2021 - March/April TFDA by Florida Dental Association

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PATHWAYS TO SUCCESS THE OFFICIAL MEETING OF THE FDA

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in every issue 3 Staff Roster 5 President's Message 8 Did You Know? 14 Info Bytes 16 news@fda 67 Diagnostic Discussion 72 Career Center 75 Advertising Index 76 Off the Cusp

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TODAY'S FDA ONLINE: floridadental.org

FLORIDA DENTAL ASSOCIATION

Dental Dynamic Staffing

MARCH/APRIL 2021 VOL. 33, NO. 2

EDITOR Dr. John Paul, Lakeland, editor

STAFF Jill Runyan, director of publications Jessica Lauria, communications and media coordinator Andrew Gillis, graphic design coordinator

BOARD OF TRUSTEES Dr. Andy Brown, Orange Park, president Dr. Dave Boden, Port St. Lucie, president-elect Dr. Gerald Bird, Cocoa, first vice president Dr. Beatriz Terry, Miami, second vice president Dr. Jeffrey Ottley, Milton, secretary Dr. Rudy Liddell, Brandon, immediate past president Drew Eason, CAE, Tallahassee, executive director Dr. Dan Gesek, Jacksonville • Dr. Karen Glerum, Boynton Beach Dr. Reese Harrison, Lynn Haven • Dr. Bernard Kahn, Maitland Dr. Gina Marcus, Coral Gables • Dr. Irene Marron-Tarrazzi, Miami Dr. Eddie Martin, Pensacola • Dr. Rick Mullens, Jacksonville Dr. Paul Palo, Winter Haven • Dr. Howard Pranikoff, Ormond Beach Dr. Mike Starr, Wellington • Dr. Stephen Zuknick, Brandon Dr. Don Ilkka, Leesburg, speaker of the house Dr. Rodrigo Romano, Miami, treasurer • Dr. John Paul, Lakeland, editor

PUBLISHING INFORMATION

Aftco

Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303 . FDA membership dues include a complimentary subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2021 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303.

EDITORIAL AND ADVERTISING POLICIES Editorial and advertising copy are carefully reviewed, but publication in this journal does not necessarily imply that the Florida Dental Association endorses any products or services that are advertised, unless the advertisement specifically says so. Similarly, views and conclusions expressed in editorials, commentaries and/or news columns or articles that are published in the journal are those of the authors and not necessarily those of the editors, staff, officials, Board of Trustees or members of the Florida Dental Association.

EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303. FDA office numbers: 800.877.9922, 850.681.3629; fax 850.561.0504; email address, fda@floridadental.org; website address, floridadental.org.

ADVERTISING INFORMATION For display advertising information, contact: Deirdre Rhodes at rhodes@floridadental.org or 800.877.9922, Ext. 7108. For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.877.9922, Ext. 7115.

Today’s FDA is a member publication of the American Association of Dental Editors and the Florida Magazine Association.

TODAY'S FDA MARCH/APRIL 2021

FLORIDADENTAL.ORG

CONTACT THE FDA OFFICE 800.877.9922 OR 850.681.3629 545 John Knox Road, Ste. 200 • Tallahassee, FL 32303

EXECUTIVE OFFICE DREW EASON, Chief Executive Officer/ Executive Director deason@floridadental.org 850.350.7109 GREG W. GRUBER, Chief Operating Officer/ Chief Financial Officer ggruber@floridadental.org 850.350.7111 CASEY STOUTAMIRE, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202

FLORIDA DENTAL CONVENTION AND CONTINUING EDUCATION

FDA SERVICES

CRISSY TALLMAN Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105

800.877.7597 or 850.681.2996 545 John Knox Road, Ste. 201 Tallahassee, FL 32303

BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103

Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat

LAVONNE PATOIR, FDC Meeting Assistant lpatoir@floridadental.org 850.350.7162

SCOTT RUTHSTROM Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146

JUDY STONE, Leadership Affairs Manager jstone@floridadental.org 850.350.7123

DEIRDRE RHODES, FDC Exhibits Coordinator drhodes@floridadental.org 850.350.7108

LIANNE BELL, Leadership Concierge lbell@floridadental.org 850.350.7114

EMILY SHIRLEY, FDC Program Coordinator eshirley@floridadental.org 850.350.7106

CAROL GASKINS Commercial Accounts Manager carol.gaskins@fdaservices.com 850.350.7159

ACCOUNTING

GOVERNMENTAL AFFAIRS

BREANA GIBLIN, Director of Accounting bgiblin@floridadental.org 850.350.7137

JOE ANNE HART Chief Legislative Officer jahart@floridadental.org 850.350.7205

MARCIA DUTTON Membership Services Assistant marcia.dutton@fdaservices.com 850.350.7145

LEONA BOUTWELL, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138 DEANNE FOY, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165 JAMIE IDOL, FDAS Support Services Coordinator jidol@fdaservices.com 850.350.7142 MITZI RYE, Fiscal Services Coordinator mrye@floridadental.org 850.350.7139 STEPHANIE TAYLOR, Membership Dues Coordinator staylor@floridadental.org 850.350.7119

COMMUNICATIONS AND PUBLICATIONS RENEE THOMPSON Director of Communications and Marketing rthompson@floridadental.org 850.350.7118 JILL RUNYAN, Director of Publications jrunyan@floridadental.org 850.350.7113 AJ GILLIS, Graphic Design Coordinator agillis@floridadental.org 850.350.7112 JESSICA LAURIA Communications and Media Coordinator jlauria@floridadental.org 850.350.7115

FLORIDA DENTAL ASSOCIATION FOUNDATION R. JAI GILLUM, Director of Foundation Affairs rjaigillum@floridadental.org 850.350.7117 KRISTIN BADEAU, Foundation Coordinator kbadeau@floridadental.org 850.350.7161

FLORIDADENTAL.ORG

ALEXANDRA ABBOUD Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204 TATIANA AHLBUM Legislative Assistant tahlbum@floridadental.org 850.350.7203

INFORMATION SYSTEMS LARRY DARNELL Director of Information Systems ldarnell@floridadental.org 850.350.7102 RACHEL STYS, Systems Administrator rstys@floridadental.org 850.350.7153

MEMBER RELATIONS KERRY GÓMEZ-RÍOS Director of Member Relations krios@floridadental.org 850.350.7121 MEGAN BAKAN Member Access Coordinator mbakan@floridadental.org 850.350.7100 JOSHUA BRASWELL Membership Coordinator jbraswell@floridadental.org 850.350.7110

PORSCHIE BIGGINS Central Florida Membership Commercial Account Advisor pbiggins@fdaservices.com 850.350.7149

877.843.0921 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com MIKE TROUT Director of Sales — North Florida

MELISSA STAGGERS West Coast Membership Commercial Account Advisor melissa.staggers@fdaservices.com 850.350.7154

RYAN WHITE Insurance Advisor ryan.white@fdaservices.com 850.350.7151

DAN ZOTTOLI, SBCS, DIF, LTCP Director of Sales — Atlantic Coast

DENNIS HEAD, CIC Director of Sales — Central Florida

KELLY DEE Atlantic Coast Membership Commercial Account Advisor kelly.dee@fd3aservices.com 850.350.7157

LIZ RICH Commercial Account Advisor liz.rich@fdaservices.com 850.350.7171

YOUR RISK EXPERTS

561.791.7744 Cell: 561.601.5363 dan.zottoli@fdaservices.com

MARIA BROOKS South Florida Membership Commercial Account Advisor maria.brooks@fdaservices.com 850.350.7144

TESSA DANIELS Commercial Account Advisor tessa.daniels@fdaservices.com 850.350.7158

CARRIE MILLAR Director of Insurance Operations carrie.millar@fdaservices.com 850.350.7155

Cell: 904.254.8927 mike.trout@fdaservices.com

JOSEPH PERRETTI, SBCS Director of Sales — South Florida 305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com RICK D’ANGELO, CIC Director of Sales — West Coast 813.475.6948 Cell: 813.267.2572 rick.dangelo@fdaservices.com

CHRISTINE TROTTO Membership Concierge ctrotto@floridadental.org 850.350.7136

The last four digits of the telephone number are the extension for that staff member.

To contact an FDA Board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org. For example, Dr. John Paul: jpaul@bot.floridadental.org.

TODAY'S FDA MARCH/APRIL 2021

2021

AWARD RECIPIENTS 2021

AWARDS LUNCHEON PRESIDENT’S AWARD Dr. Andy Brown

NEW DENTAL LEADER Dr. Jenna Pascoli

DENTIST OF THE YEAR Dr. Rudy Liddell

DENTAL STUDENT AWARD Ms. Ashley Maus

J. LEON SCHWARTZ LIFETIME ACHIEVEMENT AWARD Dr. Cesar Sabates

PUBLIC SERVICE AWARD Dr. Ken Owens Dr. Al Warren

LEADERSHIP AWARD Dr. Rebecca Warnken

HELPING MEMBERS SUCCEED TEAM IMPACT AWARD Ms. Rachel Stys

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FRIDAY, JUNE 25, 2021

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leadership

INGENUITY AND RESOURCEFULNESS ABOUND WITH A NEW NORMAL! It’s now been well over a year since the world we knew took a pause with the scourge of COVID-19 in our midst. Dentistry effectively shut down for two or more months, there are now well over 500,000 deaths in the United States, substantial portions of the business world are still maneuvering how to reopen their doors, some schools are still closed, masks seem ubiquitous and now vaccines are coming in to help to control the spread. And yet, it is a momentous year to be president of the Florida Dental Association (FDA) and see all the ingenuity and resourcefulness that abounds within our group and what we have accomplished to date! With a great organization such as ours, and the perseverance and knowledge contained within the dental tripartite, we pivot, we move forward and we excel! Information overload for all our members who choose to access it through numerous means to do so ... and ZOOM! We developed great options for communication with our patients as everything started to open again, and we continue to enhance and use our knowledge base on the strict and stringent infection control procedures we’ve had in place in our dental offices for decades. We are ESSENTIAL HEALTH CARE — universally acknowledged and accepted — and we’re treating our patients, staffs FLORIDADENTAL.ORG

and our communities safely and effectively. Recent studies have shown our work is not in vain with all the enhanced protocols in place. Both the American Dental Association (ADA) and the American Dental Hygiene Association have done recent studies to show just how safe our offices have been, and there is still no apparent evidence of exposure between patients and dental staff working within the parameters we have in place. (Watch that breakroom though, where guards often are let down!) It is SAFE TO GO BACK TO THE DENTIST!

PRESIDENT’S MESSAGE ANDY BROWN, DDS, MS FDA PRESIDENT

Dr. Brown can be reached at abrown@bot.floridadental.org.

We navigated our 25th anniversary of Dentists’ Day on the Hill with a celebration much different than originally imagined, but certainly effective and efficient for our members who were present virtually to hear the valuable information and advocate. We’ll build our grassroots membership with new opportunities for future inclusion with members who cannot fully participate, and hybrid options may be a fantastic way to keep all involved and informed moving forward. And now, it’s time to celebrate our victories and successes from this past year! Our society has worked through the “new normal” for the near future, and we all want to return to face-to-face gatherings when given a chance. SEE PAGE 7 TODAY'S FDA MARCH/APRIL 2021

leadership

FROM PAGE 5

“

I had the pleasure of joining the Northwest District Dental Association at their recent annual meeting in Destin, and they did an excellent job bringing dentists, vendors and live continuing education together — and safely. Our Florida Dental Convention, June 24-26, will be just as successful with all the protocols they have in place at the Gaylord Palms in Orlando. The facility is newly enhanced with more rooms, meeting space and amenities — both inside and out — to give the whole family a terrific opportunity to safely come and enjoy themselves, as well as learn, relax, socialize and celebrate.

We are ESSENTIAL HEALTH CARE — universally

We’ll fulfill our duties for the FDA House of Delegates and ADA delegation and have a wonderful opportunity to celebrate our FDA leaders, young and old, who have made our association capable of moving forward through this last year (and years past). We’ll have a huge occasion to celebrate our great friend and colleague, Dr. Cesar Sabates, the first elected ADA President from the state of Florida!

and we’re treating our patients, staffs and our communities safely and effectively.

As FDA president this year, I’ve built on my predecessors’ successes, but our current members are certainly eager, engaged and proactive with all the changes our society and our profession have seen recently, and I see remarkable success for our association and profession moving forward as well. We are not done!

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acknowledged and accepted —

” TODAY'S FDA MARCH/APRIL 2021

BOD

DID YOU KNOW? THE FDA HAS VALUABLE RESOURCES FOR DIY AND DTC

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@ floridadental.org or 850.350.7202.

Did you know that the Florida Dental Association (FDA) is a valuable resource for the media, elected officials and the public about do-it-yourself (DIY) dentistry and direct-toconsumer (DTC) dental laboratory services? The FDA has taken a position to discourage the practices, looks for opportunities to educate the public and has identified clear problems with DIY and DTC dentistry. In fact, these efforts connect back to the FDA’s strategic plan and the goal of the FDA — and the American Dental Association (ADA) — to be recognized as leaders and advocates for oral health. In recent years, at-home dental options have become more prevalent. Patients may seek these treatments because they feel they can’t fit office visits into their schedules or think that it will cost less than in-person treatment. Many FDA member dentists have seen patients harmed by these practices. The FDA wants to ensure the public is being protected. Visiting a dentist can identify current or potential issues beforehand and ensure DIY or DTC treatment doesn’t cause more problems.

Problems with DIY Dentistry DIY dentistry and orthodontics have inherent risks and their effects can be long-lasting. These treatments can affect the gums, bone, ligaments that support the teeth or the teeth

TODAY'S FDA MARCH/APRIL 2021

themselves. Depending upon the oral health issue being addressed and the nature of the treatment, there may be issues such as jaw problems, tooth decay and loss, abnormal bite or gum disease. And, while the products may appear to present cost-savings, they often can cost more in the long run — especially if they need to be corrected. Recent social media and online trends have caused great concern. Filing teeth, super-gluing caps, using snap-on veneers, whitening with activated charcoal, and purchasing kits to repair chipped, cracked or broken teeth are just a few of the trends that pop up with a simple Google search. There also are a lot of at-home orthodontic products that include aligners and straightening kits. According to a 2017 survey by the American Association of Orthodontics (AAO), about 13% of its member orthodontists are seeing patients who have tried DIY at-home teeth straightening, with some of those attempts causing irreparable damage. The AAO found that 70% of DIY patients seen by its members who took part in the study were between the ages of 10 and 34.

The FDA’s Position In June 2019, the FDA House of Delegates passed a resolution that stated the FDA FLORIDADENTAL.ORG

strongly discourages the practice of DIY and DTC dental laboratory services because of the potential for irreversible harm to patients. It included a recommendation that the FDA encourage its members, all dentists and their patients to report instances of individuals being harmed by DIY and DTC services to:

Unlicensed Activity Bureau at the Florida Department of Health v FLHealthSource.gov/ULA v 877.HALT.ULA (877.425.8852)

Florida Board of Dentistry v floridahealth.gov/licensing-and-regulation/enforcement v 850.245.4474

Food and Drug Administration v bit.ly/3u18YjW v 888.INFO.FDA (888.463.6332) The Unlicensed Activity and Fraud Unit (ULA) at the Department of Health protects Florida residents and visitors from the potentially serious consequences of receiving medical and health care services from an unlicensed person. It investigates and refers for prosecution all unlicensed health care activity complaints and allegations. The ULA unit works in conjunction with law enforcement and the state attorney’s offices to prosecute individuals practicing

FLORIDADENTAL.ORG

without licenses. In many instances, unlicensed activity is a felony level criminal offense.

Educating the Public The dental community may already be familiar with the potential hazards of DIY, DTC and unlicensed activity. Members of the association have surely seen articles in FDA publications, such as Today’s FDA and News Bites. However, members of the public may not be as aware. The FDA helps to educate the public about the importance of seeing a licensed dentist in several ways. One of the methods is through the media. In fact, the FDA regularly fields reporter inquiries regarding potentially harmful trends and has been cited in published stories. The ADA launched a public awareness campaign discouraging DIY dentistry with a full-page ad in The Wall Street Journal in August 2018. The ad encouraged patients to always ask an ADA dentist for his or her counsel before using unconventional dental products. Public health and safety are of paramount concern. That’s why it’s so important to educate the public about at-home dentistry and its potential risks. Kits for teeth straightening, veneers, bruxing devices and other solutions should be executed under the care of a dentist or specialist. The FDA and the ADA have taken positions that people should avoid DIY, DTC and unlicensed dentistry. In addition, dentists are encouraged to speak with their patients about negative aspects of these types of treatments.

TODAY'S FDA MARCH/APRIL 2021

CELEBRATING 25Celebrating YEARS 25 years of advocacy and beyond! OF ADVOCACY AND BEYOND!

Advocating to improve the oral health and the resulting overall health of Floridians

GOVERNMENTAL AFFAIRS OFFICE

2021 DENTISTS’ dental care is DAY ON THE HILL essential care! is going VIRTUAL! JOE ANNE HART Chief Legislative Officer

ALEXANDRA ABBOUD Governmental Affairs Liaison TATIANA AHLBUM Legislative Assistant

TUESDAY, MARCH 16, 2021 DREW EASON

LEGISLATIVE ISSUES

DDOH will start at 8 a.m. EDTFDA Executive Director

AS OF FEB. 22, 2021

118 E. Jefferson St.  Tallahassee, FL 32301 800.326.0051/850.224.1089  Fax: 850.224.7058 floridadental.org/virtualddoh Email: gao@floridadental.org dentalhealthfl.org

THE 2021 virtual DENTISTS’ DAY ON THE HILL was held on March 16.

SPONSORED BY FDA DENTISTS’ DAY ON THE HILL IS SPONSORED BY:

A L L I A N C E

TODAY'S FDA

MARCH/APRIL 2021

FLORIDADENTAL.ORG

FDA SUPPORTS DENTAL STUDENT LOAN REPAYMENT PROGRAM (ch. 381.4019) / DONATED DENTAL SERVICES (ch. 381.40195) (funding/DOH budget) The FDA supports securing state funds at approximately $773,000 to implement the Dental Student Loan Repayment Program and the Donated Dental Services (DDS) program. Legislation passed in 2019 to reinstate the Dental Student Loan Repayment Program and codified the DDS program in statute. Even though the Legislature approved the substantive language for both programs, no funds were allocated to implement these initiatives. By securing state funds for these programs, Medicaid recipients and individuals with serious medical conditions will now have access to much needed dental care and treatment in their communities and help reduce visits to hospitals for dental emergencies during a pandemic.

COMMUNITY WATER FLUORIDATION (funding/DOH budget) The FDA supports the state allocating $200,000 in general revenue to assist local governments with community water fluoridation efforts. Recognized as one of The 10 Greatest Public Health Achievements of the 20th Century by the Centers for Disease Control and Prevention (CDC), community water fluoridation has proven to be one of the safest and most efficient ways to prevent dental decay.

FUNDING FOR THE FLORIDA MISSION OF MERCY PROGRAM HB 2171 by Rep. Allison Tant The FDA encourages the state to allocate $580,000 in funding for the Florida Mission of Mercy (FLA-MOM). The FDA Foundation has generated approximately $9.43 million in donated dental care since its first FLA-MOM in Tampa in 2014. The two-day dental clinic helps relieve thousands suffering from dental pain and provides them relief from their constant discomfort. Additionally, people can receive care and be diagnosed on their dental condition instead of going to the emergency department, only to receive antibiotics and pain medication and not having their underlying dental condition treated. This helps to reduce unnecessary costs affiliated with emergency room visits, which sometimes becomes a repeated incident for those who are not treated by a dentist.

REDUCING INSURER’S RECOVERY OF OVERPAYMENT TO PROVIDERS (claw back) HB 1109 by Rep. Michael Grieco and SB 1386 by Sen. Gayle Harrell The FDA supports shortening the clawback period from 30 months to 12 months in which the insurer can recover an overpayment to a health care provider. Currently in Florida, an insurer can recover an overpayment made to a health care provider, in good faith, 30 months from the date of overpayment. This is known as a clawback. Since clawbacks can occur several years after a service was provided and can occur with little to no warning to providers, it makes it difficult for providers to maintain financial stability for their business when overpayments must be paid back retroactively to insurance plans. Other states have clawback laws ranging from 180 days, six months, 12 months, 18 months to 24 months.

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COVID-19 LIABILITY PROTECTIONS FOR HEALTH CARE PROVIDERS HB 7005 by Health & Human Services Committee and SB 74 by Sen. Jeff Brandes The FDA supports legislation that provides liability protections from frivolous lawsuits during national disasters, such as the COVID-19 pandemic.

FDA OPPOSES DENTAL THERAPIST HB 961 by Rep. Melony Bell and SB 604 by Sen. Jeff Brandes The FDA opposes lowering the standard of care by creating a new licensed dental provider called a dental therapist. While dental therapists have been falsely compared to nurse practitioners and physician assistants, they receive only three years of dental therapy training out of high school with no prior dental experience or baccalaureate prerequisite in dentistry. They would be authorized to perform surgery and irreversible surgical procedures like extractions (pulling teeth) and partial root canals, as well as be authorized to administer local anesthesia. Lowering the standard of care for dentistry — particularly among our state’s most vulnerable populations, who often suffer from some of the most complex medical issues and higher rates of tooth decay — is not a viable solution for Florida. Creating a new licensed dental provider would be an added expense to the state and could take at least five years or more to implement. The Florida Board of Dentistry (BOD) voted to oppose the dental therapy legislation during its board meeting on Feb. 19, 2021.

WREB DENTAL LICENSURE EXAM HB 497 by Rep. James Buchanan and SB 1366 by Sen. Jason Brodeur The FDA opposes adding another dental licensure exam in Florida. Currently, Florida offers and accepts the American Board of Dental Examiners (ADEX) exam which is administered by the Commission on Dental Competency Assessments (CDCA). The ADEX dental exam is accepted and administered in 48 other states and the hygiene exam is accepted in 46 states. The FDA does not support adding the Western Regional Examining Board (WREB) as a dental exam in Florida. The WREB licensure examination allows for the failure of whole sections of the exam and then grants immediate retakes of the failed section on-site the same day for the same exam, without going through any remediation to improve the failed skill. Furthermore, the WREB examination allows for an individual to fail a portion of a procedure, but as long as they attain a high enough passing score overall on the other parts of the procedure, they can pass that procedure, pass the exam and be granted a license. In dentistry, a dentist cannot “fail” at treating a patient and always get an immediate “redo” to fix what could be life-threatening mistakes. The Florida BOD voted to oppose the proposed WREB legislation during its board meeting on Feb. 19, 2021.

TODAY'S FDA MARCH/APRIL 2021

ARE YOU A MEMBER OF FDAPAC CENTURY CLUB? Join now: floridadental.org/centuryclub A portion of your required dues is transferred to the Florida Dental Association Political Action Committee (FDAPAC). FDAPAC provides campaign contributions to dental-friendly candidates. FDAPAC Century Club members provide additional financial support of $150 or more for state campaigns. FDAPAC dues and contributions are not deductible for federal income-tax purposes.

Dr. Gerald Bird FDAPAC Chair

Foundation: Amzon Smile

TODAY'S FDA MARCH/APRIL 2021

FLORIDADENTAL.ORG

antitrust exemption

REPEAL OF ANTITRUST EXEMPTION FOR HEALTH CARE INSURANCE A WIN FOR DENTISTS The Competitive Health Insurance Reform Act of 2020 became law on Jan. 13. The American Dental Association (ADA) led a multiyear effort to persuade Congress that health care insurance, including dental plans, should no longer be protected from some of the federal antitrust laws. This new law is aimed at improving transparency and competition in the health, dental and vision insurance marketplaces. It makes the conduct of health insurers fully subject to the nation’s antitrust laws, just like that of all other U.S. businesses. By removing the exemption obstacles to investigation and enforcement, both the Federal Trade Commission and the Department of Justice may be more likely to investigate possible anticompetitive practices and activities of health care insurers. While there may not be immediate changes for dentists, in the long term it is expected there will be changes in the dental plan marketplace that will benefit all, including consumers of health care services and providers. In the past, many experts believed that the antitrust exemption suppressed the health insurance market dynamic. Now, there’s hope that the new law will open opportunities for innovation and improved features that will expand choices for offering better and more coverage options. The ADA has developed a list of FAQs for dentists at bit.ly/3a3Dq4G, which addresses how this law will impact dental practices. In addition, an ADA News article, which can be found at bit.ly/2Nf0STy, explains organized dentistry’s advocacy efforts and what the new law means for providers, consumers and dental insurance companies.

FLORIDADENTAL.ORG

TODAY'S FDA MARCH/APRIL 2021

IS YOUR WEBSITE ADA-COMPLIANT?

LARRY DARNELL, MBA, CAE FDA DIRECTOR OF INFORMATION SYSTEMS

Mr. Darnell can be reached at ldarnell@floridadental.org.

TODAY'S FDA

I hear the term “ADA-compliant” and having been employed by a dental association for 26 years, I immediately think: What rules does the American Dental Association want dentists to follow? That’s like me trying to tell my family that it wasn’t the Food and Drug Administration, but the Florida Dental Association, when I started working at the FDA. Acronyms can be confusing. However, this ADA stands for the Americans with Disabilities Act, which was a law passed in 1990. If you have trouble remembering back that far, the original legislation didn’t specifically mention websites because, for the most part, they hadn’t been invented yet. And according to one business school professor in 1991, the

MARCH/APRIL 2021

World Wide Web would never catch on in the United States. Ha! Title III of the ADA requires that every owner, lessor or operator of a “place of public accommodation” provide equal access to users who meet ADA standards for disability. I envision wheelchair ramps, handicappedaccessible restrooms and such. The courts, however, have determined in many cases that a website or app meets the criteria for a place of public accommodation. Thus, these websites and apps must be created and presented in such a way to be accessible to all those defined as having a disability. This has transformed federal, state and local government websites and apps. FLORIDADENTAL.ORG

I hear you. You’re not a government entity, so why should dentists be concerned about this? I’ve fielded questions from several of our member dentists in the last year on this very topic. The problem is we live in a litigious society. Lawyers have been targeting small businesses like dental offices that have websites that do not meet ADA compliance or the newer defined Website Content Accessibility Guidelines (WCAG). The other issue is that there’s no affirmative defense for being out of compliance. In short, no excuses are accepted for this issue. How does that even work for those who need website accessibility? More than 7 million Americans have a visual disability that prohibits them from using the web without assistance. Most use what is called a screen reader — software that translates a webpage into a format a user can consume like audible speech or Braille. Imagine the difficulty if you have a graphicheavy website with videos and image-based PDFs. The screen reader cannot decipher that, so your website content is not useable to those with this disability. Most cannot use a mouse to click on anything, so having things that require clicking is a problem, too. However, if you design your website in such a way, the content can still be useable. Image tags, audible captioning, and readable formats for documents like HTML or RTF would go a long way to help those who want to access your dental practice information. You want as many people as possible to have access to the information you considered important enough to put it out on the World Wide Web for others to see. My goal today is not to provide you with all the answers but instead make you aware of the issue. I encourage you to investigate this issue for yourself … it’s not only the law, but it’s also the right thing to do by your patients. A great resource to provide you with plain English details can be found at bit. ly/3a2gzXn. If you have a company that manages your website, I advise you to discuss ADA compliance and WCAG. If they’ve never heard of it, it might be time for a change. The government even makes a toolkit available for state and local governments that offers guidance at bit.ly/3oZHN5i and a checklist to follow at bit.ly/3jwChG6. Bottom line: Don’t wait until you get a letter from a lawyer about non-compliance. Be proactive and do something about this now.

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“

Websites and apps must be created and presented in such a way to be accessible to all those defined as having a disability.

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What About Social Media?

Does the disabilities act affect a dentist’s presence on social media? Is your Facebook account subject to the same kind of access scrutiny as your website? The answer to both of those is no. In part because it is up to the provider of the service (social media like Instagram and Facebook) to provide the accommodations for people with disabilities. So social media would not have the same level of scrutiny as the dentist-owned website. In theory, a dentist does not have direct control of the inner-workings of social media software and no way to implement the changes.

Oh, and by the way, that business school professor? That was me.

FLORIDADENTAL.ORG

TODAY'S FDA

MARCH/APRIL 2021

updates for members *PLEASE NOTE THAT FDA MEMBERS HAVE THEIR NAMES LISTED IN BOLD.

New Special Enrollment for Health Insurance Due to Covid-19

If you missed open enrollment in the fall because of the pandemic, you have a new chance to get 2021 coverage. New special enrollment is from Feb. 15 to May 15! Call FDA Services at 800.877.7597.

Choosing a Career in the Allied Dental Professions

The American Dental Association (ADA) Council on Dental Practice has recently developed two different recruitment flyers that are meant to help address challenges practices across the country reported in finding, hiring and retaining qualified dental team members. ADA members can customize the flyers with their practice information and are meant to encourage people, primarily patients, to consider allied dental careers. The flyers would be used in practices, community events and shared with guidance counselors and educators

TODAY'S FDA MARCH/APRIL 2021

at job fairs. Visit ADA.org/AlliedCareerFlyers.

Gov. Ron DeSantis Appoints Sara Bernard and Angela Johnson to the Florida Board of Dentistry

Study Finds Low Rate of COVID-19 Among Dental Hygienists

On Feb. 5, Gov. Ron DeSantis announced the appointments of Sara Bernard and Angela Johnson to the Board of Dentistry.

Sara Bernard Ms. Bernard, of Windemere, is a partner and real estate attorney at Holland & Knight. Previously, she was a partner at Nelson Mullins. Ms. Bernard has served as executive director and chair of the University of Central Florida Alumni Association and was recently recognized by the Orlando Business Journal with the 2021 Women Who Mean Business Award. She earned her bachelor’s degree from the University of Central Florida and her Juris Doctor from the University of Miami.

Angela Johnson Ms. Johnson, of DeLand, is a registered dental hygienist at Heartland Dental. She has been involved in clinical dentistry for more than 38 years and as a clinical hygiene mentor for three years. Ms. Johnson is a member of the Women’s Club of Victoria Gardens and the Volusia County Hygiene Study Club. Ms. Johnson earned her associate degree in dental hygiene at Florida State College at Jacksonville.

Two new studies by the ADA and the American Dental Hygienists’ Association resulted in joint research published in The Journal of Dental Hygiene designed to estimate the prevalence of COVID-19 among U.S. dental hygienists, examine infection prevention procedures and review employment data. In addition to the papers, a webinar featuring the research team is available on demand. The findings show that 3.1% of dental hygienists have been infected with COVID-19, which aligns with the cumulative infection prevalence rate among dentists and is far below that of other U.S. health professionals. They also found that 8% of dental hygienists have left the workforce since the onset of the pandemic; 60% of those who left did so voluntarily. This research is another proof point that dental care is safe for patients and dental professionals. It also supports the continued effectiveness of recommendations from the ADA and the Centers for Disease Control and Prevention in helpFLORIDADENTAL.ORG

ing to keep the dental team and patients as safe as possible.

Dr. Richard Donatelli, Gainesville

Visit adha.org/jdh-feb2021 to view the research and webinar.

Dr. Mary Kalimnios, Rockledge

Dr. Yang Hua, Saint Cloud Dr. Christopher Resnik, Lake Mary

Welcome New FDA Members

Dr. Anelisse Rivera Velez, Orlando

The following dentists recently joined the FDA. Their memberships allow them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry. Names listed in blue are members in dental residency.

Northeast District Dental Association

Atlantic Coast District Dental Association

Dr. Kenjula Brown, Jacksonville Dr. Naderge Chery, Green Cove Springs Dr. Avanika Grover, Jacksonville Dr. Marek Ogledzki, Orange Park Dr. Samidha Patel, Jacksonville Dr. Angela Claire Sayoc, Orange Park

Dr. Hans Almanzar, Lauderdale-by-the-Sea

Dr. Tina Tran, Jacksonville

Dr. Daniel Cohen, Fort Lauderdale Dr. Michael Friend, Plantation

Northwest District Dental Association

Dr. Leon Gerard, Boca Raton

Dr. Benjamin Harrison, Panama City

Dr. Melissa Glaser-Kindig, Jensen Beach

Dr. Amanda Krestos, Lynn Haven

Dr. Carlo Guevara, Fort Lauderdale

Dr. William Sackheim, Pensacola

Dr. Martin Maya, Margate

South Florida District Dental Association

Dr. Adil Omar, Vero Beach

Dr. Wendy Batista Rodriguez, Miami

Dr. Shariss Ostrager, Stuart

Dr. Maritza Britton, Miami

Dr. Susel Perez Ojeda, Pompano Beach

Dr. Francisco Espinosa, Palmetto Bay

Dr. Ermy Pinchevski Duque, Weston

Dr. Mehr Faisal, Pembroke Pines

Dr. Tawny Richards-Coppola, Boca Raton

Dr. William Forero, Pembroke Pines

Dr. Jasmine Shakibi, Boca Raton

Dr. Michael Karp, Miami

Dr. Sugeily Hernandez, Boca Raton

Central Florida District Dental Association

Dr. Eva Fornos, Miami Dr. Lois Marrero, Miami Dr. Jeidy Martinez, Miami

Dr. Sapna Adappa, Daytona Beach

Dr. Julie McCarron, Key West

Dr. Jood Bazerbashi, Orlando

Dr. Ivan Mendoza, Pembroke Pines

Dr. Breck Brewer, Maitland

Dr. Corina Murzi, Jupiter

Dr. Guneshi de Mel, Ocala

Dr. Kristin Ozimek, Key West

FLORIDADENTAL.ORG

House of Delegates May Consider Bylaws Changes The Council on Ethics, Bylaws and Judicial Affairs will perform an annual review of the FDA bylaws.

Date of Next House of Delegates Meeting The next meeting will be June 25-26, 2021 at the Gaylord Palms Resort & Convention Center in Orlando. Dr. Luis Sanchez, Coral Gables Dr. Nailah Tillman, Hollywood

West Coast Dental Association Dr. Elise Cheng, Lakeland Dr. Gabrielle Chevance, Bradenton Dr. Priscila Dal Seco, Lutz Dr. Mikhail Daya Attie, Tampa Dr. Alexander Desman, St. Petersburg Dr. Dearl Duncan, Bradenton Dr. Elizabeth Dy, Tampa Dr. Marlon Foote, Riverview Dr. Harveen Gujral, Tampa Dr. Ioannis Helidonas, Port Richey Dr. Luz Hernandez, Wesley Chapel SEE PAGE 18 TODAY'S FDA MARCH/APRIL 2021

updates for members

In Memoriam

FROM PAGE 17

Dr. Peter Jurkash, Fort Myers Dr. Sara Lee, St. Petersburg

The FDA honors the memory and passing of the following members:

Dr. Christopher Maly, Largo Dr. Reihaneh Mauer, Estero Dr. Michael McKee, Sarasota Dr. Bibiana Munoz Aguilera, Tampa Dr. Cong Nguyen, Ruskin Dr. Mili Patel, Dade City Dr. Mary Teresa Prendiville, Bartow Dr. Solongo Purev, Venice Dr. Amanda Rizner, Sarasota Dr. Anna Simeoni, Dover Dr. Undavadi Vasudev, Tarpon Springs

Dr. Robert La Croix St. Augustine, FL Died: 01/01/2021 Age: 88

Dr. Peter Neff Fairfax, VA Died: 01/15/2021 Age: 91

Dr. Michael Karges Daytona Beach, FL Died: 02/01/2021 Age: 78

Dr. Charles Bleich Boynton Beach, FL Died: 01/02/2021 Age: 86

Dr. Theodore Kaduk New Port Richey, FL Died: 01/24/2021 Age: 71

Dr. Donald Eifert Belleair Beach, FL Died: 02/07/2021 Age: 91

Dr. Kenneth Knopf North Miami, FL Died: 01/05/2021 Age: 80

Dr. Oscar Tatum St. Petersburg, FL Died: 01/29/2021 Age: 62

Dr. Alvaro Blandon Orlando, FL Died: 02/17/2021 Age: 58

American Sensor Tech

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TODAY'S FDA MARCH/APRIL 2021

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FDA: Well-being program Tobacco Free Florida

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TODAY'S FDA MARCH/APRIL 2021

FDAS: The Doctors Co

$100 MILLION PAID TO MEMBERS AN UNRIVALED MEMBER BENEFIT—A REMARKABLE MILESTONE Unlike commercial insurance companies, which look for ways to reward shareholders, The Doctors Company is dedicated to rewarding our members. In 2007 we created the Tribute Plan, an unrivaled financial benefit that rewards you and your fellow dentists for your loyalty and dedication to superior patient care. ®

As an organization committed to providing the best imaginable service, we are profoundly honored to have now attained an industry-leading achievement—the distribution of more than $100 million in Tribute Plan awards. While other insurers have attempted to follow our lead, The Doctors Company is by far the only dental malpractice insurer that celebrates the careers of dentists with rewards of this magnitude.

Tribute Plan projections are not a forecast of future events or a guarantee of future balance amounts. For additional details, see thedoctors.com/tribute.

ompany

No other insurer pays

GREATER TRIBUTE TO FLORIDA DENTISTS.

To learn more, call or text 850.681.2996 or visit fdaservices.com

TO LEARN MORE ABOUT TRIBUTE: Visit thedoctors.com/tribute

FDC2021 CORPORATE CLASSROOMS THURSDAY, JUNE 24

FRIDAY, JUNE 25

SATURDAY, JUNE 26

ADVANCE TO THE NEXT LEVEL: YOUR GAME PLAN TO MAXIMIZE PRACTICE VALUE AND CREATE PERSONAL FINANCIAL SUCCESS  NC01 MR. ERIC MILLER 9-11:30 AM  FINANCIAL  CE CREDITS: 0

BECOMING REMARKABLE: HOW TO INCREASE APPOINTMENTS AND PROPEL PRODUCTION  NC06 DR. RYAN HUNGATE & MR. FRED JOYAL 9-11 AM  COMMUNICATION  CE CREDITS: 0

ARE YOU READY FOR OWNERSHIP OR RETIREMENT? START PLANNING TODAY!  NC11 MR. GREG JONES, MR. MICHAEL DEMEOLA & MR. JASON KAPLAN 9 AM-12 PM  FINANCIAL  CE CREDITS: 0

This lecture is fully sponsored by Econologics Financial Advisors.

This lecture is fully sponsored by Simplifeye.

This lecture is fully sponsored by Doctor's Choice.

“I WANT MY PATIENTS AND MY REVENUE BACK” — MARKETING, COMMUNICATION, EFFICIENCY AND REVENUE BUILDING FOR YOUR DENTAL PRACTICE IN THE POST-COVID WORLD  NC07 DR. JOSHUA GINDEA 9 AM-12 PM  COMMUNICATION  CE CREDITS: 0

MINI DENTAL IMPLANTS — A MINIMALLY INVASIVE TREATMENT OPTION FOR STABILIZING DENTURES AND REPLACING MISSING TEETH  C53 DR. TODD SHATKIN 9 AM-12 PM  IMPLANTS  CE CREDITS: 3

THE ULTIMATE NEW PATIENT EXPERIENCE  C07 DR. MARK HYMAN 9 AM-12 PM  COMMUNICATION  CE CREDITS: 3 This lecture is fully sponsored by Digital Doc LLC.

A PRACTICE OWNER’S GUIDE TO THE BUSINESS SIDE OF DENTISTRY  NC04 MR. CASEY HIERS 2-4 PM  FINANCIAL  CE CREDITS: 0 This lecture is fully sponsored by Four Quadrants Advisory.

CYBER SECURITY AND PATIENT DATA: ETHICAL RESPONSES IN DENTAL PRACTICE MANAGEMENT  PM03 MR. CLAY ARCHER 2-5 PM  ADMINISTRATION  CE CREDITS: 3 This lecture is fully sponsored by DPC Technology.

This lecture is fully sponsored by DoctorsInternet.

This lecture is fully sponsored by Shatkin F.I.R.S.T. LLC.

HOW TO USE INTERNET MARKETING TO BRING IN NEW PATIENTS, PRIME CASES AND INCREASED REVENUE FAST!  NC09 MR. SHAY BERMAN 2-4:30 PM  COMMUNICATION  CE CREDITS: 0

THRIVING THROUGH TECHNOLOGY  NC03 MR. ROBERT MCDERMOTT, MR. CHRIS ELLEY & MR. DAVE FIDANZA 2-4 PM  TECHNOLOGY  CE CREDITS: 0

This lecture is fully sponsored by Digital Resource.

THE EPIDEMIC OF DENTAL EMBEZZLEMENT — DIAGNOSIS, TREATMENT AND PREVENTION  NC10

MR. MICHAEL DEMEOLA 2-5 PM  FINANCIAL  CE CREDITS: 0 This lecture is fully sponsored by Getsee & DeMeola LLC.

FREE

COURSES FOR FDA & ADA MEMBERS DURING PRE-REGISTRATION!

This lecture is fully sponsored by iCoreConnect.

UNDERSTAND LEGAL TOOLS: KEYS TO TAX REDUCTION, LICENSE PROTECTION AND LAWSUIT PREVENTION  C61 MR. DAVID MITTON 2-5 PM  FINANCIAL  CE CREDITS: 3 This lecture is fully sponsored by Legally Mine.

THANKS TO OUR SPONSORS!

BOD

FLORIDA BOARD OF DENTISTRY DISCUSSES LASERS The Florida Board of Dentistry (BOD) met via conference call on Friday, Feb. 19, at 7:30 a.m. The BOD had to cancel its in-person meeting due to the COVID-19 pandemic, but still met to conduct the necessary business of the board. The Florida Dental Association (FDA) was represented by FDA BOD Liaison Dr. Joe Calderone and Director of Third Party Payer and Professional Affairs Casey Stoutamire. FDA President Dr. Andy Brown also was on the call. The BOD members present were Dr. Nick White, chair; Drs. Christine Bojaxhi, Brad Cherry, Thomas McCawley, Jose Mellado, Claudio Miro and T.J. Tejera; hygiene members, Ms. Karyn Hill and Ms. Angela Johnson; and, consumer member, Mr. Fabio Andrade. New consumer member, Ms. Sara Bernard, was absent. This was the first meeting with Dr. White as chair and the first meeting for new board members, Drs. Bojaxhi, Cherry, McCawley and Mellado, and Ms. Johnson. BOD Executive Director Ms. Jessica Sapp updated the BOD on the dental therapy legislation as well as legislation that would allow the Western Regional Examining Board exam to be accepted for licensure in the state. The BOD voted to oppose both issues. At its November meeting, the BOD heard a revised proposal from the Council on Dental Hygiene to allow hygienists to use a laser while performing their remediable tasks, which died on a 4-4 vote. After this vote, the Florida Dental Hygienists’ Association requested the BOD revisit this rule and hold a workshop on the issue. The BOD has done this in the past on contentious issues. As such, the board voted to hold a rule workshop on this issue. No date has been set, but Dr. White indicated that it will be held the afternoon before the next time the BOD can meet in person, which most likely will be in May. There were two informal hearings, four disciplinary cases, two determination of waivers and three voluntary relinquishments dealing with failing to meet the minimum standard of care and failing to keep adequate records. If you have not yet attended a BOD meeting, it is suggested that you take the opportunity to attend and see the work of the BOD. It is much better to be a spectator than a participant in BOD disciplinary cases. Finally, Mr. Andrade was elected vice chair for the next year, as Dr. Naved Fatmi is no longer on the board. The FDA also wishes to thank Drs. Fatmi, Matt Freedman and Nick Kavouklis, and Ms. Cabanzon for their service on the board.

The next BOD meeting is scheduled for Friday, May 21 at 7:30 a.m. EDT in Orlando.

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@floridadental.org or 850.350.7202.

FDC2021

#FDCYOUSOON We will have gone 727 days without a Florida Dental Convention (FDC) when we arrive for FDC2021. One year, 11 months and 27 long days missing our colleagues, completing our continuing education (CE) remotely, and working diligently in our offices to provide care during an unprecedented time. Needless to say, I cannot wait to #FDCYouSoon! Your entire Committee on Conventions and Continuing Education has worked without pause during this time to continue to offer you the dynamite CE and family fun you have come to know and love. We are bursting with excitement to welcome you back to the Gaylord — safely! Here are some answers to some frequently asked questions about FDC2021. DR. BECKY WARNKEN FDC2021 PROGRAM CHAIR

Dr. Warken can be reached at rwarnkendds@gmail.com.

When is FDC2021? When can I register? The FDC2021 is June 24-26 at the Gaylord Palms Resort & Convention Center. Registration is OPEN! Early Bird Registration closes on April 16 and regular registration ends June 11. Register online at floridadentalconvention.com. On-site registration will apply June 12-26. Register yourself and your team early for the best savings and a chance at a space in any of the courses. As a reminder, FDA membes receive free pre-registration!

What courses are available for doctors? We know you are excited to get back to some in-person and hands-on CE! This year’s program is jam packed with exciting courses and hands-on workshops and mini-residencies. The list is endless, however there is sure to be a plethora of options for everyone. The Dawson Academy will be teaching the first in-person “Dawson Seminar 2” on Thursday and Friday. Be sure to check out the “Head and Neck Cancer Symposium,” which will offer incredible insights into diagnosing, treating, and supporting patients with head and neck cancers throughout their treatment and survivorship. There are countless hands-on workshops featuring everything from full-arch reconstruction, mastering the single central with CEREC, oral surgery techniques, posterior composites, Botox, tongue and lip tie treatment, and so much more. This program also features two separate miniresidencies, “You Need Sleep and So Does Your Dental Practice” and “Dental Implant Therapy.” There are too many dynamite speakers to list, so I encourage you to check out the entire program! This year’s registration site has some fantastic upgrades that allow you to search by topic, audience, day and more, as well as suggested courses for those you pick to help you build three solid days of CE. Be sure to check out the expanded Saturday options as well — they will not disappoint! Visit floridadentalconvention.com for information.

TODAY'S FDA MARCH/APRIL 2021

FLORIDADENTAL.ORG

FDC2021

Should I bring my dental team? We know that everyone on the dental team is ready for some in-person, hands-on CE action and I am confident that the entire team will find courses that they can be excited about. There are quality, free keynotes to begin your days together. Be sure to check out all three days of programming, as there are courses for the team Thursday morning through Saturday afternoon. Whether you are looking for coding courses for your administrative team, treatment planning and presentation for your entire team, implant parts, temporaries and even impressions for your assistants, or anesthesia and non-surgical debridement techniques for your hygienists — the opportunities for quality CE for your team members are plentiful! There is a killer lineup of speakers for your team to choose from and I can’t wait for them to enjoy the wide range of CE that will be available. They are sure to enjoy the social events as well.

What is there for my family to do? This year we have added new programming for all attendees, including “Yoga on the Lawn” each morning. Guests also are invited to “Dueling Pianos” on Thursday and our “Wonderland Party” on Friday night. The Gaylord has amazing facilities to keep everyone entertained as well — be sure to check out the pool and new rapid river! This amazing venue continues to expand and welcome families for a much-needed getaway that everyone can enjoy. Beyond the Gaylord, be sure to check out the discounted tickets for Walt Disney World theme parks. Orlando has so much to offer, and everyone deserves a little getaway this year! I personally cannot wait to #FDCYouSoon!

FLORIDADENTAL.ORG

“

Registration is OPEN!

Register online at floridadentalconvention.com. Register yourself and your team early for the best savings and a chance at a space in any of the courses.

”

TODAY'S FDA MARCH/APRIL 2021

12 Essentials to Pack for an Amazing FDC2021! Prepare for everything you might need on-site at FDC2021, June 24-26 at the Gaylord Palms in Orlando! Make your experience as memorable as possible by bringing these essential items for an amazing convention. 1. Comfortable Shoes – Gaylord Palms has Expanded!

5. FDC Course Handouts

10. Hotel Reservation Confirmation

6. Matching Office T-shirts 2. Downloaded FDC2021 Mobile App

7. Your Favorite Face Masks

3. FDC Barcode Email & 8. Itinerary – Electronic or Hardcopy 9. 4. Hand Sanitizer

Smartphone & Charger

11. Sweater or Jacket – Meeting Rooms Can Get Cold 12. An Eagerness to Learn!

Something to Take Notes With – Laptop/ Notebook/Tablet

Learn more and register today at floridadentalconvention.com!

TODAY'S FDA MARCH/APRIL 2021

FLORIDADENTAL.ORG

E-VAC Inc.

VOLUNTEERING HAS IT'S PERKS! All Speaker Hosts receive a $20 lunch voucher for Exhibit Hall concessions. Lecture Speaker Hosts receive free course tuition for the hosted course.

VOLUNTEER TO BE AN FDC SPEAKER HOST! Volunteers provide an invaluable service to the Florida Dental Convention. Speaker Host volunteers will be responsible for introducing the speaker and making announcements in front of the class, passing out and collecting surveys, and contacting convention staﬀ if AV assistance is needed. FLORIDADENTAL.ORG

Volunteer today at floridadentalconvention.com Questions? Contact LaVonne Patoir at lpatoir@floridadental.org or 850.350.7162

TODAY'S FDA MARCH/APRIL 2021

NEW DENTAL LEADER Dr. Jenna Pascoli

AWARDS LUNCHEON

Ms. Rachel Stys TEAM IMPACT AWARD HELPING MEMBERS SUC CEED

Dr. Rebecca Warnken LEADERSHIP AWARD

AWARD RECIPIENTS

JUNE 25, 2021 | 11:30 AM-1 PM

DENTAL STUDENT AWARD Ms. Ashley Wagler

GAYLORD PALMS RESORT

Dr. Al Warren Dr. Ken Owens PUBLIC SERVICE AWAR

Dr. Rudy Liddell DENTIST OF THE YEAR

Ms. Ashley Wagler DENTAL STUDENT AWAR D

Dr. Andy Brown PRESIDENT’S AWARD

2021

Dr. Cesar Sabates ACHIEVEMENT AWARD J. LEON SCHWARTZ LIFETIME

Dr. Jenna Pascoli NEW DENTAL LEADER

DENTIST OF THE YEAR Dr. Rudy Liddell

PRESIDENT’S AWARD Dr. Andy Brown

2021

AWARDS LUNCHEON 20212021

2021 AWARD RECIPIENTS AWARD RECIPIENTS 2021 2021 AWARDS LUNCHEON

AWARD RECIPIENTS

NEW DENTAL LEADER Dr. Jenna Pascoli

DENTIST OF THE YEAR Dr. Rudy Liddell

DENTAL STUDENT AWAR D Ms. Ashley Wagler

J. LEON SCHWARTZ LIFETIME ACHIEVEMENT AWARD Dr. Cesar Sabates

PUBLIC SERVICE AWAR D Dr. Ken Owens Dr. Al Warren

LEADERSHIP AWARD Dr. Rebecca Warnken

HELPING MEMBERS DESUC EC TEAM IMPACT AWARD Ms. Rachel Stys ADER

JUNE 25, 2021 | 11:30 AM-1 PM

T AWARD

PRESIDENT’S AWARD Dr. Andy Brown

GAYLORD PALMS RESORT JUNE 25, 2021 | 11:30 AM-1 PM n

Dr. Andy Brown has been practicing orthodontics in Orange Park, Fla. since 1984. Originally from upstate New York, Dr. Brown did his dental and orthodontic training at the University of North Carolina, and then continued south to set up his practice in Florida. Dr. Brown has been involved in organized dentistry throughout his career serving on various councils and committees. These include the American Dental Association (ADA) Council on Dental Practice and Council on Dental Health, as well as the Florida Dental Association (FDA) Council on Ethics, Bylaws and Judicial Affairs. He currently serves as FDA president, chair of the Governmental Action Committee and as a delegate to the ADA. Dr. Brown is a Clay County Dental Society past president and ran the peer review program in the Northeast District Dental Association for 27 years. In addition to his service to organized dentistry, he is a clinical faculty member at the University of Florida College of Dentistry (UFCD) Orthodontic Department. Outside of dentistry, Dr. Brown loves participatRED LATactivities. NED W N than 10 years, ingA inE allLsporting ForE more he coached ilochigh saschool P anathletics neJ .rand D had the pleasure of working with his three, now grown, children in the AWAprocess. TNEDUTS LATNED

Liddell then went on to attend dental school at UF and graduated in 1982. He practices in a small group practice with four other partners in Brandon, Fla. Dr. Liddell has served at all levels of leadership in organized dentistry, beginning as a delegate to the FDA in 1998, an officer for the Hillsborough County Dental Association (1999-2010) and as an FDA officer since 2014, where he served as president in 2019-2020. Dr. Liddell also served on the FDA Board of Trustees (BOT) from 2010-2012 and is the past chair of the ADA Council on Dental Practice. Dr. Liddell currently serves as the 17th District Trustee to the ADA BOT. Dr. Liddell has been married to his wife, Sherri, for 35 years and together they have two sons, Michael, married to Ashley, who lives in Riverview; and Brian, married to Savannah, who lives in Rochester, Minn.

J. LEON SCHWARTZ LIFETIME ACHIEVEMENT AWARD Dr. Cesar Sabates

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SEE PAGE 30

DENTAL STUDENT AWARD Ms. Ashley Wagler

NEW DENTAL LEADER Dr. Jenna Pascoli

AWARDS LUNCHEON

Dr. Rebecca Warnken LEADERSHIP AWARD

Ms. Rachel Stys TEAM IMPACT AWARD which allows her to constantly collaborate and provide MEMBERS the highest level ofHELPING care for her patients. Dr. Warnken SUC CEED

FROM PAGE 29

AWARD RECIPIENTS

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2021

of the International College of Dentists, American has a passion for continuing education and serves on College of Dentists andCesar the PierreSabates Fauchard Academy. Dr. Al Warren Dr. the FDA Committee on Conventions and Continuing He is a member of the Academy of General Dentistry Dr.she’sKen Owens the Florida Dental ConvenACHIEVEMENT AWARD Education. Currently, and the Hispanic Dental Association. Dr. Sabates is tion’s 2021 Scientific Program chair.SERVICE She also serves on PUBLIC AWAR J. LEON SCHWARTZ the founding president of Dental Lifeline Network • LIFETIME the West Coast District Dental Association Program Florida. He has received numerous awards and honors, Committee and theMs. Hillsborough County Dental AsDr. Rudy Liddell Ashley Wagler including: the FDA President’s Choice Award, SFDDA Cabinet. AboveSTUDENT all, Dr. Warnken AWAR DENTIST OF THE YEAR sociation ExecutiveDENTAL Service and Leadership Award, University of Missourienjoys spending time with her husband, Matthew, Kansas City School of Dentistry Alumnus of the Year, and their three young Chase, Grayson and Dr. Andy Brown Dr.children, Jenna Pascoli Hispanic Dental Association Award “for his continAWARD Emma. NEW DENTAL LEADER ued commitmentPRESIDENT’S to oral health,” ADA Presidential Citation, SFDDA Dentist of the Year Award and the Florida House of Representatives Dentist of the Day. l l l l Dr. Sabates earned his dental degree and certificate in advanced education in general dentistry from the University of Missouri-Kansas City School of Dentistry Dr. Jenna Pascoli was and has an undergraduate degree in electrical engiborn and raised in Atlanta, neering from the University of Miami. He and his wife, Ga. She attended Auburn Lydia, reside in Miami and have two children, Albert University and received and Cesar III, daughter-in-law, Leysi, and a grandson, a bachelor’s degree in Bruce. biomedical sciences in

DENTIST OF THE YEAR Dr. Rudy Liddell

PRESIDENT’S AWARD Dr. Andy Brown

New Dental Leader Dr. Jenna Pascoli

2021

AWARDS LUNCHEON 2021

2021 AWARD RECIPIENTS AWARD RECIPIENTS 2021 Leadership Award 2021 Dr. Rebecca Warnken AWARDS LUNCHEON

ADER

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2009. In 2010, she received a master’s degree in bioll l l l ogy from Georgia State University. Dr. Pascoli graduated in the Lake Erie Dr. Becky Warnken PRESIDENT’S AWARD College of Osteopathic NEW DENTAL LEADER Medicine (LECOM) School graduated from Creighton of Dental Medicine’sDr. inaugural class in June 2016. Dr. Andy Brown Jenna Pascoli University in 2009, with a Dr. Pascoli’s passion for dentistry began in the eighth Bachelor of Science in psyDENTIST OF THE YEAR grade when she wasDENTAL offered a job atSTUDENT her orthodontist’s AWAR chology and biology. She office. Her general dentist spoke highly of her Dr. Rudy Liddell Ms. also Ashley Wagler then went to Marquette being a female in dentistry. These mentors encouraged University School of Denher to seek dentistryPUBLIC as a profession.SERVICE She explored thisAWAR J. LEON SCHWARTZ LIFETIME tistry, graduating in 2013 for two dentists in Atlanta ACHIEVEMENT AWARD passion further by assisting Dr. Ken Owens with honors. She returned before starting dental school. Dr. Pascoli was elected Dr. Cesar Sabates to Tampa, Fla. with her Dr. Al Warren as the inaugural American Student Dental Association husband in 2013, working (ASDA) president for LECOM. While president, she HELPING MEMBERS SUC as an associate forLEADERSHIP several years. In 2019, Dr.AWARD Warnken was awarded the ASDA National Delegate of the Year became a partnerDr. with McIlwain DentalWarnken Specialists. Rebecca TEAM IMPACT in 2014. As a student, Dr. Pascoli was an ASDAAWARD voting She enjoys working in a multispecialty group practice, member in the FDAMs. HOD,Rachel associate on Stys the Council on

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Ms. Ashley Wagler is a fourth-year dental student at LECOM School of Dental Medicine in Bradenton, Fla. She was born and raised in Sarasota, Fla., and plans to return to the area upon graduation in May 2021. She has a passion for organized dentistry and looks forward to staying heavily involved with the FDA and ADA in the future. Following her belief in giving back to the community, she enjoys volunteering and providing pro bono dental care for those in need. In her free time, she enjoys RED AELup LA Trecipes NEDinW N boating, and whipping new theE kitchen, hanging out with ilo cs aPheratwo nnminiature eJ .rDAustralian Shepherds, Dexter and Cooper.

PRESIDENT’S AWARD Dr. Andy Brown

DENTAL STUDENT AWA Ms. Ashley Wagler

Dental Student Award l Ms. Ashley Wagler

DENTIST OF THE YEAR Dr. Rudy Liddell

PUBLIC SERVICE AWA Dr. Ken Owens Dr. Al Warren n

J. LEON SCHWARTZ LIFETIME ACHIEVEMENT AWARD Dr. Cesar Sabates

LEADERSHIP AWARD Dr. Rebecca Warnken

HELPING MEMBERS SU TEAM IMPACT AWARD Ms. Rachel Stys

NOEHCNUL SDRAWA

from his practice in 2014 and immediately began volunteering twice a week at the Barnabas Center Dental Clinic, where he continues to volunteer as well as fundraise for the clinic. In addition to his volunteerism at the Barnabas Center, Dr. Owens has been instrumental to the startup of other community charitable dentistry in Nassau County, Fla. He and his wife, Shirley, have been married for 52 years and together they have raised two wonderful children, Scott and Kelly.

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Membership, Council on New Dentist student consultant and FDA Services (FDAS) student consultant. As a dentist, Dr. Pascoli has served as the FDAS Northwest District board member since 2016. She currently practices in Panama City alongside Dr. Krista Thompson. When she is not in the office, she enjoys spending time on the water with her son, Charles, and husband, John.

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Public Service Award l Dr. Alfred Warren

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Dr. Al Warren was born in Miami and grew up in West Palm Beach. He attended Palm Beach State College, and in 1969, graduated with honors from the University of Maryland Dental School. DRAWA S’TNEDIS ERP During dental school, Dr. Warren nworB ydnA .rD married the love of his life, Louise, of RD AWA TNEDUTS LATNED RAE Y Worth. EHTAfter FOdental TSschool, ITNEheDspent three years Lake in the U.S.llAir the faculty at the relgaW yelhsA .sM edForce diLbefore ydujoining R .rD l l l l University of California, Los Angeles where he taught Following EMITEFILrestorative ZTRAdentistry. WHCS NOEhis L .passion J for theolRD RAWA ECIVRES CILBUP ogy, master of A divinity at the DRA WDr. A Warren TNEearned MEVa E IHC snewO neK .rD Dr. Claude “Ken” Owens graduated from Emory Talbot Theological Seminary. Dr. Warren, Louise and setabaS raseC .rD nerofraDentistry W lA in.r1969 D and then went University School their four children then moved to Orlando, where he on to serve in the Army Dental Corps until 1971. pastored a church for seven years, after which his famCCEED US SAfter REcompleting BMEMhisGservice NIPinLE H DR AWA PIHSREDAEL the Army, Dr. Owens ily accompanied him on a five-year mission to Haiti. DRopened AWAa T CApractice PMI M ET the Amelia neknraW accebeR .rD private andA founded Dental Group sytSin lFernandina ehcaRBeach, .sMFla. He retired SEE PAGE 33

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AWARD RECIPIENTS Public Service Award Dr. Ken Owens

2021

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DON’T NEED CE? VISIT THE FDC2021 EXHIBIT HALL FOR FREE! Register as “EXHIBIT HALL ONLY” to take advantage of this offer!*

EXHIBIT HALL HOURS THURSDAY, JUNE 24 11 AM - 6 PM

FRIDAY, JUNE 25 8:45 AM - 6 PM

SATURDAY, JUNE 26 9 AM - 2 PM

VIEW THE CURRENT LIST OF EXHIBITORS AT EXHIBITHALL.FLORIDADENTALCONVENTION.COM

BUILD RELATIONSHIPS with current and existing vendors.

NETWORK

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CONNECT WITH 225+ EXHIBITORS WITH A FREE EXHIBIT HALL ONLY PASS!

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*AVAILABLE FOR DENTISTS, TEAM MEMBERS AND GUESTS/SPOUSES. NOT ELIGIBLE FOR CE.

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with industry-leading exhibitors.

new products, services & dental technologies in the NEW Corporate Learning Corner.

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JUNE 25, 2021 | 11:30 AM-1 PM

HELPING MEMBERS SU TEAM IMPACT AWARD Ms. Rachel Stys

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LEADERSHIP AWARD Dr. Rebecca Warnken

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FROM PAGE 31

In 1989, political unrest and Louise’s health forced their return to Stuart, Fla. The return to Florida and dentistry has proven quite fulfilling: a growing family that includes seven grandchildren; building a general dental practice; establishing a dental clinic for indigent patients; and, participating in numerous mission projects throughout Florida and third-world countries.

DENTIST OF THE YEAR Dr. Rudy Liddell

PUBLIC SERVICE AWA Dr. Ken Owens Dr. Al Warren DENTAL STUDENT AWA Ms. Ashley Wagler

Helping Members Succeed Team Impact Award l Ms. Rachel Stys

PRESIDENT’S AWARD Dr. Andy Brown

J. LEON SCHWARTZ LIFETIME ACHIEVEMENT AWARD Dr. Cesar Sabates

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NEW DENTAL LEADER Dr. Jenna Pascoli

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Ms. Rachel Stys began working at the FDA in 2016 as the computer support technician. Helping staff with various computer needs, her role evolved into systems administrator, where she manages the FDA’s servers, network, cyber and building security, and any new technology that comes her way. She has revamped the new employee onboarding process and implemented a cybersecurity training and testing program to keep the FDA’s data secure. When the pandemic struck, she helped staff transition to working remotely and transformed in-person events into seamless Zoom meetings. She’s always looking for new ways technology can help staff, and ultimately, FDA members. When not at the office, Rachel enjoys teaching group fitness classes to better people’s physical and mental health. She also spends time outdoors hiking and biking with her husband, Brandon.

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EMITEFI&L CONVENTION ZTRAWHCS NOCENTER EL .J RESORT AWA ECIVRGAYLORD ES CILBUPALMS P DRAWA TNEMEVEIHCA snewO neK .rD ORLANDO, FL setabaS raseC .rD nerraW lA .rD

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Come for the CE, Stay for the Fun at Gaylord Palms! Once you arrive at the Gaylord Palms Resort & Convention Center for the Florida Dental Convention, you can relax and not worry about having to leave! Gaylord Palms has everything you and your family could need all under one roof for a fun, CE earning vacation.

Reservations Make your reservation today at the discounted rate of $205 per night, including free self-parking! Call 877.491.0442 or visit hotel.floridadentalconvention.com. The Gaylord Palms is committed to the health and safety of hotel guests. Please view the Gaylord‘s Health and Safety Cleanliness Standards at gaylordhotelsclean.marriott.com for up-to-date health and safety policies.

TODAY'S FDA MARCH/APRIL 2021

FLORIDADENTAL.ORG

1. SummerFest Activities

6. Arcade and NEW Escape Room

Enjoy endless summer fun under the Florida sun Take a break from your courses with an arcade with SummerFest at Gaylord Palms featuring game, foosball or a quest through the all-new activities for the entire family. Activities for 2021 will escape room. Fun for you and the family! be announced in the spring.

2. Cypress Springs Water Park Embrace your inner kid at the Cypress Springs Water Park including a multilevel treehouse playground, racing slides and a FlowRider surfing experience.

3. NEW Rapid River at the Pool Looking for a little more adventure than the traditional lazy river? Then the Rapid River is for you! Take a plunge down the new rapid river for a fun, splashing experience.

4. Illuminate Florida Light Show

7. Nine Dining Options

Whether you are looking for fine dining, a unique mixology experience, classic burger by the pool or watching the game with friends, there is something for you to enjoy at Gaylord Palms.

8. Relache Spa Unwind and be pampered at the Relache spa. Services include massages, facials, manicure and pedicures, and much more! FDC guests receive 10% off spa products.

9. Relache Fitness Center

Relache Fitness Center has everything you need This nightly multisensory experience inside the to stay active during your stay, including cardio, atrium will amaze you with its epic musical number strength, functional and free-weight equipment. set to millions of choreographed lights. As you exercise, enjoy beautiful resort views from floor-to-ceiling windows or watch TV on personal 5. South Beach Adult-only Pool LCD screens and HDTVs. Within walking distance to the poolside bar and restaurant, you will not want to leave the 10. Free Shuttle Service to Theme Parks relaxing South Beach pool. Reserve a pool-side Shuttle service to Walt Disney World® theme parks and Disney Springs® is include in your private cabana for a one-of-a-kind tranquil Gaylord Palms resort fee. Contact the concierge experience. FDC hotel guests receive 10% on-site to make your reservations. off cabanas.

FDAS: Flood Insurance

GOT FLOOD INSURANCE? DON’T GO UNDER! In preparation for hurricane season starting June 1, FDA Services wants to remind you to make sure you have flood insurance in place! If not, we strongly recommend that you look into this coverage NOW as it has a 30-DAY WAITING PERIOD to become active. Visit fdaservices.com or call us at 850.681.2996 to get a quote today!

Came for the insurance ... Stayed to support my profession.

Doctor's Choice

FDC2021 Speaker Preview

Erase and Rethink: Advancing Periodontal-systemic Science in Your Practice

Casey Hein, BSDH, RDH, MBA

Ms. Hein is an assistant professor at the University of Manitoba School of Dental Hygiene and can be reached at casey@ caseyhein.com. She is an FDC2021 speaker and will be presenting three courses. On Thursday, June 24, “Beyond the Tonsils: Dentists and Dental Hygienists as Non-physician Care Providers” is at 9 a.m. and “Periodontal Disease, Diabetes and Obesity: Redefining Our Roles” is at 2 p.m. On Friday, June 25, “Periodontal Disease and Cardio/Cerebrovascular Disease: Redefining Our Roles” is at 9 a.m.

Legend has it that when I was 4 years old, my mother left me alone in the bathtub a little too long. I thought I was doing her a favor when I grabbed her tweezers on the sink to “scrape” out the “dirt” (aka grout) between the ceramic tiles surrounding the tub. By the time my mother came to rescue me in my prune-like condition, I had loosened several tiles and one lay broken in the tub, but I was proud of how well I had “cleaned” between those tiles. Scrape, scrape and scrape — you know where I’m going with this story, right? It was then that my mother predicted I’d be a dental hygienist some day. That “some day” was in 1974 when I graduated with my bachelor’s degree in dental hygiene. For those of you who are from Generations X, Y and Z, I’d like to paint a picture here. Circa 1970s. We had to wear those little white hats with a lavender strip — the ones that made us look like flying nuns. Patients probably worried that we’d take flight at any minute. All kidding aside, more importantly, our education and training in periodontics relied on scientific evidence that was, by today’s standards, rudimentary. The following are some of the things we were taught.

TODAY'S FDA MARCH/APRIL 2021

It was solely the accumulation of plaque and calculus (as a nidus for infection) that caused periodontitis. Consequently, a significant part of our training was perfecting our skill in the mechanics of scaling and root planing. It was thought that periodontal pathogens were similarly virulent, with no distinction between bacteria that are particularly destructive, capable of evading host defenses and those that are beneficial species. Prevention or treatment of periodontal disease was all about controlling the quantity of bacteria and not eradiation of specific bacteria or restoring a symbiotic microbiota in the subgingival niche. Since controlling bacterial load was believed to be the key factor in risk for periodontal diseases, we were taught that we must instill in our patients the importance of good oral hygiene and instruct them how to perform thorough homecare routines. (Given the amount of disclosing solution I applied to patients’ teeth, I could have dyed an Olympic-size swimming pool red.) If a patient developed periodontal disease, it was because of his/her poor oral hygiene. We were never taught what to do with the patient who, even though she had an immaculate mouth, continued to lose clinical attachment and bone. Sadly, there are academics who still teach this and clinicians who still practice these precepts.

FLORIDADENTAL.ORG

Gingivitis and periodontitis were considered localized infections. If an instructor proposed that periodontal pathogens and their toxins might travel to organs distant from the oral cavity and increase risk for various chronic diseases and conditions, they’d probably say the faculty member was spouting heresy. Yet, as the science of periodontology expanded, what we learned in the 70s became a bit suspect a decade later, and in two decades, almost obsolete. With the publication of the landmark paper of Mattila and colleagues in 1989,1 researchers took another look at the previously rejected theory of focal infection, and the science we now call periodontal medicine began to take root. Thirty-one years later, our knowledge of the etiology and progression of periodontal diseases and periodontal-systemic interrelationships is vast. So, what do we know today? The biofilm (plaque) alone does not cause periodontal disease. In fact, it’s estimated that bacterial plaque accounts for only 20% of the risk for periodontal disease; other risk factors (not related to bacterial burden) account for 80%,2 with genetics accounting for a large portion of the variance in the clinical severity of periodontitis. There also are other risk factors at play here. Not everyone is equally susceptible to periodontal disease. That’s why continuous risk assessment is so important. We have an essential role to play in helping patients address modifiable risk factors. Mountains of evidence from the last three decades have confirmed that periodontal infection is not confined to the oral cavity. The untreated periodontal pocket is a reservoir for virulent periodontal pathogens to penetrate the ulcerated epithelial lining of the pocket, gain access to the vasculature, and disseminate to organs and tissues distant to the oral cavity. This includes the heart, brain, fetus and other sites, and through inhalation, these bacteria also are translocated to the lungs.

SEE PAGE 40 FLORIDADENTAL.ORG

“

The greater the inflammatory burden, the greater the threat is for cardiovascular disease, stroke, diabetes and other chronic inflammatory-driven disease states. Periodontal disease adds another layer of inflammation.

”

TODAY'S FDA MARCH/APRIL 2021

FDC2021 Speaker Preview Periodontal Risk Trajectory TOM

TED

Age 32

Periodontitis; Stage 1; Grade A; Unstable

UPS driver

Computer programmer

BMI=23

BMI = 31

No familial HX of CVD or diabetes

Mother has diabetes

Good diet

Asthma since childhood Carbohydrate-rich diet

Healthy, no medications

Mild hypertension

Fig. 1: The influence of inflammatory priming on periodontal disease progression.

FROM PAGE 39

This cascade of events also induces systemic inflammation — the same inflammation implicated in chronic inflammatory-driven diseases, such as diabetes, coronary artery and cerebrovascular disease; neurodegenerative diseases, such as Alzheimer’s; pneumonia, kidney disease, obesity and others. Today, it’s generally accepted that the greatest threat to overall health is chronic inflammation. And inflammation is additive — the more layers of inflammation from various sources, the greater the cumulative inflammatory burden. Further, the greater the inflammatory burden, the greater the threat is for cardiovascular disease, stroke, diabetes and other chronic inflammatory-driven disease states. Periodontal disease adds another layer of inflammation.

TODAY'S FDA MARCH/APRIL 2021

So, here’s a question: How many people come into your office with a condition that is underpinned by inflammation? These are patients with such things as poorly controlled diabetes, who are overweight or obese, have gastrointestinal problems, asthma, autoimmune disorders, bone and joint diseases, etc. We must recognize that for these patients, it’s not a level playing field. These people are already “inflammatory primed” — by virtue of already having inflammation going on in their bodies, they may have a hyperinflammatory response to periodontal bacteria.3 Furthermore, the additional systemic inflammation from untreated periodontitis may exacerbate other inflammatory-driven disease states, such as diabetes. In Fig. 1, the influence of inflammatory priming on periodontal disease progression is illustrated by comparing the disease trajectory of Ted and Tom who hypothetically have exactly the same mouth and same initial clinical presentation.

FLORIDADENTAL.ORG

Both of these men are 32 and present with early stage periodontal disease or Periodontitis Stage I, Grade A. That’s where the similarities end. Tom is a UPS driver with a body mass index (BMI) of 23 (healthy), and Ted is a programmer with a BMI of 31 (obese). Tom has no familial history of CVD or diabetes, his diet is good, he’s healthy and takes no medications. On the other hand, Ted has a familial history of diabetes, had asthma since childhood (an inflammatory disease), his diet is high in carbohydrates and he has mild hypertension. Do these two men have the same risk for the progression of periodontitis and other inflammatory diseases or conditions? No. Ted is inflammatory primed, so his risk trajectory is more aggressive. This kind of critical thinking is essential to periodontal treatment planning, assigning periodontal maintenance intervals and employing strategies for reducing periodontal disease activity. I’ll guess at least 75% of your patient base are inflammatory primed. For more optimal theraputic outcomes for

FLORIDADENTAL.ORG

these individuals, their inflammation profile is important to consider. This kind of thinking also helps us repair the schism that occurred between dentistry and medicine, and reconnect the mouth to the rest of the body. All we have to do is start looking beyond the tonsils. I’ll be speaking at the upcoming Florida Dental Convention and my courses will give clinicians the confidence they need to incorporate progressive periodontal-systemic science in everyday patient care.

References 1. Mattila KJ, et al. Association between dental health and acute myocardial infarction. British Medical Journal 1989;298:779-82. 2. Grossi SG, Zambon JJ, Ho AW, et al. Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. Journal of Periodontology 1994;65:260–267. 3. Hein C, Batista E. Obesity and cumulative inflammatory burden: A valuable risk assessment parameter in caring for dental patients. Journal of Evidence-Based Dental Practice, 2014;14:17-26.

TODAY'S FDA MARCH/APRIL 2021

Seminar 2: ACHIEVING PREDICTABLE ESTHETIC RESULTS  c06 THURSDAY, JUNE 24 & FRIDAY, JUNE 25



9 AM-5 PM, BOTH DAYS



RESTORATIVE, OCCLUSION



CE CREDIT: 14

AUDIENCE: DENTISTS, LABORATORY TECHNICIANS EARLY 4/16

REGULAR

ON-SITE 6/12

DENTIST - FDA/ADA MEMBER

$1,295

$1,395

$1,495

NON-MEMBER DENTIST

$1,495

$1,595

$1,695

$495

$595

$695

REGISTRATION CATEGORY

LABORATORY TECHNICIAN

Achieving Predictable Esthetic Results is the second dental seminar in The Dawson Academy’s “Concept of Complete Dentistry® Series.” This restorative dentistry course will provide attendees with the procedural knowledge to perform contemporary restorative procedures at the highest level. This course will leave each attendee with a clear understanding of the four options of treatment: reshaping, repositioning, restoring and surgical alternatives. Attendees will leave this course with an understanding of preliminary mouth preparation, such as necessary periodontal procedures and occlusal equilibration, necessary soft-tissue surgical procedures that provide an ideal gingival backdrop, tooth preparation for crowns and veneers, and soft-tissue management in conjunction with final impressioning techniques. Dawson Seminar 1 is not a prerequisite for this course.

Dr. Leonard Hess

Dr. Dr.DEWITT DEWITTWILKERSON WILKERSON

Clinical Director, The Dawson Academy. Private Practice, Charlotte, NC.

Senior SeniorLecturer, Lecturer,The TheDawson DawsonAcademy. Academy. Private PrivatePractice, Practice,St.St.Petersburg, Petersburg,FL. FL.

Immerse yourself in The Dawson Academy philosophy by registering for any of the courses taught by Dawson Academy faculty. Regardless of which course you choose, you will gain insight and understanding of dentistry that will not only change how you practice, but also your enjoyment of practicing dentistry.

EARLY 4/16

REGULAR

ON-SITE 6/12

DENTIST - FDA/ADA MEMBER

$65

$75

$85

NON-MEMBER DENTIST

$70

$80

$90

TEAM MEMBER

$45

$55

$65

REGISTRATION CATEGORY

DR. SUSAN MAPLES SEEING IN THE MOUTH WITH SUPER POWERED EYES: TOTAL HEALTH DENTISTRY AND PRACTICE PROFITABILITY  C40 FRIDAY, JUNE 25  2-5 PM  ORAL PATHOLOGY  CE CREDITS: 3 AUDIENCE: DENTISTS, ASSISTANTS, HYGIENISTS, ADMINISTRATIVE STAFF, DENTAL STUDENTS

SLAYING DRAGONS: ACID REFLUX AND DIABETES DETECTION IN THE DENTAL OFFICE  C51 SATURDAY, JUNE 26  9 AM-12 PM  ORAL PATHOLOGY  CE CREDIT: 3 AUDIENCE: DENTISTS, ASSISTANTS, HYGIENISTS, ADMINISTRATIVE STAFF, DENTAL STUDENTS

CREATING POWERFUL CO-REFERRAL RELATIONSHIPS WITH MEDICAL PROFESSIONALS: BECOMING A PRACTICE OF DISTINCTION  C62 SATURDAY, JUNE 26  2-5 PM  COMMUNICATION  CE CREDIT: 3 AUDIENCE: DENTISTS, ASSISTANTS, HYGIENISTS, ADMINISTRATIVE STAFF, DENTAL STUDENTS

DR. DEWITT WILKERSON THE EXCEPTIONAL DENTAL TEAM: GATEKEEPERS FOR SYSTEMIC INFLAMMATION AND TOTAL WELLNESS  C48 SATURDAY, JUNE 26  9 AM-12 PM  ORAL MEDICINE  CE CREDITS: 3 AUDIENCE: DENTISTS, ASSISTANTS, HYGIENISTS, ADMINISTRATIVE STAFF, LABORATORY TECHNICIANS

INTEGRATIVE DENTAL MEDICINE: DENTISTRY'S NEXT GREAT FRONTIER  C64 SATURDAY, JUNE 26  2-5 PM  ORAL MEDICINE  CE CREDITS: 3 AUDIENCE: DENTISTS, ASSISTANTS, HYGIENISTS, ADMINISTRATIVE STAFF

Look for these courses marked with in the FDC Registration Brochure for course information.

Seminar Seminar 22 isis being being offered offered in-person in-person for for the the first first time time at at FDC2021! FDC2021!

FDC2021 Speaker Preview

Are You Netflix or Blockbuster?

JUDSON LAIPPLY

Mr. Laipply is an inspirational comedian and professional speaker from the Cleveland, Ohio area and can be reached at judsonlaipplyoffice@gmail. com. He is a keynote speaker at FDC2021 and his session, “Life is Change,” is on Friday, June 25 at 7:45 a.m. and free for all attendees.

There’s a city in Oregon called Bend. Known for craft breweries, natural scenery and the Deschutes River that runs through the heart of the city, Bend is a shining example of a Pacific Northwest city and the air is clean and crisp. Home to more than 130 dentists, Bend also is unique in that on a semi-busy street sits the lone remaining Blockbuster Video store in the world. I’ve visited the store and there’s mostly just people taking selfies out front or walking the aisles wondering who still uses a VCR. Blockbuster Video at one time had more than 9,000 locations around the world and 60,000 employees. Renting movies and DVDs was a lucrative business with more than $5 billion in revenue at its peak. Blockbuster was the leader in its space. Yet in less than 10 years, Blockbuster went from the top of the mountain to laying in a crumbled heap at the bottom to eventually becoming a novelty with one remaining store on the planet (which is now also offering limited Air B&B rentals). This article is not about Blockbuster though, it’s about the inevitable aspect of all things that Blockbuster refused to embrace: Evolution.

TODAY'S FDA MARCH/APRIL 2021

Everything changes, but not everything evolves. Blockbuster, Nokia, Kodak — these are just some of the names of large companies that were at the top of their industries, done in by ignoring the world around them, being unprepared to evolve and falling prey to their own conceit. We all know things change. Trends emerge. Technology advances. Consumer expectations evolve. Are you ready to meet them? Is your practice embracing change? Or resisting it? Are you evolving to meet your patients’ wants and needs? Or do you still require people to pay by mailing in a check? (Side note: I switched dentists solely based on the fact my previous one only took checks mailed in an envelope — in 2020!) While we never know for sure where the future will lead us or what unexpected events will affect your practice (like a complete shutdown!) we can be assured that teeth will need to be cleaned, fixed, built and more. Alignment will be wanted, and reconstruction will be needed. The mission to help people have healthy, beautiful smiles will always remain. The methods, though, will evolve.

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You must be ready and willing to evolve. You should be giving a portion of your time to researching innovative technologies, techniques and products, attending conferences (virtual or in person), networking with peers, talking with vendors and suppliers about what’s happening in research and development, and getting involved with the association to help you stay in the know. Blockbuster was at the top of its industry and even had a chance to buy the very company that would eventually be its demise. At one point, Netflix was in talks with Blockbuster to be acquired and Blockbuster executives laughed Netflix out the boardroom. Blockbuster’s leaders said they didn’t think a DVD delivery system had longevity. What they didn’t know was that Netflix agreed and was already working on the next evolution: streaming. Netflix as a company has always looked to the future. While the company delivers for customers in the present, there’s also an eye toward the future. In its short life, Netflix evolved from a delivery service to a streaming service to a content creator/studio. Who knows what its next play will be? So, the question is: Are you more like Netflix or Blockbuster? Are you keeping an eye on the future to know what’s coming? Or are you resting on your past successes and fighting against evolution of any sort? If you’re the latter … be wary. Chances are, you’ll be left behind. Work hard not to become a practice where someone will caption their selfie with your sign and say, “Remember when?”

FLORIDADENTAL.ORG

“

The mission to help people have healthy, beautiful smiles will always remain. The methods though, will evolve.

”

TODAY'S FDA MARCH/APRIL 2021

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DENTIST - FDA/ADA MEMBER

$895

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54,000,000 adults in the U.S. have obstructive sleep apnea while the vast majority of those afflicted remain untreated. Your patients are literally losing sleep and dying for your help! With 1 in 5 adults needing your help, bringing dental sleep medicine into your practice will boost your practice income while helping your patients sleep better, live better and live longer. Don't miss this opportunity to learn step-by-step processes that will help you manage the complexities of dental sleep medicine including, medical billing, home sleep testing, device selection, device calibration, effective consultations and more. This mini-residency includes hands-on experience in the dental sleep exam, measuring the patient’s range of motion, adjusting various sleep devices, taking the 3D bite and making morning repositioners. Each attendee will leave with fitting and wearing a provisional sleep device. Attendance is limited to 30. Participants will be able to:  define obstructive sleep apnea (OSA) and why dentists should bring sleep into their practices.  manage the four pillars of OSA: screening, testing, billing, treating.  learn practical effective systems for implementing dental sleep medicine (DSM).  understand sleep terminology and how to interpret sleep test reports.  utilize the proper pathways for sleep testing in your practice.  determine the right devices for the right patients.  utilize “FastTrack” device calibration techniques for optimal treatment effectiveness.  perform the necessary DSM clinical steps including the DSM exam, 3D bite registration, construction of morning aligner, making provisional

devices, and delivery procedures.

 maximize insurance reimbursement eﬀectively and eﬃciently.

Participant Requirements: Loupes, if preferred.

GY YATROS earned his dental degree at the University of Kentucky. He is the founder of Dental Sleep Solutions and a voluntary faculty member of the Department of Internal Medicine at the University of South Florida College of Medicine. Dr. Yatros maintains a private practice in Holmes Beach, FL.

FDC2021 Speaker Preview

Dental Assistants Spend More Time With the Patient Than Any Other Team Member — Let’s Build on That Relationship! It’s true: Dental assistants are with the patients more than anyone, and because of that, we can connect with our patients on a level nobody else will. Our patients talk to us, confide in us and trust us. As a dental assistant, there is so much you can do to build relationships with your patients that will help the practice grow.

TIJA HUNTER

Ms. Hunter is a certified dental assistant and former vice president of the American Dental Assistants Association, and can be reached at tijaefda@gmail.com. She is an FDC2021 speaker and will be presenting three courses. On Friday, June 25, “Dental Assisting 101: Perfecting Skills for the New and Experienced Dental Assistant” is at 2 p.m. On Saturday, June 26, “Implant Pieces and Parts Workshop” is at 9 a.m. and “Dental Assistant Rock Star” is at 2 p.m.

This profession is all about relationships — to our patients, our team, our doctor, even our lab and sales reps. The better the relationship, the stronger the bond our patients have to our office. Our patients love coming in and seeing smiling faces that they know and trust. They often refer patients to our practice because of those relationships. “Mary at the front desk is wonderful,” “My hygienist, Kelly, is the best,” “Stacy, the doctor’s assistant, helps settle my nerves.” You can’t grow a practice without those beloved relationships. So, what can you do to become valuable to yourself and the practice? Learn all you can! Our patients trust us, and when the doctor leaves the room, how many times does that patient turn to us and ask a question? Several! The more confident you feel, the more confident you’ll make the patient feel. By taking a few extra steps to educate your-

TODAY'S FDA MARCH/APRIL 2021

self, you’re on your way to creating value in yourself. You may not have the title of “lead” but that doesn’t stop you from being a leader in the practice. By the very nature of our work, we are multitaskers, organizers and can always jump into whatever needs to be done. What makes us stand out is our ability to do all those things day in and day out. Our doctors can’t do it all and they rely on us to help them, guide them and support them. A good dental assistant is relied on for all those things, and therefore, is valuable to the practice! My boss calls me the queen of lunch and learns. I love bringing new products and services in so our team can see them. Now, is every product or service I bring in going to work for us? No, and they may not work for you either, but how will you know if you don’t try? Step out of your box and learn about some new technology or a service that may benefit your practice. You never know when something will be the perfect fit. For example, you don’t do implants now, but your doctor says, “I’m thinking of adding implants to our practice.” How incredible FLORIDADENTAL.ORG

would it be if you said, “I’ve been watching some webinars on implants. There’s a lot to it, but I’m excited to try it.” Your doctor will be thrilled knowing that the person who supports him or her the most is on board with their new idea. That’s huge! They need you and knowing you’re willing to jump in and learn all you can, again, creates value in you. I challenge all dental assistants to take one hour of continuing education a week — just an hour — on any subject in dentistry. Your eyes will be completely open to new possibilities. When was the last time you took a class in infection control, how to service your autoclave or how to maintain your amalgam separator? Trust me when I say there is so much you don’t know — an easier way to do something, a little tip or trick that may just be what you’ve been looking for. As a dental assistant, you’re the backbone of the restorative team. Be confident in your career by learning all you can and be able to give more to your patients and your practice. By taking just a few extra steps, you’ll grow both personally and professionally!

FLORIDADENTAL.ORG

“

This profession is all about relationships — to our patients, our team, our doctor, even our lab and sales reps.

”

TODAY'S FDA MARCH/APRIL 2021

VIEW THE CURRENT EXHIBITOR AND PRODUCTS/SERVICE LISTING TODAY!

The 2021 Florida Dental Convention (FDC) presents industry leading exhibitors with the latest products, services and technologies. Stop by the booths of your current suppliers and connect with new ones for exclusive convention-only deals and to thank them for their support of FDC. Support the companies that support the Florida Dental Convention!

FDA SERVICES INC. IS A MAJOR SPONSOR OF THE FLORIDA DENTAL CONVENTION.

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A-dec Inc. A~flexX Assist Arm Abyde ACTEON North America ADA Practice Transitions Air Techniques Alphaeon Credit American Dental Assistants Assoc. Argen Refining ARKRAY USA Aseptico Inc. Aspen Dental Atlanta Dental Supply Atlantic Dental Solutions | Brewer Avalon Biomed

Econologics Financial Advisors Elevate Oral Care Elite Payment Group Florida Dental Association (FDA) FDA Foundation FDAPAC FDA Services Inc. Florida Medical Advisors Florida PDMP Foundation/ E-FORCSE Florida Probe Fotona LLC Four Quadrants Advisory

B BARKSDALE DENTAL LAB Benco Dental Bento Big Case Marketing LLC BioHorizons BIOLASE BlueBox Dental Brasseler USA

C Carestream Dental Carl Zeiss Meditec Inc. Carr Christian Dental Society Classic Craft Dental Lab Coastal Professional Contracting Inc. Colgate COLTENE Cool Jaw by Medico Cortel Loupes CreditBench Powered by First Home Bank

D Dansereau Health Products Dental Care Alliance Dental Dynamic Staffing Dental Equipment Liquidators Inc. Dental Tribune America DentalHQ DentaQuest DentaSpa Seminars Designs for Vision Inc. Digital Doc LLC Digital Resource DigitalHealthcareProfessionals Doctor Multimedia Doctor's Choice DoctorsInternet Doral Refining Corp. DPC Technology

G Garfield Refining Garrison Dental Solutions General Refining Corp. General Scientific/SurgiTel Systems Getsee & DeMeola LLC Glidewell Dental Gracey-Backer/Fortress Insurance Company GradFin

H Hawaiian Moon Henry Schein Professional Practice Transitions Hiossen

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HEAD AND NECK CANCER SYMPOSIUM

ORAL COMPLICATIONS AND DENTAL MANAGEMENT DRS. NANCY BOUCHARD & SEENA PATEL C10  THURSDAY, JUNE 24  9 AM-12 PM ORAL MEDICINE  CE CREDITS: 3 AUDIENCE: DENTISTS, ASSISTANTS, HYGIENISTS, DENTAL STUDENTS

REGISTRATION CATEGORY

EARLY 4/16

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DENTIST - FDA/ADA MEMBER

$65

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$70

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DENTAL STUDENT

Cancer is a devastating disease that has many physical, emotional and social implications accounting for 23% of deaths in the U.S. Despite recent advances in imaging, surgery, radiation and systemic therapies, the overall survival rate of head and neck cancer has only improved by about 15% in the last 50 years. This content-rich lecture will provide prevention strategies and treatment protocols to aid patients through the difficult journey of cancer treatments and beyond. Attendees will understand the importance of screening and prevention at the conclusion of this course. Drs. Bouchard and Patel will discuss the oftentimes devastating impact of oral cancer on patients, including mucositis, xerostomia, rampant caries, social withdrawal, post-traumatic stress disorder and depression. Protocols will be provided describing necessary oral treatment such as which teeth to extract, how to use fluoride for prevention and which medicaments help with painful symptoms. After cancer treatment has been completed, the vital role as oral health care providers continues. Attendees will learn to recognize which dental materials are most likely to provide the best outcomes and what preventive measures are necessary for your patient’s long-term well-being and quality of life.

MOCK TUMOR BOARD

REGISTRATION CATEGORY

DRS. PETER DZIEGIELEWSKI, JOHN HARDEMAN, KATHRYN HITCHCOCK & KERRY LENIUS

EARLY 4/16

REGULAR

ON-SITE 6/12

DENTIST - FDA/ADA MEMBER

$65

$75

$85

NON-MEMBER DENTIST

$70

$80

$90

TEAM MEMBER

$45

$55

$65

C17  THURSDAY, JUNE 24  2-5 PM DENTAL STUDENT $0 ORAL PATHOLOGY  CE CREDITS: 3 AUDIENCE: DENTISTS, ASSISTANTS, HYGIENISTS, ADMINISTRATIVE STAFF, LABORATORY TECHNICIANS, DENTAL STUDENTS

This lecture will be presented by a mock tumor board comprised of four doctors who will showcase the collaboration and steps needed to take when treating patients with cancer. The group will present cases and discuss the presentation, imaging, pathology, treatment options, treatment planning and outcomes. Cases will include various oral cancers, cancers of the oropharynx as well as other head and neck subsites. Attend this lecture to expand your knowledge and experience a different perspective of cancer treatment.

Nancy Bouchard DDS, MPH, RDH

Seena Patel DMD, MPH

Peter Dziegielewski MD, FRCSC

John Hardeman DDS, MD

Kathryn Hitchcock Kerry Lenius f l o r i d a d e n t a l c o n v e n t i o n . c o m | 25 MD, PhD PhD, CCC-SLP

PSC Group, Inc.

Design Ergonomics Inc.

AMATEUR PHOTOGRAPHY IS GREAT FOR VACATIONS (JUST NOT GREAT FOR RADIOGRAPHY) Amateur radiography has no place in your practice. Don’t expect professional results without professional training. Be sure your dental assistants have the training and certification required by Florida law before they expose their first radiograph. The Florida Dental Association (FDA) Online Radiography program delivers what your assistants need and keeps you in compliance with the law. No travel. No time away from work. They train online, at their convenience and at their own pace. You sign off on their success. It’s affordable too! Just $285 per student for FDA members. Bring your entire team to visit us at booth #917 at the Florida Dental Convention June 24-26. They’ll have the chance to win a free voucher for radiography training or a Polaroid® camera! You can also learn more at MyDentalRadiography.com/fda.

radiography

Amateur Photography Has its Place, But Amateur Radiography Does Not Everybody loves snapshots and selfies, but if your practice approaches radiography as if it were amateur photography, there could be trouble ahead. Florida law requires anyone who performs radiography to be certified to do so. Patient safety is a significant factor driving the need to have a certified radiographer behind the X-ray camera. Dentists need clear, concise radiographs in order to evaluate the integrity of teeth and roots, and determine treatment needs. Radiographs taken by an untrained person compromise a practice’s ability to deliver the oral health care patients deserve. Getting dental assistants trained in radiography is now an easy process, thanks to the Florida Dental Association’s (FDA) Online Radiography Training Program. Putting dental assistants through this training enhances their skill sets, provides the valuable professional development they need and want, and keeps your practice in compliance with the law. The online radiography program is thorough, interactive and provides foundational knowledge paired with hands-on experience. Here’s how it works. First, the supervising dentist creates an account at mydentalradiography.com/ fda and completes a brief tutorial about how the training works and their related responsibilities. Once the dentist’s tuto-

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Here Are Your Key Takeaways: n Compliant with Florida law. n Economical. n Convenient. n No travel. n No missed work. n COVID-safe online environment. n FDA member savings of $100 per student!

rial is completed, which takes about 20 minutes, training vouchers for their assistant(s) can be purchased. Each voucher costs $285 for an FDA-member dentist. Non-members pay $385. When the voucher is purchased, the dental assistant that voucher is assigned to receives an email advising that he or she has been enrolled in the training. The assistant follows the link in the email to create an account and get started. The training is completed online at the student’s convenience. Start and stop at will, and the program remembers where the student left off. Do it by smartphone, tablet or desktop computer. There are nine sections in the course

and each section has a quiz. Once all modules have been completed, the student takes an online test and passes it with a score of 80% or more. There are unlimited retakes! After the test is passed, the dental assistant has one more challenge: Successfully exposing a set of full-mouth radiographs, including four bitewings, under the supervising dentist’s supervision. There can be up to five retakes. Two more steps to go and the assistant is licensed! The supervising dentist logs into his or her account and signs off on the fullmouth radiographs for the student to receive a certificate of completion. The certificate is always available in the student’s account. The student then submits the certificate of completion to the state of Florida, which issues its certification. To get started, visit mydentalradiography.com/fda. To learn more and review the frequently asked questions about this program, go to floridadental.com and hover over “Continuing Education.” Then, click on “Radiography Training Program.” You also can call the FDA at 850.681.3629 and speak with Judy Stone for additional information.

TODAY'S FDA MARCH/APRIL 2021

TREATING TONGUE AND LIP TIE IN NEWBORNS AND INFANTS WORKSHOP W28  SATURDAY, JUNE 26  9:30-11:30 AM PEDIATRIC, LASER  CE CREDITS: 2  AUDIENCE: DENTISTS, ASSISTANTS REGISTRATION CATEGORY

EARLY 4/16

REGULAR

ON-SITE 6/12

DENTIST - FDA/ADA MEMBER

$495

$545

$575

NON-MEMBER DENTIST

$545

$575

$605

ASSISTANT

$180

$225

$250

As many as 5% of babies are born with tongue and lip ties. Often, these ties are excessive enough to affect a baby’s ability to breastfeed, which could lead to issues with appropriate weight gain. This frustrating situation for both babies and new parents can be easily diagnosed and confidently treated by releasing the tie with a simple frenectomy. In this workshop, attendees will be introduced to the concept of laser frenectomies to help alleviate these difficult challenges and restore the baby’s ability to efficiently feed. Laser frenectomies have become an increasingly popular method to treat tongue and lip ties and if done correctly can be part of one’s armamentarium to treat conditions associated with tongue and lip ties. Preoperative diagnostic criteria, treatment methods and proper safety precautions along with postoperative instructions and follow-up will be discussed. Attendance is limited to 15. Participants will be able to:  understand criteria to appropriately identify tongue and lip tie in newborns and infants.  learn proper positioning and safety precautions for laser frenectomies.  recognize treatment method for tongue and lip tie.  understand post-operative instructions and follow up care for tongue and lip tie by laser frenectomies.

Participant Requirements: Loupes.

DR. VICTORIA URSITTI earned her dental degree from Tufts University School of Dental Medicine and completed her residency in pediatric dentistry at the University of Illinois at Chicago. She is a Diplomate of the American Board of Pediatric Dentistry and Fellow of the American Academy of Pediatric Dentistry. Dr. Ursitti serves as the legislative liaison for the Illinois Society f l o r i d a d e n t a l c oofn vPediatric e n t i o n .Dentistry. fcl o m r i d| a 61 d e n t a l c o n v e n t i o n . c o m | 61

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hipaa

BIGFOOT AND THE BIG ENCRYPTION MYTH In the late 1950s, a northern California newspaper published an article about oversized footprints discovered by loggers. Those big feet were the only proof needed for people to quickly spread the story and for it to gain wildly unexpected popularity. Fifty years later, Bigfoot’s mystery still looms large.

ROBERT MCDERMOTT PRESIDENT AND CEO, ICORECONNECT

Believe it or not, encryption has taken on its own mythical reputation. It’s widely believed that encryption is the only tool needed for email to meet HIPAA-compliance laws. That story has spread just as easily as the one about our 7-foot-tall legend. Fortunately, it’s much easier to disprove the myth about encryption than it is to debunk our hairy humanoid mystery. For one thing, we know what encryption is and does. Encryption is the cryptographic transfor-

TODAY'S FDA MARCH/APRIL 2021

mation of data. In plain language, encryption takes the protected health information (PHI) you’re trying to send electronically and scrambles it up so that no one can steal it while it’s en route from your computer to another doctor. It then gets descrambled and arrives in its original state in the recipient’s inbox. All that effort keeps anyone — except the intended recipient of your email — from gaining access to the information. Unfortunately, many email providers are trying to convince doctors that encryption is all you need to comply with the HIPAA Security Rule and its safeguards. Encryption is, without question, a critical part of compliance — emphasis on the word “part.” There are multiple parts to the Security Rule, and all must be met. FLORIDADENTAL.ORG

Let’s do a quick refresher on PHI. The official definition from the Office of Civil Rights (OCR) is “individually identifiable health information, including demographic data, that relates to: the individual’s past, present or future physical or mental health or condition. the provision of health care to the individual. the past, present or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe can be used to identify the individual. individually identifiable health information, including many common identifiers (e.g., name, address, birth date, Social Security Number).” The OCR is the investigative arm of the Department of Health and Human Services. They’ve built an entire online HIPAA “Wall of Shame” listing practices who have compromised PHI by not putting all the required safeguards into place. You, too, might end up on the wall if you don’t meet all six regulations: 1

Authenticate recipients. Your secure email exchange should automatically verify that the doctor to whom you are sending ePHI is a registered provider. The federal government’s preferred DIRECT protocol is the most secure method for provider verification. Control access. Only authorized users should access the content of emails. Your secure email system should have mechanisms in place for automatic user logoff and encryption.

3 Transmit securely. This is the encryption part we’ve been talking about. The higher your level of encryption, the more secure your ePHI. For example, if your secure email exchange has a 2048-bit encryption level, it will take quadrillions of years to break that encryption using today’s technology. As mentioned, encrypted email alone does not equal HIPAA compliance, nor does it entirely protect you from hackers, spammers or phishing attacks. You’ll also want to look for a service that keeps the PHI in your emails off the public internet and on a private domain. More about these secure data centers explained in No. 4.

4 Unaltered records/integrity. All your patient information must be kept in such a way that it can’t be altered or lost. The smartest backup systems store your ePHI at multiple secure data centers — not your office, home or briefcase. Cloud-based backups keep your ePHI on secure servers located around the country. In the rare event that one location is compromised, the other backup locations have you covered. If your service is hosted on a private domain, meets all six of these federal HIPAA safeguards and exceeds the minimum encryption standards, you are in a much better position to limit cyberattacks (and HIPAA fines). 5 Audit every message. The OCR can audit any practice at any time, and anyone can submit a HIPAA complaint against your practice. If you get audited, you will be required to quickly produce a detailed audit trail of all emails containing ePHI. 6 Lock ePHI for six years. This law goes hand in hand with Nos. 4 and 5 above. Your records need to be securely stored so that the information can’t be altered or lost for a minimum of six years. Take the mystery and myth out of HIPAA compliance by understanding the full scope of what’s required. Better yet, look for a legitimate, secure email service that shows you exactly how they’ve built all these safeguards into an easy-to-use email system. Protecting your patients’ PHI also is protecting your practice. Compliance is much, much easier than finding Bigfoot. FDA Services endorses iCoreExchange, “HIPAA-compliant Email Where Big Attachments are no Big Deal.” It not only meets or exceeds every requirement, but it also allows you to attach as many large files as you want to any single email. Speed up your workflow, protect patients and your practice. Check out this convenient and compliant service at iCoreConnect. com/FDA or 888.810.7706. FDA members receive a substantial discount on iCoreExchange.

Reference: 1. hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/ summary/privacysummary.pdf

Visit bit.ly/3eMR3s5 to view the "Wall of Shame." FLORIDADENTAL.ORG

TODAY'S FDA MARCH/APRIL 2021

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TODAY'S FDA MARCH/APRIL 2021

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now you know INFORMATION FROM THE FDA GO TO SUMMARY All health care providers must include non-opioid alternatives for pain and pain management in their discussions with patients before providing anesthesia, or prescribing, ordering, dispensing or administering a schedule II controlled substance for the treatment of pain. Effective July 1, 2019.

 OPIOIDS

Non-opioid Alternatives Law bit.ly/2KXvZ2h

HEALTH CARE PROVIDER CHECKLIST INFORM

 Non-opioid alternatives for pain treatment, which may include non-opioid medicinal drugs or drug products are available.

 Non-opioid interventional procedures or

treatments, which may include: acupuncture, chiropractic treatments, massage, physical or occupational therapy, or other appropriate therapy are available.

DISCUSS

 Advantages and disadvantages of non-opioid alternatives.

 Patient’s risk or history of controlled

substance abuse or misuse, and patient’s personal preferences.

DOCUMENT IN PATIENT’S RECORD

 Non-opioid alternatives considered.

Your

BACKSTAGE

PROVIDE

 “Alternatives to Opioids,” an educational

ALL ACCESS

ur FDA YoEXCLUSIVE

information pamphlet created by the Florida Department of Health (required, available at bit.ly/2KXvZ2h). Also, a checklist and poster.

MEMBER BENEFIT

For the latest on opioids, go to: floridadental.org/nyk

GO TO

DRS. AUSTIN BELKNAP*, DONALD M. COHEN, NEEL BHATTACHARYYA AND NADIM M. ISLAM

A 57-year-old male presented to Dr. Samuel Landrian at Mosaic Maxillofacial Surgical Arts & Implant Centers in New Port Richey, Fla. for the evaluation of multiple cysts of the maxilla and mandible. The patient’s medical history includes thoracic aneurysm of the descending aorta, currently being watched by his cardiologist and hypothyroidism, which is well-controlled. Current medications include metoprolol, levothyroxine and vitamin B12. The patient reported an orthognathic procedure to correct a malocclusion 25 years ago. A panoramic radiograph (Fig. 1) showed numerous discrete radiolucent lesions with sclerotic borders involving the posterior maxilla and anterior mandible, many near residual surgical hardware. Only one area of isolated cortical expansion was noted anterior to the surgical hardware in the left maxilla. As seen in Fig. 2, a flap was elevated, and a blue/black boney expansion was noted with an intact buccal cortex. Dr. Landrian performed

two incisional biopsies, one involving a maxillary lesion and one of the mandibular lesions and tissue was submitted to the Oral Pathology Biopsy Service at the University of Florida in Gainesville.

Question: Based on the given history, panoramic radiograph and intraoral photograph, what is the most likely diagnosis? A. Botryoid odontogenic cyst B. Traumatic bone cyst C. Multiple odontogenic keratocyst associated with Gorlin-Goltz syndrome D. Surgical ciliated cyst E. Central giant cell granuloma SEE PAGE 68

Fig. 1: Panoramic radiograph exhibiting multiple radiolucent lesions of the maxilla and mandible, in proximity to surgical hardware. Fig. 2: Intraoral presentation of one of the cystic lesions of the right maxilla at surgical intervention. No buccal cortical perforation was appreciated, and the cavity was reported as somewhat empty. FLORIDADENTAL.ORG

TODAY'S FDA MARCH/APRIL 2021

diagnostics FROM PAGE 67

Diagnostic Discussion A. Botryoid odontogenic cyst Incorrect, but great guess! Especially given the anterior mandibular location and multilocular presentation. However, unlike our present case, a botryoid odontogenic cyst (BOC) does not appear as multiple cysts in both the jaws and has only been reported as a single lesion. This entity is considered to be a variant of the better known lateral periodontal cyst (LPC) and is most commonly seen in the mandibular canine-premolar region. These variants typically have a multilocular radiographic appearance and essentially represent the multilocular variant of the LPC. Microscopically and grossly, these cysts show a polycystic or “grape-like” cluster appearance of small individual cysts. As of 2018, only about 100 cases have been reported in the literature. There are radiographic similarities between BOCs and some odontogenic cysts and tumors such as odontogenic myxoma, odontogenic cysts, ameloblastoma and various others in terms of appearance. These lesions tend to exhibit higher rates of recurrence compared to the traditional lateral periodontal cyst. The recurrence rate has been reported as high as 30.1%. Additionally, the clinical behavior is considered relatively more aggressive. Recurrence is most likely related to the failure to remove the entire multilocular lesion during surgery. Long-term followup is necessary for these lesions.

B. Traumatic Bone Cyst Incorrect. Another great guess, but in spite of the surgeon’s report of the cavity being somewhat empty, the older age of the patient and the lack of scalloping on the radiograph do not match traumatic bone cavity (TBC). TBCs are not true cysts but are empty cavities devoid of epithelial lining or often any tissue at all. TBCs are fairly common. While the cause is uncertain, the most likely theory involves a preceding injury that leads to intraosseous bleeding. The resultant blood clot fails to organize and instead breaks down leading to the formation of an empty cystic cavity. These lesions occur mostly in teenagers and the mandible is the only jawbone ever involved. Patients

TODAY'S FDA MARCH/APRIL 2021

are almost always asymptomatic and while the premolar-molar region are most frequently involved, they do frequently affect the anterior mandible. Similar to this case, these lesions appear as a well-delineated radiolucent defect. As mentioned previously, a prominent radiographic feature, which is the upward scalloping between the roots of the affected teeth, is not seen. Surgical exploration is necessary for the diagnosis and the surgeon usually encounters an empty cavity at time of surgery. Diagnosis is based on clinical and radiographic features and surgical findings. The microscopic findings never include epithelial lining but entails small fragments of reactive bone and maybe some vascular fibrous connective tissue. Surgical exploration to establish a diagnosis is usually curative.

C. Multiple odontogenic keratocysts associated with Gorlin-Goltz syndrome Incorrect, but excellent guess! Especially due to presence of multiple cystic lesions in both jaws, this entity should be at the top of the list of differential diagnoses. However, these cysts — especially in association with the Gorlin-Goltz syndrome — are usually seen in younger individuals, and the patient is well-aware of the presence of expansile cysts in most cases. In addition, the clinical/surgical finding of a somewhat empty cavity makes this diagnosis untenable. Odontogenic keratocysts (OKCs) are considered developmental odontogenic cysts that arise from cell rests of the dental lamina. About 60% of all cases are diagnosed in people between 10 to 40 years of age. The mandible is involved in 60-80% of cases, and the posterior maxilla is involved in 20% of cases. These cysts are known to cause boney expansion and can radiographically appear as large, unilocular or multilocular “soap bubble” radiolucencies that can be significantly destructive and enlarge in an anterior-posterior manner. However, the degree of expansion seen in an OKC is considerably less than seen in ameloblastomas and almost one-third of the cases are associated with an unerupted/impacted tooth. The diagnosis of OKC is based on the histopathologic features since the radiographic features may resemble other entities, including dentigerous cysts and ameloblastomas. These characteristic histopathologic features include a thin cystic epithelial lining of six to eight cell layers that displays a hyperchromatic and palisaded basal cell layer and is surfaced by a thin layer of corrugated parakeratin. Also commonly seen are smaller “cystlets” within the connective tissue wall. OKCs exhibit a modest rate of recurrence (about 30%) due to this thin friable lining and the presence of small “cystlets.” FLORIDADENTAL.ORG

Multiple OKCs in association with Gorlin-Goltz syndrome is an important differential diagnosis for this case. Gorlin-Goltz syndrome, which is more commonly known as nevoid basal cell carcinoma syndrome, is an autosomal dominant inherited condition that causes multiple basal carcinomas at a young age. The prominent clinical/radiographic feature of GorlinGoltz syndrome is the development of multiple OKCs. Approximately 90% of patients with Gorlin-Goltz syndrome have this major feature and if recognized early radiographically, it can lead to early diagnosis, which assists with early treatment. Most of the anomalies in Gorlin-Goltz syndrome are minor and not usually life threatening. The treatment of multiple jaw cysts is accomplished in the same manner as an isolated OKC. Unfortunately for many patients, additional cysts will continue to develop. As a result, patients are placed on long-term, close clinical follow-up.

D. Surgical ciliated cyst Correct! Great job! This entity is rare, but with the given distant history of orthognathic surgery and presence of multiple cysts, this should be considered at the top of the differential diagnosis. Surgical ciliated cysts (SCCs) are rare complications following surgical procedures or trauma involving the maxillary sinuses. A reported history of orthognathic surgery, including midface osteotomies, traumatic tooth extraction, complication of a Caldwell-Luc procedure and/or repair of fractures is required to make this diagnosis. A SCC forms when a portion of the sinus lining becomes separated form the main body of the sinus and forms an epithelium-lined cavity. Additionally, in rare situations, fragments of the nasal epithelium are accidentally transplanted to the mandible during orthognathic surgery procedures, which leads to the formation of ciliated cysts in ectopic locations. This is the most likely cause of the multiple cysts in our situation. The clinical presentation ranges from asymptomatic to an indolent enlargement, which can cause either an aesthetic issue or an acute swelling and pain due to secondary infection. Radiographically, SCC are spherical in shape and are usually separate from the sinus. Over time, these postoperative cysts can enlarge and can lead to the perforation of the sinus walls or the boney cortex. Histologically (Fig. 3), these true cystic structures are lined by ciliated pseudostratified columnar epithelium or metaplastic squamous epithelium with mucous cells.

Fig. 3

surgery and the advent of endoscopic techniques. As far as treatment of SCC, if necessary, enucleation is the treatment of choice. Regarding this extremely rare case of multiple SCCs located within the maxilla and mandible, due to unchanged clinical presentation for the past 25 years, Dr. Landrian placed the patient on a yearly follow-up and instructed the patient to report any developing symptoms.

E. Central giant cell granuloma Incorrect. The bilateral radiolucent central giant cell granuloma (CGCG) lesions of the mandible that are associated with cherubim is somewhat comparable with our case. But our case has multiple lesions located in the mandible and maxilla and microscopically, these lesions does not match. CGCG are considered a non-neoplastic lesion, but some lesions can demonstrate aggressive behavior and therefore, careful follow-up is usually highly recommended. Two-thirds of cases of CGCG are reported in young females. About 70% of cases occur in the mandible, where they are common in the anterior portions and frequently cross the midline. Radiographically, CGCGs may present as uni- or multi-locular. Multilocular lesions cannot be radiographically distinguished from ameloblastomas or other multilocular lesions. The most notable microscopic feature of the CGCG is the presence of multinucleated giant cells in a highly cellular mesenchymal stromal background, which also tends to be vas-

The incidences of SCC are declining due the conservative management of sinusitis, advancements in orthognathic SEE PAGE 70 FLORIDADENTAL.ORG

TODAY'S FDA MARCH/APRIL 2021

Diagnostic Discussion is contributed by UFCD professors, Drs. Don Cohen, Indraneel Bhattacharyya and Nadim Islam who provide insight and feedback on common, important, new and challenging oral diseases.

FROM PAGE 69

cular. There is evidence that these giant cells represent osteoclasts. The histopathologic findings closely resemble, and may be identical with, those seen in cherubism and in the brown tumor of hyperparathyroidism. Therefore, in the appropriate setting these conditions should be ruled out. The only comparable feature to our case is that the radiographic features of cherubism which present as bilateral, painless radiolucencies of the mandible. Other than that, no other clinically or radiographic findings match. CGCGs exhibit a wide range of recurrence rates of 11-50%, which depends upon the treatment modality opted for. Numerous studies have evaluated treatment modalities available for this and the most successful procedures reported are peripheral ostectomy and aggressive curettage. Both treatment modalities have shown little to no recurrence.

References: de Lange J, van den Akker HP, van den Berg H. Central giant cell granuloma of the jaw: a review of the literature with emphasis on therapy options. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Nov;104(5):603-15. Golaszewski, J., Muñoz, R., Barazarte, D. et al. Surgical ciliated cyst after maxillary orthognathic surgery: a literature review and case report. Oral Maxillofac Surg 23, 281–284 (2019). Neville, BW, Damm DD, Allen CM, and Chi AC. (2016) Oral and Maxillofacial Pathology. 4th edition, WB Sanders, Elsevier. Palacios-Álvarez I, González-Sarmiento R, Fernández-López E; (2018) Gorlin syndrome, Academia Espanola De Dermatologia y Venerologia. 109(3): 207-217. Soares, José Castro; Villalba, Natalia Casañas; Sanromán, Jacinto Fernández; Ferro, Martin Fernández; Fernández, Pablo López; Betancourt, Annahys López; López, Alberto Costas; Surgical Ciliated Cysts in Orthognathic Surgery, Journal of Craniofacial Surgery: January/February 2021 - Volume 32 - Issue 1 - p e2-e5.

DR. COHEN

The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 13,000 specimens the service receives every year from all over the United States. Clinicians are invited to submit cases from their own practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter.

DR. BHATTACHARYYA Drs. Bhattacharyya, Cohen and Islam, can

be reached at oralpath@dental.ufl.edu. Conflict of Interest Disclosure: None reported for Drs. Bhattacharyya, Cohen and Islam. The Florida Dental Association is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in DR. ISLAM identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp. *Third-year resident in oral and maxillofacial pathology at the University of Florida College of Dentistry.

Uçok O, Yaman Z, Günhan O, Uçok C, Doğan N, Baykul T. Botryoid odontogenic cyst: report of a case with extensive epithelial proliferation. Int J Oral Maxillofac Surg. 2005 Sep;34(6):693-5. Vidaković B, Uljanić I, Grgurević J, Perić B, Manojlović S. Botryoid Cyst, a Rare Type of Odontogenic Cyst. Acta Clin Croat. 2016 Sep;55(3):510-514.

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FLORIDADENTAL.ORG

Henry Schein Professional Practice Transitions

career center The FDA’s online Career Center allows you to conveniently browse, place, modify and pay for your ads online, 24 hours a day. Our intent is to provide our advertisers with increased flexibility and enhanced options to personalize and draw attention to your online classified ads! Post an ad on the FDA Career Center and it will be published in our journal, Today’s FDA, at no additional cost! Today’s FDA is bimonthly; therefore the basic text of all active ads will be extracted from the Career Center on roughly the 10th of every other month (e.g., Jan. 10 for the Jan/Feb issue, March 10 for the March/April issue, etc). Please note: Ads for the Nov/Dec issue must be received no later than Nov. 1. Please visit the FDA’s Career Center at careers.floridadental.org.

Complete Dental Office Available for Rent. This is an opportunity to move into an almost fully equipped Dental office 3,000 sq ft. A Veterans Administration dental clinic is moving and is leaving a built-out facility complete with lab. There may also be an opportunity to work with another dentist who would like to work at the facility part time if you so desire. The location is in the New Port Richey/Trinity area on a high visibility road with excellent access and very high roof top count. Dental market here is excellent with a paucity of dentists for this growing population. Please contact me at anytime at 727-271-2595 to discuss. Must be a dentist. NOTES: 3 openings. Visit careers.floridadental.org/jobs/14535779. Associate Dentist — Fort Pierce. Associate Dentist Part Time in Private Practice, Fort Pierce FL. Part-time Associate Dentist position available, centrally located in the Florida beachside community of Fort Pierce in the heart of the beautiful Treasure Coast. Ideal candidate would be lifelong learner, interested in CE and mentorship opportunities in oral surgery, selective implant placement, some endo, Invisalign, kids five and over, Botox and all phases of general dentistry. A one-two day workweek, initially, offering $650 per day or 35% of collections whichever is greater. This practice prefers a W-2 classification. Practice pays all lab bills. Long established prominent private practice with consistent growth and collections ranking in the top 1% nationally providing excellent potential for a candidate looking for more than just a job. The office is freestanding, in a professional neighborhood across the street from a regional HCA trauma capable hospital. A $1,000,000 complete renovation of the 3000 square foot office space was finished three years ago, to include 10 ops including a dedicated surgical suite, all Adec equipment, and two private doctor offices each with private bath. The office is fully digital including Itero scanners, intraoral x-rays, cone beam, and EHRs. We are fully engaged with an active social media presence. Work with a well-trained staff of 13, half of whom have been with the practice between 20 and 30 years. There are many longstanding patient relationships, providing wonderful opportunities for a rewarding work experience. NOTES: Additional Salary Information: $650 per day or 35% of collections whichever is greater. Visit careers.floridadental.org/jobs/14535822. Part Time Dental Hygienist - Bilingual (Spanish or Creole). Healthcare Network is seeking a Dental Hygienist to join our team. Since 1977, our private non-profit Federally Qualified Health Centers have broken barriers to provide healthcare to our neighbors in need. Today, we proudly serve as a medical and dental home to approximately 50,000 patients throughout Collier County! Our pediatric dental team is responsible for providing

TODAY'S FDA MARCH/APRIL 2021

dental services to nearly 2/3 of the children of Collier County through the Ronald McDonald Mobile Unit program where we go into elementary schools and take care of our youth. As a patient-centered medical home, Healthcare Network is a resource for prevention, wellness and quality healthcare. Committed to treating the whole person in both mind and body throughout the life cycle our services include family care, children’s care, HIV/AIDS treatment, senior care, women’s care, dental care, pharmacy and integrated behavioral health. We are accredited by the Association for Accreditation of Ambulatory Care (AAAHC) and are certified by AAAHC as a medical and dental home. Healthcare Network is accredited by AAAHC and certified as a Federally Qualified Health Center by HRSA. Job Summary: Hygienists are committed to improving the oral health of patients through delivery of periodontal therapies and promotion of dental health. Candidates must be enthusiastic about their work, and willing to provide the highest level of care at all times. Responsibilities and Standards: Performs direct patient care procedures; Clean calculus and plaque deposits, accretions, and stains from teeth and beneath margins of gums using dental instruments; Feel and visually examine soft tissue for sores and signs of disease; Chart conditions of decay and disease for diagnosis and treatment by a dentist; Detects disease by completing oral cancer screenings; Apply desensitizing agents, fluorides, and other cavity preventing agents to arrest dental decay; Examine gums using probes to locate periodontal recessed gums and signs of gum disease; Educates patients by giving oral hygiene and plaque control instructions and postoperative instructions; Maintains instrumentation for dental hygiene treatment by sharpening and sterilizing instruments; Administer topical anesthetic agents including topical benzocaine and/or Oraqix; Complete a periodontal probing chart when providing a prophylaxis, a full mouth debridement, or a scaling and root planing procedure; Administer local anesthesia including infiltrations and IAN blocks for scaling and root planing appointments; Place sealants on permanent molars; Properly take digital X-rays of diagnostic quality; Conduct oral health education for community groups to augment services of a dentist; Knowledge of dental terminology; Demonstrate understanding of all OSHA and HIPAA requirements and infection control procedures; Protect patient confidentiality per policies and procedures; Attend continuing education seminars and classes. Job Specifications: Efforts are generally responsive to work flow, must be able to work independently and prioritize work on a daily or weekly basis, subject to occasional reprioritization by others. May be required to perform the duties of other employees, including supervisors/managers, in their absence. May be required to perform duties and responsibilities not listed FLORIDADENTAL.ORG

in this description, on a temporary or long-term basis. Experience: Education/Training Level: Graduation from an accredited dental hygiene school. Licenses and Certifications: A current Florida license to practice dental hygiene; CPR certification; Local anesthesia certification. Communication Skills: Able to communicate with patients, all staff, and others clearly and effectively; Bilingual skills are desirable. Technology Skills: Understanding of and ability to use the Electronic Dental Record (Umbie and Dexis). Visit careers.floridadental.org/jobs/14531345. 2400 sq ft Dental Clinic coming available in Bonita Springs. Seeking to replace Great Expressions Dental Clinic at Prado at Spring Creek - anchored Shopping Plaza. Great tenant mix of retail and restaurants in a highincome area at a beautifully renovated Plaza with anchor tenants. 2400 sq ft @ $20 per sq ft + $6.28 Cam. 5-Year term with options. Visit isramrealtygroup.com/property/prado-at-spring-creek. First month rent and security deposit, 5-year term. Personal Guarantee. General Dentist Office for Sale in Greater Orlando Metropolitan Area. For Sale: a well-established solo General dental practice located in one of the fastest growing population areas in the US. Attractive, up-to-date office in a free-standing building of 4000 sq. ft. with seven operatories and an additional one plumbed. Over 2300 active patients with an annual gross collections of $1,380,000 and approximately $600,000 net income. Visit careers.floridadental.org/jobs/14503113. Associate General Dentist — Tampa. In search of a General Dentist with at least 5 years experience, who can do a little bit of everything. Opportunity is for full-time employment but open to part-time. Strong potential for Partnership. Hours are 8-5 M-Th and Friday 8-12. We are a busy, well-established, Multi-doctor, general dental practice in the Town and Country/Westchase area of Tampa, FL. Our office provides a friendly and comfortable work environment with the ability to compassionately treat patients with the latest technology. Looking for a friendly, experienced and like-minded dentist to come in and help share in treating this diverse community. This associate position has strong potential for partnership. Education, Training and Experience: DDS/DMD from an accredited dental education program; CPR; OSHA and HIPAA (training will also be provided). Characteristics: Friendly; Hard working; Flexible and adapts well to change; Good organizational skills; Strong interpersonal and communication skills; Professional manner and appearance at all times; High degree of initiative and independent judgement; Treats patients ethically and compassionately; Professional and courteous to patients and staff at all times. Skills and Proficiencies; (We do a little bit of everything, however, we also know when to refer as well. We realize everyone’s comfort level with certain areas of dentistry is not the same. Below is a short list of what we do. The more you’re proficient in the better!) Proficient in diagnosing and treatment planning dental disease. Educate patients about their oral health and treatment plan. Quadrant dentistry; Proficient in rotary Endo (at least for premolars and anteriors); Fillings; Crowns, veneers, bridges; Dentures and Partials; Perio Diagnosis; Gingivectomy; Extractions and Implants; Invisalign (prefer but not required); Please Email CV or resume. Thank you! Past applicants are welcome to apply again. DDS or DMD. 5years experience or flat out rockstar. Can do a little bit of everything, including extractions and at least premolar and anterior root canals. Visit careers.floridadental.org/ jobs/14497851. Dentist — Lake Wales. Forni Dental has an open opportunity for a motivated dentist looking for a great associate position in a growing fee for service practice, grossing 3 million dollars per year. We are located in Polk County, one of the fastest growing areas in the nation. Our free-standing practice is fully equipped with 10 operatories, a surgical suite, and state of FLORIDADENTAL.ORG

the art dental equipment including CBCT. We provide our patients with comprehensive dentistry including endodontics, oral surgery, implant surgery, implant restorations and cosmetic dentistry. We practice in a low stress, very profitable office that is not corporate run. If you are interested in this great opportunity to join our team contact us at lwdentistry@msn. com and visit our website at fornidental.com. General Dentist — Sanford. Now is the time to join Dentists of Sanford. You will have opportunities to learn new skills from our team of experienced professionals. If you’re ready to take your career to the next level and gain valuable experience, apply today! Overview: Let us allow you to do what you do best by doing the dentistry that you diagnose while exploring future partnership opportunities. We follow through on our promise to clinicians with our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country’s leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 - $390,000. Testimonial from Dr. Callaway-Nelson: “Partnering with PDS has given me the opportunity to realize my dream of practice ownership. I am able to do the dentistry that I love.” Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply here: bit. ly/3en5Md1. 6 Operatory Asset Sale Only-Martin County. A 6 operatory space in Jensen Beach is available. This would be an asset only sale- No patients. Sale would include workstation computers (excluding server), digital sensors, Panoramic Machine, compressor, vacuum, some small equipment, instruments and supplies. It is located in a busy Publix shopping center. This is an opportunity for an existing office to expand or a dentist wanting to own a practice with little up front cost. Buyer could potentially start seeing patients day one, just from walk in traffic. Asking $50,000. Visit careers. floridadental.org/jobs/14472618. Dentist — Department of Health — Wakulla. Dentist position open at the Wakulla County Health Department. 24 hours per week. $67 / hour. Visit bit.ly/2OFKhcg. General Dentist — Hialeah. Busy West Hialeah Dental Office looking for a part time Dentist (leading to Full Time) with Florida License. Hours and compensation to be discussed at interview. Please contact Aymara or Mayelin at (305) 556-9919. We are looking for a general dentist with experience for our busy practice. The candidate must be comfortable in performing all phases of general dentistry. The individual must be personable and motivated. We work with PPO, HMO plans and private patients. Please feel free to send in your resume or call us. Visit careers.floridadental. org/jobs/14463825. Dentist Opening — Tallahassee. We are a private, busy, 2 doctor practice and are looking to bring in a new dentist. Dentist must have a minimum of 1 year experience. Would prefer a dentist with either an AEGD or GPR certificate. This certificate would satisfy the year experience requirement. We are a general dental practice and provide a wide variety of procedures SEE PAGE 75 TODAY'S FDA MARCH/APRIL 2021

The Doctors Company

TODAY'S FDA MARCH/APRIL 2021

FLORIDADENTAL.ORG

career center FROM PAGE 73

from cosmetic to orthodontic aligner therapy to endodontics and minor surgery. We are advocates of digital dentistry and utilize our Cerec PrimeScan and PrimeMill extensively. We would like our new dentist to have experience with digital scans or a strong desire to learn. Presently, both doctors work 4 1/2 days/week. Upon arrival of the new dentist, Dr. Robert Murrell would transition to 2 days/week and Dr. Evan Murrell and the new doctor would work 4 days/week. The new doctor would have the option to work some Saturdays if desired to earn more hours. We are looking for someone with a strong desire to stay and grow in Tallahassee and an interest in becoming a partner in the next couple of years. Valid Florida Dental License. Minimum one year of experience or AEGD or GPR. Visit careers. floridadental.org/jobs/14415916. GENERAL DENTIST — Crestview. Looking for a well-established dental practice in sunny, no income tax Florida? Look no further! Practice is located adjacent to busy FL Hwy 85 and 3 blocks north of FL Hwy 90 in the heart of the rapidly growing Community of Crestview. Crestview is located approximately 25 miles north of the white sand beaches of the Gulf of Mexico and a comfortable distance from hurricanes. The city features many amenities in addition to Universities and numerous high quality local schools. Eglin Air Force base is nearby. The Dental Office is a generous 2400 Sqft. Including: large waiting room, large reception and record area, large private office with 3/4 bath, washer and dryer, large laboratory area, kitchen and five operatories. Digital radiographs including Planmeca ProMax 2D unit. Experienced staff includes: 2 Dental Hygienists, 2 Certified Expanded Functions Dental Assistants, 1 Receptionist (also RDA), and 1 Office Manager. Opportunity for energetic dentist as: A. Associate B. Purchase Practice C. Purchase office complex, including 2 revenue generating office spaces. Revenue is upwards of 1 million dollars per year, with a four day work week. Experienced practitioner could move to next level! Practice has been in the same location for over 40 years. Google rates practice 4.4 of 5; Facebook rates practice 5.0 of 5. Please contact: Michelle 850-682-4516 or Richie 850-585-5432. MUST HAVE CURRENT ACTIVE FLORIDA DENTAL LICENSE. Visit careers.floridadental.org/jobs/14332675. Fort Lauderdale General Practice for Sale. This is attractive general practice in Fort Lauderdale is certainly worth a look! The practice is located in an expansive office building in a highly desirable area of South Florida. With ~55 new patients per month you’re sure to be busy from day one! For an overview of this Fort Lauderdale practice, see below: 4 fully equipped operatories; Collections over $1 million; Seller’s Discretionary Earnings $330,000; 5,800 active patients; 50-60 new patients per month. Ready to learn more and review the prospectus? Contact Kaile Vierstra with Professional Transition Strategies via email: kaile@professionaltransition.com or give us a call: 719.694.8320. We look forward to speaking with you! Visit professionaltransition.com/fort-lauderdale-general-practice-for-sale.

The Villages/Ocala Area General Dental Practice For Sale with Real Estate. Fee For Service General Dental Practice For Sale. Centrally located among several 55+ communities including The Villages. 950 sq. ft. free standing building built in 2008 with 1 acre of land on busy US 301. 2019: $205 gross, $102 net on two or three days/week referring out all pedo, endo, and surgery. Four new homes are under construction right behind the office and a new AdventHealth ER is under construction just up the road. Area is booming in non-locked-down pro-business Florida! It’s a great area to raise a family with a plethora of outdoor activities including cycling, hiking, and equestrian trails, springs, fishing, and it is equidistant to the east and west coasts of Florida. This would be a great open slate for a mid-career practitioner looking for quality of life or a young dentist wanting low overhead to develop into the dream practice. It would also be a great office for a prosthodontist or endodontist. Family medical obligations are requiring an early retirement. $450k includes practice and real estate. Visit careers.floridadental.org/jobs/13686503.

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TODAY'S FDA MARCH/APRIL 2021

off the cusp

JOHN PAUL, DMD FDA EDITOR

EXCELSIOR!

Dr. Paul can be reached at jpaul@bot.floridadental.org.

Once upon a time, when I was a little boy — well, when I was a young boy — ZOOM was a good thing. I think I established my comics fanship in our last volume. ZOOM always meant action. When you wrote ZOOOOOM, the spaceship was fast, the car was fast, the Flash was going somewhere faaaaaaast. Fast was exciting; going fast was good. It seemed like if we could zoom from here to there it would be the best way to do it.

web conferencing. They made it too easy. Now folks want to do it all the time. You have to have a camera and a microphone and snazzy backgrounds, and you don’t have to wear pants … Way too often you could have just sent me an email. I don’t need to be online in real time for something I could have read in less time and I wouldn’t have to forget the image of what’s up a co-worker’s nose because they are less than expert in placing the camera.

If you’re a dentist, the first hint of tarnish in the Zoom gleam may have been Zoom Whitening. It was marketed directly to patients and they called wanting to know if you sold Zoom. They didn’t know if it was the right thing for them, they just knew they wanted it. You could make the argument that wanting to go fast may not have been the best thing for me either, but that was the first time I remember not really wanting to hear anyone say “Zoom.” You decide if it was a great product — not my argument, I just didn’t want to hear about it.

I’m ready for some good, old-fashioned, butt-getting-flattened-by-a-hotel-chair, in-person meetings. Where I can see someone secretly showing me I am No. 1 in their book while someone else is telling a story we’ve heard a thousand times before about how we used to do things back in the day. If you are feeling the same way, I’ve got good news. The 2021 Florida Dental Convention will have a live in-person option. Actually, I think it will be live with a virtual option, but that doesn’t hurt the story. You can come by yourself or in groups to the Gaylord and hear an actual person speak. We’re doctors and we aren’t going to do anything really dumb like kiss everyone on the mouth as they enter the hotel, but we also aren’t going to stay home. A chance for some honest to goodness human contact like how we used to do it — back in the day.

Then last spring, along with the real March Madness we got Corona March Madness, and Zoom quickly took on a whole new meaning. I had to advance six pages into a Google search to find a single reference to Zoom that was not about the web conferencing product. Before the haters sound off, Zoom the company and the product have been great. Free web meetings and many innovations in just the past year. Like Kleenex means facial tissue, Zoom is now the noun and the verb for

JOHN PAUL, DMD, EDITOR, TODAY'S FDA

TODAY'S FDA MARCH/APRIL 2021

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