33 A Q&A With Angie Brown: Her Journey With the Board of Dentistry
34 Avoiding BOD Records Violations
37 Navigating the Complaint Process
38 The Dentist's Guide to Peer Review
42 Building Your Online Presence: A Guide for Managing Online Communication
46 FDC2024 Speaker – Laser Dentistry: State of the Art 2025
50 Community Water Fluoridation
52 Dental Lifeline Network's Donated Dental Services Program Saves the Life of a Cancer Patient
EDITOR
Dr. Hugh Wunderlich, CDE
Palm Harbor
BOARD OF TRUSTEES
PRESIDENT
Dr. Jeffrey Ottley
Milton
FIRST VICE PRESIDENT
Dr. Dan Gesek Jacksonville
SPEAKER OF THE HOUSE
Dr. Don lIkka Leesburg
EXECUTIVE DIRECTOR Drew Eason, CAE Tallahassee
TRUSTEES
Dr. Tom Brown Orange Park
Dr. John Coroba Lake Mary
Dr. Bethany Douglas Jacksonville
Dr. Fred Grassin Spring Hill
Dr. Bertram Hughes Gainesville
Dr. Richard Mufson Miami
PRESIDENT-ELECT
Dr. John Paul Lakeland
IMMEDIATE PAST PRESIDENT
Dr. Beatriz Terry Miami
TREASURER
Dr. Rodrigo Romano Miami
Dr. Christopher Bulnes Tampa
Dr. Sam DeSai Cape Coral
Dr. Karen Glerum Boynton Beach
Dr. Reese Harrison Lynn Haven
Dr. Eddie Martin Pensacola
Dr. John Pasqual Delray Beach
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, to email Dr. Hugh Wunderlich, his email would be hwunderlich@bot.floridadental.org.
To call a specific staff member below, dial 850.350. followed by their extension.
EXECUTIVE OFFICE
Drew Eason • chief executive officer/executive director deason@floridadental.org Ext. 7109
Dan Zottoli, SBCS, DIF, LTCP director of sales • Atlantic Coast 561.791.7744 • cell: 561.601.5363 dan.zottoli@fdaservices.com
Dennis Head, CIC director of sales • Central Florida 877.843.0921 • cell: 407.927.5472 dennis.head@fdaservices.com
Mike Trout director of sales • North Florida cell: 904.254.8927 mike.trout@fdaservices.com
Joseph Perretti, SBCS director of sales • South Florida 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
Make Your Voice Heard: Let's Vote!
By FDA President Jeff Ottley, DMD
We are on the cusp of Fall, with its great smells of barbecue, fresh-cut grass, cooler weather, college football, pumpkin-spiced lattes, and this year, the frustration of annoying election signs and advertisements. Yes, it’s an election year, including the president of the United States and many in Congress. The Florida Dental Association (FDA) is not partisan; we only look to support candidates who support dentistry, hence the creation of the “Tooth Party.” I’m utilizing this message time to remind some, and possibly encourage those who typically abstain from voting, to head to the polls in November and let their voices be heard. Voting is one of the fundamental pillars of our great country, giving every citizen an equal opportunity to choose our government representatives.
Take some time and research the amendments and candidates for your local, state and national elections. Each
level of government has its effects on our profession in its own unique ways. The FDA, which proudly represents a majority of dentists in Florida, wants members to make a difference this year. Historically, doctors, including dentists, have a lower voter turnout than the general population, as reported by surveys and studies over the past two decades. How can we protect our professions and the patients we treat and serve without participating in the election process?
I urge you to join me this election cycle and encourage your friends and family to accompany you to the polls. Voting is always important; our country, our state and our profession all depend on responsible individuals who make an effort to fulfill their civic duty.
FDA President Dr. Ottley can be reached at jottley@bot.floridadental.org
did you know?
Update to Notifying the Public When You Close or Relocate Your Practice
By FDA Chief Legal Officer Casey Stoutamire
Did you know the Board of Dentistry rule governing how you notify the public when you close your practice or relocate has been updated? While it is still acceptable to publish a notice in the newspaper of greatest general circulation in the county where the dentist practiced, the revised rule now allows for publishing the notice on the practice’s website. As a reminder, the notice must tell patients you either closed your practice or relocated and where they can obtain copies of their records. The notice must still appear on your website at least once a week for four consecutive weeks. The one caveat is if you are relocating your practice to the same local telephone directory service area as your former practice. In that case, you must post a notice at your location for one month prior to relocation, including the date of your relocation and your new office’s address.
FDA Chief Legal Officer Casey Stoutamire can be reached at cstoutamire@floridadental.org.
As a reminder, the notice must tell patients you either closed your practice or relocated and where they can obtain copies of their records.
ARE YOU A MEMBER OF
CENTURY CLUB?
A portion of your 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.
What is GAC?
By FDA Chief Legislative Officer Joe Anne Hart
In today’s world, there is an acronym for everything. A shortened version of a phrase or the name of an entity or organization that represents something much larger than the acronym itself. I’m sure you can think of a few like: lol (laugh out loud), brb (be right back) or tbh (to be honest). The Florida Dental Association (FDA) also has a list of acronyms it uses, and one of the most important acronyms for advocacy is GAC.
What is GAC? This is the Governmental Action Committee (GAC) that serves as the legislative body of the FDA and reports to the FDA Board of Trustees. GAC reviews, analyzes, develops and supports/opposes legislative and regulatory issues that could have a negative or positive impact on organized dentistry. In addition to working with the Legislature, the GAC engages with the governor’s office, the state cabinet, state agencies and departments and the Florida Board of Dentistry.
During the legislative session, the GAC meets weekly by conference call at 7:30 a.m. to review issues being addressed during committee meetings and floor debates. GAC members routinely travel to Tallahassee to meet with legislative leaders and testify before legislative committees. All FDA components are represented on the GAC, as well as several consultants.
So, who is on GAC? Great question, here’s the list:
Committee Members
Dr. Jeff Ottley, FDA President
Dr. Josh Allore, CFDDA
Dr. Bethany Douglas, NEDDA
Dr. Tracy Eckles, NWDDA
Dr. J. Michael Heider, ACDDA
Dr. Steve Hochfelder, Board of Dentistry Liaison
Dr. Franziska Klostermyer, SFDDA
Dr. Sandra Lilo, WCDDA
Dr. John Paul, FDA President-elect
Dr. Beatriz Terry, FDA Immediate Past President
Consultants
Dr. Andy Brown
Dr. Brittney Craig
Dr. Dan Gesek
Dr. Reese Harrison
Dr. Bert Hughes
Dr. Jacinta Lamontagne
Dr. Katie Miller
Dr. Rachel Perez
FDA Chief Legislative Officer Joe Anne Hart can be reached at jahart@floridadental.org.
FDAPAC-Supported Candidates
General Election: Tuesday, Nov. 5
(as of Aug. 26, 2024)
Thanks to your Florida Dental Association Political Action Committee (FDAPAC) membership and support, FDAPAC has already contributed to many candidates’ campaigns for the 2024 General Election. Without the FDAPAC membership, FDAPAC Century Club Members and FDAPAC Capital Hill Club Members, organized dentistry would not be as effective during the Florida Legislative Session. Below is a list of FDAPAC-supported House and Senate candidates for the 2024 General Election.
ATLANTIC COAST DISTRICT
Dana Trabulsy, R-Fort Pierce H-84
John Snyder, R-Palm City H-86
Mike Caruso, R-Boca Raton H-87
Joe Casello, D-Boynton Beach H-90
Katherine Waldron, D-Greenacres H-93
Chip LaMarca, R-Lighthouse Point H-100
Mike Gottlieb, D-Plantation H-102
Robin Bartleman, D-Weston H-103
Marie Woodson, D-Pembroke Pines H-105
Erin Grall, R-Fort Pierce S-29
Gayle Harrell, R-Stuart S-31
Barbara Sharief, D-Davie S-35
Jason Pizzo, D-Hollywood S-37
CENTRAL FLORIDA DISTRICT
Sam Greco, R-St. Augustine H-19
Chad Johnson, R-Chiefland H-22
Taylor Yarkosky, R-Clermont H-25
Richard Gentry, R-Astor H-27
Chase Tramont, R-Port Orange H-30
Tyler Sirois, R-Merritt Island H-31
Debbie Mayfield, R-Indialantic H-32
Tom Keen, D-Orlando H-35
David Smith, R-Winter Springs H-38
LaVon Bracy Davis, D-Ocoee H-40
Anna Eskamani, D-Orlando H-42
Keith Truenow, R-Tavares S-13
Randy Fine, R-Palm Bay S-19
Kristen Arrington, D-Kissimmee S-25
NORTHEAST DISTRICT
Sam Garrison, R-Fleming Island H-11
Wyman Duggan, R-Jacksonville H-12
Dean Black, R-Jacksonville H-15
Tracie Davis, D-Jacksonville S-5
Tom Leek, R-Ormond Beach S-7
NORTHWEST DISTRICT
Joel Rudman, R-Navarre H-3
Patt Maney, R-Fort Walton Beach H-4
Shane Abbott, R-Marianna H-5
Griff Griffitts, R-Panama City H-6
Gallop Franklin, D-Tallahassee H-8
Allison Tant, D-Tallahassee H-9
Don Gaetz, R-Crestview S-1
Corey Simon, R-Tallahassee S-3
SOUTH FLORIDA DISTRICT
Joe Saunders, D-Miami H-106
Alex Rizo, R-Hialeah H-112
Vicki Lopez, R-Coral Gables H-113
Demi Busatta Cabrera, R-Coral Gables H-114
Danny Perez, R-Miami H-116
Kevin Chambliss, R-Homestead H-117
Mike Redondo, R-Miami H-118
Juan Carlos Porras, R-Miami H-119
Bryan Avila, R-Miami S-39
WEST COAST DISTRICT
Jennifer Canady, R-Lakeland H-50
Josie Tomkow, R-Auburndale H-51
Kevin Steele, R-Hudson H-55
Adam Anderson, R-Tarpon Springs H-57
Kim Berfield, R-Clearwater H-58
Lindsay Cross, D-St. Petersburg H-60
Michele Rayner, D-St. Petersburg H-62
Susan Valdes, D-Tampa H-64
Karen Gonzalez Pittman, R-Tampa H-65
Traci Koster, R-Tampa H-66
Fentrice Driskell, D-Tampa H-67
Lawrence McClure, R-Plant City H-68
Danny Alvarez, R-Riverview H-69
Will Robinson, R-Bradenton H-71
James Buchanan, R-North Port H-74
Danny Nix, R-Venice H-75
Jenna Persons-Mulicka, R-Fort Myers H-78
Adam Botana, R-Bonita Springs H-80
Blaise Ingoglia, R-Spring Hill S-11
Ed Hooper, R-Palm Harbor S-21
Danny Burgess, R-Zephyrhills S-23
Ben Albritton, R-Bartow S-27
For additional information on FDAPAC-supported candidates, contact the FDA Governmental Affairs Office at 850.224.1089 or gao@floridadental.org.
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LEADERS EMERGING AMONG DENTISTRY
LEAD
JAN. 17, 2025 • ORLANDO, FLORIDA
An organization’s ability to thrive is largely determined by the quality and effectiveness of its leadership. Great leaders can create tremendous success, but leadership skills don’t always come naturally. At the Florida Dental Association, we believe that great leaders are developed through learned skills and practices.
Leaders Emerging Among Dentistry (LEAD) is an FDA program that provides participants with training to enhance their leadership and interpersonal skills as well as a backstage pass to FDA leadership, offerings, and experiences. LEAD is open to all FDA members and dental students. Seating is limited and registration opens on October 1st.
LEARN MORE AND REGISTER AT FLORIDADENTAL.ORG/LEAD
FLORIDA MISSION OF MERCY
Florida Mission of Mercy (FLA-MOM) is the state’s largest charitable dental clinic that provides care to any patient at no cost, with the goal of serving the underserved and uninsured in Florida – those who would otherwise go without care.
dental benefits spotlight
The Golden Ticket Conversation
By Bertram J. Hughes, DMD
Have you been faced with a new patient who is so excited because they just purchased a dental benefits plan? The only issue is that your office has to be the bearer of the bad news that their “insurance” is not the golden ticket they thought they had purchased. This can be a very tricky conversation. Trying to educate the patient about their dental plan often leads to an erosion of the doctor-patient relationship, a sense of internal embarrassment by the patient and/or the patient seeking care elsewhere. Unfortunately, the current insurance system often interjects a business relationship between the doctor and patient before discussing the patient’s health care needs.
While these hurdles exist in today’s dental benefits marketplace, there are some tools that you and your team can employ to help navigate this situation. Renowned
speaker Dr. Mark Hyman from the University of North Carolina Adams School of Dentistry in Chapel Hill, N.C., always suggests focusing the patient on their health care. He often says, “What if your plan doesn’t pay anything for this treatment? Will you still get it done?” With an affirmative answer, you can often follow up by discussing care devoid of benefits and truly focus your patient on their health care needs. With most employer plans being self-funded, another option with limited coverage is to encourage your patient to speak with their benefits manager or human resource department about these limitations. Before doing this, it is a good practice to educate the patient about what may be standard in your area for annual maximums, coverage percentages of categorized care and exclusions.
The American Dental Association (ADA) and other dental associations often have “tool kits” to help your practice navigate these muddy waters. A great resource is available at bit.ly/4fPTU08. Your practice may also want to consider “Understanding Your Dental Benefits” brochures
or posting resources on your website to help educate current and potential patients. Remember, patients more often than not, may believe the customer service phone representative of their carrier over their dental office. Patients also accept that insurance companies usually don’t pay, regardless of whether they should have. The standards and expectations are slightly different for you as a small business. Thus, more importantly, a sound team plan should be used when navigating the dental insurance bayou.
Dr. Bert Hughes is the FDA’s representative on the ADA Council on Dental Benefits program and can be reached at berthughes@me.com.
Trying to educate the patient about their dental plan often leads to an erosion of the doctorpatient relationship, a sense of internal embarrassment by the patient and/or the patient seeking care elsewhere.
What Comes First: The Practice or the Patient?
By ArNelle Wright, DMD, MS
When I reflect on all I've experienced in practice thus far, I am constantly answering this question “What comes first: the practice or the patient?” On the one hand, the answer is clear. Of course, patients are at the top of the priority list. But when I really zoom in, or actually when I zoom out, I vote for the practice without hesitation. Because practice management is so near and dear to my heart and critical to our collective success, I’m going to discuss both ends of this spectrum in this article.
The Dental Team
One of the phrases I use most throughout my work day is: “Teamwork makes the dream work.” The team definitely includes the patient. However, with a smooth workflow that’s been clearly articulated, the patient experience can continue. Once our patients have a negative experience, be it great or small, it can be difficult to restore their faith and trust in us. As new(er) dental clinicians, we enter the profession ready to combat dental disease while teaching prevention. Our skills and expertise can only be utilized with a well-trained (dream) team.
This (dream) team that I speak of:
• Communicates with patients in advance of their appointment(s).
• Verifies the insurance plan if there’s any to consider.
• Reviews charts for patients of record, so we pick up where we left off at their last visit.
• Checks prosthetic cases, consent forms and all other documentation for the visit.
• Resets procedure rooms to help us honor the patient's time while ensuring we run on schedule.
The list goes on and on. In this short list, though, I find several parallels that place and keep patients at the center, especially when the team is prepared, bought in, calibrated and have effective systems in place.
Patient-Centered Treatment
Up until this point, patients have been the focus. Or have they? I would argue that the answer depends on one's perspective about what it means to “take care” of a patient. Throughout dental school, especially as a D1 and D2, my class and I waited patiently for the special moment when we could prep a crown, drop a box or extract our first tooth. As the years passed, and when we finally reached clinics, we soon realized providing treatment was only the tip of the iceberg.
As we navigate the patient schedule, let us not forget:
• To capture baseline, pre-op and maybe even post-op vitals.
• To perform oral cancer screenings and palpate muscles and tissues extraorally.
• To review past medical history, alerts and drug allergies.
• We must consider complications and ensure that we can handle them should they arise.
• Most importantly, to stop and listen to our patients — and also our gut.
Providing dental care to our patients is extremely nuanced, and as straightforward as we’d like it to be, it's critical that we remember the most important person is the one in the chair at that time. So, I ask again, what comes first: the practice or the patient?
As you head into your next or your first morning huddle, I want you to keep this concept in mind: dentistry is a team sport that starts with the patients by virtue of training the team.
Dr. ArNelle Wright is the FDA's 17th District Alternate Delegate to the ADA and serves as chair of the FDA New Dentist Task Force. She can be reached at arnellewrightdmd@gmail.com.
Providing
dental care to our patients is extremely nuanced and, as straightforward as we'd like it to be, it's critical that we remember the most important person is the one in the chair at that time.
board of dentistry
Florida Board of Dentistry Meets in Boca Raton
FDA Chief Legal Officer Casey Stoutamire
The next BOD meeting is scheduled for Friday, Nov. 15, at 7:30 a.m. ET in Gainesville.
The Florida Board of Dentistry (BOD) met in Boca Raton on Friday, Aug. 16 at 7:30 a.m.
The Florida Dental Association (FDA) was represented by BOD Liaison Dr. Steve Hochfelder, and Chief Legal Officer Casey Stoutamire.
BOD members present included: Dr. Jose Mellado, chair; Dr. Nick White, vice-chair; Drs. Brad Cherry, Tom McCawley and Claudio Miro; hygiene members, Ms. Karyn Hill and Ms. Angela Johnson; and consumer members, Mr. Fabio Andrade and Mr. Ben Mirza. There are two open dental positions for the board. This was also the first meeting for the new board executive director, Ms. Kelly Rogers. The FDA looks forward to working with Ms. Rogers.
The board heard a petition for variances or waivers. As a reminder these petitions ask the board to waive a BOD rule in a particular instance; the board can only waive a rule and not a statute. The petition was requesting a waiver from the rule requiring all parts of the American Board of Dental Examiners licensure exam to be completed within 18 months from the initial start of any portion of the exam; a failure to complete (and pass) all parts of the exam within 18 months requires the applicant to retake all parts of the exam. This petitioner had not completed the endodontic and prosthodontic parts of the exam within the 18-month time frame due to health issues. The board granted the waiver with the caveat that the applicant must complete those two portions of the exam within the next six months.
The board also heard a request for a declaratory statement. In this instance, the petitioner asked the board to clarify that a dentist with a health access dental license practicing within a health access setting includes the programs of the health access setting and is not limited to practicing within a brick-and-mortar building of the health access setting. The board directed board counsel to draft a statement that statutory language does include programs that a health access setting provides in other locations and is not limited to a brick-and-mortar building. The health access setting license is tied to the particular setting/program
A dentist cannot use a state-specific licensure exam to apply for licensure by endorsement. An applicant must also pass the Florida Laws and Rules exam.
and not a physical location. Board counsel will bring the actual verbiage of the statement back to the board in November for final approval.
Next, the board approved updating its application for a non-profit corporation seeking a permit with the board. This update changes the federal poverty language to align with a recent statutory change; it will now include programs that provide care to those at 300% of the federal poverty level.
The main item of business that the FDA was interested in was the discussion of rules to implement SB 1600, licensure by endorsement. The Department of Health created a global application for all health care practitioners to use when applying via this pathway. The board approved the application for SB 1600, licensure by endorsement. To be eligible for licensure by this method, a dentist will have to qualify based on all the requirements in the statute. One of these requirements is passing a national licensure exam. The board moved to define the exams that will be accepted for this licensure pathway as the ADEX (including the non-patient-based exam) and any of the regional exams taken on any date; those given by States Resources for Testing and Assessments, Western Regional Examining Board, Central Regional Dental Testing Services and North East Regional Board of Dental Examiners. A dentist cannot use a state-specific licensure exam to apply for licensure by endorsement. An applicant must also pass the Florida Laws and Rules exam. Unfortunately, the statute does not require an applicant to graduate from a Commission on Dental Accreditation approved
dental school. Since there is no statutory authority, the board could not promulgate a rule requiring this. However, the FDA plans to pursue legislation to resolve this issue during the 2025 legislative session.
During the report from the Council on Dental Hygiene, the board approved moving the level of supervision under which a certified registered dental hygienist may administer local anesthesia from direct supervision to indirect supervision. As a reminder, both direct supervision and indirect supervision require that a licensed dentist examine the patient, diagnose a condition to be treated, authorize the procedure to be performed, and be on the premises while the procedure is performed. There is a common misconception that direct supervision requires a dentist to be in the room while the procedure is performed, but as you can see from the definition above, that is not the case.
There were five disciplinary cases, one informal hearing, two determination of waivers and two voluntary relinquishments that included, among other things, incorrect implant placement, allowing an assistant to practice outside their scope of practice, performing sedation without a permit and not complying with a previous final order from the board. It is much better to be a spectator than a participant in BOD disciplinary cases.
FDA Chief Legal Officer Casey Stoutamire can be reached at cstoutamire@floridadental.org.
FDA Earns Membersip Awards
The Florida Dental Association (FDA) was recognized for its accomplishments in membership recruitment and retention by the American Dental Association (ADA) in July.
The FDA received two awards — one for converting the highest percentage of nonmembers to membership and the second for converting the highest percentage of diverse dentists to membership.
The FDA team and representatives from the West Coast accepted Florida’s awards at the ADA’s July conference.
Texas Judge Blocks FTC's Impending Ban on Noncompetes
In August, a Texas federal judge permanently blocked the Federal Trade Commission’s (FTC) looming ban on noncompete agreements in employment contracts, setting aside the regulation with the conclusion that it was beyond the agency’s authority. To view the order, go to bit.ly/3WT9K1A.
If you have any questions, contact FDA Chief Legal Officer Casey Stoutamire at cstoutamire@floridadental.org.
Beward of Scammers: Mailing Lists
Many of you have received emails from scammers trying to sell you dental mailing lists, and some have even gotten as bold as to spoof the FDA logo. The FTC is cracking down on these types of scams and, as of April 16, the new FTC rule went into effect. This rule now allows us to report them, whereas before, we had no recourse. Go to bit.ly/3ZavzMG to read more.
Going forward, impersonation scams, such as email list sales and hotel reservation scams can be reported to the FTC here: reportfraud.ftc.gov/#/. We encourage you to report.
Stop and think before you click that link.
You may receive emails, you might get a message on Facebook, Instagram or other social media, and the text that accompanies it is designed to get you to click. It is often designed to scare you into believing it needs immediate attention. Few things are that important. It may seem from your bank, a “friend” or other known sources. These may not always be what they appear. People are counting on you to access these from a mobile device and in a hurry, so take a minute and ask, “What is the worst thing that could happen if I click that link?” Now, is it worth that risk?
Generally, it is best to type in a URL and go to a website on your own. At a minimum, hover over the link and ensure it looks legit before you click. Look closely. The bad people make things look believable. Clicking bad links is the number one way cyberattacks affect individuals, companies and even entire governments.
If you think you clicked a bad link, never provide login details or other personal information. Close the browser and clear your history and cache. If need be, consult an IT professional. You have too much at stake to leave this to chance.
Recently Retired or Retiring Soon?
If you have recently retired or have plans to retire soon, please contact FDA Membership Coordinator Megan Bakan at mbakan@floridadental.org or 850.681.3629 to complete your retired affidavit through a quick and easy DocuSign form. Most retired members pay little or no dues to maintain their membership and keep access to all their benefits and services.
Dentists Can Now Submit Medicare Claims Electronically
As of July 1, the Centers for Medicare & Medicaid Services can now accept, process and pay dental claims electronically. The electronic Health Care Claim: Dental (837D), a standard mandate by the Health Insurance Portability and Accountability Act, is used to submit health care claim billing information, encounter information or both from providers of health care services to payers, either directly or via intermediary billers and claims clearinghouses.
Go to bit.ly/3z8EP9E to read more.
Password Updates are Required as Part of Upcoming ADA Web Updates
On Sept. 10, the ADA introduced a new login process for ADA websites. The simplified login experience will allow users to log in to various ADA web properties — including ADA.org, the ADA Member App and JADA. Users will also have access to websites on the ADA Branded Web Templates using the same email address and password. ADA member numbers will no longer be used for login.
Starting Sept. 10, users must reset their password the first time they log into ADA.org. Members will log in using the email address on file for their account. The ADA Member Service Center (MSC) conducted a calling campaign in March to contact a small number of members who were missing a unique, valid email address on file. Members without a unique, valid email address on file by Sept. 2 will need to contact the ADA MSC to access their account.
Answers to frequently asked questions can be found at ADA.org/LoginFAQ or by contacting the ADA MSC at msc@ada.org or 312.440.2500.
Dental Assistant Receives GTE Scholarship
Ashli Anderson, dental assistant for Dr. Bert Hughes, volunteered at the 2024 Florida Mission Of Mercy in Lakeland, where she saw a flyer about a scholarship offered through GTE. Ashli applied, and received it. The ceremony took place in August and she received a $3,000 scholarship for the 2024-25 academic year. Congratulations, Ashli!
LECOM School of Dental Medicine Expands and Upgrades Simulation Lab
The Lake Erie College of Osteopathic Medicine (LECOM) has upgraded and expanded the School of Dental Medicine’s Simulation (SIM) Lab at its campus in Bradenton, Fla. LECOM invested $2.5 million in the project to accommodate the dental school’s increasing class size and to equip students with the latest technology for learning.
In total, the lab now consists of 80 simulation units that are ergonomically designed to reduce user fatigue and allow students to see faculty demonstrations more clearly. The expansion of the dental SIM lab is an investment in the training and education of current and future students.
Welcome New FDA Members
Learn more by visiting our virtual Member Center at floridadental.org
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.
Atlantic Coast District Dental Association
Dr. Adam Barbag, Coral Springs
Dr. Xavier Carty, Plantation
Dr. Victor Chen, Davie
Dr. Thomas Dietrich, Fort Pierce
Dr. Aaron Edge, Boston
Dr. Polly Flaxman, Plantation
Dr. Yenny Garrido Coutin, Plantation
Dr. Jessica Gordon, Van Nuys
Dr. Jesus Mendez, Port St. Lucie
Dr. Shaan Paroya, Yardley
Dr. Karla Platzer, Sunrise
Dr. Natalia Sayeg, Miami
Dr. Samantha Silverstein-Maldonado, Tamarac
Dr. Kapil Sirivolu, Wellington
Dr. Jubin Thomas, Miami
Dr. Kathleen Wiernicki, Boca Raton
Central Florida District Dental Association
Dr. Claudine Andujar Ortiz, Sanford
Dr. Christel Capilitan, Irvine
Dr. Tyler Day, Gainesville
Dr. Candice Fischer, Durham
Dr. Isabella Herrero, Ormond Beach
Dr. Chiayun Lan, New Port Richey
Dr. Sophia Mangonon, Maitland
Dr. Cole Murbach, Ocala
Dr. Amanda Orzechowicz, Orlando
Dr. Tim Parke, New Smyrna Beach
Dr. Aleena Parpia, Altamonte Springs
Dr. Diana Rendon Escalante, Saint Cloud
Dr. Laura Rosa Espinosa, Orlando
Dr. Kathleen Sun, Daytona Beach
Dr. Reshma Thomas, Gainesville
Dr. Dylan Wang, Kissimmee
Northeast District
Dental Association
Dr. Amanda Adams, Lake City
Dr. Sarah Asif, Jacksonville
Dr. Aminata Dumbuya, Saint Johns
Dr. Paul Lee, St. Augustine
Dr. Danelys Leyva Chacon, Callahan
Dr. Ravi Patel, Jacksonville
Dr. Nesrin Tulimat, Jacksonville
Dr. Jordin Valenti, St. Augustine
Dr. David Watson, Jacksonville
Dr. Christopher Arias, Inlet Beach
Dr. Roman Fratesi, Pensacola
South Florida District Dental Association
Dr. Ali Alshamali, Davie
Dr. Gerardo Alvarez, Coral Gables
Dr. Mohamed Badwan, Fort Lauderdale
Dr. Dharma Bayron-Vazquez
Dr. Lais Granzoti, Miami
Dr. Austin Jackson, Miami
Dr. Sussell Leon Ramirez, Miami
Dr. Amy Meneses, Key West
Dr. Pedro Miguel Cruz, Davie
Dr. Najwa Naami, Davie
Dr. Gabriela Ortiz Bernard, Miami
Dr. Anirudh Pidugu, Miami
Dr. Belinda Rodriguez, Miami
Dr. Ivette Velazquez Campos, Hialeah
West Coast Dental Association
Dr. Lashunda Collins, Fort Myers
Dr. Maria Cordoba, Tampa
Dr. Blake Crosby, Lakeland
Dr. Carlo Decandia, Tampa
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Where in the World is Today’s FDA?
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Thank you, Dr. Champaka Nagaraju, for taking Today’s FDA to Rome, Italy. This photo was taken in front of the Roman Colosseum during a recent vacation.
Do you have vacation plans year? On your next trip, take a copy of Today’s FDA with you, take a photo and send it to jrunyan@floridadental.org to see it featured in an upcoming issue.
Where will Today’s FDA venture next?
The FDA honors the memory and passing of the following member:
Volunteer today at education.floridadentalconvention.com
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Contact Mackenzie Johnson at mjohnson@floridadental.org or 850.350.7162.
Ft. Lauderdale Died: 8/17/24 Age: 86 in memoriam
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Meet Your Florida Board of Dentistry Members
The Florida Board of Dentistry (BOD) plays a leading role in the state’s ever-changing health care environment. This is accomplished through communications with the public, legislature, dental colleges, the dental community and through taking active roles on national dental organizations.
The BOD consists of 11 members appointed by the governor and confirmed by the Senate. Seven members must be licensed dentists actively engaged in clinical practice; two members must be actively practicing dental hygienists; and two members must be consumers employed in a field or occupation that is not related to the dental profession.
Currently there are two dentist positions open that the governor has not yet filled. If you are interested in serving, please contact Florida Dental Association Chief Legal Officer Casey Stoutamire at cstoutamire@floridadental.org for more information.
Executive Director: Ms. Kelly Rogers
Dentists:
Chair
Dr. Jose Mellado (periodontist) North Miami
Dr. Claudio Miro (general dentist) Miami
Hygiene Members:
Vice Chair
Dr. Nick White (pediatric dentist) Winter Park
Dr. Brad Cherry (oral surgeon) Ponte Vedra Beach
Dr. Tom McCawley (periodontist) Fort Lauderdale
FDA BOD Liaison:
Ms. Karyn Hil Parkland
Ms. Angela Johnson DeLand
Consumer Member:
Mr. Fabio Andrade Weston
Mr. Ben Mirza Plantation
Dr. Steve Hochfelder
Your Guide to the Florida Board of Dentistry
The Florida Board of Dentistry (BOD) was established to ensure that every dentist and dental hygienist practicing in Florida meets minimum requirements for safe practice. The practice of these professions is a privilege granted by the state. The BOD is responsible for licensure, monitoring and ensuring the safe practice of dentists and dental hygienists in their service to the people of Florida. The BOD website can be found at floridasdentistry.gov/.
The BOD offers online resources for accessing applications, forms, statutes, rules and other essential information. Visit floridasdentistry. gov/resources/ to find various items organized under each of the tabs listed below.
BOD Resources
• Forms and Requests
• PDF Applications
• Associations and Organizations
• Florida Statutes & Administrative Codes
• Media and Publications
Helpful Links
• Apply for a license: floridasdentistry.gov/licensing/
• Renew a license: floridasdentistry.gov/renewals/
• Verify a license: mqa-internet. doh.state.fl.us/MQASearchSer vices/Home
• File a complaint: www.florida health.gov/licensing-and-regula tion/enforcement/index.html
BOD Meetings
The BOD meets four times a year in different cities throughout the state. Each BOD meeting is open to the public and attendance is encouraged. The full board meetings include disciplinary cases, licensure approvals, correspondence items, committee reports, policy discussion items and other necessary board actions. All general BOD business meetings commence on Fridays at 7:30 a.m. Committee and council meetings are scheduled as required throughout the year. The board will notice individuals of a required appearance, if necessary. Dates and locations are subject to change.
The next BOD meeting is scheduled for Friday, Nov. 15, at 7:30 a.m. ET in Gainesville.
Please note, there are deadlines associated with each meeting and materials submitted after the deadline will be subject to review and approval by the chair of the board. Please email the board at MQA.Dentistry@ FLHealth.gov for information about submission of materials.
To Receive BOD Emails
You can subscribe to receive an email when new posts are added to the website. Examples of the types of updates provided by the subscription system include changes in the law and board rules, reminders about legal requirements and updates that impact professionals and consumers in the state. Go to floridasdentistry. gov/resources/, scroll to the end of the page where it says “Subscribe & Receive Updates via Email,” enter your email address, then click “subscribe.”
BOD Contact Information
Customer Contact Center
Monday – Friday
8:00 a.m. to 6:00 p.m. ET 850.488.0595
Mailing Address:
Department of Health
Board of Dentistry
4052 Bald Cypress Way Bin C-04 Tallahassee, FL 32399-3258
Board Office
8:00 a.m. to 5:00 p.m. ET 850.245.4474
Fax: 850.921.5389
Applications and Fees ONLY:
Department of Health
Board of Dentistry
P.O. Box 6330
Tallahassee, FL 32314-6330
Office of Veteran Licensure Services
Florida Department of Health
4052 Bald Cypress Way Tallahassee, FL 32399
850.245.4670
Email: OVLS@flhealth.gov
Florida Board of Dentistry From My Perspective
By Florida Dental Association Board of Dentistry Liaison Steve Hochfelder DMD, FACD, FAGD
The Florida Board of Dentistry (BOD) is tasked with regulating the practice of dentistry in Florida and oversees disciplinary proceedings for dentists and hygienists. The BOD also writes/interprets the rules and regulations, as well as enforces the Florida statutes by which dentists and hygienists are governed.
The board has 11 members: seven dentists, two hygienists and two laypersons. It is a sound makeup that works very effectively and efficiently. The board meets four times a year at various locations around the state on a Friday. Going to the BOD website
(Floridasdentistry.gov) can garner meeting times/dates and other relevant information.
I strongly encourage every dental professional to attend a board meeting in your area. They commence promptly at 7:30 a.m. with disciplinary cases. These are eye-opening to me as I listen and watch the proceedings. I have
If you make an error, and we all do, please do the right thing and fix it. Doing so can avoid the long, arduous and expensive process of appearing before the BOD.
the good fortune to sit in the front row next to the FDA’s chief legal counsel, Casey Stoutamire. She is invaluable and provides great information as we discuss the various cases and outcomes. As is said, it is far better to be an observer rather than a participant in a BOD meeting.
If you ever must appear before the board, please get legal representation. That is one thing Casey told me early on, and wow, how true it is. Also, if you appear before the BOD, I would advise you not to argue with the BOD and to answer questions honestly and succinctly. Lastly, a good bit of humility and remorse go a long way in dealing with the BOD. I have observed respondents argue and talk almost incessantly until the board finally shuts them down. It's not a good strategy when they are deciding your fate.
Any indemnity of more than $25,000 paid in a judgement or settlement on behalf of a dentist is subject to disciplinary action by the BOD.
The process itself goes essentially as follows. A patient files a complaint against a dentist/hygienist, and the complaint is investigated. If there is merit to the complaint, the case goes to a probable cause panel. The panel consists of three dentists who decide what the punish-
ment should be. That can range from reprimands, fines and suspensions to revocations of one’s license. Also, if there are deficiencies in treating patients in a subject area such as endodontics or oral surgery, the board will very often mandate that the dentist remediate that specific subject area. There are various levels of remediation ranging from Level 1-3. The more egregious the offense, the higher the level of remediation typically. They often will have the respondent retake the rules/regulations or ethics course they took to obtain their license.
In closing, two key points I would make as a practicing dentist for the past 38 years is that you can never have enough written notes/documentation about patient encounters and having a good relationship/rapport is vital to avoid having a complaint ever filed. If you make an error, and we all do, please do the right thing and fix it. Doing so can avoid the long, arduous and expensive process of appearing before the BOD.
Dr. Steve Hochfelder is the FDA liaison to the Florida BOD and can be reached at shochfelder@bot.floridadental.org.
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BOD
A Q&A With Angie Brown:
Her Journey With the Board of Dentistry
By Former Florida Board of Dentistry Member Ms. Angie Brown
Q. What motivated you to pursue a position on the Board of Dentistry (BOD)?
A. When I first began my career in the dental field, I often saw patients being convinced to undergo unnecessary treatments, which deeply troubled me. I felt a strong responsibility to ensure that the citizens of Florida were safeguarded from financial exploitation in health care. At the same time, I wanted to give back to the profession that had given me so much for the last 30 years.
Q. Please share the process you went through to be elected or appointed to the BOD.
A. Although I was very involved in my profession, it had been years since I attended a BOD meeting. When I was approached by a dentist friend who asked if I would be interested in applying, I told him I needed to attend a few meetings before committing. I loved every minute of every meeting and enthusiastically applied. I reached out to current BOD members, Florida Dental Association members members and the board counsel at the time to enlist their support. By God’s grace, I was appointed in 2013 by former Gov. Rick Scott.
Q. What were some of the key challenges you faced when you first joined the board?
A. The initial challenge I faced when first appointed was the lack of training on the entire process. While I was educated in periodontal treatment and prevention, I knew nothing about parliamentary procedures. Everything you say in those meetings is recorded and attorneys will try to turn your words against you so preparation is critical. Additionally, I experienced some contentious meetings as
I was able to help patients in a way few people get a chance to do — by creating and updating rules and policies that protect them on many levels.
not all BOD members saw eye-to-eye on certain issues. Ultimately, we are there to protect the public and derive our opinions from our past experiences with our patients. We all want to make dentistry safe for the citizens of Florida.
Q. What have been some of your most rewarding experiences as a board member?
A. I was appointed Chair of the Rules Committee by former Board Chair Dr. T.J. Tejera, serving two consecutive terms. I believe my greatest contribution to the BOD was composing and successfully passing the rules on Restorative Expanded Function Duties Assistants. Allowing assistants and hygienists to have restorative functions is a huge asset for our state, especially for children to access needed dental care more quickly.
Q. How has being on the board influenced your perspective on the dental profession?
A. I am very proud of all that I was able to accomplish while serving almost eight years on the board. It certainly made me a better clinician and I fell in love with my profession again. I was able to help patients in a way few people get the chance to do — by creating and updating rules and policies that protect them on many levels.
Ms. Angie Brown is a former BOD member and can be reached at asissine@hotmail.com.
Avoiding BOD Records Violations
By William F. Robinson DDS, FACD, FICD, FPFA
A complete record is your best defense as it will explain to the disciplinary body what procedures you performed and why.
The best way to prevent a Board of Dentistry (BOD) disciplinary case is to make sure your records are sufficient. If something is not entered in the treatment record, it can be interpreted to mean that it did not occur. This is a huge problem for those going before the BOD as respondents. A complete record is your best defense as it will explain to the disciplinary body what procedures you performed and why. While you will most likely never be brought up on disciplinary charges for a records violation alone, almost every BOD disciplinary case that is brought due to an alleged clinical violation has a record rule charge added to the administrative complaint. The dental record shall contain sufficient information to record each patient/dentist in-person or teledentistry encounter, identify the patient, support the diagnosis, identify and justify the treatment and document the course and results of treatment accurately. In addition, the record will be retained for four years.
Too many Florida dentists are being charged by the BOD for violations of the laws and rules regarding records. With fines at $5000 per count, plus other sanctions such as continuing education, auditing and the embarrassment of a public disciplinary record, you need to know it is easy to do it the right way.
A good record includes, at a minimum, the following legal requirements:
• Dentist of record.
• Current medical-dental history.
• Examination results including periodontal measurement’s status, angle ortho classification.
• Tests conducted and results.
• X-rays, CT scans, if taken.
• Identification of pathology or disease.
• Treatment plan and diagnosis.
• Treatment rendered.
• Dentogram or listing of existing conditions.
• Informed consent.
• Treatment plan and treatment rendered.
More about RECORDS - owner of the practice owns the records:
• Dentist of record is the provider of treatment and signed by a dentist, hygienist or dental assistant. If not signed, the owner is fully responsible for any malpractice.
• Multi-dentist office — must be signed by the provider of treatment.
• Copies must be provided to the patient when requested 30 days after signed release — may charge exact cost of copies.
• Must keep records for four years minimum.
• Records for anesthesia permit holders and specialty practitioners have additional requirements to be followed.
THE RECORDS MUST JUSTIFY THE COURSE OF TREATMENT. THIS IS THE CARDINAL RULE OF RECORD KEEPING.
William F. Robinson DDS, FACD, FICD, FPFA served on the BOD for two terms and on the Probable Cause Panel for 15 years. He was a consultant to department of health, BOD, agency for health care administration, academy of general denistry and department of business and professional regulation. Dr. Robinson can be reached at WmFRobinsonDDS1984@ outlook.com
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Navigating the Complaint Process
By Dylan Rivers, Ausley McMullen Law Firm
Dealing with a complaint against your dental license is something no one anticipates, but it’s a reality that all licensed professionals, including dentists, may face. However, things can happen and dentists (like other professionals who are licensed by the state) are subject to the disciplinary authority of a professional regulatory board, which is the Board of Dentistry (BOD) within the Department of Health.
The process begins with a complaint being submitted (which can be done anonymously), and assuming the complaint is legally sufficient, an investigation is opened. To be legally sufficient, a complaint must allege facts that, if true, would constitute a violation of a statute or rule which the Board is charged with enforcing. The dentist who is the subject of the complaint will be notified of the complaint and given an opportunity to respond to the allegations. This can be done through an attorney. While this article is not intended to provide legal advice, it is strongly recommended that anyone who is the subject of a complaint should consider hiring an attorney for their protection and security.
The investigative stage is informal, and is essentially just information gathering. In addition to the dentist who is the subject of the complaint, statements may be taken from other witnesses or persons with knowledge, and documents or other records may be gathered. Consultants are often asked to review the evidence and give an opinion on certain matters, especially where there are questions about clinical decisions or standard of care issues.
When an investigation is complete, an investigative report is prepared for the probable cause panel of the Board. The report may be accompanied by a recommendation for the probable cause panel to consider. A complaint may be dismissed where there is insufficient evidence of a violation. A notice of noncompliance may be issued (without further action) for certain designated “minor violations,” but only for an initial offense. In other words, you only get one notice of noncompliance. In all other cases, the probable cause panel will take up a complaint.
Members of the probable cause panel are appointed by the board chair. There are three members of the panel, two of which must be licensed dentists. A finding of probable cause must be by majority vote. Where only
two members are present (the minimum for a quorum), both must vote for a finding of probable cause.
If probable cause is found, an Administrative Complaint will be filed against the dentist. This begins a more formal administrative proceeding in which evidence is presented and the dentist can challenge the allegations and or the discipline sought to be imposed against him or her. The administrative hearing process is beyond the scope of this article, but it is a legal proceeding that results in a decision reflected in a Final Order.
Importantly, unless and until probable cause is found, a complaint and the investigation remain confidential and not subject to public disclosure. This underscores the importance of having legal counsel involved early and working towards a resolution that avoids the filing of an administrative complaint, which is a public record. If probable cause is not found and an administrative complaint is not filed, the matter is not public.
Dylan Rivers is a partner at Ausley McMullen and can be reached at Drivers@ausley.com.
The Dentist's Guide to Peer Review
The Peer Review program is designed to help Florida Dental Association member dentists avoid costly legal fees, malpractice suits and Board of Dentistry complaints.
Are you taking advantage of this free and confidential member benefit?
HOW PEER REVIEW WORKS
Patient calls the Florida Dental Association with a concern.
FDA staff determine if the situation falls under the duties of peer review and can start the paperwork.
FDA staff tries to resolve situation. If unsuccessful, the case is sent to the peer review chair (volunteer dentist) in the area near the patient.
The peer review chair calls the patient to discuss the issue.
The peer review chair then calls the dentist to discuss the issue and see if the dentist is willing to settle by refunding all or some of the fee.
If not in agreement, the chair convenes a peer review panel and collects information from the dentist who treated the patient.
If there is an agreement, the peer review chair negotiates a settlement to which the patient and dentist both agree.
The FDA notifies the patient of the proceeding’s outcome.
WHAT IS PEER REVIEW?
The Florida Dental Association’s (FDA) Peer Review program is an incredible member benefit. It is designed to assist members with resolution of patient disputes before they become lawsuits or complaints to the Board of Dentistry. The process can be initiated by a patient or an FDA member dentist.
HOW DOES PEER REVIEW WORK?
FDA’s peer review coordinator, Lywanda Tucker, works with patients and dentists to negotiate a compromise when there are differences in opinion about the care provided. If she is unable to successfully find a compromise, Lywanda will refer the case to the appropriate component peer review chair (a volunteer dentist) for additional mediation or a formal review.
WHAT IS NOT ELIGIBLE FOR PEER REVIEW?
Only cases involving problems with actual dental treatment and procedures are eligible for mediation. Cases not eligible for peer review include: those already in malpractice litigation; those already being investigated by the Board of Dentistry; disputes about dental fees only; treatment that occurred more than 12 months before the patient’s last appointment; and cases involving nonmember dentists.
WHY IS PEER REVIEW HELPFUL?
FDA’s Peer Review Program:
• Maintains high dental standards.
• Aids in mediation efforts.
• Meets the needs of the public regarding
• the quality and appropriateness of dental care.
• Assists parties in avoiding litigation.
Section 466.022(1), Florida Statutes, states (among other things) that “a professional organization or association of dentists which sponsors, sanctions, or otherwise operates or participates in peer review activities is hereby afforded the same privileges and immunities afforded to any member of a duly constituted medical review committee by s. 766.101(3).”
Section 766.101(3)(a), Florida Statutes, provides that “[t]here shall be no monetary liability on the part of, and no cause of action for damages shall arise against, any member of a duly appointed medical review committee, or any health care provider furnishing any information, including information concerning the prescribing of substances listed in s. 893.03(2), to such committee, or any person, including any person acting as a witness, incident reporter to, or investigator for, a medical review committee, for any act or proceeding undertaken or performed within the scope of the functions of any such committee if the committee member or health care provider acts without intentional fraud.” These statutory protections are intended to encourage good faith participation in the peer review process without fear of liability.
However, it is important to remember that records generated in the peer review process may be subject to disclosure in response to a subpoena or other legal process, and the original records (patient’s chart and dental records) and underlying facts of a matter submitted to peer review are almost always discoverable.
Avoid costly legal fees, malpractice suits and Board of Dentistry complaints by using this free service exclusively for members. Learn more online at FloridaDental.org/PeerReview or by contacting
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Visit floridadental.org/online-ce for this FREE, MEMBERS-ONLY BENEFIT. You will be given the opportunity to review the “Diagnostic Discussion” and its accompanying photos. Answer five multiple choice questions to earn one hour of CE. Contact the FDA at ce@floridadental.org or 850.350.7103.
Building Your Online Presence: A Guide for Managing Online Communication
By Moore Account Executive Jared Sparrell
In the digital age, managing an online presence is essential for attracting new patients and highlighting positive patient experiences and successes. Patients increasingly rely on online reviews, social media interactions and community engagement when choosing a health care provider. However, with this comes the challenge of dealing with negative comments and reviews.
How you manage your online community, especially negative feedback, can influence your practice’s reputation and patient retention. The following are recommendations to help you navigate these situations effectively.
Foster a Positive Online Community
Your first focus should be building a positive, engaged online community. A thriving community where patients feel valued can help buffer the effects of occasional negative comments or reviews.
• Encourage Engagement: Encourage satisfied patients to share their experience by posting a review on Google or Yelp. You can also use your social media pages to post valuable content such as oral hygiene tips, new treatments or behind-the-scenes information about your practice.
• Respond to Positive Feedback: Always respond to positive comments and reviews — even with a simple “thank you” or “you’re welcome!”
• Showcase Testimonials: Feature positive reviews on your website and social media pages.
Stay Professional and Calm When Addressing
Negative Comments or Reviews
When you encounter negative comments or reviews, your immediate reaction may be defensive or emotional. It’s important to remain calm and professional when these situations arise. Responding with patience and empathy will reflect positively on your practice, even to those who are simply observing the interaction.
• Reiterate Your Commitment and Avoid Public Arguments: In negative situations, it’s essential to ensure your commitment to care is reiterated online. You can respond, “Our practice is committed to providing the highest standard of care and a safe environment to all patients,” and add, “We invite you to contact us to discuss your experience further.” This will move the conversation offline and avoid escalating the situation.
• Be Empathetic: Sometimes, patients want to feel heard. Expressing empathy can help defuse a situation. In certain situations, you can respond with, “We understand that dental visits can be stressful, and we appreciate you bringing this to our attention.”
Respond Quickly and Appropriately
Timing is critical when managing online feedback. A quick, thoughtful response can show that you care about your patients’ opinions.
• Monitor Reviews Regularly: Set up alerts for new reviews so that you can respond quickly. Google, Facebook and Yelp all offer notification services.
• Respond Within 24-48 Hours: A prompt response shows you’re attentive and take concerns seriously.
Report Fake or Malicious Reviews
Not all negative reviews are legitimate. If you feel that a negative review is fabricated or being duplicated in a coordinated effort, it’s important to report the review.
• Understand the Platform’s Guidelines: Each review platform has its guidelines for reporting false reviews. Know when you can request removal.
• Know When to Hide or Remove Comments: Hide or remove comments with inappropriate language, threats, HIPAA compromises (such as photos where individuals’ faces are shared without consent) or negative mentions of a specific doctor.
• Provide Evidence: When reporting a fake review, provide as much evidence as possible to prove its illegitimacy. This could include a statement that the reviewer was never a patient.
Have a Review Management Strategy
Proactively managing reviews is easier with a clear strategy. Outline how you and your staff will handle both positive and negative feedback.
• Create a Template for Responses: A standard template for responding to reviews can save time and ensure consistency. However, avoid sounding robotic by personalizing each response as appropriate.
• Plan for Sensitive Situations: Identify potentially sensitive questions or comments and determine the best course of response. This may include patient complaints and questions on cost, billing or office policies. In some cases, your legal team may want to provide input. Planning for potential scenarios in advance will help you address them more quickly and effectively.
• Train Your Staff: Ensure your team is on the same page about how to handle reviews. This includes knowing who is responsible for monitoring platforms and responding to feedback.
Managing an online community for your dental practice requires patience, strategy and professionalism. By responding quickly and appropriately to negative comments, encouraging positive feedback and addressing legitimate concerns, you can protect your practice’s reputation and build trust with current and future patients. Embrace feedback, both positive and negative, as an opportunity to grow. By implementing these strategies, you can help ensure that your online communities and reviews reflect the professionalism and care patients experience in your office.
Tools to Help Manage Your Online Presence
These resources can help manage your online community, depending on the social platform(s) you use:
• TweetDeck (X Premium Accounts)
• Facebook Business Manager (Facebook and Instagram)
• Hootsuite (LinkedIn)
Jared Sparrell is an account executive at the Moore Agency and can be reached at JaredS@themooreagency.com.
FLORIDA DENTAL CHATTER
This Facebook group is designed for dentists to interact with other members, receive the latest updates and information, and engage with FDA leaders and sta across the country. This is the place to be in the know!
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Laser Dentistry: State of the Art 2025
By Robert A. Convissar, D.D.S., F.A.G.D.
Once treated exclusively by otolaryngologists and oral and maxillofacial surgeons, lasers now make airway treatment a simple procedure that takes just a few minutes – with no analgesia necessary.
When lasers first burst onto the scene in 1990, many dentists derided the devices as “instruments looking for a use.” The first devices had few indications for use, and most initial adopters poorly understood the physics behind their use. Erbium-type lasers initially had Food and Drug Administration (F.D.A.) clearance only for enamel and dentin treatment 1 . Soft tissue surgery and sulcular debridement were not F.D.A. cleared until a few years later 2, and osseous resection was not F.D.A. cleared until five years after Erbium’s initial enamel/dentin clearance 3 . Other wavelengths, notably diodes, Nd.YAGs and CO2s were advertised as the best way to treat periodontal disease, with research showing that these devices were bactericidal 4-5, with little to no research showing their ability to treat long-term periodontal disease effectively. All of that has changed. These devices are now important additions to the dental armamentarium, with a great deal of peer-reviewed literature to back up many manufacturer’s claims of efficacy.
As dentistry constantly evolves and the line between medicine and dentistry becomes more fluid, lasers have been shown to be vital instruments in modern dental practice. A list of the procedures performed by general practitioners (as well as specialists) throughout the United States and worldwide includes pro-
Fig. 1: Preoperative view of soft palate and uvula and 5 day postoperative view after non-ablative treatment of the airway. Note the increased volume of the airway after treatment. Photos courtesy of DEKA lasers.
cedures that years ago were entirely within the province of physicians but are now performed daily in dental offices and clinics. These procedures include:
1. Airway treatment. It is estimated that 936 million people worldwide between the ages of 30 and 69 suffer from obstructive sleep apnea (OSA) 6. Once treated exclusively by otolaryngologists and oral and maxillofacial surgeons, lasers now make airway treatment a simple procedure that takes just a few minutes –with no analgesia necessary. Using a non-ablative (non-cutting) technique, lasers can be used to decrease tongue and soft palate size, increasing airway volume. Please see Fig. 1 on page 46.
2. Facial esthetics. Dentists have used Restylane ®, Juvederm®, Botox® and other similar materials for years. With new facial esthetic handpieces for dental lasers, many dentists are now adding facial cosmetic procedures to their practices. These new handpieces perform “laser face lifts” quickly, easily and painlessly. Please see Fig. 2.
3. Neonatal Dentistry. Performing surgical procedures on one-weekold infants is something that most dentists are not exposed to during their training. Procedures such as the PEEL Technique Infant Tongue Tie Release® have revolutionized neonatal dentistry. Dentists are now treating newborn
Fig. 2: Preoperative and postoperative view of laser cosmetic facial procedure. Photo courtesy of DEKA lasers.
Fig. 3: Preoperative view of an infant with a tongue tie.
Fig. 4: Immediate postoperative view of infant after laser ankyloglossia release.
Fig. 5: PBM Laser being used on the wrist to deactivate the gag reflex.
Fig. 6: PBM laser being used for TMJ treatment.
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babies who cannot successfully latch onto their mother’s breast during breastfeeding. Dentists who perform this life-changing procedure describe this as the most rewarding procedure any dentist could perform. Please see Fig. 3 and Fig. 4 on page 47.
4. Photobiomodulation (PBM) Lasers. Though photobiomodulation devices were invented in 1965, their use in dentistry was relatively uncommon until recently. PBM lasers, previously called low-level lasers, cold lasers, therapeutic lasers, soft lasers and many other names, have a multitude of uses in dentistry, including the elimination of the gag reflex (in patients with heightened gag reflexes, young children when orthodontic study models are made, etc.)7. Other uses include analgesia for operative dentistry on deciduous teeth 8; temporomandibular joint treatment (9) and many other uses. Please see Fig. 5 and Fig. 6 on page 47.
All of these procedures, along with more established procedures, such as laser periimplantitis treatment, which is well established in the literature 10-11; crown lengthening; simple soft tissue biopsy; laser assisted new attachment procedure; frenectomy; gingivectomy; treatment of aphthous ulcers; palliation of lichen planus
and many other oral dermatopathologies; pericorinitis; orthodontically and drug induced gingival hyperplasia; creation of an ideal golden proportion during cosmetic reconstruction of the anterior teeth; and so many other procedures make dental lasers vitally essential tools that should be at every dentist’s disposal.
References:
1. Sulewski, J.D.: Historical Survey of Laser Dentistry Dent. Clin. N. America 44 (4) 717-752, 2000
2. Convissar, R Principles and Practice of Laser Dentistry, 1stEdition, Elsevier, St. Louis, 2011
3. Convissar, R. Principles and Practice of Laser Dentistry 3rdEdition Elsevier, St. louis, 2023
4. Moritz A; Gutknecht, N; Doertbudak, K;et. al. Bacterial Reduction in Periodontal Pockets Through Irradiation With A Diode Laser: A Pilot Journal of Clinical Laser Medicine & Surgery 1997 15:1, 33-37
5. Ferreira, Cimara Fortes, et al. “Assessment of the Effect of CO 2 Laser Irradiation on the Reduction of Bacteria Seeded on Commercially Available Sandblasted Acid-Etched Titanium Dental Implants: An In Vitro Study.” International Journal of Oral & Maxillofacial Implants 30.3 (2015).
6. Correra, L and Acosta-Torres, L The Evolving Field of Dental Sleep Medicine Dent. Clinn N. America 68 (2024) 429-441
7. Sari, E., Sari, T. The role of acupuncture in the treatment of orthodontic patients with a gagging reflex: a pilot study. Br Dent J 208, E19 (2010).
8. Ross G, Ross A. Low level lasers in dentistry.
9. General Dentistry. 2008 Nov-Dec; 56(7):629634.
10. Tunér, Jan, Sepanta Hosseinpour, and Reza Fekrazad. “Photobiomodulation in temporomandibular disorders.” Photobiomodulation, Photomedicine, and Laser Surgery 37.12 (2019): 826-836
11. Deppe, Herbert, et al. “Peri-implant care of ailing implants with the carbon dioxide laser.” International Journal of Oral & Maxillofacial Implants 16.5 (2001).
12. Deppe, Herbert, Hans-Henning Horch, and Andreas Neff. “Conventional Versus CO 2 Laser-Assisted Treatment of Peri-implant Defects with the Concomitant Use of Pure-Phase β-Tricalcium Phosphate: A 5-year Clinical Report.” International Journal of Oral & Maxillofacial Implants 22.1 (2007).
Dr. Robert Convissar will present a twoday mini-residency on laser dentistry at the 2025 Florida Dental Convention. Course details will be available in November at floridadentalconvention.com Registration opens March 1, 2025.
Dr. Robert Convissar earned his dental degree from New York University College of Dentistry. Dr. Convissar is the only dentist worldwide who has received diplomate status from the American Board of Laser Surgery; fellowships in both the American Society of Laser Medicine and Surgery and Academy of General Dentistry and Mastership in the Academy of Laser Dentistry. He is a professor at the University of Genoa's master's degree program in laser dentistry. His textbook, “Principles and Practice of Laser Dentistry,” now in its third edition, is the standard textbook for master’s degree programs in laser dentistry worldwide. He can be reached at laserbobdds@gmail.com.
Community Water Fluoridation
By Wade Winker, DDS
On Monday, June 10, nestled next to other communities in Central Florida that have fluoridation in the community water, Leesburg, voted to initiate fluoridation. The Leesburg City Commission voted five-zero to order and install equipment.
After a piece of equipment failed in 2004, city staff decided not to continue fluoridation without a vote by the city commission. Like other communities we are all too aware of, this horse rode off into the sunset without the community knowing.
According to Dr. Chris Wollenschlaeger, “My father, Dr. David Wollenschlaeger, and I noticed an increase in E-1 and E-2 caries at the completion of orthodontic treatment. We knew something wasn’t right and set out to get to the bottom of it.”
Dr. Dave sniffed out a problem, went to Consumer Confidence Reports, and discovered that fluoridation was no longer occurring. This set off an effort to get fluoridation reinstated by several local dentists.
We must constantly remind them of the benefits, effectiveness, and the necessity for preventive measures.
Their passion for protecting Leesburg residents was evident at every step of the process.
The Leesburg dentists had a challenge as the reinstatement of fluoridation stalled. However, through the efforts of Drs. Dave and Chris Wollenschlaeger (Chris is the current affiliate president), Wade Winker, Summer Young, Don Ilkka, Alan Hays and Johnny Johnson, organized dentistry prevailed. Their preparation and execution of testimony sealed the previously uncertain deal at the meeting and what appeared to be a slim margin of a possible three-two vote turned into a unanimous victory. Through their education of the community and the council, two commissioners who were opposed to it and one who was on the fence changed their votes. Dr. Young offered, “This shows the importance of dentists having good relationships and open communication with elected officials and staff. We must constantly remind them of the benefits, effectiveness, and the necessity for preventive measures.” The water department reported that getting the system up and running will take six months.
The local dentists’ approach was:
• Individual discussion with each commissioner, listening to their positions, answering their questions and educating them about the health benefits to the community.
• Divide and conquer the many factors involved with fluoridation at the meeting as each speaker had only three minutes to present.
We split this complicated matter into history and safety, a quick biology/chemistry lesson on how fluoride works particularly with developing teeth, benefit to all residents, return on investment and the lack of side effects. The commissioners shared that many of their constituents thought Leesburg already had fluoride in the water and were shocked when they found out they didn’t.
Leesburg City Commissioner and Former Mayor Mike Pederson said, “The dentists presented well-organized, concise and convincing information and arguments to the commissioners. Their passion for protecting Leesburg residents was evident at every step of the process. I am proud to represent the people of Leesburg, and I am very proud that my fellow commissioners did the right thing.” Leesburg Mayor Jimmy Burry, a licensed pharmacist, was instrumental in fighting for the cause as he fully understands the benefits of fluoridated water.
All dentists involved agreed that the unanimous decision is our equivalent of winning the Super Bowl! “Generations of Leesburg residents will benefit from the efforts of organized dentistry to always put the best interest of our patients first,” exclaimed Dr. Ilkka.
Dr. Wade Winker is a general dentist in Eustis and can be reached at wgw2thdr@aol.com.
Dental Lifeline Network’s Donated Dental Services Program Saves the Life of Cancer Patient
By Dental Lifeline Network • Florida
Dental Lifeline Network’s (DLN)
Donated Dental Services (DDS) program saves the lives of individuals like Bill, 49, who lives in Hernando County with his fiancé. In 2022, Bill’s life changed forever when he was diagnosed with testicular cancer. He immediately had surgery to remove his left testicle and started chemotherapy. However, after completing the first round of chemotherapy, he came down with neutropenic fever. This medical emergency occurs when a patient with a low white blood cell count is exposed to an infection and he was hospitalized. The Moffitt Cancer Center found that his fever was caused by extensive dental disease, and his cancer treatment had to be put on hold until all his remaining teeth could be extracted.
Before being diagnosed with cancer in 2022, Bill worked in construction for 30 years, leaving him without insurance and unable to receive unemployment benefits at the time of the diagnosis. Although he applied for Social Security Disability Insurance benefits, he had not heard back and had been denied Medicaid. Bill
Bill B. smiles after his dental treatment.
Don’t wait! Sign up to be a volunteer by scanning the QR code or visit WhyIDental.org and you can transform the lives of individuals in need of life-saving dental care.
loves being a stepfather and wants to see all his stepchildren grow up, but a lack of resources and having to get all his teeth pulled left Bill feeling hopeless. In despair, he was left wondering if he could get the dental care needed to resume his vital cancer treatment.
DDS Volunteers Make a Difference
Thankfully, a team of caring DDS volunteers came quickly to the rescue. The Moffitt Cancer Center referred Bill to the DDS program, and he was matched with an oral surgeon, Dr. James Green, to help. Dr. Green completed 15 extractions and alveoplasty in four quads, which reshaped Bill’s jawbone where his teeth were extracted. While Bill healed from his extractions, he resumed cancer treatment and was matched with Dr.
Caroline Truong, a volunteer dentist who took on the case and worked diligently to fabricate a set of dentures for him. A volunteer dental lab donated the denture set.
Thanks to the kindness and efforts of these DDS volunteers, Bill was able to complete his chemotherapy treatments!
“As my life seemed to take a turn for the worse, I had these angels step in. They made it possible for me to smile again when I thought that would be impossible. When I came home with my new teeth, my little eight-year-old girl had the biggest smile on her face,” said Bill. “I am so glad there was this program to help me. I cannot thank them enough for the kindness and compassion they have shown me through everything.”
Dental
Lifeline Network’s Vision and How You Can Help DLN has a simple vision: ensure all
vulnerable adults have access to life-changing dental care. For 50 years, DLN has worked to make this a reality nationally and in Florida for more than 25 years through a network of compassionate volunteer dentists and labs. This dedicated group of volunteers provides essential oral health care to those who need it most. Dental Lifeline Network • Florida’s DDS program has connected more than 2,200 Floridians in need with critical dental treatments, reaching more than $11.5 million in donated services.
Volunteering with DLN makes you a beacon of hope for patients like Bill. You’re not just restoring smiles; you’re creating brighter futures. Hundreds of patients in Florida are currently awaiting essential dental care that could transform their lives. Learn how easy it is to change lives with DLN and sign up to volunteer today by visiting WhyIdental.org.
Dr. James Green
Diagnostic Quiz
By Hisham Alshuaibi* BDS, Nadim M. Islam, DDS, Indraneel Bhattacharyya, DDS and Sam Sumita, DDS
A 14-year-old male was referred to oral surgeon Dr. Eli Oppenheimer in Aventura, for evaluation of an unusual nodule on the tongue. Clinical evaluation revealed a well-defined, approximately 1 cm yellow mass on the dorsal tongue. The overlying mucosa was non-ulcerated and the patient was asymptomatic. The patient’s medical history was non-contributory. Dr. Oppenheimer performed an excisional biopsy and the tissue was submitted to the University of Florida College of Dentistry Oral & Maxillofacial Biopsy Service for microscopic evaluation.
Question:
Based on the given history and clinical photo, what is the most likely diagnosis?
A. Neurofibroma
B. Osseous choristoma
C. Lymphangioma
D. Lipoma
E. Granular cell tumor
Fig.1: Solitary, yellow submucosal mass on the anterior dorsal tongue.
diagnostic discussion
A. Neurofibroma
Incorrect. Neurofibroma is the most common benign tumor of peripheral nerve sheath origin. It can be solitary or associated with neurofibromatosis type 1 (NF-1), which is an inherited syndrome that presents with multiple lesions and other signs and symptoms. Clinically, neurofibroma presents as a slow-growing, smooth-surfaced, pink soft tissue mass. This tumor most commonly occurs on the tongue, followed by buccal mucosa and the lip. Patients are typically asymptomatic. Neurofibroma is most common in younger adults and carries a female predilection. Microscopically, neurofibroma usually presents as a well-circumscribed mass composed of interlacing bundles of spindle-shaped cells within a myxoid or delicate collagenous stroma. Treatment involves conservative surgical excision and a low recurrence rate is appreciated. On the other hand, neurofibromas associated with NF-1 carry a 2-6% risk of malignant transformation. The vast majority of oral neurofibromas, however, are solitary and unrelated to NF-1. In the current case, while neurofibroma is a reasonable differential for a nodular tongue mass, the yellow hue is unusual. In addition, the histologic features of the current case are not compatible with neurofibroma.
B. Osseous choristoma
Incorrect. A choristoma is normal developmental tissue found in an abnormal location. Osseous choristomas are benign, tumor-like growths of mature bone tissue most commonly seen on the tongue. Nearly 85% of cases occur in this location. Sometimes, cartilage is seen instead of bone, and this is referred to as a cartilaginous choristoma. An osseous choristoma presents as a hard, well-circumscribed nodule, surfaced by normal mucosa. This tumor-like mass is usually found on the posterior aspect of the tongue near the foramen cecum. They are most commonly diagnosed in young adults with a slight female predilection. While the current case presents with a nodule on the dorsal tongue, choristomas are usually more posterior and appear pink. In addition, the mass will feel distinctly firm upon palpation. Histologically, osseous choristomas consist of mature lamellar bone surrounded by a fibrous capsule, often with marrow elements. Osseous choristomas are treated with surgical excision, and recurrence is unlikely.
C. Lymphangioma
Incorrect. Lymphangiomas are uncommon, benign, tumor-like growths of the lymphatic vessels. They represent a developmental anomaly of the lymphatic system and are diagnosed at birth and early childhood (90% by age two). Lymphatic malformations have marked predilection for the head and neck (50-75% of cases). A cervical lymphangioma may appear as a large, fluctuant mass and may cause respiratory distress when the anterior triangle is involved. In the oral cavity, the anterior twothirds of the tongue is the most common site, followed by the palate, buccal mucosa, gingiva and lips. When observed on the tongue, the malformation often results in macroglossia. This may result in speech difficulties, poor oral hygiene and trauma to the affected tissue. On the tongue, lymphangiomas appear as clusters of clear, yellow and pink translucent vesicles. The pebbly surface resembles tapioca pudding or clusters of frog eggs. In some instances, hemorrhage into the lymphatic spaces results in a red, blue or purple color. Deeper lesions manifest as soft, diffuse masses, with minimal color changes. The current case exhibits a yellow, well-defined nodule, an unlikely presentation of a lymphatic malformation. Treatment of lymphangioma depends on the size and extent of infiltration into the surrounding tissues and the involvement of anatomical structures. Treatment modalities include surgical excision, cryotherapy, electrocautery, laser surgery, sclerotherapy, administration of steroids and coblation. The prognosis is favorable for oral lymphangiomas, though large cervical lymphangiomas may cause life-threatening airway obstruction.
D. Lipoma
Incorrect. Lipomas are benign soft tissue tumors that contain adipose tissue. They are slow-growing, painless and have a soft and “squishy” feel on palpation. These tumors are commonly found in patients above 40 years of age and do not have a gender preference. Lipomas are one of the most common mesenchymal tumors and are seen most frequently on the trunk and the extremities. It uncommonly occurs in the oral cavity and represents 1%-5% of benign tumors in this location. In the oral cavity, lipomas are most commonly seen on the buccal mucosa or buccal vestibule. Lipomas are usually under 3 cm in size, though some may grow larger. Clinically, lipomas
appear as submucosal masses that are sessile or pedunculated with smooth surfaces. The surface may appear pink in color, though a yellow hue is noted frequently. In the present case, while a lipoma is an acceptable differential, it is unlikely to see a lipoma in a young patient. In addition, the tongue is not a common location. Lipomas are treated with conservative excision, and recurrence is unlikely.
E. Granular cell tumor
Correct! Granular cell tumor (GCT) is a benign soft tissue tumor that is thought to arise from Schwann cells. Intraorally, it shows a strong predilection for the tongue; nearly half of all tumors occur in this location. The dorsal surface is affected most frequently. After the tongue, the buccal mucosa is the second most common site. Most cases of GCT occur in the fourth-sixth decade of life. Clinically, the tumor appears as a solitary, pink to yellow mass. Most examples are under 2 cm in diameter. The lesion is typically asymptomatic. In the current case, though the patient is young, the clinical appearance and location are highly suggestive of GCT (Fig. 1). Microscopically, GCT consists of sheets of large polygonal cells containing a distinctly granular, somewhat basophilic cytoplasm with small, rounded nuclei. They are arranged in a syncytium with indistinct cell outlines (Fig. 2). The granular cells tend to be infiltrative and involve subjacent tissues including fat or skeletal muscle. Notably, GCT may exhibit prominent pseudoepitheliomatous hyperplasia of the surface epithelium that may mimic squamous cell carcinoma histologically. However, the lack of cytologic atypia helps pathologists distinguish GCT from a malignancy. In addition to routine H&E stains, immunohistochemical stains can support the diagnosis of GCT. Immunohistochemistry (IHC) employs the use of antibodies that are specific for particular markers (antigens). These antibodies are paired with a special dye that will react with the tissue if the marker is present. The reaction causes the tissue to exhibit a colored stain, highlighting the presence of the antigen. In the current case, S-100, which is a marker for neural differentiation, appears floridly positive in GCT (Fig. 3). This further confirms the diagnosis of GCT. The prognosis of GCT is excellent; the tumor is treated by conservative surgical excision and recurrence is unlikely.
Fig. 2: Examination reveals surface epithelium (orange arrow) overlying a proliferation of granular appearing polygonal cells (blue arrows). Skeletal muscle is seen to the right of the arrows. (H&E, 2x).
Fig. 3: Higher power image exhibits granular cells with indistinct outlines (blue arrows) infiltrating skeletal muscle (green arrows). (H&E, 20x).
Fig. 4: A positive IHC stain for S100 is observed. The granular cells exhibit diffuse positivity (brown pigmentation) in the connective tissue stroma. (S100, 10x).
diagnostic discussion
References:
1. Campos MS, Fontes A, Marocchio LS, Nunes FD, de Sousa SC. Clinicopathologic and immunohistochemical features of oral neurofibroma. Acta Odontol Scand. 2012;70:577-582.
2. Marocchio LS, Oliveira DT, Pereira MC, Soares CT, Fleury RN. Sporadic and multiple neurofibromas in the head and neck region: a retrospective study of 33 years. Clin Oral Investig. 2007;11:165-169.
3. Gorini E, Mullace M, Migliorini L, Mevio E. Osseous choristoma of the tongue: a review of etiopathogenesis. Case Rep Otolaryngol. 2014;2014:373104.
4. Naruse T, Yanamoto S, Yamada S, et al. Lipomas of the oral cavity: clinicopathological and immunohistochemical study of 24 cases and review of the literature. Indian J Otolaryngol Head Neck Surg. 2015;67(Suppl 1):67-73.
6. van de Loo S, Thunnissen E, Postmus P, van der Waal I. Granular cell tumor of the oral cavity; a case series including a case of metachronous occurrence in the tongue and the lung. Med Oral Patol Oral Cir Bucal. 2015;20(1)
Diagnostic Discussion is contributed by University of Florida College of Dentistry professors and Drs. Indraneel Bhattacharyya, Nadim Islam and Sumita Sam who provide insight and feedback on common, important, new and challenging oral diseases.
The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 16,000 specimens the service receives annually from all over the United States.
Clinicians are invited to submit cases from their practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter.
Conflict of Interest Disclosure: None reported for Drs. Bhattacharyya, Islam and Sam.
* Resident, Oral & Maxillofacial Pathology
Drs. Bhattacharyya, Islam and Sam can be reached at oralpath@dental.ufl.edu.
The Florida Dental Association is an American Dental Association (ADA) CERP Recognized Provider. ADA CERP is a service of the ADA to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a continuing education provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp.
Dr. Bhattacharyya
Dr. Islam
Dr. Sam
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Full Time Dentist
Tallahassee Area
We are seeking a skilled and compassionate General Dentist to join our team in Tallahassee Metro, FL. The ideal candidate will have a strong commitment to providing high-quality dental care and possess a
comprehensive skill set in various dental procedures. Rural community benefiting from all aspects of dental care. Although specialist referral is advised depending on GP skillset, There is a robust practice opportunity for those who enjoy endo and basic oral surgery. Removal prosthetics, implant restoration, and crown/bridge are the primary needs for the patient population. The area is know for its outdoor activities such as kayaking, fishing, golf, and equestrian. There are also many kid-friendly activities as well. You can also find many great restaurants, shopping, and nightlife nearby. Benefits: Competitive Compensation; 401K; CE Courses; Key Responsibilities: Diagnose and treat oral health conditions, including diseases, injuries, and malformations of teeth and gums. Perform routine dental procedures such as cleanings, fillings, extractions, and root canals. Design and fit dental prosthetics, including dentures, crowns, and bridges. Conduct comprehensive patient examinations, including the use of X-rays and other diagnostic equipment. Educate patients on oral hygiene practices and preventive dental care. Develop treatment plans for patients and coordinate with dental hygienists and assistants. Maintain accurate patient records and comply with all state and federal regulations. Stay updated on the latest developments in dental technology and techniques. Required Skills: Proficiency in general dentistry
procedures, including restorative, prosthetic, and preventive care. Strong diagnostic skills and the ability to develop effective treatment plans. Excellent manual dexterity and attention to detail. Strong communication and interpersonal skills to effectively interact with patients and staff. Knowledge of dental software and electronic health records. Ability to work independently and as part of a team in a fast-paced environment. Qualifications: DS or DMD degree from an accredited dental school. Valid state dental license in Florida. Other certifications as required by state to include- CPR, DEA, etc. Preferred Skills: Experience with dental implants and advanced restorative procedures. Knowledge of sedation dentistry techniques. Proficiency in the use of dental lasers and other advanced dental technology. We provide our team members with great support and resources so our providers can deliver superior care with clinical autonomy in a collaborative, patient-centric environment. BLS. DDS/DMD from accredited US dental school OR completion of 2-year International Dental Program (US) for foreign grads. Active Florida License. Active DEA license. Visit careers.floridadental.org/ jobs/20417735/.
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off the cusp
Spiderman. That Was All I Had Left
By Hugh Wunderlich, DDS, CDE, FDA Editor
Normally, I complete my morning ritual with a pair of clean underwear. Normally, my underwear is in the second drawer from the top. Normally, it would be brimming with briefs. But today was not normal. My left hand joined my right hand in the second drawer from the top as both hands fumbled frantically in every corner of the dark drawer, confirming my fear — no clean underwear. But wait — one lone, clean pair, given as a gag, emerged. My silken prize soon would take to the streets — a noble crime fighter, to be sure, but not for a 67-year-old dentist. Oh well, it was “go Spiderman” or “go commando.” I chose the web-slinger. (Try to fight off the visual as I make my point.)
It’s a 25-minute commute to Palm Harbor from my house on U.S. Highway 19, heading south. If you’re not familiar with the Tampa Bay area, U.S. 19 is akin to U.S. 41, or A1A – an overburdened road. Some drivers tout their successful commutes with bumper stickers that say, “I survived U.S.19.” Just as I snuggled into the flow of traffic, I felt a tingly sensation. I didn’t notice it right away. At first, I thought it was some sort of Spidey-sense my underwear was giving me. I was aware of everything around me. At every intersection, I was keenly conscious of tiny movements at the periphery of my vision. My hair stood up, super sensitive to any danger. Passing cars were in an ultra-slow “Matrix” mode. I was driving extra slowly, extra carefully, but why? Then I knew. It was the underwear. Remember what your mother told you — “Don’t run with scissors. Always wear clean underwear.” She wasn’t worried so much about sanitation or a car accident but what the emergency room nurses would think about you as they cut away your clothes. I wouldn’t have believed it. I was driving more carefully because of my Spiderman underwear. I actually felt a little bad about it. Shouldn’t
I have driven more carefully all the time? How would I drive wearing my wife’s underwear? I arrived at the office a little late. After all, fighting crime and avoiding car accidents takes a little extra time. The patients were already in the dental chairs. My staff were waiting, too – hands on their hips, feet tapping. The communication box in every operatory was blinking like a Christmas tree. I quickly settled into my normal, hurried pace. As I pressed a 301 elevator to the ligament of a lower bicuspid, I was thinking about two waiting hygienists and Mrs. Boch’s loose bridge in the next room.
Then the tingling came back – not the same as my Spidey-sense, but very similar. I was slowing down and becoming more focused. Did I inform the patient about all the alternative treatments? Did we review all the possible complications of each alternative? Did we review the complications of doing no treatment at all? Did we update the medical history? Did we document everything? Shouldn’t I be more concerned about how much pressure I’m applying to the adjacent bicuspid than what I’m supposed to do in the next room? Why did I have the sensation now? This time, it was the thought of the Board of Dentistry meeting I’d recently attended. It was a very eye-opening experience. Every practicing dentist needs to attend at least one meeting. Bring a notepad and some Maalox. I guarantee you will do something differently in your practice. I wouldn’t have believed it. I was practicing dentistry more carefully because of one board meeting. I actually felt a little bad about it. Shouldn’t I have practiced more carefully all the time? How would I practice if I went to all the board meetings? What if I went to all the meetings in Spiderman underwear?
FDA Editor Dr. Hugh Wunderlich can be reached at hwunderlich@bot.floridadental.org
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