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CALL 703-241-0011 or 800-572-2366 (in Virginia)
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Virgin,iJ~rnal Leslie S, Webb, Jr., Editor
1, Bernard I. Einhorn 2. Corydon B, Butler, Jr. 3. H, Reed Boyd, III
Volume 74
William E, Zepp, CAE, Business Manager ASSOCIATE EDITORS 4, Charles E. Gaskins, III 5. Edward P, Snyder 6, R. Graham Hoskins
April • June 1997
7. Gerald J, Brown 8. Melanie R. Love MCV Thomas Burke
Number 2
TABLE OF CONTENTS 5 7 8 10 12 14 16 25 27 29 32 36 39 41 43
Editorial Message From the President Intraoral Lipoma: Report of a Case. Abstracts Svirsky On Infection Control Preview of Annual Meeting - Roanoke Candidates' Statements and CV's Executive Council Actions In Brief From the Executive Director 1997 General Assembly Overview VDA News Alliance of the VDA News Excellence in Research: An Investment in Our Future Direct Reimbursement Component News
COVER: Hotel Roanoke "Provided by Hotel Roanoke & Convention
Center
PUBLICATION TEMPLATE & TYPESETTING: 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 U.S. 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,Ricllmond, VA 23230-0906.
ADVERTISING COPY, insertion orders, contracts and related information: Business Manager, PO Box 6906, Richmond, VA 23230-0906.
VIRGINIA JOURNAL EDITORIAL BOARD Louis M. Abbey 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. Lisa Samaha Hunter Ford T. Johnson Thomas E. Koei'tge James R. Lance Daniel M. Laskin Travis T. Patterson/ III W. Baxter Perkinson/ Jr. David Sarrett Harvey A. Schenkein James R. Schroeder Harlan A. Schufeldt Kenneth J. Stavisky John A. Svirsky Ronald L. Tankersley Douglas C. Wendt Roger E. Wood
VDA COMMITTEE CHAIRMEN Direct Reimbursement Benita A. Miller
Annual Meeting Bruce R. Hutchison Auxiliary Education A. Carole Pratt
&
Relations
Environmental Health and Safety Paul Supan
Budget and Financial Investments
Jeffrey Levin
Historyand Necrology Edmund E. Mullins, Jr.
Cancer and Hospital Dental Service
James A. Pell
Institutional Affairs Elizabeth Bernhard
Caring Dentists
Harry D. Simpson, Jr.
Journal Staff Leslie S. Webb, Jr.
Constitution and Bylaws
Ronald L. Tankersley
Legislative T. Wayne Mostiler
Dental Benefits Programs
Fred A. Coots, Jr.
Membership H. Reed Boyd, III
Dental Delivery for the Special Needs Patient New Dentist Barry Shipman Russell A. Mosher, Jr. Dental Health and Public Information Adel J. Rizkalla
Nominating Ronald L. Tankersley
Dental Practice Regulation Douglas C. Wendt
Peer Review and Patient Relations Edward M. O'Keefe
Dental Trade and Laboratory Relations George L. Nance, Jr.
Planning Ronald L. Tankersley Search Committee for VA Board Ronald L. Tankersley, Jr.
Education Foundation Ralph L. Howell, Jr.
Relief Foundation
Scott H. Francis
VDSC Insurance Committee William H. Higinbotham, Jr.
1997 ADA DELEGATION Delegates; 138th AD~:'Session, October 18-22, 1997, Washington DC William H. Allison (1999).Âť~i
Gary R. Arbuckle (1998) M. Joan Gillespie (1997) Wallace L. Huff (1998)
Emanuel W. Michaels (1999) Leslie S. Webb, Jr. (1997) Ronald L. Tankersley (1999)
Raleigh H. Watson, Jr. (1998) Richard D. Wilson (1999) Alternate Delegates; Anne C. Adams (1998) Charles L. Cuttino, III (1997) Bruce R. Hutchison (1997)' .
4 Virginia Dental Journal
David C. Anderson (1997) D. Christopher Hamlin (1997) Gus C. Vlahos (1997)
Richard D. Barnes ( 1997) Lindsay M. Hunt, Jr. (1997) Andrew J. Zimmer (1997)
*
*
Washington DC Our Capitol, Our
History, Our Heritage...
A city, known for its power, politics and
Monuments and more•.•
This Annual Session will include:
• A comprehensive scientific program on dental topics • New: Pre-session Dental Team Symposium, Friday, October 17, 1997 • Hands on participation workshops • The largest technical exhibition of dental equipment, materials and supplies in the USA • ADA House of Delegates • Special events - NlDR's 50th Anniversary Celebration at the Smithsonian's National Museum
excitement, offers even more. Learn the
latest advances in dentistry plus relive
the history of our nation, experience the
triumphs of our people and rekindle our
hopes for the future. Visit Washington,
nc.
for the 138th ADA Annual Session,
of American History • Tours to museums, monuments, government institutions, including a special guided tour of the Holocaust Memorial, Mount Vernon, and Capitol Hill. • Youth programs on civic and historical topics • Post session seminar in Bermuda
Experience the premiere dental meeting of the world and the excitement of the nation's capitol. See you
October 18 - 22, 1997.
in Washington, D.c', October 18 - 22, 1997!
._-------------------------------------------------------------------------------------------~----
To receive further information, return this form to: American Dental Association Council On ADA Sessions and International Programs 211 East Chicago Avenue Suite 200, Chicago, IL 60611-2678 800/232-1432 (uSA) or 312/440-2658
Send information as it is avail
Please print legibly
able on the following aspects of the 138th ADA Annual
Name
Session, October 18 - 22, 1997 in Washington, D.C.:
ADA Membership Number
o Registration and Program Information
o Table
Address
Clinic Application
u Technical Exhibit
City
Prospectus State
Country, if not USA
Zip/Postal Code
Representing and serving member dentists by fostering quality oral health care and education.
Z
o-
~
-
U
o <
~ ~
< Z
-~
->
OFACERS
President: William H. Allison, Warrenton
President Elect: Wallace L. Huff, Blacksburg
Immediate Past President: Ronald L. Tankersley, Newport News Secretary- Treasurer: Charles L. Cuttino, III, Richmond Executive Director: William E. Zepp, CAE P.O. Box 6906, Richmond, 23230-0906 EXECUTIVE COUNCIL
COUNCILORS
Includes officers and councilors listed and : David C. Anderson, Alexandria -Vice Chairman Thomas S. Cooke, II, Sandston Gus C. Vlahos, Dublin Andrew J. Zimmer, Norfolk
I II III rI/ V VI VII VIII
Ex Officio Members: Parliamentarian: Emory R. Thomas, Richmond Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: D. Christopher Hamlin, Norfolk Dean, MCV School of Dentistry: Lindsay M. Hunt, Jr., Richmond
Edward J. Weisberg, Norfolk Bruce R. DeGinder, Williamsburg Harold J. Neal, Jr., Emporia James R. Lance, Richmond Daniel E. Grabeel, Lynchburg- Chairman Ronnie L. Brown, Abingdon William J. Viglione, Charlottesville Rodney J. Klima, Burke
SOCIETY
PRESIDENT
SECRETARY
PATIENT RELATIONS
Tidewater, I
T. Wayne Mostiler 303 DePaul Medical Bldg Norfolk, VA 23505
Ralph Howell, Jr. 102 Western Avenue Suffolk, VA 23434-4434
Wayne E. Stroud 5301 Providence Road Virginia Beach. VA 23464
Peninsula, II
Jeffrey N. Kenney 716 Denbigh Blvd. #C Newport News, VA 23602
Corydon B. Butler, Jr. 1319 Jamestown Road Williamsburg. VA 23185
Lawrence A. Warren 106 Yorktown Road Tabb, VA 23693
Southside. III
Roger A. Palmer 307 Dogwood Lane Emporia,VA 23847
Richard Roadcap 3501 Boulevard
John R. Ragsdale. III
Benita A. Miller 5700 Old Richmond Avenue Richmond, VA 23226
Charles E. Gaskins. III 703 N. Courthouse Rd Ste 201 Richmond, VA 23236
James R. Evans 936 Main Street Danville, Va 24541
Gregory T. Gendron 7 Cleveland Avenue Martinsville, VA 24112
David L. Stepp 330-B Cummings Street Abingdon, VA 24210
Dana Chamberlain 645 Park Blvd. Marion, VA 24354
Jack D. Cole 303 Court Street
Shenandoah Valley, VII
J. Ted Sherwin 111 Spicers Mill Road Orange, VA 22960
Edward L. Amos 1002 Amherst Street Winchester, VA 22601
WilililM J Viglione 3025 Berkmar Drive Char.ottesvrus VA 22901
Northern Virginia, VIII
Bruce R. Hutchison 14260 A-B Centreville Sq Centreville. VA 22020
James A. Pell
Richmond. IV
Piedmont. V
Southwest, VI
Colonial Heights. Va 23834
Seven Corners Professional Bldg, Falls Church. VA 22044
9 Holly Hill Drive Petersburg. VA 23805 Thomas S. Cooke, III 39 W. Williamsburg Road Sandston. VA 23150 Edward M. O'Keefe 4102 Electric Road Roanoke, VA 24014
Abingdon. VA 24210
Neil J Smal! 9G40 Main Street Fairfax. VA 22Cl31
[EDITORIAL
I]
Participation: A Key to Success
This issue of your VDA Journal continues to focus on the breadth and depth of activity going on in Virginia by our eight components and our VDA. The VDA Annual Meeting Committee has developed an outstanding annual meeting scheduled for September 24-28, 1997 at the completely remodeled Hotel Roanoke with its new conference center I had the pleasure of touring this facility last fall and it will be an exceptional meeting site. Multiple continuing education choices for our member dentists and staffs give the opportunity to earn up to 12 hours of CE credits. VDA has had an active legislative year at the General Assembly. Our VADPAC is bUilding support for the fall state election process following a leadership dinner and CE seminar. A contingent of Virginia dentists attended the ADA Grassroots Conference in Washington, calling on all Virginia Representatives and Senators. Our VDA contlnuing education program continues to offer outstanding CE at a reasonable cost. ~t;{
01rect Reimbursement remains a priority item. Our members are urged to become knowledgeable about DR, to . ducate their office staff, and to help make contact with employers in the localities in order to promote DR and nctease the number of DR plans in use. f';;;' ,
.'he VDA for-profit arm continues to provide income, help reduce dues, and develop benefits for our members such 'Our endorsed glove program. ~te committees, which have been quite active, will meet again at the Virginia Beach Sheraton, June 12-15.
n.~lIy, our fine staff, under the direction of Bill Zepp, has been there to provide the planning, support and hard work gessary to make everything come together.
~;the members of the VDA, can be proud of what organized dentistry is doing in Virginia.
But pride is not Rugh. We need to participate in organized dentistry, interact with our peers, and become aware of the issues us as dentists. Working together, we can become even stronger, more effective force for our profession.
}ng
Leslie S. Webb, Jr. Editor
Virginia Dental Journal 5
11_
LETTERS TO THE EDITOR-II
Dear Editor: The Relief Funds of the ADA and VDA exist to serve the legitimate needs of all dentists in the Common足 wealth. Each year the ADA conducts a solicitation of all of its members for the national fund; a share of that money is returned to the VDA Relief Fund based on the amount contributed by Virginia members. Over the years, the fund has grown due to the prudent steward足 ship of Dr. E.Y. Lovelace, past chairman of the Relief Committee for over 30 years. Recent history, however, tells us that few, if any, Virginia dentists have applied for relief funds; indeed, the single processed application in 1996 was the first for this state in over 15 years. In response to the growth of money in the Relief Fund and to bring the VDA in line with the ADA, the Relief Fund was restructured in 1996 from an indentured trust to a Virginia 501 (c)3 non-stock corporation. A representative from each component serves as a director of the new corporation. Pursuant to this change, a sum of money was transferred from the Relief Fund to the newly-established VDA Educational Foundation to serve the legitimate educational (i.e. - continuing education) needs of the VDA. Application may be made by any Virginia dentist (not just VDA members) for relief funds. Criteria for qualification relate primarily to financial hardship due to disability or natural disaster. An application may be obtained from the ADA Commission on Relief Fund Activities, the VDA office, or your component represen足 tative. Once completed, the application is evaluated by the local component representative and another director of the Relief Fund corporation. Once approved on the local level, the application is forwarded to the VDA office and then to the ADA. There it is re-evaluated and the trustees of the ADA Relief Fund decide its merit for approval. If approved, a grant (not a loan) is made to the recipient; one-half of that grant consists of money from the VDA Relief Fund. As you can see, the application process is somewhat complex; a Relief Fund application cannot be approved overnight. Applications should therefore be initiated as soon after a hardship is incurred as is practical. The VDA Relief Fund Committee has been actively meeting during the last two years to discuss the changes outlined above. Also, the committee is looking Into ways to prudently invest the fund in order to achieve maximum return.
6 Virginia Dental Journal
I encourage each VDA member to seriously consider making a contribution to the ADA Relief Fund during the annual campaign. It is a great means of ensuring that dentists in need have resources available, and I anticipate that the VDA Relief Fund will be more active in the future as knowledge of the Fund and information on application procedures is more widely disseminated. And remember, a percentage of your ADA contribution is returned to the VDA Relief Fund. Questions regarding the Relief Fund can be directed to your component representative, the VDA office, or to me, Dr. Scott Francis (Relief Fund Corpo足 ration President). My number is 757-851-3530. I welcome any and all interest in the activities of the Relief Committee. Sincerely, Scott H. Francis, DDS, Chairman VDA Relief Foundation
'Ufeel as I do sometimes, after constant bombardment by TV and printed news, that the moral and ethical 'Jorof the world around us is falling apart? It is not only the corrupt behavior, but the seeming lack of . for right or for wrong that is so numbing to our consciences. at a press interview, Vice President Gore, when asked about his illegal fund raising, replied he was to do it anymore because there was so much public clamor. There was no admission of doing wrong. These daily reminders of people in high positions compromising the truth must have a e adverse effort on all of us. What do we say to that long time patient who tells us that their insur足 'red last month and could we predate today's treatment to the previous month? .--" -< ..
'ch1 st lssue'ot the Washington Post, on the Op-Ed page, Michael Kelly wrote that President Clinton group of reporters gathered on the back of Air Force One "Bill Clinton's Laws of Politics." Two 91, these laws were: "when someone says it is not the money it is always the money" and "nearly . lillie to you given the right circumstances." It is understandable why the President is always in hot he has such a creed. ess our profession has higher and nobler guidelines - the ADA/VDA Code of Ethics. The ADA elast few years reviewing and updating it's Code of Ethics. Last fall the ADA House of Delegates ese efforts. The new Code has been praised for its clear language and its use of current example. t~aching and more user friendly document for a busy practitioner. pie from Component Eight chaired the ADA Review Committee and now will head up a VDA Ad ,8 on Ethics to develop the best way to spread the word. The work of the committee will be to
,~oeducate and motivate us to be more aware of ethics in our practices by using the new Code. ,,~<3.in, there will be many opportunities at the Component level for all of us to attend discussion $~<:rto ethical problems that we face every day. "-";"f" '.
Million-dollar Day Dinner attendees (L to R) Dr. AI Stenger. Former VP Dan Quayle, Dr. Will Allison, Dr. Wally Huff, Attorney General Jim Gilmore, Governor George Allen. Dr. Baxter Perkinson. Dr Roger Wood and Dr. Jim Schroeder.
Virginia Dental Journal 7
INTRAORAL LIPOMA: Report of a case.
H.R. Afshari, D.D.S.; Former Chief General Practice Resident, Virginia Commonwealth University, Medical College of Virginia; Presently, Resident in Anesthesi ology, Johns Hopkins University, Baltimore, Mary land. C. Daniel Dent, DD.S.; Clinical Professor, Depart
ment of Oral and Maxillofacial Surgery, Virginia
C.o~monwealth University, Medical College of Vir
ginia, School of Dentistry; Chairman, Division of
Dental Medicine, Medical College of Virginia Hospi
tals & Staff Dentist, VA Medical Center, Richmond,
Virginia. John A. Svirsky, DD.S., M. Ed.; Professor of Oral Pathology, Virginia Commonwealth University, Medi cal College of Virginia, School of Dentistry, Rich mond, Virginia.
painless swelling in his left buccal mucosa approxi mately three to four years ago. This swelling had gradually increased in size and had begun to inter fere with mastication. Head and neck examination revealed complete edentulism with an atrophic mandibular ridge. Upon evaluation, a yellow, soft, raised and freely moveable mass on the left labial muccosa near the left commissure was found (Fig. 1). It measured approximately 2.2 em x 1.0 em. After administration of local anesthesia the mass of the buccal mucosa, with a minimal border of normal tissue, was excised and submitted for histologic examination. The patient experienced a normal post operative course and there was no evidence of recurrence at one year. There was also a 0.4 em in greatest diameter, round, firm to palpation, pink slightly raised lesion of the left anterior dorsal tongue but the patient refused to allow biopsy. Our clinical impression of this lesion was fibroma. The remainder of the oral examination was within normal limits without palpable nodes. The patient's medical history was noncontributory. He denied tobacco or alcohol use.
Introduction
Histopathology
Lipomas are painless tumors of mature fat cells that commonly occur sUbcutaneously on the back, abdo men, shoulders and intestinal tract.' In general, they present as a slow growing, soft subcutaneous mass of no consequence except esthetics. Routinely, they ~re excised and submitted for histopathologic evalua tion to exclude other soft tissue tumors. These tumors are rarely encountered in the oral cavity. Intraorally, lipomas appear as well-defined, smooth, round or oval yellow in color masses which may be pedunculated to sesslta.s This represents a case of lipoma arising in the buccal mucosa. The literature is reviewed with discussion of clinical presentation, differential diagnosis, pathology, and treatment.
Histologic examination revealed sectioned soft tissue consisting of stratified squamous epithelium and a thin layer of interwoven, well vascularized fibrous connective tissue covering a lesion composed of
Case Report A 66 year old white male was referred to the Dental Service to be evaluated for complete maxillary and mandibular prostheses. The patient had noticed a 8 Virginia Dental Journal
Figure 1 * Yellow appearing mass of left labial mucosa near left commissure (arrow). Also present is a smaller pink lesion of the anterior dorsal tongue.
buccal musoca are most likely trauma induced herniation of buccal fat pad. 9
Figure 2
* Mucosa covering a core of mature adipose tissue.
Lipomas on the mucosa of the lip and buccal mucosa can easily be traumatized by chewing. Histologic diagnosis is necessary for evaluation of soft, yellow ish masses to rule out other types of pathology such as neurofibroma, traumatic fibroma, mucocele, salivary gland tumor, granular cell tumor and liposar comas. Treatment of lipomas is excision. Recurrence has not been reported. Conclusion
mature adipose tissue (Fig. 2). Diagnosis: Lipoma of the buccal mucosa.
A case of an intraoral lipoma is presented with discussion of treatment, differential diagnosis, and histopathology.
Discussion Lipomas are common benign neoplasms of the soft tissues but are rarely encountered in the oral mu cosa. They make up less than 1% of all benign neoplasms of the oral 'Cavity. The most common location is the buccal mucosa, followed by tongue, floor of the mouth and IipS.2 They can significantly interfere with the function of the tongue and mimic rnaliqnancy.' Lipomas occur in any age group, with a peak incidence in the 4th and 5th decades, without sex predllection.s' A classic finding is that an excised lipoma tends to float in the 10% formaline fixative." The lesion may be single, lobulated, sessile or have a pedunculated base. The overlying epithelium is usually thin and superficial. Blood vessels are usually seen on the surface." Lipomas are yellow and soft to palpation. However, those that occur deep in the tissue may be only slightly elevated and more diffuse, which may mimic the feel of a cyst on palpation." Cases of intraosseous lipomas have been reported, but are difficult to verify due to normal fatty marrow in bone.' Fat cells in lipomas are apparently different in metabolism, from normal cells, as they are not lost during periods of starvation.'
References 1. Kumar V, Cotran RS, Robbins SL: Basic Pathology (ed.5). Philadelphia, PA, W. B. Saunders Co., 1992, p.701. 2. Batsakis JG: Tumors of Head & Neck, Clinical and PathologicalConsiderations (ed. 2). Baltimore, MD, The Williams & Wilkins Co., 1979, pp. 360-363. 3. Newland JR: Benign Lingual Lesions of Intrinsic Origin. Differential Diagnosis. Postgraduate Medi cine 75(4): pp. 152-163, March 1984. 4. Strassburg M, Knolle G: Diseases of the Oral Mucosa, A Color Atlas (ed. 2). Chicago, IL, Quintessence Publishing Co., 1994, pp. 439, 444, 445, 463. 5. Regezi JA, Sciubba J: Oral pathology, Clinical pathologic Correlations (ed. 2). Philadelphia, PA, W.S. Saunders Co., 1993, pp. 132, 133,235-237. 6. Soames JV, Southam JC: Oral Pathology (ed. 2). Oxford, UK, Oxford University Press, 1993, p. 121. 7. Shafer WG, Hine MK, Levy BM: A Textbook of Oral Pathology (ed. 4). Philadelphia, PA, W.B. Saunders Co., 1974, p. 140. 8. Larsen K, Juul A, Kristensen S: Intraoral Lipoma. A rare cause of dysphagia. The Journal of Laryngology and Otology 98: 1041-1042, October 1984. 9. Anavi Y Gross M, Calderon S: Disturbed lower denture stability due to lipoma in the floor of the mouth. J of Oral Rehabilitation 22:83-85, 1995.
Larsen, et al." reported an intraoral lipoma in the floor of the mouth that caused severe dysphasia and difficulty with speech. Symptoms were eliminated with surgical excision. The stability of mandibular prosthesis can be disturbed by lipomas in the floor of the mouth as described by Anavi, et al." Tumor like masses of fat in young children and infants in the Virginia Dental Journal 9
ABSTRACTS
The following four abstracts were provided by the Pediat ric Program at MCV/VCU School of Dentistry. The graduate students are listed following their abstracts. We appreciate their contribution to this journal.
Weideman C.L., Bush D.L., Yan-Go FL, Clark G.T., Gornbein J.A. The Incidence of Parasomnias in Child Bruxers versus Nonbruxers. Pediatric Dentistry 1996; 18:456-460. Parents are often concerned about grinding noises their child makes while sleeping. Tooth-grinding, known as bruxism, is common among children and occurs most often at night. Bruxism in some individuals can produce headaches, temporomandibular joint dysfunction, mastica tory soreness, and attrition of teeth. The literature has suggested various etiological factors which include dental, physical, psychological, and sleep-related abnormalities. Genetic studies have shown that parents who bruxed during childhood are more likely to have children who grind. An individual's general health may predispose one to brux. Studies have shown that children with allergic rhinitis and asthma are more likely to grind. Those with neurological disabilities like cerebral palsy and autism are more likely to brux. The most consistently mentioned risk factor for nighttime bruxism in the literature is psychologi cal stress. Nocturnal bruxism is classified as parasomnia. Parasomnias are defined as undesirable physical events that occur exclusively or predominantly during sleep, usually taking the form of motor or autonomic phenomena often associated with variable degrees of arousal. Information was gathered for this study by sending a 54 item survey questionnaire to parents of pediatric dental patients. A stepwise logistic regression analysis of 152 children between the ages of 2 and 18 revealed that six of the 54 factors showed significant differences between bruxers and controls. When the statistically related predictors of bruxism were combined the following com posite picture of a child bruxer was developed. The child bruxer begins bruxing at a mean age of 3.7 years and has 2.57 times higher likelihood of experiencing colic as an infant. A bruxer first slept through the night later (12.5 months) than the nongrinder (8.6 months) and has 3.22 times higher likelihood of experiencing nocturnal muscle cramps. The child bruxer has 2 times greater likelihood of drooling during sleep, 2.62 times higher likelihood of wetting the bed, and 1.95 times higher likelihood of sleep talking. Finally, caesarean-section delivery was more prevalent among the control subjects than the bruxers.
10 Virginia Dental Journal
The results from this study agree with prior reports that demonstrated that children commonly have history of multiple parasomnias. The authors' data, however, disputes the idea that the poorer an individual's health, the more likely one is to show bruxism. Their data shows the nonbruxing children tended to have significantly poorer health than those who bruxed. This current evidence suggests that these sleep related disturbances take place in normal children with no underlying physical or psycho logical disorders. If these behaviors do occur simulta neously and become disruptive to the family, referral to a pediatrician, pediatric psychologist or neurologist for further evaluation and treatment may be indicated. Dr. Christopher L. Maestrel/o is a second year ad vanced education student in Pediatric Dentistry at MCVNCU School of Dentistry. He received his DDS degree from MCV in 1988. Dr. Maestrello practiced general dentistry in Virginia Beach from 1988 to 1995.
ROYSE MC, on NW, MATHIEU GP: Dentin Adhesive
Superior to Copal Varnish in Preventing Microleakage in
Primary Teeth, Pediatric Dentistry. 1996; 18:440-443.
Microleakage of oral fluids and bacteria between the
cavity wall and amalgam restorations placed in the oral
cavity has been shown to cause postoperative sensitivity,
pulpal irritation, pulpal necrosis and secondary caries
formation. Historically, dental practitioners have relied
upon various bases, cavity varnishes and the corrosion of
amalgam itself to combat the problem of microleakage.
Other techniques such as acid etching, cavosurface
beveling and enamel/dentin bonding agents have been
suggested to decrease microleakage.
Several studies on permanent teeth have reported signifi
cant reduction in microleakage around amalgam restora
tions by using various resin liners and dental adhesives.
However, no studies have examined the effects of an
adhesive cavity liner on amalgam microleakage in primary
teeth. The purpose of this investigation was to examine
and compare microleakage at or beyond the
dentino~mal~am interface and cavity walls of amalgam
rest~ratlons In human primary teeth using copal cavity
varnish and an adhesive dentin bonding agent as a liner.
Sixty class V restorations were placed on the buccal and/
or lingual surfaces of twenty-eight noncarious extracted
human primary teeth. Copal cavity varnish was placed
under 20 amalgam restorations. A dentin adhesive liner
(Probond) was placed under 20 amalgam restorations.
The remaining 20 had no liner. The teeth were thermally
stre~sed In baths containing 0.5% basic fuschin dye,
sectioned and evaluated microscopically for microleakage.
th lined with probond adhesive tee 'croleakage than did t I res oraless ml , ·.c ity varnish or no liner at all. The alcavi , s seen in amalgam restorations ,ge walts may be clinically significant in e resu , ~' the ability to seal dentinal tubules i ate bv • eir by-products, there y increasing storation and prornotinq he~lth of the study, the adhesive ca~lty !In~r his seal in primary dentin, s~mllar to 'studies on permanent dentin. only Probond dental adhesive agent ;;;g microleakage in primary teeth. IS needed to determine if other dental Uallyeffective.
ABSTRACTS, cont.
The authors concluded that stainless steel crowns are a superior restoration for primary teeth with multisurtace carious lesions. Stainless steel crowns are a more predictable and durable restoration for multisurtace carious lesions placed in very young children.
Dr. S. Kimberly Jones is a first year advanced educa tion student in Pediatric Dentistry at MCVNCU School of Dentistry. She is a 1991 graduate from the Univer sity of North Carolina School of Dentistry. Dr. Jones was in private practice from 1991 to 1996 in Winston Salem and Statesville, N.C.
kson is a first year advanced , Pediatric Dentistry at MCVNCU .He received his D.M.D. degree f Florida Col/ege of Dentistry in
Foley TF, Wright GZ. Weinberger SJ, Management of lower incisor crowding in the early mixed dentition. Journal of Dentistry For Children 1996: 63:169-174
.'Stainless steel crown versus ',restorations: An 8-year longitudinal sence International 1996;27:331
n offers an alternative to restoring ,al amalgam restorations in the purpose of this study was to steel crown to the two-surface restoration with respect to the srnent rate of both types of ~
,
~I study used dentists (not stu
dental school to place the restora patients with multisurtace carious :Chosen. A two-surface interproxi ,n was placed on one side of the '~I crown was placed on the arch within 3 months, If a patient ons, one crown and one amalgam n,randomly and paired for com pari '4- 0
~te for amalgams was 80% and the The 4.5-year survival rate of was 90% and the 8-year survival lacement rate for stainless steel amalgams 58%, The most .Iacement were defects (fractures) ~ew carious lesions or secondary
Mandibular incisor crowding is a common problem for both the pediatric patient and the dentist treating the patient. Mandibular incisor crowding occurs in the early mixed dentition between the ages of 6 - 8 years. The purpose of this article is to describe the variables influenc ing incisor alignment and managing lower incisor crowd ing, The variables influencing incisor alignment are: interdental spacing, intercanine distance, increase of the arch perimeter, and size ratio between primary and permanent teeth. Interdental spacing of the primary teeth is one method to predict alignment for the lower anterior perma nent incisors. Patients with more than 6 mm interdental spacing of the primary teeth rarely had crowding of the lower permanent incisors, Conversely, patients with a crowded primary dentition, had a crowded permanent dentition. Intercanine distance is another component used to predict lower incisor crowding. Intercanine distance is the distance between the cusp tips of the lower primary canines, There is little risk of lower incisor crowding with an intercanine distance of 28 mm in the primary and early mixed dentition, By a dental age of 85 years, 85% of mandibular intercanine growth is complete in males and 100% is complete in females, The greatest increase in mandibular intercanine growth occurs while the lower permanent lateral incisors are erupting and in the maxilla, it occurs with the eruption of the upper permanent central incisors, After the lower lateral incisors erupt, no relief of Virginia Dental Journal 11
SVIRSKY ON INFECTION CONTROL JS the
more upright .d labial angulation of the ; to an increase in arch 3, thus reducing the
Exposure Control in the Dental Office
rimary and permanent sd to predict lower incisor t with small permanent I with anterior crowding. an average incisors will sal alignment and ulti ding.
The only way to protect patients and st,~ff compl~tely is by using "standard (universal) precautions for all patient . contact. "Standard Precautions" assumes that every direct contact with body fluids is infectious and requires that all . employees with direct contact be protected thr?ugh irnmuru zations, proper barriers, education, work practice controls and engineering controls.
)r crowding compares the r permanent mandibular indibular incisors. This reating incisor liability, t can choose: observe, Iry teeth, or refer de-
It is imperative that dentists conduct a comprehensi~e review of patient's medical history prior to dental care, but It cannot be relied upon to identify patients with infectious diseases. Therefore it is imperative that all patients be assumed to be infectious. In reality the patient with the well-established disease is usually less infectious than individuals who are incubating a disease. The latter are usually unaware that they are infected. When considering HIV and HBV there is a window period of weeks to months where antigens or antibodies cannot be detected. At Virginia Commonwealth University School of Dentistry a fairly high percentage of patients with HIV and HBV either do not know they have their disease or do not tell the practitioner. Barrier tech niques are imperative to protect both the patient and practi tioner. The employer must provide protective barriers and insure that they are used correctly. An employee does not have the right to decide when to wear barriers. They are procedure specific rather than patient specific.
or less will usually ibserve this situation I reduce the crowding icisors, When crowding .ary canines is an tment will not only 19 but also prevent a )ping. The dentist must .rirnary canines, the e more upright which rimeter and a deep bite. lapse of the incisors, a
the patient presents n or when the clinician atient's treatment. 'action of permanent m.
sradvanced education t MCVNCU School of ) rlpnr",,,, frn,..., T"H",
The wearing of eye protection, masks, gloves, and protective garments/clinic attire are required by all personnel involved in direct patient care. Protective barriers are required for all clinic sessions, regardless of their nature. There are no exceptions. Employers are to provide protection for employ ees working with blood borne pathogens so that they can wear clothes to work and these clothes be protected so that the employee need not change to go out to dinner following work. The employer in addition to supplying the garments to protect employees clothing, is also responsible for launder ing the protective qarments.
objects not utilized for patient care such as charts, radiographs, amalgamators etc., or upon leaving dental cubicle. Over gloving may be done. When in doubt, change the gloves. Midday and at the end of the workday, wash hands thoroughly with an antiseptic soap to remove bacterial buildup that may have occurred in the warm moist environment beneath the gloves. Dry the hands and apply a lotion to help maintain healthy skin. It is important to not let moisture buildup beneath the gloves for this leads to irritation dermatitis that is sometimes thought to be allergic. Masks in our practices are usually of two types, the cup type and the tie on type. The cup type is held on with a rubber band which allows it to be set to one side when talking to a patient. When ready to resume work, the mask can be replaced on the nose and mouth easily. This is not as easily done with the tie mask. The tie mask is closer to the lips and nose which allows it to become moist more quickly and that allows organisms to penetrate. The mask must be changed for each patient or if it becomes wet or spattered. It is imperative that all four sides be tied when using this mask or the protective nature will be defeated. Eye protection must be worn whenever there is a spatter type dental procedure. It should be worn at all times when treating a patient, clean-up following treatment and mixing chemicals. The spatter resistant protective eyewear must have protective side shields. The supply companies make reasonably priced attractive protective glasses. At the school all patients who do not wear protective lenses are given them to wear during dental procedures (especially patients wearing contacts). Chin length face shields are now available that offer good protection especially for extensive spatter procedures such as cavitron scaling. I feel that it should be a standard operating procedure (SOP) to wear a face shield when cavitron scaling. The face shield does not substitute for a mask which must be worn with the shield. Approved clinic attire provides protective covering for street clothes and exposed skin. Gowns that have been worn during treatment of patients should be removed prior to leaving the office, or while eating. The gown must be replaced if visibly contaminated. There is no standard policy regarding hair restraint. All personnel involved in direct patient care must take steps to assure that no possibility exists of hair coming into contact with equipment or supplies used in patient care or intruding into the field of operation. Aerosols and spatter commonly contaminate the hair, as well as the equipment and surfaces in the dental operatory. Disposable caps are available and may be
worn for patient care if desired. Additionally, all the personal protective equipment listed must be worn when cleaning up and mixing chemicals. The gloves may be changed to heavy duty gloves. Personal protective equipment (PPE) allows the employee to continue with daily activities following patient care. Standard precautions and PPE provides the most complete protection from blood borne pathogens for the patient and health care providers, allowing the highest quality of care in every dental practice. John A. Svirsky, D.D.S., M. Ed.; Professor of Oral Pathology, Virginia Commonwealth University, Medical College of Virginia, School of Dentistry, Richmond, Virginia.
Note these dates: Mark your calendar now for these future meetings. VDA Committee Meetings
June 12-15, 1997
Sheraton Hotel, Virginia Beach
VAO/VSOMS Annual Meeting
June 27-July 1, 1997
Cavalier, Virginia Beach
VDA Annual Meeting
September 24-28, 1997
Hotel Roanoke &
Conference Center, Roanoke
ADA Annual Meeting October 18-22, 1997 Washington Hilton, Washington, DC VDA Leadership Conference November 13-15, 1997 Boar's Head Inn, Charlottesville
Virginia Dental Journal 13
Hospitality'from thepast. • •
The One Hundred Twenty Eighth
Annual Meeting
ofthe Virginia DentalAssociation
will convene at the Hotel Roanoke
& Conference Center
from September 24 - September 28, 1997.
Nestled in the heart of the spectacular Blue Ridge Mountains, the completely restored and remodeled Hotel Roanoke and adjoining ultra-modern Conference Center will welcome you with the warm Southern hospitality and all the amenities and services you'd expect of a four diamond hotel. An excellent scientific session has been scheduled, including presentations by Drs. William Van Dyk, Christine Dumas, and Harald Heymann. ADA President-Elect Dave Whiston and his wife Julie will be honored guests.
ALLIANCE OF THE VA DENTAL ASSOCIATION* VIRGINIA DENTAL ASSISTANTS ASSOCIATION* THURSDAY, SEPTEMBER 25, 1997 6:00pm VDAA Board of Directors FRIDAY, SEPTEMBER 26,1997 8:30am VDAA Opening Session 10: 15a m VDAAIADAA Forum 1:30pm Continuing Education SATURDAY, SEPTEMBER 27, 1997 6:30am Fun Run & Walk 8:30am Continuing Education 11 :15am VDAA House of Delegates 5:30pm VDAA Social
THURSDAY, SEPTEMBER 25,1997 12:00pm Luncheon & Downtown Roanoke Tour FRIDAY, SEPTEMBER 26,1997 9:30am Alliance Board Meeting 12:00pm Alliance Board Luncheon 1:30pm Financial Planning Seminar 3:30pm High Tea in the Palm Court SATURDAY, SEPTEMBER 27,1997 6:30am Fun Run & Walk 10:30am Brunch & Entertainment 11 :30am Business Meeting & Officer Installation
SUNDAY, SEPTEMBER 28,1997 8:00am VDAA Eat & Learn Breakfast 9:45am VDAA Installation of Officers 11 :OOam VDAA Board Meeting
Plan now to aUendthe 1997
VDA Annual Meeting in
Roanoke!
14 Virginia Dental Journal
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MEETING SCHEDULE* SATURDAY, SEPTEMBER 27, 1997
ommittee Meeting ion with Chuck Hiter y at Roanoke CC fney at Roanoke CC Jleception at Roanoke CC Council Meeting
istry Meeting Meeting Opening Session f Delegates Luncheon I! Open eEl Committees .Receptions ege of Dentists Reception Dance
6:30am 7:00am 7:30am 7:30am 8:00am 8:30am 8:30am 8:30am 9:00am 10:30am 11 :30am 12:30pm 1:OOpm 1:OOpm 5:00pm 6:00pm 7:00pm
Fun Run & Walk Registration International College of Dentists Breakfast VA Society of Pediatric Dentists Seminar Exhibition Hall Open Harald Heymann Course DumaslVan Dyk Course CPR Recertification Course Health Screening Alliance Brunch & Business Meeting Pierre Fauchard Academy Luncheon VDAA Past Presidents Luncheon Heymann Course VA Society of Endodontists Seminar Component Receptions VDAlMCV Reception President's Dinner Dance with Dennis Reaser Orchestra
SUNDAY, SEPTEMBER 28, 1997
l'
stry Meeting ent Course
~.Course
7:30am 8:00am 9:00am 10:00am 1:OOpm
VADPAC Breakfast Registration VDA Annual Business Meeting VDA House of Delegates VDA Executive Council
ing Open Delegation earning ,etit1g .揃k Course eeting EXhibitors .. ceptions Dance ach Band
Virginia Dental Journal 15
L~~ ...
The 1996 VirginIa Dental Association House of Delegates adopted Constitution and ByLaws changes stating that candidates for VDA elective office have the opportunity to submit a statement and CV to be published in the April-June Virginia_Denta} Jour!H1l. Candidates for President-Elect and Secretary Treasurer can have a 500 word statement. All other candidates can have a 250 word statement. This will give members of the Virginia Dental Association an opportu nity to meet candidates for elected offices.
the enemy is us". This needs to be changed, by us the members
of the Virginia Dental Association, to "We have met Organized
Dentistry and Organized Dentistry is us" We can only do this by
continuing the recruitment and retention of our members and to
expand the perceived value of ai/levels of the Association During
the next two years let us see if we can instill some
"Stressbreakers" in our organization and have fun while furthering
the practice and profession of Dentistry in the Commonwealth of
Virginia.
Charles L. Cuttino, III, D.D.S. Candidate for Office of: President-Elect
I respectively ask for your support for my candidacy for President
Elect of the Virginia Dental Association.
Charlie Cuttino
We, in the VDA, need to assess our involvement in organized Dentistry. We need to attempt to instill some "Stressbreaker's" in our organization. There is a need to have a good time, be user friendly and be efficient in the functions of our organization. How can we do all of this? We need to dissolve component differences and develop a unity in thought for the betterment of the profession. All members need to become involved in all aspects of the Association and take advantage of the benefit~ of membership. Those who are Committee members should be committed to the charge of the respective committees, and become inventive in the futuristic thought process which will lead us, the VDA members, into the twenty-first century. The officers should lead the over all direction of the Association, also with a futuristic look at what will be beneficial for the Association. An old anonymous saying applies here; "Be not the first to try the new nor the last to throw the old away." On the Legislative front, the VDA has developed a respect with the General Assembly. This respect should not be allowed to slip and be furthered with knowledgeable positions that represent the majority of the members of the Association. We can do this by establishing a protocol that allows discussion, communications and development of strategies which will lead to a beneficial position supported by the Association. We must increase the commitment of our members to the political process by expanding the Grass Roots Organization to include the state legislative process. The Association needs to become more of a player in the fund raising process for our PAC organization. We need to develop the education, desire and commitment of all of our members to be Involved in the legislative process which effects the practice of Dentistry. The Association and the Virginia Dental Services Corporation should work together to develop non-dues revenue which will give us the ability to utilize the monies necessary to bring new and inventive programs to the association for the betterment of our members. The challenge to our members now and in the future is the impact of managed care on the practice of Dentistry. The Direct Reimbursement program is only one mechanism we have to control the intrusion of third parties into our practices. We need to band together to negotiate the future of our practices to benefit all practitioners for the care and services we perform. As Pogo said so many years ago. "We have met the enemy and
16 Virginia Dental Journal
Name: Charles Lynum Cuttino, III
Address: 3217 Grove Ave.
City and Zip: Richmond, VA 23221
Phone (804) 354-1600 Component: 4
CV and Biographical Information Education: Clemson University - BS (Pre-Med) 1963; Medical College of VirginiaNirginia Commonwealth Univ. - DDS 1966; USAF General Dental Internship, Lackland AFB, TX 1967; Medical College of Virginia/Virginia Commonwealth Univ. - Certificate in OMFS 1972 Memberships: Sigma Xi; Omicron Kappa Upsilon; Psi Omega Dental Fraternity; Atwood Wash Society (Oral Surgery); Chalmers Lyons Society (Michigan) (Oral Surgery); Pierre Fauchard Academy - Vice Chairman VA. 1993-1995; Common wealth Dental Academy - President 1975; American Cancer Society (Board of Directors - 1974-1978); Virginia Supreme Court Medical Malpractice Review Panel- (1982-Present). VDA, ADA, AAOMS, SSOMS. Honors: American Cancer Society, Certificate of Merit - 1978; Who's Who in the South and Southeast: Who's Who in Dentistry; Who's Who in Medicine and Health Care: Fellow - Virginia Dental Association; Fellow - American College of Dentists; Fellow International College of Dentists; Richmond Dental Assistant's Association - Boss of the Year - 1994. Leadership Activities: ADA and VDA: ADA - Alternate Delegate 1990-1994, 1996-1997: ADA Delegate - 1995; ADA Reference Comm - Legal and Legislative - 1995; Whiston96 Election Committee - Co-Chair man, 1995-1996; VDA - Executive Council 1986-1997; Secretary! Treasurer 1993-1997: VDA Executive Committee 1993-1997: VDA Delegate and Alternate Delegate; Reference Committees; Cancer and Hospital Comm.; VDA Journal Editorial Board; VDSC Board of Dir., Treasurer - Relief Foundation. Component Society Richmond Dental Society - Board of Directors 1974-1978. 1982-1987; President - 1983-1984: Numerous Committees. Other Organizations In Dentistry: American Association of Oral and Maxillofacial Surgeons - Committee on Hospital Affairs 1994 Present: Committee on ADAJAAOMS liaison 1993-(Cuttino. cont.)
, society of Oral and Maxillofacial Surgeons i11'&rS 1989-1996; President - 1993-1995; Southeastresent; VI,r~(/tOr81 and Maxillofacial Surgeons - Scientific Pard of O,rof 0 ,_Chairman 1990; Membership Committee B~n society or1' ~ Board of Directors 1994-Present; Secretary! ~ ssiOns C g9.4-' 19 97. MCVIVCU Dental School- Advisory Board, c~airrn8f1 1996~legiate Schools Patrons Association - Athletic Treasurer 1 : GO 81'1 1984-1987; Board of Trustees - Curriculum C rnrn\JT1lty a i (~ornmlttee - 1985-1987; Student Life Committee c~rnrn. - C l1rd S (Set Woods South Civic Association - Board of and sta n d 8 0°1963, 1989-1991; Secretaryffreasurer 1981-1983, 1985-1981919' 1 9 93, Spindrift CIVIC ASSOCiation - Board of Directors \ 9 9 1 '1990, Architectural Committee, Chairman - 1986 ,
presideT1t19 9 6 '
Directors
198 9
priority with concerted efforts to illustrate benefits of member ship. Consistent follow up of potential members is crucial to increasing our numbers. One of the responsibilities of the Secretary-Treasurer is to insure that the Association is running smoothly and efficiently. My proximity to the VDA office would be a great help in this endeavor, as I would be readily available when needed. During my 21 years with the VDA I have been committed to working to improve organized dentistry, I look forward to applying my skills and enthusiasm to the challenges facing the Virginia Dental Association and would appreciate your vote for VDA Secretary- Treasurer. Name: Thomas S. Cooke Address: 39 W. Williamsburg Road City &Zip: Sandston 23150 Phone: (804) Phone: 737-7402 Component: 4
CV and Biographical Information
ol<B, D.D.S. 5. COOffice of: SecretaryfTreasurer ThOrnas fOr te can dl'da
nnounce my candidacy for Virginia Dental Throughout my long associ a \ am plea~n Secf>-., I have seen the many stresses and constraints Asso clall \'1e Oto plague our profession. The VDA has evolved tion With t o(l1e changes necessary to represent us. We must that \'1a ve ~odflteo will see that this process continues, insuring to ae eom ers lfJ~ncY, responsiveness and productivity. It is have lead effiel dentists understand that we can determine our increased tt1flt are involved in the decisions that will chart the aliVe 'f IfJB . irnper 1'/ I fesslon.
destinY oT1 prO
ur future of Bed to be addressed by the association in the flS n r: several a rs: ttl e accounting system would insure the finances corning Y~nt of n are better understood by the general member *Refin Brtl ciiltlO of the aSSo ship. f information would be greatly enhanced by in[ltiOn~ornmittee and Executive Council reports and *Dis sern VO A ildershlP via computer, proViding ttle Ie bylaWS to evolution of the Virginia Dental Service Corpora ti(1i.Jed revenue source to enhance current and future *The cO:nsi.Jre il wough the VDA. Augmenting our revenue d tion will s offered down dues increases. program iii \10 sources W d participation in the political process through rnent ane ex.panded so that the credibility we have *lnVO\veC rni.JstSirginia General Assembly continues. VADPA . t\1e . ed In t\1e retention of members needs to be a top attain . a(1d *Recruitlng
ed to ~et8ry-Treasurer.
v
°
1
Education: Virginia Military Institute - BS (Biology) 1970; Medical College of Virginia - DDS 1974. Memberships: ADA, VDA, RDS, AGD, Richmond Dental Study Club, Honors: Fellow - Virginia Dental Association and International College of Dentists; Pierre Fauchard Academy. Leadership Activities: ADA and VDA: ADA - Mediation Workshop 1992; Whiston96 Campaign Committee. VDA -Executive Council -At Large Member; Past Delegate; Reference Commit tee - Past Chairman; Peer Review and Patient Relations Committee - Past Chairman; Fellows Committee; Annual Meeting Committee; ADA Alternate Delegate 1995 Component Society: Richmond - Past Secretary, Past Presi dent, Board Member; Peer Review and Patient Relations Chairman; Arrangements Committee - Chairman; Budget Committee; Long Range Planning Committee; Bylaws Commit tee; Nominating Committee. Community: Trinity Methodist Church; Greater Richmond Area Health Education - Executive Committee; Byrd International Rotary Club - Past President; Paul Harris Fellow.
.. •
••
Virginia Dental Journal 17
David C. Anderson, D.D.S.
Candidate for Office of: Councilor-At-Large
Councilor-at-Large is a position designed to be an advocate for all member dentists in the Commonwealth. This allows the holder of the position to raise issues and ideas that may otherwise not get brought forth due to perception of the where or why of its inception. To watch over the policies of the VDA and how they effect the average member is of prime concern.
I have tired to be well prepared and be accessible to all thoughts. Honored through this position to be elected Vice Chairman of the Executive Council has allowed me to expand my knowledge of the issues that effect us the most. Allow me the honor of representing you again for the next two years.
Name: David C. Anderson Mailing Address: 5288 Dawes Avenue City & Zip: Alexandria 22311 Phone: (703) 671-6060 Component: 8
CV and Biographical Information ~
Education: DDS 1974, Medical College of Virginia; Periodontic
Certificate 1976, Fairleigh Dickinson University School of
Dentistry.
Memberships: ADA, AAP, VDA, NVDS
Honors: International College of Dentists Journalism award
1988; Fellowships: Virginia Dental Association, Pierre
Fauchard, American College of Dentists, International College
of Dentists.
Leadership Activities:
ADA and VDA: VDA - Councilor-At-Large 1995-1997; ADA
Alternate Delegate 1996-1997.
Component Society: Vice-President 1987-1988; President
Elect 1988-1989; Chairman Executive Council 1990-1991 ;
Councilor 1991-1995.
Community: Fairfax County Task Force on AIDS 1988-1990;
Medical Care for Children Project - Board of Directors 1991
present; Friends of the in Local Government - Board of
Directors (George Mason University) 1993-present.
18 Virginia Dental Journal
Richard D. Barnes, DDS Candidate for Office of: Councilor-At-Large I have served on the Virginia Dental Association Execu tive Council as a representative for Component 2 for the past six years, and I would like the opportunity and honor to serve as Councilor-At-Large for the Virginia Dental Association Executive Council.
I have been fortunate enough to serve my fellow col leagues on the local level in the Peninsula Dental Society as Secretary, Vice President, and President. I have also served the Virginia Academy of General Dentistry as Treasurer, Vice President, and President, and was also a Councilor to the Virginia Academy of General Dentistry from 1991-1994. I believe that my experience as a Councilor for the Virginia Dental Association and the Virginia Academy of General Dentistry, as well as my other positions, will allow me to serve the Virginia Dental Association Executive Council as Councilor at Large.
Name: Richard D. Barnes Mailing Address: 1610 Aberdeen Rd. City & Zip: Hampton, VA 23666 Phone: (757)826-1121 Component: 2
CV and Biographical Information Education: Virginia Tech. - B.S Biology; Virginia Com
monwealth University - Medical College of Virginia
DDS.
Memberships: Peninsula Dental Society, VDA, ADA,
AGD.
Honors: Hodges-Kay Alumni Service Award, Alumni Star
Award, F.V.DA, F.A.C.D., F.I.C.D., F.A.G.D.
Leadership Activities:
ADA and VDA: ADA - Alternate Delegate1994-1996;
VDA - Councilor 1990-1996.
Component Society: Peninsula Dental Society - Secre
tary and President.
Community: Operation Smile - Phillippines and mainland
China; MCV Alumni Association - President 1991-1992;
VAG.D. - President 1991-1992.
Andrew J. (Bud) Zimmer, D.D.S.
Candidate for Office of: Councilor-at-Large
M. Joan Gillespie, D.D.S., M.S. Candidate For Office of: ADA Delegate
In the coming year, the Virginia Dental Association should focus on overlooking individual component interests and presenting a united effort to increase membership.
Since my graduation from dental school. I have enjoyed contributing in any way that I could to addressing the issues and challenges that face our profession on the local, state and national levels. Dental health care over the past years has changed dramatically.
For several years, the VDA's market share (ratio of members to total eligible dentists) has declined. I believe that our strength is in our membership. Only by representing a large number of our colleagues can we possess a voice strong enough to change legislation and regulations which hamper our practices. With widespread use of managed care programs, lower payouts and rising overhead costs have caused dentists to question the financial viability of joining our dental association. Through increased publicity of money-saving membership services such as contract analysis, continuing education, and insurance programs, we can convince prospective members that VDA membership is a truly wise investment. Although today's Virginia Dental Association offers a great deal to its members, continuing changes guarantee an even better future VDA. Remodeling of the Central Office, staff expansion and improved communication will allow the VDA to provide enhanced services. Additionally, I would enthusiastically support further changes in the offerings at the Annual Meeting, similar to those that led to last year's record pttendance. By bolstering interest in these types of services, we can attract new members and foster unity within our current membership-encouraging increased participation which transcends component boundaries. For several years, I have enjoyed working towards these ends, and I hope your continued support will allow me to serve the Virginia Dental Association as Councilor-at-Large. Name: Andrew J. Zimmer Address: #1 Southern Shopping Ctr, Ste 208 City and Zip: Norfolk 23505 Phone: (757) 588-8566 Component: 1
CV and Biographical Information Education: Georgetown University - B.S. Biology 1966; Georgetown University School of Dentistry - DD.S. 1970. Memberships: ADA; VDA; Tidewater Dental Association 1970 present; DePaul Hospital Staff 1970-1989; Past President of 2 Tidewater area Study Clubs; Psi Omega. Honors: Fellow - VDA 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 1995-1997; Whiston96 Campaign Committee. VDA Councilor-At Large 1993-1997; Annual Meeting Chairman 1994 & 1996; Past Chairman of two VDA Committees. Component: Tidewater Dental Society - President 1990-1991 ; Nominating Committee Chairman 1992-1997; Past Chairman of Budget, Program, Dental Health Month Committees; Delegate to VDA 1986-1993, Chairman 1991. Community: Norfolk Jaycees; Wards Corner Lions Club; Cub Scout Pack 490; Norfolk Catholic High School Board; Virginia Beach Respite Care Expansion Program; Elder Fair Holy Family Church Debt Committee
Nine years of service on the Virginia Board of Dentistry has helped me to develop the knowledge and insight required to understand the concerns of the dentist and the dental consumer. My ongoing position as a dental examiner with the Southern Regional Testing Agency has offered me the opportunity to observe and understand the diversity of factors that affect the licensure and educational chal lenges that face our dental school faculties, our recent graduates and our practicing dentists. Two years ago, I was honored to be appointed for a four-year term to the American Dental Association Council on Ethics, Bylaws and Judicial Affairs. As Vice Chairman of the Council, I appreciate the opportunity to represent the Sixteenth District Delegation. Delegation work and Council duties are complimentary in that many of the resolutions that come before the House of Delegates and initiated by the Councils. Insight into the rationale of the resolutions can only benefit deliberations on the Delegation level. It is a privilege and a pleasure to serve on this Delegation along with our colleagues from North and South Carolina. I would hope that my diverse range of experience has brought and will continue to bring valuable input into the varied issues that confront the Northern Virginia Dental Society, the Virginia Dental Association and the American Dental Association.
Name: M. Joan Gillespie Address: 4660 Kenmore Ave Ste 312 City and Zip: Alexandria 22304 Phone: (703) 823-2228/9 Component: 8
CV and Biographical Information Education: Trinity College - A.B. 1964; Georgetown University Dental School- DD.S. 1968; Georgetown University Graduate School- M.S. Periodontics 1971 . Memberships: ADA - 1972: VDA - 1992; American Association of Women Dentists; Northern VA Dental Society; Fairfax County Dental Society; Alexandria Dental Society; American Association of Dental Examiners; Southern Regional Testing Agency; American Academy of Periodontology; Greater Washington Society of Periodontology; Western Academy of Periodontology; Pierre Fauchard Academy. Honors: Appointment to VA State Board of Dentistry, two terms - 1983 1992; State Board of Dentistry, 2 years- Past President; Fellow: VA Dental Association, American College of Dentists and the ICD. Leadership Activities: ADA and VDA: ADA - Delegate - 1994-1997; Alternate Delegate; Council on Ethics. Bylaws and Judicial Affairs - Vice Chairman 1996-1997; Reference Committee on Membership & Communi cations-Chairman 1996; Standing Committee on Constitution and Bylaws; American Association of Women Dentists - Past President. VDA Delegate; Constitution and Bylaws Committee; Ethics Committee. Component Society: Northern VA Dental Society - Past President; Member and Past Chairman of Executive Committee, Ethics Committee, Leadership Committee, Dental Health Committee; Past Parliamentarian; Past Member of Peer Review, Membership, Dental Directory Committees: Ex Officio Northern VA Dental Clinic Committee. Past President: Fairfax County Dental Society, Alexandria Dental Society and Greater Washing ton Society of Periodontology. Community: MCVNCU Board of Advisors; MCV Planning Committee; MCV School of Dentistry Capital Campaign Drive-District Leader; Board of the American Cancer Society.
Virginia Dental Journal 19
Leslie S. Webb, Jr., D.D.S.
Candidate for Office of : ADA Delegate
David C. Anderson, D.D.S.
Candidate for Office of : Councilor-At-Large
The House of Delegates is the supreme governing body of the American Dental Association. As such it develops the policies of our association, approves the budget and decides on the implementation of programs. Our association must be member and volunteer driven. I feel it is imperative for our association to be responsive in helping our members meet the challenges in daily practice and In addressing external challenges facing our profession.
To represent dentists in Virginia to our national organization is a priVilege. As such the holder of this office should be prepared. articulate and be willing to endure to put Virginia's thoughts and desires forward. Yet anyone who holds this seat cannot allow one thought or group outweigh the good of the entire bodies future. The new dentist has special concerns, the established practitioner has unique needs, the generalist has to be protected as the specialists talents are understood, etc. Our profession must be better when we leave our active days in it or our steward ship will be forever lamented.
I have worked hard as a delegate and member of the Council on Dental Benefit Programs to let our members know what is happening at the ADA and to see that our viewpoints are presented at the ADA level. Virginia dentists want our associa tion to address the issues facing us and be proactive in defend ing our profession. They want programs and services that help them practice dentistry more effectively, with less external coercion. They also want their dues dollars well spent and they want to see true benefits for those dollars. If elected, I will continue to work for a strong, effective and responsive ADA.
Name: Leslie S. Webb, Jr. Address: 6800 Patterson Avenue City & Zip: Hichrnond, VA 23226 Phone: (804) 282-9781 Component: 4
CV and Biographical Information Education: University of Richmond - B.S. 1964; Medical College of Virginia - D.D.S. 1968. Memberships: Richmond Dental Society, FDA, ADA. Honors: OKU, American College of Dentists, International College of Dentists, Pierre Fauchard Academy, VDA Fellow. Leadership Activities: ADA and VDA: ADA: Currently - Delegate; Member, Council Dental Benefit Programs; Member, Parameters and Pinserv Committees; Chairman, ACODENIC (Advisory Committee on Dental Electronic Nomenclature, Indexing and Classification); Past - Alternate Delegate. VDA: Currently - Editor, VDAJournal; Executive Council; VDA Delegate. Past - President; SecretaryiTreasurer; Chairman, Annual Meeting Committee; Chairman, Long Range Planning Committee, Chairman, Constitution and By-Laws Committee; Chairman, Nominating Committee; Chairman, Fellows Selection Committee. Component Society: Richmond Dental Society - Past President and Secretary Community: Member, Secretary of Human Resources Task Force to Study Health Needs of School Aged Children in Virginia - 1986; Member, Governor's Task Force on Child Health - 1991 1993; Past President of James River Estates Civic Association.
20 Virginia Dental Journal
I have endeavored to give the best representation possible within this balancing act, and have enjoyed it immensely. Please allow me the honor of another year's service. Name: David C. Anderson Address: 5288 Dawes Avenue City & Zip: Alexandria 22311 Phone: (703) 671-6060 Component 8
CV and Biographical Information Education: DDS 1974, Medical College of Virginia; Periodontic
Certificate 1976, Fairleigh Dickinson University School of
Dentistry.
Memberships: ADA, AAP, VDA, NVDS
Honors: International College of Dentists Journalism award
1988; Fellowships: Virginia Dental Association, Pierre
Fauchard, American College of Dentists, International College
of Dentists.
Leadership Activities:
ADA and VDA: VDA - Councilor-At-Large 1995-1997; ADA
Alternate Delegate 1996-1997.
Component Society: Vice-President 1987-1988; President-Elect
1988-1989; Chairman Executive Council 1990-1991 ; Councilor
1991-1995.
Community: Fairfax County Task Force on AIDS 1988-1990;
Medical Care for Children Project - Board of Directors 1991
present; Friends of the in Local Government - Board of Directors
(George Mason University) 1993-present.
rd D. Barnes, D.D.S.
idate for Office of: ADA Alternate Delegate
lidlike to continue to serve the American Dental Association .Alternate Delegate. My previous experience as an Alternate ate (1994-present), as well as the other delegate positions I held, gives me the qualifications necessary to perform the s of an Alternate Delegate. e served as an Alternate Delegate to the Virginia Dental dation from 1981-1984 and Delegate to the Virginia Dental sociation from 1984-1987. I was also a delegate to the
lationalAcademy of General Dentistry from 1987-1992.
have been fortunate enough to serve my fellow colleagues on the local level in the Peninsula Dental Society as Secretary, Vice President,and President. I have also served the Virginia Academy of General Dentistry as Treasurer, Vice President. and President. I am very proud of my accomplishments as President of the MCV Alumni Association (1991-1992). Under my term, we were able to work together with MCV to break ground for the new Alumni House. After my term as President, I received the Alumni Star Award and recently received the Hodges-Kay MCV Alumni Service Award. My time spent as an alternate Delegate has been very rewarding, and it would be an honor if you would elect me to serve you again. Name: Richard D. Barnes Mailing Address: 1610 Aberdeen Road City & Zip: Hampton, VA 23666 Phone: (757) 826-1121 Component: 2
Lindsay M. Hunt, D.D.S.
Candidate for Office of: ADA Alternate Delegate
Not many state dental societies have as close relationship with their state's dental school as exists between the VDA and the MCV School of Dentistry, and I have been privileged to serve as Dean of the School and as an Alternate Delegate for the past 12 years. In this capacity, I believe that I bring a unique educational perspective to the Virginia delegation. Considerable tension and misunderstanding exists between the ADA, the American Association of Dental Schools (AADS), and the American Association of Dentai Examiners (AADE). As dental schools and their students represent the future of our profession, I believe that these organizations and our individual dental schools must come to a mutual understanding through consensus as we chart the course of our profession for the twenty-first century. As a former member of the Council on Dental Education and the Commission on Dental Accreditation as well as having served as Vice President for Deans of the AADS, I believe that I possess the knowledge and talent to assist in this process. It has been my distinct honor and privilege to serve the Virginia Dental Association as an Alternate Delegate in the past, and I hope that you will continue to allow me to do so.
Name: Lindsay M. Hunt Address: VCU School of Dentistry, P.O. Box 980566 City & Zip: Richmond, VA 23298-0566 Phone: 804-828-9184 Component: 4
CV and Biographical Information CV and Biographical Information Education: Virginia Tech. - B.S. Biology; Virginia Commonwealth
Medical College of Virginia - D.D.S.
Memberships: Peninsula Dental Society, VDA, ADA, AGO.
Honors Hodges-Kay Alumni Service Award, Alumni Star Award,
F.VDA, F.A.C.D., F.I.CD., FAG.D.
Leadership Activities:
ADA and VDA: ADA - Alternate Delegate1994-1996; VDA
Councilor 1990-1996.
Component Society: Peninsula Dental Society - Secretary and
President.
Community: Operation Smile - Phillippines and mainland China;
Education: University of Oklahoma - B.A., 1961; Baylor University College of Dentistry - D.D.S., 1965; Baylor University Graduate Division - Ph.D., 1965. Memberships: Richmond Dental Society, Virginia Dental Associa tion, ADA, American Association of Dental Schools. Honors: Omicron Kappa Upsilon, Phi Kappa Phi, Baylor Univer sity Gold Medal, Sigma Xi, Fellowship in the American & Interna tional College of Dentists and the VDA, Pierre Fauchard Acad emy, Honorary Alumnus, MCV Alumni Association. Leadership Activities: ADA and VDA: ADA: Virginia ADA Alternate Delegate 1985-Present. Member of CODA and CODE 1990-94, Biochemistry/Physiology Text Construction Committee 1981 i0Qh-"
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Bruce R. Hutchison, D.D.S.
Candidate for Office of: ADA Alternate Delegate
Gus C. Vlahos, D.D.S. Candidate for Office of: ADA Alternate Delegate
In seeking the position of Alternate Delegate tothe ADA, I am aware of the honor, privilege, and commitment that the position carries, To be one of 18 dentists representing all the dentists of Virginia is no easy task, This representative must have an open mind and be willing to listen to the conversation and arguments, synthesize a position that will benefit those he represents, and plan the best course of action to get that position heard and acted on, This position must take into consideration that all of dentistry should benefit from it, not just isolated groups, 1996 was my first time to serve on the Virginia Delegation, The Caucuses and House of Delegates sessions were a great learning experience. It was really exciting to have the privilege of addressing the entire House of Delegates from the front stage when giving the nominat足 ing speech for our own Dave Whiston in his successful bid for President-Elect of the ADA, Many friendships and bonds were formed with dentists from around the country that I believe will be invaluable in my effectiveness in representing the profession for Virginia. Please allow me to continue representing you,
At the present time, I hold a one year position as an ADA Alternate Delegate. I am running for the same one year position that I presently hold, An Alternate Delegate from Virginia serves on the house floor as much as an elected ADA Delegate, Because of this unique position an AlternateDdelegate from Virginia must be prepared as a Delegate, I have served organized dentistry for ten years holding various offices and positions along the way. I always prepare myself for the task at hand. Dunng those years my opinion has been to work for the good of organized dentistry,
Name: Bruce R. Hutchison Address: 14260-A Centreville Square City & Zip: Centreville, VA 20121 Phone: (703) 830-9110' Component: 8
As an Alternate Delegate I will work to carry forward the wishes of Virginia and the Sixteenth District Dentistry has faced many challenges from many places (OSHA, EPA, CDC, ABC, NBC, CBS) and a new piece of literature from Readers Digest. I believe it is time we take an aggressive stand to get our position out to our membership and the public. Myself and many others hear all the time, "what has the VDA and ADA done for me')" These are the people who never read their VDA and ADA Journals, It should not be what we do for them, but what they can do for organized dentistry, If everyone is active even a little, then the burden will be taken off of the few who work hard for organized dentistry. I have worked diligently in the past and will continue to work professionally for organized dentistry and I only ask for the opportunity to complete this professional duty,
CV and Biographical Information Education: University of Rochester - BS 1976, MS - Electrical
Engineering 1977; Georgetown University School of Dentistry,
Cum Laude - DDS 1981;
Memberships: ADA, VDA, NVDS, AGO, SEAP, Implant Society of
Northern Virginia, Delta Sigma Delta,
Honors: Mastership - AGO; Fellow - American College of
Dentists; Fellow - International College of Dentists; Fellow - VDA;
Fellow - Academy of Dentistry International; Pierre Fauchard
Academy,
Leadership Activities:
ADA and VDA: ADA -Golden Apple nominee 1989; VDA - ADA
Alternate Delegate - 1996; Young Dentist Committee Chairman足
1988-1991; Annual Meeting Committee Chairman - 1995, 1997;
HOD Delegate - 1988-1997.
Component Society: Northern Virginia Dental Society - President
1996-1997; Chairman of Young Dentists Committee 1988-1991 ;
Program Committee 1993-1994; Membership Committee 1993足
1994; Executive Committee 1989-1997.
Community: Centreville Jaycees - Charter Member and Presi足
dent; Northern Virginia Dental Clinic Volunteer; CPR Instructor.
Name: Gus C Vlahos Address: P,O, Box 1379 City & Zip: Dublin 24084 Phone: (540) 674-4396 Component: 6
CV and Biographical Information Education: Virginia Poly tech Institute and State University - B,S, in Chemistry; Medical College of Virginia - D.D.S - 1981 Memberships: Southwest Virginia Dental Society, VDA ADA, New River Valley Study Club, Pierre Fauchard Honors: Fellow of the Virginia Dental Association, Leadership Activities: ADA and VDA: ADA - Alternate Delegate 1997, VDA - Executive Council, Component Society: Southwest Virginia Dental Society - Vice President, President-Elect, President. Executive Council to VDA 1993-1996 Community: Basketball Couch (Little League - Dublin, VA)
-
22 Virginia Dental Journal
Dr. Andrew J. "Bud" Zimmer, D.D.S. Candidate for Office of: ADA Alternate Delegate Serving as a member of Virginia's ADA Delegation is a great experience because you have the opportunity to participate in policy decisions which are direct benefits to members. For example, the 1996 House passed resolutions providing for actions that will have budgetary impact as well as obvious benefits for members: 1. Reduced dues for recent dental school graduates until the fourth postgraduation year. 2. A $7.5 million national campaign to promote Direct Reim bursement which provides an important alternative payment system potentially alleviating ongoing difficulties with managed care. 3. Proposals for a national media campaign to increase
demand for dental services.
Having served as a member of the ADA Budget Reference Committee Observer Team for the past two years, I have seen and been involved with increasing scrutiny of how our dues are expended. I believe that we should utilize actual budget surpluses to reduce anticipated expenditures rather than allowing them to "disappear" into reserve funds. This approach has become a key component in developing a debt retirement plan for the Washing ton, D.C. ADA building. The previous holding plan would have cost every member $14.00 in 1997. I will also encourage the de'velopment of greater outside income activities ultimately utilizing two non-dues dollars for every dues dollar spent. Fiscal policy of this type would help to extend the perceived value of our dues dollars.
It has been a privilege to serve the Virginia Dental Association as an Alternate Delegate and I ask your continued support in 1997. Name: Andrew J. Zimmer Mailing Address: #1 Southern Shopping Center, Suite 208 City and Zip: Norfolk 23505 Phone: (757) 588-8566 Component: 1 CV and Biographical Information Education: Georgetown University - B.S. Biology 1966; Georgetown University School of Dentistry - DD.S. 1970. Memberships: ADA; VDA; Tidewater Dental Association 1970 present; DePaul Hospital Staff 1970-1989; Past President of 2 Tidewater area Study Clubs; Psi Omega. Honors: Fellow - VDA 1992; Fellow - Pierre Fauchard Academy 1993; Fellow - American College of Dentists 1994; Fellow International College of Dentists1 996 Leadership Activities: ADA and VDA: ADA-Alternate Delegate 1995-1997; Whiston96 Campaign Committee. VDA Councilor-At Large 1993-1997; Annual Meeting Chairman 1994 & 1996; Past Chairman of two VDA Committees. Component: Tidewater Dental Society - President 1990-1991 ; Nominating Committee Chairrnan 1992-1997; Past Chairman of Budget, Program, Dental Health Month Committees; Delegate to VDA 1986-1993, Chairman 1991. Community: Norfolk Jaycees; Wards Corner Lions Club; Cub Scout Pack 490; Norfolk Catholic High School Board; Virginia Beach Respite Care Expansion Program; Elder Fair Holy Family Church Debt Committee.
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EXECUTIVE COUNCIL ACTIONS IN BRIEF ...
I f
, l
t
1) AQQr:9ved that the report of the Membership Subcom mittee regarding Executive Council Service on Standing Committees be sent to the House of Del egates without prejudice. 2) Approved a recommendation to postpone definitely until the Sunday meeting of the Executive Council discussion and action concerning Dental Medicaid funding. 3) Approved a recommendation that the Virginia Dental Association join with the Virginia Healthcare Founda tion as a "Healthy Community Loan Fund Partner" with all the rights, privileges, and responsibilities thereunto appertaining; and be it further resolved that the Virginia Dental Association express its sincere appreciation to the Virginia Healthcare Foundation for its recognition of and support for oral health care for all Virginians. 4) Approved a recommendation that all taxes which are salary related, as in the case of staff bonuses, shall be calculated and will be withheld at the time the bonus is presented. 5) Approved a recommendation that the dues discount for new members, as r;eflected in ADA House Resolu tion H67 -96, be implemented at the constituent level in 1998. 6) Approved a recommendation that all components of the VDA be advised of H67-96 and encouraged to comply with the resolution. 7) Approved a recommendation that the VDA donate $500 to send an ASDA representative from MCV to attend the 1997 ASDA Leadership Conference. 8) Approved a recommendation that the proposed legislative procedure be referred to the VDA Legisla tive Committee for revision and clarification, including the fact that the Executive Committee has ultimate responsibility for interim policy. 9) Approved a recommendation that the Department of Labor and Industry meeting information be referred to the VDA Environmental Health & Safety Committee for action. 10) Approved a recommendation that the proposed establishment of an Ethics/Judicial Committee on the constituent level be referred to the VDA Planning Committee for action. 11) Approved a recommendation that the proposed Bylaws changes submitted by the Speaker of the House to the Constitution & Bylaws Committee be referred to the VDA Planning Committee. 12) Approved a recommendation that the current method of determining component representation to the VDA House of Delegates be utilized by the Secretary Treasurer in establishing the membership of the 1997 House of Delegates.
13) Approved a recommendation that Dental students, hygiene students, dental assisting students, and dental laboratory technician students be exempt from registration fees at the VDA Annual Meeting. 14) Approved a recommendation that the VDA Central Office investigate the possibility, location, and scope of a VDA Hospitality room at the 1997 ADA Meeting in Washington, DC and report the findings by the June Committee Meeting. 15) Approved the Preliminary Budget for the 1998 Williamsburg Annual Meeting. 16) Approved as amended a recommendation that funding is made for the MCV Senior Golf Tournament! Picnic in Richmond in the amount of $15.00 per student person, not to exceed a total of $3,000. 17) Approved a recommendation that the Constitution & Bylaws be amended as follows: Delete from Article VIII, Section1 ,A. Regular Standing Committees, #7 Dental Education and Continuing Education Commit tee and C. Administrative Standing Committees, #2 Relief Committee from the VDA Constitution and Bylaws and renumber the remaining committees in consecutive order. 18) Approved as amended a recommendation that the Manual of the House of Delegate be changed amendedto include a standing committee on approval of the minutes. consisting of the Committee on Credentials. The Committee on Credentials should be appointed and controlled by the Speaker to review and approve the minutes of the House of Delegates within 60 days of the session. 19) Approved a recommendation that the Constitution & Bylaws be amended as follows: Article III, Section 3. A. Add the word retired in both line 6 and line 12 after the word teaching. 20) Approved a recommendation that the House of Delegates Manual be amended to allow a motion to be postponed definitely to a later regular meeting or convention. (This is presently not permitted on page 6 (Section E). 21) Postponed definitely until the Legislative Committee Report that the VDA endorse Senator John Edwards line item budget amendment to increase Medicaid reimbursement rates for dentists to be comparable with those of medical doctors.(See Item 27) 22)Approved a recommendation that the VDA send a letter to Delta Dental of Virginia and copy each of their Board Dentists expressing the VDA's concern over Delta's methodology in figuring their deductible procedure since March 1996.their Board Dentists expressing the VDNs concern over Delta's methodol ogy in figuring their deductible procedure since
Virginia Dental Journal 25
EXECUTIVE COUNCIL ACTIONS IN BRIEF ...
23)Approved as amended that each April, during the awards ceremony at the Virginia State Science & Engineering Fair, one of the fifteen Virginia Science Talent Award Program (VSTAP) winners would be presented with the "Dr. Bennett A. Malbon Prize" in recognition for superior science talent and community spirit. The prize would consist of a one thousand $500dollar scholarship and a commemorative plaque. The "Dr. Bennett A. Malbon Prize" would underscore the VDA's commitment to sponsor the future and acknowledge Dr. Malbon as a role model for Virginia's future dentists. 24)6QQr:Qved a recommendation that in accordance with the established VDA Goals, a survey be conducted of the VHSL and other organized sponsors regarding the use of mouthguards in all sports by the June 1997 Committee Meetings. The Committee requests the endorsement of the Executive Council in this en足 deavor. 25) Approved a recommendation that in regard to current Rules and Regulations pertaining to "delegated functions" allowing dental hygienists to place con足 trolled delivery antibiotics in periodontal pockets, the Committee proposes the reevaluation of the appropri足 ateness of application of controlled delivery antibiotics by dental hygienists based on the opinion that the application is an invasive procedure where tissue is sealed consistent with the performance of a minor surgical procedure and should be restricted to a licensed dentist as the current dental practice act mandates. 26)6QQIoved a recommendation that the Dental Trade & Laboratory Relations Committee be given the status of an Administrative Standing Committee that meets annually in June or as the need arises. This was assigned to the Constitution & Bylaws Committee. 27)Approved a recommendation that the VDA endorse the Edwards-Woodrum Budget Item on Medicaid Appropriations. 28)6QPJoved a recommendation that the "Minnesota Model" which provides for general anesthesia services for children during the delivery of comprehensive dental services be utilized as guidelines for Virginia Insurance policies. 29)8Qj;Jroved as amended a recommendation that the VDA seek to have insurance companies operating within the State of Virginia to comply with current ADA policy regarding recognition of Pediatric Den足 tistry as a primary care provider. 30) Approved a recommendation that the VDA endorse current ADA policy on Department of Defense Directive1330.9. 31) Approved a recommendation that the VDA encourage each Component to provide time for their VDA Ad Hoc Ethics Committee representative to make a presentation
26 Virginia Dental Journal
32) Approved a recommendation that the Bylaws, Article V., Section 1 be changed by deleting: "The current President and the two Immediate Past Presidents shall be Alternate Delegates. The Secre tary Treasurer and the Speal<er of the Virginia Dental Association I louse of Delegates shall be Alternate Delegates in the calendar year folloli'.ing their election. If any of these shall have been elected to serve as current Delegate or Alternate Delegate, that member shall serve as Delegate or Alternate Delegate and the Alternate Delegate position related to the office shall be nominated in accordance with Article IV, Section 2. B. and C." 33)Approved as amended a recommendation to allow Component Societies of the VDA including MCV to link to the VDA homepage pending favorable review for content by the Central Office. 34)Approved a recommendation to refer the issue of internet advertising to the Executive Council for review to allow advertising income to return to this Committee to pay for the cost of the homepage and related expenses.
VIRGINIA BOARD OF
DENTISTRY July 1, 1996 - June 30, 1997 The Virginia Board of Dentistry is appointed by the Governor and is composed of seven dentists, two hygienists and one citizen representative. Contact the Board office or a member of the Board on questions on rules and regulations.
French H. Moore, Ir., DDS--President
Mark A. Crabtree, DDS-- Vice-President
John S. Lyon, DDS--Secretary-Treasurer
Nora M. French, DMD
MOlll'oe E. Harris, Ir., DDS
Robert J. Isaacson, DDS, MS, PhD
Gary Taylm, DDS
Carolyn B. Hawkins, RDH
Stephanie P. Olenic, RDH
Pat K. Watkins
STAFF
Marcia). Miller, Executive Director
Pam Horner, Administrative Assistant
Kathy Lackey, Administrative Assistant
Lychia Morris, Office Services Speciallst
6606 W. Broad Street, #401
Richmond, VA 23230-1 71 7
(804)662-9906 FAX(804)662-9943
II-FROM THE EXECUTIVE DIRECTOR.
II
On Tuesday, March 25 I had the pleasure to be included in the ADA New Dentist Transition Program at MCV. The Transition Program, which debuted at MCV in 1992, is designed to acquaint Senior Dental Students with the benefits of either joining or maintaining their membership in organized dentistry after graduation. The ADA currently conducts the Transition Program every other year; constituent societies are respon sible for the program in the alternating years. The VDA is indeed fortunate to have a very enthusiastic young practitioner, Dr. Russ Mosher, as both Chairman of the Committee on the New Dentist and Coordinator for the Transition Program. Dr. Mosher was ably assisted by Drs. Benita Miller and AI Stenger from the Virginia Dental Associa tion, Bernadette Antos of the American Dental Association, and Dr. Karen Barwick, the ADA Committee on the New Dentist representative from North Carolina. Amy Fulton, VDA Membership Coordinator and Bonnie Anderson, VDA Adminis trative Assistant and I also participated. Approximately sixty members of the MCV School of Dentistry Class of 1997 were treated to a "free lunch" and many words of wisdom. My particular words of wistJom seemed so enlightening that I decided to repeat them for all of you. Seriously, it does seem to me that the message we tried to convey to those about to embark on their dental career does have application for all of our members. As I noted to the students, time is one of the greatest considerations in your life, whether you are a student or a practicing dentist. Hopefully you have found the time to participate in organized dentistry and your profession. You have all made a great investment in the profession and, quite frankly, it is necessary to keep on investing. We know that as members of the dental community you will have the time to do many things, including the following: * Earn a comfortable income; * Enjoy a comfortable lifestyle; * Participate in your community; * Participate in your component, the VDA, and, for some, the ADA; and, * Continue your education through study clubs and CE courses. We know this because it is reflected in the present dental community. While managed care has most certainly impacted the profession and will definitely impact the lives of the class of 1997, I do not believe that it will significantly alter the practice and profession of dentistry. I believe this in part because you have not been and will not be as susceptible to third-party influences as your physician counterparts. However, in order to accomplish all the positive abovementioned activities you need to do dentistry. Unfortu nately, the world surrounding dentistry no longer allows you to simply practice your profession. It is precisely for these reasons that membership and participation in organized dentistry is necessary. Why? These are some of the things that you do not have time to do: First of all, you don't have time to run the world (actually, as I told the Class of 1997, that's !ill' job).
You also do not have time to: * Monitor the Board of Dentistry on a daily basis; * Monitor the Virginia General Assembly on a daily basis; * Monitor the U.S. Congress on a daily basis; * Monitor the various local, state, and federal agencies that want to engage in four-handed dentistry with you as a partner; * Monitor the insurance industry. including Contract Analysis (one of the most significant ADA Member benefits); Investigate potential member benefits and other products; Schedule and arrange CE programs and annual meetings; Market a state-wide direct reimbursement program; Constantly strive to improve and enhance communi cations within the dental community and attempt to meet the needs of over 2900 individuals; and, Plan and initiate the many activities-actually too many to attempt to mention- all on behalf of VDA members. The mission of the Virginia Dental Association is : REPRESENTING ANDSERVING MEMBERDENTISTS BY FOSTERING QUALITY ORALHEALTH CARE AND EDUCATION. I told the Class of 1997 that whether or not they chose to join or continue membership in organized dentistry, organized dentistry would be working for them, just as it is currently working for you, in all the areas mentioned above and many more - including those we don't yet know about in 1997. Association dues are an investment. You may give to your church or donate to your favorite charity, but you invest in organized dentistry. You invest to help protect and improve the profession you have chosen and to which you have already invested yourself. We exist to serve you. If we can help you at any time, please contact us. Thank you for your membership and participation. William E. Zepp, CAE Executive Director
Virginia Dental Journal 27
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1997 GENERAL ASSEMBLY OVERVIEW
1997 VIRGINIA GENERAL ASSEMBLY ADJOURNED: At 7:45 p.m., February 22, 1997, the 1997 Session of the Virginia General Assembly adjourned. This was a session that saw the introduction of 2,582 bills and resolutions that joined the 526 measures carried over from the 1996 Session. The session was highlighted by what it did not pass as much as by what it did pass. A revamped biennial budqet, which includes $400 million in new and revised expenditures, an unemployment tax cut, passage of parental notification, the failure to compromise on the appointment of a new justice to the Supreme Court, thus leaving it to Governor Allen to fill the existing vacancy - all were highlights of the 1997 session. With House of Delegates and statewide elections looming on the horizon in November, and with Governor Allen participating in his last full legislative session, in most cases there was more a spirit of cooperation than confrontation. Of the hundreds of bills and resolutions that were considered by this legislature, scores of them were monitored and/or lobbied on behalf of the Virginia Dental Association. We have highlighted a few of them below:
NEW DENTAL HYGIENE PROGRAMS ADDED: As you may recall during the 1996 Session of the Virginia General Assembly, the legislature approved House Joint Resolution 81. This measure, patroned by Delegate John J. (Butch) Davies, III, of Culpeper, created a joint legislative study to review the availability of dental hygienists in the Commonwealth. The study was composed of members of the House and Senate and representa足 tives from both the dental and hygiene communities, as well as private citizens. The group met throughout 1996 and held a series of public hearings. They identified a shortage of dental hygienists in certain areas of the Commonwealth and suggested several courses of action to address the shortage. Included in their suggestions was a recommendation to provide dental hygiene programs through the Community College System's distance education program, which includes compressed video, courses by computer, multimedia self-contained courses to provide educational opportunities in selected under-served areas. Distance education, coupled with the use of existing clinical facilities, could provide educational opportunities in selected areas without the need for tremendous expenditure of capital funds. As a follow up to the HJR 81 report, two budget amendments designed to accomplish this were introduced in both Houses of the General Assembly. Delegate Whit Clement (D-Danville) and Senator Warren Barry (R-Fairfax County), both of whom serve on the respective Education Subcommittees of both the House Appropriations and Senate Finance Committees, introduced identical amendments. These amendments were incorporated in both the House Budget as well as the Senate Budget in differing amounts. The Budget Conferees who met and presented their report during the waning days of the 1997 Session of the Virginia General Assembly agreed upon an expenditure of $180,000 of General Fund revenues designed to offer dental hygiene programs at the Danville Community College and the Fredericksburg campus of Germanna Community College. We want to express our gratitude, not only to those who served
on the study committee and all of the dentists across the Commonwealth who participated actively in the public hearings but also to the Community College System, and in particularly, to Dr. Joy Graham, Assistant Chancellor of Public Affairs. Dr. Graham was instrumental in helping to shape the distance learning technology amendment and assisted in ushering it through the legislative process. I am certain that this is an item you will hear more about as it unfolds in the months ahead.
MEDICAID/DENTAL CARE: At the request of the Virginia Head Start Association, Inc., Senator John S. Edwards (D-Roanoke) and Delegate Clifton A. (Chip) Woodrum (D-Roanoke City), introduced House and Senate budget amendments requesting the appropriation of $10 million in increased Medicaid reimbursement rates for dentists. These amendments were intended to provide additional dental care to children across the Commonwealth. Neither of these budqet amendments were incorporated into the final version of the budget. Language was added, however, that directs the Department of Medical Assistance Services (DMAS) to study the availability of dentists accepting Medicaid payments. The study also asks DMAS to identify geographic areas of the state with the greatest dental shortages and make recommenda足 tions for improving access to dental care for Medicaid recipients. The report is due back to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees by October 1 of this year.
DENTAL HYGIENE POST TEST: Delegate Frank Ruff (R-Mecklenburg County) introduced House Bill 826 during the 1996 Session of the Virginia General Assembly. This measure was designed to eliminate the post test which is presently required for those individuals taking dental hygiene continuing education courses. The bill was carried over during the 1996 Session of the Virginia General Assembly. Following the 1996 Session of the Virginia General Assembly, the Virginia Dental Hygiene Association surveyed its membership and found that the majority of them favored the elimination of the post test. When this measure was considered by the Senate Educa足 tion and Health Committee in a meeting prior to the 1996 session, this information was presented to them. As a result, they voted to move the bill forward. The bill has been approved by both Houses and has been signed by Governor Allen to become effective July 1, 1997.
ADMINISTRATION OF LOCAL ANESTHESIA BY_ DENTAL HYGIENISTS: Senator Joe Gartlan (D-Fairfax County) introduced Senate Joint Resolution 320. This measure, as originally presented to the Legislature, called for the formation of a Joint House/Senate Study Committee to review the administration of local anesthesia by licensed dental hygienists under the supervision of dentists. You may recall that during the 1996 Session of the Virginia General Assembly the hygienists had former Delegate Dick
Virginia Dental Journal 29
1997 GENERAL ASSEMBLY OVERVIEW
Fisher (R-Vienna) introduce HB 1280, which would have statutorily allowed licensed dental hygienists to administer local anesthesia under the direction and supervision of dentists. This measure was defeated by the House of Delegates Health, Welfare & Institutions Committee.
At present, there is an impaired practitioner program for dentists in the Commonwealth of Virginia. This measure should only serve to strengthen that program.
S,IR 320 was an effort to move this issue back to center stage. The Senate Rules Committee, which reviewed this measure, referred it to the Senate Education and Health Committee where it will be reviewed during the interim between now and the 1998 Session of the Virginia General Assembly.
• Point of service: The VDA is an active participant in the Patient Protection Coalition. This group of providers, patients, and patient advocates has worked actively over the last year and one-half on many managed care issues.
The VDA will be contacting the Chairman of the Senate commit tee and indicating its desire to participate in any deliberations on this very important patient-sensitive issue.
PATIENT PROTECTION COALITION:
During this session, the Patient Protection Coalition and the VDA actively followed the progress of SJR 297 patroned by Senator Stanley Walker (D-Noriolk) and HJR 631 patroned by Delegate Tom Baker (R-Dublin). These identical measures came out of the Joint Commission on Health Care.
LICENSING: Several measures dealing with dental licensing were reviewed by the 1997 General Assembly. They include:
• Restricted volunteer license: HB 2134, introduced by Delegate George Grayson (D-James City County), authorized the Board of Dentistry to issue restricted volunteer licenses for dentists licensed in other states who desire to periorm dental services in Virginia on patients who have no insurance or who are not eligible for financial assistance at health clinics. This measure was designed to accommodate some retired dentists in the Williamsburg area who wish to practice at the Old Towne Medical Center. VDA amended the legislation to make certain that these services were restricted to settings in public health and free clinics only. Near the conclusion of the General Assembly Session, the Virginia Dental Hygiene Association wanted to add dental hygienists to the list. These hygienists would have to work under the direction of a dentist with an unrestricted license as opposed to one who would have a volunteer restricted license. That measure has passed and is on the way to the Governor.
• Inactive licenses: The Board of Dentistry requested that Delegate Sam Nixon (R-Chesteriield County) introduce House Bill 2210. This measure requires the Board of Dentistry to provide for the issuance of an inactive license for dentists and dental hygienists who are fully licensed but do not wish to practice. This measure was brought to the attention of the VDA prior to the commencement of the 1997 General Assembly Session. We requested an amendment to the bill which would make certain that remedial education was required for anyone who wanted to reactivate an inactive license. This measure has also passed both Houses. • Impaired practitioners: Senator John Edwards (D-Roanoke) introduced Senate Bill 964, which requires the Director of the Department of Health Professions to establish a program to provide intervention for impaired practitioners who are regulated by the Health Regulatory Boards within the Department of Health Professions (this would include the Board of Dentistry).
30 Virginia Dental Journal
These resolutions, both of which have passed, direct the Joint Commission to establish a task force composed of Joint Commission members, representatives of consumers, provid ers, businesses and insurers to develop options to enhance the opportunity of Virginia's businesses to offer employees the option of participating in a point of service plan without increasing the employer's contribution to health benefits. A corresponding budget amendment has been approved appropriating $100,000 to contract with independent actuarial services to assist in the study.
• Complaints: Another joint commission measure actively supported by both the coalition as well as VDA was HB 2785, introduced by Delegate Judy Connally (D-Arlington). This bill requires the State Health Commissioner to examine the quality of health care services of Virginia licensed HMOs. The measure further incorporated HB 2789, a bill introduced by Delegate Jim Shuler (D-Blacksburg), which would require HMOs to supply, with their evidence of coverage statement, a description of the method for resolving complaints in the enrollee's appeal rights. The bill further calls upon the SCC, State Health Commissioner and the Department of Health Professions to monitor and examine the complaint system. VDA and the coalition will be working with the implementation of this study during the course of 1997. All measures approved, unless otherwise called for in the body of the statute, become effective on July 1, 1997. --submitted by Chuck Duvall, VDA Lobbyist
NEW PARTNERSHIP ATTRACTS DENTAL PROVIDERS TO SHORTAGE AREAS
• To provide working capital to develop new practices or expand an existing practice by adding new dental providers; • To renovate existing facilities or buy equipment as part of bringing new dental providers to an area; and • To finance various elements of a recruiting package, such as loan repayment, income guarantee, or loan consolidation with a low interest rate.
Recruiting additional dentists. Relocating dental practices. Consolidating dental student loans for recruitment. These have all been made easier through a new partnership between the Virginia Dental Association and the Virginia Health Care Foundation (VHCF). The combined result is a $4.2 million Healthy Communities Loan Fund now available to those who are increasing the number of dental providers in targeted underserved communities. Dental clinics and providers interested in locating a practice or expanding operations in one of the Commonwealth's underserved dental areas can obtain loans, at the prime interest rate, from $50,000 to $250,000 with a five year amortization.
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"More than 1 in 5 Virginians live in areas where there aren't enough dentists to deliver needed services to area residents," said Deborah Oswalt, Executive Director of the Virginia Health Care Foundation. "The Healthy Communities Loan Fund partnership was created to increase the number of dental providers in Virginia's underserved dental areas." Among the possible uses of the loan funds are:
The loan fund is underwritten by First Virginia Banks, Inc. and administered by the Virginia Health Care Foundation. Other partners include: The Virginia Hospital and Healthcare Association, the Virginia Academy of Family Physicians, the Virginia Primary Care Association, the Virginia Department of Health, Virginia's Joint Commission on Health Care, and Virginia's Area Health Education Centers. The loan fund is a component of the Virginia Practice Sights Initiative of The Robert Wood Johnson Foundation. The Virginia Health Care Foundation, initiated by the General Assembly and its Joint Commission on Health Care in 1992, supports public-private, community-based efforts to increase access to primary health care for uninsured and medically underserved Virginians.
For more information, contact the Virginia Health Care Foundation at (804) 828-5804.
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VDA NEWS DR. HUNT ELECTED PRESIDENT-ELECT OF AADS Lindsay Hunt, DD.S., Ph.D, the Harry Lyons Professor and dean of the School of Dentistry at Virginia Commonwealth University's Medical College of Virginia Campus, was elected President-Elect of the American Association of Dental Schools at the association's annual meeting on March 15 in Orlando, FL. After serving one year as president-elect, Hunt will be installed for a one-year term as president in March 1998.
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"Throughout my 25 years as a dental educator, I have had the opportunity to participate in the activities of the AADS. I look forward to supporting the association as we approach the next century," said Hunt. "In the coming years, I hope to lead the association in developing solutions to important issues, such as the cost of education, cultural diversity and managed care. To this day, these issues remain unresolved in the field of dental practice and education, and yet their resolution is essential to the continued strength of the field." Hunt previously served the association as a member of the executive committee as vice president of the Council of Deans. He also has served o~ the editorial board of the Journal of Dental Education. The AADS is the only organization representing all of dental and allied dental education. As such, it has over 3,000 individual, 126 institutional and 39 corporate members. The association leads the dental education community in addressing contemporary issues influencing education, research and the health of the public.
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Thanks in no small part to the persistence of Dr. Baxter Perkinson, Governor Allen was able to attend the VADPAC Leadership Dinner. The Governor, who said he had no cavities, spoke about the achievements of his administration in the areas of criminal justice and parole, educational standards and welfare reform. He said his goals for the final year of his administration were more modest, involving parental notification, consolidation of educational changes, and tort reform on the prosecution of gangs. The highlight of the evening was the presentation of the VADPAC Leadership Award, recently renamed the Watkins Malbon Award, to Dr. Richard Wilson. Dr. Wilson gave a very moving acceptance speech which was particularly special since Mrs. Pat Watkins, former VDA executive director was in attendance. The VADPAC Seminar with Dr. Doherty was very well attended. His course was entitled "Control the Numbers that Control Your Life" and discussed gaining financial security saying, it's never too early or too late to start. Some of Dr. Doherty's points were a) have all term life insurance, b) establish an Irrevocable Life Insurance Trust, c) carry the maximum disability insurance coverage allowable with COLA, and coverage for partial disability and residual disability, d) have a Living Will and e) consider a Living Trust. Dr. Doherty dis足 cussed control of overhead and the method of calculating the worth of your practice. On the top of his suggested reading lists were "The 7 Habits of Highly Effective People", and "Your Money Your Life." The VADPAC Governor's Club breakfast and private audience with Mark Christie, Governor Allen's Director of Policy were very informative. As the Governor said Friday night, if we listened to Mr. Christie in the morning we already knew everything about the General Assembly and his administra足 tion. This was very true since Mr. Christie went into legislative achievements and affairs in detail.
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a private audience with Mark Christie, the Counselor to the Governor and Director of Policy. This was followed by an all day course with Dr. Hugh Doherty, sponsored in conjunction with the ADPAC Seminar Series.
Newly elected AADS President-Elect Lindsay Hunt receives congratu足 lations of ADA President-Elect Dave and Julie Whiston.
The VADPAC year runs from January to December, so our new campaign has begun. Recent newspaper reports indicate that spending in this year's races for Governor, Lieutenant Governor, Attorney General and the 100 seats of the Virginia House of Delegates will be at an all time high. Our PAC
GOVERNOR ALLEN ADDRESSES DINNER Virginia dentists heard Governor George Allen describe his administration's achievements and legislative hopes for his final year as governor at the Annual VADPAC Leadership Dinner at the Richmond Omni Hotel Friday, January 31. The dinner was the culmination of a full day of VADPAC activities, which began with the VADPAC Governor's Club breakfast and
32 Virginia Dental Journal
Governor and Mrs. Allen, State Senator Steve Martin are joined by VDA & PAC leadership.
needs to be a significant player in state politics; otherwise the positions of the Virginia Dental Association on issues such as patient protection, insurance, dental hygiene, licensure education and other matters could be compromised. Remember that these funds give us access so that our views can be heard. Threats to dentistry and patients' welfare through legislation will continue. As Michael Sheehan, debate couch for President Clinton, said at the recent ADA Grassroots Conference, "it comes with the territory." Your VADPAC commit tee will be contacting members to try to Increase membership in the Governor's Club. Please consider this higher level of giving as a step towards greater political activism for dentistry. The February 1 VADPAC committee meeting saw Dr. AI Griffin elected chairman. Outgoing chairman Dr. John Doswell was commended for his years of service. -submitted by Dr. Rodney J. Klima
Wright and Judy Pond, Charlie Cuttino visiting with Congressman Norman Sisisky.
VIRGINIA DENTISTS DELIVER MESSAGE
TO CAPITOL HILL LAWMAKERS
The American Dental Association held its 2nd National Grassroots Conference from Feb. 9-11 in Washington D.C., and a strong showing from Virginia's "grassroots" dentists helped to make this event one of the most successful and well-attended of its kind. With over 450 attendees and an agenda that kept everyone laughing, learning, and lobbying, the conference exemplified the commitment and dedication that dentists throughout the country have shown in making the ADA Grassroots Program indispensable in delivering dentistry'S message to our legislators. The upbeat tone of the meeting was evident on the opening evening as ADA Presi dent Dr. Gary Rainwater's welcoming remarks praised the program's rapid evolution on becoming a premier grassroots network. Dr. Rainwater next introduced political strategists Mary Matalin and James Carville, the husband and wife team duo who worked for opposing candidates in the 1992 presi dential campaign. Their insights into politics inside the beltway were entertaining enlightening, and reiterated the saying that "politics makes strange bedfellows". The Mardi Gras reception that followed gave everyone the opportunity to socialize with colleagues, ADA staff. and lent a festive flavor to the evening. Monday morning began with an address from Mr. Merv Wampold, Jr., ADPAC Political Education Manager regarding the future direction of the grassroots network, and this was followed by breakout sessions, "hands on" lessons on grassroots activities and techniques such as building
managed care coalitions, effectively communicating with legislators, and developing strategic action plans. Those of us who participated in the early morning managed care session also got to watch Dr. Charlie Cuttino attempted to defend himself from numerous verbal harpoons hurled by Mr. Randy Moore, ADA Washington lobbyist; Randy always injects a dose of levity into his remarks on any subject and this was no exception. The session on developing a strategic plan for our action team helped us with goal-setting and ideas on strengthening the program over the next year. The morning activities over, everyone re-assembled to hear an address from Senator Trent Lott (R-Miss.), Senate Majority Leader for the 105th Congress. His personable nature and sense of humor was welcomed by the audience and having dentistry in his family (his wife is a dental hygienist and father in-law a general dentist) helped everyone feel that he was "one of us." Senator Lott discussed his goals of working with the President to enact product liability reform, push a balanced budget amendment, cut capital gains taxes and raise estate tax levels for individuals and small businesses. He also praised the ADA for its efforts in addressing key health care issues and after a standing ovation from an exuberant crowd, he fielded questions from a number of conference partici pants. Following lunch, the afternoon break-out sessions began; those of us who attended the forum on effectively communicat ing with your legislator observed some very enlightening videos on what "to do" and what "not to do" when trying to get a message across in a short period of time. Techniques on how to keep the message simple, salient, and clutter-free were stressed and these were tied directly into what we would do the following day in our representatives offices. Our focus was to be on Rep. Charlie Norwood's (R-GA) "Patient Access to years HR 2400) which would be re-introduced during this Congress. As a fellow dentist and ADA member, Congress man Norwood has worked diligently to draft this legislation that proposes a few basic rules to enable patient choice, promote competition, ensure fairness and due process for patients, and provide for accountability of health care plan providers. The ADA is supportive of this legislation and our objective was to inform our representatives of how these "few basic rules" would go a long way to leveling the playing field for our patients. Having sufficiently stuffed our brains with this vital information, the afternoon ended with an hour of hilarious
Drs Charlie Cuttino and Mike Miller wait outside Congressional office.
Virginia Dental Journal 33
antics from comedian David Werner ("You know the funny thing about lawyer jokes - lawyers don't think they're funny, and nobody else thinks they're jokes!"). That evening the Virginia contingent headed out for a group dinner at the popular Old Ebbitt Grill. We were joined by ADA President-elect Dr. Dave Whiston and his wife Julie along with ADA lobbyist Randy Moore and his wife Pamela. Although Julie was suffering from a bout of laryngitis, there was no shortage of conversation which ranged from Virginia politics to Virginia Beach surfing in the late sixties, a subject which won Randy the award for the most consecutive sentences (partial or complete) spoken between breathes of air (107!). As all of you know, the record was previously held by Dr. Ron Tankersley with 102! The following day commenced with an early breakfast honoring the Freshman class of the 105th Congress. Dr. M. Patricia Palmer, action team leader from Georgia, then introduced Rep. Charlie Norwood to rousing applause from a packed ballroom. Congressman Norwood related how his new bill would be significantly more comprehensive and reiterated the impact that the grassroots programs have on helping push legislation through Congress. He also reviewed four other areas of focus for the near future - balancing the budget, supporting a national sales tax and alternative taxing, an emphasis on education and a continued commitment to our nation's drug problem. His comments were clear and concise and I believe everyone felt not only lucky but proud to have a fellow dentist as one of our country's legislators. We then pressed on to Capitol Hill and our Congressional visits. Ms. Lisa Finnerty, the VDA's Public Affairs Coordinator is to be thanked for her work arranging and scheduling meetings with each of Virginia's Senators and Congressmen as these visits seemed to go off without a hitch. Many grassroots dentists were able to spend 15-20 minutes with two or three different Congressmen discussing the ADA's positions on health care reform or other issues such as OSHA regulations or malpractice reform. Our day culminated when Dr.and Mrs. Ron Tankersley, Dr. and Mrs. Harvey Shifflett, Dr. Jeff Kenney and I were personally escorted by Senator John Warner from his office to the Senate visitor's gallery to watch a live vote and then garner some inside information from Mr. Remm Dickinson, Senator Warner's Health Care Liaison. On behalf of myself and Dr. Rod Klima, I would like to sincerely thank each dentist who took the time away from his or her practice to be a part of this year's ADA Grassroots Conference and I hope that in the years to come more and more Virginia dentists take an active role in getting the message across that dentistry really is "health care that works." Thanks again to Mr. Bill Zepp and Ms. Lisa Finnerty for all of the effort they put into making sure all of us were well-informed and well taken care of. In closing, be sure to call Lisa at the VDA office if you would like to become an action team member or get any information on the grassroots program in Virginia.
34 Virginia Dental Journal
WHAT IS A PAC?
A Political Action Committee is a group of people who share similar views and raise funds to support candidates for political office who might be responsive to their cause. A PAC is not a bad thing - instead, it is a way to be sure that ideas the PAC considers important are heard by legislators. And, it acts as a control type force for political donations - the result of the 70's campaign reform. The Political Action committee of the American Dental Association is referred to as ADPAC' the Political Action Committee of the Virginia Dental Associa足 tion is know as VADPAC. Why contribute to a PAC or to an individual legislator? When dentists and their spouses contribute to legislators and PAC's they are giving their profession legislative strength. When a PAC or an individual supports a legislator with time or funds, it is a way to make sure the legislator will know who dentists are when dentistry needs the legislator to listen to the profession's views on legislation. HAVE ADA AND VDA PAC'S BEEN SUCCESSFUL? ADPAC has had a successful year lobbying in Washington for legislation to protect dentistry and the public from measures that would adversely affect the high standard of quality care that has already been achieved. In the last national election ADPAC scored a 86% in campaign donations for victorious federal candidates. VADPAC's success rate was even a bit higher in the last Virginia General Assembly elections. We can no longer afford to be a passive entity but must gather our forces and keep control of the profession. SHOULD SPOUSES JOIN IN?
The voices of this profession can be doubled by dental spouses joining the PAC along with our dentist spouses. Clearly identify yourself by name (and as an Alliance member) on your dentist's upcoming membership check to VADPAC. If you join on the same personal check, be sure your name is prominently indicated. Virginia has several Alliance PAC members - two with ADPAC Capital Club memberships. ADA is calling on the dental family to participate in legislative activities. This is indicated by our inclusion in ADPAC and the ADA Board's recommendation to include spouses in Action Teams - several states have spouses serving as Team Leaders. ADA has been allotted two spots in the highly successful AMA Campaign School. The Board has also approved that Alliance members may apply for admittance. It is time for all of us to stand up and be counted. If we - the dental family - do not support the profession who will? The answer is - the other side. --submitted by Jocelyn Lance AADA Legislative Chairman ADPAC Board of Directors
CLASSIFIED ADVERTISING Starting Journal service, and are
DISTANCE LEARNING PROGRAM
with the July -September issue, the VirgiolsLDental will contain classified advertising. As a membership ads are restricted to VDA and ADA members only restricted to noncommercial copy.
Classified advertising rates are $30 for up to 30 words. Additional words are $.25 each All advertisements must be prepaid and cannot be accepted by phone or FAX. Checks should be made payable to the Virginia Dental Association. The closing dates for all copy will be the 15th of December, March, June, and September. (December 15, at 5pm is the closing date for the January-February-March issue.) After the deadline closes, the Journal can accept no ads nor can it alter or cancel previously ordered ads. This deadline is firm. Advertising copy must be typewritten and sent to: Journal Classified Department, Virginia Dental Association, P.O. Box 6906, Richmond, VA 23230-6906 The VDA reserves the nght to edit copy and does not assume liability for contents of classified advertising.
J. Sargeant Reynolds Community College has an accredited (SACS/COAS) Dental Assisting Program on the Downtown Richmond Campus. Since January 1997, the faculty has been writing a "print based" program of instruction. The program is similar to the 1970's North Carolina self-study series, with AV materials added. The program is seeking licensed dentists and dental assistants (current CDA's) to supervise the study material and practice of techniques. Student applicants will enroll in the program and take evening and/or weekend courses through JSRCC in a dental office in the geographical area closest to them. Class size will be a minimum of three students and a maximum of ten. College faculty will conduct final examinations on site. If you are interested in becoming an instructor or a testing site, please contact: Dianne Graybeal, Dental Assisting Program, J.S. Reynolds Community College,(804) 786-4380. --submitted by Dr. A. Carole Pratt, Chairman, VDA Auxiliary Education & Relations Committee
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Attending the Alliance of the American Dental Association Leadership Conference 097 held in Seattle, Washington March 12-16 were: Mrs. J. Darrell Rice, President, Alliance of the Virginia Dental Association; Mrs. Raymond Meade, Dental Health Chair, AVDA and member of AADA's Nominating Committee; Mrs. Patrick Dolan, Co-president, Northern Virginia Alliance and AVDA Corresponding Secretary; Mrs. James R. Lance, Legislative Committee Chair, Alliance of the American Dental Association and Mrs. William R. Parks, District II Trustee, AADA.
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Dr. Arden G. Christen, Professor & Director of Preventive & Community Dentistry, Dept. Of Oral Biology, Indiana University School of Dentistry, was the featured speaker for Dental Health Education Day. His topic was "Tobacco Intervention Strategies for the Dental Office." Also on Dental Health Day Mrs. Kenneth E. Stoner (Heather) received the Beulah K. Spencer New Member Award for District II. Heather is a member of the Richmond Alliance. Keep up the good work, Heather!
Alliance members filled 500 Dental Care Gift bags at the VDA Office for distribution to Legislators. Aides and Secretaries. Helping with the project were (I to r)Mrs. Raymond Meade, AVDA Dental Health Chair; Mrs. Marshall P. Gordon, III, AVDA Past President; Mrs. J. Darrell Rice, AVDA President; Mrs. D. Kent Yandle, Southside Alliance Component President; Mrs. David J. Nyczepir, Richmond Alliance Component President; Mrs. Jeffrey Hudgins, AVDA Legislative Co-chair.
Highlights of Legislative Day chaired by Mrs. James R. Lance, AADA Legislative Chair were a breakfast presentation by Dr. Rick Crenzi, President-Elect, Washington State Dental Association entitled "Dentistry and Uncle Sam". Other presentations were made by Judy Sherman, Congressional Affairs Representative ADA and Judy Pulice, Director of State Government Affairs, ADA.
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Members of the Alliance of the VDA met April 10, 1997 in Washington, D.C. They met and had lunch at the Washing足 ton ADA office. They were briefed on current issues by ADA lobbyists Judy Sherman, Randy Moore, and Michael Gra足 ham. They proceeded to Capitol Hill to meet with represen足 tatives from Congressman Scott's and Senator Warner's offices. The group then met and discussed several issues with Congressman Bliley.
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Alliance members (Melanie Kerneklian, Sandy Parks,Jocelyn Lance, BrendaGordon. and JenniferHudgins) makeCongressional visitations. Not In photo: Ann-Marie Dolanand Lisa Finnerty
36 Virginia Dental Journal
The Alliance plans on returning to Washington when the Commerce Committee hears testimony on Congressman Norwood's(R, Georgia) 1997 Patient Protection Act (PARCA). If you are interested in joining the group, please contact Jocelyn Lance at 804/741-9056.
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EXCELLENCE THROUGH RESEARCH:
AN INVESTMENT IN OUR FUTURE
On April 4. the VCU/MCV School of Dentistry kicked off a $4 million capital campaign entitled "Excellence Through Research: An In vestment in Our Future." The purposes of the campaign, which is part of VCU's $125 million "Partners in Progress" effort, are to es tablish a Center for Research in Oral Biology and to memorialize Dr. Willie Crockett. The kickoff was composed of a dinner/dance for volunteers and their spouses. The highlight of the evening was the announcement by Dr. Jeff Levin of an anonymous gift of over $500,000 and another major gift of $400,000. Dr. W. Baxter Perkinson, Jr. (0 '71), then surprised the audience by announcing a personal gift of $1 ,000,000 of which $350,000 will be a challenge gift to alumni and friends of the school. This brings the total amount in gifts and pledges for the Oral Biology Research Center to $2.1 Million. Dean Hunt explained that the fundamental objectives of the Center for Research in Oral Biology are "to place the school on the cutting edge of contemporary science through molecular biological tech niques applied to oral disease, to improve basic and clinical sci ence teaching, and to ultimately improve the health of the public." Dr. Hunt went on to say that in today's health care climate and the fiscal crises facing academic health centers, the School of Den tistry must not only graduate competent clinicians but they must solidify the School's position in the academic community through increased emphasis on research and scholarship." Gifts and pledges designated for the establishment of the Center for Research in Oral Biology will be used to renovate and equip research and office space and to provide for an endowed chair. Mr.
Thomas Burke, Assistant Dean for Development and Continuing Education, outlined the giving levels and the naming opportunities for the campaign including both the research facility and portions of the facility such as its four laboratories, faculty offices, and shared research equipment. He also described the need to establish an endowed chair for the research center and how this also provides a donor with an opportunity to name the chair for themselves or in memory of someone special. Mr. Burke then commented on the various methods by which individuals could pay their pledge be yond the usual cash gift method including appreciated securities, real estate, or pension funds. It is anticipated that the majority of pledges will be paid out over a five year period. All gifts and pledges received to memorialize Dr. Willie Crockett will be used to establish scholarships for outstanding students in finan cial need and to renovate and name the Student Lounge in memory of Dr. Crockett, a long-time, respected, and much-beloved faculty member. During the weekend, the Dean summarized the history of the school, the leadership roles held by its graduates, and the school's contin ued recognition as one of the best in the country. In closing, he commented "an effort such as the Center for Research in Oral Bi ology would surely propel the school to the next level and elevate us to the position of best in the country." Those interested in contributing either time or those wishing to in quire as to giving opportunities should contact Mr. Burke at 804 828-4695. --submitted by
Dr. Lindsay M. Hunt, Jr., Dean, MCV School of Dentistry
ADA COUNCIL PRESENTS CONFERENCE
The Council on Dental Practice of the ADA is very excited about presenting an all new two day conference, Dentistry as a Business: Bridging the Gap Between Money Management and Marketing, July 18-19, 1997, in Chicago at ADA Headquarters. Dentists, spouses and business assistants are invited to attend this program which is arranged into three tracks, Money and Investing; Practice Adminis tration; and Practice Marketing. Some of the best known speakers on these topics will be on hand to present insights and winning strategies that can make the financial good sense and enhance satisfaction with dentistry. Ms. Terry Savage, the well-known financial consultant, analyst and author will be the keynote speaker. Other nationally known speak ers appearing on the program, include: Money Track Speakers:
Richard Collier, James Jackson, John Bajkowski, Michael Leonetti and John Markese; Management Track Speakers: Peter Almonte, Hugh Doherty, Bernard Fink, Barry Freyberg, Charles Blair and David Schwab; and Marketing Track Speakers: Roger Levin, Suzanne Boswell, Doug Young, Steven Seltzer, Larry Wintersteen and Ben Bissell. Early registration is available prior to June 2, 1997. Early registration fees are $230 for ADA members; $325 for nonmem ber dentists; and $155 for office staff, spouses and others. Call the Council on Dental Practice office at 312-440-2895 for more details and registration information. --submitted by Dr. Donald Collins, Manager ADA Council on Dental Practice
Virginia Dental Journal 39
Upcoming Continuing Education 1997
s.peakerfTopic
DatefTime
Component
May2
NOVA (8)
Membership CE Meeting VDA Sponsored
Fairview Marriott
Dr. Frank Spear "Restoration for Health Function & Esthetics"
May 16-18
Southwest(6)
CE Program
Pipestem, WV
Dr. Jasper Lewis & Anne Page Griffith, "Secrets to Managing the Accelerated Dental Practice"
June 11
Southside(3)
CE Meeting 3:30 Pork Festival
Emporia
Dr. W. Baxter Perkinson "Contemporary Cosmetic Restorative Dentistry"
VDA Committee Meetings - Virginia Beach, VA
June 12-15 August 15
Southwest (6)
CEMeeting VDA Sponsored
Abingdon, VA
Dr. Harold Crossley
'Therapeutics & Pharmacology"
September 12
Shenandoah(?)
CEMeeting
Staunton, VA
Dr. John A. Burmeister "Practical Periodontics for Failing Pockets"
VDA Annual Session, Hotel Roanoke/Convention Center, Roanoke, VA
Sept. 24-28 October 10
Peninsula(2)
CEProgram VDA Sponsored
Williamsburg, VA
Dr. Harold Crossley
"Street Drugs"
October 17
Southside(3)
CEProgram VDA Sponsored
C C of Petersburg
Dr. Tom Dawson
"Contemporary Restorative Dentistry"
November 1
Richmond (4)
CE Program VDA Sponsored
Richmond, VA
Dr. Jeffrey A. Sherman
"State of the Art Radiosurgery"
November 14
Southwest(6)
CE Program
VA Tech,Blacksburg Donaldson Brown Ctr.
Dr. Captain Jeffrey Hutter "Facial Space Infections of Dental Origin & Traumatic Injury Update"
November 13-15 November 21
Leadership Conference Richmond (4)
CE Program VDA Sponsored
AIDA
Boar's Head Inn, Charlottesville, VA Richmond, VA
C路:E路~路p-
CONTINUING EDUCATION RECOGNITION PROGRAM
40 Virginia Dental Journal
Dr. Jeffrey A. Sherman
"State of the Art Radiosurgery"
II
-II
DIRECT REIMBURSEMENT
Virginia participates in marketing campaign... ., The promotion of Direct Reimbursement remains a priority item for both the ADA and the VDA. During the 1996 ADA Annual Session, delegates voted to fund a national three-year marketing program to educate business persons and consumers about DR. This program is a continuation of the six-state pilot marketing program in which Virginia was a participant.
The ADA's promotion will continue throughout 1997 with the addition of eighteen new states, as well as the original six, participating in the direct mail campaign. Additionally, the ADA will continue to run full-page ads in trade publications read by human resource managers. New to the 1997 media cam paign will be DR advertisements in the Wall Street Journal and national trade publications targeting benefits' consultants and CEO's. Virginia DR Committee sets goals . . . The 1996 VDA House of Delegates continued its commitment to the promotion of DR by voting to convert the DR task force to a full standing committee of the VDA, with representation from all components and specialties. The new VDA Committee on Direct Reimbursement, chaired by Dr. Benita Miller of Rich mond, met during the January Committee Meetings for a full day goal setting and strategic planning workshop, conducted by VDA Executive Director Bill Zepp. The Committee, with assistance from Cork Coyner and Jon Swan of Benefits Administration, Inc., Philip Pfeifer of the ADRP, and a group of VDA member dentists who have provided employer referrals, reviewed the progress of VDA's DR program to date and
worked together to establish a focused marketing plan for the coming year. One of the goals established by workshop attendees was to create a DR committee within each of the Components to target area businesses and to work in conjunction with BAI and the VDA in an attempt to increase awareness about DR within the business community. If you are interested in participating in the promotion of Direct Reimbursement, contact your component's representative on the VDA DR Committee or call Connie Jungmann at the VDA Office for more information. New DR materials to be released ... Two new DR educational tools have been developed and will soon be available for use in the dental office. "A Dental Benefits Plan Check-Up: What patients should know before selecting a dental benefits plan" is a brochure that provides a brief description and comparison of the four basic types of dental benefits plans in the marketplace. Originally devel oped by the Georgia Dental Association, this brochure provides consumers with some basic advice on what to look for when selecting their dental coverage. Also available, the "DR Quick Reference Card" was designed specifically for the dental office staff and answers the most commonly asked questions about processing DR patient payments and claims. A special DR mailing, including a sample of these new products, as well as a listing of all DR educational materials available through the VDA and ADA, will be sent to all VDA members. --submitted by: Dr. Benita A. Miller, Chairman VDA Commit tee on Direct Reimbursement & Connie L. Jungmann, VDA Assistant Executive Director
Virginia Employers Utilizing Direct Reimbursement
Virginia Dental Association - Richmond
Benefits Administration - Midlothian
Goodman Segar Hogan & Hoffler - Norfolk
Kennely Corporation - Richmond
Mid Atlantic Pension Group - Richmond
Richmond Montessori School, Inc. - Richmond
Sheltering Arms Physical Rehabilitation Hospital - Rich
mond
Taylor & Sledd, Inc. - Richmond
Ball Realty T/A Holiday Inn Central - Richmond
Coun~ ~ Shenandoah
International School Services
NVR Savings Bank
Sunnyside Presbyterian Home
Paxton Company - Norfolk * Referred by Dr. H. Stanley Tugwell
Trebor, Inc. - Norfolk * Referred by Dr Harry Ramsey
Participants in the DR Goals & Roles Workshop share ideas and planning suggestions for the promotion of DR.
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lOur thanks to Drs. Tugwell and Ramsey, as well as all VDA member ! I dentists, who have furnished us with names of businesses and individuals! : to contact about Direct Reimbursement. Through our cooperative educa- I i tional efforts and perseverance, Virginia's DR program will continue to grow: I !
Jon Swan, BAI and Dr Daniel Leahy discuss DR with attendees at the Southport Association Business Fair and Trade Show.
in the months and years to come.
J
I
Virginia Dental Journal 41
ARE YOU CAUGHT IN THE 'NET? For those of you alreadyon the Internet you know the seemingly endless amount of information available 24 hours a day 365 days a ear and for those of you not yet acquainted with the Internet a:k s~meone to teach you how to become an active participant in the world wide web. The Internet is the most phenomenal educational tool available; through your own computeryou can access information from not only hundreds of dental sites, but ou can gain accessto millions of other sites from aardvark to ~imbabwe. There are approximately twelve million people across the United States that "surf the web" daily, and the number continues to climb. You gain access to the Internet through an Internet Service Provider (ISP) such as Compuserve, America Online, Erol's or a local company. You pay these companies a monthly fee and they intern give yOU accessto the Internet via a local number for a ecifed amount of time per month (sometimes unlimited). ~Ual;y electronic mail (email) and a "web browser". (software that allows you to view things on the world wide web) IS Included with the package, andyou create your own email address. Conse q e tly by typing http://www.ada.orglntothe box on your computer u n 'and pushing enter you will bring up the American Dental screen d . . I . Association homepage: an from there you can review artie es In JADA, research upcoming eve~ts and request articles on numerous topics in the dental field.
•
It w s Ron Tankersly who had the foresight to develop an Ad Hoc Co~mittee on Communication & Information Technology, and the goal of that committee was to develop a VDA Internet presence as its first official act.The concept page was developed and
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presented at the November Leadership Conference in Charlottesville, and after numerous revisions we now have our own homepage, http://www.vadental.org, that has been in effect since late January of 1997. Additionally, the VDA is fortunate to have Connie Jungmann who has been invaluable to the success of the homepage to date; Connie updates the page as needed and ensures the proper information is available to all members. You may be asking what some of the benefits of an Internet web site may be? First, communication is improved immensely; information is a keystroke away rather than voice mail or the three to four days a letter normally takes to reach its ultimate destina tion. Furthermore, you have access to information twenty-four hours a day even if the VDA is closed. Moreover, our homepage address is listed internationally with the ADA giving our organiza tion greater exposure and the image of being in the forefront of technology. The homepage includes the following sections: General Associa tion Information, Legislative Information, Membership Benefits, Other Dental Sites, Direct Reimbursement, Consumer Informa tion and a Continuing Education/Upcoming Events Schedule. The legislative area is one of the most active containing updates on pertinent bills before the House (thanks to Mr. Chuck Duvall) and important legislative information for our profession. If you have yet to experience the Internet...try it, and visit the VDA site; after doing so, email Connie and give her your thoughts. As a committee we want to provide the members of the VDA with the best page we can. --submitted by Dr. Cory Butler, Chairman VDA Adhoc Committee on Communication & Info Technology
PPC Brokers is proud to announce the availability of practices in the following areas:
• • • • •
Hampton Lynchburg Newport News Roanoke / Smith Mountain Lake Fredericksburg
PPC Brokers Specializing in Appraisals, Sales, Mergers, Associateships, and Equity Plans. For inform.ation, call Dr. Douglas S. Johnson Office (800) 222-0455 • Fax (813) 791-8628
~omponent New~
Component II Peninsula
Component I Tidewater
f'
• By the time you read this message the azaleas will have bloomed and faded and the cool breezes of springtime will be upon us. This is the most glorious time of the year in Tidewater, before the humid days of summer force us to the ocean or the mountains. The last meeting of our Executive Committee was held on the just com pleted campus of Tidewater Community College-Norfolk Campus. We are all proud of this sparkling new facility which should bring new life to downtown Norfolk, along with the $300 million MacArthur Mall. On your next visit to our area I recommend a trip to downtown Norfolk. You will be pleasantly surprised. Congratulations to Dr. Stelianos Breda/ogos for receiving the 1996 award for Excellence in Public Information from the Academy of General Dentistry. Dr. Jack Cherin has been elected a Diplo mate of the American Academy of Head and Neck and Facia/ Pain. We mourn the loss of our colleague Dr. Paul G. Moerscheel, Jr. Paul served for many years as chairman of the VDA Insurance Committee. We look forward to the committee meetings in Virginia Beach in June. We promise excellent weather. Dr. Barry Einhorn
As Spring turns into Summer we draw closer to the VDA Annual meeting which will be held at the newly renovated Hotel Roanoke & Conference Center in Roanoke from September 24-28, 1997. A wonderful meeting is in store: remember there are mandatory continuing education requirements (15 hours per year) and a majority of these hours can be acquired at this meeting. Speaking of meetings, thank you to all who attended the joint CE program with Tidewater on April 24th and 25th; both Dr. Frank Weine (Avoiding Problems in Clinical Endodontics) and Dr. Stanley Ma/amed (Emergency Medicine in Dentistry) gave interesting talks and they were well attended. This was another successful joint venture, and our component looks forward to working with Tidewater again in the future. Our component has been busy this past Spring continuing to work on cultivating Direct Reimbursement by identifying more business contacts that may be interested in this fantastic benefit package. On the local level, Dr. Jeff Kenney continues to develop a "Grass Roots" campaign by making our local dentists more aware of the issues currently being considered by the Virginia General Assembly and Congress and identifying legislative contacts in our geographic area. It's important to become and remain involved; it was through this type of commitment and response that we were able to get such positive results with the Department of Defense directive (#1330.9) earlier this year. For those of you interested in a sample of letter writing tips when contacting your Congressmen, please contact Kim Blore, Executive Director of the PDS at (757) 259-0594. Don't forget the VDA Committee Meetings in Virginia Beach on June 12-15. There will be many interesting topics of discus sion and everyone can attend. Remem ber organized dentistry needs your help to allow our voices to be heard in both Congress and the business world. Additionally, the VDA (thanks to the direction of Dr. Ron Tankersley) has a website that you can visit 24 hours a day
at http://www.vadental.org in order to access information when you want. Locally, Dr. Madison Price who is heading up an ad hoc committee continues to collect names of dentists that would be willing to donate their time in a few clinics on the Peninsula to assist people less fortunate than ourselves. Anyone interested should contact Dr. Tom Luckam, Kim Blore or Dr. Price for more information. On behalf of Component 2 have a wonderful Summer. Dr. Cory Butler
Component III Southside
.. I am sure by now that everyone has broken out and dusted off the golf clubs, tennis racquets and baseball bats. Swimming pools are being cleaned and filled for use. The weather is turning warmer and sunny skies are here again. Here in Southside Virginia, we are looking forward to our Continuing Education program. Dr. Baxter Perkinson will speak in June at our meeting. This meeting is held in conjunction with the Emporia Pork Festival, which is supposedly one of the biggest pork festivals anywhere. It is a good eating time, pork fixed every way imaginable. It is a great opportunity to learn, socialize and eat, drink and be merry. A great day for everyone! Back at the beginning of April, the MCV School of Dentistry kicked off one of its most ambitious projects ever. A committee led by Jeff Levin was charged with raising four million dollars to establish an Oral Biology Research Center and to honor Dr. Willie Crockett. This project was aimed at placing MCV in the top echelon of dental schools across the nation. If you look at the ran kings of dental schools all of the highest ranked schools have some type of research center such as the planned Oral Biology Research Center MCV
Virginia Dental Journal
ranked schools have some type of research center such as the planned Oral Biology Research Center MCV wants. The campaign officially closed the last of April and as a District leader, I hope each of you gave generously to this worthwhile and challenging campaign. If you have not made a pledge, which can be paid over five years, please contact Mr. Tom Burke at the Dental School.
information on the courses. I promise you that these courses are worthwhile and they can put the zip back in your chosen profession and get you excited about dentistry again if you have lost the enthusiasm for it. I have always loved dentistry, but these courses have made a tremendous difference in my practice, my philosophy and my entire life. I urge you to take a serious look at some of these opportunities.
For the past several years, I have taken some continuing education courses with Dr. Peter Dawson in St. Petersburg, Florida. Just this year, I started the Continuum, as it is called, at the l.D. Pankey Institute in Key Biscayne, Florida. All of these courses are designed to not only make you a better dentist, but a better person as well. The courses are designed to teach you how to provide your patients with complete, high quality, predictable dentistry. The courses are also structured to teach you the techniques to accomplish these goals. In addition, the courses at the Pankey Institute help you with the financial management aspects of your practice as well as your personal financial affairs.
The dentists that come to the courses come from allover the country and the world as well. I have met and made friends in many different states and a few foreign countries as well. It has been interesting to talk with them about all of the issues facing dentistry and hear how other states and foreign countries are dealing with those issues. It is also interesting to listen to other dentists talk about their offices and the problems they face, realizing they are sharing the same problems that I have in my office. A lot is learned over lunch and dinner with dentists from other places and how they tackle the same issues that are faced in my office very day. As you can see, the Dawson courses and the Pankey Continuum have offered me a lot and taught me a lot. There is a lot more to learn though and I look forward to each course with a great deal of anticipation in a lot of different aspects, knowing that I will grow not only as a dentist but also as a person. Again, I will be happy to share my experiences with any of you and provide you with any information that I can. I highly recommend both series of courses!
These courses demand a heavy commitment from the dentists that attend them. The tuition to these courses is anywhere from six hundred to fifteen hundred dollars with Pete Dawson for a two and a half day course to twenty five hundred dollars for a week long course at the Pankey Institute. The commitment is not only monetary, but means time away from the office and the family, as well as being willing to make some changes in the way you practice dentistry. You will learn in these courses that semi-adjustable articulators are mandatory at the least. You will learn how to do a complete new patient exam which can take up to ninety minutes on the new patient. You will also begin to change the way you schedule your day in the office, not seeing twenty to thirty patients a day, but rather eight or ten at the most. I have thoroughly enjoyed all of these courses, learning a lot, but also decreasing my stress level as well as increasing my income. I am a lot more satisfied with the quality of dentistry and care that I am delivering to my patients as well, which should be the goal of every dentist. I realize that these courses and indeed the philosophy that is taught, is not for everyone. but if you are interested, please feel free to contact me for more
44 Virginia Dental Journal
As Chairman of the Membership Committee, I urge you to contact your Component's Membership Chairman and help him/her recruit new dentists into organized dentistry as well as get those dentists who have chosen not to renew their membership back into organized dentistry. We need them to keep our voice strong in the political arenas both on the national and state levels. They need us for all the benefits that organized dentistry offers. Talk with your Membership Chairman and see how you can help. He/she has plenty of information to share with you to help recruit and retain those dentists who are on the verge of making a mistake. If you yourself are not sure of the benefits of organized dentistry, then speak to the Membership Chairman and let them
educate you. Then get involved and make organized dentistry even stronger! Component Three wishes everyone a great summer and happy vacationing. Please be careful on the highways while traveling! We look forward to seeing everyone in Virginia Beach in June for the Committee Meetings and in Roanoke for the State Meeting in September. Do not forget that the Annual Meeting of the ADA is scheduled for Washington, D.C. in October. Dentistry is health care that works! It works for our patients and it works for us. We need to work for it, GET IN VOLVED! Dr. H. Reed Boyd, III
Component IV
Richmond
As graduations and summer vacations are almost upon us, this year's monthly membership activities for The Rich mond Dental Society begin to "slow" for the summer months. However, many exciting events and projects have occurred during the last quarter. The Component's April monthly mem bership meeting featured Dr. Jim Nelson, Richmond Oral & Maxillofacial surgeon, who presented a very informa tive program on "Problems and Compli cations In Implant Surgery". May's meeting will be the annual golf and tennis tournaments; followed by a family cookout. Also attending the outing will be MCV dental students and guests. The Component does not schedule monthly membership meetings during the months of June, July, and August. The RDS monthly membership newslet ter continues to be expanded, and many other central office functions are being improved. Also, ongoing, much needed office furnishings and computing capabilities are being added. Congratulations to Dr AI Stenger, who was elected in February to serve a remainder (vacancy) term on The RDS Board of Directors. Many thanks need to be offered for the ongoing hard work of The Component's
Bylaws Committee; chaired by Dr. Ed Mullins, The Committee has been reevaluating the Richmond Dental Society's Bylaws, and has proposed many needed changes to the member ship for consideration,
goal of $30,000 to help get the program up and running by August 1997. The Roanoke area dentists are helping by purchasing dentaforms to be used by the students. Thanks go to all our area legislators, Ms. Ann Hutcherson, head of the Virginia Western Program, and to those dentists who have persevered through budget cuts etc. to see this program finally become a reality.
A Mentor/Future DDS program continues to be established at The VCU School of Dentistry, in association with The Richmond Dental Society, Interested RDS-member dentists are to be paired Dr. E.P.Snyder, D.D.S.
with desirous second, third and fourth "Chopper"
year dental students; to offer help with the business aspects of contemporary dental practice management. The interest generated to date has been great, and it is hopeful that the program will be functioning by fall. Component VII Richmond Dental Society members are reminded that the VDA Annual Meeting will be held in Roanoke during Septem ber. It is not too early to begin making plans to attend this year. Have a GREAT summer!
Shenandoah Valley
~~
Greetings from the Valley Dr. Charles E, Gaskins, III
Component V
Piedmont
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•. • .• ,<.•. • .• . ..~.
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,
We in the Piedmont Region of the VDA are very pleased that the state legislature and the governor have found the money to fund a dental hygiene program at Danville Community College. This program, and the individuals it will provide a dental hygiene education too, is desperately needed in this part of the state. The program will be unique that it will incorpo rate a new technology where the didactic education will be done via two way video and audio with Virginia Western Commu nity College's Hygiene Program. The clinical portion will be done in Danville and use a local population of individuals who are unable to afford traditional dental care. To help this program, the Piedmont Dental Society will donate $1OOO/accepted class. The dentists of Southside Virginia (Patrick County to South Boston) have a pledge
April 18th saw the return of Dr. Paul Belvedere to Charlottesville for our spring conference. A wonderful multi media presentation on esthetic tech niques in composite dentistry was well attended and appreciated. A Direct Reimbursement Seminar was pre sented to our component followed by our business meeting. That evening provided an entertaining social and dinner with opportunities to meet fellow members. On Saturday morning we had breakfast followed by a goals setting workshop. An exciting time of fellowship and planning for our future was had by all. May I remind everyone of our individual responsibilities to support VADPAC through our voluntary and generous contributions, to support and foster the growth of Direct Reimbursement throughout our Commonwealth and to challenge each of you to become more active in your association. Enjoy the springtime and hopetully we'll meet in Virginia Beach for the June Committee meetings. Dr. Gerald J. Brown
Component VIII
Northern Virginia
We can all breathe a sigh of relief as we welcome Spring and continued mild weather after a very easy winter. Our component has welcomed the following new members: Dr. Noell Capestany Dr. Todd Casey Dr. Matthew E. Doukenick Dr. Ali Yousef Ghatri Dr. Katryna S. Golian Dr. Shohren Kazerooni Dr. Thomas Kwon Dr. Vicki Leung Dr. Luis Martinez Dr. Douglas Mahn Dr. David Mortvedt Dr. Saeid Mortamedi Dr. George Papastergiou Dr. Mark Richards Dr. Nathan C. Tsui Dr. Nicole Van Dr. Todd Wynkoop The NVDS is proud to congratulate Dr. Douglas C. Wendt, who was inducted as President of the American Prosthodontic Society, and Dr. Raymond T Bond, who is the Program Chair for the 1998 APS Annual Scientific Meeting in Chicago. We have been following the travels of our own ADA President-Elect Dave Whiston around the country. On his last return trip to Northern Virginia, Dr. Whiston ad dressed the Congressional Subcommit tee on Interior and Related Agencies, and the Committee on Appropriations on Indian Health Service Appropriations. He was warmly received and supported by Congressman Jim Moran (0- 8t1; Virginia). "Starting A Practice From A-Z" was the topic of a presentation on April 17 which was sponsored by the Committee for the New Dentist. This enthusiastic commit tee has been hard at work in their efforts to reach out to new members and non members alike. Dr. Frank Spear will speak to the mem bership on "Restoration for Health Function and Esthetics." This will'be an all day meeting at the Fairview Marriott in Falls Church. The Annual Field Day is scheduled for June 6 at the International Golf and Country Club. Dr. Melanie R. Love
Virginia Dental Journal 45
~Ublic Health New~
The Office of Family Health Services (OFHS) which includes the Division of Dental Health in the Virginia Department of Health was recently reorganized. As a result of the reorganization, the number of Divisions in OFHS was reduced from six to four. The Division of Dental Health retained Division status. Other Divisions in F\OFHS include Child and Adolescent Health, Women's and Infant's Health and Chronic Disease Prevention/Nutrition. The Divisions of Health Promotion and Children's Specialty Services were absorbed. Staff changes resulting from the reorganization include the establish ment of full time data entry and grant coordinator positions in the Division of Dental Health. The Division of Dental Health IS currently working on a new project to assess the prevalence of Early Childhood Caries (Baby Bottle Tooth Decay) in Head Start Centers in Virginia. A Masters in Public Health student from the Department of Preventive Medicine at VCU School of Medicine is assisting in the collection of data. An educational component of this project includes the distribution of sipper cups, videos, pamphlets, and posters to local health department dental and Women, Infant and Children (WIC) clinics as well as Head Start Centers. The Division continues to assist commu nities to upgrade or install fluoridation equipment. Since 1996, the communities of Fries, Hillsville, Kenbridge, Keysville, Luray, Pound, Pocahontas and Wilder ness Shores/Lake of the Woods in Orange County have been assisted in this endeavor. The School Topical Fluoride Mouthrinse program is offered to areas where community fluoridation is not feasible. The number of children in this program increased this year. With the recent addition of schools in Page and Caroline Counties, there are more than 32,000 children participating in this program statewide Dr. Karen C. Day Division of Dental Health Virginia Department of Health
46 Virginia Dental Journal
( MeV NOTES
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The 74th Annual Session and Exposition of the American Association of Dental School (AADS) was held in Orlando, Florida during the period March 15 - 19. It was an exceptional meeting for the MCV/ VCU School of Dentistry. Dr. Lindsay M. Hunt, Harry Lyons Professor and Dean was elected to the position of president elect of the American Association of Dental Schools. Dr. David Whiston, president elect of the American Dental Association was in attendance as his fellow VDA member and friend was selected to lead AADS in 1998. "I am very pleased to receive the support of my fellow deans as well as the mem bership of the AADS," said Dr. Hunt. "I am looking forward to working with the administrative staff and representing the membership when necessary to govern mental and state agencies." Dr. Hunt will become president of the AADS in March of 1998 during its annual meeting in Minne sota. In other AADS meeting news affecting MCVIVCU faculty and student members: Ms. Janet Scharer, Chairperson and Ms. Joan Pellegrini of the Division of Dental Hygiene presented two posters during the exposition portion of the meeting. Ms. Pellegrini was also elected to the Chair elect position of the Section on Geriatrics and Gerontology Education. Ms. Scharer served as a delegate for the Council on Allied Program Directors. Mr. Thomas Burke, Assistant Dean for Development and Continuing Education was elected to the position of councilor for the Section on Development, Alumni Affairs, and Public Relations. In this position Mr. Burke will be the liaison between the Section and the Council of Sections. Dr. James Hardigan, Assistant Dean for Administrative Affairs was a panel member during a discussion on Out comes of the Community-Oriented Dental Education Programs. Ms. Karen Cole a senior dental student gave an outstanding presentation on the topic Academic Integrity: Challenges for the Future. Karen was one of four presenters and the only dental student on the panel. Karen was also elected to
serve as the Vice President of the Council of Students. Mr. Kevin Spillane a sophomore dental student was elected to the position of Secretary of the Council of Students. Mr. Emanuel Scordalakes another sopho more student was elected as the regional AADS representative. Dr. Charles Massier assisted as well as presented a workshop entitled, "Develop ing and Evaluation Competencies In Postdoctoral General Dentistry Pro grams: A Targeted Workshop for Directors and Faculty of Postdoctoral General Dentistry Programs." He was also elected Chairman of the Section on Postdoctoral General Dentistry Pro grams. Dr. Linda Baughan, Chair of the Section on Gerontology and Geriatrics Education moderated a discussion on Root Caries: Materials, Preparation, and Epidemiology for the Sections on Biomaterials, Operative Dentistry, and Gerontology and Geriatrics Education. Dr. Michael Whitehill presented an excellent program on "Etiology and Prevention." Dr. Lou Abbey served as a Delegate to the House of Delegates from the Section on Pathology. Dr. Tom Koertge was elected to the position of Chair-elect for the Section on Periodontology. Dr. Gary Hartwell concluded his Chair manship of the Section on Endodontics. Ms. Zita Barree who coordinates financial aid for the School of Dentistry was elected Chair-elect of the Section on Financial Aid. Dr. Betsy Hagan was elected to the position of Councilor for the Section on Clinic Administration. The AADS meeting in Orlando was attended by over 2,000 dental and dental hygiene educators representing both the United States and Canadian dental schools. Of the thirty faculty members attending this years' meeting twenty-two serve in leadership positions within the AADS organization. Tom Burke, Assistant Dean
Dental Careers Foundation Educating Virginia's Finest Dental Assistants
1905 Huguenot Road, Suite 200 Richmond, Virginia 23235 Phone 804-794-1754
Dental Radiation Safety Virginia Dental X-ray Certification
Several times per semester, DCF offers "Dental Radiation Safety: as an individual course. Upon successful completion of this 8-hour course, a participant is certified to expose and develop radiographs in the State of Virginia. Our course offers training in technique as well as radiation safety and includes:
Other DCF courses include: • • •
All Aspects of Radiation Safety Endo Films & Quick Developing FMX Placement and Film Mounting Use of RINN XCP Holders Panoramic & Cephalometric Technique Developing & Fixing and Processor Maintenance Quality Control Measures and Troubleshooting And Much More!
Adult & Infant CPR Osha & Infection Control Comprehensive Dental Assisting
The Fee For the Course is $99.00 & includes hand-outs and supplies. Those students enrolled in our 12 week Dental Assisting Course need not register for this course, as it is included. Space is Limited, so call today to reserve a seat for your assistant. Or you may complete the registration sheet below and mail or FAX it to DCF.
DCF Registration Form 1997 Name
~,........,_~ :_:____:_~-Print Name as You Would Like For it to Appear on Your Certificate
Home Phone Address Dental Practice Name Dental Practice Address Birth Date
SS#
_
Work Phone _ _~ City ~
Sex M
VISA or MC # Print Name of Card Holder
F
~_ _
Zip
_ _ _
~
County or City of Residence
_
Expires Signature
_ _
Please enroll me in the course listed below: Check one please. This form may be duplicated for other assistants or students. R c ass b egins, proviided e that a c Iass is not full e 'istration is acce ted unn'11
Check Here
Course # 101 101 101 101 101 101 101 101 101
Section # 005 006 007 008 009 010 011 .012 013
Date Friday, April 25, 1997 Saturday, May, 31, 1997 Saturday, June 28, 1997 Saturday, July 26, 1997 Saturday, August 23, 1997 Friday, September 26, 1997 Saturday, October 25,1997 Saturday, November 22, 1997 Saturday, December 13, 1997
Time 8am-Sprn 8am-Sprn 8am-Sprn Sarn-Spm 8am-5prn 8am-5pm 8am-5pm Barn-Spm Sam-Sprn
Cost $99.00 $99.00 $99.00 $9900 $99.00 $99.00 $99.00 $9900 $99.00
Mall this registranon form and credit card information or check (payable (0 DCF) (0: Dental Careers Foundation, 1905 Huguenot Road, Suite 200, Richmond, Virginia 23235. Or FAX it (credit card only) to 804-794-7974.
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irginia Dental Laboratories, Inc. no w. York Street Norfolk. Virginia 23510 (804) 622-4614 8()O-870·4614 Cf'" 1992 Austcnal, Inc. All Rights Reserved. Vitnllium ' trademark licensed to Austenal, Inc. hv Pfizer Inc.