Management Consultants Why are some practices having record highs and others are going cutting back days? This course is designed for the front office with benefits to the entire team. â&#x20AC;&#x153;The difference that makes the difference,â&#x20AC;? is you and the conversations you are having with each patient and with the conversations you are having with each other. Recognize why developing and sustaining â&#x20AC;&#x153;connectionâ&#x20AC;? produces long term profitable results. In this course, we will move beyond the basic practice management suggestions to open the gates to productivity. t -FBSO UIF CJHHFTU NJTUBLFT DPOUSJCVUJOH UP FNQUZ TDIFEVMFT t 3FDPHOJ[F TVDDFTT GBDUPST UP B GVMM BOE QSPEVDUJWF TDIFEVMF t *EFOUJGZ TUFQT UP NBLF TVSF QBUJFOUT TDIFEVMF QSFQBZ BOE SFGFS

SDDS MIDWINTER CONVENTION 2011 www.sdds.org

December 2010 | 23

S THE 31ST DWINTER N & EXPO

Thank you 2011 MidWinter Convention Sponsors! TDIC Insurance Solutions

Speaker Sponsor

CDA Practice Support Center

Lanyard Sponsor

INNOVA Periodontics & Implant Dentistry

Bag Sponsor

UNDER THE BOARDWALK

Zimmer Dental E E

31st annual SDDS MidWinter Convention

February 3–4, 2011 24 | The Nugget

Speaker Sponsor

Under Under t the he

oar

dwal

… do wn b y t he C - e ( e - e

-e) …

Sacramento District Dental Society

Sacramento district dental society foundation

A charitable 501-C3 organization

Save the Date for the foundation gala!

Smcirlaemento! Sa Are you a member of the foundation? It’s only $75!

Two ways to join:

DUES CHECK OFF: on your annual dues statement NUGGET INSERT: at the center of this magazine

Silent On-Line Auction Cocktails, Dinner & Live Auction Entertainment & Dancing Don’t miss out!

Get into the…

What you give is what we can do!

Mar. 16 2011

More info: www.sdds.org/HolidayGiving.htm

Crowns for kids Grand Total so far: $85,000

Apr. 20 2011

Can we collect another $15,000 before the end of the year?

Call if you have crowns to donate — Your jar doesn’t need to be full!

209.594.5200 www.sdds.org

June 2 2011

December 2010 | 25

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

S P E C I A L I S T S

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Because we specialize in construction for the dental professionals, Andrews Construction, Inc understands the unique needs specific to dentists. Our 30+ years of experience assures you that we deliver QUALITY, SERVICE and SATISFACTION on every meticulously run project. Thumbs Up to that!

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S P E C I A L I S T S

26 | The Nugget

Sacramento District Dental Society

Supply Doc Inc, a local, family-owned business provides:

SERVICE. SAVINGS. SUCCESS

. DENTAL SUPPLIES & EQUIPMENTS . DENTAL LAB . PRO-SERVICE & REPAIR FREE . CASH BACK Next Day . SOCIAL RESPONSIBILITY Delivery* * call our office for more details

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Dental Practice Financing Experts

U.S. Bank Practice Finance provides the benefits of working with a strong and stable financial institution, along with extensive knowledge of the dental industry, giving us a thorough understanding of your practice’s financial needs. We offer financing for: • Acquisitions • Practice expansions • Practice debt refinance

• Buy-ins • Start-ups • Equipment

With industry-leading performance metrics, U.S. Bank has a disciplined approach to deliver solutions to dentists. Some of our program benefits include: • 100% financing – no down payment required • Competitive rates and repayment structures, allowing you to pay additional principal at any time • Terms up to 15 years Discover how U.S. Bank can help you find the finance solution that best meets your needs. Denise Chan Business Banking 916-924-4664

usbank.com Member FDIC

www.sdds.org

December 2010 | 27

you

the dentist, the employer

New Paid Leave Law

You are a dentist. You’ve been to school, taken your Boards and settled into practice. End of story? Not quite. Employee evaluations, hiring and firing, labor laws and personnel files are an important part of being an employer. Are you up on the changes that happen nearly EVERY January 1st? In this monthly column, we will offer information pertinent to you, the dentist as the employer.

January 1, 2011

From Mari Bradford (California Employers Association) Summary Governor Schwarzenegger added a new paid leave requirement for California employers with 15 or more employees when he signed Senate Bill 1304. This new law, effective January 1, 2011, gives eligible employees up to 30 days' paid leave in any one-year period for organ donation and up to five days' paid leave for bone marrow donation. What This Means Private employers of 15 or more employees should update their policies and practices to ensure that they are prepared for the law's January 1 effective date. To Do List: 1. Develop a written verification form for employees to submit as part of their leave request and ensure that the new leave is not considered a break in service under current benefits policies. 2. Train your managers and supervisors on all of the leave requirements of California law. (Did you know there are more than 21 leave laws in California?)

Details To qualify for this new leave, an employee must provide the employer with written verification of his or her status as an organ or bone marrow donor and the medical necessity

Did you know there are more than 21 Leave Laws in California? for the donation. Leaves may be taken in one or more periods, and during any period of leave, employers must maintain and pay for coverage under a group health plan. Leave taken cannot be considered a break in an employee's continuous service for the purpose of salary adjustments, sick and vacation pay accrual, annual leave or seniority. An employer may require employees to use up to five days of accrued sick or vacation time for bone marrow donation leave and up to two weeks of such time for organ donation leave

Medical Building Available For Sale x x x

6950 Destiny Drive, Rocklin, CA 28 | The Nugget

Existing Ortho. Office Easy Access to Hwy. 65 Excellent Parking

Existing Dental Equipment Can Be Included In Sale

(unless otherwise provided by a collective bargaining agreement). Upon returning from leave, an employee must be restored to the same position or to a position with equivalent status, pay and benefits. • This leave does not run concurrently with any leave taken pursuant to the Family and Medical Leave Act ("FMLA") or the California Family Rights Act ("CFRA"). • This means that employees will be entitled to this leave in addition to any FMLA or CFRA leave. This law protects employees from retaliation for exercising their leave rights and prohibits employers from interfering with their efforts to take such leave. 

SDDS HR hotline

1-800-399-5331

Gordon Stevenson Senior Vice President Healthcare Real Estate Specialist TRI Commercial 2250 Douglas Blvd., Suite 200 Roseville, CA 95661 916.677.8150 Tel gstevenson@tricommercial.com

Helping Those That Help Others (30 Years Real Estate Exp.) Sacramento District Dental Society

Thank you, Intern Doctors!

Dr. Gregory Adams Dr. Ashkan Alizadeh Dr. Alexander Antipov Dr. Ron Ask Dr. Henry Bennett Dr. Robin Berrin Dr. Jayson Chalmers Dr. Esmeralda Chiang Dr. Robert Daby Dr. Randy Davey Dr. Teresa DeGuzman Dr. Reynold Donovan Dr. Eloisa Espiritu Dr. Ken Fat Dr. Debra Finney Dr. Frank Gontarski Dr. Mitch Goodis Dr. Jason Groff Dr. Greg Heise Dr. Brock Hinton Dr. Horia Ionescu Dr. Kevin Keating Dr. Jin Kim Dr. Grace Lee Dr. Steve Leighty Dr. Dave Lewis Dr. Alexander Malick Dr. Tim Mickiewicz Dr. Kenneth Moore Dr. Richard Moorehouse Dr. Mahnaz Moussavi Dr. Brian Orcutt Dr. Purvak Parikh Dr. Kalpeshkumar Patel Dr. Jean Rabadam Dr. Gabrielle Rasi Dr. David Roholt Dr. Christy Rollofson Dr. Donald Rollofson Dr. Sean Roth Dr. Jeffrey Saladin Dr. John Santamaria Dr. Cris Shepard Dr. Norman Spalding Dr. Jason Straw Dr. Victoria Sullivan Dr. Alison Trout Dr. Hoang Truong Dr. Cindy Weideman Dr. Frederick Wenck Dr. April Westfall Dr. Joel Whiteman Dr. Kristy Whiteman Dr. Kenneth Wong Dr. Jamson Wu

www.sdds.org

The UC Davis Internship and Career Center (ICC) is excited about our new partnership with the Sacramento District Dental Society that has led to the creation of 80 dental internships.These internships are part of the wide variety of prehealth internships available for UC Davis undergraduate students through the ICC. Four times a year, we place over 500 UC Davis interns in a variety of health specialties (e.g. Pharmacy, Optometry and Nursing) in Davis and the greater Sacramento area. To receive one of these highly coveted internships, UC Davis students must first register to participate in our online sign up process. Next, the student chooses an internship site in their area of interest and finally they select a day/time option that fits into their academic schedule. The minimum commitment for UC Davis students to complete an approved academic internship is 40 hours and 10 weeks. For many UC Davis students, the internship is their first experience in a professional environment. To prepare the students for their internship experiences, the ICC Coordinators meet with the students to discuss professionalism. During the meetings, we clearly define our expectations regarding professional attire, time commitment, initiative demonstration, approachability, communication and appropriate use of electronic equipment. If a UC Davis student does not meet the agreed upon expectations, they are restricted from interning with any of our internship sponsors for six months. Upon completion of the 10 week internship, the UC Davis pre-dental student writes a final report about their experience and their supervisor completes an online intern evaluation form. Completion of the internship, final report and supervisor’s evaluation earns the student Transcript Notation. Transcript Notation is

an official documentation of their internship on their academic transcript. Internships benefit everyone involved! As an intern, a UC Davis student gains first hand experience by shadowing and working with a professional dentist. The internship experience helps the student redefine or reaffirm their career interests and goals. And, as an internship sponsor, the dentist gains additional help with their special projects as well as invests in the future of dentistry. Some dentists have found that their UC Davis student has been so helpful that the student has been invited to extend their commitment through a second academic term. Fifty-six dentists have already agreed to sponsor an intern; are you ready? Please email Andrea Hanson, alhanson@ucdavis.edu with the number of interns needed, desired work schedule and office contact information. Make sure everyone in your office is aware that a new UC Davis intern will be joining the team. This ensures that when the student calls, you will be ready to get started. 

Submitted by Andrea Hanson and Janice Morand, Coordinators, Health and Biological Sciences, UC Davis Internship and Career Center “I gained a lot of knowledge on orthodontics. The doctors and assistants are very kind and willing to teach me and explain the processes to me.” “After having done these observations and hands-on experience, I felt more inspired and encouraged.” “Through this internship, I was also able to further set educational and career goals for myself, and also to better myself for the many things I still have to learn in order to be a successful student in the process of achieving my goal of becoming a dentist.” “This internship was a very eye-opening experience in the sense that I actually got to work in a field that I thought I knew a lot about, but actually has many more aspects to it than just a doctor cleaning teeth.”

December 2010 | 29

From the Dental Health Committee…

Alex Faigen

Pre-dental Student, Edinboro University of Pennsylvania

Collateral Damage:

Mitchell A. Goodis, DDS, Lt Col, USAF (ret)

(pictured)

How Fallout from Adult Methamphetamine Use Affects Children A research article written as part of a predental internship at Pleasant Valley Dental, El Dorado, CA Facts shine a light on the danger facing children whose families are involved with methamphetamine. Mom and Dad manufacture, distribute and/ or use methamphetamine. How does it affect their children? Is Mom sharing drugs with her fetus? Approximately 10% of babies treated in the neonatal intensive care unit at UC Davis Medical Center between 1990 and 2002 had been exposed to methamphetamine. 560 of the babies that tested positive for drugs were exposed to methamphetamine and 325 had been exposed to cocaine. (1) Neonates born to mothers using methamphetamine are small for their gestational age, have abnormal sleeping patterns, more irritability, and hypersensitivity to sound. (2) In El Dorado County, it is not unusual to see children in the dental clinic, ages 2, 3, 4,& 5, having multiple extractions due to child neglect by meth addicted parents. Meth breaks

the strongest bond I know: That between a mother and her child. Mothers will simply leave, abandoning their children. That’s why it is often called the ‘walk away drug.’ With increasing frequency, these children are being raised by foster parents, grandparents and, in some cases, great grandparents. Home, Sweet Home A child’s environment, as well as a history of Adverse Childhood Experiences (ACEs), may ultimately affect that individual’s health (5), social interaction, mental abilities, school performance, and the predict a potential for future drug use . Both younger and older children of Meth users are often neglected. Parents, as well as the home itself, pose great risks to the children. (9) Kids who come from a broken, drug abusing home often have trouble fitting in and may develop issues with self-regulation and socialization. (9) Is Mom cooking Meth instead of dinner? Houses used to prepare meth become their own danger zones. Consider that, from 2000 to 2002 alone, the number of children present at seized clandestine meth labs has doubled (2). In the cases of meth lab busts

Left: Abscesses and multiple caries present in daughter of meth user. Right: Young mother of the child has similar dental issues. Grandma is also an addict. The child is being raised by her great-grandfather. (Photos used with permission) 30 | The Nugget

in Washington State, thirty-five percent had children present at the time of the raid (8). Younger children are severely at risk in these homes due to their crawling and hand-tomouth behaviors (7). In addition to risks associated with cooking meth, the areas where children play are often contaminated with toxic waste, used needles and razor blades. (2). Dangerous products and byproducts of cooking coat the walls, tables, floors, ceiling fans, food, and utensils of the homes and are easily absorbed into the skin, intestines, and lungs (7). Children encounter multiple problems while growing up in the care of meth users, in homes where meth is cooked, and in houses that were formerly meth labs. (4) WHY? Because synthesizing meth uses a wide array of chemicals, many of which are known as “extremely hazardous”: Ether, acetone, chloroform, muriatic acid, engine starter, brake cleaner, perchloric acid, Freon, toluene, sulfuric acid, hydrochloric acid and phosphine gas (6). Meth “labs,” houses saturated in chemicals and vapors, are often uncovered when a careless parent causes a fire or explosion that alerts law enforcement (5). Busted!!! After an incident, Emergency Medical Services (EMS) and the police arrive, only to be faced with chemical contamination and personal harm while rescuing children. The results are best stated by one social worker: “Because of the contamination of clothes, belongings, and the house, children removed from meth labs cannot take any of their possessions, clothes or familiar comfort objects, which adds to the trauma of out-ofhome placement” (9). Another on-site hazard is phosphine gas, an extremely flammable and explosive by-product which can causes respiratory collapse, cardiac failure and pulmonary edema (6). Children who live in houses that were formerly meth labs have developed symptoms generally associated with chronic meth use. Sacramento District Dental Society

Chronic, infrequent, or even one time exposure to the chemicals and toxins related to meth and its production carries many serious health effects. After exposure, the most common complication in children is rhabdomyolysis, a muscle degrading illness. Additionally, elevated heart rate, vomiting, agitation, and inconsolable crying can be present (2). Often, children are too afraid or unable to alert responsible adults to their position due to the fear of physical harm they might receive from angered parents. School Daze Teachers may become aware of potential drug involvement when a student exhibits behavioral and/or scholastic difficulties. School employees and nurses should be cognizant of the warning signs of meth exposure, especially frequent untreated illness, sweet pungent chemical smells, changes in personality, aggressive behavior and lack of academic progress (8). Children may also experience problems in social settings among their peers. Younger kids demonstrate a multitude of learning difficulties in school resulting from sensory integration problems: Autism, Developmental disorders and Attention Deficit Hyperactivity Disorder; all directly tied to the damage meth has done to their brain as well as to environmental factors. (10). The lack of an active and healthy social environment can cause malfunctions in the establishment of sound neural connections and can result in undersized regions of the brain which are necessary for proper emotional development (11). Children with prenatal meth exposure experience a difference in white matter

www.sdds.org

structure and maturation, causing abnormal brain development. (12). Again, there is an increased potential for drug abuse. Meth use by parents causes a child to develop feelings of inadequacy, low self-esteem, lack of control and a sense that he has tacit approval to do the same, often spiraling them into a future of drug use (3) So, what about the children? It is obvious that the issue of children and their exposure to the world of methamphetamine needs to be addressed. Remember, one time is all it takes to become hooked and potentially face a lifetime of addiction.  Works Cited 1. Jewett, Christina, “New Drug Wave Delivers ‘Crank Babies,” The Sacramento Bee, S17 April 2005, p. 1. 2. “Children in Methamphetamine “Labs” in Oregon.” CD Summary: An Epidemiology Publication of the Oregon Department of Human Services. 52.16 (2003). 3. El Dorado Union High School District Healthy Kids Survey Comparison, 2002 and 2004, January 2005 Report, table 14. 4. Doligosa Jr, F., Family’s World Shaken by Former Meth Lab, Rocky Mountain News, 20 Feb, 2006. 5. Indiana: The Sabatino Meth Lab Home Story, Meth Lab Homes, 27 August 2009. http://Methlabhomes.com/2009/08/ inidana-sabatino-meth-lab-home-story/

6. Ells, Mark JD., Sturgis, Barbara PhD., Wright, Gregg MD. “Behind the Drug: The Child Victims of Meth Labs.” National Center for Prosecution of Child Abuse. 15.2 (2002). 7. Grant, Bell, et. al., “Evidence of Methamphetamine Exposure in Children Removed from Clandestine Methamphetamine Laboratories.” Pe d i a t r i c Emergency Care, 26.1(2010), 11 January 2010. www. pec-online.com. 8. Denchy, Janice. “The Meth Epidemic: Its Effect on Children and Communities.” Journal of School Nursing. 22.2 (2006) pp,63–5. 9. Risks of Meth Exposure to Children. Minnesota Department of Health. 11 January 2010 www.health.state.mn.us/ divs/eh/meth. 10. Shaw, R, Children: The Real Victims of Meth Exposure, Blank Children’s Hospital, Desmoines, IA 50309 11. Wesson, Kenneth A. ScienceMaster. com. “Early Brain Development and Learning.” 15 January 2010. http:// www.sciencemaster.com/columns/wesson/ wesson_early_01.php. 12. American Academy of Neurology. “Prenatal Methamphetamine Exposure Linked To Abnormal Brain Development.” ScienceDaily 16 April 2009. 14 January 2010. http://www.sciencedaily.com/ releases/2009/04/090415162642.htm.

December 2010 | 31

you

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?

The Dentist, the Business Owner

Prompt Payment

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

from insurance companies From Greg Alterton (Public Policy Analyst, CDA) Is there a “time limit” that insurance companies must comply with in regard to payments? There is a “prompt payment” provision in state law for all insurances (PPOs, HMOs, indemnity), and it’s 30 days after receipt of a “complete claim.” Dental plans assert that they pay about 95% of all claims within 20 days or so, but there can be hang-ups. The main one is the requirement to pay within 30 days of receipt of a “complete claim.” A complete claim is one that is accompanied by all necessary documentation, notes, periocharts, x-rays, whatever the plan requires to

adjudicate the claim. We find that most delays in payment are because plans require additional information, and that 30-day clock doesn’t start until they receive what they require. The other wrench in the system is that about 40-50% of claims are received by self-funded dental plans, which are regulated under federal ERISA law, and in ERISA there is no “prompt-payment” requirement. There is in ERISA a requirement to notify the claimant within 30 days whether the claim will be paid, but it isn’t a requirement to actually pay within 30 days.

CDA a call, specifically to talk with Patti Cheesebrough in the Practice Support Center (916-554-4994). Give her the details of those claims that are outstanding: what plans, how long and so forth, and we can look into it. 

If a doctor has some outstanding unpaid claims, he / she should be encouraged to give

Dental plans assert that they pay about 95% of all claims within 20 days or so, but there can be hang-ups.

CDA HOUSE of DELEGATES

Dr. Gary Ackerman (Reference Committee Chair) at the podium. Drs. Bob Gillis, Kelly Giannetti and Adrian Carrington.

32 | The Nugget

Drs. Vic Hawkins and Viren Patel.

“The girls” — Drs. Giannetti, Kodama and Archibald.

Fun times!

Dr. Jones receives the ADA Golden Apple Award for SDDS member retention!

Dr. Christy Rollofson, new Chair of CDA’s Council on New Dentist. Surf’s up!

Sacramento District Dental Society

Committee Corner

You asked for this! Nugget Survey 2009

From Your Delegates:

2010 CDA HOD Report The 2010 meeting of the California Dental Associations House of Delegates (HOD) took place last month. For three days, over 200 delegates from across the state met in Beverly Hills to conduct the business of our Association. A large percent of the delegates were first time attendees of the House and what they witnessed was one of the most efficient and effective HOD many of us old timers had ever been involved in. Detailed reports were filed on Workforce Issues and Barriers to Care. The reports outlined the problems and potential strategies for addressing these concerns; a final report will be presented at next year’s HOD. In addition, the consensus statement and guidelines on Perinatal Oral Health was also approved. A variety of procedural issues with regard to Peer Review were discussed and approved. The issues included such items as revisions to the PR manual, PR training, specialty definition and the actions taken by HOD were an attempt to streamline the process and enhance the member benefit. The PR Council was encouraged to research new methods to augment existing PR training as well as the appropriate methods for assessing such training. Of particular interest to the Sacramento component was a resolution brought forward by the Napa-Solano delegation. The February issue of SDDS’ The Nugget dealing with the Americans with Disability Act (ADA) and frivolous lawsuits sparked this proposal. The resolution was approved, unanimously; it calls for CDA to work to improve access to the disabled as well as protect small businesses

link of the month www.sdds.org

by researching the feasibility of requiring a ninety-day notice to cure before a lawsuit is filed (a ‘fix-it ticket’). SDDS sponsored a resolution addressing our concerns regarding dental Geographic Managed Dental Care (GMC) in Sacramento. This resolution, unanimously passed by the Delegates, reaffirmed CDA’s opposition to the expansion of GMC and its desire to eliminate mandatory GMC Dental in Sacramento County. The House agreed that, as a first step toward that goal, CDA will work to make patient participation in GMC voluntary in Sacramento. In addition, CDA will investigate whether clear GMC performance measures exist and, if they do, work to ensure their enforcement. If GMC performance measures do not exist, CDA will work with the State Department of Health Care Services, SODS and other groups to establish them and the appropriate penalties for failure to comply. This was an enormous victory, not only for our local component, but also the 117,000 residents that are now required to enroll in GMC Dental. Finally, the CDA Foundation raised over $150,000 at the silent auction it sponsored at the Presidents party for outgoing President Tom Stewart and incoming President Andy Soderstrom. Saving the best news for last, I am pleased to report to you that all the items approved by this year’s HOD did not result in a single penny being added to your dues statement. All in all it was a very successful and enjoyable HOD and, on behalf of my fellow delegates, we all were honored to represent you. 

2011 MidWinter Convention Get all the info you need at:

www.sdds.org/MW2011.htm

By Terrence Jones, DDS President, SDDS

Quotable Quotes from SDDS Delegates Thumbs up for HOD 2010! What are your thoughts about this year’s House of Delegates? “SDDS sent a clear message and goal that led the House to choose to aid us in reducing our problem with GMC.” “… the manner and diligence all the members representing our component conducted themselves with respect for each others’ opinion to the positive outcome of the resolutions presented.” “… the cohesiveness of our delegation; the integrity of our delegates and our dedication to our profession not as individuals but for the good of dentistry.” “Great CDA legislative success in 2010!” “…the efficiency of the House – good job, Dr. Felsenfeld!” “I’m proud of how our delegation worked with others to advance our ideas.” “…framework to discuss difficult issues; deliberated and came to consensus fairly…” “Got a great GMC resolution!” “Success in areas that matter most to our component. Respect of the NUGGET in ALL of California!” “The clarity of the vision SDDS had coming into the HOD combined with our values showed me how we were able to accomplish our goals. These goals will help dentists AND patients throughout the state!”

December 2010 | 33

Financial Services

20/20 Financial Advisers

since

916.989.3295 www.2020fa.com

2009

2002

916.787.9988 www.ameripriseadvisors.com/ violetta.s.terpeluk

2009

Todd Andrews

Marc Davis • Morgan Davis • Lynda Doyle

916.743.5151 www.andrewsconstructioninc.com

916.772.4192 www.bluenorthernbuilders.com

Kim Parker, Executive VP Mari Bradford, HR Hotline Manager

since

2007

Kevin McKittrick • 916.765.9101 Lauren Herman • 209.969.6468

916.320.2123 www.kodakdental.com

since

www.dentalcare.com

2002

dental Supplies

4095 Del Mar Ave. #13 Rocklin, CA 95677

since

2009

Chris Nunn

Craig Fechter, CPA

916.576.5650 www.firstus.org

since

2010

Mano Vrapi

since

2005

construction

David Olson 209.366.2486 www.olsonconstructioninc.com

since

2004

PATTERSON DENTAL

800.775.6412 916.431.8046 www.relyaid.com

since

2009

James Ryan 800.736.4688 www.pattersondental.com

since

2003

Staffing Services

Resource Staffing Group

Kathy Olson

since

916.960.2668 www.resourcestaff.com

Life beyond the bottom line.

2003

precious metal refining

Practice Management & consulting

Jim Ryan, Sales Consultant

Olivia Straine • Kerry Straine

Star Refining

since

2009

Straine Consulting

You concentrate on their smile and we’ll concentrate since on yours. 916.568.7200 www.straine.com 800.333.9990 www.starrefining.com

2003

We know your patients come first. We also know that this can make it difficult for you to concentrate on your own personal financial needs, and the needs of your practice. In The Private Client Reserve at U.S. Bank, you’ll work with a team who specializes in serving the dental profession. From day-to-day office management to personal finances, our dental experts will keep you smiling. Janet Rollofson Vice President, Wealth Management Consultant 916.498.3891

Member FDIC

Supply Doc, Inc.

Amin Amirkhizi, CEO

Financial Services

2010

Financial Services

Union Bank

Janice Villand • Philip Kong

since

Dental Supplies

Patterson Dental

Jim Alfheim, President of Sales & Marketing

Dental Supplies

34 | The Nugget

2010

RelyAid

Becki Philpott, Marketing Director

2010

since

Dental Supplies

Magazine

877.311.7373 www.supplydoc.com

Liberty Mutual

916.649.1246 x55884 www.libertymutual.com/manovrapi

Sacramento Magazine

since

home/auto/life Insurance

916.626.3002 www.henryschein.com

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

916.452.6200 www.sacmag.com

2009

Nicole Deuser, Regional Sales Manager

Lucas Rayburn

2002

916.979.7671 www.fechtercpa.com

since

Henry Schein Dental

Olson Construction, Inc.

916.773.3343 www.principal.com

Fechter & Company

Dental Supplies

Dental

Mann, Urrutia, Nelson, CPAs

916.724.3980 www.muncpas.com

since

2003

916.443.1113 www.dentassist.com

916.367.4540 www.eaglewestgroup.com

First US Community Credit Union

2010

Lisa Saiia, Director

since

916.624.2800 www.descodentalequipment.com

Financial Services

since

dentassist

Tony Vigil, President

Financial Services

2010

Job Placement

Permanent & Temporary

Financial Services

Gordon Gerwig, Business Services Manager

since

800.399.5331 www.employers.org

Eagle West Group, Inc.

First US Community Credit Union

2005

2004

Financial Services

since

Crest / Oral B

DESCO Dental Equipment

www.descodentalequipment.com

Human Resources

California Employers Association

John McCroskey, Account Executive

916-624-2800 800-649-6999

916.928.1068 www.asimedical.com

construction

Dental Supplies

The Dental Equipment Specialists

2004

Blue Northern Builders

Dental Supplies

2010

since

Andrews Construction, Inc.

Carestream Dental (Kodak)

since

Geary Guy, VP Steve Shupe, VP

since

construction

since

Analgesic Services

Violetta Sit Terpeluk, CFP , MBA, CRPC ®

916.979.7221 www.unionbank.com

U.S. Bank

Janet Rollofson, VP, Wealth Mgmt Consultant

since

2010

916.498.3891 www.usbank.com

Sacramento District Dental Society

Vendor Member A

Leonard Simpson, RFC®, AIF® Steve Raymond

Medical Gases

Ameriprise Financial

Vendor Member B

Financial Services

Transition Broker

Legal Services

Tim Giroux, DDS, President John Noble, MBA

Jason Wood

Western Practice Sales

since

2007

800.641.4179 www.westernpracticesales.com

Wood & Delgado

since

2010

1.800.499.1474 • 949.553.1474 www.dentalattorneys.com

we love

Vendor Member A

our SDDS Vendor Members!

Vendor Member B

vendor member spotlights:

Family owned business with over 35 years of experience in supplies • Chain was founded in 2008 • Operation started with 12 items and has now grown to be a full service dental supplier with over 4000 items and 13,000 square feet of stocked inventory Products and Services • Discounted dental supplies • Full line of equipment, from sterilizers and digital e-rays • Discounted dental lab • Repair and service department to maintain all your equipment • Quality dental products at the lowest price available for your practice • Quality comparable brands for all consumable items used • Knowledge of products in the dental industry • BEAT existing pricing with your current vendor • Customer Service that is unmatched in our industry, by providing a team of an Account Representatives and Office Coordinator to assist with all of your office’s needs.

A full service law firm specializing in all business needs of a dentist with offices located in San Francisco, Temecula and Irvine, CA Wood & Delgado is a full service law firm of attorneys specializing in representing dentists for over 28 years in such diverse areas as transition consulting, dental practice purchase agreements, dental partnerships agreements, dental MSO’s, dental space sharing agreements, dental corporations and LLC’s, real estate, Dental Board defense, estate planning, including wills and trusts, and other business transactions which a dentist will face during his or her career. With offices in San Francisco, Temecula and Irvine and with attorneys licensed in most Southwestern states, Wood and Delgado provides legal services to a vast number of dentists and other medical professionals. Wood and Delgado attorneys are highly knowledgeable and respected in the community. They have lectured extensively at dental conventions, dental societies and dental schools and have written numerous articles that have been published in dental publications such as “Dental Economics, “Journal of California Dental Association,”“Strategies for Success,”“Journal of Colorado Dental Association” and “The New Dentist.”

• Repair and equipment service at lowest price guaranteed

If you are looking for highly experienced and qualified dental transaction experts, Wood and Delgado is the firm for you.

Benefits, Services, Special Pricing and/or Discounts Extended to SDDS Members

Visit our website at: www.dentalattorneys.com for testimonials, articles, calendar of events; speaking engagements and CE Seminars. Submit a question or request for a FREE consultation online today!

All SDDS members will benefit from discounts up to 10% on all items Amin Amirkhizi 2945 Sierra Mills Lane Sacramento, CA 95864 Phone: 916.858.1333 Fax: 916.200.1332 Amin@supplydoc.com

Karim Amirkhizi 132 Clunie Drive Sacramento, CA 95864 Phone: 916.858.1333 Fax: 916.200.1332 Karim@supplydoc.com

9965 Horn Rd, Ste A Sacramento, CA 95827 www.supplydoc.com

www.sdds.org

Special offer to all SDDS members only $1,000 off any Buyer/Seller Transition related services.

The Law Offices of Wood and Delgado Phone: (800) 499-1474 Fax: (800) 511-2138 www.dentalattorneys.com

December 2010 | 35

P a i d a dv e r t i s e m e n t

Advertiser Index Dental Supplies, equipment, Repair Accurate Handpiece Repair . . . . . . . . . . . . . . . . . . . . . . . . 18 Carestream Dental (Kodak) . . . . . . . . . . . . . . . . . . . . . . . . 34 DESCO Dental Equipment . . . . . . . . . . . . . . . . . . . . . . . . 34 Henry Schein Dental . . . . . . . . . . . . . . . . . . . . . . . . . . 39, 34 Patterson Dental Supply, Inc. . . . . . . . . . . . . . . . . . . . . . . . 34 Procter & Gamble Distributing Co. . . . . . . . . . . . . . . . . . . 34 RelyAid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Supply Doc, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27, 34

Financial & Insurance Services 20/20 Financial Advisors of Sacramento, Inc. . . . . . . . . . 5, 34 Ameriprise Financial . . . . . . . . . . . . . . . . . . . . . . . . . . . 34, 39 Dennis Nelson, CPA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Fechter & Company, CPAs . . . . . . . . . . . . . . . . . . . . . 15, 34 Eagle West Group, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . 34 First U.S. Community Credit Union . . . . . . . . . . . . . 14, 34 Liberty Mutual Insurance . . . . . . . . . . . . . . . . . . . . . . . . 34 Mann, Urrutia & Nelson, CPAs . . . . . . . . . . . . . . . . . 9, 34 Principal Financial Group . . . . . . . . . . . . . . . . . . . . . . . . 34 TDIC & TDIC Insurance Services . . . . . . . . . . . . . . . . 12, 39 U.S. Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26, 34 Union Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18, 34

Human Resources California Employers Association (CEA) . . . . . . . . . . . . . 34, 42

Medical Gas Services Analgesic Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Office Design & Construction Andrews Construction . . . . . . . . . . . . . . . . . . . . . . . . . 26, 34 Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . . . . . . . . 34 Henry Schein Dental . . . . . . . . . . . . . . . . . . . . . . . . . . 39, 34 Olson Construction, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Practice Sales, Lease, Management and/or Consulting Cassidy / Turley (Greg Margetich) . . . . . . . . . . . . . . . . . . . . . 6 DBC Consulting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Henry Schein Dental . . . . . . . . . . . . . . . . . . . . . . . . . . 39, 34 Professional Practice Sales. . . . . . . . . . . . . . . . . . . . . . . . . . 31 Straine Consulting. . . . . . . . . . . . . . . . . . . . . . . . . . . . 14, 34 TRI Commercial Real Estate (Gordon Stevenson). . . . . . . . . 28 Western Practice Sales. . . . . . . . . . . . . . . . . . . . . . . . . . 11, 35

Publications Sacramento Magazine . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14, 34

Staffing services dentassist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26, 34, 36 Resource Staffing Group . . . . . . . . . . . . . . . . . . . . . . . . . 34, 42

Waste management services Star Refining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

36 | The Nugget

Sacramento District Dental Society

Reduce Your Chances of a Tax Audit

Over the last couple of years the number of IRS audits conducted has risen. More often than not, the target is the business owner.

run your personal and business activities through the same account... no co-mingling of funds).

Typically less than 2% of all individual income tax returns are chosen for audit. The IRS selects those tax returns that they believe to have high audit potential.

• Sit down with you accountant and make sure your business is set up in the best tax structure possible.

Is there anything I can do to decrease my chances of getting audited? Your chances for an IRS audit could increase based on your profession, certain types of income, transaction types and the types of tax deductions you claim on your taxes. In general, the odds of an IRS audit for someone in the $25,000 to $100,000 income bracket are less than 1%. For those making more than $100,000, the odds increase to 1.5%+. An increase for certain, but not a staggering percentage. Your chances of being audited by the IRS are greater under the following circumstances: • You are a business owner: The IRS believes most underreporting of taxable income and abuse of tax deductions occurs among those who are self employed. These individuals are audited by the IRS far more frequently than employees collecting a paycheck. • Your business expenses are large in relation to the income on your tax return. • You own or work in a business which receives cash in the ordinary course of business. • You have complex deductions. • You have itemized deductions that exceed IRS levels (IRS is focusing on Home mortgage interest on loans over 1.1 million and large cash contributions). • You have a prior IRS audit that resulted in a tax deficiency. • You are a shareholder or partner in an audited partnership or corporation. Precautions to take now for a potential future audit: • If you own a business, set up a separate bank account for the business (you should not www.sdds.org

• If you are making large donations, get a receipt from the organization acknowledging the amount and date of your gift. • Keep a good record of business receipts. • Make sure your books are in order and you have a good record keeping system (Quickbooks is one of the best programs out there for organizing your books). I’m getting audited. Now what? The traditional view of an IRS tax audit is a face-to-face contact with an IRS auditor. About one-third of IRS audits are in the form of letters asking for explanations of various tax items on a tax return or supporting documentation. If you receive a tax audit letter from the IRS, examine your records to determine the nature of the tax audit issue. The IRS may wish to audit the entire tax return or just a portion of it (for example, meals and entertainment or automobile and travel expenses). If the issue concerns documenting a tax deduction or a tax credit, you or your accountant would send the IRS copies of the appropriate documents. If the tax notice concerns a tax deduction or questions a tax position taken on the tax return, consult your tax advisor before responding to the IRS or have them generate a response for you — a satisfactory explanation can end the matter quickly. If only a portion of the tax return is to be audited by the IRS, you should bring only the tax records pertaining to that part of the tax return being audited by the IRS. A full tax audit will request all tax return information for that tax year. In most cases the IRS tax notice will indicate which area of your tax return is being questioned. Follow these guidelines to prepare for a face-to-face IRS tax audit: • Bring all the documentation relevant to the tax item(s) in question, so that the evidence needed to support your tax case is available.

By John R. Urrutia, CPA

Mann, Urrutia, Nelson, CPAs (SDDS Vendor Member)

Bring documentation only for tax items specified in the IRS tax audit notice. • Organize papers according to the tax items in question, and make copies of them. • Bring relevant worksheets to show how the tax figures in question were calculated. • Do not volunteer tax information not requested by the IRS. Be cordial but remember, “Loose lips sink ships.” IRS tax audits are often prompted by large business losses over a period of several years, raising the question of how the owner made a living during that time. Large tax deductions for travel, entertainment and automobile expenses that don’t appear to relate to the company’s sales volume also can trigger an IRS tax audit. If you are audited by the IRS or are subject to an IRS tax collection procedure, you have a number of rights: • You can have an accountant, lawyer or enrolled agent represent you at an IRS tax audit. By giving your accountant a power of attorney for the audit, you need not attend, provided you don’t receive a summons from the IRS. This allows your accountant more time to confer with you and respond to tax questions from the IRS agent. This may also be a strategic advantage for you. • You have appeal rights in IRS tax collections, such as tax liens, tax levies and property seizures. One possible reason to appeal an IRS tax lien, for example, is that the IRS lacks critical information about your tax case. You can seek hardship relief from the IRS if a property seizure would create a significant hardship. The IRS can waive tax penalties if you show you acted in good faith on the incorrect advice of an IRS worker.  An IRS video explains what to expect during the exam process. It includes segments on what work papers are required, what to do if you agree or disagree with the results of the audit and payment options if you owe. To see the video, visit: http://kiplinger.com/letterlinks/audit

December 2010 | 37

We’re blowing your horn! Congratulations to... Dr. Gregory Adams, for his participation in the California International Marathon (CIM) on December 5th.

Dr. Herbert Yee and his wife, Inez, on their 65th wedding anniversary! (photo below)

Dr. Kenneth Moore, 2010 Asian Dentist of the Year through Sacramento Asian Dental Society.

Dr. Steve Leighty, for his participation in NorCal Dental Clinic’s outreach in Ensenada, through the 49er Breakfast Rotary Club of Nevada City. Over 130 patients were registered, triaged and treated over two days.

Drs. Matt Comfort and Ron Rasi, on their participation in Crush 2010 at Conforto Vineyards / Rasi Ranch Vineyards. (photo below) Dr. Wesley Yee and his wife, Nancy, on their 25th wedding anniversary!

Lisa Saiia (dentassist, SDDS Vendor Member), for the 2010 Wise Woman Award from the Sacramento Valley Chapter of the National Association of Women Business Owners. (more info, p. 36) 

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

Drs. Rasi and Comfort embrace their inner vintner

Dr. Herbert Yee and his wife, Inez, celebrate their 65th wedding anniversary.

Thank You to the following “silent heroes,” serving the dental needs of students at Hiram Johnson’s Dental Clinic. Reymond Bautista, DMD

Alan Rabe, DDS

Wai Chan, DDS

Terry Rosenburg (wife of Dr. Morton Rosenberg)

Richard Chang, DDS Ken Fat, DDS Tiffany Favero Holliday, DMD Melissa Fong, DDS

The Nugget goes everywhere!

Phabhjot Grewal, DDS

Drs. Charles Newens, Alan Pan, Kevin Chen, Robin Berrin, Peter Ngai and Rosemary Wu bring SDDS all the way to a dental school in Germany!

Alex Lee, DMD

38 | The Nugget

Dean Sands, DMD Charles Su, DDS Ricky Tin, DDS Andrew Wang, DDS Elizabeth Wong, RDH

Lisa Ngo, DDS

Les Wong (San Joaquin Dental Society)

Novan Nguyen, DDS

Rosemary Wu, DMD, MS

Sacramento District Dental Society

As an Ameriprise financial advisor, Iâ&#x20AC;&#x2122;m here to help make your dreams a reality. Using our unique Dream > Plan > Track >ÂŽ approach to financial planning, I can help you seamlessly integrate both your business and personal goals into one easy-tomanage plan. With tailored solutions, Iâ&#x20AC;&#x2122;ll help you manage taxes, develop attractive retirement and employee benefit programs, protect your business, and develop a sound succession plan. To start a conversation, call (916) 787-9988 today. Violetta Sit Terpeluk, CFPÂŽ, MBA, CRPCÂŽ Senior Financial Advisor CERTIFIED FINANCIAL PLANNERâ&#x201E;˘ practitioner 2270 Douglas Boulevard, Suite 218 Roseville, CA 95661 (916) 787-9988 CA License #: 0D80218 violetta.s.terpeluk@ampf.com www.ameripriseadvisors.com/violetta.s.terpeluk

Sacramento-7.5x4.875.pdf

3/9/10

9:47 AM

Ameriprise Financial cannot guarantee future financial results. Consult your attorney or tax advisor regarding specific tax issues. Financial planning services and investments available through Ameriprise Financial Services, Inc., Member FINRA and SIPC. ÂŠ 2009 Ameriprise Financial, Inc. All rights reserved.

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Pam Trehub CA Lic. #0C87473

Jason Caluza CA Lic. #0D97803

&OEPSTFE CZ

800.733.0633 tdicsolutions.com CA Insurance Lic. #0652783 Coverage specifically underwritten by The Dentists Insurance Company includes professional liability, office property, and employment practices liability. Workersâ&#x20AC;&#x2122; compensation, life, health, disability, long-term care, business overhead expense, home and auto products are underwritten by other insurance carriers, brokered through TDIC Insurance Solutions.

www.sdds.org

December 2010 | 39

membership report

congratulations! membership milestones for 2010 The following members celebrated significant membership anniversaries in 2010: OVER SIXTY YEARS Robert C. Coupe, DDS Harold J. Drury, DDS Edward F. Driemeyer, DDS John E. Hines, DDS Kenneth H. Fox, DDS Mitsuho Alwin Sato, DDS Edward K. Ishii, DDS SIXTY YEARS Frank J. Catalano, DDS Spencer A. Gedestad, DMD Herbert K. Yee, DDS FIFTY YEARS George A. Becker, DDS Donald R. Briggs, DDS Lamont E. Carr, DDS, MS George A. Gould, DDS George Kuniyoshi, DDS Lawrence Lee, DDS Richard A. O’Day, DDS, MS FORTY YEARS Stephen E. Haun, DDS Gilbert H. Larsen, DDS Abraham M. Morikone, DDS Michael J. Petre, DDS J. Frank Pinkner, DDS Sam J. Stassi, DDS Robert L. Tilly, DDS Frank M. Wall, DDS Jerard Wilson, DDS THIRTY YEARS James D. Coyle, DDS Dan W. Fong, DDS Calvin L. Garland, DDS Douglas A. Gedestad, DMD Douglas K. Greenwald, DDS Richard W. Henifin, DDS Russell G. Hirano, DDS Jeffrey L. Johnson, DDS Paul C. Katz, DDS Gordon Q. Lee, DDS David S. Lehman, DDS 40 | The Nugget

Ronald L. Otto, DDS, MS Scott A. Reiman, DDS David G. Schultz, DDS Gregory R. Smith, DDS William H. Swearingen, DDS Timothy A. Wong, DDS TWENTY YEARS George R. Burger, DDS Shareen Char-Fat, DDS Cameron C. Cho, DDS James C. Cope, DDS Stella J. Dariotis, DDS Stephen D. Fisher, DDS Sheryl L. Fong, DDS Wesley K. Fong, DDS Jennifer L. Goldman, DDS Michael B. Guess, DDS Philip J. Hankins, DDS, MS Steven W. Koire, DDS Judith V. Lane, DDS Philip G. Latham, DDS Laurence S. Masuoka, DMD Kevin S. McCurry, DDS, MAGD John F. Nelson, DDS Robert P. Obregon, DDS Julie A. O’Brien, DDS Ronald M. Pantalone, DDS Michael S. Phelps, DDS Pamela L. Schmidt, DDS Kathleen A. Shanel, DDS Gregory D. Taylor, DDS Mark H. Zablotsky, DDS TEN YEARS Mitchell A. Goodis, DDS Christopher D. Kanas, DDS Heather M. Rutherford, DDS Joelle Taves Speed, DDS, MS Justin L. Reich, DDS James H. Hastings, DDS Carl M. Hillendahl, DDS Julie L. Leaverton, DDS Friz J. Diaz, DDS Andrea S. Hersh, DMD

Paul R. Bianchi, DDS Tin-Sue Fu, DDS Annie M. Gunter, DDS Douglas A. Lott, DDS Hamid R. Shirazi, DDS D. Brian Hull, DDS Paul W. Johnson, DMD, PhD G. Curtis Croft, DDS C. J. Gregor, DDS Elizabeth A. Harmon, DDS Shahryar Khodai, DDS Khari F. Nelson, DDS Brian Ralli, DDS Heather R. Scorza, DDS Scott E. Snyder, DDS Jeffrey Sue, DDS Pedram P. Towfighi, DDS, MS Ling Xiao-Ralli, DDS

Scheduled to Receive Life Membership in 2011 Awarded at SDDS Holiday Party (December 7, 2010)

Richard A. Behl, DDS David J. Bull, DDS Peter M. Couperus, DDS Kent S. Daft, DDS Al R. Dayes, II DDS Phillip I. Frazier, DDS Richard R. Gere, DDS Lawrence D. Hansen, DDS Gregory G. Maroni, DDS Douglas W. McCreary, DDS Abraham M. Morikone, DDS James R. Musser, DDS John G. Nahorney, DDS Paul A. Simon, DDS Nicholas V. Stubbs, DDS Michael O. Ward, DDS Note: Life membership is granted to an active or retired member who has been a member for 30 consecutive years and has attained the age of 65. It is effective the calendar year following the year in which requirements are fulfilled.

Sacramento District Dental Society

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

Keep us updated! Moving? Opening another office? Offering new services? Share your information with the Society! We can only refer you if we know where you are; and we rely on having your current information on file to keep you informed of valuable member events! Give us a call at (916) 446-1227. The more accurate information we have, the better we can serve you!

www.sdds.org

New Members Dawn Anderson, DDS General Practitioner 33 E. Grass Valley St Colfax, CA 95713 (530) 346-2214 Dr. Dawn Anderson graduated from the UCSF School of Dentistry in 2006 with her DDS. She is currently practicing in Colfax where she lives with her husband Ian Cain. Kathy Hosseini, DDS General Practitioner 12150 New York Ranch Rd Jackson, CA 95642 (209) 223-8460 Dr. Kathy Hosseini graduated from Ohio State University in 2002 with her DDS. She is currently practicing in Jackson and lives in Rancho Murieta.

December 2010

New Transfer Members: Nathan Adams, DDS Transferred from Tri-County Dental Society General Practitioner 3421 Robin Ln Cameron Park, CA 95682 (530) 677-8181 Dr. Nathan Adams graduated from Loma Linda University in 2010 with his DDS. He is currently practicing in Cameron Park with his father and fellow SDDS member dentist, Dr. John Adams.

New Applicants: Bryan Randolph, DDS Matthew Sanders, DDS

Shahen Rostamian, DDS General Practitioner 2370 Maritime Dr Elk Grove, CA 95758 (916) 683-2272 Dr. Shahen Rostamian graduated from the Herman Ostrow School of Dentistry of USC in 2007 with his DDS. He is currently practicing in Elk Grove and lives in Sacramento with his wife, Sharis. Derrick Tanihara, DDS Orthodontist Pending Office Address Dr. Derrick Tanihara graduated from the UCLA School of Dentistry in 1999 with his DDS and later completed his specialty certification in Orthodontics at the Montefiore University Hospital in 2002. He currently lives in Sacramento.

IT’S TIME TO RENEW YOUR 2011 MEMBERSHIP WITH ADA, CDA AND SDDS! WAYS TO RENEW: 1. Single payment 2. 12-month Electronic Dues Payment (EDP) plan

IMPORTANT DATES

December 22, 2010 — deadline for 12-month EDP payment plan enrollment by mail and fax January 3, 2011 — Membership Dues deadline January 10, 2011 — deadline for 12-month EDP payment plan enrollment online at www.cda.org/renew April 1, 2011 — $100 reinstatement fee applied to anyone who has yet to renew

ONLINE DUES RENEWAL

Go to www.cda.org/renew to renew your 2011 membership online.

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

total membership (as of 11/10/10): 1,563 total active members: 1,310 total retired members: 192 total Dual members: 3 total affiliate members: 13

total student/ provisional members: 0 total current applicants: 2 total dhp members: 43

total new members for 2010: 58 December 2010 | 41

Event highlights November General Membership Meeting November 9, 2010 — Staff Night 1

RESOURCE S TA F F I N G G RO U P

8 DENTAL STAFFING SPECIALISTS FOR:

4%-0/2!29 s 4%-0/2!29 4/ ()2% $)2%#4 ()2% s #/.4).5).' %$5#!4)/.

1: Introducing… the New Member Corner! New Members within the past three years are invited to get to know each other in this area before each General Meeting. 2: Kevin McKittrick (Procter & Gamble, SDDS Vendor Member) takes advantage of the social hour. 3: Dr. Ryan Higgins (center) with staff members Christi, Heather, Rebecca and Barbie. 4: Drs. Richard Silva (left) and Robert Meaglia (third from left) enjoy pre-dinner drinks with their staff members. 5: Dr. Chris Nhan (second from left) with staff members Lucy, Lisa and Debbie. 6: Dr. William Melarkey (left) with staff members Jennine and Janet. 7: Dr. Matt Comfort (left) with staff members Tessa, Lacie, Liz, Megan and Annette. 8: Dr. Gary Ackerman (left) welcomes new member Dr. Aly Elsayed (right) 42 | The Nugget

Becoming your “partner in business,” we take over tasks such as payroll, benefits, tax administration and delegation of all HR duties. These tasks include hiring/firing of employees, processing EDD claims and attending Labor Board hearings while protecting your practice from legal grievances. We assist in controlling skyrocketing and unexpected costs in areas such as advertising, benefits, workers compensation, recruiting and employment law. Whether you work with Resource Staffing Group on a temporary or long term basis, we are always ready to assist you with all your staffing needs. Our services allow your practice to run smoothly during periods of transition or increased production. Resource Staffing Group also provides in-house Continuing Education Courses including: OSHA/Cal Law/Infection Control and CPR Recertification. Please visit our web-site at www.resourcestaff.com.

Address: 1508 Eureka Road #240 Roseville, CA 95661 Phone: 916-960-2668 Fax: 916-960-2669

Sacramento District Dental Society

dentists serving dentists — Western Practice Sales invites you to visit our website, westernpracticesales. com to view all of our practices for sale and to see why we are the broker of choice throughout Northern California. (800) 641-4179. 03-09 great location on madison ave in carmichael — 40 years established. No MediCal, no capitation. Dr. retiring. Great, loyal patients and staff — will stay. (916) 966-8567 mcdaniel.grant@yahoo.com. 12-10 MEDICAL / DENTAL OFFICE AVAILABLE June 1, 2010. 1436 sq. feet. 7601 Hospital Dr, Suite 204, Sacramento. Call (916) 681-6510 for information. 06/07-10

design your own dental suite offering generous tenant improvements for this 800 sq ft office space. Rent negotiation is available. The suite is in a three story midtown dental complex. (916) 448-5702. 11-10 Dream office shell — nicest / newest in sacramento! Build / design 2,000 sf to suit. Near Watt / El Camino, close to shopping. Great for new / existing practice, general / specialty. Call Dr. Favero (916) 487-9100. 12-10 free rent — Fully equipped, 4 ops, Dentrix software, Arden area, great for starting new practice. Former location of 35 year practice. Contact Douglas Yee (916) 801-1707. 11-10 for lease — 2400 K Street. 1,000 SF dental space on the corner of 24th and K Streets in Midtown. Onsite parking, 4 ops, office, lab, reception. Call (916) 821-9866. Dave Herrera, AGT. 12-C1

cerec ‘07 for sale. Latest MCXL Milling Unit, Acquisition System, Ivoclar Furnace. Sale by original owner. Lightly used. (626) 552-8844. cerec4sale@gmail.com. 08/09-10 for sale: assistant chairs — Pelton chair with bone cloth, adjustable foot rings. Purchased 2002. $150.00. Marcus with bone cloth, adjustable foot rings. Purchased 1995. $100.00. 12-10

SDDS HR hotline:

1-800-399-5331

Have an upcoming presentation? The SDDS LCD projector is available for rent! (3 days — $100) Members only please Call SDDS at (916) 446-1227 for more information or to place a reservation.

You asked for this!

New Classified Sections!

Nugget Survey 2009

Contact SDDS at (916) 446-1227 for more information.

greater sacramento area multi-specialty office looking for an associate pediatric dentist and orthodontist 2–4 days/week. Ideal candidate is a skilled team player looking for long-term commitment. Fax resume to (916) 817-4376. 11-10 Exciting Opportunity for Endodontist — Advanced practice with beautiful, new high tech office in foothills of Jackson, California looking for an endodontist to work one day per week, developing into a full practice with great potential. Please fax resume to (209) 223-2719. 01-10

Stop the Screaming! In-office sedation services by MD anesthesiologist • Pedo/Adults • Medi-Cal Provider • 20 years experience • Call (800) 853-4819 or info@propofolmd.com. 05-07 Locum Tenens — I am an experienced dentist, UOP graduate and I will temporarily maintain and grow your practice if you are ill / maternity leave or on extended vacation. (530) 644-3438. 04-10 Locum Tenens — Loma Linda grad, 1980. Temporary dentist for emergencies, vacations and maternity leaves. (530) 823-0502. 12-C1

Vacation homes • Misc items for sale • Home rentals / sales • Tickets

Selling your practice? Need an associate? Have office space to lease? Place a classified ad in the Nugget and see the results! SDDS member dentists get one complimentary, professionally related classified ad per year (30 word maximum; additional words are billed at $.50 per word). Rates for non-members are $45 for the first 30 words and $.60 per word after that. Add color to your ad for just $10! For more information on placing a classified ad, please call the SDDS office (916) 446-1227. Deadlines are the first of the month before the issue in which you’d like to run.

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December 2010 | 43 3‘-8

SDDS member dentists can place classified ads for free! www.sdds.org

A Great Opportunity! If you are planning or considering opening a practice in El Dorado Hills, give me a call!!! Dr. Linssen (916) 952-1459. 02-09

PRSRT STD

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

US POSTAGE PAID PERMIT NO. 557 SACRAMENTO, CA

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You asked for this!

sdds calendar of events December

2 3 7 9 13 25, 27 31

January

4 Board of Directors Meeting 6:00pm / SDDS Office

“Fun Times” Social Event Wine Club 6:30pm / Beyond Napa Executive Committee Meeting 7:00am / Del Paso Country Club SDDS Holiday Party 6:00pm / Del Paso Country Club Peer Review Committee 6:30pm President’s Thank You Dinner Time TBA / Sutter Club Christmas Holiday SDDS office closed New Year’s Holiday SDDS office closed

8 10 11

CPR BLS Renewal Sutter General Hospital 8:30am–12:30pm CE Committee 6:00pm / SDDS Office General Membership Meeting Shirt Happens — Incorporating New Protocols into Practice Kristy Menage Bernie, RDH, BS, RYT Hygiene Night Sacramento Hilton — Arden West 2200 Harvard Street, Sacramento 6:00pm Social 7:00pm Dinner & Program

13 14 18 29

Nugget Survey 2009

Member Forum HR Audio Conference 2011 Labor Law Update Noon–1:00pm “Fun Times” Social Event Ski Trip 6:30am / Sugar Bowl Membership Committee 6:00pm / SDDS Office Nugget Editorial Committee 6:15pm / SDDS Office Smiles for Kids Day

February

3–4 31st Annual MidWinter Convention & Expo Sacramento Convention Center

More calendar information available at: www.sdds.org

Catch a wave at the 31st annual MidWinter Convention Tons of CE & a great time! you won’t want to miss it! February 3–4, 2011

o t e p H2eo you se e! ther earn

ce units!

6pm: Social & Table Clinics 7pm: Dinner & Program

Sacramento Hilton, Arden West (2200 Harvard Street, Sac)

January 11, 2010:

Shift Happens: Incorporating New Protocols into Practice

Under Under t the he

oar

dwal

… do wn b y t he C - e ( e - e

-e) …

Presented by: Kristy Menage Bernie, EDH, BS, RYT

Course Objectives: • Provide rationale for implementing accelerated periodontal instrumentation protocols over traditional quadrant scaling and root planning. • Evaluate current protocols and develop plan of action to incorporate methods to enhance and advance optimal oral health for patients.

Silent Auction • Installation of Oficers • Friendship & good cheer

January General Membership Meeting: Hygiene Night