Texas GP Summer 2009 by Texas Academy of General Dentistry

SUMMER 2009, VOLUME 35, ISSUE 3

New Dentist Issue

TAGD Wants to Help You on Your Professional Journey Don’t forget to register for the 2009 Lone Star Dental Conference in Austin, Texas. Come for the CE Take Home the Memories.....Details inside. Summer 2009

You are invited... Texas Academy of General Dentistry would like to invite you to any one of our MasterTrack seminars throughout the state. These CE programs take place from Thursday through Sunday and include courses of different disciplines presented by some of the top clinicians in the country. Below is the remaining 2009 MasterTrack schedule. 2010 dates will be available soon.

T to m AGD ha s wo ake a mem true b these s rked em e b for 4 ers. Ea nefit fo inars 8 ho ch se r TAG cred u D s it - T rs of pa sion is $ hat r 7 t i for e ’s onl cipati 95 on y ach hou $16.50 r!

Austin

Houston

November 5 - 8, 2009 • Omni Southpark Hotel

September 24 - 27, 2009 • Norris Conference Center

Clinical Photography Presented by Dr. Douglas Damm

Oral Surgery Presented by Dr. Steve Koo

Endodontics “Advancing Your Endodontic Skills” Presented by Dr. Ron Lebby

Pediatrics “The Magic of Pediatric Dentistry” Presented by Dr. Ben Taylor

TAGD wants to help you on the road to Mastership

FAGD/MAGD credit #219328 1/1/06-12/31/10

If you received your Fellowship before 2003 hours might be lost from your transcript. Contact the TAGD office and we will help you recover those hours. You may be closer to Mastership than you think!

Let us be your dental health partner . . . And help grow your practice to include patients from the largest dental customer in the world—the TRICARE Dental Plan—which has over 167,000 enrollees in Texas.* Plus, you’ll join over 66,500 dentists nationwide and over 4,000 dentists in Texas* who enjoy network benefits, including: • Competitive and timely compensation and reimbursement • Claims submissions through our free online processing system • Online access to patients’ benefits and claims information through My Patients’ Benefits • Program updates and corporate and industry 1-866-300-9426 • www.unitedconcordia.com news in the quarterly Connection newsletter TXAGD-0608 • Texas dental products are offered by the following operating subsidaries of United Concordia Companies, Inc.—United Concordia Insurance Company for Fee-for-Service products and United Concordia Dental Plans of Texas, Inc. for DHMO products. *Based on United Concordia internal research & reports, 04/08.

JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY

2008/2009 OFFICERS President Ron Theiss, DDS, MAGD Nacogdoches President-Elect Dan McCauley, DDS, FAGD Mount Pleasant

J O U R N A L

O F

T H E

T E X A S

A C A D E M Y

O F

G E N E R A L

SUMMER 2009

New Dentist Issue

Immediate Past-President Mickey Walker, DDS, MAGD San Antonio

Secretary/Treasurer Mark Peppard, DDS, MAGD Austin Editor Michael Payne, DDS, FAGD Mesquite

Building Practices

Director (2009) Marko Alanis, DDS Alamo Director (2009) Arnold Chavarria, DDS El Paso Director (2010) Craig Armstrong, DDS, MAGD Houston Director (2010) Dean Armstrong, DDS, MAGD Amarillo Director (2011) Jamie Bone, DDS, FAGD Kerrville Director (2011) Gary Jennings, DDS, MAGD Houston AGD Regional Director Douglas Bogan, DDS, FAGD Houston AGD National Trustee Ralph Cooley, DDS, FAGD Conroe Executive Director Connie Sonnier, CAE Round Rock

TAGD Staff Margaret Hulse Director Jack T. Clark Foundation Amy Knitt

Membership & Communications Director

Jeannie Russell Education Director Summer 2009

D E N T I S T R Y

2009 Texas Dentist of the Year Nominees

12-13

Dental Fillin’s..........................................................................................4 Pearls of Wisdom: Keeping Records.............................................................4 President’s Message.................................................................................5 TAGD Headlines........................................................................................6 AGD Annual Meeting Summary...................................................................7 Dental Ceramics.......................................................................................8 JTC Foundation Update.............................................................................11 Lone Star Dental Conference.....................................................................14 2009 CE Schedule....................................................................................15

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Important Contacts

2009 Texas Dentist of the Year™ WINNER

TAGD

512-244-0577 Toll-free 877-464-8243 Fax 512-244-0476 www.tagd.org

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.

AGD

888-243-3368 www.agd.org

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. Texas GP 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.

ADA

800-621-8099 www.ada.org

TDA

800-832-1145 www.tda.org

No portion of Texas GP may be reproduced in any form without prior written permission from the TAGD. The opinions expressed by Texas GP are not necessarily endorsed by the TAGD. The publication of an advertisement in Texas GP does not indicate endorsement for products and services. TAGD/AGD approval for continuing education courses or course sponsors will be clearly stated.

TSBDE

512-463-6400 www.tsbde.state.tx.us

Information changes requested: Send your new address, phone, fax and e-mail to Amy@TAGD.org

From the Editor • Young Dentists Committed To Profession

he future of dentistry in Texas looks bright thanks to the dedication and commitment of young dentists. The beginning of the year marked the formation of a young dentist committee to serve within the Texas Academy of General Dentistry. This committee’s sole purpose is to provide guidance and support to the myriad of issues confronting young dentists.

practice? Would we become an associate, partner, or solo practitioner? How about financing? What kind of equipment? Which continuing education courses would be most beneficial? Who would we utilize for our insurance, legal, and accounting needs? How do we handle staffing issues? The list goes on and on. Hence, it becomes apparent of the real need for this committee to help dentists just beginning their career.

Upon meeting the individuals serving on this committee, I couldn’t help but to be impressed with the energy and desire they each possessed. Each member was genuinely concerned about the profession and what could be done to help those just beginning their career.

After their initial meeting, these individuals already had some very creative ideas and thoughts on addressing issues facing young dentists. I look forward to seeing the plans that are developed as a result of this committee’s work.

Although many of us have long since surpassed the title of “young dentist” (present editor included), I think we can still recall the many questions we faced immediately following graduation. Would we pursue specialty training? Where would we begin our

I hope that other young dentists will step forward and give of their time and talent. This will not only build an alliance of young dentists helping each other, but also strengthen the profession. As I’ve stated before, it is imperative we all (young as well as

Why do we need records? The easy answer is communication, but of course it rapidly gets more complicate d. Primarily, we are communicating with the patient and ourselves. Secondarily, we need to show evidence of communication for various regulatory agencies and the legal profession.

If a complaint is filed against the dentist, good records are the best defense. If the records are poor or nonexistent, then the dentist has little, if any, defense. It is the prevailing opinion of the legal profession that if it is not written down then it didn’t happen. So, make sure that all communication with the patient is recorded, especially patient complaints or problems. Additionally, it needs to be recorded how the issue was addressed and resolved. This lets patients know that they have been heard and that you care about them.

Before any treatment is initiated, a patient needs to understand what treatment will be done, possible risks/complications, and any treatment alternatives. This then becomes an informed consent which the patient is asked to sign. This way, in the event there is a complication, the dentist has a signed document proving the patient was properly informed.

1. Patient information—addresses of home and work, all contact phone numbers, contact numbers for spouse, emergency contact numbers, insurance information, and HIPAA release.

Pearls of Wisdom: Records

Most of the requirements of TSBDE are included in Rule 108.8. Among the requirements of dental records are:

2. Medical history—make sure to include all prescription medications as well as OTC medications, name and phone numbers of all physicians, etc. Medical history updates 4

“matured” dentists) join together, get involved, and ACTIVELY support our profession. If we all work together towards maintaining the good of our pro- Michael Payne, DDS, FAGD fession, our patients will continue to benefit from quality dental care. *********** On a personal note, this issue of the TexasGP will be my last while serving as TAGD’s Editor. I would like to thank all who so generously gave of their time and talents to make the TexasGP the quality newsletter it is today. I especially want to thank our TAGD staff for their tireless efforts. During the past eight years I have been fortunate to witness the tremendous strides TAGD has made in better serving its members. Thanks to our dedicated leadership, strong membership, and hard working staff, the future looks bright for TAGD! are important in that the patient’s health and the medications that they take can change over time. 3. Clinical charting of the presenting condition of David Wilhite, DDS, MAGD the mouth. Don’t forget the periodontal charting, the TMJ examination, and the oral cancer screening. 4. Radiographs—In order to properly diagnose, radiographs are necessary. The treating dentist should determine on a case by case basis what radiographs are needed to formulate a proper diagnosis and treatment plan and with what frequency they should be taken. Additionally, it is important to have a written interpretation of all radiographs. 5. Diagnosis and Treatment Plan—when you write up your treatment plan, include your reasons for the treatment. Don’t forget to include alternative treatments. Continued on page 6 JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY

A MESSAGE FROM THE PRESIDENT • State of the TAGD

he strength of any organization is not the individual leader(s), but a collective utilization of the talents of each person to accomplish the goals for its members. The same is true of TAGD. Executive Director Connie Sonnier and her talented staff have provided a tremendous amount of support for our membership and TAGD leadership. It would be impossible to fully articulate what they have contributed to the ongoing success of TAGD year after year.

As my term ends in September, I want to thank Dr. Mickey Walker for the opportunity to serve as President-Elect during his term as TAGD President. The confidence he placed in me and his many words of encouragement allowed me to pursue this past year with the assurance of success. My desire was to maintain the same level of excellence which was established before me in leading this organization. I hope that I have accomplished this goal.

Dentist Committee chaired this next year by Dr. Josh Austin. At the upcoming Lone Star Dental Conference in September, 2009, we will name the first annual New Dentist of the Year at the Leadership Reception on Thursday evening.

Access to Care TAGD was wellrepresented at the Medicaid Stakeholders’ meetings by Dr. Marko Alanis and Ron Theiss, DDS, MAGD at the Head-Start Dental Home Initiative Program by Dr. Mickey Walker. These two programs are just two examples of TAGD stepping out to deal with this important issue facing the citizens of Texas. We continue to work with TDA/ADA to address access At the 2009 TAGD Strategic Planning Session members of the to care, a topic of great concern to all dental New Dentist Committee presented their plans for the next professionals. year to TAGD leaders from across the state.

MasterTrack - I am extremely proud of this program, co-chaired by Drs. Z. Helmer and Craig Armstrong, who have provided superior leadership in maintaining a first-class offering of participation CE courses. The success of this program has been evident by the 27 Together, we have achieved a great deal. Brief- TAGD dentists who received their Masterly, I would like to recap some of the highlights ship in Baltimore. Our three venues (Austin, Dallas, Houston) provide great opportunities from the past year: for attendees to receive great CE value in purAdvocacy - One of our greatest achievements suit of this prestigious award. this year has been the addition of our lobbyist, David Mintz, who has brought to our organization, a treasure of knowledge which helped us navigate into deep legislative waters. His professionalism, wisdom and guidance elevated TAGD to new heights with the communication of accurate legislative information to our membership. Our online legislative newsletter, The Gatekeeper, was established this year to keep the membership Co-chairs Drs. Z. Helmer and Craig Armstrong practice their informed about critical issues pertaining to skills at the Austin MasterTrack Session with Dr. Terry Cook. All of whom recently received their Mastership this year. dentistry. Many critical issues were brought to the legislative table this year, for which We also continue to work with the FelTAGD maintained a very influential voice. lowTrack Programs in the Houston and San Dr. David Tillman, chair of the Legislative Antonio dental schools, allowing seniors to Committee, is a very talented and devoted earn CE hours toward their Fellowship leader who sacrificed a great deal of his perNew TSBDE members - TAGD supported sonal time to the efforts of TAGD. Governor Perry’s appointment of Dr. Bill New Dentist Committee - The development Birdwell of Bryan and Dr. Rudy Ramos of of this committee will focus on recent dental Houston (both general dentists) as new school graduates. Dr. Jamie Bone facilitated State Board members. I had the privilege to this committee and provided great leadership represent TAGD at all the State Board meetas it moved forward to address the needs of ings this past year. The development of these a very vital part of TAGD membership. I ex- relationships has enabled TAGD to stay inpect to see great achievement from our New formed on regulatory issues that affect the Summer 2009

General Dentist and your practice.

AGD Annual Awards - This past July at the AGD annual meeting held in Baltimore, the efforts of TAGD were evident on the national stage. TAGD received four prestigious awards: Constituent of the Year, accepted by Dr. Mickey Walker; Continuing Education award, accepted by Dr. Z. Helmer; Ace Award for the TexasGP, accepted by our editor, Dr. Mike Payne; and the Public Information award, accepted by Dr. Marko Alanis. Achieving success takes commitment of our time and resources. The success of TAGD is due to many fine colleagues, for which I owe a great deal of gratitude. First, I would like to thank our very capable TAGD officers: President-Elect, Dr. Dan McCauley; Secretary/Treasurer, Dr. Mark Peppard; and Editor, Dr. Mike Payne. Our Board of Directors: Drs. Marko Alanis, Craig Armstrong, Dean Armstrong, Jamie Bone, Arnold Chavarria, and Gary Jennings. Additionally, I would like to thank our very talented national leaders: Dr. Doug Bogan, AGD Regional Director; and Dr. Ralph Cooley, AGD National Trustee. It is because of the strong leadership that TAGD continues to set the standard for excellence in the Academy of General Dentistry. I am indebted to each of them for their constant support this year. I look forward to seeing you at the Lone Star Dental Conference, September 10-12, at the AT&T Conference Center in Austin when we pass the torch for the next wave of leadership on the TAGD Board. With my best personal regards, thanks again for the wonderful opportunity to serve you this past year.

Pearls of Wisdom continued from page 4 6. Record of Treatment—treatment provided, vital signs, medications administered, dispensed, or prescribed, any complications and their resolution, and your signature. 7. Informed Consent—remember that consent is a process, not just a piece of paper. There must be evidence of a conversation with the patient. 8. Vital Signs—blood pressure and pulse should be recorded at the initial appointmentand any appointment when local anesthetic is administered or any other medication is administered, dispensed or prescribed. Vitals need to be recorded on

TAGD HEADLINES

Senior Student Dental Award Winners

Texas AGD would like to congratulate all of our Senior Student Dental Award honorees for 2009. Recipients of this award show potential for becoming an AGD leader, believe in the mission and vision of the AGD, and are highly active in their dental school. Congratulations to Dr. Katy Poramapornpilas from UT Dental Branch in Houston, Dr. Karina Mendoza and Dr. Dusty Janssen from Baylor College of Dentistry and Dr. Brandon Clyburn from the UT Health Science Center at San Antonio.

2009 - 2010 Slate of Nominees for TAGD Board of Directors

The TAGD Nominating Committee, chaired by Dr. Dan McCauley, presents the following slate of nominees for officers and directors: President*....Dan McCauley, DDS, FAGD Pres.-Elect*......Joey Cazares, DDS, FAGD Past President*..Ron Theiss, DDS, MAGD Sec-Treas......Mark Peppard, DDS, MAGD Editor..................... Jeff Roy, DDS, FAGD Dir. 2012..................Carlos Garcia, DMD Dir. 2012.....Andrew Lazaris, DDS, FAGD *Automatic: President becomes past president; president-elect ascends to office of president. Returning Directors: Dir. 2011.....Gary Jennings, DDS, MAGD Dir. 2011...........Jamie Bone, DDS, FAGD

any patient 12 years of age or older. If for some reason vitals were not recorded, there needs to be an explanation of the reason. Records are the legal property of the dentist. The fulfillment of a request for records should be with copies, not originals. These copies need to be of excellent quality, and the photographs and radiographs need to be clinically diagnostic. If your handwritten treatment notes are not legible, they should be transcribed. If a patient request copies of their records, the dentist has 30 days to comply. If the dentist elects to charge the patient for records, it must be done in compliance with TSBDE

Dir. 2010.Craig Armstrong, DDS, MAGD Dir. 2010.Dean Armstrong, DDS, MAGD *** “Thirty (30) days shall be allowed for nominations from the membership. Except for the office of President, which is automatically filled in accordance with Article VII, Section 2, of TAGD Bylaws, any member nominated by petition of 2.5 percent of the voting membership shall be placed on the ballot.” If no nominations are received by August 11, the Secretary-Treasurer shall cast a unanimous ballot for the candidates listed above. Results of the election shall be announced at the next annual meeting held during the 2009 TAGD Lone Star Dental Conference, at the AT&T Executive Education and Conference Center in Austin, on Friday, September 11.

2009 Texas AGD Award Recipients 2009 Fellows Don L. Allen, DDS, FAGD Ross W. Anderson, DDS, FAGD Elizabeth J. Berry, DDS, FAGD R. Keith Chiles, DDS, FAGD Scott G. Clinton, DDS, FAGD Heather Fleschler, DDS, FAGD Steve Fortenberry, DDS, FAGD Cody C. Graves, DDS, FAGD Thomas Hamilton, DDS, FAGD Victoria C. Heron, DDS, FAGD Ricardo Hidalgo DDS, FAGD Langley E. Ho, DDS, FAGD Eric M. Hurst, DDS, FAGD T. Andrew Linton, DDS, FAGD Kurt D. Mackie, DDS, FAGD Jo Lynn Porter, DDS, FAGD 6

Rule 108.8(g). It is my experience that the charging for records further deepens the feeling of ill will of the patient for the dentist, and may be the critical factor in the patient’s decision to file a complaint or lawsuit against the dentist. Complete and accurate dental records are your best defense if a complaint or lawsuit is filed. If it is not written down, it didn’t happen. Your records must be legible or they may be subject to misinterpretation. If a staff person is given the duty of record keeping, remember that it is ultimately the responsibility of the dentist. Look upon your records as evidence of excellent patient care. Ronny E. Root, DDS, FAGD J. Craig Scasta, DDS, FAGD Jeff L. Schultz, DDS, FAGD Russell C. Toler, DDS, FAGD Nghi T. Trinh-Pham, DDS, FAGD Chris Hung Truong DDS, FAGD Brian D. Tucker, DMD FAGD Jean A. Tuggey, DDS, FAGD Keith J. Von Boeckmann DDS, FAGD Mark R. Whitfield, DDS, FAGD Doyle B. Williams, DDS, FAGD

2009 Masters Dean N. Armstrong, DDS, MAGD Craig S. Armstrong, DDS, MAGD Bryce Scott Chandler, DDS, MAGD Terence A. Cook, DDS, MAGD Gerald W. Crouch, DDS, MAGD Roberto Diaz, DDS, MAGD Alicia L. Dwyer, DDS, MAGD Clarence R. Feller, Jr. DDS, MAGD Jeffrey B. Geno, DDS, MAGD Tor O. Gotun, DDS, MAGD Gary V. Halm, DDS, MAGD Otice Z. Helmer, DDS, MAGD Michael H. Hodapp, DDS, MAGD Jennine K. Huet, DDS, MAGD Thomas E. Karr, DDS, MAGD Paul F. LaRoche, III DDS, MAGD Curtis G. McDonald, DDS, MAGD Donna G. Miller, DDS, MAGD Eric D. Miller, DDS, MAGD Randy R. Mitchmore, DDS, MAGD R. M. Peppard, DDS, MAGD Richard D. Rowntree, DDS, MAGD Paige J. Sohn, DDS, MAGD Lawrence Thompson, DDS, MAGD

2009 LLSR Recipients Joseph H. Emmert, DDS, MAGD Bryon McKnight, DDS, MAGD Mary Mellard, DDS, MAGD David Tillman, DDS, MAGD JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY

GET IN THE GAME • By Ralph Cooley, DDS, FAGD • AGD National Trustee

ow! The AGD Meeting this year in Baltimore was fantastic! A great keynote speaker, record-breaking numbers of hands-on continuing education courses, a baseball game and picnic at Camden Yards, a premiere party celebration, awarded honors, and lots of fellowship are just a few of the events that made this meeting special. If you missed it, please read on because I have some good news for you; there is still have a chance to “get in the game” by registering for next year’s meeting in New Orleans. Not only is the encouragement to “Get in the Game” good advice for all of us in our professional and personal lives, but it also happens to be the title of the book written by this year’s keynote speaker, Hall of Fame baseball player Cal Ripkin, Jr. For those of you who are unfamiliar with Cal Ripkin Jr., he is known as the “Iron Man,” and owns the unique record of playing in the most consecutive games in major league baseball history (2,632 games in over 17 seasons). Ripkin encouraged the opening session crowd at Baltimore to utilize his

same elements of perseverance in their everyday lives to achieve and maintain success in dentistry. Ripkin put it this way, “To be successful and persevere in anything, it all starts with the right values. You do the hard work. You do it with excellence. You are honest, sincere, and you give it your all.”

The AGD Annual Meeting is all about fun and learning. From Cal Ripkin and the baseball game to the record-breaking number of hands-on courses and Texas honorees, this year was truly a wonderful meeting. Next year could be even greater. Reward yourself for all of your own perseverance in dentistry At Baltimore, we had many Texans who throughout the year, and make plans to be at displayed that same quality of perseverance. the 2010 meeting. Come on down to New Our Fellows, Masters and Lifelong Learning Orleans and “Get In the Game!” and Service Recognition award recipients were presented with their accolades at the convocation ceremony on Saturday night. Not surprisingly, Texas led the way of all the AGD constituents in terms of numbers of recipients. As one national leader remarked to me, “You Texans have more Fellows and Masters in one year than our state has had in the past 10!” If you received your award this year, congratulations. If you know a Fellow, Master, or LLSR recipient, please congratulate them AGD National Trustee Ralph Cooley (left) and newly and if you are in the process of obtaining installed AGD President Dr. Dave Halpern (right) had a either award, let me encourage you to stay great time at the Orioles baseball game in Baltimore. strong and persevere!

AGD House of Delagates • By Doug Bogan, DDS, FAGD • AGD Regional Director

he AGD House of Delegates met during the AGD Annual Session in Baltimore on Sunday, July 12, and considered over 50 resolutions. These resolutions originate from a number of sources, including the Board of Trustees, the Regional Directors, AGD councils and committees, state AGDs and individual members. The AGD House of Delegates is the ultimate policySummer 2009

making body of AGD, as well as having the responsibility to amend the Constitution and Bylaws. There are approximately 190 delegates who represent the 50 states in the US, the Canadian provinces, and the US Federal Services. All resolutions must refer to one or more goals of AGD 2010, the Academy’s Strategic Plan. The following are notable resolutions considered by this year’s house. The House adopted the 2010 Budget, which does not include a dues increase. A resolution was passed for full time faculty at ADA/CDA approved institutions stat7

ing that they can receive 100 hours lecture credit for the first year of teaching, and 25 hours per year each subsequent year. Parttime faculty can receive 50 hours for the first year and 12.5 hours for each subsequent year. A number of resolutions were considered which dealt with advocacy by AGD of issues of particular interest to general dentists. The House passed a resolution stating AGD support for legislation requiring insurance carriers to cover surgical placement of implants and their restoration. Continued on page 15

and opacity throughout the restoraDENTAL CERAMIC CHOICES oftion.colorPrimary areas of use include â&#x20AC;&#x153;no prepâ&#x20AC;?

By Dr. Franklin Shull & Mr. Matt Roberts

oday the dental practitioner has many options to esthetically restore a tooth. These options can, unfortunately, cause confusion as to where each material can fit into their armamentarium. Both dentist and ceramist need to be well informed of each of the ceramic systems attributes and weaknesses to assure the best result for the patient. We will discuss the basics of each ceramic material, indications for use and recommended cement system. Our restorative philosophy is based on accomplishing the patientâ&#x20AC;&#x2122;s restorative and esthetic goals in a way that preserves the most natural tooth structure without compromising the result of treatment. With this in mind, we will discuss the least invasive procedures first and work into the more aggressive treatment. The major categories available to us today are: feldspathic restorations constructed on foil or refractory, Lucite reinforced pressed ceramic restorations, lithium disilicate pressed ceramic restorations, alumina core restorations, zirconia core restorations and porcelain fused to metal restorations. The name, feldspathic veneer, is derived from the major components of metal ceramic porcelain systems: quarts and feldspar. This category of restoration can be made using any of the layering porcelains designed for use with metal ceramic, zirconia, or alumina restorations. Restorations are fabricated by building powdered ceramic onto a refractory die or a platinum foil shell that has been adapted to the stone die. Very thin restorations are possible with this technique and the ceramist has full control

veneers, conservatively prepared veneers and inlay-onlay applications. While this type of restoration can produce some of the most beautiful results, it is not as consistently predictable as pressed ceramic restorations and it requires more skill and experience of the ceramist. Flexural strength of this type of ceramic is in the 85-95mpa range. This limits its use in more aggressively prepared teeth requiring thicker restorations and unsupported ceramic. These restorations must be etched and bonded to place with a composite luting resin. Lucite based pressed ceramic restorations have been used widely in dentistry. Products like Empress (Ivoclar Vivident) and Authentic (Jensen Industries) are just two of many examples of these systems used today. These restorations are fabricated with a lost wax casting process much like what we use for gold. The technician fabricates a wax up, attaches a sprue, places a ring around the pattern and pours high heat investment into the ring that is placed in a burnout oven to eliminate the wax. The hot ring is placed in a ceramic pressing furnace with an ingot of the appropriate ceramic that is pressed into the cavity created by the wax. This produces a restoration comprised of one color and translucency of ceramic so material choice is critical to esthetics. The technician then cuts back the pressed material strategically and layers powdered ceramic to create the necessary effects of translucency and color to match natural dentition. If the correct ingot is selected, no layering or very little layering may be required to achieve optimal results. Flexural strength of these systems is in the area of 170 mpa, allowing for use in thicker restorations and unsupported applications. Restorations must be

at least .6-.7mm for the pressing process to work well, which limits the use of these systems for ultra conservative and no-prep veneers. Probably the biggest advantage to pressed ceramic restorations is in the area of detailed occlusal contacts and the ability to use wax injection to accurately reproduce in the definitive restoration the shape and position of provisional restorations. These restorations must be etched and bonded to place with a composite luting resin. Flexural strength of these systems is in the area of 170 mpa, allowing for use in thicker restorations and unsupported applications. Restorations must be at least .6-.7mm for the pressing process to work well, which limits the use of these systems for ultra conservative and no-prep veneers. Probably the biggest advantage to pressed ceramic restorations is in the area of detailed occlusal contacts and the ability to use wax injection to accurately reproduce in the definitive restoration the shape and position of provisional restorations. These restorations must be etched and bonded to place with a composite luting resin. Lithium disilicate pressed ceramic restorations (E Max, Ivoclar) are one of the most promising and fastest growing areas in dentistry today. These restorations share most of what was previously stated about lucite pressed ceramic restoration, but with a couple of very significant advantages: with a flexural strength of 400mpa they have much greater strength than other bondable restorations and with the ability to press ultra thin restorations (.2mm) they have a broader applicability. With high translucency ingots, very esthetic restorations can be fabricated with no layering ceramic. This results in very durable restorations.

.2mm feldspathic refractory veneers 8

JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY

We are using lithium disilicate restorations almost exclusively for posterior onlays and full crowns as well as all anterior applications. Although bonding is preferable with these restorations, the manufacturer approves the use of cements like Multi-Link and Panavia for delivery as well. Alumia core restorations (Procera, Noblebiocare) which have strength of 600mpa are still in use, but the much stronger zirconia core restorations (900-1200mpa) are quickly replacing alumina as the preferred cementable all ceramic restoration. Zirconia restorations (Lava, 3M; e Max Zirpress, Ivoclar; CZR, Noritaki; etc.) are used for cementable full crown applications as well as bridgework and implant abutments. Preparation requirements are 1.5mm with shoulder preparations and rounded internal line angles. The zirconia core is fabricated by cad cam milling technology. Ceramists

Drill Bits The TAGD New Dentist Committee was created to facilitate a student and new dentist out reach program. As we begin our on-going new dentist section in the TexasGP our editor had a few questions for our committee: What concerns are new dentists facing as you enter the profession? Anthony Maggio: Overall, most students are concerned with finding a good job once we graduate. Some students have a relationship with a dentist back home that they are going to work for, but the majority of us do not and the whole process can be intimidating. Dr. Kim Turnbow: As a very new dentist who graduated this past May, one main concern is that I know my educational foundation is solid but there is still so much dentistry I have yet to experience. Dr. Jackie Vo - The biggest challenge is trying to juggle the logistics of running a business while fine tuning the art of practicing dentistry. The aspect of being CEO of your own business is very daunting. We donâ&#x20AC;&#x2122;t get enough training to take care of that aspect because weâ&#x20AC;&#x2122;re so busy learning technical dental skills in school. Summer 2009

then layer powdered ceramic or wax and press ceramic over the core material. Although the core has 1200mpa strength, the layering or pressed ceramic used has 85mpa strength leaving these restorations vulnerable to chipping of the layered ceramic. Good substructure design is imperative for survivability. Porcelain fused to metal restorations are still very useful for long span bridges, precision attachment applications and implant abutments. A skilled ceramist can produce very nice esthetic results if proper room for restorative materials is provided. Preparation for PFM restorations should not be less than 1.5mm and shoulder preparations should be done to allow porcelain margins in the esthetic zone. In summary it is important to note that although both PFM and Zirconia have the highest published strength numbers, the What are you views on the current issues facing the profession? Dr. Joshua Austin - Access to care remains a prescient issue in dentistry. We must work to increase access to care for outlying groups to demonstrate to our legislators that we are making a difference without their intervention. Dr. Shane Ricci - An issue at the forefront is the increase in mid-level providers. With this happening in more states, the way we practice dentistry stands to be greatly affected. Whether you are for or against this issue, it is important to stay involved and informed so that our voice can be heard. Why did they choose to join the AGD? Dr. Brooke Loftis - I joined the AGD in dental school because it was a great way to work toward my Fellowship through the FellowTrack Program. It wasnâ&#x20AC;&#x2122;t until after joining that I realized what I think is the greatest member benefit; advocacy for the general dentist. This is the best attribute of the AGD. Understanding that this group protects and advances the rights of the general dentist is difficult to see until you have to deal with regulations and laws that affect your every day practice. Dr. Sylvester Gonzales - I joined AGD to accompany the ranks of other general den9

layering ceramic on both of them is still 85mpa feldspathic ceramic, leaving them vulnerable to chipping of the layering ceramic. Although not chronic, both of these materials have a demonstrated clinical history of this problem. The highest success rates in the newest studies are now being seen with non-layered lithium disilicate with its 400mpa strength. (NYU study from George Tsykowsky) It is important to also remember that these are short term studies and time will tell. Dr. G. Franklin Shull, Jr. is a native of Lexington, South Carolina. He is a graduate of the University of South Carolina and the Medical University of South Carolina School of Dentistry. Following dental school, he completed a General Practice Residency at Richland Memorial Hospital in Columbia, South Carolina. He is a fellow of the Academy of General Dentistry and is a faculty member at Palmetto Richland Memorial Hospital Department of Dentistry and the Medical College of Georgia School of Dentistry. Dr. Shull is also a teaching assistant at the L.D. Pankey Institute.

tists who value our profession and seek to protect the quality of care delivered to our patients. AGD provides great courses to help us become better dentists and offers goals to look forward to by obtaining Fellowship, Mastership and the LLSR award. What is your vision for the future of dentistry? Dr. Aly Sergie - I look forward to a future that allows dentists to be self-regulated and self-monitored. I also hope that as we move forward, the cost of formal education does not force young graduates into positions of indentured servitude. Dr. Joshua Austin - If dentists can move forward as the center of the dental team, I envision dentistry continuing on the same road it is on now. Improvements in public health advocacy and prevention will continue to diminish caries rates nationwide. Evolving materials will continue to simplify once complex procedures and allow for stronger, more esthetic restorations. Despite all these changes, dentistry of the future will still revolve around successful relationships between doctors and their patients. No matter where technology takes us, dentistry will always be a profession that involves intense training, strong hand skills, and a commitment to lifelong learning.

Building Practices

By Dr. Sylvester Gonzales

he decision to open up my own practice was being at the right place at the right time in my career. I felt more than comfortable with my skills and was ready to take the next step. After leaving an associateship, I settled in Round Rock, Texas, just north of Austin. This community is growing at expansive rates and it was more of an opportunity, as I would describe, to have the chance to start up a practice here. As I began the search for a building, I drove around visiting areas that I knew of and liked, hoping to see a location that would fit my specifications. I traveled up Interstate 35 to a new region of Round Rock and stumbled upon an area that had great potential, however, I wasn’t completely sold on it. More research needed to be done on my prospective location. An unexpected resource I discovered was the Community Impact, a local periodical that is sent to my home for free. The purpose of the paper is to let residents know of growth and changes in their community such as what new businesses are opening and which operations are leaving. After more research I became aware that this location is becoming somewhat of a medical and academic hub. A new Seton Hospital had been constructed along with the Texas A&M Medical School and an Austin Community College, all of which, were within a two-mile radius of my office. I have always enjoyed the world of academia, it’s a part of who I am, and after exploring the area I realized it fit in with my lifestyle. My next step was to visit the local Chamber of Commerce who helped me research the demographics of my new location. The Chamber of Commerce also has a Small Business Development Center where local, retired, business owners volunteer their time and expertise for those starting-up their own small business. These individuals were a tremendous asset for me as they helped draft a business plan, put me in contact with an attorney, and offered me general business advice. I worked with a business consultant, Kimberly Franek, who was a dental office manager for over 10 years. Rather than just

discussing my plans with Ms. Franek, she dissected them and went over how to tackle everything step by step. She knows the business well and even helped me screen potential staff members before I interviewed them, which saved me some much needed time. Ms. Franek had contacts in the dental profession so we were able to acquire staff through referral. I didn’t just hire her to let her take over; instead, we worked as a team. I told her what I was interested in doing; we decided whether or not it was possible, and then how we can get it done. When working with a consultant you may not agree on everything. However, having an experienced professional to gain knowledge from and bounce ideas off of proved valuable. To find funding for my new office I got in touch with Bank of America. A representative told me about a program they offer named “Practice Solutions” that is known for lending to small, health-related businesses. The bank reviewed my business plan and budget before I was approved; being a larger bank they have less wariness about backing a somewhat risky project, as most small-businesses are considered. Another division of Bank of America is “Practice Heartbeat” which offers businesses management tools and guidance to assist them in becoming a successful entity. If I were to have any financial issues, Practice Heartbeat acts as a consultant to help me through rough patches. You continually give them reports of how you are doing so if they need to aid you in any way they are updated on the current state of your business.

as well adding more staff and associates to my practice. In order to get my name out there I have made it a point to be active in my community including involvement with the local Chamber of Commerce and participating in events at my Church. From this I can get to know my potential patients better. I have also become involved in my local dental components, both the Central Texas AGD and the Capital Area Dental Society, through which I get both support from my colleagues and show my patients how involved I am with my profession. I look forward to September when I will officially open my new practice. The building process, for me, was actually relatively unproblematic and exciting. I hope some of the steps in my process I have outlined will be enlightening for our newer dentists who are about to embark on the same journey.

For the construction of my office I chose to work with Patterson Dental. One valuable pearl that I would like to share is how important it was to be able to view the progression of my office frequently, at least once a week, so that I was able to catch any errors or make any quick changes. A consultant at Patterson helped me design the interior of my office but frankly, next time I would hire an architect who is more knowledgeable on designing medical buildings. My new building currently has two operatories. As my business and productivity grows I will be able to open more in my office. I have also “reserved” the space next door hoping that as the city of Round Rock and its need for dentistry grows, I will expand 10

JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY

JTC FOUNDATION UPDATE

aturday, June 20, dentists from across the state gathered in Austin at the home of Dr. Karen Frazer, treasurer of the Jack T. Clark Foundation and host of the first JTCF social fundraiser. Guests enjoyed food from Z Tejas Grill and beverages provided by North by Northwest Brewery as they learned about our mission and the importance of reducing oral cancer morbidity and mortality through public education. This event could not have been such a success without the generosity of our sponsors: Union State Bank TMG Z Tejas North by Northwest Since the beginning of the year, the JTC Foundation has visited eight cities throughout Texas and provided oral cancer screenings and education to over 600 Texas residents. We still have five more cities to visit this year. To learn more about continuing education and volunteer opportunities, please visit the JTC Foundation link on the TAGD web site at www.TAGD.org or contact Margaret Hulse at meg@tagd.org. Thank you to all who have donated their time and talent to the JTC Foundation. We can not successfully work toward our mission without your generous help and support. 2009 Volunteer Opportunities: August 15 • Mineral Wells, TX Oral cancer screenings & Triage Smiles on Wheels September 25 & 26 • Amarillo, TX 6 hour CE - Differential Diagnosis Oral cancer screenings at the Tri-State Fair October 9 & 10 • Austin, TX 6 hour CE - Differential Diagnosis Oral cancer screenings at Hopefest October 24 & 25 • Austin, TX Oral cancer screenings at LiveStrong Village and LiveStrong Challenge Bike Ride Summer 2009

Elena Clark Memorial Donations Elena Beauchamp Clark, wife of Jack T. Clark, passed away Thursday, April 9, 2009. Thank you to all of those who have made a contribution to the JTC Foundation in her name: Ms. Madelon Bradshaw Mr. and Mrs. David and Sheryl Crocker Mr. and Mrs. Jackie Bengie Daniel Ms. Vera Kendall Dr. and Mrs. James and Bonita Lewis Ms. Martha Lorimer Ms. Kathryn Lovin Pat Merrill Ms. Pat Myers Ms. Gail Natale Mr. Edward Pfeiffer Mr. Robert Richardson Mr. and Mrs. Bill and Carol Anne Riddle Mr. and Mrs. William and Pat Warner Mr. and Mrs. Wolverton Family 1st Federal Credit Union Texas Academy of General Dentistry

Jack T. Clark Board of Trustees Michael Hodapp, MAGD Chairman Catherine Flaitz, DDS Chairman-Elect Robert Kelly, DDS, FAGD Immediate Past Chairman Karen Frazer, DDS Treasurer Connie Sonnier, CAE Secretary Bob Donnelly, DDS, MAGD Trustee 2011 Moshtagh Farokhi, DDS, FAGD Trustee 2011 Sherri Myers, RDH Trustee 2010 Mary Mellard, DDS, MAGD Trustee 2010 Michael Payne, DDS, FAGD Trustee 2009 Jerry Bouquot, DDS Trustee 2009

Mission of the JTC Foundation: To improve the public’s oral health by promoting early detection and prevention of oral cancer in conjunction with the education of patients and health care providers. 11

The Texas Academy of General Dentistry is proud to announce the 2009 Texas Dentist of the Year Nominees â&#x201E;˘

Pam Berlanga, DDS San Antonio San Antonio Dental Society

Celeste Braden, DDS San Marcos River District Dental Society

Shelley Canada, DDS Houston 9th District Dental Society

Ralph Cooley, DDS Conroe Brazos Valley AGD & Brazos Valley Dental Society

Roberto Diaz, DDS McAllen Rio Grande Valley AGD & Rio Grande Valley Dental Society

David Duncan, DDS Amarillo Panhandle Dental Society

Karen Frazer, DDS Austin Capital Area Dental Society

Gus Gates, DDS Temple Heart of Texas AGD & Central Texas Dental Society

Thomas Gerald, DDS Amarillo Panhandle AGD

Frank Higginbottom, DDS Dallas Dallas County Dental Society

Art Jeske, DDS Houston Greater Houston Dental Society

Jerry Katz, DDS Austin Central Texas AGD

JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY

Past DOY Award Recipients

Brad Loeffelholz, DDS Fort Worth Fort Worth Dental Society

Mary Mellard, DDS Houston Houston AGD

William Nantz, DDS Beaumont Dental Society of Southeast Texas

Elaine Neenan, DDS San Antonio San Antonio AGD

David Nichols, DDS Tyler East Texas AGD

Fred Phillips, DDS Corpus Christi Nueces Valley Dental Society

David Roberts, DDS Dallas Dallas AGD

Timothy Shannon, DDS McKinney North Texas Dental Society

David Tillman, DDS Fort Worth Fort Worth AGD

Please join us on Friday, September 11, 2009 as TAGD announces the 47th Texas Dentist of the Year™ . Nominees show dedication to the profession, service to the community, commitment to continuing education, and have been involved with activities that demonstrate their character and excellence in the profession of dentistry. This year’s gala is themed, black and white attire is requested. Summer 2009

1965 Dr. Charles Emery, Corpus Christi 1966 Dr. Eugene M. Allen, Tyler 1967 Dr. Edward Cooksey 1968 Dr. Lynden Kennedy, Dallas 1969 Dr. WIlliam McNeil, Silsbee 1970 Dr. A. Kenneth Ragsdale, San Antonio 1971 Dr. John Wilbanks, El Paso 1972 Dr. RobertT. Maberry, Fort Worth & Dr. John Wilbanks, El Paso 1973 Dr. Jack Clark, Fort Worth 1974 Dr. James Bauerle, San Antonio 1975 Dr. Claude Pawelek, Houston 1976 Dr. Charles Lewis, Muleshoe 1977 Dr. Henry Sorrels, Houston 1978 Dr. Sam Rogers, Houston 1979 Dr. Charles Pugh, Fort Worth 1980 Dr. Jack Harris, Pearland 1981 Dr. Paul Hicks, Conroe 1982 Dr. Burton Kunik, Houston 1983 Dr. James Burnett, Fort Worth 1984 Dr. John Larkin, 1985 Dr. Rene’ Rosas, El Paso 1986 Dr. Harold Smith, Tyler 1987 Dr. Kenneth Rudd, San Antonio 1988 Dr. William Wathen, Weatherford 1989 Dr. Richard Eklund, Leakey 1990 Dr. Frederick Aurbach, Dallas 1991 Dr. Fred Pirk, El Paso 1992 Dr. Kevin Seidler, The Colony 1993 Dr. Leslie Fullerton, Houston 1994 Dr. Stephen Schwartz, Houston 1995 Dr. Frank Eggleston, Houston 1996 Dr. Gary Rainwater, Dallas & Dr. Russell Schlattman, Houston 1997 Dr. Glenn Walters, San Antonio 1998 Dr. Sam Long, Houston 1999 Dr. Herbert Wade, Bryan 2000 Dr. Leighton Wier, San Antonio 2001 Dr. Bill Birdwell, Bryan 2002 Dr. J. Robbins, San Antonio 2003 Dr. John Chandler, Huntsville 2004 Dr. Larry Spradley, Bedford 2005 Dr. Catherine Flaitz, Houston 2006 Dr. John Stovall, Crockett 2007 Dr. Richard Collins, Houston 2008 Dr. Richard Smith, Amarillo

2009 Lone Star Dental Conference September 11 & 12  Austin, TX Come for the education  Take home the memories

Friday Courses  Both courses are open to the entire dental team The Hottest Topics in Dentistry Today - A Team Approach • Presented by Dr. Louis Malcmacher 8:00 a.m. - 4:00 p.m. • 7 hours lecture credit

FAGD/MAGD credit #219328 1/1/06-12/31/10

The primary goal of this seminar is to teach dentists and staff how to easily integrate the hottest topics in dentistry into their practices such as less than an hour teeth whitening, no prep porcelain veneers, resin bonding, and much more. These practical concepts will enable you to offer new dental services, reduce your stress, significantly increase your production, substantially lower your overhead, and have fun doing dentistry. This fast-paced seminar will get you and your staff excited about dentistry!

Enteral Sedation Review & Medical Emergencies • Presented by Dr. Ernie Luce 8:00 a.m. - 3:00 p.m. • 6 hours lecture credit

This course will review recognition and management of common medical and sedation-related emergencies in the dental office. There will be an emphasis on the critical role of the entire dental team, not just the doctor in these situations. The TSBDE requires enteral sedation permit holders to participate in six hours of enteral sedation review every three years; this course satisfies that requirement.

Saturday Seminars Unraveling the Mysteries of Orthodontics Presented by Dr. Jon Romer 8:00 a.m. - 12:00 p.m. • Hands-on credit

This workshop will provide an introduction to orthodontics including how to implement this additional money stream in your practice resulting in an increase of your income. Dr. Romer will discuss basic banding and bracketing techniques and guide a hands-on practice using study models. The course includes actual diagnosed cases to help you initiate treatment in your practice on Monday morning.

Oral Surgery Workshop with Advanced Techniques for the GP

Presented by Dr. Dave Roberts Sponsored by the JTC Foundation 8:00 a.m. - 12:00 p.m. • Hands-on credit This half-day workshop is designed for general dentists who want to expand their oral surgery experience and better understand and manage dento-alveolar surgical procedures. This advanced course will offer you, the general practitioner, an opportunity to better handle your extraction cases, manage complications, and know what to avoid.

What You Didn’t Learn in Dental School

Presented by Dr. Andy McKamie Sponsored by Pinnacle Practices 8:00 a.m. - 12:00 p.m. • Lecture credit Dr. Andy McKamie will discuss what it means to be the CEO of a small business. He will explain the importance of developing a clear strategy for your business, focusing on vision, positioning, segmentation, staffing, and operations. You will come away with a clear understanding of working “on your business” instead of just “in your business.”

TAGD would like to thank our 2009 Lone Star Dental Conference sponsors for their support Pro-Craft Dental Laboratory U. S. Army Health Care

JOURNAL OF THE TEXAS ACADEMY OF GENERAL DENTISTRY

AGD HOD continued from page 7 Also on the subject of implant dentistry, the House adopted the document, Educational Objectives for the Provision of Dental Implant Therapy. A resolution was passed which appoints a task force to investigate the concept of establishing a federal political action committee. A report and their recommendations will be presented to the 2010 House of Delegates. In a related action, a resolution was passed

that AGD create an Advocacy Fund. This fund can be used to fund efforts to advocate AGD positions to policy makers or to third party entities which provide products or services to dentists or insurance carriers. Advocacy fund dollars cannot be used for contributions to candidates for office.

qualitative assessment of each dentist’s proficiency with the products and without substantial clinical evidence of patient harm as a result of utilization in less than the specified quantities, as prerequisites for continued access to the use of the corporation’s product.”

Finally, a resolution was passed which states, “Resolved, that the AGD is opposed, as unduly burdensome to general dentistry and the patients it serves, to all corporate mandates that require specified quantities of utilization of the corporation’s products in patient’s dental treatment, without any

AGD takes very seriously the responsibility to be the Voice of the General Dentist, and it was in that spirit that your representatives debated issues of importance to all of us. A more complete listing of actions by the House will be available from AGD in the coming weeks.

TAGD CONTINUING EDUCATION & EVENT SCHEDULE August

August 14 & 15 13th Annual Dentists Who Care Charity Dental Conference South Padre Island, TX Visit www.dentistswhocare.us August 15 Jack T. Clark Foundation & Smiles on Wheels Rocksprings, TX volunteer event Contact Margaret Hulse at 512-244-0577 or meg@tagd.org

September September 17 San Antonio AGD Fundamentals of Contemporary Implant Dentistry w/ Dr. Alfonso Monarres San Antonio, TX More information at www.tagd.org

October

September 18 Fort Worth AGD Building Practices w/ Dr. Howard Farran Fort Worth, TX For questions call Dr. Helmer at 817-924-1111

October 9 & 10 JTC Foundation Differential Diagnosis CE & Oral Cancer Screening Hopefest Health Fair Austin, TX Contact Margaret Hulse at 512-244-0577 or meg@tagd.org

September 25 Texas AGD The Magic of Pediatric Dentistry w/ Dr. Ben Taylor Contact Jeannie Russell at 512-244-0577 or Jeannie@tagd.org

October 22 San Antonio AGD Oral Surgery Principles and Pitfalls w/ Dr.Wendell Edgin San Antonio, TX More information at www.tagd.org

September 25 & 26 JTC Foundation Differential Diagnosis CE & Oral Cancer Screening Tri-State Fair Amarillo, TX Contact Margaret Hulse at 512-244-0577 or meg@tagd.org

October 23 & 24 Houston AGD Atraumatic Oral Surgery for the General Dentist: Faster, Easier, & More Predictable w/ Dr. Karl Koerner More information at www.tagd.org

WELCOME NEW TAGD MEMBERS!

Dr. Kipton F. Anderson, Euless Dr. Ritchie D. Beougher, Plano Dr. Everett Byrom, Poteet Dr. Brady J. Camp, Lewisville Dr. Truong Chau, Fort Worth Dr. Robert E. Chodroff, Frisco Dr. Philip Duran, Dallas Dr. Carl G. Estler, Katy Mr. Benjamin Fan, Houston Summer 2009

Dr. Larry R. Franks, Harlingen Dr. Andrew Fossum, Harker Heights Dr. Richard Fossum, Temple Dr. Steven C. Goodman, Houston Dr. Zachary J. Holder, Pearland Dr. Hieu Quang Huynh, Katy Dr. Barbara Johnson, Houston Dr. April L. Kaneira, Flower Mound Dr. Kara H. Kim, Irving

Ms. Linsey McLaughlin, Fort Worth Dr. Jason M. Miller, Crowley Dr. Kalyan K. Nadella, Addison Dr. Chirag S. Patel, Grand Prarie Dr. Gary L. Paterick, Garland Dr. Jennifer A. Pham, Houston Dr. Jennifer Pitz, Dallas Dr. Kristin J. Reed, San Antonio Dr. Saleha Rehman, Houston 15

October 24 & 25 JTC Foundation Differential Diagnosis CE & Oral Cancer Screening LiveStrong Challenge Austin, TX Contact Margaret Hulse at 512-244-0577 or meg@tagd.org

November

November 5 - 8 Austin MasterTrack Clinical Photography w/ Dr. Douglas Damm Endodontics w/ Dr. Ron Lebby More information at www.tagd.org

FAGD/MAGD credit #219328 1/1/06-12/31/10

Dr. Smita Rewari, Austin Dr. Bryan D. Schelin, Frisco Dr. Suma Shetty, Manvel Dr. Audrey L. Stansbury, Garland Dr. Christopher Steiger, Dallas Dr. Paul Sullivan, Killeen Dr. Christopher Tiu, Lantana Dr. Kyle B. Todd, Cypress Dr. Martha J. Wade, Houston

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

Texas AGD Membership Application

3. Send in your application and dues

Apply for membership after July 1 and dues are half price! (Does not apply to reduced rates for recent graduates or component dues. Offer expires October 1, 2009)

Today’s Date______/______/__________

q 2009 Academy Dues - State & National q Student Dues 1. Choose your interests Or New Dentist Special Dues Rates - State & National Check any areas of interest that you would like to know more about q 2006 Graduate q 2007 Graduate or participate in: q 2008 Graduate q Educational Programs q Fellowship/Mastership Award q 2009 Graduate or Resident

q Jack T. Clark Foundation

$494 $247 $16 $425 $324 $221 $127

q Advocacy Local Component Dues

q Other:________________________________

$_________

Dues vary by component area, see chart below

2. Tell us about you Name__________________________________________________ Address_________________________________________________ City, State, Zip___________________________________________ Phone______-_______-________ Fax______-_______-________ E-mail_________________________________________________ Date of Birth ______/______/________ q

Male q

Female

License #_____________________ Year of Graduation*__________

q Brazos Valley $25 q q Central Texas $35 q q Dallas $45 q q East Texas $20 q q El Paso $10 q q Fort Worth $40 q q Heart of Texas $15 q Lubbock $35

Panhandle Rio Grande Valley River District San Antonio South East Texas Houston q2009 Grad q2008 Grad q2007 Grad

$0 $35 $15 $35 $10 $50 $25 $35 $45

Dental School______________________________ New Dentist?* *If you graduated less than five years ago your dues are less (see special rates on the right)

Total Amount Due $_________ q Check Enclosed (Payable to Texas AGD) q Solo q Associateship q Group q Discover q Master Card q Visa q Federal Services (specify)______________________________ Card #____________________________Expiration Date__________ q Specialist (specify)___________________________________ Signature________________________________________________ Sponsor Name (optional)___________________________________

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Mail or fax your completed form to: Texas Academy of General Dentistry • 409 West Main Street • Round Rock, TX 78664 • Fax 512-244-0476