Virginia Dental Journal

Volume 76 • Number 2 .:. April • May • June, 1999

HIGH QUALITY HEALTH BENEFITS ARE HARD ... UNLESS

You

To

FIND ...

FIND A COMBINATION SUCH

AS THE VDSC INSURANCE SERVICE CENTER

AND TRIGON BLUE CROSS BLUE SHIELD.

The Virginia Dental Association (VDA) and the Virginia Dental Services Corporation (VDSC) are proud to announce a new association sponsored healthcare program through Trigon Blue Cross Blue

Shield. This new program is available for all dentists interested in setting up a benefit program for themselves or their practice.

Call our toll-free number between 8:30 am and 5:30 pm. Monday through Friday.

Simply dial 1-800-832-7001 for quick and efficient service. It's that easy. The VDSC Insurance Service Center aIso has a toll free fax line, 1-800-886-4913.

VDA's HEALTH INSURANCE PROGRAM INCLUDES: • Choice of Products - Indemnity, PPO, POS, HMO, and MSAs. • Trigon's extensive networks of participating hospitals and doctors.

• Special Trigon "Value Added" and "Membership" benefits available to you because of your association membership.

association is working to assist members in this important area.

Num:ber 2

4 5 6 7 8 9 11 12 16 18 22 31 32 34 37 42 43 44 45 47 48 53 55 62

Editorial Letters to the Editor Message From the President From the Executive Director Bill Zepp Resigns Abstracts National New Dentist Conference Dental Erosion: A Review & New Concerns for Practitioners in Virginia Great Question- Glad You Asked That...

1999 VDANSOMS Annual Meeting Preview Candidate Information Fourth National Grassroots Conference Virginia General Assembly Overview PAN.DA of Virginia Executive Council Actions in Brief Ethics Perspective VDSC Membership Benefit Highlight Y2K Upcoming Continuing Education Donated Dental Services Volunteers VDA News Component News & Specialty News Classified Advertising COVER: 130'h Annual Meeting of the Virginia Dental Association PUBLICATION TEMPLATE: C:\Change

THE VIRGINIA DENTAL JOURNAL (ISSN 0049 6472) is published quarterly (January-March, April-June, July-September, October-December) by the Virginia Dental Association, 5006 Monument Avenue, PO Box 6906, Richmond, Virginia 23230-0906, Telephone (804)358-4927 SUBSCRIPTION RATES: Annual: Members, $6.00. Others $12.00 in U.S., $24.00 Outside US. Single copy: $6.00.

Second class postage paid at Richmond, Virginia. Copyright Virginia Dental Association 1996 POSTMASTER: Send address changes to: Virginia Dental Journal, PO Box 6906, Richmond, VA 23230-0906 MANUSCRIPT AND COMMUNICATION for publications: Editor, PO Box 6906, Richmond, VA 23230-0906 ADVERTISING COpy, insertion orders, contracts and related information: Business Manager, PO Box 6906, Richmond, VA 23230-0906

VIRGINIA JOURNAL EDITORIAL

BOARD

VDA COMMl7TEE CHAIRMEN

Ralph L. Anderson James R. Batten Cramer L. Boswell James H. Butler Gilbert L. Button Charles L. Cuttino III Frank H. Farrington Barry I. 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

Annual Meeting Bruce R. Hutchison

Ethics & JUdicial Affairs M. Joan Gillespie

Auxiliary Education & Relations T. AndrewThompson

Fellows Selection

Donald L. Martin

Budget & Financial Investments Raymond L. Meade

History & Necrology

French H. Moore JJJ

Cancer & Hospital Dental Service Michael E. Miller

Infection Control & Environmental Safety Paul F. Supan

Caring Dentists Harry D. Simpson, Jr.

Institutional Affairs

Elizabeth A. Bernhard

Communication & Information Technology Corydon B. Butler, Jr.

Journal Staff

Leslie S. Webb, Jr.

Constitution & Bylaws Wallace L. Huff

Legislative T. Wayne Mostiler

Dental Benefits Programs Fred A. Coots, Jr.

Membership H. Reed Boyd JJJ

Dental Continuing Education

B. Ellen Byrne

New Dentist

Carolyn C. Herring

Dental Delivery for the Special Needs Patient

Al J. Stenger

Nominating

Wallace L. Huff

Al

Dental Health & Public Information J. Rizkalla

Peer Review & Patient Relations Neil J. Small

Dental Practice Regulation Albert L. Payne

Planning

William H. A/Jison

Dental Trade & Laboratory Relations Jeffrey L. Hudgins

Search Committee for VA Board of DemisitÂť Wallace L. Huff

Direct Reimbursement David Swett

VADPAC

Rodney J. Klima

FOUNDATIONS Relief Foundation Scott H. Francis

VDA Foundation

William H. Allison

1999 ADA DELEGATION Delegates:

14(}h ADA Session, October9-1s, 1999, Honolull!, HI

William H. Allison ( I 999) M. Joan Gillespie (2000) Ronald L. Tankersley ( 1999)

DavidC.Anderson (2001 ) Wallace L. Huff (2001 ) Leslie S. Webb, Jr. (2000)

Charles L. Cuttino HI (2001 ) Emanuel W. Michaels (1999) RichardD. Wilson (1999)

Richard D. Barnes (2000) Lindsay M. Hum, Jr. (1999) Edward K. Weisberg (2000)

Thomas S. Cooke III ( 1999) Bruce R. Hutchison (1999) Andrew J. Zimmer ( 1999)

Alternate Delegates: Anne C. Adams (2000) BruceR. DeGinder (2000) RodneyJ. Klima (2000)

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

OFFICERS President: Charles L. Cuttino III, Richmond President Elect: Andrew J. Zimmer, Norfolk Immediate Past President: Wallace L. Huff, Sr., Blacksburg 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 - Chairman Gus C. Vlahos, Dublin - Vice Chairman Richard H. Wood, Richmond William J. Viglione, Charlottesville Ex Officio Members: Parliamentarian: Emory R. Thomas, Richmond Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: D. Christopher Hamlin, Norfolk Dean, School of Dentistry: Ronald J. Hunt, Richmond

COUNCILORS .

I Edward J. Weisberg, Norfolk II Bruce R. DeGinder, Williamsburg III Harold J. Neal, ,Jr., Emporia IV James R. Lance, Richmond V Edward M.O'Keefe, Roanoke VI Ronnie L. Brown, Abingdon VII James C. Gordon, Jr., Winchester VIII Rodney J. Klima,Burke

SOCIETY

PRESIDENT

SECRETARY

PATIENT RELATIONS

Tidewater, I

Stanley P. Tompkins 5830 Trucker Street Portsmouth, VA 23708

Harvey H. Shiflet III 3145 Virginia Beach Blvd., 104 Virginia Beach, VA 23452

W. Walter Cox 5717 Churchland Blvd.

Portsmouth, VA 23703

Peninsula, II

Corydon B. Butler, Jr. 1319 Jamestown Rd., #103 Williamsburg, VA 23185

Wayne E. "A.J." Booker 6632 Geo Wa Mern Hwy Grafton, VA 23692

Southside, III

Richard F. Roadcap 3501 Boulevard Colonial Heights, VA 23834

Richard W. Bates 3505 Boulevard Colonial Heights, VA 23834

Richmond, IV

John S. Kittrell 2600 Grove Avenue Richmond, VA 23220

HA "Jack" Dunlevy 11601 Robious Rd, Ste 130 Midlothian, VA 23113

Piedmont, V

Mark A. Crabtree 407 Starling Avenue Martinsville, VA 24112

Gregory T. Gendron 7 Cleveland Avenue Martinsville, VA 24112

Southwest, VI

Robert G. Schuster P.O. Box 68 Laurel Fork, VA 24352

Susan F. O'Connor PO Box 1086 Galax, VA 24333

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

Shenandoah Valley, VII

Robert B. Hall, Jr. 130 W. Piccadilly 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

James L. Gyuricza 5212-B Lyngate Court Burke, VA 22015

Neil J. Small 9940 Main Street Fairfax, VA 22031

Paul N. Zimmet 5206 Dawes Avenue Alexandria, VA 22311

Lawrence A. Warren . 106 Yorktown Road Tabb, VA 23693 ;Richard F. Roadcap 3501 Boulevard Colonial Heights, VA 23834 . William J. Redwine :6808 Stoneman Road Richmond, VA 23236 , ~i1<-

Craig B. Dietrich E. Church Street Martinsville, VA 24112

-. ,':tl9~

Dentistry: Health Care That Works

Six years ago when President Clinton began the accelerated national discussion on health care reform, organized dentistry made a decision which had a major impact on dentistry and the dental marketplace. Rather than be swept along with the fragmented medical community, which accounts for 95% of the health care expenditure, dentistry would stand on its own because it is different. Many scoffed at this stance. How could dentistry, which accounts for such a small percentage of health care spending, afford to take such a bold stance? How could it succeed?

Over the last six years, the delineation that dentistry is clearly different in its delivery system, its overhead costs, and its insurance payment mechanisms has made it clear that dentistry must be treated on its own merits. Dentistry is preventative based, cost efficient and patient focused. Dentistry's provider base is composed of 80% general practitioners and only 20% specialists.

Dentistry supports its patients' freedom to choose their dental providers of care, freedom to hear all their treatment alternatives and make their own treatment choices, freedom to assign their insurance benefits, and freedom to have decisions about what constitutes dentally necessary care made by dentists based on accepted standards of dental practice.

Dentistry has consistently taken a stand for its patients. We should take pride in our choice to adopt the slogan "Dentistry: Health Care That Works" and to support our unique niche in the health care system. It was the right decision.

of.tJfUJS. W-U, Jr.., Editor

4 Virginia Dental Journal

DD.S.

Dear Editor:

March 3, 1999

The 1999 Session of the Virginia General Assembly has now closed. The members of the Virginia Dental Associa­ tion should be extremely proud of the passage of HB 871 and SB 1235 (Managed Care Ombudsman Bills) both of which contained Assignment of Benefits language written by the VDA for dentists. This is a remarkable accomplish­ ment when you consider that the VDA stood alone, op­ posed at every turn by two of the largest dental insurance companies in Virginia. We were able to effect this stun­ ning outcome because 1) Chuck Duvall demonstrated in­ credible lobbying wizardry during the General Assembly Session while Lisa Finnerty further enhanced Chuck's ef­ forts with relentless follow-ups and alerts to the members of our legislative phone trees; 2) Many of our members and their patients made phone calls, sent letters, email and faxes to legislators and ultimately the Governor himself; and 3) We were justly fighting for our patient's right of choice.

Dear Dr. Webb,

The Virginia Dental Association has led the way on Assign­ ment of Benefits by adopting our own policy, introducing the policy to the 1997 ADA House of Delegates and now establishing this important right as Virginia law in 1999. Our victory in the state legislature demonstrates two important concepts: If we work together, dentists and their patients do not have to be victims of unilateral policy decisions on the part of third party payers, and we can make a differ­ ence for our patients and for the practice of dentistry.

Those who participated in this marvelous legislative effort deserve our sincere thanks. To those who were not in­ volved in this year's campaign we hope you will be with us the next time it is necessary to go to the state legislature to obtain fair consideration for our patients and our practices.

Although we have now remedied the Assignment of Benefits issue in Virginia, we must be vigilant and pro active to maintain freedom of choice for our patients and control of our practices. There is a growing concern that third party payers may now resort to some alternative method to dominate patients and providers-once again attempting to penalize dentists and subscribers for exercising their freedom of choice. We must prepare to address this eventuality by communicating with our patients and colleagues to preserve freedom of choice and the profession we love. Be ready to work hard and work together.

I would like to congratulate you on the latest VDA Journal, January/March 1999. The Association and our Staff have a lot of talent that we continually need to utilize. The selection for the cover of a photograph by Linda Gilliam, VDA Director of Finance, was outstanding.

I think it would be appropriate for a call to go out to all of our members to submit their own photographs for possible use as a cover. The criteria should be a scene from anywhere in Virginia. Another possibility, would be a show at the Annual Meeting exhibiting works of art by our members.

This could be paintings, photography or sculpture.

Sincerely,

Charles L. Cuttino, D.D.S.

President

April 6, 1999 Dear Officers, Members & Staff: I am deeply honored that you have chosen to name the Virginia Dental Association annual MCVNCU School of Dentistry scholarship donation the David A. Whiston Scholarship.

You enhance the great honor by contributing to the education of those who seek to be a part of our wonderful profession.

I look forward to participating in the Graduation ceremo­ nies at the Cathedral of the Sacred Heart in Richmond on Saturday, May 15 with VDA President Dr. Charlie Cuttino.

Sincerely, David A. Whiston, DD.S. ADA Immediate Past President

If we stand united as an Association and a profession we can make a difference!

Sincerely, Andrew J. (Bud) Zimmer, D.D.S. President-Elect

Virginia Dental Journal 5

Spring has arrived and we are feel­ ing rejuvenated from the winter with summer not far behind. With spring comes new growth and replace­ ment of the old. This is an impor­ tant growth time for the VDA and our committee meetings in June are an example. This is a time and place where you the members have the opportunity to communicate your ideas and thoughts about the direction of the Association.

The Association only progresses with your ideas and your work to get those ideas in place. The lead­ ership cannot come up with all the issues and solutions by ourselves.

Hopefully, we are here to inform and stimulate you to provide us with the ideas to move this organization forward. You can start the process.

An issue that has dentistry con­ cerned, is the recent Pew Health Professions Commission report (Strengthening Consumer protec­ tion: Priorities for Health Care Workforce Regulation). This report calls for periodic evaluation of the practicing dentist by written exami­ nation and office evaluations. The purpose is to have the dentist main­ tain a level of competency in the

1 2

art and science of dentistry that will protect the consumer patient.

fornia and Utah have quality im­ provement programs in place. 2

The State Board of Dentistry will have to be the agency that will for­ mulate the process, implement the system and monitor the outcome.

Dentistry has to have a say in how this is done. Do not think that the government can not direct how and what you practice.

Dentistry has to be involved in the process and have a say in what is the outcome of any competence mechanism. The VDA Committee on Dental Practice Regulations has begun looking at this situation. If we do not address this issue someone else will do it for us.

The Medical Profession is already struggling with Evaluation and Man­ agement (E&M) documentation guidelines as well as the American Medical Accreditation Program (AMAP).1

I feel that what is developed must maintain a level of knowledge, al­ low for differences of treatment mo­ dalities, allow for professional judgement, provide a minimal intru­ sion into the way we practice as well as protect the patient.

The E&M Guidelines were estab­ lished by HCFA because of per­ ceived fraud and abuse by the prac­ titioner and set standards for what is included in charting and the fil­ ing of insurance claims. We see this somewhat in dentistry today.

AMAP is an individual physician accreditation process that has na­ tional standards and criteria. At the present time it is voluntary but with acceptance by the physicians has the potential to become mandatory.

In dentistry there exists presently recertification of board certification.

The American Association of Oral and Maxillofacial Surgeons and the Academy Board of Pediatric Den­ tistry have recertification examina­ tions to measure the continued competency of their fellows. The Fellowship program of the Acad­ emy of General Dentistry could also be considered a competency ex­ amination. On the state level, Cali­

I feel that this may well be the next major challenge to the practice of dentistry. It is time for you to be­ come involved and have a say in the way we are regulated and the future of dentistry.

For four and a half years the Asso­ ciation had the privilege of being associated with Mr. William Zepp as our Executive Director. Bill has brought us into the 90's in associa­ tion management and growth. We have benefited in many ways such as the organization of the central office, the staff development, the growth in the annual meeting, and our legislative presence. Bill is leav­ ing to take the Executive Director position in Oregon. We all wish him well. Thanks Bill.

Cfuu.f.tl of. Culiino III, D.D.S. President

American Medical Association House of Delegates, Annual Meeting, Chicago, IL, June, 1998.

Meskin, L. H., JADA, Vol. 130, January 1999, p 12.

6 Virginia Dental Journal

Ave atque vale,

In this column in January, I reflected on the difficulty in selecting topics and com足 posing thoughts that mayor may not be of interest by the time the members read them. This time the selection of topic got much easier.

On March 26, 1999, I accepted the offer of the Oregon Dental Association to serve as their Executive Director. Their current Exec, my good friend Barry Rice, resigned to accept a position with ODA's for-profit subsidiary. I will begin my du足 ties in Oregon in July.

This was not an easy decision and the timing was not to my liking. The Oregon and Virginia columns were both filled with positive considerations. The VDA is currently making some great strides forward in any number of areas and I would enjoy seeing them come to fruition. I suppose that's always the case in an active organization, but the timing is difficult nonetheless.

Our strongest pull was that of family and friends. Pat is from Portland and her parents and several brothers and sisters and families are there. We both attended the University of Portland and have many friends in the area. Most importantly, Taylor Christine Still (age 2 1/2) and Zachary Clayton Still (age 1/2) reside with their parents (our daughter and son-in-law) in Seattle. But even the family portion of the column became compli足 cated: our son, a tennis pro in Charleston, announced his engagement at Easter. I'm sure we're destined to be a bi-coastal family on a permanent basis.

I am tempted to launch into a "thanks to the Academy, mom, my agenL" litany, but won't. The list of members would be way too long and I would forget and leave Bruce DeGinder off and he'd be upset. On Pat's behalf, I'll make a special mention of Gladys Tankersley - not a member but such a wonderful friend.

The Virginia Dental Association is blessed with a strong and talented staff. The next Exec will be indeed fortunate. The Virginia Dental Association is blessed with many, many volunteer leaders and leaders-to-be. I know that I belong to a number of associations and I do not give the time that so many of you do to this volullteer endeavor. It's why organized dentistry is in better shape than other associations and professional groups.

Learn from your collective experience, trust your colleagues, encourage your young leaders, celebrate and promote your diversity, participate selflessly, and embrace change - it's the only certain thing (besides the two other certain things, but hey ... ).

Thanks and regards.

Wl/-uun G. Zpp, CAE

Virginia Dental Journal 7

r"""""............-;.;...;.;~;.;..",,;,'O""';=-".....-.;;;;.;-....;.~=o...;o.;;,;.;";;;;,.;....;;;.;.;,..;,;;;,;,;;..,;;~~~..;,,,;.oo,~..;;.oo,,

..o..;.;=--;.-.;­ •...;... ~-~--,-~,-,.~...

- ....

"-- ~~~~,,~_.,,_ _. -"- --- --_. --_., . . -.

- It

BILL ZEPP RESIGNS AS VDA EXECUTIVE DIRECTOR

" "

.-­

-

---.­

'\­

......~~~~~~~~~~~;;;.,;,;;;;o;;;.,;,;;;;o~~~.-,,;;;,;;;~,;,.;,;;;;;~;._,_."._"_."_.~.~.-

l,;.;;;;;;;.;;;;;;;;;;;;.,;,;;;;o;;;;.;;;;;~~~~~~-;;;,~

Leslie S. Webb, Jr., D.D.S., Editor Bill Zepp submitted his resignation as Executive Director of the Virginia Dental Association effective June 26, 1999. He has accepted the position of Executive Director of the Oregon Dental Association. In his resigna­ tion letter Bill stated "My relationship with the VDA over the past four and one-half years has been very positive, and I would like to maintain that spirit throughout this transition period and in the future." He thanked the membership for their support and friendship. During his four-plus year tenure the VDA office has greatly expanded its operation. Bill has overseen the development of the Virginia Dental Service Corporation and the VDA Foundation.

The VDA Executive Committee met via conference call and established a timeline for the process of selecting a new VDA Executive Director. Announcements of the vacancy were mailed to all ADA Constituent Societies, the ADA and selected others. Applications for the position must be received by April 23, 1999.

The Search Committee will consist of the VDA Executive Committee and Doctors Ron Tankersley and Les Webb. Every effort will be made to have a new Executive Director in place by midsummer.

I

------==-==----====-------

--------------------

II I!

II

YOU ARE CORDIALLY INVI1ED

I'I I

11

TO ATTEND A DINNER

II i

IN HONOR OF

II I

I!!

il

II Iii SATURDAY, ..JUNE

il I

I 2, 1999

7:00 PM.

AT THE SHERATON OCEANFRONT HOTEL CAPES BALLROOM 36TH AND ATLANTIC AVENUE VIRGINIA BEACH, VIRGINIA

I Su"""

CASUAL ATI'RE

RSVP BY MAY 15. 1999 DINNER:

$35 PER PERSON

II

8 Virginia Dental Journal

FOR MORE INFORMATION CALL

'-800-552-3886

ABSTRACTS

The following abstracts were pro­ vided by the Department of Pedi­ atric Dentistry at VCU/MCV School of Dentistry. We appreciate the consideration that these individuals have made to the Journal.

Prolonged Demand Breast­ Feeding and Nursing Caries.

Weerheijm,K.L., Uyttendaele­ Speybrouch,B.F.M., Euwe,H.C., Groen,H.J. c.ariesResearch;32:46­

children of the nursing-caries group (group 3) used fluoridated tooth­ paste less often than the children in groups 1 and 2. In addition, most of the children in group 2 and 3 re­ ceived less supplemental fluoride from other sources. In the Nether­ lands, drinking water is not fluori­ dated. The mean DMFS of all ex­ amined children was 1.2 (SO 4.8).

Dentin caries were found in 14 (14.5%) of the children, of which 9 (9.8%) met the criteria of nursing caries. Children still being breast­ fed during the investigation slept in the parent's bed more frequently.

.50.1998.

The purpose of the study was to evaluate the characteristics and to study the risk factors within a group of Dutch children breast-fed on de­ mand over a prolonged period of time, and whose mothers attended the meetings of La Leche League.

This organization encourages an unrestricted breast-feeding habit as comfort for the children during a prolonged period of time. A total of ninety-six children, between the ages of 14 and 42 months, were examined. The population con­ sisted of 55 boys and 41 girls (mean age 28.8 months, SO 8.8). The study included a questionnaire in­ quiring about the duration and time of the breast-feeding, age of erup­ tion of the first primary teeth, feed­ ing habits, and parenteral educa­ tionallevel and employment. Along with the questionnaire, the study included a dietary sheet, combined with the caries status of the child.

The children were breast-fed 21.5 months (SO 9.8) on average. Par­ ents started brushing the child's teeth at a mean age of 1 1.7 months (SO 5. 1). The children were di­ vided into three categories accord­ ing to their caries pattern: 1 caries free; 2 caries; 3 nursing caries. 70% of the children used a fluoridated toothpaste (250 ppm fluoride). The

The results of the study demon­ strate that prolonged demand breast-feeding does not lead to higher caries prevalence. How­ ever, comparison between the three categories shows that fre­ quent breast-feeding and lack of supplemental fluoride should be considered as contributing factors to the nursing caries process.

Dr. Matthew Abdoney is a first year advanced education student in Pe­ diatric Dentistry at the Medical Col­ lege of VirginiaNirginia Common­ wealth University, School of Den­ tistry. He received his D.MD. de­ gree from the University of Florida College of Dentistry in 1998.

develop below a sealant. Marginal leakage of sealants placed by con­ ventional acid etch techniques has shown varying results. Boj et al found no statistical difference in the microleakage of sealants placed conventionally compared to bur preparation of the pits and fissures.

Eakle et al. found less microleakage in sealants placed conventionally compared to those prepared by air abrasion. The pur­ pose of this study was to compare microleakage of unfilled and filled pit and fissure sealants after con­ ventional, bur, and air-abrasion preparations of the tooth .

Seventy-two extracted molars were randomly assigned to three groups.

Group 1 had 24 teeth that were pre­ pared by pumicing and acid etch­ ing with 37% phosphoric acid.

Group 2 had 24 teeth that were pre­ pared with a 1/4 round bur in a low­ speed hand piece and then acid etched. Group 3 had 24 teeth that were prepared without acid etch by high-speed (160PSI) microabra­ sion using 50 Ilq. alumina particles in a KCP 2000 machine. In each group 12 teeth were sealed with a filled sealant (Prismashield) and 12 teeth with an unfilled opaque seal­ ant (Delton). The teeth were soaked in artificial saliva for 7 days and thermocycled for 2000 cycles.

The teeth were sealed apically, coated with nail varnish 1 mm from the margins, and soaked in 1 % me­ thylene blue stain for 24 hours.

Each tooth was sectioned in three locations and examined for microleakage.

S. Hatibovic-Kofman, GZ Wright, Ian Braverman, Microleakeage of Sealants After Conventional, Bur, and Air-abrasion Prepara­ tion of Pits and Fissures. Jou~ nal.of.the American Academ~ A total of 216 tooth sections were f.ediatric Dentistry. 20 (3): 173­ analyzed for microleakage. When 176,1998. considering the entire sample 66% of the sealants had no leakage.

Microleakage or marginal leakage The bur-prepared sealants showed is defined as the ingress of oral flu­ significantly less microleakage ids into the space between the tooth (P<0.05) than conventionally or and the restorative material. KCP 2000-prepared sealants. The Microleakage can cause caries to difference in microleakage between Virginia Dental Journal 9

conventionally and KCP-prepared sealants was found not to be significant (P>O.05). Also the unfilled sealants showed significantly less microleakage (P>O.05) than the filled sealants independent of the method of tooth preparation. When both variables were considered the air-abrasion preparation with the filled sealant yielded the worst result.

The major finding of this study was that the bur preparation followed by acid etching produced sealants with less microleakage than conven­ tional or air-abrasion techniques.

There are several possible expla­ nations for this finding. Since the bur will open a pit or fissure, better sealant adaptation and penetration can be accomplished. Deep pits and fissures may not facilitate good acid conditioning or may cause air to be trapped between the tooth and sealant. Greater leakage after pumicing may be due to the fact that debris cannot be completely removed from the pits and fissures.

This prevents total tooth condition­ ing and eventually reduces resin penetration into the enamel. Air­ abrasion produces a roughened surface but lacks the seal obtained with acid etching.

This study also found that unfilled sealants displayed less microleakage than the filled seal­ ants. This finding is consistent with previous studies and is attributed to the difference in viscosity be­ tween the two types of sealants.

This reviewer feels that acid etch­ ing along with air-abrasion would produce different results. Further study in this area is warranted.

Dr. Jeffrey D. Kearns is a first year resident in Pediatric Dentistry at MCVNCU School of Dentistry. He received his DDS degree from the University of Maryland Dental School in Baltimore in 1998.

10 Virginia Dental Journal

....

~

Warren. JJ, Kanellis, MJ, and Levy, S. Ms; Fluorosis of the Pri­ mary Dentition: What Does it Mean for Permanent Teeth?

JADA,130:347-356,1999 There is a lack of information per­ taining to fluorosis in the primary dentition. Fluorosis in the primary dentition is often overlooked or thought to be of lesser conse­ quence. This article reviews ar­ ticles pertaining to fluorosis in the primary dentition and evaluates pri­ mary-tooth fluorosis clinically. Also correlation's are made as to the predictive value primary dental fluo­ rosis may have on fluorosis occur­ ring in the permanent dentition.

Fluorosis in the permanent denti­ tion in the United States and Canada has increased in the last few decades, however, there is little reported on fluorosis in the primary dentition.

The article reviews various studies on primary dental fluorosis, most of these articles describe similar find­ ings in the clinical presentation of fluorosis in the primary dentition.

The primary teeth most commonly affected are the primary first and second molars, with primary inci­ sors least affected. Also the most common factor related to the preva­ lence of fluorosis is water fluoride levels. The authors describe sev­ eral characteristics of primary-tooth fluorosis including its description of being less severe than that seen in the permanent dentition often lim­ ited to the molars and is directly related to water fluoride levels.

Detail description of the clinical ap­ pearance of primary-tooth fluorosis is provided supplemented with clini­ cal photos.

A brief description of the develop­ ment of the primary dentition is pro­ vided in order to facilitate a possible correlation to the time frame in which

fluorosis may develop. The author indicates that further studies are needed to evaluate primary-tooth fluorosis as a predictive marker of permanent-tooth fluorosis. At the very least the clinician detecting pri­ mary-tooth fluorosis should be prompted to investigate fluoride lev­ els of that child as well as evaluate younger siblings for sirnilar"findings.

Dr. Alex Olea is a second year advanced education student in Pediatric Dentistry at MCVIVCU School of Dentistry. He received his DDS degree from the University of Texas Health Science Center at San Antonio in 1994. Dr. Olea practiced General Dentistry in San Diego, CA from 1995-1997 where he plans to return to practice Pediatric Dentistry.

Lopez, L., Berowitz, R., Zlotnik H., Moss, M., Weinstein, P. Topical antimicrobial therapy in the pre­ vention of early childhood car­ ies." Journal of the American Academy of ~e.diatric Dentistry; (21)1. 1999.

Early childhood caries (ECC) is a disease of infants, toddlers and young preschool children that may devastate or destroy the primary dentition. Microbiologic studies show the etiology of ECC to be heavy infections of Streptococci Mutans on dental surfaces. There­ fore, it is reasonable to assume that suppression of these bacteria would decrease the risk of ECC. A randomized double blind, placebo controlled pilot study was per­ formed to test this hypthoseis.

A study population of thirty one sub­ jects, ages 12 to 19 months, who were clients of a Women, Infants and Children (WIC) clinic were se­ lected to participate in the study.

The inclusion criteria were: unre­ markable medical history, presence of 4 primary maxillary incisors with no visible defects, clinically caries free, use of nursing bottle at naptime and or bedtime which con­ tained a cariogenic substrate and two consecutive positive strepto­ coccus mutans cultures (separated by an 8 week interval) taken from pooled plaque.

The subjects were randomized into two groups, 15 subjects in the ex­ perimental group and 16 subjects in the control group. The subjects were evaluated at two week inter­ vals for the duration of the study period. At each evaluation the ex­ perimental group had a 10% povi­

done iodine applied to their denti­ tion, via a cotton tip applicator. The control group received a placebo of commercial instant tea, without sweetener or lemon, via a cotton tip applicator. Treatment failure was defined as the appearance of white spot lesions on the primary maxillary incisors.

clinical trial suggest that reduction in the number of Streptococcus Mutans reduce the risk for early childhood caries in high risk indi­ viduals. In this study, topical anti­ microbial therapy signifcantly re­ duced the incidence of ECC in high­ risk children.

There were no statistically signifi­ cant differences in the age or gen­ der distribution of the subjects in the two study groups. The mean dura­ tion of treatment was 155 days.

Five of the sixteen control subjects and 0 of the 16 experimental sub­ jects experienced treatment failure (Fisher's exact test: P=0.04). These results and observations from the

Matthew R. Cooke. D.D.S. is a second year advanced education student in the Department of Pedi­ atric Dentistry and a graduate stu­ dent in the Department of Preven­ tive Medicine and Communtiy Health. Dr. Cooke received his DD.S. from MCVNCU, School of Dentistry in May of 1997.

THIRTEENTH NATIONAL CONFERENCE ON THE NEW DENTIST

New dentists will converge for peer networking and continuing educa­ tion at the is" National Conference on the New Dentist, to be held July 29-31, 1999, at the Opryland Hotel in Nashville, Tennessee. The theme for the Conference is "Net­ working in Nashville ... Dentistry For a New Century." Chesebrough­ Pond's USA Co. has been the sole corporate sponsor since the first conference was held in 1987.

The conference program includes outstanding continuing education opportunities directed towards the new dentist. Kicking off the con­ ference, keynote speaker Emory Austin will speak to dealing with change and building loyalty utiliz­ ing her own personal philosophy, "An Ounce of Different."

Some of the educational courses include technology, clinical issues, practice management, professional

issues, and, the "New Dentist Com­ mittee Network Idea Exchange and Open Forum," a perennial favorite among conference attendees who "step up to the mike" to discuss hot issues and share ideas.

The early registration fee for mem­ berdentists is $195.00 and for pre­ doctoral and graduate student members it is $55; register by June 26, 1999. Special rates apply for spouses, guests, dental office staff and nonmembers. For more infor­ mation about the conference, con­ tact the ADA Committee on the New Dentist on the ADA toll-free number, ext. 2779.

The Opryland Hotel is one of the premier hotel properties in the U.S., boasting over 2,000 guest rooms, 30 specialty shops and 25 restau­ rants, all built under a series of beau­ tiful 15 story atriums. The hotel is situated with --.,,,,....- ~_... -"-~"~'---~ easy access to ..I1/dW~ tA- ..I1/advd&- .. downtown Nash­ ville and nearby historic sites and activities, includ­ ing the Grand Ole Opry.

FOR M(jPt !NFDRMtJIOi(

C4~L

THE

~ .. ·80HII·809',

AMtRI,C,~N

13thNatlOna' Conferenc:e ontnE; Ne'h Dentist

DENTAL

~,SSOCiATIO'"

EXTENSIDN

Virginia Dental Journal 11

t'-·_""'""~'_~~"""'

_ _· _ . _ '

-"'"*,~"'

-

-

._.-

."'~

_._-'-

""""""_"""A"'_ --- _

_...._"

~""'l

~·.,,~ ,.,

..........,m._"'· __ ­

....""',..,_,.,.."'"·,_·,·,',.'...

"'..,·""~

...··, ·, ··,·" .',;. co·. ·

~_'"···_·,,,

' ,

DENTAL EROSION: A REVIEW AND NEW CONCERNS FOR DENTAL PRACTITIONERS IN VIRGINIA Francis J. Robertello, D.M.D., M.S., M.Ed., and Mathew R. Cooke, D.D.S. Dental erosion is the clinical term used to describe the pathologic, chronic, localized, chemical disso­ lution of dental hard tissue, in a pro­ cess that does not include bacte­ ria.' This chemical dissolution is caused by acidic solutions which come into contact with the teeth.

The acids responsible for erosion of teeth are not products of the in­ traoral flora, but come from either intrinsic (endogenous), extrinsic (exogenous), or idiopathic (un­ known) oriqin.' Several investiga­ tors- believe the term "erosion", as currently used in dentistry, is mis­ leading. They proposed the term "corrosion", as defined by metallur­ gists, as a more scientifically pre­ cise term to describe the process.

However, "erosion" remains the commonly accepted term used by dentists to describe the gradual dis­ solution of tooth surfaces by acid.

Any acid solution that can lower the pH below the critical 5.5 forenamel, can cause erosion particularly if the exposure is of long duration and re­ peated over time.

Intrinsic factors: Dental erosion related to intrinsic factors is the result of gastric acids bathing the teeth regularly over a period of

12 Virginia Dental Journal

several years. This usually occurs due to the habitual regurgitation of gastric acids associated with organic or psychosomatic vomiting,or gastroesophogeal reflux dlsease.?" Eating disorders of psychosomatic origin such as anorexia nervosa or bulimia are also causes of chronic regurgitation or vomiting which leads to gastric acids with a pH of 1-1.5, well below the critical pH for enamel dissolution, coming into frequent contact with tooth structure. 7,9, 10 Extrinsic factors: Zero 11 has cat­ egorized the extrinsic factors in­ volved in dental erosion under four headings: (1) medications, (2) lifestyle, (3) environmental, and (4) diet.

(1 ) Medicati~ The acidity of the preparations as well as fre­ quency and method of administra­ tion are important. Chewable Vita­ min C (L-ascorbic acid) tablets, 12,13 chewable aspirin tablets for chil­ dren." salivary substitutes, flow stimulants, anti calculus mouth rinses,15,16 and acidic lozenges 17 have been identified as some of the preparations contributing to tooth erosion.

(2) Lifestyle: Today's "modem" lifestyle focuses on healthy diets, fitness regimens, and appearance enhancing procedures and prod­ ucts. While diets considered healthy today include more fruits and vegetables, the consumption of these more acidic foods has been associated with a higher preva­ lence of dental erosion .18 Fitness programs and rigorous exercise may lead to increased consumption of acidic sports drinks, fruit juices, and other low pH beverages. 2,1920 Vigorous exercise may increase the effect of acidic beverages by the loss of fluids, decreased salivary flow, and an increased possibility of gastroesophogeal reflux."

Environmental: Factory (3) workers exposed to acid fumes and aerosols in battery, fertilizer, chemi­ cal, and metal etching and galva­ nizing plants, experience a high in­ cidence of acid erosion of their teeth,22-25 Although OSHA regula­ tions have significantly reduced this problem in the US, factory condi­ tions in some countries still present cause for concern. Of particular interest in Virginia, which is experi­ encing a rapidly expanding winemaking industry, is the tooth erosion associated with winemaking and tasting. 26-27The pH of wine may range from 3.0 to 3.6 and present a potential risk for acid erosion in full time wine-tasters and wine connoisseurs, Also swim­ mers, especially competitive swim­ mers who swim often in large gas chlorinated pools, may experience dental erosion from low pool pH. The low pH results from the forma­ tion of hydrochloric acid during the gas chlorination process, and re­ quires that pools be frequently

monitored and buffered to maintain the recommended pH range of 7.2­ 8.0. 28 ,29 (4) Diet: Most foods and drinks with a pH less than 4.5 have the potential to cause dental erosion.

Citrus fruit and citrus fruit based foods and beverages, as well as natural fruit juices have long been implicated in dental erosion 18,30-33 Also important is the pattern and frequency of the dietary acid chal­ lenge as well as the chelating prop­ erties of the dietary substances and oral hygiene habits.

Differential diagnosis between erosion, abrasion, attrition, and abfraction (a theory relating cervical lesions to occlusal stresses and tooth flexure) is difficult and often confusing. Also, patients are unreliable when discussing their dietary preferences and habits.

Clinically, depending on area involved, erosion may present as broad, shallow, smooth, highly polished depressions in enamel, dentin, and cernentum.>' Depressions or cupping on cusps of posterior teeth, margins of amalgam or composite raised above the level of the adjacent tooth surface, and a grooved appearance on the incisal edges of mandibular anterior teeth are also clinical signs of erosion. Erosion defects may be made worse by physical abrasion and the clinical differentiation may be impossible to make. However, in most instances, the cause of the presenting clinical condition is likely to be multifactorial.

Recently, investigators have iden­ tified an association between den­ tal erosion seen in school age chil­ dren in Southwest Texas, with con­ sumption of low pH citric acid and salt confections imported from Mexicc."" These acid snacks, popular in the Hispanic population,

are available either in granular form packaged in small cylindrical card­ board containers, or as a semi-liq­ uid fruit paste packed in plastic sleeves or other flexible plastic con­ tainers (Figure 1.). The ingredients are usually citric acid, salt, silicon dioxide, and occasionally sugar and chili powder. The granular form of the product is referred to as "sal y limon" (salt and lemon), while the fruit paste product is commonly re­ ferred to as "chemoy". Depending on the buffering capacity of saliva, the pH of these products is low and may range from 1.8 to 2. 1. These products are intended for use in seasoning vegetables, but are also used in the socially fashionable technique of garnishing the rim of cocktail glasses or beer bottles.

Children like to sprinkle the granu­ lar form on the back or side of their hands or wrists, and lick the tangy powder. The tangy citrus fruit fla­ vors are said to be thirst quench­ ing, and young teenagers have also used these products for diet con­ trol. The loss of tooth structure as­ sociated with their use frequently results in sensitivity to temperature changes and chewing pressures.

Rapidly changing demographics has seen the introduction of these products in many states, and the use of these acid snack products is becoming a national rather than just a regional concern. A recent article in the Richmond Times­ Dispatch cited US Census Bureau statistics that indicate Virginia's Hispanic population is up 40 percent since 1990,37 Loudon County, a fast growing suburb of Washington DC, has the fourth fastest growing Hispanic population in the South. Based on information from investigators in Southwest Texas, and the rapidly changing state demographics, The Division of Dental Health, Virginia Department of Health, has supported an investigation into the

availability and use of these low pH snack products and the associated prevalence of acid erosion in teeth of Virginia school children. These products were found to be readily available in Richmond, Northern Virginia, and the Tidewater area, and are most commonly found in super-markets and convenience stores in or near Hispanic neighborhoods.

The examination of Virginia school children is on going, and a future report will present data on the use of these products and the prevalence of acid erosion in Virginia school children. However, early evidence indicates that these products are popular among Hispanic children in Virginia. A significant number of the Hispanic children examined to date have acknowledged through a snack questionnaire, use of these products, and have experienced acid erosion on one or more teeth.

The erosion patterns most frequently observed were primarily on the facial surfaces of anterior teeth, and presented as a loss of facial enamel leaving a smooth glazed appearance. In some cases, the facial surfaces also demonstrated slight pitting. Erosion patterns were also seen, although to a far lesser extent, on the occlusal surfaces of mandibular posterior teeth and lingual surfaces of maxillary anterior teeth. This preliminary information is presented to encourage Virginia dentists to include the use of these acid snack products in their differential diagnosis for Hispanic patients who present with erosion patterns on their teeth. The consumption of low pH foods, beverages, candies, snacks, and exposure to acidic environmental factors should also be considered in the evaluation of any patient who presents with unexplained erosive loss of tooth structure.

Virginia Dental Journal 13

Francis J. Robertello, D.M.D., M.S., M.Ed., Assistant Professor, Department of General Practice,Virginia Com­ monwealth University School of Dentistry.

Mathew R. Cooke, D.D.S., Advanced Education student in Pediatric Dentistry and Preventive Medicine & Community Health, Virginia Commonwealth University School of Dentistry.

Acknowledgements The authors would like to thank Dr. Peggy P. Gragg, Department of Dental Diagnostic Sciences, University of Texas Health Science Center at San Antonio; Dr. Karen C. Day, Director, Division of Dental Health, Virginia Dept of Health, Richmond; and Dr. Bonnie D. Foster, Practitioner in General Dentistry, Manassas, for their support and contributions to the acid erosion study in Virginia.

References

1. Pindborg JJ. Pathology of the dental hard tissues.

Copenhagen, Munksgaard 1970, 294-325.

2. Imfeld T. Dental erosion. Definition, classification, and links. Eur J Oral Sci, 1996;104: 151-155.

3. Grippo JO, Simring M. Dental erosion revisited. J Amer Dent Assoc 1995; 126: 619-628.

4. Smith BGN, Knight JK. A comparison of patterns of tooth wear with aetiological factors. Br Dent J 1984; 157: 16-19.

5. Jiirvinen V, Rytbmaa 1, Meurman JH. Localization of dental erosion in a re­ ferred population. Caries Res 1992; 26: 391-396.

6. Scheutzel P. Etiology of dental ero­ sions - intrinsic factors. Eur J Oral Sci 1996; 104: 178-190.

7. Andrews FFH. Dental erosion due to anorexia nervosa with bulimia. Br Dent J 1982; 152: 89-90.

8. Gregory-Head B, Curtis DA. Erosion caused by gastroesophageal reflux: di­ agnostic considerations.

J Prosthodont 1987; 6(4): 278-285.

9. Knewitz JL, Drisko CL. Anorexia nervosa and bulimia: A review. Comp Contin Educ Dent 1988; 9: 244-247.

10. Robb ND, Smith BGN, Geidrys-Leeper E. The distribution of erosions in the dentitions of patients with eating dis­ orders. Br Dent J 1995; 178: 171-175.

11. Zero DT. Etiology of dental erosion ­ extrinsic factors, Eur J Oral Sci 1996; 104: 162-177.

12. Meurman .IH, Murtomaa H. Effect of effervescent vitamin C preparations on bovine teeth and on some clinical and salivary parameters in man. Scand J Dent Res 1986; 94: 491-499.

13. Giunta JL. Dental erosion resultinq from chewable vitamin C tablets. Amer Dent Assoc J 1983; 107: 253-256.

14. Sullivan RE, Kramer WS. Iatrogenic erosion of teeth. J Dent Child 1983; 50: 192-196.

14 Virginia Dental Journal

15. Smith BGN. Toothwear: aetiology and diagnosis. Dent Update 1989; 16: 204­ 212.

16. Rytbmaa 1, Meurman JH, Franssila S, Torkko H. Oral hygiene products may cause dental erosion. Proc Finn Dent Soc 1989; 85: 161-166.

17. Lussi A, Portmann P, Burhop B. Ero­ sion on abraded dental hard tissues by acid lozenges: an in situ study. Clin Orallnvestig 1997; 1(4): 191-194.

18. Linkosalo E, Markkanen H. Dental ero­ sions in relation to lactovegetarian diet.

Scand J Dent Res 1985; 93: 436-441.

19. AI-Hiyasat AS, Sanders WP, Sharkey SW, Smith GMCR. The effect of a carbonated beverage on the wear of human enamel and dental ceramics.

J Prosthodont 1998; 7: 2-12.

20. BirkhedD.Sugar content,acidity and ef­ fect on plaque pH of fruit juices, fruitdrinks, carbonated beverages and sport drinks. CaliesRes 1984; 18:120­ 127.

21. Clark CS, Kraus BB, Sinclair J, Castell DO. Gastroesophogeal reflux induced by exercise in healthy volunteers. J Am Med Assoc 1989; 261: 3599-3601.

22. ten Bruggen Cate HJ. Dental erosion in industry. Br J Industr Med 1968; 25: 249-266.

23. Tuominen M, Tuominen R. Dental ero­ sion and associated factors among factory workers exposed to inorganic acid fumes. Proc Finn Dent Soc 1991; 87: 359-364.

24. Peterson PE, Gormsen C. Oral condi­ tions among Gen-nan battery factory workers. Community Dent Oral Epidemiol 1991; 19:104-106.

25. GotoH, KosakaM, UedaT, YoshidaM, Haral.Association between dental ero­ sion and exposure to acid sina chemi­ cal factory. Sangyo-Eiseigaku Zasshi

1996; 38(4): 165-171.

26. Wiktorsson AM, Zimmertnan M, Angmar-ManssonB. Erosive tooth wear: prevalence and severity in

Swedish wine-tasters. EurJOralSci

1997; 105(6):544-550.

27. Gray A, Ferguson MM, WAIIJG. Winetasting and dental erosion.

Casereport.

Aust DentJ 1998; 43(1):32-34.

28. SavadEN. Enamel erosions-multiple cases with a common cause(?).

JNJDent Assoc 1982; 53:32-37,60.

29. CenterwallBS, ArmstrongCW, FunkhouserGS, ElzayRP. Erosion of dental enamel among competitive swimmers at a gas-chlorinated swim­ ming pool. Am J Epidemiol1986; 123: 641-647.

30. Fuller JL, Johnson Ww. Citric acid consumption and the human dentition.

J Am Dent Assoc 1977; 95: 80-84.

31. Asher C, Read MJF. Early enamel erosion in children associated with the excessive consumption of citric acid.

Br Dent J 1987; 162: 384-387.

32. Grobler SR, Senekal PJ, Kotze TJ. The degree of enamel erosion by five different kinds of fruit. Chn Prev Dent 1989; 11: 23-28.

33. Smith AJ, Shaw L. Baby fruit juices and tooth erosion. Br Dent J 1987; 162: 65-67.

34. Richmond NL. Update on erosion. An operative dentistry problem. J Indiana Dent Assoc 1983; 62(2): 23-24.

35. Dodds MNJ, Gragg PP, Rodriquez D. The effect of some Mexican citric acid snacks on in vitro tooth enamel ero­ sion. Pediatr Dent 1997; 19(5): 339­ 340.

36. Gragg PP, HUdepohl NC, Baker BR, Marshall MV. Dental erosion associ­ ated with the use of imported low-pH snacks. Texas Dent J 1998; 115(3):

7-13.

37. Shapiro JE. Hispanics, Asians mak­

ing mark on South. Richmond Times Dispatch, 1998 Sunday, Sept 27, K-2.

GREAT QUESTION· GLAD YOU ASKED THAT...

J

B. Ellen Byrne, R.Ph., D.D.S., Ph.D.

What Are The New Drugs On The Market?

The FDA cleared more than 30 new molecular entities (one with two strengths*) in 1998. They also ap­ proved 13 new dosage forms of existing drugs and withdrew 3 drugs due to toxicities. It is inter­ esting to note that 3 of the newly released dosage forms are used in periodontal therapy (Periochip®, Atridox® and Periostat®). Versed® Syrup is indicated for sedation, anxiolysis and amnesia prior to di­ agnostic, therapeutic, or endo­ scopic procedures or before induc­ tion of anesthesia in pediatric pa­ tients. Versed® Syrup must be given only to patients if they will be monitored by direct visual observa­ tion by a health care professional.

Versed® (midazolam), a short act­ ing benzodiazepine in the same family of drugs as Valium®, Xanax®, Ativan®, is now available in an oral dosage form. It has been available for several years in an in­ jectable dosage form.

Many of you may recognize Thali­ domide (Thalomid®) on the list and remember that it was the drug that was taken off the market in Europe many years ago when it caused phocomelia ... the absence of the proximal segment of the limbs in newborns if the mother had taken this drug while pregnant. One dose in early pregnancy can cause this severe birth defect. The FDA will be controlling distribution to prevent its use by pregnant women. It was never marketed in the U.S. The FDA has approved it for leprosy but you will also see it used for wast­ ing syndrome in some AIDS and cancer patients, and recurrent aph­

thous ulcers in HIV patients. It is a

powerful immune suppressant. It is also being tested for lupus, rheu­ matoid arthritis, multiple sclerosis and several forms of cancer.

specific in­ hibitors.

You can think of them as im­ proved non­ steroidal anti-inflam­ matory agents.

They re­ duce pain and inflammation but with less risk of 81 ulcers and bleeding. Look for more drugs to come out in this class in the near future.

Vioxx® (rofecoxib) will probably be the next drug in this class that you will see.

Pharmacist Letter Supplement Vol.

15, No.2 Pharmacist Letter Vol. 14, No.8, pg.48

Cebebrex® (celecoxib) is in a new class of pain relievers call COX-2

BRAND Actonel Acutect Aggrastat Alrex' Amerge Arava Atacand Celebrex Celexa Detrol Intergrilin Lotemax* Maxalt Micardis

NEW DRUGS APPROVED BY THE FDA IN 1998 GENERIC DESCRIPTION risedronate Bisphosphonate for the treatment of Paget's disease of the bone technetium apcitide Imaging agent for diagnosing acute venous thrombosis tirofiban Glycoprotein lib/lila blocker for acute coronary syndrome loteprednol etabonate 0.2% Ophthalmic steroid for allergic conjunctivitis naratriptan hydrochloride Serotonin agonist for migraines leflunomide Immune modulator for rheumatoid arthritis candesartan cilexetil Angiotensin II receptor blocker for hypertension celecoxib First COX-2 inhibitor for rheumatoid and osteoarthritis citalopram Selective serotonin reuptake inhibitor for depression tolterodine tartrate Muscarinic receptor antagonist for overactive bladder eptifibatide Glycoprotein lib/Ilia blocker for acute coronary syndrome loteprednol etabonate 0.5% Ophthalmic steroid for ocular inflammation rizatriptan benzoate Serotonin agonist for migraines telmisartan Angiotensin II receptor blocker for hypertension

BRAND Priftin Provigil Refludan Renagel Singulair

NEW DRUGS APPROVED BY THE FDA IN 1998 GENERIC DESCRIPTION rifapentine Antituberculosis agent modafinil Non-amphetamine for narcolepsy lepirduin Thrombin inhibitor anticoagulant sevelamer Phosphate binding polymer for renal failure montelukast sodium Leukotriene receptor antagonist for asthma

16 Virginia Dental Journal

Oral replacement therapy for sucrase deficiency Non-nucleoside reverse transcriptase inhibitor for HIV COMT inhibitor for Parkinson's disease Immune suppressant for leprosy complications Recombinant TSH for use in thyroid cancer Doxorubican analog for intraversical therapy in bladder cancer Oral phosphodiesterase inhibitor for erectile dysfunction Intravitreal injection for CMV retinitis Oral pro-drug of 5-fluorouracil for breast cancer I.V. Vitamin D analog for secondary

Nucleoside reverse transcriptase inhibitor for HIV

Sucraid Sustiva Tasmar Thalomid Thyrogen Valstar Viagra Vitravene Xeloda Zemplar Ziagen

sacrosidase efavirenz tolcapone thalidomide thyrotropin alpha valrubiun sildenafil citrate fomivirsen sodium ca pecitabi ne paricalcitol abacavir

BRAND Actiq Activelle Atridox Cipro HC Ditropan XL Perio Chip Periostat Prometrium Rebetron Roca Hrol Sandostatin LAR Versed Viramune

GENERIC fentanyl citrate estradiol/norethindrone acetate doxycycline hyclate gel ciprofloxacin/hydrocortisone oxybutynin chlorhexidine doxycycline hyclate progesterone ribavirin/interferon alfa 2b calcitriol octreotide midazolam nevirapine

NEW DOSAGE FORMS DESCRIPTION Transmucosal sucker for break through cancer pain Combination tablet for hormone replacement therapy Doxycycline topical gel for periodontal disease Otic antibiotic/steroid suspension for otitis externa Extended release form Periodontal disease adjunct Low dose anti-collagenase agent for periodontal disease Oral micronized progesterone Combination treatment for chronic hepatitis C Oral solution Depot injectable form Oral Syrup Oral suspension

BRAND Duract Posicor Seldane

GENERIC bromfenac mibefradil terfenadine

DRUG WITHDRAWALS DESCRIPTION Nonsteroid anti-inflammatory analgesic - due to liver toxicity Antihypertensive - due to cardiac :tQxicfut Antihistamine - due to cardiac tQxiQi1}t

You're The Captain...

J.l~s,_,YQur,w,S,hip __

An affiliation with MainStreet Dental Management can offer unprecedented financial and professional rewards.

MainStreet empowers you to compete in tcdavs changing market颅 place while you retain ownership and control of your practice.

Gain access to growth capital, leading-edge technology and professional management support with one of the fastest growing dental management service organizations in the United States.

For more infonnation call:

(703) 449路1500

3.~.

,(~,.#",.,

V;Z)/l tr V S D111c S

A nJ'lHitl 111eetti1'6

18 Virginia Dental Journal

WEDNESDAY, SEPTMEBER 15, 1999

SATURDAY, SEPTEMBER 18, 1999

8:00am 11 :OOam 1:OOpm 1:OOpm 5:30pm

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

Executive Committee Meeting Golf Exhibition Golf Tournament - Lansdowne Resort Registration and Ticket Sales Golf Reception

THURSDAY, SEPTEMBER 16, 1999 7:30am 8:00am 8:00am 8:00am 10:00am 10:30am 12:00pm 1:30pm 5:00pm 6: 15pm 7:30pm

VSOMS Board Meeting Registration and Ticket Sales Board of Dentistry Meeting Executive Council Meeting Credentials Committee VDA House of Delegates VDA Fellows Luncheon VDA Reference Committees 130lh Annual Meeting Opening Session Exhibition Hall Opens/Members Reception ACD Dinner & Dance

FRIDAY, SEPTEMBER 17,1999 7:00am 7:00am 7:30am 8:00am 8:00am 8:30am 9:30am 10:00am 11 :30am 11 :30am 11:30pm 11:30pm 30pm

f.:

~:30pm

5:00pm

9:00am 10:00am 11 :30am 12:00pm 1:30pm 6:30pm 7:30pm

Fun Run/Walk Registration and Ticket Sales VSOMS Membership Meeting International College of Dentists Breakfast Johnson Course - Consults Patients Can't Refuse Alliance Business Meeting Exhibit Hall Opens Pierre Fauchard Academy Luncheon CDHS Luncheon and Annual Meeting Endodontist Meeting VDNMCV Reception President's Banquet & Dance

SUNDAY, SEPTEMBER 19, 1999 7:30am 8:00am 9:00am 10:00am 1:OOpm

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

Registration and Ticket Sales VSOMS Membership Meeting VAGD Breakfast Board of Dentistry Meeting Risk Management Course Sullivan Course - Acheiving Esthetic Fixed Implant Restorations Alliance Meeting Exhibition Hall Opens Luncheon for Learning ADA 16th District Delegation Meeting Sullivan Course - Acheiving Esthetic Fixed Implant Restorations VAO Board Meeting Constitution & Bylaws Committee Meeting VAGD Board Meeting Reception with Exhibitors

Hyatt Regency Reston

*Thisis a preliminary schedule; some events may not be included.

Virginia Dental Journal 19

Dan Sullivan, D.D.S.

Acheiving Esthetic Fixed Implant Restorations

September 17,1999

8:30am-11 :30am & 1:30pm-4:30pm

Daniel Y. Sullivan is a Diplomate of the American Board of Prosthodon­ tics and an internationally recog­ nized authority on dental implants.

In 1982, he restored the first osseointegrated implants placed in the U.S. by Dr. P. I. Branemark.

Recognizing the future restorative potential of dental implants, Dr. Sullivan co-founded Osseointe­ gration Seminars, training and educating over 10,000 dentists in two-day seminars.

In addition to his full time private practice in Washing­ ton, D.C., Dr. Sullivan currently serves as Adjunct Associate Professor at the University of Pennsylva­ nia School of Dentistry and lectures extensively in North America, Europe and Asia.

Dr. Sullivan has publlshed numerous articles in refer­ eed dental journals, was most recently featured in Dentistry Today's "Leaders in Continuing Education" and he co-authored the highly successful text entitled Esthetics & Osseointegration. He is active in several dental organizations, serving as President of the Acad­ emy of Osseointegration 1992-93, and as an Officer and Board Director of the American Academy of Es­ thetic Dentistry.

COURSE DESCRIPTION

Achieving Esthetic Fixed Implant Restorations: The interrelationship between bone, soft tissue, implant and prosthetic components influence the final esthetic result. The roles of the surgeon and restorative dentist will be reviewed in achieving outstanding esthetic implant restorations.

20 Virginia Dental Journal

"G.L." Johnson

Consults Patients Can't Refuse

September 18, 1999

8:30am-11 :30am & 1:30pm-4:30pm

Twenty-one years serving dentistry has taught "G.L." Johnson that national, state, and local dental associations are interested in speakers who deliver valuable information, motivation, and enjoyable staff participation.

"G.L." is a speaker, consultant, and author focused on practice leadership, effective com­ munication, and team motivation. His diverse back­ ground includes internal marketing, team motivation, computers, and personal growth.

He is responsible for establishing 50 "Mini-Residency" Study Club programs throughout the U.S. These pro­ grams focus on increasing case acceptance, compre­ hensive treatment planning (including implants, por­ celain onlays and veneers), and effective communi­ cation (patient education). He has written two manu­ als: The "Mini-Residency" Program© and the Com­ prehensive Care Practice© that provide a master plan for leadership and practice development.

"G.L." Johnson is a speaker who grabs an audience and makes it think. His programs focus on the es­ sence of what it takes to build a successful, fun dental practice with team enthusiasm. Doctors and staff find him knowledgeable of their challenges, with practical, common sense solutions to their problems. They learn what to do, how to do it, and most importantly, why to just do it!

COURSE DESCRIPTION

Consults Patients Can't Refuse: 10 Key Questions - Cold Feet Solution - Expectations -The Double Edged Sword - Financial Arrangements That Accelerate Acceptance - Success Formula ­ Secret to "One Minute Phone Consults"

---

--'"

'" ,--;.;;;:1 /,,; "~ t ~

-~

~

j."

~'

t

~I

11

Event:

Your tournament package is just $125, which includes the clinic, cart, green fees, and a box lunch.

The tournament will begin at 1:OOpm at Lansdowne Resort. Attendance for this event is open to all

registered attendees, spouses, exhibitors and guests. Participants are invited to attend a reception

following their round of golf.

Date: Wednesday, September 16

Time: 1:OOpm

Attire: Collared Shirts

, '

~~,..

. . ., ,.~'.,~

..",. . . . ""

~;-

'

! \"'

"

i

,- -[

'~L.

, -.,

" -: 1/.,

It...,,. _

<~

_

,~ :

:;

~

.,..

~/" ,'"I~'

I" ," , ~v

•

,q _,',

/

1'1,'

t

c'

,.

J ...... ,

...

i • 'f~j, vC f if' ...'1 v

~ ,i"f'L

/'/ to'i

_

r .;1!'-t".1~ [..r. ..:

~

Event: Come join the Second Annual Casino Night. Participants will enjoy food, fellowship and an opportunity to win great prizes. Take a chance at craps, blackjack, roulette, chuck-a-luck, wheel of fortune, and slot machines! c.."

Date: Friday, September 17 Time: 7:30pm Attire: Business P

C'

"->-

f~;i

." .• _",,~ i

-:

,ft- ,,",,"-'

Event:

The Fourth Annual Fun Run/Walk is scheduled on Saturday at 6:30am. Participants in the Fun

Run/Walk will tour the Reston Towne Center area at sunrise. Your $15 entry fee includes at-shirt.

Date: Saturday, September 18

Time: 6:30am

Attire: Comfortable Shoes

,,'

,

Event:

Join VDA President Charles L. Cuttino III and his wife Anne Adams for an enjoyable evening in the

Regency ballroom, Dance to the tunes of The Fat Ammon's Band.

Date: Saturday, September 18

Time: 7:30pm

Attire: Black-Tie Optional

Virginia Dental Journal 21

o

The 1996 Virginia Dental Asso­ ciation House of Delegates adopted Constitution and By­ laws changes stating that candi­ dates for VDA elective office have the opportunity to submit a statement and CV to be pub­ lished in the April-May-June Vir­ ginia Dental Journal. Candidates for President-Elect and Secre­ tary Treasurer can have a 500 word statement. All other can­ didates can have a 250 word statement. This will give mem­ bers of the Virginia Dental Asso­ ciation an opportunity to meet candidates for elected offices.

Dave C. Anderson, D.D.S. Candidate for Office of: President-Elect

I have had the privilege to serve the VDA on the executive council since 1991 and the executive committee since 1994.

During that time concerted effort was made to contribute to the new transparent, member driven VDA. My views should be well known.

Now that the opportunity has pre­ sented itself I would consider the office of President-Elect, a great challenge and an even deeper honour. My pledge is to make the VDA the best possible organization it can become. Fortunately the or­ ganization has been given a whole host of gifted leaders to carry this forth.

22 Virginia Dental Journal

o

o

My pledge is that my time and ef­ fort will always be available to you.

This is a joint effort and to this end I ask your support.

Name: Dave C. Anderson Address: 5288 Dawes Avenue City & Zip: Alexandria, 22311 Phone: (703) 671-6060 Component: 8 CV and Biographical Information

Thomas S. Cooke III, D.D.S. Candidate for Office of: SecretarylTreasu rer

I am pleased to announce my candidacy for the posi­ tion of Secre­ tary/Trea­ surer of the VDA. Having held this posi­ tion for the last two years, I've helped contribute to the growth, effectiveness and efficiency of our organization. The VDA is continuing to evolve to accommo­ date changes that affect our pro­ fession. In the past two years, our accounting system has been re­ fined and simplified so as to be bet­ ter understood by the membership.

In addition, we have increased in­ formation dissemination by use of computers. VDSC is off and run­ ning and our involvement in the po­ litical process through VADPAC is on the upswing. We need to con­ tinue focusing our efforts in mem­ bership retention and recruitment of new members. It is important that these members become leaders because they are our future.

Education: A.B., Seton Hall Uni­

versity, 1970; D.D.S., MCV, 1974;

Cert Perio, Fairleigh Dickinson Uni­

versity, 1976.

Memberships: ADA, MP, VDA &

NVDS.

Honors: Fellow: VDA, 1986; Pierre

Fauchard, 1990; ACD, 1993; &

lCD, 1994; ICD Journalism Award,

1988; & ADA Presidential Citation,

1998.

Leadership Activities: AD-fLand

VDA: Councilor-at-Large, 1994­

1999; Vice Chair Executive Coun­

cil, 1994-1998; Chairman Executive

Council, 1999; ADA Alternate Del­

egate, 1996-1998; ADA Delegate,

1999. CQmponentSociet}l: Coun­

cilor, 1991-1994; President, 1989­

1990.

Community: Fairfax County Task

Force on AIDS, 1988-1990; Medi­

cal Care for Children's Project,

1991- present; Friends of the Chair As Secretary/Treasurer I had the in Local Government, George Ma­ responsibility of seeing that the As­ son University, 1993- present.

sociation runs smoothly and effi­ ciently. The many hours I've spent at the Central Office these past two years have resulted in a comple­ mentary working relationship with the staff. I am committed to work­ ing to improve organized dentistry and look forward to applying my skills and enthusiasm to the chal­ lenges facing the Virginia Dental Association.

A

Virginia

Name: Thomas S. Cooke III Address: 39 W. Williamsburg Rd. City & Zip: Sandston, 23150 Phone: (804) 737-7402 Component: 4 CV and Biographical Information Education: Virginia Military Insti­ tute, 1970, B.S., Biology; Medical College of Virginia School of Den­ tistry, 1974, D.D.S. Memberships: RDS,VDA,ADA, Academy of General Dentistry.

Honors: Fellow VDA, Fellow Pierre Fauchard Academy, Fellow International College of Dentistry, Fellow American College of Den­ tistry, Paul Harris Fellow.

Leadership Activities: ADA and VDA: American Dental Association, Positions held: Alternate-Delegate, Mediation Workshop, ADPAC. Vir­ ginia Dental Association, Positions held: Secretary/Treasurer, Execu­ tive Council, Delegate, Reference Committee Chair, Peer Review/ Patient Relations Chair, Fellows Committee, Annual Meeting Com­ mittee, Presidents Club, Common­ wealth Club. Component Society: Richmond Dental Society Positions held: President, Secretary, Board of Directors, Delegation Chair, Peer Review/ Patient Relations Chair, Arrangements Chair, Long-Range Planning Chair, Bylaws Chair, Bud­ get Chair, Harry Lyons Chair, Nomi­ nating Chair, Military Committee.

Community: Trinity Methodist Church, Greater Richmond Area Health Education Center Executive Committee Program Chair, Byrd In­ ternational Airport, Rotary Club Past-President, Class Agent VMI 1970, Blue Cross Blue Shield Ad­ visory Committee.

D. Christopher Hamlin, D.D.S. Candidate for Office of: Councilor-at-Large My apprecia­ tion for the strength of a well informed, unified asso­ ciation grew immeasur­ ably during my tenure as Speaker of the House of Delegates. Our success comes when we work together for the ben­ efit of all. Fostering the develop­ ment of communication technology within the VDA has minimized our geographic distances and permit­ ted our organization to respond quickly to challenges. My goal is to facilitate communication and the dissemination of information state­ wide. The energy of the leadership of our organization has been infec­ tious and it is my desire to continue to be a part of the exciting process of evolution in the Virginia Dental Association.

Name: D. Christopher Hamlin Address: 1806 Hampton Blvd.

City & Zip: Norfolk, 23517 Phone: (757) 627-7550 Component: 1 Education: Indiana University, B.A., Biology, 1973; Indiana Univer­ sity School of Dentistry, D.D.S., 1976; James Whitcomb Riley Hos­ pital for Children, residency, 1976­ 1978; Certificate in Pediatric den­ tistry, Board Certified, American Board of Pediatric Dentistry, 1986.

Memberships: ADA, VDA, Tidewater Dental Association, American Academy of Pediatric Dentistry, American Academy of

Pediatrics, Southeastern Society of Pediatric Dentistry, American Board of Pediatric Dentistry, Virginia Pediatric Dental Society, Indiana University Pediatric Dentistry Alumni Association.

Honors: American College of Den­ tistry Fellow; VDA Fellow; Ameri­ can Academy of Pediatric Dentistry Fellow; Pierre Fauchard Academy.

Leaderships Activities: ADA and VDA: ADA: Alternate Delegate, 1996-1998; Council on Ethics, By­ laws and Judicial Affairs, 1999­ 2002. VDA: Speaker of the House, 1994-1999; Executive Council, 1994-1999; Reference Committee, Chair; President's Address and Administrative Matters; Alternate VDA Delegate; VDA Delegate; An­ nual Meeting Committee; Dental Health and Public Information Com­ mittee, Chair. Component Society: President, President-Elect, Trea­ surer, Executive Committee, Mem­ bership Committee, Children's Dental Health Month Committee­ Chair, Legislative Committee, Tide­ water Dental Association Founda­ tion President; TDA United Way Fund Chair.

Community: Junior League Nor­ folk-Virginia Beach; Pride and Parenting Facilitator; National Ski patrol; Children's Hospital of the King's Daughters-Surgical Authori­ ties Committee; Adjunctive Profes­ sor- Otolaryngology Eastern Vir­ ginia School of Medicine; Adjunc­ tive Professor- Dental Hygiene and Dental Assisting- Old Dominion School of Dental Hygiene.

Virginia Dental Journal 23

Rodney J. Klima, D.D.S. Candidate for Office of: Councilor-at-Large

The Virginia Dental Asso­ ciation is the voice of den­ tists in Vir­ ginia. I have always de­ sired to be active in the affairs of our great profes­ sion. The past four years I have served on the Executive Council as Component 8 Councilor. I would now like to continue serving as Councilor-at-Large of the VDA. We are facing new challenges ev­ ery year, some are threats, some are opportunities. I believe the fu­ ture of dentistry is bright as long as our members remain informed and involved.

Name: Rodney J. Klima Address: 5204B Lyngate Ct. City and Zip: Burke, 22015 Phone: (703) 425-5125 Component: 8 CV and Biographical Information Education: College of William and Mary, B.S., Chemistry, 1970; Medi­ cal College of Virginia, School of Dentistry, D.D.S., 1974; Orthodon­ tic Residency, Medical College of Virginia, School of Dentistry, 1976.

Memberships: American Dental Association; American Association of Orthodontists; Virginia Dental As­ sociation; Northern Virginia Dental Society; Southern Society of Orth­ odontists; Virginia Association of Orthodontists; Fairfax County Den­ tal Society; Alexandria Dental So­ ciety; College of Diplomates Ameri­ can Board of Orthodontics.

Honors: Omicron Kappa Upsilon; A.D. Williams Award; Diplomate of

24 Virginia Dental Journal

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: Alternate Delegate to ADA, Grassroots Co-chair, VDA Execu­ tive Council, VADPAC,VDA Budget and Financial Affairs Committee, 1994-1997. C~rnpoo~nLSQcleJ~ President NVDS, 1994-1995; NVDS Executive Committee, 1987­ present; Councilor, 1995-present; Delegate to VDA, 1984-present; Editor NOVA News, Newsletter of the Northern Virginia Dental Soci­ ety, 1987-1992.

Community: Consultant Cleft Pal­ ate Team Walter Reed Army Medi­ cal Center, 1981-1995; Youth soc­ cer and basketball coach; Swim team representative.

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

I am running for the Ex­ ecutive Council as an at-large member. I currently hold this position also and serve as vice-chair­ man of the Executive Council. As Vice-Chairman I serve on the Ex­ ecutive Committee. The Virginia Dental Association has faced many challenges in the past and has re­ acted very well to these issues.

The last two years the Virginia Den­ tal Association has taken a pro-ac­ tive stance to increase Medicaid Reimbursement rates and on the assignment of benefit issues, and have been successful in both cases.

The major issues facing the Virginia Dental Association in the future will always be legislative action that can affect us and our ability to practice dentistry. The Virginia Dental As­ sociation must work hard to retain its current membership and to in­ crease membership in the future.

The major financial issue is the current need for a new Virginia Dental Association Central Office.

The Leadership and the House of Delegates must decide on how to finance the new building without putting the Virginia Dental Association into financial difficulties. It must also find a way to retain its membership because of the dues increase that will be needed for the new central office. I will continue to serve with the same professional standard I have worked with in the past and would like to serve in this position to deal with the issues that will be forthcoming that I have discussed.

Name: Gus C. Vlahos Address: P.O. Box 1379 City & Zip: Dublin, 24084 Phone: (703) 674-4396 Component: 6 CV and Biographical Information Education: B.S., Chemistry, Vir­ ginia Tech, 1976; D.D.S., Medical College of Virginia, 1981.

Memberships: New River Study Club; Southwest Virginia Dental Society; Virginia Dental Associa­ tion; American Dental Association.

Honors: Fellow of the Virginia Den­ tal Association; Member Pierre Fauchard Academy.

Leadership Activities: ADA and V_DA: Alternate Delegate, 1997 and 1998; 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 Committee 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; Vice­ Chairman of Executive Council; Member of Executive Committee.

Component Society:Southwest Virginia Dental Society Vice­ P resid ent; Pres id ent-E I ect; President.

Community: Member of Holy Trin­ ity Greek Orthodox Church, Roanoke, Virginia; Little League Basketball Coach, Dublin, Virginia.

profession. An effective delegate should be able to communicate ideas with the purpose of finding the best solutions. I am currently serving my third year as an alternate delegate and feel that I have the ability to serve the members of the VDA well. I have been involved in the decision making process, have spoken before the House of Delegates when I nominated our own Dr. Dave Whiston for the position of ADA president, have interacted with other delegates and alternates in reference committees, on the house floor, in the hallways, and by fax and phone. I believe that my experience, my demeanor, and my love of the profession of dentistry qualify me for this position and I ask that you give me the honor of representing you.

Name: Bruce R. Hutchison Address: 14260-A Centreville Sq. City & Zip: Centreville, 20121 Phone: (703) 830-9110 CV & Biographical Information

Bruce Hutcison, D.D.S. Candidate for Office of: ADA Delegate I am running for the posit­ ion of Dele­ gate to the ADA. This position demands a person who is able to listen both to the members "back home" and to the information and ideas that are presented during the House of Delegates. The delegate then should seek out further information and synthesize a position. He must look ahead to the possible ramifications of action (and inaction) and make a decision that will improve and advance our

Education: B.S., Electrical Engi­ neering, University of Rochester, 1976; MS, Electrical Engineering, University of Rochester, 1977; D.D.S., Georgetown University School of Dentistry, 1981.

Memberships: ADA, VDA, NVDS, AGD, Delta Sigma Delta, Implant Society of Northern Virginia, SEAP. Honors: Fellow: VDA, ACD, lCD, ADI, Fellowship and Mastership AGD. Leadership Activities: ADA and VDA: ADA Alternate Delegate, 1996-1999; Chairman, Annual Meeting Committee, 1995,1997­ 1999; Chairman, Young Dentist Committee, 1990-1992; CPR In­ structor; Delegate to VDA Annual Session, 1988-1999; House of Del­ egates, Chairman Credentials Committee, 1991; VADPAC Com­ mittee, 1998-2001. Component

SQcifrty~

Northern Virginia Dental Society: President, 1996-1997; Chairman, Executive Committee, 1997-1998; Chairman, Program Committee, 1991-1992; Chairman, Membership Committee, 1993­ 1994; Chairman, Young Dentist Committee, 1988-1989.

Community: Centreville Presbyte­ rian Church; United States Jay­ cees, Centreville Chapter Charter Member, Past President; Northern Virginia Dental Clinic; Fairfax Fam­ ily Services; Spent 10 days as vol­ unteer dentist on the Northern Cheyenne Indian Reservation in Lame Deer, Montana; Provide den­ tal care for the Mattaponi Indian Tribe in Virginia.

Ron Tankersley, D.D.S. Candidate for Office of: ADA Delegate The govern­ ance and pol­ icies of the ADA help determine the destiny of our profes­ sion. Histor­ ically,the ADA has played a major role in initiatives ranging from the fluoridation of the nation's water supply to determining the quality of dental education. Currently. the ADA is dealing aggressively with managed care, OSHA, and health­ care reform. During the 1998 House of Delegates, we took positive steps to address the hygienist-shortage problem, enhance communications within the ADA, and assure that we remain a"membership-driven" organization.

I was a member of an ADA Refer­ ence Committee last year and have Virginia Dental Journal 25

served as Chairman of the Council on Dental Benefits Programs. I am currently the Chairman of the 16th District Caucus, which represents Virginia, North Carolina and South Carolina. In a volunteer profes­ sional organization like the ADA, these "duties" are also "privileges".

While they require preparedness, attentiveness, and energy, they are also educational, stimulating, and gratifying.

I enjoy serving you at the ADA level and try to fulfill my responsibilities with integrity and your interests in mind. As a recent Past-President of the VDA, I understand your con­ cerns and objectives. I hope that you will allow me to continue rep­ resenting you as an ADA Delegate.

Name: Ronald L. Tankersely Address: 716 C-1 Denbigh Blvd City & Zip: Newport News, 23608 Phone: (757) 874-6501 Component: 2

CV and Biographical Information Education: VPI, William & Mary; Medical College of Virginia, D.D.S., 1968; Medical College of Virginia, Certificate in OMS, 1971; American Board of Oral & Maxillofacial Sur­ gery; Certification, 1973; Examiner, 1990-1995; Associate Clinical Pro­ fessor, Medical College of Virginia, 1974- present.

Memberships: PDA; VDA; ADA; VSOMS; MOMS; SSOMS; Ameri­ can Dental Society of Anesthesia; Academy of Osseointegration; Mary Immaculate, Williamsburg Community, Riverside & Medical College of Virginia Hospital Staffs.

Honors: Sigma Zeta Honorary Science Fraternity, 1967; A.D. Wil­ liams Scholarship Award, 1967 & 1968; Omicron Kappa Upsilon Hon­ orary Dental Society, 1968: Fellow, Virginia Dental Association, 1981; Pierre Fauchard Academy, 1985; Fellow, American College of Den­ 26 Virginia Dental Journal

tists, 1987; Fellow, International College of Dentists, 1989.

Leadership Activities: PDS, President; VDA, President; ADA House of Delegates, Delegate & Caucus Chairman; ADA Council on Dental Practice Parameters Committee; ADA Dental Indicators Consensus Panel; ADA Reference Committee on Dental Benefits, Practice and Health; American College of Dentists, Chairman, Virginia Section; Donated Dental Service Board; VSOMS, President; AAOMS House of Delegates, Delegate & Caucus Chairman; MOMS Reference Committee on Health Care Programs, Government and Hospital Affairs; MOMS Reference Committee on Membership and Administrative Matters, Chairman; AAOMS Committee on Membership, Chairman; MCV School of Dentistry Board of Advisors, Chairman.

Richard D. Wilson, D.D.S. Candidate for the Office of: ADA Delegate The role of a delegate to the American Dental Association House of Delegates includes being conversant with the issues, appropriately representing both the dentists of Virginia and their patients and beingdiligentand innovative prior to and during the deliberations of the House. If re-elected, I shall continue to be as responsive as possible to my colleagues in Virginia in fulfilling the serious responsibilities inherent in the position of AmericanDental Association Delegate.

Name: Richard D. Wilson Address: 3800 Patterson Avenue City & Zip: Richmond,23221 Phone: (804) 358-7582 Component: 4

CV and Biographical Information Education: Villanova University, B.S.; Temple University, D.D.S. Memberships: OKU, American Academy of Restorative Dentistry, RDS; VDA; ADA; American Acad­ emy of Periodontology, Board of Trustees; American Academy of Fixed Prosthodontics, Immediate Past President; Academy of Opera­ tive Dentistry.

Honors: Fellow, Virginia Dental Association; Fellow, American Col­ lege of Dentists; Fellow, American Academy of Periodontology.

Leadership Activities: ADA Council on Dental Education, 1992­ 1996, Member/Chairman; ADA House of Delegates; Commission on Dental Accreditation, 1992­ 1996; Virginia Dental Journal, Edi­ tor, 1988-1994.

Community: Virginia Health Coun­ cil; Civic Association, President; Virginia Board of Health Profes­ sions; Virginia Board of Dentistry.

Andrew J. "Bud" Zimmer, D.D.S.

Candidate for office of:

ADA Delegate

Serving as a member of Virginia's ADA Delega­ tion is a great privilege be­ cause you have the op­ portunity to participate in policy deci­ sions that are direct benefits to members. The 1998 ADA House of Delegates passed several reso­ lutions having budgetary impact as

well as benefits for members:

CV and Biographical Information

1. Support for accredited alterna­ tive training programs and outcome based evaluation for dental hygiene education.

Education: Georgetown Univer­ sity, Washington, DC, B.S., Biology 1966; Georgetown University School of Dentistry, Washington, DC, D.D.S. ,1970.

Memberships: ADA; VDA; Tide­ water 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, 1995-1999; Special Committee to Study the office of ADA Treasurer, 1999; Whiston '96 Campaign Com­ mittee; VDA President-Elect, 1998­ 1999; VDA Councilor-at-Large, 1993-1998; VDA Annual Meeting Chairman, 1994 & 1996; Past Chairman of two VDA Committees; Fellows Selection Committee, 1995-1997; Secretary, 1997. Com­ ponent Society~ Tidewater Dental Association President, 1990-1991; Nominating Committee Chairman, 1992-1998; Past Chairman of Bud­ get Program and Dental Health Month Committees; Delegate to VDA, 1986-1993, Chairman, 1991; Simmons Award Recipient, 1998.

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.

2. Continuation of the DMSO Task Force to accumulate information on this dental management entity and support for legislation to mandate public disclosure of dental practices not owned by a dentist.

3. Establishment of a specific As­ sociation Reserve policy at 30% of the annual operating budget.

For the past four years, I have served as a member of the ADA Budget Reference Committee Ob­ server Team and am currently des­ ignated as the 16th District repre­ sentative to the Special Committee to Study the Office of ADA Trea­ surer. I am committed to assuring that the ADA Budget is presented in a concise and understandable format and that our dues dollars are expended in a responsible and uni­ versally beneficial manner.

I would also continue to encourage the development of greater outside income activities ultimately utilizing two non-dues dollar for every dues dollar spent. Fiscal policy of this type would certainly enhance the perceived value of our dues dollars.

It has been an honor to serve on the Virginia Dental Association ADA Delegation and I respectfully ask your support for Delegate in 1999.

Name: Andrew J. Zimmer Address: 1 Southern Shopping Center #208 City & Zip: Norfolk, VA 23505 Phone: (757) 588-8566 Component: 1

Thomas 5. Cooke, D.D.S. Candidate for Office of: ADA Alternate Delegate I am pleased to announce my candidacy for the office of ADA Alter­ nate-Del­ egate. I have served the Virginia Den­ tal Associa­ tion as ADA Alternate-Delegate (1995, 1998, 1999) and was Delegation Secre­ tary in 1998. To represent the VDA to the national organization is a privi­ lege requiring research, preparation and commitment. I am knowledge­ able of the issues affecting dentistry and willing to give the time and ef­ fort necessary to confront these is­ sues and find solutions. I would ap­ preciate your vote and look to fur­ ther serving the membership.

Name: Thomas S. Cooke III Address: 39 W. Williamsburg Rd. City & Zip: Sandston, 23150 Phone: (804) 737-7402 Component: 4

CV and Biographical Information Education: Virginia Military Insti­ tute, 1970, B.S., Biology; Medical College of Virginia School of Den­ tistry, 1974, DD.S. Memberships: RDS, VDA, ADA, Academy of General Dentistry.

Honors: Fellow VDA, Fellow Pierre Fauchard Academy, Fellow International College of Dentistry, Fellow American College of Den­ tistry, Paul Harris Fellow.

Leadership Activities: ADA and VDA: American Dental Association, Positions held: Alternate-Delegate, Mediation Workshop, ADPAC. Vir­ ginia Dental Association, Positions held: Secretary/Treasurer, Execu­ tive Council, Delegate, Reference Virginia Dental Journal 27

Committee Chair, Peer Review/ Pa­ tient Relations Chair, Fellows Com­ mittee, Annual Meeting Committee, Presidents Club, Commonwealth Club. CQmP-O-~enLSQCletc Rich­ mond Dental Society, Positions held: President, Secretary, Board of Directors, Delegation Chair, Peer Review/ Patient Relations Chair, Arrangements Chair, Long-Range Planning Chair, Bylaws Chair, Bud­ get Chair, Harry Lyons Chair, Nomi­ nating Chair, Military Committee.

Community: Trinity Methodist Church, Greater Richmond Area Health Education Center Executive Committee Program Chair, Byrd In­ ternational Airport, Rotary Club Past-President, Class Agent VMI '70, Blue Cross Blue Shield Advi­ sory Committee.

Ronald J. Hunt, D.D.S. Candidate for Office of: ADA Alternate Delegate The aca­ demic and practicing dental com­ munities are closely inter­ twined and share com­ mon ideals, goals, and challenges.

In Virginia, the VCU School of Den­ tistry and the Virginia Dental Asso­ ciation enjoy a mutually beneficial relationship. As dean of the School of Dentistry and member of the VDA Executive Council, I strive to strengthen even more the bond be­ tween these two great institutions.

In addition to keeping the VDA lead­ ership apprised of dental school activities, my role on the Executive Council is to provide counsel in matters involving public health den­ tistry and Medicaid. If elected to serve as an alternate delegate to the ADA House, I will strive to pro­ 28 Virginia Dental Journal

vide fellow delegates informed counsel regarding dental educa­ tion, accreditation, and public health issues to come before the House.

Name: Ronald J. Hunt Address: MCVIVCU School of Dentistry, PO Box 980566 City & Zip: Richmond,23298 Phone: (804) 829-9184 Component: 4 CV and Biographical Information Education: University of Iowa, DDS; M.S. in Dental Public Health.

Memberships: ADA, VDA (North Carolina and Iowa state associa­ tions previously), American Asso­ ciation of Dental Schools, American Association of Public Health Den­ tistry, International Association for Dental Research.

Honors: Diplomate of the American Board of Dental Public Health; Omicron Kappa Upsilon Honor Dental Society; Visiting Fellowship to University of Adelaide, Australia; Gies Fellowship to the American Association of Dental Schools; National Academy of Practice in Dentistry.

Leadership Activities: VDA Ex­ ecutive Council, Section President for International Association of Den­ tal Research, Dental Public Health Consultant and Curriculum Con­ sultant to the ADA Commission on Dental Accreditation, Delegate to the American Association of Den­ tal Schools House of Delegates, chair of numerous academic den­ tistry committees at the three den­ tal schools.

T. Wayne Mostiler, D.D.S. Candidate for Office of: ADA Alternate Delegate It would be a great honor and privilege to be elected for the posi­ tion of Alter­ nate Del­ egate. I am aware of the commitment required, pre­ paring for the sessions, listening, forming opinions, and voicing those opinions. The actions taken must represent all of Dentistry while serv­ ing Virginia dentists.

My involvement in organized den­ tistry in the past twelve years has prepared me well for the duties of Alternate Delegate. My service as delegate to the MOMS House of Delegates the past twelve years has taught me a great deal. Cau­ cus chairman for the South East District III required preparation and presentation of many resolutions to the MOMS House of Delegates.

Setting up and directing an ADA ap­ proved GPR was good experience working with the ADA. This is an opportune time to be very aggressive legislatively at the ADA and state level, if Dentistry is to avoid the path of medicine. I feel my experience as VDA Legislative Chairman would help me in this area. I would like to see our del­ egation introduce resolutions each year at the ADA level. I feel the most important issues are member­ ship of new young dentists and more involvement in leadership po­ sitions.

We have issues of DMSO's, OSHA, Dues and Service issues, new Specialists and Med­ icaid issues at the national level.

The ADA must meet the business needs of the new young dentists in

order to create efficient high tech­ nology fee for service patients.

I respectfully request your support for ADA Alternate Delegate.

Name: T. Wayne Mostiler Address: 110 Kingsley Lane, Ste 303, DePaul Medical Building City, Zip: Norfolk, 23505 Phone: (757) 489-1511 Component: 1 Education: B.S., Chemistry, Wofford College; D.D.S., 1966, Medical College of Virginia; OMS Residency, 1969, Medical College of Virginia.

Memberships: ADA, VDA, TDA, AAOMS, VSOMS, SSOMS, and American Board of Oral and Maxil­ lofacial Surgery (ABOMS); Pierre Fauchard Academy;Tidewater Dental Study Clubs.

Honors: A.D. Williams Scholarship Awards; Omicron Kappa Upsilon (OKU); Alpha Sigma Chi; Sigma Zeta, President; Fellow: Virginia Dental Association, International College of Dentists.

Leadership Activities: ADA and VDA: VDA Legislative Chairman; Head of Department of Oral and Maxillofacial Surgery at Lemoore Naval Hospital; Delegate for MOMS since 1987; Caucus Chair­ man MOMS District III; Vice-Presi­ dent Southeastern Society of Oral and Maxillofacial Surgeons and Board of Directors. Component Society: President, Tidewater Den­ tal Association, 1997; All positions, TDA; Legislative Chairman since 1989; Past-President, two Tidewa­ ter Dental Study Clubs.

Community: President, Wards Corner Lions Club, 1997-1998; Chairman Department of Dentistry!

Oral Surgery DePaul Hospital for 26 years; Director of ADA approved GPR Program; Board of Deacons Talbot Park Baptist Church; Teach­ ing Faculty ODU and Eastern Vir­ ginia Medical School.

Kirk M. Norbo, D.M.D. Candidate for Office of: ADA Alternate Delegate

As a member of the ADA for the past fifteen years, I have made it a point to be active and assume leadership roles at the local and state levels. One of the greatest challenges facing organized dentistry currently is maintaining a strong and unified association given our diverse group of practitioners.

It is imperative, therefore, that the ADA leadership strives to be dynamic in an effort to accommodate the needs of all dentists.

For the past several years, I have been excited to serve on the VDA Dental Benefits Committee. It is amazing to see the dedication of the members of this committee.

The impact of this experience has motivated me to seek a position at the national level. I would truly ap­ preciate your support for ADA Al­ ternate Delegate.

Name: Kirk M. Norbo Address: 6200 Wilson Blvd, Apt 114 City and Zip: Falls Church, 22044 Phone: (703) 534-9160 Component: 8 CV and Biographical Information Education: University of Rich­ mond, B.S., Biology, 1979; Oral Roberts University, D.M.D., 1983; Providence Hospital, Washington, D.C., 1984, G.P.R. Memberships: ADA, VDA, North­ ern Virginia Dental Society, Acad­ emy of General Dentistry.

Honors: American College of Den­

tists, 1996; Fellow, Virginia Dental

Association, 1994;Pierre Fauchard

Academy, MAGD; Outstanding

Young Dentists Leader Award,

ADA, 1991.

Leadership Activities: VDA:

Chairman, Dental Care Programs

Committee, 1993-1996; Ad Hoc

Committee for Managed Care,

1993-1994; Subcommittee for Di­

rect Reimbursement, 1993-1996;

Subcommitee for E.D. T., 1994­

1995. Component Society: Chair­

man, Careers and Explorers, 1985­

1986; Chairman, Children's Dental

Health Month, 1986-1987; Repre­

sentative, Science Fair Judge,

1987-1990; Program Chair, 1994­

1995; Member, Leadership Com­

mittee, 1994-Present; Vice Presi­

dent, Northern Virginia Dental So­

ciety, 1995-1996; President, North­

ern Virginia Dental Society, 1997­

1998.

Community: Falls Church Jay­

cees, Louden County Pee Wee

Baseball Coach, 1990-1995; North­

ern Virginia Football Officials Asso­

ciation, 1984-1989; Deacon, S1.

Andrews Presbyterian Church,

1990-1992.

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 be­ cause of Dave Whis­ ton but also because of the excellent service of our delega­ tion on ADA Committees. Our reputation has been won by their hard work. We all should be proud.

Having spent time with most of the Virginia Dental Journal 29

people in the VDA Executive Coun­ cil I am amazed at their enthusi­ asm and information. I wish to share more in that experience. Al­ ternate Delegates learn and absorb the process and information by be­ ing present at the caucuses and ADA House of Delegates meetings.

I would like to begin that process to represent Virginia at that level. I have the foundation of having served on the Executive Council, the willingness to sacrifice time to attend necessary meetings and the desire to communicate information 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, Ste 4 City and Zip: Charlottesville, 22901 Phone: (804) 973-4355 Component: 7

CV and Biographical Information Education: University of Rich­ mond, B.S.,Biology, Class Presi­ dent, 1969; Medical College of Vir­ giniaNirginia Commonwealth Uni­ versity, D.D.S., Yingling-Lyons Award, 1972; US Army, General Dentistry Resident, Ft. Sam Hous­ ton, 1972-1973; Chief Dental Of­ ficer, Ft. Deitrick, Frederick, Mary­ land, 1973-1975.

Memberships: ADA; VDA; Shenandoah Valley Dental Asso­ ciation; Beta Beta Beta; ODK Lead­ ership Society; Phi Gamma Delta; OKU; Delta Sigma Delta; AGD; Charlottesville Dental Society.

Honors: Fellow of the Virginia Den­ tal Association; Fellow of the Ameri­ can College of Dentists; Pierre Fauchard Academy; Who's Who Among Execs and Professionals.

Leadership Activities: Treasurer and President of Charlottesville-

Albemarle Dental Society; Presi­ dent-Elect and President of Shenandoah Valley Dental Asso­ ciation; Delegate of VDA House of Delegates; VDA Executive Coun­ cilor 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 Commit­ tee to Study Shortage of Dental Hygienists.

Community: Church - Lector and Past President Parish Council; Member Board of the 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.

BALTIMORE COLLEGE OF DENTAL SURGERY; DENTAl SCHOOL

UNMRSIlY OF MARYlAND

CONTINUING DENTAL EDUCATION

presented with the Office ofContinuing andExtended Education University ofMa7yland, College Park

Ocean City Summer Seminars: July 12-16, 1999 Sheraton Fontainebleau Hotel, Ocean City, Md. Earn up to 20 CEUs at a week-long program of half-day continuing dental education courses for general dentists, specialists, hygienists, and dental staff ... attend entire week or single sessions.

MARK YOUR

CALENDAR FOR JULY

THIS

YEAR

11th Annual Periodontal Review and Board Preparation Course: July 22-25, 1999 University of Maryland

Medical School, Baltimore

Use this intense review and update in periodontics to prepare for Part One of the American Board of Periodontology Examination

For information, contact: Office of Continuing and Extended Education • University of Maryland • 2103 Reckard Armory College Park, MD 20742 Phone: 13011405-6551 or 1800j711-UMCP· Fax: (301j314-9572 548

Email: conted@umail.umd.edu • Internet: www.inform.umd.edu/conted/programs/dental.html

!

I

:!

-

Leslie 5. Webb, Jr., D.D.S., Editor "Dentistry and Political Action" was the theme of the 4 t h National Grassroots Conference held in Washington, D.C. March 21-23, 1999.

A large delegation ofVDA members and staff attended including Dr. Charlie Cuttino, Dr. Andrew Zimmer, Dr. Dave Anderson, Dr. Gus Vlahos, Dr. Wally Huff, Dr. Leslie Webb, Dr. Rod Klima, Dr. H.J. Barrett, Dr. Harvey Shiflett, Dr. Jeff Kenney, Dr. Mike Miller, Dr. Dave Whiston, Will­ iam Zepp and Lisa Finnerty.

The kickoff speaker was Norman Ornstein, a resident scholar at the American Enterprise Institute for Public Policy Research and an election analyst for CBS news, who gave an overview of a polarized political climate in congress.

Michael Dunn, President of Michael Dunn & Associates, Inc., a public affairs consulting firm, emphasized the importance of a grassroots lobbying network to carry dentistry's message on legislation to congress.

The large group of dentists from across the nation attending the con­ ference thus had the opportunity to attend numerous lobbying work­ shops followed by a presentation

by Georgia Congressman Charlie

Lisa Finnerty. Dr. Mike Miller, and Dr. Rod Klima accept the ADA Grassroots award for Virginia as the state with the most outstanding grassroots activity during the 105'" Congress.

Norwood, a dentist, on his effort to pass health care patient protection legislation. Congressman Norwood is hopeful a bipartisan bill can be passed in this session of congress.

Congressman Tom Davis from Virginia's Eleventh Congressional District and the recently elected Congressman Mike Simpson, a dentist from Idaho, also spoke.

The ADA showcased its national legislative agenda. Top priority is a meaningful patient protection bill that at a minimum should provide to patients in all health plans three basic affordable safeguards: 1. Patient choice by guaranteeing access to at least one plan with a point of service option that allows patients the opportunity to choose their own doctors.

2. Health plan accountability, through the availability of impartial, external review and by holding plans legally accountable when their decisions to delay or deny care result in injury or death.

3. Health care quality by ensuring that decisions about what consti­ tutes medically or dentally "neces­ sary" care are made by physicians or dentists based on generally ac­ cepted standards of medical or den­ tal practice.

Targeted antitrust reform will help

Dr. Mike Miller addresses the Fourth Annual

ADA Grassroots Conference.

level the health care playing field.

A bill introduced by Rep. Tom Campbell of California would pro­ mote fair competition by allowing dentists and other health profes­ sionals to collectively negotiate contract provisions with health plans.

OSHA ergonomics rules should not be promulgated until sound scien­ tific evidence links specific jobs to specific injuries. Without proper scientific documentation these rules are costly and ineffective. The ADA supports HR 987, a bill that requires the Secretary of Labor to waitfor completion of a comprehen­ sive study by the National Academy of Sciences before promulgating an ergonomics standard.

The ADA also supports expanding the student loan interest deduction.

The 1997 tax bill reinstated a phased-in deduction for interest paid on qualified educational loans.

However, income restrictions were such that it provided inadequate relief to young dentists. Congress should expand the provision to in­ crease both the amount of the de­ duction and the income limits. Fi­ nally, Congress needs to create a tax credit to induce doctors to prac­ tice where they are most needed.

The Virginia delegation then called on Virginia's eleven congressmen and two senators to lobby these is­ sues. Each VDA member is urged to become knowledgeable of these ADA political objectives and to con­ tact his or her congressman and senators. Only through grassroots lobbying can we hope to influence legislation impacting our profession and our patients.

Virginia Dental Journal 31

1999 VIRGINIA GENERAL ASSEMBLY OVERVIEW Lisa M. Finnerty, VDA Public Affairs Coordinator and Chuck Duvall, VDA Lobbyist The 1999 Virginia General Assem­ bly convened on Wednesday, Janu­ ary 13, 1999 and concluded as scheduled on Saturday, February 27, 1999. All 140 seats of the leg­ islature are up for re-election and legislators have returned home to begin their campaigns. With re­ election on their minds, legislators increased appropriations for public schools and mental health services, eliminated the state portion of the sales tax on food, placed limitations on out-of-state trash, enacted health care reform, began the de­ regulation of the electric utility in­ dustry and reduced college tuition.

The VDA had an extremely active and successful Session. Listed below are several of the items that were lobbied and monitored.

Please note that all measures be­ come effective July 1, 1999 unless otherwise noted.

Assignment of Benefits Assignment of Benefits legislation dealing specifically with dental ser­ vices passed both houses of the Virginia General Assembly and was signed by Governor Gilmore on March 28, 1999.

Legions of Insurance lobbyists and representatives of the managed care industry fought assignment of benefits for dental services through­ out the legislative process.

Originally introduced as HB2192 by Delegate John Tate (D-Marion), this legislation is now incorporated into two "Omnibus Patient Rights Bills," which have been approved by the legislature and the Governor.

These two bills are HB871 patroned 32 Virginia Dental Journal

by Delegate Morgan Griffith (R-Sa­ lem) and SB1235 whose chief pa­ tron is Senator Marty Williams (R­ Newport News).

Code Section 38.2-3407.13 which is contained in both HB 871 and SB 1235 is confined exclusively to den­ tal services and allows patients to assign their benefits-that is to have their payments sent directly to their dentist or oral surgeon-if such a request is made in writing.

Code Section 38.2-3407.13 also allows dentist to balance bill patients for any additional amount (if there is any) above the benefit that is assigned - the current practice with the majority of insurance carriers.

These "Omnibus Patient Rights Bills" incorporated many healthcare bills introduced by both Democrats and Republicans. Aside from the dental assignment of benefits sec­ tion there is language that: Creates a state ombudsman's office to handle and investigate patient's managed care complaints.

Launches a binding appeal process.

Allows patients with major health care conditions to see specialists on an ongoing basis.

Prohibits insurance companies from linking financial incentives for denial of care.

Requires insurers to provide 24-hour telephone access for patients who must gain pre­ authorization.

BUdget Includes Dental

Services Medicaid Language

Last year the 1998 session of the General Assembly appropriated $10 million dollars in additional money for Medicaid dental service reimbursements. The 1998 ses­ sion also established a dental health coalition whose main objec­ tive was to expand the availability and delivery of dental services to the Medicaid pediatric population.

The General Assembly further in­ structed Medicaid to provide reim­ bursement at an 85% UCR rate.

Over the course of this year two major problems have arisen. The Medicaid rate is not at the 85% UCR and with the movement of Medicaid into managed care addi­ tional hurdles for dental participa­ tion have arisen.

VDA expressed these concerns to the legislature. As a consequence, the General Assembly has contin­ ued the status of the dental health coalition and has adopted the fol­ lowing budget language in an ef­ fort to correct the reimbursement rate problem and the concerns with regard to the movement by Medic­ aid into managed care.

"The Department of Medical Assis­ tance Services shall develop a plan for an appropriate reimbursement methodology, using data from com­ mercial insurers, to comply with the General Assembly's directive to the Department to raise dental reim­ bursement rates to the 85 th percen­ tile of usual, customary and reason­ able charges. The Department shall present the payment system plan to the Governor and the Chair­ men of the Senate Finance and

House Appropriations Committees

by September 1, 1999. In the de­ velopment of a reimbursement methodology plan, the Department shall examine the impact of retain­ ing fee-for-service reimbursement for the delivery of dental services in the managed care system on expanding access to pediatric den­ tal care. The Department shall not require dentists who agree to par­ ticipate in the delivery of Medicaid services to pediatric dental patients to also deliver services to subscrib­ ers enrolled in the commercial plan of the managed care vendor."

This language has been approved by both houses of the legislature and by the Governor. VDA will be working with the Department of Medical Assistance Services (DMAS) over the course of the next several months to make certain that this budget language is implemented.

Medical Malpractice

Legislation Approved

The General Assembly has ap­ proved legislation, which will change the present $1 million dol­ lar medical malpractice cap. This legislation, which was signed by the Governor, will increase the cap to $1.5 million dollars effective August 1, 1999. The bill also contains es­ calators that will ultimately raise the cap to $2 million dollars in 2009.

This legislation answers concerns that were expressed in a Virginia Supreme Court decision upholding the malpractice cap, which was is­ sued, in early January. There was concern expressed at that time by several justices as to the fact that the cap had not increased in some considerable time.

Licensure of

Health Care Facilities

Dental Services

Underserved Areas

HB749, which was approved by the House of Delegates, would have had far reaching consequences for dental offices. This legislation, in its original form, would have re­ quired dental offices to meet hos­ pital regulations and standards. It would possibly have subjected den­ tal offices to all of the requirements of outpatient surgical hospitals in­ cluding inspection, staffing, labora­ tory requirements, equipment man­ dates, etc. The bill was defeated in the Senate Education and Health Committee.

HJR664 introduced by Delegate Butch Davies (D-Culpeper) has been approved by the General As­ sembly. This establishes a study within the Joint Health Care Com­ mission of dental services in underserved areas. VDA will be an active participant in that study.

Fair Business Practice Act

HB2276 patroned by Delegate Harry Parrish (R-Manassas) and SB1176 whose chief patron was Dick Saslaw (D-Fairfax) have been passed by the General Assembly and signed by Governor Gilmore.

These measures are designed to provide standards applicable to claim reimbursement practices of health insurance carriers, health service plans, and HMO's.

Special Needs Dental Care

VDA also had Delegate Jim Shuler reintroduce our special needs den­ tal care legislation, HB2007. That legislation has been referred to the Mandates Commission for review and report prior to the 2000 Gen­ eral Assembly session. VDA is in contact with the Mandates Com­ mission and will be actively pursu­ ing approval of this legislation. This legislation mandates general anes­ thesia for special needs dental care.

Corporate Practice

Though never formally introduced as legislation there was talk on sev­ eral different occasions about a study of the prohibition of dental corporate practice. Discussion of this measure was tied to a general discussion in the area of optometry corporate practice prohibitions.

Virginia Dental Journal 33

r

P.A.N.D.A. OF VIRGINIA Shari Ball, D.D.S., Dental Health and Public Information Committee

Prevent Abuse and Neglect through Dental Awareness (P.A.N.D.A.) has finally arrived in Virginia. The Virginia Dental Association (VDA) has joined forces with Delta Dental Plan of Virginia to initiate this exciting event. A coalition has worked diligently over the past year to organize this beneficial program.

The coalition consists of Dr. Shari Ball, VDA Dental Health & Public Information Commitee; Ann Childress, Virginia Department of Social Services; Nan Cook, Alliance of the VDA; Dr. Catherine Cooke; Dr. Charles Cuttino; Dr. Karen Day, Virginia Department of Health; Dr. Frank Farrington, VCU School of Dentistry; Cindy Gricus, Prevent Child Abuse, Virginia; Dr. Herschel Jones; Dr. George Levicki, Delta Dental Plan of Virginia; Trudy Levitin, Commonwealth Dental Hygiene Society; Diane Olivas, Virginia Dental Assistant Association; Jackie Perry, Virginia Dental Hygiene Association; Carol Rasmussen; Dr. A. J. Rizkalla, VDA Dental Health & Public Information Committee; and Linda Struck, Virginia Department of Social Services.

Dentists in all states are mandated

by law to report suspected child abuse and neglect. According to the American Dental Association's Principles of Ethics and Code of Professional Conduct, dentists are obligated to report suspected cases to proper authorities and become familiar with the perioral signs of child abuse.

In 1992, Lynn Mouden, D.D.S., M.P.H. originated this program to increase dental and public awareness for child abuse and neglect. He compared the abused child to a panda bear. A panda bear being "endangered" and a child "in danger," both having blackened eyes. Thus, P.A.N.D.A. was formed. P.A.N.D.A. now includes over 36 states and has become an international movement.

The VDA's effort began with Dr. Mouden providing continuinq edu­ cation to our members at the VDA Annual Meeting in September 1998. Since then the coalition has met four times to deal with multiple tasks including construction of a Speakers' Training Session. The participants of the training session have formed the Speakers' Bureau.

They are available to speak on the subject of child abuse to interested audiences and ultimately assist in

training other speakers. Letters were sent to all Component Presi­ dents asking for volunteers.

On February 11, 1999, 24 people participated in the all day training session at the Hyatt Hotel in Rich­ mond. The VDA graciously pro­ vided the coalition with a place to meet and in conjunction with Delta Dental Plan of Virginia hosted this event. The training was led by Dr. Mouden with assistance from Linda Struck, Virginia Social Services.

Most Components were repre­ sented. Dr. Mouden also designed a state specific slide show that will be available for the trained speak­ ers to use as they educate our members statewide. All a member need do is contact the VDA for the speaker trained in your area.

We have elected to initiate the P.A.N.D.A. program during the month of April because April is Child Abuse Prevention Month.

The VDA and Delta Dental have joined the Virginia Coalition for Child Abuse Prevention. A Child Abuse Prevention Month packet is mailed to approximately 1500 individuals and groups. The VDA and Delta Dental provided an article with dental facts and figures to be

"liPAN.DA Coalition Committee mem­ bers and Dr. Lynn Mouden give their time for this worthy cause. From L to R: Drs. AI Rizkalla, George Levicki, Shari Ball, and Lynn Mouden.

34 Virginia Dental Journal

Dr. Lynn Mouden listens to a question asked

by PANDA Speaker Training Session par­ ticipants.

Bill Zepp, VDA Executive Director, welcomes participants to the Speaker Training Session

included in the packet. The recipients use the contents of the packet to reach parents year-round with prevention messages.

Also during April mailings will be sent to all VDA members' dental offices. It will include P.A.N.D.A. brochures with a stand to be placed for patient information. In addition, two rolodex cards will be included.

One with the Social Services emer­ gency reporting telephone number, the other with an emergency help line number to assist physicians

and dentists with questions.

Delta Dental Plan of Virginia has hired Lambert and Associates, a public relations firm, to enhance the efforts during April with press re­ leases, etc. Local representatives will help with information, if needed.

Virginia dentists are now included in the organized effort to help stop the pain, suffering, and death that result from child maltreatment.

of the Speakers' Bureau for their hard work, with special thanks to the Virginia Dental Association and Delta Dental Plan of Virginia for their whole-hearted support of this program. We have more goals to accomplish but we are on our way.

Note: Dr. Mouden will be returning in July 1999 to speak to the Divi­ sion of Dental Health of the Virginia Department of Health.

I would personally like to thank all coalition participants and members

OFFICE PROTOCOL FOR IDENTIFYING AND REPORTING

SUSPECTED CHILD ABUSE AND NEGLECT

Steps in Identification of Suspected Child Abuse or Neglect: 1. General physical assessment of the child. Although general physical examinations may not be appropriate in the dental setting, be aware of obvious physical traits that may indicate abuse or neglect (e.g. difficulty in walking or sitting, physical signs may be consistent with the use of force).

2. Behavior assessment. JUdge the child's behavior against the demeanor of children of similar maturity in similar situations.

3. Health histories. If you suspect child maltreatment, it can be useful to obtain more than one history, one from the child and one separately from the adult.

4. Orofacial examination. Look for signs of violence, such as multiple injuries or bruises, injuries in different stages of healing, or oral signs of sexually transmitted diseases.

5. Consultation. If indicated, consult with the child's physician about the child's needs or your suspicions.

Steps in Reporting Suspected Child Abuse or Neglect: 1. Documentation. Carefully document any findings of suspected abuse or neglect in the patient's record.

2. Witness. Have another individual witness the examination, note and co-sign the records concerning suspected child abuse or neglect.

3. Report. Call the appropriate child protective services (CPS) or law enforcement agency in your area, consistent with state law. Make the report as soon as possible without compromising the child's dental care. The telephone number for reporting is 1-800-552-7096.

4. Necessary Information. Have the following information available when you make the report: • Name and address of the child and parents or other persons having care and custody of the child • Child's age • Name(s) of any siblings • Nature of the child's condition, including any evidence of previous injuries or disabilities; and • Any other information that you believe might be helpful in establishing the cause of such abuse or neglect and the identity of the person believed to have caused such abuse or neglect.

Virginia Dental Journal 35

u[k)@ []]速0G w~Doo速[則)~@ &lciJwD ~速rnlJ DO

· ...

EXECUTIVE COUNCIL ACTIONS IN BRIEF .

JANUARY 29 AND 31,1999

-

-­

-­

-­

I. ACTIONS OF THE EXECUTIVE COUNCIL A. THE FOLLOWING CHANGES TO THE BYLAWS WERE APPROVED BY THE EXECUTIVE COUNCIL WITH A RECOMMENDATION FOR ADOPTION

BY THE HOUSE OF DELEGATES

the Executive Committee with the approval of the Executive Council and adoption by the House of Delegates. The time and place of meeting must be set definitely by the Execu­ tive Committee, with the approval of the Ex­ ecutive Council. at least eigl'lteeA mOAtl'ls prior to tl'le AAAual MeetiAg. Any change in the previously selected tentative site of the Meeting must be approved by the Executive Council.

1. The VDA Constitution and Bylaws be amended as follows:

4. The VDA Constitution and Bylaws be amended as follows:

Article VIII, Section 4 A. 12. Planning Committee a. Membership: This Committee shall consist of the President-Elect, fmtf two most reeeAt Past Presidents aAd four mem bers at large, bvo of .....I'Iom sl'lall be ap poiAted for two year terms by tl'le PresideAt EleeL OAe ofthese at large members sl'lall Rave graduated from deAtal sel'lool v.-itl'liA tl'le past teA years. and the chairmen of the following Regular Standing Committees; Annual Meeting, Budget and Financial in­ vestments, New Dentist, Dental Benefit Programs, Dental Delivery for the Special Needs Patient, Dental Practice Regula­ tions, Auxiliary Education and Relations, Legislative, Membership, Ethics and Judi­ cial Affairs, Direct Reimbursement and any other committee that the President may specify. The Committee shall elect its own chairman annually.

Article VI, Section 2.K K. SeIeet Approve the time and place of the Annual Meeting as selected by the Ex­ ecutive Committee for adoption by the House of Delegates.

2. The VDA Constitution and Bylaws be amended as follows: Article II, Meetings Section 1 Annual Meeting: The Annual Meet­ ing shall be held each year ""ReA ordered by tl'le Exeeutive CouAeil aAd Approved by tl'le I louse of Delegates. as selected by the Ex­ ecutive Committee, approved by the Execu­ tive Council and adopted by the House of Del­ egates. It shall be the purpose of this Meet­ ing to foster the ideals of the Association as set forth in ARTICLE II of the CONSTITUTION of this Association.

3. The VDA Constitution and Bylaws be amended as follows: Article II, Meetings Section 2 The place of the Annual Meet­ ing shall be within the legal boundaries of the Commonwealth of Virginia and shall be tentatively selected five years in advance by

5. The VDA Constitution and Bylaws be amended as follows: Article VII, Section 2 Duties: The duties of the Executive Com­ mittee shall include the following: transac­ tion of emergency business between meet­ ings of the Executive Council; organizing the agenda for Executive Council meetings; reviewing the House of Delegates Manual of Standing Rules for the Annual Session and proposing any changes in the Manual or in the BYLAWS which will promote bet­ ter functioning of the House of Delegates; functioning as a personnel committee to select and employ an Executive Director, Auditor, Legal Counsel and other employ­ ees as deemed necessary; selecting the time and place of the Annual Meeting for approval by the Executive Council and adoption by the House of delegates ...

6. The VDA Constitution and Bylaws be amended as follows: Article VIII, Section 1.B

.

7. The VDA Constitution and Bylaws be amended as follows: Article 1, Section 2 D. Fellows: A Fellows Selection Commit­ tee shall assume the complete responsi­ bility for choosing Fellows and officers ac­ cording to their Bylaws. The Fellows Se­ lection Committee consisting of one elected member from each component society of the Virginia Dental Association Fellows shall establish Bylaws governing selection of new Fellows and such other business as may properly come before it. These Bylaws and any amendments thereto shall be subject to the approval of the Executive Council of the Virginia Dental Association.

A suitable certificate shall be provided as a lasting token of the esteem in which these members are held. The number of Fellows shall be limited to six percent (6%) of the active members of the Association, except that those Fellows who are life or retired members or who are no longer members of the Association shall not be included in this limitation.

8. The VDA Constitution and Bylaws be amended as follows: Article VIII, Section 1 B. Spe.ciallzed Standing .comm.lt1eas 1. Cancer and Hospital Dental Service Committee 2. Caring Dentists Committee 3. Infection Control and Environmental Safety 4. Institutional Affairs Committee 5. Journal Staff Committee 6. Peer Review and Patient Relations Committee ~ Fello'vvsSeleetiol'1 Committee (See Ar tide 1, SeetioA 2,0) &. NomiAatiAg Committee (See Artiele IV, SeetioA 2, Cal

Insfitutlonal.Attalrs.CQrnmit1e_e a. Membership: This Committee shall consist of one representative named by ffem each State institution, including each mental hospital, the Dental Division of the State Department of Health, the State Department of Corrections and four members-at-Iarge appointed by the President to serve four-year terms on a rotating basis. All representatives, whether they are members of the Association or not, shall be approved by the President of the Association.

9. The VDA Constitution and Bylaws be amended as follows: Article VIII, Section 4A

4.

.G.oD.s1itu1i.on..aru.LB.~.GQm...rntl1ee

a. Membership: This Committee shall consist of the Immediate Past President, the Speaker of the House, the current 8ftti immediate past Parliamentarians, and twe four members-at-Iarge to be appointed by the President of the Association.

Virginia Dental Journal 37

10. The VDA Constitution and Bylaws be amended as follows: Article VIII, Section 4.A 3. CQIDrnitteBQD !he-New Dentist a. Membership: TAe Committee shall have received tAeir DD.S. or D.M.D. de gree less thaA teA (10) years before the time of selectioA. TAe Committee shall be composed of teA members, the ChairrnaA, OAe represeAtativ'e from each compoAeAt society, aAd the PresideAt of MCV School of DeAtistr~ 's AmericElA StudeAt DeAtal AssociatioA. The term of membership shall be tII.o )ears. a. Membership: The Committee shall be composed of nine members, one member from each component society who shall have received a D.D.S./D.MD. degree less than ten years before the time of selection.

The ninth member shall be a student mem­ ber of the American Student Dental Asso­ ciation at the VCU/MCV School of Dentistry who shall be appointed by the President of the Association. The term of membership shall be two years.

11. The VDA Constitution and Bylaws be amended as follows: Article VIII, Section 4A 13. Commille.e.JQcDlrec1Relmbursament a. Membership: This committee shall consist of up to sixteen members including one representative from each component society and up to eight at-large members representing eee/T-of the ADA recognized specialties.

12. The VDA Constitution and Bylaws be amended as follows: Article I Section 7. Dues: The annual dues shall be paid to the secretary treasurer of each compoAeAt society on or before January first each year. Dues unpaid ninety days thereafter shall automatically terminate the membership.

13. The VDA Constitution and Bylaws be amended as follows: Article III S~tivD3~

Powers and Duties: The House of Delegates is the supreme authoritative body of the Association. As such it can enact legislation, determine policies, enact and amend the CONSTITUTION and BY­ lAWS aAd PriAeiple of [tAies, elect Hon­ orary and Life Members, and approve the annual bUdget.

B. THE FOllOWING ITEMS WERE APPROVED BY THE EXECUTIVE

38 Virginia Dental Journal

COUNCil WITH A RECOMMENDATION FOR ADOPTION BY THE HOUSE OF DELEGATES 4. A reserve fund of three months oper­ ating expenses be established; up to two thirds of this may be as a line of credit equivalent to real estate assets and at least one third in cash equivalents.

5. The VDA establish the Virginia Dental Association Community Service Award.

Virginia Dental Association Community Service Award Purpose - The Virginia Dental Association Community Service Award will recognize a dental health care provider who, in the area of community dental health, has made significant contributions to his/her commu­ nity through their professional achieve­ ments, volunteer efforts, and leadership qualities. The individual selected for this award will receive a plaque bearing the name of the recipient. A second plaque bearing the name of the annual winner(s) will be displayed at the VDA Central Of­ fice. The recipient will be presented this honor at the annual session of the Virginia Dental Association.

Process - The members of the Dental Delivery for the Special Needs Patient Committee will select the recipient in June of each year based on nominations re­ ceived from component societies. All com­ ponents will be requested to submit one name to the committee by April 30 of each year.

Criteria - The committee will utilize the following criteria to select a recipient Has exhibited a high level of profes­ sional achievement and leadership skills in the area of dentistry.

Has created significant impact on the community through their accomplishments.

Has exhibited community involvement through volunteer activities.

Nomination - To nominate an individual for this award, it will be necessary to com­ plete a nomination form and respond to the folloWing criteria.

List outstanding achievements and examples of community dental leadership.

Give examples of how these achieve­ ments have made a significant impact on the community.

List additional community involvement and/or significant volunteer activities.

The chairman requests at least one name from each component for nomination for the

award.

II. THE FOllOWING ACTIONS OF THE EXECUTIVE COUNCIL ARE BEING IN­ CLUDED FOR INFORMATION ONLY A.

The Followinq Items Were Adopted:

10. The VDA review our relationship with legal counsel and report at the June Com­ mittee meeting. This review will be con­ ducted by the Executive Director, Secre­ tary/Treasurer and President Elect.

11. The Executive Committee recommend that VADPAC review their current sched­ ule of sponsored events.

12. To direct Dr. Shari Ball to represent the VDA at the 20 lh Annual Virginia Associa­ tion Health Occupations Students of America State Leadership Conference and Delegate Assembly held in Richmond, Vir­ ginia March 5-7, 1999 at the Richmond Hyatt and investigate the possible partici­ pation from VCU School of Dentistry.

13. In accordance with the VDA goals and objectives the Dental Health and Public In­ formation Committee proceed with the printing and distribution of mouth guard posters. This is to be an ongoing public service project. Initial cost for 5,000 post­ ers is approximately $6,000 14. The elections process will begin early in the membership meeting of the Annual Meeting.

15. The VDA election process be taiiored to a single ballot listing all previously an­ nounced nominations for the various of­ fices, as well as providing the opportunity to make additional nominations from the floor. (Adoption of this motion eliminates cascading elections.)

16. Any unexpired terms created by the main election will be filled by candidates nominated from the floor. The election will be conducted using the same ballot pro­ cess used for the main elections.

17. The VDA present a letter of support to the VCU/MCV School of Dentistry Curricu­ lum Committee, via the chairman, John Burmeister, for inclusion of ethics content in the curriculum beyond that which is cur­ rently presented in special lectures. Such a letter will not only encourage an increase in the treatment of ethics Issues, but will offer support in the form of guest speak­ ers, printed resources. etc.

18. The Executive Council support the In­ fection Control and Environmental Safety Committee concerning the issue of possible

Mercury contamination in dental office waste water and that the VDA solicit the aid of the ADA and its Council on Scientific Affairs on this issue. The Council directs that the VDA Central office act in a timely manner with the approval of the President on such matters.

19. A recommendation that Dr. Ed Mullins be reappointed to the Virginia Board of Den­ tistry at the end of his current term (6/30/99).

20. A recommendation that Pat Watkins be reappointed to the Virginia Board of Den­ tistry as the citizen member at the at the end of her current term (6/30/99).

21. To accept the Search Committee For Board of Dentistry Candidates' report as presented with the proviso that one or more citizen names be added by March 30, 1999 in the event that the citizen member not complete her term and the governor must make an interim appointment.

22. The following names be added to the list of candidates that are qualified and will­ ing to serve: Dr. T Wayne Mostiler and Dr. Raleigh H. Watson.

29. To the Executive Committee for further development before consideration by the Council, a motion that Committee Chair­ men give written assessments and make recommendations regarding committee members as a part of their Annual Com­ mittee Report.

30. To the Information and Technology Committee a recommendation to recommend that all entities doing business with the VDA be requested to verify Y2K compliance.

31. To the Annual Meeting Committee a recommendation that the Committee rec­ ommend that the Sunday morning sched­ ule at the 1999 VDA Annual Meeting in­ clude an open forum regarding DMSO's.

32. To the Dental Continuing Education Committee a recommendation that the Committee recommend examining the de­ velopment of printed materials for use by members in planning for retirement and practice transitions.

23. The VDA obtain written assurance re­ garding Y2K compliance from all entities with which the VDA does business. These businesses should include a date that Y2K compliance will be accomplished. These letters should be sent out to the businesses

by March 31,1999.

33. Back to the Committee For The New DentisUo rework details of implementation, the amount available and other component's opportunities for involvement and cost sharing a motion that the New Dentist Committee budget be increased to include up to $4,000.00 to support the Rich­ mond Dental Society encouraging dental stu­ dents to attend monthly meetings.

24. The VDA Central Office forward a copy of the Y2K compliance letter to all component presidents and executive secretaries.

34. Back to the Constitution & Bylaws Committee for clarification of the length of time served, the followinq recommended Bylaws amendment:

25. $500.00 be added to the current 1999 House of Delegates budget for the ex­ penses of the parliamentarian.

Article V, Section 3 A. Elected Delegates shall hold office for three years, not to exceed three consecu­ tive terms, and shall be elected one year in advance. Elected Alternate Delegates shall hold office for two years and shall be elected one year in advance, not to exceed four consecutive terms, limited to eight years, except in the case of the Dean of the Dental School. Their terms of office shall commence so that as nearly as pos­ sible one-third of the Delegates and one­ half of the Alternate Delegates shall be elected each year ...

26. Should there be a reduction in the number of delegates to the ADA Annual Meeting, the President will maintain the delegation as elected until the next VDA Annual Meeting. Proposed bylaw changes addressing the reduction of the VONADA Delegation will be referred to that delega­ tion for their consideration and report to the June Executive Council Meeting. (Ad­ dresses Article V, Section2) B.

The Following Item Was Defeated:

1. $10.00 per student be appropriated for each student attending Richmond Dental Society meetings until June, 1999 as a subsidy C. The Following Items Were Referred To Committee:

35. To the Chairman of the Dental Health & Public Information Committee, Dr. Rizkalla, a directive to write a letter to Mr. Ken Harvey and the photographer, thank­ ing them for their generosity in donating there services for the development of the mouth guard poster 36. To the Virginia Dental Services Corpo­ ration.the Strategic Planning Committee di­

rective to the Membership Committee to "ap­ proach dental supply companies to develop VDA discounts on certain products" (page 4, #163, bullet point #1, of Executive Coun­ cil Actions in Brief, November 8, 1998.

37, To the Constitution and Bylaws Committee for proper wording a motion that the Ad Hoc Committee on Communication and Information Technology be dissolved and reestablished as a regular standing committee in Article VIII, Section 1A. Membership of this committee shall consist of eight members including one representative from each component society.

Duties of this committee shall include the following: enhance the effectiveness of current communication and public aware­ ness; explore areas of non-dues revenue as it relates to the VDA web site; explore new technologies and advise the Execu­ tive Council and membership on these ad­ vances and issues.

38, To the Ad Hoc Committee on Commu­ nications and Information Technology that a hot link referring to ethics with the VDA web page be established, 39. To the Annual Meeting Committee a recommendation that the Committee invite Mr. Ken Harvey of the Washington Redskins as an honored guest at the VDA 1999 Annual Meeting Opening Session.

D. The Following Items Were Received As Information Only: 4. The Executive Committee reaffirmed the appointment of Drs. Tom Cooke, Charlie Clough, and the Executive Director as the ad hoc Building Committee. Dr. Dave Anderson was appointed to the ad hoc Building Committee and will serve as chair.

The ad hoc Building Committee will report to the Executive Council during the 1999 June Committee Meetings.

5. The Executive Committee Reaffirmed the relationship with Executive Director Bill Zepp, lobbyist Chuck Duvall (dba Lindl Cor­ poration) and accountants McGladrey & Pullen, 6. The Executive Council approved a VDA Harassment Policy which is to be in­ cluded in the VDA Personnel Manual (in progress).

7. The Executive Committee selected the following members, recommended by their components, to participate in the ADA Spokesperson Training Workshop on April 23,1999:

Virginia Dental Journal 39

Component Component Component Component Component Component Component Component

1 2 3

4 5

6 7

8

Todd Bivens Bruce DeGinder Kevin Swenson Carol Brooks Jim Evans Anne Johnston Rebecca Swett Brenda Young.

Members of the Executive Council are invited to attend the workshop as observers.

8. The preliminary budget for the 2000 VDA Annual Meeting was approved as submitted. An increase in registration fees is anticipated. Additional information will be provided at the June Committee Meetings.

9. The Annual Meeting Committee will develop a list of potential speakers (ap­ proximately 4) to be given to the Executive Director at the June Committee Meetings.

Primary Annual Meeting speaker(s) are to be contracted by four (4) years in advance of the Annual Meeting.

10. The Annual Meeting Committee has adopted the 8r1OuaLM.aetimJ-Oulline. The Outline is a part of the policy or operating procedure of the Committee. The Outline is a living document and will be reviewed yearly following the Annual Meeting by the immediate past local arrangements chair­ man and the Executive Director. The An­ nual Meeting Committee will approve any changes to the Annual Meeting Outline.

11. An Open Forum on DMSO's will be included in the 1999 VDA Annual Meeting on Sunday, September 19, 1999.

12. The Dental Benefits Programs Com­ mittee supports the efforts of the Virginia Dental Association in raising the Medicaid reimbursement rates for dental services in Virginia. In addition, the Committee sup­ ports the efforts to insure that the Depart­ ment of Medical Assistance Services uti­ lizes valid data in establishing the UCR for Medicaid fees.

13. The Membership Committee passed a motion that a mentorship program be established by the VDA with the MCVNCU School of Dentistry. The program will be developed by a committee composed of the Assistant Dean of Admissions and Student Affairs, a member of the VDA Membership Committee, a member of the VDA Committee on the New Dentist, a representative from the MCVNCU ASDA Chapter, and other allied dental organizations.

40 Virginia Dental Journal

14. $1,000.00 will be available from the Caring Dentist Committee budget for use by the New State Peer Assistance Program as­ sisted by Virginia Monitoring, Inc.

19. The VDA Foundation will send a request to the Component Presidents to schedule a Section 170 Plan presentation during a 1999 Component meeting.

15. Dr. Vic Skaff represents the Caring Den­ tist Committee on the New State Peer As­ sistance Committee, which is planning a three-day conference for the fall of 1999 on chemical dependency and recovery with monitoring.

20. The 1998 VDA Foundation Financial Statements were approved.

16. The Federal PAC component of the Vir­ ginia Dental Political Action Committee will be dissolved.

17. The Governor's Club members will be allowed to transfer their two tickets to the annual VADPAC Leadership Dinner to a VDA member and guest. Tickets cannot be trans­ ferred to either non-members or non-den­ tists.

21. The officers of the VDA Foundation were elected as follows: Dr. William H. Allison, President; Dr. Thomas S. Cooke, Treasurer and Dr. C. Mac Garrison, Secretary.

22. The Committee on Direct Reimburse­ ment reported that the VDA is leading the nation in lives covered, 15,000; five new companies have been signed up since January 1999; 29 companies are being administered.

18. Article I, Section 2 of the VDA Founda­ tion Bylaws will be amended so that the An­ nual Meeting will be changed from the Sat­ urday of the June Committee Meetings to the Saturday of the January Committee Meetings.

1999 ViRGiNlftt BOARD 0 F .' 't:,f\! ; I, "..".,.","" f r'( O l""' ~ 'T~'S'

The Virginia Board of Derltlstry is

Governor and is composed of "ever: ::lEln',

hygienists and one citizen representative Contact t~v-,_;

Board office or a member of the DOBIC! on (lli0:"'.llcr"'· 0:

rules and regulations

Nora M. French. D.M.D.

Momoe E Harris Jr. DD.S

Michael J. link. DDS

Frencl', H Moore. J' .. D.US

Edmund E Mullins. DDS

Gary Taylor DDS

Richard 0 Wilson DDS

Carolyn B. ~awk,ns RD.H

Stephanie F'. CJI~;ni'; R [, H

Pat K. Watkin,;

STA,FF

Iv1arcla J Miller. Execui ive Dlf'eciol

Parn Hornet" Adrnmistrative .!\S~,lst2n'l

Kathy l.ackey !·:\drlillllstI8UVr- Assisiaru

Lychr8 Mom,. Office Set-Vices :=;nf;c':'lll~'"

66D6 VV. SroacJ ~;treel ;L1()1

Richmond. \1/' 23:':5(1- 17'17

(80'1 )662-9906 Ft,>Ui;OL; )Gi3:::-[,!~I<:

ETHICS PERSPECTIVE Professional Ethics M. Joan Gillespie, D.D.S., Ethics and Judicial Affairs Chair

The Ethics and Judicial Affairs Committee of the VDA wishes to call your attention to section 5.B. Representation of Fees on page 116 of the 1998-1999 Membership Directory and Resource Guide.

The Code states that dentists shall not represent the fees being charged for providing care in a false or misleading manner. The Advi­ sory Opinion 5.B.1 Waiver of Copayment states that a dentist who accepts a third party payment

under a copayment plan as pay­ ment in full without disclosing to the third party that the patient's pay­ ment portion will not be collected, is engaged in overbilling. The es­ sence of this ethical impropriety is a deception and misrepresentation; an overbilling dentist makes it ap­ pear to the third party that the charge to the patient for services rendered is higher than it actually is.

Unless you inform the insurance

carrier of your intent, granting a pro­ fessional or any patient, a fee based courtesy by accepting the insurance as payment in full when you do not intend to balance bill for the amount specified is a violation of the Principles of Ethics and the Code of Professional Conduct of both the Virginia Dental Association and the American Dental Associa­ tion. Under Virginia Statutes this may well constitute a fraud and be subject to disciplinary action and/ or prosecution.

The Consult Ron Tankersley, D.D.S., Ethics & Judicial Affairs Committee

The purpose of a dental consulta­ tion is to permit the doctor to evalu­ ate the patient's condition, inform the patient of the clinical assess­ ment, and explain the advantages and disadvantages of the full range of appropriate treatment options.

Equipped with this information, the patient can make an informed de­ cision regarding treatment. With­ out it, an informed decision can not be made.

Unfortunately, there are many factors that may tempt us to abdicate our obligation to provide this information to patients. Time limitations, financial considerations, and contractual agreements are only a few of these factors. They come into play in different ways with the fee-for-service and managed care patients.

Fee-for-service Patients

Unfortunately, the consultation is sometime used as a "sales oppor­ 42 Virginia Dental Journal

tunity". Indeed, there are practice management courses that go into great detail concerning methods of "selling" dentistry at the consulta­ tion. It is no more ethically appro­ priate to "sell" dentistry than it is for a cardiologist to "sell" cardiac catherizations or an orthopedist to "sell" arthroscopy.

Although we are rightfully enthusi­ astic about most modern dental treatment modalities, there are many non-financial reasons that patients may choose one modality over the other. Even patients with excellent insurance coverage or abundant financial resources must be exposed to the full range of ap­ propriate treatment, often including no treatment.

Fortunately, the dental treatments that we desire for our patients are almost always best for the patient's dental health. Patients will usually select the most desirable treatment if properly "educated" about its ad­

vantages. However, failure to in­ form the patient of their options is unethical.

Some dentists claim that they do not have the time to discuss treat­ ments that they consider less de­ sirable. If there is insufficient time to explain the clinically appropriate options to the patient, the patient should be rescheduled or referred to a practitioner that does have the time.

Some dentists do not desire to discuss treatment modalities with patients that they are unqualified to provide or choose not to provide.

If they do not offer the treatment modality that the informed patient chooses, the patient should be appropriately referred to another practitioner.

Managed Care Patients

Managed care contracts often limit the range of treatment that will be

reimbursed by the plan and/or se­ verely decrease the compensation for some labor and technique inten­ sive procedures. However, the dentist still has the ethical obliga­ tion to educate the patient about the range of clinically appropriate treat­ ment options.

Contractual agreements do not alter the dentist's ethical obligations to the patient. Obviously, a dentist should only sign contractual agreements that permit ethical practice, including a compre­ hensive consultation.

The Ethics and Judicial Affairs Committee sub­ mitted the previous ar­ ticles for publication.

These are the first in a series of articles pro­ moting professionalism and ethics for dental practitioners.

Summary As with fee-for-service patients, there are many reasons for patients to accept or reject different treat­ ment modalities. This includes, but is not limited to, financial limitations.

The specific reason that a specific patient rejects a specific treatment is irrelevant and is not the dentist's responsibility. However, if the patient's decision is based on omis­ sion or misinformation provided by the dentist, it is a direct reflection on the dentist's professionalism.

In order to conform to ethical pro­ fessional standards for consulta­ tion, the dentist must both evalu­ ate the patient and educate the patient about the advantages and disadvantages of the full range of clinically appropriate treatment op­ tions. Neither contractual arrange­ ments nor the financial status of the patient alter the dentist's ethical ob­ ligations to the patient.

, ., e.t. ,,,,.,.~ c·,,,.,,,,'~_ .....~ -, .,·,H'·~_·"''''''_'

.,....,'.,"",' .........,.•..,.."j.

.......,',

< .. _. . . ~"'...,. '_""-_"'""~"'''''.r_~",

Fred Coots, Jr., D.D.S., VDSC Board Member The for-profit arm of the Virginia Dental Association finalized its 1999 plans to expand member services at a Board meeting in Virginia Beach, Virginia, February 19-20, 1999.

Started in October 1995, the Vir­ ginia Dental Services Corporation (VDSC) generated royalties from the sale and endorsement of prod­ ucts and services, usually at steep discounts to VDA member dentists.

Besides dues, the VDA looks to the VDSC to help fund its activities.

A recent survey of all VDA mem­ bers, approximately 3,000, elicited a phenomenal 761 responses ask­ ing the VDSC to target its offerings in four areas: dental supplies, of­ fice supplies, computer equipment!

software, and financial services.

other services.

Uniforms from Kay Uniforms and latex examination gloves from IMG are being offered under the impri­ matur of the VDSC. Payroll ser­ vices are now offered through Paychex. Professional liability and malpractice insurance can now be purchased through The Medical Protective Company.

The vendors and services are screened for their competitive prices, membership demand, in­ dustry reputation, market availabil­ ity, association liability, and start-up capital requirements. Mailing bro­ chures, samples, telemarketing, websites, meeting exhibits and other means will be used to inform the membership as new services and products become available through the VDSC.

Some 1200 VDA members already do electronic billing through the VDSC endorsed ENVOY Corpora­ tion. Also, staff health care plans are already offered through Trigon.

Plans are quickly maturing to offer auto insurance, money management, communications services, computer supplies and

For more information, call the VDSC office at 800-552-3886 (in state) or 804-358-4927 and speak to Ronya Edwards, Director of Operations or Bill Zepp, General Manager.

Virginia Dental Journal 43

.

rrF

I!

MEMBERSHIP BENEFIT HIGHLIGHT: HEALTH AND PROFESSIONAL LIABILITY INSURANCE Kimberly S. Swanson, D.D.S., VDA Membership Task Force

Insurance programs are one of the most significant benefits of mem­ bership in organized dentistry. Over the years, the Virginia Dental As­ sociation has worked hard to en­ sure that the insurance benefits of­ fered are financially competitive while offering excellent benefits and services. The CNA major medical program previously endorsed by the Virginia Dental Association un­ derwent significant and unaccept­ able rate increases. Thus, the Vir­ ginia Dental Association and the Virginia Dental Services Corpora­ tion (VDSC) negotiated a new in­ surance contract in the best inter­ est ofVDA members. The new and innovative medical insurance with Trigon Blue Cross Blue Shield be­ came effective January 1, 1999.

Trigon and its affiliated HMOs serve over 1.8 million Virginians and have the largest network of participating doctors and hospitals in the Com­ monwealth. Trigon benefits specific to VDA members include: • guaranteed enrollment: no VDA member will be rejected or have health riders attached to their policy because of pre-existing conditions.

• choice of products: a variety of plans can be selected to meet the different needs of individual mem­ bers. Indemnity Plans, PPOs, HMOs, Medical Savings Account Policies as well as traditional cov­ erage are some of the options. The VDA program is available to prac­ tices with as few as one dentist and can also serve the needs of prac­ tices with as many as ninety-nine employees enrolled. ·one year rate guarantee: premi­ ums are based on Trigon's "small 44 Virginia Dental Journal

business and community pools" rather than only on VDA plan mem­ bers. This provides a larger statis­ tical data base and allows Trigon to provide more predictable.and stable rates.

• Rate changes due to age in­ creases are calculated every ten years instead of the usual five years.

• Health Insurance Portability and Accountability Act group protection will be in effect for all policyholders.

• A special "Value Added Benefits" package, unique to the VDA, can be added to any group Policy at no additional cost. This package in­ eludes an accidental injury rider, enhanced wellness programs, in­ patient hospital services, and a vi­ sion discount program.

• Prescription card availability.

• Current Trigon policyholders may convert to a VDAlVDSC Trigon plan without penalty.

The VDSC Insurance Service Cen­ ter is now up and running. It was established so that members can speak with experienced benefit consultants who are dedicated to servicing the VDA insurance pro­ grams. For more information, call the VDSC Insurance Information Center at 1-800-832-7001.

The American Dental Association offers a Hospital Indemnity Insur­ ance Plan which is designed to supplement any major medical in­ surance policy held by an ADAJ VDA member. This plan provides up to $300.00 per day to cover out-

\

.

._

II

PROGRAM~ I )

of-pocket hospital expenses includ­ ing deductibles and copayments.

The money can also be used as a source of extra cash for the inciden­ tal expenses that frequently result when a family member is hospital­ ized, such as travel expenses and child care. The plan includes ben­ efits for inpatient confinements, outpatient surgery, emergency room visits, and confinements in skilled nursing facilities. For more information, call the Great-West Life and Annuity at 1-800-568­ 2001. For general information and assistance regarding ADA insur­ ance programs, ask for the ADA Council on Insurance, extension 2623.

In August 1998, the Board of the Virginia Dental Services Corpora­ tion (VDSC) endorsed the Medical Protective Company for profes­ sionalliability insurance. The Medi­ cal Protective Company invented professional liability insurance in 1899 and was recently selected as one of the top 50 best-managed property and casualty insurance companies in the country. It is the only company that offers custom­ ized coverage-with The Hartford.

The contract has no arbitration clause or "hammer" clause. The company's excellent defense strat­ egy helps eliminate non-meritorious claims. Over 74% of all claims made are closed with no payment made, and over 90% of all cases that go to trial win. In addition to professional liability, property, worker's compensation, employ­ ment practices liability, and pension plan coverage are available. To re­ ceive a no-obligation quote from the Medical Protective Company, call 1-800-344-1899.

Professional Liability Insurance is also offered through the ADA. This policy, underwritten by the Reliance National insurance company, offers protection against the financial con­ sequences of professional liability allegations. An innovative premium structure recognizes individual geo­ graphic location, type of practice, previous claim history, and other measures taken to minimize the likelihood of a malprartice incident, Coverage is extended to all proce­ dures covered by the individual's State Dental Practice Act. An op­ tional package of business property

Many in the dental profession are at a loss as what to do about the Y2K problem that has been de­ scribed in magazines, newspapers and even the Wall Street Journal.

Everyone seems to be selling a solution or a protection from the apocalypse the problem is touted to cause. Yet in a recent meeting of our component Executive Com­ mittee, less than one in ten knew their office computer system would function on January 3, 2000. For most of us, we begin scheduling recall appointments for January 2000 this July.

Isome of the free diskettes we receive in the mail promise an easy Icheck of hardware and software ~ith solutions sold separately.

Having tested two such diskettes,

and casualty policies can also be purchased, special low-cost poli­ cies are also available to provide protection during Board Examina­ tions for licensure. For information on this ADA sponsored Plan, call Kirke-Van Orsdel. Inc. at 1-800­ 852-9967.

The VDA, VDSC, and the ADA are proud of the insurance programs they offer to us- the members. Sur­ veys of members show that ADA! VDA insurance plans are one of the most valued benefits of member­ ship in organized dentistry. Please

they found alleged problems on my Windows 98, Y2K compliant Pentium II. The solutions offered for sale were for problems that did not exist.

Evaluating a system will require a little time and possibly help from a hardware and/or software vendor.

Each computer on a network will need to be evaluated for its ability to handle the 2000 date. Software will also need to be checked as to Y2K compliance. A recent article in Df:lntal Practice and FinalX.e 1999 Technology Guide outlines a reasonable checklist. Reprints are available by calling 1-800-323-3337 ext. 3630.

Other devices in the office may also need to be checked for compliance.

take advantage of these great ben efits. Call the VDA at (804) 358 4927 or 1-800-552-3886. Call the ADA at (312) 440-2500 or the toll­ free 800 number listed on your membership card.

More information on Life insurance, disability insurance, and retirement plans is yet to come! Membership Matters!

These might include electronic bankcard processors, insurance claims processing equipment, post­ age meters, fax machines, tele­ phone systems, digital x-rays, in­ tra-oral and security systems.

At this date, help is available from dental software vendors and for most packaged software. Hard­ ware vendors are not backlogged with questions about machines manufactured in the past. The lo­ cal computer store does not have shelves full of computers needing upgrades. Whether all of the prob­ lems of Y2K come true is yet to be seen. There is no doubt the ser­ vices of all ofthe above will be more and more in demand and expen­ sive. START EARLY!

Virginia Dental Journal 45

To receive a program call:

1路800路854路VFDC

UPCOMING CONTINUING EDUCATION

Month

Component

Meeting

Location

~-MLIoJl1c

April 30, 1999

Southside (3)

CE Program

Holiday Inn Koger Center Richmond

Suzanne Boswell, Unmasking Your Mystery Patient

May 14-16, 1999

Southwest (6)

CE Program/ Annual Meeting

Pipestem State Park, Pipestem, WV

Dr. David Chance, Crown & Bridge

June 9, 1999

Southside (3)

CE Program

Emporia

Dr. Joe Tregaskes, Prosthodontics

Aug. 13,1999

Southwest (6)

CE Program VDA co-sponsored

Higher Educational Center, Abingdon

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

Sept. 17, 1999'

VDA

CE Program/ Annual Meeting

Hyatt Regency Reston, Reston

Dr. Dan Sullivan, Achieving Esthetic Fixed Imp/ant Restorations

Sept. 18, 1999'

VDA

CE Program/ Annual Meeting

Hyatt Regency Reston, Reston

G.L. Johnson, Consults Patients Can't Refuse

Nov. 5, 1999

Southside (3)

CE Program

Country Club of Petersburg

Dr. Doug Lambert, Contemporary Concepts in Aesthetic Dentistry

VDA co-sponsored

Nov. 12, 1999

Southwest (6)

CE Program

Donaldson Brown ConferenceCenter, Blacksburg

Dr. Michael V. Dishman, B/eaching & Cosmetic Dentistry

March 10, 2000

Southwest (6)

CE Program

Van Dyke Center, Emory

TBA

May 19-21,2000

Southwest (6)

CE Program/ Annual Meeting

Pipestem State Park, Pipestem, WV

TBA

Aug. 11, 2000

Southwest (6)

CE Program

Higher Educational Center, Abingdon

Dr. Franklin Weine, Avoiding Problems in Clinica/ Endodontics

Donaldson Brown Conference Center, Blacksburg

Dr. Marvin Ladov, Oral Surgery: Impactions, Extractions & Corrective Actions

VDA co-sponsored

Nov. 17, 2000

Southwest (6)

CE Program

* Registration material for the VDA Annual Meeting will be mailed in July. Please do not use the

registration form in this issue to register for Achieving Esthetic Fixed Implant Restorations and/or Consults Patients Can't Refuse.

AIDA C路E路R.路P

CONTINUING EDUCATION RECOGNITION PROGRAM

Virginia Dental Journal 47

DONATED DENTAL SERVICES VOLUNTEERS 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.

The DDS program began in Virginia in September of 1997 through funding provided by the Virginia Health Care Foundation, the Annabella R. Jenkins Foundation, and the Virginia Dental Association. Since then, 360 dentists have volunteered and 60 dental laboratories have participated. Through their efforts, over 240 patients have received or are .currently receiving care for their extensive dental needs. Approximately $250,000 in combined services from participating dentists, specialists, and dental laboratories has been contributed.

DDS would like to recognize and thank each and every one of these participants. The DDS program could not exist without your kindness and generosity!

Participating Dentists and Specialists: ComponenU Elliott Althouse Jeff Bailey James Baker Paul Brickman David Buckis Clyde Carroll, Jr. Alison Drescher Thomas Dunham Randy Eberly Kevin Ellis Adam Foleck Steve Goldstein Leslie Gore Harold Heafner Jr. Susan Heriford William Heriford W.H. Higinbotham J. Matthew Hogendobler Ralph Howell Jr. Ralph Howell Sr. Douglas Hughes Lynn Thornton Jett Michael Kahan David Kaiser Sanford Lefcoe Jan Milner Demetrios Milonas Michael Morgan Lori Moscovitz John Mosher T. Wayne Mostiler Arthur Nido Robert Northen James Nottingham, Jr. Thomas O'Hara Edward S. O'Keefe H.E. Ramsey, Jr. H.E. Ramsey III Scott Rosenblum John Ross James Salerno Anthony Savage

48 Virginia Dental Journal

Robert Simmons James Taylor Stanley P. Tompkins Edward Weisberg Andrew Zimmer

ComponeIl1lt Heath Allen John Ames, Jr. Mitchell Avent Velma Barnwell Elizabeth Bernhard Ted A. Blaney Michael Bowler Paul Burbank, Jr. James Burden Corydon Butler, Jr. Henry Cathey Jr Don Cherry Harry Conn Thomas Conner Ray Dail Bruce DeGinder John Denison Gisela Fashing David Forrest Thomas Geary Lanny Hinson Ralph Hoffmann Jeffrey Kenney Michael J. Kokorelis N. Ray Lee Timothy Leigh Guy Levy Mayer Levy A. Catherine Lynn Don Mardis Shannon Martin Michael Patrick McCormick Jr. Kenneth Mello Carol Morgan K.E. Neill, Jr. Jon Piche

Robert Plapp Philip J. Render Andrew Robertson John Shepherd, Jr. Harry Simpson, Jr. Gary Smith Robert Sotack Sebastiana Springmann Ron Tankersley John Tarver, Jr. Donald Taylor, Jr.

Component III: Tony Agapis John Bass Richard Bates Stephen Bissell Reed Boyd, III James Bradshaw Jonathon Carlton Scott Gerard Robert Grossman Michael Hanley Donald Hill Jerry Isbell Robert O'Neill Bonnie Pearson John Ragsdale Richard Roadcap Ronald Wray

ComponenUY: Anne Adams Randy Adams T. Nelson Adams Carl Atkins, Jr. Hood Biggers Eliot Bird Carl Block Joseph Califano Robert Campbell Francis Carr, Jr.

Charles E. Clough Thomas Cooke III William Davey Crockett Charlie Cuttino III Jeffrey Cyr Stan Dameron R. Cris Dedmond John Doswell II David L. Ellis Charles Gaskins III M. Scott Gore Ronald Haden Faryl Hart Raidah Hudson Altug Kazanoglu M. Kerneklian John Kittrell Michael Krone Thomas Layman BA Livick Nick Lombardozzi James Londrey Charles Martin Erika Mason Karen McAndrew Benita Miller Michael Miller James Mosey Walter Murphy Rob Neighbors Paul A. Neumann Joe Niamtu III Clinton Norris III Bruce Overton Robert Penterson Darryl J Pirok Gordon Prior Patrick Quisenberry Stephen Radcliffe John Rose III Kevin Scanlan James Schroeder Harlan Schufeldt Allen Schultz

L. Scott Sill Eric Smith Robert Sorenson AI Stenger Frank Straus Kit Sullivan Kimberly Swanson Vicki Tibbs Donald Trawick David White Roger Wood M. Walter Young

ComponenUl: Michele Ah Raymond C. Baker, Jr. Mark Crabtree James Evans John Fedison Thomas Golden Daniel Grabeel Larry Jewell Richard Joachim Alvin Kagey Robert J. Krempl Michael Lavinder RF. Mallinak Larry Meador H. Kyle Midkiff Kevin Midkiff J. Peyton Moore, Jr. James K. Muehleck Edward M. O'Keefe James Pollard James Priest Richard Sherwood Ralph Kendall Slusher Sherman Smock H Merritt Sparger Jr..

C.B. Strange, Jr. Ronald Todd David Wheeler Barry Wolfe Richard Zechini

Component Yl: Claude Camden Jr. Dee Danner Matthew Glasgow Neil Davis Hollyfield Wallace L. Huff William Irby, Jr. W Barney Jennings M. Kent Kiser John Lentz Lee Lykins III Donald Martin French Moore III Susan O'Connor A Carole Pratt H. Ramsey White Richard Schambach Paul Umstott Glenn Young

CQrnponent VII: Dandridge Allen Stephen Alvis Edward L. Amos Gerald Brown John Canter Damon DeArment Suzanne M. Dennis Clayton Devening Elizabeth Doerwaldt Ronald Downey Mark Hammock Bill Hanna Carolyn Herring Jeffrey Hodges William Horbaly Richard Hull Jack Kayton III R Scott Knierim Tom Leinbach Allen McCorkle Bob Miller, Jr. Tammie Neal Ken Rasmussen Eric Redmon John Reeves Wayne Remington John Roller Ronald Rosenthal Scott Ruffner Harry Sartelle III Ted Sherwin James Soderquist Donald Spano Douglas Starns Rebecca Swett Michael Tisdelle Alan White T.E. Williams Mark Young

Component VIII: Elizabeth S. Allenchey WH. Allison Dave C. Anderson Joseph Arzadon Gregory Bath Edward Bernhart David Bertman Henry Botuck David Cantor Norman Coleman David DeViese Patrick Dolan James Donahue, Jr. Neal Emad Michael Fabio Kenneth M. Fauteux Robert Flikeid Bonnie Dulaney Foster Charlie French 1/ Janet French Agnes Fuentes James D. Geren

Don E. Gibbin John Grubbs James Gyuricza John Harre, Jr. David Holley Irving Imburg Rodney Klima Deidra B. Kokel Lawrence Kotler John Krygowski Michael Kuzmik Barry Laurent W Townes Lea III Steven LeBeau Alfonso Massaro Robert McHugh Harry J. Montgomery Margaret Mossier William Nanna J. Michael Nelson Michael Oppenheimer David Peete Thomas Richards A.J. Rizkalla Aurelio Roca Richard Rubino D. Gordon Rye John Salmon III WE. Saxon, Jr. Michael Schulte Gary Schuyler William Sherman Andrew Sklar Peter W Smith RE. Stecher Richard Stone Robert S. Strange Andrew Thompson Philip Tomaselli, Jr. Eric Vasey Tuan Vu D.A. Whiston Jay K. White Wayne Whitley John Willhide Samuel Yun ~embers:

Jeryl Abbott Bradley Anderson Robert Caldwell Johnson Cheng Kenneth Copeland, Jr. Colleen Daley Curtis Daly Jeffrey Day Robert Futrell Quincy Gilliam Loretta Graham Raman Jassal Ford Johnson Jacquelin Johnson-Curl Vickie Keller John Kim Tamara Langebeck

Frederick Martin

Madjid Matin

Jennifer McDaniel

Elizabeth Muss

Nicholas Muss

Naseer Naeem

G. Thomas Phillips

Christopher Smiley

Tracy Spaur

Richard Suter

Ralph Swiger II

Daniel Sykes

J. Keller Vernon

Royce Woolfolk

Participating Dental Laboratories: Able Dental Lab Accutech Orthodontic Lab, Inc Acme Dental Lab Alpha Dental Ceramic Lab Arrident Lab Biogenic Dental Corporation Cardinal Dental Lab Central Dental Laboratory Ceramic Studio of VA, Inc. Coleman's Dental Studio Crowns By Colter Dantonio Dental Lab Danville Dental Laboratory Dental Ceramics Art Dental Prosthetic Services Inc Dickinson Dental Laboratory D.J.'s Dental Lab, Inc. Dominion Crown & Bridge Lab Dramstad Dental Design Ernst Dental Lab First Impression Dental Lab Fitz Lab Fraguela Dental Laboratory,lnc Glendale Dental Lab, Inc Gold Duster Dental Lab Goodwin Dental Lab, Inc. Great Impressions Laboratories Haislip Dental Lab Harris-Williams Dental Lab Hills Dental Laboratory, Inc. James River Dental Lab Jetts Dental Laboratory Kenneth Kellogg, COT Lab One Luis Dental Lab, Inc. Miles Dental Techniques Northern VA Dental Lab, Inc Nu Tech Laboratories Pennington Crown and Bridge Plus Dental Lab, Inc. Pro Dental Lab Protech Dental Lab R Brigner Dental Laboratory R & 0 Dental Lab Inc. Reston Dental Ceramics Riddell Dental Lab

Virginia Dental Journal 49

Saunders Dental Lab, Inc. Service Dental Laboratory Skyline Dental Lab Southem Gray Dental Lab Stanford Dental Lab Sven Tech Technique Orthodontic Lab, Inc. The Tooth Works TIncher Lab Triangle Dental Lab Tri-State Dental Lab Victor's Dental Lab Virginia Dental Laboratories Wagner Orthodontic Studio Winegardner Dental Arts, Inc. York Dental Lab 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 or Barbara Rollins at the DDS office at (804)257-9810.

Smiles Are Contagious

Dr. AI Stenger Receives '99 Unsung Heroes Award

When You Save On Dental Supplies Wi

The Virginia Dental Association would like to congratulate Dr. AI J. Stenger. who was recently selected as a recipi足 ent for the 1999 Virginia Health Care Foundation's (VHCF) 1999 Unsung Heroes Award. Dr. Stenger is an ac足 tive volunteer with two VHCF funded projects, Donated Dental Services and Crossover Health Clinic. Through his dedication, Dr. Stenger has made a great impact on Virginia's underserved.

Dr. AI Stenger is pictured with his part足 ner Dr. James Scroeder who is also a DDS volunteer.

ues.

"Dentists smile because oj the meaningful savings available to us without changing our supplies or suppliers.

Needy disabled, aged, and medically-compromised people smile because our purchases oj DentaCheques help finance expansion ojthe Donated Dental Services (DDS) program.

I Jully endorse the DentaCheques program"

~~n.I>'I>,s"M'S.l) Member. Hoard

orDirl'clor~

.. rh'[)'

/'IOstionlll Foundati.m of Pcnti;;lry fHr the Handicapped

N .... TI(lNAL

FOLJNDATlt)N

OJ' DENTISTRY f"'OR THE HAI'lUJCAPPEO

J\ eH<\ll.lTAB4.l!. ",.'HW"'TI' o-r

'rue

AM~N_-I)D..jT-IloJ,.1'LsSOC:LOlTION

Join thousands of dentists already saving money with the valuable discounts in DentaCheques. Get 5% discounts from most major dental supply companies and free product rebates from most major manufacturers. Order a copy for a $60 tax-deductible contribution to NFDH. You call return the unused hook for a full refund if vou aren't satisfied with the amount (If money you ~'QlI s~ve onvour :wpplies.

Order your copy of DentaCheques today by calling 800/366-3331.

50 Virginia Dental Journal

All proceeds benefit the National Foundaurm of Denu-arv tor- the Huudtcuppcd (NrDH a non-profit charitable affiliate of tbe Arnencan Dental Assocrauon Your purcha-,c allow . . the Founduuon 10 expand humanitarian dental program-, lhal annuiJlly serve ovell,:'.(lOO necov dl',anIeJ, elderly. arid medrcally-cornpromrsed people.

Does your practice currently have Trigon Blue Cross Blue Shield Group

Health Insurance?

Would you like to add more benefits at no extra cost?

It's simple -

Just complete the form below!

By appointing the Virginia Dental Services Corporation (VDSC) as your group's broker of record, you can add these extra benefits at no additional premium cost: )i.足

Preventive Care Services: Benefits for screening and early detection of breast, cervical and prostate cancer.

~

Routine Wellness: Extra coverage for routine office visits, immunizations, lab tests and x足 ray services.

~

Emergency Accident Coverage: Outpatient services for accidental injuries.

~

Vision Care Program: Discounts on eye exams and eyewear products.

~

Spousal Protection: Guaranteed issue coverage for spouses when the member elects a Trigon Medicare Supplement plan or passes away.

~

Pay-Direct Option: VDA members can elect individual group coverage if they retire early or their group disbands.

Specific benefit enhancements vary by plan design. Please call the VDSC Insurance Service Center for more details at (800) 832-7001.

Please make the Virginia Dental Services Corporation my Broker of Record!

Group Name:

Broker Name:

Group Number:

VDS~urance

Service Center

Broker Number:

A02623-=llQL4

Group Administrator Signature

_

Please copy onto your business letterhead and return to: VDSC Insurance Service Center, P.O. Box 19307, Alexandria, VA 22320 FAX: (800) 886-4913

Virginia Dental Journal 51

JANUARY COMMITTEE MEETINGS Thomas S. Cooke III, DD.S., VDA Secretary-Treasurer The Richmond Hyatt played host to the January Committee Meetings on the 29 th -30 th • This well attended meeting featured two trips to the Vir­ ginia Legislature by the Executive Council and attendees of the Com­ mittee Chairs Workshop. Our influ­ ence was evident as Assignment of Benefits legislation passed and was given to the Governor for his signa­ ture. On Friday night, Attorney­ General Mark Earley spoke at the VADPAC Leadership Dinner and Saturday found participants at a daylong meeting followed by the President's Cocktail Party. All of the Committees met and reported to the Executive Council. Actions of the Council appear in this journal issue.

The next Committee Meetings will be in June at the Virginia Beach Sheraton. All interested VDA mem­ bers are encouraged to attend.

UPCOMING JUNE

COMMITTEE MEETINGS

Please mark your calendar for the June Committee Meetings which will take place June 10-13, 1999, at the Sheraton Oceanfront Hotel in Virginia Beach, VA. All members are encouraged to attend. We look forward to seeing you in June!

Thursday, June 10, 1999 12:00pm-5:00pm Executive Committee Friday, June 11, 1999 8:00am-9:00am Executive Council Committee Meetings 9:90am-11 :OOam 12:30pm-2:00pm President-Elect Luncheon 2:00pm-4:00pm Legislative Committee 4:00pm-5:00pm Search Com. for Board of Dentistry 4:00pm-5:30pm AGO Board Meeting Saturday, June 12, 1999 8:00am-10:00am Committee Meetings 10:00am-1 :OOpm Committee Meetings 1:OOpm-2:30pm State/Component Officers Luncheon 2:30pm-5:30pm Budget & Financial Investments 2:30pm-5:30pm Dental Continuing Ed 2:30pm-5:30pm Infection Control 6:00pm-7:00pm President's Reception 7:00pm Zepp Farewell Dinner

CONGRATULATIONS ON 25 TH ANNIVERSARY The following Certified Dental Technicians are to be congratu­ lated on their 25 th anniversary of service to the dental profession: Allen L. Barran Robert 1. Barnes Joseph L. Clarke Horst H. Guertler Beate J. Guffe Guiseppe Ingrao Nicanor J. Lotucao, Jr. Aaron S. Zeno Organized dentistry has long sup­ ported the promotion and recog­ nition of excellence in the field of dental care. Contributions by Cer­ tified Dental Technicians have been an important factor in the overall improvement of the nation's dental health.

Sunday, June 13, 1999 8:00am-9:00am VDA 16'" District Delegation 9:00am Executive Council

1

IMPORTANT INFORMATION ABOUT YOUR 1999 MEMBERSHIP DUES STATEMENT r

!

I

The ADA has advised that, based on guidance given from the IRS, a revised estimate of the non-deduct- ! ible portion of ADA dues for 1999 is 8.9%, which is f a change from the 9.2% figure shown on your VDA ! duesstatement. !

I, Onlythat portionof an association member'sdues not l

attributable to lobbying activities is deductible as an I ordinary and necessary business expense. 7% of I VDA dues and 0% of component society dues is allo, cable to lobbying activities and therefore, nondeduct- i 'I ible as a business expense. :

I I

II I

y Looking for info on u;:Coming CE courses?

What's happening at the VDA?

I

Want to learn more about Direct Reimbursement?

I

I [

I I f.

I l

f

Visit the VDA's website for answers to these questions... and much, much more.

www.vadental.org

I •

! t

Virginia Dental Journal 53

What's the reason for our

SUCCESS We could give you

l

9â&#x20AC;˘

J

--I I

~

Why is Delta Denta'l one of the leading and largest providers of dental care coverage in Virginia (; A major reason is the participation

of

2400 of the finest

denta'l care providers in the state Delta Denta'l was started by dentists, so it's only logical that we understand what works best for patients and dental care providers alike.

At Delta Dental, our reputation is built on a tradition of success

54 Virginia Dental Journal

4

DELTA DENTALÂŽ DeltaDental Plan of Virginia 4818 St ark e v Road Roanoke, Virginia 24014 1-800-237-6060 www.dc lr ad e nt a lva.c om

:OMPO!~Et\T

NEWS

',-----_._-----­

Component I Tidewater

Dr. Barry Einhorn, Editor Greetings from Tidewater on a beauti­ ful spring day. Though we have had a relatively mild winter, March was its usual mischievous self. At last we have the promise of sunshine and warmth, so we are all dusting off our outdoor grilles, dewinterizing our boats, oiling our fishing rods and putting the finish­ ing touches on our rusty golf swings.

We are ready for the beach season to begin in earnest. When you come to visit South Hampton Roads in June we invite you to bring your credit cards and sample the latest addition to our area, Mac Arthur Mall. It is indeed a sight to behold, with Nordstroms(saw a lovely pair of ladies' dress shoes there for $830) and Dillards and 100 other upscale shops, plus an 18 screen movie complex.

One might think that Component #1 is just having fun; not true we are quite busy keeping dentistry and good den­ tal health on the minds of Hampton Roads residents. Thanks to Pam Mor­ gan and her very active committee we held a very successful Dental Health Fair at the Virginia Marine Science Museum. The 5th Naval District Dental clinic participated with our members to present table clinics and to hold a tooth­ brush swap. The Tooth Fairy and Francis the Skunk made cameo ap­ pearances. Over 500 people attended.

Special thanks to the ODU Dental As­ sistants, and Dental Hygiene students as well as the Naval Dental Corps. This year's program is an excellent example of cooperation between the civilian, military and academic communities.

We have several important continuing education programs on our spring schedule. On Friday,April 9t h Dick Barnes,D.D.S. will lecture on" Creat­ ing the Successful Practice" Then on Thursday May 6 th Langley Air Force

Base will present Dr. David Murchison, Col, USAF. His topic will be, "Com­ posite Resin: An Update". Please call Ginnie Donne at 757-491-4626 for in­ formation on any of these programs.

Several of our members are on the mend from recent illnesses, Jim Baker is almost fully recovered from his sur­ gery. He is back to full time practice.

Sonny Lefcoe made a remarkable re­ covery from a serious illness and is back at full speed, practicing part time and busily doing good deeds the rest of the time. Sam Russo is recovering from knee replacement surgery. I saw him walking the golf course the other day, surely it won't be long before he is swinging away.

Lois and Barry Einhorn were recently honored by the National Conference for Community and Justice(formerly the National Conference of Christians and Jews) for their longtime efforts for humanitarian causes.

I will close with some words of wisdom regarding crisis management. "Good Judgement comes from experience and a lot of that comes from bad judge­ ment". Finally, remember "don't squat with yer spurs on".

Component II Peninsula

Dr. A.J. Booker, Editor By the time you read this you will most likely have already paid your taxes, but I suspect that like me you're still smol­ dering. So let's start off with a quote from Mark Twain on that subject. He asked, "What was the difference be­ tween a taxidermist and a tax collec­ tor?" The taxidermist takes only your skin! And now for the news.

Over the last several years the PDS has participated in the local science fairs of our middle and high schools by awarding special prizes for those projects which have a dentally related theme. Members of the component

volunteer their time and "expertise" by acting as judges for the category while the society foots the bill for some well deserved cash awards. Also winners are treated to dinner at the March meeting where they show off their projects to the membership. It's an­ other win-win outreach of the PDS to the community that every component should consider trying. For more in­ formation contact the wizard of bent wire, Dr. Tom Butterfoss.

Slightly out of season but nevertheless bearing gifts of glad tidings three wisemen from all points of the compass appeared at our March meeting. None other than Drs. Cuttino, Zimmer, and Cooke dropped by to give us their an­ nual report from the VDA. These guys are always welcome on the Peninsula especially if they keep bringing such good legislative news.

A woman's life is a history of the affec­ tions. We find ourselve losing a friend and the Executive Secretary of Com­ ponent II. Kim Blore is leaving us for of all places-Disney World- to follow her family and newly promoted hubby.

Every PDS member's professional life was made a little simpler, and for those who got to know her a little better dur­ ing the past five years. It has been a job very well done. So we say thank­ you for sharing with us your time, en­ ergy, and affection and we wish you all the happiness you deserve. By the way Kim, when the ADA comes to Orlando, can I get a room with a view?

On a similar note, the rumor mill has it that Bill Zepp has heard the call of the Wild West. We are very disappointed that this transplant didn't osseointegrate in Richmond. Bill we all knew that the shoes Pat left you to fill were larger than those small feet of hers. But the job you've done for all of us in the VDA has been nothing short of spectacular. Please accept the gratitude of the PDS which wishes for you and yours godspeed and much happiness.

The folks of Component II are a funny sort of bear. With the exception of per­ haps a picnic or trip to the beach for the summer committee meetings we Virginia Dental Journal 55

like to hibernate for the summer. So I bid you adieu as my colleague Dr. Eric Boxx, our new secretary, will bring you the news of the late summer as we awaken. But fear not for me as I leave as I found you with Mark Twain. All you need in this life is ignorance and confidence, and then success is sure.

Dr. Cory Buler, PDS President, awards 1", 2nd , and 3'd place student winners of the local sci­ ence fairs. U.S. Savings Bonds were awarded to each winner.

Component III Southside

Dr. Reed Boyd, Editor The Southside Dental Society has just finished the winter with only an ice storm to show for it, but what a heck of a storm it was. Most of the Compo­ nent lies on that ever-important rain­ snow line. It is just slightly too warm to snow and slightly too cold to rain so what we get is some sort of freezing slushy rain that sticks and freezes on anything that it hits. This results in tre­ mendous weight being placed on tree limbs and power lines, which eventu­ ally break, causing havoc. My office, in the City of Petersburg, was without power and phones for a solid week as were many other businesses. It was a tremendous situation to deal with.

Anyway, we have broken into spring and the flowers are blooming and the world is turning green again. The com­ ponent has made plans for the sum­ mer. We will be hosting Dr. Joe Tregaskes in June at the Emporia Pork Festival. This meeting is scheduled for June 9,1999 in Emporia, Virginia. It is a great combination of learning and 56 Virginia Dental Journal

fun. Please mark your calendars and plan to join us. Bring your staff!

Our semi-annual business meeting was held March 24. Joining us were Tom Cooke, Chris Hamlin, and Bud Zimmer. We treated them to a good meal and some real Southside Dental Society hospitality, Also joining us was Dr. Ron Hunt, the Dean of our dental school. He provided us an update on the School and its happenings. I feel that he has some good ideas and will have a very positive impact on the den­ tal education that it provides and there­ fore the dentists that graduate from the school.

Speaking of the school, the Commit­ tee on Membership and the Commit­ tee on the New Dentist are working closely to get involved at the school, with Dr. Hunt's blessings, and will be looking to the VDA membership to get involved. You will be hearing more about these initiatives in the near fu­ ture. Please respond when you are called.

As Chairman of the Committee on Membership, I want you to know what a great bunch we have working for us, making our dues dollars work. As a case in point, look at Chuck Duvall and Lisa Finnerty. They have been very effective at lobbying on behalf of the dental association and keeping us posted and involved in the legislative process. The results, we accomplished most everything we wanted and the legislation going in our favor, speak for themselves. I encourage you to thank Chuck and Lisa when you see them.

Give them a pat on the back! Better yet, get involved and volunteer to help!

There is much to write about our component's individual members. It al­ ways amazes me what dentists are into that you do not hear about. For ex­ ample, Dr. Ray Meade is an accom­ plished pilot. He has achieved instruc­ tor status in several areas. He has also accomplished several different feats in glider planes. Dr. Jack Lynn is a noted Civil War historian and collector. He has written a book, BOO Pace.slol:ielt Andersonville, which chronicles the South's most notorious prison for fed­

eral prisoners captured during the war.

He is preparing to write a second book in the near future. Dr. Chuck Griffin is a volunteer with the National Ski Pa­ trol. He was recognized for his assis­ tance in a serious ski accident involv­ ing a young man at Timberline, West Virginia. The young man was seriously injured and Chuck was credited with turning what was a serious injury, prob­ ably paralysis, into a bad dream, as the young man has made nearly a full recovery. Mrs. Sharon O'Neill, Dr. Robert O'Neill's wife and member of our Alliance, was named the Outstand­ ing Teacher in the Colonial Heights Public School System this year. Drs. Sharone Ward and Sam Galstan have had their second son just recently. We congratulate all of these individuals on their accomplishments.

Component sympathy is extended to Dr. Norman Thornton of Franklin and Dr. John Bass of South Hill. Norman's dad was a physician at the University of Virginia and passed away back in the winter. John's mom was active with the Gladys (VA) Volunteer Fire Depart­ ment. She passed away just a few weeks ago. Our prayers and thoughts are with both of these men and their families.

I hope that each of you are planning to attend the Committee Meetings in Vir­ ginia Beach this June and the VDA Annual Meeting in Reston, VA this Sep­ tember. I look forward to seeing all of you there.

Component IV Richmond

Dr. Jack Dunlevy, Editor Greetings from your colleagues in the Capitol region! Members of the Rich­ mond Dental Society participated in the legislative process during this year's General Assembly session. Compo­ nent dentists were active in the state­ wide campaign to impact assignment of benefits legislation, and many lob­ bied legislators by telephone and fax.

Many of us do not comprehend the time commitment required to lobby leg­ islators at the Capitol. On many occa­ sions, our members have cancelled patients in order to attend a particular meeting, conference, hearing, etc- only to have the function cancelled at the last minute. A handful of Component IV members have had this experience several times, and they continue to trudge on! We owe all these folks a debt of gratitude for continuing to take time away from their busy schedules to make sure the VDA's voice is heard.

Congratulations to the 1999 MCV graduating class. We have benefited from increased student participation at this year's membership meetings. Dr. Carol Brooks at MCV has done a great job in this effort. New members remain the lifeblood of organized dentistry.

Hopefully, today's student participants will be tomorrow's leaders.

Richmond Dental Society members have recently been recognized for their accomplishments. Dr. Gary Maynard was awarded the Gold Medal Award by the American Academy of Period­ ontology, the highest honor bestowed by the Academy, for his contributions in the field of periodontology. Dr. Gary Hartwell, Professor and Chairman of Endodontics at VCU, has been hon­ ored by the West Virginia University School of Dentistry Alumni Association.

Dr. Joseph Niamtu III, an oral surgeon, had his views regarding temporoman­ dibular joint disorders published as a letter to the editor in the February is­ sue of J.lill& The RDS will not have monthly mem­ bership meetings for June, July, and August. Members should make sure plenty of vacation time is scheduled over the Summer. Remember - the VDA meeting in Reston in September will be upon us soon. It's not too early to start making plans to be there! Have a fantastic Summer!

Component V Piedmont

Dr. Barry Cutright, Editor A somewhat uneventful quarter for our component but a few transitions were brought to my attention. Dr. Bobby D. Burnette has retired- congratulations.

Dr. Greg Howard has assumed Dr. Burnette's practice. Dr. Howard gradu­ ated from Loyola University in 1992.

Likewise, Dr. Sam Mesaros and Dr. James Hupp have opened an office in Danville for the practice of Endodon­ tics. Both Dr. Mosaros and Dr. Hupp graduated from UNC in 1996.

Dr. Mark Crabtree has organized our spring meeting at The Homestead. I don't think we'll get many complaints about the location. I will let you know about the speaker in the next issue.

We extend our sympathy to Laura Neal and share in the loss of her husband and our colleague Dr. Fulton Neal. Dr. Neal practiced dentistry for 45 years.

Likewise, we share in the loss of Dr. Lindell Leathers of Salem. Dr. Leath­ ers was a Prosthodontist and he prac­ ticed for 62 years.

Component VI Southwest

Saying ''Thank you" [e- important. It re­ minds me of a story a good friend of mine once shared with me. As a former School Board Member, I once shared this with all of the staff of the Carroll County School System at their open­ ing session several years ago. It goes like this: During the Depression of the 1930's, Dr. William L. Stidger and some friends found themselves, on Thanksgiving Eve, talking about banks closing, people out of work and salaries going down. It was a pretty gloomy conver­ sation. "There sure isn't much to be thankful for," said one friend. Finally Bill Stidger had enough. He looked around the group, then said: "Well, I, for one, am grateful to Mrs. Wendt."

Bill went on to explain that Mrs. Wendt was an old school teacher who had gone out of her way to introduce him to the poetry of Alfred Lord Tennyson.

"Did you ever thank her?" someone asked. Dr. Stidger admitted he never had. That evening he sat down and wrote a letter to Mrs. Wendt. A few weeks later came a reply in the uncer­ tain scrawl of an aged woman: "My Dear Willie ... I wanted you to know what your note meant to me. I am an old lady in my 80's, living alone in a small room, cooking my own meals, lonely and seeming like the last leaf on the tree .., You will be interested to know, Willie, that I taught school for 50 years and in all that time yours is the first letter of appreciation I have ever received. It came on a blue, cold morn­ ing, and it cheered my lonely heart as nothing had cheered me in many years."

Springtime has arrived in Southwest Virginia. Soon the clocks will be turned ahead, and a welcome extension of daylight will create growth and renewal.

When Dr. Stidger finished reading this simple, sincere note, from one of his teachers of long ago, he wept. He re­ solved to continue writing these Thanks­ giving letters, as he called them on an annual basis.

Recently, we have received those new ADA membership cards in the mail. My old college dictionary tells me that a member is any person composing a society, community, etc, ... or an ele­ ment of a set. All of us, the individuals working together produce the success of the whole.

Sometimes after the hectic pace of our lives devours our thoughts it is impor­ tant to reflect on who we are and what we are about. I enjoy the camaraderie of membership. I enjoy working to­ gether to achieve the goals that our group deems important. Welcome to our new members Dr. Shahreyar S.

Dr, Robert G. Schuster, Editor

Virginia Dental Journal 57

Sayyar from Dublin, VA and Dr. Kevin Eubanks from Christiansburg, VA. Thank you to all the members of Com­ ponent VI for your commitment to our profession.

Recently, on March 12, 1999 our Com­ ponent hosted a continuing education program at Emory & Henry College in Emory, VA. Dr. Jeffrey Hutter con­ ducted a seminar dealing with "Facial Space Infections and Traumatic Injury Update." During the membership busi­ ness meeting, the following members were appointed to represent Compo­ nent VI at the annual meeting of the Virginia Dental Association in Reston, VA. Delegates Dr. Dana Chamberlain Dr. F. Anne Johnston Dr. Susan O'Connor Dr. Robert Schuster Dr. David Stepp Dr. William Thompson Dr. Paul Umstott Alternates Dr. Lawrence Kyle Dr. John Lentz Dr. Thomas Littrell Dr. Donald Martin Dr. Krieg Pursifull Dr. Dave Wilson Dr. Glen Young The membership also extended unani­ mous support to Dr. Gus Vlahos who is seeking an at-large VDA Executive Council position. Many thanks are ex­ tended to Dr. Vlahos for his tireless commitment to organized dentistry.

It is also about this time of year that Dr. Tom Haller likes to bring up the subject of golf. Dr. Haller is planning a big golf event at our Spring Component Meeting on the weekend of May 14­ 16, 1999 at Pipestem Resort and State Park in Pipestem, West Virginia. Dr. David Chance will be providing the educational program dealing with a multitude of topics in Crown and Bridge Dentistry. The Pipestem meeting is geared for the entire staff and family.

The weekend will begin on Friday evening with the component business meeting. Immediately following the 58 Virginia Dental Journal

business meeting we will be having a new activity that we are calling a dessert social. Bring your staff, family and friends, and sample luscious desserts, coffees and tea and just have a good time. On Saturday morning Dr. Chance will provide part one of his scientific presentation. The afternoon will be free time to participate in many of the amenities at Pipestem State Park, or you can, sign on with Dr. Tom Haller for the golf tournament. Delta Dental will be helping to sponsor a portion of the golf tournament this year. So get out to the practice tee, and Dr. Haller will try to place you on the winning team. Saturday evening will conclude with the country barbecue and entertainment to follow. On Sunday morning Dr. Chance will conclude his program.

Recognition was extended to new Component six member Dr. Shahreyar S. Sayyar (Center) who is an associate in the office of Dr. A. Carole Pratt (left) and Dr. Richard Mansell (right) of Dublin, VA. The photograph was taken outside of The Van Dyke center at Emory and Henry College.

Mark your calendar for Friday, August 13, 1999 and travel to Abingdon for the Virginia Highlands Festival, and our summer component meeting at the Higher Educational Center. Dr. Samuel Low will be providing the program en­ titled the "Successful Management of the Periodontal Patient." Dr. Low is a national speaker and the program will be appropriate for the entire staff.

Our final component meeting for 1999 will be held on November 12 at The Donaldson-Brown Conference Center in Blacksburg, VA. Dr. Michael V. Dishman will be conducting a seminar entitled "Bleaching and Cosmetic Dentistry."

As you can see, there are many interesting events to report from Southwest Virginia. Enjoy your spring and hope to see you during June Committee meetings.

Dr. Jeffrey Hutter (left) preparing to speak to Component six during an educational seminar held at Emory & Henry College on March 12, 1999

Dr. Paul Umstott (right), an endodontist

from Abingdon, VA, helps with preparations.

Component VII Shenandoah Valley

Dr. Carolyn Herring, Editor

Dr. Jeffrey Hutter (center) enjoying a pasta buf­ fet luncheon during the March 12, 1999 Compo­ nent six educational seminar. Seated with Dr. Hutter are Dr. Paul Umstott (left) and his staff.

Spring is a welcome sight to the Valley following a couple of late winter storms.

The Winchester area was hit hardest, but they were able to dig themselves out of the snow in time to host a suc­ cessful March Component meeting. Dr. David Sarrett spoke on the principles of bonding. His knowledgeable pre­ sentation cast a positive light on the

use of posterior composites, which made even some diehard amalgam users consider restoring some poste­ rior teeth with bonding materials.

Elections were hold at the lunchtime meeting. Congratulations to Dr. Vic Saunders who was elected to fill the president-elect position, Dr. Darwin King was reelected to serve as secre­ tary-treasurer for another one-year term. The following were elected as delegates to the 1999 Annual Session: Drs. Gerald J. Brown, C. Mac Garri­ son, Robert B. Hall, Carolyn C. Her­ ring, J. Darwin King, Alan Robbins, J. Ted Sherwin, David Swett, Rebecca Swett, and Roger Troyer. The follow­ ing doctors were selected as alternate delegates Nancy C. Bollinger, Damon DeArment, Larry Brannon, Vic Saunders, and Harry Sartelle. In ad­ dition, the executive secretary position was approved for another year. This job has been performed by Ms. Patricia Fuller in a very professional and competent manner.

Thank-yon's are in order for all who sent letters and called their state rep­ resentatives in support of the Assign­ ment of Benefits legislation.

Dr. Rebecca Swett was named ADA Spokesperson and Dr. Damon DeArment was selected to be our PANDA representative. We know they will provide excellent representation for our Component.

Finally, the next Component meeting will be held Friday, May 21 at Ingleside in Staunton, Dr. Jim Bums will lecture on oral and radiographic lesions. He comes to us from the MCV Depart­ ment of Oral Pathology. We hope to see many of you in May.

Component VIII

Northern Virginia

(1) offset the decline of volunteers, and (2) to increase the availability of den­ tal services to ever increasing need by Northern Virginia communities (low in­ come population).

Dr. Melanie Love, Editor

Tom Wilson has also been effective in upgrading the clinic's equipment. In 1998, the following equipment was do­ nated to the clinic: new Gendex Pan­ oramic X-ray unit; two new Adec chairs and delivery units; two Heat-N-Touch units; ten new highspeed handpieces; four new slow speed hand pieces; and a new ultrasonic cleaner.

After a busy Winter of 1999, Compo­ nent 8 is gearing up for spring. We would like to welcome the following new members: Ahmad Amin, D.M.D.

Ruby Ann Bisson, D.M.D.

Christopher E. Bonacci, D.D.S., M.D.

Andrew Gilfillan, D.D.S.

Derek J. Galatro, D.D.S.

Kim Leavenworth, D.M.D.

Mahmood R. Nikseresht, D.D.S.

Adrian Patterson, D.D.S.

John A. Schehl, D.D.S.

On a sad note, we lost two of our mem­ bers recently, Dr, George Turnstall, a past NVDS President, and Dr. Lawrence Joyner passed away in March. They will be missed.

With the beginning of the new year, it is the perfect time to renew our efforts at giving back to our Community. For those of us in Component 8 we have the ideal way - volunteering your time at the Northern Virginia Dental Clinic.

For those who have participated with this award-winning facility -Thank you!

The Clinic opened in February 1994 and is a Private Nonprofit 501(c)(3) organization.

It operates in partnership with local government jurisdictions through a memorandum agreement whereas the of participating governments pay for the lease of the office space occupied by the clinic. This is in return for dental service provided by volunteer dentists and hygienists. Therefore, volunteer­ ism is essential in order that the clinic continues so the memorandum is not jeopardized.

The Clinic has improved its financial stability through numerous grants se­ cured by its Executive Director, Tom Wilson. In 1998-99, the Clinic was awarded six grants totaling $197,000. of this total, $64,000 was awarded to

In order for the Clinic to continue its success, volunteers are needed. Any dentist who does not currently volun­ teer at the clinic, please give just eight hours a year (two half days, four hours each or one full eight-hour day). Also, a contribution of a minimum of $10 a month or $120 a year from your prac­ tice will help to solidify the clinic's fi­ nancial status. For this the individual donor could receive a tax credit of ap­ proximately $506 (tax credits can be carried over for four years after the year it was earned).

..

Dr. Robert A. Miller, Past President Spring has finally arrived and for many, skis are replaced with golf clubs, but for those who attended the VAO win­ ter seminar fond memories will linger!

Champagne Montana powder at night with bright sunny skies during the day led to ideal ski conditions. Many thanks to the speakers who provided 18 hours of continuing education. Mark your cal­ endars for January 2000. The last full week of January has been the set date for this meeting and this year we plan to go to Snowmass Colorado. Spe­ cific meeting details are forthcoming.

At our last board meeting in March, plans were finalized for the upcoming meeting at Kingsmill Resort in Williamsburg. Meeting registration and information will be provided in the VAO spring newsletter. As a reminder, our featured speaker this year is Dr. Wick

Virginia Dental Journal 59

Alexander along with Mr. Lou Walensky, a financial expert. With these two great speakers, social events planned for each of the 4 nights, a golf tournament on the Kingsmill River course, and a tennis tournament and a fun run round out the planned activities. Many of the features, however, of Williamsburg are the numerous other options such as the historical tours, theme parks and great dining establishments. Mark your cal­ endars (June 26-30) for this meeting and the Board of Directors look for­ ward to seeing many of you there!

( PUBLIC HEALTH NOTES) Dr. Karen C. Day, Director Division of Dental Health

COMMUNITY NETWORKING FOR DENTAL HEALTH MONTH The Fourth Annual Dental Extrava­ ganza Health Fair was held in Febru­ ary at Colonial Heights' Southpark Mall.

Coordinated by JoAnn Wells, RDH, this event is sponsored by public and pri­ vate agencies. Partnership sponsors include VDH's Division of Dental Health, the Southside Dental Society, the Southside Dental Alliance and VCU School of Dentistry. VCU dental hy­ giene and dental students discussed dental topics with the public, and the dental school mobile van provided den­ tal screenings. Educational displays, posters, brochures and videos were available for participants.

The Southside Dental Society recognized third-grade students from six local school districts for their essays on den­ tal health in a ceremony at the Dental Extravaganza. Winning students re­ ceived gift certificates from the Dental Society and read their essays to the audience. Students submitting essays helped to meet the third grade English Standards of Learning (SOL) for pub­ lic schools.

60 Virginia Dental Journal

~CHOOL OF DENTISTRY NOTE~ Tom Burke, Assistant Dean

EXCELLENCE IN DENTISTRY The School of Dentistry held its first "Excellence In Dentistry" Dinner on March 26 at the Country Club of Vir­ ginia. The dinner celebrated both stu­ dents and alumni who have provided outstanding service to the School. It was also an opportunity to acknowl­ edge alumni and friends of the School who supported the $4 Million "Excel­ lence Through Research - An Invest­ ment In Our Future" campaign that was successfully concluded in June 98.

The funds raised during the campaign will be used for the construction of the Institute for Oral and Craniofacial Mo­ lecular Biology.

Dr. Ronald Hunt, Dean, presided over the dinner and presented the first two awards for outstanding service to den­ tal students. Mr. Scott Wenk, a senior dental student, was presented with the Outstanding Student Award for Com­ munity Service. Scott has provided countless hours of volunteer service at Crossover Clinic and serves as an EMT with the Henrico Volunteer Res­ cue Squad every Sunday. Mr. David Hughes, also a senior dental student, was presented with the Outstanding Service Award for Service to the School. David has served as both the Vice President and President of the Student Government Association.

Dr. Hunt then presented three service awards to alumni. The first award was for service to a national organization.

Dr. Karen Cole Tankersley was pre­ sented with this honor for her service with the American Association of Den­ tal Schools. Dr. Tankersley has served as the Vice President for the Council of Students as well as on the Execu­ tive Board for the MDS. This service is unique in that Dr. Tankersley gradu­ ated from dental school in 1998 yet maintained her association with the or­ ganization. The next award was pre­ sented to Dr. William Covington for this Outstanding Service on the Adjunct Faculty. Dr. Covington has served on the adjunct faculty for more than 30 years and has received numerous ac­

colades from full-time faculty and ad­ ministrators for his dedication to the School. The final award of the evening was presented to Dr. W. Baxter Perkinson, Jr. Dr. Perkinson was pre­ sented with the Outstanding Service Award to the School of Dentistry. Dr. Perkinson currently serves on the School of Dentistry's Advisory Board, the Virginia Commonwealth University Board of Visitors, and the Medical Col­ lege of Virginia Hospitals Authority Board. Along with these duties Dr. Perkinson teaches on the adjunct fac­ ulty, provides pro bono continuing edu­ cation courses, and continues to gen­ erously support the School both finan­ cially and with his inspired watercolors.

Dr. Jeffrey Levin presented several campaign awards to alumni and friends and especially acknowledged Dr. lind­ say Hunt for his leadership, Mr. Michael Dowdy, Executive Vice President of the MCV Foundation, for his support, and Mr. Thomas Burke, Assistant Dean for External Relations, for his work on the campaign. In his remarks Dr. Levin thanked the guests for their support and encouraged them to continue to make their pledge payments. He com­ mented that the construction of the In­ stitute will begin this spring and will be completed by January 1, 2000.

Dr. Harold Slavkin, Director of the Na­ tionallnstitutes of Health for Dental and Craniofacial Research, closed the evening with an interesting and vision­ ary address to the 130 guests. In his remarks, Dr. Slavkin commented that the next century will focus on molecu­ lar research. His highly enthusiastic and visionary talk addressed many is­ sues where molecular research will have day-to-day impact on the quality of life. He commented specifically on current studies involving designer drug treatments that will reinvent the current concept of the pharmacy. He also dis­ cussed some exciting yet futuristic ap­ plication of molecular research that will perhaps include joint replacement with genetically engineered bone devel­ oped from the patient's own DNA. Dr. Slavkin, praised the development of the School's new Institute and com­ mented that "if you build it, they will come" referring to NIH and research

funding. He closed his remarks with a comment about the friendliness of the group and the positive energy in the room. He praised the School for its insight and the donors for making it happen.

Certificates of Appreciation were dis­ tributed to those in attendance and the dinner was concluded with a word of appreciation from Dr. Hunt.

ALUMNI HONORED Three distinguished School of Dentistry alumni were honored by the Medical College of Virginia Alumni Association with awards at Homecoming '99 held at the Richmond Omni Hotel April 23­ 25. The first two awards were presented at the MCV Alumni Association Luncheon held on Saturday, April 24. At this function President John Doswell, 0'79, announced that Dr. J. Gary Maynard, Jr. was selected as the 1999 MCV Outstanding Alumnus. Dr. Maynard was selected for this honor for his dedication to the School and the profession.

Dr. Maynard was specifically acknowledged for his 30 years of dedicated service on the School's adjunct faculty and his remarkable contributions to the growth of his specialty of Periodontics. In his remarks, Dr. Doswell commented that "Dr. Maynard clearly represents the finest in our profession and that his clinical ability is only superseded by his high professional standards and personal values." In 1998, Dr. Maynard was selected as the Gold Medal Winner of the American Academy of Periodontology. This national award recognized Dr. Maynard for his contribution and commitment to education through teaching at the predoctoral and advanced levels.

The second award presented during the annual luncheon was the Hodges­ Kay Award. This award recognizes service to the MCV Alumni Association.

The 1999 winner was Dr. W.C. Henderson who was acknowledged as a catalyst in the development of the first MCV alumni house and the formation of the MCV Alumni Association. This award is named for Dr. Ed Hodges, a dental school alumnus, and Ms.

Francis Kay, who served as the direc­ tor of the MCV Alumni Association.

Dr. Henderson commented, " the cur­ rent alumni house is a significant im­ provement over the original. I am glad to see that parts of the original house were incorporated into the new house."

The new alumni house located on the corner of Clay and 11 th Sts. has more than 10,000 sq.ft. of reception and meeting space. Also, dedicated last year was a conference facility addi­ tion named for Mr Paul Gross. The addition improved the overall meeting and conference space by an additional 7,000 square feet. Dr. Henderson was credited with developing the vision of an alumni association and creating a campus home for the Association.

The Dental Division Award for the Out­ standing Dental Alumnus was pre­ sented Saturday evening during the annual Homecoming banquet. Dr. Mike Dishman, President of the Den­ tal Division of the Association pre­ sented the 1999 award to Dr. B. Ellen Byrne. Dr. Byrne was recognized for her outstanding loyalty and dedication to the School. In his remarks Dr. Dishman commented that "Ellen is loved and respected by the students in the School as a concerned and hard­ working faculty member. She is a re­ nowned continuing education pre­ senter and a respected authority in the field of pharmacology. Ellen is an im­ pressive, compassionate individual in whom we take great pride and in her spare time cares for her three children."

Over 300 alumni and guests attended the banquet. In her remarks, Dr. Byrne thanked the Alumni Association and the alumni who nominated her for this award.

Award Winners (L to 'R) David Hughes, Dr Karen Tankersley and Scott Wenk pose following their recognition for Outstanding Service.

Award Winners (L to R) Drs. W. Baxter Perkinson, Jr. and William Covington share a smile during the evenings' festivities.

Dr. J. Gary Maynard, Jr., was named the MCV Alumni Association's Outstanding Alumnus for 1999.

Dr W.C. Henderson was'honored as the 1999 winner of the Hodges-Kay Award for Outstanding Service to the Alumni Association.

classified ads Classified advertising rates are $30 for up to 30 words. Ad­ ditional words .25 each. All advertisements must be pre­ paid 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 1st of January, April, July, October. Example: July 1, at 5pm is the closing date for the JUly-August-September Journal issue. After the deadline closes, the Journal can accept no ads nor can it alter or cancel previously ordered ads. This deadline is fi~.

I·.

1.. ..

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: Journal 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.

ASSOCIATE NEEDED

Well established dentist in the scenic Blue Ridge

Mountains of Salem, Virginia looking for an associ­

ate to join his successful and busy practice. Nine

operatories with three hygienists are complemented

by a close-knit and jovial staff. If interestd and could

begin work immediately upon graduation, please con­

tact Dr. G. Sprinkle III, 511 Boulevard, Salem, VA 24153, (540)389-0330, Fax(540)387-0746.

•••_ _

I

roPPORTUNITY WANTED - CENTRAL VIRGINIA ._-'\

f Personable and motivated young orthodontist with pro-

t fessional experience seeking full or part-time

I associateship in an orthodontic, multi-specialty, gen­ eral or pediatric dentistry practice. Flexible with re­

I spect to work schedule and contract arrangements.

Send confidential replies to: CJS, 10283 Aynhoe Court,

. Mechanicsville, VA 23111.

! ,

I.•

L

Can you name all the NEW MOVERS in your zip code?

We Can! NewClients, Inc. specializes in helping dentists get more patients by providing new mover names, addresses and creative direct mail pieces. Our mailing lists are derived from the most up-to-date public information available and can be supplied on pressure sensitive labels, diskette or ink-jet printing directly on your mail piece. We'll even take your monthly mailings to the post office and bill you for the postage. Be the first to reach the people in your market area who need a dentist.

Call (804) 560-7000 or (800) 582-9850 THE NEWCLIENT$. INC. ADVERTISING Member ofBetter Business Bureau.

STORE

62 Virginia Dental Journal

References available.

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 general 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 .

THE

X

HARTFORD

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.

1

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.

Accuracy. Our entire procedure for construct­

• ing Vitallium Partial Dentures is quality-con­

trolled to achieve the utmost accuracy. This accuracy

means faster delivery of the restoration; reduced

chairtime and greater patient satisfaction.

Commitment. Virginia Dental Laboratories is • dedicated to providing you and your patients with the highest quality partial dentures available. We 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.

2

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.

3

4

5

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.

© 1992 Austenal, Inc. All Rights Reserved. Vitallium" trademark licensed to Austenal. Inc. by Pfizer Inc.