Jan 2014 Texas Dental Journal by Texas Dental Association

January 2014 January 2014

TEXAS DENTAL TEXAS DENTAL

The TeXAS MeeTing i henry B. gonzAlez ConvenTion CenTer i SAn AnTonio, TX

Set Your Site on

Oral Health

Visit the new and improved TDA.ORG today!

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S I H 3 5 S t e 4 0 0 n , T X 7 8 7 0 4 2 - 4 4 3 - 3 6 7 5 r g

TEXAS Dental Journal Established February 1883

Vol 131, No 1

Cover

January 2014

ABOUT THE COVER

Pictured is the TDA Council on Annual Session, Past Chair Dr Victor Rodriguez of Houston, Dr Lisa B. Masters of San Antonio, Chair Dr Steven W. Spivack of El Paso, Dr Summer C. Ketron of Lubbock, Dr Anne C. Lyon of Austin, and President Dr David A. Duncan of Amarillo. The 144th annual session of the Texas Dental Association, The Texas Meeting, will be May 1 – 4, 2014, at the Henry B. Gonzalez Convention Center in San Antonio, Texas. For more information, visit texasmeeting.com.

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TDA GOVERNANCE: CALL FOR NOMINATIONS A student operated, faculty mentored dental clinic service experience at the UTHSCA-San Antonio for the underserved refugee community: an interprofessional approach Moshtagh R. Farokhi DDS, MPH; Birgit Junfin Glass DDS, MS; Kevin M. Gureckis, DMD The authors highlight the student-run San Antonio Refugee Health Clinic, which serves refugees by providing free health care and education while connecting them to San Antonio’s primary health care system.

texas dental establishments in 2011 H. Barry Waldman, DDS, MPH, PhD; Allen Wong, DDS, EdD The authors document the evolving Texas dental establishment pattern between 2000 and 2011 as the profession seeks to provide care for the burgeoning population to the state.

texas meeting: 144th Annual session The TDA’s 144th annual session, The Texas Meeting, will be May 1 – 4, 2014, at the Henry B. Gonzalez Convention Center in San Antonio, Texas. The TDA Council on Annual Session presents the listing of CE opportunities, speakers, exhibits, housing registration information, and more in a 24-page insert. For more information, visit texasmeeting.com.

MONTHLYFEATURES 8 12 13

16 26 68 72

President’s Message The View From Austin Official Call To The TDA House of Delegates Oral and Maxillofacial Pathology Case of the Month Critically Appraised Topic of the Month TEXAS Meeting Preview Oral and Maxillofacial Pathology Case of the Month Diagnosis and Management

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

74 76 79 79 80 81 98

Calendar of Events Value for Your Profession In Memoriam Memorial and Honorarium Donors 2013 TDA Annual Session TEXAS Meeting Photo Contest Winner Advertising Briefs Index to Advertisers

TDA members, use your smartphone to scan this QR Code and access the online Texas Dental Journal.

Editorial Staff

Editorial Advisory Board

BOARD OF DIRECTORS TEXAS DENTAL ASSOCIATION

Stephen R. Matteson, DDS, Editor-in-Chief Daniel L. Jones, DDS, PhD, Associate Editor Harvey P. Kessler, DDS, MS, Associate Editor Nicole Scott, Managing Editor 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 Scott R. Makins, DDS Daniel Perez, DDS William F. Wathen, DMD Robert C. White, DDS Leighton A. Wier, DDS Douglas B. Willingham, DDS

The Texas Dental Journal is a peer-reviewed publication. Texas Dental Association 1946 S IH-35 Ste 400, Austin, TX 78704-3698 Phone: 512-443-3675 • FAX: 512-443-3031 E-mail: tda@tda.org • Website: tda.org Texas Dental Journal (ISSN 0040-4284) is published monthly, one issue will be a directory issue, by the Texas Dental Association, 1946 S IH-35, Austin, TX, 78704-3698, 512-443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TEXAS DENTAL JOURNAL, 1946 S IH 35, Austin, TX 78704. Copyright 2014 Texas Dental Asociation. All rights reserved. Annual subscriptions: Texas Dental Association members $17. In-state ADA Affiliated $49.50 + tax, Out-ofstate ADA Affiliated $49.50. In-state Non-ADA Affiliated $82.50 + tax, Out-of-state Non-ADA Affiliated $82.50. Single issue price: $6 ADA Affiliated, $17 Non-ADA Affiliated, September issue $17 ADA Affiliated, $65 NonADA Affiliated. For in-state orders, add 8.25% sales tax. Contributions: Manuscripts and news items of interest to the membership of the society are solicited. Electronic submissions are required. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. For more information, please refer to the Instructions for Contributors statement printed in the September Annual Membership Directory or on the TDA website: tda.org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Association, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in products or services described in their articles. Advertisements: Publication of advertisements in this journal does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by Texas Dental Journal is a member of the its manufacturer. American Association of Dental Editors. Member Publication

PRESIDENT David A. Duncan, DDS 806-355-7401, davidduncandds@gmail.com PRESIDENT-ELECT David H. McCarley, DDS 972-562-0767, drdavid@mccarleydental.com IMMEDIATE PAST PRESIDENT Michael L. Stuart, DDS 972-226-6655, mstuartdds@sbcglobal.net VICE PRESIDENT, NORTHWEST David C. Woodburn, DDS 806-358-7471, olddave1@gmail.com VICE PRESIDENT, NORTHEAST Jean E. Bainbridge, DDS 214-388-4453, jbainbridgedds@sbcglobal.net VICE PRESIDENT, SOUTHEAST Gregory K. Oelfke, DDS 713-988-0492, greg@oelfke.com VICE PRESIDENT, SOUTHWEST Yvonne E. Maldonado, DDS 915-855-2337, yvonnedent2000@yahoo.com SENIOR DIRECTOR, NORTHWEST Steven J. Hill, DDS 806-783-8837, sjhilldds@aol.com SENIOR DIRECTOR, NORTHEAST Jerry J. Hopson, DDS 903-583-5715, dochop@verizon.net SENIOR DIRECTOR, SOUTHEAST William S. Nantz, DDS 409-866-7498, wn3798@sbcglobal.net SENIOR DIRECTOR, SOUTHWEST Joshua A. Austin, DDS 210-408-7999, jaustindds@me.com DIRECTOR, NORTHWEST Charles W. Miller, DDS 817-572-4497, cwdam@sbcglobal.net DIRECTOR, NORTHEAST William H. Gerlach, DDS 972-964-1855, drbill@gerlachdental.com DIRECTOR, SOUTHEAST Karen A. Walters, DDS 713-790-1111, kwalters@sms-houston.com DIRECTOR, SOUTHWEST John B. Mason, DDS 361-854-3159, jbmasondds@aol.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@msn.com PARLIAMENTARIAN Michael D. Vaclav, DDS 806-355-7463, drvaclav@suddenlinkmail.com EDITOR Stephen R. Matteson, DDS 210-215-1515, texdented@gmail.com INTERIM EXECUTIVE DIRECTOR Michael L. Stuart, DDS 512-443-3675, mstuartdds@sbcglobal.net LEGAL COUNSEL Mr William H. Bingham 512-495-6000, bbingham@mcginnislaw.com

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

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

President’s Message David Duncan, DDS, TDA President HaPPy New year! I hope this finds you rested, rejuvenated, and ready for a healthy and prosperous new year. As we close the books on 2013 I can’t help but look forward to 2014. I’m excited to tell you that a search committee has been appointed and approved by the board of directors and has begun working on finding that certain someone to lead one of the finest staffs in the nation. I’m also excited to tell you that work on the pension plan is progressing, and that a new pension plan is in place and we are hopeful for a

There seems to be certain comradery I

positive outcome. I have had the honor and privilege to travel on behalf of TDA and meet

see when I visit your

many of you over the past 7 months and I look forward to the next 5 months

components, and a

predecessors that dentistry in Texas is different than anywhere else. My time

true sense that you

and the acquaintances yet to come. I have heard it said many times by my in other parts of the country representing you has shown me just that — it is different here. While we all drill holes, or straighten teeth, or obturate canals

want the dentist

the same, what they don’t seem to do the same is take care of one another

as the head of the

when I visit your components, and a true sense that you want the dentist as

dental team. That

and the profession of dentistry. There seems to be certain comradery I see the head of the dental team. That isn’t what I have seen elsewhere.

isn’t what I have

I still believe we have to do more to reach those dentists that are not

seen elsewhere.

them one on one. So if there is a dentist in your area that isn’t a member,

members of TDA. And I still believe the best way is to reach out and engage call them and invite them to your next meeting. Show them what you’re about — they may just like your group! Thank you for the privilege of being your president; it is a honor to serve and represent you. It is a duty I do not take lightly. If I can be of any help or service do not hesitate to call. Until next time, David

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

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

The View From Austin Stephen R. Matteson, DDS, FICD, Editor-in-Chief

Come on Down (or up) You’re invited to the Annual TDA TEXAS Meeting! Have fun, learn, connect with friends, and visit the Riverwalk. Give you and your team a great getaway from the office. The Annual Session Council put together a festive and informative schedule, see page 43. Check this out:

•

TexasMeeting

• •

or Like us on

•

facebook.com/

•

TheTexasMeeting

•

for up-to-date

•

activities .

• •

•

On-line access to register, book hotels, continuing education courses, handouts, and exhibits at texasmeeting.com. Look for mobile phone app coming in February 2014. Follow us @TexasMeeting or Like us on facebook.com/TheTexasMeeting for up-to-date activities. For graduates from 2004 and later, be sure to take advantage of the New Dentist Party on Friday, May 2 at 4:30pm. Be a visitor to the House of Delegates and observe the work of your elected delegates. Attend your divisional caucus to participate in the election of new TDA officers. Play golf with your friends for a worthy charity at the Healthy Smiles Golf Classic on Friday. Compete in the 2014 photo contest. The entry form is located at texasmeeting.com. Invite a non-member to attend The TEXAS Meeting for a one-time only registration fee of $150 to partake in one of the member benefits of joining TDA. Visit http://visitsanantonio.com/tda to view activities taking place in San Antonio during the meeting.

So, come on. See you then.

TDA Editor Dr Steve Matteson wrote this “View From Austin” prior to his unfortunate death on Monday, January 6, 2014, in San Antonio. He is survived by his wife Dr Mary Ann Matteson, 3 children, and 5 grandchildren, all of San Antonio. The January 2014 TDA Today newsletter features a lengthy obit about Dr Matteson, who was beloved and respected by his colleagues and peers. TDA members and staff will greatly miss Dr Matteson, a respected professor, radiologist, and editor.

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

Official Call to the 2014 Texas Dental Association House of Delegates HOUSE OF DELEGATES: In accordance with Chapter IV, Section 70, paragraph A of the Texas Dental Association (TDA) Bylaws, this is the official call for the 144th meeting of the Texas Dental Association House of Delegates. The opening session of the House will convene at 8:00 a.m. on Thursday, May 1, 2014, in Ballroom B on the street level of the Henry B. Gonzalez Convention Center in San Antonio, Texas. The second meeting of the House will be at 8:30 a.m. on Saturday, May 3, 2014, in Ballroom B. The Sunday, May 4, 2014 meeting will be in the Grande Hyatt San Antonio Hotel, starting at 8:30 a.m. REFERENCE COMMITTEE HEARINGS: Reference Committees will meet on Thursday, May 1, 2014, in the Convention Center (please see the on-site program for specific room assignments). Reference Committee A will start at 11:00 a.m. or 15 minutes after the adjournment of the House of Delegates, whichever is later. Reference Committee E will start at 12:00 noon. Reference Committee B will start at 1:00 p.m. Reference Committee C will start at 1:30 p.m. Reference Committee D will start at 2:00 p.m. The agendas for these meetings will be sent to the Delegates and Alternate Delegates prior to the meetings.

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REFERENCE COMMITTEE REPORTS: Reference Committee Reports will be e-mailed in PDF format to the House of Delegates and these reports may be downloaded from any location with Internet access. Printed reports will be available after 9:00 a.m. on Friday, May 2, 2014 in front of Rooms 1066 and 1067, the TDA Convention Offices, just outside Exhibit Hall C (reports may be downloaded at this location). CANDIDATES FORUM: As a reminder, the TDA / ADA Candidates Forum will be held on Friday, May 2, 2014, from 2:00 p.m. to 4:00 p.m. in the Convention Center (please see the on-site program for specific room assignment). DIVISIONAL CAUCUSES: Divisional Caucuses (Northwest, Northeast, Southwest, Southeast) will be held at 5:30 p.m. on Friday, May 2, 2014 (please see the on-site program for specific room assignments). DELEGATE BOOK: In accordance with TDA Bylaws, the Delegate Book will be sent 30 days prior to the Annual Session. The supplement to the Delegate Handbook, containing the agenda and subsequent reports, will be sent after the April 4-5, 2014 TDA Board of Directors meeting, Delegates and alternates will receive their House book in a searchable PDF format. When the House Book becomes available, the minutes of the TDA Board of Directors and the reference committee assignment reports will be posted on the memberâ&#x20AC;&#x2122;s side of the TDA website and available to the general membership, in accordance with Resolution 164-2011-RCAS-H.

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

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Level 3 & Level 4 Parenteral Sedation Permit Renewal & ACLS Course:

Level 2 Initial Moderate Sedation by Oral Administration Permit Course:

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

Oral and Maxillofacial Pathology Case of the Month Clinical Presentation An asymptomatic 46-year-old female presented with an anterior mandibular swelling over the past 10 months with tooth mobility. She was relatively healthy and her past medical history was not relevant. Upon clinical examination a large 6 x 4 cm swelling was noted in the anterior mandible crossing the midline. The involved anterior teeth were vital and displayed mobility. Panoramic radiograph revealed a large well defined unilocular radiolucency with scalloped borders extending from the left 1st mandibular premolar to the right mandibular canine causing root resorption and slight displacement of teeth (Figure 1-3). What is your clinical differential diagnosis? A biopsy was performed, which exhibited numerous multinucleated giant cells within a cellular plump to spindle shaped mesenchymal stroma. The stromal connective tissue was highly vascularized with red blood cell extravasation. There were some mitosis present but the cells demonstrated no cytological atypia (Figure 4-5). What is your final diagnosis? See page 78 for discussion and answer.

Hiba Qari BDS, MS, resident, Oral and Maxillofacial Pathology, TAMU Baylor College of Dentistry, Dallas, TX. G. E. Ghali, DDS, MD, FACS, professor and chairman, The Jack W. Gamble Chair, Oral & Maxillofacial/Head & Neck Surgery, LSU Health Sciences Center, LSU School of Medicine, Shreveport, LA. Todd A. Williams DDS, resident, Oral and Maxillofacial Surgery, LSU Health Sciences Center, Shreveport, LA.

Qari

Williams

Ghali

Wright

John M. Wright DDS, MS, regents professor and chair, Diagnostic Sciences, TAMU Baylor College of Dentistry, Dallas, TX.

Figure 1. Panographic radiograpgh showing a large well circumscribed unilocular radiolucency with scalloped borders extending from the 1st lower left premolar to right lower canine causing displacement of teeth and root resorption.

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

Figure 2. Sagittal view of CT scan showing large radiolucent lesion causing perforation of bone.

Figure 3. Coronal view of CT scan showing the aggressive nature of the radiolucent lesion.

Figures 4 and 5. Multinucleated giant cells with a cellular plump to spindle shaped mesenchymal stroma. The stromal connective tissue is highly vascularized with red blood cell extravasation.

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

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

Official Call for Nominations

Official Call for Nominations: Statewide Election of TDA President-elect

Official Call for Speaker of the House Nominations

CHAPTER VI, Section 30 of the TDA Bylaws state that the president-elect shall be nominated in turn clockwise from and by the members of each of the 4 divisions â&#x20AC;&#x201D; Southeast, Southwest, Northwest, and Northeast. Every third year the president-elect shall be nominated on a statewide basis. The divisional rotation of the president-elect will continue in the intervening years.

Nominations for the elective office of TDA Speaker of the House may be submitted to TDA Secretary-Treasurer Dr Ron Collins. Only an active, life, or retired member in good standing of this Association shall be eligible. A curriculum vitae (CV) must accompany a letter of intent and the nominee will also have to sign a conflict of interest statement. If a CV is not submitted, the nominee must present their qualifications verbally before the House of Delegates. Nominations are in order at any time until the close of nominations at the beginning of the next to the last meeting of the House of Delegates; however, we request that nominations be made as early as possible so that membership eligibility can be verified.

Nominations statewide for the elective office of Texas Dental Association (TDA) president-elect may be submitted to TDA Secretary-Treasurer Dr Ron Collins. Only an active, life, or retired member in good standing of this Association shall be eligible. A curriculum vitae (CV) must accompany a letter of intent, and the nominee will also have to sign a conflict of interest statement. If a CV is not submitted, the nominee must present his or her qualifications verbally before the House of Delegates. Nominations are in order at any time until the close of nominations at the beginning of the next to the last meeting of the House of Delegates; however, we request that nominations be made as early as possible so that membership eligibility can be verified. Duties of the president-elect are found in the Bylaws and include the following: a. To preside in the absence of the president. b. To assist the president as requested. c. To serve as an ex-officio member of the Board of Directors and the House of Delegates. d. To perform such other duties as may be provided in these Bylaws. e. To succeed to the office of president at the next annual session of the House of Delegates following his/her election as president-elect. f. To serve on the Council of Legislative and Regulatory Affairs. g. To serve as chair of the Committee of Component Society Presidents. Duties of the subsequent position of TDA president are also enumerated in the Bylaws and include the following: a. To serve as official representative of this Association in its contacts with governmental, civic, business, and professional organizations for the purpose of advancing the objects and policies of this Association. b. To serve as an ex-officio member of the Board of Directors of the Association. c. To be presiding officer of the Board of Directors of this Association. d. To be the supervising authority of the executive director on behalf of the Board of Directors. e. To annually appoint the parliamentarian for the Association who shall serve as the speaker pro-tem of the House of Delegates, should it become necessary for the speaker to be absent. f. To call special sessions of the House of Delegates and Board of Directors as provided in Chapters IV and V of these Bylaws. g. To appoint, with approval of the Board of Directors, the members of all committees and such others as may be necessary to the work of the Association except as otherwise provided in these Bylaws. h. To submit an annual report to the House of Delegates at the first session concerning his/her activities during the year and presenting such matters as should be brought to their attention, or may require their action. i. To conduct annually a presidents-presidents-elect conference for component presidents and presidents-elect. j. To perform such other duties as may be provided in the TDA Bylaws. Nominations are to be mailed to TDA Secretary-Treasurer Dr Ron Collins, Texas Dental Association, 1946 S IH-35 Ste 400, Austin, TX 78704; or e-mailed to TDA Interim Executive Director Dr Michael L. Stuart, mstuartdds@sbcglobal.net. (Ref. TDA Bylaws, Chapter VI â&#x20AC;&#x201C; Sections 30 and 90A,B)

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

Duties of the speaker of the house are found in the Bylaws and include the following: a. To serve as an ex-officio member of the Board of Directors without vote. b. To serve as an ex-officio member of the Executive Committee without vote. c. To preside at all meetings of the House of Delegates. d. To determine the order of business for all meetings, subject to the approval of the House of Delegates, in accordance with Section 140B of this Chapter. e. To appoint tellers to assist him/her in determining the result of any action taken by vote. f. To appoint members of reference committees in consultation with the president, president-elect and the immediate past-president by the first Board of Directors meeting of the calendar year. g. To notify the divisional officers and the Committee on Credentials, Rules and Order, prior to the annual session, the number of delegates and alternates necessary to constitute a quorum. h. To meet with the divisional officers prior to the meeting of the divisional caucuses at the annual session to review the Rules For Caucus Procedures, Nominations, and Elections. i. To appoint a parliamentarian pro tem,

should it become necessary for the parliamentarian to be absent during a session of the House of Delegates. j. When the need shall arise, appoint special committees to perform duties not otherwise assigned by these Bylaws, to serve until adjournment sine die of the session at which they were appointed. k. In the event that the divisional nominee for a particular office be declared ineligible, that the Speaker of the House of Delegates shall direct the divisional caucus to reconvene to select a new nominee. l. The installation of officers shall be held during the closing meeting of the House of Delegates at such time as determined by the Speaker and conducted by the retiring president or past-president. The term of new officers begins at the adjournment of the House of Delegates. m. The secretary of this Association shall serve as the secretary of the House of Delegates. In absence of the secretary, the speaker shall appoint a secretary of the House of Delegates pro-tem. Nominations are to be mailed to TDA Secretary-Treasurer Dr Ron Collins, Texas Dental Association, 1946 S IH-35 Ste 400, Austin, Texas 78704; or e-mailed to TDA Interim Executive Director Dr Michael L. Stuart, mstuartdds@sbcglobal.net. (Ref. TDA Bylaws, Chapter IV – Sections 100, 110A, 150C, 150D, Chapter V – Sections 10, 70Aa, and the TDA House Manual).

Official Call for Secretary-Treasurer Nominations Nominations for the elective office of TDA secretary-treasurer may be submitted to Dr Ron Collins, TDA secretary-treasurer. Only an active, life, or retired member in good standing of this Association shall be eligible. A curriculum vitae (CV) must accompany a letter of intent and the nominee will also have to sign a conflict of interest statement. If a CV is not submitted, the nominee must present their qualifications verbally before the House of Delegates. Nominations are in order at any time until the close of nominations at the beginning of the next to the last meeting of the House of Delegates; however, we request that nominations be made as early as possible so that membership eligibility can be verified. Duties of the secretary-treasurer are found in the Bylaws and include the following: a. Examine the income and expenses of this Association and report at each meeting of the Board of Directors. b. Serve as recording officer and custodian of the records of the House of Delegates and the Board of Directors. c. Ensure that the minutes of the House of Delegates and the Board of Directors be maintained. d. Serve as secretary to the Executive Committee, without the right to vote. e. Serve as secretary to the House of Delegates. f. Serve as chair of the Budget Committee. g. Serve as chair of the Assets Oversight Committee. h. Serve as the secretary of the American Dental Association Fifteenth Trustee District Delegation. i. Perform such other duties as shall be specified by the Board of Directors and these Bylaws. Nominations are to be mailed to TDA Secretary-Treasurer Dr Ron Collins, Texas Dental Association, 1946 S IH-35 Ste 400, Austin, Texas 78704; or e-mailed to TDA Interim Executive Director Dr Michael L. Stuart, mstuartdds@sbcglobal.net. (Ref. TDA Bylaws, Chapter IV – Sections 70A-B, 110B; Chapter V – Sections 10, 70Aa, 80B; Chapter VI – Section 90G; Chapter VIII – Section 80)

Official Call for Editor Nominations Nominations for the elective office of TDA editor may be submitted to Dr. Ron Collins, TDA secretary-treasurer. Only an active, life, or retired member in good standing of this Association shall be eligible. A curriculum vitae (CV) must accompany a letter of intent and the nominee will also have to sign a conflict of interest statement. If a CV is not submitted, the nominee must present their qualifications verbally before the House of Delegates. Nominations are in order at any time until the close of nominations at the beginning of the next to the last meeting of the House of Delegates; however, we request that nominations be made as early as possible so that membership eligibility can be verified. Duties of the editor are found in the Bylaws and include the following: a. To be editor-in-chief of all journals and publications of the Association and exercise full editorial control over such publications, subject only to policies established by the House of Delegates, Board of Directors and these Bylaws and provided such content is not in conflict with or contrary to the TDA’s established policies, legislative agenda, or advocacy efforts. b. To control the selection of scientific material published in the Journal. The editor may appoint associate editors, with the concurrence of the Board of Directors, to gather and/or review material for publication. Such associate editors shall serve as long as the editor deems necessary; but never longer than the term of the Editor. c. To attend all open meetings of the Board of Directors and the House of Delegates of this Association, and the annual session of the American Dental Association. d. To hold no other elective office in this Association or the American Dental Association while serving as editor, except the editor may be elected as delegate or alternate delegate to the ADA House of Delegates from his/her respective division. Nominations are to be mailed to TDA SecretaryTreasurer Dr Ron Collins, Texas Dental Association, 1946 S IH-35 Ste 400, Austin, Texas 78704; or e-mailed to TDA Interim Executive Director Dr Michael L. Stuart, mstuartdds@ sbcglobal.net. (Ref. TDA Bylaws, Chapter VI – Section 90I)

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

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

EDUCATIONAL REPORT

A Student Operated, Faculty Mentored Dental Clinic Service Experience at the University of Texas Health Science Center at San Antonio for the Underserved Refugee Community: An Interprofessional Approach Moshtagh R. Farokhi DDS, MPH Birgit Junfin Glass DDS, MS Kevin M. Gureckis, DMD

Background In the last several years, a large number of refugees have settled in San Antonio and many are without adequate access to health care (1). Due to limited resources and stress, most of the refugee population suffers from acute and chronic diseases, which often reduce their potential for success in their new host country. Their lack of health knowledge and health care needs is a major detriment for successful integration as productive members of their new society. Therefore, the need for proper health education as well as comprehensive health care and creation of a stable comprehensive medical home is essential for their future success and independence.

Farokhi

Glass

Gureckis

Dr Farokhi, clinical assistant professor, Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas. Dr Glass, professor and associate dean for academic affairs, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas. Dr Gureckis, associate professor, Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio Dental School, San Antonio, Texas. Corresponding author: Dr Moshtagh R. Farokhi, Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229, Mail code: 7914; Telephone: 210-567-4589; E-mail: farokhi@uthscsa.edu. Acknowledgements: This project would not have been possible without generous midigrant funding through the Baptist Health Foundation of San Antonio and mini-grants from the Center of Medical Ethics and Humanities at the UTHSCSA. The grants paid for the clinic’s supplies, translational services, student/faculty poster preparation and professional development. This manuscript has been peer reviewed.

Abstract Background: As the number of refugees settling in San Antonio increases, so will their health care needs. Due to limited resources and stress, they suffer from acute and chronic diseases, reducing their potential for success in their new host country. The need for proper health education coupled with a stable holistic health care facility is essential for their future success. Objectives: In 2009, nursing students began serving the San Antonio refugee population. By 2011, dental and medical students joined to create the student-run San Antonio Refugee Health Clinic (SARHC). SARHC serves the refugees by providing free health care/ education while connecting them to San Antonio’s primary health care system. Methods: Select dental, medical, and nursing students under the mentorship of their faculty operate the SARHC clinic. The students work in collaborative teams where select members of the refugee community and bilingual students provide translational assistance. The nursing students take vital signs and medical students perform physical exams after gathering a history of present illness. Dental students provide oral health/ nutritional education and screenings inclusive of head and neck examination and oral cancer risk assessment. Results: Thirty-two dental, 83 medical, and 118 nursing students rotated through the clinic last year, serving patients with the most common chief complaints of dental, musculoskeletal, dermatological, and gastrointestinal nature. The most common dental findings for this population have been dental caries, periodontal disease, and other dental diseases requiring urgent care. Sub-programs such as the student interpreter program, ladies’ health education, and the Refugee Accompaniment Health Partnership have resulted from the SARHC initiative to meet the refugees’ needs. Currently under development is a future collaboration with local San Antonio clinics such as the San Antonio Christian Dental Clinic to serve as their dental home. Conclusion: The use of this interprofessional model has resulted in holistic and accessible health care for the refugees in San Antonio. Patients receive complimentary comprehensive care while students benefit from development of cultural competence reinforcement of humanitarian values. It is difficult to conclude which group is the biggest beneficiary of attending SARHC. As the dental students reflected, “We started attending the clinic as a service learning project. We then became their advocates, treated them at our dental school, and became knowledgeable about our community’s dental clinics while offering tailored referrals.” Key words: interprofessional education, community service learning, Texas refugee population Tex Dent J 2014;131(1): 27-33.

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

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In the fall of 2009, nursing students at the University of Texas Health Science Center at San Antonio (UTHSCSA), began working with this refugee population as part of a community service-learning project with the help of Catholic Charities, which provides a range of social services to facilitate the refugees’ integration into San Antonio. UTHSCSA dental and medical students began collaborating with the nursing school to address this situation, resulting in the creation of the interprofessional student-run San Antonio Refugee Health Clinic. The clinic is held twice a month, is run by students, with mentorship and oversight given by UTHSCSA dental, medical and nursing faculty. The goals of the clinic are to provide free health care and health education, connect this population with primary care, and assist in attaining and maintaining health insurance. Keeping with a philosophy of service to humanity, in April 2011, the oral health clinic became operational for San Antonio’s refugee population. This service project aimed to raise oral health awareness for the newly arriving refugees to San Antonio while providing mentorship for the dental students. The project started as a collaborative effort between Dr Moshtagh R. Farokhi and UTHSCSA Center for Medical Humanities & Ethics (CMHE) at the annual Community Service Learning Conference. The CMHE, a crucial partner advancing this mission, has awarded mini-grants in order to facilitate the project’s supply purchases. With support from

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

collaborative community partners such as Catholic Charities, St. Francis Episcopal Church, First Baptist Church of San Antonio, and Family Service Association of San Antonio, the San Antonio refugee oral health empowerment project was initiated. The second most crucial component of this effort was the establishment of a campus-wide interprofessional (IPE) collaboration that now includes CMHE, UTHSCSA School of Medicine, UTHSCSA School of Nursing, and UTHSCSA Office of the Dental Dean. Subsequently, upon consultations with Dr Birgit Junfin Glass, Dr Kevin M. Gureckis and Mr. William Hendricson through the UTHSCSA Curriculum Committee, was the development and approval of 2 IPE educational modules offered to participating students as the prerequisite to this clinical activity. These modules introduce and orient dental students to this IPE collaborative. This academic-community partnership has maximized students’ educational experiences while improving the health outcomes of this underserved population. With sustainable partnerships between key community organizations and this academic institution, dental students now actively engage in this unique service opportunity in an interprofessional manner. This oral health clinic, called San Antonio Refugee Health Clinic (SARHC), is the first point of contact for many of the newly arrived refugees in San Antonio.

Methods In 2011, the SARHC opened its doors at the St. Francis Episcopal church

building in San Antonio, where the refugees gathered for other supportive services. In 2012, as the clinic’s needs and demands grew, it moved to a University Health System clinic near the UTHSCSA dental school. The clinic now operates 2 evenings per month. Student selection is on a volunteer basis and at a personal level of interest in service to the community. “The vision for this oral health clinic is to provide dental students with an opportunity to practice their diagnostic skills, promote oral health, and increase access to oral health care for these refugee patients. We are very privileged to work side by side with the medical and nursing faculties in providing a holistic health service approach while serving people from all corners of the globe,” said Dr Farokhi. Clinic Logistics: The nursing students provide health screenings and flu shot clinics. They manage the clinic schedule and patient transportation needs. Medical students perform physical exams after gathering a history of present illness, and provide mental health screening. They are in charge of the data management and electronic health records of the clinic. Dental students address chief dental complaints/concerns, and provide dental screenings. They provide a complete head and neck examination, raise awareness of access to dental care by providing culturally competent and individually tailored oral health education sessions that include dietary advice and tobacco cessation. They are in charge of providing educational sessions for the clinic (Figure 1).

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reflective, mentor-led community service opportunity. Additionally, the refugee patients have benefited significantly from oral health services administered in a culturally sensitive manner. Moreover, the refugee patients receive urgent care treatment referrals for introduction into the San Antonio oral health care system.

Discussion

Figure 1.

Outcomes: To date, the majority of patients attending the clinic have been Nepali, Burmese, Iraqi, Iranian, Congolese, Burundi, and Thai refuges. The most common dental findings for this population have been dental caries, periodontal disease, and other dental diseases requiring urgent care. Thirty-two dental, 83 medical, and 118 nursing students have rotated through the clinic. The faculty-led dental team has increased access to oral health care by providing culturally competent and individually focused oral health and nutrition education, as well as tobacco cessation counseling.

Outcomes of this project have focused on the education of the refugee participants on access to oral health care by providing nutritional counseling as it relates to oral health, oral cancer screenings, and complete head and neck exams as a component of an overall oral health screening. Sub-programs such as the student interpreter program, ladies’ health education, and the Refugee Accompaniment Health Partnership, have resulted from the SARHC initiative to meet the refugees’ needs. Since its inception, students have gained skills and depth from this

Systematic reviews of IPE have shown some evidence that “IPE fosters positive interaction among different professions and variable evidence that it improves attitudes towards other professionals (2).” This oral health clinic is a successful example of an opportunity to serve a global population of refugees in a local setting. A desired outcome resulting from this project is for student participants to identify and address global oral health concerns by serving their communities and ultimately, the world. Since this model is in the early stage of development, faculty seek ways of improving the level of service and efficiency of patient care while upgrading the student training. It is a “work in progress,” where students are constantly in search of ways to improve the clinic’s operation protocol. These experiences have been a very positive outcome for dental students. Here is a snap-shot of what some of the students attending this clinic have expressed:

feel so honored to have been part of such wonderful project. The refugee clinic has provided education, screenings, and oral health counseling to many refugees who are in Texas Dental Journal l www.tda.org l January 2014

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The Clinic in Action

need of dental care. Being the leader of this project gave me the opportunity to not only strengthen my clinical skills and interact with my classmates but also to learn about other cultures and backgrounds. Even though communication was challenging due to the diversity of languages spoken and having to rely on translators, it was very special to see how a smile would bring us all closer. I am very thankful for this experience and I am glad our dental school gives students the opportunity to give back to the community by participating in projects like this. I look forward to continue participating in community projects such as this one. (Dr L. Willhite, Dental Group Leader, Dental Class of 2012).

dental clinics instead of expecting them to find their own way. (Dr N. Dinh, Dental Class of 2012).

he refugee clinic opened my eyes to a whole new world with people from different cultures who came to America with visions to prosper in America. The refugee clinic is a wonderful approach in providing an outreach to the refugees who have no direction regarding their dental needs. Educating, screening, performing “show and tells” on oral hygiene instructions, directing them to specific available dental clinics, and the ability to have translators overcome language barriers have greatly enriched me as a provider. It opened my eyes to the fact that we need to put our efforts and energy to serve our community and direct the refugees to local

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

articipating in this project helped me appreciate the cohesiveness of our students and faculty, their willingness to reach out and help each refugee receive attention to his or her oral health. (Dr M. A. Khan, Dental Class of 2012).

am very proud of our team members for their energy and commitment to make this project a success, and I am appreciative of the individuals and families in San Antonio’s refugee community for sharing with us a piece of their culture as we impart to them our knowledge of oral health and dentistry. (Dr R. Tran, Dental Group Leader, Dental Class of 2012).

enjoyed seeing how receptive patients were to oral health counseling and hope to have made a difference in their views of their own oral health. What I enjoyed most about participating in the refugee clinic was promoting oral health awareness. (Dr Z. Pearose, Dental Class of 2012).

eing a student leader at the refugee clinic meant giving back to the community what I have to offer, and it engaged me to think beyond myself and forced me to become a more adaptable, versatile, and culturally sensitive clinician. (Dr T. Samuel, Dental Group Leader, Dental Class of 2013).

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olunteering at the refugee clinic provided me with a great opportunity to serve the community and leave a positive impact on the refugee population in San Antonio. (Dr M. Imam, Dental Class of 2013).

t is our responsibility to be advocates for refugees. They are in the unfortunate position of having had their world turned upside down. Making their transition easier in even the smallest way is greatly appreciated by them and immensely rewarding for us. (Dr A. Khan, Dental Class of 2013).

he refugee cinic has allowed me to help and learn from people from cultures so different than ours. These unique experiences have broadened my horizons as a health care provider and have cemented my dedication to a lifetime of community service. (Ms Z. Alsalman, Dental Group Leader, Dental Class of 2014).

hen working with the refugee population, you realize several things inhibit most of them from seeking care: 1) language barriers, 2) transportation, 3) time, 4) finances. I kept thinking of these things as huge roadblocks for dental students until I shadowed several medical students treating the same population. During one session, the medical students were treating a boy who had a

wrist fracture. The child was not in much pain and his wrist had healed since his injury, but the supervising physician was still concerned and wanted followup care for this patient. The child had not had a follow up treatment since his initial injury and could not afford to do so. An X-ray was necessary to rule out a secondary fracture to a joint in the wrist. Unlike the dental clinic, the medical clinic did not have access to an existing active list of sliding scale providers for referral. There was seemingly no way for this child to get the low cost X-ray he direly needed. The medical team has the ability to prescribe and dispense medications, provide counseling, and do standard exams but there are very few places to refer uninsured, non-CareLink enrolled patients to for further treatment. Luckily, the boy was able to get an X-ray through a professional connection from the clinic. The medical students that I worked with were trying to develop a network of physicians to refer to in the future. I then realized that although there are many obstacles standing in the way of patients getting dental care we are very fortunate to have an adequate list of dental clinic referrals that we had developed in previous years and where our patients can get their needs met at lower costs. (Ms M. Umrani, Dental Class of 2014).

REPORT

efore starting as a leader in the student-run free clinic, the San Antonio Refugee Clinic, I had no idea how large the refugee community was in San Antonio. I also had no idea that I could directly impact a large portion of this community by volunteering at the clinic. In the first few volunteer experiences at the San Antonio Refugee Clinic, I encountered a multitude of people from many countries speaking many languages that I had never heard of before. This experience drew my attention, and when the opportunity came to become a leader in helping ensure the clinic was as beneficial as possible for our clientele, I took it. I thoroughly enjoy seeing patients at the clinic, interacting with them and their family, and building memorable relationships with them. Being a leader at the San Antonio Refugee Clinic has more benefits than I ever imagined, and I will always appreciate the time I have spent and will spend as a leader there. Most importantly, the collaborative interactions with the dental, medical, and physician assistant students have taught me much more than communication skills between the professions. Being able to be in a clinic where I can walk around and actually see what goes into each of the respective schoolsâ&#x20AC;&#x2122; profession, and the protocol is enlightening. It also helps me as a nursing student to build the confidence to speak to others in the different schools and be able to speak to them in a professional, friendly

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manner. The refugee community in San Antonio needs to see this interaction; they need to see friendly faces in the midst of the chaos going on in their lives, and I am immensely proud that I am a part of the San Antonio Refugee Clinic, and can see how this clinic is helping familiesâ&#x20AC;&#x2122; lives every clinic we have. (Ms K. D. Warrior, nursing student leader, Nursing Class of 2014).

he refugee clinic helps me interact with other cultures and provide them with a better understanding of oral health. (Ms. L. Malpica, CDA, and foreign trained dentist).

orking at the clinic was a great experience because it was the only time during my medical school experience where I was able to work with nursing and dental students. I feel that every health professional school has a unique way of teaching their students to be the best health care providers. By working directly with dental students I was able to learn how to become more efficient and more focused when it came to meeting the needs of the refugee community. By working with nursing students, I was able to learn how to provide care that is more compassionate and how to do office procedures such as using a glucometer and reading a urinalysis. The interprofessional environment at SARHC has taught me how to work as a team and has helped me appreciate the various

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

ways that we can all contribute to helping meet the health care needs of an underserved population. In the future, I will be able to use my experiences in my own practice. (Ms A. Haring, medical student leader, Medical Class of 2014).

s a medical student leader at SARHC, I have gained insights about a multitude of aspects of the health care field. The rigorous academics of health professional schools can be stressful and can desensitize students to the plight of their patients. Volunteering at the SARHC keeps us in touch with why we entered the medical field in the first place: to help people. Furthermore, the volunteers become more cognizant of diversity of their patients and their workplace as well. The SARHC is unique in that it is a partnership between the medical, dental, and nursing students to provide quality health care for patients. From a medical studentâ&#x20AC;&#x2122;s perspective, we become more aware of the critical roles that nurses and dentists play in a patientâ&#x20AC;&#x2122;s health. The interactions between the different health care students provide an understanding of the dynamics of interdisciplinary working relationships and makes students more empathetic to the views of their colleagues from other disciplines. These interactions also help build trust among the different health care professionals, as we all get a better understanding of

the rigorous training they all go through. (Mr R. Zuhour, medical student leader, Medical Class of 2015).

he international refugee clinic has opened my eyes to the oral health care needs of a group of people I was not aware existed in our community. Working with them has been enlightening and very gratifying. It has strengthened my resolve to pursue dentistry as a career and to someday be able to give the best care possible to the community as a whole. (Mr E. Vela, Dental Class of 2017). In support of all these compassionate comments is the nursing faculty attending SARHC, Ms Roseann Vivanco, who was instrumental in the start-up vision for the clinic, said,

have really discovered that medical, dental, and nursing students are very much alike. At first, they are unsure of themselves, uncomfortable with their first patient contact and uncomfortable with doing their first presentation to an attending. This clinic has provided a great opportunity for these students to interface with one another. Our goal as faculty is to model and to teach that patient care is collaboration as opposed to the more traditional hierarchal system of the past. It is so exciting to see senior nursing students teaching first year medical students skills that they know. The dental students seem to embrace this collaborative

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Being a student leader at the refugee clinic meant giving back to the community what I have to offer, and it engaged me to think beyond myself and forced me to become a more adaptable, versatile, and culturally sensitive clinician.

model, and I applaud the dental school for teaching this concept. The students are experiencing the challenges with very diverse cultures that are facing many barriers to accessing and receiving health care. This will help them consider these issues in addition to their diagnostic and treatment plans. We have developed a team approach to our teaching, patient care, and most recently, joint research and academic projects. We have developed community partnerships together. I feel we are truly making an impact in our community. The students have subsequently presented their clinical and oral health patient care improvements at the 2013 International Society of Student-Run Free Clinics Conference, and 2012 and 2013 UTHSCSA Annual Dental Science Symposium and Annual Community Service Learning (CSL) Conferences. In 2013, the dental school project was 1 of 4 Outstanding CSL Projects presented at the Annual Community Service Learning Conference. The Hispanic Dental Association, Women Faculty Association, and the UTHSCSA Student Government Association have recognized and awarded these dental student leaders for their dedication to

”

this clinic. Since the academic year of 2012, dental student participants have earned the UTHSCSA “Distinction in Dental Education” certification upon graduation as a component of their commitment to this clinic.

Conclusion Carrick Institute for Learning and Teaching in Australia defines IPE education as “occasions when 2 or more professions learn with, from, and about each other to improve collaboration and the quality of care (3).” This IPE collaborative project has surpassed faculty expectations of bridging the gap between theory and practice. It has produced true fellowship, scholarship opportunities for faculty and student involvement while highlighting awareness of the importance of service to the community. The clinic’s next approach is to develop an electronic database in order to add quantitative outcome analyses to the existing qualitative approach. What dental students want is the desire for the younger refugee members to become oral health advocates for their families and future refugees to come. The future of these refugees does depend on what we provide for them today as best said by Mahatma Gandhi’s quote, “The future depends on what you do today” (4).

REPORT

References 1. Texas Department of State Health Services, Refugee Health Screening Program, News and Announcements (online, sited July 2013); Available from URL: https://www.dshs.state.tx.us/ idcu/health/refugee_health/ statistics. 2. Thistlethwaite J, Interprofessional education: a review of context, learning and the research agenda, Medical Education, Volume 46, Issue 1, pages 58–70, January 2012. 3. Barr H, Interprofessional education: Today, yesterday and tomorrow. London: Learning and Teaching support Network: Centre for Health Sciences and Practice, 2002. 4. Online, sited July 2013; Available from URL: http://www. goodreads.com/quotes/16418the-future-depends-on-what-youdo-today. Acknowledgement

We acknowledge the participation and tremendous support of St. Francis Episcopal Church and UTHCSA Center for Medical Humanities & Ethics. This project was possible with a generous CSL midigrant funding through the support of the Baptist Health Foundation of San Antonio and mini-grants from the CMHE. We truly appreciate the numerous hours of service provided by the medical and nursing student leaders, in particular Ms Anna Haring MSIV, Mr Raed Zuhour, MSII, and Ms Emily Watters, MSIII. Special thanks to Dr Andrew Muck, the director of UTHSCSA, Global Health Emergency Medicine, for his role as the medical director of SARHC. We would like to thank Mr William Hendrickson, UTHSCSA assistant dean for education and faculty development, for facilitating the clinic’s prerequisite didactic educational module. Texas Dental Journal l www.tda.org l January 2014

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

CASE REPORT

Texas Dental Establishments in 2011 H. Barry Waldman, DDS, MPH, PhD Allen Wong, DDS, EdD

Background Between 2000 and 2011, the population of the State of Texas increased from 20.8 million to 25.6 million residents (23% increase). During the same period, the number of professionally active dentists increased from 9,873 to 11,751 individuals (19% increase) and the number dental establishments increased from 6,965 to 9,041 locations (30% increase) (1-5). In 2000, there were 2,993 residents for the “average” dental establishment 1 in the State of Texas. The “average”2 establishment had gross receipts (in 1997) of $420,100, and had 5.8 employees, 3 (6.1 employees, nationally) each of whom was paid an annual average salary of $33,900 (compared to $32,600, nationally) (1). 1 “An establishment is a single physical location where services are performed. It is not necessarily identical to a company or enterprise, which may consist of one or more establishments. In addition, one or more practitioners may be present in an establishment. (Throughout this manuscript, except where specified)…the term “dental establishment” refers to those facilities (with employees) subject to federal income taxes. Government agency programs (hospitals and health departments) are not included” (5).

No dental establishment is “average,” and wide variations exist between dental facilities in different areas of the State of Texas (and the nation). Nevertheless, keeping track of the evolving and contrasting configurations of “average” dental practices (where possible, at local levels) does provide necessary information to monitor developments for the general profession and individual practitioners.

Employees may include dentists, dental hygienists, dental assistants, office staff, etc.

Waldman

Wong

H. Barry Waldman, DDS, MPH, PhD, distinguished teaching professor, Department of General Dentistry, School of Dental Medicine, Stony Brook University, NY. Allen Wong, DDS, EdD, clinical professor, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, CA. Correspondence: H. Barry Waldman, DDS, MPH, PhD; E-mail: h.waldman@stonybrook.edu; Fax: 631-632-3001; Phone: 631-632-8883. There is no requirement at our institutions for such work to be approved by ethical committees. There was no specific financial support for this paper, nor has it been presented before any particular group.

Abstract Objective To document the evolving Texas dental establishment pattern between 2000 and 2011 as the profession seeks to provide care to the burgeoning population of the state. Methods Published results from the Department of Commerce, Census Bureau’s annual study of business patterns for each county and state (with specific information on numbers of establishments, employees, salaries and resident population) were used to permit a review of these developments. Results Between 2000 and 2011 there was an almost 30% increase in dental establishments, predominantly in establishments with greater number of employees. Statewide the average number of employees per establishment increased to 6.6, ranging by county from 3.6 to 9.9 employees; with an average state salary of $47,000, ranging by county from an average of $35,000 to $59,000. Conclusion The burgeoning state population growth is being matched by a greater proportional increase in dental establishments, but a smaller percentage increase in the number of dentists. The need to monitor dental establishment activities beyond the confines of one’s own facility is emphasized.

Key words: Dental practices,

employees, auxiliaries, salaries, population Tex Dent J 2014;131(1): 35-41.

This manuscript has been peer reviewed.

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

CASE

REPORT

The intent of the following manuscript is to update a previous paper in the Texas Dental Journal and document the evolving Texas dental establishment pattern between 2000 and 2011 as the profession seeks to provide care to the burgeoning population of the state (6).

Method Published results from the Department of Commerce, Census Bureau’s annual study of business patterns for each county and state (with specific information on numbers of establishments, employees, salaries and resident population) were used to review these developments. The data arrangements in the report permit direct transfer to this manuscript without further calculations. Limited calculations were required in a few instances. For example, in developing for the “average” numbers of employees per dental establishment in Texas (6.6 employees) for 2011, it was developed by dividing the total number of dental employees (60,074 individuals) by the number of dental establishments (9,041). The “average” salary ($47,100) was developed by dividing the total annual state payroll figure for dental establishment employees ($2,830,240,000) by the total number of employees (60,074 individuals) (1). Note: In order to protect the privacy of individual establishments, data are not published for businesses in counties with limited numbers of particular types of establishments. (The Census Bureau does not define

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

further the term “limited number.”) As a result Census Bureau dental establishment data for 2011 are not made available for 74 counties. In addition, in an effort to simplify this manuscript, of the 254 counties in the state, only 61 counties with more than 10 dental establishments are reviewed. However, the 8,439 recorded dental facilities in these 61 counties represent 93.3% of the total number of 9,041 establishments throughout the state. In addition, the Texas Department of State Health Services reported, “…as of December 2011, 115 counties had some type of dental Health Professional Shortage Areas designation, and there were 46 counties with no dentists; most of these were in the Panhandle, West Texas, and South Texas” (6).

Results National practice configurations Between 2000 and 2011 there was an increase of almost 15,000 dental facilities. Despite this overall 12% increase in dental establishments, there was an increase of only 1,155 (2.2%) of smaller dental facilities (with less than 5 employees). By 2011, the smaller establishments represented 40.6% of all establishments; a decrease from 44.7 percent in 2000. In 2011, dental establishments with between 5 and 19 employees represented more than half (56%) of all facilities (Table 1).

State of Texas dental establishment configurations Between 2000 and 2011 there was an increase of 2,076 establishments (29.8 percent increase) of dental establishments in Texas. The increasing predominance of larger dental establishments generally followed the national trend. Despite a numerical increase in the number of smaller facilities, smaller facility representation decreased steadily from 48 percent to 40 percent. (Table 1). Statewide, in 2011 there were 2,862 residents per dental establishment, ranging from 1,637 in Gregg and 1,785 in Rockwell counties to 6,921 in Liberty and 8,549 in Webb counties (Table 2). However, overall resident numbers may mask the dramatic demographic differences and suppress the potential difference in dental usage patterns, eg 44% of the state population are non-Hispanic whites, 11% non-Hispanic blacks, 39% Hispanic and 5% other population categories (7). State of Texas dental establishment average number of employees In 2011, there were 60,074 employees in dental establishments in Texas (almost 855,000 nationally). The number of employees in “average” dental establishments in Texas counties (for which data are available) ranged from lows of 3.6 employees in Van Zandt County, 4.3 employees in Kerr County, and 4.7 employees in Harrison County, to more than 8 or

CASE

REPORT

Table 1. Distribution of dental employees by size of dental establishments, Texas, and the United States: 2000, 2011 (1,5).

Texas Number of Establishments

Number of employees 2000 1-4 5-9 10-19

2011

3,331

3,605

2,689

3,587

843

20-49 50+ Total Employees per estab.

United States Number of Establishments

Percent change 2000-2011 2000 8.2%

2011

Percent change 2000-2011

52,036

53,191

33.3

44,815

52,711

17.6

1,554

84.3

17,007

21,646

27.2

276

224.7

2,464

3,392

37.6

11.7

172

239

38.9

6,965

9,041

116,494

131,179

12.6

5.8

6.6

29.8

6.1

2.2%

6.5

Percent Distribution of Establishments 1-4

47.8%

39.8%

44.7%

40.6%

5-9

38.6

39.6

38.4

40.1

10-19

12.1

17.1

14.6

16.5

20-49 50+

1.2

3.0

2.1

2.5

0.2

0.1

Total

100%

Note: Differences in percentage totals are due to rounding.

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

CASE

REPORT

Table 2. Texas dental establishments with payrolls, number, salary of employees, population per establishment state and county (week of March 12, 2000, March 12, 2011): 2000, 2011 (1,7). State & Number of County establishments 2000 2011

—————————————————2011——————————————— Average Average Number of employees number salary per Pop/ 1-4 5-9 10-19 20+ employees employee* Est.

Statewide

6,965

9,041

3,605

3,587

Anderson Angelina Bastrop Bell Bexar Bowie Brazoria Burnet

14 23 9 68 541 36 58 11

13 23 14 82 656 38 104 15

5 6 6 33 258 15 39 7

Cameron Collin Comal Cooke Dallas Denton Ector Ellis

49 235 31 12 946 132 34 28

63 487 46 13 1,278 240 32 34

134 10 113 86 43 65 7 1,379 14 26 14 87 12 17 115

El Paso Erath Fort Bend Galveston Grayson Gregg Hardin Harris Harrison Hays Henderson Hidalgo Hood Hunt Jefferson

295

6.6

$47.1

2,862

6 13 4 29 254 18 44 4

2 4 4 17 3 122 22 4 1 19 2 4

6.3 7.3 5.7 6.7 6.7 5.7 6.4 6.3

39.4 40.6 59.2 48.7 46.5 50.5 44.8 49.5

4,468 3,723 6,032 3,617 2,531 2,453 3,151 3,273

19 209 15 4 580 92 8 8

23 195 20 3 448 103 14 16

18 3 72 11 9 2 6 201 49 35 10 7 3 7 3

9.8 6.1 7.2 7.6 6.3 9.0 8.8 8.5

49.4 48.7 50.6 39.6 46.6 50.5 62.3 48.0

6,755 1,815 2,742 3,175 1,925 3,074 4,190 4,855

151 12 225 90 45 76 11 1,747

55 3 100 28 21 34 6 786

54 6 81 48 15 29 4 655

32 10 3 35 9 14 8 1 11 2 1 254 52

7.7 7.1 6.1 6.6 6.1 5.9 5.6 6.1

51.7 46.2 48.4 44.5 48.3 59.4 35.4 46.6

5,182 3,349 2,687 3,319 2,710 1,637 4,769 2,390

14 37 17 148 16 20 108

6 13 5 49 5 10 38

7 17 8 41 9 8 51

1 6 1 4 48 10 1 1 2 14 5

4.7 6.1 6.3 8.3 7.4 5.2 6.7

40.6 44.0 35.0 40.8 46.3 45.9 48.6

4,871 4,640 4,630 5,523 3,509 4,562 2,244

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

2,554

CASE

State & Number of County establishments 2000 2011

REPORT

Johnson Kaufman Kendell Kerr Liberty Lubbock McLennan Midland Montgomery

30 13 11 26 13 89 60 50 92

40 23 17 24 12 91 75 47 160

16 6 6 14 3 33 29 13 44

19 2 8 7 4 36 33 26 75

5 5 3 3 5 16 6 9 4 7 1 38 3

5.1 6.7 5.2 4.3 8.0 7.7 6.8 7.1 7.3

45.1 43.4 52.3 40.4 44.4 47.0 49.0 47.1 50.4

4,363 4,867 2,159 1,965 6,921 2,963 3,149 2,794 3,116

Nacogdoches Nueces Orange Parker Potter Randall Rockwell Rusk

20 119 22 20 45 39 21 13

17 120 18 32 40 44 51 11

6 46 9 12 13 11 15 5

8 46 5 13 14 18 27 4

3 22 6 4 7 10 3 13 2 8 1 2

6.5 8.0 6.6 7.2 7.8 8.2 6.6 5.4

37.6 43.6 41.9 48.7 54.2 48.1 44.9 37.5

3,812 2,707 4,709 3,805 3,192 2,766 1,785 4,571

San Patricio Smith Tarrant Taylor Titus Tom Green Travis

8 75 550 54 12 36 352

13 89 803 54 11 38 457

3 27 282 22 3 16 187

7 38 339 16 5 13 177

3 18 6 158 24 15 1 3 8 1 77 16

6.5 7.8 6.8 6.7 7.4 6.9 6.7

42.0 52.8 47.1 47.0 50.7 48.8 49.2

5,468 2,369 2,331 2,438 2,210 2,727 2,212

Van Zandt Victoria Walker Webb Wharton Wichita Williamson

11 33 20 20 na 46 75

11 31 15 30 14 46 167

7 8 3 5 7 16 52

4 15 8 7 4 1 12 10 3 2 5 21 8 1 77 32 6

3.6 7.4 8.0 9.9 6.5 6.5 7.6

46.7 46.2 37.5 46.2 35.0 47.7 51.2

4,926 2,889 4,340 8,549 3,143 2,766 2,744

* Salaries in thousands Note: 1. Data exclude government employees and self-employed persons. 2. I ncludes only those counties with reported data for dental establishments.

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

CASE

REPORT

more employees in 7 counties, and 9 or more employees in Cameron, Denton, and Webb counties. (Table 2). State of Texas dental employee average salary Statewide, in 2011 the average employee salary was $47,100 (nationally, $45,200). Average employee salaries ranged from $35,000 in dental establishments in Wharton and Henderson counties to $59,000 in Bastrop and Gregg counties. (Table 2). Dental establishments with no employees in Texas In 2010, there were an additional 4,425 Texas dental establishments that were subject to federal income tax but with no employees. These non-employee dental facilities represented one-third (33.7%) of the total number of dental establishments in the state in 2010 (ie, 8,697 dental establishments with employees and 4,425 establishments with no employees). The Texas dental facilities with no employees in 2010 reported a total of $275.8 million in gross receipts ($62,300 per establishment). Nationally, in 2010 there were 40,897 (dental establishments with no employees that reported more than $3.1 billion in gross receipts (an annual average of $75,800 in gross receipts per establishment). During 2010, in Texas, most nonemployee dental establishments were individual proprietorships with average annual gross receipts

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

of $65,200. A smaller number of corporate arrangement facilities had average annual gross receipts of $190,900; partnerships had average annual gross receipts of $54,000. 8 Given the increasing numbers of employees per dental establishment with employees, how does one account for the great number of facilities with no employees? It was suggested in a previous review that nonemployee establishment arrangements might include: • •

•

Recent graduates just starting practices. Older practitioners who are decreasing their time commitment to practice as they prepare for eventual retirement. An establishment that serves as a secondary activity for an individual who works full-time for someone else. Contracts with independent outside firms for auxiliary personnel. Use of family members as auxiliary personnel and where no reports are made for Social Security and income tax purposes. Establishments of independent corporate arrangements for inhouse auxiliaries. Any number of other alternative practice arrangements (including practice in private homes and other locations) that do not file required quarterly payroll tax reports (9).

Conclusion The burgeoning state population growth in the past decade is being matched and surpassed by the proportional increase in dental establishments, but not by the proportional increase in the number of dentists. No doubt, the first reaction to this information would be for a practitioner to compare his/ her personal dental establishment numbers to those of the average establishment in their or surrounding counties (remembering, that there is no such thing as an “average” dental establishment. The particular requisites of a community determine business events in their establishment, including employment patterns, employee salaries and the like. Unfortunately, information from various government agencies and professional association reports does not provide practitioner income data for particular locales. Nevertheless, continuing monitoring of generalized dental establishment business activities beyond the confines of a single facility is essential as the profession in the State of Texas is challenged by dramatic population increases, as well as transforming demographic variations. References 1. U.S. Census Bureau. County Business Patterns: 2000. Texas, United States. Web site: http:// www.census.gov/prod/www/abs/ cbptotal.htm accessed January 2003.

CASE

2. U.S. Census Bureau. Statistical Abstract of the United States: 2001. Washington, DC: Government Printing Office, 2001. 3. American Dental Association. Distribution of Dentists in the United States: Historical Report, 1993-2001. Chicago: ADA Survey Center, 2003. 4. Health Professions Resource Center. Texas Department of State Health S. Supply trends among licensed health professions: Texas, 1980-2011. January 2012. Web site: http://www.google.com/ url?sa=t&rct=j&q=number%20 of%20dentists%20in%20texas%20 2011&source=web&cd=1&cad=r

REPORT

ja&sqi=2&ved=0CC0QFjAA&url= http%3A%2F%2Fwww.dshs.state. tx.us%2Fchs%2Fhprc%2FSupplyTrends-Among-Licensed-HealthProfessions%2C-Texas%2C1980-2011%2F&ei=u6yDUdla1 KngA5zzgJgJ&usg=AFQjCNFf1J Xul_AXLObYh1yUFtWLkDV9ZA Accessed May 3, 2013. 5. U.S. Census Bureau. County Business Patterns: 2011. Web site: http://censtats.census.gov/cgibin/cbpnaic/cbpdetl.pl Accessed May 2, 2013. 6. Waldman HB. Texas dental establishments in 2000. Texas Dental Journal, 2003;120:338341.

7. Texas Department of State Health Services Population 2011. Web site: http://www.dshs.state. tx.us/chs/popdat/ST2011.shtm Accessed May 3, 2013. 8. Census Bureau. 2010 Nonemployee statistics. Web site: http://censtats.census.gov/ cgi-bin/nonemployer/nondetl.pl Accessed May 5, 2013. 9. Waldman HB, Cannella D. Mapping dental establishments in New York State just before the recession. New York Dental Journal 2010;76:22-25.

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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 I NG

the

2014

T E E M

to beautiful

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HENRY B. GONZALEZ CONVENTION CENTER | 200 E MARKET ST, SAN ANTONIO TX

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WELCOME Steven Spivack, DDS

* 2014 TEXAS Meeting Chair

Welcome to the 2014 Meeting! On behalf of the Annual Session Council and TDA Staff, welcome to the 2014 TEXAS Meeting, 144th Annual Session of the Texas Dental Association. Let me extend a personal invitation to all dental professionals to attend our annual conference, one of the premier dental meetings in the United States. As you peruse the preliminary program, you will find information about education, exhibits, social events, travel, and much more.

THE TEXAS MEETING May 1-4, 2014 Henry B. Gonzalez Convention Center 200 E Market, San Antonio, TX 78205

COUNCIL ON ANNUAL SESSION Dr Steven Spivack, Chair Dr Anne Lyon Dr Lisa Masters Dr Summer Ketron

The TEXAS Meeting continues to build on the highly acclaimed educational

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courses to choose from, including 50 workshops, there is something for everyone. The educational program offers a wide range of course topics from anesthesia, esthetics, hygiene, implants, nutrition, practice management, and more, presented

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by leading experts in our fields. Your challenge will be choosing which courses to

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Be sure to allow plenty of time to visit the recently redesigned exhibit hall where more than 350 exhibitors will help you discover the latest innovations in dental techniques, products, and technology. Representatives from TDA Smiles Foundation, DENPAC Silent Auction, and the TDA Perks Program Partners will also be in the hall. To end the day on Thursday and Friday, enjoy our exhibit hall “happy hour” where you can meet your staff and friends. Exciting social events add to your TEXAS Meeting experience. Look for the schedule of major events and concurrent meetings scheduled during the conference. TDA Perks presents “The TEXAS Party” on Thursday evening, which will be bigger and better than ever, offering complimentary food and beverages along with an exciting DJ and interactive events for you and your guest. San Antonio has much to offer from excellent hotels to exciting tourist spots. All hotels in the TDA block are located in the downtown area, and many are along the beautiful River Walk. We are excited to partner with the Grand Hyatt San Antonio as the headquarters hotel for 2014. Housing is now open. Visit texasmeeting.com to book your hotel accommodations.

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CONTENTS

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Miscellaneous

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the TEXAS Meeting 2014 Dr Linda Altenhoff

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Governance For details regarding the TDA House of Delegates, Reference Committee meetings, and Caucus meetings, please visit the TEXAS Meeting website at texasmeeting.com or refer to the 2014 TEXAS Meeting registration brochure.

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SM TR IO R E G I S T R A T I O N IRNEFGOIR AA TT IO NN MEETING SCHEDULE NOTE DAYS: T HURSDAY THROUGH S ATURDAY , M AY 1-3

Registration / Ticket Sales

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Exhibit Information Henry B. Gonzalez Convention Center

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ATTENDEE REGISTRATION Wednesday, 3:00 PM – 6:00 PM Thursday, 7:00 AM – 5:00 PM Friday, 7:00 AM – 5:00 PM Saturday, 7:30 AM – 1:30 PM

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Wednesday, 3:00 PM – 6:00 PM Thursday, 7:00 AM – 5:00 PM Friday, 7:00 AM – 5:00 PM Saturday, 7:30 AM – 12:00 PM

Special Events

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T W O WAY S — to — REGISTER!

B EST

1. texasmeeting.com Receive immediate email confirmation

•

Register at texasmeeting.com to secure an immediate spot in your preferred lecture, workshop, or special event based on availability. A confirmation e-mail will be sent upon completion of your registration.

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Registration forms that are mailed to the TDA Registration will be processed in the order received and do not guarantee an immediate spot in lectures, workshops, or special events. Fax and phone reservations cannot be accepted.

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There is no pre-registration fee for TDA Member dentists and staff.

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There is an additional $30 registration fee for all attendees who register on-site.

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Dentists may not register under any category except dentist, and nonmembers must be identified. Membership dues must be paid for the current year to register as a member.

•

Special $150 registration fee for nonmembers: Nonmembers can save $950 on registration by taking advantage of a special $150 one-time registration fee. If you are already a member, tell your nonmember colleagues about this 1-time offer. If you have already taken advantage of this special rate in 2008 - 2013, your fee will be the standard nonmember rate. If you had a membership in 2013, you are not eligible for the nonmember $150 1-time registration fee for 2014.

go od

2. By mail TDA Registration c/o QMS Services, Inc. 6840 Meadowridge Ct Alpharetta, GA 30005

•

Corrections/changes can be processed after original registration has been submitted. If an attendee registers online, changes/corrections can be made at texasmeeting.com. Send corrections/changes: mail to QMS, 6840 Meadowridge Ct, Alpharetta, GA 30005, or fax to 678-341-3099, or email to tda@prereg.net.

•

Registration, course ticket, and event ticket cancellations must be received in writing by April 3, 2014. Cancellations received by this date will receive a full refund, less a 20 percent (20%) administrative fee per cancellation. Please mail your cancellation request to: Texas Dental Association, 1946 S. IH 35 Ste 400, Austin, TX 78704, or fax to 512-692-4168. No refunds will be given for cancellations postmarked after April 3, 2014.

•

Electronic Handouts – Attendees should download and print their handouts prior to the meeting. Course handouts will be available online at texasmeeting.com 1 month prior to the meeting. You will need your badge number to access handouts. Attendees who wish to print their handouts on-site can take advantage of a special 20% discount provided by the UPS Business Center, located on the street level of the Convention Center. Printed handouts are not available at the meeting.

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

R E G I S T R AT I O N the TEXAS Meeting 2014 T E X A S D E N TA L A S S O C I AT IO N 1 4 4 T H A N N UA L M E E T I N G Registration form for all registrants. Please type or print and photocopy as needed. This form is also available on the TEXAS Meeting website: texasmeeting.com •

There will be a charge of $30 per person for on-site registration.

•

Your 2014 TDA dues must be paid before you (or your staff) can register at the member rate.

Registration Categories & Fees

•

Receipt of Registration Badges: Those persons submitting forms postmarked by APRIL 3 will receive badges by mail.

•

Those persons submitting forms postmarked after APRIL 3, but before APRIL 14, may pick up badges on-site.

•

Please do not mail forms after APRIL 14. Any registration forms not mailed prior to APRIL 14 must be brought directly to on-site registration.

•

NO REFUNDS WILL BE GIVEN FOR CANCELLATIONS POSTMARKED AFTER APRIL 3.

•

Questions? Call QMS (678) 341-3039. Email: tda@prereg.net.

•

If registration form is processed electronically, DO NOT MAIL – May result in duplicate registration.

•

Return completed form to: TDA Registration c/o QMS Services, Inc. 6840 Meadowridge Ct Alpharetta, GA 30005

A. TDA Member . . . . . . . . . . . . . . . . . . . . . . . . . . . $0 B. Retired Dentist (ADA/TDA) . . . . . . . . . . . . . . . . $0 C. ADA Member/International Dentist Assn. Member Outside Texas . . . . . . . . . . . . $100 D Non-TDA Member in Texas (one time only) . . . . . . . . . . . . . . . . . . . . . . . . . $150* E. Non-TDA Member Dentist . . . . . . . . . . . . . . .$1100 F. Non-ADA Member Outside Texas . . . . . . . . .$500 G. Active Duty Military or Federal . . . . . . . . . . . . $50 H. Family Member (of member dentist) . . . . . . . . $0 I. Post Graduate Student . . . . . . . . . . . . . . . . . . $25 J. Dental Student/ASDA Member . . . . . . . . . . . . . $0 K. Dental Student Non-member ASDA. . . . . . . . $25 L. Hygienist (of member dentist) . . . . . . . . . . . . . . $0 M. Dental Assistant (of member dentist) . . . . . . . . $0 N. Lab Tech (of member dentist) . . . . . . . . . . . . . . $0 O. Business Assistant (of member dentist) . . . . . . $0 P. Pre-Dental Student . . . . . . . . . . . . . . . . . . . . . . . $0 1. Hygienist (not employed by TDA member) . . . . . . . . . . $50 2. Dental Assistant (not employed by TDA member) . . . . . . . . . . . $50 3. Lab Tech (not employed by TDA member) . . . . . . . . . . . $50 4. Business Assistant (not employed by TDA member) . . . . . . . . . . $50 * Not applicable if registered in category “D” in 2008 through 2013. If you were a member in good standing for the 2013 year, you are not eligible for category D in 2014.

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

LINE

TER ON REGIS

tex

at .com g n i t e asme

R E G I S T R AT I O N F O R M the TEXAS Meeting 2014 The TEXAS Meeting ~ Texas Dental Association 142 nd Annual Meeting R E G I S T R AT IO N F O R M F O R A L L R E G I S T R A N T S Only one form is necessary for each office and it can be photocopied to accommodate additional registrants in your office. Be sure to fill out both pages of this form. Use a ballpoint pen.

1. Dentist/Attendee Name ______________________________________________________ ADA Member Number__________________ Business Address___________________________________________________________ City_____________________

State____________ Zip____________

Business Phone (_____) ____________________

Fax (_____) _________________ Email_______________________________________

2. May we share your email with the 2014 TEXAS Meeting exhibitors? ❒ yes (By checking yes you will receive show specials and other exclusive offers for the meeting.)

3. Year of Graduation (Dentist) _____________

important: to receive prompt confirmation

❒ no

Emergency Contact Name Emergency Contact Phone (

)

Registration Categories & Fees

Please make certain to complete all sections of form. See reverse to register additional attendees, total all fees, and complete payment information section. 4. NAME for Badge

Attendee 1 (list dentist here if attending)

6. Register for COURSES include AM and PM course #s, events, and fees

5. Registration INFORMATION

THURSDAY

FRIDAY

SATURDAY

COURSES/FEES

7. TOTAL $ registration & course fees

REG. CATEGORY # AM #

FEE $

AM #

FEE $

AM #

FEE $

AM FEES $

PM #

FEE $

PM #

FEE $

PM #

FEE $

PM FEES $

REG. FEE $ FIRST LAST

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

COURSES/FEES

Attendee 2 FIRST LAST

COURSES/FEES

REG. CATEGORY # AM #

FEE $

AM #

FEE $

AM #

FEE $

AM FEES $

PM #

FEE $

PM #

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REG. FEE $

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EVENT#

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EVENT#

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EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

If registration form is processed electronically, DO NOT MAIL – May result in duplicate registration. Return to: TDA Registration, c/o QMS Services, Inc., 6840 Meadowridge Ct, Alpharetta, GA 30005

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

R E G I S T R AT I O N F O R M the TEXAS Meeting 2014 4. NAME for Badge

6. Register for COURSES include AM and PM course #s, events, and fees

5. Registration INFORMATION

THURSDAY

FRIDAY

COURSES/FEES

Attendee 3

7. TOTAL $ registration & course fees

SATURDAY

COURSES/FEES

REG. CATEGORY # AM #

FEE $

AM #

FEE $

AM #

FEE $

AM FEES $

PM #

FEE $

PM #

FEE $

PM #

FEE $

PM FEES $

REG. FEE $

FIRST LAST

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

CCOURSES/

Attendee 4

COURSES/FEES

REG. CATEGORY # AM #

FEE $

AM #

FEE $

AM #

FEE $

AM FEES $

PM #

FEE $

PM #

FEE $

PM #

FEE $

PM FEES $

REG. FEE $

FIRST LAST

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EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

COURSES/FEES

Attendee 5

COURSES/FEES

REG. CATEGORY # AM #

FEE $

AM #

FEE $

AM #

FEE $

AM FEES $

PM #

FEE $

PM #

FEE $

PM #

FEE $

PM FEES $

REG. FEE $

FIRST LAST

REGISTRATION FEE TOTAL

COURSES & EVENTS FEE TOTAL

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

HANDLING

$5 =

GRAND TOTAL

Include Includeall allregistration registrationand andcourse coursefees fees

METHOD OF PAYMENT (all payments in U.S. funds) ❒ CHECK: All checks should be made payable to the Texas Dental Association. Please check calculations for correct total. ❒ CREDIT CARD: _____ VISA _____ Mastercard _____ AMEX _____ Discover Credit card number ____________________________________________ Exp. ____________ Billing ZIP code ____________ Name as it appears on card _____________________________________Signature____________________________________ If registration form is processed electronically, DO NOT MAIL – May result in duplicate registration. Return to: TDA Registration, c/o QMS Services, Inc., 6840 Meadowridge Ct, Alpharetta, GA 30005

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

C O N T I N U I N G E D U C AT I O N

CPR CLASSES TDA IS AN ADA CERP RECOGNIZED PROVIDER ADA CERP速 is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP速 does not approve nor endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. TDA designates each educational course for a specified number of CE units. TDA designates which courses meet the Texas State Board of Dental Examiners requirements for continuing education units with a Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp.

Course Disclaimers The Texas Dental Association (TDA) makes every effort to present high caliber speakers in their respective areas of expertise. Seminars of the TDA are offered as information only and not as financial, accounting, legal, or other professional advice. Attendees must consult with their own professional advisors for such advice. The ideas and comments expressed during the seminars are not necessarily endorsed by or those of the TDA.

Cardiopulmonary Resuscitation classes featuring lecture and hands-on practice will be offered by Rod Jensen & Associates of San Antonio, TX. CPR classes are TSBDE approved. All classes are scheduled at the Marriott Riverwalk Hotel at the following times: $50 / Limited Attendance Thursday, May 1 1:30 PM - 5:00 PM Course Code #T84 Friday, May 2 8:00 AM - 11:30 AM Course Code #F95 1:30 PM - 5:00 PM Course Code #F96 Saturday, May 3 8:00 AM - 11:30 AM Course Code #S30

All participants are cautioned about the risks of using new techniques, especially in courses that have not provided them with supervised clinical experience. All programs may be subject to change due to circumstances beyond our control.

Quick Guide for Receiving C.E. Credit Write down course codes During each course, the host will give attendees a four-digit completion code that is required for you to receive CE Credit for the course. Go to the C.E. Center or texasmeeting.com after attending class At the CE Center, you will enter your completion code, verify your CE units, and take a brief survey for each course attended. For your convenience, you can wait until you have attended all of your courses to verify, or visit texasmeeting.com up to 90 days after the meeting to record your CE units. Reminder: You must have your badge number and 4-digit completion code to receive credit.

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

SPEAKERS

at a

GLANCE

T H U R S D AY CODE CODE CODECOURSE TITLE

COURSE COURSETITLE TITLE

CLINICIAN CLINICIAN CLINICIANTIME

TIME TIME

FEE

FEE FEE

T01

Hands-On Infection Control Workshop

Andrews/Molinari

8:30 AM - 11:30 AM

$95

T02

Hands-On Infection Control Workshop

Andrews/Molinari

1:30 PM - 4:30 PM (repeat)

$95

T03

Starting a Practice vs. Buying a Practice

Angeloni/Maurer/Page

8:00 AM - 11:00 AM

$25

T04

Invisalign Fundamentals

Ataii

8:00 AM - 12:00 PM

$1,695

T05

Invisalign Intermediate

Ataii

1:00 PM - 5:00 PM

$199

T06

Endodontic Extravaganza

Beach

8:00 AM - 12:00 PM

$45

T07

Cutting Edge Endodontics: Advances in Instrumentation and Irrigation

Beach

2:00 PM - 5:00 PM

$245

T08

Letâ&#x20AC;&#x2122;s Get to the Heart of Ultrasonic Scaling

Burns

8:30 AM - 11:30 AM

$145

T09

5 Keys to Working With Ease: Ergonomic Tips for Hand Instrumentation

Burns

1:30 PM - 4:30 PM

$145

T10

Dispelling the "CSI Effect" Myth, an Overview of Contemporary Forensic Dentistry

Cardoza

8:30 AM - 11:30 AM

$65

T11

Dentistry's Role in a Bioterrorism/Mass Disaster Scenario

Cardoza

1:30 PM - 4:30 PM

$65

T12

Planning, Designing, & Constructing Dental Facilities

Carter, J. / Carter, P.

8:30 AM - 11:30 AM

$25

T13

Examples of Office Transformations

Carter, J. / Carter, P.

1:30 PM - 4:30 PM

$25

T14

The Christensen Bottom Line - 2014

Christensen

8:00 AM - 4:00 PM

T15

Bambi vs. Godzilla - Dealing With Difficult People: Keys to Empowered Communication

Christopher

1:30 PM - 4:30 PM

$35

T16

Lasers in Dentistry, Come and See the Light

Coluzzi

8:30 AM - 11:30 AM

$65

T17

Lasers in Dentistry, Come and See the Light Workshop

Coluzzi

1:30 PM - 4:30 PM

$245

T18

Obtaining Accurate Alginate Impression Taking and Model Pouring Techniques

Conroy

8:30 AM - 11:30 AM

$145

T19

Obtaining Accurate Alginate Impression Taking and Model Pouring Techniques

Conroy

1:30 PM - 4:30 PM (repeat)

$145

T20

America's Sweet Tooth Obsession and Its Impact on Oral and Systemic Health

Davis

8:30 AM - 11:30 AM

$65

T21

The Role of Antioxidants in Management of Dental Diseases

Davis

1:30 PM - 4:30 PM

$65

T22

Infection Prevention in the Dental Office

Digman

8:30 AM - 11:30 AM

$25

T23

The Less than Perfect Dentist Patient Relationship

Digman

1:30 PM - 4:30 PM

$25

T24

Recent CDT Code Changes: What Every Dentist Should Know About Dental Coding

Dougan

8:30 AM - 11:30 AM

$45

T25

Secrets of Smoother Claims Processing: Top 10 Reasons Your Claims are Denied

Dougan

1:30 PM - 4:30 PM

$45

T26

Oral Surgery for the General Practitioner: Learn It Today - Do It Tomorrow

Edwab

8:30 AM - 4:30 PM

T27

Digital Impression/Conebeam 3D Workshop

Feuerstein

1:00 PM - 5:00 PM

$145

T28

Fusion

Fling/Behrendt

8:00 AM - 4:00 PM

$75

T29

The Wow Factor. . . A Potpourri of Tips and Tricks Every Auxiliary Should Know

Gambardella/Wu

8:30 AM - 11:30 AM

$45

T30

Perfect Alginates. . . Perfect Models and More

Gambardella

1:30 PM - 4:30 PM

$45

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

$155 D / $75 S

$125 D / $75 S

SPEAKERS

GLANCE

at a

T H U R S D AY CODE

CODE

COURSE COURSE TITLE

TITLE

CLINICIAN CLINICIAN

SPEAKERS

T31

Composites Can Be Beautiful

T32

Advancements in Indirect Adhesive Dentistry "The Game has Changed"

T33

Glazer

TIME TIME

at a

FEEFEE

GLANCE

1:30 PM - 4:30 PM

$245

Graham

8:30 AM - 11:30 AM

$65

Mastering the Latest Updates in Direct Adhesion Dentistry "It's All About the Little Things"

Graham

1:30 PM - 4:30 PM

$65

T34

Local Anesthesia Pharmacology: Numb and Numb-er

Hawkins

8:30 AM - 11:30 AM

$55

T35

Local Anesthesia Technique: Numb and Numb-er

Hawkins

1:30 PM - 4:30 PM

$55

T36

Take this Job and Love It

Hyman

8:30 AM - 11:30 AM

$35

T37

Beauties and Beasts. . .The Greatest Hits and Misses of Cosmetic Dentistry

Hyman

1:30 PM - 4:30 PM

$45

T38

Blood, Spit, and Fears. . . A Painless OSHA Update

Kay

8:30 AM - 11:30 AM

$25

T39

Blood, Spit, and Fears. . . A Painless OSHA Update

Kay

1:30 PM - 4:30 PM (repeat)

$25

T40

Successfully Integrating Digital Dental Photography in the Practice

Kleive

8:30 AM - 11:30 AM

$45

T41

The Fun Way to Proficiency with Digital Dental Photography

Kleive

1:30 PM - 4:30 PM

$175

T42

Soft Tissue Grafting for the General Practitioner

Kohner

8:00 AM - 4:30 PM

$450

T43

Be Prepared for the Unexpected: The Prevention, Recognition, and Treatment of Medical Emergencies in the Dental Office

Lewis

1:30 PM - 4:30 PM

$25

T44

Implant Solutions for the Edentulous Patient Workshop

Little

1:30 PM - 4:30 PM

$245

T45

LONESTAR LECTURES Successful Financing Options for Your Practice

Angeloni/Maurer/Page

12:30 PM - 1:30 PM

The Business of Dentistry

Dollens/Downs

1:45 PM - 2:45 PM

The 360 Degree Practice - The 5 Disciplines to Keep the Ball Rolling

Castagna/Moore

3:00 PM - 5:00 PM

T46

Spanish in the Dental Office

Mackey

1:30 PM - 4:30 PM

$35

T47

Removable Prosthodontics: A Foundation for Implant Retained Over Dentures

Massad

8:30 AM - 11:30 AM

$65

T48

Diagnosis and Treatment of the Complete Immediate and Implant Retained Prosthetic Patient

Massad

1:30 PM - 4:30 PM

$65

T49

Internet Marketing for Dental Practices

McCollough

8:30 AM - 11:30 AM

$25

T50

Internet Marketing for Dental Practices

McCollough

1:30 PM - 4:30 PM (repeat)

$25

T51

Etched Ceramic Restorations

McLaren

8:30 AM - 11:30 AM

$65

T52

Etched Ceramic Restoration A to Z Workshop

McLaren

1:30 PM - 4:30 PM

$245

T53

What Good is a Dead Patient with Perfect Teeth?

Meinz

8:30 AM - 11:30 AM

$45

T54

32 Teeth and 100 Birthdays

Meinz

1:30 PM - 4:30 PM

$45

T55

Magic Shadows: Incorporating Digital X-Ray Imaging into Your Practice for Fun and Profit

Miles

8:30 AM - 11:30 AM

$35

T56

The Agony and the Ecstasy of Cone Beam Imaging

Miles

1:30 PM - 4:30 PM

$45

T57

Put a Sparkle in Your Patient’s Smile and in Your Practice with Tooth Whitening

Morgan/Presley

8:30 AM - 11:30 AM

$105

T58

Put a Sparkle in Your Patient’s Smile and in Your Practice with Tooth Whitening

Morgan/Presley

1:30 PM - 4:30 PM (repeat)

$105

$25

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

SPEAKERS

at a

GLANCE

T HU R S DAY CODE CODECOURSE TITLE CODE

COURSE COURSETITLE TITLE

CLINICIAN CLINICIANTIME CLINICIAN

TIME TIME

FEE

T59

Are Your Pictures Perfect? How to Produce Quality Radiographs

Parks/Williamson

8:30 AM - 11:30 AM

$145

T60

Are Your Pictures Perfect? How to Produce Quality Radiographs

Parks/Williamson

1:30 PM - 4:30 PM (repeat)

$145

T61

Guide to Common Oral Pathology Lesions, Tumors, and Oral Cancer: Diagnosis and Treatment Update

Robledo

1:30 PM - 4:30 PM

$25

T62

Identifying and Treating Medical and Sedation Emergencies in Children

Rothman

8:30 AM - 11:30 AM

$45

T63

Secrets of Pediatric Dentistry: What You Weren't Taught in Dental School

Rothman

1:30 PM - 4:30 PM

$45

T64

The Key Essentials of a Successful Practice

Savage

8:30 AM - 11:30 AM

$45

T65

Communication and Teamwork

Savage

1:30 PM - 4:30 PM

$45

T66

Occlusion Based Restorative Dentistry

Shirley

8:30 AM - 11:30 AM

$25

T67

Occlusion Made Simple

Shirley

1:30 PM - 4:30 PM

$25

T68

Socket Grafting and Regenerating Bone Using Allograft

Silverstein

8:00 AM - 11:00 AM

$245

T69

Suturing for the Dental Practitioner and Surgical Staff

Silverstein

1:30 PM - 5:00 PM

$245

T70

Commonly Prescribed Medications and Managing the Oral Side Effects of Medication Use

Spolarich

8:30 AM - 11:30 AM

$45

T71

Autoimmune Diseases: Systemic and Oral Health, and Pharmacologic Treatment Considerations

Spolarich

1:30 PM - 4:30 PM

$45

T72

Temporary Crowns and Bridges Made Easy

Stewart

8:30 AM - 11:30 AM

$125

T73

Temporary Crowns and Bridges Made Easy

Stewart

1:30 PM - 4:30 PM (repeat)

$125

T74

Ridge Preservation for Esthetic, Prosthetic, and Implant Placement

Suzuki

8:30 AM - 11:30 AM

$245

T75

Crown Lengthening and Flap Surgery Workshop

Suzuki

1:30 PM - 4:30 PM

$245

T76

Drugs I Have Known and Loved for Diseases That We Catch

Svirsky

8:30 AM - 11:30 AM

$55

T77

Breakfast at Tiffany's: The Jewels and Gems of Oral Pathology

Svirsky

1:30 PM - 4:30 PM

$55

T78

Stress Busting with Humor: I'm Out of My Mind, So Feel Free to Leave a Message!

Vrla

8:30 AM - 11:30 AM

$35

T79

Enhancing Staff Resilience in the "Constant White Water" Challenges

Vrla

1:30 PM - 4:30 PM

$35

T80

Back to Basics in Sedation of the Child - Part I

Wilson

1:30 PM - 4:30 PM

T81

The "All-On-4" Concept: What's All the Hype?

8:30 AM - 11:30 AM

$55

T82

Dental Implants: Improving Esthetics More Predictably

1:30 PM - 4:30 PM

$55

6:30 AM - 8:00 AM

$35

1:30 PM - 5:00 PM

$50

2:00 PM - 4:00 PM

$20

$90 D / $45 S

THURSDAY, MAY 1 - SPECIAL EVENTS T83

Pierre Fauchard Academy Breakfast

T84

CPR Class

T85

Alliance of the TDA Cooking Class

MEAL

The TEXAS Meeting CafĂŠ Meal Voucher

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

Rod Jensen & Associates

$10

FEE FEE

SPEAKERS

at a

GLANCE F R I D AY

CODE

COURSECOURSE TITLE

TITLE

CLINICIAN CLINICIAN

SPEAKERS

F01

The Impact of Fraud, Waste, and Abuse on Medicaid/ CHIP Dental in Texas

Altenhoff

F02

Hands-On Infection Control Workshop

F03

TIME TIME

at a

FEEFEE

GLANCE

9:00 AM - 12:00 PM

$25

Andrews/Molinari

8:30 AM - 11:30 AM (repeat)

$95

Hands-On Infection Control Workshop

Andrews/Molinari

1:30 PM - 4:30 PM (repeat)

$95

F04

Build Your Practice With Paid For Dentistry

Banta

8:30 AM - 11:30 AM

$45

F05

Insurance Strategies that Work

Banta

1:30 PM - 4:30 PM

$45

F06

Cutting Edge Endodontics: Advances in Instrumentation and Irrigation

Beach

8:00 AM - 11:00 AM (repeat)

$245

F07

The Top 10 Secrets to Make Your Practice Thrive

Behrendt

8:00 AM - 11:00 AM

$45

F08

Clinical Anatomy of the Head

Blanton

8:30 AM - 11:30 AM

$55

F09

Anatomy of Dental Local Anesthesia

Blanton

1:30 PM - 4:30 PM

$55

F10

Adhesive and Restorative Materials Update Part I

Brucia

8:30 AM - 11:30 AM

$65

F11

Adhesive and Restorative Materials Update Part II

Brucia

1:30 PM - 4:30 PM

$65

F12

"Keep Your Edge" A Strategy for Sharpening Periodontal Scalers and Curettes

Burns

8:00 AM - 11:00 AM

$145

F13

The Role of Forensic Dentistry in the Identification of Individuals Workshop

Cardoza

8:30 AM - 11:30 AM

$145

F14

Posture, Pain, and Productivity in Dentistry

Caruso

8:30 AM - 11:30 AM

$35

F15

Fitness and Function in Dentistry - Exercising Your Options

Caruso

1:30 PM - 4:30 PM

$35

F16

You Can Have the "I Can't Wait to Get Out of Bed" Practice! The How-To's to Get Dentists and Team Moving in the Right Direction

Castagna/Moore

8:30 AM - 11:30 AM

$85

F17

Up and Moving Right: The How-To's of Sustained Profitability

Castagna/Moore

1:30 PM - 4:30 PM

$45

F18

Why Are Women So Strange and Men So Weird?

Christopher

8:30 AM - 11:30 AM

$35

F19

Are We Having Fun Yet? Humor and Peak Performance in the Dental Practice

Christopher

1:30 PM - 4:30 PM

$35

F20

Lasers in Dentistry, Come and See the Light Workshop

Coluzzi

8:30 AM - 11:30 AM (repeat)

$245

F21

Provisionals Made Easy

Conroy

8:00 AM - 11:00 AM

$165

F22

Your Patient’s Medication Profile and Its Dental Implications

Crossley

8:30 AM - 11:30 AM

$65

F23

What’s the Real Deal About Street and Prescription Drug Abuse

Crossley

1:30 PM - 4:30 PM

$65

F24

Creating the Ultimate Doctor-Patient Hygiene Exam

Davis

8:00 AM - 11:00 AM

$65

F25

An Introduction to Obstructive Sleep Apnea

Demko

8:30 AM - 11:30 AM

$65

F26

Advanced Topics for Dentists Treating Patients With Obstructive Sleep Apnea

Demko

1:30 PM - 4:30 PM

$65

F27

A New Approach to Crown Preparation

DiTolla

8:30 AM - 11:30 AM

$65

F28

A New Approach to Crown Preparation Workshop

DiTolla

1:30 PM - 4:30 PM

$245

F29

Immediate Full Arch Implant Rehabilitation - Prosthetic, Surgical, and Laboratory Principles

Edgin/Monarres

8:30 AM - 4:30 PM

$125 D/ $75 S

F30

Hands On Oral Surgery Workshop For the General Practitioner Edwab

F31

Treating Medical Emergencies in the Dental Office: HandsOn Workshop for the Entire Team

F32

Technology In Your Practice - What is Here and What is Coming

F33

Technology Products for Your Practice - Up Close and Personal Feuerstein

8:30 AM - 11:30 AM

$245

Edwab

1:30 PM - 4:30 PM

$165

Feuerstein

8:00 AM - 11:00 AM

$55

2:00 PM - 5:00 PM

$55

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

SPEAKERS

at a

GLANCE

F R I D AY CODE CODE COURSE TITLE CODE

COURSE COURSE TITLE TITLE

CLINICIAN CLINICIANTIME CLINICIAN

TIME TIME

FEE

F34

Real World Endo Presents New Horizons in Endodontics

Fleury

8:30 AM - 11:30 AM

$45

F35

Real World Endo Presents New Horizons in Endodontics Workshop

Fleury

1:30 PM - 4:30 PM

$245

F36

Picture This

Fling

8:00 AM - 11:00 AM

$25

F37

The Dental Auxiliary's Recipe for Patient Acceptance

Gambardella/Wu

8:30 AM - 11:30 AM

$55

F38

Assisting in Implant Surgery

Gambardella/Wu

1:30 PM - 4:30 PM

$125

F39

Can Your Dental Team Help to Defend You in a Malpractice Lawsuit?

Gardiner

8:30 AM - 11:30 AM

$25

F40

The Young (and Old) Dentist's Survival Guide to Managing Risk, Dental Malpractice and the Texas State Board

Gardiner

1:30 PM - 4:30 PM

$25

F41

What’s Hot and What’s Getting Hotter

Glazer

8:30 AM - 4:30 PM

$125

F42

Product Updates 2014 . . . The Must Haves? "Be Your Own Evaluator"

Graham

8:30 AM - 11:30 AM

$245

F43

A Sound Restorative/Hygiene Practice: Integrating the Team and Creating the "Value"

Graham

1:30 PM - 4:30 PM

$65

F44

Medical Emergencies in the Dental Office, Medical Emergencies in Life

Hawkins

8:00 AM - 11:00 AM

$25

F45

The Periodontal Co-Therapist: Contemporary Periodontology for the RDH

Hempton

8:30 AM - 11:30 AM

$45

F46

Implant Therapy and the RDH

Hempton

1:30 PM - 4:30 PM

$45

F47

The LANAP/LAPIP Protocols: Redefining the Treatment of Periodontal Disease and Peri-Implantitis

Honigman

1:30 PM - 4:30 PM

$45

F48

Take Home Tips for Dental Assistants

Howell/Troendle

1:30 PM - 4:30 PM

$35

F49

Prevention for the High Risk Caries Patient

Huffines

8:30 AM - 11:30 AM

$45

F50

Root Caries: Proven Techniques for Frustrating Situations

Huffines

1:30 PM - 4:30 PM

$45

F51

The Top 20 Game Changers of 2014

Hyman

8:00 AM - 11:00 AM

$45

F52

The Fun Way to Proficiency with Digital Dental Photography

Kleive

8:30 AM - 11:30 AM (repeat)

$175

F53

Exquisite Temporaries Made Simple

Kleive

1:30 PM - 4:30 PM

$165

F54

Crown Lengthening for the General Practitioner

Kohner

8:00 AM - 4:30 PM

$450

F55

What You Don't Know Can Hurt You - Everyday Consumer Fraud

Lewis

8:30 AM - 11:30 AM

$25

F56

Employee Embezzlement and Fraud: Protection, Detection, Lewis and Prosecution

1:30 PM - 4:30 PM

$55

F57

Implant Dentistry: Enhancing Diagnosis, Case Acceptance, and Restorative Outcomes Using the Latest Technology

Little

8:30 AM - 11:30 AM

$65

F58

Implant Diagnosis and Treatment Planning Workshop

Little

1:30 PM - 4:30 PM

$245

F59

Hygienists and Assistants Make Pediatric Dentistry Fun

Lott

8:30 AM - 11:30 AM

$45

F60

All Things Crown: Stainless Steel Crowns and Cosmetic Restorations for Primary and Permanent Teeth

Lott

1:30 PM - 4:30 PM

$45

F61

Spanish in the Dental Office

Mackey

1:30 PM - 4:30 PM (repeat)

$35

F62

Implant Overdenture Methods Updated to Avoid Problems of the Past Hands-On

Massad

8:00 AM - 12:00 PM

$245

F63

Photo Shade Workshop

McLaren

8:30 AM - 11:30 AM

$175

F64

32 Teeth and 100 Birthdays

Meinz

8:30 AM - 11:30 AM (repeat)

$45

F65

Risky Business: Dental X-rays - Are They Safe? Are They Necessary?

Miles

8:00 AM - 11:00 AM

$35

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

FEE FEE

SPEAKERS

at a

GLANCE F R I D AY

CODE

COURSECOURSE TITLE

TITLE

CLINICIAN CLINICIAN

SPEAKERS

F66

Minor Tooth Movement for General Dentists Using Clear Aligners

Morgan/Presley

F67

Get FIT: Get SMART: Boost Your Dental Brain Power!

F68

TIME TIME

at a

FEE FEE

GLANCE

1:30 PM - 4:30 PM

$45

Odiatu

8:30 AM - 11:30 AM

$25

Your Mouth, Your Body: Inflammation 911

Odiatu

1:30 PM - 4:30 PM

$35

F69

Increase the Value of the Hygiene Appointment

Oldfather

1:30 PM - 4:30 PM

$25

F70

Digital Radiography: Join the Revolution

Parks/Williamson

8:30 AM - 11:30 AM

$145

F71

Panoramic Radiography: Are Your Images Up to Snuff?

Parks/Williamson

1:30 PM - 4:30 PM

$25

F72

A Comprehensive Understanding of Porcelain Veneers

Poss

8:30 AM - 11:30 AM

$65

F73

A Comprehensive Understanding of Porcelain Veneers Workshop Poss

1:30 PM - 4:30 PM

$245

F74

Medicaid & The Children's Health Insurance Program (CHIP) Roberts/Anderson/ Garcia/Walker

2:00 PM - 5:00 PM

$25

F75

Guide to Common Oral Pathology Lesions, Tumors, and Oral Cancer: Diagnosis and Treatment Update

Robledo

1:30 PM - 4:30 PM (repeat)

$25

F76

The 4 P’s of Pediatric Dentristry: Psychology, Pharmacology, Physiology, and Phamily

Rothman

8:30 AM - 11:30 AM

$45

F77

The Joys and Challenges of Clinical and Business Assisting

Savage

8:00 AM - 11:00 AM

$45

F78

Nitrous Oxide Monitoring For Dental Auxiliaries

Semple

8:00 AM - 5:00 PM

$155

F79

Socket Grafting and Regenerating Bone Using Allograft

Silverstein

8:00 AM - 11:00 AM (repeat)

$245

F80

Leadership: The Culture is the Brand

Small

8:00 AM - 11:00 AM

$25

F81

Creative Practice Transition Strategies

Small

2:00 PM - 5:00 PM

$25

F82

Pharmacologic and Dental Treatment Consideration for the Patient with Respiratory Disease

Spolarich

8:00 AM - 11:00 AM

$45

F83

Contemporary Clinical Periodontics and Oral Implantology

Suzuki

8:00 AM -11:00 AM

$45

F84

Come In and Catch It: The Review That Sticks

Svirsky

8:30 AM - 11:30 AM

$55

F85

Back to Basics in Sedation of the Child - Part II

Wilson

8:30 AM - 11:30 AM

F86

Oral Cancer/Precancer and Differential Diagnosis of Common Oral Mucosal Disorders

Wright

8:30 AM - 11:30 AM

$55

F87

Clinical Management of Oral Mucosal Disease for the Practicing Dentist and Dental Hygienist

Wright

1:30 PM - 4:30 PM

$55

F88

Dental Digital Photography for the 2014 Dental Practice

Young

8:30 AM - 11:30 AM

$45

F89

Dental Digital Photography for the 2014 Dental Practice Workshop

Young

1:30 PM - 4:30 PM

$175

F90

Social Media 101

Zamora

8:30 AM - 11:30 AM

$25

F91

Keys to Social Media Marketing Success

Zamora

1:30 PM - 4:30 PM

$25

The Quarry

7:30 AM

$235

$90 D / $45 S

FRIDAY, MAY 2 - SPECIAL EVENTS F92

11th Annual Healthy Smiles Golf Classic

F93

Christian Medical Dental Association Breakfast

7:00 AM - 8:00 AM

$20

F94

International College of Dentists/American College of Dentists Breakfast

7:00 AM - 9:00 AM

$30

F95

CPR Class

Rod Jensen & Associates

8:00 AM - 11:30 AM (repeat)

$50

F96

CPR Class

Rod Jensen & Associates

1:30 PM - 5:00 PM (repeat)

$50

MEAL

The TEXAS Meeting Café Meal Voucher

$10

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

SPEAKERS

at a

GLANCE

S AT U R D AY CODE CODE CODE

COURSE TITLE

COURSE COURSE TITLE TITLE

CLINICIANTIME CLINICIANCLINICIAN

TIME TIME

FEE

S01

Are You Disaster Ready?

Andrews

8:30 AM - 11:30 AM

$25

S02

The Maxillary Sinus: What You Need to Know

Atkins

9:00 AM - 10:30 AM

$25

S03

Playing the Insurance and Accounts Receivable Game. . . Your Way!

Banta

9:00 AM - 12:00 PM

$45

S04

Direct Aesthetic Posterior Restorations; An Adventure in Excellence

Brucia

8:30 AM - 11:30 AM

$225

S05

Treating Back and Neck Pain in Modern Dentistry: Surviving the Rest of Your Career

Caruso

9:00 AM - 12:00 PM

$35

S06

The "New" New Patient Experience: A Team Approach for the Changing Marketplace

Castagna/Moore

8:00 AM - 11:00 AM

$65

S07

Tailoring Pain Medication to Your Patientâ&#x20AC;&#x2122;s Needs

Crossley

8:00 AM - 11:00 AM

$35

S08

Screening and Evaluating Patients for Obstructive Sleep Apnea and Oral Appliance Therapy

Demko

8:30 AM - 11:30 AM

$195

S09

The Modern Restorative Practice

DiTolla

8:30 AM - 11:30 AM

$55

S10

Can Your Dental Team Help to Defend You in a Malpractice Lawsuit?

Gardiner

8:30 AM - 11:30 AM (repeat)

$25

S11

Crown Lengthening Workshop

Hempton

8:00 AM - 12:00 PM

$225

S12

The LANAP/LAPIP Protocols: Redefining the Treatment of Periodontal Disease and Peri-Implantitis

Honigman

8:30 AM - 11:30 AM (repeat)

$35

S13

Dick Cheney: Dental Patient

Huffines

8:30 AM - 11:30 AM

$35

S14

LONESTAR LECTURES

$25

Treatment of Adult Special Needs Patient, Are You Prepared?

Goydan

8:30 AM - 10:30 AM

Market Value Analysis of Your Practice

Dollens/Downs

10:45 AM - 11:45 AM

Avoid Liability: Know Your Drug Interactions

Crossley

12:00 PM - 1:00 PM

S15

Triage Traumatic Dental Injuries: Critical Steps

Lott

8:30 AM - 11:30 AM

$35

S16

Minimal (Level 1) Enteral Sedation, A Review (Anesthesia Permit Renewal Course)

Luce

8:00 AM - 3:00 PM

$195

S17

Foodborne Illness: A Continuing Public Health Challenge

Molinari

8:30 AM - 11:30 AM

$25

S18

Minor Tooth Movement for General Dentists Using Clear Aligners Workshop

Morgan/Presley

8:30 AM - 11:30 AM

$195

S19

EAT THIS - NOT THAT: Tooth Wear, Hypersensitivity and Nutrition

Odiatu

8:30 AM - 11:30 AM

$25

S20

Periodontal Treatment Acceptance Made Easy!

Oldfather

9:00 AM - 12:00 PM

$25

S21

Forensic Dentistry: The Ugly Side Of CSI

Parks

9:00 AM - 12:00 PM

$35

S22

New Indirect Restorative Systems and Materials

Poss

8:30 AM - 11:30 AM

$45

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

FEE FEE

SPEAKERS

at a

GLANCE S AT U R D AY

CODE

COURSE COURSE TITLE

TITLE

CLINICIAN CLINICIAN

SPEAKERS Shirley

S23

Implants in the Esthetic Zone

S24

Leadership: The Culture is the Brand

S25

TIME TIME

at a

FEE FEE

GLANCE

9:00 AM - 12:00 PM

$25

Small

8:00 AM - 11:00 AM (repeat)

$25

Dental Potpourri: Essentials for the Dental Team

Stewart

8:30 AM - 11:30 AM

$105

S26

Stress Busting with Humor: I'm Out of My Mind, So Feel Free to Leave a Message!

Vrla

8:30 AM - 11:30 AM (repeat)

$25

S27

A Comprehensive Overview of Oral Pathology Affecting the Teeth, Bones, and Soft Tissues

Wright

8:30 AM - 11:30 AM

$45

S28

Dental Digital Photography for the 2014 Dental Practice

Young

8:30 AM - 11:30 AM (repeat)

$35

S29

Harnessing Word of Mouth in the Digital Age

Zamora

8:30 AM - 11:30 AM

$25

8:00 AM - 11:30 AM (repeat)

$50

SATURDAY, MAY 3 - SPECIAL EVENTS S30

CPR Class

MEAL

The TEXAS Meeting Café Meal Voucher

Rod Jensen & Associates

$10

the TEXAS

Meeting

Café Course code: MEAL • Fee: $10

For your convenience, you can purchase a meal voucher for $10, which can be used on any day or multiple days if you purchase more than one. The voucher is good for breakfast or lunch (lunch option, chips, and drink) or a-la-carte items up to $10. This voucher can only be used one time for its value, there will be no cash back and no refunds – so please make sure to get your money’s worth. The TEXAS Meeting Café

ABOVE: Dr Steven Spivack, 2014 TEXAS Meeting chair BELOW: Drs Steven Spivack and Anne Lyon, TDA Council on Annual Session members

will be located at the back of the exhibit hall. B R E A K FA S T O P T I O N S

LUNCH OPTIONS

Tacos Pastries Juice & Coffee

BBQ Sandwich Hot Dog • Hamburger Sandwiches & Wraps

This voucher can only be used one-time for its value, there will be no cash back and no refunds – so please make sure to get your money’s worth. You can buy more than one meal voucher per person.

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

SPEAKER

TOPIC

T O P I C C. Mathias Thursday, May 1 Roger

Friday, May 2

Saturday, May 3

Anesthesia

M. Hawkins, AM & PM

P. Blanton, AM & PM

Assistants/Staff

S. Conroy, AM & PM E. Gambardella & G. Wu, AM E. Gambardella, PM D. Stewart, AM & PM

S. Conroy, AM E. Gambardella & G. Wu, AM & PM M. Howell & K. Troendle, PM

D. Stewart, AM

Bleaching/Whitening

J. Morgan & S. Presley, AM & PM

Business/Finance

R. Savage, AM

D. Lewis, AM & PM R. Savage, AM

Computers/Technology

P. Feuerstein, PM

P. Feuerstein, AM & PM

Emergency Medicine

D. Lewis, PM

R. Edwab, PM M. Hawkins, AM

Endodontics

D. Beach, AM & PM

D. Beach, AM A. Fleury, AM & PM

Enteral Sedation

N. Andrews, AM

E. Luce, FD

Ergonomics

T. Caruso, AM & PM

T. Caruso, AM

Esthetics

E. McLaren, AM & PM M. Hyman, PM

M. DiTolla, AM & PM E. McLaren, AM

M. DiTolla, AM

Forensics

A. Cardoza, AM & PM

A. Cardoza, AM

T. Parks, AM

General Audience

B. Christopher, PM M. Mackey, PM

L. Altenhoff, AM B. Christopher, AM & PM M. Mackey, PM J. Roberts, M. Anderson, C. Garcia & B. Walker, PM

Geriatrics

R. Huffines, AM & PM

R. Huffines, AM

Hygiene

S. Burns, AM & PM K. Davis, AM & PM

S. Burns, AM K. Davis, AM L. Graham, PM I. Oldfather, PM

I. Oldfather, AM

Implants — Restorative or Surgical

D. Little, PM J. Massad, AM & PM D. Yu, AM & PM

W. Edgin & A. Monarres, FD J. Massad, AM D. Little, AM & PM

J. Shirley, AM

Infection Control

N. Andrews & J. Molinari, AM & PM L. Kay, AM & PM

N. Andrews & J. Molinari, AM & PM

J. Molinari, AM

Insurance

G. Dougan, AM & PM

L. Banta, AM & PM

L. Banta, AM

Lasers

D. Coluzzi, AM & PM

D. Coluzzi, AM

Lone Star Lectures

T. Angeloni, C. Maurer, & C. Page, PM D. Castagna & V. Moore, PM T. Downs & C. Dollens, PM

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

H. Crossley, PM T. Downs & C. Dollens, AM D. Goydan, AM

SPEAKER TOPIC Materials

Thursday, May 1 G. Christensen, FD

Nitrous

TOPIC

Friday, May 2 Saturday, May 3 the 2014 TEXAS Meeting H. Glazer, FD L. Graham, AM L. Semple, FD

D. Meinz, AM U. Odiatu, AM & PM

U. Odiatu, AM

Nutrition/Health/ Fitness

D. Meinz, AM & PM

Office Design

J. Carter & P. Carter, AM & PM

Oncology/Oral Path/ Oral Med

J. Robledo, PM A. Spolarich, PM J. Svirsky, AM & PM

J. Robledo, PM A. Spolarich, AM J. Svirsky, AM J. Wright, AM & PM

Oral Surgery

R. Edwab, FD L. Silverstein, AM & PM

R. Edwab, AM L. Silverstein, AM

Orthodontics

P. Ataii, AM & PM

J. Morgan & S. Presley, PM

J. Morgan & S. Presley, AM

Pediatrics

D. Rothman, AM & PM

K. Lott, AM & PM D. Rothman, AM S. Wilson, AM

K. Lott, AM

Periodontics/ Perio Surgery

J. Kohner, FD J. Suzuki, AM & PM

T. Hempton, AM & PM A. Honigman, PM J. Kohner, FD J. Suzuki, AM

T. Hempton, AM A. Honigman, AM

Pharmacology

A. Spolarich, AM

H. Crossley, AM & PM

H. Crossley, AM

Photography

M. Kleive, AM & PM

M. Kleive, AM R. Young, AM & PM

R. Young, AM

Practice Management

K. Behrendt & M. Fling, FD M. Hyman, AM

K. Behrendt, AM D. Castagna & V. Moore, AM & PM M. Fling, AM M. Hyman, AM J. Small, AM

D. Castagna & V. Moore, AM J. Small, AM

Practice Transition

T. Angeloni, C. Maurer & C. Page, AM

J. Small, PM

Provisionals

J. Atkins, AM J. Wright, AM

M. Kleive, PM

Radiology

D. Miles, AM & PM T. Parks & G. Williamson, AM & PM

D. Miles, AM T. Parks & G. Williamson, AM & PM

Restorative

L. Graham, AM & PM H. Glazer, PM

J. Brucia, AM & PM S. Poss, AM & PM

J. Brucia, AM S. Poss, AM

Risk Management

M.A. Digman, AM & PM

M. Gardiner, AM & PM

M. Gardiner, AM

Sleep Apnea

B. G. Demko, AM & PM

B. G. Demko, AM

Social Media

L. McCollough, AM & PM

R. Zamora, AM & PM

R. Zamora, AM

Team Building

R. Savage, PM K. Vrla, AM & PM

TMD/Occlusion

J. Shirley, AM & PM

K. Vrla, AM

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

SCHEDULE OF MAJOR EVENTS All sessions at the Henry B. Gonzalez Convention Center unless noted

Wednesday, april 30 9:00 AM – 6:00 PM

Exhibitor Registration

3:00 PM – 6:00 PM

Registration & Ticket Sales

Thursday, May 1 6:30 AM – 8:00 AM 7:00 AM – 5:00 PM 8:00 AM – 10:00 AM 8:00 AM – 5:00 PM 8:30 AM – 5:00 PM 9:00 AM – 7:30 PM 10:00 AM – 6:00 PM 11:00 AM 11:30 AM – 1:30 PM 12:00 PM

Pierre Fauchard Academy Breakfast Registration & Ticket Sales TDA House of Delegates Continuing Education Classes TDAA Program Marriott Riverwalk Alliance of the TDA Program Grand Hyatt San Antonio Exhibit Hall Open – Exhibit Halls C & D Reference Committee “A” Hearing Dedicated time in the Exhibit Hall Reference Committee “E” Hearing

Friday, May 2 7:00 AM – 8:00 AM 7:00 AM – 9:00 AM

7:00 AM – 5:00 PM 7:30 AM – 4:30 PM 7:30 AM – 1:00 PM 8:00 AM – 11:30 AM 8:00 AM – 5:00 PM 8:00 AM – 8:00 PM 8:30 AM – 11:30 AM

8:30 AM – 12:00 PM 10:00 AM – 11:00 AM 10:00 AM – 6:00 PM 11:00 AM – 12:00 PM 11:30 AM – 1:30 PM

Christian Medical Dental Association Breakfast International College of Dentists / American College of Dentists Breakfast Grand Hyatt San Antonio Registration & Ticket Sales Alliance of the TDA Program Grand Hyatt San Antonio The Healthy Smiles Golf Classic The Quarry CPR Certification Class Marriott Riverwalk Continuing Education Classes TDAA Program Marriott Riverwalk Texas Academy of Pediatric Dentistry Educational Program (Speaker Dr. Stephen Wilson) Marriott Riverwalk Peer Review Component Committee Training Marriott Riverwalk DENPAC General Meeting Exhibit Hall Open – Exhibit Halls C & D DENPAC Board Meeting Dedicated time in the Exhibit Hall

1:00 PM 1:30 PM 1:30 PM – 4:30 PM

1:30 PM – 5:00 PM 2:00 PM 2:00 PM – 4:00 PM 4:30 PM – 6:00 PM 6:00 PM – 8:00 PM

1:00 PM – 3:30 PM 1:00 PM – 5:00 PM 1:30 PM – 4:00 PM 1:30 PM – 5:00 PM 2:00 PM – 4:00 PM 2:00 PM – 4:00 PM 2:00 PM – 5:00 PM 4:30 PM – 5:30 PM 4:30 PM – 6:00 PM 5:30 PM 5:30 PM – 7:30 PM 6:00 PM – 7:30 PM 6:00 PM – 8:00 PM 6:00 PM – 8:00 PM

Reference Committee “B” Hearing Reference Committee “C” Hearing Texas Academy of Pediatric Dentistry Educational Program (Speaker Dr. Stephen Wilson) Marriott Riverwalk CPR Certification Marriott Riverwalk Reference Committee “D” Hearing Alliance of the TDA Cooking Class Grand Hyatt San Antonio Exhibit Hall Happy Hour TDA Perks Presents: The TEXAS Party

Ethics & Judicial Affairs Component Committee Training Marriott Riverwalk UTHSC San Antonio Dental School Alumni Board Meeting Texas Academy of Pediatric Dentistry General Business Meeting Marriott Riverwalk CPR Certification Class Marriott Riverwalk DDR Trust ADA/TDA Leadership Candidates Forum The Alumni Foundation – Houston School of Dentistry Board Meeting The New Dentist Party (Dentists who graduated in 2003 or later) Exhibit Hall Happy Hour Divisional Caucus Meetings UTHSC San Antonio Dental School Reception UTSD Alumni Association Houston Reception Grand Hyatt San Antonio Baylor College of Dentistry Alumni Association Reception Grand Hyatt San Antonio Texas Academy of Pediatric Dentistry Reception Marriott Riverwalk

Saturday, May 3 7:00 AM – 8:15 AM 7:00 AM – 8:30 AM 7:00 AM – 8:30 AM 7:00 AM – 8:30 AM 7:30 AM – 1:30 PM

Greater Houston Dental Society Caucus Breakfast Dallas County Dental Society Caucus Breakfast TDA Past Presidents Breakfast Grand Hyatt San Antonio TDA Past Vice Presidents Breakfast Grand Hyatt San Antonio Registration & Ticket Sales

8:00 AM – 11:30 AM 8:00 AM – 3:00 PM 8:00 AM – 4:00 PM 8:30 AM – 5:00 PM 9:30 AM – 1:30 PM 11:00 AM – 1:30 PM

TDAA Program Marriott Riverwalk TDA House of Delegates Grand Hyatt San Antonio

2:00 PM – 4:00 PM

1:30 PM

CPR Certification Class Marriott Riverwalk Continuing Education Classes TDAA Program Marriott Riverwalk TDA House of Delegates Exhibit Hall Open – Exhibit Halls C & D 50 Year & Life Awards Reception/ Luncheon Exhibit Hall Closes

Sunday, May 4 8:00 AM – 1:00 PM 8:30 AM – 2:00 PM

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

TDA Board of Directors Meeting Grand Hyatt San Antonio

the 2014 TEXAS Meeting

Photography Contest From the amateur photographer to the casual or experienced, enter your photos in the 2014 TEXAS Meeting Photography Contest! Best in Show will receive a special engraved plaque! First, Second, Third, and Honorable Mentions will receive ribbons! Any photographs entered will be considered for publication in upcoming issues of the Texas Dental Journal.

Categories include:

• Portraits • Sports/Human Endeavor • Built Environment • Natural Wonders • Black & White/Abstract/Artistic

For more information and entry form, visit texasmeeting.com under events.

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

TDAA

ALLIANCE

T E X A S D E N TA L A S S I S TA N T S A S S O C I AT IO N

2014 Program

• Marriott Riverwalk, San Antonio, TX

THURSDAY, MAY 1 8:30 AM – 12:00 PM

Finance Meeting

12:00 PM – 1:00 PM

TDAA Registration

1:00 PM – 5:00 PM

Pre-convention Board

1:30 PM – 5:00 PM

CPR Training

FRIDAY, MAY 2 8:00 AM – 9:00

New Delegates Workshop

8:00 AM – 10:00 AM

TDAA Registration

8:00 AM – 11:30 AM

CPR Training

SATURDAY, MAY 3 8:00 AM – 9:00

TDAA Registration

8:00 AM – 9:00

Membership Forum

8:00 AM – 11:30 AM

CPR Training

9:00 AM – 12:00 PM

Second House of Delegates

12:00 PM – 2:00

President’s Luncheon

2:30 PM – 4:00

Closing Ceremonies & Installation

SUNDAY, MAY 4

9:00 AM – 10:00 AM

General Assembly

8:00 AM – 9:00 AM

Directors Workshop

10:00 AM – 12:00 PM

First House of Delegates

9:00 AM – 1:00 PM

Post Convention Board

12:00 PM – 2:00

Past Presidents Luncheon

1:30 PM – 5:00 PM

CPR Training

2:00 PM – 2:30 PM

Balloting

6:00 PM – 8:00 PM

President’s Farewell Reception

THE ALLIANCE OF THE TEXAS DENTAL ASSOCIATION 84th Annual Session * May 1-2, 2014 * Grand Hyatt San Antonio

Schedule of EventS THURSDAY, MAY 1

FRIDAY, MAY 2

9:00 AM – 4:00 PM

Registration

9:30 AM – 11:30 AM 9:30 AM – 9:45 AM 9:45 AM – 10:00 AM 10:00 AM – 10:15 AM 10:15 AM – 10:30 AM 10:30 AM – 11:00 AM 10:45 AM – 11:00 AM 4:15 PM – 4:30 PM

ATDA Committee Meetings President’s Suite Legislative Silver Lining Dental Health Bylaws Future Focus Administrative Memorial

10:00 AM – 4:00 PM

Hospitality Room

10:00 AM – 4:00 PM

Guest Vendors Boutique

11:45 AM – 1:45 PM

Past President’s Luncheon (by invitation only). Hosted by TDA Financial Services Insurance Program

2:00 PM – 4:00 PM

Ticketed Event Open to all ATDA Members and Guests

6:00 PM – 7:30 PM

Presidents’ Reception (by invitation only)

C o lo r Y W o r l do u r !

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

9:00 AM – 1:00 PM

Registration

7:30 AM – 9:30 AM

Executive Board Breakfast Buffet/Meeting

8:00 AM – 2:00 PM

Guest Vendors/Hospitality Room

9:45 AM – 11:45 AM

General Meeting 1st Session

12:00 PM – 1:30 PM

Ticketed Alliance Luncheon

1:45 PM – 3:30 PM

General Meeting 2nd Session and Installation of Officers

3:30 PM – 4:30 PM

2014-2015 Executive Board Orientation (by invitation only)

14 The Westin Riverwalk

420 W. Market St.

HOTELS

Official

TDA Hotel Listings & Location Map

Texas Dental Association Annual Session The TEXAS Meeting May 1-4, 2014 Please support the TDA by booking your room within the annual session hotel room block.The TDA has secured special rates at these official hotels. For the best savings, make your hotel reservations through the TDA via texasmeeting.com or complete the Official Housing Reservation Form. Indicate 4 hotel choices. Please use the codes listed below. Hotel preference is subject to availability. Early returns receive first consideration.

4 6 14

8 11 2

1 7 9 Hotel codes

Single/ Double $

Triple $

Quad $

1. Four Points by Sheraton Downtown 524 S St Mary’s St

FOUR

128

133

2. Grand Hyatt San Antonio 600 E Market St HEADQUARTERS HOTEL

GHYR

199

224

249

3. Hilton Palacio del Rio 200 S Alamo St

HPR

198

218

238

4. Historic Menger Hotel 204 Alamo Plaza

MEN

135

HIR

148

5. Holiday Inn Riverwalk 217 N St. Mary’s St INCLUDES 1 BREAKFAST COUPON

Please return the completed form to: Mail: TDA Housing, 203 S St. Mary’s Ste 200, San Antonio, TX 78205 Fax: TDA Housing 210-207-6702 Online hotel reservations: texasmeeting.com Phone Reservations: 210-207-6734

Hotels

6. Homewood Suites Riverwalk 432 W Market St

HOM

165 single 175 double

185

195

7. Hyatt Place 601 S St. Mary’s St

HYPL

148

158

8. La Quinta Inn & Suites Convention Center 303 Blum St

LQC

147

9. Marriott Plaza 555 S Alamo St

PLZ

174

194

214

OLMR

164

189

11. San Antonio Marriott Rivercenter 101 Bowie St

MRC

202

222

242

12. San Antonio Marriott Riverwalk 889 E Market St

SAM

202

222

242

13. The Crockett Hotel 320 Bonham St

HIC

129

139

149

14. The Westin Riverwalk 420 W Market St

WES

199 city view 219 river view

219 city view 239 river view

239 city view 259 river view

10. Omni La Mansion del Rio 112 College St

All rates are per room and are subject to 16.75% occupancy tax (subject to change). Texas Dental Journal l www.tda.org l January 2014

H O T E L R E S E R V AT I O N F O R M 2014 TDA Annual Session • The TEXAS Meeting • May 1–4, 2014 Reservation Cutoff: April 8, 2014

Ways To Reserve Your Hotel Room • ONLINE: texasmeeting.com

(After this date, room blocks could be released and hotels may charge higher rates.)

• FAX: 210-207-6702

SELECT HOTELS Rooms are assigned first come/first served. If choices are not available, a room will be secured at a hotel based on your preference of rate or proximity and availability. Use code only, not numbers. See Hotel Listing for rates and codes.

To secure your hotel choice and receive immediate confirmation, make your reservation online at

1st Choice: _______ 2nd Choice: _______ 3rd Choice: _______ 4th Choice: _______

texasmeeting.com.

If hotel choices are sold out, which is more important: Please contact the TDA Housing Bureau should you have any additional questions: 210-207-6734.

ARRIVAL DATE

Acknowledgements are e-mailed if a valid e-mail address is provided below. Photocopy this form if you need more than one room.

CHANGES / CANCELLATIONS: All cancellations must be received by the TDA Housing Bureau on or before March 10, 2014, to avoid a penalty. Any cancellations received after March 10, 2014, will be assessed a $50.00 cancellation fee. Continue to use the TDA Housing Bureau for all changes/ cancellations through April 14, 2014. Beginning April 15, 2014, contact your hotel directly. All cancellations must be received at least 72 hours prior to arrival or one night’s room and tax will be assessed. Your hotel may charge a fee for departure changes at check in.

SPECIAL REQUEST

Credit cards may be billed for the guarantee by the hotel anytime after April 8, 2014.

Room Rate

Location

*Please Note: Hotels are non-smoking except La Quinta Convention Center.

Reservation will not be processed, if form is incomplete. Keep a copy of this form for your records. Do not mail after faxing.

Notes: ALL SUITES must be requested in writing to the TDA Housing Bureau via email at housing@visitsanantonio.com or fax 210-207-6702.

• PHONE 210-207-6734

• MAIL: TDA Housing, 203 S St. Mary’s St Ste 200, San Antonio, TX 78205

DEPARTURE DATE

LIST ALL OCCUPANTS:

ROOM REQUEST

❒ One Bed

❒ Two Beds

❒ Smoking

❒ Non-Smoking

❒ ADA Accessible

(Room type & special requests based on availability at check in.)

ATTENDEE INFORMATION (REQUIRED) FIRST NAME

LAST NAME

E-MAIL ADDRESS AFFILLIATION / INSTITUTION STREET ADDRESS OR P.O. BOX NUMBER CITY

STATE

*DAYTIME

COUNTRY

ZIP CODE

PHONE NUMBER *FAX NUMBER (*if international, please indicate country & city code)

ROOM GUARANTEE: All rooms must be guaranteed with either a credit card (valid through May

2014) or check. Reservations will not be accepted without guarantee. If you choose to mail a check deposit, make it payable to 2014 TDA Housing in the amount of $200 and mail along with your housing form to the address provided above. All deposits must be received by March 10, 2014.

TYPE OF CARD CARD NUMBER

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

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Call 1-800-232-3826 for a free practice appraisal, a $5,000 value! 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.

Khurram M. Siddiqui, D.M.D. & Maryam Shariff, D.M.D. have acquired the practice of Miriam J. Folta, D.M.D. -

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AFTCO is pleased to have represented all parties in these transitions.

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WWW.AFTCO.NET Texas Dental Journal l www.tda.org l January 2014

PREVIEW Optrasculpt Pad is

“Foamtastic!” Howard S. Glazer, DDS, FAGD

ver the last 2 decades there has been a marked increase in direct placement of composite resin restorations. Our materials have become stronger and more resistant to abrasion during mastication. Today’s composite materials are highly aesthetic and offer a wide range of shades with resins that can be polished to a high

degree of luster. Yet, despite these newer and stronger materials, no one has been able to overcome the disadvantage of the stickiness attributed to composite resins. That is until now, and the release of Ivoclar Vivadent’s new Optrasculpt Pad modeling instrument (Figure 1).

Dental supply catalogs are filled with loads of composite placement instruments designed to condense, pack, or shape composites into our cavity preparations. Can an instrument make a difference? The simple answer is yes. But to truly understand why it can make a difference it is necessary to understand the problem. Regardless

Dr Howard S. Glazer’s Class Schedule at the Texas Meeting: Composites Can Be Beautiful Thursday, May 1 • 1:30 pm - 4:30 pm What’s Hot and What’s Getting Hotter Friday, May 2 • 8:30 am - 4:30 pm Dr Glazer is a fellow and past president of the Academy of General Dentistry, and former assistant clinical professor in dentistry at the Albert Einstein College of Medicine (Bronx, NY). He has been a visiting clinician at several universities around the country including: SUNY Buffalo, and the universities of Pittsburgh, Minnesota, California – San Francisco, Texas – Houston, Florida, and Missouri. Additionally, he is a fellow of the American College of Dentists; International College of Dentists; American Society for Dental Aesthetics, the American Academy of Forensic Sciences, and a diplomate of the American Board of Aesthetic Dentistry. Dr Glazer is an attending dentist at the Englewood Hospital (Englewood, NJ). Additionally, Dr Glazer is the deputy chief forensic dental consultant to the Office of Chief Medical Examiner, City of New York. For the past several years, Dr Glazer has been named as one of the “Leading Clinicians in Continuing Education” by Dentistry Today, and most recently was named as one of the Top Dentists in New Jersey by New Jersey Monthly magazine. He lectures throughout the United States, Latin America, South America, Canada, Europe, Israel, Scandinavia, India, Korea, Japan, Indonesia, Malaysia, and China, on the subjects of cosmetic dentistry, forensic dentistry, and patient management. Dr Glazer is a frequent author of dental articles and has been published throughout the world. Currently he publishes a monthly column in AGD IMPACT entitled “What’s Hot and What’s Getting Hotter!” He maintains a general practice in Fort Lee, NJ.

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

of being metal, Teflon, or silicone, none of these instruments overcame the challenge of the stickiness to the resin and the inherent “pull-back” during compression (1). The technique of composite layering often entrapped air bubbles, and the flat surfaced instruments caused unwanted indentations in the composite material. This was a natural result since the tooth surface is generally curved and our instruments are flat. Leaving indentations demanded additional steps during our finishing and polishing procedures to provide for a smooth, highly polished, and glossy surface. Optrasculpt Pad’s foam enables compression to the curved surface of the composite resin by mimicking the curved surface (Figure 2). Optrasculpt Pad is an instrument designed for the adaptation, modeling and surface shaping of nonpolymerized composite resins in the Class III, IV, and V restorations as well as direct resin veneers. The unique design of the instrument uses a disposable, single patient use, non-stick foam pad to adapt the composite materials. These disposable pads, comprised of polyethylene foam and EVA, are available in 4 mm diameter and 6 mm diameter sizes. The pads simply “snap” on to one end of the instrument and can be easily popped off once the procedure is completed. The handle itself is then sent to be autoclaved. Further, the handle itself is quite unique in that the opposite end has a blade configuration which can be used to remove composite from syringes and/or used to “tuck in” the composite into the interproximal areas. Yet another unique feature of the handle is that it has two millimeter reference scales which can be used to establish tooth symmetries, width proportions, incisal edge lengths, and the angular alignment of restorations. Add these elements together and you increase you ability to provide a highly aesthetic result. We are all well aware that our current economy has had an impact on dental care. Where we used to see more patients requesting indirect porcelain veneer restorations, we now see an increase in direct, composite veneer procedures. This is where the reference scales become invaluable. With direct restorations we don’t have the benefit of a preparation guide, nor the model upon which to build the porcelain. The reference scales allow you to plan and visualize the placement of the composite resin, and shaping of the tooth as you are creating the veneer. Direct resin veneers can be quite time consuming. First you need to apply a dentin layer (possibly with opaque first), and then an enamel layer. You may also wish to add incisal translucency. Each layer requires compression of the composite material and shaping it to the tooth surface, and as such, if using conventional instruments there would most

Figure 1. Optrasculpt Pad instrument with 4 mm green foam pads and 6mm black foam pads.

Figure 2. Compression of Optrasculpt Pad on curved tooth surface.

likely be indentations or “foot prints” of the instrument. Upon completion of the shaping and characterization of the tooth, more time would be needed to contour, finish and polish the restoration. Typically I use 2 instruments: one with the 4 mm pad and the other with the 6 mm pad. Although these pads are designed to easily “pop out” and “pop on” it is faster from me to switch instruments. I use the 6 mm pad for the initial bulk placement and then the 4 mm pad to finesse the shaping of the tooth. Ivoclar’s Optrasculpt Pad instrument, with its unique foam pads, allows you to greatly reduce the time spent in finishing a polishing since the composite surface is void of any indentations and about 90% - 95% finished and polished after resin placement and photocuring. Consequently, you can actually reduce the chairtime needed to provide a highly aesthetic result. The use of the pad is particularly important for Class V restorations wherein we often have to place our resin at, or below, the gingival margin. Metal instruments can be Texas Dental Journal l www.tda.org l January 2014

injurious to the soft tissue whereas the Optrasculpt Pad is atraumatic to the tissue. For direct resin veneers, there is no instrument faster in providing placement and shaping of the resin material to the extent greatly reducing the time needed for finishing a polishing since it leaves the surfaces devoid of indentations and ready for polishing (2). Optrasculpt Pad, and its unique disposable foam pads, coupled with the handleâ&#x20AC;&#x2122;s reference scales, will benefit both the dentist and patient. The foam is atraumatic to the soft tissue which is so vital in Class V restorations and there is an inherent time savings in using this instrument. From packing to layering to finishing and polishing this instrument will become an invaluable asset in achieving highly aesthetic restorations. Ivoclar Vivadent calls it Optrasculpt Pad, but I call it Foamtastic!

CASE #1: Direct resin veneers: (note the discoloration of upper right lateral (#7) and worn composite veneer on upper right central (#8).

Figure 3. Pre-treatment #7 & #8.

References 1. Terry DA, Leinfelder KF. An integration of composite resin with natural tooth structure: The Class IV restoration. Practical Proceedings in Aesthetic Dentistry. 2004;16(3):235-42. 2. Ivoclar Vivadent. Optrasculpt Pad: Modeling instrument for composite filling materials. Amherst, NY. Ivoclar Vivadent; 2005:1-2.

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

Figure 4. Enamel and previous composite facing stripped off; evidence of naturally discolored teeth: enamel and dentin.

Figure 5. Isolation with Mylar strips and application of dentin layer using Optrasculpt Pad (4 mm pad).

Figure 6. Application of enamel layer using Optrasculpt Pad (4 mm pad). Figure 7. Dentin and enamel layers placed and minimal finishing with fine diamond; ready to polish.

Figure 8. Polish completed; some shade differential placed to mimic other natural staining of dentition.

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

Oral and Maxillofacial Pathology Diagnosis and Management

Central Giant Cell Granuloma Oral and Maxillofacial Pathology Case of the Month (from page 16)

Differential Diagnosis The radiographic finding of a relatively symmetrical large well defined unilocular radiolucency in the anterior mandible of an asymptomatic patient is most suggestive of a benign process. The differential diagnoses should include. Odontogenic cysts (glandular odontogenic cyst, calcifying odontogenic cyst, and odontogenic keratocyst), odontogenic tumors (ameloblastoma, calcifying epithelial odontogenic tumor ,odontogenic myxoma, and central cemento-ossifying fibroma), and non odontogenic tumors (central giant cell granuloma). The Glandular Odontogenic Cyst (GOC) is usually seen in middle aged adults. Seventy-five percent are found in the mandible with an affinity for the anterior region to the midline. It can be either a unilocular or multilocular well defined radiolucency surrounded by a sclerotic border. The Odontogenic Keratocyst (OKC) is one of the more common cystic lesions found in young adults with a preference for the posterior mandible. It is usually a well circumscribed unilocular radiolucency but not infrequently can be multilocular. Sixty percent of the cases are not associated with an impacted tooth

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

where it can mimic any inflammatory odontogenic cyst. The Calcifying Odontogenic Cyst (COC), also known as Gorlin cyst, is an uncommon lesion that can occur in a wide age range but the mean age is about 30 years. The cystic lesion has a 65% predilection for the anterior jaws and is slightly more common in the maxilla. In one-third of cases it is associated with an impacted tooth, mostly the canine. It is usually a unilocular radiolucency but can also be multilocular with radiopacities from the calcifications. The ameloblastoma is the most common odontogenic tumor to present with radiolucency similar to our patient but about 85% tend to occur in the posterior mandibular ramus area. Rarely seen in children, ameloblastoma have a wide range from 20-60 years of age. Radiographic features of ameloblastoma can be either a unilocular or multilocular radiolucency, occasionally with a honey combed appearance with irregular borders Calcifying Epithelial Odontogenic Tumor (CEOT), also known as Pindborg tumor, is a relatively uncommon tumor that is associated with an impacted tooth 60% of the time.

It is seen more in the mandibular premolar/molar region with a wide age range but most often between the ages of 20-60 years. Radiographically, it is a well circumscribed unilocular/ multilocular radiolucency with or without calcified radiopacities that are described as having snow driven appearance. The margins can be scalloped, ill defined, or corticated. Odontogenic myxoma is found in a younger age group, most often located in the posterior mandible. A unilocular/multilocular radiolucency which has a soap bubble appearance is the classic radiographic finding. Central cemento-ossifying Fibroma (COF) is a true neoplasm of the periodontal ligament origin. It has a female preference with the majority of cases found in young to middle aged adults. COF has a tendency to be located in the mandible more than in the maxilla with a predilection for the posterior jaws. Radiographic findings are a well defined unilocular radiolucency with sclerotic borders that may or may not be radiopaque depending on the degree of calcification (1,2).

From the non odontogenic lesions, Central Giant Cell Granuloma (CGCG) is the most likely diagnosis considered. Its origin is still under debate but widely accepted as a nonneoplastic non-reparative lesion. It affects a broad age group but around 60% are detected in patients less than 30 years of age. Generally more females are affected and the anterior mandible is a frequent location. Radiographic features of CGCG are a unilocular/multilocular radiolucency with well circumscribed or scalloped borders.

Central Giant Cell Granuloma The biopsy confirmed the diagnosis of Central Giant Cell Granuloma (CGCG) which is defined by the World Health Organization (WHO) as a benign intrabony lesion most commonly seen in the jaws but rarely and somewhat controversially affecting other sites such as the hands and feet. It was first described by Jaffe in 1953 but its etiology is not yet understood. Several theories including a reactive process, a benign lesion, and developmental origin have been suggested. Also cytogenetic influences may play a role due to CGCG having a strong association with neurofibromatosis type 1, cherubism, and Noonan syndrome (3,4). Clinically, CGCG is usually a painless firm swelling of the jaw with a female to male predilection of 2:1. Seventy percent of cases arise in the mandible, anterior to the 1st molar. If the maxilla is affected, it is usually anterior to the canine. In most cases CGCG often crosses the midline and affects young adults with 60% below the age of 30. CGCG vary in size from a small inconspicuous lesion to a more aggressive larger swelling which

may cause perforation of bone, tooth displacement, malocclusion and paresthesia on rare occasions. CGCG has been divided into non-aggressive and aggressive type. The nonaggressive lesions are more common and are asymptomatic, display a slow growth pattern with the absence of root resorption or cortical perforation. The aggressive lesion usually demonstrates, pain, rapid growth with root resorption, cortical perforation, and a higher recurrence rate. Radiographic features present a well circumscribed unilocular/ multilocular radiolucency, usually without cortication that may affect the teeth leading to root resorption, and tooth mobility. The microscopic features of CGCG are similar to an aneurysmal bone cyst but without the aneurismal blood filled spaces and identical to brown tumors of hyperparathyroidism. Therefore lab tests (alkaline phosphatase, calcium, and parathyroid hormone) are essential to differentiate between the 2 lesions and establish a definitive diagnosis (1,5). Treatment of CGGC varies according to the aggressiveness of the lesion. Surgical removal is the primary treatment and it may range from curettage to an extensive surgical resection with reconstruction. Recurrence has been reported to be between 11-49% and more common in larger aggressive lesions. Other more conservative non-surgical methods have been reported such as calcitonin, interferon alpha 2A, and corticosteroid. Both have been documented with some success but side effects, costs, and recurrence are important considerations (6,7, 8).

References 1. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology. Third edition. 2009, Saunders Elsevier, pp 626-29. 2. Thompson L. Head and Neck Pathology. Second Edition. 2013 Saunders Elsevier. 3. Manor E et al: Cytogenetics of central giant cell granuloma of the mandible. J Oral Maxillofac Surg. 2013;71(9):1541-4. 4. Jadu FM et al: Central giant cell granuloma of the mandibular condyle: a case report and review of the literature. Dentomaxillofac Radiol. 2011;40(1):60-4. 5. Rachmiel A et al: Combined treatment of aggressive central giant cell granuloma in the lower jaw. J Craniomaxillofac Surg. 2012;40(3):292-7. 6. De Lange J et al: Central giant cell granuloma of the jaw: a review of the literature with emphasis on therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(5):603-15. 7. Ferretti C, Muthray E. Management of central giant cell granuloma of mandible using intralesional corticosteroids: Case report and review of literature. J Oral Maxillofac Surg. 2011; 69(11):2824-9. 8. Triantafillidou K et al: Central giant cell granuloma of the jaws: a clinical study of 17 cases and a review of the literature. Ann Otol Rhinol Laryngol. 2011;120(3):16774.

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

CALENDAR OF EVENTS FEBRUARY2014

MARCH2014

30-1

The Dallas County Dental Society will host its annual Southwest Dental Conference in Dallas, TX. For more information, please contact Jane Evans, Southwest Dental Conference Director, DCDS, 13633 Omega Rd, Dallas, TX 75244. Phone: 972386-5741; FAX: 972-233-8636; E-mail: jane@dcds.org; Web: swdentalconf.org.

27-29

7-8

The TDA Smiles Foundation will hold a 60-chair Texas Mission of Mercy in Houston. For more information, please contact Foundation Director Judith Gonzalez at TDASF, 1946 S IH35 Ste 300, Austin, TX 78704; Phone: 512-448-2441; E-mail: judith@tda.org; Web: tdasmiles.org.

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

The Greater Houston Dental Society will host its annual Star of the South dental meeting in Houston. For more information, please contact Ms Charlotte Bolls, meeting planner, GHDS, One Greenway Plz Ste 110, Houston, TX, 77046. Phone: 713-961-4337; FAX: 713-961-3617; E-mail: cbolls@ ghds.org; Web: starofthesouth.org.

APRIL2014 3-5

The Louisiana Dental Association will host its annual session and New Orleans Dental Conference at New Orleans Morial Convention Center in New Orleans, LA. For more information please contact Ms Normalee Ward, LDA, 2121 N

Causeway Blvd Ste 153, Metairie, LA 70001; Phone: 504-834-6449; FAX: 504-838-6909; E-mail: norma@ nodc.org; Web: nodc.org.

11-12

26-28

The Arkansas State Dental Association will host its scientific annual session at Statehouse Convention Center in Little Rock, AR. For more information, please contact Ms Angela Rogers, ASDA, 7480 Hwy 107, Sherwood, AR 72120; Phone: 501-834-7650; FAX: 501-834-7657; Email: angela@angelarogersgroup. com; Web: arkansasdentistry.org. The Oklahoma Dental Association will host its annual meeting at the Cox Convention Center in Oklahoma City, OK. For more information, please contact Ms Lynn Means, ODA, 317 NE 13th St, Oklahoma City, OK 73104; Phone: 405-848-8873; FAX: 405-848-8875; E-mail: lmeans@okda. org; Web: okda.org.

19-21

JUNE2014 6-7

The Texas Academy of General Dentistry will host its annual New Dentist Conference at the Omni Southpark Hotel in Austin, Texas. For more information, please contact Lindsey Robbins, education director, TAGD, 409 W Main St, Round Rock, TX, 78664; Phone: 512-244-0577; FAX: 512-244-0476; E-mail: lindsey@ tagd.org; Web: tagd.org.

The TDA Smiles Foundation will hold a 14-chair Texas Mission of Mercy in Mineral Wells. For more information, please contact Foundation Manager Judith Gonzalez at TDASF, 1946 S IH35 Ste 300, Austin, TX 78704; Phone: 512-448-2441; Email: judith@tda. org; Web: tdasmiles.org.

MAY2014 1-4

The Texas Dental Association will host its annual Texas Meeting at the Henry B. Gonzalez Convention Center in San Antonio, Texas. For more information, please contact Sandy Blum, annual session director, TDA, 1946 S IH 35 Ste 400, Austin, TX 78704; Phone: 512-443-3675; FAX: 512-443-3031; E-mail: sblum@ tda.org; Web: texasmeeting.com.

The American Dental Association will host its annual Washington Leadership Conference in Washington, DC. For more information, please contact Brian Sodergren, ADA, 1111 14th St, NW Ste 1100, Washington, DC 20005; Phone: 202-789-5168; FAX: 202-7892258; E-mail: sodergrenb@ada.org; Web: ada.org.

The Texas Dental Journalâ&#x20AC;&#x2122;s Calendar will include only meetings, symposia, etc., of statewide, national, and international interest to Texas dentists. Because of space limitations, individual continuing education courses will not be listed. Readers are directed to the monthly advertisements of courses that appear elsewhere in the Journal.

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

Provided by TDA Perks Program

value for your

profession

How to Turn Patients Into

Raving Fans Mark E. Hyman, DDS, MAGD

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

ne of the biggest fallacies in dentistry is the idea that the only way to grow your practice is to focus on increasing the flow of new patients. While attracting new patients is important, if you put enhanced time and energy into all your patient relationships, amazing things will happen. It’s estimated that the average practice has about one million dollars of diagnosed but untreated dental issues sitting in its charts. This is a colossal missed opportunity that can be realized when you focus on turning your patients into raving fans. So what are raving fans? They are patients who never miss an appointment, show up on time, pay their fees with appreciation, are open to and grateful for your treatment suggestions, refer friends and family, and write really nice things about you online. To create raving fans, you have to take patient expectations of what their dental visit will be and turn them upside down. Take everything negative they expect to experience and make them positives. Dr Irvin Becker, former chairman of education at Pankey Institute, once said the reason most people never received optimal care is because no one ever asked them if they wanted it. So put away your fears of rejection and failure and let’s look at the patient experience through a different paradigm of delivering healthcare in an abundant and relationship-driven way.

The New Patient Experience The foundation of a raving fan relationship begins with the new patient visit, which begins with the initial phone call. When new patients call, let them know you’re delighted they’ve chosen your practice, find out where they heard about you, and make note of it in their files. That day, send them a personal welcome package on nice stationary that includes a professional brochure about your practice. Reiterate how excited you are that they’ve chosen your practice for their oral healthcare needs. When they come into your practice, personally greet them by name and escort them into a consultation room — on time. Being on time is important, because most patients expect to wait. Your initial meeting should be all about asking questions and listening. To create raving fans, you must out-listen the competition. Here are a few questions to ask: “Did you have any trouble finding the practice?” This will tell you if they are new to the area.

“Who can we thank for referring you?” Confirms how they found out about your practice and communicates that your new-patient source is happy existing patients. “What is your concern with your oral health/teeth?” Gives patients the opportunity to explain why they made the appointment. “Why did you leave your last dentist?” Gives insight into your new patients’ previous dental experiences, and most probably their fears and barriers to care. “Do you know of any current dental needs you have — a crown, cavity, etc.?” Lets you know if they’ve delayed or declined care in the past, which may indicate the level of value they see in dentistry. “Do I have your permission to discuss any issues or changes I see in your mouth, other than the ones you’ve told me you’re concerned with?” Ensures you have permission to do a comprehensive evaluation and share results with the patient. “How healthy do you want to be? What are your goals: to fix what’s hurting or wrong now, or to have your teeth for life?” Provides insight into patients’ commitment level to care. These are just a few of the questions to ask. It takes time to go through them, but taking the time to speak meaningfully with your new patients has a huge impact on them, your relationship with them, and the practice.

The Evaluation and Treatment Conversation The next step is to do a gentle but thorough comprehensive evaluation using the best technology to make each patient as comfortable as possible. For example, use intra-oral cameras for the initial evaluation and before, during and after shots of every procedure; every time. Do an oral cancer screening, checking for decay with digital radiography. After the evaluation is complete, thank patients for their time and set an appointment for a second visit, where you’ll share the results and your recommendations with them. That night, send them a beautiful card signed by the entire team.

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

value for your

profession

At the second visit, have a written consultation and give the patient a digital case presentation that shows all the digital photos you took and enhancements that are possible. Put a color photo in front of the patient that’s been enlarged 40X, look at it with him, so you can both see the issue — maybe a crack in a tooth. Then simply ask, “How can I help?” This delivery of care is not authoritarian, punitive or guilt based. It’s working with the patient for his benefit in a way he can control and be comfortable with. It’s during this point in the conversation that financial arrangements are discussed. Never try to guess who can or cannot afford care. Instead, let patients know you have several payment options to choose from: “Mrs Smith, we have 3 ways you can cover the cost of your dental needs. Let me know which one works best for you. First, if you pay at or before the time of treatment with a check or cash, you’ll receive a 5% bookkeeping courtesy. Or you can use your credit card. The third option is to use CareCredit’s health care credit card, which offers a variety of promotional financing offers. Which would you like to hear more about?” This way of presenting payment options is predictable and works beautifully. If a patient has been in your practice for many years going through twice-a-year, 6-month recare visits with a 30-second exam, you can offer to conduct a complete exam at a separately-scheduled visit. If you verbally communicate with your patients with statements like, “You’ve been a loyal and wonderful

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

The idea is so simple. Counter all negative expectations by creating an experience your patients have never had before. Use humor, if you feel comfortable with it, to put patients at ease and smiles on their faces. patient all these years. Dentistry has so many new technologies and advancements that we’ve added to our practice. Would you like to benefit from an updated comprehensive examination?,” you may be amazed at how many will appreciate this extra time and careful study. After treatment you can continue to delight and surprise patients by exceeding expectations. If they didn’t eat before the appointment, have someone run and get them their favorite smoothie. And later that evening, give them a call. I simply say, “Hi, it’s Mark Hyman. I just wanted to see how you’re feeling after our work today. Are you feeling okay? Do you have any questions or concerns at this point?” The idea is so simple. Counter all negative expectations by creating an experience your patients have never had before. Use humor, if you feel

comfortable with it, to put patients at ease and smiles on their faces. If you put time and energy into all your patient relationships, you and your team will enjoy dentistry more; and so will your patients. CareCredit is TDA Perks Program’s endorsed patient-financing partner. For more information regarding CareCredit, please call: 800-300-3046 and mention TDA Perks Program. For information regarding other TDA Perks Programs, visit tdaperks.com, or call 512-443-3675. Dr. Mark E. Hyman is a nationallyrecognized and highly regarded speaker. He is a mentor at the Scottsdale Center, an advisory faculty member at The Pankey Institute for Advanced Education, and an adjunct associate professor at the University of North Carolina School of Dentistry. His 28 year-old practice is among the top 1% in the nation.

Memorial and Honorarium Donors

In Memoriam

to the Texas Dental Association Smiles Foundation

Those in the dental community who have recently passed

In Memory of:

Best, Roemer J.

Margie Dieringer

Corpus Christi, Texas

Robertson Orchard Dental Associates

November 25, 1930 – November 10, 2013

Armando G Gutierrez

Life, 1996

Robertson Orchard Dental Associates

Fifty Year, 2006

Jack Best, DDS

Harris, Norman O.

Nueces Valley District Dental Society

Boerne, Texas

Your memorial contribution supports: • •

educating the public and profession about oral health; and improving access to dental care for the people of Texas.

Good Fellow, 1982

January 1, 1917 – December 17, 2012 Life, 1982

Please make your check payable to:

Hays, Dudley C.

TDA Smiles Foundation, 1946 S IH 35, Austin, TX 78704

San Antonio, Texas February 20, 1924 – November 16, 2013

Are You Relying on Selling your Dental Practice for Retirement? Did you know that 80 percent of practices with the doctors over age 50 couldn’t be sold with the selling doctor continuing to work in his old practice? Let us help you protect your retirement and position yourself to work in your practice for as long as you wish.

Dental Practice Specialists is a Growth & Management Consulting Firm

Clyde Dollens, DDS cdollens@aftco.net 281-639-4703

We can help with: • Increased Schedule Production • Increased Hygiene Production • Staff Assessment and Coaching

www.DentalPracticeSpecialists.com

Good Fellow, 1972 Life, 1989 Fifty Year, 1997 Hildebrand, David C. Dallas, Texas January 26, 1943 – November 8, 2013 Life, 2009 Mann, George A. West, Texas March 10, 1924 – November 4, 2013 Good Fellow, 1977 Life, 1989 Fifty Year, 1998

Free Practice Appraisal and Evaluation Dental Transitions & Sales through the AFTCO Network

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

Texas Dental Association 143rd Annual Session 2013 TEXAS Meeting Photo Contest Photographer: Mary E. Fischer, DDS, of Aransas Pass • Title: “Vales of Gray” Award: Second Place • Category: BW/abstract/artistic Information on the 2014 TEXAS Meeting Photo Contest is available on texasmeeting.com.

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

ADVERTISING BRIEFS Practice OPPORTUNITIES AUSTIN, SAN ANTONIO & DALLAS AREA PRACTICE OPPORTUNITIES MCLERRAN & ASSOCIATES: CORPUS CHRISTI AREA (ID T231): This is an opportunity to purchase an established, general dentistry practice located on the South Coast of Texas in an area that is experiencing rapid growth as a result of oil drilling in the nearby Eagle Ford Shale. The practice has a large, fee-for-service/PPO patient base, strong new patient flow, consistent annual revenue, and solid cash flow. The office occupies a free standing building with 2 fully-equipped operatories (digital X-ray units and computers) and ample room to add 2 to 3 additional operatories. The real estate is owned by the seller and being offered for sale at fair market value. Given its close proximity to the Gulf of Mexico, this turnkey practice is an ideal opportunity for an avid fisherman/ outdoorsman or beach lover. RIO GRANDE VALLEY (ID #T224): This is an established general/cosmetic family practice with a large, predominantly fee-for-service patient base and excellent location on a high traffic thoroughfare near major retailers. The practice has a solid net cash flow despite the office being open only 3 days per week, not being in network with any PPO plans, and doing very little external marketing. The

ADVERTISING BRIEF INFORMATION SUBMISSION AND CANCELLATION DEADLINE: 20th, 2 months prior to publication (eg, November 20th for January issue) MONTHLY RATES: First 30 words = $40; each additional word = 10Â˘ Ads must be submitted via e-mail, fax, or web through tda.org and are not accepted by phone. Journal editors reserve the right to edit copy of classified advertisements. Any dentist advertising in the Texas Dental Journal must be a member of the American Dental Association. Advertisements must be not quote revenues or gross or net incomes; only generic language referencing income will be accepted.

office boasts 5 fully equipped operatories, digital X-ray units, pano, and computers in each operatory. SAN ANTONIO (ID #T230): This general family practice is located on San Antonio north central side of town in a small, highly visible retail center. The approximately 3,300 sq ft office has 6 fully equipped operatories with room for expansion and has been a dental location since 1990. The practice boasts an active patient base, strong cash flow, gross revenue on pace with adequate room for expansion. SAN ANTONIO (ID #T218): This general family practice on the northwest side of San Antonio, just outside of loop 410, is located in a high traffic retail location and presents a unique opportunity to attract and retain patients. The practice is located in a turn-key, 7 operatory (6 equipped) office, boasts an active patient base of approximately 1,400 patients, and excellent new patient flow per month. This is an excellent opportunity with tremendous upside potential. NEW BRAUNFELS (ID #T226): This established, fee-for-service general family practice is located in the rapidly growing area of New Braunfels along the I35 corridor between Austin and San Antonio. The practice boasts a 100% fee-for-service patient base and is located in a free-standing building with 3 fully equipped operatories. The practice is not in network with any PPOs and relies solely on word of mouth referrals for new patients, and refers out a substantial amount of specialty work, providing the new owner with solid upside potential. Excellent opportunity to purchase an established practice for much less than the cost of a start up! WEST TEXAS (ID #T211): This established periodontal specialty practice is located in a growing west Texas community. The practice owner is looking to bring on a full-time associate immediately and lock in the terms a practice sale in 2 to 5 years at the time the associate joins the practice. This is an excellent opportunity in a low competition area. SAN

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

ADVERTISING BRIEFS ANTONIO AIDS Services (ID #T209): of Austin This established is seekingpediatric a seasoned practice dentist to join the Jack Sansing Dental Clinic as Clinical is located in East Central San Antonio in a medical/ Director for its highly recognized dentalconsistent program annual dental building. The practice has seen dedicatedoftovery providing quality, patient-centered dental revenue high figures in the last 3 years with care in net Central Texas. Foroffice additional information, visit strong income. The has 3 fully-equipped asaustin.org/site/PageServer?pagename=about_ operatories, strong upside potential, and would be an careers. stand-alone practice or ideal satellite location. attractive SAN ANTONIO (ID #T206): Established, 2-location AUSTIN,family SAN ANTONIO & DALLAS AREA PRACTICE general practice with excellent total collections OPPORTUNITIES MCLERRAN & ASSOCIATES: on a limited schedule and no external marketing. Low overhead and tremendous upside potential make this CORPUS CHRISTI AREA (ID T231): This is an opportunity a great starter opportunity. SAN ANTONIO (ID #T159): to purchase an established, general dentistry practice This oral surgery practice has a solid referral base, great located on the South Coast of Texas in an area that is location, attractive build-out, excellent equipment, experiencing rapid growth as a result of oil drilling in and stable revenue/cash flow. The practice owner is the nearby Eagle Ford Shale. The practice has a large, available for a transition. SAN ANTONIO (ID #T181): fee-for-service/PPO patient base, strong new patient This general, family practice is located in West/Central flow, consistent annual revenue, and solid cash flow. San Antonio and boasts a large, PPO/Medicaid patient The office occupies a free standing building with 2 base with many new patients being seen per month. fully-equipped operatories (digital X-ray units and This turnkey office is paperless and computerized, has computers) and ample room to add 2 to 3 additional 4 fully equipped recently updated operatories. The operatories real estate iswith owned by the seller and equipment, and provides room for expansion. The being offered for sale at fair market value. Given its practice has seen consistently hign annual revenue close proximity to the Gulf of Mexico, this turnkey over the past is few strong net flow. This is an practice anyears ideal with opportunity for cash an avid fisherman/ ideal solo practice or satellite with tremendous outdoorsman or beach lover. office RIO GRANDE VALLEY (ID upside potential. EAST OF SAN ANTONIO (ID #T227): #T224): This is an established general/cosmetic family This established general family practice is located in practice with a large, predominantly fee-for-service a community eastexcellent of San Antonio a free-standing patient base and locationinon a high traffic building with good visibility and easy access. Thehas office thoroughfare near major retailers. The practice a has 3net fullycash equipped operatories withbeing a fourth plumbed solid flow despite the office open only 3 room.per The practice’s low overhead/high days week, not being in network withprofitability, any PPO plans, and doing very littlepatient external marketing. The in a fee-for-service/insurance base, and location office boasts 5 fully equipped digital X-ray low competition area provide operatories, an excellent opportunity units, pano, looking and computers in each operatory. SAN for a doctor for a stand-alone or satellite office. ANTONIO (ID #T230): This general family practice is The real estate is owned by the seller and is available located on San north central side of AUSTIN town in a for purchase forAntonio fair market value. CENTRAL small, highlyLocated visible retail center. The approximately (ID #T225): in a very desirable area of north central Austin, this established fee-for-service general

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

3,300 ft office has 6a fully equipped operatories familysq practice offers lot for an incoming dentist.with room for expansion and has been a dental location The practice is located in a 1,500 sq ft, 4 operatory since The practice boasts an active patient base, facility1990. within a small 2 story professional condominium strong cash grossboasts revenue on pace with building. Theflow, practice a committed andadequate wellroom forstaff, expansion. SAN ANTONIO (IDsolid #T218): trained strong hygiene program, activeThis general familyand practice on the northwest side of San patient base gross annual revenues averaging very Antonio, of loop 410,the is located high overjust theoutside last 3 years. While practiceinisaahigh strong traffic retail location and presents a unique opportunity opportunity “as-is,” an incoming owner doctor would to attract and retain patients. Thethe practice is located in have ample opportunity to grow practice given that athe turn-key, equipped) office, boasts current7-operatory owner is not(6accepting any PPOs, reliesan active base of approximately 1,400 patients, only onpatient word of mouth referral to generate new patient and an average of approximately 100 new patients per flow and is referring a significant amount of specialty month. This is an excellent opportunity with work out of the office. AUSTIN (ID #T228): This is an tremendous upside potential. NEW BRAUNFELS (ID opportunity to purchase a busy practice in an attractive #T226): This established, fee-for-service general family strip center with a major retail anchor. The office boasts practice is located in the rapidly growing area of New a high traffic/visibility location with a modern buildBraunfels along the I35 corridor between Austin and out, 4 fully equipped operatories with digital X-rays San Antonio. The practice boasts a 100% fee-for-service and computers, intraoral camera, and digital pano. The patient base and is located in a free-standing building practice also has a fee-for-service/PPO patient base, with 3 fully equipped operatories. The practice is not in solid new patient flow, and exceptional annual revenue. network with any PPOs and, relies solely on word of This is an ideal stand alone or satellite office out witha solid mouth referrals for new patients, and refers upside potential! SOUTH OF AUSTIN #T229): the This substantial amount of specialty work,(ID providing is an owner opportunity to purchase an established, general new with solid upside potential. Excellent dentistry practice with a large fee-for-service/PPO opportunity to purchase an established practice for patientless base in athe rapidly growing located just 20 much than cost of a starttown up! WEST TEXAS (ID minutes south of Austin. The practice has consistently #T211): This established periodontal specialty practice very high annual revenue, cash flow, and The 3 fully is located in a growing westsolid Texas community. equippedowner operatories withtocomputers digital X-ray practice is looking bring on a and full-time sensors. The practice refers out in a substantial associate immediately and lock the terms aamount practiceof specialty work and at does external sale in 2 to 5 years thevery timelittle the internal associateorjoins the marketing, providing a buyeropportunity with strong in opportunity practice. This is an excellent a low competition area.COUNTRY SAN ANTONIO (IDAUSTIN #T209):(ID This for growth. HILL WEST OF #T220): established pediatric practice is located East Central This established, fee-for-service, generalinfamily practice San Antonio a medical/dental is located in ainscenic, growing hillbuilding. country The townpractice about has seen consistent annual revenue of high-6 figures an hour from Austin. The practice is located in a largein the last 3 yearsbuilding with strong net income. office has 3 free-standing and currently has The 2 equipped fully-equipped operatories, upside potential, and operatories with 4 additionalstrong (unplumbed) treatment rooms available for expansion. Very overhead, no

ADVERTISING BRIEFS involvement amount of specialty in discounted work and insurance/PPO does very little plans, internal or external marketing, providing a buyer with strong limited marketing and a limited schedule. This practice opportunity for growth. to HILL WEST OF presents an opportunity getCOUNTRY into a well-established AUSTIN (ID strong #T220):cash Thisflow established, office with at far lessfee-for-service, than the cost of a general family practice is located a scenic, startup. Both the practice and realinestate aregrowing available hill purchase. country town about an (ID hour from Austin. The for WACO AREA #T189): Well established practice is located in acompetition large free-standing building and family practice in low area. Minimal currently has 2 equipped operatories with 4 additional investment, strong upside potential and opportunity to (unplumbed) treatment rooms available for expansion. own real estate makes this an attractive opportunity. Very overhead, no & involvement discounted Contact McLerran Associates:in David McLerran insurance/PPO plans, limited marketing and a limited or Brannon Moncrief. In Austin 512-900-7989; San schedule. This practice presents an opportunity to get Antonio 210-737-0100. Practice sales, appraisals, buyer into a well-established office with strong cash flow at representation, and lease negotiations. To request far less than the cost of a startup. Both the practice and more information on our listings, register at www. real estate are available for purchase. WACO AREA (ID dental-sales.com. #T189): Well established family practice in low competition area. Minimal investment, strong upside ABBEVILLE DENTISTRY: We are seeking an honest, potential and opportunity to own real estate makes this hard-working, patient focused dentist who want to an attractive opportunity. Contact Mclerran & contribute to a culture of caring, nurturing and skilled Associates: David McLerran or Brannon Moncrief in professionals. If you have the desire to be a part of a Austin 512-900-7989, San Antonio 210-737-0100 team where you can focusbuyer on patients and not worry practice sales, appraisals, representation, and about the headaches that come with the business lease negotiations. To request more information on our side of dentistry, call us. If you are seeking listings, register atplease www.dental-sales.com. an environment that provides stability, growth and continuing to sharean with you how ABBEVILLE education, DENTISTRY:we’d We like are seeking honest, you can fit intopatient-focused that plan. Twenty yearswho ago,wants I started hard-working, dentist to my practice simply dedicated to serving my patients contribute to a culture of caring, nurturing and skilled and community. Now, I’mthe privileged tobe guide over professionals. If you have desire to a part of a 10 practices and 80 wonderful staff. I’ve turned the team where you can focus on patients and not worry administrative, operations and marketing efforts about the headaches that come with the business over to dentistry, people who enjoy doing sorts of things side of please call us. Ifthose you are seeking an our environment that provides stability, growth and so doctors and staff can focus on their patients. continuing education, we’d likeyoung to share withwith you how I’ve also been able to provide doctors an you can fit into that plan. Twenty ago, I started environment where they can growyears and practice what my practice simply dedicated to serving my patients they love doing without the worry of costly overhead or and community. Now, I’m privileged to guide over administrative headaches. At the same time, offering 10 wonderful staff.and I’veaturned the thepractices potentialand for 80 significant income great life balance. You’ll enjoy a great environment with no egos

and no political operations administrative, barriers. We’re and marketing growing and efforts need a overquality to people who enjoy doing sorts something of things few individuals to join us those in creating so ourspecial. doctorsWe’re and staff can afocus their patients. truly forming new,on interactive, fun I’ve also beenthat ablekids to provide young doctors with an environment and their parents will find environment theyIf can grow practice refreshing andwhere exciting. you’d likeand to talk aboutwhat this they love doing without overhead opportunity, please give the me worry a call. of I’dcostly be happy to or administrative headaches. At the same time, offering share the vision, the success and the expectations we the for significant income and a greatand life havepotential while answering your questions candidly balance. enjoy consider a great environment openly. I You’ll hope you’ll this positionwith and no giveegos and political barriers.DDS. We’re growing andor need a me ano call. Britt Bostick, 806-438-5745 e-mail few quality individuals to join us in creating something bbost35821@aol.com. truly special. We’re forming a new, interactive, fun environment that kids and their parents will find ADS WATSON, BROWN & ASSOCIATES: Excellent refreshing and exciting. If you’d like to talk about this practice acquisition and merger opportunities available. opportunity, please give me a call. I’d be happy to DALLAS AREA: 5 general dentistry practices available share the vision, the success and the expectations we (East Dallas, Richardson, Southeast of Dallas, and have while answering your questions candidly and North of McKinney). FORT WORTH AREA: 2 general openly. I hope you’ll consider this position and give me dentistry practices (West Fort Worth and Arlington). a call. Britt Bostick, DDS. Call 806-438-5745 or e-mail NORTH TEXAS: 2 pediatric practices. HOUSTON AREA: bbost35821@aol.com. 1 orthodontic practice. EAST TEXAS AREA: 1 general dentistry practice. WEST&TEXAS AREA: 1 Excellent general ADS WATSON, BROWN ASSOCIATES: dentistry practice. AUSTIN AREA:opportunities 1 general dentistry practice acquisition and merger available. practice available northwest of Austin. BRYAN/COLLEGE DALLAS AREA: 5 general dentistry practices available STATION AREA:Richardson, 1 general dentistry practice available. (North Dallas, East Dallas, and Dallas); 2 SAN ANTONIO AREA: 1 general dentistry practice orthodontic practices available (Plano, Carrollton). available. OKLAHOMA general dentistry FORT WORTH AREA: 1 AREA: general1 dentistry practice (West practice available. For more information and current Fort Worth). NORTH TEXAS: 2 pediatric practices. listings, please visit our website at www.adstexas.com HOUSTON AREA: 1 general dentistry practice available; or call ADS Watson, Brown & Associates at 469-2221 orthodontic practice available. SAN ANTONIO AREA: 3200. 1 general dentistry practice available. EAST TEXAS AREA: 2 general dentistry practices. WEST TEXAS AREA: 1 general practice available. AUSTIN AREA: 1 AIDS SERVICES OF AUSTIN is seeking a seasoned general dentistry available. BRYAN/COLLEGE dentist to join thepractice Jack Sansing Dental Clinic as Clinical STATION AREA: 1 general dentistry practice available. Director for its highly recognized dental program OKLAHOMA AREA: 1 general dentistry practice dedicated to providing quality, patient-centered dental available. For more information and information, current listings, care in Central Texas. For additional visit please visit our website at www.adstexas.com or asaustin.org/site/PageServer?pagename=about_ call ADS Watson, Brown & Associates at 888-419-5531. careers. Texas Dental Journal l www.tda.org l January 2014

ADVERTISING BRIEFS AMARILLO: General dentist for a locally owned practice looking to provide care for our patients as well as build their own patient base. Ownership opportunity available. Please contact Dr Britt Bostick, DDS, bbost35821@aol.com or call 806-438-5745. AMARILLO: AMARILLO: Pediatric Pediatric dentist dentist for for aa locally locally owned owned practice looking to provide care for our patients practice looking to provide care for our patients as as well well as build their own patient base. Ownership opportunity as build their own patient base. Ownership opportunity available. available. Please Please contact contact Dr Dr Britt Britt Bostick, Bostick, DDS, DDS, bbost35821@aol.com or call 806-438-5745. bbost35821@aol.com or call 806-438-5745. AMAZING PRACTICE SELL: (Sherri L. Henderson AMAZING PRACTICE SELL: (Sherri L. Henderson & Associates, LLC) Northeastern Oklahoma Green & Associates, LLC) Northeastern Oklahoma Green Country. This great general practice draws from 5 Country. This great general practice draws from 5 large large surrounding counties and is 35 minutes from surrounding counties and is 35 minutes from Tulsa. Tulsa. Busy traffic location; 1,550 sq ft 2 ops, 1 hygiene Busy traffic location; 1,550 sq ft, 2 ops, 1 hygiene op, op, and 1 additional shared hygiene op. The doctor and 1 additional shared hygiene op. The doctor is is retiring after 45 years in practice. Great production retiring after 45 years in practice. Great production potential and chance to own or lease half of the potential and chance to own or lease half of the beautiful free standing building (3,100 sq ft). Pictures beautiful standing building (3,100 sq ft). Pictures available, free #3001. Call Sherri at 972-562-1072; www. available â&#x20AC;&#x201D; #3001. Call Sherri at 972-562-1072. Visit slhdentalsales.com. www.slhdentalsales.com. ARLINGTON / FORT WORTH: Associate position ARLINGTON / FORTdentist WORTH: available. Full-time andAssociate specialistposition needed to available. Full time dentist and specialist needed to join our successful dental group in Arlington and Fort join ourInterested successfulcandidates dental group in Arlington & Fort Worth. should e-mail CV to Worth. Interested candidates should e-mail CV to txdentaljobs@gmail.com. txdentaljobs@gmail.com. ARLINGTON, EULESS, SAN ANTONIO: Soumava Sen, ARLINGTON, ANTONIO: SoumavaEuless, Sen, DDS, PC seeksEULESS, dentistsSAN for offices in Arlington, and San Antonio. Must for have DDS and valid Texas Dental DDS, PC seeks dentists offices in Arlington, Euless License. E-mail resumes to lcuica@hotmail.com. and San Antonio. Must have DDS and valid TX dental license. E-mail resumes to lcuica@hotmail.com. ASSOCIATE FOR TYLER GENERAL DENTISTRY PRACTICE: Well-established general dentist in Tyler with PRACTICE: more ASSOCIATE FOR TYLER GENERAL DENTISTRY 30 years experience seeksdentist a caring Well-established general in and Tylermotivated with over associate for his busy practice. This practice provides 30 years experience seeks a caring and motivated

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

exceptional care for the This entire family.provides The associate fordental his busy practice. practice professionaldental staff allows a doctor to focus on The the needs exceptional care for the entire family. of their patients. office is located in beautiful East professional staff Our allows a doctor to focus on the needs Texas and provides alloffice phases quality a of their patients. Our is of located in dentistry beautiful in East friendly and compassionate The practice Texas and provides all phasesatmosphere. of quality dentistry in a offers a tremendous opportunity to grow The a solid friendly and compassionate atmosphere. practice foundation with the doctor. The practice offers offers a tremendous opportunity to grow a solidexcellent production and earning potential with a possible future foundation with the doctor. The practice offers excellent equity position Our knowledgeable stafffuture production and available. earning potential with a possible will support andavailable. enhance Our yourknowledgeable growth and earning equity position staff potential while helping create a smooth transition. will support and enhance your growth and earning Interested candidates should call 903-509-0505 and/or potential while helping create a smooth transition. send an e-mail to steve.lebo@sbcglobal.net. Interested candidates should call 903-509-0505 and/or send an e-mail to steve.lebo@sbcglobal.net. Associate needed for dental office in small, quaint town. Potential for practice purchase. Call 361-645-8148. ASSOCIATE NEEDED FOR DENTAL OFFICE in small, quaint town. Potential for practice purchase. Call 361ATTRACTIVE EAST TEXAS DENTAL PRACTICE: SLH 645-8148. Dental Sales is looking for a qualified buyer that would like the opportunity to immediately transition into a ATTRACTIVE EAST TEXAS DENTAL PRACTICE: SLH general dentist office. This well-established practice Dental Sales is looking a qualified buyerand thatiswould has been in its current for location since 1993 in like the opportunity to immediately transition into a beautiful home surrounded by many professionala general dentist This well-established practice buildings and a office. stable community. The current dentist has been in its current location since 1993 and is in is transitioning, and both the practice and building a beautiful surrounded byfee-for-service many professional are for sale.home This predominantly buildingscontains and a stable community. Theand current dentist practice 2 dentist operatories 2 hygienist is transitioning, andwith botha welcoming the practicereception and building operatories, along area, are for sale. This predominantly fee-for-service business and private offices, lab, etc., with room for practice contains 2 dentist operatories andcontact 2 hygienist expansion. For more information, please our operatories, along with ae-mail welcoming reception area, office at 972-562-1072, sherri@slhdentalsales. business andour private offices, lab, etc., with room for com, or visit website at www.slhdentalsales.com (video available). Listing #3005. please contact our expansion. For more information, office at 972-562-1072, e-mail sherri@slhdentalsales. AUSTIN: Progressive, patient centric office is seeking com, or visit our website at www.slhdentalsales.com an experienced dentist; must be friendly, caring and (video available). Listing #3005. professional. Opportunity is available (if desire) for practice email:isfahoosha@ AUSTIN: ownership. Progressive,Serious patientinquiries centric office seeking gmail.com, mike@miloinc.com. an experienced dentist; must be friendly, caring and

ADVERTISING BRIEFS professional. AUSTIN PEDIATRIC Opportunity PRACTICE is available SEEKING(ifFULL desired) TIME ASSOCIATE: Great benefits! Progressive, for practice ownership. Serious inquiries fast-paced e-mail: practice. Capable caring staff. We are looking for fahoosha@gmail.com, mike@miloinc.com. a bright career-oriented pediatric dentist to join an organization committed to providing high quality AUSTIN PEDIATRIC PRACTICE SEEKING FULL TIMEdental care to children and adolescents. Our dental team ASSOCIATE: Great benefits! Progressive, fast-paced strives to offer exceptional care with integrity. practice. Capable caring staff. We are looking Send for your confidential resume to dentalresume27@yahoo. a bright career-oriented pediatric dentist to join an com for consideration. organization committed to providing high quality dental care to children and adolescents. Our dental team AUSTIN: well-established pediatric practice isSend seeking strives toAoffer exceptional care with integrity. an energetic dedicated full-time pediatric dentist. We your confidential resume to dentalresume27@yahoo. have an extensive client base with continued growth. com for consideration. Our office is a leader in all aspects of pediatric dentistry including sedation and anesthesia dentistry. We have AUSTIN: A well-established pediatric practice is seeking 3 offices with state-of-the art technology and a highly an energetic dedicated full-time pediatric dentist. We trained support staff. We are looking for the right fit for have an extensive client base with continued growth. our practice. Ideally, someone who is looking for a longOur office is a leader in all aspects of pediatric dentistry term opportunity. New grads are welcome to apply. including sedation and anesthesia dentistry. We have Please e-mail resume to tal@austinchildrensdentistry. 3 offices with state-of-the art technology and a highly com. trained support staff. We are looking for the right fit for our practice.PRACTICE Ideally, someone who is FOR looking for aSLH longAWESOME IN EAST TEXAS SALE: is term opportunity. Newassociate grads areorwelcome to apply. looking for a qualified new graduate, with Please e-mail resume tal@austinchildrensdentistry. an option to buy, that to would like the opportunity to com. immediately transition into a general dentistry practice in this growing town of East Texas. The owner is willing AWESOME EAST TEXAS FOR SALE: SLH is to stay for aPRACTICE negotiatedINamount of time if necessary looking foraasmooth qualified associateThe or new graduate, to ensure transition. location of thewith an optionis to buy,the that wouldinlike the opportunity to practice near hospital a beautiful scenic area immediately transition into a general dentistry practice surrounded by many professional buildings. The staff in this growing townfor of East Texas. The and owner is willing is excited and ready a new member future owner allow their current dentist to pursue to stay that for awill negotiated amount of time if necessary other opportunities. The office The space is 1,500 to ensure a smooth transition. location ofsquare the feet withisfour rooms 2 private practice neartreatment the hospital in a equipped, beautiful scenic area offices, and 6 highly experienced employees. The new surrounded by many professional buildings. The staff practitioner will leaseforspace from the group dental is excited and ready a new member and future practice. Thewill group occupies a portion of the owner that allowpractice their current dentist to pursue building complex andThe is looking to transfer ownership other opportunities. office space is 1500 square of

the patient base and/or equipment within two six months. feet with four treatment rooms equipped, private For more information contact our office at 972-562offices, and six highly experienced employees. The 1072practitioner or e-mail sherri@slhdentalsales.com or visitdental our new will lease space from the group website atThe www.slhdentalsales.com CB (pictures practice. group practice occupies#3050 a portion of the can be made available). building complex and is looking to transfer ownership of the patient base and/or equipment within six months. BROWNSVILLE SEEKING ASSOCIATE: Established For more information contact our office at 972-562general dental office in Brownsville (30 minutes away 1072 or e-mail sherri@slhdentalsales.com or visit our from South Padre Island) is seeking a caring, energetic website at www.slhdentalsales.com #3050 CB (pictures associate. Weavailable). are a busy office providing dental care for can be made mostly children. Our knowledgeable staff will support and enhance growth and earning potential allowing the BROWNSVILLE SEEKING ASSOCIATE: Established associate to focus on patient dental care. Interested general dental office in Brownsville (30 minutes away candidates should call 956-546-8397. from South Padre Island) is seeking a caring, energetic associate. We are a busy office providing dental care for DALLAS / FORT WORTH: Area clinics seeking associates. mostly children. Our knowledgeable staff will support Earn significantly above industry average income with and enhance growth and earning potential allowing the paid health and malpractice insurance while working associate to focus on patient dental care. Interested in a great environment. Fax 312-944-9499 or e-mail candidates should call 956-546-8397. cjpatterson@kosservices.com. DALLAS FORTNew WORTH: Area clinics seeking associates. DALLAS /AREA: and beautiful general dentistry Earn significantly above industry average income with practice on I-30 near Rockwall. Over 5 years of clinical paid health required. and malpractice while experience Perfectinsurance for dentists whoworking refer in a great environment. Fax 312-944-9499 or e-mail endo! Pay based on collections. PPO and Medicaid cjpatterson@kosservices.com. accepted. Hours are Monday through Friday, 2:00 PM - 8:00 PM and Saturdays available. DALLAS AREA: New and beautiful general dentistry Visit www.mockingbirddentalgroup.com. practice on I-30 near Rockwall. Over 5 years of clinical experience Perfect for dentists who refer DENTALONErequired. PARTNERS is opening new offices in Austin endo! based on collections. and isMedicaid and thePay surrounding areas. Each PPO practice unique accepted. M-F PM - 8:00 PMlike andPreston Saturdays in that it has an2:00 individual name Hollow Dental CareVisit or Waterside Dental Care. Our patient base available. www.mockingbirddentalgroup.com. consists of approximately 70% PPO and 30% fee-forservice. All our offices have top of the line Pelton and DDR DENTALâ&#x201E;˘ - HousToN (CHimNEy RoCk): Crane equipment, digital growth X-rays, and intra-oralwith cameras. General practice. Terrific opportunity We offer competitive compensation packages with newly renovated facilities. Fronts high traffic Chimney benefits. ToFour learnoperatories more aboutinworking one offor 4 Rock Road. use andwith plumbed DentalOne please contact more. Free Partner standingpractices, building with 7,000 totalAndrew sq ft also Texas Dental Journal l www.tda.org l January 2014

ADVERTISING BRIEFS available for Risolvato at 972-755-0838 sale. Contact or Chrissy andrew.risolvato@ Dunn at 800-930dentalonepartners.com. 8017 or www.DDRDental.com. DENTALONE PARTNERS is opening new offices in Dallas DDR DENTAL™ – HousToN (WEsT siDE): General and the surrounding areas. Each practice is unique practice – high revenue figure gross with VERY high in it hasFronts an individual name near like Preston netthat income. Westheimer BeltwayHollow 8 in Dental Care or Waterside Dental Care. Our patient base established strip center. Dentist earns high figures on consists of approximately 70%equipped PPO andoperatories, 30% fee-for-2 4 day work week. Three fully service. offices have top-of-the-line Peltonwith and dentists All andour 1 hygiene. Established patient-base Crane digital X-rays and intra-oral cameras. growthequipment, opportunity. Contact Chrissy Dunn at 800We offer competitive compensation(Dental packages with 930-8017 or www.DDRDental.com Trust™ benefits. To learn more about working with one of Member). DentalOne Partner practices, please contact Andrew Risolvato at 972-755-0838 or andrew.risolvato@ DDR DENTAL™ - HousToN (WooDLANDs / dentalonepartners.com. CoNRoE): Periodontal practice. Two offices in growing Woodlands and Conroe. High combined gross with high DENTALONE PARTNERS is opening new offices in San figure net income. Established patient-base with growth Antonio and the surrounding areas. Each practice is opportunity. Well cared for facilities with 4 operatories unique in that it has an individual name like Preston in Woodlands office and 4 operatories in Conroe Hollow Dental Care or Waterside Dental Care. Our office. Contact Chrissy Dunn at 800-930-8017 or www. patient base consists of approximately 70% PPO and DDRDental.com (Dental Trust™ Member). 30% fee-for-service. All our offices have top-of-theline Pelton and Crane equipment, digital X-rays, and DDR DENTAL™ – PANHANDLE TExAs: Oral surgery intra-oral cameras. We offer competitive compensation practice. High withToexpected highabout figureworking net packages with gross benefits. learn more income. fully-equipped operatories surgical with oneFour of DentalOne Partner practices,with please suite. Option to purchase also available. Wellcontact Andrew Risolvato building at 972-755-0838 or andrew. established referral and patient base. Contact Chrissy risolvato@dentalonepartners.com. Dunn at 800-930-8017 or www.DDRDental.com. DENTALONE PARTNERS is opening new offices in the DENTALONE PARTNERS is opening new offices in Austin upscale suburbs of Houston. Each practice is unique in and the surrounding areas. Each is unique that it has an individual name likepractice Gulf Breeze Dental Care oritWaterside Dental Care. ofPreston our offices have in that has an individual nameAll like Hollow top-ofthe-line Pelton andDental CraneCare. equipment, digitalbase Dental Care or Waterside Our patient X-rays, intra-oral cameras. Our patient consists consistsand of approximately 70% PPO and 30%base fee-forof approximately 70% PPO and 30% fee-for-service. We service. All our offices have top of the line Pelton and offer packages withcameras. benefits. Cranecompetitive equipment,compensation digital X-rays, and intra-oral To about working with DentalOne Welearn offermore competitive compensation packages Partner with benefits. To learn more about working with one of

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

practices, contact Andrew Risolvato 972-755DentalOneplease Partner practices, please contactatAndrew 0838 or andrew.risolvato@dentalonepartners.com. Risolvato at 972-755-0838 or andrew.risolvato@ dentalonepartners.com. DENTISTS ARE NEEDED full and part-time to provide care in various Texas Tech Health Science DENTALONE PARTNERS is University opening new offices in Dallas Center’s (TTUHSC) Correctional Clinics. and the surrounding areas. EachHealth practice is unique The positions are on the TTUHSC staff and with in that it has an individual name like Preston Hollow all applicable benefits: malpractice insurance, life base Dental Care or Waterside Dental Care. Our patient insurance, plan,70% vacation, holiday time, and consists of retirement approximately PPO and 30% fee-foraservice. competitive 806-381-7081, ext. 8324. All oursalary. officesContact have top of the line Pelton and Crane equipment, digital X-rays and intra-oral cameras. DENTISTS: A practice of 1 year looking for a BC/BE We offer competitive compensation packages with pediatric dentist to come on board as employee with benefits. To learn more about working with one of possible buy-in. This is an all pediatric dentists’ office. DentalOne Partner practices, please contact Andrew You would be working next to a BC pediatric dentist. Risolvato at 972-755-0838 or andrew.risolvato@ Good terms with great pay and work hours. Must be dentalonepartners.com. able to get Board Certified within 1 year. OR cases done at El Paso’s Children’s Hospital. Excellent opportunity. DENTALONE PARTNERS is opening new offices in San Contact 719-671-5617 or tparco@dentalquestions.com. Antonio and the surrounding areas. Each practice is unique in that it has an individual name like Preston DFW AREA: Seeking general dentists and specialists. Hollow Dental or Waterside Dental Care. Our Our offices areCare located in the Dallas / Fort Worth area. patient base consists of approximately 70% PPO and We are looking for caring, energetic associates. New 30% fee-for-service. All ourdentists offices have top ofWe the line graduate and experienced welcome. Peltonbenefits, and Crane equipment, digital X-rays, and intraoffer a helpful working environment and an oral cameras. We offer competitive compensation opportunity to grow. We accept most insurance and packages with benefits. learn more via about working Medicaid. Please submitTo your resume e-mail to with one of DentalOne Partner practices, please jennifer@smileworkshop.com or call our office at 214contact Andrew Risolvato at 972-755-0838 or andrew. 757-4500. risolvato@dentalonepartners.com. EAST TEXAS: Well-established dental practice seeks DENTALONE PARTNERS is openingdentist new offices in the caring, proficient, and motivated for associate employment. Ourofoffice is located in a mid-sized town upscale suburbs Houston. Each practice is unique in with outdoor activities hunting and that itabundant has an individual name likeincluding Gulf Breeze Dental fishing and a “small town” atmosphere. We offer all Care or Waterside Dental Care. All of our offices have phases of dentistry. Interested candidates should e-mail top-of- the-line Pelton and Crane equipment, digital correspondence and resume mloon242@aol.com. X-rays, and intra-oral cameras.toOur patient base consists of approximately 70% PPO and 30% fee-for-service. We offer competitive compensation packages with benefits.

ADVERTISING BRIEFS To learn more EDINBURG: Falcon aboutDentistry workingPA, with dba DentalOne Falcon Dental Partner Center, seeks dentist in Edinburg. Doctor ofat Dental practices, please contact Andrew Risolvato 972-755Surgery required. Texas Dental License required. 0838 or degree andrew.risolvato@dentalonepartners.com. Qualified applications may submit resume directly to Atlantis Gloria office manager, via fax 956-287DENTISTS ARE Moya, NEEDED full and part-time to at provide 4926inorvarious via email at falcondentistry@gmail.com care Texas Tech University Health Science Center’s (TTUHSC) Correctional Health Clinics. EL PRACTICE Large west ThePASO positions are onFOR theSALE: TTUHSC staff andside withEl Paso practice benefits: in a professional building with strong all applicable malpractice insurance, life collections. Each treatment room has large windows insurance, retirement plan, vacation, holiday time, and with fantastic views. The practice is computerized and a competitive salary. Contact 806-381-7081, ext. 8324. has digital X-rays. Majority full fee with some PPO plans. Visit tx-pt.com or call at 214-460-4468; rich@ DENTISTS: A practice of 1 year looking for a BC/BE tx-pt.com. pediatric dentist to come on board as employee with possible buy-in. This is an all pediatric dentists’ office. EL PASO: Full-time position for a general dentist. Do not You would be working next to a BC pediatric dentist. waste your best years at dead end jobs. Great earning Good terms with great pay and work hours. Must be potential and future partnership option. Affordable able to get Board Certified within 1 year. OR cases done El Paso Dental is looking for a Texas-licensed dentist at El Paso’s Children’s Hospital. Excellent opportunity. to work full-time in our office in El Paso, TX. Applicant Contact 719-671-5617 or tparco@dentalquestions.com. must be licensed in the state of Texas and have 1 year of experience. If interested please submit a resume to DFW AREA: Seeking general dentists and specialists. the following email address: drdarj@gmail.com. Please Our offices are located in thenumber Dallas /and Fortemail Worth area. provide an accurate contact address. We are looking for caring, energetic associates. New graduate experienced dentistsgeneral welcome. We EL PASO: and Selling a state-of-the-art practice offer benefits, a helpful working environment with orthodontic patients. Building is 6,000 sqand ft foran opportunity grow.building We accept most insurance and sale or lease.toWhole available. Partnership Medicaid. Please submit your resume via e-mail to is also available as well as many other options. Building jennifer@smileworkshop.com or call at beautiful and only 1 year old with 11 our ops office fully equipped 214-757-4500. with digital X-rays, Softdent, Adec, Marcus equipment. Located on east side of El Paso. For more information pleaseTEXAS: contactWell-established Dr Oscar Vargasdental at 915-276-2242. EAST practice seeks caring, proficient, and motivated dentist for associate EL PASO: We are and employment. Ourhiring officeaisskilled located in compassionate a mid-sized town dentist to join our stable and successful practice. We with abundant outdoor activities including hunting and are seeking a highly professional dentist with a knack fishing and a “small town” atmosphere. We offer all for general dentistry.Interested Prospective candidates muste-mail phases of dentistry. candidates should be dynamic, fun loving, and looking for a long term correspondence and resume to mloon242@aol.com.

commitment. Our practice is PA highly affording EDINBURG: Falcon Dentistry dbaproductive Falcon Dental our providers an opportunity to attain competitive Center seeks dentist in Edinburg. Doctor of Dental compensation. interested, please forward your CV to Surgery degree Ifrequired. Texas Dental License required. annette@vistahillsfamilydental.com. Qualified applications may submit resume directly to Atlantis Gloria Moya, office manager, via fax at 956-287EL PASO: Well-established general practice of over 4926 or via e-mail at falcondentistry@gmail.com 30 years seeking full-time general dentist associate. Associate would beFOR sole SALE: dentist at one of 2side office EL PASO PRACTICE Large West El locations with full staff including hygienist. Income Paso practice in a professional building with strong opportunity well treatment above average. collections. Each roomProfessional has large windows opportunity even greater. Send resume to with fantastic views. The practice is computerized and drartbejarano@gmail.com. has digital X-rays. Majority full fee with some PPO plans. Visit tx-pt.com or call at 214-460-4468; rich@ GALVESTON: Well-established, successful practice of tx-pt.com. 35 years needs full-time associate dentist for FFS/PPO practice. Experienced staff, new equipment, Galveston. EL PASO: Full-time position for a general dentist. Do not Senior owner loves to teach sedation, implants, and waste your best years at dead end jobs. Great earning other surgical procedures. No Medicaid, No DHMO potential and future partnership option. Affordable El practice in 6 ops, 2 surgical suites, all operatories Paso Dental is looking for a Texas-licensed dentist to computerized with digital X-ray and intra-oral cameras; work full- time in our office in El Paso, TX. Applicant digital panoramic X-ray; paperless charts for easy must be licensedVisit in the state of Texas and have one documentation. www.todaysdentistrytexas.com. year of experience. If interested pleasesouth submit a The Galveston area is just 25 minutes of Clear resume to the address:with drdarj@gmail. Lake, which hasfollowing plannede-mail communities superior com. Please provide an accurate contact number schools, multiple educational, recreational and and e-mail culturaladdress. venues as well as access to all of the Houston cultural and sport venues, shopping and restaurants. EL Selling away a state-of-the-art general practice WePASO: are minutes from all types of water sports with orthodontic patients. Building is 6,000 sq ft for including several large marinas. http://goo.gl/maps/ sale lease. Whole building Partnership lWkF.orPossibility of buy-in andavailable. partnership possible also as term. well as many other options. afteravailable an interim Interview today! E-mailBuilding CV to is beautiful and only 1 year old with 11 ops fully equipped kkcarroll10yahoo.com or call 832-385-8875. with digital X-rays, Softdent, Adec, Marcus equipment. GARY CLINTON ORTHODONTIC WEST CENTRAL Located on east side of El Paso. For more information PRACTICE FOR SALE: Gorgeous practice in a booming please contact Dr Oscar Vargas at 915-276-2242. city. Outright sale with minimal transition or longer transition as desired by apurchaser. building to EL PASO: We are hiring skilled andBeautiful compassionate lease/purchase. traffic The Texas economy dentist to join ourHigh stable andarea. successful practice. We is breaking records in this city. Call Gary Clinton, are seeking a highly professional dentist with a knack Texas Dental Journal l www.tda.org l January 2014

ADVERTISING BRIEFS for general orthodontic specialized dentistry. Prospective practice appraiser/broker. candidates must Member of the of Business Appraisers, Inc. be dynamic, funInstitute loving, and looking for a long term 1-800-583-7765. commitment. Our practice is highly productive affording our providers an opportunity to attain competitive GARY CLINTONIfDALLAS OUTLYING compensation. interested, pleaseCOMMUNITY forward your CV to PRACTICE FOR SALE: Four minutes from the downtown annette@vistahillsfamilydental.com. area of this growing, beautiful, nice sized community. Nearby wonderful schools. operatories; EL PASO:lake; Well-established generalFour practice of over average gross. A free appraisal can be very costly to 30 years seeking full-time general dentist associate. one party would or both. Clinton at is aone senior Associate be Gary sole dentist of 2 dental office appraiser, a 27-year member of the Institute of Business locations with full staff including hygienist. Income Appraisers, Inc., now the National Association of opportunity well above average. Professional Certified Valuators and Analysts (“NACVA”). I follow opportunity even greater. Send resume to the business valuation standards of the North American drartbejarano@gmail.com. Business Valuation Standards Counsel, NABVSC. Experience is critical in this most complex of business GALVESTON: Well-established, successful practice transitions. “For 40 years you’ve seen the name...a of 35 years needs FT associate dentist for FFS/PPO name you can trust.” I personally handle every practice. Experienced staff, new equipment, Galveston. sale/transition and complete Professional Certified Senior owner loves to teach sedation, implants, and Appraisals for which Congress has set guidelines under other surgical procedures. No Medicaid, No DHMO the North American Business Valuation Standards practice ops, purchases 2 surgical suites, all operatories Council. in If 6buyer your building with the computerized with digital X-ray and intra-oral cameras; practice, there is no additional charge. Every call is digital panoramic X-ray; paperless charts appraisals for easy and very confidential. General and specialty documentation. Visit funding www.todaysdentistrytexas. practice sales. 100% available. DFW 214-503com. The Galveston area is just south of Clear Lake 9696. WATS 800-583-7765. 25 minutes which has planned communities with superior schools,DALLAS multiple educational, GARY CLINTON PRACTICE NEARrecreational TRINITY and cultural venues as well access to allretiring of the Houston RIVER GREENBELT FOR as SALE: Doctor for cultural and sport venues, shopping and restaurants. health reasons; well-established 30+-year-old practice. We minutes away from all types of water sports Highare demand lower income area. A free appraisal including several marinas. http://goo.gl/maps/ can be very costlylarge to one party or both. Gary Clinton is a senior dentalofappraiser, a 27-year member of lWkF. Possibility buy-in and partnership possible the Institute of Business Appraisers, Inc., now CV theto after an interim term. Interview today! E-mail National Association oforCertified Valuators and kkcarroll10yahoo.com call 832-385-8875. Analysts (“NACVA”). I follow the business valuation standards of the ORTHODONTIC North AmericanWEST Business Valuation GARY CLINTON CENTRAL Standards Counsel, Experience is acritical in PRACTICE FOR SALE:NABVSC. Gorgeous practice in booming this complex of business “For 40 city. most Outright sale with minimaltransitions. transition or longer

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

years you’ve seen thebyname...a name you canbuilding trust.” Ito transition as desired purchaser. Beautiful personally handleHigh every sale/transition and complete lease/purchase. traffic area. The Texas economy Professional Certified Appraisals forGary which Congress is breaking records in this city. Call Clinton, has set guidelines underpractice the North American Business specialized orthodontic appraiser/broker. Valuationof Standards Council. If buyerAppraisers, purchases your Member the Institute of Business building with the practice, there is no additional charge. Inc. Call 800-583-7765. Every call is very confidential. General and specialty appraisals and practice 100%COMMUNITY funding available. GARY CLINTON DALLASsales. OUTLYING DFW 214-503-9696. 800-583-7765. PRACTICE FOR SALE: WATS Four minutes from the downtown area of this growing, beautiful, nice sized community. GARY DENTONschools. AREA GENERAL PRACTICE NearbyCLINTON lake; wonderful Four operatories; FOR SALE: D-1 DENTON PRACTICE: Five operatories; Average gross. A free appraisal can be very costly nice equipment. 30-plus-year dentist retiring. Flexible to one party or both. Gary Clinton is a senior dental transition; no low fee plans. Contact Gary Clinton, 214appraiser, a 27 year member of the Institute of Business 503-9696. Appraisers, Inc., now the National Association of Certified Valuators and Analysts (NACVA). I follow the Gary CLINTON FORT WORTH AREA 2 EXCELLENT business valuation standards of the North American PRACTICES FOR SALE: Well established adult Business Valuation Standards Counsel, NABVSC. restorative practices; doctors are both retiring; one Experience is critical in this most complex of business in great Southwest area of Fort Worth; one in nearby transitions. “For 40 years you’ve seen the name...a Ft. Worth suburb. A free appraisal can be very costly name canortrust.” personally every to oneyou party both. IGary Clintonhandle is a senior dental sale/transition and complete Professional Certified appraiser, a 27-year member of the Institute of Business Appraisals which has Association set guidelines Appraisers,for Inc., nowCongress the National of under the NorthValuators Americanand Business Valuation Standards Certified Analysts (“NACVA”). I follow Council. If buyer purchases your building with the the business valuation standards of the North American practice, is noStandards additionalCounsel, charge. NABVSC. Every call is Business there Valuation very confidential. General specialty and Experience is critical in thisand most complexappraisals of business practice sales. 100% funding available. DFW 214-503transitions. “For 40 years you’ve seen the name...a 9696. WATS name you can800-583-7765. trust.” I personally handle every sale/transition and complete Professional Certified GARY CLINTON DALLAS PRACTICE NEAR TRINITYunder Appraisals for which Congress has set guidelines the North AmericanFOR Business Standards RIVER GREENBELT SALE: Valuation Doctor retiring for Council.reasons; If buyerwell-established purchases your 30+ building the health year with old practice. practice, there is no additional charge. Every call High demand lower income area. A free appraisalis verybe confidential. General and specialty appraisals and can very costly to one party or both. Gary Clinton practice sales. 100% fundinga available. DFW 214-503is a senior dental appraiser, 27-year member of 9696. WATS 800-583-7765. the Institute of Business Appraisers, Inc., now the National Association of Certified Valuators and

ADVERTISING BRIEFS Analysts GARY CLINTON (NACVA). HOUSTON I follow the PRACTICES businessFOR valuation SALE: H-1 NORTH OFofHOUSTON Premier practice; near-7 standards the NorthAREA. American Business Valuation figure grossCounsel, with 5 operatories; exceptional recall. Over Standards NABVSC. Experience is critical in 30 years; Digital equipment. this most well-established. complex of business transitions. “ForHygiene 40 profitsyou’ve will cover service. H-2 Northwest Houston years seendebt the name...a name you can trust.” I in Lake Houston Area. established and practice. High personally handle everyWell sale/transition complete 6-figures estimated gross on 3 days. Excellent recall. Professional Certified Appraisals for which Congress This is aguidelines 7-figure practice waiting toAmerican happen. A free has set under the North Business appraisal be veryCouncil. costly toIfone party or both.your Valuation can Standards buyer purchases Gary Clinton a senior dental appraiser, a 27-year building withisthe practice, there is no additional charge. member of the Institute of Business Appraisers, Inc., Every call is very confidential. General and specialty now the National Association of Certified Valuators and appraisals and practice sales. 100% funding available. Analysts (“NACVA”). I follow the business valuation DFW 214-503-9696. WATS 800-583-7765. standards of the North American Business Valuation Standards Counsel, NABVSC. Experience is critical in GARY CLINTON DENTON AREA GENERAL PRACTICE this most complex of business transitions. “For 40 FOR SALE: D-1 DENTON PRACTICE: Five operatories; years you’ve seen the name...a name you can trust.” I nice equipment; 30 plus year dentist retiring. Flexible personally handle every sale/transition and complete transition; no low fee plans. Contact Gary Clinton 214Professional Certified Appraisals for which Congress 503-9696. has set guidelines under the North American Business Valuation Standards Council. If buyer purchases your GARY CLINTON WORTH 2 EXCELLENT building with theFORT practice, there AREA is no additional charge. PRACTICES FOR SALE: Well established adult Every call is very confidential. General and specialty restorativeand practices; doctors both retiring; one appraisals practice sales. are 100% funding available. in great Southwest area of Fort Worth; one in nearby DFW 214-503-9696. WATS 800-583-7765. Ft. Worth suburb. A free appraisal can be very costly to oneCLINTON party or both. Gary Clinton is aTEXAS senior dental GARY PANHANDLE & WEST appraiser, aFOR 27-year member of the Institute of Business PRACTICES SALE: W-1 Seven-figure collections; Appraisers, now the National Association of 60% net on Inc., 4 days a week. Only dentist in small Certified Valuators and Analysts (NACVA). I follow community. Progressive family dentist retiring to the businessUpgraded valuationequipment. standards of theoffice. North American travel. Nice Doctor will Business Valuation Standards Counsel, NABVSC.Area sell or lease building. P-1 Amarillo/Panhandle Well established practice; operating profits. A Experience is critical in thisexcellent most complex of business free appraisal can40 beyears very you’ve costly to onethe party or both. transitions. “For seen name...a Gary a seniorI personally dental appraiser, 27-year nameClinton you canistrust.” handleaevery member of the Institute of Business Appraisers, Inc., sale/transition and complete Professional Certified now the National Association Certified Valuators and Appraisals for which Congressof has set guidelines under Analysts I follow the business valuation the North(“NACVA”). American Business Valuation Standards standards the North American Businesswith Valuation Council. Ifof buyer purchases your building the

Standards Counsel, is critical practice, there is noNABVSC. additionalExperience charge. Every call is in this complex General of business “For 40 and verymost confidential. andtransitions. specialty appraisals years you’ve thefunding name...a name you can214-503trust.” I practice sales.seen 100% available. DFW personally handle every sale/transition and complete 9696. WATS 800-583-7765. Professional Certified Appraisals for which Congress has setCLINTON guidelines under the North American Business GARY HOUSTON PRACTICES FOR SALE: Valuation Standards Council. If buyer purchases your H-1 NORTH OF HOUSTON AREA. Premier practice; building practice, there is no additionalrecall. charge. excellentwith grossthe with 5 operatories; exceptional Every callyears; is very confidential. General specialty Over 30 well-established. Digital and equipment. appraisals and practice sales. funding Hygiene profits will cover debt100% service. H-2 available. Northwest DFW 214-503-9696. WATS 800-583-7765. Houston in Lake Houston Area. Well established practice. High gross on 3 days. Excellent recall. This GARY CLINTON SOUTHWEST FORT WORTH DENTAL is a million dollar practice waiting to happen. A free OFFICE SPACE FOR LEASE OR PURCHASE: Lease with appraisal can be very costly to one party or both. 3 months free rent. Dental office has been in same Gary Clinton is a senior dental appraiser, a 27-year location since 1979. No patients. Great low cost startmember of the Institute of Business Appraisers, Inc., up space. Call Gary Clinton at 214-503-9696. now the National Association of Certified Valuators and Analysts (NACVA). I follow the business valuation GARY CLINTON, BROKER/SENIOR APPRAISER OF standards of the North American Business Valuation GENERAL & SPECIALTY PRACTICES WITH 40 YEARS IN Standards Counsel, NABVSC. Experience is critical in DENTISTRY: We need sellers...general and specialty this most complex business transitions. “For 40 practices! We haveofpre qualified buyers. When we years you’ve seen the name...a name you can trust.” sell your practice, if you own your office, there is no I personally every sale/transition and complete real estate handle commission. Gary Clinton, PMA. I need Professional Certified Appraisals for which Congress practices in or near Austin, San Antonio, DFW, and has set guidelines the North American Houston area and under other metro Texas locationsBusiness which Valuation Standards Council. If buyer purchases your are in high demand. Call me confidentially, 1-880-583 building the practice, there is no additional charge. -7765 or with 214-503-9696 Dallas area. Every call is very confidential. General and specialty appraisals and practice sales. 100% funding available. DDR DENTAL™ — Houston (Woodlands / Conroe): DFW 214-503-9696. WATS 800-583-7765. PERIODONTAL PRACTICE – Two offices in growing Woodlands and Conroe. Seven figure combined gross with figure net income.&Established patient-base GARYhigh-6 CLINTON PANHANDLE WEST TEXAS with growthFOR opportunity. Well cared for collections; facilities with PRACTICES SALE: W-1 Exceptional 4 operatories in Woodlands office and 4 operatories in 60% net on 4 days a week. Only dentist in small Conroe office.Progressive Contact Chrissy at 800-930-8017 or community. familyDunn dentist retiring to www.DDRDental.com (Dental Nice Trust™ Member). travel. Upgraded equipment. office. Doctor will sell or lease building. P-1 Amarillo/Panhandle Area Well established practice; excellent operating profits. A Texas Dental Journal l www.tda.org l January 2014

ADVERTISING BRIEFS free appraisal DDR DENTAL™can – Houston be very costly (West to Side): one General party orPractice both. – Mid-6 figureis gross with VERYappraiser, high net income. Fronts Gary Clinton a senior dental a 27 year Westheimer near Beltway in established strip center. member of the Institute of8Business Appraisers, Inc., Dentist 6 figures on 4 day week. Three now theearns National Association of work Certified Valuators fullyAnalysts equipped(NACVA). operatories, 2 dentists and 1 hygiene. and I follow the business valuation Established patient-base with growth opportunity. standards of the North American Business Valuation Contact Chrissy Dunn at 800-930-8017 oriswww. Standards Counsel, NABVSC. Experience critical in DDRDental.com (Dental Trust™ Member). this most complex of business transitions. “For 40 years you’ve seen the name...a name you can trust.” I DDR DENTAL™ – Panhandle Texas: ORAL SURGERY personally handle every sale/transition and complete Practice – Seven figure gross with expected high 6 Professional Certified Appraisals for which Congress figure net income. Four fully-equipped operatories has set guidelines under the North American Business with surgical suite. Option to purchase building also Valuation Standards Council. If buyer purchases your available. Well-established referral and patient base. building with the practice, there is no additional charge. Contact Chrissy Dunn at 800-930-8017 or www. Every call is very confidential. General and specialty DDRDental.com. appraisals and practice sales. 100% funding available. DFW 214-503-9696. WATS 800-583-7765. DDR DENTAL™ - Houston (Chimney Rock): General practice - Terrific growth opportunity with newly GARY CLINTON SOUTHWEST FORT WORTH DENTAL renovated facilities. Fronts high traffic Chimney Rock OFFICE SPACE FOR LEASE OR PURCHASE: Lease with Road. Four operatories in use and plumbed for 4 3 months rent. Dental been in sq same more. Freefree standing buildingoffice with has 7,000 total ft also location 1979. No patients. low800-930cost startavailablesince for sale. Contact Chrissy Great Dunn at up space. Call Gary Clinton at 214-503-9696. 8017 or www.DDRDental.com. GARY CLINTON, BROKER/SENIOR APPRAISER OF GOLIAD: Associate/buy-in partnership opportunity GENERAL SPECIALTY PRACTICES 40 YEARS IN available in&high producing and highWITH collection practice. DENTISTRY: We needpractice. sellers...general andexcellent specialty 100% fee-for-service If you have practices! We have pre qualified When we communication skills, a light touchbuyers. and above average sell your if youOur ownpractice your office, skills, we practice, should meet. uses there Cerec is no real estate commission. Gary Clinton, PMA. I needdigital technology, places and restores implants, is 100% practices or near Austin, Antonio, DFW and and has ain high emphasis onSan cosmetic dentistry. Great emphasisarea on patient comfort oral sedationwhich used Houston and other metrowith Texas locations extensively. Our town has an excellent school district are in high demand. Call me confidentially. Call 1-880and our patients have a great appreciation 583 -7765 or 214-503-9696 Dallas area. for quality dentistry. Visit our website at www.goliaddentalcare. com. Call Associate/buy-in Dr Dan Garza at 361-645-2381 or e-mail GOLIAD: partnership opportunity dmolar@sbcglobal.net. available in high producing and high collection practice. 100% fee-for-service practice. If you have excellent

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

HOUSTON AND skills, SAN ANTONIO: Care Forabove Kids, average a communication a light touch and pediatric practice, openinguses newCerec practices skills, we focused should meet. Ourispractice in the San Antonio Houston implants, area. We is are looking technology, places and restores 100% digital for energetic general dentistsdentistry. and pediatric and has a highfull-time emphasis on cosmetic Great dentists toon join our team. We with offeroral a comprehensive emphasis patient comfort sedation used compensation and benefits package including medical, extensively. Our town has an excellent school district life, and short-term disability insurance, and longour patients have a great appreciation forflexible quality spending, and 401(K) with employer contribution. New dentistry. Visit our website at www.goliaddentalcare. graduates and dentists experience are welcome. com. Call Dr Dan Garza with at 361-645-2381 or e-mail Be a part of our outstanding team, providing care for dmolar@sbcglobal.net. kids of Texas. Please contact Anna Robinson at 913-3221447; E-mail arobinson@amdpi.com; FAX: 913-322HOUSTON AND SAN ANTONIO: Care For Kids, a 1459. pediatric focused practice, is opening new practices in the San Antonio and Houston area. We are looking HOUSTON AREA PRACTICE OPPORTUNITIES! for energetic full-time general dentists and pediatric MCLERRAN & ASSOCIATES: NEW! HOUSTON: Southeast dentists to join our team. We offer a comprehensive Houston: Well established general practice, located compensation and benefits package including medical, in highly visible shopping center, 5 operatories, stable life, long- and short-term disability insurance, flexible patient base, room for expansion, comfortable dÈcor. spending, and 401(K) with employer contribution. New (#H197)NEW! BRYAN/COLLEGE STATION: Growing, graduates and dentists with experience are welcome. general practice, PPO/FFS, 6 operatories, 2,200 active Be a part 40+ of our outstanding team, providing care for patients, new patients/month. Strong hygiene kids of Texas. Please contact Anna Robinson at 913-322program, modern professional building in a rapidly 1447; e-mail 913-322growing part arobinson@amdpi.com; of the city (#H230)NEW!FAX: BEAUMONT: 1459. State of the art, general practice, strong hygiene program, 6 operatories, 2,200 sq ft, stand-alone HOUSTON AREA PRACTICE OPPORTUNITIES! office building and ample parking also available for MCLERRAN & ASSOCIATES: NEW! SOUTHEAST purchase. Seven figure historical revenues (#H210) HOUSTON: Well established located NEW! HOUSTON: Southeast general Houston,practice, profitable in highlypractice visible shopping operatories, stable general in vibrantcenter, oil and5gas community. patient base, room strong for expansion, décor Three operatories, hygiene comfortable revenues, 1,100 (#H197). NEW! BRYAN/COLLEGE STATION:Growing, Growing, active patients. (#H194) NEW! CONROE: profitable generalPPO/FFS, practice.62,000 active patients, 4 general practice, operatories, 2,200 active operatories, digital X-rays, nice décor. Located near patients, high new patient flow/month. Strong hygiene expanding oil and gas companybuilding headquarters. Historical program, modern professional in a rapidly revenues wellofabove mid(#H230). 6-figures. (#H190) NEW! growing part the city NEW! BEAUMONT: HOUSTON: Established cosmetic State-of-the-art generalgeneral, practice,family strongand hygiene practice, hygiene 2,200 production and implant/full program,strong 6 operatories, sq ft, stand-alone mouthbuilding reconstruction focus. Free standing building office and ample parking also available for

ADVERTISING BRIEFS purchase. with high visibility/access, Exceptional historical 7 operatories, revenues1(#H210). available for expansion. Active patientHouston, count over 2,200, FFS/ NEW! HOUSTON: Southeast profitable general out of Network PPO mid 7 figuresThree in 2012. practice in vibrant oilrevenues and gas community. Seller available for ahygiene strong transition. Real estate operatories, strong revenues, 1,100 active available(#H194). for purchase. NEW! HOUSTON: patients NEW!(#H178) CONROE: Growing, profitable NORTH HOUSTON: General, family dental practice general practice. 2,000 active patients, 4 operatories, offers aspects dentistry, including conscious oil digital all X-rays, niceofdécor. Located near expanding sedation and orthodontics. LocalExcellent population increasing and gas company headquarters. historical with limited competition in the area.Established The 4,000 sq revenues (#H190). NEW! HOUSTON: ft facilityfamily has 5 treatment rooms and 4strong orthodontic general, and cosmetic practice, hygiene bays. 2012 revenues were over mid 6-figures. Strong production and implant/full mouth reconstruction new patient flow, visible location, poised for growth. focus. Free-standing building with high visibility/ 12,000 sq ft professional building also for sale by access, 7 operatories, 1 available for expansion. Active building owners. (#H177) HOUSTON: General, cosmetic patient count over 2,200, exceptionally high FFS/out practice located in a visible retail center with 1,900 of network PPO revenues in 2012. Seller available for sq ft, 4 fully equipped operatories, digital X-rays, an a strong transition. Real estate available for purchase upscale dÈcor, with adjacent lease space available (#H178). NEW! NORTH HOUSTON: General, family for possible expansion. 2012 collections were near dental practice offers all aspects of dentistry, including mid 6-figures with seller working 3 days per week. conscious sedation and orthodontics. Local population (#H180) SOUTHWEST OF HOUSTON: Established increasing with limited competition in the area. general practice, 4 operatories, stable blue collar The 4,000 sq ft facility has 5 treatment rooms2,000 and sq patient base, petrochemical economic base, 4 bays. 2012 revenues ft orthodontic building available. Doctor workingwere onlyexcellent. part-time. Strong new patient flow, visible location, poised forin a (#H174) SOUTHWEST HOUSTON: General practice growth. 12,000 sq ft professional also digital for visible retail location, 6 equipped building operatories, sale by digital building owners (#H177). throughout. HOUSTON: General, X-rays, pan, computerized Recently cosmetic practice located in a visible retail center remodeled with a comfortable décor. 2012 revenues with sq ft, 4 fully equipped digital near 1,900 7 figures. (#H173) To see ouroperatories, most up to date X-rays, upscale décor, with adjacent lease Contact space listings,an please go to www.dental-sales.com. available possible expansion. 2012 collections McLerranfor & Associates in Houston: Tom Guglielmo were excellent with seller working 3 or days per week and Patrick Johnston, 800-474-3049 281-362-1707, (#H180). SOUTHWEST OF HOUSTON: Established houstoneasttx@dental-sales.com. Practice sales, appraisals, buyer 4representation, and partnership general practice, operatories, stable blue collar consulting. patient base, petrochemical economic base, 2,000 sq ft building available. Doctor working only part-time HOUSTON/CLEAR LAKEHOUSTON: — DENTALGeneral OFFICE:practice In high in (#H174). SOUTHWEST visibility smaller professional building at highest digital traffic a visible retail location, 6 equipped operatories, corner location in adjacent familythroughout. oriented, high income X-rays, digital pan, computerized Recently remodeled with a comfortable décor. Very excellent

master planned(#H173). community. Adjacent CVS, 2012 revenues To see our most upnearby to date schools,please retail and office centers, NASA and other long listings, go to www.dental-sales.com. Practice term tenants (UTMB orthopedic and urgent childcare sales, appraisals, buyer representation, and partnership center, podiatrist and chiropractor) drive patient traffic. consulting. Contact McLerran & Associates in Houston: Nice Guglielmo finishes and all Patrick plumbing and electrical in placeor Tom and Johnston, 800-474-3049 for 6 or more operatories, offices and consult rooms. 281-362-1707, houstoneasttx@dental-sales.com. Lease incentives, negotiable terms. Dwight Donaldson — Monument RealLAKE Estate ddonaldson@ HOUSTON/CLEAR —281-240-0077 DENTAL OFFICE: In high terramarktx.com. visibility smaller professional building at highest traffic corner location in adjacent family oriented, high income LAREDO / MCALLEN: If you are looking for nearby a great master planned community. Adjacent CVS, opportunity to join an amazing team with ownership schools, retail and office centers, NASA and other long potential and minimal administrative responsibility, this term tenants (UTMB orthopedic and urgent childcare is it! We are looking for a motivated and personable center, podiatrist and chiropractor) drive patient traffic. individual with a positive attitude who is passionate Nice finishes and all plumbing and electrical in place about working with children. Our 3 locations offer for 6 or more operatories, offices and consult rooms. a modern environment with all digital records and Lease incentives, negotiable terms. Dwight Donaldson, X-rays. We offer in-office oral conscious sedation and Monument Real Estate, 281-240-0077; e-mail general anesthesia at local hospitals. Our emphasis ddonaldson@terramarktx.com. is on exceptional patient service, team member development and having a lot of fun. Our compensation LAREDO includes / MCALLEN: If you areoflooking for a with greata package a percentage collections opportunity to join amazing teamvacation, with ownership daily guarantee, plusan401k, medical, and potential and minimal administrative responsibility, this holidays. Our mission is to positively impact the lives is are looking a motivated personable ofit! ourWe patients, theirfor families and ourand team members. If individual with a positive attitude who is passionate you would like to be a part of this amazing team please about children. Ouror3 email locations offer call Dr working Guzmanwith at 956-607-0732 drguzman@ alittleheroesdentistry.com. modern environment with all digital records and X-rays. We offer in-office oral conscious sedation and general at local Ourdentist emphasis LAREDO:anesthesia We are looking forhospitals. a pediatric for is on exceptional service, member a rapidly growing patient practice. Strongteam referral sources. development having atwice lot ofafun. Our Hospital casesand performed week at compensation local hospital. State-of-the-art with digital X-rays and charts. package includespractice a percentage of collections with a If part-time, then dentist can fly in to see patients daily guarantee, plus 401k, medical, vacation, and and still maintain at their city. Partnership in holidays. Ourliving mission is to current positively impact the lives future is an option if candidate interested. emailIf of our patients, their families and our teamPlease members. t2tpdlaredo@gmail.com. you would like to be a part of this amazing team please call Dr Guzman at 956-607-0732 or e-mail drguzman@ littleheroesdentistry.com. Texas Dental Journal l www.tda.org l January 2014

ADVERTISING BRIEFS LAREDO: WePEDIATRIC LONGVIEW are looking PRACTICE for a pediatric SEEKING dentist FULL-TIME for Sherripractice. L. Henderson Associates, LLC is aASSOCIATE: rapidly growing Strong&referral sources. looking for a qualified associate transition into an Hospital cases performed twice atoweek at local hospital. active pediatric dental practice. The X-rays associate be State-of-the-art practice with digital andwill charts. working withthen a knowledgeable great new If part-time, dentist can flystaff in toand seeapatients and patient flow. living This practice dedicated performing still maintain at their iscurrent city. to Partnership in high quality dental care to the children and adolescents future is an option if candidate interested. Please e-mail of the surrounding communities. The dentist/owner t2tpdlaredo@gmail.com. established the practice 14 years ago, and offers a future opportunity to buy-in. ThisSEEKING beautifulFULL-TIME pediatric LONGVIEW PEDIATRIC PRACTICE practice is 5,000 sq L. ft,Henderson with 4 doctor chairs and 4 ASSOCIATE: Sherri & Associates, LLC is hygiene chairs, plus a quiet room and a new patient looking for a qualified associate to transition into an room. A full-time schedule of 4.5 days per week is active pediatric dental practice. The associate will be offered, with salary based on 40% of production. working with a knowledgeable staff and a great new Health insurance and benefit plans are negotiable. For patient flow. This practice is dedicated to performing more information, please contact our office at 972-562high quality dental care to the children and adolescents 1072, email sherri@slhdentalsales.com, or visit our of the surrounding communities. The dentist/owner website at www.slhdentalsales.com (Photos available). established the practice 14 years ago, and offers a Listing #3435. future opportunity to buy-in. This beautiful pediatric practice is 5,000 sq ft, with 4 doctor chairs and 4 MIDLAND: One of the fastest growing cities in Texas hygiene chairs, plus a quiet room and a new patient needs a dynamic, caring, patient-focused dentist room. A full-time 4.5 days and/ per week is to join our growingschedule practice.ofAssociate buy-in offered, with salary based onPlease 40% of production. opportunities are available. contact Dr Britt Health insurance and benefit plans are negotiable. Bostick, DDS, at bbost35821@aol.com or call 806-438Listing 5745. #3435. Photos available. For more information, please contact our office at 972-562-1072, e-mail

artery nearFANTASTIC downtown.OPPORTUNITY: Doctor desiresGeneral career transition. MIDLAND Dental Call 432-638-2583. Practice for sale. Nation’s #1 per capita income, booming economy, consistently low unemployment NORTH TEXAS: Pediatric dentist needed for busy north rate. Well-established (over 30 years) practice with Texas practice. Enjoyfour lifetotal in Sherman, Texas, a familyDexis, digital pano, operatories, fee-fororientedno city withor the convenience just 1 hour north service, PPO’s capitation plans, little external of Dallas, but without the hustle and bustle of the big marketing. Excellent net on 3.5 days per week. Loyal, city! Excellent opportunity for motivated long-term staff.practice Beautiful, free-standing, custom and nurturing pediatric dentistalso seeking full-time associate designed and built office for sale or lease. Four with potential for partnership. Practice has a great operatories, lab, sterilization area, private office, reputation and is committed to providing quality consultation room, staff lounge, business office, comprehensive care for our patients and families in a reception area and covered parking. Located on major fun and relaxed atmosphere. State-of-the-art facility artery near downtown. Doctor desires career transition. with highly trained and dedicated staff. Competitive Call 432 638 2583. compensation and benefits. Fee-for-service, limited Medicaid. Must possess high personal standards, strong NORTH TEXAS: Pediatric dentist needed for busy north work ethic, excellent technical and communication Texas practice. Enjoy life in Sherman, Texas, a familyskills, and be willing to treat the full range of pediatric oriented city with the convenience just 1 hour north dental patients. Opportunities for in office conscious of Dallas, but without the hustle and bustle of the big sedation, IV sedation and hospital dentistry. Please city! Excellent practice opportunity for motivated and email resume/CV to bth1@cableone.net. nurturing pediatric dentist seeking full-time associate with for needed. partnership. great surgeon OralPractice surgeonhas willa be Oralpotential reputation andday is committed to providing quality busy for a full or 2 with implant and bone grafts. comprehensive care for our patients and families a Competitive pay. Flexible in scheduling. Please callin361fun and relaxed atmosphere. State of the art facility 387-3442. with highly trained and dedicated staff. Competitive

sherri@slhdentalsales.com, or visit our websiteDental at MIDLAND FANTASTIC OPPORTUNITY General www.slhdentalsales.com. Practice for sale. Nation’s #1 per capita income, booming economy, consistently low unemployment MIDLAND: One of the (over fastest30growing cities in with Texas rate. Well-established years) practice

compensation and benefits. Fee-for-service, limited Oral SURGERY PRACTICES: D-1 DALLAS SUBURBAN Medicaid. high personal standards, strong MID-SIZEDMust CITY. possess Very nice office. Bread and butter work ethic, excellent and communication practice. Three day atechnical week practice; excellent referral skills, willing to treat full range of pediatric base. and SA-1beSan Antonio Fastthe Growing Outlying

needs a dynamic, patient-focused Dexis, digital pano,caring, four total operatories,dentist fee for service, no growing PPO’s orpractice. capitation plans, little to join our Associate and/external buy-in marketing. Excellent net on 3Please 1/2 days per week. opportunities are available. contact Dr Britt Loyal, long-term staff. Beautiful, free-standing, custom Bostick, DDS, at bbost35821@aol.com or call 806-438designed and built office also for sale or lease. Four 5745. operatories, lab, sterilization area, private office, consultation room, staff lounge, business office, reception area and covered parking. Located on major

dental patients. Opportunities in office conscious Community. Lakes, Hill Countryfor beauty; highly rated schools. Flexible transition. Will phase out PRN. High sedation, IV sedation and hospital dentistry. Please net on resume/CV 4 days a week. Mid-sized community. W-1 e-mail to bth1@cableone.net. West Texas Central Area. Oral surgeon retiring; Flexible transition. Seller phase out.Oral Highsurgeon net overwill 50%. ORAL SURGEON NEEDED: be Midsized for community. All2are confidential. busy a full day or with implant andGary boneClinton, grafts. Oral Surgery Appraiser. 1-800-583-7765. Competitive pay. Flexible in scheduling. Please call 361-

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

387-3442.

ADVERTISING BRIEFS PEDIATRIC ORAL SURGERY PRACTICE PRACTICES: FOR SALE:D-1 Very DALLAS large private SUBURBAN pediatric practice in large Texas, MID-SIZED CITY. Very nicemetropolitan office. Breadarea and in butter mix of PPO and Medicaid in practice; a beautiful, free-standing practice. Three day a week excellent referral 5,000 ft building with 10 Highly profitable base. sq SA-1 San Antonio Fastchairs. Growing Outlying private practice established 30 years. Texas Practice Community. Lakes, Hill Country beauty; highly rated Transitions, Inc. Rich Nicely has serving Texas schools. Flexible transition. Willbeen phase out PRN. High dentists since 1990. Visit www.tx-pt.com or call at net on 4 days a week. Mid-sized community. W-1 214460-4468; West Texasrich@tx-pt.com. Central Area. Oral surgeon retiring; Flexible transition. Seller phase out. High net over READY TO SELL â&#x20AC;&#x201D; CORPUS CHRISTI Sherri Gary 50%. Mid-sized community. All are AREA: confidential. L. Henderson & Associates. The DDS is relocating to Clinton, Oral Surgery Appraiser. 1-800-583-7765. another city. This cosmetic and general dentistry practice was established in 1982 in a professional office PEDIATRIC PRACTICE FOR SALE: Very large private complex with 1,400 sq ft and 3 existing treatment pediatric practice in large metropolitan area in Texas, rooms. This location would make a great place for a mix of PPO and Medicaid in a beautiful, free-standing start-up or satellite practice and it has plenty of space 5,000 sq ft building with 10 chairs. Highly profitable next door for expansion. The location is on one of private practice established 30 years. Texas Practice the busiest streets with access to Padre Island Drive. Transitions, Inc. Rich Nicely has been serving Texas This is a cash basis practice with a dedicated loyal staff dentists since 1990. Visit www.tx-pt.com or call at 214and great revenue potential. The current owner has 460-4468; Rich@tx-pt.com. extensive experience with TMJ and sleep apnea and would be willing to return to the practice periodically READY TO owner SELL â&#x20AC;&#x201D;was CORPUS CHRISTI AREA: Sherri if the new interested. #3070 (Pictures L. Henderson & Associates. The DDS is relocating available) Contact 972-562-1072 or email sherri@to another city. This cosmetic and general dentistry slhdentalsales.com www.slhdentalsales.com. practice was established in 1982 in a professional office complex with 1,400 sq WEST: ft and Associate 3 existingneeded. treatment SAN ANTONIO NORTH rooms. Thisgeneral locationdental wouldpractice make aseeking great place for a Established quality start-up or satelliteNew practice and itand hasexperienced plenty of space oriented associate. graduate next door for expansion. The preferred. location is Please on onecontact of dentists welcome. GPR, AEGD theHenry busiest with accessorto Padre Island Drive. Dr Chustreets at 210-684-8033 versed0101@yahoo.com. This is a cash basis practice with a dedicated loyal staff SAN ANTONIO: Pediatric dentist. and great revenue potential. The Well-established current owner has and growing pediatricwith practice seeking caringand extensive experience TMJ isand sleep aapnea and energetic associate fortoa the full-time andperiodically part-time if would be willing to return practice position. We offer excellent production with the new owner was interested. Listing #3070.incredible Pictures earning potential, vacation and other benefits. New available. Contact 972-562-1072 or e-mail sherri@ graduates are welcome. Please submit your resume to slhdentalsales.com; www.slhdentalsales.com. velezluke@yahoo.com.

SEEKING A SPANISH SPEAKING ASSOCIATE for 2 days SAN ANTONIO NORTH WEST: Associate needed. aEstablished week. Ultimately for partnership. generallooking dental practice seeking Forward quality resumes olya.caldwell@drcaldwellbmt.com. oriented to associate. New graduate and experienced dentists welcome. GPR, AEGD preferred. Please contact SLH DENTAL (Sherri L. Henderson & Associates): Dr Henry ChuSALES at 210-684-8033 or versed0101@yahoo. Consulting and staging for your transition! Let us com. help you make a transition plan. We can analyze the market, review your current patient base, secure the SAN ANTONIO: Pediatric dentist. Well-established staff, spruce up the office space, much more. We and growing pediatric practice is and seeking a caring specialize in practice transition consulting can assist and energetic associate for a full-time andand part-time you in a plan to help you create all the right position. We offer excellent production withconditions incredible to begin that step from retiring to starting up a new earning potential, vacation and other benefits. New practice. Our team has decades of hands-on experience graduates are welcome. Please submit your resume to in the dental market place as practice owners, velezluke@yahoo.com. employees, and management advisors. ASSOCIATES, PARTNERS AND BUYERS AVAILABLE. Are you seeking SEEKING A SPANISH SPEAKING ASSOCIATE for 2 days an associate, partner, or buyer? SLH has qualified a week. Ultimately looking for partnership. Forward candidates ready in all parts of Texas looking for your resumes to: olya.caldwell@drcaldwellbmt.com. specific practice profile. There are many graduates as well as very experienced dentists looking for the sLH DENTAL sALEs (sHERRi L. HENDERsoN & opportunity to transition into your already established AssoCiATEs): Consulting and staging for your practice. These dentists have great people skills, case transition! Letexperience us help youand make transition plan. We presentation canabe a very valuable and can analyze the market, patient reliable addition to your review bottomyour line.current CONTACT US. If base,are secure theabout staff, the spruce the office space,would you unsure rightuptiming or simply and to much in practice like talk more. about We the specialize opportunities, call ustransition today for a consulting and can assist you in a plan to help you complimentary consultation in person or by telephone. create all the right to begin thatCall stepon from All contact with youconditions is strictly confidential. our retiring to starting up a new practice. Our team has experience to assist you in making that transition dream decades aofreality. hands-on in the dentalsherri@ market become Callexperience 972-562-1072 or email place as practice owners, employees, and management slhdentalsales.com, website slhdentalsales.com. advisors. ASSOCIATES, PARTNERS AND BUYERS SUGAR LAND, PEARLAND AND THE AVAILABLE. AreCYPRESS, you seeking an associate, partner, or WOODLANDS: and part-time positions buyer? SLH hasFullqualified candidates ready inavailable. all parts Well established andyour rapidly growing practices that of Texas looking for specific practice profile. There offer great financial opportunity. High income potential are many graduates as well as very experienced dentists and future position. E-mail CV to Dr Mike looking for equity the opportunity to transition into yourKesner, drkesner@madeyasmile.com. already established practice. These dentists have great people skills, case presentation experience and can be a Texas Dental Journal l www.tda.org l January 2014

ADVERTISING BRIEFS very valuable TEXAS PRACTICE andTRANSITIONS: reliable addition Rich to your Nicely bottom has line. been serving since 1990.theVisit www. CONTACT US.Texas If youdentists are unsure about right timing or tx-pt.com or call simply would likeatto214-460-4468; talk about the rich@tx-pt.com. opportunities, call us ORTHODONTIC PRACTICES:consultation Five-chair orthodontic today for a complimentary in person or by practice in McKinney. office telephone. All contact Eight-chair with you is orthodontic strictly confidential. in Arlington. PEDIATRIC: pediatric Call on our experience toVery assistlarge you private in making that practice in large metropolitan area in Texas, mix transition dream become a reality. Call 972-562- of PPO Medicaid in a beautiful, free-standing 5,000 1072and or e-mail sherri@slhdentalsales.com, website sq ft building with 10 chairs. Highly profitable private slhdentalsales.com. practice established 30 years. MCKINNEY: mid-sized collections in 5CYPRESS, treatmentPEARLAND rooms in aAND beautifully SUGAR LAND, THE finished facility, paperless, 100% digital practice with WOODLANDS: Full- and part-time positions available. a digital pano. NORTH TEXAS: Large prosthodontic Well established and rapidly growing practices that practice 30 minutes from Dallas, premier free-standing offer great financial opportunity. High income potential building with 7 ops, 100% digital, 100% full fee. RURAL and future equity position. E-mail CV to Dr Mike Kesner, 30 MINUTES FROM DALLAS. Smaller practice in a nice drkesner@madeyasmile.com. free-standing building, digital X-rays, 100% full fee. DALLAS SUBURB: Large practice, 6 ops, 100% digital, TEXAS PRACTICE TRANSITIONS: Rich Nicely has 1,900 full fee patients, 8 days of hygiene. WEST TEXAS, been serving Texas dentists since 1990. Visit www. small practice in Panhandle area. ONE HOUR NORTH tx-pt.com or call at 214-460-4468; rich@tx-pt.com. OF HOUSTON: Medium-sized full-fee practice, freeORTHODONTIC PRACTICES: Five chair standing building, digital X-rays. EASTorthodontic TEXAS: Very practice in McKinney. Eight-chair orthodontic low overhead, medium sized full fee practice inoffice freein Arlington. PEDIATRIC: Very large private pediatric standing building. practice in large metropolitan area in Texas, mix of PPO Medicaid in a beautiful, free-standing Practice5,000 Sales. THE and HINDLEY GROUP, LLC Dental sq ft building with 10 chairs. Highly profitable private NEW LISTING! NORTH HOUSTON ENDO PRACTICEpracticeregarded established 30 years.selling MCKINNEY: mid-sized Highly endodontist well established collections 5 treatment rooms inSeven a beautifully practice dueinto family relocation. figures in finished facility, paperless, 100% practice with revenues on 3 days per week withdigital very strong profit a digital pano. NORTH TEXAS: Large prosthodontic margin. Friendly, knowledgeable staff. NEW LISTING! practice 30 minutes from Dallas, WEST TEXAS PRACTICE FOR SALE:premier Practicefree-standing in same location 34 years! This general building for withover 7 ops, 100% digital, 100% dental full fee.practice RURAL is 4 daysFROM per week, 1,250 sq ft, with 3 fully 30open MINUTES DALLAS. Smaller practice in a nice equipped operatories well as a space forfull hygiene. free-standing building,asdigital X-rays, 100% fee. Middle, upper-middle class patient demographic, DALLAS SUBURB: Large practice, 6 ops, 100% digital, mostly insurance with some revenues. WEST 1,900 full fee patients, 8 dayscash of hygiene. WEST TEXAS, HOUSTON PRACTICE FOR SALE — Small general dental small practice in Panhandle area. ONE HOUR NORTH

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

practice with high percentagefull-fee restorative revenues. OF HOUSTON: Medium-sized practice, freeAverage new patients month. 2 fully-equipped standing 8building, digitalper X-rays. EAST TEXAS: Very operatories with 1 additional hygienepractice room and another low overhead, medium sized full-fee in freeroom plumbed for expansion. Digital pano. Same standing building. location for 13 years. Cash and insurance revenues. Motivated seller! Excellent opportunity for start up THE HINDLEY GROUP, LLC DENTAL PRACTICE SALES: at low cost. SOUTH OF HOUSTON, TEXAS COASTAL NEW LISTING! NORTH HOUSTON ENDO PRACTICE: PLAINS GENERALendodontist DENTAL PRACTICE FOR established SALE — WellHighly regarded selling well established years and in same location forhigh last practice duefor to 28 family relocation. Exceptionally 17. Strong and healthy marginprofit on 4 days revenue onrevenues 3 days per week withprofit very strong per week! 2,500 sq ft building with 4 fully-equipped margin. Friendly, knowledgeable staff. NEW LISTING! operatories also for sale. Experienced, dependable staff. WEST TEXAS PRACTICE FOR SALE: Practice in same Great opportunity! WEST CENTRAL TEXAS PRACTICE location for over 34 years! This general dental practice FOR SALE: 25-year-old well-established family dental is open 4 ½ days per week, 1,250 sq ft, with 3 fully practice for sale. Open 4.5 days per week. 2,400 sq ft equipped operatories as well as a space for hygiene. building with 4 fully-equipped operatories. Three direct Middle, upper-middle class patient demographic, digital X-Ray units in operatories plus numerous other mostly insurance with some cash revenues. WEST upgrades to equipment and building, which is also for HOUSTON PRACTICE FOR SALE:- Small general dental sale. Steady new patient growth and outstanding staff. practice with high percentage restorative revenues. NORTHWEST HOUSTON GENERAL DENTAL PRACTICE: Several new patients per month. 2 fully-equipped Well established, very traditional practice with operatoriesfee-for-service with 1 additional hygiene andprofit another moderate revenues androom healthy room plumbed for expansion. Digital pano. Same margin. Open 4 days a week. 1,200 sq ft facility with location for 13 years. Cash andDoctor insurance revenues. 3 fully-equipped operatories. retiring. NORTH Motivated seller! Excellent opportunity for start OF HOUSTON GENERAL DENTAL PRACTICE: Very up well at low cost. SOUTH OF HOUSTON, TEXAS COASTAL established practice in the same location for 31 years. PLAINS GENERAL DENTALwith PRACTICE WellModerate cash revenues some FOR PPO SALE: insurance. established for428 years in same for2last Practice open days perand week; 2,200location sq ft with fully 17. Strong revenues and healthy profit margin on 4 days equipped operatories and 3 additional plumbed. Loyal, per week! 2,500 ft building with 4ALBUQUERQUE, fully equipped experienced staff.sqDoctor is retiring. operatories also for sale.DENTAL Experienced, dependable NEW MEXICO GENERAL PRACTICE: Same staff. Great opportunity! TEXASoperatories. PRACTICE location for 8 years.WEST ThreeCENTRAL fully equipped Steady growth with 20 well-established to 40 new patients per dental month. FOR SALE: 25-year-old family Significant with revenues. Call practice forMedicaid sale. Open 4.5growing days perPPO week. 2,400 sq ft 800-856-1955 or email jenny@thehindleygroup.com. building with 4 fully equipped operatories. Three direct digital X-Ray units in operatories plus numerous other upgrades to equipment and building, which is also for sale. Steady new patient growth and outstanding staff.

ADVERTISING BRIEFS NORTHWEST WACO: Great HOUSTON associate opportunity. GENERAL DENTAL Waco PRACTICE: practice looking for motivated a desire Well established, very associate traditionalwith practice withto join a PPO/fee-for-service practice. Great pay, great profit work moderate fee-for-service revenues and healthy environment 2 other dentists notch staff. margin. Openwith 4 days a week. 1,200and sq fttop facility with Please contact Droperatories. Johnson at 435-237-2339 email at 3 fully equipped Doctor retiring.orNORTH johnson.2978@gmail.com. OF HOUSTON GENERAL DENTAL PRACTICE: Very well established practice in the same location for 31 years. WESLACO: Private practice is looking for ainsurance. licensed fullModerate cash revenues with some PPO time general Hours are 2,200 Monday Practice opendentist. 4 days per week. sq through ft with 2Friday, fully 8:00 AM to 5:00 PM. Call 956-655-8295. equipped operatories and 3 additional plumbed. Loyal, experienced staff. Doctor is retiring. ALBUQUERQUE, NEW MEXICO GENERAL DENTAL PRACTICE: Same location for 8 years. Three fully equipped operatories. Steady growth with 20 to 40 new patients per month.

Significant Medicaid with growing PPO revenues. Call

Office Space

800-856-1955 or e-mail jenny@thehindleygroup.com. BEAUMONT: beautiful orthodontic office for lease, WACO: Great New associate opportunity. Waco practice completely furnished and equipped the best location looking for motivated associate withon a desire to join Beaumont, 6 chair bay, 2 business 2300 sq ft ainPPO/fee-for-service practice. Great offices. pay, great work with lots of supplies. For more information, please call environment with 2 other dentists and top notch staff. 409-861-2851 or email drtsyler@gmail.com. Please contact Dr Johnson at 435-237-2339 or e-mail at johnson.2978@gmail.com. DALLAS AND ROCKWALL: Orthodontic or other specialty office for lease to share with owner. Furnished WESLACO: Private practice is looking for a licensed fulland equipped. Dallas office is 4,000 sq ft in Lake time general dentist. Hours are Monday through Friday, Highlands area with 2,500 sq ft leasable residence 8:00 AM to 5:00 PM. Call 956-655-8295. above. Rockwall office is 1,800 sq ft in antique building and furnishings. E-mail rcppc@sbcglobal.net.

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 January 2014

ADVERTISING BRIEFS EL PASO: Lease space previously occupied for 23 years by oral surgeon. Plumbed for gases and suction; 2 operatories, 2 consult rooms; large storage area; BEAUMONT: beautiful officeJust foroff lease, finance room;New private office;orthodontic kitchen/lounge. completely furnished andWestside. equippedLocated on the best location the busiest street on the in between Beaumont — 6 chair bay, 2 business 2300kept sq 2ingeneral dentists and orthodontist nextoffices. door. Well ft with lots of supplies. Forrent. more information, please at building. Very reasonable Contact Rick Ponsford call 409-861-2851 or e-mail drtsyler@gmail.com. 915-581-4440 or 915-526-0109.

Office SPace

GRANBURY: location,Orthodontic high visibility traffic. DALLAS ANDGreat ROCKWALL: or and other Approx 6,000 sqfor ft building, approx 3,000 sq ftFurnished of specialty office lease to share with owner. dental; 6 ops. For lease or possible 817-263and equipped. Dallas office is 4,000sale. sq ftCall in Lake 9014 or e-mail jeremy@mirandadentistry.com. Highlands area with 2,500 sq ft leasable residence above. Rockwall office is 1,800 sq ft in antique building HOUSTON / LEAGUE CITY: Medical/office space and furnishings. E-mail rcppc@sbcglobal.net. available for lease in a stellar location, right outside the largest school in Texas with 4,200 students on campus. EL PASO: Lease space previously occupied for 23 In a fast growing area with a lot of young families, years by oral surgeon. Plumbed for gases and suction; located close to the waterfront, boardwalk, Gulf Coast 2 operatories, 2 consult rooms; large storage area; beaches, Houston downtown, NASA and Hobby Airport. finance room; private office; kitchen/lounge. Just off Home to one of the state’s top rated Independent the busiest street on the Westside. Located in between school districts, stunning yet affordable waterfront 2 general dentists and orthodontist next door. Well kept neighborhood developments, NASA, Boeing, UTMB. building. Very reasonable rent. Contact Rick Ponsford at Contact Vijay Bhagia, 832-618-0652 or eduvillageland@ 915-581-4440 or 915-526-0109. gmail.com. GRANBURY: Great location, high visibility and traffic. NORTH TEXAS DENTAL PRACTICE OPPORTUNITIES: Approx 6,000Profession sq ft building, approx sq ftcareer of Lewis Health Services has3,000 multiple dental; 6 ops. available For lease in orthe possible sale. Call 817-263opportunities greater Dallas/Fort 9014 orarea. e-mail jeremy@mirandadentistry.com. Worth Practices for sale, associate opportunities, finished out dental offices, and specialty practice opportunities. Lewis Health Profession Services HOUSTON / LEAGUE CITY: Medical/office spacehas 30 years experience practice transitions, available for lease inina dental stellar location, right outside the with over 1,000insuccessful completed. largest school Texas withtransitions 4,200 students on campus. Dentistry is our only In a fast growing areabusiness. with a lotWe of confidentially young families,deal with all clients. Lewis Health Profession offers seller located close to the waterfront, boardwalk, Gulf Coast representation, buyer representation, opportunity beaches, Houston downtown, NASA and Hobby Airport. assessments, placement and strategic Home to one associate of the state’s top rated Independent

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

planning services. Pleaseyet check out our waterfront web site school districts, stunning affordable at www.lewishealth.com for current neighborhood developments, NASA, opportunities. BOEING, UTMB. Contact Dan at832-618-0652 Lewis Health Profession Services VijayLewis Bhagia or eduvillageland@ 972-437-1180 gmail.com. or dan@lewishealth.com for additional information. NORTH TEXAS DENTAL PRACTICE OPPORTUNITIES: SAN ANTONIO 4-OPERATORY PRACTICE FOR SALE: We Lewis Health Profession Services has multiple career have outgrownavailable the space, looking to relocate. Space is opportunities in the greater Dallas/Fort perfectarea. for a specialist. Transition available. The space is Worth Practices for sale, associate opportunities, located right off theoffices, Dominion Club golf course finished out dental andCountry specialty practice in San Antonio. Lewis Very modern, tranquil, pleasant opportunities. Health Profession Serviceslocation, has granite countertops, plumbed for nitrous, second floor 30 years experience in dental practice transitions, with balcony. Please contact Dr Stratton at 210-687with over 1,000 successful transitions completed. 1150 or e-mail tiffini@dominiondentalspa.com. Dentistry is our only business. We confidentially deal with all clients. Lewis Health Profession offers seller SEGUIN: Orthodontic office space for lease in. Office representation, buyer representation, opportunity was phased down when orthodontist retired. Office is assessments, associate placement and strategic equipped and functional. Great for a start up or a satellite planning services. Please check out our website at location. Email inquiries to lmassadds@gmail.com. www.lewishealth.com for current opportunities. Contact Dan Lewis at Lewis Health Profession Services

for sale

972-437-1180 or dan@lewishealth.com for additional information.

EQUIPMENT FOR SALE: New handheld portable X-ray SAN 4-OPERATORY PRACTICE FOR SALE: unit. ANTONIO New intraoral wall X-ray unit, new mobile X-rayWe have outgrown space, looking to relocate. Space is on wheels. Newthe chairs/units operatory packages, new perfect a specialist. Transition available. Thewarranty. space is implantfor motors. Everything is brand new, with located off the Dominion Country Club golf course Contact right nycfreed@aol.com. in San Antonio. Very modern, tranquil, pleasant location, granite countertops, plumbed for nitrous, (1), second floor EQUIPMENT FOR SALE: Panoramic/Ceph panoramic with Please contact Dr Stratton 210-687X-raybalcony. (1), 70 KVP x-rays (3), dental chairsat (3), dental 1150 lights or (3),e-mail Portertiffini@dominiondentalspa.com. N2O units (3), Steri Source Sterilization Center (1), and misc items. Inquire with Nora or Bev 361-992-9500 or emailoffice beverly@paulkennedydds.com. SEGUIN: Orthodontic space for lease in. Office was phased down when orthodontist retired. Office is equipped and functional. Great for a start up or a satellite location. E-mail inquiries to lmassadds@gmail. com.

ADVERTISING BRIEFS LOOKING TO HIRE A TRAINED DENTAL ASSISTANT?

fOr SALEServices Interim

We have PLACE dental assistants graduating 3 A CLASSIFIED ADevery IN THE

EQUIPMENT FOR SALE: New handheld portableSick X-ray HAVE MIRROR AND EXPLORER, WILL TRAVEL: leave,New maternity leave, vacation, death, unit. intraoral walldeployment, X-ray unit, new mobileor X-ray I will cover your Call Robert Zoch,packages, DDS, MAGD on wheels. New office. chairs/units operatory newat 512-263-0510 orEverything drzoch@yahoo.com. implant motors. is brand new, with warranty. Contact nycfreed@aol.com. OFFICE COVERAGE for vacations, maternity leave, illness. Protect your practice and income. (1), Forest Irons EQUIPMENT FOR SALE: Panoramic/Ceph panoramic and (EST). Web: www. X-rayAssociates, (1), 70 KVP800-433-2603 x-rays (3), dental chairs (3), dental forestirons.com. “Dentists Helping Dentists Since 1983.” lights (3), Porter N O units (3), Steri Source Sterilization 2

Center (1), and misc items. Inquire with Nora or Bev

miscellaneous

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TEXAS DENTAL JOURNAL

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512-263-0510 or drzoch@yahoo.com. LOOKING TO HIRE A TRAINED DENTAL ASSISTANT? We have dental assistants graduating every 3 OFFICE COVERAGE for vacations, maternity leave, Classified_qtr page for TDJ.indd months in Dallas and Houston. To hire or to host illness. Protect your practice and income. Forest Irons a 32-hour externship, please call the National and Associates, 800-433-2603 (EST). Web: www. School of Dental Assisting at 800-383-3408; Web: forestirons.com. “Dentists Helping Dentists Since 1983.” PRINT: schoolofdentalassisting-northdallas.com.

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

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