TEX S GP Official Publication of the Texas Academy of General Dentistry
Spring 2014, Volume 40, Issue 2
MOVING INTO THE NEW FRONTIER
by Dr. Matthew Steinberg
MISSION DENTISTRY
by Dr. T. Bob Davis
SLEEP MEDICINE RULING UPDATE by David Mintz
MEMBERSHIP SURVEY TEX S GP 1
PRESIDENT’S MESSAGE Greetings! Spring is my favorite time of year and I am so happy to see all the new life that it brings with it. The Texas Academy of General Dentistry is very fortunate to be bursting forth with that energy that comes with warmth and more sunshine. The participation in the FellowTrack Programs in the dental schools and the New Dentist Study Clubs is proof positive that the TAGD is greatly influencing the lives of our young dentists. Texas AGD is a ground breaking innovator of the New Dentist Study Clubs which may soon be a prototype for national AGD in helping grow our future leaders. Young dentists’ involvement and experiences with these groups will help them navigate the many options which lie ahead. The TAGD mission to “Help General Dentists Succeed” is happening on a daily basis. The list of TAGD sponsored live Continuing Education events is amazing. The availability of quality online CE opportunities continues to further grow the TAGD brand. David Mintz, our lobbyist, will be speaking to these groups this year sharing with them the importance of being aware and involved with advocacy efforts on behalf of the General Dentists in Texas. This June 6-7th the blockbuster New Dentist Conference in Austin is going to be exceptional with the theme, “Be the Captain of Your Ship.” The young leaders who are stepping up, planning and participating in these events are the future of our profession and our great organization. I am delighted to see they are very conscientious and have the core values of the Texas AGD in their hearts and minds. Young dentists are eager to learn and gain insight from those of us who are more “seasoned” in our dental careers. Yes, the roads travelled may be different but the ultimate goal to provide the best care for our patients remains the same. Many of us “seasoned” dentists had wonderful mentors and it is incumbent for us to provide role models for them. I urge you to make an effort to get to know these younger dentists. Invite and encourage them to join TAGD if they are not already a member. You will also learn from them. My conversations with them have been enlightening and invigorating. Don’t let yourself miss out on this opportunity!
Donna Miller, DDS, MAGD
STAFF
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SPRING 2014
2013/2014
BOARD OF DIRECTORS President Donna Miller, DDS, MAGD Waco
2014 LSDC Chairman, Director Marc Worob, DDS, FAGD Austin
Immediate Past President Mark Peppard, DDS, MAGD Austin
Director Jennifer Bone, DDS, MAGD Kerrville
President Elect Kevin Gureckis, DMD, MAGD Boerne
Director Mary Mellard, DDS, MAGD San Antonio
Secretary/Treasurer Paige Sohn, DDS, MAGD Frisco
National Trustee Douglas Bogan, DDS, FAGD Houston
Editor Andrew Lazaris, DDS, FAGD Plano
Regional Director David Tillman, DDS, MAGD Fort Worth
Director Jeffrey Geno, DDS, MAGD League City
Executive Director Connie Sonnier, CAE Round Rock
2013/2014
COMPONENT PRESIDENTS Brazos Valley AGD Craig Scasta, DDS, FAGD Bryan
Houston AGD Susannah Feagin, DDS Houston
Central Texas AGD Ashley Strickland, DDS Buda
Panhandle AGD Tom Karr, DDS, MAGD Amarillo
Dallas AGD David Ku, DDS Lewisville
Rio Grande Valley AGD Nicholas Quach, DDS McAllen
El Paso AGD Patrick Mitchell, DDS, FAGD El Paso
San Antonio AGD Gere Crouch, DDS, MAGD San Antonio
Fort Worth AGD Jon Greene, DDS Fort Worth
South Texas AGD Derek Chang, DDS Corpus Christi
Lindsey Robbins Education Director lindsey@tagd.org
Leah Thompson Marketing Coordinator leah@tagd.org
Syereen Sengari Executive Assistant syereen@tagd.org
Robin Morris Meeting Planner robin@tagd.org
Jessica Osterchrist Marketing Director jessica@tagd.org
Nadia Baig Director of Finance nadia@tagd.org
EDITOR’S MESSAGE Around 380 BC, Plato likened the governance of a citystate to command of a naval ship. By metaphor, he compared commanding a ship to leading a city-state. For a successful journey, you need a navigator, expert captain and a crew. In the parable, the sailors fight with each other and the captain about the steering of the ship. They all feel the navigator is useless and they know how and where to steer the ship, even though they have never learned how to navigate. Eventually, the sailors rebel and take possession of the ship. Plato argues that the only men fit to be captain are philosopher kings, benevolent men with knowledge of goodness. In the dental analogy, the dentist serves as captain of the ship. Insurance companies, corporate management, staff, etc. play the role of the sailors. Each has an opinion of how the ship should be steered. The dentist can be influenced by these voices because the amount of skill, effort, politics and knowledge of the intricacies of laws
and ethics required is a lot of work that most people do not enjoy. This leaves them susceptible to be influenced by parties with interests in navigating the ship in a different direction. Inevitably, they end up with no control of their ship. There are many paths to take to forge a successful dental journey and the TAGD has many successful “captains of their ship”. This issue features the contributions of three such captains – Dr. Matthew Steinberg, Dr. Jamie Bone and Dr. T Bob Davis.
This is what steering your own ship looks like. Andrew Lazaris, DDS,FAGD
CONTENTS
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S S TEX TEX TEX P GP S GP S G X X TEX P TE P TE G SG SG TEX P TEX P TE SG SG S Moving into the New Frontier X by Dr. Matthew Steinberg
7 2014 Lone Star Dental Conference & Free Dental Insurance for 2014 Grads 8 Planning for the Future as a New Dentist by Hufford Financial Advisors
9 TAGD Membership Snapshot & AGD Contest 10 2014 New Dentist Conference
14 Building Bridges Between Practice and Research by National Dental PBRN
11 Membership Survey
16 Mission Dentistry by Dr. T. Bob Davis
13 Sleep Medicine Ruling Update by David Mintz
18 Medicaid Re-Credentialing Update
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
New Liabi Comp
Availab Membe Residen
As you look a and entering and $4.50 to institutions (orders outside the U.S. add $1.00 postage). All orders must be prepaid in U.S. dollars. to protect you Printed in U.S.A. Copyright 2014, Texas Academy of General Dentistry, Round Rock, TX. Academy of G 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.
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Enroll today in Coverage to re S GP 3 you*—simply
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oving into the New Frontier
I was fortunate enough to attend the First Quintessence Symposium on Oral Health in San Diego in February. I decided to go because the two day program looked innovative and comprehensive with programs and clinicians which appealed to my emerging wellness based practice. I am concentrating my practice on developing strong connected health relationships with physicians who share similar core values in treating their patients. There were 14 presenters and each was allowed 45 minutes to present their research in their field. What I discovered was one of the finest symposiums on the future of oral health care I have ever experienced. I would like to share with you the presenters and the highlights of the entire 2 day program which can allow you to enhance your practice and elevate your overall care for your patients. The organizer of the entire program was Dr. Michael Glick who is the Dean of the School of Dental Medicine at the University of Buffalo. He was the first presenter and his topic was, “Oral Infections and Overall Health: An Emerging Scientific Journey.” The Overriding Question was: How will the role of the dentist change in the next five years in regards to primary diagnosis, treatment planning and referrals centered on systemic health?
“The progressive dentist must be constantly imbued with a sense of constructive discontent” — C. Edward Jenkins 4
SPRING 2014
OF INTEGRATIVE DENTAL MEDICINE Personal Notes from Dr. Matthew Steinberg
The Role of the Oral Health Care Professional in Overall Health and Well-Being: The Possibility of screening for chairside medical disease in the dental setting -Barbara Greenberg MSc, PhD Key Points: The majority of our patients are unaware of their current state of health. We, as health professionals, need to create an awareness which is centered on prevention. The new healthcare model in the future will be screening for medical conditions in the dental setting. This was an eye opener for all of us. From 2005-2012, there has been an 82% increase in the prevalence of Diabetes Mellitus. 53% of Pre DM are undiagnosed. 29-82% of Heart Disease is undiagnosed. We need to do “TARGETED SCREENINGS” in our offices centered on early identification and prevention. We need to develop a chairside strategy for working with physicians. Causation, Correlation, Complexity, Confusion and Oral Health -Donald M. Brunette PhD Key Points: To establish causation, the cause and the effect should be connected through a biologically plausible mechanism. Salivary Biomarkers for Oral and Systemic Diseases -David Wong DMD, DMSc Key Points: Saliva will be the diagnostic fluid of the future. Disease biomarker research is making that a reality. Molecular oncology and oral cancer will be the new diagnostic for turning saliva into a clinical reality. Dr. Wong is head of this research at UCLA. Visit www. skb.ucla.edu for a site dedicated to the salivaomics knowledge base, and Google Dr. Wong’s research papers to learn the latest. NIH is investing 300 million in salivary diagnostics. Salivary biomarker panels have been developed for oral cancer, lung cancer, pancreatic cancer, breast and ovarian cancer, Type II diabetes, Alzheimer’s disease and Sjogren’s Syndrome.
The Oral Microbiome and Systemic Health -Wenche Borgnakke DDS, MPH, PhD Key Points: There are 700 different bacteria in the mouth. We can only grow 3-4% of the bugs which now exist. The host response to the periodontal bacteria is what causes breakdown. There is now some research showing that oral bacteria can cause cognitive decline like Alzheimer’s. We are fast approaching the PostAntibiotic era as the super bugs are mutating faster than we can treat. Due to too much overprescribing for prophylactic use and there is no evidence it works to prevent endocarditis. The Role of Inflammation in Oral Systemic Interactions -Thomas Van Dyke DDS, PhD Key Points: The severity of periodontal disease: The key in our treatment is not just root planning and pocket depth reduction but the elimination of inflammation. There is definitive proof that periodontitis does cause inflammation of the arteries surrounding the heart. The Association of Periodontal Disease and Inflammation -Robert Genco DDS, PhD Key Points: Three bacteria from caries are also found in the gut and are associated with diabetes. Periodontal disease effects glycemic control and makes it 37% worse in diabetes. Treating periodontal disease reduces inflammation and improves insulin resistance and diabetes. The Cardiovascular System and Oral Infections -Maurizio S. Tonetti DMD, PhD, MMSc Key Points: We need to deliver a health message EVERY time we are with a patient. Periodontitis and CRP – periodontitis is not only a local infection as it involves and affects many bodily systems. Shared risk factors: Atherosclerosis, Cancer, Diabetes and Periodontal Disease. Periodontitis is now thought to be a possible
Left to Right: Dr. Jason Carlyon of Austin, Dr. Matthew Steinberg of Austin, Dr. Susan Maples of Michigan, Dr. Mark Kogut of Dallas, and Dr. Brad Walgren of Wyoming.
cause of Endothelial Dysfunction. Periodontitis preceded ACVD. There is excess risk due to periodontitis. Sources of Information: www.perioworkshop.efp.org and www.medinfo.com.
Oral Complications in the Immunocompromised Patient: The Oncology Prototype -Douglas E. Peterson DMD, PhD
Obesity and Oral Health -Ira Lamster DDS, MMSc
Key Points: The state of evidenced based science on oral oncology is moving at a fast pace. Great reference sites are the National Cancer Institute website. He is the lead author and going to the health professionals version and look under oral complications. He authored the chapter in the Quintessence book which repeats this conference in word form.
Key Points: Obesity gives a 35% increased risk in periodontal disease. Obese people are in a proinflammatory state. Obesity leads to delayed healing and the inflammatory response. Always ask your patient if they have any family members with diabetes, as there is a strong genetic link. Links between the Oral Microbiota and Pulmonary Disease -Frank Scannapieco DMD, PhD Key Points: Aspiration pneumonia is caused by anaerobic bacteria with periodontal disease and swallowing disorders. Before a patient is to be intubated during a surgery, make sure teeth have been cleaned well. Pregnancy Outcomes and Oral Infections -Panos Papapanou DDS, PhD Key Points: Periodontal tissues have receptors for the sex steroids which results in increased permeability of the gingival epithelium. This leads to exaggerated inflammation.
Osteoporosis: The Systemic Connection -Robert E. Marx DDS Key Points: Occlusion plays a big role in osteonecrosis. One high crown can cause a necrosis. Fosamax is twice the dose of other bisphosphonates and REALLY increases the complications. Need to have Drug Holidays as they have dropped the incidence of osteonecrosis by 50%.
People are now having more oral complications from cancer treatments as we are becoming more aggressive in treatment. The treatments are toxic to the oral epithelium and we as dentists need to be made aware of these complications and how we can make patients more comfortable. Oral Manifestations of Systemic Diseases -Sook-Bin Woo DMD, MMSc Key Points: Banal appearing lesions may be a manifestation of systemic disease or a side effect of treatment for a systemic disease. The oral signs may be the first presentation and the dentist is in a unique position to render an early diagnosis.
I highly recommend you purchase the Quintessence book which was published just for this symposium. It is called, “The Oral-Systemic Health Connection: A Guide to Patient Care�. All of the speakers at the symposium had their presentations in the book in very detailed form. It is available at www.quintpub.com TEX S GP
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SPRING 2014
September 11-13, 2014 WESTIN AUSTIN AT THE DOMAIN SPEAKERS & PROGRAMS
•DR. RHONDA SAVAGE •DR. FRANK MILNAR
EVENTS
•LUNCH & LEARN •DOMAIN LUNCH RUSH
$
•DR. STEVE BENDER •INSPIRED HYGIENE
•DENTALOSOPHY
•HAPPY HOUR •NEW DENTIST AWARD & FRIDAY BLUE PARTY
•TEXAS DENTIST OF THE YEAR™ GALA
NEW PRICING—ALL INCLUSIVE* •MEAL
•ALL CE CLASSES
•SOCIAL EVENTS *This does not include Saturday night gala
For more information visit www.tagd.org/LSDC
New Graduate Professional Liability Insurance Coverage, Compliments of the AGD
Available Exclusively to Qualified AGD 2014 GRADUATES: Want a free year of liability insurance? Member Dental 2014 Graduating AGD members can now receive a free year of School Graduates and liability insurance compliments of the AGD. Residents* As you look ahead to completing your dental education program Scan the QR code to get signed up today! >>>>>>>>>>>> TEX S GP 7 and entering practice, now is the time to start thinking about how Or visit www.agd.org to protect your professional and financial future. Fortunately, the
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lanning for the Future AS A NEW DENTIST
Robert A. Ziliak, MS, CFP® Managing Principal, Wealth Advisor Hufford Financial Advisors
WHERE DOES MY MONEY GO & WHERE SHOULD IT GO? One of the many advantages of having about 95% of clients in the dental community is refining the ability to holistically and successfully solve problems related to the practice and personal finances of a niche market. Some of the most common responses we hear from our young dental clients are: • As an associate in a private practice, how will I find enough patients to stay busy? • How can I develop enough patients to cover my monthly student loan payments? • With my student loan debt, where would I find the money to buy a practice and maybe a building too? • How about buying new equipment? • How will I ever be able to buy a house or replace my 8‐year old car? • I can’t even think about retirement; I’ll be practicing until my body gives out! In 2007, the AGD and Hufford Advisors set out to delve further into the minds of practicing dentists and conducted the first scientific survey of the dental community about their views on retirement. Upon finding that only 15% of dentists classified themselves as on‐ track to reach financial freedom, it became clear that providing an educational framework to help answer not only where does my money go but where it should go was a critical need.
NEEDS: Loan payments and levies (taxes) are the only two financial obligations that we need to pay. Needs should represent no more than one‐half of your gross earnings. The key determination is if much more is being paid in taxes and to repay loans than should be paid. WANTS: Lifestyle expenses and large purchases are expenses that we want to include in our lives. Spending $6,500 cash on a 90‐inch HDTV is an example of a large purchase (a one‐time discretionary expense over $3,000). Paying $2,500 per month for a golf club membership is an example of a lifestyle expense. Wants should take up 30% or less of our gross earnings. SAVINGS: Legacy represents how much we are saving each year and how much we should save in order to achieve the ultimate goal of financial freedom. Savings are optimized at 20% of gross earnings.
So how do dentists get to a point where practicing into the future is simply by choice and not out of financial need? An intentional plan can be established based on classifying finances into 5 L’s: Loans, Levies, Lifestyle, Large purchases and Legacy. 8
SPRING 2014
Often times, if dentists are not on track to achieving financial freedom it is because their needs and wants are out of balance which prohibits or significantly reduces their ability to save. The Financial Balance GuideTM is a tool to help identify where financial stress is being created and how it can be alleviated. Try classifying your finances into the 5 L’s and see how your ratios match up. Aligning finances & long term retirement planning is critical in order to establish the financial freedom that allows one to practice out of choice, not necessity.
Savings 20%
Wants 30%
Needs 50% The Financial Balance Guide™ Hufford Advisors, LLC (“Hufford”), is an SEC registered Investment Advisor, a copy of our current ADV brochure is available upon request. The reader should not assume that any information contained in this article serves as the receipt of, or as a substitute form personalized advice from Hufford. To the extent that a reader has questions regarding the applicability of this tool to his/her individual situation, he/she is encouraged to consult Hufford or their financial advisor.
LEADERBOARD
AGD MEMBERSHIP RECRUITMENT The following Texas Academy of General Dentistry members have each recruited one member to the AGD between May 1, 2013 and February 28, 2014.
Rupal D. Bhakta, DDS, Mansfield Douglas W. Bogan, DDS, FAGD, Houston Will Goodwin, DDS, Fort Worth Kevin M. Gureckis, DMD, MAGD, ABGD, Boerne Lindsey Hoppe, DDS, FAGD, Austin Andrew S. Lazaris, DDS, FAGD, Plano
Jay Littlefield, DDS, Houston Sara McLin, DDS, San Antonio David N. Rickey, DDS, MAGD, San Antonio Robert B. Shelton, DDS, MAGD, Longview Charles D. Stetler, DDS, FAGD, Dallas
Say “aloha” to the AGD’s 2013–2014 Refer a Colleague Program for the chance tomorewin a trip for members two to Hawaii! Recruit five or qualifying new dentist to the AGD by April 30, 2014, and they will said “mahalo” by entering you into their grand prize raffle for a round-trip airfare and a seven-night stay at Kona Coast Resort!*
*For complete rules please visit www.AGD.org
Aloha [ah-LOH-hah]: Texas AGD Membership January 2013hello vs January 2014 Mahalo [mah-HAH-low]: thank you
Numbers from 2013
Brazos Valley
Numbers from 2014
Central Texas
Dallas
Students: Students + Residence
El Paso
Fort Worth
New Dentists: 2013: Grad Yr 2009-2012 2014: Grad Yr 2010 - 2013
Active Dentists: Active, Emeritus, Retired, Dues Waiver, Asscoiate, Affliliate, Honorary
San Houston Panhandle Rio Grande Valley Antonio
South Texas
Inactive* Total Component Members
Recruit five40or84more qualifying new dentist members to the AGD 69 112 109 155 218 351 57 5 April 3 83 6630, 317 2014, 153 14 10 80 we’ll 64 177 185 7 21 20 by 100 entering 98 11 12 871 678 and say6 “mahalo” you60into New Dentists by 39 44 47 187 182 32 35 245 238 1,654 1,819 Active Dentists 25 25 205 212 151 315 37 33 205 202 483 491 40 our airfare a seven-night Total Membership 30 grand 28 288 278prize 508 552 raffle 51 43 for 285 266round-trip 729 788 46 46 65 67 and 396 435 43 47 302 298 stay 2,743 2,848 -7% -3% 9% -16% -7% 8% 0% 3% 9% -1% 4% % change *10% at the Kona Coast Resort! Students
*Inactive Components Include: Abilene, East Texas, Heart of Texas, Lubbock, Midland Odessa, River District, San Angelo, Southeast Texas
Visit www.agd.org/RACHawaii2014 to learn more. TEX
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T T T T T T T T T T T T T T P T PT PT S G S G S GP S GP S GP S GP S GP S G S GP S GP S GP S GP S GP S GP S GP S GP S GP S G X X X X X X EX X EX X X X X X EX EX X P T P TE P TE P TE P TE P TE P T P TE P TE P TE GP T P TE P TE P TE P TE GP T P TES GP G G G G G G G G S G G G G G SG X E X T E P P T P BASIC DEMOGRAPHICS SG S G S TEXGP EX P T P Name:______________________________________________ Component:________________________ S SG EX T X E P P T P How many years have you been a member of the Texas AGD? _______ Date of Graduation: ___________ S G S S G What best describes your practice type? (circle all that apply) TEX P X E SG S PT P Owner of practice Employed in a practice Solo Practice Associateship Group Practice G S TEXP X E Retired Dental Service Organization managed Practice Medicaid/CHIP Provider PT P SG S G S TEX P X E SG PT P EDUCATION G S TEXP X E SG S P T P What education programs/events have you participated in the last 12 months? (circle all that apply) SG TEXP Local component CE Local component CE outside my area Texas AGD MasterTrack X E SG S PT P TAGD New Dentist Study Club TAGD New Dentist Conference Lone Star Dental Conference SG TEX P X E Local Dental Society Meetings Southwest Dental Conference (Dallas) Star of the South (Houston) SG PT P SG TEXP TDA Annual Session (San Antonio) Online CE Specialist sponsored CE offerings X E SG S PT P Out of state AGD meetings Out of state non-AGD meetings Educational Continuums SG TEX P X Local study clubs CE institutes like Pankey, F.A.C.E., etc. Other: ____________________ E SG S PT P TEXP SG EX SG S PT P TEX P S G How do you find out about available CE offerings? (circle all that apply) EX SG PT P Ads in newsletters and journals Affiliate meeting announcements/other conferences Direct mail TEXP SG EX SG S Websites E�mail My employer Word of mouth PT P TEX P SG SG S EX T P P TEXP S G Which of the following benefits of the Texas AGD do you consider the most important? (circle top 3) SG S EX T P P Lone Star Dental Conference Awards (Texas Dentist of the Year, New Dentist of the Year, Mastership/Fellowship) EX T G S GP S X E New Dentist Conference Administrative support for local components TexasGP (print copy) PT P TEXP G S CE programs around the state Online CE MasterTrack program SG S EX T P P TEX P Advocacy for the General Dentist Jack T. Clark Foundation activities Leadership Development SG SG S X E PT P TEXP G S G What do you consider the biggest challenge in your current or planned practice in the next 5 years? S X S E X PT P E T P SG SG S EX T P P TEX P G S SG S EX T P P TEX P G S SG X E TEXP PT P P P P P P P P P P P P P P P P P G G G G SG S S G S GX S S G S G S G S GX S S G S G S G S GX S SG SG SG X X X X X X X X X X X X X X E E E E E E E E E EX E E E E E E P T P T P T P T P T P T GP T GP T P T P T P T GP T GP T P T P T P T GP TEGP TE G
T T T T P P P S G S G S GP S GP S GP S GP S GP S G S GP S GP S GP S GP S GP S GP S GP S GP S GP S G X X X X X X EX X EX X X X X X EX EX X P T P TE P TE P TE P TE P TE P T P TE P TE P TE GP T P TE P TE P TE P TE GP T P TES GP G G G G G G G G S G G G G G SG X E X T P E P T P COMMUNICATION PREFERENCES SG S S G I prefer to receive Texas AGD communications about events by: (circle all that apply) TEXGP EX T P P S Email Website Calendar Mail Fax Other _______ SG TEXP EX T P P SG S S G On a scale of 1-5, receiving the quarterly printed copy of the TexasGP by mail is: EX T X P E 1 2 3 4 5 SG S PT P Not Important at all Very Important SG TEXP X E PT P SG S Online newsletters are able to provide more timely information in a more cost effective manner. G S TEX P X How likely would you be to read an electronic TexasGP newsletter, replacing the mailed copy? E SG PT P G S 1 2 3 4 5 TEXP X E Very Unlikely Very Likely SG S PT P SG TEXP X E The one thing I would like to see more of in the TexasGP is: SG S PT P SG TEX P X E SG PT P EX SG T P EX SG S PT P S G ADVOCACY TEX P EX SG S P T P On a scale of 1-5, how satisfied are you with the ability of Texas AGD to keep you informed about TEXP S G legislative and regulatory issues that impact the General Dentist? X E SG 1 2 3 4 5 PT P TEX P SG Very Unsatisfied Very Satisfied X E SG PT P TEXP S G The biggest threat I feel will impact my ability to practice general dentistry is: EX SG S PT P TEX P SG SG S EX T P P TEXP S G MEMBERSHIP SG S EX T P P On a scale of 1-5, overall, how satisfied are you with the Texas AGD? TEX P SG SG EX T 1 2 3 4 5 P P TEXP Very Unsatisfied Very Satisfied SG SG S EX T P P TEX P NO S G Have you had contact with any of the Texas AGD staff in the past 12 months? YES SG S X E P T P If yes, on a scale of 1-5, was this a positive experience? TEXP SG SG S 1 2 3 4 5 EX T P P Very Negative Very Positive TEX P G S SG S X E P T P On a scale of 1-5, how likely would you be to recommend AGD membership to a colleague? TEX P G S SG S 1 2 3 4 5 EX T P P TEX P Definitely Not Recommend Absolutely Recommend G S SG X E TEXP PT P P P P P P P P P P P P P P P P P SUBMIT SURVEY G S2014 G SG SG SG SG SG SG SG SG SG SG SG SG SG SG SG S G 12S SPRING X X Street X X X X AGD X ERound X TX X in enclosed envelope Rock, fax 512-244-0476 E EXor by X EX EXto Texas EXWestEMain EX78664 EXby mailX at 409 EX P T P TE P T P T P TE P T GP TEGP T P T P TE P T GP TEGP T P T P TE P T GP TEGP TE GP G G G G G G G G G G G
GP S G TEXP P SG SG TEX P SG P P SG SG TEX P SG
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leep Medicine Update
P P SG SG TEX The Texas State Board of Dental Examiners continues to work P on developing a proposed rule governing how dentists may SG provide treatment for sleep disorders. Dr. Donna Miller, TAGD’s
President, spoke in support of the rule as it had been previously
As of the press deadline, the revised version of the proposed rule was expected to be published in the Texas Register for a 30-day comment period near the end of March or beginning of April.
Act regarding how dentists could screen, diagnosis and treat
The draft that will be published is different than one earlier supported by TAGD and others, that had been discussed at both the August and November board meetings.
P GP following the August 2013 TSBDE board meeting and S G Sproposed considered further at their November 2013 meetings. X TE P GP that prior version of the rule had drawn strong S G SHowever, X opposition from the Texas Board of Medical Examiners, the E T Academy of Sleep Medicine and other groups alleging that the P proposed rule went beyond the scope of the Dental Practice SG
P certain GP patients and delve into areas covered under the Medical S G SPractice Act. TEX P As a result, at its February 2014 meeting, the TSDBE Board SG
P SG TEX
considered a revised draft rule that clarifies situations in which dentists could screen, diagnosis and unilaterally treat various GP disorders and situations in which collaboration with a Ssleep physician was required.
Candidate Support & Fundraising Events
TEX P SG
P SG TEX P SG
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David Mintz
Once the revised language is published, TAGD will convene its Sleep Medicine Task force chaired by Dr. Marc Worob to study the implications of the new language and develop a recommended position and comments for TAGD to submit to the TSBDE Board. The rule is expected to be considered for final adoption when the TSBDE meets again on May 9, 2014 in Austin.
Leading up to the March primaries, several TAGD members hosted events for candidates. • TAGD President Dr. Donna Miller from Waco hosted an event for Rep. Kyle Kacal (R-Bryan) to support his reelection campaign for HD 12. Rep. Kacal’s district includes GPof Brazos and McLennan Sparts counties, as well as Falls, Limestone, and Robertson counties. He is running for his second term in office and was Psuccessful in the March 4 G primary. SRepublican • Dr. David Roberts held a fundraiser in his home for Representative Stefani Carter
(R-Dallas) in HD 102. (Photo on top-right) • TAGD members Drs. Bill Gerlach and Andrew Lazaris cohosted a fundraiser along with Dr. Paul Rubin for Glenn Callison (R-Plano), who is a candidate in an open house seat in HD 66. • Also, Drs. Jennifer and Jamie Bone hosted an event for Rob Henneke (R-Kerrville). Henneke is running for an open seat for HD 53, which covers a number of counties in the Texas hill country. (Photo on bottom-right)
P P S GX S G Callison and Henneke are in primary run offs on TE ! Rep. Carter, May 27th. P SG
Interested P in hosting a ‘MEET AND GREET’ or FUNDRAISER for a candidate but not sure the best way to go about doing it? P P SG SG SG We can help. Contact advocacy@tagd.org TEXP TEXP TEX S GP SG SG X E P T GP
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This is a network of dental practitioners and dental hygienists interested in collaborating on research.
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uilding Bridges
BETWEEN PRACTICE & RESEARCH National Dental Practice-Based Research Network Thomas Oates DMD, PhD; Rahma Mungia BDS, MS; Stephanie Reyes BA; & Sarah Theisen BA Southwest Region of the National Dental Practice-Based Research Network
The National Dental Practice-Based Research Network (PBRN) is comprised of practitioners, from across the nation, who are committed to advancing knowledge by participating in dental research. This may be by direct participation in research in their practices and with their patients or hearing about research findings through the PBRN newsletters and meetings.
The network encourages and provides an opportunity for clinicians in practice to work together with academic researchers to develop research questions, design and conduct studies in clinical practice. Research topics are based on practitioners’ and patients’ needs and are designed to improve and enhance the delivery of dental care.
The University of Texas Health Science Center at San Antonio (UTHSCSA) Dental School was awarded a 7-year grant from the National Institute of Dental and Craniofacial Research to lead the Southwest Region as one of six regions forming the National Dental PBRN. The Southwest Region includes Texas, Oklahoma, New Mexico, Arizona, and Kansas. Currently, the Southwest Region has almost 900 of the possible 5,000 members nationwide. National headquarters are located at the University of Alabama at Birmingham. This is a network of dental practitioners and dental hygienists interested in collaborating on research. The mission of the network is “To improve oral health by conducting dental practice-based research and by serving dental professionals through education and collegiality”.
Q: How might I benefit by participating in the National Dental PBRN? A: As a part of the Southwest Region of the National Dental PBRN, you will be able to: • Participate in research projects of interest to you, in your own practice. • Be involved with national dental studies. • Earn free CE credits. • Be compensated for your time and effort on studies. • Be affiliated with the National Dental PBRN and the UTHSCSA. • Establish personal and professional connections with fellow dentists and researchers at the Southwest Region annual meetings and the National Dental PBRN meetings.
SPRING 2014
& Q: What are some of the research studies that are going to be done in the network? A: • Isolation methods used during root canal treatment • Cracked tooth registry • Decision aids for management of suspicious occlusal caries • Management of dentin hypersensitivity • Human papilloma virus and oropharyngeal cancer pilot study • Predicting successful single-unit crowns • Patient satisfaction with dental treatment • Predicting outcomes of root canal treatment • Management of TMJD pain patients Q: How much time will I have to commit when I participate in a study? A: The amount of time will vary depending on the specific project. Studies range from questionnaires to studies in the office. The goal is to implement projects that will easily integrate into your everyday practice routine. Q: What are the benefits of participating in network studies? A: • Increase the quality and stature of your practice • Convey to patients that you “stay current” • Professionally rewarding contribution to the profession and interactions with colleagues • Participate as much or as little as you like, there is no minimum study participation requirement Q: How will the PBRN experience benefit me professionally? A: The National Dental PBRN is shaping its vision continually by gathering insight from its practicing member clinicians.
Dr. James Bone of Kerrville and a current member of Texas Academy of General Dentistry says:
“Prior to the National Dental PBRN, I have been involved with the South Texas Oral Health Network (STOHN). Through STOHN, I’ve had opportunities to contribute to published research papers and even to present the findings from one of the studies to a regional conference of dentists and physicians. The new development of the National PBRN provides an even greater opportunity for practitioners to share information and expand the reach of evidenced-based research within the dental community. Ultimately, it can yield important clinical benefits for our patients. Finally, patients see that we’re working to collaborate with other dentists and the universities; they understand that we are trying to deliver the best evidence-based-dentistry, and I think they are appreciative. Although the National Dental PBRN is in its infancy, I can see that it brings exciting opportunities for dentistry. Several studies are already underway and should give us a better picture of the potential this type of research offers. Really, the PBRN becomes whatever we make of it.” TEX S GP 15
MISSION DENTISTRY
T. Bob Davis, DMD, MAGD, FICD, FACD, FADI
It all began in 1977 at church on a Wednesday night when my wife volunteered my services for an upcoming mission trip to Matamoros, Mexico at a children’s home. Now, 37 years later, it has become an annual trip that I treasure and anticipate with great expectations. Previously, I had only been taking a hygienist, assistants and a translator with me but five years into my service in Mexico, I was approached by a freshman from Baylor Dental School who inquired if he could bring some friends along and help out. I had never anticipated this program expanding through me and my immediate thoughts turned to worry as every possible bad scenario played through my head: “What if a student was detained for some reason? What if a student injures a patient under my watchful eyes? Would I be liable for paying for a dental school education? Would I have to pay for the extensive correction for a mistake or bad outcome?” Fortunately, my fears were unfounded and students have grown to be an important and inspiring part of our annual trip. To date, more than 400 dentists,
over 1000 dental students and hundreds of dentally related team members have participated. One of our biggest trips was several years ago when we took a 100 plus team including dentists, hygienists, assistants, translators, pre-dents, wives, children and relatives! We were able to spread out over the city of Matamoros working in multiple locations including the children’s home that now served over 200 kids. More recently, the advent of cartel wars and border crises caused us to reluctantly move the mission first to Nicaragua in 2011 and now to Guatemala since 2012. In March 2014, we had a team of over 60 assembled including 39 American students, 15 translators and 15 senior dental students from Guatemala. Over the course of the week, we were able to impact 800 pre-teens from two private schools and started a new third molar project on the teenagers from a nearby public high school with approximately 1000 students. In my 50 years as a practicing dentist, I have never seen such a high spirit of volunteerism; this generation of young dentists are eager to make a difference not only at home but abroad. They radiate the values of our great dental profession and leave a highly positive impact on patients served. The catalyst behind our success became the exuberant joy people had from serving. All these trips have formed by word of mouth – no advertising. Students and dentists who have served with us have gone on to become mentors, recruit other volunteers and some have even led their own mission trips. What started out as a one time volunteer act has evolved into a growing network of life changing experience for hundreds of people. I have no board, no organization, and no financier behind me. Each participant pays his or her own way by purchasing their ticket, raising their own support and collecting donated supplies.
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SPRING 2014
It has become a great honor and welcome responsibility to watch not only how many lives have been touched through the power of serving but how much it means to me personally. Ralph Waldo Emerson sums it up in entirety for me:
“It is one of the most beautiful compensations of life, that no man can sincerely try to help another without helping himself.�
TEX S GP 17
UTSD
Continuing Dental Education
Quick & Easy Registration 713–486–4028 Register On-line http://dentistry.uth.edu/CE May 16, 2014
Tomorrow’s Dentistry Today! Integrating Lasers into the Practice of Dental Hygiene Presented by: Charles Hoopingarner, DDS & Gwen Smukowski, RDH Course # 2014110 May 16, 2014
Concise Up-to-Date Information on Treating Patients with Cardiovascular Disease Plus
Treating Yourself to a Healthier Life Presented by: James Lichon, RPh, DDS, CLM Course # 2014125 May 30, 2014
Esthetic Principles & Veneers Presented by: Joe. C. Ontiveros, DDS, MS Course # 2014130
Medicaid Re-Credentialing Update
Providers must re-credential every 3 years. DENTAQUEST will initiate contact with providers approximately 6 months prior to expiration of the credentialing to start the process. Providers should make sure that their email address and mailing address is current with DentaQuest. In addition, we need to make sure that your roster of Dentists is current. Failure to do any of the aforementioned could delay or create other issues with re-credentialing.
Any updates can be made by contacting your PR Rep or emailing standardupdates@dentaquest.com directly.
MCNA Dental would like to take this opportunity to inform you that the re-credentialing process for our entire network of providers is scheduled to begin October 2014. It is our policy to ensure our providers are re-credentialed at least every 36 months. To begin the process, MCNA’s Credentialing department will send a re-credentialing package to you 120 days prior to your re-credentialing date. The cover letter included in the package will provide instructions for you and state the due date by which you should return all documents to MCNA. Once the Credentialing team has successfully completed the recredentialing process with you, we will send you an official welcome letter.
If you have any questions or concerns, please contact the MCNA Provider Hotline toll-free at 1-855-PRO-MCNA (1-855-776-6262).
Accounting Services
for Dental Practice Owners
June 6, 2014
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 # 2014140 June 13, 2014
Lotions, Potions, Pastes & More Presented by: Sebastian G. Ciancio, DDS
HDA Accounting Group specializes in serving dental practices nationwide. Our unique and collaborative approach produces results that are timely, cost effective, convenient, and helpful for our dentists.
Course # 2014150 The University of Texas School of Dentistry at Houston is an ADA CERP Recognized Provider
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SPRING 2014
800.453.0476 800.453.0476 www.HDAGroupDental.com
www.HDAGroupDental.com
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The AmericAn OrThODOnTic SOcieTy
UPCOMING COURSES
AOS is an ADA CERP Recognized Provider. AGD Accepted Program Provider FAGD/MAGD 11/01/98 - 12/31/15. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.
11884 Greenville Avenue, Suite 112 • Dallas, TX 75243 toll free 800.448.1601 • www.orthodontics.com
Level 2 Intermediate-Advanced Concepts in Straight Wire Orthodontics Dr. David Jackson DALLAS, TX April 4-6, 2014 • may 16-18, 2014 August 1-3, 2014 • September 19-21, 2014 $4,480 80 credit hours • Lecture and Participation
Basic Orthodontics Assistant Course Orthodontic Concepts for the Dental Auxiliary Susan Coffey, RDA DALLAS, TX April 4-5, 2014 • may 16-17, 2014 $745 28 credit hours • Lecture and Participation
Advanced Orthodontics Assistant Course Orthodontic Concepts for the Dental Auxiliary Susan Coffey, RDA DALLAS, TX August 1-2, 2014 • September 19-20, 2014 $745 28 credit hours • Lecture and Participation
Early Treatment for the Pediatric & General Dentist Dr. Ed Gonzalez TAmPA, FL April 11-13, 2014 $995 18 credit hours • Lecture and Participation
Level 1A Basic Concepts in Straight Wire Orthodontics Dr. David Jackson DALLAS, TX September 12-14, 2014 • October 3-5, 2014 november 7-9, 1014 • January 30 - February 1, 2015 February 27 – march 1, 2015 $4,980 100 credit hours • Lecture and Participation
Introductory Straight Wire and Functionals A Comprehensive Course for General and Pediatric Dentists Dr. Jay Gerber PArkerSburG, wv September 19-20, 2014 • november 8-10, 2014 January 8-10, 2015 • February 26-28, 2015 $4,880 72 credit hours • Lecture and Participation
Introductory Straight Wire and Functionals A Comprehensive Course for General and Pediatric Dentists Dr. Jay Gerber cOSTA meSA, cA September 26-27, 2014 • november 15-17, 2014 January 29-31, 2015 • march 6-8, 2015 $4,880 72 credit hours • Lecture and Participation
Please check WWW.ORThODONTICS.COM for updates to our course schedule
SCANNER
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MILL
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MATERIALS
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S Y S T E M integrated by Burkhart
Ask us about how CAD/CAM can take you to the next level.
Give us a call to learn how your practice can benefit! Dallas 469.242.4000
Austin/San Antonio 512.206.0401
Houston 281.821.7000
TEX S GP 19 www.burkhartdental.com
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
100
1
CE Credits
This hands-on, level one course teaches you a predictable treatment system that enables you the opportunity to make orthodontics a highly profitable part of your practice.
BASIC ORTHODONTICS
A Comprehensive Level 1 Course
Basic Orthodontics: Level 1 2014/2015
DALLAS: Crowne Plaza Addison, TX (972) 980-8877 Session 1 Session 2 Session 3 Session 4 Session 5
Comprehensive Orthodontic Education
Sept 12 - Sept 14, 2014 Oct 03 - Oct 05, 2014 Nov 07 - Nov 09, 2014 Jan 30 - Feb 01, 2015 Feb 27 - Mar 01, 2015
5-Session course fee: Only $4,980 per dentist The American Orthodontic Society is an ADA CERP Recognized Provider 11/01/98 – 12/31/15. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. The American Orthodontic Society designates this activity for 100 continuing education credits. ADA CERP does not ap¬prove or endorse individual courses or instructors nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp. The formal SPRING 2014programs of the American Orthodontic Society are continuing education accepted by the Academy of General Dentistry for FAGD/MAGD credit.
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SPACE IS LIMITED, SIGN UP TODAY!
www.Orthodontics.com
Featuring: David W. Jackson, DDS Dallas, TX
To register contact the American Orthodontic Society at:
(800) 448-1601