2015 - Nov/Dec TFDA by Florida Dental Association

2016 Legislative Issues Helping Members Succeed/Your Benefits President's Profile Special FDC Section

TL T A ENTA

85 A D

D 7,1LORI

S N E E IO

IN R S NT AR

U E CO R Y E

O LIN

N O TIO EE CA FR DU E

N SI E U * S S CC G M SU IN R A S V R SA OG BE L R A P EM TI ED ary. M N S yv LP TE ORgs ma E H PO ND savin TO E Your * ED 5 R 01 E 2 , SW .9 N V A O N – 5 1 0 ,2 1 . N A J

, 0 3

N I P 0 RS L E ,80 E D H 7 B EE M E CC M U S RENEW YOUR LICENSE FEB. 28, 2016

VOL. 27, NO. 7 • NOVEMBER/DECEMBER 2015

R! A E ED

9 1 9

9 7 ,5

S L AL

8 0 6

! S R

on r ar t M n e n ide e s r .r I Pre D n ice w O AV 's AD a id d r o e Fl lect E

See Page 37

TRY MY AGENT

Insurance for your Dental Career

“

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

“

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

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

contents G

P 0 RS L E 0 H 7,8 BE EED EM CC M U S news

Membership issue

80 Debt and the New Dentist

news@fda

2016 Legislative Issues

2015 FDA Legislative Awards

Florida Dental Schools to Try New Testing Formats

Dentistry Renewal Fee Cap Increase Proposed

Lessons Taken Away From Ongoing Community Water Fluoridation Discussions

Florida Dentist Elected ADA’s Second Vice President — Dr. Irene Marron-Tarrazzi

f e at u r e s

Component Corner

Component Presidents

FDAS Student Board Members

2016 FLA-MOM

Foundation Donors, Sponsors and Sustaining Members

columns 3

Staff Roster

President’s Message: @Ralph

Legal Notes

Helping Members Succeed: A Sampling of Membership Benefits

Information Bytes

Diagnostic Discussion

Member Milestones

100 Off the Cusp

42 Dental Insurance Lingo Your Front Desk Team Should Know 45 Why I am a Member of the ADA 46

All in the Family

50 President’s Profile: High Energy, High Tech ... Dr. Attanasi Looks to the Future of Dentistry New: Video link for President’s Message 54 Sending Protected Health Information via Email? 60 FDC2016 Speaker Profile — Dr. Gy Yatros 64

FDC2016 Speaker Profile — Dr. Mark E. Hyman

Exhibit Marketplace

We Are Each Unique

Read this issue on our website at:

www.floridadental.org.

www.floridadental.org

classifieds 94 Listings

Get to know Dr. Attanasi and your member benefits even better. Check out our new online videos at www.floridadental.org/members/ video-highlights. Today’s FDA is a member publication of the American Association of Dental Editors and the Florida Magazine Association.

November/December 2015

Today's FDA

FLORIDA DENTAL ASSOCIATION NOVEMBER/DECEMBER 2015 VOL. 27, NO. 7

EDITOR Dr. John Paul, Lakeland, editor

STAFF

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

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

CHECK BY MAIL Use the self-addressed blue envelope for a onetime payment in full by check. Make your check payable to the Florida Dental Association.

CREDIT CARD BY MAIL Use the self-addressed blue envelope to submit your payment in full, or enroll in the dues installment plan by submitting your dues statement with your credit card information. Don’t forget your signature!

HAVE QUESTIONS ABOUT YOUR DUES STATEMENT? Go to www.floridadental.org/dues for answers to frequently asked questions!

NEED MORE HELP? Our FDA Member Relations Department is always ready to help with any questions. Call 800.877.9922 or email membership@floridadental.org. Please contact us if you did not received your renewal statement in November. 2

Today's FDA

November/December 2015

BOARD OF TRUSTEES Dr. Ralph Attanasi, Delray Beach, president Dr. William D’Aiuto, Longwood, president-elect Dr. Michael D. Eggnatz, Weston, first vice president Dr. Jolene Paramore, Panama City, second vice president Dr. Rudy Liddell, Brandon, secretary Dr. Richard Stevenson, Jacksonville, immediate past president Drew Eason, Tallahassee, executive director Dr. James Antoon, Rockledge • Dr. Andrew Brown, Orange Park Dr. Jorge Centurion, Miami • Dr. Robert Churney, Clearwater Dr. Richard Huot, Vero Beach • Dr. George Kolos, Fort Lauderdale Dr. Jeffrey Ottley, Milton • Dr. Howard Pranikoff, Ormond Beach Dr. Barry Setzer, Jacksonville • Dr. Beatriz Terry, Miami Dr. Stephen Zuknick, Brandon Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Tim Marshall, 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 2015 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.

www.floridadental.org

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

FLORIDA DENTAL ASSOCIATION FOUNDATION

EXECUTIVE OFFICE Drew Eason, Executive Director deason@floridadental.org 850.350.7109 Greg Gruber, Chief Financial Officer ggruber@floridadental.org 850.350.7111 Graham Nicol, Chief Legal Officer gnicol@floridadental.org 850.350.7118 Judy Stone, Leadership Affairs Manager jstone@floridadental.org 850.350.7123 Blair Fowler, Leadership Concierge bfowler@floridadental.org 850.350.7114

ACCOUNTING Jack Moore, Director of Accounting jmoore@floridadental.org 850.350.7137 Leona Boutwell, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138

MEMBER RELATIONS

(FDAF)

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

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

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

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

Christine Mortham, Membership Concierge cmortham@floridadental.org 850.350.7136

Meghan Murphy, Program Coordinator mmurphy@floridadental.org 850.350.7161 Alex Lewis, Foundation Assistant alewis@floridadental.org 850.350.7122

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

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 Debbie Lane, Assistant Membership Services Manager debbie.lane@fdaservices.com 850.350.7157

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

Jennifer Tedder, FDC Program Coordinator jtedder@floridadental.org 850.350.7106

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

GOVERNMENTAL AFFAIRS

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

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

Angela Robinson, Customer Service Representative angela.robinson@fdaservices.com 850.350.7156

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

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

Tammy McGhin, Payroll & Property Coordinator tmcghin@floridadental.org 850.350.7139 Mable Patterson, Accounts Payable Coordinator mpatterson@floridadental.org 850.350.7104 Stephanie Taylor, Membership Dues Coordinator staylor@floridadental.org 850.350.7119

Casey Stoutamire, Lobbyist cstoutamire@floridadental.org 850.350.7202

COMMUNICATIONS AND MARKETING

INFORMATION SYSTEMS

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

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

Lynne Knight, Marketing Coordinator lknight@floridadental.org 850.350.7112 Jessica Lauria, Communications and Media Coordinator jlauria@floridadental.org 850.350.7115

Will Lewis, Information Systems Helpdesk Technician/ Database Administrator wlewis@floridadental.org 850.350.7153

Allen Johnson, Support Services Supervisor allen.johnson@fdaservices.com 850.350.7140

Marcia Dutton, Administrative Assistant marcia.dutton@fdaservices.com 850.350.7145 Sarah Beall, Membership Services Representative sarah.beall@fdaservices.com 850.350.7171 Maria Brooks, Membership Services Representative maria.brooks@fdaservices.com 850.350.7144 Melissa Staggers, West Coast District Membership Services Representative melissa.staggers@fdaservices.com 850.350.7154

Nicole White, Membership Services Representative nicole.white@fdaservices.com 850.350.7151 Pamela Monahan, Commissions Coordinator pamela.monahan@fdaservices.com 850.350.7141 Porschie Biggins, North Florida 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

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

November/December 2015

Today's FDA

CAPITOL VISITS Tuesday, Feb. 2, 2016

LEGISLATIVE BRIEFING Monday, Feb. 1 • 6:30 p.m. Aloft Hotel • Tallahassee

HOTEL ROOM BLOCK ALOFT HOTEL ONLINE REGISTRATION 850.513.0313 • Room floridadental.org/ddoh rate: $189 (free parking)

DENTISTS’ DAY ON THE HILL 2016

DOUBLE THE IMPACT!

DOUBLE YOUR INFLUENCE!

BRING YOUR SPOUSE IN 2016!

SPONSORED BY

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

@Ralph RALPH C. ATTANASI JR., DDS, MS

#Irrelevant As the president of the Florida Dental Association (FDA), I have the opportunity to attend many meetings. As such, I also get to spend a good deal of time in airports waiting for flights. Last week, while I was waiting for my flight, a group of high school students who were traveling with their class to New York were on my flight. The group, along with two teachers who were chaperoning, came through the security checkpoint and then sat down together, with the exception of one young man who sat off to the side by himself. By any measure, the group was having a good time. They were laughing and joking as only high school students with the prospect of a weekend away from their parents can. Their chaperones reviewed their plans for the weekend and asked the students where they wanted to eat and which museums they wanted to go to. The group discussed the options and the plans for the weekend were made. There was only one person who didn’t participate in this — yes, the one young man who sat by himself. When it came time to board the plane, the young man got up and I was able to read the back of his T-shirt; it had one word on it: “Irrelevant.” Was this a coincidence or was this choice of clothing planned? I thought about this during the flight. Is this also the case in organized dentistry? If you are “off to the side” and not part of the group, how are your thoughts and ideas ever acted upon? Are you irrelevant?

“

If you are ‘off to the side’ and not part of the group, how are your thoughts and ideas ever acted upon?

”

Each and every one of us is relevant in our own way; but, without being a part of the group making the decisions, we are not effective. And that is where membership comes into play. Membership in organized dentistry provides you with a voice for your opinions and inclusion into a group of colleagues and friends who can make a difference. Be relevant. Be part of the team. Be a member!

Dr. Attanasi is the FDA President. He can be reached at rattanasi@bot.floridadental.org. Please follow us on Facebook and Twitter.

www.floridadental.org

November/December 2015

Today's FDA

Legal Notes

The Dos and Don’ts of Dental Advertising Graham Nicol, Esq., HEALTH CARE RISK MANAGER, BOARD CERTIFIED SPECIALIST (HEALTH LAW)

As an educational benefit for members and an outreach to nonmembers, the Florida Dental Association (FDA) wants Florida dentists to know about advertising restrictions under Florida law and the aspirational goals established by organized dentistry. Many doctors are unaware of the advertising prohibitions. Even unintentional violations of the advertising rules may subject a dentist to discipline from the Florida Board of Dentistry (BOD). The regulations that apply to advertising by health care professionals are quite different than those that apply to businesses. For example, Florida law prohibits advertising by a dentist that holds himself or herself out as a specialist unless: the dentist has completed a specialty education program approved by the American Dental Association (ADA) and the Commission on Dental Accreditation (CODA) and is eligible for examination by a national specialty board recognized by the ADA; or, is a diplomate of a national specialty board recognized by the ADA. See, section 466.0282(1), Florida Statutes. To help you understand how Florida law regulates advertising by dentists, the FDA is providing the “Dos and Don’ts of Dental

Today's FDA

November/December 2015

Advertising” as an educational resource available to members of organized dentistry. The severity of BOD sanctions for advertising violations varies based on underlying factual circumstances. The most serious violations usually are penalized by a reprimand, an administrative fine not to exceed $10,000 for each violation and a period of probation. See, Rule 64B5-13.005, Fla. Admin. Code. To guard against potential violations of the BOD rules, the FDA encourages you to consult the BOD or an attorney familiar with health law matters before you publish advertisements. It is far easier to comply with the regulations than it is to defend against them after the advertisement has been published. Also, the FDA Council on Ethics, Bylaws and Judicial Affairs is available — at no cost — to assist FDA members with ethical obligations under the ADA/ FDA Principles of Ethics and Code of Professional Conduct. The general rules to follow under state law and the ADA Principles of Ethics and Code of Professional Conduct are summarized below, followed by a list of specific dos and don’ts. Dentists lawfully may advertise to the public, but doing so in an improper manner can place your license in jeopardy. Florida BOD discipline is a serious matter and some of the rules are quite technical, so please be aware of the requirements in order to avoid unintentional violations.

sion, radio, yellow pages, telephone listings, newspaper display or classified advertising, “advertorials” (advertisements that look like editorials or news reports), signage, business cards and letterhead. The rules apply to any statement — oral or written — that directly or indirectly offers to perform dental services. The rules apply to media exposure of any nature, regardless of whether it is in the form of paid advertising or not. Second, if you are the Florida-licensed dentist offering the services, you have assumed total responsibility for the advertisement should the BOD receive a complaint. Even if you hire someone else to run the ad, publish the website, use a referral service, etc., you will be the party held responsible by the BOD. Just because a practice management consultant or a publisher trying to sell you advertising space says it is ok does not alleviate you of your responsibility as a licensee to ensure the rules are followed. Third, dentists may not disseminate advertising that is in any way fraudulent, false, deceptive or misleading. This includes: misrepresentations of fact; making partial disclosure of relevant facts; making selflaudatory statements; creating unjustified expectations of favorable results; comparing the quality of your dental services against other available dental services; and, making any other representation or implication that in reasonable probability will cause an ordinary prudent person to misunderstand or to be deceived.

First, advertising is defined to include websites, social media, billboards, televi-

www.floridadental.org

Legal Notes generally describe specialty services (e.g., children’s dentistry, pediatric dentistry, l Do identify the Florida-licensed dentist. pedodontics or similar phrases): List your license number or your name, m state whether the services will be current address and telephone number on performed by a general dentist or record with the BOD. a specialist. l If you advertise fees, include: m if you are not recognized by the m a disclaimer that the advertised fee BOD as a specialist, state “general is a minimum fee only. dentist, practice limited to (name m a specified period during which of particular specialty area).” the fee is in effect or that the fee will l If you advertise yourself as “general den remain available for at least 90 days tist, practice limited to” an area of den following the final advertisement. tistry that is not recognized as a specialty m a description of the service using by the ADA (e.g. cosmetic dentistry or the exact narrative description or implantology), then Florida legislation the specific code number used in says you also must include verbatim the the ADA’s Code of Dental following statement in a manner clearly Terminology (CDT). distinguishable from the rest of the adl If you advertise free or discounted vertisement: (NAME OF ANNOUNCED services: AREA OF DENTAL PRACTICE) IS m include verbatim the following NOT RECOGNIZED AS A SPECIALTY statement in a manner clearly dis- AREA BY THE AMERICAN DENTAL tinguishable from the rest of the ASSOCIATION OR THE FLORIDA advertisement: THE PATIENT BOARD OF DENTISTRY. AND ANY OTHER PERSON l If you refer to, or advertise recognition RESPONSIBLE FOR PAYMENT by, a specialty accrediting organization HAS A RIGHT TO REFUSE other than one which has been recog TO PAY, CANCEL PAYMENT nized as bona fide by the ADA or the OR BE REIMBURSED FOR BOD, then Florida legislation says you ANY OTHER SERVICE, also must include verbatim the following EXAMINATION OR TREAT- statement in a manner clearly distin MENT THAT IS PERFORMED guishable from the rest of the adver AS A RESULT OF AND WITHIN tisement: (NAME OF REFERENCED 72 HOURS OF RESPONDING ORGANIZATION) IS NOT RECOG TO THE ADVERTISEMENT FOR NIZED AS A BONA FIDE SPECIALTY THE FREE, DISCOUNTED FEE ACCREDITING ORGANIZATION BY OR REDUCED-FEE SERVICE, THE AMERICAN DENTAL ASSOCIA EXAMINATION OR TREATMENT. TION OR THE FLORIDA BOARD OF m state the dates when free or DENTISTRY. discounted services will be available. l If you use a referral service, then you also m realize that advertising a free or must state in a manner clearly distin discounted fee also may be a fee guishable from the rest of the advertise advertisement, in which case the rule ment that: immediately above this one also m the advertisement is for a dental would apply. referral service and is on behalf of l If you advertise specialty services (e.g., the dentist members of the referral endodontic, orthodontic, oral surgery and service. periodontal procedures) or use terms that

DOS:

www.floridadental.org

m the service refers only to those dentists who have paid or been otherwise selected for membership. m membership in the referral service is limited by the referral agency. m dentists who receive referrals from the referral service charge no more than their usual and customary professional fees for service.

DON’TS: l Don’t advertise that the use of lasers is painless, heals faster or provides better results than other dental procedures. l Don’t solicit patients for dental services in person or via telephone. You may, however, communicate with current and former patients to schedule appointments or offer follow-up care without violating the BOD rules. l Don’t advertise your use of Sargenti paste, because it falls below the standard of care in the state of Florida. l Don’t include the name of a person who actually isn’t involved in the practice of dentistry at the advertised location or an owner of the practice being advertised. You may, however, identify the previous owner for a reasonable period of time not to exceed two years (the ADA Code says one year) if you have written permission from that dentist to do so. l Don’t use an ADA CDT number that ends in 00 to describe a service for which a fee is advertised. The advertisement must specify by use of exact nomenclature or exact code number what procedure within the sub-category is being offered. l Don’t advertise yourself as a specialist in an area of dentistry not recognized by the BOD as a specialty. The BOD recognizes only those specialties recognized by the ADA. Cosmetic dentistry, facial pain therapy and implantology Please see LEGAL, 9

November/December 2015

Today's FDA

Legal Notes

LEGAL from 7

are not ADA-recognized specialties. The only specialty areas recognized by the ADA are: m dental public health. m endodontics. m oral and maxillofacial pathology. m oral and maxillofacial radiology. m oral and maxillofacial surgery. m orthodontics and dentofacial orthopedics m pediatric dentistry. m periodontics. m prosthodontics. l Don’t advertise yourself as a specialist unless you have completed a specialty educational program approved by the ADA CODA and fall into one of the following scenarios: m you are eligible for examination by an ADA-recognized national specialty board m you are a diplomate of an ADA- recognized national specialty board m you have continuously held yourself out as a specialist in an ADA recognized specialty since Dec. 31, 1964.

l Don’t advertise “general dentist, practice limited to” an area of dentistry that is not recognized as a specialty by the ADA or the BOD unless you also include verbatim the following statement as set forth by statute in a manner clearly distinguishable from the rest of the advertisement: (NAME OF ANNOUNCED AREA OF DENTAL PRACTICE) IS NOT RECOGNIZED AS A SPECIALTY AREA BY THE AMERICAN DENTAL ASSOCIATION OR THE FLORIDA BOARD OF DENTISTRY. l Don’t refer to, or advertise recognition by, a specialty accrediting organization other than one that has been recognized as bona fide by the ADA or the BOD unless you also include verbatim the following statement as set forth by statute in a manner clearly distinguishable from the rest of the advertisement: (NAME OF REFERENCED ORGANIZATION) IS NOT RECOGNIZED AS A BONA FIDE SPECIALTY ACCREDITING ORGANIZATION BY THE AMERICAN DENTAL ASSOCIATION OR THE FLORIDA BOARD OF DENTISTRY.

l Don’t advertise an unearned academic degree (e.g., honorary degrees or those awarded by educational institutions not accredited by a generally recognized accrediting body). l Don’t advertise a non-health academic degree if the public is likely to assume that is related to your qualifications as a practitioner. l Don’t advertise yourself as a member of the ADA, FDA, component or affiliate dental societies unless you are, in fact, a member. If false, this representation may result in both disciplinary and civil liability (for violating organized dentistry’s intellectual property rights). 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. Find this and other legal resources at: www. floridadental.org/members/member-resouce/ benefits/additional-practice-resources. Graham Nicol is the FDA’s Chief Legal Counsel.

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

www.floridadental.org

November/December 2015

Expires 4/1/2016

Today's FDA

benefit

Helping Members Succeed

NUMBER

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

A FREE BENEFIT AVAILABLE ONLY TO FDA MEMBERS A thoroughly researched and referenced handbook written clearly in an easy-to-follow format. Written by Graham Nicol, Esq., Health Care Risk Manager, Board Certified Specialist (Health Law) and the FDA’s Chief Legal Counsel

o t e M t n a W ? t You a h Sign W k ndboots a H ’s t c tis Contra da Den A Florianaged-care on M Law) (Health ol, Esq., ham Nic fied Specialist By Gra ti er C oard ager, B isk Man H LAW Care R HEALT Health N ON IO T A UBLIC ICIAL P ’S OFF IATION C O S S LA DENTA ORIDA THE FL

INSIDE: Chapter 1: The Basics: Types of Health Care Delivery Systems

Go to floridadental.org/signwhat

Questions? Call 800.877.9922

Chapter 2: The Basics: Types of MCO Models Chapter 3: The Basics: Types of Reimbursement Methods Chapter 4: MCOs & Other Types of Risk Chapter 5: How to Negotiate with MCOs Step by Step Chapter 6: Your Rights under Florida DMPO Contracts Chapter 7: Your Rights under Florida Health Insurance & PPO Contracts Chapter 8: Your Rights under Florida HMO Contracts Chapter 9: Your Rights under PLHSO Contracts Chapter 10: Fighting Back

Information Bytes

The Cure for App Envy

By Larry Darnell DIRECTOR OF INFORMATION SYSTEMS

By now, most people who have a business already should have a website. A number of those businesses are considering developing a smartphone app to go along with that website, too. Apps are all the rage. Everyone wants one and maybe you do, too; thus, the app envy. Somewhere, somebody should be asking that question, “Why can’t I have both?” The good news is you can get app functionality without the cost of an app attached to it. The solution involves a philosophy of web design that is known as responsive web design (RWD). RWD is an approach aimed at crafting websites to provide an optimal viewing and interaction experience — easy reading and navigation with a minimum of resizing, panning and scrolling — across a wide range of devices, including desktop computers, tablets, phones and even watches now. Ever tried looking at a regular website on your smartphone and you had to zoom, pan and scroll, and you still couldn’t see everything? That’s because it was missing RWD! RWD looks great on a desktop computer and not only adjusts to the size of the viewing device, but also only shows content appropriate for the viewing device. Caution: It does require redesigning your website, and in many cases from the ground up. The content can be the same but it’s coded and displayed differently.

www.floridadental.org

I get it — who has the time for that? However, think about how your customers access Web-based information about your dental practice. Imagine them trying to fill out that tiny form on their smartphone. No one wants to do that. A higher percentage of users are accessing websites from mobile devices than ever before and it’s a trend that’s not going to end any time soon. With that in mind, what are you doing to provide your current and potential patients the information they need in a form they can use? A responsive website allows your customers to access your practice information from any device and is tailored to their needs. A year ago, I spearheaded the effort to redesign the Florida Dental Association’s website from the ground up and made every aspect dependent on responsive design. We also recently updated our classifieds website to include this ability. RWD has improved overall usefulness for all of our website visitors. I encourage you to visit www.floridadental.org from your computer, your tablet or your smartphone, and see the difference RWD could make for your website

“

A higher percentage of users are accessing websites from mobile devices than ever before and it’s a trend that’s not going to end any time soon.

If you do not have the expertise, time or are just not sure where to get started, I suggest you take advantage of one of your member benefits through the Crown Savings program with Officite. They have the expertise and knowledge to get your website to function in a traditional sense and for mobile devices as well. For more information on Officite, go to http://www.fdaservices. com/?affiliate=officite.

”

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

November/December 2015

Today's FDA

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

Gov. Rick Scott Appoints Four to Board of Dentistry On Sept. 25, Gov. Rick Scott announced one reappointment and three appointments to the Florida Board of Dentistry. Dr. Joe Thomas, 55, of Vero Beach, is a dentist and the owner of Dr. Joe Thomas Dentistry. He was reappointed for a term that began on Sept. 25, 2015, and will end on Oct. 31, 2018. Dr. Joseph Calderone, 60, of Longwood, is a dentist with DeBary Dental Care. He succeeds Dr. Wade Winker and was appointed for a term that began Sept. 25, 2015, and will end on Oct. 31, 2018. Dr. Claudio L. Miro, 52, of Miami, is a dentist and the owner of Miro Dental Centers. He succeeds Dr. Leonard Britten and was appointed for a term that began on Nov. 1, 2015, and will end on Oct. 31, 2019. Dr. Naved Fatmi, 32, of Boca Raton, is a dentist with Regency Court Dentistry. He succeeds Dr. Daniel Gesek and was appointed for a term that began on Nov. 1, 2015, and will end on Oct. 31, 2019.

Medicare Opt In/Opt Out Deadline Approaching The enforcement of the regulation requiring dentists who prescribe Medicare Part D covered drugs to Medicare beneficiaries becomes effective June 1, 2016. To ensure their patients with Medicare Part D continue to have their prescriptions covered,

Today's FDA

dentists need to take one of the following three actions: enroll in Medicare as a provider of covered services; as an ordering/ referring provider; or, opt out of Medicare. A number of online resources, including a tutorial and information on Medicare Advantage plans, links to appropriate forms, sample affidavits, private contracts and Medicare contractor addresses can be found through the American Dental Association’s (ADA) Center for Professional Success at http://success.ada.org/en/practice/medicare/medicare. There also is a separate FAQ on Medicare Advantage and Part D regulation. In addition, some key aspects of the impact of this regulation on Medicare Advantage participants remain unanswered. As the ADA and Florida Dental Association get more information, we will update our members. Furthermore, visit http://www.fcso.com/ for information from First Coast Service Options Inc., the Medicare Administrative Contractor for Florida, which handles claim processing, auditing, medical review, customer service, education and provider enrollment, among others.

You Can Help Increase Access to Orthodontic Care The American Association of Orthodontists’ Donated Orthodontic Services (AAODOS) program is expanding its scope beyond the nine states that already have programs in place. The AAODOS needs your help to increase access to orthodontic care in our state for the underserved who have no other means to afford treatment.

November/December 2015

Specifically, they ask for help to identify one to two orthodontists who would be willing to lead efforts to establish an AAODOS chapter in Florida. This individual may be you or a classmate, or the young orthodontist who is itching to get involved. The AAODOS Board has developed a comprehensive step-by-step plan to help chapters get started and these resources simplify the entire process, from orthodontist recruitment to what types of cases are appropriate for the AAODOS program. The program is administered by Dental Lifeline Network, the respected administrator of the Donated Dental Services (DDS) program. There is limited need for fundraising as the AAODOS continues to receive financial support from the orthodontic industry. States may be asked to absorb some initial mailing costs to recruit volunteer orthodontists. A state chapter does not need a minimum number of volunteer orthodontists to provide care and as your colleagues become aware of the program, your numbers will grow! Please thoughtfully consider what role you can play in this most important endeavor. If you have any questions, or if you have volunteers in mind, please contact Ann Sebaugh at asebaugh@aaortho.org.

City Council Makes the Right Decision on Fluoridation During its last meeting, the Inverness City Council was presented with a staff recommendation to stop adding fluoride to the city’s drinking water, but after hearing from dental professionals, decided against the proposal. The most important benefit of adding fluoride to water is that it helps promote

www.floridadental.org

dental health and reduce tooth decay. According to the Centers for Disease Control and Prevention (CDC), since fluoridation of water supplies first started in 1945, nearly 75 percent of the United States served by community water systems fluoridates water, and there has been a concomitant dramatic decline in tooth decay. This led the CDC to name fluoridation of drinking water one of the Ten Great Public Heath Achievements of the 20th Century. In its recommendation, city staff said 99 percent of the fluoride added to the water goes down the drain and into the environment. The staff report also said, “Most consume water from a bottled supply,” without providing any basis for the statement or statistics on water use in the city, and said fluoridation costs $15,000 annually. Also, the staff recommendation said that since fluoride is present in dental hygiene products, beverages and even mouthwash, there is little benefit to continued fluoridation. But, after twice mentioning cost, staff said cost savings was not the reason for the proposal. Instead, the proposal is about water quality and protection of workers who handle the fluoride — and as one of the benefits, staff said removing fluoride would improve taste. This is somewhat debatable since most sources say fluoride does not affect taste, though the city adds chlorine, which does affect taste, and other chemicals to reduce corrosion in the city water system. Further, the statement that 99 percent of the fluoride goes down the drain or into the environment seems a little odd, since most of the water used in a home goes down the drain unless it is used for irrigation, and

www.floridadental.org

in both instances both the water and any chemicals added to it goes back into the environment. But the appropriate question the council asked is whether there is a benefit to fluoridation. This was answered by Drs. Robert Brockett and Johnny Johnson, along with other local city and county dentists who were concerned enough with the proposal to come to the meeting and testify. They pointed out the benefit fluoridation had to the public — particularly to children from low-income families who may not otherwise have access to dental fluoride. Thanks to the willingness of dental professionals to take the time to come and speak against the proposal, and to the willingness of council members to listen to the facts before making a decision, Inverness came to the right decision to reject the staff proposal and continue fluoridating its water.

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 Harold Acosta, Boynton Beach Miguel Borda, Wellington Jeffrey Brown, Vero Beach Craig Dean, Boca Raton Katherine Ferguson, Weston Michael Geiger, Coconut Creek Joshua Golden, West Palm Beach

Erika Granada-Ramirez, Margate Yousaf Gul, Coral Springs Goda Hajeebu Venkata, Coral Springs Julie Hantson, Fort Lauderdale Scott Harris, Boca Raton Lee Herman, Boca Raton Timothy House, Fort Lauderdale Rania Kashlan, Plantation Sergey Korol, Boca Raton Jordan Lissauer, Boca Raton Justin Martone, Royal Palm Beach Mitchell Miller, Coconut Creek Marcela Murcia, Weston Emily Newton, Delray Beach Lauren O’Hagan, Delray Beach Elizabeth Pare, West Palm Beach Alyssa Pinnock, Fort Lauderdale Dana Price, Hobe Sound Victor Ramos, Sebastian Melanie Sanches, Deerfield Beach Jessica Sanchez, West Palm Beach Deepa Sathiah, Miami Taner Sayin, Hollywood Freddy Vallejo, Pembroke Pines Todd Vazana, Fort Lauderdale Yasmine Zangeneh, West Palm Beach Dana Zeig, Davie

Central Florida District Dental Association Maya Ayoub, Orlando Joseph Calderone, Longwood Alma Correia, Lake Mary Merys Downer-Garnette, Lake Mary Ferishta Faqeeri, Gainesville John Farah, Oviedo Ernesto Guerra Andrade, Gainesville Jaclyne Herrera, Ocala Zahid Juma, Lake Mary Sejal Kamat, Orlando Athas Kometas, Wilbur by the Sea Please see NEWS, 14

November/December 2015

Today's FDA

NEWS from 13

Cornelius Link, Reddick Antonio Maceda-Johnson, Melbourne George Mitrogogos, Altamonte Springs Mauricio Mosquera, Winter Garden Nadine Nitisusanta, Orlando Marc Poveromo, Kissimmee Monika Reyes, Plantation Laila Rizvi, Orlando Maykel Sierra, Kissimmee Saleem Sirri, Orlando Lance Todd, Ocala Catherine Vergara, Melbourne Curtis Von Gunten, Gainesville Laura Weaver, St. Johns Nicole Vu, Winter Park Ameer Zufari, Winter Park

Northeast District Dental Association Antal Barbela, Jacksonville Tedra Beckton, Saint Augustine Eric Broe, Atlantic Beach Diana Cline, St. Augustine Mariana Doeste, Jacksonville Brian Floro, Jacksonville Taylor Mercke, Fleming Island Haresh Modha, Jacksonville Sebastien Murphy, Jacksonville Anny Oliva Perez, Jacksonville Todd Puckett, Jacksonville Padma Rageer, Jacksonville Salam Salman, Jacksonville Anna Sipe, Jacksonville Beach

Northwest District Dental Association Andrew Clark, Tallahassee Eric Claussen, Lynn Haven Megan Moshea, Pensacola Heber Paiva, Destin Nancy Phillips, Tallahassee Julia Skinner, Destin Abdul Waheed, Lynn Haven

Today's FDA

South Florida District Dental Association Evelyn Aldama Espinosa, Southwest Ranches Julie Alter, Miami Daiana Atari, Fort Lauderdale Joel Baez, West Park Alina Benavides, Hialeah Shanna Bernkrant, Hollywood Juan Buitrago, Miami Erik Calderon, Miami Beach Astrid Cardenas Sarracino, Doral Ibis Chaviano, Coral Gables Angelica Corredor, Miramar Yanepsi Cotelo-Pardo, Miami Pablo Duluc Vega, Pembroke Pines Jannet Gamboa, Doral Idalmes Garcia, Miami Joel Glicksman, Hallandale Beach Ira Goldman, North Miami Zina Haratz, Hollywood Sunilda Herrera Casas, Miami Yolanda Iduate Banobre, Miami Thomas Kiefer, Marathon Michelle Luis, Miami Beach Annika Marschall, North Miami Beach Arelis Martone, Boca Raton Ana Mejia Valencia, Miramar Mariam Mesa Garcia, Cutler Bay Claudia Montoya Lopez, Miami Beach Salomon Nahon, Miami Angela Ospina, Doral Paola Ossa Gomez, Miami Igor Pasisnitchenko, Sunny Isles Beach Rita Patel, Surfside William Posner, Miami Beach Pedro Quesada, Miami Patricia Ramirez, Weston Ramon Rodriguez, Miami Blanca Rojas, Coral Springs Ashley Rosenbaum, Miami Jose Salgueiro, Miami Manuel Seage, Coral Gables Michelle Segal, Coral Gables Sandra Silva, Cutler Bay Olga Uribe, Miami Maria Valdes-Garcia, Miami Jaime Zambrano, Key Biscayne

November/December 2015

West Coast District Dental Association Pedro Albisu, Naples Sandra Aljure-Estrada, Land O Lakes Danoosh Amrooei, Odessa Payal Arora, Tampa Patricia Bachmann, Fort Myers Lars Berk, Spring Hill Keith Blessitt, Sarasota Nancy Bouchard, Naples Ashley Bradley, Clearwater Victor Bustos, Venice David Carlton, Fort Myers Juan Castellanos, Cape Coral Darlene Desinor, Port Charlotte Elizabeth Dy, Tampa Elena Gutu, St. Pete Beach Michael Hess, Apollo Beach Noah Honig, Tampa Dang Huynh, Tampa Sonal Kapoor, Tampa Saravana Karunagaran, Tampa Jeongyun Kim, Tampa Petra Lee, Land Oâ&#x20AC;&#x2122; Lakes Matthew Love, St. Petersburg Amy Luce, St. Petersburg Aaron Mamo, Estero Alexander Marrero-Plasencia, Wesley Chapel Janis Milne, Seffner Lora Moak, Fort Myers Chelsea Monteleone, Naples Maria Pardo, Bradenton Amish Patel, Tampa Nishith Patel, Parrish David Pielak, New Port Richey Gordon Pocialik, Naples Michael Rodriguez, Celebration Ruth Rojas, Lakewood Ranch Sri Kanthi Saladi, Tampa Grady Scott, Tampa Sara Sheffield, Tampa Mujib Shuayb, Spring Hill Lindsey Taylor, Tampa Thuy Vazquez, Brandon Ximena Velasquez Pierce, Naples Allen Williams, Sun City Center

www.floridadental.org

In Memoriam The FDA honors the memory and passing of the following members: William Ewing Jr. Orlando Died: 9/6/2015 Age: 96

Eran Berenstein Fort Lauderdale Died: 9/27/2015 Age: 44

Edward Swan Ocala Died: 9/9/2015 Age: 91

D. W. Murchison Winter Haven Died: 10/1/2015 Age: 66

John Pelton Osprey Died: 9/12/2015 Age: 56

Hubert Hughston Fruitland Park Died: 11/11/2015 Age: 84

VOLUNTEERS NEEDED! ď Ž The Donated Dental Services (DDS) Program provides an avenue for dentists and dental laboratories to donate comprehensive treatment for people with disabilities, or who are medically fragile or elderly, and cannot afford dental care. ď Ž Since 1997, more than 1,500 Floridians in need have received more than $6.1 million in donated treatment from 400 generous Florida DDS volunteer dentists and 200 volunteer dental laboratories. Questions? Go to DentalLifeline.org or contact DDS Florida Program coordinator Megan Manor at 850.577.1466 or mmanor@dentallifeline.org.

SUPPORTED BY THE

SPECIAL OFFER Workersâ&#x20AC;&#x2122; Compensation Dividend from The Zenith

ÂŽ

On behalf of all of us at FDAS, we are pleased to announce the dividend benefit now being offered by The Zenith, and to again remind you that insurance benefits are part of our long-standing commitment to help our members and the profession overall operate as safely and successfully as possible.

Dividend Details...

20% Dividend!

» The Zenith will apply a 20 percent dividend of your earned annual premium to all new and existing policies that meet the program guidelines starting, Oct. 1, 2015.

» Dental offices that have an earned annual premium as low as $1,000 and have been claims free the past three years (current year plus two prior years) are eligible. » This represents a significant premium reduction for those participating in the program.

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

2016 Legislative Issues 18

By Joe Anne Hart FDA DIRECTOR OF GOVERNMENTAL AFFAIRS

The Florida Dental Associationâ&#x20AC;&#x2122;s (FDA) Governmental Action Committee, in collaboration with the FDA Board of Trustees and the FDA House of Delegates, prepare for each legislative session by developing an issues sheet outlining dental-related priorities to be addressed during session. The following is a list of dental issues for the 2016 Session:

Support n Dental Care Access Account n SB 234 by Sen. Don Gaetz (R-Destin) n HB 139 by Rep. Travis Cummings (R-Orange Park) n Donated Dental Services Program n Community Water Fluoridation n Increase Medicaid Dental Funding n Maintain Educational Standards for Internationally-trained Dentists n Floridaâ&#x20AC;&#x2122;s Action for Dental Health

Oppose

n Medicaid Provider Number for Dental Hygienists n SB 580 by Sen. Denise Grimsley (R-Sebring) n HB 595 by Rep. Rene Plasencia (R-Orlando)

Dental Care Access Account SUPPORT SB 234 by Sen. Don Gaetz and HB 139 by Rep. Travis Cummings

Committee Update: On Oct. 20, SB 234 unanimously passed out of the Senate Health Policy Committee. SB 234 now heads to the Senate Appropriations Subcommittee on Health and Human Services.

Today's FDA

November/December 2015

During the 2016 Legislative Session, legislation will be considered to help provide an opportunity for dentists to practice in underserved areas and have the ability to pay back their student loan debt. SB 234 and HB 139 will establish dental care access accounts for eligible dentists who are able to secure local funds that will then be matched with state funds, while practicing in a dental-healthprofessional shortage area, medically underserved area or treating medically underserved populations. The dental care access accounts would be established within the Department of Health (DOH) and would allow dentists to receive matching funds of up to $100,000 per dentist per year for up to five years. Dentists then will be able to use these funds for repayment of their student loans, investment in property, facilities or equipment needed to set up a dental practice. In order to remain eligible to receive funds from the dental care access accounts, dentists must agree to practice in an underserved area for at least two years. Otherwise, they forfeit their eligibility and access to the funds in the dental care access account. Additionally, a dentist can access these funds if he/she shows a commitment to open a private practice in one of the designated areas, maintain an active Medicaid provider agreement, enroll in one or more Medicaid managed-care plans and expend sufficient capital to make substantial progress in opening their own dental practice. Recent reports have indicated that dental students are graduating with an average student loan debt of $250,000 from public dental schools and $400,000 from private dental schools. This substantial amount of debt typically dictates what areas of the state dentists move to after graduation in order to meet their debt obligations. It has been noted that some participants from previous student loan repayment programs have set up their dental practice in the area where they served out their dental student loan repayment commitment. By providing financial support to dentists, more people will be given the opportunity to access quality dental services. This program has the potential to create a win-win situation for Florida, dental graduates and patients who will have better access to much needed dental care.

www.floridadental.org

Legislative Issues

Donated Dental Services Program SUPPORT In 1997, the Florida Dental Lifeline Network and the South Florida District Dental Association established the Donated Dental Services (DDS) program, which eventually evolved into a statewide program supported by the FDA. The DDS program allows dentists and dental laboratories to donate comprehensive treatment to people with disabilities, the elderly, medically fragile or to those who cannot afford dental care. Currently, 400 Florida dentists and 200 Florida dental labs participate in the DDS program. They have helped more than 1,511 patients in Florida with seriously neglected dental problems and have donated almost $5.8 million in dental services. These individuals would end up seeking dental care in the emergency room if it were not for the volunteers who provide their services for free through this program. Seeking dental care through an emergency room setting is cost-prohibitive and does not resolve the patient’s underlying issue(s). With more than 15,000 dentists and 3,600 dental labs nationwide, the program has provided $250 million worth of donated dental services. The FDA supports state funding for two full-time coordinators and operating expenses for the DDS program through the Dental Lifeline Network at approximately $170,000, recurring annually.

Community Water Fluoridation SUPPORT Proclaimed as one of the Ten Greatest Public Health Achievements of the 20th Century by the Centers for Disease Control

www.floridadental.org

and Prevention (CDC), community water fluoridation has proven to be one of the most efficient and safest ways to prevent dental decay, which is one of the most common childhood diseases. Studies show that for more than 65 years, community water fluoridation has resulted in a significant reduction of tooth decay among individuals of all ages, and especially those without access to regular dental care. Fluoride is naturally occurring and is present in all water sources. In Florida, about 77 percent of the population receives optimally fluoridated water. Community water fluoridation is simply the precise adjustment of the naturally occurring fluoride to the level recommended for optimal dental health. The level of concentration, established by the U.S. Public Health Service, is currently set at 0.7 milligrams per liter. The public health benefits of water fluoridation also is recognized by the American Dental Association (ADA), the American Medical Association (AMA), the World Health Organization (WHO) and 125 other national and international organizations. One argument against adding fluoride to the water supply is budgetary restraints. The average annual cost for a community to fluoridate its water system is estimated to range from approximately $0.50 a year per person in large communities to approximately $3.00 per person in small communities. Compared to the cost of dental treatment, community water fluoridation actually provides cost savings. For most cities, every $1 invested in water fluoridation saves $43 in dental treatment costs. In fact, the average lifetime cost per person to fluoridate a water system is less than the cost of one dental filling.

While representatives from both sides of the fluoridation issue have expressed passionate views, the facts at hand are unequivocal. In 2012, 74.6 percent of the U.S. population on public water systems received optimally fluoridated water. Fluoridation has been thoroughly reviewed in the United States’ court system, and found to be a proper means of furthering public health and welfare. No court of last resort has ever determined fluoridation to be unlawful. The overwhelming weight of credible scientific evidence consistently indicates that fluoridation of community water supplies is the single most effective, safe and economical way to prevent dental decay among citizens, regardless of their age or socio-economic status. The FDA supports the optimization of fluoride levels in community water systems in Florida and encourages the state to dedicate $1 million in recurring general revenue to continue these efforts locally.

Increase Medicaid Dental Funding SUPPORT Florida’s $24 billion Medicaid program does not provide adequate resources for dental care. Funds appropriated to dental care in the Medicaid program make up only about 1 percent of the overall Medicaid budget. The FDA supports an increase in the overall funding of the Medicaid dental program and a thorough assessment of the policies and administration of the program. Extremely low reimbursement rates for Medicaid dental providers have been a significant barrier for increasing the num-

November/December 2015

Please see ISSUES, 21

Today's FDA

Legislative Issues ISSUES from 19

ber of dentists willing to participate in the Medicaid program. During the 2011 Legislative Session, the Legislature approved a $56 million reimbursement fee increase for children’s dental services only. The FDA applauds the Legislature’s effort to address an area of the Medicaid program that has not seen any significant changes in more than 20 years. However, even with this fee increase, Florida still ranks in the bottom of all states for Medicaid reimbursement rates. Current Florida Medicaid reimbursement rates are 36 percent of private dental insurance rates. Under the statewide managed-care program, the medical plans directly contract with the dentists and the majority of the plans set the reimbursement rates at the Florida Medicaid rate. There needs to be a larger portion of money specifically designated for dental care in the Medicaid program so the plans have the ability to increase the reimbursement rates for dental care.

Maintain Educational Standards for Internationallytrained Dentists SUPPORT Current law requires that graduates of non-accredited dental schools complete a two-year supplemental general dentistry education program before taking the Florida licensure exam. The purpose of the supplemental education program is to: 1) ensure that internationally-trained dentists attain the same knowledge and skills as graduates of accredited programs, and 2) familiarize internationally-trained dentists with the oral health care delivery system in the U.S., including the techniques, procedures and standards of oral health care.

ited clinical services such as radiographs, fluoride treatments, sealants and coronal polishing.

efforts that tried to create a “back door” pathway to licensure in Florida for internationally-trained dentists. Proposed changes to the current law would provide exemptions for internationally-trained dentists who agree to treat Medicaid recipients in exchange for bypassing the supplemental education requirement. The FDA believes that all Floridians should have access to the same standard of care regardless of economic status. These supplemental education programs are offered to ensure that a minimum standard of care for Floridians is consistently achieved for all licensees in the state. The FDA supports maintaining the current supplemental education requirement for internationally-trained dentists.

Florida’s Action for Dental Health SUPPORT In February 2015, the FDA rolled out Florida’s Action for Dental Health (FADH), a comprehensive plan developed to implement initiatives that will focus on improving the oral health and resulting overall health of all Floridians. Since then, the FDA has been involved in supporting initiatives such as the community dental health coordinator (CDHC), who serves as a patient navigator to help individuals access available dental care in their communities. The CDHC curriculum will be integrated into the training for interested dental hygienists and dental assistants at Mattia College in Miami. By incorporating the CDHC into the dental workforce, patients will benefit from coordination of care, educational and social interventions in the community, and prevention. CDHCs work under the dentist’s supervision in clinics, schools and other public health settings with people of similar ethnic and cultural backgrounds. They also will be able to provide lim-

During a radio interview with WFSU-FM (Tallahassee’s National Public Radio station) on FADH, a concerned parent called the radio station to inform listeners that as a foster parent, he was unable to find a dentist who could treat his foster child because the state had not contracted with a managedcare company in his local community. Based on this information, the FDA contacted the DOH to look into this situation. As a result, the DOH eventually finalized an agreement with a dental managed-care plan to provide dental care for foster children in eight counties: Jefferson, Leon, Madison, Marion, Suwannee, Taylor, Volusia and Wakulla. The FDA applauds the work of the DOH and their continued support in improving access to dental care. These are a few examples of the many accomplishments achieved by the efforts of FADH. The FDA will continue to work on this plan and looks forward to many more success stories.

Medicaid Reimbursement for Dental Hygienists OPPOSE SB 580 by Sen. Denise Grimsley and HB 595 by Rep. Rene Plasencia The FDA opposes directly reimbursing dental hygienists for services performed in public health access settings. Current law is adequate and flexible enough to allow hygienists to collaborate as needed in order to use existing Medicaid provider numbers already assigned to dentists and physicians in health access settings. There are a number of administrative solutions to the

In the past, there have been legislative www.floridadental.org

November/December 2015

Please see ISSUES, 23

Today's FDA

Legislative Issues

ISSUES from 21

perceived problem of reimbursing health access settings for services being administered today; furthermore, the FDA does not support changing the law to grant dental hygienists their own Medicaid provider number.

LEGISLATIVE ADVOCACY The Florida Dental Association is a major leader in the health care advocacy arena. The FDA Governmental Affairs Office tracks and analyzes legislation affecting dentistry and health care in Florida.

FDA SERVICES INC. WE KNOW INSURANCE. WE KNOW DENTISTS. FDA SERVICES (FDAS) provides members with all of the insurance they need for their practice. Revenue from insurance sales goes directly toward helping FDA programs and lobbying efforts important to members.

TODAY'S FDA The FDA’s award-winning journal offers news, commentary, scientific studies and practice management articles. The journal keeps members apprised of association news and the latest advances in the dental profession.

CROWN SAVINGS EXCLUSIVE DEALS AND DISCOUNTS — FDA Services has researched and vetted business solutions so FDA members can take advantage of exclusive deals and discounts. Members who participate will save time, money and hassle, putting the focus back on patient care.

CONTINUING EDUCATION YOUR BEST SOURCE FOR CONTINUING EDUCATION! Look to the FDA for the best buy in continuing education in the Southeast: Florida Dental Convention, free online continuing education, and free webinars on practice and risk management.

During the 2011 Session, the FDA and the Florida Dental Hygiene Association (FDHA) worked together on legislation to allow for greater access to dental care for people in underserved areas or health access settings. These efforts lead to the passage of HB 1319, which specifically allows hygienists to provide fluoride varnishes and sealants without prior approval or supervision of a dentist in health access settings. This legislation was a team effort by the FDA and FDHA to help expand access to dental care with an emphasis on encouraging these individuals to establish a dental home and receive a full, comprehensive examination by a dentist after 13 months of seeing a hygienist. Implementing this dental team approach, helps prevent the misconception that dental treatment was rendered. It is the FDA’s position that the billing statute does not need to be changed since there already is a mechanism in place for health access settings to be reimbursed for services performed by hygienists. The DOH’s dental director has authorized the use of his Medicaid provider number for billing purposes when hygienists administer fluoride varnishes and sealants in county health departments. These services still can be performed without the supervision of a dentist. In other health access settings, such as a federally qualified health center, hygienists still can perform these services without supervision and the health access setting could use the Medicaid number of the dentist affiliated with that facility for billing purposes. Joe Anne Hart is the FDA’s Director of Governmental Affairs and can be reached at jahart@floridadental.org. Please visit the FDA’s website at www.floridadental.org.

HELPING MEMBERS SUCCEED QUESTIONS ABOUT YOUR MEMBER BENEFITS? Find more information at www.floridadental.org. Contact us at membership@floridadental.org or 800.877.9922.

www.floridadental.org

November/December 2015

Today's FDA

2015 FDA Legislative Awards

Legislative Awards

The FDA would like to recognize several members of the Legislature who were instrumental in moving the FDA’s legislative priorities forward during the 2015 regular session.

Sen. Gaetz and Rep. Cummings are the FDA’s 2015 Legislators of the Year Sen. Gaetz is a true visionary and wholeheartedly invests in issues he believes in when he agrees to sponsor legislation. This was the case for the FDA’s legislation to re-establish the dental student loan repayment program. Understanding the take on the proverb, “It takes a village,” Sen. Sen. Don Gaetz Gaetz supported the idea of the state investing funds to help with dental student loan debt, but wanted to see a local investment from the community as well. The dental care access account legislation would have allowed eligible dentists to receive up to $100,000 per year for a maximum of five years, if they agreed to work full time in a public health program (county health department or community health center) for at least two years. There was great bipartisan support from both chambers and the bill he sponsored eventually was voted unanimously off the Senate floor during the 2015 Session. Even though the legislation did not pass the full Legislature, Sen. Gaetz has agreed to file this legislation again. The FDA appreciates Sen. Gaetz’s leadership and looks forward to working with him again during the 2016 Legislative Session. Rep. Cummings filed the House companion bill to the dental care access account legislation. He also had a lot of passion for this initiative and was able to secure 23 co-sponsors in support of this legislation. Rep. Cummings believes that dental care is an important compoRep. Travis Cummings nent of overall health care and understands the significant benefit this initiative will add to the lives of individuals who live in underserved areas around the state. As we prepare for the 2016 Session, Rep. Cummings will sponsor

Today's FDA

November/December 2015

this legislation in the House again and anticipates making inroads on getting it through the committee process to be approved on the House floor. The FDA thanks Rep. Cummings for his persistence and determination to help make a difference in the lives of all Floridians. We also would like to congratulate the FDA’s 2015 Champion for Dentistry, Senate President Andy Gardiner (R-Orlando). He has taken on a significant role in presiding over the Florida Senate. Sen. Gardiner has been consistent in his policy decisions and position on scope of practice Sen. Andy Gardiner issues, and recognizes the importance of having the appropriate education and skills to become a licensed health care provider in Florida. The FDA salutes Sen. Gardiner for his unwavering steadfastness as he works to ensure sound policy and legislation governs our state. Each year, the FDA recognizes legislators who have served over the years as dedicated dental advocates and who have gone above and beyond. The following legislators will receive the FDA’s 2015 Dr. Lewis Earle Legislative Service Award:

Sen. Arthenia Joyner (D-Tampa)

Rep. Matt Hudson (R-Naples)

Rep. Irv Slosberg (D-Delray Beach)

Rep. Ritch Workman (R-Melbourne)

www.floridadental.org

TRY MY AGENT Professional Liability Insurance for your Dental Career

WWW.FDASERVICES.COM

CALL US AT 800.877.7597 Dr. Ardalan has trusted FDA Services and The Doctors Company with his professional liability needs for more than 10 years! Our agents and customer service professionals serve as his reliable source for risk management guidance and quality coverage.

Dr. Reza Ardalan Pediatric Dentist Port St. Lucie, FL

Dental Licensure Exam

Florida Dental Schools to Try New Testing Format By Casey Stoutamire FDA LOBBYIST

“

There is only one difference between the traditional exam (the current Florida ADEX exam) and the CIF exam. Under the CIF model, faculty preapproves lesions.

”

Today's FDA

A new testing format is being considered for the Florida dental licensure exam. At its last meeting, the Florida Board of Dentistry (BOD) discussed the Curriculum Integrated Format (CIF) exam, also known as the “Buffalo Model,” because it was first piloted at the University of Buffalo School of Dental Medicine. The CIF exam is administered by the Commission on Dental Competency Assessments (CDCA), which also administers Florida’s dental licensure exam. A majority of the BOD members did support this testing model and would like to see it offered at Florida dental schools. Mr. David Flynn, BOD attorney, explained that the BOD contracts out the exam and its administration, and if the CIF exam were given in a Florida dental school, it would be in compliance with Florida statute because it would be administered by the CDCA, which current law requires. The CIF exam is still in a pilot stage that began in January 2015, and was given to 64 students at the University of Buffalo. The schools anticipated to participate in the pilot for the upcoming year include: University at Buffalo School of Dental Medicine, University of Pennsylvania School of Dental Medicine, Boston University School of Dental Medicine, University of Detroit Mercy School of Dentistry, A .T. Still University School of Dentistry, Midwestern University School of Dental Medicine and Nova Southeastern University College of Dental Medicine. The CDCA also has begun discussions with the University of Florida College of Dentistry. The CIF exam has the same content, modules and grading criteria as the Florida ADEX exam. There is only one difference between the traditional exam (the current Florida ADEX exam) and the CIF exam. Under the CIF model, faculty preapproves lesions. The CDCA trains the faculty to identify correct and appropriate lesions specifically for the exams. Faculty then approves lesions on patients prior to the exams. The CIF format is given in two or three sessions to a limited number of senior dental students. According to the CDCA’s website (www.cdcaexams.org/dental-exams/), the CIF format of the ADEX exam consists of five separate exams: restorative, periodontal, prosthodontic, endodontic and the Diagnostic Skills Exam (DSE). The prosthodontic and endodontic exams are offered at the candidate’s dental school in September or October during the candidate’s senior year. If either exami-

November/December 2015

www.floridadental.org

Dental Licensure Exam

CIF Format

Traditional Format (Current FL ADEX Exam)

Exams given:

restorative, periodontal, prosthodontic, endodontic and Diagnostic Skills Exam (DSE)

Time exam is given per year:

The restorative, periodontal, prosthodontic and endodontic exams are offered at the candidate’s dental school at separate times during their senior year.

The restorative, periodontal, prosthodontic and endodontic exams are offered during a Spring Series, Summer Series and Winter Series. Candidates may take the restorative, periodontal, prosthodontic and endodontic exams only once during each Series.

If a candidate fails a portion:

A failed examination(s) may be retaken during the next scheduled examination time during the candidate’s senior year.

If a candidate receives failing scores, the candidate must reapply and retake all failed examinations together at the same site.

Time to complete exam:

All parts of the examination must be completed successfully within 18 months of the date any part of the examination (clinical or computer-based) was begun or the scores become invalid and the candidate must apply for and take the full traditional format (Florida ADEX Exam).

Not applicable because exam can only be taken during the Spring, Summer or Winter Series.

Passing grade:

75 or more

Examiners used:

ADEX

However, Florida law states, “If the applicant fails to pass the clinical examination in three attempts, the applicant shall not be eligible for re-examination unless she or he completes additional educational requirements established by the board (of dentistry).” FL Statutes 466.006(5) (c).

nation is failed, it may be retaken in December. The restorative and periodontal exams are offered at the candidate’s dental school during February or March of a candidate’s senior year. If the candidate fails either of these examinations, or if the candidate failed the retake of the prosthodontic and/or endodontic examinations in December, then the failed exam(s) may be retaken one more time in April or May of the candidate’s senior year. All parts of the exam must be completed successfully within 18 months of the date any part of the exam (clinical or computer-based) was begun or the scores will become invalid and the candidate must apply for and take the current Florida ADEX exam format. A score of 75 or more still is required to pass each examination. The CIF format uses the same professional Florida ADEX examiners who now are administering the Florida exam. Currently, if the candidate is taking the exam at a Florida dental school, the examiner must be a Florida-licensed dentist.

For more detailed information on the CIF versus the traditional exam format, go to http://www.cdcaexams.org/dental-exams/. To view a PowerPoint presentation by Dr. Joe Gambacorta, Assistant Dean of Clinical Affairs at Buffalo School of Dental Medicine, and a panel discussion with audience questions, go to http://www.cdcaexams.org/ dental-exam-news/. Ms. Stoutamire can be reached at 850.350.7202 or cstoutamire@floridadental. org.

The CIF exam is tailored to each school based on its clinic size and number of students. Thus, the CDCA would administer a series of smaller exams throughout the year instead of a large exam on a couple of dates a year. Proponents of the CIF format highlight the opportunity for remediation offered by this type of exam as opposed to the current Florida ADEX exam. If an applicant fails a portion, he/she can remediate and retake that portion of the exam before he/she graduates. In addition, the CIF format allows the use of patients who are being treated in the student clinics and eliminates most of the issues the schools and students have with obtaining patients for the exam.

www.floridadental.org

November/December 2015

Today's FDA

Board of Dentistry

Dentistry Renewal Fee Cap Increase Proposed By Dr. Bill Kochenour

staff. The task force studied expenditures

ble. The BOD averages 1,000 complaints

Member, Florida Board of Dentistry

and cash balances from the previous five

each year that must be reviewed for legal

years, and their recommendations were to

sufficiency and a determination made as to

The Florida

increase the cap from $300 to $600, and be-

whether an investigation and legal action is

Board of Den-

gin collecting $475 for the two-year dental

warranted. The majority of the BOD’s costs

tistry (BOD) is

license.

are related to enforcement and prosecution

charged with fiscal responsibility, as is any business, and I feel it is knowledgeably and efficiently run. We all are aware the cost of investigations, unlicensed activity and administrative responsibilities has increased

“

tion with the Florida Dental Association (FDA), has noted twice over the past 10 meetings) that it would be necessary to increase the $300 cap to renew the two-year dental license. This cap initially was set in 1979 and has not been adjusted since that time. In the years since, costs rose such that the renewal fee no longer covered the cost of enforcement and regulation of our profession. Because of the cap, the BOD has operated in an ever-increasing deficit. In order to explore options to alleviate the current deficit, the BOD established a budget task force, which included members of the BOD, FDA, a former BOD chair and the Department of Health’s (DOH) budget

Today's FDA

We invite you to review the Board’s website at www.floridasdentistry.gov for updates.

over the last 30 years. The BOD, in conjunc-

years (June 2006 and February 2015 board

efforts.

No fee increase has been finalized because an increase in the cap would require a statute change by the Florida Legislature.The recommendations also included issuance of one or two single assessments to licensees, but the BOD opted to simplify this process for our licensees, voting only for an adjustment to the cap. Without this increase in licensure fees, the BOD will approach a $5 million deficit by 2020. The DOH dental prosecutors, investigators and board staff are aware of this current financial situation and are working together on ways to save costs whenever possi-

November/December 2015

”

We invite you to review the Board’s website at www.floridasdentistry.gov for updates

regarding previous meetings’ minutes and audio, easy access to the laws and rules,

frequently asked questions, email access to board staff, as well as an opportunity to view our current board members. Any opinions or comments are welcome, as we begin to engage in this matter of fiscal responsibility. Dr. Kochenour is a member of the Florida Board of Dentistry and can be reached at dr.kochenour@gmail.com. www.floridadental.org

HELPING MEMBERS SUCCEED! … by delivering programs, services and advocacy that maximize value.  The Florida Dental Association (FDA) is the voice of dentistry in Florida. If not for the FDA and your membership, your profession would be markedly different today.  Your membership in the FDA signifies to the public your commitment to excellence. It demonstrates your resolve in keeping up with current scientific advances. And, it provides you with a forum of communication with colleagues throughout Florida and the nation.  The benefits of membership, without a doubt, pay for the costs of membership many times over. For example, you could save more than $30,000 a year using FDAS Crown Savings merchants (your savings may differ).  Call us first! Do you want to access dental-related information, services or products? We may already have what you need to succeed. (800.877.9922)  If you are a member, we invite you to renew. Your annual dues statement was mailed in November. Please call us if you haven’t received yours.  If you are not a member, we invite you to join! An application is enclosed with this complimentary copy of Today’s FDA.

TAKE A LOOK at the sampling of member benefits that follows. THERE’S VALUE in membership — tangible savings and a whole world of friendship and networking opportunities.

LEGISLATIVE ADVOCACY The Florida Dental Association (FDA) is a major leader in the health care advocacy arena. The FDA Governmental Affairs Office tracks and analyzes legislation affecting dentistry and health care in Florida.

Recent legislative victories supported by the FDA include legislation that:  prohibits insurance companies from dictating to dentists how much they can charge for services not covered under their dental contract.  allows patients to assign payment of services directly to the provider after services have been rendered (assignment of benefits).  secures a $56 million Medicaid fee increase for Medicaid dental providers of children’s services, the first substantial dental fee increase in almost 20 years.

CONTINUING EDUCATION

HELPING MEMBERS SUCCEED

Your best source for continuing education! Look to the FDA for the best buy in continuing education in the Southeast.  Florida Dental Convention offers free pre-registration and up to 18 hours of free CE to FDA members.  FREE online continuing education: 24/7 access — some members have saved thousands of dollars!

CROWN SAVINGS EXCLUSIVE DEALS AND DISCOUNTS — FDA Services has researched and vetted business solutions so FDA members can take advantage of exclusive deals and discounts offered through the Crown Savings program. Members who participate will save time, money and hassle, putting the focus back on patient care. Crown Savings benefits members and the association as the program produces revenue for the FDA through use of the association’s trade dress and mailing list. Greater participation means more revenue for the association to add value and benefits to the FDA membership.     

Apparel Auto Dental Supplies Debt Collection CE Broker

    

Financial Shipping Patient Communication Credit Card Processing Practice Management

   

Scrap Metal Refining Electronic Dental Claims Website Development HIPAA Compliant Email

FDA SERVICES INC. FDA SERVICES (FDAS) is a wholly owned insurance agency of the Florida Dental Association. With more than $1 million contributed to dues reductions each year, FDAS provides members with all of the insurance they need for their practice. Revenue from insurance sales goes directly toward helping FDA programs and lobbying efforts that are important to members. A comprehensive portfolio is available:  Health insurance  Life insurance  Disability insurance  Long-term care insurance  Professional liability insurance  Workers’ compensation  Office package insurance  Office overhead expense insurance  Pension/retirement plan  Auto and boat insurance

LEGAL RESOURCES From FAQs to comprehensive handbooks, the FDA offers members a number of legal resources — information to help you navigate the complex set of laws and rules that govern the practice of dentistry.          

Contract analysis You Want Me to Sign What? Managed Care Handbook HIPAA and Florida Privacy Law Scope of practice Peer review Informed consent Prescription, Controlled Substance Pain Management Laws Liaison to the Florida Board of Dentistry Patient abandonment Dos and Don’ts of Advertising

PUBLICATIONS PROMOTING A POSITIVE IMAGE The FDA takes a proactive approach to public relations by developing campaigns promoting a positive image of dentistry and building coalitions with state agencies and organizations. The association regularly consults with a public relations firm about the best way to promote good practices and the value of oral health. High profile events like the Florida Mission of Mercy catch the attention of legislators and the media, showing dentists making a positive impact on Floridians and their smiles.  Today’s FDA Reception Room issue  Press releases about members and issues  Social media campaign Targeted and boosted posts on Facebook and digital ads on key web pages promote seeing an FDA member dentist.

Today’s FDA — The FDA’s award-winning journal offers news, commentary, scientific studies and practice management articles, including association news and the latest advances in the dental profession. News Bites — This monthly email publication keeps members informed about current dental industry news and FDA programs. News Bites Special Alerts are single subject priority email bulletins about changes in laws and regulations relating to dental practice, patient care, new member benefits, etc. Beyond the Bite — The official FDA blog features posts from FDA members, leadership, staff and experts in their field writing about industry trends, tips to strengthen your practice, legal tips, FDA programs and more. PACPower —This newsletter represents the FDA’s political action committee efforts to keep members up to date on legislative issues, the impact of new state laws and state level political campaigns. LCD Exchange — This newsletter highlights the involvement of FDA members in their advocacy role to meet and help educate legislators as their legislative contact dentist. Capital Report — During the annual session of the Florida Legislature, the FDA sends weekly reports about dental-related legislation. Bimonthly updates are sent during the rest of the year.

PROMOTING DENTAL HEALTH FOR ALL FLORIDIANS The FDA Foundation (FDAF) represents the philanthropic values of the dental profession. The FDAF works tirelessly to provide programs and grant opportunities that reduce barriers to care for underserved populations. The generosity of the dental community as well as other individuals and companies over the years has had a great impact statewide. Please join with the FDAF to help improve oral health for all Floridians. The Foundation supports three major programs:  Florida Mission of Mercy  Donated Dental Services  Project: Dentists Care

YOU CAN MAKE A DIFFERENCE!

Any business requires an investment. That’s what political action committee (PAC) dollars are — an investment in the legislative process and the future of your business. FDAPAC membership is included in your annual FDA dues and is a member benefit. Optional membership in the FDAPAC Century Club helps to strengthen your PAC and ensure that organized dentistry has a strong voice in the legislative process. The PACPower e-newsletter provides information on political and legislative initiatives from all around the state to members. Your FDAPAC dollars and a strong political action committee will:  Support pro-dental candidates for election to the Florida Legislature and statewide offices.  Provide education and information to candidates for political office on issues impacting the dental profession.

Fluoridation

Lessons Taken Away From Ongoing Community Water Fluoridation Discussions By Alexandra Abboud FDA GOVERNMENTAL AFFAIRS COORDINATOR

Community water fluoridation is the precise adjustment of fluoride that naturally occurs in a community’s water supply to the recommended level for optimal dental health, and is a tool that dentists and the dental team know to be extremely effective and safe. It is an efficient way to prevent one of the most common childhood diseases — dental decay. Fluoridation also benefits middle-aged adults by reducing tooth decay that occurs on tooth enamel surfaces and also on root surfaces that become exposed as gums recede. Yet, despite the myriad amount of scientific research and the backing of reputable organizations like the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), fluoridating our water systems still is heavily disputed both nationally and in Florida. This year marked community water fluoridation’s 70th anniversary. Despite this recognition, several communities have engaged in fluoridation discussions to remove it from their water systems. There are valuable lessons to be taken away from each of the following communities where community water fluoridation was considered.

Today's FDA

In March, the city of Cocoa’s utilities director was asked to give fluoridation information to the city council members. Although a formal presentation on fluoride was not given, local FDA members Drs. Jim Antoon, Gerald Bird and Curt Hill attended the meeting to speak to the city council members and educate them on community water fluoridation’s benefits. This was an excellent pre-emptive strike in case the issue ever is put on the agenda; pre-emption can be the key to winning over an area in a fluoridation fight. Also in March, Boynton Beach temporarily stopped adding fluoride to the city’s water supply. This was not due to anti-fluoridation sentiment, but rather a funding issue. The city did not have the funds for construction and required maintenance of the fluoridation equipment. Dental advocates informed the city’s utilities director of water fluoridation grant money available for these specific issues from the Florida Department of Health (DOH). An important takeaway from this discussion — not every fluoride conversation is a contentious one; sometimes it is simply informing officials that funding is available to help cities and counties with maintenance and upgrades. For months there was discussion of whether to restart the fluoridation program in Palatka, which had been discontinued in 2011. Despite the dental community and local pediatrician Dr. Eric Jump urging the city to reinstate community water fluoridation, the Palatka City Commissioners voted not to approve fluoridation during their May city commission meeting based on the

November/December 2015

Palatka Water Plant Superintendent’s recommendation. Although this was a loss for fluoridation advocates, it was an exemplary case of collaborative efforts between the dental and medical community. In contrast, in August the Eustis City Commission was asked to workshop community water fluoridation based on one constituent claiming it was bad for the community. Prior to the meeting, Sen. Alan Hays, who is an FDA member and represents that area in the Legislature, contacted the city commission to inform them of his support of fluoridating the water system. Dr. Johnny Johnson, an active fluoridation advocate, presented at the meeting on the FDA’s behalf. The Eustis City Commission unanimously voted to keep fluoridation in the water supply. This community fight illustrates a win and how advocates were able to triumph over fluoridation opponents. Additionally this year, fluoridation discussion and advocacy has flourished on the national stage. On April 27, the U.S. Department of Health and Human Services lowered the recommended optimal level of fluoride in drinking water to 0.7 milligrams per liter uniformly. Oral health care organizations, like the FDA, had known this change was coming for the past four years when the recommended level was first released for comment. As such, many communities in Florida began adjusting the levels of fluoride in their water supplies. In September, community water fluoridation received two different recognitions honoring its 70th anniversary. The first was House Resolution 416 introduced by www.floridadental.org

Fluoridation

Congressman Mike Simpson, DMD (R-ID) on Sept. 10 in the U.S. House of Representatives. This resolution recognizes community water fluoridation as one of the greatest public health initiatives and supports that the practice is the single most effective measure to prevent tooth decay. The resolution also refers to the studies conducted on water fluoridation that prove it continues to reduce dental decay, despite the availability of fluoride from other sources in the modern era. The second recognition was a celebration and symposium on Sept. 11-12 hosted by the American Dental Association at its headquarters in Chicago. for anyone interested in improving the oral health of their community. There are many lessons to take away from the fluoride discussions this year. Collaboration between oral health advocates and pre-emptive efforts are excellent strategies. Defensive measures often can accomplish wins in communities. Not every fluoride fight ends up in a win and not every discussion is a true fight, but simply may be a funding issue. National advocacy should

never be forgotten, as what happens on the federal level filters down to the states. You may be wondering if the FDA is taking any legislative steps to further the practice of community water fluoridation. The FDA has recognized that funding seems to be a key issue for many communities. As such, providing dedicated state funds for the construction and maintenance of fluoridation systems is a budget issue priority the FDA will support in the 2016 Legislative Session. The FDA also is involved in fluoridation discussions around the state. In each of the aforementioned communities, the FDA sent letters of support to the city commissioners and managers to inform them of community water fluoridation’s benefits. The entire oral health community needs to advocate for community water fluoridation. If a fluoridation issue ever arises in your area, or if you would like to get involved in fluoridation efforts, please contact the Governmental Affairs Office at 850.224.1089 or gao@ floridadental.org.

“

There are valuable lessons to be taken away from each of the following communities where community water fluoridation was considered.

”

Ms. Abboud can be reached at aabboud@ floridadental.org.

JOIN THE TEAM

3CHECK THE BOXES

on your dues statement to contribute to the FDAPAC Century Club and ADPAC Basic Membership levels.

FDAPAC is a state-registered political committee that makes contributions to state candidates and committees. Contributions to FDAPAC and ADPAC are voluntary and any member has the right to refuse to contribute without reprisal. The contribution guidelines are merely suggestions and a member may contribute more or less or not at all without concern of favor or disadvantage by the association. Corporate donations to ADPAC will be used exclusively to pay for the administrative and operating expenses of ADPAC. Contributions are not deductible as charitable contributions for federal tax purposes.

Your support allows FDAPAC and ADPAC to protect the dental profession and have a seat at the table with policymakers in Florida and Washington, D.C.

www.floridadental.org

November/December 2015

Today's FDA

Late Career Resources on ADA® Center for Professional Success™ Please note: this is just a sampling of the most popular of the available resources. We realize each dentist is an individual, and may have very different needs and wants. Always visit Success.ADA.org for more information, or contact us at centerforprofessionalsuccess@ada.org if a specific resource cannot be found.

Closing a Dental Practice https://success.ada.org/en/practice/ownership-life-cycle/closing/closing-a-dental-practice The reasons dentists close their practices vary, including retirement, financial challenges, serious illness or death. If you are looking to close your practice, this downloadable guide will help you through the process. It contains useful information to help you with the many details involved in ending a practice. Dental Records https://success.ada.org/en/practice/operations/regulatory/dental-records The dental record serves to provide continuity of care for the patient and is critical in the event of a malpractice insurance claim. State and federal laws determine how the dental record is handled, how long it is kept, and who may have access to the information. Proper maintenance and security of the information located therein is vital. The downloadable whitepaper includes helpful information regarding records management and additional helpful resources and references. Practice Life Stages: End https://success.ada.org/en/practice/ownership-life-cycle/closing/practice-life-stages-end The practice you worked so hard to build and maintain has served you well. During the last five to ten years you need to determine when the right time is to either step down or step away. Ms. Linda Miles, CSP, CMC, Founder of Linda Miles and Associates (now Miles Global), created a guide to success throughout the stages of a dental practice. Why is this Practice for Sale? https://success.ada.org/en/practice/ownership-life-cycle/buying-and-selling-valuation/why-is-this-practice-for-sale Buying a practice is an exciting time. Among all the critical issues like location, size, condition and patient base, don’t overlook asking why it is for sale. This is important, as it will help you to calculate goodwill. The Associateship Interview: Come Prepared With Smart Questions https://success.ada.org/en/practice/ownership-life-cycle/practice-growth/the-associateship-interview-comeprepared-with-smart-questions During the interview process, both the owner and the potential associate should be prepared with a list of specific questions to discuss in a variety of areas. Listen to Episode #22: Smart Questions for a Successful Associateship, a podcast created by the ADA and featuring William Prescott, an Ohio attorney with over 20 years’ experience representing dentists in practice transition negotiations. Ten Tips for Preparing Your Practice for Sale https://success.ada.org/en/practice/ownership-life-cycle/buying-and-selling-valuation/ten-tips-for-preparing-yourpractice-for-sale If you’ve been thinking of selling your dental practice, take a look at the downloadable whitepaper written by Kevin Shea, president of Shea Practice Transitions, P.A. It’s a great starting point as you begin to take a closer look at putting your practice on the market. ADA Travel Benefits https://success.ada.org/en/live/work-life-balance/balance/ada-travel-benefits The ADA recognizes the important role vacation time plays in the well-rounded lives of dentists. We provide our members with special travel benefits that include hotel, car rental and air fare discounts. Not only do you save money, you can save time too – we've made it easy.

Florida Dentist Elected ADA’s Second Vice President Irene Marron-Tarrazzi, DMD, MS, Installed During ADA Meeting in Washington, D.C. Congratulations to Dr. Irene MarronTarrazzi, who was recently elected second vice president of the American Dental Association (ADA). Dr. Marron-Tarrazzi’s election took place during a meeting of the ADA House of Delegates in Washington, D.C. The ADA Board formulates and reviews policies and programs and makes recommendations to the members of the ADA’s governing body, the House of Delegates. As a member of the ADA Board, Dr. MarronTarrazzi will play a major role in the ADA’s www.floridadental.org

policy to further the organizational objective of being America’s leading advocate for oral health. Dr. Marron-Tarrazzi has been an ADA member for 12 years and has served in many leadership positions within organized dentistry, including president of the South Florida District Dental Association and treasurer of the Florida Dental Association Political Action Committee. She is a also member of the ADA New Dentist Committee, an alumna of the ADA Institute for Diversity in Leadership and a speaker for the ADA Success Program. Dr. Marron-Tarrazzi also is a member of several professional dental organizations, including the American Academy of Periodontology, American Association of

Women Dentists and Hispanic Dental Association. She is a fellow of the International College of Dentists and Pierre Fauchard Academy. Originally from Venezuela, Dr. MarronTarrazzi studied dentistry at the Universidad Central de Venezuela. She completed her post-doctoral training at the University of North Carolina at Chapel Hill where she earned her Certificate in Periodontology and Master of Science degree. In 2003, Dr. Marron-Tarrazzi earned her dental degree from Nova Southeastern University. She is an adjunct faculty member at Nova Southeastern University and the University of Florida Hialeah Dental Clinic. Dr. Marron-Tarrazzi owns a private practice in Miami, Florida.

November/December 2015

Today's FDA

Member Milestones

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

Life Members Michael Abufaris Sudhir K. Agarwal James W. Antoon Richard J. Arkins Gerard J. Barna Peter T. Blumenthal William J. Bohen Clive Boner John Briggle Larry B. Butler Richard M. Calabrese Frank A. Catalanotto Gary M. Christensen Larry J. Cook Fredrick W. Costello John E. Craig Barry DeGraff Melvin F. Dolwick Orlando Dominguez Paul R. Duryea Melvin H. Eaton Warren C. Edwards Luis H. Fonseca Alfredo R. Forns Gary W. Freed Robert S. Gatling Benjamin M. Goldberg Burton M. Golub Burton P. Golumbic Chaney B. Gordy Anton S. Gotlieb

Today's FDA

Merrill A. Grant Keith V. Holland Robert L. Holt Robert W. Johnson Harold L. Jones Frank A. Kaman Gary S. Kaufman Lawrence M. Klein James A. Lane Jeffrey N. Lang John D. Light Herbert C. Mantooth Kenneth E. Martin William B. Martin Robert S. Mather Craig A. Mayer Martin A. Megregian Douglas E. Milsap Peter J. Moody Stuart G. Moraitis Stephen C. Morris Robert W. Payne John H. Penny Stephen C. Potter A. J. Prakash Lane B. Prior James M. Pyle Harley M. Richards Steven Rifkin John P. Ritota Bradley Roberts Richard S. Rogers Raymond L. Rogers

November/December 2015

Harvey S. Rosa Michael S. Rosengarten Scott B. Ross Andrew L. Ross Earl Schandle Richard W. Schmid Marc A. Schwartz Ann M. Setkowicz Jay C. Shartzer Lee N. Sheldon Glenn R. Sheumaker Donald J. Smarinsky John R. Smith Jerry B. Smith Richard W. Steinberg Neal A. Stubbs Joseph M. Waldron George L. Whiteside J.M. Whitt Fredric J. Witkin

60-year Members William E. Ashley Morton Balick Robert H. Beyer Gordon T. Blair William D. Bleser Arthur T. Bruggisser Alfred D. Ellins Bernard S. Ellins H.R. Frick Philip M. Glatstein Herbert A. Iserman Gordon Kiester Lon J. Muncy Charles T. Phillips Florentino Priede Donald D. Reins J.P. Shelton

Milton T. Wood David T. Wright Morton H. Zisk

50-year Members Robert Apfel Abraham K. Asseff Kenneth N. Baker James O. Bass Martin H. Bell Richard E. Bolvin Teddy W. Brown Frank M. Colombo Kenneth E. Ditthardt R. Maurice Downs Raymond E. Dube Nick V. Faklis Charles P. Ferdon Gerald M. Francati Michael B. Gilliland Kenneth W. Hall Gorm P. Hansen Lamar Hatcher Joel M. Hauptman James R. Hayslett Donald B. Hogue Eugene W. Katibah John R. Kelley Millard P. Kimball John S. Langer L.E. Linebaugh Allen L. Litvak Berton A. Lowell Joseph E. Maloney Clifford Marks Franklin E. May John T. McGaughey Robert W. McRee Curtis R. Moore

www.floridadental.org

Member Milestones

H.A. Nessmith S. Edward Neuwirth Robert M. Paprocki Karl M. Pardee William F. Potter Ernest G. Reinhold William E. Schmidt Robert K. Sheffield Arthur W. Sitrin Dan J. Steele James V. Steele Richard H. Temlak William E. Teschner Thomas J. Toman Jimie A. Vance â&#x20AC;&#x192;

35-year Members

Richard S. Altman Zalman H. Bacheikov Jos J. Bakker Glenn Beck Stephen F. Berger Steven A. Boe Clive Boner William R. Brueckheimer Robert R. Burks Ronald A. Cohen Larry J. Cook Frederick L. Cox Ronald N. Cummings Abel O. Deanna Berta L. Del Rio-Jorge W.P. Dorne Claude R. Edwards Richard C. Edwards Earle E. Edwards Andrew M. Eisenberg Charles L. Ford Brian L. Freedman Joel S. Garblik Michael Goffredo Roy O. Gross James Guttuso Robert B. Hawkins David G. Hirsowitz John S. Huling Ronald C. Kobernick Gary S. Kodish

www.floridadental.org

Stephen R. Kuhnel Idalia Lastra Walter P. Leonard Alan M. Marder Alexander Milanick Cindy C. Moore Melvyn E. Nathanson Gary M. Newman Stephen B. Page Gary F. Pileggi Charles Reinertsen David Rockey Kevin H. Rudd Gerald D. Rumberger Michael H. Schenkman Daniel B. Snead Herbert A. Snyder Richard Soven James B. Spurling Doyle L. Summerlin Charles A. Tomeo Susilendra Vijay Franklin M. Watson Keith R. Wolfe

25-year Members Steven D. Aaron John C. Adkins Wesam Al-Joburi John M. Allen Edmond J. Allison David Amaro Francisco Arias Daniel P. Barnes Kenneth W. Bass Harley S. Bellack Charles D. Bennett Raymond S. Benson Marc J. Bilodeau Edward Blanton Robert Bousquet Neil M. Brodsky J.R. Buttram Maite Casanova Michael G. Cassatly Agatha M. Cayia Jeffrey A. Chirillo Tony D. Clark

Michael H. Connor Jennifer B. Cooper Steve R. Cooper Roy F. David Caryn N. Davis Charles H. Davis Richard E. De Cantis Margherita Demoya Gregory S. Dyer George F. Estrada Edward J. Farrell Lisa Feldman Paul A. Frandsen Jeffrey Ganeles Samuel B. Gaskins Elizabeth K. Gesenhues Richard A. Ginsburg Emily J. Goldstein Walter D. Griggs Larry B. Grillo Nelson Gumucio Michael F. Guokas Ronald T. Gursky Paul Helsby Steven C. Hewett Michael F. Hughes Douglas A. Huhn Gregory S. Imhoff Mohammad R. Iranmanesh Kenneth R. Irigoyen Thomas G. Jacobs Timothy M. Johnson Harold L. Jones David E. Junca George M. Kazakos Qayyum A. Khambaty Michael G. Kirsch Jay B. Knoller Douglas D. Koch Michael P. Logue Frank D. May Dan Mazor Wayne G. Moesching Vivian S. Morad Ivo Moraguez Barbara G. Morgan Richard C. Mullens Belkis Z. Musalen Kok Tow Ng Virginia M. Noce

W. B. Norris Gayle Obermayr Gregory Parsley Jayshree A. Patel Rohitkumar S. Patel John H. Paul Glenn L. Paulk Stephen T. Perez Denise M. Pieczynski Magaly G. Poppell Jorge L. Powell Douglas M. Reed John Reynolds Dignora M. Rives Kerry E. Robson Jose Rodriguez-Ceper Rick L. Root Julio C. Rosado Haychell Saraydar Douglas K. Scales Michael J. Scherb Mary E. Schmitt Barry M. Schweim John A. Schwerer Roger W. Scott Jeff Scott Richard M. Secunda Lanford T. Slaughter Ciro A. Sotomayor Pamela J. Spigarelli Joseph C. Spoto Claire E. Stagg Craig B. Stranigan Dave Sutton Alfred J. Theis Gilbert Toledo Sherwood S. Tucker Rafael J. Valdes Nelly Valencia David L. Walker Eric Wallace Thomas H. Ward Gregory K. Woodfin Jiann-Jang Wu John D. Zongker

November/December 2015

Today's FDA

GET RENEWAL READY @ THE FDA Let the FDA help you with the last few CE credits you need to renew! We offer FREE one, two and three credit CE courses you can take conveniently in your own home or office.

online

F RE E

C E C R E DI TS FOR F DA M E M BE R S! Free practice management & clinical CE courses

Questions about online CE or the renewal process? Contact Brooke Martin at 850.800.877.9922 or bmartin@floridadental.org.

RENEW YOUR LICENSE BY FEB. 28, 2016

FEATURED COURSES Ms. Amy Cober Help Your Patients Quit: Tobacco Treatment for the Dental Professional (EL43) Ms. Jo-Anne Jones Whitening that Works! Exploring the Facts, the Fiction and the Evidence (EL45) Dr. Daniel Ward Contemporary Restorative Trends: Hot Syncing your Dental Knowledge (EL46) Dr. William Moore Motivate your Team and Create Systems to Run a Streamlined Office (EL48) * These courses expire on 1/30/2016.

GO TO FLORIDADENTAL.ORG. CLICK CONVENTION & CE.

Insurance Lingo

Dental Insurance Lingo Your Front Desk Team Should Know By Karen Mouton

“

It’s important to realize other employers with the same carrier (or even those with a different carrier) may consider $550 a “reasonable” fee.

”

DENTAL SYSTEMS INC.

Most patients need to maximize their dental insurance policy, but understand little about their benefits. Their employee dental handbooks are full of terms the insurance layman wouldn’t understand, and so are of little help to them. Your patients will probably count on your office to interpret and relay their policies’ benefit information. There’s a lot of insurance lingo out there that denotes industry-standard rules of thumb. Here are a few phrases your staff is sure to come across and should understand.

General Limitations Insurance carriers’ administrative decisions regarding how claims are processed may vary considerably, since not all procedures and guidelines are addressed in policy or employee dental insurance handbooks. For example, Carrier A may allow a periodontal procedure every six months, while Carrier B typically might allow that same procedure once every two years. Carrier C might have no frequency limit to the procedure when it’s dentally necessary. Most insurance carriers’ limitations, exclusions and provisions are based on cost rather than dental necessity.

Dentally Necessary A “dentally necessary” treatment is deemed as such by the claim administrator. In other words, if a procedure is excluded by an insurance company, it doesn’t mean it’s not

Today's FDA

November/December 2015

necessary. It’s an indication of a restriction of a specific plan. This restriction may be due to an age limit for that procedure, a waiting period or a frequency limit, for example. If coverage is inadequate on certain procedures, it’s likely that coverage in this area was reduced to lower the cost of the employer’s insurance premiums.

Alternate Benefit Clause A common limitation to policies is the “alternate benefit clause.” This is a cost containment feature that means, if there is a less expensive treatment or method that can produce the same satisfactory result, the plan will pay for the least expensive treatment — and not necessarily the actual procedure performed! For patients, this can mean a greater out-of-pocket expense, since the carrier may pay for a lesser procedure than what was actually performed.

Most Extensive Procedure/ Most Inclusive Procedure Carriers often have a policy that’s referred to as “most extensive procedure/most inclusive procedure.” For example, if you perform a periodontal surgical procedure and root planing on the same quad on the same day, the plan will only pay for the most extensive treatment. There only will be a benefit paid for the surgery, and the root planing will be denied. Another example: if a buildup is done the same day as a crown, the plan often will only pay for the crown — not both.

www.floridadental.org

Insurance Lingo

Double Coverage Coordination of Benefits (COB) If a patient has coverage under two different policies, he or she often thinks the entire bill will be covered by insurance. The reality is that this often is not the case. “Coordination of benefits” (COB) is required when there’s more than one carrier involved in the payment of claims. If the plan has a “standard” COB, claims will be coordinated so that the total payment will not be more than 100 percent of the actual charges or doctor’s fee. The double coverage provision is intended to prevent payments exceeding total expenses. To reduce the cost of insurance premiums, many plans will have a “non-standard” COB. In this case, the secondary carrier only will pay the difference of the amount it normally allows minus the amount the primary carrier paid. For example, a primary carrier pays 70 percent of the cost of a filling, and the secondary carrier normally pays 80 percent. When the secondary receives the claim, it will only pay the 10 percent difference between what the primary paid and what its normal allowance is. Standard COB would have paid the remaining 30 percent of the claim amount.

Fee Charged vs. Fee Paid Usual, Customary and Reasonable (UCR) Premium costs are affected by the “ceiling amount” a carrier will pay per procedure — its “usual, customary and reasonable”

www.floridadental.org

(UCR) fee. This allowable reimbursement amount is based on the first three digits of a practice’s location. Each insurance carrier has its own “UCR” fee per dental code, and usually won’t disclose these to dental offices, patients or employers. Typically, the insurance carrier and employer set the reimbursement level at a fee that varies between what 70-90 percent of the dentists in the area charge. For a particular procedure that most dentists charge $550 for, some policies may base their claims payment amount at $600 or higher. However, if the employer wants to keep the cost of its policy down, it has the option to buy a plan that reimburses at a reduced level. In other words, instead of reimbursing at $550 or higher, it may only reimburse $500 or less for the procedure.

A Common Misconception Caused by the Term “UCR” Let’s say the dentist’s fee is $550 for a particular procedure (in this example, the amount most dentists charge), but a patient’s employer purchased the lower-cost policy that reimburses an amount of $500 or less. The carrier is likely to state on the explanation of benefits (EOB) that the dentist’s fee is above the “usual, customary and reasonable” fee. This might make the patient think his or her dentist’s fee is higher than most others. This is a common misconception. The reality is, the employer chose a plan that does not reimburse at the level most dentists in the area charge. In these situations, the patient is responsible for additional “out-of-pocket” expenses, since his or her employer reduced the ceiling amount (UCR) in the coverage in order to lower their overall insurance premiums.

It’s important to realize other employers with the same carrier (or even those with a different carrier) may consider $550 a “reasonable” fee.

Obtaining Insurance Benefits Information There are multiple sources in the industry that assist dental teams in researching details and limitations of insurance plans. Many insurance carriers will offer a faxback system that provides a summary or outline of coverage. Other carriers may have limited information on their websites. Electronic “patient eligibility” services are available for purchase from various dental software companies. However, these options won’t provide the intricate, fine-print details dental offices want. Simply using one of these methods — or even a combination of them — won’t eliminate the need for phone calls to carriers. A majority of offices admit they need more detail than faxbacks, websites and eligibility programs provide. Most have created an insurance verification form listing common procedures they perform, and the details they feel are needed for their practice. It could easily take 20-30 minutes to get benefits per patient, including on-hold time. Take time to share with your patients the information on their insurance limitations. An informed patient is a happier one. Reprinted with permission by the Texas Dental Association. “Dental Insurance Lingo Your Front Desk Team Should Know” was written by Karen Mouton, Dental Systems Inc. and was published in July 2015 in TDA Perks.

November/December 2015

Today's FDA

I am a Member

Why I am a Member of the ADA By Dr. Gina Marcus

Why Join? If you are reading this, chances are, you already are a member. However, if you are a past member or have a friend or colleague who is not yet a member, I encourage you to keep reading. There’s strength in numbers — it’s that simple! The American Dental Association (ADA) has more than 158,000 member dentists and more than 18,000 dental student members. Looking at the current membership — there are still more than 42,000 dentists who are not members. The most disturbing statistic is there are 32,000 more dentists participating in dental benefit plans nationally than are members of the ADA.

What Information Would a Potential Member Need to Know to Join? Participation in organized dentistry means an automatic membership to the three entities at the same time: local, state and national levels. When you apply, you fill out one application and gain access to all three organizations: the ADA on the national level, the Florida Dental Association (FDA) on the state level and your district dental association — in my case, the South Florida District Dental Association (SFDDA).

www.floridadental.org

What most people don’t realize is that you do not have to be neck-deep to become involved. Choose the level of activity with which you feel comfortable. Those most involved see the most results from their membership. You not only feel like a part of the profession, but also a part of something bigger than yourself. It provides multiple opportunities for professional advancement and personal success.

Why am I a Member of the ADA? I believe that being a part of organized dentistry in any way, shape or form is the key, not only to the survival of our profession, but to its success. It would be great if everyone was able to roll up their sleeves and go to Washington, D.C. to lobby for our profession. But, let’s face it — not all of us are interested in politics. I certainly appreciate those who are doing it!

What About Benefits? You can go to the ADA’s website, www. ada.org, to get the list of all of the tangible benefits, such as the ADA Morning Huddle newsletter, the Find-a-Dentist database, product discounts, continuing education and so much more! In addition, we have the opportunity to have a say in how our profession advances on all fronts, get involved with volunteering and stay abreast of new information regarding this ever-changing career we have chosen. This organization is responsible for “how” we are able to deliver the best dentistry to our patients every day.

We all need to be part of the ADA so we can keep our integrity as a profession and work together toward a greater good.

Why Do I Renew Every Year? I really enjoy dentistry! I love being in this profession and I love what I do. At the local affiliate meetings, I constantly meet new dentists who have common interests. It gives me the opportunity to make new contacts and network with other professionals and specialists in my community. If we network more and help each other out, we can all be the best at what we do. I love to exchange ideas, tips, pearls, material choices, treatment options, etc. with my colleagues. An outside perspective can provide the clarity you need to help your patients make informed decisions about their health care. I don’t have all the answers. The ADA website is chock-full of resources that I have used on topics such as practice management, new dentist information, legal information, insurance programs, retirement, business, health and wellness information, and information for patients. I often reference the website for a number of topics. So, if you’re not a member yet — call the FDA at 800.877.9922 and find out more information about how to join! Dr. Marcus is a general dentist and practices in Coral Gables. She can be reached at 305.466.6655 or ginamarcusdmd@gmail. com.

November/December 2015

Today's FDA

FDA and Family

“

The FDA provides outstanding benefits for all of its members as well as the community, spearheaded by leaders who work to ensure that every member’s interests are protected.

Today's FDA

November/December 2015

” www.floridadental.org

in the Family

All By Dr. Stephen G. Norton

FDA and Family

I’ve been practicing dentistry for 38 years, and it’s clear my passion became contagious. My

excellent exhibitors. I look forward to

two sons and daughter are enrolled at Nova Southeastern University College of Dental Med-

receiving newsletters and publications, like

icine — Stephen is in his second year, and Gregory and Emily are working through their

Today’s FDA, to hear about the latest clinical

first year. Throughout the years, I have supported their involvement in Division 1 swimming

practices and opportunities for equipment

and water polo. Now, I enthusiastically support their pursuits in dental school — from the

savings and practice benefits. I feel confi-

first anatomy exam to wax tooth carvings to the first patient they see in the clinic. On top

dent entrusting the FDA representatives

of all the advice I can give them from my own practical experience, I also stress the impor-

to protect my interests, and the interests of

tance of joining the Florida Dental Association (FDA). As a member since 1980, I have seen

Stephen, Gregory and Emily, in addressing

firsthand that the organization ensures the highest ethical standards of care are upheld. The

legislative issues that impact our license,

FDA provides outstanding benefits for all of its members as well as the community, spear-

our patients and our practice. I encour-

headed by leaders who work to ensure that every member’s interests are protected. Many

age all students and professionals alike to

opportunities, such as continuing education events and online materials, are easily available

consider taking advantage of the excellent

to all members. As I continue to practice dentistry, I am lucky enough to see my passion and

opportunities and network of profession-

enthusiasm for the profession passed on to my children.

als available with the FDA and to become a member today!

It is great to be part of an organization like the FDA that has such a strong tie to both the interests of dental professionals and the community at large. The FDA Foundation’s mission

Photos:

is to generate and direct resources for charitable and educational oral health programs for

1. Emily and Gregory’s White Coat Cer-

Floridians. It is important to ensure the next generation of dentists is aware of the need

emony at Nova Southeastern University

to inform the underserved populations about proper oral health care, and work toward

this past August. From left to right: Emily,

providing affordable care in the future. Not only does this organization continually strive to

Susan, Gregory, Stephen Jr. and Stephen.

help these populations, but also to provide necessary continuing education opportunities to

2. From left to right: Gregory, Stephen and

students and practicing dentists. I personally have found this to be the best and easiest way

Emily at Nova Southeastern University’s

to stay up to date with the most recent advances in dental techniques and technology. In

White Coat Ceremony.

addition, I am comforted knowing that if I ever need it, the FDA provides confidential peer review resources and mediation to ensure patient satisfaction.

Please check out Dr. Norton’s membership video at: https://vimeo.com/146394210

The FDA has provided me with a network of colleagues to learn from and interact with, while simultaneously ensuring representation for all members at the local, state and even

Dr. Norton is a general dentist in Delray

national levels. My entire dental team, including my wife and office manager, Susan, has

Beach and can be reached at

enjoyed attending the annual conventions with exciting keynote speakers and plenty of

stephengnorton2@yahoo.com or visit www. nortondentalarts.com.

www.floridadental.org

November/December 2015

Today's FDA

SAVE time, money and the hassle of researching solutions to RUN and GROW your DENTAL PRACTICE.

• Apparel

• Patient Communication

• Auto

• Dental Supplies

• Credit Card Processing

• Practice Management

• Debt Collection

• Scrap Metal Refining

• Electronic Dental Claims • CE Broker • Financial

• Shipping

• HIPAA Compliant Email

• Website Development

$30,919

POTENTIAL SAVINGS*

Learn how Dr. Ann DOUBLED THE SIZE of her dental practice with Crown Savings at w w w. FDA S e r vice s .com/Cr ownS avings

1 . 80 0. 87 7.7597

*Savings based on individual experiences. Your savings may differ.

High Energy,

HighTech ...

Dr. Attanasi Looks to the Future of Dentistry n establish an enhanced social media program n expand our charitable projects n bring Florida’s Action for Dental Health forward legislatively n provide solutions for student loan debt

n Music: Bach to Blues n Artist: Matisse, Koons, Michelangelo n Movie: “The Martian” (recent), “Casablanca” (all time) n Book: “The Goldfinch” (recent), “To Kill a Mockingbird” (all time) n Vacation destinations: Italy and St. Barts n Food: Italian, of course! n Memory: the smell of pancakes in the morning n Leisure activity: sunset walks on the beach n Guilty Pleasure: affogato (scoop of vanilla ice cream with a shot of hot espresso on top)

President’s Profile

By FDA Staff

Dr. Ralph Attanasi brings a wealth of experience and leadership in serving organized dentistry. He is a past president and trustee of the Atlantic Coast District Dental Association and currently serves as co-chair of the Joint Committee of Dental Lab Matters, a consultant to the Governmental Action Committee, member of the FDA Political Action Committee and a member of the 17th District Delegation to the American Dental Association. He also is a fellow of the American and International Colleges of Dentistry, member of the Pierre Fauchard Academy, a member of the Board of Trustees of the Florida Prosthodontic Association and of the Morikami Museum and Japanese Gardens. Dr. Attanasi comes from a health care family. His dad is pediatrician; his mother is a nurse; his sister is a veterinarian who specializes in dental work; and one cousin is a dentist and another is a hygienist. Dr. Attanasi received his Doctor of Dental Surgery degree from New York University, completed an Advanced Education in General Dentistry program at Columbia University and received a Master of Science degree in prosthodontics from the University of Michigan. He and his partner, Dr. Ethan Pansick, own Addison Prosthodontics in Delray Beach. Dr. Attanasi is one of those people whose smile lights up the room. However, patients shouldn’t assume he was born with a perfect set of pearly whites. He knows what it’s like to sit in the chair, and can empathize with patients because he has experienced his share of dental work over the years — from root canal to crowns and gum work, too. He can remember a time when he spoke with his hand in front of his mouth — but not anymore. He is proud of his smile now and wants patients to feel the same way. As he’s said, “We’re in the smile business. When you put a smile on someone’s face, it changes their whole life.”

A Question and Answer Session with Dr. Attanasi Q. What advice do you have for new dentists just entering the profession? A. We are entering an exciting new era of dentistry. Newly available technology and treatment modalities will change the way we address our patients’ needs. New dentists should embrace new technology, but also need to remember that the relationships we forge with our patients are the most important ingredient to success.

Q. FDA membership is growing! What do you attribute that to and how can we keep it growing? A. In order for the Florida Dental Association (FDA) to effectively advocate for our profession, we need to represent as many Florida dentists as we possibly can. As such, the FDA has made membership one of its top priorities and we have been quite successful in attracting new members while retaining our current members. All of us need to help recruit our colleagues and friends so that the FDA remains strong and relevant.

Please see PRESIDENT, 53

www.floridadental.org

November/December 2015

Today's FDA

FDA Services welcomes ... Mike Trout as our new North Florida Director of Sales.

Contact Info: Phone: 904.254.8927 | Fax: 850.681.7737 Mike.Trout@fdaservices.com

President’s Profile PRESIDENT from 51

Q. Florida is a large and diverse state. What are your thoughts on how the FDA and local dental societies can make all dentists feel welcome in the association? A. The FDA celebrates and embraces the diverse population of dentists and patients who populate our state. Our membership concierge service is a new way that the FDA reaches out to nonmembers to encourage them to join the association and welcome them to the FDA. As always, the best recruiters are colleagues who ask their friends to be part of our organization.

Q. What advice do you have for other dentists looking to get into leadership positions? A. There is a tremendous variety of leadership positions available in the FDA. We’re always looking for dedicated leaders who want to be a part of the FDA team. The best part about becoming involved with the FDA is that you make terrific friends who work with you to make a difference. Contact someone in leadership or at the FDA. We will be happy to provide you with a list of positions available and can help you find an area that interests you.

And, when you desire cultural immersion, we have numerous options to pursue as well. From a professional standpoint, Florida provides a wonderful working environment with dynamic and innovative people.

Q. You seem to be excited about technology. What changes do you see coming to the FDA in regard to technology? A. The FDA is forward thinking when it comes to technology. We will continue to embrace social media in order to keep in touch with our members and student dentists on a daily basis. We’ve found that this is a valuable tool to allow us to keep everyone “in the loop” regarding legal issues, upcoming events and practice solutions that make us more productive.

Q. What do you think dentistry will look like in 10 years?

Q. What do you like most about practicing in Florida?

A. Dentistry will be the same yet different in 10 years. As dentists, we still will provide compassionate and skilled care to our patients. Diagnostic tools to detect everything from caries to cancer will be more accurate and easier to use as technology improves. Digital treatment will continue to become more and more a part of our daily practice in dentistry, resulting in improved care for our patients via digital impression making, same-day restorations and minimally invasive surgical techniques.

A. Practicing dentistry in Florida is a pleasure! In addition to having a large and diverse patient population to care for, we have terrific weather all year long. We can indulge in a variety of recreational activities, including: boating, watersports, golf and tennis.

Get to know Dr. Attanasi and your member benefits even better. Check out our new online videos at www.floridadental.org/members/ video-highlights. Dr. Attanasi is the FDA President. He can be reached at rattanasi@bot.floridadental.org.

Photos: 1. Dr. Attanasi enjoying yoga in Boca Raton. 2. Dr. Attanasi and partner Dr. Ethan Pansick at their office in Delray Beach. 3. Drs. Attanasi and Pansick’s dental team.

www.floridadental.org

November/December 2015

Today's FDA

Information via Email

Sending Protected Health Information via Email? You May Be Breaking the Law! By Robert McDermott CEO, PRESIDENT, IMEDICOR

Electronic messaging (i.e., email) quickly is becoming the standard for transmitting electronic patient health information (EPHI). But whether they realize it or not, dentist are breaking the law when they transmit patient records and X-rays through their personal email (i.e., Yahoo, Gmail, AOL). With the advent of electronic health records (EHR), protecting EPHI transmission from internal and external risks has never been a bigger issue in the dental community.

What are the Penalties? The federal government increasingly is tightening its enforcement of the Health Information Portability and Accountability Act1 (HIPAA) laws. The penalties for violations are staggering — one incident could put a practice out of business. They range from $50,000 per page to a maximum of $1,500,000 per patient. A HIPAA Privacy Rule2 infraction also can be considered a criminal act and lead to prosecution by the Department of Justice, and jail time ranging from one to 10 years, in addition to the large monetary fines.

Today's FDA

Is Compliance Really Being Enforced? HIPAA grew teeth in July 2009 when the authority to administer and enforce the HIPAA Security Rule3 was transferred to the Office for Civil Rights (OCR). Since then, OCR investigated more than 98,279 HIPAA complaints in which private practices were listed as the number one covered entity4 required to take corrective action. Also in 2009, state attorneys general were granted the authority to bring civil actions (for HIPAA violations) on behalf of state residents through the Health Information Technology for Clinical and Economic Health Act (HITECH). In January 2013, the Omnibus Rule pushed HIPAA toward much greater enforcement. The Omnibus Final Rule reaffirmed HIPAA privacy and security requirements. That year, the number of HIPAA-violation complaints received by the Department of Health and Human Services spiraled upward. And according to industry analysis, complaints were on a similar trajectory in 2014.

My Email is “Secure” — Do I Need to Worry? A common misconception with regard to email messaging systems is that “secure” equals HIPAA compliant. This isn’t the case. Secure simply means encrypted. Although a step in the right direction, most “secure” messaging systems fall short of compliance standards. The bottom line is: Unless a practice is using an email system that’s HIPAA compliant, its providers are at risk of incurring violations and receiving penalties, fines and/or jail time.

What to look For When Selecting a Messaging System Several standards must be met for an electronic messaging system to be HIPAA compliant. When selecting a messaging system, make sure it implements the following technical safeguards.

November/December 2015

www.floridadental.org

Information via Email

n Access Control to restrict access to those persons or software programs that have been granted access rights. Specifications follow: n unique user identification (required) n emergency access procedure (required) n automatic logoff (after a set period of non-use) n encryption and decryption

“

n Audit Controls to record and examine activity in information systems dealing with EPHI. They’re especially useful when determining if there’s been a security violation. n Integrity to protect EPHI from improper alteration or destruction. n Transmission Security to protect against unauthorized access to EPHI during transmission. Specifications follow: n integrity controls n encryption Another feature to look for when selecting an email messaging system is inclusion of the Direct data-exchange protocol. Direct allows you to send HIPAA-compliant, encrypted email to people outside your network via the Internet. It uses a two-step verification system, checking for two unique identifiers, such as a Social Security number and American Dental Association number. Direct protocol gives a sender confidence that an email recipient truly is the intended recipient. If you receive an email from someone@direct.com, you can be confident the email is coming from whom you think it’s coming from — not an imposter. 1

Health Information Portability and Accountability Act (HIPAA) passed into law in 1996. The federal

law’s purpose is to protect individuals’ identifiable health information, called protected health information (PHI), which is held by most health care providers. 2

The HIPAA Privacy Rule is a law that gives patients the rights over their health information, and

sets rules and limits on who can look at and receive it. It applies to all forms of individuals’ protected health information — electronic, written or oral. 3

The HIPAA Security Rule requires security for health information in electronic form. All covered enti-

ties must implement technical safeguards and comply with the applicable standards, implementation specifications and requirements of the Security Rule with respect to EPHI. 4

Covered entities are defined as: health care providers that transmit any health information electroni-

cally in connection with certain transactions; health plans, and health care clearinghouses.

A common misconception with regard to email messaging systems is that “secure” equals HIPAA compliant. This isn’t the case. Secure simply means encrypted.

”

iMedicor’s iCoreExchange, a HIPAA-compliant, secure messaging hub, is endorsed by FDA Services’ (FDAS) Crown Savings. Through Crown Savings, FDA members receive a 35 percent discount on subscriptions. For more information, please contact FDAS at 850.681.2996.

www.floridadental.org

November/December 2015

Today's FDA

Hurry! Secure your

tax benefits before time runs out. Purchase now and save on you 2015 taxes. Call 321-972-6838 Corporate Office 1101 Central Park Drive Sanford, FL 32771

West Palm Beach Office 1635 SW 15th Street Pompano Beach, FL 33069

South Florida Office 2876 South Park Road Pembroke Park, FL 33009

Call: 321-972-6838 or Email: info@pscsales.com

New Office Starter Packages: Chairs, units, lights, digital x-ray, cabinets, vacuum & compressor. Everything you need to set up your new office .

Prices starting as low as $ 1,495.00 per month.

The PSC Group can help with all aspects of setting up a new dental office: Finding the right location Secure funding for the project Office Design Project over site Equipment Sales Complete Installation of equipment for the office For more information: call 321-972-6838 or email: info@pscsales.com

Vatech is the world leader in CT imaging and the PSC Group is Floridaâ&#x20AC;&#x2122;s most experienced digital technology professionals. Let us show you the advantages of Digital & Cone Beam imaging for your practice. This technology is affordable and profitable. Let us show you how great your images can be!

Vatech PaX-i3DGreen 15x15 Low Dose X-ray System. Powerful Diagnostic Value with 3D Low Dose image.

Unbelievable Image Quality,

15x15 FOV with 5.9 seconds scan time. Only $ 1,395.00 per month

(84 month payment plan)

For more information call: 321-972-6838 or Email: info@pscsales.com

NEW!

SAVE 35% ON DENTAL SUPPLIES UP TO

FDASupplies.com

FDASupplies.com leverages the group buying power of more than 7,000 FDA members.

Step

Get a price estimate.

All current FDA members have pre-activated accounts. FDASupplies.com will take the products from the invoice you provide and populate your “My List” tool with the dental supplies you order regularly.

Step

Check out your list.

Get a price estimate by sending your current dental supply invoice using SKU or distributor item numbers via email, phone or fax. FDASupplies.com will send you an estimate with projected savings.

All FDASupplies.com vendors offer free ground shipping on any order— regardless of size. Once you place your order, you can count on FDASupplies.com to deliver your order fast and free.

Step

Get your supplies!

Get a $5 Starbucks gift card just for sending in your invoice! Exp. 12/31/15

FDASupplies.com 888-325-2808 E: Support@FDASupplies.com Fax: 877.376.0062

Customer support M-F, 9 AM to 6 PM

Thursday, June 16

The Madow Brothers  ROCK Your Practice!

friday, June 17

Dr. Mark Hyman  The Secret Sauce!

saturday, June 18

JUNE 16-18, 2016

Lucas Boyce  Living Proof

FREE FOR ALL MEMBER DENTISTS AND TEAMS!

Gaylord Palms reseort & convention center i orlando,florida i www.floridadentalconvention.com

speaker preview

Improve Restorative Predictability and Save Lives: Airway — The Missing Piece By Dr. Gy Yatros

“

Our most primordial instinct is to breathe — we will do anything to keep breathing, including destroying our own teeth and dental restorations.

”

60 Today's FDA

Improve restorative predictability and save lives? I know that sounds far-fetched, but it could very well be true! Understanding how the airway affects your restorative practice not only can help your practice, but it may actually help save your or your patients’ lives! Understanding this very real connection allowed me to provide more predictable restorative results while helping reveal an underlying contributing factor to many of my patients’ occlusal deterioration and many of their health problems. I’ve been a dentist for more than 26 years; like many of you, I strive to provide the best for my patients in my restorative practice. My journey began when I attended the University of Kentucky Dental School under the tutelage of leading educators like Dr. Jeff Okeson. Shortly after graduation, I moved to Florida and continued my quest for restorative knowledge with continuums at the Pankey Institute and Dawson Academy, not to mention all the countless hours of continuing education I’ve attended over the years. As my knowledge and skills grew, I began to take on larger and larger cases — most with successful outcomes. Notice I said “most.” Maybe there was a missing piece to the puzzle I hadn’t discovered yet? What caused these challenges, and was there a common element that somehow was overlooked? As I began my journey into dental sleep medicine, I found out the answer undoubtedly is YES! It’s called the airway and I had ignored it for years! Our most primordial instinct is to breathe — we will do anything to keep breathing, including destroying our own teeth and dental restorations. What I now know is you can help save your patients’ teeth and make your restorative dentistry more predictable while improving, or even saving, your patients’ lives AND adding additional revenue to your practice.

Sleep Apnea is a Major Public Health Problem Obstructive Sleep Apnea (OSA) is a disease process where the upper airway collapses onto itself during sleep, which causes poor blood oxygenation and fragmented sleep. This results in patients feeling tired and sleepy, and has been positively linked to a large number of

November/December 2015

orlando,florida i www.floridadentalconvention.com

medical comorbidities, including: high blood pressure, diabetes, stroke, depression, automobile accidents, mood swings, impotence and obesity. The Centers for Diseases Control and Prevention (CDC) surveyed 75,000 Americans and found approximately 50 percent snore, 38 percent admit to falling asleep during the day at a time when they did not want to and nearly 5 percent admitted to falling asleep while driving in the last month! Sleep disordered breathing (SDB) affects as many as one in five adults. The National Sleep Foundation reports that as many as 18 million people suffer from OSA. Despite the large risk pool, population studies from the United States, Europe, Asia and Australia have shown a high prevalence of undiagnosed sleep apnea in adults. In spite of the many serious comorbidities associated with OSA, most have never been diagnosed. Even for those who are lucky enough to be diagnosed, many go partially treated or without treatment entirely. In short, the medical community is failing to treat this serious medical disorder.

How Dentists Can Help Dentists ideally are positioned to screen for sleep apnea, treat a significant portion of patients and make referrals as necessary for more intervention. Many patients visit the dentist twice per year, but visit their doctor fewer than once every several years. On average, about 70 percent of the U.S. adult population plans to visit the dentist every year. The link between dentistry and sleep apnea treatment may not be obvious to the average patient. However, the jaw plays a crucial role in OSA. Physiologically, the size of the airway directly depends on the position of the jaw. If the jaw falls open and back while an individual is asleep, the airway’s size will decrease and the chance of total collapse increases exponentially. Oral appliances, also known as mandibular repositioning devices (MRDs), are custom fitted to the teeth and relationally position the lower jaw in a forward position, mimicking the jaw-thrust maneuver — a key principle of airway management in both cardiopulmonary resuscitation (CPR) and anesthesia.

Improving Restorative Predictability As I immersed myself in dental education throughout the past quarter century, I focused on obtaining dental expertise. I felt I’d gained superior knowledge and skills in restorative and prosthetic dentistry. Most of my large cases obtained the long-term success we all desire, but some broke down much quicker than expected. What was the most common element for these prosthetic break downs? In my experience — with few exceptions — the vast majority of the time, it was occlusal forces. I tried to combat these forces by obtaining ideal occlusion and delivering single-arch night guards. This worked for some, but not for many others. Some patients would even say, “I just can’t wear that night guard,” with no specific reason

as to why not. Others would say they were wearing the night guard but after careful inspection, I often questioned the validity of their claims. Through the sleep experts, I discovered that OSA patients brux their teeth at night three times more than the non-apneic patients. I began to screen my patients for SDB and discovered that many, many of my night guard patients were at high risk for OSA. I implemented a policy that I would make a night guard on patients only after being screened and tested for OSA. Does that seem extreme? Maybe not, if you consider the Texas Dental Board recently tried to mandate this precise standard. It didn’t pass (yet) but there may be good reasons for considering this policy. The fact is, nocturnal bruxism is a sleep disorder, and all along I had been treating a sleep disorder with a dental solution — or possibly just the wrong dental solution. I began to screen and test my bruxism and night guard patients for OSA and I found the majority of them, in fact, had SDB. Did this change my restorative predictability? You bet! Many of those same patients who were having continued occlusal breakdown tested positive for OSA. They were given treatment for their OSA, including mandibular advancement devices (MADs), continuous positive airway pressure (CPAP) therapy and some with a combination of both. As a result, the patients’ nocturnal bruxism decreased in most cases and they were much more compliant in wearing their Please see RESTORATIVE, 63

The official meeting of the florida dental association

November/December 2015

Today's FDA

RESTORATIVE from 61

Just Get Involved!

MADs than their night guard. Yes, believe it or not — both MADs and CPAP have been shown to reduce nocturnal bruxism in apneic patients! My patients now were more stable and their restorations didn’t break down. I had found a missing piece for many of my challenging patients — keep their airway open at night and decrease their nocturnal bruxism!

Dental sleep medicine is one of fastest growing areas of dentistry. This is for several reasons — treating the airway leads to more predictable restorative results and creates a new revenue center in your practice. More importantly, incorporating dental sleep medicine in your practice will empower you to save lives and improve your career satisfaction unlike any other aspect of dentistry. Getting involved in dental sleep medicine has been the most rewarding professional decision I’ve ever made.

Please don’t get the impression that all patients who grind their teeth at night have an airway problem. There are many other reasons and theories why humans destroy their own teeth at night. However, I will promise you this — if you help your patients get screened and tested for SDB before you make your next night guard, you will find that many, many of them have airway problems, including OSA. These patients’ long-term health and dentitions can be improved vastly by selecting the proper treatments for their airway problems.

Dr. Yatros specializes in dental sleep medicine in Bradenton, and can be reached at gy@dentalsleepsolutions.com. He will be speaking at FDC2016, and presenting two courses, “Dental Sleep Medicine – Today’s the Day!” (Workshop) and “Dental Sleep Medicine – You Can Do This!” on Saturday, June 18.

Helping Members Succeed

benefit

The more that you read, the more things you will know. The more that you learn, the more places you’ll go. — Dr. Seuss, from “I Can Read With My Eyes Shut!”

NUMBER

BEYOND THE THE OFFICIAL BLOG OF THE FLORIDA DENTAL ASSOCIATION

NEW! EVERY TUESDAY …

AN EARLY WITH DR. JOHN PAUL

 Industry trends, tips to strengthen your practice, FDA programs, and more.  Resources to support your professional growth and your practice’s success.  Posts from FDA leadership and staff, your local dental leaders, and YOU!

www.floridadental.org/blog

FOR MORE INFORMATION OR BLOG SUBMISSIONS 800.877.9922 • jrunyan@floridadental.org

speaker preview

“

How to Turn Patients into Raving Fans By Mark E. Hyman, DDS, MAGD

Never try to guess who can or cannot afford care. Instead, let patients know you have several payment options for them to choose from.

”

64 Today's FDA

One of the biggest fallacies in dentistry is the idea that the only way to grow your practice is to focus on increasing the flow of new patients. While attracting new patients is important, if you put enhanced time and energy into all your patient relationships, amazing things will happen. It’s been estimated that the average practice has about $1 million of diagnosed but undone dentistry sitting in their charts. This is a colossal missed opportunity that can be realized when you focus on turning your patients into raving fans. So, what is a raving fan? They are patients who never miss an appointment, show up on time, pay their fees with appreciation, are open and grateful for your treatment suggestions, refer friends and family, and write nice things about you on the Internet. To create raving fans, you have to take patients’ expectations of what their dental visit is going to be and turn it upside down. Take everything negative they expect to experience and turn it into a positive. Dr. Irvin Becker, who was the Department of Education chairman at The Pankey Institute, once said the reason most people never received optimal care is because no one ever asked them if they wanted it. So, put away your fears of rejection and failure, and let’s look at the patient experience through a different paradigm of delivering health care in an abundant and relationship-driven way.

The New Patient Experience The foundation of raving fan relationships begins with the initial new patient visit, which begins with the initial phone call. When a new patient calls, let them know you are delighted they have chosen your practice and find out where they heard about you — how they were “pre-heated” — and make note of it in their file. That same day, send them a personal welcome package on nice stationary that includes a professional brochure about your practice. Reiterate how excited you are that they have chosen your practice for their oral health care

November/December 2015

orlando,florida i www.floridadentalconvention.com

needs. When they come into the practice, personally greet them by name and escort them into a consultation room on time. Being timely is important because most patients expect to wait.

color photo to 40X and look at it together so you can both see the issue — maybe a crack in a tooth — then simply ask, “How can I help?” This delivery of care is not authoritarian; it is not punitive; and, it is not guilt based. It is merely working together for the patient’s benefit in a way they can be comfortable and stay in control.

Your initial meeting is all about asking questions and listening. To create raving fans, you must “out-listen” the competition. Here are a few questions to ask and what their answers will tell you: s “Did you have any trouble finding the practice?” — This will tell you if they are new to the area. s “Who can we thank for referring you?” — Confirms how they found out about your practice and communicates that your primary source of new patients is from happy existing patients, which builds trust. s “What is your concern with your oral health/teeth?” — Gives the patient the opportunity to explain why they made the appointment. s “Why did you leave your last dentist?” — Gives insight into their previous dental experiences and — most likely — fears and barriers to care. s “Do you know of any current dental needs you have — a crown, cavity, etc.?” — Lets you know if they have delayed or declined care in the past, which may indicate the level of value they see in dentistry. s “Do I have your permission to discuss any issues or changes I see in your mouth other than the ones you’ve told me you are concerned with?” — Ensures you have permission to do a comprehensive evaluation and share the results with the patient. s “How healthy do you want to be? What are you goals: Fix what’s hurting or wrong now, or to have your teeth for life?” — Provides insight into their commitment level for care. These are just a few of the questions to ask. It takes reserving key time, but the impact it has on the relationship, the patient and the practice is huge.

The Evaluation and Treatment Conversation The next step is to do a gentle, but thorough comprehensive evaluation using the best technology to make the patient as comfortable as possible. For example, use Digital Doc intraoral cameras for the initial evaluation and “before, during and after” shots of every procedure, every time. Do an oral cancer screening using VELscope®; check for decay with digital radiography. After the evaluation is complete, thank them for their time and set an appointment for a second visit where you will share the results and your recommendations. Send the patient a beautiful card signed by the entire team and mail it the following day.

It’s during this point in the conversation that financial arrangements are discussed. Never try to guess who can or cannot afford care. Instead, let patients know you have several payment options for them to choose from. For example: “Mrs. Smith, we have three ways to save you money on your dental needs. Let me know which one works best for you. First, if you pay at or before the time of treatment by check or cash, you will receive a 5 percent bookkeeping courtesy. Or you can use your credit card. Or the third option, you can use CareCredit’s health care credit card, which offers a variety of promotional financing offers. Which would you like to hear more about?” This system of presenting payment options is predictable, planned and choreographed, and works beautifully. If a patient has been in your practice for many years, visiting every six months for recare visits with a 30-second exam, we can offer them to return for a new complete exam. Verbal skills such as, “You have been a loyal and wonderful patient for all these years. Dentistry has so many new technologies and advancements that we are adding to our practice. Would you like to experience the benefit of an updated comprehen-

At the second visit, have a written consultation and give the patient a digital case presentation showing all the digital photos you took and enhancements that are possible. Enlarge a

The official meeting of the florida dental association

Please see RAVING, 67

November/December 2015

Today's FDA

benefit

NUMBER

YOUR FDA SERVICES STAFF IS “HELPING MEMBERS SUCCEED” EVERYDAY!

PROFESSIONAL STAFF I HELP MEMBERS SUCCEED by always being available to answer questions and update their membership information. By being in tune with of all of the roles my co-workers play, I can connect our members to the correct staff to further discuss their inquiries. I aim to make contacting the FDA easy and pleasant. — Kaitlin Walker Member Access Coordinator CALL US FIRST! 800.877.9922 • 850.681.3629 • kwalker@floridadental.org

benefit

Membership NUMBER Concierge

What a great idea! A Membership Concierge. She was so helpful and nice and took super care of me. — Dr. Richard E. Tomlin, DMD Retired Life Member Thank you for being so thoughtful. I’m honored. — Dr. Inge Ford

CHRISTINE MORTHAM

Do you have a question, suggestion, or a compliment? Call or email Christine, your membership concierge!

800.877.9922 or 850.350.7136 cmortham@floridadental.org

RAVING from 65

sive examination?” You may be amazed at how many will appreciate this extra time and careful study! After treatment you can continue to delight and surprise patients by exceeding expectations. If they didn’t eat before the appointment, have someone run and get them their favorite smoothie. And later that evening, give them a call. I simply say, “Hi, it’s Mark Hyman. I just wanted to see how you are feeling after our work today. Are you feeling OK? Do you have any questions or concerns for me at this point?” The idea is so simple. Take all negative expectations and create an experience your patients have never had before. If you feel comfortable with it, use humor to put patients at ease and a smile on their faces. This generates raving fans. You will enjoy dentistry more, and so will your team. And, amazingly, so will your patients.

www.floridadental.org

Dr. Hyman is a nationally recognized and highly regarded speaker. He is a general dentist in Greensboro, NC and can be reached at MHyman@tarheeldentist.com. He is one of the keynote speakers at FDC2016, and his keynote presentation, “THE SECRET SAUCE! The Hidden Ingredients of Highly Successful Teams” and lecture, “Beauties and the Beasts: The Greatest Hits and Misses of Cosmetic Dentistry” will be on Friday, June 17. In addition, he will be presenting, “A Day in the Life,” and “The Art of Getting to ‘Yes,’” on Saturday, June 18.

November/December 2015

Today's FDA

Exhibit Marketplace Exhibitors as of 10/22/15

Biotec Bisco Dental Brasseler USA

THESE EXHIBITORS HAVE MADE A COMMITMENT to attend the Florida Dental Convention (FDC). Not only do these companies exhibit the latest in technology, materials and equipment, but many sponsor events and continuing education programs at the FDC. Take a minute to see if your supplier is on the list. Make an effort to stop by their booth in the Exhibit Hall in June for show specials. Please support those entities that help make the FDC a rewarding member benefit. EXHIBIT HALL HOURS THURSDAY, JUNE 16 FRIDAY, JUNE 17 SATURDAY, JUNE 18

9 AM - 6 PM 9 AM - 6 PM 9 AM - 2 PM

EXHIBITORS IN BLUE ARE FDAS CROWN SAVINGS MERCHANTS.

3D Diagnostix Inc. 3M Oral Care

AA-dec A. Titan Instruments ACCEN Dental Accutron Inc. ACTEON North America ADA Member Retirement Program Advantage Technologies AFTCO Air Techniques Inc. Aseptico Aspen Dental Atlanta Dental Supply Atlantic Dental Solutions/ Brewer Co.

B Bank of America Practice Solutions Belmont Equipment Benco Dental Berryhill, Hoffman, Getsee & DeMeola, LLC Bien Air Dental BioHorizons BIOLASE

CareCredit Carestream Dental Citi Healthcare Practice Finance Clear Optix Coast Dental Colgate Coltene Convergent Dental Inc. Cool Jaw Crest + Oral-B CUTCO Cutlery

D Dansereau Health Products Darby Dental Supply Demandforce DenMat LLC DentalEZ Dental Care Alliance Dental Health & Wellness Dental Medical Sales Dental PC Dental USA Inc. DENTSPLY Caulk DENTSPLY International DENTSPLY Maillefer DENTSPLY Professional DENTSPLY Rinn DENTSPLY Tulsa Dental Specialties Designs For Vision Inc. DEXIS Digital X-Ray Digital Doc LLC Doctor’s Choice Companies Inc. Doctors’ Disability Specialists DoctorsInternet.com Doral Refining Corporation Doxa Dental Inc.

orlando,florida i www.floridadentalconvention.com

E-F Engle Dental Enovative Technologies EOS Dental Marketing Essential Dental Systems ExtraDent FDASupplies.com Fidelity Bank Florida Combined Life Florida Dental Association Florida Dental Association Services Forest Dental Products Inc. Fortune Management of Florida Fotona LLC

G Garfield Refining Company Garrison Dental GC America Inc. Gendex Dental Systems GlaxoSmithKline Greenberg Dental & Orthodontics

H Hager Worldwide Halyard Health Hawaiian Moon Heartland Dental Henry Schein Dental Henry Schein Practice Solutions Henry Schein Professional Practice Transitions Heraeus Kulzer Hu-Friedy

I I.C. System Inc. ICW International iMedicor Implant Direct Implant Educators Insurance Credentialing Specialist Instrumentarium Ivoclar Vivadent Inc.

K Karl Schumacher Dental KaVo Kerr Corporation Kettenbach LP Knight Dental Group Kuraray America Inc.

L Lares Research Lighthouse 360 LumaDent Inc.

M MacPractice Medidenta Meisinger USA, LLC Microcopy Midmark Corporation Millennium Dental Technologies Inc. MIS Implant Technologies Modular & Custom Cabinets Ltd. Myofunctional Research Co.

N-O NOMAD NSK Dental LLC Officite Orascoptic

P Pacific Dental Services Panoramic Corporation Patterson Dental Pelton & Crane PeriOptix, a DenMat Company Philips Sonicare & Zoom Whitening Planmeca USA Inc. Porter Instrument Co. Inc. Precision Dx/ Global Dental Solutions Professional Sales Associates Inc. Proma Propel Orthodontics ProSites Pulpdent Corporation

R RGP Dental Royal Dental Manufacturing Inc.

S Sage Dental SciCan Inc. SDI (North America) Inc. Shamrock Dental Co. Inc. Sirona Dental Inc. Snap On Optics Solutionreach SOREDEX Sunrise Dental Equipment Sunset Dental Labs Sunshine Health Superior Dental Design Services & Upholstery SurgiTel | General Scientific Corp.

MAKE AN APPOINTMENT!

T-U The Doctors Company Ultradent Products Inc. Ultralight Optics Inc.

V-W Video Dental Concepts Vitamix VOCO America Inc. Wand Dental (Milestone Scientific) Water Pik Inc. WEAVE Wells Fargo Practice Management

X-Y XPdent Corp. Yodle

FDA SERVICES INC. IS A MAJOR SPONSOR OF THE FLORIDA DENTAL CONVENTION.

The official meeting of the florida dental association

SCHEDULE ONE-ON-ONE SESSIONS with the exhibitors that you want to see at FDC2016. Appointments range from 10-15 minutes. You will have specialized attention for your business needs! Search for products online, find a company you would like to meet with at the trade show and request an appointment. Once confirmed, you can print your schedule of appointments or access them on the FDC mobile app. Appointments will fill up quickly, so request your appointment time before you leave for FDC. As an added bonus, attendees who complete six or more appointments over the three days will be entered to win one of five $200 American Express gift cards.

ONE PILL

CAN KILL.

Information Technology Solu-

REMINDERS!

HERE'S ONE RIGHT NOW! Renew your license by Feb. 28, 2016! Every biennium, we request a list from the Board of Dentistry of dentists who have not yet renewed their license. FDA MEMBERS in this category receive a reminder to renew.

CE BROKER

The FDA automatically posts all your FDA completed CE courses to CE Broker. In addition, FDA MEMBERS receive a discount Rick Scott on CE Broker upgrades. Governor

The database used by health care practitioners and law enforcement agencies to stop prescription drug controlled 2012-2013 substance abuse and diversion.

Prescription Drug Monitoring Program Annual Report

2015 E-FORCSE Facts

■ ■ ■

John H. Armstrong, MD, FACS RICK SCOTT State Surgeon General & Secretary Governor

FREE CE: ONLINE AND FDC

Rebecca Poston, BPharm, MHL J O H N H . AManager RMSTRONG, MD, FACS Program Surgeon General & Secretary Florida Department of Health

E-FORCSE®

■

162M prescription records on file 3M prescriptions uploaded monthly 31,886 health care practitioners are registered December 1, 2013 participants, but only 776 dentists.

4052 Bald Cypress Way, Bin C-16 FLORIDA DENTAL CONVENTION: FDA MEMBERS pre-register Tallahassee,for FL 32399 (850) 245-4444 x 3700 FREE and can earn up to 18 FREE CE credits.

21M queries from practitioners for information from the database,but only 17K from dentists

FDA ONLINE CE: Earn up to 30 FREE CE hours per year. Available 24/7, only to FDA MEMBERS.

Since inception in 2011, Oxycodone deaths decreased by 69 percent (when compared with 2010).

REBECCA POSTON, BPharm, MHL Program Manager

LIAISON WITH BOARD OF DENTISTRY

The FDA sends staff and an appointed FDA MEMBER to every Board of Dentistry (BOD) meeting. Whenever your license, your ability to practice or your pocket book is affected, the FDA is part of the decision making process at the BOD.

INFORMATION

Do you have questions about the biennium, the renewal process, CE Broker or your FDA-earned CE credits? Contact Brooke Martin at bmartin@floridadental.org or 850.350.7103. Information! It's one of the benefits provided to FDA MEMBERS. Find more information at www.floridadental.org. Contact us at fda@floridadental.org or 800.877.9922.

■

Register and Support E-FORCSE Operations TO REGISTER, visit the E-FORCSE website at www. EFORCSE.com or call 877.719.3120. TO HELP SUSTAIN E-FORCSE yearly operations, consider making a tax-deductible contribution online at www.flpdmpfoundation.com/Donations and visit the PDMP Foundation on Facebook for more information.

UNMATCHED

WE ARE UNMATCHED IN REWARDING OUR MEMBERS FOR PRACTICING GOOD MEDICINE

As a company founded by doctors for doctors, we believe that doctors deserve more than a little gratitude for an outstanding career. That’s why we created the Tribute® Plan—to reward our

members for their loyalty and commitment to superior patient care with a significant financial award at retirement. How significant? The highest distribution to date is $138,599. This is just one example of our unwavering dedication to rewarding doctors.

Join your colleagues—become a member of The Doctors Company.

CALL OUR JACKSONVILLE OFFICE AT 888.899.9091 OR VISIT WWW.THEDOCTORS.COM

REWARDS Tribute Plan projections are not a forecast of future events or a guarantee of future balance amounts. For additional details, see www.thedoctors.com/tribute.

5190_FL_FDA_UR_REW_NovDec2015_flat_f.indd 1

9/24/15 11:31 AM

Who We Are

We Are Each Unique By Dr. Alan Friedel

If there is one trait all of humanity shares, it is this: We are each unique. No two of us are exactly alike, so diversity is our natural state. Some traits, perhaps the least important, are a happenstance of birth visible to the naked eye. Other traits depend upon who our parents are and our place of birth. Is food a limiting factor? Are you educated and by whose standard? Are you a theist or an atheist? Do you have a privileged place in society or a place of privation just because of birth? We can parse this down forever, but to what purpose? I am an American-Jewish Caucasian dentist. I am a husband, a parent, a father-inlaw, a son, an uncle, a bother, a brother-in law, a Democrat, a licensed driver and a golfer. I have graying brown hair, brown eyes requiring glasses and I am a heterosexual male. At various times, I have been called generous, cheap, smart, stupid, good, evil, honorable, mean and more. I am loved by some, hated by more, respected by some, ridiculed by others. The list can go on forever, but again — to what purpose? Sometimes these categories are important and other times they are irrelevant. When I am with my wife and children, it is

Today's FDA

important that I am a husband and a parent. When I am at work, being a husband and parent does not matter, but being a licensed dentist does. At the stadium, it only matters that I am a sports fan. There are some categories that do matter all the time, because they color everything about us — how we think, how we see ourselves, how other people see us and how we behave. I am an American Jew. This is fundamental to my identity and therefore, overshadows everything. On my father’s side, I am a second-generation American by birth and my Jewish heritage can be traced back to the time of Moses. I am fortunate to have been born during a period where my native soil and my religious roots are legally in synch. To be an American is to be blessed to live in a place where the standard of living is high for most of us, and there are constitutional freedoms to protect us all. To be Jewish is to identify with 0.2 percent of the world population. America is a haven for Jews; we are 1.4 percent of the United States. Florida, which has one of the largest Jewish populations in the world, is 3.3 percent Jewish. Yet, we are by all accounts a “major” religion. As with all belief systems, being an American and being Jewish is easy when each group’s individual priorities are aligned. Sometimes, when issues put my beliefs at cross-purposes, I have to determine — on a case-by-case basis — who to cast my lot with. America has its political parties who often disagree. Judaism has no single central authority, and so controversial issues are debated by learned rabbis, sometimes over centuries. That means we often are guided by our own consciences when things are difficult. American Jews love being Americans for reasons too obvious to delve into here. Though, to be Jewish often means we are outside looking in on a society predominated by Christian thought. I am the product of Miami-Dade County public schools, with Hebrew school attendance two afternoons per week and Sunday school. During the holiday season (during the 1960s) we would sing Christmas carols in school, only to be told they were “not for us” in Hebrew school. Children wish for acceptance by their peers, and feeling different is awful. This feeling of being different acts as a motivator and often is the impetus for the kind of self-reflection that leads to personal growth. It also can create feelings of inferiority, which destroys self-esteem. Problems arise in society when, as part of a populist ideal, an outside group is manufactured in order to define who is besieging the rest of “us.” Throughout history, Jews have been vilified by societies looking to find scapegoats for problems not easily solved. We have been exiled from many countries and exterminated by others. There are people who are antiSemitic in societies worldwide. In the best of times, these sad people are very few, but from time to time for whatever the reason, their numbers swell and they are emboldened to act

November/December 2015

www.floridadental.org

Who We Are

upon their paranoia. It is no wonder that this tender spot among Jews — the feeling of being different — does not go away. No one lives for long without feeling hurt and isolated by others at least once. As Jews living in America, we are sometimes left out because people with good intentions are unaware of the implications of their actions. Who among us has not embarrassed himself by inadvertently saying or doing something thoughtless? I often say, no matter the religion (including my own), those who are convinced their beliefs are absolutely right and anyone who disagrees with them are absolutely wrong create the problems. By definition, beliefs are not provable, they are not facts. Everyone is entitled to their beliefs. I promise to respect yours and all I ask is that you respect mine. I say that knowing full well that my beliefs can and do often conflict with the beliefs of others. The good news is, that over time, a set of shared values slowly has emerged in civilized society that gives us the breathing room to live with one another. For example, we all know that murder is wrong. In dentistry, through the American Dental Association and the American College of Dentists, a set of ethics has been developed that provide guidance to the profession. Over time, we’ve also developed a system of behaviors we call good manners. These conventions allow daily interactions between strangers to be pleasant. Parliamentary procedure is a set of manners developed to prevent large meetings from devolving into chaos. Shared values and manners permit secular interaction between well-intentioned people every day. By far, the majority of us would describe ourselves as “a good person.” However, in the eyes of others, it doesn’t matter what we think of ourselves — it’s our behavior other people judge us by. Showing sensitivity to others is simple. Respect others and stay focused on the problem at hand. Be blind to the people who bring ideas to the table — only focus on the ideas. We must remember that our individual viewpoint is not the only one that has validity, and any behavior perceived as insensitive to others creates a problem. There is an old saying, “It’s amazing what you can accomplish if you don’t care who gets the credit.” Intellectual diversity should not only be respected, it should be nurtured. The honest exchange of different ideas makes for longer, messier meetings. Often those messy meetings

“

bring more creative results and are more satisfying for the participants because we exercise our brains. Nothing makes you more settled in your position on an issue than having to defend it vigorously. Intellectual diversity also encourages a broader base of membership to participate in leadership, which can only strengthen the organization. If you are reading this, you are either a dentist or have an interest in dentistry. Within the FDA, it’s dentistry that unifies us to the exclusion of all other personal traits, qualities or beliefs. Our profession is now in a time of perilous transition. Moving forward, if we are going to survive — or better yet, thrive — as a profession, we must promulgate our best ideas and act upon them regardless of where they originate from. We must include anyone willing to roll up their sleeves and work to get things done. Shunting people aside because of arbitrary reasons that have no bearing on being a dentist is just plain stupid. Within the context of where we come together, there is only one category that matters, and it is a category I am proud to be a part of: I am a dentist. Dr. Friedel can be reached at aefriedel@ gmail.com.

I’m different and I don’t care who knows it, Somethin’ about me is not the same.

www.floridadental.org

— Randy Newman “I’m Different,” 1983

”

November/December 2015

Today's FDA

If you or your staff send patient data, lab reports and X-rays via email, you may be breaking the law. And no, “secure” email doesn’t mean HIPAA-compliant email. Crown Savings Merchant iMedicor provides an excellent HIPAA-compliant email solution, iCoreExchange, for $22.50 per subscription (pricing reflects a 35 percent discount). For more information or to enroll in a complimentary 30-day trial, visit www.fdaservices.com/?affiliate=imedicor

Questions? Contact iMedicor at:

888.231.1223 SalesInfo@iMedicor.com

800.877.7597 | www.fdaservices.com/crownsavings |

Diagnostic

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

The patient is a 47-year-old Caucasian female who recently relocated to South Florida from Atlanta, Ga. Her last visit to her dentist in Atlanta was in May 2015, and following a routine prophylaxis and oral exam, nothing abnormal was reported. In September 2015, the patient reported to Dr. Kristopher R. Harth at Ponte Vedra Complete Dentistry in Ponte Vedra Beach, Fla. for a comprehensive oral examination. Intraoral examination revealed a distinct yellow, slightly raised, nodular and soft lesion on the maxillary arch/facial gingiva in relation to teeth Nos. 6 and 7. The patient previously was unaware of its presence and the area was completely asymptomatic. Dr. Harth performed sensitivity testing and both teeth Nos. 6 and 7 responded normally to cold provocation and electronic pulp testing. The lesion was variably fluctuant, appeared yellow in color and measured approximately 0.6 cm x 0.6 cm (Fig. 1). The radiograph demonstrated radiolucency in the area between teeth Nos. 6 and 7 (Fig. 2). Dr. Harth placed an incision over the area that resulted in drainage of a yellow, viscous substance that did not have the odor of pus. Dr Harth immediately initiated a consult over phone, and emailed the lesion’s description and discussed probable differentials. The oral pathologist’s advice was to biopsy the area. The patient was recalled for biopsy, and the incision was extended to include most of the involved area and the cyst-like presentation was curetted down to bone. The lesion seemingly extended to the roots of teeth Nos. 6 and 7 as well, but did not involve the apices. The tissue was submitted to the University of Florida College of Dentistry Oral and Maxillofacial Pathology Biopsy Service for evaluation. During final curettage, a copious amount of yellowish pus-like material was expressed. The patient tolerated the procedure well and was happy with the way the treatment had progressed. She returned in early October for a follow-up and the area appeared normal. The area was healing uneventfully. The patient was placed on a six-month recall.

Fig. 1

Question: Which of the following is the most likely diagnosis? A. Periapical/dental abscess B. Lipoma C. Exostoses D. Gingival cyst of the adult E. Odontogenic keratocyst

Fig. 2

Please see DIAGNOSTIC, 76

www.floridadental.org

November/December 2015

Today's FDA

Diagnostic

DIAGNOSTIC from 75

Diagnostic Discussion A. Periapical/dental abscess Incorrect. Expression of yellow pus-like material during surgery and history of prior similar swelling that eventually subsided without treatment are all indicative of a draining periapical/periodontal abscess. However, abscesses almost always are incredibly painful and the patient will usually provide history of dental pain and/or drainage. In this case, since significant swelling was noted with possible expansion of soft and hard tissue, pain or symptoms would be expected. Moreover, abscesses tend to form either a small parulis or gum boil-like area to drain, or larger and more diffuse swelling may be seen (unlike the presentation here, which was discrete). Also, clinical examination almost always will reveal one or more adjacent teeth with caries or periodontal disease, or some obvious sources of dental infection. Additionally, with an abscess of this size, constitutional symptoms such as fever, malaise, lymphadenopathy, etc. also may be seen; such symptoms were absent in this case. B. Lipoma Incorrect. Lipoma is a good consideration, since the lesion appeared yellow and had discrete swelling. However, this would be an unusual site for a lipoma since they are benign tumors of fat and — though rare in the oral cavity — usually are seen in the buccal mucosa and vestibule, where fat is normally found. Since no fat cells (adipocytes) normally are seen on the gingiva, these lesions are exceedingly rare in this location. In addition, lipomas arising from within the bone or those arising in soft tissue infiltrating into bone are exceedingly rare. Moreover, lipoma is slow growing and would not correlate with the history of resolution and reappearance, and the expression of drainage during surgery. They are common on the trunk or extremities and appear to be more common in obese people. Lipomas usually present as soft, smooth-surfaced nodular masses that are usually sessile or rarely pedunculated. Microscopically, lipomas contain lobules of mature fat cells, usually separated in discrete lobules by thin connective tissue septa. These typically are treated by conservative local excision and rarely recur.

Today's FDA

November/December 2015

C. Exostoses Incorrect. Exostoses are another good choice when you consider a swelling on the gingiva or alveolar bone with a thin mucosal covering. However, exostoses would not correlate with the lesion’s presentation for multiple reasons. The first reason exostoses can be ruled out is the presence of radiolucency in the area, since exostoses — when radiographically visible — tend to present with a faint radiopacity in the growth area. Secondly, the presence of a fluctuant mass rather than a firm, bony hard lesion, which is the usual presentation of an exostosis, rules it out. Thirdly, the exudation of yellow pus-like material from the lesion during surgery is not typical in exostosis. Exostoses are localized bony protuberances that arise from the cortical plate of the jaws; the most common types of exostoses are tori. Typically, they are bilateral and symmetrical, and present as a row of bony, hard nodules along the facial maxillary and/or mandibular alveolar ridge. Less commonly, isolated and solitary exostoses occur as a response to local irritation. A rare variant of the exostosis is subpontic osseous hyperplasia that develops on the alveolar crest beneath a pontic, usually on the posterior mandibular ridge. D. Gingival cyst of the adult Incorrect. The gingival cyst of the adult is an uncommon lesion and considered to be the soft tissue counterpart of the lateral periodontal cyst. Like the lateral periodontal cyst, they demonstrate a striking predilection for the mandibular canine-premolar area (two-thirds of the cases). This case is unusual in this respect since the maxillary gingiva in the canine is an uncommon site. They invariably are located on the facial gingiva or alveolar mucosa. They arise from the rests of the post-functional dental lamina. Clinically, they typically are painless, dome-like swellings and often appear bluish or bluish-gray. In some instances, the cyst may cause a superficial “cupping-out” of the alveolar bone, which is NOT detected on radiographs. They are often called “mucoceles” because of the similar appearance, but as stated before, this diagnosis is incorrect since salivary gland tissue is absent in the gingiva. Microscopically, a thin, flattened epithelial lining with or without focal plaques/thickenings is seen in a connective tissue background. These features are similar to those of the lateral periodontal cyst. Gingival cyst of the adult is treated by simple surgical excision and rarely recurs.

www.floridadental.org

Diagnostic

E. (Soft tissue) Odontogenic keratocyst Correct! This is an unusual presentation of this fairly common intrabony developmental odontogenic cyst. The bulk of the lesion noted here was within the soft tissue with perforation of the maxillary bone, and slight involvement of the underlying bone. This is contrary to the usual presentation where odontogenic keratocysts (OKC) destroy bone and appear completely radiolucent and do not cause expansion of the cortex when small. The recent World Health Organization nomenclature is Keratocystic odontogenic tumor (KCOT). The signs suggestive of this diagnosis were the presence of a fluctuant lesion, radiolucency in the area and expression of yellow keratinaceous material during surgery. Soft tissue involvement mostly is thought to be secondary to perforation of the cortex and extrusion of the cyst into soft tissue. However, this case seemed to be mostly in the soft tissue. The yellow coloration and the drainage noted during surgery were manifestations of the cystic content, which usually is keratin or keratinaceous debris within the lumen of the cyst. Since OKCs arise from dental lamina rests, the possibility of an OKC arising in soft tissue, especially gingival, exists — albeit rarely. This particular case actually may be one of the rare soft-tissue variant. A large majority of OKCs are seen in the 10-40-year-old age group and involve the mandible with a marked tendency to involve the posterior body and ascending ramus. OKCs usually cause obvious bone expansion and present as well-defined radiolucencies with smooth and corticated margins. However, large lesions of the mandible typically exhibit a multilocular “soap bubble” appearance. One-third of the cases are associated with an unerupted/impacted tooth. The radiographic and clinical presentation, though highly suggestive sometimes, are not always diagnostic. OKCs may radiographically resemble other entities including dentigerous cysts and ameloblastomas. The presence of multiple OKCs should be viewed with caution and the patient should be evaluated for Gorlin-Goltz syndrome. OKCs typically show a thin, friable wall with an epithelial lining composed of a uniform six to eight cells thick layer of

Fig. 3

stratified squamous epithelium. The luminal surface exhibits a thin layer of corrugated or wavy parakeratin. Characteristically, the basal epithelial layer exhibits a palisaded layer of cuboidal or columnar epithelial cells with hyperchromatic nuclei Fig. 3. Most OKCs are treated by enucleation and curettage. In contrast to other odontogenic cysts, OKCs often tend to recur after treatment. This mostly is due to the thin friable lining and wall of the cyst and secondly, due to the presence of “daughter cysts or cystlets” within the wall of the cyst. Often, during removal of the lesion, remnants of the original cyst that were not removed at the time of the operation may give rise to a “new” cyst. Several reports indicate a recurrence rate of approximately 30 percent for the intraosseous variant. A significant number of recurrences may not be manifested until 10 or more years after the original surgical procedure. Hence, long-term clinical and radiologic follow-up is mandatory. Patients with multiple OKCs should be evaluated for the nevoid basal cell carcinoma syndrome. Therefore, it is prudent for the clinician to be extra cautious, even if dealing with a soft tissue variant of an OKC. Please see DIAGNOSTIC, 78

www.floridadental.org

November/December 2015

Today's FDA

Diagnostic

DIAGNOSTIC from 77

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.

References: Sakamoto K, Morita K, Shimada Y, Omura K, Izumo T, Yamaguchi A. Peripheral odontogenic keratocyst associated with nevoid basal cell carcinoma syndrome: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Jul; 118(1):e19-23.

Dr. Bhattacharyya

Vij H, Vij R, Gupta V, Sengupta S. Odontogenic keratocyst: a peripheral variant. Niger J Clin Pract. 2011 Oct-Dec; 14(4):504-7. Chi A.C., Owings J.R. Jr., Muller S. Peripheral odontogenic keratocyst: report of two cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Jan; 99(1):71-8. Preston RD1, Narayana N. Peripheral odontogenic keratocyst. J Periodontol. 2005 Dec; 76(12): 2312-5. Chirapathomsakul D., Sastravaha P., Jansisyanont P. A review of odontogenic keratocysts and the behavior of recurrences. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101:5-9.

Dr. Islam

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

Boyne P.J., Hou D., Moretta C., Pritchard T. The multifocal nature of odontogenic keratocysts. J Calif Dent Assoc. 2005 Dec; 33(12):9615.

Dr. Cohen

benefit

NUMBER

ONLINE CE: THE EASY WAY

EARN FREE CE CREDIT TO RENEW YOUR LICENSE!

“DIAGNOSTIC DISCUSSION”

Visit the FDA website and click the “Online CE” 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 Martin at bmartin@floridadental.org or 800.877.9922.

* These courses expire on 12/31/2016.

Today's FDA

November/December 2015

www.floridadental.org

Compleat Dentistry

Debt and the New Dentist By Dr. Edward Hopwood

Compleat dentistry is a slower-paced, deliberate style of dentistry, espoused by Pankey, Dawson and so many others, in which the dentist knows the patient well, knows the work, knows their own abilities and limitations, and uses this knowledge to take care of the patients who trust them with their care. The world will change, but the principles of compleat dentistry will remain the foundation of an exceptional practice. The spelling is an homage to Isaak Walton, whose book, “The Compleat Angler,” was about so much more than fishing. Student loan debt is reaching staggering proportions. New dentists are graduating with an average of $240,097 in debt (ASDA 2012). Many dentists who graduated 30-40 years ago are blown away by the extreme amount of debt with which these new dentists are starting their careers. Young dentists start out with the overwhelming realization these are real numbers they need to repay.

I understand how both sides feel. In 1998, I graduated with $220,000 in student loans (more than $317,000 in today’s dollars). I know what it feels like to have massive debt at the start of my career, and I remember the crushing weight of student loans. I also understand the tremendous benefits to both patients and providers in the private practice model, and the loss of that model would be a terrible blow to our profession. As a young graduate 17 years ago, I had no choice: I had to face off with my debt and manage it appropriately, and I had to make the private practice model work if I was to be able to perform the complete dentistry I aspired to.

The older dentists look at their young colleagues and assume they are so burdened by debt, they will never be able to get a loan to buy a practice and will have to go work for one of the corporate entities that supposedly are going to take over the profession. The younger dentists feel smothered by their financial burden and just want to get out from under its weight. The consultants are calling for the death of the private practice model.

The first thing I realized was banks viewed me as a good risk. An average small-business owner would have a hard time borrowing $220,000 at a low rate with no collateral, but I was able to borrow that much with little more than some DAT scores and an acceptance letter. The banks knew they’d be repaid. They would not have lent the money if they weren’t confident they would get it back. If the banks were confident in my ability, why should I doubt myself?

Today's FDA

November/December 2015

The problem I faced was I needed more debt in order get started. Armed with the knowledge that the banks viewed me as a good risk and a dose of personal confidence from their trust, I was able to purchase my practice with a loan from a bank. The only thing I had to do was make my payments on time and avoid racking up unnecessary debt. Shortly thereafter, I was able to borrow some money to buy a home. While most people understand the concept of good debt and bad debt, a practice acquisition loan and a home mortgage are actually better than “good” debt. The best kind of debt is used to finance things that increase in value (see the definition of leverage) — a dental practice is just such a thing. In fact, it’s even better, because you can work hard and make the practice increase in value faster (i.e., build equity). While it is counterintuitive, I learned the best way out of debt was not necessarily working for someone else and funneling every extra penny toward my loans. Then came the recessions. My years since graduation have been punctuated by two large recessions, first the dot-com bust and then the Great Recession. The economic climates during both of those times were bleak; my confidence in my ability to weather the storm and repay my now larger debts was shaken. They were scary times, but they were scary because I had little control over these events. This taught me to double my efforts in the things I could control.

www.floridadental.org

Compleat Dentistry

One advantage of these two recessions was they kept interest rates low. I was able to refinance my loans into lower interest rates and make it easier to pay them off earlier. I learned to study interest rates in order to determine where I should funnel extra cash. It’s pretty easy — after accounting for taxes, simply pay down the highest interest rate loan first. Only buy bonds if they are paying a higher interest rate than any loan you have. The advantage of low interest rates means that, when adjusting for inflation and interest rates, the average student loan debt of $240,097 today is comparable to $45,500 in 19821. Sure, that’s a large number, but I would imagine it was not insurmountable back then, or were they calling for the end of private practice years ago because interest rates were too high? The recessions and interest rates taught me to work within my circle of influence on the things under my control. I could use the equity I had built up in my practice to shift the educational debt to practice debt where I could get a better rate and deduct the interest. I pushed myself to apply the complete dentistry I had learned from so many great teachers and worked on my practice to make it efficient and profitable. As the years went by, I was able to pay off my student and practice loans. I began to gain confidence in my abilities — ironically, the same confidence the banks had expressed by loaning me the money in the first place. By far, the best thing my student loans taught me was balance. Dentists make a good living and are able to live quite comfortably, if we pay attention to debt and live within our means. Managing student

www.floridadental.org

loan debt is an important lesson in personal finance — my loans taught me to seek a balance between spending, saving and prepaying debt. Of course, this balance constantly is threatened in our consumer-centric world. There are constant demands for our money: fancy cars, boats, big homes, kids, school tuition, retirement — the list is endless. It is tempting to rush out and spend all the money we make, but for me, student loans kept me grounded and I had to be careful before buying (and then maintaining) the things money could purchase. It’s funny — I never missed the things I didn’t buy. New graduates definitely need to be careful and responsible, but they aren’t in an impossible situation and shouldn’t give up hope. With some diligence, hard work and risk taking, they can conquer their student loan debt and be financially successful. Dentistry is a great profession and it is a wonderful time to enter into the field. The intelligent and caring young graduates I meet when I teach at my local Advanced Education in General Dentistry residency program regularly amaze me. The newest generation of dentists needs to know they are entering a noble profession at an excellent time, and they do not need to sacrifice their goals or become an employee just because they have debt.

“

While it is counterintuitive, I learned the best way out of debt was not necessarily working for someone else and funneling every extra penny toward my loans.

”

payment, and I paid the loans off ahead of schedule. Then, I picked the pile up and threw it in the garbage can. The garbage man has come and the papers are gone now — but the lessons will be with me forever, and I am glad to have them.

Reference Student loans are set at a rate of 10-year treasury plus 3.5 percent (more or less, depending on whether they are subsidized). So, let’s compare a student graduating in 2015 with a student graduating in 1982. The 2015 doctor with $240,097 in debt would face an interest rate of 5.6117 percent, if they repay the loan over 20 years, they will pay $1,666.78 per month. If we adjust that payment for inflation, the payment in 1982 would be $685.25. Assuming the same 20-year amortization and the 1982 rate of 18.09 percent, would be like having a $45,500 loan in 1982. 1

Last year, I had an emotional and exciting milestone in my life: I went through all my student loan paperwork and put the papers and payment slips in a big pile. I showed the pile of papers to my children and explained how I was incredibly proud that each slip of paper represented money I had paid for my education — I was never late with one

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

November/December 2015

Today's FDA

Component Corner

Atlantic Coast District Dental Association Mike Dvorak, Executive Director

The Atlantic Coast District Dental Association (ACDDA) takes pride in providing you with value for your membership. In addition to joining the state and national associations, you also will be able to join our local societies and network with your colleagues in Broward, Palm Beach, Okeechobee, Martin, Indian River and St. Lucie counties. The ACDDA’s leadership is looking out for the best interests of our member dentists. v Peer Review is one of your most important member benefits. In the event of a dispute with a patient, the ACDDA can mediate before it escalates to the Florida Board of Dentistry (BOD) or into a legal dispute. v Our annual CE Cruise is a chance for our members to enjoy camaraderie with their spouse, staff and fellow colleagues.

v We volunteer in the community with our dentists at many clinics in Palm Beach, Broward and the Treasure Coast counties at events like Give Kids a Smile and Project Christmas Smile, and clinics such as the Caridad Clinic, Café Joshua, the 7th Avenue Clinic, Broward College, the Atlantic Coast Research Clinic and Nova Southeastern University. v Our town hall meeting formats offer you the chance to hear news from our leaders and governmental affairs representatives, as well as ask questions pertinent to the future of the industry and your practice. v Our volunteers and members support the young, brilliant minds of the students at Nova Southeastern University, the Atlantic Coast Research Clinic, Palm Beach State College, Broward College and Indian River State College. v The participation at our Annual Winter Meeting has grown exponentially in the last 10 years and has become the fastest growing meeting in Florida! Contact the ACDDA at acdda@aol.com or 561.968.7714.

benefit

NUMBER

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

Please see COMPONENT, 86

Component Corner

CENTRAL FLORIDA

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

Central Florida District Dental Association Marlinda Fulton, Executive Director Written by: Dr. Ed Kennedy, CFDDA Editor and Membership Chair

The Central Florida District Dental Association (CFDDA) was founded on May 11, 1922 by a group of dentists assembled from the Orange County Dental Society. Today, the CFDDA comprises the 12 counties of Alachua, Brevard, Flagler, Gilcrest, Lake, Levy, Marion, Orange, Osceola, Seminole, Sumter and Volusia. The CFDDA Peer Review offers an alternative to costly litigation in resolving complaints between a dentist and a patient. Peer review services are offered to our members, and it’s an extremely effective way to help prevent disputes from proceeding to the Board of Dentistry (BOD) and further legal action. There is no charge to either party and the process is confidential. The CFDDA provides our members with an updated Web page featuring information regarding benefits and future events and activities. Each quarter, our newsletter features include: direct reports from our trustees and their specific activities; a BOD update, which includes actions taken by the board regarding rules changes, council reports, reports from dental schools and general board activity; and, various features and commentary. As a member of the CFDDA, you have the opportunity to join one of our six affiliate organizations. We enjoy strong relationships with our affiliate dental associations within the CFDDA, which include societies in Alachua, Brevard, Greater Orlando, Lake, Marion and Volusia-Flagler. Each of these affiliates has an active schedule hosting a variety of dinner meetings with speakers, CE opportunities and charitable events. Each year, the CFDDA hosts an annual meeting. The 2016 CFDDA Annual meeting will be April 14-16 at the Marriott Orlando World Center and will feature outstanding CE courses, exhibitors, a welcome reception and a beautiful venue for interaction and family fun. Contact the CFDDA at 407.898.3481 or centraldistrictdental@yahoo. com.

Today's FDA

November/December 2015

2016 CFDDA ANNUAL MEETING April 14-16, 2016 Orlando World Center Marriott

$189.00 per night 888-789-3090 to reserve. A great two days of learning! 12 hours of CE All lectures are designed for dentists and their dental teams! Jeffrey Jay Sevor, DMD

Diplomate, American Board of Periodontology Naked Gums — Part Deux — Can You Handle the Truth?

Lawrence J. Dario, DMD, FACP

Diplomate, American Board of Prosthodontics Simplifying Modern Implant Dentistry

After the Friday lecture, plan to stay for... Brews, Bites, and Beers A fun event to benefit the Florida Dental Association Foundation 5:30 p.m.-7:30 p.m. Sample microbrews from local distilleries! Wines – Light hors d’oeuvres

ily! l Team and Fam Bring Your Denta

Go to www.cfdda.org today to get signed up! www.floridadental.org

850.391.9310

nwdda@nwdda.org

www.nwdda.org

Component Corner

Northeast District Dental Association

Northwest District Dental Association

Debbie Deville, Executive Director

Angel Estep, Executive Director

Written by: Dr. Suzanne Ebert, NEDDA President-elect

Written by: Dr. Jolene Paramore, NWDDA Editor

The Northeast District Dental Association (NEDDA) is a professional membership organization representing Florida’s licensed dentists in the northeastern counties of Bradford, Baker, Clay, Columbia, Dixie, Duval, Hamilton, Lafayette, Madison, Nassau, Putnam, St. Johns, Suwannee, Taylor and Union. Staying true to the FDA’s mission is our top priority and our vision closely reflects our commitment to helping members succeed.

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

The NEDDA is proud to host the Florida Mission of Mercy (FLAMOM) in 2016 and is tirelessly working to ensure a successful twoday event on April 22-23. This will be the largest FLA-MOM event yet in Florida — 150 chairs covering more than 90,000 square feet of space at the Prime Osbourne Convention Center in downtown Jacksonville. The NEDDA also is proud to work alongside the FDA Foundation in this massive undertaking that will greatly impact the underserved in our community. In addition to this event, the NEDDA has many dentists who regularly commit to helping those who have minimal access to care through volunteering in health centers, participating in special events benefiting homeless veterans and children, as well as seeing patients pro bono in their offices.

The NWDDA includes Florida’s capitol, and the district has a long history of legislative participation and leadership. Member dentists often are called upon to testify at House and Senate meetings, and attend legislative fundraisers and other FDA Political Action Committee activities. Our district is pleased to welcome the 50 LECOM D4 students to the DeFuniak Springs campus. In June, we co-hosted a fun, wellattended beach party for them with the FDA. We will host their National Signing Day and congratulate the D4s on becoming ADA members at this meeting.

Our executive board is composed of a combination of general dentists and specialists to ensure that the interests of the dentists in the area are well-represented. The composition of our membership — at 22 percent specialists and 27 percent female dentists — closely mirrors that of our executive board. The NEDDA makes it the highest priority to get our members the most up-to-date information through a quarterly newsletter and emails so they will be aware of the challenges facing our profession.

Each year, the NWDDA’s meeting offers a perfect balance of spot-on CE and good old fashioned fun. The 2016 meeting will be held Jan. 29-30 at the Grand Sandestin, featuring an Oral Pathology Symposium with Drs. Donald Cohen and Indraneel Bhattacharyya, staff training and team building with Ms. Lois Banta, and state-mandated education. Based on surveys of the LECOM D4s, we will offer two customized Business of Dentistry seminars: “Entrance Strategies” and “Exit Strategies.”

Contact the NEDDA at 904.737.7545 or check us out at www.nedda. org.

In 2017, the NWDDA is slated to host the FLA-MOM. A steering committee is being formed now so that sponsorship dollars can be secured and logistical details worked out for this very large project. We invite everyone to participate in this event! Contact the NWDDA at 850.391.9310 or nwdda@nwdda.org.

Today's FDA

November/December 2015

www.floridadental.org

Component Corner

When you invest in the tripartite, you are investing in your profession, and you are counting on us. That is why we deliver by making sure you get the most for your investment. v We care that you feel valued by providing you with our best products, services and support. v We work to build a wealth of resources and professional connections that help you day to day in your practice. v We foster strong relationships with the community at large and with governmental agencies by having representatives in more places than any one person could ever be. v We are dedicated to providing a voice to the dental profession and preserving its integrity for the well-being of the public and professional community.

South Florida District Dental Association Yolanda Marrero, Executive Director

The South Florida District Dental Association (SFDDA) was incorporated in October 1922. It serves the counties of Broward, Miami-Dade and Monroe, and is centrally located in the city of Coral Gables. Locally, the SFDDA provides assistance in patient referrals, promotes public dental health through educational materials, and assists members with professional or patient-related issues. As part of our continued effort to promote the best dentistry among our members, we also provide CE courses each year and monthly through our affiliate societies, located throughout the district: Miami Dade Dental Society, North Dade/Miami Beach Dental Society and South Broward Dental Society. These societies provide members with networking, social satisfaction and CE opportunities.

Together, we are larger than any one individual — and that is the power of numbers. Contact the SFDDA at 305.667.3647 or ymarrero.sfdda@gmail.com.

South Florida District Dental Association Presents an Enrichment Series on

Leadership, Professional & Personal Growth "Leadership by Example: The Ten Key Principles of all Great Leaders"

“Relationship Centered Dentistry”

Dr. Sanjiv Chopra December 2, 2015

Kovens Conference Center FIU Campus, North Miami, FL

Adrian Wilkins February 2, 2016

Sole Hotel, Sunny Isles, FL

“The Science of Personal Finance for Dentists”

Reese Harper, CFP February 10, 2016 Tropical Acres, Davie, FL

--A Great Personal and Team Building Experience

Sponsored by SFDDA Platinum Sponsors :

More details about the programs and information about our speakers as well as registration may be found on our website:www.sfdda.org Series sponsors: Hosted by:

www.floridadental.org

November/December 2015

Today's FDA

Component Corner

v Peer Review: The WCDDA Peer Review committees and staff work diligently to settle differences without costly litigation or potential BOD action through peer resolution of disputes with patients. v Emergency Preparedness: Resources are available through our fund and central office support. v Career Path Service: Connect members with resources that benefit the practice from start to finish, such as banking, accounting, insurance, legal information, job placement and transition strategies. v Community Outreach Events: The WCDDA successfully cohosted the first Florida Mission of Mercy (FLA-MOM) event. More than 1,600 patients were treated by members and volunteers throughout the state. v CE Programs/Annual Meetings: The WCDDA hosts annual and summer meetings that provide high quality CE to members and their staff at a significantly reduced rate. Course attendance automatically is uploaded into CE Broker for our meetings, including affiliate meetings.

West Coast District Dental Association Lissette Zuknick, Executive Director

Founded in 1922, the West Coast District Dental Association (WCDDA) has approximately 2,000 members in all categories and is the largest component association in Florida. The WCDDA serves the following counties: Charlotte, Citrus, Collier, DeSoto, Glades, Hardee, Hendry, Hernando, Highlands, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk and Sarasota. The WCDDA’s strategic goals also define how to help members succeed: v Leadership Opportunities: Your input at the local level is vital for dentistry today and in the future. To get involved in your component or affiliate, email wc.dental@gte.net. v WCDDA Newsletter and E-Checkup Publications: Stay informed on important issues affecting your profession and keep up to date on dental news. Visit www.wcdental.org to access important information on laws, rules, CE course dates and employment opportunities.

W E S T

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

C O A S T

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

joy a pa and en m a T n w to n le with Visit Dow me, ming a g g in tn ption y Ligh ent’s Rece id s Tampa Ba re P e th ur agues at um or at o e your colle s u M ry pa Histo ck’s! l at Hattri at the Tam ia c o s il ta g/cock networkin

ANNUAL MEETING February 19, 2016 Tampa

Dr. Jeff Brucia – Restorative Materials Update 2016 Dr. Rhonda Savage – Verbal Skills Workshop and The Savage Front Desk – an Entire Team Approach!

. . . y a d o T r e t s i g e R n

/d/drqdw

t.com www.cven

Questions?

Contact the WCDDA at 813.654.2500 or visit www.wcdental.org

Component Presidents

Get to Know Your Component Presidents Atlantic Coast District Dental Association (ACCDA) Dr. Karen Glerum, President

Why did you join the FDA? I joined the American Student Dental Association (ASDA) as a dental student at Georgetown University in 1983. I joined the Florida Dental Association (FDA) when I began to practice in Florida in 1985. I felt — and still feel — that organized dentistry is necessary for the cohesiveness, representation and camaraderie of our profession.

What’s your favorite member benefit? My favorite benefit is the meetings. I enjoy interacting with our members locally, on the state level and nationally. The most important benefit is Peer Review. Peer Review is a benefit that no one ever wants to use, but we are certainly very glad Peer Review is available if needed. As an Expert Reviewer for the Florida Board of Dentistry, I see many cases that could have been handled much more easily through the Peer Review process.

What’s the most fun you’ve had at a component meeting?

think our upcoming meeting with Dr. Paul Homoly will be the “most fun!” On April 1, 2016, Dr. Homoly will present “Isn’t it Great When Patients Say Yes?” and “Just Because You’re an Expert Doesn’t Make You Interesting!”

What seems to be the top/major concern for members in your component? I believe our members are most concerned about the future of our association and the future of our profession in general. They want a vibrant, active group that truly represents the concerns of “wet-fingered” dentists. Members want an organization that is responsive to the issues that affect us, and is reliably on our side. Dr. Glerum can be reached at www.smilesbyglerum.com.

Central Florida District Dental Association (CFDDA) Dr. Jeffrey Sevor, President

Why did you join the FDA? I have always felt that our profession is best served by a collective voice in all matters concerning our profession. Therefore, it

was natural for me to join the “Power of Three” as represented by the CFDDA, FDA and the ADA to give voice and presence to dentistry. It helped that organized dentistry was stressed by the faculty at the University of Alabama at Birmingham. I have chosen to serve in organized dentistry as a way to give back to the profession that has been so good to me.

What’s your favorite member benefit? My favorite benefit is and always will be advocacy. The FDA is always at the forefront of advocating for our profession, as well as being the watch dog for those who may try to undermine the quality of care for Floridians. Dr. Bob Ferris often said to me, “In a world run by committee, I want to be on the committee.” The FDA makes sure it keeps its finger on the pulse of all aspects of dentistry affecting each of us. This is accomplished by the combination of strong leadership at all levels with legislative outreach and strong lobbying to support it. A soon-to-be favorite member benefit will be the new supply buying service, FDASupplies.com, only available to FDA members.

What’s the most fun you’ve had at a component meeting? I enjoy seeing friends from the areas of the CFDDA that I don’t get to spend time with regularly. Many of these folks have served Please see COMPONENTS, 90

I have enjoyed each meeting; however, I

www.floridadental.org

November/December 2015

Today's FDA

Component Presidents COMPONENTS from 89

Northeast District Dental Association (NEDDA) Dr. Leandra Dopazo, President

alongside me and mentored me for years in organized dentistry. Oftentimes, it is great to spend just a little time catching up. These are some of my dearest friends and they keep me serving in organized dentistry and propped up when things aren’t going so great.

What seems to be the top/major concern for members in your component? I think the best way to answer this question would simply be “uncertainty about the future.” Economic and business concerns will be an ongoing issue. Open chair time, etc. always is a concern during an economic downturn. Also, the influence of the corporate dental model of practice management seems to be a pressing concern as I make my way through the district talking to other dentists. Often, dentists are confused about the role of the FDA and organized dentistry, and many feel we should be fighting against these entities. I remind them that our role is to advocate for our member dentists. The FDA’s mission statement, “Helping Members Succeed,” sums up our role quite well. I feel membership numbers tie in to all of the above, so the CFDDA is pushing hard to address any deficiencies we may have in reaching out to all dentists, including those who may not have joined for geographic or other reasons. Dr. Sevor can be reached at jsevor@mindspring.com.

Why did you join the FDA? Originally, I decided to join the FDA to enhance my network. Creating professional relationships always has been important to me, and joining such a prestigious group would provide the opportunity to connect with my dental peers while supporting one another and making some great friends along the way. After joining, it quickly became apparent that it was a step in the right direction, not only in broadening my network, but also in gaining access to the organization’s numerous career resources as well as information about the current issues and proposed regulations in dentistry.

What’s your favorite member benefit? It’s hard to pick just one! Protecting the profession is an important member benefit. Advocacy is a key aspect of our FDA membership. Governmental action committees and legislative contact dentists are there to aid our members to act on political issues that affect the dental profession, to make sure our legislators are aware of such issues and that our voice/message consistently is heard.

What’s the most fun you’ve had at a component meeting? Planning and conducting the NEDDA’s recent annual meeting. It was a fun, successful meeting with more than one hundred members present. It was great to see so many friends and colleagues together!

Today's FDA

November/December 2015

What seems to be the top/major concern for members in your component? Third-party influence on how we practice dentistry is one of them. The imposition of limitations on fee setting interferes with patients’ choices and ability to get appropriate care. Another concern for new dentists is the heavy burden of student debt stemming from the increasing cost of dental education, which limits their choices when entering the workforce — oftentimes, affecting the way they practice. Dr. Dopazo can be reached at ldopazo@ gmail.com.

Northwest District Dental Association (NWDDA) Dr. Scott Heitzmann, President

Why did you join the FDA? I wanted an easy way to be active in dentistry outside of my private practice. I felt that the ADA, FDA and affiliate organizations actively help to educate members; therefore, providing pathways for our peers to maintain a high level of patient care. These organizations constantly fight for members’ best interests so we can continue to be blessed to work in such a wonderful profession — not only now, but for years to come. I think my dues are a way I can do my part, since I don’t have the time to be more active in these organizations.

What’s your favorite member benefit? I feel the time, money and effort put forth lobbying Tallahassee and federal agencies on behalf of dentistry is worth EVERY PENNY! www.floridadental.org

Component Presidents What’s the most fun you’ve had at a component meeting? I really enjoy the chance to meet other people in my profession who I normally wouldn’t get a chance to speak to. Being active in my district association and attending the yearly meeting has provided me with an opportunity to have dinner in a less business-like setting, where I really have gotten to know colleagues in a different way. Also, the NWDDA meetings have had a happy hour, which has been great to socialize and talk about things other than dentistry.

What seems to be the top/major concern for members in your component? Patient access to care is extremely important to our members. There’s concern that affordable insurance with good reimbursement is difficult to get. Strong advocacy in the state legislature also is extremely high on the list for members. Dr. Heitzmann can be reached at sheitzmann@securedds.com

South Florida District Dental Association (SFDDA) Dr. Elaine deRoode, President

were interested in dentistry as it pertained to dentistry. The FDA is full of individuals who had the same motivation and drive to better our profession in the present and into the future. I wanted to be part of that process.

vocacy the ADA and FDA provide for us in Washington, D.C. and Tallahassee remains the strongest and most powerful, enabling us to practice in a manner that is mutually beneficial to dentists and our patients.

What’s your favorite member benefit? My favorite benefit is attending the local meetings, which allows me to reach out to my peers whose ethics and practice philosophies often mirror mine.

What’s the most fun you’ve had at a component meeting?

Organizing the meeting and putting together the program of speakers who will better our component. Once complete, sitting back and (most of the time) receiving positive feedback from the members on the bang-up job we did.

What seems to be the top/major concern for members in your component? Any change in the practice model, with respect to the dentist being the head of the dental team.

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

Dr. deRoode can be reached at elaine@ deroodeortho.com.

West Coast District Dental Association (WCDDA)

Why did you join the FDA?

www.floridadental.org

As a volunteer leader, I benefit mostly by becoming educated with the future trends of dentistry and how it will shape my practice.

What’s the most fun you’ve had at a component meeting?

The after party at the Miami Winter Meeting!

Dr. Christopher Bulnes, President

I joined the FDA/ADA because it was a natural transition from ASDA membership. My personal reason for maintaining membership is to ensure the ad-

What’s your favorite member benefit?

Why did you join the FDA? I was active in ASDA and sought out the FDA to better my career. I experienced ASDA and found out they were highly motivated individuals who

Business and practice management. We need to stay abreast of the information coming from the ADA to tap into the 50 percent of patients who never seek dental care. By accessing the ADA’s Practice Institute, we can keep our practices operating efficiently and focus on optimal patient care and patient-centered treatment. Dr. Bulnes can be reached at trimile26@ gmail.com.

November/December 2015

Today's FDA

FDAS Student Board Members 92

LECOM Jenna Pascoli Since LECOM’s founding in 2012, the Florida Dental Association (FDA) has been generously supportive of the ASDA chapter. As the inaugural president, I am blessed to have held multiple student positions with the FDA from voting student delegate in the FDA House of Delegates to participating as a member on the Council on the New Dentist. I’m a fourth-year dental student, and I sit as a student advisor on the FDA Services (FDAS) Board. My first FDAS Board meeting occurred in conjunction with the West Coast District Dental Association’s meeting in Naples. As a dental student, I had no concept of the services and benefits FDAS provides to FDA members. I assumed that it was “just” an insurance subsidiary and quickly realized that insurance is just one aspect of FDAS. It was exciting as a dental student to give input on the new benefits being pitched to the Board, and I intend on reaping these benefits in less than a year. Before sitting as a student advisor, I assumed the money made on insurance policies all went back into the insurance sector of FDAS. However, I quickly learned that FDAS places these profits back into the FDA to help keep membership dues low. This impressed me and made me value FDAS, and entrust them to handle my insurance policies in the future. As an active ASDA member at LECOM, I have been blessed to participate in the numerous events organized by the FDA, namely the Florida Dental Convention, the Florida Mission of Mercy and Dentists’ Day on the Hill.

Today's FDA

November/December 2015

Through all of my experiences, I have grown and found my niche in the FDA. The FDA truly has something for everyone. As a soon-to-be new FDA member, I encourage my fellow classmates and new dentists to find their role in this wonderful organization and to keep our field of dentistry alive and strong for years to come. What we do now in organized dentistry will impact our future in 15 years — the height of our careers. Wouldn’t you like to have a say in where and what that will mean for you and the dental field?

Nova Southeastern University John Aylmer My journey through dental school has provided me with numerous leadership and personal development opportunities, such as attending conferences, lobbying, networking and seeking FDA members’ mentorship. I have learned far more than I ever could have within a curriculum. I attribute much of my success to the American Student Dental Association (ASDA) and the FDA. I’ve made it a lifelong goal to educate my peers about the importance of organized dentistry. Through the Council on the New Dentist, I continue to offer a valuable opinion on what students need in order to succeed in school and the following years. I serve as a student consultant to the FDA Services Board, and I’m inspired by what we do to offer even more value to membership. Whether you’re a student, associate or business owner, the FDA provides an adaptive framework for everyone to grow. I’m asking you to dedicate time to our profession in order to continually build upon what we have thus far. I am eager to join the FDA as your colleague in less than a year!

www.floridadental.org

C lassified A dvertising

Opportunities

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

Issue

Extracted Date

Jan/Feb

Jan. 15

March/April

March 15

May/June

May 1*

July/Aug

July 15

Sept/Oct

Sept. 15

Nov/Dec

Nov. 15

* The May/June issue is scheduled to be mailed out two weeks earlier than normal to reach members before the annual Florida Dental Convention. Please visit the FDA’s NEW classified website at www. floridadental.co/classifieds.

Today's FDA

ANNOUNCING: Oral & IV Emergency Sedation Seminar. Sedation Ready is offering a unique training program that provides your dental team with the tools to handle medical emergencies during oral or IV sedation that may arise in your office. The 9 CE credit ADA-approved course provides lecture/hands on emergency scenarios with SIM-LAB technology to exclusively train you and your dental team. To book a training near you visit: http://www.sedationready.com/booking. ENDODONTIST – TAMPA BAY AREA. Quality associate needed for busy, modern endodontic office. New graduates encouraged to apply. Send CV to julieh@aeoftb.com. General Dentist and Specialist Openings for Multiple Offices in South and Central Florida. Grow with us: Large intimate group practice seeks experienced, highly-productive General Dentists and Specialists for busy growing general and multi-specialty practices. Sage Dental Group operates 34 large, well-established practices in Broward, Palm Beach, Dade, and the Treasure Coast with new practices starting to open in the Orlando Market. Our beautiful and modern facilities are in premium locations and state-of-the-art equipment and digital X-rays with a supportive staff and professional management team. Cash, private, and insurance. Highest compensation in industry. Full schedules, excellent benefits, malpractice insurance reimbursement, and CE. www.Mysagedental.com. Call Bradford Cabibi, Doctor Recruiter: 561.999.9650 ext. 6146. Fax or email CV to: 561.526.2576 or bcabibi@gentledentalgroup.com. FLORIDA – Orlando/Daytona Beach/Jacksonville/Tampa/Sarasota regions: Join our 60 office group practice. Flexible schedule. Top salaries. Training and mentoring for new/recent graduates. Both General Dentists & all Specialists needed. Fully digital offices. Call Dr. Andrew Greenberg 407.772.5120 (confidential), fax CV to 407.786.8763, visit www. greenbergdental.com or e-mail to drgreenberg@greenbergdental.com. You must look into this Opportunity! It’s one of a kind!! By way of introduction, my name is Dr. Anish Patel, and I practice in Panama City, FL. I am creating a great opportunity for someone who wants to treat people. I will handle the marketing, new patient generating and management hassle. We offer great income potential and great working conditions. I think we have it all, please email us at 10Xdoctor@gmail. com for more information. P.S. If you are the first to refer someone who I hire, I will gladly pay you a $1000.00 finder’s fee, please email 10Xdoctor@ gmail.com or fax 850.763.0087; your name, your email address, prospective Doctor Name and Prospective Doctor Phone number. General Dentist Opportunity in Tampa, FL. Coast Dental has an opportunity for a General Dentist in our Tampa, Florida practice. We take care of the administrative burden so you can focus on the dentistry. Sound familiar? Yes, we do that (and do it well), but so does every other group practice. So what else? Here are just few things that separate us from the competition: real clinical autonomy (from implants to invisible braces), private practice environment (most practices have one general dentist, meaning ‘your’ patients, ‘your’ diagnosing, and ‘your’ treatment), favorable schedules (8-12 patients/day) giving you time to build a connection with your patients, agreements that are easy to understand and fair, extremely desirable locations, and a path to equity ownership, to name a few. nina. voelker@coastdental.com General Dentist Opportunity in Orlando, FL. Coast Dental has an opportunity for a General Dentist in our Orlando, Florida practice. We take care of the administrative burden so you can focus on the dentistry. Sound familiar? Yes, we do that (and do it well), but so does every other group practice. So what else? Here are just few things that separate us from the competition: real clinical autonomy (from implants to invisible braces), private practice environment (most practices have one general dentist, meaning ‘your’ patients, ‘your’ diagnosing, and ‘your’ treatment), favorable schedules (8-12 patients/day) giving you time to build a connection with your patients, agreements that are easy to understand and fair, extremely desirable locations, and a path to equity ownership, to name a few. nina. voelker@coastdental.com Pediatric Dentist Opening – Miami. Come join our team in 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. **Please watch more about our Doctor Career Path (http:// www.screencast.com/t/M3xWM5CYN) and apply via this ad to join our team! “Look for the Smile Above Our Name!” Apply Here: http://www. Click2Apply.net/97k7tqgzgn. Pediatric Dentist Full Time Role: Fort Myers. Come join our Page Field (Fort Myers) office! Great Expressions Dental Centers has a current opening for a full time (4 days/week) Pediatric Dentist in our newly renovated and multi-specialty, Page Field office in Fort Myers, FL. 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. Relocation or sign-on bonus possible as well! **Please watch more about our Doctor Career Path (http:// www.screencast.com/t/M3xWM5CYN) and apply via this ad to join our team! “Look for the Smile Above Our Name!” Apply Here: http://www. Click2Apply.net/s569ssgtqj. General Dentist. Private practice in Sun City Center/Ruskin needs Florida licensed full time General Dentist to cover Dentist going on maternity leave from September to December 2015 with opportunity for permanent placement. This qualified Dentist should have strength in endodontic and restorative dentistry, excellent communication skills with a comprehensive approach to patient care. We have a beautiful, modern, digital office with a wonderful patient population and a very enthusiastic team. deep106@ aol.com.

November/December 2015

Benevis – Associate Dentists Needed in Louisiana. Benevis provides dentist recruitment for private practices and some of the nation’s largest dental organizations. Our clients offer generous compensation, continuing education reimbursement and benefits, including 401K and paid time off. Many of our clients also offer a sign-on bonus up to $70,000, paid relocation assistance and Visa/permanent residency sponsorship. For more information contact Renee Baron today at rbaron@benevis.com! Oral Surgery opening w/ multi-specialty group! Christie Dental is a multispecialty dental group with approximately 55 dentists and specialty doctors in nearly 20 practice locations in the Brevard and Ocala Florida area. Christie Dental offers individuals and families a full range of dental care, including general dentistry, hygiene and specialty care, such as pedodontics, oral surgery, endodontics, orthodontics and periodontics. We currently have a wonderful opportunity for an Oral Surgeon to join our team in the Space Coast area, on a full or part-time basis. This is an opportunity which provides a high number of referrals from inside and outside the Christie Dental group. We offer a comprehensive compensation and benefits package which includes medical, life, disability and professional liability insurances, flexible spending and 401(K) with employer match! pschwartz@ amdpi.com. General Dentists and Specialists. 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. BENEVIS – Associate Dentist Opportunities NATIONWIDE! Benevis is seeking Associate Dentists for our client practices throughout the US! Benevis provides non-clinical practice services including dentist recruitment for private practices, as well as some of the nation’s largest dental organizations. Our clients offer generous compensation, sign-on bonus up to $70,000, paid relocation, sponsorships, CE reimbursement, 401(K) and other benefits. Contact us today about openings NATIONWIDE – jobs@benevis.com! Kool Smiles – Associate Dentist Opps in 16 States! Associate Dentists Full Time, Part Time, and Multi-Site opportunities. UP TO $70,000.00 SIGN-ON BONUS + RELOCATION!!! EARN UP TO $650 DAILY GUARANTEE OR % OF COLLECTIONS!!! At Kool Smiles, our dentists don’t just shape smiles — they shape the lives of families every single day. We are the nation’s leader in general dental care to under-served kids, teens, and adults. Our compassion and drive make us the best at what we do every day. Currently, Kool Smiles is operating in over 125 locations in AR, AZ, CT, DC, GA, IN, KY, LA, MA, MD, MS, NM, OK, SC, TX, VA. This is the time to join not just an amazing company, but a place where you will be a part of making smiles happen every day! You are just one step away from earning a great living and doing something greater! At Kool Smiles we offer: Generous compensation; Earn up to $650 daily guarantee or % of collections; 401(K) with company match; Outstanding benefits, including paid time off, malpractice insurance, health insurance, life insurance, continuing education, licensing reimbursements and Visa and permanent residency sponsorship; Excellent training, education and advancement opportunities; No practice management expenses and headaches — we take care of it! Kool Smiles Dentists find inspiration, challenge, and reward every day at their job. Do you? Contact one of our recruiters today at http://www. koolsmilesjobs.com/connect! Kool Smiles – Dental Specialists Needed! Kool Smiles has Oral Surgeon, Pedodontist, Orthodontist, and Dental/ Medical Anesthesiologist Full Time and Part Time opportunities available in AR, AZ, CT, DC, IN, KY, LA, MA, MD, MS, OK, SC, TX, & VA! At Kool Smiles, our dentists don’t just shape smiles — they shape the lives of families every single day. We are the nation’s leader in general dental care to under-served kids, teens, and adults. Our compassion and drive make us the best at what we do every day. At Kool Smiles we offer: Generous compensation; 401(K) with company match; Outstanding benefits, including paid time off, malpractice, health, & life insurance, continuing education, licensing reimbursements and Visa/permanent residency sponsorship; Excellent training, education and advancement opportunities; No practice management expenses and headaches — we take care of it! Kool Smiles Dentists find inspiration, challenge, and reward every day at their job. Do you? For more information contact Emily Platto at eplatto@benevis.com! Full Time Associate, Venice. Full time Dentist Associate position available in Venice, Florida. Three doctor high tech practice with great patients and staff. Prefer GPR or 5 years’ experience. Comp projection high 200’s plus benefits. Call Tom at 941.488.1075 or email to: tom@venicedentist.com. Associate Dentists. We are seeking a high energy, highly motivated associate dentist to work with an established dentist relocating to Venice, Florida. The practice is currently a one doctor practice and is expanding to add a second doctor. Ideal candidates will have the desire to train and be mentored in advanced areas of dental care such as endo, oral surgery and implant dentistry. Ownership potential will be based on candidate performance. If you want to change people’s lives through the profession of dentistry, while living in a place that people dream of living in, contact us today! To associate with a Doctor that is relocating to the area. drpaul@ doorcountydentistry.com. DENTIST. General Dentist F/T or P/T Busy offices Palm Beach County. Excellent financial opportunity. Complete lab on premises. Per diem guaranteed plus commission. E-mail zufi@comcast.net, Fax 561.738.2116. Dental Associate needed. Need an Associate for a busy Florida East Coast Dental Practice in Brevard County. Full-time or Part-time General Dentist to join our Team in Port Saint John (Cocoa). Must be willing to do Anterior and Molar Endo. Must have a DDS/DMD from an accredited University and active State Dental Board license. Also open to Endo only 1 or 2 days a month. ifixmolars@aol.com.

www.floridadental.org

Sebring Dental practice needing a FT General Dentist. We have a lab in the office with a FT lab tech, 3 DAs and even a FT hygienist. Our office is very clean with great lighting, 7 operatories and digital x-rays. We have a guaranteed daily rate with monthly profit sharing. We pay $2,500 of your malpractice insurance, no contracts. We also provide health insurance, STD&LTD, 401K w/match, paid CEs and paid vacation. *relocation assistance is considered* Current dentist is taking home $20K gross per month. Must be a dentist with a DDS or DMD degree and no issues with license or insurance problems. mioconnor@aspendental.com. Pediatric Dentist Opening – Miami Gardens, FL. Come lead our Miami Gardens, FL Specialty team at our North Dade office! Great Expressions Dental Centers has a current, select opening for a full-time Pediatric Dentist to join our Multi-Specialty North Dade office located in Miami Gardens, FL! Enjoy a rewarding role with a dedicated staff while having a strong internal referring network of 15+ local practices! **Sign-on or relocation possible ($$$)! Benefits/Perks: Leaders in the practice: Clinical freedom and treatment autonomy for every Doctor; Patient Focus: Established and Growing Patient Foundation; Multi-Specialty practice; Compensation — six figure annual base vs. percent of production! Doctor Career Path — Partnership/Investment Opportunities; Full Benefits Offered— Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Mentorship — Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http://www.screencast.com/t/M3xWM5CYN. Apply via this ad to learn more about Great Expressions! For More Information Contact: Ross Shoemaker, MBA | Doctor Recruiting Manager | Great Expressions Dental Centers Practice Support Center – South | 1560 Oakbrook Drive, Norcross, GA 30093 USA, phone 678.836.2226 | ext 72226 | fax 770.242.3251 |web www.greatexpressions.com. “Look for the Smile Above Our Name!” http:// www.Click2Apply.net/vxs7m5hmqy Apply here. Pediatric Dentist Full Time Role: Fort Myers. Come join our Page Field (Fort Myers) office! Great Expressions Dental Centers has a current opening for a full time (4 days/week) Pediatric Dentist in our newly renovated and multi-specialty, Page Field office in Fort Myers, FL. 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. Dentists can expect unlimited production based earnings vs. six figure base; with a large, internal referring network of General Dentists; full benefits (such as medical, dental, 401k, continuing education); paid time off; malpractice coverage; a stable patient base with full office staff in place; and long-term practice or regional career growth with possible investment opportunity. Relocation or sign-on bonus possible as well! **Please watch more about our Doctor Career Path (http://www. screencast.com/t/M3xWM5CYN) and apply via this ad to join our team! Ross Shoemaker, MBA | Doctor Recruiting Manager | Great Expressions Dental Centers Practice Support Center – South | 1560 Oakbrook Drive, Norcross, GA 30093 USA, phone 678.836.2226 | ext 72226 | fax 770-2423251 |web www.greatexpressions.com. “Look for the Smile Above Our Name!” http://www.Click2Apply.net/vtspj4tntm. Dentist. General dentist wanted for high quality fee for service office in south Palm Beach County Office. We will market and promote an associate with the potential for a future purchase of the practice. Jlissauer@aol.com. Endodontist – Ocala, FL. Christie Dental is a multi-specialty dental group with approximately 55 doctors in nearly 20 practice locations in the Brevard and Ocala area. We currently have a part time opportunity for an Endodontist to join our team in the Ocala one day a week. This is a great opportunity to supplement your schedule with proven patient demand & referrals with future growth opportunity. Christie Dental is primarily a fee for service and PPO provider. Contact Kate Anderson: kateanderson@ amdpi.com or 781.213.3312. LAKELAND – Dentists Needed. Lakeland Volunteers In Medicine is looking for either one full-time or two part-time dentists to work in our 3 room dental office. Flexible schedule. Competitive salary. kim.katsaras@ lvim.net. PEDIATRIC DENTIST. Dental Care Group Kids is interested in hiring an enthusiastic and caring Pedodontist for our Aventura and Pembroke Pines office. We are a warm and child friendly atmosphere with modern and sophisticated state-of-the-art equipment. Minimum 2 years in practice, credentialed with Medicaid a plus. Salary to be discussed upon your interview visit. vilma@aventurapediatricdentistry.com. Pediatric Dentist Opening – Miami Gardens, FL. Come lead our Miami Gardens, FL Specialty team at our North Dade office! Great Expressions Dental Centers has a current, select opening for a full-time Pediatric Dentist to join our Multi-Specialty North Dade office located in Miami Gardens, FL! Enjoy a rewarding role with a dedicated staff while having a strong internal referring network of 15+ local practices! **Sign-on or relocation possible ($$$)! Benefits/Perks: Leaders in the practice: Clinical freedom and treatment autonomy for every Doctor; Patient Focus: Established and Growing Patient Foundation; Multi-Specialty practice; Compensation – six figure annual base vs. percent of production! Doctor Career Path — Partnership/Investment Opportunities; Full Benefits Offered — Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Mentorship – Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http://www.screencast.com/t/M3xWM5CYN. Apply via this ad to learn more about Great Expressions! For More Information Contact: Ross Shoemaker, MBA | Doctor Recruiting Manager | Great Expressions Dental Centers Practice Support Center – South | 1560 Oakbrook Drive, Norcross, GA 30093 USA, phone 678.836.2226 | ext 72226 | fax 770.242.3251 |web www.greatexpressions.com. “Look for the Smile Above Our Name!” Apply Here: http://www.Click2Apply.net/n3wvjbn5t7.

www.floridadental.org

Excellent Opportunity In The Tampa Bay Area. Multi-specialty practice on the west coast seeks motivated periodontist for full time position. LANAP certification is desirable but not a must. Great working environment. Close to the beaches and excellent recreational opportunities. Salary, health, 401K, and bonus. Respond at gulfcoastdentist@gmail.com.

General Dentist. Part time Associate needed in Central Florida near beaches. Private practice. Do you want to be busy from day one? Great patient flow, high tech office with Cone beam, Cerec and digital xrays. Please forward a CV and a good time to contact you. Send to fl_dmd@ yahoo.com.

General Dentist Needed – Port Charlotte. We are looking for a dentist who constantly strives for excellence and building lifelong relationships with their patients. A great number of dentists today are frustrated with the aspects of managing a private practice. DDPG can help you build your dental career around being a doctor. With top notch staff and support, this is where you can be in charge of directing a great career in dentistry. lwagner@ddpgroups.com.

General Dentist Opening – Tampa, FL. Great Expressions Dental Centers has a current opening for a full-time General Dentist to join our Tampa, 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, malpractice coverage, a stable patient base, and long-term practice or regional career growth. We do it all for you. You became a dentist to help people. It’s your profession and your passion. But the demands of owning and managing an office are not only financially taxing but time consuming. Which is why Great Expressions Dental Centers is built on a provider-first philosophy. The highest standards. Our National Doctor Panel has set standards for clinical excellence, including clinical protocols, sterilization, materials, standards of care, quality assurance, charts and charting, consent forms and many other items that have allowed us to become the gold standard in the industry. Focus solely on a steady flow of patients. With GEDC you don’t need to worry about overseeing the business aspects of the office, such as malpractice insurance, employee insurance, payroll, marketing/advertising and the litany of other concerns that go along with owning your practice. Instead, focus on being the clinical leader within your office. Work/Life balance. We believe in the importance of a work/life balance. So we make every effort to ensure you have time for family, friends and vacations (you know, that thing called a personal life). **Please watch more about our Doctor Career Path (http://www.screencast. com/t/M3xWM5CYN) and apply via this ad to join our team! Relocation or sign-on bonus possible as well! Molly McVay | Clinical Recruiter | Great Expressions Dental Centers PSC – North | 300 East Long Lake Rd Suite 311| Bloomfield Hills, MI 48304 USA, phone 248.430.5555 |Ext. 72467| fax 248.686.0170 | web www.greatexpressions.com, “Look for the Smile Above Our Name!” Must have a DDS/DMD from an accredited University and active State Dental Board license. http://www.Click2Apply.net/qk2xfz6x35 Apply Here.

General Dentist – Tampa Bay Area. Thriving group practice (single location) in the Tampa Bay area seeking motivated general dentist for full time position with excellent earning potential. Desirable area close to beaches and great recreational activities. Salary, health,401k, bonus. Respond at gulfcoastdentist@gmail.com. Pediatric Dentist Wanted Town of Palm Beach FL. Pediatric Dentist opportunity of a life time: Be the first and only pediatric dentist in the wealthiest zip code in the USA, 33480: The Island of Palm Beach Florida; just over the intra-coastal waterway from down-town West Palm Beach, FL. Fridays and Saturdays to start, then as your practice grows, more days if you want. Office is one of the most prestigious adult cosmetic, implant and general dentistry practices established in 1958. Current doctor has been owner since 1992 and is a leading expert in marketing for dental practices and still works four days per week. Practice is 100% fee-forservice. Patients have included the top corporate and industrial families in the USA, celebrities and politicians. New younger families moving in all the time. Two schools are a 10 min walk from the office, several more are one mile away. Three private, one public. We are NOW ready to start marketing pediatric services; get in on the ground floor! Email inquiries to: Dr. Josephs at: drjosephs@palmbeachdentist.com. Jacksonville, FL – Associate General Dentist Opening. Great Expressions Dental Centers has a current opening for a full-time (5 days/week) General Dentist to join one of our Jacksonville, FL practices. 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, malpractice coverage, a stable patient base, and long-term practice or regional career growth. We do it all for you. You became a dentist to help people. It’s your profession and your passion. But the demands of owning and managing an office are not only financially taxing but time consuming. Which is why Great Expressions Dental Centers is built on a provider-first philosophy. The highest standards. Our National Doctors Panel has set standards for clinical excellence, including clinical protocols, sterilization, materials, standards of care, quality assurance, charts and charting, consent forms and many other items that have allowed us to become the gold standard in the industry. Focus solely on a steady flow of patients. With GEDC you don’t need to worry about overseeing the business aspects of the office, such as malpractice insurance, employee insurance, payroll, marketing/advertising and the litany of other concerns that go along with owning your practice. Instead, focus on being the clinical leader within your office. Work/Life balance. We believe in the importance of a work/life balance. So we make every effort to ensure you have time for family, friends and vacations (you know, that thing called a personal life). Relocation or sign-on bonus possible as well! **Please watch more about our Doctor Career Path (http://www. screencast.com/t/M3xWM5CYN) and apply via this ad to join our team! Molly Johnston | Clinical Recruiter | Great Expressions Dental Centers PSC – North | 300 East Long Lake Rd Suite 311| Bloomfield Hills, MI 48304 USA, phone 248.430.5555 |Ext. 72467| fax 248.686.0170 | web www. greatexpressions.com. “Look for the Smile Above Our Name!” Seeking Full Time General Dentist. We are a Private well established multispecialty practice serving the St. Petersburg/Clearwater area for over 40 years. Our practice is comprised of General Dentists, an Orthodontist, a Periodontist and an Oral Maxillo Facial Surgeon. We have an opportunity for a general dentist seeking a full time associate position with the potential for partnership. Seeking an experienced and motivated person. This position has great earning potential and the opportunity for mentorship. Email or fax St. Pete Dental 727.525.3686 or dr.b.spdc@gmail.com. General Dentist. Busy, successful private denture practice. Beautiful new building with the latest technology and our own on-site lab. Located near Tallahassee, Florida. We are looking for someone who is proficient with cosmetic and restorative procedures, as well as, implants, dentures and extractions. Patients and marketing will be provided. Expected Salary $600800+ per day. beth@beachtondenture.com. General Dentist Opening – South Florida. Come lead our Miami, FL team as our full time Dentist! Great Expressions Dental Centers has an immediate, select opening for a full-time General Dentist to join our established Miami, FL practice! Enjoy a rewarding role with a dedicated staff with a strong patient base! Benefits/Perks: Leaders in the practice: Clinical Freedom and Treatment Autonomy for every Doctor; Patient Focus: Established and Growing Patient Foundation; Compensation: Sixfigure draw vs. percent of production; Doctor Career Path: Partnership/ Investment Opportunities; Full Benefits Offered: Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Mentorship: Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http://www. screencast.com/t/M3xWM5CYN. Apply via this ad to learn more about Great Expressions! For More Information, Please Contact: Ross Shoemaker, MBA | Doctor Recruiting Manager | Great Expressions Dental Centers Practice Support Center – South | 1560 Oakbrook Drive, Norcross, GA 30093 USA, phone 678.836.2226 | ext 72226 | fax 770.242.3251 |web www. greatexpressions.com. email Ross.Shoemaker@greatexpressions.com. “Look for the Smile Above Our Name!” http://www.Click2Apply.net/x2wnhdykfp Apply Here. PI92030768.

Associate Placement Services. ASSOCIATE PLACEMENT SERVICES Statewide Opportunities. Need an Associate? Need a job? General Dentist or Specialist? Call Melanie Aranda 561.310.0599 @ Doctor’s Choice e-mail : maranda@doctorschoice1.net. Dentists. A traditional fee for service general practice seeking full- or parttime associates. Locations in Tampa, Clearwater, Largo, St. Petersburg, Port Richey, Pinellas Park and Bradenton. Immediate income, paid vacation, health insurance, 401k, flexible days. Established in 1981. NO CAPITATION. Please send CV to Corp@FloridaDentalCenters.com, or fax 727.446.8382. Part-time Dentist. Non-profit clinic in Stuart for low income and Medicaid patients needs licensed part-time general dentist with strength in extractions, dentures and restorative dentistry. Salaried position 2-3 days per week. Please send us your resume to ccccenter@bellsouth.net or fax to 844.269.6899. General Dentist. Come lead our Del Prado, FL team as our full time Dentist! Great Expressions Dental Centers has an immediate, select opening for a full-time General Dentist to join our solo, Del Prado, FL practice (1127 Del Prado Blvd S., Suite D and E Cape Coral, Florida 33990)! Enjoy a rewarding role with a dedicated staff with a strong patient base! Benefits/Perks: Leaders in the practice: Clinical Freedom and Treatment Autonomy for every Doctor; Patient Focus: Established and Growing Patient Foundation; Compensation: Six-figure draw vs. percent of production; Relocation or Sign-On Bonus ($$$) possible as well! Doctor Career Path: Partnership/ Investment Opportunities; Full Benefits Offered: Healthcare & Dental Benefits, 401K, Short Term/Long Term Disability, Time Off; Malpractice Coverage Assistance; Continued Education Reimbursement, Paid ADA & State Society Dues; Mentorship: Study Clubs, Chairside Mentoring, GEDC University Courses. Please view our Doctor Career Path video: http://www. screencast.com/t/M3xWM5CYN. Apply via this ad to learn more about Great Expressions! For More Information, Please Contact: Ross Shoemaker, MBA | Doctor Recruiting Manager | Great Expressions Dental Centers Practice Support Center – South | 1560 Oakbrook Drive, Norcross, GA 30093 USA, phone 678.836.2226 | ext 72226 | fax 770.242.3251 |web www. greatexpressions.com. email Ross.Shoemaker@greatexpressions.com “Look for the Smile Above Our Name!” http://www.Click2Apply.net/2jb2v9xzdm Apply Here.

Please see CLASSIFIEDS, 96

November/December 2015

Today's FDA

Your Classified Ad Reaches 7,000 Readers! CLASSIFIEDS from 95 Instructor, Dental Programs (Job #0541) — New Port Richey Campus. Pasco-Hernando State College (PHSC) is accepting applications for full-time, faculty. Anticipated start date: January 6, 2016. Salary range is $47,073 - $56,487.60 (for two terms): the maximum salary is based on a doctorate education level and 8 years of verifiable full-time professional work experience and/or full-time teaching experience. DUTY DAYS: 162 (2 semesters) Required: DDS or DMD degree from a regionally accredited institution; current license to practice dentistry in the US; and a minimum of two (2) years clinical experience; must be able to work a split schedule; satisfactory criminal history background check. Applicants who claim a right of Veterans’ Preference must upload documentation of eligibility and attach it to their online application before midnight of the application deadline date. Preferred: Postsecondary teaching experience. APPLY ONLINE no later than the November 13 application deadline at www. phsc.edu/jobs. ALL SUPPLEMENTAL/ADDITIONAL APPLICATION MATERIAL MUST BE UPLOADED VIA THE ONLINE APPLICATION SYSTEM. The supplemental/additional application materials required are: (1) cover letter, (2) current resume, (3) copy of transcripts, (4) Educational Philosophy Statement (Edu Phil), (5) copy of license, (6) DD-214 (if claiming Veterans’ Preference), and must be uploaded and attached to the online application before midnight of the application deadline date. An Educational Philosophy Statement is a separate document that you will compose, to describe briefly, some aspect of your overall educational philosophy. The application review process can be initiated with the copies of transcripts; however, official transcripts must be received before the interview. Have official transcripts sent to the Human Resources Office (address below). Pasco-Hernando State College Attn: Human Resources Office (Job #0541) 10230 Ridge Road New Port Richey, FL 34654. ALL APPLICANTS MUST SUBMIT AN ONLINE APPLICATION, COVER LETTER, RESUME, TRANSCRIPTS, EDUCATIONAL PHILOSOPHY STATEMENT, LICENSE, AND VETERANS’ PREFERENCE DOCUMENTATION (IF APPLICABLE) NO LATER THAN NOVEMBER 13. No other submitted materials will qualify you to be considered for this position. For help with online applications, call 727.816.3169 or 727.816.3425. EOE/ADA Compliance – Website: www.phsc.edu/jobs. General Dentist. Excellent opportunity for a Floating GENERAL DENTIST to join our team at Florida Community Health Centers, to work at our Fort Pierce and Okeechobee locations. The practice is 60-80% Pediatrics, the candidate must be experienced and comfortable working with children and adults. Requirements: Must have an active Florida Dental License. The ideal candidate is patient driven, enjoys working with underinsured patients & is culturally sensitive. Competitive Salary & Benefits package includes retirement (pension plan and 403(b)), Health Insurance, 18 days’ vacation plus 7 holidays, 3 floating holidays and CME time. FTCA Malpractice Insurance coverage and possible NHSC Loan repayment opportunity. To apply, please e-mail CV to jobs@fchcinc.org or fax it to Medical Director at 561.844.1013. Associate. Seeking an experienced highly motivated associate with exceptional clinical communication skills. Must be goal oriented selfmanaged leader who shows a great work ethic. We are looking for a long term candidate to work with our exceptional dental team. Practice is completely computerized and paperless with equipment such as diagnodent, 3M scanner, Picaso Laser, digital x-rays, intraoral camera, and more to come! paulhortondmd@comcast.net. Pediatric Dentist! (Country Walk & West Kendall) This is a tremendous earning opportunity for a Pediatric Dentist to join a high quality single owned multi-specialty practice. These highly successful dental practices are located in Country Walk & West Kendall, Florida. – Signing Bonus. Potential Partnership/Investment opportunity; Clinical freedom and treatment autonomy for every Doctor; Annual Compensation six figure guarantee and/or percent of production. Excellent earning potential; Full time or Part time schedule available (very flexible); Established and Growing Patient Foundation; State of the Art equipment & beautiful facilities with Digital Radiography, Electronic & Paperless charting (fully digital across the board); Long Term security in a highly respected practice. Come work with a focus-driven practice that empowers the professional growth of each member, thereby offering patients state of the art restorative and cosmetic services in a modern, patient pleasing environment. Please contact Dr. Nick Lekkas, drnicklekkas@altimadentalgroup.com or 954.383.4973 for an interview. General Dentist Opportunities – Jacksonville, FL. Great Expressions Dental Centers has select openings for General Dentists to join our Jacksonville, FL dental team! For more than 35 years, Great Expressions Dental Centers has been exceeding patients’ expectations offering general dentistry, endodontic, periodontic, oral and maxillofacial surgery, orthodontic, and pediatric dentistry services in a comfortable, friendly environment. We are always looking for motivated and qualified dental professionals and with over 200 dental centers in ten states, the opportunities are unlimited. Compensation: Unlimited Earnings with a six figure draw and % of Production. Please watch more about our Doctor Career Path: http:// www.screencast.com/t/M3xWM5CYN. Benefits/Perks: Leaders in the practice: Clinical freedom and autonomy; Patient Focus: Stable and Long term patient base; Multi-Doctor and Solo practices; Doctor Career Path — Partnership/Investment opportunities; Full Benefits — Paid Healthcare Benefits, 401K, Short Term/Long Term Disability, Paid Time off; Full Malpractice Coverage; Continued Education — CE Reimbursement, Invisalign Training, Whitening Opportunity, Paid ADA & State Society Dues; Mentorship — Study Clubs, Chairside mentoring, Onboarding, Multispecialty, GEDC University courses. Relocation or sign-on bonus possible as well. Please apply via this ad for consideration! Molly McVay | Clinical Recruiter | Great Expressions Dental Centers PSC – North | 300 East Long Lake Rd Suite 311| Bloomfield Hills, MI 48304 USA phone 248.430.5555 |Ext. 72467| fax 248.686.0170 | web www.greatexpressions. com. Job Requirements Must have a DDS/DMD from an accredited University and active State Dental Board license. http://www.Click2Apply. net/bjp2mbbgq4 Apply Here.

Today's FDA

Full Time Dentist Needed in Key West, FL. Full time Dentist position available with a well-established practice in beautiful Key West, FL. Looking for an experienced dentist who will see patients of all ages and demographics. This productive office has a blend of fair-share pay, Commercial Insurance, and Medicaid patients. Must have current FL license, DEA license, and Liability insurance Please submit resume via e-mail hpieper@rhnmc.org. Clinical Assistant/Associate Professor. The University of Florida College of Dentistry is seeking applications for a full-time clinical track faculty position in the Department of Restorative Dental Sciences, Division of General Dentistry at the Assistant/Associate Professor rank. The University of Florida College of Dentistry (UFCD) is one of the leading dental schools in the United States devoted to improving and promoting oral health throughout Florida, the nation and worldwide through excellence in teaching, research, patient care and service. Responsibilities include serving as Team leader in the DMD Team Clinical Program, participation in intramural faculty practice, excellence in academic pursuits and service, and some limited participation in the development of departmental research and/or other scholarly activities. Applicants must be experienced and able to deliver departmental and college curricular content in the predoctoral student DMD clinic and/or didactic setting. Applicants must be able to supervise students in all aspects of restorative dentistry including comprehensive treatment planning, periodontology, endodontics, operative, fixed and removable prosthodontics, basic surgical procedures, and participate in faculty practice. As well as being a strong clinician, applicant should be organized, open minded, dedicated to teaching predoctoral students, comfortable with technology, knowledgeable in the electronic health record, current in evidence based dentistry and possess excellent communication skills both verbal and electronic. Experience with CAD CAM is also desirable. Minimum requirements include a DDS, DMD, or equivalent dental degree and commitment to working with and building teams. Post-graduate training, teaching experience, scholarly activities, and private practice experience is strongly preferred. Salary and rank are commensurate with credentials and experience. The University of Florida is an Equal Opportunity Institution dedicated to building a culturally diverse and inclusive faculty and staff. The selection process will be conducted in accord with the provisions of Florida’s Government in the Sunshine and Public Records Laws. Search committee meetings and interviews will be open to the public, and all applications, resumes, and other documents related to the search will be available for public inspection. The review of applications will begin immediately and position is to be filled as soon as possible. To apply, please go to http://jobs.ufl.edu/ and search for job number 495227. Applicants should attach a curriculum vitae, a cover letter describing their interest containing a statement of academic objectives, and a contact list of three references with their application for consideration. For more information about the University of Florida College of Dentistry, visit: www.dental.ufl.edu. Endodontists – Naples & Tampa Bay. Exceptional opportunities to work full-time or part-time in one of our area practices. Two opportunities available, one in Naples the other in Tampa Bay. We provide modern facilities and equipment, full management/collection services. We schedule exclusive referrals and provide specialists with all needed resources allowing you to focus completely on patient care. Highly competitive and unlimited earnings potential! Excellent benefits are also available with full time employment. Exceptional opportunity! Great facility — State of the art equipment; Strong patient referral system; Outstanding staff trained and rewarded for keeping the Dentist productive; Strong emphasis on quality care; Huge upside income opportunity based on productivity; Excellent benefit package (medical plan, 401k, malpractice ins, CE,); Established business systems and metrics in place. If you looking for a long-term Endo opportunity with a guaranteed per day income and huge upside earning potential in a well-run, modern practice, contact us today. Interested Endo’s should email resume to bames@dentalcarealliance.com for immediate consideration! www.dentalcarealliance.com. Associate Dentists. Full-Time Associate Dentists roles throughout Florida! As one of the country’s largest dental support organizations, we have more than 170 affiliated dental practices in eight states. For more than twenty years, we’ve taken great pride in our revolutionary approach to dentistry. Dental Care Alliance was created by dentists and our focus has always been on improving the well-being of both patients and dentists. Our platform is powerful and cultivates lasting relationships. Experienced, licensed Clinical Directors ensure superior standards of care, and our affiliated dentists share our commitment to practicing with honesty, integrity and compassion. The future is now. We currently have Full-Time Associate Opportunities throughout the State of Fl — Tampa Bay, Orlando, Sarasota, Naples, Space Coast, and more! State of the art practice facilities. Strong commitment to long-term dental care for the whole family. Be chair side and make money from day one. Highly trained and dedicated staff to support you. No Day-to-Day headaches of Managing a Practice. Excellent compensation pkg. with performance based incentives. Well-established and growing patient base Full Time Dentist Benefits Package: Company paid professional liability insurance; DCA sponsored continuing education; Medical Insurance Dental Plan Life Insurance Vision Insurance; Long Term Disability Section 125 – Flexible Spending Account; 401K EAP Program; DCA Voluntary Supplemental Insurance Products. Whether you are and experienced dentist, or a recent Grad, we have opportunities for you. Interested Dentists should email resume/cv bames@dentalcarealliance.com. Learn more about us @ www.dentalcarealliance.com.

November/December 2015

For Sale/Lease FOR SALE: Pediatric Dental Art Collection and Web Domain. Distinctive collection of pediatric dental themed art DECORATIONS and registered web DOMAINS: “TheKIDZDDS.com/.net” to instantly create a unique brand for your practice. Decorations and Domains sold separately. Treasured wall art and fun display pieces geared toward kids to fill an entire office. Let my retirement offerings jump start your career. Call Dr. Rick Lebowitz at 352.430.1498 or email TheKidzDDS@hotmail.com. Get details, photos, and pricing. Create exciting memorable first impressions! KODAK/CARESTREAM & SCHICK INTRAORAL X-RAY SENSOR REPAIR. Specialize in repairing Schick CDR & Kodak/Carestream RVG 5100 & 6100 dental X-Ray sensors. Repair & save $1,000s over replacement cost. We purchase old/broken sensors. www.RepairSensor. com/919.924.8559. GENDEX & DEXIS INTRAORAL X-RAY SENSOR REPAIR. We specialize in repairing Gendex & Dexis dental X-Ray sensors. Repair & save thousands over replacement cost. http://www.RepairSensor. com/919.924.8559. SALE OR LEASE: East Fort Lauderdale. Stand Alone Building!! Class “A” Dental Office for sale or lease. Move your practice to the best location in Fort Lauderdale ... a couple of blocks off the beach. Includes all equipment. 4ops, dental lab, sterile room, recovery room, doctor’s office. Does NOT include practice. Current occupant relocating to larger space. wbalanoff@ me.com. SALE OR LEASE: 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 at 813.654.3636 or julieh@ aeoftb.com. LEASE OPTION: Park Professional Center Furnished and empty office available 2168 & 1270 Sq. FT. Park Professional Center, GREAT AND CONVENIENT LOCATION NEAR COUNTRYSIDE SHOPPING CENTER & RTE 19, STARBUCKS, PANERA, MACYS, Dillard’s too mention a few. TWO OFFICES AVAILABLE FOR LEASE: OFFICE 1. Fully furnished Dental Office for Lease. Ideal for a New Graduate or for a Satellite office, with all equipment either for lease or for sale, included 2168 sq ft office. Recently renovated new roof, a/c unit. OFFICE#2. Empty Office 1270 SQ/FT. Recently painted, New carpeting and ready to go for your practice. FLOOR PLAN INCLUDES: 4 offices, 2 bathrooms, Business office and a waiting room, was completely hooked up for an Oral Surgeon and a past Podiatrist office. CONTACT INFORMATION: Richard Norian 617.285.4824, or Ben Kreloff ProCorp Realty 727.643.2314. FOR SALE. Bradenton/Anna Maria Island Beaches; General and Cosmetic Practice 1600 Sqft bldg in park like setting with great traffic view. Five digital ops; paperless; Dentrix, DexIs and Panorex. New compressor and vacuum purchased in 2015. Strictly fee for service; 500,000.00 plus in production with 96% collection. 32 hr work week w/ 6 weeks’ vacation/yr. Building FOR SALE with new roof and 2 new AC units in 2013. Interior/ Exterior Painted in 2014. 250,000.00. For detailed practice info VISIT and REGISTER: dentaldirectsales.com. Owner is retiring and moving. Fully equipped office (Clermont). 4 ops fully equipped. All computers, xray machines, cabinetry, instruments included. Lease to be negotiated with leasing company. Listed at $55,000. Make an offer and start a new practice tomorrow. ajavriett@yahoo.com. Practice for Sale/Pensacola, FL. 1.3 million gross, 3.5 days, 3,300 sq ft, great location, 5 chairs, lab, Galileos 3D cone beam, CEREC, Dentrix, Gendex sensors, IOC’s, building available for lease or purchase. Contact: margaretdjuric@gmail.com. Rent my office. Fully equipped/supplied office that I use twice a week. This would be good for someone wanting to start their own practice or for a specialist wanting to expand to another location. normank426@aol.com. For Sale. Buyers and Sellers: We have over 101 Florida dental practice opportunities; and maybe the perfect buyer for your practice. Call or e-mail Doctor’s Choice today! 561.746.2102 or info@doctorschoice1.net. Established coastal southwest Florida boutique fee for service. 3/4 OPS retiring 2 1/2 - 3 days, 941.828.2684, 772.696.5326. TURN KEY. Pembroke Pines dental office equipment for sale, lease assumable pending landlord approval. Desirable location near mall. Great opportunity for new practice or that second office. Six fully equipped modern operatories, lounge, private office, sterilization area and alb. All are wired for computers, water, suction, compressed air and NO2. Purchase of dental equipment includes all dental chairs (ADEC), reception room furniture, digital panorex, file cabinets, suction and compressor. Practice is not included as Doctor is relocating to larger facility. louiebaker121@ gmail.com. DENTAL SUITE MOVE IN READY. SOUTHEAST COAST FLORIDA FT. LAUDERDALE MOVE IN READY fully built out medical/dental office with $500,000 worth of leasehold improvements!!! No extra expense for plumbing, electrical, or cabinets. Plus: marble floors, vinyl wall paper, elevator opens directly into suite, beautiful front desk and 2 Dr. offices. Great signage opportunity/visibility in a desirable upscale location 2480 E. Comm. Blvd. between Federal Hwy. and the Intracoastal. There are 3 great opportunities for signage: (1) Directly facing Comm. Blvd., (2) On the 25th Street side of the building facing westbound traffic on Comm. Blvd. (3) Ground sign facing Comm. Blvd. possibly zoned for an electronic sign. Close to Imperial Point and Holly Cross Hospitals. Approx. 3,000 sq. feet. Location & suite offer great opportunity please direct inquires to Dr. Barry Kligerman BarryKligerman@gmail.com or 954.854.8153.

www.floridadental.org

2016 FLA-MOM

A Game-changing Approach By Heather Gioia DIRECTOR OF FOUNDATION AFFAIRS

In 2014, in response to the deficit in Florida’s access to care — and the consequential suffering endured by the underserved — the Florida Dental Association (FDA) Foundation launched a new philanthropic program called the Florida Mission of Mercy (FLA-MOM). The FLA-MOM is a massive, two-day dental clinic that provides free dental care to the underserved and uninsured in Florida – those who would otherwise go without dental care. Treatments offered at the FLA-MOM include: cleanings, fillings, extractions, flippers, dentures, and restorative and pediatric dentistry. The program implements best practices into clinical protocols, such as electronic records and full panoramic X-rays for every patient. The FLA-MOM impacts our community by providing access to care, education and counseling, and conducting an impact survey on the gaps in care and social services. In addition, the FLA-MOM exemplifies the best of our community in action. One of the most exciting features of the FLAMOM is that the event moves to a new city every year, making it a truly statewide philanthropic project. In 2014, an incredibly hardworking team of 350 dentists, 150 hygienists and 1,100 community service volunteers provided free dental treatment to 1,660 patients at the Tampa Fairgrounds. Now the Northeast District Dental Association (NEDDA) has stepped forward and agreed to host a FLA-MOM in downtown Jacksonville in April 2016. With more than 90,000 sq. ft. of space at the Prime Osborn Convention Center in downtown Jacksonville, this amazing group of volunteers has a goal of treating 3,000 patients in two days!

www.floridadental.org

Patient receives treatment at the 2014 FLA-MOM in Tampa.

Inspiring the Public to Participate For the first time, we have a charitable program that inspires people from outside our industry to work side by side with us to promote dental health. It’s amazing what can happen when people and communities work together! These volunteer opportunities include a number of important tasks, such as: volunteer/patient registration, patient translators and escorts, as well as clinic floor sterilization. There is no cost to volunteer and participants have a number of options for shift assignments. To volunteer your time, please visit flamom.org or call Program Coordinator Meghan Murphy at 850.350.7161.

Anyone Can Sponsor a Chair It costs $250 to sponsor a chair at the FLA-MOM. This funding helps to offset the significant cost of hosting this event. Thankfully, some Florida dentists already have stepped forward with their contributions and we hope many more will. With 150 dental operatories, there are plenty of

opportunities for peers and colleagues to show their support by sponsoring a chair. Additionally, donations made by dentists are eligible for the Delores Barr Weaver Matching Grant for Dental Health. Mrs. Weaver has generously agreed to match $0.50 for every dollar that is donated by a dentist. However, a full $50,000 must be raised before we can receive the funding. To make a donation, please visit flamom.org or call Meghan Murphy at 850.350.7161.

Join Us! We want to thank those who have contributed time or funds to the Foundation to support FLA-MOM. We understand you have choices about the organizations you support, and we appreciate the trust you have placed in us. We hope many more people will be inspired to participate in Jacksonville. Thank you for your time and support, and we look forward to seeing you at the 2016 FLA-MOM! Heather Gioia is the Director of Foundation Affairs and can be reached at hgioia@ floridadental.org.

November/December 2015

Today's FDA

THANK YOU TO OUR DONORS, SPONSORS AND SUSTAINING MEMBERS ENDOWMENTS: DR. ROBERT FERRIS • LIFE MEMBERS: DR. NOLAN ALLEN • Dr. Allen Friedel • DR. IDALIA LASTRA • Dr. Larry Nissen • DR. JAMES WALTON III AMBASSADORS: Dr. Jeff Sevor BENEFACTOR MEMBERS: DR. C. WILLIAM D’AIUTO • Dr. Dan Henry PATRONS: • Dr. James Antoon • DR. TERRY BUCKENHEIMER Dr. Harry Futrell • Dr. Don Ilkka • DR. KIM JERNIGAN • Dr. Samuel Low • Dr. Raj Rawal • Dr. Mark Romer • DR. DAVID RUSSELL • Dr. Barry Stevens • DR. LEWIS WALKER SILVER SUPPORTERS: Liberty Mutual • Moore Communications • SUSTAINING MEMBERS: • Dr. Phillip Abbot • Dr. Rafah Abdelmonem • Dr. Mike Abdoney • Dr. Mark Abood Dr. Theresa Abood • Dr. Cecil Abraham • Dr. Edward Abreu • Dr. Michael Abufaris • Dr. Eva Ackley • Dr. Luis Acosta • Dr. Lazaro Acosta • Dr. Pamela Adams Dr. Michael Adams • Dr. Amy Addington • Dr. Andrew Adler • Dr. Heather Adu-Sarkodie • Dr. Lori Aiosa • Dr. John Akers • Dr. Jeremy Albert • Dr. Brandon Alegre Dr. Joel Alford • Dr. Matthew Allen • Dr. Edmond Allison • Dr. Gary Alvo • Dr. Susan Amatrudi • Dr. Seema Amin • Dr. Melissa Amundson • Dr. Amy Anderson Dr. Samanta Andisco • Dr. Dusanka Angelov • Dr. Jorge Angulo • Dr. Gregory Archambault • Dr. Harold Arthur • Dr. Richard Assing • DR. RALPH ATTANASI • Dr. William Aughton Dr. Carmen Aulino • Dr. Susanne Baagee • Dr. George Babyak • Dr. Brad Bagwell • Dr. Neda Bahmadi • Dr. John Bailey • Dr. Brian Baker • Dr. Jos Bakker • Dr. William Baldock Dr. Richard Balick • Dr. Andre Baptiste • Dr. Mark Barber • Dr. Deborah Barckhausen • Dr. Norma Barinas • Dr. Jeffrey Barlow • Dr. Kathleen Barlow • Dr. Angela Barlow-Emrick Dr. Joseph Barnett • Dr. Scott Barr • Dr. Marcos Barrera • Dr. Linda Barry • Dr. Katherine Bartlett • Dr. Stanton Bass • Dr. Richard Bastien • Dr. Steven Bateh • Dr. Dale Batten Dr. Otis Beck • Dr. Marci Beck • Dr. Brian Beck • Dr. Kenneth Begnoche • Dr. Pedro Belaunzaran • Dr. Andrew Bello • Dr. Joseph Belotto • Dr. Paul Benjamin • Dr. Gary Benza Dr. Stephen Barry • Dr. Ilse Berube • Dr. Rahim Bhanji • Dr. Jeffrey Bilotti • Dr. John Bindeman • Dr. Gerald Bird • Dr. Susan Blankenship • Dr. David Blue • Dr. David Boden Dr. Gabor Bodnar • Dr. Steven Boe • Dr. Dayn Boitet • Dr. Joseph Bongiorno • Dr. Victoria Bong-Krueger • Dr. Christopher Bonham • Dr. James Carey Bonham Dr. Amy Bonham • Dr. Kevin Bonn • Dr. Harry Bopp • Dr. Robert Borer • Dr. David Bowles • Dr. Dewey Bracy • Dr. Mark Braxton • Dr. Joseph Briggle • Dr. Leonard Britten Dr. Robert Brockett • Dr. George Brockman • Dr. Billy Brown • Dr. Andrew Brown • Dr. Randall Brown • Dr. Elizabeth Brown • Dr. Cynthia Brown • Dr. Thomas Brown Dr. Norman Brown • Dr. Steven Bryan • Dr. Roger Bryant • MRS. KAREN BUCKENHEIMER • Dr. Christopher Bulnes • Dr. Heather Burch • Dr. Robert Burks DR. NATALIE BUSTILLO • Dr. George Butz • Dr. Sal Cabassa • Dr. Ania Cabrerizo • Dr. Susan Caddell • Dr. Donald Cadle • Dr. Lydia Calimarea • Dr. James Campbell Dr. D. Campbell • Dr. Isabel Cancino Badias • Dr. James Carazola • Dr. David Cardman • Dr. Donald Carmona • Dr. Michael Carney • Dr. Stephen Carpenter • Dr. J. Carroll Dr. John Carter • Dr. Lauren Cartwright • Dr. John Cash • Dr. Sebastian Castellano • Dr. Agatha Cayia • Dr. Jorge Centurion • Dr. Louis Cerillo • Dr. Gergory Chace Dr. Harvinder Chadda • Dr. Sheila Chandrahasa • Dr. Sharon Chen • Dr. William Chen • Dr. Anthony Chicola • Dr. Robert Christ • Dr. Richard Chumbler Dr. Wendy Churchill-Urrico • Dr. Robert Churney • Dr. Slobodan Ciric • Dr. Steven Clark • Dr. Tony Clark • Dr. Van Cogley • Dr. Lee Cohen • Dr. Scott Cohen • Dr. Brian Coleman Dr. Sharon Collier • Dr. Walter Colon • Dr. Michael Connor • Dr. Lawrence Cook • Dr. Michael Cook • Dr. Lawrence Copenhaver • Dr. John Cordoba • Dr. Fredrick Costello Dr. James Costello • Dr. Robert Cowie • Dr. John Craig • Dr. Joseph Craig • Dr. Bruce Crawford • Dr. Daniel Crofton • Dr. Mary Crosby-El Amin • Dr. Allin Crouch Dr. Michael Crovatt • Dr. Jose Cruz • DR. LEO CULLINAN • Dr. Ronald Cummings • Dr. Gerard Cuomo • Dr. Patrick Curry • Dr. R. Cusato • Dr. Carl Daffin • Dr. Grace Dai Dr. Carl Dann • Dr. John Darby • Dr. Jeremy Davey • Dr. Jose Davila • Dr. Richard De Cantis • Dr. Victor Dea • Dr. Abel Deanna • Dr. Linda Decocker • Dr. Michelle DeFelice Dr. Barry DeGraff • Dr. Jose Delacruz • Dr. James Deluca • Dr. Dennis Demirjian • Dr. Margherita Demoya • Dr. Rachelle Demody • Dr. Anthony Derrick • Dr. Sudhanshu Desai Dr. John Dietrich • Dr. Theodora Dietrich • Dr. Sinisa Dimitrijevic • Dr. Anthony DiPasquale • Dr. Kathleen DiVito • Dr. Ronald Dixon • Dr. Slavoljub Djuric • Dr. Robert Dolgow Dr. Orlando Dominguez • Dr. George Dorris • Dr. John Dozier • Dr. Daniel Drake • Dr. Wayne Dubin • Dr. Nicholas Dundee • Dr. William Dunk • Dr. Stephen Dunn Dr. Richard Dunn • Dr. Dave Dunn • Dr. Glenn DuPont • Dr. Stephen Durrett • Dr. Lindsay Eastman • Mr. Drew Eason • Dr. Melvin Eaton • Dr. Suzanne Ebert Dr. Mohsen Ebrahim • Dr. Jeffrey Eder • Dr. Claude Edwards • Dr. William Eells • Dr. Michael Eggnatz • Dr. John Ellis • Dr. Charles Elwell • Dr. Glori Enzor • Dr. Donald Erbes Dr. Robert Erdman • Dr. Ty Eriks • Dr. Juan Erro • Dr. Licette Espinal • Dr. Javier Estrada • Dr. Douglas Evans • Dr. Tod Fawcett • Dr. Mark Fedele • Dr. Steven Feldman Dr. Wendell Feliciano • Dr. Jonathan Feltham • Dr. Deborah Ferrer • Dr. Russell Fidler • Dr. Celia Figueroa • Dr. Ruben Figueroa • Dr. Mark Figura • Dr. Clayton Finley Dr. Howard Fisher • Dr. James Flach • Dr. C. Fort • Dr. Robert Foster • Dr. Patricia Francisco • Dr. Ilya Freyman • Dr. Robert Friedman • Dr. Keith Friefeld • Dr. Jay Froug Dr. Marie Gale • Dr. John Gammichia • Dr. Arnold Gangwisch • Dr. Allen Garber • Dr. D. Georgina Garcia • Dr. Richard Garcia • Dr. Arun Garg • Dr. Jose Garri Dr. Samuel Gaskins • Dr. Maureen Gregory Palso • Dr. Josph Gerlecz • Dr. Daniel Gesek • Dr. Elizabeth Gesenhues • Dr. Michelle Getz • Dr. William Geyer • Dr. James Gift Dr. Thomas Gillman • Dr. Michael Gioia • Dr. Nancy Gnizak-Wiley • Dr. Gary Godley • Dr. Gerald Goebel • Dr. Victor Goeller • Dr. Howell Goldberg • Dr. Eduardo Gonzalez Dr. Nancy Goodnight • Dr. Mark Goodnight • Dr. Gregory Goodreau • DR. BRUCE GORDY • Dr. Michael Gorfinkel • Dr. Peter Gostout • Dr. Myron Graff • Dr. Michael Grandy Dr. Michael Grant • Dr. Christine Grant • Dr. Frederick Grassin • Dr. Lance Grenevicki • Dr. Carrol Grier • Dr. Tara Griffin • Dr. Diana Griffith • Dr. Johnn Griffith Dr. Melissa Grimaudo • Dr. Alon Grosman • Dr. Vincent Grosso • Dr. John Grothe • Dr. Paul Grumbach • Dr. Luz Guerra • Dr. Andres Guerra-Andrade • Dr. Michael Gurklis Dr. Ronald Gursky • Dr. Hector Guzman • Dr. Dang Ha • Dr. Thomas Hale • Dr. Gary Hall • Dr. Nathan Hall • Dr. Jeffrey Hameroff • Dr. Brian Hamilton • Dr. David Hanle Dr. John Hargrave • Dr. William Harriett • Dr. John Harrington • Dr. William Harrison • Dr. F. Reese Harrison • Dr. Thomas Hartland • Dr. Gregg Hassler • Dr. Sophia Hatz Dr. Daniel Haus • DR. NANCY HAVENS • Dr. Robert Hawkins • Dr. James Hayslett • Dr. Randall Hedrick • Dr. Phillip Heinecke • Dr. Mary Hencinski • Dr. Davis Henderson Dr. Matthew Henry • Dr. Odalis Hernandez • Dr. Jason Hersh • Dr. Amy Hertz • Dr. Jorge Hervas • Dr. Robert Heydrich • Dr. Katherine Hicks • Dr. Ronald Higel Dr. Timothy Higgins • Dr. William Hill • Dr. Jack Hilliard • Dr. Reid Hines • Dr. John Hodge • Dr. Warren Hoffman • Dr. Susan Hogan • Dr. Thomas Holehouse Dr. Andrew Holloman • Dr. Jerffrey Holzinger • Dr. Timothy Hope • Dr. Richard Huff • Dr. Thomas Hughes • Dr. Betty Hughes • Dr. Bertram Hughes • Dr. Douglas Huhn Dr. Robert Hulen • Dr. Stephen Hulen • Dr. Charles Hunter • Dr. Richard Huot • Dr. Long Huynh • Dr. Mai Huynh-Lee • Dr. Teri-Ross Icyda • Dr. Scott Imray • Dr. Harry Insko Dr. Carlos Interian • Dr. Mary Isaacs • Dr. Ronald Jacob • Dr. Ronald James • Dr. Michael Jergins • Dr. Edwin Johary • Dr. Jay Johnson • Dr. Timothy Johnson Dr. Lucien Johnson • Dr. Paul Johnson • Dr. Grady Johnson • Dr. Patrick Johnson • Dr. Margaret Johnson • Dr. Harold Jones • Dr. Kendall Jones • Dr. Ian Jones Dr. Richard Joseph • Dr. Michael Jumbler • Dr. Douglas Jungman • Dr. Angel Junquera • Dr. Bernard Kahn • Dr. Beth Kailes • Dr. Zacharias Kalarickal

Dr. Ewelina Kalinowska-Szyszka • Dr. Keith Kanter • Dr. Ajay Kapadia • Dr. Craig Kara • Dr. George Karr • Dr. Raed Kasem • Dr. Suraiya Kasu • Dr. Nick Kavouklis • Dr. J. Kennedy Dr. Joe Kennon • Dr. Jason Kennon • Dr. Alana Keough • Dr. Lee Keough • Dr. Richard Kernagis • Dr. Nilofer Khatri • Dr. Sook Kim • Dr. Alan Kingston • Dr. Michael Kirsch VOLUNTEER Thanks LEADERSHIP Dr. Robert Klement • Dr. Betty Klement • Dr. Thomas Klement • Dr. William Kochenour • Dr. George Kolos • GIVE Dr. Nageswara Kopuri • Dr. Edward Kosakoski • Dr. Takashi Koyama Donation Support Charitable CHANGE Access FUNDING Care Dr. Alan Krantz • Dr. John Kreher • Dr. Samuel Kretzchmar • Dr.GIVE Stephen Krist • DENTISTS Dr. John Krueger • Dr. Gerald Krueger • Dr. Walter Kulick • Dr. Andrew Kulick COMMUNICATION Aid Generous YOU Dr. Sivathanu Kumas • Dr. Makaela Kunstler • Dr. Brian Kusel • Dr. Michele Laboda • Dr. Donald Lackey • Dr. Benjamin Lacy • Dr. Susan Lamar • Dr. Michael Lamp Donate Culture CAUSE Dr. Timothy Lane • Dr. Timothy Lang • Dr. Kenneth Langston •Grants Dr. Gregory Langston • Dr. Charles Laun • Dr. John Layton • Dr. Jose Lazaro • Dr. Jacque Lebeau Access Resources Dr. Andre Lebeau • Dr. Lee Legler • Dr. Peter Lemieux • BENEFIT Dr. Margaret Lessig • Dr. Nathan Lessin • Dr. Gary Levine • Dr. Raphael Lewis • Dr. Marco Leyte-Vidal Sustainability Organizations Generous Dr. Rudolph Liddell • Dr. Larry Lieberman • Dr. John Lindeman • Dr. Brad Lipkin • INNOVATE Dr. William Lippisch • Dr. Michael Litvak • Dr. Minta Lopez-Torres • Dr. Joanne Lu PROGRAMSHUMBLING FOUNDATION Dr. Dennis Lucas • Dr. Albert Lucas • Dr. Susanne Lumpp •FUNDRAISING Dr. John Lundgren • Dr. Aid Mariela Lung RELIEF • Dr. Christopher Lunsford • Dr. Joan Lynch • Dr. Thomas Lyons Thanks Dr. Cris Maas • Dr. Clara Macias • Dr. Joanna Magazine • Dr. Jeremiah CHARITY Mahoney • Dr. Bruce Manne • Dr. Herbert Mantooth • Dr. Paul Marchand • Dr. Richard Mariani, Jr. Donate Tax Gift exempt Dr. Rosemarie Marquez • Dr. Maria Marranzini • Dr. William Marsh • Dr. Bryan Marshall • Dr. Sidney Martin • Dr. James Martin • Dr. Jordan Martin • Dr. Andrew Martineau RELIEF CHARITY Diversity Gift • Dr. Douglas Dr. P. Martinez • Dr. Eduardo Martinez • Dr. Emilio Martinez Massingill NONPROFIT • You Dr. Robert Mather • Dr. Jeffrey Matilsky • Dr. Ryan McAlpin • Dr. Silas McAninch Rewarding EXPANSION Cause Membership Change Donor-cultivation Dr. Laura McAuley • Dr. Todd McCabe • Dr. James McCall • Dr. John McCann • Dr. Kathryn McClintock • Dr. Michael McCorkle • Dr. Alecia McDonald • Dr. Briggs McGinnis ENDOWMENT ASSISTANTS Dr. Michael McIlwain • Dr. Elizabeth McKenna Pfent • You Dr. J.Campaigns McKenzie • Dr. Kelly McKnight • Dr. E. McLarty • Dr. Donald McLendon • Dr. Rita Medwid • Dr. Jon Mehr Hygienists Dr. Martha Mehr • Dr. Daniel Melzer • Dr. Oscar Menendez • Dr. Michael Mihalcik • Dr. Paul Miller • Dr. Samuel Miller • Dr. Thomas Millman • Dr. James Minici Dr. Norbert Misch • Dr. Mark Mitchell Dr. Steven Mitchell • Dr. Mark Moffit • Dr. Francisco Montamarta • Dr. Nancy Montgomery • Dr. Richard MontzDr. Charles Moore Dr. David Moore • Dr. Cindy Moore • Dr. Stuart Moraitis • Dr. Oscar Morejon • Dr. James Moorish • Dr. Howell Morrison • Dr. Rory Mortman • Dr. Robert Mount Dr. Samuel Mozes • Dr. Esteban Mulkay • Dr. Richard Mullens • Dr. Kymberli Mumford-Clarke • Dr. Kenneth Mundy • Dr. Edward Murray • Dr. Robert Murrell outlined fonts Dr. Timothy Muscaro • Dr. Roy Nakaiy Dr. Cheryl Pisano • Dr. Jamison Plantz Dr. Nicholas Narducci • Dr. Julianna Navarro Dr. Emmanuel Platis • Dr. Thomas Plunkett Dr. Matthew Nawrocki • Dr. Marinela Nemetz Dr. Martin Polin • Dr. Leroy Polite Dr. Stephen Newsome • Dr. Elizabeth Nixon Dr. Mary Porter • Dr. Lawrence Posner Dr. Jeffrey Nullman • Dr. Tanya Nunn Dr. Stephen Potter • Dr. A. Prakash Dr. Denise Oakes-Lottridge • Dr. Ravi Oberoi Dr. Howard Pranikoff • Dr. Gilbert Principe Dr. Jamie Odom • Dr. Michael O’Donnell Dr. Henry Pruett • Dr. Claudia Pryszlak Dr. Maureen O’Flanagan • Dr. Kay O’Leary Dr. Stephen Pyle • Dr. James Radecki Dr. Erik Olson • Dr. Natividad Ordona Dr. Edward Ras • Dr. Sundeep Rawal Dr. Loren Orlick • Dr. Nancy Orphanos Dr. James Rawlins • Dr. Jesse Reagin Dr. Kevin O’Shaughnessy • Dr. William Ott Dr. Frank Recker • Dr. Gregory Reddish Dr. Pamela Ottesen • Dr. Jeffrey Ottley Dr. Barbra Reed • Dr. Subhash Rege Dr. James Oxer • Dr. Marineyda Oyola-Morales Dr. Charles Reinertsen • Dr. Thomas Reinhart Dr. Stephen Page • Dr. Christopher Page Dr. Russell Richardson • Dr. Helmut Richardt Dr. James Paladino • Dr. Rafael Palagana Dr. Randall Rigsby • Dr. Jordan Rigsby Dr. Ethan Pansick • Dr. Jolene Paramore Dr. Van Riley • Dr. Stephen Rimer Dr. Yolanda Parayuelos • Dr. Ada Parra Dr. Steve Robinette • Dr. Martin Robins Dr. David Pascia • Dr. John Paul Dr. Michael Robinson • Dr. Kerry Robson Dr. Marcus Paul • DR. ROBERT PAYNE Dr. Robert Rodde • Dr. James Rodgers Dr. George Peak • Dr. Stuart Pechter Dr. G. Rodriguez • Dr. Herminia Rodriguez Dr. John Peden • Dr. Stephen Peirce Dr. Nury Rodriguez • Dr. Richard Rogers Dr. John Penny • Dr. Shawn Perce Dr. Aniassa Rodrigues Ottley • Dr. Eric Ross Dr. Robert Perez • Dr. J. Perkins Dr. Kenneth Rogers • Dr. Rodrigo Romano Dr. Linh Pham • Dr. Denise Pieczynski Dr. Margaret Romeo • Dr. Jeffrey Rosenberg Dr. Michael Pikos • Dr. Hector Pinero Dr. Steve Rosenberg • Dr. Sanford Rosenberg Dr. James Ross • Dr. Gregory Rotole • Dr. Nancy Rotroff • Dr. Christian Rouleau • Dr. Ronald Rozanski • Dr. Henry Rozen • Dr. Peter Rubenstein • Dr. James Russin Dr. John Russo • Dr. Gregory Rutherford • Dr. Paul Saari • Dr. Cesar Sabates • Dr. Michael Salazar • Dr. George Sanchez • Dr. Richard Sanderford • Dr. Gabriel Sangalang Dr. Michael Sardzinski • Dr. Joel Scalera • Dr. Douglas Scales • Dr. Curtis Schalit • Dr. Aaron Schamback • Dr. Melanie Schamp • Dr. Jennifer Schaumberg • Dr. G. Scheurich Dr. Jennifer Schoenfeld • Dr. Thomas Schopler • Dr. Jeffery Schroeder • Dr. James Schumacher • Dr. Irwin Schwartz • Dr. Marc Schwartz • Dr. Eli Schwartz • Dr. Michael Scott Dr. Patricia Scott • Dr. Roger Scott • Dr. Jeff Scott • Dr. Stephen Semesco • Dr. Ann Setkowicz • Dr. Ram Setlur • Dr. Jason Seymour • Dr. Barry Setzer • Dr. G. Shehee Dr. Edward Sheinis • Dr. Kristin Shinnick • Dr. Anthony Sidor • Dr. Stephen Silvers • Dr. Maxine Sindledecker • Dr. Amanda Sindledecker • Dr. Cynthia Skigen Dr. Andrew Skigen • Dr. Steven Slavkin • Dr. Marvin Slott • Dr. Jeffrey Slotten • Dr. Donald Smarinsky • Dr. David Smith • Dr. Ryan Smith • Dr. Edwin Smith • Dr. Michael Sohl Dr. Gordon Sokoloff • Dr. Ricahrd Sollee • Dr. Ciro Sotomayor • Dr. Jan Spagnoli • Dr. S. Laurence Spallone • Dr. Kenneth Sprechman • Dr. Richard Staller • Dr. Steven Stapp Dr. Roy M. Stark • Dr. Mark Steele • DR. RICHARD STEVENSON • Dr. Susan Steverson • Dr. Michael Stewart • Dr. Chad Stewart • Dr. Cary Stimson • Dr. William Storoe Dr. James Strawn • Dr. Neal Stubbs • Dr. Casi Stubbs • Dr. Staci Suggs • Dr. William Sullivan • Dr. Doyle Summerlin • Dr. Frank Swerdzewski • Dr. Frank Szot Dr. Donald Taddeo • Dr. Edward Tarver • Dr. Lee Tatro • Dr. Beatriz Terry • Dr. John Thee • Dr. Donald Thomas • Dr. R. Thompson • Dr. Christopher Thompson Dr. Dorothy Thomsen • Dr. Don Tillery • Dr. Stephanie Tilley • Dr. Marcia Timson • Dr. Barrett Tolley • Dr. Timothy Toman • Dr. Omayra Torres Cintron • Dr. Jorge Torres-Guzman Dr. Wade Townsend • Dr. Louis Traci • Dr. David Traub • Dr. Lauren Triana • Dr. Rodolfo Trigueros • Dr. Aileen Trivedi • Dr. Linda Trotter • Dr. Abby Trupkin-Wilentz Dr. Robert Tuttle • Dr. Steven Underkofler • Dr. Kanyaratana Van Dyke • Dr. Laura Van Varick • Dr. Michael Vanover • Dr. Antonio Varela • Dr. Andrwe Varga • Dr. Norka Velasco Dr. Jennifer Vicente • Dr. Tania Villar • Dr. Timothy Viner • Dr. Matthew Waite • Dr. Christopher Waite • Dr. Eddie Waldheim • Dr. Joseph Walsh • Dr. Sheryl Watkins Dr. Todd Watson • Dr. James Watson • Dr. Lawrence Weaver • Dr. Shanaka Weerasooriya • Dr. Chandeev Weerasooriya • Dr. David Weiner • Dr. Paul Weinstein • Dr. Harold Welch Dr. Daniel Weldon • Dr. Brian Wells • Dr. Gene Whitehead • Dr. John Whitt • Dr. Suzanne Wilbur • Dr. Dewitt Wilkerson • Dr. Christopher Williams • Dr. Michael Willis Dr. David Windham • Dr. Wade Winker • Dr. Keith Wolfenden • Dr. Anthony Wong • Dr. Jean Woo • Dr. Gregory Woodfin • Dr. Robert Woodworth • Dr. Chad Wright Dr. Clark Wright • Dr. Eric Wu • Dr. Hugh Wunderlich • Dr. David Yates • Dr. Jess Yates • Dr. David Zabrocki • Dr. Ralf Zapata • Dr. Arthur Zadiker • Dr. Samuel Zfar • Dr. Stephen Zuknick FRIENDS OF THE FOUNDATION: • Ms. Heather Gioia • Dr. Robin Nguyen • Dr. Marvin Susskind • Dr. Robert Zavada • Amazon Smile Corporation • NWDDA: In Memory of B.J. Brown

YEARS OF PROMOTING DENTAL HEALTH FOR ALL FLORIDIANS

KEY: FDAF Board of Directors (green bold) FDA Board of Trustees (underlined)

To learn more about our giving societies and donor clubs, please visit floridadental.org/foundation or call 850.350.7117.

OFF THE CUSP

JOHN PAUL, DMD, EDITOR

My Wish For You

“

heard about quiet places but I’ve never really experienced one — and given my tinnitus, it’s likely I never will.

You practice a marvelous profession where you make others’ lives better every day.

It’s the time of year when cold weather and children fill the airwaves. Like it or not, you will be bombarded with Christmas. Many of you side with me on the weather, you live in Florida on purpose. Many of you have no children, and just as many do not celebrate Christmas. It’s the perfect time for your inner Grinch to show itself: “I’ve got to stop Christmas from coming, but how?”

I rose early. The air was so crisp, you’d think it could snap or crackle like snow does beneath your feet as you walk. Other than your footsteps, there is no sound. It’s easy to imagine you are completely alone.

It’s no secret my family calls me Scrooge and Grinch. I have a Scrooge mug and Grinch scrubs. It comes over me as traffic stalls and cities put up decorations before Halloween candy decay starts to develop. Thanksgiving has become just a shopping event for the next big thing. I seem to be a magnet for rude and selfish behavior, as someone cuts me off in traffic or rams my ankles with their shopping cart. Most of the time I swallow my feelings, and I might even apologize as if I was the transgressor. What I really want to do is put on a flashing light, pull them to the curb and take their car keys away.

”

Okay, yeah — that never happened. I’m a Florida boy and I hate the cold. I’ll tolerate it for a greater good, but I don’t enjoy it. Being a family man with two small children means never having to be alone (or is that never getting to be alone?), and Daddy is the only one with an “inside voice.” I’ve

100

Today's FDA

November/December 2015

My only saving grace is that much like my green alter ego, at some point I am enveloped by the goodness of the season and my heart grows three sizes. Thankfully, that seems to be happening earlier each year. This year, the Target toy catalog came out just as we tore October from the calendar. Before I could start a rant, I was treated to wonderful sense of peace as my daughters climbed up in my lap with that catalog and showed me all the things they think will be fun to play with. My wish for you all this season: Remember — though it likely was small and without drama — something you did this year saved a life. You practice a marvelous profession where you make others’ lives better every day. Remember, most insults that find their way to you were not aimed at you, and they do not require your attention. Find someone or several someones you care about and enjoy their company doing something as simple as playing.

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

www.floridadental.org

SAVE THE DATE! LAST DAY TO ENROLL IN A HEALTH PLAN FOR 2016

JANUARY 2016

Call the FDA Services Health Care Enrollment Center to talk about your plan options.

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