2015 - Jan/Feb TFDA by Florida Dental Association

2015 Legislative Agenda Legislative Listings Dr. Robert Hayling Dental Lifeline Network

Legislative Contact Dentist Dr. Louis Traci with Rep. Kathleen Peters

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WE KNOW INSURANCE. WE KNOW DENTISTS.

My Great First-year LCD Experience

news

literary

Book Reviews

Books on the Shelf

news@fda

15 Board of Dentistry Meets in Orlando 18 2014 ADA Annual Meeting 21 2015 Legislative Agenda 22 2014-2016 Legislative Listings

columns

52 Florida‘s Action for Dental Health Report

Staff Roster

President’s Message

f e at u r e s

Legal Notes

Information Bytes

Dentists‘ Day on the Hill

45 Diagnostic Discussion

Community Dental Health Coordinators

80 Off the Cusp

I have been very pleased with my experiences with

FDC2015 Speaker Preview — Dr. Uche Odiatu

FDA Services. I have used them for some of my

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Call us today to speak to a licensed agent about your insurance needs.

50 Dr. Robert Hayling — A Lifetime of Dedication

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due to the confidence my agent (Dan Zottoli)

72 Listings

exudes when discussing different types of

60 Dental Lifeline Network

insurance. He works with many dentists

insurance needs and have been greatly satisfied

What a Dentist Should Know About Oral and Pharyngeal Cancer in Florida

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and understands our unique needs, both personally and professionally. I would and have recommended FDA Services to colleagues due to their level of expertise and a high level of trust I have in a program endorsed by the FDA.

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

January/February 2015

Today's FDA

FLORIDA DENTAL ASSOCIATION

CONTACT THE FDA OFFICE 800.877.9922 or 850.681.3629

JANUARY/FEBRUARY 2015 VOL. 27, NO. 1 The last four digits of the telephone number are the extension for that staff member.

FLORIDA DENTAL ASSOCIATION FOUNDATION

EXECUTIVE OFFICE

Jill Runyan, director of communications • Jessica Lauria, publications coordinator Lynne Knight, marketing coordinator

Drew Eason, Executive Director deason@florid adental.org 850.350.7109

COUNCIL ON COMMUNICATIONS

Greg Gruber, Chief Financial Officer ggruber@floridadental.org 850.350.7111

EDITOR Dr. John Paul, Lakeland, editor

STAFF

Dr. Thomas Reinhart, Tampa, chair Dr. Roger Robinson Jr., Jacksonville, vice chair Dr. Matt Henry, Vero Beach • Dr. Scott Jackson, Ocala Dr. Marc Anthony Limosani, Miami • Dr. Bill Marchi, Pensacola Dr. Jeannette Hall, Miami, trustee liaison • Dr. John Paul, editor

YOUR PROFESSIONAL GROWTH ACDDA ANNUAL WINTER MEETING FRIDAY, FEB. 13, 2015 Embassy Suites Hotel, West Palm Beach

Speaker: Dr. Tyler Lasseigne www.acdda.org • 561.968.7714 • acdda@aol.com

SFDDA MIAMI WINTER MEETING

FRIDAY, FEB. 20, 2015 • Jungle Island, Miami

Speakers: Drs. Ethan Pansick & David Feinerman www.sfdda.org • 305.667.3647 • sfdda@sfdda.org

NWDDA 2015 ANNUAL MEETING

FRIDAY & SATURDAY, FEB. 20-21, 2015 The Grand Sandestin Speakers: Drs. Russell Baer & Stanley Rye www.nwdda.org • 850.391.9310 • nwdda@nwdda.org

NEDDA, JACKSONVILLE DENTAL SOCIETY, & CLAY COUNTY DENTAL SOCIETY FRIDAY, MARCH 6, 2015 Tournament of Players Clubhouse

Speaker: Dr. Roger P. Levin Register: bhutchens@jaxdentalsociety.org or 904.394.3202

CFDDA ANNUAL MEETING

FRIDAY & SATURDAY, APRIL 24-25, 2015 Hammock Beach Resort, Palm Coast

Speakers: Drs. Mark Hyman & Ethan Pansick www.cfdda.org • 407.898.3481 centraldistrictdental@yahoo.com

WCDDA 2015 SUMMER MEETING FRIDAY-SUNDAY, AUG. 7-9, 2015 The Ritz-Carlton, Naples

Speakers: Dr. Gerard Kuge & Dr. William Robinson www.wcdental.org • 813.654.2500 • wc.dental@gte.net

BOARD OF TRUSTEES Dr. Richard Stevenson, Jacksonville, president Dr. Ralph Attanasi, Delray Beach, president-elect Dr. William D’Aiuto, Longwood, first vice president Dr. Michael D. Eggnatz, Weston, second vice president Dr. Jolene Paramore, Panama City, secretary Dr. Terry Buckenheimer, Tampa, immediate past president Drew Eason, Tallahassee, executive director Dr. David Boden, Port St. Lucie • Dr. Jorge Centurion, Miami Dr. Stephen Cochran, Jacksonville • Dr. Richard Huot, Vero Beach Dr. Don Erbes, Gainesville • Dr. Don Ilkka, Leesburg Dr. Rudy Liddell, Brandon • Dr. Beatriz Terry, Miami Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Tim Marshall, Weekiwachee, treasurer • Dr. John Paul, Lakeland, editor

PUBLISHING INFORMATION Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 1111 E. Tennessee St., Tallahassee, Fla. 32308-6914. FDA membership dues include a $10 subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2014 Florida Dental Association. All rights reserved. Today’s FDA is a refereed publication. POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 1111 E. Tennessee St., Tallahassee, Fla. 32308-6914.

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

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

ADVERTISING INFORMATION

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

For a complete listing, go to www.trumba.com/calendars/fda-member.

Today's FDA

January/February 2015

1111 E. Tennessee St. • Tallahassee, FL 32308

Graham Nicol, Chief Legal Officer gnicol@floridadental.org 850.350.7118 Judy Stone, Leadership Affairs Manager jstone@floridadental.org 850.350.7123 Blair Fowler, Assistant to the Executive Director bfowler@floridadental.org 850.350.7114

ACCOUNTING Jack Moore, Director of Accounting jmoore@floridadental.org 850.350.7137

MEMBER RELATIONS

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Kerry Gómez-Ríos, Director of Member Relations kgomez-rios@floridadental.org 850.350.7121

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Health Gioia, Director of Foundation Affairs hgioia@floridadental.org 850.350.7117

Kaitlin Alford, Member Relations Assistant kalford@floridadental.org 850.350.7100

Christine Mortham, Membership Concierge cmortham@floridadental.org 850.350.7136

Stefanie Dedmon, Coordinator of Foundation Affairs sdedmon@floridadental.org 850.350.7161

FLORIDA DENTAL CONVENTION (FDC) Crissy Tallman, Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105 Elizabeth Bassett, FDC Exhibits Planner ebassett@floridadental.org 850.350.7108 Ashley Liveoak, FDC Meeting Assistant aliveoak@floridadental.org 850.350.7106

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

Leona Boutwell, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138

Brooke Mills, FDC Meeting Coordinator bmills@floridadental.org 850.350.7103

Joyce Defibaugh, FDA Membership Dues Assistant jdefibaugh@floridadental.org 850.350.7116

GOVERNMENTAL AFFAIRS

Deanne Foy, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165

Joe Anne Hart, Director of Governmental Affairs jahart@floridadental.org 850.350.7205

Tammy McGhin, Payroll & Property Coordinator tmcghin@floridadental.org 850.350.7139

Alexandra Abboud, Governmental Affairs Coordinator aabboud@floridadental.org 850.350.7204

Mable Patterson, Accounts Payable Coordinator mpatterson@floridadental.org 850.350.7104

Casey Stoutamire, Lobbyist cstoutamire@floridadental.org 850.350.7202

Stephanie Taylor, FDA Membership Dues Assistant staylor@floridadental.org 850.350.7119

INFORMATION SYSTEMS

Marcia Dutton, Administrative Assistant marcia.dutton@fdaservices.com 850.350.7145

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

Sarah Beall, Membership Services Representative sarah.beall@fdaservices.com 850.350.7171

Lisa Cox, Help Desk Technician/ Database Administrator lcox@floridadental.org 850.350.7163

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

Stuart Williams, Information Systems Assistant swilliams@floridadental.org 850.350.7180

Nicole White, Membership Services Representative nicole.white@fdaservices.com 850.350.7151

COMMUNICATIONS AND MARKETING Jill Runyan, Director of Communications jrunyan@floridadental.org 850.350.7113 Lynne Knight, Marketing Coordinator lknight@floridadental.org 850.350.7112 Jessica Lauria, Publications Coordinator jlauria@floridadental.org 850.350.7115

Debbie Lane, Assistant Membership Services Manager debbie.lane@fdaservices.com 850.350.7157 Allen Johnson, Support Services Supervisor allen.johnson@fdaservices.com 850.350.7140 Alex del Rey, FDAS Marketing Coordinator arey@fdaservices.com 850.350.7166 Angela Robinson, Customer Service Representative angela.robinson@fdaservices.com 850.350.7156 Jamie Idol, Commissions Coordinator jamie.idol@fdaservices.com 850.350.7142

Pamela Monahan, Commissions Coordinator pamela.monahan@fdaservices.com 850.350.7141 Porschie Biggins, Membership Services Representative pbiggins@fdaservices.com 850-350-7149

RISK EXPERTS Dan Zottoli Director of Sales Atlantic Coast 561.791.7744 Cell: 561.601.5363 dan.zottoli@fdaservices.com

Dennis Head Director of Sales Central Florida 877.843.0921 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com

Joe Dukes Director of Sales Northeast & Northwest 850.350.7154 Cell: 850.766.9303 joe.dukes@fdaservices.com

Joseph Perretti Director of Sales South Florida 305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com

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

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. www.floridadental.org

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January/February 2015

Today's FDA

Providing access to care & oral health education for thousands of Floridians

We are electing Sustaining Membership to support the FDA Foundation. Will you join us?

Your Sustaining Membership funds the FDA Foundation & it’s tax deductible! Dr. Terry Buckenheimer Tampa

Smile and check that “Sustaining Member” box! Dr. Ralph Attanasi Delray Beach

The FDA Foundation provides much needed programs like FLA-MOM. Dr. Nolan Allen Clearwater

Don’t forget to brush, floss & donate!

Mrs. Karen Buckenheimer Tampa

Get into gear & support the FDAF!

Dr. Rick Stevenson Jacksonville

ays w l a t ’ I don e $, donat do – en I but wh e FDAF. th it’s to

PRESIDENT’S MESSAGE RICK STEVENSON, DDS

The Journey Continues III The journey continues ... I’ve gone from Naples and back home to Jacksonville, then to Delray Beach for strategic planning and back to Jacksonville, only to return to Weston for the Board of Dentistry (BOD) meeting. Then of course, back to Jacksonville — and then off to Tallahassee to meet with Drew Eason. From there, it was on to Montgomery to meet with Alabama, Georgia, Mississippi’s — and of course, Florida’s — dental association executive directors and presidents to discuss the W.K. Kellogg Foundation Grant to Morehouse College, which is designed to push the mid-level providers in each state’s legislatures. Being your president is an exciting position and everyone wants to know why I do it. The answer is easy: The great people I get to meet and work with is worth it. You cannot put a price on the satisfaction you get interacting with leaders in and outside Florida. Friendships are formed that will outlast the time in our leadership roles. I’m at the halfway point in my year, and there have been a few potholes and detours put in my way. So, we learn to take another direction that still takes us toward our goal, but with a different view. The FDA’s trustees and staff are always working in the background: on work groups for workforce innovations, building committee, Bylaws and Procedure review, and continuing the revision of our strategic plan. The Florida Dental Convention (FDC) committee is hard at work for the upcoming 2015 and 2016 meetings. The Foundation is working on the next Mission of Mercy, which takes place in Jacksonville in April 2016. A lot is happening. So, let’s make sure to take time to enjoy our families and recharge our batteries for any new challenges we may face in 2015.

Dr. Stevenson is the FDA President. He can be reached at rstevenson@bot.floridadental.org.

Dr. Hugh Wunderlich Palm Harbor

The Florida Dental Association Foundation is a non-profit, charitable organization approved by the Internal Revenue Service as a 501(c)(3) tax-exempt corporation. The FDHF is registered with the Florida Department of Agriculture and Consumer Affairs(#SC-02435). The FDAF receives 100 percent of charitable contributions. No portion of contributions are retained by a professional solicitor. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE, (800) 435-7352, WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

www.floridadental.org

“

There have been a few potholes and detours put in my way. So, we learn to take another direction that still takes us toward our goal, but with a different view.

”

January/February 2015

Today's FDA

Legal Notes

What Does it Really Mean for Florida Dentists Now That a Judge Has Ruled Florida Unlawfully Restricted Care for Kids on Medicaid? Graham Nicol, Esq., HEALTH CARE RISK MANAGER, BOARD CERTIFIED SPECIALIST (HEALTH LAW)

The Miami Herald reported that on Dec. 31, 2014, “a federal judge declared Florida’s health care system for needy and disabled children to be in violation of several federal laws (on equal access to care), handing a stunning victory to doctors and children’s advocates who have fought for almost a decade to force the state to pay pediatricians enough money to ensure impoverished children can receive adequate care.” In his 153-page ruling, U.S. Circuit Judge Adalberto Jordan said that for years lawmakers had set the state’s Medicaid budget at an artificially low level, driving pediatricians and other specialists for children out of the program. The low spending plans, which paid Medicaid providers for children far below the level private insurers would spend, “amounted to rationing of care, the order said.” The Associated Press reported that Judge Jordan said that while enrollment in Medicaid increased from 1.2 million in 2005 to 1.7

Today's FDA

January/February 2015

million in 2011, the number of pediatricians did not rise at all. He also said, “Florida health regulators were leaving a third of the state’s children on Medicaid with no preventative medical care despite federal legal requirements, and they sometimes switched children from one Medicaid provider to another ‘without their parents’ knowledge or consent.’” While the court’s ruling is a victory, it does not craft a remedy that actually solves the problem. It’s nice to know we won the lawsuit thanks to the Florida Dental Association’s (FDA) members’ financial support, but will Florida’s Medicaid dentists actually see an improvement in reimbursement levels? In January, the court will set a hearing on how to proceed with the state toward a resolution. A slam dunk for Florida Medicaid dentists would be for the court to issue an injunction mandating fee increases and back pay. But remember, the court’s findings of fact and conclusions of law primarily address a 10-year-old Medicaid fee-forservice system administered by the Agency for Health Care Administration (AHCA) that no longer exists, having been entirely replaced with managed care. All Medicaid dental plans now are under managed care with the plans themselves, not AHCA, authorizing and paying for the care. So AHCA faces challenges on how it can modify payer contracts to mandate increased reimbursement for plan providers.

AHCA is charged with entering into contracts with Medicaid plans and monitoring their contract compliance, but does AHCA have legal authority to rewrite contracts unilaterally? Can it force plans to increase reimbursement for services already paid for as agreed to in a managed-care contract entered into between AHCA and the dental plan? What retrospective and prospective changes can be made under a managed-care system to address problems that occurred under a fee-for-service system? If AHCA mandates that plans increase reimbursement to network providers under the threat of administrative fines and penalties, will the plans just leave the market? Where will the money for increased reimbursement come from — Florida taxpayers or the plans themselves? Expanding managed care and Medicaid is the heart of the Affordable Care Act (ACA), but ACA implementation remains as much of a mess as it has ever been. Here are five reasons that 2015 could be even worse. 1. 2015 marks the second year of ACA coverage, but long-term viability depends on healthy young people purchasing coverage and figures from the Department of Health and Human Services (HHS) show that a mere 24 percent of enrollees in 2015 plans are ages 18-34. How can Medicaid rates increase if the risk pool itself is undermined? With all the healthy people opting out of the insurance risk

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pool, how realistic is it to expect Medicaid reimbursement rates to increase? The only two sources of gasoline for the ACA machine are tax revenue and insurance premiums collected. If either decline markedly, the ACA engine will run out of gas. 2. This year also marks the start of the ACA’s employer mandate after a last minute one-year presidential delay in 2014. Under ACA, companies with 100 or more employees have to provide affordable health insurance to at least 70 percent of their full-time workers or pay heavy fines. Small business owners (i.e., 50-100 workers) will have to comply starting in 2016, and employers with less than 50 workers are exempt from the mandate. The employer mandate has been a longtime target of business groups and may not survive the Republicandominated 114th Congress. If the employer mandate falls, will ACA, Medicaid expansion and increased reimbursement also fall? How realistic is it to expect increased reimbursement if a major source of program funding (i.e., hefty fines on employers who fail to provide affordable coverage) is struck down? What will happen to basic program funding, no less increased reimbursement levels for Medicaid doctors, if the law is rewritten to apply only to employees who work 40 hours per week instead of 35 as it presently reads? Less employer fines mean less funding. And less funding means less money for every ACA program, including Medicaid expansion as well as increased Medicaid reimbursement.

www.floridadental.org

3. Also, the individual mandate starts this year, which means filers must indicate on their tax forms whether they had coverage in 2014 and received tax credits to pay for it. Additionally, those who received subsidies may get smaller refunds or owe money if the credits they received were too large. However, funding for the IRS to collect this tax penalty has been cut, so it seems reasonable to expect lax enforcement and a reduction in fines collected. With this train wreck on the horizon, how is the government going to figure out how to pay Florida Medicaid dentists more money? 4. In addition, this year also will bring our nation the U.S. Supreme Court’s ruling in King v. Burwell, a lawsuit challenging the ACA’s premium subsidies for customers using the Federal Marketplace. Florida, as you know, uses the Federal Marketplace or Exchange. Customers buying coverage through HealthCare. gov are overwhelmingly likely to qualify for federal subsidies to help them pay their premiums. On average, 87 percent of customers in the 37 states that rely on the Federal platform are eligible for subsidies. If the high court rules against the Obama Administration, more than 4 million people would lose their subsidies. What will happen to increased reimbursement for Medicaid doctors if the government is suddenly called upon to come up with alternative funding for subsidies for 4 million people? What will happen to increased Medicaid funding for Florida doctors if 87 percent of customers lose their subsidies and therefore, are priced out of the system?

5. Lastly, 2015 marks the end of a bump in Medicare reimbursement rates for primary care physicians. This may mean that there is more funding available to pay Medicaid dentists more, but it also could mean that the whole ACA system is about to grenade itself into oblivion. Always remember that adult Medicaid services were left out as ACA priorities and the Federal Marketplace, which Florida relies on, only mandates that pediatric coverage be offered — not necessarily purchased. In combination, these five potential problems could overwhelm the ACA system. When we realize that Florida AHCA is irrevocably intertwined with Federal HHS because Medicaid program funding comes equally from both the state and the U.S. government, a Florida court’s injunction to increase Medicaid reimbursement may simply be an unfunded mandate. Realistically, with all of federal ACA facing life-threatening challenges and imminent bankruptcy as the machine runs out of gas, how can Florida unilaterally fund a court mandate to increase Medicaid provider reimbursement? At a time when Florida’s Medicaid program desperately needs a bailout from the Federal ACA machine, the ACA machine seems on the brink of imploding. 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. Graham Nicol is the FDA’s Chief Legal Counsel.

January/February 2015

Today's FDA

Information Bytes

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Mr. Darnell can be reached at ldarnell@ floridadental.org or 850.350.7102.

January/February 2015

Today's FDA

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

Editor’s note: In our November/December issue, we neglected to mention that Dr. Dan Gesek is a Florida Dental Association representative on the American Dental Association’s Council on Dental Education and Licensure (CDEL). Dr. Gesek became the CDEL chair in November; his position on the Florida Board of Dentistry made him eligible to be a representative via the American Association of Dental Boards (AADB). We apologize for this oversight and thank Dr. Gesek for his hard work!

Florida Dental Association Hires Greg Gruber as New Chief Financial Officer The Florida Dental Association (FDA) is pleased to announce the hire of Greg Gruber as Chief Financial Officer (CFO). In this role, he will provide strategic direction in accounting, IT and the overall operations for the FDA, as well as the FDA Foundation, FDA Services and FDA Political Action Committee. Most recently, Gruber served as CFO for Florida Healthy Kids Corporation, and prior to this, he has served as CFO for INOVA Federal Credit Union in Indiana. His career has spanned more than 20 years working

Today's FDA

January/February 2015

in small business, credit unions, public accounting and a Fortune 500 company. “We are excited to have Greg Gruber join the Florida Dental Association,” says Drew Eason, the FDA’s executive director and CEO. “He brings a great deal of experience and knowledge to this role, and will be a tremendous asset in providing leadership and strategic direction for all financial aspects of the FDA and its subsidiaries.” Gruber is a CPA with a BS in Accounting and Finance from Indiana University and an MBA from Lake Forest in Chicago, Ill. Throughout his career, he has actively served his communities through leadership and committee roles with community and economic development organizations.

Dental Students — You’re Invited to DDOH! The Florida Dental Association’s (FDA) 2015 Dentists’ Day on the Hill (DDOH) is scheduled for Wednesday, March 25, in Tallahassee. There will a legislative briefing on Tuesday, March 24 at 6:30 p.m. at the Aloft Hotel in Tactic 3 Room. As dental students, it’s important to get involved earlier in the legislative process and learn how to meet and work with legislators on issues that could potentially impact organized dentistry. The FDA’s Governmental Affairs Office will prepare legislative packets with helpful information to get you through your day of meetings. A FREE box lunch will be provided during DDOH. Don’t miss your chance to be a part of this experience. Contact Alexandra Abboud in the Governmental Affairs Office at aabboud@floridadental.org to register today!

CMS Announces Significant Timetable Change for Prescribers of Medicare Part D Drugs The final rule published last May by the Centers for Medicare and Medicaid Services (CMS) that requires dentists who prescribe Part D covered drugs to be enrolled in Medicare or opt out for those prescriptions to be covered under Part D has continued to be a significant issue for the American Dental Association (ADA). The ADA has actively opposed this provision as it applies to dentists and is currently seeking an exemption for the dental profession. The ADA has advocated against this rule on behalf of members directly to CMS and through the House Small Business Committee, the Small Business Administration (SBA) and the SBA’s Ombudsman office. Most recently, in a letter dated Nov. 5, the ADA brought this issue to CMS Administrator Marilyn Tavenner’s attention, and is continuing to advocate for our position. The good news is that very recently CMS delayed the enforcement date, allowing the ADA additional time to address its concerns in the new Congress. Although the enrollment deadline remains June 1, 2015, the rule will not be enforced until Dec. 1, 2015. In addition, the ADA was responsible for convincing CMS to use a shorter Medicare enrollment form. While we continue to advocate for a dental exemption, it also is important to educate dentists on this rule — for example, opting in or out has implications for other Medicare services such as those offered through www.floridadental.org

Medicare Advantage plans. We are sensitive of the need to balance member education with advocacy efforts in cases like this, where the outcome is unpredictable because of the changing political balance in Washington, D.C. We will keep you apprised of the ADA’s advocacy efforts as well as your possible filing requirements in the future.

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 James Abramowitz, Boca Raton Max Arocha, Plantation Mark Gaponiuk, Vero Beach Steven Haas, Davie David Hohimer, Plantation Christopher Kaouk, Davie Cameron Kmetzsch, Vero Beach Laura Londono Ochoa, Fort Lauderdale Aditi Patel, Palm Beach Gardens Paulo Sarria, Coral Springs Aaron Sheinfeld, Boca Raton Arthur Sperling, Fort Lauderdale

Central Florida District Dental Association Moema Arruda, Orlando Hany Azer, Oviedo Cesar Caceres, Ocala Kenneth Chen, Apopka Evelyn Clemente, Deltona Shane Eckels, Atlamonte Springs Ramez Fidy, Orlando Peter Gayed, Oviedo Marcio Guelmann, Gainesville Adam Gutwein, Gainesville

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Christopher Kuhns, Gainesville Ramy Labib, Satellite Beach Justin McDaniel, Orlando David Nguyen, Winter Park Duy Nguyen, Orlando Ripal Patel, Winter Park Leidy Riano, Winter Springs Charles Ricks, The Villages Anthony Sevilla, Melbourne Dalia Wahba, Oviedo Johnny Williams, Gainesville

Northeast District Dental Association Stephanie Chaves, Jacksonville Priyanka Dutt, Orange Park Aymee Jaramillo-Rivas, Jacksonville Brittany Jones, Fleming Island Andrew Lafont, Jacksonville Christine Lama, Jacksonville Shakela Martin, Jacksonville Anthony Miller, Fleming Island Jason Ouellette, St. Augustine April Stone, Green Cove Springs Latania Williams, Lake City

Northwest District Dental Association William Holden, Fort Walton Beach Reese Ruder, Santa Rosa Beach Justin Smith, Panama City

South Florida District Dental Association Elibeth Alvarez, Coral Gables Jonathan Bloch, Miami Blana Catello Polo, Hollywood Rachel Ecker, Doral Mehr Faisal, Homestead Eva Fornos, Miami Jorge Fornos, Miami Donald Gallo, Miami Carmen Garcia-Paul, Miami Victor Gutierrez, Miami Leslie Haller, Miami Shana Hernandez, Pembroke Pines Yaneisy Izquierdo, Miami

Daniele Koch, Hialeah Maritza Lazcano, Pembroke Pines Daisy Le, Miami Nancy Menendez, Weston Amy Myers, Miramar Maidelys Oliva, Hialeah Amy Ovaydi-Mandel, Hollywood Johnny Peralta Lee, Hollywood Zaily Perez, Miami Eunice Perez, Miami Ana Pesaturo, Miami Mariel Petruk, Hollywood Oscar Reyes, Davie Diana Rico Rojas, Doral Yarimar Ruiz-Frontany, Fort Lauderdale Gustavo Sague, Miami Nathifa Smith, Miami Tadeu Szpoganicz, Miami Michelle Tydir, Miami Marilyn Valdes, Coral Gables Omar Villavicencio, Miami

West Coast District Dental Association Jennifer Alvarez, Tampa Priti Bapna, Tampa Karen Burns, Saint Petersburg Angela Cossentino, Cape Coral Armen Grigoryan, Venice Andres Guerra-Andrade, Trinity Timothy Heine, Temple Terrace Amber Kibby, Bradenton Paul Mabe, Naples Tyler McCabe, Fort Myers Terryl Petropoulos, Tampa Evan Prado, Tampa Joseph Salas, Bradenton Manisha Shrestha, Wesley Chapel Sarah Soltau, Plant City Rebecca Swartz, Osprey Peter Weber, Tampa

Please see NEWS, 14

January/February 2015

Today's FDA

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NEWS from 11

In Memoriam The FDA honors the memory and passing of the following members: Richard Galeta Fort Pierce, FL Died: 1/3/15 Age: 74 F. Lee Eggnatz Fort Pierce, FL Died: 12/19/14 Age: 80 Denis Dospehoff Tampa, FL Died: 11/17/14 Age: 39

Robert Carey Eustis, FL Died: 11/1/14 Age: 75

Luther Beal Lakeland, FL Died: 9/12/14 Age: 101

Donald Edwards Vero Beach, FL Died: 10/27/14 Age: 66

Wayne Todd Lake Mary, FL Died: 1/26/15 Age: 78

CHRISTINE MORTHAM

As Membership Concierge, Christine helps new and current members take advantage of all the benefits the FDA and ADA offer, and with a personal touch. Just like a hotel concierge, she has a wealth of information to help you navigate your association. Call her with your questions!

Peter Ramko Fort McCoy, FL Died: 10/12/14 Age: 80 Dewayne Brown Orange Park, FL Died: 9/25/14 Age: 82

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Board of Dentistry Meets in Orlando

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The Florida Board of Dentistry (BOD) met in Weston on Friday, Nov. 21. The Florida Dental Association (FDA) was represented by BOD-Liaison Dr. Don Ilkka and FDA Lobbyist Casey Stoutamire. FDA President, Dr. Richard Stevenson, Drs. Andy Adelson, Naved Fatmi, Terry Icyda, Mel Kessler, Jose Mellado, Clive Rayner, Mark Romer, Cesar Sabates, Beatriz Terry, and many others also were in attendance. Dr. Linda Niessen, Dean of Nova Southeastern University College of Dental Medicine, was in attendance along with Nova dental students. Ten of the eleven board members were present: Dr. Joe Thomas, chair; Drs. Leonard Britten, Dan Gesek, Bill Kochenour, T.J. Tejara and Wade Winker; hygienists, Ms. Catherine Cabazon and Ms. Angie Sissine; and consumer members, Mr. Anthony Martini and Mr. Tim Pyle. Dr. Robert Perdomo, vice-chair, was absent. At the meeting, the BOD approved several proposed rules. First, the BOD unanimously approved proposed changes to Rule 64B5-17.002, Written Dental Records,

Minimum Content, Retention. The new language deleted the old section 1(a) – 1(e) and inserted language similar to the Board of Medicine’s rule on record keeping. In addition, Section 2, Consent, was deleted from the proposed rule language per BOD attorney David Flynn’s advice. However, he indicated that just because this section is not in rule does not mean that a dentist is exempt from having written or verbal consent from the patient for treatment. The new proposed language is included at the end of this article. Note, the language is not yet effective as it still needs to proceed through the rulemaking process. The FDA will keep its members updated on this issue. Dr. Ilkka spoke on behalf of the FDA and thanked Dr. Tejera, chair of the Records Task Force, and the BOD for working with the FDA on the new proposed language. The FDA would like to thank all of its members for their hard work on this issue! Next, the BOD unanimously approved the proposed language to Rule 64B5-2.013, Dental Examination, which now will state that candidates for the dental examination may only assess patients’ suitability as exam patients at a dental office under the direct supervision of a Florida-licensed dentist or at an accredited dental program under the direct supervision of a program faculty member. The BOD unanimously approved a revision to Rule 64B5-2.0146, Licensure Requirements for Applicants from Non-accredited Schools or Colleges. The

The next BOD meeting is scheduled for Friday, Feb. 20, 2015 at 7:30 a.m. EST in Jacksonville, at the Hyatt Regency Jacksonville Riverfront. language now clearly states that an applicant for licensure who is foreign trained must take a two-year supplemental program, which must be two consecutive years and cannot be a specialty program. The BOD also unanimously approved revisions to Rule 64B5-13.0046, Citation Authority. The changes were made to clean up the rule, as it mentioned statutes that were found to be unconstitutional and listed incorrect citations, and to formally state in rule what the BOD has already been doing in non-disciplinary processes. The BOD unanimously approved a revision to Rule 64B5-9.011, Radiography Training for Dental Assistants. The new language replaces the word “film” with “images” so it covers digital X-rays. The BOD unanimously approved new language and revisions for Rule 64B5-16.0075, Dental Charting by Dental Hygienist. At its August meeting, the BOD approved the change to allow dental hygienists collecting Please see BOARD, 16

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Today's FDA

January/February 2015

www.floridadental.org

January/February 2015

Today's FDA

Board of Dentistry 2015 Florida Board of Dentistry The Florida Board of Dentistry (BOD) is composed of 11 members, which includes seven actively practicing Florida licensed dentists, two actively practicing Florida licensed dental hygienists and two consumer members who have no relationship with the dental industry. BOD members are appointed by the governor to staggered four-year terms that are subject to Senate confirmation and can serve no more than 10 years total. Each BOD member has an equal vote with a chair and vice chair being selected by a majority of BOD members. • • • • • • •

Dr. William Kochenour – Chair

•

Ms. Cathy Cabazon – Hygienist

•

Ms. Angie Sissine – Hygienist

•

Mr. Anthony Martini – Consumer

•

Mr. Timothy Pyle – Consumer

Dr. Leonard Britten – Vice Chair Dr. Dan Gesek Dr. Robert Perdomo

component to the course. Third, Dr. Gesek announced the next committee call will be on Dec. 16 at 6 p.m. EST and will focus on increasing the requirements for a conscious sedation permit. Finally, Dr. Gesek announced the BOD would be updating its website with a FAQ on anesthesia. Dentists, hygienists and members of the public can submit questions to the BOD and the answers will be posted on the website. The FDA will notify its members when this new feature goes live. The BOD discussed a request by the Department of Health (DOH) to move the laws and rules examination to continuing education (CE). The BOD passed a motion to keep the laws and rules exam requirement and advised BOD staff and members to discuss this issue with the North East Regional Board of Dental Examiners (NERB) and the American Board of Dental Examiners (ADEX). They would like to see ADEX create the exam (since Florida accepts the ADEX exam for licensure) and have NERB administer it.

Dr. TJ Terera Dr. Joe Thomas Dr. Wade Winker

BOARD from 15

data for epidemiological surveys or oral health surveillance to use the data collection forms without identifying patient information or the name, license number and place of employment of the dental hygienist or dentist. Mr. Flynn needed BOD approval to strike current language in Rule 64B5-0.011 to comply with an executive order issued by the governor to all regulatory boards requiring them to clean up their rule language. The language stricken in this rule was taken verbatim from statute. The language is not needed in two places. Dr. Gesek gave a report on the Anesthesia Committee conference call held on Nov. 12. First, the BOD approved an anticipated change to Rule 64B5-14.003, Training, Education, Certification, and Requirements for Issuance of Permits. The changes were requested by the Anesthesia Committee to clarify acceptable training programs for conscious sedation permits. The new language will require an applicant to complete a minimum of a two-year residency program instead of a one-year residency program. The BOD approved this change, but no language was submitted at this time. Second, the BOD clarified that for the CPR requirement, the didactic portion can be completed online; however, there still must be a hands-on

Records Rule

Today's FDA

January/February 2015

Furthermore, the BOD staff reported that the BOD is once again operating in a deficit and suggested a one-time $200 dues assessment on all Florida-licensed dentists. There also was a recommendation to decrease dental hygiene fees by $25. This fund continuously runs a surplus, and each year the Legislature sweeps the surplus funds away to provide funding in other areas of the state budget. After much discussion, the BOD created a Budget Task Force to provide a report to the BOD on various scenarios to increase BOD funding (dues increase, assessment, etc.) Dr. Gesek will chair the task force and members from the FDA and Florida Dental Hygiene Association will participate. This task force has no decision-making authority and will only research the issue and report back to the BOD. The FDA will keep its members updated on this issue. And last, but not least, the BOD unanimously elected Drs. Bill Kochenour and Leonard Britten as chair and vice-chair, respectively, for 2015. The FDA congratulates these members on their new positions and looks forward to working with them in the upcoming year. The next BOD meeting is scheduled for Friday, Feb. 20, 2015 at 7:30 a.m. EST in Jacksonville, at the Hyatt Regency Jacksonville Riverfront. The BOD proposed meeting dates for the remainder of 2015 are May 29, Aug. 21 and Nov. 20. If you have not yet attended a BOD meeting, it is suggested that you take the opportunity to attend and see the work of the BOD. Ms. Stoutamire can be reached at 850.350.7202 or cstoutamire@ floridadental.org. www.floridadental.org

64B5-17.002 Written Dental Records; Minimum Content, Retention A licensed dentist shall maintain patient dental records in a legible manner and with sufficient detail to clearly demonstrate why the course of treatment was undertaken. (1) Dental Record: The dental record shall contain sufficient information to identify the patient, support the diagnosis, justify the treatment and document the course and results of treatment accurately, by including, at a minimum, patient histories; examination results; test results; records of drugs prescribed, dispensed, or administered; reports of consultation or referrals; and copies of records or reports or other documentation obtained from healthcare practitioners at the request of the dentist and relied upon by the dentist in determining the appropriate treatment of the patient. (2) Record Alterations: Any additions, corrections, modifications, annotations, or alterations (hereinafter “change”) to the original dental record entry must be clearly noted as such and must include the date when the change was made, must be initialed by the person making the change, and must have an explanation for the change. An original entry to the record cannot be partially or wholly removed. Rather, to represent the deletion of a record entry, the entry must be struck through where it will remain legible. A change made on the same date of the original entry must also include the time of change. (3) Record Transfer or Release: Whenever patient records are released or transferred, the dentist releasing or transferring the records shall maintain either the original records or copies thereof and a notation shall be made in the retained records indicating to whom the records were released or transferred and the authority for such release. Transfer of records in a multi-practice dental office shall be done and documented in strict accordance with Section 466.018, F.S. (4) Record Retention Period: A dentist shall maintain the written dental record of a patient for a period of at least four (4) years. (a) The four (4) year retention period shall be calculated from the date the patient was last examined or treated by the dentist. (b) Upon the death of the dentist, the reten-

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tion provisions of Rule 64B5-17.001, F.A.C., are controlling. (5) Appointment Book: Each licensed dentist shall retain a copy of each entry in his or her patient appointment book or such other log, calendar, book, file or computer data, used in lieu of an appointment book, for a period of no less than four (4) years from the date of each entry thereon. (6) Dentist of Record: All records that are required by this rule and any other patient record shall be properly annotated to identify the dentist of record. The dentist of record is the dentist who: (a) Is identified and noted in the patient record as the dentist of record; (b) Provides a specific treatment or service and is noted in the patient record as the dentist of record for that treatment or service; (c) If there has been more than one provider of treatment, is the dentist who places the final restoration, does the surgical procedure, makes the diagnosis or finishes the service or procedure in question; or (d) If there has been more than one provider of treatment and neither paragraph (a) or (b) or (c) can be determined with reasonable certainty, the dentist of record reverts entirely back to the Florida licensed owner dentist of the dental practice in which the dental patient is seen or treated. (7) Owner of Dental Practice: All dental records required by this rule and any additional records maintained in the course of practicing dentistry shall be the property of the Florida licensed owner dentist of the dental practice in which the dental patient is seen or treated and the owner dentist shall be ultimately responsible for all record keeping requirements set forth by statute or rule. (a) The Florida licensed owner dentist is responsible for the records of patients seen or treated by any employee, associate, or visiting dentist. (b) Multiple owners are severally and equally responsible for the records of patients seen or treated with the dental practice of that dental group. (c) A lessor or owner dentist is not responsible for the records of an independent dentist

who is merely leasing or renting space or staff services for the operation of a separate dental practice within the owner dentist’s physical facility. (8) Electronic Dental Records: Patient records may be kept in an electronic format, provided that the dentist maintains a back-up copy of information stored in the back-up data processing system using disk, tape, or other secure electronic back-up system, on site or off site, as long as the back-up system is updated in a time frame that does not exceed seventytwo hours (72 hrs.), to assure that data is not lost due to system failure. Any electronic data system must be capable of producing a hard copy on lawful demand in accordance with and pursuant to federal or state laws and rules. (9) Pro-Bono Dental Events: The Board of Dentistry encourages the provision of probono dental screenings though organized events such as Dental Health Screenings and Give Kids a Smile Program. A strict interpretation of this rule would preclude such efforts to the detriment of the public. Therefore, the Board deems that any records generated as a result of such limited, one-time pro-bono dental screenings, examinations, or treatments through organized events should be consistent with the nature and scope of the services rendered, should be provided to the recipient or guardian and will not result in the dentist performing such services becoming the dentist of record. The minimum content and record retention set forth in this rule shall not govern or be required. When the dentist performs such examinations or treatments each recipients or guardian shall be informed in writing of the following: (a) The limitation of the screening to one-time dental examination and treatment that can reasonably be performed on the same day of screening. In addition, such examinations or treatments would or would not reasonably require follow-up treatment; (b) The results of the screening examination or treatments; and (c) That the screening is not representative of or a substitute for a comprehensive dental examination.

January/February 2015

Today's FDA

ADA Meeting

Dr. Jolene Paramore 17th DELEGATION CHAIR

“

There was a special focus on the ADA’s Strategic Plan 2015-2020, dental education and licensure issues, the Financial Summit with the ADA Treasurer and the ADA Foundation.

”

Last October, more than 20,000 people attended America’s Dental Meeting, the American Dental Association’s (ADA) annual convention, including the 17th District’s 38 elected members and trustee, Dr. Terry Buckenheimer, who represented Florida’s dentists. The ADA’s House of Delegates (HOD) met in San Antonio to consider more than 120 resolutions during four sessions. Dr. Carol Summerhays, of California, was elected ADA presidentelect and Dr. Thomas Gamba, of Pennsylvania, was elected first vice president. Over the course of the meeting, the 17th District hosted both newly elected officers and many other ADA House members in their hospitality suite, including ADA President Dr. Maxine Feinberg, of New Jersey; ADA Treasurer Dr. Ron Lemmo, of Ohio; and, ADA Speaker of the House Dr. Glen Hall, of Texas. Florida was well-represented and well-served by its members on the ADA Reference Committees, which were appointed by the ADA President, Dr. Charles Norman. Dr. Dan Gesek, Jacksonville, served on Credentials, Rules, and Order, Dr. Jeannette Hall, Miami, sat on Membership and Related Matters, Dr. Ethan Pansick, Delray Beach, sat on Constitution and Bylaws, and Dr. Rodrigo Romano, Miami, was selected for Budget, Business, and Administrative Matters. Many events focused on important issues, and were designed to not only educate the House members, but also to receive their input. There was a special focus on the ADA’s Strategic Plan 2015-2020, dental education and licensure issues, the Financial Summit with the ADA Treasurer and the ADA Foundation. In addition, the most critical issue to the 17th District, the Commission on Dental Accreditation (CODA), heard testimony on specialty education standards and dental therapy education standards in preparation for their winter 2015 meeting. Drs. Jeannette Hall, Rick Huot, Irene Marron and Beatriz Terry gave testimony in opposition to many of the proposed dental therapy educational standards. Strong educational standards for any new provider remain a top priority for the 17th District, and written comments were submitted to CODA in November that reiterated their concerns and requested modification of the standards.

into how providers practice dentistry (including closed-panel plans, discount dental plans, selling networks and provider rating programs) in the Dental Benefits Reference Committee to the development of a Commission for Continuing Education Provider Recognition and study on the impact of student debt on dentistry in Dental Education Reference Committee. Oral cancer, women’s health, water fluoridation and Medicaid funding and a comprehensive bylaws review were covered in the Public Affairs Reference Committee and the creation of a new dues category and incorporation of the New Dentist Conference into America’s Dental Meeting were the primary business of the Membership Reference Committee. At the close of the meeting, the final business items were adopting the budget and approving the “NO DUES’’ increase — which made everyone happy! Dr. Paramore is the FDA Secretary and can be reached at jparamore@bot.floridadental.org. Photos: 1. The ADA sign welcomes members to the 2014 Annual Convention. 2. Dr. and Mrs. Stevenson enjoy San Antonio. 3. From left to right, Drs. D'AIuto, Stevenson, Carol Summerhays, Mr. Soames Summerhays, and Dr. Buckenheimer. 4. Action on the House of Delegates floor.

The Florida delegation collaborated with other delegations to move in a positive direction for the profession. Topics deliberated during the HOD ranged from third-party intervention www.floridadental.org

January/February 2015

Today's FDA

Legislative Agenda

The FDA’S 2015 Legislative Agenda By Joe Anne Hart FDA DIRECTOR OF GOVERNMENTAL AFFAIRS

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The Florida Dental Association (FDA) is gearing up to hit the ground running during the 2015 Legislative Session. There will be hundreds of legislative bills filed, addressing everything from airports to zoos. The FDA’s lobbying team will be reviewing every bill for its potential impact on organized dentistry. The FDA has taken a proactive approach to address and help direct discussion as it relates to access to dental care. The FDA recently announced its latest initiative, Florida’s Action for Dental Health, which outlines a series of objectives and strategies to improve oral health for all Floridians. Many of these strategies have been implemented in programs and projects currently functioning within the FDA and others will be pursued during the upcoming legislative session. The FDA’s priority will be to reinstate the dental student loan repayment program. This program will create a win-win situation for all involved — the state, the dentist and the community. The dental student loan repayment program will provide dentists with an opportunity to get their student loans repaid by the state by becoming a Medicaid provider and working fulltime in an underserved area. This type of program www.floridadental.org

has been successful in other states, as well as in Florida in past years. When the program began in 1994, dentists were able to access funds from the state by practicing in areas that did not have access to dental care. Even though the program funding ended in 1996, there are several dentists around the state who remained in these underserved areas and continued to provide dental care to their community. Programs like this have worked for professionals such as teachers, nurses and lawyers. With the rate of student loan debt ever increasing, programs that are able to help jump-start an individual’s career also could help shift the dynamics of where dentists decide to practice once they graduate. For years, FDA members have been committed and involved in treating individuals around the state who may be disabled, medically compromised or elderly, and have a difficult time finding someone who would treat them despite their situation. In 1997, the South Florida District Dental Association (SFDDA) and the Dental Lifeline Network • Florida launched the South Florida Donated Dental Services (DDS) program to help provide care. Private grants provided funding to start the program, which was expanded to the entire state in 2006. Since then it has been difficult to obtain and maintain sufficient private grants to fully implement the program. The FDA is seeking $150,000 in annual state funding to hire two full-time coordinators who will focus on managing and expanding the program. Currently, the FDA and the Florida Dental Association Foundation (FDAF) provide funds and office space for a coordinator to facilitate the program. With dedicated

funding from the state, the Florida DDS program could serve approximately 450 vulnerable patients annually, which adds up to a potential $1.35 million in free comprehensive dental care. The U. S. Centers for Disease Control and Prevention (CDC) has recognized fluoridation as one of the 10 great public health achievements of the 20th century. Community water fluoridation is safe and effective, and is the least expensive way to deliver the benefits of fluoride to all residents in a community. For every $1 invested in this preventive measure, approximately $38 is saved in costs for dental treatment. The FDA supports efforts to provide funding assistance to communities that are interested in this initiative. Currently, the state only budgets $150,000 of federal funds under the Department of Health for community water fluoridation efforts. The FDA recommends that the state allocate a dedicated funding source annually through state general revenue to help sustain these efforts. The investment on the front-end will be a significant cost saver on the back-end. Studies have shown that with increased access to fluoridated water, there has been a steady decline in dental caries throughout the United States. As the FDA moves forward with its legislative agenda and the initiatives of Florida’s Action for Dental Health, there will be many opportunities for you to get involved. Mark your calendars for the 2015 Dentists’ Day on the Hill scheduled for Wednesday, March 25 in Tallahassee! Ms. Joe Anne Hart is the FDA's Director of Governmental Affairs and can be reached at jahart@floridadental.org. January/February 2015

Today's FDA

2014-2016 Florida Legislature

Your GAC, FLADPAC and LCD Members by District Dental Association • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Atlantic Coast Dr. Ralph Attanasi, GAC Member Dr. David Boden, GAC Consultant, LCD, FDAPAC Consultant Dr. Michael Eggnatz, GAC Consultant Dr. Rick Huot, FDAPAC Consultant Dr. Alana Keough, GAC Member Dr. Ethan Pansick, FDAPAC Member Dr. Andrew Adelson, LCD Dr. Steven Bogdanoff, LCD Dr. Christopher Dermody, LCD Dr. F. Dermody, LCD Dr. Joseph Dermody, LCD Dr. Raymond Doremus, LCD Dr. Robert Eckelson, LCD Dr. Shawn Engebretsen, LCD Dr. Donovan Essen, LCD Dr. Mark Fedele, LCD Dr. Theodore Field, LCD Dr. Alan Friedel, LCD Dr. Leonardo Frydman, LCD Dr. Jeffrey Ganeles, LCD Dr. Robert Gehrig, LCD Dr. Howell Goldberg, LCD Dr. Lee Hauer, LCD Dr. Teri-Ross Icyda, LCD Dr. Brian Jacobus Jr., LCD Dr. Tory Lindh, LCD Dr. Hal Lippman, LCD Dr. Robert Bruce McDonald, LCD Dr. Robert Newman, LCD Dr. Thomas Plymale, LCD Dr. Douglas Starkey, LCD Dr. Jeffrey Stevens, LCD Dr. Craig Stranigan, LCD Dr. James Strawn, LCD Dr. Paul Werner, LCD Dr. Kerri White, LCD

Central Florida Dr. Gerald Bird, GAC Consultant, LCD, FDAPAC Chair Dr. Dan Crofton, LCD, FDAPAC Consultant Dr. Bill D’Aiuto, GAC Consultant Dr. Don Ilkka, GAC BOD Liaison Dr. Jason Larkin, GAC Member Mrs. Carol Nissen, FDAPAC Member Dr. Donald Thomas, FDAPAC Member Dr. Daryl Askeland, LCD Dr. Ronald Askeland, LCD Dr. Hal Coe Jr., LCD Dr. Kenneth Cohrn, LCD Dr. Brian Coleman, LCD Dr. Bruce Gordy, LCD Dr. Lance Grenevicki, LCD Dr. Robert Hawkins, LCD Dr. Gary Herbeck, LCD Dr. Curtis Hill Jr., LCD Dr. Steven Hochfelder, LCD Dr. Cletus Huhn, LCD

Today's FDA

January/February 2015

• • • • • • • • • • • • • • • • • • •

Dr. Bernard Kahn, LCD Dr. Keith Kanter, LCD Dr. Lee Anne Keough, LCD Dr. Robert Matteson, LCD Dr. Hutson McCorkle, LCD Dr. James Montgomery, LCD Dr. Oscar Morejon, LCD Dr. Robert Mount, LCD Dr. Larry Nissen, LCD Dr. Haraldo Otero-Flores, LCD Dr. Neil Powell, LCD Dr. Robbin Quaterman, LCD Dr. Naghman Qureshi, LCD Dr. Frank Reynolds, LCD Dr. Jeff Sevor, LCD Dr. Michael Simpson, LCD Dr. Doyle Summerlin, LCD Dr. Wade Townsend, LCD Dr. Anthony Wong, LCD

Northeast • • • • • • • • • •

Dr. Andy Brown, GAC Member, LCD Dr. Rick Stevenson, GAC Chair, LCD, FDAPAC Member Dr. Ian Dennis, LCD Dr. Robert Cowie, LCD Dr. Thomas Klechak, LCD Dr. Orrin Mitchell, LCD Dr. Kevin Neal, LCD Dr. Claude Owens, LCD Dr. George Van Etta, LCD Dr. George Weeks, LCD

• • • • • • • • • • • • •

Dr. David Hanle, LCD, FDAPAC Member Dr. Jolene Paramore, GAC Member, LCD Dr. William Baldock, LCD Dr. Steven Bryan, LCD Dr. Darrh Bryant, LCD Dr. Howard Fisher, LCD Dr. Dan Henry, LCD Dr. Tricia Hess, LCD Dr. Kim Jernigan, LCD Dr. Marcus Paul, LCD Dr. Robert Payne, LCD Dr. James Walton, LCD Dr. Ralf Zapata, LCD

•

Dr. Irene Marron-Tarrazzi, GAC Consultant, FDAPAC Member Dr. Cesar Sabates, GAC Consultant, LCD Dr. Beatriz Terry, GAC Member, LCD, FDAPAC Consultant Dr. Pedro Castro, LCD Dr. Faustino Garcia, LCD Dr. Joseph Gay, LCD Dr. Laurie Gordon-Brown, LCD Dr. Ignacio Iturralde, LCD Dr. Robert Johnson, LCD

• • • • • • • •

Northwest

South Florida

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Dr. Melvin Kessler, LCD Dr. Carlos Sanchez, LCD

•

Dr. Terry Buckenheimer, GAC Member, LCD Dr. Doug Jungman, GAC Consultant LCD Dr. Zack Kalarickal, GAC Member, LCD, FDAPAC Consultant Dr. Greg Langston, FDAPAC Member Dr. Jeremy Albert, LCD Dr. Eva Ackley, LCD Dr. Amy Anderson, LCD Dr. Nolan Allen, LCD Dr. William Belton Jr., LCD Dr. Adam Bressler, LCD Dr. Sandra Cahill, LCD Dr. Miguel Castro, LCD Dr. Wendy Churchill-Urrico, LCD Dr. David Clary, LCD Dr. Tim Conway, LCD Dr. Joseph Craig, LCD Dr. Sam Desai, LCD Dr. Glori Enzor, LCD Dr. Tom Frankfurth, LCD Dr. Richard Garcia, LCD Dr. Fred Grassin, LCD Dr. Richard Greenspan, LCD Dr. Melissa Grimaudo, LCD Dr. Robert Hawkins, LCD Dr. James Holloway, LCD Dr. Betty Hughes, LCD Dr. Robert Klement, LCD Dr. William Kochenour, LCD Dr. Rudy Liddell, LCD Dr. Janice Luke, LCD Dr. Mariela Lung, LCD Dr. Michael McNeill, LCD Dr. Paul Miller, LCD Dr. Robert Mount, LCD Dr. Craig Oldham, LCD Dr. James Oxer, LCD Dr. Paul Palo, LCD Dr. Mili Patel, LCD Dr. John Paul, LCD Dr. Robert Payne, LCD Dr. John Pelton, LCD Dr. Carmine Priore, LCD Dr. Michael Reynolds, LCD Dr. Kenneth Rogers, LCD Dr. Rose Rosanelli, LCD Dr. Anthony Schweiger, LCD Dr. Tina Thomas, LCD Dr. David Thompson, LCD Dr. Steven Tinsworth, LCD Dr. Angella Tomlinson, LCD Dr. Louis Traci, LCD Dr. Tim Verwest, LCD Dr. John Watters, LCD Dr. Sandra Worman, LCD

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

West Coast

www.floridadental.org

Below is a list of the senators and representatives who will serve in the 2014–2016 Florida Legislature. Legislators elected to the Senate during this election cycle will serve a four-year term, while the House members will serve a two-year term. Special elections will be held for those districts with “vacant” seats. To find out your House and Senate Distict (and congressional representatives), go to the following website and enter your address or zip code: http://www.flsenate.gov/Senators/Find.

SENATE District 1 Sen. Don Gaetz (R-Destin) District 2 Sen. Greg Evers (R-Pensacola) District 3 Sen. Bill Montford (D-Apalachicola) District 4 Sen. Aaron Bean (R-Fernandina Beach) District 5 Sen. Charlie Dean (R-Inverness) District 6 Vacant District 7 Sen. Rob Bradley (R-Orange Park) District 8 Sen. Dorothy Hukill (R-Port Orange) District 9 Sen. Audrey Gibson (D-Jacksonville) District 10 Sen. David Simmons (R-Altamonte Springs) District 11 Sen. Alan Hays (R-Umatilla) District 12 Sen. Geraldine Thompson (D-Orlando) District 13 Sen. Andy Gardiner (R-Orlando) District 14 Sen. Darren Soto (D-Kissimmee) District 15 Sen. Kelli Stargel (R-Lakeland) District 16 Sen. Thad Altman (R-Melbourne) District 17 Sen. John Legg (R-Lutz) District 18 Sen. Wilton Simpson (R-New Port Richey) District 19 Sen. Arthenia Joyner (D-Tampa) District 20 Sen. Jack Latvala (R-Clearwater) District 21 Sen. Denise Grimsley (R-Sebring) District 22 Sen. Jeff Brandes (R-St. Petersburg) District 23 Sen. Garrett Richter (R-Naples) District 24 Sen. Tom Lee (R-Brandon)

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District 25 Sen. Joseph Abruzzo (D-Wellington) District 26 Sen. Bill Galvano (R-Bradenton) District 27 Sen. Jeff Clemens (D-Lake Worth) District 28 Sen. Nancy Detert (R-Venice) District 29 Sen. Jeremy Ring (D-Margate) District 30 Sen. Lizbeth Benacquisto (R-Fort Myers) District 31 Sen. Chris Smith (D-Fort Lauderdale) District 32 Sen. Joe Negron (R-Palm City) District 33 Sen. Eleanor Sobel (D-Hollywood) District 34 Sen. Maria Sachs (D-Delray Beach) District 35 Sen. Gwen Margolis (D-Miami) District 36 Sen. Oscar Braynon (D-Miami Gardens) District 37 Sen. Anitere Flores (R-Miami) District 38 Sen. Rene Garcia (R-Hialeah) District 39 Sen. Dwight Bullard (D-Cutler Bay) District 40 Sen. Miguel Diaz de la Portilla (R-Miami)

HOUSE District 1 Rep. Clay Ingram (R-Pensacola) District 2 Rep. Mike Hill (R-Pensacola) District 3 Rep. Doug Broxson (R-Milton) District 4 Rep. Matt Gaetz (R-Shalimar) District 5 Rep. Brad Drake (R-DeFuniak Springs) District 6 Rep. Jay Trumbull (R-Panama City) District 7 Rep. Halsey Beshears (R-Monticello)

District 8 Rep. Alan Williams (D-Tallahassee) District 9 Rep. Michelle Rehwinkel Vasilinda (D-Tallahassee) District 10 Rep. Elizabeth Porter (R-Lake City) District 11 Rep. Janet Adkins (R-Fernandina Beach) District 12 Rep. Lake Ray (R-Jacksonville) District 13 Vacant District 14 Rep. Mia Jones (D-Jacksonville) District 15 Rep. Jay Fant (R-Jacksonville) District 16 Rep. Charles McBurney (R-Jacksonville) District 17 Vacant District 18 Rep. Travis Cummings (R-Orange Park) District 19 Rep. Charles Van Zant (R-Palatka) District 20 Rep. Clovis Watson Jr. (D-Gainesville) District 21 Rep. Keith Perry (R-Gainesville) District 22 Rep. Charlie Stone (R-Ocala) District 23 Rep. Dennis Baxley (R-Ocala) District 24 Vacant District 25 Rep. Fred Costello (R-Ormond Beach) District 26 Rep. Dwayne Taylor (D-Daytona Beach) District 27 Rep. David Santiago (R-Deltona) District 28 Rep. Jason Brodeur (R-Sanford) District 29 Rep. Scott Plakon (R-Longwood) District 30 Rep. Bob Cortes (R-Altamonte Springs) District 31 Rep. Jennifer Sullivan (R-Mt. Dora) District 32 Rep. Larry Metz (R-Groveland)

Please see LISTING, 24

January/February 2015

Today's FDA

LISTING from 23 District 33 Rep. Marlene O’Toole (R-Lady Lake) District 34 Rep. Jimmie Smith (R-Lecanto) District 35 Rep. Blaise Ingoglia (R-Spring Hill) District 36 Rep. Amanda Murphy (D-New Port Richey) District 37 Rep. Richard Corcoran (R-Lutz) District 38 Rep. Danny Burgess (R-Zephyrhills) District 39 Rep. Neil Combee (R-Auburndale) District 40 Rep. Colleen Burton (R-Lakeland) District 41 Rep. John Wood (R-Winter Haven) District 42 Rep. Mike La Rosa (R-Saint Cloud) District 43 Rep. John Cortes (D-Kissimmee) District 44 Rep. Eric Eisnaugle (R-Orlando) District 45 Rep. Randolph Bracy (D-Ocoee) District 46 Rep. Bruce Antone (D-Orlando) District 47 Rep. Mike Miller (R-Winter Park) District 48 Rep. Victor Torres Jr. (D-Orlando) District 49 Rep. Rene “Coach P” Plasencia (R-Orlando) District 50 Rep. Tom Goodson (R-Titusville) District 51 Rep. Steve Crisafulli (R-Merritt Island) District 52 Rep. Ritch Workman (R-Melbourne) District 53 Rep. John Tobia (R-Melbourne) District 54 Rep. Debbie Mayfield (R-Vero Beach) District 55 Rep. Cary Pigman (R-Sebring) District 56 Rep. Ben Albritton (R-Bartow) District 57 Rep. Jake Raburn (R-Valrico) District 58 Rep. Dan Raulerson (R-Plant City) District 59 Rep. Ross Spano (R-Riverview) District 60 Rep. Dana Young (R-Tampa)

Today's FDA

January/February 2015

District 61 Rep. Ed Narain (D-Tampa) District 62 Rep. Janet Cruz (D-Tampa) District 63 Rep. Shawn Harrison (R-Tampa) District 64 Vacant District 65 Rep. Chris Sprowls (R-Tarpon Springs) District 66 Rep. Larry Ahern (R-Seminole) District 67 Rep. Chris Latvala (R-Largo) District 68 Rep. Dwight Dudley (D-St. Petersburg) District 69 Rep. Kathleen Peters (R-St. Petersburg) District 70 Rep. Darryl Rouson (D-St. Petersburg) District 71 Rep. Jim Boyd (R-Bradenton) District 72 Rep. Ray Pilon (R-Sarasota) District 73 Rep. Greg Steube (R-Sarasota) District 74 Rep. Julio Gonzalez (R-Venice) District 75 Rep. Ken Roberson (R-Port Charlotte) District 76 Rep. Ray Rodrigues (R-Fort Myers) District 77 Rep. Dane Eagle (R-Cape Coral) District 78 Rep. Heather Fitzenhagen (R-Fort Myers) District 79 Rep. Matt Caldwell (R-Lehigh Acres) District 80 Rep. Matt Hudson (R-Naples) District 81 Rep. Kevin Rader (D-Boca Raton) District 82 Rep. MaryLynn Magar (R-Hobe Sound) District 83 Rep. Gayle Harrell (R-Port St. Lucie) District 84 Rep. Larry Lee Jr. (D-Fort Pierce) District 85 Rep. Patrick Rooney (R-Palm Beach Gardens) District 86 Rep. Mark Pafford (D-West Palm Beach) District 87 Rep. Dave Kerner (D-Palm Springs) District 88 Rep. Bobby Powell (D-West Palm Beach) District 89 Rep. Bill Hager (R-Boca Raton) District 90 Rep. Lori Berman (D-Boynton Beach)

District 91 Rep. Irv Slosberg (D-Delray Beach) District 92 Rep. Gwyndolen Clarke-Reed (D-Pompano Beach) District 93 Rep. George Moraitis (R-Fort Lauderdale) District 94 Rep. Bobby DuBose (D-Fort Lauderdale) District 95 Rep. Hazelle Rogers (D-Lauderhill) District 96 Rep. Kristin Jacobs (D-Pompano Beach) District 97 Rep. Jared Moskowitz (D-Coral Springs) District 98 Rep. Katie Edwards (D-Sunrise) District 99 Rep. Evan Jenne (D-Dania Beach) District 100 Rep. Joe Geller (D-Aventura) District 101 Rep. Shevrin Jones (D-West Park) District 102 Rep. Sharon Pritchett (D-Miramar) District 103 Rep. Manny Diaz (R-Hialeah) District 104 Rep. Richard Stark (D-Weston) District 105 Rep. Carlos Trujillo (R-Doral) District 106 Rep. Kathleen Passidomo (R-Naples) District 107 Rep. Barbara Watson (D-Miami Gardens) District 108 Rep. Daphne Campbell (D-Miami Shores) District 109 Rep. Cynthia Stafford (D-Opa Locka) District 110 Rep. Jose Oliva (R-Hialeah) District 111 Rep. Bryan Avila (R-Hialeah) District 112 Rep. Jose Javier Rodriguez (D-Miami) District 113 Rep. David Richardson (D-Miami Beach) District 114 Rep. Erik Fresen (R-Miami) District 115 Rep. Michael Bileca (R-Miami) District 116 Rep. Jose Felix Diaz (R-Miami) District 117 Rep. Kionne McGhee (R-Miami) District 118 Rep. Frank Artiles (R-Miami) District 119 Rep. Jeanette Nunez (R-Miami) District 120 Rep. Holly Raschein (R-Key Largo)

www.floridadental.org

House and Senate Republican and Democratic Leadership 2014–2016 • • • • • •

Senate Majority Senate President: Sen. Andy Gardiner (R-Orlando) Senate President Pro Tempore: Sen. Garrett Richter (R-Naples) Senate Majority Leader: Sen. Bill Galvano (R-Bradenton) Senate Deputy Majority Leader: Sen. Denise Grimsley (R-Sebring) Senate Rules Chairman: Sen. David Simmons (R-Altamonte Springs) Senate Appropriations Chairman: Sen. Tom Lee (R-Brandon)

Senate Minority • • • • •

Florida’s Congressional Delegation U.S. Senators

District 11

Richard Nugent (R)

District 12

Gus Bilirakis (R)

District 13

David Jolly (R)

District 14

Kathy Castor (D)

Bill Nelson (D) Marco Rubio (R)

District 15

Dennis Ross (R)

District 16

Vern Buchanan (R)

District 17

Tom Rooney (R)

U.S. Representatives

District 18

Patrick Murphy (D) Curt Clawson (R)

District 1

District 19

Jeff Miller (R)

Alcee Hastings (D)

District 2

District 20

Gwen Graham (D)

Ted Deutch (D)

District 3

District 21

Ted Yoho (R)

District 4

District 22

Lois Frankel (D)

Ander Crenshaw (R)

Debbie Wasserman-Schultz (D)

District 5

District 23

Corrine Brown (D)

District 24

Frederica Wilson (D)

District 6

Ron DeSantis (R)

Mario Diaz-Balart (R)

District 7

District 25

John Mica (R)

Carlos Curbelo (R)

District 8

District 26

Bill Posey (R)

Ileana Ros-Lehtinen (R)

District 9

District 27

Alan Grayson (D)

District 10

Daniel Webster (R)

Senate Minority Leader: Sen. Arthenia Joyner (D-Tampa) Senate Minority Leader Pro Tempore: Sen. Oscar Braynon (D-Miami Gardens) Senate Minority Whip: Sen. Joseph Abruzzo (D-Wellington) Senate Minority Whip: Sen. Maria Sachs (D-Delray Beach) Senate Minority Policy Chairman: Sen. Darren Soto (D-Kissimmee)

MAKING CHANGES? LET US KNOW!

House Majority • • • • • •

House Speaker: Rep. Steve Crisafulli (R-Merritt Island) House Speaker Pro Tempore: Rep. Matt Hudson (R-Naples) House Majority Leader: Rep. Dana Young (R-Tampa) House Deputy Majority Leader and Majority Whip: Rep. Jim Boyd (R-Bradenton) House Rules Chairman: Rep. Ritch Workman (R-Melbourne) House Appropriations Chairman: Rep. Richard Corcoran (R-Lutz)

House Minority • • • •

House Minority Leader: Rep. Mark Pafford (D-West Palm Beach) House Minority Leader Pro Tempore: Rep. Mia Jones (D-Jacksonville) House Minority Whip: Rep. Clovis Watson (D-Gainesville) House Minority Policy Chairman: Rep. Evan Jenne (D-Dania Beach)

MOVING?

Don’t miss out on any of your member benefits. Contact the FDA with your new office address or email address. Remember to contact the Board of Dentistry directly about your move. Go to floridasdentistry.gov to make the change.

RETIRING?

We want to make sure you receive the forms for retired membership. You can save money! Contact us to find out more!

FOR STATUS OR ADDRESS CHANGES, CONTACT THE FLORIDA DENTAL ASSOCIATION. 800.877.9922 • fda@floridadental.org

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1/9/2015 9:51:23 AM

January/February 2015

Today's FDA

Dentists' Day on the Hill

The Importance of Attending ...

Dentists' Day on the Hill

“

Since these bills can and do genuinely affect dentistry’s future, participation is key.

By Dr. Brittney Craig

The Dentists’ Day on the Hill (DDOH) annual event is vital for the Florida Dental Association (FDA) during legislative session. Why is it so important and why should you be involved? FDA member dentists from around the state gather to share their views with state legislators and/or their staff on the pertinent bills that session so they will be able to advocate for public policy that affects the dental profession statewide. While I was well aware of DDOH’s significance, in the past I was hesitant to participate because I believed that other dentists

”

were far more knowledgeable about the topics discussed than I was. However, in 2013, I decided to sign up as a volunteer on the dental van to provide dental treatment for foster children. Knowing I truly made a difference in these young children’s lives made this experience especially rewarding.

Last year, a close colleague convinced me to become more involved in DDOH. Unsure about what I was getting myself into, I made sure to attend the legislative briefing held the night before DDOH. The meeting was designed to inform us — new and seasoned participants alike — on the FDA’s stance on each bill and why it was imperative they passed. We learned about each representative’s views and how to approach them on the topics at hand. Initially, I thought I was going to be meeting with legislators one-on-one to present the FDA’s views, but to my great relief that wasn’t the case. Rather, all the participating dentists

met early the next morning to go as a unified voice to state how and why we’d like them to vote on each bill. Throughout the day, we visited any office that would allow us to speak with the legislators or their aides. As you can imagine, an incredible amount of information comes across their desks, so it’s imperative they know the FDA’s stance on these matters in order to vote accordingly. I must say, it’s extraordinary what can be accomplished when a significant number of interested parties come together to support your position. By participating in this event last year, it really opened my eyes to the need for more dentists to get involved in DDOH. Without a doubt, it clearly shows the Florida legislators the issues that matter the most to the FDA. Since these bills can and do genuinely affect dentistry’s future, participation is key, and it makes a person feel he/she has provided a valuable service for the dental profession. I would strongly encourage you to participate in Dentists’ Day on the Hill in 2015! Dr. Craig is a general dentist and has a practice in Tallahassee. She can be reached at bcraigdmd@gmail.com.

Aloft Hotel Room Block: $154.00 per night (with a $5.00 per night parking fee). The block closes on March 1, 2015. SPONSORED BY

BRIEFING Tuesday, March 24, 2015 Aloft Hotel

LEGISLATIVE VISITS Wednesday, March 25, 2015 Capitol in Tallahassee For more information: 321.452.5500 • Email: jwsrgnrn@aol.com • www.floridadental.org/ddoh

Today's FDA

January/February 2015

www.floridadental.org

CDHC

Community Dental Health Coordinators:

CDHCs may provide preventive services as the state’s Dental Prac-

Medical/dental collaboration is a prime area where a CDHC can

tice Act allows, but their true value lies in their community work,

assist patients. As the ADA and the American Academy of Pedi-

including oral health promotion and prevention, patient navigation

atric Dentistry have stated, the first dental visit should happen by

and case management. These skills are explicit parts of the CDHC

the time an infant is 12 months old. Many pediatricians appreciate

curriculum.

this policy, but guiding parents and young patients to dental homes typically involves only the pediatrician making the suggestion. With

A Positive Contribution within Public Programs and Private Practice Settings By the ADA

There has been a lot of information lately about a new dental team mem-

“

ber in which the American Dental Association (ADA) advocates: the community dental health coordinator (CDHC). A CDHC emphasizes case management, patient navigation and community/individual oral health

These personalized navigational skills have been shown to greatly reduce patient no-show rates.

”

prevention. With the expansion of Medicaid in so many states and statistics showing that only half the people with commercial dental insurance use it, the time is right to discuss the CDHC’s true value. In 2007, the ADA began the CDHC pilot program in three sites. The pilot program concluded in 2012, and the data from more than 80 case studies were analyzed. Thirty-four CDHCs who completed the pilot program now work in eight states across the country. The program’s purpose was to develop community health workers with dental skills. Individuals in training had diverse backgrounds, including dental hygienists, assistants and others who interact with patients. The curriculum was taught in an online format with several in-person meetings throughout the training; a certificate was granted upon the program’s completion. Since the pilot’s conclusion, it’s clear that the most efficient CDHCs are dental assistants or hygienists. The current online curriculum breaks apart into “stackable” credits, which a community college can conveniently integrate into their own existing dental assisting or hygiene curriculum. The course work takes about a year to complete, with a brief internship to allow the CDHC to put what they

Why do patients need navigation and case management?

a CDHC visiting the pediatrician’s office in person, families may be directly appointed into the dental office’s schedule.

Case management is defined as the coordination of care that a patient may need to maximize access to care and their overall health

CDHCs often spend time in nursing homes or assisted living facili-

outcomes. This includes explaining the procedure in plain language,

ties performing oral health screening services and making referrals

ensuring transportation to the appointment, arranging transla-

to a dental office. Additionally, the CDHC’s ability to provide in-

tion services as needed and following up with support services.

service training to nursing home personnel on oral health care and

Although many dentists like to think that patients understand what

denture maintenance is valuable.

treatment they need, studies prove that not to be true in many cases! The ADA and the American College of Obstetrics and Gynecology In some circumstances, patients with commercial insurance may

collaborated on a Joint Consensus Statement several years ago that

not know how to access a dental office. Just picking up the phone

reinforced the safety factors in having pregnant women receive den-

and making an appointment can be confusing and overwhelming

tal care throughout their pregnancy. This largely unknown informa-

for many people. They may be unsure of which dental office accepts

tion, coupled with the uncertainty of locating dental services, can be

their insurance and how to begin a treatment series. The existing

enhanced by a CDHC who could provide oral health education and

CDHCs help patients find dental offices that accept their insur-

navigation to these pregnant women.

ance, have office hours that fit their work or school schedules, and answer questions regarding how long the treatment may take. With

Mattia College in Miami has become the first college in Florida

community mapping, oral health promotion and program eligibil-

to offer this program. They will be integrating the CDHC training

ity being integral elements within the CDHC courses, patients can

into their existing Expanded Duty Dental Assisting program. Other

be navigated not only into public health clinics, but into private

community colleges in the state have expressed interest in doing the

practices as well.

same.

These personalized navigational skills have been shown to greatly

For more information on the CDHC program, please visit ADA.org.

reduce patient no-show rates. As community health centers and public health clinics well know, patients express many barriers to keeping appointments. CDHCs are trained to effectively reduce those rates and track patients to completion.

have learned into practice.

Today's FDA

January/February 2015

www.floridadental.org

January/February 2015

Today's FDA

benefit

NUMBER

Helping Members Succeed NEW! MEMBER CERTIFICATES

ORDER YOUR FREE CERTIFICATE NOW! ■

Online: floridadental.org/members/ member-resource

■

Email: certificate@floridadental.org

■

Questions? Call the FDA Membership Services Number: 800.877.9922.

MEMBER IN GOOD STANDING

FLORIDA DENTAL ASSOCIATION

Richard A. Stevenson, DDS 2015 Florida’s Advocate for Oral Health N O R T H E A S T

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

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FDC2015 Speaker Preview

Stay Healthy and Fit While You Travel for Business or Pleasure By Dr. Uche Odiatu

Dental professionals have full schedules. In addition to taking care of patients, we have to stay current in our clinical skills. To do this, we take continuing education (CE) courses locally, out of state and sometimes even out of the country. Whether it’s the American Dental Association’s annual meeting, a LVI Global or Kois program, a regional dental conference or your favorite — the Florida Dental Convention (FDC) — it means leaving the comforts of home cooking, the local gym or golf club. I often hear the lament, “I gain weight when I travel because it’s so hard to eat healthy,” or “It’s hard to stick to a diet because of all those business dinners and cocktail parties.” That’s not a good excuse. When I travel to lecture or take a CE course myself, many times I lose some weight. Hard to believe? Well, my focus is the people, the conversations, the programming and networking — not the food. Am I some kind of Spartan soldier out of the movie “300”? Not at all; I just have a different mindset when I leave my house to travel.

Today's FDA

January/February 2015

Whether it’s for business or pleasure, traveling doesn’t necessarily mean all your hard work in the gym will get thrown out the window. There are proactive steps you can take that will ensure your trip takes you closer toward your goals rather than further away. q Affirm to yourself the importance of staying true to your nutritional goals before you leave. Remind yourself of the hard work and effort you’ve put into your workouts to get where you are. Decide ahead of time if and when you will allow yourself to have a “treat night.” This will give you peace of mind and the strength to say no to the free airplane cookies and honey roasted peanuts. q If you’re not as healthy as you’d like to be, there’s no need to postpone turning over a new leaf while at a dental conference. Sometimes being away from the usual temptations of the staff room snacks and the goodies at home can put you in a different mindset. Dr. Joe Dispenza’s book, “Breaking the

www.floridadental.org

Habit of Being Yourself,” reported that 95 percent of who we are is unconscious patterns of behavior. We get out of the same side of the bed every day, take the same number of steps to the bathroom, sit at the same chair for breakfast, park in the same spot every day, eat at the same shop at the food court and sip the same beverage to help us wind down. At a conference, putting yourself in a new bed at a hotel, exercising on a brand new treadmill and walking 200 yards back to your room to get your laptop at lunch time can put you in a new frame of mind. When you make positive changes and do new things, new neurons fire in your brain and create a whole new set of possibilities. q I recommend trying out new fitness habits while on the road. New environment — new behaviors! Sometimes at dental conferences, I’ll have fun with the audience by demonstrating a simple stretch you can do while brushing your teeth. Ninetynine percent of people just stand there and brush for 45 seconds. I demo a “Sonicare Stretch” that can be done during the two minutes of power tooth brushing. As many overworked dentists can relate, we tend to have tight hip flexors and gluteus maximus muscles; to ease this, you can put one foot up on the commode, lean into that leg and gently stretch your other leg. Neuroscientists say we can literally turn on new genes by doing novel activities and making our brains work differently. You will return home with new neurons and a new physique from a single dental convention!

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q Call the hotel and find out if they have coffee makers in the room. You can use this to prepare hot water for instant oatmeal, which you can easily bring in a Tupperware container (bring your own electric kettle if there is no coffee maker). Pack a plastic bowl and a spoon for easy in-room dining. This will save you time and money in the morning. Mix in some tasty Isagenix® whey protein powder (did you know there are high-end varieties made from grass-fed cows from New Zealand?) and unsalted nuts for a great start to your day! A true power breakfast! q Pre-order your airplane meals when you book your flight. You can request meals that are low in fat, kosher, vegetarian or sodium free to name a few. The bonus about special ordering is that you’re often served before everyone else. See, there are advantages of having specific needs. A few new disciplines will awaken a whole new side of your brain! q Pack healthy snacks in your carry-on luggage. Vegetables, fruit, rice cakes, whole wheat pitas, nuts, protein bars and meal replacement shakes will come in handy if you’re delayed. Don’t forget your “shaker bottle” for the protein shakes! Laugh if you want, but when I’ve been delayed on a tarmac for two hours due to weather and there is little food to go around, I often have to fend off the hungry looks of the unprepared travelers around me.

“

Fatigue makes cowards of us all. ~ Vince Lombardi

”

Please see HEALTHY, 35

January/February 2015

Today's FDA

benefit

Helping Members Succeed

NUMBER

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Professional Account $24 – members $29 – non-members Concierge Account $90 – members $99 – non-members Basic Account FREE

q Drink plenty of water before you leave and remember to stay hydrated during the trip. A well-hydrated body is less prone to jet lag, headaches and water retention. Avoid alcohol and coffee on the plane, as they both can dehydrate you. Bags under the eyes, dark circles, headaches and fatigue can all be avoided with nature’s life-giving elixir. q Don’t let boredom tempt your taste buds into mindless eating. Bring your laptop, e-reader, a journal or a copy of your favorite fitness magazine to keep you occupied. People often mistake boredom for hunger and snack on nutrient poor, high calorie fast-food while connecting at airports. q Hit the grocery store as soon as you arrive at your destination. Stock up on non-perishable food items for your hotel room. Excellent choices are bagels, apples, rice cakes, bananas, nuts, rye bread, tuna and salmon (buy the cans with the pull-off lids if you forgot a can opener). This will save you from the late night “hotel vending machine munchies.” So you think I’m crazy? This is what the lean business person and elite athletes are stocking their room fridges with while on the road. q If you are traveling with people who have free license to eat and drink, ask for their support before you leave. Sharing your goals will hopefully get

them on your side and save you from the teasing as you reach for your green tea, meal replacement shake or salmon salad (dressing on the side, of course). q Maintain your discipline at restaurants by asking for special food preparations. Ask for grilled or broiled meat, sauces and dressings on the side, egg white omelettes and steamed veggies. Everyone will admire your willpower. And you know what? Psychologists have reported that people who order first when dining out in a large group are seen as leadership material, as there’s power and discipline in certainty. q Make sure you’re well-rested on your trip. This may be easier said than done, but you set yourself up for success by having excellent “sleep hygiene.” This is not about showering before bed. Sleep hygiene refers to dimming the lights in the hours just before bed; staying away from stimulating foods; making sure your drapes are pulled completely closed (so your pineal gland makes the most melatonin); and maybe putting ear plugs in to protect your innocent ears from the honeymooning couple in the room next door. Why do all this? Because it’s easy to make poor food choices when you are weak and tired. As the famous football coach, Vince Lombardi, once said: “Fatigue makes cowards of us all.”

There is more to traveling than wining and dining. Remember to have FUN and create lasting memories of your trip. Instead of focusing on food, try different exercise activities, meet new people and enjoy your surroundings. By keeping the promises you make to yourself, you’ll increase your focus and strengthen your commitment to your new or existing fitness goal. Everyone will be amazed and surprised when you return from your trip … maybe in better shape than when you left! Dr. Odiatu has a private practice in Toronto. In addition, he is a certified personal trainer, co-author of two health and fitness books, and an international speaker. He can be reached at fitlove@rogers.com. He will be speaking at FDC2015 and presenting three courses on Thursday, June 11. At 8 a.m. he will present “Living Your Dreams,” followed by “Calm Mind, Fit Body, Inspired Practice!” at 9:30 a.m. Later, he will present “Your Mouth, Your Body, Your Life” at 2 p.m.

FDA members, contact Brooke Mills, FDC Meeting Coordinator to get your code. bmills@floridadental.org 800.877.9922 • 850.350.7103

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January/February 2015

Today's FDA

FDC2015 Speaker Preview

Fruits and Vegetables in the Prevention of Disease By Dr. Deb Harrell

The easiest and most important thing you can do to improve the quality of your life and prevent disease is to eat more fresh fruits and vegetables (organic, if possible). Numerous studies have demonstrated that fruits and vegetables are crucial in disease prevention. Unfortunately, most Americans fall severely short of doing this simple thing. According to the American Cancer Society’s “Cancer Prevention & Early Detection Facts & Figures 2002,” “While knowledge about nutrition and health is improving, Americans have been slow to adopt more healthful diets.” Plant food consumption is vitally important; the U.S. Department of Agriculture (USDA) recommends one-half of your plate be filled with fruits and vegetables at every meal, which equals about nine to 13 servings per day. One serving is a piece of fruit, such as an apple or banana; one-half cup of berries; one-half cup of dense vegetables, such as carrots; and one cup of leafy vegetables, such as lettuce. Fruits and vegetables are important because they are nutrient dense — high nutrient per calorie consumed, high in vitamins and minerals, and filling

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due to high fiber content. I encourage people to make salad the main item in a meal and eat a large one before consuming other less nutrient-rich items. Also, eating from each color group daily is beneficial because although some of the benefits cross over between groups, each group has unique benefits!

Antioxidants and Phytochemicals We hear these words a lot but what do they mean? According to the Concise Medical Dictionary, an antioxidant is described as any substance that delays the process of oxidation. Oxidation is the act or process of other substances combining with oxygen, and it occurs in breathing and the body’s normal process of converting food into energy. Antioxidants go through the body and mop up the free radicals, which were produced as a result of oxidation. You cannot escape oxidation; it’s a part of life. Nature provided the answer to oxidation in antioxidants, which are found only in plant foods. When you eat a diet that is lacking in sufficient fruits and vegetables, free radicals take over and you are left with disease.

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Phytochemicals are plant chemicals that contain protective, disease-preventing compounds. More studies are demonstrating that components of plant foods called phytochemicals (there are more than 12,000 known to date) may help reduce the risk of many diseases. Phytochemicals are in greatest concentration in produce with darker colors or more intense flavor.

Color Your Palette For optimal health, we need to eat a rainbow diet with foods from each color group every day. Each color group has its own unique benefits. Choose foods with the deepest hues; typically, the deeper the color, the more nutritious the food. Eating a variety of colors ensures that we get the variety of the nutrients that we need. Here are some health benefits from each color group: Red foods are very good at fighting diseases. They contain lycopene, which helps rid the body of free radicals. Red foods also contain anthocyanins (water-soluble vacuolar pigments) that help prevent cancer. Red foods contain ellagic acid, quercetin and hesperidin, which have been shown to protect against prostate cancer and heart and lung disease. They also aid memory and promote good urinary tract health. Examples of red foods are tomatoes, beets, red peppers, grapes, raspberries, red apples and red carrots. Orange-yellow foods promote heart health and healthy tissues and bones, protect against cancer, provide a healthy immune system, good vision health, and help lower cholesterol and keep bad cholesterol (LDL) from sticking to artery walls. Orange foods also keep joints healthy. Orange and yellow foods contain beta-carotene, zeaxanthin,

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flavonoids, potassium and vitamin C, among others. Oranges, bananas, butternut and acorn squash, pumpkins, carrots, mangoes, tangerines and papayas are all great orange foods. Dark green vegetables are excellent at fighting disease. The National Cancer Institute ranks broccoli as the number one food to prevent cancer. Green foods contain sulforaphane, which has been shown to kill helicobacter pylori, the pesky bacteria that cause stomach ulcers and potentially deadly stomach cancers. Green foods help prevent macular degeneration (the number one cause of blindness in elderly people) and contain powerful antioxidants to prevent disease. Green foods are superfoods full of chlorophyll, lutein, calcium, folate, fiber and beta-carotene. Great green foods are artichokes, lettuce (choose darker romaine over light iceberg), spinach, kale, collards, broccoli, peas, green beans, leeks, cabbage, green apples, limes, green onions and green peppers. The blue and purple food group is great at protecting the body from free radical damage by destroying them before they do any harm. Blueberries and blackberries wipe out more free radicals than 50 other fresh fruits and vegetables. They also are loaded with anthocyanins, which are believed to protect against heart disease by preventing blood clots. They promote good urinary tract health as well as aid in memory, build the immune system and prevent cancer. Other blue and purple foods are eggplant, grapes, purple potatoes, black currants, elderberries, pomegranates, purple carrots and plums.

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The smarter we get, the sicker we become, because we are looking for cures instead of causes. ~ Joel Robbins, MD, DC

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Please see PREVENTION, 39

January/February 2015

Today's FDA

FDC2015 Speaker Preview

PREVENTION from 37

The main thing to remember is to fill at least half of your plate each meal with colorful fruits and veggies — and the darker the color, the more health benefits! Always choose darker colors over lighter ones when possible. Eat a wide variety of colors every day to get the full spectrum of benefits provided by the various color groups. Also, follow the 80/20 rule: eat right 80 percent of the time, and when you splurge the other 20 percent, it won’t make a detrimental difference. However, if you are immunocompromised and dealing with serious health issues such as cancer, the 100/0 rule should be considered — you don’t have the luxury of eating badly 20 percent of the time.

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To learn more about the benefits of plant foods and to view tasty plant-based recipes, visit www.healthpeak.com. Dr. Harrell is a naturopathic doctor and professional wellness coach, and can be reached at drdebhnmd@gmail.com. She will be speaking at FDC2015 and presenting her course, “The Down and Dirty Tips to Living a Clean and Healthy Life” on Friday, June 12 at 2 p.m, with a repeat on Saturday, June 13 at 9:30 a.m.

Helping Members Succeed Receiving a clear, concise explanation of the terms of a provider contract may help you avoid unpleasant surprises.

The ADA provides a Contract Analysis Service to members free of charge. This service informs members, in clear language, about the provisions of their contracts so they can make informed decisions about their participation. Send your unsigned third-party contract (i.e., from managed care companies) to the FDA. We will forward it to the ADA for analysis.

FOR MORE INFORMATION 800.877.9922 • fda@floridadental.org www.floridadental.org/contract-analysis

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1/9/2015 9:57:28 AM

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Helping Members Succeed It’s the best reason to join the FDA! PR is a very friendly, low-key, nonadversarial process that looks out for the best interests of the dentist and the patient. — Dr. Edward Daniel

The Peer Review Mediation Program settles disagreements between patients and dentists more economically and efficiently than the legal system and is available only to FDA members. This program is free of charge.

FOR MORE INFORMATION 800.877.9922 • fda@floridadental.org www.floridadental.org/peer-review

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Legislative Contact Dentist

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This past year as an LCD has taught me how valuable organized dentistry is.

My Great First-year LCD Experience:

A Much Needed Position in Organized Dentistry

By Dr. Louis Traci

Several years ago, I was asked to become more involved in organized dentistry and take on a leadership role. While I did participate a little at the time, I wasn’t fully enjoying my contribution. However, I’ve always had an interest in politics. At that time, the economy wasn’t doing well; a lot of folks who recently purchased dental

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practices had no choice but to take on some insurance plans in order to make ends meet and grow their practice. The non-covered services legislation was receiving a lot of attention due to insurance companies dictating non-negotiated fees that weren’t even in the contract. With that being said, a few years later when I received the list of newly elected legislators who needed dental liai-

sons — legislative contact dentists (LCDs) — I became interested in the Florida Dental Associations (FDA)LCD program. I recently relocated to St. Petersburg and saw that Rep. Kathleen Peters needed an LCD. I emailed FDA Governmental Affairs Director Joe Anne Hart and told her I was interested in the position. Little did I know that I was in for a truly rewarding experience.

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Once I was approved as an LCD, I contacted Rep. Peters’ local office in St. Petersburg to set up a meeting to start my new position. I was a little nervous, as I never had a oneon-one meeting with a lawmaker before. When I arrived at the office, her secretary welcomed me and led me to her office. Rep. Peters gave me a warm reception and asked me what she could do for us. With my list of prioritized information from the FDA Governmental Affairs Office (GAO), I told her how passionate I was about HB 31/SB 86 — Non-covered Services and how it affected my practice. She immediately co-sponsored the bill and played a vital behind-the-scenes role in finding out what bottlenecked the legislation from moving forward in previous sessions. As our meeting ended, she invited me to Tallahassee to be a “legislator for the day.” I was so excited to see how the process worked that I traveled to Tallahassee the following day. My first day in Tallahassee proved to be a busy and well-orchestrated one. I met with Joe Anne Hart, Casey Stoutamire and Alexandra Abboud at the GAO downtown, just a few blocks from the Capitol. We went through the day’s agenda, discussing the legislators and their committees we would visit and how we needed them to vote on the FDA’s key legislation. As we went through each legislator’s office, I was unexpectedly surprised at how open and

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receptive they were to the visit. I found that they want to hear about the issues from the people in the trenches as much as possible. A key example was our last meeting that day. We met with a member of the House of Representatives regarding keeping pediatric dental Medicaid funds separate from pediatric medical Medicaid funds. Present law had them completely comingled in a year, which ultimately meant less dental funding for children. This legislator was on the fence about how to vote in committee. She was torn; it was a difficult decision for her. After our discussion, with some hesitation I watched her vote “Yes” to keeping the funds separate on the committee floor. I’m confident that this would not have happened if it wasn’t for our meeting beforehand. The following day was even more exciting. After being on the FDA lobbying side of the table the first day, I was now a legislator for the day on the second. Rep. Peters sat me at her desk in her office and I conducted the meetings on her schedule — with her help, of course. According to Rep. Peters, this was a slow day, but I was blown away by all the special interest groups such as homeless, foster care, education and countless others that had come bearing specific action plans with budget requirements. For a slow day, these folks all needed millions of dollars for their worthy causes. After being in their shoes for the day, I realized how hard our

”

state legislators work and how committed they are to doing their best for the state. This past year as an LCD has taught me how valuable organized dentistry is. We need to ensure that it is preserved at all costs and not let what has happened to our medical colleagues happen to us. This is only accomplished by assuring that we maintain a strong voice both in Tallahassee and Washington, D.C. If anyone has an interest in becoming an LCD, please feel free to contact me or the GAO for more information. Joe Anne, Casey and Alexandra do an amazing job at ensuring our voice is heard in Tallahassee. If you don’t have time to volunteer at this point, please consider giving to the Florida Dental Association Political Action Committee (FDAPAC) — I can assure you this is money well spent! A happy and prosperous New Year to you all in 2015! Dr. Traci has a practice in Safety Harbor and can be reached at 727.726.0865 or safetyharbordentistry@verizon.net. Photo: Dr. Louis Traci with Rep. Kathleen Peters.

January/February 2015

Today's FDA

Diagnostic

HELPING MEMBERS SUCCEED

ALL YEAR LONG

Diagnostic Discussion By Drs. Nadim M. Islam and Neel Bhattacharyya

A 60-year-old Caucasian female presented to Dr. Cindy Greene at BGW Dental Group, Gainesville, Ga. with discomfort around the lower left area of her mouth. The chief concern included red, swollen gums with sensitivity. Prior dental history included extraction of tooth No. 19 more than 15 years ago; a fixed bridge was placed in the area almost immediately after. The radiograph taken at this appointment revealed a dome-shaped opacity immediately subjacent to the pontic (Fig. 1). Periodontal bone loss was evident on the radiograph as well. The possibility of a retained root tip with osteosclerosis was considered. A probing 5 mm depth on the mesial of No. 18 with no purulence or drainage was seen. Other areas of the oral cavity appeared to be within normal limits. She is a non-smoker and her medical history includes thyroid disease, sinus problems, hepatitis and high blood pressure. Her current medications include alprazolam, losartan, L-thyroxine, estradiol, amitriptyline, calcium supplement and aspirin. The clinicians queried whether to biopsy the area in order to rule out significant pathology.

LOOKING FOR SOLUTIONS? The America Dental Association (ADA), Florida Dental Association (FDA) and your district dental association are working together to empower you. Our mission: Helping members succeed Our vision: Florida’s advocate for oral health

Fig. 1 Question: Based on the clinical presentation and image above, what is the most likely diagnosis? A. Idiopathic Osteosclerosis B. Condensing Osteitis C. Retained/ankylosed Root Fragment D. Odontoma E. Subpontic osseous hyperplasia

 LEGISLATION THAT PROTECTS

IN 2014, the FDA passed three important bills to protect Florida patients and practitioners — SB 86: Noncovered Services; HB 97: Sovereign Immunity; and, SB 520: Dental Workforce Survey Public Records Exemption.

Please see DIAGNOSTIC, 46

THIS YEAR, as part of the FDA Florida’s Action for Dental Health plan, our legislative push will be to: 1. Promote attainable dental care for the uninsured and underserved in Florida. 2. Collaborate to maximize use and capacity of the current dental workforce to optimally serve Floridians with preventive and therapeutic dental care. 3. Expand opportunities for public health dentistry to serve Floridians.

Recharging your FDA!

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ONLINE CE: THE EASY WAY

You can ensure that the FDA’s legislative successes continue by renewing your membership. If you haven’t already, you can renew by returning your payment by mail or going online at www.floridadental.org/dues. Payment plans available. Questions? Contact the FDA Membership Concierge at 800.877.9922 or membership@floridadental.org.

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Earn CE credit for reading “Diagnostic Discussion.” Visit the FDA website and click the “Online Education” button for this free, members-only benefit. Be sure you are logged in to the members-only side of www.floridadental.org. You will be given the opportunity to review this column and its accompanying photos, and will be asked to answer five additional questions. Questions? Contact FDC Meeting Coordinator, Brooke Mills at bmills@floridadental.org or 800.877.9922. * These courses expire on 1/30/2016.

January/February 2015

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1/30/2015 10:56:40 AM

Diagnostic

DIAGNOSTIC from 45

Diagnostic Discussion A. Idiopathic Osteosclerosis (Dense Bone Island/ Bone Scar) Incorrect. Idiopathic osteosclerosis is a benign, asymptomatic, usually radiopaque entity and mostly is seen on routine radiographs. Ideally, these are seen in the periapical areas of teeth but the important feature is that the associated/adjacent teeth are mostly vital. Radiographically, these lesions are well-defined, round or elliptical radiopaque masses exhibiting lack of continuity with the apex of associated teeth. The size ranges from 3 mm up to almost 2 cm. The differential diagnoses include condensing osteitis, or focal chronic sclerosing osteomyelitis. It’s most commonly seen in the mandible, usually the posterior jaw. The presentation both clinical and radiographic, points toward this diagnosis. The diagnosis may be confusing, especially when teeth with deep carious lesions or an inflamed site is noted. In such a scenario, the diagnosis may overlap with “condensing osteitis.” However, in the absence of a deep restoration or caries, and the presence of a relatively uninvolved tooth, idiopathic osteosclerosis must be considered. B. Condensing Osteitis (Sclerosing Osteomyelitis) Incorrect. The most important difference of this entity with the above mentioned idiopathic osteosclerosis is the presence of a localized area of bone sclerosis associated with the apices of teeth exhibiting either large carious lesions or deep coronal restorations, with pulpal inflammation or pulpal necrosis. Condensing osteitis is then the preferred term used. It usually presents as a radio-opaque lesion with associated teeth exhibiting questionable vitality response, and hence, is thought to be related to a low-grade inflammatory stimulus. This is more commonly seen in children and young adults and the presentation is of trabecular alteration that is usually uniform with a zone of increased radiopacity adjacent to the apex of a tooth that is clinically involved. These lesions are generally seen in the premolar and molar areas of the mandible. Additionally, the radiopacity is not delineated from the apex as noted in idiopathic osteosclerosis. The treatment is generally solving the cause of infection/inflammation. Our case did not present these radiographic features nor fulfil the clinical criteria.

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January/February 2015

C. Retained Ankylosed Radicular (Tooth) Fragment Incorrect. This particular entity often is the cause of slight swelling and/or pain especially when it starts to push itself and “sequestrate” out of the jaw bone. Typically, if the teeth are ankylosed it will exhibit some degree of hypercementosis, and is probably why these fracture during extraction. As a result, in most cases these are usually left behind in the socket or are the end result of a failed attempt to retrieve these during the procedure. If present, these are generally well-defined lesions with almost no symptoms or bony expansion/changes. In our case the opacity was more suprabony and not within the bone. Also, the radiographic image did not provide a strong presumptive diagnosis of a retained root. D. Odontoma Incorrect. This entity is the most common type of odontogenic tumor and some authors believe these to be a hamartomatous proliferation rather than true odontogenic neoplasms. The prevalence of odontomas exceeds the total of all other odontogenic tumors combined. These are of two types: compound and complex based on the resemblance to teeth. The compound type is made up of multiple, small tooth-like structures. The complex odontoma is generally a haphazard mass of enamel and dentin, which has no clinical or radiographic similarity to a tooth. In some cases both types may be appreciated. Odontomas are seen in younger individuals, especially when parents seek a dentist’s opinion for either routine dental care or to explore the reason for lack of eruption of a particular tooth. The compound type is seen in the anterior maxilla and the complex type is most likely seen in the posterior segments of the jaw. Radiographically, the compound odontoma presents as a collection of tooth-like structures of varying size. The complex odontoma presents as a calcified mass with the radiodensity of tooth structure. An unerupted tooth is frequently associated with the odontoma, and the odontoma prevents eruption of the tooth. These are conservatively treated by simple local excision, and the prognosis is excellent with no recurrence or future complication. E. Subpontic Osseous Hyperplasia Correct! Subpontic Osseous Hyperplasia (SOH) has been classified as a variant of other more common exostoses such as torus palatinus and torus mandibularis. SOH, however, has been known to recur following excision. A unique feature that differentiates SOH from the mandibular tori is that the latter presents bilaterally in more than 90 percent of reported cases, and this is in contrast with

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SOH, which is known to be distinctly unilateral despite presence of bilateral pontics in some cases. The exact etiology of SOH remains unknown, but it’s thought SOH may be genetic in origin as with other exostoses. Another possible etiology may be its relation to chronic gingival irritation, which might ultimately lead to subpontic bone proliferation. Local irritation has been implicated in other intraoral solitary exostosis. The placement of a fixed partial denture may distribute the stress or the functional load to the abutment and the surrounding bony tissue, thereby stimulating osseous proliferation and subsequent bone formation. This theory also is supported by the fact that cases of spontaneous remission of SOH after loss of a fixed partial denture has been noted and is well documented. Though the etiology of SOH is unclear, it remains an important clinical entity to be clearly understood. It is a well-established fact that SOH does not need treatment and may not require a biopsy if a diagnosis can be made based on radiographic presentation. Its presence also may compromise the patient’s ease to maintain proper subpontic hygiene, thus predisposing the prostheses to subsequent failure. Hence, the possibility of SOH recurrence should be considered in treatment planning and the area followed radiographically even after excision. An important point to remember is that bisphosphonates may play a role in enlargement of SOH, which is speculative at best at this point and this should be considered when patients are being evaluated for treatment.

Diagnostic Discussion is contributed by UFCD professors, Drs. Indraneel Bhattacharyya, Nadim Islam and Don Cohen, and provides insight and feedback on common, important, new and challenging oral diseases.

Dr. Bhattacharyya

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

Dr. Islam

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

References: Islam MN, Cohen DM, Waite MT, Bhattacharyya I. Three cases of subpontic osseous hyperplasia of the mandible: a report. Quintessence Int. 2010 Apr; 41 (4):299-302.

Dr. Cohen

Lorenzana ER, Hallmon WW. Subpontic osseous hyperplasia: a case report. Quintessence Int. 2000 Jan; 31 (1):57-61. Aydin U, Yildirim D, Bozdemir E. Aydin U, Yildirim D, Bozdemir E. Subpontic osseous hyperplasia: Three case reports and literature review. Eur J Dent. 2013 Jul; 7(3): 363-7. Lee CA, Lee MB, Matthews CR, Tatakis DN. Subpontic osseous hyperplasia: a case series and literature review. Gen Dent. 2014 JulAug; 62 (4):46-52. B. Neville, D.D. Damm, C.M. Allen, J. Bouquot. Oral and maxillofacial pathology. 3rd edition Saunders Elsevier, St. Louis (2009).

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January/February 2015

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WE KNOW DENTISTS. WE KNOW WORKERS’ COMP INSURANCE. Each year, one in ten health care workers experiences a needle stick or sharps injury, putting them at risk for lethal blood-borne viruses such as hepatitis B, hepatitis C and HIV. Make sure you have the proper coverage to protect your employees.

Source: Center for Disease Control; Henry and Campbell 1995; EPINet 1999

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Hayling

Dr. Robert Hayling ...

A Lifetime of Dedication Timeline

By Lynne Knight, FDA MARKETING COORDINATOR Jill Runyan, DIRECTOR OF COMMUNICATIONS

Dr. Robert Hayling has dedicated his entire life to serving his country, dentistry and the civil rights movement. His life was shaped by segregation, but he triumphed as a leader of the national civil rights movement. Because of his efforts to integrate St. Augustine businesses, he is sometimes called the Father of the Civil Rights movement in St. Augustine, and also the Father of the 1964 Civil Rights Act. Dr. Hayling grew up in Tallahassee and graduated from Florida A&M University (FAMU) before he enlisted in the U.S. Air Force in 1951. He went to Officer Candidate School and was commissioned a second lieutenant. Dr. Hayling earned his dental degree from Meharry Medical College School of Dentistry in Nashville, Tenn. After he graduated, he moved to St. Augustine, where he reopened the Rudcarlie Building, which was built by Dr. Rudolph Gordon and also housed his practice. Dr. Gordon was a gregarious dentist and maxillofacial surgeon, who was well known for distributing cigars to his friends. Dr. Gordon's was the first medical/dental office built in St. Augustine without racially segregated waiting rooms. His integrated practice in St. Augustine consisted of 40-50 percent white patients. That office now is a civil rights museum.

Dr. Hayling demonstrated with Dr. Martin Luther King, Jr., among many other well-known activists to desegregate St. Augustine. He was a victim of violence at the hands of the Ku Klux Klan and segregationists on many occasions. While at a Klan rally, he and several friends were beaten and about to be set on fire when the police intervened. He suffered multiple injuries, including having all of his fingers broken — of course, his most important dental asset. The Klan hoped this would end his dental career; however, after much rehabilitation, he was able to continue practicing dentistry.

After his concerted efforts to desegregate St. Augustine with many high profile events, Dr. Hayling lost most of his white patients. With continuing threats, he relocated his family and practice to Fort Lauderdale in 1966.

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Dr. Hayling’s advice for young dentists: It’s an old adage — if you find something you enjoy doing for your livelihood, you will never work a day.

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He is a career-long supporter of organized dentistry. Dr. Hayling was the first African American in Florida to become a member of the district, state and national components of the American Dental Association. He says, “I always wanted to be a dentist (or a veterinarian). I enjoyed every minute of it, and it provided a good life for my wife and family.” Ms. Knight is the FDA’s Marketing Coordinator and can be reached at lknight@floridadental. org and Ms. Runyan is the Director of Communications and can be reached at jrunyan@ floridadental.org. www.floridadental.org

m Born in 1929 m Grew up in Tallahassee m Graduated with a B.S. degree from FAMU University in 1951 m Served four years in the U.S. Air Force; commissioned as a second lieutenant after graduating from Officer Candidate School in 1952 m Married his high school sweetheart in 1954. They have three daughters (Robin, Tamara and Crystal) with advanced degrees. m Received his dental degree from Meharry Medical College in Nashville 1960; there were no integrated dental schools in Florida m Member of the FDA from 1961-1980 m Practice in St. Augustine 1961-1966 m Practice in Fort Lauderdale 1966-1980 m Inducted into the Florida Civil Rights Hall of Fame, 2014

Photos:

1. Dr. Hayling’s former dental office, which is now a Civil Rights Museum, in St. Augustine. From left to right, David Nolan, author and historian, Dr. Robert Hayling, Dr. David Colburn, historian and author. 2. Dr. Hayling received the “Order of La Florida Award": the highest honor bestowed upon its citizens by the City of St. Augustine. He is the first black to receive this award. Photograph by Elizabeth Duncan, July 2, 2014 during the grand opening of the Anniversary to Commemorate the Civil Rights Demonstrations, Inc. (ACCORD) Civil Rights Museum. 3. Andrew Young, Dr. Martin Luther King Jr., and Dr. Robert Hayling at a press conference in St. Augustine, 1964. Photograph by Frank Murray, Courtesy of ACCORD. 4. Opening night of the Museum of Florida History's Civil Rights in the Sunshine State exhibit with (left) Dr. Hayling, and civil rights attorney and activist John Due (right).

January/February 2015

Today's FDA

OBJECTIVES 1. Promote attainable dental care for the uninsured and underserved in Florida. 2. Collaborate to maximize use and capacity of the current dental workforce to optimally serve Floridians with preventive and therapeutic dental care. 3. Expand opportunities for public health dentistry to serve Floridians.

FLORIDA’S ACTION FOR DENTAL HEALTH Florida’s Action for Dental Health is a comprehensive effort developed by the Florida Dental Association to improve the oral health and resulting overall health of all Floridians.

The Florida Dental Association (FDA) is pleased to announce the launch of Florida’s Action for Dental Health in conjunction with the American Dental Association. The FDA promotes and advocates for oral health because a healthy mouth is essential to a healthy body. All Floridians should have access to quality dental care with programs and services tailored to Florida’s unique demographics — from infants to the elderly. Recently, the FDA partnered with stakeholder groups to develop Florida’s Action for Dental Health objectives and strategies designed to improve the oral health and resulting overall health of all Floridians. Florida’s Action for Dental Health will be implemented over the next several years with collaborative efforts from like-minded groups seeking to achieve these goals.

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January/February 2015

1. Promote attainable dental care for the uninsured and underserved in Florida. Develop partnerships with other entities that serve patients who need a dental home (physicians, hospitals, nursing homes, county health departments, federally qualified health centers, advocacy and stakeholder groups). Connect patients needing care with a dental team in an appropriate facility and support a reimbursement process to cover the cost of care. Increase the effectiveness of the Medicaid dental program in providing preventive care and treatment. Develop and implement an elder care protocol for dental care, focusing on caregiver education.

EXECUTIVE SUMMARY

STRATEGIES

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Secure state funding for coordinators to match special needs and medically compromised patients with volunteer dentists through the Dental Lifeline Network (Donated Dental Services). 2. Collaborate to maximize use and capacity of the current dental workforce to optimally serve Floridians with preventive and therapeutic dental care. Increase use of private practices, educational institutions, and state and federally supported dental programs with capacity to treat patients. Develop mechanisms for dental team members to establish dental care programs/facilities in underserved, rural areas of Florida. Establish Community Dental Health Coordinator (CDHC) education programs at dental, dental assisting and dental hygiene schools in Florida and incorporate CDHCs into the dental team.

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January/February 2015

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ACKNOWLEDGMENTS Provide more preventive care by expanding dental assistant duties allowed under general supervision in all settings. Allow for more efficient delivery of dental care by expanding auxiliary duties to include placement and finishing of restorations (with proper training and certification).

The FDA would like to recognize the members of the Workforce Innovation Task Group for the development of Florida’s Action for Dental Health.

The FDA would also like to recognize the members of the Sub-Workgroup on Elder Care which contributed to this report.

Dr. Jolene Paramore (Chair)

Dr. Nolan Allen (Chair)

Dr. Jim Antoon

Dr. Terry Buckenheimer

Recruit and assist in dental lab technicians’ education.

Dr. Ralph Attanasi

Dr. Don Ilkka

Support and expand preventive oral care in pediatricians’ offices.

Dr. Terry Buckenheimer

Bob Macdonald

Support and expand the volunteer safety net programs, including FDAsupported Project: Dentists Care clinics and Mission of Mercy programs.

Dr. Bill D’Auito

Dr. Cesar Sabates

Establish and expand emergency room diversion programs for definitive treatment.

Dr. Michael Eggnatz

Dr. Richard Stevenson

Dr. Richard Huot Dr. Kim Jernigan

Optimize dental care in nursing homes. Educate emergency room and nursing home facility staff on available resources for definitive treatment and establish referral lists of local dentists.

Dr. George Kolos Dr. Rodrigo Romano Dr. Barry Setzer

3. Expand opportunities for public health dentistry to serve Floridians.

Dr. Richard Stevenson

Establish and adequately fund a dental student loan repayment program. Require oral health education in schools and public assistance programs. Expand funding for county health department dental programs. Increase state supported funding for community water fluoridation. Increase Medicaid dental reimbursement rates and require 85/15 medical loss ratio for dental care in managed care programs. Expand public/private partnerships with federally qualified community health centers using private practice providers. Promote the Health Access Dental License to increase the number of providers in health access settings.

Today's FDA

January/February 2015

www.floridadental.org

CONTACT: Joe Anne Hart, Governmental Affairs Office jahart@floridadental.org Drew Eason, MA, CAE, Executive Director deason@floridadental.org 118 E. Jefferson St. Tallahassee, FL 32301 850.224.1089 floridadental.org www.floridadental.org

January/February 2015

Today's FDA

Cancer

What a Dentist Should Know About Oral and Pharyngeal Cancer in Florida By Henrietta L. Logan, PhD; Yi Guo, PhD and John G. Marks, DHSc, LPN

This is the second of our three-part series on oral and pharyngeal cancer (OPC) in Florida.1 Research for this second report was driven by our desire to broaden our understanding of trends in OPC incidence. Our previous publications provided evidence that the public knows little about OPC. Moreover, the actions taken by most members of the public are based on the notion that if OPC were important, dentists and doctors would have talked to them about it.2-7 Our focus group work with our rural north Florida community cohort showed that one reason the public is confused about OPC is that as a health community, we can’t agree on a name for this cancer. Is it head and neck cancer, oropharyngeal cancer, oral and pharyngeal cancer, or oral cancer? Our community advisory board suggested that when we talk to people in the community, we refer to the cancer as mouth and throat cancer. We did so, but the challenge remains that even though there are anatomical distinctions based on the label (head and neck, oropharyngeal, oral and pharyngeal, or oral cancer), the public does not

Today's FDA

January/February 2015

understand the differences. The result is that community members often ignore the messages that come from the health community. For those members of the public who have knowledge about OPC (or whatever name they use) and its risk factors, the concern is high and the desire for a screening is present. In the remainder of this article we refer to the cancer as oral and pharyngeal, but try to make anatomic distinctions when appropriate.

Methods We obtained data from the Florida Cancer Data System (FCDS) from which we calculated time trends in age-adjusted incidence rate (per 100,000 people) and distribution of stage of diagnosis from 1980–2010 (the most recent data available). Stage of diagnosis refers to the size of the tumor, whether the tumor has advanced beyond the local site to a regional site and whether or not the lymph nodes are involved.8 FCDS is a statewide population-based registry supported by the Florida Department of Health and National Program of Cancer Registries for the Centers of Disease Control and Prevention (CDC). The FCDS collects incidence data throughout Florida from hospitals, pathology laboratories, radiation therapy facilities, ambulatory surgery centers, dermatopathologists’ offices, etc. Florida statutes require that all malignant cancers be reported to FCDS.9 For our study, based on the etiology of the OPCs, we grouped them into oral cancer (floor of mouth, tongue and palate) and pharyngeal cancer (base of tongue, tonsil, oropharynx and hypopharynx). For some of our analyses, we used pre-existing geographic regions (north, central and south) established by the Florida Agency for Health Care Administration (AHCA).10 We characterized trends in OPC incidence rate using Annual Percentage Change (APC), which is the annual change in age-adjusted incidence rate across years.11 Our measures are standardized based on the age distribution of our state found in the 2000 U.S. population census data. In this paper, we will summarize our key findings12, 13 and discuss the implications for practicing dentists. www.floridadental.org

Results Between 1980 and 2010, we found: (1) there was significantly decreasing incidence for oral cancer for both men and women, but the percentage of late-stage (tumor has advanced beyond the local site and lymph nodes are involved8) diagnoses has remained similar at 40-45 percent; (2) there was significantly increasing incidence for pharyngeal cancer in men, with pharyngeal cancer accounting for a higher percentage of total oral and pharyngeal cancers in Florida than in the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) data registry (52 percent versus 35 percent);13 and (3) although all male age groups show increasing incidence in pharyngeal cancer, the most dramatic increase occurred in Caucasian men between 45-64. We further analyzed the data for the 45- to 64-year-old Caucasian males by examining the incidence of pharyngeal cancer by geographic region of Florida. Our rationale for this analysis was to determine if this disturbing increase in incidence was consistent throughout the state or limited to certain locales. We found that the incidence of pharyngeal cancer among 45- to 64-year-old Caucasian men was significantly increasing in all three geographic regions of Florida. The annual percentage change ranged from 2.23 in central Florida (p<0.0001) to 2.51 in northern Florida (p<0.0001) to 3.14 in southern Florida (p<0.0001). We also examined the stage at which these 45- to 64-year-old Caucasian men were being diagnosed by geographic region. Particularly worrying is that we found the percentage of late-stage diagnoses for pharyngeal cancer was increasing in all three regions of Florida. As of 2010, for the group of 45- to 64-year-old Caucasian men, nearly 85 percent of the pharyngeal cancer cases in all three geographic regions were diagnosed at the late stage.

Discussion The key findings were that from 1980–2010, cases of pharyngeal cancer were increasing in all males and the most dramatic increase was among 45 to 64-year-old Caucasian men. Among this group, the cancer was being diagnosed at a later stage, and this phenomenon was observed in the northern, central and southern regions of Florida. The FCDS does not record data on the association of Human Papilloma Virus (HPV) and pharyngeal cancer in Florida. However, the CDC does and issued an updated report on March 27, 2014. This

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Fig. 1

Does Your Patient Know These Signs and Symptoms of OPC?* m sore in the mouth or on the lip that does not heal (the most common symptom) m red or white patch on the gums, tongue, tonsil or lining of the mouth m lump on the lip, mouth, neck or throat, or a feeling of thickening in the cheek m persistent sore throat or feeling that something is caught in the throat m hoarseness or change in voice m numbness of the mouth or tongue m pain or bleeding in the mouth m difficulty chewing, swallowing, or moving the jaws or tongue m ear and/or jaw pain m chronic bad breath m changes in speech m loosening of teeth or toothache m dentures that no longer fit m unexplained weight loss m fatigue m loss of appetite, especially when prolonged; this may happen later in the course of the illness. *http://www.cancer.net/cancer-types/oral-and-oropharyngealcancer/symptoms-and-signs

report showed that in histologically and microscopically confirmed squamous cell carcinomas among men, Florida was among the top tier of states with most HPV-associated pharyngeal cancer (rate per 100,000 = 7.11-8.52).14 The CDC reported the median age at diagnosis for HPV-associated pharyngeal cancer in the United States was 5815. Our data for pharyngeal cancer in Florida showed the increase in incidence was similar with the most problematic group, Please see CANCER, 59

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benefit

Helping Members Succeed

NUMBER

Cancer

www.floridadental.org: your go-to site for all things FDA, all things Florida dentistry CANCER from 57

Redesigned, Responsive! www.floridadental.org

45- to 64-year-old Caucasian males. Thus, it seems reasonable that HPV is playing a role in the rising incidence of pharyngeal cancer in Florida. Dentists should be aware that the HPV vaccine is effective16 and is approved for both adolescent males and females. The American Dental Association recommends that dentists educate themselves and patients about the relationship between HPV and oropharyngeal cancer.17, 18 Based on our research results, it’s especially important for dentists to consider advising parents of male children about the importance of HPV vaccination in the face of the increasing incidence of pharyngeal cancer in men.19, 20

Now “responsive” across a range of devices including mobile phones and tablets SINGLE SIGN ON: log in once to access member-only content on the ADA and FDA websites. Easily make dues payments and update your member information using the same username and password currently used for ADA websites. IMPROVED FDA SITE SEARCH: a context-sensitive, site-wide search capability that allows you to quickly find the information you need, including content inside documents. Content has been indexed, keywords and tags added; however, some content may be available to members only, so have your username and password handy.

Implications The take-home message for dentists and their staff is that oral and pharyngeal cancer screenings are important, especially for the 45- to 64-year-old Caucasian male. The 45- to 64-year-old male is notorious for being “too busy” to visit the health care provider, including the dentist.21 Getting the wives, mothers, significant others and friends involved to encourage more frequent dental visits for this age group may be a critical step in saving these males from the devastating effects of a late-stage OPC diagnosis. Dentists and their staff should create a buzz in their community about OPC. This buzz may then set these at-risk men into action and get them into the dental practice where an OPC screening can occur as a part of routine dental care.18 Do people in your community understand that oral cancer may be called a different name by their physician? Are your OPC examination procedures up to date?22 The OPC examination process should include examining as far back in the throat as you can, feeling for suspicious lymph nodes in the neck, asking questions about sore throats, sores that aren’t healing and lingering coughs (Fig. 1).22 Your efforts to inform the public about OPC and your examination could save one of these men from the long and costly effects of both the cancer and the cancer treatment.23

Questions about floridadental.org? Call 800.877.9922

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There are a few websites that include non-copyrighted material that you may use for your practice and your patients: • Our website, www.take-the-bite.dental.ufl.edu, has material for patients or other health professionals under the “Resources” tab. • Another site with valuable information that includes videos of the OPC examination is www.nidcr.nih.gov/oralhealth/Topics/ OralCancer/DetectingOralCancer.htm#TheExam.

www.floridadental.org

•

The annual Oral Pathology Symposium focuses on topics ranging from HPV-driven cancers to other lesions commonly encountered in general and specialty dental practice. Go to www.ce.dental.ufl.edu/courses/oral-pathology-symposium for current registration and content information.

References

1. Logan H. Public awareness of oral and pharyngeal cancer. Today’s FDA 2014; (September/ October):38-41. 2. Choi Y, Dodd V, Watson J, et al. Perspectives of African Americans and dentists concerning dentist-patient communication on oral cancer screening. Patient Educ Couns 2008; 71(1):41-51. 3. Dodd VJ, Watson JM, Choi Y, Tomar SL, Logan HL. Oral cancer in African Americans: addressing health disparities. Am J Health Behav 2008; 32(6):684-92. 4. Riley JL, 3rd, Dodd VJ, Muller KE, Guo Y, Logan HL. Psychosocial factors associated with mouth and throat cancer examinations in rural Florida. Am J Public Health 2012; 102(2):e7-14. 5. Riley JL, Pomery EA, Dodd VJ, et al. Disparities in knowledge of mouth or throat cancer among rural Floridians. J Rural Health 2013; 29(3):294-303. 6. Shepperd JA, Howell JL, Logan H. A survey of barriers to screening for oral cancer among rural Black Americans. Psychooncology 2014; 23(3):276-82. 7. Logan HL, Shepperd JA, Pomery E, et al. Increasing screening intentions for oral and pharyngeal cancer. Ann Behav Med 2013; 46(1):96-106. 8. Werning JW. Oral cancer: diagnosis, management, and rehabilitation. 1st ed. New York: Thieme Medical Publishers, Inc; 2007. 9. Ren C, Lim,S.,Hylton,T.,et al. Florida annual cancer report: 2008 incidence and mortality,. Tallahassee, Fl.: Florida Department of Health; 2012. 10. Logan HL, Guo Y, Dodd VJ, Seleski CE, Catalanotto F. Demographic and practice characteristics of Medicaid-participating dentists. J Public Health Dent 2014; 74(2):139-46. 11. National Cancer Institute Surveillance research cancer control and population sciences: Average annual percent change (AAPC). Washington, DC: 2012. „http://surveillance.cancer. gov/joinpoint/aapc.html“. Accessed September 23, 2014. 12. Guo Y, McGorray SP, Riggs CE, Jr., Logan HL. Racial disparity in oral and pharyngeal cancer in Florida in 1991-2008: mixed trends in stage of diagnosis. Community Dent Oral Epidemiol 2013; 41(2):110-19. 13. McGorray SP, Guo Y, Logan H. Trends in incidence of oral and pharyngeal carcinoma in Florida: 1981-2008. J Public Health Dent 2012; 72(1):68-74. 14. Centers for Disease Control and Prevention HPV- Associated oropharyngeal cancer rates by state. Atlanta, GA.: 2014. „http://www.cdc.gov/cancer/hpv/statistics/state/oropharyngeal. htm“. Accessed September 23, 2014. 15. Centers for Disease Control and Prevention APV-Associated cancers diagnosis by age. Atalnta, GA.: 2012. „http://www.cdc.gov/cancer/hpv/statistics/age.htm“. Accessed September 23, 2014. 16. Ferris D, Samakoses R, Block SL, et al. Long-term study of a quadrivalent human papillomavirus vaccine. Pediatrics 2014; 134(3):e657-65. 17. Shepperd JA, Howell JL, Catalanotto F, Dodd VJ, Logan HL. The decision to counsel adolescents about HPV. Am J Health Behav 2013; 37(6):755-62. 18. American Dental Association Statement on human papillomavirus and squamous cell cancers of the oropharynx. 2014. „http://www.ada.org/en/about-the-ada/ada-positionspolicies-and-statements/statement-on-human-papillomavirus-and-squamous-cel“. Accessed October 22, 2014. 19. Liddon N, Hood J, Wynn BA, Markowitz LE. Acceptability of human papillomavirus vaccine for males: a review of the literature. J Adolesc Health 2010; 46(2):113-23. 20. Liddon N, Michael SL, Dittus P, Markowitz LE. Maternal underestimation of child’s sexual experience: suggested implications for HPV vaccine uptake at recommended ages. J Adolesc Health 2013; 53(5):674-6. 21. Wiener RC, Wu B, Crout RJ, et al. Hygiene self-care of older adults in West Virginia: effects of gender. J Dent Hyg 2012; 86(3):231-8. 22. Clark N, Marks J, Sandow P, Seleski C, Logan H. Comparative effectiveness of instructional methods: Oral and pharyngeal cancer examination. J Dent Educ 2014; 78(4):622-29. 23. Jacobson JJ, Epstein JB, Eichmiller FC, et al. The cost burden of oral, oral pharyngeal, and salivary gland cancers in three groups: Commercial insurance, Medicare, and Medicaid. Head Neck Oncology 2012; 4:15.

January/February 2015

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Dental Lifeline

Dental Lifeline Network Florida 2013-2014 Annual Report

Thanks to Our Volunteers! FDA Members listed in bold

“The DDS program made a tremendous difference in our lives and we will be forever grateful for what you have done for us.” — Cynthia, a Florida DDS patient “It was a happy day when Dorothy and Cynthia came in. The staff was excited to see them. If you are a dentist on the fence about volunteering — give it a shot. DDS makes it easy.” —Dr. Brett Zak, a DDS volunteer Left to right, Dr. Brett Zak, Dorothy, Cynthia and Dr. Timothy Lane

A mother and daughter with serious medical problems and painful

Zak, in practice with Dr. Lane, contributed Dorothy’s new lower partial.

dental disease lived together in Apopka, unable to afford the extensive

Oral surgeon Dr. Don Tillery extracted root tips for both patients.

dental care they needed. While Cynthia, age 53, was in treatment for ovarian cancer, her mother, Dorothy, age 87, had cardiac problems

Donated fabrications included Cynthia’s crown from Touchstone

including an 11-year-old heart stent.

Dental Lab and Dorothy’s lower partial from Top Quality Partials. Both labs in the Orlando area are among 200 in-state dental labs that vol-

The lives of both were dramatically transformed through extensive

unteer for Dental Lifeline Network • Florida, which operates the DDS

treatment generously donated by four volunteer dentists and two labs

program.

through the Donated Dental Services (DDS) program. General dentist Dr. Timothy Lane donated Cynthia’s crown and restorations and she received a root canal from endodontist Dr. Jiann-Jang Wu. Dr. Brett

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January/February 2015

www.floridadental.org

Volunteer Since

Dr. Jose Abadin 1997 Dr. Mark Abdoney 2008 Dr. Suzanne Abergel Nahon 1997 Dr. George Aberth Jr. 2004 Dr. Frank Addabbo 2008 Dr. Jennifer Adelson 2008 Dr. Alan Adkins 2008 Dr. Sudhir Agarwal 2008 Dr. Rodger S. Aidman 1997 Dr. John Akers 2006 Dr. Sandra Aljure-Estrada 2004 Dr. Brian Allen 2004 Dr. Joseph Allen 2002 Dr. Gilda Alonzo 2002 Dr. Richard Altman 2003 Dr. Gloria Alvarez Torre 2006 Dr. Gary Alvo 1997 Dr. Rosie Angelakis 1997 Dr. James Antoon 2003 Dr. William Aughton 2006 Dr. Anthony Auletta Jr. 2013 Dr. Richard Balick 1997 Dr. William Barkins 2001 Dr. Scott Barr 2002 Dr. Jose Barros 1999 Dr. William Bassett 2002 Dr. William Baxter 2008 Dr. Jeffery Beattie 2010 Dr. Laurent Belanger 2010 Dr. Aldo Bendana 2008 Dr. Bryan Bergens 2012 Dr. Paul Berger 2007 Dr. Bruce Bernstein 2006 Dr. Wayne Berry 1997 Dr. Mark Bills 2004 Dr. John Bindeman 2004 Dr. Robert Blank 1997 Dr. Eric Bludau 2009 Dr. Jeffrey Blum 1997 Dr. Barry Bluth 1997 Dr. Patricia Bobadilla 2013 Dr. Christopher Bonham 2002 Dr. Brent Bracco 2014 Dr. Alan Bresalier 2001 Dr. Robert Brockett 2007 Dr. John Brodner 2004 Dr. Michael Brody 2003 Dr. Susan Brooks 2010 Dr. Craig Broome 2011 Dr. Solomon Brotman 2004 Dr. Debra Brown 2005

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Dr. Lawrence Brown 1999 Dr. Terry Buckenheimer 2014 Dr. Robert Burks 2008 Dr. Robert Burns Jr. 2003 Dr. Andrew Byrnes 2014 Dr. Donald Cadle Jr. 2004 Dr. Fernando Campos 2008 Dr. Manuel Capiro 2006 Dr. Joseph Carbone 2008 Dr. Donald Carmona 1997 Dr. Franklin Casthely 1997 Dr. Axel Castro 2008 Dr. Erika Caviedes 2011 Dr. Rene Cedeno 2003 Dr. Jorge Centurion 2002 Dr. Jeffrey Chait 2000 Dr. Joseph Chiafair 2008 Dr. Dolcie Chin 2008 Dr. Robert Churney 2010 Dr. Reinaldo Claudio 2002 Dr. Eric Claussen 2014 Dr. Stephen Cochran 2002 Dr. Carlos Coello 2002 Dr. Karen Coello 2002 Dr. Scott Cohen 2007 Dr. Santiago Colon 1997 Dr. Eugenio Conte 1997 Dr. Thomas Copulos 2008 Dr. Anthony Corbo 2002 Dr. Adrian Correa 2014 Dr. Robert Cowie 2002 Dr. Edward Cronauer 1997 Dr. Charles Curley 2011 Dr. Stephen Cwikla 2013 Dr. Grace Dai 2003 Dr. James Davis 2014 Dr. Wilbur Davis 2004 Dr. Kevin Dean 2010 Dr. Daniel DelCastillo 2002 Dr. Vivian DeLuca 2011 Dr. Ping Ping DeLucia 2012 Dr. Mark Denunzio 2014 Dr. Andrew Derwin 2002 Dr. Nicholas DeTure 1999 Dr. Charles DeWild 2002 Dr. Andrea Diamond 1997 Dr. Marcos Diaz 2007 Dr. Peter Dillon 2011 Dr. Tim Doerner 2004 Dr. Michael Dorociak 2004 Dr. Paul Eckstein 2011

Change A Life With Donated Dental Services (DDS) Try one case

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

DDS Will: n ensure that patients arrive on time. n be the liaison between your staff and the patient to facilitate everything. n arrange for assistance from specialists and laboratories.

A great staff experience “We get a sense of accomplishment treating DDS patients. The most rewarding thing for my staff is how much they change when the work is completed.” — Dr. James Szarko

Please volunteer Contact Florida Program Coordinator Megan Manor at 850.577.1466 or mmanor@DentalLifeline.org. Last year, Florida volunteer dentists and labs treated 169 people with disabilities or who are elderly or medically fragile.

Please see LIFELINE, 62

January/February 2015

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Dental Lifeline

LIFELINE from 61 Dr. Mitchell Edlund 2014 Dr. Michael Eggnatz 1997 Dr. Jeffrey Eisner 1997 Dr. Karl Ellins 1998 Dr. Jeffrey Elliott 2008 Dr. Ross Enfinger 2011 Dr. Eric Epstein 2006 Dr. Mitchell Epstein 2004 Dr. Juan Erro 1997 Dr. Enrique Escofet 1997 Dr. Maria Escoto 2011 Dr. Rebecca Faunce 2002 Dr. David Feinerman 2014 Dr. Randy Feldman 2006 Dr. Sheryl Fensin 1997 Dr. Alan Fetner 2011 Dr. Howard Finnk 2012 Dr. Sinisa Firic 2011 Dr. Alberto Fischzang 2011 Dr. James Flach 2008 Dr. Mark Forrest 1997 Dr. Robert Foster 2008 Dr. Eric Fox 2011 Dr. Marc Frankel 2013 Dr. Ann Freedman 2002 Dr. Ronald Friedensohn 2003 Dr. Craig Friedman 2008 Dr. Randy Furshman 1997 Dr. Marie Gale 2006 Dr. John Gammichia 2008 Dr. Georgina Garcia 1998 Dr. Raul Garcia 2002 Dr. Rebeca Garcia 2008 Dr. Bobby Garfinkel 2009 Dr. Steven Garrett 2014 Dr. Robert Gehrig 2002 Dr. Jay Gelman 2008 Dr. David Genet 2012 Dr. Daniel Gesek 2002 Dr. Elizabeth Gesenhues 2002 Dr. Mario Ginzburg 1997 Dr. Andrea Giraldo 2008 Dr. Karen Glerum 2002 Dr. E. William Goldner 1997 Dr. Yedda Gomez-Ruane 2008 Dr. Stephanie Gonzalez 2014 Dr. Richard Goodman 2003 Dr. Sheldon Goodman 2002 Dr. Frederick Grassin 2014 Dr. James Green 2014 Dr. Nancy Greenbarg 1997 Dr. Mark Greskovich 2003 Dr. Tara Griffin 2008 Dr. Larry Grillo 1997 Dr. Kenneth Grossman 2008 Dr. Paul Guidi 2005

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January/February 2015

Dental Lifeline

Dr. Joseph Gulle 2008 Dr. Blayne Gumm 2012 Dr. Maria Gundian 1997 Dr. Jose Gurevich 1997 Dr. Darlene Hachmeister 2011 Dr. Merritt Halem 2002 Dr. Michael Harris 2014 Dr. Mary Hartigan 2002 Dr. Gregory Hartley 2002 Dr. Lee Hauer 1997 Dr. Georgia Hernandez 2002 Dr. Victoria Herrera 2013 Dr. Theodore Herrmann 2010 Dr. Gregory Hill 2003 Dr. Timothy Hogan 2007 Dr. Mike Hopkins 2005 Dr. Carol Horkowitz 2004 Dr. Debbie Hoskins 2014 Dr. Thomas Hughes 2006 Dr. Mitchell Indictor 2002 Dr. Kenneth Irigoyen 2002 Dr. Ivan Izquierdo 2008 Dr. Margot Jobson 2008 Dr. Marc Johnson 2004 Dr. John Jordan Jr. 2003 Dr. Harvey Kansol 2002 Dr. Keith Kanter 2010 Dr. Richard Kanter 2004 Dr. Frederic Kaplan 1997 Dr. Robert Karol 2002 Dr. Peter Kaufman 2014 Dr. Richard Kernagis 2005 Dr. Michael Kessler 2002 Dr. Milan Khakhria 2004 Dr. Edward Kirsh 2001 Dr. Jerry Klein 2002 Dr. Ronald Kobernick 2008 Dr. James Kornegay 2008 Dr. Roger Koslen 2002 Dr. Stephen Kotkis 1997 Dr. Arlyn Koula 2008 Dr. Thomas Krakauer 2002 Dr. Stephen Krist 2003 Dr. David Lach 2002 Dr. Timothy Lane 2002 Dr. Thomas Lane 1996 Dr. Lewis Larson 2004 Dr. Jennifer Laskey 2012 Dr. Idalia Lastra 1997 Dr. Jerry Layne 1998 Dr. Nhat Le 2000 Dr. Jayson Leibowitz 1998 Dr. Ira Lelchuk 2003 Dr. Henry Lennon 2002 Dr. Esteban Leon 2014 Dr. Ron Leventhal 1998 Dr. Kenneth Levine 2008 Dr. Jason Lewis 2014

Dr. Luis Llamas 1998 Dr. Michael Logue 2004 Dr. Gary Lubel 2000 Dr. Terry Lunday 2008 Dr. John Lundgren 2008 Dr. Ziyad Maali 2008 Dr. Disha Mankame 2014 Dr. Dipak Mankame 2004 Dr. Bruce Manne 2006 Dr. Alberto Mantovani 2002 Dr. Phillip Marciano 2005 Dr. Valerie Marino 2008 Dr. Rosemarie Marquez 2014 Dr. James Martin 2008 Dr. Kenneth Martin 2008 Dr. Jennifer Martinez-Amores 2008 Dr. Michel Matouk 2013 Dr. Daniel Mazor 2000 Dr. Laura McAuley 2003 Dr. Julie McCarron 2002 Dr. Tom McCawley 1999 Dr. Olin McKenzie 1997 Dr. Matt McLellan 2002 Dr. Charles McMillian 2010 Dr. Charles McNamara 2014 Dr. Stephanie McRae 2010 Dr. Uday Mehta 2014 Dr. Carl Melzer 1998 Dr. Lina Miranda 1997 Dr. Mark Mitchell 2006 Dr. Sy Moe 2005 Dr. Patrick Mokris 2008 Dr. Bertram Moldauer 2014 Dr. Raul Molina 1997 Dr. Jacqueline Molina-Wasserman 2008 Dr. Halina Montano 2008 Dr. Vivian Morad 2007 Dr. Ofilio Morales 2002 Dr. Rory Mortman 2008 Dr. Richard Mufson 1997 Dr. Daniel Mullett 2002 Dr. Neeraj Nagella 2014 Dr. Rhonda Nasser 2002 Dr. Maria Navarro 2008 Dr. William Neale 2002 Dr. Jennifer Nguyen 2008 Dr. Eduardo Nicolaievsky 2014 Dr. Marta Nieto 1997 Dr. William Nipper 2014 Dr. Brian Nitzberg 2013 Dr. Elizabeth Nixon 2008 Dr. Thomas Nordman 1998 Dr. Stephen Parr 1997 Dr. Divyana Patel 2008 Dr. Kevin Payton 2000 Dr. Jeannette Pena Hall 2002 Dr. Theodore Peters 2005 Dr. David Pfent 2008

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Dr. Yuchi Phen 2002 Dr. Rene Piedra 2004 Dr. Lawrence Pijut 2014 Dr. David Piper 2002 Dr. Mary Ann Pittman 2008 Dr. Adriana Porter 2008 Dr. Mary Porter 2008 Dr. Juan-Carlos Quintero 2002 Dr. Vyasa Ramcharan 2004 Dr. Jorge Ramirez 1999 Dr. Brian Rask 2008 Dr. John Redd II 2002 Dr. Richard Reiss 1997 Dr. Daniel Rentz Jr. 2004 Dr. John M. Richards 2002 Dr. Steven Rifkin 1997 Dr. William Roark 2008 Dr. Paul Rodeghero 2011 Dr. Katherine Rodriguez 2013 Dr. Guillermo Rodriguez 1997 Dr. Vicky Rodriguez 1997 Dr. Jose Rodriguez Cepero 1997 Dr. Robert (Brooks) Rollings 2002 Dr. Fredda Rosenbaum 2002 Dr. Jerry Rosenbaum 2003 Dr. Ronald Rosenbaum 2008 Dr. Scott Ross 1998 Dr. Steven Roth 2006 Dr. Jeff Rothenberg 2010 Dr. Leonard Rothenberg 1997 Dr. David Russell 2008 Dr. Charles Russo 2014 Dr. Cesar Sabates 1997 Dr. Juan Salvat 2002 Dr. Richard Salzmann 2002 Dr. Carlos Sanchez 1999 Dr. Veronica Sanmartino 2002 Dr. Todd Sawisch 2012 Dr. Howard Schare 2003 Dr. C. Scott Schmitt 2007 Dr. Ross Schwartz 2014 Dr. Anthony Schweiger 2002 Dr. Manuel Seage 1998 Dr. Brent Sears 2014 Dr. Lance Seberg 2005 Dr. P. Stuart Seider 1997 Dr. Arthur Shapiro 2008 Dr. Willie Sherman 2008 Dr. Richard Sherman 1997 Dr. Charlie Shofnos 1997 Dr. Alberto Silber 1997 Dr. Rafael Simbaco 1997 Dr. Michael Simon 2003 Dr. Daniel Slaybaugh 2012 Dr. Bradford Smith 2004 Dr. Maria Souto 1997 Dr. Rodrigo Souza 2014 Dr. Sandra Spadafora 2008

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Dr. Claire Stagg 2002 Dr. Jeffrey Stevens 2010 Dr. Richard Stevenson 2014 Dr. Jennifer Stidham 2008 Dr. Jessica Stilley 2011 Dr. Cary Stimson 2006 Dr. Lawrence Sutton 2014 Dr. Erin Sutton 2002 Dr. Martin Swartz 1997 Dr. Chakshung Szeto 2008 Dr. Richard Takeshita 1997 Dr. Andrew Taylor 2008 Dr. Timothy Temple 2010 Dr. Andonis Terezides 2014 Dr. Beatriz Terry 2002 Dr. Murad Thakur 2002 Dr. Chris Thompson 2008 Dr. Veronica Thompson 2008 Dr. Don Tillery Jr. 2004 Dr. Marc Tindell 2013 Dr. Steven Tinsworth 2008 Dr. Richard Topolski 1997 Dr. Iris Torres-Rivera 2008 Dr. Linwood Townsend 2002 Dr. Andrew Trammell 2002 Dr. C. Michael Turner 2002 Dr. Helen Turner 2008 Dr. Rafael Valdes 1997 Dr. Michael Vallillo 2004 Dr. Thomas Van Buskirk 2000 Dr. John Verville 2002 Dr. Al Villalobos 2002 Dr. Bernardo Villela 1997 Dr. Robert Vogel 2003 Dr. Daniel Walkup 2004 Dr. James Walton 2008 Dr. Mark Webman 1998 Dr. Monica Weick 2002 Dr. Gary Weider 2010 Dr. Brion Weinberg 1999 Dr. Melvin Weinberg 1997 Dr. Sy Weiner 1997 Dr. Douglas Weinman 1997 Dr. Mark Weiss 1997 Dr. Brian Wells 2014 Dr. Jan Westberry 2002 Dr. R. S. Westberry 2002 Dr. Dean Whitman 2010 Dr. Clint Wilkinson 2005 Dr. Marcus Williams 2008 Dr. James Wilson 2002 Dr. Wade Winker 2003 Dr. Jiann-Jang Wu 2007 Dr. Gary Yanowitz 2002 Dr. Arturo Ydrach 2006 Dr. Lisa Yurkiewicz 2007 Dr. Brett Zak 2008 Dr. Paul Zaritsky 2013

Volunteer Laboratories (In State) Absolute Perfection Dental Acry-Dent Dental Lab ADV Dental Laboratory Advanced Cosmetic Solutions Advanced Lab Services Aesthetic Arts Alaso Denture Service Aleman Dental Lab Aloma Dental Lab AMA Dental Art Americus Dental Lab Clearwater AMK Dental Lab Inc Ampere Dental Laboratories Andover Castings AR Dental Lab Art & Technology Dental Laboratory Inc Artistic Dental Creations Inc Artistic Dental Lab Associated Dental Lab Autry Orthodontic Appliances Avant Garde Dental Lab B & V Dental Lab Barcelo Dental Inc Barronâ&#x20AC;&#x2122;s Dental Laboratory Inc Bayshore Dental Studio Becemar Dental Lab Biomet 3i Biotech Dental Prosthetics Blessed Hand Dental Studio Bloch Dental Laboratory Bob Cassidy Bon-A-Dent Dental Laboratory Bonita Dental Lab Brlit Dental Laboratory Inc Brown Dental Prosthetics Buchanan Dental Studio C & C Dental Lab Cad Cam Ceramics Callahan Dental Lab Calton Dental Lab Cambridge Dental Studio Caredent Crown & Bridge Lab Carlos Ceramics Dental Lab CC Dental Lab Ceotec Dental Lab Ceramic Arts Dental Lab Ceramic Arts Inc Ceram-Tek Collins Dental Lab

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Today's FDA

Dental Lifeline

LIFELINE from 63 Contemporary Dental Lab Coral Dental Ceramics Inc Cordova Dental Ceramics Cosmetic Creations Dental Studio Cosmos Dental Castings Counterpoint Crown and Bridge Crawford Dental Laboratory Creative Dental Studio Creative Dental Systems Creative Institute of Dental Arts Creative Restorations Dave’s Dentures David Lockwood Dental Lab David’s Dental Lab Daytona Dental Lab DCS Dental Laboratory DDS Lab Del Valle Dental Lab Inc Denise McNally Lab Dental Arts Prosthetics Dental Arts Unlimited Dental Ceramic Center Dental Prosthetics Dental Technologies Inc Dental Tecks Direct Dental Lab DSG Clearwater Dunbar Dental Ceramics Dutch Wilkes CDT CDL Dynamic Ceramic Eastern Dental Lab Elite Dental Lab Eurolab Inc Federal Dental Lab Fernando Comas Dental Lab Fine Arts Dental Lab First Impressions Dental Lab Florida Dental Lab-Orlando Forest Oak Dental Lab Foster Dental Lab Fox Dental Laboratory Gagliano Dental Lab Galsky Dental Laboratory Inc Gemini Ceramis Inc Golden Palm Dental Lab Goldsmith Dental Lab GPS Dental Lab Inc Guthrie Dental Kinetics Hall Dental Lab Hansen/Incarnati Dental Lab LLC Harmony Dental Laboratory

Dental Lifeline

Heise Dental Lab HLB Dental Prosthetics Hoecker Lab Inc Implant Technical Support Incisal Edge Inc Intra Lock International Inc Irish Dental Lab Island Dental Lab Jersey Dental Lab Jeweldent Dental Lab JJC Dental Lab John Hinshaw Dental Lab John Stucchi Dental Lab JT Dental Lab KO Dental Lab KCD Dental Lab Inc Kendrick Dental Lab Knight Dental Group Larry’s Dental Lab Inc Lasting Impression Dental Lab Luigi Dental Lab M & J Partials LLC Maclarty Dental Lab Majestic Dental Arts Inc McClure Dental Lab Miami Dental Arts Midtown Dental Lab Mirror Dental Studio Mondel Dental Laboratory Montero Dental Lab Mulloy Dental Lab Murray Dental Arts Laboratory Natural Ceramics Natural Prosthetic Dental Lab Nelson Dental Lab Noble Dental Lab Northwest Dental Lab Inc Nova Dental Lab Ocean Dental Laboratory Oral Arts Dental Lab P&R Dental Lab Partners Dental Lab Patrick Reeves Ortho Lab Pat’s Dental Lab Patterson Dental Pensacola Dental Lab Perdue Dental Lab Phillips Dental Lab Pinellas Dental Lab Precision Dental Lab Sarosota Precision Esthetics Precision Esthetics Dental Laboratory Premium Prothetics PRIDE Dental Lab

Progressive Dental Lab Progressive Dental Reconstruction Rebour Dental Lab Reliable Dental Arts Lab Sakr Dental Arts Samper Dental Laboratory Science & Arts Dental Lab Scott’s Dental Lab Shaun Dental Lab Sheen Dental Lab Signature Dental Lab Simon Dental Lab Smile Art Dental Lab Smith Dental Prosthetics Smith Haste Dental Lab Smith Sterling Dental Laboratories Sorrento Smiles Dental Lab Spring Dental Lab Stuart Dental Laboratory Sun Coast Dental Laboratory Sun Dental Lab Sun Dental Lab Sunshine Dental Lab Sunshine Professional Dental Lab Inc Survey Castings Dental Inc Surveyor Dental Arts Inc Taranto Dental Lab Team Solutions Dental Technics Dental Lab Techno Dent Lab Services Inc Tele-Dent Dental Lab TLC Dental Lab Tonidom Benchmark Dental Lab Top Quality Partials Touchstone Dental Lab Ultradent Dental Laboratory Unident Dental Lab Universal Dental Studios Inc University Dental Lab University of Florida – Pathology Department V J Dental Laboratory Valdez Dental Lab Valdez Dental Laboratory Vencol Dental Lab Verdent Inc Vogue Dental Lab Weaverling Ceramics Inc West Coast Chompers Dental Laboratory William Walker Dental Lab Williams Dental Lab Yashiki Dental Studio Zahntechnique Inc

DDS IS A PROGRAM OF THE FLORIDA DENTAL ASSOCIATION AND DENTAL LIFELINE • FLORIDA

DENTAL LIFELINE NETWORK • FLORIDA BOARD OF DIRECTORS

Florida Donated Dental Services (DDS) Fiscal Year 2013-2014

PATIENT TREATMENT Number of Patients Treated ................... ............................169 Number of Applications Received ......................................414 Number of Volunteer Dentists ........................................... 397

Cesar Sabates, DDS, President Georgina Garcia, DDS, Vice President Mike Eggnatz, DDS, Secretary/Treasurer Curtiss Briggs Alain Carles Thomas Lane, DMD Idalia Lastra, DMD Edgar Rivera

Number of Volunteer In-State Labs ................................200

SPONSORS AND FUNDERS FINANCIAL Value of Care to Patients Treated 1 .......................... $514,364 Average Value of Treatment/Case ............................... $3,044 Value of Donated Lab Services 1 .................................. $37,375

SINCE FLORIDA PROGRAM INCEPTION (1997)

Florida Dental Association and its Foundation Dental Lifeline Network Don’t miss our updates on Dental Lifeline Network and its Donated Dental Services (DDS) program! Sign up today at www.bit.ly/signupDLN.

Total Patients Treated..........................................................1,351 Total Value of Care to Patients Treated 1 .............$4,925,583 1

Lab services also included in Value of Care to Patients Treated

Florida DDS 850-577-1466 877-224-3969 (Toll-Free) 850-577-1467 (fax)

www.DentalLifeline.org

Florida Donated Dental Services (DDS) is a program of Dental Lifeline Network, a national humanitarian organization providing access to comprehensive dental care for society’s most vulnerable people with disabilities or who are elderly or medically fragile and have no other way to get help. Nationally, DDS has more than 15,000 volunteer dentists and 3,900 laboratories.

With assistance from: 3M ESPE Argen Biomet 3i DENTSPLY International GC America Henry Schein Dental

Patterson Dental Company

Strategic Partners:

American Association of Orthodontists

Philips Oral Healthcare

American Dental Association

American Association of Women Dentists

Shatkin F.I.R.S.T., LLC

Academy of General Dentistry

American College of Dentists

Straumann

American Academy of Implant Dentistry

American College of Prosthodontists

Vident

American Academy of Periodontology

American Dental Assistants Association

Zest Anchors

American Association of Endodontists

Hispanic Dental Association

Ivoclar Vivadent

Zimmer Dental

American Association of Oral and Maxillofacial Surgeons

National Association of Dental Laboratories

Nobel Biocare

National Dental Association The Pankey Institute

Today's FDA

January/February 2015

www.floridadental.org

January/February 2015

Today's FDA

Palisades Dental LLC Halyard Health Patterson Dental Hawaiian Moon Pelton & Crane Hayes Handpiece Repair Philips Sonicare & Zoom Whitening Heartland Dental 3M ESPE Piper Education & Research Center Henry Schein Dental Planmeca USA Inc. Heraeus Kulzer Pacific Dental Services Porter Instrument Co. Inc. Hager Worldwide Darby Dental Supply Services Hager Worldwide Hiossen Inc. Pacific Dental Pacific Hager Worldwide Dental Services EXHIBIT Palisades Dental LLC Preat Corporation Halyard Health daVinci Dental Studios Palisades Dental LLC Halyard Health Hu-Friedy Halyard Health Palisades Dental LLC A-dec HALL HOURS Patterson Dental Hawaiian Moon Demandforce Inc. Prexion Inc. Patterson Dental Hawaiian Moon Hawaiian Moon Patterson Dental A. Titan Instruments Pelton & Crane Hayes Handpiece Repair Dental Access Mobile ClinicsHayes LLC Handpiece Professional Sales & Consulting Pelton & CranePelton & Crane Repair Hayes Handpiece Repair Thursday, June 11Group Accutron Inc. 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SUPPORT THE COMPANIES

That Support Organized Dentistry

Exhibitors as of 1/13/2015

SAVE THE DATE J U N E 1 1 -1 3 , 2 0 1 5 orlando,florida I gaylord palms resort w w w.f l o r i d a d e n t a l c o n v e n t i o n . c o m THE OFFICIAL MEETING OF THE FLORIDA DENTAL ASSOCIATION

These exhibitors have made the commitment to

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

REGISTRATION NOW OPEN! F LO R I D A D E N TA L CO N V E N T I O N : T H E O F F I C I A L M E E T I N G O F T H E F D A

KEYNOTE SESSIONS UCHE ODIATU, DMD Living Your Dreams DAVE WEBER Overcoming Life’s Goliaths

SAVE THE DATE J U N E 1 1 -1 3 , 2 0 1 5 Register by April 3rd and save up to 25%!

MORRIS MORRISON Lead-ur-ship Starts With You! FREE FOR ALL MEMBER DENTISTS AND TEAMS!

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Opportunities

ANNOUNCING: Hands On Extraction Classes. Remove Teeth on Live Patients, including impacted wisdom teeth, and receive 40 hours of AGD PACE accepted CE Credit. Learn how to remove teeth and handle complications. Learn how to elevate flaps and suture properly. Classes July 27-31, Sept. 26/27, Oct. 24-30, and January 17-22, 2015. For more information contact Dr. Tommy Murph 843.488.4357, drtommymurph@yahoo.com.

The FDA’s online classified system allows you to place, modify and pay for your ads online, 24-hours a day. Our intent is to provide our advertisers with increased flexibility and enhanced options to personalize and draw attention to your online classified ads! The FDA online classified ad model is for “paid online advertising.” Effectively, the advertising rate you pay will entitle you to online classified ads with increased exposure. As an added benefit, we will continue to publish the “basic text” format of paid, online classified ads in our bimonthly printed journal, Today’s FDA, at no additional cost to you. All ads posted to the online classified system will be published during the contracted time frame for which you have posted your online classified advertisement. Our magazine is published bimonthly, and therefore, all ads currently online will be extracted from the system on roughly the following dates of each year: Jan. 15, March 15, May 15, July 15, Sept. 15, Nov. 15. The ads extracted at this time will then be published in the following month’s issue of Today’s FDA. Please view the classified advertising portion of our website at http://www.floridadental.biz/.

Today's FDA

January/February 2015

A blockbuster opportunity. Full or part time for General Dentists, Endodontists, Orthodontists, Pedodontists, Periodontists, and Oral Surgeons. Generous compensation with unlimited potential. Guaranteed referrals. Join our group specialty care practice with a significant general dental component. Established in 1975 in Aventura, Coral Springs, Delray Beach, Boynton Beach, Stuart, Ft. Pierce and Melbourne. Call: Kelly Oliver 954.461.0172. Fax resume to: 954.678.9539. Email: careers@dentaland.net. POSITION DESIRED: Specialist. Part-Time Permanent. johnmaria7@yahoo.com. POSITION DESIRED: endodontist. Board certified endodontist with many years of private practice experience and an active Florida license is looking for an endodontic position. If you’re interested, contact me at rcttoday@gmail.com. GENERAL DENTIST – TAMPA/ CLEARWATER ***************** Looking to hire enthusiastic dentist FT/PT. Flexible hours w/well-trained staff. State-of-the-art facility, fully computerized. High income potential doing what you enjoy. Fax resume 813.886.5559. Dentist Opportunity in Ocala, FL. We are currently seeking a General Dentist who appreciates the professional, financial and administrative benefits of group practice to join our team. Our doctors are offered a generous compensation and benefit package including: medical, professional liability, life and disability insurance; a 401(k) plan with employer match; and other benefits. Future ownership in the professional group is available and encouraged. Doctors in our group enjoy traditional doctor-patient relationships while practicing in a team environment that offers the opportunity to discuss clinical cases with peers and support for professional/ group development and growth. We are actively seeking full-time Dentists for our very busy practice in the Ocala Florida area! If you are ready to join a very successful practice, we would love to speak with you about this opportunity. Contact Sarah Bolduc at 781.213.3318 or sbolduc@amdpi.com. General Dentist. Full-Time Permanent. jhokamp@ddpgroups. com. A traditional fee for service general practice seeking full or part time associates, as well as Endodontists and Oral Surgeons. Seven locations on Florida’s West Coast including Tampa, Clearwater, St. Petersburg, Port Richey and Bradenton. Immediate income, paid vacation, health insurance, 401k, flexible days. Established in 1981. NO CAPITATION. Please contact Carolyn Mallory 727.461.9149, Fax 727.446.8382 or www.FloridaDentalCenters.com. Experienced General Dentist Needed Full time. Experienced General Dentist Needed for fast growing practice in New Port Richey, Florida. Guaranteed salary plus percentage. Medical and mal-practice paid for you. High-tech office with experienced staff. No nights or week-ends. Excellent opportunity for experienced clinician. Please email resume (vjmnlm@gate.net) or fax (727.945.9661). Immediate opening. Looking For Associate Destin, FL. By way of introduction, my name is Dr. Olivier Broutin and I practice in the Destin area. We’re looking for a doctor to work in our practice. We have a thriving practice and we need help! We are creating a great opportunity for someone who wants to treat people. We’ll handle the marketing, new pt generating and management hassle. We offer great income potential, excellent working conditions and training. We have all the latest high tech equipment, including CEREC and CBCT. We think we have it all! If you would be interested please email us your resume to OBDMD1@gmail.com.

www.floridadental.org

Oral surgeon wanted. Longstanding oral surgery practice with excellent reputation seeks associate leading to partnership in Southwest Florida coastal community on the Gulf of Mexico. Great school systems in family oriented community with a large network of referral dentists. All phases of oral surgery available to BCBE surgeon. Contact gatormom143@me.com. Endodontic Position Available. Florida, Tampa Bay Area – Full time endodontist wanted to join established multi-specialty practice. Great opportunity for a self-starter to build a career practice with the possibility of a future partnership. Close to the beaches, excellent leisure activities available, and three pro sports teams in the area. Salary, bonus, 401K. Please call 727.460.8268. General Dentist wanted part time leading to full time. Immediate part time opening for a Dentist (to work Mondays and Thursdays, may lead to full time) in a High tech growing dental practice in Southwest Orlando. Opportunity to work in a modern office with state of the art equipment including CT scan in house for implants and digital X-rays, chartless, paperless. Senior doctor willing to teach efficient procedures to the right candidate. Must have minimum 5 years’ experience. Must send a resume with a brief description of your short term and long term goals. orlandohygiene@gmail.com. Associate Dentist. Eustis, FL. Well-established, modern, successful practice is currently seeking an Associate General Dentist for our busy, growing practice. Great Staff, Teamwork Environment, Friendly Patients. Fully digital, Dentrix software. Fee for service, some PPO’s. Customer service oriented practice with an excellent reputation in the community. Associate will enjoy a generous compensation package including medical insurance, continuing education and license renewal allowance. Apply now for this excellent opportunity. Send CV to smile@ jacksondentistry.com. Exciting Opportunity for General Dentist. We are seeking a General Dentist to join a highly reputable, multi-doctor practice in beautiful Lakeland, FL. Establish your own patient base while supported by a great team already in place. We offer state-of-the-art facilities, base salary, commissions, bonuses, profit sharing, CE allowance, life and professional liability ins., 401k with company match, and the possibility of future equity participation. denseeker863@gmail.com. General Dentist Opening – Treasure Coast. Great Expressions Dental Centers has a current opening for a full-time General Dentist in our Treasure Coast, FL office. Our dentists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. Dentists can expect unlimited production based earnings, full benefits (such as medical, dental, 401k, continuing education), paid time off, malpractice coverage, a stable patient base, and long-term practice or regional career growth with possible investment opportunity. **Please watch more about our Doctor Career Path (http://www.screencast.com/t/M3xWM5CYN) and apply via this ad! Apply Here: http://www.Click2Apply.net/mdghtqt. General Dentist Opening – Southeast Florida. Great Expressions Dental Centers has a current opening for a full-time General Dentist in Miami-Dade/Broward County in South FL. Our dentists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. When considering a career with GEDC, Dentists can expect unlimited production based earnings, full benefits (such as medical, dental, 401k, continuing education), paid time off, malpractice coverage, a stable patient base, and long-term practice or regional career growth with possible investment opportunity. **Please watch more about our Doctor Career Path (http://www.screencast.com/t/M3xWM5CYN) and apply online! General Dentist in Bloomingdale – Riverview, FL. Great Expressions Dental Centers has a current opening for a fulltime General Dentist DDS/DMD in our Bloomingdale office in Riverview, FL. Our dentists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. Our dentists can expect unlimited production based earnings, with high earning potential, full benefits (such as medical, dental), malpractice coverage assistance, a stable patient base, and long-term practice or regional career growth with possible investment opportunity. **Please watch more about our Doctor Career Path (http://www. screencast.com/t/M3xWM5CYN) and apply via this ad!

www.floridadental.org

General Dentist needed for Cocoa Beach practice. Christie Dental is currently seeking a General Dentist that appreciates the professional, financial and administrative benefits of group practice to join our team. Our doctors are offered a generous compensation and benefit package including: medical, professional liability, life and disability insurance; a 401(k) plan with employer match; and a continuing education allowance. Future ownership is available and encouraged. Doctors in our group enjoy traditional doctor-patient relationships while practicing in a team environment that offers the opportunity to discuss clinical cases with peers and support for professional/ group development and growth. We are actively seeking a full-time dentist for our amazing beachside practice in Cocoa Beach, FL! Apply today email C.V. to sbolduc@amdpi.com or call 781.213.3318. Associate Dentist Wanted. Associate dentist needed for busy Dental Office in West Palm Beach who is comfortable treating Children and their Parents (3-4 days/week). We are a familyoriented private practice with experienced staff and friendly office environment. We offer competitive compensation. Please send your resume to drleminh@firstcaredental.net. FFs office/3 days a week. South Florida, Fee-for-Service office. Great patients and staff. Dentist must be able to perform: all oral surgery (except some 3rds). Molar Root canals, Crown and bridge, All Denture cases. kurthausy@hotmail.com. Pediatric Dentist Opening: Ft. Myers. Great Expressions Dental Centers has a current opening for a full time Pediatric Dentist (or a General Dentist focusing on Pediatrics) to join our recently renovated Fort Myers, FL practice. Our Specialists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. When considering a career with GEDC, Specialists can expect unlimited production based earnings vs. a six figure base; strong 8 office referral network; full benefits (including dental, medical, 401k), paid time off, malpractice coverage, a stable patient base, and long-term practice or regional career growth with possible investment opportunity. **Please watch more about our http:// www.screencast.com/t/M3xWM5CYN and apply via this ad! Apply Here: http://www.Click2Apply.net/fyqqdxr. General Dentist DDS/DMD Opening – Jacksonville Opening. Great Expressions Dental Centers has a current opening for a full-time General Dentist in our Riverside and Baymeadows office(s) in Jacksonville, FL. Our dentists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. Dentists can expect unlimited production based earnings, full benefits (including dental, medical, 401k), malpractice coverage, a stable patient base, and long-term practice or regional career growth with possible investment opportunity. Relocation assistance possible as well! **Please watch more about our Doctor Career Path (http://www.screencast.com/t/M3xWM5CYN) and apply via this ad! Apply Here: http://www.Click2Apply.net/skqj845. Pediatric Dentist Opening – Miami. Great Expressions Dental Centers has a current opening for a part-time Pediatric Dentist to join our Miami, FL practice. Our Specialists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. Specialists can expect unlimited production based earnings vs. a base, full benefits, continuing education reimbursement, paid time off, malpractice coverage assistance, a stable patient base, strong referral network of 15+ General practices, trained dental staff, and long-term practice or regional career growth with possible investment opportunity. **Please watch more about our Doctor Career Path (http://www.screencast.com/t/M3xWM5CYN) and apply via this ad! Apply Here: http://www.Click2Apply.net/xdytskx. General Dentist Associate with option to buy in, needed for nice practice F/T or P/T. Offices available in Naples, Port St. Lucie or Coral Springs. Please email: pbfloridadentist01@aol.com.

Dental Team seeks a motivated associate. Happy New Year! Our multidisciplinary team in South Florida is seeking a motivated associate. The center is well established, warm, and growing. We are located in an upscale area near Gulf Stream Plaza. Approximately one mile from the ocean. Please visit us online at www.ThePremierSmile.com. Our team coordinates and provides continuing education courses. We employ a wonderful and highly trained staff that focuses on providing high quality care in a state of the art environment. We will provide the practice support needed for your success. Please email CV to Mr. Howard Corbeau at howard.corbeau@gmail.com or fax to 888.800.4955. General practice in Lake City, Florida seeking full time associate, possible partnership opportunity. Collection-based pay. Fee for service and PPO practice. Health insurance, flexible schedule. Please contact Melanie Holden, DMD 772.214.8029 or myeagerdmd@gmail.com. Full-Time Periodontist Opportunity – Jacksonville, FL. Great Expressions Dental Centers has a current opening for a fulltime Periodontist to join our team. Our Periodontists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. Periodontists can expect unlimited production based earnings vs. six figure base, set schedule, full benefits, malpractice coverage, a stable patient base with a referring network of +20 General practices, and long-term practice or regional career growth with possible investment opportunity. **Please watch more about our Doctor Career Path (http://www.screencast.com/t/M3xWM5CYN). Ross Shoemaker, MBA, Lead Clinical Recruiter, Great Expressions Dental Centers Practice Support Center – South. 1560 Oakbrook Drive, Norcross, GA 30093 USA; phone 678.836.2226 ext. 72226; fax 770.242.3251. Apply Here: http:// www.Click2Apply.net/mqpzr5b. General Dentist Opening – Jacksonville. Great Expressions Dental Centers has a current opportunity for a full-time General Dentist in our Jacksonville, FL practice. Our dentists have the clinical freedom and autonomy enjoyed in a traditional private practice without the additional financial or administrative burdens associated with practice management. When considering a career with GEDC, Dentists can expect unlimited production based earnings, full benefits, continuing education reimbursement, paid time off, malpractice coverage assistance, a stable patient base, trained dental staff, and long-term practice or regional career growth with possible investment opportunity. *Possible relocation assistance or sign on as well! **Please watch more about our Doctor Career Path (http://www.screencast. com/t/M3xWM5CYN) and apply via this ad! Apply Here: http:// www.Click2Apply.net/x97pp57. Take that step into the private, independently-owned, family practice that you have always wanted to join. Dr. Sean Gassett and Apollo Beach Dental Excellence offers the finest in technology, all digital X-rays and paperless charts, progressive and expanded dentistry, continuing education, and an environment that places quality and an outstanding patient experience at the forefront. We utilize intra-oral cameras for patient treatment plans and co-diagnosing with our great patients. We are a Private Pay/PPO, non-HMO and nonMedicaid office. We are seeking a patient focused, versatile, team oriented Associate Dentist who finds satisfaction in excellent dentistry and continual learning. This is a supreme opportunity for an associate willing to commit to our Practice and to our patients. APPLY ONLINE: https://www.appone.com/ MainInfoReq.asp?R_ID=956161,

For Sale/Lease Beautiful Lakefront Property. Brandon, FL. FOR LEASE Beautiful 2000 sf lakefront office space available for custom build out. Adjacent to Endodontist. Ideal for Oral Surgeon or Periodontist. Contact Julie 813.654.3636 or julieh@aeoftb.com.

Please see CLASSIFIEDS, 74

January/February 2015

Today's FDA

Your Classified Ad Reaches 7,000 Readers!

University Health Park (website: universityhealthpark.net) is a $15,000,000 80,000 square foot “one stop shop” medical office park with 3,000 patient/week patient flow. We have need for the following: general dentist/pediatric dentist/endodontist/ periodontist/prosthodontist/oral surgeon/orthodontist. A large $300 million development (including Starbucks, Dunkin Donuts, Culvers, Tire Kingdom, Firehouse Subs) and 200 acres of homes are being built all around us. We have office space ranging from 1,200 to 6,000 square feet. Some of the suites have equity options. Please call Don Harvey, MD if interested at cell 941.724.3259. Dental office for sale, lease, or lease/purchase. Excellent opportunity at minimal expense. Centrally located in an attractive 10 unit condominium complex with two general dentistry practices, a chiropractic office, and other professional businesses. Fully furnished/equipped for the practice of dentistry. 3 operatories wired/plumbed for water, suction, compressed air and nitrous oxide/oxygen. Suitable for general dentistry, periodontics, endodontics, prosthodontics or oral surgery. A) Purchase includes all equipment/furnishings. B) 3 Year Lease includes use of all equipment/furnishings. C) Lease/ purchase: to be consummated anytime during 3 year period for appraised value at that time. Photos, inventory of equipment/ furnishings and floor plan available. Contact Dr. Roger Lee 941.349.1352, royroddyboy@gmail.com.

SARASOTA – NEW OFFICE READY TO OCCUPY. This is a fully equipped dental office with new buildout, modern design for efficiency. Fully networked, four operatories, sterilization, lab, phone, chairs and more. Great for startup as it requires no bank financing, planning, or effort. Everything has been done for you. Just show up to work. Photos can be seen at http:// sarasota.craigslist.org/off/4764813472.html. Buyers and Sellers. We have over 100 Florida dental practice opportunities; and the perfect buyer for your practice. Call Doctor’s Choice Companies today! Kenny Jones at 561.746.2102, or info@doctorschoice1.net. Website: doctorschoice1.net. Sarasota Practice. Sarasota, FL – The #1 Beach Destination in the USA! Established 30 year old practice with $200,000 Gross and 95% collection rate – 25% PPO. 1100 sq. ft. business condo unit also for sale. Owner retiring. Contact Dr. Rotole at: rotoleswimsgood@verizon.net or 941.922.0111.

DENTAL PRACTICE Key Biscayne. Dental practice in Key Biscayne, for sale or lease, 1050 sf, great opportunity to take over established practice with key money only, 4 plumbed operatories, 3 in use, each room with computer and double monitors, 6 computers total, potential for expansion, capacity to include Spa Dentistry. Dentrix dental system, lab area, spacious living room style front desk, back staff office, one full steam bath, staff half bath, equipment room with new washer/ dryer. Superb location in the only shopping center on the Key with major supermarket, facing Crandon Blvd. Opportunity to obtain real estate is available. For information Gloria Gutierrez 305.232.7198 from 11 a.m. to 6 p.m.

UNCOMPROMISING

CLASSIFIEDS from 73

Orthodontic/Pediatric Dental Office. Orthodontic/Pediatric dental office space conveniently located off Federal Highway. 5 chair open bay with window views. Private new patient consultation/quiet room and records room. Traditional panoramic and cephalometric radiograph machines and developer/processor included. Flat screen TV’s and audio equipment throughout. Private elevator access to 2nd story. Parking lot with ample parking. braces53@yahoo.com.

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Sarasota/Bradenton: established 5 years old dental practice for sale. 4 ops, computerized, digital X-rays, small dental lab. Please call 941.536.1215 or onecodental@gmail.com. DENTAL PRACTICE-SEBASTIAN. Treasure Coast/Sebastian General Practice – Well established, high visibility location. Easy access, abundant parking. 2200 sq ft scenic, renovated space. Large, open waiting/reception w/children’s play area. Six fully equipt ops, all digital. Lab, consulting room, breakroom, private office. Digital X-Ray, Panorex, Cerec, Wave One Endo system, Astra Implant system, Picasso Laser. All fully functional. Low transferable lease. $500,000 gross/3.5 days. MUST SEE. IndianRiverDDS@cfl.rr.com. West Palm Beach, Fl. 1/2 mile west of I-95. This existing specialist only suite has 4 operatories in a 1001ft2 space and is surrounded by 10 dentists. Two generalists and an endodontist have offices in this professional only building. As dental “startups” are challenging a one year lease is available. The rent is $1251.25. Contact 561.964.9105.

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Today's FDA

January/February 2015

www.floridadental.org A5185_FL_DentAss_UP_010815_v2.indd 1

1/8/15 9:52 AM

Book Review

Book Review clinical applications and inserting several new cases into many chapters. Simultaneously, he added a few new chapters as well as commentary regarding CBCT in the chapters covering specialty practices, risk and liability. The CBCT terminology now is proposed to replace the cone beam volumetric imaging (CBVI) terminology used in the first edition, as this new terminology has been generally accepted and integrated into medical and dental literature.

Atlas of Cone Beam Imaging for Dental Application, Second Edition Author: Dale A. Miles DDS, MS Published by Quintessence Reviewers: Dr. Barry Shipman and Drs. Lorena Corzo and Tatiana Rey ADVANCED EDUCATION IN DENTISTRY RESIDENTS

As with any other medical field, dentistry strives to take part in the innovating world. Cone beam technology’s introduction has created a new step into the future. This text instructs dental professionals on how to apply cone beam computed tomography (CBCT) technology into everyday working areas, offers education to general dentists and specialists, such that they can better visualize diseases of the head, neck, mouth and face, and subsequently, present better and more accurate treatment plans. The author, Dr. Dale Miles, is an oral and maxillofacial radiologist practicing in Fountain Hills, Ariz. He has compiled this second edition on CBCT, expanding the

Today's FDA

January/February 2015

Our first step is a look at the book’s design; we have the tendency to peek more seriously inside the covers when there is a large picture and graphic content, as is the case with this text. This will drive the reader to theorize the possible applications inside the dental field. The text encompasses 17 chapters that include 395 pages and more than 380 anatomic pictures. The first two chapters discuss the basic CBCT principles in clinical practice. Chapter 1 was an introduction to the CBCT concepts, where the author explains the application in dentistry, making clinical decisions, as well as treatment, more precise. The professional would be more into “disease visualization,” considering the CBCT a future standard of care, especially for pre-surgical implants. Chapter 2 explains the difference between CBCT and other diagnostic imaging; it also points out the quality, radiation and legal concerns. Those chapters are easy to read and give the reader an instant understanding of the nature of CBCT evaluation. In Chapter 3, the author describes the head and neck anatomical structures for each atlas plate. He comments on the difference between routine dental periapical bite wing, panoramic and cephalometric radiographs,

and our unfamiliarity with these images when viewed in the axial and coronal plane. Throughout this chapter, the author describes and compares anatomical structures in both the large field of vision (FOV) and the small FOV. He emphasizes the clinician’s responsibility to note all anatomic structures in all CBCT fields, regardless of the specific machine’s FOV size used to record the data. In this part of the book, we found that it’s necessary to take the time to review the anatomy outline, as it will increase the comfort and competence in assessing a small FOV scan. Chapter 4 describes the anatomy associated with airway analysis and its application to sleep apnea and the prosthetic management. In Chapter 5, the author describes dental findings unable to be seen on routine dental radiographs. Chapters 6 and 7 discuss impacted teeth and implant site analysis, respectively, and Chapter 8 describes odontogenic lesions and the use of the CBCT in lesion diagnosis. Chapter 10 explains the importance of preoperative planning in orthognatic surgery and defines the anatomical architecture beneath the soft tissue. This book exhibits many 2-D and 3-D grayscale images that add a delightful element to the information. It also shows the “cube tool’s” use in planning and assessing the surgical screw position on a patient when treatment planning for implants. Through Chapters 9, 10 and 11, we appreciate the different CBCT utilities in every specialty, including orthodontic, orthographic surgery, temporomandibular joint and paranasal sinus evaluations. Chapter www.floridadental.org

13 shows the applications for systemic findings, which includes sclerotic plaque (carotid region) — especially in diabetes mellitus type II — that once diagnosed, could prevent a potential stroke. Although the occult pathology incidence may be small, the outcome could be significant for a positive finding on a patient. Chapters 13 and 14 are related to systemic findings and vertebral body evaluations, and the author again reminds us that “the absolute requirement for the entire data volume be examined by a competent radiologist.” The final chapters portray selected cases in radiologic practice and CBCT use in clinical endodontics. The author’s last chapter again discusses risk and liability, and reiterates that the CBCT’s most controversial aspect is understanding who is liable for examining the data. Accordingly, it’s the practitioner obtaining the CBCT images from the examination who interprets them. The text is straightforward and easily understood by the inquisitive student. This text is a great tool for the orthodontist, oral surgeon and implantologist who are clinically treating patients. The average dentist who is not using CBCT technology may find it a little overpowering, but if the reader spends time perusing the complete text, they will significantly expand their ability to diagnose and understand their patient’s anatomy and subsequently, improve the CBCT interpretations. Also, this edition could be a perfect complimentary book for a student, but it’s necessary to at least have a basic knowledge on this technology’s terminology. Remember, the eye only looks and sees what it is trained for. Dr. Barry Shipman is an adjunct professor and chair of Removable Prosthodontics at the University of Florida Hialeah Dental Center. Dr. Shipman can be reached at info.maxillofacialprosthetics.com or 305.216.6100. Drs.

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Lorena Corzo and Tatiana Rey are secondyear residents in the Advanced Education in Dentistry Program at the University of Florida Hialeah Dental Center.

Controversial Issues in Implant Dentistry Edited by: Prof. Hernandez Alfaro, MD, DDS, PhD, FEBOMS 264 pages Published in 2013 by Quintessence Publishing Price: $168

Books on the Shelf

Dancing Hands By: Herluf Skovsgaard, DDS 296 pages Published in 2013 by Quintessence Publishing Price: $198

Books Available for Review If you are interested in reviewing one of the books listed here, please contact Director of Communications Jill Runyan by email at jrunyan@floridadental.org or by mail at 1111 E. Tennessee St., Tallahassee, FL 32308. Authors should review their books within four to six weeks and are given the books they review.

Books on the Shelf: 2010 QDT, Quintessence Publishing of Dental Technology Edited by: Sillas Duarte, DDS, MS, PhD 224 pages Published in 2010 by Quintessence Publishing Price: $84 2012 QDT, Quintessence of Dental Technology, Vol. 35 Edited by: Sillas Duarte, DDS, MS, PhD 236 pages Published in 2012 by Quintessence Publishing Price: $118 2013 QDT, Quintessence of Dental Technology, Vol. 36 Edited by: Sillas Duarte, DDS, MS, PhD 216 pages Published in 2013 by Quintessence Publishing Price: $128 2014 QDT, Quintessence of Dental Technology, Vol. 37 Edited by: Sillas Duarte Jr., DDS, MS, PhD 212 pages Published in 2014 by Quintessence Publishing Price: $128 At the Forefront: Illustrated Topics in Dental Research and Clinical Practice By: Hiromasa Yoshie, DDS, PhD 108 pages Published in 2012 by Quintessence Publishing Price: $98 Color Atlas of Fixed Prosthodontics: Vol. 1 By: Yoshiyuki Hagiwara 196 pages Published in 2013 by Quintessence Publishing Price: $120

Dental Materials and Their Selection By: William J. O’Brien, PhD, FADM 425 pages Published in 2008 by Quintessence Publishing Price: $68 Endodontology: An Integrated Biological and Clinical View By: Domenico Riucci and Jose F. Siqueria Jr. 440 pages Published in 2013 by Quintessence Publishing Price: $258 Evidence-based Dentistry for the Dental Hygienist By: Julie Frantsve-Hawley, RDH, PhD 376 pages Published in 2014 by Quintessence Publishing Price: $56 Foundations of Dental Technology: Anatomy and Physiology By: Arnold Hohmann and Werner Hielscher 300 pages Published in 2014 by Quintessence Publishing Price: $98 High-strength Ceramics: Interdisciplinary Perspectives By: Jonathan L. Ferencz, DDS; Nelson R.F.A. Silva, DDS, MSc, PhD; and Jose Manuel Navarro, DDS, MS 296 pages Published in 2014 by Quintessence Publishing Price: $158 Immediate Dentoalveolar Restoration: Immediately Loaded Implants in Compromised Sockets By: Jose Carlos Martins da Rosa 372 pages Published in 2014 by Quintessence Publishing Price: $228 Inspiration: People, Teeth and Restorations By: Luis Narciso Baratieri, DDS, PhD, MS 482 pages Published in 2012 by Quintessence Publishing Price: $228 Lingual Orthodontics By: Giuseppe Scuzzo and Kyoto Takemoto 885 pages Published in 2010 by Quintessence Publishing Price: $230

Please see BOOKS, 79

January/February 2015

Today's FDA

Book Review

BOOKS from 77 One Stroke, Two Survivors By: Berenice Kleiman, with comments by Herb Kleiman 208 pages Published in 2006 by Cleveland Clinic Press Price: $24.95 Oral Implantology Surgical Procedures Checklist By: Louie Al-Faraje, DDS 92 pages Published in 2013 by Quintessence Publishing Price: $68 Oral Implants: Bioactivating Concepts Edited by: Drs. Rolf Ewers and Thomas Lambrecht 536 pages Published in 2013 by Quintessence Publishing Price: $328 Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management By: Reny de Leeuw, DDS, PhD, MPH and Gary D. Klasser, DMD 312 pages Published in 2013 by Quintessence Publishing Price: $48 Periodontal Diagnosis and Therapy By: Giano Ricci 752 pages Published in 2014 by Quintessence Publishing Price: $340 Periodontal Review: A Study Guide By: Deborah A. Termeie, DDS 296 pages Published 2013 by Quintessence Publishing Price: $68 Principles and Practice of Operative Dentistry By: Drs. E.S. Akpata, Q.D. Alomari and A.R. AlShammery 264 pages Published 2013 by Quintessence Publishing Price: $98 Promoting the Oral Health of Children: Theory and Practice, Second Edition By: Aubrey Sheiham, Samuel Jorge Moyses, Richard G. Watt, Marcelo Bonecker 450 pages Published 2014 by Quintessence Publishing Price: $110

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Reintervention in Endodontics By: Mario Luis Zuolo, Daniel Kherlakian, Jose Eduardo de Mello Jr., Maria Cristina Coelho de Carvalho and Maria Ines Ranazzi Cabral Fagundes 332 pages Published 2014 by Quintessence Publishing Price: $180 Sinus Floor Elevation: Avoiding Pitfalls Using Cone-Beam CT By: Dr. Yasuhiro Nosaka 120 pages Published 2014 by Quintessence Publishing Price: $120 Smile! Your Guide to Esthetic Dental Treatment By: Douglas A. Terry, DDS 54 pages Published 2014 by Quintessence Publishing Price: $29.50 Success Strategies for the Aesthetic Dental Practice By: Linda Greenwall, BDS, MGDS RCS, MSc, MRD RCS, FFGDP and Cathy Jameson, PhD, MA, BS 176 pages Published in 2012 by Quintessence Publishing Price: $98 Summitt’s Fundamentals of Operative Dentistry: A Contemporary Approach, Fourth Edition By: Thomas J. H ilton, DMD, MS; Jack L. Ferracane, PhD; and James C. Broome, DDS, MS 612 pages Published in 2013 by Quintessence Publishing Price: $128 Surgical and Radiologic Anatomy for Oral Implantology By: Louie Al-Faraje, DDS 264 pages Published in 2013 by Quintessence Publishing Price: $218 The Art of Detailing: The Philosophy Behind Excellence Edited by: Rafi Romano, DMD, MSc 360 pages Published in 2013 by Quintessence Publishing Price: $240 The Long Climb: From Barber-Surgeons to Doctors of Dental Surgery By: Philias Roy Garant, DMD 496 pages Published in 2013 by Quintessence Publishing Price: $38

The Magical Toothfairies: The Secret of the Magic Dust By: Henry Olberg 38 pages Published in 2012 by Quintessence Publishing Price: $18.99 The Oral-Systemic Health Connection: A Guide to Patient Care By: Michael Glick, DMD 312 pages Published in 2014 by Quintessence Publishing Price: $118 Tooth Whitening Indications and Outcomes of Nightguard Vital Bleaching By: Van B. Haywood, DMD 152 pages Published in 2007 by Quintessence Publishing Price: $98 Treatment Planning for Traumatized Teeth, Second Edition By: Mitsuhiro Tukiboshi, DDS, PhD 240 pages Published in 2012 by Quintessence Publishing Price: $82 What to Do For Healthy Teeth (This book is geared toward patients.) By: Drs. Sadie S. Mestman and Ariella D. Herman 197 pages Published in 2004 by Institute for Healthcare Advancement Price: $12.95 What’s in Your Mouth? What’s in Your Child’s Mouth? By: Douglas A. Terry, DDS 66 pages Published in 2013 by Quintessence Publishing Price: $29.50 What’s in Your Mouth? Y our Guide to a Lifelong Smile By: Douglas A. Terry, DDS 48 pages Published in 2014 by Quintessence Publishing Price: $29.50 Zygomatic Implants: The Anatomy-Guided Approach By: Carlos Aparicio, MD, DDS, MSc, DLT 254 Pages Published in 2012 by Quintessence Publishing Price: $168

January/February 2015

Today's FDA

OFF THE CUSP

JOHN PAUL, DMD, EDITOR

The Taste You Hate Twice a Day Politics is something most of us say and then feel the need to rinse our mouths out. Legislators are rated less trustworthy than car salesmen and lawyers who aren’t members of Congress. Foul taste aside, many people who are wiser, more experienced and funnier than I am have had a lot to say about the subject, such as: “How come we choose from just two people to run for president but 50 for Miss America?”1 and “We’d all like to vote for the best man, but he’s never a candidate.”2 I believe this particular quote sums up how most of us feel: “Politicians and diapers must be changed often, and for the same reason.”3 “Everybody knows politics is a contact sport.”4 “If you do politics the right way, I believe, you can actually make people’s lives better, and integrity is the minimum ante to get into the game.”5 “For too long, we’ve been told about ‘us’ and ‘them.’ Each and every election we see a new slate of arguments and ads telling us that ‘they’ are the problem, not ‘us.’ But there can be no ‘them’ in America. There’s only us.”6 “Politics is not an end, but a means. It is not a product, but a process. It is the art of government. Like other values, it has its counterfeits. So much emphasis has been placed upon the false that the significance of the true has been obscured, and politics has come to convey the meaning of crafty and cunning selfishness, instead of candid and sincere service.”7

Today's FDA

January/February 2015

“

Just because you do not take an interest in politics doesn’t mean politics won’t take an interest in you. — Pericles

“Democracy is the worst form of government, except for all the others”8 but “The heaviest penalty for declining to rule is to be ruled by someone inferior to yourself.”9 Which is why I allude to an old Listerine ad in the title. Listerine knew their product tasted terrible, but it was good for you. You used it even though it wasn’t pleasant. Politics is the same. Like it or not, it’s how we run the country. It’s what you give nearly one-third of your income to fund. I don’t love politics, but I do love my patients and my profession. “Healthy citizens are the greatest asset any country can have.”10 “I predict future happiness for Americans, if they can prevent the government from wasting the labors of the people under the pretense of taking care of them.”11 “Democrat, Libertarian or Republican, it’s easy enough to be active in the ‘Tooth Party.’”12 Watch your inbox for emails from the American Dental Association (ADA) and Florida Dental Association (FDA), and respond when there is a chance to write to your representative. Send a few bucks

”

to the Florida Dental Association Political Action Committee (FDAPAC) and the American Dental Political Action Committee (ADPAC). That’s the minimum you should do. If you want to do more, contact the FDA’s Governmental Affairs Office at 850.224.1089. It’s a tough job, but if everyone does a little, we can all spend more time helping patients and less time rinsing out our mouths. References: 1. Author Unknown; 2. Kin Hubbard; 3. Mark Twain; 4. Barrack Obama; 5. Joe Biden; 6. Bill Clinton; 7. Calvin Coolidge; 8. Winston Churchill; 9. Plato; 10. Winston Churchill; 11. Thomas Jefferson; 12. Joe Diaz

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

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NOVEMBER 2014

Early enrollment begins

Open enrollment for 2015 begins

DECEMBER 2014

Last day to buy health coverage thatâ&#x20AC;&#x2122;s effective Jan. 1, 2015

FEBRUARY 2015

Last day to enroll in a health plan for 2015.

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