Virginia Dental Journal by Virginia Dental Association

VDA MEMBERSHIP

Benefit From YourAssociation Membership and Benefit YourAssociation Plans Endorsed by the Virginia Dental Association to Meet

Your Professional and Personal Insurance Needs

vPROFESSIONAL PROTECTOR PLAN" Consolidate all your office insurance requirements within a unique, replacement cost property and liability package, including malpractice and Employment Practices Liability Defense Coverage at excellent rates.

vGROUP MAJOR MEDICAL PLAN For you, your family and your employees. Deductibles of $500 to $5000 available. Pays up to a maximum of $2 Million for each covered person.

vHOSPfTAL CASH PLAN Pays stated amount, up to $150 per day, for hospital confinement. Paid in addition to any other health insurance benefits. No evidence of insurability required.

vLONG TERM CARE Nursing Home and/or Home Health Care for members and immediate family.

vACCIDENTAL DEATH & DISMEMBERMENT Up to $300,000 24-hour accident insurance available to member and family.

vDISABfLlTY INCOME Up to 70% of earned income for disability due to sickness or accident. Low-cost association grou policies or individual, non-cancellable, guaranteed renewable policies at a substantial discount.

vBUSINESS OVERHEAD EXPENSE INSURANCE Reimburses your office expenses, if you are disabled. Pays in addition to disability income ben足 efits. Premiums are tax-deductible.

vCONVERTIBLE TERM LIFE Up to $1,000,000 for members and spouses. Children's rider available. Insurance does not reduce in amount as age increases. Convertible at any age.

---"%~-足

SUTERHAYCRAFT&SIMMONS

INSURANCE:

FOR

THE

PROFESSIONJIL

Virginia Dental Association s Insurance Broker

113 Park Avenue, Falls Church, Virginia 22046 Call (703) 241-001101' (800) 572-2366 (in Virginia) or Fax (703) 237-3562

Leslie S. Webb, Jr., Editor

1. Bernard I. Einhorn 2. A. J. Booker 3. H. Reed Boyd II

Volume 75

William E. Zepp, CAE, Business Manager ASSOCIATE EDITORS 4. Charles E. Gaskins III 5. Barry K. Cutright 6. William B. Thompson

April - June 1998

cango Swett ove stry Thomas Burke

Number 2

TABLE OF CONTENTS 4 5 6 9

11 12

13 14 25 26 31 33

35 36

37 38 38

39 41 43

Editorial Message From the President Abstracts Svirsky on Infection Control 1998 Annual Meeting Schedule 1998 Annual Meeting Course Descriptions 1998 Annual Meeting Speakers Candidates' Statements and CV's From the Executive Director 1998 General Assembly Overview 1998 Grassroots Conference: Dentists Carry lVIessage to Capitol VADPAC News ADA Awareness Campaign Upcoming Continuing Education Membership Benefit Highlights: OSHA Compliance and Scientific How to Get on the Internet DR News DDS Update VDANews Component News & Specialty News Classified Advertising

s and Resources

COVER: The Fife and Drum Corps, Colonial Williamburg - Provided by Colonial Williamsburg Foundation PUBLICATION TEMPLATE: C:\Change

HE VIRGINIA DENTAL JOURNAL (ISSN 0049 6472) is published quarterly (January-March, April-June, July-S r, October-December)

(804 )358-4927

y the Virginia Dental Association, 5006 Monument Avenue, PO Box 6906, Richmond, Virginia 23230-0906, Tel ;UBSCRIPTION RATES: Annual'. Members, $6.00. Others $12.00 in U.S .. $24.00 Outside U.S. Single copy:

.econd class postage paid at Richmond, Virginia. Copyright Virginia Dental Association 1996

'OSTMASTER: Send address changes to: Virginia Dental Journal, PO Box 6906, Richmond. VA 23230-0906.

~ANUSCRIPT AND COMMUNICATION for publications Editor. PO Box 6906 Richmond, VA 23230-0906.

,DVERTISING COpy, insertion orders. contracts and related information: Business Manager. PO Box 6906, Richinond, VA 23230-0906.

VIRGINlA

JOURNAL

EDITORIAL

BOARD

Ralph L. Anderson James R. Batten Cramer L. Boswell James H. Butler Gilbert L. Button Charles L. Cuttino III Frank H. Farrington Barry J. Griffin Jeffrey L. Hudgins Wallace L. Huff Lindsay M. Hunt, Jr. Thomas E. Koertge James R. Lance Daniel M. Laskin Travis T. Patterson III W. Baxter Perkinson, Jr. Lisa Samaha David Sarrett Harvey A. Schenkein James R. Schroeder Harlan A. Schufeldt John A. Svirsky Ronald L. Tankersley Douglas C. Wendt Roger E. Wood

VDA COMMITTEE CHAIRMEN

Annual Meeting Bruce R. Hutchison

Direct Reimbursement Benita A. Miller

Auxiliary Education & Relations T. Andrew Thompson

Environmental Health and Safety Paul F. Supan

Budget and Financial Investments Raymond L. Meade

History and Necrology French H. Moore III

Cancer and Hospital Dental Service James A. Pell

Institutional Affairs Elizabeth A. Bernhard

Caring Dentists

Harry D. Simpson, Jr.

Journal Staff Leslie S. Webb, Jr.

Constitution and Bylaws/Nominating William H. Allison

Legislative T. Wayne Mostiler

Dental Benefits Programs Fred A. Coots, Jr.

Membership H. Reed Boyd III

Dental Delivery for the Special Needs Patient AI ]. Stenger

New Dentist Carolyn C. Herring

Dental Health and Public Information Al J. Rizkalla

Peer Review and Patient Relations Neil J. Small

Dental Practice Regulation Albert L. Payne

Planning William H. Allison

Dental Trade and Laboratory Relations George L. Nance, Jr.

Search Committee for VA Board William H. Allison

_---------.-_----'----._------------..

- - - - _..

...

VDA Foundation Ralph L. Howell, Jr. _

--_.------._--~----

Relief Foundation Scott H. Francis ..•..

_-_

....

_----,._,

__._-_.,-_ _ - - - - - -

...

Virginia Dental Services Corporation Jeffrey Levin, President

1998 ADA DELEGATION Delegates: 139th ADA Session, October 24 - 28, 1998, San Francisco, CA William H. Allison (1999) Gary R. Arbuckle (1998) M. Joan Gillespie (2000) Wallace L. Huff (1998) Emanuel W. Michaels (1999) Leslie S. Webb, Jr. (2000) Ronald L. Tankersley (1999) Raleigh H. Watson, Jr. (1998) Richard D. Wilson (1999) Alternate Delegates: Anne C. Adams ( 1998) Charles L. Cuttino III (2000) Bruce R. Hutchison (199.9)

David C. Anderson (1998) D. Christopher Hamlin (1998) Gus C. Vlahos (1998)

Thomas S. Cooke III (1999) Lindsay M. Hunt, Jr. (1999) Andrew). Zimmer (1999)

Representing and serving member dentists by fostering quality oral health care and education.

o ..... ~ -u

v-') ~

OFFICERS President: Wallace L. Huff, Blacksburg President Elect: Charles L. Cuttino III, Richmond Immediate Past President: William H. Allison, Warrenton Secretary- Treasurer: Thomas S. Cooke III, Sandston Executive Director: William E. Zepp, CAE P.O. Box 6906, Richmond, 23230-0906 EXECUTIVE COUNCIL Includes officers and councilors listed and: David C. Anderson, Alexandria -Vice Chairman Gus C. Vlahos, Dublin Richard H. Wood, Richmond Andrew J. Zimmer, Noriolk Ex Officio Members: Parliamentarian: Emory R. Thomas, Richmond Editor: Leslie S. Webb, Jr., Richmond

Speaker of the House: D. Christopher Hamlin, Noriolk

Dean, School of Dentistry: Lindsay M. Hunt, Jr., Richmond

COUNCILORS I Edward J. Weisberg, Noriolk II Bruce R. DeGinder, Williamsburg III Harold J. Neal, Jr., Emporia IV James R. Lance, Richmond V Daniel E. Grabeel, Lynchburg-Chairman VI Ronnie L. Brown, Abingdon VII William J. Viglione, Charlottesville VIII Rodney J. Klima, Burke

.....l

SOCIETY

PRESIDENT

SECRETARY

PATIENT RELATIONS

Tidewater, I

LJJ

James W. Baker 2995 Churchland Blvd Chesapeake, VA 23321

Ralph Howell, Jr. 102 Western Avenue Suffolk, VA 23434-4434

James H. Nottingham, Jr. 142 W. York St, Ste 705 Noriolk, VA 23510

Peninsula, II

Guy G. Levy 367 Denbigh Blvd Newport News, VA 23608

Wayne E. "AJ" Booker 6632 Geo Wa Mem Hwy Grafton, VA 23692

Lawrence A. Warren 106 Yorktown Road Tabb, VA 23693

Southside, III

John M. Bass 212 N. Mecklenburg Ave South Hill, VA 23970

Scott E. Gerard 9401 Courthouse Road Chesteriield, VA 23832

John R. Ragsdale III 9 Holy Hill Drive Petersburg, VA 23805

Richmond, IV

Gary R. Hartwell P.O. Box 980566 Richmond, VA 23298

Charles E. Gaskins III 703 N. Courthouse Rd, #201 Richmond, VA 23228

William J. Redwine 6808 Stoneman Road Richmond, VA 23236

Piedmont, V

Frank C. Crist, Jr. 8116 Timberlake Road Lynchburg, VA 24502

Gregory T. Gendron 7 Cleveland Avenue Martinsville, VA 24112

Frank C. Crist, Jr. 8116 Timberlake Road Lynchburg, VA 24502

Southwest, VI

William B. Thompson P.O. Box 318 Chilhowie, VA 24318

Dana Chamberlain 645 Park Blvd. Marion, VA 24354

Paul T. Umstott 300 W Valley Street Abingdon, VA 24210

Shenandoah Valley, VII

Gerald J. Brown 1871 Amherst Street Winchester, VA 22601

J. Darwin King 1220 N Augusta Street Staunton, VA 244010

Alan Robbins P.O. Box 602 Timberville, VA 22853

Northern Virginia, VIII

Kirk M. Norbo 6200 Wilson Blvd, #114 Falls Church, VA 22044

Neil J. Small 9940 Main Street Fairiax, VA 22031

Paul N. Zimmet 5206 Dawes Avenue Alexandria. VA 22311

« -z -lJ -> ~

EDITORIAL II]

Dentists Can Impact Managed Care's Future! I just opened my second managed care contract of the week and it's only Tuesday. This one stated my patient is now insured by their plan and intimated I might lose him as a patient if I didn't sign. They gave me 10 days to make my decision. This brought to my mind two questions asked of me in the last week. "What is the future of managed care in dentistry?" and "Is managed care on the decline in dentistry?" Managed care is certainly under attack in the media, but it is quite alive. Will it gain a larger market share? Will it decline? I think it is too early to tell. However, the factors which will influence these trends are known. These are the purchasers of care (the companies and employers), the consumers of care (the employees), the suppliers of care (the dentists), the benefits consultants and brokers, and lastly the insurance companies. The third party carriers are going to alter their products to meet the demands of the purchasers and the consultants/ brokers. However, in my opinion, the ultimate decision makers for the direction of dental benefit plans are the employees (patients) and dentists. Consumers of dental services (your patients) rarely understand their coverage or how a dental benefits plan works. It is up to the dentist to help them understand their plan. The dentist should urge them to contact their employer (plan purchaser) when they are unhappy with a restricted list of providers, with provisions in their contract, with benefits, or with the "hassle factor" of their plan. If the purchaser doesn't hear complaints, he assumes everyone is happy and usually renews the plan he has in place. Dentists (providers) would be wise to evaluate the contracts they receive from plans before they sign up. They will be bound by the terms of the contract, such as hold-harmless clauses, utilization review clauses, treatment limitations and fees. Also, an evaluation can be done of the financial impact signing a contract will have on the dentist's practice. The American Dental Association 0 aid the dentist in his decision-making. Its contract analysis service will review a contract - nof charged if submitted through the Virginia Dental Association. The ADA also offers a financial j analysis disc for sale through its salable materials division. The dentist then can make his dec whether to participate in a plan based on sound contractual and financial knowledge. It is clear that dentists have a chance to impact managed care through educating themselves a.RQ~ managed care plans and contracts, educating patients about their plans, and by seeking legislative relief from bad faith practices in plans through their state and federal legislatures. We need become advocates for our patients in order to preserve their freedom to choose their dentist and treatment plan. This doctor-patient relationship is worth the effort.

Leslie S. Webb, Jr., D.D.S. Editor

4 Virginia Dental Journal

MESSAGE FROM THE PRESIDENT.

I know that it is hard to believe with the inclement weather we have wit足 nessed the past few days, it may be snowing or freezing, but the calendar is very c1ear- Spring is here. It colors our outlook and makes us generally a bit more optimistic and has us looking for the first buds. Maybe the calendar is smarter than we are足 maybe the idea of spring in our hearts is simply good medicine after a long hard winter, or a short dull winter for that matter. I really don't know what kind of spring or summer we can look forward to, but I am happy to report that over 10 million dollars has been added to the Medicaid Dental Service Budget and that's certainly sunshine for the needy children of Virginia. During the 1998 General Assembly, Fairfax Senator Joseph Gartlan was quoted in the news media as saying- Don't count on any new money for the children's programs because the swelling costs of Governor Jim Gilmore's car tax-relief plan "are sucking almost every dollar out of our budget for discretionary programs." However, the Legislators were truly impressed with the message that was delivered by the VDA and its members and approved an additional $10.1 million to be added to the Medicaid Dental Service tor the 1998-2000 biennial budget. Yes-the Dentists of Virginia led by the VDA did respond by bringing the situation to the forefront with our (their) State Legislature. With the increased Medicaid Dental Services reimbursement rates obtained, we (dentists) must respond again by increasing the number of dentists participating in the Medicaid Program and by increasing the level of participation \bY the dentists already enrolled in the program. IThe Winter season is over- Spring is here- Summer is on the way_ Thanks to you all. Wallace L. Huff, D.D.S. President

Virginia Dental Journal 5

~c==

ABSTRACTS

The following abstracts were provided by the Department of Pediatric Dentistry at VCUIMCV School of Dentistry. We ap preciate the contribution that these individuals have made to the Journal. Dean, J.A., Barton, D.H., Vahedi, I., Hatcher, EA Progression of Interproximal Caries in the Primary Dentition. Journal of Clinical Pediatric Dentistry 1997: 22 (1): 59-62. The diagnosis and treatment planning of interproximal carious lesions in the primary dentition has undergone considerable dis cussion in the past. The majority of research on diagnosis of proximal lesions has illustrated that early detection with bitewing radiographs is essential. Research concerning progression of interproximal lesions in the primary dentition has focused mainly on progression within the primary tooth. Studies conducted with out fluoride therapy have shown that 90-95% of incipient proxi mal lesions penetrate dentin within 12 months. Additionally, even when fluoride therapy was implemented, researchers reported 77% of lesions that were in the dentin at baseline progressed further. While the studies above addressed the development of proximal lesions in primary molars adjacent to a carious primary molar. The purpose of this study was twofold. First, to examine retrospectively, the long term interproximal caries progression in primary molar teeth in both a university and private practice set ting. Secondly, to determine in patients sampled, if isolated inter proximal carious quadrants would soon be followed by previously non-carious quadrants exhibiting interproximal lesions. Dental records from a university pediatric dental clinic and from private practice were retrospectively reviewed. All patients were under seven years of age at initial exam. At which point, at least one interproximal carious lesion on a primary molar was diag nosed. All patients were then followed for 3 years after the initial examination. One hundred and fifty charts were analyzed as a part of this study. Seventy-six of the patients were from the university's Children's Clinic and seventy-four were from private practice. A review of both groups of charts revealed that over a 3 year period, a total of 387 primary teeth were diagnosed with proximal caries. Within this same three year period, 69% of the primary molars adjacent to the 387 teeth diagnosed with carious lesions developed inter proximal lesions. Additionally, the researchers discovered that 89% of the patients who developed a proximal carious lesion on a primary molar tooth within one quadrant developed another primary molar proximal lesion in a previously carious free quad rant. In fact, the results show that within 0-24 months, at least one additional quadrant became affected in 72% of the patients. It is interesting to note that a significant difference existed be tween the university students and private practitioners in regards to the number of interproximal lesions diagnosed at the initial patient visit. The private practitioners diagnosed almost two times as many simultaneous (back-to back interproximal le sions) lesions as did the university students. The authors attrib uted this contrast to the greater radiographic expertise of the private practitioner. The results of this study clearly indicate that in most instances, teeth adjacent to carious lesions will at sometime become cari

6 Virginia Dental Journal

ous as well. Future studies comparing various types of restor ative materials used for interproximal lesions would be benefi cial. For example, the comparison of the development of proxi mal lesions on adjacent teeth restored with amalgam versus glass ionomer would be warranted. Dr. Jonathan M. Jackson is a second year advanced education student in Pediatric Dentistry at MCVIVCU School of Dentistry. He received his D.MD. degree from the University of Florida College of Dentistry in 1996. Following the completion of his residency, Dr. Jackson will enter into private practice in Atlanta, Georgia.

Diab, N., Mourino, A.P., Parental Attitudes Toward Mouthguards. Pediatric Dentistry 1997: 19: 455-460. The purpose of this study was to evaluate parental attitudes to ward mouthguard use in order to promote education in this area. A one-page questionnaire was distributed to parents in Henrico County, a suburb of Richmond, VA. The targeted groups were parents of children between fourth and ninth grades. The demo graphic profile of the respondents tended to be college-educated, white mothers in the 40-49 age group. Three-quarters of the parents surveyed never received any information on how to help them decide when to encourage mouthguard use. The most fre quent activities the children played are in descending order, bas ketball, football, baseball, and soccer. The perceived danger in sport forms parents' views toward mouthguards more than the actual risk of injury. Parents tend to encourage mouthguards only if their child participates in sports that require mouthguards, (e.g., football and hockey) or if their child had suffered an oral injury during sports. However, parents surveyed perceived little need for mouthguards in basketball, baseball, and soccer. Of the total injuries reported in the survey, 19 percent occurred in basketball, 17 percent in baseball, and 11 percent in soccer. Parents generally adapted their child's opinion on mouthguards, reporting reasons for not wearing mouthguards as "uncomfort able", "poor retention and loose fit", and "gagging and nausea". In this survey, no data were collected regarding how many of the children were wearing stock or mouth formed mouthguards 8' opposed to custom made mouthguards. Though children's crit. cism may be valid, parents may change their attitudes, if they are informed of measures that can eliminate discomfort. Parents were more likely to encourage mouth guards for sons than for daughters. This is attributed to the perceived notion that males are more likely to be involved in traditional contact sports. Re cent studies report that oral and facial injuries to female athletes exceed those to males. Despite the high number of parents who never received information about mouthguards, 42 percent none theless purchased one for their child. This was done because most parents reported their child participated in a mandatory mouthguard sport. This study indicated that parents feel that mouthguard enforce ment is the responsibility of both parents and coaches. Parents are in favor of mandatory mouthguard regulations for other con tact sports. Based on this, the authors conclude that both groups, (parents and coaches) should be encouraged to recommend mandatory mouthguard regulations for basketball, baseball, and soccer.

Dr. Alex Olea is a first year advanced education student in Pediat ric Dentistry at MCVIVCU School of Dentistry. He received his D.D.S. degree from The University of Texas Health Science Cen ter at San Antonio in 1994. Dr. Olea practiced General Dentistry in San Diego, CA from 1995-1997.

Rinaudo, P.J., Cochran, MA, Moore, B.K. The Effect of Air Abra sion on Shear Bond Strength to Dentin with Dental Adhesive. QQ.: erative Q.enti§ill' 1997: 22: 254-259. The purpose of the study was to evaluate the effect of air abrasion as a dentin surface treatment on the shear bond strength of a resin-modified glass ionomer and two dentin bonding systems. A total of 225 extracted human permanent molar teeth were used. The teeth were randomly distributed into five groups of 15 teeth each. In group I (control), the smear layer on the dentinal surface was acid conditioned. The teeth in groups 2 and 3 were air abraded at 120 psi and 160 psi, respectively and acid etch was not used. For groups 4 and 5, teeth were air abraded at 120 psi and 160 psi, respectively, and then acid conditioned. Materials used within the test included: an acetone dentin bonding agent (One Step, primer and adhesive together), an aqueous dentin bonding agent (Scotchbond Multipurpose plus) and a resin modi fied glass ionomer or compomer (Fuji II Light Cure) following the manufacturers recommendations. Each adhesive system was evaluated independently, therefore, the systems were not compared. Means and standard deviations were recorded for each analysis performed. One way analysis of variance models were used to compare the treatment groups to the control with comparisons made using Dunnett's test at 0.05 significance level. Under the conditions of this in vitro study, air abrasion significantly lowered bond strength of the resin modified glass ionomer, Fuji \I LC, conditioned or unconditioned. (P<0.01) Bond strengths were significantly lower for dentin bonding systems used with air abraded surfaces which were not acid conditioned as compared to condi tioned surfaces. (P<0.01) However, air abrasion plus condition ing of the dentinal surface when used with a dentin bonding sys tem resulted in bond strengths similar to conditioned only speci mens. (P<0.01) Air abrasion by itself is not an acceptable surface treatment for dentin or as a substitute for acid conditioning. When using dentin bonding system with air abrasion it is necessary to condition the preparation. Dr. Matthew Cooke is a first year advanced education student in Pediatric Dentistry at MCVIVCU School of Dentistry. He received his DD.S. degree from MCVIVCU in May, 1997.

ity of mesial migration of first permanent molars occurring en masse by increased lower incisor proclination. Thirty patients were selected for this prospective study based on the following criteria: mixed dentition with both mandibular second deciduous molars present, mandibular crowding 3mm, end on to Class I molar relationships, overbite 1rnrn, average mandibular plane inclination and lower lip <4mm ahead of Rickett's E line. All patients chosen were European Americans and had no congenitally missing teeth. The patients were ran domly assigned to one of two groups. The treatment group had a passive 0.032 inch stainless steel mandibular lingual arch placed only. (N=14, mean age 11.5y) The control group received no treatment. (N=16, mean age = 11.3y) All patients were evalu ated monthly for approximately 1 year. The results found statistically significant differences between the two groups in the lower molar position, lower incisor position, arch depth and arch length. The lower molar position in the treatment group tipped backward 0.54 degrees, the cusp tip moved forward 0.33mm and the furcation moved forward 0.29mm. In comparison the control group molar tipped forward 2.19 degrees, the cusp tip moved forward 1.73mm and the fur cation 1.44mm. The lower incisor position in the treatment group tipped forward 0.73 degrees, with a 0.44 incisal edge advance ment. The control group showed a backward tipping of incisors 2.28 degrees with incisal edge uprighting by 0.65mm. The con trol group had a decrease of the midline arch depth and total arch length, 1.46mm and 2.54mm respectively. In the treatment group arch depth decreased 0.37mm. The treatment with a lin gual arch caused an increase in total arch length 0.07mm. The greatest effect of the lingual arch is the prevention of mesial migration of the first permanent molars after the second decidu ous molar is exfoliated. The results of this study show a passive mandibular lingual arch is effective in reducing the mesial migration of permanent molar and arch perimeter loss that occurs during transition from late mixed dentition to the permanent dentition. However, it comes at the expense of slight mandibular incisor advancement and tipping. In the control group the arch perimeter loss was shown to be approximately 4mm. If this loss can be prevented by using a lingual arch, the possibility exists that most crowding prob lems in an intact mixed dentition could be reduced or eliminated. Dr. S. Kimberly Jones is a second year advanced education stu dent in Pediatric Dentistry at MCVNCU School of Dentistry. She received her D.D.S. degree from the University of North Caro lina in 1991. Following the completion of her residency, Dr. Jones will enter private practice in Hickory, North Carolina.

Rebellato J., Lindauer S., Rubenstein L, Isaacson R., Davidovitch M., Vroom K. Lower Arch Perimeter Preservation Using Lingual Arch AM J ORTHOD DENTOFACIAL ORTHOP 1997: 112 (Octo ber): 449-456 In the transition from the mixed to the permanent dentition de creases in the arch perimeter may occur due to the mesial migra tion of the first permanent molars or the lingual movement of the incisors. This results In inadequate space for erupting teeth to align. The purpose of this study was to determine if the placement of a mandibular lingual arch could prevent the mesial migration of the first permanent molars during the normal transition from the mixed to the permanent dentition. It also considered the probabil

Virginia Dental Journal 7

YOU

KNOW HOW

For

years, The (incil111ati Insurance

Dentist's Package Policy has been the tool of

to protect yourself.

choice for protecting your flractice. Nou: it

DO YOU KNOW HOW

to protect

includes

C1JCI!

more coverage at a remarkahly

low cost, You are automatically covered for daily

YOUR PRACTICE?

loss of Il1come-the amount flredetermined hy

you al1d yom agent-wlJel1 a covered loss susflettds operatlon of your tnaciic: Neli' flrofesSioHaI liahility coverages and obtiow: are ,wailahle 10 slJield your substllute dent/sl aqains! lielhility Plus, your attorney is fluid IJ you're the suhject of a DPR investigatlOH, and you're reimbursed for attOrl1ey's fees if a regulatory agencyfiles a civil suit againstyou for improfler medical waste disposal As always, Cincil1nati Insurance cal1 comhil1e your professiol1alliahility insurance with property al1d gel1eralliahility in one flackage, reducil1g gaps il1 proiectioÂŤ. If occurrel1ces duril1g the policy fleriod lead to claims after the policy exbires or even after you retire, we cover the claims accoraivu; to flolicy brouisions. Al1d professiol1alliability claims are settled 0111y whel1 you coment in writing (except il1 Florida J With Cincil11wti Il1sural1ce, you also get the peace-of-mil1d that comes with our A+ + by AM, Best, qioeÂŤ ol1ly to the top 7% of imurers , So, protect yourself imd your practice with the Dentist's Package Policy from Cil1cil1l1ati Il1surance, Call1-8oo-769-o548for the l1ame of al1 il1dependent agent l1ear you,

8 Virginia DentalJournal

John A. Svirsky, D.D.S., M.Ed., Professor of Oral Pathology, VCUlMCV School of Dentistry

This infection control column can be reviewed and discussed in the office and records of the meeting should be kept with each employees training records for three years. Provider Responsibility After Treatment NOTE: Take the position of not having a separate policy of handling waste from "high risk patients" (a.k.a. infectious disease patients) since it is not possible to identify these patients with certainty. It is therefore imperative to handle all waste and clean-up as if every patient is potentially in fectious (universal precautions). 1. Remove all instruments to the appropriate clean-up area. All clean-up procedures, especially the handling of instru ments, must be done with heavy duty puncture resistant gloves.

2. Remove all surface barriers from light handles, controls, evacuation hoses, air-water syringe, headrest cover, and counter tops. 3. Flush the air-water syringe for sixty seconds. The dis posable tip should be discarded (if using metal tips, these should be heat sterilized). Disinfect the syringe and hoses with an approved disinfecting agent.

4. Place all sharp disposables such as needles, anesthetic carpules, and scalpel blades in the appropriate puncture resistant container. Clipping or bending of needles prior to disposal is prohibited. The sharps container must be ac cessible (one sharps container per operatory). 5. Accomplish disinfection procedures with a recommended surface disinfectant (hospital level disinfectant that is tu berculocidal) on surfaces and equipment that may have be come contaminated by touch or spray. Use the spray, wipe, spray and leave on for ten minutes, allowing the last spray to air dry. If it is not possible to leave the disinfectant on for ten minutes between patients at least use a disinfectant that has a residual effect (the killing power lasts for a period of time after it has been placed on the surface).

General Office Replenishing of Supplies and Maintaining Cleanliness 1. It is important to have one individual or a team respon sible to check all disposable supplies daily (or twice daily) to ensure that there is sufficient soap in the dispensers, paper towels, toilet paper and other disposable materials available for the normal flow of the office. This should be a standard operating requirement for the office. 2. The appearance of the office is extremely important to the patients' perception of infection control. Therefore an assigned health care employee should check the office pe riodically during the day to ensure that spills/dirty areas/trash are cleaned and magazines/brochures are in their proper location. A clean office helps sell dentistry and gives pa tients confidence in the infection control of the office. 3. All employees of the office should be a part of the goal of maintaining a healthy and clean work environment. Weekly office meetings should include discussion on suggestions of how to improve the asepsis, cleanliness, and function of the practice. If you have any questions regarding infection control, OSHA, sharp instrument injuries, or infectious diseases, please send them to me at the following address: John A. Svirsky, D.D.S., M.Ed. Department of Oral Pathology P.O. Box 980566 Richmond, VA 23298

Phone: (804) 828-1778 Fax: (804) 828-6234

Looking for info on upcoming CE courses?

What's happening at the VDA?

6. Dispose of contaminated waste such as cotton rolls, gauze, paper drapes, rubber dams, and paper products into appropriate waste receptacles lined with plastic bags. This will allow easy removal of all contaminated items at the end of patient treatment time.

Want to learn more about Direct Reimbursement?

Visit the VDA's website for answers to these

questions... and much, much more.

www.vadental.org Virginia Dental Journal 9

Plan now to attend the

129th VDA Annual Meeting

September 16-20, 1998

Williamsburg Lodge

The Fife and Drum Corps, Colonial Williamsburg's musical ambassadors, per足 form weekends in the spring and fall and daily during the summer months.

----~-----~----

10 Virginia Dental Journal

---- -

--- ---- - - - -

----

--足

VDA ANNUAL MEETING SCHEDULE*

g' E

IT,

'"c

Thomas Jefferson and Patrick Henry rush to a debate at the Capitol, where the Fifth Virginia Convention is considering a declaration of independence from Great Britain, Colonial Williamsburg's daily stories and "People of the Past" bring history to life,

WEDNESDAY, SEPTMEBER 16, 1998 8:00am 11:00am 12:30pm 1:00pm 2:00pm 5:30pm

Executive Committee Meeting Golf Exhibition Golf Tournament Registration and Ticket Sales Tennis Tournament Golf/Tennis Reception

The Governor's Palace, home of seven royal governors and Virginia's first two state governors, is among 28 public buildings, homes and shops where visitors can step back in time to the eve of the American Revolution.

THURSDAY, SEPTEMBER 17, 1998

SATURDAY, SEPTEMBER 19, 1998

8:00am 8:00am 8:00am IO:OOam 10:30am 12:00pm I :30pm 5:00pm 6: 15pm 7:30pm

6:30am 7:00am 7:30am 8:30am 8:30am

Registration and Ticket Sales Board of Dentistry Meeting Executive Council Meeting Credentials Committee VDA House of Delegates VDA Fellows Luncheon VDA Reference Committees 129 th Annual Meeting Opening Session Exhibition Hall Opens/Members Reception ACD Dinner & Dance

FRIDAY, SEPTEMBER 18, 1998 7:00am 7:30am 8:00am 8:00am 8:30am 9:30am lO:OOam Il:30am Il:30am 1:30pm 1:30pm 1:30pm 4:30pm 4:30pm 5:00pm 7:00pm

Registration and Ticket Sales VAGD Breakfast Board of Dentistry Meeting Risk Management Course Spear/Winter Course - Art and Science of Exceptional Restorative Dentistry Alliance Meeting Exhibition Hall Opens Luncheon for Learning ADA 16th District Delegation Meeting Spear/Winter Course - Art and Science of Exceptional Restorative Dentistry VAO Board Meeting Mouden Course - PA.N,D.A, Constitution & Bylaws Committee Meeting VAGD Board Meeting

Reception with Exhibitors

Fun RunIWalk Registration and Ticket Sales International College of Dentists Breakfast CPR Recertification Course Spear/Winter Course - Art and Science of Exceptional Restorative Dentistry Mouden Course - P.A.N.D.A. Alliance Business Meeting Exhibit Hall Opens Pierre Fauchard Academy Luncheon CDHS Luncheon and Annual Meeting Endodontist Meeting Relief Foundation Board Meeting VDA/MCV Reception President's Banquet & Dance

8:30am 9:00am !0:00am I1:30am 12:CX)pm 1:30pm 4:30pm 6:30pm 7:30pm

SUNDAY, SEPTEMBER 20, 1998 7:30am 8:OOam 9:00am 10:00am 1:(XJpm

VADPAC Breakfast Registration VDA Annual Business Meeting VDA House of Delegates VDA Executive Council

*This is a preliminary schedule:

some events may not be included.

Casino Night

Virginia Dental Journal 11

ANNUAL MEETING COURSE DESCRIPTIONS Protecting Children from Abuse and Neglect: P.A.N.D.A.'s Challenge

Lecture Date: September 18-19, 1998

Lecturer: Lynn Mooden, D.D.S.

The prevalence of child abuse and neglect is constantly on the rise. Over J mi Ilion children are reported as victims of child mal treatment each year. As much as 75o/r of all injuries of child abuse involve the head. neck, and face. However. even though Virginia state law [VCA 63.1-248.3(A)] mandates that all dentists must report suspected cases of child abuse or neglect, the dental profes sion has been woefully unwilling or unable to live up to that re sponsibility. Organizations around the world have begun efforts to sponsor educational programs aimed at helping dental profes sionals recognize child abuse and neglect. Equally important in the education is how to properly report suspected victims without creating exposure to liability. The Prevent Abuse and Neglect through Dental Awareness WA.N.D.A.) coalitions, based on the successful model program in Missouri. are working to increase recognition and reporting of suspected child abuse and neglect through educational and aware ness initiatives. As of February, 1998. these public/private coali tions are now in place in 35 states, the Territory of Guam and in Romania. The mission of the P.A.N.D.A. coalition is to create an atmosphere of understanding in the dental community that will result in the prevention of child abuse and neglect through early identification and reporting of children who have been abused or neglected. The Prevent Abuse and Neglect through Dental Awareness WA.N.D.A.) coalition began in Missouri in 1993. The publici private partnership in Missouri is comprised of the state dental and dental hygiene associations, the state dental public health and social service programs, the state's dental school, and Delta Den tal of Missouri. During early coalition meetings, the members determined the magnitude of the problem and set out to find a solution. The problem was two-fold: dentists are likely to see victims of child abuse and neglect, but out of 46,000 Missouri cases of child maltreatment reported in 1992, only 0.02% had been made by den tists. Subsequent national surveys have shown that dentists report less than 0.03% of all cases. This data seems at odds with numer ous studies showing that 65-75% of all physical injuries of abuse

involve the head. neck. and mouth. With information showing the shortfall in dentists' involvement, the coalition designed an aware ness and education program to educate all dental professionals. The awareness campaign began with a drawing of a girl holding her teddy bear. The artist's accompanying caption stated simply "She's not hiding, she's hurting." The stuffed bear in her arms was a panda. From the image of that girl and panda, the coalition derived the name for the coalition. Choosing the panda was fortu itous. Although some people do not remember the acronym's deri vation, dental professionals around the world now equate the panda with a program to protect children. The panda was a perfect symbol for the initiative. First of all, pandas are an endangered species. Our hope is that children will not have their childhood endangered, nor have to live "in danger." Secondly, the panda comes with a pair of black eyes, a powerful message when dealing with battered and abused children. The message became the educational effort for P.A.N.D.A. The coalition spokesman presented a continuing education program to every component dental society, dental hygiene society and dental study club in Missouri during P.A.N.D.A.'s first year. The pro gram was also added to the regular curriculum at the state's dental school and dental hygiene programs. PA.N.D.A. has been successful beyond all hopes. Within the first year, although total reported cases of child maltreatment were up by 6o/c, dentists' reporting rates rose 60%. Since that time, the reporting rate for dentists has increased by 160%. P.A.N.D.A.'s success has helped it to spread far and wide. More and more den tists, dental hygienists, and dental assistants hear the message of P.A.N.D.A. every day. To date, over 20,000 dental professionals have attended a PA.N .D.A. seminar with scores of presentations scheduled in J 998. Dentistry has a long history of prevention. Dentistry's role in pre vention can now be expanded to include the prevention of family violence. We must all be involved with protecting children from abuse and neglect. P.A.N.D.A. is a proven program to help chil dren - please be a part of it.

Art and Science of Exceptional Restorative Dentistry

Lecture Date: September 18-19, 1998

Lecturers: Frank Spear, D.D.S./Robert Winter, D.D.S.

Esthetics has become one of the most exciting areas in dentistry today. Many of the newer adhesive technologies have accelerated this excitement. Along with all the advanced dental material technologies. there are a great number of treatment decisions to be made such as: restorative choices and what type of material to use for bonding and cementation. In addition. creating the finest final result ultimately relies on incredible attention to detail in tooth preparation. impressions, provisionalization, laboratory communication and finishing. This program will focus on the art and science necessary to create excellence in esthetic restorative dentistry.

12 Virginia Dental Journal

ANNUAL MEETING SPEAKERS Frank Spear, D.D.S., M.S.D.

Robert Winter, D.D.S.

Dr. Spear received his D.D.S. degree and certificate in Periodon tal Prosthodontics with an M.S.D. degree from the University of Washington School of Dentistry. He maintains a private practice limited to fixed prosthodontics in Seattle. Washington. and is a clinical associate professor at the University of Washing ton. Dr. Spear is a member of the Ameri can Academy of Esthetic Dentistry and the American Academy of Restorative Dentistry. as weJl as the Pierre Fauchard Academy and the International College of Dentists.

Dr. Winter received hi" D.D.S. degree from Marquette Univer sity School of Dentistry. He maintains a private practice limited to fixed prosthodontics in Seattle, Wash ington, and is an adjunct axxixtant clini cal professor of Fixed Prosthodontics at Marquette University Schoo] of Den tistry. Dr. Winter is a member of the American Academy of Esthetic Den tistry. the American Academy of Restor ative Dentistry. the American College of Prosthodontists. the International Col lege of Dentists. the International Col lege of Prosthodo nti sts, the Pierre Fauchard Academy. and the Omicron Kappa Upsilon Honorary Dental Society. ln 1991. Dr. Winter was awarded the Gordon Christiansen Lectureer Recognition Award.

He devotes significant time to teaching, having lectured to such groups as the American Academies of Periodontics, Esthetic Dentistry and Crown and Bridge Prosthodontics. Dr. Spear has developed com prehensive didactic and clinical teaching programs. which he has presented nationally and internationally. In addition he is the sec tion editor on esthetic dentistry for Quintessence International. In 1993, he received the Christensen Award from the Chicago Dental Society for excellence in restorative education. In 1995. Dr. Spear was awarded the American Academy of Cosmetic Den tistry Achievement Award for advancing the science and art of cosmetic dentistry in the United States.

Lynn Douglas Mouden, D.D.S., M.P.H., F.I.C.D., F.A.C.D. Dr. Mouden earned his undergraduate degree from the University of Kansas; his D.D.S" with distinction. from the University of Missouri at Kansas City; and his Masters in Public Health from the University of North Carolina at Chapel Hill. After sixteen years in private practice, he now serves as the Associate Chief of the Bureau of Dental Health in the Missouri Department of Health and is an associate clinical professor at UMKC School of Dentistry. After serving in various state and local dental society positions. Dr. Mouden now serves as chairman of the MDA Council on Dental Health and Education. chairman of the Missouri Children's Dental Health Com mission. and President of the Missouri Dental Foundation. On the national level he serves as the Vice Chairman of the American Dental Association's Council on Access. Prevention and Interprofessional Relations. chairs the ADA's National Fluoridation Advisory Committee and is the ADA's National Spokes person on family violence prevention. Through the efforts of Dr. Moudcn and others. Missouri's model Prevent Abuse and Neglect through the Dental Awareness (PA.N.D.A.) Program was awarded the ADA's prestigious Golden Apple Award as the premier dental health promotion in the country. Because of his commitment to the children of Missouri and the P.A.ND.A. program. Dr. Mouden was named as the "Dentist of the Year" by the Missouri Dental Association.

Virginia Dental Journal 13

The 1996 Virginia Dental Association House of Del egates adopted Constitution and Bylaws changes stat ing that candidates for VDA elective office have t~e op portunity to submit a statement and CV to be published in the April-June Virginia Dental Journal. Candidates for President-Elect and Secretary Treasurer can have a 500 word statement. All other candidates can have a 250 word statement. This will give members of the Vir ginia Dental Association an opportunity to meet candi dates for elected offices. Daniel E. Grabeel, D.D.S.

Candidate for Office of: President-Elect

For the past twenty years I have been active in the Virginia Dental Association and have served in all the offices of my Piedmont Dental Society. The past twelve years I have been privileged to serve on our Executive Council, three years as vice chairman, and the past four years as chairman. This also gave me the privilege of serving seven years on the Executive Committee. As you can determine from this I have had very good training and experience for the job I seek. This is my last year on the Executive Council so I feel the next step for me to continue to serve you would be Presi dent-Elect of the VDA. I hope you will agree with me and afford me your support and vote. I will try to improve dentistry in Virginia and the Virginia Dental Association and to continue to improve communication with all VDA members as well as non-members. I include non members because I feel if non-members are better informed they will become members. In my opinion the number one problem we have now in den tistry is legislative. No longer can we go into the safety of our office and practice without outside intervention. We must be aware of the problems and work with our legislature to protect our privilege to practice dentistry as we were taught. Better relationships with hygienists and dental assistants are also a high priority item. We need more VDA members involved. We have been focusing on young dentists and I feel this is great, even back to the dental student. We must not forget that some of the "older" dentists are also ready to help and a lot have not been involved because of business and family cares. Now they have the time and knowledge which will be of benefit to us and should be encouraged to become involved. We need to view other dentists as peers not competitors. A better relationship among components will be another of my top priorities. The whole is much stronger than its parts if we work together and not against each other. Mr. Zepp, who has taken great strides in organization of the VDA, with

14 Virginia Dental Journal

our help will have an even better organized VDA. I feel this will trickle down to components and committees, and I want to be a part of this improvement. We need to restore the image of dentists back to the posi tion we once held. Everyone should be involved with eth ics. We shouldn't have to be encouraged to practice ethi cally but should have enough pride in our profession and ourselves to do so. I want to help us to practice ethically and honestly. I have exciting dreams about the fu ture of dentistry and I want the rest of the VDA to be as excited as I am. I hope you will give me the privilege of continuing to pursue this dream as your President-Elect. Name: Daniel E. Grabeel Address: 1949 Thomson Dr. City & Zip: Lynchburg 24501 Phone: (804) 846-5951 Component: 5 CV and Biographical Information Education: University of Richmond, 1963, B.S. Chemis try; Medical College of Virginia, 1967, D.D.S. Memberships: VDA; ADA; Piedmont Dental Society; Lynchburg Dental Society; Academy of General Dentistry, (VAGD President 1991-1992; Regional Director of AGO 1993-1995; National Trustee 1994-1996) . Honors: Bluefield College, President of the Alumni Association 1977-1978, 1981-1982, 1989-1990, Sports Hall of Fame (Charter Member), Board of Trustees, Alumnus of the Year; Medical College of Virginia, Delta Sigma Delta-President Senior year, Alpha Sigma Chi Honorary Leadership; Fellow of Virginia Dental Associa tion; Fellow of Pierre Fauchard Academy; Fellow of Academy of General Dentistry: Fellow of International College of Dentistry; Fellow of Academy of Dentistry International; Chief Dental Service - Lynchburg General Hospital and Virginia Baptist Hospital, 1988-1991. Leadership Activities: ADA and VDA: 8DA- Alternate Delegate 1987-1994; Delegate 1994-1995. VDA- Budget and Financial Committee 1980-1997; Dental Health and Effective Committee; Long Range Planning Committee; Endowment Fund Committee; Fellows Committee 1990 1997, Secretary 1992-1994, Chairman 1994-1996; Executive Council 1987-present; Vice Chairman 1991 1994; Chairman 1994-present; VOA House of Delegates 1975-1987. Component Society Piedmont Dental Society - President 1986-1987, Counselor 1987 -present; Lynchburg Dental Society - President 1990-1991 , Secretary-Treasurer 1983-1984.1988-1989. Community: Boy Scouts of America, Assistant Scout

Master, Scout Master; Hillcity Exchange Club, Past President; Chamber of Commerce; Past Advisor of Lynchburg Dental Assistant Association; Rotary Club, President 1994-1995, Assistant Governor 1996-1997; Mason; Scottish Rite 32, Shriner-Kizem; Lynchburg Health Care Coalition; E.C. Glass Dental Assistant Advisory Committee Chairman 1992-1994. Andrew J. (Bud) Zimmer, D.D.S. Candidate for Office of: President-Elect

The strength of the VDA lies in its membership. Our strength can be maximized through greater involvement of members in local and state organizations. VDA component leaders must keep their members informed of developments at the state level and the VDA leadership must be responsive to the needs of its components. Membership concerns should be presented to appropriate VDA committees. Committees should synthesize thoughts from around the state and present ideas for improvements to the Executive Council. State of ficers then need to oversee the development and implemen tation of approved changes to improve the organization. By utilizing the broadest possible membership base for new ideas I believe we can overcome component differences and present a unified front to accomplish needed changes. As members of this Association it is important to remain vigi lant and active to insure that both dentists and patients have freedom of choice in delivery of dental care. It is vital that we support the passage of Point of Service and Assignment of Benefits legislation. We must continue to advance our Direct Reimbursement program as a mutually beneficial way to deliver optimal dental care for our patients. Although den tistry is "health care that works", our profession has been bombarded with a bewildering array of third party policy and regulatory changes. Insurance and managed care compa nies have sought to increase their control over patients and practitioners through a variety of contractual and policy ma neuvers. Continuing dialogue with health care administra tors has produced few positive changes. It appears that the only avenue for resolution is through the Virginia State Legislature. The VDA has established a new level of mutual respect with the General Assembly. This relationship must be maintained and improved through the increased willingness of our members to communicate with lawmakers utilizing letters, faxes, phone and personal con tacts. Focused discussion of common concerns can help our members to reach consensus. Our views then can be effectively presented to legislators through Grassroots and Liaison Dentist programs. The VDA can further strengthen its voice in the Legislature by increasing member participa tion and contributions to VADPAC. Maintaining a strong coa lition among Grassroots, PAC and the Virginia Legislature will allow us to change regulations that hamper our practices. The Annual Meeting is our largest member activity. Dentists

and allied organizations have the opportunity to come to gether for continuing education and social activities. In ad dition, all VDA members have a final opportunity to express their present and future concerns. Having been heavily in volved with the Annual Meeting process for several years, it is pleasing to see how the many positive changes have stimu lated interest and attendance. We must encourage innova tions at our Annual Meeting and in our Association to re main a viable organization. It has been my privilege to serve the Association as Ex ecutive Councilor and Chairman for the two previous Annual Meetings held in Colonial Williamsburg. I re spectfully ask for your support of my candidacy for President-Elect of the VDA. Name: Andrew J. Zimmer Address: #1 Southern Shopping Center, Suite 208 City and Zip: Norfolk 23505 Phone: (757) 588-8566 Component: 1 CV and Biographical Information Education: Georgetown University, Washington, DC: B.S. Biology 1966; Georgetown University School of

Dentistry, Washington, DC, D.D.S. 1970.

Memberships: ADA; VDA; Tidewater Dental Association

1970-present; DePaul Hospital Staff 1970-1989; Past

President of two Tidewater area Study Clubs; Psi Omega.

Honors: Fellow Virginia Dental Association 1992; Fellow

Pierre Fauchard Academy 1993; Fellow American

College of Dentists 1994; Fellow International College of

Dentists 1996.

Leadership Activities: ADA and VDA: ADA Alternate

Delegate 1995-1998; Whiston '96 Campaign Committee;

VDA Councilor-at-Large 1993-1998; VDA Annual Meet

ing Chairman 1994 & 1996; Past Chairman of two VDA

Committees; Fellows Selection Committee 1995-1997;

Secretary 1997.

Component Society: Tidewater Dental Association

President 1990-1991; Nominating Committee Chairman

1992-1998; Past Chairman of Budget Program Dental

Health Month Committees: Delegate to VDA 1986-1993,

Chairman 1991.

Community: Norfolk Jaycees; Wards Corner Lions Club:

Cub Scout Pack 490; Norfolk Catholic High School

Board: Virginia Beach Respite care Expansion Program:

Elder Fair; Holy Family Church Debt Committee.

(If elected VDA President-Elect, a one year term for Councilor-at-Large would be available for election.)

Virginia Dental Journal 15

William J. Viglione, D.D.S. Candidate for Office of: Councilor-at-Large

Gus C. Vlahos, D.D.S. Candidate for Office of: Councilor-at-Large

I have served on Executive Council over the past four years representing Component VII. I have seen the business of our society more than double in that time. Strong Presi dents and Executive Committees have been pro-active in leading the VDA to a strong legislative position as well as improving member participation and enthusiasm. It has been a privilege to have been associated with such fine leaders.

The Virginia Dental Association will have many interesting challenges in the next few years. There is a potential for loss of membership due to a potential dues increase, if the Public Awareness Campaign is enacted, or a loss of mem bership to dentist's apathy with organized dentistry. A con tinuous challenge will be the Dental Hygiene issues in which I believe the VDA must take an aggressive stand against the Dental Hygienists as they seek independent practice. However, I believe that we must be aggressive in educating our members with the issues at hand while showing fiscal responsibility with their dues dollars.

I would like to continue being part of our growth. I feel I offer a view of the past with excitement for the future that I trust will serve all members. An Executive Councilor-at-Large has a broader scope of representa tion and should be someone who has understanding of process and issues. I ask that you allow me to serve in that broader position. Name: William J. Viglione Address: 3025 Berkmar Drive Suite 4 City and Zip: Charlottesville 22901 Phone: (804) 973-4355 Component: 7

CV and Biographical Information Education: University of Richmond - B.S. (Biology), Class President, 1969; Medical College of VirginialVirginia Commonwealth University - DD.S., Yingling-Lyons Award, 1972; US Army, General Dentistry Resident, Ft. Sam Houston, 1972-1973; Chief Dental Officer, Ft. Deitrick, Frederick, Maryland, 1973-1975. Memberships: ADA; VDA; Shenandoah Valley Dental Association; Beta Beta Beta; ODK Leadership Society; Phi Gamma Delta; OKU; Delta Sigma Delta; AGD; Charlottesville Dental Society. Honors: Fellow of the Virginia Dental Association; Fellow of the American College of Dentists; Pierre Fauchard Academy; Who's Who Among Execs and Professionals. Leadership Activities: Treasurer and President of Charlottesville-Albemarle Dental Society; President-Elect and President of Shenandoah Valley Dental Association; Delegate of VDA House of Delegates; VDA Executive Councilor from Component VII; Peer Review Relations Committee (Chairman component level and State level); Reference Committee Chairman; VDA Fellows Selection Committee; Representative for VDA on State Legislative Committee to Study Shortage of Dental Hygienists. Community: Church - Lector and Past President Parish Council; Member Board of Ronald McDonald House; Free Clinic Organizer and Volunteer; Member Republican Party Committee; Dental Consultant for Our Lady of Peace Retirement Community; Graduate of Spiritual Director Institute.

16 Virginia Dental Journal

As a Councilor-at-Large, it is my position to work for every member of the Virginia Dental Association. It is my posi tion to see that the actions of the VDA are accurate for every member dentist in the VDA. For the last two years I have held the Councilor-at-Large position and have always worked diligently for the benefit of the VDA as well as its members. I hope you will allow me to return to the Executive Council in order that I can work professionally for orga nized dentistry. In closing I only ask for the opportunity to complete this professional duty and I will uphold this position with integrity. Name: Gus C. Vlahos Address: Route 11, P.O. Box 1379 City & Zip: Dublin 24064 Phone: (703) 674-4396 Component: 6 CV and Biographical Information Education: B.S., Chemistry, Virginia Tech, 1976; D.D.S., Medical College of Virginia, 1981. Memberships: New River Study Club; Southwest Virginia Dental Society; Virginia Dental Association; American Dental Association. Honors: Fellow of the Virginia Dental Association; Member Pierre Fauchard Academy. Leadership Activities: ADA- Alternate Delegate 1997 and 1998. VDA- Delegate from Southwest Virginia Dental Society to the Virginia Dental Association House of Delegates 1987-1993; Chairman of the Presidential Address and Reference Committee, 1991; Member of the Young Dentist Committee 1991-1993; Member of the VDA Nominating Committee 1991 and 1992; Member of the VDA Search Committee for Virginia Board of Dentistry Committee 1992 and 1996; Member of Ad Hoc Commit tee on Component Borders 1995; Member of Executive Council 1993-present; Member of the VDA Auxiliary Aid and Education Committee 1996 and 1997; Liaison from the Virginia Dental Association to the Virginia Dental Assisting Association; Advisory Committee Member at

Wytheville Community College Dental Assisting Program; Member of Annual Meeting Committee 1994-97. Component - Southwest Virginia Dental Society Vice President; President-Elect; President.

Community: Member of Holy Trinity Greek Orthodox

Church, Roanoke, Virginia; Little League Basketball Coach, Dublin, Virginia.

Richard H. Wood, D.D.S.

Candidate for Office of: Councilor-at-Large

I am pleased to announce my candidacy for Executive Coun cilor-at-Large. I have been proud to represent you since my election last September. During this time I have ben efited from the input of many fellow dentists and learned many new things. First, this position is designed to advo cate the needs and issues of the entire membership of the VDA. It is my desire and responsibility to bring to our elected leadership your issues and concerns, regardless of the re gion, that will help us all further the profession of dentistry. Our organization is one best led by the ideas of its mem bers. Secondly, the age in which we practice our chosen profession is challenging and stressful. Through the VDA, however, we have the opportunity to influence our own des tiny as a profession. We must seek out ways to be proac tive. It is our chance to impact legislation and regulations. Organized dentistry has been a part of my practice since I graduated in 1972. I have been active with the VDA and the Richmond Dental Society for many years and seek your support to represent the state's member ship on the Executive Council for the next two years. l\Jame: Richard H. Wood Address: 7702 Parham Rd., #306 McGuire Medical Group Building City & Zip: Richmond 23294 Phone: (804) 747-9511 Component: 4

CV and Biographical Information Education: Virginia Military Institute - B.S. Biology 1968; Medical College of VirginiaIVCU-D.D.S. 1972. Memberships: ADA; VDA; Richmond Dental Society; Staff,HealthSouth Hospital; Kappa Alpha Order; Delta Sigma Delta Dental Fraternity; Richmond Dental Study Club; 1988-1990 Secretary VA AGD and AGD House of Delegates1989,1990. Honors: Omicron Kappa Upsilon National Dental Honor Society; Fellow VDA; Pierre Fauchard Academy; Ameri can College of Dentists. Leadership: VDA: House of Delegates; MCV Endow ment Fund; Dental Trade and Lab Relations; Chairman Professionaliam and Ethics; Annual Meeting; Whiston '96 Campaign; Executive Council.

Component IV: Treasurer, President. and Board of Direc tors: Long Range Planning Committee; New Practitioners Committee; Budget and Finance Committee; Dental Trade and Lab Relations Committee; MCV Endowment Commit tee; Continuing Education; Auditing Committee: Profes sionalism and Ethics Committee; Nominating Committee' Political Action Committee ' Community: Active Member of River Road Church, Baptist; Youth Chairman for Capital Campaign, 1997; Board of Directors for River Road Child Development Center.

David C. Anderson, D.D.S.

Candidate for Office of: ADA Delegate

The coming years will be a challenge to the ADA and, by extension, to its tripartite system and directly to the individual member. Public awareness looms large on the horizon with all its m~mbership and dues implications, there are budget Implications concerning our Chicago office and legislative initiatives galore that will take time to study and even more time to respond to. I have committed myself to study the issues and be a force ful advocate for Virginia's dentists. This would be of no value without the time set aside to be avail able to members and to act on their behalf in the necessary forums. If returned to the delegation as del egate, I promise to be there for you and to represent your interests. Name: David C. Anderson Mailing Address: 5288 Dawes Ave. City & Zip: Alexandria 22311 Phone: (703) 671-6060 Component: 8

CV and Biographical Information Education: D.D.S. 1974, Medical College of Virginia:

Periodontic Certificate 1976, Fairleigh Dickinson Univer

sity of Dentistry.

Memberships: ADA; AAP; VDA; NVDS.

Honors: International College of Dentists Journalism

award- 1988; Fellowships: Virginia Dental Association'

Pierre Fauchard; American College of Dentists; lnterna

tiona I College of Dentists.

Leadership Activities: ADA and VDA: VDA - Councilor

At-Large 1995-1997; ADA Alternate Delegate 1996-1997.

Component Society: Vice-President 1987-1988; Presi

dent-Elect 1988-1989; Chairman Executive Council 1990

1991; Councilor 1991-1995.

Community: Fairfax County Tax Force on AIDS 1988

1990; Medical Care for Children Project - Board of Direc

tors 1991- present: Friends of the Local Government

Board of Directors (George Mason University) 1993

present.

Virginia Dental Journal 17

Charles L. Cuttino, D.D.S. Candidate for Office of: ADA Delegate It has been my privilege and honor to represent the Virginia Dental Association at the American Dental Association House of Delegates for the past eight years as an Alternate Delegate and Delegate in 1995. During this period of ser vice I have had the opportunity to serve on a Reference Committee, co-chair the campaign to elect our current ADA President and currently am the ADA liaison to the AMA House of Delegates. The Association along with our 16th Trustee District colleagues have become more involved and effective in the decisions which affect the practice of den tistry. The concerns which have been addressed include Membership, Managed Care, Federal Trade Commission, OSHA and the Awareness Campaign. The delegation has always tried to represent the views and concerns of all our members. One issue which needs the input of our members is the Awareness Campaign. This issue will affect all members equally and has a dues impact which each of us will need to decide the worth and benefit of such a campaign. I would request your input on this and any other issues which are of concern to you.

Leadership Activities: ADA and VDA: ADA - Alternate Delegate 1990-1994, 1996-1997; ADA Delegate - 1995; ADA Reference Committee - Legal and Legislative 1995; Whiston '96 Election Committee - Co-Chairman, 1995-1996; ADA Liaison to the AMA House of Delegates; VDA - Executive Council 1986-1997; SecretarylTreasurer 1993-1997; President Elect; VDA Executive Committee 1993-1997; VDA Delegate and Alternate Delegate: Reference Committees; Cancer and Hospital Committee; VDA Journal Editorial Board; VDA Foundation - Ex Officio; VDA Relief Foundation - Ex Officio. Component Society: Richmond Dental Society - Board of Directors 1974-1978, 1982·1987; President - 1983-1984; Numerous Committees. (Should I be successful in this campaign, I am requested to inform you, the members, that the by virtue Alternate Del egate slot assigned to the President of the VDA will be come a two-year term to be elected by nominations from the floor at the Annual Membership Meeting in Williamsburg.) Daniel E. Grabeel, D.D.S. Candidate for Office of: ADA Delegate

If I am elected to this position I will continue to represent you for an ef fective and responsible American Dental Association. I respectively seek your support for ADA Delegate.

I would appreciate your support for Delegate to the ADA. I have served seven years as alternate delegate and one year as delegate. I am aware of the time needed in preparation and serving, and the cost involved for this commitment and I am willing to give both.

Name: Charles Lynum Cuttino III Address: 3217 Grove Ave. City and Zip: Richmond 23221 Phone: (804) 354-1600 Component: 4

I feel the delegates and alternate delegates from Virginia should be willing to go to component's meetings to inform and to receive the members feelings concerning ADA mat ters. I want to represent you at the ADA HOD and voice your concerns and vote the feeling of the VDA, even if it may not be my own personal feeling.

CV and Biographical Information Education: Clemson University - B.S. (Pre-Med) 1963;

Medical College of VirginialVirginia Commonwealth

University - D.D.S. 1966; USAF General Dental Intern

ship, Lackland AFB, TX 1967; Medical College of Virginia/

Virginia Commonwealth University - Certificate in OMFS

1972.

Memberships: Sigma Xi; Omicron Kappa Upsilon; Psi

Omega Dental Fraternity; Atwood Wash Society (Oral

Surgery); Chalmers Lyons Society (Michigan) (Oral

Surgery); Pierre Fauchard Academy - Vice Chairman VA

1993-1995; Commonwealth Dental Academy - President

1975; American Cancer Society (Board of Directors

1974-1978); Virginia Supreme Court Medical Malpractice

Review Panel - (1982-present); VDA; ADA; AAOMS;

SSOMS.

Honors: American Cancer Society, Certificate of Merit

1978; Fellow - Virginia Dental Association; Fellow

American College of Dentists; Fellow - International

College of Dentist; Richmond Dental Assistants's Asso

ciation - Boss of the Year - 1994.

18 Virginia Dental Journal

If you will give me your support and vote I pledge to you I will represent you - the members of the VDA. Name: Daniel E. Grabeel Address: 1949 Thomson Dr. City & Zip: Lynchburg 24501 Phone: (804) 846-5951 Component: 5

CV and Biographical Information Education: University of Richmond, 1963, B.S. Chemis try. Medical College of Virginia, 1967, D.D.S. Memberships: VDA; ADA; Piedmont Dental Society; Lynchburg Dental Society; Academy of General Dentistry (VAGD President 1991-1992; Regional Director of AGD 1993-1995; National Trustee 1994-1996.) . Honors: Bluefield College, President of the Alumni Association 1977-1978, 1981-1982, 1989-1990, Sports Hall of Fame (Charter Member), Board of Trustees,

Alumnus of the Year; Medical College of Virginia, Delta Sigma Delta-President Senior year, Alpha Sigma Chi Honorary Leadership; Fellow of Virginia Dental Associa tion; Fellow of Pierre Fauchard Academy; Fellow of Academy of General Dentistry; Fellow of International College of Dentistry; Fellow of Academy of Dentistry International; Chief Dental Service - Lynchburg General Hospital and Virginia Baptist Hospital, 1988-1991. Leadership Activities: ADA and VDA: ADA- Alternate Delegate 1987-1994; Delegate 1994-1995. VDA- Budget and Financial Committee 1980-1997; Dental Health and Effective Committee; Long Range Planning Committee; Endowment Fund Committee; Fellows Committee 1990 1997, Secretary 1992-1994, Chairman 1994-1996; Executive Council 1987 -present; Vice Chairman 1991 1994; Chairman 1994-present; VDA House of Delegates 1975-1987. Component Society: Piedmont Dental Society - President 1986-1987, Counselor 1987-present; Lynchburg Dental Society - President 1990-1991 , Secretary-Treasurer 1983-1984,1988-1989. Community: Boy Scouts of America, Assistant Scout Master, Scout Master; Hillcity Exchange Club, Past President; Chamber of Commerce; Past Advisor of Lynchburg Dental Assistant Association; Rotary Club, President 1994-1995, Assistant Governor 1996-1997; Mason; Scottish Rite 32, Shriner-Kizem; Lynchburg Health Care Coalition; E.C. Glass Dental Assistant Advisory Committee Chairman 1992-1994.

Wallace L. Huff, D.D.S.

Candidate for Office of: ADA Delegate

Serving our profession and representing the Virginia (mem ber) dentists to our national organization is an honor and a privilege. Having served as the chairman of the VDA Del egation to the ADA House for the past two years, I have always tried to be well prepared and available to listen to all concerns with an open mind. I believe that membership recruitment and retention will al ways be among the most important issues of our tripartite system because they relate to everything else we do. As an ADA Delegate, I believe it is imperative to bring to the forefront the desires and thoughts of the Virginia (member) dentists at the ADA House of Delegates; which is the gov erning body of the American Dental Association. When the ADA House of Delegates develops the policy of the asso ciation that will benefit the members, but will also have a budgetary impact, I have and will continue to work very hard to see that the members receive and get the services they expect and deserve. Since my graduation from dental school, I have been part of organized dentistry and during that time I have enjoyed the opportunity to participate in policy decisions at the local, state and national levels. Again, it has been my distinct honor and privilege to serve the Virginia Dental Association

as an ADA Delegate and Chairman of the Delegation to the ADA and I respectively ask for your continued support to allow me to continue rep resenting you. Name: Wallace L. Huff Address: Montgomery County Medical Arts Building 3708 South Main St. City & Zip: Blacksburg 24060 Phone: (540) 552-4781 Component: 6

CV and Biographical Information Education: VPI & SU, B.S. Biology, 1964; University of

North Carolina, M.S.; University of North Carolina Dental

School, D.D.S., 1971.

Memberships: Southwest Virginia Dental Society; VDA;

ADA; Columbia Regional Hospital (past Secretary!

Treasurer Medical Staff); New River Study Club;PSI

Omega.

Honors: American College of Dentists (past Chairman

Virginia Section); Pierre Fauchard Academy; VDA Fellow.

Leadership Activities: ADA and VDA: ADA- currently

Delegate; Chairman Virginia Delegation to the ADA; Past

Alternate Delegate and Delegate; Reference Committee

on Scientific Affairs. VDA: Currently - President, VDA;

Executive Council; VDA Executive Committee; Virginia

Dental Journal Editorial Board; Annual Meeting Commit

tee; Committee Dental Education; Ethics Committee.

( If elected a two year Alternate Delegate slot will be

available.)

Anne C. Adams, D.D.S.

Candidate for Office of: ADA Alternate Delegate

I have been involved in organized dentistry for the past sev enteen years. For the last two years I have served you as alternate delegate to the ADA. It has been an exciting and enlightening experience. I had the privilege of seeing an unanimous vote of the ADA House of Delegates for resolu tion 97 to give recent graduates the reduced dues structure for the first years of practice. I was pleased to see such a responsive house to the needs of our prospective mem bers. It will give them the opportunity to participate in the future of their career. What a challenge we have in orga nized dentistry. We have a changing world and a changing face of dentistry. I feel we need a strong membership that is made up of all dentists, mature, young, new, ethnic, fee for service, managed care, faculty, and federal service. We need to do what is best for the profession. We need to maintain a desirable profession, to attract bright and tal ented people to keep our profession viable. Our organiza tion needs to provide the best bang for the buck and if dues

Virginia Dental Journal 19

can't provide that we need to develop some new means to provide those services. We as elected officials cannot do this alone. You must provide Input to let us know what you need and want. I will listen. I would consider it a great privilege to serve you again as one of your alternate delegates in 1998.

Name: Anne C. Adams Address: 8917 Fargo Rd. Suite B City & Zip: Richmond 23229 Phone: (804) 270-6808 Component: 4 CV and Biographical Information Education: D.D.S. - Medical College of Virginia-Virginia

Commonwealth University, 1980; M.S. - Microbiology,

Medical College of Virginia-Virginia Commonwealth

University, 1975; BA-Radford College, 1967

Memberships: ADA, 1980-present; VDA, 1980-present;

Richmond Dental Society, 1980-present.

Honors: Omicron Kappa Upsilon, 1987; American

College of Dentists, 1989; Fellow, Virginia Dental Associa

tion, 1989; Pierre Fauchard Academy, 1990, Chairman,

1992-1994; International College of Dentists, 1994; VCU

Alumni Star Award, 1995.

Leadership Activities: ADA and VDA: ADA - Council on

Membership 1996-present, Chairman 1998; Advisory

Committee; Allied Dental Personnel Study; Council on

Dental Education 1993-1995.

Component Society: Richmond Dental Society - Long

Range Planning Committee 1996-1998, Chairman 1996

1998; Nominating Committee 1993-present, Chairman

1998; President 1992-1993; President-Elect 1991-1992;

Treasurer 1989-1991; Board of Directors 1987-1994; By

Laws Committee 1983-1985, Chairman 1994; Dental

Health, Public Information, and Community Involvement

Committee 1985-1991, Chairman; Children's Dental

Health Month 1985-1987; Budget and Financial Commit

tee 1991-1994; Continuing Education Committee 1991

1995; Delegate, Virginia Dental Association 1983-present.

Richard D. Barnes, D.D.S.

Candidate for Office of: ADA Alternate Delegate

I would like to again serve as Alternate Delegate to the American Dental Association. I have had the honor of serv ing as your Alternate Delegate from 1994-1997. I have been involved with organized dentistry for many years. I have enjoyed the commitment of time and energy devoted to the various aspects of the political forum. Having the opportu

20 Virginia Dental Journal

nity to serve as Alternate Delegate again would not only be a pleasure for me, but beneficial to the ADA as well. I feel that with my experience as a teacher at MCV, an active practitio ner in the field, a participant in several Operation Smile mis sions, and service as president for the VAGD, Peninsula Dental Society, and the MCV alumni Association; I am more than capable to tackle the problems that face organized den tistry in the coming millennium. My time spent as Alternate Delegate to the American Dental Association has been both a rewarding and en joyable experience. It is my sincere hope that you will allow me to serve in this capacity again. Name: Richard D. Barnes Address: 1610 Aberdeen Rd. City & Zip: Hampton 23666 Phone: (757) 826-1121 Component: 2

CV and Biographical Information Education: Virginia Tech - Biology B.S.; VCU-MCV School of Dentistry - D.D.S. Memberships: Peninsula Dental Society; Virginia Dental Association; American Dental Association; Academy of General Dentistry. Honors: Hodges-Kay Alumni Service Award; Alumni Star Award; Pierre Fauchard Honorary Society; Outstanding Dental Alumnus 1997; Outstanding Teacher Award/MCV Dental School - 1979 & 1980; OKU; Sigma Zeta; F.V.DA; FAC.D.; F.I.C.D.; F.A.G.D. Leadership Activities: ADA and VDA: Councilor to VDA 1990-1996; Alternate Delegate to ADA 1994-1997; MCV Alumni Association-President 1991-1992; VAGD Presi dent 1991-1992; Fellow Select Committee to VDA. Component Society: Secretary and President of the Peninsula Dental Society; Delegate and Alternate Del egate to the VDA. Community: Operation Smile: Phillippines and Mainland China; Committee for Dental Needs-Operation Smile International-1990.

Bruce DeGinder, D.D.S.

Candidate for Office of: ADA Alternate Delegate

Communication is our most effective tool in both maintain ing and increasing our membership. The ADA Public Aware ness campaign will depend on how effective our communi cation efforts are with our membership. We need to con tinue involving our membership in grass roots initiatives be cause it's imperative that the ADA remain a member driven organization.

Rodney J. Klima, D.D.S.

Candidate for Office of: ADA Alternate Delegate

I have been privileged to work with many new dentists and

students as a member or chairman of the VDA & ADA Mem

bership and New Dentists' Committees. The enthusiasm

and energy levels of these involved young dentists is both

Infectious and inspiring. It's imperative that we take advan

tage of their good ideas and address their concerns. To do

so, we must maintain communication with these potential

leaders of our profession. Unfortunately, young dentists are

the largest segment of dentists who choose not to partici

pate in organized dentistry.

My years of involvement with organized dentistry have reenforced the truth that we must stand together or the ex ternal forces battering our profession will tear it asunder. Our predecessors have made great sacrifices of their time and talents to give us the profession we enjoy today. It is up to the present day leaders to continue the tradition of service to our profession that has been established.

The VDA-ADA Membership Task Force exceeded its ambi

tious membership goals in both Recruitment and Retention.

It's critical we continue to actively involve as many mem

bers as possible and provide direct opportunities for all den

tists to be represented as ADA Delegates and Alternate

Delegates-vocalizing their thoughts and experiences first

hand at the nationalleve!.

I have been active at the component and state levels of organized dentistry. I would like to become involved at the national level by serving as an alternate del egate to the ADA. I would be happy to answer any specific questions you may have.

As you review my CV, I hope the depth of my involvement

and dedication to dentistry will be evident. My organiza

tional skills, past experience as an ADA Alternate Delegate,

and willingness to always give 110%

will enable me to effectively serve all

VDA dentists. I request your support

in electing me as an ADA Alternate

Delegate.

Name: Rodney J. Klima Address: 5204B Lyngate Ct. City and Zip: Burke 22015 Phone: (703) 425-5125 Component: 8

Name: Bruce DeGinder

Address: 240 McLaws Circle

Suite#153

City & Zip: Williamsburg 23185

Phone: (757) 220·9492

Component: 2

CV and Biographical Information Education: University of Virginia-Echol Scholar, Medi

cal College of Virginia-D.D.S.

Memberships: ADA; VDA: AGD; Peninsula Dental

Society; Williamsburg Community Hospital Staff; Delta

Sigma Delta.

Honors: Fellowship in American College of Dentists;

Academy of General Dentistry; International College of

Dentists; Academy of Dentistry International; Pierre

Fauchard Academy; ADA Golden Apple Award for New

Dentist Leadership.

Leadership Activities: VDA/ADA: ADA Alternate

Delegate; Chairman, VDA-ADA Membership Task Force;

VDA Delegate; VDA Executive Council; Chairman,

Membership & New Dentists' Committee; VAGD Past

President; AGD Membership Council; Council on Consti

tution and Bylaws and Judicial Procedures; ADA Local

Arrangements Committee.

Component Society: Past-President; Secretary: Executive

Committee: Membership and New Dentists' Committee.

Community: Colonial Capitol Kiwanis; MCV Alumni

Association Board of Trustees and Current Treasurer.

CV and Biographical Information Education: College of William and Mary, Chemistry 1970; Medical College of Virginia, School of Dentistry, D.D.S., 1974; Orthodontic Residency, Medical College of Virginia, School of Dentistry, 1976. Memberships: American Dental Association; American Association of Orthodontists; American Cleft Palate Association; Northern Virginia Dental Society; Virginia Dental Association; Southern Society of Orthodontists; Virginia Association of Orthodontists; Fairiax County Dental Society; Alexandria Dental Society; Medical College of Virginia Orthodontic Education and Research Foundation; College Diplomates of the American Board of Orthodontics. Honors: Omicron Kappa Upsilon; A.D. Williams Award; Diplomate of the American Board of Orthodontics; Fellow of the Virginia Dental Association; American College of Dentists; International College of Dentists; Pierre Fauchard Academy. Leadership Activities: ADA and VDA: Associate Editor, Virginia Dental Journal, 1987-1989; Board of Directors, Medical College of Virginia Orthodontic Education and Research Foundation, 1987-1993, President, 1992-1993; Co-chair ADA Grassroots for Virginia 1995-present; VADPAC 1996-present, presently VADPAC chairperson: VDA Budget and Financial Affairs Committee 1994-1997; VDA Executive Council, 1995-present; Editorial team of Reality magazine, the information source for esthetic dentistry, 1987 -1991. Component Society: Northern Virginia Dental Society Chairman, Children's Dental Health Month, 1980-1982; Editor, NOVA News, 1987-1992; Chairman, Publications

Virginia Dental Journal 21

Committee, 1987-1992; Metropolitan Dental Health Council, 1980-1983; Advisor to Northern Virginia Dental Assistants Society, 1987-1988; President, Northern Virginia Dental Society, 1994-1995; I'NDS Executive Committee, 1987-present; Delegate to VDA Annual Meeting, 1984-present. Community: Consultant, Cleft Palate Team, Walter Reed Army Medical Center, 1981-1995; Youth league soccer coach Braddock Youth Club, 1985-1986; youth league basketball coach Braddock Road Youth Club 1985-1990; Swim team representative Brandywine pool, 1986-1989; Consultant Northern Virginia Training Center for the Mentally Retarded, 1980-1986.

William J. Viglione, D.D.S.

Candidate for Office of: ADA Alternate Delegate

The Virginia Delegation has earned a high level of respect at the ADA level, not only because of Dave Whiston but also because of the excellent service of our delegation on ADA Committees. Our reputation has been won by their hard work. We all should be proud. Having spent time with most of these people in the VDA Executive Council I am amazed at their enthusiasm and information. I wish to share more in that experience. Alter nate Delegates learn and absorb the process and informa tion by being present at caucuses and ADA House of Del egates meetings. I would like to begin the process to repre sent Virginia at that level. I have the foundation of having served on Executive Council, the willingness to sacrifice time to attend necessary meetings and the desire to communicate in formation to the membership. I ask for your support for the honor to serve as ADA Alternate Delegate. Name: William J. Viglione Address: 3025 Berkmar Dr. Suite 4 City and Zip: Charlottesville 22901 Phone: (804) 973-4355 Component: 7 CV and Biographical Information Education: University of Richmond - B.S. (Biology), Class President, 1969; Medical College of VirginialVirginia Commonwealth University - D.D.S., Yingling-Lyons Award, 1972; US Army, General Dentistry Resident, Ft. Sam Houston, 1972-1973; Chief Dental Officer, Ft. Deitrick, Frederick, Maryland, 1973-1975. Memberships: ADA; VDA; Shenandoah Valley Dental Association; Beta Beta Beta; ODK Leadership Society; Phi Gamma Delta; OKU; Delta Sigma Delta; AGD; Charlottesville Dental Society.

22 Virginia Dental Journal

Honors: Fellow of the Virginia Dental Association; Fellow of the American College of Dentists; Pierre Fauchard Academy; Who's Who Among Execs and Professionals. Leadership Activities: Treasurer and President of Charlottesville-Albemarle Dental Society; President-Elect and President of Shenandoah Valley Dental Association; Delegate of VDA House of Delegates; VDA Executive Councilor from Component VII; Peer Review Relations Committee (Chairman component level and State level); Reference Committee Chairman; VDA Fellows Selection Committee; Representative for VDA on State Legislative Committee to Study Shortage of Dental Hygienists. Community: Church - Lector and Past President Parish Council; Member Board of Ronald McDonald House; Free Clinic Organizer and Volunteer; Member Republican Party Committee; Dental Consultant for Our Lady of Peace Retirement Community; Graduate of Spiritual Director Institute.

Edward J. Weisberg, D.D.S.

Candidate for Office of: ADA Alternate Delegate

The House of Delegates of The American Dental Associa tion adopts the budget and develops the policies and pro grams of our Association. In seeking the position of Alter nate Delegate to the ADA I am committed to a broader in volvement base which will enhance my commitment to the VDA and serving my colleagues, its members. I will be open minded and listen to any member who has an opinion and will formulate a position which will best benefit our Vir ginia members not just the needs of only a few. As an Alternate Delegate, I will have the opportunity to use my budgetary experience to help scrutinize the ADA Bud get Proposals and insure that our dues dollars are spent in the best possible manner. I have been active in my support of Orga nized Dentistry and ask for your support to elect me for this office.

Name: Edward J. Weisberg Address: 801 W. Little Creek Rd. Suite 103 City & Zip: Norfolk 23505 Phone: (757) 440-0044 Component: 1 CV and Biographical Information Education: College of William and Mary-B.S. Biology 1969; Virginia Commonwealth University-Medical College of Virginia-D.D.S. 1973. Memberships: ADA;VDA;Tidewater Dental Association 1973-present; DePaul Hospital Staff 1973-present; Alpha Omega. Honors: Fellow-VDA 1993; International College of Dentists 1995.

Leadership Activities: ADA and VDA: VDA Executive Council 1994-present; VDA Budget and Financial Affairs Committee 1991-1994 (Chairman 1992-1994); Audio-Visual Chairman Annual Meeting 1983, 1994; member Ad Hoc Committee on X-Ray Regulations. Component Society: President 1992-1993; Treasurer 1990-1992; Budget Committee 1990-1996 (Chairman 1990-1994); Executive Committee 1983-present; Patient Relations Committee 1980-1984 (Chairman 1982-1984); Chairman Membership Committee 1979; Delegate to Annual Meeting 1984-1994; Alternate Delegate 1980-1983: Member Tidewater Dental Association Foundation (Dorothy Ferris Foundation) 1984-1988 (President 1987-1988). Community: Alpha Omega Tidewater Virginia Alumni Chapter, President, Vice- President, Treasurer, Secretary; DePaul Hospital Department of Dentistry, Departmental Secretary, Associate Chairman; Old Dominion University, Dean's Advisory Board to the School of Dental Hygiene; Wards Corner Optimist Club, Board of Directors, Presi dent, Vice-President; Norfolk Chamber Consort Board of Directors, Founding Board Member, Treasurer, President. Young Audiences of Virginia, Board of Directors; Temple Israel Synagogue, Board of Directors, Vice President.

ViRGINIA BOARD OF

DENTISTRY

July 1. 1997 - June 30. 1998 The Virginia Board of Dentistry IS appointed by the Governor and is composed of seven dentists. two hygienists and one citizen representative. Contact the Board office or a member of the Board on questions on rules and regUlations. Mark A. Crabtree, DDS--President

French H. Moore .Ir., DDS--Vice-Presldent

Nora M. French. DMD

Monroe E. Harris. Jr. DDS

Michael J link, DDS

Edmund E. Mullins. DDS

Gary Taylor, DOS

Carolyn B. Hawkins, RDH

Stephanie P Olenic, RDH

Pat K. Watkins

STAFF

Marcia J. Miller. Executive Director

Pam Horner, Administrative Assistant

Kathy Lackey, Administrative Assistant

Lychia Morris. Office Services Specialist

6606 W. Broad Street, #401

Richmond, VA 23230-1717

(804)662-9906 FAX(804)662-9943

SPECIAUZEIN DENTAL EXCELLENCE. Today's Air Force offers a challenging specialty practice...without the pain of office administra tion and overhead. Be the specialist you've always wanted to be. Take flight as an Air Force officer with: • great pay & benefits • well-equipped facilities • support of skilled technicians • 30 days vacation with pay per year Learn how to qualify for our worldwide dental service. You may qualify for our $30,000 sign-on bonus. Call

1-800-423-USAF

AIM HIGH

Virginia Dental Journal 23

HELP NEEDED. Dentalscientists need research dollars. Support the "Excellence Through Research足 An Investment in Our Future" Campaign which will establish an Institutefor Oral and Craniofacial Molecular Biology at the School of Dentistry, Medical College of Virginia of Virginia Commonwealth University. Call the School of Dentistry at 804.828.4695.

Paid for by theMedical College ofVirginia Foundation.

?4 Virnini8 r1Ant81 Journal

[II FROM THE EXECUTIVE DIRECTOR...

The auditorium was full of winners at the Virginia State Science and Engi neering Fair in Arlington and the Virginia Dental Association was among them. The 200 plus secondary school students gathered at Thomas Jefferson Middle School represented all areas of the Commonwealth. They were win ners of Science contests at their own high schools and then judged to be the best at fourteen regional competitions, prior to advancing to Arlington. The Virginia Dental Association was there primarily through the efforts of Dr. Tim Russell of Alexandria. Dr. Russell has worked for a number of years with the State Science Fair as a volunteer judge and has also spent consid erable time convincing the Virginia Dental Association and the American Dental Association that we want to be a part of this worthwhile endeavor. He's absolutely right. Fortunately, the VDA listened to Dr. Russell and funded the Bennett Malbon Prize, beginning in 1997. The ADA listened well enough to establish a category in the Golden Apple Award program for Dentistry's involvement in science fairs. As Dr. Russell commented, being involved with this project is both "exhila rating and reassuring." He's absolutely right again. The students in Arlington represent what's right with schools, kids, and families. VDA's involvement is an easy "win-win" situation; we honor students with tremendous academic potential in the sciences and get credit for recognizing them. This is the kind of positive public awareness we can use. Dentistry presents certificates of achievement to winners in each of fourteen categories, from Biochem istry and Botany to Physics and Zoology. These winners are chosen by a panel of dental jUdges (all member dentists from the Northern Virginia Dental Society) and the primary focus is the research and academic relevance of the projects. From this group, the Malbon "nominees" if you will, dentistry's grand prize is awarded, with all the excitement and tension of Oscar night. Immediate Past President Will Allison presented the 1998 Dr. Bennett Malbon Prize, accompanied by a $500 scholarship check, to Ms. Tori Hogan, a sophomore from Langley High School, for her work on "The Use of DNA Microarray." Ms. Hogan was chosen over four runners-up: Zachary Ashman (Stone wall Jackson High School) "ABC Links: Assistance with Books through Computer Linkage"; Kelly Seaton (Dayspring Christian Academy) "Three-Dimensional Simulation of Clay Barrier Technology for Ground water Remediation"; Sirisha Kalicheti (Chantilly High School) "An Ecological and Spectroscopic Analy sis of Gunston Cove"; and Carolyn Dickerson (Emmanuel Christian School) "The Study of Foodborne Intoxicants: Hunters, BEWARE!". While my Saturday schedule with dentistry has increased significantly in the past several years, this was one Saturday event I thoroughly enjoyed. As a result of being involved in this year's competition, I intend to recommend to the appropriate VDA Committee that we earmark additional funds to allow us to present a $50 prize to each of the fourteen category winners, in addition to the certificates of achieve ment. I know that Dr. Russell would be happy to make that motion and Dr. Allison has already assured me that he will second. It really is a minimal investment with a significant payoff: investing in the future through today's top students. We can't lose. William E. Zepp, CAE Executive Director

Virginia Dental Journal 25

1998 VIRGINIA GENERAL ASSEMBLY OVERVIEW

Chuck Duvall, Jr., VDA Lobbyist The longest regular General Assembly session on record finally adjourned on March 17, 1998 - at lease temporarily. The centerpiece of the 1998 session of the Virginia Gen eral Assembly was Governor Gilmore's car tax proposal, which when fully implemented in five years will require al most 10% of the state's general fund revenue to be returned to individual tax payers. This measure and state funding for school construction were the subject of much legislative debate. The members of the Virginia General Assembly, late in the evening of March 17th, agreed to enact a biennial budget (1998-2000) and set aside appropriate funds to cover the first two years of the car tax personal property phase-out and provide funds for school construction. These set-aside funds will be appropriated in detail and statutory language to accomplish this purpose will be considered during a three day special session scheduled for April 22, 23, and 24, 1998. This session will run concurrently with the Veto Session, which is scheduled for April 22, 1998. The Veto Session is designed to allow the General Assembly to review amend ments or vetoes to legislation handed down by Governor Gilmore. We have attempted to list in this update items of specific importance to Virginia Dental Association (VDA) members. Over $10 million added to Medicaid dental service budget: The 1998-2000 biennial budget, which was finally approved on March 17, 1998, contains over $10 million in additional money for Medicaid dental service reimbursements. As you may recall, the 1998-2000 budget presented by Gov ernor Allen contained the following proposed increases in Medicaid reimbursements for dental services: General Fund Non General Fund TOTAL

$3.1 Million $3.3 Million $6.4 Million

In light of the fact that Governor Allen had many budqetary demands to consider, VDA is indebted for his recommended increase in Medicaid reimbursement for dental services. The sums in his original bUdget, however, did not provide the appropriate reimbursement rates that had been recom mended. by a study conducted by The Williamson Institute at VCU/MCV. In the final adopted budget, the total figures for Medicaid dental rate reimbursements for the 1998-2000 biennium will be: General Funds $4.9 million Non-General Funds $5.2 million TOTAL $10.1 million

26 Virginia Dental Journal

The budget amendments also require DMAS to establish a dental health coalition whose main objective is to expand availability and delivery of dental services to the Medicaid pediatric population. The coalition is required to focus on methods to increase the number of dentists participating in the Medicaid program and how to increase the level of par ticipation by those dental providers currently enrolled in the program." Representatives of the dental community are being asked to serve on this coalition. Names thus far recommended to the Department of Medical Assistance Services (DMAS) are: Representing VDA: Dr. Joseph A. Paget Jr., Blacksburg Dr. Vicki Tibbs, Quinton William E. Zepp, CAE, Executive Director, VDA Representing the Virginia Association of Orthodontists: Dr. William Horbaly, Charlottesville Dr. Thomas E. Spillers, Richmond The ball is really in the dental communities' court now. With the increased Medicaid dental services reimbursement rates, with the formation of a dental services coalition within DMAS, and with the attention that has been focused on this issue, dentists must respond to the call. Legislators were impressed with the message that was de livered by VDA members on this subject They now need to be truly impressed with the response that is given and with the care that is also provided to Virginia's needy youngsters. This was issue that took a lot of cooperation, coordination, and input. From the introduction of The Williamson Institute Study in the 1997 budget amendments, through the partici pation by over 1,200 dentists in their survey and focus groups, the involvement with literally hundreds of dentists contacting legislators, the assistance provided by many of the agen cies that work directly with Medicaid recipients - all of these individuals need to be recognized and need to understand that they have performed a valuable service for Virginia's in fants and children. Kid Care Still Up in Air: The federal Balanced Budget Act of 1997 created a new Children's Health Insurance Program (Kid Care), which was designed to enable states to initiate and expand health in surance coverage for uninsured children. The Virginia Health Department had estimated that nearly one-third (11 3) of the state's uninsured are children. The total is around 214,000 young people.

Virginia's share of the so-called Kid Care allocation totals approximately $70 million. The debate that ensued during the 1998 session of the Virginia General Assembly basically centered on whether to have Medicaid initiate this program or to have an outside entity (Trigon, an HMO, etc.) be the administrator. There was and is debate concerning the per centage of the poverty rate that should be eligible to receive these funds, i.e. 150%, 175%, 185%. Two bills passed the General Assembly. HB 1074 patroned by Delegate Ken Melvin (D-Portsmouth) and SB 433 patroned by Senator Stanley Walker (D-Norfolk). Both of these gentlemen serve as members of the Joint Commis sion on Health Care, which supported these measures and helped to draft them. These identical bills allow Medicaid coverage for children from birth to age 19 and families with incomes of up to 150% of the poverty level. They also pro vide a Medicaid look-alike program for children and fami lies with incomes up to 185% of the poverty level with pre miums and copayments calculated on a sliding scale based on income. Governor Gilmore has indicated that he plans to veto both of these measures since he does not favor the expansion of Medicaid. Governor Gilmore prefers to have Kid Care coverage provided through a private insurer or HMO, not through Medicaid. Undoubtedly, this will be the subject of much debate during the Veto Session scheduled for April 22, 1998.

Dental Hygiene Funding: In an effort to follow through on information that was pre sented as a result of a study of the shortage of dental hy gienists conducted by the General Assembly in 1997, the General Assembly this year approved $350,000 for the ex pansion of the dental hygiene program at Germanna Com munity College. This program will parallel, in many respects, the program recently started at the Danville Community College that uses the Community College System Distance Education Program. This program includes compressed video courses by computer and multimedia self-contained courses designed to provide educational opportunities. The Community College System, during 1998, will be re viewing the opportunities to provide additional training in the Shenandoah Valley area. The 1997 General Assembly study indicated that the Valley area, at present, does not have ample dental hygiene training programs in place.

Dental Hygienists Administering Local Anesthesia Put to Sleep in Senate Committee: At the request of the Virginia Dental Hygienists Associa tion, Senator Joe Gartlan of Northern Virginia introduced Senate Bill 627, which if it had passed, would have instructed the Board of Dentistry to draft appropriate regulations to allow dental hygienists, under the direct supervision of a dentist, to administer local anesthesia. That measure, which received a positive vote in the Senate Education & Health Subcommittee on Health Professions

was defeated in the full committee on a vote of 11 to 4. The committee vote was as follows: SUPPORTED VDA'S POSITION Senator John Chichester (R-Fredericksburg)

Senator Emily Couric (D-Charlottesville)

Senator John Edwards (D-Roanoke)

Senator Edward Houck (D-Spotsylvania)

Senator Louise Lucas (D-Portsmouth)

Senator Steve Martin (R-Richmond)

Senator Steve Newman (R-Lynchburg)

Senator Russell Potts (R-Winchester)

Senator Frederick Quayle (R-Chesapeake)

Senator Stanley Walker (D-Norfolk)

Senator Jane Woods (R-Fairfax)

SUPPORTED HYGIENISTS' POSITION Senator Senator Senator Senator

Warren Barry (R-Fairfax)

Janet Howell (D-Reston)

Benjamin Lambert (D-Richmond)

Richard Saslaw (D-Springfield)

The effort to defeat this measure received outstanding sup port by the VDA membership. Hardly any member of the legislature was not aware of this particular bill. The morn ing the measure was heard in the full Senate Education & Health Committee over 20 dentists from around the state were in attendance as former VDA President Ron Tankersley explained VDA's opposition to this measure. Though soundly defeated in the Senate committee and de feated two years ago in the House of Delegates, already rumblings from the dental hygienists indicate that in all prob ability they will be back in 1999 with another bill. VDA's opposition remains intact. As you have the opportu nity between now and the 1999 session of the Virginia Gen eral Assembly, continue to echo VDA's opposition to allow ing dental hygienists to administer local anesthesia. That opposition is based upon the following points: *

Once a local anesthetic is injected into the body of a patient the procedure cannot be reversed by counter measures.

Dental hygiene training does not address irrevers ible procedures.

Of the approximately 24 states currently allowing some form of anesthesia administration by hygien ists, virtually 90% are in the West and no two sit uations are alike.

While some dentists may favor this legislation, many hygienists oppose it.

Virginia Dental Journal 27

There is absolutely no demand from the general public for this legislation.

There is no significant demand from the employer dentists for this legislation.

As we stated in our earlier legislative bulletin, this is not a turf war. This is a war declared by organized hygienists to advance their political agenda. This is the one procedure in your practice that can prove to be fatal to your patient. The bottom line is that this is an issue of patient safety and patient protection. Assignment of Benefits: Delegate John Tate (D-Marion) introduced, at the request of the Virginia Dental Association, HB 1230. This bill was designed to allow insured parties to assign their benefits to the provider of their choice. In the fall of this year, one of Virginia's major health care providers notified its insurees and providers that it would no longer allow the assignment of benefits to non-network professional providers. The rationale was that this would add value to their product." In reality, it was a measure designed to force all providers into their network. This new policy, which under a previous structure of this company would have been prohibited by state law, forces insurees to receive their benefit payments personally. Re fusal on the part of a third-party payer to honor assignment of payment creates several unnecessary steps in the deliv ery of health care and fails to meet any public or patient need. A third-party payer's refusal to honor assignment of ben efits seeks to generate a procedural obstacle and attempts to create a negative change in traditional patient/provider relationship. Both the patient and provider are being penal ized for exercising their freedom of choice. As you would expect, this measure received the attention of many in the insurance community. The day the measure was to be heard in subcommittee, no less that 20 lobbyists representing various insurance carriers were in attendance. In deliberations with the chief patron, Delegate Tate, VDA decided to carry the bill forward to 1999. A mistake on the part of the committee recorded the vote as stricken". This necessitates the reintroduction of this measure in 1999. Between now and the 1999 session of the Virginia General Assembly, it is important that VDA members communicate with legislators to impress upon them that assignment of benefits is consumer-oriented legislation designed to grant maximum flexibility to the patient who must avail himself or herself of health care services. Denial of the right to assign is a harassing technique being used by some insurers to make the subscribers feel negatively toward the health care provider who refuses to participate in their network.

28 Virginia Dental Journal

Reimbursement for General Anesthesia for Special Needs Dental Care: Pediatric dentists in the Commonwealth have brought to the attention of the VDA a problem they are encountering from various insurance carriers regarding reimbursement for general anesthesia when providing special dental ser vices. Pediatric dentists have indicated that they have spe cial needs children who cannot be treated without general anesthesia. The same is true with some individuals who may be handicapped. At the request of the Virginia Dental Association, Delegate Jim Shuler (D-Blacksburg) introduced HB 931. This mea sure, which was assigned to the House of Delegates Com mittee on Corporations, Insurance and Banking was referred to the Special Advisory Commission on Mandated Health Insurance Benefits in the Bureau of Insurance. The Man dates Commission is an agency that was created by the General Assembly to allow for a more detailed review of insurance policy mandates. During 1998, this issue will be reviewed in detail by the Com mission. It is incumbent upon VDA members to present accurate information that can assist the Commission in making an appropriate recommendation to the 1999 ses sion of the General Assembly. Point of Service Legislation on the Way to Governor's Desk: HB 1075, patroned by Delegate Ken Melvin (D-Portsmouth) would require closed-panel HMOs to offer employees with group health coverage a point-of-service option that would allow them to use a non-HMO provider. The employee choosing the POS option would pay for all additional costs associated with the benefit. VDA worked with Virginians for Patient Choice (VPC), a patient provider coalition, to make certain that a point-of service option for managed care policies was studied by the Joint Health Care Commission during 1997. Dr. Les Web, a past-president of VDA, was appointed to that study. The subcommittee met several times and received a report from an actuary hired by the state that indicated the costs to the overall HMO plan would be minimal while the costs to the individual employee, who must bear the additional pre mium, would vary from plan to plan. Business and industry groups have fought this measure tooth and nail through the legislative process. The legisla ture, however, has seen fit to send it on significant votes (House votes: 84-14/Senate votes: 28-12) to the Governor for his signature. The Governor undoubtedly will receive much input from those in the business sector requesting that he veto or severely amend this legislation. VDA mem bers so inclined should contact the Governor's office (The Honorable James S. Gilmore, III, Governor of the Common wealth of Virginia, P. O. Box 1475, Richmond, Virginia, 23212/phone: 804/786-2211) and indicate support for this measure. The Governor has until April 16, 1998, to sign, veto or amend any legislation sent to him.

Quality Assurance - Managed Health Care: After a year's study, Governor Gilmore sent down a measure to establish a Quality Assurance Certification Program for Managed Care Health Insurance Plan licensees in the Com monwealth. SB 712, patroned by Senator Steve Martin (R Chesterfield), has been approved by the legislature and will go back to the Governor for his concurrence. Probably no measure in this year's General Assembly ses sion received more time or attention than SB 712. Meeting after meeting was held where I's" were dotted and T's" crossed. The bill requires that all managed health care insurance plans secure a certificate of quality assurance from the Virginia Department of Health. The Health Department has been placed in a position of receiving complaints from consumers regarding managed care health insurance plans and investi gating those quality and access concerns. This measure grew out of the fact that there was a question as to where quality of care complaints registered with re gard to managed health insurance plans would go for ap propriate response. Initially, a Memorandum of Understand ing was developed between the Bureau of Insurance and the Health Department whereby those complaints received by the Bureau of Insurance were referred to the Health De partment. With the passage of SB 712, strict guidelines and procedures are put in place so that the public knows they can turn to the Department of Health for appropriate review with regard to quality care and access issues. If a patient has a complaint about quality of care or access to care in an HMO, you should encourage them to call the Virginia Department of Health Center for Quality Health Care Services and Consumer Protection at 800/955-1819.

Volunteer Dentists: During the 1997 session of the General Assembly, HB 2134 was introduced by Delegate George Grayson (D-James City County). That measure established a volunteer dentist li cense. HB 1023, approved by the 1998 General Assembly is an attempt to refine that legislation. The measure re quires a sponsorship by a licensed dentist for a volunteer dentist to be able to qualify to receive a restricted license to practice only in a free clinic. Miscellaneous Other Issues: Virginia Dental Clinic receives funds. In a budget amendment approved by both houses, the Northern Vir ginia Dental Clinic received $25,000 in General Fund rev enue during the 1998-2000 biennial budget.

HMO liability. Several pieces of legislation designed to place HMOs under existing medical malpractice liability statutes were carried forward to the 1999 session. They were carried forward because a study resolution, HJR 216, patroned by Delegate Bill Howell (R-Fredericksburg) call ing for a study of this topic, was approved. Dentistry advertising. Several members of the leg islature expressed concern with regard to existing statutes and regulations governing the advertising conducted by den tists. With the understanding that the Board of Dentistry was looking into this subject matter, none of those mea sures were Introduced. Study of Health Regulatory Boards. HJR 139, patroned by Delegate Jay DeBoer (D-Petersburg), requests that the Joint Legislative Audit and Review Commission (the legislature's investigative arm) review the operations and effectiveness of Virginia's Health Regulatory Boards. In cluded in that would be the Board of Dentistry. Drug switching. Several measures designed to stop entities from trying to get prescription drugs of Virginia pa tients switched to chemically dissimilar prescription drugs were held up in committee. The Senate Education & Health Committee carried over a senate bill as well as a house bill for further review during the course of 1998. There is a legislative study that will be reviewing these topics. Health Summits. HJR 175, patroned by Delegate Harvey Morgan (R-Gloucester) calls upon the Commissioner of the Virginia Department of Health to support local health summits. Nitrous Oxide. HJR 206, introduced by Delegate George Grayson (D-James City County) was referred to the Crime Commission to study the possession, distribution and use of nitrous oxide. Certificate of Public Need (COPN). A measure in troduced by Senator Charles Hawkins (R-Chatham), SB 603, would have removed ambulatory surgery and magnetic reso nating imagining from the definition of medical care facility for obtaining a Certificate of Public Need. The bill was amended to make it applicable to MRI's. There will be a study regarding the inclusion of ambulatory surgery centers in similar legislation during 1998.

Board of Dentistry measure is rejected Two bills introduced at the request of the Virginia Board of Dentistry (SB 277 and SB 348) designed to allow for additional com pensation for examiners hired by testing agencies were stricken from the committee dockets. The committees re viewing these measures felt they needed additional input before moving forward.

Virginia Dental Journal 29

reason for our

SUCCESS

9•

- We could give you

DELTA DENTAL"' DeltaDental Planof Virginia

At DelIo Dento

rcpulOflon

I::' bUI,1 01'

nori

I10r,

40 j f; ~r"rk('1' P'o"d RO'lI1"kr, \',rgll1l,' 2J,' \ 4 I 'O,ll"! q - bl'6C' success

\\\\,'w.L1vlrrldcnrrli\'d

l(ll1l

DENTISTS CARRY MESSAGE TO THE HILL

II]

Lisa M. Finnerty, VDA Public Affairs Coordinator

The third national ADA Grassroots Conference was held March 1-3, 1998, in Washington, DC. Twenty-seven reg istrants represented the Virginia Den tal Association. The ADA provided an exciting agenda comprised of courses and sessions on grassroots techniques and strategies. The breakout sessions included courses from meeting with your legislator to open seat races: how to pick the winning horse. Because it is a federal election year, 1998 presents the opportunity for ADA action teams and members to work closely with can didates for congressional office. Con ference attendees were entertained by a point-counterpoint with Mark Shields

vs. Bob Novak and Charlie Cook's po litical forecast. Georgia Representa tive John Linder, D.D.S. (R-11) and Texas Representative Martin Frost (0 24) shared their views on the 1998 battle for control of the house. On the final day of the conference the US Sec retary of Health and Human Services, The Honorable Donna Shalala, ad dressed conference participants. Fol lowing her presentation dentists pro ceeded to Capitol Hill where they lob bied their legislators. Virginia Dental Association members met with eleven Virginia Congressmen and both Sena tors to discuss issues pertaining to den tistry and the nation's oral health.

Dr. Dave Whiston addresses the Opening Session at the third annual Grassroots Conference.

The issue which received the most attention was PARCA, the Patient Ac cess to Responsible Care Act (HR 1415, S644) sponsored by Representative Charlie Norwood a dentist (R GA) and Senator Alfonse D'Amato (R-NY). Cur rently PARCA has 225 bi partisan co-sponsors, 90 Republicans and 135 Democrats. PARCA pro vides critical protections for working Americans and their families. Under PARCA, health plans would be accountable for policies and decisions that affect patient well

being. PARCA reestablishes patients freedom to choose, ensures patients know all their options and provides standards for quality improvement. Ad ditionally, PARCA would close the ERISA loophole which limits damages that can be sought in a judgement to the cost of the procedure. ERISA cur rently covers 125 million Americans. Republican legislators are experienc ing pressure from their leadership to remove their names as co-sponsors of PARCA. The Republican leadership, however, does recognize that patient protection legislation is of major impor tance to their constituents. Task forces have been set up to figure out how the Republican Party should deal with this issue. Legislation is expected from the House Task Force by May. However, the ADA expects that the bill will be very narrow in scope. Likewise, a Demo cratic bill has been introduced. The ADA continues to tully support PARCA. The following Virginia Con gressmen are co-sponsors of PARCA: Representatives Virgil Goode (0-5); James Moran (0-8); Rick Boucher (D 9): Frank Wolf (R-10), and Tom Davis (R-11). If you have any additional questions re garding PARCA or would like to be come involved with the ADA Grassroots Network please contact the ADA Washington Office at 888/ ADATEAM. r»

ffi

C C

Kim Anderson, aide to Chuck Robb, hears the concerns of VDA members.

The Opening Session is entertained and enlightened by political pundits Bob Novak and Mark Shields.

Virginia Dental Journal 31

Paid Advertisement

"Hands-on" Courses For Your Assistants!"

Virginia School of Dental Assisting /I

Educating Virginia's Finest Dental Assistants"

Central Virginia Campus 1905 Huguenot Rd, #200 Richmond, Virginia 23235 Local Phone 804-794-1754

Western VirginiaCampus Roanoke, Virginia Northern VirginiaCampus Fairfax, Virginia

State Wide Fax

Toll Free in VA

1-804-794-7974

1-888-99-DENTAL

Fabricating Temporary Crowns Course Includes: => => => => ::::> ::::>

Bleaching Trays & Athletic Guards

Course Includes:

=> => => => => =>

Various Provisional Materials Used Shaping & Contouring* Direct Vs. Indirect Techniques Custom Shading Single & Multiple Unit Written Materials to Take Home ( *Must Provide Your Own Slow Speed Handpiece)

Use & Maintenance of Vacuum Former

Choosing the Correct Materials Fabrication of Bleaching Tray & Athletic Guard* Athletic Guard Strap Attachment Trimming & Finishing Marketing Skills For Your Practice (*Must Provide Your Own Trimmed Stone Models)

VSDA Registration Form Spring-Summer 1998 Name ----=-..,......-;::----:-;---::-;---:-c:-:-;:-----=--,---,-----:-:----:~:;--- SS#

Print Name as You Would Like For it to Appear on Your Certificate

Home Phone Address Dental Practice Name Dental Practice Address Birth Date VISA or MC # Print Name of Card Holder

Work Phone City

Sex M _

_ _ _ _

Zip

County or City of Residence _ Expires _ Signature _-:-:::-----:_---:-_ _----,,--__

Please enroll me in the course listed below: Check one please. This form may be duplicated for other assistants or students,

Registration is accepted until class begins, provided that a class is not full. VSDA may cancel any class w/o notice ifenrollment is low.

Check Here

Course # 101 101 101 101

VA X-RA Y CERTIFICA nON COURSES Saturday, Saturday, Saturday, Saturday,

April 25, 1998 May 23, 1998 June 27, 1998 July 18, 1998

(Richmond) (Roanoke)

(Fairfax) (Richmond)

Time 8am-5pm 8am-5pm 8am-Spm

Cost $109 $109 $109 $109

8am-4pm 8am-4pm

$245 $245

9am-lpm

$165

Sam-Sum

FARBICA nNG TEMPORARY CROWNS 103 103

104

Friday, May 29, 1998* (Richmond) (7 CE Hrs) Friday, July 17, 1998* (Richmond) (7 CE Hrs) (* Must Bring a Slow-Speed Handpiece) BLEACHING TRAYS & ATHLETIC GUARDS Friday, June 12, 1998* (Richmond) (4 CE Hrs) (*Must Bring Models of Teeth)

Mall [hiSregistranon lorm and credit card information or check (payable to VSDAI to: Virginia School 01 Dental ASSJStJl1g. 1905 Huguenot Road, Suite 200, Richmond. Virginia 23235, Or Fax it (credit card only) to 804-794-7974

VADPACNEWS Alfred C. Griffin, Jr., D.D.S., Immediate Past Chairman

The Virginia Dental Political Action Committee sponsored several events in conjunction with the Virginia Dental As sociation midwinter committee meetings. On Friday, Janu ary 30, 1998, the ADPACIVADPAC continuing education seminar was held with Bob Levoy as the featured speaker. His presentation was well received and much appreciated. That evening the annual VADPAC leadership dinner was held with Lt. Governor John Hagar as our speaker. Prior to the dinner, Lt. Governor Hagar addressed and entertained members of the VADPAC Governor's Club at a special pri vate reception. After dinner, Lt. Governor Hagar shared with us his great insight on various topics of interest to us, both as dentists and citizens of the Commonwealth of Virginia. Following Lt. Governor Hagar's remarks, several compo nents were honored for their outstanding achievement dur ing this past year's VADPAC campaign. The eight compo nents of the Virginia Dental Association are divided into two categories based on their size. The following compo nents were honored for their commitment to VADPAC and to their commitment to the profession of dentistry:

1) Highest Percentage VADPAC Commonwealth Club Mem bers: Category A, Component 4 VADPAC representatives Dr. HA "Jack" Dunlevy and Dr. Roger E. Wood. Category B, Component 1 representatives Dr. James W. Meares and Dr. Harvey H. Shifflett, III. 2) Highest Percentage Overall VADPAC Membership: Cat egory A was a tie between Component 2, under the direction of Dr. Bruce R. DeGinder and Dr. William R. Parks and Com ponent 3, Dr. Michael R. Hanley and Dr. James L. Slagle, Jr. Category S, Component 1, representatives Dr. James W. Meares and Dr. Harvey H. Shifflett, III. Permanent plaques honoring the achievements of these components for this past year hang in the Virginia Dental Association central office in Richmond. With every legislative session, new issues are introduced that will directly affect the integrity of our profession as well as the quality of dentistry provided to our patients. At no time in recent history has it been more important than now to support our lobbying effort by your contribution to VDAPAC. Organized dentistry's position on the issues will only be heard if we have the opportunity to speak. Please support this year's VADPAC chairman, Rod Klima. and the rest of the VADPAC committee with your generous contribution today.

Dr. Wally Huff extends a hearty welcome to the Lt. Governor, John Hagar, during the VADPAC reception.

Bob Levoy uses a brown paper bag to demonstrate his point during the ADPACi VADPAC Seminar. On behalf of the Virginia Academy of General Dentistry, Dr. Gerry Brown presents a generous donation to VADPAC.

Virginia Dental Journal 33

'R6 week~

Vavalifln

~ve'Y Year", o;>~.....

_"""-..

For the Rest of Your Practice Life with

AFTCO's 3-Day Practice Program!

Enjoy the following benefits:

• • • • •

Fund your retirement plan Protect the value of your practice Eliminate stress Improve your golf score Add quality to your life

v~\J~BRAl'~Q

It's time to call AFTCO!

'tAQS opJ G~ ~XCEL\..~

1-800-232-3826

Visit our Website: www.aftconet.com Offices Located Nationwide!

ADA AWARENESS CAMPAIGN A. Reed Boyd, III, D.D.S., Chairman VDA Committee on Membership

As you know, the American Dental Asso ciation is studying a proposal designed to heighten the public's awareness of dentistry. The proposed ADA "Awareness Campaign" is to be decided by the ADA's House of Delegates this coming October in San Francisco. The Committee on Membership of the VDA has been charged by the Executive Council of the VDA with making the Awareness Campaign Video available to the membership of the VDA. As Chair man of the Membership Committee, I am writing to you for several reasons. Most importantly, the Membership Com mittee wants to provide you with some of the basic facts about the proposed Aware ness Campaign. It started as a grassroots proposal. The idea and need for this cam paign began with a constituent society of the ADA. It began with the MEMBER SHIP of the ADA, not the LEADERSHIP. Some members felt that the image of our great profession of dentistry has been tar nished lately by the adverse publicity about AIDS and dentistry, mercury amal gam and 60 Minutes. Indeed, a recent Gallup Poll of public opinion revealed that our profession has slipped to fifth, behind physicians, in public trust and confidence. Some members feel that the image of our profession needs to be enhanced and that dentistry needs to be presented to the public in a positive light. And so, the idea for a public awareness campaign was born. Last year, the ADA House of Delegates, in response to a grassroots membership effort, allotted some money to hire a pub lic relations firm to develop a plan for en hancing the public's knowledge and awareness of dentistry. Jordan and As sociates was chosen to develop the awareness campaign. Using some sur vey results, they developed a strategic plan aimed at heightening the public's awareness and interest in dentistry. All of this is detailed in the video that the ADA has produced and made available to each component within our state. THE MEM BERSHIP COMMITTEE URGES YOU TO VIEW THE ADA AWARENESS CAM PAIGN VIDEO SO THAT YOU FULLY UNDERSTAND THE PROPOSED CAM

PAIGN AND ARE IN AN INFORMED POSITION TO MAKE A DECISION ON THE CAMPAIGN. Personally, I do not think the primary pur pose of this campaign is to advertise den tistry and attract patients to our individual offices. Rather it is to enhance the im age of our entire profession and increase the public's awareness of dentistry. If the proposal carries, some people may con tact a dental office and start being regu lar patients due to their heightened aware ness from the spots. It may be that more patients will accept the proposed treat ment that has been recommended by their dentist. However, we do not feel you should make your decision on the Aware ness Campaign based on numbers of new patients coming to your individual office or treatment plans possibly accepted be cause of this campaign. This campaign is more about the image of dentistry and the public's awareness or opinion of it. Lately, our profession has received a black eye from the media, OSHA, and insurance companies. We are the brunt of many jokes on the most popular sitcoms on television. This campaign IS about restoring the dig nity, high ideals, integrity, ethics, morals and values of our profession in the eyes of the American public, our patients. The television spots that have been developed show dentistry in a favorable light to de velop trust and confidence in the dentist. They show smiling faces, believable people. Dentistry is portrayed in a pro fessional and positive way. The television spots show all types of people in all types of settings while promoting a powerful message, prevention, with the statement "a look that will last". The spots use a broken down fence and a beat up piano as examples of what happens with ne glect. They stress the importance of care and repair to restore "the look that will last" and prevent the damage that occurs through neglect. The television spots also highlight some of the latest treatment tech niques and advances in instrumentation. The Membership Committee asks you to make it a point to watch this 25 minute Awareness Campaign Video We ask that you make a decision on the campaign

and return one of the survey cards. This is a campaign about our profession as a whole, not us as individual dentists. This campaign is for the good of dentistry. not the dentists themselves. You need to make your decision with those premises in mind. Look around your life and see what dentistry has done for you and then ask yourself, what have you done for den tistry lately? Then make your decision on the Awareness Campaign! Before you make your decision, you must realize there is a cost. The proposal is estimated to cost $30 million a year for three years, It is to be funded by a dues increase of approximately $300 a year per member for three years. This issue will most likely be brought be fore the Annual Meeting of the VDA House of Delegates in Williamsburg this September. The Virginia Delegates to the American Dental Association will ulti mately decide our State's opinion. The Membership Committee strongly encour ages you to attend the Annual Meeting of the VDA to voice your opinion in this im portant membership matter. We urge you to discuss your thoughts, concerns and opinions with your Component's Member ship Committee, your Component's Del egates to the VDA House of Delegates and with Virginia's Delegates to the ADA House of Delegates. If you can not find a copy of this video, please contact your component president, your component's membership commit tee, the VDA Central Office or myself and we will be glad to get you a copy as soon as is possible.

The Membership Committee urges you to consider the merits of the proposed "Awareness Campaign" on the basis of what is good for our entire profession, not on what is in our best individual interests. If the campaign causes our profession to be seen by the Amencan public in a more positive and trusted light, then each of us, the individual dentists, will ultimately ben efit from it. Make an informed decision. see the video, talk to your colleagues and then make a decision that involves invest ing in your profession and its future'

Virginia Dental Journal 35

UPCOMING CONTINUING EDUCATION 1998

Month

{:omponent

lYIeeting

Location

Speakerrropic

June 10, 1998

Southside (3)

CE Program

Emporia Pork Festival

Dr. Vanarsdall-U .of Pennsylvania Department of Orthodontics

June 11-14, 1998

VDA

Committee Meetings

Sheraton Oceanfront Hotel Virginia Beach

June 18, 1998

Shenandoah (7) CE Program

June 25-28, 1998

VSOMS

Annual Meeting

Sheraton Oceanfront Hotel Virginia Beach

June 26-30, 1998

VAO

Annual Meeting

Westin Resort Hotel Hilton Head, SC

.July 13-14, 1998

ADA

Management Conference

ADA Building - Chicago

JUly 17-18

ADA

Council on Dental Practice

Ritz-Carlton Hotel Chicago

"Dentistry as a Business: Money Management, Marketing & You"

Aug. 14, 1998

Southwest (6)

CE Program

Higher Educational Center, Abingdon

Practicon Dental, "Secrets to Managing the Accelerated Dental Practice"

Aug. 28-29, 1998

ADA and ADRP

DR Days '98

ADA Building - Chicago

Sept. 9, 1998

Southside (3)

Business Meeting

Country Club of Petersburg

Sept. 16-20, 1998

VDA

Annual Meeting

Williamsburg Lodge, Williamsburg

Sept. 16-20, 1998

AAOMS

Annual Meeting

New Orleans, LA

Oct. 9-11, 1998

16th District

16th District Caucus

Durham, NC

Oct. 24-28, 1998

ADA

Annual Session

San Francisco, CA

Oct. 30, 1998

Peidmont (5)

CE Program

TBA

Nov. 5-8, 1998

VDA

Leadership Conference

Wintergreen Resort, Wintergreen

Nov. 13,1998

Southwest (6)

CE Program

Donaldson Brown ConferenceCenter, Blacksburg

TBA

March 12, 1999

Southwest (6)

CE Program

Van Dyke Center, Emory

TBA

Apr. 30-May 2, 1999

Piedmont (5)

CE Program

The Homestead

TBA

May 14-16,1999

Southwest (6)

CE Program

Pipestem State Park, Pipestem, WV

Dave Chance

Aug. 13, 1999

Southwest (6)

CE Program

Higher Educational Center, Abingdon

Dr. Samuel B. Low, "Successful Management of the Perio Patient"

Dr. Jim Coffey "Predictable Prosthodontics"

Best Western Winchester

Drs. Frank Spear & Robert Winter and Dr. Lynn Douglas Mouden

AIDA C路E.R..P CONTINUING EDUCATION RECOGNITION PROGRAM The VDA is recognized as a certified sponsor of continuing dental education by both the ADA CERP and the Academy of General Dentistry.

36 Virginia Dental Journal

·-----l

MEMBERSHIP BENEFIT HIGHLIGHT:

OSHA COMPLIANCE AND SCIENTIFIC SERVICES AND RESOURCES

Healthv Communities Loan Fund

Kimberly S. Swanson, D.D.S., VDA Membership Task Force

Financing for primary care The Occupational Safety and Health Administration (OSHA) is busy on a number of health related fronts. The American Dental Association relies on its scientific experts to monitor and respond to OSHA. Issues of recent interest have been OSHA's proposed standards addressing indoor air quality, tuberculosis, latex allergy, and ergonomics. The ADA has provided OSHA with comments and suggestions on each of these pro posed standards. The ADA and OSHA continue to cooperate where possible. A recent joint project was a 12-page booklet that details, clearly and concisely, what federal law requires of dentists should their employees be exposed to a potentially infectious patho gen. This booklet, available to members only, was published in the December 15, 1997, issue of the ADA News. The ADA Council on Scientific Affairs is a resource on OSHA Compliance Informa tion and Consultation for the individual member as well as component and constitu ent dental societies. You can get answers to specific questions about OSHA compli ance issues including personal protective equipment. material safety data sheets, laun dry, and dental products and equipment, as well as the latest information on new OSHA regulations. Just call the Council on Scientific Affairs using the toll-free number on your ADA card and ask for extension 2878. For questions regarding OSHA inspections and investigations. call the ADA Office of Legal Affairs, extension 2874. For more information on specific Virginia OSHA re quirements, call the Virginia Dental Association at (804)358-4927 or 1-800-552-3886.

More than 1 in 5 Virginians live in areas where there simply aren't enough dentists to deliver needed services to residents. The Healthy Communities Loan Fund is now available to in crease the number of dental care providers in Virginia's underserved dental areas. Whether you're interested in recruiting additional dentists, relocating dental practices, or consolidating dental student loans for recruitment, the $4.2 million loan fund, made possible at low interest rates through First Virginia Banks, Inc., can help.

More than 25,000 individual ADA members have already taken advantage of the ADA's resources on OSHA regulations and infection control. The unique ADA OSHA Com Amounts typically range from pliance Checklist developed in cooperation with OSHA, is available only to members. $50,000 to $250,000, with five Also available is the ADA Regulatory Compliance Manual and Update Service and the year amortization. No bank video OSHA Refresher Course. For more information about additional infection control fees, no points, and no penalties resources or to place a credit card order, call the ADA Catalog Customer Service Staff for early repayment. at 1-800-947-4746 and have your ADA member number available. The ADA Council on Scientific Affairs offers Scientific Services and Resources on a wide range of issues. Information is available on Hepatitis B vaccine and boosters, management of infectious diseases in the dental office (HIV, hepatitis, tuberculosis), amalgam safety, use of dental materials, and implants. Also available is information on infection control and waste management, radiography, bacterial endocarditis prophy laxis, latex allergy, and proper use of therapeutic agents. Call extension 2878. The ADA offers a free Health Screening Program to members attending the ADA Annual Session. In addition to providing members a quick assessment of their health status, the program gathers data on the health of the United States dentists for re search purposes. For additional information, call the ADA Health Foundation at exten sion 2535. As the primary research agency of the ADA Health Foundation, the Paffenbarger Re search Center (PRe) is working to ensure the technological future of dentistry. Ab stracts, reprints, and information are available on PRC-invented technologies including the Bowen adhesion system and glass-ceramic inserts. Information is also available on current PRC laboratory developments including calcium phosphate cements, de sensitizing and remineralizing compounds, improved fluoride treatments, and a direct filling mercury-free alloy. For more information, call PRC at (301)975-6806. Your dues allow the American Dental Association and the Virginia Association to con tinue to work for you. Membership in organized dentistry provides the power to achieve what none of us could ever begin to accomplish on our own. Membership matters!

The Healthy Communities Loan Fund is endorsed by the Virginia Dental Association, and admin istered by the Virginia Health Care Foundation (VHCF), a non profit, independent entity with a charge to increase access to health care for uninsured and medically underserved Virgin ians. For more information, call VHCF: (804) 828-5804 or Email: vhcf@sprynet.com In partnership with:

Robert Wood Johnson Foundation

First Virginia Banks, Inc.

Virginia Dental Association

Virginia Dental Journal 37

HOW TO GET ON THE INTERNET Cory Butler, D.D.S.

Like many of us I was confused and in the dark when I first heard of the Internet. The mere concept of being able to access such a wide variety of information from my home computer was incredible; now it's difficult to imagine life without it. I learned how to "surf" the internet from a friend; however, obtaining access to the world wide web is easier than you think. Just follow these cookbook directions and you'll be amazed at how simple access to the internet can be. Select an Internet Service Provider (ISP), such as: Compuserve, AOL, Erols,etc. and install their software. Most of their programs are very easy to add and compatible with your existing software. 2. Make sure your modem (either external or internal) is installed correctly. 3. After signing up with an ISP open your Windows program and by following the instructions given to you by your ISP connect to their server through your modem. (Your computer will automatically dial the number you need for access.) 4. After you are connected open your browser by double clicking on the symbol or icon (eg.,Netscape or Microsoft Internet Explorer are the most common) and at the ''http://'' (shown near the top of the screen) tpye in www.yahoo.com and begin your search of subjects that you would like to explore. 5. Or if you know the address of a particular place you want to visit just type in the address and push enter, such as: www.vadental.org. 1.

Best of luck & have fun! If anyone is interested in becoming a member of the Ad hoc Committee on Communication & Information Technology please contact me at: dentistry@williamsburg-va.com, thank you.

DR NEWS

Connie Jungmann, VDA Assistant Executive Director Mobil Oil choose Direct Reimbursement. .. In early March, the ADA's Council on Dental Benefit Programs learned that Mobil Oil, headquartered in Northern Virginia, had chosen to adopt a modified Direct Reimbursement plan for their U.S. employees. Mobil's new DR plan became effective April 1, 1998, and will cover approximately 15,000 eligible employees and their dependents. The plan will be administered by Mobil's long time administrator MetLife and will be the only dental plan offered to their U.S. employees. ADA 'DR Days 98' Scheduled... The annual Direct Reimbursement conference, cosponsored by the ADA Council on Dental Benefit Programs Purchaser Informa tion Services (PINSERV) and the ADRP (Alliance for Dental Re imbursement Programs), has been scheduled for August 28-29, 1998, in Chicago. This year's conference will feature break out sessions designed specifically for representatives from state and local dental societies, brokers and TPAs, as well as dentists and their staff that will focus on their respective roles in the promotion of Direct Reimbursement. DR Days is open to anyone who is currently involved or interested in becoming involved in the pro motion of Direct Reimbursement. If you are interested in learn ing more about this conference, please contact either the ADA's Council on Dental Benefit Programs or the VDA Central Office. DR Advertising & Direct Mail Campaign Update... The national DR advertising campaign continues to expand throughout 1998, with the ADA placing ads in both trade and busi ness publications. Full-page, full-color ads promoting DR are scheduled to appear in such widely read publications as: CFO and Forbes magazines, the Wall Street Journal, Investor's

38 Virginia Dental Journal

Business Daily, Workforce, HR Magazine, as well as Nation's Business and Employee Benefit News. The ADA's advertising campaign has been designed to work in conjunction with the their expanded direct mail campaign and will focus on promoting DR to human resource managers, CFOs, benefits consultants and brokers. On the state level, the VDA was contacted by the publishers of a new Virginia-based magazine (Health Care Buyel) and was asked to provide information about Direct Reimbursement for an article on dental coverage options. The goal of the Virginia Health Care Buyer magazine is to serve as a statewide resource guide for employers making health care (and dental care) purchasing de cisions. Dr. Les Web, chairman of the ADA Council on Dental Benefit Programs, and I provided the article's author with detailed information about DR. Several of Dr. Webb's comments about DR and the dental marketplace will be included in the April issue's article entitled "Taking the 'Bite' Out of Dental Coverage." In addition, VDA's Committee on Direct Reimbursement chose to sponsor a full-page, full-color advertisement in the Health Care Buyer. With a total circulation of approximately 25,000, the maga zine will be mailed to human resource directors of companies with 20+ employees across the Commonwealth, as well as to CEOs and CFOs of Virginia's largest 600 employers. Addition ally, the circulation will include mailings to Chambers of Com merce, public officials including legislators, universities and col leges, and independent insurance brokers.

DONATED DENTAL SERVICES Elizabeth M. Keith, DDS Project Coordinator

The Donated Dental Services program originated in Denver, Colorado in 1985 to help disabled and elderly persons, who are indigent, by matching them with volunteer dentists. Participating dental laboratories also donate services for crowns, bridges, and dentures. Since the program began in Virginia in September of 1997, over 230 dentists have volunteered and 51 dental laboratories have participated Through these efforts, over 100 patients have received care for their extensive dental needs. Hun足 dreds of other applicants await services. DDS would like to recognize and thank each and everyone of the participating dentists, specialists, and laboratories. The DDS program could not exist without your kindness and generosity! Component I: Jeff Bailey James Baker Paul Brickman David Buckis Thomas Dunham Randy Eberly Kevin Ellis Leslie Gore Harold Heafner, Jr. Susan Heriford William Heriford Ralph Howell, Jr. Ralph Howell, Sr. Douglas Hughes Michael Kahan David Kaiser Vicki Keller Sanford Lefcoe Michael Morgan Thomas Mostiler Arthur Nido James Nottingham Edward S. O'Keefe John Ross Anthony Savage Robert Simmons James Taylor Edward Weisberg Andrew Zimmer Component II: Heath Allen Michael Bowler James Burden Corydon Butler Henry Cathey, Jr. Don Cherry Harry Conn IRay Dail . Bruce DeGlnder ~ohn Denison David Forrest ~homas Geary " " Hinson

Compo II cont: Jeffrey Kenney Timothy Leigh Guy Levy Mayer Levy A. Catherine Lynn Don Mardis Michael P. McCormick, Jr. Carol Morgan Andrew Robertson Harry Simpson Ron Tankersley John Tarver Donald Taylor Component III: John Bass Stephen Bissell Reed Boyd, III James L. Bradshaw Robert Grossman Jerry W. Isbell Robert L. O'Neill Bonnie Pearson Component IV: Anne C. Adams Carl Atkins Hood Biggers Carl Block Joseph Califano Robert Campbell Francis Carr William D. Crockett Charlie Cuttino Jeffrey Cyr Stan Dameron John Doswell, II Ronald Haden Faryl Hart Raidah Hudson Murad Kerneklian Michael Krone Nick Lombardozzi James Londrey

Compo IV cont: Charles Martin Erika Mason Benita Miller Michael Miller James Mosey Rob Neighbors Clinton Norris Bruce Overton Robert Penterson G. Thomas Phillips Patrick Quisenberry Stephen Radcliffe John Rose Kevin Scanlan James Schroeder Allen Schultz Robert Sorenson AI Stenger Frank Straus Kit Sullivan Vicki Tibbs David White Roger Wood Royce Woolfolk M. Walter Young Component V: Michele Ah Mark Crabtree James Evans John Fedison Thomas Golden Daniel Grabeel Larry Jewell Richard Joachim R.F. Mallinak H. Kyle Midkiff Kevin Midkiff J. Peyton Moore Edward M. O'Keefe James Pollard James Priest Ralph K. Slusher H.M. Sparger, Jr.

Compo V cont: Ronald Todd David Wheeler Barry Wolfe Richard Zechini Component VI: Claude Camden, Jr. D.W. Chambers Dee Danner Matthew Glasgow M. Kent Kiser John Lentz Lee Lykins, III Donald Martin French Moore, III Susan O'Connor Glenn Young Component VII: Stephen Alvis Gerald Brown John Canter Ronald Downey Mark Hammock Jeffrey Hodges William Horbaly Richard Hull William Irby W. Barney Jennings R. Scott Knierim Allen McCorkle Bob Miller Eric Redmon Wayne Remington John Roller Harry Sartelle, III Donald Spano Michael Tisdelle Alan White T.E. Williams Mark Young

Virginia Dental Journal 39

Component VIII: W.H. Allison Dave C. Anderson Henry Botuck David Cantor Norman Coleman David Deviese Patrick Dolan Neal Emad Michael Fabio Robert Flikeid Bonnie W. Foster Charlie French Janet French Agnes Fuentes John Harre David Holley Irving Imburg Lawrence Kotler John Krygowski Barry Laurent Steven LeBeau Robert McHugh Elizabeth Muss Nicholas Muss William Nanna Michael Oppenheimer David Peete Thomas Richards A.J. Rizkalla Aurelio Roca Richard Rubino John Salmon, III Gary Schuyler Andrew Sklar Richard Stone Andrew Thompson Philip Tomaselli Eric Vasey Jay K. White Wayne Whitley John Willhide Nonmembers: Jeryl Abbott Bradley Anderson Joseph Arzadon Robert Caldwell Johnson Cheng Kenneth Copeland, Jr. Colleen Daley Jeffrey Day Robert Futrell QUincy Gilliam Loretta Graham Ralph Hoffmann Raman Jassal Ford Johnson

40 Virginia Dental Journal

Nonmembers cont: Jacquelin Johnson-Curl John Kim Tamara Langebeck Madjid Matin Jennifer McDaniel Liza Minovi Nasser Naeem Christopher Smiley Robert Sotack Tracy Spaur Richard Suter Ralph Swiger Daniel Sykes J. Keller Vernon Tuan Vu NOTE: the volunteers listed are as of 4/1/98

Participating Labs: Accutech Orthodontic Lab Alpha Dental Ceramic Lab Arrident Lab Biogenic Dental Co. Cardinal Dental Lab Central Dental Lab Ceramic Studio of VA Coleman's Dental Studio Crowns By Colter Dantonio Dental Lab Danville Dental Lab Dental Ceramics Art Dental Prosthetic Services Dickson Dental Lab Dominion Crown & Bridge Dramstad Dental Design Ernst Dental Lab First Impressions Dental Lab First Impressions Dental Lab Fitz Lab Fraguela Dental Lab Glendale Dental Lab Gold Duster Dental Lab Goodwin Dental Lab Great Impressions Lab Harris-Williams Lab Hills Dental Lab Lab One Miles Dental Techniques Northern VA Dental Lab Nu Tech Pennington Crown & Bridge Pro Dental Lab Protech Dental Lab R&O Dental Lab R. Bringer Lab Reston Dental Ceramics Riddell Dental Lab Saunders Dental Lab Skyline Dental Lab Southern Gray Lab

Participating Labs cont: Stanford Dental Lab Sven Tech The Tooth Works Tincher Lab Triangle Dental Lab Tri-State Dental Lab Victor's Dental Lab Virginia Dental Lab Wagner Orthodontic Studio Zuber Dental Arts

The DDS program is always looking for more volunteers. If you are interested in participating in the program, please contact Elizabeth Keith at the DDS of fice at (804)257-9810 or complete the attached volunteer card and mail to Donated Dental Services, P.O. Box 6906, Richmond,VA 23230. DDS Future Funding The Donated Dental Services Program has had over whelming interest from both needy applicants and gener ous dentists. The first year of operation is being funded by the Virginia Health Care Foundation, Capital Area Agency on Aging, and the Viriginia Dental Association. In an effort to sustain the program for years to come, additonal grants have been and will be sought out to fund the DDS program. Recently, a grant was submitted to the Annabella R. Jenkins Foundation which focuses on healthcare for needy clients in the Richmond area, A grant for $30,000 has been awarded from the Annabella R. Jenkins Foun dation for the Virginia Dental Association's Donated Den tal Services Program to be used in 1999 and 2000. Thank you for all of your continued support of the progam, without volunteer doctors the program could not exist.

Beverly Lacy and Berenice Craige from the Annabella R. Jenkins Foundation present Bill Zepp and Elizabeth Keith the first installment of the $30,000, two-year grant awarded to the DDS Program.

VDA NEWS ADA's Public Awareness Campaign The ADA debuted the Public Awareness Campaign at Virginia's January Committee Meetings held in Richmond, Virginia, January 30 - February 1, 1998. Clay Mickel, ADA Associate Executive Director, and Jeanette Gamba, Jordan Associates representative, presented an hour long session with video segments displaying how future television commercials would look if this campaign is passed at the ADA Annual Meeting in San Francisco in 1998. The purpose of the campaign is to improve the image of the dental profession. The impact on member dentists is a $300 dues increase for the next three years to cover the cost of the $30,000,000 campaign. The presentation was followed by a question and answer period which continued through lunch. Dr. John Zapp, Executive Director of the ADA, joined the VDA for the Awareness Campaign and to take questions during lunch. The Public Awareness Campaign video and print material are available for all VDA members, please call your local compo nent or the VDA Central Office if you are interested. The VDA members will vote on this issue during the Annual Business Meeting in Williamsburg on September 20, 1998. aa'" :<

Jeanette Gamba and Clay Mickel educate VDA member den tists during their first presentation of the ADA Awareness Campaign.

June Committee Meetings Please mark your calendar for the June Committee Meet ings which will take place June 11-14, 1998 at the Sheraton Oceanfront Hotel in Virginia Beach, VA.

Dr. John Zapp, ADA Executive Director,

addresses questions related to the effects

the ADA Awareness Campaign will have

on the state level.

New Staff We look forward to seeing you in June! Thursday, June 11, 1998 12:00pm-5:00pm Executive Committee Friday, June 12, 1998 9:00am-10:30am Executive Council 10:30am-12:30pm Committee Meetings 12:30pm-2:00pm President-Elect Luncheon 2:00pm-4:00pm Committee Meetings 4:00pm-5:00pm Search Com. for Board of Dentistry 4:00pm-5:30pm AGO Board Meeting Saturday, June 13,1998 9:00am-10:00am Committee Meetings 9:00am-12:00pm Alliance 1O:OOam-1 :OOpm Committee Meetings 1:OOpm-2:30pm State/Component Officers Luncheon 2:30pm-5:00pm Budget & Financial Investments 2:30pm-5:00pm Constitution & Bylaws 6:00pm-7:00pm President's Reception Saturday, June 14, 1998 8:00am-9:00am VDA Sixteenth District Delegation 9:00amExecutive Council

Ronya Edwards joined the VDA staff in Janu

ary 1998, shortly after completing a Bach

elor of Science degree in Business Admin

istration from the University of Richmond.

Ronya fills a newly created position as Mar

keting and Programs Coordinator.

In this capacity, Ronya works with numer

ous entities including the Virginia Dental Ser

vices Corporation, the VDA Relief Founda

tion, the Virginia Dental Association Foundation, Direct Reim

bursement, and Dental Benefits Programs. Each of these groups

will benefit from Ronya's background in both Business Adminis

tration and Marketing.

Ronya is originally from Norfolk and attended UR as a CIGNA Scholar.

Virginia Dental Journal 41

"We have exceeded even my projections. I could not have done it without HPSC. Only HPSC would listen and give me a chance." Because we listen, over 69,400 doctors have trusted HPSC with their financing since 1975, and they keep coming. What do we offer? Incredible serviceplus competitive, fixed rates. Honest quotes, no surprises. What's incredible service? • Aunique consultative approach hased on field experience well beyond thescope ofthe conventional lender. • Extraordinary insight into the operation of a healthcare practice. • "Customer care" software thatspeeds up and automates all customer and vendortransactions. • Wide choice of options and tenus: Deferred payment. No down payment. Graduated payments idealfor start-ups. Buyout options. Lease or straight loan, 12-84months. Tax advantages. • Name it, wefinance it.Start-ups. Expansions. Practice equipment, computers and otheroffice equipment. Working capital. Leasehold

Improvements. Supply contracts. Practice acquisitions and buy-ins.

• In-house funding and servicing of all contracts. Continuity and concernfor all our customers.

~ Your moneygoes further withHPSC. We'll tailora program to your needs. Make us yourfirst choice or give us the last look before you sign with anyother lender.

HPSC, Inc.

Home Office: Sixty State Street, Boston, MA 02109-1803 1-800-225-2488 Fax 1-800-526-0259 www.HPSC.com E-mail HPSC@HPSC.com

Use of latex gloves by health care professionals has resulted in many cases of serious allergicreactions. Symptoms include contact dermatitis, rashes and swelling. Repeated exposure may develop into asthma, hypotension and, in some cases, immunoglobulin sensitivity leading to anaphylaxis FDA research has confirmed the cause as mcreased protein content in latex and deemed it a "significant health risk" As a result, OSHA has declared latex exposure a "preventable" workplace hazard. The manufacturers of these gloves have been subjected to liability in several states where health care workers have been affected. If you think you may be suffering from injuries due to

42 Virqtnia Dental Journal

latex exposure, regardless of when it occurred, you may be due significant compensation and should contact Mike Pretl at the law firm of Ashcraft & Gerel immediately Ashcraft & Gerel is highly experienced in the investigation, evaluation and resolution of claims due to use of hazardous products and devices. Your mterview will be conducted m total confidence and without any financial obligation

AsHCRAFT&GEREL The Victims' Rights Law Frrm 1-800-400-1949 MD-VA-DC

(------~)

Component News

Component I Tidewater

(r Dr. Barry Einhorn, Editor

•

Hooray, spring is here and Tidewater is blooming magnificently. The wet weather of the winter has its beneficial effects. The grass seems greener and the flowers are making early appear ances. Spring is the reason for renewal and that's exactly what is happening in Component #1 .

This presentation was held at the new Chesapeake Conference Center in Chesapeake, Virginia. We look forward to seeing many of you at the June committee meetings in Vir ginia Beach. In the meantime have a great Spring and remember to reach out and touch someone. People love that human touch-holding hands, a warm hug or just a friendly pat on the back (as long as the person you are touch ing is not an intern).

Component II Peninsula

of various outdoor activities for all mem bers is planned at York River State Park. I'll keep you informed as to who hits the home runs, who can't paddle a canoe straight, and how many hot dogs does it take to fill up a periodontist. After a slow start the "Open House" Pro gram has begun to take off. This inno vative idea allows us to spend an evening at a colleague's office learning how he or she likes to practice dentistry. Think of it as a floating study club if you will. Dr. Bob Allen's right to say that you always learn something when you visit someone's office. Besides, can you say brownies!? The PDS welcomes its newest mem bers, Dr. Scott Golrich and "Puggins" Dad Dr. Preston Loving.

Dr. A.J. Booker, Editor Under the chairmanship of Dr. Rick Quigg our membership committee is making a concerted effort to increase our membership. There are so many advantages to ADA membership it seems almost ludicrous for a dentist to practice without membership. Our Children's Dental Health Month pro gram was once again ably chaired by Dr. Pam Morgan. The feature event was a free Children's Health Fair held at the Waterside Festival Marketplace in Nor folk. There were presentations on baby bottle tooth decay, mouth guards, and the effects of tobacco use. Children participated in a toothbrush swap, met with the tooth fairy, watched dental health videos and were entertained by clowns. In addition, dentists, dental hygienists and assistants provided health presentations for children in the public schools of the Tidewater area. Once again we thank the U.S. Navy Dental Corps for their cooperation. We are very proud of Dr. Charles Fletcher who will be honored by the Eastern Virginia Medical School. The School will confer the honorary degree of Doctor of Science, honoris causa on Dr. Fletcher at graduation exercises in May. Charlie served as rector of the Board of Visitors of the Medical College for the past three years. On Friday, April 24, 1998, the Tidewa ter Dental Association and the Penin sula Dental Society presented Dr. Howard Farran in a full day program.

Thomas Jefferson could have been a dentist when he said that, "It is neither wealth nor splendor, but tranquility and occupation which gives happiness." I'm not too sure though how much tranquil ity there is among our colleagues these days. Every jou rnal and newsletter that I pick up to read seems to be replete with complaints of managed care, es calating over-head costs, lawyers prac ticing dentistry, et cetera ad nauseam. But there had better be some wealth at least for it is that time of the year to ren der unto Caesar that which he says is his! And now for the news. The stork has finally made his visit to the peninsula to the home of Dr. Mike Link. A little girl named Megan Ashby was delivered to Mike and his wife Me lissa on March 12th. As if fatherhood and a busy practice weren't enough to keep him occupied, Mike is also serv ing as a member of The Board of Den tistry. Wonder what his golf handicap is these days. During our last business meeting the following officers were confirmed for 1998: Dr. Cory Butler - President Dr. Sonny Riggs - President-Elect Dr. Jim Watkins - Treasurer Dr. A.J. Booker - Secretary Dr. Bruce DeGinder - Councilor

In closing I leave you with the words of Arthur Godfrey, "I'm proud to pay taxes in the United States; the only thing is, I could be just as proud for half the money."

Component III Southside

Dr. Reed Boyd III, Editor Here in Southside Virginia we have had a mild but very wet winter, similar to most of the rest of the state. Compo nent #3 has been very busy despite the weather though with different dentally related activities. On February 27, we held our Annual OSHA Update and CPR Recertification Oay. With Dr. John Svirsky giving the presentation for the OSHA Update and Mrs. Vivian Biggers doing our CPR Course we had 130 people in atten dance which includes dentists and staff members. The next day, Saturday, February 28, we held our annual celebration of Na tional Children's Dental Health Month at South park Mall in Colonial Heights.

Another idea that is new to component II this year is Camp PDS. An afternoon Virginia Dental Journal 43

Dr. Sam Galstan was in charge of this very successful event. Dr. Frank Farrington from MCV brought the mo bile van loaded down with a group of dental students. Supervised by mem ber dentists from our component, the students performed dental examinations and oral cancer screens. Joanne Wells from the Dental Division of the State Health Department was also present with more exhibits. Our Alliance was also on hand with some other exhibits and information. Many thanks to Sam for all of his hard work and dedication. On March 25, we held our semi-annual Business Meeting. At this meeting we elected new officers to take over in Sep tember as follows: Dr. Richard Roadcap, President; Dr. Scott Gerard, President-elect; Dr. Richard Bates, Sec retary and Dr. Ronnie Wray, Treasurer. Ms. Elizabeth Keith from the VDA Cen tral Office was present with us to invite us to join the DD.S. (Donated Dental Services) Program which helps the less fortunate obtain dental treatment. We had the opportunity to view the ADA Video on the proposed Awareness Campaign. The video outlines the cam paign and explains it very well. It pre views the television spots that are to be run if the proposal is carried in the 1998 ADA House of Delegates meeting in San Francisco this October. The tele vision spots are well done. As is re quested, a survey was filled out by the members in attendance. Our member ship was in favor of the Awareness Campaign by a two to one margin and would be willing to pay for it by the same two to one margin. Our Continuing Education Course is scheduled for June 10, 1998. This year, as has been the tradition of late, we will hold this course in conjunction with the Pork Festival in Emporia. This year's guest speaker is Dr. Robert "Slick" Vanarsdall from Pennsylvania. He is to speak on "The Importance of Incisal Guidance and the Treatment of the Transverse Dimension" and "Occlusal Therapy and TMD". Then we will ad journ to the Pork Festival for the rest of the evening. You are invited to join us for this day of learning, fellowship and fun.

44 Virginia Dental Journal

As we all know time marches on and those of us that are very fortunate are around to talk about it. Some of those lucky ones are also fortunate enough to become grandparents. My folks, Dr. and Mrs. Herbert (Beverly) Boyd, Jr. welcomed their third grandchild, a boy, last summer. Dr. and Mrs. Wright (Judy) Pond welcomed their first grandchild, a boy, just recently. Congratulations to all of these proud grandparents. Best wishes for a great summer from Component Three. Hope to see all of you either at Virginia Beach for the Com mittee Meetings in June or at the VDA Annual Meeting in September. Component IV Richmond

Dr. Charles E. Gaskins III, Editor Congratulations to this year's graduat ing class at MCV. Surely they now are looking past their schooling experi ences, and increasingly towards their future personal and professional goals. Let's use their educational milestone of graduation as a basis upon which to pose a question. Is it harder to set a goal, or harder to actually achieve that goal once it is decided? Even without a law degree, many of us could present strong talking points supporting either side of this philosophic exercise. How ever, why is the question being posed in this column? Hopetully the answer lies in the next several paragraphs. Personally, much thought already has been given to the upcoming 1998 ADA House vote on whether to proceed with the national information program to be directed to the public. Increasingly, I have begun to hope that the members of the Richmond Dental Society, the members of the Virginia Dental Asso ciation, and the members of the Ameri can Dental Association ALL can agree to discuss the proposed information pro gram at this time as colleagues. Indeed, each level of professional membership may have a slightly differing set of needs and goals. Each level of membership may have differing financial concerns on how to reach their group's goals. New graduates and older practitioners; gen eral dentists and specialists; research

ers, teachers, and clinicians ALL need to discuss the proposed information pro gram at this time. Why? Because we comprise (are) the ADA, the VDA, and the RDS. If we do not speak on behalf of dentistry, who will? In this age of personal and small-group needs and agendas, who (realistically) is going to put information about dentistry's wonderful advances "in front of the public"? Would not the public benefit from a coordinated, comprehen sive (verses "hodge-podge'), approach to information presentation? All members of organized dentistry need to thoroughly understand both the ADA's proposed goals for creating and imple menting the program; as well as the ADA's proposed means of financially supporting these goals. Members then need to discuss this matter with their ADA Delegates. Whatever you person ally decide, discuss your thoughts and wishes with your ADA Delegates! If you don't know who they are, please con tact the VDA office for a listing. Com ments to the Delegates are welcomed, and needed, prior to the ADA Session (October 24th-28th). Richmond area Delegates!Alternate Delegates are as followed: Dr Les Webb (home: 784 5988, office: 282-9781, fax: 282-3647); Dr. Richard "Dick" Wilson (home: 355 0765, office: 358-7582, fax: 358-7586); Dr. Charlie Cuttino (home: 740-4621, of fice: 354-1600, fax: 740·1667); Dr. Anne Adams (home: 740-4621, office: 270 6808, fax: 740-1667); and Dr. Lindsay Hunt (home: 323-1686, office: 828 9183, fax: 371-6072). Regarding other Component news, two "member-related" items are noteworthy at this time. First, congratulations are in order to VDA Parliamentarian, Dr. Emory R. Thomas. By attaining 100 points in the Professional Development Point System, he has qualified to con tinue his eligibility for Professional Reg istered Membership in the National As sociation of Parliamentarians. Next, Dr. Barry Shipman has announced his appointments as an Associate Pro fessor of Clinical Surgery, and as Direc tor, Prosthodontics & Maxillofacial Pros thetics, at the University of Miami School of Medicine, Division of Oral & Maxillo facial Surgery, in Miami, Florida. Barry's appointment began on April 1st. His

knowledge and leadership, on both component and state levels will be missed in Virginia. Now that vacation times are almost upon us, the regular monthly member ship activities for the Richmond Dental Society again have begun to "slow" for the summer months; since the Com ponent does not schedule monthly membership meetings during the months of June, July, and August. However, in considering the year-to date activities of the Component, many thanks need to be offered to the many members that provide the ongoing hard work that keeps the Component mov ing forward. In conclusion, members are reminded that the annual VDA meeting will be held in Williamsburg during September. It is not too early to begin making plans to attend this year. In the interim, have a GREAT Summer! Component V Piedmont

Dr. Barry Cutright, Editor Just prior to this publication, our com ponent will have met on May 1st in Roanoke. The speaker, Dr. Paul Belve dere is an internationally renowned teacher: I'll tell you the take home mes sage in the next edition. His topic "Progressive Composite Dentistry." "April is the cruelest month," T.S. Eliot once wrote. Here in the Piedmont, where some of us still have a front porch on our office. EII\Jino has pushed back Eliot's prediction tot he first quarter. This sends meaning to our "slippery when wet" caution signs. The sign itself is having difficulty standing. Then Again, perhaps he was referring to the IRS. Dr. John Svirsky presented an OSHA update in Roanoke on March 6. He cau tioned us of the resurgence of TB and especially HIV related TB cases. As always, both informative and entertain ing, he finished right on time with greater than 80% of those in attendance present and awake--no pillows or blan kets necessary.

Dr. James Hardigan spoke to the area Danville dentists in January on the fu ture supply and demand for dental per son power. Get a good night's sleep as we approach the millennium-you have not had your most hectic day yet. For those who plan ahead, it will probably hit you in the year 2020. Fred Cornett, nicknamed Dr. "Cottonfingers" by his patients and the "Toon" by his dental colleagues has of ficially retired. Thanks for the example you have set, and best wishes to both Fred and Lucy Cornett. Dr. Richard Sherwood has assumed the practice. Dr. Jessie Mayhew has a new associ ate, Dr. Jarrod H. Brown. Dr. Brown is a 1997 MCV graduate and Danville na tive. Welcome home. Likewise, we congratulate Dr. James and Sarah Jordan on their newest edi tion, a son, Riggis Alexander Jordan. An apology to Dr. R.L. Saunders in Lynchburg. As Mark Twain once said, "the report of your death was greatly exaggerated." Welcome back. To all dentists in Component V please send the fax to 804-799-1102. Component VI Southwest

Dr. William B. Thompson, Editor Spring has sprung and Component VI continues to bloom. Our first compo nent meeting of the year was held on March 27 at Hemlock Haven Confer ence Center in picturesque Hungry Mother State Park in Marion, Virginia. Over two hundred attendees came to hear world known practice management consultant Ms. Sally McKenzie, CMC speak on "Diagnosing and Correcting Malfunctioning Management Systems". If you have not heard this knowledge able and entertaining speaker, I encour age you to do so. During the society business meeting, also held on March 27, the membership viewed the Public Awareness Campaign video. We welcomed new members: Dr.

Richard Boyle, Dr. Carl Hackney, Dr. Paul Moore, Dr. Frank Scwartz, and Dr. Daryl Wilson. Our component's next meeting will be May 15 - 17 at Pipestem State Park and Resort located in Pipestem, West Vir ginia. Bill Haynes will speak on "Per sonality Type and Interactional Style". In this workshop, participants will first discover their own personality type us ing the popular and well-researched in strument, the Myers-Briggs Type Indi cator. Using this information we will explore the effects our style has on the way we handle life. This will include the way these styles impact our interactions with patients, office staff, and social set tings. Plan ahead to bring family for an enjoyable weekend featuring the annual golf tournament and outdoor family barbeque. The summer meeting will be held at Virginia Highlands Community College Higher Education Conference Center, located in historic Abingdon on August 14th. The meeting coincides with the famous Virginia Highlands Arts and Crafts Festival also held in Abingdon. At this meeting, the featured speakers will be Dr. Jasper Lewis and Ms. Anne Page Griffith, founders of Practicon. Their topic will be, "Secrets to Managing the Accelerated Dental Practice". The last component meet ing of the year will be held in Blacksburg on November 13th, with an innovative program presented by Dr. Hugh Doherty. From all of our members of Component VI, I wish you a very healthy, happy and successful spring! Component VII Shenandoah Valley

Dr. Rebecca Swett, Editor Hello Doctors! I'd like to welcome three new members to our component - Dr. Daniel Kelly from Charlottesville, Dr. Paige Fessenden from Waynesboro and Dr. David Polk from Bedtord. We're happy to have you all JOin us in our endeavor to make our profession the strongest it can be.

Virginia Dental Journal 45

The "hot topic" this year is the ADA Awareness Campaign. This is a pro posed national campaign aimed at in creasing the dental awareness of the public. The campaign presents dentistry as an essential need of all people and shows the image of dentists to be a pro fessional one. To implement this cam paign a dues increase for a period of three years will be assessed from each member. This directly impacts each one of us, so if you have not yet seen the demo video which describes the details of the campaign as well as shows sample commercials, please contact the SVDA office or the VDA to see see it. We need your input so we can vote in the best interest of the component at the state meeting. On a local level, our summer business meeting and CE course is planned for June 19th in Winchester. Please watch the mail for information regarding this meeting.

Component VIII Northern Virginia

Dr. Melanie Love, Editor I am sure most of us are experiencing Spring Fever, especially with the unusu ally warm (actually hot!) weather we have had. Component 8 ended the first half of our year's continuing education program with Dr. Samuel Lowe on April 8th. We would like to take this opportu nity to thank Dr. AI Rizkalla for putting together an outstanding group of speak ers during 1997-1998. The meetings have all been well attended with stand ing room only, and Dr. Rizkalla must be commended for his hard work and con tinued enthusiasm. The Committee on New Dentists has presented several very good programs, also. Their last meeting on April 8th was a follow-up to last spring's "Starting Your Practice From A to Z". Mr. Ken Runkle presented "New Patients: The Fuel For Success", a topic that is universal for all dentists. We look forward to addi tional exciting topics provided by the

46 Virginia Dental Journal

Committee on New Dentists and hope that newer practitioners take advantage of the opportunities offered in sharing and gaining information from your col leagues. The following new members were wel comed into Component 8: Dr. Sawsan Abousy Dr. Lauren Adams Dr. Sherry Anoushfar Dr. Stephen Belmonts Dr. Lynda Dean-Duru Dr. Moshen Ghanbari Dr. Lonny D. Grimmer Dr. Gheith Kallas Dr. Stephen Thomas Dr. Ali Aghee Dr. David Moyer Dr. Peter Lanzaro The ADA's Public Awareness Campaign is being presented around the country to dentists as a preview. We viewed the Campaign's video at the March 20th meeting, A Symposium on Adhesive Dentistry. With full attendance, a good percentage of our component members were able to see for themselves what the ADA's intention is with this Cam paign. Everyone was asked to fill out a brief survey in order that a random sam pling of opinions could be compiled. These video spots are a new way of improving the image of dentistry, which, from many's point of view, is in need of improvement. I hope that all who view these short video spots will keep in mind the potential ultimate outcome from the general public seeing these images of dentistry in the comfort of their own homes. It should allow them to then be more comfortable with the profession of dentistry.

Dr. M.R. McCorkle, Jr., Immediate Past President The VAO winter seminar was held Janu ary 25th-January 30th in Vail, Colorado. Drs. Robert A. Miller and M. Alan Bagden organized this year's meeting that featured Dr. W. Baxter Perkinson, Jr. Dr. Perkinson presented an over view of current full mouth reconstruc tion techniques including implant meth ods and current developments in all ceramic restorations. Dr. Perkinson also

gave a live demonstration of his water color skills by doing a painting at a ban quet on Thursday evening. This year's participants included gen eral dentists, orthodontists and oral sur geons. Several families accompanied the practitioners and new friendships were made from Roanoke to Tidewa ter. In the past the winter seminar has featured several lectures by attendees and this year was no exception. Speak ers included a timely presentation of avoiding anterior cruciate ligament in jury by Dr. Robert Miller. This particu lar injury is all too common among ski ers and Bob drew on his experience as a ski patrol member in presenting ways to avoid damage to the knee. Dr. Bill Wallert shared his ideas in personal fi nancial management and his fellow practitioner, Dr. M. Alan Bagden, pre sented techniques for improving com munication between general dentists and orthodontists. Dr. Miller also lec tured on the management of impacted teeth. Dr. Jim Soderquist presented several interesting cases involving orth odontic treatment designed to enhance anterior restoration results. Total atten dance was twenty three practitioners. Next year's meeting is scheduled for the same week and all Virginia dentists are invited. Tentatively we are going to Big Sky, Montana. VAO members are re minded that our next meeting will be June 26-July 1, 1998 in Hilton Head, SC. A large turnout is expected and early registration is recommended.

Dr. Patrick J. Dolan, M.S., President The Virginia Society of Oral and Maxil lofacial Surgery Executive Committee has been busy this winter and spring with several issues of insurance con cerns in the Commonwealth. The ad ministration of general anesthesia for patients has been clarified for some in surance companies that possibly were attempting to restrict patient's choices. At this time, the Virginia Society has maintained input into appropriate insur ance companies and will continue to monitor delivery of patient care. The Virginia Society has recently com pleted its recertification for advanced

We are getting ready for our summer meeting which will highlight pediatric concerns in oral and maxillofacial sur gery. Our membership is always open to your suggestions and looks forward to working to provide the best care for our patients of the Commonwealth.

Cruise to Alaska with your colleagues and the A.A.P. Foundation June 23 July 2, 1998. Join A.A. P. past president and foundation board member, Dr. Erwin P. Barrington and 20 of your fellow periodontists for a magical cruise on Norwegian Cruise Line's Norwegian Dy nasty. The cruise will also feature a con tinuing education program coordinated by Dr. Barrington and fellow travelers. For more details on how you can join your colleagues, call Vantage Deluxe World Travel at 1-800-830-0899 or the AA P. Foundation office at 312-573 3257. This cruise is not limited to AAP. members.

The national AAP. meeting will be held in Boston, September 13-16, 1998.

cardiac life support at St. Mary's Hos pital in Richmond, Virginia. This par ticular recertification process was coupled with a risk management course, This was a two day event which was well received by the membership. It will be planned again every two years as the recertification for ACLS.

In many areas the public health and pri vate dentists worked together to spon sor community dental events. The third annual Dental Extravaganza was held in the Petersburg area sponsored jointly by the Southside Dental Component and Auxiliary, VCU School of Dentistry, and the Division of Dental Health. Dur ing this event, private practitioners, pub lic health staff and students worked at educational booths. The highlight of the event was awarding children from local school districts for participating in a den tal poster contest.

(SChool of Dentistry Notes) VSOP News

)

Dr. Steven L. Saunders, President The Virginia Society of Periodontists held its spring meeting April 4, 1998, at MCV School of Dentistry with guest speaker Dr. Edward Pat Allen. Dr. Allen's lecture emphasized utilization of the combined efforts of orthodontists and periodontists to achieve maximum esthetics. Current concepts were illus trated for predictable esthetic crown lengthening, ridge augmentation, pa pilla regeneration and root coverage by both connective tissue grafting and guided tissue regeneration. The Virginia Association of Orthodon tists were also invited to participate in this seminar. We wish to thank those who were able to attend and certainly enjoyed this opportunity for a joint meeting. Hopefully similar meetings can be arranged for the future. The sixty-eighth annual meeting of the Southern Academy of Periodontology will be held June 25-28, 1998 at Cap tive Island, Florida, with the American Academy of Periodontology sponsoring several courses in conjunction with this meeting. Specifically Periodontal Mi crosurgical Techniques, Building Refer ral Relationships, and Insurance Work shops. Attendees will come from all over the United States so early regis tration is encouraged. The 1998 Periodontal and Restorative conference will be held April 30 - May 2 at the Sheraton Chicago Hotel and Towers, Chicago, Illinois. Attendance is limited. Call the AA.P. at (312) 573 3210 for more information.

(

Public Health News)

Dr. Karen Day, Director Division of Dental Health

National Children's Dental

Health Month Dental Public Health Activities

Public health dentists, dental assistants and dental hygienists across Virginia were involved in dental health educa tion activities during National Children's Dental Health Month. Education "flash cards" on dental topics were developed by the Division of Dental Health and dis tributed statewide to the public health staff for school presentations. Health education exhibits previously developed by the Division of Dental Health on baby bottle tooth decay and dental sealants were used at health fairs in Harrisonburg, Norfolk, and Lebanon, Virginia. In Virginia Beach, the public health den tal staff visited elementary schools tar geting third and fifth grades for oral health education. The Goochland County program for fifth grades focused on oral health risks of smokeless to bacco. The public health staff in Goochland also participated in an evening reading program using puppets and reading Dr. DeSoto, a children's story book about a trip to the dentist. Warren County had five elementary schools participating in training for the fluoride "swish" mouthrinse program and dental health education on brushing and healthy food choices.

Tom Burke, Assistant Dean

Dr. Lindsay M. Hunt,

Installed as President

The 75th Annual Session and Exposi tion of the American Association of Den tal Schools (AADS) was held in Minne apolis, Minnesota between February 27 - March 3. It was an exceptional meet ing for the School of Dentistry. Dr. lind say M. Hunt, Harry Lyons Professor and Dean was installed as President of the American Association of Dental Schools. Dr. Hunt was elected to the position by the delegates to the convention during the House of Delegates Meeting. He was characterized by Dr. Reed, the out going president, as an individual who is capable of leading the organization into the next century.

In his inaugural address Dr. Hunt com mented, "It is indeed an honor and a privilege to have this opportunity The focus of my year as President will be on four specific areas of dental education. I plan on concentrating my efforts dur ing 1998-99 on issues related to Ac creditation, Health Services Research, the Aging of the Faculty, and the Cost of Dental Education." Dr. Hunt then com mented on each of these areas and closed his remarks by complimenting the organization

Virginia Dental Journal 47

for its efforts to reorganize and reener gize its administrative leadership. Dr. Hunt also informed the assembly that after 13 years serving as dean of the Virginia Commonwealth University School of Dentistry that he will be step ping down on September 1, 1998. Also, that President Eugene P. Trani of VCU has granted him an administrative re assignment between March 1 - Septem ber 1, which will allow him to concen trate his activities on the AADS Presi dency and completing the fund raising campaign for the development of the In stitute for Oral and Craniofacial Molecu lar Biology in the dental school. On September 1, Dr. Hunt will assume full time faculty member status. Also at this years AADS meeting Dr. Lou Abbey presented his computer modeled case simulations program. The pro gram is designed to take case studies and using a computer template incor porate patient histories, treatment plans, and outcomes into a self-learning ex perience. The computer designed simu lations were presented during the ex position portion of the meeting and re ceived favorable comments from many participants.

EXCELLENCE THROUGH

RESEARCH-AN INVESTMENT IN

OUR FUTURE CAMPAIGN UPDATE The Campaign continues to receive widespread support throughout Virginia from our alumni and friends with over $3.5 Million received in pledges and gifts. The out-of-state campaign effort has recently begun and the School is fortunate to have some very capable alumni helping across the nation. Dr. James Harrell, Sr. and Jr. are assisting us in North Carolina (165 alumni), Dr. William P. Kennedy will be chairing the South Carolina Campaign (145 alumni).

48 Virginia Dental Journal

Dr. Barry Segal and Dr. Jeff Fox, are leading our Florida efforts (301 alumni),and our Utah campaign is be ing chaired by two capable leaders Dr. W. Clark Andersen and Dr. Arn Gartrell (91 alumni). The reason for concen trating in these states is that one-half of all School alumni live in these states. The remaining out-of-state alumni are being chaired by Dr. Preston D. Miller, Jr. of Memphis. "Our goal is to raise the final $500,000 from our out-of-state alumni," said Dr. Jeffery Levin Campaign Chairman. "This is the critical phase of the Cam paign because as everyone knows the most difficult money to raise is that final amount needed to reach the goal." The School has received a significant gift from the A-dec Company, Inc. and con tinues to discuss major gift possibilities with alumni and friends of the School. HOMECOMING 1998 HIGHLIGHTS

TWO DENTAL ALUMNI SELECTED

FOR RECOGNITION

This years' Homecoming Celebration was unique for two very good reasons. The School of Dentistry was recognized by the MCV Alumni Association with two alumni awards. Dr. Cyril R. Mirmelstein was selected by the MCV Alumni Asso ciation as its Outstanding Alumnus Award. Dr. Mirmelstein was recognized for his many ef forts on behalf of the univer sity and the School of Den tistry. It was particulary noted that he had estab lished the Mirmelstein Ethics Lecture ship which has provide nine years of programs on eth ics for dental school students and fac ulty. Dr. Mirmelstein also serves on the School of Dentistry's Board of Advisors. The dental division of the MCV Alumni Association recognized Dr. Sanford Lefcoe 0'48 as its Dental Alumnus of the Year. Sonny was selected by the dental division for both his past and present service and support for the

School of Dentistry. Dr. Lefcoe is a past president of the Board of Dentistry and currently serves on the School of Dentistry's Board of Advisors and has taken an active role in its ongo ing "Excel lence Through Research - An Investment In Our Future" Campaign. He is also active in both his Norfolk community as well as interna tionally. Dr. Lefcoe serves on the Board of Tel Aviv University, School of Dentistry and was responsible for beginning a stu dent exchange program between Tel Aviv University and VCU. He has also re cently established an endowment fund for the School of Dentistry at the Medi cal College of Virginia Foundation to support a student scholarship. ANNABELLA JENKINS FOUNDATION COMMITS GRANT TO THE MOBILE ORAL HEALTH CLINIC The Annabella Jenkins Foundation has granted the School of Dentistry a grant of $53,000 to fund the work of the Mo bile Oral Health Clinic. The Mobile Clinic which began operations four years ago continues to provide primary oral health care services to underserved areas. The Annabella Jenkins grant will be used to provide preventive care and treatment at the St. Joseph's Villa Com plex in Henrico County. St. Joseph's Villa is a facility that serves handicapped children and adults, abused children and adults, and the elderly. This is the sec ond grant received from the Annabella Jenkins Foundation to support the work of the Mobile Clinic. "We are very grate ful for this support," said Dr. Revere during the check presentation ceremony held on April 7. "The Annabella Jenkins Foundation has made a considerable improvement in the quality of life for many underserved families through their support of many worthwhile community projects. I am pleased that the School of Dentistry's Mobile Oral Health Clinic provides us an opportunity to participate with them in providing care that is pro active and compassionate."

...1&. Professional Practice ... I - Transitions Thinking About Selling Your Practice?

Worried About Having to Finance the Sale?

We Have 100% Non-Owner Financing Available for Most Qualified Sales.

That Means Your Equity Is In The Bank...

Not InA Promissory Note!

BUYERS - If You Qualify, You Can Become An Owner Instead OfAn Associate.

Call PPT Today! 4610 Mercedes Drive • Suite 120 • Belcamp, MD 21017

1-888-418-0370 A Subsidiary of

n fu!\livan·Schein Dental :P Alt-.rsa-rQlal,Ny

Special Winter Lease Rates for VDA Members

Toyota Camry LE Dodge Grand Caravan SE Chrysler Sebring Convertible JX '99 Chevrolet Tahoe LS Ford Expedition XLT BMW Z3 Roadster Lexus E5300

Matthew Greene Creative Leasing (804) 358-8319 Monthly payments quoted. 38 month closeo end leases. 15.000 mlles'yea' First payment. securrty deposit, taxes, tag lees and S1500 down payment dUE at denvery Dependent upon avall"bllty, prices subject tel change Other terms and mileages available

All makes and models available, at similar savings.

$289 $355 $385 $395 $409 $437 $489

classified ads

Classified Advertising Classified advertising rates are $30 for up to 30 words. Additional words .25 each. All advertisements must be prepaid and cannot be accepted by phone or fax. Checks should be payable to the Virginia Dental Association. The closing dates for all copy will be the 15th of December, March, June, and September. Example: March 15, at 5pm is the closing date for the April-May-June Journal issue. After the deadline closes, the Journal can accept no ads nor can it alter or cancel previously ordered ads. This deadline is firm. As a membership service, ads are restricted to VDA and ADA members and are restricted to non-commercial copy. Advertising copy must be typewritten and sent to: Jour nal Classified Department, Virginia Dental Association, P.O. Box 6906, Richmond, VA 23230-0906. The Virginia Dental Association reserves the right to edit copy and does not assume liability for the contents of classified advertising.

Opportunities Wanted Periodontists: Very ambitious, 46, personable peri odontist. Highly experienced in implants and all phases of periodontal treatments. Experienced in private prac tice, teaching. Seeking associateship in group prac tice, periodontal office. Northern Virginia, Richmond areas. Call: 561-241-4782. Opportunity Wanted - Central Virginia - Personable and motivated orthodontist with professional experience seeking full or part-time associateship in an orthodon tic, multi-specialty, general or pediatric dentistry prac tice. Flexible with respect to work schedule and con tract arrangements. Send confidential replies to: CJS, 10283 Aynhow Court, Mechanicsville, VA 23111.

50 Virginia Dental Journal

Wanted - Siemens Heliodent Xray, older model, good condition. Call: 508-775-4848.

Help Wanted Associate Position, McLean, VA. Comprehensive, health-centered, fee for service practice looking for ex perienced Dentsist 1 to 2 days/wk. ENDODONTIC experience a priority, ORAL SURGERY experience a plus. Please call 703-356-3035. FAX 703-356-0159.

VIRGINIA-- Well established 25+ year practice seek ing associates hip with opportunity to buy practice from young, retiring dentist. Located in the beautiful Blue Ridge Mountains of Virginia-convenient for hunting, fish ing, and lake recreation. Excellent benefits and won derful, well-trained dental staff. 36 hours/week--4 day weekends. Practice still growing! Reply to: Dental, P.O. Box 1824, Hillsville, VA, 24343.

COMPLETELY EQUIPPED DENTAL PRACTICE

FACILITY FOR SALE

Great opportunity in Warrenton, Virginia for new practi tioner or specialist. We have outgrown this space and are starting a new building. This space and equipment will be available around September/October of this year. Nice buildout. Completely furnished and equipped, three operatory dental office. Leased space. 100% financ ing available, with no payments for one full year. All you have to pay the first year is rent and utilities. Call 540-349-0033 for details.

Frustrating enough to lose power. Worse yet, to lose income because of it. Particularly since typical business insurance policies don't cover losses like these. That's why it pays to protect your practice with The Package - a unique insurance program created exclusively for dentists. If an off足 premises power failure prevents you from practicing for more than a day, this policy would actually reimburse you for lost income. And that's just one of this program's many benefits, which combines the expertise of two leading specialists. You get profes足 sionalliability coverage from The Medical Protective Company - the nation's inventor of malpractice insurance for doctors. Plus genera] liability and property protection from The Hartford - one of the country's top business insurers. To learn more about all the power足 ful advantages this program offers, call 1-800-344-1899 .

速

l,11iEJ ilAJ:{TFORD

What's So Special About Partials From Virginia Dental Laboratories?

Integrity. Virginia Dental Laboratory uses • Vitallium® Alloy-the only partial denture alloy that is processed under the same quality control conditions as orthopedic implant alloy-with over 50 years of patient success.

Accuracy. Our entire procedure for construct

Experience. The exceptional skills, quality • craftsmanship, and proven techniques of Virginia Dental Laboratories come only as the result of years of experience, painstaking effort and a deep commitment to integrity.

Commitment. Virginia Dental Laboratories is

• dedicated to providing you and your patients • ing Vitallium Partial Dentures is quality-con 2 5 with the highest quality partial dentures available. We trolled to achieve the utmost accuracy. This accuracy means faster delivery of the restoration; reduced chairtime and greater patient satisfaction. Quality. Our partial denture restorations begin • with quality raw materials such as Vitallium® Alloy. Vitallium Alloy® is totally biocompatible. It is nickel- and beryllium-free. Its surface won't tarnish, dull or corrode in the oral cavity or in the body.

believe that the combination of our quality raw mate rials, such as Vitallium Alloy; our skilled technicians; our unequaled experience and our steadfast dedication specially qualify us to satisfy the needs of you and your patients. For special treatment on your next partial denture case, please contact Virginia Dental Laboratories!

We are happy to survey, design and estimate from your diagnostic casts at no obligation to you! Contact us today!

Since 1932

irginia Dental Laboratories, Inc. 130 W. York Street Norfolk, Virginia 23510 (757) 622-4614 (800) 870-4614 © 1992 AustenaI. Inc. All Rights Reserved. Vitallium" trademark licensed to AustenaI, Inc. by Pfizer Inc.