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HELPING MEMBERS SUCCEED VOL. 31, NO. 6 • September/October 2019

in every issue 3

Staff Roster

President's Message

Cover photo by Judy Stone, FDA Manager of Leadership Affairs

14 Legislative Corner 18 news@fda 42 Get Involved! 66 Compleat Dentistry 69 Diagnostic Discussion 76 Career Center 78 Advertising Index 80 Off the Cusp

Women in Dentistry

In This Corner ... Dr. Britt

Team FDA

Be the Change

Pleased to Meet You!

BOD Meets in Jacksonville

UFCD Named AAWD Student Chapter of the Year

Empowered!

A Patient Makes My Employees Uncomfortable — Am I Responsible?

WIND 2019 Recap

10 Did You Know? 12 Info Bytes

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

Celebrating 135 Years

Six Fabulous District EDs

Taking the Fear Out of Debt

Helping Hands

TODAY'S FDA ONLINE: floridadental.org

FLORIDA DENTAL ASSOCIATION SEPTEMBER/OCTOBER 2019 VOL. 31, NO. 6

EDITOR Dr. John Paul, Lakeland, editor

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

BOARD OF TRUSTEES Dr. Rudy Liddell, Brandon, president Dr. Andy Brown, Orange Park, president-elect Dr. Dave Boden, Port St. Lucie, first vice president Dr. Gerald Bird, Cocoa, second vice president Dr. Beatriz Terry, Miami, secretary Dr. Jolene Paramore, Panama City, immediate past president Drew Eason, CAE, Tallahassee, executive director Dr. Dan Gesek, Jacksonville • Dr. Karen Glerum, Boynton Beach Dr. Jeannette Pena Hall, Miami • Dr. Bernard Kahn, Maitland Dr. Eddie Martin, Pensacola • Dr. Rick Mullens, Jacksonville Dr. Jeffrey Ottley, Milton • Dr. Paul Palo, Winter Haven Dr. Howard Pranikoff, Ormond Beach • Dr. Mike Starr, Wellington Dr. Stephen Zuknick, Brandon • Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Rodrigo Romano, Miami, Treasurer • Dr. John Paul, Lakeland, editor

PUBLISHING INFORMATION Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303 . FDA membership dues include a $10 subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2019 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303.

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

EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste 200, Tallahassee, Fla. 32303. FDA office numbers: 800.877.9922, 850. 681.3629; fax 850.561.0504; email address, fda@floridadental.org; website address, floridadental.org.

ADVERTISING INFORMATION For display advertising information, contact: Jill Runyan at jrunyan@floridadental.org or 800.877.9922, Ext. 7113. For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.977.9922, Ext. 7115.

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

TODAY'S FDA

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

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

EXECUTIVE OFFICE DREW EASON, Executive Director deason@floridadental.org 850.350.7109 GREG GRUBER, Chief Operating Officer/ Chief Financial Officer ggruber@floridadental.org 850.350.7111 CASEY STOUTAMIRE, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202 JUDY STONE, Leadership Affairs Manager jstone@floridadental.org 850.350.7123 LIANNE BELL, Leadership Concierge lbell@floridadental.org 850.350.7114

ACCOUNTING BREANA GIBLIN, Director of Accounting bgiblin@floridadental.org 850.350.7137 LEONA BOUTWELL, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138 DEANNE FOY, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165 ALLEN JOHNSON, Accounting Manager allen.johnson@fdaservices.com 850.350.7140 MITZI RYE, Fiscal Services Coordinator mrye@floridadental.org 850.350.7139 STEPHANIE TAYLOR, Membership Dues Coordinator staylor@floridadental.org 850.350.7119 LESYA WILBUR, Commissions Coordinator lesya.wilbur@fdaservices.com 850.350.7142

COMMUNICATIONS AND MARKETING JILL RUNYAN, Director of Communications jrunyan@floridadental.org 850.350.7113 LYNNE KNIGHT, Marketing Coordinator lknight@floridadental.org 850.350.7112

FLORIDA DENTAL CONVENTION (FDC) CRISSY TALLMAN, Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105 BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103 DEIRDRE RHODES, FDC Exhibits Coordinator drhodes@floridadental.org 850.350.7108 EMILY SHIRLEY, FDC Program Coordinator eshirley@floridadental.org 850.350.7106

GOVERNMENTAL AFFAIRS JOE ANNE HART, Chief Legislative Officer jahart@floridadental.org 850.350.7205 ALEXANDRA ABBOUD, Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204 JAMIE SHEEHAN, Governmental Affairs Legislative Assistant jsheehan@floridadental.org 850.350.7203

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

MEMBER RELATIONS KERRY GÓMEZ-RÍOS, Director of Member Relations krios@floridadental.org 850.350.7121 MEGAN BAKAN, Member Access Coordinator mbakan@floridadental.org 850.350.7100 CHRISTINE TROTTO, Membership Concierge ctrotto@floridadental.org 850.350.7136

JESSICA LAURIA, Communications and Media Coordinator jlauria@floridadental.org 850.350.7115

FDA SERVICES 800.877.7597 or 850.681.2996 545 John Knox Road, Ste. 201 Tallahassee, FL 32303 Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat

SCOTT RUTHSTROM, Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146 CAROL GASKINS, Commercial Accounts Manager carol.gaskins@fdaservices.com 850.350.7159 ALEX KLINE, FDAS Marketing Coordinator arey@fdaservices.com 850.350.7166 MARCIA DUTTON, Membership Services Assistant marcia.dutton@fdaservices.com 850.350.7145 PORSCHIE BIGGINS, North and Central Florida Membership Commercial Account Advisor pbiggins@fdaservices.com 850-350-7149 MARIA BROOKS, South Florida Membership Commercial Account Advisor maria.brooks@fdaservices.com 850.350.7144 KELLY DEE, Atlantic Coast Membership Commercial Account Advisor kelly.dee@fdaservices.com 850.350.7157 MARRISA LEE, Insurance Account Advisor marrisa.lee@fdaservices.com 850.350.7122 MELISSA STAGGERS, West Coast Membership Commercial Account Advisor melissa.staggers@fdaservices.com 850.350.7154 TESSA DANIELS, Commercial Account Advisor tessa.daniels@fdaservices.com 850.350.7158 LIZ RICH, Commercial Account Advisor liz.rich@fdaservices.com 850.350.7171

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

YOUR RISK EXPERTS DAN ZOTTOLI, SBCS 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 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com MIKE TROUT Director of Sales — North Florida 904.249.6985 Cell: 904.254.8927 mike.trout@fdaservices.com JOSEPH PERRETTI, SBCS Director of Sales — South Florida 305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com RICK D’ANGELO, CIC Director of Sales — West Coast 813.475.6948 Cell: 813.267.2572 rick.dangelo@fdaservices.com

FLORIDA DENTAL ASSOCIATION FOUNDATION (FDAF) R. JAI GILLUM, Director of Foundation Affairs rjaigillum@floridadental.org 850.350.7117 AUSTIN MOSER, Coordinator of Foundation Affairs amoser@floridadental.org 850.350.7161

FLORIDADENTAL.ORG

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

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

TODAY'S FDA SEPTEMBER/OCTOBER 2019

leadership

FDC2019, MEMBERSHIP AND WIND — OH MY! At the time of this writing, I’ve been serving as your Florida Dental Association (FDA) president for a grand total of five weeks, and what a ride it’s been! First, I would like to recognize Crissy Tallman and Dr. Bert Hughes for another successful Florida Dental Convention (FDC). Every year, the courses seem to get better, the parties definitely get better and the overall fun-factor is just off the charts! I remember when Bert took over as the FDC committee chair some nine years ago, his goal was to grow the meeting to 8,000 participants. I’m happy to say that he achieved this goal during FDC2019! This year we tried a new approach to fundraising for the FDA Foundation. The inaugural “Beer Tasting in Paradise” was a unique way to raise some money for the Foundation as well as have some fun sampling different styles of beer paired with food prepared by the Gaylord. Special thanks to FDA Services (FDAS) and The Doctor’s Company for underwriting the event so that all ticket sales and auction proceeds went directly to the Foundation. The Foundation benefited to the tune of more than $12,000! Congratulations once again goes out to the FDA Council on Membership. At the 2019 American Dental Association Annual Conference on Membership Awards Ceremony, our association was once again the big winner, garnering three awards in the following categories:

g Converted the Highest Number of Diverse Dentists to Membership g Converted the Highest Percentage of Non-members to Membership g Greatest Gain of New Dentists Congratulations to FDA Director of Member Relations Kerry Gómez-Ríos and the chair on the Council on Membership, Dr. Demetrick LeCorn. Thank you also to Dr. Mike Eggnatz, Greg Gruber, Casey Stoutamire, Angel Estep and Yolanda Marrero for attending the ceremony as well.

PRESIDENT’S MESSAGE RUDY LIDDELL, DMD FDA PRESIDENT

Dr. Liddell can be reached at rliddell@ bot.floridadental.org.

Dr. Jolene Paramore provided details on the inaugural WIND event. Designed as a strategic marketing event for FDA membership and FDAS business, the Women Inspiring & Navigating Dentistry (WIND) continuing education meeting was held Friday, Aug. 9. The location at The Diplomat Beach Resort in Hollywood was chosen to target the districts struggling with market share. A focus on women attendees and women speakers was designed to increase inclusion and show the FDA’s welcoming environment to an underrepresented demographic of FDA members. Team FDA, led by Carrie Millar and Crissy Tallman, with input from the Steering Committee, created an inviting space for learning for more than 120 attendees, 23 of whom were non-members. The event received high compliments from attendees and speakers alike on the beautiful setting, the peer-to-

SEE PAGE 7 FLORIDADENTAL.ORG

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leadership FROM PAGE 5

peer learning format and the overall, special aura created. Other FDA Team members who deserve recognition are Alex Kline, Brooke Martin, Casey Stoutamire, Joe Anne Hart, Kerry Gómez-Ríos and R. Jai Gillum. I will close with a short mention of what has, so far, been my favorite activity as president: The White Coat Ceremony — the first Sunday in August, I spoke to a group of 125 new dental students at Nova Southeastern College of Dental Medicine. I spent a good deal of time with the new dean, Dr. Steven Kaltman, who is a true gentleman and will serve that position well. I also spoke with Dr. Hal Lippman about a renewed push for students to be involved in FDA activities. And, to punctuate how cutting edge and perceptive your association is, the incoming class of 125 is made up of 75 women! The WIND event was perfect timing!

FLORIDADENTAL.ORG

TODAY'S FDA SEPTEMBER/OCTOBER 2019

human relations

A PATIENT MAKES MY EMPLOYEES UNCOMFORTABLE — AM I RESPONSIBLE?

DEBORAH S. MINNIS

Ms. Minnis practices labor and employment law at Ausley McMullen, and she also represents various local government bodies. She can be reached at dminnis@ausley.com. This article is for informational purposes only and is not intended to be a substitute for professional legal advice. If you have a specific concern or need legal advice regarding your dental practice, you should contact a qualified attorney.

An employee comes to you and tells you she is not comfortable working with patient John Doe. She tells you that Mr. Doe stares at her in a provocative way, that his hands are always “accidentally” touching her and that he has made rude comments to her. She reports that he has done the same types of things to other employees. Your first question is probably, “Am I responsible for what my patient does?” Your second question is probably, “If I am responsible, what should I do about the situation?”

Am I Responsible? The short answer is yes. Responsibility can either be based on the basic legal duty to maintain a reasonably safe working environment or Title VII. In general, courts have determined that employers have an obligation to ensure that employees have a reasonably safe place to work. This obligation (which applies regardless of the number of employees working for the employer) goes beyond just making sure the workplace is physically safe to requiring protection from criminal behavior by third persons. In the circumstance proposed here, if the patient ultimately assaults or batters the employee (a criminal act), and it’s determined to have been foreseeable, the employer could be found liable to the employee for breaching its duty of care and for the resulting negligent infliction of emotional distress for failing to take action to prevent it. Title VII is the federal law that prohibits discrimination because of gender (among other types of discrimination) and applies to enti-

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ties with 15 or more employees. In interpreting the provisions of Title VII1 the court s have determined that an employer is responsible for ensuring that its employees are not subjected to a hostile work environment. The action does not have to rise to the level of an assault or battery as required under the general duty to maintain a reasonably safe work environment mentioned above. In furthering this responsibility, courts also have determined that employers are responsible to prevent hostile work environments even if they are created by nonemployees. Just as with harassment by co-workers, courts have held employers directly liable for harassment by nonemployees where the employer failed in its duty to either prevent or stop the harassment. To bring a claim against the practice based on direct liability, the employee will need to show that management either knew or should have known of the harassment, i.e., had notice, and failed to take immediate and appropriate action to stop it. Notice can be either actual (knew of the harassment) or constructive (should have known of the harassment). Actual notice is just as it sounds: The employer has clear notice of the harassment. For example, incidents of inappropriate/harassing behavior have been witnessed by or reported to management. Where the behavior has been reported to but not witnessed by management, determining whether the report of the behavior is effective as actual knowledge depends on whether the employer has an effective sexual harassment policy. A harassment policy is considered effective if the policy is clear, published, disseminated to all employees and consistently enforced. When

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such a policy exists, determining if and when the employer has actual notice is determined by whether the employee followed the policy’s reporting requirements. However, if the employer personally knows about the harassment, for example, a manager has observed the inappropriate behavior, or heard the inappropriate comments, there is actual notice and the policy’s reporting process is not controlling. Under either scenario, the employer must take actions to make the harassment stop. If the claim is that the employer has constructive knowledge, the test is whether the behavior is so consistent, severe, pervasive, obvious and noticeable that management reasonably should have known it was occurring. Where the employer does not have a comprehensive and effective sexual harassment policy, the employer can be held directly liable if it fails to stop the harassment. If, however, the employer has developed an effective and comprehensive anti-sexual harassment policy that is aggressively disseminated and enforced, it can be insulated from liability based on constructive notice.

What Should I Do? As indicated above, having an anti-harassment policy can offer some protection from liability under Title VII. It also can offer protection even if you are not covered by Title VII. Such a policy can set out procedures for staff to follow that will ensure that such concerns are reported. This will give you an opportunity to deal with a situation before it evolves into a criminal act and, thereby, limit potential liability.

In addressing the concern, you should listen to the employee and take his/her concerns seriously. Do not belittle or patronize the employee. If you have an anti-harassment policy, you should refer the employee to the policy and have them follow the reporting procedures. Generally, such policies require the employee to complete a detailed written complaint. Most policies also state that the employee’s concerns will be investigated. To investigate the concerns, at a minimum there should be discussions with other staff who have interacted with the patient. If, based on the information learned from discussions with staff, the determination is made that the patient has acted inappropriately, you should have a discussion with the patient. It must be made clear that the behavior must stop. If the behavior stops, you have satisfied your obligation. If it does not, or if the patient appears to be nonchalant or unconcerned about his or her behavior, you should consider terminating your relationship with the patient. At the conclusion of the investigation, you should meet again with the employee and advise him or her of your findings/decisions, even if your decision is that no inappropriate behavior has occurred. In addition, you also should make sure the reporting employee and other staff understand that they may report to you if the behavior is repeated. 1 In Florida, employers also must comply with the Florida Civil Rights Act. Because the Act is patterned after Title VII, courts have applied rulings in Title VII cases to claims brought under the Florida Civil Rights Act.

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A harassment policy is considered effective if the policy is clear, published, disseminated to all employees and consistently enforced.

FLORIDADENTAL.ORG

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TODAY'S FDA SEPTEMBER/OCTOBER 2019

DIDYOU

BOD

INFORMATION ABOUT THE FLORIDA BOARD OF DENTISTRY

ADS CONTAINING FEE INFORMATION AND DISCOUNTED SERVICES Did you know you can run an ad containing fee information or discounted services? However, there are strict guidelines that must be followed per Florida law (456.062 F.S.) and Board of Dentistry rule (64B5-4.003). These are:

DR. DON ILKKA FDA LIASON TO THE FLORIDA BOARD OF DENTISTRY

m Any ad containing fee information must have a disclaimer stating the fee is a minimum fee only. m Any advertised fee for a dental service must contain the time period during which the fee is in effect. If it doesn’t, then that service will remain available at or below the advertised fee for at least 90 days following the final ad for that service.

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@ floridadental.org or 850.350.7202, or FDA Liaison to the Florida Board of Dentistry Dr. Don Ilkka at donjilkkadds@aol.com or 352.787.4748.

TODAY'S FDA

m Any dental service for which a fee is advertised also must include either a description of that service using the exact wording for that service contained in the American Dental Association’s (ADA) “Code on Dental Procedures and Nomenclature” or by the specific ADA Code number(s) that accurately and fully describe the advertised service. Just listing of a category of service (diagnostic, preventive, restorative, endodontics, periodontics, prosthodonticsremovable, prosthodontics-fixed, oral surgery, orthodontics) or a sub-category (any procedure whose ADA Code # ends in 00, i.e., root canal therapy 03300) is not sufficient.

If no fee is specified for a procedure advertised then a general description of procedure by category or sub-category is allowable. m Any advertisement for free or discounted services must comply with the requirements of Section 456.062, F.S., and also must clearly state the dates that the free, discounted or reduced-fee services will be available. m 456.062, F.S. requires the following statement to be included (in all capital letters) in the ad for free or discounted services: THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED-FEE SERVICE, EXAMINATION, OR TREATMENT. The statement above is not required if the ad is in a classified directory that provides products and services at free, reduced or discounted prices AND the statement above already appears in that directory in at least one other place.

Check out the FDA’s website for “The Dos and Don’ts of Dental Advertising“ at bit.ly/2ZBl0AF.

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

FDA Online Radiography Training Program FDA Online Radiography Training Program

info bytes

CAN’T HAVE SUMMER WITHOUT SIX-PACK APPS I remember a time when life didn’t feel as hectic. Maybe that was before kids, sporting events, meetings, doctor’s appointments, dance recitals and so many other things that life brings. I thought technology was supposed to help me with work-life balance. Good news! I’m here to help you get those six-pack apps back just in time for school to start! LARRY DARNELL, MBA, CAE FDA DIRECTOR OF INFORMATION SYSTEMS

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

To preface this app workout, each one is available on both iOS and Android, and have a free component to them. I’ve used each one and receive no monetary kickback from mentioning them. Each also contributes in some way to maintaining a level of work-life balance for me and my family. Of the six apps mentioned, the one I use on almost a daily basis is Grocery IQ. I know, shocking. But, it’s amazing how often I do the shopping for my current family of seven (which includes three grandchildren). I make daily stops at the grocery store for something. I go at lunch or on the way home, but I want to get all that I need in one visit. Grocery IQ does that. Both my wife and I have it and it syncs to a cloud account instantaneously, so we have a virtual shopping list we can each add to. Even better, I organized the app based on the stores I shop at by aisle and the items are arranged back to front (or right to left) based on the store. So, I start in the back and get everything I need quickly and efficiently. This

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keeps me from meandering around and making impulse buys, too. Another app that has proven effective is Cozi. Cozi is a family calendar — and we have a lot happening family-wise. It’s hard to keep up with all those schedules and who has what when. Cloud sync is vital and having one family calendar for all events and appointments keeps me from the dreaded “let me check with my wife” routine. Her schedule is available. My college-attending kids’ schedules also are there. Having one shared calendar is a huge time-saver. After having moved three years ago, I discovered again that we have a lot of stuff. Often, I spent my time looking for that stuff in a box somewhere. I needed a better organization system. Sortly to the rescue! Sortly is an app that lets me inventory all that stuff. I can take pictures of it or get crazy “Marie Kondo style” on it if I want to. Really, I just want to find what I am looking for without having to go to the last possible box to find it. The next app replaced a favorite of mine, so I decided to go to a “pay-for-it” model. I formerly used Evernote and loved it, but I didn’t want to pay

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more for something that’s like a handy notebook I could buy for a dollar. So, I now use Microsoft OneNote. Since I already have Microsoft Office, the look and feel of it was familiar and I could transfer all my Evernote stuff over to it, too. Having one note system that is synchronized between my seven devices is vital. Even if you are not a note-taker type, you’ll find yourself using it. When you have so much to do, some days prioritization is key. Here comes the task manager system. I use Microsoft To Do, formerly known as Wunderlist before Microsoft bought it. It synchronizes across my seven devices and helps keep my daily tasks in focus. Again, I like the synchronization and the notification system. Lastly, in my time-saving, worklife balance six-pack apps is 1Password, a password manager. Goodness! I never in my life knew I would have so many

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things that needed a password. And security is important. I recently paid to get the family plan of 1Password since my kids kept asking me for passwords to things they needed. I can share the ones I want with the fam and keep the others for myself (like my Amazon account). It also helps me keep track of some other important information and it’s encrypted and as secure as you can get. Trust me, you need a password manager. Do not use a variation of a singular password for everything (what we call a life password). Get a password manager today. So, there you have it — I’ve presented you with six apps. All of them involve data management: groceries, calendar, inventory, notes, tasks and passwords. You can use any of the other similar offerings out there, and maybe you already do. The things that are important to me: They work. They synchronize data across a variety of devices and platforms. They are as secure as I need them to be. They save me time rather than me spending more time trying to figure out how they work. They don’t cost much. And if in the real world, time = money, I am saving a pretty good chunk of change by maintaining this six-pack.

TODAY'S FDA SEPTEMBER/OCTOBER 2019

legislative corner

WHAT DOES “WOMEN IN DENTISTRY” MEAN TO ME?

The dental profession has evolved over the years. As we reflect on history, dentistry was traditionally a male-dominated profession that began in a barbershop.

JOE ANNE HART FDA CHIEF LEGISLATIVE OFFICER

For additional information on legislative issues, you can reach Joe Anne Hart at jahart@floridadental.org or 850.350.7205.

When we look at dentistry today, it now encompasses many different layers that represent a growing diverse group of individuals engaged in the profession. We’re now witnessing women achieving and thriving in the dental profession, helping to encourage and teach a whole new younger generation on the values of being a dentist. Leadership roles for women are more attainable in the dental profession more than ever before. Even on the national level, women were elected to Congress in record numbers this past election cycle. It’s clear that women have a lot to offer, and it looks like people are ready to listen. So, it got me to thinking: What does “WOMEN in dentistry” mean to me?

W is for WISDOM

Joe Anne Hart's niece, Tiffany's, first day of kindergarten and she already knows what she wants to be ... a dentist!

TODAY'S FDA

A woman’s wisdom is something to behold! Her knowledge in dentistry gives her the ability to take charge, but also enables her to be compassionate and gentle. As women grow in dentistry, so does their understanding and awareness of comprehending information and processing it to maximize their skills to benefit the needs of their patients. Their knowledge in dentistry can be beneficial for organized dentistry during advocacy efforts, since legislators constantly need to be educated on oral health issues.

SEPTEMBER/OCTOBER 2019

O is for OPERATOR Being a dentist means that you are the chief engineer of your dental team. You are the dental architect in charge of constructing a treatment plan specific to the individual needs of your patients. You are in charge! This is a natural place for women, as they are typically the main operator of many aspects in the lives of their family. This skill set is extremely important when you are trying to rally your colleagues to help support or defeat legislative initiatives that could have a significant impact on the dental profession. You are not bystanders in any aspect of your life. Take charge of the situation, whether it’s at your practice or meeting with a legislator — remember, you are a BOSS!

M is for MASTERY Women are proficient and particular to details in everything they do. Women dentists are masters of their profession and strive to learn even more as they continue to practice dentistry. Education and training never cease, as women desire to be the best they can be, and with this desire comes the ascension to new levels within dentistry. Take this approach with you when you are learning and educating yourself on the Florida Dental Association’s (FDA) legislative priorities. Don’t know just enough to be dangerous but delve into an issue that really resonates with you and make a point to be as informed as possible. And remember, if you are not sure about an issue, contact the FDA team in the governmental affairs office for additional information. FLORIDADENTAL.ORG

E is for EFFICIENT Being efficient is essential to providing the best experience for your patients. Women dentists value time management and are constantly looking at ways to make sure that the time spent with their patients are purposeful. Time wasted results in missed opportunities, and no one likes missed opportunities.

N is for NURTURING Nurturing is built into the DNA of women dentists and is displayed in their practice of dentistry. Being a nurturer does not directly correlate to someone who has given birth to a child; it’s exhibited in how women dentists care for their patients and encourage them as they guide them through their dental journey. The women I know in dentistry are AMAZING and to see them in action is mesmerizing. Women are demonstrating that they have the ability to lead effectively, whether that’s in a leadership role in organized dentistry or in an elected position on the national stage. The time for WOMEN leading the charge is now! As we look to the future, I’m glad to see that women dentists are inspiring our youth to follow in their footsteps and be the next leaders in dentistry.

International Pemphigus & Pehmphigoid Foundation

Doctor's Choice

FLORIDADENTAL.ORG

TODAY'S FDA SEPTEMBER/OCTOBER 2019

BOD meeting

FLORIDA BOARD OF DENTISTRY MEETS IN JACKSONVILLE

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

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

TODAY'S FDA

The Florida Board of Dentistry (BOD) met in Jacksonville on Friday, Aug. 23 at 7:30 a.m. The Florida Dental Association (FDA) was represented by FDA BOD Liaison Dr. Don Ilkka and Director of Third Party Payer and Professional Affairs Casey Stoutamire. Other FDA members in attendance included Drs. Andy Brown, Michael Ragan, Clive Rayner, Roger Robinson and Rick Stevenson. Northeast District Dental Association Executive Director Ms. Debbie Deville also was in attendance. Six of the BOD members were present, which included Dr. Claudio Miro, chair; Drs. Nick Kavouklis, T.J. Tejera and Nick White; Ms. Angie Sissine, hygiene member; and, Mr. Fabio Andrade, consumer member. Drs. Naved Fatmi and Matt Freedman, and Ms. Cathy Cabanzon, hygienist, were absent. There is one dentist position and one consumer position open on the board that the governor has not yet filled. The BOD discussed a petition for variance of waiver of rule submitted by Tallahassee Memorial Healthcare. The hospital would like to hire a dentist to be on staff but needs a variance of waiver of the rule that requires only a dentist employ another dentist. The hospital wants to employ a dentist to be on call for trauma and treat patients in the ER. The hospital said on the record, under oath that the dentist would not be treating patients on an out-patient basis (not setting up a dental office/oral surgery practice in the hospital) and that the dentist could still maintain his/her private practice. The BOD

SEPTEMBER/OCTOBER 2019

was deadlocked, and the issue was tabled to the November meeting. The hospital will need to come back with another petition for variance of waiver of rule and/or a declaratory statement to address if the oral surgeon practicing in the ER is the operation of a dental office. In the declaratory statement, the hospital can delineate the exact services that the oral surgeon will be able to provide in the ER. Then, the BOD can determine if that is or is not the operation of a dental office. The BOD approved an update to Rule 64B525.003, Required Sterilization and Disinfection Procedures. Please go to bit.ly/2k3yEwW to read this rule. Finally, the BOD approved numerous revisions to 64B5-14, which are the Anesthesia Rules. These revisions are not yet effective and will start moving through the administrative process. Please watch your inbox for notices from the FDA on this important topic. Some highlights of the proposed revisions include: n Requiring the team approach for all types of sedation, which includes the operating dentist, a person responsible for monitoring the patient and a person to assist the operating dentist. n Clarifying that a dentist using general anesthesia, deep sedation, moderate sedation or pediatric moderate sedation in the dental office may only have one patient at a time induced. A second patient shall not be induced until the first patient is awake, alert, conscious, spontaneously breathFLORIDADENTAL.ORG

ing, has stable vital signs, is under the care of a responsible adult and that portion of the procedure required in the participation of the dentist is complete. In an office setting where two or more permit holders are present simultaneously, each may sedate one patient provided that the office has the necessary staff and equipment for each sedated patient. n Effective March 1, 2022, if treating a patient under the age of 7, a dentist using any level of sedation must be currently trained in pediatric advanced life support. n During the initial inspection prior to the issuance of a general anesthesia permit, moderate sedation permit or pediatric moderate sedation permit, the applicant must demonstrate the placement of an intravenous catheter. n Routine inspections of a dental office shall be conducted at a minimum of every three years. Any additional location shall be subject to a routine inspection no later than one year from the date the location was added. n All rooms where sedation is being performed must accommodate the patient on a table or in an operating chair and permit an operating team consisting of at least three

The next BOD meeting is scheduled for Friday, Nov. 22 at 7:30 a.m. EST in Jacksonville. individuals to freely move about the patient. An operating table or chair must permit the patient to be positioned so the operating team can maintain the airway quickly, alter patient position in an emergency and provide a firm platform for the management of CPR. n The anesthesia record must include the duration of the procedure, including the start and finish time of the procedure. There were six disciplinary cases and two informal hearings requesting for reconsideration dealing with a death of a special needs patient (license was revoked), failing to keep adequate records and failing to meet the minimum standard of care. It is much better to be a spectator than a participant in BOD disciplinary cases.

American Sensor Tech Aftco

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TODAY'S FDA SEPTEMBER/OCTOBER 2019

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

Correction to Bylaws The amendment to the bylaws was incorrect in the House of Delegates article on page 29 of the July/August issue of Today’s FDA. The strikethroughs and underlines didn’t make it into the printed version. Please see below for the correct version. 1. Candidates for president-elect, first vice president, second vice president, secretary, treasurer and treasurer-elect must be voting members of the FDA and meet other qualifications (if any) stated in these Bylaws and required by the Component. 2. Candidates for trustee must be voting members of the FDA and meet other qualifications (if any) stated in these Bylaws and required by the Component.

Updated Link* for Patient Education About Nonopioid Alternatives (HB 451) The bill requires that before providing anesthesia or prescribing, ordering, dispensing or administering an opioid listed as a Schedule II controlled substance to treat pain, the patient must be informed about available nonopioid alternatives. A health care practitioner will discuss the advantages and disadvantages of using nonopioid alternatives. Under the new law, the Florida Department of Health (DOH) is required to develop an educational pamphlet about using nonopioid alternatives and post the pamphlet on the DOH’s website.

TODAY'S FDA

Health care practitioners must provide the patient with this educational pamphlet. Those health care practitioners providing emergency services and care are exempt from these requirements. Go to bit.ly/2LsRgBS for the pamphlet. If you have any questions, you may contact Director of Third Party Payer and Professional Affairs Casey Stoutamire at cstoutamire@floridadental.org or 850.350.7202. *This ran in the July/Aug issue of Today’s FDA on page 17.

Opioid Prescribing CE Now Required for Non-DEA License Holders New legislation (HB 549) requires all dentists, regardless of DEA licensing, to take a two-hour CE course during licensure renewal on the safe and effective prescribing of controlled substances. The license renewal deadline is Feb. 28, 2020. Go to floridadental.org/opioidlaw to learn more about this new legislation. The Florida Dental Association (FDA) offers a two-hour Opioid Prescribing on-demand webinar with special pricing for FDA members. Go to learning.floridadental.org to take the course.

Human Trafficking CE Now Mandatory After recent incidents of undercover human trafficking rings in the state, the Legislature prioritized strengthening Florida’s laws on human trafficking. New legislation (HB 851) outlines several changes to human trafficking laws by creating a new requirement for vari-

SEPTEMBER/OCTOBER 2019

ous health care practitioners, including dentists and dental hygienists to take a one-hour CE course on human trafficking by Jan. 1, 2021, as well as a requirement to place a sign in your office with specific language for human trafficking victims. Go to floridadental.org/ humantrafficking to learn more about this new legislation and get your copy of the Human Trafficking sign. The FDA offers a one-hour Human Trafficking on-demand webinar with special pricing for FDA members. Go to learning.floridadental.org to take the course.

Dr. Sabates Announces Run for ADA President-elect FDA past president and American Dental Association (ADA) 17th District Trustee Dr. Cesar R. Sabates announced his candidacy for ADA President-Elect during the September ADA House of Delegates (HOD) meeting in San Francisco. The election will occur at the ADA 2020 HOD meeting during the ADA/ FDC Annual Meeting in Orlando.

Thank You, Dr. Huot! Dr. Rick Huot has completed his twoyear term as ADA second vice president and first vice president. Thank you, Dr. Huot, for your time and dedication!

FDA Member Receives Lifetime Achievement Award On June 26, The Dawson Academy held a special reception at the Florida Dental Convention to honor Dr. Thomas C. Porter with a lifetime achievement award from The Dawson Academy. FLORIDADENTAL.ORG

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

L to R: Mrs. Joan Forrest, Drs. Edward Hopwood, Thomas Porter, Peter Dawson and John Cranham.

The award was presented by Dr. Peter Dawson, Ms. Joan Forrest, president of The Dawson Academy, and Dr. John Cranham, clinical director of the Dawson Academy. The event was attended by approximately 50 current and former residents from the University of Florida (UF) AEGD program where Dr. Porter has been the director for more than 30 years. After receiving the award, Dr. Porter highlighted how proud he is of his many residents who have gone on to excel and achieve so much. He was especially proud to note that his AEGD program has graduated more than 300 residents who are engaged in fantastic practices in almost every state. The UF AEGD program has enjoyed a special relationship with The Dawson Academy and the alumni have benefitted from practicing the concepts that Dr. Dawson taught them.

Giving Back with Family Dr. Tim Palmer has volunteered with Global Dental Relief (GDR) since 2016, providing free dental care to kids in Nepal and Cambodia, and just returned from a volunteer project in Kenya in July. “One of the highlights for me is that it is always a great group of volunteers — I get to meet people from all over the country. That’s a big plus! Also, being able to take my wife or daughter with FLORIDADENTAL.ORG

me to share in the experience is incredibly important,” says Dr. Palmer. He reflects on the relationship building that takes place between he and his wife and with his daughter, Kalin. “It was nice to bring my daughter; in her chosen career she is working with children, so she really fit right in. She doesn’t have any dental aspirations, but in the clinic, she worked in oral health instruction and provided fluoride treatments. She even assisted me for three days. She got to learn about what I do.” GDR hosts 27 clinics a year in India, Nepal, Cambodia, Kenya and Guatemala. In addition to restorations and fillings, GDR volunteer teams provide oral health education, cleanings and fluoride treatments. GDR’s mission is focused on raising the oral health of the whole community, one school at a time. Over the course of just three clinics, Dr. Palmer, his family and fellow volunteers provided $560,710 of donated dental care to 2,547 patients. In each clinic, Dr. Palmer ran one of seven dental chairs focusing on restorative care, extraction of painful and infected teeth, and oral health education. Every clinic is overseen by an experienced dental leader who makes you feel supported and gives answers to your questions. To learn more about GDR, visit globaldentalrelief.org.

Esmond Blanton Mount Dora, FL Died: 7/7/2019 Age: 68

Joseph Bodo Tampa, FL Died: 8/7/2019 Age: 88

Edward Green Miami, FL Died: 7/13/2019 Age: 90

James Reed Pensacola, FL Died: 8/8/2019 Age: 89

Raymund Kwong Clermont, FL Died: 7/17/2019 Age: 44

Wayne Newman Estero, FL Died: 8/19/2019 Age: 72

Tomas Ballesteros Clermont, FL Died: 7/19/2019 Age: 68

Bruce Brooks Gainesville, FL Died: 8/20/2019 Age: 92

Stanley Beitscher Ormond Beach, FL Died: 8/2/2019 Age: 73

Anthony Schweiger St. Petersburg, FL Died: 8/23/2019 Age: 95

Thomas Klement St. Petersburg, FL Died: 8/6/2019 Age: 67

Edward Ossi Jacksonville, FL Died: 8/28/2019 Age: 83

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

Atlantic Coast District Dental Association Dr. Christine Adams, Boca Raton Dr. Byron Amador, Port St. Lucie Dr. Genrietta Arakelova, Highland Beach Dr. Narges Atabakhsh, Weston Dr. Anna Au, Margate Dr. Mark Behm, Lake worth Dr. Justine Bons, Deerfield Beach Dr. Pamela Brandao, Boca Raton

SEE PAGE 21 TODAY'S FDA SEPTEMBER/OCTOBER 2019

In Memorium

Former FDA President Dr. Al Bauknecht Passes Away Dr. Albert (Al) Bauknecht, of Jacksonville, passed away on Aug. 16, 2019, surrounded by his family. Dr. Bauknecht served as president of the FDA in 2002-2003. His presence will be missed.

Dr. Peter Dawson Passes Away: A Tribute It is amazing to think that I saw him [in June] lecturing and now he is gone from our sight, but not gone from our thoughts and how we approach our patients and our lives. [Dr. Dawson passed away July 27, 2019] I think back to God bringing us together in 1979 and the amazing influence he had on me as I grew up in dentistry. The lessons that he taught me are too numerous to relate. I especially remember him teaching me to never worry about the money while helping and working with a patient and to always ask yourself, “Is there a better way or a more efficient way to do anything we do in dentistry?” He always praised my work, which really helped my confidence. His devotion to excellence rubbed off on me. L. D. Pankey, another true pioneer in dentistry and one of Dr. Dawson’s peers and friends, once defined a “master” in dentistry as meeting three criteria: one who can perform the dentistry at a very high level, one who can teach dentistry at a very high

level and one who can write books about dentistry extremely well. I have only met one of these “masters” in my 40 years in dentistry — and that is Dr. Peter Dawson. I consider Pete a true pioneer! He fought many fights early on that are unknown to many younger dentists. I loved listening to his stories about those times. As we lectured together, I realized that Dr. Dawson had one primary driving force throughout his career and that was helping dentists see dentistry as a profession that was enjoyable and rewarding in and out of the office. He wanted to change every dentist’s life for the better, and he did this for so many of us. You could not spend time with him and not feel his passion for this! I am especially sad and happy! Sad he is gone from our sight, but so happy to have worked side by side with him these past 40 years! So happy to have learned from him! I know I will never forget and will always appreciate what he has done for me. — Dr. Glenn DuPont prosthodontist, St. Petersburg

NWDDA Member Dr. Edward Zapert Passes Away Dr. Edward Zapert passed away on July 25, 2019 after spending more than 30 years of his life in public health dentistry. He served as the Florida Department of Health (DOH) statewide dental executive director, providing dental services to families in need. His passion for his family, public health and dentistry was known by his family, friends and colleagues around the nation. He would have enjoyed

TODAY'S FDA

SEPTEMBER/OCTOBER 2019

the opportunity to oversee a scholarship for dental students. Please join his family, friends and colleagues in raising money for the Ed Zapert Scholarship. In memory of his passionate work, this scholarship will be provided to dental students hoping to fulfill their dreams. Go to bit.ly/2KFmHHl to donate. Our thoughts are with Dr. Zapert’s family during this difficult time.

FLORIDADENTAL.ORG

Wheerewionrld is th Today’s FDA? Are you planning to take your copy of Today’s FDA on your next trip? Perhaps Dr. Howard Pranikofftook his copy of you’ll visit the EiffelTower, australia, the Statue of Liberty ... anywhere, really! Today’s FDAall the way to TelAviv. HavesomeonesnapaphotoofyouwithyourcopyandsendittoToday’sFDAEditor Dr. John Paul at tfdaeditor@floridadental.org and you could be featured in the next issue of the journal! FROM PAGE 19 Dr. Alyssa Cabanas, Delray Beach Dr. Colt Canepa, Palm Beach Gardens Dr. Mercedes Cuartero, Miami Dr. Mara Cuberos Guevara, Coral Springs Dr. Jatinder Dhillon, Fort Lauderdale Dr. Yansi Espinosa Rodriguez, Port St. Lucie Dr. Eric Faby, Jupiter Dr. Paula Faizzadeh, Boca Raton Dr. Nicole Freytes Rodriguez, Weston Dr. Brittney Gallaher, Port St. Lucie Dr. Guillermo Garcia, Lake Worth Dr. Sarah Gaton Molina, Boca Raton Dr. Myriam Glavash, Davie Dr. Nameeta Gupta, Boynton Beach Dr. Cynthia Habashy, Palm Beach Gardens Dr. Mary Helen Habib, Boynton Beach Dr. Charlotte Haught, Port St. Lucie Dr. Lindsay Hill, Fort Lauderdale Dr. Justin Hosseini, Fort Lauderdale Dr. Jose Jacas, Sunrise Dr. Gabrielle Klatt, Vero Beach Dr. Daniel Krauss, Coral Springs Dr. Laura Llanos, Sunrise Dr. Jennifer Muir, Delray Beach Dr. Matthew Munro, Boca Raton Dr. Virginia Noce, Plantation Dr. Rachit Patel, Port St. Lucie Dr. Francesca Pietri, Plantation Dr. Rodion Pinkhasov, Plantation Dr. Yusimi Rivero Pardo, Coral Springs Dr. Santiago Roldan, Pompano Beach Dr. Ammy Rossman, Stuart

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Dr. Amber Rowe, Fellsmere Dr. William Sainsbury, Plantation Dr. Julio Salas, Pompano Beach Dr. Justin Spiegelman, Delray Beach Dr. Michael Suchar, Philadelphia Dr. Kayla Tommie, Tamarac Dr. Kristen Tracy, Sunrise Dr. Joshua Yanover, Boynton Beach

Central Florida District Dental Association Dr. Cassandra Ackley, Satellite Beach Dr. Hassan Adabi, Ocala Dr. Amarah Ahmed, Ocala Dr. Jeonggyu An, Altamonte Springs Dr. Ramy Athanassios, Orlando Dr. Morgan Barron, Orlando Dr. Ingrid Bernal, Lady Lake Dr. Fabiola Camacho, Oviedo Dr. Ivan Cuevas Ruiz, Orlando Dr. Steven Darley, Orlando Dr. Undine Davis, Gainesville Dr. Aashna Deva, Oviedo Dr. Krishna Dipnarine, Winter Garden Dr. Andreina DuLanto, Gainesville Dr. Michelle Dulgar, Orlando Dr. Pablo Espinal Garcia, Orlando Dr. Victoria Figueroa, St. Cloud Dr. Grover Gaddy, Leesburg Dr. Pamela Galarza, Orlando Dr. Varsha Ganessingh, Orlando Dr. Joshua Garmizo, Miami Dr. Laura Gart, Orlando Dr. Tala Ghishan, Gainesville Dr. Catherine Graham, Gainesville

Dr. Bijan Hakimian, Oviedo Dr. Wendy Heimann, Ocala Dr. Gia Hoang, Altamonte Springs Dr. Ryan Huhn, Orlando Dr. Tejal Jamidar, Ormond Beach Dr. Dany Jose, Lady Lake Dr. Tasneem Koleilat, Gainesville Dr. Joseph Lanzi, North Redington Beach Dr. Mi Sook Lee, Gainesville Dr. Jesse Lemoine, Gainesville Dr. Kristina Mangiafico, Edgewater Dr. Spencer Mathews, Gainesville Dr. Galia Medrano Ramirez, Holly Hill Dr. Valerie Moncayo, Kissimmee Dr. Andrew Murray, Orlando Dr. Shahd Nawari, Gainesville Dr. Linda Nguyen, Jupiter Dr. Carolyn Nguyen, Orlando Dr. Laura Padron, Orlando Dr. Niyati Patel, Lady Lake Dr. Nishka Patel, Sanford Dr. Quy Phan, Orlando Dr. Michelle Phelan, Gainesville Dr. Patrick Pruitt, Ocala Dr. Alexandria Purdy, Belleview Dr. Nalini Ramlochan, Orlando Dr. Sara Rifai, Ocala Dr. Dusty Rose, Gainesville Dr. Nery Ruano, Ponce Inlet

Dr. Lauren Ruddocks, Gainesville Dr. Sumita Sam, Gainsville Dr. Christopher Seppi, Windermere Dr. Jenna Shuman, Ormond Beach Dr. Talita Sizemore, Orlando

SEE PAGE 22

TODAY'S FDA SEPTEMBER/OCTOBER 2019

updates for members FROM PAGE 21 Dr. Jaime Thony, Titusville Dr. Thomas Tolles, Melbourne Dr. Vera Ton, Orlando Dr. Alfredo Torras, Melbourne Dr. Quoc Van, Winter Garden Dr. Christine Volkmer, Belleview Dr. Amanda Ward, Gainesville Dr. John Westres, Orlando Dr. Morio Yoshida, Gainesville Dr. Jasin Youmans, Melbourne Dr. Zara Zahid, Gainesville Dr. Ilona Ziatyk, Gainesville

Northeast District Dental Association Dr. Jarrod Branson, Orange Park Dr. Aida Cavka, Jacksonville Dr. Haya Demetree, Jacksonville Dr. John Draper, Fleming Island Dr. Dominique Durham, Tallahassee Dr. Carolina Garcia, Jacksonville Dr. Emma Hughes, Jacksonville Dr. Pamela Lima, Alachua Dr. Alejandro Madruga, Jacksonville Dr. Alex McKinney, Jacksonville Dr. Shane Mobley, Jacksonville Beach Dr. Lauryn Mohler, Flagler Beach Dr. Sergio Palacios, Gainesville Dr. Ryan Parker, Jacksonville Dr. James Piner, Fleming Island Dr. Arthur Popkowski, Jacksonville Dr. Rachel Schloth, Jacksonville Dr. Dhaval Shah, Jacksonville Dr. Deric Thomson, St. Johns Dr. Esteban Valiente, Jacksonville Dr. Vadim Vankov, Jacksonville Dr. Annie Vu, Jacksonville Dr. Bei Wright, Lake City

Northwest District Dental Association Dr. Beeta Akhavan, Tallahassee Dr. Robin Blackman, Jay Dr. Adrian De Moya, Mary Esther Dr. Nathaniel Durtschi, Pensacola Dr. Cara Frink, Niceville Dr. Deepthi Janga, Tallahassee

TODAY'S FDA

Dr. Dixie Jernigan, Niceville Dr. Melissa Mckey, Pensacola Dr. Grace Nochez, Pensacola Dr. Jeremiah Patrick, Fort Walton Beach Dr. Thomas Rowell, Crestview Dr. Ethan Sadowski, Pensacola Dr. Toby Thomson, Crestview Dr. Ernest Wong, Crestview

South Florida District Dental Association Dr. Ajmal Abed, Davie Dr. Manuel Acosta Hernandez, Jacksonville Dr. Tina Akhavan, Parkland Dr. Jennifer Alberto, Coral Gables Dr. Yulissa Alvarez, Miami Dr. Sandra Alvarez Gonzalez, Miami Dr. Gayane Avakyan, Weston Dr. Greivy Basto, Pembroke Pines Dr. Alon Bekerman, Sunny Isles Beach Dr. Sandra Bernaza, Miami Dr. Damien Blanco, Miami Dr. Diane Bravo, Hialeah Dr. Mariela Caballero Lima, Miami Dr. Kristina Cardelles, Miami Dr. Maria Chacin Zaa, Weston Dr. Kelly Chong, Miami Dr. Gabriela Cohen de Horowitz, Aventura Dr. Eric Cole, South Miami Dr. Steve Cossrow, Hollywood Dr. Marisoly Daniel, Hialeah Dr. Calogero D'Anna, Davie Dr. Zachary Danowit, Bal Harbour Dr. Daniel De La Fuente Balboa, South Miami Dr. Beatriz Defaus Fernandez, Miami Dr. Gloria Diaz, Pembroke Pines Dr. Isis El Ghannam, Medley Dr. Ahmed Elkoussa, Miami Dr. Claudia Esquivel Valle, Coral Gables Dr. Zuleidy Fernandez, Miami Dr. Saira Fernandez, Miami Dr. Libby Finer, Pembroke Pines Dr. Cinthia Funes, Hialeah Dr. Luis Gamboa, Aventura Dr. Maria Teresa Gandara Hidalgo, Hialeah Dr. Eduardo Garcia, Miami Dr. Yailin Garcia Jam, Hialeah Dr. Mina Ghorbanifarajzadeh, Miami Dr. Luis Gonzalez Junco, Miami Dr. Yusdely Gonzalez Perez, Miami

SEPTEMBER/OCTOBER 2019

Dr. Corina Guzman, Miami Dr. Flor Hernandez, Miami Dr. Rodlin Jerome, Miami Dr. Melissa Jurado, Miami Dr. Andrea Klein, Aventura Dr. Vera Krupnov, Miami Dr. Melanie Kucharski, Miami Dr. Albert Lucas Jr., Miami Dr. Stephanie Marquez, Hialeah Dr. Lester Martinez, Hialeah Dr. David Martinez, Coral Gables Dr. Natalia Matute, Weston Dr. Maria Mazzucco, Fort Lauderdale Dr. Andre Medina, Miami Dr. Dania Melnick, Coral Gables Dr. Stephanie Mendigutia, Hialeah Dr. Gabriel Mion, Miami Dr. Raul Molina, Miami Dr. Gabriela Molina, Pembroke Pines Dr. Amir Moradian, Miami Dr. Jessica Mustelier, Miami Dr. Khalid Mutawalli, Fort Lauderdale Dr. Oscar Naranjo, Miami Dr. Ana Orozco, Miami Dr. Justin Orton, North Bay Village Dr. Joseph Parr, Coconut Grove Dr. Diley Perez, Miami Dr. Hugo Pozaicer, Pembroke Pines Dr. Dianet Ramirez, Miami Dr. Roberto Ramirez, Miami Dr. Reinaldo Rios, Coral Gables Dr. Alexandra Saab, Miami Dr. Lismary Sagarduy, Miami Dr. Melba Salazar, Miami Dr. Ivette Sanchez, Miami Dr. Nayef Serhan Lopez, Hialeah Dr. Rajvir Singh, Davie Dr. Adam Snow, Hollywood Dr. Yanisleidy Soca, Miami Dr. Renae Sweeney, Miami Dr. Joanna Theodorou, Miami Beach Dr. Sujay Trivedi, Davie Dr. Lissandra Vazquez Grillo, Miami Gardens Dr. Ada Villafuerte, Miami Dr. Manuel Zerquis Molina, Miami

West Coast District Dental Association Dr. Hayder Abdulameer, Wesley Chapel Dr. Yaima Alba, Sarasota Dr. Alisha Anand, Tampa Dr. Cristina Armbruster Jacas, Spring Hill Dr. Daima Avila, Tampa

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Dr. Sarah Barr, Brandon Dr. Emerson Boogaard, Lehigh Acres Dr. Ioanna Borissova, Tampa Dr. Lester Castillo, Seminole Dr. Dorothy Cataldo, St. Petersburg Dr. Seng Kyu Choi, Tampa Dr. Todd Cleary, Seminole Dr. Julia Collazo, Beverly Hills Dr. Andres Cruz, Naples Dr. Ashley Daniels, Naples Dr. Hina Desai, St. Petersburg Dr. Brandi Dinh, Estero Dr. Hamed El-Jabali, Temple Terrace Dr. Jason Fackender, Spring Hill Dr. James Felch, St. Petersburg Dr. Michelle Felix, Naples Dr. Monica Freifeld, Palm Harbor Dr. Tyler Frey, Naples Dr. Marina Gabriel, Trinity Dr. Meredith Galloway, Sarasota Dr. Dimitrios Gatis, Naples Dr. Jean George, Riverview Dr. Shada Ghnaim, Bradenton Dr. Emily Gimness, Seminole Dr. Giovanni Gonzalez, Naples Dr. Jonathan Gordon, Naples

FLORIDADENTAL.ORG

Dr. Debbie Grant, Bradenton Dr. Oscar Hernandez, Bradenton Dr. Yvonne Hoang, Sarasota Dr. Andrew Holovnia, Tampa Dr. Benjamin Hwang, Wesley Chapel Dr. Jermyn Javier, Lehigh Acres Dr. Christine Kerrigan, Sarasota Dr. Fatima Khan, New Port Richey Dr. Maria Lamazares, Tampa Dr. Samuel Landrian, Tampa Dr. Sinhye Lee, Riverview Dr. Raphael Liy, New Port Richey Dr. Courtney Lombardo, North Redington Beach Dr. John Longmire III, Tampa Dr. Connor Love, Tampa Dr. Seth Lutjemeyer, Tampa Dr. Rowland McCoy, Lake Alfred Dr. Amalio Montez Jr., Immokalee Dr. Juan Morales, Wellington Dr. James Muir, Weeki Wachee Dr. Cody Neill, Tampa Dr. Julian Ortiz, Tampa Dr. Krunal Pachigar, Tampa Dr. Krupal Patel, New Port Richey Dr. Leslie Pence, Brandon Dr. Meng Peng, Tampa Dr. Casandra Perez, Cutler Bay Dr. Raul Perez, Wellington Dr. Christopher Petrotto, Tampa Dr. Alvaro Preciado, Sarasota Dr. Katelyn Radner, Palm Harbor Dr. Vinutha Rattehalli, Lutz Dr. Golnaz Reihani, Wesley Chapel Dr. Zoe Rotella, Wellington Dr. Nataly Salazar, Fort Myers Dr. Olga Saniukovich, Trinity Dr. Sara Sardano, Clearwater Dr. Tanya Sehgal, Winter Haven Dr. Andel Sinanan, Wellington Dr. Matthew Sorsok, Tampa Dr. My-Huong Ta, Sarasota Dr. Anthony Tossona, Palm Harbor Dr. Carl Treyz, Madeira Beach Dr. Andrew Vallo, Tampa Dr. Jonathan Van Dyke, Naples Dr. Jason Vanman, St. Petersburg Dr. William Welch, Fort Myers Dr. Caitlin Wild, Tampa

TODAY'S FDA SEPTEMBER/OCTOBER 2019

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education percentage of women graduates from u.s. dental schools1

Nova Southeastern School of Dental Medicine lecom college of dental medicine

university of florida college of dentistry

259 FEMALE

MALE

195 FEMALE

215 FEMALE

49% – 2017

153 MALE

1951 DR. HELEN MYERS 230 MALE

213 MALE

First woman commissioned in the U.S. Army Dental Corps. Photo courtesy of the National Archives, 11-SC-362058

37% – 1997

2018-2019 NUMBER of women dental students in florida1

7% – 1977

INCOME

1. ADA Health Policy Institute 2. Journal of the ADA

1866 DR. LUCY BEAMAN HOBBS graduates from the Ohio College of Dental Surgery, becoming the first woman to earn a dental degree.

Ergonomics 69.8"

65.5"

50TH PERCENTILE DIMENSIONS (all measurements in inches)

As female dentists become almost 50% of their clientele, manufacturers have begun to provide instruments and equipment that accommodate differences in female ergonomics.

Standing Elbow Height Seated Elbow Height

23.8

Seated Reach Radius

23.9

Lap Height

general practitioner dentists in private practice 2

$180,000

$143,000

$140,000

40.3 43

25.8

$65,744

25.9 21.3 23.2

MALE

FEMALE

1990

MALE

FEMALE

2017

4 female ADA presidents

2018

DR. CAROL GOMEZ SUMMERHAYS (2017-2018) DR. MAXINE FEINBERG (2014-2015) DR. KATHLEEN S. ROTH (2006-2007) DR. GERALDINE T. MORROW (1991-1992)

percentage of women dentists in u.s.1

13 women served as president of their state association — the most in the ADA’s 160-year history.1

1890 DR. IDA GRAY NELSON graduates from the University of Michigan School of Dentistry, the first African American woman to earn a dental degree.

state presidents 1 1998-2014

81 786 FEMALE MALE MALE

46% – 2037 32% – 2018 16% – 2001

1901 DR. EDITH BRUSH SHOEMAKER First licensed woman dentist in Florida — Dr. Shoemaker joins the Florida State Dental Society around 1901. She attends the 19th annual FDA meeting in 1902 and is elected first vice president. She also serves as corresponding secretary in 1904-1905.

1855 EMELINE ROBERTS JONES becomes the first woman to practice dentistry in the United States. Married a dentist, she becomes his assistant after studying in secret — filling hundreds of his extracted teeth.

florida 2019 ONE female DISTRICT president DR. JODI PRINE NWDDA PRESIDENT (2019-2020)

florida dental association 3 female FDA presidents

DR. KIM U. JERNIGAN (2012-2013) DR. JOLENE O. PARAMORE (2018-2019) DR. BEATRIZ E. TERRY (2023-2024)

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TODAY'S FDA

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

change

THE CHANGE

Take a snapshot of the current dental class now and compare it to 30 years ago, and you can see some dramatic differences. The most obvious is the increasing demographic of women entering the profession. What does this mean and how does it affect our profession as a whole? Unfortunately, there is no EASY button. I am a full-time practicing endodontist in a large group practice in Tampa. I have a “sassy” soonto-be four-year-old girl and a “hangry” four-month-old boy, and let’s not forget the fur baby. So, for all you working mothers out there, trust me when I say that I am knee-deep in this trial and error we call parenting, and balancing work and family life. I’ve had the privilege to be an engaged member of our profession through my involvement as a new dentist representative for Florida to the American Dental Association (ADA) New Dentist Committee and liaison to the ADA Council on Governmental Affairs. I’ve been asked many times how I can manage the time commitment to do what I do and honestly, there’s no recipe for it. Time is a commodity in my household. It’s a common occurrence for conference calls to take place while dinner is being prepped or during bath time with the kids. It’s far from ideal, but we make it work — kids-willing.

DR. ROBIN NGUYEN

Dr. Nguyen is an endodontist in Tampa and can be reached at robinmaianh.nguyen@gmail. com.

So, why bother to go through all the trouble? Simply put, why not? I’ve always been a firm believer in “be the change.” How can I make my profession better and my dental association truly reflective of my needs as a working mother? Who’s best to understand the trials and tribulations involved than someone who’s going through it? Who’s going to understand the stress involved from a business perspective of taking maternity leave (finding coverage/locum tenums)? Who’s going to understand how to change your working schedule when you’re back from maternity leave to allow time to pump milk? Who’s going to advocate on your behalf for these essential rights when you negotiate the terms with your boss? Would you rather have our well-intentioned male counterparts identify these needs for you while you sit on the sidelines, or be part of the action to advocate for those needs? It’s a question you must answer for yourself. Having the experience of sitting in a leadership role at the national level, I’m amazed and humbled by what organized dentistry continues to do on behalf of the profession. You truly do effect change when you become involved. The talent and expertise from our volunteer leaders and staff are astronomical. For what little I can contribute with my experience and knowledge, I learn so much more in return that benefits my practice and personal life. The contacts I’ve made have resulted in lifelong friendships. So, to those who are on the fence about getting involved, concerned about the time commitment, I say this: Be the voice to shape the profession to reflect our current needs/ concerns. Don’t sit on the sidelines and criticize what can be done better. It’s not “work” if you’re passionate about what you believe in. To my fellow multi-tasking dentist moms and moms-to-be, be the role model for your kids — to effect change, you have to be the change. FLORIDADENTAL.ORG

TODAY'S FDA SEPTEMBER/OCTOBER 2019

women to know

PLEASED TO MEET YOU

Karen Glerum, ACDDA General Dentist, Boynton Beach

What is your work/life plan of action? My plan is to maximize my practice by treating each patient to the best of my ability and solve their dental needs in the manner that is best for them. I feel it is incumbent upon us as dental professionals to educate our patients so they know the many possibilities dentistry can offer. The patient can make a wellinformed and considered decision as to the best treatment for them. As I have been practicing more than 30 years, I would like to leave a legacy of satisfied patients, healthy mouths and a reputation for quality and compassion.

Do you have a flexible work arrangement and if so, do you mind sharing? My current patient workdays are Monday-Wednesday. I normally use Thursdays as an administrative day, keeping up with paperwork, and working ON the practice rather than just working IN the practice. A dental practice is like a child needing constant nurturing to grow.

TODAY'S FDA

SEPTEMBER/OCTOBER 2019

What would be your elevator speech/advice for a D4 female student?

So, you’re about to graduate; congratulations for all your accomplishments so far! Where do you see yourself in five years? I would like you to REALLY consider that question carefully. Dentistry can fulfill many of your needs if you make careful decisions. Decide first where you want to live and practice. Decide what kind of practice you want. Do you want to work for someone else or be your own boss? Both options have pros and cons. Get a mentor or a coach; make sure this person is someone who specializes in opening and or improving dental practices. Use your coach’s advice so you can hopefully make the correct decisions for you.

How do you deal with practice management? I have done my own management for many years. With a small practice (three employees), it only makes sense to administer the employee issues myself. I use a skilled accountant for payroll and banking. I also use a practice “coach” for my team and me. Her name is Nancy Zelno, of Dynamic Administrators.com. Nancy has really helped us to focus on our statistics and our numbers. Sometimes in the busyness of day-to-day patient care, the “big picture” can elude the doctor and the team. Nancy has brought us many hints and ideas to grow and get more patients to accept the care they need. Like any athletic team, a great doctor and team need a coach to keep them accountable.

FLORIDADENTAL.ORG

Favorite quote or motto? “Try not to become a person of success, but rather try to become a person of value.” — Albert Einstein

What is your favorite travel destination? Anyone who knows me knows I love to cruise! There is something so relaxing and freeing in getting on a fabulous ship, going to near or far destinations, and just enjoying time with my loved ones and friends.

Kristie Johnson, WCDDA General Dentist, Largo

What is your work/life plan of action? As a female dentist practice owner, wife and mother of two beautiful boys, my work/life plan of action is all about balance! Practice ownership was always one of my long-term goals, and with my partners that dream has become a reality. Helping to maintain a healthy practice all while making quality time for my family is my main focus.

Do you have a flexible work arrangement and if so, do you mind sharing? Planning is key! I have a regular set schedule, but if something comes up, I have the ability to make changes. Working with other doctors in the office allows us to help each other out. It’s comforting to have backup, whether it’s an emergency or just knowing someone can keep watch over the office during vacation.

What would be your elevator speech/advice for a D4 female student? Great job, final stretch! Ask for help when you need it and seek mentors who can be on your team! I’ve been so fortunate to have amazing mentors throughout my career. You still have so much to learn after graduation. Find a good study club, join and be active in your dental society, and converse regularly with peer dentists and specialists. There are so many people FLORIDADENTAL.ORG

who are willing and able to guide you. Just like raising a family, developing your career “takes a village.”

How do you deal with practice management? My office is a multi-doctor private practice. The partners share the responsibilities of running the practice, but the majority of the day-to-day management lies with each doctor. This model has worked well for our practice for more than 40 years.

Favorite quote or motto? Live by the Golden Rule and believe in the power of positivity! These two things will serve you well in all aspects of your life. Be kind — it’s contagious. Be a connector and encourage others’ successes.

What is your favorite travel destination? There is no way I could chose just one! I love traveling with my family. We regularly enjoy going to dental meetings. Last year we visited Hawaii in conjunction with the ADA, which truly was a trip of a lifetime! We also recently attended the ADA 2019 meeting in San Francisco.

Dr. Katie Lozada-Flynn, ACDDA General Dentist, Oakland Park

What is your work/life plan of action? Finding a balance between being a wife, mom and practicing dentist can be challenging at times. My goal is to be the best I can be in each aspect of my life, but at the same time, being at peace with the fact that it may not be perfect.

Do you have a flexible work arrangement and if so, do you mind sharing? I currently work five days per week, including evenings and one Saturday per month. Although I spend a significant amount of time in the office, I’m grateful to have amazing associates who allow me flexibility to be away from the office as needed. SEE PAGE 32 TODAY'S FDA SEPTEMBER/OCTOBER 2019

women to know

Do you have a flexible work arrangement and if so, do you mind sharing?

FROM PAGE 31

I have a great team, so we cover for each other whenever needed.

What’s your elevator speech/advice for a female D4 student?

Dentistry is an amazing career that allows you financial stability, flexibility and the ability to make an impact in someone’s life. My advice for any new female dentist is to always practice with integrity and treat your patients like gold. If you’re also a mother, my advice is to not worry about your home life at work nor worry about your work life at home. Be 100% focused on where you are at that moment.

Dentistry is a great career, it’s not difficult to have a balance between work and personal life. Networking and being involved with our local, state and national organizations such as your district, the FDA and ADA is extremely important.

How do you deal with practice management? As a dentist, I’ve learned that the dentistry is the easy part. Learning how to manage a team and growing a practice are skills that are not taught in dental school. Surrounding yourself with knowledgeable and trustworthy advisors will help ease the stress of practice management!

How do you deal with practice management? The key to having a good practice management is having a great team. Working with a great group of people who have the same philosophy that patients are our priority makes the practice so easy to run.

Favorite quote or motto? Treat my patients with compassion and do dentistry as I would for myself and my family.

Favorite quote or motto?

What is your favorite travel destination?

“I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.”

Anywhere I get to be with my husband.

What’s your favorite travel destination? As a mother with a young child, I’m currently a big fan of staycations. I love traveling to Islamorada or Naples since it’s only a short drive from home!

Dr. Queanh Phan, WCDDA General Dentist, Naples

What is your work/life plan of action? Work hard and be the best that I can be as a dentist. Put my patients before myself. Spend time with my family and travel every opportunity I get.

TODAY'S FDA

SEPTEMBER/OCTOBER 2019

Dr. Rita Steiner, SFDDA Endodontist, Miami

What is your work/life plan of action? I love my profession and daily routine, I try to live as a role model to my kids, showing gratitude for the opportunity to help others who need a root canal or are dealing with pain is the best work/life transition. But when I’m home, I’m home. I don’t have a computer at home, and I finish my paperwork at the office.

FLORIDADENTAL.ORG

Do you have a flexible work arrangement and if so, do you mind sharing? I schedule time off according to my family’s time off, I don’t take lunch breaks and I don’t schedule patients after 3 p.m. on Fridays.

What’s your elevator speech/advice for a female D4 student? Be kind, generous and honest. The referrals and money will come, you only have one reputation and judge. It’s a privilege to do what we do.

How do you deal with practice management? Practice management is a tough beast. Hire the right people and get further educated, so you can always check on your employees. You need to know how to ask the right questions. Find a mentor who has done it successfully before you.

Favorite quote or motto? “Good leaders create followers; great leaders raise other leaders.” — Rabbi Menachem Mendel Schneerson

What’s your favorite travel destination? I love going to the Upper Keys, it’s a great place to chill with my boys.

Dr. Jessica Stilley, WCDDA Periodontist, New Port Richey

What’s your work/life plan of action? This has changed over the years. When I started my practice, I was a single woman who was able to dedicate most of my focus on my practice and my patients. My plan then was to put my energy into building a successful team that would help me serve our patients. Now as a wife and mother, I find that 24 hours is not enough time in a day! It can be a challenge to juggle being

FLORIDADENTAL.ORG

a practice owner by day and keep a household running on nights and weekends. When I’m at work, I want each patient to feel they’re getting the very best care. However, it’s important to me that when I get home, I have the same energy for my two-year-old and my husband. Family is the most important part of my life, so balancing work and life is critical, and I make sure to take time to take care of myself and my family so I can be my best at work.

Do you have a flexible work arrangement and if so, do you mind sharing? I’m lucky to work in a practice where I have a partner and an associate. It allows me the freedom to take time off when I need to and affords coverage for the unforeseen situations that come up.

What’s your elevator speech/advice for a female D4 student? Dentistry is a great profession for women. You have the freedom to own or associate, to work five days or three, and to set your hours. Many female practitioners can provide amazing patient care with flexibility in their arrangements. It can be hard work, but the rewards are great!

How do you deal with practice management? I always tell people I know a lot about one thing, and that’s perio. Just knowing about perio doesn’t always translate into bookkeeping and setting production goals. I’ve learned to surround myself with a great team of advisors who I trust, including an amazing office manager, accountant and attorney. It’s important to know what your weaknesses are and find people who can help out. Managing a practice takes a team effort, and it’s worth the investment to have reliable people on your side.

Favorite quote or motto? “There is no elevator to success, you have to take the stairs.” — Zigler

What’s your favorite travel destination? My husband and I were married in Key West and it’s still my favorite place to go. It’s a great place to just take things as they come and not be tied to a schedule.

SEE PAGE 35

TODAY'S FDA SEPTEMBER/OCTOBER 2019

PSC Group, Inc.

women to know

FROM PAGE 33

Linda Trotter, NEDDA General Dentist, Jacksonville

What is your work/life plan of action? To be sure, it has changed through the years! After graduation from UFCD, I just wanted a job. I was absolutely clueless about the business of dentistry and wondered how would I ever treat more than one patient in an afternoon? Once I figured out and could manage a schedule of patients, I focused on paying off my school loans. I wanted to be debt-free as soon as possible. While raising my daughter, I scheduled patient care around her activities and believe it or not, I was “homeroom mom” three different years and Brownie and Girl Scout leader! We also attended every sporting event. Now, I’m focused on taking care of all those patients and staff in my practice who have been loyal and faithful through the years.

Do you have a flexible work arrangement and if so, do you mind sharing? I schedule my administrative day on Wednesday. Having the day in the middle of the week to attend to business, professional and personal matters has kept me healthy.

What would be your elevator speech/advice for a D4 female student? OH, MY! I love this question! First: You have chosen an amazing profession and YOU CAN DO IT! And then: The very first “check” you should sign after dental school is the check for your ADA/FDA/district association membership dues. I know current D4 dental students don’t have check books! OK, we’ll call it what it is: online payments. A lifetime of membership to the professional organization that represents DENTISTRY is

FLORIDADENTAL.ORG

less than one semester of dental school tuition! That’s membership to three different dental organizations for the price of one! What a bargain! I admit, there were times during my career when my perspective was more in a self-preservation mode and I felt I wasn’t getting anything out of the association. That viewpoint is just a bit like when parents pick up their child to carry them out of the Disney park. Others are carrying the load whether in legislative matters, setting policy, continuing education or advocacy. It’s important to have others on top of matters and in the know on issues that impact the profession.

How do you deal with practice management? It has been a learning experience and continues to be every day. Hire great staff, train, train, train and then let them do their jobs. Work on your practice as much as you work in your practice.

Favorite quote or motto? A prayer for all D4 Students: “For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.”

— Jeremiah 29:11.

What is your favorite travel destination? Anywhere with my family! There are so many alluring destinations in our country. We are big hikers. I love to organize and plan, tell and retell events of our treks together to national parks both in and out of the country: Alaska, Hawaii, Canada, Mexico, Switzerland, Italy. Additionally, I grew up in Iowa and to say the least, the rolling hills full of soy beans, corn and giant windmills blowing in the wind make it one of the most beautiful states in America!

TODAY'S FDA SEPTEMBER/OCTOBER 2019

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TODAY'S FDA

SEPTEMBER/OCTOBER 2019

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TODAY'S FDA

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

VOLUNTARY DENTAL WORKFORCE SURVEY NO LONGER PROTECTED BY PUBLIC RECORDS EXEMPTION

This past session, the Legislature decided not to reinstate the public records exemption for the dental workforce survey. This means if someone requests a copy of the dental workforce surveys, the Department of Health (DOH) is not required to maintain the anonymity of the respondentsâ&#x20AC;&#x2122; personal identifying information and responses to the survey. The dental workforce survey is NOT mandatory. During dental licensure renewal, dentists and dental hygienists are given the opportunity to complete a voluntary dental workforce survey, which collects information to better understand the dental workforce in Florida. The information gathered by this survey is compiled by the DOH to provide an overview of the responses from the survey. When the dental workforce survey began in 2009, the FDA passed legislation to make sure any personal identifying information provided by respondents was protected from public records requests. This protection has been removed.

The dental workforce survey is NOT mandatory.

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TODAY'S FDA

SEPTEMBER/OCTOBER 2019

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TODAY'S FDA

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

WIND . .

Women Inspire & Navigate Dentistry

Wind is powerful force of nature that causes change, produces energy and substantially shapes the world around us. The diverse group of women who led and attended the inaugural WIND: Women Inspire & Navigate Dentistry event on Aug. 9 in Hollywood, Fla. emulated that power in a day filled with learning and community for Florida’s women in dentistry. WIND2019 featured nine female speakers who covered a wide range of topics in a collaborative learning environment. Course subjects included forward-looking issues such as 3D printing in dentistry, and more practical topics like periodontal therapy and temporomandibular joint function. WIND2019 supplied attendees with relevant dental continuing education and left many of the dentists who participated with a renewed awareness of the strong female dental community around them.

“

WIND was truly an inspiring and motivating event. It was a privilege to learn from such knowledgeable women, and an honor to network with other esteemed female colleagues in a wonderful setting. The event was fun, inspiring and a great weekend getaway!

”

— Dr. Rebecca Warnken

“

WIND2019 was a great event! Lots of learning and corroborating going on! I was fortunate to run into old girlfriends and meet some new ones. Thank you, FDA, for hosting and I hope we have WIND2020!

— Dr. Beatriz Terry

”

At WIND2019, we saw more than 100 of Florida’s female dentists get together to learn from their peers. Although the event is over, the collaborative and supportive spirit of the WIND community still thrives! Don’t forget that you can join the WIND: Women Inspire & Navigate Dentistry group on Facebook to stay connected with the female dentist community. FLORIDADENTAL.ORG

TODAY'S FDA

SEPTEMBER/OCTOBER 2019

Synovus

In This Corner ... Dr. Britt wrestling dentist

school, and a lot of sleepless nights,” Baker said. “Balancing the two was brutal. It was the hardest time of my life.”

CHRIS BOYLE

Sports Reporter, The Daytona Beach News-Journal

Four days a week, up to 10 hours per day, [Florida Dental Association (FDA) member] Brittany Baker treats patients in Central Florida as a dentist. But once the work week is over, Baker Dentist and wrestler, Dr. Brittany Baker sheds the scrubs for spandex and boots. Instead of reducing pain, Dr. Britt Baker, DMD enters the ring to inflict it as a professional wrestler. “It feels like it never ends, but it’s always something I am excited about,” Baker said. “I’m excited to wake up and work every day. I’m excited to travel on the weekends and wrestle. People tell me I’m crazy, but I’m just really passionate about two spectacular careers that I’m lucky enough to pursue.” Both of Baker’s career pursuits started as an undergrad at Penn State University. She told the Pittsburgh Post-Gazette in an October 2017 interview that she studied bio-behavioral health with a minor in human development and family studies, but had “no idea what I wanted to do.” That started to change in 2014. Baker planned to pursue dentistry, gaining acceptance into the University of Pittsburgh School of Dental Medicine, and made the cut in a tryout at the International Wrestling Cartel (IWC), an independent wrestling promotion in the nearby suburb of South Hills. Perhaps it was unintentional at the time, but Baker never ruled out pursuing both of her passions. “If I thought that it wasn’t going to be a career, I would have quit a long time ago and saved myself a lot of stress in dental FLORIDADENTAL.ORG

Baker quickly built a following in the IWC and was profiled with boyfriend Austin Jenkins — better known to wrestling fans as NXT champion Adam Cole — on CNN’s travel show “Anthony Bourdain: Parts Unknown.” Late last year, Baker said she was approached by Brandi Rhodes, All Elite Wrestling’s (AEW) chief brand officer, with a contract offer. She was unveiled as one of the company’s first signings at a January rally in Jacksonville. Baker is expected to be a major player in AEW’s infancy. She earned a marquee spot in the inaugural pay-per-view, Double or Nothing, [in May] in Las Vegas — winning a fatal four-way match with Nyla Rose, Kylie Rae and Awesome Kong. Unlike many wrestlers, Baker does not perform under a pseudonym. She’s made a name for herself, in two separate fields, and is extremely proud of it. “I would say one of my favorite parts of being a wrestler is getting to come out down the entrance ramp and they announce me as ‘Dr. Britt Baker, DMD.’ That’s me being able to show my own personal success to the world,” she said. “It’s so rewarding. It’s a reminder to myself that I’m doing this.” Reprinted with permission by The Daytona Beach News-Journal. “Wrestling stars come to Daytona’s Ocean Center,” news-journalonline.com, June 25, 2019 at bit.ly/2z4V6tC. The title was changed, and a few paragraphs were omitted to better fit Today’s FDA.

Dr. Brittany Baker wrestling for the International Wrestling Cartel.

TODAY'S FDA SEPTEMBER/OCTOBER 2019

“

Leadership is based on merit. Every dentist in leadership is a role model and we stand on the accomplishments of those who traveled before us.

”

“

Be true to yourself!

With greater opportunity comes greater responsibility.

” Team FDA TODAY'S FDA

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

women to know Drs. Kim Jernigan and Jolene Paramore discuss their experiences as the first two female FDA line officers.

What was a challenge you successfully overcame? Kim Jernigan (KJ) & Jolene Paramore (JP): Time management! Managing the daily interruptions in your schedule. Making good use of the time in airports while waiting on flights.

KJ & JP: When presenting or speaking on behalf of the FDA, be fully prepared on the subject and research your audience to deliver the most appropriate message. Never, never put anything in writing you wouldn’t want published on the internet. Understand you must work well with others for the association to succeed. Do not seek leadership for power or position, but to serve.

How did you balance your home/work/presidency life?

KJ: My mother and older sister, Karen.

JP: Very carefully and oftentimes not very well! One of the three was on the back burner — just depends on the hour to know which one it was.

JP: My mom.

KJ: Delegate FDA responsibilities among the BOT.

KJ & JP: Queen Esther, because she was used in her own generation for such a time as this. Betty Hughes and Idalia Lastra as trailblazers on the FDA Board of Trustees (BOT). Terri Dolan in academia and business. The greatest dental influences were men who recognized our potential and encouraged us unfailingly.

KJ & JP: Communication is the key. Stay flexible.

Who are the women that inspired you?

KJ: Bert Dannheisser. JP: George Daughtery, George Dorris, George Goodreau, Howard Fisher and Dave Russell. It took more influencers for me. (HAHA!)

What advice would you give to an incoming female line officer? KJ & JP: Your family must be supportive of your leadership journey. They are your foundation, they’ll be your rock, they’ll be there when you are no longer an officer. You are a dentist and we all stand on equal ground as dentists. Leadership is based on merit. Every dentist in leadership is a role model and we stand on the accomplishments of those who traveled before us. When your leadership role is completed, pass the torch to new leaders and step aside. EVERY president has faced unique and critical challenges. No president has been immune. Your response to challenge and crisis will be your defining moment.

What would you tell anyone interested in serving as a leader? KJ: Prepare for leadership, read good leadership books, discipline your time and your thoughts. Filter all advice through the sieve of truth and justice. BE TRUE TO YOURSELF. JP: The decisions that you make may affect the integrity of our profession. Your decisions need to be thoughtful and deliberate. The actions of one may affect the reputation of many. Lead honorably!

FLORIDADENTAL.ORG

What was your proudest achievement? KJ: I have no regrets! I served with honor and integrity. I might not have always been right, but I carefully considered each decision and did what I thought was right. Presenting Bert Hughes to the board to serve as the Council on Conventions and Continuing Education general chair and walking the BOT and Leadership Development Committee through the process that selected Drew Eason as FDA executive director. JP: Leading the Workforce Innovation task group in developing and promoting Florida’s Action for Dental Health, advocating for our members and citizens to benefit from new legislation on dental student loan repayment, opioid education and direct care agreements. Also, the FDA House of Delegates and all six districts adopting an inclusion policy.

How do you feel things have changed for

women in dentistry from when you started dental school to now? Better, worse, the same? KJ & JP: All the above. With greater opportunity comes greater responsibility. Technology helps us be more efficient, yet at times it has made some less reliant on critical thinking and clinical judgment. Social media keeps us connected but it’s also allowed for miscommunication and it gives us less face-to-face time with our colleagues.

Photos: Top photo: Drs. Jolene Paramore and Kim Jernigan in North Carolina. Bottom photo: Dr. Kim Jernigan, ADA President-elect Dr. Chad Gehani and Dr. Jolene Paramore. This photo was taken when Dr. Gehani was president-elect. TODAY'S FDA

SEPTEMBER/OCTOBER 2019

ufcd student chapter

UFCD

NAMED AAWD STUDENT CHAPTER OF THE YEAR

“

The American Association of Women Dentists (AAWD) named the Student Chapter at the University of Florida College of Dentistry (UFCD) the 2019 Chapter of the Year. Susan Nimmo, DDS, MPH, a clinical associate professor, is the chapter’s faculty advisor and submitted the nomination. Nimmo said the UFCD chapter of AAWD began in 2005 with only 25 members and has grown to nearly 100 members. “I am proud of UFCD’s AAWD Student Chapter, not just today, but for all the women dental students at the University of Florida, who started this chapter 15 years ago and developed it into the powerhouse student organization it is today.”

I am inspired by these dedicated young women, who are not only passionate about dentistry but also support each other through the trials of dental education.

One of the most active organizations in UFCD, the AAWD chapter hosted more than 30 community service and social events last school year. The chapter recruited alumni and successful women in dentistry to speak and inspire their members to reach their full potential, as well as serve as mentors. They also instituted tutors and big/little mentors

—Dr. Susan Nimmo, faculty advisor

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”

to help with transitions year to year in dental school. Additionally, the chapter hosted multiple residency panels of women dentists and residents, who will be or are currently pursuing a career in a specialty field. The panels helped to promote the advancement in education of women dentists ranging from periodontics, orthodontics, prosthodontics, oral and maxillofacial surgery, and pediatrics. The UFCD AAWD Student Chapter supports several volunteer organizations throughout Gainesville. For Girl Scout Patch Day, local scouts are invited to the UF campus for a program to teach them about oral hygiene and healthy diets to earn their dental patch. Members also participated in the Guest Chef Fundraiser for Peaceful Paths, a shelter for victims of domestic violence. At the Gainesville Rabbit Rescue, students provided care for rescued and abandoned animals. A joint service project at the Alachua County Humane Society was undertaken with Smiley Gators, UFCD’s pre-doctoral student organization for pediatric dentistry. The UFCD Super FLORIDADENTAL.ORG

Sealant Saturday harnesses the efforts of the entire student body, as well as faculty volunteers. AAWD also hosted a women’s oral health booth to educate and support mothers about oral health for their children. Through community service programs, the UFCD AAWD was able to provide opportunities for all its members. Other events the chapter hosted include socials, painting parties, a “Friendsgiving” dinner, pottery parties and a “Galentine’s” social, which brought members together to share unique experiences. The chapter also placed an emphasis on improving the mental and physical health of their members through events and socials, such as Yoga in the Park, Friday Pamper Night, Pool Social and Finals Week Sheet Masks. Throughout the year, many chapter members were active in oral health research targeting women’s issues. Lauren Arguelles, DMD Class of 2020, and Emily Waikem, DMD Class of 2021, have been working on a retrospective caries risk assessment project that details the different parameters in which

the college measures and assesses caries risk. One of the factors of importance is gender and is signified as an important differentiating factor. Arguelles and Waikem received grants to present the findings of their research in Vancouver in June 2019. Emma Domingoes, DMD Class of 2019, worked on a retrospective analysis to characterize the clinical and epidemiological features of vesiculoulcerative conditions with emphasis on potential associations with other medical conditions such cancer, arthritis and hypothyroidism, which literature supports affect more women than men. Domingoes won a grant in 2018 to present her research at the International Association for Dental research in London, England. “As the faculty advisor,” Nimmo said, “I am inspired by these dedicated young women, who are not only passionate about dentistry but also support each other through the trials of dental education. If there is a ‘secret’ to cultivating a successful chapter, I mostly stay ‘out of the way.’ The officers and executive board select their own projects and

goals. Their success is their own.” At the time of the nomination, the UFCD AAWD Chapter officers were Lauren Arguelles, president; Amanda Panousis, vice president; Morgan Kubis, vice president; Jessica Brewer, secretary; and, Kelly Calderon, treasurer. AAWD President Dr. Brittany Bergeron states, “We had many competitive applications this year; however, this chapter’s nomination stood out to the committee as being exceptional. I am so proud of the UF Chapter. They have grown so much over the past few years and truly become an inspiration for other student chapters within our organization. I look forward to seeing how they continue to develop in the years to come!” The UFCD AAWD Chapter was recognized on Sept. 28, 2019 during the AAWD annual conference in Phoenix, Ariz. Reprinted with permission from the University of Florida College of Dentistry. This article was first published on July 10, 2019 and can be found at bit. ly/2Y0TiMf.

UFCD AAWD Student Chapter of the Year: UFCD Dean Dr. Isabel Garcia leads by example and nurtures their culture of excellence, diversity and inclusion. FLORIDADENTAL.ORG

TODAY'S FDA SEPTEMBER/OCTOBER 2019

Celebrating 135 Years ... FDA History at a glance

JESSICA LAURIA, FDA COMMUNICATIONS AND MEDIA COORDINATOR

Twelve dentists eager to better their profession and its status met with Dr. James Chace, of Cedar Key, in 1883 to discuss forming a state association of ethical dentists.

1883

1884 James E. Chase, DDS founder and first president

1909

The first meeting of the Florida State Dental Society (FSDS) was in Library Hall in Jacksonville on Oct. 15, 1884.

The FSDS became incorporated under state law.

1922

The FSDS quarterly Bulletin was established in April.

In 1929, the Bulletin was changed from a quarterly to a monthly journal.

1921

Steps were taken to divide the state into five districts.

Annual dues were $11, divided as follows:

1923

1931

The Bulletin grew through the years and was renamed Florida Dental Journal — Official Organ of the Florida State Dental Society.

• $4 for district society • $3 for state society • $2 for ADA, including its journal

In September 1938, the journal name was changed again to Journal of the Florida State Dental Society.

• $1 ADA research fund • $1 for relief of indigent members

1935

1941

The society employed a paid agent in Tallahassee to keep the Legislative Committee constantly informed of pending legislation affecting dentistry.

The annual meeting was held a day after the attack on Pearl Harbor. An immediate message was dispatched to President Roosevelt, pledging support of the FSDS to him and the country in this time of peril. By 1942, 20% of membership was in the armed services.

1956 1955

The FSDS ran its first extensive Public Education and Relations Program, which:

The FSDS established a central office in Tampa and recommended dividing the East Coast District to create six districts instead of five.

Credit National Archives (photo no. 520053)

• discouraged misleading advertising by dentifrice firms. • implemented fluoridation campaigns in several communities. At the time, only 13 cities in Florida were fluoridated.

1968

1965

Legislative efforts enhanced by the initiation of the Contact Dentists Program.

• improved dental health information in state textbooks.

1967

The society’s name was changed to the Florida Dental Association (FDA) and the journal’s name was changed to Florida Dental Journal.

The Atlantic Coast District Dental Society formed, making it the sixth district.

First House of Delegates (HOD) session was in Tampa on Dec. 5, 1969.

1969

A Peer Review Program manual was approved and amended.

1977 1980

The FDA obtained two store-front offices adjacent to the Capitol in Tallahassee.

The first Florida National Dental Congress was June 23-27, 1984 in Orlando.

1984

1986

FDA Insurance was formed.

In March 1989, it became incorporated as FDA Services (FDAS).

1993

The FDA established its headquarters in Tallahassee in 1993. Half the staff relocated from the Tampa office. Two years later, FNDC and FDAS joined the FDA in Tallahassee in June 1995.

1996

Dentists’ Day on the Hill was created as the one day dentists from around the state could travel to Tallahassee during session to advocate on behalf of the FDA’s legislative agenda.

2014

The first Florida Mission of Mercy took place in Tampa on March 28-29, 2014. In December, Florida’s Action for Dental Health was created.

In May, the Florida Dental Education Foundation was established for charitable and educational purposes.

2000

The East Coast District was renamed the South Florida District Dental Association.

The 17th Trustee District of the American Dental Association (ADA) was established. The Florida delegation had successfully petitioned the ADA HOD for self-representation for the state.

2001

2017 In December 2017, FDA Headquarters moved into a renovated building at another location in Tallahassee.

student loan debt

TAKING THE

FEAR OUT OF DEBT:

FINANCING A DENTAL PRACTICE AFTER STUDENT LOANS The landscape for new dentists can be quite scary. For example, the average dental student graduates with more than $240,000 in student loan debt. This amount represents an increase of more than 66% over the last decade. This debt load can jeopardize the aspiring business owner’s motivation to purchase their first dental practice. After all, is it smart to take on an additional practice loan debt? Let’s take a different approach to looking at debt. When a person buys a business — in this case, a dental practice — the business pays the debt, not the individual. Even though almost all dental practice loans require a personal guarantee, the borrower of the money is the actual business. Making loan payments on a new car, taking on credit card debt to pay for an expensive vacation, or even purchasing a new home can be troubling when a person is saddled with high student loan debt. Why? None of these outcomes actually make the borrower money. Borrowing money to purchase a dental practice can actually create a better cash flow position even after adding debt. Also, 100% financing to purchase a dental practice is readily available, so there is no need to invest current liquidity — and that protects the dentist’s current personal financial statement. Here’s an example: Let’s assume a dentist has been working as an associate for three years and has made an average annual salary of $100,000. The associate is now interested in buying a practice for $450,000.

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Historically, this practice generates revenue of $600,000. On average, a dental practice nets 40% profit to the owner. So in this scenario, the practice net income would be $240,000. A 10-year loan for $450,000 requires roughly $4,700 monthly payments, or $56,400 annually. After the dental practice pays the loan, the net income to the owner is $183,600 ($240,000 original net minus the $56,400 debt payments). We can see that the associate in this example will actually increase their annual income by $33,600 even though they took on an additional $450,000 in debt. Let this way of looking at debt — and the example above — serve as motivation to fulfill your dream of owning a practice. The current student loan situation can be overwhelming, so most new dentists will graduate with a goal to pay off all their debt as quickly as they can, and they’ll be prudent about borrowing more money. They will work as associates in practices for longer periods of time than necessary because they fear acquiring additional debt. But buying a practice could be a way to pay off the debt more quickly. By purchasing a business and allowing it to pay the practice debt first, a dentist can increase income and improve cash flow. Borrowing money is intimidating and so is taking the leap from associate to practice owner — but the additional debt can actually be worth it in the end.

JONATHAN BURNS, VICE PRESIDENT

Reprinted with permission from Bank of America. This article is for informational purposes only. Please consult your tax advisor, as neither Bank of America, its affiliates, nor their employees provide legal, accounting and tax advice. Bank of America is a trademark of Bank of America Corporation. Bank of America Practice Solutions is a division of Bank of America Corporation. ©2019 Bank of America Corporation.

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JASON NUNEZ, VICE PRESIDENT

TODAY'S FDA SEPTEMBER/OCTOBER 2019

compleat dentistry

ARE

YOU

DR. EDWARD HOPWOOD

Dr. Hopwood is a restorative dentist in Clearwater and can be reached at edwardhopwood@gmail.com. He also is the FDC2019 scientific program chair. Compleat dentistry is a slower-paced, deliberate style of dentistry, espoused by Pankey, Dawson and so many others, in which the dentist knows the patient well, knows the work, knows their own abilities and limitations, and uses this knowledge to take care of the patients who trust them with their care. The world will change, but the principles of compleat dentistry will remain the foundation of an exceptional practice. The spelling is an homage to Isaak Walton, whose book, “The Compleat Angler,” was about so much more than fishing.

TODAY'S FDA

BUSY?

When I was a boy and my dad would get home from his office, I’d often ask him, “How was your day?” If it had been a good day, his response was always the same: “Busy.” I grew up thinking that a good day was a busy one because for my dad, “busy” was the equivalent of “good.” He was a self-made man who formed his business and led it to great success. So, when he was busy, he was running a business that brought all kinds of rewards: financial, intellectual and social. When I set out to run my own business, my dental practice, one of my first goals was to become busy. I think we all tend to want to get busy because we (and our society) view it as a measure of success. The great clinicians are so busy that they don’t have time for nonsense, no time for games, no time for lab work, and must delegate to assistants and associates. We feel like we need to cram so much into our days, so we’ll be busy and therefore, successful. A funny thing happens when you set out to become busy — you succeed. In fact, it’s relatively easy to become exceptionally busy while working as a dentist. One of the easiest ways is to sign up to be a provider for insurance companies. That’s what I did. For a small percentage of my fees, they would provide me with a bunch of patients, begging for my work. Then, I became busy running from patient to patient. Thirty years ago, a dental consultant built a big business based on the insurance model: A million-dollar practice

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simply has 1,000 patients who spend their annual $1,000 insurance maximum.

I found that something was missing even though I was busy. I’d come home exhausted, often taking a nap as soon as I got home. Then I’d wake up when my wife got home from work. We were going to start a family and we hoped she’d be able to retire. But how was I going to be able to make more money in order to make that happen when I was already so busy? How was I going to be a good dad and enjoy my family when I just wanted to sleep when I got home? Further, I found I was no longer enjoying my profession when I was simply rushing from room to room. Fortunately, one of my mentors recommended I speak with Mike Schuster. Mike, who has since retired, ran a program that helped dentists effectively run their practices. Further, his philosophy meshed nicely with the compleat dentistry that I wanted to provide. Mike gave me a copy of “The E-myth Revisited” by Michael Gerber, which I regard as one of the 10 books that changed my life. The e-myth is the entrepreneurial myth — the romantic idea of overcoming all the obstacles and having your own small business. Statistics show this to be a daunting goal: 80% of small businesses fail within five years. But it gets worse — out of the 20% of business that survive the first five years, 80% of those fail within the next five years. It gets more interesting as you read on. The big reason for failure is not what you’d FLORIDADENTAL.ORG

expect. The biggest reason for the failure is that the small businesses get too busy. The entrepreneurs start out doing something they like, the word gets out and people come in and support the business, then they do more of it and more people come. Then, they get caught up working in the business, which is not prepared to sustain the increased volume. As a result, the entrepreneur finds that they aren’t enjoying the work so much and they flame out. It sounded a lot like my own experience. But I couldn’t flame out, I had student loans, a practice loan and a young family. I had to find a way to succeed. Mike’s suggestion was simple: I should quit being so busy. I should stop doing those things that weren’t profitable. But I resisted. I read that Ford Motor Company had never made money on the Taurus model, but they kept building them anyway. Maybe the things that weren’t profitable were like the Taurus of dentistry. But Mike persisted: Ford Motor Company is based on a production mentality, which is not applicable to the business of dentistry. The reality was that I was scared. I feared not being busy. I thought that to be successful, I needed to be busy. Nothing could’ve been further from the truth. The hardest part was facing those things that weren’t profitable. It turns out that the non-profitable procedures were those where the insurance company was chipping away at my profits. In fact, I discovered that I was losing $50 for every gold crown I did for a certain insurance plan. When it became apparent that I’d save money by doing nothing rather than being busy doing a gold crown for that insurance plan, the ideal of being busy lost its luster. What I’ve come to find is that my most productive days are those where I see the fewest patients. I now work fewer days per week than when I was busy. I can coach soccer when I get home, rather than taking a nap. And my wife did retire, slightly before our first child was born.

I think we all tend to want to get busy because we (and our society) view it as a measure of success.

So, one day, when I got home from work, my dad asked, “How was your day?” My response was thoughtful: “Effective, balanced,” I replied. “Don’t worry, maybe tomorrow will be busy,” he responded. I knew what he meant, but in my heart, I hoped it wouldn’t.

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TODAY'S FDA SEPTEMBER/OCTOBER 2019

Paragon

FDA: Eiagnostic Discussion: Read, Learn & Earn!

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

A 64-year-old Caucasian female was referred by her general dentist to Dr. Michael Hashemian, an oral surgeon at The Dentofacial Institute in Spring Hill, Fla. for evaluation of posterior palatal sores (Fig. 1). As seen in the intra-oral photograph, an erythematous bed, admixed with necrotic yellow fibrinoid material. The lesions were bilateral and surrounded by a white halo. The lesions were described as crater-like and measured approximately 1.5 cm in diameter (Fig. 1). The symptoms include pain and tingling for the past 10 days. The patient is edentulous and currently uses denture adhesive, due to reduced retention of her upper complete denture. A CT scan was ordered and was reported as negative for any boney involvement. The patientâ&#x20AC;&#x2122;s past medical history was non-contributory, and she was reported as a non-smoker with no pertinent social history. Dr. Hashemian performed an incisional biopsy and the tissue was submitted from the right posterior palatal lesion to the Oral Pathology Biopsy Service at the University of Florida in Gainesville.

Fig. 1: Bilateral necrotic surface ulcerations located on the posterior hard palate.

Question: Based on the clinical appearance and the medical and dental history, what is the most likely diagnosis? A. Squamous cell carcinoma B. Herpetic ulcers C. Necrotizing sialometaplasia D. Traumatic ulcers E. Aphthous ulcers

Fig. 2: Histopathologic slide depicting incisional biopsy. SEE PAGE 70 FLORIDADENTAL.ORG

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C. Necrotizing sialometaplasia

diagnostics

FROM PAGE 69

Diagnostic Discussion A. Squamous cell carcinoma Incorrect, but due to the clinical presentation of irregular surface ulcerations, probably located at the top of your differential diagnoses list. Squamous cell carcinoma often presents as irregular oral ulcers that fail to heal, just as in this case. Also, oral cancer is a disease in older individuals, most often affecting patients 60 years of age and older. Most importantly, oral cancer is rarely, if ever, bilateral in presentation. The lack of risk factors such as tobacco use also should be considered, though many lesions have been identified in patients without any habits. Squamous cell carcinoma of the oral mucosa tends to be slowgrowing and as in most cases, in the span of two weeks, it does not create such large ulcerations. Another marked difference with our final diagnosis is pain from the onset of the lesion, which typically isnâ&#x20AC;&#x2122;t seen with squamous cell carcinoma. Importantly, the palate is an unusual location for squamous cell carcinoma (less than 3%) and cancer is rarely suspected without adjacent vestibular involvement.

B. Herpetic ulcers Incorrect. Recurrent herpetic lesions typically are limited to the keratinized or masticatory mucosa, including the hard palate or the attached gingiva. The initial clinical presentation of herpes simplex infection is the formation of vesicles, which quickly rupture and leave small, 2-5 mm ulcerations. These ulcers often coalesce and form larger ulcers, just as in this case. Also, herpetic ulcers often are painful, and this patientâ&#x20AC;&#x2122;s complaint was painful ulcers. However, herpetic ulcers are rarely as destructive as seen in our case. Again, an important point of distinction is the presence of pain, which is a hallmark of herpetic ulcers. Furthermore, these ulcers most often are seen in young patients, with a peak between the teens and the 40s. And finally, herpetic ulcers rarely last beyond a week or two unless the patient is immune-suppressed.

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Correct! Great job! Necrotizing sialometaplasia is a fairly uncommon, locally destructive, benign, inflammatory lesion that most commonly effects the minor salivary glands, with more than 75% of all cases occurring on the posterior palate. It was first described by Abrams et al. in 1973,1 and one-third of the reported cases are unilateral lesions. Other sites of involvement include soft palate, lip, retromolar area, tongue, mucobuccal fold, tonsillar fossa, parotid, sublingual, submandibular, nasal cavity, incisive canal, maxillary sinus and larynx. Necrotizing sialometaplasia more frequently is seen in males with an age ranging from 17 to 80 years.2 Initially, lesions typically present as a non-ulcerated swelling, often associated with pain or paresthesia. Within two to three weeks, necrotic tissue sloughs out, leaving a crater-like ulcer, as seen in Fig. 1. These craters can reach more than 5 cm in diameter. However, initial clinical features can vary from swelling to crater-like lesions, which may exhibit no symptoms.3 Research has shown that the lesion is due to ischemia of the salivary tissue, which leads to local infarction. The result of the ischemia of the glandular tissue is a crater-like deficit. The most likely etiologic factor is local trauma due to injection of local anesthesia followed by dental infections, heavy smoking, alcohol abuse, traumatic injury, upper respiratory infection and allergies. The lesions are self-healing and usually heal within five to six weeks. They most often do not require any additional treatment besides supportive measures.4 Regardless, a biopsy is required to make the diagnosis with microscopic examination due to the worrisome clinical presentation. As seen in Fig. 2, the red arrows depict the characteristic coagulation necrosis of salivary acini and the associated squamous metaplasia of the salivary ducts. Squamous metaplasia of the salivary ducts frequently occurs and this can mimic and may be misdiagnosed as a mucoepidermoid carcinoma. Failure in differentiating this lesion from a malignant process may culminate in unnecessary mutilating surgery.5 As for treatment and prognosis, a biopsy usually is indicated to rule out the possibility of malignant counterparts. Once the diagnosis has been rendered, no specific treatment is warranted. Generally, healing occurs over the next five- to six-week period. This is an excellent case to stress the importance of proper diagnosis and to reiterate that this lesion can mimic a malignant process, both clinically and microscopically.

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D. Traumatic ulcers Incorrect, but another great differential diagnosis. Though this is a distinct possibility with the clinical presentation of this case, it would be difficult to imagine bilateral trauma of the posterior hard palate without a history of trauma. When asked, the patient is normally capable of relating a history of trauma. Also, remember that these lesions tend to begin with a swelling, which is not commonly seen with traumatic ulcers. Ulcers, though painful, most often occur at sites that are frequently traumatized, not the hard palate. These areas are commonly described as the “movable mucosa,” which include the labial and buccal mucosa and tongue. Sites such as the palate may be exposed to trauma mainly from food items such as chips or a dental prosthesis. Additionally, if there is no repeated injury, most traumatic ulcers tend to heal in a week or two. As for this case, the lesion has been present for 10 days, which made this lesion suspicious of another entity rather than traumatic ulcers and warrants an incisional biopsy.

4. Kaplan I., Alterman M., Kleinman S., et al. The clinical, histologic, and treatment spectrum in necrotizing sialometaplasia. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2012;114(5):577–585. 5. Sandmeier D, Bouzourene H. Necrotizing sialometaplasia: a potential diagnostic pitfall. Histopathology. 2002;40(2):200-1. Diagnostic Discussion is contributed by UFCD professors, Drs. Indraneel Bhattacharyya, Don Cohen and Nadim Islam who provide insight and feedback on common, important, new and challenging oral diseases. The dental professors operate a large, DR. BHATTACHARYYA multi-state biopsy service. The column’s

case studies originate from the more than 13,000 specimens the service receives every year from all over the United States.

E. Aphthous ulcers Incorrect — clinically similar, but symptoms, location and history does not match. Aphthous ulcers are described as incredibly painful. Pain is considered a hallmark feature and is usually inconsistent to the size of the lesion(s). Aphthae typically are seen in children and young adults, and less commonly in individuals older than 40. Aphthous ulcers almost never affect the palate or the attached gingiva, which are considered the masticatory mucosa. The most common affected locations are the buccal and labial mucosa, followed by the soft palate, floor of the mouth, ventral tongue and tonsillar fauces. These lesions rarely begin as swellings and are rarely, minimally painful. The next important point of distinction from the actual diagnosis, is the fact aphthous ulcers usually do not last for more than two weeks and continue to remain painful throughout the time the lesion(s) is present.

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

Drs. Bhattacharyya, Cohen and Islam, can be reached at oralpath@dental.ufl.edu. Conflict of Interest Disclosure: None reported for Drs. Bhattacharyya, Cohen and Islam.

1. Abrams AM, Melrose RJ, Howell FV. Necrotizing sialometaplasia. A disease simulating malignancy. Cancer. 1973;32(1):130-5.

The Florida Dental Association is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental DR. ISLAM Association 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 CE provider may be directed to the provider or to ADA CERP at ada.org/ goto/cerp.

2. Kandula S, Manjunatha BS, Tayee P, et al. Bilateral necrotising sialometaplasia. Case Reports 2016;2016:bcr2015211348.

*Second-year resident in oral and maxillofacial pathology at the University of Florida College of Dentistry.

References:

3. Neville, BW., et al. Oral and Maxillofacial Pathology. Elsevier, 2016

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TODAY'S FDA SEPTEMBER/OCTOBER 2019

We work for you. FDAS: Benefit Allowance Program

Donâ&#x20AC;&#x2122;t overpay for group health insurance! Talk to FDAS about a Benefit Allowance Program (BAP) Instead of providing health insurance to your full-time employees and paying a percentage of premiums or all of the premiums, you pay a set dollar allowance for employee benefits. You then work with your benefit agent to customize an employee benefits package based on your office needs. Employees get to choose the plans they need and pay the cost for plans that exceed the allowance.

Call your agent at 800.877.7597. FDAS can help you find the best health insurance options within your budget for your employees. insurance@fdaservices.com â&#x20AC;˘ fdaservices.com

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Bank of America

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 you with increased flexibility and enhanced options to personalize and draw attention to your online classified ads! Post an ad on the FDA Career Center and it will be published in our journal, Today’s FDA, at no additional cost! Today’s FDA is bimonthly; therefore the basic text of all active ads will be extracted from the Career Center on roughly the 10th of every other month (e.g., Jan. 10 for the Jan/Feb issue, March 10 for the March/April issue, etc.). Please visit the FDA’s Career Center at careers.floridadental.org.

General Dentist. A busy, successful, family private practice in Palm Bay, FL is searching for a full-time Associate. This is an excellent opportunity to join a state of the art, patient-focused practice. Fee for service & PPO driven. Great staff and great patient base. Experienced DDS, DMD. Licensed in Florida & 2 plus years’ experience- and/or GPR. gamdent@aol.com. DENTAL EXECUTIVE DIRECTOR. This position serves as the Statewide Public Health Dental Director. This position reports to the Bureau Chief of Family Health Services and provides supervision and oversight to the Public Health Dental Program. Responsible for developing monitoring, evaluation, and quality improvement activities and public oral health initiatives that result in the development of effective and efficient county health department dental programs and improvement of the oral health status of the citizens of Florida. Works collaboratively with internal and external partners to include, but not limited to, academic institutions, professional organizations, community groups, oral health coalitions, county health departments, community health centers, and other stakeholders. Provides policy and program direction for oral health issues and promotes the development of a high quality, cost-effective integrated coordinated oral health delivery system, including community and school-based preventive, educational, and treatment programs, which emphasize prevention and control of oral diseases and elimination of oral health disparities. Provides technical assistance and consultation regarding oral health issues to governmental agencies, professional and private organizations, and individuals. Supervises and participates in the development and preparation of program policies and program implementation; planning materials, program rules, manuals, policies,

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guidelines, and procedures. Reviews and participates in the writing of required and requested annual reports. Participates in and directs the preparation of grant proposals and other documents/requests for procurement of funds for program/service expansion or research related to oral health well-being and oral health care. Responsible for the analysis of proposed legislation and rules for impact on health care and the development of proposals for legislative budget requests as well as statutory/rule amendments deemed necessary to improve service delivery. Participates in the development and implementation of education and training programs and materials for local staff, providers, and others. Supervises the planning, organization, and coordination of meetings and activities of the technical and advisory councils associated with the dental program. Assumes leadership roles in professional organizations. Knowledge/ Skills/Abilities: Ability to plan, develop, implement, monitor and evaluate appropriate public health dental programs. Knowledge of public health dental concepts policies, procedures, and methods. Knowledge of scientific literature and the ability to apply that knowledge to the operation of a state public health dental program. Ability to manage, supervise and utilize appropriate principles and methods. Ability to prepare, allocate, and maintain budgets and to prepare legislative budget requests; Knowledge and ability to design evaluation studies, do cost-effectiveness analyses, needs assessment surveys, and prepare technical reports. QUALIFICATIONS: Licensure: Licensure as a dentist in Florida and work experience in public health. In addition, eligibility for attaining diplomat status from the American Board of Dental Public Health or Board certification (diplomate status) is highly desirable. Education: D.D.S (Doctoral of

SEPTEMBER/OCTOBER 2019

Dental Surgery) or a D.M.D. (Doctoral of Dental Medicine) degree required; Master’s in Public Health desired. Thank you for your interest in career opportunities with the Florida Department of Health. If you are looking to establish a successful career in the Health Care Field, you have come to the right place. Many of our innovative and successful health programs are recognized throughout the State of Florida. We hope you decide to join our team! **NOTE: All responses provided to the qualifying questions for this vacancy advertisement must be verifiable on your State of Florida, Employment Application. ** Go to bit.ly/2k9Pbj0 to apply. Pediatric Dentist. Seeking Pediatric Dentist to join established and growing private practice in the Central Florida area. Upscale and modern fully digital office. Flexible scheduling including full time or part time options. Autonomy over treatment planning. Treatment options include in office IV sedation with anesthesia team, oral sedation and N2O. Competitive compensation based on guaranteed minimum or percentage of collections (whichever is greater). Qualifications include: Board Certified or Eligible, Florida Dental License. Awesomepedojob@gmail.com. Associate Dentist. Well established general dentistry private practice seeking an associate dentist with active DDS or DMD license. Newer office with state-of-the-art equipment, and a well-trained team to work alongside you to help ensure your success! We are a growing private practice with a focus on comprehensive, quality patient care. We offer all aspects of general dentistry. Call Dr. Paul Horton at (863) 471-1727 for further details. Check out our website at: paulhortondmd.com. General Dentist – Davenport. Overview: Let us allow you to do what you do best by doing FLORIDADENTAL.ORG

the dentistry that you diagnose while exploring future partnership opportunities. We follow through on our promise to clinicians with our culture of patient centric care, our ability to deliver comprehensive integrated care, and our ability to support modern dentistry. PDS supported owner dentists know that being backed by the country's leading dental support organization allows them to focus on providing patient centric and clinically excellent care. Benefits: Competitive Compensation and Benefit Package; Modern offices equipped with the latest dental technology; Malpractice Insurance; Healthcare Benefits (Medical, Prescription Drugs, Dental and Vision); 401(k) Savings Plan. The average full-time PDS-supported Dentist earns $160,000 - $390,000. Apply now or contact a recruiter anytime. We'd love to chat, get to know you and share more about us. Testimonial: “Partnering with PDS has given me the opportunity to realize my dream of practice ownership. I am able to do the dentistry that I love.” – Dr. Callaway-Nelson. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2k7FHEU. Dental Assistant – Ocoee. Overview: Responsibilities: Perform functions in accordance with the applicable state's Dental Auxiliaries Table of Permitted Duties. Actively participate in the Perfect Patient Experience by striving to keep your patients focused on optimal treatment while attending to their individual needs and concerns. Escort patients to/from the front desk and introduce them to other team members as appropriate. Maintain a clean, sterile, and cheerful environment. Record patient charting and all of the dentist's notes in the digital patient chart as directed by the dentist. Maintain strict compliance with State, Federal, and other regulations, (e.g., OSHA, WC, Dental Board, HIPAA, ADA, DOL, HR policies and practices). Qualifications: Necessary industry certifications and education; Possess outstanding time management, communication, and technical skills; Can-do attitude, a proactive nature, a strong sense of ownership and integrity and a desire to continue to learn and grow; Demonstrate knowledge of dental terminology, instruments and equipment. Benefits: Medical, dental and vision insurance; Continuing Education (CE Units); Paid time off; Tuition Reimbursement; Child care assistance; 401K; Paid time to volunteer in your local FLORIDADENTAL.ORG

community. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit.ly/2lOwu4L. General Dentist-Associate. Our office is seeking a well-rounded, highly motivated, enthusiastic general dentist to join our caring team. We are offering a full-time (four days a week) position as an associate with the potential for future partnership for the right individual. Potential candidates should possess great communication and people skills, a strong desire to continue to lean, a willingness to work as part of a collaborative team. We provide all phases of comprehensive dentistry in a modern, state of the art office which includes: digital radiography, CT scan, and digital scanner, as well as digital paperless records. Please email CV to mshultz@familydentistree.com. Current Florida Dental License; DEA License; 1-2 years’ experience preferred/ 1-year AEGD or GPR residency. NOTES: Additional Salary Information: Compensation to include an initial guaranteed 3-month daily rate ($500/ day) transitioning into a salary that is based on a percentage of the individual associate's collections Medical insurance Malpractice insurance CE allowances. GENERAL DENTIST - SIGN ON BONUS - Student Loan Assistance – Relocation. If you're looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of Venice FL located on the beautiful South Gulf Coast while providing topnotch dental care. The Company: Enjoy working as a sole practitioner in a modern completely digital, state-of-the-art, PPO/FFS dental practice. Our focus is to provide patients with a “wow” experience. All while, our talented and dedicated support team will work alongside you to help ensure your success. In Return, you'll enjoy the following: Base salary or production percentage, whichever is greater; Sign-on bonus; Student Loan Repayment Program; Relocation benefit for full time providers; Professional liability insurance; CE allowance; Health/wellness benefits; 401k with a company match. Hours of Operation: Practice full time, up to 5 days per week with family friendly days/hours. Apply via this posting or send resume to ashleybrooker@ puredentalbrands.com. puredentalbrands.com. Equal opportunity employer/drug free workplace. Candidates must be licensed to practice

in the State of Florida with no board reprimands or issues and have a valid DEA license. *Prefer 2+ years of general dentistry experience with the ability to perform molar extractions and endodontics. NOTES: Employer will assist with relocation costs. Pediatric Dentist. Description: Now is the time to join Coral Springs Modern Dentistry. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today! Overview: You've dedicated your career as a dentist to helping children have happy, healthy smiles. Now let us help you take your career further with more opportunity, excellent leadership and one of the best practice models in modern dentistry. Join our practice today and join an office where you will have the autonomy to provide your patients the care they deserve. You'll also have the opportunity to earn excellent income and have a balanced lifestyle without the worries of running a practice. The Opportunity: You became a dentist to provide excellent care in pediatric dentistry and have a career that will serve you for a lifetime. With our practice you will have balanced lifestyle, fantastic income opportunities and you'll work for an office that cares about their people, the children they care for and their community. Our practice is an office supported by Pacific Dental Services®, which means you won't have to spend your career navigating practice administration and instead you'll focus on your patients and your well-being. Add on excellent benefits, including malpractice insurance, medical, dental and vision insurance, retirement plans and much more and you'll feel well taken care of throughout your career. The Future: As a pediatric dentist, you will receive ongoing training to keep you informed and utilizing the latest technologies and dentistry practices. If you are interested in a path to ownership, our proven model will provide you with the training needed to become an owner of your own office or offices. PDS® is one of the fastest growing companies in the US which means we will need excellent dentists like you to continue to provide clinical excellence in the future. Apply Today: Apply now or contact a recruiter anytime. We'd love to chat, get to know you and share more about us. Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex,

SEE PAGE 78

TODAY'S FDA SEPTEMBER/OCTOBER 2019

career center FROM PAGE 77 ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status. Apply Here: bit. ly/2kEs68h. Sarasota County, FL Practice for Sale. This stunner of a dental practice in Sarasota County Florida is worth a look! Located in a retail center with over 1,600 square feet and ample parking, the practice is a breeze for patients to visit. Enjoy the Florida Gulf Coast with a lower cost of living and less than an hour to the nearest airport. The current doctor has practiced in the community for over a decade and has built a great foundation of goodwill. Live and work in one of the best kept secrets in FL and escape the crowds! This area is known for its natural beaches, with shelling and fossilized shark teeth offering endless opportunities on the shore. 6 operatories (5 equipped with an additional op plumbed and ready). Located in a retail center along a major town thoroughfare. Collections over $1 million. Adjusted EBITDA nearly $265,000. There is great growth opportunity with extended hours, offering more services in house and additional marketing efforts. To learn more about this opportunity along the Florida coast, please contact Kaile Vierstra with Professional Transition Strategies either by phone at 719.694.8320 or certainly by email at kaile@professionaltransition.com.

Support Our Journal Advertisers ADS 6 ADS Page Brown 40 Aftco 17 American Sensor Tech 17 Bank of America 75 Card Connect 62 Doctor's Choice 15 & 51 E-Vac, Inc. 28 FDA Online Radiography Training Program 11 FDAS: Benefit Allowance Program 72 FDAS: Crown Savings Benefits 44 & 45 FDAS: Cyber Liability Coverage 24 & 25 International Pemphigus & Pemphigoid Foundation 15 Paragon 68 PSC Group, Inc. 34 Superior Dental Design Services 28 Synovus Mortgage 54 The Doctors Company 36

Associate dentist. Seeking FT associate dentist for a 2-doctor general private practice. Busy and well-established with a positive new patient flow. Located in Fort Walton Beach area. This is a great opportunity to become part of a practice with over 30 years of serving the community. We perform all aspects of general dentistry. Senior dentist is looking to cut back significantly, so you will be stepping in to a busy schedule from first day. Compensation based on collections with potential to make $200k+ first year. Opportunity to buy in for right individual. Call 850-602-8585 to discuss this great opportunity. Dentist. Leesburg Fl.-Our thriving Dental office has an immediate opening. An excellent opportunity for a general dentist to join a busy private dental office in Leesburg Fl. We have a modern office, with a wonderful patient base, and a great hard-working dental team. We provide excellent patient care with the latest technology (digital paperless records, digital x-rays, intraoral cameras, laser, Invisalign, Itero scanner). We do all aspects of dentistry including Cosmetic, ortho, surgery, endo, dentures, and implants. Our office is committed to excellent service. We are PPO and Fee for service office. This is a great opportunity for an individual interested in working part time. New grads are welcome too. Please email or fax resume to: hlbdental@yahoo.com/ Fax: 352-787-9036. Pediatric Dentist -Tampa, FL. Available Summer 2020. Private Pediatric dental practice - Two owners, with 3 office locations in the Tampa area. Newly renovated office has 15 chairs and is 5 days a week. Smaller office has 7 chairs and is 2 days per week. 3rd office is new and is growing rapidly, with all new equipment and chairs. The ideal candidate we are seeking is full time, 4-5 days per week and will work at 2 different office locations. PPO insurance and fee-for-service patients in all practices, no government plans or HMO plans. High-income potential, guaranteed $225K+ in the first year with our compensation structure and patient volume. All offices have digital radiographs and digital charting. In office IV-sedation provided on a regular basis with a certified Pediatric Anesthesiologist group. Fully trained and certified pediatric dental staff in place. Orthodontic treatment is provided in all locations by our in-house orthodontist. Full autonomy over treatment plans. Must have a current Florida dental license, previous experience in private practice is preferred but not necessary. Must be a certified pediatric dentist. Candidate should have excellent communication skills and enjoy a fast pace, fun work environment. We are now interviewing qualified candidates, if interested please email current CV to: sugarbugdude@gmail.com. We look forward to speaking with you. Kind Regards, CV to – sugarbugdude@gmail.com. Requirements: Must have a current Florida dental license. Previous experience in private or corporate offices is preferred. Must be a pediatric dental specialist. General Dentist’s, limited to children only, need not apply. Excellent communication and people skills are a priority. NOTES: Additional Salary Information: High income potential. Salary and contract details will be discussed only with qualified candidates.

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TODAY'S FDA

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

2019 STATEMENT OF OWNERSHIP 1. Publication Title

Statement of Ownership, Management, and Circulation (All Periodicals Publications Except Requester Publications)

Today's FDA 4. Issue Frequency 6 bi-monthly and 1 Reception Room/Special Issue

3. Filing Date

2. Publication Number 1

_ 4

5. Number of Issues Published Annually

9/6/2019

7. Complete Mailing Address of Known Office of Publication (Not printer) (Street, city, county, state, and ZIP+4 ®) Florida Dental Association 545 John Knox Rd., Ste. 200 Tallahassee, FL 32303

14. Issue Date for Circulation Data Below

Today's FDA

Sept/Oct 2019

15. Extent and Nature of Circulation

Average No. Copies No. Copies of Single Each Issue During Issue Published Preceding 12 Months Nearest to Filing Date

6. Annual Subscription Price $150

6 + one special issue

13. Publication Title

a. Total Number of Copies (Net press run)

Contact Person Jill Runyan Telephone (Include area code) 850.350.7113

8. Complete Mailing Address of Headquarters or General Business Office of Publisher (Not printer) Florida Dental Association 545 John Knox Rd., Ste. 200 Tallahassee, FL 32303

(1) Mailed Outside-County Paid Subscriptions Stated on PS Form 3541 (Include paid distribution above nominal rate, advertiser’s proof copies, and exchange copies) b. Paid Circulation (By Mail and Outside the Mail)

8118

9117

8012

114

106

(2)

Mailed In-County Paid Subscriptions Stated on PS Form 3541 (Include paid distribution above nominal rate, advertiser’s proof copies, and exchange copies)

(3)

Paid Distribution Outside the Mails Including Sales Through Dealers and Carriers, Street Vendors, Counter Sales, and Other Paid Distribution Outside USPS®

(4)

Paid Distribution by Other Classes of Mail Through the USPS (e.g., First-Class Mail®)

c. Total Paid Distribution [Sum of 15b (1), (2), (3), and (4)]

9232

8118

d. Free or (1) Free or Nominal Rate Outside-County Copies included on PS Form 3541 Nominal Rate Distribution (2) Free or Nominal Rate In-County Copies Included on PS Form 3541 (By Mail and Free or Nominal Rate Copies Mailed at Other Classes Through the USPS Outside (3) (e.g., First-Class Mail) the Mail)

9. Full Names and Complete Mailing Addresses of Publisher, Editor, and Managing Editor (Do not leave blank) Publisher (Name and complete mailing address) Hartley Press, Inc. 4250 St. Augustine Rd. Jacksonville, FL 32207

9232

Editor (Name and complete mailing address) John Paul, DMD Florida Dental Association 545 John Knox Rd., Ste. 200 Tallahassee, FL 32303 Managing Editor (Name and complete mailing address) Jill Runyan Florida Dental Association 545 John Knox Rd., Ste. 200 Tallahassee, FL 32303 10. Owner (Do not leave blank. If the publication is owned by a corporation, give the name and address of the corporation immediately followed by the names and addresses of all stockholders owning or holding 1 percent or more of the total amount of stock. If not owned by a corporation, give the names and addresses of the individual owners. If owned by a partnership or other unincorporated firm, give its name and address as well as those of each individual owner. If the publication is published by a nonprofit organization, give its name and address.) Full Name Complete Mailing Address Florida Dental Association

545 John Knox Rd., Ste. 200

Tallahassee, FL 32303

e. Total Free or Nominal Rate Distribution (Sum of 15d (1), (2), (3) and (4))

f. Total Distribution (Sum of 15c and 15e)

9267

8153

150

h. Total (Sum of 15f and g)

9417

8303

i. Percent Paid (15c divided by 15f times 100)

99.6%

99.5%

(4)

Free or Nominal Rate Distribution Outside the Mail (Carriers or other means)

g. Copies not Distributed (See Instructions to Publishers #4 (page #3))

11. Known Bondholders, Mortgagees, and Other Security Holders Owning or Holding 1 Percent or More of Total Amount of Bonds, Mortgages, or X None Other Securities. If none, check box Full Name

* If you are claiming electronic copies, go to line 16 on page 3. If you are not claiming electronic copies, skip to line 17 on page 3.

Complete Mailing Address

12. Tax Status (For completion by nonprofit organizations authorized to mail at nonprofit rates) (Check one) The purpose, function, and nonprofit status of this organization and the exempt status for federal income tax purposes: X Has Not Changed During Preceding 12 Months Has Changed During Preceding 12 Months (Publisher must submit explanation of change with this statement) PS Form 3526, July 2014 [Page 1 of 4 (see instructions page 4)] PSN: 7530-01-000-9931

PRIVACY NOTICE: See our privacy policy on www.usps.com.

PS Form 3526, July 2014 (Page 2 of 4)

Statement of Ownership, Management, and Circulation (All Periodicals Publications Except Requester Publications) 16. Electronic Copy Circulation

Average No. Copies Each Issue During Preceding 12 Months

No. Copies of Single Issue Published Nearest to Filing Date

a. Paid Electronic Copies

b. Total Paid Print Copies (Line 15c) + Paid Electronic Copies (Line 16a)

9232

8118

c. Total Print Distribution (Line 15f) + Paid Electronic Copies (Line 16a)

9267

8153

99.6%

99.5%

d. Percent Paid (Both Print & Electronic Copies) (16b divided by 16c Í 100)

X I certify that 50% of all my distributed copies (electronic and print) are paid above a nominal price. 17. Publication of Statement of Ownership X If the publication is a general publication, publication of this statement is required. Will be printed

Publication not required.

Sept/Oct 2019 in the ________________________ issue of this publication. 18. Signature and Title of Editor, Publisher, Business Manager, or Owner Director of Communications

Date 9/6/2019

I certify that all information furnished on this form is true and complete. I understand that anyone who furnishes false or misleading information on this form or who omits material or information requested on the form may be subject to criminal sanctions (including fines and imprisonment) and/or civil sanctions (including civil penalties).

SEE PAGE 78 FLORIDADENTAL.ORG

TODAY'S FDA SEPTEMBER/OCTOBER 2019

off the cusp

JOHN PAUL, DMD FDA EDITOR

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

BRUSH WITH GREATNESS

Last month dentistry lost one of its great role models. Many dentists from Florida and all over the world benefitted from studying under Dr. Pete Dawson. I am old enough that I enjoyed taking classes directly from the master himself. It was a little daunting, because I was a wetbehind-the-ears, newly minted Doctor of Dental Medicine and this gentleman was a legend nigh on to G.V. Black. Back in those days of little disposable income and friends in most cities in Florida, I was staying with my best friend from college who is now a physician in St. Petersburg. His motherin-law, Joan Farrell, also was staying there visiting her daughter, my buddy’s wife. She wanted to know why I was visiting during the time I should be working, and I explained that I was in town to learn from a world-class instructor who happens to practice and teach in St. Petersburg. She was surprised when I told her his name, because she and Dr. Dawson grew up together. After telling me a few stories, she made me promise to deliver him a message the next day. A new day dawns, and I arrive early. Turns out, Dr. Dawson’s children are running the nuts and bolts of the education and they are high school friends of my buddy and his wife. They agree to make sure I get an audience with Dr. Dawson before the lecture begins. I cautiously approach Dr. Dawson, a little awed by how many hold him in high esteem, and tell him I have been charged with delivering a message from a wonderful woman. I am to “tell Petey that Joanie says, ‘Hi!’” The message stopped him for a second and then he realized who sent the message. He was happy to have heard from a childhood friend and his children didn’t stop laughing and calling him Petey all day. Ever since that day, I still refer to him as Dr. Dawson — unless I have conflicting instructions from Mrs. Farrell.

JOHN PAUL, DMD, EDITOR, TODAY'S FDA

TODAY'S FDA

SEPTEMBER/OCTOBER 2019

FLORIDADENTAL.ORG

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