OFFICIAL PUBLICATION OF THE TEXAS ACADEMY OF GENER AL DENTISTRY
SPRING 2015, VOLUME 41, ISSUE 2
June 5 – 6, 2015
A Dental Hand in Jerusalem O.Z. Helmer, DDS, MAGD
Austin, Texas
In Remembr ance
Case Study
David McCarley, DDS, FAGD Michael Stuart, DDS, FAGD
Overcoming Challenges of a Smile Makeover, Tor Gotun, DDS, MAGD
PRESIDENT’S MESSAGE By Kevin Gureckis, DMD, MAGD
Greetings! The Texas winter has seemed to have taken a long and slow slog for all of us, yet the Texas Academy of General Dentistry (TAGD) staf f and leadership have been keeping the heat on operationally and at the state capitol. We are alive and well as we emerge into spring, with this first interactive digital edition of the TexasGP since its inception in 1961! There have been innovative changes in order to provide our membership the value and meaning expected from this organization. I can confidently report to you that we have kept the vision and mission of TAGD with a consistent and impressive display of teamwork. Our new Executive Director, Francine Johannesen, has quickly proven to be an outstanding asset to this organization, as she has taken on each challenge TAGD faces each day, with grace and expertise.
The New Dentist Committee, chaired by Dr. Summer Ketron, is diligent in its efforts to ensure the quality and value of benefits of membership in the TAGD for our new dentists. Additionally, information on registering for the annual New Dentist Conference, to be held in Austin on June 5-6, has been launched. A lot of behind the scenes planning will ensure another very successful conference. Please join us for a weekend of fun and learning!
As you have heard, our TAGD headquarters in Round Rock was successfully sold in February and our dedicated staff has moved into our new home at 1016 La Posada Drive, Suite 200, in Austin.
At the same time, our Lone Star Dental Conference committee, chaired by Dr. William Nantz, is developing an exciting menu of speakers and programs. The New Dentist of the Year and Dentist of the Year nominations have been called, and the celebration in their honor will be a definitive highlight of the weekend conference.
The re-alignment and re-population of our committees, councils and task forces, have helped us effectively align our strategy with advocacy, leadership, membership, continuing education, conference planning and public information. The recently formed Texas AGD Presidents Council, comprised of our local component presidents continues to develop better ways to strengthen our communication and networking capabilities. The results of that initiative will help us develop a solid platform and realistic vision for our future. The ongoing 2015 Texas Legislative Session has kept our dedicated TAGD Advocacy Council very busy. Chaired by Dr. Jennifer Bone, and guided by our Advocacy Consultant, Mr. David Mintz, bill status reports are being reviewed and positions considered at a rapid pace. The recent TDA sponsored Legislative Day was very well attended and our united stance on current dental legislation was shared with legislators throughout the offices and halls of the Capitol.
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I hear and witness so many great accomplishments from our student FellowTrack, New Dentist Study Clubs, MasterTrack™ and Master Study Clubs, as these programs continue to work to provide excellent continuing education opportunities, so our members can earn the recognition of Fellow and Master in the AGD, and beyond! Start making plans for the June AGD Annual Session in San Francisco. TAGD will be there, with our Region 18 Caucus, actively participating in the AGD House of Delegates, and Texas style TAGD reception. We are proud and honored to have our own Dr. Doug Bogan, current National Trustee, step forward to run for the national office of AGD Secretary! In closing, my slogan during my presidency has been “Learn. Earn. Return.” I know TAGD will always provide each member the “earned returns on an investment of continuing to learn!”
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 Mary Mellard, DDS, MAGD San Antonio Shane Ricci, DDS, FAGD Plano J. Dempsey Speer, DDS Corpus Christi Tor Gotun, DDS, MAGD Austin Jennifer Bone, DDS, MAGD Kerrville Paige Sohn, DDS, MAGD Frisco NATIONAL TRUSTEE Douglas Bogan, DDS, FAGD Houston
TABLE OF CONTENTS Remembering Drs. McCarley & Stuart
Pg. 4
Advocacy Pulse – On the Frontline
Pg. 6
Building a Dream
Pg. 7
Bogan for AGD Secretary
Pg. 8
All About that PACE
Pg. 9
2015 New Dentist Conference
Pg. 10
Overcoming the Challenges of a Smile Makeover
Pg. 12
A Dental Hand in Jerusalem
Pg. 16
Calendar of Events
Pg. 19
REGIONAL DIRECTOR David Tillman, DDS, MAGD Fort Worth
COMPONENT PRESIDENTS BRAZOS VALLEY AGD Craig Scasta, DDS, FAGD Bryan
HOUSTON AGD Jennine Huet, DDS, MAGD Houston
CENTRAL TEXAS AGD Anne Lyon, DDS, FAGD Buda
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 EXECUTIVE DIRECTOR Francine Johannesen
MEETING PLANNER Robin Morris
EDUCATION DIRECTOR Lindsey Robbins
MARKETING DIRECTOR Jessica Osterchrist
EXECUTIVE ASSISTANT Syereen Sengari
MARKETING COORDINATOR Leah Thompson
DIRECTOR OF FINANCE Nadia Baig
EDUCATION ASSISTANT Jill Cravens
ATTENTION! WE’VE MOVED. Please update your records with our new contact information!
1016 La Posada Drive, Suite 200 Austin, TX 78752 www.TAGD.org T
512-371-7144
F
512-371-7178
EDITOR’S MESSAGE Andrew Lazaris, DDS, FAGD
Developing Your Style I can still remember the day. I was a high school senior at the time. Driving in my car on the way back from school. Windows rolled down on a warm, sunny day and enjoying some music. And then, a new song came on, Surfing with the Alien by Joe Satriani. I’d never heard anything like it. A rock instrumental by guitar god Joe Satriani. My first thought was that it was the awesomest thing that I had ever heard (Yes, that’s how I talked in high school and sadly not much has changed). The second thought was “I can play that” (because, again, teenager in high school). That is how my long time hobby of playing guitar started. One of the things Satriani has always been famous for is his skill as a teacher and many famous guitarists count themselves as his students. I came across a recent interview of him on YouTube and a student of his asked how they could develop their own style and he gave a very insightful answer. First, you have to learn mastery of basic skills - chords, scales, picking, etc. Second, as you learn these new skills and techniques, some will be easier for you and be more pleasant sounding to you. As you will tend to gravitate and excel at the things that are the most natural to you, that is how you develop your style. That sums it up perfectly, simple, yet profound. And that is why all the wanna-be’s on American Idol never quite stack up to Whitney Houston when they try to sing “I Will Always Love You”. They may be extremely talented and perform a decent vocal copy, but it will never be better than the original. You can’t out-Whitney, Whitney. So, how do you develop your style as a dentist? First you have to master your basic skills. Most of this is accomplished in dental school, but with so many skills to learn, there isn’t time to master it all. Fortunately, there are a lot of options out there to further your learning so you can decide what you’re most naturally inclined and gifted to do. Some great news is that you are already a member of the greatest organization for general dentists, the Academy of General Dentistry. From FellowTrack up through Master Study Club, there are wide ranging, unbiased, high quality continuing education opportunities. Everything is here to support you in your lifelong learning. One of the new features in your TexasGP will be case presentations from our members to give everyone a glimpse as to what goes on at the Study Clubs. To kick off our first, exclusively online issue, Dr. Tor Gotun has graciously shared a case that he recently presented at the Master Study Club. Dr. Gotun is a gifted dentist and teacher and I hope this and future cases inspire you to really follow your interests and learn new skills, push yourself and find out what areas in dentistry that you really excel. As Steve Jobs said, “Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do.”
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In Remembrance At the beginning of this year, Texas AGD and the profession of dentistry suffered a huge loss with the passing of Drs. David McCarley and Michael Stuart.
David McCarley, DDS, FAGD
Michael Stuart, DDS, FAGD
SEPTEMBER 2, 1953 – JANUARY 4, 2015
FEBRUARY 28, 1952 – FEBRUARY 18, 2015
I’ve known many dentists, some who have made extraordinary contributions to the dental profession through their leadership in organized dentistry and others who have, through a commitment to lifelong learning, strived to become master practitioners. I’ve known very few who reached the top of the profession in both of those pursuits but David McCarley was one of those few and he will live on as an inspiration to me. — Douglas Bogan, DDS, FAGD
Michael has left us but a part of him will always remain as he touched so many of us. Dentistry has lost a tremendous leader and we have lost a dear friend and mentor to many. — Craig Armstrong, DDS, MAGD
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Both Dr. McCarley and Dr. Stuart leave behind inspirational legacies that are a true testament to the character of their hearts. The Texas AGD community and dentistry as a whole feel the impact of the loss of these great men.
David McCarley, DDS, FAGD
Michael Stuart, DDS, FAGD
Dr. David McCarley was born September 2, 1953 and spent most of his childhood on his grandfather’s dairy farm in Blue Ridge, Texas. Early on, he learned the value of putting in long hours and hard work in the small town of 330 people and found that integrity, honesty, ingenuity and a willingness to serve others were the only things of real value.
Dr. Michael Stuart was born February 28, 1952 and lived a life dedicated to serving others. After graduating from Baylor Dental School in 1986, he spent nearly 30 years serving in Mesquite and Sunnyvale.
Dr. McCarley’s father, L.B., graduated from Baylor Dental School and shortly thereafter, moved the family to McKinney, Texas where Dr. McCarley followed in his footsteps, also graduating from Baylor and making McKinney his hometown. “In my quest for excellence, I try to maintain this…fighting spirit that does not surrender even when under insurmountable odds” said David.
His love of people was a driving force behind the passion he exemplified in his everyday life. His achievement of earning Fellowships in the AGD, ICD and ACD outlined the dedication he felt to perfect the quality of dentistry he offered to his patients. Dr. Stuart notably mentioned the effect several mentors had on him throughout his life and as a result, became a founding member of the Great Expectations program at Baylor.
David lived a life of excellence and it came through in his professional and personal commitments. He served in many capacities for TDA including being the youngest elected member of the board of directors, a delegate, and most recently, as the President. He recently completed all the requirements for Mastership through the Texas AGD’s MasterTrack™ program and his wife will receive the award on his behalf at the AGD meeting in June. In 2012, he was nominated for Texas Dentist of the Year™.
“As a Christian, the example I set means everything to me. That is my inspiration, to be a good example” said Michael.
Outside of serving his patients and peers, David also spent considerable time in causes that were near to his heart including Kiwanis Club, Ducks Unlimited, and Boy Scouts of America.
Michael was an avid volunteer involved with numerous causes including Texas Mission of Mercy, Dentists with a Heart Program, the Mesquite Chamber of Commerce Education Committee and serving as a minister of music at several local churches.
David always remained true to his roots and spending time with his family was at the center of his heart; his wife, Lee Ann, five children and four grandchildren always kept a smile on his face. “The only real wealth you can take from this world to the next is your faith and your core values as displayed in your reputation and word” said David.
Naturally, he was well respected among his peers and asked to serve in several capacities at both the state and local levels including as President of TAGD and TDA. He was also a two time nominee of Texas Dentist of the Year™ which reflected upon his service to the profession of dentistry and his community.
Dr. Stuart acknowledged his family as a principle blessing of his life. He and his wife of 42 years, Kathy, have two daughters and six grandchildren. “Knowing that you practiced ‘golden rule’ dentistry and did your best to improve the lives of people is success” said Michael.
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ADVOCACY PULSE – ON THE FRONTLINE By Brooke Elmore, DDS, FAGD | TAGD Advocacy Council Member Hello TAGD! I am honored to be one of your members that serve on the Advocacy Council of the TAGD. I graduated dental school from San Antonio in 2007 and then completed a two-year GPR in Georgia. After residency, I spent a few years teaching in both the AEGD and GPR programs at Georgia Regents University before moving back to Texas and joining my private practice in Temple. My husband and I live in Belton with our busy 19 month-old son and are expecting our second son in June. Life is so sweet! SERVING ON THE ADVOCACY COUNCIL Serving the TAGD as a part of the advocacy council has been an invigorating experience and allows me an opportunity to impact our profession and the future of dentistry as a whole. As a part of the advocacy council, we are constantly monitoring upcoming changes facing dentistry in Texas through the Texas State Board of Dental Examiners and legislation. Prior to each state board meeting, we provide comments of support or criticism regarding the actions they are considering. A TAGD advocacy council member attends each TSBDE meeting and ensures that the voice of the TAGD is heard. We also actively monitor the legislative actions of the state and work closely with our TAGD lobbyist, David Mintz, to make certain that TAGD is well-represented with our Texas legislators. We are hard at work all year long for you on the advocacy council, but this is an especially important time as the Texas House and Senate legislators have started their biennial session. There are several issues that are facing our profession this session and lawmakers will be making the decisions for us. Recently, I attended the TDA Legislative Day in Austin on February 25th along with 250 other Texas dentists. The Texas Dental Association does an excellent job preparing dentists for meeting with the legislators in order to express the desires of dentists within Texas. A few of the issues we addressed were coordination of benefits for primary and secondary insurances for patients, dental school funding, access to care, scope of practice, and patient protection and safety.
completely change the landscape of dentistry as we know it. The TAGD strongly opposes all of the proposed bills that would expand the scope of practice for hygienists.
Two other important issues that we addressed were the coordination of benefits between primary and secondary insurances and loan repayment. The coordination of benefits would allow patients to maximize their insurance coverage by mandating that primary and secondary insurances coordinate with each other to ensure patients receive the most benefits. Patients are paying premiums and deserve to be able to maximize them. The TDA is actively working with legislators to introduce a bill this session that would address coordination of benefits. Loan repayment is also important and can be a huge benefit for new graduates carrying the burden of astronomical dental school debt. It can help attract new graduates to underserved areas. There are two To stay current on legislative loan repayment programs that are in place in updates check the Gatekeeper Texas (the DELRP and CMLRP) but funding for section in the TAGD monthly both have been eliminated in the past. We urged legislators to support reinstating the funds for newsletter or visit both to allow more opportunities for dentists to www.TAGD.org/gatekeeper receive loan repayment and increase access to to get caught up! care overall for patients throughout the state.
Advocacy and Legislative Updates
WHY I GOT INVOLVED
MAIN ISSUES Scope of practice is always an issue at the forefront. This year, hygienists have worked with legislators to file two bills in both the House and Senate which would expand their scope within dentistry. One would allow them to administer local anesthetics (HB 1409 and SB 571) and the second would allow them to become mid-level practitioners (HB 1940 and SB 787). The “Dental Hygiene Practitioner” would be able to examine, DIAGNOSE, create treatment plans, perform irreversible procedures including extractions, endodontics, and placement of final restorations, administer local anesthetics and nitrous oxide, and prescribe certain medications. This would
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Pictured From Left to Right: Dr. Nancy Andree, Dr. Donna Miller, Rep. Doc Anderson, Dr. Tom Samuel, and Dr. Brooke Elmore
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
Becoming actively involved in the advocacy arm of dentistry is not an option for me; it is a priority. We are the only ones who can protect and advance our profession and mold what the future holds for us. When I was a dental student, I heard Dean Art Dugoni from the University of the Pacific address dental students at an ASDA meeting. He drove home the point that “If it’s not you, then who?” Who will be the one in the driver seat making the decisions for you? I know life gets busy and you have a million other things to do in addition to running a successful dental practice, but I would urge each of you to be a spokesperson for our great profession and stand up for what you believe and how you envision the landscape of dentistry. You may only be one voice, but collectively, we make a huge difference and continue to improve our profession. It’s never too early or too late to get involved and be an advocate for dentistry. I hope to see you in two years at the next TDA Legislative Day in Austin.
BUILDING A DREAM By Brent E. Patterson, DDS When it came time to commit to building my own place or leasing a space for the rest of my practicing life, I had to make some big decisions. Do I want to invest so much time and money in the business that I have already sacrificed so much? Should I jump into the real estate game? Do I want to be a landlord? Does my experience as a dentist qualify me to take on such a grand venture? After answering YES to all of the obvious NO questions above, it was time to move on to the details of my new project.
I wanted to build an office that inspired not only me and my staff but the patients as well. It should reflect the personality of myself and the practice. To start, how should it be equipped? That was easy, all of the latest and greatest. Cone beam CT, all HD imaging, TV’s over the dental chair, climate controlled tech room, plenty of operatories with room to grow, WiFi and all the other bells and whistles. Next, what should it look like? I drew my inspiration from the serene and relaxing Italian vacations with my wife and children. It is those memories that I rely on to get me through those long, stressful and sometimes hectic days working in a busy full service general dental office. Now, every time I walk through the office, I have visual reminders of the idyllic time I had with my family trekking through Italy. Inside and out, a majority of details were derived from the multitude of photos I snapped while on vacation. The tower and bridge from Venice, the clinic is a scene out of a hilltop village in Tuscany. The reception area resembles a lobby of a hotel in Rome. And if all of this did not impress everyone, I threw in a separate family waiting area with an adjoining arcade and movie room upstairs. Building this dream office was in no way easy. As a matter of fact, there were several times during the process I wished we could go back and sign the lease we passed up to build our own place. But in the end we have a beautiful, unique landmark that I am proud to call my own.
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BOGAN FOR AGD SECRETARY By Jessica Osterchrist
In this edition of TexasGP, we highlight current Texas AGD member and Region 18 National Trustee, Dr. Doug Bogan, who declared his intention to run for AGD Secretary in January 2015. The nomination for AGD Secretary is a two-year term that is up for reelection in June 2015 at the AGD Annual Meeting. The voting will take place before the opening of the second House of Delegates on June 21, 2015. The delegates will vote by paper ballet which is governed over by the Credentials & Elections Committee. More information will be featured in the upcoming AGD Impact and on the House of Delegates Webpage.
What inspired you to decide to pursue running for AGD Secretary? AGD has been an indispensable part of my career as a dentist. I have been encouraged by numerous leaders I’ve worked with over the years to continue in leadership. The experience I’ve gained through six years as Regional Director (two years as chair) and five years as Trustee have led me to the belief that the passion I have for the future of the Academy and the skills I’ve developed along the way qualify me to serve well as AGD secretary.
How long have you been involved in the AGD? I became a member of AGD in 1976. I honestly don’t remember how I first became aware of AGD but I did know about it while I was in dental school. I decided to join because I had accumulated quite a few CE hours and wanted to get credit for them toward AGD Fellowship. There were a number of general dentists in Houston who I looked up to as being the kind of dentist I wanted to be, and they were all members of AGD and attended the local programs. To be on a path to become the kind of dentist I wanted to be, I needed to spend time around these men and women and learn from them, and AGD was a perfect way to learn from these dentists.
When did you start serving in leadership? I became a member of the Houston AGD board of directors in 1995 and continued to serve on the board in several capacities until 2005. I began serving on the state level for Texas AGD in 2003 as a Director and then transitioned to national AGD as a Regional Director from 2004 until 2010 when I became a trustee. I have also held several leadership positions locally, statewide and nationally for the American Dental Association since 1996.
What is one of your favorite AGD memories? The first one that comes to mind was in 2003, I believe it was, while I was president of Houston AGD. I was invited to and attended that year’s TAGD strategic planning retreat. I met and got to work with AGD leaders from all over Texas. I got to see a bigger picture of what I was a part of, I got to meet a number of people who to this day are some of my best friends in dentistry, and I developed a passion for strategic planning.
Who has impacted your career the most? Three people. The first was Dr. Fred Simmons. He taught at my dental school while I was there, and he had an attitude about students that was different from any other faculty member at the time. He insisted on excellent work, which my classmates and I all knew he was a master of, and, he treated us with respect and an expectation that we would go on to pursue excellence in dentistry and our lives. Next is Dr. Ron Presswood. He embodies what I think is the essence of the philosophy of Dr. L.D. Pankey. He also introduced me to an opportunity that led to my joining the practice I’ve now been a part of for about 22 years. Through Ron, I got to meet and study under the late Dr. Henry Tanner. Henry was the most skillful and empathetic clinician I had ever come into contact with and what I experienced and learned during my time with him stays with me still.
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What was the most valuable lesson you’ve learned throughout your career? The Pankey Institute’s symbol is the “Cross of Life”. It has four equal arms; those arms are Work, Play, Love, and Worship. What it means to me is to attempt to live a balanced life, emphasis on “attempt”. These elements apply regardless of one’s faith tradition or lack thereof. This brings together family, friends, colleagues, patients, and the strength we draw from our Creator and Higher Power. The more we give of ourselves, the more blessings we receive in return. The more balance in those four areas I maintain, the more peace of mind I have and the more I have to offer the people in my life.
What qualifies you for the AGD secretary? The AGD Constitution, Bylaws and Board Policy Manual specify the duties of the Secretary which involve oversight of the minutes of the House of Delegates, the Executive Committee, and the Board of Trustees, and certain other specified duties. The Secretary assists the President and the Speaker of the House in formulating agendas. The Secretary also facilitates the evaluation process of the Executive Director/CEO. These duties all require a dedication to process and attention to detail. I believe I possess the skill sets and commitment needed to fulfill these duties well. The Secretary also serves as a member of the Executive Committee. The key function in my mind of the Executive Committee is to facilitate the strategic plan. I have a passion for strategic planning and for implementation and updating the plan through systematic processes. I believe in the vision of the future of the AGD and believe that I have a skill set that will aid me to make a positive difference for AGD in the office of Secretary.
What are the top 3 things you would hope to accomplish as AGD Secretary? First, to foster more collaboration among the Executive Committee, House of Delegates, Board of Trustees, Regional Directors, and Constituent leadership. Second, to be a force for a strategic vision that ensures success in the future for AGD and our members. Third, to facilitate the work of the Executive Committee, Board of Trustees, and House of Delegates so that the leadership we provide and the decisions we make are in the best interests of our members and attractive enough to non members that we see an unprecedented growth in membership in the next five years.
How can people learn more about you or supporting you? Find me on Facebook to get all the latest news and updates. I also encourage people to reach out to me directly by email at dougbogandds@gmail.com.
DOUG
BOGAN FOR AGD SECRETARY
ALL ABOUT THAT PACE
Submitted by PACE Chairs: O.Z. Helmer, DDS, MAGD & David Wilhite, DDS, MAGD Academy of General Dentistry (AGD) PACE (Provider Approval for Continuing Education) approval ensures top notch quality continuing education. Attending a meeting or course from an AGD PACE approved organization essentially guarantees that the provider has spent great effort in planning and presenting a course that is informative and up to date. The Texas AGD PACE committee would like to encourage our members to verify with the organizers of their study clubs that they have AGD PACE approval.
What is the benefit of attending a PACE certified course?
Who are the current PACE reviewers?
Study Clubs or groups with AGD PACE approval are valuable because they submit AGD members’ CE hours directly to AGD headquarters to be added to their transcript. PACE approval is also beneficial to the study club itself because it may attract more AGD dentists who are pursuing their Fellowship or Mastership awards.
These individuals dedicate their time serving as PACE reviewers and ensure a superior quality of dental education.
What can you do if your study club isn’t PACE certified? Explain the Benefits! If you determine that your study club is not PACE approved, here is a checklist to help the organizer understand the PACE program: • Explain the benefits of becoming PACE approved to them: – Any CE credits earned through PACE approved organizations are guaranteed to count towards fellowship and mastership awards.*
• • • • •
Ralph Cooley, DDS, FAGD O.Z. Helmer, DDS, MAGD Tom Karr, DDS, MAGD Mitch Moore, DDS David Wilhite, DDS, MAGD
Interested in becoming a PACE reviewer? We need you! We are currently seeking AGD members that are interested in becoming PACE reviewers. If you would like to become a PACE program reviewer, contact the Texas AGD for more information!
– Nearly all local licensing boards, including the Texas State Board of Dental Examiners, accept credits earned through AGD PACE approved providers for relicensure credit.** – Free access to adding CE courses to the AGD CE directory (reaches 38,000+ members). – Legitimizes continuing education courses by having an approval designation from an internationally recognized dental organization. • Encourage them to visit the PACE section of the Texas AGD’s website at www.TAGD.org/pace. – For additional assistance or questions, get in touch with Lindsey Robbins, Texas AGD Education Director, at Lindsey@TAGD.org or 512-371-7144. O.Z. Helmer, DDS, MAGD
David Wilhite, DDS, MAGD
* Credits must be awarded during the PACE providers approval term. ** Regulations can change at any time; the AGD always recommends that providers or course participants check with specific licensing boards.
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EARLY
REGISTRATION June 5–6, 2015 • Austin Omni SouthPark • Austin Texas 2015 Education Sessions Friday Friday, June 5th • 8:00 a.m. to 4:30 p.m. • 7 Hrs Lecture Subject Code 550
One Day Dental MBA presented by Dr. Howard Farran One of the most forward-thinking, cutting-edge dentists in the world. Dr. Howard Farran will provide the tools needed to help build a rewarding, meaningful and profitable dental office. Applying these tools provides the ultimate staffing formula to create high energy for performance under stress, while still achieving daily goals. In addition, teaching how to control your account receivables with bonuses, and the three things you manage: people, time and money. Educational Objectives: • Basic business fundamentals • Dental Practice profitability with diminished stress • Staffing formula for a highly motivated team • Profitable practice marketing • Learn to manage: people, time and money
Social Events Friday, June 5th • 11:30 a.m. to 1:00 p.m.
Friday Learn at Lunch This lunch is included in your conference registration and guarantees you a seat with our MasterTrack™ and Master Study Club attendees where a round table discussion will be led including an interactive question format.
Friday, June 5th • 6:00 p.m. to 9:30 p.m.
Beers with Peers Friday Night Beers with Peers social is included in your conference registration fee and gives you access to a variety of local Austin beers, Torchy’s Tacos and a private arcade! This brand new 4000 square foot facility includes: 20+ classic arcade games, 10+ video game console setups from Atari up through Xbox One, Playstation 4, and Wii U, Skeeball Lanes, Basketball Games, Foosball, Ping Pong, Giant Jenga, Connect 4 and more! Additional guest tickets can be purchased for $45.00 each. (21+ and up only)
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BIRD PRICING EXPIRES MAY 20, 2015
N OPEN NOW AT WWW.TAGD.ORG/NDC Saturday Saturday, June 6th • 8:00 a.m. to 1:00 p.m. • 4 Hrs Lecture Subject Code 690
An Implant Journey presented by Master Speakers From Treatment Planning to Restoration: A Tour of Implants Kevin Gureckis, DMD, MAGD leads this program on real-world clinical skills from some of our most experienced TAGD members - Masters. Program and Speakers: • CT in the Private GP’s Office presented by Charles Clements, DDS, MAGD • Ridge Preservation presented by Tor Gotun, DDS, MAGD • Occlusion presented by Mark Peppard, DDS, MAGD • Implants presented by Jeff Geno, DDS, MAGD
Dr. Charles Clements
Dr. Tor Gotun
Dr. Mark Peppard
Dr. Jeff Geno
Sponsors and Exhibitors Exhibitors: Wallace Specialty Insurance | Summit Dental | Carestream | H&M General Contractors | Med-Tech Construction, Inc. | Dentsply Implants | Phelps Commercial Realty McLerran & Associates | Dental Systems Inc/Insurance Answers Plus | Shofu Dental Corporation | Dental Warranty Co | Thomas Allen Real Estate Advisors | ClearCorrect | Sunstar Americas | Bank of America Practice Solutions | P&G Crest Oral B | Nobel Biocare
ROOM BLOCK INFORMATION Austin Omni Southpark 4140 Governors Row Austin TX, 78744 Reserve by phone at 1-800-THE-OMNI (800-843-6664). Block name: TAGD Book online at www.TAGD.org/NDC DEADLINE MAY 14
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CASE STUDY
OVERCOMING THE CHALLENGES OF A SMILE MAKEOVER By Tor Gotun, DDS, MAGD PATIENT PATIENT BEFORE BEFORE PHOTO PHOTO Patient: Bill
DENTAL HISTORY
Age: 57
• #1, 8, 15, 16, 17, 18, 31 and 32 missing.
Occupation: Investments
• #15 and 18 were extracted recently, before the initial appointment in my office.
Medical history: Excellent (according to the patient). Visually he looks like he is in good health. Reality: Bill is on a CPAP unit because of sleep apnea after a soft palate corrective surgery. According to the patient, the surgery did not improve anything. The CPAP unit drives him crazy and he has a lot of abdominal discomfort because of the pressurized air getting into his stomach. Medication: None
• Implant restoration # 8 out of line with tooth #9 • High palate as a result of breathing problems all his life, constricted maxillary arch with “Black triangle” problem
• #2, 3, 4, 14, 19 and 30 have crowns
• Smile line is good
• #2, 3 and 30 have been root canal treated
• Hyperactive mentalis and depressor anguli oris muscles
• Multiple other restorations • Periodontal condition: neglected
OBSERVATIONS
• Angle Class II right side, Class I left side, Div. I. Multiple diastemata upper arch with the spacing between #8 and #9 being the biggest challenge we face.
The deep bite, diastema, periodontal neglect, sleep apnea and a failing implant is of great concern for the final restorative work. Bill has no subjective TMD issues. He does not want to go through splint therapy prior to reconstruction.
Notice midline and left diastemata
Constricted arches with mal-alignment of teeth #8 and #9
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• 100% overbite, 8mm overjet
• # 8 is an implant-supported crown (implant specs not available from the patient or from his dentist in Australia)
Lower anteriors are hitting the lingual side of upper anteriors at gumline.
CBCT of implant #8 showing saucerization and potential fenestration
• M idline deviation as per Photoshop and PowerPoint work-up
Periodontal condition less than perfect
Lingual view of maxillary/mandibular arches in CR
Hyperactive mentalis and depressor anguli oris muscles.
Teeth Xrays
TREATMENT PLAN AS PRESENTED & DISCUSSED WITH THE PATIENT 1. Start with periodontal treatment and monitor the outcome for 3 months. Bill is a great cooperator, but his oral hygiene is poor. He commits to periodontal maintenance in my office every 2 months indefinitely after a deep cleaning has been completed and incidental periodontal surgery has been performed. 2. After I interpreted his CBCT it was clear that a referral to an ENT was appropriate for a turbinectomy. This should have been addressed at his first sleep apnea evaluation, but as usual no radiographic evaluation had been done. 3. Opening of the bite using composite build-ups to facilitate braces to close diastema. Bill does not care to spend the time it takes to close the diastema in the left maxillary arch (between #11 and #12), but he agrees to close the space between #8 and #9. 4. After braces we will do a diagnostic wax-up of teeth #4 through #13 using the golden proportions.
5. I’m also widening the maxillary arch to minimize the “black triangles” by changing the angle of the buccal surfaces of the premolars. 6. Fabrication of provisional to test looks, speech and comfort 7. Crown lengthening and gingival remodeling in conjunction with exploratory work on implant #8 8. Stabilization of occlusion and re-adaptation of composite buildups 9. Segmental rehabilitation of posterior teeth using a CADCAM following diagnostic wax-up 10. Stabilization of occlusion and re-adaptation of composite buildups 11. Preparation and fabrication of lower anterior crowns 12. Finalizing upper anterior crowns
TREATMENT
Initial periodontal work and braces finished
A diagnostic wax-up of teeth #4 through #13 using the golden proportions has been completed. I’m also widening the maxillary arch by changing the buccal inclination of the premolars to minimize the “black triangles”. The first set of provisionals is fabricated without any surgical adaptation (crown lengthening). The provisionals are not cemented, but rather worn over prepared and sealed abutments as a total unit.
Crown lengthening and gingival remodeling are done in conjunction with exploratory work on implant #8. Bone augmentation using an allograft, Plasma Rich in Platelets (PRP), Plasma Rich in Growth Factors (PRGF) and titanium mesh after cleanup of bony defect using a diode laser. Stabilization of occlusion accomplished by re-adaptation of composite buildups.
Segmental rehabilitation of posterior teeth using a CADCAM following diagnostic wax-up.
Apical X-rays showing the result of bone augmentation before soft tissue grafting
Continues on page 14
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Spring 2015 | 13
UTSD
Continuing Dental Education
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Harvesting of connective tissue caption
Removing epithelium
Frenectomy using diode laser after finalizing soft tissue graft
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Finalizing lower #19 through #30 using CADCAM
Finalizing upper 6 incisors.
CONCLUSION
May 15, 2015
Bill’s case was a multidisciplinary case with several hurdles to conquer. He was completely rehabilitated with a final result that he himself called stunning. The time used on this case was about two years. Bill has no sensitivity, no subjective TMD issues and his periodontal situation is under control. The rehabilitation of his implant gave us a net gain of 4 mm of bone and 7 mm of soft tissue. The thickness of the buccal attached gingiva increased from 1mm to 4mm
Nitrous Oxide Conscious Sedation Certification Course for Dentist Presented by: Arthur H. Jeske, DMD, PhD and Shelia H. Koh, DDS Course # 2015120 May 29, 2015
Esthetic Principles & Veneers Presented by: Joe C. Ontiveros, DDS, MS Course # 2015130 June 5, 2015
Pit and Fissure Sealant Certification for Dental Assistants and Dental Hygienists Course Coordinator: Harold A. Henson, RDH, MEd, PhD Presented by: School of Dentistry Dental Hygiene Faculty
Course # 2015115
References: 1. McGlumphy EA, Robinson DM, Mendel DA. Implant3. B, Jemt T, Lekholm U. Early failures in 4,641consecutively placed Brånemark dental implants: A study from stage Friberg 1 surgery to the connection of completed prostheses. Int J Oral Maxillofac Implants 1991;6:142-146. 2. Weyant RJ. Characteristics associated with the loss and peri-implant tissue health of endosseous dental implants. Int J Oral Maxillofac Implants 1994;9:95-102. 5. Hoshaw SJ, Brunski JB, Cochran GVB. Mechanical loading of Brånemark implants affects interfacial bone modeling and remodeling. Int J Oral Maxillofac Implants 1994;9:345-360. 3. Casino AJ, Harrison P, Tarnow DP, Morris HF, Ochi S. Influence of type of incision on the success rate of implant integration at stage II uncovering surgery. J Oral Maxillofac Surg 1997;55:31-37.
About Tor Gotun, DDS, MAGD Dr. Gotun originally presented this case study in Texas AGD’s elite Master Study Club. A European native, Dr. Gotun grew up in Kragero, Norway, attended and graduated from the University of Oslo Dental School in Norway. Once moving to the United States, Dr. Gotun pursued and acquired Board Certification in General Dentistry at Baylor College of Dentistry in Dallas, Texas. Dr. Gotun is recognized by the Foundation for Advanced Continuing Education (F.A.C.E.) for advanced training in Gnathology. Completing over 3000 hours of continued education, as well as having over thirty years’ experience in dentistry, Dr. Gotun received his highest honor in 2009, qualifying him as a Master in the Academy of General Dentistry. In 2012 Dr. Gotun received his LLSR. Currently, Dr. Gotun is Director of the Master Study Club.
June 12, 2015
All Ceramic, CAD/CAM Dentistry & Long Term Maintenance Presented by: Gereard Kugel, DMD, MS, PhD Course # 2015140 The University of Texas School of Dentistry at Houston is an ADA CERP Recognized Provider
Fast Track to Mastership Interested in receiving 96 hands-on hours this year? The MasterTrack™ program is for YOU! By joining, you’ll have access to high quality, affordable continuing education and one-on-one staff support. MasterTrack™ fulfills all of the subject code participation requirements needed for Mastership in four years. The program brings together service oriented and business savvy decision makers with a dedication to excellence. People just like YOU. Call now to reserve your space! For any questions about the MasterTrack™ Program, please contact Lindsey Robbins by email at Lindsey@TAGD.org or at 512-371-7144.
14 | Spring 2015
Already a Master? Check out the Master Study Club – a program created by Masters for Masters! Earn hours towards LLSR and stay connected with your peers.
At Texas Academy of General Dentistry It’s All About Your Success! The Academy of General Dentistry (AGD), founded in 1952, has grown to become the second-largest dental association in the United States. Your constituent, the Texas Academy of General Dentistry (TAGD) is proud to be the largest constituent within AGD with over (2800) members and (18) local components. TAGD advances excellency in general dentistry by promoting and producing high quality continuing education as well as providing a voice on behalf of the general dentist. Thanks to the dedication and commitment to lifelong learning by our volunteer members, TAGD, having won AGD’s Universal Award for Excellence in CE numerous times, is known for providing top notch continuing education that is PACE approved. In addition to our two annual events in Austin, the New Dentist Conference and the Lone Star Dental Conference, we hold local meetings statewide in order to reach our expanding membership. To meet the demands of our tech-savvy members, we also offer an expanding catalog of online courses.
Our Members Keep Calm and Study on with TAGD Study Tr acks We offer specific study tracks developed to connect and support our members at all levels of their careers. • F ellowTrack for Students: This program is available at (3) dental schools in Texas: UTHSC San Antonio, UTHSC Houston and Baylor College of Dentistry. It provides dental school students with a variety of program topics such as legislative news, financial planning, practice management, dental specialties, general dentist panel discussions, and peer-to-peer networking/social events. This track sets our students on the path to earning their Fellowship. • N ew Dentist Study Club: Currently offered in Dallas, Houston and San Antonio, the main objective of this program is to keep the new dentists professionally connected with other dentists in their respective areas, as well as to provide them with the necessary support tools for success. • MasterTrack™: Join the distinguished group of only 2% of general dentists that have earned their Mastership. Our MasterTrack™ program, that draws dentists from across the nation, offers an intense study program that allows attendees to earn their Mastership in as little as 4 years. • Master Study Club: This is a protocol presentation program and elite study club designed exclusively for those who have earned their Mastership in the AGD but want to continue with a high level of learning. It sets up our Masters with the minimum hands-on requirements of the Lifelong Learning and Service Recognition (LLSR) award. To date, only (22) dentists in the State of Texas have earned this honor.
Recognizing Excellence in Gener al Dentistry While the AGD Fellowship, AGD Mastership, and LLSR awards which all AGD members are encouraged to work towards, TAGD has our own way of honoring members that have reached excellence in general dentistry. The Texas Dentist of the Year™ Award, is the most prestigious award a Texas dentist can receive. Each year, nominations are requested from AGD components all across Texas and TDA District Dental Societies. The Texas New Dentist of the Year Award recognizes the outstanding achievements of new dentists who have a clear vision for the future of dentistry. Both winners are announced at the Lone Star Dental Conference.
The Voice of the Gener al Dentist Another key benefit of being an AGD member is having national legislative representation. At the state level, TAGD is the only organization that exclusively represents the interests of General Dentists and their patients at the Capitol and before agencies like the Texas State Board of Dental Examiners. The volunteer TAGD Advocacy Council is committed to a strong advocacy program. With continuing significance and development in this area, we established the advocacy fund to support all legislative efforts such as securing a legislative consultant, developing grass roots communications and conducting advocacy training. TAGD members also have access to the Gatekeeper, a monthly legislative news brief. TAGD continuously strives to provide our members with opportunities and benefits that are tailored for general dentists practicing in Texas. We encourage all of our members to take advantage of lifelong learning by engaging in our programs and by volunteering to keep them strong. TAGD members, we appreciate your continued support and membership as we grow together in the strength of our one collective VOICE to help you succeed!
Spring 2015 | 15
A DENTAL HAND IN JERUSALEM By O.Z. Helmer, DDS, MAGD
Dental Volunteers for Israel (DVI) has been a huge blessing to me these last 12 years on my travel adventures to Jerusalem as a dentist volunteer. As a born-again Christian, I have an impassioned interest in the welfare of the Jewish people. I feel that God has His hand on this nation and therefore, anything I can do to help maintain their sovereignty and freedom, I am more than willing to do.
16 | Spring 2015
them awake at night, but also keep them from attending school. These children desperately need dental attention.
About 15 years ago, I saw an article in the American Dental Association News advertising the need for dentists regarding indigent children at DVI in Jerusalem. When this article resurrected again on my desk, I knew this was the answer the Lord had for me in traveling to Israel. After my initial two week adventure, I knew that this would be an annual event for me.
The DVI assistants are well-trained and can perform any dental procedure needed by the children, including composite and amalgam restorations, pulpotomies, stainless steel crowns, and of course, a few extractions. (However, I am not sure what the ‘going rate’ is for the “tooth fairy” in Israel). The staff also does a great job managing the children. There were several times when I thought that dental treatments could not be done, but with their child behavior expertise, procedures are easily completed.
DVI encourages dentists from around the world to treat their precious patients. You might think that there would be a language barrier, but all of the dental assistants are multi-lingual. The assistants are committed to serving these children, and so turn-over of staff is extremely low. I have been blessed to have the same assistant for the past 12 years. In fact, every year during my volunteer trips, I have had the honor and pleasure of seeing the same dentists from Holland and South Africa and Michigan, and we have had “annual friendships”.
The children are blessed because all of the dental work is at no cost. All staff receive salaries which DVI is able to pay due to generous individuals who have a desire to help and support children. DVI is supported by donations only. Without consistent gifts and donations, keeping the doors of DVI open to attend to emergency dental problems would terminate. It has been a privilege to work with all of the staff whose dedication in their service to DVI has been a blessing. They reflect smiling faces and are committed to the best dental care available.
Because fluoride has not been added to the drinking water, the decay rate is much greater than in the United States of America. Many of the patients have multiple areas of decay which keep the dentists busy. The children, for the most part, are very cooperative and appreciative of the dental care they receive. The dental need in Israel is tremendous, and growing exponentially. Many of these children suffer from tooth abscesses which not only keep
My wife and I are financial supporters and would invite all who read this article to consider even a small contribution on a monthly basis. The children of Israel need a “dental hand” in the eradication of tooth decay. Finally and personally, if you are able to donate your time and dental expertise at DVI, you too, will be blessed. For more information visit www.dental-dvi.org.il/
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TEXAS ACADEMY OF GENER AL DENTISTRY
Calendar of Events APRIL 2015
MAY 2015
JUNE 2015
Wednesday, April 22 Houston FellowTrack
Friday, May 1 Houston AGD Installation of New Board
Thursday-Sunday, June 4-7 MasterTrack Austin, TX
Thursday - Saturday, May 7- 9 TDA Annual Meeting San Antonio, TX
Friday-Saturday, June 5-6 Master Study Club Austin, TX
Friday, May 15 Brazos Valley AGD Building Your Practice by Creating Predictable Biomimetic Minimally Invasive Restorations w/ Dr. Mark Malterud
Friday-Saturday, June 5-6 New Dentist Conference and Masters Speakers w/ Dr. Howard Farran Austin, TX
Wednesday, April 22 SAFE San Antonio NDSC Endo Hands On Sybron Endo Thursday, April 23 Dallas AGD Installation Dinner Thursday, April 30 TAGD Advocacy Council Meeting
For more info or to register call the TAGD office at 512-371-7144 or visit tagd.org/events
Wednesday, May 20 Houston NDSC Molar Extractions w/ Dr. Cade Foust Henry Schein, Ivoclar Vivadent, Zimmer Dental, IMG Thursday, May 21 TAGD Advocacy Council Meeting Wednesday, May 27 Houston AGD Wine and CE Series w/ Dr. Art Jeske Aurum, Imag Dent Wednesday, May 27 SAFE San Antonio NDSC Social
Thursday, June 11 Houston AGD Bowling Social – All Members Champions Crown & Bridge, Thomas Allen Real Estate Advisors Friday, June 12 TAGD Board Meeting Austin, TX Thursday-Sunday, June 18-21 AGD Annual Meeting San Francisco, CA Wednesday, June 24 SAFE San Antonio NDSC Financial Planning w/ NorthStar Financial Thursday, June 25 Dallas AGD NDSC Nobel Biocare
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Spring 2015 | 19
Registration opens Jan. 20! Registration opens Jan. 20!
AGD 2015 is your golden opportunity AGD 2015 is your golden opportunity to experience: to experience: • The latest in innovative technologies and treatment techniques
Theopening latest inkeynote innovative technologies and treatment techniques • An address by Travelocity.com founder Terry Jones • An opening keynote address by Travelocity.com founder Terry Jones Special exhibit hall features Special exhibit hallteam features • Dedicated dental education Dedicated dental team education • Networking and exciting social events • Networking and exciting social events To register for AGD 2015, visit www.agd2015.org To register for AGD 2015, visit www.agd2015.org
Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial Approved PACE Program board of dentistry or AGDProvider endorsement. FAGD/MAGD Credit Approval does not 6/1/2014 to 5/31/2018. imply acceptance by a state or provincial Provider ID: 216217 board of dentistry or AGD endorsement. 6/1/2014 to 5/31/2018. Provider ID: 216217 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.