OFFICIAL PUBLICATION OF THE TEXAS ACADEMY OF GENER AL DENTISTRY
SUMMER 2015, VOLUME 41, ISSUE 3
Texas Academy
A w a rd s Friday September 25 New Dentist of the Year Texas Dentist of the Year™
Be Bold Christine Meiners, DDS
FellowTr ack Student Perspectives Sarah McMahan & Neema Dad
Case Study Don’t Give Up on Teeth Christopher J. Perry, MS, DMD, MAGD
PRESIDENT’S MESSAGE By Kevin Gureckis, DMD, MAGD
As we begin to enjoy the emergence of the summer season, things are really heating up with your Texas AGD! In June, we had the New Dentist Conference, MasterTrack™ and Master Study Club. In Dr. Farran’s absence, Gary Takacs rocked the New Dentist attendees with his Friday program, Dentistry Rocks: Secrets of a Thriving Practice. On Saturday, four of our own Masters led an implant journey, from start to finish. We also conducted our TAGD Board of Directors meeting, followed by the Pre-caucus meeting as we organized the Texas constituent for the AGD 2015 Annual Meeting House of Delegates in San Francisco! At the AGD conference, we honored forty Fellows, seventeen Masters and seven Lifelong Learning and Service Recipients that were recognized at the convocation! A special honor was bestowed in memory of Dr. David McCarley as his MAGD award was presented to his wife at the Convocation. AGD is a great family! For the eighth year in a row, TAGD won the of Constituent of the Year! We also received first place for our Continuing Education and Public Information programs! Additionally, we received Honorable Mention awards in Advocacy and Membership! Job well done TAGD! Our TAGD staff and volunteers have kept us moving forward at a rapid pace! The last day of the legislative session was June 1st and it was a busy session. Our Advocacy Council, with Dr. Jen Bone as chair and Mr. David Mintz as our advocacy consultant, conducted a number of conference calls and calls to action to the membership through a series of Gatekeeper alerts. We have also been busy testifying as stakeholders before the TSBDE on a number of issues. Thanks for providing us with your input on issues that have the potential to impact our role as general dentists! Plans for the Lone Star Dental Conference in September are well under way! Dr. Bill Nantz, as chair of the committee, ensures we are on target! We have seventeen Texas Dentist of the Year™ and eleven New Dentist
of the Year nominees that will all be honored at the Texas Academy Awards party on Friday September 25th. Make plans to attend! Texas AGD Board of Directors also developed a new strategic plan to help ensure we were on track with our organization’s vision of success. Our immediate priorities have been identified as (1) Define and advance our value proposition, (2) Strengthen partnership with our components, (3) Increase organizational effectiveness, and (4) Focus on delivering world-class programs and services. The plan will serve as our blueprint for “helping general dentists succeed!” As an example, in an effort to strengthen the partnerships with our components, we created the Presidents Council, consisting of the presidents of each of our local components. We recently conducted our first meeting and a number of great initiatives are now on the table! With all of this activity, members are certainly energized. I am honored to be able to share in so many successes. If you are already involved in TAGD to help your fellow dentist succeed – thank you. If you would like to get more involved, I would encourage you to contact your local component President or the TAGD office. I can attest to the positive impact it has made to my career and my own personal growth over the years.
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, 1016 La Posada Dr. Suite 200, Austin TX 78752. Address changes should be sent to the TAGD. TexasGP is provided as a member service to members of the TAGD. Nonmember subscription rates are $25.00 individual and $40.00 institutional. Canadian orders add $5.00; outside the U.S. or Canada, add $10.00. Single copy rates are $3.00 to individuals and $4.50 to institutions (orders outside the U.S. add $1.00 postage). All orders must be prepaid in U.S. dollars. Printed in U.S.A. Copyright 2015, Texas Academy of General Dentistry, Austin, TX. No portion of TexasGP may be reproduced in any form without prior written permission from the TAGD. The opinions expressed by TexasGP are not necessarily endorsed by the TAGD.The publication of an advertisement in TexasGP does not indicate endorsement for products and services. TAGD/AGD approval for continuing education courses or course sponsors will be clearly stated.
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BOARD OF DIRECTORS PRESIDENT Kevin Gureckis, DMD, MAGD Boerne IMMEDIATE PAST PRESIDENT Donna Miller, DDS, MAGD Waco PRESIDENT ELECT Jamie Bone, DDS, MAGD Kerrville INTERIM SECRETARY/TREASURER Jeffrey Geno, DDS, MAGD League City EDITOR Andrew Lazaris, DDS, FAGD Plano
DIRECTORS Paige Sohn, DDS, MAGD Frisco Jennifer Bone, DDS, MAGD Kerrville Mary Mellard, DDS, MAGD San Antonio Shane Ricci, DDS, FAGD Plano J. Dempsey Speer, DDS Corpus Christi Tor Gotun, DDS, MAGD Austin
HOUSTON AGD Randy Farmer, DDS, FAGD Houston
CENTRAL TEXAS AGD Jason Carlyon, DDS Austin
PANHANDLE AGD Tom Karr, DDS, MAGD Amarillo
DALLAS AGD Phil Estes, DDS, FAGD Frisco
SAN ANTONIO AGD Susan Putthoff, DDS San Antonio
EL PASO AGD Patrick Mitchell, DDS, FAGD El Paso
SOUTH TEXAS AGD Ted Thompson, DDS, FAGD Corpus Christi
FORT WORTH AGD Will Goodwin, DDS Fort Worth
WEST TEXAS AGD Shihab Diais, DDS, FAGD Odessa
TEXAS ACADEMY OF GENER AL DENTISTRY STAFF
DIRECTOR OF FINANCE Nadia Baig
Pg. 4
Advocacy Pulse – On the Frontline
Pg. 6
Lone Star Dental Conference 2015
Pg. 8
Texas Academy Awards – Texas Dentist of the Year™ & New Dentist of the Year Nominees
Pg. 10
Photo Contest & Dallas Fellowship Exam Review
Pg. 13
Don’t Give Up On Teeth: A Case Study
Pg. 14
AGD FellowTrack Student Perspectives
Pg. 17
Calendar of Events
Pg. 19
REGIONAL DIRECTOR David Tillman, DDS, MAGD Fort Worth
BRAZOS VALLEY AGD Craig Scasta, DDS, FAGD Bryan
EDUCATION DIRECTOR Lindsey Robbins
Be Bold
NATIONAL TRUSTEE Douglas Bogan, DDS, FAGD Houston
COMPONENT PRESIDENTS
EXECUTIVE DIRECTOR Francine Johannesen
TABLE OF CONTENTS
COMMUNICATIONS DIRECTOR Jessica Osterchrist COMMUNICATIONS SPECIALIST Leah Thompson
MEETING PLANNER Robin Morris
EDITOR’S MESSAGE By Andrew Lazaris, DDS, FAGD
on the right path Looking back, there is almost nothing that I do exactly the same as in dental school. Fillings, crowns, root canals, x-rays, extractions, local anesthetic… So, how do I continue to practice then? Was dental school a waste of time? Should I have just learned on the job? Of course not! The most important thing I learned in dental school was to gain the basic knowledge of human biology, particularly the oral cavity, and material sciences and how to think creatively about solving problems. One of the first things I was told as a new dentist was “dentistry is the easy part”, meaning that running the business and managing a staff was the real challenge. I’m still on the fence regarding that some days. It’s also said that “the more you learn, the more you realize how little you know.” Sometimes it just comes down to intellectual curiosity and pushing yourself. Many individuals that already do so are featured in this issue as Texas Dentist of the Year™ and New Dentist of the Year nominees. Well done!
CONTACT TAGD 1016 La Posada Drive, Suite 200 Austin, Texas 78752 www.TAGD.org T
512-371-7144
F
512-371-7178
My dental practice had the recent milestone of serving patients for 16 years. Naturally, I’ve been a bit reflective on that. I’m not sure why this anniversary got me thinking more than the others. I was going to say that my practice was middle aged, but that’s not really correct. There is now a spectrum of multiple doctors in the practice from recent grads to the, ahem, more senior members. Despite some growing pains, I think everything turned out all right. I think that the AGD and particularly the TAGD have been so helpful in giving us a focus to keep us on the right path professionally. The number 16 has also been stuck in my head because this is my 16th issue serving as Editor of our TexasGP, which has also gone through many changes in that time. We appreciate your feedback on the new format, print and digital. Keep it coming. Summer 2015 | 3
BE BOLD By Christine Meiners, DDS
I’ve always known I wanted to be a doctor, but growing up as a Hispanic in an underserved region made this dream seem out of reach. I was fortunate to have the opportunity to shadow my orthodontist, and I can honestly say if I hadn’t needed braces, I might have gone down a completely different career path. At the time, there were no dental-specific programs geared towards helping students like myself. It is stories like mine that were the inspiration behind the creation of the Building Our Leaders in Dentistry (BOLD) program, founded by myself and other members of the Greater San Antonio Hispanic Dental Association (GSAHDA). BOLD is a pipeline program created to influence and encourage minority youth to pursue a career in dentistry. This program provides a means for students growing up in underserved regions to meet and interact with people who grew up under similar circumstances and have made it in the dental profession. Our goal is to empower these students to make something of their lives and provide them the resources necessary to become a mentor for the next generation growing up in their communities. Since its inception in 2011, the BOLD program has reached out to over 2,000 students in at-risk school districts in San Antonio, Laredo, the Rio Grande Valley and surrounding regions. We also collaborate with local programs such as Med-Ed, Med-Prep and AVID (Advancement Via Individual Determination), which works with middle and high school students who display an interest in higher education. The focus of our presentation ranges from dental assisting to dentist, and for some students, this is their first exposure to a dental career. Many students I have visited with are interested in the thought of becoming a doctor but don’t realize the medical field is not the only path towards achieving that goal.
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The BOLD program is geared towards not only encouraging minority youth to enter the dental workforce, but to be successful in their attempt. Some of the opportunities this program provides for students include: • Presentations on dental career options • Hands-on clinical exercises (impressions, suturing, mirror tracing, etc.) • Community outreach efforts • Shadowing and mentoring • Dental school tours • Networking via invitations to GSAHDA general meetings/socials/galas • Scholarships to deserving high school and college graduates
“If your actions inspire others to dream more, learn more, do more and become more you are a leader.” – John Quincy Adams
The BOLD program highlights GSAHDA’s role as, the leading voice for Hispanic oral health in South Texas and compliments the national Hispanic Dental Association’s mission to provide Service, Education, Advocacy, and Leadership for the elimination of oral health disparities in the Hispanic community. The Hispanic population is the nation’s largest and fastest growing minority group. However, in the U.S., Hispanics represent only 12% of current dental students enrolled and only 5.4% of dental professionals. As our nation becomes more ethnically diverse, so should our profession. We must work diligently to achieve a profession that is dynamic, culturally competent, and representative of this population. According to the Macy Foundation, underserved minorities are more likely to serve in health profession shortage areas, community clinics, and become Medicaid/Chip providers. Minority patients are also more likely to receive care from a minority provider. A national survey by the Hispanic Dental Association and Proctor & Gamble reported 60% of Hispanics feel a Spanish speaking or Hispanic dentist/hygienist would help them achieve better oral health. The BOLD program aims to help address current access to care issues and help produce more minority and culturally competent health care providers. The success of this program is evident with students ranging from middle school to college actively involved in our activities and showing a strong desire to pursue a career in the dental profession. I am excited to share
a few of our success stories. Eduardo, a dental lab technician who shared his skills and experience with BOLD students and was inspired to apply to dental schools himself. He is now in his second year at UTHSCSA. Miranda, a BOLD student, took advantage of our outreach and shadowing opportunities and was accepted into all three dental schools in Texas. She attributed her acceptance to the BOLD program saying, “I was able to talk about my outreach to the community. I also received experience speaking to professionals. The advice they gave me made me a more competitive candidate. Speaking to these professionals made the interviewing process easier, because I felt comfortable speaking to those who interviewed me.” Miranda chose to attend dental school in San Antonio to continue her involvement with our program. In UTHSCSA alone, Hispanic applicants and acceptance to dental school has increased each year since 2011, with the class of 2018 setting a record high of 25%. With the success of BOLD, we are now collaborating on a BOLD-ER (-Educational Resources) program to supply BOLD students who have been accepted into dental school with additional tools, such as a resource library and private tutoring. Our hope is not for these students to merely survive dental school, but to thrive. We don’t want to just build dental professionals but effective leaders who will use their success to advocate for this program and give back to their community.
If you would like more information about BOLD and our pre-dental membership program, or are interested in becoming a volunteer, please visit www.gsahda.org or email us at gsahda@hotmail.com.
Summer 2015 | 5
ADVOCACY PULSE – ON THE FRONTLINE By Shane Ricci, DDS, FAGD | TAGD Advocacy Council Member I’m not supposed to be here. I’m certainly not supposed to be writing this. And yet here I am writing about how I got here. You see, I wasn’t the type of person in dental school who really subscribed to the idea of leadership roles or participation in organized dentistry. I wasn’t ASDA president, I wasn’t a student officer, and I certainly had no ambitions beyond finishing up my education and becoming an island of dentistry somewhere in Texas. My happy little isolated world, where I did dentistry each and every day and went home to spend time with my family and get ready to do it all over again. A nice happy little bubble, where no one was trying to affect my practice of dentistry. It was shortly after finishing my AEGD residency that it became quite apparent that was not what was in store for me.
I was asked to serve on a committee here and come to a meeting there, and before long my eyes were opened up to an entirely unexplored side of dentistry. The very non-clinical, but very important world of organized dentistry and dental advocacy. They say (whoever the omnipotent “they” are) that ignorance is bliss and in many ways, that is true. It’s difficult for one to become anxious about that which one does not know. But now I know, and now I must never forget. It is not only our job to advocate and protect our profession, but it is in fact our obligation. It is an obligation to those who protected it before us, those in the trenches doing so now, and for our children and future dentists to come. Dentistry is an amazing and rewarding profession and for it to continue to be so, we dentists must have a seat at the table. Otherwise we are on the menu. The motto I have coined, “screw it, just do it,” has served me well. When I’m on the fence about whether or not I want to make the sacrifices required to advocate for our profession, I simply recite those words, and make the jump. To date it has never served me wrong. Recently, I have been fortunate to have travelled to Austin and Washington, D.C. to advocate for dentistry. I have had training on the proper way to advocate for our profession, and have put it into practice in the offices of state and federal
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Representatives, Senators and staff. It has never been more apparent to me that our leaders need us, the dentists, to educate them and become resources for them, to enable our government to make the best and most fact based decisions to guide our profession and our country into the future. As a very tumultuous Texas legislative session has ended, it is evident the climate in which we practice dentistry is changing, and in many ways not for the better. I will gear up, do my homework, and be prepared to protect and represent our profession in whatever forum necessary. My one Advocacy and question for you is, will you join me?
Legislative Updates To stay current on legislative updates check the Gatekeeper section in the TAGD monthly newsletter or visit www.TAGD.org/gatekeeper to get caught up!
Advocacy Council Members Chair Jennifer Bone, DDS, MAGD Advocacy Consultant David Mintz Joey Cazares, DDS, FAGD Fred Philips, DDS Susan Putthoff, DDS Dave Roberts, DDS Brooke Loftus Elmore, DDS, FAGD Shane Ricci, DDS, FAGD Donna Miller, DDS, MAGD Kevin Gureckis, DMD, MAGD
Shane Ricci, DDS, FAGD is very active in organized dentistry and has been a member of the AGD since 2006. He has served in several leadership positions including President of the Dallas Academy of General Dentistry, President of the North Texas Dental Society, Director on the Texas Academy of General Dentistry Board, in addition to being awarded the 2012 New Dentist of the Year by the Texas Academy of General Dentistry. Dr. Ricci is very active in continuing education. He makes it a priority to stay on the cutting edge of current technology, procedures, and literature, in order to provide the best care possible for his patients. Dr. Ricci also professionally lectures regarding multiple dental products and is on the advisory board for Dental Product Shopper Magazine.
Digital Workflow Solutions Enhance the patient’s experience and the efficiencies within your practice. Digital impressioning is changing the face of dentistry. From scan to design to mill, rely on us to determine what solution best fits your practice. Files can be sent securely to dental labs through Henry Schein’s Digital Dental Exchange (DDX), integrated with Dentrix®, and other practice management software systems. Henry Schein Dental offers digital solutions, clinical expertise, and technical services to help you advance your practice in an evolving dental industry.
Henry Schein Dental Centers Houston 1-713-856-8620 Dallas/Ft. Worth 1-817-416-2918 Austin/San Antonio 1-210-545-3147
Summer 2015 | 7
LONE ST R
d e n t a l c o n f e re n c e 2015
DR. BILL NANTZ, LONE STAR DENTAL CONFERENCE CHAIR
WHY SHOULD YOU GO TO LSDC?
TAGD’s Annual Lone Star Dental Conference will be an action packed two days of CE and events. Featured speakers include Dr. John Flucke to discuss the Day to Day Technology, Digital Caries Diagnosis Equipment, and The Complete Recipe for the Paperless Office. Lois Banta will present 3 dynamic team programs to staff. Select from a variety of topics and enjoy an intimate presentation at the Lunch and Learn program Friday.
©2010 Gendex Dental Systems, 906.8509/05.07Rev0
FRIDAY COURSES Dr. John Flucke
Lois Banta
Day to Day Technology
Insurance Strategies that Work
world in is pm 8 x 14 cm: Friday:The 8:30 amI -live 12:00
Friday: 8:00 am - 12:00 pm
3 hrs Lecture | Subject Code: 130
4 hrs Lecture | Subject Code: 550
Friday: 1:30 pm - 4:30 pm
Friday: 1:00 pm - 5:00 pm
Digital Caries Diagnosis Equipment
Secrets of Total Team Scheduling
4 hrs Lecture | Subject Code: 550
3 hrs Lecture | Subject Code: 730
Want technologies that can improve your efficiency and patient care? There are many pieces of the “technology puzzle” and not all require a huge investment in financial resources or staff training. Decrease your stress level while raising your quality of care! John Flucke, DDS, Lee‘s Summit, MO Dentist, DPR Technology Editor, Lecturer
NEW from Gendex!
I am a General Dentist. The world that I live in is basically from the floor of the orbit to the bottom of the chin. The industry calls this “Medium Field of View” — but I call it the perfect view.
Sponsors & Exhibitors
And that is because the 8 x 14 cm format captures exactly the area where I work. It is ideal for implants, endo retreats, surgery, TMJ and airway analysis. There are other 3D machines in the market that capture a significantly smaller image area and are therefore called “Small Field of View.” But I find them to be too limiting for the treatments I perform.
. Cone Beam 3D Imaging Panoramic X-ray Systems Intraoral X-ray Systems Digital Intraoral Sensors Digital X-ray Phosphor Plates Intraoral Cameras Imaging Software
For more information on “Medium Field of View” 3D imaging and the new GXCB500 HD please contact: Gendex Dental Systems www.gendex.com Call toll-free: 1-888-275-5286
See the “total picture” of your patients’ caries status. New high-tech devices on the market will give you information that will change the way you practice. The science behind caries and new cutting edge devices make finding, monitoring, and treating dental decay more predictable and less stressful.
Imaging Excellence Since 1893
Learn the proven techniques for writing a detailed narrative, documenting in the patient’s chart, how to use the dental coding systems to maximize reimbursement for your patients. Develop key communication techniques when dealing with insurance companies. Receive training that will revolutionize your office! Good scheduling guarantees happier doctors, staff and patients. When everyone is happier, our bottom line will be healthier. It’s important for the dentist and the entire team to attend to fully implement these awesome new techniques!
SATURDAY COURSES Dr. John Flucke
Lois Banta
The Complete Recipe for the Paperless Office & Tech Talks
Ultimate Patient Experience
Convert a paper-based office to a digital one! Backup strategies, conversion from paper to digital charts, digital radiography, digital operatory layout, digital patient registration, efficiency and organizational advantages, and more will be covered! Dr. Flucke will lead an all new interactive Technology Expo getting you hands-on with the latest products!
Deliver the Ultimate Patient Experience from the phone call to the office to treatment acceptance. Learn key communication techniques that include “doctor to team”, “team to patient” and “team to team”. By the end of this seminar, the participants will have clear guidelines in place to offer patients the ultimate experience.
Saturday: 8:00 am - 3:00 pm
Saturday: 8:00 am - 12:00 pm 4 hrs Lecture | Subject Code: 550
6 hrs Lecture | Subject Code: 550 and 130
Saturday: 8:00 am - 3:00 pm
Exhibitors: BIOLASE | Carestream Dental Auxiliary Services – Austin Dentsply Implants | Fortress Garfield Refining Company | Lighthouse McLerran & Associates | Summit Dental Wallace Specialty Insurance
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DENTALOSOPHY w/ Various Speakers
6 hrs Lecture | Subject Code: 130
Back by popular demand!
Dentalosophy version 2.0 will cover a variety of topics designed to empower new dentists to create your own successful career path. Learn the tips and tricks that it takes other dentists years to learn from a variety of business and dental experts. The program concludes with a Q&A panel featuring perspective and insight from successful dentists, each at a different stage of their career.
LONE ST R
d e n t a l c o n f e re n c e 2015
SOCIAL EVENTS SEPTEMBER 25
THE ANNUAL JACK T. CLARK FOUNDATION SILENT AUCTION
Lunch and Learn Session For dentists only! Choose from multiple topics for an interactive lunch session with colleagues.
Domain Lunch Rush Dental Office staff are given the opportunity to explore the domain and grab lunch with their complimentary $15.00 gift card.
Awards Celebrations The Pre-Party
Texas Academy Awards
It’s our 9th annual silent auction held at the Lone Star Dental Conference! Since the Foundation hosted its inaugural Silent Auction in 2006, you have helped raise over $50,000 to benefit our foundation.
Join us for an evening of excitement with entertainment and formal dinner as the winner of the 2015 Texas Dentist of the Year™ will be announced. Tickets are $95. Dress is business attire/black tie optional.
The Jack T. Clark Foundation is a 501 (c) (3) nonprofit organization that focuses on the public’s oral health needs during cancer therapy. Our mission is to support the oral health of all Texans affected by cancer - through education, access to appropriate oral healthcare and collaborative research.
Attendees & guests are invited to the gratis PreParty with drinks, appetizers & entertainment as the seventh New Dentist of the Year winner is announced!
SEPTEMBER 26 Advocacy & Networking Lunch Saturday luncheon with attendees from Flucke & Dentalosophy
Since its inception, the Jack T. Clark Foundation has performed over 3,500 oral cancer screenings, distributed educational information to 250,000 people, and held 640 hours of classroom and handson training about oral cancer, and oral complications for dental professionals. If you have an in-kind or monetary donation you would like to make towards the Silent Auction, please contact Leah Thompson at Leah@TAGD.org or at 512-371-7144.
HOTEL INFORMATION The Westin Austin is a four-star hotel located in the heart of The Domain, one of Austin’s premiere destinations with 1.3 million square feet of retail, dining and entertainment venues. Only a limited number of rooms are available at the discounted rate of $159 per night. Book by September 2nd, by calling (512) 832-4197 and requesting the TAGD Lone Star Conference Room block or book online at www.TAGD.org\lsdc
REGISTER NOW! www.TAGD.org/lsdc Registration closes September 17th Summer 2015 | 9
1 Craig S. Armstrong, DDS, MAGD Houston AGD Houston
5 Jason T. Carlyon, DDS Central Texas AGD Austin
2 Jean Bainbridge, DDS Dallas County Dental Society Dallas
6 Dave S. Carpenter, DDS, FAGD Second District Dental Society Beaumont
3 Sammy R. Bryan, DDS Brazos Valley AGD & Brazos Valley Dental Society Huntsville
7 James Preston Coleman, DDS San Antonio Dental Society San Antonio
4 Johnny G. Cailleteau, DDS El Paso Dental Society Austin
Texas
Awa
8 Gerald W. Crouch, DDS, MAGD San Antonio AGD San Antonio
TEXAS DENTIST OF
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Academy
ards
9 Beverly M. Foster, DDS 9th District Dental Society Webster
13 Robert A. Neal, DDS North Texas Dental Society Frisco
10 Arthur H. Jeske, DMD, PhD Greater Houston Dental Society Houston
14 Donald C. Taylor, DDS, FAGD Capital Area Dental Society Buda
11 John B. Mason, DDS South Texas AGD Corpus Christi
15 Juan D. Villarreal, DDS Rio Grande Valley Dental Society Harlingen
12 Dan P. McCauley, DDS, FAGD First District Dental Society Mount Pleasant
16 David H. Wilhite, DDS, MAGD Dallas AGD Dallas 17 David C. Woodburn, DDS, FAGD Panhandle Dental Society Amarillo
THE YEAR ™ NOMINEES
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Texas Academy
Awards
NEW DENTIST OF THE YEAR
Nominees
1 Hanna Lindskog Conklin, DDS Houston AGD Richmond
4 Senaido H. Garza, DDS Rio Grande Valley Dental Society Weslaco
2 Jeema Dad, DDS Dallas AGD Plano
5 Christopher S. Hoffpauir, DDS 9th District Dental Society Alvin
3 Phil Norman Ralph Estes, DDS, FAGD North Texas Dental Society Frisco
6 Andrea K. Janik, DDS, FAGD San Antonio Dental Society San Antonio
7 Yana Kushner, DDS Central Texas AGD Austin 8 Justin L. Morrison, DDS Second District Dental Society Beaumont 9 Dwight D. Peccora, DDS Greater Houston Dental Society Missouri City
10 Susan Putthoff, DDS San Antonio AGD & Heart of Texas Dental Society Kerrville 11 Drew Vanderbrook, DDS Dallas County Dental Society Dallas
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UTSD UTSD UTSD
ontinuing CC Continuing ontinuing ental D ental DDental E ducation EEducation ducation
Management, nce and f the Quick Easy Registration Quick Quick&& &Easy EasyRegistration Registration 713–486–4028 713–486–4028 713–486–4028 Register Online Register RegisterOnline Online go.uth.edu/CDE go.uth.edu/CDE go.uth.edu/CDE June 26, 2015 June June 26,26, 2015 2015
New Dimensions New NewDimensions Dimensionsinin in Endodontics Endodontics Endodontics
tition
Presented by: Alex Fleury, DDS, MS Presented Presented by:by: Alex Alex Fleury, Fleury, DDS, DDS, MS MS Course # 2015170 Course Course # 2015170 # 2015170
June 27, 2015 June June 27,27, 2015 2015
UTSD
istry: Continuing Dental Education
Quick & Easy Registration 713–486–4028 Register Online
CALL FOR PHOTO SUBMISSIONS! go.uth.edu/CDE
June 26, 2015
Texas AGD is hosting their annual photo contest! You can submit up New Dimensions in to three high resolution photos and submissions will be displayed at theEndodontics Lone Star Dental Conference! Deadline to participate is August 17th. For information and rules please visit www.TAGD.org/news Presented by: more Alex Fleury, DDS, MS Course # 2015170
June 27, 2015
The Pediatric and The ThePediatric Pediatricand and Special Needs Patient Special SpecialNeeds NeedsPatient Patient Protective Stabilization Protective ProtectiveStabilization Stabilization
The Pediatric and Special Needs Patient Protective Stabilization
Presented by: Gary R. Badger, DDS, MS Presented Presented by:by: Gary Gary R.R. Badger, Badger, DDS, DDS, MS MS Course # 2015175 Course Course # 2015175 # 2015175
Presented by: Gary R. Badger, DDS, MS
ya, BDS, MPH, MS &
July 17, 2015 July July 17,17, 2015 2015
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Guidelines for Better Guidelines Guidelinesfor forBetter Better Restorative and Esthetic Restorative Restorativeand andEsthetic Esthetic Dentistry A to Dentistry DentistryAAtotoZ:Z: Z: Adhesion to Zirconia Adhesion AdhesiontotoZirconia Zirconia Presented by: Alan M. Atlas, DMD Presented Presented by:by:Alan Alan M.M. Atlas, Atlas, DMD DMD Course # 2015190 Course Course # 2015190 # 2015190 July 17, 2015 July July 17,17, 2015 2015
Pediatric Dentistry: Pediatric PediatricDentistry: Dentistry:
tistry at Houston Pulp Therapy, Pain Management, Pulp PulpTherapy, Therapy,Pain PainManagement, Management, Behavioral Guidance and Behavioral BehavioralGuidance Guidanceand and Provider Management of the Management Managementofofthe the Developing Dentition Developing DevelopingDentition Dentition
Presented by: Bhavini S. Acharya, BDS, MPH, Presented Presented by:by: Bhavini Bhavini S. S. Acharya, Acharya, BDS, BDS, MPH, MPH, Gary R. Badger, DDS, MS & Gary Gary R.R. Badger, Badger, DDS, DDS, MS MS && Janice A. Townsend, DDS, MS Janice Janice A.A. Townsend, Townsend, DDS, DDS, MS MS Course # 2015195 Course Course # 2015195 # 2015195 The University of Texas School of Dentistry at Houston TheThe University University of Texas of Texas School School of Dentistry of Dentistry at Houston at Houston is an ADA CERP Recognized Provider is an is ADA an ADA CERP CERP Recognized Recognized Provider Provider
Course # 2015175
July 17, 2015
Guidelines for Better Restorative and Esthetic Dentistry A to Z: Adhesion to Zirconia
LEARN IT. REVIEW IT. JUST TAKE IT. Presented by: Alan M. Atlas, DMD Course # 2015190
July 17, 2015
PediatricFELLOWSHIP Dentistry: LIVE REVIEW EXAM
Pulp Therapy, Pain Management, Hosted by Dallas AGD Behavioral Guidance and rd th Friday - Saturday, Management of the October 23 - 24
16 Hours Lecture Developing DentitionCredit
Presented by: Bhavini S. Acharya, BDS, MPH,
Sponsored by:
Gary R. Badger, DDS, MS &
Janice A. Townsend, DDS, MS Course # 2015195 The University of Texas School of Dentistry at Houston is an ADA CERP Recognized Provider
Get more information at www.TAGD.org/events Summer 2015 | 13
CASE STUDY
DON’T GIVE UP ON TEETH! By Christopher J. Perry, MS, DMD, MAGD PATIENTBEFORE AFTER PHOTO PATIENT PHOTO
A common theme I utilize in my lectures around the country is the idea of getting to the “why of the situation”. Why has this condition arisen? What is the patient’s motivation or why? This case is a great example of getting to “the why”. In the Fall of 2006, a 71 year old female patient visited our office for a consultation. Commonly there are two main deterrents to patients seeking necessary dental care… finances or fear. Before I walked in to meet the patient, my assistant informed me “put on your happy face, she is already crying just sitting in the consult room.” I met the patient and we never left the consultation room. She simply could not tolerate going into the treatment room this first day. However, we developed enough rapport that she promised to return for an examination. However, due to her extreme fear, the examination encompassed only a panoramic radiograph, intra-oral photos and a brief mirror examination (no pokey things allowed). As you can see in figure 1 through 4, this patient was what I would term “a dental cripple”. She presented with upper and lower partials, multiple failing teeth, and extreme calculus build-up. I have seen patients with much more positive prognoses treatment planned for full mouth extractions and dentures or implant-supported full mouth restorations. Over the years, I have come to believe that, while implants are a wonderful modality of treatment, there is still nothing better than what patients were born with and I, with the patient’s consent, will go to great lengths to maintain the natural dentition…within reason. When we look closely at the photographs and radiographs, I noted that there was little to no inflammation of the patient’s gingiva despite the copious calculus build-up. I also noted that the patient had very long roots and, in the molar regions, long root trunks (that distance from the CEJ to the furcation) and there was no real furcation exposure.
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Taking these ideas into consideration, I discussed with the patient that, with her fear, we could perform IV sedation and perform full mouth disinfection performing necessary extractions and full mouth scaling and root planning. Of course, the mandibular anterior would be lost immediately. What I noticed from the few seconds of examination and evaluation of the photographs was that the mandibular framework of the partial actually fit the teeth pretty well and we decided to use that as the basis for an interim partial. We performed the necessary extractions, full mouth scaling and root planning and impressed for the conversion of the existing mandibular framework to a provisional as seen in figure 5 and 6 below. Once this preliminary “disinfection” stage was completed, we performed a periodontal re-evaluation and re-evaluation of the treatment plan. Since we were able to retain multiple critical teeth, including a minimum of one molar in each quadrant, maxillary canine and centrals, and the patient had been wearing removable partial dentures for many years, we decided to fabricate partial dentures supported by surveyed crowns and crowns with semi-precision attachments. We proceeded with several sedation sessions to prepare and fabricate the crowns and splinted crowns. We splinted the lower posterior teeth to support each other, and the partial. To maintain proper direction of occlusion and force, we had the crowns surveyed to each other with recessed seats and ledges for the minor connectors where needed, see figure 7.
On the maxillary arch, we also utilized splinted crowns on #8 and #9 with bredent semi-precision attachments on the distal for stability and invisible connections. We had surveyed crowns fabricated on the maxillary molars, see figures 8 and 9. One of the complicated aspects of treatment when fabricating removable par tials supported by semi-precision attachments on crowns is that the accuracy is garnered when doing a pick-up impression of the crowns with the attachments and sending them to the lab. That way, the wax-up of the framework can be done directly to the attachments. However, this means that we have to fabricate temporary crowns, and remove them and try-back in the crowns each visit during the framework and wax try-ins. The final figures 10-12 are of the case 9 years after delivery. While some minor esthetic elements could be enhanced, the patient is thrilled with the results, particularly considering all work had to be done under IV sedation. Establishing proper occlusion, adequate space for the rest seats and minor connectors, the case has stayed extremely stable. This author has found that the utilization of fixed/removable prosthetics is a bit of a lost art. While implants are a wonderful treatment modality, nothing replaces the teeth the patient was born with for stability and proprioception-protected occlusion. I hope this article demonstrates what is possible when we determine the etiology of a patient’s condition, the true stability of the periodontium and take a methodical approach to the restorative work.
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About Christopher J. Perry, MS, DMD, MAGD Dr. Perry obtained his dental degree from The University of Medicine and Dentistry of New Jersey. Dr. Perry is Past President of the San Antonio Academy of General Dentistry. Since completing a two year residency in Advanced General Dentistry at the UT Health Science Center in San Antonio, he has been an assistant clinical Professor in the department of General Dentistry while maintaining a full time private practice. Dr. Perry has lectured internationally at most of the major dental conferences and is a regular contributor to Inside Dentistry and The Journal of the Texas Academy of General Dentistry. Dr. Perry is the president of Perry Dental Health Consulting.
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At Texas AcademyACK of General Dentistry AGD FELLOWTR It’s All About Your Success! STUDENT PERSPECTIVES
Sar ah McMahan
UT Health Science Center School of Dentistry San Antonio Class of 2015 This past November, the Academy of General Dentistry (AGD) held its annual Leadership Development Symposium. I was fortunate to have the opportunity to attend, along with five other students. During the symposium, we learned about the AGD as an organization and current initiatives. Additional sessions were dedicated to identifying leadership styles, qualities, and skills. Over the course of the weekend, I gained an appreciation for the emphasis that the AGD places on lifetime leadership and professional development. The symposium offered an incredible opportunity to connect with accomplished dentists from around the country and be offered insight into “real world dentistry”, which I felt to be very consistent with what is provided by the student FellowTrack program. This was an encouraging glimpse into how the student FellowTrack can provide a smooth, direct transition from dental school to practicing in dentistry in the real world. Many conversations over the weekend conveyed a sense of eagerness on the part of the AGD to initiate new connections with students and recent graduates, and an excitement about what these younger members bring to benefit the organization. I have observed a similar eagerness on the part of students in the FellowTrack program to find and utilize these opportunities to connect with the dental profession. At UTHSCSA, collaboration between the AGD FellowTrack program and the local ASDA chapter has led to increased awareness of the great opportunities offered by the AGD and increased enthusiasm within both organizations.
Neema Dad
Texas A&M University Baylor College of Dentistry Class of 2016 As dental students, we tend to develop nearsightedness when examining our profession and scope of practice. Although this “condition” is completely normal and healthy while in school, we sometimes need progressive lenses to open our perspective and give us a bigger picture of what we are doing. This is where the AGD FellowTrack takes charge. By promoting continuing education courses, advocacy efforts, and career mentorship, the FellowTrack bridges the gap between the classroom and real world. The FellowTrack promotes lifelong learners and reminds us to continue being students of dentistry even when we think we know it all. My hope is for more students to see the benefits of being a member of the AGD and take an active role in their schools to encourage participation in CE courses, raise awareness of issues affecting our profession, and seek out one of the many mentors that make it their priority to constantly pay it forward. This program has been a fundamental part of my dental school experience and I plan to continue being an active member of the AGD after graduation.
To get more information about the FellowTrack programs at your dental school, please contact Lindsey Robbins, Education Director, at 512.371.7144 or Lindsey@TAGD.org
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Calendar of Events JULY 2015
AUGUST 2015
Friday, July 10 West Texas AGD Tissue Engineering & Simple Implant Placement w/ Dr. Tor Gotun
Thurs-Saturday, August 6 - 8 Southwest Dental Conference Dallas, TX
Wednesday, July 22 SAFE San Antonio NDSC Forensic Dentistry w/ Dr. David Seen Friday, July 24 South Texas AGD Adhesive Dentistry & Ethical Dilemmas w/ Dr. Marc Geissberger
For more info or to register call the TAGD office at 512-371-7144 or visit tagd.org/events
Wednesday, August 12 CenTex AGD Wine and CE Series w/ Robert Whitman Summit Dental, McLerran & Associates, Patterson, MedTech Construction, Wealth Strategies, First Citizens Bank
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Wednesday, August 19 Houston AGD Wine and CE Series w/ Dr. Ron Collins Aurum, Imag Dent, Kettenbach, First Citizens Bank Wednesday, August 19 Houston FellowTrack Social and Intro Thursday, August 20 Dallas AGD Wine and CE Series w/ Dr. Scott Leune Wallace, Isolite Wednesday, August 26 SAFE San Antonio NDSC Implant Replacement & Restoration w/ Dr. Jeff Geno
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