2016 - Nov/Dec TFDA by Florida Dental Association

Membership Ninja Turtles Member Milestones Meet the FDA's 133rd President Component Corner

Delegates for the 17th ADA Trustee District met in Denver for the annual ADA Convention, representing Florida in the national arena.

FDA 2016 Membership Issue Helping Members Succeed VOL. 28, NO. 7 â&#x20AC;˘ NOVEMBER/DECEMBER 2016

TRY MY AGENT

Insurance for your Dental Career

“

If you are in the market for insurance for your dental practice I would definitely recommend Mike Trout with FDA services. He was able to get me all of the coverage I needed for starting my new practice. Not only were the rates competitive, but he worked with my short timeline to make sure everything was in place for my start date and made it very easy for me.

“

- Naomi K. Norton, DMD Summit Dental, Pensacola, FL

800.877.7597 ∞ insurance@fdaservices.com ∞ www.fdaservices.com

contents Membership Issue

Big 17! The ADA 17th Trustee District, representing Florida, met in Denver for the ADA annual convention. More on page 26.

news

Component Presidents

Digital Photography in the Dental Practice

Urology Primer for the Dental Professional

100 Board of Dentistry Meets in MIami

Your Are Such a Perfectionist, Part 1

f e at u r e s

90 2015-2016 Public Awareness Highlights 93

Promote Your Status as an FDA Member

20 The Membership Ninja Turtles

Dental Lifeline Network Annual Report

Celebrating Members Milestones

102 Your Peer Review Program

Thank You for Being an FDA Advocate!

New Delegates Get Rocky Mountain High

Five Warning Signs Every Savvy Doctor Should Know When Choosing a Real Estate Agent

Be a Part of FDA’s New Mentorship Program

Volunteer at a Dental Clinic Unlike Any Other

news@fda

40 2016 FLA-MOM Impact Research Study 44 The Citizen Soldier Dentist 48

Meet the FDA’s 133rd President

54 FDC2017 Program Chair Q&A 56

columns 3

Staff Roster

President’s Message

Legal Notes

Information Bytes

Diagnostic Discussion

108 Off the Cusp

FDC2017 Speaker Profile — Dr. Hawkins

60 FDC2017 Speaker Profile — Dr. Nguyen 62

FDC2017 Exhibit Marketplace

Component Corner

Read this issue on our website at:

www.floridadental.org.

www.floridadental.org

classifieds 104 Listings

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

November/December 2016

Today's FDA

FLORIDA DENTAL ASSOCIATION NOVEMBER/DECEMBER 2016 VOL. 28, NO. 7

EDITOR Dr. John Paul, Lakeland, editor

STAFF Jill Runyan, director of communications Jessica Lauria, communications and media coordinator Lynne Knight, marketing coordinator

BOARD OF TRUSTEES

ONLINE CREDIT CARD PAYMENT Visit floridadental.org/dues to pay your dues in full or set up a dues installment plan with a credit card.

CREDIT CARD PAYMENT VIA PHONE OR MAIL Call the member relations team at 800.877.9922 to make a credit card payment in full over the phone or use the self-addressed blue envelope to submit your payment in full, or enroll in the dues installment plan by submitting your dues statement with your credit card information. Don’t forget your signature!

CHECK BY MAIL Use the self-addressed blue envelope for a onetime payment in full by check. Make your check payable to the Florida Dental Association. HAVE QUESTIONS ABOUT YOUR DUES STATEMENT? Go to www.floridadental.org/dues for answers to frequently asked questions! NEED MORE HELP? Our FDA Member Relations Department is always ready to help with any questions. Call 800.877.9922 or email membership@floridadental.org.

Today's FDA

November/December 2016

Dr. William D’Aiuto, Longwood, president Dr. Michael D. Eggnatz, Weston, president-elect Dr. Jolene Paramore, Panama City, first vice president Dr. Rudy Liddell, Brandon, second vice president Dr. Andy Brown, Orange Park, secretary Dr. Ralph Attanasi, Delray Beach, immediate past president Drew Eason, Tallahassee, executive director Dr. James Antoon, Rockledge • Dr. Steve Cochran, Jacksonville Dr. Richard Huot, Vero Beach • Dr. Jeannette Pena-Hall, Miami Dr. George Kolos, Fort Lauderdale • Dr. Jeffrey Ottley, Milton Dr. Paul Palo, Winter Haven • Dr. Howard Pranikoff, Ormond Beach Dr. Barry Setzer, Jacksonville • Dr. Beatriz Terry, Miami Dr. Stephen Zuknick, Brandon • Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Tim Marshall, Spring Hill, Treasurer • Dr. John Paul, Lakeland, editor

PUBLISHING INFORMATION Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 1111 E. Tennessee St., Tallahassee, Fla. 32308-6914. FDA membership dues include a $10 subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2016 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 1111 E. Tennessee St., Tallahassee, Fla. 32308-6914.

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

EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 1111 E. Tennessee St., Tallahassee, Fla. 32308-6914. FDA office numbers: 800.877.9922, 850. 681.3629; fax 850.681.0116; email address, fda@floridadental.org; website address, www.floridadental.org.

ADVERTISING INFORMATION For display advertising information, contact: Jill Runyan at jrunyan@floridadental.org or 800.877.9922, Ext. 7113. Advertising must be paid in advance. For classified advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.977.9922, Ext. 7115.

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CONTACT THE FDA OFFICE 800.877.9922 or 850.681.3629 1111 E. Tennessee St. • Tallahassee, FL 32308 The last four digits of the telephone number are the extension for that staff member.

FLORIDA DENTAL ASSOCIATION FOUNDATION

EXECUTIVE OFFICE

(FDAF)

Drew Eason, Executive Director deason@floridadental.org 850.350.7109

R. Jai Gillum, Director of Foundation Affairs rjaigillum@floridadental.org 850.350.7117

Greg Gruber, Chief Operating Officer/ Chief Financial Officer ggruber@floridadental.org 850.350.7111 Graham Nicol, Chief Legal Officer gnicol@floridadental.org 850.350.7118 Judy Stone, Leadership Affairs Manager jstone@floridadental.org 850.350.7123 Alex Luisi, Leadership Concierge aluisi@floridadental.org 850.350.7114

ACCOUNTING Jack Moore, Director of Accounting jmoore@floridadental.org 850.350.7137 Leona Boutwell, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138 Joyce Defibaugh, FDA Membership Dues Assistant jdefibaugh@floridadental.org 850.350.7116 Deanne Foy, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165 Mitzi Rye, Fiscal Services Coordinator mrye@floridadental.org 850.350.7139 Stephanie Taylor, Membership Dues Coordinator staylor@floridadental.org 850.350.7119

COMMUNICATIONS AND MARKETING

Meghan Murphy, Program Coordinator mmurphy@floridadental.org 850.350.7161

FLORIDA DENTAL CONVENTION (FDC) Crissy Tallman, Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105 Elizabeth Bassett, FDC Exhibits Planner ebassett@floridadental.org 850.350.7108 Brooke Martin, FDC Meeting Coordinator bmartin@floridadental.org 850.350.7103 Jennifer Tedder, FDC Program Coordinator jtedder@floridadental.org 850.350.7106

GOVERNMENTAL AFFAIRS Joe Anne Hart, Director of Governmental Affairs jahart@floridadental.org 850.350.7205 Alexandra Abboud, Governmental Affairs Coordinator aabboud@floridadental.org 850.350.7204 Casey Stoutamire, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202

Jill Runyan, Director of Communications jrunyan@floridadental.org 850.350.7113

INFORMATION SYSTEMS

Lynne Knight, Marketing Coordinator lknight@floridadental.org 850.350.7112

Larry Darnell, Director of Information Systems ldarnell@floridadental.org 850.350.7102

Jessica Lauria, Communications and Media Coordinator jlauria@floridadental.org 850.350.7115

Rachel Burch, Computer Support Technician rburch@floridadental.org 850.350.7153

FDA SERVICES 800.877.7597 or 850.681.2996 1113 E. Tennessee St., Ste. 200 Tallahassee, FL 32308 Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat Scott Ruthstrom, Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146 Carrie Millar, Agency Manager carrie.millar@fdaservices.com 850.350.7155 Carol Gaskins, Assistant Sales & Service Manager carol.gaskins@fdaservices.com 850.350.7159 Debbie Lane, Assistant Manager – Service & Technology debbie.lane@fdaservices.com 850.350.7157 Allen Johnson, Accounting Manager allen.johnson@fdaservices.com 850.350.7140

Tessa Daniels, Membership Services Representative tessa.daniels@fdaservices.com 850.350.7158 Liz Rich, Membership Services Representative liz.rich@fdaservices.com 850.350.7171 Suzy Illum, Director of Sales – Southern Expansion suzy.illum@fdaservices.com 850.350.7141

RISK EXPERTS

Alex del Rey, FDAS Marketing Coordinator arey@fdaservices.com 850.350.7166

Dan Zottoli Director of Sales Atlantic Coast

Angela Robinson, Insurance Clerk angela.robinson@fdaservices.com 850.350.7156

561.791.7744 Cell: 561.601.5363 dan.zottoli@fdaservices.com

Jamie Idol, Commissions Coordinator jamie.idol@fdaservices.com 850.350.7142

Dennis Head Director of Sales Central Florida

Marcia Dutton, Receptionist marcia.dutton@fdaservices.com 850.350.7145

877.843.0921 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com

Porschie Biggins, North Florida Membership Services Representative pbiggins@fdaservices.com 850-350-7149

Mike Trout Director of Sales North Florida 904.249.6985 Cell: 904.254.8927 mike.trout@fdaservices.com

Maria Brooks, SFDDA Membership Services Representative maria.brooks@fdaservices.com 850.350.7144

Joseph Perretti Director of Sales South Florida

Eboni Nelson, CFDDA Membership Services Representative eboni.nelson@fdaservices.com 850.350.7151 Melissa Staggers, WCDDA Membership Services Representative melissa.staggers@fdaservices.com 850.350.7154

305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com

Rick D’Angelo Director of Sales West Coast 813.475.6948 Cell: 813.267.2572 rick.dangelo@fdaservices.com

MEMBER RELATIONS Kerry Gómez-Ríos, Director of Member Relations krios@floridadental.org 850.350.7121

Ashley Merrill, Member Relations Coordinator amerrill@floridadental.org 850.350.7110

Kaitlin Walker, Member Access Coordinator kwalker@floridadental.org 850.350.7100

Christine Mortham, Membership Concierge cmortham@floridadental.org 850.350.7136

www.floridadental.org

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

November/December 2016

Today's FDA

800.877.9922 * THE ONLY NUMBER YOU NEED!

Do you think your Florida Dental Association should offer a new benefit? Chances are, we already do. Do you need help navigating a media crisis? One phone number is all you need â&#x20AC;&#x201D; we are helping members succeed every day!

PRESIDENT’S MESSAGE BILL D'AIUTO, DDS

Citizenship vs. Membership: An Opportunity for Comparison Every year at this time, the Florida Dental Association (FDA) has an issue of Today’s FDA devoted to membership — the benefits, features and opportunities. As every president before me, I have been given this theme to consider for the basis for my message. I pondered where to go with “membership” as a topic, but I first had to ask myself, “What is membership?” What are the components, obligations and requirements of the organization? What is asked of its members? As I asked myself those questions, it led me to see the similarities between what it is to be a citizen of a country and what it is to be a member of a professional organization. Citizenship seems to have many pundits debating its origins, but most agree its widest development and evolving concept was made possible by the advent of democracy. While citizenship has varied greatly throughout history, there are elements to citizenship that have remained consistent over time. Citizenship describes the relationship between a person and a political entity or nation, and signifies membership in that body. Citizenship carries with it certain responsibilities, and military service — or the expectation of military service — has been a consistent theme from the Greek and Roman period to our present society.

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Generally, some form of political participation has been required for active citizenship. The most minimal participation would be voting, to more robust requirements of active service in government. Throughout history, citizenship has been closely allied to the concept of freedom and rights. Citizenship in the ancient world had an element of exclusivity to it. It derives meaning in part by excluding non-citizens from having the same basic rights and privileges. Modern democracies vary in contrast on their views of citizenship. A liberal-individualist view usually emphasizes the needs and entitlements of citizens, as well as the legal protections for essentially passive political connection. Whereas, a civic-republican view seems to emphasize a political participation and sees citizenship as an active relationship with specific privileges and obligations. The above thumbnail description of the human experiment of citizenship should be enough to draw similarities in how we view our own membership relations with our professional organization. President John

“

The members of the FDA are its citizen representative, considering our members make up the whole body of the organization.

”

Please see PRESIDENT, 7

November/December 2016

Today's FDA

PRESIDENT from 5

F. Kennedy once stated, “Ask not what your country can do for you, but ask what you can do for your country.” This was no passive statement, but rather a call to action to the citizenship of this nation. He’s basically saying the country’s success is driven by an active citizenship. The same holds true as a prerequisite for a strong and viable professional association. The FDA will enjoy great success in all its endeavors if our membership looks at itself as an “active body” that seeks to give back to its profession through its volunteered membership. The members of the FDA are its citizen representative, considering our members make up the whole body of the organization. If an increasing number of

YOU are NUMBER

members become active in our local, state or national associations, we become more representative of an increasingly diverse membership body. However, if a decreasing number of members are active in guiding the body, the danger of too much power concentrated in too few hands may underrepresent our growing diversity. New dentists have wonderful opportunities to contribute NOW more than ever. The South Florida District Dental Association’s president, Dr. Mark Limosani, is a wonderful example of active membership taken to heart. Mark graduated in the recent past, and within a few years of practicing in Miami, has risen to represent his component in its highest office. Mark participated in the FDA’s August strategic planning meet-

ing and gave valuable insight to the Board of Trustees about the concerns and new challenges of the new dentists. Membership — as well as citizenship — has its benefits. A sense of community through professional comradery at affiliate and district meetings match well with exclusive program offerings that strengthen our practices. Couple that with organized philanthropic opportunities for our members, and you have all the ingredients of a strong and lasting member/association relationship.

Dr. D’Aiuto is the FDA President and can be reached at bdaiuto@bot.floridadental.org.

YOUR COLLEAGUES ARE “HELPING MEMBERS SUCCEED” EVERY DAY!

DEDICATED VOLUNTEERS HELP YOU SUCCEED As a dental student, I served as a student liaison to the Florida Dental Association Services (FDAS) board. During my time, I represented the student voice and the future of dentistry. New member benefits were presented to the board, giving me the opportunity to defend whether the benefits would or would not appeal to the new age of dentists. The ultimate goal was to help new member dentists succeed in Florida. As a new dentist, I have the privilege of representing the Northwest District on the FDAS board once again. My goals are to increase new dentist involvement and utilization of member benefits. I am excited to serve our members. Thank you for your trust in me!

JENNA PASCOLI, DMD Hiking the Four Seasons ResortTroon North Trail in Arizona

— Jenna Pascoli, DMD FDAS Board of Directors, Northwest District Dental Association jenna.w.pascoli@gmail.com

Interested in opportunities to get involved? Simply email the FDA’s Membership Concierge and she’ll put you in touch with your local dental society. Contact Christine Mortham at cmortham@floridadental.org. www.floridadental.org

November/December 2016

Today's FDA

Legal Notes

How Well Do You Know the Board of Dentistry Discipline Process? Part 1 Graham Nicol, Esq., HEALTH CARE RISK MANAGER, BOARD CERTIFIED SPECIALIST (HEALTH LAW)

This article is the first in a series of three that will take you through Florida licensure discipline process and provide practical risk management advice (“tips”) on how to avoid and defend against it. Before we start, let’s talk about a few things I have found to be confusing to many Florida dentists: 1. The Florida Board of Dentistry (BOD) is not the same as the Florida Dental Association (FDA). You know that, but remember that your patients don’t. When patients call the FDA to complain about a dentist — and they do, almost every day — we offer peer review if the dentist is a member. Peer Review is quick, confidential, saves face, lawfully sidesteps governmental reporting obligations and doesn’t count as a “strike” under section 456.50, Fla. Stats., the “three strikes and you’re out” law on repeated malpractice (more on that later). If the dentist is not a member, then our volunteer doctors and staff will not provide their expertise and training to resolve the matter and it is left up to the patient to decide what to do next. TIP: Peer Review mediation is a valuable FDA membership benefit and you would be wise to use it. Recognize that the adverse incident has already occurred. The dissatisfied patient may

Today's FDA

November/December 2016

simply go away or they may decide to sue you. FDA Peer Review gives you control over your destiny. TIP: Many patients think the FDA is the same as the Florida Bar Association. They call “the bar association” to file complaints against lawyers and they call “the dental association” to file complaints against dentists. The FDA call log shows that on an average day, we get 10-12 calls from the public; on a busy day it can go as high as 20. That’s at least 2,600 callers a year, many of whom are complaining about their dentist. TIP: Upset patients often call the FDA rather than government enforcement agencies simply because we are, by design, easiest to find. For example, Google search “bad Florida dentist.” Once you get through “Nightmare Dental Procedures;” “Dentist Accused of Torture, Fraud and Abuse of Patients;” and “Horrifying Dentist Allegedly Choked Kids, Took Out Teeth for No Reason,” you come to a website called mouthhealthy.org. It stands out as calm, professional, free, meaningful and rapid help for patients who have a problem with a Florida dentist. Please appreciate three things about mouthhealthy. org. First is that it is owned by the American Dental Association (ADA) and refers patients with complaints to the state dental association. Second is that the organized dentistry website is on the first page and the BOD website is on the third page — so who do you think gets the most calls? Third, mouthhealthy.org probably would have been the number one hit if it weren’t for an incident in 2015 that involved a Jacksonville dentist that drew overwhelming media coverage.

Peer Review at the national, state and component level is the most effective and cheapest risk management strategy you will ever see. Among the many health care professional organizations that are out there, the only one offering peer review mediation services to protect you against licensure discipline and civil liability is the FDA. TIP: You only get Peer Review protection if you are an FDA member! 2. A single violation can result in criminal, civil and administrative liability as well as prosecution by various enforcement agencies at both the federal and Florida levels. Dentists most commonly face criminal liability for fraud, controlled substances violations and sexual misconduct, which also serve as the basis for BOD discipline, civil liability and investigation by overlapping federal and state agencies. TIP: This is not a complete list but, at the federal level, be on the lookout for the Office of Inspector General, the Office for Civil Rights, Recovery Audit Contractors, Zone Program Integrity Contractors, the Drug Enforcement Agency, licensing board from other states, the Department of Justice, etc. At the Florida level, there is the BOD, Department of Health (DOH), Agency for Health Care Administration (AHCA), the Medicaid Fraud Control Unit, the Attorney General’s Office, investigators posing as patients, hospital boards deciding on your privileges (take anything that suggests you are “disruptive” seriously), managed-care credentialing, etc. TIP: If you are being investigated by more than one agency and your lawyer settles the case, then make sure you get a global settlement, otherwise another enforcement agency may prosecute you for the exact same offense. Double jeopardy applies to criminal sanctions but not to civil monetary penalties.

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Legal Notes 3. Government agencies talk to each other. For example, if your malpractice insurance reports a closed claim to Florida’s Department of Financial Services, Office of Insurance Regulation, as they are required to do under section 627.912, Fla. Stats., then the National Practitioner Data Bank and the Florida DOH are going to hear about it as well. Also, you are required to report board actions in other states to the Florida board. State boards routinely communicate with each other. 4. Other people constantly are watching for enforcement activity against doctors. Some trial lawyers troll government websites looking for potential plaintiffs. For example, if your name shows up on the U.S. Health and Human Services “wall of shame,” prepare for the civil lawsuits to come flooding in. The National Practitioner Data Bank and licensure board records never go away. 5. What is the “burden of proof?” In descending order of difficulty for the prosecuting attorney: for criminal litigation, it is “beyond a reasonable doubt;” for disciplinary cases, it is “with clear and convincing evidence;” for administrative appeals, it is whether the agency’s final order is supported by “competent, substantial evidence;” for civil litigation, it is “more likely than not.” One peculiarity of Florida law is that for physicians (but not dentists) — when licensure revocation or suspension is not being sought (i.e., a lesser form of discipline is being imposed like a fine or probation), then the normal “clear and convincing” standard is reduced to the “greater weight of the evidence” standard under sections 458.331(3) and 459.015(3), Fla. Stats. TIP: If you lose the disciplinary case, you will lose the civil case. Conversely, just because you won the disciplinary case, does not mean you will win the civil litigation. TIP: The burden of proof means that the government must prove every single element of the violations alleged against you. You do not have to prove anything, so exercise your right to remain silent! TIP: If you are informed about the disciplinary investigation, treat it the same way you

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would a criminal case where you have been falsely accused. Your whole way of life is at stake, so you better prepare to fight. Here’s an incomplete list of what’s at stake: your assets, your future employment opportunities, your job as an associate dentist, your partnership agreement, your managed-care contracts, your hospital privileges, your medical malpractice liability insurance, the “domino effect” where other states will take disciplinary action against you automatically solely because some other state did, your status with Medicare, Medicaid, Tricare, Healthy Kids and the DEA, etc. 6. Remember who your audience is: Dentists on the BOD know a lot more about standard of care than someone (who I guarantee you will not be a dentist) sitting in a jury box. Prosecutors and investigators (usually former law enforcement officers) pretty much have seen everything, so don’t try to outwit or intimidate them. You’ll probably just end up with an obstruction of justice charge. Practicing law is not a DIY project — let your lawyer do the talking. You will not explain your way out of anything and will more likely end up hurting your case by volunteering what you think is exculpatory information. TIP: Never lie or try to cover it up, but make sure you know when you’re under oath and when you’re not. TIP: If you tell employees not to talk to investigators, that’s obstruction of justice. On the other hand, if they decide of their own volition that they don’t want to talk to an investigator, that is not obstruction. TIP: You have more rights in the process then you know about so don’t waive your rights by talking to investigators. TIP: Never rely on advice you get from other doctors, the investigator, the prosecuting attorney with DOH, or anyone other than your lawyer. We’ll talk about what to do with subpoenas and search warrants where you are being compelled to produce evidence against yourself later. 7. Know what evidence code and what chapter or practice act applies. Subsections 120.569(2) (g) and 120.57(1)(c), Fla. Stats., set forth

rules of evidence in administrative litigation whereas chapter 90, the Florida Evidence Code, sets forth the rules in civil and criminal litigation. The difference is significant. TIP: In administrative litigation before the Division of Administrative Hearings (DOAH), which happens when you challenge the allegations against your license, any “evidence of a type commonly relied upon by reasonably prudent persons as in the conduct of their affairs, shall be admissible, whether or not such evidence would be admissible” in civil or criminal litigation. TIP: In administrative litigation, hearsay is admissible “whether received in evidence over objection or not” and “may be used to supplement or explain other evidence, but shall not be sufficient in itself to support a finding.” In civil litigation, hearsay generally is inadmissible as evidence. Hearsay is when your hygienist tells your patient that you said you messed up and it is accepted as evidence proving the truth of the matter. So be careful what you say and to whom after an incident. TIP: In DOAH litigation, “similar fact evidence” (e.g., other instances of malpractice or wrongdoing) is expressly made admissible under section 120.57(1)(d), Fla. Stats. when relevant to prove a material fact in issue such as motive, intent, knowledge, or absence of mistake or accident. The prosecuting attorney must, however, provide notice of their intent to introduce such evidence. Administrative litigation procedures are under chapter 120 and civil litigation procedures are under chapter 766. The rules are different, so how your attorney plays the game should change as well. TIP: Many excellent civil litigators have little or no experience with administrative law and vice versa. For example, the majority of DOAH cases go to final hearing within 60-90 days. Civil trials take years. For disciplinary challenges, your lawyer needs to speed up the discovery process. Gathering evidence in two months is challenging compared to the docket in circuit court. Also, motion practice before DOAH is different than circuit court litigation. For example, Please see LEGAL, 11

November/December 2016

Today's FDA

benefit

NUMBER

Helping Members Succeed Other HIPAA products cost more than $400 and don’t comply with Florida law!

Florida and HIPAA Compliant Forms As an FDA member, you now have access to forms that comply with both federal HIPAA and Florida confidentiality law. All of the documents are available on the FDA website and are free of charge to members only. They are uploaded as Microsoft Word documents, so that you may add your practice information to them. LINK TO THE FORMS: www.floridadental.org/members/member-resource FOR MORE INFORMATION 800.877.9922 • fda@floridadental.org • www.floridadental.org

FDA CHAT online member support NEW! Chat with FDA Member Relations staff and get answers fast. Go to the Members page at www.floridadental.org. FDA CHAT is available weekdays from 8 a.m. to 5 p.m.

Legal Notes LEGAL from 9 filing a motion with DOAH without stating whether opposing counsel objects means the motion can be summarily denied by the administrative law judge (ALJ). Also, ALJs, unlike circuit court judges, will rule on most motions without oral argument. In circuit court, it is not at all unusual to file a motion and have opposing counsel not set it for hearing so the case effectively stays “in limbo.” By comparison, DOAH is truly a “rocket docket.” 8. Knowing chapter 466 and the BOD rules doesn’t mean you know all the rules. For example, chapter 456 applies to all health care professionals and includes rules that go unmentioned in chapter 466. Likewise, Florida’s patient brokering, anti-kickback and patient self-referral statutes are nowhere to be found in chapters 456 or 466. 9. Being put on notice of a DOH investigation is upsetting and something for which you have not prepared. You lack objectivity and it will be upsetting. Do not go it alone. TIP: Put your malpractice carrier on notice of a claim as soon as possible, do it in writing and schedule an appointment with the defense attorney. Insurance companies can deny coverage if your delay in filing a claim and impair their ability to defend you (e.g., a key witness dies or documents are lost). TIP: Realize that your malpractice carrier is under two separate duties: to defend you and to indemnify you. Most policies now cover disciplinary as well as civil litigation. It’s best to find out before you file a claim. The defense

may be under “reservation of rights,” which means they will defend you but if they lose they may not pay damages or settlement amounts. TIP: Filing a claim doesn’t always mean your premiums will go up or your insurance will be cancelled. When an adjustor gets a claim they set aside a reserve (the amount of money they expect it will take to defend and indemnify you). Just because it is set aside in reserves doesn’t mean it gets paid out. TIP: If the lawyer assigned to defend you doesn’t inspire confidence, ask for another one. Some carriers have in-house counsel; others have firms or individual lawyers under contract based on geography; but all of them have access to more than just one insurance defense attorney. 10. The fact that you’ve been practicing for 30 years and have never had a complaint filed against you is meaningless and should not make you complacent about risk management. First, it is possible that complaints have been filed and dismissed by Medical Quality Assurance (MQA) without you even knowing (more on this later). Second, length of practice and prior discipline (or its absence) is never an exculpatory factor. In other words, your track record will definitely either aggravate or mitigate the discipline you receive (BOD Rule 64B5-13.005(2), Fla. Admin. Code), but it will never determine whether you are prosecuted or disciplined. Third, it just takes one complaint to potentially ruin your career. Fourth, we are all human and make mistakes. Fifth, you practice in Florida so, sadly, it’s a matter of “when,” not “if.” 11. There is a cliché health care risk managers tell their clients: “Be rude, get sued.” Medical

malpractice happens every day and many times the patient doesn’t even know about it. But even if they do know about it, you are at higher risk of facing an MQA complaint or a lawsuit (or both as they usually travel together) if you are rude or defensive about it. TIP: Building a personal rapport with your patients and their families may be the biggest factor between who gets sued and who doesn’t. Clinical skill certainly matters but don’t underestimate the power of a pleasant personality. TIP: The second biggest factor between who gets sued and disciplined versus who does not is the FDA Peer Review program, a members-only benefit. You do not want to go through licensure discipline. You want peer review. Peer Review is not adversarial or judgmental. It exists to help FDA members resolve complaints without going to civil litigation or the BOD. No other health care association protects its members like the FDA does. Peer Review is not offered by the Florida Medical Association, the Florida Nurses Association, the Florida Optometric Association, the Florida Hospital Association or the Florida Chiropractic Association. Some of these associations have bigger budgets and more lawyers but only the FDA provides this risk management service for members. Let that sink in before we move on. Next issue we will take a look at the first step in the discipline process.

Graham Nicol is the FDA’s Chief Legal Counsel.

What Florida Dentists Need to Know about Prescription, Controlled Substance and Pain Management Laws (LC01) Patient Abandonment (LC02) Take these courses online to earn free CE credit. For links, go to floridadental.org/members. FDA Members Only!

Expires 4/1/2017

Information Bytes

Yotta, Yotta, Yotta By Larry Darnell DIRECTOR OF INFORMATION SYSTEMS

It seems like a bygone era when people used to possess so much knowledge. I had a friend who was practically an encyclopedia. You ask him a question — he knew the answer. His name should have been Ken Jennings. In some ways, technology has changed all of that. It’s no longer what you know anymore. It is whether you can find the information quickly and efficiently, and how accurate is it? Have an illness? Google it. Prepare yourself to die tomorrow either from the side effects of your supposed terminal disease or the anxiety caused by the possibility. I cannot even remember my own daughter’s cell phone number anymore. I have to look it up or ask her. I used to remember my locker combination in middle school some 40 years ago, yet that cell phone number escapes me. (OK, I might be getting older, but I am not that old.) Lost the manual to your TV remote? Google it. It seems that no matter what information we seek, we start with Google. The vast amount of information on the internet is staggering. Some suggest that there is way more than a yottabyte of data (1 yottabyte = 1,000,000,000, 000,000,000,000,000 bytes!) available for you to Google. It is information overkill. However, I personally want a computer, tablet or phone with yotta-size storage capacity. It seems like just yesterday that a 20-megabyte hard drive would last forever. Recently, I came across a box of 1.44 megabyte floppy disks (half of those were AOL disks). What good are those now? I even have a box of old Zip disks — useless as well.

“

When there is so much information available that we even forget the information that is important to us, we have a problem.

”

When there is so much information available that we even forget the information that is important to us, we have a problem. Sure, we need to know how to find the information, but that leads to more information — and off we go. We need to focus. Look at what is important in life. There are just some things in life that were not meant to be Googled. Find that and embrace it, I can almost guarantee that is not found on the internet. Mr. Darnell can be reached at ldarnell@floridadental.org or 850.350.7102.

www.floridadental.org

November/December 2016

Today's FDA

*Please note that FDA members have their names listed in bold.

Get a Head Start on 2017! Thank you for your support in 2016! We couldn’t do what we do without you. Your 2017 Florida Dental Association (FDA) dues statement has been mailed. Please make sure your contact information is up to date. To update your information, please contact your membership team at 800.877.9922 or visit http://ebusiness.ada. org/myada/myada.aspx. This will update your profile for the American Dental Association (ADA), FDA and your district association. Your username is your ADA/ FDA member number. To get a head start on renewing for 2017, please visit www. floridadental.org/dues.

Part of Medicare Opt-in/ Opt-out Deadline Pushed Back Again The enforcement of the regulation requiring dentists who prescribe Medicare Part D covered drugs to Medicare beneficiaries has been pushed back to Jan. 1, 2019. To ensure their patients with Medicare Part D continue to have their prescriptions covered, dentists need to take one of the following three actions: enroll in Medicare as a provider of covered services, as an ordering/referring provider or opt out of Medicare.

Please remember, you must enroll in Medicare to have drugs you prescribe covered by your patient’s Medicare Advantage plan. You either can enroll as a Medicare provider using form 855i or as an ordering and referring provider using form 855o. If you opt out of Medicare, your patients may not receive reimbursement from a Medicare Advantage plan. A number of online resources, including a tutorial and information on Medicare Advantage plans, links to appropriate forms, sample affidavits, private contracts and Medicare contractor addresses can be found through the ADA’ s Center for Professional Success. As the American Dental Association and Florida Dental Association get more information, we will update our members. If you have any questions, please contact Casey Stoutamire in the Governmental Affairs office at 850.224.1089 or cstoutamire@ floridadental.org.

Updated Dental Advertising Guide “The Dos and Don’ts of Dental Advertising,” a favorite membership guide, has been updated to add the latest changes to the American Dental Association’s “Code of Ethics.” This quick reference will give you all you need to know to advertise lawfully

and ethically! Coming soon — the FDA’s step-by-step guide through the licensure discipline process along with helpful risk management tips to stay out of trouble. The updated guide can be found at http://bit. ly/2eJIgck.

99th FDA President Passes Dr. George Joseph Goodreau Jr., 85, died on Oct. 6 at his home. He grew up in Rye Beach, N.H. and earned his bachelor’s degree in 1953 from St. Anselm College. After graduating, he served five years in the U.S. Navy as a navigator and operations officer aboard a ship, as well as an instructor at Officer’s Candidate School in Newport, R.I. In 1962, he obtained his dental degree from Baltimore College of Dental Surgery. While attending dental school, he was president of the Gorgas Odontological Honor Society and the recipient of the Harry Kelsey Award for Professional Demeanor as well as the International College of Dentists first annual award for Outstanding Achievement. Upon entering private practice in Panama City, Dr. Goodreau was very involved in professional dental organizations. He served in all offices of the Florida Dental Association and was its 99th president in 19821983. He was a member of the American College of Dentists, and was a fellow of the International College of Dentists and of the Academy of General Dentistry. He also served as president of the Florida Acade-

RE: FDA Council on Dental Benefits and Care The CDBC focuses on patient care and accessibility. Our area of interests are infection control, disposal of biomedical waste, and dental office workplace hazards; and promotes quality dental benefit plans based on direct assignment and direct reimbursement concepts. — Dr. Linda Trotter , Chair, Council on Dental Benefits and Care

my of General Dentistry, the Bay County Dental Society and the Northwest Florida Dental Society.

South Florida Dentist Installed as ADA Trustee Dr. Cesar Sabates was recently installed as a trustee of the American Dental Association (ADA). Dr. Sabates’ installation took place in Denver, Colo. at the ADA’s 157th Annual Meeting. Dr. Sabates will serve on the ADA Board of Trustees as the trustee from the 17th District, which encompasses Florida. The ADA Board of Trustees formulates and reviews policies and programs and makes recommendations to the members of the ADA’s governing body, the House of Delegates. As a member of the ADA Board of Trustees, Dr. Sabates will play a major role in the organization’s objective of being America’s leading advocate for oral health. Dr. Sabates currently serves on the ADA’s Budget Finance and Administrative Review Committee, and is chair on the Council on Access, Prevention and Interprofessional Relations. He’s also a member of the ADA

Next HOD Meeting - Earlier Start time of 11:45 The secretary of the Florida Dental Association (FDA) announces that the House of Delegates will meet Friday, Jan. 27, 2017 from 11:45 a.m.-5 p.m. (or close of business) and Saturday, Jan. 28, 2017 from 9 a.m.-12 p.m. (or close of business) at the Tampa Airport Marriott Hotel in Tampa. The earlier start time includes a luncheon for officers, delegates and alternates. Additionally, both days will include leadership training and information. The agenda for the HOD will be available electronically at a later date. Questions? Call Judy Stone, FDA Leadership Affairs Manager at 850.350.7123 or email at jstone@floridadental.org.

Dr. Andy Brown, FDA Secretary

House of Delegates, and is a past president of the Florida Dental Association in 2010-2011. In 2000-2001, Dr. Sabates was president of the South Florida District Dental Association/East Coast District Dental Society. He also is president of the Dental Lifeline Network’s Florida Donated Dental Services and a past president of the American Brotherhood of Latin American Dentists, Latin American Academy of Osseointegrated Dental Implants and the West Dade District Dental Society. He is a founding board member of the U.S. National Oral Health Alliance and has also served as an adjunct clinical professor at the University of Florida College of Dentistry.

Dr. Sabates was born in Camaguey, Cuba. After graduating from the University of Missouri-Kansas City School of Dentistry, and completing an advanced education dentistry residency there, Dr. Sabates returned to South Florida. He has been in private practice in Coral Gables, with an emphasis on implant and complex restorative patients, since 1988.

Please see NEWS, 16

RE: FDA Committee on Conventions and CE We believe in providing the highest quality of CE for dentists and the dental team. We hope the learning experience we provide transfers into better care for patients.

— Dr. Bert Hughes, Chair, Committee on Conventions and Continuing Education 15

NEWS from 15

Eileen Erikson New ACDDA ED Eileen Erickson comes to the Atlantic Coast District Dental Association (ACDDA) after serving more than 20 years working for national and international nonprofit associations in the Washington, D.C. metropolitan area. Her diverse background includes membership organizations dedicated to education, transportation, military engineering and insurance, and varied in size from 30,000 members to 110,000 members. Eileen received her bachelor’s degree in both Journalism and Speech/Telecommunications from Radford University, and holds a master’s degree in Public Relations from Ball State University. Additionally, she is a certified association executive from the American Society of Association Executives and an accredited public relations professional from the Public Relations Society of America, earning the plus military designation as well. Currently, she serves in a volunteer capacity as president and a founding member of the Global Needs Institute, a nonprofit organization whose mission is to empower people to improve the world. Eileen is looking forward to tapping the positive energy of ACDDA board members to promote oral health care in the local community and make exciting things happen for all ACDDA members.

Today's FDA

The FDA Welcomes New Associate Editors

Welcome New FDA Members

Dr. Kaycee Wilcox is the FDA’s associate editor for social media. She is a Bonifay, Fla. native and recent graduate of LECOM School of Dental Medicine. After Dr. Wilcox graduation, she joined a private practice, E. A. Tillman and Associates, in Crestview, Fla. Dr. Wilcox is a member of the ADA, FDA, and Northwest District Dental Association. In her spare time, she enjoys spending time with family and friends, traveling, and kayaking.

These dentists recently joined the FDA. Their membership allows them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry.

Dr. Stephanie Mazariegos is the FDA’s associate editor for our blog, Beyond the Bite. She graduated from LECOM School of Dental Medicine in Dr. Mazariegos June 2016. She currently is practicing as a general dentist in St. Petersburg, Fla. She likes to maintain a positive work environment and values her dedicated staff who always has fun, even on tough work days. During dental school, she served as the American Student Dental Association District 5 Trustee and founded the Hispanic Student Dental Association. She also led 11 of her classmates on a dental mission trip to Guatemala in her third year. She enjoys living in St. Petersburg for the variety of food options and the ability to spend her weekends at the beach. She looks forward to creating positive dental experiences for all of her patients and a rewarding dental career in Florida.

November/December 2016

Atlantic Coast District Dental Association Kenneth Anenberg, Tamarac Gregorio Joseph Aquino, Port Saint Lucie Liliana Aranguren, Boca Raton Ileana Arias Munoz, Fort Lauderdale Armando Bengochea, Port Saint Lucie Daniel Castillo, Palm Beach Gardens Rafael Cordero, Palm Beach Gardens Mohamad Elazizi, Davie Jennifer Garcia Avalo, Margate Monica Ghabbour, Delray Beach Darlene Hart, Miramar Margaret Kim, Davie Mahyar Lotfi, Fort Lauderdale Katherine Lozada, Oakland Park Fernanda McCosh, Margate Darshan Naidu, Fort Lauderdale Joan Palacios, Davie Tetyana Parsons, Lake Worth Ashley Paschal, Sunrise Neil Patel, Palm City Aditi Patel, Vero Beach Natalie Pennington, Boca Raton Frank Redelius, Delray Beach Joseph Renert, Boca Raton Paula Roberts, Vero Beach Jonothan Royal, Vero Beach Timothy Salib, Port Saint Lucie Dari Shapiro, West Palm Beach Seth Shapiro, West Palm Beach Irena Spivak, Boca Raton Barbara Stefanczyk, Fort Lauderdale Xen Truong, Delray Beach Manhal Yazji, Port Saint Lucie

Central Florida District Dental Association Dhiren Agrawal, Ormond Beach Mohammed Ahmed, Melbourne Ajlal Ahmed, Orlando Amy Andrews, Ormond Beach Phillip Barbee, Gainesville Enea Bifsha, Orlando John Bonner, The Villages Charles Burnes, Orlando Paul Christianson, Melbourne Melissa Colon, Orange City Arthur Comrie, Orlando Clement Contestable, Maitland Deborah Dilbone, Gainesville

www.floridadental.org

Karan Doomra, Melbourne Josephine Esquivel-Upshaw, Gainesville William Glover, Orlando Sarika Heggannavar, Orlando Fay Hu, Winter Park Julissa Justiniano Ayala, Orlando James Kang, Apopka Kenitra Kelly, The Villages Jordan Kennedy, Mount Dora Katia Leder, Orlando Briggitte Martin, Mount Dora Morvarid Moini, Indialantic Ronda Moore, Gainesville Champaka Nagaraju, Melbourne Jennifer Nguyen, Lake Mary Christian Ortiz, Champions Gate Cuong Phan, Orlando Umamageshwari Purushothaman, Daytona Beach Subuhi Qadri, Altamonte Springs Yadiris Reynoso, Orlando Nahir Rosado, Winter Park Ryan Schumacher, Indian Harbour Beach Debbie Shan, Orlando Nadia Sulieman, Titusville Mary Ta, Geneva Maria Thomas, Melbourne Rhina Um, Orlando William Vaughn, Satellite Beach Ayana Williams-Wood, Ocala Fong Wong, Gainesville Nabil Youssef, Orlando

Northeast District Dental Association Joshua Blimbaum, Jacksonville James Bolton, Ponte Vedra Beach Nicole Bunch, Jacksonville Lindsey Carballo, Fleming Island Yunki Cho, Jacksonville Jacqueline Kormann, Jacksonville Lisa Ma, Jacksonville Paul Miller, Fernandina Beach Reshma Patel, Jacksonville Natasha Patel, Orange Park Jignesh Patel, Jacksonville Jacob Sonn, Jacksonville Thomas Stakem, Fleming Island Linh Truong, Jacksonville Donald Van, Jacksonville Kyung Woo, Jacksonville

Northwest District Dental Association Shabana Azam, Lynn Haven Ashley Baptiste, Tallahassee Alan Dransfield, Tallahassee Christopher Farrugia, Pensacola Nicholas Gregg, Bristol Enrique Howard, Tallahassee Joshua LeBlanc, Navarre Ray Montalvo, Tallahassee Ryan Oberhausen, Pensacola

www.floridadental.org

Ali Ahamed Shaik, Tallahassee Russell Walther, Tallahassee

South Florida District Dental Association Hassan Al Maghazchi, Pembroke Pines Janetxia Barber, Miami Steven Berkowitz, Bay Harbor Islands Boris Bujila, Miami Jose Chaviano, Hialeah Rita Dargham, Miami Andres De Cardenas, Palmetto Bay Justin Devack, Miami Sally El-Hamarnah, Boynton Beach Ericka Felix, Miami Joel Figueredo, Miami Kurt Friedman, Aventura Dean Gaber, Greenacres Andy Gaertner, Miramar Carlos Gonzalez, Miami Lakes Cristina Hernandez Acosta, Medley Avery Jaffe, Miami Benjamin Joy, Miami Glorimar Llavona, Weston Jennifer Lopez, Surfside Sawan Malik, Fort Lauderdale Marielba Maniglia, Davie Zaily Montesinos, Hialeah Peter Muller-Marques, Miami Edgar Navarrete, Weston Alexander Paul, Miami Javier Prieto, Miami Fernando Quevedo, Miami Rachel Quevedo, Pembroke Pines Jose Ravelo, Coral Springs Ricardo Romay, Miami Maikel Roque Ruano, Miami Greg Ross, South Miami Sydney Sher, Miami Beach Rasheed Siddiqui, Miami Beach

West Coast District Dental Association Himanand Akkannappa, Ridge Manor Anamevys Alonso, Fort Myers Maryam Bangash, Lake Wales Chelsea Brockway, St. Petersburg Mark Bronner, Bonita Springs Keya Brown, Fort Myers James Burne, Sarasota Oliver Cabrera, Port Charlotte Brandon Cohen, Sarasota Thomas Crowgey, Lakewood Ranch Amanda del Cueto, Tampa Maria Diaz, Bonita Springs Antonio Dohi, Tampa Joy Eakins, Port Charlotte Adam Feldman, Tampa Ross Freeman, Sarasota Elena Gaar, Fort Myers Mikhail Gankin, Riverview Jasen Genninger, Temple Terrace Laura Goodwin, Tampa

Asta Grinis, St. Pete Beach Benjamin Gubernick, Largo George Helmy, St. Petersburg Dina Howell, Tampa Charbel Klaib, Lakeland Shamus Loftus, Naples Jacobson Ma, St. Petersburg Karen Mejias, Wesley Chapel Christian Milanes, Fort Myers Andrew Minias, Tampa Denis Monzin, Lakewood Ranch Jose Morales Gonzalez, Bonita Springs Ivelisse Ortiz, Miami Beach Kristin Paisley, Lake Wales Ricky Pan, New Port Richey John Plumley, Saint Petersburg Aleksander Precaj, New Port Richey Deanne Rife, Englewood Luis Rodriguez-Riera, Fort Myers Joslyn Rubin, Winter Haven Prematee Sarwan, Wesley Chapel David Schirmer, Sarasota Sascha Schubert, Land Oâ&#x20AC;&#x2122; Lakes Janielle Silliman, Sarasota Lennie Stern, Tampa Christine Van Groesbeck, St. Petersburg Luz Visbal, Wesley Chapel Tracy Walters, Sebring James Wasielewski, Tampa Lauren Widmer, Cape Coral Peter Worth, Tampa

In Memoriam The FDA honors the memory and passing of the following members: William A. Scott Port Orange Died: 9/15/2016 Age: 83 Walter Wood Jacksonville Died: 10/2/2016 Age: 56 J. Hart Long Holly Hill Died: 10/10/2016 Age: 96 Cary W. Stimson Dunedin Died: 10/17/2016 Age: 65

November/December 2016

Today's FDA

Tirelessly defending the practice of

GOOD MEDICINE.

We’re taking the mal out of malpractice insurance.

By constantly looking ahead, we help our members anticipate issues before they can become problems. And should frivolous claims ever threaten their good name, we ﬁght to win—both in and out of the courtroom. It’s a strategy made for your success that delivers malpractice insurance without the mal. See how at thedoctors.com

Program Highlights ▸ 5% FDA Member Discount ▸ 5%-10% No Loss Discount ▸ Cyberguard included at $50,000 of coverage ▸ Tribute Plan - The Tribute Plan is an unrivaled benefit that provides doctors with a significant financial award when they retire from the practice of medicine. How significant? The Doctors Company has earmarked more than $5 million for Florida dentists to date! ▸ Dividend Plans - For the past 5 years, The Doctors Company has rewarded eligible members with a 5 percent dividend each year. Members receive dividends on their annual premiums. ▸ Occurrence and Claims-Made Policies now available!

Call us at 800.877.7597 to get started with Professional Liability Coverage from The Doctors Company.

Membership

Photo by Judy Stone, FDA

The Turtles

By Kerry Gómez-Ríos, DIRECTOR OF MEMBER RELATIONS (AKA LEONARDO)

Membership

What’s green with eight hands and four sets of smiling pearly whites? It’s your friendly and helpful Florida Dental Association (FDA) membership team dressed as The Membership Ninja Turtles (TMNT) — ready to kick into action for our members. Although all employees of the FDA are dedicated to “Helping Members Succeed,” Ashley Merrill (Michelangelo), Christine Mortham (Raphael), Kaitlin Walker (Donatello) and I are entrusted with the responsibilities of the FDA membership department. We are available to handle your inquiries via email, telephone, fax, online chat and snail mail — whatever your preference. You may have had interaction with one of us when paying your dues over the phone or perhaps when you had a question about your membership status. These are both quite common reasons for contacting membership. However, did you know that the membership team is involved in much more? Here are a few examples: Want to proudly share with your patients that you are an FDA member?

Email us, certificates@floridadental.org, to request a current-year FDA member certificate.

I don’t know what I don’t know?

We want you to make the best use of all of the benefits and services the FDA has to offer. Our membership concierge, Christine Mortham, is here to help you maximize your membership. Contact her directly at cmortham@floridadental.org or 850.350.7136.

How is the FDA involved with dental students?

The FDA’s director of member relations, Kerry Gomez-Rios, works collaboratively with the components’ executive directors and the American Student Dental Association chapters at each of the three Florida dental schools to coordinate events each semester, such as member-dentist panels, white coat ceremonies and National Signing Day (event to sign up graduating D4s for membership).

What volunteer opportunities are available?

The membership team can help you get connected with: l volunteering for the 2017 Florida Mission of Mercy in Pensacola (March 24-25, 2017). l becoming a mentor to a Florida dental student. l writing an article or blog for the FDA. l getting involved with a council, committee or taskforce.

What should I do if I am planning on retiring this year?

If you retire on or before March 31, 2017, contact the membership department to request a retired affidavit. You will pay little or no dues for the current year and thereafter. If you are retiring after March 31, you would still need to pay the current year dues owed, but you can complete a retired affidavit in preparation for 2018.

I am having trouble logging onto the ADA and/or FDA website(s).

Don’t fret. Your username is your ADA/FDA member number and we can help you set up or reset your password.

I’ve been a member of the FDA for 25 years or 35 years. Isn’t that a cause for celebration?

It sure is! Congratulations and thank you for being a loyal member! Upon reaching either of these milestones, the membership team will mail you a 25-year member pin or a life member pin for 35 years of membership with the FDA. Wear it proudly — you’ve earned it!

My credit card on file for my membership dues has changed.

We would be happy to update your credit card information on file with our accounting department.

Whether we are in our ninja action outfits or in business attire, we enjoy what we do — making sure that our members are our first priority. We could go on and on about all of the things that our membership department can do to help YOU succeed. Instead, I’ll leave you with one final piece of sound TMNT advice: Remember to make us your first call, whatever your question or concern. We’ve got the answer or we’ll help you find it! Photo: From left to right: Christine Mortham, Ashley Merrill, Kaitlin Walker and Kerry Gómez-Ríos Contact the Member Relations Department at 800.877.9922.

www.floridadental.org

November/December 2016

Today's FDA

Member Milestones

Celebrating Member Milestones The Florida Dental Association (FDA) would like to recognize its life members and those who have belonged to the association for 60, 50, 35 and 25 years. Each member listed below has been mailed a special membership pin. The FDA congratulates these members and thanks them for outstanding personal commitment to the association and the dental profession.

Life Members John Akers Barbara Alexander Sol Anker Jeffrey Auerbach William Aughton Anna Avola Zalman Bacheikov Jos Bakker Tomas Ballesteros Mattei Charles Barger John Belcher Paul Benjamin Eric Benson Michael Block David Boers Robert Bousquet Robert Bowman Kent Brown Billy Brown Arnold Capobianco Stephen Carpenter Frank Catalanotto Nicholas Catsos Michael Chanatry Michael Cobbe James Coleman M. Cooper Dennis Corona Robert Cowie James Davis Ralph DeDomenico Robert Dolgow Richard Dunn James Edwards Earle Edwards Uri Elias Donald Elsman Roy L Feifer Howard Feig

Today's FDA

Bruce Felder Sheryl Fensin Thomas Ferretti David Ferry James Flatley Garland Forbes John France Ann Freedman Richard Furman Jeffrey Ginsberg Randy Gittess Michael Goffredo John Gonzalez Anton Gotlieb Walter Griggs Blayne Gumm John Hargrave John Harrington Paul Heidrich Rosemary Herlihy Timothy Higgins Christopher Hoek Alan Hoffman Harold Hopkins Robert Hulen Joseph Imbriale Leonard Jacobs Ronald James Roy G Jerrell Harold Jones Dennis Jones Michael Jumber Bernard Kahn Stanley Kanowitz Harvey Kansol Alan Kaplan Lawrence Keigley Loyd Kiernan Betty Klement Kenneth Knopf Stephen Krist

November/December 2016

Walter Kurosko Linda Laabs James Lane Bradley Lauer Patrick Lepeak Stephen Lester Barry Levine Dennis Logue Larry Maggiore Michael Manzoli Frederick Marsaw William Marsh Robert Marx Douglas Massingill Robert Matteson Billy Mayfield David McKay Gregory Moo Edward Mortellaro Ronald Murstein Robert Newman Dennis Nielson Stephen Norton Gary Novak Jeffrey Nullman William Patterson George Peak Stuart Pechter Robert Perez Richard Plummer Robert Powell Robert Primosch Henry Pruett Frank Recker Kenneth Riso James Rodgers Steven Rosenstein Peter Rossen Thomas Roth Glenn Rubin Linda Russow Steven Samuelson Charles Sandell Johnny Sandifer Mohan Saoji Hermann Schulze Kenneth Schwiebert Robert Seltzer Gary Senk Laurence Shapiro

Seth Shapiro Raymond Shenfield Markus Sherry Stephan Showstark John Singer Leon Smith Jeffrey Smith Herbert Snyder Warren Spencer Nathaniel Staller Steven Stapp Christopher Starr Clifford Starr Cary Stimson Jay Suverkrup Michael Tidwell Ernesto Torres Mark Urban John Walker Linda Walters D. Watkins Gerald Weaver Gary Weitekamp Marvin Wells Charles Wright Clark Wright Jess Yates Joseph Yuravich

60-year Members Zenaida Abadal Laurent Belanger Rupert Bliss Lawrence Brant Robert Bunn Robert Callahan Jack Conner Peter Dawson Anders Finnvold John Flower Daniel Franco Marvin Golberg Leonard Grush Cecil Hall Edwin Hatch Robert Helmholdt Arthur Hersh Charles Holmes www.floridadental.org

Member Milestones Edwin Kornblue Keith Korneisel Lawrence Morgan Robert Noland William Paladino James Rayes William Robson Enna Romeu Thomas Russell Joseph Saba Donald Smith Jack Soutar Lloyd Svennevig Robert Williams

50-year Members George Boring David De Witt Thomas Garrett Marshall Glasser Ronald Holman Harvey Levin Van Robinson Ronald Ruth Manuel Santin Arnold Sheir Alan Sirmans Jordon Steele Marlin Walker Gordon Wiebe

35-year Members Rodney Ackley Steven Aspros Peter Badger Richard Baratta William Belton Philippe Bilger Steven Bogdanoff Charles Broadway Randy Califf Steven Clark Lawrence Copenhaver Jorge Coro Donald Crosson Raymond Doremus Dave Dunn Brendan Dwyer Robert Farbman Alan Fetner Stan Frohlinger D. Georgina Garcia Robert Gehrig William Geyer Michael Gioia J Heider

www.floridadental.org

Andrew Hirschl Harry Insko Kristin Kalwara Kim Karvasale Steven Lanster Julio Llera William Marsh Kathryn McClintock Steven Muckey Stephen Myers Stephen Obrochta James Outlaw Yvonne Rausch Gilbert Sarabia Stephen Seidler G. Shehee Michael Sohl Michael Spencer David Trettenero David Weiner Steven Weissman Michael Westcott

25-year Members Jose Abadin Mohammad Al-Nahhas Gaby Bahri Michael Baiker Jeffry Barnes Jeffrey Bartnick Manmohan Batta John Bazos Jeffrey Beattie Barry Bluth John Bonura Alfred Bove Silvia Boyd Kimberly Brackett Stephen Bradford Abby Brodie Elizabeth Brown Clifford Buehrer Christie Cason Wheeler Hugo Chavez Joseph Chiafair William Cinkilic Francis Conroy John Cordoba Richard Corley Janine Cornelius Barry Corso Kathryn Daniel Suzanne Davidson Alan Davis Bob Deason Ramiro Del Amo Patti Dowling Embree Dowling

Michael Dukes Jeffrey Elliot Mark Ericsson Craig Etts Douglas Evans Tod Fawcett Mark Fedele Steven Feit Gregory Filion Brian Fuselier Arun Garg David Genet Lisa Goff Andrew Goldring David Goldstein Lilian Gonzalez Samir Hanania David Hanle Robin Hawley Brian Hazen Robert Hedgepath Curtis Hill Barry Hothersall Julie Howell Oivind Jensen Matthew Johnson Margaret Johnston Andrew Kaldany Raed Kasem Robert Kaufman Deborah Kearney Wayne Kearney Marvin Kennard Robert Ladley Timothy Lane Stephen Layton Larry Levine Mark Levinsky Roger Lowe Olga Luque-Maiz Patricia Lyn Dorone Manasse Benjamin Mancia Jose Marcano Jeffrey Martin James Massa Jeffrey Matilsky Robert McDonald David McDonald Richard Montz Ofilio Morales Maria Navarro Frederick Nin Joaquin Novoa Loren Orlick Brian Oâ&#x20AC;&#x2122;Sullivan Paul Palo Geetanjali Parekh Thomas Parkinson Francis Pazulski

Rosanna Perello Mark Peterson Rich Petrilli Hector Pinero Barbara Platte Thomas Porter Dirk Prusia Robbin Quarterman Juan Quintero Michael Ragan Michael Ramer Lori Ransohoff Eugene Rhee Christopher Ricker Ernest Rillman Dignora Rives Herminia Rodriguez Carlos Rodriguez-Feo Richard Rogers Mark Rogers Richard Salko Pedro Sanchez Juan Santos Lisa Schnell Charles Schultz Keith Schwartz Scott Schwartz Patricia Scott David Simon Michael Simon Mark Singer Pamela Skaff Andrew Slavin Goldie Smith Larry Spector Mark Steele Jeffrey Stein Gregory Stepanski George Strickland Jeffrey Stuckert Maria Suarez Liwen Tao Parker Thompson Mark Todd Angella Tomlinson Wade Townsend Shelby Trail John Verville Tim Verwest Maribel Victoria William Weith Carol Weith Michael Willis David Winer Wade Winker Katarina Wise Alan Wishneff Antonio Yu Way Ralf Zapata Ana Zuluaga

November/December 2016

Today's FDA

REGARDING THIRD-PARTY PAYERS …

WHO SPEAKS FOR YOU?

WE DO! RECENT EXAMPLE: July Letters from Medicaid Managed Care Plan to Medicaid and Florida Healthy Kids Providers Restricting Patient Care    

dental sealants only on high-risk teeth age limit on permanent crowns immediate dentures no longer covered limited children’s X-rays

PLEASE REPORT PROBLEMS WITH THIRD-PARTY PAYERS TO THE FDA. WE CAN HELP!

FDA Members Send Copies of July Letters the FDA. FDA staff evaluates and determines that the plan is unlawfully restricting care.

FDA STAFF CONTACTS THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) ABOUT PLAN’S RESTRICTION OF CARE.

RESULT! AHCA TELLS PLAN IT CANNOT IMPLEMENT CHANGES THAT RESTRICT CARE TO MEDICAID RECIPIENTS.

HELPING MEMBERS SUCCEED

For additional information, contact Casey Stoutamire: 800.326.0051 • 850.224.1089 cstoutamire@floridadental.org

Advocacy

Thank You for Being an FDA Advocate! By Joe Anne Hart DIRECTOR OF GOVERNMENTAL AFFAIRS

Yes, I’m talking to you. At some point in your dental career, you’ve talked to someone about the importance of maintaining routine dental care, the significance of brushing and flossing, the risks affiliated with smoking, the benefits of community water fluoridation, how to prevent baby bottle tooth decay and the list goes on. That’s called ADVOCACY! So, thank you for being an advocate for organized dentistry! No, you don’t have to be a registered lobbyist to advocate for dentistry — you have the Florida Dental Association’s (FDA) professional staff for that. No, you don’t have to be in Tallahassee to advocate for dentistry — you are a health care expert with direct ties to your local community. No, you don’t have to be “political” to talk to politicians — they are regular people just like you, who attend the same church or synagogue, shop at the same grocery stores and whose children attend the same schools as yours.

You are an advocate for organized dentistry when you speak to your patients about their oral health and educate them on the proper way to maintain a healthy mouth. Legislators are not exempt from being a patient. Many of you have been treating legislators in your practices long before they thought about running for office. Now that they are elected officials, it doesn’t give them a pass from going to the dentist. In addition to the legislator as your patient, you may be treating their whole family — which can be an extension of their opinion on dentistry. This is just a microcosm of the numerous opportunities you may encounter with a legislator and are able to help advocate for organized dentistry. After the November elections, the Florida Legislature will be filled with a brand new class of legislators, eager to serve and represent the interest of their constituents. This is where you — as an FDA member — can really help. You are their constituents, and we need all hands on deck to educate these new legislators and provide them with factual information on organized dentistry. You will be a sounding board for many of these new members, so take the time to help them understand how policy decisions in Tallahassee could impact your ability to practice at the local level. Your advocacy efforts at home will result in more informed legislative proposals and recommendations.

“

You are their constituents, and we need all hands on deck to educate these new legislators and provide them with factual information on organized dentistry.

”

So, do you get it now? You are an advocate for organized dentistry! For more information on how you can get involved, contact the FDA’s Governmental Affairs Office at gao@floridadental.org or 850.224.1089.

Ms. Hart is the FDA Director of Governmental Affairs and can be reached at jahart@ floridadental.org or 850.350.7205.

RE: FDA Council on Ethics, Bylaws & Judicial Affairs CEBJA helps the FDA keep its professional and ethical reputation intact. The council maintains and enforces the Code of Ethics; the patient relations peer review program; ensures the FDA’s Articles of Incorporation, Bylaws and Manuals are correctly drafted and procedurally correct; advises the House of Delegates on potential conflicts with association policies, procedures and bylaws; reviews FDA, component, and affiliate bylaws and compares them to the ADA bylaws with the goal of streamlining. 25 — Dr. Ethan Pansick, Speaker of the House/automatic CEBJA member

ADA

New Delegates Get Rocky Mountain High By Dr. Hugh Wunderlich

High? High energy! This year four new dentists join the energized Florida delegation to the American Dental Association (ADA). Once a year, the ADA shepherds its flock of delegates to a new location during its annual session. This year it was in the shadow of the Rocky Mountains in Denver. The 480 delegates from all around the country come together and form

the House of Delegates (HOD) and become the governing body of the ADA. Although the ADA is parsed into 17 districts and each has a trustee on the Board of Trustees, it’s the HOD that has final say on ADA policy. And since the ADA is America’s leading advocate for oral health, many affiliated organizations, including each state’s dental board, looks to the ADA for evidence-based revolutions and policies. Drs. Gina Marcus, Linda Niessen, Jeff Ottley and I are this year’s freshman class of the Florida delegation, and we are able to share some of the high energy in this year’s session. It is immediately apparent when you join the delegation that you are surrounded by dedicated and driven dentists. The caucuses and meetings start months before the annual session and typically take all day. And when the HOD finally meets in October, it is nearly a week out of the office. There is no additional compensation, yet you can see the pride and dedication in the seasoned delegates’ eyes. Their knowledge base is incredible and a key part of the process in networking with other districts from around the country to yield the inevitable compromised resolutions. There are dozens of these that become hundreds of pages to review. There’s so much to learn! The fast-paced discussion quickly slides into an ADA lexicon and acronyms. To “vintage” delegates, CAPIR is not a pungent condiment in relishes and FLOTUS and POTUS are not Disney characters in a mermaid movie ... and

RE: Problem Solved! FDA staff worked with the Agency for Healthcare Administration to prevent a Medicaid Managed Care Plan from implementing policy that would have restricted care to Medicaid and Florida Healthy Kids patients. 26

— Ms. Casey Stoutamire, FDA Lobbyist

ADA

what’s an Aptify? There is so much to process and digest quickly as each delegate needs a complete working knowledge of each policy and position. When voting finally takes place in the HOD, the pace is high-energy, fast and furious. And when the vote is done, it’s done. But in the end, each delegate is working to better the profession and provide better dentistry to the public. The resolution for new Guidelines for the Use of Sedation and General Anesthesia by Dentists and the Guidelines for Teaching and Pain Control and Sedation to Dentists and Dental Students was of particular interest this year. This was clearly the most contentious resolution in the HOD with 30 pages of evidence-based material to digest. These new guidelines will bring the rest of the nation into a policy that the Florida Board of Dentistry has already adopted. The other standout resolution was a three-year initiative to develop a media campaign to differentiate and improve the brand of the ADA member-dentist in the public eye. This campaign would cover social, print, radio and television media. The initial cost will be in excess of $6 million, but should bring direct positive impact to every ADA memberdentist, as it should reach more than 40 million potential patients. Now picture all this going on at the same time as a national campaign to elect Dr. Terry Buckenheimer as the ADA President-elect. Talk about high energy!

by so many energetic and dedicated dental colleagues. Now about that Aptify ... Photos: 1. Voting card at the House of Delegates. 2. Delegates voting at the House of Delegates. 3. ADA President-elect candidates l-r Drs. Buckenheimer, Crowley and Fair. 4. Drs. Gerald Bird and Jim Antoon at the House of Delegates.

Dr. Wunderlich is a general dentist in Palm Harbor and can be reached at htwdds@ gmail.com.

The unified Florida delegation is well-liked and admired around the ADA. The delegation has an easy-going and friendly demeanor that is popular with all the districts. We heard many compliments about the hard work put in by our delegation, especially on the challenging resolutions and policies. It really was a privilege to be a new delegate and mentored

RE: 30 percent savings with FDAsupplies.com! We switched to FDA Supplies about six months ago. We have reduced our supply costs by over 30 percent. The transition was made very smoothly with the help of Tim Collier. He was able to provide us with a price comparison that allowed us to see what we could save by using FDA Supplies. He then helped us create an account and begin ordering. We really appreciate this member benefit and think that all FDA members should use FDA Supplies. 27 — Dr. Joseph Grimaudo, Land O’ Lakes

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Ways to Get Involved 1.

Become a Legislative Contact Dentist.

Support pro-dental candidates through the FDAPAC.

3. 4.

Attend Dentists' Day on the Hill.

Serve on an FDA or district council.

Volunteer for Peer Review in your district.

7. 8.

Write articles for Today's FDA.

NEW GRAD INSURANCE All new dental graduates who become members of the Florida Dental Association (FDA) and practice in Florida will have their first year of PROFESSIONAL LIABILITY INSURANCE from The Doctors Company reimbursed by their FDA colleagues.

PEER REVIEW The Peer Review Mediation Program settles disagreements between patients and dentists more economically and efficiently than the legal system and is available only to FDA members. With legal fees averaging $300 per hour, this FREE member-only service will save you time, money and worry.

FDC 2017

Save the date — June 22-24, 2017 — for the Florida Dental Convention. Anyone can pre-register, but only FDA members pre-register for FREE, and FDA members also can earn up to 18 hours of FREE CE credits.

9. 10.

Offer pro bono care through the FDA Foundation: PDC, DDS, and FLA-MOM.

Visit a school during Children's Dental Health Month. Volunteer for Give Kids a Smile. Train as an FDA spokesperson.

HELPING MEMBERS SUCCEED

QUESTIONS ABOUT YOUR MEMBER BENEFITS?

Find more information at www.floridadental.org.

benefit

Helping Members Succeed

NUMBER REQUEST YOUR MEMBER CERTIFICATE!

YOUR DEDICATION TO MAKING A DIFFERENCE IN YOUR COMMUNITY SHOULDN’T GO UNRECOGNIZED! REQUEST YOUR FREE FDA MEMBERSHIP CERTIFICATE! ■

Email: certificates@floridadental.org

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Questions? Call the FDA Membership Services Number: 800.877.9922. THE PERFECT WAY TO LET YOUR PATIENTS KNOW YOU ARE A MEMBER

MEMBER IN GOOD STANDING

FLORIDA DENTAL ASSOCIATION

C. William D’Aiuto, DDS 2016 Florida’s Advocate for Oral Health CENTRAL FLORIDA

D I S T R I C T D E N TA L A S S O C I AT I O N A COMPONENT OF THE AMERICAN & FLORIDA DENTAL ASSOCIATIONS

Real Estate

Five Warning Signs Every Savvy Doctor Should Know When Choosing a Real Estate Agent

The agent only shows you one property at a time.

The agent is asking you questions about your business that are obvious to anyone who knows your industry.

4. 30

The agent is on the flyer of the space you are looking at.

Today's FDA

The agent has listings in your desired market.

Reputable professionals in your industry canâ&#x20AC;&#x2122;t vouch for their experience.

November/December 2016

www.floridadental.org

Real Estate

By Ken Jorgenson CARR HEALTHCARE REALTY

A commercial real estate transaction can either catapult or cripple your business. As one the highest expenses of health care practices, a real estate negotiation needs to be handled by an expert. One small mistake on a lease or purchase can cost hundreds of thousands of dollars. Protect yourself and your business by identifying these five warning signs that you might be picking the wrong real estate agent.

1. The agent only shows you one property at a time. As a business owner, your time is extremely valuable. You should be looking at multiple properties and evaluating them simultaneously. This gives you leverage in your negotiations, backup plans in the event your first choice doesn’t work out and a snapshot of the market in a competitive environment. Every landlord is different in their willingness to earn your business. It is critical to have multiple options (whenever possible) so you don’t miss a good deal.

2. The agent is on the flyer of the space you are looking at. You are entitled to representation. If the agent you’re working with has a listing agreement with the landlord, their fiduciary responsibility is to maximize that landlord’s profit. They cannot represent the landlord and adequately represent your interests as well. Avoid conflicts of interest by signing an agreement with an agent that specializes in buyer/tenant representation.

Just like health care professionals specialize, so do real estate agents. You wouldn’t refer an endodontist to give your patient braces. It is important that you trust your space search and negotiation to someone who understands the unique needs of dental practices. Asking questions about how many dental offices the broker has worked on or who the real estate agent is networked with in the dental community (builders, equipment reps, CPAs, etc.) are solid avenues of vetting. The real estate agent who handles your transaction will impact the trajectory of your business for the next 20 years in either a negative or positive way. Choose wisely! Carr Healthcare Realty is the nation’s leading provider of commercial real estate services for health care tenants and buyers. Every year, hundreds of dental, medical, veterinary and other health care practices trust Carr Healthcare Realty to help them achieve the most favorable terms on their lease and purchase negotiations. By not representing landlords or sellers, Carr Healthcare Realty is able to strongly advocate for health care providers and avoid conflicts of interest while saving their clients hundreds of thousands of dollars. Carr Healthcare Realty’s team of experts can assist with all types of real estate transactions, including lease renewals, expansions, relocations, startup offices, purchases and practice transitions.

3. The agent is asking you questions about your business that are obvious to anyone who knows your industry. Questions like, “What do you want to offer? How long of a term do you want? And how long does your construction typically take?” These are red flags that demonstrate that they do not know your industry or the needs of your business. Dental and medical offices have specific electrical and mechanical needs that need to be addressed up front or they could be extremely costly. Also, if they don’t understand your business and industry, they can’t sell the landlord on your value as a tenant.

4. Reputable professionals in your industry can’t vouch for their experience. Building a dental or medical practice is a collaborative process between your equipment specialist, contractor, architect, lender and real estate agent. If your agent is not in sync with those professionals it can turn your project into a nightmare.

5. The agent has listings in your desired market. If the agent has listings in the market you are looking in, they have a conflict of interest in representing you as a tenant or buyer and should be eliminated as an option to represent you. That agent is financially incentivized to push you towards their listings. Also, they have existing working relationships with landlords in your market. If negotiations get tough, does

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your agent’s loyalty lie with the landlord or you? You might miss the ideal property because it is listed by your agent’s biggest competitor.

Visit www.carrhr.com to find an expert in your area to help with your commercial real estate needs.

November/December 2016

Today's FDA

Please see UROLOGICAL, 33

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What is the FDA Mentorship Program?

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N M OW N EM RE EW B TO E C R R ! M D UI EN EN TI TO TI NG R. STS

mentorship program

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Who Participates?

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The mentors are FDA member dentists who volunteer their time and experience to provide professional guidance to dental students. All member dentists are encouraged to participate as mentors. A select number of dental students (depending on the number of mentors available) from each Florida dental school (LECOM, Nova and UFCD) will be able to participate as mentees.

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What Does It Involve?

The online mentoring program has been designed with the needs of the student and busy dentist in mind. Connecting is easy: 1. Member dentists can volunteer by completing a quick and easy online form at floridadental.org/ mentors. 2. The mentee will select a mentor from the bios available at floridadental.org. 3. The mentee will contact the mentor directly via email.

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The Florida Dental Association (FDA) Mentorship Program was developed by the FDA Council on the New Dentist as a resource to help dental students gain a practical and professional perspective from established member dentists.

4. The mentor will contact the FDA Director of Member Relations, Kerry Gomez-Rios, to inform the FDA that he/she has accepted a mentee. If at any time a change in the mentor/mentee relationship is needed, please contact Kerry GomezRios at membership@floridadental.org.

Questions?

For more information, contact Kerry Gomez-Rios at membership@floridadental.org.

hip gui ns

Mentorship

Be a Part of FDA’s New Mentorship Program By Dr. C.J. Henley

This month, the Florida Dental Association is rolling out an ambitious new mentorship program. The program’s goal is to help dental students and new dentists gain practical and professional exposure to dentistry though experienced member dentists. In order for it to be successful, it will require the participation of experienced dentists who are willing to donate their time and expertise. Because the landscape of our health care system is changing at a rapid pace, it is imperative that experienced dentists help foster a generation of clinicians who will not only protect our future and prosperity, but also help provide our communities with the best that dentistry has to offer. Sharing advice, experience and skills with a young protégé can provide great personal satisfaction. However, mentoring is much more than that. The relationship offers other tangible benefits for mentors who are willing to contribute to the development of the next generation of dentists. Mentoring can: enhance your own professional growth. n inspire new ideas. By stepping out of n your normal circle of referrals and friends, you may find new inspiration.

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challenge you to stay abreast of the latest n technology. Younger dentists who have had exposure to newer techniques and technology may be the catalyst you need to incorporate new technology into your practice. provide insight to your own actions. n In our private offices, most of us do not question our own rationale for our actions and treatment decisions on a regular basis. The question, “Why?” from a protégé can promote the opportunity for internal reflection and thought. increase the mentor’s sense of self-worth. n foster a sense of community and n collaboration. develop personal leadership. n leave a legacy. n invigorate passion in your career. n Mentors are less likely to “burn out” or plateau when compared to colleagues who are not mentors.1 A study conducted in 2010 asked current mentors what they perceived as the benefits of being a mentor. The majority of respondents stated that being a mentor led to an increased interest in their career and increased reflections regarding their own values and work practices.2 So much more goes in to practicing dentistry than simply practicing dentistry. Managing a staff, marketing your practice, navigating insurance plans, finding worklife balance and accepting complications are all a part of what we do on a daily basis. Most of these lessons were never taught in dental school, but I think we would all agree they are critical to the success of our practices.

One aspect of dentistry that I find most challenging is the ability to understand that complications are part of what we do. As dentists, we are perfectionists. We want to provide an ideal, functional and aesthetic result on every patient every time. But, we are human, and part of being human is learning to cope with failures. A mentor of mine in dental school, Dr. Jim Green, always reminded me, “If you are not having complications, then you are not doing enough cases.” As dentists, we should always strive for perfection, but accept excellence. It takes experience to understand that failures can and will happen in one’s career. A great mentor can help a new dentist both understand and accept this truth. Philosophically, being a mentor is an altruistic endeavor. It takes an investment of time and emotion. Being a mentor could provide you with a new and exciting challenge at nearly any stage in your career. Your legacy in dentistry just might be helping a new dentist start their profession. In summary, if you still need a reason to be a mentor, you’ ll find it the moment you start. Dr. Henley is a general dentist in Jacksonville and can be reached at DrHenley@HenleyandKelly.com.

Endnotes 1. Bozionelos N. Mentoring provided: relation to mentor’s career success, personality, and mentoring received. J Vocat Behav. 2004; 64:24–46. 2. Ramani S, Gruppen L, Kachur EK. Twelve tips for developing effective mentors. Med Teach. 2006; 28:404–8.

November/December 2016

Today's FDA

Registration now open: floridadental.org/ddoh

SHOW ME YOUR SMILE!

2017 Dentists’ Day on the Hill BRIEFING

LEGISLATIVE VISITS

Monday, April 3, 2017 Aloft Hotel, Tallahassee

Tuesday, April 4, 2017 Capitol in Tallahassee

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HOTEL ROOM BLOCK ALOFT HOTEL 200 N Monroe St. • Tallahassee, FL 32301 Phone: 850.513.0313 Room Block Deadline: March 3, 2017 (rate: $229 with complimentary parking)

For more information, please contact the FDA Governmental Affairs Office at 800.325.0051 or gao@floridadental.org.

SAVE THE DATE! MARCH 24-25, 2017

VOLUNTEER! PENSACOLA, FLA. WOODHAM MIDDLE SCHOOL ROOM BLOCKS AVAILABLE AT LOCAL HOTELS

For more information about reserving your room, go to www.flamom.org.

QUESTIONS? 800.877.9922 OR FLAMOM@FLORIDADENTAL.ORG

ALL U.S. LICENSED DENTISTS MAY PROVIDE CARE IF REGISTERED BY JAN. 15, 2017. Licensed dentists and hygienists do NOT need their own malpractice insurance to practice at the FLA-MOM. The FDAFâ&#x20AC;&#x2122;s insurance through The Doctors Company will cover licensed dentists and licensed hygienists at FLA-MOM.

Florida Mission of Mercy

Volunteer at a Dental Clinic Unlike Any Other By Megg Murphy COORDINATOROF FOUNDATION AFFAIRS

Last April, 2,465 volunteers from across the state gathered in Jacksonville, Fla. to participate in what many have referred to as one of the most humbling experiences of their career. The 2016 Florida Mission of Mercy (FLA-MOM) drew in dentists, hygienists, assistants, students and general community volunteers for a two-day, free dental clinic that provided treatment to 2,800 patients who would have otherwise had nowhere else to get treatment. At the FLA-MOM, patients received treatments that ranged from extractions and fillings to cleanings and restorative therapy. The FLAMOM is the signature program of the Florida Dental Association Foundation, which aims to relieve dental pain and suffering, restore smiles to patients and educate them about the importance of obtaining and maintaining optimal oral health. In addition to treatment, each FLA-MOM patient receives oral health education, which includes information on preventive care, as well as a full panoramic X-ray for their records — a best practice protocol that sets the FLAMOM apart from other dental clinics. The Jacksonville event followed the inaugural FLA-MOM event, which took place in Tampa in 2014. Like the Jacksonville event,

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the Tampa FLA-MOM attracted dental professionals and community volunteers statewide to volunteer at the dental clinic, which treated more than 1,600 patients. One of the most exciting features of the FLA-MOM is that the event is hosted by a new component every year, making it a truly statewide philanthropic project. The Northwest District Dental Association (NWDDA) is excited to bring the next event to the Florida Panhandle and agreed to host the 2017 FLA-MOM in Pensacola. The Pensacola FLA-MOM will take place on March 24-25, 2017 at Woodham Middle School. Dental professionals and community volunteers from Pensacola to Miami — and even some from the bordering Gulf states — will be joining together in Pensacola to achieve our goal of treating 2,000 patients! If you are on the fence about volunteering at the next FLA-MOM event, we encourage you to speak with one of your fellow dentists — it’s likely that you know someone who has volunteered. We are confident that once you’ve experienced the satisfaction from volunteering at the event and the energy on the clinic floor, you’ll come back year after year. There are so many reasons that volunteers keep coming back to participate in the FLA-MOM events — whether it’s the sense of community felt while practicing and volunteering alongside old and new friends from around the state; the awe from walking onto the clinic floor and fully understanding the magnitude of the event; or, the feeling when a patient who has been in pain or too embarrassed to smile for over a year walks out with a radiant smile. What-

To register to volunteer at the 2017 FLA-MOM, please visit www.flamom.org. To make a donation to the FLA-MOM, please visit www.flamom.org or call Megg Murphy at 800.877.9922. ever the reason, once you’ve walked the clinic floor and heard the stories of patients and volunteers alike, you’ll be hooked. It’s an overwhelming feeling of pride, humility and gratitude that you will treasure for the rest of your life. On behalf of the Florida Dental Association Foundation and the FLA-MOM Planning Committee, we invite new and veteran volunteers to share in this incredible experience with us in Pensacola. We are grateful for the time and funds our volunteers and donors have contributed to support the FLA-MOM program, and appreciate the trust you have placed in us. If you are unable to attend, please consider making a donation — every little bit helps! Thank you for your time and support, and we look forward to seeing you at the 2017 FLA-MOM! Ms. Murphy is the FLA-MOM Program Coordinator and can be reached at mmurphy@floridadental.org or 800.877.9922.

November/December 2016

Today's FDA

2016 FLA-MOM IMPACT RESEARCH STUDY by Dr. Jolene Paramore and Dr. Andy Brown

Inquiring dentists want to know! Does the Florida Mission of Mercy (FLA-MOM) affect hospital emergency department (ED) use?

Dr. Andy Brown, the 2016 FLA-MOM co-chair from Jacksonville, had the same question. Intuitively, many would say, “Yes.” However, there is a big difference between what we think and what we can prove. Since 2000, MOM dental clinics across the country have shared their patient numbers and care value, but there has been no formal study of the characteristics of MOM patients or its effect on hospital ED use for dental problems. None, that is, until the 2016 Florida Dental Association Foundation board decided to conduct a scientific research study about the FLA-MOM. So, what is the FLA-MOM? It’s the Foundation’s annual signature charitable event — a huge, two-day dental clinic where patients receive oral health education, oral cancer awareness and screening, blood pressure screening, medical history review, extractions, restorations, cleanings, anterior endodontic therapy, provisional removable partial dentures and pediatric dental care — all at no charge.

The FLA-MOM volunteers receive the high that comes from serving others and patients receive a quadrant of dental treatment. But what impact does the FLA-MOM really have on addressing the needs in the communities we serve? What are those needs? Who do we serve? Is there an after-MOM effect? Without research, we are just guessing.

Enter Dr. Jolene Paramore, the FLA-MOM Impact

Study lead, the Impact Study captains, Drs. Randy Hayes, Jeff Smith and Gary Weitekamp, and the Impact Study volunteer team. The Impact Study protocol was developed to identify the characteristics, dental needs, and barriers, as well as determine if the definitive care provided at a MOM effects hospital ED use for non-traumatic dental problems. In 2014, Florida alone had 163,906 dental-related ED visits at a cost of more than $234,000,000!1

While the effect of the FLA-MOM on use of the ED for dental problems will not be known for at least six more months, we do know that 27 percent of the FLA-MOM patients had been to a hospital ED for a dental problem. Of those, 53 percent had been in the last six months, 12 percent had been twice in the last six months and 6 percent had been to the emergency room three times in the last six months.

The research findings give us insight into factors that must be addressed to develop community-specific programs aimed at alleviating the skyrocketing number of patients who use EDs for dental problems. It makes the FLA-MOM more than a pro bono, safety net clinic. It shows the FDA Foundation is committed to making a lasting difference in the communities where FLA-MOMs are held. It provides the proof.

Patients register at the 2016 FLA-MOM and participate in the first formal impact study of MOM patients in the U.S.

Today's FDA

November/December 2016

www.floridadental.org

During the FLA-MOM, data was collected from patients 18 and older who spoke English or Spanish and agreed to participate in the study, for a 56 percent participation rate. A wide variety of questions were asked of research study participants. Preliminary data analyses found the following information.

2016 FLA-MOM DEMOGRAPHICS 1,462 OR 56% OF ELIGIBLE PATIENTS PARTICIPATED (under 18 and non-English/Spanish speaking were excluded)

RATE YOUR OVERALL HEALTH. 3% POOR 15% FAIR

11% EXCELLENT

28% 40 percent male participants  60 percent female participants VERY GOOD

43% GOOD

75 percent said the overall condition RATE THE CONDITION of their teeth/gums was fair or poor. OF YOUR GUMS AND TEETH. 2% EXCELLENT

5% VERY GOOD

18% GOOD 39% POOR

Nearly two-thirds of patients reported “being in pain,” with 33 percent in pain for more than a year.

36% FAIR

VISITS TO THE DENTIST 1 IN 3 – LAST DENTAL VISIT MORE THAN 5 YEARS AGO 1 IN 4 HAD “NO PLACE” TO GO.

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U.S. Health and Human Services, Agency for Healthcare Research and Quality. Available at: http://www.ahrq.gov/

November/December 2016

Today's FDA

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Military Dentist

The Citizen Soldier Dentist By Dr. Jose Peralta

“

”

It all began in late 2010, when I read an old article from the Academy of General Dentistry about a dentist deployed to Afghanistan with the Army. I was inspired, but didn’t think I could actually do that at my age, much less since I had a private practice. The dentist explained how thrilled he was to be able to work with and help soldiers. Soon after, I ran into a friend who was my age and in private practice — just like me. He looked much different though; he was physically fit and told me he had joined the Army Reserve Dental Corp. He worked one weekend a month and two weeks in the summer, and he got some extra cash. I lead a normal, sedentary suburban life — like most of us do — but I could not shake off these two Army “encounters” and I felt a strong urge to look into it further. I could work as a dentist and keep my practice? So, I began my quest at age 44, and told my wife I was going to join the Army. Her response was, “Sure, honey, go right ahead!” in a very sarcastic manner — you’ll soon know why. A trip to my local medical/dental recruiter’s office in Orlando gave my hopes the reality check it needed. When I asked what the reserves were, the recruiter explained, “You work one weekend a month and two weeks in the summer.” That sounded easy enough, until he reached into a drawer, pulled out paperwork with a mile-long list of prerequisites and escorted me over to a height/weight scale. As soon as I stepped on the scale, he gave me a discerning look and instructed me to come back with the paperwork filled out and 50 lbs. lighter so that I could meet the Army height/weight standards — hence, my wife’s response. Over the next few months, I poured through storage in search of the paperwork I needed, read nutritional and workout books — anything that could get me in the direction of the Army height/weight standards. When my wife took notice of my transformation and dedication she said, “Wow, you’re serious about this.” Her reaction marked a milestone in this new chapter in my life.

RE: FDA Leadership Development Committee The LDC is committed to “Helping Members Succeed.” We are making more information accessible; e.g., type in “Leadership Development” in the FDA website search box for up-to-date descriptions of all FDA councils and committees, and a chart of the available materials on the ADA Center for Professional Success/Leadership Institute website. We also are organizing in-person leadership training for the January 2017 HOD! And, we are always looking for new ideas! 44

— Dr. Suzi Thiems, Chair, Leadership Developement Committee

Military Dentist

By April 2012, I became a commissioned officer with the rank of Captain; I had outranked my office manager’s husband, a retired master sergeant and ex-drill sergeant. There was a moment when I asked him if he had resented the fact that I outranked him in such a short period of time, and that I really didn’t know anything about the Army. He said he had no concerns because he understood that my education was what lead me to that high rank, but made it clear that other enlisted soldiers might not. He advised that to gain the respect of enlisted soldiers, I needed to be an exemplary officer by living the Army values, learning the Soldier’s Creed and always respecting the chain of command. Those words impacted my life as well as my practice. There are a lot of stigmas surrounding Army life, but I can vouch for them and say that it is one of the most organized brotherhoods I have come to know. We become each other’s family, support and community in a time of need, and there is no greater purpose to feel in life than to know how you impact the person next to you or vice versa. On the first day of basic training for officers, the Colonel in charge said, “Do you know what I often hear from parents that send their sons and daughters to war? They know that if they get hurt, they will get the absolute best care in the world by the best doctors in the world, and that’s why I let them go. All of you volunteered, and all of you went through an extremely rigorous process to make it here, and to that, I say thank you from all the parents of the soldiers you will treat.” Those were profound words to someone I thought was just here to do general dentistry. My sense of purpose became real during my deployment in 2014. Right before takeoff for my first deployment to a hostile environment, I looked out the window and saw everyone on the tarmac in full salute waiting for the plane to leave. Honestly, I teared up and thought to myself that there was no turning back … this was really going to happen. I was overseas for 90 days, and as dentists, we do only 90-day “boots on the ground” rotations; hence, the phrase “90-day boggers.” The experience was beyond words. Depending on where you deploy, you can be assigned to any environment from a high-tech clinic to a small hospital to a field dental unit. The highlight of my deployment was on the anniversary of Sept. 11, when I was given the flag flown at half-staff that day and had it returned to me with a certificate. Now, I keep it at home and plan on continuing to fly it every 9/11 anniversary for as long as I live. Believe it or not, going overseas is not as easy as you think. Dentists are that crazy and get on a waiting list to get close to the fight.

You are probably wondering how I managed to make this transition, but surprisingly, there was no learning curve. Teeth are teeth, and I already had many years of experience and felt comfortable performing work on soldiers. However, the most stressful part of my role and responsibilities became my diagnosis and treatment — it had to be correct and perfect on the first try. There was no “Call me if you need anything.” If I was wrong on the diagnosis, if the bite is high, that soldier might need to be helicoptered in at a huge expense of time and money. If a dentist thinks that a soldier needs immediate care, he or she can hold a squad or platoon from moving forward if necessary. As an Army dentist, you not only practice general dentistry, but also are trained to be triage doctors in the moment of a mass casualty event. The dentist is in charge of making the decision on where an injured soldier needs to go based on the DIME (Delayed Immediate Minimal Expectant) method. Picture yourself being in charge of the triage in the Orlando Regional Medical Center ER on June 12, 2016, when a gunman shot and killed dozens of people at a nightclub and all those cases came to your facility. Could you do that job? As it turns out, the Army operates just as a business does, and they are a great employer with countless benefits. They don’t Please see SOLDIER, 47

RE: FDA Political Action Committee FDAPAC is the proactive arm of the dental profession, continually building relationships with legislators on both sides of the aisle who are on board with the legislative agenda of the FDA. Participation in FDAPAC Century Club is the best way for us to pool our resources and have a much greater affect than any one of us can achieve individually.

— Dr. Gerald Bird, Chair, FDA Political Action Committee

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Military Dentist

Mass Casualty training exercise September 2016.

SOLDIER from 45

encourage soldiers to become stagnant in the same position. Instead, the Army invests a lot of money on those who want to continue their education. You have the opportunity to go to advanced education classes in many fields, not just dental. There are mandatory monthly classes that you can do from the comfort of your home and others that will pay you extra money completion. The assigned two weeks in the summer are a huge potential learning experience with hands-on training such as learning to set up, man and operate a 24/7 field hospital. Your summer assignment could apply to either you or your unit, but either way it is an exciting opportunity to travel and meet people. My unit has gone to South Dakota, Hawaii, Kentucky and even Germany for those two weeks, just to name a few. You may ask, would I do this all over again? Let me just say, it has been my greatest honor and privilege to wear the uniform, serve my country and learn dentistry, but the adjustment has not always come easy. There have been weekends when I’ve had to attend Battle Assembly (monthly training) while one of my wife’s friends threw a big party, as well as other events I’ve been unable to attend due to a 6 a.m. five-mile company runs in cadence. But, I have come to realize that the Army will always fall on the same weekend as a friend’s wedding, a family reunion, my child’s graduation, etc. and I acknowledge that I made that decision to spend that time away from my friends and family to become a better man, professional and citizen. Besides, without their love and support, I would not have made it this far. This whole journey could not have been possible without the extraordinary support from my wife and children. I encourage those who want to go down this path to make sure your family is on board. The benefits are plentiful, but so is the time away from them.

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Throughout my Army career, I learned how to shoot an M16 and M9, attained sharpshooter status and earned the physical fitness patch, which is given to those who score 90 percent or higher on all the tests, for three years running. I am in better shape now mentally, physically and emotionally, and I owe it all to the Army. So, yes, you’re damn right — I would do it all again! I hope this can inspire other dentists who are on the fence to join or correct any misinformation about being a citizen soldier dentist. Dr. Peralta is the associate chief medical officer and dental director at Premier Community HealthCare Group Inc. in Pasco County. They are a Federally Qualified Health Center serving the uninsured and Medicaid in Pasco County. He can be reached at JPeralta@ HCNetwork.org.

November/December 2016

Today's FDA

President’s Profile

Your 2016/2017 FDA President By Dr. Bill D’Aiuto FDA PRESIDENT

I was born in Columbus, Ohio, and lived there until I was 11. My father was a Columbus police officer and my mother was an executive secretary for the state. My mother passed away this past April, but I’m blessed to have my father close by in Orlando, who at the age of 94, still keeps me grounded and entertained. Upon their divorce, my mother, sister and I moved to my mother’s childhood farm in rural southern Ohio, nestled in the foothills of the Appalachian Mountains. I had visited the farm, of course, while growing up in Columbus about two hours away, but really had no idea what was in store for me. My grandfather still lived there, working the farm and saw mill he had on his property. He never learned to drive a car, but he did drive a tractor and would walk everywhere he wanted to go. My grandfather preferred this mode of transportation, walking miles to his favorite churches or relatives’ homes. The farmhouse living accommodations we moved into — a four room, rough-cut frame house with no insulation in the walls, propped up on sandstone blocks — was little more than a converted barn. There was no central heating, but a pot belly wood stove in the front room and a wood burning kitchen stove, and no running water or indoor bathroom. This was state-of-theart living at the turn of the century ... the 19th century! I take that back — we had

Today's FDA

running water ... I’d run down to the well 20 yards from the house with three buckets of water as fast as I could every morning and evening, and even faster in the winter time. Bathroom? Who needs a bathroom! We had an outside privy. Living on a rather Spartan family farm after living in the city gave me a whole new perspective on life in America and what wealth really means. Living with my grandfather during the formative years from sixth grade until leaving for college, I learned

to appreciate the value of hard work, even though I didn’t always appreciate it at the time. I learned if you didn’t grow it, hunt it or raise it, you didn’t eat and also learned that the life of a “high school ball player” had its perks. The one perk most appealing was that you got to take a shower — and on a regular basis, too! So, I played every sport

November/December 2016

the school had. It beat heating up a wash tub of water on the cook stove and taking a bird bath back on the farm, that’s for sure. I left the farm for college with skid marks and dust flying down our country road, rarely to return. My sister, Toni, preceded me by being the first person in the family to receive a college education and I was fortunate to be the first to receive a doctorate. At Otterbein College, I majored in Biology and played varsity football. I transferred to the Ohio State University (OSU) my junior year and received my B.S. degree. After working in Chicago and St. Louis as a hospital supply rep, I returned to OSU to attend dental school. After graduating dental school in 1981, I packed up, moved to Florida and opened my solo general practice in 1983 in Longwood. My desire to gain an education can be credited to the encouragement of my father, my mother and all three of my sisters. I have been blessed with two beautiful children. The first, Christopher, is a soil scientist who lives and works in South Africa. My daughter, Aubrey, is married to a minister and lives in Vermont. She and her husband, Mark, have further blessed my life with a gorgeous granddaughter, Selah, and a grandson expected about the time this article is published. I have lived a charmed life. Janet, the love of my life, and I live in New Smyrna Beach where we enjoy paddle boarding, kayaking, boating and fishing. Please see PRESIDENT, 51

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President’s Profile fashion, I feel that I am better informed and better able to make positive decisions. Do you have any projects for promoting dental health or Florida Dental Association (FDA) membership that you want to implement this year? Several years ago I served on the American Dental Association (ADA) Council on Dental Practice and saw firsthand the trends of our changing practice demographics. It became apparent to me that a dialogue needed to be forged with the segment of our practice community known as “corporate dentistry” or dental service organizations because a growing number of dentists work in these settings. To better understand this segment of dentistry, the FDA invited Rep. Mike Bileca (R-Miami), who also is the president of the Association of Dental Support Organizations, to the August 2016 FDA Board of Trustees meeting for a presentation and Q&A session. I hope that this is a start to a growing dialogue that can develop and identify a common ground in order to enrich the practice lives of the dentists who work in these settings. The ADA and FDA are both working with this corporate sector to demonstrate the features and benefits of membership in organized dentistry for their employee dentists. What are your goals for Florida’s Action for Dental Health? My goals are to be recognized by legislators and stakeholders who advocate for the underinsured and underserved population as the state’s best plan to navigate the waters and chart the course to a better state plan for the care of this population. I’d like to see the FDA use what we learned from our own philanthropic efforts via the Florida Mission of Mercy events in Tampa, Jacksonville and coming up in Pensacola, along with the formal impact study. The impact study was formulated to gather much needed information that the state does not have, in order to make the case that the state must develop a broader solution — and that is Florida’s Action for Dental Health. What have you learned as an FDA line officer that has helped your presidency? I’ve learned to be a better listener and not feel that I have to respond to every email with my opinion. I have learned that it is better to listen to others’ opinions to gain understanding, not simply listening to respond. By listening in a more in-depth, robust www.floridadental.org

How did you get involved in organized dentistry? I became interested in getting involved after joining a rather progressive study club called the Society for Occlusal Studies. As the youngest member of this group, I enjoyed mentor relationships with virtually all of the members and was subsequently encouraged to take a position on peer review and run for the board of directors of the Dental Society of Greater Orlando. The rest is history as they say, but I see that my early involvement as a new dentist positively influenced my entire career.

• Music: rock and roll, jazz • Artist: Bob Seger • Movie: “Lord of the Rings” • Book: “1491”

What does the FDA need to do now to protect the future of the profession? We need to continue to grow more reasons for dentists to belong to the FDA, because through a growing and vibrant membership base of proactive members, we would be able to grow and mature our advocacy messaging. The FDA will strive to continue to educate non-member dentists that the forces that endeavor to reduce this proud profession to mediocrity are real and quite active. Without a united voice, we may not prevail in maintaining the same high standards of care. What do you like most about practicing in Florida? Sunshine! After a day of operating eight to 10 hours inside, it’s nice to be able to go outside and enjoy recreational activities all year round. I know you can be active in colder climates; I’ve lived there, done that, but I love the water too much to be restricted to just the summer months. What do you think dentistry will look like in 10 years? The digital revolution has already made such strives in our daily practices, from reducing X-ray exposure to our patients to transforming who makes our dental prostheses. We have moved away from traditionally trained dental lab techs to computer programmers and design engineers. I believe in 10 years it could be completely possible that dentists could be using stem cell technology to help our patients grow their own tooth replacements. I see the future as an exciting departure from the past and that dentists will be able to have the technology to be more productive by working smarter, not harder.

Dr. D’Aiuto is the FDA president and can be reached at bdaiuto@bot.floridadental.org.

• Vacation destinations: Nevis (a small island in the Caribbean Sea that forms part of the inner arc of the Leeward Islands chain of the West Indies) • Food: a perfect steak • Memory: marveling at my mother’s sense of humor on her last good day • Leisure activity: boating and fishing • Guilty Pleasure: a good cigar and a glass of single malt scotch, while enjoying the view of the New Smyrna Beach Intercoastal Waterway from my balcony Photos: Dr. D’Aiuto with family – son-in-law Mark, with Selah, daughter Aubrey, and son Christopher (top left) Grandaughter Selah (top center) Receiving the Florida Mission of Mercy Proclamation at Capital (top right) Dr. D’Aiuto with Janet’s grandson, Brekon (second row) Dr. D’Aiuto addressing the FDA House of Delegates at FDC2016 (center left) Dr. D’Aiuto with Janet on his balcony overlooking the New Smyna Beach marina (center) Janet and Dr. D’Aiuto attending an Ohio State University football game (center right) Son Christopher, Dr. D’Aiuto and Janet “down on the farm” where he grew up (bottom left) Dr. D’Aiuto with grandaughter Selah (bottom right)

November/December 2016

Today's FDA

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FDAS ALERT! Florida Approves 14.5% Workers’ Comp. Rate Increase! The Florida Office of Insurance Regulation recently announced that they had contingently approved a 14.5 percent worker’s compensation rate increase that will take effect Dec. 1, 2016 across the state.

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FDC2017 Program Chair Q&A

FDC2017

What’s new and fun?

There are several new and fun concepts at the Florida Dental Convention (FDC), such as using digital case presentation software to morph before-and-after photos; grafting for soft and hard tissue; implementing digital scanning machines to collaborate with other dentists and laboratory technicians, and mini implants, which have exploded in the dental community!

Sandy Rosenberg, DMD

What are some ways that attendees can save money?

Florida Dental Association (FDA) members get free registration to FDC as well as save money on FDASupplies.com. Non-members can join the FDA to receive these benefits!

What are the different ways attendees can earn continuing education (CE) credit?

Aside from attending any lectures or workshops at the convention itself, there are a few other ways to obtain CE. Read the “Diagnostic Discussion” in the FDA’s journal, Today’s FDA, and then go to our website to answer a few questions regarding the case described. We also offer various online CE courses at no charge to members. Lastly, attendees can volunteer to be a speaker host to receive free CE and the lecture at no charge!

How much CE can they earn? Attendees can earn up to 18 hours.

Why is it beneficial to take your staff to FDC?

There are many reasons to take your staff along to FDC. The courses keep you and your staff current and in unison, which results in more effective treatment for patients; the entire staff can obtain the required OSHA and HIPAA training; and, each team member brings back different techniques and perspectives on what was learned.

How can courses benefit your practice?

The numerous lectures and workshops offer a variety of topics in which you can triage what aspects of dentistry you want to dive into. Dr. Sandy Rosenberg is a general dentist in Orange Park and is the 2017 Florida Dental Convention Scientific chair. He can be reached at drsandyfdc2017@aol.com.

SAVE THE DATE! • JUNE 22-24, 2017

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KEYNOTES! THURSDAY • JUNE 22

BRUCE CHRISTOPHER • ARE WE HAVING FUN YET?

FRIDAY • JUNE 23

MARVELLESS MARK • OPPORTUNITY ROCKS!

SATURDAY • JUNE 24

DON YAEGER • WHAT MAKES THE GREAT ONES GREAT

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FDC2017 SPEAKER PREVIEW

Sedation in Dentistry: Luxury, Necessity or Both?

By Mel Hawkins, DDS, BSCD AN, FADSA, DADBA

Modern dentistry. With its biomaterials, advanced implant techniques, cosmetic emphasis, state-of-the-art laboratory procedures, beauty, function, pain control, pharmacology, drugs, patient management, smiles, local anesthesia sophistication, products, adjuncts, medical wonder drugs ... is one any more important than the other? Yes, but it’s not on this list. As dentists, dental hygienists, expanded duties practitioners, dental assistants, office managers and registered nurses, we must never lose track of the fact that we are treating real people, not actors in TV commercials. Dentists approach me at the podium, by email or at a reception and state something like: “I’ve never needed to use sedation for my patients. I’m a gentle, patient, communicative person and use tender loving care to get my patients through.”

Today's FDA

To get them through? Key phrase. “I’ve only ever referred one difficult-tomanage child in 30 years of practice.” That’s admirable. Sooner or later, if an individual practices long enough, a patient has an indication for referral.

phobia and crowds. As with any therapeutic treatment modality, patient management by sedative inhalational gases or oral or IV medications such as midazolam (Versed®) will or could help the patient feel better toward dentistry, help the appointment time pass faster or provide memory gaps of points in the appointment that really don’t need to be remembered.

OR ... “I have a lot of senior citizens in my practice with a variety of heart problems, diabetes, and physical and mental challenges. They just don’t need sedation.” The stress of a dental appointment and myocardial compromise don’t go well together. Cardiac patients, high blood pressure individuals, and of course, the apprehensive patient, benefit from a reduced stress level. I’m not here to sell sedation. I don’t need to. Some 85 million Americans avoid the dentist out of dread, according to the Journal of the American Dental Association (JADA). The American Dental Association (ADA) has stated that a significant percentage of the population still avoids dental treatment due to fear. It’s ranked up there with public speaking, heights, flying, snakes, claustro-

November/December 2016

Dentists who use sedation say it may be the only way to get certain patients into the dental chair at all. Moms and dads who parent uncooperative, caries-ridden children say it may be the only way their child can be managed. So, how does a practitioner deal with the major disadvantages of oral sedation, namely “guessing” at a dose because titration is impossible — and what if you’re wrong? How does one minimize the time of onset? Doesn’t wait, wait, waiting for it to work just exacerbate the already existing apprehension?

Minimizing the Oral Route Disadvantages: How do you choose a dose? The first appointment is a true guessing game, but the guesswork can be successfully reduced www.floridadental.org

by employing a few practical (and rational) rules. 1. body weight: adult vs. child 2. age 2. level of apprehension 3. drug experience, prescription drugs, OTC medications, e.g., cough medication DM, tolerance, dependence, chronic prescribed medications (benzodiazepine history), liver enzymatic induction 4. difficulty of dentistry 5. time required (appointment length)

Adult Dose Determinates: Signs/symptoms of: 1. apprehension 2. drug history 3. age 4. weight, in that order BUT 1. weight for the child 12 and younger

“It is no longer enough that dentistry be technically competent, it must be humanely presented.” ~ Dr. Wm. Dover, dentist, dentist/ anesthesiologist What do I mean “amnesia is conditional”? Isn’t that why a benzodiazepine is administered? Yes, but there are two overriding events that negate amnesia. 1. Trauma/Pain: Elevating a lower third molar that is not adequately anesthetized. “It’s just pressure, it’s just pressure,” while thinking, “They won’t remember it anyway.” Not true. It hurts, and they do.

What to use? Prototype: Triazolam – Halcion®

2. Audio comments: “Don’t you love my new Porsche? I’m going to Hawaii for a month.” Don’t say it!

Primary therapeutic effects (desirable):

In other words, anything that stimulates a physical (pain) or emotional (anger, envy, insult) reaction from the patient has the potential to be remembered!

1. anxiolysis 2. mild, pleasant sedation = euphoria 3. amnesia as dose increases, usually ~ level 2 4. muscle relaxation also varies as to the benzodiazepine choice Amnesia is conditional!

www.floridadental.org

Patient Consent There are many consents out there and sedation consent forms (pardon the play on words) one more category. The first interview question should be, “Is English your first language?” or “Is English your preferred language of discussion?” If it’s not,

it will be a short appointment, ending now for today. They then must arrange to bring an interpreter for the consultation and consent appointment. I have experienced occasions where during a consultation, I believed that a patient while nodding “yes” at almost every point (as opposed to nodding off), ultimately had understood virtually nothing! Their first language was an East Asian dialect. The most important point after communication confidence has been established is for the patient to 100 percent understand: 1. not to drive a motor vehicle, operate machinery or use sharp objects (i.e., in the kitchen) and not to make any important decisions for 24 hours. Yes, they may go back to work, but must sign off on the above! The most important points for the dentist to adhere to are: 1. Although the initial question-and-answer format can be conveyed in the printed word, consent must be discussed verbally with an adequate time allowed for questions and answers. Note that obPlease see SEDATION, 59

November/December 2016

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FDC2017 SPEAKER PREVIEW SEDATION from 57

taining consent is not a single event but rather a process that occurs over time. 2. An oral sedative cannot be administered and then consent endeavored to be obtained in the belief (true fact, but not legal) that because the onset of the drug effects will not occur for a few minutes, “We may as well not waste time.” Why do all the consents and then administer the tablets/pills/capsules and then wait even longer? Answer: Because you must. 3. Never change the treatment plan while the patient is under the influence, i.e., extract a tooth that you said you would initiate endodontic therapy on, see what happens, you find a crack, the tooth is obviously doomed and you take it out without permission, or with “permission” from the intraoperatively sedated patient, or just as bad, the spouse, which of course is not permission at all.

Fees, Values and Responsibilities What is the criteria for assessing a professional fee for the reimbursement of a 25-cent tablet (or two or three)? Of course,

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this is not about the cost of the medication. It is very much about the education and expertise of the dentist; the time and money expended to do so; the responsibility of administering and monitoring the drugs involved, pre-op and post-op; the ability to manage side effects, including a medical crisis; the challenge of managing not only an uncooperative child but also a parent or guardian who may be equally as challenging, demanding or skeptical. In other words, “What’s it worth?” Or, “Should it be free as it simply allows the dentistry to be more efficient?”

relaxed patient. The relaxed dentist and dental office environment form the third point of the treatment triangle and as a comprehensive treatment plan is extended to our patients, perhaps a comfortable, safe and time-efficient consideration should be offered simultaneously.

What, then, is the overall value of administering sedation in a dental practice? It depends. Would the dentist even want to treat the patients it may attract? Would the dental team accept it or be afraid of change? Would it be a practice builder? Is it worth the time, expense and effort to implement it? Would it ultimately be a wonderful, peaceful, satisfying and profitable way to help patients and, therefore, be exciting and fulfilling for the dentists themselves?

He will be speaking at FDC2017 and presenting three courses. “Local Anesthesia: 30+ Years of Hits, Misses and Near Misses” will be held on Thursday, June 22, 2017 at 2 p.m.; “Sedation in Dentistry, Oral/IV: Clinical Considerations and Current Controversies” will be held on Friday, June 23, 2017 at 9 a.m.; and, “Medical Emergencies in the Dental Office and in LIFE!” will be held on Saturday, June 24 at 8 a.m.

Dr. Hawkins has a private practice with special emphasis on pain control, patient management and various local anesthesia requirements for the dental patient in Toronto, Canada. He can be reached at melhawkins@ rogers.com.

Sedation is a wonderful adjunct to the practice and delivery of modern day dentistry. Not only is the apprehensive patient a prime indication for consideration, but also longer, more sophisticated and intricate procedures necessitate a cooperative and

November/December 2016

Today's FDA

FDC2017 SPEAKER PREVIEW

Management of Class III Malocclusion Using Bone Anchors By Dr. Tung Nguyen

Class III malocclusions are among the most difficult to treat, with a large percentage of these patients requiring orthognathic surgery. Conventional treatment for young Class III patients often involves extraoral devices designed to either increase maxillary length or restrain mandibular growth. Both approaches have limited success due to undesirable dentoalveolar movements, limited skeletal changes and/or relapse of dental movements. Even with appliance modifications to minimize tooth movement and maximize orthopedic correction, some dentoalveolar side effects seem inevitable because these appliances are attached from the teeth to an extraoral headgear. In addition, compliance is critical for success with these treatment modalities. Unfortunately, compliance proves to be difficult, as these cumbersome and socially stigmatizing extraoral devices require 12-18 hours of wear per day. Twenty-five to 33 percent of these patients experience post-treatment relapse within a year.1

Today's FDA

A significant proportion of patients with Class III malocclusion ultimately require orthognathic surgery after mandibular growth is completed (around 16-18 years of age). A treatment approach that could eliminate the need for surgery could potentially: 1) allow treatment to be initiated at an earlier age, thereby, reducing the psychosocial impact of this malocclusion during the teenage years; 2) reduce treatment cost to the patient; and, 3) eliminate morbidity and recovery time associated with surgery. An innovative approach using intraoral skeletal plates and intermaxillary elastics (IME) was introduced in 2008 â&#x20AC;&#x201D; bone anchored maxillary protraction (BAMP). Pilot studies from our group showed this technique to be effective in producing positive orthopedic changes to the maxilla and restraint of the mandible without dentoalveolar side effects.2 Patient compliance was improved due to the discreet nature of intraoral elastics compared to the cumbersome extraoral headgear. In addition, our studies showed BAMP was significantly more effective than the current gold standard for early treatment of Class III and can be implemented at a later age.3

The purpose of our article is to summarize eight years of clinical research on BAMP and encourage clinicians to apply this protocol to their daily practice. One of our initial studies involved 3-D analysis of treatment outcomes for BAMP. Twenty-five consecutive Class III patients were enrolled in the study.4 Using 3-D registration of initial and final cone beam computed tomography (CBCT) for patients treated using the BAMP protocol, we evaluated orthopedic changes in the maxilla, mandible and glenoid fossa.

November/December 2016

www.floridadental.org

Using the BAMP protocol, we saw an average anterior displacement in the maxilla by approximately 3.7 mm with a range from 1.5 mm to as high as 8.5 mm. One explanation for the high variations in treatment response between patients might be due to the diversity of the original malocclusions. Some of the Class III patients presented with a severe -5 mm overjet, while others manifested a mild edge-to-edge incisor relationship. Other reasons for the high variation on treatment response include compliance with elastics, age skeletal malocclusion and maturation of the cranial sutures at the start of treatment. We also saw the forward displacement of zygoma and midface by approximately 3.7 mm, a phenomenon that rarely occurs with other treatment modalities. To explain this phenomenon, we examined the circummaxillary sutures and saw that the BAMP protocol resulted in the distraction of many of these circummaxillary sutures. It may be plausible that a constant force from the elastics, when applied before sutural maturation can effectively produce distraction of these sutures, which resulted in the forward displace of the entire midface. Recent animal studies have shown that continuous force application is more effective at expanding the sutures when compared to intermittent forces.5 The changes in the anterior mandibular region were more variable in both magnitude and direction. Many subjects exhibited a distal displacement of the chin while some continued to grow in a normal forward direction.6 While the anterior position of the chin relatively stayed the same throughout the course of treatment (-0.5 mm), this was significant when compared against matched untreated Class III subjects, who showed an mean forward growth of 2.2 mm

www.floridadental.org

“BAMP is a promising protocol that has the potential to reduce the need for orthognathic surgery in growing Class III patients.”

during the same time interval.7 It also is interesting to note that the BAMP protocol did not restrain growth of the mandible but altered the direction of mandibular growth by closing the gonial angle and distalizing the posterior ramus and condyles.6 Interestingly, the glenoid fossa remodeled to adapt to the new position. While these findings are promising, long-term studies are needed to evaluate the stability of this compensatory mechanism as well as the health of the temporomandibular joint complex. Currently, we are conducting more clinical trials evaluating the effectiveness of the BAMP protocol on patients with craniofacial clefts. Initial results are promising and we hope to have the work published before the 2017 Florida Dental Convention. In summary, BAMP is a promising protocol that has the potential to reduce the need for orthognathic surgery in growing Class III patients.

controlled study on consecutively treated Class III patients. Am J Orthod Dentofacial Orthop 2010; 138: 577-81. 3. Cevidanes L, Baccetti T, Franchi L, McNamara JA Jr, De Clerck H. Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion. Angle Orthod 2010; 80: 799-806 4. Nguyen T, Cevidanes LHS, Cornelius MA, Heymann, G, Leonardo K de Paula, De Clerck HJ. 3D Assessment of Maxillary Changes Associated with Bone Anchored Maxillary Protraction. Am J Orthod, 2011;140(6), 790-798. 5. Liu S, Kyung H, Buschang P. Continuous forces are more effective than intermittent forces in expanding sutures. European Journal of Orthodontics. 2010; 32(4), 371-380. 6. De Clerck H, Nguyen T, de Paula LK, Cevidanes L. Three-dimensional assessment of mandibular and glenoid fossa changes after bone-anchored Class III intermaxillary traction. Am J Orthod Dentofacial Orthop. 2012;142(1):25-31. 7. De Clerck H, Cevidanes L, Baccetti T. Dentofacial effects of bone-anchored maxillary protraction: a controlled study on consecutively treated Class III patients. Am J Orthod Dentofacial Orthop 2010; 138: 577-81.

Dr. Nguyen is an orthodontist in Chapel Hill, N.C. and can be reached at tung_nguyen@ unc.edu. He will be speaking at FDC2017 and presenting two courses. “Management of Class III Malocclusion Using Bone Anchors

References

- Part One” will be held on Friday, June 23,

1. Wells A, Sarver D, Proffit W. Long-term Efficacy of Reverse Pull Headgear Therapy. The Angle Orthodontist, 2006; 76(6), 915-922. 2. De Clerck H, Cevidanes L, Baccetti T. Dentofacial effects of bone-anchored maxillary protraction: a

2017 at 9:30 a.m., and “Management of Class III Malocclusion Using Bone AnchorsPart Two” will be held later that day at 2 p.m.

November/December 2016

Today's FDA

EXHIBITOR MARKETPLACE #3D Diagnostix Inc. 3M Oral Care

AA-dec A. Titan Instruments A/R Consulting Inc. DBA Dental PC Accutron Inc. ACTEON North America ADS Florida | Henry Schein Professional Practice Transitions Advantage Technologies Advice Media Air Techniques Inc. AMD Lasers Anutra Medical Inc. Aseptico Aspen Dental Atlanta Dental Supply Atlantic Dental / Brewer Design

These exhibitors have made a commitment to attend the FLORIDA DENTAL CONVENTION (FDC). Not only do these companies exhibit the latest in technology, materials and equipment, but many sponsor events and continuing education programs at the FDC. Take a minute to see if your supplier is on the list. Make an effort to stop by their booth in the Exhibit Hall in June for show specials. Please support those entities that help make the FDC a rewarding member benefit.

Bank of America Practice Solutions Banyan Bayshore Dental Studio Benco Dental Berryhill, Hoffman, Getsee & DeMeola LLC Bien-Air Bioclear Matrix BioHorizons BIOLASE Biotec Inc. Bisco Dental Products BQ Ergonomics LLC Brasseler USA

C CareCredit Carestream Dental Carr Healthcare Realty Centura Pharmaceuticals Inc. Citibank Healthcare Practice Finance

D Demandforce DenMat Dental Care Alliance Dental Equipment Liquidators Inc. DentalEZ Integrated Solutions Dentsply Sirona Designs For Vision Inc. DEXIS Diatech Digital Doc LLC Doctor Multimedia Doctorâ&#x20AC;&#x2122;s Choice Companies Inc. Doctor.com Doctors Disability Specialists DoctorsInternet.com Doral Refining Corporation

E-F Eclipse Loupes and Products Elevate Oral Care LLC Essential Dental Systems FDA Supplies / SourceOne Dental Inc. Fidelity Bank Florida Combined Life Florida Dairy Farmers / Dairy Council of Florida Florida Dental Association Florida Dental Association Services Forest Dental Products Inc. Fortress Insurance Company Fortune Management Fotona / Lasers4Dentistry

G Garfield Refining Company Garrison Dental Solutions GC America Inc. GlaxoSmithKline Great Expressions Dental Centers

ClearCorrect

Halyard Health

Coast Dental

Hawaiian Moon

COLTENE

Heartland Dental

Cool Jaw by Medico International Inc.

Henry Schein Dental

Crest + Oral-B

Heraeus Kulzer

CUTCO Cutlery

Henry Schein Practice Solutions

Exhibitors as of Nov. 11, 2016

HIOSSEN Hu-Friedy Manufacturing Co. LLC

PDT Inc. / Paradise Dental Technologies Pelton & Crane PerioChip By Dexcel Technologies Ltd.

I.C. System Inc.

PeriOptix

ICW International iMedicor

Peter J. Freuler Jr. PA, CPA Philips Sonicare & Zoom Whitening

Implant Direct

Planmeca USA Inc.

Implant Educators Insurance Credentialing Specialist

Porter Instrument Co. Inc. Power Dental USA

integrated dental systems

Professional Sales Associates Inc.

Ivoclar Vivadent

Proma Inc.

K Karl Schumacher Dental KaVo Kerr Group

Prophy Perfect / PHB Pulpdent Corporation

R-S

Kettenbach LP

RGP Dental

Kuraray America

Royal Dental Manufacturing

L Lares Research Lending Club Patient Solutions Lighthouse 360 Live Oak Bank LumaDent Inc.

Salvin Dental Specialties Inc. SDI (North America) Inc. Serve First Solutions Inc. Shamrock Dental Co. Inc. Shofu Dental Corporation Snap On Optics Sunrise Dental Equipment Inc. Sunset Dental Lab

MacPractice

Sunshine State Credit

Medidenta Meisinger USA LLC

Superior Dental Design Services & Upholstery

Microcopy

SurgiTel

Microflex / Ansell

T-U

Midmark Corporation

The Doctors Company

Millennium Dental Technologies Inc.

Tokuyama Dental America

Modular & Custom Cabinets Ltd.

Ultradent Products Inc.

My Computing RX

Ultralight Optics Inc.

Myofunctional Research Co.

N-O

VOCO America Inc. Wand Dental Inc. (Milestone Scientific)

P Panoramic Corporation Patient Prism LLC Patterson Dental

9 a.m. – 6 p.m.

FRIDAY • JUNE 23, 2017 9 a.m. – 6 p.m.

SATURDAY • JUNE 24, 2017 9 a.m. – 2 p.m.

CHILDREN UNDER 12: Unless attending an educational session, children under 12 do not need to be registered and do not require a badge. Children are only allowed in the Exhibit Hall if accompanied by a registered parent or guardian. Infant strollers and carriages are not allowed in the Exhibit Hall, unless medically necessary. For the safety and convenience of others, the use of baby carriers is strongly encouraged.

V-W

New Image Dental Laboratory

Pacific Dental Services

THURSDAY • JUNE 22, 2017

VIAX Dental Technologies

Nature Hill NV NSK America Corporation Officite Orascoptic Ortho-Tain / Healthy Start

EXHIBIT HALL HOURS

Water Pik Inc. WEAVE

Exhibitors in green are FDAS Crown Savings Merchants.

Wells Fargo Practice Finance

X-Y-Z i XPdent Corporation ZOLL Medical FDA SERVICES INC. IS A MAJOR SPONSOR OF THE FLORIDA DENTAL CONVENTION.

2017

cFdda aNNual MeetiNg

Bring Your Dental Team! Both lectures are designed for the entire dental team! Bring Your Family! The Rosen Shingle Creek resort is a wonderful venue for the entire family to enjoy themselves. Amenities include: golf, pools, tennis, nature trails, game room and more.

Program...

ROSEn SHinGLE CREEK in ORLAnDO • Room rates starting at $179.00 per night. • Limited rooms available at this rate. • Please call 866-996-6338 to reserve your room. Group Code: Central Florida District Dental Association • Room block expires: April 11, 2017.

celebrate...

Who...

Where...

May 12-13, 2017 The Thriving independent Fee for Service Practice — The Clinical Requisites Required to Achieve independence Steven L. Rasner, DMD, MAGD – 6 CEUs Restorative Clinical Success in the Everyday Practice 3D’s- Digital Dentistry in the Everyday Practice Robert G. Ritter, DMD – 6 CEUs

Celebrate Mother’s Day! Bring that special someone to this beautiful venue – for our attendees staying at the hotel: • 20% off of spa services at The Spa at Shingle Creek • 25% off the Mother’s Day Brunch – Sunday, May 14, 2017

Visit www.cfdda.org for a Registration Form or call 407-898-3481.

Component Corner

Atlantic Coast District Dental Association

Central Florida District Dental Association

By Eileen Erickson, ACDDA EXECUTIVE DIRECTOR

By Marlinda Fulton, CFDDA EXECUTIVE DIRECTOR

The Atlantic Coast District Dental Association’s (ACDDA) leadership looks out for the best interests of our member dentists. Peer Review is one of your most important member benefits. In the event of a dispute with a patient, the ACDDA can mediate before it escalates to the Florida Board of Dentistry (BOD) or into a legal dispute.

The Central Florida District Dental Association (CFDDA) is proud to serve dentists throughout the Central Florida region for 94 years! The CFDDA spreads over a large geographic area of Florida and consists of 12 counties: Alachua, Brevard, Flagler, Gilchrist, Lake, Levy, Marion, Orange, Osceola, Seminole, Sumter and Volusia. Our membership is broad and diverse, and includes more than 1,450 dentists, with the largest concentration in the Orlando area. As a CFDDA member, you have the opportunity to join one of the six CFDDA affiliate associations: Alachua, Brevard, Lake, Marion, Greater Orlando and Volusia-Flagler. The CFDDA is committed to cultivating strong relationships with its local affiliates and their members.

We volunteer in the community with our dentists at many clinics in Palm Beach, Broward and the Treasure Coast counties at events like Give Kids A Smile and Project Christmas Smile, and clinics such as the Caridad Clinic, Café Joshua, the 7th Avenue Clinic, Broward College, the Atlantic Coast Research Clinic and Nova Southeastern University. Our town hall meeting formats offer you the chance to hear news from our leaders and governmental affairs representatives, as well as ask questions pertinent to the future of the industry and your practice. Our volunteers and members support the young, brilliant minds of the students at Nova Southeastern University, the Atlantic Coast Research Clinic, Palm Beach State College, Broward College and Indian River State College. The participation at our annual Winter Meeting has grown exponentially in the last 10 years and has become the fastest growing meeting in Florida!

Leadership and governance is a vital part of our association. The CFDDA is led by an executive council, which meets in person twice a year. The executive council consists of its seven officers, four trustees to the Florida Dental Association (FDA) and a representative from each affiliate for a total of 17 members. Our delegation to the FDA currently has 21 delegates and 21 alternate delegates. We encourage any member who is interested to serve in a leadership capacity to contact the CFDDA office. We strive to keep communication current and pertinent via print publications (four newsletters per year), electronic e-news (eight per year) and blast faxes. The CFDDA Newsletter provides a Florida Board of Dentistry update, an FDA Board of Trustees report, affiliate updates and many other features. In addition, the CFDDA website is a resource for current information.

Contact the ACDDA at acdda@aol.com or 561.968.7714. Each year, the CFDDA holds a meeting, which includes scientific lectures, exhibitors and social events. This annual event is a perfect opportunity to interact with your peers and network. Members also are encouraged to bring their families; our meeting venues are selected to provide a family atmosphere with plenty of fun activi-

RE: FDC – Come for the CE. Stay for the Fun I had the best time and learned so much! Thank you for the opportunity and keep up the good work! I’ve been coming to the FDA convention for 20 years now. This one was the BEST ever in every way, shape and form. I loved having the app. Very well organized and supported. 68 — from the FDC’s comment cards for the 2016 convention

FDC20l7

Component Corner ties for all. The 2017 Annual Meeting will be held May 12-13 at the beautiful Rosen Shingle Creek in Orlando. We will be offering 12 hours of continuing education at no cost to CFDDA members and their dental teams. In addition, the CFDDA offers required courses online to assist our members with license renewal – again, at no cost. The CFDDA, in conjunction with the FDA, holds two events each year at the University of Florida College of Dentistry (fall/winter). We encourage our members to attend these events. This is a great opportunity to meet dental students, enjoy their fellowship and to discuss the importance of belonging to organized dentistry in a casual and relaxed atmosphere. The CFDDA office, along with leadership, is happy to provide assistance, answer questions and direct you to the proper resources. Contact us at centraldistrictdental@yahoo.com or 407.898.3481. Check out our website at www.cfdda.org, and make sure to “like” us on Facebook, too!

Northeast District Dental Assocation By Debbie DeVille, NEDDA EXECUTIVE DIRECTOR

The Northeast District Dental Association (NEDDA) is a professional membership organization representing licensed dentists in the northeastern counties of Florida: Bradford, Baker, Clay, Columbia, Dixie, Duval, Hamilton, Lafayette, Madison, Nassau, Putnam, St. Johns, Suwannee, Taylor and Union. Staying true to the Florida Dental Association’s (FDA) mission is our top priority, and our vision closely reflects our commitment to helping members succeed. Our component is committed to the improvement of the health of the public, promoting the art and science of dentistry, and representing the concerns of the members of the dental profession. This past April, the NEDDA proudly hosted the 2016 Florida Mission of Mercy (FLA-MOM) in Jacksonville. The FLA-MOM cochairs, Drs. Rick Stevenson and Andy Brown, along with committee leads from around the state, tirelessly worked to ensure a successful two-day event. This was the largest FLA-MOM event yet

in Florida: 150 chairs using more than 90,000 square feet of space at the Prime Osbourne Convention Center in downtown Jacksonville. Thanks to our 2,465 volunteers, 2,800 patients received $2.7 million worth of care at no cost. The NEDDA is proud to have worked alongside the FDA Foundation in this massive undertaking, which greatly impacted the underserved in the community. In addition to this event, the NEDDA has many dentists who regularly commit to help those who have minimal access to care through volunteering in health centers, participating in special events that benefit homeless veterans and children, as well as seeing patients pro bono in their offices. The NEDDA enjoys a close relationship with its partner affiliates, the Jacksonville and Clay County dental societies, which have dynamic members who participate in regular dinner meetings, fullday continuing education (CE) by renowned speakers and many other social/educational events that are designed to encourage communication among the membership. The NEDDA and the affiliates’ leadership work closely to ensure continuity of our mission and provide the best value for the members. These close relationships truly help dentists in the Northeast District succeed! Our executive board is composed of a combination of general dentists and specialists to ensure that the interests of our members in the area are well-represented. The composition of our membership — at 23 percent specialists and 27 percent female dentists — closely mirrors that of our executive board. In this way, we are sure to be representing the best interests of our members. Our board regularly meets to make sure our membership stays informed of events occurring at local, state and national levels. Through a quarterly newsletter and emails, the NEDDA makes it the highest priority to get our members the most up-to-date information available so they will never be caught unaware of the challenges facing our profession. Our leadership also encourages active participation with our members. Members are always welcome to contact our executive director for information on issues facing the board or suggestions as to how the board can serve them better. Contact the NEDDA at 904.737.7545 or check us out at www.nedda.org.

Please see COMPONENT, 70

RE: Florida Dental Association Foundation One of the many wonderful highlights of my journey through life as a member of the dental profession has been the opportunity to participate in the philanthropic activities related to improvement of oral health for those who are in need. The FDAF provides a diverse and satisfying pathway for dental professionals of every level to place the “icing on the cake” of their dental career. I encourage each member of the profession to take full advantage of these rewarding activities. — Dr. David Russell, President, Florida Dental Association Foundation

Component Corner COMPONENT from 69

Northwest District Dental Association

the students have already signed on to become American Dental Association members once they graduate, and the remainder will be encouraged to do so during the 2017 NWDDA Annual Meeting.

By Angel Estep, NWDDA EXECUTIVE DIRECTOR

The Northwest District Dental Association (NWDDA) represents and serves Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton and Washington counties. The NWDDA consists of four affiliate associations: Bay, Escambia-Santa Rosa, Leon and Okaloosa-Walton. Each affiliate coordinates local meetings, staff appreciation nights, table clinics for military residents, group mixers, and volunteer opportunities to provide oral health education and care.

Contact the NWDDA at nwdda@nwdda.org or 850.391.9310.

The NWDDA includes Florida’s capital, and the district has a long history of legislative participation and leadership. Member dentists often are called upon to testify at House and Senate meetings, and attend legislative fundraisers and other FDA Political Action Committee activities.

Locally, the SFDDA provides assistance in patient referrals, promotes public dental health through educational materials, and assists members with professional or patient-related issues.

ach year, the NWDDA’s meeting offers a perfect balance of spot-on E continuing education (CE) and good old fashioned fun. The 2017 NWDDA Annual Meeting will be held Feb. 17-18 at the Grand Sandestin in Destin. This meeting features Drs. Tarun Agarwal and John Flucke, and Ms. Pamela Smith, a lunch and learn, and a pub crawl. A special reception for the DeFuniak Springs LECOM D4 students will be sponsored by Carr, Riggs & Ingram CPAs and Advisors, Harrison Sale McCloy Law Firm and Summit Bank, as well as business and management strategy courses for dentists and students. On March 24-25, 2017, the 2017 Florida Mission of Mercy will be held in the Northwest District at Woodham Middle School in Pensacola. Local leaders Drs. Kim Jernigan and Beau Biggs are the co-chairs for this amazing event. Involvement as a volunteer and/ or benefactor is extremely rewarding, so everyone is encouraged to participate in this event. Last June, a special welcome party was held for the LECOM D4 students from the DeFuniak Springs campus in Destin. Many of

South Florida District Dental Association By Yolanda Marrero, SFDDA EXECUTIVE DIRECTOR

The South Florida District Dental Association (SFDDA) was incorporated in October 1922. It serves the counties of Broward, Miami-Dade and Monroe, and is centrally located in the city of Coral Gables.

As part of our continued effort to promote the best dentistry among our members, we also provide continuing education (CE) through our affiliate societies. The affiliates, Miami Dade, North Dade/ Miami Beach and South Broward Dental Societies, are located throughout our district, and each offer monthly CE dinners that feature excellent dental speakers. Members enjoy networking, socializing and receive CE credit — and it’s all included with their American Dental Association membership. When you invest in the tripartite through the SFDDA, you are investing in your profession, and you are counting on us. That is why we deliver by making sure you get the most for your investment. We care that you feel valued by providing you with our best products, services and support. We work to build a wealth of resources and professional connections that help you day to day in your practice. We foster strong relationships with the community at large and with governmental agencies by having representatives in more places than any one person could ever be.

RE: Networking Opportunities Are Priceless I maintain my tripartite membership because it is not only necessary, but beneficial. It is even more pivotal to maintain tripartite membership now than before, as the health care landscape is quickly changing. The unified voice of organized dentistry is what helps protect our profession and gives us clout to advocate for changes. The networking opportunities and resources that organized dentistry brings are priceless. 70 — Dr. Robin Nguyen • Trinity, Florida

Component Corner We are dedicated to providing a voice to the dental profession and preserving its integrity for the well-being of the public and professional community. Together, we are larger than any one individual — and that is the power of numbers.

Dentistry is challenging. Rough seas are around every corner. Let the best component, the WCDDA, help you. With one phone call, your problems can become their problems. From job placement to patient education, from disaster relief to practice support, from aphthous ulcers to xerostomia, the WCDDA staff and its member dentists can help you navigate your practice.

Contact the SFDDA at ymarrero.sfdda@gmail.com or 305.667.3647.

Anchor in the best coast. Let the WCDDA be your professional compass.

West Coast District Dental Association

Contact the WCDDA at Kelsey@wcdental.org or 813.654.2500.

By Lissette Zuknick, WCDDA EXECUTIVE DIRECTOR

Avast, ye swabs! Where be the best coast? It’s the west coast — the West Coast District Dental Association (WCDDA)! Tampa Bay is not only the home of the famous pirate, Jose Gaspar, but it’s also the home port of the largest component of the Florida Dental Association with more than 2,100 member dentists and pirates. Ok ... not that many are pirates. But, we do have ports of call all the way from Cedar Key to Marco Island. Fortunately, we have a great crew that is ever watchful. The WCDDA staff of Lissette Zuknick, Kelsey Bulnes and Courtney Minthorn with their combined 30 years of experience can help tiller your dental “vessel” through the rocky shoals of the profession. Every dentist has trouble navigating their practice at some point — don’t sail it alone. Membership in the WCDDA will ensure advocacy in governmental affairs. Those landlubbers in Tallahassee and Washington, D.C. constantly are trying to dry dock your practice. And only member dentists can parlay patient disputes with a gang of their peers rather than walk the plank of the Board of Dentistry. This can save you thousands of doubloons. Locally, 12 affiliates harbor monthly meetings to serve you closer to home. This is a great opportunity to mingle, mentor and share fellowship. Charting on a larger scale is done at semiannual sessions in Naples and Tampa. World-traveled educators and exhibits are available for your entire crew. Sail in and sign up early, as these anchorages can sell out.

W E S T

C O A S T

D I S T R I C T D E N TA L A S S O C I AT I O N A COMPONENT OF THE AMERICAN & FLORIDA DENTAL ASSOCIATIONS

ANNUAL MEETING February 3, 2017

Dr. John Burgess Dental Materials & Current Restorative Techniques Dr. John Kalmar You Make the Diagnosis

@ wcdental.org

President’s Trip

3-night Bahamas Cruise Aboard the Enchanting Disney Dream April 28, 2017 from Port Canaveral, FL

Submit a Reservation Request TODAY by emailing sara@wishuponastarwithus.com or call (813) 671-1199. 6 hours of CE will be provided.

FOR MORE INFORMATION CONTACT: Kelsey@wcdental.org or call (813) 654-2500

RE: American Student Dental Association When I started dental school, I chose to be a member of ASDA and a student member of the tripartite because of its goal to protect the dental profession. The mentorship and network of dentists was most valuable during dental school, especially because I attend a new dental school. Without upperclassmen, I found the network of dentists welcoming and helpful to my success. Since graduation, I have remained an active member and hope to return the same mentorship to future students. 71 — Stephanie Mazariegos • LECOM School of Dental Medicine, Inaugural Class of 2016

Component Presidents

Get to Know Your Component Presidents Atlantic Coast District Dental Association (ACCDA)

Central Florida District Dental Association (CFDDA)

What seems to be the top/major concern in your component?

Dr. Nick DeTure, President

Dr. Lee Anne Keough, President

Why did you join the FDA?

The top three areas of concern are: 1) membership recruitment and retention; 2) disseminating information from leadership to the grassroots members; and, 3) transitioning grassroots members from the sidelines to active leadership roles.

Personally, I joined to network and meet local dentists.

What is your favorite member benefit? My favorite benefit is the being able to do insurance through FDA Services.

What seems to be the top/major concern in your component? As a life member, my biggest concern is to maintain membership and get dentists to realize the importance of membership for the future good of dentistry as a profession, even if they cannot see tangible benefits on an immediate basis. Dr. DeTure is a periodontist and the ACDDA President. He can be reached at ndeture@ msn.com.

I joined the FDA because I was exposed to great leadership early in my career. Joining the FDA right after dental school was an easy decision for me. Over the years, I’ve had the opportunity to work with many respectable and outstanding individuals who share my passion to protect our profession.

What is your favorite member benefit? Free continuing education (CE). The annual CFDDA meeting provides members with up to 12 hours of free CE.

We are all leaders in our practices and we all are capable of being a leader in organized dentistry. The first step is to volunteer! Dr. Keough is an endodontist in Ocala and the CFDDA president. She can be reached at lakdmd@gmail.com.

Northeast District Dental Association (NEDDA) Dr. Suzanne Ebert, President

Why did you join the FDA?

What’s the most fun you have had at a component meeting? Night kayaking in a bioluminescent bay in Puerto Rico with my family at a CFDDA meeting was a blast!

RE: I Maintain my Membership because of Advocacy It amazes me how so much of my professional career is affected by decisions made by the people who govern our state. As a new dentist, I value the efforts our associations make in advocacy for dentistry. Many of our members are people who have dedicated years to ensuring that the future of dentistry in Florida is bright for the next generation of dentists. — Dr. Sundeep Rawal • Merritt Island, Florida

When I graduated in 1998 from the University of Louisville, it was emphasized that every dentist should belong to their professional organization.

Component Presidents

So, upon moving to Florida, I joined the tripartite.

What’s your favorite member benefit? I am thrilled with how active our team is in protecting our rights in the legislature. I have seen firsthand how respected Joe Anne Hart and Casey Stoutamire are in Tallahassee, and I appreciate how hard our entire FDA team works to enact positive changes in legislation as well as protect all dentists from special interest groups.

What’s the most fun you’ve had at a component meeting? The Florida Mission of Mercy event in Jacksonville was the most interesting, exhausting and fun experience that I’ve had the privilege to be involved in.

What seems to be the top/major concern in your component? Our members need to be made aware of what we are doing to help them in their day-to-day practice lives. If they do not see what we are doing for them, they will not see the value in maintaining their membership. Dr. Ebert is an oral and maxillofacial surgeon in Jacksonville and is the NEDDA President. She can be reached at sebert@ bellsouth.net.

Northwest District Dental Association

What seems to be the top/major concern in your component?

Dr. Susan Byrne, President

Major concerns for our district’s members include having to deal with dental insurance companies on their reimbursement rates, the rising costs of insurance that dentists have to have for their practice and keeping up with the new regulations for dental offices.

Why did you join the FDA? I joined the FDA for several reasons, but the main reasons were for the camaraderie and to belong to a professional organization that not only strives to help its members succeed, but also helps educate the public about oral health.

What is your favorite member benefit? My favorite member benefit is attending the FDC and getting CE there for free, as well as getting free CE online on the FDA website.

What’s the most fun you have had at a component meeting? I have fun at all of our Northwest District Dental Association annual meetings. I enjoy catching up with old friends and meeting new members. We also have great speakers at our annual meetings. I love our district!

Dr. Byrne is a general dentist in Tallahassee and the NWDDA president. She can be reached at sbyrne1538@gmail.com.

South Florida District Dental Association Dr. Mark Limosani, President

Why did you join the FDA? I have come to the realization that having a positive impact on the profession comes from making a concerted effort with my colleagues. Having the ability to organize, share our ideas and voice our opinions is not a privilege that Please see PRESIDENTS, 77

RE: A Warm Welcome to the Profession Leading up to and after graduation, students have countless tasks to accomplish before starting to practice. Most important is searching for that position that allows us to cover our expenses. As you know, malpractice insurance can be quite expensive. Fortunately for us recent graduates, the FDA now pays for our first year of liability insurance from The Doctors Company. I was relieved to discover this additional member benefit. Thank you FDA for the warm welcome into the profession! 75 — Dr. John Aylmer, West Palm Beach

WHAT’S YOUR STATUS? AS LIFE EVENTS OCCUR, don’t forget to notify the FDA of any changes to your contact information. READY TO RETIRE or have questions about your membership status?Contact the FDA Member Relations department to learn about retired membership or eligibility for other membership incentives.

SHOW ME YOUR SMILE! The 2017 Dentists’ Day on the Hill theme is “Show Me Your Smile.” Good oral health care encourages healthy behaviors, and we need your help to get the word out.

• Highlight good oral health! • Take a selfie with your best smile. • Share on Facebook and Twitter. Don’t forget to tag the Florida Dental Association on Facebook and to mention us on Twitter (@FDADental).

2017 Dentists’ Day on the Hill

CALL OR EMAIL the FDA at 800.877.9922 or fda @floridadental.org * Florida licensed dentists must notify the Florida BOD with any new information. Go to floridasdentistry.gov or call 850.488.0595

LIK

#DDOH2017 #showmeyoursmile

Component Presidents PRESIDENTS from 75

I take for granted. Joining the FDA was a decision I made without giving it much afterthought. I subscribe to the philosophy that participating in organized dentistry is just something you do — then take it upon yourself to make it better.

What is your favorite member benefit? I would say that my favorite member benefit is the camaraderie and networking opportunities that belonging and serving the FDA has provided me. The ability to connect with colleagues within this context has brought great added value to me personally as well as professionally. Being a young doctor, I don’t believe I could have grown my practice as quickly without the relationships I created within the FDA.

What’s the most fun you have had at a component meeting? Any opportunity to break bread with colleagues is going to be a great time. Taking the time to get to know my fellow constituents on a personal level is something that continues to enrich my life. Dentists truly are a great group of passionate and interesting individuals.

What seems to be the top/major concern in your component?

What is your favorite member benefit?

Depending on the demographic, I would say student debt repayment/job opportunities, practice growth and practice transition seem to be the issues my local colleagues are most concerned with.

That’s hard to say — I saved money this year using FDA Supplies, learned a lot at the Florida Dental Convention and my office benefited from the non-covered services legislation that was passed thanks to our FDA Governmental Affairs office. But, my favorite benefit probably is camaraderie. The people I meet, the networking opportunities and the friendships I’ve made are the most valuable benefit to me.

Dr. Limosani is endodontist in Weston and the SFDDA president. He can be reached at malimosani@westonendocare.com.

West Coast District Dental Association Dr. Melissa Grimaudo, President

Why did you join the FDA? I joined because it’s the right thing to do. No one else is going to make sure our profession is protected and look out for our best interest. Together we have a voice.

What’s the most fun you have had at a component meeting? The West Coast District Dental Association Summer Meeting at the Ritz Carlton Beach Resort in Naples … every year.

What seems to be the top/major concern in your component? Many members have a financial burden from student loans or practice loans. When you have that kind of a monkey on your back, it can be difficult to justify membership each year. We strive to help members use the benefits at each level of organized dentistry so they see the value in membership while faced with debt. Dr. Grimaudo is a general dentist in Land O’ Lakes and the WCDDA president. She can be reached at mgrimaudo@gmail.com.

RE: Florida Mission of Mercy Success It has been a great pleasure and honor to work with all of you. The amazing talent and professionalism you put on display throughout this event was utterly amazing! This is why I am involved with the FDA and the FDA Foundation. — Dr. Roger Robinson, 2016 FLA-MOM Local Communications Manager 77

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By Dr. Donald M. Cohen

A 71-year-old Caucasian female presented to Dr. Donald Cohen, an oral and maxillofacial pathologist at the University of Florida College of Dentistry Oral Medicine Clinic in Gainesville, Fla. Her chief complaint was, “I have a white blob on my tongue, and I’m told I have burning tongue syndrome. The white spots on the top of my tongue last for a couple of days and come back in similar areas. I also wake up at night and bite the edges of my tongue.” The lesions have been coming and going for the last eight to nine months. The referring physician’s initial impression was possible burning mouth syndrome. The intraoral soft tissue exam revealed multiple, painful, transient by history, enlarged white, red and/or yellow sessile papules/nodules resembling fungiform papillae on the anterior dorsal surface of the tongue. All of the lesions were less than 0.5 cm in diameter and some appear ulcerated or as pustules (Fig. 1a-b). The rest of the clinical exam was within normal limits. The lesion was not biopsied, as it was felt that the clinical appearance alone was diagnostic of the underlying condition.

Medical History The patient’s medical history was interesting and complex: Heent: sinusitis, asthma, white bumps on tongue, temporomandibular joint disorder, GERD, cough (secondary to Lisinopril use)

Question:

Cardiovascular: Hx. atrial fibrillation, resolved after cardiac ablation hypertension

Based on the clinical features, symptoms and nature of the outbreaks, pictured or described above, and the medical history, what is the most likely diagnosis?

Endocrine: diabetes mellitus, hypothyroidism

A. Transient lingual papillitis B. Oral papillomas C. Condyloma acuminatum D. Burning mouth syndrome E. Factitial injury

Fig. 1a: Clinical photograph demonstrates multiple white and/or red papules, and one larger nodule on the patient’s left anterior lateral border of the tongue. Some of the papules (white) may be pustular or ulcerated. www.floridadental.org

Fig. 1b: Photo circles all of the papular-nodular lesions that are present for better visualization of the extent of the disease.

Musculoskeletal: fibromyalgia, rheumatoid arthritis Gastrointestinal: Hx. appendectomy Genitourinary: Hx. hysterectomy Psychosocial: insomnia, depression and anxiety Medications: Levothyroxine, Metoprolol, Citalopram, Omeprazole, Quetiapine Fumarate, Valacyclovir, Niacin, Vitamin B1, B12, Folic Acid, Omega 3-6-9, Calcium, Ibuprofen, Metformin, Amitriptyline, Cetirizine and Fluticasone propionate.

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Today's FDA

Diagnostic

DIAGNOSTIC from 79

Diagnostic Discussion A. Transient Lingual Papillitis Correct! Transient lingual papillitis (TLP) is a common, but not well understood condition. In fact, it may affect up to 50 percent of our population at some time. It is an inflammatory disease of both adults and children. It is much more common in adults and usually acute in onset. It is most common in young woman. Affected individuals experience clinical alterations that involve a variable number of fungiform papilla located on the anterior dorsal surface of the tongue. The lesion may be tiny and difficult to visualize, but are frustratingly painful to the patient, especially children. These lesions are often called “lie bumps” by lay people. They also have been called eruptive lingual papillitis and fungiform papillary glossitis. The term describes single or multiple red, yellow and/or white papules or nodules that are almost always located on the anterior dorsum

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of the tongue. When multiple, they can form clusters or be widely spread out as in our patient. They are invariably painful, often belying their tiny size but are transient in nature. The majority of these lesions resolve within one to two days, often recurring weeks, months or years later. In some outbreaks linked to viral infections, they have been known to last up to a week. The histopathology is non-specific and usually the lesions demonstrate a hyperkeratotic surface stratified squamous epithelium, which may be ulcerated. The lesion appears as a sessile (broad-based) mass composed mainly of inflamed fibrous connective tissue. The pathogenesis is currently unknown, but the lesions likely arise from a variety of influences. Suggested causes include: local irritation; stress; gastrointestinal disease; hormonal fluctuation; upper respiratory infection; viral infection; and, topical hypersensitivity to foods, drinks or oral hygiene products. The most likely cause is irritation or trauma to the fungiform papillae. TLP actually occurs in four minimally distinct and overlapping forms. Eruptive

lingual papillitis is a childhood disease, but often spreads to adult family members and plagues the patient with recurrences extending into adulthood. The eruptive form also is more of a systemic illness with associated lymphadenopathy and fever. However, with onset in adulthood it often presents with only a burning sensation in the tongue. These patients most often have only a single painful lesion, but can have eruptions all over the anterior dorsum of the tongue. It has been hypothesized that this form has a viral etiology since it often spreads from the child to the parent and siblings. Roux and Lacour found 53 percent of patients in one outbreak spread the disease to family members. Despite this, no virus has ever been proven to cause this disease. Fungiform papillary glossitis (FPG) mainly is seen in atopic individuals, i.e., those suffering from allergies. The associated conditions include eczema, asthma and hay fever. Since geographic tongue also is another manifestation of atopy, these individuals also have increased incidence of geographic tongue. TLP also has been associated with food allergies and Flaitz reported a case of TLP in a child caused by an allergic to fish. The third form of the

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Diagnostic

disease is the papulokeratotic (PK) variant that presents with recurrent multiple white bumps on the anterior dorsal surface of the tongue. In this form, the lesions are usually less painful, but often recur periodically. The fourth and final form of the disease is the so-called classic form. This is the most common form of the disease. The classic form of TLP has several things in common with all the others. Just like with ELP, it usually presents with only one lesion at a time that lasts for one to two days, only to recur. Most importantly, it often is associated with geographic tongue and atopy, just as seen in FGP. It mainly is seen in young females, and finally, just like ELP, it may present with diffuse as well as a single dorsal lesion. The main difference appears to be age of onset. FPG, PK and the classical form are more common in young females and ELP in children. The other differences, single versus multiple lesions, presence or absence of pain, history of atopy all overlap and this most likely is a single entity with variable presentation. Due to the transient nature of the outbreaks and unknown etiology, treatment usually is palliative in nature. Topical anesthetics usually are effective and if caught early, topical steroids can cut short the outbreak. For this patient we prescribe a mild topical steroid (Triamcinolone acetonide, 0.5 percent, 15 g — apply a thin film to oral lesions) as needed for pain. However, most patients find that nothing helps to either totally alleviate the discomfort or stop the recurrences. Even with the ELP variant with its systemic symptoms, even ibuprofen and topical antiseptics are ineffective. When patients have frequent debilitating outbreaks, a concerted effort should

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be made to determine the trigger. As indicated previously, sharp or broken teeth, food allergies and possibly even viruses can trigger multiple recurrences. Biopsies are not recommended nor are microbial cultures, as the clinical features are almost always diagnostic. B. Oral papillomas Incorrect, but a good guess. Papillomas represent a benign proliferation of stratified squamous epithelium, presumably induced by human papilloma virus (HPV). This patient presents with multiple dorsal tongue lesions, a common location for oral papillomas. The lesions are small, less than 0.5 cm just like oral papillomas. However, oral papillomas usually are solitary and, most importantly, painless. They also do not recur if removed properly. From a clinical standpoint, papillomas while usually white, differ from these lesions in that they almost always have a papillary undulating surface topography. This patient’s lesions are more nodular with a smooth or ulcerated surface. Papillomas usually are not ulcerated. C. Condyloma acuminatum Incorrect, but a good guess. Oral condyloma acuminatum is a papillomatous, infectious, often cluster-formed, sexually transmitted lesion caused by several types of HPV. It appears to be most associated with HPV-6, 11. Since this patient presents with multiple lesions, condyloma is a possible diagnosis. Furthermore, oral lesions most frequently occur on the lips or labial frenum, tongue and soft palate. However, condyloma acuminatum develops one to three months after exposure to an infected partner — a partner a 71-year-old is less likely to encounter. Also, lesions develop at a site of sexual contact and therefore, occur

most frequently in the anogenital region (95 percent), not usually in the oral cavity. Unlike these lesions, condylomas present as broad-based pink, well-demarcated, fleshy masses with rounded or blunted surface projections. Also, condylomas are usually much larger than these lesions, with the average size being 1-1.5 cm versus less than 0.5 cm for theses lesions. D. Burning Mouth Syndrome Incorrect, but this was the referring physician’s clinical impression and the reason for the referral to oral pathology. Burning mouth syndrome (BMS) is a symptom complex where the patient has a chronic, intense burning pain in the anterior parts of the mouth, especially the tongue, just like our patient. It is seen more than 90 percent of the time in post-menopausal females — a category our patient fits. However, it’s often called a syndrome since these patients have other signs or symptoms to go with the oral burning sensation. They often have diminished taste acuity and phantom tastes, such as a metallic or salty taste. Importantly, unlike this patient, the oral mucosa must look perfectly normal and no lesions can be present for one to make a diagnosis of BMS. In this patient, the pain clearly originated from the nodular-ulcerated lesions on the dorsum of her tongue. Furthermore, her pain was episodic and coincided with eruption of these painful nodules on her tongue. With BMS the pain is almost constant, usually starting early in the morning and becoming progressively worse as the day goes on. Also, this patient did not complain of loss of taste or phantom tastes of any kind — an important part of BMS.

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Diagnostic

DIAGNOSTIC from 81

E. Factitial injury Incorrect, but a very good guess. A factitial injury is one that is caused by the patient herself. The most common instance of factitial injury is cheek biting as seen in highly stressed individuals. However, a factitial injury can and often will result from constant touching of an area with the tongue, causing ulceration. This patient presents with multiple painful tongue ulcerations, a scenario often seen with factitial injuries. In fact, one of the most likely explanations for traumatic lingual papillitis is chronic trauma to fungiform papillae from a sharp or broken tooth, or from parafunctional habits of tongue rubbing or thrusting in high-strung, stressed individuals. At the very least, these painful lesions often induce the patient to rub and constantly feel the tongue, which exacerbates the problem.

References: Whitaker SB, Krupa JJ and Singh B. Transient Lingual Papillitis. Oral Surg, Oral Med Oral Pathol, Oral Radiol Endod 1996;82:441-5 Flaitz CM, Chavarria C. Painful tongue lesions associated with food allergy. Pediatric Dentistry 2001; 23(6) 506-7 Lacour JP, Perrin C. Eruptive familial lingual papillitis: a new entity? Pediatr Dermatol 1997; 14:13-6. Brannon R and Flaitz CM. Transient Lingual Papillits a Papulokeratotic Variant. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 96:187-91) Diagnostic Discussion is contributed by UFCD professors, Drs. Don Cohen, Indraneel Bhattacharyya, and Nadim Islam provide insight and feedback on common, important, new and challenging oral diseases.

Dr. Cohen

Dr. Bhattacharyya

The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 10,000 specimens the service receives every year from all over the United States. Clinicians are invited to submit cases from their own practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter.

Drs. Bhattacharyya, Islam and Cohen can be reached at Dr. Islam ibhattacharyya@ dental.ufl.edu, MIslam@dental.ufl.edu and dcohen@dental.ufl.edu, respectively.

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November/December 2016

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Digital Photography

Digital Photography in the Dental Practice By Lynn Fishstein CDA, CDD

In recent years, the improvements in digital cameras and high quality printers have made it possible for dental practices to change traditional methods and procedures. Aesthetic/cosmetic dentistry and orthodontics benefit from these technological advances by bringing photography in-house. Since it is no longer necessary to send film out for processing, the instant availability of images has revolutionized patient education and laboratory communications. These photographs also are used for patient records. What was once a luxury, is now commonplace in dentistry â&#x20AC;&#x201D; it is an exception to find a dental practice that does not use digital photography. There are a variety of photographs that typically are taken in the office, including: v portraits v full smiles v retracted open and closed v laterals v maxillary and mandibular occlusals v black background To produce effective images, it is necessary to use digital cameras, retractors and mirrors best suited for the purpose. Portrait and full smile photographs do not require the use of retractors or mirrors. v A blue, beige or gray background should be used to enhance the portrait image. As shown in the portrait image (Fig. 1), the patient is highlighted by the background. These photographs are most effective when taken from the shoulders up with the nose in Fig. 1 the center of the image.

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November/December 2016

v Full smile images should be focused on the centrals (Nos. 8 and 9). The corners of the mouth are included in a photograph of a full, natural smile, while the nose and chin are not (Fig. 2). These Fig. 2 types of photographs have proven to be effective in patient education and in demonstrating the benefits of cosmetic and orthodontic procedures. Retracted open and closed photographs are taken using clear retractors. v The retracted open photograph (Fig. 3) was taken using clear retractors. As with smile images, the pictureâ&#x20AC;&#x2122;s focus is on the centrals (Nos. 8 and 9). The patient should sit erect and face Fig. 3 forward, and the camera should be kept level with the patient. For this type of picture, the teeth should be slightly parted. v Retracted closed photographs also are taken using clear retractors (Fig. 4). The patient should sit erect and face forward, and the camera should be kept level with the patient. The image is centered on the centrals (Nos. 8 and 9).

Fig. 4

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Digital Photography

Laterals v In lateral photographs, the lateral incisors are the focal point of the image (Fig. 5). Clear retractors are used. Care should be taken to keep the patientâ&#x20AC;&#x2122;s lips out of the photograph. The patient should sit erect Fig. 5 and face forward, and the camera should be kept level with the patient. Maxillary and mandibular occlusal photographs are taken using metal retractors and an occlusal mirror.

Fig. 6

Fig. 7

v The purpose of maxillary occlusal images is to show the full arch of the upper teeth. The patient should lay back with the chin tilted up. Standing behind the patient, the photograph is taken so that the reflection of the maxillary arch is fully visible in the occlusal mirror. Figure 6 shows the assistant positioning the mirror and camera to take the photograph while the patient holds the retractors. The resulting photograph is Figure 7.

Fig. 8

mandibular arch is visible in the occlusal mirror. Figure 8 shows the assistant positioning the mirror and camera to take the photograph while the patient holds the retractors. The resulting photograph is Figure 9. Black background photographs are taken using a contrastor and clear retractors.

Fig. 10

Fig. 11

v To take the black background photograph, the patient sits fully upright holding the clear retractors. The assistant stands in front of the patient holding the contrastor and positions it behind the teeth. The camera is held level with the teeth to take an image of the upper teeth highlighted by the black background (Fig. 10). These types of photographs eliminate everything except the teeth. They are excellent for showing shape, shade variation and translucency. In these images, the incisal edges are clearly shown (Fig. 11). Digital photography has considerably advanced in recent years. The devices and accessories available to us also have grown significantly. Incorporating digital photography into the dental practice is beneficial to the dental team and rewarding for its patients. Ms. Fishstein is a Certified Dental Assistant and Certified Dental Designer with 20 yearsâ&#x20AC;&#x2122; experience in the field. She is also the president of L.A.W. Dental Products Inc. She is the inventor of the Dental Duo Mirror, a patented photographic accessory that combines an occlusal mirror and contrastor in one device. For more information, go to www.dentalduomirror.com. She can be reached at dentaltrixie@ hotmail.com.

Fig. 9

v Mandibular occlusal photographs are used to show the full arch of the lower teeth. The patient should be fully reclined. Standing in front of the patient, the photograph is taken so that the

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Abstract

Urology Primer for the Dental Professional: Practice Pearls and Considerations for the Treatment of Patients with Urologic Disease By Vanessa Watts, DMD; Jason Portnof, DMD, MD, FACS; Darren Bruck, MD, FACS

With the advancing age of our patient population, there has been an increase in incidence of urological disease. The associated symptoms and side effects of therapy can affect patients’ quality of life, as well as treatment considerations for the practitioner. In addition to behavioral modifications, such as frequent breaks prior to, or during lengthy treatment to avoid embarrassing episodes of incontinence, it is important to consider medication-related side effects and the possibility of metastasis to the maxillofacial complex. Watts

Portnof

Bruck

Overactive bladder syndrome (OAB) is estimated to affect one in six persons, or approximately 17 percent of the population in the United States.7 Side effects associated with antimuscarinic and Beta-3-agonist therapy include xerostomia, sedation, tachycardia and hypertension. Attention to intraoperative and postoperative prescribed medications can prevent adverse cardiac-related events as well as oversedation, which can lead to increased fall risk. Urinary bladder cancer (UBC) is the ninth most common cancer worldwide, and the fourth most common cancer in men in the U.S.8 UBC is strongly associated with anemia and bleeding phenomena, and places patients at a rate five times higher than the overall population for risk of a thrombotic event.6 Current systemic-based chemotherapy regimens result in a high incidence of xerostomia, rampant decay and oral apthous ulcers. Considerations for saliva substitutes, topical analgesics and frequent hygiene appointments can help prevent irreversible sequela associated with this patient population. Thorough and frequent dental exams, including panoramic radiographs — especially in the setting of chronic pain and swelling — should be implemented, as reports of metastatic transitional cell carcinoma

(urotheial carcinoma) to the maxillofacial area, as well lymph nodes, bones, lung and liver is common.10 An estimated 10-14 percent of men of all ages and racial origin suffer from symptoms of prostatitis. One to two million men in the U.S., aged 18 years and older, are affected annually.1 Bacterial prostatitis is a multifactorial condition associated with a high systemic bacterial insult, treated with a six- to 12-week course of antibiotic therapy. Common side effects of prolonged antibiotic therapy include glossitis, stomatitis, black “hairy” tongue, and Clostridium difficile, all of which primarily are managed by the treating dental professional. Increased susceptibility to opportunistic pathogens, such as Candida albicans, is an important consideration, especially in denture-wearing patients.9 Benign prostatic hyperplasia (BPH) is the fourth most common condition in men over 50 years of age, and in men aged 70 years or older, the incidence of BPH is more than 80 percent.2 Common side effects of prescribed BPH medications (5-alpha reductase inhibitors), include postural hypotension, orthostasis and dizziness. The likelihood of a syncopal event during treatment is greatly increased.2 Attention to recovery time and avoidance of abrupt

RE: FDA Council on Dental Education and Licensure CDEL continues to work on current licensure issues for our state and serves as a resource for education and licensure for the FDA. We also communicate with the three dental schools and receive annual reports on their progress. 86

— Dr. Eva Ackley, Chair, Council on Dental Education and Licensure

Abstract

Pearls for Practice Oversedation and adverse cardiac events can occur due to side effects of OAB medications. UBC and prostate cancer can metastasize to the maxillofacial complex. Saliva substitutes and analgesic mouthwashes can offer relief for patient undergoing systemic chemotherapy. Patients undergoing long-term antibiotic therapy are at increased risk for opportunistic infections such as Candida. Common side effects of BPH medications include postural hypotension, orthostasis and dizziness.

changes in patient positioning will decrease the likelihood of an adverse event occurring during treatment. Prostate cancer is the fourth most commonly diagnosed malignancy in men worldwide, and the second most commonly diagnosed cancer in American men.3 Patients with advanced prostate cancer have the greatest propensity for bone metastasis of all the urological cancers, and in more than 50 percent of men, metastatic disease appears to be clinically confined to bone.4 Treatment with intravenous bisphosphonates increase the risk of medication-related osteonecrosis of the jaw (MRONJ).5 Approximately 70 percent of patients with advanced prostate cancer and up to 40 percent of patients with other advanced solid tumors will develop bone metastases.4 With such a high probability of bony metastasis, it is important to consider metastatic bone disease of the maxillofacial complex in the differential diagnosis in patients with complaints of chronic pain and swelling. The dental health practitioner plays an integral role in the management of medically compromised patients, and should feel comfortable in delivering care to patients with urologic disease. The recommendations compiled within this review highlight the major treatment considerations one may encounter over the course of routine dental therapy. The purpose of this article is not to standardize care for patients with urologic diseases, but rather to encourage the practitioner to individualize their treatment to each patient. However, if the principles set forth here are applied in good judgement, adverse events can be avoided, and treatment can be delivered in a safe and effective manner.

References 1. Bajpayee, Pranav, et al. “Prostatitis: prevalence, health impact and quality improvement strategies.” Acta poloniae pharmaceutica 69.4 (2012): 571-579. 2. Bechis, Seth K., et al. “Personalized medicine for the management of benign prostatic hyperplasia.” The Journal of urology 192.1 (2014): 16-23. 3. Brawley, Otis W., and Shakia Barnes. “The epidemiology of prostate cancer in the United States.” Seminars in oncology nursing. Vol. 17. No. 2. WB Saunders, 2001.

4. Coleman, R.E., 2008. Risks and benefits of bisphosphonates. British Journal of Cancer, 98 (2008), pp. 1726–1740 5. Dunn, Mary Weinstein, and Meredith Wallace Kazer. “Prostate cancer overview.” Seminars in oncology nursing. Vol. 27. No. 4. WB Saunders, 2011. 6. Fantony, Joseph J., and Brant A. Inman. “Thromboembolism and Bleeding in Bladder Cancer.” Oncology (Williston Park, NY) 28.10 (2014). 7. Lam, Sum, and Olga Hilas. “Pharmacologic management of overactive bladder.” Clinical interventions in aging 2.3 (2007): 337. 8. Malats, Núria, and Francisco X. Real. “Epidemiology of Bladder Cancer.” Hematology/oncology clinics of North America 29.2 (2015): 177-189. 9. Sharp, Victoria J., ELIZABETH B. Takacs, and Charles R. Powell. “Prostatitis: diagnosis and treatment.” Am Fam Physician 82.4 (2010): 397-406. 10. Shinagare AB, Ramaiya NH, Jagannathan JP, Fennessy FM, Taplin ME, Van den Abbeele AD. Metastatic pattern of bladder cancer: correlation with the characteristics of the primary tumor. AJR Am J Roentgenol. 2011 Jan;196(1):11722. doi: 10.2214/AJR.10.5036. PubMed PMID: 21178055.

Dr. Watts is an oral and maxillofacial surgery resident at Nova Southeastern University College of Dental Medicine and can be reached at dr.vwatts@gmail.com. Dr. Portnof is an associate clinical professor and director of pediatric maxillofacial surgery and craniomaxillofacial surgery at Nova Southeastern University College of Dental Medicine. He can be reached at jp11@nova.edu. Dr. Bruck is an associate urologist at the Urology Center of South Florida and can be reached at darrenbruck@hotmail.com.

RE: FDA Council on the New Dentist The Council on the New Dentist is composed of new dentists from each district who are proud to represent the voice of young dentists across the state of Florida. We are the future of our profession and our goal is to help each member succeed, now and throughout their career.

— Dr. Mike Star, Chair, Council on the New Dentist 87

Compleat Dentistry

You Are Such a Perfectionist, Part 1 Compleat dentistry is a slower-paced, deliberate style of dentistry, espoused by Pankey, Dawson and so many others, in which the dentist knows the patient well, knows the work, knows their own abilities and limitations, and uses this knowledge to take care of the patients who trust them with their care. The world will change, but the principles of compleat dentistry will remain the foundation of an exceptional practice. The spelling is an homage to Isaak Walton, whose book, “The Compleat Angler,” was about so much more than fishing.

By Dr. Edward Hopwood

Imagine that someone invents a machine that could perfectly cut hair to the exact proper length and precisely the right style. It would be amazing; anyone could sit down, push a few buttons and get a perfect haircut. How would the barbers respond? I imagine that there would be two responses: One group would say, “It is the end, we can never keep up with this machine, our careers are over.” The other group would laugh and say, “That machine doesn’t do what we do.” The second group are the great barbers (compleat barbers?), the ones whom I would want to cut my hair. It’s interesting to note that the theoretical machine would be perfect at cutting hair, but the great barbers recognize that their job is about more than cutting hair perfectly.

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I also imagine that you would find a disproportionate number of the Chicken Little (“The end is coming!”) barbers at the large corporate entities. And you would find the majority of compleat barbers working for themselves or for a salon with a single location. The corporations would buy the machines and race to have the most machines in the most locations for the lowest price. The foolish barbers would compete with the machines, and the smart barbers would work harder at doing all the things the machines couldn’t. As dentists, we tend to think we are perfectionists. If we close the margin, bevel the axiopulpal line angle, burnish the amalgam, etc. then it will be perfect. Dental school trains us for precision work. Then we leave and enter the real world, and learn more about aesthetics and occlusion and other facets of our profession. We come to recognize that there is so much that we do not know — and it is terrifying.

November/December 2016

Which is why I smile when someone calls me a perfectionist. Because I know it is one of the biggest lies of my practice. It is not a lie I like to tell, not one I propagate, not even one I like to hear. But my patients tell me this lie and my staff does, too, because they think it is true. They like to say it when they see me fussing over some detail that they have never seen anyone fuss over before. I get blamed for being a perfectionist by my lab, when I adjust a shade or add a characterization even after the patient approves of the aesthetics. Or, when I take color-corrected photos to match shades of molars. When a restoration feels good, we are getting closer, but are not there yet — I’m not interested in only being “good.” Any dentist reading this will hear a familiar refrain. We all have little details about our jobs that we enjoy because they are a small part of doing exceptional work. Little details are what separates “clinically acceptable, standard of care” dentistry apart from great dentistry. Our quirks are what make our practice. With time, our practice becomes full of patients who like our quirks and they are connected to us. Working as an employee in a corporate culture often stifles quirkiness in favor of repeatable systems.

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Compleat Dentistry

Back in the 1980s, it was popular for corporations to set up repeatable systems. Everyone marveled at Japanese consistency in manufacturing and they tried to emulate it. Now, 30 years later, people are trying to bring these same concepts to dentistry. But the problem is that they are trying to systematize a process that is more complex than just closing margins. And when they do, they squelch the quirkiness that makes each dentist great. Because being a great dentist involves so much more than mastering the standard of care. Carl Misch explains — quite correctly — that the top-of-the-class dentist does not set the standard of care. Rather, the standard of care is set by the bottom-of-the-class dentist, the one who was dead last but didn’t flunk out. The standard of care is the C-, passed the boards on the third try, sells Amway in the waiting room to supplement his income, does all continuing education through “mail-order” dentist. I have no interest in this territory, so I pay attention to details and push myself further. Because of this, I get called a perfectionist. And when I do, I carry on, even though I know it is a lie. I know it is a lie because every single restoration I have done is not perfect. I review my cases when they get back from the lab and I haven’t seen a perfect prep yet. I could always change something. Sure, the standard of care is long behind. I have pushed way beyond clinically acceptable. Yet, it is not perfect.

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The shocking thing to me is the amount of courage it takes to push forward and seat the cases, finish the work and move along. This is what a writer faces when they send off their final transcript, battling the selfdoubt that Steven Pressfield calls “the Resistance.” Everyone must beat the resistance in order to put art into the world (Pressfield’s book, “The War of Art,” is fantastic). It’s the same force of resistance that keeps us from becoming all that we can be, makes us want to take a “safe” job with a corporation, or to try and track our success through money, material possessions, the car we drive, or the boat or beach house. A great dentist tracks success by how close they are to doing their best work. And, fortunately for us dentists, the material rewards follow. Imagine being an artist who does great work, pushes themselves further and further, only to die poor and then to be recognized posthumously for being exceptional.

“

Being a great dentist involves so much more than mastering the standard of care.

The lucky ones are able to put themselves into the position to do the work, “turn pro” (as Pressfield calls it), battle and defeat the resistance, then after about 10 years of deliberate practice, they are prepared for those moments when the work transcends the mechanical and approaches perfection. Then they are hooked and they want to approach that area again and again, striving to come as close as they can. And then everyone else calls them “perfectionists.”

”

Dr. Hopwood is a restorative dentist in Clearwater and can be reached at edwardhopwood@gmail.com.

November/December 2016

Today's FDA

2015-2016 PUBLIC AWARENESS HIGHLIGHTS As part of ongoing integrated communications efforts to promote the brand recognition of the Florida Dental Association (FDA) and its members, the following are highlights of the public awareness successes achieved by Moore Communications Group on behalf of the FDA.

Communications Goals • Position the FDA and its members as Florida’s premier oral health experts and advocates. • Bolster the FDA’s brand awareness and trust among Florida consumers. • Educate Florida consumers about how to find an FDA dentist and the value of choosing an FDA dentist. Digital Media Ad Campaigns Five digital media ad campaigns were executed over six months to support the communications goals. Ad Campaign Highlights • Gained more than 5.25 million targeted impressions (number of times ads were seen) • Reached more than 777,500 targeted Floridians on Facebook • Garnered more than 90,000 clicks to the FDA’s website and campaign landing pages • Engaged 1,161 post likes and 193 post shares

During the six-month campaign, the FDA’s overall online visibility and interaction also increased significantly due to the increased brand awareness: • Likes to the FDA Facebook page increased by more than 55 percent o

Increased from 1,224 page likes to more than 1,900 page likes.

• Search traffic to the FDA website and landing pages increased by approximately 155 percent. • Impressions and reach of all FDA Facebook posts doubled.

Promoting FDA members and good dental health to the public

To support public awareness of the FDA and its members, Moore Communications Group also engaged in proactive media relations efforts. MEDIA RELATIONS ENGAGEMENT Media relations efforts garnered more than 120 media hits in more than 30 print, television, radio and online outlets throughout Florida. Media Outlets • Statewide NPR stations • Clay Today • Florida Politics • Florida Times-Union • Gainesville Sun • Health News Florida • Lakeland Ledger

Media Quotes

“Recognizing the need to improve oral health for all Floridians, the Florida Dental Association created Florida’s Action for Dental Health, a comprehensive effort to address obstacles to dental care in Florida.” — DR. RALPH C. ATTANASI JR. Naples Daily News and Tallahassee Democrat

“As a state, as employers and as individuals, we need to recognize that oral health is essential to overall health and quality of life and promote more collaborative solutions for these issues.” — DR. BILL D’AIUTO, Orlando Sentinel

“Making childhood dental disease go away would affect people for their lifetime. It’s hard for us to understand how that investment is not important.” — DR. JOLENE PARAMORE, Sarasota Herald-Tribune and Panama City News Herald

• Naples Daily News • Northwest Florida Daily News • Orlando Sentinel • Panama City News Herald • Politico • Sarasota Herald-Tribune • South Florida Business Journal • Sprinkles Magazine • St. Augustine Record • Tallahassee Democrat • All Jacksonville TV stations • WCTV-TV (Tallahassee) • WEAR-TV (Pensacola) • WFLA-TV (Tampa) • WFTV-TV (Orlando)

Full-page parent dental care guide secured in South Florida’s Sprinkles parenting magazine

Your FDASupplies.com Savings Can Pay for Your Dues! Total Projected Dental Supply Savings Sample (One Order*) COMPETITOR INVOICE

FDASUPPLIES.COM INVOICE

Subtotal:

$4,648.89

Subtotal:

$ 3,561.12

Shipping and Handling:

Varies

Shipping & Handling:

Always $0

Compared Total:

$4,648.89

FDASupplies.com Total:

$3,561.12

You could save: $1,087.77

∞

Percentage: $23.4%

*This sample price comparison reflects the actual savings of an FDA member dentist.

GET YOUR PRICE ESTIMATE! Send your current dental supply invoice via email or fax and FDASupplies.com will send you an estimate with projected savings.

“My ADA/FDA/SFDDA membership dues have now become free due to the savings of this one program alone.” - Michael Eggnatz, DDS

“I have utilized the FDASupplies.com program for the last six months and have saved enough to pay my entire ADA tripartite dues each month. I use exactly the same materials and brand name products I used prior to purchasing from this Crown Savings program (FDASupplies.com). My ADA/ FDA/SFDDA membership dues have now become free due to the savings of this one program alone. I would strongly encourage FDA members to take advantage of this tremendous membership benefit!”

“We switched to FDASupplies.com about 6 months ago. We have reduced our supply costs by over 30%. The transition was made very smoothly with the help of Tim Collier. He was able to provide us with a price comparison that allowed us to see what we could save by using FDA Supplies. He then helped us create an account and begin ordering. Tim has continued to be a great resource helping us find supplies and save money. We really appreciate this member benefit and think that all FDA members should use FDA Supplies.”

Michael Eggnatz, DDS

Joseph Grimaudo, DMD All Smiles Tampa Bay

FDA President-elect Michael D. Eggnatz DDS, PA

P: 888.325.2808 | F: 877.376.0062 | support@fdasupplies.com

FDA Member Brand Download your FDA member logo at www.floridadental.org.

Promote Your Status as an FDA Member Last year, the Florida Dental Association (FDA) and Moore Communications Group led a six-month digital advertising campaign to bolster the FDA’s brand recognition and trust among targeted Florida consumers. The goal was to educate consumers on the value of choosing an FDA-member dentist and how to find one. During this six-month campaign, we achieved strong results on behalf of FDA members to reach these target audiences and increase brand awareness of the FDA and our member dentists. The following are some key highlights: n more than 5.25 million impressions n reach of more than 777,500 individuals on Facebook n more than 90,000 clicks to the FDA’s website and campaign landing pages n search traffic to the FDA website and landing pages increased by 155 percent Following the success of this effort, we are continuing our digital advertising efforts to educate Florida consumers on the value of choosing an FDA-member dentist who has committed to uphold the highest ethical principles and practice standards. We want each of you to leverage this opportunity and promote your status as an FDA member so that when patients visit your website or your office, they know they are in the best hands. A key way to do that is by highlighting your FDA member logo on your online platforms, promotional materials and other communications and marketing efforts. The following is a quick checklist of opportunities for you to include your FDA member logo: n practice website n individual and/or practice social media platforms n email signature n brochures and other printed promotional materials n business cards n practice e-newsletters and email communications n practice letterhead If you haven’t downloaded your member logo, log in on the members-only section of www.floridadental. org and select “Download member logo.” You also are welcome to contact us at info@floridadental.org or 850.681.3629 for assistance. www.floridadental.org

November/December 2016

Today's FDA

Dental Lifeline Network Florida 2015-2016 Annual Report

“She has struggled and suffered with her condition for more years than I can even remember, but your kindness and generosity has given her a new lease on life! Without your help, she would still be suffering daily with no end in sight. Words cannot adequately express how grateful we are for the badly needed dental work you have done for her.”

Dental Assistant, Linda and Dr. Michael Dorociak

Linda, 70, lives alone in Bradenton and has chronic obstructive pulmonary disease and osteoporosis, and walks with an unsteady gait. She enjoys spending time with her son and dogs. The last time she had seen a dentist was 25 years ago; this lack of access led to severe oral health problems. All but two of her teeth had broken off at the gum line, leaving multiple root tips behind. Linda’s dentures had been broken for many years, leaving her toothless and unable to chew properly. This resulted in significant weight loss and painful digestive problems, and excruciating cysts in her mouth. Linda’s doctor strongly urged her to address her dental problems. Though she has Medicaid and Medicare coverage, the benefits did not cover the extensive dental treatment she needed.

How DDS Helped Meals on Wheels referred Linda to Donated Dental Services (DDS) and a team of volunteers agreed to help. Dr. Michael Dorociak extracted five teeth and root tips, and donated full upper and lower dentures that DSG Group Practice Solutions laboratory fabricated.

Today's FDA

November/December 2016

— The family of Linda, DDS patient

“I’ve enjoyed working with Linda, she was a joy as a patient. It feels good to help someone in need, and when we can give back to someone who is in pain, it is truly satisfying. To any dentist considering volunteering, don’t hesitate to donate your time and services. It’s not a big burden at all. In fact, it’s a privilege.”

— Dr. Michael Dorociak, DDS volunteer

The Florida Donated Dental Services (DDS) is a program of Dental Lifeline Network, a national humanitarian organization and charitable affiliate of the American Dental Association, providing access to comprehensive dental care for people with disabilities or who are elderly or medically fragile and have no other way to get help. Nationally, more than 15,000 dentists and 3,700 laboratories volunteer for DDS.

www.floridadental.org

Dental Lifeline DDS is a Program of Dental Lifeline Network • Florida and the Florida Dental Association

Please volunteer Change a life with Donated Dental Services (DDS)

Florida Donated Dental Services (DDS) Fiscal Year 2015-2016 Patient Treatment n Number of Patients Treated – 1981 n Number of Patients on Wait List – 557 n Number of Volunteer Dentists – 426 n Number of Volunteer Labs – 211

Financial n Value of Care to Patients Treated – $872,5591 n Average Value of Treatment/Case – $4,8962 n Value of Donated Lab Services – $85,3173

To ask questions or to volunteer, contact Florida Coordinator Megan Manor at 850.577.1466 or mmanor@DentalLifeline. org.

Since Florida Program Inception (1997) n Total Patients Treated – 1,640 n Total Value of Care to Patients Treated – $6,658,702

Of this amount, 25 patients received $25,510 in ongoing care from DDS volunteer dentists who provided these patients with initial restorative treatment and have elected to continue providing routine and ongoing care. 2 Does not include treatment for patients receiving ongoing care. 3 Value also included in Value of Care to Patients Treated.

Dental Lifeline Network • Florida, Board of Directors Dr. Cesar Sabates, President Dr. Georgina Garcia, Vice President Dr. Mike Eggnatz, Secretary/Treasurer Dr. Ralph C. Attanasi Jr. Mr. Curtiss Briggs

Sponsors and Funders:

n American Dental Partners Foundation n The Batchelor Foundation n Dental Lifeline Network n Florida Dental Association and its Foundation n Gloria Estefan Foundation With Assistance From: n 3M ESPE n Dentsply Sirona n GC America n Henry Schein Dental n Implant Direct n Ivoclar Vivadent n Keystone Dental n Nobel Biocare n Patterson Dental Company n Shatkin F.I.R.S.T., LLC n Philips Oral Healthcare n Straumann n Vident n Zest Anchors n Zimmer Biomet

www.floridadental.org

Last year, 426 volunteer dentists and 211 volunteer labs treated 198 people with disabilities or who are elderly or medically fragile.

Volunteer Today! Try one case

Mr. Alain Carles Dr. Idalia Lastra Dr. Jeff Ottley Dr. Ethan Pansick Mr. Edgar Rivera

n Review the patient profile in advance.

Strategic Partners: n American Dental Association n Academy of General Dentistry n American Academy of Implant Dentistry n American Academy of Periodontology n American Association of Endodontists n American Association of Oral and Maxillofacial Surgeons n American Association of Orthodontists n American Association of Women Dentists n American College of Dentists n American College of Prosthodontists n American Dental Assistants Association n Hispanic Dental Association n National Association of Dental Laboratories n National Dental Association n The Pankey Institute n Society for Transplant Social Workers n Society for Vascular Surgery

n Choose to see or decline any patient. n Determine the treatment plan. n See patients in your own office. n Never pay lab costs. n No paperwork for office staff.

DDS will: n Ensure that patients arrive on time to appointments. n Be the liaison between your office staff and patient to facilitate everything. n Arrange for assistance from specialists and laboratories.

You treat the patient. DDS does everything else. Connect with us

Don’t miss our updates on Dental Lifeline Network and its Donated Dental Services (DDS) program! Sign up today at www.DentalLifeline. org/Newsletter-signup and follow us on social media. Go to www.DentalLifeline.org for more information.

November/December 2016

Today's FDA

Dental Lifeline

Thanks to Our Volunteers! FDA Members in bold Dr. Jose R. Abadin Dr. Mark Abdoney Dr. Suzanne Abergel-Nahon Dr. Jim Abramowitz Dr. Frank Addabbo Dr. Amy Addington Dr. Jennifer Adelson Dr. Alan Adkins Dr. Sudhir Agarwal Dr. Rodger S. Aidman Dr. John O. Akers Dr. Darrell Alford Dr. Sandra Aljure-Estrada Dr. Joseph A. Allen Dr. Gilda Alonzo Dr. Richard S. Altman Dr. Gloria Alvarez Torre Dr. Gary Alvo Dr. Rosie Angelakis Dr. James W. Antoon Dr. Cristiana Araujo Dr. William Aughton Dr. Anthony Auletta Jr. Dr. Reza Azari Dr. Richard L. Balick Dr. William Barkins Dr. Scott Barr Dr. Jose Barros Dr. William Bassett Dr. Jeffrey Beattie Dr. Glenn Beck Dr. Laurent Belanger Dr. Jason Berg Dr. Bryan Bergens Dr. Paul Berger Dr. Juliana Bermudez Dr. Bruce A. Bernstein Dr. Wayne L. Berry Dr. Walter ‘Beau’ Biggs Dr. Mark Bills Dr. John M. Bindeman Dr. Robert Blank Dr. Eric Bludau Dr. Jeffrey D. Blum Dr. Barton Blumberg Dr. Barry A. Bluth Dr. Patricia Bobadilla Dr. Christopher J. Bonham Dr. Carey Bonham Dr. Patricia Botero Dr. Brent Bracco Dr. Mark Braxton Dr. Alan Bresalier Dr. Leonard Britten

Today's FDA

Volunteer Since 1997 2008 1997 2015 2008 2015 2008 2008 2008 1997 2006 2015 2004 2002 2002 2003 2006 1997 1997 2003 2016 2006 2013 2016 1997 2001 2002 1999 2002 2010 2015 2010 2016 2012 2007 2015 2006 1997 2016 2004 2004 1997 2009 1997 2015 1997 2013 2002 2015 2015 2014 2015 2001 2016

Dr. Robert L. Brockett Dr. John J. Brodner Dr. Michael Brody Dr. Susan R. Brooks Dr. Craig Broome Dr. Solomon G. Brotman Dr. Lawrence Brown Dr. Terry Buckenheimer Dr. Robert R. Burks Dr. Robert Burns Jr. Dr. Andrew Byrnes Dr. Donald I. Cadle Jr. Dr. Fernando Campos Dr. Manuel Capiro Dr. Axel Castro Dr. Erika Caviedes Dr. Rene Cedeno Dr. Jorge R. Centurion Dr. Jeffrey Chait Dr. Joseph Chiafair Dr. Dolcie Chin Dr. Robert Churney Dr. Reinaldo Claudio Dr. Eric Claussen Dr. Stephen Cochran Dr. Carlos Coello Dr. Karen Coello Dr. Scott Cohen Dr. Santiago E. Colon Dr. Eugenio Conte Dr. Thomas Copulos Dr. Anthony Corbo Dr. Rigo Cornejo Dr. Adrian Correa Dr. Robert Cowie Dr. Edward Cronauer Dr. Mark Cullen Dr. Charles Curley Dr. Stephen Cwikla Dr. Grace Dai Dr. Hilary Dalton Dr. Christian Edgar Davila Dr. James Davis Dr. Wilbur Davis Dr. Alberto De Cardenas Dr. Victor Dea Dr. Kevin Dean Dr. Sara Dean Dr. Vivian DeLuca Dr. Ping Ping DeLucia Dr. Dennis Demirjian Dr. Mark Denunzio Dr. Andrew P. Derwin Dr. Nicholas DeTure Dr. Charles DeWild Dr. Andrea Diamond

November/December 2016

2007 2004 2003 2010 2011 2004 1999 2014 2008 2003 2014 2004 2008 2006 2008 2011 2003 2002 2000 2008 2008 2010 2002 2014 2002 2002 2002 2007 1997 1997 2008 2002 2002 2014 2002 1997 2015 2011 2013 2003 2015 2015 2014 2004 2015 2015 2010 2015 2011 2012 2002 2014 2002 1999 2002 1997

Dr. Marcos Diaz 2007 Dr. Peter Dillon 2011 Dr. Tim Doerner 2004 Dr. Michael Dorociak 2004 Dr. Alissa Dragstedt 2015 Dr. Lauren Dupre 2016 Dr. Paul Eckstein 2011 Dr. Mitchell Edlund 2014 Dr. Michael D. Eggnatz 1997 Dr. Jeffrey M. Eisner 1997 Dr. Nidal Elias 2016 Dr. Karl B. Ellins 1998 Dr. Jeffrey F. Elliott 2008 Dr. Ross Enfinger 2011 Dr. Eric B. Epstein 2006 Dr. Mitchell Epstein 2004 Dr. Juan C. Erro 1997 Dr. Enrique C. Escofet 1997 Dr. Maria Escoto 2011 Dr. Rebecca A. Faunce 2002 Dr. David Feinerman 2014 Dr. Sheryl Fensin 1997 Dr. Alan Fetner 2011 Dr. Howard Finnk 2012 Dr. Sinisa Firic 2011 Dr. Alberto Fischzang 2011 Dr. James Flach 2008 Dr. Mark Forrest 1997 Dr. Robert Foster 2008 Dr. Eric Fox 2011 Dr. Ann Freedman 2002 Dr. Ronald Friedensohn 2003 Dr. Craig Friedman 2008 Dr. Randy L. Furshman 1997 Dr. Marie A. Gale 2006 Dr. Stephen Galla 2016 Dr. John Gammichia 2008 Dr. Georgina Garcia 1998 Dr. Bobby Garfinkel 2009 Dr. Steven Garrett 2014 Dr. Robert D. Gehrig 2002 Dr. David Genet 2012 Dr. Gregory Gertsen 2015 Dr. Michael Gertsen 2015 Dr. Daniel Gesek Jr. 2002 Dr. Elizabeth K. Gesenhues 2002 Dr. Mario Ginzburg 1997 Dr. Andrea Giraldo 2008 Dr. Karen Glerum 2002 Dr. Yvette Godet 2016 Dr. Yedda Gomes-Ruane 2008 Dr. Richard B. Goodman 2003 Dr. Elizabeth Gordon 2016 Dr. Frederick Grassin 2014 Dr. James Green 2014 Dr. Nancy S. Greenbarg 1997

www.floridadental.org

Dental Lifeline

Dr. Mark Greskovich 2003 Dr. Tara Griffin 2008 Dr. Larry B. Grillo 1997 Dr. Melissa Grimaudo 2016 Dr. Kenneth Grossman 2008 Dr. Luz Guerra 2008 Dr. Paul A. Guidi 2005 Dr. Joseph G. Gulle 2008 Dr. Blayne Gumm 2012 Dr. Maria Gundian 1997 Dr. Jose M. Gurevich 1997 Dr. Darlene Hachmeister 2011 Dr. Merritt D. Halem 2002 Dr. Holly Hamilton 2008 Dr. Michael Harris 2014 Dr. Mary S. Hartigan 2002 Dr. Gregory W. Hartley 2002 Dr. Lee S. Hauer 1997 Dr. Georgia Hernandez 2002 Dr. Victoria Herrera 2013 Dr. Theodore Herrmann 2010 Dr. Steven Hewett 2015 Dr. Gregory G. Hill 2003 Dr. Timothy Hogan 2007 Dr. Mike Hopkins 2005 Dr. Carol Horkowitz 2004 Dr. Debbie Hoskins 2014 Dr. Thomas Hughes 2006 Dr. Mitchell Indictor 2002 Dr. Reza Iranmanesh 2016 Dr. Kenneth Irigoyen 2002 Dr. Ivan Izquierdo 2008 Dr. Brian Jacobus 2016 Dr. Margot Jobson 2008 Dr. Marc Johnson 2004 Dr. John R. Jordan Jr. 2003 Dr. Harvey L. Kansol 2002 Dr. Keith Kanter 2010 Dr. Richard Kanter 2004 Dr. Frederic I. Kaplan 1997 Dr. Robert E. Karol 2002 Dr. Peter Kaufman 2014 Dr. Richard M. Kernagis 2005 Dr. Melvin Kessler 1997 Dr. Michael W. Kessler 2002 Dr. Milan Khakhria 2004 Dr. Edward Kirsh 2001 Dr. Jerry Klein 2002 Dr. Ronald Kobernick 2008 Dr. William Kochenour 2015 Dr. James Kornegay 2008 Dr. Roger Koslen 2002 Dr. George Kostakis 2015 Dr. Stephen J. Kotkis 1997 Dr. Arlyn Koula 2008 Dr. Thomas B. Krakauer 2002

Dr. Stephen M. Krist 2003 Dr. David Lach 2002 Dr. Brett Laggan 2015 Dr. Thomas R. Lane 1996 Dr. Timothy M. Lane 2002 Dr. Lewis C. Larson 2004 Dr. Jennifer Laskey 2012 Dr. Idalia Lastra 1997 Dr. Jerry Layne 1998 Dr. Nhat Le 2000 Dr. Jayson R. Leibowitz 1998 Dr. Ira Lelchuk 2003 Dr. Peter Lemieux 2016 Dr. Henry Lennon 2002 Dr. Esteban Leon 2014 Dr. Kenneth Levine 2008 Dr. Jason Lewis 2014 Dr. Mark Limosani 2016 Dr. Luis Llamas 1998 Dr. Michael Logue 2004 Dr. Gary Lubel 2000 Dr. Terry Lunday 2008 Dr. John Lundgren 2008 Dr. Ziyad Maali 2008 Dr. Martha Maderal 2016 Dr. Dipak Mankame 2004 Dr. Disha Mankame 2014 Dr. Bruce D. Manne 2006 Dr. George Mantikas 2015 Dr. Alberto Mantovani 2002 Dr. Phillip Marciano 2005 Dr. Valerie Marino 2008 Dr. Rosemarie Marquez 2014 Dr. Chadwick Marshall 2015 Dr. James E. Martin 2008 Dr. Kenneth Martin 2008 Dr. Jennifer Martinez-Amores 2008 Dr. Michel Matouk 2013 Dr. Daniel Mazor 2000 Dr. Laura McAuley 2003 Dr. Julie M. McCarron 2002 Dr. Tom McCawley 1999 Dr. Olin McKenzie 1997 Dr. Matt McLellan 2002 Dr. Charles McNamara 2014 Dr. Stephanie McRae 2010 Dr. Uday Mehta 2014 Dr. Carl Melzer 1998 Dr. Oscar Menendez 2015 Dr. Lina M. Miranda 1997 Dr. Mark W. Mitchell 2006 Dr. Sein Moe 2005 Dr. Patrick Mokris 2008 Dr. Bertram Moldauer 2014 Dr. Raul G. Molina 1997 Dr. Jacqueline Molina-Wasserman 2008

Dr. Arthur Molzan 2015 Dr. Halina Montano 2008 Dr. Vivian Morad 2007 Dr. Ofilio J. Morales 2002 Dr. Basappa Mruthyunjaya 2016 Dr. Richard Mufson 1997 Dr. Daniel B. Mullett 2002 Dr. Neeraj Nagella 2014 Dr. Rhonda H. Nasser 2002 Dr. Kevin Neal 2016 Dr. William D. Neale 2002 Dr. Jennifer N. Nguyen 2008 Dr. Eduardo Nicolaievsky 2014 Dr. Marta L. Nieto 1997 Dr. William Nipper 2014 Dr. Brian W. Nitzberg 2013 Dr. Elizabeth Nixon 2008 Dr. Thomas R. Nordman 1998 Dr. Craig Oldham 2016 Dr. Rodolfo Olmos 2015 Dr. Jeffrey Ottley 2015 Dr. Cara Overbeck 2014 Dr. Trae Pappas 2015 Dr. Stephen Parr 1997 Dr. Anish Patel 2015 Dr. Divyang Patel 2008 Dr. John Paul 2016 Dr. Kevin Payton 2000 Dr. Jeannette Pena Hall 2002 Dr. Elizabeth Perez Diaz 2015 Dr. Theodore Peters 2005 Dr. David Pfent 2008 Dr. Yuchi Phen 2002 Dr. Nancy Phillips 2015 Dr. Rene Piedra 2004 Dr. Lawrence Pijut 2013 Dr. David Piper 2002 Dr. Mary Ann Pittman 2008 Dr. Adriana Porter 2008 Dr. Mary Porter 2008 Dr. Juan-Carlos Quintero 2002 Dr. Vyasa Ramcharan 2004 Dr. Jorge Ramirez 1999 Dr. Brian Rask 2008 Dr. John L. Redd II 2002 Dr. Thomas Reinhart 2016 Dr. Richard Reiss 1997 Dr. Daniel Rentz Jr. 2004 Dr. John M. Richards 2002 Dr. Steven Rifkin 1997 Dr. William Roark 2008 Dr. Paul Rodeghero 2011 Dr. Guillermo P. Rodriguez 1997 Dr. Katherine Rodriguez 2013 Dr. Vicky Rodriguez 1997

Please see VOLUNTEERS, 98 www.floridadental.org

November/December 2016

Today's FDA

Dental Lifeline

Thanks to Our Volunteers! VOLUNTEERS from 97 Dr. Jose Rodriguez-Cepero Dr. Kenneth B. Rogers Dr. R. Brooks Rollings Dr. Fredda Rosenbaum Dr. Jerry Rosenbaum Dr. Ronald E. Rosenbaum Dr. Scott Ross Dr. Steven Roth Dr. Jeffrey Rothenberg Dr. Leonard Rothenberg Dr. David Russell Dr. Charles Russo Dr. Cesar R. Sabates Dr. Juan M. Salvat Dr. Richard Salzmann Dr. Carlos Sanchez Dr. Gabriel Sangalang Dr. Veronica Sanmartino Dr. Howard Schare Dr. C. Scott Schmitt Dr. Eric Schuetz Dr. Ross Schwartz Dr. Anthony Schweiger Dr. John Schwerer Dr. Anthony Sclar Dr. Manuel R. Seage Dr. Brent Sears Dr. P. Stuart Seider Dr. Arthur Shapiro Dr. Richard L. Sherman Dr. Willie Sherman Dr. Charlie Shofnos Dr. Alberto Silber Dr. Rafael D. Simbaco Dr. Michael Simon Dr. Daniel Slaybaugh Dr. Bradford Smith Dr. Maria V. Souto Dr. Rodrigo Souza Dr. Sandra Spadafora Dr. Evangelyn Spencer Dr. Claire Stagg Dr. Jeffrey Stevens Dr. Richard Stevenson Dr. Jennifer Stidham Dr. Jessica Stilley Dr. Leah Strange Dr. Erin Sutton Dr. Martin Swartz Dr. Chakshing Szeto Dr. Liwen Tao Dr. Andrew Taylor Dr. Timothy Temple Dr. Andonis Terezides

Today's FDA

1997 2015 2002 2002 2003 2008 1998 2006 2010 1997 2008 2014 1997 2002 2002 1999 2015 2002 2003 2007 2015 2014 2002 2002 1998 1998 2014 1997 2008 1997 2008 1997 1997 1997 2003 2012 2004 1997 2014 2008 2016 2002 2010 2014 2008 2011 2016 2002 1997 2008 2015 2008 2010 2014

Dr. Beatriz E. Terry Dr. Murad K. Thakur Dr. Chris Thompson Dr. Veronica Thompson Dr. Don Tillery Jr. Dr. Barrett I. Tindell Dr. Marc S. Tindell Dr. Steven Tinsworth Dr. Iris Torres-Rivera Dr. Linwood Townsend Dr. Andrew E. Trammell Dr. C. Michael Turner Dr. Helen Turner Dr. Rafael J. Valdes Dr. Michael J. Vallillo Dr. Thomas VanBuskirk Dr. John Verville Dr. Al Villalobos Dr. Bernardo A. Villela Dr. Robert Vogel Dr. Daniel H. Walkup Dr. James Walton Dr. Douglas Wasson Dr. Mark Webman Dr. Monica B. Weick Dr. Gary R. Weider Dr. Brion Weinberg Dr. Sy Weiner Dr. Douglas B. Weinman Dr. Mark L. Weiss Dr. Brian Wells Dr. Jan Westberry Dr. R. S. Westberry Dr. Dean Whitman Dr. Marcus Williams Dr. James G. Wilson Dr. Wade Winker Dr. Jiann-Jang Wu Dr. Gary Yanowitz Dr. Arturo A. Ydrach Dr. Lisa Yurkiewicz Dr. Brett Zak Dr. Paul Zaritsky Dr. Ameer Zufari

November/December 2016

2002 2002 2008 2008 2004 2016 2013 2008 2008 2002 2002 2002 2008 1997 2004 2000 2002 2002 1997 2003 2004 2008 2015 1998 2002 2010 1999 1997 1997 1997 2014 2002 2002 2010 2008 2002 2003 2007 2002 2006 2007 2008 2013 2016

Volunteer Laboratories (In State) Lab Name Dated Started Program Absolute Perfection Dental 2003 ADV Dental Laboratory 2014 Advanced Cosmetic Solutions 2014 Advanced Lab Services 2007 Aesthetic Arts 2011 Aleman Dental Lab 2006 Aloma Dental Lab 2006 AMA Dental Art 2011 AMK Dental Lab., Inc. 1999 Ampere Dental Laboratories 2005 Andreou Dental Lab 2015 Art & Technology Dental 2014 Laboratory, Inc. Artistic Dental Creations Inc. 2010 Artistic Dental Lab 2014 Associated Dental Lab 2012 Autry Orthodontic Appliances 2005 Avant Garde Dental Lab 2010 B & V Dental Lab 2003 Barcelo Dental Inc. 2014 Barron’s Dental Laboratory Inc. 2003 Bayshore Dental Studio 2008 Biomet 3i 1997 Biotech Dental Prosthetics 2010 Blessed Hand Dental Studio 2008 Bloch Dental Laboratory 1998 Bon-A-Dent Dental Laboratory 2003 Bonita Dental Lab 2005 Brlit Dental Laboratory, Inc. 2014 Buchanan Dental Studio 2004 C & C Dental Lab 2014 Cad Cam Ceramics 2014 Callahan Dental Lab 2008 Cambridge Dental Studio 2014 Caredent Crown & Bridge Lab 1998 Carlos Ceramics Dental Lab 2014 Ceotec Dental Lab 2008 Ceramic Arts Dental Lab 1997 Ceram-Tek 2012 Charles Frucht Dental 2015 Collins Dental Lab 2007 Contemporary Dental Lab 1997 Coral Dental Ceramics, Inc. 1997 Cordova Dental Ceramics 2003 Cosmetic Creations Dental Studio 2014 Cosmos Dental Castings 2007 Crawford Dental Laboratory 2002 Creative Dental Studio 1999 Creative Dental Systems 2007 Creative Institute of Dental Arts 2004 Creative Restorations 2004 Crown Dental Lab 2016 Custom Crown & Bridge, Inc. 2015 Dave’s Dentures 2012 David’s Dental Lab 2011

www.floridadental.org

Dental Lifeline

Daytona Dental Lab DC Dental Lab DCS Dental Laboratory DDS Lab Del Valle Dental Lab, Inc. Denise McNally Lab Dental Arts Prosthetics Dental Ceramic Center Dental Prosthetics Dental Technologies, Inc. Dental Tecks Dentec, LLC Destiny Dental Lab DigiScan of Florida , LLC Direct Dental Lab Doral Dental Lab DSG Clearwater DSG Group Practice Solutions Dunbar Dental Ceramics Dutch Wilkes, CDT, CDL Dynamic Ceramic Eastern Dental Lab Elite Dental Lab E-Plus Dental Lab Eurolab, Inc. Federal Dental Lab Fernando Comas Dental Lab Fine Arts Dental Lab First Impressions Dental Lab Florida Laboratories Forest Oak Dental Lab Foster Dental Lab Gagliano Dental Lab Galsky Dental Laboratory, Inc Gemini Ceramis, Inc. Golden Palm Dental Lab Goldsmith Dental Lab GPS Dental Lab Inc. Hall Dental Lab Hansen/Incarnati Dental Lab, LLC Harmony Dental Laboratory Heise Dental Lab Hennessey Dental Laboratory Inc HLB Dental Prosthetics Hoecker Lab, Inc. Ideal Dental Labs Implant Technical Support Incisal Edge, Inc. Intra Lock International, Inc. Iope Dental Lab Irish Dental Lab Island Dental Lab Jerry’s Dental Lab JJC Dental Lab John Stucchi Dental Lab

www.floridadental.org

2004 2015 2005 2008 2001 2011 2012 2005 1997 2000 2009 2015 2015 2016 2014 2015 2004 2015 2014 2008 2010 2007 2008 2016 2003 2011 1998 2013 1997 2000 2004 2005 2004 2004 2008 2011 2004 2004 2006 2014 2002 2003 2007 2010 2013 2016 2008 2013 2009 2016 2006 2010 2005 2011 2005

JT Dental Lab K.O. Dental Lab Kidder Dental Lab Knight Dental Group Larry’s Dental Lab, Inc. Lawson Dental Laboratory Lovett Dental Lab Luigi Dental Lab M & J Partials, LLC Maclarty Dental Lab Majestic Dental Arts, Inc. McClure Dental Lab Miami Dental Arts Mid Florida Dental Lab Midtown Dental Lab Mirror Dental Studio Mondel Dental Laboratory Montero Dental Lab Mulloy Dental Lab Murray Dental Arts Laboratory Natural Prosthetic Dental Lab Nelson Dental Lab Noble Dental Lab Northwest Dental Lab, Inc. Nova Dental Lab Nu Dimension Dental Studio Ocean Dental Laboratory Oral Arts Dental Lab P&R Dental Lab Parkway Dental Lab Patrick Reeves Ortho Lab Pat’s Dental Lab Patterson Dental Pensacola Dental Lab Perdue Dental Lab Peterson Dental Laboratory Pinellas Dental Lab Precision Dental Lab Sarosota Precision Esthetics Precision Esthetics Dental Laboratory Precision Fit Dental Lab, Inc. Premium Prothetics PRIDE Dental Lab Prodental Lab Professional Dental Crafts Progressive Dental Lab Progressive Dental Reconstruction Rebeck Dental Lab, Inc. Rebour Dental Lab Reggie Dental Lab Reliable Dental Arts Lab Rodney’s Dental Lab Sakr Dental Arts Samper Dental Laboratory Science & Arts Dental Lab Scott’s Dental Lab

2012 2005 2016 2001 2013 2016 2004 2011 2010 2008 2014 1997 2015 1999 2011 2004 1999 2012 1997 2006 2006 2008 2010 2012 2015 2013 2006 2007 2016 1998 2006 2014 2003 2006 2016 2006 2005 2011 2014 2015 2005 2002 2015 2016 2005 2014 2015 2003 2015 2008 2016 2013 2004 2012 2011

Sheen Dental Lab 2001 Signature Dental Lab 2004 Simon Dental Lab 2012 Smile Art Dental Lab 2010 Smile Makers, Inc. 2015 Smith Haste Dental Lab 2006 Smith Sterling Dental Laboratories 2006 Sorrento Smiles Dental Lab 2014 Specialty Dental Studio 2016 Spring Dental Lab 2010 Stuart Dental Laboratory 2007 Sun Coast Dental Laboratory 2004 Sun Dental Lab 2004 Sun Dental Labs 2008 Sunset Dental Lab 2016 Sunshine Dental Lab 1997 Sunshine Professional Dental Lab, Inc. 2004 Survey Castings Dental, Inc. 1999 Surveyor Dental Arts, Inc. 2010 Team Solutions Dental 2014 Technics Dental Lab 1997 Techno Dent Lab Services, Inc. 2003 Tele-Dent Dental Lab 2013 Top Quality Partials 1999 Touchstone Dental Lab 2003 Tripalay 2002 Ultradent Dental Laboratory 1999 Unident Dental Lab 2013 Universal Dental Studios, Inc. 2011 University Dental Lab 2002 V. J. Dental Laboratory 1999 Valdez Dental Lab 2006 Vencol Dental Lab 2003 Verdent Inc. 2014 Victory Dental Lab 2015 West Coast Chompers 2013 Dental Laboratory Williams Dental Lab 2008 Winter Springs Dental Laboratory 2016 Yashiki Dental Studio 2006 Zahntechnique Inc. 2001

November/December 2016

Today's FDA

Board of Dentistry

Board of Dentistry Meets in Miami By Casey Stoutamire, Esq. FDA DIRECTOR OF THIRD PARTY PAYER AND PROFESSIONAL AFFAIRS

“

BOD staff will work with staff at the CDCA to ensure Florida statutes are being followed when an applicant applies to take the ADEX exam in Florida.

”

100

Today's FDA

The Florida Board of Dentistry (BOD) met in Miami on Friday, Nov. 18. The Florida Dental Association (FDA) was represented by FDA BOD Liaison Dr. Don Ilkka and FDA Director of Third Party Payer and Professional Affairs, Casey Stoutamire. Other FDA members in attendance included Drs. Dave Boden, FDA President-elect Mike Eggnatz, Mel Kessler, Jose Mellado, ADA 17th District Trustee Cesar Sabates, Carlos Sanchez, ADA First Vice President Irene Marron-Tarrazzi, Beatriz Terry and Paul Werner. Also in attendance were Dr. Mark Romer from Lake Erie College of Osteopathic Medicine School of Dental Medicine and Dr. Linda Niessen, dean of the Nova Southeastern University College of Dental Medicine. Students from the University of Florida’s Advanced Education in General Dentistry program in Hialeah also attended the meeting.

November/December 2016

Nine of the BOD members were present, which included: Dr. Robert Perdomo, chair; Dr. Joe Thomas, vice chair; Drs. Joe Calderone, Naved Fatmi, Bill Kochenour, Claudio Miro and T.J. Tejera; and, hygienists Ms. Cathy Cabanzon and Ms. Angie Sissine. Consumer member, Mr. Tim Pyle, was absent. There is one consumer position open on the board that the governor has not yet filled. The BOD heard a presentation from Dr. David Perkins, the chairman of the Commission on Dental Competency Assessments (CDCA), which administers the ADEX exam in Florida and other states. Dr. Perkins gave a brief overview of the CDCA and the ADEX exam. He stated that all exams are not equal and that ADEX is the most comprehensive. The CDCA encourages all state boards to use the ADEX exam as their licensure exam. Dr. Thomas mentioned that Florida statutes require candidates to pass the National Boards Parts I and II before taking the ADEX exam, including the new curriculum integrated format (CIF). BOD staff will work with staff at the CDCA to ensure Florida statutes are being followed when an applicant applies to take the ADEX exam in Florida.

www.floridadental.org

Board of Dentistry

There were seven disciplinary cases, including two voluntary relinquishments that dealt with failure to meet the standard of care and failing to keep proper dental records. There also was a review of a recommended order from the Division of Administrative Hearings. If you have not yet attended a BOD meeting, it is suggested that you take the opportunity to attend and see the work of the BOD. It is much better to be a spectator than a participant in BOD disciplinary cases.

benefit

NUMBER

A FREE BENEFIT AVAILABLE ONLY TO FDA MEMBERS

After the disciplinary cases concluded, Drs. Calderone, Kochenour and Tejera, and Ms. Sissine left the meeting. This resulted in the BOD losing its quorum. No business could be conducted and the BOD adjourned. There was no vote for chair and no vote on the hygiene rules. These items will be decided upon at the next BOD meeting. Ms. Stoutamire can be reached at 850.350.7202 or cstoutamire@floridadental. org

Helping Members Succeed How are you managing your managed-care contracts? Banish the confusion with this definitive reference for Florida dentists.

A thoroughly researched and referenced handbook written clearly in an easy-to-follow format.

to e M t n a You W What? Sign

Written by Graham Nicol, Esq., Health Care Risk Manager, Board Certified Specialist (Health Law) and the FDA’s Chief Legal Counsel

dbook ts t’s Han Dentisare Contrac a d ri lo c A F anagedon M

Go to floridadental.org/signwhat. Questions? Call 800.877.9922

www.floridadental.org HALF_0815_Managed Care Handbook.indd 1

The next BOD meeting is scheduled for Friday, Feb. 17, 2017, at 7:30 a.m. EST. The location has not been announced.

Law) l, Esq., (Health am Nico ecialist By Grah d Certified Sp er, Boar ag an W sk M LTH LA Care Ri N HEA Health ION O BLICAT ICIAL PU N’S OFF IO AT SOCI NTAL AS RIDA DE

O THE FL

November/December 2016

Today's FDA

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7/7/2015 1:37:24 PM

Your Peer Review Program THIS MEMBERS-ONLY SERVICE IS FREE! ONE HOUR WITH YOUR ATTORNEY COULD COST UP TO $300.

Patient calls the district/component office with a concern.

Component staff decide if the situation falls under the duties of peer review and can start paperwork.*

The case is sent to the peer review chair (volunteer dentist) in the area near the patient. The peer review chair calls the patient to discuss the issue.

The peer review chair calls the dentist to discuss the issue and see if he or she is willing to settle by refunding all or some of the fee.

The peer review chair negotiates a settlement to which the patient and dentist both agree.

The component notifies the patient of the proceeding’s outcome.

If there is agreement, and the patient is due a refund, the treating dentist will write a check to the component.

Component secures a release of liability from patient and distributes refund to patient. FDA dentist retains original release form as a crucial part of patient’s record.

6a 6b 6c 6d

If not, the chair convenes a peer review panel and collects information from the dentist who treated the patient. Three dentists, not peer review chair, evaluate patient anonymously, dismiss patient, then evaluate treating dentist’s records. They may interview dentist. The peer review panel comes to a decision regarding the acceptability of the treatment and any recourse necessary.

The peer review chair writes up the evaluation and submits the report to the component.

If there is no agreement, no records generated by peer review process can be used against dentist in a subsequent malpractice lawsuit, even if mediation/arbitration failed.

For more information about the FDA Peer Review Program: 800.877.9922 • fda@floridadental.org

* Only cases involving problems with actual treatment and procedures are eligible for mediation. Cases not eligible forpeer review include: malpractice litigation; formal regulatory investigations; disputes over dental fees; treatment that occurred more than 12 months before the patient’s last appointment with the dentist; and cases involving non-member dentists.

FREE & CONVENIENT @ THE FDA Let the FDA help you get a headstart on the CE credits you need to renew your license! We offer FREE one, two and three credit CE courses you can take conveniently in your own home or office.

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COURSES REPORTED TO CE BROKER FOR YOU!

FEATURED COURSES*

Questions about online CE or CE Broker? Contact Brooke Martin at 800.877.9922 or bmartin@floridadental.org.

Dr. DeWitt Wilkerson: The Exceptional Dental Team: Gatekeepers for Systematic Inflammation and Total Wellness (EL56) Dr. Cherylle Hayes: HPV and Oral Cancer (EL57)  Micronutrient Impact of the Oral Cavity (EL59) Dr. Samuel Dorn: Endodontic Emergencies I – Toothache (EL58)  Endodontic Emergencies II – Trauma (EL60) Dr. Pamela Sims: Local Anesthetics and Drug Interactions (EL61)  Managing Acute Pain in Chronic Pain Patients (EL62) Dr. Richard Drake: Dentists Saving Lives by Treating Sleep (EL63) Dr. Ed Hewlett: Healing Dental Caries: The Minimal Intervention Approach (EL64)  Keys to Success with Direct Adhesive Restoration (EL65) Dr. LeeAnn Brady: Today’s Top Clinical Tips (EL66) Dr. Gary DeWood: Functional Esthetics (EL67) * These courses expire on 1/30/2017.

GO TO FLORIDADENTAL.ORG. CLICK CONVENTION & CE.

C lassified A dvertising

Opportunities

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Today's FDA

The FDA’s online classified system allows you to conveniently browse, place, modify and pay for your ads online, 24 hours a day. Our intent is to provide our advertisers with increased flexibility and enhanced options to personalize and draw attention to your online classified ads! As an added benefit, we will continue to publish the basic text of paid, online classified ads in Today’s FDA, at no additional cost to you. All ads posted to the online classified system will be published during the contracted time frame for which you have posted your online classified advertisement. Today’s FDA is published bimonthly; therefore, all active ads online will be extracted from the system on roughly the following dates of each year:

Issue

Extracted Date

Jan/Feb March/April May/June July/Aug Sept/Oct Nov/Dec

Jan. 15 March 15 May 15 July 15 Sept. 15 Nov. 15

Please visit the FDA’s classified website at www. floridadental.co/classifieds.

Endodontist Opportunities — Tampa, FL. Come lead our specialty team as a full-time Endodontist in Tampa! Great Expressions Dental Centers has a current, select opening for a full-time (4-5 days/ week) Endodontist to join our Tampa, FL multispecialty practice(s). Aggressive compensation package, dedicated staff, consistent schedule with a strong referral network of 25+ local offices. Compensation: Six Figure Annual Base vs. Percent of Production! Attractive Sign-on or Relocation possible as well. Benefits/Perks: Leader in the practice: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Multi-Specialty office; Doctor Career Path – Partnership/Investment Opportunities. Apply Here: http://www.Click2apply. net/m25q6csxbd. Funeral Director/Embalmer. NorthStar Memorial Group is seeking a Funeral Director/Embalmer for Levitt-Weinstein Chapel in N. Miami Beach, FL. This position manages all phases of the funeral arrangement including the removal of the deceased, selecting and setting up funeral services to final disposition, as well as, embalming, removals and transfers, cosmetology, dressing, hairstyling and any other preparation required for the deceased. The successful candidate will have strong planning, organizational and time management skills and a current license in the applicable state. Conduct funeral and memorial ceremonies in a professional and caring manner; Carry out funeral services from retrieval of the deceased to final disposition; Assist in the maintenance of the facilities, grounds and vehicles; Ensure that all federal, state and local regulations related to the funeral industry are followed; Prepare the memorial area for the family before the services start; Ensure that flowers and other memorabilia are returned to the family after services; Maintain reverence and respect for the deceased at all times; Train all staff and strictly enforce all logging, identification, casketing and cremation procedures; Complete embalming, disinfecting, dressing, preparing and casketing the deceased using appropriate precautions and OSHA standards in a manner that honors the deceased. Job Requirements: Current license or certification if required by state regulations; 1+ years of funeral industry experience; Professional communication skills; Experience handling sensitive situations in a professional manner; Understanding of the services and products available; Knowledge of current federal, state and local regulations related to the funeral industry. Apply Here: http://www. Click2apply.net/p58qdp3xzb. General Dentist needed. I’m a recruiter that focuses solely in dentistry. My practice owners/ clients are located all around the state and they’re looking for compassionate, upbeat general dentists. Your daily procedures will include restorations, crown and bridge and core build-ups (veneers, onlays, inlays), extractions, removable pros, and providing comprehensive treatment plans. Implant experience or the desire to place implants is a plus! 813.417.2156.

November/December 2016

www.floridadental.org

General Dentist Opportunity — Largo, FL. Great Expressions Dental Centers has an immediate opening for a full time General Dentist to join our Largo, FL practice (located at 11701 Belcher Rd S, Ste 103). Enjoy a rewarding career with a full office staff (including Hygienist), a strong schedule and the ability to focus on quality patient care. Compensation: Competitive Six Figure Annual Draw vs. Percent of Production; Sign-on Bonus or Relocation Assistance possible. Benefits/Perks: Leader in the practice: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Solo office; Doctor Career Path – Partnership/Investment Opportunities; Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance. Apply Here: http://www.Click2apply. net/68ddkm94p5. http://www.greatexpressions.com. Funeral Director. NorthStar Memorial Group is seeking a Funeral Director for Beth Israel Memorial Chapel Boynton Beach, FL. This position manages all phases of the funeral arrangement including the removal of the deceased, selecting and setting up funeral services to final disposition. The successful candidate will have strong planning, organizational and time management skills, as well as, a current license in the applicable state. Job Requirements: Conduct funeral and memorial ceremonies in a professional and caring manner; Carry out funeral services from retrieval of the deceased to final disposition; Assist in the maintenance of the facilities, grounds and vehicles; Ensure all federal, state and local regulations related to the funeral industry are followed; Prepare the memorial area for the family before the services start; Ensure flowers and other memorabilia are returned to the family after services; Maintain reverence and respect for the deceased at all times; Train all staff and strictly enforce all logging, identification, casketing and cremation procedures; Current license or certification if required by state regulations; 1+ years of funeral industry experience; Professional communication skills; Experience handling sensitive situations in a professional manner; Knowledge of current federal, state and local regulations related to the funeral industry; Valid driver’s license. For more information regarding this opportunity email nsmgrecruiting@nsmg.com or click the apply link. Apply Here: http://www.Click2apply.net/ygwjf6sz84. Funeral Director/Embalmer. NorthStar Memorial Group is seeking a Funeral Director/Embalmer for Beth Israel Memorial Chapel in Delray Beach, FL. This position manages all phases of the funeral arrangement including the removal of the deceased, selecting and setting up funeral services to final disposition, as well as, embalming, removals and transfers, cosmetology, dressing, hairstyling and any other preparation required for the deceased. Job Requirements: Current license or certification if required by state regulations; 1+ years of funeral industry experience; Professional communication skills; Experience handling sensitive situations in a professional manner; Understanding of the services and products available. For more information regarding this opportunity email nsmgrecruiting@ nsmg.com or click the apply link. Apply Here: http://www.Click2apply.net/jjq742tbrx.

www.floridadental.org

General Dentist Position Wanted. I am a highly productive general dental practitioner with 12 years’ experience looking for work January thru March 2017. The position must be within an hour drive of Venice, FL. I have experience in both private practice as well as public health settings. I can get you in touch with references that will assure you that I deliver quality care. If you have a position for me, please contact me via email: drpaul@ doorcountydentistry.com. Associate Placement Services. Need an Associate? Need a job? Call Melanie Aranda 561-310-0599 @ melanie.aranda@doctors-choice.com. Dentist (2 days/wk) Opportunity — Tampa, FL. Great Expressions Dental Centers has an immediate opening for a part-time General Dentist to join our Carrollwood Commons, FL practice. Enjoy a rewarding career with a full office staff (including Hygienist), a strong schedule and the ability to focus on quality patient care. Compensation: Competitive Six Figure Annual Draw with Percent of Production; Sign-on Bonus or Relocation Assistance possible. Please apply via this ad for consideration, Stacey Bruwer, M.A. | Clinical Recruiter | Great Expressions Dental Centers 29777 Telegraph Road, Suite 3000 | Southfield, MI 48034 phone 248-2376853 |Ext. 72468| fax 248-686-0118 | web www. greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www.Click2apply. net/rpvy6dbgx7. General Dentists Opportunities. As one of the country’s largest dental support organizations, we have more than 200 affiliated dental practices in 13 states. Committed to long-term care for the whole family. We are currently recruiting FullTime Associate Dentists throughout our Central Florida offices! Opportunities in Ocala, Mt. Dora, Altamonte Springs, Orange City, Lakeland, Sarasota, Cape Coral, and Palm Coast areas. Outstanding earnings and great benefits. Interested Dentists should email resume to bames@dentalcarealliance. com. Learn more @ www.dentalcarealliance.net. Part time Dental Hygienist Opportunity in Bowling Green, FL. Wexford Health has an exceptional opportunity for a Temporary, Part Time Dental Hygienist to join our team of healthcare professionals at Hardee Correctional Institution in Bowling Green, FL. Under direct supervision of the Dentist, a Dental Hygienist performs technical and advisory services in oral and dental hygiene involving oral prophylaxis. Please contact Danielle at 1-800-903-3616 ext 351 or dkaizer@ wexfordhealth.com for more information. Visit www.wexfordhealth.com to apply! Oral Surgeon — Tampa, FL. Great Expressions Dental Centers has a current opening for a fulltime Oral Surgeon to join our Tampa, FL practices. Our Specialists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. Specialists can expect unlimited production based earnings, full benefits (such as medical, dental, 401k, continuing education), paid time off, malpractice coverage, a stable patient base with full clinical staff in place, a 20+ general practice referral

network and long-term practice or regional career growth with possible investment opportunity. Job Requirements: Must have a DDS/DMD from an accredited University and active State Dental Board license. Oral Maxillofacial Surgeon License and certification. Apply Here: http://www.Click2apply. net/4h44m6dpbq. General Dentist — Jacksonville, FL. Great Expressions Dental Centers has an immediate, select opening for a full-time (5 days/week) General Dentist to join one of our established and highly productive practices located in Jacksonville, FL. Enjoy a rewarding role with a dedicated staff in this beautiful facility with an established patient base! Compensation: Competitive Six Figure Annual Draw with Percent of Production; Sign-on Bonus or Relocation Assistance possible as well! Benefits/ Perks: Leader in the practice: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Digital Office; Doctor Career Path – Partnership/Investment Opportunities; Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Mentorship – Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http://www.screencast.com/t/M3xWM5CYN. Please apply via this ad for consideration, Molly McVay | Sr. Clinical Recruiter | Great Expressions Dental Centers PSC-North | 29777 Telegraph Road. Suite 3000| Southfield, MI 48034 USA phone 248-4305555 |Ext. 72467| fax 248-686-0170 | web www. greatexpressions.com. “Look for the Smile Above Our Name!” Job Requirements: Must have a DDS/ DMD from an accredited University and active State Dental Board license; 1-2 years+ of experience is desired but will consider a new graduate doctor. Apply Here: http://www.Click2apply.net/4crn4zt74g. General Dentist Wanted. Well established, privately owned dental office in West Melbourne/Palm Bay area is expanding and seeking an associate general dentist to perform all aspects of dentistry. Must be a motivated, self-starter who works well in a team setting. 3+ years’ experience or GPR. Please forward CV to Capesidedental@aol.com and/or call 321727-0011 to discuss position further. Pediatric Dentist Opportunity Available. Busy Palm Beach Gardens pediatric practice looking for associate to start one day/week. Please send resume 561-775-1011 or lkramer612@yahoo.com. Dentist (Full-Time) Opportunity — The Villages, FL. Great Expressions Dental Centers has an immediate opening for a full-time Associate Dentist to join our solo, practice in The Villages, FL! The office is located at 11962 County Rd 101, Ste 304 and is golf cart accessible! Enjoy a rewarding career with a full office staff (including Hygienist), a strong schedule and the ability to focus on quality patient care. Compensation: Competitive Six Figure Annual Draw vs. Percent of Production; Sign-On Bonus or Relocation Assistance possible. Benefits/Perks: Leader in the practice: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Solo

Please see CLASSIFIEDS, 106

November/December 2016

Today's FDA

105

Your Classified Ad Reaches 7,000 Readers! CLASSIFIEDS from 105 office with 4 ops (room to add); Doctor Career Path – Partnership / Investment Opportunities. Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Mentorship – Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http:// www.screencast.com/t/M3xWM5CYN. Please apply via this ad for consideration, Stacey Bruwer, M.A. | Clinical Recruiter | Great Expressions Dental Centers 29777 Telegraph Road, Suite 3000 | Southfield, MI 48034 phone 248-2376853 |Ext. 72468| fax 248-686-0118 | web www. greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www.Click2apply. net/kxc7js3z8r. General Dentist Wanted. General Dentist wanted for Associateship with option to buy General Dental practice In Southwest Florida. Digital X-Ray, Eaglesoft, paperless office. Call (941) 204-3121. Send resume to vimac44@gmail.com. Hygiene Educational Provider. We need licensed Hygienists in the state of Florida for our Nutritional Education Outreach campaign for our insurance members to help educate them on the importance of good nutrition as it relates to oral health. Flexible hours. Calls can be made from home or at our location in Tampa. Full or Part time available. Up to 40 hours a week. Short training period. Salary is $20-$25.00 per hour & Bonus. Spanish a plus but not required. please email resume to gloria@ whiteandhealthy.com or call 813-445-7162. Dentist needed for Productive Ocala, FL office. Christie Dental is a Doctor owned multi-specialty group practice with locations throughout central Florida. We are looking for an experienced Full Time General Dentist for our office in beautiful Ocala, Florida. We offer dentists a competitive compensation and benefits package. Apply today! 781.213.3318. Practice in Paradise Only full time periodontal-implant practice in Key West, Fl. 3 operatories with spectacular views of the Gulf of Mexico and equipped with ADEC chairs and delivery systems and digital x-ray. There is a small lab, private office, and sterilization center. Practice is strictly fee for service with highly skilled referral base. Enjoy working, playing and living in paradise all year round. http://www.michaelgordondmd.com. 305.332.4168.

Pediatric Dentist (Full-time) — Jacksonville, FL. Great Expressions Dental Centers has a full-time opening for Pediatric Dentist to join our team in Jacksonville, FL. Compensation: Unlimited earnings with a six figure base and percent of production! Relocation or sign-on bonus possible as well. Benefits/Perks: Large, Internal Network of Referring Dentists; Leaders in the Practice: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Multi-Specialty Practices with Dedicated Staffs; Hygiene / Fully Digital Offices; Doctor Career Path – Partnership/Investment Opportunities. Must have a DDS/DMD from an accredited University and active State Dental Board license. Pediatric Dental License and certifications. Apply Here: http://www. Click2apply.net/yncr6y7gmf. General Dentist. GP needed in our 8 op office in central Florida. No insurance or capitation. Digital. Full time, children to geriatrics. New grads welcome. Contact James E. Oxer jeodmd@htn.net or 863-414-5779. Dentist Wanted in Boca Raton. FT/PT General Dentist needed for beautiful, modern, paperless practice in Boca Raton. Affluent area. Weekly pay plus high percentage collections. NO HMO’s. Call or Text 561-632-6332. UM Reviewer — Argus Dental Insurance Co. Qualifications & Skills: 1. Microsoft Office Suite Tools; 2. Ability to learn customized software systems; 3. Ability to facilitate relationships with health plan partners, to coordinate member care; 4. Ability to facilitate relationships with Argus providers, and along with Provider Network Management team, communicate, educate and assist providers in efficiently processing the necessary paperwork to obtain approval for medically necessary care. Full Time Position. Position Purpose: Primary role is providing high-level analysis of benefit data, clinical data and applying it to operational activities of Argus providers. The UM Reviewer is responsible for managing all provider requests for pre-determinations and preauthorizations. Standard work hours are 8:00- 5:00 Mon-Fri After hours and weekend work may be required. Minimal travel. Compensation: EOD Associate dentist (FT). Looking for full-time associate (Mon-Thurs, possibly Friday) dentist in small private practice. Our office is located in the Metro-west part of Orlando and has been around for almost 30 years!! We are looking for an experienced and knowledgeable dentist with lots of energy. Must be comfortable working with children as we do lots of family dentistry. Potential to buy-out in the

future (if interested). Internationally trained dentists that are licensed in Florida are welcome to apply. Compensation to be discussed based on experience. No evenings and no weekends!! Please include a good contact number with resumes. Email resumes to 407resumes@gmail.com. Part-time (2-3 days/week) Endodontist — Page Fields, FL Come lead our specialty team as a parttime Endodontist in Fort Myers! Great Expressions Dental Centers has a current, select opening for a part-time (2-3 days/week) Endodontist to join our Fort Myers, FL multi-specialty practice in Page Fields. Aggressive compensation package, dedicated staff, consistent schedule with a strong referral network of local offices. Please apply via this ad for consideration! Stacey Bruwer, M.A. | Clinical Recruiter | Great Expressions Dental Centers 29777 Telegraph Road, Suite 3000 | Southfield, MI 48034 phone 248-237-6853 |Ext. 72468| fax 248-686-0118 | web www.greatexpressions.com. “Look for the Smile Above Our Name!” Must have a DDS/DMD from an accredited University and active State Dental Board license. Endodontist Dental License and certifications. Apply Here: http://www.Click2apply. net/2jqnjd7hwb. Dentist Opportunity (Full-Time) — Northwest Tampa, FL. Come lead our West Chase office! Great Expressions Dental Centers has an immediate opening for a full-time General Dentist to lead our beautiful, solo, digital and high production West Chase practice in Tampa, FL (Located at 13022 Racetrack Rd, Ste 101). Enjoy a rewarding career with a full office staff (including Hygienist), a strong schedule and the ability to focus on quality patient care. Compensation: Competitive Six Figure Annual Draw vs. Percent of Production. Please apply via this ad for consideration, Stacey Bruwer, M.A. | Clinical Recruiter | Great Expressions Dental Centers 29777 Telegraph Road, Suite 3000 | Southfield, MI 48034 phone 248-237-6853 |Ext. 72468| fax 248-686-0118 | web www.greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www. Click2apply.net/243qxjr9jh. Pediatric Dentist — Tampa, FL. Come lead our specialty team as a full-time Pediatric Dentist in northeast Tampa! Great Expressions Dental Centers has a current, select opening for a fulltime (4-5 days/week) Pediatric Dentist to join our northeast Tampa, FL multi-specialty practice(s) in Tampa. Aggressive compensation package, dedicated staff, consistent schedule with a strong referral network of 20+ local office. Compensation: Unlimited Earnings via an Attractive Base vs. Percent of Production! Please apply via this ad for consideration or via contact information below: Stacey Bruwer, M.A. | Clinical Recruiter | Great

RE: I Recommend FDA Services! I have been very pleased with my experiences with FDA Services. I have used them for some of my insurance needs and have been greatly satisfied. My agent works with many dentists and understands our unique needs, both personally and professionally. I would, and have, recommended FDA Services to colleagues due to their level of expertise and a high level of trust I have in a program endorsed by the FDA. — Dr. John Brodne, Tequesta 106

Your Classified Ad Reaches 7,000 Readers! Expressions Dental Centers 29777 Telegraph Road, Suite 3000 | Southfield, MI 48034 phone 248-2376853 |Ext. 72468| fax 248-686-0118 | web www. greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www.Click2apply. net/gvxh3z332m. Endodontist Opportunities — Tampa, FL. Great Expressions Dental Centers has select openings for Endodontists to join our Tampa, FL practices. Our specialists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. When considering a career with GEDC, specialists can expect: Compensation: Six Figure Annual Base vs. Percent of Production! Attractive Sign-on or Relocation possible as well. Please apply via this ad for consideration! Stacey Bruwer, M.A. | Clinical Recruiter | Great Expressions Dental Centers 29777 Telegraph Road, Suite 3000 | Southfield, MI 48034 phone 248-237-6853 |Ext. 72468| fax 248-686-0118 | web www.greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www. Click2apply.net/f7h36ppyyv. Associate Dentist Opportunity — Tampa, FL. Great Expressions Dental Centers has an immediate opening for a full-time General Dentist to join our Carrollwood Commons and Pinellas Park, FL practices. Enjoy a rewarding career with a full office staff (including Hygienist), a strong schedule and the ability to focus on quality patient care. Compensation: Competitive Six Figure Annual Draw with Percent of Production; Sign-on Bonus or Relocation Assistance possible. Benefits/Perks: Leader in the practice: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Multi-Specialty office; Doctor Career Path – Partnership/Investment Opportunities; Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Mentorship – Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http://www.screencast.com/t/M3xWM5CYN. Please apply via this ad for consideration, Stacey Bruwer, M.A. | Clinical Recruiter | Great Expressions Dental Centers 29777 Telegraph Road, Suite 3000 | Southfield, MI 48034 phone 248-2376853 |Ext. 72468| fax 248-686-0118 | web www. greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www.Click2apply. net/7bjbvdwvsj.

Full Time Dentist Opportunity: Treasure Coast, FL. Great Expressions Dental Centers has an immediate, select opening for a full-time General Dentist to join our established, high production, digital Stuart, FL multi-specialty practice! Enjoy a rewarding career with a full office staff (including HYG), a strong schedule and the ability to focus on quality patient care. Compensation: Compensation — Six-Figure Draw vs. Percent of Production. Apply via this ad to learn more about Great Expressions! For More Information, Please Contact: Ross Shoemaker, MBA | Doctor Recruiting Manager | Great Expressions Dental Centers Practice Support Center - South | 1560 Oakbrook Drive, Norcross, GA 30093 USA phone 678-836-2226 | ext 72226 | fax 770-2423251 |web www.greatexpressions.com email Ross. Shoemaker@greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www. Click2apply.net/gdt8pzsbr7. Dentist (w/Bonus) — Fort Myers, FL. Great Expressions Dental Centers has an immediate opening for a full-time General Dentist to join one of our Fort Myers, FL practice. Enjoy a rewarding role with a dedicated and experienced staff! Compensation: Competitive Six Figure Annual Draw with Percent of Production; Sign-on Bonus or Relocation Assistance possible. Benefits/Perks: Leader in the practice: Clinical Freedom and Treatment Autonomy; Patient Focus: Established and Growing Patient Foundation; Multi-Specialty office; Doctor Career Path – Partnership/Investment Opportunities; Full Benefits Offered – Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues. Apply Here: http:// www.Click2Apply.net/kgnhfvqzfq. Florida Dental & Denture Centers. General Dentist for large Dental Office with laboratory on premises. Monday thru Friday. 305.661.3819.

Practices for sale. Buyers and Sellers: We have over 110 Florida dental practice opportunities; and maybe the perfect buyer for your practice. Check out our website at doctors-choice.com or call 561746-2102 or email us at info@doctors-choice.com. INTRAORAL X-RAY SENSOR REPAIR. We specialize in repairing Kodak/Carestream, Dexis Platinum, Gendex GXS 700 & Schick CDR sensors. Repair & save thousands over replacement cost. We also buy & sell dental sensors. www.RepairSensor. com/919-924-8559. Turnkey space in palm beach county fully equipped 1250 sqft. Want to transfer your existing practice or start a new practice — this is your opportunity! Direct inquiries via fax to 561.423.3932. Sarasota dental office. Sarasota office for sale or lease. 1500 sf, beautifully appointed; presently set up for orthodontics, however could be altered for general practice or specialty like pedodontics. Furniture and equipment separate, but likewise available for sale/lease. Office is less than one mile from gorgeous Siesta Key. 941-592-7800, or e-mail ldett51@gmail.com. HIGH END FULLY EQUIPPED HIGH TECH SUITE IN PALM BEACH COUNTY – GENERAL PRACTICE PALM BEACH COUNTY FLORIDA 1250 sq ft space — PROFESSIONAL CENTER — MANY MEDICAL OFFICES NEARBY — DOES NOT GET ANY BETTER THAN THIS! WALK IN READY TO PRACTICE DENTISTRY WITH EVERYTHING YOU COULD NEED ALREADY IN PLACE. SUBMIT YOUR INTEREST VIA FAX AT 561.423.3932. Port Charlotte, FL. General Dental Practice For Sale. Motivated Seller. Great opportunity 988 sq feet, 3 operatories. Will separate real estate from practice. Asking price $275,000. Send email to llmbirder@ comcast.net.

For Sale/Lease Office for sale in Panama City, FL. For sale, Panama City, FL. 1933 sqft. Stand alone building. 4 equipped ops with room for 2 more ops; Lab, etc. Plenty of parking. Superb location in professional office park on major street on best side of town. Does not include practice, already sold that when dentist recently retired. 850-271-5612.

RE: Florida Dental Convention Offers New Courses We have some great new courses at FDC2017! Drs. Sundeep Rawal and Mark Kleive demonstrate morphing before and after pictures with the software using molds and facial scanner or photographs for digital case presentation that wows! Dr. Robert Miller will present a fascinating method for grafting using hard tissue-bone replacement and soft tissue grafting to cover hard tissue. Come for the cutting edge CE, and stay for the fun! — Dr. Sandy Rosenberg, FDC 2017 Scientific Program Chair

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OFF THE CUSP

JOHN PAUL, DMD, EDITOR

Winter time in Florida … it’s really just something on the calendar. The season is changing, but here, that means summer 2016 will become summer 2017. We are happy the weather forecast doesn’t begin with “oppressive,” that nothing will be falling that needs to be shoveled and that our snow car is the same as our regular car. If something must fall, then I am thankful it is my air conditioning bill. Another thing I am grateful for is my favorite patient: Erma Mae Gruntbuns. She regularly is featured in my blog and she has taught me many things. I have been her faithful follower since dental school where she taught me how patients really see what we do. We can opine all day that a six-degree taper on a crown prep and a root canal fill 0.5 mm from the apex of the root are the mark of a clinically acceptable dentist. Mrs. Gruntbuns is only interested in how much I care about her well-being. When I forget and retreat in to dental jargon, she doesn’t think, “Well, he’s the doctor and maybe I’m not supposed to understand.” She’s feisty and calls me out. She tells me, “Dr. Paul, I don’t understand a word you just said. Why don’t you try again and assume I didn’t take Latin in high school” — which I’m pretty sure she did and can speak it conversationally — “and explain this to me so I can feel good about what you plan to do.” Mrs. Gruntbuns is fashioned after one of my instructor’s favorite patients, Mrs. Ashley Ravenel Cooper. Her appearance and participation in the blog are purely a work of fiction, but the words she says come from real patients who share her personality. People who are kind enough to tell me when I have made a mistake and allow me to correct it. Friends and patients like that are worth more than gold.

Dr. Paul is the editor of Today’s FDA. He can be reached at jpaul@bot.floridadental.org.

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Today's FDA

November/December 2016

www.floridadental.org

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