January 2019 Nugget

the

January 2019

MidWinter 2019: Exhibitor Show Specials Meet the Speakers, and more!

A PUBLICATION OF THE SACRAMENTO DISTRICT DENTAL SOCIETY

Get Ready For Our

UPCOMING EVENTS General Meeting 3 CEU, CORE • $75

JAN

8

“SDDS Talk” Night – 10 on 10 (10 Minutes, 10 Slides, 6 Speakers) Presented by Dale Alto, DDS; Margaret Delmore, MD, DDS; Lou Gallia, MD, DMD; Pieter Linssen, DDS; Alexander Malick, DMD, FAGD and Shika Rathi, BDS, MS Enjoy this evening of short form and rapid-fire pearls, quick tips, tools, warnings, complications, secrets and every day, useful knowledge. We have gathered some general dentists and specialists who will share the topics of: • Death by CPR; The Good, The Bad, and The Ugly • Role of Imaging in Airway Analysis • Sleep Apnea: More to It Than Just Making an Appliance

JAN

30 WEDNESDAY 7:00PM

FEB

2

• Oral Surgery: All-on-4 Concept TUESDAY 5:45-9PM

JAN

16 WEDNESDAY 6-9:30PM

JAN

30 WEDNESDAY 12-1PM OR 1:15-2:15PM

• Third Molars: Pearls and Pitfalls • Implants

SATURDAY ALL DAY

CPR BLS Renewal

1 CEU, 20% • $59

2019 Employment Law Changes Presented by California Employers Association California Labor Laws protect the rights of California employees. CEA is here as the employers’ advocate. The best way to protect your rights is to be informed of CA’s ever changing employment laws. Join us to learn more about the new laws employers must follow in 2019.

Class registration times are 30 minutes prior to the listed time, excluding General Meetings and HR Webinars

Watch the Sacramento Kings take on the Atlanta Hawks on January 30th at Golden One Center. Great seats in section 122, lower sideline-and only $50 a ticket! Get up close to your favorite Kings players with early access to watch pre-game warm ups. Great for all ages! Limited tickets available so act fast!

Smiles for Kids Day! On Smiles for Kids Day underinsured and underserved children are treated by member dentists and their teams.

More than half of those children are then “adopted” for further pro bono treatment – including specialty and orthodontic treatment.

Sign up today to volunteer your time to make a difference in a child’s life. sdds.org/foundation/our-projects/smiles-for-kids/

February 21-22, 2019

For the Healthcare Provider

HR Webinar

$50 EACH

The 39th Annual MidWinter Convention & Expo

4 CEU, CORE

The BLS Healthcare Provider Course includes mandatory practice and testing with a one-way valve mask.

SDDS Cheers on the Kings

Coming In March...

MAR

12

MAR

20 MAR

21 MAR

22

General Meeting • Tuesday, 5:45-9pm Forensic Case Files (3 CEU, CORE) · Jim Wood, DDS

Lunch & Learn • Wednesday, 11:30am-1:30pm 411 on the 911 in Your Office (2 CEU, CORE) · Craig Alpha, DDS

Business Forum • Thursday, 6:30-8:30pm What’s Your “Number”? (No CEU) CPA, Practice Consultant & Financial Planning experts

Continuing Education • Friday, 8:30am-1:30pm The Keys to Successful, Predictable and Direct Composite Restorations (5 CEU, CORE) Troy Schmedding, DDS; Sponsored by Dentsply

Contents January 2019

10 13 14 16 18 20 22 24 26

FEATURES

COVER IMAGE CREDIT: SHUTTERSTOCK

VOLUME 65, NUMBER 1

Nugget Editorial Board Ash Vasanthan, DDS, MS • Editor-in-Chief Nima Aflatooni, DDS • Herlin Dyal, DDS, MS James H. Hastings, DDS • Y. Vinny Huang, DDS, MS Denise M. Jabusch, DDS • Grace Lee, DMD, MD Brandon Martin, DDS, MS • Brian Ralli, DDS Shikha Rathi, BDS, MS • Gaetan Tchamba, DDS

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

Awards

International College of Dentists (ICD) 2018 • Humanitarian Service Award 2017 • Special Citation Award, unusual concept 2016 • Golden Pen, honorable mention Article / series of articles of interest to the profession

2015 • Special Citation Award, unusual concept 2014 • Outstanding Cover, honorable mention 2014 • Golden Pen, honorable mention 2013 • Outstanding Cover 2012 • Overall Newsletter 2010 • Platinum Pencil Outstanding use of graphics

2007 • Overall Newsletter 2007 • Outstanding Cover

Esthetics in General Practice Ross W. Nash, DDS

Is This a Case I Can Tackle?

Brock Hinton, DDS

Respect the Primary Teeth Carla Cohn, DMD

For Better or For Work Debra Engelhardt-Nash

Ergonomic Considerations Kristy Menage-Bernie, RDH, MS, RYT

What You Don’t Know Might Hurt You! Joy Millis, CSP

Growth After School is a Must for Success Michael Miyasaki, DDS

Rethink Your Drink

Lyanna Pillazar-Blanco, MPH, CHES

Identifying Your Broken Link…

Sheri Merrick, InfoStar

Specials 8 21 25 27 29 30 37 40

Welcome the 2018 Executive Committee & Board of Directors MidWinter Sponsors MidWinter Courses MidWinter Exhibitors MidWinter Show Specials Meet the MidWinter Speakers Welcome the 2018 Foundation Board of Directors Welcome the 2018 Committee Chairs

Regulars

5 6 7 9 15 19 35 36

President’s Message Cathy’s Corner From the Editor’s Desk You Should Know Job Bank Volunteer Opportunities YOU: The Dentist, The Employer Foundation

39 43 44 46 47 48 50 52

Committee Corner Advertiser Index Membership Update Blowing Your Horn Vendor Member Spotlight Vendor Member Listings Classified Ads SDDS Calendar of Events

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

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President's Message Don’t Be an Island

Increase your involvement I graduated dental school and immediately started working in three different offices as an associate. I was so happy to be on my own, making my own decisions and finally doing what I was trained to do. I felt happy and fulfilled. I soon, however, noticed that there was no instructor to bounce ideas off of or to get help from. There was no fellow student to share concerns or even successes. I felt as if I was an island, and I didn’t like it. I got involved with our Dental Society, made acquaintances, joined a New Member Committee and have cherished my association with good, caring people ever since.

Just take a look at what goes on during a typical month at what many call “The Best Dental Society in the Nation,” our very own Sacramento District Dental Society. Did you know we are the one of the FEW local components in the nation to have a MidWinter Convention? The meeting draws nationally renowned speakers, covering

all aspects of dentistry for the whole team.

Our Nugget continues to receive awards for its quality and scope. We have Business Forums, HR Webinars, Lunch and Learns and CE Courses in our own classroom at the SDDS office.

We need each other; we invite you to participate with us in making a difference where you are.

Our General Membership Meeting in January will feature our own version of Ted Talks, the SDDS Talk Night where 6 speakers present 6 slides in 10 minutes. This is a fast-moving evening with great presenters sharing their best pearls.

By Bryan Judd, DDS 2019 SDDS President

Don’t be an island! Join us for camaraderie at a Kings or Rivercats game. Have some fun at the SDDS Golf Tournament. This year, “Dentists do Broadway” brings live musicals from Aladdin to Cats! It is a great line up and a good way to be with truly good people.

Give back by donating your time and talents to Smiles for Kids or Smiles for Big Kids.

The reward of restoring smiles brings great satisfaction when tears of gratitude are shed by those we help.

As you can see we have a vibrant, active organization. Don’t be an island! Be a part of the best Dental Society in the country! We need each other; we invite you to participate with us in making a difference where you are.

$17,700 was Raised for the Camp Fire Victims Thanks to These Amazing Donors!

Gary Ackerman Eva Adams Ashkan Alizadeh Brad Archibald Nancy Archibald Hilary Bearman Wallace Bellamy Forrest Boozer Michelle Borg Kim Brewer Matt Campbell Erin Carson Steve Cavagnolo

Jayson Chalmers Kevin Chang Robert Chiurrazzi Sonney Chong Jefferson Clark Matt Comfort Paul Cripe Albert Cu Jamie Curtis Jerome Daby Amy Daby Bob Daby Kent Daft Jeffery Davidson Olga Dedia Margaret Delmore Thomas Di Lallo Jennifer Drew Mathisen Jim Everhart Diana Fat Deb Finney Rikard Forsberg

Sandra Fouladi Ethan Fox Donna Galante Tim Giroux Mitch Goodis Jennifer Goss Mark Greenmum Eric Grove James Hastings Victor Hawkins Tim Herman Carl Hillendahl Cher Hogan Michael Holm Kendall Homer Bill Illiff Darryl Johnson Craig Johnson Terrence Jones Bryan Judd Rupinderjit Kaur Kevin Keating

Richard Kennedy Bev Kodama Matt Korn Laurie La Dow Natalie La Rochelle Lisa Laptalo James Lee Loralee Lemon Yen Lieu Jeff Little Renee Lockwood Steve Longoria Brandy Luna Janet Mason Jennifer McCarthy Kris Miller David Miller Edward Montalbo Rhonda Montalbo Yadira Moreno Megan Moyneur Cheryl Myers

Pete Nyland Jack Oates Siamak Ohkovat Jeanette Okazaki Greg Owyang Anh Pham Karthik Raghuraman Hana Rashid Ibtisam Rashid Paul Raskin Bevan Richardson Christy Rollofson Don Rollofson Mort Rosenberg Davis Rule Suzanne Running Shiva Salehi Raj Sanghvi Sherry Shapiro Richard Silva William Sloan Majel Small

Fernando Solano Norman Spalding Chang Staff Charles Stamos Gerson Stauber Carl Trubschenck Ferdinand Tungol Greg Tuttle Arjang Vahidnia William Van Dyk Ash Vasanthan Jeff Vernon Tom Wagner Kim Wallace Nancy Welch John Williams Gregory Wilcox Dennis Wong Wes Yee Raj Zanzi

www.sdds.org • January 2019

|5

Cathy's Corner THANK YOU 2019 LEADERSHIP!

343!

By Cathy B. Levering

SDDS Executive Director

Wow—What a Number!

That is our number for this year!

That’s the number of SDDS members who have volunteered to serve on a committee in 2019.

Here are some more amazing numbers:

President: Bryan Judd, DDS Immediate Past President: Margaret Delmore, MD, DDS President Elect/Treasurer: Carl Hillendahl, DDS Secretary: Volki Felahy, DDS Editor-in-Chief: Ash Vasanthan, DDS, MS Executive Director: Cathy Levering Jagdev Heir, MD, DMD, FACS Greg Heise, DDS Brock Hinton, DDS Kevin Keating, DDS, MS Matt Korn, DDS Hana Rashid, DDS Wesley Yee, DDS Adrian Carrington, DDS Terry Jones, DDS

•

23 active committees and task forces for 2019

•

24 committee chairs and co-chairs of committees

•

76 committee meetings scheduled for the year

•

4-6 maximum number of meetings per year, per committee only

•

343 committee members

This is leadership at its best.

Our future leaders get involved in committees, and some become committee chairs. That is the training ground for our future Board members and future leadership.

Do you want to be involved? Do you want to have a leadership role (now or in the future) with SDDS? We certainly hope so; everyone is welcome. The first step is to submit your interest form (included in this issue of the Nugget) if you would like to be considered for leadership for the 2020 term. Or you can nominate someone as well.

And, if you are not ready to volunteer to be a delegate, be on the Board or Executive Committee – that’s ok too. Did you miss the committee sign up process last fall? No worries, as they say. You still can sign up. Call me or email me in January and we can add you to a committee – they are listed on the committee corner page, along with the meeting dates. The only requirement is to attend and open / respond to your emails – there’s room for EVERYONE who is interested!

Happy New Year! Here’s to a great year! 

cathy@sdds.org

Sign Up Today

For Leadership www.sdds.org/about-us/our-organization/

CPR: Craig Alpha, DDS Ethics: Lisa Dobak, DDS Nominating/Leadership Development: Margaret Delmore, MD, DDS Peer Review: Morton Rosenberg, DDS CE Task Force: Eric Grove, DDS Forensics Advisory: Mark Porco, DDS Strategic Planning Advisory: Volki Felahy, DDS / Carl Hillendahl, DDS Budget & Finance Advisory: Carl Hillendahl, DDS Bylaws Advisory: Margaret Delmore, MD, DDS Legislative Advisory: Amardeep Bains, DMD, BDS Member Recruitment /Engagement: Jennifer Drew Mathisen, DDS, MSD / Ramesh Thondapu, DMD New Dental School Advisory: Kevin Keating, DDS, MS Oral Health Initiatives: Kim Wallace, DDS

EXECUTIVE COMMITTEE

BOARD OF DIRECTORS

TRUSTEES COMMITTEES STANDING

TASK FORCES ADVISORY COMMITTEES

Foundation: Viren Patel, DDS Golf Tournament: Charles Stamos, DDS SacPAC: Matt Campbell, DDS

SPECIAL EVENTS OTHER

Cathy Levering | Executive Director Anne Rogerson | Office Manager Beth Heneger | Programs / Recruitment Jen Jackson | Community Projects / Recruitment Jessica Luther | Graphic Designer Megan Gormley | Special Events / Engagement Rachel Sheets | Graphic Designer Sofia Gutierrez | Foundation Projects / CPR

SDDS STAFF

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

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

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

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

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

6 | The Nugget • Sacramento District Dental Society

From the Editor’s Desk Avoid the

Dental Doldrums!

The ever-changing field of dentistry is a lifelong journey. We have bought the tickets.

Packed the bags. Charted the course. Along the way, sometimes it’s steady-as-she-goes, but others the wind shifts, the weather changes, even dental doldrums threaten our

This unique event serves up great continuing education opportunities, as well as a chance to catch up with colleagues and connect with vendors.

progress. We can’t always depend on the information we began the journey with. We must gather new information. Sometimes this information will require minor shifts in direction and sometimes they require whole chart changes. Regardless, to continue on the course we must remain open to new thoughts and ideas, and also review our original course.

Continuing education is one of the major ways we can do this.

Every February, the Sacramento District Dental Society holds its annual MidWinter Convention. This unique event serves up great continuing education opportunities, as well as a chance to catch up with colleagues and connect with vendors.

The Continuing Education Advisory Committee is asked every year to come up with ideas and topics that would be of interest. The focus of the committee is to have classes for everyone in your office from the dentist to the assistant to the front office.

Using this information, the SDDS team gets to work organizing classes and speakers.

The line up of courses available this year is very exciting and should provide lots opportunities to gather some new knowledge for the journey forward. A huge thank you goes to all of those who serve on the CE Advisory Committee!

If you haven’t pursued the MidWinter Convention class schedule yet, here is a sampling of the kinds of classes you can participate in this year…

• Have you ever had a perplexing prosthodontics case that you had trouble treatment planning? You can find some inspiration with Dr. Brock Hinton. He will be presenting a class on Prosthodontic PlanningThe key to simplifying Complex Cases.

• Or maybe you have a patient with worn dentition and want to learn how to restore their smile with both aesthetics and function in mind. Dr. Michael Miyasaki will present a class titled Navigating Function & Aesthetics .Focused Dentistry that will explain how to do just that.

• Some orthodontic patients can provide a challenge from a periodontal perspective.

Kristy Menage Bernie, RDH, is presenting a class titled The Periodontal/Orthodontic Connection: Maximizing Success with the Orthodontic Patient. She will be presenting ways to have your orthodontic patients achieve a beautiful and healthy outcome.

• Would you like to learn more about the much debated topic of Botox in the dental practice? Carlos Alvarez from the Dental Board of California will be presenting Botox & The Board.

By Eric Grove, DDS

CE Advisory Committee Chair

to submit claims that will result in payment and what to do when they are denied.

• How is your dental team? A Team’s Guide to Patient Care—Attracting, Treating & Retaining Your Patients presented by Debra Engelhardt-Nash will address how to assess and create a great patient experience.

• The rise in Methamphetamine use has wide implications. Dr. Mitch Goodis & Jennifer Berry, MS will be presenting a fascinating course titled Meth, ACEs & CPS: The Strange Relationship. This class will go beyond the oral environment to society and the roles we as provider’s play.

• Do you need more options for treating edentulous patients? Dr. Dale Alto will be presenting All-on-4 ®. He will be discussing everything from case selection to understand the surgical and restorative aspects to implementing this treatment into your practice.

A huge thank you goes to all of those who serve on the CE Advisory Committee!

There are so many, many more courses that you are bound to find some that put the wind in your sails and avoid the dental doldrums.

So look over the MidWinter Convention Course Guide and Chart Your Course for a successful CE Journey!

See you there! 

• Are you having claims denied? Cindy Hartwell from CDA will be presenting Tips For Efficient Claims Submission. Learn how

www.sdds.org • January 2019

|7

Welcome,2019 SDDS

Executive Committee and Board of Directors!

Executive Committee.................................... Trustees..........

Adrian Carrington, DDS President

Immediate Past President

President Elect/Treasurer

Secretary

Bryan Judd, DDS

Margaret Delmore, MD, DDS

Carl Hillendahl, DDS

Volki Felahy, DDS

Terry Jones, DDS

EX-OFFICIO

Ash Vasanthan, DDS, MS Editor-in-Chef

Cathy Levering Executive Director

Board of Directors.............................................................

Jagdev Heir, MD, DMD, FACS

Greg Heise, DDS

Brock Hinton, DDS

Oral & Maxillofacial Surgeon

Oral & Maxillofacial Surgeon

Prosthodontist

SDDS Member since 2006

SDDS Member since 1993

SDDS Member since 1988

Kevin Keating, DDS, MS

Matt Korn, DDS

Hana Rashid, DDS

Endodontist

Periodontist

General Practitioner

SDDS Member since 1981

SDDS Member since 1993

SDDS Member since 2010

Wesley Yee, DDS General Practitioner SDDS Member since 1978

Thank you!

8 | The Nugget • Sacramento District Dental Society

INTERESTED IN BECOMING AN SDDS LEADER? See the SDDS Nominating Form inserted in this issue of The Nugget!

YOU SHOULD KNOW STATE & LOCAL MINIMUM WAGES WILL INCREASE JANUARY 1

LAW POSTER COMING SOON

Many employees in California will begin earning a new hourly minimum wage — the higher of the state or local wage — at the start of the new year.

Each SDDS member office will receive a free copy (one per office) of the 2019 Employment Law Poster in January. Additional posters are available for sale through SDDS for $24.95 (member price).

Beginning January 1, 2019, employers with 25 or fewer employees will pay California’s new minimum wage of $11 and employers with 26 or more employees will begin paying their employees $12. However, if the local minimum wage is higher than the state wage, employers of every size must pay the local minimum wage.

Minimum wages or “living wages” are rising higher and more quickly than the state minimum wage in some California cities and counties. Because the wage increases vary across localities and according to the number of employees, employers should review their individual city ordinances and follow the applicable posting requirements to ensure compliance.

Employers with exempt employees should evaluate employee salaries, as exempt employees in California generally must earn a minimum monthly salary of no less than two times the state minimum wage for full-time employment.

The 2019 minimum salary threshold for these exemptions is as follows: • For employers with 26 or more employees, the minimum monthly salary test for these exemptions is $4,160 per month ($49,920 per year).

• For employers with 25 or fewer employees, the minimum monthly salary test is $3,813.33 per month ($45,760 per year).

Again, when paying employees, employers must follow the stricter wage standard — specifically, the one that is the most beneficial to the employee.

Legislation signed into law in 2017 by Gov. Jerry Brown requires California’s minimum hourly wage to rise again by $1 in January 2020 and annually thereafter until it reaches $15. The law does allow the governor to suspend a scheduled wage increase in the event of an economic slowdown (defined as negative job growth combined with negative retail sales for a specified time period) or if a budget deficit is forecasted for the current budget year up to two additional years.

Some employees, including outside salespersons or the employer’s spouse, child or parent, are exempt from the state minimum wage law.

The new downloadable California Minimum Wage notice will be available by January 1 on the website of the Department of Industrial Relations. (https://www.dir.ca.gov/ wpnodb.html)

USED EQUIPMENT DONATION OPPORTUNITY: SACRAMENTO ZOO! The Sacramento Zoo has a full service veterinary hospital on grounds that provides routine and emergency dental care to the 500+ animals housed at the Zoo. As part of routine preventative medicine examinations, mammals receive prophylactic dental cleaning. When dental problems arise, the staff performs extractions and treatments as needed. Currently the dental equipment at the Zoo is beyond it’s useful life and the Zoo is looking for a donation of a portable dental polishing / low speed dental unit (could be combined with an ultrasonic scaler). In addition, the Zoo needs a high-speed dental drill unit and hand piece for use during extractions. Equipment needs to be in excellent shape with replacement parts still available. If you can help out, please contact Amanda Cable at acable@saczoo.org. Thank you!

Don't throw it away! Unfortunately, we will have to charge you for a replacement.

BOTOX PASSES THE HOUSE Submitted by Bryan Judd, DDS

After a long journey, the use of Botox and Fillers in the peri-oral region overwhelmingly passed the 2018 CDA House of Delegates.

CDA will now take the proposed policy to the California Dental Board showing our opinion.

Sacramento District Dental Society put together a Task Force, after listening to our members, and a resolution was taken first to the CDA Board of Trustees and then to the House of Delegates. Over 90% of the Delegates approved the resolution that Botox and Fillers be used in a comprehensive treatment plan in the peri-oral region. Thank you to the many people who worked so hard to get this passed.

DUES & DIRECTORY Membership dues are due and can be paid online. Pay yours by January 31 to be included in the 2019 Membership Directory.

The Directory will be mailing out in February/ March. Watch for it in your mail!

MANDATORY HARASSMENT PREVENTION TRAINING REQUIRED IN 2019 California Employers Association will be offering this training at MidWinter; Friday, February 22 from 8-9:30am. Read more about it on page 35.

2019 COMMITTEE SCHEDULE AVAILABLE NOW If you signed up to be on a 2019 Committee, you should have received a welcome email. You can find the Committee meeting schedule on page 39. Thanks for volunteering!

NEW AND IMPROVED CDA JOB BANK: WWW.CDA.ORG/MEMBER-RESOURCES/CLASSIFIEDS www.sdds.org • January 2019

|9

SDDS PRESENTS THE 38TH ANNUAL MIDWINTER CONVENTION & EXPO

FEBRUARY 22-23, 2018

Esthetics in

General Practice

By Ross W. Nash, DDS

MidWinter Speaker

Friday 10:00am–12:00pm • 2 CEU, CORE Conservative Esthetics for the General Practitioner 1:30pm–4:00pm • 2.5 CEU, CORE Indirect Esthetic Restorations for the General Practice

In today’s modern dental practice, it is possible to use esthetic materials and techniques for almost every procedure. While the definition of esthetic may differ in different parts of the world, it comes down to art. Of course, the process must start with attention to health and function. However, there are many ways to include excellent esthetics while providing the highest quality clinical treatment.

Minimally Invasive Dentistry:

Composite Resin:

Tooth whitening procedures, orthodontic tooth movement and additive composite bonding can provide patients with noninvasive and elective treatment to enhance esthetics and function. Sometimes, only minor tooth preparation is needed to achieve superior esthetics when restoring an anterior tooth or performing elective esthetic treatment with composite resin.

Class III, IV and V anterior composite resin restorations are becoming routine. Researchers and manufacturers have produced materials that can be more easily placed than previous generations with esthetics that are achieved with less difficultly. Direct composite veneers can be used to make elective esthetic changes in a single appointment or in conjunction with restorative procedures.

10 | The Nugget • Sacramento District Dental Society

MidWinter Convention In Figure 1, a class IV fracture of the patients left central incisor was prepared with the facial margin at the tissue level forming a thin veneer. The fractured corner was built up with a dentin shaded composite resin and then an enamel shaded composite was applied to the entire facial surface (Figure 2).

After shaping and polishing, the restoration was undetectable as can be seen in Figure 3.

Composite resins can be used to restore posterior teeth with Class I and II carious lesions or to replace previous failed restorations or restorations that appear less than esthetic to the patient. New materials allow for bulk filling to reduce the timeconsuming earlier procedures. Marginal adaptation is now easier to achieve and tooth sensitivity has been reduced. Proximal contacts are achieved by careful use of matrixes and good clinical technique.

In Figure 4, you can see a maxillary first molar with a failing mesial composite resin restoration. In Figure 5 the old material has been removed and the tooth prepared for a new restoration. Figure 6 shows the newly restored tooth.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Porcelain Veneers: Some porcelain veneers can be considered non-invasive. There are times when no tooth structure at all needs to be removed to apply elective porcelain veneers. The teeth must be straight line in shape and need some extra size. There are many more people who have tooth shapes that require only minimal preparation for an improved appearance with thin porcelain veneers. In Figure 7, you can see the retracted facial view of a patient who wished to improve the esthetics of her maxillary teeth using porcelain veneers.

With minimal preparation requiring no provisional veneers the porcelain veneers in Figure 8 were bonded to her teeth. The final result is shown in Figure 9.

Restorative Procedures: While porcelain fused to metal restorations have provided us with strength and esthetics, new all ceramic materials are considered much more esthetic. Feldspathic porcelain used to layer PFM crowns and bridges was strengthened by the lamination process of baking to the metal substrate. When molten feldspathic porcelain was pressed into a mold, it gained additional strength and it was found

Figure 9

Continued on following page... www.sdds.org • January 2019

| 11

Chart Your Course

Esthetics in General Practice continued...

Replacement was needed due to marginal recurrent decay. The patient asked for a more esthetic crown and a porcelain fused to zirconia (PFZ) was chosen. The prepared tooth can be seen in Figure 14 and the PFZ crown photographed on a mirror surface is shown in Figure 15. The crown can be seen after cementation in Figure 16.

that it could be used for full crowns without a metal substrate. The additional strength gained through the bonding process to the tooth is also beneficial. Lithium disilicate was developed for all ceramic purposes and it was found that it was stronger than pressed feldspathic porcelain.

bridge with abutments on the left central incisor and canine replacing the left lateral incisor. The all ceramic three-unit bridge was photographed on a mirror surface and is shown in figure 11. The final result after the restorations were bonded to place is shown in Figure 12.

With these materials, we can produce restorations with strength and beauty. In Figure 10 you can see a patient’s anterior teeth prepared for a ceramic veneer on the right canine tooth, full crowns on the right later and central incisors and a three-unit

The oxide of Zirconia (a metal) is as strong as many metal materials. We have found that zirconia oxide can often be used to replace metal supported restorations in higher stress areas. In Figure 13 a PFM crown can be seen on the patient’s maxillary first molar.

Figure 10

Figure 11

Figure 12

Figure 13

Figure 14

Figure 15

Figure 16

12 | The Nugget • Sacramento District Dental Society

Conclusion: With modern materials and procedures, we can provide our patients with health, function and esthetics. 

MidWinter Convention

Is This a Case

I Can Tackle?

You want to restore a difficult case, but you don’t know where to start. The first thing you should ask yourself is “why is it difficult?”

The answer will be different for different people, depending on your training, experience, and tolerance for risk.

There are several clinical situations that can potentially make a restorative case more difficult and risky if you are pushing your clinical boundaries. The potential clinical risk factors that immediately come to mind include temporomandibular disorders, clenchers, myalgia, mal occlusion, sever crowding, discrepancies between centric relation and centric occlusion, other occlusal problems, wear, loss of vertical dimension, esthetic issues, multiple missing teeth, periodontal problems, and rampant decay. I am sure most could add a few others to this list. As a prosthodontist, the patients I treat are the patients referring dentists decide they don’t want to treat for one reason or another.

Some of the cases are truly complicated.

Other referrals come because the patient is an “exacting” patient with high expectations regarding esthetics or occlusion. Some of the dentistry is relatively straight forward but the patient is difficult or happens to practices law. So in other words the patient can also be a “risk factor.”

So if you are considering taking on a difficult case, consider the risk factors for that particular patient. Your decision whether to take on the case can be made easier by thinking about each risk factor and deciding if you are comfortable dealing with it if something goes wrong. For example, are you comfortable dealing with possible complications related to TMJ problems? If the patient has problems after the treatment is completed everything could need to be remade because the bite and occlusion is so critical to success. On the other hand some risk factors can be minimized or eliminated by referring the patient to a specialist to have part of the work done before you finish the treatment yourself. Orthodontics, endodontics, periodontal surgery, implant placement, and orthognathic surgery are

all examples of this. Most of the truly complicated cases require collaborative treatment to get the best result. It’s difficult to be good at everything. A patient with only one or two risk factors would be safer to treat than one with multiple risk factors.

By Brock Hinton, DDS

MidWinter Speaker; SDDS Member

Thursday 8:00am–9:30am • 1.5 CEU, CORE Prosthodontic Planning – The Key to Simplifying Complex Cases

If you have questions regarding treatment planning or clinical techniques, there are several avenues to acquire additional education. Of course you could attend continuing education courses like Spear or Pankey. There are also some very good study clubs in the area which usually have multiple specialties represented. Improving treatment planning skills for multi-disciplinary cases is the goal of many of these study clubs. I think you will find that most specialists are willing to assist but I know that some practitioners are hesitant to ask for help. I have several referring doctors who feel comfortable contacting me for advice. Sometimes it simply involves a phone call. Other times photographs can be sent or we can meet in person to look at models or lab work. Please don’t hesitate to call if you need some help.

I will also be presenting at the MidWinter Convention on February 21st. My lecture is titled Prosthodontic Planning - The key to Simplifying Complex Cases. To achieve aesthetic and functional success, the end result needs to be clearly established and visualized before implants are placed or a bur hits a tooth. Many tools are available including denture set ups, diagnostic wax ups, surgical guides, and digital dentistry. Several complex cases will be presented to show what can be done and the process for getting there. Hope to see you at MidWinter. 

www.sdds.org • January 2019

| 13

Chart Your Course

Respect the

PRIMARY TEETH

By Carla Cohn, DMD

MidWinter Speaker

Sponsored by Bisco Dental Products & VOCO America, Inc.

Friday 8:00am–9:30am • 1.5 CEU, CORE Practical Proven Prevention for Your Pediatric Patients 10:00am–12:00pm • 2 CEU, CORE Pediatric Dentistry for the General Practitioner – Keep Your Kids IN Your Practice 1:30pm–4:00pm • 2.5 CEU, CORE What’s New in Pediatric Dentistry for the General Practitioner – The Cutting Edge

The term “baby teeth” is indeed a misnomer as the truth is that they are so much more than that. They serve not just as the baby teeth but rather a combination of toddler teeth, kids teeth, tweenage teeth and even adolescent teeth. A far better term would be primary teeth, transitional teeth, or deciduous teeth. But all of those labels seem cumbersome and technical to use in conversation with our child patient parents. As a result, the term baby teeth comes out in my discussions far more easily and far more frequently than I care to admit.

Since “baby teeth” implies a very short duration only, these first teeth as a result do not command the respect that they deserve.

They are too often thought of as disposable.

I have heard too many times from parents and colleagues alike… “oh those are just baby teeth, don’t bother to fix them… or those will just fall out…” While it is true that primary teeth will exfoliate, physiologically they have specific function, and the same innervation systems as permanent teeth. The lifespan of primary teeth can be many years, average age of last tooth exfoliating is at 12 –13 years of age. Decay left untreated can progress to the point of affecting the pulp very rapidly, resulting in pain and infection.

Imagine enduring that same scenario and resultant toothache in a permanent tooth for any period of time. That is, simply put, unacceptable! It is equally unacceptable to leave decayed and or infected primary teeth untreated.

Consider that the primary dentition serves so many important functions. These teeth allow our children to eat and grow, they are space maintainers or space holders for our developing permanent dentition, they help to guide the permanent dentition into place, and they afford our children a happy smile. A healthy dentition is so important in the formative years of childhood, that one could state that primary dentition play a much more important role than permanent dentition do in an already grown individual.

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Restorative options for our pediatric patients have never been more vast and varied as they are today.

The importance of prevention is immense, and cannot be dismissed. There is nothing more beautiful than a healthy caries free primary dentition. But unfortunately cavities happen, and they happen often and so restorative procedures are necessary. Paediatric restorative dentistry is unique. It involves so much more than little fillings on little teeth, so much more than a bandaid approach. Clinically we must consider the unique anatomy of primary teeth, the risk assessment of our young patients, the properties and longevity that each different restorative material offers. But beyond this it is so very important to recognize what is possible to accomplish for each individual child. Guidelines on paediatric restorative dentistry can be found at the American Academy of Paediatric Dentistry website at www.aapd.org. It is imperative to understand and follow the guidelines and to understand clinical indications of our many varied restorative materials and modalities. It is then our responsibility to assess our patients needs and apply our clinical judgement and expertise for our individual patients. As we are all well aware, children’s behavior and

Job Bank

The SDDS Job Bank is a service offered only to SDDS Members. It is published on the SDDS website and provides a forum for job seekers to reach other Society members who are looking for dentists to round out their practice, and vice versa. If you are a job seeker, associate seeker, selling or buying a practice, contact SDDS at (916) 4461227. For contact information of any of the job bankers please visit www.sdds.org.

ASSOCIATE POSITIONS AVAILABLE cooperation in the dental chair can be excellent, but can on occasion be a challenge. As we strive to provide the best possible indicated treatment for our children, we must also be aware of what we are capable of providing and what our child patient is capable of receiving.

Restorative options for our pediatric patients have never been more vast and varied as they are today. Years ago, amalgam and stainless steel crowns were the only options. Today we have so many more choices: silver diamine fluoride, glass ionomers, resin modified glass ionomers, bioactive composite resins, ormocers, prefabricated pediatric crowns, and resin infiltration to name a few. In order to determine what is best for our patient we must take into consideration many factors to guide best technique and restorative materials. We consider, preliminarily, the age of our patient and ability to cooperate for treatment, which gives us the first indication of patient tolerance. Tolerance can be inversely proportional to amount of treatment required.

Extent of decay in our patients (number of teeth affected and complexity of treatment plan) will influence amount of appointments required and ability of patient to carry through with treatment. More decay requiring multiple appointments lead to lower ability to tolerate multiple appointments. Age and stage of cooperative development indicates whether we are likely to have a control our working environment with proper isolation. The ability to isolate must be evaluated indicating the success with hydrophobic materials, our water hating composites. Alternately the inability to isolate determines necessity of choice of hydrophilic materials, for example our water loving glass ionomers. As all of our materials are not created equal in their resistance and strength, the number of surfaces, width and depth of decay (per individual tooth) must be assessed, so that we may choose a material with appropriate strength. Caries risk assessments must be done which will then indicate advisability to treat minimally invasively or necessity to treat more thoroughly in order to ensure success of treatment.

Stage of dental development must be assessed, in order to determine the necessity for longevity. As we are aware of average ages of exfoliation and eruption, we recognize that this varies quite greatly. It is not enough to assume that since our patient is within the range that they will be “average.” Finally, parental preference must be considered, as material choice may be guided by parents.

So much must be taken in to consideration to keep our children and their primary dentition happy and healthy. Wishing you happy practicing and always respect the primary teeth!  Article first appeared on DentistryToday.com

David Roholt, DDS • Sacramento • FT • GP James Childress, DDS • Davis • PT • Perio Brian Crawford, DDS • PT • Ortho Mark Redford, DDS • Sacramento • PT • GP Camelia Cifor, DDS • Carmichael • FT • Perio Camelia Cifor, DDS • Sacramento • FT/PT • GP Han Do, DDS • Sacramento • FT • Ortho Dan Gustavson, DDS • Roseville • PT • GP Hossein Kazemi, DDS • Roseville • PT • GP Amy Woo, DDS • Sacramento • PT • GP Purvak Parikh, DDS • Roseville • PT • GP Uriel Carranza, DDS • Sacramento • FT/PT • GP Hamid Shirazi, DDS • Davis • P/T (w/option for buy-in) • Perio R. Bruce Thomas, DDS • Davis • FT/PT • GP Charles Tran, DDS • Sacramento • FT/PT • GP Virender Grewal, DDS • Elk Grove • FT (w/option for buy-in) • GP Matt Comfort, DDS • Roseville • FT/PT • GP Clifton Nakatani, DDS, MSD • Sacramento • FT/PT • Perio Christopher Schiappa, DDS • Volcano • PT • GP Binh Dao, DDS • Roseville • PT • Endo/Oral Surgeon Ike Rahimi, DMD • Placerville • PT • GP Anthony Dang, DDS • Rancho Cordova • PT • GP Lynn Judd, DDS • Folsom • FT (w/option for buy-out) • GP Patrick Penney, DDS • Sacramento • PT • ENDO Quynh-Trang Pham, DDS • Sacramento • PT • GP Hoang Truong, DDS • Sacramento • PT • GP Eloisa Espiritu, DDS • Lincoln • FT/PT • GP David Park, DDS • FT/PT • GP Gilbert Limhengco, DDS • Natomas/Citrus Heights • PT • Endo Hung Le, DDS • S. Sacramento • PT • GP Timothy Herman, DDS • Roseville/Lincoln • FT/PT • GP Kids Care Dental & Ortho • Calvine/Elk Grove • FT • GP, Ortho Elizabeth Johnson, DDS • various Wellspace locations • FT/PT/Fill-In • GP

DOCS SEEKING EMPLOYMENT Robert Nisson, DDS, MSD • P/T • Ortho Ramona Rivera, DDS • Sacramento • GP Kavneet Bindra, DDS • PT • GP Omid Niavarani, DDS • FT/PT • Oral Surgeon Bruce Taber, DDS • Fill-In • GP Steve Saffold, DDS • (Emergency fill in only) • Sacramento • GP Steve Murphy, DMD • FT/PT • Endo

ASSOCIATES SEEKING EMPLOYMENT None! Are you looking? Call us. www.sdds.org • January 2019

| 15

Chart Your Course

For Better or For Work—

A Survival Guide for Working with Your Spouse

By Debra Engelhardt-Nash MidWinter Speaker

Sponsored by Care Credit & Solution Reach

Friday 8:00am–9:30am • 1.5 CEU, 20% How Healthy is Your Recall?

9:45am–12:15pm • 2.5 CEU, 20% You Had Me at Hello: Powerful Patient Experience & Telephone Skills to Facilitate Your Brilliance 1:30pm–4:00pm • 2.5 CEU, 20% A Team’s Guide to Patient Care – Attracting, Treating & Retaining Your Patients

Married couples working together is not a new idea. Husband and wife teams have run farms, small enterprises and families together for centuries. A 2007 Census Bureau estimates about 3.7 million businesses are owned by husband and wife. And this author speculates that number has increased.1 It’s not surprising then, that 70% of spouses work in the dental practice together and an additional 12% worked in the practice at one time.2 When it works well, husband-wife business partnerships are spectacular. In those cases, they’re in sync and have such an intimate relationship that they can accomplish amazing things. But when it doesn’t work, it has the potential to be an incredible train wreck.

It’s important to develop some guidelines to survive and thrive working together.

Construct a Life Plan What are your personal goals for the next 3–5 years? Which of these are negotiable, and which are not? What personal sacrifices are you willing to make for the sake of growing the practice? What about your spouse? What business goals are you willing to sacrifice to fulfill personal desires? How informed does the spouse wish to be about the business? Will bad news be shared (and there will likely be some) or will there be an attempt to preserve peace of mind?

Decide The Partnership Model Determine the kind of business relationship you have. Below are examples different spouse working relationships: Solo Entrepreneur with Supportive Spouse In this model, one person owns and manages the business. The Supportive partner helps out with the business part time and is psychologically supportive. They may be employed outside the business as well as offering assistance dealing with the business side as well as patient side of the practice. The supportive spouse may not work in dental

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practice but still makes an impact. This spouse may also assist running the practice from home via the Internet.

Copreneurs In this scenario, both partners own and manage the practice and both work full time in the practice. The Copreneurs have lived the day together and understand the dayto-day operations. The Copreneurs spouse may be a clinical team member or business administrator.

What situation will work best for your lives?

Detail Duties and Designate a Boss Even if each partner has naturally slipped into a particular role in the business, it is critical to sit down, give both spouses a title and write down their job responsibilities.

Show that the spouse has clear job description and boundaries and make the Team aware of who’s in charge of what. Establish definitions and working conditions upfront and be certain co-workers are aware of these terms to avoid confusion or resentment.

Formally evaluate these duties and responsibilities at least twice a year with the option of reconfiguring spouse’s role as situations or needs change.

Establish Time for Work and Time for Family It is natural for dinner-table talk to turn to work when both parents work together. Some parents are so immersed in business they shut

MidWinter Convention

out their children, and others unconsciously impose their passion for the company on the kids. Sometimes a couple who work together can draw such a tight circle around themselves they shut others out. Aim for chunks of family time when no business talk is allowed.

Take the couple out of the office and the office out of the couple. Agree on certain rituals – lighting a candle, turning off the computer, changing clothes that signify to each other that the workday has ended and family time has begun.

Be disciplined about carving out technology free stretches. Even if you don’t respond to the device’s whining, its presence at the restaurant, on the dining room table or by the bed affects the quality of your family’s shared time.

Avoid acting like a boss at home. Problems at work demand yes or no solutions.

At home, conversation, compromise and nuance matter. At work you’re accustomed to running things and being in charge. But when you walk through the front door of your house, you walk into a messy democracy.

Acknowledge Your Spouse’s Role Whether the spouse works in the office or keeps the domestic machine running, your spouse helps you enjoy family life while reserving your energy for business. They save you money by working inside the business and by helping make it more profitable or they make the family money while working outside of it. Tell your spouse that you value their contribution.

Some things go without saying… but not that.

Make it clear to everyone in the practice – “We are collaborators pursuing a common goal.”

Ensure that the spouse receives due credit in the eyes of others.

Be Mindful That Your Marriage Is Showing Spouses at work understandably lapse into discussions, sometimes-heated ones, about kids and car payments. Couples sometimes

track their domestic lives into the office like muddy footprints.

Conflict and confrontation are natural and healthy components of any relationship.

That’s risky, because the team may be looking for any signs of drama. Marital strife has the potential for juicy gossip.

Utilize a mentor, or business coach to mediate when you disagree seriously over something related to work. An adviser is beneficial in opening the lines of communication.

If there is a disagreement about office protocols, the conversation should happen in private, not among the Team. If the spouse strongly challenges the spouse in front of others, it feels like a put down. Visible friction is a distraction and can erode team morale and the sense of professionalism in the office.

Understand Your Status The spouse’s unique relationship with the doctor/entrepreneur also affects the treatment by the rest of the staff. The CEO is lonely at the top; by association, the spouse is also isolated from peers and colleagues.

There is a fine line of distinction between the spouse as employee and the rest of the Team.

The Doctor can’t and shouldn’t pretend their spouses are just like any other employees. But neither should they go overboard trying to avoid shows of favoritism. One of my client’s spouses complained to me that her husband is often impatient with her at work. She said he never acted that way at home or with other employees. His behavior makes her resentful, and the employees – who notice everythingfeel uncomfortable.

Ideally the couple at work will model a healthy, warm and respectful relationship.

That, in turn, affects how other employees treat one another, and the patients.

To build a practice is to be subjective, passionate, futuristic and a risk taker. It is an entrepreneurial endeavor. You’ve got to be all in. And so does your spouse. If they can’t be, they may not want to be as active a participant as you would like.

Someone needs to be the objective thinker –responsible for making the day-to-day operations work. If both spouses are building the practice and have their dreams caught up in it’s success, an outside “third eye” may facilitate that dream being realized.

Take Frequent Inventory Recall all you’ve created together, all you’ve managed to survive. Maintaining a marriage through years of strain, sacrifice and possible uncertainty requires grace and grit.

Maintaining a business together requires time, energy and passion. Succeeding at both is not accidental, but the result of a well executed plan.  REFERENCES 1. NY Times; mobilenytimes.com; Bryan Borzykowski; 12/05/2012 2. TheWealthyDentist.com/surveys 2011

Seek A Sounding Board Many practices benefit from consultants who can lend an objective perspective. With outside help, spouse teams, in particular, can resolve many of the logistical and emotional stressors that naturally emerge.

Family business advisers, couples therapists, advisory boards and coaches can be valuable investments for couple-owned businesses. www.sdds.org • January 2019

| 17

Chart Your Course

Ergonomic Considerations:

Maintaining Postural Health

By Kristy Menage-Bernie, RDH, MS, RYT MidWinter Speaker

Sponsored by Parkell, Inc.

Thursday 8:00am–9:30am • 1.5 CEU, CORE Yoganomics: Postural Health & Ergonomic Considerations for the Dental Professional 9:45am–12:15pm • 2.5 CEU, CORE The Periodontic/Orthodontic Connection: Maximizing Success with the Orthodontic Patient 1:30pm–4:30pm • 3 CEU, CORE Top Trending Topics in Dentistry

The World Health Organization defines musculoskeletal disorder (MSD) as “a disorder of the muscles, tendons, peripheral nerves or vascular system not directly resulting from an acute or instantaneous event” and clearly dental clinicians are at greater risk as a result of performing precise, repetitive movements while bending forward and twisting to view/work in the oral cavity.

Research has confirmed the prevalence of general musculoskeletal pain among oral health professionals ranges from 30–93% and is a leading cause of early retirement.

It is important for clinicians to understand the mechanisms that contribute to MSDs so they can make informed choices regarding ergonomic equipment, exercise and lifestyle.

While early intervention is key, prevention should be a priority for all clinicians.

Typical MSDs experienced by clinicians include neck and shoulder disorders such as cervical spondylosis, thoracic outlet syndrome and rotatory cuff tendinitis/ tears; hand and wrist disorders such as carpal tunnel syndrome; and back disorders including herniated spinal disk, lower back pain and sciatica. Signs of MSDs include decreased range of motion, loss of normal sensation, decreased grip strength, loss of normal movement and loss of coordination.

Typical symptoms include excessive fatigue in the shoulders and neck, tingling, burning or other pain in arms, weak grip, cramping

18 | The Nugget • Sacramento District Dental Society

of hands, numbness in fingers and hands and hypersensitivity in hands and fingers. While early intervention is key, prevention should be a priority for all clinicians.

According to the Center for Disease Control and Prevention (CDC) ergonomics is the scientific study of people at work. The goal of ergonomics is to reduce stress and eliminate injuries and disorders associated with the overuse of muscles, bad posture, and repeated tasks. This is accomplished by designing tasks, work spaces, controls, displays, tools, lighting, and equipment to fit the employee´s physical capabilities and limitations. Posture for clinicians has been identified as a key factor in MSDs. Postural considerations include: maintaining an erect posture, use of an adjustable chair with lumbar, thoracic and arm support, working close to the body, minimizing excessive wrist and finger movements, alternating work positions between sitting, standing and side of patient, adjusting the height of the clinician’s chair and the patient’s chair and use of adjustable lighting. Additional ergonomic practices include patient positioning, use of varying size/weight/shape of manual instruments, use of power driven instruments, use of magnification, proper fitting gloves and use of optimal delivery systems that minimize the need for excessing reaching.

Volunteer opportunities SMILES FOR KIDS VOLUNTEERS NEEDED: Doctors to “adopt” patients for Smiles for Kids for follow-up care.

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

SMILES FOR BIG KIDS While ergonomic considerations within the dental setting are important in preventing MSDs, clinicians should consider lifestyle/exercise options including a regular yoga practice.

While ergonomic considerations within the dental setting are important in preventing MSDs, clinicians should consider lifestyle/exercise options including a regular yoga practice. As few as two times a week yoga practice has proven to reduce MSDs signs and symptoms in dental hygienists, with research in dental clinicians reporting similar results. Additionally, yoga research has demonstrated benefits for over 100 health-related conditions and provides practitioners benefits beyond that of prevention or treating MSDs. Interestingly studies have shown that only 5–10% of dental clinicians practice yoga.

Sound ergonomic practices and lifestyle changes will lend to clinicians’ clinical practice longevity. “Yoganomics: Postural Health and Ergonomic Considerations for the Dental Professional” will be offered at the 2019 SDDS MidWinter convention and provide attendees an overview of research related to MSDs, ergonomic solutions and introduce the practice of yoga as it relates to maintaining postural and overall health.

Participants will have the opportunity to ‘stretch, breathe and relieve’ by experiencing seated yoga sequences easily practiced in the dental office setting. The session will also include review of specific types of yoga for preventing/treating MSDs. The extensive handout provides research resources, protocols, ergonomic videos and a beginner’s guide to yoga. Maintaining postural health is an important aspect of clinical practice and this seminar will provide the foundation to establish ergonomic strategies to maximize clinical practice longevity. 

VOLUNTEERS NEEDED: Dentists willing to “adopt” patients for immediate/emergency needs in their office.

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

March 8-9, 2019 • Solano September 27-28, 2019 • San Bernardino TO VOLUNTEER: www.cdafoundation.org/cda-cares AUBURN RENEWAL CENTER CLINIC VOLUNTEERS NEEDED: General dentists, specialists, dental assistants and hygienists.

TO VOLUNTEER, CONTACT: Dr. Steve Holm (916.425.6766 • sholm@goldrush.com)

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

TO VOLUNTEER, CONTACT: Kathi Webb (916.743.5351 • kwebbft@aol.com)

CCMP

(COALITION FOR CONCERNED MEDICAL PROFESSIONALS)

VOLUNTEERS NEEDED: General Dentists, Specialists, Dental Assistants and Hygienists.

TO VOLUNTEER, CONTACT: CALL! (916.925.9379 • CCMP.PA@JUNO.COM)

EVERYONE FOR VETERANS SDDS is partnering with the national program, Everyone for Veterans, to provide care for COMBAT veterans and their families who cannot afford, nor have military coverage, dental care. Can you adopt a vet? Hope so!

Call SDDS (916.446.1227), or email us (sdds@sdds.org), to help us with this wonderful program.

For More Information: everyoneforveterans.org/for-dentists.html www.sdds.org • January 2019

| 19

Chart Your Course

What You Don’t Know Might Hurt You!

By Joy Millis, CSP

MidWinter Speaker

Thursday 8:00am–9:30am • 1.5 CEU, CORE The Business of Implant Dentistry 10:00am–11:30am • 1.5 CEU, 20% Lost Patients: Discovered & Recovered 1:30pm–2:30pm • 1 CEU, CORE Navigating Insurance 3:00pm–4:30pm • 1.5 CEU, 20% Heroes – Rescue Your Patients & Your Practice

An enthusiastic young general dentist greeted me early on my first visit to his office. His accounts receivable was out of control, so he had hired me to teach his team how to make financial arrangements. He wanted to get paid. He greeted me and was excited as he said, “I’ve got a surprise for you! I’m going to do an implant today.” He knew my expertise was in the business of implant dentistry. I didn’t know he did implants, so I asked him, “Where did you learn how to do implant dentistry?” He answered, “YouTube.”

Implant dentistry can be life-changing, especially since over 35 million Americans have NO teeth, and 178 million are missing at least one tooth. I can teach you how to answer questions about implant dentistry and help patients move forward into treatment, and I can also share with you and your team the critical things you must know in order to prevent RISK—defined as, “Negligence; Omission of reasonable precaution.” Misunderstandings and the loss of patients in the middle of treatment can lead to heartaches and financial loss—when patients sue you.

…I can also share with you and your team the critical things you must know in order to prevent RISK

“What You Don’t Know Might Hurt You,” could be a running theme between the potpourri of courses I am scheduled to provide for the Sacramento District Dental Society on February 21st, beginning with “The Business of Implant Dentistry.” We will discuss vital things you must know as you chart your course for the future of your practice.

20 | The Nugget • Sacramento District Dental Society

Speaking of loss… Are your patients at risk because they did not proceed with recommended necessary care? Yes. They are!

Plus, did you know that 50 percent of your active patients don’t have an appointment for anything—not even a prophy? They lose, you lose, everyone loses! Join me to learn how patients are lost and how to bring them back to receive necessary recommended care.

The challenge in dentistry is apathy—lack of interest, enthusiasm, or concern. Apathy leads to loss and loss can cost you big time! Once again, what you don’t know might hurt you.

Bring your entire team to learn how patients mysteriously disappear from your practice, how to bring them back, and how to stop it from happening again. Attend my session, “Lost Patients Discovered & Recovered.”

I’m sure you’re tired of hearing, “I can’t do it unless my insurance pays for it!” What can you say when patients are waving their insurance booklet in your face? So many practices are deeply engaged in the insurance world, to the point of insurance telling your patients what to do. Patients need treatment but find themselves stopping at the “max.”

As a result, you lose the patient for a period of time and possibly forever.

The average utilization of dental services in this country is $500 worth of dental care per year, when so often patients need much more.

MidWinter Convention

Thank You

to our sponsors!

LIFT-OFF LUNCH Sponsors

The challenge in dentistry is apathy—lack of interest, enthusiasm, or concern.

Apathy leads to loss and loss can cost you big time!

How is insurance influencing your patients’ decision about care? How can you talk to patients about the consequence of only doing what insurance covers? What is your actual insurance reimbursement as a percentage of your fees? What do you need to know in order to make an informed decision about insurance participation? Join me on February 21st to find out about “Navigating insurance.”

What you don’t know might hurt you.

Wrapping up a wonderful day together, we will celebrate dental professionals who are doing amazing things in practices across the country—saving lives, saving practices, and creatively communicating with patients— helping patients receive life-changing care.

There are incredible, yet simple, things you can do to come to the rescue for your patients and your practice. Dental assistants, business team members, and hygienists are doing things you should know about. Join me for, “Heroes Coming to the Rescue for Your Patients and Your Practice.”

Buckminster Fuller said, “To change something, build a new model that makes the existing model obsolete.” I hope you’ll join me on February 21st to enjoy a wonderful assortment of topics designed to help you build a new model for the future of your practice.

BON VOYAGE BREAKFAST Sponsors

WORLD CLASS SPEAKER Sponsors GREATER SACRAMENTO DENTAL ASSISTANTS SOCIETY KAVOKERR • PARKELL, INC • STRAUMANN

RISE & SHINE COFFEE Sponsors

Health Net

“PACK YOUR” BAG Sponsor

SOUVENIR PHOTOBOOTH Sponsor

PASSPORT LANYARD Sponsor

ALL WEATHER lip balm Sponsors

See you soon!  www.sdds.org • January 2019

| 21

Chart Your Course

Growth After School is a Must For Success

By Michael Miyasaki, DDS

MidWinter Speaker; SDDS Member

Thursday 9:45am–12:15pm • 2.5 CEU, CORE Navigating Function & Aesthetic Focused Dentistry

Change has left many of us young and old to figure out the best ways to deliver optimal, caring treatment to our patients. Out of dental school over 30 years ago a filling was most likely going to an amalgam, a crown was most likely going to be gold. And when it came to occlusion I was unsure why our instructors pushed and pulled on our patients’ jaws when we made dentures. During the past few decades in practice I have seen the introduction of new materials, such as, composites and ceramics, and new philosophies in managing a patient’s bite, and have incorporated these changes into our practice.

After teaching for almost the same 30 years I have seen and experienced why some of my colleagues are challenged when it comes to bonding a restoration and choosing the right material. Many of us have adopted the new materials, but we use the old techniques and the results are less than we expected. Some of us are challenged in deciding what materials to use and then how to cement or bond them in.

Next month I encourage you and your team to

attend the Sacramento District Dental Society MidWinter Convention to learn from some of the best educators how to achieve more success in your practice and grow your practice to the next level. I always tell my team that we must grow before our practice will grow. We have to

Many of us have adopted the new materials, but we use the old techniques and the results are less than we expected. see more to properly diagnose more. This year’s meeting is one of the most cost-effective ways to achieve this growth.

Next month during the MidWinter Convention I will be presenting the ten things you need to be sure to do to avoid sensitivity when bonding restorations and, in this article, I will briefly cover five.

Figure 1. Mouth prop, retraction and suction built into a silicone mouthpiece.

22 | The Nugget • Sacramento District Dental Society

MidWinter Convention

The first is isolation. We cannot properly bond a restoration if there is blood or saliva contaminating our preparation. In school we learned to place rubber dam and a rubber dam is a great solution, but sometimes placing a rubber dam clamp can be uncomfortable for the patient if I have prepared the tooth utilizing air abrasion or an all tissue laser, because they may not be anesthetized. If bleeding of the soft tissue can be controlled with a hemostatic agent or a laser then isolation using a system like Zyris or Dry Shield can be sufficient (Fig. 1).

These systems act as a mouth prop, and retract the tongue and cheek while also providing evacuation of the area keeping the humidity in the oral cavity low.

The second issue is etching. Today there is no-rinse etching, rinse-etching and selective etching (Fig. 2). We must understand how to achieve success with each method. When using a rinse-etch system the keys are to achieve an adequate etch of the unprepared enamel, not over-etch the dentin and not desiccate the dentin before applying our adhesive.

The third issue is light curing. Now what could go wrong when light curing? Intensity, distance and angulation are the three things we must keep in mind. We must be sure we are using a curing light that puts out the proper intensity of light and the proper wavelength(s) because there are different photo-initiators used today. We must keep the light close to the preparation as the further away it is the less

the light intensity. And we must be sure not to create any shadows (Fig. 3). Most of us use a light-cured adhesive and if the light does not hit the adhesive it may not cure adequately.

The fourth issue is the contour. When we place a direct composite restoration the shape of the interproximal contour and the contact can be a challenge. Like pouring concrete the forms are what determines the shape of our restoration interproximally. When I was in school, I learned to use a tofflemire band which with today’s composite fails to give me the contours I desire. The new sectional matrix systems work well (Fig. 4).

The fifth issue is the gingival floor. Dr. Gordon Christensen wrote in his June 2018 Clinician’s Report that there is an epidemic of cervical caries in class II resin box forms or recurrent decay at the gingival margin. Dr. Christensen gave a few suggestions on how to improve our restorative technique and I would encourage you to review his thought-provoking suggestions. When placing a direct posterior composite, we most often have placed an opaque matrix interproximally which forces us to cure the composite from the occlusal surface.

This curing may cause our composite to shrink away from the tooth leading to a microgap at our gingival floor margin (Fig. 5). To avoid the formation of a gingival floor microgap we can use a dual-cure bulk fill composite restorative material that has an unlimited depth of cure and will cure towards the tooth, not away.

And, finally, what is it that we are trying to achieve when looking at the occlusion? The answer to that depends on what we are trying to achieve. Someone with stable joints and comfortable muscles, but a new restoration may just need an adjustment that balances out the forces and directs the forces down the long axis of a posterior tooth. A patient we have done more extensive work on may need to have their excursive movements balanced out over broad contacts, and someone having a complete rehabilitation may need to have their bite altered in such a way that the joints, muscles and central nervous system response is physiologically supported by the dentition.

But as Dr. Peter Dawson pointed out, unless we know how the system works we cannot be sure we are not the cause of occlusion problems. My advice with larger cases is to prototype the bite like you might prototype a smile.

I hope none of the above is a surprise to you, and realize there is never just one solution.

There are principles that if followed will help us be successful. Come enjoy the camaraderie provided by the local dental society membership and interacting with the presenters. If you want to hear more and see the other five issues when bonding or how to think about occlusion I encourage you to come to a more in-depth presentation at the SDDS MidWinter program. I would love to meet you. 

Figure 2. Selective etching of the tooth preparation.

Figure 4. Proper placement of a sectional matrix system.

Figure 5. Blue dye has penetrated through a microgap at the gingival floor and is heading into pulp.

Figure 3. Left illustration shows curing light properly positioned, and right illustration shows shadowing.

www.sdds.org • January 2019

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Chart Your Course

Rethink Your Drink: Talking to Dental Patients about Fluoridated Water & Sugary Drinks

By Lyanna Pillazar-Blanco, MPH, CHES

Sacramento County Oral Health

Thursday 8:00am–9:30am • 1.5 CEU, CORE Rethink Your Drink

Come see us!

Booth 16 We’d love to talk with you about incorporating oral health messages into your existing campaigns.

In 2012, the California Department of Public Health Nutrition Education and Obesity Prevention Branch launched a statewide Rethink Your Drink (RYD) campaign. The purpose of this evidence-based educational campaign is to decrease overweight and obesity rates by focusing on reducing the consumption of sweetened beverages and promoting healthy drink options. While the RYD campaign was developed for obesity prevention efforts, its message has the ability to influence multiple public health initiatives, including oral health.

There is a major benefit in encouraging the public to change behaviors in hopes of affecting health outcomes. In the dental health field, a huge emphasis is placed on brushing and flossing to maintain proper hygiene and prevent oral disease. The amount and frequency of sugar being consumed is another important educational message that helps reduce the risk of dental caries.

Regrettably, even within major campaigns like Rethink Your Drink, there is minimal discussion linking sugar consumption to oral health. Rather, this campaign focuses on nutrition and obesity prevention. Oral health professionals have the unique opportunity to fuse the overall health messaging of the RYD campaign with oral health messaging in two ways: encouraging patients to drink fluoridated tap water and discouraging them from drinking sugar-sweetened beverages.

As we know, community water fluoridation is known to be a strong and effective public health measure against dental caries.

Unfortunately, over time consumption of tap water has decreased while the consumption of un-f luoridated bottled water has increased. In Sacramento County,

24 | The Nugget • Sacramento District Dental Society

approximately 65% of residents have access to fluoridated drinking water, however, in a recent Sacramento County Public Health survey less than half of respondents knew if their home tap water was fluoridated.

Utilizing RYD campaign materials can help open a discussion about the benefits and safety of drinking fluoridated tap water and provides an opportunity to educate patients on whether or not the water in their neighborhood is fluoridated.

Although obesity and caries prevention are two separate health issues, they share a common message: limiting the consumption of sugary drinks leads to better health outcomes. There is an abundance of information regarding the high sugar content in sweetened beverages throughout the RYD campaign. Oral health professionals can also use RYD campaign materials to promote alternatives to sugar-sweetened beverages.

Simple recipes for infused beverages using tap water and fruit or herbs offer a unique and attractive way to approach consuming tap water and may capture a patient’s attention enough to give it a try.

By integrating oral health messaging into the RYD campaign, we can leverage the strength of important behavioral messaging that is already being conveyed by this large public health initiative. Saturating the community with a single, unified message has great potential to improve overall health.

Rethink Your Drink is just one of a myriad of public health campaigns. It encompasses information relatable and beneficial to oral health efforts. Dental professionals should actively find ways to incorporate oral health messaging into existing campaigns to maximize preventive outreach! 

MidWinter Convention

Don’t miss the opportunity to hear these Speakers

We’ve got a great line-up Courses are first come—get there early

Dale Alto, DDS • All-on-4® (T)

Carlos Alvarez • Botox & the Board (T/F)

Jenny Apekian, DDS • Fabricating Esthetic Anterior CAD/CAM Restorations (F)

Deborah Blanchard, RDH & Danica Peterson, MPH • Tobacco, Oral Health & Your Patient: Incorporating Current Research into Tobacco Cessation (T)

Carla Cohn, DMD • Practical Proven Prevention for Your Pediatric Patients (F) • Pediatric Dentistry for the General Practitioner – Keep Your Kids IN Your Practice (F) • What’s New in Pediatric Dentistry for the General Practitioner – The Cutting Edge (F)

Nancy Dewhirst, RDH, BS • Infection Control in Your Hands…or Is It “on” Your Hands? (F) • Ergonomics & Personal Health Concerns (F) • California Dental Practice Act (F)

Craig Dial • The Art of CBCT (F)

Christine Draa • I Just Want To Practice Dentistry! Defining Leadership In Your Dental Practice (T)

James Dunn, DDS • Dental Photography: From Snapshot to Glamour Shot (T)

Debra Engelhardt-Nash • How Healthy is Your Recall? (F) • You Had Me at Hello: Powerful Patient Experience & Telephone Skills to Facilitate Your Brilliance (F) • A Team’s Guide to Patient Care – Attracting, Treating & Retaining Your Patients (F)

T = Thursday • F = Friday

The Foundation for Allied Dental Education (FADE) • First Impressions Matter (T/F) • Relevant or Relic? The RDA Dilemma (T) • Modern Materials for the CAD-Milled Restoration (F)

Mitch Goodis, DDS & Jennifer Berry, MS • Meth, ACEs & CPS: The Strange Relationship (T)

Cindy Hartwell • Tips for Efficient Claims Submission (F) • Dealing with Refund Demands from Benefit Plans (F)

Brock Hinton, DDS • Prosthodontic Planning – The Key to Simplifying Complex Cases (T)

Mike Johnstone • How to Make Your Website “POP”! (T)

Karen Lemieux, RDH & Angela Gibson MPH • Rethink Your Drink (T)

Kristy Menage Bernie, RDH, MS, RYT • Yoganomics: Postural Health & Ergonomic Considerations for the Dental Professional (T) • The Periodontic/Orthodontic Connection: Maximizing Success with the Orthodontic Patient (T) • Top Trending Topics in Dentistry (T)

Joy Millis, CSP

Ross Nash, DDS • Conservative Esthetics for the General Practitioner (F) • Indirect Esthetic Restorations for the General Practice (F)

Ward Noble, DDS, MS • Dental Wear & Sleep Bruxism – Myths, Misinformation & Management Strategies (T)

Henry Pond, DMD • Expanding Patient Treatments with New Overdenture, New Sinus Lift/Implant (F)

David Roholt, DDS • Dual Cure Composites: 20 Years of Clinical Success! (F)

Lisa Saiia • California Dental Practice Act – Conduct, Competence, Culpability & System of Rules & Regulations (T) • OSHA Bloodborne Pathogens – Rules, Regulations & Requirements, Oh My! (T) • Infection Control – The Latest Info for Patient Protection (T) • HIPAA – Ensuring Patient Privacy & Safety (F)

Francis J. Tobias • What You Need to Know About the Hiring Process (T)

Michael Wilgus • Where Saving Dollars Makes Sense – Fine Tuning the Supply Side of Your Practice (T)

• The Business of Implant Dentistry (T) • Lost Patients: Discovered & Recovered (T) • Navigating Insurance (T) • Heroes – Rescue Your Patients & Your Practice (T)

Michael Miyasaki, DDS • Navigating Function & Aesthetic Focused Dentistry (T)

www.sdds.org • January 2019

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Chart Your Course

Identifying Your

Broken Link in Your Marketing Chain

By Sheri Merrick, Dental Marketing Consultant

InfoStar; SDDS Vendor Member

Thursday 8:00am–9:30am • No CEU How to Make Your Website “POP”!

Come see us!

Booth 28 Visit the InfoStar Booth to learn more about how we can help your practice.

DENTAL MARKETING You’ve finally decided to join the dental marketing revolution and started with a website and some online advertising. How do you know if what you are doing is working?

All of this begins by implementing some tracking tools. Most practice management software programs have these built in but, so many times they go without being utilized.

TRACKING You have gotten your phone to ring and the schedule appears to be full but, the production at the end of the month isn’t showing an increase. How can this possibly be when everyone in the office can feel that they are busier? The front office is fielding phone calls and scheduling appointments, the back office is doing more new patient exams and the treatment coordinator is presenting more treatment and the doctor is doing more exams. Where is the broken link that translates into more production?

IDENTIFY Every facet of the office needs to be tracked and analyzed in order to identify the culprit.

If you have hired a marketing company to run outside advertising for you and the phone is not ringing or you are not receiving requests from online avenues, then you need to look at a few things. First, are you working with a reputable company and have you personally been able to view the ads that are running for you as well as the landing page? If that seems to be in order, then you may need to evaluate the offer that you are running and make sure that it is enticing enough to pique the interest of the general public enough to have them act. If you are running a special how are the clicks? Are people clicking on the ad and then showing up to your website only to bounce off it at an alarming rate? If this is the case, then the culprit wouldn’t necessarily be the ad if it is receiving a good number of clicks. I would have to say you need to take

26 | The Nugget • Sacramento District Dental Society

a look at your website and make sure where people are being delivered is providing the correct information.

For example, if you saw an ad for specific type of shoe and clicked on that ad because you were interested in buying them but were then delivered to a page on a website that had information about cooking utensils how long would you stay there? More so, wouldn’t you be frustrated? The same could be happening for you and the ads you are running. You need to make sure that if someone is clicking on your ad, they are being directed to a page that gives them more in-depth information regarding that specific ad they clicked on.

EVALUATE Now let’s look at the scenario where the phone is ringing and the requests for appointments are coming in from online sources, but the schedule isn’t filling up.

This too can stem from a couple of different culprits. First, when people are calling the office is the phone being answered by a live person or is it going to voicemail? If people are trying to schedule an appointment during a lunch hour or a break in the day, they want to make sure they can scratch it off their to-do- list. If they call an office and are unable to take care of things with a live person, they may just go on down the Google search list until they are able to speak with someone. Second, if they are reaching a live person is that person knowledgeable and able to assist them in scheduling an appointment in a timely manner? Third, is the phone staff skilled enough to turn an inquiry into an actual appointment? Having a way to track those calls is critical to make sure this isn’t the broken link.

The phone is ringing, and the schedule is filling up, but patients aren’t coming in for the appointments. What could be the culprit here? Well, is the staff only offering specific times that could potentially be inconvenient

MidWinter Convention

Your Favorite Exhibitors

Will Be there for the caller? Could the appointment be booked too far in advance and it has given that caller time to call another office and get an appointment sooner? When utilizing marketing dollars to bring an influx of new patients to the practice those callers need to be treated as if they are a baby egg. One false move and it could slip, fall and break to bits. Doctors and managers should always make sure they express their expectations to their phone staff to make sure they would be answering the phone exactly as if it were an extension of themselves. I have had the opportunity to call several offices after hours and the doctor themselves have answered the phone and done whatever they needed to do in order to help because that is why they decided to go into the profession in the first place.

ANALYZE So, the phone is ringing, the schedule is filling up and patients are in the chair but still no increase in production. This would tell me that people are choosing not to move forward with proposed treatment. Analyze the tools that are being utilized to educate your patients as to why what was diagnosed needs to be scheduled. Make sure that the staff relays the urgency behind scheduling the necessary treatment. Implement the necessary tools to help assist in that education. No one loves having dental work done so if they can put it off then chances are, they will.

3M Oral Care Solutions Access Dental Plan Aflac American Pacific Mortgage Analgesic Services, Inc. Bank of the West Banner Bank Biohorizons Bisco Blue Northern Builders, Inc. BPE Law Group, PC Brasseler Burkhart CareCredit Colgate Comcast Business Costa Aesthetics Laboratory Delta Dental Dream Systems Dental Sleep Laboratory Dentegra Insurance Company Dentsply Sirona Endodontics Desco Dental DEXIS Digital X-Ray Digital Doc, LLC Enviromerica Sacramento First Citizen’s Bank The Foundation for Allied Dental Education Fechter & Company CPAs First US Community Credit Union GlaxoSmithKline Consumer Healthcare GP Development Greater Sacramento Dental Assistants Society Health Net Henry Schein Dental IBS Implant Direct

InfoStar Integrity Practice Sales KAVOKerr Kettenbach Kid’s Care Dental & Orthodontics Komet, USA Kulzer, Inc Liberty Dental Plan LumaDent, Inc Mass Mutual MUN CPA’s Olson Construction PARC Studio - Interior Design Patterson Dental The Payment Exchange Proctor and Gamble - Crest & Oral B Professional Practice Sales Resource Staffing Group Ritter Implants Sacramento County Division of Public Health Oral Health Program SD Reliance Shofu Dental Corporation Solmetex, Tuttnauer Sterilizers, Preventech SolutionReach, Inc. Star Refining Straine Consulting & Square Practice Swiss Monkey TDIC - The Dentist’s Insurance Company Ultradent Ultralight Optics US Army Healthcare Recruiting Team US Bank VOCO America, Inc Western Practice Sales

Identifying the broken link will allow you the opportunity to fix the situation and by doing so increase your new patient flow and ultimately your monthly production. This is a scenario where what you don’t know most definitely can hurt you. 

Exhibit Hall Hours • THURSDAY: FEBRUARY 21 11:30AM - 5:30PM

• FRIDAY: FEBRUARY 22 7:30AM - 1:30PM www.sdds.org • January 2019

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(916) 724-3962 John Urrutia or Debra Griffin www.muncpas.com 28 | The Nugget • Sacramento District Dental Society

MidWinter Convention

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Solmetex Booth 61 Buy a box of NADA paste/ get free box of flavored paste free (Limit One.) Buy 3 Hygiene motors @ $499/ get 1 Free OR Buy 200 ESA angles, get a Free motor.

InfoStar Booth 28 10% off all monthly marketing plans

Solution Reach Booth 19 Activation & Setup Waived & First Month Gratis

Shofu Booth 49 Buy 2 Beautisealant Sets, get 1 at no charge; Buy 4 Beautiful Flow Plus X, Get one at no charge; Buy 6 Beautiful-Bulk Restoratives OR Beautiful-Bulk Flowable syringes, get 3 syringes at no charge; Buy 5 Beautiful II Pink or Beautiful II White Syringes, Get 12 Robot FG Diamonds at no charge.

Hope we see you there!

It’s all about you.

As it should be.

When you partner with us, you can count on experts who listen, learn and get to know your business, so we can provide solutions specifically tailored to your needs.

Respect, responsiveness and commitment. That’s been our approach for more than 125 years, and it’s what you and your business deserve.

Let’s create tomorrow, together.

2018 Best Bank in the U.S. Pacific Region – Money Magazine Shannon Mitchell, Vice President, Relationship Manager 916-648-3470 or shannon.mitchell@bannerbank.com

Member FDIC www.sdds.org • January 2019

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Meet the Speakers Dale Alto, DDS Dr. Alto is a board-certified Oral and Maxillofacial Surgeon and partner at Capital Oral Surgery in Sacramento. Born and raised in Michigan, he received his dental degree from the University of Michigan and oral surgery training at the University of Cincinnati Medical Center. Dr. Alto’s clinical practice is focused on 3rd molar surgery, orthognathic surgery, complex dental implant surgery, and optimal post-op pain control.

He and his partners are local providers of lectures and workshops for the All-on-4 concept.

Carlos Alvarez, Chief of Enforcement; Dental Board of California Mr. Alvarez was born and raised in a small city of Maywood, Ca. in Los Angeles County. Mr. Alvarez graduated from Bell High School in 1986 and upon graduating, he enlisted in the U.S. Army where he served for 3 years. He has 22 years of law enforcement experience. In 2012, Mr. Alvarez became an Investigator with the Dental Board of California in the Orange County Office, where he performed investigations of criminal and administrative violations of the Dental Practice Act. Typical investigations included allegations of billing and insurance fraud, drug violations, patient battery and unlawful sexual misconduct with patients. In some cases, he conducted undercover operations to investigate the unlicensed practice of dentistry inside homes, garages and fictitious businesses. In 2014, Mr. Alvarez was promoted to a Supervising Investigator in the headquarters office of the Dental Board.

In 2017, he was promoted to the position of Chief of Enforcement with the Dental Board. Mr. Alvarez directs day to day operations and activities to the following units: the Complaint and Compliance Unit, Investigative Analysis Unit, Discipline Coordination Unit and Enforcement Unit. He ensures that the goals, objectives and mission of the Dental Board are being met to protect the Consumers of California.

Jenny Apekian, DDS Sponsored by Patterson Dental Dr. Apekian is an established general and cosmetic dentist in private practice in Midtown, Sacramento. Dr. Apekian is a strong proponent of utilizing the latest technologies in dentistry to improve the patient experience. She recently built and designed one of the most technologically advanced dental offices, utilizing CAD/CAM technologies, 3D Imaging, state of the art infection control systems, as well as full digital integration. Committed to staying at the forefront of dentistry, Dr. Apekian participates in regular and ongoing post-doctoral education and training. She is a graduate of the Sacramento Implant Continuum and utilizes the latest technology for guided implantology and also serves as a mentor and trainer for CEREC CAD/CAM technology throughout the Sacramento region. She teaches fellow dentists how to utilize the technology to design and produce complete restorations, surgical guides and appliances for prosthetics, implantology and orthodontics. Dr. Apekian graduated from University of California, Davis with a degree in Neurobiology, Physiology, and Behavior. She earned her Doctor of Dental Surgery from the University of California, San Francisco, where she graduated top of her class.

Jennifer Berry, MS Ms. Berry is a Social Worker who evaluates family situations for Child Protective Services after a call is received. Her father, SDDS member Dr. Mitch Goodis, is her co-presenter.

Pack your bags and join us!

30 | The Nugget • Sacramento District Dental Society

Deborah Blanchard, RDH Ms. Blanchard is a graduate of Rose State College in Midwest City, Oklahoma.

She started her career in general dentistry and followed with three years in a periodontal practice. In 1983, Ms. Blanchard relocated to California where she continued her career in general dentistry. In 2001, while continuing to work in private practice, she went to work with Sacramento County Oral Health Program as a member of the Smile Keepers sealant team. For a number of years she worked with portable equipment and ultimately on the mobile dental truck applying sealants in elementary school settings.

As funding sources changed, Ms. Blanchard continued the work of the Smile Keepers program and performed oral health education, screenings and fluoride varnish applications in preschool settings and at community events. In 2017, Ms. Blanchard left private clinical practice to focus solely on dental public health.

Carla Cohn, DMD Sponsored by Bisco Dental Products & VOCO America, Inc. Dr. Cohn graduated from the Faculty of Dentistry at the University of Manitoba in 1991. She then went on to complete a postgraduate internship in Children’s Dentistry at Health Science Centre Children’s Hospital. She entered into private practice after graduation and dedicated most of the first decade to working and raising her three sons.

She was alarmed at the rampant tooth decay she encountered in very young children, despite all of the knowledge and education available on preventing tooth decay.

Dr. Cohn wanted to help these children regain their health in a quick and efficient manner and thus began her second decade in practice. Today Dr. Cohn’s private practice, Kid’s Dental, the focus is on prevention. It is both pro-active and ground breaking. A system that would finally allow dentists to eradicate cavities and treat caries by risk assessment is extremely exciting. As a mother, Dr. Cohn strives to have her own children grow up cavity free. As a dentist, after spending many years repairing and extracting decayed teeth, she looks forward to a future in which we can truly see a decline in cavities.

Change can only occur through education. Dr. Cohn’s goals for the future are to help educate the community, dental professionals and medical professionals on prevention of tooth decay. Her hope is to help to create a new generation of cavity free children, one in which a child has never experienced an injection of local anaesthetic or the dental drill.

Nancy Dewhirst, RDH, BS; California Dental Association Ms. Dewhirst, RDH, BS, graduated from and taught at the Herman Ostrow School of Dentistry of USC, and practiced dental hygiene for 20 years. She is a professor at West Coast University, dental hygiene program. She presents at major meetings across the nation, focusing on infectious diseases, clinical safety, disaster preparedness and instrument sharpening, the California Dental Practice Act, dental risk, oral pathology and ergonomics. She is one of the top 100 national speakers and is on the CDA, ADA and OSAP speakers/consultants bureaus. Ms. Dewhirst is a widely published author of dental journal articles and has contributed to textbooks, professional infection control documents and posters.

Craig Dial; DDI Imaging Center Mr. Dial earned his license as a Dental Radiographic Technologist in 1981 through UC Berkeley and is currently part owner and chief technologist of Diagnostic Digital Imaging. He works closely with many doctors to continue to improve the standard of maxillofacial imaging available in our community and throughout the world. He has served several years as the President of the American Association of Dental Maxillofacial Radiographic Technicians (AADMRT), and several more as a Board member. Mr. Dial is internationally known and respected for his imaging expertise, and is often consulted about his knowledge and skills in oral radiography.

Christine Draa, VP of Organizational Development & Governance; California Dental Association Ms. Draa has over 20 years of training, design, and leadership experience.

In her role at CDA she spends time coaching and mentoring staff leaders as well as creating learning and development opportunities to advance organizational business goals. She also works directly with CDA volunteer leaders and supports their educational development, which is work she greatly enjoys. However, her true passion is, and always will be, training and learning!

James Dunn, DDS James R Dunn DDS is a former full time faculty at Loma Linda University responsible for aesthetic dental treatment courses, now practicing in Auburn, CA, using the techniques described in this course. He is a member of the American and International Association of dental research, The Academy of Dental Materials, a fellow of the American Academy of Esthetic Dentistry and many other organizations.

He continues to offer lecture and participation courses in materials and treatment techniques and the use of digital photography as an essential communication tool in a quality dental practice.

Debra Engelhardt-Nash Sponsored by Care Credit & Solution Reach Ms. Engelhardt-Nash is a consultant, speaker, writer and coach. She is a founding member of the Academy of Dental Management Consulting - serving her 3rd term as President. She is board member of the American Academy of Dental Practice Administration and serves on the ADA Practice Management Advisory Board.

Ms. Engelhardt-Nash has been recognized by Dentistry Today as a Leader in Continuing Dental Education and Consulting and a recipient of the Gordon Christensen Lecturer Recognition Award.

The Foundation for Allied Dental Education (FADE) Sponsored by Greater Sacramento Dental Assistants Society & KavoKerr The Foundation for Allied Dental Education, Inc. (FADE) is a non-profit charitable organization dedicated to the education and professional development of the allied dental team. Established in 2011 as a professional partner to the state Dental Assisting Teachers Association, FADE has targeted its focus on the needs of the allied dental community by providing resources and supporting events in new and innovative ways.

In early 2016, the FADE Institute was established to further the education and professional development needs of the dental assisting community. Through community collaboration and commitment to clinical excellence, the FADE Institute provides entrylevel programs and certification courses, continuing education to licensees, and postgraduate advanced-level licensure programs such as the RDAEF2 and orthodontic assistant permit. Their new state-of-the-art institute was designed as a dedicated environment for clinical chairside instruction.

Sarah Gargani, Senior Training Partner; California Dental Association Ms. Gargani is a Senior Training Partner at CDA, working collaboratively with all CDA departments, focusing on professional development and strategic training deployment. She uses her experience in corporate training to identify opportunities to better support CDA staff members. Ms. Gargani has over 14 years of experience in the dental industry, including business operations, practice expansion, integration of specialty services and human resources functions. Most recently she worked as a regional front office trainer for a large dental support organization and as a practice advisor for TDSC Practice Management.

Angela Gibson, MPH Ms. Gibson is a health educator with the Sacramento County Obesity Prevention Program. She earned her Masters in Public Health in Health Promotion Education and Behavior from the University of South Carolina. Ms. Gibson’s public health experience began with a focus on programs for older adults and their caregivers in South Carolina. Since moving back to California in 2015, she has focused on chronic disease prevention in low-income communities in Sacramento County.

Mitch Goodis, DDS Dr. Goodis is a general dentist in private practice in El Dorado.

Cindy Hartwell, Practice Support; California Dental Association Ms. Hartwell specializes in consulting with practices on dental benefit plans, navigating the benefits system and advocating for providers. She brings more than 20 years of experience, including RDA and office manager roles in private practice before working in a large dental benefit organization’s commercial and state government divisions.

Brock Hinton, DDS Dr. Hinton is a prosthodontist with 30 years of experience in a group specialty practice treating complex dental problems. His practice includes all phases of prosthodontics including full mouth rehabilitation, dental implant reconstruction, cosmetics, TMJ and sleep disorders.

Mike Johnstone; InfoStar Mr. Johnstone began his career with InfoStar back in 2001 and has grownup living and experiencing dental marketing, making him a valuable wealth of knowledge in all areas of marketing a dental practice on the Internet. Mr. Johnstone majored in neuropsychology, which helped kick-start InfoStar’s successful methods in advertising and promoting dental practices on the Internet through search and social media. His customer service skills and ability to critically think about the needs of a practice carries through to his team at InfoStar.

Karen Lemieux, RDH Ms. Lemieux has been working with the Sacramento County Oral Health Program (Smile Keepers) for 21 years. Her experience also extends as a clinical dental hygienist in private practice for 17 years. Her roles in the County Oral Health Program have been to develop, initiate and manage the school-based dental sealant program and WIC preventive oral health program. In addition, she has provided school-based oral health education, screenings and fluoride in the communities.

Currently, she is a part of planning and implementing the strategies of the California Oral Health Plan 2018 – 2028 through Prop. 56 funding.

Kristy Menage-Bernie, RDH, MS, RYT Sponsored by Parkell, Inc. Ms. Menage‐Bernie is the Director of Educational Designs, and celebrated her 30th year in the profession by completing a Masters of Science degree with honors in 2015 from the University of California, San Francisco, where she is also an Assistant Clinical Professor. She has been quoted in Esquire Magazine, Women’s Health Magazine, interviewed by ESPN Radio and featured on the cover of RDH Magazine. She has been featured at major dental and dental hygiene conventions and is known for facilitating interactive, fast-paced sessions based on the latest technologies and research.

www.sdds.org • January 2019

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Meet the Speakers Joy Millis, CSP; Joy of Communication Ms. Millis is an expert in the business of implant dentistry, influencing patients to receive quality dental care, getting paid without insurance interference and recovering lost patients! It has been said about her that “Apart from her abundant enthusiasm, what sets Ms. Millis apart from the myriad of other speakers that can talk the talk – Joy has walked the walk!” With expertise gleaned from more than three decades of hands-on clinical and business results in implant dentistry, Ms. Millis shares powerful tools and how-tos for dramatic practice refinement. She has earned the National Speakers Association’s highest designation of Certified Speaking Professional, CSP, an accomplishment achieved by only 600 speakers in the world. Ms. Millis is also on the visiting faculty of the Medical College of Georgia and the University of Texas, where she teaches management excellence for implant dentistry providers.

Michael Miyasaki, DDS Dr. Miyasaki is a general dentist in Sacramento, and has been involved in dental education for over 30 years. He is a Director with the Pacific Aesthetic Continuum which conducts live-patient treatment programs across the United States with an emphasis on comprehensive restorative dentistry done aesthetically. His experience with different occlusal philosophies, aesthetic materials and technology allows him bring a systematic approach to complex situations. His goal is to make it easier for his colleagues to provide quality dental care and be successful in practice with happy patients.

Ross Nash, DDS Dr. Nash maintains a private practice in Huntersville, N.C. He graduated from North Carolina State University in engineering and the University of North Carolina at Chapel Hill School of Dentistry. An international lecturer on dental esthetics, he is one of less that 50 Fellows worldwide and accredited in the American Academy of Cosmetic Dentistry. He is the co-founder and President of the Nash Institute for Dental Learning, a post graduate training facility.

Ward Noble, DDS, MS Sponsored by Proctor & Gamble Dr. Noble graduated from the University of California, San Francisco and then completed a prosthodontic residency program at the University of Michigan. After being in private practice and teaching at UCSF for 35 years, he is now a Professor at the UOP School of Dentistry, where he has received Excellence in Teaching Awards from both the faculty and students. He has presented over 250 presentations and has published numerous book chapters and articles.

Danica Peterson, MPH Ms. Peterson is a health educator with the Sacramento County Department of Health Services. She first joined the County in 2015 as part of the Sacramento County Obesity Prevention Program (SCOPP) and has since shifted to her current role in the Tobacco Education Program. She obtained her Master of Public Health (MPH) degree from California State University, Fullerton where she graduated at the top of her class. She also retains a Bachelor of Arts in Cognitive Psychology from the University of California, Irvine. Aside from her work with the County, Ms. Peterson is also a certified group fitness instructor and teaches dance fitness classes at a local gym.

She is honored to share her passions for education, health, and wellness with you today!

32 | The Nugget • Sacramento District Dental Society

W. Henry Pond, DMD Sponsored by IBS America Dr. Pond maintains a full time restorative dental practice including implants, endodontics, and microscopy in Salt Lake City, UT. Dr. Pond lectures throughout the country to general dentists and specialists on implantology. He is a graduate of Washington University in St. Louis and has been practicing for 31 years. His engaging lectures include the practical application of knowledge gained over these years. He took his first implant course and placed his initial implants in 1991. Since then, he has mentored for Camlog and is currently a lecturer and clinical advisor for IBS America.

David Roholt, DDS, MICOI Sponsored by Parkell, Inc. Dr. Roholt graduated from UCSF School of Dentistry in 1989 and obtained his Masters with ICOI in 2011. In 2017, he lectured at the International Academy of Dental Research in San Francisco on Bulk Fill, Dual Cure Composites. He practices dentistry in Auburn where he and his wife of 27 years live. Dr. Roholt enjoys spending time with his two grown children and traveling in their RV, “Trudy!”

Lisa Saiia Ms. Saiia is the Founder and Director of dentassist, a placement service for dental professionals from 1982 through 2018. She is the developer and curriculum writer for dentassist.com, an ADA CERP online continuing education website.

Ms. Saiia is a captivating speaker and an OSHA and HIPAA Mandatory Compliance Consultant and Eight Hour Infection Control Trainer. She performs inspiring, scientific based lectures with hilarious real life dental stories.

Francis Tobias, Vice President Human Resources; California Dental Association Mr. Tobias is the Vice President of human resources at CDA. He provides thought leadership to senior management and executives and supports the organization’s staff to deliver exceptional service and results to members.

Michael Wilgus, Director of Sales and Business Development; TDSC As Head of the sales and business development function for The Dentists Service Company, Mr. Wilgus creates and implements strategies designed to grow and improve the TDSC.com business as a CDA member benefit. He deploys the TDSC experts and resources needed to empower dentists to gain more control of the costs of instruments and supplies, and practice dentistry on their own terms. He has spent more than a decade in the dental industry, including owning a dental consulting company. His professional experience includes working as a Regional Development Manager at Align Technology, as well as serving on its leadership council, and working as a Specialty Regional Director for Pacific Dental Services. In addition, he has both pharmaceutical and medical device industry expertise and has served on two national advisory panels.

He has also worked for Apple, Inc. as a Director of Sales.

Reaching the Peak in Building for the Dental Industry Construction Management Remodels and Renovations Tenant Improvements New Construction

BlueNorthernBuilders.com

916.772.4192

CA Lic #820947

www.sdds.org • January 2019

| 33

It’s a Win-Win-Win! You’re building a practice. We’re expanding our network.

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When you join a dental network dedicated to improving the health of our community, your practice benefits, too. With access to a new patient base, you’ll enjoy improved cash flow through guaranteed monthly capitation payments. We also offer streamlined administrative processes and a dedicated local provider relations team to answer questions and provide support.

Joining our network is easy. For more information, call 1-888-273-2713.

© 2018 Health Net Community Solutions, Inc. All rights reserved.

34 | The Nugget • Sacramento District Dental Society

YOU

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

THE DENTIST, THE EMPLOYER

the dentist, the employer.

BER MEM IT! F E N E B

SDDS HR Hotline

Making a List and Checking It Twice:

NEW EXCLUSIVE NUMBER FREE TO SDDS MEMBERS!

Harassment Prevention Training Is the Law

888.784.4031

Reprinted with permission from California Employers Association It’s important that all employers take steps to prevent workplace harassment and respond appropriately when complaints are made.

Providing companywide training on all forms of harassment has always been a best practice, and, now, it’s the law for employers with five or more employees.

What’s new?

Governor Brown recently signed SB 1343 which requires employers with five or more employees to provide training to all employees (both supervisory and non-supervisory) by January 1, 2020.

This new law is a dramatic shift from the current requirements which have been in place for more than a decade. The threshold number of employees that triggers coverage under the law has been lowered to five, and non-supervisory employees are included in the training mandate.

Current Law • Employers with 50+ Employees Covered • Two Hours of Mandatory Training Only for Supervisors

New Law—SB 1343 • Employers with 5+ Employees Covered • Two hours of Mandatory Training for Supervisors and One Hour of Mandatory Training for Non-Supervisors

Part-time and temporary employees, plus independent contractors count toward the minimum employee count of five employees.

Calendar Your 2019 Training All employers—large and small—need to take a look at their 2019 calendars and figure out when they can train their supervisors and employees to meet the Jan. 1, 2020 deadline.

Don’t just “check the box” when it comes to training. Instead, training must meet the needs of your particular workplace, as well as the type of employee being trained. Anyone who is trained needs to understand what sexual harassment is, what the law requires, how to report it, and your company’s policy and reporting mechanisms. But supervisors need additional information on their prevention obligations, including handling complaints, investigations, and corrective actions. Interactive training with examples that can help flesh out those grey areas that employees and managers often struggle with is beneficial in meeting your prevention goals.

If you’re ready to schedule your harassment prevention training, or just need some guidance, give us a call. And check out our harassment prevention training options. We’re here to help you make sure your workplace is safe and respectful for everyone. 

This mandatory harassment prevention training will be offered at the MidWinter Convention & Expo; Friday, February 22 from 8-9:30am

HR Webinar

Presented by California Employers Association One hour online and audio seminar you can listen to with co-workers while you have your lunch or while you are on the road. You will only need a telephone, cell phone and/or computer (computer not required). All you need to do is dial, listen and ask questions if you desire.

Sign up online at sdds.org

JAN

30

2019 Employment Law Changes 1 CEU, 20% • $59

California Labor Laws protect the rights of California employees. CEA is here as the employers’ advocate. The best way to protect your rights is to be informed of CA’s ever changing employment laws. Join us to learn more about the new laws employers must follow in 2019.

MAR

27

Accountability and Delegation at Work 1 CEU, 20% • $59

The skills of building a culture of trust are vital to promote clear accountability, powerful engagement and natural delegation. In this session participants will learn the core components of an effective accountability strategy and explore trust-building approaches to employee engagement. The step-by-step approach to accountability will be outlined so that all participants understand the path to clear agreements. www.sdds.org • January 2019

| 35

SDDS Foundation Big Things are Happening in 2019

SAVE THE DATES

Broadway Shows The 2019 Winter/Spring shows in our Dentists Do Broadway Series are a great way to donate to the Foundation! Have a great night out of theater while supporting a good cause; proceeds benefit the Sacramento District Dental Foundation!

Use the included insert to get signed up today!

STOMP FEBRUARY 7, 2019

Planning has begun for the Gala to benefit the Sacramento District Dental Foundation on October 5, 2019. In addition to raising money for work the Foundation does in our community, we will be celebrating the Foundation’s 50th anniversary and the Society’s 125th.

We are in need of table sponsors and auction items, please let us know if you are able to donate or know someone who would like to. Watch this page in future issues for more information.

annual golf tournament May 10, 2019 Empire Ranch Golf Club (Folsom, CA) • 8:00am Shotgun CONTESTS! • DRINKS ON THE COURSE! RAFFLE PRIZES! • GOLF SOUVENIRS!

CATS APRIL 4, 2019

ALADDIN MAY 22, 2019

Start Your Year Helping a Child–

Volunteer for Smiles for Kids

2019 Smiles for Kids Day is fast approaching and we still have room for more volunteers! In support of ADA’s “Give Kids a Smile” Campaign, the Sacramento District Dental Foundation will be hosting Smiles for Kids® Day 2019 on Saturday, February 2nd to treat children who “fall between the cracks” in healthcare and children who would not otherwise receive dental treatment.

Help by doing any of the following: Work at a SFK Site on February 2nd Adopt-A-Kid (in your own office) Hope to see you there!

36 | The Nugget • Sacramento District Dental Society

Donate to the Foundation Email us at SmilesforKids@sdds.org to get involved with our Smiles for Kids program! We'd love to have you!

Welcome,2019 SDDS

Foundation Board of Directors!

President

Vice President

Viren Patel, DDS

Kelly Giannetti, DMD, MS

Treasurer

Secretary

Kent Daft, DDS

Volki Felahy, DDS

Nancy Archibald, DDS

Wallace Bellamy, DMD

Margaret Delmore, MD, DDS

Wai Chan, DDS

Robert Daby, DDS

Bryan Judd, DDS

Bev Kodama, DDS

Dennis Peterson, DDS

Donna D. Klein, Associate Member

Thank You for Volunteering to Serve!

dental Practice Brokerage TEAM SACRAMENTO

PRACTICE SALES • VALUATIONS/APPRAISALS • TRANSITION PLANNING • PARTNERSHIPS • MERGERS • ASSOCIATESHIPS

Jay Harter

LIC #01008086 36 Years in Business (916) 812-0500

Jay.Harter@henryschein.com This is a sample of our listings.

GREATER PLACERVILLE: Price Reduced! Selling for less than 50% of 2017 collections of $699K. 25 min. from El Dorado Hills. Owner wants to retire, priced for quick sale.1500+ sq ft, 4 Ops. Dentrix, 2 Schick sensors, new server & CPUs. #CA407 GREATER ROSEVILLE: 3 equipped Ops in 4 Op, 1320 sq ft office. Dentrix, Dexis digital sensors (2), new computers, $70K in equip. & tech purchased in 2016. 3 days hyg/wk. 2017 GR $481K+ on 20 Dr. hrs/wk. #CA490 GREATER SACRAMENTO: 4 Ops, Pano, digi X-rays, Cerec. 2017 Collections $1.0M+. Stand-alone building selling with practice. #CA479 GREATER SACRAMENTO: 4 Ops, approx. 1500 sq. ft. in professional building on major thoroughfare, equipped w/ digital X-rays, digital Pan, I/O camera, laser, and CAD/CAM. Relocating. #CA516 GREATER SACRAMENTO: North Area: Modern 4 Op w/ 5th Open, PPO practice, 1,664 SF. Higher-end TI's and neighborhood, Gendex sensor, I/O camera, Nomad, Pano and Laser. 2017 GR $755K on 33 avg. hrs/wk. #CA550 GREATER SACRAMENTO: Pocket Greenhaven Area: 2 Ops equipped with 2 additional Ops plumbed, PPO practice including a digital sensor, I/O camera, and a CEREC. 2017 GR $234K on 30 hrs/wk. #CA551 SACRAMENTO: 1,150 sq. ft. w/ 4 Ops, I/O, Dexis digital X-ray, Carestream software. Established over 30 years, 2017 GR $558K. #CA424 SACRAMENTO: 3 Op. PPO practice, in approx. 1,050 sq. ft. Busy office/mixed use commercial bldg. Same location for 30 yrs., can expand into adjoining space if desired.

Eaglesoft, digital sensors, I/O camera. 2017 GR of $668K on 4½ day/wk. #CA519 SACRAMENTO: Efficiently run practice, 4 fully equipped Ops, Practice Web software, I/O Camera, digital X-ray. 2017 GR $1M. Low overhead. #CA510 SACRAMENTO: 3 Ops, shopping center location, Digital X-ray ready to move in to.

2017 Collections of $572K (From 2017 Corp. Tax Return), open 30 hrs./wk., 29 yrs. goodwill. #CA527

NORTHERN CALIFORNIA OFFICE

www.henryscheinPPT.com

Dr. Thomas Wagner LIC #01418359 40 Years in Business (916) 812-3255

DrThomas.Wagner@henryschein.com For more information, visit: www.henryscheinPPT.com

1.800.519.3458

Henry Schein Corporate Broker #01233804 11/28/18 www.sdds.org • January 2019

| 37

Justin Bryan

Northern CA & NV 916-573-0793

JustinB@lumadent.com

38 | The Nugget • Sacramento District Dental Society

Committee Corner We are SDDS. We do not follow.

We LEAD!

Happy New Year from your Immediate Past President! Thank you for allowing me to be your leader in 2018. It was a wonderful and rewarding experience being at the helm for a year. I couldn’t have done it–made a difference–without all our wonderful volunteers on the Committees, Task Forces and the behind scenes staff. According to one of my mentors, Dr. Seuss, I won’t cry that it is over but just be happy that it happened. My final report is that SDDS is in great shape with respect to members, administration and of course financially.

In order to sustain this momentum we need future leaders. It is this time of year that we actively look for and pursue future leadership in SDDS. As Past President, it is with great honor that I’m allowed to chair the Leadership and Development Committee

By Margaret Delmore, MD, DDS

Immediate Past President

(LDC). Our goal is to nominate your future slate of leaders for 2020. Open positions are available on the Board of Directors, Secretary on the Executive Committee, Delegates to the CDA House of Delegates and Trustee to the CDA Board of Trustees.

As far as a job description, although not a huge Dallas Cowboys fan (Go Packers!), I’d like to quote Coach Tom Landry the first head coach of the Cowboys on the job of being a leader.

would be a perfect fit for our leadership, PLEASE nominate them. Many people won’t self-nominate for whatever reason but end up being fabulous leaders. I guarantee you will find leadership a eustress experience.

The Leadership Development Committee (LDC) will meet on February 27, 2019 so time is of the essence. Remember someday is not a day of the week. Defy tradition, nominate or self-nominate today. Dare to Lead!

“The job of a leader is getting someone to do what they don’t want to do in order to achieve what they want to achieve.”

A healthy and safe New Year to all,

If you are interested, please consider selfsubmitting (a form is included in this issue of the Nugget) and be part of our team.

Furthermore, if you know someone who

Margaret Delmore, MD, DDS

2019 SDDS Committees Schedule Standing Committees

Advisory Committees

CPR Committee

Continuing Education Advisory

Jan 16 • Apr 6 • Aug 9 • Nov 15

Feb 5

Ethics

Mass Disaster/Forensics Advisory

Jan 21 • May 14 • Sept 25

TBA

Nominating/Leadership Development

Fluoridation Advisory

Feb 27 • Apr 2

Yolo County Schedule as needed

Peer Review Committee

Nugget Editorial Advisory

Jan 23

Jan 21 • Apr 29 • Sep 25

Foundation

Strategic Plan Advisory

Foundation Board Mar 11 • Jul 30 • Nov 11

Golf Tournament Jan 15 • TBA

Other

Schedule as needed

Board of Directors

Jan 7 • Mar 5 • May 7 • Sep 3 • Nov 5

Executive Committee

Feb 8 • Apr 12 • Aug 2 • Oct 4 • Dec 6

Task Forces Member Engagement/Recruitment

Jan 21 • Apr 29 • Sep 16

Oral Health/Prop 56 Initiatives Mar 1 • May 31 • Sep 13 • Dec 6

Budget and Finance Advisory

Schedule as needed

Bylaws Advisory Schedule as needed

Legislative Advisory

Sac Pac

Jan 29 • May 14 • TBA

CDA House of Delegates

TBA

TBA

Leadership

New Dental School Advisory

Committee Chairs Announced on Next Page

TBA

www.sdds.org • January 2019

| 39

Welcome,2019 SDDS

Committee Chairs!

Thank You!...........................................................................

Carl Hillendahl, DDS

Margaret Delmore, MD, DDS

Eric Grove, DDS

Budget and Finance Advisory

Bylaws Advisory and Leadership Development

CE Advisory

SDDS Member since 2000

SDDS Member since 2010

SDDS Member since 1992

Craig Alpha, DDS

Lisa Dobak, DDS

Mark Porco, DDS

CPR

Ethics

Forensics

SDDS Member since 2006

SDDS Member since 1983

SDDS Member since 1991

Charles Stamos, DDS

Amardeep Bains, DMD, BDS

SDDF Golf Tournament

Legislative Advisory

Jennifer Drew Mathisen, DDS, MSD

SDDS Member since 1981

SDDS Member since 2018

Member Recruitment/ Engagement Task Force SDDS Member since 1992

Ramesh Thondapu, DMD

Ash Vasanthan, DDS, MS

Kevin Keating, DDS, MS

Member Recruitment/ Engagement Task Force

Nugget Editorial Advisory

New Dental School Advisory

SDDS Member since 2009

SDDS Member since 1981

Kim Wallace, DDS

Morton Rosenberg, DDS

Matt Campbell, DDS

Oral Health Initiatives Task Force

Peer Review

SacPAC

SDDS Member since 2006

SDDS Member since 1971

SDDS Member since 2017

SDDS Member since 2006

Volki Felahy, DDS

Carl Hillendahl, DDS

Strategic Planning Advisory

Strategic Planning Advisory

SDDS Member since 2002

SDDS Member since 2000

40 | The Nugget • Sacramento District Dental Society

LOCALLY OWNED

BY DENTISTS, FOR DENTISTS WESTERN PRACTICE SALES 

EC-729 GREATER SACRAMENTO AREA: Call for details!



EN-664 SACRAMENTO Facility: 2300sf w/ 4 ops. Now Only: $30k



EG-849 AUBURN: 1400 sf w/ 4 ops $350k



EG-910 MIDTOWN SACRAMENTO: 1107 sf w/ 2 ops + 1 add’l. $248k



EG-887 FOLSOM Facility: 1200 sf w/ 2 ops $50k



EN-797 WOODLAND: 2316sf w/ 6 ops. Practice $575k/ Real Estate



EN-831 SACRAMENTO: 1600sf w/4 ops. $650k



EN-836 CITRUS HEIGHTS: 1300sf w/3 ops + 2 add’l. $188k



EN-858 ORANGEVALE: 850 sf w/ 3 ops. $70k!



EN-885 ROSEVILLE Facility: 1000sf w/3 ops. $85k



EN-899 DIXON: 3 ops. $95k



EN-932 SACRAMENTO: 950 sf w/ 3ops. $100K



GN-799 PARADISE: 1800sf w/ 4 ops. Practice $375k, Real Estate $325k



GN-904 CHICO AREA: 880sf w/ 3 ops. $310k



HG-815 SIERRA CO: 1000 sf w/ 3 ops $165k/ Real Estate $437k



HG-827 SO. LAKE TAHOE: 1200sf w/4 ops. $310k



HG-851 SO LAKE TAHOE: 2100 sf w/ 5 ops $425k



HN-618 SIERRA FOOTHILLS: 750sf w/ 2 ops $65k

Let Us Show You How We’ve Remained Northern California’s Preferred Dental Practice Broker For Over 45 Years Timothy G. Giroux, DDS & Jon B. Noble, MBA

ASK THE BROKER HOW MUCH DUE DILIGENCE IS TOO MUCH? Recently a dental attorney told me that, as a broker, I only care about getting the deal done. I was offended. I consider myself a dentist first, then a broker. My wife is a dentist, and my daughter just graduated from dental school and married one of her classmates. The following comments I have concerning “due diligence” are from lectures I gave to their graduating class and fatherly advice I continue to give to my daughter and son in law.

THE MILLION DOLLAR QUESTION: There is only one question that needs to be answered when a buyer is looking at a practice: “What do I expect to produce/collect once I take over?” While I am pleased to see buyers attending seminars that help them develop their ‘team’ when they are purchasing a practice, I also see their advisors/consultants/accountants get so embroiled in their processes that they either over-analyze or ask for information that does not answer this basic question. A patient could see ten different dentists and get TEN TOTALLY DIFFERENT TREATMENT PLANS!!! This is the SINGLE MOST IMPORTANT ASPECT OF A SUCCESSFUL TRANSITION! The accountant, consultant or advisor cannot determine whether the buyer’s skill sets can eventually produce revenues similar to the seller. Notice that I did not say “match” the seller’s skill sets. None of us have similar skill sets, as some of us will do more endo, invisalign or surgery that might make up for the skill sets of the seller, or the fact that the seller is a “Premier Delta Provider”.

More specifically, I am seeing more buyers routinely ask for things such as 3 years of monthly bank statements. The only time this MIGHT be necessary is when the tax return (that the seller has signed under threat of perjury with the IRS) shows income that is greater than the computer collection report. Otherwise, this is a complete waste of time. This is only one example of the demands I see advisors make to complete their due diligence.

Bottom line: I want every buyer, including my daughter, to make a fully informed, intelligent decision in their practice acquisition. However, they need to take control and answer the “million-dollar question.” The transfer of the goodwill trumps superfluous or unnecessary “small picture issues”. Your advisors, accountants, attorneys will always say they have your best interests at heart, and I do not doubt that, but do not just blindly go along with suggestions unless you really believe they help answer the “million-dollar question” specifically for you!

Timothy G. Giroux, DDS is currently the Owner & Broker at Western Practice Sales and a member of the nationally recognized dental organization, ADS Transitions.

You may contact Dr Giroux at: wps@succeed.net or 800.641.4179

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www.sdds.org • January 2019

| 41

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42 | The Nugget • Sacramento District Dental Society

Advertiser INDEX Dental Supplies, Equipment, Repair

It only costs $75 a year to be a member of our Foundation.

The Foundation funds our Smiles for Kids and Smiles for Big Kids programs!

Will you join? Email us at sdds@sdds.org to become a member and make a difference.

Thank you for supporting the Foundation!

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

Analgesic Services Inc. . . . . . . . . . . . . . . . . . . . . . . 48 Burkhart Dental Supply. . . . . . . . . . . . . . . . . . . . . . . 48 Desco Dental Equipment. . . . . . . . . . . . . . . . . . . . . 48 Henry Schein Dental. . . . . . . . . . . . . . . . . . . . . . . . . 48 Kulzer, LLC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 LumaDent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38, 48 Patterson Dental. . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Dental Laboratory Vendor Member

Costa Aesthetics . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Dental Practice Vendor Member

Kids Care Dental . . . . . . . . . . . . . . . . . . . . . . . . . 4, 48

Education Vendor Member

The Foundation for Allied Dental Education. . . . . . . 48 Dr. Pieter Linssen . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Financial Services

MEMBER BENEFIT

SDDS Design Department We have the tools to help grow your business.

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

American Pacific Mortgage . . . . . . . . . . . . . . . . . . . 49 Bank of the West . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Banner Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . 29, 49 Care Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Fechter & Company. . . . . . . . . . . . . . . . . . . . . . . . . 49 First US Community Credit Union . . . . . . . . . . . . . . 49 MUN CPAs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28, 49 MassMutual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 US Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Human Resources & Legal Vendor Member Vendor Member Vendor Member

BPE Law Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 California Employers Association (CEA) . . . . . . . . . . 48 Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Insurance Services Vendor Member Vendor Member Vendor Member Vendor Member

Access Dental Plan . . . . . . . . . . . . . . . . . . . . . . . . . 49 Health Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34, 49 LIBERTY Dental Plan . . . . . . . . . . . . . . . . . . . . . . . . 49 TDIC & TDIC Insurance Services . . . . . . . . . . . . 42, 49

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

Schedule your consult today and get all your stuff ordered now!

916.446.1227 | sdds@sdds.org

Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . . 8, 49 GP Development Inc. . . . . . . . . . . . . . . . . . . . . . 33, 49 Olson Construction . . . . . . . . . . . . . . . . . . . . . . . 4, 49 Parc Studio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Practice Growth Vendor Member

InfoStar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38, 48

Practice Sales Vendor Member Vendor Member Vendor Member

Henry Schein Financial . . . . . . . . . . . . . . . . . . . . . . 37 Integrity Practice Sales . . . . . . . . . . . . . . . . . . . . . . 48 Professional Practice Sales . . . . . . . . . . . . . . . . . . . 48 Western Practice Sales . . . . . . . . . . . . . . . . . . . 41, 48

Practice Services Vendor Member

Comcast Business. . . . . . . . . . . . . . . . . . . . . . . 33, 48

Staffing Vendor Member Vendor Member

Resource Staffing Group . . . . . . . . . . . . . . . . . . . . . 49 Swiss Monkey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Waste Management Services Vendor Member

Star Group Global Refining . . . . . . . . . . . . . . . . . . . 49

www.sdds.org • January 2019

| 43

TOTAL MEMBERSHIP (as of 12/10/18:)

1,772 MARKET SHARE: 82% RETENTION RATE: 96.2% ENGAGEMENT RATE: 75%

New Members DAVID FISCHER, DDS

January

2019

JOHN WILLIAMS, DDS

General Practice Marconi Dental Group

General Practice Johnson Ranch Dental

Dr. Fischer earned his dental degree at Loma Linda University in 2003 and works in Carmichael.

Dr. Williams earned his dental degree at Georgetown University in 1981 and works in Roseville.

SHERIF HASSAN, DDS

VIVIENNE WINTHROP, DDS

General Practice Western Dental

Transferred from San Joaquin Dental Society General Practice

Dr. Hassan earned his dental degree at Universidad De La Salle in Mexico in 2017 and works in Sacramento.

Dr. Winthrop earned her dental degree at UCSF School of Dentistry in 1997.

Pending Applicants:

FADY ADLY KHALIL, DDS

Nina Aujila, DDS

Dr. Khalil earned his dental degree at Universidad De La Salle in Mexico in 2017 and works in Yuba City.

Congratulations

General Practice Western Dental

to Our New Retired Members!

Mark Gjerde, DDS

MOID KHAN, DDS

Transferred from San Joaquin Dental Society General Practice

Frank Gontarski, DDS Elizabeth Nelson, DDS

Dr. Khan earned his dental degree at UOP Arthur Dugoni School of Dentistry in 2017 and works in Sacramento.

TOTAL ACTIVE MEMBERS: 1,399 TOTAL RETIRED MEMBERS: 281 TOTAL DUAL MEMBERS: 8

MAHDAD NASSIRI, DDS

Transferred from Western Los Angeles Dental Society Periodontics Capitol Periodontal Group Dr. Nassiri earned his dental degree at UCLA School of Dentistry in 2012; and graduate degree from Oregon Health Science University in 2015 with a specialty in Periodontics. Dr. Nassiri works in Davis.

BYRON RUIZ, DDS

TOTAL AFFILIATE MEMBERS: 18

Transferred from San Mateo County Dental Society General Practice Sacramento Native American Health Center

TOTAL STUDENT MEMBERS: 10

Dr. Ruiz earned his dental degree at UCSF School of Dentistry in 2018 and works in Sacramento.

TOTAL CURRENT APPLICANTS: 1 TOTAL DHP MEMBERS: 55 TOTAL NEW MEMBERS FOR 2018: 128

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 Practice Support . . (866) CDA-MEMBER

(866-232-6362)

TDIC Insurance Solutions . (800) 733-0633 Denti-Cal Referral . . . . . . (800) 322-6384 Central Valley Well Being Committee . . . (559) 359-5631

A Tribute to Dr. Dale Redig Dr. Dale F. Redig, the sixth dean of Arthur A. Dugoni School of Dentistry and former university regent passed away Thursday, November 15, in Stockton at age 89.

Redig served as dean of the Dugoni School of Dentistry from 1969 to 1978 and later served as a regent of University of the Pacific from 1986 to 1997.

the respect young professionals deserve. He made changes with a measured but persistent sense of urgency at a time when change was essential to the survival of the dental school, and improved the relationship between the dental school and the university, especially with respect to finances.

He was a 1955 graduate of the University of Iowa College of Dentistry and practiced as a pediatric dentist until 1961, when he joined the faculty of his alma mater.

He rapidly progressed in leadership roles as his outstanding organizational and administrative talents were recognized.

Dr. Redig adjusted the curriculum to include one of the nation’s first comprehensive patient care models—four-handed, sit-down dentistry—and dramatically redesigned the building to make it functional for patient care. He also added dedicated research space.

Pacific is the only dental school that was successful in developing a viable 36-month pre-doctoral program.

Selected at age 39 as the new dean of University of the Pacific’s School of Dentistry in 1969, Dr. Redig arrived to a brand new building with a vision for humanistic education that forever changed studentfaculty relations and dental education. Dr. Redig insisted that faculty treat students with

Under his leadership, the school was transformed from a local and traditional program to becoming a national leader in dental education. In 1986, Dr. Redig was awarded the Arthur A. Dugoni School of Dentistry Mediallion of Distinction in recognition of his service to the school and

the university.

Dr. Redig went on to lead the California Dental Association as Executive Director for 18 years in the 1980s and 90s. He was active throughout his career in professional leadership a variety of capacities, including serving as President of the American Association of Dental Schools. He was recently honored by the American College of Dentists with a Lifetime Achievement Award in recognition of his more than 50 years of service to the profession.

There will be a private, family-only ceremony at the beginning of 2019.

        











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

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  gpdevelopmentcorp.com | 916.332.2300 10604 Industrial Avenue, Suite 150, Roseville, CA 95678 www.sdds.org • January 2019

| 45

We’re Blowing your horn!

Congratulations to...

Wallace Bellamy, DMD, on being awarded the Gordon Harris Distinguished Member Award! This award is given annually to recognize a member who demonstrates outstanding leadership qualities and who shows dedication to the dental profession above and beyond the call of duty through their endless hours of volunteer service. Congratulations to Dr. Bellamy! (1) Matt Campbell, DDS, on being awarded the Dr. Bob Gillis Memorial Award! This award is presented to a member who demonstrates qualities similar to the amazing Dr. Bob Gillis; someone who has an extraordinary passion for our organization, its governance, and its members, selfless acts of volunteerism and hard work! Congrats to Dr. Matt Campbell on receiving this honor! (1)

1

Herlin Dyal, DDS, MS, on her decision to practice independently as Herlin Dyal Prosthodontics in Sacramento and Rocklin. Check out her new practice at DyalProstho.com! (2)

2

Morton Rosenberg, DDS, on being awarded the President’s Award (Committee Chair of the Year) for 2018! This award is presented to a Committee Chair who has shown exceptional independent leadership and been instrumental in effectively reaching committee goals and objectives! Great job Dr. Rosenberg! (3) Jeff Vernon, DDS, on being awarded the Helen Hamilton Memorial Award! The Helen Hamilton Award is presented to an SDDF member who has donated considerable time and talent to the Sacramento District Dental Foundation. Congratulations again to Dr. Vernon on receiving this honor! (4)

3 LET US KNOW YOUR NEWS! Get married? Pass your boards? Got published? Let us know your good news and we will feature it in "Blowing Your Horn."

Send us your news to sdds@sdds.org to let everyone know about the great things that are happening!

4 46 | The Nugget • Sacramento District Dental Society

SPOTLIGHTS: California Employers Association

TM

Every business day, new challenges arise between employers and employees. If you need assurance that you’re making the right decisions, you need CEA. CEA’s services are dedicated to those business professionals who demand accurate, immediate and costeffective solutions to human resource and labor relations issues. CEA serves as a full service HR department, without the hassles of having to hire a single person. Thousands of companies and individual business owners in California depend on CEA every day.

Products and Services: CEA Member Services • • • • • • • • •

Phone Advice Employee Handbooks On-site HR Check-ups Injury & Illness Prevention Programs (IIPP) Policies & Procedures Hiring & Recruitment Labor Commission Hearings Labor Negotiation Harassment Training & Investigations

• • • • • • • •

Legislative Updates Discrimination Claims Unemployment Claims Wage & Salary Issues Employee Productivity Workers’ Compensation Leadership Development Discipline & Termination Issues • Substance Abuse Strategies • Workshops & Seminars

Benefits or Special Pricing for SDDS Members: HR Hotline (FREE to SDDS Members!): Ask HR professionals about employment law, employee issues and other employment related matters.

SDDS members also receive Discounted prices on all CEA products and services!

SDDS HR Hotline: (888) 784-4031 (this number is just for members of SDDS!)

Kim Gusman, President/CEO kgusman@employers.org Employers.org ph: (916) 921-1312 ph: (800) 399-5331

MassMutual offers life insurance and protection products, retirement and investment services to help you meet your financial goals.

Established in 1851 as a life insurance company they have vastly grown over the years in the financial services industry. Whether you need life insurance, “True Own Occupation” disability income insurance, business overhead expense disability insurance, annuities, retirement plans, investments, or financial plans. MassMutual has a vast network of experienced Financial Advisors who can help you navigate your financial plan.

• With 5 million current customers (Annual Report, 2015) – MassMutual has been in business over 160 years with a long history of financial strength.

• Ranked 76 on the 2016 FORTUNE 500 list.** • As a mutual company, we operate for the benefit of our members and participating policy owners • MassMutual also received the prestigious “Worlds Most Ethical Companies” by Ethisphere for 2017 • Chris Nunn received a $10,000 grant through MassMutual’s 2016 National “Community Service Award” for his involvement with a local non-profit Faces of Tomorrow based out of Davis, CA. He has raised money, awareness, volunteers for the last decade, and provided a documentary on the cleft lip and palate surgical mission to Bohol, Philippines in 2016. The Faces of Tomorrow team provided 74 life changing surgeries for 56 underprivileged children and the $10,000 grant went to purchasing a portable anesthesia machine for future missions.

Products and Services: • Personal and business life insurance (Buy/Sell, Key person, and family protection) • Long term care insurance • 25% unisex discount for SDDS members on their “True Own Occupation” personal disability insurance.

• Business Overhead disability insurance • Annuities • Investment accounts • IRA’s, 401k Safe Harbor, Profit sharing, and Defined Benefit plans.

• Financial planning • Business Valuation/Evaluation

Benefits or Special Pricing for SDDS Members: Contact Chris Nunn or Doug Van Order for a no-obligation review of your financial plan, investments, and insurances.SDDS members receive an exclusive discount on MassMutual’s “True Own Occupation” personal disability insurance policies. We are not captive to only MassMutual products and may provide you with different choices depending on your individual circumstances.

Chris Nunn cnunn@financialguide.com Doug Van Order dvanorder@financialguide.com NorthernCalifornia.MassMutual.com ph: (916) 878-3300

www.sdds.org • January 2019

| 47

Burkhart Dental Supply

DESCO Dental Equipment

Steve Shupe, VP 888.928.1068 asimedical.com

Robert Kiddoo, Regional Manager 916.784.8200 burkhartdental.com

Tony Vigil, President 916.259.2838 descodentalequipment.com

Since 2012

Since 2011

Since 2004

THIS COULD BE YOU!

LumaDent, Inc

Patterson Dental

408.649.8921 KulzerUS.com

Jose Gallardo, Sales Manager

Roy Fruehauf, Branch Manager

775.829.4488

800.736.4688

lumadent.com

pattersondental.com

Claire Blocker / April Figgess 916.476.3982 parc-studio.com

Since 2018

Star Group Global Refining

Since 2009

Jim Ryan 800.333.9990 stargrouprefining.com

Western Practice Sales

Ray Irving 415.899.8580 PPSsellsDDS.com

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

48 | The Nugget • Sacramento District Dental Society

Since 2014

Professional Practice Sales

Brian Flanagan 855.337.4337 integritypracticesales.com

of The Great West

Since 2007

Nicole Costa / Jack Pherigo 916.407.2500 costa-aesthetics.com

Since 2015

Since 2018

LaDonna Drury-Klein 916.358.3825 thefade.org

Integrity Practice Sales

Since 2014

Practice Sales

Since 2016

our Vendor Members!

The Foundation for Allied Dental Education

Since 2017

we love

kidscaredental.com

Education

Costa Aesthetics Laboratory

Mike Johnstone / Greg Sconce 916.988.2323 infostarproductions.com

Dental Refining

Since 2016

Since 2016

Debbie Day 916.661.5754

Lisa Geraghty 916.817.9284 lisa_geraghty@cable.comcast.com

Infostar

Since 2004

Kim Gusman, Executive VP Mari Bradford, HR Hotline 800.399.5331 employers.org

Since 2017

Comcast Business

CA Employers Association

Keith B. Dunnagan, Senior Attorney 916.966.2260 bpelaw.com/dental-law

Practice Growth

Kids Care Dental

Since 2018

Parc Studio-Interior Design

David Olson 209.366.2486 olsonconstructioninc.com

Since 2004

Olson Construction, Inc.

Gary Perkins 916.332.2300 gpdevelopmentcorp.com

Dental Laboratory

HR & Legal

BPE Law Group, PC

Dental Practice

GP Development Inc.

Morgan Davis / Lynda Doyle 916.772.4192 bluenorthernbuilders.com

Since 2007

Office Construction

Blue Northern Builders, Inc.

Practice Services

DENTAL

Since 2003

Kulzer, LLC

Mark Lowery, Regional Manager 916.626.3002 henryschein.com

Since 2015

Henry Schein Dental

Since 2005

Dental Supplies, Equipment, Repair

Analgesic Services, Inc.

CareCredit

Shannon Mitchell, VP, Business Banking Officer 916.648.3470 bannerbank.com

Angela Martinez 714.434.4508 carecredit.com

US Bank

Access Dental Plan

Health Net of California

LIBERTY Dental Plan

Lisa Rufo (916) 563-6030 premierlife.com

Felisha Fondren 818.543.9007 hndental.com

Danielle Cannarozzi 888.703.6999 libertydentalplan.com

Since 2018

First US Community Credit Union Gordon Gerwig, Business Services Mgr 916.576.5679 firstus.org

John Urrutia, CPA, Partner 916.724.3980 muncpas.com

Christopher Nunn Doug Van Order 916.878.3341 northerncalifornia.massmutual.com

Since 2010

Swiss Monkey Christine Sison 916.500.4125 swissmonkey.co

Debbie Kemper 916.993.4182 resourcestaff.com

The Dentists Insurance Company Kelli Young 800.733.0633 tdicsolutions.com Since 2011

Insurance Services

Since 2018

Since 2003

THIS COULD BE YOU!

Resource Staffing Group

Since 2016

Staffing

Since 2017

Since 2005

Since 2009 Since 2017

Since 2017

Tom Collopy 916.924.4546 usbank.com

MUN CPAs

MassMutual Northern California

Since 2016

Craig Fechter, CPA 916.333.5360 fechtercpa.com

Since 2016

Financial Services

Banner Bank

Brandon Dena 916.767.4462 bankofthewest.com

Since 2017

Financial Services

Fechter & Company

Dental Plan

Bank of the West

Jason Mata 800.455.0986 dentalmortgage.com

Since 2016

Financial Services

American Pacific Mortgage

SDDS VENDOR MEMBERSHIP SUPPORT IS A WIN-WIN RELATIONSHIP! SDDS started the Vendor Member program in 2002 to provide resources for our members. No, Vendor Members are not exclusive, and we definitely have some competitive companies who are Vendor Members. But our goal is to give SDDS members resources that would best serve their needs. We suggest that members reach out to our Vendor Members and see what is a best “fit” for their practice and lifestyle.

We currently have 37 Vendor Members. They pay $3,900 per year; that includes a booth at Midwinter, three tables at General Meetings, advertising in The Nugget, and much more. Our goal is to provide Vendor Members with the opportunity to connect with and serve our members. We realize that you have a choice for vendors and services; we only hope that you give our Vendor Members first consideration.

The Vendor Members program and the income SDDS receives from this program helps to keep your dues low. It is a wonderful source of non-dues revenue and allows us to provide yet another member benefit. Additionally, we reach out to our Vendor Members for articles for The Nugget (nonadvertising!).

Our Vendor Members are financial, investment and insurance companies, legal consultants, dental equipment and supply companies, media and marketing companies, hr consultants, construction companies, billing consultants, practice sales and brokers, practice resource and staffing consultants, technology, HIPAA and security consultants, and even our Crowns for Kids refining partner!

www.sdds.org • January 2019

| 49

Classified Ads EMPLOYMENT OPPORTUNITIES

FOR LEASE

EQUIPMENT FOR SALE

Orthodontist for private office in Roseville 3 days/ week to start. Our office is fast paced, exciting and rewarding! We have an established clientele and an amazing team! Apply: http://applyalta.applytojob.com/ 1/19c apply/tSGfidG2rs/Orthodontist

I am operations manager for the Tahoe Valley professional building. A 1441 sq. ft. space has recently been made available that has been home to a dental practice for 40 years. It contains no equipment but the work flow layout is intact. Carpeting, vacuum lines, and gas connections all ready for immediate use. Four exam rooms, break room, sterile room, office, reception and waiting areas. Please contact anytime via e-mail or phone 530-541-0870. 1/19

NOBELBIOCARE TREFOILTM SYSTEM - Complete surgical kit (un-used) and all the components for 3 cases. Original cost $19,600. Special promotion cost was $16,000. For sale for $12,000. Surgical and restorative training available. If interested email Dr. Paul Binon at binondds@gmail.com 1/19c

WELLSPACE HEALTH ORGANIZATION (an FQHC) is taking applications for fill-in/part-time/full-time dentists. Send your resume/CV to eljohnson@ 01/15 wellspacehealth.org.

Kids Care Dental & Orthodontics seeks Dentists to join our teams in the greater Sacramento and greater Stockton areas. We believe when kids grow up enjoying the dentist, healthy teeth and gums will follow. As the key drivers of our mission—to give every kid a healthy smile—our dentists, orthodontists and oral surgeons exhibit a genuine love of children and teeth.

A good fit for our culture means you are also honest, playful, lighthearted, approachable, hardworking, and compassionate. Patients love us...come find out why!

Send your resume to talent@kidscaredental.com. 06-7/17 Kids Care Dental & Orthodontics seeks Orthodontists to join our teams in the greater Sacramento and greater Stockton areas. We believe when kids grow up enjoying the dentist, healthy teeth and gums will follow.

As the key drivers of our mission—to give every kid a healthy smile—our dentists, orthodontists and oral surgeons exhibit a genuine love of children and teeth.

A good fit for our culture means you are also honest, playful, lighthearted, approachable, hardworking, and compassionate. Patients love us...come find out why!

Send your resume to talent@kidscaredental.com. 06-7/17

SDDS member dentists can MEMB place one classified ad ER

FOR FREE!

BENEF

IT!

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

Pristine stand-alone dental building for sale or lease in Sacramento. Some equipment available. Great visibility and dedicated parking. Call Dave Carlson (DRE #01914446) for more info at (916) 212-2127 Beautiful new building just completed in Auburn with optimal visibilty, ideal location and ample ADA parking. We will help design, finance, build and market your relocation! Lease with future purchase option.

2-11,000 sqft spaces available for your dream office!

1/19c www.3130ProfessionalDrive.com Dental Office for lease in Pocket area. Garden setting with outside windows. 1,000 square feet, 3 operatories plumbed. Modern professional building of 12,000 square feet. Total rent, $1,500 includes all utilities and janitorial.

8-9/18 Call Dr. Maroni, 916-421-3815 Elegant, furnished dental suite (2000 sq. ft) Located in custom East Sacramento dental building w/on-site parking. All upscale amenities including 4 operatories, lab, business office, private Drs. Office w/full bath, plus bonus room w/storage. Long-term lease available.

For apt. or further info call 916-346-0041 and leave 1/18 message.

EXCLUSIVE, PRIVATE DENTAL SUITE; 1200 sq. ft., completely remodeled w/upscale amenities: 3 operatories, lab, reception, business office w/ breakroom, private Doctor's office w/bath. Suite is located in a custom dental building w/on-site parking and handicapped access near Country Club Center. If requested, owner will furnish finish equipment upfront: amortize over long term lease (5-10 years). For appt.

5/16 or further info, call 916-346-0041 SACRAMENTO DENTAL COMPLEX has one small suite which can be equipped for immediate occupancy. Two other suites total 1630 sq. ft which can be remodeled to your personal office design with generous tenant improvements. 2525 K Street. Please call for details: 10/11 916-448-5702.

Planmeca Promax Panoramic and Ceph X-ray system.

Exposure count total 14,913. Purchased new in 2005.

Excellent condition, shipping and install not included.

Comes with 2nd sensor. 20k OBO. contact: amber@ sacortho.com 1/19c E4D package Purchased in 2011 and fully upgraded in 2014. Basically brand new and rarely used. Maybe 20 crowns max. Package includes 2 portable laptop computers (so not the old large machine), E4D scanner, mill, and Ivoclar oven and extras. Price negotiable.

Please email or call for more info. christy.rollofson@ gmail.com 916-685-2105 4/18 Zeiss Pico Microscope for sale $15,000 (cost new would be $30,000). Upgraded Xenon light. Excellent optics and condition, wall mount included. Professional installation available. Call Dr. Koehn @ 916-941-9888 or email: eldoradoendo@yahoo.com.

1/18

PROFESSIONAL SERVICES

MONEY IS WALKING OUT THE DOOR. Have implants placed in your office and keep the profits. Text name and address 916-769-1098.

12/14 LEARN HOW TO PLACE IMPLANTS IN YOUR OFFICE OR MINE. Mentoring you at your own pace and skill level.

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

04/12

Selling your practice? Need an associate? Have office space to lease? SDDS member dentists get one complimentary, professionally related classified ad per year (30 word maximum). For more information on placing a classified ad, please call the SDDS office at 916.446.1227.

50 | The Nugget • Sacramento District Dental Society

Pack your bags and join us!

2019 SDDS MidWinter To submit, either scan/email sdds@sdds.org OR fax (916.447.3818) OR mail your registration form OR register online at www.sdds.org.

ONE REGISTRATION FORM PER ATTENDEE Please print clearly. This information will be used to print name badges.

Attendee Name:

Title/Degree:

Member Dentist’s Name:

ADA #:

Office Address: City:

State:

Zip:

Email: *Attendee's email required - handout link will be sent to this email (not main office email)

Phone:

SIGN UP 5 STAFF, GET THE 6TH FREE! • COURSE INFORMATION AND OTHER CONVENTION CORRESPONDENCE WILL BE SENT VIA EMAIL. FEES (circle the rate for the above attendee)

EARLY

REGULAR

ONSITE

(on or before NOV. 1)

(on or before JAN. 15)

(after JAN. 15)

Dentists (ADA Members)

$375

$425

$450

Dentists (ADA Members) — ONE DAY ONLY

$300

$325

$350

SDDS DHP Members

$199

$209

$219

Auxiliary/Spouse (ADA Member*) * if doctor is attending

$225

$250

$275

All Courses

Auxiliary/Spouse (ADA Member**) ** if doctor is NOT attending

$250

$275

$299

Expo Floor Full Access

Dentist (Non-ADA Members)

$800

$850

$900

Auxiliary/Spouse (of Non-ADA Member)

$350

$399

$399

INCLUDES FOOD!

Thursday ONLY

Lab Technicians

$375

$399

$425

complimentary

complimentary

complimentary

$100/day

$150/day

$199/day

Limited Hours for Expo Only Registrants Th 1:30–5:30pm • Fr 8:00–10:45am

Expo Only (No Meals) (Non-ADA Members)

PAYMENT METHOD:

Cardholder Name:

All Food and Refreshments

Friday ONLY

Expo Only (No Meals)

Card #:

Full Convention Registration Includes:

Check Enclosed

Bill Me (SDDS Members only)

Credit Card

REFUND/CANCELLATION POLICY: Cancellations received in writing by January 5, 2019 will receive a full refund less $25 per registrant processing fee. Cancellations received after this date are nonrefundable, but substitutions will be allowed. There will be no refund for “No Shows” or for registrations made after this date.

TOTAL: $ Exp. Date: 3-digit Security Code:

Billing Address:

Please make checks payable to Sacramento District Dental Society (SDDS) 2035 Hurley Way, Ste 200 • Sacramento, CA 95825 • 916.446.1227 ph • 916.447.3818 fx • www.sdds.org www.sdds.org • January 2019

| 51

PRSRT STD US POSTAGE PAID PERMIT NO. 557

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

SACRAMENTO, CA

ADDRESS SERVICE REQUESTED

SDDS CALENDAR OF EVENTS JANUARY 3

Dentists Do Broadway Waitress

7 8

15 Committee Chair Training 6pm / SDDS Office 6pm / SDDS Office

16 CPR BLS Renewal 6:00pm / SDDS Office 21 Ethics Meeting 6:15pm / SDDS Office

Member Eng./Rec. Meeting 6:15pm / SDDS Office

Nugget Editorial Meeting 6:15pm / SDDS Office

February 21-22, 2019

General Meeting 3 CEU, CORE • $75

TUESDAY 5:45PM-9PM

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

The 39th Annual MidWinter Convention & Expo

9 F E B 2 01

8

30 HR Webinar 2019 Employment Law Changes California Employers Association 12–1:00pm / 1:15–2:15pm / Telecom

23 Peer Review Calibration Meeting 6:00pm / SDDS Office

iss it!

Don’t M Date e Save th

JAN

Legislative Advisory Meeting 6:00pm / SDDS Office

Golf Tournament Meeting

Board Meeting 6pm / SDDS Office General Membership Meeting “SDDS Talk” Night – 10 on 10 (10 Minutes, 10 Slides, 6 Speakers) Dale Alto, DDS; Margaret Delmore, MD, DDS; Lou Gallia, MD, DMD; Pieter Linssen, DDS; Alexander Malick, DMD, FAGD; Shika Rathi, BDS, MS Hilton Sacramento Arden West 5:45pm Social / 6:45pm Dinner & Program

29 CPR Calibration Meeting 6:30pm / SDDS Office

“SDDS Talk” Night – 10 on 10 (10 Minutes, 10 Slides, 6 Speakers) Presented by Dale Alto, DDS; Margaret Delmore, MD, DDS; Lou Gallia, MD, DMD; Pieter Linssen, DDS; Alexander Malick, DMD, FAGD and Shika Rathi, BDS, MS

Enjoy this evening of short form and rapid-fire pearls, quick tips, tools, warnings, complications, secrets and every day, useful knowledge.

Don’t forget to bring your friends!

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

ARE YOU REGISTERED FOR THE GENERAL MEETING?