AUGUST JUNE, 2008 2012
VOLUME ISSUE VOLUME 9,13, ISSUE 6 8
Dentists Who Care Every Member Matters Dentists Who Care (DWC) held its 16th annual charity
AVAILABLE ONLINE ATAT TDA.ORG AVAILABLE ONLINE TDA.ORG
Inside Holds Conference Inside TDA Smiles Foundation
Rise’ Lyman, TDA Future dentalDDS, conference August 3Focus and 4 atCommittee Isla Grand Beach
Medicaid in My Office? Yes,TDA I Think So! Member Spotlight Richard M. Smith, DDS
Resort in South Padre Island. Four hundred twenty-five Membership growth is vital to any thriving organization. The Texas Dental Association (TDA) Board is strongly people attended the event, thecommitted largest attendance in 16 years! goal within the “TDA 2009” strategic plan, which addresses continued growth. to the Membership
Dr Craig Reese, Livingston I am proud to report that, as evidence of that commitment and for the second year in a row, the TDA received TDA President Dr Michael Stuart addressed the VIP luncheon the following in 2008: attendees with a welcome address. Speakers ADA at theawards conference TDA Smiles Foundation • Greatest Percentage Membership Net Gain: Texas had a net gain of 198 members in the year 2007. touched on all areas of dentistry. Health Insurance TMOM gains ardent Exchanges advocate • Top Constituent Dental Society with Greatest Percentage of Non-Members to Membership: DWC is a private, non-profit charitable organization created to Represents a conversion of 4.7 percent of non-members into membership at end of year 2007. help solve the problem of poor oral health among children in the AskTDA the Perks President • Top Constituent Dental Society to Improve Retention Rate Percentage in 2007: Represents a 97 Rio Grande Valley. The mission is to improve and enhance the Incoming President’s message percent Association retention rate, which is an increase of 7 percent from the previous year. quality of life for low income children in the Rio Grande Valley of • Greatest Percentage of New Dentist Members: Represents a gain of 111 new dentist members (those Hilton Israelson, DDS DENPAC Texas through access to oral health care. To accomplish this goal, dentists who are 1-9 years out of school). the organization directs the volunteer efforts of over 150 dentists Let’s Talk Another example of the the growth of our and their dental assistants whocommitment donate their to services on board theAssociation is the TDA Externship Program, which builds student awareness HIPAA President’s message Pictured is thethe Dentists Who Care of Directors: Vice President Dr Grayson Outgoing of organized Thistreatments innovativeinclude program, created in 2007, offers students opportunity toBoard gain insight into (L-R) the different components mobile dentaldentistry. clinic. Basic a digital panoramic Sellers of Los Fresnos, Conference CE Coordinator Dr Adam Lalonde of Los Fresnos, Dr of organized dentistry including legislative regulatory A. David May, Jr., DDS X-ray and a comprehensive oral exam by theand dentist. Time affairs, membership, governance, continuing education, and charitable dentistry and Marcoteam. Alaniz of Edinburg, Ricardo Garcia students of McAllen, Treasurer Joeythree Cazares of to gain a better understanding of their role as future leaders of the dental The program isDropen to dental from each ofDrthe permitting, treatments such as cleanings, restorations, sealants, Baylor Receives Grant McAllen, Castillo of Mission, Immediate Past President Dr Noel Garza dental in Texas. This year the program will take place June President 20 – JuneDr27Miguel in Austin at the TDA central office. fluorideschools treatments, or extractions mayexternship also be performed. 2008-2009 TDA Board of Directors of Mission, Larry Balli of Edinburg. Not pictureda survey are Secretary Dr sent Pablo Tagle of As an ongoing effort to enhance the value and benefits of the Association, the and TDADrCouncil on Membership developed that was Forallmore information, visit clearly dentistswhocare.us. and Dr Sergio of Mission. to members in 2006. please The results showed that members have a McAllen high satisfaction ratingGuzman with benefits such as the TEXAS Meeting, TDA August Meet Your TDA Staff publications, and the ability to participate philanthropically in the TDA Smiles Foundation. A great number of the discounted programs offered to TDA’s new Finance Director Journal News members through the TDA Perks Program also received a high satisfaction rating. In accordance with the strategic plan, the Council on Membership, Dee Dee Delagarza will survey members again in 2009. Are You Ready for the Betel Nut? Participation from all members and a collaborative effort between the ADA, TDA, and local component societies are the keys to Smart Debuts Congratulations to TDA successful membership recruitment and retention. We encourage every memberMouth to get involved whether it is by attending local meetings, SMART MOUTH Component Societies taking part in Give Kids a Smile! Day activities, volunteering at a Texas Mission of Mercy, or participating in TDA Legislative Day activities Do Elderly Edentulous Patients with Smartof Mouth, the TDA’s and newest publication, debuts in As Austin. Each1,member matters and isand essential the continued growth our Association of organized dentistry. of March 2012, most children young to adults age 20 as a supplement to the August 2012 Texas Dental a HistoryYour of Periodontitis This is the seventh final in a and seriesthe of Children’s articles focused on the TDA’s accomplishments guided by the strategic plan. To view the entire plan, and younger enrolledand in Medicaid Health Streamline Insurance Harbor Claims Journal. Smart Mouth will be published bi-annually logInsurance in at www.tda.org clickbegan on “TDA 2009”their under “Current Issues” on the member homepage. For more information, please contact Lyda Creus Periodontal Pathogens? of benefits Program and (CHIP) receiving dental Speeding up confirmation in August December 2012. Designed for Molanphy, staff liaison the3 Future Focus Committee, the TDA central office, and (512) 443-3675. services through 1 oftothe state selected dental plans:atDelta and eligibility TDA members to leave in their waiting rooms, Dental, DentaQuest, and MCNA Dental. the publication offers patients easy-to-understand, In This Issue: TSBDE Rule Update On July 26, 2012, the Texas Dental Association useful of preventive and oral health Mission : T(TDA) o be The Voice DenTisTry in Tinformation. exas Around the State hosted the second in a series of quarterly meetings with the Requirements for dental office Contributors to the publication include the TDA dental plans. Representatives from the TDA, the dental plans, radiograph machines September 13-15 Council on Membership, the Council on Dental and the Health and Human Services CommissionOrganizational (HHSC) Public Texas Academy of General Dentistry Education, Trade & Ancillaries, and the Council on Dental Economics. Development Membership Manpower Advocacy attended the meeting to discuss the factors contributing to In the News Image Excellence Star Dental HHSC’s retroactive denial of certain Medicaid/CHIP clients’ TDALone members in theConference news Please look forward to your copy of Smart Mouth with the August 2012 Texas eligibility; bundling and downcoding of specific procedure Austin Membership Dental Journal. For extra copies or more information, please contact TDA codes; TDA changes to each dental plan’s in the TDA. Managing Editor Nicole Scott, 512-443-3675. Dentists willrequested value membership and participation webportal; and TDA requested clarifications to each dental Objectives September 14 plan’s office manual. 1. Improve perceived value and benefits of membership in TDA. Texas Dental Journal Receives Journalism Award Tooth A Clinical Review TDAWhitening: Smiles Foundation Board of a. Increase members’ knowledge about theDental impact and benefits of TDA membership. The recent benefit change for THSteps Therapeutic Trustees meeting b. greatly Ensure that components are an integral aspect of the membership process.College of Dentists – USA Section Journalism Awards awarded Services concerns the TDA’s Committee on Access, The International TDA Historical Perspectives Austin c. &Create awareness of the of the Peer Review, &Journal Judicial,with andaRisk Management benefits. Medicaid CHIPgreater (CAMC). As of July 1, availability 2012, porcelain the TexasEthics Dental Golden Pen Division 1 award for the “Living in Dentists, dental hygienists, and the Actively promote adherence the Code crownd.procedure codes (D2740, D2750,toD2751, andof Ethics. Limbo: Ethics and Experience in a Conversation About Persistent Oral Lesions” dental team e. areEnhance communication members and non-members. D2752) only reimbursed for Texaswith Medicaid clients article in the May 2011 issue. September 20 & 21 f. Build student awareness of and interest in organized dentistry and membership in TDA. 17 through 20 years of age and clients 21 years of age and The authors of the article are Dr Catherine Flaitz of the University of Texas Paso C.T. Dental Conference TheEl2007 Rowland Award g. Ensure contact with students throughout dental school. older residing in anongoing Intermediary Care Facility for Persons School of Dentistry at Houston and Dr Nathan Carlin of the University of Texas Orthodontic h. Work closely with dental CAMC school faculty. El Paso case report with Mental Retardation (ICF-MR). is developing Medical SchoolinatTDA Houston. The(TEXAS award will be presented to TDA Editor Dr i. statement Evaluate number of nonmember dentists who attend and participate activities Meeting, TDA Smiles a position against this benefit change and will Stephen R. Matteson the American Association of Dental Editors meeting in San The El Paso Dental Conference Foundation provide HHSC with theprograms, statementetc.). once it is finalized. September 21 Francisco in October 2012. Metrics Effective August 15, 2012, the Texas Medicaid Provider TDA Executive Committee meeting 1. Seventy percent of active licensed dentists in TX will be members of TDA by 2009 (baseline of 68.5% in January 2007); increase Procedures Manual will be updated instead of 2007 (baseline 96% in 2006). membership retention rate tomonthly 97 percent by April El Paso UTHSCSA Marks 1 Year of Publishing the annually. updates be published approximately a-d.The Increase thewill number of dentists serving on the component peer review and ethics and judicial affairs committees to attain a 15th of each month.rate Theofmanual will berelative available on the of thesociety Month August 14: participation 2-5 percent to the total numberCAT of component members by August 2009. tmhp.com website by clicking the “Reference Manual” 2. Ninety percent of TX dental school graduates actively licensed in TX will be members of TDA five years after graduation (89% TDA Board Meeting The University of Texas Health Science Center at San Antonio Dental School buttondental on anystudent webpage in the Texas Medicaid “Provider” Click & Connect conversion from the graduating class of 2005 in Texas). (UTHSCSA) marks 1 year of publishing its Critically Appraised Topic (CAT) of Austin, Texas section. Each month, the manual will bedentists updated with participating 3. Increase the number of member actively in TDA by 1 percent a year (as measured by a variety of means the Month in the Texas Dental Journal. policy–and procedure changes that wereTMOM, implemented at the participation at TX Meeting, TXDDS, FSI programs, DENPAC participations, TDA legislative day) with annual Join us on Facebook October 15-19: beginning of the previous month. The monthly updates will report to TDA Board by the Council on Membership. The CAT of the Month is groups.to/texasdental ADA Annual Session eliminate the need for theofbimonthly Texas Medicaid Bulletin. 4. Establish baseline nonmember participation at TDA activities (CAS,byTDA Smiles Foundation, Membership) developed dental students The September/October 2012 Texas Medicaid Bulletin, No. San Antonio, Texas 5. Established baseline of members’ understanding of and satisfaction withinthe of their TDA membership through Member and faculty thebenefits Evidence243 will be the final edition published. There will be no Follow us on Twitter Benefits and Services Survey (completed Nov 2006), re-evaluate increaseProgram at that time based%Practice in thefor 2009. changes to website articles and banner messages. 6. Sixty-five percent of all full-time faculty will be TDA members by 2009 of (2006 baseline = 63%). twitter.com/theTDA Department Developmental Dentistry at UTHSCSA under It is critical for Medicaid participating dentists to remain the direction of Professor current onwill Medicaid policy and changes. The TDA update it’s procedure strategic plan with another statewide retreat in August of 2008. Get LinkedIn Update Profile and Director Dr John D. Remember to check both the Texas manual updates and the tda.org – Membership Info “Texas linkedin.com, search Rugh. It includes a clinical updates from the three dental plans. question, clinical bottom line, Dental Association” Ask a Colleague Work continues on the TDA’s Texas Dental Program best evidence, key results, tda.org – Features webpage that may be accessed on the member side of the comments on evidence, and Using your TDA’s website. The new expected “go-live” date is October applicability or significance. TEXAS Meeting Photos 2012. CAMC intends the webpage to be a “one-stop shop” smartphone, A UTHSCSA dental student displays the school’s The published CATs of the for Medicaid/CHIP dental information. Let us know the texasmeeting.com/estore scan this barcode published CATs of the Month. The critically appraised Month are on display at the information you would like included on the webpage. E-mail topics are generated by dental students and faculty in the to access the TDA school. The CATs program your feedback to TDA Policy Manager Diane Rhodes at Evidence-based Practice Program in the Department of Volunteer for ‘08 ADA is supported by NIH website. Developmental Dentistry. They’re included in each issue of tda.org/volunteerada08 diane@tda.org. the Texas Dental Journal. In 2003, Texas Dental Association members from across the state developR25DE018663. TDA’s first strategic plan, TDA 2009.
Changes to Texas Medicaid Dental Program
Texas Dental Journal News
A Semiannual Publication of the Texas Dental Association
Summer / Fall 2012
Is Your Mouth Making You Sick? 6-7 Continually Stuffy Noses Affect Face Development 8-9
Supplement to the Texas Dental Journal August 2012
July Journal News
Around the State
Click & Connect
Health Insurance Exchanges This is the sixth in a series of articles to keep you informed about the Health Insurance Exchange (HIX) in Texas. The HIX is an online marketplace tool enabling consumers to shop, compare, and enroll in a health insurance plan. Future articles will focus on helpful reference websites and other information about the HIX. On August 1, 2012, the Senate State Affairs Committee met jointly with the Senate Health and Human Services Committee to discuss issues related to monitoring the potential impact of the Patient Protection and Affordable Care Act (PPACA) on Texas’ insurance regulations, Medicaid and CHIP, health care outcomes, and the overall health of all Texans. Additionally, the joint committee monitors the current ongoing legal challenges to the PPACA to help ensure that the State doesn’t expend any resources until judicial direction is clear. Texas Department of Insurance (TDI) Commissioner Eleanor Kitzman testified during the hearing about the Essential Health Benefits (EHB) benchmark process and listed Texas’ 10 benchmark plan options. Commissioner Kitzman further testified that TDI’s EHB stakeholder meeting will occur in mid-to late August as the United State Department of Health and Human Services decides the essential health plans for the HIXs by September 30, 2012. As reported last month, given the limited time — September 2012 — to select an EHB benchmark, the TDA recently joined an EHB Stakeholder Workgroup comprised of patient and consumer advocates, health care provider associations, and other health care stakeholders. This workgroup successfully advocated for Commissioner Kitzman to convene the TDI meeting in late August. The TDA continues to closely monitor the EHB and HIX landscape in Texas and will publicize new information as it becomes available. For questions or comments, contact TDA Policy Manager Diane Rhodes at 512-4433675, diane@tda.org.
The OCR HIPAA Audit Program The American Recovery and Reinvestment Act of 2009, specifically the section entitled Health Information Technology for Clinical and Economic Health Act (HITECH), requires the United States Department of Health and Human Services (HHS) to conduct periodic audits of entities (eg, dentists) and business associates covered by the Health Insurance Portability and Accountability Act (HIPAA). These audits are to help ensure that covered entities and business associates are complying with HIPAA Privacy and Security Rules and HITECH Breach Notification standards.
Perks Partner News
the audit protocol in its entirety at http:// ocrnotifications.hhs.gov/hipaa.html. Dental offices covered under HIPAA must be compliant with all HIPAA regulations. The American Dental Association (ADA) has several products to help dental offices and staff with HIPAA compliance. The Complete HIPAA Compliance Kit (J598) includes a HIPAA manual, CD-ROM and subscription service (J594) and a HIPAA training CD-ROM (J596). The ADA also offers the ADA Practical Guide to HIPAA Compliance: Privacy and Security Kit (J594), which updates and replaces the 2002 HIPAA Privacy Kit and the 2005 Security Kit.
In November 2011, the Office of Civil Rights (OCR) began a pilot program auditing 115 covered entities, including dentists, to assess privacy and security compliance. The audits will conclude in December 2012. OCR will use then use the audit reports to develop technical assistance and corrective actions as appropriate. OCR will share best practices and other guidance on its website, hhs.gov/ocr/privacy.
The ADA Practical Guide to HIPAA Training (J596) offers 2 levels of training. Level one was designed to help fulfill the training requirement for dental office staff and level 2 helps managers who are developing and implementing their office’s HIPAA compliance program.
The OCR announced released a comprehensive audit protocol in July 2012. You may view
To order, call the ADA Catalog at 800-947-4746 or visit adacatalog.org to order.
Starting a New Practice?
TDA Perks Program is offering a freefor-TDA-members, 1-day symposium in Austin that will help guide you through the process. Limited to the first 60 registrants, the all-day program will take place on August 24, 2012, and cover: real estate, equipment, practice financing, patient financing, insurance and online marketing. Download a flyer with more information at tdaperks.com. To register, please contact Josh at 512-443-3675 or josh@tda.org.
TDA Perks Promotions Offer Chances to Win Cash
This month, TDA members have chances to win a bundle of cash when they enroll in TDA Perks programs, CareCredit or The TEXT Doctor. Complete a short online form (tinyurl.com/PerksWin150), and enroll with patient-financing program, CareCredit, by July 31, 2012; and you’ll automatically be entered in a drawing for a $150 Visa gift card. Enroll with CareCredit by calling 800-300-3046 ext. 4519.
Money Matters Ron Collins, DDS, MAGD, TDA Secretary-Treasurer
Return on Investment — Part 1 Most every dentist at some point must deal with the question of, “What is my return on investment (ROI)?” The question usually precedes a consideration of a possible expenditure of one’s present or future capital. Whether it is a proposed investment in one’s retirement, the purchase of a new piece of equipment, or the prospect of hiring a new employee, the decision is usually based on either a calculated financial equation or, more often than not, on an emotional hunch or perceived need. In business there is an axiom that a purchase is based on the prospect that it should be Better-FasterCheaper. That is to say, you should have at least 2 of these (rarely all 3) before investing; and if only 1 is possible, then the purchase becomes questionable. When we examine dues dollars in terms of a ROI for our dental careers, it is not always easy to quantify it in terms of dollars. I’ll take a stab at it anyway. The following list gives you a very generalized overview of important categories where TDA dues dollars ($455 per year) are spent. I’ll highlight 3 of the 6 categories in this month’s message, and I’ll explain the other 3 next month. Legislative Voice and Regulatory Input Dentists understand how the amount of taxes, permits, and licenses collected from their practices as well as the regulations by which they must abide
affect their return on investment. Four-hundred fifty-five dollars per year pays to have someone looking over our shoulder for us to minimize the effect which taxing and regulating has on our net profit. This is a huge return on investment. Continuing Education A hallmark of a professional is the continued learning of one’s chosen career. The availability of many quality continuing education options at one state meeting venue as well as online courses and a hands-on opportunity to look over and try out new equipment and multiple products at one marketplace is a significant ROI for $37.91 per month. Judicial and Peer Review If you have ever received a letter from an attorney representing one of your unsatisfied patients or an angry colleague, then you know that sinking feeling which can occur in the bottom of your stomach. Legal representation for you at that point can easily run into the thousands of dollars. Eight dollars and seventy-five cents ($8.75) per week pays for the TDA peer review or judicial mediation to prevent lawsuits before they begin and can save you potentially thousands of dollars, a significant ROI. Next month, please see my message in the TDA Today for the breakdown for Communications, Charitable Giving, and Membership Services.
The TEXT Doctor, a program that enables your office to automatically confirm appointments with text messaging (at a cost of $125/month*), is also offering a chance to win cash when you try its risk-free, 30-day free trial. One of the first 10 offices to sign up for the trial will receive a $250 American Express gift card. Simply send an e-mail to: tdapromo@thetextdoctor. com to begin your trial and for a chance to win. If you have questions regarding TEXT Doctor’s service or the promotion, contact the company at 214-506-8383 or send an e-mail to abennett@arctechnologies.biz. Questions about TDA Perks Program? Call 512-443-3675 or visit tdaperks.com. * with a 1-time $99 setup fee
HB-300 Legislation Effective Date Draws Closer
The September 1, 2012, effective date for Texas House Bill 300 is drawing closer. Perks is offering cost-effective and convenient online training through Smart Training as a way to meet HB-300’s requirements. If you purchased a training module by July 31, you were automatically entered to win $150! For more information, visit tinyurl.com/ Perks-HB300. If you have questions about the online registration, please contact Smart Training customer service at 469-342-8300.
happy, healthy smiles...that’s our mission! 2012 Annual Giving Campaign
Brady TMOM
Are you looking for a way to give back and make a difference in the lives of Texans without access to dental care? TDASF programs provide charitable dental care to thousands of citizens, statewide, each year and could not do so without the support from generous dental professionals like you! Please be on the lookout for our Annual Giving Campaign in your mailbox soon. Inside, you will find details about all of our programs, and how your contribution will help relieve the pain of thousands of Texans in need. Oral health can lead to great improvement in the quality of life for so many, and you can be a part of that by supporting TDASF!
Brady hosted the most recent Texas Mission of Mercy (TMOM) event. Twenty dentists and 100 other volunteers participated in the mission event on July 28, 2012. Dr. Susan Delk spearheaded the local group who put this event together. Dentists at this 12 chair TMOM provided nearly $100,000 worth of care to 158 patients.
Upcoming Events Beaumont TMOM Mt. Pleasant TMOM Atlanta TMOM
Oct. 5-6 Nov. 2 Nov. 3
710 580
To be a part of future TMOM events, please visit tdasf.org or call 512-448-2441. August 2012 / TDA Today / 2
Dr Craig Reese, Livingston TDA Member Spotlight
Michael L. Stuart, DDS, TDA President As we wrap up the summer and head into fall, our expert legislative team is hard at work preparing for the 83rd legislative session. Also, our staff is currently assembling the special legislative issue of the Texas Dental Journal, which mails in October, so be watching for that very important edition.
D
entists have quite a bit in their armamentariums: probes, mirrors, explorers, literature, medicines. However, one TDA member prefers to arm himself with tools of a different nature from a bygone era.
President’s Prose
Dr Craig Reese (center) prepares for a scene as a Confederate soldier on the set of the movie “Abraham Lincoln Vampire Hunter.”
Dr Craig Reese is a member of the Civil War reenactment organization, the Cleburne Division of Reenactors, named after the Irish American solder Patrick Cleburne who fought in the Confederate States Army. Dr Reese is in the 5th brigade, 1st battalion and answers to Major rather than Doctor on battlefield reenactments, overseeing crews for 20 cannons, including 2 full-scale 1841-model 6-pounders for the local reenacting unit.
for battlefield scenes, Dr Reese received a call from the Cleburne Division. “The 2nd brigade infantry battalion commander said they needed Civil War people to reenact for the movie and asked if I was interested,” he recalls. “We ordinarily do artillery, but they needed infantry for the movie, so I played both sides — Union and Confederate.” From April to May 2011, Dr Reese traveled to Covington, LA, to shoot for 3 to 5 days at a time. He says the grueling hours and hot temperatures were a challenge. “We’d be there at 4:30 in the morning until 10 at night in 100⁰ heat in wool uniforms.”
The 48-year-old general dentist lives in Livingston with his wife, Sherry. They have 2 sons, Zachary Willson, 22, and Craig Jr, 12. Dr Reese graduated from the UT Health Science Center at San Antonio Dental School in 1991 and joined his father in practice.
The work wasn’t done when the scene wrapped. Dr Reese would then have to clean the weapons, remove the makeup and grime, and prepare for the next long day. And, he says the hardest scenes were the charges on the battlefield. “We’d be in full gear, it was hot, and we’d run straight as hard as we could, then they’d yell, ‘Cut!’ We’d have to do it all over again. Over, and over, and over.”
That same year he became involved in battlefield reenactments as he had many ancestors who fought in the Civil War. “I’ve always been interested in history and enjoy going to the battlefields,” Dr Reese says. His local reenactment component participates in demonstrations for schools and the public, service organizations, and cemetery dedications. In fact, he and others have placed 600 cemetery markers for Union and Confederate soldiers who were buried without them. Over the years he became immersed with the Cleburne Division for national military reenactments.
He says it was an experience he’ll never forget, and one that he luckily got to do again in May 2012 for a movie that will be released soon, “Beautiful Creatures.” After working on the sets for both movies, he declares he’ll always have an appreciation for the film crews. “They try to make things as authentic as possible,” he says. “Watching them create light, shading, smoke … there are hundreds of people behind the scenes.”
Recently, when the film crew for the major motion picture “Abraham Lincoln Vampire Hunter” needed extras
Credit: “Abraham Lincoln Vampire Hunter”
Some things he doesn’t keep behind the scenes are his Civil War artifacts and pictures. He says his patients are aware of his hobby. “They all know. They get a kick out of it. Some of them even come to the reenactments and take pictures!”
Dr Craig Reese (far left) plays a Union soldier during a charge on the battlefield in the movie “Abraham Lincoln Vampire Hunter.”
You can try to catch a glimpse of Dr Reese on the big screen. “Abraham Lincoln Vampire Hunter” was released in June 2012 and is playing in theaters nationwide. This recurring section highlights the lives of TDA members outside of the office. If you have an interesting story about yourself, if you are working on a project that your peers might find interesting, or if you have a hobby that keeps you busy, please contact TDA Managing Editor Nicole Scott, nicole@tda.org, 512-443-3675.
General-ly Speaking The primary runoff elections are over and party candidates have made their way to the November ballot. Many of the races were decided in the primary and primary runoff. The redistricting process leaves most congressional and legislative districts relatively non-competitive in the general election – the districts are drawn to favor candidates from one party over another – which results in many of the races being decided in the party primaries. There were some very competitive races in the runoff and a few surprises. At the top of the ticket, Lt. Governor David Dewhurst was defeated by Ted Cruz for the US Senate seat being vacated by Kay Bailey Hutchison. In the Texas Senate, veteran incumbent Republican Jeff Wentworth (San Antonio) was defeated by Columbus physician Donna Campbell. In the Texas House, incumbent Republicans Sid Miller (Stephenville), Chuck Hopson (Jacksonville), and Jim Landtroop (Plainview), were defeated. The loss of these
incumbents puts the current number of Texas House members not returning next session at 40. When combined with the loss of incumbents in the 2010 election cycle, half of the Texas House will either be in their first or second terms when next session begins. DENPAC lost several longtime friends in the primary and primary runoff. Grassroots dentists along with TDA legislative staff and consultants are busy building relationships and educating new incoming legislative members. At this point in the cycle, DENPAC is preparing for the November general election and the upcoming 83rd legislative session. With your support, DENPAC can ensure organized dentistry has a strong voice in the legislative arena. Confirm your commitment to the future of dentistry by contributing to DENPAC today!
In addition, your September membership directory will soon be arriving. Amongst the listings of allied groups, component society officers, and member contact information are a variety of very significant symbols. These special symbols recognize members who contributed to DENPAC and ADPAC —each symbol representing a specific level of giving. Although DENPAC has previously been ranked the largest health PAC in the state, this year DENPAC dollars are down for the first time in 10 years. In the wake of redistricting, many veteran legislators retired and DENPAC lost several longtime friends in the recent primary and primary runoff. In order to build new relationships and maintain a strong presence in Austin as well as Washington, we need your support. Even a small donation makes a difference. As someone once said, fundraising is not an event, it is a process. Most fundraisers are ongoing, and they require repeat funds to be successful. So, whether you have a diamond or a triangle next to your name in the directory, know that your contributions are impactful and important. And, most of all, they’re appreciated.
Evidence-Based Practice Tip of the Month Stephen R. Matteson, DDS, FICD, TSA Editor
Bone Augmentation for Implant Placement A 2009 Cochrane Library Abstract addresses the subject of vertical and horizontal bone augmentation using 13 Randomized Trials. Vertical augmentation was compared with the use of short implants and various techniques of horizontal grafting techniques were compared. The authors stated, “These conclusions are based on few trials including few patients, sometimes having short follow-up, and often being judged to be at high risk of bias. Various techniques can augment bone horizontally and vertically, but it is unclear which are the most efficient. Short implants appear to be a better alternative to vertical bone grafting of resorbed mandibles. Complications, especially for vertical augmentation, are common. Some bone substitutes could be a preferable alternative to autogenous bone. Osteodistraction osteogenesis allows for more vertical bone augmentation than other techniques which on the other hand can allow for horizontal augmentation at the same time. Titanium screws may be preferable to resorbable screws to fixate onlay bone grafts (1).” The full abstract may be viewed at: CD003607 or PMID1982123112. Reference 1. Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington AHV, Coulthard P. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009 Oct 7;(4):CD003607. Review. TDA members, visit the Publications site at tda.org for the new online archive of the Evidence-based PracticeTips of the Month. You can find all of the tips published since 2009.
* denpac.org
August 2012 / TDA Today / 3
TSBDE Rule Update This recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices. EDITORIAL STAFF Stephen R. Matteson, DDS, Editor Nicole Scott, Managing Editor Lauren Oakley, Publications Coordinator Barbara Donovan, Art Director Paul H. Schlesinger, Consultant
Texas State Board of Dental Examiners Considers Rule Changes During the Texas State Board of Dental Examiners (TSBDE) August 10, 2012, board meeting, the TSBDE voted to withdraw the proposed changes to the Business Promotion Rules (§§108.50 - 108.61) as published in the May 18, 2012, issue of the Texas Register and post a new version of the draft rules for public comment. The TSBDE made this decision based upon stakeholder comments to the rules as published in the May Texas Register, and the board’s desire to give clear guidance to licensees and registrants while preserving free speech.
BOARD OF DIRECTORS Michael L. Stuart, DDS, President David A. Duncan, DDS, President-elect J. Preston Coleman, DDS, Immediate Past President Vice Presidents Arthur C. Morchat, DDS, Northeast Rita M. Cammarata, DDS, Southeast T. Beth Vance, DDS, Southwest Michael J. Goulding, DDS, Northwest Senior Directors Jean E. Bainbridge, DDS, Northeast Gregory K. Oelfke, DDS, Southeast Yvonne E. Maldonado, DDS, Southwest David C. Woodburn, DDS, Northwest Directors Jerry J. Hopson, DDS, Northeast William S. Nantz, DDS, Southeast Joshua A. Austin, DDS, Southwest Steven J. Hill, DDS, Northwest
Dr Rudolfo G. Ramos Jr chairs the TSBDE’s Advertising Ad-Hoc Committee along with committee members Dr William R. Birdwell, Dr D. Bradley Dean, Dr Tamela L. Gough, and Mr Arthur Troilo III. The TDA will remain involved in the rulemaking process and after the rules are approved by the TSBDE and published for final adoption in the Texas Register, future issues of the “TSBDE Rule Update” will be devoted to a section by section analysis of the new rules as they will significantly impact dental advertising and business promotion in Texas. For more information, please contact TDA Policy Manager Diane Rhodes at 512-443-3675, diane@tda.org.
Ron Collins, DDS, Secretary-Treasurer John W. Baucum, III DDS, Speaker of the House David H. McCarley, DDS, Parliamentarian Stephen R. Matteson, DDS, Editor Mary Kay Linn, Executive Director William H. Bingham, Legal Counsel
Baylor College of Dentistry Receives Grant A Center of Excellence to advance diversity in faculty and students at Texas A&M Health Science Center Baylor College of Dentistry (TAMHSC-BCD) has been established through a new $3.4 million grant to the college from the U.S. Department of Health and Human Services’ Centers of Excellence program.
TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental Association, 1946 S IH-35 Ste 400, Austin, Texas 78704-3698, 512-443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S IH-35 Ste 400, Austin, TX 78704-3698. Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental Association (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30. Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6. Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda. org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Association, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in Member Publication products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.
Awarded through the department’s Health Resources and Services Administration, the competitive grant program for health professions schools was developed to strengthen the national capacity to produce a quality health care workforce with racial and ethnic diversity that is representative of the U.S. population. Starting with first-year funds of nearly $700,000, with recommended renewal for 4 additional years, TAMHSC-BCD’s 5-year grant is titled “Bridge to Dentistry: Awareness to Practicing, Teaching and Research” and will be led by Dr Ernestine Lacy, professor and director of student development in the Office of Student Development and Multicultural Affairs. The Center of Excellence will provide the college with the opportunity to further increase the numbers of underrepresented minority students that it enrolls and faculty that it appoints and retains by providing support that enhances the success of these individuals. “We are ecstatic about receiving this highly competitive award,” said Dr Lawrence E. Wolinsky, TAMHSC-BCD dean. “This will give Dr Lacy and her team the opportunity to lead our college in the significant expansion of an already successful pipeline program. The grant also bolsters the dental school’s ability to serve as a national resource and educational center for diversity and minority health issues.”
TDA Perks Program Presents: AUGUST 2012
VOLUME 13, ISSUE 8
AVAILABLE ONLINE AT TDA.ORG
A One-Day Symposium
Aug. 24th 2012 Location: TDA Extension Building 1920 S. IH-35; Austin, TX 78704 Getting ready to start your own practice? This FREE-for-TDA-members symposium will help guide you through the process. The Program covers: • Real Estate • Equipment • Practice Financing
• Patient Financing • Insurance • Online Marketing
Contact TDA Perks Program for more information, or to register:
(512) 443-3675 Learn more at: tdaperks.com Questions about Perks? Call: (512) 443-3675.