June 2014 Texas Dental Journal by Texas Dental Association

June 2014

TEXAS DENTAL

Journal INSIDE: Addresses to the 2014 House of Delegates Page 450: “Why Use Oral Splints For Temporomandibular Disorders (TMDs)?”

PATIENT INSURANCE INFORMATION

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Faces you Know, Names you Trust. Kathleen Hamilton, DDS, MBA, CMEA Joel C. Small, DDS, MBA, FICD Lynne Gerlach, DDS, FICD, FACD

(800) 988-3969 Toll Free www.hamiltonsmall.com

As dentists, we understand all of the personal and professional milestones you’ve achieved in your life. We bring that knowledge and experience to Hamilton, Small & Associates where we focus on dental practice transitions. Our firm offers a variety of comprehensive resources to general/restorative dentistry practices, including sales, purchases, associateships, partnerships, and both pre and post-transition consulting. By focusing on the local, North Texas market that we know inside and out, we bring a high level of laser-focused experience, making the professional transitions in your life a shining success.

PRACTICE SALES • APPRAISALS • BUYER REPRESENTATION • ASSOCIATESHIPS • PARTNERSHIPS • CONSULTING

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TEXAS DENTAL JOURNAL ƐƚĂďůŝƐŚĞĚ &ĞďƌƵĂƌǇ ϭϴϴϯ

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436

sŽů ϭϯϭ͕ EŽ ϲ

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ABOUT THE COVER

Dr E.W. Roberts of Houston shot the photograph featured on the cover of this issue. /ƚ͛Ɛ ƟƚůĞĚ ͞zŽƵ ƌĞ DǇ ^ƵŶƐŚŝŶĞ͕ DǇ KŶůǇ ^ƵŶƐŚŝŶĞ͕͟ ĂŶĚ ŚĞ ĞŶƚĞƌĞĚ ŝƚ ŝŶƚŽ ƚŚĞ d y ^ DĞĞƟŶŐ WŚŽƚŽ ŽŶƚĞƐƚ Ăƚ ƚŚĞ ϭϰϰƚŚ ĂŶŶƵĂů ƐĞƐƐŝŽŶ ŽĨ ƚŚĞ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ŝŶ DĂǇ ϮϬϭϰ ŝŶ ^ĂŶ ŶƚŽŶŝŽ͘ ,Ğ ƚŽŽŬ ƚŚĞ ƉŚŽƚŽŐƌĂƉŚ ǁŚĞŶ ŚĞ ǁĂƐ ĚƌŝǀŝŶŐ ĂůŽŶŐ ,ŝŐŚǁĂǇ ϵϬ͕ ũƵƐƚ ǁĞƐƚ ŽĨ ĂƐƚƌŽǀŝůůĞ͘ ,Ğ ƐĂǇƐ ƚŚĞƌĞ ǁĞƌĞ ƐĞǀĞƌĂů ůĂƌŐĞ ĮĞůĚƐ ŽĨ ƐƵŶŇŽǁĞƌƐ͕ ĂŶĚ ŝƚ ǁĂƐ ũƵƐƚ ƚŽŽ ƉƌĞƩǇ ƚŽ ƉĂƐƐ ƵƉ͘ 'ƌŽǁŝŶŐ ƵƉ ŝŶ ^ĂŶ ŶƚŽŶŝŽ͕ ŚĞ ƐĂǁ ƐƵŶŇŽǁĞƌƐ ůŝŬĞ ƚŚŝƐ Ăůů ƚŚĞ ƟŵĞ͕ ŵĂŬŝŶŐ ŝƚ ĂŶ ĞǀĞŶ ŵŽƌĞ ƐƉĞĐŝĂů ƐŚŽƚ͘ ƌ ZŽďĞƌƚƐ ũŽŝŶĞĚ d ŝƐ ϭϵϱϯ ĂŶĚ ŝƐ Ă ƌĞƟƌĞĚ ůŝĨĞ ŵĞŵďĞƌ͘

432

OUTGOING PRESIDENT’S ADDRESS, MAY 1, 2014

436

AMERICAN DENTAL ASSOCIATION 15TH DISTRICT TRUSTEE’S ADDRESS, May 1, 2014

ĂǀŝĚ ͘ ƵŶĐĂŶ͕ ^͕ WƌĞƐŝĚĞŶƚ

,ŝůƚŽŶ /ƐƌĂĞůƐŽŶ͕ ^͕ ϭϱƚŚ ŝƐƚƌŝĐƚ dƌƵƐƚĞĞ

442

INCOMING PRESIDENT’S ADDRESS, May 4, 2014

450

WHY USE ORAL SPLINTS FOR TEMPOROMANDIBULAR DISORDERS ΈdD sΉ͍

ĂǀŝĚ ,͘ DĐ ĂƌůĞǇ͕ ^͕ WƌĞƐŝĚĞŶƚͲĞůĞĐƚ

^ŚĂǁŶ ^͘ Ěŝďŝ͕ ^͕ & K ^͕ D Ě͕ & KD͖ ǌŝŶŶĞ /͘ KŐďƵƌĞŬĞ͕ ^͖ ƌŝĂŶ ͘ DŝŶĂǀŝ͕ ^ĞĐŽŶĚ zĞĂƌ ĞŶƚĂů ^ƚƵĚĞŶƚ͖ <ĂůƵ h͘ KŐďƵƌĞŬĞ͕ ^͕ D^Đ͕ D^Đ͕ : ͕ &Z WĂƚŚ dŚĞ ĂƵƚŚŽƌƐ ƌĞǀŝĞǁ ƚŚĞ ƌĂƟŽŶĂůĞ ĨŽƌ ƚŚĞ ĐŽŶƟŶƵĞĚ ƵƐĞ ŽĨ ŽƌĂů ƐƉůŝŶƚƐ ĨŽƌ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ŝƐŽƌĚĞƌƐ͘

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ƌŝƟĐĂůůǇ ƉƉƌĂŝƐĞĚ dŽƉŝĐ ŽĨ ƚŚĞ DŽŶƚŚ KƌĂů ĂŶĚ DĂǆŝůůŽĨĂĐŝĂů WĂƚŚŽůŽŐǇ ĂƐĞ ŽĨ ƚŚĞ DŽŶƚŚ /Ŷ DĞŵŽƌŝĂŵ DĞŵŽƌŝĂů ĂŶĚ ,ŽŶŽƌĂƌŝƵŵ ŽŶŽƌƐ sĂůƵĞ ĨŽƌ zŽƵƌ WƌŽĨĞƐƐŝŽŶ Texas Dental Journal l www.tda.org l June 2014

464 466 468 486

KƌĂů ĂŶĚ DĂǆŝůůŽĨĂĐŝĂů WĂƚŚŽůŽŐǇ ĂƐĞ ŽĨ ƚŚĞ DŽŶƚŚ ŝĂŐŶŽƐŝƐ ĂŶĚ DĂŶĂŐĞŵĞŶƚ ĂůĞŶĚĂƌ ŽĨ ǀĞŶƚƐ ĚǀĞƌƟƐŝŶŐ ƌŝĞĨƐ /ŶĚĞǆ ƚŽ ĚǀĞƌƟƐĞƌƐ

d ŵĞŵďĞƌƐ͕ ƵƐĞ ǇŽƵƌ ƐŵĂƌƚƉŚŽŶĞ ƚŽ ƐĐĂŶ ƚŚŝƐ YZ ŽĚĞ ĂŶĚ ĂĐĐĞƐƐ ƚŚĞ ŽŶůŝŶĞ Texas Dental Journal.

Editorial Staff

Editorial Advisory Board

BOARD OF DIRECTORS

Daniel L. Jones, DDS, PhD, Editor Harvey P. Kessler, DDS, MS, Associate Editor EŝĐŽůĞ ^ĐŽƩ͕ DĂŶĂŐŝŶŐ ĚŝƚŽƌ ŝůůǇ ĂůůŝƐ͕ WƵďůŝĐĂƟŽŶƐ ŽŽƌĚŝŶĂƚŽƌ Barbara Donovan, Art Director Paul H. Schlesinger, Consultant

Ronald C. Auvenshine, DDS, PhD Barry K. Bartee, DDS, MD Patricia L. Blanton, DDS, PhD William C. Bone, DDS Phillip M. Campbell, DDS, MSD Michaell A. Huber, DDS Arthur H. Jeske, DMD, PhD Larry D. Jones, DDS Paul A. Kennedy Jr, DDS, MS ^ĐŽƩ Z͘ DĂŬŝŶƐ͕ ^ Daniel Perez, DDS William F. Wathen, DMD Robert C. White, DDS Leighton A. Wier, DDS Douglas B. Willingham, DDS

The Texas Dental Journal ŝƐ Ă ƉĞĞƌͲƌĞǀŝĞǁĞĚ ƉƵďůŝĐĂƟŽŶ͘ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ϭϵϰϲ ^ /,Ͳϯϱ ^ƚĞ ϰϬϬ͕ ƵƐƟŶ͕ dy ϳϴϳϬϰͲϯϲϵϴ WŚŽŶĞ͗ ϱϭϮͲϰϰϯͲϯϲϳϱ ͻ & y͗ ϱϭϮͲϰϰϯͲϯϬϯϭ ŵĂŝů͗ ƚĚĂΛƚĚĂ͘ŽƌŐ ͻ tĞďƐŝƚĞ͗ ǁǁǁ͘ƚĚĂ͘ŽƌŐ Texas Dental Journal (ISSN 0040-4284) is published monthly (one issue will be a directory issue), by the Texas ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ͕ ϭϵϰϲ ^ /,Ͳϯϱ͕ ƵƐƟŶ͕ dy͕ ϳϴϳϬϰͲϯϲϵϴ͕ ϱϭϮͲϰϰϯͲϯϲϳϱ͘ WĞƌŝŽĚŝĐĂůƐ WŽƐƚĂŐĞ WĂŝĚ Ăƚ ƵƐƟŶ͕ dĞǆĂƐ ĂŶĚ Ăƚ ĂĚĚŝƟŽŶĂů ŵĂŝůŝŶŐ ŽĸĐĞƐ͘ WK^dD ^d Z͗ ^ĞŶĚ ĂĚĚƌĞƐƐ ĐŚĂŶŐĞƐ ƚŽ d y ^ Ed > :KhZE >͕ ϭϵϰϲ ^ /, ϯϱ͕ ƵƐƟŶ͕ dy ϳϴϳϬϰ͘ ŽƉǇƌŝŐŚƚ ϮϬϭϰ dĞǆĂƐ ĞŶƚĂů ƐŽĐŝĂƟŽŶ͘ ůů ƌŝŐŚƚƐ ƌĞƐĞƌǀĞĚ͘ ŶŶƵĂů ƐƵďƐĐƌŝƉƟŽŶƐ͗ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ŵĞŵďĞƌƐ Ψϭϳ͘ /ŶͲƐƚĂƚĞ ĸůŝĂƚĞĚ Ψϰϵ͘ϱϬ н ƚĂǆ͕ KƵƚͲŽĨͲ ƐƚĂƚĞ ĸůŝĂƚĞĚ Ψϰϵ͘ϱϬ͘ /ŶͲƐƚĂƚĞ EŽŶͲ ĸůŝĂƚĞĚ ΨϴϮ͘ϱϬ н ƚĂǆ͕ KƵƚͲŽĨͲƐƚĂƚĞ EŽŶͲ ĸůŝĂƚĞĚ ΨϴϮ͘ϱϬ͘ ^ŝŶŐůĞ ŝƐƐƵĞ ƉƌŝĐĞ͗ Ψϲ ĸůŝĂƚĞĚ͕ Ψϭϳ EŽŶͲ ĸůŝĂƚĞĚ͕ ^ĞƉƚĞŵďĞƌ ŝƐƐƵĞ Ψϭϳ ĸůŝĂƚĞĚ͕ Ψϲϱ EŽŶͲ ĸůŝĂƚĞĚ͘ &Žƌ ŝŶͲƐƚĂƚĞ ŽƌĚĞƌƐ͕ ĂĚĚ ϴ͘Ϯϱй ƐĂůĞƐ ƚĂǆ͘ ŽŶƚƌŝďƵƟŽŶƐ͗ Manuscripts and news items of interest to the membership of the society are solicited. Electronic ƐƵďŵŝƐƐŝŽŶƐ ĂƌĞ ƌĞƋƵŝƌĞĚ͘ DĂŶƵƐĐƌŝƉƚƐ ƐŚŽƵůĚ ďĞ ƚǇƉĞǁƌŝƩĞŶ͕ ĚŽƵďůĞ ƐƉĂĐĞĚ͕ ĂŶĚ ƚŚĞ ŽƌŝŐŝŶĂů ĐŽƉǇ ƐŚŽƵůĚ ďĞ ƐƵďŵŝƩĞĚ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ƌĞĨĞƌ ƚŽ ƚŚĞ /ŶƐƚƌƵĐƟŽŶƐ ĨŽƌ ŽŶƚƌŝďƵƚŽƌƐ ƐƚĂƚĞŵĞŶƚ ƉƌŝŶƚĞĚ ŝŶ ƚŚĞ ^ĞƉƚĞŵďĞƌ ŶŶƵĂů DĞŵďĞƌƐŚŝƉ ŝƌĞĐƚŽƌǇ Žƌ ŽŶ ƚŚĞ d ǁĞďƐŝƚĞ͗ ƚĚĂ͘ŽƌŐ͘ ůů ƐƚĂƚĞŵĞŶƚƐ ŽĨ ŽƉŝŶŝŽŶ ĂŶĚ of supposed facts are published on authority of the writer under whose name they appear and are not to ďĞ ƌĞŐĂƌĚĞĚ ĂƐ ƚŚĞ ǀŝĞǁƐ ŽĨ ƚŚĞ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ͕ ƵŶůĞƐƐ ƐƵĐŚ ƐƚĂƚĞŵĞŶƚƐ ŚĂǀĞ ďĞĞŶ ĂĚŽƉƚĞĚ ďǇ ƚŚĞ ƐƐŽĐŝĂƟŽŶ͘ ƌƟĐůĞƐ ĂƌĞ ĂĐĐĞƉƚĞĚ ǁŝƚŚ ƚŚĞ ƵŶĚĞƌƐƚĂŶĚŝŶŐ ƚŚĂƚ ƚŚĞǇ ŚĂǀĞ ŶŽƚ ďĞĞŶ ƉƵďůŝƐŚĞĚ ƉƌĞǀŝŽƵƐůǇ͘ ƵƚŚŽƌƐ ŵƵƐƚ ĚŝƐĐůŽƐĞ ĂŶǇ ĮŶĂŶĐŝĂů Žƌ ŽƚŚĞƌ ŝŶƚĞƌĞƐƚƐ ƚŚĞǇ ŵĂǇ ŚĂǀĞ ŝŶ ƉƌŽĚƵĐƚƐ Žƌ ƐĞƌǀŝĐĞƐ ĚĞƐĐƌŝďĞĚ ŝŶ ƚŚĞŝƌ ĂƌƟĐůĞƐ͘ ĚǀĞƌƟƐĞŵĞŶƚƐ͗ WƵďůŝĐĂƟŽŶ ŽĨ ĂĚǀĞƌƟƐĞŵĞŶƚƐ ŝŶ ƚŚŝƐ ũŽƵƌŶĂů Texas Dental Journal is a ĚŽĞƐ ŶŽƚ ĐŽŶƐƟƚƵƚĞ Ă ŐƵĂƌĂŶƚĞĞ Žƌ ĞŶĚŽƌƐĞŵĞŶƚ ďǇ ƚŚĞ member of the American ƐƐŽĐŝĂƟŽŶ ŽĨ ƚŚĞ ƋƵĂůŝƚǇ ŽĨ ǀĂůƵĞ ŽĨ ƐƵĐŚ ƉƌŽĚƵĐƚ Žƌ ŽĨ ƚŚĞ ƐƐŽĐŝĂƟŽŶ ŽĨ ĞŶƚĂů ĚŝƚŽƌƐ͘ claims made of it by its manufacturer. .FNCFS 1VCMJDBUJPO

PRESIDENT David H. McCarley, DDS 972-562-0767, drdavid@mccarleydental.com PRESIDENT-ELECT Craig S. Armstrong, DDS 832-251-1234, drarmstrong01@gmail.com IMMEDIATE PAST PRESIDENT David A. Duncan, DDS 806-355-7401, davidduncandds@gmail.com VICE PRESIDENT, NORTHEAST Jerry J. Hopson, DDS 903-583-5715, dochop@verizon.net VICE PRESIDENT, SOUTHEAST William S. Nantz, DDS 409-866-7498, wn3798@sbcglobal.net VICE PRESIDENT, SOUTHWEST :ŽƐŚƵĂ ͘ ƵƐƟŶ͕ ^ ϮϭϬͲϰϬϴͲϳϵϵϵ͕ ũĂƵƐƟŶĚĚƐΛŵĞ͘ĐŽŵ VICE PRESIDENT, NORTHWEST Steven J. Hill, DDS 806-783-8837, sjhilldds@aol.com SENIOR DIRECTOR, NORTHEAST William H. Gerlach, DDS 972-964-1855, drbill@gerlachdental.com SENIOR DIRECTOR, SOUTHEAST Karen A. Walters, DDS 713-790-1111, kwalters@sms-houston.com SENIOR DIRECTOR, SOUTHWEST John B. Mason, DDS 361-854-3159, jbmasondds@aol.com SENIOR DIRECTOR, NORTHWEST Charles W. Miller, DDS 817-572-4497, cwdam@sbcglobal.net DIRECTOR, NORTHEAST Dennis E. Stansbury, DDS 903-561-1122, drstansbury@gmail.com DIRECTOR, SOUTHEAST Duc “Duke” M. Ho, 281-395-2112, ducmho@sbcglobal.net DIRECTOR, SOUTHWEST James R. Foster, DDS 956-969-2727, fosterdds@gmail.com DIRECTOR, NORTHWEST W. Kurt Loveless, DDS 806-797-0341, wklovedds@gmail.com SECRETARY-TREASURER* Ron Collins, DDS 281-983-5677, roncollinsdds@yahoo.com SPEAKER OF THE HOUSE* John W. Baucum III, DDS 361-855-3900, jbaucum3@gmail.com PARLIAMENTARIAN** Arthur C. Morchat, DDS 903-983-1919, amorchat@suddenlink.net EDITOR** Daniel L. Jones, DDS, PhD 214-828-8350, djones@bcd.tamhsc.edu ΎEŽŶͲǀŽƟŶŐ ŵĞŵďĞƌ ΎΎEŽŶͲŵĞŵďĞƌ ĂƩĞŶĚĞĞ

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Helping dentists buy & sell practices for over 40 years. AFTCO is the oldest and largest dental practice transition consulting firm in the United States. AFTCO assists dentists with associateships, purchasing and selling of practices, and retirement plans. We are there to serve you through all stages of your career. Jonathan A. Sanderson, D.D.S. & Preston E. Cutbirth, D.D.S. have acquired the practice of Walter M. Jarrell, Jr., D.D.S. - Tomball, Texas Lee C. Mercer, Jr., D.D.S. has acquired the practice of Jerry L. Hilton, D.D.S. - Arlington, Texas

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424

Texas Dental Journal l www.tda.org l June 2014

PRACTICES ARE SELLING FOR CASH NOW! INCREASE PRACTICE VALUE ANALYZE KEY AREAS OF YOUR PRACTICE

LOCATION

DEMOGRAPHICS STUDY

APPEARANCE OF YOUR OFFICE

TAKE PHOTOS OF EVERY AREA

SIZE OF PATIENT BASE

3 YEARS OF GROWTH TRENDS

NEW PATIENT FLOW

EXPLORE INTERNET MARKETING

ACTIVE RECALL

20% â&#x20AC;&#x201C; 30% OF GROSS

â&#x20AC;&#x153;OPERATING PROFITSâ&#x20AC;?

HYGIENE PROFITS MOST IMPORTANT

As an Appraiser/Consultant, I must know the practice in order to educate the Buyer concerning the practice future potential. A bunch of numbers/proformas do not give necessary information about your practice. My appraisals provide all the data above and more. Numbers alone rarely sell a practice. My appraisal is a 75 â&#x20AC;&#x201C; 100 page Management Study with the Goodwill/Intangibles based upon comparable area practice sales (plus Tangibles). Routinely, our Practice Sales will bring 97% â&#x20AC;&#x201C; 100% of the Appraised Value.

FOR OVER YEARS NO CHARGE FOR37REAL ESTATE YOU HAVE SEEN THE NAMEâ&#x20AC;Ś

FOR OVER 37 YEARS YOU HAVE SEEN NOT JUST A THE NAMEâ&#x20AC;Ś PRACTICE BROKER

CERTIFIED CEFTIFIED PRACTICE PRACTICE APPRAISALS

NOT JUST A PRACTICE SELLING PRACTICES BROKER CONSULTING DENTISTS â&#x20AC;&#x153;37 YEARSâ&#x20AC;? SELLING PRACTICES CONSULTING DENTISTS â&#x20AC;&#x153;37 YEARSâ&#x20AC;?

(Over 2,200 Dental Practice Sales for Comparison) OUR FEES LOW AS 3.75% â&#x20AC;&#x201C; 5.75% IF YOU HAVE ASSOCIATE/BUYER Â&#x2021; 30$ 0$5.(7,1* 1(7:25.6 Â&#x2021; )81',1* $9$,/$%/( Â&#x2021; 12 '8$/ 5(35(6(17$7,21 Â&#x2021; 1(*27,$7( )$,5 35,&( Â&#x2021; 352&(66 &203/(7( &/26,1* Â&#x2021; 7$; 675$7(*< Â&#x2021; 75$16,7,21 3/$11,1* Â&#x2021; 3$571(56+,36 â&#x20AC;&#x153;I PERSONALLY HANDLE EVERY TRANSITIONâ&#x20AC;?

GARY CLINTON Senior Appraiser

Member of The Institue of Business Appraisers, Inc. &$// 25 '): $5($

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425

Oral and Maxillofacial Pathology Case of the Month Case History A 77-year-old female was referred to an oral and ŵĂǆŝůůŽĨĂĐŝĂů ƐƵƌŐĞŽŶ ĨŽƌ ĞǀĂůƵĂƟŽŶ ŽĨ ĂŶ ĞŶůĂƌŐŝŶŐ palatal mass that had been present for 1 year. She reported dysphagia and recent weight loss. ůŝŶŝĐĂů ĞǆĂŵŝŶĂƟŽŶ ƌĞǀĞĂůĞĚ Ă ϯ͘Ϭ Đŵ ǆ ϰ͘Ϭ Đŵ red-purple ulcerated mass involving the hard and ƐŽŌ ƉĂůĂƚĞ ;&ŝŐƵƌĞ ϭͿ͘ ,Ğƌ ŵĂǆŝůůĂƌǇ ĚĞŶƚƵƌĞ ŚĂĚ ďĞĞŶ ƌĞůŝŶĞĚ ĂŶĚ ĂĚũƵƐƚĞĚ ŝŶ ĂŶ ĂƩĞŵƉƚ ƚŽ ƌĞůŝĞǀĞ ƚŚĞ ĂƌĞĂ ŽǀĞƌůǇŝŶŐ ƚŚĞ ƉĂůĂƚĂů ŵĂƐƐ ;&ŝŐƵƌĞ ϮͿ͘ Lymphadenopathy was not detected upon neck ĞǆĂŵŝŶĂƟŽŶ͘ ZĂĚŝŽŐƌĂƉŚŝĐ ĞǆĂŵŝŶĂƟŽŶ ƐƵŐŐĞƐƚĞĚ ƚŚĞ ŵĂƐƐ ŚĂĚ ŝŶĮůƚƌĂƚĞĚ ƚŚĞ ŵĂǆŝůůĂƌǇ ĂůǀĞŽůĂƌ bone.

Naidu

>ŝīĞƌƚŚ

Fuentes

Aparna Naidu, DDS, MS, assistant professor, Department ŽĨ ŝĂŐŶŽƐƟĐ ^ĐŝĞŶĐĞƐ͕ dĞǆĂƐ ΘD hŶŝǀĞƌƐŝƚǇ ĂǇůŽƌ ŽůůĞŐĞ ŽĨ ĞŶƟƐƚƌǇ͕ ĂůůĂƐ͕ dĞǆĂƐ ĂǀŝĚ >ŝīĞƌƚŚ͕ ^͕ ƐƚƵĚĞŶƚ͕ ƌŝǌŽŶĂ ^ĐŚŽŽů ŽĨ ĞŶƟƐƚƌǇ Θ KƌĂů ,ĞĂůƚŚ͕ ͘ d͘ ^Ɵůů hŶŝǀĞƌƐŝƚǇ͕ DĞƐĂ͕ ƌŝǌŽŶĂ ZŽďĞƌƚ ^͘ &ƵĞŶƚĞƐ ^͕ D , oral and maxillofacial surgeon ŝŶ ƉƌŝǀĂƚĞ ƉƌĂĐƟĐĞ͕ DŝĚůĂŶĚ͕ dĞǆĂƐ

Figure 1. Red-purple 3.0 cm x 4.0 cm ulcerated ŵĂƐƐ ŽĨ ƚŚĞ ůĞŌ ŚĂƌĚ ĂŶĚ ƐŽŌ palate.

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An incisional biopsy was performed and the specimen ǁĂƐ ƐƵďŵŝƩĞĚ ĨŽƌ ŚŝƐƚŽƉĂƚŚŽůŽŐŝĐ ĞǀĂůƵĂƟŽŶ͘ tŚĂƚ ŝƐ ǇŽƵƌ ĚŝīĞƌĞŶƟĂů ĚŝĂŐŶŽƐŝƐ͍

Microscopic Findings: ^ĞĐƟŽŶƐ ƚŚƌŽƵŐŚ ƚŚĞ ƐŽŌ ƟƐƐƵĞ ƐƉĞĐŝŵĞŶ ƌĞǀĞĂůĞĚ Ă ŵĂůŝŐŶĂŶƚ ŶĞŽƉůĂƐƟĐ ƉƌŽůŝĨĞƌĂƟŽŶ ŽĨ ŐůĂŶĚƵůĂƌ ĞƉŝƚŚĞůŝƵŵ͘ dŚĞ ŶĞŽƉůĂƐƟĐ ĐĞůůƐ ǁĞƌĞ ĂƌƌĂŶŐĞĚ ŝŶ ƐŵĂůů cords and duct-like structures that formed a streaming ƉĂƩĞƌŶ ŝŶ Ă ďĂĐŬŐƌŽƵŶĚ ŽĨ ůŽŽƐĞ ĮďƌŽƵƐ ĐŽŶŶĞĐƟǀĞ ƟƐƐƵĞ ;&ŝŐƵƌĞ ϯͿ͘ dŚĞ ŶĞŽƉůĂƐŵ ŚĂĚ ĂŶ ŝŶĮůƚƌĂƟǀĞ ŐƌŽǁƚŚ ƉĂƩĞƌŶ͘

tŚĂƚ ŝƐ ƚŚĞ ĮŶĂů ĚŝĂŐŶŽƐŝƐ͍ ^ĞĞ ƉĂŐĞ ϰϲϰ ĨŽƌ ƚŚĞ ĂŶƐǁĞƌ ĂŶĚ ĚŝƐĐƵƐƐŝŽŶ͘ Figure 2. Maxillary denture shows adjustment and reline of the area overlying the enlarging palatal mass.

Figure 3. Low-power photomicrograph showing numerous islands and cords of tumor cells and small ductlike structures forming a ƐƚƌĞĂŵŝŶŐ ƉĂƩĞƌŶ͘ Hematoxylin and eosin stain. Original ŵĂŐŶŝĮĐĂƟŽŶ ǆϭϬ͘

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Anesthesia Education & Safety Foundation, Inc. Call us at 214-384-0796 or e-mail us at sedationce@aol.com; website: www.sedationce.com

ACLS & PALS Now Available! Contact us for details. KhZ D/^^/KE͗ dŽ ƉƌŽǀŝĚĞ ĂīŽƌĚĂďůĞ͕ ƋƵĂůŝƚǇ ĂŶĞƐƚŚĞƐŝĂ ĞĚƵĐĂƟŽŶ ǁŝƚŚ ŬŶŽǁůĞĚŐĞĂďůĞ ĂŶĚ ĞǆƉĞƌŝĞŶĐĞĚ ŝŶƐƚƌƵĐƚŽƌƐ͕ ďŽƚŚ ŝŶ Ă ĐůŝŶŝĐĂů ĂŶĚ ĂĐĂĚĞŵŝĐ ŵĂŶŶĞƌ ǁŚŝůĞ ďĞŝŶŐ Ă ǀĂůƵĂďůĞ ƌĞƐŽƵƌĐĞ ƚŽ ƚŚĞ ƉƌĂĐƟƟŽŶĞƌ ĂŌĞƌ ƚŚĞ programs. Courses are designed to meet the needs of the dental profession at all levels. KhZ 'K >͗ dŽ ƚĞĂĐŚ ƐĂĨĞ ĂŶĚ ĞīĞĐƟǀĞ ĂŶĞƐƚŚĞƐŝĂ ƚĞĐŚŶŝƋƵĞƐ ĂŶĚ ŵĂŶĂŐĞŵĞŶƚ ŽĨ ŵĞĚŝĐĂů ĞŵĞƌŐĞŶĐŝĞƐ ŝŶ ĂŶ understandable manner. t,K t Z ͗ tĞ ĂƌĞ ůŝĐĞŶƐĞĚ ĂŶĚ ƉƌĂĐƟĐŝŶŐ ĚĞŶƟƐƚƐ ŝŶ dĞǆĂƐ͕ ĂŶĚ ǁĞ ƵŶĚĞƌƐƚĂŶĚ ǇŽƵƌ ŶĞĞĚƐ͘ tŚŝůĞ ŽƚŚĞƌ ƉƌŽǀŝĚĞƌƐ ĂƌĞ ŝŶ ƚŚĞ ƉƌŽĐĞƐƐ ŽĨ ĐŽŶƚĞŵƉůĂƟŶŐ ƉƌŽŐƌĂŵ ĚĞǀĞůŽƉŵĞŶƚ͕ ŽƵƌ ĐŽƵƌƐĞƐ ŚĂǀĞ ŵĞƚ ƚŚĞ 'ƵŝĚĞůŝŶĞƐ ĨŽƌ ŵŽƌĞ ƚŚĂŶ ϭϬ ǇĞĂƌƐ͘ dŚĞ ŶĞǁ ĂŶĞƐƚŚĞƐŝĂ ŐƵŝĚĞůŝŶĞƐ ǁĞƌĞ ƌĞĐĞŶƚůǇ ĂƉƉƌŽǀĞĚ ďǇ ƚŚĞ dĞǆĂƐ ^ƚĂƚĞ ŽĂƌĚ ŽĨ ĞŶƚĂů ǆĂŵŝŶĞƌƐ͘ Ɛ ƉƌĂĐƟĐŝŶŐ ĚĞŶƚĂů ĂŶĞƐƚŚĞƐŝŽůŽŐŝƐƚƐ ĂŶĚ ĞĚƵĐĂƚŽƌƐ͕ ǁĞ ŚĂǀĞ ĞƐƚĂďůŝƐŚĞĚ ĐŽŶƟŶƵŝŶŐ ĞĚƵĐĂƟŽŶ ƉƌŽŐƌĂŵƐ ƚŽ ŵĞĞƚ ƚŚĞƐĞ ŶĞĞĚƐ͘

Approved PACE Program Provider FAGD/MAGD Credit. Approval does not imply acceptance by a state of provincial board of dentistry or AGD endorsement. 8/1/2014 to 7/31/2018. Provider ID# 217924.

'U 'DYLG &DQÀHOG

'U &ODUN :KLWPLUH

ǁ t ^d/E' EKt s /> > ͊ >ŝǀĞ ĂŶĚ ĂƌĐŚŝǀĞĚ ǁĞďĐĂƐƟŶŐ ƚŽ ǇŽƵƌ ĐŽŵƉƵƚĞƌ ŝŶ ƚŚĞ ĐŽŵĨŽƌƚ ŽĨ ǇŽƵƌ ŚŽŵĞ Žƌ ŽĸĐĞ͘ EŽǁ͕ ƚŚĞƌĞ ŝƐ ŶŽ ŶĞĞĚ ƚŽ ƚƌĂǀĞů ƚŽ ƚŚĞ ĐŽƵƌƐĞ ƐŝƚĞ ƚŽ ŐĞƚ ǇŽƵƌ ĐŽŶƟŶƵŝŶŐ ĞĚƵĐĂƟŽŶ ĐƌĞĚŝƚ ĨŽƌ Ă ůĞĐƚƵƌĞ ĐŽƵƌƐĞ͘ ,ĞƌĞ ĂƌĞ ƚŚĞ ĚŝƐƟŶĐƚ ĂĚǀĂŶƚĂŐĞƐ ŽĨ ƚŚĞ ǁĞďĐĂƐƚ ;ĐŽŶƚĂĐƚ ƵƐ Ăƚ ϮϭϰͲϯϴϰͲϬϳϵϲ ƚŽ ƐĞĞ ǁŚŝĐŚ ĐŽƵƌƐĞƐ ĂƌĞ ĂǀĂŝůĂďůĞ ĨŽƌ ǁĞďĐĂƐƚͿ͗ ϭ͘ zŽƵ ĐĂŶ ƌĞĐĞŝǀĞ ĐŽŶƟŶƵŝŶŐ ĞĚƵĐĂƟŽŶ ĐƌĞĚŝƚ ĨŽƌ ƐŝŵƵůƚĂŶĞŽƵƐ ůŝǀĞ ůĞĐƚƵƌĞ ŚŽƵƌƐ͘ Ϯ͘ dŚĞƌĞ ŝƐ ŶŽ ŶĞĞĚ ƚŽ ƚƌĂǀĞů ƚŽ ƚŚĞ ƉƌŽŐƌĂŵ ůŽĐĂƟŽŶ͘ zŽƵ ĐĂŶ ƐƚĂǇ Ăƚ ŚŽŵĞ Žƌ ŝŶ ǇŽƵƌ ŽĸĐĞ ƚŽ ǀŝĞǁ ĂŶĚ ůŝƐƚĞŶ ƚŽ ƚŚĞ ĐŽƵƌƐĞ͘ ϯ͘ dŚĞƌĞ ŝƐ ŶŽƚ Ă ƉŽƐƚͲƚĞƐƚ ĂŌĞƌ ƚŚĞ ǁĞďĐĂƐƚ ĐŽƵƌƐĞ ĐŽŶĐůƵĚĞƐ͕ ƐŽ ǇŽƵ ǁŝůů ƌĞĐĞŝǀĞ ŝŵŵĞĚŝĂƚĞ ĐƌĞĚŝƚ ĨŽƌ ĂƩĞŶĚĂŶĐĞ͘ ϰ͘ zŽƵ ĐĂŶ ĞŶũŽǇ ƌĞĂůͲƟŵĞ ŝŶƚĞƌĂĐƟŽŶ ǁŝƚŚ ƚŚĞ ĐŽƵƌƐĞ ŝŶƐƚƌƵĐƚŽƌ͕ ƵƟůŝǌŝŶŐ Ă ƋƵĞƐƟŽŶ ĂŶĚ ĂŶƐǁĞƌ ĨŽƌŵĂƚ͘

EŝƚƌŽƵƐ KǆŝĚĞͬKǆǇŐĞŶ ŽŶƐĐŝŽƵƐ ^ĞĚĂƟŽŶ ŽƵƌƐĞ ĨŽƌ ĞŶƟƐƚƐ ;WůĞĂƐĞ ĐĂůů ƵƐ ĨŽƌ ĚĞƚĂŝůƐͿ͗

>ŽĐĂƟŽŶƐͬ ĂƚĞƐ͗ ƌĞĚŝƚ͗ dŝŵĞ͗ ǁ

ǀĂŝůĂďůĞ ŽŶ :ƵůǇ ϭϵ͕ ^ĞƉƚ ϳ ;DĐ<ŝŶŶĞǇͿ͖ ^ĞƉƚ ϭϯ ;,ŽƵƐƚŽŶͿ͖ KĐƚŽďĞƌ ϯ ;^ĂŶ ŶƚŽŶŝŽͿ ϭϰ ŚŽƵƌƐ ;ĐůŝŶŝĐŝĂŶƐ ŵƵƐƚ ĐŽŵƉůĞƚĞ ƚŚĞ ŽŶůŝŶĞ ƉŽƌƟŽŶ͕ ĮƌƐƚͿ ϳ͗ϬϬ Ăŵ ʹ ZĞŐŝƐƚƌĂƟŽŶ͖ ϳ͗ϯϬ Ăŵ ʹ ϱ͗ϬϬ Ɖŵ ʹ ůŝŶŝĐĂů WƌĞƐĞŶƚĂƟŽŶ

>ĞǀĞů ϭ ĂŶĚ >ĞǀĞů Ϯ ŶƚĞƌĂů ^ĞĚĂƟŽŶ ZĞŶĞǁĂů ŽƵƌƐĞƐ ;ŽŶůǇ ϭ ĚĂǇ ŶĞĞĚĞĚ ƚŽ ƌĞŶĞǁͿ͗

DĐ<ŝŶŶĞǇ͕ dĞǆĂƐ͗ ZŽĐŬƉŽƌƚ͕ dĞǆĂƐ͗ dǇůĞƌ͕ dĞǆĂƐ͗ ,ŽƵƐƚŽŶ͕ dĞǆĂƐ͗ ƵƐƟŶ͕ dĞǆĂƐ͗ ƌĞĚŝƚ͗ dŝŵĞ͗

&ƌŝ͕͘ ^ĞƉƚ͘ ϱ͖ ǁ^Ăƚ͕͘ ^ĞƉƚ͘ ϲ͕ ϮϬϭϰ ^ĂƚƵƌĚĂǇ͕ :ƵůǇ ϱ͕ ϮϬϭϰ w &ƌŝĚĂǇ͕ :ƵůǇ ϭϴ͕ ϮϬϭϰ ;ƚŚŝƐ ŝƐ Ă ǁĞďĐĂƐƚ ŽŶůǇͿ w dŚƵƌƐĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϭϭ͖ w&ƌŝĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϭϮ͖ Žƌ ^ĂƚƵƌĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϭϯ͕ ϮϬϭϰ w &ƌŝĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϭϵ͕ ϮϬϭϰ͖ w^ĂƚƵƌĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϮϬ͕ ϮϬϭϰ͖ ϴ ŚŽƵƌƐ ůĞĐƚƵƌĞ ϳ͗ϬϬ Ăŵ ʹ ZĞŐŝƐƚƌĂƟŽŶ͖ ϳ͗ϯϬ Ăŵ ʹ ϱ͗ϬϬ Ɖŵ ʹ WƌĞƐĞŶƚĂƟŽŶ

DĐ<ŝŶŶĞǇ͕ dĞǆĂƐ͗ ,ŽƵƐƚŽŶ͕ dĞǆĂƐ͗ ƵƐƟŶ͕ dĞǆĂƐ͗ ƌĞĚŝƚ͗ dŝŵĞ͗

&ƌŝĚĂǇ Θ ^ĂƚƵƌĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϱͲϲ͕ ϮϬϭϰ w &ƌŝĚĂǇ Θ ^ĂƚƵƌĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϭϮͲϭϯ͕ ϮϬϭϰ w &ƌŝĚĂǇ Θ ^ĂƚƵƌĚĂǇ͕ ^ĞƉƚĞŵďĞƌ ϭϵͲϮϬ͕ ϮϬϭϰ ϭϴ ŚŽƵƌƐ ůĞĐƚƵƌĞ ǁŝƚŚ ϮϬ ĐůŝŶŝĐĂů ĞǆƉĞƌŝĞŶĐĞƐ ϳ͗ϬϬ Ăŵ ʹ ZĞŐŝƐƚƌĂƟŽŶ͖ ϳ͗ϯϬ Ăŵ ʹ ϱ͗ϬϬ Ɖŵ ʹ WƌĞƐĞŶƚĂƟŽŶ

w w

>ĞǀĞů ϭ /ŶŝƟĂů DŝŶŝŵĂů ^ĞĚĂƟŽŶ WĞƌŵŝƚ ŽƵƌƐĞƐ͗

>ĞǀĞů Ϯ /ŶŝƟĂů DŽĚĞƌĂƚĞ ^ĞĚĂƟŽŶ ďǇ KƌĂů ĚŵŝŶŝƐƚƌĂƟŽŶ WĞƌŵŝƚ ŽƵƌƐĞ ;ŵƵƐƚ ďĞ ƉƌĞƐĞŶƚ ĨŽƌ ƚŚĞ ĐůŝŶŝĐĂů ƐĞƐƐŝŽŶͿ͗

DĐ<ŝŶŶĞǇ͕ dĞǆĂƐ͗ ,ŽƵƐƚŽŶ͕ dĞǆĂƐ͗ ƵƐƟŶ͕ dĞǆĂƐ͗ ƌĞĚŝƚ͗ dŝŵĞ͗

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DĐ<ŝŶŶĞǇ͕ dĞǆĂƐ͗ ƌĞĚŝƚ͗ dŝŵĞ͗

&ƌŝĚĂǇ͕ ^ĞƉƚĞŵďĞƌ Ϯϲ͕ ϮϬϭϰ ϴ ŚŽƵƌƐ ůĞĐƚƵƌĞͬWĂƌƟĐŝƉĂƟŽŶ ϳ͗ϯϬ Ăŵ ʹ ZĞŐŝƐƚƌĂƟŽŶ͖ ϴ͗ϬϬ Ăŵ ʹ WƌĞƐĞŶƚĂƟŽŶ ƐƚĂƌƚ ƟŵĞ

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' ŽĚĞƐ ĨŽƌ Ăůů ƉƌŽŐƌĂŵƐ͗ ϭϯϮ ŶĞƐƚŚĞƐŝĂ Θ WĂŝŶ ŽŶƚƌŽů͖ ϭϲϯ ŽŶƐĐŝŽƵƐ ^ĞĚĂƟŽŶ͖ ϭϲϰ KƌĂů ^ĞĚĂƟŽŶ dŚĞ ĂďŽǀĞ ĐŽŶƟŶƵŝŶŐ ĞĚƵĐĂƟŽŶ ƉƌŽŐƌĂŵƐ ĨƵůĮůů ƚŚĞ d^ ZƵůĞ ϭϭϬ ƉƌĂĐƟƟŽŶĞƌ ƌĞƋƵŝƌĞŵĞŶƚ ŝŶ ƚŚĞ ƉƌŽĐĞƐƐ ƚŽ ŽďƚĂŝŶ ƐĞůĞĐƚĞĚ ^ĞĚĂƟŽŶ ƉĞƌŵŝƚƐ͘ dŚŝƐ ŝƐ ŽŶůǇ Ă ƉĂƌƟĂů ůŝƐƟŶŐ ŽĨ ƐĞĚĂƟŽŶ ĐŽƵƌƐĞƐ͘ WůĞĂƐĞ ĐŽŶƐƵůƚ ŽƵƌ ǁĞďƐŝƚĞ ĨŽƌ ƵƉĚĂƚĞƐ ĂŶĚ ŶĞǁ ƉƌŽŐƌĂŵƐ͘ &ŝŶĚ ƵƐ ŽŶ ƚŚĞ ǁĞď Ăƚ ǁǁǁ͘ƐĞĚĂƟŽŶĐĞ͘ĐŽŵ͘ Ăůů ƵƐ Ăƚ ϮϭϰͲϯϴϰͲϬϳϵϲ ƚŽ ƌĞŐŝƐƚĞƌ ĨŽƌ ĂŶǇ ƉƌŽŐƌĂŵ͘

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I T E E M

ĚĚƌĞƐƐ ƚŽ ƚŚĞ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ,ŽƵƐĞ ŽĨ ĞůĞŐĂƚĞƐ DĂǇ ϭ͕ ϮϬϭϰ ĂǀŝĚ ͘ ƵŶĐĂŶ͕ ^ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ WƌĞƐŝĚĞŶƚ

t’s hard to believe this year is over. Seems like only yesterday I was standing ŝŶ ĨƌŽŶƚ ŽĨ ǇŽƵ ƚŽƵƟŶŐ ǁŚĂƚ / ƚŚŽƵŐŚƚ ƚŚŝƐ ǇĞĂƌ ǁŽƵůĚ ĞŶƚĂŝů͘ Ƶƚ / ŐƵĞƐƐ ůŝŬĞ ƐŽ ŵĂŶǇ ďĞĨŽƌĞ ŵĞ ŚĂǀĞ ĨŽƵŶĚ ŽƵƚ͕ ǇŽƵ ĐĂŶ͛ƚ ĂŶƟĐŝƉĂƚĞ ǁŚĂƚ ŝƐ ƚŽ ĐŽŵĞ͘ dŚŝƐ ŚĂƐ ďĞĞŶ Ă ŚƵŵďůŝŶŐ͕ ǇĞƚ ŐƌĂƟĨǇŝŶŐ͕ ĞǆƉĞƌŝĞŶĐĞ͕ ĂŶĚ ŽŶĞ ƚŚĂƚ / ǁŝůů remember fondly because of all the people I have met and now call friends. / ĂŐƌĞĞ ǁŝƚŚ ǁŚĂƚ ŽŶĞ ŽĨ ŵǇ ŽĂƌĚ ŵĞŵďĞƌƐ ƐĂŝĚ͗ ͞zĞĂƌƐ ĨƌŽŵ ŶŽǁ / ǁŽŶ͛ƚ ƌĞŵĞŵďĞƌ ǁŚĂƚ ůĞŐŝƐůĂƟŽŶ ǁĞ ƉĂƐƐĞĚ Žƌ ǁŚĂƚ ŵĞŐĂͲƚŽƉŝĐ ǁĞ ĚŝƐĐƵƐƐĞĚ͕ ďƵƚ / ǁŝůů ƌĞŵĞŵďĞƌ ǁŝƚŚ ǁŚŽŵ / ĚŝĚ ŝƚ͘͟ &Žƌ ŵĞ͕ ŝƚ͛Ɛ ĂůǁĂǇƐ ďĞĞŶ ŵŽƌĞ ĂďŽƵƚ ƚŚĞ ƉĞŽƉůĞ ƚŚĂŶ ƚŚĞ ǁŽƌŬ͘ tŚŝůĞ ǁĞ Ăůů ǁĂŶƚ ƚŽ ŵĂŬĞ Ă ĚŝīĞƌĞŶĐĞ͕ / ƚŚŝŶŬ ǁĞ ůŽƐĞ ŽƵƚ if we don’t also make friends along the way. ZĂƚŚĞƌ ƚŚĂŶ ŐŝǀĞ ǇŽƵ ƐŽŵĞ ƉŚŝůŽƐŽƉŚŝĐĂů ĂĐĐŽƵŶƚ ĂŶĚ ũƵƐƟĮĐĂƟŽŶ ŽĨ ǁŚĂƚ ǇŽƵƌ ŽĂƌĚ ŚĂƐ ĚŽŶĞ ƚŚŝƐ ǇĞĂƌ͕ / ũƵƐƚ ǁĂŶƚ ƚŽ ƚĂůŬ ƚŽ ǇŽƵ ĂƐ ŝĨ ǁĞ ǁĞƌĞ ĨƌŝĞŶĚƐ ŚĂǀŝŶŐ ĐŽīĞĞ ŽŶ Ă &ƌŝĚĂǇ ŵŽƌŶŝŶŐ͕ ďĞĨŽƌĞ ůŝĨĞ ƐƟĐŬƐ ŝƚƐ ŚĞĂĚ ŝŶƚŽ ŽƵƌ ĚĂǇ͕ ĂŶĚ ǁĞ ŚĂǀĞ to go and deal with it... >Ğƚ͛Ɛ ŐŽ ƚŽ :ƵŶĞ ϮϬϭϯ͕ ƐŚŽƌƚůǇ ĂŌĞƌ ĂŶŶƵĂů ƐĞƐƐŝŽŶ͘ /͛ŵ ŝŶ ĞŶǀĞƌ ƐŝƫŶŐ ŽŶ ƚŚĞ ƌƵŶǁĂǇ ǁĂŝƟŶŐ ƚŽ ƚĂŬĞ Žī͕ ĂŶĚ / ƌĞĐĞŝǀĞ ĂŶ ĞŵĂŝů͘ /ƚ͛Ɛ ĂŶ ĞŵĂŝů ĨƌŽŵ d ͛Ɛ

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ůŽŶŐͲƟŵĞ ďĞŶĞĮƚ ĐŽŶƐƵůƚĂŶƚ ZŝĐŬ ZŝĐŚĂƌĚƐŽŶ ƚŽ ƚŚĞ & /͕ ĂŶĚ ƚŚĞ d ŝƐ ĐĂƌďŽŶ ĐŽƉŝĞĚ͘ /ƚ ĚĞƚĂŝůƐ ŚŽǁ ZŝĐŚĂƌĚƐŽŶ ŵŝƐŵĂŶĂŐĞĚ ŽƵƌ ĞŵƉůŽǇĞĞƐ͛ ƉĞŶƐŝŽŶ ƉůĂŶ͕ ĞƐƐĞŶƟĂůůǇ ĚĞƉůĞƟŶŐ ŝƚ ŽĨ ŵŽƌĞ ƚŚĂŶ Ψϭ ŵŝůůŝŽŶ͕ and to a large degree using those ĨƵŶĚƐ ĨŽƌ ƉĞƌƐŽŶĂů ŐĂŝŶ͘ dŚƌŽƵŐŚ ĐŽƵŶƚůĞƐƐ ĚŝƐĐƵƐƐŝŽŶƐ ǁŝƚŚ ĂƩŽƌŶĞǇƐ͕ the Department of Labor, and the & /͕ / ĐĂŶ ƚĞůů ǇŽƵ ƚŚĂƚ ĞĂĐŚ ŽĨ ƚŚŽƐĞ ĞŶƟƟĞƐ ŚĂƐ ĐůĂƐƐŝĮĞĚ d ĂƐ ƚŚĞ ǀŝĐƟŵ ŽĨ Ă ĐƌŝŵĞ͘ /Ŷ ƚŚĞ ƐĂŵĞ ďƌĞĂƚŚ͕ I am pleased to tell you that progress has been made on recovering those funds through insurance policies ƚŚĂƚ ƉƌĞǀŝŽƵƐ d ůĞĂĚĞƌƐŚŝƉ ŚĂĚ ƚŚĞ ĨŽƌĞƐŝŐŚƚ ƚŽ ĂĐƋƵŝƌĞ͘ &ĂƐƚ ĨŽƌǁĂƌĚ ƚŽ ůĂƚĞ :ƵŶĞ Žƌ ĞĂƌůǇ :ƵůǇ͕ ĂŶĚ ŝƚ ďĞĐŽŵĞƐ ŽďǀŝŽƵƐ ƚŚĂƚ ƚŚĞ d ŶĞĞĚƐ ƚŽ ƌĞƉůĂĐĞ ŝƚƐ ŶĞǁůǇ ŚŝƌĞĚ ĞǆĞĐƵƟǀĞ ĚŝƌĞĐƚŽƌ͘ dŚŽƵŐŚ / am limited on what I can say on the ŵĂƩĞƌ͕ / ĐĂŶ ƐĂǇ ĨŽƌ ĐĞƌƚĂŝŶ ƚŚĂƚ ŝƚ was not at all easy, but it was in the ŵĞŵďĞƌƐ͛ ďĞƐƚ ŝŶƚĞƌĞƐƚ ƚŚĂƚ ƚŚĞ ŽĂƌĚ proceed. I am pleased to tell you ƚŚĂƚ Ă ďůƵĞ ƌŝďďŽŶ ƐĞĂƌĐŚ ĐŽŵŵŝƩĞĞ ďƌŽƵŐŚƚ ϯ ĞǆƚƌĞŵĞůǇ ƋƵĂůŝĮĞĚ ĐĂŶĚŝĚĂƚĞƐ ĨŽƌ ĐŽŶƐŝĚĞƌĂƟŽŶ ƚŽ ƚŚĞ ŽĂƌĚ ĂŶĚ ƚŚĂƚ ƚŚĞ ŽĂƌĚ ŚĂƐ ĐŚŽƐĞŶ Ă ǀĞƌǇ ƋƵĂůŝĮĞĚ ĂŶĚ ƉƌŽǀĞŶ ůĞĂĚĞƌ ĨŽƌ ƚŚĞ ũŽď͘ / Ăŵ ĞǆĐŝƚĞĚ ƚŽ ǁĂƚĐŚ d grow as he takes the reins this month, and I have a good feeling about this change. Now, present day, we have a dilemma ǁŝƚŚ Ă ƐƵƉƉůŝĞƌ ŽĨ d WĞƌŬƐ ĐĂůůĞĚ Ͷ suitably, but perhaps unfortunately Ͷ d WĞƌŬƐ ^ƵƉƉůŝĞƐ͕ ǁŚŝĐŚ ĂŝŵƐ to provide savings to members on ǀĂƌŝŽƵƐ ĚĞŶƚĂů ƐƵƉƉůŝĞƐ͘ ƐƐĞŶƟĂůůǇ͕ the agreement with this vendor ŝƐ Ă ŐŽŽĚ ƚŚŝŶŐ ĨŽƌ ŵĞŵďĞƌƐ͘ dŚĞ &ŝŶĂŶĐŝĂů ^ĞƌǀŝĐĞƐ /ŶĐ ;&^/Ϳ ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ƚŚŽƵŐŚƚ ŝƚ ǁĂƐ Ă ƉŽƐŝƟǀĞ ĂŶĚ ďĞŶĞĮĐŝĂů ĞŶĚŽƌƐĞŵĞŶƚ ĂŶĚ ƐƟůů ƚŚŝŶŬƐ ƐŽ͘ zŽƵƌ d ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ thought it was a good thing, and for ƚŚĞ ŵŽƐƚ ƉĂƌƚ͕ ŝƐ ƐƟůů ƐƵƉƉŽƌƟǀĞ ŽĨ ƚŚĞ ƉƌŽŐƌĂŵ͘ ,ŽǁĞǀĞƌ͕ ĂŶ ƵŶĨŽƌƚƵŶĂƚĞ

WƌĞƐŝĚĞŶƚ ƌ ĂǀŝĚ ƵŶĐĂŶ ŽĨ ŵĂƌŝůůŽ ƌĞĐĞŝǀĞĚ Ăƚ ƚŚĞ ϮϬϭϰ ,ŽƵƐĞ ŽĨ ĞůĞŐĂƚĞƐ ĂŶ ĂǁĂƌĚ ĨƌŽŵ ƚŚĞ ŵĞƌŝĐĂŶ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ĨŽƌ ŚŝƐ ƐĞƌǀŝĐĞ ĂƐ president of the TDA. Texas Dental Journal l www.tda.org l June 2014

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1 4 4 T H A N N U A L S E S S I O N of the T E X A S D E N T A L A S S O C I A T I O N

S A X E T result of our new partnership with this new vendor is that several main dental suppliers now see TDA as a ĐŽŵƉĞƟŶŐ ĞŶƟƚǇ͘ dŚĞ ƉƌŽďůĞŵƐ / ƐĞĞ ŽŶ ƚŚĞ ŚŽƌŝǌŽŶ ĂƌĞ ƚŚĞ ĞīĞĐƚƐ ƚŚĂƚ ƚŚŝƐ ŶĞǁ ƌĞůĂƟŽŶƐŚŝƉ ǁŝůů ŚĂǀĞ ŽŶ this ŵĞĞƟŶŐ͕ ƚŚĞ ĂůůĂƐ ĂŶĚ ,ŽƵƐƚŽŶ ŵĞĞƟŶŐƐ͕ ƚŚĞ dĞǆĂƐ DŝƐƐŝŽŶƐ ŽĨ DĞƌĐǇ ƚŚĂƚ ŚĂǀĞ ĂůǁĂǇƐ ďĞĞŶ ƐƵƉƉŽƌƚĞĚ ďǇ ƚŚĞ ŵĂũŽƌ ƐƵƉƉůŝĞƌƐ͕ ĂŶĚ ƚŚĞ ĐŽƵŶƚůĞƐƐ ůŽĐĂů ĐŽŵƉŽŶĞŶƚƐ ƚŚĂƚ ƌĞůǇ ŽŶ ĐŽŶƚƌŝďƵƟŽŶƐ ĂŶĚ ĚŽŶĂƟŽŶƐ ĨƌŽŵ ƚŚŽƐĞ ƐƵƉƉůŝĞƌƐ͘ &^/ ǁĂƐ ĐƌĞĂƚĞĚ ƚŽ ŚĞůƉ ŐĞŶĞƌĂƚĞ ŶŽŶͲĚƵĞƐ ƌĞǀĞŶƵĞ ĂŶĚ͕ ŝŶ ƚƵƌŶ͕ ŬĞĞƉ ŽƵƌ ĚƵĞƐ ĂƐ ůŽǁ ĂƐ ƉŽƐƐŝďůĞ͕ ĂŶĚ ƚŚŝƐ ůĂƚĞƐƚ ĞŶĚŽƌƐĞŵĞŶƚ ŝƐ ŶŽƚŚŝŶŐ ŵŽƌĞ ƚŚĂŶ ŽŶĞ ŽĨ ƚŚŽƐĞ ŶƵŵĞƌŽƵƐ ĐŽŵƉĂŶŝĞƐ &^/ ŚĂƐ ĞŶĚŽƌƐĞĚ ŽǀĞƌ ƚŚĞ ǇĞĂƌƐ͕ ǁŚŝĐŚ ŚĂǀĞ ŝŶ ƚƵƌŶ ŐĞŶĞƌĂƚĞĚ ŶŽŶͲĚƵĞƐ ŝŶĐŽŵĞ ƚŽ ďĞŶĞĮƚ ǇŽƵ͕ ƚŚĞ ŵĞŵďĞƌ͘ tĞ ĂƌĞ not ŝŶ ƚŚĞ ƐƵƉƉůǇ ďƵƐŝŶĞƐƐ ĂŶǇ ŵŽƌĞ

ƚŚĂŶ ǁĞ ĂƌĞ ŝŶ ƚŚĞ ŐůŽǀĞ ďƵƐŝŶĞƐƐ Žƌ ƚŚĞ ĐƌĞĚŝƚ ĐĂƌĚ ƉƌŽĐĞƐƐŝŶŐ ďƵƐŝŶĞƐƐ͕ Žƌ ƚŚĞ ĂƵƚŽ ůĞĂƐŝŶŐ ďƵƐŝŶĞƐƐ͘ ŶŽƚŚĞƌ ƚǁŝƐƚ ŝŶ ƚŚŝƐ ŵĂƩĞƌ ŝƐ ƚŚĂƚ ƚŚĞ d ŽĂƌĚ ĚŽĞƐ ŶŽƚ ĞǆĞƌĐŝƐĞ ĂƵƚŚŽƌŝƚǇ ŽǀĞƌ &^/ ĂĐƟǀŝƟĞƐ Žƌ ǁŚŽŵ ƚŚĞǇ ĞŶĚŽƌƐĞ͘ ƵĞ ƚŽ ƚŚĞ ĐŽŵƉůĞǆ ŶĂƚƵƌĞ ŽĨ ŶŽŶͲƉƌŽĮƚ ŽƌŐĂŶŝǌĂƟŽŶƐ͕ &^/ ŝƐ ŝƚƐ ŽǁŶ ĞŶƟƚǇ͘ dŚĞ d ŽĂƌĚ ĐĂŶ ŵĂŬĞ ƐƵŐŐĞƐƟŽŶƐ ĂŶĚ ƌĞƋƵĞƐƚƐ͕ ďƵƚ &^/ ŚĂƐ ĐŽŵƉůĞƚĞ ĂƵƚŽŶŽŵǇ ǁŚĞŶ ŽƉĞƌĂƟŶŐ ŝƚƐ ďƵƐŝŶĞƐƐ͘ ,ŽǁĞǀĞƌ͕ ƚŚŝƐ ĚŽĞƐ ŶŽƚ ĐŚĂŶŐĞ ƚŚĞ ĨĂĐƚ ƚŚĂƚ ƚŚŝƐ ŝƐ ĂīĞĐƟŶŐ d ͕ d ƐƚĂī͕ ƚŚŝƐ ŵĞĞƟŶŐ͕ ĂŶĚ ŽƵƌ ƌĞůĂƟŽŶƐŚŝƉ ǁŝƚŚ ŽƵƌ ǀĞŶĚŽƌƐ ƚŚĂƚ ďĞĨŽƌĞ ƚŚŝƐ ǇĞĂƌ͕ ǇŽƵ ƐĂǁ ĮůůŝŶŐ ŽƵƌ ĞǆŚŝďŝƚ ŇŽŽƌ͘ tŚĂƚ ǁĞ ƐĂǁ ĂƐ Ă ŵĞŵďĞƌ ďĞŶĞĮƚ ĂŶĚ ƐĞƌǀŝĐĞ͕ ƚŚĞ ŵĂũŽƌ ƐƵƉƉůŝĞƌƐ ƐĞĞ ĂƐ Ă ĐŽŶĐĞƌŶ͘ tŝƚŚ the withdrawal of their presence and ƐƵďƐĞƋƵĞŶƚ ƐƵƉƉŽƌƚ ĨŽƌ ŽƵƌ ŵĞĞƟŶŐ͕ ĂŶĚ ŝŶ ƚƵƌŶ ǇŽƵ͕ ƚŚĞ ŵĞŵďĞƌ͕ ǁĞ ǁŝůů

Panhandle (18th) District Dental Society Secretary/Treasurer Dr Folger B. sĂůůĞƩĞ /// ŽĨ ĂŶǇŽŶ Ăƚ ƚŚĞ ϮϬϭϰ ,ŽƵƐĞ ŽĨ ĞůĞŐĂƚĞƐ ƉƌĞƐĞŶƚƐ WƌĞƐŝĚĞŶƚ ƌ ĂǀŝĚ ƵŶĐĂŶ ŽĨ ŵĂƌŝůůŽ ǁŝƚŚ Ă ŐŝŌ ĨŽƌ ŚŝƐ ƐĞƌǀŝĐĞ ƚŽ ƚŚĞ ƐƐŽĐŝĂƟŽŶ͘

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ŚĂǀĞ ƚŽ ĞǆĂŵŝŶĞ ǁŚĂƚ ƚŚŝƐ ǁŝůů ĚŽ ƚŽ ŽƵƌ ŝŶĐŽŵĞ ĨƌŽŵ ƚŚĞ ŵĞĞƟŶŐ ĂŶĚ ĐŽŵƉĂƌĞ ƚŚĞ ƚǁŽ͘ tŚŝĐŚ ŝƐ ŵŽƌĞ ŽĨ Ă ďĞŶĞĮƚ ƚŽ ǇŽƵ͕ ƚŚĞ ŵĞŵďĞƌ͗ ƚŚĞ ƐĂǀŝŶŐƐ ǇŽƵ ŵĂǇ ƌĞĐĞŝǀĞ ƚŚƌŽƵŐŚ d WĞƌŬƐ ^ƵƉƉůŝĞƐ ĂŶĚ ƚŚĞ ĂďŝůŝƚǇ ƚŽ ŬĞĞƉ ĚƵĞƐ ůŽǁ͕ or the amount we receive in revenue from these companies ƚŚƌŽƵŐŚ ďŽŽƚŚ ƌĞŶƚĂůƐ͕ ĚŽŶĂƚĞĚ ŐŽŽĚƐ͕ ĚŽůůĂƌƐ ƚŽ ŽƵƌ ŵĞĞƟŶŐƐ͕ dDKD ĚŽŶĂƟŽŶƐ͕ ĂŶĚ ƐƉŽŶƐŽƌƐŚŝƉ ŽĨ ůŽĐĂů ĐŽŵƉŽŶĞŶƚ ĨƵŶĐƟŽŶƐ͍ dŚŝƐ ǁŝůů ĐĞƌƚĂŝŶůǇ ďĞ ĂŶ ŝƐƐƵĞ d ĂŶĚ ǇŽƵƌ ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ ŵƵƐƚ ƌĞƐŽůǀĞ͘ /Ŷ ĐůŽƐŝŶŐ͕ ƚŚŝƐ ŚĂƐ ďĞĞŶ ĂŶ ĞǀĞŶƞƵů ǇĞĂƌ ƚŽ ƐĂǇ ƚŚĞ ůĞĂƐƚ͘ / ĐĂŶ ƐĂĨĞůǇ ƐĂǇ ƚŚĂƚ ŵǇ ƉƌĞƐŝĚĞŶĐǇ ĂŶĚ ƚŚŝƐ ŽĂƌĚ ǁĞƌĞ ƉƵƚ ƚŽ ƚŚĞ ƚĞƐƚ͖ ŚŽǁĞǀĞƌ͕ ǁŝƚŚ d ͛Ɛ ŽƵƚƐƚĂŶĚŝŶŐ ůĞĂĚĞƌƐŚŝƉ͕ ǀŽůƵŶƚĞĞƌƐ͕ ĂŶĚ ƚŚĞ d ƐƚĂī͕ ǁĞ ŚĂǀĞ ƉĞƌƐĞǀĞƌĞĚ͘ dŚĞ ĂďƐĞŶĐĞ ŽĨ ĂŶ ĞǆĞĐƵƟǀĞ ĚŝƌĞĐƚŽƌ ƌĞƐƵůƚĞĚ ŝŶ ƌ DŝĐŚĂĞů ^ƚƵĂƌƚ͛Ɛ ŽƵƚƐƚĂŶĚŝŶŐ ĐŽŵŵŝƐƐŝŽŶ ĂƐ ŝŶƚĞƌŝŵ ĞǆĞĐƵƟǀĞ ĚŝƌĞĐƚŽƌ͘ dŚĞ ůŽƐƐ ŽĨ ŽƵƌ ĞŵƉůŽǇĞĞƐ͛ ƉĞŶƐŝŽŶ ƉůĂŶ ŚĂƐ ĨŽƌĐĞĚ ƵƐ ƚŽ ƚĂŬĞ Ă ŚĂƌĚ ůŽŽŬ Ăƚ d ͛Ɛ ŝŶǀĞƐƚŵĞŶƚ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂŶĚ ƉƌŽǀŝƐŝŽŶƐ͘ ŶĚ͕ ƚŚĞ ĂŐƌĞĞŵĞŶƚƐ ƚŚƌŽƵŐŚ d WĞƌŬƐ ǁŝůů ŚĞůƉ ƵƐ ĚĞƚĞƌŵŝŶĞ ĨƵƚƵƌĞ ŶĞŐŽƟĂƟŽŶƐ ĂŶĚ ƉƌŽƚŽĐŽůƐ͘ ^ŽŵĞŽŶĞ ŽŶĐĞ ƐĂŝĚ͕ ͞dƌŝĂůƐ ƚĞĂĐŚ ƵƐ ǁŚĂƚ ǁĞ ĂƌĞ͖ ƚŚĞǇ ĚŝŐ ƵƉ ƚŚĞ ƐŽŝů ĂŶĚ ůĞƚ ƵƐ ƐĞĞ ǁŚĂƚ ǁĞ ĂƌĞ ŵĂĚĞ ŽĨ͘͟ tĞ are the TDA and all that that means ĂŶĚ ŝŵƉůŝĞƐ͘ tĞ ǁŝůů ŐĞƚ ƚŚƌŽƵŐŚ ƚŚŝƐ ƐƚƌŽŶŐĞƌ͕ ŵŽƌĞ ĞĸĐŝĞŶƚ͕ ĂŶĚ Ă ďĞƩĞƌ ƉƌŽǀŝĚĞƌ ŽĨ ŵĞŵďĞƌ ƐĞƌǀŝĐĞƐ͘ dŚĂŶŬ ǇŽƵ ĨŽƌ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƐĞƌǀĞ ĂƐ ƚŚĞ ƉƌĞƐŝĚĞŶƚ ŽĨ ƚŚŝƐ ŐƌĞĂƚ ŽƌŐĂŶŝǌĂƟŽŶ͘ /ƚ ǁĂƐ ĂŶ ĞǆƉĞƌŝĞŶĐĞ / ǁŝůů ŶĞǀĞƌ ĨŽƌŐĞƚ͘

FIND OUT WITH AN INSTANT RATE QUOTE FROM PSIC. Scan or Visit www.profsolutions.com/dentalquote

Call 800-718-1007, ext. 9191 www.profsolutions.com Malpractice insurance is underwritten by Professional Solutions Insurance Company. 14001 University Avenue | Clive, Iowa 50325-8258 ÂŠ2013 PSIC NFL 9663

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S A X E T NG

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dƌƵƐƚĞĞ͛Ɛ ĚĚƌĞƐƐ ƚŽ ƚŚĞ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ,ŽƵƐĞ ŽĨ ĞůĞŐĂƚĞƐ DĂǇ ϭ͕ ϮϬϭϰ ,ŝůƚŽŶ /ƐƌĂĞůƐŽŶ͕ ^ ŵĞƌŝĐĂŶ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ϭϱƚŚ ŝƐƚƌŝĐƚ dƌƵƐƚĞĞ

ƚ͛Ɛ ĂŶ ŚŽŶŽƌ ƚŽ ďĞ ǇŽƵƌ ƚƌƵƐƚĞĞ ĂƐ / ĐŽŵƉůĞƚĞ ŵǇ ƚŚŝƌĚ ǇĞĂƌ ƐĞƌǀŝŶŐ dĞǆĂƐ ŽŶ ƚŚĞ ŽĂƌĚ ŽĨ dƌƵƐƚĞĞƐ͘ / ǁĂŶƚ ǇŽƵ Ăůů ƚŽ ŬŶŽǁ ŚŽǁ ŵƵĐŚ / ĂƉƉƌĞĐŝĂƚĞ all the support that you give me. I would like to again acknowledge our ADA WƌĞƐŝĚĞŶƚ ƌ ŚĂƌůĞƐ EŽƌŵĂŶ ĂŶĚ ĂůƐŽ ƌ ĂƌŽů ^ƵŵŵĞƌŚĂǇƐ͕ ŽƵƌ ϭϯƚŚ ŝƐƚƌŝĐƚ ƚƌƵƐƚĞĞ ƌĞƉƌĞƐĞŶƟŶŐ ĂůŝĨŽƌŶŝĂ͘ WĞƚĞƌ ƌƵĐŬĞƌ ĨĂŵŽƵƐůǇ ǁƌŽƚĞ͕ ͞KŶĐĞ ƚŚĞ ĨĂĐƚƐ ďĞĐŽŵĞ ĐůĞĂƌ͕ ƚŚĞ ĚĞĐŝƐŝŽŶ ũƵŵƉƐ ŽƵƚ Ăƚ ǇŽƵ͘͟ / ĂŐƌĞĞ ǁŝƚŚ ŚŝŵͶǁĞ ĐĂŶ͛ƚ ŵĂŬĞ ƚŚĞ ƌŝŐŚƚ ĚĞĐŝƐŝŽŶƐ ĂďŽƵƚ which way we should go if we don’t have a clear sense of where we are. It’s so important for us to slow down and honestly consider the facts about the ADA ĂŶĚ ƚŚĞ ůĂƌŐĞƌ ƐƚĂƚĞ ŽĨ ĚĞŶƟƐƚƌǇ ŝŶ ŵĞƌŝĐĂ ĂƐ ŽĨ DĂǇ ϯ͕ ϮϬϭϰ͘ tŚĞŶ ǁĞ ĚŽ ƚŚŝƐ͕ ǁĞ ĮŶĚ ƚŚĂƚ ŽƵƌ ŽƌŐĂŶŝǌĂƟŽŶ ĂŶĚ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ ĂƌĞ ĨĂĐĞĚ ǁŝƚŚ Ă ŶƵŵďĞƌ ŽĨ ƐĞƌŝŽƵƐ ĚŝĸĐƵůƟĞƐ͘ tŚĂƚ ƚŚĞ ĨĂĐƚƐ ďĞŐŝŶ ƚŽ ĚĞƉŝĐƚ ŝƐ Ă ŬŝŶĚ ŽĨ ͞ƉĞƌĨĞĐƚ ƐƚŽƌŵ͟ŽĨ ĐŚĂůůĞŶŐĞƐ͘ dŚĞ ĮŶĚŝŶŐƐ ŽĨ ƚŚĞ ŶǀŝƌŽŶŵĞŶƚĂů ^ĐĂŶ ŚĂǀĞ ĂůůŽǁĞĚ ƵƐ ƚŽ ŐůŝŵƉƐĞ ƚŚĞ ĨƵƚƵƌĞ ĂƐ ŝƚ ƉĞƌƚĂŝŶƐ ƚŽ ĚĞŶƟƐƚƌǇ͘ ^ĞǀĞƌĂů ŝŵƉŽƌƚĂŶƚ ƐƚƌƵĐƚƵƌĂů ĐŚĂŶŐĞƐ ŚĂǀĞ ŽĐĐƵƌƌĞĚ ŝŶ ƚŚĞ ĚĞŶƚĂů ĐĂƌĞ ƐĞĐƚŽƌ ŝŶ ƌĞĐĞŶƚ ǇĞĂƌƐ͘ dŚĂŶŬƐ ƚŽ ƚŚĞ ƐĐĂŶ͕ ǁĞ ŶŽǁ ŬŶŽǁ ũƵƐƚ ŚŽǁ ŵƵĐŚ ĂŶĚ ƚŽ ǁŚĂƚ ĚĞŐƌĞĞ ƚŚĞƐĞ ƐƚƌƵĐƚƵƌĂů ĐŚĂŶŐĞƐ ŚĂǀĞ ĞīĞĐƚĞĚ ĚĞŶƟƐƚƌǇ͘ >ŝŬĞ Ă ƐŚŝƉ ŽƵƚ Ăƚ ƐĞĂ ƚŚĂƚ ĮŶĚƐ ŝƚƐĞůĨ ƐƵƌƌŽƵŶĚĞĚ ďǇ ŵƵůƟƉůĞ ƐƚŽƌŵƐ͕ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ

ŵĞƌŝĐĂŶ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ϭϱƚŚ ŝƐƚƌŝĐƚ dƌƵƐƚĞĞ ƌ ,ŝůƚŽŶ /ƐƌĂĞůƐŽŶ ŽĨ &ƌŝƐĐŽ ĂĚĚƌĞƐƐĞƐ ƚŚĞ ϮϬϭϰ d ,ŽƵƐĞ ŽĨ Delegates. ĮŶĚƐ ŝƚƐĞůĨ ŝŶ ƚŚĞ ŵŝĚƐƚ ŽĨ Ă ƐĞĂ ŽĨ ĐŚĂŶŐĞ͘ ŝĸĐƵůƟĞƐ ĂƌĞ ĐŽŵŝŶŐ ĨƌŽŵ ĞǀĞƌǇ ĚŝƌĞĐƟŽŶ͘ We look to the east and see the ƚŚƌĞĂƚĞŶŝŶŐ ĐůŽƵĚƐ ŽĨ ŐĞŶĞƌĂƟŽŶĂů ŝŶĚŝīĞƌĞŶĐĞ ŵŽǀŝŶŐ ƐƚĞĂĚŝůǇ ƚŽǁĂƌĚ ƵƐ͘ dŚŝƐ ŝƐ ƚŚĞ ĮƌƐƚ ƐƚŽƌŵ ǁĞ ĂƌĞ ĨĂĐŝŶŐͶĨĞǁĞƌ ĂŶĚ ĨĞǁĞƌ ƉĞŽƉůĞ ĂƌĞ ŐŽŝŶŐ ƚŽ ƚŚĞ ĚĞŶƟƐƚ͕ ĞƐƉĞĐŝĂůůǇ ĂŵŽŶŐ ƚŚŽƐĞ ďĞƚǁĞĞŶ ƚŚĞ ĂŐĞƐ ŽĨ ϭϵͲϯϰ͘ dŚĞ ŶƵŵďĞƌƐ ĂƌĞ ƵŶĚĞŶŝĂďůĞ͘ ^ŝŶĐĞ ϮϬϬϴ͕ ƚŚĞ ƐĞŐŵĞŶƚ ŽĨ ƚŚĞ ƉŽƉƵůĂƟŽŶ ƚŚĂƚ͛Ɛ seen the largest increase is what ǁĞ͛Ě ĐĂůů ƚŚĞ ͞ ĂƐƵĂů ĂŶĚ ĂƵƟŽƵƐ͟ ƐĞŐŵĞŶƚͶƚŚŽƐĞ ǁŚŽ ĂƌĞ ŶŽƚ ĞŶŐĂŐĞĚ with their dental health, who don’t think they have any current need, and that are especially cost-conscious. KǀĞƌ ƚŚĞ ůĂƐƚ ϲ ǇĞĂƌƐ ƚŚĞ ŶƵŵďĞƌƐ ŽĨ ͞ ĂƐƵĂů ĂŶĚ ĂƵƟŽƵƐ͟ ŚĂǀĞ ŝŶĐƌĞĂƐĞĚ ďǇ ϯϯй͕ ďĞĐŽŵŝŶŐ ƚŚĞ ůĂƌŐĞƐƚ segment of consumers. zŽƵŶŐ ƉĞŽƉůĞ ƐŝŵƉůǇ ĂƌĞŶ͛ƚ ŐŽŝŶŐ ƚŽ ƚŚĞ ĚĞŶƟƐƚ͘ ŶĚ ƚŚŽƵŐŚ ƉĂƌƚ ŽĨ ƚŚĞ ƌĞĂƐŽŶ ĨŽƌ ƚŚŝƐ ƉƌŽďůĞŵ ŝƐ ĮŶĂŶĐŝĂů͕ ƚŚĞ ƚƌĞŶĚ ƐƚĂƌƚĞĚ ϱ Žƌ ϲ ǇĞĂƌƐ ďĞĨŽƌĞ

ƚŚĞ ϮϬϬϴ ƌĞĐĞƐƐŝŽŶ͘ dŚĞ ƉƌŽďůĞŵ ŝƐ ĚĞĞƉĞƌ ƚŚĂŶ ŵŽŶĞǇ͖ ŝƚ͛Ɛ Ă ŵŝŶĚƐĞƚ͘ We need to change the message of ĚĞŶƟƐƚƌǇ ƚŽ ƌĞĂĐŚ ƚŚŝƐ ƐĞŐŵĞŶƚ ĂŶĚ ĐŚĂůůĞŶŐĞ ŝƚƐ ƚŚŝŶŬŝŶŐ͘ Ɛ Ă ŐĞŶĞƌĂƟŽŶ becomes harmfully disengaged, every ŽŶĞ ŽĨ ƵƐ ŝƐ ĂīĞĐƚĞĚ͘ dŚŝƐ ŝƐŶ͛ƚ ũƵƐƚ ďĂĚ ĨŽƌ ƚŚĞ ŐĞŶĞƌĂů ƉƵďůŝĐ͖ ŝƚ͛Ɛ ďĂĚ ĨŽƌ business, causing us to feel pressure ƚŽ ĮŶĚ ǁĂǇƐ ƚŽ ŵĂŬĞ ƵƉ ĨŽƌ ƚŚĞŝƌ absence. Ƶƚ ƚŚĞƌĞ ŝƐ ĂŶŽƚŚĞƌ ƐƚŽƌŵ ĐĞůů ĚĞǀĞůŽƉŝŶŐ ŝŶ ƚŚĞ ŽƉƉŽƐŝƚĞ ĚŝƌĞĐƟŽŶ͕ ĂŶĚ ŐĞƫŶŐ ĐůŽƐĞƌ ƚŽ ƵƐ ĞǀĞƌǇ ĚĂǇ͘ tĞ ůŽŽŬ ƚŽ ƚŚĞ ǁĞƐƚ ĂŶĚ ĮŶĚ ƚŚĞ ƐƚŽƌŵ of challenges brought about by the īŽƌĚĂďůĞ ĂƌĞ Đƚ ; Ϳ ĂŶĚ ŽƚŚĞƌ changes within dental commerce. EŽƚ ŽŶůǇ ŚĂƐ Ă ŐĞŶĞƌĂƟŽŶ ďĞĐŽŵĞ disengaged, but familiar systems are also being radically restructured. We ǁŝůů ĐŽŶƟŶƵĞ ƚŽ ƐĞĞ ĂŶ ŝŶĐƌĞĂƐĞ ŝŶ ƉĂƟĞŶƚƐ ƌĞůǇŝŶŐ ƵƉŽŶ DĞĚŝĐĂŝĚ ĂƐ ǁĞůů as a decreasing number of those with dental insurance.

Young people simply aren’t going to the dentist. And though part of the reason for this problem is financial, the trend started 5 or 6 years before the 2008 recession. The problem is deeper than money; it’s a mindset.

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1 4 4 T H A N N U A L S E S S I O N of the T E X A S D E N T A L A S S O C I A T I O N

S A X E T dŚĞ ĚĞŵĂŶĚ ĨŽƌ ĞŵĞƌŐĞŶĐǇ ĚĞŶƚĂů care in a hospital emergency room ŚĂƐ ĚŽƵďůĞĚ ŝŶ ƚŚĞ ůĂƐƚ ϭϬ ǇĞĂƌƐ͘ dŚĞ ƉƌŽďůĞŵĂƟĐ ƉŚĞŶŽŵĞŶŽŶ ŽĨ ƚŚĞ ŵŝĚůĞǀĞů ƉƌŽǀŝĚĞƌ ĐŽŶƟŶƵĞƐ ƚŽ ƚŚƌĞĂƚĞŶ ƚŚĞ ĚĞŶƚĂů ƉƌŽĨĞƐƐŝŽŶ͘ dŚŝƐ ŝƐ Ă ĐŽŶƟŶƵĂů ĮŐŚƚ ĂŶĚ ŝƐ Ă ƐƚĂƚĞƐ͛ ƌŝŐŚƚƐ ŝƐƐƵĞ͘ dŚĞ ŵŝĚůĞǀĞů ƉƌŽƉŽŶĞŶƚƐ ĂƌĞ ǁĞůů ĨƵŶĚĞĚ ďǇ ƉƌŝǀĂƚĞ ĨŽƵŶĚĂƟŽŶƐ͘ /Ŷ ƚŚĞ ƉĂƐƚ ŵŽŶƚŚ DĂŝŶĞ͛Ɛ ůĞŐŝƐůĂƚƵƌĞ ƉĂƐƐĞĚ ůĞŐŝƐůĂƟŽŶ ĂůůŽǁŝŶŐ ĨŽƌ ƚŚĞ training of a midlevel provider. It’s ŝŵƉŽƌƚĂŶƚ ĨŽƌ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶͶŝĨ ŝƚ ǁĂŶƚƐ ƚŽ ƌĞŵĂŝŶ Ă ƉƌŽĨĞƐƐŝŽŶͶƚŚĂƚ ƚŚĞ ĚĞŶƟƐƚ ǁŝůů ĂůǁĂǇƐ ďĞ ƚŚĞ ůĞĂĚĞƌ of the dental team.

Ƶƚ ƚŚĞƌĞ ŝƐ Ă ƚŚŝƌĚ ƐƚŽƌŵ ŽĨ challenges, as well. We look to the ŶŽƌƚŚ ƚŽ ĮŶĚ ƚŚĂƚ ƚŚĞ ŵĂƌŬĞƚ ŝƐ ďĞŝŶŐ compromised. We’re all familiar with ƚŚĞ ƐŚŝŌ ŝŶ ƉĂƟĞŶƚ͛Ɛ ƉƌŝŽƌŝƟĞƐ ƚŽǁĂƌĚƐ ĐŽŶƐƵŵĞƌŝƐŵ ƌĂƚŚĞƌ ƚŚĂŶ ƋƵĂůŝƚǇ͘ tŚĞŶ ϰ ĚŝīĞƌĞŶƚ ĂŐĞ ŐƌŽƵƉƐ ϭϵ ǇĞĂƌƐ and older were surveyed, only those ϲϱ ǇĞĂƌƐ ŽůĚ ĂŶĚ ŽůĚĞƌ ƉƌŽǀĞĚ ƚŽ ďĞ ĂƐ ĐŽŶĐĞƌŶĞĚ ĂďŽƵƚ ƚŚĞ ƋƵĂůŝƚǇ ŽĨ their dental care as they were about its cost. KŶ ƚŚĞ ǁŚŽůĞ͕ ƚŚŽƐĞ ǇŽƵŶŐĞƌ ƚŚĂŶ ϲϱ tend to make their decisions about dental care based upon the price, and this change has as much to with a ƐŚŝŌ ŝŶ ƉƌŝŽƌŝƟĞƐ ĂƐ ŝƚ ŚĂƐ ƚŽ ĚŽ ǁŝƚŚ Ă ƐŚŝŌ ƚŽǁĂƌĚƐ ĨƌƵŐĂůŝƚǇ͘ In the midst of all this, there is yet a fourth storm. We look south and ĚŝƐĐŽǀĞƌ ƚŚĞ ĚŝĸĐƵůƟĞƐ ŚĂǀŝŶŐ ƚŽ ĚŽ ǁŝƚŚ ǇŽƵŶŐ ĚĞŶƟƐƚƐ͘ tĞ ƐĞĞ ƚŚĞ enormous debt that dental students graduate with, as well as the tendency ĂŵŽŶŐ ƚŚĞ ŐƌĂĚƵĂƟŶŐ ĐůĂƐƐĞƐ ƚŽ ŐŽ ƚŽ ǁŽƌŬ ĨŽƌ ůĂƌŐĞ ĚĞŶƚĂů ƉƌĂĐƟĐĞƐ ƌĂƚŚĞƌ than opening up their own.

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Texas Dental Journal l www.tda.org l June 2014

dŚŝƐ ŝƐ ŽƵƌ ƐŝƚƵĂƟŽŶ͘ tĞ ĂƌĞ ĨĂĐŝŶŐ challenges from every side. We ĨĂĐĞ ƚŚĞ ƐƚŽƌŵƐ ŽĨ ŐĞŶĞƌĂƟŽŶĂů ŝŶĚŝīĞƌĞŶĐĞ͕ ĚƌĂƐƟĐ ƐǇƐƚĞŵĂƟĐ changes brought about by the ACA, consumerism and its challenges to ƋƵĂůŝƚǇ ĐĂƌĞ͕ ĂŶĚ ƚŚĞ ĚŝĸĐƵůƚ ƌĞĂůŝƟĞƐ troubling young dental school ŐƌĂĚƵĂƚĞƐ͘ Ƶƚ ŽƵƌ ŐƌĞĂƚĞƐƚ ĐŚĂůůĞŶŐĞ may very well be the one we face on ŽƵƌ ŽǁŶ ƐŚŝƉͶƚŚĞ ĐŚĂůůĞŶŐĞ ǁŝƚŚŝŶ ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ ŽĨ ŵĂŝŶƚĂŝŶŝŶŐ unity and a single vision. We won’t make progress if we aren’t truly ƵŶŝĮĞĚ͘ dŚĞ ŚŝƐƚŽƌŝĂŶ tŝůů ƵƌĂŶƚ ŽŶĐĞ ǁƌŽƚĞ͕ ͞ ŐƌĞĂƚ ĐŝǀŝůŝǌĂƟŽŶ ŝƐ ŶŽƚ ĐŽŶƋƵĞƌĞĚ ĨƌŽŵ ǁŝƚŚŽƵƚ ƵŶƟů ŝƚ ŚĂƐ ĮƌƐƚ ĚĞƐƚƌŽǇĞĚ ŝƚƐĞůĨ ĨƌŽŵ ǁŝƚŚŝŶ͘͟ dŚĞ ƐĂŵĞ ƚƌƵƚŚ ĂƉƉůŝĞƐ ƚŽ Ă ŐƌĞĂƚ ŽƌŐĂŶŝǌĂƟŽŶ͘

,ĂǀŝŶŐ ƐĞƌǀĞĚ ŽŶ ĞĂĐŚ ůĞǀĞů ŽĨ ƚŚĞ ADA, I’ve personally experienced the ƚŚŝŶŐƐ ƚŚĂƚ ĐĂƵƐĞ ĨĂĐƟŽŶƐ ĂŵŽŶŐ us. I understand why there are challenges for everyone involved. If each level works on its own, then it ǁŽƌŬƐ ǁŝƚŚŽƵƚ ĐŽŵŵƵŶŝĐĂƟŽŶ ĂŶĚ thus carries on in a state of ignorance ƚŽǁĂƌĚƐ ƚŚĞ ƌĞƐƚ ŽĨ ƚŚĞ ĂƐƐŽĐŝĂƟŽŶͶ you don’t get the feeling of being part ŽĨ Ă ďŝŐ ďŽĚǇ͘ DĂŬŝŶŐ ƐƵƌĞ ƚŚŝƐ ŝƐŶ͛ƚ ƚŚĞ ĐĂƐĞ ŶĞĞĚƐ ƚŽ ďĞ ŽƵƌ ĮƌƐƚ ƉƌŝŽƌŝƚǇ͘ ĞĐŽŵŝŶŐ ŵŽƌĞ ƵŶŝĮĞĚ ǁŝůů ĂůƐŽ ŵĂŬĞ ƵƐ ŵŽƌĞ ĂƩƌĂĐƟǀĞ ƚŽ ŶŽŶͲŵĞŵďĞƌƐ͘ ADA membership at the end of ϮϬϭϯ ƌĞƉƌĞƐĞŶƚĞĚ ϲϱ͘ϯй ŽĨ ƚŚĞ ƚŽƚĂů ĚĞŶƟƐƚƐ ŝŶ ƚŚĞ h^ ͘ dŚŝƐ ŝƐ ĂůŵŽƐƚ Ă ϭй ĚĞĐƌĞĂƐĞ ĨƌŽŵ ƚŚĞ ĞŶĚ ŽĨ ϮϬϭϮ͘ /Ŷ dĞǆĂƐ ƚŚĞƌĞ ǁĂƐ ĂůŵŽƐƚ Ă Ϯй ĚĞĐƌĞĂƐĞ Ăƚ ƚŚĞ ĞŶĚ ŽĨ ϮϬϭϯ ĐŽŵƉĂƌĞĚ ǁŝƚŚ ϮϬϭϮ͘ dŚĞ dĞǆĂƐ ŵĞŵďĞƌƐŚŝƉ ŶƵŵďĞƌƐ ĂƌĞ ďĞůŽǁ ƚŚĞ ŶĂƟŽŶĂů ŶƵŵďĞƌƐ͘ We are also seeing a decrease in ŵĞŵďĞƌƐŚŝƉ ĂŵŽŶŐ ǁŽŵĞŶ ĚĞŶƟƐƚƐ͕ ĞƚŚŶŝĐĂůůǇ ĂŶĚ ƌĂĐŝĂůůǇ ĚŝǀĞƌƐĞ ĚĞŶƟƐƚƐ͕

ŵĞƌŝĐĂŶ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ϭϱƚŚ ŝƐƚƌŝĐƚ dƌƵƐƚĞĞ ƌ ,ŝůƚŽŶ /ƐƌĂĞůƐŽŶ ŽĨ Frisco addresses the TDA House of ĞůĞŐĂƚĞƐ ĚƵƌŝŶŐ ƚŚĞ ϭϰϰƚŚ ĂŶŶƵĂů ƐĞƐƐŝŽŶ ŽĨ ƚŚĞ d ŝŶ DĂǇ ϮϬϭϰ ŝŶ ^ĂŶ ŶƚŽŶŝŽ͘ ĂŶĚ ŶŽŶͲh^ ƚƌĂŝŶĞĚ ĚĞŶƟƐƚƐ͘ ZŝŐŚƚ now we are a fairly powerful and ĞīĞĐƟǀĞ ŽƌŐĂŶŝǌĂƟŽŶ͕ ďƵƚ ǁĞ ĂƌĞ seeing a decline in membership, and we have to turn that trend around. We’d be wise to learn from the ŵŝƐƚĂŬĞƐ ŽĨ ŽƚŚĞƌ ŽƌŐĂŶŝǌĂƟŽŶƐ ƚŚĂƚ ŽŶĐĞ ŚĞůĚ ŐƌĞĂƚ ŝŶŇƵĞŶĐĞ͘ dŚĞ ĚĞĐůŝŶĞ ŽĨ ƚŚĞ ŵĞƌŝĐĂŶ DĞĚŝĐĂů ƐƐŽĐŝĂƟŽŶ ŝƐ a major reason that modern medicine ŝƐ ŝŶ Ă ĨƌĂŐŵĞŶƚĞĚ ƐƚĂƚĞ͘ /Ŷ ϭϵϰϬ͕ ƚŚĞ D ƌĞĂĐŚĞĚ ŝƚƐ ŚŝŐŚĞƐƚ ŵĞŵďĞƌƐŚŝƉ ƚŽƚĂů ĞǀĞƌ͕ ĂĐĐŽƵŶƟŶŐ ĨŽƌ ϲϲ͘ϴй ŽĨ ĂĐƟŶŐ ƉŚǇƐŝĐŝĂŶƐͶĂůŵŽƐƚ ĞǆĂĐƚůǇ ŽƵƌ own membership percentage today. Ƶƚ ŝĨ ƐŽŵĞŽŶĞ ŚĂĚ ƚŽůĚ ƚŚĞ ůĞĂĚĞƌƐŚŝƉ ŽĨ ƚŚĞ D ŝŶ ϭϵϰϬ ƚŚĂƚ ŝŶ ŽŶůǇ Ϯ ŐĞŶĞƌĂƟŽŶƐ͕ ƚŚĞǇ ǁŽƵůĚ ůŽƐĞ ŵŽƐƚ ŽĨ their membership, they might have laughed. If someone had told them in

ϭϵϰϬ ƚŚĂƚ ŝƚ ǁŽƵůĚŶ͛ƚ ďĞ ůŽŶŐ ďĞĨŽƌĞ ƚŚĞǇ͛Ě ůŽƐĞ ŶĞĂƌůǇ Ăůů ƚŚĞŝƌ ŝŶŇƵĞŶĐĞ͕ ƚŚĞǇ ŵŝŐŚƚ ŚĂǀĞ ƐĐŽīĞĚ͘ KŶ ƚŚĞ surface, everything looked great for ƚŚĞ D ͘ ^Ž ǁŚĂƚ ǁĞŶƚ ǁƌŽŶŐ͍ dŚĞ medical community was facing serious challenges, such as the pressure from ŶĞǁ ŝŶƐƵƌĂŶĐĞ ŝŶŝƟĂƟǀĞƐ ĂŶĚ ƚŚĞ growing tensions between corporate ŵĞĚŝĐŝŶĞ ĂŶĚ ĚŽĐƚŽƌƐ ĐŽŵŵŝƩĞĚ ƚŽ ƉƌŝǀĂƚĞ ƉƌĂĐƟĐĞƐ͘ DŽƌĞ ƚŚĂŶ ĞǀĞƌ before, they needed to remain united to survive these challenges, but they weren’t united. dŚĞŝƌ ŶĂƟŽŶĂů ůĞĂĚĞƌƐŚŝƉ ǁĂƐŶ͛ƚ ƌĞƐƉĞĐƟŶŐ ƐƚĂƚĞ Žƌ ůŽĐĂů ůĞǀĞůƐ ŽĨ ƚŚĞ ĂƐƐŽĐŝĂƟŽŶ ĂŶĚ ƚŚĞƌĞ ǁĂƐ Ă ůĂĐŬ ŽĨ ĐŽŵŵƵŶŝĐĂƟŽŶ ƚŚƌŽƵŐŚŽƵƚ͘ dŚĞǇ ůŽƐƚ their unity, and because of it, they lost their membership and they lost ƚŚĞŝƌ ŝŶŇƵĞŶĐĞ͘ dŽĚĂǇ͕ ƚŚĞ ŵĞƌŝĐĂŶ DĞĚŝĐĂů ƐƐŽĐŝĂƟŽŶ ŽŶůǇ ƌĞƉƌĞƐĞŶƚƐ ϭϱй ŽĨ ƉƌĂĐƟĐŝŶŐ ƉŚǇƐŝĐŝĂŶƐ͘ If our profession is to survive this perfect storm and avoid the same ŽƵƚĐŽŵĞ ŝƚ ŚĂƐ ƚŽ ďĞĐŽŵĞ ƵŶŝĮĞĚ͘ If every one of us is out in our own ƐŬŝī͕ ƚŚĞŶ ƚŚĞ ƐƚŽƌŵƐ ǁŝůů ĞĂƐŝůǇ ŐĞƚ ƚŚĞ ďĞƐƚ ŽĨ ƵƐ͖ ďƵƚ ŝĨ ǁĞ ũŽŝŶ ƚŽŐĞƚŚĞƌ on a much larger vessel, we can and ǁŝůů ƐƚĞĞƌ ĚĞŶƟƐƚƌǇ ŝŶƚŽ Ă ƐƚĂďůĞ ĂŶĚ ƚŚƌŝǀŝŶŐ ĨƵƚƵƌĞ͘ dŚĞ ďĞƐƚ ĂŶƐǁĞƌ ƚŽ ƚŚĞ ĚŝĸĐƵůƟĞƐ ĨĂĐŝŶŐ ŵŽĚĞƌŶ ĚĞŶƟƐƚƌǇ ŝƐ Ă ƵŶŝƚĞĚ ͶĂŶ that is strong from the local level to the state level, and from the state ůĞǀĞů ƚŽ ƚŚĞ ŶĂƟŽŶĂů ůĞǀĞů͘ d, WKt Z K& ϯ. Imagine the good we could accomplish ŝĨ ĞĂĐŚ ƉĂƌƚ ŽĨ ƚŚŝƐ WŽǁĞƌ ŽĨ ϯ ǁŽƌŬĞĚ ŝŶ ďĞƩĞƌ ŚĂƌŵŽŶǇ͘ /ŵĂŐŝŶĞ ƚŚĞ ŐŽŽĚ ǁĞ ĐŽƵůĚ ĂĐĐŽŵƉůŝƐŚ ŝĨ ŽƵƌ ĂƐƐŽĐŝĂƟŽŶ were aligned, if our system were

marked by symmetry, if our leadership was linked.

ĚĞŶƟƐƚƌǇ ǁŝƚŚŽƵƚ ƚŚĞ ŝŶŇƵĞŶĐĞ ŽĨ ADA.

tŚĞŶ / ƐĂǇ͕ ͞dŚĞ ŐŽŽĚ ǁĞ ĐŽƵůĚ ĂĐĐŽŵƉůŝƐŚ͕͟ / ƐƉĞĐŝĮĐĂůůǇ ŵĞĂŶ ƚŚĞ ŽďũĞĐƟǀĞƐ ŽĨ ƚŚĞ ƐƚƌĂƚĞŐŝĐ ƉůĂŶ ĨŽƌ ƚŚĞ ŶĞǆƚ ϱ ǇĞĂƌƐ͘ /Ĩ ǁĞ ƐƚƌŝǀĞ ĨŽƌ ĐŽŚĞƐŝǀĞŶĞƐƐ͕ ĞǀĞŶ ũƵƐƚ Ă ůŝƩůĞ ďŝƚͶǁĞ ǁŝůů ƐĞĞ ƚŚĞ ƐƚƌĂƚĞŐŝĐ ƉůĂŶ ƉƌŽŐƌĞƐƐŝǀĞůǇ ƐŚŝŌ ĨƌŽŵ ƐŽŵĞƚŚŝŶŐ possible to something actual. dŽŐĞƚŚĞƌ͕ ǁĞ ĐĂŶ ŵĂŬĞ ͞DĞŵďĞƌƐ &ŝƌƐƚ ϮϬϮϬ͟ Ă ƐƚƌĂƚĞŐŝĐ ƉůĂŶ ƚŚĂƚ ŝƐŶ͛ƚ ƐƋƵĂŶĚĞƌĞĚ͕ ďƵƚ ƌĂƚŚĞƌ ƐĞĞŶ through. We can we take it from ďĞŝŶŐ ƐŽŵĞƚŚŝŶŐ ŚǇƉŽƚŚĞƟĐĂů ĂŶĚ ƚŚĞŽƌĞƟĐĂů ĂŶĚ ŵĂŬĞ ŝƚ Ă ƌĞĂů͕ concrete accomplishment that ƉŽƐŝƟǀĞůǇ ĂīĞĐƚƐ Ăůů ŽĨ ƵƐ͘ ŌĞƌ Ăůů͕ ƚŚĞ ŝƐ Ăůů ŽĨ ƵƐͶƚŚĞ ŶĂƟŽŶĂů͕ ƚŚĞ ĐŽŶƐƟƚƵĞŶƚƐ͕ ĂŶĚ ƚŚĞ ĐŽŵƉŽŶĞŶƚƐ͘ tŚĞŶ ǁĞ ƐĂǇ ͕ ǁĞ ƐŽŵĞƟŵĞƐ ŽŶůǇ ƚŚŝŶŬ ŽĨ ƚŚĞ ŶĂƟŽŶĂů ƉĂƌƚ ƌĂƚŚĞƌ than the whole, but this shouldn’t be ƚŚĞ ĐĂƐĞ͘ Ɛ Ă ƉƌĂĐƟĐŝŶŐ ĚĞŶƟƐƚ͕ /͛ŵ reminded that many of the things that ĐĂƵƐĞ Ă ƉƌŝǀĂƚĞ ƉƌĂĐƟĐĞ ƚŽ ŇŽƵƌŝƐŚ ĂƌĞ the same things that can make our ůĂƌŐĞƌ ŽƌŐĂŶŝǌĂƟŽŶ ŇŽƵƌŝƐŚͶ ǀŝƐŝŽŶ͕ ŝŵƉůĞŵĞŶƚĂƟŽŶ͕ ƚƌƵƐƚ͕ ĞŵƉĂƚŚǇ͕ inclusiveness, and teamwork. When we work together and when we’re conscious of our challenges and ƉƌŽĂĐƟǀĞ ĂďŽƵƚ ĞŵďƌĂĐŝŶŐ ƚŚĞ ƐŽůƵƟŽŶƐ͕ ƚŚĞŶ ǁĞ ĐĂŶ ŵĂŬĞ ŽƵƌ profession what it was intended to ďĞ͗ Ă ĐĂƌĞĞƌ ƚŚĂƚ ŝƐ ďŽƚŚ ĐĂƉĂďůĞ ŽĨ bringing to life our personal visions ĂŶĚ ĂůƐŽ ĂůůŽǁŝŶŐ ƵƐ ƚŽ ĂīĞĐƚ ŽƵƌ ĐŽŵŵƵŶŝƟĞƐ ƚŚƌŽƵŐŚ ƚŚĞ ƐĞƌǀŝĐĞ ŝt provides to people.

,ĂǀŝŶŐ ŐƌŽǁŶ ƵƉ ĂŶĚ ƐƚƵĚŝĞĚ ŝŶ ^ŽƵƚŚ ĨƌŝĐĂ͕ ǁŚĞŶ / ĐĂŵĞ ƚŽ ƚŚĞ h͘^͘ ƚŽ complete my post-graduate program ŝŶ ƉĞƌŝŽĚŽŶƟĐƐ͕ ƚŚĞ ƉŽƐŝƟǀĞ ŝŵƉĂĐƚ of the ADA on the dental profession in America couldn’t have been more ŽďǀŝŽƵƐ͘ / ŝŵŵĞĚŝĂƚĞůǇ ŶŽƟĐĞĚ ŝƚƐ ĞīĞĐƚ ŽŶ ĞĚƵĐĂƟŽŶ͘ ŽŵŝŶŐ ĨƌŽŵ Ă ǀĞƌǇ ĚŝīĞƌĞŶƚ ƉůĂĐĞ͕ ŝƚ ǁĂƐ ĐůĞĂƌ ƚŽ ŵĞ ƚŚĂƚ ƚŚĞ ŵĞƌŝĐĂŶ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ǁĂƐ ƚŚĞ ƐŽƵƌĐĞ ŽĨ ƚŚĞ ƋƵĂůŝƚǇ / ĨŽƵŶĚ ŝŶ ƚŚĞ ŵĞƌŝĐĂŶ ƵŶŝǀĞƌƐŝƟĞƐ͘ /ƚ ǁĂƐ ƚŚĞ ƐŽƵƌĐĞ ŽĨ ƚŚĞ ĂĐĐƌĞĚŝƚĂƟŽŶ ƐƚĂŶĚĂƌĚƐ ƚŚĂƚ ŵĂĚĞ ƐƵĐŚ ƋƵĂůŝƚǇ ƉŽƐƐŝďůĞ͘

I can imagine the good we could accomplish if we took the right ŵĞĂƐƵƌĞƐ ƚŽ ďĞ ƵŶŝĮĞĚ͕ ďƵƚ ǁŚĂƚ I can’t imagine is the profession of

/ ĂůƐŽ ŶŽƟĐĞĚ ŝƚƐ ǀĂůƵĞ ƚŽ ĚĞŶƟƐƚƐ ŝŶ bringing a fellowship of professionals ƚŽŐĞƚŚĞƌ͘ dŚĞ ĮƌƐƚ ŽƌŐĂŶŝǌĞĚ ŐĂƚŚĞƌŝŶŐ ŽĨ ĚĞŶƟƐƚƐ ƚŚĂƚ / ĂƩĞŶĚĞĚ ŝŶƚƌŽĚƵĐĞĚ me to a man who I built a friendship and partnership with that lasted for years and was one of the main reasons ĨŽƌ ƚŚĞ ƐƵĐĐĞƐƐ ŽĨ ŵǇ ƉƌŝǀĂƚĞ ƉƌĂĐƟĐĞ͘ / ƋƵŝĐŬůǇ ůĞĂƌŶĞĚ ƚŚĂƚ ǁĞ ŝŶĚŝǀŝĚƵĂůůǇ ŇŽƵƌŝƐŚ ǁŚĞŶ ǁĞ ǁŽƌŬ ƚŽŐĞƚŚĞƌ͘ And then I witnessed the power that ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ ŚĂĚ ƚŽ ŝŵƉĂĐƚ ƚŚĞ underserved. I don’t have to explain to anyone here just how extraordinary ĚĞŶƟƐƚƌǇ ŝƐ ĂƐ Ă ƉƌŽĨĞƐƐŝŽŶ͘ tĞ ĂƌĞ part and parcel of a community, and ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ ƌĞŝŶĨŽƌĐĞƐ that ƌŽůĞ͘ /Ŷ ĨĂĐƚ͕ ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ ƉƌŽǀŝĚĞƐ Ă ƉůĂƞŽƌŵ ĨŽƌ ƵƐ ƚŽ ƐƚĂŶĚ ŽŶ and make our careers more than just ĂďŽƵƚ ŽƵƌƐĞůǀĞƐ͘ tĞ ĐĂŶͶĂŶĚ ĚŽͶ ŵĂŬĞ Ă ĚŝīĞƌĞŶĐĞ ŝŶ ƉĞŽƉůĞ͛Ɛ ůŝǀĞƐ͘ /͛ůů ŶĞǀĞƌ ĨŽƌŐĞƚ Ă ƉĂƟĞŶƚ / ŽŶĐĞ ŵĞƚ Ăƚ Ă DŝƐƐŝŽŶ ŽĨ DĞƌĐǇ ĞǀĞŶƚ ǁŚŽ ǁĂƐ ĚĞƐƉĞƌĂƚĞ ĨŽƌ ŚĞůƉ͘ ,Ğ ŚĂĚ ŶŽ front teeth, and because of this he ĐŽƵůĚŶ͛ƚ ĮŶĚ ĂŶǇ ǁŽƌŬ͘ ůů ŚĞ ǁĂŶƚĞĚ Texas Dental Journal l www.tda.org l June 2014

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S A X E T were front teeth so he could go and look for a job. It was late at night, and the denture lab had already closed for the weekend and were not taking any new cases, so I went and asked them if they could do us a ĨĂǀŽƌ ĂŶĚ ŵĂŬĞ Ă ƉĂƌƟĂů ĚĞŶƚƵƌĞ ƐŽ we could serve this one individual. dŚĞǇ ĂŐƌĞĞĚ ƚŽ ĚŽ ŝƚ͕ ĂŶĚ / ƌĞĐĂůů ƚŚĂƚ ŽŶĞ ŽĨ ŵǇ ƐƚĂī ŵĞŵďĞƌƐ ƐƚĂƌƚĞĚ crying when she saw what they were doing for this person. When he came the next day and received his teeth, it was an overwhelming event for ĞǀĞƌǇŽŶĞ ŝŶǀŽůǀĞĚ͘ zŽƵ ĐŽƵůĚ ũƵƐƚ see his excitement. It wasn’t as if this ŵĂŶ ŚĂĚ ďĞĞŶ ĂǀŽŝĚŝŶŐ ǁŽƌŬͶŚŝƐ appearance was so embarrassing for him and others that no one would hire him.

tĞ Ăůů ŚĂǀĞ ƐƚŽƌŝĞƐ ůŝŬĞ ƚŚŝƐ͘ dŚŝƐ ŝƐ Ă ŵŝƐƐŝŽŶ ŽĨ ĚĞŶƟƐƚƌǇ ƚŚĂƚ ŚŽƉĞĨƵůůǇ ƚŚĞ ŶĂƟŽŶĂů͕ ĂŶĚ Ăůů ƚŚĞ ŽƚŚĞƌ ƉĂƌƚƐ ŽĨ ƚŚĞ ŽƌŐĂŶŝǌĂƟŽŶ͕ ƉƵƚ ƚŚĞŝƌ ĂƌŵƐ ĂƌŽƵŶĚ͘ It’s part of the call we all have to this ƉƌŽĨĞƐƐŝŽŶͶĂŶĚ ƚŚĞ ŝƐ ǁŚĂƚ ĂůůŽǁƐ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶ ƚŽ ŇŽƵƌŝƐŚ͘ /Ĩ ƚŚĞ ĐŽŶƟŶƵĞƐ ƚŽ ǁĞĂŬĞŶ͕ ƚŚŝƐ ŝƐ ŽŶĞ aspect of what’s at stake. tŚĞŶ ŽƌŐĂŶŝǌĂƟŽŶƐ ůŝŬĞ ŽƵƌƐ ĮŶĚ themselves in the midst of deep ĂŶĚ ĚƌĂŵĂƟĐ ƐŚŝŌƐ͕ ǁĞ ĐĂŶ ƚĞŶĚ ƚŽ ŶĞŐĂƟǀĞůǇ ƌĞĂĐƚ ŝŶ ŽŶĞ ŽĨ ƚǁŽ ǁĂǇƐ͘ tĞ ŵŝŐŚƚ ĐůŝŶŐ ƚŽ ŽůĚ ǀŝƐŝŽŶƐ ŽĨ ͞ŚŽǁ things used to be” that cannot possibly be sustained anymore, and by clinging to these visions we might become ĞŵďŝƩĞƌĞĚ ƚŽǁĂƌĚƐ ƚŚĞ ŶĞĐĞƐƐĂƌǇ winds of change. Others of us might ďĞĐŽŵĞ ƉĂƐƐŝǀĞ ĂŶĚ ĂƉĂƚŚĞƟĐ͕ weighed down by pessimism over the ƐƚĂƚĞ ĂŶĚ ĚŝƌĞĐƟŽŶ ŽĨ ƚŚŝŶŐƐ͕ ĨĞĞůŝŶŐ that they can do nothing that will ŚĂǀĞ ĂŶǇ ŵĂũŽƌ ŝŵƉĂĐƚ͘ ŽƚŚ ŽĨ ƚŚĞƐĞ

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responses are exactly what spell the ĚĞŵŝƐĞ ŽĨ ŐƌĞĂƚ ŽƌŐĂŶŝǌĂƟŽŶƐ͘ tĞ have to resist the refusal to adapt on ƚŚĞ ŽŶĞ ŚĂŶĚ͕ ĂŶĚ ƚŚĞ ŝŶĐůŝŶĂƟŽŶ ƚŽ become passive on the other. We need to keep an eye to the past without ďĞĐŽŵŝŶŐ ƚŽŽ ŶĂƌƌŽǁůǇ ĐŽŵŵŝƩĞĚ ƚŽ it. We need to learn from the best old ways without becoming too consumed ďǇ ƚŚĞ ͞ŐŽŽĚ ŽůĞ ĚĂǇƐ͘͟

dŚĞ ŬĞǇ ŝƐ ƚŽ ĐůŝŶŐ ƚŽ ŐŽŽĚ ŝĚĞĂƐ ĂŶĚ ĮŶĚ ŶĞǁ ǁĂǇƐ ƚŽ ĂƉƉůǇ ƚŚĞŵ͘ dŽ ƚŚŽƐĞ given towards the second tendency, to ďĞĐŽŵĞ ƉĂƐƐŝǀĞ͕ / ǁŽƵůĚ ƐĂǇ ƚŚŝƐ͗ zŽƵ may be right that things are moving ŝŶ Ă ǁŽƌƌŝƐŽŵĞ ĚŝƌĞĐƟŽŶ͕ ďƵƚ ďǇ becoming passive and throwing your hands up, you are only ensuring that ƚŚŝƐ ƚĂŬĞƐ ƉůĂĐĞ ĂŶĚ ĞǆƉĞĚŝƟŶŐ ƚŚĞ things you don’t want. We have to be ĐŽŶĐĞƌŶĞĚ ĞŶŽƵŐŚ ƚŽ ďĞĐŽŵĞ ĂĐƟǀĞ ĂŶĚ ŝŶǀŽůǀĞĚ͖ ǁĞ ŚĂǀĞ ƚŽ ďĞ ǁŽƌƌŝĞĚ ĞŶŽƵŐŚ ƚŽ ďĞĐŽŵĞ ĐƌĞĂƟǀĞ ĂŶĚ ŽƉĞŶ͖ we have to be frustrated enough to ĮŐŚƚ ĨŽƌ ƚŚĞ ƉƌĞƐĞƌǀĂƟŽŶ ŽĨ ǁŚĂƚ͛Ɛ ŵŽƐƚ ŝŵƉŽƌƚĂŶƚ͘ tĞ ŚĂǀĞ ƚŽ ĮŶĚ Ă ǁĂǇ ƚŽ͕ ĂƐ Ă ƵŶŝĮĞĚ ďŽĚǇ͕ ƚƵƌŶ ƚŽǁĂƌĚƐ ƚŚĞ challenges facing all of us, and make ƚŚĞ ǀĞƌǇ ďĞƐƚ ŽĨ ŽƵƌ ĚŝĸĐƵůƟĞƐ͘ Can we up oral health literacy and ĂǁĂƌĞŶĞƐƐ ĂŵŽŶŐ ǇŽƵŶŐ ĂĚƵůƚƐ͍ Can we lead and set the rule of the ŐĂŵĞ ĨŽƌ ƚŚĞ ƋƵĂůŝƚǇ ŵŽǀĞŵĞŶƚ ƐŽ ŽƵƌ ŵĞŵďĞƌƐ ĐĂŶ ƚŚƌŝǀĞ͍ ĂŶ ǁĞ ƚĂŬĞ ĂĚǀĂŶƚĂŐĞ ŽĨ ƚŚĞ ŽƉƉŽƌƚƵŶŝƟĞƐ ƚŚĞ ACA has thrust upon us, like rethinking ŽƵƌ ƌŽůĞ ŝŶ ƚŚĞ ŚĞĂůƚŚ ĐĂƌĞ ƐǇƐƚĞŵ͍

We might take the father of modern ĚĞŶƟƐƚƌǇ͕ '͘ s͘ ůĂĐŬ͕ ĂƐ Ă ŵŽĚĞů for us to remember and emulate. '͘s͘ ůĂĐŬ ǁĂƐ Ă ŵĂŶ ŽĨ ƐŝŶĐĞƌĞ passion, high intelligence, and moral ŐŽŽĚŶĞƐƐ͘ dŚĞ ƌŝŐŽƌ ĂŶĚ ƌĞƐĞĂƌĐŚ ŽĨ ŵŽĚĞƌŶ ĚĞŶƟƐƚƌǇ ŽǁĞƐ ƐŽ ŵƵĐŚ ƚŽ ŚŝƐ ƐĐŝĞŶƟĮĐ ŐĞŶŝƵƐ͖ ďƵƚ ǁĞ ĂƌĞ ĞƋƵĂůůǇ ŝŶĚĞďƚĞĚ ƚŽ ƚŚĞ ŵŽĚĞů ŚĞ ŐĂǀĞ ƵƐ ĨŽƌ ŚŽǁ Ă ĚĞŶƟƐƚ ƐŚŽƵůĚ ƐĞƌǀĞ his community and seek the larger ŐŽŽĚ ŽĨ ƚŚĞ ĚĞŶƚĂů ƉƌŽĨĞƐƐŝŽŶ͘ ,Ğ contributed thousands of pages of breakthrough research that advanced ŽƵƌ ĮĞůĚ͕ ĂŶĚ ǇĞƚ͕ ŵŽƐƚ ŽĨ ƚŚŽƐĞ ǁŚŽ ŬŶĞǁ Śŝŵ ǁĞůů ƐƉŽŬĞ ŵŽƌĞ ŽŌĞŶ about his character and his concern for both the world around him and ƚŚĞ ŐĞŶĞƌĂƟŽŶƐ ĐŽŵŝŶŐ ĂŌĞƌ Śŝŵ͘ dŚĞ ůĞŐĂĐǇ ŽĨ '͘s͘ ůĂĐŬ ĂŶĚ ŽƚŚĞƌƐ like him reminds us that we have a responsibility not only to take care of ourselves and to work towards ƚŚĞ ŇŽƵƌŝƐŚŝŶŐ ŽĨ ƚŚŝƐ ǁŽŶĚĞƌĨƵů profession, but also to preserve the invaluable work of those who came ďĞĨŽƌĞ ƵƐ͘ dŚĞ ďĞƐƚ ǁĂǇ ƚŽ ĚŽ ƚŚŝƐͶ ƉĞƌŚĂƉƐ ƚŚĞ ŽŶůǇ ǁĂǇ ƚŽ ĚŽ ƚŚŝƐͶŝƐ ƚŽ ĞŶƐƵƌĞ ƚŚĂƚ ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ remains strong, united, and at the ĨŽƌĞĨƌŽŶƚ ŽĨ ŵĂũŽƌ ŝƐƐƵĞƐ͕ ƌĞƉƌĞƐĞŶƟŶŐ ƚŚĞ ŝŶƚĞƌĞƐƚƐ ŽĨ ĚĞŶƟƐƚƐ ƐŽ ƚŚĂƚ ĚĞŶƟƐƚƐ ĐĂŶ ďĞƩĞƌ ĂĚǀĂŶĐĞ ƉƵďůŝĐ ŚĞĂůƚŚ͘ /͛ŵ ƉĂƐƐŝŽŶĂƚĞ ĂďŽƵƚ ĚĞŶƟƐƚƌǇ͕ and I believe that a united ADA is the ďĞƐƚ ŵĞĐŚĂŶŝƐŵ ĨŽƌ ƐƵƉƉŽƌƟŶŐ ĂŶĚ ŵĂŝŶƚĂŝŶŝŶŐ ǁŚĂƚ ǁĞ ŬŶŽǁ ĚĞŶƟƐƚƌǇ to be.

dŚĂƚ͕ ƚŽ ŵĞ͕ ŝƐ ǁŚĂƚ ǁĞ ŶĞĞĚ Ă ƐƚƌŽŶŐ ĂƐƐŽĐŝĂƟŽŶ ĨŽƌ͘ dŽ ĞǆƉůŽƌĞ ĂŶĚ ŐƌĂď ƚŚŽƐĞ ŽƉƉŽƌƚƵŶŝƟĞƐ͘ ͞/Ĩ ŶŽƚ ƵƐ͕ ƚŚĞŶ ǁŚŽ͍͟

May 7-10

2014 TEXAS Meeting A Special Thanks To

EXHIBITORS & SPONSORS

Your support is invaluable to the Texas Dental Association, making the TEXAS Meeting one of the largest dental meetings in the nation.

Visit texasmeeting.com to view exhibitors and sponsors from the 2014 TEXAS Meeting.

See you next year!

TEXAS MEETING

Dr Edward Pat Allen

Dr George Merijohn

Dr George Bambara

Ms Diane Millar

Dr Lynne Brock

Dr John Molinari

Dr Lee Ann Brody

Mr Brannon Moncrief

Ms Leslie Canham

Dr Mark Murphy

Dr Paul Child

Dr Dolphine Oda

Dr Harold Crossley

Dr Ray Padilla

Ms Nancy Dewhirst

Dr Edwin Parks

Dr Terry Donovan

Mr Joe Piscatella

Dr A. Scott Douglas

Dr Stephen Poss

Dr Robert Fazio

Dr Ron Prehn

Dr Greg Folse

Dr David Rothman

Mr Mike Gergen

Dr Rhonda Savage

Ms Eva Grayzel

Ms Laurie Semple

Dr Henry Gremillion

Dr Lee Silverstein

Ms Susan Gunn

Ms Gene St Louis

Ms Lisa Harper Mallonee

Mr Jeff Staads

Dr Van Haywood

Dr Geza Terezhalmy

Ms Nicki Henson

Mr Duane Tinker

Dr Frank Higginbottom

Ms Lori Trost

Ms Janice Hurley-Trailor

Ms Anastasia Turchetta

Ms Theresa Johnson

Dr Chuck Wakefield

Dr Doug Lambert

Ms Gail Williamson

Ms Jeanine Lehman

Dr John Wright

Dr Robert Margeas

Mr Gary Zelesky

Ms Judy Kay Mausolf

...and many more!

2015 Speakers

We appreciate what you do for dentistry in the Lone Star State.

the 2015

Ms Sally McKenzie

For more information, please visit texasmeeting.com.

texasmeeting.com Texas Dental Journal l www.tda.org l June 2014

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/ŶĐŽŵŝŶŐ WƌĞƐŝĚĞŶƚ͛Ɛ ĚĚƌĞƐƐ ƚŽ ƚŚĞ dĞǆĂƐ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ,ŽƵƐĞ ŽĨ ĞůĞŐĂƚĞƐ DĂǇ ϰ͕ ϮϬϭϰ ĂǀŝĚ ,͘ DĐ ĂƌůĞǇ͕ ^

would like to thank all of you who have volunteered to serve on councils, ĐŽŵŵŝƩĞĞƐ͕ ƚŚĞ ŽĂƌĚ ŽĨ ŝƌĞĐƚŽƌƐ͕ ĂŶĚ ĂƐ ŽĸĐĞƌƐ ŽĨ ƚŚĞ ƐƐŽĐŝĂƟŽŶ͘ tĞ ĂƌĞ Ă ŵĞŵďĞƌͲĚƌŝǀĞŶ ŽƌŐĂŶŝǌĂƟŽŶ͕ ĂŶĚ ǁŝƚŚŽƵƚ ǇŽƵ ǁĞ ŚĂǀĞ ŶŽ ŽƌŐĂŶŝǌĂƟŽŶ͘ Ɛ ŵŽƐƚ ŽĨ ǇŽƵ ŬŶŽǁ͕ ƚŚŝƐ ŝƐ ŶŽƚ ĞĂƐǇ ƚĂƐŬ͕ ďƵƚ ŝƐ ĂďƐŽůƵƚĞůǇ ĞƐƐĞŶƟĂů ĨŽƌ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ ƚŽ survive. It has been my honor and privilege to serve as your president-elect this last year. I have met so many of you and I am excited to meet many more of you this year. I am impressed by your compassion and commitment to our profession and those we ƐĞƌǀĞ͘ zŽƵ ƌĞĂůůǇ ĚŽ ŚĂǀĞ ǇŽƵƌ ƉĂƟĞŶƚƐ͛ ĂŶĚ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶ͛Ɛ ďĞƐƚ ŝŶƚĞƌĞƐƚƐ Ăƚ ŚĞĂƌƚ͘ DĂŶǇ ŽĨ ƚŚŽƐĞ ŽŶ ƚŚĞ ŽĂƌĚ ĨĞĞů ƚŚĂƚ ƚŚŝƐ ŚĂƐ ďĞĞŶ Ă ĐŚĂůůĞŶŐŝŶŐ ǇĞĂƌ͕ ĂŶĚ ŝƚ ŚĂƐ͘ dŚŝƐ ǁŝůů ďĞ ŵǇ ƐĞǀĞŶƚŚ ǇĞĂƌ ŽŶ ƚŚĞ ŽĂƌĚ ŝŶ ƐŽŵĞ ĐĂƉĂĐŝƚǇ͕ ŵǇ ϮϲƚŚ ǇĞĂƌ ŝŶ ƚŚĞ d ,ŽƵƐĞ͕ ĂŶĚ ŵǇ ŶŝŶƚŚ ǇĞĂƌ ŝŶ ƚŚĞ ,ŽƵƐĞ͘ dŚĞǇ ŚĂǀĞ Ăůů ďĞĞŶ ĐŚĂůůĞŶŐŝŶŐ Ͷ ƚŚĂƚ ŝƐ ƚŚĞ ŶĂƚƵƌĞ ŽĨ ƚŚŝƐ ďƵƐŝŶĞƐƐ͘ dŚŝƐ ǇĞĂƌ / ŚĂǀĞ ĨŽƵŶĚ ƚŽ ďĞ ůĞƐƐ ĐŚĂůůĞŶŐŝŶŐ ƚŚĂŶ ƚŚŽƐĞ ŝŶ ƚŚĞ ĞĂƌůǇ ͛ϵϬƐ͕ ǁŚĞŶ ŝŶ ϭ ǇĞĂƌ ǁĞ ŚĂĚ ƚŚĞ ^ƚĂƚĞ ŽĂƌĚ ƐƵŶƐĞƩĞĚ͕ ĐŚĂŶŐĞĚ Ɛ͕ ĐŚĂŶŐĞĚ ŽƵƌ ůĞŐĂů ĐŽƵŶƐĞů͕ ĂŶĚ ĐŽŵƉůĞƚĞůǇ ĐŚĂŶŐĞĚ ŽƵƌ ůŽďďǇ ƚĞĂŵ ĂŶĚ ƐƚƌĂƚĞŐǇ͘ ĞŝŶŐ ŶĞǁ ƚŽ ƚŚŝƐ ĂƌĞŶĂ͕ / ƚŚŽƵŐŚƚ ŝƚ ŶŽƌŵĂů ƚŚĂƚ ǁĞ ŚĂĚ ŵĞĞƟŶŐƐ ĞǀĞƌǇ ŽƚŚĞƌ ǁĞĞŬ͘ DǇ ƉŽŝŶƚ ŝƐ ƚŚĂƚ͕ ŝŶ ĞǀĞƌǇ ŝŶƐƚĂŶĐĞ͕ ŽƵƌ ŽƌŐĂŶŝǌĂƟŽŶ ŐĞƚƐ ƐƚƌŽŶŐĞƌ ĂŶĚ ƐƚƌŽŶŐĞƌ͘ ĞĐĂƵƐĞ ŽĨ ƚŚĞ ƐƵŶƐĞƫŶŐ ĂŶĚ ĐŚĂŶŐĞ ŝŶ ůŽďďǇŝŶŐ ƉĞƌƐŽŶŶĞů ĂŶĚ ƐƚƌĂƚĞŐŝĞƐ͕ ǁĞ ŶŽǁ ŚĂǀĞ ƚŚĞ ďĞƐƚ ƉŽůŝƟĐĂů ƚĞĂŵ ŝŶ ƚŚĞ ŶĂƟŽŶ ĂŶĚ ƚŚĞ ĞŶǀǇ ŽĨ Ăůů͘ ĞŶƟƐƚƐ ƐƟůů ŚĂǀĞ ĐŽŵƉůĞƚĞ ĐŽŶƚƌŽů ŽĨ ĚĞŶƚĂů ƉĂŝŶ ďǇ ǀŝƌƚƵĞ ŽĨ ƐƚĂŶĚŝŶŐ ŽƵƌ ŐƌŽƵŶĚ ĂŶĚ ŽƉƉŽƐŝŶŐ ůĞŐŝƐůĂƟŽŶ ƚŚĂƚ ǁŽƵůĚ ĂůůŽǁ Ă ŶŽŶͲ

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ĚĞŶƟƐƚ ƚŽ ĚĞůŝǀĞƌ ůŽĐĂů ĂŶĞƐƚŚĞƐŝĂ͕ ĞǀĞŶ ŝĨ ŝƚ ŵĞĂŶƚ ƐƵŶƐĞƫŶŐ ƚŚĞ ^ƚĂƚĞ ŽĂƌĚ͘ dŽĚĂǇ͕ ǁĞ ĂƌĞ ĨĂĐĞĚ ǁŝƚŚ ŶĞǁ ĐŚĂůůĞŶŐĞƐ͘ /ƚ ǁŝůů ĐŽŵĞ ĂƐ ŶŽ ƐƵƌƉƌŝƐĞ ƚŽ ŵŽƐƚ ŽĨ ǇŽƵ ƚŚĂƚ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ ŝƐ Ăƚ Ă ĐƌŽƐƐƌŽĂĚƐ͘ KƵƌ ĚĞŶƚĂů ĞŶǀŝƌŽŶŵĞŶƚ ŝƐ ĐŚĂŶŐŝŶŐ͘ KƵƌ ƉƌŽĨĞƐƐŝŽŶ ŚĂƐ ĨĂĐĞĚ ŵĂŶǇ ŽĨ ƚŚĞƐĞ ĐƌŽƐƐƌŽĂĚƐ ŝŶ ƚŚĞ ƉĂƐƚ͕ ĂŶĚ ŽƵƌ ƉƌĞĚĞĐĞƐƐŽƌƐ ƉƌĞǀĂŝůĞĚ ĂŶĚ ƉƌĞƐĞƌǀĞĚ ƚŚĞ ŝŶƚĞŐƌŝƚǇ ĂŶĚ ĞƚŚŝĐƐ ǁĞ ĞŶũŽǇ ƚŽĚĂǇ͘ tĞ ĐĂŶ ĚŽ ŶŽ ůĞƐƐ͘ ,ŽǁĞǀĞƌ͕ ǁĞ ŚĂǀĞ ƐĞǀĞƌĂů ĨĂĐƚŽƌƐ ǁŽƌŬŝŶŐ ǁŝƚŚŝŶ ƚŚĞ ĐŚĂŶŐĞ͕ ŵŽƐƚ ŽĨ ƚŚĞŵ ŵĞĚŝĂƚĞĚ ďǇ ƚŚĞ ĞĐŽŶŽŵǇ͘ ĞŶƚĂů ƐƉĞŶĚŝŶŐ ŚĂƐ ďĞĞŶ ĚĞĐůŝŶŝŶŐ ƐŝŶĐĞ ϮϬϬϮ ĂŶĚ ŚĂƐ ďĞĞŶ ƌĞůĂƟǀĞůǇ ŇĂƚ ƐŝŶĐĞ ϮϬϬϴ͘ ĞƚǁĞĞŶ ϭϵϵϴ ĂŶĚ ϮϬϭϮ ƚŚĞ ƉĂƟĞŶƚͲƚŽͲĚĞŶƟƐƚ ƌĂƟŽ ĚĞĐƌĞĂƐĞĚ ďǇ ϭϱй͕ ǁŚŝůĞ ƚŚĞ ŶƵŵďĞƌ ŽĨ ĂĚƵůƚƐ ǁŚŽ ŚĂĚ ĚĞŶƚĂů ǀŝƐŝƚƐ ĚƵƌŝŶŐ ƚŚĞ ƉƌĞǀŝŽƵƐ ǇĞĂƌ ĚĞĐůŝŶĞĚ ďǇ ϳй͘

tĞ ŚĂǀĞ ŵĂŶǇ ĐŚĂůůĞŶŐĞƐ ĨĂĐŝŶŐ ƵƐ͘ ,Žǁ ǁĞ ĚĞĂů ǁŝƚŚ ƚŚĞƐĞ ŶŽǁ ǁŝůů ƐĞƚ ƚŚĞ ĐŽƵƌƐĞ ŽĨ ŚŝƐƚŽƌǇ ĨŽƌ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶ ŽĨ ĚĞŶƟƐƚƌǇ͘ dĞǆĂƐ ŝƐ ŬŶŽǁŶ ĂƐ ŽŶĞ ŽĨ ƚŚĞ ƐƚƌŽŶŐŚŽůĚƐ ĂŶĚ ďĂƐƟŽŶƐ ŽĨ ĞƚŚŝĐĂů ĚĞŶƟƐƚƌǇ ĂŶĚ ŝƐ ƵƐƵĂůůǇ ŶŽƚĞĚ ĂƐ ďĞŝŶŐ ŽŶ ƚŚĞ ĨƌŽŶƚ ůŝŶĞ ǁŚĞŶ ƚŚĞ ďĂƩůĞƐ ďĞŐŝŶ͘ ƌ ^ƚƵĂƌƚ ĂŶĚ / ƌĞĐĞŶƚůǇ ĂƩĞŶĚĞĚ ƚŚĞ WƌĞƐŝĚĞŶƚͲ ůĞĐƚ͛Ɛ ŽŶĨĞƌĞŶĐĞ Ăƚ ,ĞĂĚƋƵĂƌƚĞƌƐ ŝŶ ŚŝĐĂŐŽ͕ ĂŶĚ / ǁŽƵůĚ ůŝŬĞ ƚŽ ƐŚĂƌĞ Ă ĨĞǁ ŽĨ ƚŚĞ ĐŽŶĐĞƌŶƐ ĂŶĚ ƚŽƉŝĐƐ ǁĞ ĚŝƐĐƵƐƐĞĚ͘ dŚĞƐĞ ĂƌĞ Ă ĨĞǁ ŽĨ ƚŚĞ ƌŽĂĚƐ ǁĞ ŶĞĞĚ ƚŽ ĐƌŽƐƐ ĂŶĚ ƐĞůĞĐƚ ƚŚĞ ƉĂƚŚƐ ƚŚĂƚ ǁĞ ǁŝůů ĨŽůůŽǁ͘ 1.

A poor economy has led to leveling in dental spending overall.

&ƌŽŵ ϮϬϬϮ ƚŽ ϮϬϬϴ͕ ĚĞŶƚĂů ƐƉĞŶĚŝŶŐ ĚƌŽƉƉĞĚ ƚŽ ĂŶ ĂǀĞƌĂŐĞ ŝŶĐƌĞĂƐĞ ŽĨ ϭ͘ϴй ƉĞƌ ǇĞĂƌ ;^ůŝĚĞ ϭͿ͘

TDA President-elect Dr David H. McCarley of McKinney conducts the Memorial Service at the 2014 TDA House of Delegates in San Antonio.

EĂƟŽŶĂů WĞƌ ĂƉŝƚĂ ĞŶƚĂů ǆƉĞŶĚŝƚƵƌĞ

ϯ͘ϵй ƉĞƌ ǇĞĂƌ

ϭ͘ϴй ƉĞƌ ǇĞĂƌ

ͲϬ͘ϯй ƉĞƌ ǇĞĂƌ

Slide 1. Note that from 1990-2002, dental spending was up an average of 3.9% per year. Texas Dental Journal l www.tda.org l June 2014

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ǀĞƌĂŐĞ ŶŶƵĂů WĞƌͲƉĂƟĞŶƚ ĞŶƚĂů ǆƉĞŶĚŝƚƵƌĞ ďǇ WĂƟĞŶƚ ŐĞ͕ ϮϬϬϬ ƚŽ ϮϬϭϭ

Slide 2. Note that the spending of the 21-64 age group has leveled out declining slightly. &ƌŽŵ ϮϬϬϴ ƚŽ ϮϬϭϭ͕ ĚĞŶƚĂů ƐƉĞŶĚŝŶŐ ĚƌŽƉƉĞĚ ƚŽ ĂŶ ĂǀĞƌĂŐĞ ŽĨ Ϭ͘ϯй ƉĞƌ ǇĞĂƌ͘ dŚĞ ƐƉĞŶĚŝŶŐ ŽĨ ƚŚĞ ϬͲϮϬ ĂŐĞ ŐƌŽƵƉ ŚĂƐ ŐƌŽǁŶ ƐůŝŐŚƚůǇ ǁŚŝůĞ ƚŚĞ ϲϱн ĂŐĞ ŐƌŽƵƉ ŚĂƐ ƐŚŽǁŶ ƚŚĞ ŵŽƐƚ ŐƌŽǁƚŚ ŽǀĞƌĂůů͘ Ϯ͘

EŽŶͲĚĞŶƟƐƚͲŽǁŶĞĚ ĞŶƟƟĞƐ͛ ŝŶƚƌƵƐŝŽŶ ŝŶƚŽ ƚŚĞ ĚĞůŝǀĞƌǇ ŽĨ dental care.

/Ŷ ĚĞŶƟƐƚƌǇ ǁĞ ŚĂǀĞ ĂůǁĂǇƐ ƉůĂĐĞĚ ŽƵƌ ƉĂƟĞŶƚƐ ĮƌƐƚ ĂŶĚ ƉƌŽĮƚƐ ƐĞĐŽŶĚ͘ /Ŷ ƚŚĞ ĐŽƌƉŽƌĂƚĞ ƐĞƫŶŐ ƚŚĞ ƉƌŽĮƚƐ ĂƌĞ ĮƌƐƚ͕ ĂŶĚ / Ăŵ ŶŽƚ ƐƵƌĞ ǁŚĞƌĞ ƚŚĞ ƉĂƟĞŶƚƐ ĂŶĚ ƚŚĞ ĞŵƉůŽǇĞĞ ĚĞŶƟƐƚƐ ĨĂůů ŝŶ ĂŌĞƌ ƚŚĂƚ͘ dŚĞ ŽǀĞƌ ƚŚĞ ůĂƐƚ ϭϬϬ ǇĞĂƌƐ ŚĂƐ ĞƐƚĂďůŝƐŚĞĚ Ă ŽĚĞ ŽĨ

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ƚŚŝĐƐ ƚŚĂƚ ŐƵŝĚĞƐ ƵƐ ŝŶ ƚŚĞ ƚƌĞĂƚŵĞŶƚ ŽĨ ŽƵƌ ƉĂƟĞŶƚƐ͘ /ƚ ŝƐ ƌĞĐŽŐŶŝǌĞĚ ǁŽƌůĚǁŝĚĞ ĂƐ ͞ƚŚĞ ŽĚĞ͘͟ dŚŝƐ ĐŽĚĞ ƐĞƚƐ ƵƐ ĂƉĂƌƚ ĨƌŽŵ ŽƚŚĞƌ ŐƌŽƵƉƐ ĂŶĚ ŵĂŬĞƐ ƵƐ Ă ƉƌŽĨĞƐƐŝŽŶ ŝŶƐƚĞĂĚ Ă ƚƌĂĚĞ͘ dŚĞ ĐŽƌƉŽƌĂƚĞ ǁŽƌůĚ ŵĂǇ ŶŽƚ ƌĞĐŽŐŶŝǌĞ ŽƵƌ ĐŽĚĞ ŽĨ ĞƚŚŝĐƐ ĂŶĚ ŵĂǇ ĞŶĐŽƵƌĂŐĞ ƚŚĞŝƌ ĞŵƉůŽǇĞĞƐ ƚŽ ƚƵƌŶ Ă ďůŝŶĚ ĞǇĞ ŝĨ ŝƚ ŝŶĐƌĞĂƐĞƐ ƉƌŽĮƚƐ͘ ϯ͘

ŚĂŶŐŝŶŐ ĚĞŶƚĂů ĐĂƌĞ ƵƟůŝǌĂƟŽŶ ƉĂƩĞƌŶƐ ĂŵŽŶŐ ƚŚĞ ƉŽƉƵůĂƟŽŶ͘

tĞ ĐĂŶ ƐĞĞ ŽŶ ƚŚŝƐ ƐůŝĚĞ ;^ůŝĚĞ ϯͿ ƚŚĂƚ͕ ǁŚĞŶ ůŽŽŬŝŶŐ Ăƚ ƚŚĞ ƐŽƵƌĐĞƐ ŽĨ ĚĞŶƚĂů ďĞŶĞĮƚƐ ŝŶ ĂĚƵůƚƐ͕ ƚŚĞƌĞ ŚĂƐ ďĞĞŶ ĂŶ ŝŶĐƌĞĂƐĞ ŝŶ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƚŚĞ ƵŶŝŶƐƵƌĞĚ ĂĚƵůƚƐ͕ Ă ĚĞĐƌĞĂƐĞ ŝŶ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƚŚŽƐĞ ƉƌŝǀĂƚĞůǇ ŝŶƐƵƌĞĚ

ĂĚƵůƚƐ͕ ĂŶĚ ĂŶ ŝŶĐƌĞĂƐĞ ŝŶ ƚŚĞ ŶƵŵďĞƌ ŽĨ ĂĚƵůƚƐ ƚŚĂƚ ĂƌĞ ƉƵďůŝĐĂůůǇ ŝŶƐƵƌĞĚ͘ Ɛ ĨĂƌ ĂƐ ƚŚĞ ƐŽƵƌĐĞƐ ŽĨ ĚĞŶƚĂů ďĞŶĞĮƚƐ ĨŽƌ ƚŚĞ ĐŚŝůĚƌĞŶ͕ ǇŽƵ ǁŝůů ŶŽƚĞ Ă ĚĞĐƌĞĂƐĞ ŝŶ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƵŶŝŶƐƵƌĞĚ͕ Ă ĚĞĐƌĞĂƐĞ ŝŶ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƚŚŽƐĞ ƉƌŝǀĂƚĞůǇ ŝŶƐƵƌĞĚ͕ ĂŶĚ Ă ŵƵĐŚ ůĂƌŐĞƌ ŝŶĐƌĞĂƐĞ ŝŶ ƚŚĞ ŶƵŵďĞƌ ŽĨ ƉƵďůŝĐĂůůǇ ŝŶƐƵƌĞĚ ǁŚĞŶ ĐŽŵƉĂƌĞĚ ƚŽ ƚŚĞ ĂĚƵůƚƐ͘ ƵƌƌĞŶƚůǇ Ϯϱй ŽĨ ƚŚĞ ĐŚŝůĚƌĞŶ ŝŶ ƚŚĞ h͘^͘ ůŝǀĞ ŝŶ ƉŽǀĞƌƚǇ͘ dŚŝƐ ŝƐ ǁŚǇ ǁĞ ƐĞĞ ƐŽ ŵĂŶǇ ŽĨ ƚŚĞ ĐŽƌƉŽƌĂƚĞ ŽĸĐĞƐ ĂĐĐĞƉƟŶŐ DĞĚŝĐĂŝĚ͘ >Ğƚ ŵĞ ďĞ ǀĞƌǇ ĐůĞĂƌ͘ tĞ ĚŽ ŶŽƚ ŚĂǀĞ ĂŶ ĂĐĐĞƐƐ ƚŽ ĚĞŶƚĂů ĐĂƌĞ ƉƌŽďůĞŵ ŝŶ dĞǆĂƐ͖ ŝŶ ĨĂĐƚ ǁĞ ŚĂǀĞ Ă ďƵƐǇŶĞƐƐ ƉƌŽďůĞŵ ŝŶ dĞǆĂƐ͘ tŚĂƚ ĚŽ ŚĂǀĞ ŝƐ Ă ĨƵŶĚŝŶŐ ŽĨ ĚĞŶƚĂů ĐĂƌĞ ƉƌŽďůĞŵ͘ tĞ ŚĂǀĞ ƉůĞŶƚǇ ŽĨ ĚĞŶƟƐƚƐ ƚŽ ƉƌŽǀŝĚĞ ƚŚĞ

100% 90% 80% 70% 60% ϱϬй 40% 30% ϮϬй 10% 0%

100% 90% 80% 70% 60% ϱϬй 40% 30% ϮϬй 10% 0% ϮϬϬϭ WƌŝǀĂƚĞ ĞŶƚĂů /ŶƐƵƌĂŶĐĞ

ϮϬϭϬ WƵďůŝĐ /ŶƐƵƌĂŶĐĞ

hŶŝŶƐƵƌĞĚ

ϮϬϬϭ

ϮϬϭϬ

WƌŝǀĂƚĞ ĞŶƚĂů /ŶƐƵƌĂŶĐĞ

WƵďůŝĐ /ŶƐƵƌĂŶĐĞ

hŶŝŶƐƵƌĞĚ

Slide 3. Note that private dental insurance is declining in both adults and children. ĐĂƌĞ͘ dŚĞ ƋƵĞƐƟŽŶ ŝƐ͗ tŚŽ ǁŝůů ƉĂǇ ĨŽƌ ƚŚŝƐ ĐĂƌĞ ĂŶĚ ǁŚŽ ŝƐ ƌĞƐƉŽŶƐŝďůĞ͍ 4.

Changing dental care delivery models.

tĞ ĂƌĞ ǁĞůů ĂǁĂƌĞ ŽĨ ƚŚĞ ƚƌĂĚŝƟŽŶĂů ƐŽůŽ ĂŶĚ ƐŵĂůů ŐƌŽƵƉ ƉƌĂĐƟĐĞ ŵŽĚĞůƐ͖ ǁĞ ĂƌĞ ďĞĐŽŵŝŶŐ ŵŽƌĞ ĂǁĂƌĞ ŽĨ ƚŚĞ ůĂƌŐĞƌ ŐƌŽƵƉ ĂŶĚ ĐŽƌƉŽƌĂƚĞ ƉƌĂĐƟĐĞƐ͘ dŚĞƌĞ ĂƌĞ ŵŝůŝƚĂƌǇ ŵŽĚĞůƐ͕ ƉƵďůŝĐ ŚĞĂůƚŚ ŵŽĚĞůƐ͕ ĂŶĚ ĚĞŶƚĂů ĞĚƵĐĂƟŽŶ ŵŽĚĞůƐ ŽĨ ƉĂƟĞŶƚ ĐĂƌĞ͕ ũƵƐƚ ƚŽ ŶĂŵĞ Ă ĨĞǁ͘ tĞ ǁŝůů ƐĞĞ ŵĂŶǇ ŵŽƌĞ ŵŽĚĞůƐ͕ ƐŽŵĞ ŝŶǀŽůǀŝŶŐ ĚĞŶƟƐƚƐ ĂŶĚ ƐŽŵĞ ŶŽŶͲĚĞŶƟƐƚƐ͘ tĞ ŵƵƐƚ ĚĞĨĞŶĚ ƚŚĞ ĞƚŚŝĐĂů ƚƌĞĂƚŵĞŶƚ ŽĨ ƚŚĞ ƉƵďůŝĐ ĂŐĂŝŶƐƚ ƚŚŽƐĞ ƚŚĂƚ ǁŽƵůĚ ŽŶůǇ ǁŝƐŚ ƚŽ ƉƌŽĮƚ ĨƌŽŵ ŵŝƐĞƌǇ͘ Ɛ Ă ƉƌŽĨĞƐƐŝŽŶ ƚŚĞ ƉƵďůŝĐ ŚĂƐ ĞŶƚƌƵƐƚĞĚ ƵƐ ǁŝƚŚ ƚŚĞŝƌ ĐĂƌĞ͘ dŚŝƐ ŝƐ ƐŽŵĞƚŚŝŶŐ ƚŚĂƚ ƐŚŽƵůĚ

ŶŽƚ ďĞ ƚĂŬĞŶ ůŝŐŚƚůǇ͘ ĞŶƟƐƚƌǇ ǁŝůů ĐŚĂŶŐĞ͕ ũƵƐƚ ĂƐ ŝƚ ĂůǁĂǇƐ ŚĂƐ͕ ďƵƚ ǁĞ ŵƵƐƚ ƉƌŽƚĞĐƚ ƚŚĞ ƉƵďůŝĐ ĂŶĚ ŐƵŝĚĞ ƚŚĞ ĞǀŽůǀŝŶŐ ƉƌĂĐƟĐĞ ŵŽĚĞůƐ ǁŝƚŚŝŶ ƚŚĞ ĞƚŚŝĐĂů ƉƌĂĐƟĐĞ ŽĨ ĚĞŶƟƐƚƌǇ͘ ϱ͘ ^ŚŝŌŝŶŐ ƉŽƉƵůĂƟŽŶ ĚĞŵŽŐƌĂƉŚŝĐƐ ĂŶĚ ƚŚĞ ŝŵƉĂĐƚ ŽŶ the demand for dental care. dŚĞ ƉŽƉƵůĂƟŽŶ ŝŶ dĞǆĂƐ ŝƐ ƉƌĞĚŝĐƚĞĚ ƚŽ ĚŽƵďůĞ ŝŶ ƚŚĞ ŶĞǆƚ Ϯϱ ǇĞĂƌƐ͘ tĞ ĂƌĞ ďĞĐŽŵŝŶŐ ƚƌƵůǇ ŵƵůƟĐƵůƚƵƌĂů͘ dŚŝƐ ĚŝǀĞƌƐŝƚǇ ŵƵƐƚ ďĞ ƌĞŇĞĐƚĞĚ ŝŶ ĞǀĞƌǇƚŚŝŶŐ ǁĞ ĚŽ ĨƌŽŵ ůĞĂĚĞƌƐŚŝƉ ƚŽ ŵĞŵďĞƌ ďĞŶĞĮƚƐ͘ ϲ͘ dŚĞ ŝŵƉůŝĐĂƟŽŶƐ ŽĨ ƚŚĞ ƌŝƐŝŶŐ ĐŽƐƚ ŽĨ ĚĞŶƚĂů ĞĚƵĐĂƟŽŶ ĞƐƉĞĐŝĂůůǇ ĂƐ ŝƚ ĂīĞĐƚƐ ĐĂƌĞĞƌ choices.

ĞŶƚĂů ĞĚƵĐĂƟŽŶ ŝƐ ĞǆƉĞŶƐŝǀĞ͕ ďƵƚ ƚŚĞŶ ƐŽ ŝƐ Ăůů ĞĚƵĐĂƟŽŶ͘ tĞ ŵƵƐƚ ĚŽ Ă ďĞƩĞƌ ũŽď ŽĨ ĞĚƵĐĂƟŶŐ ƚŚĞƐĞ ĚĞŶƚĂů ƐƚƵĚĞŶƚƐ ŝŶ ƚŚĞ ĐŚŽŝĐĞƐ ƚŚĞǇ ŵĂŬĞ͘ &ƌŽŵ ƚŚĞ ƚǇƉĞ ŽĨ ƉƌĂĐƟĐĞ ƚŚĞǇ ǁŽƵůĚ ůŝŬĞ ƚŽ ďĞ Ă ƉĂƌƚ ŽĨ͕ ƚŽ ƚŚĞ ĮŶĂŶĐŝĂů ƐƚĞƉƐ ƌĞƋƵŝƌĞĚ ƚŽ ďĞ ƐƵĐĐĞƐƐĨƵů͕ ĂŶĚ ƚŚĞ ƉĞƌƐŽŶĂů ĐŚŽŝĐĞƐ ƚŚĞǇ ŚĂǀĞ ǁŚĞŶ ďƵŝůĚŝŶŐ ƚŚĞŝƌ ƉƌĂĐƟĐĞƐ͘ ZŝŐŚƚ ŶŽǁ ƚŚĞ ƐƚƵĚĞŶƚ ĚĞďƚ ŝƐ ƌĞƐƚƌŝĐƟŶŐ ƚŚĞ ƚǇƉĞ ŽĨ ƉƌĂĐƟĐĞ ƚŚĞƐĞ ǇŽƵŶŐ ĚĞŶƟƐƚƐ ǁŝůů ďĞ ĂďůĞ ƚŽ ĐŚŽŽƐĞ͕ ĂŶĚ ůŝŵŝƚƐ ƚŚĞŝƌ ĂďŝůŝƚǇ ƚŽ ŚĂǀĞ ƚŚĞ ƟŵĞ ƚŽ ďƵŝůĚ Ă ƉƌĂĐƟĐĞ͘ ϳ͘ dŚĞ ŝŵƉůŝĐĂƟŽŶƐ ŽĨ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ŽŶ ĚĞŶƟƐƚƌǇ͘ dŚĞ ĐŽŶĨƵƐŝŽŶ ĐƌĞĂƚĞĚ ďǇ ƚŚĞ īŽƌĚĂďůĞ ĂƌĞ Đƚ ŵĂǇ ůĞĂǀĞ ŵĂŶǇ ŽĨ ŽƵƌ ƉĂƟĞŶƚƐ ǁŝƚŚŽƵƚ ĚĞŶƚĂů

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1 4 4 T H A N N U A L S E S S I O N of the T E X A S D E N T A L A S S O C I A T I O N

S A X E T ĐŽǀĞƌĂŐĞ͘ ^ŽŵĞ ŝŶƐƵƌĂŶĐĞ ĐĂƌƌŝĞƌƐ ŵĂǇ ĨĂůů ďǇ ƚŚĞ ǁĂǇƐŝĚĞ ǁŝƚŚ ƚŚĞ ĞǀĞƌ ŝŶĐƌĞĂƐŝŶŐ ƌĞŐƵůĂƟŽŶƐ ĂŶĚ ƌĞƋƵŝƌĞŵĞŶƚƐ ƉůĂĐĞĚ ƵƉŽŶ ƚŚĞ ŝŶƐƵƌĂŶĐĞ ĐŽŵƉĂŶŝĞƐ͘ /ƐŶ͛ƚ ŝƚ ĨƵŶŶǇ ƚŚĂƚ ŶŽƚ ůŽŶŐ ĂŐŽ ŝŶƐƵƌĂŶĐĞ ǁĂƐ ĐŽŶƐŝĚĞƌĞĚ ƚŚĞ ďĂŶĞ ŽĨ ŽƵƌ ĞǆŝƐƚĞŶĐĞ͍ EŽǁ ǁĞ ĐĂŶ͛ƚ ŝŵĂŐŝŶĞ ůŝĨĞ ǁŝƚŚŽƵƚ ŝƚ͘

ƚŚĞǇ ǁŽƵůĚ ďƵǇ ĚĞŶƚĂů ŝŶƐƵƌĂŶĐĞ͘ tŚĞŶ ĂƐŬĞĚ͕ ͞/Ĩ ǇŽƵ ǁŽƵůĚ ďƵǇ ĚĞŶƚĂů ĐŽǀĞƌĂŐĞ ǇŽƵƌƐĞůĨ͕ ǁŚĂƚ ŬŝŶĚ ǁŽƵůĚ ǇŽƵ ďƵǇ͍͟ tĞ ƐĞĞ ϯϱй ǁŽƵůĚ ďƵǇ ƚŚĞ ŚŝŐŚĞƌͲƉƌŝĐĞĚ ǁŝƚŚ ŵĂũŽƌ ĐĂƌĞ ŝŶĐůƵĚĞĚ͕ ǁŚŝůĞ ϲϱй ǁŽƵůĚ ďƵǇ Ă ůŽǁĞƌͲƉƌŝĐĞĚ ƉƌĞǀĞŶƟǀĞͲŽŶůǇ ƉůĂŶ͘ ^Ž ǁŚĞƌĞ ĚŽ ǁĞ ŐŽ ĨƌŽŵ ŚĞƌĞ͍ / ĚŽŶ͛ƚ ǁĂŶƚ ƚŽ ƉĂŝŶƚ Ă ĚĂƌŬ ƉŝĐƚƵƌĞ ŽĨ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ͛Ɛ ĨƵƚƵƌĞ͘ /Ŷ ĨĂĐƚ / ƐĞĞ ŽƵƌ ĨƵƚƵƌĞ ďĞŝŶŐ ďƌŝŐŚƚĞƌ ƚŚĂŶ ŵŽƐƚ ŽĨ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶƐ ǁŝƚŚŝŶ ŚĞĂůƚŚ ĐĂƌĞ͘ ŚĂŶŐĞ ŚĂƐ ĂůǁĂǇƐ ďĞĞŶ ŝŶĞǀŝƚĂďůĞ ĂŶĚ ƵƐƵĂůůǇ ďƌŝŶŐƐ ŶĞǁ ŽƉƉŽƌƚƵŶŝƟĞƐ͘ tĞ ĐĂŶŶŽƚ ĂǀŽŝĚ ĐŚĂŶŐĞ͘ DǇ ƉŚŝůŽƐŽƉŚǇ ŚĂƐ ĂůǁĂǇƐ ďĞĞŶ ƚŚĂƚ ǇŽƵ ĂƌĞ ĞŝƚŚĞƌ ŵŽǀŝŶŐ ĨŽƌǁĂƌĚ Žƌ ĨĂůůŝŶŐ ďĞŚŝŶĚ ďƵƚ

KŶ ƚŚŝƐ ƐůŝĚĞ ;^ůŝĚĞ ϰͿ͕ ǁŚĞŶ ƚŚĞ ĂƐŬĞĚ͗ ͞/Ĩ ǇŽƵƌ ĞŵƉůŽǇĞƌ ĞŶĚƐ ĚĞŶƚĂů ĐŽǀĞƌĂŐĞ͕ ǁŽƵůĚ ǇŽƵ ďƵǇ ŝƚ ǇŽƵƌƐĞůĨ͍͟ Ɛ ŶŽƚĞĚ͕ ǁĞ ƐĞĞ ƚŚĂƚ ϭϲй ǁŽƵůĚ ďĞ ǀĞƌǇ ůŝŬĞůǇ ƚŽ ďƵǇ ĚĞŶƚĂů ŝŶƐƵƌĂŶĐĞ͕ ĨŽůůŽǁĞĚ ďǇ ϯϵй ƚŚĂƚ ǁŽƵůĚ ďĞ ůŝŬĞůǇ͕ ĨŽůůŽǁĞĚ ďǇ ϮϮй ƚŚĂƚ ǁŽƵůĚ ďĞ ƵŶůŝŬĞůǇ͕ ĂŶĚ Ϯϯй ƚŚĂƚ ĂƌĞ ƵŶƐƵƌĞ ŝĨ

/Ĩ ǇŽƵƌ ĞŵƉůŽǇĞƌ ĞŶĚƐ ĚĞŶƚĂů ĐŽǀĞƌĂŐĞ͕ ǁŽƵůĚ ǇŽƵ ďƵǇ ŝƚ ǇŽƵƌƐĞůĨ͍

ŶŽƚŚŝŶŐ ĞǀĞƌ ƐƚĂǇƐ ƚŚĞ ƐĂŵĞ͘ DŽƐƚ ŽĨ ƚŚĞƐĞ ĐŚĂůůĞŶŐĞƐ ĂƌĞ Ă ĚŝƌĞĐƚ ƌĞƐƵůƚ ŽĨ ƚŚĞ ĞĐŽŶŽŵǇ͘ / ĚŽ ŶŽƚ ĞǆƉĞĐƚ ĞŝƚŚĞƌ ƚŚĞ ĐŚĂůůĞŶŐĞƐ Žƌ ƚŚĞ ĞĐŽŶŽŵǇ ƚŽ ĐŚĂŶŐĞ ĚƌĂŵĂƟĐĂůůǇ͘ tĞ ĐĂŶŶŽƚ ŝŐŶŽƌĞ ƚŚĞƐĞ ƚƌĞŶĚƐ ĂŶĚ ŵƵƐƚ ǁŽƌŬ ĚŝůŝŐĞŶƚůǇ ĂŶĚ ĞŶƚŚƵƐŝĂƐƟĐĂůůǇ ƚŽ ƉŽƐŝƟǀĞůǇ ĂīĞĐƚ ƚŚĞ ŽƵƚĐŽŵĞƐ͘ dŚĞ ŝŶĨŽƌŵĂƟŽŶ ǁĞ ĂƌĞ ĐŽůůĞĐƟŶŐ ŽŶ ĚĞŶƚĂů ƐĞƌǀŝĐĞ ŽƌŐĂŶŝǌĂƟŽŶƐ ; ^KͿ ĂŶĚ ůĂƌŐĞ ŐƌŽƵƉƐ ǁŝůů ďĞƩĞƌ ŚĞůƉ ŽƵƌ ŵĞŵďĞƌƐ ƚŽ ĐŽŵƉĞƚĞ ŝŶ ƚŚŝƐ ĞǀĞƌ ĐŚĂŶŐŝŶŐ ǁŽƌůĚ͘ tĞ ǁŝůů ďĞĐŽŵĞ ŵŽƌĞ ĞĸĐŝĞŶƚ ǁŝƚŚŝŶ ŽƵƌ ƉƌĂĐƟĐĞƐ͘ KŶĞ ƐƚƵĚǇ ŚĂƐ ƉƌĞĚŝĐƚĞĚ ƚŚĂƚ ƚŚĞ ƚƌĞŶĚ ǁŝƚŚŝŶ ĚĞŶƟƐƚƌǇ ŝƐ ƚŽ ŵŽǀĞ ƚŽ ŐƌŽƵƉ ƉƌĂĐƟĐĞƐ ƐŽ ǁĞ ĐĂŶ ďĞŶĞĮƚ ĨƌŽŵ ĐŽůůĞĐƟǀĞ

/Ĩ ǇŽƵ ǁŽƵůĚ ďƵǇ ĚĞŶƚĂů ĐŽǀĞƌĂŐĞ ǇŽƵƌƐĞůĨ͕ ǁŚĂƚ ŬŝŶĚ ǁŽƵůĚ ǇŽƵ ďƵǇ͍

16% Ϯϯй sĞƌǇ ůŝŬĞůǇ

>ŽǁĞƌ ƉƌŝĐĞĚ͕ ƉƌĞǀĞŶƟǀĞ ĐĂƌĞ ŽŶůǇ ƉůĂŶƐ

ϯϱй

>ŝŬĞůǇ hŶůŝŬĞůǇ

,ŝŐŚĞƌ ƉƌŝĐĞĚ͕ ŵĂũŽƌ ĐĂƌĞ ŝŶĐůƵĚĞĚ ŝŶ ƉůĂŶ

hŶƐƵƌĞ

ϮϮй

ϲϱй 39%

Slide 4. Note only 16% of the public is very likely to buy dental insurance of which 65% would buy the lower-priced coverage.

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bargaining, bundled purchases, ĂŶĚ ĐŽůůĞĐƟǀĞ ŬŶŽǁůĞĚŐĞ͘ dŚĞ ƐƚƵĚĞŶƚƐ ĂŶĚ ǇŽƵŶŐ ĚĞŶƟƐƚƐ ĂƌĞ ǀĞƌǇ ĂĐĐƵƐƚŽŵĞĚ ƚŽ ǁŽƌŬŝŶŐ ĐŽůůĂďŽƌĂƟǀĞůǇ ǁŝƚŚŝŶ ŐƌŽƵƉƐ͘ dŚĞǇ ĮŶĚ ĐŽŵĨŽƌƚ ĂŶĚ ƐƵƉƉŽƌƚ ǁŝƚŚŝŶ ƚŚĞŝƌ ŐƌŽƵƉ͘ /Ĩ ƚŚŝƐ ŝƐ ƚŚĞ ĚŝƌĞĐƟŽŶ ƚŚĂƚ ĚĞŶƟƐƚƌǇ ŝƐ ŵŽǀŝŶŐ͕ ƚŚĞŶ ƚŚĞ d ŶĞĞĚƐ ƚŽ ďĞ ĂĐƟǀĞůǇ ŝŶǀŽůǀĞĚ ŝŶ ĚĞǀĞůŽƉŝŶŐ programs that could help establish ƚŚĞ ďĞƐƚ ĞƚŚŝĐĂů ƉƌĂĐƟĐĞ ŵŽĚĞůƐ ďŽƚŚ ƉŽůŝĐǇ ĂŶĚ ƐĐĞŶĂƌŝŽƐ͘ KƵƌ ŽĚĞ ŽĨ Ethics should be the gold standard ĂƐ ƚŽ ƚŚĞ ĞƚŚŝĐĂů ƉƌĂĐƟĐĞ ŽĨ ĚĞŶƟƐƚƌǇ͘ KƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ ŶĞĞĚƐ ƚŽ ƐĞƚ ƚŚĞƐĞ ĞƚŚŝĐĂů ƐƚĂŶĚĂƌĚƐ ĨƌŽŵ ǁŚŝĐŚ Ăůů ƉƌĂĐƟĐĞ ŵŽĚĞůƐ ǁŝůů ĞǀŽůǀĞ͘ / ǁŽƵůĚ ůŝŬĞ ƚŽ ĐŚĂůůĞŶŐĞ K ĂŶĚ d ƚŽ ŝĚĞŶƟĨǇ ƚŚĞ ĚŝīĞƌĞŶƚ ƉƌĂĐƟĐĞ ŵŽĚĞůƐ ŽƉĞƌĂƟŶŐ ŝŶ dĞǆĂƐ ĂŶĚ ĚŽĐƵŵĞŶƚ the policies good and bad the ĐŚĂƌĂĐƚĞƌŝǌĞ ĞĂĐŚ͘ dŚŝƐ ǁŽƵůĚ ŝŶĐůƵĚĞ ƚƌĂĚŝƟŽŶĂů ƐŽůŽ ĂŶĚ ŐƌŽƵƉ ƉƌĂĐƟĐĞƐ͕ ĐŽƌƉŽƌĂƚĞ ƐƚƌƵĐƚƵƌĞƐ ůŝŬĞ ^KƐ͕ ĚĞŶƚĂů ŵĂŶĂŐĞŵĞŶƚ ƐĞƌǀŝĐĞ ŽƌŐĂŶŝǌĂƟŽŶƐ ;ǁŝƚŚ ŵĂŶĂŐĞŵĞŶƚ ĐŽŶƚƌĂĐƚͿ ǁŝƚŚŽƵƚ ŽƵƚƐŝĚĞ ĞƋƵŝƚǇ ŽǁŶĞƌƐ ; D^KͲ ϭͿ͕ ĚĞŶƚĂů ŵĂŶĂŐĞŵĞŶƚ ƐĞƌǀŝĐĞ ŽƌŐĂŶŝǌĂƟŽŶƐ ;ǁŝƚŚ ŵĂŶĂŐĞŵĞŶƚ ĐŽŶƚƌĂĐƚͿ ǁŝƚŚ ŽƵƚƐŝĚĞ ĞƋƵŝƚǇ ŽǁŶĞƌƐ ; D^KͲϮͿ ĂŶĚ ŽƚŚĞƌƐ͘ / ĨĞĞů ƋƵŝƚĞ ĐŽŶĮĚĞŶƚ ƚŚĂƚ ƚŚĞƌĞ ĂƌĞ ŐŽŽĚ ŐƌŽƵƉƐ ƉƌĂĐƟĐŝŶŐ ĞƚŚŝĐĂů ĚĞŶƟƐƚƌǇ ŽƵƚ ƚŚĞƌĞ͖ ƵŶĨŽƌƚƵŶĂƚĞůǇ ƚŚĞ ŽĂƌĚ ŽŶůǇ ƐĞĞƐ ƚŚŽƐĞ ƚŚĂƚ ĂƌĞ ŶŽƚ͘ /ƚ ŝƐ ǀŝƚĂůůǇ ŝŵƉŽƌƚĂŶƚ ƚŚĂƚ ǁĞ ŚĂǀĞ ĂŶ ĂĐĐƵƌĂƚĞ ƉŝĐƚƵƌĞ ŽĨ Ăůů ƉƌĂĐƟĐĞ ĚĞůŝǀĞƌǇ ŵŽĚĞůƐ ĂŶĚ ƚŚĞŝƌ ŵĞƚŚŽĚƐ ŽĨ ŽƉĞƌĂƟŽŶ ĂƐ ƚŚĞǇ ĂīĞĐƚ ĚĞŶƚĂů ĐĂƌĞ ŝŶ dĞǆĂƐ͘ EŽǁ ŝƐ ƚŚĞ ƟŵĞ ĨŽƌ ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ ƚŽ ŐĞƚ ŝŶǀŽůǀĞĚ ŝŶ ƚŚĞ ĚĞǀĞůŽƉŵĞŶƚ ĂŶĚ ŝŶŇƵĞŶĐĞ ŽĨ ƚŚŽƐĞ ƉƌŽŐƌĂŵƐ ƚŚĂƚ ǁŝůů ďĞ ŝŶǀŽůǀĞĚ ŝŶ ĚĞŶƚĂů ĐĂƌĞ ŝŶ ƚŚĞ ĨƵƚƵƌĞ͘ tŝƚŚ ƚŚĞ d &ŝŶĂŶĐŝĂů ^ĞƌǀŝĐĞƐ ǀĞŶĚŽƌ ĐĂůůĞĚ d WĞƌŬƐ ^ƵƉƉůŝĞƐ͕ ǁĞ ŚĂǀĞ ďĞŐƵŶ ƚŚĞ ĐŽŵƉĞƟƟǀĞ ƉƵƌĐŚĂƐŝŶŐ ĨŽƵŶĚ ŝŶ ĂůŵŽƐƚ Ăůů ŐƌŽƵƉƐ͘ KƵƌ ŵĞŵďĞƌƐ ƐĂǀĞ ĂƐ ŵƵĐŚ ĂƐ ϯϱй Žƌ more on the products purchased and ƚŽ ĚĂƚĞ ŚĂǀĞ ĐŽůůĞĐƟǀĞůǇ ƐĂǀĞĚ ŽǀĞƌ Ψϭ ŵŝůůŝŽŶ͘ / ĨĞĞů ƚŚĂƚ ƐŝŶĐĞ EŽǀĞŵďĞƌ /

ŚĂǀĞ ƐĂǀĞĚ ĞŶŽƵŐŚ ƚŽ ƉĂǇ ŵǇ ĚƵĞƐ ĨŽƌ ƚŚĞ ǇĞĂƌ͘ EŽƚ ďĂĚ͘ tĞ ŵƵƐƚ ďĞƩĞƌ ĐŽŶŶĞĐƚ ǁŝƚŚ ƚŚŽƐĞ ĚĞŶƟƐƚƐ ǁŚŽ ĨĞĞů ĚŝƐĞŶĨƌĂŶĐŚŝƐĞĚ ƐƵĐŚ ĂƐ ƐŽŵĞ ĞŵƉůŽǇĞĞ ĚĞŶƟƐƚƐ͕ ǇŽƵŶŐ ĚĞŶƟƐƚƐ͕ ĂŶĚ ƐŽŵĞ ĞƚŚŶŝĐ ŐƌŽƵƉƐ͘ dŚĞ d ŝƐ ƚŚĞ ǀŽŝĐĞ ŽĨ ĚĞŶƟƐƚƌǇ ŝŶ dĞǆĂƐ ĂŶĚ ĂƐ ƐƵĐŚ ƐƉĞĂŬƐ ĨŽƌ Ăůů dĞǆĂƐ ĚĞŶƟƐƚƐ͘ tĞ ĂƌĞ ƚŚĞ ŽŶůǇ ǀŽŝĐĞ ƚŚĂƚ ƐƉĞĂŬƐ ĨŽƌ Ăůů ĚĞŶƟƐƚƐ ĂŶĚ ŚĂƐ ŽŶůǇ ƚŚĞ ĚĞŶƟƐƚ͛Ɛ ďĞƐƚ ŝŶƚĞƌĞƐƚ Ăƚ ŚĞĂƌƚ͘ ĞŶũĂŵŝŶ &ƌĂŶŬůŝŶ ŽŶĐĞ said, “We must all hang together Žƌ ĂƐƐƵƌĞĚůǇ ǁĞ ƐŚĂůů Ăůů ŚĂŶŐ ƐĞƉĂƌĂƚĞůǇ͘͟ dŚŝƐ ŚĂƐ ŶĞǀĞƌ ďĞĞŶ ŵŽƌĞ ƚƌƵĞ ƚŚĂŶ ŶŽǁ͘ tĞ ŶĞĞĚ ŽŶůǇ ƚŽ ůŽŽŬ Ăƚ Žƌ ďƌĞƚŚƌĞŶ ŝŶ ƚŚĞ ŵĞĚŝĐĂů͕ ƉŚĂƌŵĂĐǇ͕ ĂŶĚ ŽƉƚŽŵĞƚƌǇ ĮĞůĚƐ ƚŽ ƐĞĞ ǁŚĂƚ ŚĂƉƉĞŶƐ ǁŚĞŶ ƚŚĞ ƉƌŽĨĞƐƐŝŽŶ ŝƐ ƐƉůŝŶƚĞƌĞĚ ĂŶĚ ůŽƐĞƐ ĐŽŶƚƌŽů ŽĨ ŝƚƐ ƉƌĂĐƟĐĞ ĞŶǀŝƌŽŶŵĞŶƚ͘ tĞ ŶĞĞĚ ƚŽ ĚĞǀĞůŽƉ ŵĞŵďĞƌ ďĞŶĞĮƚƐ ƚŚĂƚ ĐĂŶ ǀĂƌǇ ǁŝƚŚ ĚŝīĞƌĞŶƚ ŐƌŽƵƉ͛Ɛ ŶĞĞĚƐ͘ KŶĞ ƐŝǌĞ ĚŽĞƐ ŶŽƚ Įƚ Ăůů͘ dŚĞ ŶĞĞĚƐ ŽĨ ƚŚĞ DŝůůĞŶŶŝĂůƐ͕ 'ĞŶ zĞƌƐ͕ 'ĞŶ yĞƌƐ͕ ĂŶĚ ƚŚĞ ĂďǇ ŽŽŵĞƌƐ ĂƌĞ ĚŝīĞƌĞŶƚ ĂŶĚ ƵŶŝƋƵĞ͘ tĞ ŶĞĞĚ ƚŽ ďĞ ĐŽŐŶŝǌĂŶƚ ŽĨ ƚŚŝƐ ĂƐ ǁĞ ĚĞǀĞůŽƉ ĂŶĚ ŝŶŝƟĂƚĞ ƚŚĞ ƉƌŽŐƌĂŵƐ ŽĨ ƚŚĞ ĂƐƐŽĐŝĂƟŽŶ͘ / ŚŽƉĞ ƚŚĂƚ Ăůů ŽĨ ǇŽƵ ĂƌĞ ĨĂŵŝůŝĂƌ ǁŝƚŚ ƚŚĞ ŶĞǁ d ǁĞďƐŝƚĞ͘ /ƚƐ ŶĞǁ ŝŶƚĞƌĂĐƟǀĞ ƉůĂƞŽƌŵ ĂŶĚ ƐŽĐŝĂů ƐŚĂƌŝŶŐ ŽŶ Ăůů ƉĂŐĞƐ ǁŝůů ŬĞĞƉ ƵƐ ďĞƩĞƌ ĐŽŶŶĞĐƚĞĚ͘ dŚŝƐ ŝƐ ĂŶ ŝŵƉŽƌƚĂŶƚ ƐƚĞƉ ŝŶ ŽƵƌ ĐŽŵŵƵŶŝĐĂƟŽŶ ĞīŽƌƚƐ ďƵƚ ǁĞ ŚĂǀĞ ŵƵĐŚ ŵŽƌĞ ǁĞ ĐĂŶ ĚŽ͘ tĞ ŵƵƐƚ ĮŶĚ Ă ďĞƩĞƌ ǁĂǇ ƚŽ ŐĞƚ ŽƵƌ ŵĞƐƐĂŐĞ out to the dental community and the ƉƵďůŝĐ ǁŚŝůĞ ĐƌĞĂƟŶŐ ƚŚĞ ŝŵĂŐĞ ǁĞ ǁĂŶƚ ƚŽ ƉƌŽũĞĐƚ͘ ǀĞƌǇƚŚŝŶŐ ǁĞ ĚŽ ĐƌĞĂƚĞƐ ĂŶ ŝŵĂŐĞ͘ tĞ ǁĂŶƚ ƚŽ ŵĂŬĞ ƐƵƌĞ ǁĞ ĂƌĞ ĐƌĞĂƟŶŐ ƚŚĞ ŝŵĂŐĞ ŽĨ ƚŚĞ ƚƌƵƐƚĞĚ ǀŽŝĐĞ ŽĨ ĚĞŶƟƐƚƌǇ͘ dŚĞƌĞ ĂƌĞ ŵĂŶǇ ĨŽƌĐĞƐ ŽƵƚ ƚŚĞƌĞ ƚŚĂƚ ƉĂŝŶƚ Ă ǀĞƌǇ ĚŝīĞƌĞŶƚ ƉŝĐƚƵƌĞ ŽĨ ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ͘ DŽƐƚ ŽĨ ƚŚĞƐĞ ĂƌĞ ƐĞůĨͲ ƐĞƌǀŝŶŐ ĂŶĚ ƚĞŶĚ ƚŽ ŚĂǀĞ Ă ůŝŵŝƚĞĚ ůŝĨĞ ƐƉĂŶ͕ ďƵƚ ĐĂŶ ďĞ ǀĞƌǇ ŚƵƌƞƵů Ăƚ ƚŚĞ ƟŵĞ͘ tĞ ŵƵƐƚ ƌĞŵĞŵďĞƌ ƚŚĂƚ ƚŚĞ ǀŽŝĐĞ ŽĨ ƚŚĞ d ŚĂƐ ŚĂĚ

TDA President-elect Dr David H. McCarley of McKinney refers to his tablet during the House of Delegates at the 144th annual session of the TDA in May 2014. Ă ƉƌĞƐĞŶĐĞ ƐŝŶĐĞ ϭϴϳϬ͕ ϭϰϰ ǇĞĂƌƐ͘ / ǁŽƵůĚ ĐŚĂůůĞŶŐĞ Ăůů ŽĨ ŽƵƌ ĐŽƵŶĐŝůƐ͕ ĐŽŵŵŝƩĞĞƐ͕ ĂŶĚ ƚŚĞ ŽĂƌĚ ƚŽ ŬĞĞƉ ƚŚŝƐ ŝŵĂŐĞ ŝŶ ŵŝŶĚ ĂŶĚ ƚŽ ĨŽĐƵƐ ŽŶ Ă ĐŽŵŵƵŶŝĐĂƟŽŶ ƉƌĞƐĞŶĐĞ ĂƐ ƚŚĞǇ ĐĂƌƌǇ ŽƵƚ ƚŚĞŝƌ ƌĞƐƉĞĐƟǀĞ ĚƵƟĞƐ͘ tĞ ŶŽ ůŽŶŐĞƌ ĐĂŶ ůŝǀĞ ŝŶ Ă ďƵďďůĞ ĂŶĚ ŵƵƐƚ ĂĐƟǀĞůǇ ŚŽŶĞ ŽƵƌ ĐŽŵŵƵŶŝĐĂƟŽŶ ƐŬŝůůƐ ƚŽ ĐŽŵƉĞƚĞ ĂŶĚ ďĞ ĞīĞĐƟǀĞ ŝŶ ƚŚŝƐ ĞǀĞƌ ĐŚĂŶŐŝŶŐ ǁŽƌůĚ͘ /Ŷ ĐůŽƐŝŶŐ / ǁŽƵůĚ ƐĂǇ ƚŚĂƚ ƚŚĞ d ŝƐ ƚŚĞ ďĞƐƚ ƚŚĂƚ ŽƌŐĂŶŝǌĞĚ ĚĞŶƟƐƚƌǇ ŚĂƐ ƚŽ ŽīĞƌ͘ tĞ ŚĂǀĞ Ă ƉƌŽƵĚ ƚƌĂĚŝƟŽŶ ŽĨ ůĞĂĚĞƌƐŚŝƉ͕ ŝŶŶŽǀĂƟŽŶ͕ ĂŶĚ ƐƚĞĂĚĨĂƐƚ ĚĞĨĞŶƐĞ ŽĨ ƚŚĞ ŵŽƌĂů ŝŶƚĞŐƌŝƚǇ ŽĨ ŽƵƌ ƉƌŽĨĞƐƐŝŽŶ͘ DƵĐŚ ůŝŬĞ ƚŚĞ ůĂŵŽ ĚĞĨĞŶĚĞƌƐ͕ ǁĞ ŚĂǀĞ ƚŚĞ ƌĞƉƵƚĂƟŽŶ ĂƐ ďĞŝŶŐ ƌĞůĞŶƚůĞƐƐ ĂĚǀŽĐĂƚĞƐ͕ ƐƚƵďďŽƌŶ Ăƚ ƟŵĞƐ͕ ďƵƚ ŶĞǀĞƌ ĂĨƌĂŝĚ ƚŽ ƐƉĞĂŬ ŽƵƌ ŵŝŶĚƐ ĂŶĚ ĮŐŚƚ ĨŽƌ ǁŚĂƚ ǁĞ ĨĞĞů ŝƐ ƌŝŐŚƚ͘ / ũƵƐƚ ǁĂŶƚ ǇŽƵ ƚŽ ŬŶŽǁ ƚŚĂƚ / Ăŵ ǀĞƌǇ ƉƌŽƵĚ ƚŽ ƐĞƌǀĞ ĂƐ ǇŽƵƌ ƉƌĞƐŝĚĞŶƚ ƚŚŝƐ ǇĞĂƌ͘ / ǁŝůů ĚŽ ŵǇ ďĞƐƚ͘ / ǁĂŶƚ ƚŽ ƚŚĂŶŬ ƌƐ ƵŶĐĂŶ ĂŶĚ ^ƚƵĂƌƚ ĨŽƌ Ăůů ŽĨ ƚŚĞŝƌ ŝŶƐŝŐŚƚ ĂŶĚ ǁŝƐĚŽŵ ŽŶ ƚŚŝƐ ŽĸĐĞ͘ / ǁŝůů ďĞ ĐĂůůŝŶŐ ŽŶ ǇŽƵ Ă ůŽƚ ƚŚŝƐ ǇĞĂƌ͘ dŽ ƌ ƌŵƐƚƌŽŶŐ͕ Ăůů / ĐĂŶ ƐĂǇ ŝƐ͕ ͞'Ğƚ ƌĞĂĚǇ ĨŽƌ ƌŝĚĞ ŽĨ ǇŽƵƌ ůŝĨĞ͘͟ EŽǁ͕ / ǁŽƵůĚ ůŝŬĞ ƚŽ ƚŚĂŶŬ ŵǇ ĨĂŵŝůǇ ĨŽƌ Ăůů ƚŚĞŝƌ ƐƵƉƉŽƌƚ͘ / ĐŽƵůĚ ŶŽƚ ĚŽ ƚŚŝƐ ǁŝƚŚŽƵƚ ǇŽƵ͘ Texas Dental Journal l www.tda.org l June 2014

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UTSD

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Texas Dental Journal l www.tda.org l June 2014

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tŚǇ hƐĞ KƌĂů ^ƉůŝŶƚƐ for Temporomandibular Disorders (TMDs)? ^« óÄ ^͘ ® ®͕ ^͕ & K ^͕ D ͕ & KD͖ þ®ÄÄ /͘ K¦ çÙ » ͕ ^͖ Ù® Ä ͘ D®Ä ò®͕ ^ ÊÄ z Ù Äã ½ ^ãç Äã͖ < ½ç h͘ K¦ çÙ » ͕ ^͕ D^ ͕ D^ ͕ : ͕ &Z W ã«

About the Authors ^ŚĂǁŶ ^͘ Ěŝďŝ͕ ^͕ & K ^͕ D Ě͕ & KD͕ ĂƐƐŽĐŝĂƚĞ ƉƌŽĨĞƐƐŽƌ͕ dŚĞ hŶŝǀĞƌƐŝƚǇ ŽĨ dĞǆĂƐ ,ĞĂůƚŚ ^ĐŝĞŶĐĞ ĞŶƚĞƌ ^ĐŚŽŽů ŽĨ ĞŶƟƐƚƌǇ Ăƚ ,ŽƵƐƚŽŶ͕ Houston, Texas. Correspondence: ϳϱϬϬ ĂŵďƌŝĚŐĞ ^ƚ ^ƚĞ ϱϰϮϵ͕ ,ŽƵƐƚŽŶ͕ dy ϳϳϬϱϰ͖ W͗ ϳϭϯͲϰϴϲͲϰϱϲϱ͖ ŵĂŝů͗ ƐŚĂǁŶ͘ĂĚŝďŝΛƵƚŚ͘ƚŵĐ͘ĞĚƵ ǌŝŶŶĞ /͘ KŐďƵƌĞŬĞ͕ ^͕ ĂƐƐŝƐƚĂŶƚ ƉƌŽĨĞƐƐŽƌ͕ dŚĞ hŶŝǀĞƌƐŝƚǇ ŽĨ dĞǆĂƐ ,ĞĂůƚŚ ^ĐŝĞŶĐĞ ĞŶƚĞƌ ^ĐŚŽŽů ŽĨ ĞŶƟƐƚƌǇ Ăƚ ,ŽƵƐƚŽŶ͕ ,ŽƵƐƚŽŶ͕ dĞǆĂƐ͘ ƌŝĂŶ ͘ DŝŶĂǀŝ͕ ƐĞĐŽŶĚ ǇĞĂƌ ĚĞŶƚĂů ƐƚƵĚĞŶƚ͕ dŚĞ hŶŝǀĞƌƐŝƚǇ ŽĨ dĞǆĂƐ ,ĞĂůƚŚ ^ĐŝĞŶĐĞ ĞŶƚĞƌ ^ĐŚŽŽů ŽĨ ĞŶƟƐƚƌǇ Ăƚ ,ŽƵƐƚŽŶ͕ ,ŽƵƐƚŽŶ͕ dĞǆĂƐ͘ <ĂůƵ h͘ KŐďƵƌĞŬĞ͕ ^͕ D^Đ͕ D^Đ͕ : ͕ &Z WĂƚŚ͕ ƉƌŽĨĞƐƐŽƌ ĂŶĚ ĐŚĂŝƌ͕ dŚĞ hŶŝǀĞƌƐŝƚǇ ŽĨ dĞǆĂƐ ,ĞĂůƚŚ ^ĐŝĞŶĐĞ ĞŶƚĞƌ ^ĐŚŽŽů ŽĨ ĞŶƟƐƚƌǇ Ăƚ ,ŽƵƐƚŽŶ͕ Houston, Texas.

dŚĞ ĂƵƚŚŽƌƐ ŚĂǀĞ ŶŽ ĚĞĐůĂƌĞĚ ƉŽƚĞŶƟĂů ĐŽŶŇŝĐƚƐ ŽĨ ĮŶĂŶĐŝĂů ŝŶƚĞƌĞƐƚ͕ ƌĞůĂƟŽŶƐŚŝƉƐ͕ ĂŶĚͬŽƌ ĂĸůŝĂƟŽŶƐ ƌĞůĞǀĂŶƚ ƚŽ ƚŚĞ ƐƵďũĞĐƚ ŵĂƩĞƌ Žƌ ŵĂƚĞƌŝĂůƐ ĚŝƐĐƵƐƐĞĚ ŝŶ ƚŚĞ ŵĂŶƵƐĐƌŝƉƚ͘ dŚŝƐ ŵĂŶƵƐĐƌŝƉƚ ŚĂƐ ďĞĞŶ ƉĞĞƌ ƌĞǀŝĞǁĞĚ͘

450

Texas Dental Journal l www.tda.org l June 2014

INTRODUCTION

D ĐŽŶƐŝƐƚƐ ŽĨ Ă ŶƵŵďĞƌ ŽĨ ĐůŝŶŝĐĂů ĐŽŶĚŝƟŽŶƐ ŽĨ ƚŚĞ ƚĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ũŽŝŶƚ ;dD:Ϳ͕ ƚŚĞ ŵĂƐƟĐĂƚŽƌǇ ŵƵƐĐůĞƐ͕ ĂŶĚ ƌĞůĂƚĞĚ ƐƚƌƵĐƚƵƌĞƐ ;ϭͿ͘ dŚĞ ĞƟŽůŽŐǇ ŽĨ dD ŝƐ ƐĂŝĚ ƚŽ ďĞ ŵƵůƟĨĂĐƚŽƌŝĂů͕ ƚǇƉŝĐĂůůǇ ƉƌĞƐĞŶƟŶŐ ǁŝƚŚ ƐǇŵƉƚŽŵƐ ƐƵĐŚ ĂƐ ƉĂŝŶ ĂŶĚͬŽƌ ƚĞŶĚĞƌŶĞƐƐ ŽĨ ƚŚĞ ŵƵƐĐůĞƐ ŽĨ ŵĂƐƟĐĂƟŽŶ͕ ĐůŝĐŬŝŶŐ ŽĨ ƚŚĞ dD:͕ ůŝŵŝƚĞĚ ũĂǁ ŵŽǀĞŵĞŶƚƐ͕ ŽƌŽĨĂĐŝĂů ƉĂŝŶ͕ ĂŶĚ ŽƚŚĞƌ ƐǇŵƉƚŽŵĂƚŽůŽŐǇ͘ dŚĞ ƉƌĞǀĂůĞŶĐĞ ŽĨ dD ŝŶ ƚŚĞ ŐĞŶĞƌĂů ƉŽƉƵůĂƟŽŶ ŝƐ ƌĞƉŽƌƚĞĚ ƚŽ ďĞ ϱйͲϭϮй ;Ϯ͕ϯͿ͘ dŚĞƌĞ ĂůƐŽ ĂƌĞ ƐƚƵĚŝĞƐ ŝŶĚŝĐĂƟŶŐ ƚŚĂƚ ƵƉ ƚŽ ϳϱй ŽĨ ƚŚĞ ƉŽƉƵůĂƟŽŶ ƐƚƵĚŝĞĚ ŚĂĚ Ăƚ ůĞĂƐƚ ŽŶĞ ƐǇŵƉƚŽŵͬƐŝŐŶ ŽĨ

ÝãÙ ã ^ĞǀĞƌĂů ĞƟŽůŽŐŝĐ ƌŽƵƚĞƐ ŚĂǀĞ ĞŝƚŚĞƌ ďĞĞŶ ĚĞƚĞƌŵŝŶĞĚ Žƌ ƉƌŽƉŽƐĞĚ ĨŽƌ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ŝƐŽƌĚĞƌƐ ;dD Ϳ͘ EŽƚĂďůĞ ĂŵŽŶŐ ƚŚĞƐĞ ĂƌĞ ŵǇŽĨĂƐĐŝĂů͕ ĚŝƐĐ ĚŝƐƉůĂĐĞŵĞŶƚ͕ ĂŶĚ ĂƌƚŚƌŝƟĚĞƐ ĚŝƐŽƌĚĞƌƐ͘ dŚĞ ĂďƐĞŶĐĞ ŽĨ ĐŽŶĐƌĞƚĞ ĂŶĚ ƵŶŝǀĞƌƐĂůůǇ ĂĐĐĞƉƚĞĚ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ƚƌĞĂƚŵĞŶƚ ĂƉƉƌŽĂĐŚĞƐ ŵĞĂŶƐ ƚŚĂƚ ĚĞďĂƚĞƐ ĂƐ ƚŽ ƚŚĞ ƉƌĞĐŝƐĞ ĞƟŽůŽŐǇ ĂŶĚ ƚƌĞĂƚŵĞŶƚ ŽĨ dD Ɛ ĐŽŶƟŶƵĞ ǁŚŝůĞ ƉƌĂĐƟƟŽŶĞƌƐ ĂƩĞŵƉƚ ƚŽ ƚƌĞĂƚ ĂŶĚ ŝŵƉƌŽǀĞ ƚŚĞ ůŝǀĞƐ ŽĨ ƉĂƟĞŶƚƐ ǁŚŽ ƉƌĞƐĞŶƚ ǁŝƚŚ ƚŚĞƐĞ ĚĞďŝůŝƚĂƟŶŐ ĚŝƐŽƌĚĞƌƐ͘ dŚĞ ƵƐĞ ŽĨ ŽƌĂů ƐƉůŝŶƚƐ ;K^Ϳ ďǇ ĐůŝŶŝĐŝĂŶƐ ǁŝƚŚ ƌĞƐƉŽŶƐŝďŝůŝƚǇ ƚŽ ŵĂŶĂŐĞ dD Ɛ ŝƐ ƋƵŝƚĞ ƉŽƉƵůĂƌ͕ ĞǀĞŶ ƚŚŽƵŐŚ ŝƚƐ ŵĞĐŚĂŶŝƐŵ ŽĨ ĂĐƟŽŶ ĂŶĚ ĞĸĐĂĐǇ ƌĞŵĂŝŶƐ ƵŶĐůĞĂƌ͘ dŚŝƐ ĂƌƟĐůĞ ƌĞǀŝĞǁƐ ƚŚĞ ƌĂƟŽŶĂůĞ ĨŽƌ ƚŚĞ ĐŽŶƟŶƵĞĚ ƵƐĞ ŽĨ K^ ĨŽƌ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD Ɛ͘

< ù tÊÙ Ý Temporomandibular disorders, oral splint, orofacial pain, anterior ƌĞƉŽƐŝƟŽŶŝŶŐ ĂƉƉůŝĂŶĐĞ͕ ƐƚĂďŝůŝǌŝŶŐ ĂƉƉůŝĂŶĐĞ͕ ŵǇŽĨĂƐĐŝĂů ĚǇƐĨƵŶĐƟŽŶ͕ ƚĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ũŽŝŶƚ͕ ĞůĞĐƚƌŽŵǇŽŐƌĂƉŚǇ͕ ŽƌĂů ĂƉƉůŝĂŶĐĞƐ͕ bruxism

ĂďŶŽƌŵĂůŝƚǇ ŝŶ ĨƵŶĐƟŽŶ ŽĨ ƚŚĞ dD: ĂŶĚ ƵƉ ƚŽ ϯϯй ƉƌĞƐĞŶƚĞĚ ǁŝƚŚ ĨĂĐŝĂů ƉĂŝŶ ;ϰ͕ϱͿ͘ &ƵƌƚŚĞƌŵŽƌĞ͕ Ă ůŽŶŐŝƚƵĚŝŶĂů ƐƚƵĚǇ ďǇ ZĂŵŵĞůƐďĞƌŐ͕ Ğƚ Ăů͘ ;ϮϬϬϯͿ͕ ŽŶ ϱͲǇĞĂƌ ŽƵƚĐŽŵĞ ŽĨ ƚƌĞĂƚĞĚ dD Ɛ ƌĞǀĞĂůĞĚ ƚŚĂƚ ϯϯй experienced persistence of their ƐǇŵƉƚŽŵƐ͕ ϯϯй ŝŶĚŝĐĂƚĞĚ ƌĞŵŝƐƐŝŽŶ in their symptoms, and the rest of the ƉŽƉƵůĂƟŽŶ ;ϯϯйͿ ŝŶĚŝĐĂƚĞĚ ƌĞĐƵƌƌĞŶĐĞ ŽĨ ƐǇŵƉƚŽŵƐ ĂŌĞƌ ĂƉƉĂƌĞŶƚ ƌĞŵŝƐƐŝŽŶ ;ϲͿ͘ dŚĞƌĞ ŝƐ ŶŽ ĂŐƌĞĞŵĞŶƚ ŽŶ ƚŚĞ ƉƌĞĐŝƐĞ ĐĂƵƐĞ;ƐͿ ŽĨ dD Ɛ ĂŵŽŶŐ ĐůŝŶŝĐŝĂŶƐ and researchers in this area, although trauma, psychological stress, ŵĂůŽĐĐůƵƐŝŽŶ ;ĚƵĞ ƚŽ ĂŶƚĞƌŝŽƌ ŽƉĞŶ ďŝƚĞƐ Žƌ ŵŝƐƐŝŶŐ ŵŽůĂƌ ƚĞĞƚŚͿ͕ ĂŶĚ ŽƌĂů ŚĂďŝƚƐ ;ĚƵĞ ƚŽ ďƌƵǆŝƐŵ ůĞĂĚŝŶŐ ƚŽ ŽĐĐůƵƐĂů ǁĞĂƌͿ ŚĂǀĞ ƵŶŝǀĞƌƐĂůůǇ been cited as predisposing factors ƚŽ ŝŶŝƟĂƟŶŐ ĂŶĚ ƉĞƌƉĞƚƵĂƟŶŐ dD Ɛ͘ &ĞŵĂůĞƐ ƐŚŽǁ ďŝŵŽĚĂů ƉĞĂŬƐ ŽĨ ƚŚĞ ƉƌĞǀĂůĞŶĐĞ ŽĨ dD ŝŶ ƚŚĞ ĂŐĞ ŐƌŽƵƉ ďĞůŽǁ Ϯϱ ǇĞĂƌƐ ĂŶĚ ŝŶ ƚŚĞ ŐƌŽƵƉ ϱϱͲϲϬ ǇĞĂƌƐ͕ ǁŚĞƌĞĂƐ ŵĂůĞƐ ŚĂǀĞ Ă ŵŽƌĞ ĞǀĞŶ ĚŝƐƚƌŝďƵƟŽŶ ;ϳͿ͘ &ĞŵĂůĞƐ ĂƌĞ ĂīĞĐƚĞĚ ŵŽƌĞ ƚŚĂŶ males, and a variety of factors, ŶŽƚĂďůǇ ŐĞŶĞƟĐ ƉƌĞĚŝƐƉŽƐŝƟŽŶ ĂŶĚ ŚŽƌŵŽŶĂů ŝŶŇƵĞŶĐĞƐ͕ ŚĂǀĞ ďĞĞŶ suggested by researchers to explain the gender disparity. Although a recent report based on a case-control ƐƚƵĚǇ ŝĚĞŶƟĮĞĚ ƐĞǀĞƌĂů ŐĞŶĞƐ ǁŝƚŚ ĂƉƉĂƌĞŶƚ ĂƐƐŽĐŝĂƟŽŶ ǁŝƚŚ dD ͕ ƚŚĞƌĞďǇ ƉƌŽǀŝĚŝŶŐ ƚĞŶƚĂƟǀĞ ĞǀŝĚĞŶĐĞ ŽĨ ŐĞŶĞƟĐ ŝŶŇƵĞŶĐĞ ŽŶ ĐŚƌŽŶŝĐ dD ͕ ĞǀŝĚĞŶĐĞͲďĂƐĞĚ ƐƚƵĚŝĞƐ ǁŝůů ďĞ ƌĞƋƵŝƌĞĚ ƚŽ ǀĂůŝĚĂƚĞ ĂŶǇ ƐƵĐŚ ƌŽůĞ ;ϴͿ͘ ƚŚŶŝĐ ĂŶĚ ƌĂĐŝĂů ĚŝīĞƌĞŶĐĞƐ ŝŶ dD ŚĂǀĞ ĂůƐŽ ďĞĞŶ ŶŽƚĞĚ ŝŶ ƐĞǀĞƌĂů studies with prevalence said to be lower among African Americans than ŝŶ ĂƵĐĂƐŝĂŶƐ ;ϵͿ͘ ^ŽŵĞ ĞǀŝĚĞŶĐĞ ŽĨ ƚŚĞ ĞīĞĐƟǀĞŶĞƐƐ ŽĨ ŽĐĐůƵƐĂů

7KHVH FRQÁLFWLQJ UHSRUWV RQO\ DGG WR D FORXG RI FRQIXVLRQ DQG GLOHPPD IDFHG E\ WKH JHQHUDO GHQWLVW ZKR LV RIWHQ IDFHG ZLWK WKH PDQDJHPHQW RI WKHVH SDWLHQWV DQG GHFLVLRQV RI WKH DSSURSULDWH WUHDWPHQW RSWLRQV 2QH UHSRUW HVWLPDWHG WKDW WR NHHS XS ZLWK GHYHORSPHQWV RQ WKH VXEMHFW RQH ZRXOG QHHG WR UHDG DERXW RULJLQDO DUWLFOHV GDLO\ ĂƉƉůŝĂŶĐĞƐ ŝŶ ĂůůĞǀŝĂƟŶŐ ƉĂŝŶ ŝŶ ƉĂƟĞŶƚƐ ǁŝƚŚ dD ĞǆŝƐƚ ŝŶ ƐƉŝƚĞ ŽĨ ůŝŶŐĞƌŝŶŐ ĐŽŶƚƌŽǀĞƌƐŝĞƐ ĂŶĚ ŵŽƵŶƟŶŐ ĐŽŶŇŝĐƟŶŐ ƉƵďůŝƐŚĞĚ ƌĞƉŽƌƚƐ ƌĞůĂƚĞĚ ƚŽ ƚŚĞŝƌ ĞīĞĐƟǀĞŶĞƐƐ ŝŶ ƚŚĞ ŽǀĞƌĂůů ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD Ɛ ;ϭϬ͕ϭϭ͕ϭϮͿ͘ dŚĞƐĞ ĐŽŶŇŝĐƟŶŐ ƌĞƉŽƌƚƐ ŽŶůǇ ĂĚĚ ƚŽ a cloud of confusion and the dilemma ĨĂĐĞĚ ďǇ ƚŚĞ ŐĞŶĞƌĂů ĚĞŶƟƐƚ ǁŚŽ ŝƐ ŽŌĞŶ ĨĂĐĞĚ ǁŝƚŚ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ ƚŚĞƐĞ ƉĂƟĞŶƚƐ ĂŶĚ ĚĞĐŝƐŝŽŶƐ regarding appropriate treatment ŽƉƟŽŶƐ͘ KŶĞ ƌĞƉŽƌƚ ĞƐƟŵĂƚĞĚ ƚŚĂƚ to keep up with developments on the subject, one would need to read ĂďŽƵƚ ϭϳͲϮϬ ŽƌŝŐŝŶĂů ĂƌƟĐůĞƐ ĚĂŝůǇ ;ϭϯͿ͘ ůĞĂƌůǇ͕ ƚŚŝƐ ƚĂƐŬ ĐŚĂůůĞŶŐĞƐ the willingness of today’s general ƉƌĂĐƟƟŽŶĞƌƐ ĂĐĐƵƐƚŽŵĞĚ ƚŽ ƉƌŽǀŝĚŝŶŐ occlusal-based treatment for their dD ƉĂƟĞŶƚƐ ĂŶĚ ƉĂƌƚůǇ ĞǆƉůĂŝŶƐ their reluctance to accept recent ƉĂƌĂĚŝŐŵ ƐŚŝŌƐ ƚŽǁĂƌĚƐ ĞǀŝĚĞŶĐĞͲ ďĂƐĞ ĮŶĚŝŶŐƐ ;ϭϰͿ͘ dŚŝƐ ƉĂƉĞƌ ĂŝŵƐ ƚŽ ƉƌŽǀŝĚĞ Ă ƌĞǀŝĞǁ ŽĨ ƚŚĞ ĞǆƉůĂŶĂƟŽŶƐ for the contemporary use of OS in the ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD Ɛ͘

/^ h^^/KE dŚĞ ĐŚĂůůĞŶŐĞ ŽĨ ĚŝĂŐŶŽƐŝŶŐ dD Ɛ dŚĞ ƉƌĞĐŝƐĞ ĞƟŽůŽŐŝĐ ŶĂƚƵƌĞ ŽĨ dD Ɛ ƌĞŵĂŝŶƐ ĂŶ ĞŶŝŐŵĂ͘ Ɛ Ă result, diagnosis remains the most challenging aspect for clinicians ƚƌĞĂƟŶŐ ƚŚĞƐĞ ĐŽŶĚŝƟŽŶƐ͘ Ɛ indicated above, the cause is likely ŵƵůƟĨĂĐƚŽƌŝĂů ĂŶĚ ĐŽŵƉůĞǆ͕ ŽŌĞŶ involving several aspects of the head and neck anatomy. Early reports ĚĂƟŶŐ ďĂĐŬ ƚŽ ϭϵϯϰ ŚǇƉŽƚŚĞƐŝǌĞĚ ůŽƐƐ ŽĨ ƚŚĞ ǀĞƌƟĐĂů ĚŝŵĞŶƐŝŽŶ ŽĨ ŽĐĐůƵƐŝŽŶ ;s KͿ͕ ƉŽƐƚĞƌŝŽƌ ĚŝƐƉůĂĐĞŵĞŶƚ ŽĨ ƚŚĞ condyles, and compression of the auriculotemporal nerve tend to be ƚŚĞ ĐĂƵƐĞ ŽĨ dD ͬŽƌŽĨĂĐŝĂů ƉĂŝŶ ;ϭϬͿ͘ ,ŽǁĞǀĞƌ͕ ƚŚŝƐ ŚǇƉŽƚŚĞƐŝƐ ŚĂƐ ŶŽƚ ďĞĞŶ supported by several other studies ƚŚĞƌĞĂŌĞƌ ;ϭϱ͕ϭϲͿ͘ dŚĞ ϭϵϵϲ hŶŝƚĞĚ ^ƚĂƚĞƐ EĂƟŽŶĂů /ŶƐƟƚƵƚĞ ŽĨ ,ĞĂůƚŚ dĞĐŚŶŽůŽŐǇ Assessment Conference Statement ŽŶ ƚŚĞ ŝĂŐŶŽƐŝƐ ĂŶĚ DĂŶĂŐĞŵĞŶƚ ŽĨ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ŝƐŽƌĚĞƌƐ ƐƚĂƚĞĚ ƚŚĂƚ ĂŶ ŝĚĞĂů ĚŝĂŐŶŽƐƟĐ ĐůĂƐƐŝĮĐĂƟŽŶ ƐǇƐƚĞŵ ƐŚŽƵůĚ ďĞ ďĂƐĞĚ ŽŶ ĞƟŽůŽŐǇ͘ dŽ ƚŚŝƐ ĚĂƚĞ ŚŽǁĞǀĞƌ ƚŚĞƌĞ ŝƐ ǇĞƚ ƚŽ ďĞ ƉƌĞƐĞŶƚĞĚ ĂŶǇ ƐǇƐƚĞŵĂƟĐ ĐůĂƐƐŝĮĐĂƟŽŶ ďĂƐĞĚ ŽŶ ĞƟŽůŽŐǇ ĂŶĚ͕ Ăƚ ƚŚĞ ƐĂŵĞ ƟŵĞ͕ ƵŶŝǀĞƌƐĂůůǇ ĂĐĐĞƉƚĞĚ ďǇ ĐůŝŶŝĐŝĂŶƐ ƚƌĞĂƟŶŐ dD ƉĂƟĞŶƚƐ͘ /Ŷ ϭϵϵϮ͕ ǁŽƌŬŝŶ et al constructed and proposed a ƐƉĞĐŝĮĐ ĚƵĂůͲĂǆŝƐ ĚŝĂŐŶŽƐƟĐ ƐǇƐƚĞŵ͕ ŝŶĐŽƌƉŽƌĂƟŶŐ ŚŝƐƚŽƌǇͲƚĂŬŝŶŐ ĂŶĚ ĞǆĂŵŝŶĂƟŽŶ ƉƌŽƚŽĐŽůƐ͕ ŬŶŽǁŶ ĂƐ ƌĞƐĞĂƌĐŚ ĚŝĂŐŶŽƐƟĐ ĐƌŝƚĞƌŝĂ ĨŽƌ ƚĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ĚŝƐŽƌĚĞƌƐ ;Z ͬ dD Ϳ͘ dŚĞ ϮϭͲƉĂŐĞ ƉƌŽƚŽĐŽů ĐŽŶƐŝƐƚƐ ŽĨ Ă ŚŝƐƚŽƌǇ ƋƵĞƐƟŽŶŶĂŝƌĞ͕ ĐůŝŶŝĐĂů ĞǆĂŵŝŶĂƟŽŶ ĂŶĚ ƐƉĞĐŝĮĐĂƟŽŶƐ͕ ĂŶĚ ǆŝƐ / ĂŶĚ ǆŝƐ // ĚŝĂŐŶŽƐƟĐ ĂůŐŽƌŝƚŚŵƐ for grading chronic pain with scoring

Texas Dental Journal l www.tda.org l June 2014

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ƐĐĂůĞƐ͘ dŚŝƐ ĚĞƚĂŝůĞĚ ĚĞƐŝŐŶ ĂŶĚ ǁĞůů ƚŚŽƵŐŚƚͲŽƵƚ ƐǇƐƚĞŵĂƟĐ ĂŶĚ ŽƌŐĂŶŝǌĞĚ document included a taxonomic system based on measurements of signs and symptoms, but not the ĞƟŽůŽŐǇ ;ϭϳͿ͘ ŝƐĐƵƐƐŝŽŶ ĂƐ ƚŽ ƚŚĞ ƌĞůŝĂďŝůŝƚǇ ĂŶĚ ǀĂůŝĚŝƚǇ ŽĨ ƚŚĞ Z ͬdD ĐŽŶĐĞƉƚ ŝƐ ƐƟůů ŽŶŐŽŝŶŐ͕ ĂŶĚ ŝƚ ǁŽƵůĚ appear that in order to approach ƵŶŝǀĞƌƐĂů ĂĐĐĞƉƚĂďŝůŝƚǇ͕ ƐŝŐŶŝĮĐĂŶƚ ĞīŽƌƚ ƚŽ ŝŶĐŽƌƉŽƌĂƚĞ ĞƟŽůŽŐŝĐĂů ĂƐƉĞĐƚƐ ŽĨ dD ĂƐ ǁĞůů ĂƐ ŵĂŬĞ ŝƚƐ various components achieve dayƚŽͲĚĂǇ ĐůŝŶŝĐĂů ƵƟůŝƚǇ ĂŶĚ ƌĞůĞǀĂŶĐĞ ;ďĞǇŽŶĚ ƌĞƐĞĂƌĐŚ ƐĞƫŶŐƐͿ ǁŝůů ďĞ ŶĞĐĞƐƐĂƌǇ͘ ^ĐŚŝīŵĂŶ͕ Ğƚ Ăů ƌĞƉŽƌƚĞĚ Ă ƐƚƵĚǇ ƚŚĂƚ ƌĞĐŽŵŵĞŶĚĞĚ ŵŽĚŝĮĐĂƟŽŶ ŽĨ Z ͬdD ƚŽ ͬdD ĨŽƌ ƵƐĞ ŝŶ ĐůŝŶŝĐĂů ĂŶĚ ƌĞƐĞĂƌĐŚ ĂƉƉůŝĐĂƟŽŶƐ ĂƐ Ă ƌĞƐƵůƚ ŽĨ ǇĞĂƌƐ ŽĨ ŝŶƚĞƌŶĂƟŽŶĂů consensus made by experienced ĐůŝŶŝĐŝĂŶƐ ƚƌĞĂƟŶŐ dD ƉĂƟĞŶƚƐ ĂŶĚ Ă study to validate tests and reliability ŽĨ ƉƌĞƐĞŶƚĞĚ ŝŶƐƚƌƵŵĞŶƚƐ ;ϭϴͿ͘ tŝƚŚŽƵƚ ĞƟŽůŽŐŝĐ ĐŽŵƉŽŶĞŶƚƐ͕ Z ͬ dD Žƌ ͬdD ŵĂǇ ďĞ ƌĞĚƵĐĞĚ ƚŽ Ă ƐĐƌĞĞŶŝŶŐ ĐŚĞĐŬůŝƐƚ ;ϭϵͿ͘

ƉŚĂƌŵĂĐĞƵƟĐĂů ƚŚĞƌĂƉǇ͕ ƐƚƌĞƐƐ ŵĂŶĂŐĞŵĞŶƚ͕ ĐŽŐŶŝƟǀĞ ďĞŚĂǀŝŽƌĂů therapy, massage therapy, ŚǇƉŶŽƐŝƐ͕ ƉĂƟĞŶƚ ĞĚƵĐĂƟŽŶ͕ ĂŶĚ several non-invasive procedures ƐƵĐŚ ĂƐ ƚƌŝŐŐĞƌ ƉŽŝŶƚ ŝŶũĞĐƟŽŶƐ͕ ultrasound, electromyography and hydrotherapy. Surgical management and invasive procedures include dD: ƐƵƌŐĞƌŝĞƐ ĂŶĚ ƉƌŽĐĞĚƵƌĞƐ ƐƵĐŚ as arthrocentesis, arthroscopy ĂŶĚ ĂƌƚŚƌŽƉůĂƐƚǇ ;ϮϬͿ ;ƐĞĞ &ŝŐƵƌĞ ϭͿ͘ sĂƌŝĞĚ ĚĞŐƌĞĞƐ ŽĨ ƐƵĐĐĞƐƐ ŚĂǀĞ been recorded with each of these ƚƌĞĂƚŵĞŶƚ ŵŽĚĂůŝƟĞƐ͕ ĞŝƚŚĞƌ ƐŝŶŐůǇ Žƌ ŝŶ ĐŽŵďŝŶĂƟŽŶ͘ /Ŷ Ă ƐƵŵŵĂƌǇ ƌĞǀŝĞǁ͕ WĂƚĞů ĂŶĚ DĂŶĨƌĞŶĚŝŶŝ ƐŚŽǁĞĚ ƚŚĂƚ ĞīĞĐƟǀĞ ŵĂŶĂŐĞŵĞŶƚ strategies include, but are not limited to, oral appliances, pharmacological ĂƉƉƌŽĂĐŚ͕ ĞůŝŵŝŶĂƟŶŐ ŝŶŇĂŵŵĂƟŽŶ͕ physiotherapy, massage therapy, ĂŶĚ ƵůƚƌĂƐŽƵŶĚ ;ϮϭͿ͘ dŚĞ ĂƵƚŚŽƌƐ

concluded that surgical therapy such ĂƐ ŝŶƚƌĂͲĂƌƟĐƵůĂƌ ŝŶũĞĐƟŽŶ ǁŝƚŚ ĂŶƟͲ ŝŶŇĂŵŵĂƚŽƌǇ ĂŐĞŶƚƐ͕ ĂƌƚŚƌŽĐĞŶƚĞƐŝƐ͕ arthroscopy and arthroplasty should ďĞ ƌĞƐĞƌǀĞĚ ĨŽƌ ƐĞǀĞƌĞ ŽƐƚĞŽĂƌƚŚƌŝƟƐ ŽĨ ƚŚĞ ũŽŝŶƚ ;ϮϮͿ͘

dŚĞ ƵƐĞ ŽĨ ŽƌĂů ƐƉůŝŶƚƐ ;K^Ϳ ŝŶ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD Ɛ KƌĂů ƐƉůŝŶƚƐ ;K^Ϳ͕ Žƌ ŽĐĐůƵƐĂů ƐƉůŝŶƚƐ͕ are removable occlusal devices used ĨŽƌ ƚŚĞ ĚŝĂŐŶŽƐŝƐ ŽĨ dD Ɛ ĂƐ ǁĞůů ĂƐ ƚŚĞƌĂƉǇ ĨŽƌ ƚŚĞ ĚǇƐĨƵŶĐƟŽŶ ŽĨ ƚŚĞ ƌĞůĂƟŽŶƐŚŝƉ ďĞƚǁĞĞŶ ƚŚĞ ŵĂŶĚŝďůĞ ĂŶĚ ƚŚĞ ŵĂǆŝůůĂ ;Ϯϯ͕ϮϰͿ͘ ůƚŚŽƵŐŚ K^ ĂƌĞ ƐŽŵĞƟŵĞƐ ĚĞƐŝŐŶĞĚ ƚŽ ƐƚĂďŝůŝǌĞ the occlusion, or prevent wear of ƚŚĞ ĚĞŶƟƟŽŶ͕ Ă ĐŽŵŵŽŶ ĂƉƉůŝĐĂƟŽŶ ŝŶ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD Ɛ ĂŝŵƐ ƚŽ ƉƌŽƚĞĐƚ ƚŚĞ dD: ĚŝƐĐƐ ĨƌŽŵ ĚǇƐĨƵŶĐƟŽŶĂů ĨŽƌĐĞƐ ƚŚĂƚ ŵĂǇ ůĞĂĚ ƚŽ ĚŝƐĐ ƉĞƌĨŽƌĂƟŽŶƐ Žƌ ĚŝƐƉůĂĐĞŵĞŶƚƐ

ƵƌƌĞŶƚ ŵĂŶĂŐĞŵĞŶƚ ĂƉƉƌŽĂĐŚ ƚŽ dD Ɛ dŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD Ɛ ŝƐ ĂƐ ĚŝǀĞƌƐĞ ĂƐ ƚŚĞ ĞŶƟƟĞƐ ƚŚĂƚ ĐŽŶƐƟƚƵƚĞ ƚŚĞ ĐŽŶĚŝƟŽŶ͕ ĂŶĚ ĐĂŶ ďĞ ďƌŽĂĚůǇ ĐĂƚĞŐŽƌŝǌĞĚ ŝŶƚŽ ĐŽŶƐĞƌǀĂƟǀĞ ĂŶĚ ƐƵƌŐŝĐĂů ŵĂŶĂŐĞŵĞŶƚ ĂƉƉƌŽĂĐŚĞƐͬ ƉƌŽĐĞĚƵƌĞƐ͘ DŽƐƚ ŵĂŶĂŐĞŵĞŶƚ strategies aim to eliminate symptoms. A fundamental element of successful ŵĂŶĂŐĞŵĞŶƚ ŽĨ ĂŶǇ ƉĂƌƟĐƵůĂƌ ĐĂƐĞ ŽĨ dD ůŝĞƐ ŝŶ ƚŚĞ ŝĚĞŶƟĮĐĂƟŽŶ ŽĨ ĂŶ ͞ĞƟŽůŽŐǇ͘͟ /Ŷ ĂĚĚŝƟŽŶ ƚŽ ƚŚĞ ƵƐĞ ŽĨ ĂƉƉůŝĂŶĐĞƐ ƐƵĐŚ ĂƐ ŽĐĐůƵƐĂůͬŽƌĂů ƐƉůŝŶƚƐ ;K^Ϳ͕ ŶŽƚĂďůĞ ĐŽŶƐĞƌǀĂƟǀĞ ĂŶĚ ƚŚĞƌĂƉĞƵƟĐ ŵŽĚĂůŝƟĞƐ ŝŶĐůƵĚĞ

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Figure 1. Ŷ ĞǆĂŵƉůĞ ŽĨ ƉƌŽƉĞƌůǇ ĨĂďƌŝĐĂƚĞĚ ŵĂǆŝůůĂƌǇ ƐƉůŝŶƚ ǁŝƚŚ ŇĂƚ ŽĐĐůƵƐĂů ƉůĂŶĞ ŵĂĚĞ ďǇ ^ƉĂĐĞ DĂŝŶƚĂŝŶĞƌƐ >ĂďŽƌĂƚŽƌǇ Ăƚ ŚĂƚƐǁŽƌƚŚ͕ ĂůŝĨŽƌŶŝĂ͘

Table 1. Common Surgical Options ^ƵƌŐŝĐĂů WƌŽĐĞĚƵƌĞƐ ƌƚŚƌŽĐĞŶƚĞƐŝƐ

/ŶĚŝĐĂƟŽŶƐ

ĞƐĐƌŝƉƟŽŶƐ

ĐƵƚĞ ĐůŽƐĞĚ ůŽĐŬ ũŽŝŶƚ

ZĞůĞĂƐŝŶŐ ƚŚĞ ĚŝƐĐ ĨƌŽŵ ƚŚĞ ĨŽƐƐĂ ďǇ ŝƌƌŝŐĂƟŽŶ ŽĨ ƚŚĞ ƐƵƉĞƌŝŽƌ ũŽŝŶƚ ƐƉĂĐĞ

ƌƚŚƌŽƐĐŽƉǇ

ŚƌŽŶŝĐ ĐůŽƐĞĚ ůŽĐŬ ũŽŝŶƚ

DŽƌĞ ŝŶǀĂƐŝǀĞ ƚŚĂŶ ĂƌƚŚƌŽĐĞŶƚĞƐŝƐ͘ >ƵďƌŝĐĂƟŶŐ͕ ŝƌƌŝŐĂƟŶŐ ƚŚĞ ũŽŝŶƚ ƐƉĂĐĞƐ͘ ZĞŵŽǀŝŶŐ ƐĐĂƌ ƟƐƐƵĞ͕ ƐŵŽŽƚŚŝŶŐ ƚŚĞ ďŽŶĞ ĂŶĚ ĞǀĞŶ ĂƩĞŵƉƟŶŐ ƚŽ ƌĞƉŽƐŝƟŽŶ ƚŚĞ ĚŝƐĐ͘

ƌƚŚƌŽƉůĂƐƚǇ

^ĞǀĞƌĞ ŝŶƚĞƌŶĂů ĚĞƌĂŶŐĞŵĞŶƚ

KƉĞŶͲũŽŝŶƚ ĂƌƚŚƌŽƉůĂƐƚǇ ŝƐ ƐƵƌŐĞƌǇ ƚŽ ƌĞƉĂŝƌ͕ ƌĞƉŽƐŝƟŽŶ͕ ƌĞƉůĂĐĞ͕ Žƌ ƌĞŵŽǀĞ ƉĂƌƚƐ ŝŶ Ă ũŽŝŶƚ͘

ŝƐĐĞĐƚŽŵǇ

^ĞǀĞƌĞ ŝŶƚĞƌŶĂů ĚĞƌĂŶŐĞŵĞŶƚ

ŽŵƉůĞƚĞ ƌĞŵŽǀĂů ŽĨ ĚŝƐĞĂƐĞĚ ĂŶĚ ĚǇƐĨƵŶĐƟŽŶĂů ĚŝƐĐ ƚŽ ŵĂŶĂŐĞ ƉĂŝŶ

ŽŶĚǇůĞĐƚŽŵǇ

KƐƚĞŽĂƌƚŚƌŽƐŝƐ

ZĞĚƵĐƟŽŶ ŽĨ ĚŝƐĞĂƐĞĚ ďŽŶĞ

KƐƚĞŽĂƌƚŚƌŽƐŝƐ

dŚĞ ĂƌƟĐƵůĂƌ ĞŵŝŶĞŶĐĞ ŝƐ ƌĞƐĞĐƚĞĚ͕ ƚŚĞ ĐŽŶĚǇůĂƌ ŚĞĂĚ ĐĂŶ ŵŽǀĞ ĨƌĞĞůǇ ŝŶ ĂŶĚ ŽƵƚ ŽĨ ƚŚĞ ŐůĞŶŽŝĚ ĨŽƐƐĂ ǁŝƚŚŽƵƚ ƚŚĞ ƌŝƐŬ ŽĨ ĚŝƐůŽĐĂƟŽŶ͘

ŵŝŶĞĐƚŽŵǇ

(25,26). Numerous commercial designs of OS have emerged. From Ă ĨƵŶĐƟŽŶĂů ƐƚĂŶĚƉŽŝŶƚ ŚŽǁĞǀĞƌ͕ K^ ƚǇƉĞ ŝƐ ĚĞƚĞƌŵŝŶĞĚ ďǇ ƚŚĞ ŵĂŶŶĞƌ ŝŶ ǁŚŝĐŚ ŝƚ ƉŽƐŝƟŽŶƐ ƚŚĞ ŵĂŶĚŝďůĞ͘ /Ŷ ƚŚŝƐ ƌĞƐƉĞĐƚ͕ K^ ĂƌĞ ĐůĂƐƐŝĮĞĚ ĂƐ ĞŝƚŚĞƌ ĂŶƚĞƌŝŽƌ ƌĞƉŽƐŝƟŽŶŝŶŐ ƐƉůŝŶƚ ; Z^Ϳ Žƌ ƐƚĂďŝůŝǌŝŶŐ ƐƉůŝŶƚ ;^^Ϳ͘ Z^ ĂƌĞ ĚĞƐŝŐŶĞĚ ƚŽ ƌĞůŝĞǀĞ ƉĂŝŶ ĨƌŽŵ Ă ĚŝƐƉůĂĐĞĚ dD: ĚŝƐĐ ďǇ ĨŽƌǁĂƌĚ ƌĞƉŽƐŝƟŽŶŝŶŐ ĂŶĚ ƌĞĐĂƉƚƵƌŝŶŐ ƚŚĞ ĚŝƐƉůĂĐĞĚ ĚŝƐĐ͘ KŶ ƚŚĞ ŽƚŚĞƌ ŚĂŶĚ͕ ^^ ĂƌĞ ĞǆƉĞĐƚĞĚ ƚŽ ŵĂŝŶƚĂŝŶ ƚŚĞ ƉŽƐŝƟŽŶ ĂƩĂŝŶĞĚ ĞŝƚŚĞƌ ďǇ ƚŚĞ ƵƐĞ ŽĨ Z^ Žƌ ŽƚŚĞƌ ŵĞĂŶƐ ƐƵĐŚ ĂƐ ŵĂŶƵĂů ƌĞĚƵĐƟŽŶ ŽĨ ũŽŝŶƚƐ͕ ĂŶĚ ƚŚĞ ĞůŝŵŝŶĂƟŽŶ ŽĨ ũŽŝŶƚ ŶŽŝƐĞƐ͘ ,ŽǁĞǀĞƌ͕ ƚŚĞƌĞ ŝƐ ǇĞƚ ƚŽ ďĞ ĐŽŶǀŝŶĐŝŶŐ ĞǀŝĚĞŶĐĞ ŽŶ ƚŚĞ ĞĸĐĂĐǇ ŽĨ ĞŝƚŚĞƌ Z^ Žƌ ^^ ŝŶ ƚŚĞŝƌ ĂďŝůŝƚǇ ƚŽ ƌĞĚƵĐĞ Žƌ ƌĞĐĂƉƚƵƌĞ ĚŝƐĐƐ ĂƐ ƐƚƵĚŝĞƐ ǁŝƚŚ ŝŵĂŐŝŶŐ

ƚĞĐŚŶŝƋƵĞƐ ĚŽ ŶŽƚ ƐƵƉƉŽƌƚ ƚŚĞƐĞ ĂƐƐĞƌƟŽŶƐ ;ϭϬͿ͘ dŚĞ ƵƐĞ ŽĨ K^ ƌĞŵĂŝŶƐ Ă ĨĂǀŽƌŝƚĞ ĂŵŽŶŐƐƚ ĐůŝŶŝĐŝĂŶƐ ĂŶĚ Ă ƌĞĂƐŽŶĂďůĞ ŵŽĚĂůŝƚǇ ĨŽƌ ŵĂŶĂŐŝŶŐ ŶŽĐƚƵƌŶĂů ďƌƵǆŝƐŵ ĞǀĞŶ ŝŶ ƚŚĞ ĂďƐĞŶĐĞ ŽĨ ĞǀŝĚĞŶĐĞĚͲďĂƐĞĚ ƐƚƵĚŝĞƐ ƚŽ ƐƵƉƉŽƌƚ ƚŚĞŝƌ ŽǀĞƌĂůů ĞīĞĐƟǀĞŶĞƐƐ ŝŶ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD Ɛ͘ /ƚ ŝƐ ĞǀŝĚĞŶƚ ƚŚĂƚ ƚŚĞ ƵƐĞ ŽĨ K^ ƉƌŽƚĞĐƚƐ ƚŚĞ ĚĞŶƟƟŽŶ ĂŶĚ ƉĞƌŝŽĚŽŶƚĂů ƐƚƌƵĐƚƵƌĞƐ ŽĨ Ă ƐǇŵƉƚŽŵĂƟĐ ƉĂƟĞŶƚ ĨƌŽŵ ĨƵƌƚŚĞƌ ĚĞƚĞƌŝŽƌĂƟŽŶ͘ &Žƌ ĞǆĂŵƉůĞ͕ Ă ƐƚƵĚǇ ŽĨ ƚŚĞ ĞīĞĐƚ ŽĨ K^ ŽŶ dD ƉĂƟĞŶƚƐ ǁŝƚŚ Ă ĐůŝŶŝĐĂů ŚŝƐƚŽƌǇ ŽĨ ďƌƵǆŝƐŵ ƐŚŽǁĞĚ Ă ƌĞĚƵĐƟŽŶ ŝŶ ƉĂŝŶ Ăƚ ƌĞƐƚ ĨŽůůŽǁŝŶŐ ƚƌĞĂƚŵĞŶƚ ǁŝƚŚ K^͕ ǁŚŝĐŚ ǁĂƐ ƌĞǀĞƌƐĞĚ ǁŚĞŶ ƚŚĞ ƚƌĞĂƚŵĞŶƚ ǁĂƐ ǁŝƚŚĚƌĂǁŶ ĨŽƌ ϭϱ ĚĂǇƐ͘ ^ĞǀĞƌĂů ƌĞƉŽƌƚƐ ŝŶĚŝĐĂƚĞ ƚŚĂƚ ƚŚĞ ĞīĞĐƟǀĞŶĞƐƐ

ŽĨ K^ ŝŶ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ dD ŵĂǇ ďĞ ĂĐŚŝĞǀĞĚ ƚŚƌŽƵŐŚ ƚŚĞ ƌĞĚƵĐƟŽŶ ŽĨ ďƌƵǆŝƐŵ ;ϭϭ͕Ϯϵ͕ϯϬͿ͘ &ƵƌƚŚĞƌŵŽƌĞ͕ ďĂƐĞĚ ŽŶ ƚŚĞ ĐŽŐŶŝƟǀĞ ĂǁĂƌĞŶĞƐƐ ƚŚĞŽƌǇ͕ ƚŚĞ ƉƌĞƐĞŶĐĞ ŽĨ K^ ŝŶ ƚŚĞ ŵŽƵƚŚ ŝƐ ƉŽƐƚƵůĂƚĞĚ ƚŽ ŵĂŬĞ ƉĂƟĞŶƚƐ ĐŽŶƐĐŝŽƵƐ ĂďŽƵƚ ƚŚĞ ƉŽƚĞŶƟĂůůǇ ŚĂƌŵĨƵů ĞīĞĐƚƐ ŽĨ ďƌƵǆŝƐŵ͘ dŚĞ ĂƐƐƵŵƉƟŽŶ͕ ŽĨ ĐŽƵƌƐĞ͕ ŝƐ ƚŚĂƚ ƉĂƟĞŶƚƐ ǁŽƵůĚ ĂǀŽŝĚ ŚĂƌŵĨƵů ďĞŚĂǀŝŽƌƐ ĂƐ Ă ƌĞƐƵůƚ ;ϯϭ͕ϯϮͿ͘ ^ĞǀĞƌĂů ƐƚƵĚŝĞƐ ŚĂǀĞ ŝŶǀĞƐƟŐĂƚĞĚ ƚŚĞ ĞůĞĐƚƌŽŵĂŐŶĞƟĐ ; D'Ϳ ĂĐƟǀŝƟĞƐ ŽĨ ƚŚĞ ƚĞŵƉŽƌĂůŝƐ ĂŶĚ ŵĂƐƐĞƚĞƌ ŵƵƐĐůĞƐ ŝŶ dD ƉĂƟĞŶƚƐ ŝŶ ƚŚĞ ĐŽŶƚĞǆƚ ŽĨ K^ ƚŚĞƌĂƉǇ ǁŝƚŚ ŵŝǆĞĚ ƌĞƐƵůƚƐ͕ ƚŚĞƌĞďǇ ŶĞĐĞƐƐŝƚĂƟŶŐ ĨƵƌƚŚĞƌ ŝŶǀĞƐƟŐĂƟŽŶƐ ;ϯϯͿ͘ &Žƌ ĞǆĂŵƉůĞ͕ Ă ƌĞĐĞŶƚ ƐƚƵĚǇ ĞǀĂůƵĂƟŶŐ ƚŚĞ ĐŽƌƌĞůĂƟŽŶ ŽĨ ƚŚĞ ŽƵƚĐŽŵĞ ŽĨ K^ ƚŚĞƌĂƉǇ ǁŝƚŚ ƚŚĞ D' ŽĨ ŵĂƐƟĐĂƚŽƌǇ ŵƵƐĐůĞƐ ŝŶ dD ǁŝƚŚ Texas Dental Journal l www.tda.org l June 2014

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myofascial pain concluded that OS could eliminate or improve the signs ĂŶĚ ƐǇŵƉƚŽŵƐ ŽĨ dD ƉĂƟĞŶƚƐ ǁŝƚŚ ŵǇŽĨĂƐĐŝĂů ƉĂŝŶ ;ϯϰͿ͘ ,ŽǁĞǀĞƌ͕ ƚŚĞƐĞ outcomes have been challenged ĂƐ ůĂĐŬŝŶŐ ƐƵĸĐŝĞŶƚ ĞƉŝĚĞŵŝŽůŽŐŝĐ ƐƵƉƉŽƌƚ ;ϯϱͿ͘

KE >h^/KE dŚĞ ĚĞďĂƚĞ ĂƐ ƚŽ ƚŚĞ ŵĞĐŚĂŶŝƐŵ ĂŶĚ ĞĸĐĂĐǇ ŽĨ K^ ŝƐ ĐŽŶƟŶƵŝŶŐ amongst researchers and clinicians. ,ŽǁĞǀĞƌ͕ ŝƚ ǁŽƵůĚ ĂƉƉĞĂƌ ƚŚĂƚ ƚŚĞ ďĞŶĞĮĐŝĂů ĞīĞĐƚƐ ŽĨ K^ ƚŚĞƌĂƉǇ ŝŶ the management of the symptoms ŽĨ dD ͕ ƐƵĐŚ ĂƐ ƉĂŝŶ͕ ŝƐ ŶŽǁ ǁŝĚĞůǇ ĂĐĐĞƉƚĞĚ͕ ǁĂƌƌĂŶƟŶŐ ŝƚƐ ĐŽŶƟŶƵĞĚ use in spite of the absence of evidence-based data. OS therefore ƐŚŽƵůĚ ĐŽŶƟŶƵĞ ƚŽ ďĞ ĂǀĂŝůĂďůĞ ƚŽ ƉƌĂĐƟƟŽŶĞƌƐ͕ ƉĂƌƟĐƵůĂƌůǇ ĨŽƌ ƚŚĞ ŵĂŶĂŐĞŵĞŶƚ ŽĨ ƉĂƟĞŶƚƐ ǁŝƚŚ ŽƌĂů ŚĂďŝƚƐ ƐƵƐƉĞĐƚĞĚ ƚŽ ďĞ ĐŽŶƚƌŝďƵƟŶŐ ƚŽ ƚŚĞŝƌ dD ƐǇŵƉƚŽŵƐ͘ Z & Z E ^ ϭ͘ KŬĞƐŽŶ :W͕ KƌŽĨĂĐŝĂů WĂŝŶ͗ 'ƵŝĚĞůŝŶĞƐ ĨŽƌ ƐƐĞƐƐŵĞŶƚ͕ ŝĂŐŶŽƐŝƐ ĂŶĚ DĂŶĂŐĞŵĞŶƚ͘ ŚŝĐĂŐŽ͗ YƵŝŶƚĞƐƐĞŶĐĞ͕ ϭϵϵϲ͘ Ϯ͘ EŝƐŝǇĂŵĂ ͕ <ŝůŶ <͕ ^ƵŐŝƐĂŬŝ D͕ dƐƵŬĂŐŽƐŚŝ <͘ ƐƵƌǀĞǇ ŽĨ ŝŶŇƵĞŶĐĞ ŽĨ ǁŽƌŬ ĞŶǀŝƌŽŶŵĞŶƚ on temporomandibular disordersƌĞůĂƚĞĚ ƐǇŵƉƚŽŵƐ ŝŶ :ĂƉĂŶ͘ ,ĞĂĚ Θ &ĂĐĞ DĞĚŝĐŝŶĞ͘ ϮϬϭϮ͖ ϴ͗Ϯϰ͘ ĚŽŝ͗ϭϬ͘ϭϭϴϲͬϭϳϰϲͲϭϲϬǆͲϴͲϮϰ͘ ϯ͘ ǁŽƌŬŝŶ ^&͕ ,ƵŐŐŝŶƐ <,͕ >ĞZĞƐĐŚĞ >͕ <Žƌī Ds͕ ,ŽǁĂƌĚ :͕ dƌƵĞůŽǀĞ E, Edmond SE. Epidemiology of signs and symptoms in ƚĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ĚŝƐŽƌĚĞƌƐ͗ Clinical signs in cases and ĐŽŶƚƌŽůƐ͘ : ŵ ĞŶƚ ƐƐŽĐ ϭϵϵϬ͖ϭϮϬ͗ϮϳϯͲϮϴϭ͘

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ϰ͘ ZƵŐŚ : ͕ ^ŽůďĞƌŐ t<͘ KƌĂů ŚĞĂůƚŚ ƐƚĂƚƵƐ ŝŶ ƚŚĞ hŶŝƚĞĚ ^ƚĂƚĞƐ͗ temporomandibular disorders. :ŽƵƌŶĂů ŽĨ ĞŶƚĂů ĚƵĐĂƟŽŶ͘ ϭϵϴϱ͖ϰϵ;ϲͿ͗ ϯϵϴͲϰϬϲ͘ ϱ͘ ^ĐŚŝīŵĂŶ ͕ &ƌŝĐƚŽŶ :Z͘ ƉŝĚĞŵŝŽůŽŐǇ ŽĨ dD: ĂŶĚ ĐƌĂŶŝŽĨĂĐŝĂů ƉĂŝŶ͘ dD: ĂŶĚ ƌĂŶŝŽĨĂĐŝĂů WĂŝŶ͗ ŝĂŐŶŽƐŝƐ ĂŶĚ ŵĂŶĂŐĞŵĞŶƚ͘ ^ƚ >ŽƵŝƐ͗ / WƵďůŝĐĂƟŽŶƐ͘ ϭϵϴϴ͗ϭͲϭϬ͘ ϲ͘ ZĂŵŵĞůƐďĞƌŐ W͕ >ĞZĞƐĐŚĞ >͕ ǁŽƌŬŝŶ ^͕ DĂŶĞů /͘ >ŽŶŐŝƚƵĚŝŶĂů outcome of temporomandibular ĚŝƐŽƌĚĞƌƐ͗ Ă ϱͲǇĞĂƌ ĞƉŝĚĞŵŝŽůŽŐŝĐ ƐƚƵĚǇ ŽĨ ŵƵƐĐůĞ ĚŝƐŽƌĚĞƌƐ ĚĞĮŶĞĚ ďǇ ƌĞƐĞĂƌĐŚ ĚŝĂŐŶŽƐƟĐ ĐƌŝƚĞƌŝĂ ĨŽƌ ƚĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ĚŝƐŽƌĚĞƌƐ͘ : KƌŽĨĂĐŝĂů WĂŝŶ͘ ϮϬϬϯ͖ϭϳ͗ϵͲϮϬ͘ ϳ͘ ^ĐŚŵŝĚͲ^ĐŚǁĂƉ D͕ ƌŝƐƚĞůĂ D͕ <ƵŶĚŝ D͕ WŝĞŚƐůŝŶŐĞƌ ͘ ^Ğǆ ƐƉĞĐŝĮĐ ĚŝīĞƌĞŶĐĞƐ ŝŶ ƉĂƟĞŶƚƐ with temporomandibular ĚŝƐŽƌĚĞƌƐ͘ : KƌŽĨĂĐŝĂů WĂŝŶ͖ϮϬϭϯ tŝŶƚĞƌ͖Ϯϳ;ϭͿ͗ϰϮͲϱϬ͘ ϴ͘ ^ŵŝƚŚ ^ ͕ DĂŝǆŶĞƌ t͕ 'ƌĞĞŶƐƉĂŶ : ͕ ƵďŶĞƌ Z͕ &ŝůůŝŐŝŵ Z ͕ KŚƌďĂĐŚ Z͕ <ŶŽƩ ͕ ^ůĂĚĞ ' ͕ Ăŝƌ ͕ 'ŝďƐŽŶ '͕ ĂǇŬŝŶ s͕ tĞŝƌ ^͕ DĂŝǆŶĞƌ t͕ ŝĂƚĐŚĞŶŬŽ >͘ WŽƚĞŶƟĂů 'ĞŶĞƟĐ ZŝƐŬ &ĂĐƚŽƌƐ ĨŽƌ ŚƌŽŶŝĐ dD ͗ 'ĞŶĞƟĐ ƐƐŽĐŝĂƟŽŶƐ ĨƌŽŵ ƚŚĞ KWW Z ĂƐĞ ŽŶƚƌŽů ^ƚƵĚǇ͘ dŚĞ :ŽƵƌŶĂů ŽĨ WĂŝŶ͘ ϮϬϭϭ͖ϭϮ;ϭϭͿ͗dϵϮͲdϭϬϭ͘ ϵ͘ &ŝůůŝŶŐŝŵ Z ͕ KŚƌďĂĐŚ Z͕ 'ƌĞĞŶƐƉĂŶ : ͕ <ŶŽƩ ͕ ƵďŶĞƌ Z͕ Ăŝƌ ͕ ĂƌĂŝĂŶ ͕ ^ůĂĚĞ ' ͕ DĂŝǆŶĞƌ t͘ WŽƚĞŶƟĂů WƐǇĐŚŽƐŽĐŝĂů ZŝƐŬ &ĂĐƚŽƌ ĨŽƌ ŚƌŽŶŝĐ dD ͗ ĞƐĐƌŝƉƟǀĞ ĂƚĂ ĂŶĚ ŵƉŝƌŝĐĂůůǇ /ĚĞŶƟĮĞĚ ŽŵĂŝŶƐ ĨƌŽŵ ƚŚĞ KWW Z ĂƐĞͲ ŽŶƚƌŽů ^ƚƵĚǇ͘ dŚĞ :ŽƵƌŶĂů ŽĨ WĂŝŶ͘ ϮϬϭϭƐƵƉƉů͘ ϯ͖ϭϮ ;ϭϭͿ͗dϰϲͲdϲϬ͘

ϭϬ͘ ĂŽ͕ d͘d͕͘ >ĂǀŝŐŶĞ ':͘ KƌĂů ^ƉůŝŶƚƐ͗ dŚĞ ƌƵƚĐŚĞƐ ĨŽƌ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ŝƐŽƌĚĞƌƐ ĂŶĚ ƌƵǆŝƐŵ͍ ƌŝƟĐĂů ZĞǀŝĞǁƐ ŝŶ KƌĂů ŝŽůŽŐǇ Θ DĞĚŝĐŝŶĞ ϭϵϵϴ͖ϵ;ϯͿ͗ϯϰϱͲϯϲϭ͘ ϭϭ͘ KŬĞƐŽŶ :W͘ &ƵŶĚĂŵĞŶƚĂůƐ of occlusion and temporomandibular disorders. St. >ŽƵŝƐ͗ ͘s͘ DŽƐďǇ ϭϵϴϱ͘ ϭϮ͘ DĂŶŶƐ ͕ DŝƌĂůůĞƐ Z͕ ^ĂŶƚĂŶĚĞƌ ,͕ sĂůĚŝǀŝĂ :͘ /ŶŇƵĞŶĐĞ ŽĨ ƚŚĞ ǀĞƌƟĐĂů dimension of occlusion in the treatment of myofascial painĚǇƐĨƵŶĐƟŽŶ ƐǇŶĚƌŽŵĞ͘ : WƌŽƐƚŚĞƚ ĞŶƚ͘ ϭϵϴϯ͗ϱϬ͗ϳϬϬͲϳϬϵ͘ ϭϯ͘ ĂǀŝĚŽī &͕ ,ĂǇŶĞƐ ͕ ^ĂĐŬĞƩ ͕ ^ŵŝƚŚ Z͘ ǀŝĚĞŶĐĞĚ ďĂƐĞĚ ŵĞĚŝĐŝŶĞ͘ D:͘ ϭϵϵϱ͖ϯϭϬ͗ϭϬϴϱͲ ϭϬϴϲ͘ ϭϰ͘ DĂŶĨƌĞŶĚŝŶŝ ͕ ƵĐĐŝ D ͕ DŽŶƚĂŐŶĂ &͕ 'ƵĂƌĚĂͲEĂƌĚŝŶŝ >͘ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ĚŝƐŽƌĚĞƌƐ ĂƐƐĞƐƐŵĞŶƚ͗ ŵĞĚŝĐŽůĞŐĂů ĐŽŶƐŝĚĞƌĂƟŽŶƐ ŝŶ ƚŚĞ ĞǀŝĚĞŶĐĞͲ ďĂƐĞĚ ĞƌĂ͘ :ŽƵƌŶĂů ŽĨ KƌĂů ZĞŚĂďŝůŝƚĂƟŽŶ ϮϬϭϭ͖ϯϴ͗ϭϬϭͲϭϭϵ͘ ϭϱ͘ ^ŚĂƉŝƌŽ ,,͕ dƌƵĞǆ Z ͘ dŚĞ temporomandibular joint and ƚŚĞ ĂƵĚŝƚŽƌǇ ĨƵŶĐƟŽŶ͘ : ŵ ĞŶƚ ƐƐŽĐ ϭϵϰϯ͖ϯϬ͗ϭϭϰϳͲϭϲϴ͘ ϭϲ͘ ^ŝĐŚĞƌ ,͘ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ĂƌƟĐƵůĂƟŽŶ ŝŶ ŵĂŶĚŝďƵůĂƌ ŽǀĞƌĐůŽƐƵƌĞ͘ : ŵ ĞŶƚ ƐƐŽĐ ϭϵϰϴ͖ϯϲ͗ϭϯϭͲϭϯϵ͘ ϭϳ͘ ^ĐŚŝīŵĂŶ >͕ dƌƵĞůŽǀĞ >͕ KŚƌďĂĐŬ Z͕ ŶĚĞƌƐŽŶ ' ͕ :ŽŚŶ Dd͕ >ŝƐƚ d͕ >ŽŽŬ :K͘ dŚĞ ZĞƐĞĂƌĐŚ ŝĂŐŶŽƐƟĐ ƌŝƚĞƌŝĂ ĨŽƌ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ŝƐŽƌĚĞƌƐ͘ /͗ KǀĞƌǀŝĞǁ ĂŶĚ DĞƚŚŽĚŽůŽŐǇ ĨŽƌ ƐƐĞƐƐŵĞŶƚ ŽĨ sĂůŝĚŝƚǇ͕ :ŽƵƌŶĂů ŽĨ KƌŽĨĂĐŝĂů WĂŝŶ ϮϬϭϬ͖;ϮϰͿϭ͗ ϳͲϮϭ͘

ϭϴ͘ ^ĐŚŝīŵĂŶ ͕ KŚƌďĂĐŬ Z͕ dƌƵĞůŽǀĞ ͕ >ŽŽŬ :͕ ŶĚĞƌƐŽŶ '͕ 'ŽƵůĞƚ :W͕ >ŝƐƚ d͕ ^ǀĞŶƐŽŶ W͕ 'ŽŶǌĂůĞǌ z͕ >ŽďďĞǌŽŽ &͕ DŝĐŚĞůŽƫ ͕ ƌŽŽŬƐ ^>͕ ĞƵƐƚĞƌƐ t͕ ƌĂŶŐƐŚŽůƚ D͕ ƩůŝŶ ͕ 'ĂƵů ͕ 'ŽůĚďĞƌŐ >:͕ ,ĂǇƚŚŽƌŶƚŚǁĂŝƚĞ : ͕ ,ŽůůĞŶĚĞƌ >͕ :ĞŶƐĞŶ Z͕ :ŽŚŶ Dd͕ Ğ >ĞĂƚ ͕ ĚĞ >ĞĞǁ Z͕ DĂŝǆŶĞƌ t͕ ǀĂŶ ĚĞƌ DĞƵůĞŶ D͕ DƵƌƌĂǇ 'D͕ EŝǆĚŽƌĨ Z͕ WĂůůĂ ^͕ WĞƌĞƐƐŽŶ ͕ WŽŶŽĐŚŽŶ W͕ ^ŵŝƚŚ ͕ sŝƐƐĐŚĞƌ D͕ ĂŬƌǌĞǁƐŬĂ :͕ ǁŽƌŬŝŶ ^&͘ ŝĂŐŶŽƐƟĐ ƌŝƚĞƌŝĂ ĨŽƌ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ŝƐŽƌĚĞƌƐ; ͬdD Ϳ ĨŽƌ ůŝŶĐĂů ĂŶĚ ZĞƐĞĂƌĐŚ ƉƉůŝĐĂƟŽŶ͗ ZĞĐŽŵŵĞŶĚĂƟŽŶƐ ŽĨ ƚŚĞ /ŶƚĞƌŶĂƟŽŶĂů Z ͬdD ŽŶƐŽƌƟƵŵ EĞƚǁŽƌŬ ĂŶĚ KƌŽĨĂĐŝĂů WĂŝŶ ^ƉĞĐŝĂů /ŶƚĞƌĞƐƚ 'ƌŽƵƉ͘ :ŽƵƌŶĂů ŽĨ KƌŽĨĂĐŝĂů WĂŝŶ ĂŶĚ ,ĞĂĚĂĐŚĞ ϮϬϭϰ͖Ϯϴ;ϭͿ͗ϲͲϮϳ͘ ϭϵ͘ ŚĂŽ EE͕ ǀĂŶƐ Zt͕ ǇƚŚ <͕ DƵƌƌĂǇ 'D͕ WĞĐŬ ͘ ĞǀĞůŽƉŵĞŶƚ ĂŶĚ ǀĂůŝĚĂƟŽŶ of a screening checklist for temporomandibular disorders. :ŽƵƌŶĂů ŽĨ KƌŽĨĂĐŝĂů WĂŝŶ͘ ϮϬϭϭ ^ƵŵŵĞƌ͖ Ϯϱ;ϯͿ͗ϮϭϬͲϮϮ͘ ϮϬ͘ WŝĞƌƐŽŶ D:͘ ŚĂŶŐĞƐ ŝŶ temporomandibular joint ĚǇƐĨƵŶĐƟŽŶ ƐǇŵƉƚŽŵƐ ĨŽůůŽǁŝŶŐ ŵĂƐƐĂŐĞ ƚŚĞƌĂƉǇ͗ ĐĂƐĞ ƌĞƉŽƌƚ͘ /Ŷƚ : dŚĞƌ DĞƐƐĂŐĞ ŽĚǇǁŽƌŬ ϮϬϭϭ͖ϰ;ϰͿ͗ϯϳͲϰϳ͘ Ϯϭ͘ WĂƚĞů E͕ DĂŶĨƌĞŶĚŝŶŝ ͘ dǁŽ ĐŽŵŵĞŶƚĂƌŝĞƐ ŽŶ ŝŶƚĞƌǀĞŶƟŽŶƐ of the management of temporomandibular joint ŽƐƚĞŽĂƌƚŚƌŝƟƐ͘ ǀŝĚĞŶĐĞĚͲ ĂƐĞĚ ĞŶƟƐƚƌǇ ϮϬϭϯ͖ϭϰ͗ϱͲϳ͘

ϮϮ͘ Ğ ƐŽƵǌĂ Z&͕ >ŽǀĂƚŽ ĚĂ ^ŝůǀĂ ,͕ EĂƐƐĞƌ D͕ &ĞĚŽƌǁŝĐǌ ͕ ůͲ DƵŚĂƌƌĂƋŝ D ͘ /ŶƚĞƌǀĞŶƟŽŶƐ for the management of temporomandibular joint ŽƐƚĞŽĂƌƚŚƌŝƟƐ͘ ŽĐŚƌĂŶĞ ĂƚĂďĂƐĞ ^ǇƐƚ ZĞǀ ϮϬϭϮ͖ ϰ͗ ƌƚ͘ EŽ͘ ϬϬϳϮϲϭ͘ Ϯϯ͘ tĞŝŶďĞƌŐ > ͕ >ĂŐĞƌ > ͘ ůŝŶŝĐĂů ƌĞƉŽƌƚ ŽŶ ƚŚĞ ĞƟŽůŽŐǇ ĂŶĚ ĚŝĂŐŶŽƐŝƐ ŽĨ dD: ĚǇƐĨƵŶĐƟŽŶͲƉĂŝŶ ƐǇŶĚƌŽŵĞ͕ : WƌŽƐƚŚĞƚ ĞŶƚ ϭϵϴϬ͖ ϰϰ͗ϲϰϮͲϲϱϯ͘ Ϯϰ͘ ŚĂŶŐ &z͕ tĂŶŐ y'͕ ŽŶŐ :͕ ŚĂŶŐ :&͕ >Ƶ z>͘ īĞĐƚ ŽĨ ŽĐĐůƵƐĂů splints for the management of ƉĂƟĞŶƚƐ ǁŝƚŚ ŵǇĂĨĂĐŝĂů ƉĂŝŶ ͗ ƌĂŶĚŽŵŝǌĞĚ͕ ĐŽŶƚƌŽůůĞĚ͕ ĚŽƵďůĞͲďůŝŶĚ ƐƚƵĚǇ͘ ŚŝŶ DĞĚ : ϮϬϭϯ͖ϭϮϲ;ϭϮͿ͗ϮϮϳϬͲϮϮϳϱ͘ Ϯϱ͘ DĂŶĨƌĞŶĚŝŶŝ ͕ >ŽďďĞǌŽŽ &͘ ZĞůĂƟŽŶƐŚŝƉ ďĞƚǁĞĞŶ ďƌƵǆŝƐŵ and temporomandibular ĚŝƐŽƌĚĞƌƐ͗ ƐǇƐƚĞŵŝĐ ƌĞǀŝĞǁ ŽĨ ůŝƚĞƌĂƚƵƌĞ ĨƌŽŵ ϭϵϵϴ ƚŽ ϮϬϬϴ KKKK ϮϬϭϬ͗ϭϬϵ;ϲͿ͗ĞϮϱͲĞϱϬ͘ Ϯϲ͘ KŬĞƐŽŶ :W͕ <ĞŵƉĞƌ :d͕ DŽŽĚǇ WD͘ ƐƚƵĚǇ ŽĨ ƚŚĞ ƵƐĞ ŽĨ occlusal-splint in the treatment ŽĨ ĂĐƵƚĞ ĐŚƌŽŶŝĐ ƉĂƟĞŶƚƐ ǁŝƚŚ Cranomandibular-disorders. WƌŽƐƚŚĞƚ ĞŶƚ ϭϵϴϮ͖ϰϴ͗ϳϬϴͲϳϭϮ͘ Ϯϳ͘ ĂŽ dd͕ >ĂǀŝŐŶĞ ':͕ ŚĂƌďŽŶŶĞĂƵ ͕ &ĞŝŶĞ :^͕ >ƵŶĚ :W͘ dŚĞ ĞĸĐĂĐǇ of oral splints in the treatment of myofascial pain of the jaw ŵƵƐĐůĞƐ͗ Ă ĐŽŶƚƌŽůůĞĚ ĐůŝŶŝĐĂů ƚƌŝĂů͘ WĂŝŶ͘ ϭϵϵϰ͖ϱϲ͗ϴϱͲϵϰ Ϯϴ͘ ZĞŚŵ ͕ DĂŝŶŝĞƌŝ s ͕ ^ĂƵĞƌĞƐƐŝŐ ͕ 'ƌŽƐƐŝ W<͕ dĞŝǆĞŝƌĂ Z͕ dĞŶĞŶďĂƵŵ , ͕ ƌƵŵŵŽŶĚ >'͕ 'ƌŽƐƐŝ D>͘ īĞĐƚ ŽĨ ƚŚĞ ďŝƚĞ ƐƉůŝŶƚ ϭϱͲĚĂǇ ƚƌĞĂƚŵĞŶƚ ƚĞƌŵŝŶĂƟŽŶ ŝŶ ƉĂƟĞŶƚƐ ǁŝƚŚ ƚĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ disorder with a clinical history

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ŽĨ ƐůĞĞƉ ďƌƵǆŝƐŵ͗ ĂƐ ůŽŶŐŝƚƵĚŝŶĂů single-cohort study. OOOO. ϮϬϭϮ͖ϭϭϰ;ϲͿ͗ϳϰϬͲϳϰϴ͘ ZĂŵłŽƌĚ ^͕ ƐŚ DD͘ KĐĐůƵƐŝŽŶ͘ ϯƌĚ ĞĚ͘ WŚŝůĂĚĞůƉŚŝĂ͗ t͘ ͘ ^ĂƵŶĚĞƌƐ ϭϵϴϯ͘ ĂǁƐŽŶ W ͘ ǀĂůƵĂƟŽŶ͕ ĚŝĂŐŶŽƐŝƐ and treatment of occlusal ƉƌŽďůĞŵƐ͘ ϮŶĚ ĞĚ͘ ^ƚ͘ >ŽƵŝƐ͗ ͘s͘ DŽƐďǇ ϭϵϴϵ͘ 'ƌĞĞŶĞ ^͕ >ĂƐŬŝŶ D͘ ^ƉůŝŶƚ therapy for the myofascial painĚǇƐĨƵŶĐƟŽŶ ;D& Ϳ ƐǇŶĚƌŽŵĞ͗ Ă ĐŽŵƉĂƌĂƟǀĞ ƐƚƵĚǇ͘ : ŵ ĞŶƚ ƐƐŽĐ ϭϵϳϮ͖ ϴϰ͗ϲϮϰͲϲϮϴ͘ ZƵŐŚ : ͕ ^ŽůďĞƌŐ t<͘ WƐǇĐŚŽůŽŐŝĐĂů ŝŵƉůŝĐĂƟŽŶƐ in temporomandibular ƉĂŝŶ ĂŶĚ ĚǇƐĨƵŶĐƟŽŶ͘ /Ŷ͗ dĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ũŽŝŶƚ͘ &ƵŶĐƟŽŶ ĂŶĚ ĚǇƐĨƵŶĐƟŽŶ͘ Ăƌď '͕ Carlsson g, editors. Copenhagen DƵŶŬƐŐĂĂƌĚ͘ ϭϵϳϵ͖ ϮϯϵͲϮϲϴ͘ dĂƌƚĂŐůŝĂ 'D͕ >ŽĚĞƫ '͕ WĂŝǀĂ '͕ Ğ &ĞůŝĐŝŽ D͕ ^ĨŽƌǌĂ ͘ Surface electromyograpic ĂƐƐĞƐƐŵĞŶƚ ŽĨ ƉĂƟĞŶƚƐ ǁŝƚŚ ůŽŶŐ ůĂƐƟŶŐ ƚĞŵƉŽƌŽŵĂŶĚŝďƵůĂƌ ũŽŝŶƚ ĚŝƐŽƌĚĞƌƐ ƉĂŝŶ͘ :ŽƵƌŶĂů of Electromyography and <ŝŶĞƐŝŽůŽŐǇ Ϯϭ͖ϮϬϭϭ͗ϲϱϵͲϲϲϰ͘ ĂŝĨ d͘ ŽƌƌĞůĂƟŽŶ ŽĨ ƐƉůŝŶƚ therapy outcome with the ĞůĞĐƚƌŽŵǇŽŐƌĂƉŚǇ ŽĨ ŵĂƐƟĐĂƚŽƌǇ muscles in temporomandibular disorder with myofascial pain. Acta Odontologica Scandinavica. ϮϬϭϮ͖ϳϬ͗ϳϮͲϳϳ͘ >ŽďďĞǌǌŽ &͕ >ĂǀŝŐŶĞ ':͘ Ž bruxism and temporomandibular disorders have a cause-and ĞīĞĐƚ ƌĞůĂƟŽŶƐŚŝƉ͍ : KƌŽĨĂĐ WĂŝŶ ϭϵϵϳ͖ϭϭ͗ϭϱͲϮϯ͘

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et me begin by saying you’ve selected an amazing line of work with a high ƐƵĐĐĞƐƐ ƌĂƚĞ͘ /Ŷ ƚŚŝƐ ĂƌƟĐůĞ͕ /͛ůů ƐŚĂƌĞ ŵǇ ƚŽƉ ϭϬ ƟƉƐ ĨŽƌ ŵĂŬŝŶŐ ǇŽƵƌ ƉƌĂĐƟĐĞ ƐƚĂƌƚͲƵƉ ĞǆƉĞƌŝĞŶĐĞ Ă successful one. With every challenge you encounter in your career, there’s ŽƉƉŽƌƚƵŶŝƚǇ͘ ,ŽƉĞĨƵůůǇ ǇŽƵ͛ůů ƵƐĞ these insights to help you grow and ĂǀŽŝĚ ĐŽƐƚůǇ ŵŝƐƚĂŬĞƐ ƐŽ ĨƌĞƋƵĞŶƚůǇ ŵĂĚĞ ďǇ ŶĞǁ ƉƌĂĐƟĐĞ ŽǁŶĞƌƐ ďĞĨŽƌĞ they even open their doors for business.

1. Do a little homework. It’s my opinion that as the economy ƐůŽǁůǇ ƌĞďƵŝůĚƐ͕ ĚĞŶƚĂů ƉƌĂĐƟĐĞƐ are resurfacing in good shape, and that overall failure rates are very ůŽǁ͘ ,ŽǁĞǀĞƌ͕ ǁŚĞŶ Ă ƉƌĂĐƟĐĞ ĚŽĞƐ ĨĂŝů͕ ƚŚĞ ĞǀĞŶƚ ĐĂŶ ďĞ Ă ůŝĨĞͲĚĞĮŶŝŶŐ disaster. Not too long ago, you could build Ă ƉƌĂĐƟĐĞ ĨƌŽŵ ƐĐƌĂƚĐŚ ĂŶĚ ŚĂǀĞ Ă booked schedule before you even ŽƉĞŶĞĚ ǇŽƵƌ ĚŽŽƌƐ ĨŽƌ ďƵƐŝŶĞƐƐ͘ dŚŝƐ is rarely the case today. As soon as you make your mind up to be your ŽǁŶ ďŽƐƐ͕ ƐƚĂƌƚ ŐĞƫŶŐ ĂŶ ŝĚĞĂ ŽĨ the unknowns that lie ahead. Speak ǁŝƚŚ ƉƌĂĐƟĐĞ ŽǁŶĞƌƐ ƚŽ ĮŶĚ ŽƵƚ ǁŚĂƚ challenges they faced, what they ĚŝĚ ƚŽ ƉƌĞǀĂŝů͕ ĂŶĚ ǁŚĂƚ ;ŝĨ ĂŶǇƚŚŝŶŐͿ ƚŚĞǇ͛Ě ĚŽ ĚŝīĞƌĞŶƚůǇ ƚŽĚĂǇ͘ KŶĐĞ ǇŽƵ ŐĂƚŚĞƌ Ă ƵƐĞĨƵů ĂŵŽƵŶƚ ŽĨ ŝŶĨŽƌŵĂƟŽŶ and are comfortable with the challenges you’re likely to face, you’re ƌĞĂĚǇ ƚŽ ŵŽǀĞ ƚŽ ƟƉ ηϮ͘

2. BuilD a network of trusteD aDvisors. &ƌŽŵ ƚŚĞ ĚĂǇ ǇŽƵ ĚĞĐŝĚĞ ƚŽ ƐƚĂƌƚ Ă ƉƌĂĐƟĐĞ͕ ǇŽƵ͛ůů ďĞ ŵĞĞƟŶŐ ŵĂŶǇ ƉĞŽƉůĞ͕ ĮůƚĞƌŝŶŐ ĂĚǀŝĐĞ͕ and establishing professional ƌĞůĂƟŽŶƐŚŝƉƐ͘ zŽƵ ŵĂǇ ĂůƌĞĂĚǇ ŚĂǀĞ ƐŽŵĞ ĞƐƚĂďůŝƐŚĞĚ ƌĞůĂƟŽŶƐŚŝƉƐ͘ /ƚ͛Ɛ ŝŵƉŽƌƚĂŶƚ͕ ŚŽǁĞǀĞƌ͕ ƚŚĂƚ ǇŽƵ ƉŽƐŝƟŽŶ ǇŽƵƌƐĞůĨ ǁŝƚŚ ŝŶĚƵƐƚƌǇͲƐƉĞĐŝĮĐ advisors who will help you with many of the crucial decisions you’ll be making. &ŽůůŽǁŝŶŐ ĂƌĞ ƐĞǀĞƌĂů ƚƌƵƐƚĞĚ ĂĚǀŝƐŽƌƐ you should have that will be vital to ǇŽƵƌ ƉƌŽũĞĐƚ͗ ® ĞŶƚĂůͲ^ƉĞĐŝĮĐ ŽŶƚƌĂĐƚŽƌƐ͗ dŚŝƐ ŝƐ ǀĞƌǇ ŝŵƉŽƌƚĂŶƚ͘ dƌǇŝŶŐ ƚŽ ƐĂǀĞ ŵŽŶĞǇ ďǇ ĐƵƫŶŐ ĐŽƌŶĞƌƐ with a general contractor who is not experienced in building ŽƵƚ ĚĞŶƚĂů ƉƌĂĐƟĐĞƐ ĐĂŶ ůĞĂĚ ƚŽ ŽǀĞƌƌƵŶƐ ĂŶĚ ĨƌƵƐƚƌĂƟŽŶ ĨŽƌ ǇŽƵƌ ĞƋƵŝƉŵĞŶƚ ƐƉĞĐŝĂůŝƐƚ ĂŶĚ ĂƌĐŚŝƚĞĐƚ͘ ĞŶƚĂůͲƐƉĞĐŝĮĐ contractors exist in every market ŝŶ ƚŚĞ h͘^͘ ĂŶĚ ĂƌĞ ĞĂƐǇ ƚŽ ĮŶĚ͘ zŽƵƌ ĞƋƵŝƉŵĞŶƚ ƐƉĞĐŝĂůŝƐƚ ƐŚŽƵůĚ know reputable contractors they’ve worked with on other ƉƌŽũĞĐƚƐ͕ ĂŶĚ ƚŚĞ d y ^ DĞĞƟŶŐ ƵƐƵĂůůǇ ŚĂƐ ĚĞŶƚĂůͲƐƉĞĐŝĮĐ ĂĚǀŝƐŽƌƐ ĞǆŚŝďŝƟŶŐ͘ ůƐŽ͕ ĐŚĞĐŬ with colleagues who opened ŽĸĐĞƐ ĂŶĚ ŵĂǇ ŚĂǀĞ ǀĂůƵĂďůĞ feedback about contractor performance.

® ĞŶƚĂůͲ^ƉĞĐŝĮĐ W Ɛ͗ As we ŬŶŽǁ͕ Ă ŐĞŶĞƌĂů ĚĞŶƟƐƚ ĐĂŶ ĚŽ ƌŽŽƚ ĐĂŶĂůƐ͕ ďƵƚ ĂŶ ĞŶĚŽĚŽŶƟƐƚ is highly recommended for more ĚŝĸĐƵůƚ ƉƌŽĐĞĚƵƌĞƐ͘ ŶĚ ĂƐ with general contractors, there ĂƌĞ ƚŚŽƵƐĂŶĚƐ ŽĨ ŐĞŶĞƌĂů W Ɛ who would like to earn your ďƵƐŝŶĞƐƐ͘ zŽƵ ŵĂǇ ĂůƌĞĂĚǇ ŚĂǀĞ Ă ƌĞůĂƟŽŶƐŚŝƉ ǁŝƚŚ ŽŶĞ ŽĨ ƚŚĞŵ͘ dŚŽƵŐŚ /͛ŵ ŶŽƚ ƌĞĐŽŵŵĞŶĚŝŶŐ you make a change from your ĐƵƌƌĞŶƚ W ͕ / ǁŽƵůĚ ĞŶĐŽƵƌĂŐĞ Ă ĐŽŶǀĞƌƐĂƟŽŶ ǁŝƚŚ Ă W who specializes in working ǁŝƚŚ ĚĞŶƟƐƚƐ ĂŶĚ ǁŽƌŬƐ ǁŝƚŚ Ă ŵŝŶŝŵƵŵ ŽĨ Ϯϱ ĚĞŶƚĂů ĐůŝĞŶƚƐ͘ /ƚ ĐŽƵůĚ ƉƌŽǀŝĚĞ ƉĞƌƐƉĞĐƟǀĞ ŽŶ ƚŚĞ ǀĂůƵĞ ŽĨ ƵƐŝŶŐ ƐƉĞĐŝĂůŝǌĞĚ W services. ® ĞŶƚĂů ƋƵŝƉŵĞŶƚ ^ƉĞĐŝĂůŝƐƚƐ͗ dŚŝƐ ŐƌŽƵƉ ŝƐ ŽŌĞŶ ƉĞƌĐĞŝǀĞĚ as being primarily interested in ƐĞůůŝŶŐ ǇŽƵ ĂƐ ŵƵĐŚ ĞƋƵŝƉŵĞŶƚ as the lender will approve you for. In most cases, I’ve found ƚŚŝƐ ƵŶƚƌƵĞ ŽĨ ďĞƩĞƌ ĞƋƵŝƉŵĞŶƚ ƐƉĞĐŝĂůŝƐƚƐ͘ ŐŽŽĚ ĞƋƵŝƉŵĞŶƚ specialist truly looks out for your best interest, and can be one of ǇŽƵƌ ŵŽƐƚ ŝŶƐŝŐŚƞƵů ĂĚǀŝƐŽƌƐ͘ dǇƉŝĐĂůůǇ͕ ƚŚĞǇ͛ƌĞ ǀĞƌǇ ƚĞŶƵƌĞĚ͕ and plan to stay in the dental ĮĞůĚ ƚŚĞŝƌ ĞŶƟƌĞ ĐĂƌĞĞƌƐ͘ /ƚ͛Ɛ very important to them that as Ă ƐƚĂƌƚͲƵƉ ǇŽƵ͛ƌĞ ǁĞůůͲƉŽƐŝƟŽŶĞĚ to succeed, because they’d like to provide you with updated ĞƋƵŝƉŵĞŶƚ ĨŽƌ ǇĞĂƌƐ ƚŽ ĐŽŵĞ͘ Ɛ ǁŝƚŚ W Ɛ͕ ŝƚ͛Ɛ ŶŽƚ ƵŶĐŽŵŵŽŶ ƚŽ ƐĞĞ ƉƌĂĐƟĐĞ ŽǁŶĞƌƐ ŵĂŝŶƚĂŝŶ ĐĂƌĞĞƌͲůŽŶŐ ƌĞůĂƟŽŶƐŚŝƉƐ ǁŝƚŚ ƚƌƵƐƚĞĚ ĞƋƵŝƉŵĞŶƚ ƐƉĞĐŝĂůŝƐƚƐ͘ Texas Dental Journal l www.tda.org l June 2014

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profession

® ĞŶƚĂůͲ^ƉĞĐŝĮĐ >ĞŶĚĞƌƐ͗ dŚĞƌĞ͛Ɛ a large amount of interest in ĚĞŶƚĂů ƉƌĂĐƟĐĞ ĮŶĂŶĐŝŶŐ ĨƌŽŵ a plethora of lenders, including ůŽĐĂů͕ ƌĞŐŝŽŶĂů ĂŶĚ ŶĂƟŽŶĂů ďĂŶŬƐ͕ money loan brokers, and the ^ ͘ zŽƵ͛ůů ĮŶĚ ƐŽŵĞ ůĞŶĚĞƌƐ ĂƌĞ ǀĞƌǇ ĞǆƉĞƌŝĞŶĐĞĚ ǁŝƚŚ ĮŶĂŶĐŝŶŐ ĚĞŶƚĂů ƉƌĂĐƟĐĞ ƐƚĂƌƚͲƵƉƐ͕ ĂŶĚ others that are simply general ƐŵĂůůͲďƵƐŝŶĞƐƐ ůĞŶĚĞƌƐ͘ 'ĞŶĞƌĂů small-business lenders typically want to lend against the collateral ŝŶ ƚŚĞ ƚƌĂŶƐĂĐƟŽŶ͕ ĂŶĚ ĂƌĞ ŶŽƚ ǀĞƌǇ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ƚŚĞ ͞ƐŽŌ ĐŽƐƚ͕͟ which includes your build-out or tenant improvement and working ĐĂƉŝƚĂů͘ ĞŶƚĂůͲƐƉĞĐŝĮĐ ůĞŶĚĞƌƐ ǁŚŽ ƉƌŽǀŝĚĞ ƐƚĂƌƚͲƵƉ ĮŶĂŶĐŝŶŐ are very familiar with the cost ŽĨ Ă ŶĞǁͲƉƌĂĐƟĐĞ ƉƌŽũĞĐƚ͕ ǁŚŝĐŚ ŵĂǇ ƌƵŶ ƵƉǁĂƌĚƐ ŽĨ ΨϰϱϬ͕ϬϬϬ ;ŽĨ ǁŚŝĐŚ ŽŶůǇ Ă ƚŚŝƌĚ ŝƐ ĞƋƵŝƉŵĞŶƚ

ĐŽƐƚƐͿ͘ tŽƌŬŝŶŐ ǁŝƚŚ Ă ůĞŶĚĞƌ that understands the project breakdown is very important. Ɛ ǇŽƵƌ ƉƌĂĐƟĐĞ ŐƌŽǁƐ͕ ŽƚŚĞƌ ĚĞŶƚĂůͲ ƐƉĞĐŝĮĐ ĂĚǀŝƐŽƌƐ ŵĂǇ ĐƌŽƐƐ ǇŽƵƌ ƉĂƚŚ that can play a major role in your key ďƵƐŝŶĞƐƐ ĚĞĐŝƐŝŽŶƐ͘ zŽƵ ŵĂǇ ŶĞĞĚ Ă ĚĞŶƚĂůͲĨŽĐƵƐĞĚ ĂƩŽƌŶĞǇ ĂŶĚ ƉƌĂĐƟĐĞ management consultant that can help ďƌŝŶŐ ǇŽƵƌ ƉƌĂĐƟĐĞ ƚŽ ƚŚĞ ŶĞǆƚ ůĞǀĞů͘ WƌĂĐƟĐĞ ŵĂŶĂŐĞŵĞŶƚ ĐŽŶƐƵůƚĂŶƚƐ can be an excellent source early in ǇŽƵƌ ƉƌĂĐƟĐĞ ƉůĂŶƐ͕ ĂŶĚ ĂƐƐŝƐƚ ǁŝƚŚ establishing internal control systems ĂŶĚ ƉĞƌƐŽŶŶĞů ĚĞĐŝƐŝŽŶƐ͘ dŚĞǇ͛ƌĞ focused on helping you become and ƐƚĂǇ ĞĸĐŝĞŶƚ ǁŚŝůĞ ǇŽƵ͛ƌĞ ŐƌŽǁŝŶŐ ǇŽƵƌ ƉƌĂĐƟĐĞ͘

3. Secure financing. Although the past few years there’s ďĞĞŶ Ă ƐŝŐŶŝĮĐĂŶƚ ĂŵŽƵŶƚ ŽĨ ƉƌĞƐƐ about how banks have pulled back on lending to small businesses, I have not seen this to be the case with ĚĞŶƚĂů ƉƌĂĐƟĐĞ ĮŶĂŶĐŝŶŐ͘ dŚĞƌĞ͛Ɛ ŶŽ ƐŚŽƌƚĂŐĞ ŽĨ ďĂŶŬƐ ǁĂŶƟŶŐ ƚŽ ůĞŶĚ ƚŽ ĚĞŶƟƐƚƐ͘ ,ŽǁĞǀĞƌ͕ ǇŽƵ ŵĂǇ ĮŶĚ that your local bank and others are unfamiliar with the cost and funding ĂůůŽĐĂƟŽŶ ƌĞƋƵŝƌĞŵĞŶƚƐ ĨŽƌ Ă ƐƚĂƌƚͲ ƵƉ ƉƌĂĐƟĐĞ͘ dŚĞƌĞ ĂƌĞ ŵĂŶǇ ŵĂũŽƌ lenders that are very familiar with your needs, and willing to provide you ǁŝƚŚ ƚŚĞ ƌĞƋƵŝƌĞĚ ĨƵŶĚƐ͘ DĂŬĞ ƐƵƌĞ your loan decision isn’t based solely on interest rate. Although the rate is important in keeping your payments lower, it should only be one factor ǁŚĞŶ ĚĞĐŝĚŝŶŐ ŽŶ Ă ůĞŶĚĞƌ͘ ,ĞƌĞ ĂƌĞ ƐŽŵĞ ŽƚŚĞƌ ůŽĂŶ ĨĞĂƚƵƌĞƐ ƚŽ ĐŽŶƐŝĚĞƌ͗ ® >ŽĂŶ dĞƌŵ͗ zŽƵ ƐŚŽƵůĚ ĐŽŶƐŝĚĞƌ the longest term available, ie, ϭϬͲϭϱ ǇĞĂƌƐ͘ dŚŝƐ ǁŝůů ĂůůŽǁ ǇŽƵ to make lower payments as you begin to grow your revenue stream. If your business does ďĞƩĞƌ ƚŚĂŶ ĞǆƉĞĐƚĞĚ͕ ǇŽƵ ĐĂŶ always pay down your loan, as you can with your mortgage. Loans can typically be prepaid ǁŝƚŚŽƵƚ Ă ƉĞŶĂůƚǇ ĂŌĞƌ ϯͲϱ ǇĞĂƌƐ͘ ® WƌĞͲWĂǇŵĞŶƚ͗ zŽƵƌ ůŽĂŶ ƉƌĞͲ payment terms are less important in the earlier years, when you’re building and opening your ƉƌĂĐƟĐĞ͘ >ŽĂŶ ƉƌĞͲƉĂǇŵĞŶƚ ŽƉƟŽŶƐ ǁŝůů ǀĂƌǇ ĨƌŽŵ ůĞŶĚĞƌ ƚŽ ůĞŶĚĞƌ͘ WƌĞͲƉĂǇŝŶŐ ǇŽƵƌ ůŽĂŶ ŵĂǇ

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Texas Dental Journal l www.tda.org l June 2014

ďĞĐŽŵĞ ĂŶ ŽƉƟŽŶ ĂŌĞƌ ǇŽƵƌ ƉƌĂĐƟĐĞ ŝƐ ŶŽ ůŽŶŐĞƌ ĐŽŶƐŝĚĞƌĞĚ a start-up and lenders view it as ĂŶ ĞƐƚĂďůŝƐŚĞĚ ƉƌĂĐƟĐĞ͘ dŚŝƐ ǁŝůů occur when you have proven ƉƌĂĐƟĐĞ ĐŽůůĞĐƟŽŶƐ͖ ǇŽƵƌ ďƵƐŝŶĞƐƐ revenue less your business and personal expenses provides ĂĚĞƋƵĂƚĞ ĐĂƐŚ ŇŽǁ͕ ĂŶĚ ƚŚĞ ŶĞǁ loan you’re considering is in your ďĞƐƚ ŝŶƚĞƌĞƐƚ Žƌ ŵŽƌĞ ĂƩƌĂĐƟǀĞ ƚŚĂŶ ǇŽƵƌ ĞǆŝƐƟŶŐ ŽŶĞ͘ ® >ŽĂŶ ^ƚƌƵĐƚƵƌĞ͗ dŚĞ ƉĂǇŵĞŶƚ ƐƚƌƵĐƚƵƌĞ ŝƐ ĐƌƵĐŝĂů͘ ,ĂǀŝŶŐ Ă loan with graduated payments ŝŶ ƚŚĞ ĮƌƐƚ ϮͲϰ ǇĞĂƌƐ ƉƌŽǀŝĚĞƐ you with breathing room and ŇĞǆŝďŝůŝƚǇ ĂƐ ǇŽƵƌ ƉƌĂĐƟĐĞ ŐƌŽǁƐ͘ 'ƌĂĚƵĂƚĞĚ ƉĂǇŵĞŶƚƐ ĐĂŶ ƌĂŶŐĞ from interest-only payments for ϲͲϭϮ ŵŽŶƚŚƐ ƚŽ Ă ƟĞƌĞĚ ƉĂǇŵĞŶƚ ƐƚƌƵĐƚƵƌĞ ĨŽƌ ƵƉ ƚŽ ϯ ǇĞĂƌƐ͘ ® /ŶƚĞƌĞƐƚ ZĂƚĞ͗ ZĂƚĞƐ ĐĂŶ ďĞ ĮǆĞĚ for the term, or adjust with prime or other rate indexes. Although payments may be lower with an adjustable rate, rates ǁŝůů ĞǀĞŶƚƵĂůůǇ ďĞŐŝŶ ƚŽ ƌŝƐĞ͖ ƐŽ ůŽĐŬŝŶŐ ŝŶ Ă ĐŽŵƉĞƟƟǀĞ ĮǆĞĚ ƌĂƚĞ ƚŽĚĂǇ ĨŽƌ ƚŚĞ ŶĞǆƚ ϳͲϭϱ ǇĞĂƌƐ ŝƐ ǇŽƵƌ ďĞƐƚ ƐŽůƵƟŽŶ͘ ® >ĞŶĚĞƌ ^ĞƌǀŝĐĞ >ĞǀĞůƐ͗ During ĐŽŶƐƚƌƵĐƟŽŶ ŽĨ Ă ŶĞǁ ƉƌĂĐƟĐĞ͕ ďĞƩĞƌ ĚĞŶƚĂů ƐƉĞĐŝĮĐ ůĞŶĚĞƌƐ have internal processes in place to pay the building contractor, ĞƋƵŝƉŵĞŶƚ ĐŽŵƉĂŶǇ͕ ĂŶĚ ŽƚŚĞƌ ǀĞŶĚŽƌƐ ǁŚŽ ŵĂǇ ƌĞƋƵŝƌĞ deposits and incremental ƉĂǇŵĞŶƚƐ͘ dŚĞǇ ǁŝůů ĂůƐŽ ŵĂŬĞ sure all disbursements are made as planned.

4. have a Business plan. If you haven’t already, you’ll learn how to present a treatment plan to a ŶĞǁ Žƌ ĞǆŝƐƟŶŐ ƉĂƟĞŶƚ͘ zŽƵ͛ůů ǁĂŶƚ ƚŽ ďĞ ǀĞƌǇ ƐƉĞĐŝĮĐ ĂŶĚ ŝŶĐůƵĚĞ ƉƌŽƚŽĐŽů ĨŽƌ ƉƌĞƐĞŶƟŶŐ Ă ĐŽŵƉƌĞŚĞŶƐŝǀĞ exam, diagnosis, and a course of ĂĐƟŽŶ ŝŶǀŽůǀŝŶŐ ƋƵĂůŝƚǇ ĐĂƌĞ͘ ^ŝŵŝůĂƌůǇ͕ developing a plan on how you’re ŐŽŝŶŐ ƚŽ ƌƵŶ ǇŽƵƌ ďƵƐŝŶĞƐƐ ĨƌŽŵ ƚŽ is instrumental to the success of your ƉƌĂĐƟĐĞ͘ zŽƵ ĐĂŶ ĮŶĚ ďƵƐŝŶĞƐƐ ƉůĂŶ templates for your start-up dental ƉƌĂĐƟĐĞ ĨƌŽŵ ƚŚĞ ƌĞƐŽƵƌĐĞ ĐĞŶƚĞƌ ĂŶĚ ĚĞŶƚĂůͲƐƉĞĐŝĮĐ ůĞŶĚĞƌƐ͘

5. Develop your Business acumen. (after all, you will Be a Business owner!)

tŚĂƚ ĐŽŵĞƐ ƚŽ ŵŝŶĚ ǁŚĞŶ / ƌĞŇĞĐƚ ŽŶ the worst economic downturn since ƚŚĞ 'ƌĞĂƚ ĞƉƌĞƐƐŝŽŶ ŝƐ ƚŚĞ ŶĞĞĚ ĨŽƌ ŶĞǁ ƉƌĂĐƟĐĞ ŽǁŶĞƌƐ ƚŽ ĚĞǀĞůŽƉ business skills and acumen. With the lack of a business curriculum in dental schools, from the start of your career, it’s wise to allocate a certain amount ŽĨ ƟŵĞ ƚŽ ůĞĂƌŶŝŶŐ ƚŚĞ ďƵƐŝŶĞƐƐ ŽĨ ĚĞŶƟƐƚƌǇ͘ /Ĩ ǇŽƵ͛ƌĞ Ă ƐƚƵĚĞŶƚ͕ ĂƐŬ ǇŽƵƌ professors who they recommend you speak with that’s running a successful ƉƌĂĐƟĐĞ͘ zŽƵ ŵĂǇ ďĞ ƐƵƌƉƌŝƐĞĚ ŚŽǁ a colleague or school alum that once ŚĂĚ ƚŚĞ ƐĂŵĞ ĂŶǆŝĞƟĞƐ ǇŽƵ ŚĂǀĞ ĂďŽƵƚ ƐƚĂƌƟŶŐ Ă ƉƌĂĐƟĐĞ ŝƐ ǁŝůůŝŶŐ to lend a hand and share his or her ƐƵĐĐĞƐƐĞƐ͘ dŚĞƐĞ ĐŽŶƚĂĐƚƐ ĂƌĞ ĂůƌĞĂĚǇ ůŝǀŝŶŐ ƚŚĞ ĚƌĞĂŵ ŽĨ ƉƌĂĐƟĐĞ ŽǁŶĞƌƐŚŝƉ

ĂŶĚ ĐĂŶ ŚĞůƉ ǇŽƵ ƐĂǀĞ ƟŵĞ ĂŶĚ money as you begin your journey. Also explore what type of business model ĂŶĚ ƉƌĂĐƟĐĞ ƉŚŝůŽƐŽƉŚǇ ǇŽƵ͛Ě ůŝŬĞ ƚŽ ŝŶĐŽƌƉŽƌĂƚĞ ŝŶ ǇŽƵƌ ƉƌĂĐƟĐĞ͘ ƩĞŶĚ ƉƌĂĐƟĐĞ ŵĂŶĂŐĞŵĞŶƚ ƐĞŵŝŶĂƌƐ ŝŶ your area. And download and read ĂƌƟĐůĞƐ ŽŶ ƚŚĞ ďƵƐŝŶĞƐƐ ŽĨ ĚĞŶƟƐƚƌǇ͘ Dentaltown is an excellent source of ŝŶĨŽƌŵĂƟŽŶ ǁŚĞƌĞ ǇŽƵ ĐĂŶ ůĞĂƌŶ ĨƌŽŵ your peers.

6. maintain a high level of creDit worthiness. dŚŝƐ ŝƐ ŶŽƚ Ă ƐĞĐƌĞƚ͕ ĂŶĚ / ŚŽƉĞ already you know how important ǇŽƵƌ ĐƌĞĚŝƚ ƐĐŽƌĞ ŝƐͶƉĞƌƐŽŶĂůůǇ ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂůůǇ͘ ŶĞŐĂƟǀĞ Žƌ ůŽǁ ĐƌĞĚŝƚ ƐĐŽƌĞ ĐĂŶ ƐŝŐŶŝĮĐĂŶƚůǇ ŝŵƉĂĐƚ ǇŽƵƌ ĐŚĂŶĐĞƐ ŽĨ ƋƵĂůŝĨǇŝŶŐ ĨŽƌ Ă ƉƌĂĐƟĐĞ ůŽĂŶ͕ ƚŚĞ ĂŵŽƵŶƚ ǇŽƵ ƋƵĂůŝĨǇ for, and the interest rate you receive. /Ĩ ǇŽƵ͛ƌĞ ŶŽƚ ƐƵƌĞ ǁŚĂƚ͛Ɛ ƌĞŇĞĐƚĞĚ ŝŶ ǇŽƵƌ ĐƌĞĚŝƚ ĮůĞ ĂŶĚ ǁŽƵůĚ ůŝŬĞ ƚŽ obtain your credit score, you can go ƚŽ ŵǇĮĐŽ͘ĐŽŵ͘ dŽ ŽďƚĂŝŶ Ă ĨƌĞĞ ĐŽƉǇ of your credit report, you can go to ĂŶŶƵĂůĐƌĞĚŝƚƌĞƉŽƌƚ͘ĐŽŵ͘ dŽ ŝŶƋƵŝƌĞ about a reported creditor on your credit bureau report, you can contact ŽŶĞ ŽĨ ƚŚĞ ƚŚƌĞĞ ŵĂũŽƌ ƌĞƉŽƌƟŶŐ ĐƌĞĚŝƚ ďƵƌĞĂƵƐ͗ ĞƋƵŝĨĂǆ͘ĐŽŵ ;ϴϬϬͲ ϲϴϱͲϭϭϭϭͿ͕ ƚƌĂŶƐƵŶŝŽŶ͘ĐŽŵ ;ϴϬϬͲϴϴϴͲ ϰϮϭϯͿ͕ Žƌ ĞǆƉĞƌŝĂŶ͘ĐŽŵ ;ϴϴϴͲϯϵϳͲ ϯϳϰϮͿ͘

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value for your

profession

7. Keep your DeBt loaD

at a manageaBle level. (temptations exist arounD every corner.)

ƩĞŶĚ ƚŚĞ ŶĞǆƚ ĚĞŶƚĂů ƚƌĂĚĞ ƐŚŽǁ or speak with your colleagues, and you’ll hear industry buzz about ƚŚĞ ůĂƚĞƐƚ ĂŵĂǌŝŶŐ ĞƋƵŝƉŵĞŶƚ ĂŶĚ ƚĞĐŚŶŽůŽŐǇ͘ dŚĞ ĐŽŵƉĂŶŝĞƐ ƚŚĂƚ ƐĞůů ƚŚŝƐ ĞƋƵŝƉŵĞŶƚ ĂŶĚ ƚĞĐŚŶŽůŽŐǇ ǁŝůů ƚĞůů ǇŽƵ ŚŽǁ ŝƚ ǁŝůů ŚĞůƉ ǇŽƵƌ ƉƌĂĐƟĐĞ generate revenue, and why you can’t live without them. While some of the buzz may be true, you need to be ǀĞƌǇ ĐĂƌĞĨƵů ƚŚĂƚ ǇŽƵ ĚŽŶ͛ƚ ĂĐƋƵŝƌĞ ĞƋƵŝƉŵĞŶƚ ďĞĨŽƌĞ ǇŽƵ ĐĂŶ ĐŽƐƚ ũƵƐƟĨǇ ŝƚ͘ EĞǁ ƚĞĐŚŶŽůŽŐǇ ĐĂŶ ďĞ ǀĞƌǇ expensive, and a burden to your cash ŇŽǁ ŝĨ ǇŽƵ͛ƌĞ ŶŽƚ ƌĞĂĚǇ ƚŽ ŽƉƟŵŝǌĞ usage and see immediate revenue or ĞǆƉĞŶƐĞ ƐĂǀŝŶŐƐ͘ dŚŝƐ ŝƐ ĂůƐŽ ƚƌƵĞ ǁŝƚŚ ĞƋƵŝƉƉŝŶŐ Ăůů ŽƉĞƌĂƚŽƌŝĞƐ ĨƌŽŵ ƚŚĞ ƐƚĂƌƚ͘ dǇƉŝĐĂůůǇ Ă ϭ͕ϱϬϬͲƐƋƵĂƌĞͲĨŽŽƚ ŽĸĐĞ ŚĂƐ ƌŽŽŵ ĨŽƌ ϰ ŽƉĞƌĂƚŽƌŝĞƐ͘ DĂŶǇ ĚĞŶƟƐƚƐ ĞƋƵŝƉ Ϯ ĂƐ Ă ƐƚĂƌƚͲƵƉ͕ ĂƐ Ă ƉƌĂĐƟĐĞ ĐĂŶ ĞƋƵŝƉ Ă ƚŚŝƌĚ Žƌ ĨŽƵƌƚŚ room later when it’s able to support them.

8. stay on BuDget. tĞ͛ǀĞ ƐĞĞŶ ƉƌĂĐƟĐĞ ƐƚĂƌƚͲƵƉ ƚŽƚĂů ĐŽƐƚƐ ƌĂŶŐĞ ĨƌŽŵ ΨϮϱϬ͕ϬϬϬ ƚŽ ΨϱϬϬ͕ϬϬϬ͕ ǁŝƚŚ ƚŚĞ ĂǀĞƌĂŐĞ ĐŽƐƚ Ăƚ ũƵƐƚ ƵŶĚĞƌ ΨϰϬϬ͕ϬϬϬ͘ dŚĞ ƚŽƚĂů amount includes a landlord allowance ;ƐŽŵĞ ůĂŶĚůŽƌĚƐ ƉƌŽǀŝĚĞ ŽŶĞ ĨŽƌ ƚŚĞ ďƵŝůĚͲŽƵƚͿ͕ ĐŽŶƐƚƌƵĐƟŽŶ ĐŽƐƚƐ ;ĨŽƌ Ă ůĞĂƐĞĚ ƐƉĂĐĞͿ͕ ĞƋƵŝƉŵĞŶƚ ŶĞĞĚƐ ;ĚĞŶƚĂů ĂŶĚ ŽĸĐĞ ŚĂƌĚǁĂƌĞ ͬ

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ƐŽŌǁĂƌĞͿ͕ ĚĞŶƚĂů ĂŶĚ ŽĸĐĞ ƐƵƉƉůŝĞƐ͕ ĂŶĚ ǁŽƌŬŝŶŐ ĐĂƉŝƚĂů ;ƚǇƉŝĐĂůůǇ Ψϳϱ͕ϬϬϬ ƚŽ ƐƵƉƉŽƌƚ ĞǆƉĞŶƐĞƐ ǁŚŝůĞ Ă ĚĞŶƟƐƚ ƐĞĞƐ ŶĞǁ ƉĂƟĞŶƚƐ ĂŶĚ ŝŶƐƵƌĂŶĐĞ ƌĞŝŵďƵƌƐĞŵĞŶƚƐͿ͘ KŶĐĞ ǇŽƵ͛ƌĞ approved by a lender and your project begins, it’s crucial you and your ƚĞĂŵ ƌĞŵĂŝŶ ŽŶ ƚƌĂĐŬ ƚŽ ĮŶŝƐŚ ǁŝƚŚŝŶ budget. It may be helpful to apply ĨŽƌ Ă ůŝƩůĞ ŵŽƌĞ ƚŚĂŶ ǇŽƵ ĨŽƌĞĐĂƐƚ͕ to allow for any cost overruns while ǇŽƵƌ ŽĸĐĞ ŝƐ ďĞŝŶŐ ďƵŝůƚ͘ >ĞŶĚĞƌƐ ŵĂǇ accept a slight overrun, but one that’s ϭϬй Žƌ ŚŝŐŚĞƌ ŵĂǇ ĐƌĞĂƚĞ ĐŽŶĐĞƌŶ ĨŽƌ the lender.

9. estaBlish

professional goals.

I’ve always believed in establishing ŐŽĂůƐͶƐŚŽƌƚ͕ ŵŽĚĞƌĂƚĞ͕ Žƌ ůŽŶŐ term. A goal is nothing more than a target that is believable, achievable, and measurable. Once goals are established, the measurable component will help you stay focused. Adjustments can be made as your ďƵƐŝŶĞƐƐ ŐƌŽǁƐ͘ WƌŽĨĞƐƐŝŽŶĂů ŐŽĂůƐ can include a target number of new ƉĂƟĞŶƚƐ ƉĞƌ ǁĞĞŬ Žƌ ŵŽŶƚŚ͕ ŶƵŵďĞƌ of hygiene appointments, amount of ŵŽŶƚŚůǇ ƉƌŽĚƵĐƟŽŶ͕ ĂŶĚ ĐŽůůĞĐƟŽŶƐ͕ ĨŽƌ ĞǆĂŵƉůĞ͘ Ğ ĚŝƐĐŝƉůŝŶĞĚ͕ ĂƐ only you are responsible for the ƉĞƌĨŽƌŵĂŶĐĞ ŽĨ ǇŽƵƌ ďƵƐŝŶĞƐƐ͘ ,ĂǀŝŶŐ ƐƉĞĐŝĮĐ ŐŽĂůƐ ĨŽƌ ǇŽƵ ĂŶĚ ǇŽƵƌ ƚĞĂŵ ŵĂǇ ŵĞĂŶ ƚŚĞ ĚŝīĞƌĞŶĐĞ ďĞƚǁĞĞŶ ǇŽƵƌ ƉƌĂĐƟĐĞ ĞŶũŽǇŝŶŐ ƐƵĐĐĞƐƐ ĂŶĚ facing challenges.

10. maintain your associate position as you grow your practice. No one is more familiar with your debt load than you. With your student loans, car loan, and mortgage or rent ;ǁŚŝĐŚ ĐĂŶ ďĞ ĂƐ ŵƵĐŚ ĂƐ Ă ŵŽƌƚŐĂŐĞͿ͕ ĂŶĚ ŶŽǁ ǇŽƵƌ ƉƌĂĐƟĐĞ ĚĞďƚ͕ ƚŚĞ numbers will seem enormous. It will be very important to maintain ŐƵĂƌĂŶƚĞĞĚ ;ŝĞ͕ ƉƌĞĚŝĐƚĂďůĞͿ ŝŶĐŽŵĞ ĂŌĞƌ ǇŽƵ ŽƉĞŶ ǇŽƵƌ ƉƌĂĐƟĐĞ ĂŶĚ ǁŚŝůĞ you’re building its revenue. Once a ƉƌĂĐƟĐĞ ŝƐ ŽƉĞŶ ĨŽƌ ďƵƐŝŶĞƐƐ͕ ǁĞ ĨŽƵŶĚ that maintaining an outside associate ƉŽƐŝƟŽŶ ĨŽƌ ϮͲϯ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ŚĞůƉƐ Ă ĚĞŶƟƐƚ ďĞƩĞƌ ƉƌĞĚŝĐƚ ĐĂƐŚ ŇŽǁ ĂŶĚ ƉĂǇ ďŝůůƐ ǁŚŝůĞ ĂĚĚŝŶŐ ƉĂƟĞŶƚƐ ƚŽ ŚŝƐ Žƌ ŚĞƌ ŶĞǁ ƉƌĂĐƟĐĞ͘ zŽƵ ŵĂǇ ĐŽŶƐŝĚĞƌ ǁŽƌŬŝŶŐ ĂƐ ĂŶ ĂƐƐŽĐŝĂƚĞ ĨŽƌ ƵƉ ƚŽ ϯ days a week, and reducing days as ǇŽƵ ĂĚĚ ĚĂǇƐ ƚŽ ǇŽƵƌ ŽǁŶ ƉƌĂĐƟĐĞ͘ dŚĞ ĂƐƐŽĐŝĂƚĞ ƉŽƐŝƟŽŶ ǁŽƵůĚ ƚǇƉŝĐĂůůǇ be in another town or city, so there’s ŶŽ ƚŚƌĞĂƚ ŽĨ ƚĂŬŝŶŐ ƉĂƟĞŶƚƐ ĨƌŽŵ ƚŚĞ ĚĞŶƟƐƚ ĨŽƌ ǁŚŽŵ ǇŽƵ ǁŽƌŬ͘ John Fiore is a senior vice president at d WĞƌŬƐ WƌŽŐƌĂŵ ƉĂƌƚŶĞƌ ĂŶŬ ŽĨ ŵĞƌŝĐĂ WƌĂĐƟĐĞ ^ŽůƵƟŽŶƐ͕ ƉƌŽǀŝĚĞƌ ŽĨ ĐƵƐƚŽŵŝǌĞĚ ĮŶĂŶĐŝĂů ƐŽůƵƟŽŶƐ ĨŽƌ ƉƌĂĐƟĐĞ ƐƚĂƌƚͲƵƉƐ ĂŶĚ ƉƵƌĐŚĂƐĞƐ and growth or restructuring. For ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ƌĞŐĂƌĚŝŶŐ ĂŶŬ ŽĨ ŵĞƌŝĐĂ WƌĂĐƟĐĞ ^ŽůƵƟŽŶƐ͕ ƉůĞĂƐĞ ĐĂůů ϴϬϬͲϰϵϳͲϲϬϳϲ ;DŽŶͲdŚƵƌƐ͕ ϳ͗ϬϬ DͲϳ͗ϬϬ WD͖ &ƌŝ ϳ͗ϬϬ DͲϲ͗ϬϬ WD͘ DĞŶƟŽŶ d ͲŵĞŵďĞƌ ĐŽĚĞ /E ϬϭϬϳ ͘ &Žƌ ŝŶĨŽƌŵĂƟŽŶ ƌĞŐĂƌĚŝŶŐ d WĞƌŬƐ WƌŽŐƌĂŵ͕ ƉůĞĂƐĞ ǀŝƐŝƚ ƚĚĂƉĞƌŬƐ͘ĐŽŵ Žƌ ĐĂůů ϱϭϮͲϰϰϯͲϯϲϳϱ͘

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Oral and Maxillofacial Pathology Diagnosis and Management

WŽůǇŵŽƌƉŚŽƵƐ >ŽǁͲŐƌĂĚĞ ĚĞŶŽĐĂƌĐŝŶŽŵĂ Oral and Maxillofacial Pathology Case of the Month (from page 426)

Discussion

ƟŵĞ ŽĨ ƉƌĞƐĞŶƚĂƟŽŶ ŝƐ Ϯ͘Ϯ Đŵ ;ϱͿ͘ ůĞĞĚŝŶŐ ĂŶĚ ƉĂŝŶ ŚĂǀĞ ŽĐĐĂƐŝŽŶĂůůǇ

,ŝƐƚŽůŽŐŝĐĂůůǇ͕ ƚŚĞ ƚƵŵŽƌ ĐĞůůƐ ĂƌĞ round-to-oval in shape and may be

dŚĞ ŚŝƐƚŽůŽŐŝĐ ĮŶĚŝŶŐƐ ǁĞƌĞ consistent with polymorphous lowŐƌĂĚĞ ĂĚĞŶŽĐĂƌĐŝŶŽŵĂ ;W>' Ϳ͕ ǁŚŝĐŚ ǁĂƐ ĮƌƐƚ ƌĞĐŽŐŶŝǌĞĚ ĂƐ Ă ĚŝƐƟŶĐƚ ƐĂůŝǀĂƌǇ ŐůĂŶĚ ŵĂůŝŐŶĂŶĐǇ ŝŶ ϭϵϴϯ ;ϭ͕ ϮͿ͘ /ƚ ǁĂƐ ŽƌŝŐŝŶĂůůǇ ŶĂŵĞĚ ůŽďƵůĂƌ carcinoma because of its histologic similarity to lobular carcinoma of the ďƌĞĂƐƚ ;ϭͿ͘ /Ŷ ĚĂƚĂ ĐŽŵƉŝůĞĚ ďǇ ƚŚĞ ƌŵĞĚ &ŽƌĐĞƐ /ŶƐƟƚƵƚĞ ŽĨ WĂƚŚŽůŽŐǇ ƐŝŶĐĞ ϭϵϴϱ͕ W>' ĂĐĐŽƵŶƚƐ ĨŽƌ ϭϮ͘ϳй of all minor salivary gland tumors and ϮϮй ŽĨ ŵĂůŝŐŶĂŶƚ ŵŝŶŽƌ ƐĂůŝǀĂƌǇ ŐůĂŶĚ ƚƵŵŽƌƐ ;ϯͿ͘ W>' ŽĐĐƵƌƐ ŵŽƐƚ ŽŌĞŶ ŝŶ ĂĚƵůƚƐ ŝŶ ƚŚĞ ϲƚŚ ƚŽ ϴƚŚ ĚĞĐĂĚĞƐ and females account for two-thirds ŽĨ ĂīĞĐƚĞĚ ŝŶĚŝǀŝĚƵĂůƐ ;ϰͿ͘ DŽƐƚ ĐĂƐĞƐ ŽĨ W>' ŽĐĐƵƌ ŝŶ ƚŚĞ ŵŝŶŽƌ ƐĂůŝǀĂƌǇ ŐůĂŶĚƐ͕ ǁŝƚŚ ϲϱй ŽĐĐƵƌƌŝŶŐ ŽŶ ƚŚĞ ŚĂƌĚ ĂŶĚ ƐŽŌ ƉĂůĂƚĞ ;ϯ͕ϱͿ͘ ƵĐĐĂů ĂŶĚ labial mucosae are the next most ĐŽŵŵŽŶ ƐŝƚĞƐ ŽĨ ŝŶǀŽůǀĞŵĞŶƚ ;ϯ͕ϱͿ͘

been reported, and telangiectasia or ƵůĐĞƌĂƟŽŶ ŽĨ ƚŚĞ ŽǀĞƌůǇŝŶŐ ŵƵĐŽƐĂ ŵĂǇ ŽĐĐƵƌ͘ dŚĞ ĚŝīĞƌĞŶƟĂů ĚŝĂŐŶŽƐŝƐ͕ based on clinical signs and symptoms, includes other salivary gland tumors such as mucoepidermoid carcinoma ĂŶĚ ĂĚĞŶŽŝĚ ĐǇƐƟĐ ĐĂƌĐŝŶŽŵĂ͘ WůĞŽŵŽƌƉŚŝĐ ĂĚĞŶŽŵĂ͕ ƚŚŽƵŐŚ benign, may occasionally ulcerate when it occurs on the palate and ŚĂƐ ďĞĞŶ ƚƌĂƵŵĂƟǌĞĚ͘ ^ƋƵĂŵŽƵƐ cell carcinoma or lymphoma may also present as an ulcerated ĞƌǇƚŚĞŵĂƚŽƵƐ ŵĂƐƐ ŝŶ ƚŚŝƐ ůŽĐĂƟŽŶ͘ 'ĞŶĞƌĂůůǇ͕ ďĞĐĂƵƐĞ ƐƋƵĂŵŽƵƐ ĐĞůů carcinoma is epithelial in origin, it produces more surface irregularity than a salivary gland neoplasm, ƚŚŽƵŐŚ ĞŶŽƵŐŚ ƐƵƌĨĂĐĞ ƵůĐĞƌĂƟŽŶ ŵĂŬĞƐ ƚŚŝƐ ĚŝƐƟŶĐƟŽŶ ĚŝĸĐƵůƚ͘ dŚŽƌŽƵŐŚ ƌĂĚŝŽŐƌĂƉŚŝĐ ĞǀĂůƵĂƟŽŶ ŝƐ ƌĞĐŽŵŵĞŶĚĞĚ ƚŽ ĐŽŶĮƌŵ ƚŚĞ ƐŽŌ ƟƐƐƵĞ ŽƌŝŐŝŶ ŽĨ ƚŚĞ ůĞƐŝŽŶ ĂŶĚ ƚŽ rule out a central odontogenic or non-odontogenic neoplasm that has perforated the alveolar cortex and ƉƌŽĚƵĐĞĚ Ă ƐŽŌ ƟƐƐƵĞ ĞŶůĂƌŐĞŵĞŶƚ͘

pale-staining to slightly basophilic. dŚĞ ĐĞůůƐ ƉƌŽůŝĨĞƌĂƚĞ ŝŶ ƐŽůŝĚ ŝƐůĂŶĚƐ or may form small linear cords and ĚƵĐƚͲůŝŬĞ ƐƚƌƵĐƚƵƌĞƐ͘ ĞĐĂƵƐĞ ŽĨ ƚŚĞ ǀĂƌŝĞƚǇ ŽĨ ŐƌŽǁƚŚ ƉĂƩĞƌŶƐ ƐĞĞŶ in this neoplasm, it was named ͞ƉŽůǇŵŽƌƉŚŽƵƐ͘͟ W>' ŚĂƐ Ă ƚĞŶĚĞŶĐǇ to show perineural invasion and ŝŶĮůƚƌĂƟǀĞ ŐƌŽǁƚŚ ŝŶƚŽ ĂĚũĂĐĞŶƚ salivary glands, skeletal muscle, or ďŽŶĞ͘ dŚĞ ƐƵƌƌŽƵŶĚŝŶŐ ƐƚƌŽŵĂ ƵƐƵĂůůǇ ĐŽŶƐŝƐƚƐ ŽĨ ĮďƌŽƵƐ ĐŽŶŶĞĐƟǀĞ ƟƐƐƵĞ ĐŽŶƚĂŝŶŝŶŐ ŵƵĐŽƵƐ ƐĞĐƌĞƟŽŶ͘

/ŶĚŝǀŝĚƵĂůƐ ǁŚŽ ĚĞǀĞůŽƉ W>' ƵƐƵĂůůǇ ƉƌĞƐĞŶƚ ǁŝƚŚ Ă ƉĂŝŶůĞƐƐ Įƌŵ slow-growing mass that may have increased in size over a long period ŽĨ ƟŵĞ͘ dŚĞ ĂǀĞƌĂŐĞ ƐŝǌĞ Ăƚ ƚŚĞ

464

Texas Dental Journal l www.tda.org l June 2014

W>' ŚĂƐ ƚŚĞ ƉŽƚĞŶƟĂů ƚŽ ŵĞƚĂƐƚĂƐŝǌĞ ƚŽ ƌĞŐŝŽŶĂů ůǇŵƉŚ ŶŽĚĞƐ ŝŶ ϭϬͲϭϱй of cases, with distant metastases ŽŶůǇ ƌĂƌĞůǇ ƌĞƉŽƌƚĞĚ ;ϲ͕ ϳͿ͘ dŚĞ ŵŽƐƚ ĞīĞĐƟǀĞ ƚƌĞĂƚŵĞŶƚ ŽĨ W>' ŝƐ ǁŝĚĞ ďƵƚ ĐŽŶƐĞƌǀĂƟǀĞ ůŽĐĂů ƐƵƌŐŝĐĂů excision, including underlying bone in ƐŽŵĞ ĐĂƐĞƐ͘ ƉĂƌƟĂů ŵĂǆŝůůĞĐƚŽŵǇ ŝƐ ƐŽŵĞƟŵĞƐ ƌĞƋƵŝƌĞĚ ǁŚĞŶ ƚŚĞ tumor invades the maxilla. Lymph node metastasis is more likely when the surgical margins are involved ďǇ ƚƵŵŽƌ ;ϳͿ͘ hŶůĞƐƐ ƚŚĞƌĞ ŝƐ ĐůŝŶŝĐĂů evidence of regional lymph node

ŝŶǀŽůǀĞŵĞŶƚ͕ ŶĞĐŬ ĚŝƐƐĞĐƟŽŶ ŝƐ ƵƐƵĂůůǇ ŶŽƚ ŝŶĚŝĐĂƚĞĚ͘ >ŽĐĂů ƌĞĐƵƌƌĞŶĐĞ ŚĂƐ ďĞĞŶ ƌĞƉŽƌƚĞĚ ŝŶ ϵͲϭϳй ŽĨ ĐĂƐĞƐ ĂŶĚ ƌĞͲĞǆĐŝƐŝŽŶ ŝƐ ƵƐƵĂůůǇ ĐƵƌĂƟǀĞ ŝŶ ƚŚĞƐĞ ĐĂƐĞƐ ;ϱ͕ϲ͕ϳͿ͘ ZĂĚŝĂƟŽŶ ĂŶĚ ĐŚĞŵŽƚŚĞƌĂƉǇ ŚĂǀĞ ďĞĞŶ ƵƟůŝǌĞĚ ǁŝƚŚ ůŝŵŝƚĞĚ ƐƵĐĐĞƐƐ ;ϳͿ͘ tŚŝůĞ ƚŚĞ ƉƌŽŐŶŽƐŝƐ ŝƐ ŐĞŶĞƌĂůůǇ ĨĂǀŽƌĂďůĞ͕ W>' ĐĂŶ ďĞ ůŽĐĂůůǇ ĂŐŐƌĞƐƐŝǀĞ ĂŶĚ ŝŶǀĂĚĞ ƐƵƌƌŽƵŶĚŝŶŐ ǀŝƚĂů ƐƚƌƵĐƚƵƌĞƐ͕ ĂŶĚ ĐĂŶ ŽĐĐĂƐŝŽŶĂůůǇ ƉƌŽŐƌĞƐƐ ĂŶĚ ƚƌĂŶƐĨŽƌŵ ƚŽ Ă ŚŝŐŚĞƌ ŐƌĂĚĞ ĂĚĞŶŽĐĂƌĐŝŶŽŵĂ͕ ǁŚŝĐŚ ĐĂŶ ƉŽƚĞŶƟĂůůǇ ďĞ ĨĂƚĂů ŝŶ ƐŽŵĞ ĐĂƐĞƐ͘ /Ŷ ŽŶĞ ůĂƌŐĞ ƌĞǀŝĞǁ ŽĨ ĐĂƐĞƐ ŽĨ W>' ͕ ϵϳ͘ϲй ŽĨ ƉĂƟĞŶƚƐ ŚĂĚ ŶŽ ƌĞĐƵƌƌĞŶĐĞ ĂŌĞƌ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϭϬ ǇĞĂƌƐ ;ϱͿ͘ ĂƌůǇ ĚŝĂŐŶŽƐŝƐ ĂŶĚ ĐŽŵƉůĞƚĞ ƐƵƌŐŝĐĂů ĞǆĐŝƐŝŽŶ ŽĨ W>' ĂƌĞ ĐŽƌƌĞůĂƚĞĚ ǁŝƚŚ Ă ďĞƩĞƌ ƉƌŽŐŶŽƐŝƐ͘

ϰ͘ EĞǀŝůůĞ t͕ Ăŵŵ ͕ ůůĞŶ D͕ ŽƵƋƵŽƚ : ͘ KƌĂů ĂŶĚ DĂǆŝůůŽĨĂĐŝĂů WĂƚŚŽůŽŐǇ͘ ϯƌĚ Ě͘ ^ƚ͘ >ŽƵŝƐ͗ ^ĂƵŶĚĞƌƐ ůƐĞǀŝĞƌ ϮϬϬϴ͖ ϮϳϬͲϮϳϭ͕ ϰϵϳͲϰϵϵ͘ ϱ͘ ĂƐƚůĞ :d͕ dŚŽŵƉƐŽŶ > ͕ &ƌŽŵŵĞůƚ Z ͕ Ğƚ Ăů͘ WŽůǇŵŽƌƉŚŽƵƐ ůŽǁ ŐƌĂĚĞ ĂĚĞŶŽĐĂƌĐŝŶŽŵĂ͗ Ă ĐůŝŶŝĐŽƉĂƚŚŽůŽŐŝĐ ƐƚƵĚǇ ŽĨ ϭϲϰ ĐĂƐĞƐ͘ ĂŶĐĞƌ ϭϵϵϵ͖ϴϲ͗ϮϬϳͲϮϭϵ͘

ϳ͘ ǀĂŶƐ ,>͕ >ƵŶĂ D ͘ WŽůǇŵŽƌƉŚŽƵƐ ůŽǁͲŐƌĂĚĞ ĂĚĞŶŽĐĂƌĐŝŶŽŵĂ͗ ƐƚƵĚǇ ŽĨ ϰϬ ĐĂƐĞƐ ǁŝƚŚ ůŽŶŐͲƚĞƌŵ ĨŽůůŽǁ ƵƉ ĂŶĚ ĂŶ ĞǀĂůƵĂƟŽŶ ŽĨ ƚŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ƉĂƉŝůůĂƌǇ ĂƌĞĂƐ͘ ŵ : ^ƵƌŐ WĂƚŚŽů ϮϬϬϬ͖Ϯϰ͗ϭϯϭϵͲϭϯϮϴ͘

ϲ͘ sŝŶĐĞŶƚ ^ ͕ ,ĂŵŵŽŶĚ ,>͕ &ŝŶŬĞůƐƚĞŝŶ Dt͘ ůŝŶŝĐĂů ĂŶĚ ƚŚĞƌĂƉĞƵƟĐ ĨĞĂƚƵƌĞƐ ŽĨ ƉŽůǇŵŽƌƉŚŽƵƐ ůŽǁͲŐƌĂĚĞ ĂĚĞŶŽĐĂƌĐŝŶŽŵĂ͘ KƌĂů ^ƵƌŐ KƌĂů DĞĚ KƌĂů WĂƚŚŽů ϭϵϵϰ͖ϳϳ͗ϰϭͲϰϳ͘

References ϭ͘ &ƌĞĞĚŵĂŶ W ͕ >ƵŵĞƌŵĂŶ ,͘ >ŽďƵůĂƌ ĐĂƌĐŝŶŽŵĂ ŽĨ ŝŶƚƌĂŽƌĂů ŵŝŶŽƌ ƐĂůŝǀĂƌǇ ŐůĂŶĚ ŽƌŝŐŝŶ͘ ZĞƉŽƌƚ ŽĨ ƚǁĞůǀĞ ĐĂƐĞƐ͘ KƌĂů ^ƵƌŐ KƌĂů DĞĚ KƌĂů WĂƚŚŽů ϭϵϴϯ͖ϱϲ͗ϭϱϳͲϭϲϱ͘ Ϯ͘ ĂƚƐĂŬŝƐ :'͕ WŝŶŬƐƚŽŶ 'Z͕ >ƵŶĂ D ͕ Ğƚ Ăů͘ ĚĞŶŽĐĂƌĐŝŶŽŵĂƐ ŽĨ ƚŚĞ ŽƌĂů ĐĂǀŝƚǇ͗ Ă ĐůŝŶŝĐŽƉĂƚŚŽůŽŐŝĐ ƐƚƵĚǇ ŽĨ ƚĞƌŵŝŶĂů ĚƵĐƚ ĐĂƌĐŝŶŽŵĂƐ͘ : >ĂƌǇŶŐŽů KƚŽů ϭϵϴϯ͖ϵϳ͗ϴϮϱͲϴϯϱ͘ ϯ͘ ƌŵĞĚ &ŽƌĐĞƐ /ŶƐƟƚƵƚĞ ŽĨ WĂƚŚŽůŽŐǇ͗ ƚůĂƐ ŽĨ dƵŵŽƌ WĂƚŚŽůŽŐǇ͘ dƵŵŽƌƐ ŽĨ ƚŚĞ ^ĂůŝǀĂƌǇ 'ůĂŶĚƐ͘ ϰƚŚ ^ĞƌŝĞƐ͘ &ĂƐĐŝĐůĞ ϵ͘ tĂƐŚŝŶŐƚŽŶ͕ ͗ ϮϬϬϴ͖ ϮϰϲͲϮϱϵ͘

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Texas Dental Journal l www.tda.org l June 2014

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CALENDAR OF EVENTS JULY2014 18-20

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^ǇŵƉŽƐŝƵŵ͗ ͞dĞĞƚŚ &Žƌ Ă >ŝĨĞƟŵĞ͗ /ŶƚĞƌĚŝƐĐŝƉůŝŶĂƌǇ ǀŝĚĞŶĐĞ &Žƌ ůŝŶŝĐĂů ^ƵĐĐĞƐƐ͟ Ăƚ ƚŚĞ ^ǁŝƐƐƀƚĞů ŝŶ ŚŝĐĂŐŽ͕ />͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ DƐ ^ƵƐĂŶ ^ĐŚĂƵƐ͕ W͕ ϳϯϳ E DŝĐŚŝŐĂŶ ǀĞ ^ƚĞ ϴϬϬ͕ ŚŝĐĂŐŽ͕ /> ϲϬϲϭϭ͖ WŚŽŶĞ͗ ϯϭϮͲϳϴϳͲ ϱϱϭϴ͖ &Ăǆ͗ ϯϭϮͲϳϴϳͲϯϲϳϬ͖ ŵĂŝů͗ ƐƵƐĂŶΛƉĞƌŝŽ͘ŽƌŐ͖ tĞďƐŝƚĞ͗ ƉĞƌŝŽ͘ ŽƌŐ͘

ŵĞƌŝĐĂŶ ĞŶƚĂů WŽůŝƟĐĂů ĐƟŽŶ ŽŵŵŝƩĞĞ ; W Ϳ ǁŝůů ŚŽůĚ Ă ŽĂƌĚ ŵĞĞƟŶŐ ŝŶ <ĂŶƐĂƐ ŝƚǇ͕ DŝƐƐŽƵƌŝ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ DƌƐ͘ EĂƚĂůŝĞ ,ĂůƉĞƌŶ͕ ϳϭϭ ŚŝĐĂŐŽ͕ ůŐŝŶ͕ /> ϲϬϭϮϬ͖ WŚŽŶĞ͗ ϮϬϮͲϴϵϴͲϮϰϮϰ͖ ŵĂŝů͗ ŚĂůƉĞƌŶŶΛĂĚĂ͘ŽƌŐ͘ dŚĞ ŵĞƌŝĐĂŶ ĐĂĚĞŵǇ ŽĨ WĞƌŝŽĚŽŶƚŽůŽŐǇ͕ ŝŶ ĐŽůůĂďŽƌĂƟŽŶ ǁŝƚŚ ƚŚĞ ŵĞƌŝĐĂŶ ƐƐŽĐŝĂƟŽŶ ŽĨ ŶĚŽĚŽŶƟƐƚƐ Θ ŵĞƌŝĐĂŶ ŽůůĞŐĞ ŽĨ WƌŽƐƚŚŽĚŽŶƟƐƚƐ͕ ƉƌĞƐĞŶƚ ƚŚĞ ϮϬϭϰ ͬ Wͬ W :ŽŝŶƚ

Texas Dental Journal l www.tda.org l June 2014

AUGUST2014 1-2

ĞŶƟƐƚƐ tŚŽ ĂƌĞ ǁŝůů ŚŽůĚ ŝƚƐ ϭϴƚŚ ĂŶŶƵĂů ŚĂƌŝƚǇ ĞŶƚĂů ŽŶĨĞƌĞŶĐĞ ŽŶ ^ŽƵƚŚ WĂĚƌĞ /ƐůĂŶĚ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕

ƉůĞĂƐĞ ĐŽŶƚĂĐƚ ĞďƌĂ sĂůĞŶǌƵĞůĂ͕ ǆĞĐƵƟǀĞ ŝƌĞĐƚŽƌ͕ ϴϭϯ E DĂŝŶ ^ƚ ^ƚĞ ϭϬϴ ͕ DĐ ůůĞŶ͕ dy ϳϴϱϬϭ͖ WŚŽŶĞ ;ϵϱϲͿ ϯϭϴͲϯϯϴϯ͖ tĞďƐŝƚĞ͗ ĚĞŶƟƐƚƐǁŚŽĐĂƌĞ͘ƵƐ͘

1-2

dŚĞ d ^ŵŝůĞƐ &ŽƵŶĚĂƟŽŶ ǁŝůů ŚŽůĚ Ă ϰϬͲĐŚĂŝƌ͕ ϮͲĚĂǇ tŝůůŝĂŵƐŽŶ ŽƵŶƚǇ dĞǆĂƐ DŝƐƐŝŽŶ ŽĨ DĞƌĐǇ ŝŶ 'ĞŽƌŐĞƚŽǁŶ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ &ŽƵŶĚĂƟŽŶ DĂŶĂŐĞƌ :ƵĚŝƚŚ 'ŽŶǌĂůĞǌ Ăƚ d ^&͕ ϭϵϰϲ ^ /, ϯϱ ^ƚĞ ϯϬϬ͕ ƵƐƟŶ͕ dy ϳϴϳϬϰ͖ WŚŽŶĞ͗ ϱϭϮͲϰϰϴͲϮϰϰϭ͖ ŵĂŝů͗ ũƵĚŝƚŚΛƚĚĂ͘ ŽƌŐ͖ ǁĞďƐŝƚĞ͗ ƚĚĂƐŵŝůĞƐ͘ŽƌŐ͘

SEPTEMBER2014 8-13

18-19

dŚĞ ŵĞƌŝĐĂŶ ƐƐŽĐŝĂƟŽŶ ŽĨ KƌĂů ĂŶĚ DĂǆŝůůŽĨĂĐŝĂů ^ƵƌŐĞŽŶƐ ƉƌĞƐĞŶƚƐ ŝƚƐ ϵϲƚŚ ĂŶŶƵĂů ŵĞĞƟŶŐ Ăƚ ƚŚĞ ,ĂǁĂŝŝ ŽŶǀĞŶƟŽŶ ĞŶƚĞƌ ŝŶ ,ŽŶŽůƵůƵ͕ ,/͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ ƌ ZŽďĞƌƚ ͘ ZŝŶĂůĚŝ͕ KD^͕ ϵϳϬϬ t ƌǇŶ DĂǁƌ͕ ZŽƐĞŵŽŶƚ͕ /> ϲϬϬϭϴ͖ WŚŽŶĞ͗ ϴϰϳͲ ϲϳϴͲϲϮϬϬ͖ &Ăǆ͗ ϴϰϳͲϲϳϴͲϲϮϴϲ͖ ŵĂŝů͗ ŝŶƋƵŝƌŝĞƐΛĂĂŽŵƐ͘ŽƌŐ͖ tĞďƐŝƚĞ͗ ĂĂŽŵƐ͘ŽƌŐ͘ dŚĞ ů WĂƐŽ ĞŶƚĂů ŽŶĨĞƌĞŶĐĞ ǁŝůů ďĞ ŚĞůĚ Ăƚ ƚŚĞ ů WĂƐŽ ŽŶǀĞŶƟŽŶ ĞŶƚĞƌ͘ dŽ ƌĞŐŝƐƚĞƌ͕ Žƌ ĨŽƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ǀŝƐŝƚ ǁǁǁ͘ ĞůƉĂƐŽĚĞŶƚĂůĐŽŶĨĞƌĞŶĐĞ͘ŽƌŐ͘

'ŽŶǌĂůĞǌ Ăƚ d ^&͕ ϭϵϰϲ ^ /, ϯϱ ^ƚĞ ϯϬϬ͕ ƵƐƟŶ͕ dy ϳϴϳϬϰ͖ WŚŽŶĞ͗ ϱϭϮͲ ϰϰϴͲϮϰϰϭ͖ ŵĂŝů͗ ũƵĚŝƚŚΛƚĚĂ͘ŽƌŐ͖ ǁĞďƐŝƚĞ͗ ƚĚĂƐŵŝůĞƐ͘ŽƌŐ͘

19-22

dŚĞ ŵĞƌŝĐĂŶ ĐĂĚĞŵǇ ŽĨ WĞƌŝŽĚŽŶƚŽůŽŐǇ ƉƌĞƐĞŶƚƐ ŝƚƐ ĂŶŶƵĂů ŵĞĞƟŶŐ ŝŶ ^ĂŶ &ƌĂŶĐŝƐĐŽ͕ ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ Dƌ :ŽŚŶ &ŽƌďĞƐ͕ W͕ ϳϯϳ E DŝĐŚŝŐĂŶ ǀĞ ^ƚĞ ϴϬϬ͕ ŚŝĐĂŐŽ͕ />͘ WŚŽŶĞ͗ ϯϭϮͲ ϳϴϳͲϱϱϭϴ͗ &Ăǆ͗ ϯϭϮͲϳϴϳͲϯϲϳϬ͖ ŵĂŝů͗ ĂĂƉͲŝŶĨŽΛƉĞƌŝŽ͘ŽƌŐ͖ tĞďƐŝƚĞ͗ ƉĞƌŝŽ͘ ŽƌŐ͘

OCTOBER2014 9-14

dŚĞ ŵĞƌŝĐĂŶ ĞŶƚĂů ƐƐŽĐŝĂƟŽŶ ƉƌĞƐĞŶƚƐ ŝƚƐ ĂŶŶƵĂů ŵĞĞƟŶŐ Ăƚ ƚŚĞ ,ĞŶƌǇ ͘ 'ŽŶǌĂůĞǌ ŽŶǀĞŶƟŽŶ ĞŶƚĞƌ ŝŶ ^ĂŶ ŶƚŽŶŝŽ͕ dy͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ǀŝƐŝƚ ĂĚĂ͘ŽƌŐ͘ dŚĞ ǁŝůů ŚŽƐƚ Ă ĨƌĞĞ DŝƐƐŝŽŶ ŽĨ DĞƌĐǇ ĚĞŶƚĂů ĐůŝŶŝĐ ŝŶ ^ĂŶ ŶƚŽŶŝŽ͕ ŝŶ ĐŽŶũƵŶĐƟŽŶ ǁŝƚŚ ƚŚĞ ĂŶŶƵĂů ŵĞĞƟŶŐ͕ ƚŽ ƚƌĞĂƚ ůŽĐĂů ƌĞƐŝĚĞŶƚƐ ǁŝƚŚŽƵƚ ĂĐĐĞƐƐ ƚŽ ĐĂƌĞ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ǀŝƐŝƚ ĂĚĂ͘ŽƌŐ͘

d, TEXAS DENTAL JOURNAL’S > E Z ǁŝůů ŝŶĐůƵĚĞ ŽŶůǇ ŵĞĞƟŶŐƐ͕ ƐǇŵƉŽƐŝĂ͕ ĞƚĐ͕͘ ŽĨ ƐƚĂƚĞǁŝĚĞ͕ ŶĂƟŽŶĂů͕ ĂŶĚ ŝŶƚĞƌŶĂƟŽŶĂů ŝŶƚĞƌĞƐƚ ƚŽ dĞǆĂƐ ĚĞŶƟƐƚƐ͘ ĞĐĂƵƐĞ ŽĨ

dŚĞ d ^ŵŝůĞƐ &ŽƵŶĚĂƟŽŶ ǁŝůů ŚŽůĚ Ă ϮϬͲĐŚĂŝƌ͕ ϭͲĚĂǇ dĞǆĂƐ DŝƐƐŝŽŶ ŽĨ DĞƌĐǇ ŝŶ &Žƌƚ ^ƚŽĐŬƚŽŶ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ &ŽƵŶĚĂƟŽŶ DĂŶĂŐĞƌ :ƵĚŝƚŚ

ƐƉĂĐĞ ůŝŵŝƚĂƟŽŶƐ͕ ŝŶĚŝǀŝĚƵĂů ĐŽŶƟŶƵŝŶŐ ĞĚƵĐĂƟŽŶ ĐŽƵƌƐĞƐ ǁŝůů ŶŽƚ ďĞ ůŝƐƚĞĚ͘ ZĞĂĚĞƌƐ ĂƌĞ ĚŝƌĞĐƚĞĚ ƚŽ ƚŚĞ ŵŽŶƚŚůǇ ĂĚǀĞƌƟƐĞŵĞŶƚƐ ŽĨ ĐŽƵƌƐĞƐ ƚŚĂƚ ĂƉƉĞĂƌ ĞůƐĞǁŚĞƌĞ ŝŶ ƚŚĞ Journal͘

Texas Dental Journal l www.tda.org l June 2014

467

ADVERTISING BRIEFS WZ d/ KWWKZdhE/d/ ^ ABBEVILLE DENTISTRY: tĞ ĂƌĞ ƐĞĞŬŝŶŐ ĂŶ ŚŽŶĞƐƚ͕ ŚĂƌĚͲ ǁŽƌŬŝŶŐ͕ ƉĂƟĞŶƚͲĨŽĐƵƐĞĚ ĚĞŶƟƐƚ ǁŚŽ ǁĂŶƚƐ ƚŽ ĐŽŶƚƌŝďƵƚĞ ƚŽ Ă ĐƵůƚƵƌĞ ŽĨ ĐĂƌŝŶŐ͕ ŶƵƌƚƵƌŝŶŐ ĂŶĚ ƐŬŝůůĞĚ ƉƌŽĨĞƐƐŝŽŶĂůƐ͘ /Ĩ ǇŽƵ ŚĂǀĞ ƚŚĞ ĚĞƐŝƌĞ ƚŽ ďĞ Ă ƉĂƌƚ ŽĨ Ă ƚĞĂŵ ǁŚĞƌĞ ǇŽƵ ĐĂŶ ĨŽĐƵƐ ŽŶ ƉĂƟĞŶƚƐ ĂŶĚ ŶŽƚ ǁŽƌƌǇ ĂďŽƵƚ ƚŚĞ ŚĞĂĚĂĐŚĞƐ ƚŚĂƚ ĐŽŵĞ ǁŝƚŚ ƚŚĞ ďƵƐŝŶĞƐƐ ƐŝĚĞ ŽĨ ĚĞŶƟƐƚƌǇ͕ ƉůĞĂƐĞ ĐĂůů ƵƐ͘ /Ĩ ǇŽƵ ĂƌĞ ƐĞĞŬŝŶŐ ĂŶ ĞŶǀŝƌŽŶŵĞŶƚ ƚŚĂƚ ƉƌŽǀŝĚĞƐ ƐƚĂďŝůŝƚǇ͕ ŐƌŽǁƚŚ ĂŶĚ ĐŽŶƟŶƵŝŶŐ ĞĚƵĐĂƟŽŶ͕ ǁĞ͛Ě ůŝŬĞ ƚŽ ƐŚĂƌĞ ǁŝƚŚ ǇŽƵ ŚŽǁ ǇŽƵ ĐĂŶ Įƚ ŝŶƚŽ ƚŚĂƚ ƉůĂŶ͘ dǁĞŶƚǇ ǇĞĂƌƐ ĂŐŽ͕ / ƐƚĂƌƚĞĚ ŵǇ ƉƌĂĐƟĐĞ ƐŝŵƉůǇ ĚĞĚŝĐĂƚĞĚ ƚŽ ƐĞƌǀŝŶŐ ŵǇ ƉĂƟĞŶƚƐ ĂŶĚ ĐŽŵŵƵŶŝƚǇ͘ EŽǁ͕ /͛ŵ ƉƌŝǀŝůĞŐĞĚ ƚŽ ŐƵŝĚĞ ŽǀĞƌ ϭϬ ƉƌĂĐƟĐĞƐ ĂŶĚ ϴϬ ǁŽŶĚĞƌĨƵů ƐƚĂī͘ /͛ǀĞ ƚƵƌŶĞĚ ƚŚĞ ĂĚŵŝŶŝƐƚƌĂƟǀĞ͕ ŽƉĞƌĂƟŽŶƐ͕ ĂŶĚ ŵĂƌŬĞƟŶŐ ĞīŽƌƚƐ ŽǀĞƌ ƚŽ ƉĞŽƉůĞ ǁŚŽ ĞŶũŽǇ ĚŽŝŶŐ ƚŚŽƐĞ ƐŽƌƚƐ ŽĨ ƚŚŝŶŐƐ ƐŽ ŽƵƌ ĚŽĐƚŽƌƐ ĂŶĚ ƐƚĂī ĐĂŶ ĨŽĐƵƐ ŽŶ ƚŚĞŝƌ ƉĂƟĞŶƚƐ͘ /͛ǀĞ ĂůƐŽ ďĞĞŶ ĂďůĞ ƚŽ ƉƌŽǀŝĚĞ ǇŽƵŶŐ ĚŽĐƚŽƌƐ ǁŝƚŚ ĂŶ ĞŶǀŝƌŽŶŵĞŶƚ ǁŚĞƌĞ ƚŚĞǇ ĐĂŶ ŐƌŽǁ ĂŶĚ ƉƌĂĐƟĐĞ ǁŚĂƚ ƚŚĞǇ ůŽǀĞ ĚŽŝŶŐ ǁŝƚŚŽƵƚ ƚŚĞ ǁŽƌƌǇ ŽĨ ĐŽƐƚůǇ ŽǀĞƌŚĞĂĚ Žƌ ĂĚŵŝŶŝƐƚƌĂƟǀĞ ŚĞĂĚĂĐŚĞƐ͘ ƚ ƚŚĞ ƐĂŵĞ ƟŵĞ͕ ǁĞ ŽīĞƌ ƚŚĞ ƉŽƚĞŶƟĂů ĨŽƌ ƐŝŐŶŝĮĐĂŶƚ ŝŶĐŽŵĞ ĂŶĚ Ă ŐƌĞĂƚ ůŝĨĞ ďĂůĂŶĐĞ͘ zŽƵ͛ůů ĞŶũŽǇ Ă ŐƌĞĂƚ ĞŶǀŝƌŽŶŵĞŶƚ ǁŝƚŚ ŶŽ ĞŐŽƐ ĂŶĚ ŶŽ ƉŽůŝƟĐĂů ďĂƌƌŝĞƌƐ͘ tĞ͛ƌĞ ŐƌŽǁŝŶŐ ĂŶĚ ŶĞĞĚ Ă ĨĞǁ ƋƵĂůŝƚǇ ŝŶĚŝǀŝĚƵĂůƐ ƚŽ ũŽŝŶ ƵƐ ŝŶ ĐƌĞĂƟŶŐ ƐŽŵĞƚŚŝŶŐ ƚƌƵůǇ ƐƉĞĐŝĂů͘ tĞ͛ƌĞ ĨŽƌŵŝŶŐ Ă ŶĞǁ͕ ŝŶƚĞƌĂĐƟǀĞ͕ ĨƵŶ ĞŶǀŝƌŽŶŵĞŶƚ ƚŚĂƚ ŬŝĚƐ ĂŶĚ ƚŚĞŝƌ ƉĂƌĞŶƚƐ ǁŝůů ĮŶĚ ƌĞĨƌĞƐŚŝŶŐ ĂŶĚ ĞǆĐŝƟŶŐ͘ /Ĩ ǇŽƵ͛Ě ůŝŬĞ ƚŽ ƚĂůŬ ĂďŽƵƚ ƚŚŝƐ ŽƉƉŽƌƚƵŶŝƚǇ͕ ƉůĞĂƐĞ ŐŝǀĞ ŵĞ Ă ĐĂůů͘ /͛Ě ďĞ ŚĂƉƉǇ ƚŽ ƐŚĂƌĞ ƚŚĞ ǀŝƐŝŽŶ͕ ƚŚĞ ƐƵĐĐĞƐƐ ĂŶĚ

ADVERTISING BRIEF INFORMATION SUBMISSION AND CANCELLATION DEADLINE: 20th, Ϯ ŵŽŶƚŚƐ ƉƌŝŽƌ ƚŽ ƉƵďůŝĐĂƟŽŶ ;ĞŐ͕ EŽǀĞŵďĞƌ ϮϬƚŚ ĨŽƌ :ĂŶƵĂƌǇ ŝƐƐƵĞͿ MONTHLY RATES: &ŝƌƐƚ ϯϬ ǁŽƌĚƐ с ΨϰϬ͖ ĞĂĐŚ ĂĚĚŝƟŽŶĂů ǁŽƌĚ с ϭϬΪ ĚƐ ŵƵƐƚ ďĞ ƐƵďŵŝƩĞĚ ǀŝĂ ĞͲŵĂŝů͕ ĨĂǆ͕ Žƌ ǁĞď ƚŚƌŽƵŐŚ ƚĚĂ͘ŽƌŐ ĂŶĚ ĂƌĞ ŶŽƚ ĂĐĐĞƉƚĞĚ ďǇ ƉŚŽŶĞ͘ Journal ĞĚŝƚŽƌƐ ƌĞƐĞƌǀĞ ƚŚĞ ƌŝŐŚƚ ƚŽ ĞĚŝƚ ĐŽƉǇ ŽĨ ĐůĂƐƐŝĮĞĚ ĂĚǀĞƌƟƐĞŵĞŶƚƐ͘ ŶǇ ĚĞŶƟƐƚ ĂĚǀĞƌƟƐŝŶŐ ŝŶ ƚŚĞ Texas Dental Journal ŵƵƐƚ ďĞ Ă ŵĞŵďĞƌ ŽĨ ƚŚĞ ŵĞƌŝĐĂŶ ĞŶƚĂů ƐƐŽĐŝĂͲ ƟŽŶ͘ ĚǀĞƌƟƐĞŵĞŶƚƐ ŵƵƐƚ ďĞ ŶŽƚ ƋƵŽƚĞ ƌĞǀĞŶƵĞƐ Žƌ ŐƌŽƐƐ Žƌ ŶĞƚ ŝŶĐŽŵĞƐ͖ ŽŶůǇ ŐĞŶĞƌŝĐ ůĂŶŐƵĂŐĞ ƌĞĨĞƌĞŶĐŝŶŐ ŝŶĐŽŵĞ ǁŝůů ďĞ ĂĐĐĞƉƚĞĚ͘

468

Texas Dental Journal l www.tda.org l June 2014

ƚŚĞ ĞǆƉĞĐƚĂƟŽŶƐ ǁĞ ŚĂǀĞ ǁŚŝůĞ ĂŶƐǁĞƌŝŶŐ ǇŽƵƌ ƋƵĞƐƟŽŶƐ ĐĂŶĚŝĚůǇ ĂŶĚ ŽƉĞŶůǇ͘ / ŚŽƉĞ ǇŽƵ͛ůů ĐŽŶƐŝĚĞƌ ƚŚŝƐ ƉŽƐŝƟŽŶ ĂŶĚ ŐŝǀĞ ŵĞ Ă ĐĂůů͘ ƌŝƩ ŽƐƟĐŬ͕ ^͕ ϴϬϲͲϰϯϴͲϱϳϰϱ Žƌ ĞŵĂŝů ďďŽƐƚϯϱϴϮϭΛĂŽů͘ĐŽŵ͘ ABILENE: dǁŽͲ ƚŽ ϰͲŽƉĞƌĂƚŽƌǇ ƐƚĂŶĚͲĂůŽŶĞ ĚĞŶƚĂů ŽĸĐĞ ǁŝƚŚ Ăůů ĞƋƵŝƉŵĞŶƚ ŝŶĐůƵĚĞĚ͖ ĚŝŐŝƚĂů ǆͲƌĂǇ ĂŶĚ ƉĂŶŽ͘ Ăůů ϯϮϱͲϳϲϮͲϬϰϰϰ͘ ADS WATSON, BROWN & ASSOCIATES: ǆĐĞůůĞŶƚ ƉƌĂĐƟĐĞ ĂĐƋƵŝƐŝƟŽŶ ĂŶĚ ŵĞƌŐĞƌ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂǀĂŝůĂďůĞ͘ >> ^ Z ͗ ϱ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞƐ ĂǀĂŝůĂďůĞ ;ĞĂƐƚ ĂůůĂƐ͕ ZŝĐŚĂƌĚƐŽŶ͕ ƐŽƵƚŚĞĂƐƚ ŽĨ ĂůůĂƐ͕ ĂŶĚ ŶŽƌƚŚ ŽĨ DĐ<ŝŶŶĞǇͿ͘ &KZd tKZd, Z ͗ Ϯ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞƐ ;tĞƐƚ &Žƌƚ tŽƌƚŚ ĂŶĚ ƌůŝŶŐƚŽŶͿ͘ EKZd, d y ^͗ Ϯ ƉĞĚŝĂƚƌŝĐ ƉƌĂĐƟĐĞƐ͘ ,Kh^dKE Z ͗ ϭ ŽƌƚŚŽĚŽŶƟĐ ƉƌĂĐƟĐĞ͘ ^d d y ^ Z ͗ ϭ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ͘ t ^d d y ^ Z ͗ ϭ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ͘ h^d/E Z ͗ ϭ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ĂǀĂŝůĂďůĞ ŶŽƌƚŚǁĞƐƚ ŽĨ ƵƐƟŶ͘ Zz Eͬ K>> ' ^d d/KE Z ͗ ϭ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ĂǀĂŝůĂďůĞ͘ ^ E EdKE/K Z ͗ ϭ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ĂǀĂŝůĂďůĞ͘ K<> ,KD Z ͗ ϭ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ĂǀĂŝůĂďůĞ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĂŶĚ ĐƵƌƌĞŶƚ ůŝƐƟŶŐƐ͕ ƉůĞĂƐĞ ǀŝƐŝƚ ŽƵƌ ǁĞďƐŝƚĞ Ăƚ ǁǁǁ͘ĂĚƐƚĞǆĂƐ͘ĐŽŵ Žƌ ĐĂůů ^ tĂƚƐŽŶ͕ ƌŽǁŶ Θ ƐƐŽĐŝĂƚĞƐ Ăƚ ϰϲϵͲϮϮϮͲϯϮϬϬ͘ AMARILLO: 'ĞŶĞƌĂů ĚĞŶƟƐƚ ĨŽƌ Ă ůŽĐĂůůǇ ŽǁŶĞĚ ƉƌĂĐƟĐĞ ůŽŽŬŝŶŐ ƚŽ ƉƌŽǀŝĚĞ ĐĂƌĞ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ ĂƐ ǁĞůů ĂƐ ďƵŝůĚ ƚŚĞŝƌ ŽǁŶ ƉĂƟĞŶƚ ďĂƐĞ͘ KǁŶĞƌƐŚŝƉ ŽƉƉŽƌƚƵŶŝƚǇ ĂǀĂŝůĂďůĞ͘ WůĞĂƐĞ ĐŽŶƚĂĐƚ ƌŝƩ ŽƐƟĐŬ͕ ^͕ ďďŽƐƚϯϱϴϮϭΛĂŽů͘ĐŽŵ Žƌ ϴϬϲͲϰϯϴͲϱϳϰϱ͘ AMARILLO: WĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ĨŽƌ Ă ůŽĐĂůůǇ ŽǁŶĞĚ ƉƌĂĐƟĐĞ ůŽŽŬŝŶŐ ƚŽ ƉƌŽǀŝĚĞ ĐĂƌĞ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ ĂƐ ǁĞůů ĂƐ ďƵŝůĚ ƚŚĞŝƌ ŽǁŶ ƉĂƟĞŶƚ ďĂƐĞ͘ KǁŶĞƌƐŚŝƉ ŽƉƉŽƌƚƵŶŝƚǇ ĂǀĂŝůĂďůĞ͘ WůĞĂƐĞ ĐŽŶƚĂĐƚ ƌŝƩ ŽƐƟĐŬ͕ ^͕ ďďŽƐƚϯϱϴϮϭΛĂŽů͘ĐŽŵ Žƌ ϴϬϲͲϰϯϴͲϱϳϰϱ͘ ARLINGTON / FORT WORTH: ƐƐŽĐŝĂƚĞ ƉŽƐŝƟŽŶ ĂǀĂŝůĂďůĞ͘ &Ƶůů ƟŵĞ ĚĞŶƟƐƚ ĂŶĚ ƐƉĞĐŝĂůŝƐƚ ŶĞĞĚĞĚ ƚŽ ũŽŝŶ ŽƵƌ ƐƵĐĐĞƐƐĨƵů ĚĞŶƚĂů ŐƌŽƵƉ ŝŶ ƌůŝŶŐƚŽŶ Θ &Žƌƚ tŽƌƚŚ͘ /ŶƚĞƌĞƐƚĞĚ ĐĂŶĚŝĚĂƚĞƐ ƐŚŽƵůĚ ĞŵĂŝů s ƚŽ ƚǆĚĞŶƚĂůũŽďƐΛŐŵĂŝů͘ĐŽŵ͘

ASSOCIATE FOR TYLER GENERAL DENTISTRY PRACTICE: tĞůůͲĞƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ĚĞŶƟƐƚ ŝŶ dǇůĞƌ ǁŝƚŚ ŽǀĞƌ ϯϰ ǇĞĂƌƐ ĞǆƉĞƌŝĞŶĐĞ ƐĞĞŬƐ Ă ĐĂƌŝŶŐ ĂŶĚ ŵŽƟǀĂƚĞĚ ĂƐƐŽĐŝĂƚĞ ĨŽƌ ŚŝƐ ďƵƐǇ ƉƌĂĐƟĐĞ͘ dŚŝƐ ƉƌĂĐƟĐĞ ƉƌŽǀŝĚĞƐ ĞǆĐĞƉƟŽŶĂů ĚĞŶƚĂů ĐĂƌĞ ĨŽƌ ƚŚĞ ĞŶƟƌĞ ĨĂŵŝůǇ͘ KƵƌ ŽĸĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ ďĞĂƵƟĨƵů ĂƐƚ dĞǆĂƐ ĂŶĚ ƉƌŽǀŝĚĞƐ Ăůů ƉŚĂƐĞƐ ŽĨ ƋƵĂůŝƚǇ ĚĞŶƟƐƚƌǇ ŝŶ Ă ĨƌŝĞŶĚůǇ ĂŶĚ ĐŽŵƉĂƐƐŝŽŶĂƚĞ ĂƚŵŽƐƉŚĞƌĞ͘ dŚĞ ƉƌĂĐƟĐĞ ŽīĞƌƐ Ă ƚƌĞŵĞŶĚŽƵƐ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ŐƌŽǁ͘ dŚĞ ƉƌĂĐƟĐĞ ŽīĞƌƐ ĞǆĐĞůůĞŶƚ ƉƌŽĚƵĐƟŽŶ ĂŶĚ ĞĂƌŶŝŶŐ ƉŽƚĞŶƟĂů ǁŝƚŚ Ă ƉŽƐƐŝďůĞ ĨƵƚƵƌĞ ĞƋƵŝƚǇ ƉŽƐŝƟŽŶ ĂǀĂŝůĂďůĞ͘ KƵƌ ŬŶŽǁůĞĚŐĞĂďůĞ ƐƚĂī ǁŝůů ƐƵƉƉŽƌƚ ĂŶĚ ĞŶŚĂŶĐĞ ǇŽƵƌ ŐƌŽǁƚŚ ĂŶĚ ĞĂƌŶŝŶŐ ƉŽƚĞŶƟĂů ǁŚŝůĞ ŚĞůƉŝŶŐ ĐƌĞĂƚĞ Ă ƐŵŽŽƚŚ ƚƌĂŶƐŝƟŽŶ͘ /ŶƚĞƌĞƐƚĞĚ ĐĂŶĚŝĚĂƚĞƐ ƐŚŽƵůĚ ĐĂůů ϵϬϯͲϱϬϵͲϬϱϬϱ ĂŶĚͬŽƌ ƐĞŶĚ ĂŶ ĞŵĂŝů ƚŽ ƐƚĞǀĞ͘ůĞďŽΛƐďĐŐůŽďĂů͘ŶĞƚ͘

ASSOCIATE NEEDED FOR DENTAL OFFICE IN SMALL, QUAINT TOWN. WŽƚĞŶƟĂů ĨŽƌ ƉƌĂĐƟĐĞ ƉƵƌĐŚĂƐĞ͘ Ăůů ϯϲϭͲ ϲϰϱͲϴϭϰϴ͘ AUSTIN: WƌŽŐƌĞƐƐŝǀĞ͕ ƉĂƟĞŶƚͲĐĞŶƚƌŝĐ ŽĸĐĞ ŝƐ ƐĞĞŬŝŶŐ ĂŶ ĞǆƉĞƌŝĞŶĐĞĚ ĚĞŶƟƐƚ͖ ŵƵƐƚ ďĞ ĨƌŝĞŶĚůǇ͕ ĐĂƌŝŶŐ ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂů͘ KƉƉŽƌƚƵŶŝƚǇ ŝƐ ĂǀĂŝůĂďůĞ ;ŝĨ ĚĞƐŝƌĞĚͿ ĨŽƌ ƉƌĂĐƟĐĞ ŽǁŶĞƌƐŚŝƉ͘ ^ĞƌŝŽƵƐ ŝŶƋƵŝƌŝĞƐ͕ ĞŵĂŝů͗ ĨĂŚŽŽƐŚĂΛ ŐŵĂŝů͘ĐŽŵ͕ ŵŝŬĞΛŵŝůŽŝŶĐ͘ĐŽŵ͘ AUSTIN PEDIATRIC PRACTICE SEEKING FULL-TIME ASSOCIATE: 'ƌĞĂƚ ďĞŶĞĮƚƐ͊ WƌŽŐƌĞƐƐŝǀĞ͕ ĨĂƐƚͲƉĂĐĞĚ ƉƌĂĐƟĐĞ͘ ĂƉĂďůĞ͕ ĐĂƌŝŶŐ ƐƚĂī͘ tĞ ĂƌĞ ůŽŽŬŝŶŐ ĨŽƌ Ă ďƌŝŐŚƚ ĐĂƌĞĞƌͲŽƌŝĞŶƚĞĚ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ƚŽ ũŽŝŶ ĂŶ ŽƌŐĂŶŝǌĂƟŽŶ ĐŽŵŵŝƩĞĚ ƚŽ ƉƌŽǀŝĚŝŶŐ ŚŝŐŚ ƋƵĂůŝƚǇ ĚĞŶƚĂů ĐĂƌĞ ƚŽ

DDR Dental Trust

Serving Texas Dentists for more than 40 Years

• Practice Appraisals • Practice Sales • Associate Agreements

800-930-8017

James L. Dunn, Trustee Texas Dental Journal l www.tda.org l June 2014

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ADVERTISING BRIEFS ĐŚŝůĚƌĞŶ ĂŶĚ ĂĚŽůĞƐĐĞŶƚƐ͘ KƵƌ ĚĞŶƚĂů ƚĞĂŵ ƐƚƌŝǀĞƐ ƚŽ ŽīĞƌ ĞǆĐĞƉƟŽŶĂů ĐĂƌĞ ǁŝƚŚ ŝŶƚĞŐƌŝƚǇ͘ &Žƌ ĐŽŶƐŝĚĞƌĂƟŽŶ ƐĞŶĚ ǇŽƵƌ ĐŽŶĮĚĞŶƟĂů ƌĞƐƵŵĞ ƚŽ ĚĞŶƚĂůƌĞƐƵŵĞϮϳΛǇĂŚŽŽ͘ĐŽŵ͘ AUSTIN PRIVATE PRACTICE SEEKS ASSOCIATES ;'WƐ͕ ƉƌŽƐƚŚŽĚŽŶƟƐƚƐͿ ĚƵĞ ƚŽ ŐƌŽǁƚŚ ĂŶĚ ŝŶĐƌĞĂƐĞĚ ĐĂƉĂĐŝƚǇ͘ ǆĐĞůůĞŶƚ ĐŽŵƉĞŶƐĂƟŽŶ ͬ ďĞŶĞĮƚƐ͘ ŵĂŝů ƌĞƐƵŵĞ ƚŽ ŽƉĞƌĂƟŽŶƐΛŽŵŶŝĚĞŶƚĂůŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϱϭϮͲϳϳϯͲϵϮϯϵ͘ AUSTIN, SAN ANTONIO & DALLAS-AREA PRACTICE OPPORTUNITIES MCLERRAN & ASSOCIATES: KZWh^ ,Z/^d/ Z ;/ η dϮϯϴͿ͗ dŚŝƐ ĞƐƚĂďůŝƐŚĞĚ͕ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ŐĞŶĞƌĂů ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ƐŝŶŐůĞ ƐƚŽƌǇ ƉƌŽĨĞƐƐŝŽŶĂů ĐŽŵƉůĞǆ ǁŝƚŚ ĞǆĐĞůůĞŶƚ ǀŝƐŝďŝůŝƚǇ Žī ŽĨ Ă ŵĂũŽƌ ƚŚŽƌŽƵŐŚĨĂƌĞ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ĮǀĞ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ĂŶĚ ĐŽŵƉƵƚĞƌŝǌĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ĚŝŐŝƚĂů ǆͲƌĂǇ͘ dŚĞ ƉƌĂĐƟĐĞ ďŽĂƐƚƐ ĐŽŶƐŝƐƚĞŶƚ ŐƌŽƐƐ ĐŽůůĞĐƟŽŶƐ ŝŶ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ ĂŶŶƵĂůůǇ͕ ƐƚƌŽŶŐ ĐĂƐŚ ŇŽǁ͕ Ă ĐŽŵŵŝƩĞĚ ĂŶĚ ǁĞůůͲƚƌĂŝŶĞĚ ƐƚĂī͕ ƐƚƌŽŶŐ ŚǇŐŝĞŶĞ ƌĞĐĂůů ĂŶĚ Ă ƐŽůŝĚ ĨĞĞ ĨŽƌ ƐĞƌǀŝĐĞ ƉĂƟĞŶƚ ďĂƐĞ͘ dŚŝƐ ŝƐ Ă ƚƵƌŶŬĞǇ ƉƌĂĐƟĐĞ ǁŝƚŚ ƐƚƌŽŶŐ ŐƌŽǁƚŚ ƉŽƚĞŶƟĂů͘ KZWh^ ,Z/^d/ Z ;/ ηdϮϯϭͿ͗ dŚŝƐ ŝƐ ĂŶ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉƵƌĐŚĂƐĞ ĂŶ ĞƐƚĂďůŝƐŚĞĚ͕ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ůŽĐĂƚĞĚ ŽŶ ƚŚĞ ƐŽƵƚŚ ĐŽĂƐƚ ŽĨ dĞǆĂƐ ŝŶ ĂŶ ĂƌĞĂ ƚŚĂƚ ŝƐ ĞǆƉĞƌŝĞŶĐŝŶŐ ƌĂƉŝĚ ŐƌŽǁƚŚ ĂƐ Ă ƌĞƐƵůƚ ŽĨ Žŝů ĚƌŝůůŝŶŐ ŝŶ ƚŚĞ ŶĞĂƌďǇ ĂŐůĞ &ŽƌĚ ^ŚĂůĞ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ Ă ůĂƌŐĞ͕ ĨĞĞͲĨŽƌͲ ƐĞƌǀŝĐĞͬWWK ƉĂƟĞŶƚ ďĂƐĞ͕ ƐƚƌŽŶŐ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ͕ ĐŽŶƐŝƐƚĞŶƚ ĂŶŶƵĂů ƌĞǀĞŶƵĞ ŝŶ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ͕ ĂŶĚ ƐŽůŝĚ ĐĂƐŚ ŇŽǁ͘ dŚĞ ŽĸĐĞ ŽĐĐƵƉŝĞƐ Ă ĨƌĞĞͲƐƚĂŶĚŝŶŐ ďƵŝůĚŝŶŐ ǁŝƚŚ Ϯ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ;ĚŝŐŝƚĂů yͲƌĂǇ ƵŶŝƚƐ ĂŶĚ ĐŽŵƉƵƚĞƌƐͿ ĂŶĚ ĂŵƉůĞ ƌŽŽŵ ƚŽ ĂĚĚ ϮͲϯ ĂĚĚŝƟŽŶĂů ŽƉĞƌĂƚŽƌŝĞƐ͘ dŚĞ ƌĞĂů ĞƐƚĂƚĞ ŝƐ ŽǁŶĞĚ ďǇ ƚŚĞ ƐĞůůĞƌ ĂŶĚ ďĞŝŶŐ ŽīĞƌĞĚ ĨŽƌ ƐĂůĞ Ăƚ ĨĂŝƌ ŵĂƌŬĞƚ ǀĂůƵĞ͘ 'ŝǀĞŶ ŝƚƐ ĐůŽƐĞ ƉƌŽǆŝŵŝƚǇ ƚŽ ƚŚĞ 'ƵůĨ ŽĨ DĞǆŝĐŽ͕ ƚŚŝƐ ƚƵƌŶŬĞǇ ƉƌĂĐƟĐĞ ŝƐ ĂŶ ŝĚĞĂů ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ĂŶ ĂǀŝĚ ĮƐŚĞƌŵĂŶͬŽƵƚĚŽŽƌƐŵĂŶ Žƌ ďĞĂĐŚ ůŽǀĞƌ͘ ^Khd, K& ^ E EdKE/K ;/ ηdϮϯϱͿ͗ dŚŝƐ ĞƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŽŶ Ă ŵĂŝŶ ƚŚŽƌŽƵŐŚĨĂƌĞ ŝŶ Ă ƋƵĂŝŶƚ͕ ƌƵƌĂů ƚŽǁŶ ůŽĐĂƚĞĚ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϵϬ ŵŝůĞƐ ƐŽƵƚŚĞĂƐƚ ŽĨ ^ĂŶ ŶƚŽŶŝŽ͘ dŚŝƐ ƉƌĂĐƟĐĞ ŝƐ ŝŶ Ă ŚŝŐŚ ŐƌŽǁƚŚ͕ ůŽǁ ĐŽŵƉĞƟƟŽŶ ĂƌĞĂ ŝŶ ƚŚĞ ĂŐůĞ &ŽƌĚ &ŽƌŵĂƟŽŶ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ƌĞĂůŝǌĞĚ ĐŽŶƐŝƐƚĞŶƚ ĂŶŶƵĂů ƌĞǀĞŶƵĞ ŽĨ ϲ ĮŐƵƌĞƐ ƚŚĞ ƉĂƐƚ Ϯ ǇĞĂƌƐ ǁŚŝůĞ ŵĂŝŶƚĂŝŶŝŶŐ ůŽǁ ŽǀĞƌŚĞĂĚ͕ ƐƚƌŽŶŐ ƉƌŽĮƚĂďŝůŝƚǇ ŽĨ ϱϬй͕ ĂŶĚ ƐŽůŝĚ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ

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Texas Dental Journal l www.tda.org l June 2014

;ĐƵƌƌĞŶƚůǇ ĂǀĞƌĂŐŝŶŐ Ϯϳ ŶĞǁ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚͿ͘ dŚĞ ŽĸĐĞ ƐƉĂĐĞ ŽĨ ƚŚĞ ƉƌĂĐƟĐĞ ĞŶĐŽŵƉĂƐƐĞƐ ϭ͕ϮϬϬ ƐƋƵĂƌĞ ĨĞĞƚ ĂŶĚ ŚĂƐ ϯ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ĚŝŐŝƚĂů yͲƌĂǇ ƵŶŝƚƐ ĂŶĚ ĐŽŵƉƵƚĞƌƐ ;ŽŶĞ ĂĚĚŝƟŽŶĂů ƉůƵŵďĞĚ ŽƉĞƌĂƚŽƌǇ ĨŽƌ ĞǆƉĂŶƐŝŽŶͿ͘ dŚĞ ďƵŝůĚŝŶŐ ŝƐ ĂůƐŽ ďĞŝŶŐ ŽīĞƌĞĚ ĨŽƌ ƐĂůĞ͘ E t Z hE& >^ ;/ ηdϮϮϲͿ͗ dŚŝƐ ĞƐƚĂďůŝƐŚĞĚ͕ ĨĞĞͲĨŽƌͲ ƐĞƌǀŝĐĞ ŐĞŶĞƌĂů ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ ƚŚĞ ƌĂƉŝĚůǇ ŐƌŽǁŝŶŐ ĂƌĞĂ ŽĨ EĞǁ ƌĂƵŶĨĞůƐ ĂůŽŶŐ ƚŚĞ /,Ͳϯϱ ĐŽƌƌŝĚŽƌ ďĞƚǁĞĞŶ ƵƐƟŶ ĂŶĚ ^ĂŶ ŶƚŽŶŝŽ͘ dŚĞ ƉƌĂĐƟĐĞ ďŽĂƐƚƐ Ă ϭϬϬй ĨĞĞ ĨŽƌ ƐĞƌǀŝĐĞ ƉĂƟĞŶƚ ďĂƐĞ ĂŶĚ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ĨƌĞĞͲƐƚĂŶĚŝŶŐ ďƵŝůĚŝŶŐ ǁŝƚŚ ϯ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ŶŽƚ ŝŶ ŶĞƚǁŽƌŬ ǁŝƚŚ ĂŶǇ WWKƐ͕ ĂŶĚ ƌĞůŝĞƐ ƐŽůĞůǇ ŽŶ ǁŽƌĚ ŽĨ ŵŽƵƚŚ ƌĞĨĞƌƌĂůƐ ĨŽƌ ŶĞǁ ƉĂƟĞŶƚƐ͕ ĂŶĚ ƌĞĨĞƌƐ ŽƵƚ Ă ƐƵďƐƚĂŶƟĂů ĂŵŽƵŶƚ ŽĨ ƐƉĞĐŝĂůƚǇ ǁŽƌŬ͕ ƉƌŽǀŝĚŝŶŐ ƚŚĞ ŶĞǁ ŽǁŶĞƌ ǁŝƚŚ ƐŽůŝĚ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͘ dŚĞ ĂŶŶƵĂů ƌĞǀĞŶƵĞ ŽĨ ƚŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ĐŽŶƐŝƐƚĞŶƚůǇ ďĞĞŶ ϲ ĮŐƵƌĞƐ ƉĞƌ ǇĞĂƌ͘ ǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉƵƌĐŚĂƐĞ ĂŶ ĞƐƚĂďůŝƐŚĞĚ ƉƌĂĐƟĐĞ ĨŽƌ ŵƵĐŚ ůĞƐƐ ƚŚĂŶ ƚŚĞ ĐŽƐƚ ŽĨ Ă ƐƚĂƌƚ ƵƉ͊ ^ E EdKE/K ;/ ηdϮϰϬͿ͗ dŚŝƐ ĞƐƚĂďůŝƐŚĞĚ͕ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ŐĞŶĞƌĂů ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ƉƌŽĨĞƐƐŝŽŶĂů ďƵŝůĚŝŶŐ ŝŶ Ă ŚŝŐŚůǇ ǀŝƐŝďůĞ ůŽĐĂƟŽŶ ŽŶ ^ĂŶ ŶƚŽŶŝŽ͛Ɛ ŶŽƌƚŚ ƐŝĚĞ͘ dŚĞ ƉƌĂĐƟĐĞ ďŽĂƐƚƐ Ă ϭϬϬй ĨĞĞ ĨŽƌ ƐĞƌǀŝĐĞ ƉĂƟĞŶƚ ďĂƐĞ ǁŝƚŚ ĐŽŶƐŝƐƚĞŶƚ ŐƌŽƐƐ ĐŽůůĞĐƟŽŶƐ ŝŶ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ ĂŶŶƵĂůůǇ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ϰ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͕ ǁŝƚŚ Ă ĮŌŚ ƉůƵŵďĞĚ͕ ĂŶĚ ŝƐ ĐŽŵƉƵƚĞƌŝǌĞĚ͕ ŚĂƐ ĚŝŐŝƚĂů ǆͲƌĂǇƐ ĂŶĚ Ă Z ͘ dŚŝƐ ŝƐ ĂŶ ĞǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ ǁŝƚŚ ƐƚƌŽŶŐ ŐƌŽǁƚŚ ƉŽƚĞŶƟĂů͘ ^ E EdKE/K ;/ ηdϮϯϵͿ͗ ƚŚƌŝǀŝŶŐ ŵƵůƟͲŽĸĐĞ ƉĞĚŝĂƚƌŝĐƐ ƉƌĂĐƟĐĞ ŝŶ ƚŚĞ ^ĞŐƵŝŶͬ^ĂŶ DĂƌĐŽƐ ĂƌĞĂ ŝƐ ƐĞĞŬŝŶŐ Ă ĨƵůů ƟŵĞ ĂƐƐŽĐŝĂƚĞ ƚŽ ǁŽƌŬ ďĞƚǁĞĞŶ ďŽƚŚ ůŽĐĂƟŽŶƐ͘ ŽƚŚ ĨĂĐŝůŝƟĞƐ ĂƌĞ ƐƚĂƚĞͲŽĨͲƚŚĞͲĂƌƚ͕ ĨĞĂƚƵƌŝŶŐ ϭϮ ƚƌĞĂƚŵĞŶƚ ĂƌĞĂƐ ĂŶĚ ƚŚĞ ůĂƚĞƐƚ ĂŵĞŶŝƟĞƐ͕ ŝŶĐůƵĚŝŶŐ Ă ŵŽǀŝĞ ƚŚĞĂƚĞƌ͕ ĂƌĐĂĚĞ͕ ĐĞŝůŝŶŐ ŵŽƵŶƚĞĚ ƚĞůĞǀŝƐŝŽŶƐ͕ ĂŶĚ ƚŽĚĚůĞƌ ƉůĂǇ ĂƌĞĂƐ͘ ŽƚŚ ŽĸĐĞƐ ĂƌĞ ĚĞƐŝŐŶĞĚ ĨŽƌ ŚŝŐŚ ǀŽůƵŵĞ ƉĂƟĞŶƚ ŇŽǁ͕ ĂƐ ƚŚĞǇ ƐĞĞ ĂŶ ĂǀĞƌĂŐĞ ŽĨ ŽǀĞƌ ϭϬϬ ƉĂƟĞŶƚƐ ĞĂĐŚ ĚĂǇ͘ dŚĞ ƉĂƟĞŶƚ ďĂƐĞ ƌĞŇĞĐƚƐ ƚŚĞ ůŽĐĂů ďůƵĞͲĐŽůůĂƌ ĂŶĚ ĞĚƵĐĂƟŽŶĂů ĐŽŵŵƵŶŝƟĞƐ͘ dŚĞƌĞ ŝƐ Ă ŵŝǆ ŽĨ ŝŶƐƵƌĂŶĐĞ͕ ƐĞůĨͲƉĂǇ ĂŶĚ ƐƚĂƚĞ ĨƵŶĚĞĚ ƉĂƟĞŶƚƐ͘ dŚĞ ŽĸĐĞƐ ƉƌŽǀŝĚĞ Ă ĨƵůů ƌĂŶŐĞ ŽĨ ƉĞĚŝĂƚƌŝĐ ĚĞŶƚĂů ƐĞƌǀŝĐĞƐ ĂŶĚ ŚĂǀĞ ǀĞƌǇ ĂĐƟǀĞ ƐĞĚĂƟŽŶ ŐĞŶĞƌĂů ĂŶĞƐƚŚĞƐŝĂ ƐĐŚĞĚƵůĞƐ͘ dŚĞ ĂƐƐŽĐŝĂƚĞ ĚŽĐƚŽƌ ŵƵƐƚ ďĞ Ă ŐƌĂĚƵĂƚĞ ŽĨ Ă h͘^͘ ĚĞŶƚĂů ƐĐŚŽŽů ĂŶĚ ŚŽůĚ Ă h͘^͘ ƉĞĚŝĂƚƌŝĐ ĚĞŶƚĂů ƚƌĂŝŶŝŶŐ ĐĞƌƟĮĐĂƚĞ͘ ^ƉĂŶŝƐŚ ƐƉĞĂŬŝŶŐ ŝƐ ŚŝŐŚůǇ ĚĞƐŝƌĞĚ ďƵƚ ŶŽƚ ƌĞƋƵŝƌĞĚ͘ dŽ ůĞĂƌŶ ŵŽƌĞ ĂďŽƵƚ ƚŚŝƐ ĂƐƐŽĐŝĂƚĞ

ADVERTISING BRIEFS ŽƉƉŽƌƚƵŶŝƚǇ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ ƵƐ Ăƚ ϱϭϮͲϵϬϬͲϳϵϴϵ Žƌ ƚĞǆĂƐΛ ĚĞŶƚĂůͲƐĂůĞƐ͘ĐŽŵ͘ WůĞĂƐĞ ĂůƐŽ ƐĞŶĚ Ă ĐƵƌƌĞŶƚ s͘ ^ E EdKE/K ;/ ηdϮϭϴͿ͗ dŚŝƐ ŐĞŶĞƌĂů ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ŽŶ ƚŚĞ ŶŽƌƚŚǁĞƐƚ ƐŝĚĞ ŽĨ ^ĂŶ ŶƚŽŶŝŽ͕ ũƵƐƚ ŽƵƚƐŝĚĞ ŽĨ ůŽŽƉ ϰϭϬ͕ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ŚŝŐŚ ƚƌĂĸĐ ƌĞƚĂŝů ůŽĐĂƟŽŶ ĂŶĚ ƉƌĞƐĞŶƚƐ Ă ƵŶŝƋƵĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ĂƩƌĂĐƚ ĂŶĚ ƌĞƚĂŝŶ ƉĂƟĞŶƚƐ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ƚƵƌŶͲŬĞǇ͕ ϳ ŽƉĞƌĂƚŽƌǇ ;ϲ ĞƋƵŝƉƉĞĚͿ ŽĸĐĞ͕ ďŽĂƐƚƐ ĂŶ ĂĐƟǀĞ ƉĂƟĞŶƚ ďĂƐĞ ŽĨ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϭ͕ϰϬϬ ƉĂƟĞŶƚƐ͕ ĂŶĚ ĂŶ ĂǀĞƌĂŐĞ ŽĨ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϭϬϬ ŶĞǁ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ĐŽůůĞĐƚĞĚ ŝŶ ƚŚĞ ŵŝĚͲŚŝŐŚ ϲ ĮŐƵƌĞƐ ƚŚĞ ůĂƐƚ ϭϮ ŵŽŶƚŚƐ ǁŝƚŚ ƐƚƌŽŶŐ ĐĂƐŚ ŇŽǁ͘ dŚŝƐ ŝƐ ĂŶ ĞǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ ǁŝƚŚ ƚƌĞŵĞŶĚŽƵƐ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͘ WƌŝĐĞĚ ƚŽ ƐĞůů͊ ^ E EdKE/K ;/ ηdϮϬϵͿ͗ dŚŝƐ ĞƐƚĂďůŝƐŚĞĚ ƉĞĚŝĂƚƌŝĐ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ ĂƐƚ ĞŶƚƌĂů ^ĂŶ ŶƚŽŶŝŽ ŝŶ Ă ŵĞĚŝĐĂůͬ ĚĞŶƚĂů ďƵŝůĚŝŶŐ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ƐĞĞŶ ĐŽŶƐŝƐƚĞŶƚ ĂŶŶƵĂů ƌĞǀĞŶƵĞ ŝŶ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ ŽǀĞƌ ƚŚĞ ůĂƐƚ ϯ ǇĞĂƌƐ ǁŝƚŚ ƐƚƌŽŶŐ ŶĞƚ ŝŶĐŽŵĞ͘ dŚĞ ŽĸĐĞ ŚĂƐ ϯ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͕ ƐƚƌŽŶŐ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͕ ĂŶĚ ǁŽƵůĚ ďĞ ĂŶ ĂƩƌĂĐƟǀĞ ƐƚĂŶĚͲĂůŽŶĞ ƉƌĂĐƟĐĞ Žƌ ŝĚĞĂů ƐĂƚĞůůŝƚĞ ůŽĐĂƟŽŶ͘ ^ E EdKE/K ;/ ηdϭϴϭͿ͗ dŚŝƐ ŐĞŶĞƌĂů͕ ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ tĞƐƚͬ ĞŶƚƌĂů ^ĂŶ ŶƚŽŶŝŽ ĂŶĚ ďŽĂƐƚƐ Ă ůĂƌŐĞ͕ WWKͬDĞĚŝĐĂŝĚ ƉĂƟĞŶƚ ďĂƐĞ ǁŝƚŚ ƌŽƵŐŚůǇ ϱϬ ŶĞǁ ƉĂƟĞŶƚƐ ďĞŝŶŐ ƐĞĞŶ ƉĞƌ ŵŽŶƚŚ͘ dŚŝƐ ƚƵƌŶŬĞǇ ŽĸĐĞ ŝƐ ƉĂƉĞƌůĞƐƐ ĂŶĚ ĐŽŵƉƵƚĞƌŝǌĞĚ͕ ŚĂƐ ĨŽƵƌ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ƌĞĐĞŶƚůǇ ƵƉĚĂƚĞĚ ĞƋƵŝƉŵĞŶƚ͕ ĂŶĚ ƉƌŽǀŝĚĞƐ ƌŽŽŵ ĨŽƌ ĞǆƉĂŶƐŝŽŶ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ƐĞĞŶ ĐŽŶƐŝƐƚĞŶƚ ĂŶŶƵĂů ƌĞǀĞŶƵĞ ŝŶ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ ŽǀĞƌ ƚŚĞ ƉĂƐƚ ĨĞǁ ǇĞĂƌƐ ǁŝƚŚ ƐƚƌŽŶŐ ŶĞƚ ĐĂƐŚ ŇŽǁ͘ dŚŝƐ ŝƐ ĂŶ ŝĚĞĂů ƐŽůŽ ƉƌĂĐƟĐĞ Žƌ ƐĂƚĞůůŝƚĞ ŽĸĐĞ ǁŝƚŚ ƚƌĞŵĞŶĚŽƵƐ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͘ h^d/E ;/ ηdϮϰϭͿ dŚŝƐ ŝƐ ĂŶ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉƵƌĐŚĂƐĞ Ă ŐƌŽǁŝŶŐ ƉƌĂĐƟĐĞ ŝŶ ƚŚĞ ƌĂƉŝĚůǇ ĚĞǀĞůŽƉŝŶŐ ĂƌĞĂ ŽĨ ĂƐƚ ƵƐƟŶ͘ dŚĞ ŽĸĐĞ ŝƐ ƐŝƚƵĂƚĞĚ ĚŝƌĞĐƚůǇ ŽŶ Ă ďƵƐǇ ƐƚƌĞĞƚ ĂŶĚ ŚĂƐ ĞǆĐĞůůĞŶƚ ƐŝŐŶĂŐĞ ĂŶĚ ǀŝƐŝďŝůŝƚǇ͘ dŚĞ ĨĂĐŝůŝƚǇ ŚĂƐ Ă ƋƵĂůŝƚǇ ďƵŝůĚͲŽƵƚ ĂŶĚ ϰ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ĐŽŵƉƵƚĞƌƐ ĂŶĚ ĚŝŐŝƚĂů ƌĂĚŝŽŐƌĂƉŚǇ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ŚĞĂůƚŚǇ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ͕ ůŽǁ ŽǀĞƌŚĞĂĚ͕ ĂŶĚ ƚƌĞŵĞŶĚŽƵƐ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͘ dŚŝƐ ŝƐ Ă ŐƌĞĂƚ ƐƚĂƌƚĞƌ ƉƌĂĐƟĐĞ Žƌ ƐĂƚĞůůŝƚĞ ůŽĐĂƟŽŶ͘ h^d/E ;/ ηdϮϯϳͿ͗ dŚŝƐ ŝƐ Ă ƌĂƌĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉƵƌĐŚĂƐĞ ĂŶ ĞƐƚĂďůŝƐŚĞĚ ƉĞƌŝŽ ƉƌĂĐƟĐĞ ǁŝƚŚ Ă ůĂƌŐĞ͕ ĚŝǀĞƌƐĞ ƌĞĨĞƌƌĂů ďĂƐĞ͕ ŽƵƚƐƚĂŶĚŝŶŐ ŚǇŐŝĞŶĞ ƉƌŽĚƵĐƟŽŶ ;ϰϬй ŽĨ ƚŽƚĂů ƉƌŽĚƵĐƟŽŶͿ͕ ĐŽŶƐŝƐƚĞŶƚ ĂŶŶƵĂů ƌĞǀĞŶƵĞ ŽĨ ϳ ĮŐƵƌĞƐ͕ ĂŶĚ ĞǆĐĞƉƟŽŶĂů ƉƌŽĮƚĂďŝůŝƚǇ ŽĨ ŽǀĞƌ ϲϬй ŽĨ ĐŽůůĞĐƟŽŶƐ͘ dŚĞ ƉƌĂĐƟĐĞ ĂůƐŽ ŽīĞƌƐ ƚƌĞŵĞŶĚŽƵƐ ƵƉƐŝĚĞ

ƉŽƚĞŶƟĂů ďǇ ŝŶĐƌĞĂƐŝŶŐ ƉƌŽĚƵĐƟŽŶ ƌĞůĂƚĞĚ ƚŽ ŝŵƉůĂŶƚ ƉůĂĐĞŵĞŶƚ͘ ,/>> KhEdZz t ^d K& h^d/E ;/ ηdϮϯϲͿ dŚŝƐ ƉƌĞĚŽŵŝŶĂƚĞůǇ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ŐĞŶĞƌĂů ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ĚĞƐŝƌĂďůĞ ĐŽŵŵƵŶŝƚǇ ŝŶ ƚŚĞ ŚĞĂƌƚ ŽĨ ƚŚĞ dĞǆĂƐ ,ŝůů ŽƵŶƚƌǇ͘ /ƚ ďŽĂƐƚƐ Ă ŐƌĞĂƚ ƌĞƉƵƚĂƟŽŶ ĂŶĚ ŚĂƐ ďĞĞŶ ŝŶ ŝƚƐ ĐƵƌƌĞŶƚ ůŽĐĂƟŽŶ ƐŝŶĐĞ ϭϵϴϬ͘ dŚĞ ŽĸĐĞ ŚĂƐ ƚŚƌĞĞ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͕ ǁŝƚŚ ƚŚĞ ĂďŝůŝƚǇ ƚŽ ĂĚĚ ĂŶ ĂĚĚŝƟŽŶĂů ŽƉĞƌĂƚŽƌǇ͘ dŚĞƌĞ ŝƐ Ă ƐƚƌŽŶŐ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ŐƌŽǁƚŚ͕ ĂƐ ƚŚĞ ŽǁŶĞƌ ŝƐ ŶŽƚ ĂĐƟǀĞůǇ ŵĂƌŬĞƟŶŐ ƚŚĞ ƉƌĂĐƟĐĞ͕ ĚŽĞƐ ŶŽƚ ƉĂƌƟĐŝƉĂƚĞ ŝŶ ĂŶǇ WWKƐ ĂŶĚ ŝƐ ƌĞĨĞƌƌŝŶŐ ŽƵƚ Ă ĨĂŝƌ ĂŵŽƵŶƚ ŽĨ ƐƉĞĐŝĂůƚǇ ƉƌŽĐĞĚƵƌĞƐ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ Ă ƐƚƌŽŶŐ ĨŽƵŶĚĂƟŽŶ ŽĨ ĂĐƟǀĞ ƉĂƟĞŶƚƐ ǁŝƚŚ Ă ŐŽŽĚ ĂŵŽƵŶƚ ŽĨ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͘ dŚŝƐ ŝƐ ĂŶ ĞǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ƐŽŵĞŽŶĞ ǁŚŽ ĞŶũŽǇƐ ƚŚĞ ďĞĂƵƟĨƵů ,ŝůů ŽƵŶƚǇ ĂŶĚ ǁĂŶƚƐ ƚŽ ŐĞƚ ĂǁĂǇ ĨƌŽŵ ƚŚĞ ďŝŐ ĐŝƚǇ͘ EKZd,t ^d h^d/E ;/ ηdϮϯϰͿ dŚŝƐ ĞƐƚĂďůŝƐŚĞĚ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ďƵƐǇ ƌĞƚĂŝů ĐĞŶƚĞƌ ŝŶ Ă ƌĂƉŝĚůǇ ŐƌŽǁŝŶŐ ĐŽŵŵƵŶŝƚǇ ůŽĐĂƚĞĚ ũƵƐƚ Ă ĨĞǁ ŵŝŶƵƚĞƐ ŶŽƌƚŚǁĞƐƚ ŽĨ ƵƐƟŶ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ Ă ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞͬWWK ƉĂƟĞŶƚ ďĂƐĞ͕ ĐŽŶƐŝƐƚĞŶƚ ĂŶŶƵĂů ĐŽůůĞĐƟŽŶƐ ŝŶ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ ĂŶĚ ƐƚƌŽŶŐ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͘ dŚĞ ŽĸĐĞ ŚĂƐ Ă ŵŽĚĞƌŶ ĚĠĐŽƌ͕ ϰ ĨƵůůǇ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ĐŽŵƉƵƚĞƌƐ ĂŶĚ ĚŝŐŝƚĂů yͲƌĂǇ ƵŶŝƚƐ͕ ĂŶĚ ƌŽŽŵ ĨŽƌ ĞǆƉĂŶƐŝŽŶ͘ dŚĞ ƐĞůůŝŶŐ ĚŽĐƚŽƌ ŝƐ ĂǀĂŝůĂďůĞ ĨŽƌ Ă ƚƌĂŶƐŝƟŽŶ͘ h^d/E ;/ ηdϮϯϯͿ hŶŝƋƵĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉƵƌĐŚĂƐĞ Ă ŚŝŐŚ ĐĂƐŚ ŇŽǁŝŶŐ ƉƌŽƐƚŚŽĚŽŶƟĐ ĂŶĚ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ͕ ǁŝƚŚ Ă ĨŽĐƵƐ ŽŶ ŝŵƉůĂŶƚƐ͕ ŝŶ ƌĂƉŝĚůǇ ŐƌŽǁŝŶŐ ƵƐƟŶ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ĞǆĐĞůůĞŶƚ ĐĂƐŚ ŇŽǁ͕ ŚŝŐŚ ĞŶĚ ĞƋƵŝƉŵĞŶƚ͕ ǇĞĂƌ ŽǀĞƌ ǇĞĂƌ ŐƌŽǁƚŚ ĂŶĚ ŝƐ ƚƌƵůǇ Ă ƚƵƌŶͲŬĞǇ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ƚŚĞ ƌŝŐŚƚ ĚŽĐƚŽƌ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ ƵƐ ŝŵŵĞĚŝĂƚĞůǇ͘ h^d/E ;/ η dϮϮϮͿ dŚŝƐ ŝƐ Ă ƵŶŝƋƵĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉƵƌĐŚĂƐĞ Ă ƉƌĂĐƟĐĞ ůŽĐĂƚĞĚ ŝŶ Ă ďƵƐǇ ƌĞƚĂŝů ĐĞŶƚĞƌ ŝŶ ƵƐƟŶ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ŝĚĞĂů ĨŽƌ Ă ĚŽĐƚŽƌ Žƌ ĐŽŵƉĂŶǇ ůŽŽŬŝŶŐ ĨŽƌ Ă ůĂƌŐĞ ĨĂĐŝůŝƚǇ ƚŽ ĞƐƚĂďůŝƐŚ Ă ŵƵůƟƉůĞ ĚŽĐƚŽƌ ĂŶĚ ŚǇŐŝĞŶŝƐƚ ŽĸĐĞ ĨŽƌ ůĞƐƐ ƚŚĂŶ ƚŚĞ ĐŽƐƚ ŽĨ ďƵŝůĚŝŶŐ ŽƵƚ Ă ƐŚĞůů ƐƉĂĐĞ ĂŶĚ ĞƋƵŝƉƉŝŶŐ Ă ƐƚĂƌƚƵƉ͘ dŚĞ ƉƌĂĐƟĐĞ ŚĂƐ Ă ƚŽƚĂů ŽĨ ϭϴ ƉůƵŵďĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ϲ ŽƉĞƌĂƚŽƌŝĞƐ ĐƵƌƌĞŶƚůǇ ĞƋƵŝƉƉĞĚ͘ dŚĞ ƉƌĂĐƟĐĞ ƌĞǀĞŶƵĞ ǁĂƐ ŽŶ ƉĂĐĞ ƚŽ ďĞ ĂƌŽƵŶĚ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ ŝŶ ϮϬϭϯ ǁŝƚŚ ŽŶůǇ ŽŶĞ ĚŽĐƚŽƌ ƉƌŽĚƵĐŝŶŐ͘ ^ĞƌŝŽƵƐ ŝŶƋƵŝƌŝĞƐ ŽŶůǇ ĂƐ ƚŚŝƐ ŝƐ Ă ƵŶŝƋƵĞ ŽƉƉŽƌƚƵŶŝƚǇ ŶŽƚ ƐƵŝƚĞĚ ĨŽƌ ŵŽƐƚ ƐŽůŽ ƉƌĂĐƟƟŽŶĞƌƐ ůŽŽŬŝŶŐ ƚŽ ĂĐƋƵŝƌĞ Ă ƉƌĂĐƟĐĞ͘ EdZ > h^d/E ;/ ηdϮϮϱͿ͗ >ŽĐĂƚĞĚ ŝŶ Ă ǀĞƌǇ ĚĞƐŝƌĂďůĞ ĂƌĞĂ ŽĨ ŶŽƌƚŚ ĐĞŶƚƌĂů ƵƐƟŶ͕ ƚŚŝƐ ĞƐƚĂďůŝƐŚĞĚ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ŐĞŶĞƌĂů ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ŽīĞƌƐ Ă ůŽƚ ĨŽƌ ĂŶ Texas Dental Journal l www.tda.org l June 2014

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ADVERTISING BRIEFS ŝŶĐŽŵŝŶŐ ĚĞŶƟƐƚ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ϭ͕ϱϬϬ ƐƋ Ō͕ ϰͲŽƉĞƌĂƚŽƌǇ ĨĂĐŝůŝƚǇ ǁŝƚŚŝŶ Ă ƐŵĂůů ϮͲƐƚŽƌǇ ƉƌŽĨĞƐƐŝŽŶĂů ĐŽŶĚŽŵŝŶŝƵŵ ďƵŝůĚŝŶŐ͘ dŚĞ ƉƌĂĐƟĐĞ ďŽĂƐƚƐ Ă ĐŽŵŵŝƩĞĚ ĂŶĚ ǁĞůůͲƚƌĂŝŶĞĚ ƐƚĂī͕ ƐƚƌŽŶŐ ŚǇŐŝĞŶĞ ƉƌŽŐƌĂŵ͕ ƐŽůŝĚ ĂĐƟǀĞ ƉĂƟĞŶƚ ďĂƐĞ ĂŶĚ ŐƌŽƐƐ ĂŶŶƵĂů ƌĞǀĞŶƵĞƐ ĂǀĞƌĂŐŝŶŐ ŝŶ ƚŚĞ ŵŝĚͲϲ ĮŐƵƌĞƐ ŽǀĞƌ ƚŚĞ ůĂƐƚ ϯ ǇĞĂƌƐ͘ tŚŝůĞ ƚŚĞ ƉƌĂĐƟĐĞ ŝƐ Ă ƐƚƌŽŶŐ ŽƉƉŽƌƚƵŶŝƚǇ ͞ĂƐͲŝƐ͕͟ ĂŶ ŝŶĐŽŵŝŶŐ ŽǁŶĞƌ ĚŽĐƚŽƌ ǁŽƵůĚ ŚĂǀĞ ĂŵƉůĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ŐƌŽǁ ƚŚĞ ƉƌĂĐƟĐĞ ŐŝǀĞŶ ƚŚĂƚ ƚŚĞ ĐƵƌƌĞŶƚ ŽǁŶĞƌ ŝƐ ŶŽƚ ĂĐĐĞƉƟŶŐ ĂŶǇ WWKƐ͕ ƌĞůŝĞƐ ŽŶůǇ ŽŶ ǁŽƌĚͲŽĨͲŵŽƵƚŚ ƌĞĨĞƌƌĂů ƚŽ ŐĞŶĞƌĂƚĞ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ ĂŶĚ ŝƐ ƌĞĨĞƌƌŝŶŐ Ă ƐŝŐŶŝĮĐĂŶƚ ĂŵŽƵŶƚ ŽĨ ƐƉĞĐŝĂůƚǇ ǁŽƌŬ ŽƵƚ ŽĨ ƚŚĞ ŽĸĐĞ͘ ŽŶƚĂĐƚ DĐ>ĞƌƌĂŶ Θ ƐƐŽĐŝĂƚĞƐ͗ ĂǀŝĚ DĐ>ĞƌƌĂŶ Žƌ ƌĂŶŶŽŶ DŽŶĐƌŝĞĨ ŝŶ ƵƐƟŶ ϱϭϮͲϵϬϬͲϳϵϴϵ͕ ^ĂŶ ŶƚŽŶŝŽ ϮϭϬͲϳϯϳͲϬϭϬϬ͘ WƌĂĐƟĐĞ ƐĂůĞƐ͕ ĂƉƉƌĂŝƐĂůƐ͕ ďƵǇĞƌ ƌĞƉƌĞƐĞŶƚĂƟŽŶ͕ ĂŶĚ ůĞĂƐĞ ŶĞŐŽƟĂƟŽŶƐ͘ dŽ ƌĞƋƵĞƐƚ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ŽŶ ŽƵƌ ůŝƐƟŶŐƐ͕ ƌĞŐŝƐƚĞƌ Ăƚ ǁǁǁ͘ĚĞŶƚĂůͲƐĂůĞƐ͘ ĐŽŵ͘ AUSTIN: ďƵƐǇ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚƌǇ ŽĸĐĞ ŝŶ ƵƐƟŶ͕ dy ŝƐ ůŽŽŬŝŶŐ ƚŽ ĂĚĚ Ă ŐĞŶĞƌĂů ĚĞŶƟƐƚ͘ WůĞĂƐĞ ƐƵďŵŝƚ Ă ƌĞƐƵŵĞ ǀŝĂ ĞŵĂŝů ƚŽ ƚĂůΛĂƵƐƟŶĐŚŝůĚƌĞŶƐĚĞŶƟƐƚƌǇ͘ĐŽŵ͘ AUSTIN: ǁĞůůͲĞƐƚĂďůŝƐŚĞĚ ƉĞĚŝĂƚƌŝĐ ƉƌĂĐƟĐĞ ŝƐ ƐĞĞŬŝŶŐ ĂŶ ĞŶĞƌŐĞƟĐ ĚĞĚŝĐĂƚĞĚ ĨƵůůͲƟŵĞ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ͘ tĞ ŚĂǀĞ ĂŶ ĞǆƚĞŶƐŝǀĞ ĐůŝĞŶƚ ďĂƐĞ ǁŝƚŚ ĐŽŶƟŶƵĞĚ ŐƌŽǁƚŚ͘ KƵƌ ŽĸĐĞ ŝƐ Ă ůĞĂĚĞƌ ŝŶ Ăůů ĂƐƉĞĐƚƐ ŽĨ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚƌǇ ŝŶĐůƵĚŝŶŐ ƐĞĚĂƟŽŶ ĂŶĚ ĂŶĞƐƚŚĞƐŝĂ ĚĞŶƟƐƚƌǇ͘ tĞ ŚĂǀĞ ϯ ŽĸĐĞƐ ǁŝƚŚ ƐƚĂƚĞͲŽĨͲƚŚĞ Ăƌƚ ƚĞĐŚŶŽůŽŐǇ ĂŶĚ Ă ŚŝŐŚůǇ ƚƌĂŝŶĞĚ ƐƵƉƉŽƌƚ ƐƚĂī͘ tĞ ĂƌĞ ůŽŽŬŝŶŐ ĨŽƌ ƚŚĞ ƌŝŐŚƚ Įƚ ĨŽƌ ŽƵƌ ƉƌĂĐƟĐĞ͘ /ĚĞĂůůǇ͕ ƐŽŵĞŽŶĞ ǁŚŽ ŝƐ ůŽŽŬŝŶŐ ĨŽƌ Ă ůŽŶŐͲƚĞƌŵ ŽƉƉŽƌƚƵŶŝƚǇ͘ EĞǁ ŐƌĂĚƐ ĂƌĞ ǁĞůĐŽŵĞ ƚŽ ĂƉƉůǇ͘ WůĞĂƐĞ ĞŵĂŝů ƌĞƐƵŵĞ ƚŽ ƚĂůΛ ĂƵƐƟŶĐŚŝůĚƌĞŶƐĚĞŶƟƐƚƌǇ͘ĐŽŵ͘ AWESOME PRACTICE IN EAST TEXAS FOR SALE: ^>, ŝƐ ůŽŽŬŝŶŐ ĨŽƌ Ă ƋƵĂůŝĮĞĚ ĂƐƐŽĐŝĂƚĞ Žƌ ŶĞǁ ŐƌĂĚƵĂƚĞ͕ ǁŝƚŚ ĂŶ ŽƉƟŽŶ ƚŽ ďƵǇ͕ ƚŚĂƚ ǁŽƵůĚ ůŝŬĞ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ŝŵŵĞĚŝĂƚĞůǇ ƚƌĂŶƐŝƟŽŶ ŝŶƚŽ Ă ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ŝŶ ƚŚŝƐ ŐƌŽǁŝŶŐ ƚŽǁŶ ŽĨ ĞĂƐƚ dĞǆĂƐ͘ dŚĞ ŽǁŶĞƌ ŝƐ ǁŝůůŝŶŐ ƚŽ ƐƚĂǇ ĨŽƌ Ă ŶĞŐŽƟĂƚĞĚ ĂŵŽƵŶƚ ŽĨ ƟŵĞ ŝĨ ŶĞĐĞƐƐĂƌǇ ƚŽ ĞŶƐƵƌĞ Ă ƐŵŽŽƚŚ ƚƌĂŶƐŝƟŽŶ͘ dŚĞ ůŽĐĂƟŽŶ ŽĨ ƚŚĞ ƉƌĂĐƟĐĞ ŝƐ ŶĞĂƌ ƚŚĞ ŚŽƐƉŝƚĂů ŝŶ Ă ďĞĂƵƟĨƵů ƐĐĞŶŝĐ ĂƌĞĂ ƐƵƌƌŽƵŶĚĞĚ ďǇ ŵĂŶǇ ƉƌŽĨĞƐƐŝŽŶĂů ďƵŝůĚŝŶŐƐ͘ dŚĞ ƐƚĂī ŝƐ ĞǆĐŝƚĞĚ ĂŶĚ ƌĞĂĚǇ

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Texas Dental Journal l www.tda.org l June 2014

ĨŽƌ Ă ŶĞǁ ŵĞŵďĞƌ ĂŶĚ ĨƵƚƵƌĞ ŽǁŶĞƌ ƚŚĂƚ ǁŝůů ĂůůŽǁ ƚŚĞŝƌ ĐƵƌƌĞŶƚ ĚĞŶƟƐƚ ƚŽ ƉƵƌƐƵĞ ŽƚŚĞƌ ŽƉƉŽƌƚƵŶŝƟĞƐ͘ dŚĞ ŽĸĐĞ ƐƉĂĐĞ ŝƐ ϭ͕ϱϬϬ ƐƋ Ō ǁŝƚŚ ϰ ƚƌĞĂƚŵĞŶƚ ƌŽŽŵƐ ĞƋƵŝƉƉĞĚ͕ Ϯ ƉƌŝǀĂƚĞ ŽĸĐĞƐ͕ ĂŶĚ ϲ ŚŝŐŚůǇ ĞǆƉĞƌŝĞŶĐĞĚ ĞŵƉůŽǇĞĞƐ͘ dŚĞ ŶĞǁ ƉƌĂĐƟƟŽŶĞƌ ǁŝůů ůĞĂƐĞ ƐƉĂĐĞ ĨƌŽŵ ƚŚĞ ŐƌŽƵƉ ĚĞŶƚĂů ƉƌĂĐƟĐĞ͘ dŚĞ ŐƌŽƵƉ ƉƌĂĐƟĐĞ ŽĐĐƵƉŝĞƐ Ă ƉŽƌƟŽŶ ŽĨ ƚŚĞ ďƵŝůĚŝŶŐ ĐŽŵƉůĞǆ ĂŶĚ ŝƐ ůŽŽŬŝŶŐ ƚŽ ƚƌĂŶƐĨĞƌ ŽǁŶĞƌƐŚŝƉ ŽĨ ƚŚĞ ƉĂƟĞŶƚ ďĂƐĞ ĂŶĚͬŽƌ ĞƋƵŝƉŵĞŶƚ ǁŝƚŚŝŶ Ɛŝǆ ŵŽŶƚŚƐ͘ >ŝƐƟŶŐ ηϯϬϱϬ ͘ WŝĐƚƵƌĞƐ ĐĂŶ ďĞ ŵĂĚĞ ĂǀĂŝůĂďůĞ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĐŽŶƚĂĐƚ ŽƵƌ ŽĸĐĞ Ăƚ ϵϳϮͲϱϲϮͲϭϬϳϮ Žƌ ĞŵĂŝů ƐŚĞƌƌŝΛƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ Žƌ ǀŝƐŝƚ ŽƵƌ ǁĞďƐŝƚĞ Ăƚ ǁǁǁ͘ ƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ͘ COLORADO DENTAL PRACTICE FOR SALE. >ŽĐĂƚĞĚ ŝŶ ƐŽƵƚŚǁĞƐƚ ŽůŽƌĂĚŽ ŶĞĂƌ ƚŚĞ ^ĂŶ :ƵĂŶ ŵŽƵŶƚĂŝŶƐ͘ ^Ŭŝ͕ ŇǇ ĮƐŚ͕ ŚŝŬĞ͕ ĂŶĚ ŚƵŶƚ͘ /ƚ͛Ɛ Ăůů ŝŶ ǇŽƵƌ ďĂĐŬǇĂƌĚ͘ ƐƚĂďůŝƐŚĞĚ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ƌĞƐƚŽƌĂƟǀĞ ƉƌĂĐƟĐĞ ǁŝƚŚ ƐƚĂƚĞͲŽĨͲƚŚĞͲ Ăƌƚ ĞƋƵŝƉŵĞŶƚ ĂŶĚ ĨƵƌŶŝƐŚŝŶŐƐ ŝƐ ǁĂŝƟŶŐ ĨŽƌ ǇŽƵ ŝŶ ƚŚŝƐ ŵŽƵŶƚĂŝŶ ƚŽǁŶ ĐŽŵŵƵŶŝƚǇ͘ ŽůůĞĐƟŶŐ ŵŝĚͲϲ ĮŐƵƌĞƐ ǁŝƚŚ ƚŚĞ ƉŽƚĞŶƟĂů ƚŽ ĚŽ ǁĂǇ ŵŽƌĞ͘ KǁŶĞƌ ŝƐ ƌĞůŽĐĂƟŶŐ ƚŽ ƉƵƌƐƵĞ Ă ŶĞǁ ƉŚĂƐĞ ŝŶ ŚŝƐ ĚĞŶƚĂů ĐĂƌĞĞƌ͘ 'Ğƚ ŽĨ ƚŚĞ dĞǆĂƐ ŚĞĂƚ ĂŶĚ ƚŚĞ ƌĂƚ ƌĂĐĞ ĂŶĚ ĞŶũŽǇ ƌĞĂů ůŝǀŝŶŐ ĂŐĂŝŶ͘ WƌĂĐƟĐĞ ŝƐ ĂƩƌĂĐƟǀĞůǇ ƉƌŝĐĞĚ ƚŽ ƐĞůů͘ ŵĂŝů ŝŶƋƵŝƌŝĞƐ ƚŽ ƚϭŚϮŽǇĚϯΛ ǇĂŚŽŽ͘ĐŽŵ͘ DALLAS / FORT WORTH: ƌĞĂ ĐůŝŶŝĐƐ ƐĞĞŬŝŶŐ ĂƐƐŽĐŝĂƚĞƐ͘ ĂƌŶ ƐŝŐŶŝĮĐĂŶƚůǇ ĂďŽǀĞ ŝŶĚƵƐƚƌǇ ĂǀĞƌĂŐĞ ŝŶĐŽŵĞ ǁŝƚŚ ƉĂŝĚ ŚĞĂůƚŚ ĂŶĚ ŵĂůƉƌĂĐƟĐĞ ŝŶƐƵƌĂŶĐĞ ǁŚŝůĞ ǁŽƌŬŝŶŐ ŝŶ Ă ŐƌĞĂƚ ĞŶǀŝƌŽŶŵĞŶƚ͘ &Ăǆ ϯϭϮͲϵϰϰͲϵϰϵϵ Žƌ ĞŵĂŝů ĐũƉĂƩĞƌƐŽŶΛ ŬŽƐƐĞƌǀŝĐĞƐ͘ĐŽŵ͘ DALLAS AREA: EĞǁ ĂŶĚ ďĞĂƵƟĨƵů ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ŽŶ /ͲϯϬ ŶĞĂƌ ZŽĐŬǁĂůů͘ KǀĞƌ ϱ ǇĞĂƌƐ ŽĨ ĐůŝŶŝĐĂů ĞǆƉĞƌŝĞŶĐĞ ƌĞƋƵŝƌĞĚ͘ WĞƌĨĞĐƚ ĨŽƌ ĚĞŶƟƐƚƐ ǁŚŽ ƌĞĨĞƌ ĞŶĚŽ͊ WĂǇ ďĂƐĞĚ ŽŶ ĐŽůůĞĐƟŽŶƐ͘ WWK ĂŶĚ DĞĚŝĐĂŝĚ ĂĐĐĞƉƚĞĚ͖ DͲ& Ϯ͗ϬϬ WD Ͳ ϴ͗ϬϬ WD ĂŶĚ ^ĂƚƵƌĚĂǇƐ ĂǀĂŝůĂďůĞ͘ sŝƐŝƚ ǁǁǁ͘ ŵŽĐŬŝŶŐďŝƌĚĚĞŶƚĂůŐƌŽƵƉ͘ĐŽŵ͘ DALLAS TOLLWAY &LBJ: ĞŶƟƐƚƐ ŶĞĞĚĞĚ ƉĂƌƚͲƟŵĞ ĂŶĚ ĨƵůůͲ ƟŵĞ ĨŽƌ ŶĞǁ͕ ĞǆƚĞŶĚĞĚͲŚŽƵƌƐ͕ ŚŝŐŚ ƉƌŽĚƵĐƟŽŶ͕ ƚƌĞĂƚŵĞŶƚͲ ŽƌŝĞŶƚĞĚ ƉƌĂĐƟĐĞ ŽƉĞŶŝŶŐ ũƵƐƚ ƉƌŝŽƌ ƚŽ DĞŵŽƌŝĂů ĂǇ͘ DƵƐƚ ďĞ ĐŽŵĨŽƌƚĂďůĞ ǁŝƚŚ ŵŽƐƚ ŵŽůĂƌ ĞŶĚŽ ĂŶĚ ǁŝƐĚŽŵ ƚŽŽƚŚ

ADVERTISING BRIEFS ĞǆƚƌĂĐƟŽŶ ĐĂƐĞƐ͘ /ŵƉůĂŶƚƐ ĞǆƉĞƌŝĞŶĐĞ Ă ŚƵŐĞ ƉůƵƐ͘ WůĞŶƚǇ ŽĨ Θ ͘ ĞŶƚƵƌĞƐ ĂůƐŽ ĂŶ ŽƉƉŽƌƚƵŶŝƚǇ͘ ϭϬϵϵ ĐŽŶƚƌĂĐƚ ƉŽƐŝƟŽŶ ǁŝƚŚ ŐĞŶĞƌŽƵƐ ĐŽŵŵŝƐƐŝŽŶ͘ &Žƌ ŝŵŵĞĚŝĂƚĞ ĐŽŶƐŝĚĞƌĂƟŽŶ͕ ƉůĞĂƐĞ ĞŵĂŝů ǇŽƵƌ s ĂŶĚ ĂǀĂŝůĂďŝůŝƚǇ ƚŽ ĐǀΛĞƌĚĞŶƟƐƚ͘ĐŽŵ͘

ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͕ Ϯ ĚĞŶƟƐƚƐ ĂŶĚ ϭ ŚǇŐŝĞŶĞ͘ ƐƚĂďůŝƐŚĞĚ ƉĂƟĞŶƚͲďĂƐĞ ǁŝƚŚ ŐƌŽǁƚŚ ŽƉƉŽƌƚƵŶŝƚǇ͘ ŽŶƚĂĐƚ ŚƌŝƐƐǇ ƵŶŶ Ăƚ ϴϬϬͲϵϯϬͲϴϬϭϳ Žƌ ǁǁǁ͘ Z ĞŶƚĂů͘ĐŽŵ ; ĞŶƚĂů dƌƵƐƚΡ DĞŵďĞƌͿ͘

DDR DENTAL — AUSTIN: GENERAL PRACTICE. tĞůůͲ ĞƐƚĂďůŝƐŚĞĚ ƵƐƟŶ ƉƌĂĐƟĐĞ ŝŶ ƚĞƌƌŝĮĐ ŶŽƌƚŚ ƵƐƟŶ ůŽĐĂƟŽŶ͘ tĞůů ĚĞƐŝŐŶĞĚ ĂŶĚ ĚĞĐŽƌĂƚĞĚ ŽĸĐĞ͘ &ƌŽŶƚƐ ŚŝŐŚͲƚƌĂĸĐ ,ǁǇ ϭϴϮ͘ &ŽƵƌ ŽƉĞƌĂƚŽƌŝĞƐ ŝŶ ƵƐĞ ĂŶĚ ƉůƵŵďĞĚ ĨŽƌ ϰ ŵŽƌĞ͘ DŝĚͲ ϲ ĮŐƵƌĞ ŐƌŽƐƐ ĂŶĚ ŚŝŐŚ ŶĞƚ ŝŶĐŽŵĞ͘ &ƌĞĞͲƐƚĂŶĚŝŶŐ ďƵŝůĚŝŶŐ ĂůƐŽ ĂǀĂŝůĂďůĞ ĨŽƌ ƐĂůĞ͘ ŽŶƚĂĐƚ ŚƌŝƐƐǇ ZŽĞŚŵ ƵŶŶ Ăƚ ϴϬϬͲϵϯϬͲϴϬϭϳ Žƌ ǀŝĞǁ ƚŚĞ ƉƌĂĐƟĐĞ Ăƚ Z ĞŶƚĂů͘ĐŽŵ ; Z ĞŶƚĂů dƌƵƐƚ DĞŵďĞƌͿ͘

Z Ed >ͷ,Kh^dKE ΈtKK > E ^ ͬ KEZK Ή͗ WĞƌŝŽĚŽŶƚĂů ƉƌĂĐƟĐĞ͘ dǁŽ ŽĸĐĞƐ ŝŶ ŐƌŽǁŝŶŐ tŽŽĚůĂŶĚƐ ĂŶĚ ŽŶƌŽĞ͘ ǆĐĞƉƟŽŶĂů ĐŽŵďŝŶĞĚ ŐƌŽƐƐ ǁŝƚŚ ǀĞƌǇ͕ ǀĞƌǇ ŚŝŐŚ ŶĞƚ ŝŶĐŽŵĞ͘ ƐƚĂďůŝƐŚĞĚ ƉĂƟĞŶƚͲďĂƐĞ ǁŝƚŚ ŐƌŽǁƚŚ ŽƉƉŽƌƚƵŶŝƚǇ͘ tĞůů ĐĂƌĞĚ ĨŽƌ ĨĂĐŝůŝƟĞƐ ǁŝƚŚ ϰ ŽƉĞƌĂƚŽƌŝĞƐ ŝŶ dŚĞ tŽŽĚůĂŶĚƐ ŽĸĐĞ ĂŶĚ ϰ ŽƉĞƌĂƚŽƌŝĞƐ ŝŶ ŽŶƌŽĞ ŽĸĐĞ͘ ŽŶƚĂĐƚ ŚƌŝƐƐǇ ƵŶŶ Ăƚ ϴϬϬͲϵϯϬͲϴϬϭϳ Žƌ ǁǁǁ͘ Z ĞŶƚĂů͘ ĐŽŵ ; ĞŶƚĂů dƌƵƐƚΡ DĞŵďĞƌͿ͘

DDR DENTAL — SOUTHWEST HOUSTON (FONDREN): ' E Z > WZ d/ ͘ ,ŝŐŚͲϳ ĮŐƵƌĞ ŐƌŽƐƐ ǁŝƚŚ ŵŝĚͲŚŝŐŚͲϲ ĮŐƵƌĞ ŶĞƚ ŝŶĐŽŵĞ͘ &ŽƵƌ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ŽŶ ƐŵĂůů ŝŶĞǆƉĞŶƐŝǀĞ ĨŽŽƚƉƌŝŶƚ͘ tĞůůͲĞƐƚĂďůŝƐŚĞĚ ƉĂƟĞŶƚ ďĂƐĞ͘ ŽŶƚĂĐƚ ŚƌŝƐƐǇ ZŽĞŚŵ ƵŶŶ Ăƚ ϴϬϬͲϵϯϬͲϴϬϭϳ Žƌ ǀŝĞǁ ƚŚĞ ƉƌĂĐƟĐĞ Ăƚ Z ĞŶƚĂů͘ĐŽŵ͘

DDR DENTAL—PANHANDLE TEXAS: KƌĂů ƐƵƌŐĞƌǇ ƉƌĂĐƟĐĞ͘ ǆƚƌĞŵĞůǇ ŚŝŐŚ ŐƌŽƐƐ ǁŝƚŚ ĞǆĐĞƉƟŽŶĂůůǇ ŚŝŐŚ ŶĞƚ ŝŶĐŽŵĞ͘ &ŽƵƌ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ƐƵƌŐŝĐĂů ƐƵŝƚĞ͘ KƉƟŽŶ ƚŽ ƉƵƌĐŚĂƐĞ ďƵŝůĚŝŶŐ ĂůƐŽ ĂǀĂŝůĂďůĞ͘ tĞůůͲĞƐƚĂďůŝƐŚĞĚ ƌĞĨĞƌƌĂů ĂŶĚ ƉĂƟĞŶƚ ďĂƐĞ͘ ŽŶƚĂĐƚ ŚƌŝƐƐǇ ƵŶŶ Ăƚ ϴϬϬͲϵϯϬͲϴϬϭϳ Žƌ ǁǁǁ͘ Z ĞŶƚĂů͘ĐŽŵ͘

DDR DENTAL — PANHANDLE TEXAS: KƌĂů ƐƵƌŐĞƌǇ ƉƌĂĐƟĐĞ͘ ^ĞǀĞŶͲĮŐƵƌĞ ŐƌŽƐƐ ǁŝƚŚ ĞǆƉĞĐƚĞĚ ŚŝŐŚͲϲ ĮŐƵƌĞ ŶĞƚ ŝŶĐŽŵĞ͘ &ŽƵƌ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ƐƵƌŐŝĐĂů ƐƵŝƚĞ͘ KƉƟŽŶ ƚŽ ƉƵƌĐŚĂƐĞ ďƵŝůĚŝŶŐ ĂůƐŽ ĂǀĂŝůĂďůĞ͘ tĞůůͲĞƐƚĂďůŝƐŚĞĚ ƌĞĨĞƌƌĂů ĂŶĚ ƉĂƟĞŶƚ ďĂƐĞ͘ ŽŶƚĂĐƚ ŚƌŝƐƐǇ ZŽĞŚŵ ƵŶŶ Ăƚ ϴϬϬͲϵϯϬͲ ϴϬϭϳ Žƌ ǀŝĞǁ ƚŚĞ ƉƌĂĐƟĐĞ Ăƚ Z ĞŶƚĂů͘ĐŽŵ͘ dŽ ŽďƚĂŝŶ ƟŵĞůǇ ŝŶĨŽƌŵĂƟŽŶ ĂďŽƵƚ ƚŚĞ ƉƌĂĐƟĐĞƐ ƚŚĂƚ ǁĞ ŚĂǀĞ ĨŽƌ ƐĂůĞ ĂŶĚ ƌĞĐĞŶƚůǇ ƐŽůĚ͕ ƉůĞĂƐĞ ǀŝƐŝƚ ŽƵƌ ǁĞďƐŝƚĞ Ăƚ Z ĞŶƚĂů͘ ĐŽŵ͘

DENTISTS: ƉƌĂĐƟĐĞ ŽĨ ϭ ǇĞĂƌ ůŽŽŬŝŶŐ ĨŽƌ Ă ͬ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ƚŽ ĐŽŵĞ ŽŶ ďŽĂƌĚ ĂƐ ĞŵƉůŽǇĞĞ ǁŝƚŚ ƉŽƐƐŝďůĞ ďƵǇͲŝŶ͘ dŚŝƐ ŝƐ ĂŶ Ăůů ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚƐ͛ ŽĸĐĞ͘ zŽƵ ǁŽƵůĚ ďĞ ǁŽƌŬŝŶŐ ŶĞǆƚ ƚŽ Ă ďŽĂƌĚͲĐĞƌƟĮĞĚ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ͘ 'ŽŽĚ ƚĞƌŵƐ ǁŝƚŚ ŐƌĞĂƚ ƉĂǇ ĂŶĚ ǁŽƌŬ ŚŽƵƌƐ͘ DƵƐƚ ďĞ ĂďůĞ ƚŽ ŐĞƚ ďŽĂƌĚ ĐĞƌƟĮĞĚ ǁŝƚŚŝŶ ϭ ǇĞĂƌ͘ KZ ĐĂƐĞƐ ĚŽŶĞ Ăƚ ů WĂƐŽ͛Ɛ ŚŝůĚƌĞŶ͛Ɛ ,ŽƐƉŝƚĂů͘ ǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ͘ ŽŶƚĂĐƚ ϳϭϵͲϲϳϭͲϱϲϭϳ Žƌ ƚƉĂƌĐŽΛĚĞŶƚĂůƋƵĞƐƟŽŶƐ͘ĐŽŵ͘

Z Ed > ͷ ,Kh^dKE Έ ,/DE z ZK <Ή͗ 'ĞŶĞƌĂů ƉƌĂĐƟĐĞ͕ ƚĞƌƌŝĮĐ ŐƌŽǁƚŚ ŽƉƉŽƌƚƵŶŝƚǇ ǁŝƚŚ ŶĞǁůǇ ƌĞŶŽǀĂƚĞĚ ĨĂĐŝůŝƟĞƐ͘ &ƌŽŶƚƐ ŚŝŐŚ ƚƌĂĸĐ ŚŝŵŶĞǇ ZŽĐŬ ZŽĂĚ͘ &ŽƵƌ ŽƉĞƌĂƚŽƌŝĞƐ ŝŶ ƵƐĞ ĂŶĚ ƉůƵŵďĞĚ ĨŽƌ ϰ ŵŽƌĞ͘ &ƌĞĞͲƐƚĂŶĚŝŶŐ ďƵŝůĚŝŶŐ ǁŝƚŚ ϳ͕ϬϬϬ ƚŽƚĂů ƐƋ Ō ĂůƐŽ ĂǀĂŝůĂďůĞ ĨŽƌ ƐĂůĞ͘ ŽŶƚĂĐƚ ŚƌŝƐƐǇ ƵŶŶ Ăƚ ϴϬϬͲϵϯϬͲϴϬϭϳ Žƌ ǁǁǁ͘ Z ĞŶƚĂů͘ĐŽŵ͘ DDR DENTAL — HOUSTON (WEST SIDE): 'ĞŶĞƌĂů ƉƌĂĐƟĐĞ͘ ǆĐĞůůĞŶƚ ŐƌŽƐƐ ǁŝƚŚ ǀĞƌǇ ŚŝŐŚ ŶĞƚ ŝŶĐŽŵĞ͘ &ƌŽŶƚƐ tĞƐƚŚĞŝŵĞƌ ŶĞĂƌ ĞůƚǁĂǇ ϴ ŝŶ ĞƐƚĂďůŝƐŚĞĚ ƐƚƌŝƉ ĐĞŶƚĞƌ͘ ĞŶƟƐƚ ĞĂƌŶƐ ŚŝŐŚ ŝŶĐŽŵĞ ŽŶ ϰ ĚĂǇ ǁŽƌŬ ǁĞĞŬ͘ dŚƌĞĞ ĨƵůůǇ

DENTON COUNTY: >ĞĂƐĞ ƐƉĂĐĞ ĨŽƌ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ĨŽƌ ůĞĂƐĞ Žƌ ƐĂůĞ͘ WůƵŵďĞĚ ĂŶĚ ĐĂďŝŶĞƚƐ ĨŽƌ ŐĂƐ ĂŶĚ ƐƵĐƟŽŶ ĨŽƌ ϱ ĐŚĂŝƌƐ ŝŶ ŽƉĞŶ ĂƌĞĂ ĂŶĚ ŽŶĞ ƉƌŝǀĂƚĞ ŽƉĞƌĂƚŽƌǇ͘ >ĂƌŐĞ ǁĂŝƟŶŐ ƌŽŽŵ͕ ĮŶĂŶĐĞ ŽĸĐĞ͕ ĐŽŶƐƵůƚ ƌŽŽŵ͕ Ϯ ƉƌŝǀĂƚĞ ŽĸĐĞƐ͕ ŬŝƚĐŚĞŶͬůŽƵŶŐĞ͖ Ϯ͕ϱϲϬ ƐƋ Ō ŝŶ ďƵŝůĚŝŶŐ ǁŝƚŚ Ϯ ŐĞŶĞƌĂů ĚĞŶƟƐƚƐ͘ Ăůů ϵϳϮͲϯϭϳͲϲϮϭϭ DFW AREA: ^ĞĞŬŝŶŐ ŐĞŶĞƌĂů ĚĞŶƟƐƚƐ ĂŶĚ ƐƉĞĐŝĂůŝƐƚƐ͘ KƵƌ ŽĸĐĞƐ ĂƌĞ ůŽĐĂƚĞĚ ŝŶ ƚŚĞ ĂůůĂƐ ͬ &Žƌƚ tŽƌƚŚ ĂƌĞĂ͘ tĞ ĂƌĞ ůŽŽŬŝŶŐ ĨŽƌ ĐĂƌŝŶŐ͕ ĞŶĞƌŐĞƟĐ ĂƐƐŽĐŝĂƚĞƐ͘ EĞǁ ŐƌĂĚƵĂƚĞ ĂŶĚ ĞǆƉĞƌŝĞŶĐĞĚ ĚĞŶƟƐƚƐ ǁĞůĐŽŵĞ͘ tĞ ŽīĞƌ ďĞŶĞĮƚƐ͕ Ă ŚĞůƉĨƵů ǁŽƌŬŝŶŐ ĞŶǀŝƌŽŶŵĞŶƚ ĂŶĚ ĂŶ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ŐƌŽǁ͘ tĞ Texas Dental Journal l www.tda.org l June 2014

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ADVERTISING BRIEFS ĂĐĐĞƉƚ ŵŽƐƚ ŝŶƐƵƌĂŶĐĞ ĂŶĚ DĞĚŝĐĂŝĚ͘ WůĞĂƐĞ ƐƵďŵŝƚ ǇŽƵƌ ƌĞƐƵŵĞ ǀŝĂ ĞŵĂŝů ƚŽ ũĞŶŶŝĨĞƌΛƐŵŝůĞǁŽƌŬƐŚŽƉ͘ĐŽŵ Žƌ ĐĂůů ŽƵƌ ŽĸĐĞ Ăƚ ϮϭϰͲϳϱϳͲϰϱϬϬ͘

ŝŶĐůƵĚŝŶŐ ŚǇŐŝĞŶŝƐƚ͘ /ŶĐŽŵĞ ŽƉƉŽƌƚƵŶŝƚǇ ǁĞůů ĂďŽǀĞ ĂǀĞƌĂŐĞ͘ WƌŽĨĞƐƐŝŽŶĂů ŽƉƉŽƌƚƵŶŝƚǇ ĞǀĞŶ ŐƌĞĂƚĞƌ͘ ^ĞŶĚ ƌĞƐƵŵĞ ƚŽ ĚƌĂƌƚďĞũĂƌĂŶŽΛŐŵĂŝů͘ĐŽŵ͘

EAST TEXAS: tĞůůͲĞƐƚĂďůŝƐŚĞĚ ĚĞŶƚĂů ƉƌĂĐƟĐĞ ƐĞĞŬƐ ĐĂƌŝŶŐ͕ ƉƌŽĮĐŝĞŶƚ͕ ĂŶĚ ŵŽƟǀĂƚĞĚ ĚĞŶƟƐƚ ĨŽƌ ĂƐƐŽĐŝĂƚĞ ĞŵƉůŽǇŵĞŶƚ͘ KƵƌ ŽĸĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă ŵŝĚͲƐŝǌĞĚ ƚŽǁŶ ǁŝƚŚ ĂďƵŶĚĂŶƚ ŽƵƚĚŽŽƌ ĂĐƟǀŝƟĞƐ ŝŶĐůƵĚŝŶŐ ŚƵŶƟŶŐ ĂŶĚ ĮƐŚŝŶŐ ĂŶĚ Ă ͞ƐŵĂůů ƚŽǁŶ͟ ĂƚŵŽƐƉŚĞƌĞ͘ tĞ ŽīĞƌ Ăůů ƉŚĂƐĞƐ ŽĨ ĚĞŶƟƐƚƌǇ͘ /ŶƚĞƌĞƐƚĞĚ ĐĂŶĚŝĚĂƚĞƐ ƐŚŽƵůĚ ĞŵĂŝů ĐŽƌƌĞƐƉŽŶĚĞŶĐĞ ĂŶĚ ƌĞƐƵŵĞ ƚŽ ŵůŽŽŶϮϰϮΛĂŽů͘ĐŽŵ͘

ENDODONTIST — FULL TIME, KILLEEN: ĂƌƵƐ ĞŶƚĂů͕ ĞƐƚĂďůŝƐŚĞĚ ŝŶ ϭϵϴϯ ŝŶ ƵƐƟŶ͕ ŚĂƐ ĂůǁĂǇƐ ďĞĞŶ ĐŽŵŵŝƩĞĚ ƚŽ ƚŚĞ ƚƌĂĚŝƟŽŶĂů ĚŽĐƚŽƌͲƉĂƟĞŶƚ ƌĞůĂƟŽŶƐŚŝƉ ĂŶĚ ƚŽ ƚŚĞ ŚŝŐŚĞƐƚ ƋƵĂůŝƚǇ ŝŶ ĚĞŶƚĂů ĐĂƌĞ ĂŶĚ ƐĞƌǀŝĐĞ͘ tĞ ĐƵƌƌĞŶƚůǇ ŚĂǀĞ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϰϴ ĚŽĐƚŽƌƐ ŽŶ ƐƚĂī ĂĐƌŽƐƐ ŽƵƌ Ϯϭ ƉƌĂĐƟĐĞƐ ŝŶ ƵƐƟŶ͕ ,ŽƵƐƚŽŶ ĂŶĚ ĞŶƚƌĂů dĞǆĂƐ͘ tĞ ŽīĞƌ ĚĞŶƚĂů ƐĞƌǀŝĐĞƐ ŝŶ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ͕ ŽƌĂů ƐƵƌŐĞƌǇ͕ ŽƌƚŚŽĚŽŶƟĐƐ͕ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚƌǇ͕ ĞŶĚŽĚŽŶƟĐƐ͕ ƉĞƌŝŽĚŽĚŽŶƟĐƐ ĂŶĚ ƉƌŽƐƚŚŽĚŽŶƟĐƐ ŝŶ ƐŽŵĞ Žƌ Ăůů ŽĨ ŽƵƌ ƉƌĂĐƟĐĞƐ͘ ĂƌƵƐ ĞŶƚĂů ŚĂƐ ďĞĞŶ ĂĐĐƌĞĚŝƚĞĚ ďǇ ƚŚĞ ĐĐƌĞĚŝƚĂƟŽŶ ƐƐŽĐŝĂƟŽŶ ŽĨ ŵďƵůĂƚŽƌǇ ,ĞĂůƚŚ ĂƌĞ ƐŝŶĐĞ ϮϬϬϬ͘ tĞ ŽīĞƌ Ă ĐŽŵƉĞƟƟǀĞ ƐĂůĂƌǇ ĂŶĚ ĞǆĐĞůůĞŶƚ ďĞŶĞĮƚ ƉĂĐŬĂŐĞ ŝŶĐůƵĚŝŶŐ Ă ϰϬϭŬ͕ ŚĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ĂŶĚ Ă ƉƌŽĨĞƐƐŝŽŶĂů ǁŽƌŬ ĞŶǀŝƌŽŶŵĞŶƚ͘ dŽ ůĞĂƌŶ ŵŽƌĞ ĂďŽƵƚ ŵĞƌŝĐĂŶ ĞŶƚĂů WĂƌƚŶĞƌƐ ĂŶĚ ĂƌƵƐ ĞŶƚĂů ƉůĞĂƐĞ ǀŝƐŝƚ ƵƐ Ăƚ ǁǁǁ͘ĂŵĚƉŝ͘ĐŽŵ ĂŶĚ ǁǁǁ͘ĐĂƌƵƐĚĞŶƚĂů͘ ĐŽŵ͘ /Ĩ ŝŶƚĞƌĞƐƚĞĚ͕ ƉůĞĂƐĞ ƐĞŶĚ s ĂŶĚ ĐŽǀĞƌ ůĞƩĞƌ ƚŽ ŬĂƚĞĂŶĚĞƌƐŽŶΛĂŵĚƉŝ͘ĐŽŵ͘

EDINBURG: &ĂůĐŽŶ ĞŶƟƐƚƌǇ W ĚďĂ &ĂůĐŽŶ ĞŶƚĂů ĞŶƚĞƌ ƐĞĞŬƐ ĚĞŶƟƐƚ ŝŶ ĚŝŶďƵƌŐ͘ ŽĐƚŽƌ ŽĨ ĞŶƚĂů ^ƵƌŐĞƌǇ ĚĞŐƌĞĞ ƌĞƋƵŝƌĞĚ͘ dĞǆĂƐ ĚĞŶƚĂů ůŝĐĞŶƐĞ ƌĞƋƵŝƌĞĚ͘ YƵĂůŝĮĞĚ ĂƉƉůŝĐĂƟŽŶƐ ŵĂǇ ƐƵďŵŝƚ ƌĞƐƵŵĞ ĚŝƌĞĐƚůǇ ƚŽ ƚůĂŶƟƐ 'ůŽƌŝĂ DŽǇĂ͕ ŽĸĐĞ ŵĂŶĂŐĞƌ͕ ǀŝĂ ĨĂǆ Ăƚ ϵϱϲͲϮϴϳͲϰϵϮϲ Žƌ ǀŝĂ ĞŵĂŝů Ăƚ ĨĂůĐŽŶĚĞŶƟƐƚƌǇΛŐŵĂŝů͘ĐŽŵ͘ EL PASO: &ƵůůͲƟŵĞ ƉŽƐŝƟŽŶ ĨŽƌ Ă ŐĞŶĞƌĂů ĚĞŶƟƐƚ͘ Ž ŶŽƚ ǁĂƐƚĞ ǇŽƵƌ ďĞƐƚ ǇĞĂƌƐ Ăƚ ĚĞĂĚͲĞŶĚ ũŽďƐ͘ 'ƌĞĂƚ ĞĂƌŶŝŶŐ ƉŽƚĞŶƟĂů ĂŶĚ ĨƵƚƵƌĞ ƉĂƌƚŶĞƌƐŚŝƉ ŽƉƟŽŶ͘ īŽƌĚĂďůĞ ů WĂƐŽ ĞŶƚĂů ŝƐ ůŽŽŬŝŶŐ ĨŽƌ Ă dĞǆĂƐͲůŝĐĞŶƐĞĚ ĚĞŶƟƐƚ ƚŽ ǁŽƌŬ ĨƵůůͲ ƟŵĞ ŝŶ ŽƵƌ ŽĸĐĞ ŝŶ ů WĂƐŽ͘ ƉƉůŝĐĂŶƚ ŵƵƐƚ ďĞ ůŝĐĞŶƐĞĚ ŝŶ ƚŚĞ ƐƚĂƚĞ ŽĨ dĞǆĂƐ ĂŶĚ ŚĂǀĞ ϭ ǇĞĂƌ ŽĨ ĞǆƉĞƌŝĞŶĐĞ͘ /Ĩ ŝŶƚĞƌĞƐƚĞĚ ƉůĞĂƐĞ ƐƵďŵŝƚ Ă ƌĞƐƵŵĞ ǁŝƚŚ ĂŶ ĂĐĐƵƌĂƚĞ ĐŽŶƚĂĐƚ ŶƵŵďĞƌ ĂŶĚ ĞŵĂŝů ĂĚĚƌĞƐƐ ƚŽ ƚŚĞ ĨŽůůŽǁŝŶŐ͗ ĚƌĚĂƌũΛŐŵĂŝů͘ ĐŽŵ͘ EL PASO: tĞ ĂƌĞ ŚŝƌŝŶŐ Ă ƐŬŝůůĞĚ ĂŶĚ ĐŽŵƉĂƐƐŝŽŶĂƚĞ ĚĞŶƟƐƚ ƚŽ ũŽŝŶ ŽƵƌ ƐƚĂďůĞ ĂŶĚ ƐƵĐĐĞƐƐĨƵů ƉƌĂĐƟĐĞ͘ tĞ ĂƌĞ ƐĞĞŬŝŶŐ Ă ŚŝŐŚůǇ ƉƌŽĨĞƐƐŝŽŶĂů ĚĞŶƟƐƚ ǁŝƚŚ Ă ŬŶĂĐŬ ĨŽƌ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ͘ WƌŽƐƉĞĐƟǀĞ ĐĂŶĚŝĚĂƚĞƐ ŵƵƐƚ ďĞ ĚǇŶĂŵŝĐ͕ ĨƵŶͲůŽǀŝŶŐ͕ ĂŶĚ ůŽŽŬŝŶŐ ĨŽƌ Ă ůŽŶŐ ƚĞƌŵ ĐŽŵŵŝƚŵĞŶƚ͘ KƵƌ ƉƌĂĐƟĐĞ ŝƐ ŚŝŐŚůǇ ƉƌŽĚƵĐƟǀĞ ĂīŽƌĚŝŶŐ ŽƵƌ ƉƌŽǀŝĚĞƌƐ ĂŶ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ĂƩĂŝŶ ĐŽŵƉĞƟƟǀĞ ĐŽŵƉĞŶƐĂƟŽŶ͘ /Ĩ ŝŶƚĞƌĞƐƚĞĚ͕ ƉůĞĂƐĞ ĨŽƌǁĂƌĚ ǇŽƵƌ s ƚŽ ĂŶŶĞƩĞΛ ǀŝƐƚĂŚŝůůƐĨĂŵŝůǇĚĞŶƚĂů͘ĐŽŵ͘ EL PASO: tĞůůͲĞƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ ŽĨ ŽǀĞƌ ϯϬ ǇĞĂƌƐ ƐĞĞŬŝŶŐ ĨƵůůͲƟŵĞ ŐĞŶĞƌĂů ĚĞŶƟƐƚ ĂƐƐŽĐŝĂƚĞ͘ ƐƐŽĐŝĂƚĞ ǁŽƵůĚ ďĞ ƐŽůĞ ĚĞŶƟƐƚ Ăƚ ŽŶĞ ŽĨ Ϯ ŽĸĐĞ ůŽĐĂƟŽŶƐ ǁŝƚŚ ĨƵůů ƐƚĂī

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Texas Dental Journal l www.tda.org l June 2014

GALVESTON: tĞůůͲĞƐƚĂďůŝƐŚĞĚ͕ ƐƵĐĐĞƐƐĨƵů ƉƌĂĐƟĐĞ ŽĨ ϯϱ ǇĞĂƌƐ ŶĞĞĚƐ ĨƵůůͲƟŵĞ ĂƐƐŽĐŝĂƚĞ ĚĞŶƟƐƚ ĨŽƌ &&^ͬWWK ƉƌĂĐƟĐĞ͘ ǆƉĞƌŝĞŶĐĞĚ ƐƚĂī͕ ŶĞǁ ĞƋƵŝƉŵĞŶƚ͕ 'ĂůǀĞƐƚŽŶ͘ ^ĞŶŝŽƌ ŽǁŶĞƌ ůŽǀĞƐ ƚŽ ƚĞĂĐŚ ƐĞĚĂƟŽŶ͕ ŝŵƉůĂŶƚƐ͕ ĂŶĚ ŽƚŚĞƌ ƐƵƌŐŝĐĂů ƉƌŽĐĞĚƵƌĞƐ͘ EŽ DĞĚŝĐĂŝĚ͕ ŶŽ ,DK ƉƌĂĐƟĐĞ ŝŶ ϲ ŽƉƐ͕ Ϯ ƐƵƌŐŝĐĂů ƐƵŝƚĞƐ͕ Ăůů ŽƉĞƌĂƚŽƌŝĞƐ ĐŽŵƉƵƚĞƌŝǌĞĚ ǁŝƚŚ ĚŝŐŝƚĂů yͲƌĂǇ ĂŶĚ ŝŶƚƌĂͲŽƌĂů ĐĂŵĞƌĂƐ͖ ĚŝŐŝƚĂů ƉĂŶŽƌĂŵŝĐ yͲƌĂǇ͖ ƉĂƉĞƌůĞƐƐ ĐŚĂƌƚƐ ĨŽƌ ĞĂƐǇ ĚŽĐƵŵĞŶƚĂƟŽŶ͘ sŝƐŝƚ ǁǁǁ͘ƚŽĚĂǇƐĚĞŶƟƐƚƌǇƚĞǆĂƐ͘ĐŽŵ͘ dŚĞ 'ĂůǀĞƐƚŽŶ ĂƌĞĂ ŝƐ ũƵƐƚ ϳϱ ŵŝŶƵƚĞƐ ƐŽƵƚŚ ŽĨ ůĞĂƌ >ĂŬĞ Ϯϱ ǁŚŝĐŚ ŚĂƐ ƉůĂŶŶĞĚ ĐŽŵŵƵŶŝƟĞƐ ǁŝƚŚ ƐƵƉĞƌŝŽƌ ƐĐŚŽŽůƐ͕ ŵƵůƟƉůĞ ĞĚƵĐĂƟŽŶĂů͕ ƌĞĐƌĞĂƟŽŶĂů ĂŶĚ ĐƵůƚƵƌĂů ǀĞŶƵĞƐ ĂƐ ǁĞůů ĂƐ ĂĐĐĞƐƐ ƚŽ Ăůů ŽĨ ƚŚĞ ,ŽƵƐƚŽŶ ĐƵůƚƵƌĂů ĂŶĚ ƐƉŽƌƚ ǀĞŶƵĞƐ͕ ƐŚŽƉƉŝŶŐ ĂŶĚ ƌĞƐƚĂƵƌĂŶƚƐ͘ tĞ ĂƌĞ ŵŝŶƵƚĞƐ ĂǁĂǇ ĨƌŽŵ Ăůů ƚǇƉĞƐ ŽĨ ǁĂƚĞƌ ƐƉŽƌƚƐ ŝŶĐůƵĚŝŶŐ ƐĞǀĞƌĂů ůĂƌŐĞ ŵĂƌŝŶĂƐ͘ ŚƩƉ͗ͬͬŐŽŽ͘Őůͬ ŵĂƉƐͬůtŬ&͘ WŽƐƐŝďŝůŝƚǇ ŽĨ ďƵǇͲŝŶ ĂŶĚ ƉĂƌƚŶĞƌƐŚŝƉ ƉŽƐƐŝďůĞ ĂŌĞƌ ĂŶ ŝŶƚĞƌŝŵ ƚĞƌŵ͘ /ŶƚĞƌǀŝĞǁ ƚŽĚĂǇ͊ ŵĂŝů s ƚŽ ŬŬĐĂƌƌŽůůϭϬǇĂŚŽŽ͘ĐŽŵ Žƌ ĐĂůů ϴϯϮͲϯϴϱͲϴϴϳϱ͘

ADVERTISING BRIEFS GARY CLINTON DENTON-AREA GENERAL PRACTICE FOR SALE. Ͳϭ͗ ZĞƟƌŝŶŐ ĚĞŶƟƐƚ ŽǁŶƐ ƚŚĞ ĨĂĐŝůŝƚǇ͘ &ŝǀĞ ŽƉĞƌĂƚŽƌŝĞƐ͖ ŽƵƚƌŝŐŚƚ ƐĂůĞ ǁŝƚŚ ƚƌĂŶƐŝƟŽŶ͖ ŶŽ ůŽǁ ĨĞĞ ƉůĂŶƐ͘ ƵǇ Ăƚ Ă ŐƌĞĂƚ ƉƌŝĐĞ ĂŶĚ ďƵŝůĚ Ă ƐƵĐĐĞƐƐĨƵů ƉƌĂĐƟĐĞ͘ ŽŶƚĂĐƚ 'ĂƌǇ ůŝŶƚŽŶ͕ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ͘ GARY CLINTON HOUSTON PRACTICES FOR SALE. ,Ͳϭ dŽŵďĂůůͬ ǇƉƌĞƐƐ͕ ŶŽƌƚŚĞĂƐƚ ĂƌĞĂ͗ &ĂŵŝůǇ ƉƌĂĐƟĐĞ͘ ŝŐŝƚĂů ĞƋƵŝƉŵĞŶƚ͖ ƐŚŽƉƉŝŶŐ ĐĞŶƚĞƌ ůŽĐĂƟŽŶ ǁŝƚŚ ĞǆĐĞůůĞŶƚ >ĞĂƐĞ͘ ,ͲϮ &Ăƌ ǁĞƐƚ ,ŽƵƐƚŽŶ͕ ŐƌĞĂƚ ŽƉƉŽƌƚƵŶŝƚǇ͗ tĞůůͲĞƐƚĂďůŝƐŚĞĚ ƉƌĂĐƟĐĞ ŝŶ Ă ŚŝŐŚ ŐƌŽǁƚŚ ĂƌĞĂ͘ dƌƵƐƚ ǇŽƵƌ ůŝĨĞ͛Ɛ ǁŽƌŬ ƚŽ ƚŚĞ ŵŽƐƚ ĞǆƉĞƌŝĞŶĐĞĚ ĂƉƉƌĂŝƐĞƌͬďƌŽŬĞƌ͘ &Žƌ ŽǀĞƌ ϰϬ ǇĞĂƌƐ͕ ǇŽƵ ŚĂǀĞ ƐĞĞŶ ƚŚĞ ŶĂŵĞ 'ĂƌǇ ůŝŶƚŽŶ ǁŽƌŬŝŶŐ ĂƐ Ă ŵĂŶĂŐĞŵĞŶƚ ĐŽŶƐƵůƚĂŶƚ͕ ĂƉƉƌĂŝƐĞƌ͕ ĐŽŶƐƵůƚĂŶƚ ĂŶĚ ƐĂůĞƐ ďƌŽŬĞƌ ŽĨ ŐĞŶĞƌĂů ĚĞŶƚĂů ĂŶĚ ƐƉĞĐŝĂůƚǇ ƉƌĂĐƟĐĞƐ ŝŶ dĞǆĂƐ͘ / ŚĂǀĞ ďƵǇĞƌƐ ĨŽƌ Ăůů ŵĞƚƌŽ ĂƌĞĂƐ ŽĨ dĞǆĂƐ͘ <ŶŽǁůĞĚŐĞĂďůĞ ďƵǇĞƌƐ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ƉĂǇ ƚŚĞ ĨĂŝƌ ŵĂƌŬĞƚ ǀĂůƵĞ ŝŶ ŐƌŽǁƚŚ ĂƌĞĂƐ ĐŽŵŵĂŶĚŝŶŐ ŚŝŐŚĞƌ ǀĂůƵĞƐ͘ DǇ ĐĞƌƟĮĞĚ ĂƉƉƌĂŝƐĂůƐ ƵƐĞ ĐŽŵƉĂƌĂďůĞƐ ĨƌŽŵ dĞǆĂƐ ƉƌĂĐƟĐĞƐ ŝŶ ƚŚĞ ƐĂŵĞ Žƌ ƐŝŵŝůĂƌ ƉĂƌƚƐ ŽĨ dĞǆĂƐ͘ ^ĞŶŝŽƌ ĂƉƉƌĂŝƐĞƌ ŵĞŵďĞƌ ŽĨ ƚŚĞ /ŶƐƟƚƵƚĞ ŽĨ ƵƐŝŶĞƐƐ ƉƉƌĂŝƐĞƌƐ͕ /ŶĐ͘ Ăůů 'ĂƌǇ ůŝŶƚŽŶ ĐŽŶĮĚĞŶƟĂůůǇ Ăƚ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ͘ ORAL SURGERY PRACTICES. ^ Ͳϭ ^ĂŶ ŶƚŽŶŝŽ͕ ĨĂƐƚ ŐƌŽǁŝŶŐ ŽƵƚůǇŝŶŐ ĐŽŵŵƵŶŝƚǇ͗ >ĂŬĞƐ͕ Śŝůů ĐŽƵŶƚƌǇ ďĞĂƵƚǇ͖ ŚŝŐŚůǇͲƌĂƚĞĚ ƐĐŚŽŽůƐ͘ &ůĞǆŝďůĞ ƚƌĂŶƐŝƟŽŶ͘ ŽĐƚŽƌ ƌĞƟƌŝŶŐ͘ tŝůů ƉŚĂƐĞ ŽƵƚ WZE͘ ,ŝŐŚ ŶĞƚ ŽŶ ϰ ĚĂǇƐ Ă ǁĞĞŬ͘ DŝĚͲƐŝǌĞĚ ĐŽŵŵƵŶŝƚǇ͘ Ͳϭ ĂůůĂƐ ĂƌĞĂ͗ sĞƌǇ ŶŝĐĞ ŽĸĐĞ͖ ϮͲĚĂǇͲĂͲǁĞĞŬ ƉƌĂĐƟĐĞ͖ ĞǆĐĞůůĞŶƚ ƌĞĨĞƌƌĂů ďĂƐĞ͘ hŶĚĞƌƐĞƌǀĞĚ ĂƌĞĂ͘ >Žǁ ŽǀĞƌŚĞĂĚ͘ ǆĐĞůůĞŶƚ ŽĸĐĞ͘ tͲϭ tĞƐƚ dĞǆĂƐ ĐĞŶƚƌĂů ĂƌĞĂ͘ KƌĂů ƐƵƌŐĞŽŶ ƌĞƟƌŝŶŐ͖ ŇĞǆŝďůĞ ƚƌĂŶƐŝƟŽŶ͘ ^ĞůůĞƌ ƉŚĂƐĞ ŽƵƚ͘ ,ŝŐŚ ŶĞƚ ŽǀĞƌ ϱϬй͘ DŝĚͲƐŝǌĞĚ ĐŽŵŵƵŶŝƚǇ͘ ůů ĂƌĞ ĐŽŶĮĚĞŶƟĂů͘ 'ĂƌǇ ůŝŶƚŽŶ͕ ŽƌĂů ƐƵƌŐĞƌǇ ďƌŽŬĞƌͬĂƉƉƌĂŝƐĞƌ͕ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ͘ GARY CLINTON DALLAS PRACTICE NEAR TRINITY RIVER GREENBELT FOR SALE. ŽĐƚŽƌ ƌĞƟƌŝŶŐ ĨŽƌ ŚĞĂůƚŚ ƌĞĂƐŽŶƐ͖ ǁĞůůͲĞƐƚĂďůŝƐŚĞĚ ϯϬн ǇĞĂƌ ŽůĚ ƉƌĂĐƟĐĞ͘ ,ŝŐŚ ĚĞŵĂŶĚ͘ dƌƵƐƚ ǇŽƵƌ ůŝĨĞ͛Ɛ ǁŽƌŬ ƚŽ ƚŚĞ ŵŽƐƚ ĞǆƉĞƌŝĞŶĐĞ ĂƉƉƌĂŝƐĞƌͬ ďƌŽŬĞƌ͘ &Žƌ ŽǀĞƌ ϰϬ ǇĞĂƌƐ͕ ǇŽƵ ŚĂǀĞ ƐĞĞŶ ƚŚĞ ŶĂŵĞ 'ĂƌǇ ůŝŶƚŽŶ ǁŽƌŬŝŶŐ ĂƐ Ă ŵĂŶĂŐĞŵĞŶƚ ĐŽŶƐƵůƚĂŶƚ͕ ĂƉƉƌĂŝƐĞƌ͕ ĐŽŶƐƵůƚĂŶƚ ĂŶĚ ƐĂůĞƐ ďƌŽŬĞƌ ŽĨ ŐĞŶĞƌĂů ĚĞŶƚĂů ĂŶĚ ƐƉĞĐŝĂůƚǇ ƉƌĂĐƟĐĞƐ ŝŶ dĞǆĂƐ͘ / ŚĂǀĞ ďƵǇĞƌƐ ĨŽƌ Ăůů ŵĞƚƌŽ ĂƌĞĂƐ ŽĨ dĞǆĂƐ͘ <ŶŽǁůĞĚŐĞĂďůĞ ďƵǇĞƌƐ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ƉĂǇ ƚŚĞ ĨĂŝƌ ŵĂƌŬĞƚ ǀĂůƵĞ ŝŶ ŐƌŽǁƚŚ ĂƌĞĂƐ ĐŽŵŵĂŶĚŝŶŐ ŚŝŐŚĞƌ ǀĂůƵĞƐ͘ DǇ ĐĞƌƟĮĞĚ ĂƉƉƌĂŝƐĂůƐ ƵƐĞ ĐŽŵƉĂƌĂďůĞƐ ĨƌŽŵ dĞǆĂƐ ƉƌĂĐƟĐĞƐ ŝŶ ƚŚĞ ƐĂŵĞ Žƌ ƐŝŵŝůĂƌ ƉĂƌƚƐ ŽĨ dĞǆĂƐ͘ ^ĞŶŝŽƌ ĂƉƉƌĂŝƐĞƌ ŵĞŵďĞƌ

ŽĨ ƚŚĞ /ŶƐƟƚƵƚĞ ŽĨ ƵƐŝŶĞƐƐ ƉƉƌĂŝƐĞƌƐ͕ /ŶĐ͘ Ăůů 'ĂƌǇ ůŝŶƚŽŶ ĐŽŶĮĚĞŶƟĂůůǇ Ăƚ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ͘ GARY CLINTON WEST TEXAS PRACTICE (OIL AND AGRICULTURE AREA) FOR SALE. tͲϭ ϳͲĮŐƵƌĞ ĐŽůůĞĐƟŽŶƐ͖ ϲϬй EĞƚ ŽŶ ϰ ĚĂǇƐ Ă ǁĞĞŬ͘ KŶůǇ ĚĞŶƟƐƚ ŝŶ ƐŵĂůů ĐŽŵŵƵŶŝƚǇ͘ WƌŽŐƌĞƐƐŝǀĞ ĨĂŵŝůǇ ĚĞŶƟƐƚ ƌĞƟƌŝŶŐ ƚŽ ƚƌĂǀĞů͘ hƉŐƌĂĚĞĚ ĞƋƵŝƉŵĞŶƚ͘ EŝĐĞ ŽĸĐĞ͘ ŽĐƚŽƌ ǁŝůů ƐĞůů Žƌ ůĞĂƐĞ ďƵŝůĚŝŶŐ͘ dƌƵƐƚ ǇŽƵƌ ůŝĨĞ͛Ɛ ǁŽƌŬ ƚŽ ƚŚĞ ŵŽƐƚ ĞǆƉĞƌŝĞŶĐĞĚ ĂƉƉƌĂŝƐĞƌͬ ďƌŽŬĞƌ͘ &Žƌ ŽǀĞƌ ϰϬ ǇĞĂƌƐ͕ ǇŽƵ ŚĂǀĞ ƐĞĞŶ ƚŚĞ ŶĂŵĞ 'ĂƌǇ ůŝŶƚŽŶ ǁŽƌŬŝŶŐ ĂƐ Ă ŵĂŶĂŐĞŵĞŶƚ ĐŽŶƐƵůƚĂŶƚ͕ ĂƉƉƌĂŝƐĞƌ͕ ĐŽŶƐƵůƚĂŶƚ ĂŶĚ ƐĂůĞƐ ďƌŽŬĞƌ ŽĨ ŐĞŶĞƌĂů ĚĞŶƚĂů ĂŶĚ ƐƉĞĐŝĂůƚǇ ƉƌĂĐƟĐĞƐ ŝŶ dĞǆĂƐ͘ / ŚĂǀĞ ďƵǇĞƌƐ ĨŽƌ Ăůů ŵĞƚƌŽ ĂƌĞĂƐ ŽĨ dĞǆĂƐ͘ <ŶŽǁůĞĚŐĞĂďůĞ ďƵǇĞƌƐ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ƉĂǇ ƚŚĞ ĨĂŝƌ ŵĂƌŬĞƚ ǀĂůƵĞ ŝŶ ŐƌŽǁƚŚ ĂƌĞĂƐ ĐŽŵŵĂŶĚŝŶŐ ŚŝŐŚĞƌ ǀĂůƵĞƐ͘ DǇ ĐĞƌƟĮĞĚ ĂƉƉƌĂŝƐĂůƐ ƵƐĞ ĐŽŵƉĂƌĂďůĞƐ ĨƌŽŵ dĞǆĂƐ ƉƌĂĐƟĐĞƐ ŝŶ ƚŚĞ ƐĂŵĞ Žƌ ƐŝŵŝůĂƌ ƉĂƌƚƐ ŽĨ dĞǆĂƐ͘ ^ĞŶŝŽƌ ĂƉƉƌĂŝƐĞƌ ŵĞŵďĞƌ ŽĨ ƚŚĞ /ŶƐƟƚƵƚĞ ŽĨ ƵƐŝŶĞƐƐ ƉƉƌĂŝƐĞƌƐ͕ /ŶĐ͘ Ăůů 'ĂƌǇ ůŝŶƚŽŶ ĐŽŶĮĚĞŶƟĂůůǇ Ăƚ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ͘ GARY CLINTON FORT WORTH NORTH AND WEST PRACTICES FOR SALE. &tͲϭ ŽůůĞǇǀŝůůĞ ĂƌĞĂ͗ dŚŝƐ ŝƐ Ă ŐƌĞĂƚ ͞ŽŶĞͲƚŽͲŐƌŽǁ ŽĸĐĞ͘͟ &ĂĐĞƐ ŵĂũŽƌ ƚŽǁŶ ďŽƵůĞǀĂƌĚ͘ ŝŐŝƚĂů͕ Ăůů ƵƉĚĂƚĞĚ ĚĞŶƚĂů ĞƋƵŝƉŵĞŶƚ͘ ZŽŽŵ ĨŽƌ Ϯ ĚĞŶƟƐƚƐ͘ &tͲϮ͗ ĞŶďƌŽŽŬ ƌĞƟƌŝŶŐ ĚĞŶƟƐƚ ŝŶ ƚŚŝƐ ďŽŽŵŝŶŐ ŐƌŽǁƚŚ ĂƌĞĂ͘ dŚŝƐ ŝƐ Ă ϳͲĮŐƵƌĞ ƉƌĂĐƟĐĞ ǁĂŝƟŶŐ ƚŽ ŚĂƉƉĞŶ͘ ĚƵůƚ ƌĞƐƚŽƌĂƟǀĞ͘ sĞƌǇ ŶŝĐĞ ŽĸĐĞ ǁŝƚŚ ĚŝŐŝƚĂů ĞƋƵŝƉŵĞŶƚ͕ ƐƚĂī ĂŶĚ ŚǇŐŝĞŶŝƐƚ ůŽŶŐĞǀŝƚǇ ĞǆĐĞůůĞŶƚ͘ dƌƵƐƚ ǇŽƵƌ ůŝĨĞ͛Ɛ ǁŽƌŬ ƚŽ ƚŚĞ ŵŽƐƚ ĞǆƉĞƌŝĞŶĐĞĚ ĂƉƉƌĂŝƐĞƌͬďƌŽŬĞƌ͘ &Žƌ ŽǀĞƌ ϰϬ ǇĞĂƌƐ͕ ǇŽƵ ŚĂǀĞ ƐĞĞŶ ƚŚĞ ŶĂŵĞ 'ĂƌǇ ůŝŶƚŽŶ ǁŽƌŬŝŶŐ ĂƐ Ă ŵĂŶĂŐĞŵĞŶƚ ĐŽŶƐƵůƚĂŶƚ͕ ĂƉƉƌĂŝƐĞƌ͕ ĐŽŶƐƵůƚĂŶƚ ĂŶĚ ƐĂůĞƐ ďƌŽŬĞƌ ŽĨ ŐĞŶĞƌĂů ĚĞŶƚĂů ĂŶĚ ƐƉĞĐŝĂůƚǇ ƉƌĂĐƟĐĞƐ ŝŶ dĞǆĂƐ͘ / ŚĂǀĞ ďƵǇĞƌƐ ĨŽƌ Ăůů ŵĞƚƌŽ ĂƌĞĂƐ ŽĨ dĞǆĂƐ͘ <ŶŽǁůĞĚŐĞĂďůĞ ďƵǇĞƌƐ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ƉĂǇ ƚŚĞ ĨĂŝƌ ŵĂƌŬĞƚ ǀĂůƵĞ ŝŶ ŐƌŽǁƚŚ ĂƌĞĂƐ ĐŽŵŵĂŶĚŝŶŐ ŚŝŐŚĞƌ ǀĂůƵĞƐ͘ DǇ ĐĞƌƟĮĞĚ ĂƉƉƌĂŝƐĂůƐ ƵƐĞ ĐŽŵƉĂƌĂďůĞƐ ĨƌŽŵ dĞǆĂƐ ƉƌĂĐƟĐĞƐ ŝŶ ƚŚĞ ƐĂŵĞ Žƌ ƐŝŵŝůĂƌ ƉĂƌƚƐ ŽĨ dĞǆĂƐ͘ ^ĞŶŝŽƌ ĂƉƉƌĂŝƐĞƌ ŵĞŵďĞƌ ŽĨ ƚŚĞ /ŶƐƟƚƵƚĞ ŽĨ ƵƐŝŶĞƐƐ ƉƉƌĂŝƐĞƌƐ͕ /ŶĐ͘ Ăůů 'ĂƌǇ ůŝŶƚŽŶ ĐŽŶĮĚĞŶƟĂůůǇ Ăƚ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ GARY CLINTON HOUSTON PEDO/ORTHO OR GENERAL PRACTICE OFFICE SPACE. dŚŝƐ ŝƐ ƚŚĞ ƐƉŽƚ ƚŽ ďĞ͘ ůŽƐĞ ƚŽ ǆǆŽŶ͛Ɛ ŶĞǁ ŚŽŵĞ ŽĸĐĞ͕ ǁŚŝĐŚ ŚĂƐ ϭϱ͕ϬϬϬ ĞŵƉůŽǇĞĞƐ͘ ůŽƐĞ ƚŽ ϱ ƐĐŚŽŽůƐ ǁŝƚŚ ϳ͕ϱϬϬ ƐƚƵĚĞŶƚƐ͘ ƵŝůĚ Ă ƉƌĂĐƟĐĞ ĨƌŽŵ ƐƚĂƌƚ ƚŚĂƚ ŝƐ Ă ƐƵƌĞ ďĞƚ ƚŽ ďĞ ǀĞƌǇ ƐƵĐĐĞƐƐĨƵů͘ Ăůů 'ĂƌǇ ůŝŶƚŽŶ ϮϭϰͲϱϬϯͲϵϲϵϲ͘

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ADVERTISING BRIEFS GARY CLINTON SOUTHWEST FORT WORTH DENTAL OFFICE BUILDING TO LEASE/BUY. >ĞĂƐĞ ǁŝƚŚ ĮƌƐƚ ϯ ŵŽŶƚŚƐ ŽĨ ƌĞŶƚ ĨƌĞĞ͘ dŚĞƌĞ ĂƌĞ ŶŽ ƉĂƟĞŶƚƐ͘ dŚŝƐ ǁŽƵůĚ ďĞ Ă ŐƌĞĂƚ ůŽǁ ĐŽƐƚ ƐƚĂƌƚͲƵƉ͘ /ƚ ŚĂƐ ďĞĞŶ Ă ĚĞŶƚĂů ŽĸĐĞ ƐŝŶĐĞ ϭϵϳϵ͘ Ăůů 'ĂƌǇ ůŝŶƚŽŶ͕ ϮϭϰͲϱϬϯͲϵϲϵϲ Žƌ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ͘ GARY CLINTON ORTHO PRACTICES FOR SALE, FORT WORTH/WEST CENTRAL TEXAS. ĂĐŚ ŚĂƐ Ă ďĞĂƵƟĨƵů ďƵŝůĚŝŶŐ ƚŽ ůĞĂƐĞͬƉƵƌĐŚĂƐĞ͘ ,ŝŐŚ ƚƌĂĸĐ͕ ĨĂƐƚ ŐƌŽǁƚŚ ĂƌĞĂƐ͘ dŚĞ dĞǆĂƐ ĞĐŽŶŽŵǇ ĞƐƉĞĐŝĂůůǇ ŝŶ ƚŚĞƐĞ ĂƌĞĂƐ ŝƐ ďƌĞĂŬŝŶŐ ƌĞĐŽƌĚƐ͊ Ăůů 'ĂƌǇ ůŝŶƚŽŶ͕ ƐƉĞĐŝĂůŝǌĞĚ ŽƌƚŚŽĚŽŶƟĐ ƉƌĂĐƟĐĞ ĂƉƉƌĂŝƐĞƌͬďƌŽŬĞƌ ĂŶĚ ŵĞŵďĞƌ ŽĨ ƚŚĞ /ŶƐƟƚƵƚĞ ŽĨ ƵƐŝŶĞƐƐ ƉƉƌĂŝƐĞƌƐ͕ /ŶĐ͕͘ ϭͲϴϬϬͲϱϴϯͲϳϳϲϱ͘ GENERAL PRACTICE — SUGAR LAND: dĞǆĂƐ͘ ^ŝǆͲŽƉĞƌĂƚŽƌǇ ƉƌĂĐƟĐĞ ĨŽƌ ƐĂůĞ͘ &ŽƵƌ ŽƉĞƌĂƚŽƌŝĞƐ ĞƋƵŝƉƉĞĚ͖ ƚƵƌŶŬĞǇ ŽƉĞƌĂƟŽŶƐ͖ ϮϬϭϯ ĐŽůůĞĐƟŽŶƐ ǁĞƌĞ ŵŝĚͲϲ ĮŐƵƌĞƐ͘ tŽƌŬŝŶŐ ŽŶůǇ ϯ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͖ Ăůů ĞƋƵŝƉŵĞŶƚ ĂŶĚ ďƵŝůĚŝŶŐ ůĞƐƐ ƚŚĂŶ Ϯ ǇĞĂƌƐ ŽůĚ͘ sĞƌǇ ĐůĞĂŶ͕ ǀĞƌǇ ŵŽĚĞƌŶ ŽĸĐĞ͖ Ăůů ĚŝŐŝƚĂů͘ 'ƌĞĂƚ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ĂŶǇ ƐƉĞĐŝĂůŝƐƚ ĂƐ ǁĞůů ĂƐ ŐĞŶĞƌĂů ĚĞŶƟƐƚ͘ ƐŬŝŶŐ ΨϯϮϱ<͘ &Žƌ ŵŽƌĞ ŝŶĨŽ͕ ƉůĞĂƐĞ ĞŵĂŝů ƐƵŐĂƌƌŝĐŚĚĞŶƚĂůΛ ŐŵĂŝů͘ĐŽŵ͘ GREAT DENTIST TO WORK WITH KIDS: 'ŽŽĚ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ƐŽŵĞŽŶĞ ǁŚŽ ůŝŬĞƐ ĐŚŝůĚƌĞŶ͘ ƵƐǇ ƉƌĂĐƟĐĞ͘ 'ƌĞĂƚ ƉĞƌƐŽŶĂůŝƚǇ͘ ŽŵƉĞƚĞŶƚ ĚĞŶƟƐƚ ŶŽƚ ĂĨƌĂŝĚ ƚŽ ǁŽƌŬ͘ 'ƌĞĂƚ ƉĂǇ͘ ^ĞĚĂƟŽŶ ǁŝůů ďĞ ƚĂƵŐŚƚ͘ ^ĞŶĚ ƌĞƐƵŵĞ ^ W ƚŽ ĂƌŽů ƌŝĐŬƐŽŶ͕ ŝŶĨŽΛƚǆŬŝĚƐĚĞŶƚĂů͘ĐŽŵ͕ ϵϰϭϭ ůĂŵĞĚĂ ǀĞ ^ƚĞ W͕ ů WĂƐŽ͕ dy ϳϵϵϬϳ͘ Ăůů ϲϬϮͲϯϬϵͲϮϭϴϬ HOUSTON: tĞůůͲĞƐƚĂďůŝƐŚĞĚ ƉƌŝǀĂƚĞ ĞŶĚŽĚŽŶƟĐ ƉƌĂĐƟĐĞ ƐĞĞŬŝŶŐ Ă ƋƵĂůŝƚǇͲŽƌŝĞŶƚĞĚ ĨƌŝĞŶĚ ĂŶĚ ŵŽƟǀĂƚĞĚ ĞŶĚŽĚŽŶƟƐƚ ĨŽƌ Ă ƉĂƌƚͲƟŵĞ ǁŝƚŚ ĨƵůůͲƟŵĞ ƉŽƐƐŝůŝďŝƟĞƐ͘ ƋƵŝƉƉĞĚ ǁŝƚŚ ĞŝƐƐ ŵŝĐƌŽƐĐŽƉĞƐ͕ d͕ ĚŝŐŝƚĂů ƌĂĚŝŽŐƌĂƉŚǇ͕ ĂŶĚ ĞůĞĐƚƌŽŶŝĐ ƉĂƟĞŶƚ ƌĞĐŽƌĚƐ͘ WůĞĂƐĞ ĨĂǆ ƌĞƐƵŵĞ ƚŽ ϳϭϯͲ ϱϳϮͲϯϳϮϮ Žƌ ƐĞŶĚ s ƚŽ ŵĂŶĂŐĞƌΛĚĞŶƚĂůĞŶĚŽ͘ĐŽŵ͘ HOUSTON AND SAN ANTONIO: ĂƌĞ &Žƌ <ŝĚƐ͕ Ă ƉĞĚŝĂƚƌŝĐ ĨŽĐƵƐĞĚ ƉƌĂĐƟĐĞ͕ ŝƐ ŽƉĞŶŝŶŐ ŶĞǁ ƉƌĂĐƟĐĞƐ ŝŶ ƚŚĞ ^ĂŶ ŶƚŽŶŝŽ ĂŶĚ ,ŽƵƐƚŽŶ ĂƌĞĂ͘ tĞ ĂƌĞ ůŽŽŬŝŶŐ ĨŽƌ ĞŶĞƌŐĞƟĐ ĨƵůůͲƟŵĞ ŐĞŶĞƌĂů ĚĞŶƟƐƚƐ ĂŶĚ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚƐ ƚŽ ũŽŝŶ ŽƵƌ ƚĞĂŵ͘ tĞ ŽīĞƌ Ă ĐŽŵƉƌĞŚĞŶƐŝǀĞ ĐŽŵƉĞŶƐĂƟŽŶ ĂŶĚ

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Texas Dental Journal l www.tda.org l June 2014

ďĞŶĞĮƚƐ ƉĂĐŬĂŐĞ ŝŶĐůƵĚŝŶŐ ŵĞĚŝĐĂů͕ ůŝĨĞ͕ ůŽŶŐͲ ĂŶĚ ƐŚŽƌƚͲ ƚĞƌŵ ĚŝƐĂďŝůŝƚǇ ŝŶƐƵƌĂŶĐĞ͕ ŇĞǆŝďůĞ ƐƉĞŶĚŝŶŐ͕ ĂŶĚ ϰϬϭ;<Ϳ ǁŝƚŚ ĞŵƉůŽǇĞƌ ĐŽŶƚƌŝďƵƟŽŶ͘ EĞǁ ŐƌĂĚƵĂƚĞƐ ĂŶĚ ĚĞŶƟƐƚƐ ǁŝƚŚ ĞǆƉĞƌŝĞŶĐĞ ĂƌĞ ǁĞůĐŽŵĞ͘ Ğ Ă ƉĂƌƚ ŽĨ ŽƵƌ ŽƵƚƐƚĂŶĚŝŶŐ ƚĞĂŵ͕ ƉƌŽǀŝĚŝŶŐ ĐĂƌĞ ĨŽƌ ŬŝĚƐ ŽĨ dĞǆĂƐ͘ WůĞĂƐĞ ĐŽŶƚĂĐƚ ŶŶĂ ZŽďŝŶƐŽŶ Ăƚ ϵϭϯͲϯϮϮͲϭϰϰϳ͖ ĞŵĂŝů ĂƌŽďŝŶƐŽŶΛĂŵĚƉŝ͘ĐŽŵ͖ & y͗ ϵϭϯͲϯϮϮͲϭϰϱϵ͘ HOUSTON AREA PRACTICE: :Ğī :ŽŶĞƐ͕ ^͕ ,^ WƌŽĨĞƐƐŝŽŶĂů WƌĂĐƟĐĞ dƌĂŶƐŝƟŽŶƐ͘ ǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ĐĂƉŝƚĂůŝǌĞ ŽŶ Ă ĨƵůůǇ ĚŝŐŝƚĂů ŚŝŐŚ ƚĞĐŚ ƉƌĂĐƟĐĞ͘ ,ŝŐŚůǇ ǀŝƐŝďůĞ ůŽĐĂƟŽŶ ǁŝƚŚ Ă ŐƌĞĂƚ ůĞĂƐĞ͘ ĞĂƵƟĨƵů ĮŶŝƐŚ ŽƵƚ ŝŶĐůƵĚĞƐ ϱ ĐŚĂŝƌƐ ǁŝƚŚ ƌŽŽŵ ĨŽƌ ĞǆƉĂŶƐŝŽŶ͘ /ŵƉƌĞƐƐŝǀĞ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ ǁŝƚŚ ƐƚƌŽŶŐ ŚǇŐŝĞŶĞ ƌĞǀĞŶƵĞ ĂŶĚ ŐƌŽƐƐ ƌĞĐĞŝƉƚƐ ŝŶ ŚŝŐŚͲϲ ĮŐƵƌĞƐ͘ KǁŶĞƌ ǁŝůůŝŶŐ ƚŽ ƐƚĂǇ ŽŶ ĂƐ ĂƐƐŽĐŝĂƚĞ ŶĞĞĚĞĚ͘ dŽ ůĞĂƌŶ ŵŽƌĞ͕ ĐŽŶƚĂĐƚ :Ğī :ŽŶĞƐ͕ ^͕ ǁŝƚŚ ,^ WƌŽĨĞƐƐŝŽŶĂů WƌĂĐƟĐĞ dƌĂŶƐŝƟŽŶƐ͕ ϴϯϬͲϴϯϮͲϱϱϮϮ Žƌ Ěƌ͘ũĞī͘ũŽŶĞƐΛŚĞŶƌǇƐĐŚĞŝŶ͘ ĐŽŵ͘ HOUSTON/CLEAR LAKE — DENTAL OFFICE: /Ŷ ŚŝŐŚ ǀŝƐŝďŝůŝƚǇ ƐŵĂůůĞƌ ƉƌŽĨĞƐƐŝŽŶĂů ďƵŝůĚŝŶŐ Ăƚ ŚŝŐŚĞƐƚ ƚƌĂĸĐ ĐŽƌŶĞƌ ůŽĐĂƟŽŶ ŝŶ ĂĚũĂĐĞŶƚ ĨĂŵŝůǇ ŽƌŝĞŶƚĞĚ͕ ŚŝŐŚ ŝŶĐŽŵĞ ŵĂƐƚĞƌ ƉůĂŶŶĞĚ ĐŽŵŵƵŶŝƚǇ͘ ĚũĂĐĞŶƚ s^͕ ŶĞĂƌďǇ ƐĐŚŽŽůƐ͕ ƌĞƚĂŝů ĂŶĚ ŽĸĐĞ ĐĞŶƚĞƌƐ͕ E ^ ͕ ĂŶĚ ŽƚŚĞƌ ůŽŶŐͲƚĞƌŵ ƚĞŶĂŶƚƐ ;hdD ŽƌƚŚŽƉĞĚŝĐ ĂŶĚ ƵƌŐĞŶƚ ĐŚŝůĚĐĂƌĞ ĐĞŶƚĞƌ͕ ƉŽĚŝĂƚƌŝƐƚ͕ ĂŶĚ ĐŚŝƌŽƉƌĂĐƚŽƌͿ ĚƌŝǀĞ ƉĂƟĞŶƚ ƚƌĂĸĐ͘ EŝĐĞ ĮŶŝƐŚĞƐ ĂŶĚ Ăůů ƉůƵŵďŝŶŐ ĂŶĚ ĞůĞĐƚƌŝĐĂů ŝŶ ƉůĂĐĞ ĨŽƌ ϲ Žƌ ŵŽƌĞ ŽƉĞƌĂƚŽƌŝĞƐ͕ ŽĸĐĞƐ ĂŶĚ ĐŽŶƐƵůƚ ƌŽŽŵƐ͘ >ĞĂƐĞ ŝŶĐĞŶƟǀĞƐ͕ ŶĞŐŽƟĂďůĞ ƚĞƌŵƐ͘ ǁŝŐŚƚ ŽŶĂůĚƐŽŶ͕ DŽŶƵŵĞŶƚ ZĞĂů ƐƚĂƚĞ͕ ϮϴϭͲϮϰϬͲ ϬϬϳϳ͕ ĚĚŽŶĂůĚƐŽŶΛƚĞƌƌĂŵĂƌŬƚǆ͘ĐŽŵ͘ HOUSTON-AREA PRACTICE OPPORTUNITIES! MCLERRAN & ASSOCIATES-PRACTICE SALES OF TEXAS: E t͊ EKZd, K& ,Kh^dKE͗ ƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ĐŽƐŵĞƟĐ ƉƌĂĐƟĐĞ ůŽĐĂƚĞĚ ŝŶ ŽŶĞ ŽĨ ƚŚĞ ĨĂƐƚĞƐƚ ŐƌŽǁŝŶŐ ĐŽŵŵƵŶŝƟĞƐ ŝŶ ƚŚĞ ,ŽƵƐƚŽŶ ĂƌĞĂ͘ dŚĞ ƚƵƌŶŬĞǇ͕ ϱͲŽƉĞƌĂƚŽƌǇ ĨĂĐŝůŝƚǇ ŚĂƐ Ă ĐŽŵĨŽƌƚĂďůĞ͕ ĐŽǌǇ ĂŵďŝĂŶĐĞ͕ ĞƋƵŝƉŵĞŶƚ ƚŚĂƚ ŝƐ ŝŶ ǀĞƌǇ ŐŽŽĚ ĐŽŶĚŝƟŽŶ͕ ĂŶĚ ƌŽŽŵ ĨŽƌ ĞǆƉĂŶƐŝŽŶ ĂŶĚ ƐŽůŝĚ ŐƌŽǁƚŚ ƉŽƚĞŶƟĂů ;η,ϮϯϰͿ͘ E t͊ ^Khd,t ^d K& ,Kh^dKE͗ ƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ ǁŝƚŚ Ă ŚŝŐŚůǇ ǀŝƐŝďůĞ ůŽĐĂƟŽŶ͕ ϰ ŽƉĞƌĂƚŽƌŝĞƐ͕ ƐƚƌŽŶŐ ĞŵƉůŽǇŵĞŶƚ ďĂƐĞ͕ ĂŶĚ Ă ŚĞĂůƚŚǇ

ADVERTISING BRIEFS ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ ǁŝƚŚ ŵĂũŽƌŝƚǇ WWKͬ&&^͘ dŚĞ ŽǁŶĞƌ ŝƐ ůŽŽŬŝŶŐ ĨŽƌ ĂŶ ĞǆƉĞƌŝĞŶĐĞĚ ƉƌĂĐƟƟŽŶĞƌ ƚŚĂƚ ǁŝůů ĞǆŚŝďŝƚ ĂŶ ŽǁŶĞƌƐŚŝƉ ĂƫƚƵĚĞ ŝŶ ŽƌĚĞƌ ƚŽ ŵĂǆŝŵŝǌĞ ŝŶĐŽŵĞ ĨŽƌ ďŽƚŚ ƉĂƌƟĞƐ͘ WĂƌƟĂů ďƵǇͲŝŶ ŽƉƉŽƌƚƵŶŝƚǇ ǁŝůů ďĞ ĂǀĂŝůĂďůĞ ŝŶ ƚŚĞ ĨƵƚƵƌĞ ĨŽƌ ƚŚĞ ƌŝŐŚƚ ĚŽĐƚŽƌ ;η,ϵϯͿ͘ E t͊ EKZd, K& ,Kh^dKE͗ dŚŝƐ ŐĞŶĞƌĂů ĨĂŵŝůǇ ƉƌĂĐƟĐĞ ǁĂƐ ƐƚĂƌƚĞĚ ŝŶ ϮϬϬϴ ǁŚĞŶ ƚŚĞ ƐĞůůĞƌ ƉƵƌĐŚĂƐĞĚ ƚŚĞ ĞǆŝƐƟŶŐ ďƵŝůĚͲŽƵƚ ĂŶĚ ĞƋƵŝƉŵĞŶƚ ŽĨ ĂŶ ĞƐƚĂďůŝƐŚĞĚ ĚĞŶƟƐƚ ǁŚŽ ƌĞůŽĐĂƚĞĚ ŚŝƐ ƉƌĂĐƟĐĞ͘ hƉŐƌĂĚĞƐ ŝŶĐůƵĚĞ ĚŝŐŝƚĂů ƌĂĚŝŽŐƌĂƉŚǇ ;ŝŶƚƌĂŽƌĂů ĂŶĚ ƉĂŶŽƌĂŵŝĐͿ ĂŶĚ ŇĂƚ ƐĐƌĞĞŶ dsƐ ŝŶ ƚŚĞ ŽƉĞƌĂƚŽƌŝĞƐ͘ tŝƚŚ ĂŶ ĂĐƟǀĞ ďĂƐĞ ŽĨ ŽǀĞƌ ϴϬϬ ƉĂƟĞŶƚƐ͕ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ ŽĨ Ϯϱ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚ͕ Ă ǀŝƐŝďůĞ ƌĞƚĂŝů ƐƚƌŝƉ ĐĞŶƚĞƌ ůŽĐĂƟŽŶ͕ ĂŶĚ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ĞǆƉĂŶĚĞĚ ŽĸĐĞ ŚŽƵƌƐ͕ ŐƌŽǁƚŚ ƉŽƚĞŶƟĂů ŝƐ ƐŽůŝĚ͘ sĂůƵĞ ĂĐƋƵŝƐŝƟŽŶ ǁŝƚŚ ƐƚƌŽŶŐ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů ;η,ϮϯϲͿ͘ ^Khd,t ^d ,Kh^dKE͗ WWKͬ &&^ ƉƌĂĐƟĐĞ͕ ǀŝƐŝďůĞ ƌĞƚĂŝů ůŽĐĂƟŽŶ ŽŶ ŵĂŝŶ ƚŚŽƌŽƵŐŚĨĂƌĞ ŝŶ ŐƌŽǁŝŶŐ ƐŽƵƚŚǁĞƐƚ ĨĂŵŝůǇ ŽƌŝĞŶƚĞĚ ĂƌĞĂ͘ tŝƚŚ ůŽǁ ŽǀĞƌŚĞĂĚ͕ Ă ƌĞĐĞŶƚůǇ ƌĞŵŽĚĞůĞĚ ŝŶƚĞƌŝŽƌ͕ ϯ ŽƉĞƌĂƚŽƌŝĞƐ͕ ĂŶĚ ϭ͕ϭϬϬ ƐƋ Ō͕ ƚŚĞ ƉƌĂĐƟĐĞ ƌĞƉƌĞƐĞŶƚƐ Ă ǀĂůƵĞ ƉƵƌĐŚĂƐĞ ǁŝƚŚ ƐŝŐŶŝĮĐĂŶƚ ƵƉƐŝĚĞ ƉŽƚĞŶƟĂů͘ ZĞĐĞŶƚ ǁĞďƐŝƚĞ ĂŶĚ ƐŽĐŝĂů ŵĞĚŝĂ ƉůĂƞŽƌŵ ĚĞǀĞůŽƉŵĞŶƚ ǁŝůů ĂůƐŽ ĂůůŽǁ ƚŚĞ ďƵǇĞƌ ƚŽ ĞīĞĐƟǀĞůǇ ƌĞĂĐŚ ŽƵƚ ƚŽ ƚŚĞ ĐŽŵŵƵŶŝƚǇ ƚŽ ĨƵƌƚŚĞƌ ĞŶŚĂŶĐĞ ƉĂƟĞŶƚ ŇŽǁ͘ sĞƌǇ ůŝŵŝƚĞĚ ƐĐŚĞĚƵůĞ ĨŽƌ ƚŚĞ ŽǁŶĞƌ ĂŶĚ ƐŝŐŶŝĮĐĂŶƚ ŽƵƚďŽƵŶĚ ƌĞĨĞƌƌĂůƐ ĨŽƌ ĞŶĚŽ͕ ƉĞƌŝŽ͕ ŽƌĂů ƐƵƌŐĞƌǇ͕ ĂŶĚ ŽƌƚŚŽĚŽŶƟĐƐ ;η,ϮϰϯͿ͘ EKZd,t ^d ,Kh^dKE͗ dŚŝƐ ŐĞŶĞƌĂů ĂŶĚ ŽƌƚŚŽĚŽŶƟĐ ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŽŶ Ă ǁĞůůͲƚƌĂǀĞůĞĚ ƌŽĂĚ ŝŶ ƚŚĞ ŶŽƌƚŚǁĞƐƚ ,ŽƵƐƚŽŶͬ,ŽĐŬůĞǇ ĂƌĞĂ͘ dŚĞ ĂƌĞĂ ŝƐ ĞǆƉĞĐƚĞĚ ƚŽ ŐƌŽǁ ƚƌĞŵĞŶĚŽƵƐůǇ ŽǀĞƌ ƚŚĞ ŶĞǆƚ ĨĞǁ ǇĞĂƌƐ ǁŝƚŚ ƚŚĞ ĞǆƉĂŶƐŝŽŶ ŽĨ ŵĂũŽƌ ƌŽĂĚƐ ŝŶ ƚŚĞ ĂƌĞĂ͘ dŚĞ ƉƌĂĐƟĐĞ ƐĞĞƐ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϯϬ ŶĞǁ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚ ĂŶĚ ŚǇŐŝĞŶĞ ƉƌŽĚƵĐĞƐ Ϯϳй ŽĨ ƉƌŽĚƵĐƟŽŶ͘ tŝƚŚ Ă ƐƚƌŽŶŐ ŚǇŐŝĞŶĞ ĚĞƉĂƌƚŵĞŶƚ͕ ŚŝŐŚ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ ĂŶĚ ůŽǁ ŽǀĞƌŚĞĂĚ͕ ƚŚĞ ƉƌĂĐƟĐĞ ŝƐ ƐĞƚ ĨŽƌ ĐŽŶƟŶƵĞĚ ƉƌŽĮƚĂďŝůŝƚǇ ĂŶĚ ŐƌŽǁƚŚ ;η,ϮϯϭͿ͘ WZ/ Z h ͊ hWW Z t ^d ' >s ^dKE z͗ WƌŽĮƚĂďůĞ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ ůŽĐĂƚĞĚ ŝŶ Ă ŚŝŐŚůǇ ǀŝƐŝďůĞ ŽĸĐĞ ďƵŝůĚŝŶŐ ŝŶ ƚŚĞ ŚĞĂƌƚ ŽĨ Ă ǀŝďƌĂŶƚ Žŝů ĂŶĚ ŐĂƐ ĐŽŵŵĞƌĐŝĂů ĐĞŶƚĞƌ ĂŶĚ ĐŽŵŵƵŶŝƚǇ͘ dŚƌĞĞ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͕ ƐƚƌŽŶŐ ŚǇŐŝĞŶĞ ƌĞǀĞŶƵĞƐ͕ ĂŶĚ ŽǀĞƌ ϭ͕ϭϬϬ ĂĐƟǀĞ ƉĂƟĞŶƚƐ ;η,ϭϵϰͿ͘ E t͊ EKZd, ^d K& ,Kh^dKE͗ ƐƚĂďůŝƐŚĞĚ͕ ĞǆƚƌĞŵĞůǇ ƉƌŽĮƚĂďůĞ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ ŝŶ ƐŝŶŐůĞ ƚĞŶĂŶƚ͕ ϯ͕ϰϬϬ ƐƋ Ō ƉƌŽĨĞƐƐŝŽŶĂů ďƵŝůĚŝŶŐ͖ ϱ ƉůƵŵďĞĚ ĂŶĚ

ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͕ ƐƚĞĂĚǇ ůĞǀĞů ŽĨ ĂŶŶƵĂů ĐŽůůĞĐƟŽŶƐ ŽǀĞƌ ƉĂƐƚ ϰ ǇĞĂƌƐ ;η,ϮϯϮͿ͘ EKZd,t ^d ,Kh^dKE͗ dŚŝƐ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ŚĂƐ ĞƐƚĂďůŝƐŚĞĚ ĨŽƌ ϭϭ ǇĞĂƌƐ ŝŶ ƚŚĞ EŽƌƚŚǁĞƐƚ ,ŽƵƐƚŽŶ ĂƌĞĂ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŝŶ Ă <ƌŽŐĞƌ ĂŶĚ s^ WŚĂƌŵĂĐǇ ƐŚŽƉƉŝŶŐ ĐĞŶƚĞƌ ǁŝƚŚ ŐƌĞĂƚ ǀŝƐŝďŝůŝƚǇ ĂŶĚ ŚŝŐŚ ĨŽŽƚ ƚƌĂĸĐ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ĐŽŶǀĞŶŝĞŶƚůǇ ůŽĐĂƚĞĚ ĐůŽƐĞ ƚŽ ϯ ŵĂũŽƌ ŚŝŐŚǁĂǇƐ ŝŶ ƚŚĞ ,ŽƵƐƚŽŶ ĂƌĞĂ ;η,ϮϮϲͿ͘ ' >s ^dKE͗ ƐƚĂďůŝƐŚĞĚ ĨĞĞͲĨŽƌͲƐĞƌǀŝĐĞ ƉƌĂĐƟĐĞ͕ ĐŽůůĞĐƟŽŶƐ ŚĂǀĞ ďĞĞŶ ŝŶĐƌĞĂƐŝŶŐ ŝŶ ƌĞĐĞŶƚ ǇĞĂƌƐ ĂŶĚ ĂƌĞ ĐŽŶƐŝƐƚĞŶƚůǇ ŽǀĞƌ ϲ ĮŐƵƌĞƐ͘ tŝƚŚ Ă ƐŽůŝĚ ĞĐŽŶŽŵŝĐ ďĂƐĞ͕ ƚŚĞ ƉƌĂĐƟĐĞ ĞŶũŽǇƐ Ă ƐƚƌŽŶŐ ƌĞĐĂůů ƐǇƐƚĞŵ͕ ĂŶ ĞǆƉĞƌŝĞŶĐĞĚ ĂŶĚ ƐƚĂďůĞ ƐƚĂī͕ ĂŶĚ ŚĂƐ ƐĞĞŶ ŽǀĞƌ Ϯ͕ϱϬϬ ƉĂƟĞŶƚƐ ŝŶ ƚŚĞ ůĂƐƚ Ϯϰ ŵŽŶƚŚƐ͘ dŚĞ ĨĂĐŝůŝƚǇ ŝƐ ĨƌĞĞ ƐƚĂŶĚŝŶŐ ĂŶĚ ŚĂƐ ϴ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ƌŽŽŵ ĨŽƌ ĞǆƉĂŶƐŝŽŶ ;η,ϭϲϭͿ͘ EKZd,t ^d ,Kh^dKE ^^K / d WK^/d/KE t/d, &hdhZ hzͲ/E͗ ƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ŝƐ ůŽĐĂƚĞĚ ŶĞĂƌ Ă ŚŝŐŚ ƚƌĂĸĐ ŝŶƚĞƌƐĞĐƟŽŶ ŝŶ ƚŚĞ ďŽŽŵŝŶŐ ŶŽƌƚŚǁĞƐƚ ,ŽƵƐƚŽŶͬ ŽƉƉĞƌĮĞůĚ ĂƌĞĂ͘ ZĞǀĞŶƵĞƐ ŝŶ ůŽǁͲϳ ĮŐƵƌĞƐ Ă ƐƚƌŽŶŐ ŚǇŐŝĞŶĞ ĚĞƉĂƌƚŵĞŶƚ͕ ĂŶĚ Ă ǀĞƌǇ ŚĞĂůƚŚǇ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ͕ ƚŚĞ ƉƌĂĐƟĐĞ ŝƐ ƐĞƚ ĨŽƌ ĐŽŶƟŶƵĞĚ ƉƌŽĮƚĂďŝůŝƚǇ ĂŶĚ ŐƌŽǁƚŚ͘ ;η,ϮϮϱͿ ^Khd, ^d ,Kh^dKE͗ tĞůůͲĞƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ͕ ůŽĐĂƚĞĚ ŝŶ ŚŝŐŚůǇ ǀŝƐŝďůĞ ƐŚŽƉƉŝŶŐ ĐĞŶƚĞƌ͕ ϱ ŽƉĞƌĂƚŽƌŝĞƐ͕ ƐƚĂďůĞ ƉĂƟĞŶƚ ďĂƐĞ͕ ƌŽŽŵ ĨŽƌ ĞǆƉĂŶƐŝŽŶ͕ ĐŽŵĨŽƌƚĂďůĞ ĚĠĐŽƌ ;η,ϭϵϳͿ͘ ^Khd,t ^d K& ,Kh^dKE͗ ƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ͕ ϰ ŽƉĞƌĂƚŽƌŝĞƐ͕ ƐƚĂďůĞ ďůƵĞ ĐŽůůĂƌ ƉĂƟĞŶƚ ďĂƐĞ͕ ƉĞƚƌŽĐŚĞŵŝĐĂů ĞĐŽŶŽŵŝĐ ďĂƐĞ͕ Ϯ͕ϬϬϬ ƐƋ ĨŽŽƚ ďƵŝůĚŝŶŐ ĂǀĂŝůĂďůĞ͘ ŽĐƚŽƌ ǁŽƌŬŝŶŐ ŽŶůǇ ƉĂƌƚͲƟŵĞ ;η,ϭϳϰͿ͘ dŽ ƐĞĞ ŽƵƌ ŵŽƐƚ ƵƉͲƚŽͲĚĂƚĞ ůŝƐƟŶŐƐ͕ ƉůĞĂƐĞ ŐŽ ƚŽ ĚĞŶƚĂůͲƐĂůĞƐ͘ĐŽŵ͘ ŽŶƚĂĐƚ DĐ>ĞƌƌĂŶ Θ ƐƐŽĐŝĂƚĞƐ ŝŶ ,ŽƵƐƚŽŶ͗ dŽŵ 'ƵŐůŝĞůŵŽ͕ WĂƚƌŝĐŬ :ŽŚŶƐƚŽŶ͕ DĂĐ tŝŶƐƚŽŶ͕ ϴϲϲͲϳϱϲͲϳϰϭϮ Žƌ ϮϴϭͲϯϲϮͲϭϳϬϳ͕ ŚŽƵƐƚŽŶĞĂƐƩǆΛĚĞŶƚĂůͲ ƐĂůĞƐ͘ĐŽŵ͘ WƌĂĐƟĐĞ ƐĂůĞƐ͕ ĂƉƉƌĂŝƐĂůƐ͕ ďƵǇĞƌ ƌĞƉƌĞƐĞŶƚĂƟŽŶ͕ ĂŶĚ ƉĂƌƚŶĞƌƐŚŝƉ ĐŽƵŶƐĞůŝŶŐ͘ LAREDO: tĞ ĂƌĞ ůŽŽŬŝŶŐ ĨŽƌ Ă ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ĨŽƌ Ă ƌĂƉŝĚůǇ ŐƌŽǁŝŶŐ ƉƌĂĐƟĐĞ͘ ^ƚƌŽŶŐ ƌĞĨĞƌƌĂů ƐŽƵƌĐĞƐ͘ ,ŽƐƉŝƚĂů ĐĂƐĞƐ ƉĞƌĨŽƌŵĞĚ ƚǁŝĐĞ Ă ǁĞĞŬ Ăƚ ůŽĐĂů ŚŽƐƉŝƚĂů͘ ^ƚĂƚĞͲŽĨͲƚŚĞͲĂƌƚ ƉƌĂĐƟĐĞ ǁŝƚŚ ĚŝŐŝƚĂů yͲƌĂǇƐ ĂŶĚ ĐŚĂƌƚƐ͘ /Ĩ ƉĂƌƚͲƟŵĞ͕ ƚŚĞŶ ĚĞŶƟƐƚ ĐĂŶ ŇǇ ŝŶ ƚŽ ƐĞĞ ƉĂƟĞŶƚƐ ĂŶĚ ƐƟůů ŵĂŝŶƚĂŝŶ ůŝǀŝŶŐ Ăƚ ƚŚĞŝƌ ĐƵƌƌĞŶƚ ĐŝƚǇ͘ WĂƌƚŶĞƌƐŚŝƉ ŝŶ ĨƵƚƵƌĞ ŝƐ ĂŶ ŽƉƟŽŶ ŝĨ ĐĂŶĚŝĚĂƚĞ ŝŶƚĞƌĞƐƚĞĚ͘ WůĞĂƐĞ ĞŵĂŝů ƚϮƚƉĚůĂƌĞĚŽΛŐŵĂŝů͘ĐŽŵ͘

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ADVERTISING BRIEFS LONGVIEW PEDIATRIC PRACTICE SEEKING FULL-TIME ASSOCIATE: ^ŚĞƌƌŝ >͘ ,ĞŶĚĞƌƐŽŶ Θ ƐƐŽĐŝĂƚĞƐ͕ >> ŝƐ ůŽŽŬŝŶŐ ĨŽƌ Ă ƋƵĂůŝĮĞĚ ĂƐƐŽĐŝĂƚĞ ƚŽ ƚƌĂŶƐŝƟŽŶ ŝŶƚŽ ĂŶ ĂĐƟǀĞ ƉĞĚŝĂƚƌŝĐ ĚĞŶƚĂů ƉƌĂĐƟĐĞ͘ dŚĞ ĂƐƐŽĐŝĂƚĞ ǁŝůů ďĞ ǁŽƌŬŝŶŐ ǁŝƚŚ Ă ŬŶŽǁůĞĚŐĞĂďůĞ ƐƚĂī ĂŶĚ Ă ŐƌĞĂƚ ŶĞǁ ƉĂƟĞŶƚ ŇŽǁ͘ dŚŝƐ ƉƌĂĐƟĐĞ ŝƐ ĚĞĚŝĐĂƚĞĚ ƚŽ ƉĞƌĨŽƌŵŝŶŐ ŚŝŐŚ ƋƵĂůŝƚǇ ĚĞŶƚĂů ĐĂƌĞ ĨŽƌ ƚŚĞ ĐŚŝůĚƌĞŶ ĂŶĚ ĂĚŽůĞƐĐĞŶƚƐ ŽĨ ƚŚĞ ƐƵƌƌŽƵŶĚŝŶŐ ĐŽŵŵƵŶŝƟĞƐ͘ dŚĞ ĚĞŶƟƐƚͬŽǁŶĞƌ ĞƐƚĂďůŝƐŚĞĚ ƚŚĞ ƉƌĂĐƟĐĞ ϭϰ ǇĞĂƌƐ ĂŐŽ͕ ĂŶĚ ŽīĞƌƐ Ă ĨƵƚƵƌĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ďƵǇͲŝŶ͘ dŚŝƐ ďĞĂƵƟĨƵů ƉĞĚŝĂƚƌŝĐ ƉƌĂĐƟĐĞ ŝƐ ϱ͕ϬϬϬ ƐƋ Ō͕ ǁŝƚŚ ϰ ĚŽĐƚŽƌ ĐŚĂŝƌƐ ĂŶĚ ϰ ŚǇŐŝĞŶĞ ĐŚĂŝƌƐ͕ ƉůƵƐ Ă ƋƵŝĞƚ ƌŽŽŵ ĂŶĚ Ă ŶĞǁ ƉĂƟĞŶƚ ƌŽŽŵ͘ ĨƵůůͲƟŵĞ ƐĐŚĞĚƵůĞ ŽĨ ϰ͘ϱ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ŝƐ ŽīĞƌĞĚ͕ ǁŝƚŚ ƐĂůĂƌǇ ďĂƐĞĚ ŽŶ ϰϬй ŽĨ ƉƌŽĚƵĐƟŽŶ͘ ,ĞĂůƚŚ ŝŶƐƵƌĂŶĐĞ ĂŶĚ ďĞŶĞĮƚ ƉůĂŶƐ ĂƌĞ ŶĞŐŽƟĂďůĞ͘ >ŝƐƟŶŐ ηϯϰϯϱ͘ WŚŽƚŽƐ ĂǀĂŝůĂďůĞ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ ŽƵƌ ŽĸĐĞ Ăƚ ϵϳϮͲϱϲϮͲϭϬϳϮ͕ ĞŵĂŝů ƐŚĞƌƌŝΛƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ͕ Žƌ ǀŝƐŝƚ ŽƵƌ ǁĞďƐŝƚĞ Ăƚ ǁǁǁ͘ƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ͘ MIDLAND: KŶĞ ŽĨ ƚŚĞ ĨĂƐƚĞƐƚ ŐƌŽǁŝŶŐ ĐŝƟĞƐ ŝŶ dĞǆĂƐ ŶĞĞĚƐ Ă ĚǇŶĂŵŝĐ͕ ĐĂƌŝŶŐ͕ ƉĂƟĞŶƚͲĨŽĐƵƐĞĚ ĚĞŶƟƐƚ ƚŽ ũŽŝŶ ŽƵƌ ŐƌŽǁŝŶŐ ƉƌĂĐƟĐĞ͘ ƐƐŽĐŝĂƚĞ ĂŶĚ ďƵǇͲŝŶ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂƌĞ ĂǀĂŝůĂďůĞ͘ WůĞĂƐĞ ĐŽŶƚĂĐƚ ƌ ƌŝƩ ŽƐƟĐŬ͕ ^͕ Ăƚ ďďŽƐƚϯϱϴϮϭΛĂŽů͘ ĐŽŵ Žƌ ĐĂůů ϴϬϲͲϰϯϴͲϱϳϰϱ͘ NORTH TEXAS: WĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ŶĞĞĚĞĚ ĨŽƌ ďƵƐǇ ŶŽƌƚŚ dĞǆĂƐ ƉƌĂĐƟĐĞ͘ ŶũŽǇ ůŝĨĞ ŝŶ ^ŚĞƌŵĂŶ͕ dĞǆĂƐ͕ Ă ĨĂŵŝůǇͲ ŽƌŝĞŶƚĞĚ ĐŝƚǇ ĐŽŶǀĞŶŝĞŶƚůǇ ůŽĐĂƚĞĚ ũƵƐƚ ϭ ŚŽƵƌ ŶŽƌƚŚ ŽĨ ĂůůĂƐ͕ ďƵƚ ǁŝƚŚŽƵƚ ƚŚĞ ŚƵƐƚůĞ ĂŶĚ ďƵƐƚůĞ ŽĨ ƚŚĞ ďŝŐ ĐŝƚǇ͊ ǆĐĞůůĞŶƚ ƉƌĂĐƟĐĞ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ŵŽƟǀĂƚĞĚ ĂŶĚ ŶƵƌƚƵƌŝŶŐ ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ƐĞĞŬŝŶŐ ĨƵůůͲƟŵĞ ĂƐƐŽĐŝĂƚĞ ǁŝƚŚ ƉŽƚĞŶƟĂů ĨŽƌ ƉĂƌƚŶĞƌƐŚŝƉ͘ WƌĂĐƟĐĞ ŚĂƐ Ă ŐƌĞĂƚ ƌĞƉƵƚĂƟŽŶ ĂŶĚ ŝƐ ĐŽŵŵŝƩĞĚ ƚŽ ƉƌŽǀŝĚŝŶŐ ƋƵĂůŝƚǇ ĐŽŵƉƌĞŚĞŶƐŝǀĞ ĐĂƌĞ ĨŽƌ ŽƵƌ ƉĂƟĞŶƚƐ ĂŶĚ ĨĂŵŝůŝĞƐ ŝŶ Ă ĨƵŶ ĂŶĚ ƌĞůĂǆĞĚ ĂƚŵŽƐƉŚĞƌĞ͘ ^ƚĂƚĞͲŽĨͲƚŚĞͲĂƌƚ ĨĂĐŝůŝƚǇ ǁŝƚŚ ŚŝŐŚůǇ ƚƌĂŝŶĞĚ ĂŶĚ ĚĞĚŝĐĂƚĞĚ ƐƚĂī͘ ŽŵƉĞƟƟǀĞ ĐŽŵƉĞŶƐĂƟŽŶ ĂŶĚ ďĞŶĞĮƚƐ͘ &ĞĞͲĨŽƌͲ ƐĞƌǀŝĐĞ͕ ůŝŵŝƚĞĚ DĞĚŝĐĂŝĚ͘ DƵƐƚ ƉŽƐƐĞƐƐ ŚŝŐŚ ƉĞƌƐŽŶĂů ƐƚĂŶĚĂƌĚƐ͕ ƐƚƌŽŶŐ ǁŽƌŬ ĞƚŚŝĐ͕ ĞǆĐĞůůĞŶƚ ƚĞĐŚŶŝĐĂů ĂŶĚ ĐŽŵŵƵŶŝĐĂƟŽŶ ƐŬŝůůƐ͕ ĂŶĚ ďĞ ǁŝůůŝŶŐ ƚŽ ƚƌĞĂƚ ƚŚĞ ĨƵůů ƌĂŶŐĞ ŽĨ ƉĞĚŝĂƚƌŝĐ ĚĞŶƚĂů ƉĂƟĞŶƚƐ͘ KƉƉŽƌƚƵŶŝƟĞƐ ĨŽƌ ŝŶ ŽĸĐĞ ĐŽŶƐĐŝŽƵƐ ƐĞĚĂƟŽŶ͕ /s ƐĞĚĂƟŽŶ ĂŶĚ ŚŽƐƉŝƚĂů ĚĞŶƟƐƚƌǇ͘ WůĞĂƐĞ ĞŵĂŝů ƌĞƐƵŵĞͬ s ƚŽ ďƚŚϭΛĐĂďůĞŽŶĞ͘ŶĞƚ͘

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Texas Dental Journal l www.tda.org l June 2014

NORTHEAST TEXAS DENTAL OFFICE FOR SALE: WƌŝǀĂƚĞ͕ ĨƌĞĞͲƐƚĂŶĚŝŶŐ͕ ĂƩƌĂĐƟǀĞ͕ ϭ͕ϯϬϬͲƉůƵƐ ƐƋ Ō͕ ďƌŝĐŬ ǀĞŶĞĞƌ ŽĸĐĞ ǁŝƚŚ ĐŽŶĐƌĞƚĞ ƉĂƌŬŝŶŐ ůŽƚ͕ Ă ĐŽǀĞƌĞĚ ƉĂƌŬŝŶŐ ĂƌĞĂ ĂŶĚ ĂĚĚŝƟŽŶĂů ϯϮϬ ƐƋ Ō ƐƚŽƌĂŐĞ͕ ůŽĐĂƚĞĚ ŽŶ Ϭ͘ϱ ĂĐƌĞ ŶĞǁůǇ ůĂŶĚƐĐĂƉĞĚ ůŽƚ͕ ůŽĐĂƚĞĚ ŽŶ ŵĂũŽƌ h͘^͘ ŚŝŐŚǁĂǇ ŝŶ ƐŵĂůů ƚŽǁŶ ŽĨ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϱ͕ϬϬϬ ƉŽƉƵůĂƟŽŶ ǁŚŝĐŚ ĂƐ ĐŽƵŶƚǇ ƐĞĂƚ ŽĨ ŽǁŝĞ ŽƵŶƚǇ ƐĞƌǀĞƐ Ă ůĂƌŐĞ ĚƌĂǁŝŶŐ ĂƌĞĂ͘ KĸĐĞ ŽīĞƌƐ ϯ ƉůƵŵďĞĚ ŽƉƐ͕ Ϯ ĐŽŵƉůĞƚĞůǇ ĞƋƵŝƉƉĞĚ ǁŝƚŚ DĂƌƵƐ ƵŶŝƚƐ ĂŶĚ ĐŚĂŝƌƐ ;ƚŚŝƌĚ ŽƉ ǁŝůů ďĞ ĞƋƵŝƉƉĞĚ ƵƉŽŶ ƌĞƋƵĞƐƚͿ͕ ĚŝŐŝƚĂů ǆͲƌĂǇƐ͕ ǁĞůůͲĂƉƉŽŝŶƚĞĚ ƌĞĐĞƉƟŽŶ ƌŽŽŵ͕ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ ƉĂŶŽ ĂŶĚ ƌĞĐŽǀĞƌǇ ƌŽŽŵ͕ ůĂď͕ ƉƌŝǀĂƚĞ ĚŽĐƚŽƌ͛Ɛ ŽĸĐĞ͕ ƵƟůŝƚǇ ƌŽŽŵ͕ ĂŶĚ ƐƚŽƌĂŐĞ ƵŶŝƚ͘ ůů ĚĞŶƚĂů ĐŚĂŝƌƐ͕ ƵŶŝƚƐ͕ ĞƋƵŝƉŵĞŶƚ͕ ŝŶƐƚƌƵŵĞŶƚƐ͕ ƐƵƉƉůŝĞƐ͕ ĂŶĚ ĨƵƌŶŝƚƵƌĞ ŝŶĐůƵĚĞĚ͘ ƵƌƌĞŶƚ ĂƉƉƌĂŝƐĂů ŝƐ ĂǀĂŝůĂďůĞ ƵƉŽŶ ƌĞƋƵĞƐƚ͘ >ŽĐĂů ĚĞŶƟƐƚƐ ǁŚŽ ǁĞƌĞ ĐŽŶƐƵůƚĞĚ ƌĞŐĂƌĚŝŶŐ ŚŝŐŚĞƐƚ ĂŶĚ ďĞƐƚ ƵƐĞ ŽĨ ƚŚĞ ŽĸĐĞ ƚŽ ĨƵƌƚŚĞƌ ĞŶŚĂŶĐĞ ƚŚĞŝƌ ƉƌĂĐƟĐĞƐ ĂŶĚ ŽīĞƌ ƐĞƌǀŝĐĞƐ ŶŽƚ ŶŽǁ ƌĞĂĚŝůǇ ĂǀĂŝůĂďůĞ ŝŶ ƚŚĞ ĐŽŵŵƵŶŝƚǇ ƌĞĐŽŵŵĞŶĚĞĚ ƐĞĞŬŝŶŐ Ă ƉƌĂĐƟƟŽŶĞƌ ƚŽ ǁŚŽŵ ƚŚĞǇ ĐŽƵůĚ ƌĞĨĞƌ ƚŚĞŝƌ ŶŽŶͲDĞĚŝĐĂŝĚ͕ ƉĞĚŝĂƚƌŝĐ ƉĂƟĞŶƚƐ ƚŚĂƚ ĂƌĞ ĐƵƌƌĞŶƚůǇ ŚĂǀŝŶŐ ƚŽ ďĞ ƌĞĨĞƌƌĞĚ ƚŽ ĚŽĐƚŽƌƐ ϮϬ ƚŽ ϯϱ ŵŝůĞƐ ĂǁĂǇ ŶŽƚ ŽŶůǇ ĨŽƌ ŐĞŶĞƌĂů ĐĂƌĞ͕ ďƵƚ ĂůƐŽ ĨŽƌ ŽƌƚŚŽ͕ ĂŶĚ ƐƵƌŐŝĐĂů ƉƌŽĐĞĚƵƌĞƐ͘ ǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ƐƚĂƌƚͲƵƉ Žƌ ƐĂƚĞůůŝƚĞ ůŽĐĂƟŽŶ͘ /Ĩ ƚŚĞ ŝĚĞĂ ŽĨ ůŝǀŝŶŐ ŝŶ Ă ƐŵĂůů͕ ĨĂŵŝůǇͲŽƌŝĞŶƚĞĚ ĐŽŵŵƵŶŝƚǇ ǁŝƚŚ Ă ůĂƌŐĞ ĚƌĂǁŝŶŐ ĂƌĞĂ͕ ĨƌĞĞ ŽĨ ƚƌĂĸĐ ũĂŵƐ͕ ůŽŶŐ ĚĂŝůǇ ĐŽŵŵƵƚĞƐ͕ ƐŵŽŐ ĨƌĞĞ ĞŶǀŝƌŽŶŵĞŶƚ ŝŶ ƚŚĞ ͞ŐƌĞĞŶ͟ ƉĂƌƚ ŽĨ ƚŚĞ ƐƚĂƚĞ ƐƵƌƌŽƵŶĚĞĚ ďǇ ďĞĂƵƟĨƵů ůĂŬĞƐ ǁŚĞƌĞ ŚƵŶƟŶŐ͕ ĮƐŚŝŶŐ͕ ŽƵƚĚŽŽƌ ǁĂƚĞƌ ƐƉŽƌƚƐ͕ ĂƌĞ ƌĞĂĚŝůǇ ĂǀĂŝůĂďůĞ͕ ǁŚŝůĞ ƐƟůů ďĞŝŶŐ ŽŶůǇ Ă ƐŚŽƌƚ ĚƌŝǀĞ ƚŽ ůĂƌŐĞ ƚŽǁŶ ĂŵĞŶŝƟĞƐ ƐŽƵŶĚƐ ĂƉƉĞĂůŝŶŐ͕ ƚŚŝƐ ĐŽƵůĚ ďĞ ƚŚĞ ƉĞƌĨĞĐƚ ŵĂƚĐŚ͘ /Ĩ ŝŶƚĞƌĞƐƚĞĚ Žƌ ǇŽƵ ŚĂǀĞ ĨƵƌƚŚĞƌ ƋƵĞƐƟŽŶƐ͕ ƉůĞĂƐĞ ĐŽŶƚĂĐƚ ŽƌŽƚŚǇ tĂƩƐ͕ ǁŝĚŽǁ ŽĨ ƚŚĞ ůĂƚĞ ƌ ůŝĞ tĂƩƐ͕ ǁŚŽƐĞ ƵŶƟŵĞůǇ ĚĞĂƚŚ ŚĂƐ ĐĂƵƐĞĚ ƚŚŝƐ ŽĸĐĞ ƚŽ ďĞ ŽīĞƌĞĚ ĨŽƌ ƐĂůĞ͘ DŽƟǀĂƚĞĚ ƚŽ ƐĞůů͕ ŽǁŶĞƌ ǁŝůů ƉƌŽǀŝĚĞ ĮŶĂŶĐŝŶŐ͕ ŝĨ ŶĞĞĚĞĚ͕ ĂŶĚ ĂĚǀĞƌƟƐŝŶŐ ďƵĚŐĞƚ ƚŽ ƚŚĞ ƌŝŐŚƚ ƉĞƌƐŽŶ͘ Ăůů ϵϬϯͲϮϳϴͲϰϳϰϲ Žƌ ĞŵĂŝů Ăƚ ĚŽƚǁĂƩƐΛŐŵĂŝů͘ĐŽŵ͘ OPPORTUNITY TO TRANSITION INTO A BUSY ORAL ^hZ' Zz WZ d/ t/d,/E Dh>d/ͳ /^ /W>/E PRACTICE. WƌĞƐĞŶƚ ŽƌĂů ƐƵƌŐĞŽŶ ŝƐ ƌĞƟƌŝŶŐ͘ WƌĂĐƟĐĞ ŝƐ ƉƌŝǀĂƚĞ ĨĞĞ ĨŽƌ ƐĞƌǀŝĐĞ͘ EĞǁ ŝͲ d ;ϯ Ϳ ŝŶ ŽĸĐĞ͘ &Žƌ ŝŶĨŽƌŵĂƟŽŶ ĐŽŶƚĂĐƚ WĂƵů <ĞŶŶĞĚǇ͕ ^͕ Ăƚ ƉŬĞŶŶĞĚǇΛŐƚĞ͘ ŶĞƚ Žƌ ϯϲϭͲϵϲϬͲϲϰϴϰ͘

ADVERTISING BRIEFS ORAL SURGEON NEEDED. Oral surgeon will be busy for a ĨƵůů ĚĂǇ Žƌ Ϯ ǁŝƚŚ ŝŵƉůĂŶƚ ĂŶĚ ďŽŶĞ ŐƌĂŌƐ͘ ŽŵƉĞƟƟǀĞ ƉĂǇ͘ &ůĞǆŝďůĞ ŝŶ ƐĐŚĞĚƵůŝŶŐ͘ WůĞĂƐĞ ĐĂůů ϯϲϭͲϯϴϳͲϯϰϰϮ͘ ORAL SURGERY OFFICE, WICHITA FALLS, TEXAS: Two operatories, fully equipped, plumbed for nitrous oxide and ŽǆǇŐĞŶ͕ ŶŝƚƌŽŐĞŶ ĨŽƌ ŵƵůƟƉůĞ ŚĂůů ŚĂŶĚƉŝĞĐĞƐ͕ ǆͲƌĂǇ ƌŽŽŵ ǁŝƚŚ ƉĂŶŽƌĞǆ͕ ƉĞƌŝĂƉŝĐĂů ŵĂĐŚŝŶĞ͕ ĂƵƚŽǀĞůĞƉŽƌ͕ EŽŵĂĚ ƉŽƌƚĂďůĞ͕ ĐƌĂƐŚ ĐĂƌƚ͕ ϭϰϳϱ ƐƋ Ō ďƵŝůĚŝŶŐ ǁŝƚŚ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ ůĂď͕ ǁĂŝƟŶŐ ƌŽŽŵ͕ Ϯ ƌĞƐƚƌŽŽŵƐ͕ ĂŵƉůĞ ƉĂƌŬŝŶŐ͘ ǆĐĞůůĞŶƚ ůŽĐĂƟŽŶ͗ ϲ ďůŽĐŬƐ ƚŽ ŚŽƐƉŝƚĂů͘ /ŶĂĐƟǀĞ ũƵƐƚ ϴ ǁĞĞŬƐ ĚƵĞ ƚŽ ƐƚƌŽŬĞ͘ ^ƚĞƉŚĞŶ ͘ &Ăƌƌ͕ ^͕ D^͘ ϮϭϬϬ ƌŽŽŬ ǀĞ͕ ϳϲϯϬϭ͘ Ăůů͗ K͗ ϵϰϬͲϯϮϮͲϱϮϵϳ͕ ,͗ ϵϰϬͲϲϵϲͲϯϵϰϲ͕ ͗ ϵϰϬͲϳϴϭͲϲϳϮϭ͘ PEDIATRIC PRACTICE FOR SALE: sĞƌǇ ůĂƌŐĞ ƉƌŝǀĂƚĞ ƉĞĚŝĂƚƌŝĐ ƉƌĂĐƟĐĞ ŝŶ ůĂƌŐĞ ŵĞƚƌŽƉŽůŝƚĂŶ ĂƌĞĂ ŝŶ dĞǆĂƐ͕ ŵŝǆ ŽĨ WWK ĂŶĚ DĞĚŝĐĂŝĚ ŝŶ Ă ďĞĂƵƟĨƵů͕ ĨƌĞĞͲƐƚĂŶĚŝŶŐ ϱ͕ϬϬϬ ƐƋ Ō ďƵŝůĚŝŶŐ ǁŝƚŚ ϭϬ ĐŚĂŝƌƐ͘ ,ŝŐŚůǇ ƉƌŽĮƚĂďůĞ ƉƌŝǀĂƚĞ ƉƌĂĐƟĐĞ ĞƐƚĂďůŝƐŚĞĚ ϯϬ ǇĞĂƌƐ͘ dĞǆĂƐ WƌĂĐƟĐĞ dƌĂŶƐŝƟŽŶƐ͕ /ŶĐ͘ ZŝĐŚ EŝĐĞůǇ ŚĂƐ ďĞĞŶ ƐĞƌǀŝŶŐ dĞǆĂƐ ĚĞŶƟƐƚƐ ƐŝŶĐĞ ϭϵϵϬ͘ sŝƐŝƚ ǁǁǁ͘ƚǆͲƉƚ͘ĐŽŵ Žƌ ĐĂůů ϮϭϰͲϰϲϬͲϰϰϲϴ Žƌ ĞŵĂŝů ZŝĐŚΛ ƚǆͲƉƚ͘ĐŽŵ͘ PRACTICE FOR SALE SOUTHWEST OF FORT WORTH IN FAST GROWING AREA. ǀĞƌĂŐĞ ŐƌŽƐƐ͖ ϲ ŽƉĞƌĂƚŽƌŝĞƐ͖ ǆĐĞůůĞŶƚ ůĞĂƐĞ͘ ^ĞůůĞƌ ŝƐ ƌĞůŽĐĂƟŶŐ͘ EĞĞĚ ƚŽ ŵŽǀĞ ƋƵŝĐŬůǇ ŽŶ ƚŚŝƐ ŽŶĞ͘ &t ϮϭϰͲϱϬϯͲϵϲϵϲ͘ t d^ ϴϬϬͲϱϴϯͲϳϳϲϱ͘ PRACTICE OPPORTUNITY: tĞ ĂƌĞ Ă dĞǆĂƐͲďĂƐĞĚ ĨĂŵŝůǇ ŐƌŽƵƉ ĚĞŶƚĂů ƉƌĂĐƟĐĞ ƐĞƌǀŝŶŐ ƉĂƟĞŶƚƐ ŽĨ Ăůů ĂŐĞƐ͘ tŝƚŚ Ă ďƵƐǇ ǁŽƌŬůŽĂĚ ĂŶĚ ŚŝŐŚ ƚƌĂĸĐ͕ ŽƵƌ ŶĞĞĚƐ ĞǆƚĞŶĚ ƚŽ 'ĞŶĞƌĂů ĞŶƟƐƚƐ͕ KƌƚŚŽĚŽŶƟƐƚƐ͕ WĞĚŝĂƚƌŝĐ ĞŶƟƐƚƐ͕ ĂŶĚ ŶĚŽĚŽŶƟƐƚƐ͘ YƵĂůŝĮĞĚ͕ ĐŽŵƉĂƐƐŝŽŶĂƚĞ ĂŶĚ ŵŽƟǀĂƚĞĚ ĚŽĐƚŽƌƐ ŝŶƚĞƌĞƐƚĞĚ ŝŶ ŽƉƉŽƌƚƵŶŝƟĞƐ ƚŽ ƉƌŽǀŝĚĞ ŚŝŐŚ ƋƵĂůŝƚǇ ĐĂƌĞ ŝŶ ĐŽŵŵƵŶŝƟĞƐ ŝŶ dĞǆĂƐ ŵĂǇ ĐŽŶƚĂĐƚ ƵƐ͘ KƵƌ ŽĸĐĞƐ ƉƌŽǀŝĚĞ͗ ^ƚĂƚĞ ŽĨ ƚŚĞ Ăƌƚ͕ ŚŝŐŚͲƚĞĐŚ ĨĂĐŝůŝƚǇ͖ ŝŶͲŚŽƵƐĞ ĚŝŐŝƚĂů yͲƌĂǇƐ͖ ƉĂƉĞƌůĞƐƐ ĐŚĂƌƟŶŐ͖ ϯͲ ŵŽĚĞůƐ͖ ĚŝŐŝƚĂů ƚƌĂĐŝŶŐ ĂŶĚ ŝŵĂŐŝŶŐ͘ tŽƌŬ ĂůŽŶŐƐŝĚĞ ŝŶͲŚŽƵƐĞ ďŽĂƌĚ ĐĞƌƟĮĞĚ WĞĚŝĂƚƌŝĐ ĞŶƟƐƚƐ͕ KƌĂů ^ƵƌŐĞŽŶƐ͕ ŶĚŽĚŽŶƟƐƚƐ ĂŶĚ 'ĞŶĞƌĂů ĞŶƟƐƚƐ͕ ĂůůŽǁŝŶŐ ŽŶĞ ƚŽ ƉƌŽǀŝĚĞ ƚŚĞ ĂďƐŽůƵƚĞ ďĞƐƚ ĐĂƌĞ ƉŽƐƐŝďůĞ ƚŽ ĞǀĞŶ ƚŚĞ ŵŽƐƚ ĐŚĂůůĞŶŐŝŶŐ ĐĂƐĞƐ͘ dŽ ũŽŝŶ ŽƵƌ ƚĞĂŵ͕ ƉůĞĂƐĞ ĨŽƌǁĂƌĚ ǇŽƵƌ s ƚŽ ƚǆ͘ĚĞŶƟƐƚƌǇŐƌŽƵƉΛŐŵĂŝů͘ĐŽŵ͘

READY TO SELL — CORPUS CHRISTI AREA: ^ŚĞƌƌŝ >͘ ,ĞŶĚĞƌƐŽŶ Θ ƐƐŽĐŝĂƚĞƐ͘ dŚĞ ^ ŝƐ ƌĞůŽĐĂƟŶŐ ƚŽ ĂŶŽƚŚĞƌ ĐŝƚǇ͘ dŚŝƐ ĐŽƐŵĞƟĐ ĂŶĚ ŐĞŶĞƌĂů ĚĞŶƟƐƚƌǇ ƉƌĂĐƟĐĞ ǁĂƐ ĞƐƚĂďůŝƐŚĞĚ ŝŶ ϭϵϴϮ ŝŶ Ă ƉƌŽĨĞƐƐŝŽŶĂů ŽĸĐĞ ĐŽŵƉůĞǆ ǁŝƚŚ ϭ͕ϰϬϬ ƐƋ Ō ĂŶĚ ϯ ĞǆŝƐƟŶŐ ƚƌĞĂƚŵĞŶƚ ƌŽŽŵƐ͘ dŚŝƐ ůŽĐĂƟŽŶ ǁŽƵůĚ ŵĂŬĞ Ă ŐƌĞĂƚ ƉůĂĐĞ ĨŽƌ Ă ƐƚĂƌƚͲƵƉ Žƌ ƐĂƚĞůůŝƚĞ ƉƌĂĐƟĐĞ ĂŶĚ ŝƚ ŚĂƐ ƉůĞŶƚǇ ŽĨ ƐƉĂĐĞ ŶĞǆƚ ĚŽŽƌ ĨŽƌ ĞǆƉĂŶƐŝŽŶ͘ dŚĞ ůŽĐĂƟŽŶ ŝƐ ŽŶ ŽŶĞ ŽĨ ƚŚĞ ďƵƐŝĞƐƚ ƐƚƌĞĞƚƐ ǁŝƚŚ ĂĐĐĞƐƐ ƚŽ WĂĚƌĞ /ƐůĂŶĚ ƌŝǀĞ͘ dŚŝƐ ŝƐ Ă ĐĂƐŚ ďĂƐŝƐ ƉƌĂĐƟĐĞ ǁŝƚŚ Ă ĚĞĚŝĐĂƚĞĚ ůŽǇĂů ƐƚĂī ĂŶĚ ŐƌĞĂƚ ƌĞǀĞŶƵĞ ƉŽƚĞŶƟĂů͘ dŚĞ ĐƵƌƌĞŶƚ ŽǁŶĞƌ ŚĂƐ ĞǆƚĞŶƐŝǀĞ ĞǆƉĞƌŝĞŶĐĞ ǁŝƚŚ dD: ĂŶĚ ƐůĞĞƉ ĂƉŶĞĂ ĂŶĚ ǁŽƵůĚ ďĞ ǁŝůůŝŶŐ ƚŽ ƌĞƚƵƌŶ ƚŽ ƚŚĞ ƉƌĂĐƟĐĞ ƉĞƌŝŽĚŝĐĂůůǇ ŝĨ ƚŚĞ ŶĞǁ ŽǁŶĞƌ ǁĂƐ ŝŶƚĞƌĞƐƚĞĚ͘ >ŝƐƟŶŐ ηϯϬϳϬ͘ WŝĐƚƵƌĞƐ ĂǀĂŝůĂďůĞ͘ ŽŶƚĂĐƚ ϵϳϮͲϱϲϮͲϭϬϳϮ Žƌ ĞŵĂŝů ƐŚĞƌƌŝΛ ƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ͘ sŝƐŝƚ ǁǁǁ͘ƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ͘ SAN ANTONIO NORTH WEST: ƐƐŽĐŝĂƚĞ ŶĞĞĚĞĚ͘ ƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ĚĞŶƚĂů ƉƌĂĐƟĐĞ ƐĞĞŬŝŶŐ ƋƵĂůŝƚǇ ŽƌŝĞŶƚĞĚ ĂƐƐŽĐŝĂƚĞ͘ EĞǁ ŐƌĂĚƵĂƚĞ ĂŶĚ ĞǆƉĞƌŝĞŶĐĞĚ ĚĞŶƟƐƚƐ ǁĞůĐŽŵĞ͘ 'WZ͕ ' ƉƌĞĨĞƌƌĞĚ͘ WůĞĂƐĞ ĐŽŶƚĂĐƚ ƌ ,ĞŶƌǇ ŚƵ Ăƚ ϮϭϬͲϲϴϰͲϴϬϯϯ Žƌ ǀĞƌƐĞĚϬϭϬϭΛǇĂŚŽŽ͘ĐŽŵ͘ SAN ANTONIO: ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ ;&&^ͬWWKͿ ŚĂǀŝŶŐ ŐƌŽƐƐ ƌĞĐĞŝƉƚƐ ŝŶ ŵŝĚͲϲ ĮŐƵƌĞƐ ǁŚŝůĞ ƉƌĂĐƟĐŝŶŐ ŽŶůǇ ϯ͘ϱ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ǁŝƚŚ ŶŽ ŵĂƌŬĞƟŶŐ͘ dŚŝƐ ŝƐ ĂŶ ĞǆĐĞƉƟŽŶĂů ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƉƌŽĮƚ ĨƌŽŵ ĚĂǇ ŽŶĞ ŝŶ Ă ŶĞǁůǇ ƌĞŵŽĚĞůĞĚ ŽĸĐĞ ĞƋƵŝƉƉĞĚ ǁŝƚŚ ϯ ĐŚĂŝƌƐ ĨŽƌ Ă ĨƌĂĐƟŽŶ ŽĨ ƚŚĞ ĐŽƐƚ ŽĨ Ă ŶĞǁ ƐƚĂƌƚ ƵƉ͘ dƌĞŵĞŶĚŽƵƐ ƉŽƚĞŶƟĂů ƚŽ ŐƌŽǁ ƉƌĂĐƟĐĞ ƌĂƉŝĚůǇ ĂƐ ĐƵƌƌĞŶƚ ĚĞŶƟƐƚ ƌĞĨĞƌƐ ŽƵƚ ŵĂũŽƌŝƚǇ ŽĨ ĞŶĚŽ͕ ŽƌƚŚŽ͕ ƉĞƌŝŽ͕ ƉĞĚŽ͕ ĂŶĚ ŽƌĂů ƐƵƌŐĞƌǇ ĐĂƐĞƐ͘ dŽ ůĞĂƌŶ ŵŽƌĞ ĂďŽƵƚ ƚŚŝƐ ƉƌĂĐƟĐĞ ĐŽŶƚĂĐƚ͗ ƌ :Ğī :ŽŶĞƐ͕ ϴϯϬͲϴϯϮͲϱϱϮϮ͕ Ěƌ͘ũĞī͘ ũŽŶĞƐΛŚĞŶƌǇƐĐŚĞŝŶ͘ĐŽŵ͘ SAN ANTONIO: WĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ͘ tĞůůͲĞƐƚĂďůŝƐŚĞĚ ĂŶĚ ŐƌŽǁŝŶŐ ƉĞĚŝĂƚƌŝĐ ƉƌĂĐƟĐĞ ŝƐ ƐĞĞŬŝŶŐ Ă ĐĂƌŝŶŐ ĂŶĚ ĞŶĞƌŐĞƟĐ ĂƐƐŽĐŝĂƚĞ ĨŽƌ Ă ĨƵůůͲƟŵĞ ĂŶĚ ƉĂƌƚͲƟŵĞ ƉŽƐŝƟŽŶ͘ tĞ ŽīĞƌ ĞǆĐĞůůĞŶƚ ƉƌŽĚƵĐƟŽŶ ǁŝƚŚ ŝŶĐƌĞĚŝďůĞ ĞĂƌŶŝŶŐ ƉŽƚĞŶƟĂů͕ ǀĂĐĂƟŽŶ ĂŶĚ ŽƚŚĞƌ ďĞŶĞĮƚƐ͘ EĞǁ ŐƌĂĚƵĂƚĞƐ ĂƌĞ ǁĞůĐŽŵĞ͘ WůĞĂƐĞ ƐƵďŵŝƚ ǇŽƵƌ ƌĞƐƵŵĞ ƚŽ ǀĞůĞǌůƵŬĞΛǇĂŚŽŽ͘ĐŽŵ͘

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ADVERTISING BRIEFS ^>, Ed > ^ > ^ Έ^, ZZ/ >͘ , E Z^KE Θ ^^K / d ^Ή͗ ŽŶƐƵůƟŶŐ ĂŶĚ ƐƚĂŐŝŶŐ ĨŽƌ ǇŽƵƌ ƚƌĂŶƐŝƟŽŶ͊ >Ğƚ ƵƐ ŚĞůƉ ǇŽƵ ŵĂŬĞ Ă ƚƌĂŶƐŝƟŽŶ ƉůĂŶ͘ tĞ ĐĂŶ ĂŶĂůǇǌĞ ƚŚĞ ŵĂƌŬĞƚ͕ ƌĞǀŝĞǁ ǇŽƵƌ ĐƵƌƌĞŶƚ ƉĂƟĞŶƚ ďĂƐĞ͕ ƐĞĐƵƌĞ ƚŚĞ ƐƚĂī͕ ƐƉƌƵĐĞ ƵƉ ƚŚĞ ŽĸĐĞ ƐƉĂĐĞ͕ ĂŶĚ ŵƵĐŚ ŵŽƌĞ͘ tĞ ƐƉĞĐŝĂůŝǌĞ ŝŶ ƉƌĂĐƟĐĞ ƚƌĂŶƐŝƟŽŶ ĐŽŶƐƵůƟŶŐ ĂŶĚ ĐĂŶ ĂƐƐŝƐƚ ǇŽƵ ŝŶ Ă ƉůĂŶ ƚŽ ŚĞůƉ ǇŽƵ ĐƌĞĂƚĞ Ăůů ƚŚĞ ƌŝŐŚƚ ĐŽŶĚŝƟŽŶƐ ƚŽ ďĞŐŝŶ ƚŚĂƚ ƐƚĞƉ ĨƌŽŵ ƌĞƟƌŝŶŐ ƚŽ ƐƚĂƌƟŶŐ ƵƉ Ă ŶĞǁ ƉƌĂĐƟĐĞ͘ KƵƌ ƚĞĂŵ ŚĂƐ ĚĞĐĂĚĞƐ ŽĨ ŚĂŶĚƐͲŽŶ ĞǆƉĞƌŝĞŶĐĞ ŝŶ ƚŚĞ ĚĞŶƚĂů ŵĂƌŬĞƚ ƉůĂĐĞ ĂƐ ƉƌĂĐƟĐĞ ŽǁŶĞƌƐ͕ ĞŵƉůŽǇĞĞƐ͕ ĂŶĚ ŵĂŶĂŐĞŵĞŶƚ ĂĚǀŝƐŽƌƐ͘ ^^K / d ^͕ W ZdE Z^ E hz Z^ s /> > ͘ ƌĞ ǇŽƵ ƐĞĞŬŝŶŐ ĂŶ ĂƐƐŽĐŝĂƚĞ͕ ƉĂƌƚŶĞƌ͕ Žƌ ďƵǇĞƌ͍ ^>, ŚĂƐ ƋƵĂůŝĮĞĚ ĐĂŶĚŝĚĂƚĞƐ ƌĞĂĚǇ ŝŶ Ăůů ƉĂƌƚƐ ŽĨ dĞǆĂƐ ůŽŽŬŝŶŐ ĨŽƌ ǇŽƵƌ ƐƉĞĐŝĮĐ ƉƌĂĐƟĐĞ ƉƌŽĮůĞ͘ dŚĞƌĞ ĂƌĞ ŵĂŶǇ ŐƌĂĚƵĂƚĞƐ ĂƐ ǁĞůů ĂƐ ǀĞƌǇ ĞǆƉĞƌŝĞŶĐĞĚ ĚĞŶƟƐƚƐ ůŽŽŬŝŶŐ ĨŽƌ ƚŚĞ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ƚƌĂŶƐŝƟŽŶ ŝŶƚŽ ǇŽƵƌ ĂůƌĞĂĚǇ ĞƐƚĂďůŝƐŚĞĚ ƉƌĂĐƟĐĞ͘ dŚĞƐĞ ĚĞŶƟƐƚƐ ŚĂǀĞ ŐƌĞĂƚ ƉĞŽƉůĞ ƐŬŝůůƐ͕ ĐĂƐĞ ƉƌĞƐĞŶƚĂƟŽŶ ĞǆƉĞƌŝĞŶĐĞ ĂŶĚ ĐĂŶ ďĞ Ă ǀĞƌǇ ǀĂůƵĂďůĞ ĂŶĚ ƌĞůŝĂďůĞ ĂĚĚŝƟŽŶ ƚŽ ǇŽƵƌ ďŽƩŽŵ ůŝŶĞ͘ ŽŶƚĂĐƚ ƵƐ͘ /Ĩ ǇŽƵ ĂƌĞ ƵŶƐƵƌĞ ĂďŽƵƚ ƚŚĞ ƌŝŐŚƚ ƟŵŝŶŐ Žƌ ƐŝŵƉůǇ ǁŽƵůĚ ůŝŬĞ ƚŽ ƚĂůŬ ĂďŽƵƚ ƚŚĞ ŽƉƉŽƌƚƵŶŝƟĞƐ͕ ĐĂůů ƵƐ ƚŽĚĂǇ ĨŽƌ Ă ĐŽŵƉůŝŵĞŶƚĂƌǇ ĐŽŶƐƵůƚĂƟŽŶ ŝŶ ƉĞƌƐŽŶ Žƌ ďǇ ƚĞůĞƉŚŽŶĞ͘ ůů ĐŽŶƚĂĐƚ ǁŝƚŚ ǇŽƵ ŝƐ ƐƚƌŝĐƚůǇ ĐŽŶĮĚĞŶƟĂů͘ Ăůů ŽŶ ŽƵƌ ĞǆƉĞƌŝĞŶĐĞ ƚŽ ĂƐƐŝƐƚ ǇŽƵ ŝŶ ŵĂŬŝŶŐ ƚŚĂƚ ƚƌĂŶƐŝƟŽŶ ĚƌĞĂŵ ďĞĐŽŵĞ Ă ƌĞĂůŝƚǇ͘ Ăůů ϵϳϮͲϱϲϮͲϭϬϳϮ Žƌ ĞŵĂŝů ƐŚĞƌƌŝΛƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ͕ ǁĞďƐŝƚĞ ƐůŚĚĞŶƚĂůƐĂůĞƐ͘ĐŽŵ͘ SUGAR LAND, CYPRESS, PEARLAND, AND THE WOODLANDS: &ƵůůͲ ĂŶĚ ƉĂƌƚͲƟŵĞ ƉŽƐŝƟŽŶƐ ĂǀĂŝůĂďůĞ͘ tĞůů ĞƐƚĂďůŝƐŚĞĚ ĂŶĚ ƌĂƉŝĚůǇ ŐƌŽǁŝŶŐ ƉƌĂĐƟĐĞƐ ƚŚĂƚ ŽīĞƌ ŐƌĞĂƚ ĮŶĂŶĐŝĂů ŽƉƉŽƌƚƵŶŝƚǇ͘ ,ŝŐŚ ŝŶĐŽŵĞ ƉŽƚĞŶƟĂů ĂŶĚ ĨƵƚƵƌĞ ĞƋƵŝƚǇ ƉŽƐŝƟŽŶ͘ ŵĂŝů s ƚŽ ƌ DŝŬĞ <ĞƐŶĞƌ͕ ĚƌŬĞƐŶĞƌΛ ŵĂĚĞǇĂƐŵŝůĞ͘ĐŽŵ͘ TEXAS PRACTICE TRANSITIONS, INC. ZŝĐŚ EŝĐĞůǇ ŚĂƐ ďĞĞŶ ƐĞƌǀŝŶŐ dĞǆĂƐ ĚĞŶƟƐƚƐ ƐŝŶĐĞ ϭϵϵϬ͘ sŝƐŝƚ ǁǁǁ͘ƚǆͲƉƚ͘ĐŽŵ Žƌ ĐĂůů Ăƚ ;ϮϭϰͿ ϰϲϬͲϰϰϲϴ͖ ZŝĐŚΛƚǆͲƉƚ͘ĐŽŵ͘ W / dZ/ ͗ sĞƌǇ ůĂƌŐĞ ƉƌŝǀĂƚĞ ƉĞĚŝĂƚƌŝĐ ƉƌĂĐƟĐĞ ŝŶ ůĂƌŐĞ ŵĞƚƌŽƉŽůŝƚĂŶ ĂƌĞĂ ŝŶ dĞǆĂƐ͕ ŵŝǆ ŽĨ WWK ĂŶĚ DĞĚŝĐĂŝĚ ŝŶ Ă ďĞĂƵƟĨƵů͕ ĨƌĞĞͲƐƚĂŶĚŝŶŐ ϱ͕ϬϬϬ ƐƋ Ō ďƵŝůĚŝŶŐ ǁŝƚŚ ϭϬ ĐŚĂŝƌƐ͘ ,ŝŐŚůǇ ƉƌŽĮƚĂďůĞ ƉƌŝǀĂƚĞ ƉƌĂĐƟĐĞ ĞƐƚĂďůŝƐŚĞĚ ϯϬ ǇĞĂƌƐ͘ ,hEd^s/>> ͗ DĞĚŝƵŵͲƐŝǌĞĚ ĨƵůůͲĨĞĞ ƉĂƟĞŶƚ ďĂƐĞ͖ ĚŝŐŝƚĂů ǆͲƌĂǇƐ͖ ĨƌĞĞͲƐƚĂŶĚŝŶŐ ďƵŝůĚŝŶŐ͖

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Texas Dental Journal l www.tda.org l June 2014

ůŽŶŐ ƚĞƌŵ ƐƚĂī͖ ϰ ĚĂǇƐ ŽĨ ŚǇŐŝĞŶĞ ƉĞƌ ǁĞĞŬ͘ Z>/E'dKE͗ ,ŝŐŚůǇ ǀŝƐŝďůĞ ůĂƌŐĞ ƐŝǌĞĚ ƉƌĂĐƟĐĞ ĂŶĚ ďƵŝůĚŝŶŐ ŽŶ ŵĂũŽƌ ƌŽĂĚ͖ ϲ ĞƋƵŝƉƉĞĚ ƚƌĞĂƚŵĞŶƚ ƌŽŽŵƐ͖ ĚŝŐŝƚĂů ǆͲƌĂǇƐ͖ ϭϬϬй ƉĂƉĞƌůĞƐƐ͖ ŵŝǆ ŽĨ WWK ĂŶĚ ,DK ƉĂƟĞŶƚƐ͘ ^d d y ^͗ ^ŵĂůů ĨƵůůͲĨĞĞ ƉĂƟĞŶƚ ďĂƐĞ͘ 'ƌĞĂƚ ďƵŝůĚŝŶŐ ǁŝƚŚ ǁĂƚĞƌ ǀŝĞǁƐ ĨƌŽŵ ĞĂĐŚ ŽĨ ƚŚĞ ϰ ƚƌĞĂƚŵĞŶƚ ƌŽŽŵƐ͘ s/ dKZ/ ͗ DĞĚŝƵŵ ƐŝǌĞĚ ƉƌĂĐƟĐĞ͖ WWK ƉĂƟĞŶƚ ďĂƐĞ͖ ĨƌĞĞͲƐƚĂŶĚŝŶŐ ďƵŝůĚŝŶŐ͕ ůŽŶŐͲƚĞƌŵ ƐƚĂī͖ ĚŽĐƚŽƌ ƌĞĨĞƌƐ ŽƵƚ ůŽƚƐ ŽĨ ĚĞŶƟƐƚƌǇ͘ D/ > E ͗ >ĂƌŐĞ ƐŝǌĞĚ ƉƌĂĐƟĐĞ͖ ĨƵůůͲĨĞĞ ƉĂƟĞŶƚ ďĂƐĞ͖ ĚŝŐŝƚĂů ǆͲƌĂǇƐ͖ ŵŽĚĞƌŶ ĨƌĞĞͲƐƚĂŶĚŝŶŐ ďƵŝůĚŝŶŐ͖ ůŽŶŐͲƚĞƌŵ ƐƚĂī͘ > W ^K͗ ĂƐƚ ƐŝĚĞ͖ ůĂƌŐĞ ƉƌĂĐƟĐĞ͖ ĨƵůůͲĨĞĞ ƉĂƟĞŶƚ ďĂƐĞ͘ > W ^K͗ tĞƐƚ ƐŝĚĞ͖ ŵĞĚŝƵŵͲƐŝǌĞĚ ƉƌĂĐƟĐĞ͖ ŵŽƐƚůǇ WWK ƉĂƟĞŶƚ ďĂƐĞ͘ K<> ,KD ͗ ϭ ŚŽƵƌ ŽƵƚƐŝĚĞ K< ͖ >ĂƌŐĞ ĨƵůůͲ ĨĞĞ ŽĸĐĞ͕ ϱ ƚƌĞĂƚŵĞŶƚ ƌŽŽŵƐ͕ ĨĂŶƚĂƐƟĐ ďƵŝůĚŝŶŐ͖ ƵƌŐĞŶƚ ƐĂůĞ ƐŝƚƵĂƟŽŶ͘ THE HINDLEY GROUP, LLC: BRYAN/COLLEGE STATION GENERAL PRACTICE FOR SALE͗ /Ŷ ƚŚĞ ƐĂŵĞ ůŽĐĂƟŽŶ ĨŽƌ ϯϱ ǇĞĂƌƐ͕ ƚŚŝƐ ƌĂǌŽƐ ŽƵŶƚǇ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ ŽƉĞƌĂƚĞƐ ϰ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͘ dŚĞ ϭ͕ϱϯϲͲƐƋͲŌ ĨĂĐŝůŝƚǇ͕ ĂůƐŽ ĨŽƌ ƐĂůĞ͕ ĞŶƚĂŝůƐ ϯ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͕ Ϯ ĐƵƌƌĞŶƚůǇ ƵƐĞĚ ĨŽƌ ƚŚĞ ĚŽĐƚŽƌ ĂŶĚ ϭ ĐƵƌƌĞŶƚůǇ ƵƟůŝǌĞĚ ĨŽƌ ŚǇŐŝĞŶĞ ƚƌĞĂƚŵĞŶƚ͘ /Ŷ ĂĚĚŝƟŽŶ ƚŽ ĂŶ ĂĚĚŝƟŽŶĂů ŚǇŐŝĞŶĞ ƌŽŽŵ ƚŚĂƚ ŝƐ ŶŽƚ ĨƵůůǇͲĞƋƵŝƉƉĞĚ͕ ƚŚĞƌĞ ŝƐ ǆͲƌĂǇ ĂƌĞĂ ;ŶŽƚ ĚŝŐŝƚĂůͿ͕ ŝŶĐůƵĚŝŶŐ Ă ƉĂŶŽƌĂŵŝĐ ǆͲƌĂǇ͕ ƉůĂƐƚĞƌ ůĂď͕ ƌĞĐĞƉƟŽŶ ĂƌĞĂ͕ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ ƉƌŝǀĂƚĞ ĚŽĐƚŽƌ͛Ɛ ŽĸĐĞ ĂŶĚ Ϯ ƌĞƐƚƌŽŽŵƐ͘ dŚĞƌĞ ŝƐ ƌŽŽŵ ĨŽƌ ƉŚǇƐŝĐĂů ĞǆƉĂŶƐŝŽŶ ŽĨ ƚŚĞ ďƵŝůĚŝŶŐ ǁŝƚŚ ĂŶ ĂĚĚŝƟŽŶĂů ƐƵŝƚĞ ĂǀĂŝůĂďůĞ ƚŚĂƚ ĐĂŶ ďƌŝŶŐ ƚŚĞ ƉƌĂĐƟĐĞ ƚŽƚĂů ƚŽ ϯ͕ϬϳϮ ƐƋƵĂƌĞ ĨĞĞƚ͊ dŚĞ ƉƌĂĐƟĐĞ ĐƵƌƌĞŶƚůǇ ŚĂƐ ϴϱϬн ĂĐƟǀĞ ƉĂƟĞŶƚƐ ǁŝƚŚ ƚŚĞ ĚŽĐƚŽƌ ĂǀĞƌĂŐŝŶŐ ϴ ƉĂƟĞŶƚƐ ƉĞƌ ĚĂǇ ĂŶĚ ϳ ŶĞǁ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚ͘ dŚĞ ŽĸĐĞ ĞŵƉůŽǇƐ Ă ŚǇŐŝĞŶŝƐƚ͕ ŽĸĐĞ ŵĂŶĂŐĞƌ͕ ĂŶĚ ĚĞŶƚĂů ĂƐƐŝƐƚĂŶƚ͘ dŚĞ ŚǇŐŝĞŶŝƐƚ ǁŽƌŬƐ Ϯ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ĂǀĞƌĂŐŝŶŐ ϴ ƉĂƟĞŶƚƐ ƉĞƌ ĚĂǇ͘ dŚĞ ŽĸĐĞ ƵƟůŝǌĞƐ KƉĞŶ ĞŶƚĂů ĂŶĚ YƵŝĐŬ ŽŽŬƐ ƐŽŌǁĂƌĞ ǁŝƚŚ ƚƌĂŶƐĨĞƌƌĂďůĞ ůŝĐĞŶƐĞƐ͘ KƵƚ ŽĨ ŶĞƚǁŽƌŬ ŝŶƐƵƌĂŶĐĞ ŝƐ ĂĐĐĞƉƚĞĚ ŝŶ ĐŽŶũƵŶĐƟŽŶ ǁŝƚŚ ĐĂƐŚ͕ ĐŚĞĐŬ͕ ĂŶĚ ĐƌĞĚŝƚ ĐĂƌĚ ƉĂǇŵĞŶƚ͘ /ŵŵĞĚŝĂƚĞ ƉƌĂĐƟĐĞ ŐƌŽǁƚŚ ĐĂŶ ďĞ ŽďƚĂŝŶĞĚ ĂƐ ƚŚĞ ƐĞůůĞƌ ƌĞĨĞƌƐ ŽƵƚ Ăůů ĞŶĚŽĚŽŶƟĐ͕ ƉĞĚŝĂƚƌŝĐ͕ ĂŶĚ ŽƌĂů ĂŶĚ ŵĂǆŝůůŽĨĂĐŝĂů ƚƌĞĂƚŵĞŶƚ͘ /Ŷ ĂĚĚŝƟŽŶ͕ ƚŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ŶŽ ĂĚǀĞƌƟƐŝŶŐ ĐƵƌƌĞŶƚůǇ ŝŶ ƉůĂĐĞ͘ 'ŝǀĞŶ ƚŚĞ ƌĂƉŝĚ ŐƌŽǁƚŚ ŽĨ ƚŚĞ ^ ĂƌĞĂ͕ ĨƵƌƚŚĞƌ ƉƌĂĐƟĐĞ ĞǆƉĂŶƐŝŽŶ ĐĂŶ ďĞ ĚĞǀĞůŽƉĞĚ ƚŚƌŽƵŐŚ ŵĂƌŬĞƟŶŐ ĚĞƐŝŐŶĞĚ ƚŽ ĂƩƌĂĐƚ ŶĞǁ ƉĂƟĞŶƚƐ͘ dŚĞ ĚŽĐƚŽƌ ŝƐ ĞĂŐĞƌ ƚŽ ƌĞƟƌĞ ďƵƚ ĂǀĂŝůĂďůĞ ĨŽƌ

ADVERTISING BRIEFS Ă ƐŵŽŽƚŚ ƚƌĂŶƐŝƟŽŶ ƚŽ Ă ǁĞůůͲƋƵĂůŝĮĞĚ ŐĞŶĞƌĂů ĚĞŶƟƐƚ͘ dŚŝƐ ŝƐ Ă ůŝŵŝƚůĞƐƐ ŽƉƉŽƌƚƵŶŝƚǇ ƚŽ ďƵŝůĚ Ă ŐƌĞĂƚ ĚĞŶƚĂů ĨƵƚƵƌĞ ĂŶĚ ĐĂƌĞĞƌ͊ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: HOUSTON MEDICAL CENTER ORAL MAXILLOFACIAL SURGEON ASSOCIATESHIP͗ >ĂƌŐĞ KD^ ƉƌĂĐƟĐĞ ŽƉĞŶ ϱ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͕ ǁŝƚŚ ĂŶ ĂǀĞƌĂŐĞ ŽĨ ϯϱ ƉĂƟĞŶƚƐ ƐĞĞŶ͕ ŽǁŶĞĚ ďǇ ƐƵĐĐĞƐƐĨƵů ĂŶĚ ĂĐĐŽŵƉůŝƐŚĞĚ ƐƵƌŐĞŽŶ͘ ŽĐƚŽƌ ǁŝƐŚĞƐ ƚŽ ďƌŝŶŐ ŽŶ ĂŶ ĞǆƉĞƌŝĞŶĐĞĚ͕ ŚĂƌĚͲǁŽƌŬŝŶŐ͕ ĐĂƌĞĞƌ ŽƌŝĞŶƚĞĚ ĂƐƐŽĐŝĂƚĞ ƚŽ ŵĞŶƚŽƌ ĂŶĚ ĞǀĞŶƚƵĂůůǇ ƐĞůůͬƚƌĂŶƐŝƟŽŶ ƉƌĂĐƟĐĞ ϭϬϬй Ăƚ ƚŚĞ ĞŶĚ ŽĨ ϰ ǇĞĂƌƐ͘ WƌĞͲĚĞƚĞƌŵŝŶĞĚ ƉĂƌƚŶĞƌƐŚŝƉ ďƵǇͲŝŶ ƚĞƌŵƐ ǁŝƚŚŝŶ ŽŶĞ ǇĞĂƌ ƚŽ ƐĞĐƵƌĞ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ƚƌĂŶƐŝƟŽŶ ƚŽ ĨƵůů ŽǁŶĞƌƐŚŝƉ͘ dŚŝƐ ƉƌĂĐƟĐĞ ŽǁŶĞƌ ŚĂƐ ďĞĞŶ ŝŶ ƚŚŝƐ ƐĂŵĞ ďƵƐǇ ůŽĐĂƟŽŶ ĨŽƌ ŽǀĞƌ ϯϮ ǇĞĂƌƐ ĂŶĚ ǁŝƚŚ ŚŝƐ ŵŽƐƚ ĞǆƉĞƌŝĞŶĐĞĚ ƐƚĂī͕ ƚŚĞƌĞ ŝƐ ŚŝŐŚ ƉŽƚĞŶƟĂů ĨŽƌ ĐŽŶƟŶƵĞĚ ŐƌŽǁƚŚ͕ ĞƐĐĂůĂƟŶŐ ĂŶŶƵĂůůǇ͘ dŚĞ ϯ͕ϬϬϬͲƐƋͲŌ ůĞĂƐĞĚ ĨĂĐŝůŝƚǇ ĐŽŶƚĂŝŶƐ ϰ ĨƵůů ŽƉĞƌĂƚŽƌŝĞƐ͕ Ϯ ƌĞĐŽǀĞƌǇ ƌŽŽŵƐ͕ ǆͲƌĂǇ ĂƌĞĂ ;Ăůů ĚŝŐŝƚĂů ǁŝƚŚ d ^ĐĂŶŶĞƌͿ͕ ůĂďŽƌĂƚŽƌǇ͕ ƐƚĂī ĂƌĞĂ͕ ƌĞĐĞƉƟŽŶ ĂƌĞĂ͕ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ Ϯ ƉƌŝǀĂƚĞ ĚŽĐƚŽƌ͛Ɛ ŽĸĐĞ ĂŶĚ Ϯ ƌĞƐƚƌŽŽŵƐ͘ dŚĞƌĞ ŝƐ ƉůĞŶƚǇ ŽĨ ƌŽŽŵ ĨŽƌ ƚŚĞ ĂƉƉƌŽƉƌŝĂƚĞ ĂƐƐŽĐŝĂƚĞ ƚŽ ůĞĂƌŶ ĨƌŽŵ Ă ƐƵƌŐŝĐĂů ǀĞƚĞƌĂŶ ǁŚŝůĞ ĞǆƉĂŶĚŝŶŐ ƚŚĞ ƉƌĂĐƟĐĞ ƚŽ ŵĞĞƚ ƚŚĞŝƌ ŽǁŶ ƐƉĞĐŝĮĐ ĐĂƌĞĞƌ ŽďũĞĐƟǀĞƐ͘ dŚŝƐ ŝƐ ĂŶ ŽƵƚƐƚĂŶĚŝŶŐ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ƚŚĞ ŝŶĚŝǀŝĚƵĂů ǁŚŽ ǁĂŶƚƐ ƚŽ ŽǁŶ ŚŝƐͬ ŚĞƌ ŽǁŶ ƉƌĂĐƟĐĞ͕ ďƵƚ ĚĞƐŝƌĞƐ ƚŽ ďĞ ŝŶ Ă ĐŽůůĂďŽƌĂƟǀĞ ƌĞůĂƟŽŶƐŚŝƉ ĨŽƌ Ă ƉĞƌŝŽĚ ŽĨ ϰ ǇĞĂƌƐ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: BRAZORIA COUNTY - SOUTH OF HOUSTON GENERAL PRACTICE FOR SALE: dŚŝƐ ǁĞůůͲ ĞƐƚĂďůŝƐŚĞĚ ŐĞŶĞƌĂů ƉƌĂĐƟĐĞ ŚĂƐ ďĞĞŶ ƚŚĞ ƐĂŵĞ ůŽĐĂƟŽŶ ĨŽƌ ϯϴ ǇĞĂƌƐ͘ ^ŽƵƚŚ ŽĨ ,ŽƵƐƚŽŶ ŶĞĂƌ Ϯϴϴ ŝŶ ƌĂǌŽƌŝĂ ŽƵŶƚǇ͕ ƚŚŝƐ Ϯ͕ϬϬϬͲƐƋͲŌ ĨĂĐŝůŝƚǇ ŝƐ ŽƉĞŶ ϰ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ĂƩĞŶĚŝŶŐ ƚŽ ĂŶ ĂǀĞƌĂŐĞ ŽĨ ϭϯ ƉĂƟĞŶƚƐ ƉĞƌ ĚĂǇ ďǇ ƚŚĞ ĚĞŶƟƐƚ͕ ǁŚŝůĞ ƚŚĞ ĨƵůůͲ ƟŵĞ ŚǇŐŝĞŶŝƐƚ ĂǀĞƌĂŐĞƐ ϴ ƉĂƟĞŶƚƐ ƉĞƌ ĚĂǇ ǁŝƚŚ Ă ĐŽŵďŝŶĞĚ ĂǀĞƌĂŐĞ ŽĨ ϭϬ ŶĞǁ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚ͘ dŚĞ ƉƌĂĐƟĐĞ ƌĞĂů ĞƐƚĂƚĞ ŝƐ ĂǀĂŝůĂďůĞ ĂƐ ǁĞůů ĂŶĚ ƉƌŽǀŝĚĞƐ ϳ ƚŽƚĂů ŽƉĞƌĂƚŽƌŝĞƐ͕ ϯ ƵƟůŝǌĞĚ ĨŽƌ ƚŚĞ ĚĞŶƟƐƚ͕ ϭ ĨŽƌ ƚŚĞ ŚǇŐŝĞŶŝƐƚ ǁŝƚŚ ĂĚĚŝƟŽŶĂů ƐƉĂĐĞƐ ŽĨ Ă ƌĞĐĞƉƟŽŶ ĂƌĞĂ͕ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ ƐƚĂī ĂƌĞĂ͕ ůĂďŽƌĂƚŽƌǇ͕ ǆͲƌĂǇ ƌŽŽŵ͕ Ϯ ƉƌŝǀĂƚĞ ĚŽĐƚŽƌƐ͛ ŽĸĐĞƐ ĂŶĚ Ϯ

ƌĞƐƚƌŽŽŵƐ͘ /Ŷ ƚŚĞ ƉĂƐƚ ƚŚŝƐ ƉƌĂĐƟĐĞ ŚĂƐ ĞŵƉůŽǇĞĚ Ϯ ĨƵůůͲƟŵĞ ĚĞŶƟƐƚƐ ĂŶĚ ǁŝƚŚ ƚŚĞ ƐƉĂĐĞ ĂǀĂŝůĂďůĞ͕ ĐŽƵůĚ ĚŽ ƐŽ ĂŐĂŝŶ͘ dŚĞ ƐƚĂī ŝƐ ǀĞƌǇ ĞǆƉĞƌŝĞŶĐĞĚ ĂŶĚ ůŽǇĂů͕ Ăůů ďĞŝŶŐ ĞŵƉůŽǇĞĚ Ăƚ ƚŚŝƐ ĨĂĐŝůŝƚǇ ĨŽƌ ŽǀĞƌ ϭϱ ǇĞĂƌƐ͘ dŚŝƐ ŝŶĐůƵĚĞƐ ϭ ŚǇŐŝĞŶŝƐƚ ĂŶĚ Ϯ ďƵƐŝŶĞƐƐ ĂƐƐŝƐƚĂŶƚƐ ƚŚĂƚ ǁŽƌŬ ĂŶ ĂǀĞƌĂŐĞ ŽĨ ϯϮ ŚŽƵƌƐ ƉĞƌ ǁĞĞŬ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ĐƵƌƌĞŶƚůǇ ƐƚĂďůĞ ĂƩĞŶĚŝŶŐ ƚŽ ŽǀĞƌ ϮϯϬϬ ƉĂƟĞŶƚƐ ŝŶ ƚŚĞ ůĂƐƚ ϭϮ ŵŽŶƚŚƐ ǁŝƚŚ ƌĞĨĞƌƌĂůƐ ŽŶůǇ ĨƌŽŵ ĞƐƚĂďůŝƐŚĞĚ ƉĂƟĞŶƚƐ ĂŶĚ ŝŶƐƵƌĂŶĐĞ ĐŽŵƉĂŶŝĞƐ͘ tŝƚŚ ǀĞƌǇ ůŝŵŝƚĞĚ ŵĂƌŬĞƟŶŐ ďƵƚ ǁŝƚŚ ŝŶĐƌĞĚŝďůĞ ƐƉĂĐĞ ĂŶĚ ƉŽƚĞŶƟĂů͕ ƚŚŝƐ ƉƌĂĐƟĐĞ ŚĂƐ ƚŚĞ ĂďŝůŝƚǇ ƚŽ ŐƌŽǁ ďǇ ůĞĂƉƐ ĂŶĚ ďŽƵŶĚƐ͘ dŚĞ ǆͲƌĂǇƐ ĂƌĞ ŶŽƚ ĚŝŐŝƚĂů ďƵƚ ĂŐůĞ^ŽŌ ƉƌĂĐƟĐĞ ŵĂŶĂŐĞŵĞŶƚ ƐŽŌǁĂƌĞ ŝƐ ƵƐĞĚ ŝŶ ŵĂŝŶƚĂŝŶŝŶŐ ǀŝƚĂů ƌĞĐĂůů ƐǇƐƚĞŵƐ͕ ƚƌĂĐŬŝŶŐ ƚƌĞĂƚŵĞŶƚ ĨŽůůŽǁͲƵƉ ĂŶĚ ŵŽŶŝƚŽƌŝŶŐ ƚŚĞ ĮŶĂŶĐŝĂůͬĐůŝŶŝĐĂů ƉĞƌĨŽƌŵĂŶĐĞ ŽĨ ƚŚĞ ƉƌĂĐƟĐĞ͘ ůů ĨŽƌŵƐ ŽĨ ĐŽůůĞĐƟŽŶƐ ĂŶĚ ŝŶƐƵƌĂŶĐĞ ĂƌĞ ĂĐĐĞƉƚĞĚ͕ ŝŶĐůƵĚŝŶŐ DĞĚŝĐĂƌĞ͘ dŚĞ ĚŽĐƚŽƌ ŝƐ ĂŶǆŝŽƵƐ ƚŽ ƌĞƟƌĞ ĚƵĞ ƚŽ ĚĞĐůŝŶŝŶŐ ŚĞĂůƚŚ ĂŶĚ ĨŽƌ ƚŚĞ ƐŝǌĞ ĂŶĚ ƉŽƚĞŶƟĂů͕ ƚŚŝƐ ƉƌĂĐƟĐĞ ŝƐ ǀĞƌǇ ƌĞĂƐŽŶĂďůǇ ƉƌŝĐĞĚ͘ dŚĞ ƌĞĂů ĞƐƚĂƚĞ ŝƐ ĂůƐŽ ĂǀĂŝůĂďůĞ͕ ďƵƚ ŽƉƟŽŶĂů͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: RICHMOND/ROSENBERG/ SUGAR LAND ORTHODONTIC PRACTICE FOR SALE: YƵĂŝŶƚ ǇĞƚ ůƵĐƌĂƟǀĞ ŽƌƚŚŽĚŽŶƟĐ ƉƌĂĐƟĐĞ ǁŝƚŚ ϭϳ ǇĞĂƌƐ Ăƚ ƚŚĞ ƐĂŵĞ ůŽĐĂƟŽŶ͘ >ŽĐĂƚĞĚ ŝŶ Ă ďƵƐǇ ƐŚŽƉƉŝŶŐ ĐĞŶƚĞƌ͕ ƚŚŝƐ ƉƌĂĐƟĐĞ ŝƐ ŽƉĞŶ ĨŽƌ ƉĂƟĞŶƚƐ ϯ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ǁŝƚŚ ƐƚĂī ǁŽƌŬŝŶŐ ϰ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͘ dŚĞ ŽĸĐĞ ĐŽŶƐŝƐƚƐ ŽĨ ϭ͕ϴϬϬ ƐƋ Ō ŽĨ ůĞĂƐĞĚ ƐƉĂĐĞ ǁŝƚŚ ŽƉƟŽŶ ƚŽ ƌĞŶĞǁ ĂŶĚ ĐŽŶƐŝƐƚƐ ŽĨ ϭ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌǇ͕ Ϯ ĐŚĂŝƌƐ ŝŶ ŽƉĞŶ ďĂǇƐ ǁŝƚŚ ƉůƵŵďŝŶŐ ĂǀĂŝůĂďůĞ ĨŽƌ Ϯ ĂĚĚŝƟŽŶĂů ĐŚĂŝƌƐ ŝĨ ĚĞƐŝƌĞĚ͕ ǆͲƌĂǇ ĂƌĞĂ ;ŶŽƚ ĚŝŐŝƚĂůͿ͕ ůĂďŽƌĂƚŽƌǇ͕ ƌĞĐĞƉƟŽŶ ƌŽŽŵ͕ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ ƐƚĂī ĂƌĞĂ͕ ĚŽĐƚŽƌ͛Ɛ ŽĸĐĞ͕ ĂŶĚ Ϯ ƌĞƐƚƌŽŽŵƐ͘ dŚĞ ƉƌĂĐƟĐĞ ĐƵƌƌĞŶƚůǇ ŚĂƐ ĂŶ ĂǀĞƌĂŐĞ ŽĨ ϲ ŶĞǁ ƉĞƌ ŵŽŶƚŚ ĂŶĚ ĂƉƉƌŽǆŝŵĂƚĞůǇ ϭϯ ƌĞĨĞƌƌŝŶŐ ƉƌŽĨĞƐƐŝŽŶĂůƐ͘ KƌƚŚŽ // sŝĞǁƉŽŝŶƚ ĂŶĚ YƵŝĐŬ ŽŽŬƐ ĂƌĞ ďŽƚŚ ƵƐĞĚ ŝŶ ƚŚĞ ƉƌĂĐƟĐĞ ĂŶĚ ŚĂǀĞ ƚƌĂŶƐĨĞƌƌĂďůĞ ůŝĐĞŶƐĞƐ ĨŽƌ ƉƵƌĐŚĂƐĞƌ͘ dŚĞ ƉƌĂĐƟĐĞ ĞŵƉůŽǇƐ Ă ĐůŝŶŝĐĂů ĂƐƐŝƐƚĂŶƚ ĂŶĚ ŽĸĐĞ ŵĂŶĂŐĞƌ ǁŚŽ ĂǀĞƌĂŐĞ Ϯϲ ŚŽƵƌƐ ƉĞƌ ǁĞĞŬ͘ tŝƚŚ ĂŶ ĞĂŐĞƌ ďƵǇĞƌ͕ ƚŚŝƐ ƉƌĂĐƟĐĞ ŚĂƐ ƚŚĞ ĂďŝůŝƚǇ ĨŽƌ ŐƌŽǁƚŚ ďĂƐĞĚ ŽŶ ĚĞŵŽŐƌĂƉŚŝĐƐ ŽĨ ĐůŝĞŶƚĞůĞ ŝŶ ƚŚĞ ĂƌĞĂ ĂŶĚ Ă ƉŽƚĞŶƟĂů ŽĨ ĞŶĚůĞƐƐ ƌĞĨĞƌƌĂůƐ ĨƌŽŵ ƉĞĞƌ ƉƌŽĨĞƐƐŝŽŶĂůƐ ŝŶ ƚŚĞ ŝŵŵĞĚŝĂƚĞ ĂƌĞĂ͘ WŽƚĞŶƟĂů ƉƵƌĐŚĂƐĞƌƐ ǁŽƵůĚ ŝŶĐůƵĚĞ Ă ĨĞŵĂůĞ ĚĞŶƟƐƚ ǁŚŽ ŚĂƐ ǇŽƵŶŐ ĐŚŝůĚƌĞŶ ĂŶĚ ǁŽƵůĚ Texas Dental Journal l www.tda.org l June 2014

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ADVERTISING BRIEFS ƉƌĞĨĞƌ Ă ƐŵĂůů ƉƌĂĐƟĐĞ͕ ĂŶ ŝŶĚŝǀŝĚƵĂů ǁŚŽ ŝƐ ĚĞƐŝƌŽƵƐ ŽĨ Ă ƐĞĐŽŶĚ ƐĂƚĞůůŝƚĞ ůŽĐĂƟŽŶ͕ Žƌ ĂŶ ŝŶĚŝǀŝĚƵĂů ĐŽŶƚĞŵƉůĂƟŶŐ Ă ƐƚĂƌƚͲƵƉ͕ ďƵƚ ŝƐ ĐŽŶĐĞƌŶĞĚ ĂďŽƵƚ ƚŚĞ ƌŝƐŬ ŽĨ Ă ͞ƐĐƌĂƚĐŚ ƉƌĂĐƟĐĞ͘͟ KďǀŝŽƵƐůǇ͕ ƚŚĞ ŐƌĞĂƚĞƌ ƐŽƵƚŚǁĞƐƚ ,ŽƵƐƚŽŶ ĂƌĞĂ ŝƐ ĞǆƉĂŶĚŝŶŐ ĂƐ ƌĂƉŝĚůǇ ĂƐ ĂŶǇ ƉĂƌƟĐƵůĂƌ ĂƌĞĂ ŽĨ ƚŚĞ ,ŽƵƐƚŽŶͲ 'ĂůǀĞƐƚŽŶ DĞƚƌŽƉůĞǆ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛ ƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: HOUSTON — WEST HOUSTON GENERAL PRACTICE SALE: /ŶŶĞƌ ϲϭϬ >ŽŽƉ ƉƌĂĐƟĐĞ ǁŝƚŚ ϰϬ ǇĞĂƌƐ ŝŶ ƚŚĞ ĂƌĞĂ ĂŶĚ ϭϮ ǇĞĂƌƐ ŝŶ ƚŚĞ ƐĂŵĞ ůŽĐĂƟŽŶ͘ ǆƚƌĞŵĞůǇ ƐƵĐĐĞƐƐĨƵů ƉƌĂĐƟĐĞ͕ ŽƉĞŶ ϰ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ǁŝƚŚ ĚŽĐƚŽƌ ĂƩĞŶĚŝŶŐ ƚŽ ĂŶ ĂǀĞƌĂŐĞ ŽĨ ϭϯ ƉĂƟĞŶƚƐ ƉĞƌ ĚĂǇ ĂŶĚ ŚǇŐŝĞŶĞ ƐƚĂī ƚƌĞĂƟŶŐ ϰϴ ƉĂƟĞŶƚƐ ƉĞƌ ǁĞĞŬ͘ >ŽĐĂƚĞĚ ŝŶ ĂŶ ĂŋƵĞŶƚ͕ ŚŝŐŚ ŐƌŽǁƚŚ ĂƌĞĂ ŽĨ ,ŽƵƐƚŽŶ͕ ƚŚĞ ƉƌĂĐƟĐĞ ƌĞůŝĞƐ ŽŶ ƚŚĞŝƌ ǁŽƌĚͲŽĨͲŵŽƵƚŚ ƌĞĨĞƌƌĂů ƐǇƐƚĞŵ͕ ǁŚŝĐŚ ŝŶ ĂĚĚŝƟŽŶ ƚŽ ƉĞĞƌ ƌĞĨĞƌƌĂůƐ͕ ŝƐ ƚŚĞ ŽŶůǇ ƐŽƵƌĐĞ ŽĨ ŵĂƌŬĞƟŶŐ͘ /ŶƐƵƌĂŶĐĞ ŝƐ ƚĂŬĞŶ ďƵƚ ŵŝŶŝŵĂů ĂƐ ƚŚŝƐ ƉƌĂĐƟĐĞ ŝƐ ƐƵĐĐĞƐƐĨƵů ŽŶ ĨĞĞͲĨŽƌͲ ƐĞƌǀŝĐĞ ĐůŝĞŶƚĞůĞ͘ dŚĞ ůĞĂƐĞ ƐƉĂĐĞ ŝƐ ĂƉƉƌŽǆŝŵĂƚĞůǇ Ϯ͕ϯϬϬ ƐƋ Ō͕ ǁŚŝĐŚ ŝŶĐůƵĚĞƐ ϱ ŽƉĞƌĂƚŽƌŝĞƐ͕ ĐƵƌƌĞŶƚůǇ ƵƟůŝǌĞĚ ĂƐ Ϯ ĨŽƌ ĚŽĐƚŽƌ ĂŶĚ Ϯ ĨŽƌ ŚǇŐŝĞŶŝƐƚ ĂŶĚ ĂŶ ĂĚĚŝƟŽŶĂů ŚǇŐŝĞŶĞ ŽƉĞƌĂƚŽƌǇ ŶŽƚ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ďƵƚ ĂǀĂŝůĂďůĞ ĨŽƌ ŽǀĞƌŇŽǁ͘ /Ŷ ĂĚĚŝƟŽŶ͕ ƚŚĞƌĞ ŝƐ Ă ůĂďŽƌĂƚŽƌǇ͕ ĐŽŶƐƵůƚĂƟŽŶ ĂƌĞĂ͕ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ ƌĞĐĞƉƟŽŶ ĂƌĞĂ ĂŶĚ ƐƚĂī ĂƌĞĂ͘ dŚĞ ƉƌĂĐƟĐĞ ŝƐ ƐƵƉƉŽƌƚĞĚ ǁŝƚŚ ĚŝŐŝƚĂů ǆͲƌĂǇ ĞƋƵŝƉŵĞŶƚ͕ ĞŶƚƌŝǆ ĂŶĚ YƵŝĐŬ ŽŽŬƐ͕ Ăůů ĨƵůůǇ ƚƌĂŶƐĨĞƌĂďůĞ͘ dŚĞ ĞǆƉĞƌŝĞŶĐĞĚ ƐƚĂī ŝŶĐůƵĚĞ ĂŶ ŽĸĐĞ ŵĂŶĂŐĞƌ͕ ŚǇŐŝĞŶĞ ƌĞͲĐĂƌĞ ĐŽŽƌĚŝŶĂƚŽƌ͕ ŽŶĞ ĚĞŶƚĂů ĂƐƐŝƐƚĂŶƚ ĂŶĚ Ϯ ŚǇŐŝĞŶŝƐƚƐ͕ ŽŶĞ ŽĨ ǁŚŽŵ ŝƐ ƉĂƌƚͲƟŵĞ͘ dŚĞ ƉŽƚĞŶƟĂů ƉƵƌĐŚĂƐĞƌ ĨŽƌ ƚŚŝƐ ŽĸĐĞ ǁŝůů ŶĞĞĚ ƚŽ ďĞ ǀĞƌǇ ĞǆƉĞƌŝĞŶĐĞĚ ĂŶĚ ƌĞĂĚǇ ĨŽƌ Ă ďƵƐǇ ǁŽƌŬ ĞŶǀŝƌŽŶŵĞŶƚ ƚŽ ďĞ ĂďůĞ ƚŽ ƌĞƉůĂĐĞ ƚŚŝƐ ƌĞƟƌŝŶŐ ĚŽĐƚŽƌ ŝŶ ƚŚĞ ŽĸĐĞ ĂŶĚ ƚŚĞ ĐŽŵŵƵŶŝƚǇ͘ dŚĞ ƐĞůůĞƌ ŝƐ ůŽŽŬŝŶŐ ĨŽƌǁĂƌĚ ƚŽ ƚƌĂŶƐŝƟŽŶŝŶŐ ŚŝƐ ƉĂƟĞŶƚƐ ƚŽ ƚŚĞ ƉƵƌĐŚĂƐĞƌ ŽĨ ŚŝƐ ŵŽƐƚ ƐƵĐĐĞƐƐĨƵů ƉƌĂĐƟĐĞ ĂŶĚ ĐŽŶƟŶƵŝŶŐ ŚŝƐ ůĞŐĂĐǇ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: DALLAS/FT. WORTH GENERAL PRACTICE FOR SALE: >ŽĐĂƚĞĚ ŝŶ ƚŚĞ ŵŝĚͲĐŝƟĞƐ ĂƌĞĂ ŽĨ ƚŚĞ &t DĞƚƌŽƉůĞǆ͕ ƚŚŝƐ ĨĂŵŝůǇ ĂŶĚ ĐŽƐŵĞƟĐ ĚĞŶƟƐƚƌǇ ŽĸĐĞ ŚĂƐ ďĞĞŶ ŝŶ ƚŚŝƐ ůŽĐĂƟŽŶ ĨŽƌ ŽǀĞƌ ϮϬ ǇĞĂƌƐ͘ >ŽĐĂƚĞĚ

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Texas Dental Journal l www.tda.org l June 2014

ŝŶ Ă ůĂƌŐĞƌ ďƵŝůĚŝŶŐ ŽƌŝŐŝŶĂůůǇ ĚĞƐŝŐŶĞĚ ĨŽƌ Ϯ ĚĞŶƟƐƚƐ͕ ƚŚĞ ďƵŝůĚŝŶŐ ŝŶ ŝƚƐ ĞŶƟƌĞƚǇ ŝƐ ĂǀĂŝůĂďůĞ ĨŽƌ ƐĂůĞ ĨŽƌ ĂŶ ŝŶĚŝǀŝĚƵĂů;ƐͿ ǁŚŽ ŚĂǀĞ Ă ůĂƌŐĞƌ ǀŝƐŝŽŶ ĨŽƌ ƚŚĞ ƉƌŽǀŝƐŝŽŶ ŽĨ ĚĞŶƚĂů ĐĂƌĞ ŝŶ ƚŚŝƐ ĐŽŵŵƵŶŝƚǇ͘ tŚŝůĞ ŽŶůǇ ŚĂůĨ ŽĨ ƚŚĞ ďƵŝůĚŝŶŐ ŝƐ ŝŶĐůƵĚĞĚ ŝŶ ƚŚĞ ĨĂĐŝůŝƚǇ ůĞĂƐĞ ĨŽƌ ƚŚĞ ƉƌĂĐƟĐĞ ŽĨ ƚŚŝƐ ƐĞůůĞƌ͕ ŝŶ ƚŚĞ ĞŶƟƌĞ ďƵŝůĚŝŶŐ͕ ƚŚĞƌĞ ĂƌĞ Ϯ ůĂďŽƌĂƚŽƌŝĞƐ͕ Ϯ ƉƌŝǀĂƚĞ ĚŽĐƚŽƌ͛Ɛ ŽĸĐĞƐ͕ ǆͲƌĂǇ ĚĞǀĞůŽƉŝŶŐ ƌŽŽŵ ;ŶŽƚ ĚŝŐŝƚĂůͿ͕ ůĂƌŐĞ ŵĞĐŚĂŶŝĐĂů ƌŽŽŵ͕ ϴ ǆͲƌĂǇ ĂƌĞĂƐ͕ ĂŶĚ ϱ ƌĞƐƚƌŽŽŵƐ͘ ŽĐƚŽƌ ĂŶĚ ƐƚĂī ĐƵƌƌĞŶƚůǇ ĂƩĞŶĚ ƚŽ ƉĂƟĞŶƚƐ ϰ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ǁŝƚŚ ƐƚĂī ǁŽƌŬŝŶŐ ŚĂůĨ ĚĂǇ ŽŶ &ƌŝĚĂǇƐ͕ ĂǀĞƌĂŐŝŶŐ ϭϰ ƉĂƟĞŶƚƐ ƉĞƌ ĚĂǇ͕ ϭϬ ŶĞǁ ƉĂƟĞŶƚƐ͕ ĂŶĚ ϵ ĞŵĞƌŐĞŶĐǇ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚ͘ dŚĞƌĞ ŝƐ ϭ ŚǇŐŝĞŶŝƐƚ ŽŶ ƐƚĂī ƚŚĂƚ ĂƩĞŶĚƐ ƚŽ Ϯϴ ƉĂƟĞŶƚƐ ƉĞƌ ǁĞĞŬ ĂŶĚ ƚŚŝƐ ŵĂŬĞƐ ƵƉ ĂďŽƵƚ ϮϬй ŽĨ ƉƌŽĚƵĐƟŽŶ ŽƵƚ ŽĨ ƚŚĞ ϭ͕ϯϬϬ ĂĐƟǀĞ ƉĂƟĞŶƚƐ͘ WƌĂĐƟĐĞ ĐƵƌƌĞŶƚůǇ ĞŵƉůŽǇƐ ŽŶĞ ĨƵůůͲƟŵĞ ƉƌĂĐƟĐĞ ŵĂŶĂŐĞƌ͕ ŚǇŐŝĞŶŝƐƚ͕ ĨƌŽŶƚ ŽĸĐĞ ŵĂŶĂŐĞƌ͕ ĨƌŽŶƚ ŽĸĐĞ ĂƐƐŝƐƚĂŶƚ͕ ĚĞŶƚĂů ĂƐƐŝƐƚĂŶƚ͕ ĂŶĚ ƉĂƌƚͲƟŵĞ ĚĞŶƚĂů ĂƐƐŝƐƚĂŶƚ ĂŶĚ ůĂď ƚĞĐŚŶŝĐŝĂŶ͘ dŚĞ ƉƌĂĐƟĐĞ ĚŽĞƐ ĂĐĐĞƉƚ ĚŝƌĞĐƚ ƉĂƟĞŶƚ ƉĂǇ ĂƐ ǁĞůů ĂƐ WWK ŝŶƐƵƌĂŶĐĞ͘ dŚŝƐ ŽĸĐĞ ŝƐ ĐŽŵƉƵƚĞƌŝǌĞĚ ƵƐŝŶŐ ĂŐůĞ^ŽŌ ĂƐ ƚŚĞ ƉůĂƞŽƌŵ ĨŽƌ ŵĂŝŶƚĞŶĂŶĐĞ ŽĨ ĚĞŶƚĂů ƌĞĐŽƌĚƐ͕ ƚƌĞĂƚŵĞŶƚ ƉůĂŶŶŝŶŐ͕ ĂŶĚ ĞůĞĐƚƌŽŶŝĐ ĐůĂŝŵƐ ĂŶĚ ďŝůůŝŶŐ͘ dŚĞ ŝĚĞĂů ƐĐĞŶĂƌŝŽ ĨŽƌ ƚŚŝƐ ĚŽĐƚŽƌ ĂŶĚ ŚŝƐ ǁŝĨĞ͕ ǁŚŽ ĂĐƚƐ ĂƐ ƚŚĞ ŽĸĐĞ ŵĂŶĂŐĞƌ͕ ǁŽƵůĚ ďĞ ĨŽƌ ďŽƚŚ ƚŽ ĐŽŶƟŶƵĞ ƚŽ ǁŽƌŬ ŝŶ ƚŚĞ ƉƌĂĐƟĐĞ ŽĨ ƚŚĞ ŶĞǆƚ ϮͲϯ ǇĞĂƌƐ ĂƐ ƚŚĞ ĞŵƉůŽǇĞĞ ŽĨ ƚŚĞ ŽǁŶĞƌ͕ ĞǀĞŶ ŽŶ Ă ďĂƐŝƐ ŽĨ Ϯ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͘ tŝƚŚ ŵŽĚĞƌĂƚĞ ĂĚǀĞƌƟƐŝŶŐ͕ ƌĞĨĞƌƌĂůƐ ďĂƐĞĚ ŽŶ ĞƐƚĂďůŝƐŚĞĚ ƉĂƟĞŶƚƐ͕ ŝŶƐƵƌĂŶĐĞ ƌĞĨĞƌƌĂůƐ ĂŶĚ ƐŽĐŝĂů ŵĞĚŝĂ͕ ŶĞǁ ŽǁŶĞƌƐŚŝƉ ĐĂŶ ĞǆƉĂŶĚ ƚŚŝƐ ƉƌĂĐƟĐĞ ǀĞƌǇ ƋƵŝĐŬůǇ͘ dŚĞ ƉƌŽǀŝƐŝŽŶ ŽĨ DĞĚŝĐĂŝĚ ƚƌĞĂƚŵĞŶƚ ĐŽƵůĚ ĂůƐŽ ŝŶƚƌŽĚƵĐĞĚ ŝŶ ƚŚĞ ĂĚũĂĐĞŶƚ ĚĞŶƚĂů ŽĸĐĞ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: HOUSTON - WEST HOUSTON PERIODONTIC PRACTICE FOR SALE: >ŽĐĂƚĞĚ ŝŶ tĞƐƚ ,ŽƵƐƚŽŶ͕ ƚŚŝƐ ƉƌĂĐƟĐĞ ŚĂƐ ďĞĞŶ ŝŶ ďƵƐŝŶĞƐƐ ĨŽƌ ϯϯ ǇĞĂƌƐ ŽŶ ƚŚĞ ǁĞƐƚ ƐŝĚĞ ŽĨ ,ŽƵƐƚŽŶ ǁŝƚŚ ϭϯ ǇĞĂƌƐ Ăƚ ƚŚŝƐ ůŽĐĂƟŽŶ͘ dŚĞǇ ĐƵƌƌĞŶƚůǇ ŚĂǀĞ ϭ͕ϱϬϬ ƉĂƟĞŶƚƐ ǁŝƚŚ Ϯϱ ŶĞǁ ƉĂƟĞŶƚƐ ĂĚĚĞĚ ƉĞƌ ŵŽŶƚŚ ĨŽƌ ƌĞĐĂůů Žƌ ƚƌĞĂƚŵĞŶƚ͘ dŚĞ ƐƵŝƚĞ ŝƐ Ă ůĞĂƐĞ͕ ĂǀĂŝůĂďůĞ ĨŽƌ ƌĞŶĞǁĂů ĞǀĞƌǇ ϱ ǇĞĂƌƐ͕ ǁŝƚŚ ϮϮϬϬ ƐƋƵĂƌĞ ĨĞĞƚ͘ dŚŝƐ ƐƉĂĐĞ ŝŶĐůƵĚĞƐ ϲ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌǇ ƌŽŽŵƐ͕ ϯ ƌĞĐŽǀĞƌǇ ƌŽŽŵƐ͕ ǆͲƌĂǇ ƌŽŽŵ͕ ƌĞĐĞƉƟŽŶ ƌŽŽŵ͕ ďƵƐŝŶĞƐƐ ŽĸĐĞ͕ ƉƌŝǀĂƚĞ ĚŽĐƚŽƌƐ͛ ŽĸĐĞ͕ ƐƚĂī ĂƌĞĂ͕ ĂŶĚ Ϯ ƌĞƐƚƌŽŽŵƐ͘

ADVERTISING BRIEFS hƐŝŶŐ ĚŝƌĞĐƚ ĚŝŐŝƚĂů ƚŽ ƉƌŽǀŝĚĞ ŝŵŵĞĚŝĂƚĞ ŝŵĂŐĞƐ ƵƐŝŶŐ W , ĞŶƚĂů ^ŽŌǁĂƌĞ͕ WĞƌŝŽ>ĂƐĞ DsWϳ ǁŝƚŚ ƚŚĞ > E W ƉƌŽƚŽĐŽů ĂŶĚ WƌĞyŝŽŶ ϯͲ /ŵĂŐŝŶŐ ^ĐĂŶŶĞƌ ǁŝƚŚ ƚƌĂŶƐĨĞƌĂďůĞ ůŝĐĞŶƐŝŶŐ͘ KĸĐĞ ŚŽƵƌƐ ĂƌĞ ϰ͘ϱ ĚĂǇƐ ƉĞƌ ǁĞĞŬ ǁŝƚŚ ϭ ŽĸĐĞ ŵĂŶĂŐĞƌ͕ Ϯ ĨƵůůͲƟŵĞ ƐƵƌŐŝĐĂů ĂƐƐŝƐƚĂŶƚƐ͕ ϭ ƉĂƌƚͲƟŵĞ ŚǇŐŝĞŶŝƐƚ͕ ĂŶĚ ϭ ƉĂƌƚͲƟŵĞ ĂƐƐŝƐƚĂŶƚ ŵĂŶĂŐĞƌ͘ sĞƌǇ ůŽǇĂů ĂŶĚ ŬŶŽǁůĞĚŐĞĂďůĞ ƐƚĂī͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛ ƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: HOUSTON - SOUTHWEST HOUSTON GENERAL PRACTICE FOR SALE: >ŽĐĂƚĞĚ ŝŶƐŝĚĞ ƚŚĞ ďĞůƚǁĂǇ ŝŶ ĞůůĂŝƌĞ͕ ƚŚŝƐ ŝƐ Ă ǀĞƌǇ ǁĞůůͲĞƐƚĂďůŝƐŚĞĚ ƉƌĂĐƟĐĞ ŝŶ ďƵƐŝŶĞƐƐ ĨŽƌ ϱϱ ǇĞĂƌƐ ĂŶĚ ŝŶ ƚŚĞ ƐĂŵĞ ůŽĐĂƟŽŶ ĨŽƌ ƚŚĞ ůĂƐƚ ϮϮ͖ ϭ͕ϭϴϴ ƐƋ Ō ŽĨ ƉƌĂĐƟĐĞ ƐƉĂĐĞ ǁŝƚŚ ϯ ĨƵůůǇͲ ĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͘ ĚĚŝƟŽŶĂů ϰϳϭ ƐƋ Ō ƵƉƐƚĂŝƌƐ͘ WƌĂĐƟĐĞ ŽƉĞŶ ϰ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͕ ϵͲϱ͘ 'ĞŶĞƌĂƟŶŐ ŵŽĚĞƌĂƚĞ ƌĞǀĞŶƵĞƐ͕ ƚŚĞ ƉƌĂĐƟĐĞ ŚĂƐ ϭ͕ϯϬϬ ĂĐƟǀĞ ƉĂƟĞŶƚƐ ǁŝƚŚ ϭϯ ŶĞǁ ƉĂƟĞŶƚƐ ũŽŝŶŝŶŐ ƉĞƌ ŵŽŶƚŚ͘ ǆƉĞƌŝĞŶĐĞĚ ƐƚĂī͘ ŽĐƚŽƌ ŝƐ ƌĞƟƌŝŶŐ ĂŶĚ ŝƐ ĂŶǆŝŽƵƐ ƚŽ ĞīĞĐƚ Ă ƚƌĂŶƐŝƟŽŶ ƚŽ Ă ǁĞůůͲƋƵĂůŝĮĞĚ ŐĞŶĞƌĂů ĚĞŶƟƐƚ͘ dŚŝƐ ŝƐ Ă ǁŽŶĚĞƌĨƵů ŝŶͲƚŽǁŶ ƉƌĂĐƟĐĞ Ăƚ Ă ŵŽƐƚ ƌĞĂƐŽŶĂďůĞ ƉƌŝĐĞ ĂŶĚ Ă ŐƌĞĂƚ ƉůĂƞŽƌŵ ĨƌŽŵ ǁŚŝĐŚ ƚŽ ďƵŝůĚ ĨŽƌ ƚŚĞ ĨƵƚƵƌĞ͊ ŽĐƚŽƌ ǁŽƵůĚ ĂůƐŽ ůŝŬĞ ƚŽ ƐĞůů ƚŚĞ ƌĞĂů ĞƐƚĂƚĞ ǁŝƚŚ ƚŚĞ ƉƌĂĐƟĐĞ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛ ƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: HOUSTON - CLEAR LAKE ORTHODONTIC PRACTICE FOR SALE: ůŽƐĞ ƚŽ ŝŶƚĞƌŵĞĚŝĂƚĞ ƐĐŚŽŽů ĂŶĚ :ŽŚŶƐŽŶ ^ƉĂĐĞ ĞŶƚĞƌ͘ ZĞƟƌŝŶŐ ŽƌƚŚŽĚŽŶƟƐƚ ĚĞƐŝƌĞƐ ƚŽ ƐĞůů ƌĞŵĂŝŶŝŶŐ ƉĂƟĞŶƚƐ͕ ĞƋƵŝƉŵĞŶƚ ĂŶĚ ĐĞŶƚƌĂůůǇ ůŽĐĂƚĞĚ ŽĸĐĞ ĐŽŶĚŽŵŝŶŝƵŵ ŽĨ ϭ͕ϭϲϬ ƐƋ Ō͘ KƉƟŵƵŵ ƉƵƌĐŚĂƐĞƌ ĐĂŶĚŝĚĂƚĞƐ ǁŽƵůĚ ŝŶĐůƵĚĞ͗ ĂŶ ŽƌƚŚŽĚŽŶƟƐƚ ǁĂŶƟŶŐ Ă ůĂƌŐĞƌ ůŽĐĂƟŽŶ͕ ĂŶ ŽƌƚŚŽĚŽŶƟƐƚ ĚĞƐŝƌŝŶŐ Ă ƐĂƚĞůůŝƚĞ ůŽĐĂƟŽŶ͕ Žƌ ĂŶ ŽƌƚŚŽĚŽŶƟƐƚ ǁĂŶƟŶŐ ƚŽ ŐƌŽǁ Ă ƉƌĂĐƟĐĞ ŝŶ ƚŚŝƐ ĂŋƵĞŶƚ ,ŽƵƐƚŽŶ ĂƌĞĂ͘ WĞƌĨĞĐƚ ĨŽƌ Ă ŶĞǁ ƌĞƐŝĚĞŶƚ ŐƌĂĚƵĂƚĞ ǁĂŶƟŶŐ ƚŽ ďĞ ŝŶ ƚŚĞ ƐƚƌŽŶŐ ,ŽƵƐƚŽŶ ĞĐŽŶŽŵŝĐ ĞŶǀŝƌŽŶŵĞŶƚ͊ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛ ƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘

THE HINDLEY GROUP, LLC: HOUSTON - WEST HOUSTON GENERAL PRACTICE FOR SALE: ^ŵĂůů ŐĞŶĞƌĂů ĚĞŶƚĂů ƉƌĂĐƟĐĞ ǁŝƚŚ ŚŝŐŚ ƉĞƌĐĞŶƚĂŐĞ ƌĞƐƚŽƌĂƟǀĞ ƌĞǀĞŶƵĞƐ͘ ǀĞƌĂŐĞ ϴ ŶĞǁ ƉĂƟĞŶƚƐ ƉĞƌ ŵŽŶƚŚ͘ dǁŽ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ǁŝƚŚ ϭ ĂĚĚŝƟŽŶĂů ŚǇŐŝĞŶĞ ƌŽŽŵ ĂŶĚ ĂŶŽƚŚĞƌ ƌŽŽŵ ƉůƵŵďĞĚ ĨŽƌ ĞǆƉĂŶƐŝŽŶ͘ ŝŐŝƚĂů WĂŶŽ͘ ^ĂŵĞ ůŽĐĂƟŽŶ ĨŽƌ ϭϯ ǇĞĂƌƐ͘ ĂƐŚ ĂŶĚ /ŶƐƵƌĂŶĐĞ ƌĞǀĞŶƵĞƐ͘ DŽƟǀĂƚĞĚ ƐĞůůĞƌ͊ ǆĐĞůůĞŶƚ ŽƉƉŽƌƚƵŶŝƚǇ ĨŽƌ ƐƚĂƌƚƵƉ Ăƚ ůŽǁ ĐŽƐƚ͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: TEXAS COASTAL PLAINS SOUTH OF HOUSTON GENERAL PRACTICE FOR SALE: tĞůůͲĞƐƚĂďůŝƐŚĞĚ ĨŽƌ Ϯϴ ǇĞĂƌƐ ĂŶĚ ŝŶ ƐĂŵĞ ůŽĐĂƟŽŶ ĨŽƌ ůĂƐƚ ϭϳ͘ ^ƚƌŽŶŐ ƌĞǀĞŶƵĞƐ ĂŶĚ ŚĞĂůƚŚǇ ƉƌŽĮƚ ŵĂƌŐŝŶ ŽŶ ϰ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͊ Ϯ͕ϱϬϬ ƐƋ Ō ďƵŝůĚŝŶŐ ǁŝƚŚ ϰ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ ĂůƐŽ ĨŽƌ ƐĂůĞ͘ ǆƉĞƌŝĞŶĐĞĚ͕ ĚĞƉĞŶĚĂďůĞ ƐƚĂī͘ 'ƌĞĂƚ ŽƉƉŽƌƚƵŶŝƚǇ͊ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛ ƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ THE HINDLEY GROUP, LLC: TEXAS - WEST/CENTRAL GENERAL PRACTICE: ϮϱͲǇĞĂƌͲŽůĚ ǁĞůůͲĞƐƚĂďůŝƐŚĞĚ ĨĂŵŝůǇ ĚĞŶƚĂů ƉƌĂĐƟĐĞ ĨŽƌ ƐĂůĞ͘ KƉĞŶ ϰ͘ϱ ĚĂǇƐ ƉĞƌ ǁĞĞŬ͖ Ϯ͕ϰϬϬͲƐƋͲ Ō ďƵŝůĚŝŶŐ ǁŝƚŚ ϰ ĨƵůůǇͲĞƋƵŝƉƉĞĚ ŽƉĞƌĂƚŽƌŝĞƐ͖ ϯ ĚŝƌĞĐƚ ĚŝŐŝƚĂů ǆͲƌĂǇ ƵŶŝƚƐ ŝŶ ŽƉĞƌĂƚŽƌŝĞƐ ƉůƵƐ ŶƵŵĞƌŽƵƐ ŽƚŚĞƌ ƵƉŐƌĂĚĞƐ ƚŽ ĞƋƵŝƉŵĞŶƚ ĂŶĚ ďƵŝůĚŝŶŐ͕ ǁŚŝĐŚ ŝƐ ĂůƐŽ ĨŽƌ ƐĂůĞ͘ ^ƚĞĂĚǇ ŶĞǁ ƉĂƟĞŶƚ ŐƌŽǁƚŚ ĂŶĚ ŽƵƚƐƚĂŶĚŝŶŐ ƐƚĂī͘ &Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ ĞŵĂŝů ŬĂƚĞΛƚŚĞŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ Žƌ ĐĂůů ϭͲϴϬϬͲϴϱϲͲϭϵϱϱ͘ sŝƐŝƚ ƚŚĞ ŚŝŶĚůĞǇŐƌŽƵƉ͘ĐŽŵ͘ WACO: 'ƌĞĂƚ ĂƐƐŽĐŝĂƚĞ ŽƉƉŽƌƚƵŶŝƚǇ͘ tĂĐŽ ƉƌĂĐƟĐĞ ůŽŽŬŝŶŐ ĨŽƌ ŵŽƟǀĂƚĞĚ ĂƐƐŽĐŝĂƚĞ ǁŝƚŚ Ă ĚĞƐŝƌĞ ƚŽ ũŽŝŶ Ă WWKͬĨĞĞͲ ĨŽƌͲƐĞƌǀŝĐĞ ƉƌĂĐƟĐĞ͘ 'ƌĞĂƚ ƉĂǇ͕ ŐƌĞĂƚ ǁŽƌŬ ĞŶǀŝƌŽŶŵĞŶƚ ǁŝƚŚ Ϯ ŽƚŚĞƌ ĚĞŶƟƐƚƐ ĂŶĚ ƚŽƉ ŶŽƚĐŚ ƐƚĂī͘ WůĞĂƐĞ ĐŽŶƚĂĐƚ ƌ :ŽŚŶƐŽŶ Ăƚ ϰϯϱͲϮϯϳͲϮϯϯϵ Žƌ ĞŵĂŝů Ăƚ ũŽŚŶƐŽŶ͘ϮϵϳϴΛŐŵĂŝů͘ ĐŽŵ͘

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ADVERTISING BRIEFS K&&/ ^W DALLAS AND ROCKWALL: KƌƚŚŽĚŽŶƟĐ Žƌ ŽƚŚĞƌ ƐƉĞĐŝĂůƚǇ ŽĸĐĞ ĨŽƌ ůĞĂƐĞ ƚŽ ƐŚĂƌĞ ǁŝƚŚ ŽǁŶĞƌ͘ &ƵƌŶŝƐŚĞĚ ĂŶĚ ĞƋƵŝƉƉĞĚ͘ ĂůůĂƐ ŽĸĐĞ ŝƐ ϰ͕ϬϬϬ ƐƋ Ō ŝŶ >ĂŬĞ ,ŝŐŚůĂŶĚƐ ĂƌĞĂ ǁŝƚŚ Ϯ͕ϱϬϬ ƐƋ Ō ůĞĂƐĂďůĞ ƌĞƐŝĚĞŶĐĞ ĂďŽǀĞ͘ ZŽĐŬǁĂůů ŽĸĐĞ ŝƐ ϭ͕ϴϬϬ ƐƋ Ō ŝŶ ĂŶƟƋƵĞ ďƵŝůĚŝŶŐ ĂŶĚ ĨƵƌŶŝƐŚŝŶŐƐ͘ ŵĂŝů ƌĐƉƉĐΛƐďĐŐůŽďĂů͘ŶĞƚ͘ HOUSTON / LEAGUE CITY: DĞĚŝĐĂůͬŽĸĐĞ ƐƉĂĐĞ ĂǀĂŝůĂďůĞ ĨŽƌ ůĞĂƐĞ ŝŶ Ă ƐƚĞůůĂƌ ůŽĐĂƟŽŶ͕ ƌŝŐŚƚ ŽƵƚƐŝĚĞ ƚŚĞ ůĂƌŐĞƐƚ ƐĐŚŽŽů ŝŶ dĞǆĂƐ ǁŝƚŚ ϰ͕ϮϬϬ ƐƚƵĚĞŶƚƐ ŽŶ ĐĂŵƉƵƐ͘ /Ŷ Ă ĨĂƐƚ ŐƌŽǁŝŶŐ ĂƌĞĂ ǁŝƚŚ Ă ůŽƚ ŽĨ ǇŽƵŶŐ ĨĂŵŝůŝĞƐ͕ ůŽĐĂƚĞĚ ĐůŽƐĞ ƚŽ ƚŚĞ ǁĂƚĞƌĨƌŽŶƚ͕ ďŽĂƌĚǁĂůŬ͕ 'ƵůĨ ŽĂƐƚ ďĞĂĐŚĞƐ͕ ,ŽƵƐƚŽŶ ĚŽǁŶƚŽǁŶ͕ E ^ ͕ ĂŶĚ ,ŽďďǇ ŝƌƉŽƌƚ͘ ,ŽŵĞ ƚŽ ŽŶĞ ŽĨ ƚŚĞ ƐƚĂƚĞ͛Ɛ ƚŽƉ ƌĂƚĞĚ /ŶĚĞƉĞŶĚĞŶƚ ƐĐŚŽŽů ĚŝƐƚƌŝĐƚƐ͕ ƐƚƵŶŶŝŶŐ ǇĞƚ ĂīŽƌĚĂďůĞ ǁĂƚĞƌĨƌŽŶƚ ŶĞŝŐŚďŽƌŚŽŽĚ ĚĞǀĞůŽƉŵĞŶƚƐ͕ E ^ ͕ K /E'͕ hdD ͘ ŽŶƚĂĐƚ sŝũĂǇ ŚĂŐŝĂ ϴϯϮͲϲϭϴͲϬϲϱϮ Žƌ ĞĚƵǀŝůůĂŐĞůĂŶĚΛŐŵĂŝů͘ĐŽŵ͘ NORTH TEXAS DENTAL PRACTICE OPPORTUNITIES: >ĞǁŝƐ ,ĞĂůƚŚ WƌŽĨĞƐƐŝŽŶ ^ĞƌǀŝĐĞƐ ŚĂƐ ŵƵůƟƉůĞ ĐĂƌĞĞƌ ŽƉƉŽƌƚƵŶŝƟĞƐ ĂǀĂŝůĂďůĞ ŝŶ ƚŚĞ ŐƌĞĂƚĞƌ ĂůůĂƐͬ&Žƌƚ tŽƌƚŚ ĂƌĞĂ͘ WƌĂĐƟĐĞƐ ĨŽƌ ƐĂůĞ͕ ĂƐƐŽĐŝĂƚĞ ŽƉƉŽƌƚƵŶŝƟĞƐ͕ ĮŶŝƐŚĞĚ ŽƵƚ ĚĞŶƚĂů ŽĸĐĞƐ͕ ĂŶĚ ƐƉĞĐŝĂůƚǇ ƉƌĂĐƟĐĞ ŽƉƉŽƌƚƵŶŝƟĞƐ͘ >ĞǁŝƐ ,ĞĂůƚŚ WƌŽĨĞƐƐŝŽŶ ^ĞƌǀŝĐĞƐ ŚĂƐ ϯϬ ǇĞĂƌƐ ĞǆƉĞƌŝĞŶĐĞ ŝŶ ĚĞŶƚĂů ƉƌĂĐƟĐĞ ƚƌĂŶƐŝƟŽŶƐ͕ ǁŝƚŚ ŽǀĞƌ ϭ͕ϬϬϬ ƐƵĐĐĞƐƐĨƵů ƚƌĂŶƐŝƟŽŶƐ ĐŽŵƉůĞƚĞĚ͘ ĞŶƟƐƚƌǇ ŝƐ ŽƵƌ ŽŶůǇ ďƵƐŝŶĞƐƐ͘ tĞ ĐŽŶĮĚĞŶƟĂůůǇ ĚĞĂů ǁŝƚŚ Ăůů ĐůŝĞŶƚƐ͘ >ĞǁŝƐ ,ĞĂůƚŚ WƌŽĨĞƐƐŝŽŶ ŽīĞƌƐ ƐĞůůĞƌ ƌĞƉƌĞƐĞŶƚĂƟŽŶ͕ ďƵǇĞƌ ƌĞƉƌĞƐĞŶƚĂƟŽŶ͕ ŽƉƉŽƌƚƵŶŝƚǇ ĂƐƐĞƐƐŵĞŶƚƐ͕ ĂƐƐŽĐŝĂƚĞ ƉůĂĐĞŵĞŶƚ͕ ĂŶĚ ƐƚƌĂƚĞŐŝĐ ƉůĂŶŶŝŶŐ ƐĞƌǀŝĐĞƐ͘ WůĞĂƐĞ ĐŚĞĐŬ ŽƵƚ ŽƵƌ ǁĞď ƐŝƚĞ Ăƚ ǁǁǁ͘ůĞǁŝƐŚĞĂůƚŚ͘ĐŽŵ ĨŽƌ ĐƵƌƌĞŶƚ ŽƉƉŽƌƚƵŶŝƟĞƐ͘ &Žƌ ĂĚĚŝƟŽŶĂů ŝŶĨŽƌŵĂƟŽŶ͕ ĐŽŶƚĂĐƚ ĂŶ >ĞǁŝƐ Ăƚ >ĞǁŝƐ ,ĞĂůƚŚ WƌŽĨĞƐƐŝŽŶ ^ĞƌǀŝĐĞƐ ϵϳϮͲϰϯϳͲϭϭϴϬ Žƌ ĚĂŶΛůĞǁŝƐŚĞĂůƚŚ͘ĐŽŵ͘ ORTHO OFFICE SPACE FOR LEASE. ƌĞ ǇŽƵ Ă ŶĞǁ ŽƌƚŚŽĚŽŶƟƐƚ ǁĂŶƟŶŐ ƚŽ ƐƚĂƌƚ Ă ƉƌĂĐƟĐĞ ďƵƚ ĐĂŶ͛ƚ ĂīŽƌĚ Ă ĨƵůůͲƟŵĞ ůĞĂƐĞ͍ ƌĞ ǇŽƵ ĂŶ ĞƐƚĂďůŝƐŚĞĚ ŽƌƚŚŽĚŽŶƟƐƚ ǁŚŽ ǁŽƵůĚ ůŝŬĞ Ă ƐĂƚĞůůŝƚĞ ŽĸĐĞ͍ / Ăŵ Ă ƉĞĚŝĂƚƌŝĐ ĚĞŶƟƐƚ ŝŶ WŝŶĞŚƵƌƐƚ͘ DǇ ŽĸĐĞ ŝƐ ƵƐƵĂůůǇ ĐůŽƐĞĚ &ƌŝĚĂǇ ƚŽ ^ƵŶĚĂǇ͘ / ŚĂǀĞ Ă ďĞĂƵƟĨƵů ϱ͕ϮϬϬ ƐƋ Ō ŽĸĐĞ ƚŚĂƚ ǁŽƵůĚ ďĞ Ă

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ŐƌĞĂƚ ŽƉƟŽŶ ĨŽƌ ĂŶ ŽƌƚŚŽĚŽŶƟƐƚ͘ >ĞĂƐĞ ĨĞĞ ǁŽƵůĚ ďĞ ŶĞŐŽƟĂďůĞ ĚĞƉĞŶĚŝŶŐ ŽŶ ŚŽǁ ŵĂŶǇ ĚĂǇƐ ƉĞƌ ŵŽŶƚŚ ǇŽƵ ŶĞĞĚ͘ KƌƚŚŽĚŽŶƟƐƚ ǁŽƵůĚ ďĞ ƌĞƐƉŽŶƐŝďůĞ ĨŽƌ Ăůů ĞƋƵŝƉŵĞŶƚ͕ ƐƵƉƉůŝĞƐ ĂŶĚ ƐƚĂī͘ zŽƵ ŵĂǇ ǀŝĞǁ ŵǇ ŽĸĐĞ Ăƚ ƐƚĂŐĞĐŽĂĐŚĚĞŶƚĂů͘ĐŽŵ͘ /Ĩ ŝŶƚĞƌĞƐƚĞĚ͕ ƉůĞĂƐĞ ĞŵĂŝů ŵĞ Ăƚ ĚƌĐŽĞΛƐƚĂŐĞĐŽĂĐŚĚĞŶƚĂů͘ĐŽŵ͘ SAN ANTONIO 4-OPERATORY PRACTICE FOR SALE: tĞ ŚĂǀĞ ŽƵƚŐƌŽǁŶ ƚŚĞ ƐƉĂĐĞ͕ ůŽŽŬŝŶŐ ƚŽ ƌĞůŽĐĂƚĞ͘ ^ƉĂĐĞ ŝƐ ƉĞƌĨĞĐƚ ĨŽƌ Ă ƐƉĞĐŝĂůŝƐƚ͘ dƌĂŶƐŝƟŽŶ ĂǀĂŝůĂďůĞ͘ dŚĞ ƐƉĂĐĞ ŝƐ ůŽĐĂƚĞĚ ƌŝŐŚƚ Žī ƚŚĞ ŽŵŝŶŝŽŶ ŽƵŶƚƌǇ ůƵď ŐŽůĨ ĐŽƵƌƐĞ ŝŶ ^ĂŶ ŶƚŽŶŝŽ͘ sĞƌǇ ŵŽĚĞƌŶ͕ ƚƌĂŶƋƵŝů͕ ƉůĞĂƐĂŶƚ ůŽĐĂƟŽŶ͕ ŐƌĂŶŝƚĞ ĐŽƵŶƚĞƌƚŽƉƐ͕ ƉůƵŵďĞĚ ĨŽƌ ŶŝƚƌŽƵƐ͕ ƐĞĐŽŶĚ ŇŽŽƌ ǁŝƚŚ ďĂůĐŽŶǇ͘ WůĞĂƐĞ ĐŽŶƚĂĐƚ ƌ ^ƚƌĂƩŽŶ Ăƚ ϮϭϬͲϲϴϳͲϭϭϱϬ Žƌ ĞŵĂŝů ƟĸŶŝΛĚŽŵŝŶŝŽŶĚĞŶƚĂůƐƉĂ͘ĐŽŵ͘ SEGUIN: KƌƚŚŽĚŽŶƟĐ ŽĸĐĞ ƐƉĂĐĞ ĨŽƌ ůĞĂƐĞ ŝŶ͘ KĸĐĞ ǁĂƐ ƉŚĂƐĞĚ ĚŽǁŶ ǁŚĞŶ ŽƌƚŚŽĚŽŶƟƐƚ ƌĞƟƌĞĚ͘ KĸĐĞ ŝƐ ĞƋƵŝƉƉĞĚ ĂŶĚ ĨƵŶĐƟŽŶĂů͘ 'ƌĞĂƚ ĨŽƌ Ă ƐƚĂƌƚ ƵƉ Žƌ Ă ƐĂƚĞůůŝƚĞ ůŽĐĂƟŽŶ͘ ŵĂŝů ŝŶƋƵŝƌŝĞƐ ƚŽ ůŵĂƐƐĂĚĚƐΛŐŵĂŝů͘ĐŽŵ͘

&KZ ^ > EQUIPMENT FOR SALE: EĞǁ ŚĂŶĚŚĞůĚ ƉŽƌƚĂďůĞ yͲƌĂǇ ƵŶŝƚ͘ EĞǁ ŝŶƚƌĂŽƌĂů ǁĂůů yͲƌĂǇ ƵŶŝƚ͕ ŶĞǁ ŵŽďŝůĞ yͲƌĂǇ ŽŶ ǁŚĞĞůƐ͘ EĞǁ ĐŚĂŝƌƐͬƵŶŝƚƐ ŽƉĞƌĂƚŽƌǇ ƉĂĐŬĂŐĞƐ͕ ŶĞǁ ŝŵƉůĂŶƚ ŵŽƚŽƌƐ͘ ǀĞƌǇƚŚŝŶŐ ŝƐ ďƌĂŶĚ ŶĞǁ͕ ǁŝƚŚ ǁĂƌƌĂŶƚǇ͘ ŽŶƚĂĐƚ ŶǇĐĨƌĞĞĚΛ ĂŽů͘ĐŽŵ͘ IMTEC IMPLANT SYSTEM. ΨϲϬϬ͕ Ϯϰ ŝŵƉůĂŶƚƐ͕ ƚŽƌƋƵĞ ǁƌĞŶĐŚĞƐ͕ ƐƵƌŐŝĐĂů ŝƚĞŵƐ ĂŶĚ ĂĚĂƉƚĞƌƐ͕ ƐƚĞƌŝůŝǌĂƟŽŶ Ŭŝƚ͕ ŝŶƐƚƌƵĐƟŽŶ ĚŝƐŬ͘ EĞǀĞƌ ƵƐĞĚ͘ /ŶƚĞŐƌĂů ŝŵƉůĂŶƚƐ͘ ΨϮϬϬ͕ ϭϭ ĐŽĂƚĞĚ ŝŵƉůĂŶƚƐ ĂŶĚ ƐƵƌŐŝĐĂů ĚƌŝůůƐ͕ ƉůĂĐĞŵĞŶƚ ĂŶĚ ƌĞƚƌŝĞǀĂů ŝŶƐƚƌƵŵĞŶƚƐ͘ ΨϱϬϬ ;ƌĞŐƵůĂƌůǇ Ψϭ͕ϱϬϬͿ͕ ϰ DŝƐĐŚ ďĂƐŝĐ ƐĞƚƵƉ ƉŚǇƐŝĐƐ ĨŽƌĐĞƉƐ͘ ŽŶƚĂĐƚ ƌ :ĂŵĞƐ 'ƌŽŐĂŶ͕ ϰϲϵͲϱϴϱͲϵϲϮϮ͕ ĚŽĐŚĂƌůĞǇĚĂǇΛƐďĐŐůŽďĂů͘ŶĞƚ͘

/Ed Z/D ^ Zs/ ^ HAVE MIRROR AND EXPLORER, WILL TRAVEL: ^ŝĐŬ ůĞĂǀĞ͕ ŵĂƚĞƌŶŝƚǇ ůĞĂǀĞ͕ ĚĞƉůŽǇŵĞŶƚ͕ ǀĂĐĂƟŽŶ Žƌ ĚĞĂƚŚ͕ / ǁŝůů ĐŽǀĞƌ ǇŽƵƌ ŽĸĐĞ͘ Ăůů ZŽďĞƌƚ ŽĐŚ͕ ^͕ D ' ͕ Ăƚ ϱϭϮͲϮϲϯͲϬϱϭϬ Žƌ ĚƌǌŽĐŚΛǇĂŚŽŽ͘ĐŽŵ͘ OFFICE COVERAGE ĨŽƌ ǀĂĐĂƟŽŶƐ͕ ŵĂƚĞƌŶŝƚǇ ůĞĂǀĞ͕ ŝůůŶĞƐƐ͘ WƌŽƚĞĐƚ ǇŽƵƌ ƉƌĂĐƟĐĞ ĂŶĚ ŝŶĐŽŵĞ͘ &ŽƌĞƐƚ /ƌŽŶƐ ĂŶĚ ƐƐŽĐŝĂƚĞƐ͘ ͞ ĞŶƟƐƚƐ ,ĞůƉŝŶŐ ĞŶƟƐƚƐ ^ŝŶĐĞ ϭϵϴϯ͘͟ Ăůů ϴϬϬͲ ϰϯϯͲϮϲϬϯ ; ^dͿ͘ sŝƐŝƚ ǁǁǁ͘ĨŽƌĞƐƟƌŽŶƐ͘ĐŽŵ͘

D/^ >> E Kh^ DENTIST/CONSULTANT: WĂƌƚͲƟŵĞ ;ŵŝŶ ϰ ŚƌƐͬĚĂǇͿ ĨŽƌ ŶĂƟŽŶĂů ĐůĂŝŵ ƌĞǀŝĞǁ ĐŽŵƉĂŶǇ͘ tŽƌŬ ĨŽƌŵ ǇŽƵƌ ŚŽŵĞ Žƌ ŽĸĐĞ͘ DƵƐƚ ŚĂǀĞ ĂĐƟǀĞ dy ĚĞŶƚĂů ůŝĐĞŶƐĞ͘ &Ăǆ ƌĞƐƵŵĞ ƚŽ ϮϭϮͲϲϴϲͲϰϳϬϯ͘ EXTRACTION/ORTHODONTIC CE: ^ĞƉƚĞŵďĞƌ ϮϲͲϮϳ DŝŶŶĞĂƉŽůŝƐ ϭϴ dŽƚĂů ,ŽƵƌƐ ƌ ĞWĂƵů ǁŝůů ƚĞĂĐŚ WŽǁĞƌWƌŽǆ ^ŝǆ DŽŶƚŚ ƌĂĐĞƐ͘ ƌ &ůĞƚĐŚĞƌ ĂŶĚ DƵƌƉŚ ǁŝůů ƚĞĂĐŚ ĞǆƚƌĂĐƟŽŶƐ ƵƐŝŶŐ ƉŝŐ ũĂǁƐ͘ ƌ DĐ Ăůů ǁŝůů ƚĞĂĐŚ /ŵŵĞĚŝĂƚĞ ĞŶƚƵƌĞƐ dƵŝƟŽŶ͗ ΨϮϮϵϰ ĨŽƌ ďŽƚŚ ;ΨϭϮϵϵ ĞǆƚƌĂĐƟŽŶ ŽŶůǇͿ ;Ψϭϭϵϱ ŽƌƚŚŽ ŽŶůǇͿ ƐŝǆŵŽŶƚŚďƌĂĐĞƐΛ ŚŽƚŵĂŝů͘ĐŽŵ ĚƌƚŽŵŵǇŵƵƌƉŚΛǇĂŚŽŽ͘ĐŽŵ

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CONTACT

&Žƌ ŵŽƌĞ ŝŶĨŽƌŵĂƟŽŶ͕ ƉůĞĂƐĞ ǀŝƐŝƚ ƚĚĂ͘ŽƌŐ Žƌ ĐŽŶƚĂĐƚ ŝůůǇ ĂůůŝƐ Ăƚ ϱϭϮͲϰϰϯͲϯϲϳϱ Ğǆƚ ϭϱϬ Žƌ ďǇ ĞŵĂŝů͗ ďĐĂůůŝƐΛƚĚĂ͘ŽƌŐ͘

/s ^ĞĚĂƟŽŶ dƌĂŝŶŝŶŐ ĨŽƌ ĞŶƟƐƚƐ dŚŝƐ ͞ŵŝŶŝͲƌĞƐŝĚĞŶĐǇ͟ ŝŶĐůƵĚĞƐ ϲϬ ŚŽƵƌƐ ŽĨ ĚŝĚĂĐƟĐ ĂŶĚ ƚŚĞ ĂĚŵŝŶŝƐƚƌĂƟŽŶ ŽĨ /s ƐĞĚĂƟŽŶ ƚŽ Ăƚ ůĞĂƐƚ ϮϬ ĚĞŶƚĂů ƉĂƟĞŶƚƐ ǁŚŝůĞ ƐƵƉĞƌǀŝƐĞĚ͘ WƌŽŐƌĂŵ ŵĞĞƚƐ ƌĞƋƵŝƌĞŵĞŶƚƐ ƚŽ ŽďƚĂŝŶ d^ WĞƌŵŝƚ >ĞǀĞů /// ĨŽƌ DŽĚĞƌĂƚĞ ^ĞĚĂƟŽŶ͘ ,ŽƵƐƚŽŶ͕ dy ^ĞƉƚ͘ ϮϬϭϰ ϴϴϴͲϱϴϭͲ ϰϰϰϴ͖ ǁǁǁ͘^ĞĚĂƟŽŶ ŽŶƐƵůƟŶŐ͘ĐŽŵ >KK</E' dK ,/Z dZ /E Ed > ^^/^d Ed͍ tĞ ŚĂǀĞ ĚĞŶƚĂů ĂƐƐŝƐƚĂŶƚƐ ŐƌĂĚƵĂƟŶŐ ĞǀĞƌǇ ϯ ŵŽŶƚŚƐ ŝŶ ĂůůĂƐ ĂŶĚ ,ŽƵƐƚŽŶ͘ dŽ ŚŝƌĞ Žƌ ƚŽ ŚŽƐƚ Ă ϯϮͲŚŽƵƌ ĞǆƚĞƌŶƐŚŝƉ͕ ƉůĞĂƐĞ ĐĂůů ƚŚĞ EĂƟŽŶĂů ^ĐŚŽŽů ŽĨ ĞŶƚĂů ƐƐŝƐƟŶŐ Ăƚ ϴϬϬͲϯϴϯͲϯϰϬϴ͖ tĞď͗ ƐĐŚŽŽůŽĨĚĞŶƚĂůĂƐƐŝƐƟŶŐͲŶŽƌƚŚĚĂůůĂƐ͘ĐŽŵ͘

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ADVERTISERS ADS Watson Brown & Associates ...............429 AFTCO ............................................................422

Your Patients Trust You. Who can YOU Trust?

Anesthesia Education & Safety....................428 Baylor College of Dentistry ..........................456 Best Card........................................................465 Bhola, DJ, CPA, P.C. ......................................431 Clinton, Gary ..................................................425 Dental Credentialing of Texas ......................430

The Professional Recovery Network (PRN) addresses personal needs involving counseling services for dentists, hygienists, dental students and hygiene students with alcohol or chemical dependency, or any other mental or emotional difficulties. We provide impaired dental professionals with the support and means to confidential recovery. If you or another dental professional are concerned about a possible impairment, call the Professional Recovery Network and start the recovery process today. If you call to get help for someone in need, your name and location will not be divulged. The Professional Recovery Network staff will ask for your name and phone numbers so we may obtain more information and let you know that something is being done.

Dental Systems..............................................448 Dentac.............................................................456 DDR Dental Trust ...........................................469 E-VAC, Inc. .....................................................424 Hamilton, Small and Associates ..................415 Hanna, Mark â&#x20AC;&#x201D; Attn. at Law .........................424 Hindley Group................................................418 JKJ Pathology................................................449 Mariner Dental Laboratory............................423 OSHA Review.................................................457 Paragon ..........................................................435 Professional Recovery Network...................486 Professional Solutions..................................435 Sherri L. Henderson & Associates...............421 Special Care Dentistry ..................................448

Statewide Toll-free Helpline 800-727-5152 Emergency 24-hour Cell: 512-496-7247

TDA Financial Services Insurance Program..................................418/Back Cover TDA Perks Program ............Inside Front Cover TDA Perks Program............. Inside Back Cover 7H[DV 'HQWDO -RXUQDO &ODVVLĂ&#x20AC;HGV.................485 Texas Dental Journal Member Spotlight .............463

Professional Recovery Network 12007 Research Blvd. Suite 201 Austin, TX 78759 www.rxpert.org

Texas Health Steps........................................419 TEXAS Meeting Exhibitors & Sponsors ......441 TEXAS Meeting 2015 Speakers....................441 UTDB Houston ...............................................449 UTHSCSA / South Texas Pathology Lab .....431 Waller, Joe......................................................431

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Texas Dental Journal l www.tda.org l June 2014

PROTECT... Your Income | Your Family | Your Lifestyle Against Career-Ending Accidents and Illnesses

Up To $1,000,000 of Lump Sum Disability Benefits for TDA Members

Will your disability insurance be enough? Texas Dental Association Members have a unique opportunity to obtain a special benefit with these key features: You will be paid up to $1,000,000 of lump sum benefits when an accident or illness prevents you from practicing in your specialty. Benefit is paid in addition to current in-force DI coverage with no offsets. No medical exam required or the need to answer medical questions.

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