TFDA NovDec 2024 ISSUU

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The Florida Dentist's Guide to Peer Review

MEMBERSHIP ISSUE

28 2024 ADA House of Delegates Recap in New Orleans

33 Dedicated to the Mission of Helping Members Succeed

34 What Being an FDA Member Means to You

36 The Florida Dental Association's Member Assistance Program

37 Workforce Challenges? Utilize the FDA's Jumpstart Program

38 Human Trafficking Poster Requirements

40 Announcing the FDA's New and Improved Career Center

43 Florida Dentists: Unlock Savings with Best Card's FDA-Endorsed Promotion!

48 The Florida Dentist's Guide to Peer Review

52 Board of Dentistry Discipline Enforcement Process

54 Board of Dentistry: A Quick Guide to the MQA Disciplinary Process Probable Cause Panels

55 Board of Dentistry: A Quick Guide to the MQA Disciplinary Process Discretionary Emergency Orders — 3 Things to Know

56 2024-2025 FDA President Dr. Jeff Ottley

60 Dental Lifeline Network • Florida Makes a Difference for Individuals in Need

64 FDC2025 Speaker – From Routine to Remarkable: The Power of Intentional Patient Engagement

66 FDC2025 Speaker – Sleep Apnea

72 FDA District Dental Associations

75 ADA Wellness Ambassadors: Lead the Way in Supporting Dentists' Well-Being

76 Showcasing the FDA's Impact and Helping Floridians Find Their FDA Dentist

82 Dentistry to Forensics: A Life of Service and Discovery

IN EVERY ISSUE

2 Staff Roster

EDITOR

Dr. Hugh Wunderlich, CDE

Palm Harbor

BOARD OF TRUSTEES

PRESIDENT

Dr. Jeffrey Ottley

Milton

FIRST VICE PRESIDENT

Dr. Dan Gesek Jacksonville

SPEAKER OF THE HOUSE

Dr. Don lIkka Leesburg

17TH DISTRICT TRUSTEE

Dr. Andy Brown Jacksonville

PRESIDENT-ELECT

Dr. John Paul Lakeland

IMMEDIATE PAST PRESIDENT

Dr. Beatriz Terry Miami

TREASURER

Dr. Rodrigo Romano Miami

EXECUTIVE DIRECTOR Drew Eason, CAE Tallahassee

TRUSTEES

Dr. Tom Brown Orange Park

Dr. John Cordoba Lake Mary

Dr. Bethany Douglas Jacksonville

Dr. Fred Grassin Spring Hill

Dr. Bertram Hughes Gainesville

Dr. Richard Mufson Miami

Dr. Christopher Bulnes Tampa

Dr. Sam DeSai Cape Coral

Dr. Karen Glerum Boynton Beach

Dr. Reese Harrison Lynn Haven

Dr. Eddie Martin Pensacola

Dr. John Pasqual Delray Beach

To contact an FDA board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org. For example, to email Dr. Hugh Wunderlich, his email would be hwunderlich@bot.floridadental.org.

To call a specific staff member below, dial 850.350. followed by their extension.

EXECUTIVE OFFICE

Drew Eason • chief executive officer/executive director deason@floridadental.org Ext. 7109

Greg Gruber • chief operating officer/chief financial officer ggruber@floridadental.org Ext. 7111

Casey Stoutamire • chief legal officer cstoutamire@floridadental.org Ext. 7202

Lianne Bell • leadership affairs manager lbell@floridadental.org Ext. 7114

Lywanda Tucker • peer review coordinator ltucker@floridadental.org Ext. 7143

ACCOUNTING

Breana Giblin • director of accounting bgiblin@floridadental.org

7137

Leona Boutwell • finance services coordinator lboutwell@floridadental.org Ext. 7138

Jannella Rose • fiscal services coordinator jrose@floridadental.org Ext. 7119

Mitzi Rye • fiscal services coordinator mrye@floridadental.org Ext. 7139

Kaitlinn Sendar • fiscal services coordinator ksendar@floridadental.org Ext. 7165

COMMUNICATIONS AND PUBLICATIONS

Renee Thompson • director of communications and marketing rthompson@floridadental.org Ext. 7118

Jill Runyan • director of publications jrunyan@floridadental.org Ext. 7113

Kinnedi Bonner • communications and media coordinator kbonner@floridadental.org Ext. 7115

Mike Reino • graphic design coordinator mreino@floridadental.org Ext. 7112

FDA FOUNDATION

R. Jai Gillum • director of foundation affairs rjaigillum@floridadental.org Ext. 7117

Kristin Badeau • foundation coordinator kbadeau@floridadental.org

Madelyn Espinal • foundation assistant mespinal@floridadental.org

7161

7122

FLORIDA DENTAL CONVENTION AND CONTINUING EDUCATION

Crissy Tallman • director of conventions and continuing education ctallman@floridadental.org Ext. 7105

Brooke Martin • FDC marketing specialist bmartin@floridadental.org Ext. 7103

Lisa O’Donnell • FDC program coordinator lodonnell@floridadental.org Ext. 7120

Grace Pereira • FDC meeting assistant gpereira@floridadental.org Ext. 7162

Deirdre Rhodes • FDC exhibits coordinator drhodes@floridadental.org Ext. 7108

Heather Slager • FDC program coordinator hslager@floridadental.org Ext. 7106

GOVERNMENTAL AFFAIRS

Joe Anne Hart • chief legislative officer jahart@floridadental.org Ext. 7205

Brandon Edmonston • lobbyist bedmonston@floridadental.org Ext. 7205

Jamie Graves • legislative affairs coordinator jgraves@floridadental.org Ext. 7203

INFORMATION SYSTEMS

Larry Darnell • director of strategic initiatives and technology ldarnell@floridadental.org Ext. 7102

Charles Vilardebo • computer support technician cvilardebo@floridadental.org Ext. 7153

MEMBER RELATIONS

Kerry Gómez-Ríos • director of member relations krios@floridadental.org Ext. 7121

Megan Bakan • membership coordinator mbakan@floridadental.org Ext. 7136

Cecilia Franco • membership coordinator cfranco@floridadental.org Ext. 7123

Bettie Swilley • membership coordinator bswilley@floridadental.org Ext. 7110

Austin White • member access coordinator awhite@floridadental.org Ext. 7100

FDA SERVICES | 545 John Knox Road, Ste. 201 • Tallahassee, FL 32303 • 800.877.7597 or 850.681.2996

Scott Ruthstrom • chief operating officer scott.ruthstrom@fdaservices.com Ext. 7146

Carrie Millar • director of insurance operations carrie.millar@fdaservices.com Ext. 7155

Carol Gaskins • commercial accounts manager carol.gaskins@fdaservices.com Ext. 7159

Tessa Pope • customer service manager tessa.pope@fdaservices.com Ext. 7158

Marcia Dutton • membership services assistant marcia.dutton@fdaservices.com Ext. 7148

Porschie Biggins • Central FL membership commercial account advisor porschie.biggins@fdaservices.com Ext. 7149

Maria Brooks • South FL membership commercial account advisor maria.brooks@fdaservices.com Ext. 7144

Davis Perkins • Atlantic Coast membership commercial account advisor davis.perkins@fdaservices.com Ext. 7145

Danielle Basista • commercial account advisor danielle.basista@fdaservices.com Ext. 7156

Jordyn Berrian • commercial account advisor jordyn.berrian@fdaservices.com Ext. 7163

Kelly Dee • commercial account advisor kelly.dee@fdaservices.com Ext. 7157

Jamie Idol • commercial account advisor jamie.idol@fdaservices.com Ext. 7142

Maddie Lawrence • commercial account advisor maddie.lawrence@fdaservices.com Ext. 7154

Liz Rich • commercial account advisor liz.rich@fdaservices.com Ext. 7171

Karina Scoliere • commercial account advisor karina.scoliere@fdaservices.com Ext. 7151

YOUR RISK EXPERTS

Dan Zottoli, SBCS, DIF, LTCP director of sales • Atlantic Coast 561.791.7744 • cell: 561.601.5363 dan.zottoli@fdaservices.com

Dennis Head, CIC director of sales • Central Florida 877.843.0921 • cell: 407.927.5472 dennis.head@fdaservices.com

Mike Trout director of sales • North Florida cell: 904.254.8927 mike.trout@fdaservices.com

Joseph Perretti, SBCS director of sales • South Florida cell: 305.721.9196 joe.perretti@fdaservices.com

Rick D’Angelo, CIC director of sales • West Coast 813.475.6948 • cell: 813.267.2572 rick.dangelo@fdaservices.com

19-21,

FEATURED SPEAKERS

★ Alan Atlas, DMD

★ Lois Banta

★ Tracy Blessing, DMD

★ Lee Ann Brady, DMD

★ Robert Convissar, DDS

★ Gary DeWood, DDS, MS

★ Leonard Hess, DDS

★ Mark Kleive, DDS

★ Victoria Ursitti, DMD

★ + Many More!

REGISTRATION OPENS MARCH 1!

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HOT TOPICS

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The Benefits of Membership

As the Florida Dental Association (FDA) approaches the membership renewal and new membership season, I want to reflect on why I chose to be a member for the past 25 years. As a young dentist, I felt it was an obligation to support the only association that has supported dentists for more than a hundred years. Everyone I knew in dentistry was a member, and I wanted to be like the best in the field. The opportunities to meet with local dentists at gatherings were priceless, the discounts on multiple insurance policies were much appreciated, and the feeling of belonging far outweighed the dollar amount of membership.

Once I was established and on cruise control, I began to look for more as many members questioned, what is the FDA doing for me? I embraced the advocacy part of dentistry and engaged in the power of relationships with those who can change how we practice with a single vote. I began to understand the importance of Peer Review, a member benefit that can stem the tide of a potential lawsuit or a Board of Dentistry disciplinary action. The ic-

ing on the cake was the result of many savings from FDA Services and the companies that partner with the FDA to provide products essential to our practices.

Now, as I enter into the glory years of my practice, the final phase of my dental career, I have come to truly appreciate the importance of an association having my back at every turn and crossroads of my journey. The FDA is there for all dentists, all practice specialties, modalities and phases of practice. The FDA will support you through advocacy, legal issues, mental and physical wellness, all your insurance needs, dental insurance reform, practice transitions, mentorship and so much more. The goal of the FDA is to reassure you that you’re not alone in this journey. Renew your membership for 2025 and if by chance you are unsure about membership, call the FDA at 800.877.9922 and get all your concerns answered by our amazing team.

FDA President Dr. Ottley can be reached at jottley@bot.floridadental.org.

Top 10 FAQs did you know?

1. Can my dental assistant or dental hygienist perform a specific procedure? Do I have to be in the office? What type of training do they have to have?

A. Call the Florida Dental Association (FDA) at 800.877.9922 or 850.681.3629 and we can unpack the Florida Board of Dentistry (BOD) rules and find the answer for you.

2. How long do I have to keep my dental records?

A. The BOD rules require you to keep all patient records for four years from the last time the patient was treated. However, many malpractice carriers suggest you keep all records for seven years for statute of limitation purposes.

Also, call the FDA if you have questions about what must be included in the dental record per Florida law and what we suggest should also be included as a best practice to protect yourself in the future.

3. I have a very disgruntled patient who is unhappy with their treatment; what should I do?

A. There are a couple of options. If you are an FDA member, we offer peer review to help mediate a solution between you and the patient. We can also discuss the correct way to dismiss a patient from the practice and your responsibilities for emergency care.

4. If I am relocating, opening a new office, or retiring, what should I do with my patient records?

A. A very specific BOD rule now allows you to post the notice on your website instead of running an ad in the newspaper. Call the FDA for the exact requirements.

On the topic of patient records, you cannot withhold records due to nonpayment for treatment. You can charge for releasing the records, but the BOD rule is very specific about how much.

5. I want to apply for a permit to provide anesthesia services in my office; how can I do this?

A. This is a very loaded question, and you will need to call the FDA so we can find the specific answer in the BOD

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did you know?

rules. What type of permit (general anesthesia, conscious sedation or pediatric conscious sedation)? Will you be using a physician anesthesiologist? Will you be using a practitioner who is itinerate/mobile to administer sedation? Will you be sedating the patient yourself or will you be bringing someone into your office? How many offices do you have and will you sedate patients at all of them?

6. What happened at the last BOD meeting?

A. The BOD meets in person quarterly, and the councils and committees meet at various times during the year via conference call. The FDA represents you at all of these meetings. We then make sure to update our members on all areas that impact your profession. For example, at the last meeting, the BOD approved a rule to implement the licensure by endorsement legislation that passed during the 2024 Legislative Session.

7. Help! My office has been hacked and all my patient files are being held for ransom!

A. Yes, this is an actual call the FDA received. Don’t be afraid to use the FDA as a resource when you aren’t sure who to call. If we don’t know the answer off the top of our heads, we will find it for you!

8. What code do I use to bill for a particular procedure?

A. The current dental terminology code book is updated every year, and often, there are changes in the ways you code for certain procedures. Call the FDA, and we can research the issue and help update you on what changes took place.

9. I am having problems with “X” dental insurance plan. How can I get this claim paid?

A. The FDA has staff who focus on third-party payers in Florida and their impact on members. Working closely with the various insurance plans, Medicaid managed-care plans, the Agency for Health Care Administration, the Department of Health, BOD and other state and federal agencies, the staff member addresses issues relating to third-party payers. We can address your concerns in the complex arena of third-party payers, gather data on problems and create momentum for finding solutions.

10. What is the FDA doing about all the Do-It-Yourself Dentistry companies and products?

A. In recent years, do-it-yourself (DIY) dental practices have become more prevalent. DIY treatments range from oil pulling to whitening with charcoal to clear aligners products such as at-home aligners are also called direct-to-consumer (DTC), products. Patients may seek DIY or DTC services for dental treatments like teeth straightening because they feel they can’t fit office visits into their schedule or think it will cost less than in-person treatment. Many FDA member dentists have contacted the FDA because they are seeing patients being harmed by these DIY practices. The FDA wants to ensure the public is being protected as visiting a dentist can catch issues beforehand and ensure DIY treatment doesn’t cause more problems than it cures.

As such, the FDA strongly discourages the practice of do-ityourself and direct-to-consumer dental laboratory services because of the potential for irreversible harm to patients.

The FDA is working closely with the BOD to define what constitutes a patient of record under Florida law and to update its rules to incorporate and define supervision levels of scans and impressions taken digitally.

The FDA strongly encourages its members, all dentists and their patients to report instances of individuals being harmed by DIY and/or DTC dental laboratory services to:

The BOD: floridahealth.gov/licensing-and-regulation/ enforcement/index.html or call 850.245.4474.

The Unlicensed Activity Bureau at the Department of Health: floridahealth.gov/licensing-and-regulation/ enforcement/report-unlicensed-activity/index.html

The Food and Drug Administration: accessdata.fda.gov/ scripts/medwatch/index.cfm?action=reporting.home

FDA Chief Legal Officer Casey Stoutamire can be reached at cstoutamire@floridadental.org.

A portion of your dues is transferred to the Florida Dental Association Political Action Committee (FDAPAC). FDAPAC provides campaign contributions to dental-friendly candidates.

FDAPAC Century Club members provide additional financial support of $150 or more for state campaigns. FDAPAC dues and contributions are not deductible for federal income tax purposes.

Hotel Room Block at Hotel Duval

FDA's Big Legislative Wins!

During the 2024 Legislative Session, the Florida Dental Association (FDA) prioritized passing legislation that would address dental insurance reforms, protect patients from direct-to-consumer dental products, increase funding for dental in the Medicaid program, secure state support for the Veterans Dental Care Grant Program, as well as the Florida Mission of Mercy (FLA-MOM). Well, the FDA accomplished that and so much more!

This year, the legislature focused on health care initiatives to help prepare Florida for its aging population, which grows by 1,000 people daily. Additionally, the legislature approved a budget totaling $117.4 billion, including several consumer-friendly sales tax exemptions, ranging from the “back-to-school” sales tax holiday to the “Freedom Month” sales tax holiday. The governor signed the budget into law and it became effective on July 1.

APPROVED

Dental Insurance Reform (prior authorization and virtual credit card payments)

SB 892 prohibits denying claims for procedures receiving prior authorizations (with exceptions). Prohibits dental insurance plans from specifying credit card payments as the only method of payment to dentists. Specifies that dental insurance plans must get the dentist’s consent for virtual credit card payments and provide instructions for selecting alternative payment methods.

Patient Protection Measures for Direct-to-Consumer Dental Products

HB 855 will require dentists to provide patients with their contact information and after-hours contact information for emergencies. Creates definitions for “in-person” exams, advertisements and digital scanning. The bill requires a designation of dentist of record for dental partnerships, corporations or other business entities that

advertise dental services. Creates grounds for the Board of Dentistry to impose regulatory discipline on a dentist’s license for failure of an in-person exam prior to use of orthodontic appliance and failure to provide patients with contact information.

Expansion

of the Dental Student Loan Repayment Program

SB 7016 expands the Dental Student Loan Repayment Program to include dental hygienists. This legislation makes the program a continuous five-year program as long as eligibility is maintained, removes the 10 new applicants per year cap on the program and increases the funding from $1.8 million to $8 million.

Dental Medicaid Fee Increase

SB 7016 appropriates $35 million for a dental fee increase in the Medicaid program.

Veterans Dental Care Grant Program

$1 million was allocated to implement the Veterans Dental Care Grant Program. Funding will help charitable organizations and clinics across the state provide critical oral health care services and treatment to veterans at no cost.

Florida Mission of Mercy

$250,000 was allocated to support the 2025 FLA-MOM to be held in Volusia County.

DEFEATED

Dental Therapy

Legislation was filed this year to authorize dental therapists in Florida. The FDA opposes legislation supporting dental therapy and was able to defeat this legislation.

Also, check out the FDA’s 2024 Legislative Session wrapup report at bit.ly/4eYYQ1A.

FDA Chief Legislative Officer Joe Anne Hart can be reached at jahart@floridadental.org.

HIPAA: It’s Not Just a Training — It's Your Guide to Continuous Compliance

Picture this: It’s time for your annual Health Insurance Portability and Accountability Act (HIPAA) training. Once you complete all the staff training, you think you will be compliant for the year; however, you would actually be mistaken, but that’s okay. It’s a common misunderstanding of HIPAA and its requirements.

HIPAA is comprehensive federal legislation that protects sensitive patient data. As a staff member of a covered entity or business associate, it is your responsibility to properly safeguard patient data, which requires much more than annual training.

This article examines the requirements for HIPAA compliance and showcases how software solutions can more thoroughly and quickly ensure responsibilities are met compared to manual tracking.

So, what’s required for HIPAA?

preventive action

HIPAA compliance requires a continuous documented program, not just annual training.

When HIPAA is followed correctly, appointing a HIPAA Compliance Officer is essential. This highlights the need for leadership and organization of all elements to ensure compliance.

One of the most essential components of HIPAA is a Security Risk Analysis (SRA). The SRA is a commonly missed requirement, with 86% of covered entities and business associates unable to present the documentation when randomly audited.

The SRA is a detailed review of all the safeguards your practice has in place to protect patient data. This ranges from alarms on doors to procedures followed by your staff and it is a thorough analysis of your practice’s precautions and vulnerabilities regarding HIPAA.

Alongside a documented SRA, policies and procedures must be made available to all staff, empowering employees to quickly review the best course of action if an issue arises. Using templates you find online will only cut it if they are personalized and unique for the location.

Documentation is a significant component of HIPAA. Another required paperwork element of HIPAA is Business Associate Agreements with all third-party companies your practice or business works with that have access to Protected Health Information. When HIPAA breaches occur, they also have to be documented and reported. As you can see, HIPAA compliance is much more than just training. It’s a continuous program for a good reason: protecting patients’ sensitive health information.

Utilizing comprehensive software solutions can help identify your vulnerabilities, save your practice significant time and offer a clear understanding of what needs to be done to ensure compliance.

The Future of HIPAA Compliance

HIPAA compliance is a continuous process; one yearly training isn’t going to cut it. The requirements of HIPAA can be complex, but with intelligent software solutions, your organization can streamline compliance and mitigate risk. Utilizing comprehensive software solutions can help identify your vulnerabilities, save your practice significant time and offer a clear understanding of what needs to be done to ensure compliance. Instead of relying on a cumbersome manual binder full of paperwork, innovative solutions can offer these advantages.

To learn more about HIPAA compliance best practices, schedule an education consultation with one of Abyde’s experts today at info@abyde.com or call 800.594.0883.

Matt DiBlasi is the CEO and co-founder of Abye and can be reached at info@abyde.com

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Who’s ERISA, and Why is She Bothering Me?

Being a dentist in today’s world is becoming increasingly challenging. Whether reviewing third-party insurance contracts or understanding the ins and outs of commercial rental agreements, one must be well-versed in key language to succeed in the health care space. Even after you feel good about signing a third-party reimbursement contract, there is still so much more that dentists need to be aware of. Basically, the playing field has not been particularly level, and the apparent tilt is toward the insurance carriers.

One of the provisions that dentists may want to familiarize themselves with is ERISA (Employee Retirement Income Security Act of 1974). This is one of the key laws that insurance companies operate under, making it challenging to provide care to patients relying on dental benefits. At the state level, the Florida Dental Association (FDA) has worked diligently to help improve the way a dentist is reimbursed for services, but most employee plans offered (about 70%) are self-funded plans, thus covered by ERISA.

“Plan administrators and employers cite ERISA preemption when refusing to comply with state insurance laws enacted to protect patents. If there is a specific dental

insurance problem that a state legislature passes a law to fix, like the assignment of benefits, the self-funded plans claim ERISA preemption to avoid compliance with that law. This takes power away from patients and dentists and the state-level dental insurance reforms meant to protect them,” says Dr. Chris Bulnes, former chair of the American Dental Association (ADA) Council on Dental Benefit Programs.

Currently, the ADA has an amicus brief in the United States (U.S.) Supreme Court will accept a review of a decision made by the U.S. Court of Appeals. One key message is that payors should follow state laws, as they have patients’ best interests in mind regarding their health and safety.

Dr. Bert Hughes is the FDA’s representative on the ADA Council on Dental Benefits program and can be reached at berthughes@me.com

very diligently to help improve the way a dentist is reimbursed for services, but most employee plans

Prioritizing Progress: Swinging Hard vs. Making Contact

As we approach the end of another year, many of us have pulled up our dashboard to review reports and analyze metrics, comparing where we are at present to where we’d projected and where we were last year. In addition to your professional review, maybe you're revisiting your personal vision board, celebrating your successes thus far, while also reflecting on your challenges. This is the time of year when we face a hard truth: in our quest to achieve it all, some things may have been left behind.

It’s easy to get caught up in the frenzy of multitasking, but often, what we call “multi-tasking” is nothing more than being “multi-distracted.”

This is especially true for dentists balancing clinical practice, personal growth, family matters and entrepreneurial ventures. As we look toward the new year, it is crucial to prioritize progress over mere activity. It’s not enough to simply swing hard at everything on our plate when, at times, making meaningful contact is just as sufficient. This idea was reinforced for me through an unexpected source — my oldest son's experience playing little league baseball.

I must warn you that until now, baseball has not been my thing, so for all of the curveball enthusiasts — give me a little grace. Here’s what I’ve noticed for the past 18 months of learning the sport: my son has learned that when he swings to swing hard, and for the longest I’ve joined all of the other parents in encouraging him to do so. However, as he focuses intensely on hitting a home run with every swing, he forgets the fundamentals like his stance, keeping his eye on the ball and proper timing. He wants that big moment of success so much that he overlooks the small, critical steps necessary to make solid contact like many of us.

“Swinging hard,” in this case, is likened to focusing solely on the big win(s) or the end result, which, although we want to keep those at the top of our mind, I caution you to remember that it can be at the expense of making real progress. Let’s explore three key ways to prioritize progress as we enter the new year.

1. Start with Where You Are

Before making any significant progress, you have to know where you stand. Just like in baseball, where an athlete must understand their current capabilities to improve, we need to assess our current position in our lives, which means closely evaluating where we are professionally, financially and personally long before setting new goals.

Taking stock of the present helps you identify the direction you need to take. It’s about acknowledging what worked, refining what needs refining

Drs. Kenjula Brown, Jimmy Orphe, Christopher Basily and ArNelle Wright attend FDC2024.

and being honest with yourself and the team about what to cut completely. Only then can you create a plan for progress.

Let’s bring it back to dentistry. In your day-to-day, this could mean evaluating the systems of your practice. It also includes identifying areas where your energy has been divided too thin. Again, it’s tempting to focus on the “big swings,” like expanding your practice or diving into new ventures. But before you do that, reflect on where you currently stand to ensure your next step is grounded in reality and headed in the right direction.

2. Reflect Often and Adjust as Needed

Outside of taking the right action, one of the most important parts of making progress is reflection. This isn’t something to do just once a year — it should be a constant practice where you carve out time to think and revisit the steps you’ve already taken in comparison to the outcome(s) they’ve yielded. Reflection allows you to pivot and change direction when needed. Sometimes, we get so caught up in our original plans that we hesitate to make adjustments despite glaring evidence showing we should. This rigidity can slow down or even halt progress.

Consider the times in your practice when a system or approach didn’t yield the desired results — maybe blocks in the new schedule format didn't align with honoring the patient's time and simultaneously disoriented the practice workflow. Honest reflection asks critical questions like: Did we overlook a crucial part of our process? What outcome

would we like to achieve and how do we get there seamlessly? What parts of the patient journey (experience) did we not consider when making this change? As we move into a new year, frequent reflection will allow us to catch these moments early and make adjustments before they become larger issues for everyone involved.

3. Connect with the Right Community

Progress is never made in isolation. One of the most powerful ways to drive progress is by connecting with others who share your goals and are on a similar journey. Whether in baseball or business, undeniable energy comes from surrounding yourself with others who are driven, focused and committed to moving forward.

In the dental community, this means aligning yourself with like-minded peers striving to balance their clinical requirements with leadership endeavors or balancing practice ownership with lifelong learning. Regardless of what you’re juggling each day, remembering the contagious energy when you’re part of a group that encourages you, offers insights and provides accountability is key. Being in a community with other movers and doers reinforces the importance of building solid, fundamental habits that ensure sustainable progress, not just short-term wins.

The Fundamentals Never Fail Us

At the end of the day, progress in any area of life comes down to mastering the fundamentals. In baseball, my son might swing for the fences, but without attention to his form and

technique, he’s likely to miss the ball. The same goes for us. As you read through reports and revisit the challenges and successes of the past year, think about where fundamental steps may have been overlooked. Was it in communication with your team? Inconsistent attention to systems and processes? A lack of reflection or strategic adjustments?

As we prepare for the new year, let’s prioritize progress by returning to those core pillars that never fail us:

• Knowing where we stand.

• Reflecting on our path.

• Connecting with those who will push us forward.

In this next round, let’s focus on making contact — and watch how progress naturally follows.

Dr. ArNelle Wright is the FDA's 17th District Alternate Delegate to the ADA and serves as chair of the FDA New Dentist Task Force. She can be reached at arnellewrightdmd@gmail.com

Drs. Kim Jernigan and ArNelle Wright.

Q&A Spotlight: Insights from LEAD Participants

Leaders Emerging Among Dentistry (LEAD) program has become an essential resource for Florida Dental Association members (FDA), providing a platform to sharpen leadership skills, cultivate professional relationships and exchange insights on practice growth and personal development. In this question and answer, Drs. Kenjula Brown, Joe Richardson and Stephanie Dye share how their experiences in the program have enriched their careers, enhanced their teamwork and communication skills, and motivated them to contribute more meaningfully to their practices and the dental community. They highlight the powerful impact of being a LEAD participant in sparking new perspectives and fostering a network of motivated dental professionals throughout Florida.

Q. Why would you tell people to attend LEAD?

A. I would encourage a non-participant to attend LEAD as they will gain practical and valuable leadership skills to complement their clinical skillset.

Dr. Brown can be reached at drkenjulabrown@gmail.com.

Q. How do you feel being a part of LEAD has benefited you?

A. Attending LEAD was beneficial because it equipped me with the tools to establish a more meaningful and influential communication style with my team and patients.

Q. How have you used what you learned in and out of your office?

A. The skills I learned at LEAD have allowed me to be a more active listener instead of a reactive listener in situations inside and outside of the office.

Q. How do you feel being a part of LEAD has benefited you?

A. One of the greatest beneftis of the LEAD program is the opportunity to hear a speaker/speakers spark intresting discussion about aspects of our industry that we normally do not carve out time to discuss or even think about. The room is full of dentists who love dentistry and are motivated to improve their careers. The camraderie is top level and you leave the events feeling motivated to improve your business life.

Q. How have you used what you learned in and out of your office?

A. The LEAD program stimulates thought about varing aspects of our careers. These thoughts lead to further discussion and group inspiration with other motivated colleagues. It is difficult to leave the event without feeling inspired to improve either your practice life or your personal life.

Q. Why would you tell people to attend LEAD?

A. Each LEAD event has a unique theme that is unique and diffiucult to experience outside of this event. It is

obvious the advantages of being an FDA member when sitting in a room filled with just as many experience dentists as new dentist members.

Dr. Richardson can be reached at periojoe@gmail.com.

Q. How do you feel being a part of LEAD has benefited you?

A. The LEAD event has been instrumental in connecting me with mentors in the FDA and helping foster my leadership skills both in and out of the dental office.

Q. How have you used what you learned in and out of your office?

A. LEAD has taught me how to better communicate with my dental team and utilize the strengths of each member

LEADERS EMERGING AMONG DENTISTRY

LEAD

JAN. 17, 2025 • ORLANDO, FLORIDA

An organization’s ability to thrive is largely determined by the quality and effectiveness of its leadership. Great leaders can create tremendous success, but leadership skills don’t always come naturally. At the Florida Dental Association, we believe that great leaders are developed through learned skills and practices.

in the office. It has also helped improve my public speaking skills, which has helped with my confidence speaking to legislators at Dentists’ Day on the Hill and during my case presentations during perio residency. I hope to continue developing those skills to become a successful practice owner one day, to present my work at study clubs and my local dental association meetings, and to gain more leadership positions within the FDA throughout my career.

Q. Why would you tell people to attend LEAD?

A. I encourage all dentists, no matter how many years you’ve been in the profession, to attend LEAD to help develop your leadership, interpersonal, and communication skills. It is a great opportunity to connect with dentists from across the state and learn from each other’s strengths and challenges. Many of us have similar goals and we can all become better together by attending the LEAD workshops and sharing our pearls of wisdom with those that have come before us and with the next generation of dentists.

Dr. Dye can be reached at stephaniedtaylor95@gmail.com.

Leaders Emerging Among Dentistry (LEAD) is an FDA program that provides participants with training to enhance their leadership and interpersonal skills as well as a backstage pass to FDA leadership, offerings, and experiences. LEAD is open to all FDA members and dental students. Seating is limited and registration opens on October 1st.

LEARN MORE AND REGISTER AT FLORIDADENTAL.ORG/LEAD

news@FDA

Human Trafficking Poster Requirements

Changes have been made to the current human trafficking poster, and new ones must be printed and displayed by all health care practitioners no later than Jan. 1, 2025. A sign must be posted in your office in a place accessible to employees that states specific language outlined by the legislation, with specific requirements for font size and display size. Go to bit.ly/3WU1UGE to get a copy of this poster for your office. The poster can be printed on 11" x 17" paper or two 8.5" x 11" sheets of paper (that should be posted together in an 11" x 17" configuration).

Ready for Open Enrollment?

FDA Services Has You Covered!

Florida Dental Association Services (FDAS) is here to help with your health care open enrollment Nov. 1, 2024 through Jan. 15, 2025. For individuals, we offer personalized assistance with Healthcare.gov and Medicare. For businesses, we provide group health insurance options for offices with four or more full-time employees enrolled. Contact FDAS today to ensure the right coverage for you or your team. Visit fdaservices.com or call/text Jamie Idol at 850.350.7142 for personalized assistance!

Discounted Tickets for FDA Members to ICE! at Gaylord Palms!

There is no better way to celebrate the holidays than gathering your family for Christmas at Gaylord Palms Resort & Convention Center in Kissimmee. This holiday season, experience ICE! featuring Elf™! Step inside a holiday showplace like no other as you wind your way through the larger-than-life sculptures, zoom down thrilling frozen slides, and traverse awe-inspiring tunnels. Escape to Gaylord Palms to enjoy the splendor of the

holiday season. FDA members receive discounted tickets to ICE! and discounted hotel rates on hotel rooms. Go to bit.ly/4hI0xTg learn more about these discounts and how to take advantage of these offers. Learn more about ICE! at Gaylord Palms at ChristmasAtGaylordPalms.com

2025 Florida Mission of Mercy Volunteer Registration is Now Open!

• Physicians, nurses, EMTs

Please visit FLAMOM.org to register to volunteer. This is a great opportunity for you and your team to provide no-cost dental care to those in need. We need the following types of volunteers:

• Dentists, hygienists and dental assistants

• Dental lab technicians

• General community volunteers

Make Your FDC2025 Course Schedule –Speaker/Course Search is LIVE!

Make plans to attend the 2025 Florida Dental Convention (FDC), being held June 19-21 at the Gaylord Palms in Orlando. FDC is your golden "Polish Your Perspective" opportunity. Stay on the cutting edge of the dental industry by immersing yourself

in the latest trends and groundbreaking technologies. FDC2025 features 150+ course options for each member of the dental team. FDC is your gateway to earn up to 20 continuing education credits and explore the frontiers of dentistry, shaping a future that suits your vision. Go to bit.ly/3BXz1AX view all course and speaker details. Visit floridadentalconvention.com to learn more about attending FDC2025 and to make your hotel reservation at Gaylord Palms.

Cyberattacks on Dental Offices are on the Rise!

Without the right cyber liability coverage, a breach could cost you big! “Cyber Security Magazine” reports the average claim for small businesses is $434,000. Can your practice afford that? Don’t wait until it’s too late. Protect your business from crippling data breaches, legal fees and Health Insurance Portability and Accountability Act fines by securing the right coverage now. It’s not just about having insurance — it’s about having the right insurance. Get pricing and safeguard your practice today at FDAS (coalitioninc.com) bit.ly/3YB9MwU.

Medical and Dental Records Guide

Establishing and managing patient records are critical healthcare functions. Advancements in technology — including electronic health records — have expanded the concept of the healthcare record and its requirements.

The Doctors Company comprehensive guide offers key strategies for addressing medical and dental record documentation and administration.

Learn how you can safeguard and manage patient records, strengthen continuity of care and protect yourself in the event of a malpractice claim or administrative or regulatory action.

Go to bit.ly/3U4hPQi to download the guide.

The FDA House of Delegates Will Consider Bylaws Changes

The Council on Ethics, Bylaws and Judicial Affairs will perform it’s annual review of the FDA bylaws and propose changes if necessary.

The Next House of Delegates Meeting Will be Held

Jan. 18, 2025 at the Marriott Orlando Airport Lakeside

Recently Retired or Retiring Soon?

If you have recently retired or have plans to retire soon, please contact FDA Membership Coordinator Megan Bakan at mbakan@ floridadental.org or 850.681.3629 to complete your retired affidavit through a quick and easy DocuSign form. Most retired members pay little or no dues to maintain their membership and keep access to all their benefits and services.

ADA Comments on Proposed Medicare Payment Policies for Dental Services in 2025

The American Dental Association (ADA) formally submitted comments to the Centers for Medicare & Medicaid Services in response to the proposed rule for 2025 payment policies under the Physician Fee Schedule. To read the entire article, scan the QR code to the left.

Welcome New FDA Members

Learn more by visiting our virtual Member Center at floridadental.org

The following dentists recently joined the FDA. Their memberships allow them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry.

Atlantic Coast District

Dental Association

Dr. Anna Rose Antony, Vero Beach

Dr. Mark Billet, Parkland

Dr. Chad Curtis, Palm Beach Gardens

Dr. Philip Josephs, Boca Raton

Dr. Rostyslav Kopynets, Boca Raton

Dr. Carolina Ochoa Estrada, Lake Worth

Dr. Kelsey Redwantz, Wellington

Dr. Carolina Rivera, Plantation

Dr. Alina Rizvi, Parkland

Dr. Devon Alexa Silverberg, Fort Lauderdale

Dr. Meena Thapa Magar, Plantation

Dr. Nicky Tovar, Delray Beach

Central Florida District

Dental Association

Dr. Wazeer Alghamdi, Gainesville

Dr. Ayoub Alzunaydi, Gainesville

Dr. Elias Bogale, Lancaster

Dr. Virginia Hodges, Naples

Dr. Steve Kang, Rockledge

Dr. Ghida Lawand, Gainesville

Dr. Priscilla Ji-Wah Leung, Melbourne

Dr. Stephanie Lewis, Ocala

Dr. Amina Mannan, Lake Mary

Dr. Peter McPherson, Newberry

Dr. Dayana Melendez, Orlando

Dr. Helen Nguyen, Ocoee

Dr. Alex David Parra Meneses, Orlando

Dr. Viviana Rodriguez Reyes, Lake Mary

Dr. Jonathan N. Sorsok, Gainesville

Dr. Amreek Singh Suri, Gainesville

Dr. Husam Syed, Clermont

Dr. Shaine Rose Thomas, Wellington

Dr. Gabriela Christina Torres Rullan, Kissimmee

Dr. Lindsey Vander Zalm, Winter Garden

Dr. Kerollos Wissa, Ocoee

Northeast District

Dental Association

Dr. Abdullah Alzahrani, Jacksonville

Dr. Abeer Ahmed Eltemtamy, Ormond Beach

Dr. Swati Gupta, Jacksonville

Dr. Elaheh Habibi, Jacksonville

Dr. Maria Flora Jacobs, Orange Park

Dr. Alan Margolis, Jacksonville

Dr. Shefali Savarirayan, Venetia

Northwest District

Dental Association

Dr. Hadeel Abumunshar, Panama City

Dr. Henry Green, Tavares

South Florida

District Dental Association

Dr. Michel Alpizar, Homestead

Dr. Maria Eugenia Arcila Torres, Miami Gardens

Dr. Laura Folgueira Jova, Miami

Dr. Otmara Garcia Perez De Villa Amil, Miami

Dr. Alexandria D. Garcini, Coral Gables

Dr. Emanuel Israel, Port St. Lucie

Dr. Yohana Leal, Miami

Dr. Daniel Humberto Linares, Miami

Dr. Denia Machado, Hialeah

Dr. Claudia Christina Martinez, West Palm Beach

Dr. Carlos Arauz Mendoza, Pembroke Pines

Dr. Talya M Noveck, Dania

Dr. Ashley Ortiz, Miami

Dr. Grace Polo, Miramar

Dr. Delia Cruz Elizundia Pozo, Miami Lakes

Dr. Victor M Ramirez, Miami

Dr. Ashley Emma Reid, Miami

Dr. Isabela Souza, Weston

Dr. Stanley Spektor, Sunny Isles Beach

Dr. Neeraj Surathu, Davie

Dr. Naga Sucharitha Tadepalli, Davie

Dr. Jorge Velazco Prada, Weston

Dr. Amanda Won, Miami

West Coast District

Dental Association

Dr. Yunier Cardero Hechavarria, Cape Coral

Dr. Teresa Nicole Cerchiara, Cape Coral

Dr. Yoo Jin Chung, Naples

Dr. Kendra Cruz, Naples

Dr. Catherine Falinskaya, Trinity

Dr. Steven Fink, Englewood

Dr. Benjamin Immerman, Tampa

Dr. Yasser Jazairi, Wesley Chapel

Dr. Sean Michael McGregor, Jupiter

Dr. Nathalia Mercado, Tampa

Dr. Inna Nevelev, Plant City

Dr. Raisa Padilla Mirabal, Lehigh Acres

Dr. Yalissy Quintero Martinez, Temple Terrace

Dr. Sarah Rifaie, Temple Terrace

Dr. Jennifer Rueda, Lake Alfred

Dr. Ingdra Zaw, Lakeland

Where in the World is Today’s FDA?

Thank you, (l to r) Drs. Gerry Bird and Don Ilkka, for taking Today’s FDA to the south shore of Lake Superior in Marquette, Michigan.

Do you have vacation plans this year? On your next trip, take a copy of Today’s FDA with you, take a photo and send it to jrunyan@floridadental.org to see it featured in an upcoming issue.

Where will Today’s FDA venture next?

FOR CONTRIBUTING MORE THAN $16 MILLION TO ORGANIZED DENTISTRY IN THE PAST 10 YEARS!

SUPPORTING FDAS MEANS SUPPORTING THE FDA! THANK YOU, FDA

In 10 Years FLORIDADENTAL ASSOCIATIONTHANKS

FDASERVICESFOR ITS CONTRIBUTIONS

2024 ADA House of Delegates Recap in New Orleans

Florida’s 17th Delegation recently returned from the annual American Dental Association (ADA) House of Delegates (HOD) meeting held in New Orleans, where key national issues impacting dentistry were discussed.

Elections

Each year, the HOD selects the incoming president-elect of the ADA. This year, Dr. Rudy Liddell, former 17th District Florida Dental Association (FDA) ADA trustee, ran for president-elect with four candidates from around the country; unfortunately, Dr. Liddell was unsuccessful in his bid. Dr. Richard Rosato, from New Hampshire, became the new president-elect of the ADA. We all need to thank Dr. Liddell and Dr. Chris Bulnes, his campaign manager, for an excellent and well-planned campaign. This meeting concluded Dr. Liddell’s term as trustee to the ADA and Dr. Andrew Brown took his place as trustee of the 17th.

There were many issues deliberated upon in New Orleans. These included workforce, membership, licensure, Commission on Dental Accrediation (CODA), the Strategic Planning Committee and many more. The HOD is the policy-making body of the ADA and meets annually. The HOD voted to approve the Strategic Forecasting Committee (SFC) three years ago. The SFC was designed to be a nimble part of the HOD that meets more frequently to improve the effectiveness and timeliness of the decision-making process. While the HOD only meets annually, the SFC meets throughout the year. This year, the ADA HOD deliberated and approved the first SFC resolutions since SFC’s inception. The FDA's very own, Dr. Johnny Johnson, amended the priorities of the SFC to include

American Dental Association Dan Gesek, DMD

fluoridation, a very important aspect of care for our patients.

Other issues discussed and debated include licensure and the overarching policy of the ADA. Due to its complexity and some controversial elements, the Council on Dental Education and Licensure was asked to revisit the licensure policy. CODA, aligned with the U.S. Department of Education, was also discussed. CODA is the accreditation body that decides, for example, the student-to-faculty ratio in dental programs. Many requests related to CODA were presented for consideration at this year's HOD. These include the student-to-faculty ratios for dental hygiene programs and a workforce issue.

Resolutions

For all those who are in private practice, it is clear finding assistants and hygienists has become much more difficult. The ADA Council on Governmental Affairs passed three resolutions this year on workforce. It recommended that dental students who pass their periodontal competencies be allowed to practice dental hygiene after year two of dental school. A second resolution recommended that foreign-trained dentists be allowed to sit for the dental hygiene exam. The third recommended the ADA advocate for dentists who train in CODA-accredited U.S. dental schools but are not U.S. citizens for expedited citizenship. So, as one can tell, the workforce issue was front and center at this year's ADA HOD.

The Florida Dental Association (FDA) represents the 17th ADA District and includes 23 delegates and 23 alternates, elected by both the FDA HOD and FDA local components.

Two other resolutions were brought forth by the 17th. Dr. Monique Belin requested that the ADA and the Commission on Continuing Education Provider Recognition (CCEPR) allow practice management to receive formal credit hours. As we all know, practice management is critical in our practices, but many boards of dentistry do not allow the dentist to use these credit hours for licensure renewal. Dr. Belin was masterful in moving this resolution through the HOD. Dr. Johnson also crafted a resolution request for the ADA to communicate with all ADA-recognized specialties on any business related to that specialty. As we all know,

L to R: Drs. Chris Bulnes, Rudy Liddell and Bert Hughes
Dr. Rachel Perez at the microphone.
Dr. Monique Belin at the microphone.

85% of Disabled Veterans enrolled in the VA do not qualify for VA Dental Care.

The Wounded Veterans Relief Fund aims to change veterans’ access to critical dental services across Florida, and we need your help.

Us Save Lives, Become a Dental Partner Today WVRF’s Critical Dental Assistance Program Pays Dental Partners Directly for treating veterans in our program.

To inquire about becoming a dental partner with WVRF's Critical Dental Assistance Program, contact our Dental Outreach Coordinator, Tami Martin.

Drs. Anthony Wong and Rodgrigo Ramano.

communication is vital to the success of dentistry. Both resolutions were passed at this year's ADA HOD.

As you can see, the week in New Orleans was very busy. The FDA members of the ADA HOD took time out of their offices to help direct the ADA and how dentistry moves forward in the future. This would not be possible without the efforts of the entire FDA and its team. This includes FDA Executive Director Mr. Drew Eason and our Leadership Affairs Manager Ms. Lianne Bell. They choreograph the entire trek to ensure we are as successful as possible. I also want to acknowledge the true leadership of the Vice Chair Dr. John Paul, and Whip Dr. Steve Zuknick Both spent many nights preparing the Florida delegation for New Orleans. Thank you to everyone involved in this endeavor for our patients and profession — another successful ADA meeting by the FDA.

Respectfully submitted,

Dr. Gesek can be reached at dgesek@bot.floridadental.org

Steve Zuknick and Reza Iranmanesh.

Drs.
Dr. Dan Gesek at the microphone.

MORE WINS, LOWER DUES.

Renew your membership for 2025 today!

THREE EASY WAYS TO PAY:

ONLINE: Visit floridadental.org/dues or scan the QR code below.

MAIL: Return blue envelope with statement and payment.

PHONE: Dial 850.681.3629 to speak to our friendly membership team.

PAYMENT PLAN:

Choose from a variety of monthly installment plans.

AUTO-RENEWAL:

Set it and forget it! Your membership will automatically renew each year with the credit card you put on file.

Dr. Kaycee Wilcox FDA member since 2016 Crestview
Dr. Jessica Stilley-Mallah FDA member since 2005 New Port Richey
Dr. Brandon Alegre FDA member since 2005 Boca Raton

Dedicated to the Mission of Helping Members Succeed

The Florida Dental Association (FDA) is honored to support you as an extension of your team. While you focus on providing excellent care to your patients, the FDA brings expertise in advocacy, insurance, finance, education and much more so you don’t have to go it alone.

The FDA’s collective strength ensures a bright future, especially when we all work together.

The beauty of organized dentistry — at the component, state and national levels — is the opportunity for dentists of all practice modalities to speak with one voice, learn from each other and work together to further common interests.

The FDA offers a wealth of member resources on its website, along with regular email alerts and a bi-monthly publication, Today’s FDA. But, sometimes, it’s just easier to call! Whatever your question may be, don’t hesitate to reach out for guidance and support.

• General question? Need to update your contact information? Call the FDA main line at 850.681.3629 and a person will answer the phone during work hours!

• Third party payer issues? Call in-house expert Casey Stoutamire at 850.350.7202.

• Insurance questions? The FDA Services team is ready to help. Simply call or text 850.681.2996.

• Curious about CE or your 2024-2026 licensure renewal? Contact Heather Slager at 850.350.7106.

• Have a challenging patient? Peer Review can help avoid Board of Dentistry complaints and legal fees. Contact Lywanda Tucker at 850.350.7143.

• Want to know more about what’s included with your membership? Ask the Membership team by calling 850.681.3629.

• Legislative questions or want to be more engaged with advocacy? Contact Joe Anne Hart at 850.350.7205.

FOCUSED ON THE MISSION OF HELPING MEMBERS SUCCEED

The Florida Dental Association (FDA) is proud to be an extension of your team. You’re an expert in dentistry. We provide expertise in advocacy, insurance, finance, education and much more so you don’t have to go it alone.

• Want to volunteer or become more involved? Ask Lianne Bell about the FDA’s Leaders Emerging Among Dentistry by calling 850.350.7114.

We’re well-positioned for the future which looks better when we’re working together.

• Challenges logging onto the website or Communities of Interest? Larry Darnell can help if you call 850.350.7102.

The beauty of organized dentistry—at the component, state and national levels—is the opportunity for dentists of all practice modalities to speak with one voice, learn from each other and work together to further common interests.

• Want to participate in the Florida Mission of Mercy? R. Jai Gillum can share all the details; call her at 850.350.7117.

Please join the FDA or renew your membership today at floridadental.org/dues or by scanning the QR code below.

Please join us for another year by renewing your membership today!

membership@floridadental.org

What Being an FDA Member Means to You

In my eyes, my Florida Dental Association (FDA) membership is one of the most important memberships I hold in this profession. As a Florida dentist, it is the organization that most directly affects my day-to-day work experiences. The FDA advocates for all dentists in the state of Florida, regarding, purchasing power, company discounts, legislative change and more. The FDA works at all levels of the profession to make our lives as Florida dentists better. It is important for as many dentist in the state to join as possible to show that the organization represents the interests of the majority. This allows them the negotiating power to do the work needed because we are stronger in numbers.

My FDA membership means a lot to me. As a Florida Gator dentist the FDA has played a major role in my career with regards to leadership experience, practice management, and education opportunities. Since participating in the Leaders Emerging Among Dentistry program following graduation, I have stayed involved with organized dentistry thanks to the FDA. I have had the opportunity to grow my leadership skills without limits. I have served as my local affiliate president, a delegate to my district, a delegate to the FDA itself, and a delegate to the American Dental Association, just to name a few of the opportunities afforded to me. With regard to practice management the FDA played a pivotal role in preparing me to open my own private practice office. They assisted me with necessary insurances, licensures, etc. that saved me time and money compared to doing it alone or using a different company. My FDA membership is also important to me because of the number of educational opportunities it offers. The Florida Dental Convention (FDC) alone is an

opportunity to earn vast continuing education (CE) credits and network with colleagues for FDA members. The value of the CE offered at the convention far outweighs the cost of attendance for members.

In summary FDA membership is beneficial for all dentists in the state of Florida for a number of reasons. I encourage everyone to get involved. Attend a Dentist Day on the Hill or House of Delegates meeting at the annual convention as a guest if you want to see what the FDA does for you outside of providing CE and various business services. It is a great way to learn how the organization impacts all dentist in the state and why membership is important.

Dr. Belin can be reached at mbelinfuturedds@gmail.com

Saimon A. Ramos, DMD, FAGD

I have been an FDA member since my dental school days, and obviously, many opportunities come with membership. Our FDC is one event my family and I look forward to every year. I enjoy connecting with classmates and friends, especially since we all ended up in different corners of the state. Many of them have kids similar in age to mine, and it’s wonderful seeing our kids together. But being an FDA member means so much more to me.

I remember speaking with other seasoned dentists in my younger days and they would all say how great of a profession dentistry really is. They would also talk about the importance of organized dentistry. As a private practice owner, I can honestly say I love my practice. I

love everything about it: its location, my patients and my team. I feel so lucky and blessed to be in the position I’m in. However, I also realize that I get to live my dream is because of others who have come before me. I feel that the FDA and all its past and current members, especially those in leadership positions, have played a role in advocating for our profession.

I have great admiration for those that came before me and have helped shape dentistry into what it is today. The FDA means a lot to me; its representation and efforts in organized dentistry contribute to making dentistry an amazing career, one that I will enjoy for a very long time. It’s my hope that someday the future generation will look upon us and feel the same way I do about the FDA.

Dr. Ramos can be reached at saimon.ramos.dmd@gmail.com

Samira Meymand, DDS

FDA means to me ... Family Dental Association.

I feel like everyone here is my family: Drew Eason, Greg Gruber, Lianne Bell, R. Jai Gillum and Breana Giblin to name just a few FDA staff members that have personally helped me. They work together as a family and they treat me and other FDA members like family. It is nice to see so many women in the FDA leadership team.

It is also impressive to see a woman as the president of the FDA (Dr. Beatriz E. Terry). While not the first woman to lead the FDA, Dr. Terry built on the legacies of Drs. Kim Jernigan and Jolene Paramore utilizing her vision and strength to achieve great things during her tenure. Seeing a lady at the helm of the FDA demonstrates to the rest of the women in our field that we must seize all opportunities to lead and that we need more women captaining our dental teams.

The core values of the U.S. Navy are “honor, courage and commitment” and these values are evident with the FDA team. As a CAPT in the U.S. Navy and an oral maxillofacial surgeon, I see those qualities not only in the heroes with

expert in dentistry. We provide expertise in advocacy, insurance, finance, education and much more so you don’t have to go it alone.

We’re well-positioned for the future which looks better when we’re working together.

The beauty of organized dentistry—at the component, state and national levels—is the opportunity for dentists of all practice modalities to speak with one voice, learn from each other and work together to further common interests.

Become a part of the FDA family today by scanning the QR code below.

Please join us for another year by renewing your membership today!

floridadental.org/dues membership@floridadental.org 850.681.3629

which I have served, but also the friends and colleagues I have in the FDA.

The FDA exemplifies these fine qualities, and I trust the leadership of the FDA. They have my back and would bend over backwards to help me in any way possible.

If I ever had a crisis in my office or dental patient issue they are the experts! I have seen the FDA team help and be critical in issues such as floods, hurricanes, thefts and how to handle certain patient situations. They are always the first to answer and know what to do.

I also feel like they work to fight for all dentists and dental professionals to protect our profession and have the safety of patients as their NUMBER ONE PRIORITY. This is the goal of all dental providers in our amazing dental profession.

I think that sums it up why the FDA is my Family Dental Association and why I trust them so much.

Dr. Meymand can be reached at drmeymand1@hotmail.com.

Starting Jan. 1, 2025, FDA members have free, confidential access to AllOne Health‘s counseling and work/life services.

The Florida Dental Association’s (FDA) Member Assistance Program (MAP) can help you reduce stress, improve mental health and make life easier by connecting you to the right information, resources and referrals.

All services are confidential and available to you and your household as an FDA member benefit. This includes access to short-term counseling and the wide range of services listed below:

Mental Health Sessions

Manage stress, anxiety and depression; resolve conflict, improve relationships and address personal issues. Choose from in-person sessions, video counseling or phone counseling.

Life Coaching

Reach personal and professional goals, manage life transitions, overcome obstacles, strengthen relationships and achieve greater balance.

Financial Consultation

Build financial wellness related to budgeting, buying a home, paying off debt, resolving general tax questions, preventing identity theft and saving for retirement or tuition.

Legal Referrals

Receive referrals for personal legal matters including estate planning, wills, real estate, bankruptcy, divorce, custody and more.

Work-Life Resources and Referrals

Obtain information and referrals when seeking childcare, adoption, special needs support, eldercare, housing, transportation, education and pet care.

Personal Assistant

Save time with referrals for travel and entertainment, professional services, cleaning services, home food delivery and managing everyday tasks.

Medical Advocacy

Get help navigating insurance, obtaining doctor referrals, securing medical equipment and planning for transitional care and discharge.

Member Portal

Access your benefits 24/7/365 through the member portal with online requests and chat options. Explore thousands of self-help tools and resources including articles, assessments, podcasts and resource locators.

Workforce Challenges?

Utilize the FDA’s Jumpstart Program

The Florida Dental Association’s (FDA) Jumpstart program is an initiative to connect member dentists with pre-dental students who are interested in volunteering or working with dental offices. It is a creative solution to assist in solving workforce challenges faced by Florida dentists. Jumpstart is a fast pass for students to gain real-world experience, connect with dentists and master skills that will help them stand out in the dental school application process and in the competitive field of dentistry. All of this while providing staffing for offices that may have difficulty hiring the right people.

A true win-win!

As a result of the FDA’s efforts, members can access a student directory at floridadental.org/jumpstart. It notes students’ geographic location, interests and roles they could fill. If you have an interest in engaging any of these students, please contact them directly and make suitable arrangements. If you know pre-dental students who may be interested in registering, encourage them to visit floridadental.org/jumpstart to sign up and learn more about transforming their enthusiasm into expertise.

Jumpstart is a fast pass for students to gain real-world experience, connect with dentists and master skills that will help them stand out in the dental school application process and in the competitive field of dentistry.

Human Trafficking Poster Requirements

Changes have been made to the current human trafficking poster and new ones must be printed and displayed by all health care practitioners no later than Jan. 1, 2025. A sign must be posted in your office in a place accessible to employees that states specific language outlined by the legislation, with specific requirements for font size and display size. FDA members can go to bit.ly/3WU1UGE to get a copy of this poster for their office. The poster can be printed on 11” x 17” paper or two 8.5” x 11” sheets of paper (that should be posted together in an 11” x 17” configuration).

Please note you must be logged into the FDA website to download the posters.

The updated human trafficking poster must be displayed no later than Jan. 1, 2025.

Download a Human Trafficking Poster to print and display in your office.

VERSION MUST BE POSTED BY

A sign must be posted in your office in a place accessible to employees that states specific languages outlined by the legislation, with specific requirements for font size and display size. Use the QR Code to get your copy of this poster for your office. The poster can be printed on 11” x 17” paper (or two 8.5” x 11” sheets of paper that should be adhered together) and is offered in color and black & white.

HUMAN TRAFFICKING NOTICE

HUMAN TRAFFICKING NOTICE

If you or someone you know is being forced to engage in an activity and cannot leave, whether it is prostitution, housework, farm work, factory work, retail work, restaurant work, or any other activity, call the Florida Human Trafficking Hotline, 1.855.FLA.SAFE, to access help and services. Victims of slavery and human trafficking are protected under United States and Florida law.

If you or someone you know is being forced to engage in an activity and cannot leave, whether it is prostitution, housework, farm work, factory work, retail work, restaurant work, or any other activity, call the Florida Human Trafficking Hotline, 1.855.FLA.SAFE, to access help and services. Victims of slavery and human trafficking are protected under United States and Florida law.

Si usted o alguien que conoce se ve obligado a participar en una actividad forzada, ya sea por prostitución, trabajo doméstico, trabajo agrícola, trabajo de fábrica, trabajo en ventas, trabajo de restaurante o cualquier otra actividad mediante el uso de la fuerza y no puede escapar, llame a la Línea Directa Contra la Trata de Personas en la Florida, al 1.855.FLA.SAFE, para recibir ayuda y servicios. Las víctimas de la esclavitud y la trata de personas están protegidas por las leyes de los Estados Unidos y la Florida.

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Si usted o alguien que conoce se ve obligado a participar en una actividad forzada, ya sea por prostitución, trabajo doméstico, trabajo agrícola, trabajo de fábrica, trabajo en ventas, trabajo de restaurante o cualquier otra actividad mediante el uso de la fuerza y no puede escapar, llame a la Línea Directa Contra la Trata de Personas en la Florida, al 1.855.FLA.SAFE, para recibir ayuda y servicios. Las víctimas de la esclavitud y la trata de personas están protegidas por las leyes de los Estados Unidos y la Florida.

HUMAN TRAFFICKING NOTICE

If you or someone you know is being forced to engage in an activity and cannot leave, whether it is prostitution, housework, farm work, factory work, retail work, restaurant work, or any other activity, call the Florida Human Trafficking Hotline, 1.855.FLA.SAFE, to access help and services. Victims of slavery and human trafficking are protected under United States and Florida law.

Si usted o alguien que conoce se ve obligado a participar en una actividad

HUMAN TRAFFICKING NOTICE

If you or someone you know is being forced to engage in an activity and cannot leave, whether it is prostitution, housework, farm work, factory work, retail work, restaurant work, or any other activity, call the Florida Human Trafficking Hotline, 1.855.FLA.SAFE, to access help and services. Victims of slavery and human trafficking are protected under United States and Florida law.

Sign provided courtesy of

Multiple orientations are available for your convenience

Si usted o alguien que conoce se ve obligado a participar en una actividad forzada, ya sea por prostitución, trabajo doméstico, trabajo agrícola, trabajo de fábrica, trabajo en ventas, trabajo de restaurante o cualquier otra actividad mediante el uso de la fuerza y no puede escapar, llame a la Línea Directa Contra la Trata de Personas en la Florida, al 1.855.FLA.SAFE, para recibir ayuda y servicios. Las víctimas de la esclavitud y la trata de personas están protegidas por las leyes de los Estados Unidos y la Florida.

Sign provided courtesy of

Announcing the FDA's New and Improved Career Center!

The Florida Dental Association (FDA) is pleased to announce the relaunch of the FDA’s new and improved Career Center! We've been working hard to improve this member benefit, and we’re excited for its official release. Whether you’re looking for a new career move or your next great hire, the Career Center has become your best source.

Members and non-members considering or looking for their next opportunity can look forward to the following benefits, which members will find at a reduced cost:

• Seamless User Experience: Navigate effortlessly through our intuitive platform, accessible on both desktop and mobile devices. Finding your dream job has never been easier!

• Personalized Job Matching: Say goodbye to sifting through irrelevant job postings. Our advanced job alerts algorithm ensures that only the most relevant opportunities land directly in your inbox, saving you time and energy.

• Centralized Application Management: Simplify your job application process by uploading your resume(s) and tracking all your applications in one convenient location. Stay organized and focused on what matters — landing your next career move!

• Enhanced Visibility: Stand out to hiring companies when you optimize your job seeker profile and increase your chances of being discovered by employers actively seeking talent like yours.

• Career Resources: Access a comprehensive set of career resources to help you find a job, get the job and perform better on the job.

For employers seeking top-tier talent, the Career Center provides unparalleled access to a pool of highly qualified professionals. Employers can enjoy the following benefits:

• Tap into a Pool of Elite Talent: Gain direct access to a meticulously curated pool of active and passive job seekers who are the cream of the crop in the industry.

• Precision Matching: Set up customized pre-screen filters to ensure you're only presented with the most suitable candidates, saving you time and effort in the hiring process.

• Enhanced Visibility: For maximum impact, feature your job and logo on the Career Center homepage and increase click-through rates by up to 38%.

• Streamlined Recruitment: Manage and track all applicants seamlessly with our intuiti ve applicant tracking system, saving valuable time and resources.

• Instant Connections: The ability to receive automatic alerts when candidates meet your job criteria, allowing you to swiftly connect with qualified applicants and expedite the hiring process.

• Amplified Reach: Extend your reach beyond our platform by leveraging our extensive partner network sites, ensuring maximum exposure for your job postings.

Visit today and sign up at https://careers.floridadental. org/

FDA’s new and improved Career Center was developed in partnership with Web Scribble, the leading provider of career centers for associations.

Florida Dentists: Unlock Savings with Best Card’s

FDA-Endorsed Promotion!

In a continued effort to look out for its members, the Florida Dental Association (FDA) has introduced another valuable benefit: An exclusive partnership with Best Card, the industry leader in credit card processing for dental practices. This partnership is designed to help Florida dentists save thousands of dollars annually on their credit card processing fees, while earning rewards along the way!

Why This Partnership Matters for FDA Members

The FDA is committed to offering solutions that genuinely benefit its members. By partnering with Best Card, the FDA ensures that dentists can access one of the industry’s most trusted and cost-effective payment processors. Dentists who switch to Best Card save an average of $6,496 per year, reducing their payment processing costs by about 27%. These savings go directly to your bottom line — money that can be better spent improving your practice or patient care.

This partnership isn’t just about saving money; it’s about offering a solution that makes managing payments easier and more efficient for dental practices. Best Card’s

tailored services include standalone terminals, mobile processing, online payment options and seamless integration with popular dental software, all designed with your practice in mind.

Limited-Time Offer: Earn a $125 Amazon Gift Card!

As part of this exclusive partnership, the FDA and Best Card are offering a limited-time promotion for Florida dentists. Sign up between Oct. 1 and Dec. 31, 2024, and you’ll receive a $100 Amazon gift card from FDAS and a $25 Amazon gift card from Best Card as a thank-you. It’s a simple, no-strings-attached way of thanking you for making a smart decision for your practice.

This offer is available to all FDA members who open a new account with Best Card, but it’s limited to the first 40 participants — so don’t miss your chance to take advantage of this bonus!

How to Get Started

Getting started is easy. To see how much you can save, send Best Card a recent credit card processing statement. They will provide a personalized savings analysis that breaks down exactly where you’re currently overspending and how their services can reduce your fees.

crown savings partner

For a cost comparison, email your statement to compare@bestcardteam.com or call 877.739.3952. Best Card prides itself on delivering personalized customer service, so whether you have questions or want to learn more, their team is just a phone call away.

Why Best Card is Better for Florida Dentists

The FDA has carefully selected Best Card because of its track record for offering significant savings and exceptional service. Unlike many generic payment processors, Best Card specializes in working with dental practices. They understand the specific challenges dentists face when managing payments, and they’ve developed solutions to meet those needs.

Best Card’s commitment to customer support is one of the many reasons the FDA stands behind this partnership. Their team is available to guide you through the process, troubleshoot any issues and ensure that your payment processing experience is seamless and stressfree.

It’s no coincidence that the FDA and other state dental associations use Best Card for their payment processing. This partnership is another way the FDA looks out for you — helping you reduce costs, improve efficiency and keep more money in your practice.

Don’t Miss Out—Sign Up Today!

This exclusive promotion is a limited-time opportunity to enjoy both upfront rewards and long-term savings for your practice. If you’re ready to take control of your payment processing costs, contact Best Card today to get started. Join the thousands of dentists already benefiting from Best Card’s unmatched service and savings — and be one of the first 40 to earn $125 in gift cards!

Mr. Phil Nieto is the president of Best Card, the endorsed credit card processor of AZDA and ADA Member Advantage.

This partnership isn’t just about saving money; it’s about offering a solution that makes managing payments easier and more efficient for dental practices.

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TDSC is a member-dentist led organization built to provide consistent, competitive pricing on dental supplies to members of organized dentistry regardless of practice size. Dentists have already saved more than $6.5 million compared to MSRP on their dental supplies.

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peer review

The Florida Dentist's Guide to Peer Review

The Peer Review program is designed to help Florida Dental Association (FDA) member dentists avoid costly legal fees, malpractice suits and Board of Dentistry (BOD) complaints.

Designed to assist members with resolution of patient disputes before they become lawsuits or complaints to the Florida BOD, the FDA’s Peer Review program is an incredible member benefit that’s both free and confidential. The process can be initiated by a patient or an FDA member dentist.

FDA’s peer review coordinator, Lywanda Tucker, works with both the patient and the dentist to negotiate a compromise when there are differences in opinion about the care provided. If she is unable to successfully find a compromise, the case will be referred to the appropriate component peer review chair (a volunteer dentist) for additional mediation or a formal review.

The peer review process is not designed to handle every type of situation or problem that may arise between dentists and patients. Only cases involving problems with actual dental treatment and procedures are eligible. Cases not qualified for peer review include: those already in malpractice litigation; those already being investigated by the BOD; disputes that are only about dental fees; treatment that occurred more than 12 months before the patient’s last appointment; and cases involving nonmember dentists. The current peer review system is also not intended to handle a complaint initiated by one dentist against another.

FDA's Peer Review Program:

g Maintains high dental standards.

g Aids in mediation efforts.

g Meets the needs of the public regarding the quality and appropriateness of dental care.

g Assists parties in avoiding litigation.

Why Start with Mediation?

Mediation is the initial step in peer review and is one of the most important steps in the process. During mediation, the disputing parties, with the assistance of Ms. Tucker as a mediator, identify disputed issues, discuss alternative ways to resolve the issues, and potentially reach a settlement that is satisfactory to both parties. If mediation is successful, cases are concluded at that stage and do not need to proceed on to formal peer review.

The crux of the mediator’s work is to help the parties think through the issues and generate ideas for resolving the dispute. Ms. Tucker begins by gathering information about the dispute and asking each party to explain what the dispute is about in his or her own terms and hears each party’s initial position on the matter. Sometimes, it seems patients just want to be heard. Even if there are differences in the versions of the events, it is not always necessary to resolve them. Ms. Tucker focuses more on finding out what needs each party wants to satisfy and how to best resolve the dispute. Ms. Tucker’s experience, dental knowledge and personality aid in problem-solving and finding compromise.

In fact, Ms. Tucker has more than 20 years of dentistry experience in varying positions including work at periodontal, general and orthodontic offices. She has been a chairside assistant, a treatment coordinator and a member of the front office staff. This training and experience are of great benefit and allow her to properly conduct mediation as an impartial — but knowledgeable — third party. She works to establish communication, build trust and resolve problems expeditiously. Mediation can result in resolution of many cases initiated in the peer review system and can be a very valuable tool in resolving dental disputes.

A Brief History

Peer review provides an impartial, easily accessible and generally expedient means for resolving misunderstandings regarding dental treatment. It benefits the patient and the dentist; however, it hasn’t always been in existence.

The American Dental Association (ADA) first established policy on peer review in 1970, with the adoption of the statement on Dental Society Review Committees. That statement outlined the purpose and functions of review committees and clearly specified that such committees were to be established for prepayment programs. Other committees, such as patient grievance, patient relations or patient counseling, dealt with disputes between patients and dentists.

Since its establishment in 1970, the peer review program has grown and changed through adoption of policies:

g 1971 — peer review committees got the right to re view radiographs and other treatment records.

g 1972 — third parties were encouraged to use the peer review process.

g 1973 — constituent societies were urged to seek statutory exemption from civil damage liability for peer review committee members.

g 1975 — the prerogative and duty of the dental profession to conduct all necessary review of dental services through its established mechanisms, including peer review was acknowledged.

Patient calls the Florida Dental Association with a concern.

FDA staff determine if the situation falls under the duties of peer review and can start the paperwork.

FDA staff tries to resolve situation. If unsuccessful, the case is sent to the peer review chair (volunteer dentist) in the area near the patient.

The peer review chair calls the patient to discuss the issue.

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

If not in agreement, the chair convenes a peer review panel and collects information from the dentist who treated the patient.

If there is an agreement, the peer review chair negotiates a settlement to which the patient and dentist both agree.

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

g 1977 — the responsibilities for grievance and peer review committees were combined under the auspices of a single “peer review committee.”

g 1979 — constituent societies were urged to cooperate in the resolution of inter-jurisdictional cases.

g 1980 — the Bylaws definition of member in good standing was amended to include, among other things, cooperation with dental society peer review bodies.

g 1987 — policies were revised to reflect the current practices in peer review and the changing nature of the various relationships that exist in the delivery of dental care.

For questions or additional information, please visit FloridaDental.org/PeerReview or contact Peer Review Coordinator Lywanda Tucker at 850.350.7143 or ltucker@floridadental.org.

Most of the remaining peer review policies were modified where necessary and incorporated into a statement, “Guidelines on the Structure, Functions and Limitations of the Peer Review Process.”

That statement was revised and adopted in 1992, by the ADA House of Delegates.

Peer review continues to grow, change and improve. For example, in Florida, there was a shift to moving administrative duties to the FDA’s headquarters rather than at each of the components. This was done, in part, to ensure consistency in intake of cases throughout the state.

Having a qualified and trained staff person dedicated to peer review will benefit all members. And, parts of the process remain consistent with prior systems so cases will still be referred to the appropriate component peer review chairs as appropriate and necessary.

In all, peer review is a valuable tool to help FDA member dentists succeed.

Section 466.022(1), Florida Statutes, states (among other things) that “a professional organization or association of dentists which sponsors, sanctions, or otherwise operates or participates in peer review activities is hereby afforded the same privileges and immunities afforded to any member of a duly constituted medical review committee by s. 766.101(3).” Section 766.101(3)(a), Florida Statutes, provides that “[t]here shall be no monetary liability on the part of, and no cause of action for damages shall arise against, any member of a duly appointed medical review committee, or any health care provider furnishing any information, including information concerning the prescribing of substances listed in s. 893.03(2), to such committee, or any person, including any person acting as a witness, incident reporter to, or investigator for, a medical review committee, for any act or proceeding undertaken or performed within the scope of the functions of any such committee if the committee member or health care provider acts without intentional fraud.” These statutory protections are intended to encourage good faith participation in the peer review process without fear of liability. However, it is important to remember that records generated in the peer review process may be subject to disclosure in response to a subpoena or other legal process, and the original records (patient’s chart and dental records) and underlying facts of a matter submitted to peer review are almost always discoverable.

Resolve Patient Disputes with the FDA’s Free, Confidential Peer Review Program

In this section, you will find the top issues Lywanda encounters when she takes patient complaints, peer review case studies and statistics on the FDA's Peer Review Program. The biggest thing to remember is that peer review is a good thing! It does not affect your license or your FDA membership. So, let Lywanda save you and your staff valuable time and refer those patients who have complained against you to the FDA's Peer Review Program. To file a complaint, patients need to call the FDA's main line at 850.681.3629 and ask for Lywanda and she will handle it from there!

One of the top issues seen in peer review is communication. Dental offices are often busy and need more time to

thoroughly explain findings, procedures, risks or patient roles in their outcomes. Therefore, once there's an issue, the patients can lose trust in the dentist and ultimately file a complaint.

Another issue is understanding. When patients and dentists don't have a direct conversation to address concerns, patients may feel unheard of if they are left to work solely with the office staff. When the dentist allows time for a productive discussion, this can help ease tension and prevent complaints.

peer review

Peer Review Case Studies

1. Case Study

A complaint was received from a patient that states she had two implants placed at #3 & #19. Per the patient she had a second opinion done because she was not satisfied with the size of the implants, and that #3 was placed in the #2 area with the threads showing on the #19 implant. After the Lywanda received the records from the treating dentist she forwarded them to the peer review chair. The treating dentist wanted a panel to examine the patient, however, the implants that were done by the treating dentist had already been extracted.

Peer Review Results

The case was sent to three different peer review chairs for review. They all found that both implants were not able to be restored due to the poor placement. This case avoided the Board of Dentistry and the case was closed!

2. Case Study

A complaint was received from a patient that states she had two crowns placed in August of 2022. She started having a lot of discomfort and went to over ten providers to find out the source of her discomfort. Eventually, she

was told the crowns that were placed had open margins which had caused decay, and the two teeth would have to be extracted.

Peer Review Results

The records were reviewed by the peer review chair and the patient was reimbursed by the treating dentist. Case closed!

3. Case Study

A complaint was received from a patient that states she had an implant crown done by a dentist. Per the patient, from the time the crown was delivered she began having discomfort. The patient had several appointments with the treating dentist to have the crown adjusted and it still was not fitting properly, and her bite was off. The patient had a second opinion and found that the crown was too high and would need to be redone.

Peer Review Results

The case was resolved with the peer review coordinator, the treating dentist and the patient. Case closed!

Board of Dentistry Discipline Enforcement Process

(This is the process Peer Review seeks to avoid.)

board of dentistry

Board of Dentistry board of dentistry

A Quick Guide to the MQA Disciplinary Process Probable Cause Panels

The division of Medical Quality Assurance’s (MQA) Bureau of Enforcement fields and investigates complaints against health care practitioners and facilities/establishments regulated by the Florida Department of Health.

The path of a complaint:

• Consumer Services Unit (CSU): Where the complaint process begins.

• Investigative Services Unit (ISU). Legally sufficient complaints are forwarded here.

• Prosecution Services Unit (PSU). Conducts legal review of ISU-generated investigative reports.

• Probable Cause Panel. Determines what becomes of the case.

Cases are ultimately decided by a Probable Cause Panel (PCP). It is not bound to go along with the recommendation PSU attorneys give upon legal review. *456.073(2) & 456.073(4), Florida Statutes

A Probable Cause Panel…

• reviews all evidence and information gathered during the investigation.

• is made up of 2 or 3 board members – usually 1 or 2 licensed health care professionals and a consumer member. (*A consumer member represents the public interest. He or she does not necessarily have specialized medical knowledge/training and does not practice medicine.)

• can feature different members from meeting to meeting.

The PCP will issue one of the following recommendations: (1) Escalation to the Formal Administrative Complaint phase. (2) Closure, with a letter of guidance (3) Dismissal.

FAST FACTS

Florida Statutes outline the parameters by which probable cause panels operate, especially its strict disclosure policy. (Example: The only time a case will be made public is if an administrative complaint is approved by the PCP – 10 days after such a finding.) *456.073(10)

1

True or False?: The person(s) whose complaint initiated an investigation of a health care professional is given unlimited access to the PCP and its conducting of official business.

Answer: False. Even the complainant in the case is not privy to what happens at PCP meetings. Furthermore, he or she cannot sit in on PCP discussions, receive transcripts of the proceedingsor obtain copies of the case evidence presented. *456.073(9)(a),(b), and (c)

2

True or False?: The licensee whom the complaint was filed against has the overriding expectation of confidentiality.

Answer: True. If a case is closed without an administrative complaint being issued – either with a letter of guidance or a regular dismissal ‒ no one gets to know anything about it, including who was on the PCP or what the alleged violation was. That is, unless, the licensee waives his/her right, in writing, to keep everything confidential. *456.073(10)

1

Board of Dentistry board of

A Quick Guide to the MQA Disciplinary Process

Discretionary Emergency Orders – 3 Things to Know

The Emergency Action process is applicable to any licensed Florida health care professional who poses an immediate, serious danger to the public health, safety or welfare.

*456.073(8); 120.60(6), Florida Statutes

What that means:

• Immediacy is necessary. If an incident occurred too long ago to be considered immediate anymore, it will not qualify for Emergency Action. (Determination of “too long ago” is made on a case-by-case basis.)

• The allegation(s) need to rise to a sufficient level of seriousness to warrant the emergency order.

Emergency Restriction Orders (EROs) and Emergency Suspension Orders (ESOs) are exclusively issued by the State Surgeon General. As with Probable Cause Panels, the Surgeon General can either accept or disregard the preceding investigation-based recommendation made by Prosecution Services Unit attorneys.

2

In addition to immediacy, the DOH is only permitted to use the “least restrictive means” to stop the danger. *120.60(6)(b)

What that means:

The Emergency Action must be in line with what danger is posed to the public – whether it be just a portion, or, the public as a whole. (Example: If a male licensee accused of sexual misconduct against females will only be restricted to not treating females.)

The distinction between orders:

• ESOs – For licensees deemed to be a threat to the public at large

• EROs – For licensees considered a threat to a segment of the population

The Emergency Order process is carried out without a hearing. Restricting someone’s right to work without the benefit of a hearing, the balancing act dictated by appellate law calls for it be done by the least restrictive means.

3

An ESO or ERO is not considered final agency action.

What that means:

• Orders can be appealed within 30 days of issuance. The appeal can play out while the normal disciplinary process – toward administrative complaint and regular prosecution – runs its course. *120.60(6)(c)

• The accused health care practitioner is entitled to a hearing before final action is taken by a regulatory board or by the Department of Health. He or she can request an expedited full evidentiary hearing, which requires the presentation of evidence that is admissible in court and witnesses to testify to prove the alleged violation.

• Complaints have to be filed within 20 days of an ERO/ESO – *Rule 28-106.501(3), Florida Administrative Code.

2024-2025 FDA President Dr. Jeff Ottley

Tell us where you were born, raised and about your family. I was born in Pensacola and raised in Milton. I have been married to my beautiful wife, Anissa, for 25 years, and we have three children. Ali, 25, is in medical school at Nova Southeastern; Christian, 23, is in dental school at Nova Southeastern; and Gabrielle, 21, is a senior at Auburn University, double majoring in psychology and human development and family science.

Education

I graduated from the University of Florida (UF) with a BS degree in microbiology and received my DMD degree from the UF College of Dentistry.

Councils/Committees/ Leadership/Volunteering

I have served as president of Esca Rosa Dental Association, president of Northwest District Dental Association (NWDDA), on the Florida Dental Association (FDA) councils on Communications and Leadership Development Committee, and as Building Committee chair. I served on the Board of Trustees as an alternate trustee for two years and then as trustee for six years before beginning the five-year journey to becoming FDA president. I have served as co-clinical chair for Florida Mission Of Mercy (FLA-MOM)

Dr. Ottley and family attend FDC at the Gaylord Palms.
L to R: Gabrielle, Alessandra, Drs. Jeff Ottley, Dr. Anissa Ottley and Christian.

in Tallahassee and on the Florida board of directors for the Donated Dental Services for the past six years. I have served as a delegate to the American Dental Association (ADA) on the 17th district for the past eight years. Recently, I have served on the ADA Council for Dental Practice as the chair for the last year. I really enjoy volunteering at most of the FLA-MOMs and on the Florida Baptist Dental Bus for more than 20 years.

What are your goals for the FDA? My goals for FDA are threefold. First

I would like to establish a wellness program for the members and families of the FDA. This program will include a member assistance program, a wellness committee and ambassadors around the state and reduction in the stigma associated with the questions related to license, credentialing and insurance renewals. Secondly, using task groups to work on membership and workforce issues, and lastly, to continue our successes advocating legislatively for our members.

1. 2.

THE PERFECT GIFT

Unwrap Up to $3,000 in Incentives

This Holiday Season

Your Florida Dental Association membership brings tidings of joy with up to $3,000* off the 2024 GLC SUV and C-Class Sedan. Savvy in every season, both models offer extensive standard equipment for first-class drives.

Visit ada.org/Mercedes and click on “Access Your Discount” to sign up for your incentive. Then, dash to your local Mercedes-Benz dealer to see one today.

ada.org/Mercedes

*Fleet incentives available only for qualified customers on certain MY24 Mercedes-Benz models. Not all engine variants are eligible for Fleet incentives. Please confirm with dealership if chosen vehicle is eligible for Fleet incentives at the time of purchase. Incentive must be used at time of purchase/lease. Incentives vary based on vehicle model as indicated. Eligible person must be the buyer/co-buyer or lessee/co-lessee. Star AccessSM incentives cannot be used in conjunction with Diplomat, European Delivery, Special Demos, Certificate Programs, Mercedes-Benz Incentive Bonus Cash and other Fleet programs, or non- U.S. specification vehicles. Incentive amounts are subject to change on a monthly basis and should be confirmed with your dealer at the time of transaction. Amount of actual savings may vary depending on model selected. Offer expires Jan. 2, 2025.

fda president

1. Vacationing in Provence, France.

2. Drs. Jeff and Anissa Ottley vacationing in Croatia with Drs. Edy Gurera, Beatriz Terry, Reese Harrison and Mrs. Mara Harrison.

3. Friends trip to The Masters Tournament.

4. Jeff and Anissa attending a Gator football game.

5. Jeff and Anissa celebrating Chairman of ADA council on dental practice.

6. Drs. Terry and Ottley meeting with Senate President Kathleen

Presidential Favorites

• Hobbies: golf, travel and anything on the water

• Food: great Filet Mignon, Meatza Pizza, seafood

• Memory: traveling around the world with Anissa, experiencing new cultures

• Guilty Pleasure: cookies and cream ice cream

• Sports Team: Florida Gators, Dallas Cowboys, Boston Celtics

• Leisure Activity: walking in the outdoors

• Vacation Destination: Italy

• Book: Great Gatsby

• Flower: none

• Dessert: carrot cake

• Candy: Reese’s Peanut Butter Cups

• Drink: Coke Zero, Cabernet Sauvignon

• Movie: Top Gun

• Music: 80’s and 90’s

• Artist: Tom Petty for music, Picasso, Bernini

• Pet: usually dogs, but currently loving Anissa’s cats

Family photo at FDC with seven family member dentists: Drs. Jared and Karina Ottley, Dr. Jonathan Ottley, Drs. Jeff and Anissa Ottley, Dr. Jerry Ottley and Dr. Bob Ottley.
6.
Photos:
Pasidomo.

Dental Lifeline Network • Florida Makes a Difference for Individuals in Need

Dental Lifeline Network’s Mission

Dental Lifeline Network’s mission is to change the lives of America’s most vulnerable adults through a coordinated system of care, and it has been doing so for 50 years. DLN’s Donated Dental Services (DDS) program operates nationally and helps individuals with disabilities who are elderly or medically fragile and cannot afford or otherwise access dental treatment. DLN • Florida’s DDS program started 27 years ago with the support of the Florida Dental Association and has helped 2,220 patients access $11.6 million in services through a network of volunteer dentists and labs. Last fiscal year, 100 patients received $472,700 in donated care.

Dental Lifeline Network • Florida’s Donated Dental Services (DDS) Program Changes Life of Foster Parent

Dental Lifeline Network • Florida’s DDS program changes the lives of individuals like Robert, 72, who lives with his wife and kids in Seminole County. Robert and his wife have spent most of their lives giving back to others in need as foster parents. However, Robert now suffers from a variety of health problems that have impacted his quality of life and his oral health. Robert was wearing broken dentures that were more than 22 years old. Due to these dentures fitting poorly, Robert could not chew his food, and his gums were often irritated, leaving him in pain. This all changed when a team of amazing volunteers stepped in to help Robert through the DDS program. Dr.

Dr. Hochfelder and Robert

Steven Hochfelder, a volunteer dentist, worked with a volunteer lab, Sakr Dental Arts, to provide Robert with a new complete upper denture, a crown on his bottom tooth and a new lower removable partial denture. Thanks to this generous and caring team, Robert received thousands of dollars in donated treatment that restored his oral health and allowed him to eat without pain!

How YOU Can Help

Your participation as a DDS volunteer enables you to impact the lives of patients like Robert significantly. By offering your time and skills, you create change that transforms the lives of needy individuals.

“I feel all dentists have an obligation to ‘give back and serve others,’” said Dr. Hochfelder. “The DDS program is a great and much needed program to serve the underserved. There is a significant need. We are a service profession, and as part of the best profession in the world, we should all give back and pay it forward.”

More dentists are needed in Florida. There are currently hundreds of patients in Florida who are awaiting essential dental care. Learn how easy it is for you to make a difference with DLN and sign up to be a volunteer by visiting WhyIDental.org or by scanning the QR code below.

Don’t wait! Sign up to be a volunteer by scanning the QR code or visit WhyIDental.org and you can transform the lives of individuals in need of life-saving dental care.

Protect your practice with real-time compliance status

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From Routine to Remarkable: The Power of Intentional Patient Engagement

In today’s dental practice, where competition is fierce and patient expectations are higher than ever, the importance of intentional interactions cannot be overstated. When dental professionals consciously engage with their patients, it goes beyond routine care — it builds trust, fosters strong relationships and ultimately enhances the patient experience. This article explores how intentional communication, engagement and professional development, particularly within the hygiene department, can transform not only patient care but also the overall success of your dental practice.

The Power of Intention

Intention, by definition, is a determination to act in a certain way. In dental care, this means approaching every patient interaction with purpose and mindfulness. When we operate on autopilot, we may miss opportunities to connect with our patients meaningfully. However, when we are deliberate and strategic about our daily activities, the impact on patient trust and loyalty is profound.

One of the greatest challenges in dentistry is overcoming the skepticism that many patients bring with them. Trust is not easily earned, yet it is the cornerstone of successful patient relationships. Patients need to feel that their dentist and dental hygienist are not just knowledgeable but also genuinely care about their well-being. This trust is built through consistent, intentional communication that resonates with the patient’s personal style and communication preferences.

The Role of Open-Ended Questions in Building Trust

A key element of intentional communication is the use of

open-ended questions. These questions invite patients to share their thoughts, concerns and experiences, making them active participants in their care. Rather than asking questions that can be answered with a simple “yes” or “no,” open-ended questions such as, “What changes have you noticed in your oral health?” or “How do you feel about the treatment options we’ve discussed?” encourage deeper dialogue and help uncover underlying issues or concerns.

When patients are given the opportunity to voice their thoughts, they feel heard and valued. This builds trust and opens the door to more meaningful interactions where the patient and the dental team work together to achieve the best possible outcomes.

Co-Discovery and Co-Diagnosis: Partnering with Patients

Incorporating the concepts of co-discovery and co-diagnosis into patient visits further enhances the patient experience. These concepts are not new, for years leaders in dentistry such as Bob Barkley, Dr. L.D. Pankey and Dr. Peter Dawson (among others) have shared the techniques and benefits of patient success. Co-discovery involves the patient in the diagnostic process, allowing them to see what the dentist or hygienist sees, often through the use of intraoral cameras or other visual aids. When patients can visually understand their oral health, they are more likely to engage in discussions about their treatment options.

Co-diagnosis takes this a step further by involving the patient in the decision-making process. By presenting the patient with the facts and guiding them through their options, the dental team empowers the patient to take own-

By prioritizing intentional communication, including the use of open-ended questions, the concepts of co-discovery and co-diagnosis and by encouraging professional development within the hygiene department, dental practices can elevate the patient experience, foster lasting relationships and drive sustainable growth.

ership of their oral health. This collaborative approach not only increases case acceptance but also strengthens the patient’s commitment to their treatment plan.

The Hygiene Department:

A Business Within the Business

The hygiene department plays a critical role in the success of any dental practice. Often described as a “business within the business,” it is a primary touchpoint for patients and can significantly influence their overall experience. When dental hygienists take ownership of their craft and commit to ongoing professional development, the benefits ripple across the entire practice.

A dental hygienist who has developed intentional patient communication strategies not only enhances patient care but also contributes to the financial health of the practice. While it is critical to stay current on the latest techniques, technologies and best practices, hygienists can offer more elevated trust building experiences when they can marry those clinical skills with intentional communication impact. This not only improves patient outcomes but also reinforces the practice’s reputation as a leader in dental care.

Moreover, when hygienists are empowered to take charge of their professional growth, they experience greater job satisfaction. This, in turn, leads to higher levels of engagement, reduced turnover and a more positive work environment — all of which contribute to a better patient experience.

Intentional Interactions Lead to Success

Ultimately, the success of your dental practice hinges on the quality of relationships built with patients. These relationships are strengthened through intentional inter-

actions, where every conversation, every treatment plan and every follow-up is conducted with the patient’s best interests at heart.

By prioritizing intentional communication, including the use of open-ended questions, the concepts of co-discovery and co-diagnosis, and by encouraging professional development within the hygiene department, dental practices can elevate the patient experience, foster lasting relationships and drive sustainable growth. The result is a thriving practice where patients feel valued, understood, and confident in the care they receive — a practice stands out in an increasingly competitive landscape.

In conclusion, the combination of intentionality in patient interactions, a collaborative approach to care and a focus on empowering the hygiene team creates a powerful synergy. It transforms routine dental care into a holistic, patient-centered experience that meets and exceeds expectations, paving the way for long-term success and patient loyalty.

Mrs. Miranda Beeson earned her bachelor’s and master’s degrees in dental hygiene from Old Dominion University. She is the director of education and lead practice coach at ACT Dental. Mrs. Beeson can be reached at miranda@actdental.com

Mrs. Beeson will be presenting the courses “Mind Your Business –How Hygienists Can Elevate the Practice and Themselves!” and “The Path to Success is Paved with Intention” on Saturday, June 21, during the Florida Dental Convention at the Gaylord Palms Resort in Orlando.

Sleep Apnea

It’s another gorgeous day in North Idaho, and my schedule is packed with restorative dentistry and hygiene checks. On today’s schedule is one of my favorite patients, Shawn. I usually see him every six months and am always prepared to exchange jokes with him. I have a good one for this visit, but thankfully, I’m not seeing his daughters today.

I usually have to do a really bad cartwheel for them in the waiting room. All three are amazing gymnasts, and after I told them that I got kicked out of gymnastics because I couldn’t figure out how to do a cartwheel, they made me prove it by showing them my “cartwheel” but only if they didn’t have any cavities.

In addition to his three teenage daughters, Shawn has a wonderful wife and a great job. He travels often, but he’s wondering why he feels more and more rundown. When I checked Shawn during his routine six-month visit, I asked about his girls, wife, job, how he was feeling and finally how his teeth were. Of course, he said they were fine; they’re always fine. Shawn is a healthy, middle-aged male with a clean health history. Certainly he has no problem. Does this sound familiar?

Ever since I finished my training to treat sleep apnea and now screening and treating it for the past 15 years, I’ve been looking at teeth, tongues and throats entirely differently. What I noticed about Shawn that I hadn’t before was that his canines had bruxing wear, which we had discussed at one time, but I dismissed my concern; he had a large scalloped tongue and a constricted mandible. But he was thin and tall with a small neck, not a stereotypical sleep apnea patient. I figured there was no way he had sleep apnea. His medical doctors didn’t mention it. Certainly there was nothing to pursue. Or was there? My mission is to spread the message that SLEEP APNEA IS NOT AN OLD FAT MAN’s DISEASE!

Shawn saw that I had a poster about snoring and sleep apnea in my waiting room, so he mentioned that he’d been having trouble feeling rested and rundown. Also, he falls asleep immediately when the plane takes off on his business trips. Shawn was wondering if it was because he snored at night. However, he’s getting older, works hard and has teenage daughters. Why wouldn’t he be getting tired? We think there’s no problem; he’s just getting older.

I contemplated all this a bit further. His wife says his snoring is getting worse, that he complains about fatigue, and I find signs in his oral cavity that suggest sleep apnea. I recommended that he get a sleep study done. An oral appliance is a dental solution for sleep apnea, but sleep apnea is a medical problem that requires a medical diagnosis. Oral appliances help open a closing airway (and serendipitously help snoring), which is called obstructive sleep apnea. Some with sleep apnea have breathing disorders that are unable to be treated by an oral appliance. In addition, with the advent of wearables that track sleep, many can get a false sense of security as it can provide a false negative, just as a pulse ox screener can do. A sleep test is the ONLY way to screen for Obstructive Sleep Apnea.

We see many patients in my office, and we have almost the same routine for every exam. We’re supposed to check the medical history, the throat and jaw for soft tissue abnormalities, the tongue and cheeks for oral cancer, and finally, the bone levels, gums and teeth. What about the airway? We’re most certainly right there looking at it, but do we ever pause and wonder? If we do, we may discover one of the 400+ undiagnosed sleep apnea patients

Fortunately, we have sleep studies to address these unknowns, and home sleep studies are becoming more common, and this helps address patient follow through issues.

currently in our practice. There are approximately 2,000 patients in a modest dental practice, and about 20% or more of those have sleep apnea or sleep-disordered breathing and approximately 80-90% of those patients go undiagnosed. These patients go undiagnosed because, like Shawn, we don’t believe there can be a problem.

There are some hurdles. The uneducated patient may resist a sleep study and may tell you to “just treat my snoring.” Or even worse is, when I hear “my family snores, everyone I know snores, I’m fine.” I’m still trying to determine why such resistance and denial exist. I digress. Without a sleep study to know exactly what is going on, we may be creating a “silent apneic,” which is a patient that does not snore at night. Still, his or her oxygen levels are dangerously low and obstructions continue untreated. Fortunately, we have sleep studies to address these unknowns, and home sleep studies are becoming more common, and this helps address patient follow through issues.

Thankfully, Shawn accepted my recommendation and had a home sleep study performed that was read and diagnosed by a sleep physician. I was anxious to see his results because I’m rarely wrong in identifying sleep apneics in my patients. What were his results? Shawn was, in fact, one of the 20% or more of undiagnosed sleep apneics in my practice. In fact, he had moderate sleep apnea in which he stopped breathing for 10 seconds or more 99 times a night and subconsciously tried to wake himself up to breathe better 57 times a night. No wonder he was tired!

Webinar series for FDA members to stay informed on legislative and political issues.

The Florida Dental Association’s Governmental Affairs Office (GAO) would like to invite you to join in on our listening sessions to learn about legislative issues that may have an impact on the dental profession, political issues that could affect the dental industry, and a number of other hot topics that may be of interest to you!

The listening sessions will be scheduled for mid-afternoon, 30-minutes long and will allow you to ask questions of the speakers. These sessions are meant to give you a quick update on issues and topics during your lunch hour, without interrupting the flow of your day.

POTENTIAL GUESTS:

• Elected officials (federal, state and local)

• Candidates running for office

• State agency and department heads

• FDA Members

• National dental leaders/experts

FLORIDA DENTAL CHATTER

This Facebook group is designed for dentists to interact with other members, receive the latest updates and information, and engage with FDA leaders and sta across the country. This is the place to be in the know!

Join u s at fa ceboo k . co m /g ro u ps/ flo r i dadenta lchat te r.

JOE ANNE HART
JAMIE GRAVES

After receiving his oral appliance, Shawn returned for his one-week follow-up with his wife. Almost immediately she said, “I can sleep with him in the same room again!” Shawn proclaimed, “I’ve stopped falling asleep on the plane when I travel for my job. I’m so much more productive.” Shawn couldn’t stop thanking me, and his wife and kids couldn’t stop thanking me. I love changing lives!

There are potentially 400 or more undiagnosed people in your practice. Dentists are on the front line. The medical doctors need us. They are farther downstream than we are. Shawn admitted he never would have gone to the doctor for his complaint, and he goes to the doctor only when he’s sick. Even at his biannual checkup, the doctor didn’t ask about his sleep, and I bet he didn’t tell a joke, either. Because we know and see our patients and their families often, we can help them breathe better by asking ourselves and our patients a few simple questions. Sleep apnea was subtle to catch in Shawn, but he’s just the tip

of the iceberg. Join me at the 2025 Florida Dental Convention (FDC) meeting, where I will be teaching “Sleep Apnea: Wake Up to the Problem” followed by a hands-on workshop where we will learn to take bites and where I can help you discover an often silent disease (that’s not so silent ironically) within your patient population in a fun, no-nonsense, practical way.

Dr. Erin Elliott earned her dental degree from Creighton University School of Dentistry. She is the past president and diplomate of the American Sleep and Breathing Academy. Dr. Elliott maintains a private practice in Post Falls, ID and can be reached at erinelliottdds@gmail.com.

Dr. Elliott will be presenting the courses “Sleep Apnea: Wake Up to the Problem” and “Take a Bite Out of the Sleep Apnea Problem: Oral Appliance Record-Taking for Your Practice Workshop” on Saturdat, June 21, during the FDC at the Gaylord Palms Resort in Orlando.

FREE PRE-REGISTRATION FOR FDA MEMBERS!

FLORIDA DENTAL CONVENTION | EXHIBIT HALL

JUNE

19-21,

2025 – GAYLORD PALMS RESORT - ORLANDO

Visiting the FDC Exhibit Hall is an invaluable opportunity for you to experience a comprehensive showcase of the latest advancements in the dental field, from cutting-edge technology to innovative treatment options. Stay up-to-date on industry trends, expand your skills, and discover products and services that can enhance patient care and the overall dental practice experience all under one roof at FDC2025. Support the companies that support the Florida Dental Convention!

A-C

A1 HANDPIECE SPECIALISTS

ADIT

ADS DENTAL SYSTEM INC.

AIR TECHNIQUES INC.

ALIGN TECHNOLOGY INC.

ALPHAEON CREDIT AMD LASERS

ANDAU MEDICAL

ASEPTICO

ATLANTA DENTAL SUPPLY

ATLANTIC DENTAL SOLUTIONS/BREWER COMPANY

ATOMICA TECHNOLOGY INC.

AUGMA BIOMATERIALS

AUTOREMIND

BANK OF AMERICA PRACTICE SOLUTIONS

BARKSDALE DENTAL LAB

BAUSCH ARTICULATING PAPERS INC.

BAYFIRST

BENCO

BEST INSTRUMENTS USA

BIOCLEAR

BIOGAIA PROBIOTICS

BIOHORIZONS

BIOLASE

BIRCH 59 PPO LLC

BISCO INC.

BQ ERGONOMICS LLC

BRANDMAX

BRASSELER USA

CARECREDIT

CARESTREAM DENTAL

CARR

CENTURION HEALTH

CLOUD DENTISTRY

COASTAL PROFESSIONAL CONTRACTING INC.

COLGATE

COLTENE/SCICAN

CORE SCIENTIFIC

CREST + ORAL-B

CROWN TENANT ADVISORS

CULTURE DENTAL ADVISORS

CURVE DENTAL

CUTCO CUTLERY

D-F

DADDY D PRO MIAMI

DANDY

DDS MATCH FLORIDA

DEMEOLA TEMPLE CPA GROUP

DENTAL DYNAMIC STAFFING

DENTAL EQUIPMENT LIQUIDATORS

DENTAL INTELLIGENCE

DENTALEZ-DSX

DENTALREE.COM INTERNATIONAL INC.

DENTIUM USA

DENTLIGHT INC.

DESIGNS FOR VISION INC.

DIGI SEARCH

DIGITAL DOC

DIGITAL HEALTHCARE PROFESSIONALS

DOCTOR MULTIMEDIA

DOCTOR’S CHOICE PRACTICE TRANSITIONS

DOCTORSINTERNET

DORAL REFINING CORPORATION

DR. MARKETING

DREVE AMERICA

EASSIST DENTAL SOLUTIONS

EKOS DENTAL GROUP

ELEVATE ORAL CARE

ELITE PAYMENT GROUP

EPDENT AMERICA INC.

ESTHETIC PROFESSIONALS

EVENLY

FLORIDA DENTAL ASSOCIATION (FDA)

FDA FOUNDATION

FDAPAC

FDA SERVICES INC.

FLORIDA COMBINED LIFE

FLORIDA MEDICAL ADVISORS

FLORIDA PROBE CORP.

FOUR QUADRANTS ADVISORY

G-K

GARFIELD REFINING

GARRISON DENTAL SOLUTIONS

GC AMERICA INC.

GLIDEWELL DENTAL

GROWTHPLUG

GUARDIAN

H&H COMPANY

HALYARD

HAWAIIAN MOON

HEARTLAND DENTAL

HENRY SCHEIN DENTAL

HENRY SCHEIN DENTAL PRACTICE TRANSITIONS

HUFRIEDYGROUP

HUMANA

HUNTINGTON PRACTICE FINANCE

HUNZA DENTAL

IMPLADENT LTD

IMPLANT DIRECT

IMPLANT EDUCATORS

IMPLANT SEMINARS

IMTEC CORPORATION

INTERACTIVE ACCOUNTANTS LLC

IOTECH INTERNATIONAL

ITXPROS

JIM O’BRIEN ARCHITECTURE & INTERIORS

JMU DENTAL INC.

KARL SCHUMACHER DENTAL

KERR DENTAL

KETTENBACH LP

KOMET USA

KWIKLY DENTAL STAFFING

L-Q

LEGALLY MINE

LUMADENT INC.

MAN & MACHINE INC.

MEDILOUPES

MEDS 2U PHARMACY: EMERGENCY DENTAL KITS

MEGAGEN AMERICA

MEISINGER USA

MERCHANT PREFERRED ZERO MICROCOPY

MYRIAD CAPITAL

NAK DENTAL GROUP

NEOCIS

NEW TEETH NOW

NEXHEALTH

NSK AMERICA

NUCHAIR INC.

OCEANVIEW BUILDING GROUP

OOMA INC.

OPAL REEF LLC

ORASCOPTIC OVERJET

PATIENT NEWS

PATTERSON DENTAL

PEARL

PHILIPS SONICARE AND ZOOM WHITENING PLANMECA/KAVO

POWER DENTAL GROUP

PPO PROFITS

PRACTICE BY NUMBERS

PREMIUM PLUS DENTAL SUPPLIES

PROFESSIONAL SALES ASSOCIATES INC.

PROVIDE

Q-OPTICS & QUALITY ASPIRATORS

R-Z

R&D SURGICAL USA / XENOSYS USA

REALTIME CPAS

RGP DENTAL INC.

RITTER DENTAL

SALVIN DENTAL SPECIALTIES LLC

SGA DENTAL PARTNERS

SHAMROCK DENTAL CO. INC.

SHATKIN F.I.R.S.T. LLC

SHOFU DENTAL CORPORATION

SMILE DESIGN DENTISTRY

SNAP ON OPTICS

SOLUTIONREACH

SOUTHERN DENTAL REFINING

STELLALIFE

STRAUMANN

STRAUSS DIAMOND INSTRUMENTS INC.

STREAMHEALTH GROUP

SUMMIT HANDPIECE EXPRESS

SUNCOAST CREDIT UNION

SUNRISE DENTAL EQUIPMENT INC.

SURGITEL

TD BANK

THE ARGEN CORPORATION

THE DAWSON ACADEMY

THE DOCTORS COMPANY

THE TRANSITIONS GROUP LLC

TOKUYAMA DENTAL AMERICA

TORCH DENTAL

U.S. BANK HEALTHCARE BUSINESS BANKING

ULTRADENT PRODUCTS INC.

ULTRALIGHT OPTICS INC.

UNITED MIDWEST SAVINGS BANK

VAKKER DENTAL INC.

VALUMAX PROTECTIVE APPAREL INC.

VATECH AMERICA

VECTOR RESEARCH & DEVELOPMENT

VIDEO DENTAL CONCEPTS

VOCO AMERICA INC.

WATER PIK INC.

WEAVE

WELLS FARGO

WSD LABS USA INC.

ZIRC DENTAL PRODUCTS

HALL HOURS & EVENTS

Times are subject to change

THURSDAY, JUNE 19

11 AM-6 PM

Exhibit Hall Open to Attendees

11 AM-2 PM

Lunch available to purchase

4-6 PM

Welcome Cocktail Reception

FRIDAY, JUNE 20

8:45 AM-6 PM

Exhibit Hall Open to Attendees

11 AM-2 PM

Lunch available to purchase

3-5:45 PM

Puppy Cuddle Break

SATURDAY, JUNE 21

9 AM-2 PM

Exhibit Hall Open to Attendees

11 AM-2 PM

Lunch available to purchase

EXHIBITORS IN GREEN ARE FDAS CROWN SAVINGS PARTNERS .

fda district dental associations

WELCOME!

ATLANTIC COAST DISTRICT DENTAL ASSOCIATION

When you join organized dentistry, you’re automatically part of all three levels:

Atlantic Coast District Dental Association (ACDDA)

Your local district provides excellent events that offer opportunities for continuing education and networking. In addition to the ACDDA’s Annual Conference, there are local meetings— three of which are included in your membership dues! The district also offers member-only special events, social media platforms and publications.

Florida Dental Association (FDA)

The Florida Dental Association offers benefits like Peer Review, practice support, assistance with third-party payers, timely newsletters and publications, crisis management assistance and more. Members receive free preregistration, discounted course pricing and up to 20 FREE CE course options at the annual Florida Dental Convention in June. The FDA also serves as the voice of oral health to members of the Florida legislature, the media and the general public.

WELCOME! CENTRAL FLORIDA DISTRICT DENTAL ASSOCIATION

When you join organized dentistry, you’re automatically part of all three levels:

Central Florida District Dental Association (CFDDA)

Your local district provides excellent events that offer opportunities for continuing education and networking. The CFDDA’s Annual Meeting offers continuing education (8-12 continuing education units) at no cost to CFDDA and their dental teams. The district also offers member-only special events, social media platforms and publications.

Florida Dental Association (FDA)

The Florida Dental Association offers benefits like Peer Review, practice support, assistance with third-party payers, timely newsletters and publications, crisis management assistance and more. Members receive free preregistration, discounted course pricing and up to 20 FREE CE course options at the annual Florida Dental Convention in June. The FDA also serves as the voice of oral health to members of the Florida legislature, the media and the general public.

American Dental Association (ADA)

The American Dental Association protects the profession through federal advocacy efforts, offers a member app and builds public knowledge and acceptance of dentistry using the ADA Seal of Acceptance and research from the ADA Forsyth Institute.

American Dental Association (ADA)

The American Dental Association protects the profession through federal advocacy efforts, offers a member app and builds public knowledge and acceptance of dentistry using the ADA Seal of Acceptance and research from the ADA Forsyth Institute.

NORTHEAST DISTRICT DENTAL ASSOCIATION WELCOME!

When you join organized dentistry, you’re automatically part of all three levels:

Northeast District Dental Association (NEDDA)

Your local district provides excellent events that offer opportunities for continuing education and networking. Check out nedda.org/events for upcoming happenings in your friendly district.

Florida Dental Association (FDA)

The Florida Dental Association offers benefits like Peer Review, practice support, assistance with third-party payers, timely newsletters and publications, crisis management assistance and more. Members receive free preregistration, discounted course pricing and up to 20 FREE CE course options at the annual Florida Dental Convention in June. The FDA also serves as the voice of oral health to members of the Florida legislature, the media and the general public.

American Dental Association (ADA)

The American Dental Association protects the profession through federal advocacy efforts, offers a member app and builds public knowledge and acceptance of dentistry using the ADA Seal of Acceptance and research from the ADA Forsyth Institute.

When you join organized dentistry, you’re automatically part of all three levels:

Northwest District Dental Association (NWDDA)

Your local district provides excellent events that offer opportunities for continuing education and networking. Members can earn up to 12 hours of continuing education at the NWDDA’s Annual Conference at a reduced rate. The district also offers member-only special events and publications.

Florida Dental Association (FDA)

The Florida Dental Association offers benefits like Peer Review, practice support, assistance with third-party payers, timely newsletters and publications, crisis management assistance and more. Members receive free preregistration, discounted course pricing and up to 20 FREE CE course options at the annual Florida Dental Convention in June. The FDA also serves as the voice of oral health to members of the Florida legislature, the media and the general public.

American Dental Association (ADA)

The American Dental Association protects the profession through federal advocacy efforts, offers a member app and builds public knowledge and acceptance of dentistry using the ADA Seal of Acceptance and research from the ADA Forsyth Institute.

fda district dental associations

SOUTH FLORIDA DISTRICT DENTAL ASSOCIATION WELCOME!

When you join organized dentistry, you’re automatically part of all three levels:

South Florida District Dental Association (SFDDA)

Your local district provides excellent events that offer opportunities for continuing education (CE) and networking. Affiliate CE dinner meetings throughout the year are included in SFDDA membership and CE courses are designed to fulfill licensure requirements. The district also offers member-only special events, social media platforms and publications. Check out the popular “Ain’t That the Tooth” podcast at sfdda.org.

Florida Dental Association (FDA)

The Florida Dental Association offers benefits like Peer Review, practice support, assistance with third-party payers, timely newsletters and publications, crisis management assistance and more. Members receive free preregistration, discounted course pricing and up to 20 FREE CE course options at the annual Florida Dental Convention in June. The FDA also serves as the voice of oral health to members of the Florida legislature, the media and the general public.

WELCOME!

WEST COAST DISTRICT DENTAL ASSOCIATION

When you join organized dentistry, you’re automatically part of all three levels:

West Coast District Dental Association (WCDDA)

Your local district provides excellent events with continuing education (CE) and networking. In addition to the WCDDA’s Annual Conference, members and their loved ones can embark on memorable getaways by joining destination trips for quality time, CE and bonding outside of the office. There are also opportunities for volunteer leadership that make an impact and allow for an active role in shaping the future of organized dentistry.

Florida Dental Association (FDA)

The Florida Dental Association offers benefits like Peer Review, practice support, assistance with third-party payers, timely newsletters and publications, crisis management assistance and more. Members receive free preregistration, discounted course pricing and up to 20 FREE CE course options at the annual Florida Dental Convention in June. The FDA also serves as the voice of oral health to members of the Florida legislature, the media and the general public.

American Dental Association (ADA)

The American Dental Association protects the profession through federal advocacy efforts, offers a member app and builds public knowledge and acceptance of dentistry using the ADA Seal of Acceptance and research from the ADA Forsyth Institute.

American Dental Association (ADA)

The American Dental Association protects the profession through federal advocacy efforts, offers a member app and builds public knowledge and acceptance of dentistry using the ADA Seal of Acceptance and research from the ADA Forsyth Institute.

ADA Wellness Ambassadors:

Leading the Way in Supporting Dentists' Well-Being

The American Dental Association (ADA) began the ADA Wellness Ambassador program in 2022 to ensure that dentists struggling with health obstacles were aware of support services. For a full range of resources go to ada. org/resources/practice/wellness. The ADA has long been a champion for dentists health and well-being with resources, continuing education offerings, convening events, policies and a sense of community. As part of this effort, the ADA offers the anonymous Well-Being Index (WBI), a Mayo Clinic-validated tool to assess and monitor personal well-being, free of charge to all members, including dental students. ADA/Florida Dental Association (FDA)/District members who take the WBI will see resources after completing their assessment, and can re-evaluate over time, at no cost. It’s validated and anonymous, with only aggregate data available to the ADA, ensuring privacy. You can signup or

login to the WBI at mywbi.org/ada-wellness or you can scan the QR code to the left and use the invitation code: ADA Wellness.

The Wellness Ambassadors, a diverse group of dentists from different practice types, specialties, ages and districts support this initiative. The first group of ambassadors consists of nine dentists and one leader from the Alliance of the ADA; the Alliance represents family members, who are often the first to notice changes in the well-being of their loved ones. The second group includes Dr. Mina Ghorbanifarajzadeh and a different leader from the Alliance of the ADA. The current group, group three of ambassadors, includes Dr. Sharon Siegel, and 10 other dentists focuses on establishing a wellness program in their state or local dental society or to develop a dentist health and well-being commitee at their state level.

Meet Your Florida Wellness Ambassadors to the ADA

Wellness has been weaved into my core and I inherently love learning how to take better care of myself, so I can serve others well. If I do better, I can share the knowledge I have, inspiring change as well!

I serve as part of the second group of Wellness Ambasadors where we worked on three projects that were wellness based. My most notable project was working with the ADA team to take the ergonomic stretches from a PDF or card and turn it into something that could be listened to from the ADA Member App as a guided stretch or exercise.

It’s been an honor to serve as a Wellness Ambassador, and I am here to help.

Dr. Ghorbanifarajzadeh can be reached at dr.minag@icloud. com

I teach Healing Breaths programs as I have personally gained so much from the doing the SKY Breath and Meditation practice each day. The benefits that I have personally attained from the programs are relief from stress, reduced my anxiety levels, lowered blood pressure, lower cholesterol levels, more calmness in my life and the ability to manage the everyday vacillations in my head.

I lead the third group of Wellness Ambassadors along with 11 other dentists and we are focusing on establishing a wellness program in our state society or developing a dentist health and well-being commitee at the state level as well.

Dr. Siegel can be reached at siegelsh@gmail.com.

Dr. Ghorbanifarajzadeh
Dr. Siegel

SHOWCASING THE FDA’S IMPACT AND HELPING FLORIDIANS FIND THEIR FDA DENTIST

In 2024, the Florida Dental Association (FDA) and the Moore agency engaged in proactive media and advertising campaigns to educate Floridians about the work the FDA is doing in their communities to improve oral health, the importance of preventive dental visits, and encourage Floridians to find an FDA dentist. These efforts encouraged Floridians to value their oral health and take action to create positive habits, including finding and seeing an FDA dentist.

2024 PUBLIC & MEDIA RELATIONS SUCCESS HIGHLIGHTS

Through coordinated public relations, advocacy, and media efforts, the FDA has been effectively positioned as Florida’s foremost authority on oral health, ensuring the public recognizes its role as a trusted resource. These efforts have brought attention to members’ unwavering commitment to their patients’ oral health and well-being while illustrating how recent policy advancements are positively influencing oral health care across the state.

Need free dental care near the Tampa Bay area?

Here’s how to get it.

Dental experts react to Collier County halting fluoride from public water supply

95+ media hits

25+ local, statewide and national media outlets

4.5+ MILLION Florida media impressions

“This legislation will address a key issue that is affecting too many Florida patients – denial of coverage for dental treatment services that had been previously authorized by their dental plan,” said Dr. Beatriz Terry, President of the Florida Dental Association. “This new law will help ensure patients receive the dental benefits they are paying for.”

New Florida Law Amends Dental Insurance Claims Process

2024 DIGITAL ADVERTISING SUCCESS

We ran three digital ad campaigns to target Floridians throughout the state, encouraging them to find and see their FDA dentist, seek preventive dental care, and address fears of going to the dentist.

The paid search (Google AdWords) advertising reached Floridians searching for dental services and brought them to the FDA “Find-A-Dentist” member search directory. The other two creative ad campaigns were displayed on Facebook, Instagram and YouTube.

GUARD YOUR GRIN!

This video campaign ran in both English and Spanish to reinforce the fact that oral health is vital for overall well-being and to highlight the importance of preventive dental visits. This campaign reached Florida’s growing Hispanic population and filled knowledge gaps across generations, from Gen Z to Boomers.

CAMPAIGN HIGHLIGHTS

2.4+ MILLION targeted impressions*

541K+ completed video views

137K+ ad clicks

25K+ clicks to the FDA member dentist search

This video campaign was optimized to target young professionals and families who may have recently moved to Florida to encourage them not to be nervous about going to the dentist and to find their perfect FDA member dentist match.

Diagnostic Quiz

A 55-year-old male was referred to Dr. Jody Vance, a periodontist in Springfield, Missouri to evaluate a soft tissue lesion on the maxillary anterior gingiva. Upon clinical examination, a well-circumscribed bluish nodule was noticed on the facial gingiva between teeth #10 and #11. The surface of the lesion was intact and measured approximately 4x4 mm. The x-ray showed no bony involvement. The patient was asymptomatic with an unremarkable medical history. The lesion was excised and submitted to the Oral Pathology Biopsy Service at the University of Florida in Gainesville.

Question:

Based on the given history and clinical picture, what is the most likely diagnosis?

A. Vascular malformation

B. Salivary duct cyst

C. Mucocele

D. Gingival cyst

E. Peripheral giant cell granuloma

2: The microscopic image shows a cavity lined by thin squamous epithelium cystic lining (blue arrows). The epithelium is discontinuous and focal areas of nodular thickening are noted.

Fig.1: A translucent blue nodule is seen on the gingiva between #10 and #11.
Fig.

diagnostic discussion

A. Vascular malformation

Incorrect. A vascular malformation is a structural anomaly of blood vessels that often presents at birth and persists throughout life. Vascular malformations can be classified according to the type of vessels involved, including capillary, venous, lymphatic, or arteriovenous. The clinical manifestation often shows a red or blue mass with a compressible surface. In contrast to vascular malformations, hemangiomas often exhibit a rapid growth phase followed by steady involution. Microscopically, the lesion shows dilated vessels lined by flattened endothelial cells surrounding the vascular spaces. Common sites for vascular malformations include the ventral tongue, buccal mucosa and lips. The gingiva is an uncommon site for vascular malformations, though it is a fair consideration in the current case. Treatment for smaller venous lesions is surgical excision, while large lesions may be treated with laser ablation or sclerotherapy.

B. Salivary duct cyst

Incorrect. Salivary duct cyst is a true developmental cyst lined by epithelium. It usually occurs in adults, arising within major or minor salivary glands. The parotid is the most common major salivary gland affected. Common minor salivary gland sites include the floor of the mouth, buccal mucosa, and upper lip. Clinically, the lesion typically appears as a bluish, fluctuant swelling similar to a mucocele. While the clinical presentation matches the current case, the location is incompatible. Salivary glands are not found on the gingiva, so all salivary gland lesions should be excluded from the differential. Under the microscope, salivary duct cysts often exhibit cuboidal or squamous cystic epithelial lining surrounded by fibrous connective tissue and accessory salivary glands. Occasionally, metaplastic changes of the epithelial lining secondary to ductal obstruction, such as sialolith, may occur. Conservative surgical excision is recommended for lesions arising within minor salivary glands. However, for major salivary gland lesions, partial or total gland removal may be necessary to prevent recurrence.

C. Mucocele

Incorrect. A mucocele is a common reactive lesion that arises from a ruptured salivary gland duct. This results in

the spillage of mucin into the surrounding connective tissue. Mucoceles are more commonly found in children or young adults and local trauma is a common cause. More than 80% of cases are seen on the lower lip. Other sites of involvement include the floor of the mouth, ventral tongue, buccal vestibule and palate.

Interestingly, the upper lip is rarely involved. On the other hand, true salivary gland tumors are more commonly seen on the upper lip compared to the lower lip. As mentioned earlier, salivary gland lesions, including mucoceles, are not observed on the gingiva due to the lack of salivary glands in this location. A mucocele classically presents as a fluctuant blue mass. They may appear mucosal-colored, especially longstanding lesions that become more fibrotic. Mucoceles are usually a few millimeters up to several centimeters in diameter. Occasionally, surface ulceration is noted because of constant irritation. Patients may report that the lesion changes in size because of mucin spillage. Microscopically, spilled mucin surrounded by granulation tissue, including macrophages, is noted. No cystic epithelium lining is found. Mucoceles may heal on their own after surface rupture. Local surgical excision may be required for lesions that do not regress. This often includes feeder minor salivary glands to prevent recurrence.

D. Gingival cyst of the adult

Correct! Gingival cyst of the adult is an uncommon lesion arising from dental lamina rests (rests of Serres). It is thought to represent the soft tissue counterpart of the lateral periodontal cyst. These lesions are distinct from gingival cysts of the newborn, which are small keratin-filled cysts found in the alveolar ridge of infants. The lesion is most commonly seen in the fifth and sixth decade of life. It shows a striking predilection for the anterior gingiva of the mandibular canine and premolar area. The following frequent location is the maxillary incisor-canine area. Clinically, gingival cysts appear as a small dome-shaped nodule with a blue or grey surface (Fig. 1). The lesion is often fluctuant. Occasionally, superficial erosion of the alveolar bone is noticed during excision. The histopathological features show a flattened cystic lining with or without focal plaque-like thickening epithelium lining (Fig. 2). Glycogen-rich clear cell chang-

es are often noted. These features are similar to a lateral periodontal cyst. Local surgical excision is the treatment of choice, and the prognosis is excellent.

E. Peripheral giant cell granuloma

Incorrect. Peripheral giant cell granuloma represents a reactive lesion caused by local irritation rather than a true neoplasm. It develops exclusively on the gingiva or alveolar ridge, affecting the lower jaw more often. The lesion has a slightly female predilection with a wide age range. The clinical appearance usually shows a sessile or pedunculated lesion, sometimes with surface ulceration if the lesion undergoes local irritation. Most lesions are red and often exhibit a blue-purple tint. The microscopic presentation shows abundant multinucleated giant cells scattered within plump ovoid and spindle-shaped mesenchymal cells. Hemorrhage and hemosiderin pigment contribute to the blue-purple hue of this lesion. Treatment consists of local surgical excision down to the underlying alveolar bone to prevent recurrence.

References:

Malali VV, Satisha TS, Jha AK, Rath SK. Gingival cyst of adult: A rare case. J Indian Soc Periodontol. 2012;16(3):465-468.

More CB, Bhavsar K, Varma S, Tailor M. Oral mucocele: A clinical and histopathological study. J Oral Maxillofac Pathol. 2014;18(Suppl 1):S72-S77.

Neville, BW, Damm DD, Allen CM, and Chi AC. (2016) Oral and Maxillofacial Pathology. 4th edition, WB Sanders, Elsevier Stojanov IJ, Malik UA, Woo SB. Intraoral Salivary Duct Cyst: Clinical and Histopathologic Features of 177 Cases. Head Neck Pathol. 2017;11(4):469476.

Thakral C. Peripheral giant cell granuloma. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/oralcavityperipheralgiantcellgranuloma.html. Accessed October 8th, 2024.

Diagnostic Discussion is contributed by University of Florida College of Dentistry professors and Drs. Indraneel Bhattacharyya, Nadim Islam and Sumita Sam who provide insight and feedback on common, important, new and challenging oral diseases.

The dental professors operate a large, multi-state biopsy service. The column’s case studies originate from the more than 16,000 specimens the service receives annually from all over the United States.

Clinicians are invited to submit cases from their practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter.

Conflict of Interest Disclosure: None reported for Drs. Islam, Bhattacharyya and Sam.

*Resident, Oral & Maxillofacial Pathology

Drs. Islam, Bhattacharyy aand Sam can be reached at oralpath@dental.ufl.edu

The Florida Dental Association is an American Dental Association (ADA) CERP Recognized Provider. ADA CERP is a service of the ADA to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a continuing education provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp

Dr. Bhattacharyya
Dr. Islam
Dr. Sam

forensic odontology

Dentistry to Forensics:

Dr. Silver and 95 Years of Service and Discovery

What sparked you to have a career in dentistry?

When I was a kid, I would see my father come home from the office, go into his study, and work on his orthodontic cases. I found it fascinating that there was an art to working with wires to reshape the face. That kind of patient molding and reshaping was something I enjoyed since I was seven years old, working with clay in my Aunt’s studio with a group called “Paul Revere Pottery.” Even in my retirement I still create in clay and exhibit my work. Orthodontics is every bit as much a creative process.

How did your time in the Air Force in Japan help shape your career?

As soon as I had completed my orthodontic training, I was assigned to Tachikawa Air Base in Japan. When I arrived, my commanding officer greeted me with, “We don’t need no [expletive] orthodontist on base.” Well, that wasn’t the greeting I was hoping for. However, this was a wide-open opportunity as the only orthodontist on base, and I immediately took to it. After the warm greeting, my practice got busy with hundreds of service men and women and their families. I was also able to lecture in the Philippines and South Korea to present interesting cases.

How have you seen dentistry evolve during your career?

When I returned from the military, we were introducing the Begg technique, which used lighter wires and gentler forces that actually moved teeth more rapidly than earlier methods. By the end of my orthodontics career, they were introducing removable braces like Invisalign.

I cannot bring the body back to life but I can bring a life back to the body.

Regarding dental offices, when I started, everyone was in a solo practice. By the time I retired, about 65% of dentists were in solo practice and now only 35%. The rest are in dental groups. Despite this trend, I remained a solo practitioner throughout my career. Getting involved in dental societies like the Florida Dental Association was very important as it offered a network and resources to help me sustain my practice.

How did you become involved in forensics?

Forensics emerged as a new chapter in my career after retiring from orthodontics, when a friend invited me to the morgue. I admit I found it shocking and intriguing at the same time. I observed the procedures of dental autopsy that I had not encountered before, yet realized that I could adapt my dental knowledge to help solve identification cases, providing families resolution and closure. I obtained diplomate status in the American Board of Forensic Odontology and now serve as the Deputy Chief of Forensic Odontology at the Miami Dade Medical Examiner Department. Throughout my now 27 years at the county morgue, I have served on many national disaster teams, making dental identifications from the Valujet crash to Hurricane Katrina and the World Trade Center collapse, as well as identifying unknown persons lost to crime and tragedy in Miami-Dade and Broward counties.

Dr. Silver

What is a typical day like being a medical examiner?

This field has no “typical day”; you go about your business and are always on call. When a body comes in, I drop what I’m doing and go to the morgue. Many times, I’ll read about some mystery case in the Miami Herald, and the following day, get the call to come in and identify the body through dental examination and connect the information to records obtained by the investigation staff. It is heartening to know that each case that is resolved connects families to their loved ones or helps bring perpetrators to justice. The timing is sporadic, but unfortunately, there is always a steady supply of cases that come in over time.

Dr. William Silver can be reached at billsilver@comcast.net.

FDA Director of Publications Jill Runyan can be reached at jrunyan@floridadental.org.

Dr. Silver's "Gossip" artwork.
Dental Autopsy, written by Drs. William Silver and Richard Souviron of the Miami-Dade Medical Examiners Office, describes many of the benchmark procedures used in victim identification.

career center

FDA’s Career Center

The FDA’s online Career Center allows you to conveniently browse, place, modify and pay for your ads online, 24 hours a day. Our intent is to provide our advertisers with increased flexibility and enhanced options to personalize and draw attention to your online classified ads!

General Dentist in Miami Sage Dental is the leading Dental Support Organization (DSO) in the Southeast, and we are continuing to grow! At Sage, people are at the core of everything we do. We are looking for dynamic and talented professionals who fit our culture of innovative technology, constant learning, and patient-centric care to join our team. If you are ready to take the next step in your career and want a position with excellent earning potential with a stable, growing company, Sage Dental has what you are looking for. What is it you love about being a General Dentist? If it’s providing exceptional care for your patients through personal and thorough treatment... if it’s learning from the latest insights in dentistry and using cutting edge technology and AI... if it’s continually elevating the success of your practice by lifting up the people you work with in service of your patients’ oral and overall health, we want you at Sage Dental. Hear directly from our Chief Clinical Officer, who was recently named one of the 10 Most Influential Leaders of Tech in 2021: analyticsinsight.net/The-10-Most-Influential-Tech-Leaders-of-2021_Vol2/#page=29. Overview: Full Time General Dentist in Miami, FL. 5 days per week, Monday-Friday. 8:00am-5:00pm. Daily guarantee or percentage (whichever is greater). Qualifications: DMD, DDS or BDS Degree. State License. Fluent in Spanish and English. What Sage Offers: Innovative Artificial Intelligence (AI) technologies used Total clinical autonomy for your treatment plans where you can keep patient needs first In-house Specialists available for referrals Sage Dental Academies offer free certification opportunities in implantology, endodontics, aligners, or prosthetics. Sage University offered to General Dentists to grow skills in communication, leadership, and management. We handle all the business and bookkeeping so you can focus on providing optimal care. Robust marketing program helps drive growth and deliver new patients. Visit careers.floridadental.org/job/general-dentist-miami-fl-0b6c8e2f

85335cd7f6ade96ab5ea7c43b

Dental Hygienist in Ocala. The Dentist place of Ocala is hiring a hygienist. $2,500 Incentive bonus. Location: 2760 S.E. 17th Street, Suite 600 Ocala, Florida 34471. Schedule: Tuesday 7:30-5pm, Wed 7:30-5pm, Thurs 7:30a-5pm, Fri 7:30a-5pm. Benefits- bonus structure- work/life balance- free continuing education & much more! Why Heartland Dental? As an elite clinical provider and patient advocate, you’ll receive best in class non-clinical support to provide exceptional lifetime patient care while obtaining unparalleled education to enhance your clinical skills. You’ll work in an environment that encourages full clinical autonomy, giving your patients the time and attention they need, with the ability to tap into a hygiene mentor program. You’ll work a schedule that inspires work life balance and receive competitive benefits. Provide outstanding patient care, invest in your community, and do it all with the support of Heartland Dental. As a Dental Hygienist, you’ll be recognized as an elite clinical provider and patient advocate. You’ll be an integral member of the patient care team, giving your patients the time and care they need, deserve and desire. With best-in-class support through our robust Hygiene mentor program and unparalleled educational offerings to enhance your clinical skills – you’ll be 100% supported as you provide exceptional lifetime care to your patients! What You’ll Gain: Competitive benefits including health insurance and retirement savings plans, six paid holidays and PTO (paid time off). Continuing education to provide you opportunity to develop your full potential and enhance your clinical skills to provide education and care to your patients. Access to an expansive network of mentors with 1:1 hygiene mentorship support and networking opportunities available at your fingertips. Unparalleled business support and the highest quality supplies and labs to deliver exceptional patient care. Opportunity to be a part of a secure company with 20+ years of industry

leading experience that provides a stable career with unlimited growth potential. The Dentist place of Ocala, like each Heartland Dental supported office, is unique to the community and the patients they serve. With the support of a practice manager, a highly trained team on site, coupled with a vast network of experts across the nation, you’ll be completely connected to all the resources and support of Heartland Dental. Join a 17 person team that thrives on collaboration, communication and community. Minimum Qualifications: Current dental hygienist license in Florida and an Associate’s or Bachelor’s degree in dental hygiene (where required). To view the entire listing go to careers.floridadental.org/job/ dental-hygienist-ocala-fl-d983048da92b1c441779ad4b9d107b1db

Clinical Assistant/Associate Professor. Job No: 532972. Work Type: Non-Tenure-Track Faculty. Location: Main Campus (Gainesville, FL). Categories: Dentistry. Department: 34080101 - DN-ORAL SURGERY ADMIN. Job Description Classification Title: Clinical Assistant/Associate Professor. Job Description: The University of Florida-College of Dentistry is seeking a General Dentist for a clinical track faculty position in the Department of Oral and Maxillofacial Surgery (OMFS) at the Assistant/ Associate Professor rank. The University of Florida College of Dentistry (UFCD) is one of the leading dental schools in the United States devoted to improving and promoting oral health throughout Florida, the nation and worldwide through excellence in teaching, research, patient care and service. The General Dentist will be responsible for teaching within the Student Oral Surgery Clinic at the pre-doctoral (DMD) level, excelling in academic pursuits and service, and some limited participation in the development of departmental research and/or other scholarly activities. The position requires a DDS, DMD or equivalent degree and previous clinical practice experience. Experience with outpatient oral surgery procedures including alveoloplasty, surgical extractions

In Memoriam

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

Visit the FDA’s Career Center at careers.floridadental.org.

Nelson Castellano

Tampa Died: 2/12/2023

Age: 83

Robert Ettleman

Tampa Died: 1/23/2023

Age: 69

Gilbert Principe

Longwood Died: 1/12/2023

Age: 80

GET FREE COURSE TUITION AT FDC2023!

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Post an ad on the FDA Career Center and it will be published in our journal, Today’s FDA, at no additional cost. Today’s FDA is bimonthly, therefore, the basic text of all active ads will be extracted from the Career Center on roughly the 5th of every other month (e.g., Jan. 5 for the Jan/Feb issue, March 5 for the March/April issue. etc.). Please note: Ads for the Nov/Dec issue must be placed no later than Nov. 1. We reserve the right to edit excessively long entries.

Michael Chanatry

Jacksonville Died: 2/12/2023

Age: 72

Silas Daniel Seminole

Died: 1/10/2023

Age: 74

Wendell Hall

Tampa Died: 2/12/2023

Age: 88

Charles Infante Plantation Died: 2/15/2023

Age: 92

Edward Stokes Died: 1/11/2023

Age: 76

Tobacco Free Florida

and medical management of patients is also required. In addition, the General Dentist will aid students with determining restorability of teeth and making appropriate referrals when necessary. An applicant with a Florida Dental License is preferred. Salary and rank commensurate with credentials and experience. The University of Florida, a member of the AAU, is the largest and most comprehensive public university in the state of Florida, with large undergraduate, graduate, and postgraduate educational programs. The UF Health Science Center and its six colleges (Dentistry, Medicine, Nursing, Pharmacy, Public Health and Health Professions, Veterinary Medicine) are co-located on the Gainesville campus, with additional teaching, research, and patient care sites throughout Florida, and beyond. Expected Salary: Salary and rank are commensurate with credentials and experience. Minimum Requirements: The position's minimum requirements include: DDS, DMD or equivalent degree. Previous Clinical Practice Experience. Experience with outpatient oral surgery procedures including alveoloplasty, surgical extractions and medical management of patients. Preferred Qualifications: The position's preferred qualifications include: Florida Dental License. Special Instructions to Applicants: Initial review of applications will begin immediately and will continue until an applicant pool is identified. Applicants should attach a curriculum vitae, a cover letter describing their interest containing a statement of academic objectives, and a contact list of three references with their application for consideration. Final candidate will be required to provide official transcript to the hiring department upon hire. A transcript will not be considered “official†if a designation of “Issued to Student†is visible. For more information about the University of Florida College of Dentistry, visit: www.dental.ufl. edu. Health Assessment Required: Yes. To view the entire listing please go careers. floridadental.org/job/ clinical-assistant-associateprofessor-gainesville-florida-0255.

Part time Dentist Broward County Florida.Private practice located in West Miramar, Florida is seeking a general dentist to join our multispecialty team. Are you tired of working in corporate dentistry? Make Westside Orthodontics and Family Dentistry your new home! We are seeking a general dentist who speaks Spanish and is focused on providing quality care to join our team. Please text or email your resume and days available to 954-410-0489 or drferrer@westsideorthopedo.com. Visit careers.floridadental.org/job/part-timedentist-broward-countymiramar-florida-0254.

Volunteers provide an invaluable service to the Florida Dental Convention. Speaker Hosts will be responsible for introducing the speaker, making announcements in front of the course, passing out and collecting surveys, and contacting convention staff if AV assistance is needed.

Volunteering has its perks!

• All Speaker Hosts receive a $20 lunch voucher for Exhibit Hall concessions.

• Lecture Speaker Hosts receive free course tuition for the hosted course.

Volunteer today at education.floridadentalconvention.com

QUESTIONS?

Contact Mackenzie Johnson at mjohnson@floridadental.org or 850.350.7162.

Interim Services Anywhere in Florida. Sick Leave, maternity leave, vacation or death, I will cover your practice so that production continues while you are out. Experienced in covering general dentists and pedodontists. Please call or text Robert Zoch, DDS, MAGD at 512-517-2826 or email: drzoch@yahoo. com. Visit careers.floridadental.org/ jobs?company_name_filter=ROBERT+J+ZOCH%2C+DDS%2C+MAGD%2C+PA&locale=en&page=1&sort=relevance&country=&state=&city=&zip=&latitude=&longitude=&keywords=&city_state_zip=&job_id=213

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Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly by the Florida Dental Association (FDA), 545 John Knox Road, Ste. 200, Tallahassee, FL 32303. FDA membership dues include a complimentary subscription to Today’s FDA. Nonmember subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, FL and additional entry offices. Copyright 2024 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, FL 32303.

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

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Family First: Make the FDA Part of Yours

I knew this was the right interstate exit because all the road signs were gone. There was no exit number or mini marquees showing the way to a Waffle House or Wendy’s. A hurricane had spun the signs away like giant freeway Frisbees the day before. Tennis ball-sized tufts of insulation peppered a field like ready-to-harvest cotton as in “Gone with the Wind.”

Nearby trees were uniformly trimmed to a meager 20 feet. In a surreal way, stuck in their tangled branches, were occasional “fish out of water.” Sixty-foot interstate light-poles were bent in half as if bowing to a greater natural force. The mobile home park next to the exit looked like a gutted and ground-up animal — its aluminum skin all twisted and exposed, its pink underbelly of insulation open to the sky.

The off-ramp provided a bumpy ride. Branches, fish and palm fronds littered the road. A tangle of downed power cables sprawled across the wet pavement like hundreds of worms escaping a summer rain.

At the bottom of the hill, two Humvees blocked the road, and National Guard officers questioned and turned away each curious driver who approached. A guardsman knocked at my driver’s window, asking for identification. I fumbled through my wallet, my eyes fixed on the gun that was slung over his shoulder.

“How can I help you?” he asked, already set to turn me away. That’s when he spotted my “FDA” business card. Now visibly excited, he waved me through and then got into my car to direct a now-forming “military parade” into town.

As the guardsman motioned for a front-end loader to clear a path, he asked questions about un-refrigerated food and where to put an expected supply of drugs. “Oh, FDA — Food and Drug Administration,” I thought. I told him as much as I knew about rancid butter, but he didn’t seem disappointed when I explained that I was representing “the original FDA.”

off the cusp

The cleanup aftermath of one of Florida's many hurricanes.

Later people outside the state would ask me, “What’s it like?” I would tell them, “Picture everything you own — now picture all that piled in the street.”

I stopped a lonely, blank-faced, wet man on the street and asked,” Do you need anything?” He paused in thought and said “Yeah … I need everything”.

These storms have a way of defining what is truly important in your life. And, as it turns out it is all the things that are important in your life and can fit in a car. Family is first followed by 10 days of food and water — you don’t know when you will be able to return.

The Florida Dental Association (FDA) and FDA Services have created FDA Disaster Resources on the FDA website. The guide includes steps to ensure your practice weathers the storm. It covers topics such as evaluating insurance coverage and your office’s storm vulnerability; protecting your equipment, supplies and patient records; dealing with power failures, communication blackouts and evacuation; and emergency supplies you should have.

Recently, I learned about what the Flood Cut is. It is the horizontal and continuous slash through drywall to wooden “bones,” exposing the water-laden walls in search of something dry. This is not a simple fix. The FDA Foundation has processed 83 emergency disaster grants to Florida dentists totaling $124,500. Special thanks to our colleagues in Massachusetts, New York, South Florida and around the state who have donated to the Foundation. We all know these storms are the new normal. We all need help. If not to just help cleanup but to cover for each other if needed.

Save your family first and make the FDA part of your family.

FDA Editor Dr. Hugh Wunderlich can be reached at hwunderlich@bot.floridadental.org.

All photos provided by Drs. Bob Churney and Hugh Wunderlich.

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