54 2025 FDA Award Winners 60 Florida Teacher's Smile Restored Just in Time for Her Birthday
The Custom Incisal Guide Table
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
17TH DISTRICT TRUSTEE
Dr. Andy Brown Jacksonville
PRESIDENT-ELECT
Dr. John Paul Lakeland
IMMEDIATE PAST PRESIDENT
Dr. Beatriz Terry Miami
TREASURER
Dr. Rodrigo Romano Miami
EXECUTIVE DIRECTOR
Drew Eason, CAE Tallahassee
TRUSTEES
Dr. Tom Brown Orange Park
Dr. John Cordoba Lake Mary
Dr. Bethany Douglas Jacksonville
Dr. Fred Grassin Spring Hill
Dr. Bertram Hughes Gainesville
Dr. Richard Mufson 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
PERSPECTIVE
JUNE 19-21, 2025
FEATURED SPEAKERS
★ Alan Atlas, DMD
★ Tracy Blessing , DMD
★ Lee Ann Brady, DMD
★ Robert Convissar, DDS
★ Gary DeWood, DDS, MS
★ Leonard Hess, DDS
★ Waji Khan, DDS
★ Mark Kleive, DDS
★ Victoria Ursitti, DMD
★ + Many More!
REGISTER NOW USING THE QR CODE!
Gay lord Palms Resor t & Convention Center
HOT TOPICS
★ The Pankey Institute’s Two-Day Occlusion Program
★ Anterior Implants
★ Botox
★ CBCT Technology
★ Composite Restorations
★ Laser Dentistry
★ Laminate Veneers
★ SDF and Pediatric Dentistry
★ + Much More!
Don’t Miss Out: Join Your Colleagues at FDC2025!
By FDA President Jeff Ottley, DMD
KNOCK, KNOCK! Hey, I’m talking to you! Good, I am glad to have your attention. I don’t want you to miss the greatest dental meeting of the year, the 2025 Florida Dental Convention (FDC)!
Take advantage of the free member registration and bring your entire team — they will also receive a discounted registration rate. FDC has an educational path for every member of the dental office, from the front desk to the operatory. FDC offers a variety of engaging workshops and courses for assistants, hygienists and doctors. FDC features specialized assistant workshops covering implant components, crown and bridge temporization and X-Out Your X-Rays. Additionally, silver diamine fluoride workshops and many more hands-on learning opportunities are available. Great courses for dentists, front office team members and managers are available Thursday through Saturday. Get ready to improve your practice the day you return home from FDC!
It’s like taking a vacation with your continuing education (CE) when you stay at the beautiful Gaylord Palms in Orlando. Space is limited and fills up quickly, especially for popular courses and speakers, which are sure to sell out. Take advantage of the more than 150 innovative course options, workshops, mini residencies and discounted fees on courses taught by the world-renowned faculty of the Pankey Institute. Did I mention the 18+ free courses and two free keynote sessions?
As awesome as that all sounds, there’s even more fun and festivities at the FDC! Free events included in your registration are Puppy Breaks in the exhibit hall, a welcome cocktail reception, an energy Dueling Pianos party on Thursday night, the Big Easy Bash featuring a New Orleans-themed fare and the After Party on Friday night.
It is not your average dental meeting, as you will hear, “Come for the CE, stay for the FUN ™.” We look forward to seeing you all; let’s make this year’s meeting the best yet, improve our practices and have a lot of fun along the way.
FDA President Dr. Ottley can be reached at jottley@bot.floridadental.org
What is the Main Difference Between Direct and Indirect Supervision
By FDA Chief Legal Officer Casey Stoutamire
Did you know that direct and indirect supervision requires a licensed dentist to examine the patient, diagnose a condition to be treated, authorize the procedure to be performed and only be on the premises while the procedure is done? There is a common misconception that direct supervision requires a dentist to be in the treatment room while the procedure is performed, but as you can see from the definition above, that is not the case. The main difference between indirect and direct supervision is that direct supervision also requires the dentist to approve the work performed before the patient departs from the premises. In contrast, indirect supervision does not have that requirement.
Remember, you, the dentist, are responsible for the team members under your supervision. This means it is your license on the line if there is an issue. The rules are the ceiling, and your team cannot go above the definition of the levels, but you can always be stricter with your office policies.
Rule 64B5-16.001, with complete definitions of general, indirect and direct supervision can be found at bit.ly/3Dljyfb.
FDA Chief Legal Officer Casey Stoutamire can be reached at cstoutamire@floridadental.org
Welcome Back To Our Newly Upgraded Gaylord Palms
Experience the Florida Dental Convention (FDC) at the Gaylord Palms Resort & Convention Center, where our newly renovated resort provides the ultimate in comfort, convenience, luxury and unparalleled guest services across our 65-acre property. With $300+ Million recently invested into the property, your convention experience will be unmatched.
Our lobby has been elegantly redesigned to make your check-in even more seamless and provide views of the lush 4.5 acre tropical atrium. Our rooms and suites also received grand makeovers and feature new furnishings and sun-kissed hues that pay homage to the Sunshine State.
Our signature restaurant, Old Hickory Steakhouse, received a major renovation that includes an expanded bar and lounge area, open show kitchen, and a luxurious private dining room for groups.
Make your hotel reservation today to experience the revitalized Gaylord Palms Resort & Convention Center where unmatched luxury will take your FDC experience to the next level.
FDC offers a discounted room rate of $218 per night, including free self-parking.
Visit www.hotel.floridadentalconvention.com or call 877.491.0442 to make your reservation within the discounted room block.
Ensuring Quality and Affordability:
A Smarter Approach to Dental Supplies With Our Partner TDSC.com
By FDA Services Chief Operating Officer Scott Ruthstrom
The
Foundation of a Thriving Practice
It’s no secret that running a successful dental practice requires more than clinical expertise. Besides understanding your patient’s needs and performing top-notch clinical treatments, a thriving practice demands smart business decisions that balance cost efficiency, operational ease and patient care. As a result, reliable dental supplies, ranging from high-quality instruments to everyday disposables, are essential to delivering excellent dental treatment. Yet,
dental practices must make strategic purchasing decisions with rising costs and increasing pressure to maintain high standards.
Choosing the right supply partner isn’t just about affordability — it’s about trust, reliability and long-term success. A solution that adjusts to the challenges dental professionals face and the importance of high-quality dental work while actively working to support your needs can make all the difference. However, you probably know that finding a supplier that delivers quality and cost savings can be a significant challenge.
preventive action
Balancing Costs Without Compromising Care
Managing Expenses While Maintaining Quality
Dental practices face a constant challenge: how can my practice keep operational costs in check without compromising the quality of care patients expect? The answer lies in identifying a reliable supplier that offers competitive prices while ensuring that every product meets the highest industry standards. The moment a practice can confidently source high-quality supplies at fair, transparent prices, it gains a crucial advantage — financial stability without sacrificing the integrity of its services.
As dental professionals, you’re constantly balancing the financial aspects of our practices while looking for the highest standard of care for our patients. The hard truth is that supply costs quickly add up, cutting into a practice’s profitability. At the same time, using lower-quality products isn’t an option when patient health and safety are on the line.
Additionally, while many supply providers claim to offer attractive discounts, they typically hide fees, markups and inconsistent pricing structures that often leave practices paying more than they should.
Competitive Pricing Tailored to Your Practice
One of the most significant advantages of a cost-conscious supplier is consistently providing competitive pricing. Whether you run a large dental office or a small private practice, every dollar saved on supplies translates into better short and long-term financial stability.
That’s where The Dentists Supply Company (TDSC.com) stands apart. Unlike other suppliers that cater primarily to high-volume buyers or require complex membership tiers to access discounts, TDSC.com offers competitive, transparent pricing to every practice — with even greater savings available exclusively for members of the Florida Dental Association (FDA).
By choosing TDSC.com, FDA members can access top-tier supplies at reduced rates and support their professional community.
Quality Assurance: Only Trusted, Authorized Products
Avoiding the Risks of Gray Market Products
Quality is a must in dental services. However, not all dental suppliers commit to operating with the same standards. Many online sources offer products at lower prices but include unauthorized or “gray market” items that may not meet the industry standards. Using such products can lead to regulatory issues, inconsistent performance and even risks to patient safety.
At TDSC.com, every product is authorized and sourced directly from trusted manufacturers — no exceptions. As a dental professional, you’ll never have to worry about counterfeit or substandard products entering your practice.
Seamless Ordering: Saving Time and Effort
An Online Platform Designed for Busy Professionals While inventory management can be time-consuming when juggling multiple vendors, an intuitive, well-organized online ordering platform can save hours of administrative work each month.
TDSC.com’s user-friendly website allows dental professionals to easily browse, compare and reorder supplies in a few clicks. The platform is designed for efficiency and features real-time inventory updates and a streamlined checkout process that eliminates unnecessary steps.
preventive action
Reliable Supply Chain and Fast Shipping on Essentials
Efficiency is crucial in a busy dental office. Waiting days, or even weeks, for critical supplies can halt the practice’s workflow, causing disruptions and impacting productivity. TDSC.com, being “Powered by Henry Schein,” ensures fast, reliable delivery, with in-stock items arriving the next day. This allows offices to maintain seamless operations without supply chain concerns. Additionally, TDSC. com offers free shipping on orders more than $99, ensuring that practices are not burdened with additional fees.
Exclusive Member Benefits for FDA Dentists
Supporting the Dental Community Through Strategic Partnerships
TDSC.com is an authorized dental supply provider that reinvests in the profession by partnering with state dental associations. These partnerships ensure members
receive exclusive benefits, reinforcing the importance of supporting industry advocacy and professional growth.
Why FDA Professionals Benefit the Most FDA members gain VIP (“Very Important Practice”) pricing, providing even deeper discounts on essential products. By choosing TDSC.com, FDA members can access top-tier supplies at reduced rates and support their professional community.
Ready to make the switch? Visit TDSC.com today to explore cost-effective, high-quality dental supplies designed to meet the needs of your practice.
FDAS Chief Operating Officer Scott Ruthstrom can be reached at scott.ruthstrom@fdaservices.com.
The Medicare Conundrum dental benefits
By Bertram J. Hughes, DMD
Many insurance companies have offered seniors Medicare plans for the past few years. Usually, these plans are called “Medicare Advantage” plans. While not directly associated with the government Medicare system, these plans have a small government funding component. This small exposure allows the insurance companies to enforce some government regulations within the Medicare system. One of these regulations surrounds the appeal process. If a provider appeals a claim on behalf of a patient, the dental office may receive a notice that they may not charge the patient if the appeal is denied. Some companies have dentists sign a form agreeing to this enforcement before considering the appeal from the dental office. This means that while the insurance company is not paying the claim, the dentist may not recoup the patient’s payment. It may be
While not directly associated with the government Medicare system, these plans have a small government funding component.
considered more prudent to provide the patient with the necessary documents and have them appeal the claim on their own. Some offices will collect payment from the patient prior to this process in order not to be involved in an awkward situation if the appeal is denied.
Dr. Bert Hughes is the FDA’s representative on the ADA Council on Dental Benefits program and can be reached at berthughes@me.com
The Honor of Recognition: Balancing Humility and Leadership in Dentistry
By ArNelle Wright, DMD, MS
Dentistry is often described as both an art and a science, but at its core, it is a profession built on service. Every day, we dedicate ourselves to the well-being of our patients, teams and communities, often without expecting recognition. However, when we receive an award — whether for clinical excellence, leadership, community service or innovation — it is a powerful reminder of our impact beyond the operatory.
Being honored with an award is more than just a personal achievement; it is a reflection of the trust, support and inspiration we receive from our peers and the communities we serve. It is an acknowledgment that our work matters, that our dedication is seen and that our contributions continue to shape the future of dentistry. Yet, as rewarding as recognition can be, it also comes with great responsibility — a responsibility to remain humble, to continue striving for excellence and to uplift others on their unique journey.
Remaining Grounded in Purpose
Winning an award is not the culmination of success but rather a milestone on a lifelong journey of growth and service. It is easy to view accolades as individual accomplishments. Still, in reality, they are a testament to the collective effort of mentors who
Drs. ArNelle Wright and Angie McNeight during the 2023 FDC Awards Luncheon.
guided us, teams who supported us and patients who entrusted us with their care.
True leadership in dentistry is not about accumulating titles but about maintaining a mindset of continuous learning and gratitude. The most impactful leaders recognize that every achievement is an opportunity to give back — to share knowledge, mentor the next generation and create spaces where others can thrive.
A Pillar in the Community
Dentists play an integral role in the health and well-being of their communities. Whether through providing access to care, educating the public on oral health or spearheading outreach programs, we serve as pillars of support that extend far beyond our dental practices. Receiving an award is a moment to reflect on the deeper purpose behind what we do. It is a chance to amplify our efforts and leverage recognition to create a more significant positive change. When one of us is recognized, it elevates the profession as a whole. It reinforces the idea that dentistry is not just about “fixing teeth” but, more importantly, improving lives.
A Legacy of Excellence
For those who receive awards, the honor is as much about celebrating the past as it is about shaping the future. The recognition we receive today sets a precedent for the next generation of dentists. It shows young professionals that their hard work and dedication will not go unnoticed and that while excellence
Being honored with an award is more than just a personal achievement; it is a reflection of the trust, support and inspiration we receive from our peers and the communities we serve.
in dentistry includes refined clinical skills, it’s also about leadership, compassion and community impact overall.
As we accept awards and honors, we do so with gratitude, knowing that our work is far from finished. We remain committed to the values that brought us here, continuously striving to serve, educate and inspire. At the end of the day, the true reward in dentistry is not the accolades we receive but the lives we touch along the way.
So, to those who find themselves honored this year — congratulations in advance. Your dedication is seen, your work is valued and your leadership is making a difference. May your achievements serve as a beacon for others, illuminating the path forward for a profession built on service, excellence and an unwavering commitment to those we serve.
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
2023-2024 FDA President Dr. Beatriz Terry presents Dr. Sudhir Agarwal with a leadership award during the 2024 Awards Luncheon.
LEAD 2025: A Sold-Out Success in Leadership Development
FDA Manager of Leadership Affairs Lianne Bell
On Jan. 17, the Florida Dental Association’s (FDA) Leaders Emerging Among Dentistry (LEAD) program brought together a select group of dentists and dental students for a powerful day of leadership development at the Marriott Orlando Airport Lakeside. This exclusive, sold-out event provided attendees with invaluable skills in communication, leadership and professional growth, filling a crucial gap in traditional dental education.
A Day of Impactful Learning
The program kicked off with keynote speaker Tyler Enslin, who led an engaging session on Effective Feedback. Attendees learned how to foster a culture of open and constructive communication in their practices — an essential skill for personal and professional growth.
After a networking lunch, participants engaged in interactive breakout sessions. Dr. David Rice, founder of IgniteDDS, moderated a discussion for young dentists on navigating career paths in the evolving dental land-
scape. Meanwhile, Enslin returned to deliver a workshop on memory enhancement, equipping attendees with powerful techniques to improve recall and retention.
The day concluded with an insightful panel discussion on leadership within the tripartite, guiding attendees on how to leverage their new skills to make an impact at local, state and national levels.
Unparalleled Networking and Enthusiastic Feedback
LEAD is not just about learning — it’s about building connections. Attendees praised the intimate and interactive nature of the event:
“I think LEAD is a great way to network and learn topics not taught in dental school.”
“I loved the keynote speaker and the session on effective feedback. The communication topics are so applicable to daily practice.”
“LEAD is an intimate conference with dentists who are enthusiastic about the field.”
With leadership at the core of professional success, LEAD 2025 reaffirmed the FDA’s commitment to developing the next generation of dental leaders. Keep an eye out for those who missed out this year — this is one event you won’t want to miss in 2026!
FDA Leadership Affairs Manager Lianne Bell can be reached at lbell@floridadental.org
With leadership at the core of professional success, LEAD 2025 reaffirmed the FDA’s commitment to developing the next generation of dental leaders.
Photos:
1. Leadership Development Committee Chair Dr. Makeba Earst.
2. Leadership Development Committee member Dr. Stephanie Dye.
3. LECOM students attending the LEAD event.
4. UF students attending the LEAD event.
5. Dental students attending the LEAD event.
VISIT THE FDC2025
EXHIBIT HALL FOR FREE!
Connect with 300+ Exhibitors with a FREE Exhibit Hall Only Pass!
Register as “Exhibit Hall Only” to take advantage of this offer.*
» BUILD RELATIONSHIPS with your current suppliers and new vendors.
» NETWORK with colleagues and vendors at the Welcome Cocktail Reception in the Exhibit Hall on Thursday, June 19.
» DISCOVER new products, services and technologies.
» MAXIMIZE your time with industry-leading exhibitors.
» HAVE FUN at the Puppy Breaks in the Exhibit Hall on Thursday, June 19 and Friday, June 20.
View the current list of exhibitors at exhibithall.floridadentalconvention.com.
* Open to dental professionals and their guests only. Vendors must purchase a booth or register as the appropriate registration.
June 19 | 11 AM-6 PM Friday, June 20 | 8:45 AM-6 PM Saturday, June 21 | 9 AM-2 PM
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!
Join u s at fa ceboo k . co m /g ro u ps/ flo r i dadenta lchat te r.
MORE WINS, LOWER DUES.
Renew your membership for 2025 today!
THREE EASY WAYS TO PAY:
ONLINE: Visit floridadental.org/dues or scan the QR code below.
MAIL: Return blue envelope with statement and payment.
PHONE: Dial 850.681.3629 to speak to our friendly membership team.
PAYMENT PLAN:
Choose from a variety of monthly installment plans.
AUTO-RENEWAL:
Set it and forget it! Your membership will automatically renew each year with the credit card you put on file.
Dr. Kaycee Wilcox FDA member since 2016 Crestview
Dr. Jessica Stilley-Mallah FDA member since 2005 New Port Richey
Dr. Brandon Alegre FDA member since 2005 Boca Raton
FDA Announces Partnership with IgniteDDS
Endorsement will simplify members’ searches for key practice management services
By FDA Staff
No need to look any further! The Florida Dental Association (FDA) has identified a clear option for members and is proud to announce a new partnership with IgniteDDS. The partnership provides an opportunity to help member dentists successfully manage their practices and improve their operations.
“Our members have long asked the FDA for practice management advice and approaches. Now, we have a clear recommendation of IgniteDDS for dentists looking to do things like grow profits, expand efficiencies, improve office culture and increase production,” said FDA Executive Director Drew Eason. “Dr. David Rice has proven himself to be a successful leader in this field nationwide, and we look forward to working with him even more in Florida.”
IgniteDDS offers specialized programs for associates, practice owners and sellers, so no matter the stage of a dentist’s career, there are package options. Businesses are impacted by market factors, employee turnover, certain amounts of risk and changing best practices. The IgniteDDS team addresses these issues and more to support the dentist’s success.
“Dentists graduate with lots of dental knowledge, but we’re not always taught about managing employees, balancing the books, streamlining processes or planning for the future with a strategic and business perspective,” said
Dr. David Rice
“Our members have long asked the FDA for practice management advice and approaches. Now, we have a clear recommendation of IgniteDDS for dentists looking to do things like grow profits, expand efficiencies, improve office culture and increase production,” said FDA Executive Director Drew Eason.
IgniteDDS Founder and CEO Dr. David Rice. “There’s no shame in not knowing what you haven’t been taught. My team and I come into a practice, perform an evaluation and share information about how to best improve performance, systems, controls, and, of course, profitability. The idea is for dentists to grow their profits without growing their stress. I’ve seen it. I’ve done it. Together, we can make it work.”
IgniteDDS exists to educate, encourage and empower dentists. In fact, they’ve developed a platform for professionals — at any stage of their career — to help energize their dentistry practice. The IgniteDDS approach includes “dental coaching,” which involves personalized mentorship to help dental professionals optimize their practice’s operations, build leadership skills and achieve sustainable growth. By focusing on areas such as team dynam-
ics, financial management and patient communication, coaching aims to improve overall practice efficiency and profitability.
Dr. Rice has nearly 30 years of dental practice experience and has trained at The Pankey Institute, The Dawson Academy and Spear. A published writer, he has also been a presenter at the Florida Dental Convention and travels the world speaking. Dr. Rice founded IgniteDDS, serves as editorial director of DentistryIQ and leads a team-centered restorative and implant practice in East Amherst, N.Y.
Learn more about this new partnership or about the special IgniteDDS package available to FDA members at bit.ly/4bNxdZ0.
Dr. Rice can be reached at david.rice@ignitedds.com.
• Practice Owners: Seeking to enhance practice performance and achieve a self-determined future.
• Associates: Aiming to increase production and prepare for future ownership.
• New Practice Owners: Looking to maximize return on investment during the critical early stages.
• Dental Teams: Desiring to improve collaboration, efficiency and patient care.
Free Online CE for FDA Member Dentists!
“Rooted in Dentistry Webinar” series — This webinar series is your opportunity to stay informed, grow your skills and earn continuing education (CE) hours at no cost. Go to bit.ly/4gRz01r to view the webinar schedule and course details and to sign up! Don’t miss your chance to earn six hours of CE at no cost as an Florida Dental Association (FDA) member dentist.
Today’s FDA Diagnostic Discussion courses — FDA members can earn up to six hours of general CE by reading the Diagnostic Discussion column included in the bi-monthly Today’s FDA and taking a quick online quiz. Discussions and quizzes are available 24 hours a day at the convenience of your home or office. Go to bit.ly/3DMovx8 to access these free courses.
Utilize the FDA’s Jumpstart Program in Solving Workforce Challenges
The FDA’s Jumpstart program is an initiative to connect member dentists with pre-dental students interested in volunteering or working with dental offices. It’s a creative solution to assist in solving workforce challenges faced by Florida dentists. Jumpstart is a fast pass for students to gain real-world experience, connect with dentists and master skills that will help them stand out in the dental school application process and the competitive field of dentistry. All of this while providing staffing for offices that may have difficulty hiring the right people. A true win-win!
As a result of the FDA’s efforts, members can access a student directory at floridadental.org/jumpstart. It notes students’ geographic location, interests and roles they could fill. If you are interested in engaging any of these students, please contact them directly and make suitable arrangements. If you know pre-dental students who may be interested in registering, encourage them to visit floridadental.org/jumpstart to sign up and learn more about transforming their enthusiasm into expertise.
Dr. Beatriz Terry Presented with the Prestigious Dr. Robert T. Ferris Award
The Florida Association of Periodontists (FAP) was proud to honor Dr. Beatriz Terry with the Dr. Robert T. Ferris Award. This award recognizes outstanding service to the FAP and contributions to the understanding of the field of periodontology and the diagnosis and treatment of periodontal disease. To be considered, one must have held leadership positions in the FAP as well as the FDA, or the Florida Board of Dentistry, service on the American Academy of Periodontology and/or leadership positions in the AAP.
Congratulations, Dr. Terry!
The FDA House of Delegates Will Consider Bylaws Changes
The Council on Ethics, Bylaws and Judicial Affairs will perform it’s annual review of the FDA bylaws and propose changes if necessary.
The Next House of Delegates Meeting Will be Held
June 20, 2025 at the Gaylord Palms in Orlando.
FDC2025 COURSE TUITION!
We Want You to Volunteer
Volunteers play an essential role in the success of the Florida Dental Convention! As a Speaker Host, you’ll introduce the speaker, make course announcements, distribute and collect surveys, and contact convention staff for any needed AV support. Your contribution is key to ensuring each session runs seamlessly!
Being a Speaker Host has its perks:
» All Speaker Hosts receive a $25 lunch voucher for Exhibit Hall concessions.
» Lecture Speaker Hosts receive free course tuition for the hosted course.
» Workshop (W & MR) Speaker Hosts receive $50 off course tuition
the hosted course.*
Welcome New FDA Members
Learn more by visiting our virtual Member Center at floridadental.org
The following dentists recently joined the Florida Dental Association (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. Beatriz Fonseca, Plantation
Dr. Cristina Godoy, Davie
Dr. Carmin Gonzalez, Davie
Dr. Joseph La Carrubba, Jupiter
Dr. Johnny Moraes, Fort Lauderdale
Dr. Pedro Padron, Margate
Central Florida District Dental Association
Dr. Ashleigh Billhartz, Melbourne
Dr. Shimaa Hathan, Gainesville
Dr. Merllory Lampe Rodriguez, Windermere
Dr. Arian Rezaei, Windermere
Dr. Yudith Rodriguez Camejo, Kissimmee
Dr. Muhammad Raza Shahid, Casselberry
Dr. Anabel Sosa, Orlando
Northwest District Dental Association
Dr. Jeremy Hayes, Pensacola
Dr. Abdalrahman Tawakol, Pensacola
South Florida District Dental Association
Dr. Liana Gedz, North Miami
Dr. Grecia Gil Rodriguez, Miami
Dr. Yilsy Hechavarria, Hialeah
Dr. Michael Hernandez, Miami
Dr. Paola Jarvis, Davie
Dr. Fabio Pupo Duarte, Fort Lauderdale
Dr. Gustavo Terrero, Miami
Dr. Carlo Trabanco, Miami
West Coast District Dental Association
Dr. Janel Aslan, Oldsmar
Dr. Hamdan Baset, Trinity
Dr. Martha Bedoya Leal, Naples
Dr. Sydney Finster, Tampa
Dr. Andrew Lalli, Tampa
Dr. Yeimis Mora, Tampa
Dr. Lee Nguyen, Punta Gorda
Dr. Nicole Nguyen, Clearwater
Dr. Lazaro Santana Bubaire, Sebring
Where in the World is Today’s FDA?
in
Thank you, Dr. Sudhir and Indu Agarwal, for taking Today’s FDA to Lake Palace Udaipur, India.
Do you have vacation plans this 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?
memoriam
The FDA honors the memory and passing of the following member:
FDA Past President 1985-1986
Robert "Bob" Williams Winter Park, CO. Died: 2/28/2025
Age: 93
Jeffrey V. Schroeder Tampa Died: 1/17/2025
Age: 73
John R. Jordan, Jr. North Palm Beach Died: 1/21/2025
Age: 77
Anthony R. Cheslock, Jr. Clearwater
Died: 2/25/2025
Age: 78
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Number of Florida Dental Tribute Plan Award Recipients: 700+
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DUELING PIANOS FLORIDA DENTAL CONVENTION PRESENTS
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Florida Board of Dentistry Meets in West Palm Beach board of
met in West Palm Beach on Friday, Feb. 14 at 7:30 a.m.
The Florida Dental Association (FDA) was represented by BOD Liaison Dr. Steve Hochfelder and FDA Lobbyist Brandon Edmonston. Dr. Alex Delgado, Director of Continuing Dental Education and Associate Professor at the University of Florida School of Dentistry, was also present.
BOD members present included Dr. Nick White, chair, Dr. Claudio Miro, vice chair, Dr. Jose Mellado, Dr. Brad
Cherry, Dr. Tom McCawley; hygiene member Ms. Karyn Hill; and consumer member Mr. Ben Mirza. Ms. Angela Johnson was excused. Mr. Ed Tellechea is back as general counsel to the BOD, replacing Ms. Allison Dudley. This was also Dr. White’s first full meeting as chair.
As a reminder, the Mobile Opportunity by Interstate Licensure Endorsement (MOBILE) method to licensure became effective Dec. 25, 2024. Several dentists have received licenses via this path away. However, multiple applications were forwarded to the Board by BOD staff because the applicants had answered in the affirmative to past disciplinary history. After discussion, it was evident
that the board would not approve the applications and all applicants withdrew prior to a vote.
There was also consideration of an application to provide a local anesthesia certification course for hygienists that proved unsuccessful as the board was unable to take action. The course was not Commission on Dental Accreditation (CODA) approved as required by BOD rule. The applicant was instructed to seek CODA approval or explore other avenues if she wants her course approved in Florida.
Lastly, BOD Executive Director Mrs. Tracey Zeh gave a brief update on legislation involving dentistry. There was no position taken on dental therapy nor was the bill referenced on the agenda. The board was advised it will be provided other bill language as necessary once session starts and legislation starts moving.
There were six discipline cases considered. One resulted in punitive action and the board voted for revocation due to the individual practicing outside the scope of her qualifications and achievements while also falsely identifying as a doctor of dental surgery. The individual was a foreign-trained dentist who was licensed as a hygienist.
For more information, please visit the BOD website at floridasdentistry.gov/ or contact FDA Chief Legal Officer Casey Stoutamire at cstoutamire@floridadental.org
FDA Lobbyist Brandon Edmonston can be reached at bedmonston@ floridadental.org
LASER DENTISTRY FROM A-Z: A TWO-DAY MINI-RESIDENCY (MR01)
Thursday, June 19-Friday, June 20
9 AM-5 PM, Both Days | CE Credits: 14
Audience: Dentists
$649 $849 $999 NON-MEMBER DENTIST
$849 $1099 $1199
Has the excitement surrounding the introduction of lasers in dentistry been more smoke than substance? Since 1990, the U.S. Food and Drug Administration has approved the use of twelve different wavelengths for dental use. These different wavelengths create a world of difference in how the lasers operate and their usefulness in the oral cavity.
The use of lasers for specific procedures found in everyday general practice will be highlighted during this two-day mini-residency. The first day will cover laser use in periodontal therapy, implantology, prosthetics, oral medicine, pediatric dentistry, endodontics, orthodontics, cosmetic dentistry, and practice management. On the second day, participants will get hands-on experience with different wavelengths, performing surgical procedures on pig jaw models, accompanied by real-time videos and discussions on laser techniques and settings. Procedures will include gingivectomy, biopsy, frenectomy, crown lengthening, periodontal therapy, aphthous ulcer treatment, flap procedures, and more.
DR. ROBERT CONVISSAR earned his dental degree from the New York University College of Dentistry. He is a diplomate of the American Board of Laser Surgery, a fellow of the American Society of Laser Medicine and Surgery and the Academy of General Dentistry, and a master of the Academy of Laser Dentistry. He is the director of laser dentistry at New York Presbyterian Hospital of Queens and maintains a private practice in New York, NY.
Attendance is limited to 30. The equipment for this mini-residency is partially sponsored by
Q&A With 2025 FDC Scientific Chair
Dr. Lowe
By Ericka Lowe, DMD, MS
Q. “Polish Your Perspective” is a compelling theme. How did it come to life, and how does it reflect the vision and goals of the 2025 Florida Dental Convention (FDC)?
A. “Polish Your Perspective” is more than just a theme — it’s an invitation to engage in a transformative continuing education experience at FDC2025. Designed to inspire and energize, this event offers a dynamic scientific program to foster professional growth and meaningful change. Whether you attend a lecture, hands-on workshop or immersive mini-residency, you and your team will gain valuable insights that enhance beauty and profitability in practice. The theme resonates with every member of the dental team — dentists, hygienists, assistants, lab technicians and office administrators — emphasizing connection, learning and continuous improvement.
To be “polished” means to perform with exceptional skill and grace, a concept reflected throughout every aspect of FDC2025. From the elegant venue and
thoughtfully curated course selections to the meticulous attention to detail in decor and customer service, the event is crafted to provide a seamless, inspiring experience. As the Scientific Program Chair, my mission is to provide a positive, passionate atmosphere that honors your time and resources. FDC2025 will be an unforgettable journey of professional growth and enjoyment.
Q. As Scientific Program Chair, what are your top insider tips to help attendees maximize their experience — earning continuing education (CE) credits, connecting with peers or navigating the venue?
A. My top tip is simple but powerful: Bring your entire team to maximize the overall effectiveness of the convention! Turn this into a team-building experience that enhances your practice. By dividing and conquering sessions, you’ll cover more ground and return with valuable insights to implement together.
Make it fun! Set goals, create friendly competition and challenge each other to learn and grow. A motivated, cohesive team will elevate your experience and strengthen collaboration back at the office.
Maximize your time with these tips:
• Plan Ahead: Review the schedule and prioritize sessions that align with your practice’s goals.
• Network Often: Engage with peers beyond exchanging business cards — build meaningful connections.
• Stay Energized: Pace yourself, take breaks and refuel — lunch in the exhibit hall makes networking easy.
• Take and Share Notes: Capture key takeaways and discuss them with your team to inspire new ideas.
• Be Open to Innovation: Explore cutting-edge techniques and products with a mindset for growth.
Q.
FDC is known for being inclusive of all career stages. Are there special initiatives, events or workshops designed for students, new dentists or early-career professionals?
A.
FDC2025 is designed to support dental professionals at every career stage, with a special focus on students, new dentists and early-career professionals. It offers a wealth of initiatives, events and workshops to help you succeed, including invaluable business management, legal courses like Investment Strategies and Money Management, and the must-attend “Safeguarding Wealth: Lawsuit Prevention and Tax Strategies” Lunch and Learn session on Friday. By starting early on Thursday and staying through Saturday, you can fully immerse yourself in the diverse learning and networking opportunities. FDC2025 provides practical clinical skills and equips you with the business and legal knowledge needed to thrive in your career. Don’t miss the chance to connect with mentors, peers and industry leaders who can inspire and guide your professional growth!
Q. What makes FDC2025 a can’t-miss event for dental teams? How do the programs cater to dentists and their staff to ensure they grow together professionally?
A.
FDC2025 is a must-attend event for dental teams. It offers a team-focused approach that ensures dentists, hygienists, assistants and office administrators grow together. Courses designed to enhance individual skills while fostering collaboration allow attendees to participate in hands-on workshops like “Mastering the Art of Staining and Glazing,” where clinical teams align on techniques and expectations. This shared learning experience creates a more efficient workflow and strengthens teamwork, ultimately improving patient care.
Beyond clinical skills, administrative teams can also benefit from targeted courses like “Top Coding and Documentation Strategies,” which helps streamline communication between the clinical and administrative sides of the practice. By learning together, teams can improve
To make the most of your time, arrive early and fully immerse yourself in everything FDC offers — from cutting-edge courses and workshops to the vibrant exhibit hall and lively evening socials.
efficiency, reduce billing issues and enhance overall operations. FDC2025 bridges the gap between clinical care and office management, ensuring every team member leaves with new skills, improved communication and a shared vision for success.
Q. What excites you most about FDC2025? Is there a particular moment, experience or initiative you can’t wait for attendees to see?
A. What excites me most about FDC2025 is seeing attendees fully immerse themselves in hands-on workshops and mini-residencies — intensive learning experiences that make this event truly unique. These aren’t just standard lectures; they are transformative, practical sessions designed to provide skills you can immediately apply in your practice. Whether mastering a new clinical technique, refining communication skills or gaining business insights, every attendee — dentists, hygienists, assistants and office administrators — will find valuable opportunities for growth, making it a powerful team-building experience. Nothing is more rewarding than knowing that what you learn in a session will directly enhance your practice starting next week.
Beyond the courses, FDC2025 is about the meaningful connections you’ll make. Engaging with fellow professionals, speakers, and exhibitors will lead to relationships that will benefit your career and practice long after the event ends. The energy, inspiration and shared commitment to growth will be felt in every corner, making this an unforgettable experience.
DISCOUNTED TICKETS TO WALT DISNEY WORLD THEME PARKS* 18 FREE COURSES FOR FDA & ADA MEMBERS*
WORKSHOP (W & MR) SPEAKER HOSTS RECEIVE $50 OFF COURSE TUITION & A $25 LUNCH VOUCHER
DISCOUNTED REGISTRATION FEES FOR FDA MEMBER’S TEAM MEMBERS
PRE-REGISTRATION FOR FDA MEMBERS* FREE COURSE FOR DENTAL HYGIENISTS!*
$25 LUNCH VOUCHER WHEN YOU PURCHASE AN AM & PM COURSE ON THURSDAY
$15 LUNCH AND LEARN SPONSORED BY LEGALLY MINE
EXHIBIT HALL PASSES*
FREE OFF-SITE PARKING FOR DRIVE-IN ATTENDEES
DISCOUNTED HOTEL RATE AT GAYLORD PALMS - $218 PER NIGHT, INCLUDING FREE SELF-PARKING*
FDC2025 Q & A
Q.How would you describe the atmosphere of the FDC to someone who has never attended? What sets it apart from other dental conferences?
A.The atmosphere at FDC2025 is absolutely electric — bright, cheerful and full of energy from the moment you arrive. Picture this: a personalized welcome at check-in to a meticulously planned experience; every detail is designed to make you feel like part of the FDC family. What truly sets this convention apart is its immersive, community-driven environment. It’s more than just a bunch of sessions — it’s an opportunity to connect with like-minded professionals, engage in hands-on learning and be part of something bigger. Whether a first-time attendee or a seasoned professional, you’ll feel supported, engaged and inspired throughout the event.
To make the most of your time, arrive early and fully immerse yourself in everything FDC offers — from cutting-edge courses and workshops to the vibrant exhibit hall and lively evening socials. Whether you’re soaking up new knowledge, forging connections or enjoying fun social events, the energy never stops, making it an unforgettable experience. FDC is the perfect balance of learning, networking and celebration, leaving you empowered and excited to bring fresh insights back to your practice. Once you experience the unique vibe of FDC, you’ll want to return year after year!
Dr. Lowe is the FDC2025 Scientific Chair and can be reached at lowesh@hotmail.com
Get renewal ready for your Florida dental license renewal (Feb 28, 2026) with these course options at FDC!
Prevention of Medical Errors (RM1-4/RM5-8) Friday, June 20 | 2-4 or Saturday, June 21 | 2-4 PM
CPR and AED Certification Renewal (CP3-4/CP5-6)
Saturday, June 21 | 7:30-9:30 AM or 10 AM-12 PM
Medical Emergencies in the Dental Office (AM1-2) Saturday, June 21 | 1-5 PM
Practical Abuse Education for the Dental Professional (DV1-4) Saturday, June 21 | 2-4 PM
Successful Documentation for Core Buildups
By Greg Grobmyer, DDS
Core buildups are considered the most frequently denied service in dentistry, usually due to inadequate documentation.
The core buildup procedure causes much confusion and frustration when dental teams submit these claims for reimbursement. Dental payers, on the other hand, view core buildup claims with skepticism, as they are often overreported without meeting the criteria for medical necessity. This article attempts to help you better understand core buildup claim submission and provide tips to increase the probability of reimbursement.
Let’s start by reviewing the codes associated with restorations: restorative foundations and core buildups, reported in conjunction with an indirect restoration.
D2940: Restorative Foundation for an Indirect Restoration
A restorative foundation includes restorative material placed to improve “box-form” or eliminate “concave irregularity,” “undercuts,” or “fillers” and should not be submitted for reimbursement as a core buildup (D2950). Typically, restorative foundations are appropriate when greater than half of the natural tooth structure remains intact after removing decay and old restorative materials and prepping the tooth for an indirect restoration. D2949 would be the best code to describe a restoration placed in these circumstances.
Dental benefit plans consider restorative foundation procedures as part of the global crown procedure and are not reimbursable.
D2950: Core Buildup, Including Any Pins When Required
This refers to the building up of a coronal structure when there is insufficient retention for a separate extra coronal restorative procedure. A core buildup is not a filler to eliminate any undercut, box form or concave irregularity in a preparation.
The necessity for the core buildup is based on the need for retention of the final restoration. However, it is misleading to report a core buildup (D2950) when the affected tooth, after preparation, would be retentive enough to support a crown without placement of a core buildup.
D2950 also reports a core buildup placed under the retainer crown portion of a fixed partial denture (bridge). There is not a separate code to report a core buildup under a retainer crown. Because the core buildup is placed prior to an extracoronal restoration, it is misleading to report a core buildup in conjunction with the placement of either an inlay or onlay. A core buildup is only justified when placed in a tooth to allow for the retention of an extracoronal restorative procedure. Pins placed are also included in a core buildup and should not be reported separately.
Images are critical to getting crown buildup claims paid. A supporting pre-operative diagnostic radiograph and intraoral photograph should be included in the documentation, demonstrating the necessity of the crown. Another intraoral photo should be taken of the “shell” of the tooth remaining when decay removal and tooth preparation are complete. This shows the medical necessity of the buildup itself. A final intraoral photo of the buildup in place could also be included. These photos should all be included as attachments, with the submission and a narrative.
Always include a narrative when reporting a core buildup (D2950). Be certain to include the language “a core buildup is necessary for the retention of the crown.” Many payers scan the narrative for the keyword “retention” and will only process the claim if this word is found. With an increase in the use of artificial intelligence for the auto-adjudication of claims, this is more important than ever. Note that if the narrative contains more than 80 characters, it should be included as a separate attachment. Also, remember that language in a narrative must first be recorded in the clinical notes. Nothing in the
narrative should be added or embellished outside of the language used in the clinical record, so robust documentation by the clinical team is essential. In fact, it is becoming commonplace for screenshots of the notes from the date of service to be required in place of a separate narrative.
The narrative may identify the percentage of missing tooth structure after full preparation, e.g., “60% of the tooth is missing after full preparation.” The narrative should note any missing cusps the tooth may have. Some payers require that 50% or more of the tooth be missing for reimbursement. When less than 50% of the tooth is missing, some payers consider the procedure a “filler” or restorative foundation.
Another circumstance requiring a crown buildup occurs when less than a 2mm-3mm “collar” (tooth height structure) remains after decay removal. If there is less than 2mm of vertical height remaining of the tooth, include this information as well as the number of degrees of circumference of the tooth where this exists, e.g., “only 1mm of vertical tooth height remains around 270 degrees of tooth circumference.” Be sure to document this in the clinical note and narrative. Also, document any existing circumferential caries at the gingival margin and extensive caries detectable by exploring under an existing crown.
Because core buildups are placed prior to crown placement, some payers require a certain “date sequence” to justify the core buildup. Report the core buildup (D2950) on the date it is performed. Note that some payers will not reimburse the core buildup unless a predetermination has been submitted for the planned crown or until the crown has actually been seated. The third-party contract (PPO) may dictate that the doctor report the crown on either the start or completion date. This is known as the “incurred liability date,” and language can vary between plans. Generally, the reporting date for the crown service is the completion date, not the prep date, according to the vast majority of PPO contracts and dental plan documents. Services may be charged to the patient on the prep date, but insurers may not be liable for reimbursement until the service is completed, i.e. the seat date. Refer to the contract language for the proper coding/billing.
To help reduce the number of delays for core buildup reimbursement, some practices file a claim on the preparation date with both the “predetermination” and “statement of actual services” boxes checked (at the top of the form). Enter the core buildup with the fee and date. Next, enter the proposed crown to be placed with the date area empty but the fee entered. Many payers will consider the core buildup claim as they have been alerted that the crown is planned (pre-determined) and will follow the core buildup on a subsequent date. Remember, the core buildup (D2950) must be necessary for the retention of the crown.
Narrative language is especially important when reporting a core buildup associated with an endodontically treated or periodontally involved tooth. Some payers reimburse core buildups on non-vital (endodontic) teeth but exclude reimbursement for vital teeth. As long as it can be truthfully stated, when reporting a core buildup placed on an endodontically treated tooth, submit this narrative: “The core buildup was necessary for the retention of the crown. This tooth was endodontically treated on mm/dd/yy. It is asymptomatic, and the longterm prognosis is good.” Attach a diagnostic radiographic image/periapical (PA) showing the tooth has received endodontic treatment. When a periodontally involved tooth is treated, attach a bitewing radiograph in addition to the PA, state the date of the scaling and root planning (SRP), the lack of mobility and that the long-term prognosis is favorable, if true.
When the crown or retainer is retained by the tooth after endodontic treatment has been performed through the crown, report D2330, D2391 or D2140 when restoring an endodontic access opening or to close the access opening for the internal bleaching (D9974) of a natural tooth. Do not report core buildup (D2950) or prefabricated post and core (D2954) when restoring and closing an endodontic access opening where the crown remains cemented and is retained on the tooth. Core buildups and prefabricated post and core are reimbursable when they are necessary for the retention of the crown, not for the closure of an endodontic access opening with an intact crown. It would also be inappropriate to report a crown repair necessitated by material failure (D2980) when the
material did not fail. If the crown is removed or comes off after the endodontic procedure and a core buildup is necessary to retain the crown, the core buildup or a prefabricated post and core can be reported, as appropriate. The core buildup must be a separately placed restoration, not integrated into the crown. It is misleading to report a one-piece Cerec® or E4D® fabricated crown as a crown (D2740) and a separate core buildup. A core buildup is always placed first as a separate component from the CAD/CAM crown. Cerec 3D or E4D users may report an unspecified restorative procedure by reporting (D2999) for a one-piece “endo- crown.” However, do not expect reimbursement for both a core buildup and crown. Expect only reimbursement for a crown.
Core buildups performed on non-vital teeth are generally covered, especially on a posterior tooth. However, core buildups reported on a non-vital anterior tooth may not be considered for reimbursement unless the documentation supports the necessity of the core buildup for crown retention. Again, a core buildup (D2950) may be reimbursed only when it’s necessary to retain the final indirect restoration. The need for the core buildup should be objectively determined and properly documented in the patient’s clinical record.
As mentioned, the payer may delay reimbursement for a core buildup until the crown has been placed. If a patient has the core buildup but does not plan to have the subsequent crown placed (due to finances or loss of commitment) or fails to return for the permanent crown, re-file the claim explaining why the patient did not complete the treatment. Request an alternate benefit for a four-surface composite restoration (D2335, D2394), or a four-surface amalgam (D2161), as applicable for the buildup, and enclose any laboratory bills for the fabrication of the crown with a request for reimbursement.
It is misleading to report a core buildup as a direct amalgam/composite restoration when the purpose of the restoration is to provide retention for the subsequent crown. A direct restoration is built to occlusion, with normal tooth anatomy and proximal contacts, and is restored to be fully functional. Reimbursement for amalgam and composite restorations that are reported shortly
(usually within two years) before the tooth is prepared for the crown may be deducted from the subsequent crown reimbursement. This “take back” provision may vary according to limitations established by the plan.
In some limited circumstances, stainless steel crowns on permanent teeth provided to a child or adult may require a buildup to retain the stainless-steel crown and may be reimbursed. The claim should include a full narrative with diagnostic images as documentation. On the other hand, payers rarely reimburse a core buildup required to retain a primary tooth crown due to contract limitations.
While infrequent, some plans even have it in their contracts not to reimburse core buildups under any circumstance, as they consider it part of the global fee for the final prosthesis. In such cases, the crown or retainer crown, which is considered a final restoration, and the buildup are not payable separately. If a payer denies reimbursement, have the patient request a copy of their specific dental insurance contract (Plan Document) to verify this limitation. If the insurance is provided through an employer plan, only the employee may request a copy of the dental plan document from their Human Resources department.
Sample Buildup Narratives:
Scenario #1: Restoring a molar with a large Mesial-Occusal-Distal (MOD) amalgam and a broken lingual cusp.
Narrative: The patient presented with a broken lingual cusp on tooth #19, which had a large MOD amalgam remaining, requiring a full coverage restoration to restore function. After removing the old restoration and preparation for the crown, approximately 65% of the natural tooth structure was missing. A core buildup was necessary for the retention of the crown. Please see the attached photos of the initially fractured cusp after amalgam removal and preparation and with buildup in place.
Scenario #2: Replacing a failing crown on an endodontically treated tooth.
Narrative: The patient presented complaining of food lodging on the lower right. Oral examination revealed tooth number 30 had significant recurrent decay around
the distal lingual margin of the existing crown extending 2mm below the crown margin. The existing crown was placed on 04/23/14, following endodontic treatment on 02/03/14. The long-term endodontic prognosis remains favorable. Even though a small lucency remains apically since the initial treatment, the tooth is asymptomatic with no percussion sensitivity. After removing the old crown and buildup and excavating decay, a vertical height of less than 2mm of sound tooth structure remained on the lingual side of the preparation. A new buildup was placed for the retention of the new crown. See the attached photos of the decay on presentation, the prepped tooth after decay removal, and the new buildup in place.
Be aware that the more comprehensive the documentation and supportive information supplied to the payer, the better the chance the core buildup will be reimbursed. Complete chart notes from the date of service may be sent in place of a narrative and are becoming more commonly requested in place of a separate narrative. Again, nothing in the narrative should be added or embellished outside of the language used in the clinical record, so robust documentation by the clinical team is crucial to successful submissions. If, however, the plan does not cover core buildups, the core buildup will not be reimbursed, regardless of the established need.
Dr. Greg Grobmyer earned his dental degree from the University of Tennessee Health Science Center College of Dentistry. He is the chief editor of Dr. Charles Blair’s annually updated “Dental Coding with Confidence” manual as well as the chief editor for Practice Booster’s “Insurance Solutions Newsletter.” Dr. Grobmyer is also the host of “The Dental Code Advisor” podcast.
Dr. Grobmyer is presenting the courses “Stay in the Know! Recent CDT Changes and Common Insurance Administration Errors” (C16) and “Top Coding and Documentation Strategies: Maximize Your Insurance Reimbursement” (C04) on Thursday, June 19 at the Florida Dental Convention in Orlando. Register now at floridadentalconvention.com.
Dr. Grobmyer can be reached at amanda@practicebooster.com.
The Future of Dentistry is Brighter Than Ever!
Stay ahead of the curve! Explore cutting-edge technologies, emerging trends, and innovative techniques shaping tomorrow’s dental practices. Whether you’re curious about new advancements, eager to integrate fresh solutions into your office, or simply wondering where to start, FDC2025 offers a range of courses tailored just for you. Dive into sessions led by industry experts, gain insights on the latest tools and approaches, and walk away ready to elevate your practice.
Don’t miss your chance to stay ahead in your career! Add these courses to your FDC itinerary:
THURSDAY
• Digitize Your Dentistry: Tools You Can Use to Excel in Clinical Practice (C15) Chad Duplantis, DDS
• Effective Analog and Digital Workflows for Fixed, Removable, and Implant Dentistry (C22) Dany Sakr, CDT
• How to Implement 3D Scanning Into Your Hygiene Appointment: A Step-by-Step Course (C07) Kelly Tanner, RDH, MS, PHD
• Next-Level Digital Dentistry: New Technology and Treatment Modalities (C13) – Eric Block, DMD
FRIDAY
• The 3D Experience: An Introduction to CBCT for Dental Practitioners Workshop (W15/W26) Chad Duplantis, DDS
• CBCT for Implant Dentistry (C40) Dania Tamimi, BDS, DMSc
SATURDAY
• Advancing Dentistry Through Digital Technology (C72) Dana Marzocco, DMD
• Artificial Intelligence for Diagnosing and Classifying Periodontal DiseaseThe Future is Here (C69) Marianne Dryer, RDH, MEd
• Building for the Future: Dentists + Technology (C70) Mina Ghorbanifarajzadeh, DMD
ELEVATE YOUR EXPERTISE IN DENTISTRY
with Hands-On Learning!
YOU NEED SLEEP! DENTAL SLEEP MEDICINE HANDS-ON EXPERENCE
Date & Time: Friday, May 2, 1-5 PM and Saturday, May 3, 8 AM-12 PM
Location: Hammock Beach Resort | Palm Coast, FL
Cost: $449 for FDA Members, $549 for Non-Members
CE Credits: 8
GY YATROS, DMD
earned his dentral degree from the University of Kentucky College of Dentistry. He is a Diplomate of the American Board of Dental Sleep Medicine and he maintains a practice specializing in sleep dentistry in Tampa.
This hands-on workshop will introduce dental professionals to the fundamentals of dental sleep medicine, including screening, testing, and treatment of obstructive sleep apnea (OSA).
Take Your Dental Career to the Next Level with Digital Dentistry
By Eric Block, DMD
About halfway through my career, I was burned out and ready to quit dentistry and look for a career change. I lost the joy.
I told myself, “Blocky,” you have to make some changes, or else you will not make it in this industry. There were many clinical and non-clinical
reasons for this. A lot of it had to do with my anxiety, imposter syndrome and perfectionism.
Other reasons were fear of trying something new and needing more variety in my everyday dentistry practice.
Is it strange that I refer to myself in the third person? Yes. Is it strange that I wanted to make positive
changes and re-energize my career? No.
Want to re-energize your career? The sooner you start the better, but better late than never, and age and education shouldn’t be a determinant.
The only thing that matters is YOU!
You, the dentist, are reading this article. You must decide whether to turn things around and rejuvenate yourself with dentistry.
I did it, and so can you. Below are a few things that I added to make this happen.
Intra-Oral Scanning
I had always wanted to try intra-oral scanning but only took the plunge after COVID-19 quarantine. It gave me and my staff the time and confidence to try scanning.
I started scanning for just single crowns. Not long after, I eventually transitioned to the point where I am fully digital and no longer use analog impressions.
My staff, the scanners and most importantly, my patients love this. Intraoral scanning was one of those “Next Level” changes I made that I wish I had done years ago.
3D Printing
3D printing creates a significant wow factor with patients. Most likely, patients have heard of 3D printing but have never seen it. As I said, I no longer do alginates or polyvinyl
impressions, so we have shelved our stone and impression tray. Now, all models are printed on my digital light projector printer. I make surgical guides, study models, night guards, bleaching trays, dentures and flippers with my printer. The prints are extremely quick and accurate.
It’s more enjoyable for the staff, who are hard to find and keep. The staff loves not having to disinfect and pour up impressions.
You have to show it off, however. Let patients see the printer and its models. Patients will tell their friends and family about your printer, which can be a huge practice builder.
Artificial Intelligence (AI) X-Ray Diagnosis
I consider AI X-ray diagnosis software as a second opinion in my practice. The software annotates areas of potential decay, bone loss, periapical lesions and more. It is not going to diagnose or treatment plan for you, but is there as a second set of eyes.
It is also great for patient education and case acceptance. Showing patients the annotations is much easier than explaining with just words.
Virtual Implant Planning and 3D-Guided Surgery
I used to place all of my implants with 2D planning and freehand surgeries. The implants were sometimes placed not where I planned, which made the restorative part more challenging.
Now, I place my implants based on a virtual plan and with my 3D-printed surgical guides. The implants are placed quicker, more accurately and in the ideal restorative position.
This has made implants one of the most enjoyable procedures I do in my general practice.
Same-Day Crowns
Temporary crowns used to stress me out. I would dread seeing a patient in the schedule with a temp that popped off or has a sensitivity with them. Most of the time, it was a wasted appointment to re-cement the temp or reassure the patient that the real definitive crown would look and feel better.
So what did I do? I went to the next level and added same-day crowns with a milling machine. Don’t get me wrong; provisionals have a firm place in my practice regarding anterior or full-rehabilitation cases. But my office is a general practice, and I mostly do single crowns and occasional two-three unit or bridge cases now. I mill the crowns and insert them the same day.
My patients love not having to deal with the temp crown anymore for two-three weeks. They will gladly get everything done in one day. After the prep and scan, they typically go for a walk, get a car wash, go home or go to Trader Joe’s for an hour of milling time.
Low-Level Laser Therapy
This isn’t the cut-and-cauterize type of laser most dentists think of when it comes to “laser dentistry.” Low-level laser or “cold” laser therapy does not cause heat. It is non-invasive and uses wavelengths and light to stimulate ATP, help tissue heal and reduce inflammation. I have been using it for post-surgical treatments and TMD. More to come on this technology, as I’m just starting with it.
Conclusion
Dentistry is a demanding profession that we chose. To have a long, pleasurable career, you only get one life, so enjoy it and make the best of it. Innovative treatments and technology are great ways to do this.
Blocky Out
Dr. Eric Block earned his dental degree from Nova Southeastern College of Dental Medicine and completed an implantology residency at Boston University. He is the former chairman of the Massachusetts Dental Society's Health and Wellness Committee. He is the host of the “Stress-Free Dentist” podcast, wellness ambassador for the American Dental Association and co-founder of the International Academy of Dental Life Coaches. Dr. Block maintains a private practice in Acton, MA.
Dr. Block is presenting the courses “Game Changers: Clinical Techniques and Workflows to Become More Efficient and Less Stressed” (C09) and “Next-Level Digital Dentistry: New Technology and Treatment Modalities” (C13) Thursday, June 19 at the Florida Dental Convention in Orlando. Register now at floridadentalconvention.com
Dr. Block can be reached at ericmblock@gmail.com
it is time for FDC’s Big Easy Bash! Costumes are encouraged, so come dressed in your Mardi Gras best and get ready for a night of carnival fun, music, and memories with the whole family!
SPONSORED BY FRIDAY, JUNE 20 7:30-10:30 PM
Helping Members Succeed Team Impact Award
Congratulations! Awards Luncheon 2025 MRS. TESSA POPE
Tessa Pope has been with FDA Services for over eight years, starting as an Insurance Advisor and now serving as Customer Service Manager. She earned her Bachelor’s degree in Risk Management and Insurance from FSU in 2017 and her MBA from LSU in 2021, bringing strong expertise and leadership to her role. Tessa is dedicated to providing top-tier service to dental professionals, streamlining processes, and mentoring her team. She is celebrating her second anniversary with her husband, Andrew, and enjoys CrossFit in her free time. She also adores spending time with her two dogs and staying engaged in the insurance industry.
JOIN IN THE RECOGNITION OF TESSA POPE
Friday, June 20 | 11:30 AM – 1:00 PM • Gaylord Palms Resort and Convention Center, Orlando, FL
SPONSORED BY
Navigating Biologic Dental Implant Complications
By Joe Richardson, DMD, MS
Dental implants have evolved the dental industry. The versatility and, frankly, profitability of these titanium alloy screws carried us into the 21st century and continues to change the way we think about oral biomechanical reconstruction.
It is difficult to argue any longer that a bridge is a superior option to a single implant in most situations. Current estimates suggest that
five million implants are placed each year in the United States, increasing each year by 500,000. As clinicians and businesspeople, this profitable trend is presumably positive; however, more implants will inevitably lead to more implant complications.
Dental implant complications are a broad-spectrum topic and can range from a loosened abutment screw to an infected implant that the patient removes with their fingers. Etiologies of dental implant complications can be casually divided into four categories: pre-prosthetic
biologic, pre-prosthetic mechanical, post-prosthetic biologic and post-prosthetic mechanical. These or some type of categorization is necessary to understand the etiology of the complication better so a targeted treatment regimen can be applied to improve the prognosis or decide to sacrifice the implant. Furthermore, diagnosing the etiology and prognosis of an implant helps prevent the recurrence of the same issue (i.e., an abutment screw loosening over and over). For this conversation, we will focus on implant complications associated with biological processes.
Generally speaking, periodontists manage various biologic complications associated with teeth, gingiva, bone and implants. Being an effective periodontist stems from the understanding that managing periodontal diseases requires an individual assessment and treatment approach for each patient. Periodontal disease is a genetically mediated, hyper-inflammatory condition that varies from person to person. Each person hosts a unique, inherited immune system, a specific bacterial profile and an individual set of risk factors that ultimately determine the extent and aggressiveness of their disease. Treating people afflicted with these conditions requires a specific evaluation and collection of clinical data to devise a treatment regimen that eliminates variables and gauges an individual’s risk for disease progression and tooth loss. The same philosophy holds true when attempting to diagnose and treat an ailing/failing implant. This approach of collecting specific data
Simply treating the secondary bacterial infection may aid but not effectively treat the underlying cause, reversing the damage and improving the long-term prognosis of the
implant.
to determine the cause of the bone loss or infection will aid in choosing appropriate treatment and yield more effective outcomes. In other words, you cannot apply the same treatment to every implant with bone loss and expect the same result. This explains why treating failing/ailing implants is so unpredictable. Essentially, there are many etiologies and variables that induce and perpetuate peri-implant inflammation, bone loss and infection.
The first step in treating and understanding biologic implant complications is to stop diagnosing all ailing implants with bone loss as “peri-implantitis.” Ultimately, all biologic dental implant complications lead to progressive bone loss around the body of the implant and secondary opportunistic bacterial infection. Peri-implantitis is a hyper-inflammatory condition often associated with the same types of bacteria in periodontitis. Like teeth and gingiva, hard and soft tissues around implants exhibit hyperinflammation and progressive loss over time with increasing bacterial infiltration and chronic infection. True cases of peri-implantitis are associated with genetically susceptible patients who also suffer from inherited forms of periodontitis. Many other etiologies lead to bone loss around implants that are not related to periodontal
disease; therefore, it is inappropriate to label a person without a diagnosis of periodontal disease with peri-implantitis.
Research on the surgical treatment of peri-implant bone loss primarily focuses on treating the secondary infection and shares the same inherent flaw. All the implants in these studies are different and share little in common. Essentially, each implant in a study may have been placed by different clinicians, placed in different sites in the mouth, originate as different implant systems and functioned in occlusion for varying times. Next, we should consider the individual genetics of the patients, current medical conditions and risk factors such as smoking. Furthermore, let’s analyze the extrinsic factors of the implant struggle. For example, more than 500 dental implant companies currently manufacture implants (not to mention those who no longer manufacture implants that are still in people’s mouths). They have differing screw designs, surface materials, surface textures, mechanical connections and integration protocols. Secondly, implant companies change the features of their implants over time. Is treating an implant with bone loss that has been in function for 25 years the same as treating an implant that is two years old? While we are beating this horse to death,
let’s discuss operator error. Bone loss can be induced by an implant placed too close to the buccal plate or placed at an angle that requires a less-than-ideal crown design that is hard to clean. An implant can be placed too deep and induce a biologic width inflammatory response to a crown that is too subgingival. Finally, there is excess cement retention. These are examples of variables that lead to bone loss and eventual bacterial infiltration and infection. None of these are examples of true peri-implantitis. Studies that do not factor these variables into their analysis are unlikely to establish a valid treatment regimen that results in predictable bone regeneration.
This commentary aims to gain insight into biologic dental implant complications and the multivariate analysis that must be utilized when determining the appropriate treatment for a failing or ailing implant. Simply treating the secondary bacterial infection may aid but not effectively treat the underlying cause, reversing the damage and improving the long-term prognosis of the implant. Finally, it is essential to acknowledge that all failing implants cannot be saved. Some implants must be removed and understanding why the implant failed is crucial when determining if the implant should be replaced moving forward.
HANDS-ON HANDPIECE CARE: MASTERING DENTAL HANDPIECE MAINTENANCE FOR LONGEVITY AND PERFORMANCE WORKSHOP
TWO COURSE OPTIONS!
W23 | Friday, June 20, 2-4 PM –or–
W32 | Saturday, June 21, 9-11 AM CE Credits: 2 | Audience: Dentists, Hygienists, Assistants ACT FAST – Attendance in each workshop is limited to 30.
In this workshop, participants will dive into the essential world of dental handpiece maintenance, learning practical techniques and strategies to enhance handpiece lifespan, ensure optimal performance and improve patient care. Dental handpieces are critical tools in every practice, yet their proper upkeep is often overlooked. Attendees will learn common handpiece issues and troubleshooting techniques, cleaning and lubrication, and maintenance protocols, answer YOUR specific questions, and problem-solve as a group. This workshop is designed to empower you and your team with the tools to ensure your handpieces are always in top condition!
MR. RICK BALL
I acknowledge that I have added layers of complexity to an already unpredictable aspect of dentistry. I am both an advocate for replacing hopeless teeth with dental implants and a proponent of saving teeth that can be saved. It is important to employ both philosophies because the regeneration of lost periodontal hard and soft tissues is far more predictable than the regeneration of bone around an implant that has been exposed to bacteria.
The profitability of dental implants has shifted our industry, which demographically yields more implant placers than tooth savers. This fact results in more implants placed at a growing rate annually and less researched, moderately effective treatment regimens for struggling implants. As implant placement is unlikely to slow moving forward, I encourage all dentists to (1) seek conservative treatment pathways that aim to save teeth when possible (2) use less aggressive implant protocols with higher yields of survival and success and (3) lean on
specialists with a variety of treatment modalities (including implant removal) that are utilized upon an accurate, individualized assessment of etiologies and prognoses.
Dr. Joe Richardson earned his dental degree, certificate in periodontics and master’s degree from the University of Florida College of Dentistry (UFCD). He maintains a courtesy teaching appointment at UFCD and a private practice in Eustis and Winter Park.
Dr. Richardson is presenting the courses “Comprehensive Identification, Management and Maintenance of Ailing Dental Implants” (C06) Thursday, June 19, and “Comprehensive Surgical and Restorative Dental Implant Workflows for Dental Assistants” (C74) Saturday, June 21, at the Florida Dental Convention in Orlando. Register now at floridadentalconvention.com
Dr. Richardson can be reached at periojoe@gmail.com.
Diagnostic Discussion
BI-MONTHLY COLUMNS
FDA members can earn up to 6 hours of general continuing education (CE) by reading the Diagnostic Discussion column included in the bi-monthly Today’s FDA and taking a quick online quiz
Discussions and quizzes are available 24 hours a day at the convenience of your home or office
Rooted in Dentistry
WEBINAR SERIES
This webinar series is your opportunity to stay informed, grow your skills and earn up to 6 CE hours at no cost.
Webinar topics include implant restoration, peri-implant disease, systemic oral health, diagnostic advancements and more!
more at www.floridadental.org/online-ce
FLORIDA DENTAL CONVENTION | EXHIBIT HALL
JUNE 19-21, 2025 – GAYLORD PALMS RESORT - ORLANDO
Visiting the FDC Exhibit Hall is an invaluable opportunity for you to experience a comprehensive showcase of the latest advancements in the dental field, from cutting-edge technology to innovative treatment options. Stay up-to-date on industry trends, expand your skills, and discover products and services that can enhance patient care and the overall dental practice experience all under one roof at FDC2025. Support the companies that support the Florida Dental Convention!
A-C
A TITAN INSTRUMENTS
A1 HANDPIECE SPECIALISTS
A2Z IMAGING
ABYDE
ACE DENTAL GROUP INC.
ADIT
ADS DENTAL SYSTEM INC.
AIR TECHNIQUES INC.
ALIGN TECHNOLOGY INC.
ALLTION /VEREX
ALPHAEON CREDIT
ALWAYS NYE
AMD LASERS
AMERICAN DENTAL INSTITUTE ANDAU MEDICAL
ARCHY
ARTCRAFT DENTAL INC.
ASAR INDUSTRIES
ASEPTICO
ATLANTA DENTAL SUPPLY
ATLANTIC DENTAL SOLUTIONS/BREWER COMPANY
ATOMICA TECHNOLOGY INC.
AUGMA BIOMATERIALS
AUTOREMIND
BALLARD GLOBAL
BANK OF AMERICA PRACTICE SOLUTIONS
BARKSDALE DENTAL LAB
BAUSCH ARTICULATING PAPERS INC.
BAYFIRST
BENCO
BEST CARD
BEST INSTRUMENTS USA
BIEN-AIR DENTAL
BIOCLEAR
BIOGAIA PROBIOTICS
BIOHORIZONS
BIOLASE
BISCO INC.
BMO
BQ ERGONOMICS LLC
BRANDMAX
BRASSELER USA
BTI OF AMERICA
CAD-RAY
CARECREDIT
CARESTREAM DENTAL
CARR INC.
CENTURION HEALTH
CHOICE TRANSITIONS LLC
CITY NATIONAL BANK
CLIX THERAPY
CLOUD DENTISTRY
COASTAL PROFESSIONAL CONTRACTING INC.
COLGATE
COLTENE/SCICAN
CORE SCIENTIFIC
CREST + ORAL-B
CROWN TENANT ADVISORS
CULTURE DENTAL ADVISORS
CURVE DENTAL
CUTCO CUTLERY
D-F
DADDY D PRO MIAMI
DANDY
DDS MATCH FLORIDA
DEMEOLA TEMPLE CPA GROUP
DENTAL DYNAMIC STAFFING
DENTAL EQUIPMENT LIQUIDATORS
DENTAL INTELLIGENCE
DENTAL LIFELINE NETWORK FLORIDA
DENTAL PITCH BROKERAGE
DENTAL TRIBUNE AMERICA
DENTALEZ-DSX
DENTALMAX SOLUTIONS
DENTALREE.COM INTERNATIONAL INC.
DENTAQUEST
DENTISTRY TODAY
DENTIUM USA
DENTLIGHT INC.
DESIGNS FOR VISION INC.
DEXIS
DIGI SEARCH
DIGITAL DOC
DIGITAL HEALTHCARE PROFESSIONALS
DOCTOR MULTIMEDIA
DOCTOR’S CHOICE PRACTICE TRANSITIONS
DOCTORSINTERNET
DORAL REFINING CORPORATION
DR. MARKETING
DREVE AMERICA
EASSIST DENTAL SOLUTIONS
EDGEENDO
EKOS DENTAL GROUP
ELEVATE ORAL CARE
ELITE PAYMENT GROUP
ELITE PRACTICE
EMS DENTAL
EPDENT AMERICA INC.
ESTHETIC PROFESSIONALS
EVENLY
FLORIDA DENTAL ASSOCIATION
FDA FOUNDATION
FDAPAC
FDA SERVICES
FGM DENTAL GROUP
FLORIDA ACADEMY OF GENERAL DENTISTRY
FLORIDA COMBINED LIFE
FLORIDA MEDICAL ADVISORS
FLORIDA PDMP FOUNDATION/E-FORCSE
FLORIDA PROBE CORP.
FOTONA
FOUR QUADRANTS ADVISORY
G-K
GARFIELD REFINING
GARRISON DENTAL SOLUTIONS
GC AMERICA INC.
GLIDEWELL DENTAL
GLOBALNET TECHNOLOGIES
GREATER NEW YORK DENTAL MEETING LLC
GUARDIAN
H&H COMPANY
HALEON
HALYARD
HAWAIIAN MOON
HEARTLAND DENTAL
HENRY SCHEIN DENTAL
HENRY SCHEIN DENTAL PRACTICE TRANSITIONS
HENRY SCHEIN ONE
HIOSSEN
HUFRIEDYGROUP
HUMANA
HUNTINGTON BANK PRACTICE FINANCE
HUNZA DENTAL
ILLUCO USA
IMPLADENT LTD
IMPLANT DIRECT
IMPLANT EDUCATORS
IMPLANT SEMINARS
IMTEC CORPORATION
INTERACTIVE ACCOUNTANTS LLC
IOTECH INTERNATIONAL
ITXPROS
JIM O’BRIEN ARCHITECTURE & INTERIORS
JMU DENTAL INC
KALEIDOSCOPE SERVICES
KARL SCHUMACHER DENTAL
KENWOOD/WIRED FOX TECHNOLOGIES
KERR DENTAL
KETTENBACH LP
KOMET USA
KWIKLY DENTAL STAFFING
L-Q
LEGALLY MINE
LEIXIR DENTAL LABORATORY GROUP
LUETZOW INDUSTRIES
LUMADENT INC.
MAN & MACHINE INC.
MEDIANV
MEDILOUPES
MEDS 2U PHARMACY: EMERGENCY DENTAL KITS
MEGAGEN AMERICA
MEISINGER USA
MERCHANT PREFERRED ZERO
MICROCOPY
MODERN DOC MEDIA
MUTUAL OF OMAHA
MYRIAD CAPITAL
NADA PAYMENTS
NEOCIS
NEW TEETH NOW
NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
DEPARTMENT OF DENTAL HYGIENE & DENTAL
ASSISTING
NEXHEALTH
NEXT DENTAL LAB
NOBEL BIOCARE USA
NSK AMERICA
NSU-COLLEGE OF DENTAL MEDICINE
NUCHAIR INC.
OCEANVIEW BUILDING GROUP
OLYMPUS DENTAL
OOMA INC.
OPAL REEF LLC
ORALMEGA MANUFACTURING
ORASCOPTIC
OVERJET
PATIENT NEWS
PATTERSON DENTAL
PEARL
PHILIPS SONICARE AND ZOOM WHITENING
PLANMECA/KAVO
POWER DENTAL GROUP
PPO PROFITS
PRACTICE BY NUMBERS
PREMIUM PLUS DENTAL SUPPLIES
PROFESSIONAL SALES ASSOCIATES INC.
PROVIDE
Q-OPTICS & QUALITY ASPIRATORS
R-S
R&D SURGICAL USA / XENOSYS USA
REALTIME CPAS
REVENUEWELL
RGP DENTAL INC.
RITTER DENTAL
ROYAL DENTAL GROUP
SAIBERDENT
SALVIN DENTAL SPECIALTIES LLC
SGA DENTAL PARTNERS
SHAMROCK DENTAL CO. INC.
SHATKIN F.I.R.S.T. LLC
SHOFU DENTAL CORPORATION
SIKANDER & BROTHER COMPANY
SMILE DESIGN DENTISTRY
SMILES AT SEA
SNAP ON OPTICS
SOLMETEX/STERISIL/DRYSHIELD
SOLUTIONREACH
SOUTHERN DENTAL REFINING
SP RECONSTRUCTION SERVICES INC.
SPECIAL OLYMPICS FLORIDA
SPINCYCLE
SPRINTRAY
STELLALIFE
STESZEWSKI LAW
STRATUS
STRAUMANN
STRAUSS DIAMOND INSTRUMENTS INC.
STREAMHEALTH GROUP
SUMMIT HANDPIECE EXPRESS
SUNBIT
SUNCOAST CREDIT UNION
SUNRISE DENTAL EQUIPMENT INC.
SURGITEL
T-Z
TATUM SURGICAL
TD BANK
THE ARGEN CORPORATION
THE DAWSON ACADEMY
THE DOCTORS COMPANY
THE TRANSITIONS GROUP LLC
THEPRACTICECONSULTANT.COM
TOKUYAMA DENTAL AMERICA
TORCH DENTAL
U.S. AIRFORCE RECRUITING
U.S. BANK HEALTHCARE BUSINESS BANKING
ULTRADENT PRODUCTS INC.
ULTRALIGHT OPTICS INC.
ULTRASHARP LLC
UNITED MIDWEST SAVINGS BANK
UNITED STATES ARMY MEDICAL RECRUITING
STATION - ORLANDO
UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
US DENTAL TRANSITIONS
US NAVY MEDICAL OFFICER PROGRAM
VAKKER DENTAL INC.
VALUMAX PROTECTIVE APPAREL INC.
VATECH AMERICA
VECTOR RESEARCH & DEVELOPMENT
VIDEO DENTAL CONCEPTS
VIVA AI
VIZISITES
VOCO AMERICA INC.
VVARDIS
WEAVE
WELLS FARGO
WOUNDED VETERANS RELIEF FUND
XITE REALTY LLC
ZIRC DENTAL PRODUCTS
Times are subject to change
THURSDAY, JUNE 19
11 AM-6 PM
Exhibit Hall Open to Attendees
11 AM-2 PM
Lunch available to purchase
3-5 PM
Puppy Break
4-6 PM
Welcome Cocktail Reception
FRIDAY, JUNE 20
8:45 AM-6 PM
Exhibit Hall Open to Attendees
11 AM-2 PM
Lunch available to purchase
3-5 PM
Puppy Break
SATURDAY, JUNE 21
9 AM-2 PM
Exhibit Hall Open to Attendees
11 AM-2 PM
Lunch available to purchase
EXHIBITORS IN GREEN ARE FDAS CROWN SAVINGS PARTNERS .
Starting Jan. 1, 2025, FDA members have free, confidential access to AllOne Health‘s counseling and work/life services.
The Florida Dental Association’s (FDA) Member Assistance Program (MAP) can help you reduce stress, improve mental health and make life easier by connecting you to the right information, resources and referrals.
All services are confidential and available to you and your household as an FDA member benefit. This includes access to short-term counseling and the wide range of services listed below:
Mental Health Sessions
Manage stress, anxiety and depression; resolve conflict, improve relationships and address personal issues. Choose from in-person sessions, video counseling or phone counseling.
Life Coaching
Reach personal and professional goals, manage life transitions, overcome obstacles, strengthen relationships and achieve greater balance.
Financial Consultation
Build financial wellness related to budgeting, buying a home, paying off debt, resolving general tax questions, preventing identity theft and saving for retirement or tuition.
Legal Referrals
Receive referrals for personal legal matters including estate planning, wills, real estate, bankruptcy, divorce, custody and more.
Work-Life Resources and Referrals
Obtain information and referrals when seeking childcare, adoption, special needs support, eldercare, housing, transportation, education and pet care.
Personal Assistant
Save time with referrals for travel and entertainment, professional services, cleaning services, home food delivery and managing everyday tasks.
Medical Advocacy
Get help navigating insurance, obtaining doctor referrals, securing medical equipment and planning for transitional care and discharge.
Member Portal
Access your benefits 24/7/365 through the member portal with online requests and chat options. Explore thousands of self-help tools and resources including articles, assessments, podcasts and resource locators.
Awards Luncheon 2025
Dental Student Award
MR. CARTER BEDINGHAUS
Dental Team Member Award
MS. HINDY RICHANY
Public Service Awards
DR. ZACK KALARICKAL
DR. MATTHEW RASMUSSEN
NSU COLLEGE OF DENTAL MEDICINE
New Dental Leader
DR. MONIQUE BELIN
Leadership Awards
DR. BERNIE KAHN
DR. ROBIN NGUYEN
Special
Recognition
DR. TOM BROWN
Helping Members Succeed Team Impact Award
MRS. TESSA POPE
President’s Award
DR. JEFF OTTLEY
Dentist of the Year
DR. BETHANY DOUGLAS
J. Leon Schwartz
Lifetime Service Award
DR. GERALD BIRD
JOIN IN THE RECOGNITION OF YOUR COLLEAGUES
Friday, June 20 | 11:30 AM – 1:00 PM • Gaylord Palms Resort and Convention Center, Orlando, FL
Individual tickets are $55 or reserve a table of 10 for $550.
Purchase tickets through your FDC registration or contact Lianne Bell at lbell@floridadental.org or 850.681.3629 by June 6
2025 Award Winners awards
Dental Student Award
Mr. Carter Bedinghaus
Carter Bedinghaus was born and raised in Bradenton, with a lifelong passion for leadership and service.
A standout on and off the basketball court, he was inducted into the Manatee High School Hall of Fame. His competitive drive and dedication to excellence continued at the University of South Florida, where he was named Student Leader of the Year. Now a student at the Lake Erie College of Osteopathic Medicine (LECOM) School of Dental Medicine, Carter serves as president of his American Student Dental Association (ASDA) chapter and has represented his peers as a member of the Florida Dental Association’s (FDA) House of Delegates (HOD). Carter finds fulfillment in giving back, aspiring to specialize in pediatric dentistry to treat children with special needs. He organized LECOM’s Give Kids a Smile, helping provide dental care to underserved children, reinforcing his commitment to community service. His enthusiasm, gratitude and ability to uplift those around him define his approach to life and patient care. Passionate about organized dentistry, advocacy and public speaking, he aspires to one day serve as president of the FDA.
I would like to thank my parents, grandparents and siblings for their unwavering love and support. Thank you to my mentor, Dr. Perez, for your guidance and mentorship. I
also want to thank my friends, colleagues, professors and the FDA for their invaluable support. I am forever thankful to my mother, whose encouragement and belief in me during the most challenging times of my life have always inspired me to keep moving forward.
Dental Team Member Award
Ms. Hindy Richany
Ms. Hindy Richany was born in Venezuela to Lebanese parents. At the age of five, she traveled to Lebanon to immerse herself in the language and culture, becoming fluent in English, Spanish and Lebanese. From an early age, she discovered a deep passion for dentistry, which has guided her throughout her professional journey. With more than 30 years of experience as a surgical dental assistant, Ms. Richany has dedicated her career to providing exceptional patient care and supporting her team. She has worked alongside Dr. Beatriz E. Terry in Coral Gables for many years, playing an integral role in ensuring seamless procedures and a comforting experience for every patient. As a valued team member, Ms. Richany is known for her versatility and commitment. Whether assisting chairside, answering phones, discussing treatment plans or simply listening to patients’ concerns, she brings warmth, expertise and dedication to her work. Her ability to connect with patients and make them feel at ease has earned her the reputation of being the team’s go-to person for extra support.
I would like to thank Dr. Terry for giving me the opportunity to join her team. She interviewed me on a Monday, and I started working the following Tuesday! I would also like to thank our team members, the best I’ve had in so many years.
Public Service Award
Dr. Zack Kalarickal
Dr. Zack Kalarickal has dedicated 25 years to humanitarian service and legislative advocacy, championing initiatives that improve access to dental care for veterans. As the Statewide Communications Chair for the Florida Mission of Mercy (FLA-MOM), Dr. Kalarickal played a pivotal role in branding the Veterans First Initiative as a core element of FLA-MOM. His enthusiasm and strong government relations helped establish a longterm partnership with the Florida Veterans Foundation, which contributed more than $100,000 to FLA-MOM as a Platinum Benefactor. A Veteran Naval Officer, Dr. Kalarickal is committed to supporting Congressman Gus Bilirakis’ mission to expand access to dental care for veterans — an urgent need, as only 3% of America’s veterans currently receive VA dental care. To address this, he founded a 501(c)(3) organization, Stars, Stripes and Smiles which in collaboration with Congressman Bilirakis and Pasco County dental professionals, assists veterans with urgent dental needs. This initiative served as a catalyst for the FDA’s Veterans Dental Grant legislation. In partnership with Dean Emeritus Marjorie Jeffcoat, a trailblazer in oral-systemic health research, Congressman Bilirakis and Dr. Kalarickal developed the VETCARE Act — a visionary policy initiative that, after a decade of advocacy, was signed into law in January.
Stars, Stripes and Smiles has been successful in delivering dental care to Veterans because of the dedication of several volunteer dentists, most notably, Drs. Steve Durrett, Paul Miller, Chris Thompson and John Metz. Key supporters include Amy Metz, Congressman Bilirakis and his Deputy Chief Summer Blevins, PHSC, Henry Schein Cares Foundation and the FDA. Posthumously, we would like to honor Dr. Marjorie Jeffcoat, who did not have the opportunity to see VETCARE signed into law.
Public Service Award
Dr. Matthew Rasmussen
Dr. Matthew Rasmussen is a native of Tampa and a son of two dental professionals; Matt followed in his parents’ footsteps at the University of Alabama at Birmingham School of Dentistry. Following dental school, he continued his post-graduate education, completing an Advanced Education in General Dentistry (AEGD) and subsequently graduated with a degree in periodontology in 2016. Always committed to public service, Matt helped with Mission Smiles across the Tampa Bay area. After moving with his wife and starting two practices (Perio and Pros, respectively) the opportunity for public service grew even further. Dr. Rasmussen helped extensively by donating more than $200,000 of volunteer dentistry at The Kearney Center as well as helping out with other charitable organizations in the Big Bend region. He now has an endowed scholarship for dental assisting at Tallahassee State College, where he serves as an adjunct faculty member, and is in the process of forming a non-profit to help coordinate volunteerism and improve access to care for those in need.
I would like to thank my wife, Rocio Barocio, and countless friends and family members who have helped me along the way. This award is great recognition of what we have accomplished together and will continue to do. A special thanks to Dr. Maryam Rezaie for nominating me for this award and the FDA for this wonderful recognition.
Public Service Award
NSU College of Dental Medicine
Nova Southeastern College of Dental Medicine (NSU CDM) is dedicated to improving oral health access for underserved populations in Florida and beyond. Addressing the state’s dental care shortage, NSU CDM mobilizes students and faculty to provide care in underutilized county health clinics, including Swannee and Lafayette Counties, where a $1.3 million grant has expanded services.
awards
Through a $5 million state grant, NSU CDM offers free comprehensive dental care to Florida’s veterans and their families. NSU CDM also participates in Remote Area Medical (RAM) missions, contributing more than 7,500 volunteer hours since 2021 and providing more than $700,000 in dental services. Additional outreach includes care for indigent adults at the Hands Clinic of St. Lucie County and comprehensive services for South Florida’s HIV/AIDS community.
Students actively engage in community initiatives, including Colgate’s Bright Smiles/Bright Futures program and weekly volunteering at the Safety Harbor Community Fair. Through these efforts, NSU CDM remains committed to public service, transforming lives and expanding access to essential oral health care.
NSU CDM Dean Dr. Steven Kaltman, thank you!
New Dental Leader
Dr. Monique Belin
Dr. Monique Belin is originally from Maryland and attended dental school at the University of Florida College of Dentistry (UFCD). She continued to earn her Master of Science and Specialty Certificate in Endodontics from the university as well. Dr. Belin now maintains a volunteer faculty position at UFCD and NOVA Southeastern in the Graduate Endodontics Department. Since graduating from her residency program in 2019, Dr. Belin has opened three private practice offices throughout the Central Florida area. She has been active in multiple local dental societies and has served as President of Marion County Dental Association. In addition to her role as Central Florida District Dental Association (CFDDA) Secretary, she also currently serves on the CFDDA Delegation to the FDA House of Delegates (HOD) as well as the 17th Trustee District Delegation to the American Dental Association (ADA). Dr. Belin was also appointed to serve on the Council of Communication for the ADA. When Dr. Belin is not busy with organized dentistry, she does a lot for her community through community events and givebacks and enjoys time with her son.
I would like to thank God first! Because it is he who gives me strength. I would also like to thank my staff and family for their continued support and patience with all that I do outside of the office and home! Special thanks to all of my mentors who have helped guide me on my journey. And a super special thank you to my sister and office manager, Chanel, who is my secret weapon!
Leadership Award
Dr. Bernie Kahn
Dr. Bernie Kahn was born in Orlando. His passion for dentistry began in ninth grade, leading him to pursue studies in science at Florida State University (FSU) before earning his dental degree from Emory University College of Dentistry. Throughout his career, Dr. Kahn has practiced dentistry in Orlando and Maitland while raising his three sons and cherishing time with his nine granddaughters. He finds balance through dedicated community service and professional involvement with the Dental Society of Greater Orlando, CFDDA, the FDA and the ADA. Beyond his local contributions, Dr. Kahn has a profound international impact through the Alpha Omega International Dental Society, supporting education and humanitarian efforts worldwide.
Thank you for the opportunity to serve and act on your behalf and to be given the chance to offer avenues of change and security to my peers.
Leadership Award
Dr. Robin Nguyen
Dr. Robin Nguyen is originally from Placentia, California. She graduated summa cum laude with a B.S. in Biological Sciences from the University of California, Irvine. She received her DDS degree from the University of California, San Francisco and proceeded to complete her endodontic residency at the University of Florida College of Dentistry (UFCD), also earning a Master
of Sciences in biomaterials. Dr. Nguyen is active in the ADA, FDA and the West Coast District Dental Association. She has served at the national level on the ADA’s Committee for New Dentists and Council on Membership at the ADA, and as an integral part of the FDA Delegation to the ADA HOD. In her spare time, she enjoys spending time with her family, running and exploring all that Tampa has to offer.
It is an honor to be in the presence of amazing leaders that I look up to as mentors. I would like to take this opportunity to first thank my husband Dr. Christopher Chuong, for always being supportive of my commitment to organized dentistry. My kids, Emery and Ethan, for being understanding of the importance of following your passion. And a special thank you to Dr. Melissa Grimaudo for pushing me to get involved when I first graduated.
Special Recognition
Dr. Tom Brown
Dr. Tom Brown has a private endodontic practice in Orange Park. He received his dental degree from the UFCD and his master’s and endodontics certificate from the University of North Carolina at Chapel Hill. Active in organized dentistry, Dr. Brown serves as a trustee for the FDA and as a delegate to the ADA HOD, where he chairs the Reference Committee on Dental Education. Recognized for his leadership, he was appointed to the ADA’s task force to evaluate the current ADA business model. As a result, the HOD established the new Strategic Forecasting Committee, which focuses on enhancing efficiency and collaboration to ensure the organization is on track to meet its long-range goals. Outside of his practice and professional service, he finds his greatest joy in spending time with his wife, Taylor and their two daughters, Evangeline and Emerson.
To all the FDA volunteers and Team FDA: Thank you for being friends and mentors and inspiring me to serve our profession. My parents: Thank you for pouring everything you have into me to allow me to be successful in life. I love you. Taylor, Evangeline and Emerson: Thank you for your unending support and understanding to dedicate time to my passion for serving the FDA. I love you more than you know.
Helping Members Succeed Team Impact Award
Mrs. Tessa Pope
Mrs. Tessa Pope has been with FDA Services for more than eight years, starting as an insurance advisor and now serving as a customer service manager. She earned her bachelor’s degree in risk management and insurance from FSU in 2017 and her MBA from Louisiana State University in 2021, bringing strong expertise and leadership to her role. Tessa is dedicated to providing top-tier service to dental professionals, streamlining processes and mentoring her team. She is celebrating her second anniversary with her husband, Andrew, and enjoys CrossFit in her free time. She also adores spending time with her two dogs and staying engaged in the insurance industry.
I would like to thank my entire FDA Services team, my husband and my family!
President’s Award
Dr. Jeff Ottley
Dr. Jeff Ottley is a second-generation dentist, following in the footsteps of his father, Dr. Jerry Ottley. He and his wife, Dr. Anissa Ottley, own practices in Milton and reside in nearby Pace with their three children, Alessandra, Christian and Gabrielle. Dr. Ottley is a general dentist specializing in dental implants, complex restorative dentistry and aesthetics. He earned his dental degree from the UFCD in 1998. He has practiced in the same location for more than 22 years, evolving from an associate to a solo practitioner and now working alongside an associate dentist.
Dr. Ottley’s leadership journey began in 2004 with the Escambia-Rosa Dental Association, later serving as its president in 2008. He has held numerous roles within the FDA, including trustees from 2015-2023, where he chaired the New Building Committee. Currently, he serves as an ADA delegate for the 17th district and is the former chair
RDH @ FDC
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of the ADA’s Council on Dental Practice. Beyond dentistry, he volunteers with Donated Dental Services and serves as a Deputy Regent for Florida in the International College of Dentist. In his free time, he enjoys golfing, boating and traveling with his family.
I would like show my utmost gratitude to my mentors out of the Northwest District Dental Association, Drs. Jolene Paramore and Kim Jernigan for their leadership and support. To the UF class of 98/FDA leaders: Drs. Ryan Askeland, Reese Harrison, Sam Markham, Chad Marshall, Erin Sutton and Steve Zucknick, You all have been tremendously supportive and always positively encouraging me to go for it. Most importantly, those I could not succeed without, my family and my amazing wife, Dr. Anissa Ottley, who always made the sacrifice, took up the slack, and endured the many hours and days of my absence serving the FDA and its members, thank you and I love you all.
Dentist of the Year
Dr. Bethany Douglas
Dr. Bethany Douglas is a board-certified endodontist who joined Oceanside Endodontics in 2022 after practicing in Jacksonville for more than ten years. Dr. Douglas received her dental degree from the Dental College of Georgia at Augusta University (formerly Medical College of Georgia) where she also completed her endodontic residency. Originally from Augusta, Georgia, she moved to Northeast Florida after graduating from her residency program. She is an active member of the American Association of Endodontists and many other national, state and local dental associations. Dr. Douglas is currently the president of the Northeast Dental Association and a past president of the Jacksonville Dental Society. She is also a Trustee for the FDA and serves on the Delegation for the ADA. Dr. Douglas and her husband, Charlie, have four children and enjoy traveling and anything that involves being in or around the water.
I would like to thank all of the FDA staff, Debbie DeVille, Drs. Andy Brown, Tom Brown, Dan Gesek, Rick Steveson
and the FDA line officers for the past five years along with many other supportive dental leaders from across the state. My parents and in-laws, Bob and Sandy Loushine, Taylor and Marsha Douglas, my kids: Grace, Graham, Charlotte and Dawson, and my loving, very patient husband, Charlie.
J. Leon Schwartz Lifetime Service Award
Dr. Gerald Bird
Dr. Gerald Bird is an oral and maxillofacial surgeon in Cocoa. He earned his biology degree from Western Michigan University and his DDS from the University of Detroit Mercy School of Dentistry in 1980, followed by a residency at the VA Medical Center in Detroit. Throughout his career, Dr. Bird has been a steadfast leader in organized dentistry, holding key positions within the Brevard County Dental Society, the CFDDA, the FDA and the ADA. His true passion lies in legislative advocacy, where he remains deeply engaged at both the state and national levels. Notably, he served as chair of the ADA’s Political Action Committee from 2017-2018 and was a member of the ADPAC Board from 1996-2008. Dr. Bird travels to Tallahassee and Washington, D.C. each year, championing policies that enhance oral health care access and quality. Beyond his professional achievements, Dr. Bird is a devoted family man. He and his wife, Jerilyn, have worked side by side in many of his advocacy efforts. They share two children, Kevin and Stephanie, a daughter-in-law, Taylor, and a beloved grandson, Carter. An avid athlete and health enthusiast, Dr. Bird enjoys swimming, biking and running — embodying the same dedication to wellness that he brings to his profession.
As many of you know, I love the FDA! What our association has done for the profession and for each of us as dentists is immeasurable. For those of you that I have worked with over the years, we have helped one another and we are all on the same team to bring good to our profession. This award belongs to you too. Thank you for being on Team FDA. You are the best!
Florida Teacher’s Smile Restored Just in Time for Her Birthday
By Dental Lifeline Network
Access to dental care can be a significant challenge for many, even more so when facing health challenges and financial hardship. This was the reality for Shirley, 62, a Tampa resident. As a former teacher with disabilities and living on a fixed income, Shirley thought restoring her oral health was impossible. It was through Dental Lifeline Network (DLN) • Florida’s Donated Dental Services (DDS) program that she experienced a lifechanging transformation.
2017 brought significant challenges to Shirley’s life. That year, a diagnosis of severe diabetes forced her to go on
disability and led to the onset of debilitating neuropathy. She continues to suffer the effects of those issues and struggles with other health complications, including carpal tunnel syndrome, osteoporosis and depression. Adding to these challenges, Shirley also faced significant oral health problems. When she came to the DDS program, she was missing six teeth and several others were cracked, causing severe pain, especially when eating. This constant discomfort made daily life difficult.
Before going on disability, Shirley enjoyed her work as a third-grade teacher. No longer able to work due to her health complications, she now lives on limited social security benefits and food stamps, unable to afford the treatment necessary to restore her oral health. Shirley was left in despair, wondering if she would get the care she needed to eat and live pain-free again.
DDS Volunteers Give Hope and Healing
This all changed when Shirley found the DDS program. Thanks to the generosity of general dentist Dr. Rebecca Warnken and several volunteer labs, Shirley received two crowns, an upper plate and additional restorative work, giving her back her smile and renewing her oral health. Although there is still treatment left to complete, Dr. Warnken and her team completed almost all major work on Shirley’s birthday, a gift that allowed Shirley to eat pain-free and enjoy life with renewed confidence.
“It’s the best birthday present ever, and nothing is going to hold me back now,” said Shirley, reflecting on her treatment. “I can address my dietary needs now and am so happy about it. As a diabetic, I am now able to eat
Dr. Warnken team member, Shirley and Dr. Warnken.
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.
fresh vegetables without being worried about cracking a tooth. I can move forward with my health, and I don’t have to stop because I can’t eat certain foods. I feel so grateful and can have a happier smile now.”
You Can Change a Life
Hundreds of Floridians are waiting for the life changing dental care they desperately need. Individuals in your community, like Shirley, lack the resources to afford essential treatment. You can make a difference by becoming a DDS volunteer.
“I highly encourage you to become a volunteer,” said Dr. Warnken. “During the course of treatment, Shirley faced multiple hardships, including losing her housing and living out of her car for a while. She still managed to keep all of her appointments. It was a joy to provide
donated dental treatment in our office, and DLN makes the process so smooth and simple. I highly encourage my colleagues to get involved!”
Your skills as a dental professional can bring hope and healing to those who need it most. DLN offers a simple way to give back in Florida, where many vulnerable adults lack access to essential oral care. The DLN • Florida DDS program connects compassionate volunteers like you with Floridians in desperate need of treatment.
DDS volunteers in Florida have donated more than $11 million in services, transforming the lives of more than 2,200 people. Partner with DLN and help reach even more people in need. Learn more at dentallifeline.org.
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The Custom Incisal Guide Table:
Its Role in Accomplishing Prosthodontic Treatment Goals
By John Antonelli, DDS, MS
Anterior guidance is one factor that influences the heights of cusps and the depths of fossae; therefore, the first component of a properly sequenced prosthodontic treatment plan is developing the anterior tooth contacts.1 When anterior tooth contacts have been designed to provide satisfactory guidance for eccentric mandibular movements, then the posterior teeth could be restored in harmony with that guidance. They should provide stable centric occlusion (CO) or centric relation (CR) contacts and direct occlusal forces through the long axes of the teeth or implants. With adequate anterior guidance, posterior teeth should not come into contact during eccentric movements.
A custom incisal guide table is only needed when anterior teeth are to be restored. The technique for making a custom incisal guide table embraces two major scenarios. The first scenario for restoring anterior teeth depends on maintaining the patient’s existing, adequate dentition and anterior guidance patterns without changes. In this case, the restoration will be fabricated in the patient’s conformative CO bite. A restoration that does not restore the entire dentition or a major portion of the dentition could be fabricated in CO if the patient’s neuromuscular system is functioning asymptomatically, and the supporting structures are healthy.
In the second scenario, when an entirely new occlusion will be created to change the patient’s dentition and anterior guidance patterns to create restorations in harmony with the patient’s physiological occlusion, the new occlusion should use CR.
Maintaining the patient’s existing anterior guidance patterns. Before restoring anterior teeth with fixed
prostheses, the functional relations of the anterior teeth should be assessed carefully. Suppose the existing anterior teeth function to provide adequate guidance but must be restored. In that case, tooth preparation will obliterate the existing incisal guidance and the new, arbitrarily created guidance could create occlusal conditions that the patient is unable to tolerate. In this situation, an anterior guide table is used to record and preserve a patient’s unique anterior guidance characteristics (i.e., the palatal surfaces of the patient’s maxillary anterior teeth), which helps the dental laboratory technician to develop a definitive restoration in harmony with the patient’s existing guidance patterns.
Making a custom incisal guide table. When no changes are made to the existing teeth or incisal guidance, a custom incisal guide table is created and preserved on a semi-adjustable articulator from a face-bow mounted cast of the natural teeth. The palatal contours of the patient’s pre-restored anterior guidance are transferred to this table and preserved before the teeth are prepared for restorations that will be in harmony with the patient’s functional envelope of motion. The custom incisal guide table enables the patient’s original anterior palatal tooth contours (and identical anterior guidance) to be incorporated into the definitive restoration. When an anterior guide table is made for copying the patient’s dentition without changes, an idealized wax-up of the teeth is not needed.
Making a custom incisal guide table begins with fabricating accurate diagnostic casts in die stone to minimize abrasion as the casts are directed through the various excursive movements on the articulator. The maxillary cast of the patient’s natural teeth should be face-bow mounted.2 If the articulated maxillary and mandibular casts exhibit sufficient tripod contacts and horizontal and ver-
tical stability, then it is recommended to hand-articulate the casts in the maximum intercuspal position. Adjust the condylar guidance on the articulator (in canine-guided patients, it ranges from 31.38 ± 12.01).2 Position the rounded end of the incisal guide pin of the articulator approximately 2 mm above the incisal table and then lubricate it with petroleum jelly. Unlock the condyles and move the maxillary cast through all border movements of the patient’s teeth (e.g., protrusive, right and left lateral excursions, and all intermediary [mediotrusive] movements) to ensure the metal guide pin does not contact the incisal table. If a plastic incisal table is used, wet the surface with an acrylic resin monomer and then place a small volume of self-curing acrylic resin on the incisal table. With the condyles of the articulator locked, open and close the articulator in its hinge motion to allow the incisal pin to penetrate the setting acrylic and establish the maximal intercuspal position. Unlock the condyles and move the incisal pin and maxillary cast outward through lateral and protrusive excursions (Figs. 1 & 2). Then guide the pin in circles to capture all mediotrusive excursions while the resin is still in the doughy stage of polymerization. Place a thumb on the labial surfaces of the incisors and canines to ensure that they do not move beyond their edge-to-edge positions in the envelope of function (Fig. 3). As the incisal pin moves through protrusive, right, and left laterotrusive, and all mediotrusive excursions, dictated by the contact patterns of the anterior teeth, its tip pushes into the acrylic dough in its path to create an accurate and rigid, three-dimensional, diamond-shaped record of mandibular movements through the patient’s functional range of motion (Fig. 4). A thin film of plastic sandwich wrap placed between the casts will minimize abrasion without affecting the accuracy of the guide table.
Allow the resin to polymerize after all movements have been completed. Use shim stock to check that the incisal pin contacts the acrylic guide table in all excursions. If contact is deficient in any area, relieve the acrylic with a round laboratory bur and add a small volume of newly mixed resin. Once again, move the incisal guide pin through all excursions. All excess acrylic flash should be trimmed so that when the cast teeth are in an edge-toedge relation in protrusive and lateral excursions, the pin tip contacts the upper edge of the custom guide table. This procedure helps establish the correct incisal lengths
Fig. 1. The incisal pin of the articulator is moved to the left to mimic a right mandibular lateral excursion, which is registered in the soft acrylic dough.
Fig. 2. The incisal pin is pushed posteriorly to register edge-to-edge protrusive movement in the guide table.
Fig. 3. A thumb placed over the labial surfaces of the incisors guarantees edge-to-edge movement, which is the outer limit of the envelope of function.
Fig. 4. The diamondshaped incisal guide table.
for the definitive restorations. When too much resin is used, the front portion of the guide table often interferes with the arc path of closure of the articulator; excess acrylic should be removed from this area (see arrow in Fig. 4).
PARTY AFTER
prosthodontic goals
When the custom anterior guide table is deemed accurate, anterior teeth are prepared for the restoration, and the working cast, with dies of the prepared teeth, is mounted accurately on the articulator. As the maxillary member of the articulator is moved through the various eccentric excursions, the incisal pin contacts the custom incisal guide table, and the patient’s original guidance becomes evident in the acrylic dough. Mounted casts (and incisal guide table) should be sent to the dental laboratory to fabricate definitive restorations that will contact opposing teeth during eccentric movements guided by the incisal pin.
Changing the patient’s existing anterior guidance patterns. When anterior teeth are missing or malaligned, or when crowns are broken, and extensive restorations and reconstructions are needed because the existing anterior guidance is inadequate, a diagnostic wax-up could be completed on face-bow mounted diagnostic casts. The teeth are waxed to provide satisfactory anterior guidance and esthetics. After a duplicate cast is made from an accurate impression of the wax-up, the cast is then used to produce the anterior acrylic provisional restorations. The anterior teeth are then prepared for the new restorations, and the provisional restoration is used to establish a physiologically acceptable occlusion. During subsequent weeks, the provisional is continually adjusted to; (1) establish tooth guidances for excursive movements; (2) ensure satisfactory tooth lengths and esthetics; (3) evaluate phonetic patterns and lip support; (4) evaluate the envelope of function and (5) appraise the occlusion before the clinician proceeds with final fabrication of definitive restorations. As the necessary esthetic and functional adjustments are made and assessed, the provisional restoration serves as a blueprint for the definitive restoration. While wearing the provisional restoration, the patient is observed to ensure that he/she is comfortable and satisfied with the changes.3
After all necessary adjustments to the provisional restoration are completed, an accurate impression of the pro-
visional restoration is made. The cast obtained from the impression is mounted on the articulator, and an incisal guide table is developed based on this cast. The treatment goal for the patient is the successful restoration of lost anterior guidance. This is achieved when the patient is comfortable with the definitive restoration as it is a replica of the provisional to which the patient has already adjusted.4,5
Using a custom incisal guide table should dispel the notion that occlusion is static (i.e., that natural and cast teeth should simply interdigitate). Although important, occlusion is, however, dynamic. The relationships of the teeth within the envelope of function will always govern the long-term stability and success of the definitive restorations.
Dr. John Antonelli is a professor and director of fixed prosthodontics courses in the Department of Prosthodontics and director of faculty development at Nova Southeastern University College of Dental Medicine in Fort Lauderdale. He is a fellow of the American Association of Hospital Dentists and a Diplomate of the American Board of Special Care Dentistry. Dr. Antonelli has published significantly in the field of prosthodontics and can be reached at antonell@nova.edu.
References:
1. Okeson JP. Vertical Determinants of Occlusal Morphology, In: Management of Temporomandibular Disorders and Occlusion, St. Louis, MO: Elsevier Mosby; Seventh ed. 2013;88.
2. Sabek M, Trevalo A. “Alternative procedure for reconstructing anterior guidance using an autopolymerizing resin pattern.” J Prosthet Dent 1996;76(5):550-3.
4. Alpert RL. “A method to record optimum anterior guidance for restorative dental treatment.” J Prosthet Dent 1996; 76(5):546-9.
5. Rieder CE. “Use of provisional restorations to develop and achieve esthetic expectation.” Int J Perio Restorative Dent 1989; 9(2):122-139.
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LEVEL ONE BOTULINUM TOXIN WORKSHOP: INTRODUCTION AND ESSENTIALS TO INCORPORATING IT INTO YOUR DENTAL PRACTICE (W30)
Saturday, June 21 | 8 AM-5 PM
CE Credits: 8 | Audience: Dentists & Assistants
ASSISTANT*
$1999 $2199 $2299
$2199 $2299 $2399
$199 $219 $239
This comprehensive workshop will introduce botulinum toxin type A and its cosmetic and therapeutic applications in dentistry. Attendees will gain an in-depth understanding of facial anatomy, muscle physiology, and botulinum toxin’s mechanism of action. Key treatment areas, including the upper face, gummy smile reduction, and clenching /grinding treatments, will be covered. The course will also guide participants through patient consultation, diagnosis, and treatment planning , featuring before-and-after case presentations to demonstrate real-world results
In addition to safety protocols, risk management, and proper injection techniques, this workshop will explore how to successfully integrate botulinum toxin into a dental practice for enhanced patient care and profitability. The hands-on portion will allow attendees to diagnose, map, and treat a model patient under expert mentorship. By the end of the full-day course, partici-
in their practice
DR. TRACY BLESSING earned her dental degree from Tufts University School of Dental Medicine She completed a general practice residency at ColerGoldwater Specialty Care Hospital. Dr. Blessing is the founder and CEO of Aesthetic Interface PLLC. She maintains a private practice in Palm Beach Gardens and Miami Beach, FL .
*Paid team member learning is a co-learning experience with a paid doctor attendee.
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Friday, June 20
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diagnostic discussion
Diagnostic Quiz
By Reshma E. Thomas*, BDS, Nadim M. Islam, DDS, Indraneel Bhattacharyya, DDS, and Sumita Sam, DDS
A 62-year-old female was presented to Dr. Lorena Corzo, a periodontist in North Miami Beach, for evaluation of a soft tissue lesion on the tongue. Clinical examination revealed an isolated, white plaque extending from the lateral border to the ventral tongue on the left side. The plaque could not be removed, and the patient was asymptomatic. The patient was a non-smoker with no significant medical history. An incisional biopsy was performed and submitted for microscopic evaluation to the Oral & Maxillofacial Pathology Biopsy Service at the University of Florida in Gainesville.
Question:
What is the most likely diagnosis based on the clinical history and clinical picture?
A. Pseudomembranous candidiasis
B. Lichen planus
C. Leukoplakia
D. Frictional keratosis
E. Chemical burn
Fig. 2A. An example of normal keratinized epithelium.
Fig. 2B. In contrast to Fig. 2A, the epithelium exhibits dysplastic features. A thickened layer of corrugated keratin is noted at the surface (green arrow). The epithelium exhibits features of dysplasia, such as dropshaped rete ridges and hyperchromatic, atypical cells.
Fig 1. White plaque extending from the lateral to ventral tongue, with well-defined borders.
diagnostic discussion
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FDA members can earn up to six hours of general CE by reading the Diagnostic Discussion column and taking the online quiz, available 24 hours a day, at www.floridadental.org/online-ce.
A. Pseudomembranous candidiasis
Incorrect. Pseudomembranous candidiasis (thrush) presents as diffuse and removable white plaques, most commonly on the tongue, buccal mucosa and palate. The causative fungal organism is usually Candida albicans. Associated factors of pseudomembranous candidiasis include immunosuppression, broad-spectrum antibiotic therapy or xerostomia. Examples of immunosuppression include steroid use or immunosuppressed patients, such as those with human immunodeficiency virus or leukemia. Infants may be affected due to underdeveloped immune systems. In pseudomembranous candidiasis, the plaques consist of hyphae, yeasts and debris that can be scraped off, revealing erythematous or normal underlying mucosa. Compared to the present case, a history of immunosuppression, diffuse involvement and removable plaques was not appreciated. Patients may be asymptomatic or symptomatic. Symptoms include mild burning sensations or an unpleasant taste. For candidiasis, the diagnosis is primarily made by clinical signs and symptoms.
Microscopically, hyphae of Candida albicans may be visible in the keratin layer. The pathologist can order a special Periodic acid-Schiff stain to confirm the presence of yeast forms. Treatment for candidiasis usually involves topical antifungals (e.g., nystatin, clotrimazole) for mild cases or systemic antifungals (e.g., fluconazole) for severe or persistent infections.
B. Lichen planus
Incorrect. Lichen planus is an immune-mediated condition that may present on the skin and the oral cavity. On the skin, these lesions classically present as pruritic, purple and polygonal papules, typically found on the flexor surfaces. Oral lichen planus affects 1-2% of the popula-
tion and affects middle-aged adults. There are two main types of lichen planus: reticular lichen planus and erosive lichen planus. Reticular lichen planus is the most common type and features white lesions with a reticular or lacy appearance (Wickham striae). Erosive lichen planus exhibits ulcerated and erythematous mucosa and may also show radiating reticular striae. Common sites include the bilateral buccal mucosa, tongue and gingiva. Lichen planus on the tongue can present with a plaque-like appearance, often resembling leukoplakia. In the present case, the isolated involvement of high-risk lateral and ventral tongue surfaces strongly suggests leukoplakia rather than lichen planus. Other types of oral pathology may present with a nearly identical appearance to lichen planus. Drug-induced eruptions that resemble lichen planus and are called lichenoid mucositis. Foreign materials in the gingiva can cause lichenoid foreign-body gingivitis. Microscopically, lichen planus shows epithelium with saw-toothed rete ridges, basal cell layer degeneration and a band-like lymphocytic infiltrate just beneath the epithelium. The malignant potential of lichen planus, particularly the erosive form, remains unresolved, as documented transformation cases may involve misdiagnosed dysplastic leukoplakia rather than true lichen planus. Regardless, the purported transformation rate is low, between 1-2% of cases. Diagnosis of lichen planus involves identifying clinical signs and symptoms, which are confirmed with a biopsy. Treatment for symptomatic lichen planus involves topical corticosteroids, such as a betamethasone ointment or dexamethasone rinse. In recalcitrant cases, a short course of systemic corticosteroids may be considered. Follow-up is essential, especially for recalcitrant and long-standing lesions.
C. Leukoplakia
Correct! Leukoplakia is a clinical term defined by The World Health Organization as “a white plaque of questionable risk for oral cancer, diagnosed after having excluding other known diseases.” Its global prevalence ranges from 1-4%. Tobacco use, especially smoking, is the primary risk factor, with more than 80% of patients being smokers. Alcohol may contribute synergistically with tobacco, though its independent role is uncertain. Microorganisms like Candida albicans and human papillomavirus (HPV) have also been associated with the etiology of leukoplakia, though the relationship is still unclear. Leukoplakia is more common in men and can occur at any intraoral site. However, lesions on the lateral/ventral tongue and floor of the mouth are more likely to be diagnosed as dysplastic, which is closely related to cancer progression. Clinical features of leukoplakia include a white plaque of varying thickness, frequently exhibiting well-defined borders. The lesion cannot be removed, distinguishing it from other conditions like candidiasis. Although the patient has no history of smoking in the current case, the clinical features and high-risk location strongly suggest leukoplakia (Fig. 1). Leukoplakia is broadly categorized into homogenous and nonhomogenous types. Homogeneous leukoplakia appears as white plaques of varying thickness. Nonhomogeneous leukoplakia exhibits texture changes, such as a verrucous surface, and may exhibit speckled red areas (erythroplakia).
Proliferative verrucous leukoplakia (PVL) is an aggressive type of non-homogenous leukoplakia that exhibits multifocal involvement. Nonhomogeneous leukoplakia carries a higher risk of malignant transformation. If leukoplakia is suspected, a biopsy is required for diagnosis. Histologically, leukoplakia may exhibit hyperkeratosis, which has low transformative potential. However, it may also represent dysplasia, which is graded mild, moderate, or severe, depending on the changes noted by the pathologist (Fig. 2). Severe dysplasia has the highest risk of malignant transformation. Some leukoplakias, particularly the non-homogenous type, may even represent invasive squamous cell carcinoma or verrucous carcinoma. Microscopic features of dysplasia include architectural and cytologic abnormalities, such as disorganized epithelial stratification, basal cell hyperplasia, nuclear pleomorphism and increased mitotic figures. Management involves addressing risk factors, especially smoking
cessation. For high-grade dysplasia, primary treatment includes complete surgical removal through scalpel or laser excision. Excision should be assessed for negative margins. All leukoplakia requires long-term follow-up due to the potential for malignancy.
D. Frictional keratosis
Incorrect. Frictional keratosis is caused by chronic mechanical irritation, leading to the thickening of the mucosal epithelium. Common causes include trauma from habitual actions, such as biting (morsicatio), friction from dental appliances or brushing (toothbrush gingival abrasion). Alveolar ridge keratoses, often caused by denture trauma, represent a common form of frictional keratosis. These lesions typically resolve once the etiology is removed. Frictional keratosis is presented as white lesions with a roughened, keratotic surface. The borders are usually diffuse, which helps distinguish it from leukoplakia, as observed in the current case. These lesions are reactive and do not have malignant transformation potential. Microscopically, oral frictional keratosis includes hyperkeratosis and may exhibit increased epithelium thickness (acanthosis). There is normal epithelial stratification and an absence of dysplasia. Treatment involves eliminating the source of irritation, and the lesion typically resolves without further intervention.
E. Chemical burns
Incorrect. Chemical burns are typically acute and caused by identifiable irritants. Over-the-counter medications and products, including aspirin, hydrogen peroxide and eugenol, can potentially damage the oral mucosa. Prolonged contact with caustic substances like phenol or aspirin, as well as recreational drugs such as cocaine, can lead to mucosal necrosis. Dental materials, including sodium hypochlorite, formocresol or silver nitrate can damage the oral mucosa, especially when misused. Clinically, chemical burns present with erythema or ulceration, and patients are often symptomatic. Shallow and white epithelial necrosis may be mistaken for leukoplakia. Unlike a chemical burn, a leukoplakia would not resolve after removal of the causative agent. In addition, areas of the white necrotic membrane observed in chemical burns may be removable with gauze. Under the
diagnostic discussion
microscope, oral chemical burns show varying degrees of epithelial necrosis, with the surface epithelium often detached or disrupted. Education and proper handling of materials, including rubber dams, are key to minimizing risk. Treatment involves identifying the responsible irritant and cessation of its use, which allows the mucosa to heal.
Dr. Bhattacharyya
Diagnostic Discussion is contributed by University of Florida College of Dentistry professors 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. Islam, Bhattacharyya and Sam.
*Resident in Oral & Maxillofacial Pathology
Drs. Islam, Bhattacharyy 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 that assists 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 ADA CERP at ada.org/goto/cerp.
References Available Upon Request
1. Dayakar MM, Pai Prakash G, Sooranagi RPM, Vijayan V, Waheed A. Chemical Burns of Gingiva and its Management. SRM J Res Dent Sci. 2018;9(4):174-180.
2. Hellstein JW, Marek CL. Candidiasis: Red and White Manifestations in the Oral Cavity. Head Neck Pathol. 2019;13(1):25-32.
3. Muller S, Tilakaratne WM. Oral potentially malignant disorders. In: Subasri A, Cree IA, Fonseca AFA, Fonseca D, Goldman-Lévy G, Lokuhetty D, White VA, eds. World Health Organization Classification of Head and Neck Tumours. IARC; 2022: 264–265.
4. Neville BW, Damm DD, Allen CM, Chi AC. Oral and Maxillofacial Pathology. 5th ed. Elsevier; 2024.
1. Villa A, Woo SB. Leukoplakia-A Diagnostic and Management Algorithm. J Oral Maxillofac Surg. 2017;75(4):723-734.
2. Warnakulasuriya S, Ramos-García P, González-Moles MÁ. Malignant Transformation of Oral Lichen Planus—An Umbrella Study of Systematic Reviews. Oral. 2023;3(3):295-306.
Dr. Islam
Dr. Sam
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Associate Dentist in Keystone Heights. I am looking for an Associate Dentist who cares about patients and provides quality dental care efficiently. I have lived in this area since I was 12 years old and have practiced general dentistry in it since 1994, when I graduated from UFCD. In this community, our team has built a strong goodwill and trusted reputation for the dental care we provide. During my career, I have been an associate, partner, and solo practitioner owner, which gives me a well-rounded perspective from all these angles. Ideally, I am seeking someone who plans to stay in this area and could see themselves buying in as an owner within 5 years. My plan is to work side by side with the associate, and over the next 5 years phase out my workdays to allow the associate to continue to build relationships with our patients, continue to welcome new patients, and accomplish speed in their procedures performed. Our Office Environment: Our patients are treated like family, and some are personal friends and actual family since I am from the area. We have created a calm, relaxing environment in which to visit and work. We are a productive, small town solo practice choosing patient’s needs to drive quality production instead of high-volume quantity quotas. It is by no means perfect, but our team really is drama free and work well together. I have had the privilege of working with some dental professionals for 20-30 years of their career, and watch them step into their retirement. Standing in their positions are new dental professionals whom I have been blessed to now work alongside with a majority of a 3 to 10 year work history. We are a group of women dental professionals, strong in our faith. By team choice, we listen to contemporary Christian music while working which helps us function peacefully throughout our workday. We operate more like a family than co-workers, so we support each other through life’s journey with an ear to hear and a mindset to pray for one another. Our motto is “Something to Smile About” and our hope that every team member and patient experiences. We like to have fun while working and believe this comradery puts the patients at ease and builds rapport. Our Office Logistics: We work a 4 day week; Monday-Thursday from 8 am to 5 pm. Friday could be utilized upon available staffing. Compensation would be an Independent Contractor model of 35% of collections minus lab fees. All licensure fees, insurance, continuing education and memberships will be covered and kept current by the Associate. Staff, necessary equipment and materials will be provided by the
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Practice in Paradise – Big Pine Key. Busy, private, fee for service office in the beautiful Florida Keys is seeking an associate with a passion for high quality work and compassionate care. The practice has been established over 20 years and has a robust patient base. Currently, the owner doctor is working 3 days a week and a recent graduate associate is working 1 day a week. Associate is leaving in June for a residency and owner is seeking a doctor to work 3 days a week, ideally Monday, Thursday and Fridays. Current associate is producing around $4600/ day and owner close to $8000/day. In house periodontist is placing implants part time and doing periodontal surgery. Basic Skills: Perform dental procedures such as fillings, extractions, crowns and root canals are a must. Implant experience preferred. Conduct routine dental examinations and provide preventive care. Diagnose and treat oral diseases and conditions. Develop treatment plans for patients based on their oral health needs. Educate patients on proper oral hygiene practices and preventive care. Collaborate with dental assistants and hygienists to ensure efficient patient care. Maintain accurate and up-to-date patient records. Qualifications:Minimum 2 years’ experience preferred. Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree from an accredited dental school. Valid Florida state dental license in good standing. Knowledge of dental systems, infection control, and aseptic technique. Experience working with pediatric and geriatric patients is preferred. Strong knowledge of dental anatomy and oral health conditions. Familiarity with medical imaging techniques for diagnosing oral diseases. Understanding of HIPAA regulations and ability to maintain patient confidentiality. Local housing established before start date can be granted. Office: FFS. High Volume. Multi-Doctor and Multi-Specialty office looking for multiple partners. We’re not a DSO and 100% FFS. If you have under 2 years experience please feel free to apply for possible consideration based on fit and
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Dentist - Jacksonville. Amazing Dentist Opportunity in Sunny Jacksonville, FL! Are you ready to elevate your dental career while enjoying a supportive, low-stress work environment in one of Florida’s most vibrant cities? If you’re a passionate and skilled General Dentist looking for a rewarding role, look no further. We’re offering a unique opportunity that combines autonomy, growth potential, and a work-life balance you’ve always dreamed of! Why You’ll Love Working With Us: Autonomy & Support in One: Take charge of your own practice without the headache of managing overhead costs, payroll, or staffing. We’ve got all the business logistics handled—so
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