TexasGP Spring 2013 by Texas Academy of General Dentistry

TEX SGP Spring 2013, Volume 39, Issue 2

Official Publication of the Texas Academy of General Dentistry

New Dentist Conference pg. 16

ANCER

White Teeth, Red Wine

Affordable Care Act Update p. 20

“Expand your mind and come unWINEd”

June 7 & 8, 2013

Lone Star Dental Conference p. 8

person dies every hour of Oral Cancer Awareness p. 10-11

EVERY DAY from oral cancer

Get Connected 2012-2013 Board of Directors

2012-2013 Component Presidents

President Mark Peppard, DDS, MAGD Austin

Immediate Past President Joey Cazares, DDS, FAGD McAllen

Brazos Valley AGD Craig Scasta, DDS, FAGD Bryan

Central Texas AGD Ashley Strickland, DDS Austin

President Elect Donna Miller, DDS, MAGD Waco

Secretary/Treasurer Paige Sohn, DDS, MAGD Frisco

Dallas AGD David Ku, DDS Lewisville

El Paso AGD Neal Gronich, DDS El Paso

Editor Andrew Lazaris, DDS, FAGD Plano

Director Marko Alanis, DDS Edinburg

Fort Worth AGD Jon Greene, DDS Fort Worth

Houston AGD Gabriel Yammine, DDS, MAGD Houston

Director Kevin Gureckis, DMD, MAGD Boerne

Director Jeffrey Geno, DDS, MAGD League City

Panhandle AGD Tom Karr, DDS, MAGD Amarillo

Rio Grande Valley AGD Joe Zacarias, DDS McAllen

Director Marc Worob, DDS, FAGD Austin

Director Jennifer Bone, DDS, MAGD Kerrville

San Antonio AGD Brady Morehead, DDS, MAGD San Antonio

South Texas AGD Ted Thompson, DDS, FAGD Corpus Christi

Director Wayde Fawcett, DDS, MAGD Houston

National Trustee Douglas Bogan, DDS, FAGD Houston

Regional Director David Tillman, DDS, MAGD Fort Worth

Executive Director Connie Sonnier, CAE Round Rock

Staff

Important Contacts

Lindsey Robbins Education Director lindsey@tagd.org

• TAGD 512-244-0577 877-464-8243 (Toll-free) 512-244-0476 (fax) www.tagd.org

Laura Ceglio Communications Director laura@tagd.org Jessica Osterchrist Marketing Director Jessica@tagd.org Syereen Sengari Administrative Manager adm@tagd.org

• AGD 888-243-3368 www.agd.org • ADA 800-621-8099 www.ada.org • TDA 800-832-1145 www.tda.org • TSBDE 512-463-6400 www.tsbde.state.tx.us

Disclaimer: The TAGD does not necessarily endorse opinions or statements contained in articles or editorials published in the TexasGP. The publication of advertisements in the TexasGP does not indicate endorsement for products and services. Texas GP is published quarterly by the Texas Academy of General Dentistry, 409 West Main Street, Round Rock, TX 78664. Address changes should be sent to the TAGD. TexasGP is provided as a member service to members of the TAGD. Nonmember subscription rates are $25.00 individual and $40.00 institutional. Canadian orders add $5.00; outside the U.S. or Canada, add $10.00. Single copy rates are $3.00 to individuals and $4.50 to institutions (orders outside the U.S. add $1.00 postage). All orders must be prepaid in U.S. dollars. Printed in U.S.A. Copyright 2013, Texas Academy of General Dentistry, Round Rock, TX. No portion of TexasGP may be reproduced in any form without prior written permission from the TAGD. The opinions expressed by TexasGP are not necessarily endorsed by the TAGD. The publication of an advertisement in TexasGP does not indicate endorsement for products and services. TAGD/AGD approval for continuing education courses or course sponsors will be clearly stated.

TAGD President’s Message To quote a very wise and respected member of the dental and

Masters. They are discussing the issues of our

political professions, and I paraphrase, the wisdom of the Texas

times and we are producing the leaders of the

Forefathers was to create a legislature that could only meet for 140

future. You too can be involved! Bring a non-

days…..every two years. Unfortunately, is seems that legislative,

member with you!

regulatory and political issues are constantly in our face. TAGD partnered with TDA for Legislative Day. Our organization is The Texas Academy of General Dentistry has stepped up to the

now recognized as a viable partner to in organized dentistry. Our

plate over the last several years to confront the issues that affect

opinions and positions are being sought for every issue confronting

not only our members, but every practicing general dentist in the

dentistry by legislators and regulatory bodies. Your Board is

State of Texas. Our membership has grown to over 2,700 members.

working diligently to not only protect our member’s investment

Our Fellowship and Mastership programs are bursting with not

in the Academy, but to help it grow through Advocacy, Fiduciary

only participants, but with enthusiastic practitioners seeking a

Diligence and good old fashion Camaraderie. It’s good to be a TAGD

pathway to quality continuing education and a bully pulpit to be

Dentist in Texas….Ya’ll.

the expert Voices of the General Dentist in Texas. Our New Dentist committee conducts one of the best attended

Mark Peppard, DDS, MAGD President

and exciting New Dentist Conferences anywhere in the USA. These young practitioners are improving their skills from quality speakers and becoming savvier from their mentorship with the

Table of Contents Editor’s Message .................................................................... 4 Lone Star Dental Conference ............................................ 8

p.6-7

Oral Cancer Awareness ................................................ 10-11 Classifieds ............................................................................. 12 TDA Legislative Day ............................................................ 14 Dental Graduate Resources .............................................. 15

p.16

Advertising Rules Update .................................................. 19 Affordable Care Act ............................................................ 20 Calendar of Events ............................................................... 23

p.17 TEX SGP

Editor’s Message Dental Fillins Two of my best friends live in Albuquerque and Denver. As it turns out, we all have daughters the same age, 8. When we get together a couple times a year, we make it a point to include the girls. At their age, a lot of activities center around doing things together. For their “hey, we’re not that old, we’re still cool” dads, it’s more about the being together. Some of trips don’t even have set plans now. Basically, show up and hang out. Less about the “doing” and more about the “being”. Leading up to the trips, the girls are always so excited to see each other that the first day they stay up half the night having the time of their lives. The dads have vigorous conversations exchanging ideas and solving the problems of the world. I’ve learned two important things from these trips. From the girls, it’s how to live in the moment and from my friends, it’s why the AGD is so unique. Dentists tend to be long term planners. Long hours studying and slowly building a practice are not impulsive choices. These long, methodical, calculated ways of planning tend to creep into other facets of your life. It transforms into obsessing over the schedule and production numbers, retirement planning at 25 (because it’s never too early) and having to plan family time/vacations 6+ months in advance.

dental stuff, really have a good talk with your patients. Be fascinated with them, a lot of them haven’t spent most of their life staring at text books and they are more interesting than you. Thank them for being your patient. Then, take your staff out to lunch. Listen and laugh with them, non-judgmentally. Enjoy each other’s company and tell them you appreciate them and why. In front of everyone. You have the best job in the world. Remember to enjoy it sometimes! So, why is the AGD so unique? If you just want CE, you can get that anywhere. AGD helps you grow professionally. With a clear path from dental school to retirement, your TAGD has led the nation in creating study clubs and programs that provide a shared experience for you and your colleagues. For me, it’s less about “doing” the CE and more about “being” with each other in a shared experience, enjoying the camaraderie and pushing each other to be the best that we can be. Join a New Dentist study club or join a MasterTrack. You’ll find that you can’t wait for the next meeting and will enjoy just being with the group. Leadership positions are really just the icing on the cake. Join your local board; they’d love to have you.

Next time you go into work, try the following: Remember the sacrifice and hard work it took to get where you are now. Be as proud as your momma is about it. Next, bring donuts. The good ones. Not the ones from the grocery store. Besides the standard

Member Profile Congratulations to Dr. Paige Sohn on her recent marriage to Martin Sobol! The two exchanged vows in a beautiful ceremony surrounded by friends and family on March 16, 2013 at Stonebriar Country Club in Frisco. Dr. Sohn graduated in 2001 from West Virginia University and then went on to complete a oneyear residency at Baylor College of Dentistry. Dr. Sohn holds her Mastership in the AGD and currently serves as the Secretary/Treasurer on the Texas AGD Board of Directors.

SPRING 2013

Her husband is a CFO at Baskins Western Wear in Humble and they live together in Irving. Both are avid runners with Dr. Sohn having completed two full marathons. In fact, it was this shared hobby that first brought them together. They met briefly through mutual friends at a run event. Two and a half years ago, their paths crossed again and the rest is history.

Just Married

Enjoy the issue! Andrew Lazaris, DDS, FAGD Editor

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Legislative News TAGD is tracking more than three dozen bills affecting general dentists this session. Copies of all bills and the bill status can be obtained at www.capitol.state.tx.us. The legislative session runs through May 27. Here are some of the more significant bills that TAGD is following:

TAGD Position: Support Regulation of Dental Service Organizations SB 151 by Sen. Jane Nelson/HB 1480 by Rep. Senfronia Thompson

Expert Testimony by TSBDE Members HB 405 by Rep. Allen Fletcher

These bills would require Dental Service Organizations (DSO) to register with the TSBDE, and set parameters for contracts between DSOs and dentists. The legislation also provides that a parent or guardian may be present with their child in a treatment room, unless in the dentist’s professional judgment the parent/guardian’s presence is likely to have an adverse effect. TAGD has been working to clarify the language giving dentists the right to exclude a parent/guardian. TAGD Position: Amend-Support

HB 405 would prohibit a member or former member of the TSBDE board from serving as an expert witness in liability cases. Former TSBDE board members could not testify for two years from the end of the person’s board term or resignation. TAGD Position: Support

Due Process for Medicaid Providers HB 1536 by Rep. Bobby Guerra/SB 785 by Sen. Chuy Hinojosa These bills would allow a Medicaid provider facing a Medicaid investigation seeking to recover overpaid funds to have a hearing before the State Office of Administrative Hearings (SOAH). A provider ordered by SOAH to repay more than $50,000, may file a petition for judicial review in Travis County District Court. TAGD Position: Support Deferred Compensation for Medicaid Providers HB 784 by Rep. Ryan Guillen HB 784 would consider dentists who provide Medicaid services “independent contractors” so that they may participate in a deferred compensation program administered by the Employees Retirement System of Texas. TAGD Position: Support Study Feasibility of Student Dental Exams HB 638 by Rep. Diane Patrick HB 638 would create an eight member advisory committee at the Texas Dept. of State Health Services to study the feasibility of requiring dental exams for students entering first grade. Committee members would include representatives from TEA and DSHS, as well as members from TDA, TAPD, TDHA, Texas School Nurses Organization, a member of TSBDE, and a practicing dentist. The committee would report its recommendations by Dec. 1, 2014. TAGD is seeking representation on the advisory committee. TAGD Position: Amend - Support Regulation of Dental Labs HB 1395 by Rep. Susan King HB 1395 would eliminate dual regulation of dental labs by both the TSBDE and the Texas Department of State Health Services (TDSHS) by removing regulation by TDSHS. TAGD Position: Support

SPRING 2013

Regulation of Teeth Whitening HB 502 by Rep. Ana Hernandez Luna HB 502 would expand the scope of the Dental Practice Act to include someone who “provides or performs, or offers to provide or perform, a teeth whitening treatment or a product or service related to a teeth whitening treatment.” It does not include over the counter products. TAGD Position: Support Electronic Records Training SB 1609 by Sen. Charles Schwertner SB 1609 amends the training requirements set forth under HB 300 from the 2011 session, including giving employees up to 180 days after being hired to complete training. The frequency of retraining must be within one year of material changes in state or federal law (instead of once every two years.) The bill also limits record-keeping for training to six years. TAGD Position: Support Limit Smoking in Public SB 86 by Sen. Rodney Ellis/HB 400 by Rep. Myra Crownover These bills ban smoking statewide in bars and businesses, including “a restroom, lobby, reception area, service line, hallway, elevator, or other common-use area the public is invited or allowed to enter.” TAGD Position: Support Child Support Ordered Dental Coverage SB 774 by Sen. Carlos Uresti SB 774 would provide for mandatory dental support for children subject to child support orders if it can be obtained at a reasonable cost, as defined by the bill. TAGD Position: Support Temporary Volunteer License HB 1491 by Rep. Dan Branch/SB 1130 by Sen. Charles Schwertner This legislation would allow certain dentists not currently licensed to practice in Texas to receive a temporary license to provide volunteer charity care. TAGD Position: Support

TAGD Position: Support

TAGD Position: Neutral

Enforcement by TSDBE HB 3201 by Rep. Lois Kolkhorst

Qualifications for Providing Medicaid Orthodontia Care HB 2919 by Rep. Lois Kolkhorst

HB 3201 deals with enforcement at TSBDE, including the use of outside experts to evaluate complaints and directing the board to complete preliminary investigations within 45 days. The bill would add $80 to the licensing fee for dentists to cover expenses associated with implementing these changes. TAGD supports using outside experts, similar to a procedure used successfully for many years by the Texas Board of Medical Examiners. While TAGD would prefer that the funds needed to implement this program come from other sources, TAGD recognizes that there may be a need to increase licensing fees for dentists to support the program. TAGD’s board voted to support a fee increase of no more than $65 provided that fees are used exclusively for this stated purpose. TAGD: Support, provided the fee is lowered to no more than $65, applied only to dentists and used solely for implementing the new complaint review process. TAGD Position: Support

HB 2919 would require Level 1 or Level II Medicaid-reimbursed orthodontic services to be provided by a dentist who has completed a residency in pediatric dentistry, completed 200 hours of CE in orthodontics or is board certified or eligible for board certification by a specialty orthodontic board recognized by ADA. Level III and IV cases must be done by someone board certified (or eligible). HHSC can waive these requirements in rural areas with limited orthodontic care. While TAGD opposes the idea that HB 2919, as filed, would statutorily restrict what services may be provided by a qualified dentist, we understand that Rep. Kolkhorst’s intent is to ensure that Medicaid patients receive quality care by properly trained providers. While we disagree with the approach taken in the bill, we support that general objective. TAGD’s President Dr. Mark Peppard testified neutrally on the bill and made those concerns clear in his testimony. TAGD Position: Neutral

TAGD Position: Oppose Fee Information HB 2700 by Rep. Greg Bonnen

Disclosure of Fees HB 3020 by Rep. J.D. Sheffield

HB 2700 requires health licensing agencies to adopt rules providing patients with good faith estimates of health care costs with varying estimates depending on whether the patient has insurance, participants in a government program, workers’ comp, or is paying cash or receive charity care. TAGD Position: Oppose

HB 3020 would require health care providers to compile pricing info for their 10 most frequently performed procedures. A provider must disclose the highest possible charge and lowest discounted rate. The information shall be made available to the public in a form and manner determined by the provider. Notice of a price change must be revealed at least 30 days before a change is made. TAGD Position: Oppose

TAGD’s Advocacy Council meets regularly throughout the session to analyze bills that may affect dentistry, research issues in-depth and determine whether TAGD should take a position on a bill. The Advocacy Council is chaired by Dr. Jennifer Bone. Other members include: Drs. Marko Alanis, Craig Armstrong, Joey Cazares, John McEntire, Mark Peppard, David Roberts and David Tillman. Drs. Anne Lyon, Donna Miller, Bryan Moore, Fred Phillips and David Umansky serve as component liaisons.

TAGD Members Testify at the Capitol

Advocacy Council members often serve as witnesses on legislation before legislative committees. Special thanks to these members who take time from both family and professional commitments to serve our profession and our patients best interests.

TAGD President, Dr. Mark Peppard, and Advocacy Council Chair, Dr. Jennifer Bone, testified at the capitol during TDA Legislative Day.

In addition to taking positions on bills, TAGD members have had an active presence at the Capitol this session by attending TDA’s Legislative Day and testifying on TAGD’s behalf on legislation. Special thanks to Drs. Jennifer Bone and Mark Peppard who testified in Support of HB 502 regarding regulation of teeth whitening services, as well as Dr. Joey Cazares, who testified in support of HB 1563 providing due process for our patient’s best interests.

TEX SGP

UTSD

The Texas Academy of General Dentistry & the Texas Academy of Pediatric Dentistry presents

Continuing Dental Education

Quick & Easy Registration 713–486–4028 Register On-line http://dentistry.uth.edu/CE May 10, 2013

Esthetic Principles & Veneers Presented by: Joe. C. Ontiveros, DDS, MS Course # 2013120 May 31, 2013

Pediatric Dentistry from Infants to Adolescents: Infant Oral Health, Pulp Therapy and Trauma Presented by: Priyanshi Ritwik, DDS, MS and Gisela Velasquez, DDS, MS Course # 2013140 June 7, 2013

Pit and Fissure Sealant Certification for Dental Assistants and Dental Hygienists Course Coordinator: Harold A. Henson, RDH, MEd. Presented by: School of Dentistry Dental Hygiene Faculty Course # 2013150 June 21, July 12 and August 9, 2013

Posterior Guided Occlusion Series

Presented by: Ronald G. Presswood, DDS Course # 2013170 July 26, 2013

The Prosthodontic Management of Miscommunication Presented by: Paul Balderamos, DDS, MS, FACP Course # 2013210

The University of Texas School of Dentistry at Houston is an ADA CERP Recognized Provider

September 26 - 28, 2013 • Austin, TX

LONE STAR

EVENTS

THURSDAY - TAGD Leadership Reception FRIDAY - Lunch & Learn SATURDAY - Texas Dentist of the Year Gala™

FRIDAY LECTURE • SEPTEMBER 27 Occlusal Disease: Early Childhood through Adults Presented by Dr. John Cranham Occlusal disease has been named one of the most undiagnosed dental problems in all of dentistry. Dr. John Cranham, an internationally renowned speaker, will give a powerful lecture that is a must for every dentist who would like to add a greater degree of predictability to their practice. In the first part of this course, attendees will focus on the principles of occlusion and how they relate to children and young adults. As the course continues, Dr. Cranham will discuss evaluation, diagnosis and treatment of occlusal problems in adults as well as important cosmetic/esthetic treatment planning principles.

SATURDAY SESSIONS • SEPTEMBER 28 Strategic Target Marketing in Private Practice Presented by Dr. Susan Maples Say goodbye to the high cost and low return of mixed media marketing. Instead, say hello to a whole-team approach to determine your “target” patients, and discovering how and why they might choose you for their dental care. Whether you are looking for a total practice transformation, more new patients, or hope for a brighter future in private practice, this day was designed for you and your team.

Esthetic Full-Mouth Implant Reconstruction Presented by Dr. Paulino Castellon Restoring the edentulous patient with an aesthetic reconstruction may present numerous challenges to the clinician. The patient’s vertical dimension, centric relation, esthetics and phonetics need to be determined and maintained throughout the restorative process. With the advent of implants, there are various treatment options available to address the patient’s esthetic and functional needs.

REGISTRATION NOW OPEN! For more information on the Lone Star Dental Conference or to register visit www.tagd.org/LSDC.

SPRING 2013

You can do more for your patients.

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TEX SGP

ORAL ORAL CANCER CANCER Oral cancer is not a rare disease. In the U.S. someone dies of oral cancer every hour of every day. Members of the dental community need to be the first line of defense against this disease. In honor of April being Oral Cancer Awareness Month, the Jack T. Clark Foundation would like you to take the time to learn what you can do to help.

KNOW THE FACTS 80% 20%

42,000

IT IS ESTIMATED THAT IN THE U.S. IN 2013...

people will be diagnosed with oral cancer.

23,000

people will die from the disease.

Chart Title Series1 80%

80%

80-90%

The survival rate if oral cancer is detected early (stage 1 or 2)

20-30%

The survival rate if oral cancer is detected later (stage 3 or 4)

20%

Early Detection 1

CHANCES OF SURVIVAL

Advanced Stage 2

The fastest growing segment of the oral cancer population:

THE AGE RANGE

• 0

[

The male to female ratio of oral cancer occurrence.

10 SPRING 2013

60+

NOW

20 YEARS AGO

10 to 1

25 - 50

]

[

2 to 1

The male to female ratio of oral cancer occurrence.

]

•

GENDER RATIOS

Sources for infographs: The Oral Cancer Foundation www.oralcancerfoundation.org

•

AWARENESS AWARENESS

ur se ck .

person dies every hour of

EVERY DAY from oral cancer

new individuals get diagnosed

AT-RISK GROUP

It has been estimated that, by 2020, HPV will cause more oral cancers than cervical cancers in the United States.

CURRENT

AT-RISK GROUP

OF ORAL CANCER.

with oral cancer

1 V-

LEADING CAUSE

EVERY DAY

IN THE U.S., IT IS ESTIMATED THAT...

EXPOSURE TO HPV-16 IS NOW THE

100

ORAL CANCER IS NOT JUST AN ISSUE FOR SMOKERS ANYMORE!

WHAT YOU CAN DO •

SCREEN YOUR PATIENTS. Pick one day to hold a free oral cancer screening event for a

minimum of three hours.

•

REGISTER YOUR EVENT. Visit the Oral Cancer Foundation’s website to promote your event and sign up to receive brochures, wristbands and other materials to make your event a success.

•

GET EDUCATED. Take TAGD’s “Oral Cancer & Differential Diagnosis” course online to successfully screen your patients. Visit www.TAGD.org/onlinece to register.

•

HELP US MAKE CANCER HISTORY! Together with MD Anderson and TDA, the Jack T. Clark Foundation is surveying the dental community to determine the comfort and knowledge level for treating the oral health needs of cancer patients. SCAN THE QR CODE TO PARTICIPATE IN OUR SHORT SURVEY.

Sources for infographics: The Oral Cancer Foundation www.oralcancerfoundation.org & the National Cancer Institute www.cancer.gov/cancertopics/factshett/Risk/HPV

TEX SGP 11

join the AmericAn orthodontic Society And the AcAdemy of GP orthodonticS for the

best orthodontic meeting of the year. We Welcome All GenerAl dentiStS intereSted in leArninG the lAteSt in orthodontic thouGhtS, trendS, And ProductS. leArn neW ideAS on clASS ii correctionS, temPorAry AnchorAGe deviceS, tiP-edGe PluS, Six-month SmileS, And much more. And, do it All on mAGnificent michiGAn Avenue in chicAGo! viSit WWW.orthodonticS.com for more informAtion And reGiStrAtion.

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12 SPRING 2013

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TEX SGP 13

Legislative Day: A First-Timer’s Perspective Manshi Patel, DDS On a cool February morning I boarded the bus with my fellow Advanced Education in General Dentistry residents for what turned out to be one of the most valuable experiences of my residency.

residents and I boarded the bus back to San Antonio, I became aware of how important it is to have that level of commitment to our profession from both experienced and new practitioners alike.

The mood was festive and our energy was matched only by our anticipation, as we rolled through the Texas Hill Country on our way to the Capitol to participate in Texas Dental Association’s Legislative Day. For residents that had grown accustomed to putting on scrubs and performing root canals and extractions, the daytrip was more than just a departure from San Antonio. It was a departure from the practice environment we were used to, and an orientation to a process that, though unfamiliar, was one that we knew directly shapes our profession.

Dr. Manshi Patel is a 2012 graduate of Baylor College of Dentistry. She is currently completing her AEGD residency at the University of Texas Health Science Center at San Antonio.

Our day started with an introduction of dentistry-related legislative bills, including one that encouraged dentists to become Medicaid providers by allowing them to defer a portion of their Medicaid income on a pre-tax basis, and another that responded to the need for dental service organizations to register with the Texas State Board of Dental Examiners. After an informative question-and-answer session, we stepped into high gear and met with various legislators, including Texas House of Representatives Speaker Joe Straus and Representatives Lyle Larson, Dan Branch and Mike Villarreal. We discussed the reasons why we supported the bills presented. In return, the representatives showed that they were engaged and committed to learning about the issues. As the end of the day neared, it dawned on me just how hard dentists work to keep the profession safe and strong. As my fellow

Dr. Patel and her fellow AEGD residents. Left to right back row: Drs. Mohammed Al Saati, Austin Webb, Michael Hosking, Aaron Khaira, Niraj Patel. From left to right front: Drs. Manshi Patel, Sarah Percy.

Back row, left to right: Drs. Aaron Khaira, Austin Webb, Warren Branch, Michael Hosking, Mickey Calverley, Mohammed Al Saati. Front row left to right: SADDS Executive Director Linda Shafer, SADDS Events & Programs Manager Shannon Starr, Speaker of the House Joe Straus and Drs. Manshi Patel, Niraj Patel, Gere Crouch, Sarah Percy.

14 SPRING 2013

4D’S, ARE YOU READY FOR GRADUATION? For our members in their fourth year of dental school, graduation is just around the corner. Have you given thought to what you will do when school wraps up? The first and perhaps the most important decision involves how to practice. Here are a few basic options for recent dental graduates:

• Associateships:

Starting your career as an associate offers a variety of benefits. It can allow you to earn a steady income as you pay off your debt with limited financial risk. You also have the opportunity to gain mentorship, advice and advanced clinical skills from a veteran dentist. Long-term employment as a partner in the practice may even be an option.

• Purchase a Practice: Obtaining a practice already in existence

comes with advantages as well. You can inherit equipment and/or staff, a patient base and transition into owning your own practice with greater ease. However, besides the obvious disadvantage of the initial cost to purchasing a practice, you must also consider the time you will have to commit right away to being a business owner as well as work to gain acceptance from your inherited staff and patients.

• Start

your own practice: Being your own boss and having autonomy is a natural draw to this option. If you already have a vision for your practice and a solid plan of action to achieve it, then starting your own practice may be very rewarding. However, before you take the plunge, consider your debt load to determine whether you are able to make a large financial investment.

• AEGD

or GPR Programs: Both the Advanced Education in General Dentistry (AEGD) and the Graduate Practice Residency (GPR) are advanced post-doctoral training programs that allow you to fine tune your skills and obtain advanced training in the

Want

dental field. In general, the major distinction between the two is that an AEGD has more of a focus on clinical dentistry while a GPR is based more on medical management in a hospital setting.

Finding an Associateship or Other Opportunity Networking is a great way to begin the process of securing an associate position. Find out when the next meeting is for your local AGD component and become an active member. TAGD also offers free classifieds ads in the TexasGP to our members. Place an ad expressing your interest in finding a position in a particular area! Get involved in a new dentist study club in your area and gain a network of peers while expanding your skills. The connections you make in these groups may help you locate practices with employment opportunities. Remember that the TAGD is your support system for every step of your career. As you transition from dental school to the professional world let us know how we can help. Visit our website or give us a call at 512-244-0577! The information in this article was summarized from AGD’s graduate transition manual, “You’ve Graduated, Now What?” For even more helpful tips and essentials read the full manual at www.tagd. org/resources.

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TEX SGP 15

JUNE 7 & 8 • AUSTIN, TX

WHITE TEETH, rEd WinE

E xpand your mind and comE unWinEd

The New Dentist Conference is back for it’s third annual event! Attendees will enjoy a weekend of white teeth and red wine as we feature two outstanding courses and a whole lot of fun! Join us in Austin to expand your mind and come unWINEd!

FRIDAY • Headline presentation from Dr. Bob Margeas Everyday Esthetic Dentistry for the Everyday Dentist

This lecture is designed for today’s esthetically minded, real world dentist and staff that need to be efficient in order to be profitable. Dr. Margeas will review dozens of direct and indirect clinical cases, step-by-step, that are done on an everyday basis. Dr. Margeas will also share simplified implant techniques and tips on coordinating treatment with your surgeon for immediate extraction, placement, and provisionalization using the patient’s natural tooth. The powerful techniques learned in this lecture can be incorporated into your practice immediately for increased profitability.

SATURDAY • Dr. Scott Leune - back by popular demand!

Managing People, Numbers, and Systems in a Profitable Practice This course will walk through a solid way to delegate and track staff performance, and will show you how to align the team with the success of the practice. Some of the topics will include metric analysis, leadership, implementation of change, accountability, and management. This course is packed full of information to help the new dentist grow into a successful business owner and manager. Dr. Leune received some of our highest reviews last year, and with this course has agreed to deliver another powerful experience for our new dentist members.

Food for Thought Luncheon

“Come UnWINEd” Boat Party Social

The New Dentist Conference The New Dentist Conference is wouldn’t be what it is today as much about mentorship as without our annual boat party it is about fun and education. social. Relax and hang out All conference attendees with classmates as we take a will receive a free seat at our beautiful sunset tour on Lake networking luncheon. Take the opportunity to discuss your burning questions with Austin. Food and drinks included. This is free for all our distinguished masters. Get advice, get answers and conference attendees, additional guest tickets can be purchased. get connected!

ARE YOU READY FOR THE CONFERENCE? Register at www.tagd.org/NDC. Register now before our special early bird pricing ends on May 7.

Academy of General Dentistry Approved PACE Program Provider. FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. Provider #219328 1/1/11-12/31/15

TEN PRINCIPLES FOR YOUNG DENTISTS’ FINANCIAL SUCCESS Robert A. Ziliak, MS, CFP During the Growth Stage of the first decade of a dental career, young dentists make critical decisions that form the foundation for ultimate financial success. When adopted early in their career, these ten principles can help young dentists build financial freedom long before a transition is within sight.

10 Principles: 1) Financially successful dentists know where their money goes. Needs, wants, and savings must be properly aligned. 2) Financially successful dentists know where their money should go.. From cash flow, savings should be 20%, debt payments 25%, taxes 25%, and lifestyle spending plus large purchases 30%. 3) Financially successful dentists have a retirement accumulation goal. Retirement income needed, savings needed, investment return assumptions, risk assumptions, and desired retirement age must all be established early. 4) Financially successful dentists have an annual savings goal. You should be saving 20% of your income. 5) Financially successful dentists make large financial decisions in light of other priorities. Big financial decisions should be made in the context of how other financial goals will be affected. 6) Financially successful dentists manage debt properly. It is important to have a plan for managing overall debt structure to ensure savings can occur. 7) Financially successful dentists protect their families with insurance. Proper assembly of life, disability, overhead, and umbrella insurance is essential for providing financial security to loved ones, should an unexpected tragedy occur. 8) Financially successful dentists do not use life insurance as a retirement savings vehicle. Life insurance pays a benefit to survivors of the policyholder upon his/her death. Dentists should not be fooled into believing that life insurance is a retirement savings vehicle. 9) Financially successful dentists do not believe debt is evil and must be eliminated immediately. Financially successful dentists must capitalize on the power of compounding growth by saving during their entire career. If debt and retirement savings are managed well, likelihood for financial freedom by age 65 is exponentially higher. 10) Financially successful dentists save for their own retirement before saving for their children’s college education. Partial college funding can be provided to children, student loans or scholarships can be obtained, and children can work to help support expenses. Who can find a loan or scholarship to retire?

The path to financial freedom continues to add more obstacles due to increasingly complex legislation. Working with a professional advisor to navigate around and over those obstacles may smooth out an otherwise bumpy financial future. Robert A. Ziliak, MS, CFP®, is COO of Hufford Advisors, LLC, an independent, fee-only planning firm that helps dentists achieve financial peace of mind. The firm’s ADV brochure is available upon request. Contact Rob at (888) 470-3064, or rziliak@huffordfinancial.com.

TEX SGP 17

TX Registration # 2180

TAGD COMPLIANCE Are you in compliance with the new State Board rules on business promotion? State Dental Board rules as related to advertising or promoting dental practices and services have been updated with new clarification and restrictions and they may affect you in more ways than you think! These rules can apply to letterhead, business cards, signage, social media and more. TAGD has summarized

some of the rules for our members below. A full copy of the updated verbiage can be obtained at www.tagd.org/advocacy. Looking for more clarification? View TAGD’s recorded webinar with Attorney Joe Loiacono that breaks the rules down in more detail. To view the webinar visit www.tagd.org/onlinece.

Business Cards 108.56 Certifications, Degrees, Fellowships, Memberships and Other Credentials This rule specifies the exact way that dentists can advertise their credentials. The credentials must be clearly distinguishable and may not occupy the same line as the dentist’s name and/or dental designation. Abbreviations of credentials may be used but then must also be spelled out. This rule is not only limited to business cards, but also to yellow page ads, websites, signage, etc.

Not in compliance

In compliance

Main Street Dentistry John Doe, DDS, MAGD

John Doe, DDS MAGD, Master, Academy of General Dentistry

555 N. Main Street Austin, TX 78727

Office: (512) 555-0577 Fax: (512) 555-0476

555 N. Main Street Austin, TX 78727

Office: (512) 555-0577 Fax: (512) 555-0476

john.doe@gmail.com www.dentaltexas.com

Yellow Page Ads

Other Rules

Not in compliance

In compliance

Main Street Dentistr y

John Doe, DDS, MAGD

John Doe, DDS, General Dentist

Cosmetics • Orthodontics New Patients Welcome!

555 N. Main Street

Make an appointment today!

(512) 555-0577

www.dentaltexas.com

Master, Academy of General Dentistry

(512) 555-0577

www.dentaltexas.com

108.55 Advertising for General Dentists In summary, this rule requires that any advertisement listing specific dental services by a general dentist include the wording “General Dentist” or “General Dentistry” after the name of the dentist. General dentists can list services provided as long as they do no imply a specialization. This rule is not only limited to yellow page ads, but also to business cards, websites, signage, etc.

108.52 Names and Responsibilities One of the provisions of this rule requires that the professional degree of each school attended be visible for each dentist practicing in the office. One of the ways this can be fulfilled is by hanging a copy of the professional degree for each practcing dentist in the lobby or main entrance to the front office.

108.59 Website Disclosures According to this rule your website should clearly state who owns the website, what services are provided, addresses and contact information and all information on licensure and qualifications of each practicing dentist and associated health care providers.

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Affordable Care Act Update Andrew Lazaris, DDS In March 2010, Congress passed the Patient Protection and Affordable Care Act (PPACA), commonly known as Obamacare, and President Obama signed it into law. There are still many unknowns as to how dentists and dentistry will be affected. Below is a summary of some of the provisions that will affect dentists and dental care. Section 1411, Medicare Payroll Tax (2013) Single taxpayers earning >$200k annually or married couples earning >$250k annually have their Medicare Hospital Insurance payroll tax increase from 1.45% to 2.35% above these thresholds. Section 1411, Unearned Income Tax (2013) Single taxpayers earning >$200k annually or married couples earning >$250k annually subject to a 3.8% tax to investment income, including capital gains on property sales, dividends, rents and royalties. Flexible Spending Accounts (2013) Limit has been decreased to $2,500

providers. This includes advanced dental hygiene practitioners (ADHP’s) and Dental Health Aid Therapists (DHAT).

Unreimbursed Medical Expenses (2013) Threshold for deducting unreimbursed medical expenses on Schedule A increases from 7.5% to 10% of a taxpayer’s adjusted gross income

Health Insurance Exchanges Must be in place by October 2013 to enroll beneficiaries Pediatric dental coverage is defined as an essential health benefit (EHB) by the ACA and must be offered by 2014.

Section 1401, Cadillac Health Insurance Plan Tax (2018) 40% penalty for being enrolled in a health insurance plan that costs $10,200 or more for a single member or $27,500 or more for a family

Pediatric health benefits can be excluded by issuers of qualified health plans if the exchange offers a stand-alone plan.

Medical Device Tax (2013) 2.3% excise tax on manufacturers and importers medical devices. Doesn’t affect dentists directly, will be passed on to dentists. Most dental and equipment, instruments, nitrous systems and gas be affected

of certain but costs computer will likely

Section 6002, Physician Payment Sunshine Act (2013) Manufacturers must publicly disclose all transfers of value (TOV). This includes gifts, meals, consulting fees, etc. This information will be publicly searchable and should match IRS Form 1099 that doctors report on the value of the items or services that they receive. Section 5304, Alternative Dental Health Care Providers 15 multi-million dollar grants will be available to fund programs to train or employ alternative dental health care

20 SPRING 2013

Consumers can purchase a medical plan through the exchange that does not cover pediatric dental coverage. Outside of the exchange, rules require that everyone in the individual and group markets must be offered and will be required to purchase qualified health plans with pediatric EHB. Exclusions will be made if qualified health plans are “reasonably assured” that the consumer also purchases pediatric dental coverage through a stand-alone exchangecertified plan. Small Business Employers Businesses with <50 employees will not be required to provide health insurance. Employers may be eligible for a tax credit if they pay at least 50% of employee health premiums and have <25 full time employees with an average wage of <$50k per employee. This tax credit expires in 2016.

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The University of Texas Health Science Center at Houston & The University of Texas Health Science Center at San Antonio

This course will fulfill the new requirements for the TSBDE Sedation Rule

Renewal Course for Minimal Sedation (Level 1) Permit

Now available online! Arthur H. Jeske, D.M.D., Ph.D

Ernest B. Luce, D.D.S.

ONLY $189.0 0 UT Health Science Center at Houston, School of Dentistry

UT Health Science Center at San Antonio, Dental School

http://smile.uthscsa.edu click on the Renewal Course Click Here Tag to get started!

Save time away from the office and money! Try the electronic version!

Calendar of Events TAGD & Component Calendar Thursday, May 2 TEXAS Meeting TAGD Sponsored CE Dental Office Emergency w/ Drs. Jeske & Halligan San Antonio, TX Thursday, May 9 Houston AGD Annual Installation Dinner Houston, TX

New Dentist Study Club w/ Mac Winston Houston, Tx

JUNE Saturday, June 1 Dallas AGD Arena Football Social Dallas, TX

Friday, May 10 Heart of Texas AGD Creating the Ultimate Practice w/ Blair Kolkoski & Dr. Griffin Cole Waco, TX

Thursday – Sunday, June 6-9 MasterTrack Sleep Medicine w/ Dr. Jeff Rouse Endodontics w/ Dr. Alex Fleury Omni Southpark Austin, TX

Thursday, May 16 Dallas AGD Sleep Apnea Dinner CE w/ Dr. Gary Bailey Dallas, TX

Friday, June 7 Texas AGD Sleep Prosthodontics w/ Dr. Jeff Rouse Austin, TX

Wednesday, May 22 San Antonio AGD San Antonio Fellowship Exchange San Antonio, TX

Friday & Saturday, June 7 & 8 Texas AGD New Dentist Conference w/ Dr. Bob Margeas & Dr. Scott Leune Omni Southpark Hotel - Austin, TX

Wednesday, May 22 Houston AGD

Friday – Sunday, June 7-9 Master Study Club Endodontics w/ Dr. Alex Fleury Omni Southpark Austin, TX Wednesday, June 12 San Antonio AGD San Antonio Fellowship Exchange San Antonio, TX June 26 – 29 AGD Annual Meeting Nashville, TN

JULY Friday, July 19 South Texas AGD Tentative CE Corpus Christi, TX Wednesday, July 24 San Antonio AGD San Antonio Fellowship Exchange San Antonio, TX For more info or to register for the courses listed call the TAGD at 512-244-0577 or visit www.tagd.org

Recognizing Occlusal Problems in the General Practice Internationally renowned speaker, Dr. John Cranham, is coming to the Lone Star Dental Conference in 2013! But before you attend his powerful lecture at the conference, view his exclusive introductory webinar on occlusal disease, the most undiagnosed dental problem in all of dentistry.

Don’t Be Defiant, Be Compliant: New Advertising Rules Ensure your practice is compliant and learn about the updated State Dental Board rules on business promotion and advertising. Just For the Record: State Board RecordKeeping Requirements Review key record-keeping requirements and identify common record-keeping violations to keep your office wellmaintained.

ne Educatio nli

TAGD Online Courses – New On-Demand!

MAY

State and Federal Privacy Law Training: House Bill 300 House Bill 300 requires all dental office personnel that come into contact with any information related to patient record or payment to receive training on state and federal privacy laws within 60 days of employment and every two years. Get your whole office trained with this online training course.

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Texas Academy of General Dentistry 409 West Main Street Round Rock, TX 78664 ADDRESS SERVICE REQUESTED

FOR THE DOCTOR WHO HAS LITTLE OR NO KNOWLEDGE IN ORTHODONTICS • INTERCEPTIVE ORTHODONTICS • TRANSITIONAL ORTHODONTICS • PHASE I INTO PHASE II ORTHODONTIC TREATMENT STRAIGHTWIRE ORTHODONTICS FOR CHILDREN AND ADULTS This hands-on, level one a course teaches you a predictable treatment system that enables you to make orthodontics a highly profitable part of your practice.

Basic Orthodontics: Level 1 2013/2014

DALLAS: Crowne Plaza Addison, TX (972) 980-8877 Session 1 Session 2 Session 3 Session 4

September 27-29, 2013 November 1-3, 2013 January 24-26, 2014 Feb 28-Mar 2, 2014

HOUSTON: Hyatt North Houston (281) 249-1234 Session 1 Session 2 Session 3 Session 4

October 4-6, 2013 November 8-10, 2013 Jan 31-Feb 2, 2014 March 7-9, 2014

4-Session course fee: Only $4,480 per dentist

BASIC ORTHODONTICS

A Comprehensive Level 1 Course

SPACE IS LIMITED, SIGN UP TODAY! Comprehensive Orthodontic Education www.OrthoPlusSeminars.com

Presented by: The American Orthodontic Society

Featuring: David W. Jackson, DDS, FAGD, IBO Dallas, TX & Houston, TX

To register contact the American Orthodontic Society at:

(800) 448-1601