Virginia Dental Journal by Virginia Dental Association

rt~~tlRi• • • • • • • • • •III• •II.III.II.IIIIIl• • •tl:1B4Hl~Ii~• •~jiifuf:f~~~&lii!~;t~~t!,;~·..... :

•..

VDA MEMBERSHIP Benefit From Your Association Membership and Benefit Your Association Plans Endorsed by the Virginia Dental Association to Meet

Your Professional and Persona] Insurance Needs

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

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

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

.....-LONG TERM CARE

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

.....-ACCIDENTAL DEATH & DISMEMBERMENT

Up to $300.000 24-hour accident insurance available to member and family.

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

.....-BUSINESS OVERHEAD EXPENSE INSURANCE Reimburses your office expenses, if you are disabled. Pays in addition to disability income benefits. Premiums are tax-deductible .

. i:

.....-CONVERTI BLE TERM LI FE Up to $1.000,000 for members and spouses. Children's rider available. Insurance does not reduce in amount as age increases. Convertible at any age.

. ' i k :. 6

flt

~j"

'. •

SUTERHAYCRAFTSSIMMONS ''is,,,,~~·(r

LOP

TI'~

f-'H()'~SSIO'lJ>L

Virginia Dental Association \ Insurance Broker 113 Park Avenue, Falls Church. Virginia 22046

: ~

• •

Call OUJ) 2.:11-0011 or (800) 572-2366 (in Virginia) or Fax (703) 2~7-~562:

'.c.~:I~!ti¥J~~~~!.T~t!~~:':~~:ii·![:.J!:iJ)lI~.~~.::t~~l~~!~'f~~~~~~'!:!f;:!:N!~."''':4t:. ~;."

• . . . .. . . . . .

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 LJ SA • 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

of American History • Tours to museums, monuments. government institutions, including a special gnided tour of the Holocaust Memorial,

the history of our nation, experience the

triumphs of our people and rekindle our

hopes for the future. Visit Washington,

Mount Vernon, and Capitol Hill. • Youth programs on civic and historical topics • Post session seminar in Bermuda

D.c.

for the 138th ADA Annual Session,

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 lcgibl»

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

Address

U Table Clinic Application .J Technical Exhibit

Cily

Prospectus State

Country. if

11(1(

USA

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

~ ~

..J

OFFICERS 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 Includes officers and councilors listed and: David C. Anderson, Alexandria -Vice Chairman Thomas S. Cooke III, Sandston

III IV V VI

Gus C. Vlahos, Dublin Andrew J. Zimmer, Norfolk

Harold J Neal, Jr., Emporia James R. Lance, Richmond Daniel E Grabeel, Lynchburg- Chairman Ronnie L. Brown, Abingdon

Ex Officio Members: VII William J. Viglione, Charlottesville Parliamentarian: Emory R. Thomas, Richmond VIII Rodney J. Klima, Burke Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: D. Christopher Hamlin, Norfolk Dean, MCV School of Dentistry: Lindsay M. Hunt, Jr., Richmond

~ ~

-e -z -

COUNCILORS I Edward J. Weisberg, Norfolk II Bruce R. DeGinder, Williamsburg

SOCIETY

PRESIDENT

SECRETARY

PATIENT RELATIONS

Tidewater, I

T Wayne Mostiler 303 DePaul Medical Bldg Nortolk, 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 Colonial Heights, Va 23834

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

Richmond, IV

Benita A. Miller 5700 Old Richmond Avenue Richmond, VA 23226

Charles E. Gaskins III 703 N. Courthouse Rd Ste 201 Richmond, VA 23236

Thomas S. Cooke III 39 W. Williamsburg Road Sandston, VA 23150

James R. Evans 936 Main Street Danville, Va 24541

Gregory T Gendron 7 Cleveland Avenue Martinsville, VA 24112

Edward M. OoKeefe 4102 Electric Road Roanoke. VA 24014

David L. Stepp 330-B Cummings Street Abingdon, VA 24210

Dana Chamberlain 645 Park Blvd. Marion, VA 24354

Jack D. Cole 303 Court Street Abingdon, VA 24210

J. Ted Sherwin 111 Spicers Mill Road Orange, VA 22960

Edward L. Amos 1002 Amherst Street Winchester, VA 22601

Bruce R. Hutchison 14260 A-B Centreville Sq Centreville, VA 22020

James A. Pell Seven Corners Professional Bldg. Falls Church, VA 22044

Piedmont, V

Southwest, VI

Shenandoah Valley, VII

Northern Virginia, VIII

William J. Viglione 3025 Berkmar Drive Chartotte svttm, VA 22901 Neil J. Small 9940 Mai n Street Fairfax, VA 22031

William E. Zepp, CAE. Business Manager

Leslie S. Webb .lr., Editor

ASSOCIATE EDITOF~S 4. Charles E. Gaskins III 5. Edward P Snyder 6 David L. Stepp

1. Bernard I. Einhorn 2. Corydon B. Butler, Jr

3. H. Reed Boyd III

Volume 74

July

September 1997

7. Rebecca Scanga Swett 8. Melanie R. Love

MCV Thomas Burke

NUI11ber 3

TABLE OF CONTENTS

5 6 7 8 9 12 16 19 20 22 24 28 30 35 36 37 39 41 42 48

Editorial Letters to the Editor " Message From the President Svirsky On Infection Control Abstracts Richmond Minority Ministry in Dentistry 1850-1950 Roanoke: The Meeting From the Executive Director Board of Dentistry Appointees Science Talent Awards Executive Council Actions In Brief Membership Benefit Highlight VDA News Direct Reimbursement News Alliance of the VDA News ADPACIVAD PAC: More Bang for The Buck Children's Dental Health Fair Upcoming Continuing Education Component News Classified Ads

COVER: Washington, DC photos by C. Amy Still 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, Richmond, VA 23230-0906.

ADVERTISING COPY, insertion orders, contracts and related information: Business Manager, PO Box 6906, Richmond, VA 23230-0906.

VDA COMMITTEE CHAIRMEN

VIRGINIA JOURNAL

EDITORIAL

BOARD

Annual Meeting Bruce R. Hutchison Auxiliary Education & Relations A. Carole Pratt

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.

Ford T. Johnson

Thomas E. Koertge

James R. Lance

Daniel M. Laskin

Travis T. Patterson, \l\

W. Baxter Perkinson, Jr. Lisa Samaha David Sarrett Harvey A. Schenkein James R. Schroeder Harlan A. Schufeldt John A. Svirsky Ronald L. Tankersley Douglas C. Wendt Roger E. Wood

Budget and Financial Investments Jeffrey Levin Cancer and Hospital Dental Service

James A. Pell

Caring Dentists

Harry D. Simpson, Jr.

Constitution and Bylaws/Nominating Ronald L. Tankersley Dental Benefits Programs

Fred A. Coots, Jr.

Direct Reimbursement Benita A. Miller Environmental Health and Safety Paul Supan History and Necrology Edmund E. Mullins, Jr. Institutional Affairs Elizabeth Bernhard Journal Staff Leslie S. Webb, Jr. Legislative T. Wayne Mostiler Membership H. Reed Boyd III

Dental Delivery for the Special Needs Patient New Dentist Russell A. Mosher, Jr. Barry Shipman Dental Health and Public Information Adel J. Rizkalla Dental Practice Regulation Douglas C. Wendt Dental Trade and Laboratory Relations George L. Nance, Jr.

Peer Review and Patient Relations Edward M. O'Keefe Planning Ronald L. Tankersley Search Committee for VA Board Ronald L. Tankersley

-------------_._-----_. --_ ..----_._----~----Relief Foundation Scott H. Francis

Education Foundation Ralph L. Howell, Jr.

Virginia Dental Services Corporation

Kenneth E. Copeland, Sr., President

1997 ADA DELEGATION Delegaces:

138ch ADA Session, October 18-22, 1997, Washington DC

William H. Allison (1999) Wallace L. Huff (1998) Ronald L. Tankersley (1999)

Atterrute Delegaces: Anne C. Adams ( 1998) Charles L. Cuttino, III (1997) Bruce R. Hutchison ( 1997)

4 V'lrg'lnia Dental Journal

Gary R. Arbuckle (1998) Emanuel W. Michaels (1999) Raleigh H. Watson, Jr. (1998)

M. Joan Gillespie (1997) Leslie S. Webb, Jr. (1997) Richard D. Wilson (1999)

David C. Anderson ( 1997) D. Christopher Hamlin (1997) Gus C. Vlahos ( 1997)

Richard D. Barnes ( 1997) Lindsay M. Hunt, Jr. (1997) Andrew). Zimmer ( 1997)

[EDITORIACl] Direct Reimbursement: A Dental Benefit Concept that Makes Everyone a Winner It has been almost 20 years since the American Association of Orthodontics endorsed and began promoting Direct Reimbursement as a dental benefit concept. It attracted little attention then. Many said it was a great idea, but promotional efforts remained minimal. Why? Dental Insurance was in its infancy. Most patients were tee-for-service patients. Employers were not stressed by skyrocketing medical costs. Dentists. patients and employers were happy with the system. As medical costs soared in the ensuing years, managed care became the buzz word of government, business and the insurance industry. Medical costs must be controlled. Dentistry, which composes approximately 4% of health care costs, was pulled along for the ride. Closed panels, limited services, reduced reimbursements and restricting contractual agreements left both consumers of dentistry and dental practitioners feeling that the managed care system left a void in the doctor-patient relationship and in the patient's ability to decide his or her own treatment. Reimbursement payments under many managed care plans were shrinking. This affected dental practices, whose overhead averaged 65% of gross income. In the legislative arena, organized dentistry said do not lump us with other health providers. We are different. Dentistry is cost effective, preventive-oriented health care that works. In this atmosphere, Direct Reimbursement's attractiveness as a method for providing dental benefits began to attract more interest. DR promotes the doctor-patient relationship by letting patients choose the dental provider of their choice and openly discuss their treatment options. It lets the employers design their plans to provide only the level of benefits they can afford. Copayments and limits are.set by the employer. It minimizes administrative costs by letting employers self-administer or, if they wish, hire an administrator to manage the plan for a minimal fee. It is a plan easily explained to and understood by employees. The patient decides on the services he wants, pays for his services and submits his receipt to the employer for reimbursement. This makes the patient clearly aware of costs and encourages him to make the most efficient use of the benefit dollars available under his plan. In 1995 the Virginia Dental Association House of Delegates voted to fund a Direct Reimbursement action plan for Virginia. Later in 1995, the American Dental Association House of Delegates provided $500,000 to design a DR pilot marketing program. Six constituent ADA societies were selected to participate in this pilot program. I am proud that Virginia was included. National marketing materials and advertising were developed. DR programs were promoted to employers in these states. In 1996 the ADA House of Delegates approved an additional three year $2.5 million per year appropriation to include all states that wanted to be involved in DR in an even more aggressive national marketing plan. Direct Reimbursement name recognition by companies, CEO's and CFO's is increasing and so are patients covered by DR. Through membership promotion of DR in offices with individual patients and in the community, aided by constituent and ADA programs, backed up by unified national advertising, DR can become a factor in the dental benefit marketplace. It is up to each of us to be involved and see that it succeeds.

Leslie S. Webb, Jr. Editor

VDA Direct Reimbursement Committee meeting at Virginia Beach Chaired by Dr. Benita Miller.

Virginia Dental Journal 5

--] THE EDITOR ·

"'Cc

-p--

---:

a c c

'< [

G r CD s;

on continuing the fine , both for its scientific members abreast of a wide /ities.

1997 General Assembly 4, number 2, April-May .cifically the Dental Hygiene iew made it sound like the l passage of the bill to rs not the case at all.

Governor Allen signs legislation to remove the post-test requirement for dental hygienists licensed in Virginia when taking continuing education courses to be accepted for license renewal. Pictured with Governor Allen, from left: Margaret Stevenson, President, Common wealth Dental Hygienists Society (CDHS); Trudy Levitin, President elect, CDHS, and Delegate Frank Ruff, chief patron of the bill.

assinq of legislation calling 'lia to take a post-test as :. courses was the impetus orqanization in Virginia rtal Hygienists Society 1 requiring the post-test hip of the VDHA which t the feelings of many rank I not the majority of non-

lead to the 1996 legislation

Ruff. The legislation was

on, and if it were not for

) and during the carry-over legislation would not have 3 eventual passage.

new organization and its from the law that the lich it should have done

t issue. And of course the

~-~--_.~-~

---', I

Corrections to our last issue.....

The April-June 1997, issue of the Virginia Dental Journal (Volume 74, Number 2) featured an article written by Dr. Michael E. Miller, entitled "Virginia Dentists Deliver Mes sage to Capitol Hill Lawmakers." Between the final blue line and the printed issue, Dr. Miller's byline disappeared.

The Virginia Dental Journal apologizes to Dr Miller for this error.

i I I I ! !

sst-test was removed from

....

In the candidates' statements section of the April-June 1997 issue, Dr. David C. Anderson was listed as a candi-

~~-

MESSAGE FROM _TH_~ P~_~SIP~~_T,

J )

, J

i: ,)

In mid-July as I prepare these remarks; the waters surrounding the VDA seem extremely calm. No legislative or any other kind of crisis is facing us at the moment The national scene appears to be the same. The stock market is at an all time high. Unemployment is at its lowest level. We as a nation are enjoying great prosperity and peace around the world. At the moment, some good advice is to thank the Lord for all these blessings and to relax and enjoy them. That was not the way my father would react to good reports, especially mine. No matter what grade I received or how weill played in a game, he would carefully point out how I could improve. So with everything going so well for the VDA, I was reminded of my father when I thought of a few things we could concentrate on to better our performance. The VDA has in place a Virginia Dental Service Corporation to earn profits for us- the members. It is the function of the service corporation to come up with excellent products that beat the market's best in price and quality. For example, the Service Board has placed a high priority on getting the best insurance program available before us. The MBNA Platinum Plus card is top rated arrd pays super dividends to the Association. All of this is good, but this will not be a success unless we, as members, become smart shoppers and buy from ourselves. When we hear fellow members and non足 members complain about high dues, remind them that every time we purchase something that is endorsed by the VDA a good percentage of the cost is returned directly to the Association. This does help to reduce our dues and to continue to keep services to our members at a high level. Another thing that we should keep in mind is that we have a wonderful setup in place for Direct Reimbursement There is a strong committee, a great broker team, and an excellent VDA Assistant Executive Director in Connie Jungmann. They are committed to "selling" DR. When we find a prospective DR program we need to refer this to Ms. Jungmann. We must think about and talk about this form of insurance to our patients and our friends. For instance, getting Cork Coyner or Jon Swan to do your Rotary Program would enable all the businesses in your community to hear about DR at one time. It is important to remember that the small businesses add up and are just as important as the big corporations. Finally, member support is needed for two upcoming events. All members should mark on their calendar two dates, September 24-28, and October 18-21. The first date is the VDA meeting in Roanoke. The business of the Association will be conducted along with useful continuing education programs. The second date is the ADA meeting in Washington, ;DC where our own member, Dave Whiston, will take office as President And, along with everything else that makes an ADA Annual meeting great, you can easily drive there this time. See you in Roanoke and Washington.

Virginia Dental Journal 7

SVIRSKY ON INFECTION CONTROL

This infection control column can be reviewed and dis cussed in the office. Records of the meeting should be kept with each employee's OSHA training records for three years.

II i !

I I

I i I

Maintenance of Clinic Areas and Operatories: It is the responsibility of all health care providers to keep the treat ment areas clean, neat and orderly. Sinks are to be kept clean and free of waste materials and instruments. Paper towels and tray covers are to be deposited in the appro priate waste receptacles lined with plastic bags. Paper goods should not be stored in open areas of the operatory. Whenever objects are to be rinsed in sinks, it is important to avoid spatter. One dental team member should be assigned to check the office for cleanliness and make sure that all the reus able items throughout the office are properly stocked and replenished (soap in the washrooms, etc.). This should be done twice daily. Additionally the ultrasonic solution and instrument presoaking solutions should be changed twice a day. The ultrasonic cleaner should be drained, disinfected and dried at the end of each work day.

Provider Responsibilities Before Treatment: A. Spray and wipe the following items with an appropriate disinfectant solution in a spray bottle. Spray a second time and allow to stand for ten minutes. Bench surfaces Unit hoses Dental unit controls (one should consider barriers in place of chemical usage around electrical controls) Air- water syringe (consider using barriers over the handle) High volume suction handle and bracket Brackets Chair arm rest Drawer handles B. All instruments used intra orally must either be steril ized or disposable. C. Barrier coverings, such as foil. paper or plastic, must be placed over surfaces frequently touched. such as lamp handles. headrests. bracket tables, 3-way syringes, counter tops and dental operatory seat control switches.

8 Virginia Dental Journal

D. High and low volume suction lines should be tlushs with water for 60 seconds before and after treatment. Cal sider also running disinfectant through the lines betwes patients. This should be done prior to attaching handpiec and disposable tips. Suction lines should be disintects and flushed with water for 60 seconds at the end of tr day. Filters and traps should be cleaned at this time. E. Water should be passed through 3-way syringes an handpiece hoses for 60 seconds before attaching hanc piece and disposable tips. This should be done prior t setting up for each patient.

F. Cover all instruments with a bib towel which will later b used to cover the patient. G. Seat your patient; review the medical history and phys cal findings and review the treatment planned for the ses sian. H. Tie your mask in place and wear your protective eveweai check to see that your collar and cuffs of your clinic attin are closed. Provide your patient with protective eye wear

I. Perform a thorough hand wash. It is important to finis! with a cool rinse to close your pores prior to placing or gloves. Make sure your hands are completely dry prior te placing on gloves. This decreases the chance of irritatior to the skin. Do not allow petroleum based products to can tact your gloves. Remember to remove your gloves if YOL need to leave the operatory area or write in the chart. Was~ and dry your hands each time you remove your gloves.

If you have any questions regarding infection control, OSHP or transmission of communicable pathogens in the denta environment, please send them to me at the following ad· dress: John A. Svirsky, D.D.S., M.Ed. Department of Oral Pathology - MCV Post Office Box 980566 Richmond, Virginia 23298 or fax: (804) 828-6234.

\ABSTRACTS.J

He practiced in Los Angeles, CA for a year before entering the Periodontal Residency Program at VCUIMCV School of Dentistry. He was a Dean's Scholar in dental school and received the Endodontics A ward for excellence. Dr. Yeung is a second year resident in periodontics.

, e provided by the Department of bstracts wer ,

ij'VCUIMCV School of Dentistry We sppreciete t, h I'ndividuals have made to the Journal. ifl tnet t ese , ':"'h ks to Dr. Thomas C, Waldrop, ~t~ , Director , " . -J tiICs, 'or his efforts' and assistance In ertOuon I', resident's profile information.

'd'R 0 de Lima F: Compliance with supportive , en and its relation to the blee diIng In ind ex, J , herapy ,67;976-980, 1996, To evaluate patient compliance with periodic recall 'tudy the relationship of bleeding on probing who returned regularly. fudy was conducted on 418 patients with a mean After active periodontal therapy (APT), the ere instructed to return for supportive periodontal Y»)at 3-6 month" intervals and were divided into nt groups: patients who returned periodically; began, but then abandoned SPT; and patients who ied. Each group was evaluated in terms of gender, f'disease, and type of treatment. During SPT, the leeding index and also bacterial plaque were rehe test group consisted of 39 patients who returned nd were studied for BOP between the first and last The control group consisted of 21 patients who Jgularly and who had discontinued SPT for at least hey were studied for BOP between the visit before ng the SPT visits and the first visit after returning to

$'years.

:. Only 11 patients returned periodically after the end 07 patients returned at least once and then dropped ':g01 never returned, There was a significant difference the proportion of patients who complied with SPT d the proportion of patients who didn't comply (74%), s no statistical difference between gender differences, spect to severity, patients with early or advanced shad a statistical difference, The patients with advanced ,~ were disproportionately concentrated in the group who d for SPT. There was a statistically significant difference ,n treatment groups. Surgical patients were in a dispro ately concentrated group that returned for SPT.

~USSION:

The disappointing behavior of patients during to be more aggressive in ~bng.and explaining the importance of SPT. SPT was five since a significant increase in BOP was observed in ntrol group, Fear played a role in SPT because surgical ents had a greater compliance, and therefore were more red of losing their teeth,

.1e~ance suggests clinicians need

,Gabr~el

Yeung received his B.A. from the University of s.s0ur!-Kansas City in 1991, and his D.D.S. from the 'verslty of Missouri-Kansas City Dental School in 1995.

Newbrun E: Indices to measure gingival bleeding, J Periodontol 67:555-561, 1996, PURPOSE: To discuss various methods of assessing gingival bleeding with respect to meeting the Ideals of diagnosing periodontal disease, DISCUSSION: Purpose of a bleeding index: A bleeding index (BI) can fulfill several different purposes. Epidemiologists, researchers, and clinicians have all used a measure of gingival bleeding for their own reasons, Also, the purpose can deter mine the most appropriate type of index to use, Comparison of bleeding indices: Gingival and periodontal indices are a relatively late development as compared with the caries index. Since 1974, several indices that exclusively determine gingival bleeding have been described. Periodontal probes are usually used to elicit bleeding, but toothpicks and dental floss have also been used. Most of these BI's employ a simple dichotomous determination of presence or absence of bleeding, The popularity of dichotomous scoring of bleeding response is undoubtedly due to its simplicity, However, all clinicians realize that a range of bleeding responses exists, both with respect to the extent of bleeding the time it takes for bleeding to occur after provocation. Several BI's grade the bleeding response on a scale of 0 up to 5. Of course these scores are nonparametric and an average of 3 is not necessarily twice as severe as an average of 1.5; nevertheless, the grades do distinguish be tween severity of bleeding responses, Also, it seems that angular probing (at approximately 60 degrees to the long axis of the tooth) of the gingival margin is a more sensitive indicator of gingival inflammation and is less likely to elicit false-positive bleeding than probing to the bottom of the pocket. Pressure used for probing: Even in healthy gingiva, the percentage of sites with bleeding on probing increases linearly with an increase in probing force from 0.25 to 1.0 N; accordingly, a maximum force of 0.25 N has been suggested to avoid trauma to clinically healthy gingival tissues, Since this is the case, it may be advisable to use controlled-force pressure-sensitive periodontal probes when eliciting bleeding. Reproducibility of bleeding measurements: The reproducibility of bleeding measurements has been a problem, Neither parallel nor angulated probing, either with manual or controlled force probes, was superior with respect to reproducibility, Smoking and gingival bleeding: According to one recent survey, there are no periodontally healthy patients who are, or have been, heavy smokers, Most investigators have found that smokers have less bleeding on probing than nonsmokers, However, recently smokers were found to have similar immediate bleeding on probing as nonsmokers, but almost double the frequency of delayed bleeding on probing, There is sufficient data to indicate that smokers should be considered in a separate group in periodontal studies and that smoking needs

Virginia Dental Journal 9

:rs, coniJ es on gingival bleeding. Bleed I disease activity: Generally, 1 poor or at best a moderate ent loss because many non ng (too many false-positives, low on probing does have a high absence is a good predictor of

his B.A. degree from the 92, and his D.D.S. from SUNY edicine in 1996. He was a :ker and Carl W Lasher second year resident in 1001 of Dentistry.

2mm than in the control group at both 3 and 6 months: (26% \ 15%; and 35% vs. 21 %), respectively. The Chlorhexidine qro: had significantly less BOP only at 3 months and lower GI scores at 3 and 6 months. There were no differences betwee, groups for supragingival plaque or SI. DISCUSSION: The results of trus study show that the use of ; Chlorhexidine subgingival delivery system as an adjunct to scaling and root planing in adult periodontitis patients results i greater clinical improvements over scaling and root planing alone. The differences in improvement are comparable to scaling and root planing by a skilled operator using local anesthesia, and with unlimited time. In addition, the results obtained in this study are similar to results obtained in previou studies using intrapocket delivery systems with tetracycline, minocycline and metronidazole. Unlike other antibacterial agents, the use of Chlorhexidine does not produce bacterial resistance.

Dr. Tracy Kreiger received her B.S. degree from Trenton State College in 1992, and her D.M.D. from Temple Univer sity School of Dentistry in 1996. She received the Ameri can Cancer Society Surgical Oncology Fellowship and wa; a Dean's Scholar in dental school. Dr. Kreiger is a second year resident in periodontics at VCUIMCV School of Dentistry.

abholz, G. Smart, M. Palmer, rstained local delivery of periodontitis: a Multi-center 1997. inical effects of a Chlorhexidine :l as an adjunct to scaling and . patients

Kaldahl WB, Johnson GK, Patil KO, and Kalkwarf KL: Levels of cigarette consumption and response to periodontal therapy. J. Periodontol 67:675-681, 1996.

te adult periodontitis were completed the final 6 month nouth scaling and root planing. .xillary quadrant in each patient either scaling and root planing with Chlorhexidine. All 8mm were examined. Clinical depth (PO), clinical attach Jbing (BOP), plaque index (PI), ndex (SI) were recorded at 1,2. ites received supragingival site with a PO of 5-8mm was

PURPOSE: To evaluate the effects of the level of cigarette consumption and a previous smoking history on the response t< active periodontal treatment and up to 7 years of supportive periodontal therapy (SPT) .

rnificantlv

nrp~tpr rprl,,,,tinnc in

M&M: 74 patients with moderate to advanced periodontitis were selected to assess the therapeutic outcomes of 4 peri odontal therapies. The smoking status of each patient was determined by their level of cigarette consumption at the initial examination: 1) heavy smokers (HS): > 20 cigarettes/day; 2) light smokers (LS): < 19 cigarettes/day; 3) past smokers (PS) had a history of smoking regularly but had quit by the initial examination; and 4) nonsmokers (NS). The 4 dental quadrants patient were randomly designated to receive one of four therapeutic modalities: coronal <;r~linn rnnt nl"n;n~ ~ .... ,,:~ ....

vs.: JUp,

a n路

ESULTS: Following all phases of therapy, PS and NS

R , tl exhibited a significantly greater reduction In PO

. consl sten Y to have more PD reduction than nd LS. PS tended d ' . than HS. a g SPT LS tended to show more re uction In PO th an NS dunn . HS during SPT. Following all phases of therapy, PS and NS

had greater CAL gains than HS and LS. There were no

. tently significant differences between PS and NS or

consl S diff f II '

between HS and LS. There were no I erences a oWing

ti treatment between the 4 groups for mean change In

ac iva S nib d HPAL at furcation sites. HS and L ex lite greater mean

h r'zontal attachment loss at furcation sites than PS and NS

d~r:ng SPT. All groups experienced a similar decrease in the

valence of bleeding sites after active therapy. HS tended to pre . t si h show a significantly higher prevalence a sites Wit

supragingival plaque than LS, PS. and NS.

DISCUSSION: The results indicate that smokers have a less favorable response to periodontal therapy than nonsmokers. An encouraging finding was that former smokers responded to periodontal therapy in a manner similar to non -smokers. Thus, a past history of smoking was not deleterious to the response to therapy.

Dr. Augusto Araujo received his B.S. from the University of Maryland in 1991, and his D.M.D. from the University of Pennsylvania in 1995. He graduated Magna Cum Laude from Maryland and was a Dean's Scholar in dental school. . Or. Araujo is a third year ~sident in periodontics at VCU/ of Dentistry.

The UP and IAL groups had the highest and lowest overall caries experience among all four groups, respectively. The UP group had a significantly higher number of decayed/filled proximal surfaces at the follow-up examination than the control group. There was no significant difference in tooth loss between the ethnic groups. The UP group had significantly higher tooth loss at follow-up and a higher incidence of tooth loss during the 6 years. The GJP group also had higher tooth loss than the controls, although not statistically significant. The IAL group had similar tooth loss as the controls. The UP, GJP, IAL and control groups had lost teeth due to dental disease by 43%, 32%, 26% and 18%, respectively. DISCUSSION: These results suggest that loss of periodontal support was the principal cause of tooth loss in the UP and GclP groups and that dental caries was the principal cause for tooth extraction in the IAL and control groups.

Dr, Sharon Kasprzak received her B.A. in 1992, from Canisius College and her D.D.S. from SUNY at Buffalo School of Dental Medicine in 1996. Her honors include the William L. Tucker and Mussarra-Ducouet Scholarships, Sigma Xi NIDR Fellowship Award, and Arthur Vining Davis Grant. Dr, Kasprzak has published several articles. Dr, Kasprzak is a second year resident in periodontics at VCU/ MCV School of Dentistry.

'Albandar J, Brown U, and Loe H: Dental Caries and Tooth ,g()ss in Adolescents with Early-Onset Periodontitis. J . . enodontol 67:960-967, 1996. lJRPOSE: To assess the caries experience and tooth loss Wing a period of 6 years in subjects with early-onset periodon颅 tts (EOP) and their matched controls, and to describe the aracteristics of teeth lost during this period. &M: A multistage probability sample representing 8th to 12th rade U.S. school children were screened during the 1996/97 ihool year to identify subjects with EOP. Exam consisted of easur~ng clinical attachment, prevalence of dental canes, ()tor~tlo.ns and tooth loss, The control group consisted of h se mdlvlduals without EOP that matched to the disease ~~es on the basis of gender. race, age, geographic location, . , metropolitan status. A total of 226 subjects were examined ~n~g th.e 1992/93 school year (6 years later) and classified as vm~ either localized juvenile penodontitis (UP) generalized enlle . d .. ' h pen a ontitis (GLP), incidental attachment loss (IAl) or out EOP (control group). '

.'SULTS' b . Wh'tI es had on average a significantly higher Blacks and antes. Whites with UP had the highest caries experience.

'J1 e~ of decayedf1illed teeth at follow-up than

Virginia Dental Journal 11

The Richmond Minority Ministry in Dentistry 1850-1950

~__

__ _

by Francis Merrill Foster, Sr., D.D.S.

While literature has not acknowledged the early role of nonwhite dentists in the state, it is a fascinating paradox that probably the first specifically named reference to a person practicing dentistry in Virginia was a Negro who treated any and everybody. Surely, those who followed him years later deserve special attention. Invariably and almost always, they extended their services beyond the realm of simple direct patient care, becoming leaders and healers of the hurts and woes in neighborhoods and extended com munities, some brought on by the oppressive burden of racial prejudice and discrimination. Many were included in the roll call of those heroes who paid their dues during the civil rights struggle. Medical historian Wyndham Blanton, refers to one early Richmond Negro, Peter Hawkins, in his book, Medicine in Virginia in the Eighteenth Century, whose talents included removing teeth- and improving souls: "According to Samuel Mordecai, in Richmond in the late Eighteenth Century 'one Tooth-drawer, who never heard the word dentist, did all the work and all the mis chief in the dental line.' He goes on to describe this unique person: 'Peter Hawkins, as a tall, raw-boned, very black Negro, who rode a raw-boned, black horse, for his practice was too extensive to be managed on foot, and he carried all of his instruments, consisting of two or three pullikins, in his pocket. His dexterity was such, that he has been known to be stopped in the street by one of his dis tressed brethren (for he was of the church) and to re lieve him of the offending tooth, gratuitously, without dismounting from his horse. His strength of wrist was such, that he would almost infallibly extract, or break a tooth, whether the right or the wrong one. I speak from sad experience, for he extracted two for me, a sound one and an aching one, with one wrench of his instru ment." "On Sundays he mounted the pulpit instead of black bare-bones, and as a preacher he drew the fangs of Satan with his spiritual pullikins ... Peter's surgical, but not his clerical mantle, fell on his son, who depletes the veins and pockets of his patients, and when he has exhausted the latter, the former are respited." 1 Or. Charles Baylor Jackson of 200 W. Leigh Street is listed in the 1885 Richmond City Directory, perhaps as the first dentist in the city. His office was located one block down from Brook Road. the main thoroughfare into Hanover and 12 Virginia Dental Journal

where Peter Hawkins lived and did his trade. Another early dentist to sustain a practice in Richmond was Or. Peter Branch Ramsey. The local black Dental So ciety of Richmond and Pe tersburg is named after him. Or. Ramsey was born in Pe tersburg, Virginia and fin ished lVleharry Dental Col lege in 1890. He moved his family of five to Richmond Dr. Francis M. Foster from Petersburg, Virginia to start a practice in his home at 102 East Leigh Street. H remained there until he died in the winter of 1914. His sor James Mercer Garnett Ramsey, also graduated fror Meharry in 1906 and began practice in Richmond. His ir terest in colored male youth in the Boy Scout movemer enabled him to be among the first minority recipients ( the Silver Beaver Scouting award. This is the highest sei vice award in the Scouting movement. In 1900, David Arthur Ferguson became the first nonwhit candidate to pass the Virginia State Board of Dentistry e> amination. He possessed excellent hand skills and unusu: ~rganizational abilities. Prior to Ferguson's entry into prac tice, the minority dentists had formed a Dental Section c the National Medical Association. In 1905, through the leac ership of Or. D.A. Ferguson of Richmond, Va., an atternt was made to form a National Association of Negro Der tists, looking to independent organization as a strictly den tal group. While the effort failed, the name is possibly er, titled to capitalization, for the seed was sown for the ulti mate organization of the Tri-State Dental Association E Buckroe Beach,Va., in July 1913. These dentists from Virginia, Maryland and the District c Columbia grew in strength in the East and South and il 1918 changed its name to the Inter-State Dental Associa tion. There were 23 states represented five years later a it's annual session. Dr. Ferguson is lovingly referred to a: the patron saint of black dentistry for his role in the forma tion of the Tri-State, Interstate and National Dental Asso elations. For his efforts in helping to advance the rnissioi of the National Medical Association, he was made its presi dent for one year. Down through the years, he was associ ated with all of the progressive efforts to promote blacl entrepreneurship and to end discrimination. racial and clas: prejudice in local affairs.

I 1915, Leon Asbury Reid, a 1915 graduate of Howard ;ental School, started his practice in Richmond. Here he was associated with Dr. Roscoe Conkling Brown, Howard . DN '06 at 604 N. 29th St. Dr. Brown would later leave RIch mond and establish an enviable career in dentistry with the United States Public Health Service. It is highly probable that Reid also received considerable encouragement from Dr. Ferguson because in 1917 he was wed to his sister, Minnie Ferguson, an attractive Va. Union University coed. From this union would come three siblings whose humani tarian dedication to civic and community responsibilities would have a significant impact on the social, educational and political future of the city and state.

Dr. Leon A. Reid

Dr. Reid was later located at 1719A East Main Street in a second floor office. Each flooding of the James River would cause some anxiety in case Main street would be flooded, which occurred a few times. The waters eventually came up as high as 11 feet towards the second floor. The recently completed flood wall now protects this once vulner able area.

In later years his son, Leon A. Reid, Jr. DDS, Howard '44, a dental corps captain in WWII, would join him and later take over and carryon the practice. In the 70's the first floor was occupied by the Last Stop Art Gallery. This business was owned by Dr. Reid, Jr.'s daughter, Katherine Reid, artist, master teacher and the third generation to occupy the build ing. Dr. Reid, Sr., brother-in-law David Ferguson, Willis Pettis, Cornelius Cowans, Samuel Calloway, J. Mercer Ramsey and President Oscar Johnson of Petersburg were among the initial members of the Peter B. Ramsey Dental Society of Richmond and Petersburg after it's founding in January 1917. 5 Daniel B. Williams, Jr., 1918 Howard Dental school gradu ate started his practice in Richmond after graduation. A fellow Richmonder, Addie Gatewood Williams finished Howard with honors in 1921 and became the first female to pass the New York state licensure exam. The second fe male to pass this board the next year would be her North Carolina friend, Bessie Delaney, Columbia ON '22 who would live to be over one hundred years old. She and her still older sister would become media and TV legends. Other dentists to follow in the city were Robert Beecher Taylor Jr. Howard ON '20; Edward Bassette, Howard ON '22, a Hampton native; Richmonder James A. Chiles, a Tufts graduate in 1922; Jesse Tinsley, Meharry ON '25; Julian Conway Wilson, Howard ON in 1929, and William A. Green, Meharry ON '31. Richmonder James L. Brown, Howard ON '35 became the first full time black state dentist. Charles H. Michie, Howard ON '39, a native of Charlottesville, moved to Richmond after his graduation.

In 1943, Ivan George Fraser, a Springfield, Mass. native, graduated from Howard Dental School. He, along with Tho mas Watkins of Charlotte N.C., a Penn Graduate, became the first dentists of color in the United States Navy. Fraser was an outstanding swimmer and an AII-CIAA Conference tackle in football at Va. Union University. His football pro tege and fellow Virginia Unionite, Samuel L. Gravely would follow him later to become the first black admi ral in the Navy. Other Richmonders to finish in wartime were James A. Page, Howard ON '43; Leon A. Reid ,Jr., Howard DN '44; Subbea] Toombs, Howard ON '44; John A. Taylor, Howard ON '45; Francis Foster, Howard ON '46; Edwin T. Ragland, Howard ON '47; John Malcus Ellison, Jr., Howard On '47 who moved to Williamsburg; and Gerard Douglas Brown, Howard ON '47 who moved to California. By the first half of the century Richmond had 25 nonwhites to establish dental practices in the city. The union of David Ferguson's sister and Dr. Leon A. Reid produced three siblings. The oldest, and only daughter mar ried William Calloway, MD the son of a cofounder of the Peter B. Ramsey Dental Society_ Mrs. Alice Reid Calloway became the first female minority school board member in Richmond and served with distinction. She later became a outstanding member of the Richmond Housing and Rede velopment Authority. The family became involved in litiga tion during the school busing and integration crisis. It ulti mately became necessary for the city to spend funds to hire surveyors to measure the distances from their home to two schools nearby to determine proper legal pupil place ment for their middle school son. Her brother, Leon A. Reid, Jr., would later rise up in the banking world to become chairman of the board of the Con solidated Bank and Trust Company just as his father be fore him. Dr. Reid, Sr. had a unique cash flow dental prac tice. When, after presenting a treatment plan, it was found that the patient didn't have the money, a note was executed for the patient and then later discounted at the bank. This created immediate cash flow and incidentally left all parties satisfied. This was before the Dr. Jesse Tinsley widespread practice of install ment buying. This also gave him time at the chair to briefly educate his patients in a few simple banking fundamentals. He would encourage them to save and to take out Christmas savings and per sonal accounts. This also promoted his investments in the bank. He was at one time its largest individual stockholder. For many years his practice was blessed with the services Virginia Dental Journal 13

of an on-site laboratory technician, Madison Jones. This son of their medical colleague and friend Dr. R.C. Jones, was born at and grew up in what ;s now the Maggie Walker National Historic Shrine. Dr. Jones, a Michigan graduate in medicine in 1888, once owned Jonesboro, a large devel opment area now occupied by Byrd International Airport. Ironically, Maggie Walker's granddaughter, Maggie Laura would also finish medicine at Michigan in the forties. The youngest brother, Dr. William Ferguson Reid, Howard MD '48, would be come the first minority mem ber of the Virginia House of Delegates since reconstruc tion. His father, Leon A. Reid, Sr., supported Robert Wilder and his Southern Aid Society supervisor, James Oliver West, in West's legal chal lenge to the all white demo Dr. Ford T. Johnson• cratic primary. This success fully opened the primary to all persons who had paid their poll taxes irrespective of race or color. Wilder's son later became Governor of Virginia. On the cover of an old slick defunct Richmond Magazine, an image of Dr. Jesse Tinsley stands in its lower left hand corner with a group of specially honored Richmonders. His post depression leadership of the Richmond branch of the National Association for the Advancement of Colored People made it probably the stron gest local chapter in the nation and gave its Virginia Con ference significant posture in the influence of the many civil rights cases which would originate in the state. His wife and business partner, Ruth, was a dental technician. She gained world wide media exposure during the civil rights struggle when she was dragged from the front of a local department store by two officers of the law with two snarl ing German police dogs. A shot by the alert photographer, Scott L. Henderson was so strikingly graphic that Life maga zine used it in as a centerfold. In 1962, Dr. Ford T. Johnson, a Tappahannock native, moved his office to Richmond. He had served as a captain in the dental corps in WWII before practicing in Tappahanock. One reason for the move was to enhance opportunities for his continuing dental education and the additional educa tional challenges for his wife and growing children. His son Ford Jr., a teenager, appeared in the Richmond traffic court for a minor traffic violation. He was curtly asked by

14 Virginia Dental Journal

the judge to move to the other side of the courtroom. I replied that he was comfortable where he was. He We immediately arrested, jailed and charged with conternr Dr. Johnson carried the case to the Supreme Court. Its rL ing eliminated segregation in the courts throughout tt south. In addition to treating the oral needs of their patients, ther were always hurts and ails of the human spirit brought 0 by segregation and oppression that needed succor, an that is when the "ministry" of dentistry would occur. Wit the end of WWII and a stronger emphasis on caries pre vention through education and fluoridation, the outwar thrust of our dental educators and professional leader would put us in an enviable position of parity with our oths allied professions. Organized dentistry however would sti be dragging its feet on implementing the honor of its mis sion to provide equal opportunity for professional advance ment for its darker brothers. In 1963, after making a pre sentation on Oral Radiology at the Dental Section staff meeting of the Richmond Me morial Hospital, I was ap proached by Dr. S. Elmer Bear, an imminent oral sur geon and Dr. C.D. Richardson, dental radiolo gist. They graciously offered to sponsor my membership in the Richmond Dental Society.The necessary forms were sent in and we received Dr. Ivan George Fraser a reply soon thereafter stat ing that our membership application was rejected. No rea son or rationale was given. My sponsoring colleagues worked with me on a second application and I was later, accepted into membership. It appears that a "one black ball" rule was in effect and the backers of my sponsors through astute strategy and finesse maneuvered the forces of fair play to enable the society to present an image of proper professional posture

SIX MAJOR

ADVANTAGES

TO BECOMING

conclusions: Against the backdrop of. oppression,. discrimination,. and racial prejudice In our society our abiding faith In the minor ity ministry in dentistry enabled many dedicated and mis sion-minded practitioners to survive and thrive. They over came the pangs of bitterness with a resolute desire to re deem with betterness the spiritual soul of the profession

AN ARMY

DENTIST.

It is true that we have come a long way by faith, but we stili have a long way to go. The author is an assistant professor in the General Prac tice Dentistry Department of the Virginia Commonwealth University Dental School. It is ironic that 55 years ago, the state of Virginia, through legislation sponsored by Assem blymen Stevens and Dovell, paid his first year tuition to Howard University School of Dentistry to preclude his en tering his own state institution's freshman dental class.

Bibliography 1. Samuel Mordecai: Richmond in ByGone Days.p.272,Di Richmond, Va . 1946. 2. Opportunity. A Journal of Negro Life, National Urban League 127 E.23rd St.New York, N.Y. Vo/.2 No.19 july 1924 p.210 3. Clifton O.Dummett: Pioneer in Public Health Dentistry; Roscoe Conkling Brown. The Journal of the History of Dentistry Vol.44, No.3, Nov. 1996. 4. Alice Reid Calloway: Personal communication, Feb.14,1997 5. Peter B. Ramsey: Dental Society of Richmond and Peters burg: Minutes of February 1917. 6. Robert B.Pratt: The Color of Their Skin - Education and of Virginia. Charlottesville & London, p 26. 7. Race in Richmond, Virginia 1954-1989 The University Press Andy McCutcheon; Column, Richmond Historian Says Family Makes Difference. Virginia Magazine February 1996 p 8. 8. Richmond Magazine, Cover with images of outstanding Richmonders who helped make history. Richmond Metro politan Chamber of Commerce, Publisher. .Iuly 1976.

Youwon't have to make the initial investment it takes to set up a dental practice. No continuing investment in manpower and devoting the time it takes to maintain a staff. Army dentists spend their full working days doing what they are trained for-practicing dentistry. " The Army trains enlisted dental assistants and hires trained civilians to be part ofthe dental team. You'll have an opportunity to practice your pro fession here or abroad in the most up-to-date facilities imaginable. If you are so inclined, teach ing opportunities exist. Beyond professional rewards are the emotional ones. As a dentist and an officer treating sol diers, your days will be spent in the service of your country. Get full details and information on Army Dentistry. Call:

800-USA-ARMY 804-330-4164

ARMY MEDICINE. BE ALL YOU CAM BE:

Virginia Dental Journal 15

ROANOKE: THE MEETING

The One Hundred Twenty Eighth

Annual Meeting

of the Virginia Dental Association

will convene at the Hotel Roanoke

& Conference Center

from September 24 through September 28, 1997.

VDA ANNUAL MEETING SCHEDULE

WEDNESDAY, SEPTEMBER 24, 1997

8:00am 11:OOam 12:00pm 1:OOpm 5:30pm 7:30pm

Executive Committee Meeting Golf Exhibition with Chuck Hiter Golf Tourney at Roanoke CC Tennis Tourney at Roanoke CC Golf/Tennis Reception at Roanoke CC Executive Council Meeting

THURSDAY, SEPIfEMBER 25, 1997

8:00am 8:00am 9:00am 10:30am 12:00pm 1:00pm 2:00pm 5:00pm 7:00pm 7:30pm

Registration Board of Dentistry Meeting 128'h Annual Meeting Opening Session VDA House of Delegates VDA Fellows Luncheon Exhibition Hall Open VDA Reference Committees Component Receptions American College of Dentists Reception ACD Dinner & Dance

FRIDAY, SEPTEMBER 26, 1997

7:00am 7:30am 8:00am 8:30am 8:30am 9:00am 10:00am 11 :30am 11:30am 1:30pm 1:30pm 4:30pm 5:00pm 5:00pm 6:30pm

Registration Breakfast Board of Dentistry Meeting Risk Management Course Dumas/van Dyk Course Health Screening Exhibition Hall Open ADA 16'h District Delegation Luncheon for Learning VAO Board Meeting Dumas/van Dyk Course VAGD Board Meeting Reception with Exhibitors Component Receptions Western BBO & Dance with the Stagecoach Band

16 Virginia Dental Journal

SATURDAY, SEPTEMBER 27, 1997

6:30am 7:00am 7:30am 7:30am 8:00am 8:30am 8:30am 8:30am 9:00am 10:30am 11 :30am 12:30pm 1:00pm 1:00pm 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 Dumas/van 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

7:30am 8:00am 9:00am 10:00am 1:00pm

VADPAC Breakfast

Registration

VDA Annual Business Meeting

VDA House of Delegates

VDA Executive Council

You still have time to register for the 1997 VDA Annual Meeting

in Roanoke!

Annual Meeting Offers Education & Pun for tbe Entire Dental Team by Edward M. O'Keefe, D.D.S.

Many years ago this part of the country was known as Big Lick; fortunately times have changed and the name has changed to Roanoke, Salem and Vinton. I am told that even when this area was "Big Lick," it was a mighty hospi table part of Virginia; this hasn't changed! The dentists of the Roanoke Valley welcome you and invite you, your spouses and staff members to the 1997 Annual Meeting of the Virginia Dental Association. The Hotel Roanoke & Con ference Center promises to embrace you with warm South ern hospitality, and all the services and amenities you might desire. Several of the continuing education courses offered this year have been designed especially for the enjoyment of your staff. Dr. Christine Dumas is Assistant Professor of Clinical Dentistry at USC and has served as Consumer Advisor and Media Spokesperson for the ADA. She has appeared on numerous TV shows and has been interviewed by many familiar magazines and newspapers. Dr. William van Dyk is a nationally recognized speaker on practice man agement, leadership and consumer trends; he has been on the leading edge of th~ major issues confronting den tistry today. Their first presentation, "The Hidden Secret to Practice Success: Hiring and Keeping a Team that Builds You," is designed to help dentists realize the tremendous benefit of a quality team in their practice success, and how to find and keep the members of this team. "Dentists are from Mars, Patients are from Venus" will give us the seven secrets for attracting and keeping patients in a fee-for-ser vice practice within the competitive managed care market place of the 90s. The impact of 'high-tech' dental advances on treatment acceptance, and new patient referrals will be covered extensively. Their final lecture, "The Role of Den tal Auxiliaries in a Quality Based Dental Practice," will em phasize the critical importance of our staff - receptionists, dental assistants and hygienists - in the development, management and evolution of our practices as we enter the twenty-first century. Dr. Harald Heymann is the chairman of the operative den tistry department of the UNC School of Dentistry. His full day course is designed to add to your arsenal of dental solutions as we encounter white spots, brown spots, hypoplasis, darkly stained teeth, and many other perplex ing problems in our daily practices. He will provide sen sible answers to these and other questions in his presenta tion, "New Age Concepts in Conservative Esthetic Den tistry."

The popular CNA Risk Management Course will be avail able on Friday morning, and a CPR Recertification Course will be held on Saturday morning. Just for fun! On Wednesday, a captain's choice golf tour nament at the Roanoke Country Club will follow a golf trick shot exhibition by Chuck "the hit man" Hiter. If you are not a golfer, a tennis tournament will also be featured on Wednesday afternoon. The golf and tennis tourneys will be followed by a reception under the trees at the Roanoke Country Club. For all of you early risers, the fun run/walk will begin at 6:30am on Saturday morning: suggested run ning, and walking routes will be available for all of those interested in participating. For even more fun, plan to attend the Western Barbecue and Dance on Friday evening. Spouses, all staff mem bers, and even dentists are invited to this country show down featuring the music of the Stagecoach Band. Plan to be very casual and bring your country best for this evening. On a more formal note, the Dennis Reasor Orchestra will provide that big band sound for your dancing and listening enjoyment at the Presidents Dinner Dance on Saturday night. Members of the VMI Glee Club will also be on hand to provide a musical tribute to President Allison and his lovely wife Christina. Don't forget - the fun begins September 24 in Roanoke and won't stop until September28. You all be sure to come!

Dr. Mike O'Keefe Annual Meeting Chairman

On Friday, the Virginia Section of the American College of Dentists will sponsor our first Luncheon for Learning pro gram. Over a dozen speakers will discuss a multitude of topics, and provide a firsthand opportunity for questions and answers in an informal format. Virginia Dental Journal 17

--------

Virginia Dental Association

501 (c) (6)

Not For Profit Corporation

IC System

MCV Scholarship

Freshman Luncheon

• •

ReliefFoundation , 501(c) (3) I Non-stock Corporation

- ----

-----------

•

Educational Foundation 501 (c) (3) Non-stock Corporation

I -

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

• • •••••••••••••• r

•

VA Foundation of Dentistry

for the Handicapped

501(c) (3)

Non-stock Corporation

• • • •••••••••• •

Virginia Dental Association Corporate Structure

• • • •

•

••••••••••••••••••••••••••••••

~.......

----

• • • • • • • • • • • • • • • • •

MBNA Credit Card Affinity Endorsement R()yalty i

I I

De~tal ~erVices GO~por~tion -1

Virginia Wholly Owned VDA Subsidiary Taxable Stock Corporation Product & Service Endorsements

I I

____________ J

Note these dates:

VDA Annual Meeting

September 24-28, 1997

Hotel Roanoke &

Conference Center, Roanoke

Looking for information on upcoming

continuing education courses?

Do you want to know what's happening at the

VDA Annual Meeting?

Want to learn more about Direct Reimbursement?

Visit [he VDA's website for answers to these questions

and much, much more.

www.vadental.org

ADA 16th District Caucus

October 3-5, 1997

Williamsburg Lodge, Williamsburg

ADA Annual Meeting October 18-22, 1997 Washington Hilton, Washington, DC VDA Leadership Conference

November 13-15, 1997

Boar's Head Inn, Charlottesville

Mark your calendar now (or these meetings.

18 Virginia Dental Journal

---------

-_·_---------------_·_--1

i' nths the Virginia hteen mo ,

Dental Asso ded its corporate structure, The expan "

a 501 (c)(6) not-tor-profit professional

Y, to include several new enu dlversl'f'ed I ,

./ Were made for tax purposes, which

.' D

ges ' efit the parent organization, the, V A. chart on the facing page for additional -

ndations have been formed, as fol oundation, classified as a charita~le f~ the activities of the former Relief

tionaI Foundation is designed to proa~(mal projects and activities; and the dation of Dentistry for the Handi dminister the Donated Dental Ser 'which was recently partially funded '·.the Virginia Health Care Founda ~\:>ri will eventually be incorporated al Foundation and cease to exist

,ementioned 501 (c)(3)'s, the VDA wried for-profit subsidiary, the Vir $6rporation. The VDSC is currently eived from insurance program MG/GMI glove endorsement. As Wholly owned by the Virginia Den ~ans that assets accrued by the :back to the VDA in the form of . te end of increasing the activity, !1gs of the VDA, without relying For-profit subsidiaries have be the dental association commu "ajority of the states, regardless

rograms undertaken and en viouslyan essential ingredient rnuta. In order for the VDSC to dividends to the parent entity, ise to participate in endorsed sed products to build the capi DSC has proceeded in a cau ,9 which products and services to the membership, as well as oth the membership and the

Along these lines, the VDSC will be conducting a fairly ex tensive insurance product survey in the next few months, via mail, FAX, and telephone. The simple survey conducted in June received a minimal response (approximately 12% of the membership). I would ask all members to look for the expanded survey later this summer or early fall and please respond. Your answers, comments, and concerns will assist the VDSC to examine the insurance products and determine whether or not the needs of the member ship are being addressed. You may be angry, cynical or apathetic in regard to the insurance products, but I assure you the only chance for improvement starts with obtaining good data. If you really want things to improve, we need your input. As they say over at the Virginia Lottery, "you can't win if you don't play." Actually, that little adage fits the entire relationship between the membership, the VDSC, and the VDA. Two other endorsement relationships should also be men tioned: the IC Systems collection service and the MBNA Affinity Card. Monies realized from the MBNA endorse ment are classified as royalties and can be directly retained by the VDA without threatening the not-far-profit status of the Association. These monies go directly to the VDA Gen eral Budget as non-dues revenue. The IC System monies are earmarked for a scholarship account. The VDA annu ally sponsors a luncheon for students at the conclusion of their first year of dental school. In addition, a scholarship of approximately $8000 is presented to MCV during Gradu ation. All of these new activities obviously signify both growth and change for the Virginia Dental Association; as all of you know, growth and change are not always accomplished without some pain, some confusion, and some loss of con trol. But the intent of every action taken by the Virginia Dental Association, and approved by the VDA House of Delegates, is to increase the value of membership, to pro vide increased services and benefits at reasonable or re duced costs, and to better position the VDA to serve the Virginia dental community as we enter the 21st Century. This may not always look like your father's VDA anymore, but rest assured that it is your father's VDA and it is your VDA and it still exists, as always, to serve the membership.

Virginia Dental Journal 19

GOVERNOR ANNOUNCES BOARD OF DENTISTRY APPOINTEES

Dr. Ronald L. Tankersley, Chairman VDA Search Committee for Board of Dentistry Candidates

Governor George Allen's 1997 appointments to the Board of Den tistry include Dr. Edmund E. Mullins and Dr. Michael J. Link. They will fill the positions held by Dr. John S. Lyon and Dr. Robert J. Issacson, respectively. Dr. Lyon resigned with two years remain ing in his term and Dr. Issacson's term expired on June 30,1997. In addition, Governor Allen reappointed Dr. Monroe E. Harris to a second term on the Board of Dentistry.

Dr. Monroe E. Harris is new to neither the Board of Dentistry nor

the VDA. Monroe, an Oral and Maxrllotacial Surgeon in Rich

mond, Virginia, has successfully completed one term on the Board.

He demonstrated exemplary knowledge and thoughtfulness dur

ing his first term. His experience with Board issues and proce

dures will further enhance his value

to the Board during his second term.

Dr. Mullins received his D.D.S. degree from the Medical College of Virginia in 1971 and completed a hospital internship at Ports mouth Naval Hospital a year later. He subsequently established a private practice in Richmond, Virginia, joined the clinical faculty of the MCV School of Dentistry, and became an active member of the VDA.

The commitment of time and energy

required of members of the Board of

Dentistry is tremendous. As a result,

many capable dentists are unwilling

to serve in these positions. We are

fortunate that such busy and quali

fied VDA members are willing to

make the sacrifices necessary for

Board members. The VDA Search

Dr. Monroe E. Harris, Jr. Committee for the Board of Dentistry

Candidates congratulates Drs.

Mullins, Link and Harris on their appointments. We all appreciate

their dedication and wish them well as they assume their impor

tant duties.

Dr. Edmund E. Mullins, Jr.

Ed's face is familiar to members of the Richmond Dental Society and the VDA. In addition to serving on mul tiple committees at both the compo nent and state level, he has been a member of the VDA House of Del egates for ten years, a reference committee chairman, and President of the Richmond Dental Society. He has served as an Associate Editor for the VDA Journal and is a Fellow of the Academy of General Dentistry, Pierre Fouchard Academy and Vir ginia Dental Association.

In addition to providing dental expertise to the residents of the Virginia Home, Dr. Mullins finds time to make meaningful contri butions to Richmond's First Presbyterian Church and other civic organizations. Dr. Link served as the President of the Student Body while completing his pre-dental studies at the University of Richmond. After receiving his D.D.S. degree from the Medical College of Virginia in 1985, he joined his father and brother-in-law in general dental practice in Newport News, Virginia. Dr. Link immediately became an ac tive member of the VDA and, subse quently, served as a Clinical Instruc tor at the MCV School of Dentistry.

Dr. Michael J Link

Mike has served as Membership Chairman for the Peninsula Den tal Society and is a member of the Academy of General Dentistry. He has an appointment on the Mary Immaculate Hospital staff. Dr. Link is a dental provider for Virginia Healthcare Nursing Homes and has been active with the American Heart Association, Uni versity of Richmond Alumni Association, Hampton Roads Jay cees, and Oyster Point Rotary Club. He served on the Board of Directors of the Rotary Club and currently chairs the Boy Scout's Golf Tournament.

20 Virginia Dental Journal

VIRGINIA BOARD OF

ENT"ISTRY

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

French H. Moore, lr., DDS--Presidem

Mark A. Crabtree, DDS--Vice-President

Nora M. French, DMD

Monroe E. Harris, Jr., DDS

Michael J. Link, DDS

Edmund E. Mullins, Jr., DDS

Gary Taylor, DDS

Carolyn B. Hawkins, RDH

Stephanie P. Olenic, RDH

Pat K. Watkins

STAFF

Marcia J. Miller, Executive Director

Pam Horner, Administrative Assistant

Kathy Lackey, Administrative Assistant

Lychia Morris, Office Services Specialist

6606 W. Broad Street, #40 I

Richmond, VA 23230-1717

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

for 2 months

IJmE.m", , ,"

IC'"

Single User System InaUdes: Sile2 Sensor, COR interta:e board, COR ferWindows'go software, premurn computer with 16MB RAM, 2 GB hard dr',e, tape backup, FAX/modem

, -888-4-SCHICK Visit.our Web site at http://www.schicktech.com

In Canada Call SYNCA: 1-800-667-9622

---I

VDA's Science Talent Awards Program Broadens Scope by Timothy E. Russell, DDS In its second year of operation, VDA's Science Talent Awards Program (VSTAP) has implemented two new pro grams to compliment its participation in the Virginia State Science and Engineering Fair held each spring. In 1996, VDA recognized the scientific research of fifteen Virginia high school students at the State Fair. This year, VSTAP broadened its scope to include participation in fif teen internationally sanctioned regional competitions across the state. Students entering regional fairs must first win at their local high school competition. Approximately 3000 students qualified and competed at the regional level in 1997. Their ultimate goal is to win the privilege of repre senting their region and Virginia at the International Sci ence and Engineering Fair (ISEF) held each year in May. Regional competitions are intense, culminating in high drama during the awards ceremonies. In March, VDA,presented awards to 192 young scientists at the regional events. VDA's representation at the regional level expands its visibility and promotes dentistry and den tal research as a career to a much wider group of potential dental candidates. Awareness of dentistry as a career choice at an early point in their education is crucial to the future of our profession. VDA, through its active participa tion in these events, joins the numerous scientific organi zations, military, government, industry and other health care professions in recruiting Virginia's science-talented youth. As in the regional fairs, the Virginia State Science and En gineering Fair sponsors competition in 13 internationally recognized scientific disciplines. During this event, VDA designates one winner from each category and at least two team winners from among the 250 projects. The 1997 State Fair was held on April 12th in Arlington. The fair's overall winners will join their regional level counterparts at the ISEF held this year in Louisville. VDA winners received certifi cates of merit, ADA Select brochures and dental career literature. Each of these competitors was interviewed in consideration for VDA's newly established "Dr. Bennett A. Malbon Prize." The Dr. Bennett A. Malbon Prize was instituted by our As sociation this year. This special award remembers Dr. Malbon as a role model for these aspiring young people, and is based on excellence in science talent and commu nity spirit. The award's recipient is chosen from VDA's State Fair winners. The 1997 Malbon prize winner is Ms. Patricia White of Tazewell High School. A tenth grade student, Ms.

22 Virginia Dental Journal

White is an outstanding chemistry researcher and active involved in community, church and school volunteer group: In recognition of her accomplishment, VDA presented M: White with a handsome plaque and a $500 cash awarr Judging by the enthusiastic response at the State Fair awards ceremony, the Malbon Prize will become a muc sought-after award in the years to come. VDA conqrati lates Ms. White, its VSTAP winners, and all of Virginia remarkable young scientists.

ence Talent Awards Program is an affective public

function of the VDA. Its primary purpose is to rec

the extra-ordinary scientific research of Virginia's

noo' students. Participation of VDA members as

and representatives at these popular events serves

gthen dentistry's image and helps to secure the

'on's future. VSTAP is made possible by VDA's deep

ent and its members who volunteer their time and S8 at the local, regional and state science and eng i fairs. This collective effort on behalf of the dental sion is greatly appreciated.

Dr. Tim Russell presents the Malbon Prize to Patricia White of Tazewell High School.

n the World inia Dental Association is pleased to announce that its VSTAP winner in physics at the Virginia State Science & r Fair, Mr. Logan Kleinwaks, has won the Grand Award at the International Science & Engineering Fair held in May at . Mr. Kleinwaks, a-senior at Thomas Jefferson H.S. for Science and Technology in Alexandria, will attend the Nobel ards Ceremony in Stockholm this December as part of his award. Mr. Kleinwaks will attend Princeton this fall to major s. VDA congratulates Mr. Kleinwaks for his extraordinary accomplishment.

In the past 21 years, over 67,000 doctors have trusted HPSC to finance their equipment, working capital, leasehold improvements, supply contracts and much more. Why?

• Incredible Service

• Over 500 years of combined healthcare

• Competitive Fixed Rates

marketing experience.

• Easy to deal with ...Peace of Mind

• "First Practice" financing

• Name it, we finance it for your practice

• Practice Acquisition financing

• Widest choice of options

• In-house funding, servicing of all contracts

Your money goes further with HPSC. Make us your first choice - or give us the last look before you sign with any other lender.

•

Innovative Financing for Health.care Professionals Senior Sales Manager, Southern Region: Michael D. Mantor 4314 Meadowridge, Charlotte, NC 28226 1-800-791-8916 Home Office: Sixty Slate Street Boston, MA 02109-1803

1-800-225·2488

Fax 1-800-526-0259

EXECUTIVE COUNCIL ACTIONS IN BRIEF

June 15, 1997

Approved a recommendation that VDA committees review their past minutes in accordance with a time frame which committee members determine is historically appropriate; that potentially beneficial motions, ideas, or concepts not previously implemented be recovered and reviewed for possible use or implementation; that potential conflicts with current activities be identified and resolved through this review process and that potential statements of policy be Identified and incorporated into the VDA Bylaws.

8P.illQved a recommendation that the 1998 Direct Reimbursement Budget be accepted as presented.

10.

6QpIQved the 1998 VDA Budget as presented.

Approved a recommendation that the VDA fund a hospitality room at the 1997 ADA Annual Meeting.

t'>.QQIQYed a recommendation that the VDA not approve a contribution to the State Chamber of Commerce wall restoration project.

12. Approved a recommendation that the VDA establish a standing committee entitled: "Committee on Ethics and Judicial Affairs." The Ad Hoc Committee on Ethics is directed to develop the list of duties and functions of the Committee in proper form for Bylaws change.

AQQroved a recommendation that an ad be submitted for inclusion in the Virginia Licensed Nurse Child Safety and Healthcare Coloring Book.

13. Approved a recommendation that the VDA Central Office evaluate facilities in l\Jorfolk, Roanoke, and other sites for the 2002 and 2003 meetings and report back in Novem ber.

Approved a recommendation that the contract of the VDA Executive Director be extended to 12/31/2000.

14. Approved a recommendation that the 2001 Annual Meeting be held in the Hyatt Regency Crystal City Hotel.

Approved a recommendation that leadership pins for current leaders of the Association be placed in the registration packets at the 1997 Annual Meeting.

15.

Approved a recommendation that fees for the 1998 Annual Meeting be: Dentist $90.00; Hygienist $45.00; Assistant $15.00; and Spouse - no charge.

lillpJoved the recommendation of the following slate of candidates to be nominated and elected at the 1997 Annual Meeting:

16.

Approved a recommendation that auxiliary loan forms be sent to the Auxiliary Education & Relations Committee members for appropriate revisions to expedite the loan application process. Example revisions of these forms will include an exact dollar amount of loan request, forwarding address to chair of Auxiliary Education & Relations Committee, certification of financial need by financial aid officer, etc. In addition, sample loan applications for financial assistance from MCV will be sent to all commit tee members. Newly formatted applications are to be decided at the next Auxiliary Education & Relations Committee meeting.

17.

Approved a recommendation that a loan of $1,000.00 to Kristen Evans be provided if the following criteria are met: 1) Adequate financial aid forms have been completed and financial need has been certified by the school's financial aid officer; 2) Loan Agreement is signed, designating loan repayment begins six (6) months upon completion of her hygiene program and subject to a 3% APR over a five year term; 3) Loan repayment will be due within sixty (60) days from withdrawal from hygiene program; and 4) Final approval of the above criteria SUbject to review by the committee chairman.

18.

Approved a recommendation that the Ad Hoc Committee on Communications and Information Technology explore the possibility of establishing a job bulletin board on the VDA Web Site to advertise Job openings and jobs needed for auxiliaries in Virginia with appropriate fees to be charged to non-VDA members.

•

President-Elect:

Dr. Charles L. Cuttino III

Secretary-Treasurer:

Dr. Thomas S. Cooke III

11. Approved a recommendation to refer back to the Ad Hoc Committee on Dental Education Issues to develop the list of duties and functions of the Committee in proper form to Bylaws change.

(2) Members-At-Large, Executive Council (1997-1998): Dr. David C. Anderson Dr. Richard D. Barnes Dr. Andrew J. Zimmer (2) ADA Delegates (1998-2000):

Dr. M. Joan Gillespie

Dr. Leslie S. Webb, Jr.

(3) ADA Alternate Delegates (1998-1999):

Dr. Richard D. Barnes

Dr. Lindsay M. Hunt, Jr.

Dr. Bruce R. Hutchison

Dr. Andrew J. Zimmer

By Virtue Alternate Delegate Positions (1998): Dr. David C. Anderson (Allison) Dr. Gus C. Vlahos (Huff) 8.

Approved a recommendation to increase the administra tive fee to VSOMS and VAO to $3,500 each.

24 Virginia Dental Journal

EXECUTIVE COUNCIL ACTIONS IN BRIEF ...

19. Received as information Q!lil..a recommendation that the Caring Dentists Committee would make available up to $1,000 to aid with any expenses, if needed in the plan足 ning, promotion, etc. with a Peer Assistance Conference planned for all health care providers in Williamsburg on April 30, May 1-2, 1998. This money would be used within the already approved budgets for 1997 and 1998. This Conference is being planned by the Farley Institute and the chairpersons of the various peer assistance committees. 20. 8QQrQved a recommendation that the Bylaw changes, from the Planning Committee, to remove the Delegate and Alternate Delegate positions by virtue of elected offices be approved as submitted: ARTICLE IV Section 2F. a. The Immediate Past President shall serve one year as a voting member of the Executive Committee and of the Executive Council. and as an Alternate Delegate to the l louse of Delegates meeting at the Annual Session of the American Dental Association.

22. Approved a recommendation that the clarification by addition on the Fellows Selection Committee be approved in Article I, Section D. Fellow selection Committee shall assume the complete responsibility for choosing Fellows. The Fellows Selection Committee consisting of one elected member from each component society of Virginia Dental Association Fellows shall establish Bylaws governing selection of new Fellows and such other business as may properly come before it. 23. Approved a recommendation to place for reference purposes only the notation in Article VIII, Section 1B: 7. Fellows Selection Committee (See Article I, Section 2,0) 24. Approved a recommendation to place for reference purposes only the notation in Article VIII, Section 1,B as 8. Nominating Committee 25.

Received as information only a recommendation from the Dental Benefits Programs Committee that the Committee supports the efforts of the Legislative Committee to institute a policy that would prohibit insurance companies from altering the procedure codes originally submitted by a practitioner.

26.

Received as information only a recommendation from the Dental Benefits Programs Committee that it continue to monitor IPA's and periodically report on their status.

27.

Approved a recommendation that the VDA support the efforts of the Virginia Head Start Association to increase the Medicaid budget and the reimbursement level for dentistry.

28.

8Qproved a recommendation that a form requesting judges for the Virginia Science Talent Awards Program be included with a mailing of the VDA Journal.

29.

Defeated a recommendation to underwrite a public radio program sharing the cost with the other committees and resources.

30.

Received as information only that the Direct Reimburse足 ment Committee supports the concept of underwriting a National Public Radio (NPR) program in the Washington, D.C. area for a pilot period of one year and will investigate the options of shared funding with other VDA committees, as well as other outside resources.

31.

Approved a recommendation that a Fellows nominee must be an active, life or retired member of the Virginia Dental Association for at least ten (10) years.

32.

8Qproved a recommendation that Fellows nominations must be received in the Central Office by May 1 of each year In accordance with the gUidelines for component selections established in Article IV, Section 3 (Meetings of Fellowsin Component Societies) of the Fellows Selection Committee Bylaws.

F. c. Thc Speaker of the House shall be elected annually by the House of Delegates. and shaHserve as af! Altemate Delegate to the l louse of Delegates meetings at the Af!nual Session of the American Dental Association. Section 4 A. h. Serv'e 8S an Alternate Deiegate to the Ame,"icaf! Defltal Associatitm: C j. Serv'e as an Aitemate Delegate to the American Dental Association. D. e. Serv'e as an A/temate Deiegate to the Americ8fl Dental Assoe{atiofl. ARTICLE V Section 1 The number of Delegates to the House of Delegates of the American Dental Association is proportional to the membership of this Association and is determined by the American Dental Association. The number of Alternate Delegates shall equal the number of Delegates. 'ffte current President and the two Immediate Past presidents shall be Alternate Delegates. The Secretary Treasurer and Speaker of the House of Delegates shall be Alternate Delegates in the calendar year follo'wing their election. If any member shall have been elected to serve as current Delegate or Alternate Delegate, that member shall serve as Delegate or Alternate Delegate and Altemate Delegate position related to the office shall be nominated in accor danee witfi-Article IV, Seetion 28. and C. The Dean of the MCV School of Dentistry shall be recommended for nomination to serve as an Alternate Delegate. 21. Approved a recommendation that the addition of Executive Councilors-At-Large to be voted upon in groups by the following addition to the Bylaws: Article IV, Section 2, D. All elective positions shall be voted on separately, except that ADA Delegates, Alternate Delegates and Executive Councilor-At-Large shall be voted on in groups.

Virginia Dental Journal 25

EXECUTIVE COUNCIL ACTIONS IN BRIEF ...

33. Approved a recommendation that Fellows nominees shall have given freely of their time and energies to their local component society, as well as the Virginia Dental Associa tion and the profession of dentistry.

34. Received as information only from the Fellows Selection Committee the following VDA Fellows nominees: Dr. James W. Baker Component I Dr. William R. Parks Component II Dr. J. Stuart Oglesby Component II Dr. Guy G. Levy Component II Dr. John S. Kittrell Component IV Dr. James R. Evans Component V Dr. Thomas W. Littrell Component VI Dr. Dandridge B. Allen Component VII Dr. Alfred C. Griffin, Jr. Component VIII Dr. John A. Bell, Jr. Component VIII 35. Received as information only from the Fellows Selection Committee that Dr. David C. Anderson was elected as Chairman of the Committee and that Dr. Andrew J. Zimmer was elected as Secretary-Treasurer.

•

36. Received as information only from the Fellows Selection Committee that the VDA Fellows Selection Committee statement of purpose as stated in the Virginia Dental Association Constitution and Bylaws will be incorporated into the VDA Fellows Selection Committee Constitution and Bylaws. 37. Received as information only from the Institutional Affairs Committee a recommendation that a committee be established to investigate the needs of the population that leaves the institution to determine if their dental needs are being met and if not, what avenues need to be made available to them to take care of those dental needs. 38. Approved a recommendation that the Legislative Proce dure be adopted as VDA policy. 39. Approved a recommendation that the ADA Policy on Legislation Prohibiting Waiver of Copayment/Overbilling (1990:534) and Definitions of Fraudulent and Abusive Practices in Dental Plans (1990:535) be adopted as VDA Policy. 40

Approved a recommendation that the Legislative Commit tee Chairman and the Ad Hoc appointees will review and compile an insurance complaint form for presentation to the Executive Council.

26 Virginia Dental Journal

41. Approved a recommendation that the Virginia Dental Association establish a monthly dues program to be divided into three (3) equal monthly payments (October through December) with the final December payments incorporating any potential increase in VDA or ADA dues. This will allow for payment of dues by December 31st each year for the subsequent year's dues. Be it further resolved that this program becomes effective in October 1998. 42. Approved as amended a recommendation that beginning in 1998 the Nominating Committee establish a one hour open forum to be held at the VDA Annual Meeting for VDA members to meet and question candidates for VDA elective office. 43. Approved as amended a recommendation that the category of Affiliate Staff/Surviving Spouse be created to satisfy the requirements of the Health and Insurance Portability Act. An Affiliate Staff/Surviving Spouse shall be those staff members, employed in any capacity in the dental office of a member in good standing of the Virginia Dental Association or the surviving spouse of a Virginia Dental Association Member. This class of membership will enable a qualified individual to participate in educa tion, service and benefit programs offered to VDA members as appropriate. This class of membership will not be eligible for any additional membership privileges and will replace the spouse category in the Honorary Membership class of membership. This recommendation is referred to the Constitution & Bylaws Committee. 44. Approved a recommendation that the members of the Dental Practice Regulations Committee be assigned to attend Board of Dentistry meetings on a rotational basis. 45. Approved a recommendation that the Planning Committee revisit the ADA Delegate and Alternate Delegate election process.

What's the reason for our

SUCCESS

â&#x20AC;˘

We equid give you ~

of them.

Why

Delta Dental one of the leading providers of dental care coverage in Vlrglnia c A rnojor reason is the

participation

of more

than 2400

of the

finest dental care providers in the state',

Delta Dental was started by dentists, so it's only logical that we understand what works best for patients and dental core providers alike In partnership with dental

&\ DELTA DENTALÂˇ

prolessionols we'll continue to lead the way in dental

plan coverage

AI Delta Dental, our reputation

built on a trodinon of success

Delta Dental Plan of Virginia 3807 Brandon Ave, SW" #360 Roanoke, VA 24018 1-800-572-3044

Membership Benefit Highlight:

Legislative Activities and Resources

by Kimberly S. Swanson, D.D.S.

The Amencan Dental Association maintains an office in Wash ington DC in order to vigilantly monitor and protect the profes sional interests of Dentists in Congress. The ADA keeps Con gress informed of the dental profession's positions on important legislative and regulatory issues concerning dentistry and public health including managed care, OSHA, AIDS, research and tax and business issues. The Washington office has a staff of twenty including a director, a media relations specialist and several ADPAC support staff. Also, there are four Congressional lobby ists and two regulatory lobbyists who cover federal regulatory agencies and the White House. All of those people work for and on behalf of dentists. For more information, call the ADA Wash ington Office at 1-202-898-2400. The American Dental Association has also developed a nation wide Grassroots Network. After all, what happens in Washington affects all us regardless of where we live or practice. Nearly 15,000 dentists across the country have joined this network to focus on health system reform and other legislative regulatory issues. In Virginia, we now have a Grassroots Team Leader for every con gressional district in the. Commonwealth. For more information, contact the VDA Central Office or call the Grassroots Action Team Hotline at 1-800-232-1630. For general information regarding dental practice act provisions, licensure requirements, pending legislation, or nationwide legis lative trends, call the ADA Department of State Government Af fairs, extension 2525. In Virginia, the 1997 Session of the General Assembly saw the introduction of 2,582 bills and resolutions-many of them moni tored and/or lobbied on behalf of the Virginia Dental Association. Some examples of your dues dollars at work follow: 1)New Dental Hygiene programs will be offered at Danville Com munity College and the Fredericksburg campus of Germanna Community College. This came as a result of a joint legislative study (created by House Joint Resolution 81 in 1996) which iden tified a shortage of dental hygienists in certain areas of the Com monwealth 2)The post-test required for individuals taking dental hygiene con tinuing education courses willbe eliminated effective July 1, 1997. This has been signed by the Governor. 3)The Virginia Department of Medical Assistance Services (DMAS) has been directed to study and identify geographic areas of the Commonwealth with low access to dental care and make recom mendations for improving availability to dental care for Medicaid recipients. This report is due October 1. 1997.

28 Virginia Dental Journal

4)Senate Joint Resolution 320 was introduced to move the issue of hygienist-administered localanesthesia back to center stage. Last year, House Bill 1280 (which would have allowed hygienists to give local anesthesia) was defeated. SJR 320 would call for the formation of a study committee to review the practice of ad ministration of local anesthesia by hygienists. The VDA will con tinue to monitor this very important patient care issue. Several measures dealing with dental licensing were also re viewed by the General Assembly. House Bill 2134 authorized the Board of Dentistry to issue restricted volunteer licenses. The VDA got the legislation amended to make certain that services provided by these practitioners were restricted to public health settings and free clinics. House Bill 2210 allowed the Board of Dentistry to issue an inactive license for dentists and hygienists who are fully licensed but do not wish to practice. The VDA has requested an amendment to this bill which would require reme dial education for anyone who wanted to reactivate an inactive license. The VDA is an active participant in the Patient Protection Coali tion. During the 1997 Session, the Coalition and the VDA ac tively followed the progress of legislation regarding many man aged care issues. Membership in organized dentistry represents a commitment to continued individual and professional growth. Your membership and the financial support it creates is critical to the legislative effort taking place on your behalf. The VDA and ADA cannot protect your professional interest in Richmond and Washington DC without your continued support. Membership matters!'

VIRGINIANS TO CHAIR ADA COUNCILS

Two Virginians were recently elected by their colleagues to chair major ADA Councils. Dr. Leslie S. Webb, Jr., VDA Past President and current Virginia Dent?1 Journal Editor was chosen Chairman of the ADA Council on Dental Benefit Programs. One of the chief priorities of the Council on Dental Benefit Programs is oversight of the ADA Direct Reim bursement cam paign.

Dr. Leslie S. Webb, Jr.

A second VDA member, Dr. Anne C. Adams of Richmond was named Chairman of the ADA Council on Membership. An ADA Alternate Delegate, Dr. Adams has been extremely active in membership activities at the Dr. Anne C Adams component and constituent commit tee level and currently serves on the statewide Member ship Task Force. These elections must be approved by the ADA Board of Trustees before they become final.

INTERVENTION PROGRAM PASSED 1997 GENERAL ASSEMBLY

by Harry D. Simpson, Jr., D.D.S. Chairman, VDA Caring Dentist Committee

Specifically, the law requires stayed disciplinary action under the following conditions:

• On March 16, 1997, Governor Allen signed into law SB964 that established an intervention program for impaired health care providers. This program covers all individuals regulated by a health regulatory board in Virginia. Past disciplinary actions show that most impair ment results from substance abuse. The purpose of the program is to protect the public health and safety by encouraging providers who may be im paired to seek treatment and, if necessary, be monitored without being subject to formal disciplinary action. Under the terms of this legislation the program must be in place by January 1, 1998. Participation is voluntary for practi tioners and records of the program that identify individu als are privileged and confidential. Similar programs that are in operation in other states have a record of more effectively addressing impairment than traditional disci plinary actions.

•

• •

no report of a possible violation of law or regulation has been made other than impairment or the diver sion of controlled substances for personal use, and such does not constitute a danger to the public; the practitioner has entered the program by written consent; disciplinary action has not been previously stayed; the practitioner remains in compliance with terms of his contract that may include testing, treatment and limitations on practice.

The bill, patroned by Senator John S. Edwards, allows the Department of Health Professions to enter into a contract with organizations to provide services such as education, intervention, assessment, referral and moni toring of impaired practitioners. It also provides utilization of existing programs established by professional organi zations for peer assistance of impaired practitioners. Governor Allen's proposed budget included funding for the program from revenue collected by the Department of Health Professions

Virginia Dental Journal 29

l VDA TO HOST HOSPITALITY ROOM IN D.C.

"VIRGINIA DENTAL ASSOCIATION, BONNIE ANDERSON SPEAKING. . ."

The Virginia Dental Association will sponsor a Hospitality Room for members attending the ADA Annual Session in Washington, D.C. this October. The Hospitality Room will be located in Meeting Room 4 of the Renaissance Washington D.C. Hotel, located at 999 9th Street N.W The Renaissance is directly across the street from the Washington Convention Center, site of the Trade Show and the majority of the Dental Continuing Education programs.

After eighteen months with the VDA, Bonnie Anderson cannot really be considered a "new" staff member. In addition, having been the initial contact at the VDA for both visitors and telephone callers, she is a fa miliar voice and face to many.

Many VDA members attend the ADA meeting on an annual basis and numbers are expected to increase this year, due to both the proximity of the convention site and the installation of Dave Whiston as ADA President on Wednesday, October 22. It is anticipated that many Virginia attendees may not be staying overnight in the District and may appreciate the opportunity for a nearby "getaway" during the day. The Hospitality Room will be staffed by members of the VDA Membership Committee, under the direction of Chairman Reed Boyd. The room will be open daily, Saturday, October 18 through Monday, October 20. Beverages and snacks will be served and members are invited to stop by for rest and refresh ment during the convention.

Greeting office visitors and directing all incoming calls to the appropriate staff member occupies a significant portion of Bonnie's day, but does not represent her assigned duties by any means. Bonnie has as sumed internal oversight responsibility for all VDA committees and committee meetings, has direct responsibility for certain spe cific committees, as well as the Executive Council, the House of Delegates, and the VDA Fellows. She handles most general cor respondence for the central office and transcribes much of the material for the Virginia Dental Journal. She finds time to assist other staff in completing major projects and serves full time as Administrative Assistant to the Executive Director. Bonnie is a Minnesota native and spent time in Nebraska before moving to the Richmond area in 1983. She worked as office man ager for a local law firm for eleven years and joined the VDA in February 1996. Bonnie and her husband Doug live in Midlothian. They have two adult children and five grandchildren.

Budget Committee meets in Virginia Beach

Component Officers' Luncheon. June Committee Meetings.

30 Virginia Dental Journal

ADA Statement on FDA Toothpaste Warning Labels

,he American Dental Association's (ADA) Council on Scientific Affairs Jelieves that one part of the warning now required on fluoride oothpastes by the Food and Drug Administration (FDA) could mnecessarily frighten parents and children, and that the label greatly werstates any demonstrated or potential danger posed by fluoride oothpastes.

In addition, back in 1991, the ADA began requiring the toothpaste manufacturers include the following language on all ADA-Accepted toothpastes: "Do not swallow Use only a pea-sized amount for children under six. To prevent swallowing, children under six years of age should be supervised in the use of toothpaste." The new FDA labels are consistent with the ADA statements. with the exception of the poison control warning.

rne label language, "In case of accidental ingestion, seek professional issistance or contact a poison control center immediately" is now equired on all fluoride toothpastes. But the ADA, in a letter sent to the :DA last year, pointed out that a child could not absorb enough fluoride rom toothpaste to cause a serious problem and that the excellent .atety record on fluoride toothpaste argues against any unnecessary egulation.

The ADA warning labels were required to help reduce the risk of mild fluorosis, which is a cosmetic defect noticeable as very light spots on

permanent teeth and develops only while the teeth are still forming.

Fluorosis only occurs when more than the optimal daily amount of

fluoride is ingested.

iecent media coverage has focused attention on the safety of fluoride oothpastes, but the coverage has not revealed that the ADA limited he amount of fluoride allowed in ADA-Accepted toothpaste years ago or this reason.

Through its ADA Seal of Acceptance program, the toothpaste manufac turers must submit clinical data to the ADA in order to meet its guide lines on safety and effectiveness. Additionally, all products with the ADA Seal must submit the product's advertising and packaging for review so that consumers and dentists have assurance that the claims the product makes are supported by the clinical data.

".:~,.~• ~,,~.~11:.~ .~:~~ ..:.~;;~~~~.~:.. ~:~.;~~~.. ~~~~;;;i~~ ~rr. ~. ~ ~'.'~.~.:~ " ~~"~~~ ~~ ~~~;~ ~

:.:iW~~·• ~ii • ;i~ •.•Q:•.q~Q • ~• .~;.P: .•~.·.liii~i~ i ·

lI(ii:

..'

.•.•;:•.i:..•. . . ::

: ····i'coir6ts' ~•.S!..•~::•~.:i· ·.i~.~.CI~"t~~ ...i· .· ·: . . ii · i i i i i i

·.' '.:.. ..

•••••

II(

= II( =

~ Your hygiene center remains a

= II( =

~ There are no 'holes' in your schedule 1 week or 26 weeks later!

~ You can plan your vacations and CE classes FAR in advance....

II( II(

PROFIT CENTER....

DENTISTRY will have been scheduled for YOU to perform on your return.

Short-term personal emergencies won't interrupt your income....

= Our board-certified pro's perform emergency, restorative and II( • • = even hyqiene procedures - all day long - for a nommal fee = while your office retains ALL income! It's good dentistry.

. = . = .. :

= II( II(

= II( = = II( = = II( II(

= ..

= =

Michael Mann, D.D.S.

P.S. We welcome inquiries from experienced pro's who are available to work full-time!

Jeff Pylant

DOC TOR 5

Karl Pick, D.D.S., M.S.D.

PER

0 I E MIN c

Toll-FREE

(800) 600-0963 = ~

Department of Labor Booklets

In recent correspondence received from William T. Maruca, District Director, he writes: "The Wage and Hour Division of the U.S. Department of Labor has the responsibility of enforcing the Fair Labor Standards Act (FLSA,) This law requires covered employers to comply within minimum standards of employment under the minimum wage, overtime, and child labor provisions of the Act Beginning October 1, 1996, covered employers are required to pay employees at least $4.75 per hour (changing to $5.15 per hour beginning September 1, 1997), and overtime at a rate of not less than time and one-half their regular rate for hours worked in excess of 40 hours in a workweek. The law also establishes specific record keeping requirements for all covered employees and restricts the use of child labor. Medical offices which employed two or more employees prior to 4/1/90 and which had a combined annual gross volume of sales made or business done of not less than $250,000 are subject to these provisions. Those medical office enterprises which began operations on or after 4/1/90 are subject to the law if their combined gross volume of sales is not less than $500,000."

From their on-going compliance program th W ' ., has f oun d t hat In indiividuals work'ln , . e th age and DIVISlon ' Hour , , , g In e mecllcal offlc Industry are frequently not paid overtime d th h e an ey ave asked , " f th ' for our assistance In making our member elr need , " s aware 0 to be In compliance With these minimum st d d Th '. an ar s ,ere are resource materials available to you as an It. , h" " emp oyer 0 assist ' you In ac revrnq compliance With the Fai L b St r a or anoards Act: Handy Reference Guide to the Fair Labor St d d A _W Publication 1282 an ar s ct H Compliance Guide to the Family and Med' I L A W Publication 1421 lea eave ct - H Professional Offices Under the Fair Labo S d d A Sheet No, 003 r tan ar s ct - Fact ' I & Exemption for Executive, Administrative P f ' , ro esslona , Outside Sales Employees - Fact Sheet No. 017 Overtime Pay Hequirernents of the Fair L b St d d A Fact Sheet No. 023 a or an ar s ctt t' These booklets and fact sheets can be obtai d b . arne y con ac In9 the nearest office of the Wage and Hour D' .. I' t d ] . . IVISlon IS e In most t D t t f telephone directories under U.S. Govern Labor. men, epar men a

.",.,......,..".,,.---------...,---------------------------------------,

PRACTICE THE PROFESSION. If you're a Dentist in search of an exciting and hallenging

could be the place for yo u. c In the career, the Air Force , Air Force you won t have to worry about oui overhead, equipment or billing, You'll have experience~~entalassis tants and everything you need to step into a c mprehensive 0 practice. In addition, you'll receive: • Excellent starting pay • 30 days ~acation :Vi~h pay - begim~ing your first year • Automatic comrnrssion as a Captam or higher (bas<:,d on your education and experience) . • Special training and continuing dental education programs For more information call

1-800-423-USAF AIM HIGH

HEALTH PROFESSIONS '----------------------~--------'

YOU

KNOW

HOW

For

years, Tbe CiJ1cinHati lJ1sl1rÂŁ1l1ce

Dentist's Package Policy has beeJ1 the tool of

to protect yourse If.

choice for rrolectinq your ')ractice Noll' ii

YOU

KNOW

HOW

inc/wies

C1Jf)l

1110re

coverage at a renwrka/JIy

loll' cost.

to protect

You are autol11atlCally covered for daily

YOUR PRACTICE?

loss of income -tbe <11110W1! predeter111i~mi by

you and your agfl1t--when a covered loss susrends operation of your practice. New

professionall1abillty covmlges aHd options are available to shield your substit~de dentist aqaiw: liability Plus, your attorney is pdid

you're the subject of a DPR investig<1tloH, aHd you're reimbursed for attorney's fees

if a

mJuldtory agency files a cmil suit aqainst you for improper medical waste disposal. As always, Cincim1ilti Insurance can cOl11bil1f your professio11alliability insurilnce with pro/Jerty al1d genera/ Iwbility 111 one rackage, reducilig gaps in protection.

If occurrences duril1g tbe policy period lead to

claims after the policy ex/)ires or fVC11 after you retire, we cover the claims according to policy /novisiol1s AHd professional/iability claims arc settled ollly wben you COl1sent

ilt

writillL) (except iH Florida J

With (iHcll1Hati !l1suwl1ce, you a/so get the peace-ai-mind tbat COl1le5 with ow' A+ + by AA1 Best, qioen only to tbe tal) 7% of insurers. So, /)roteet yourself

THE

CINCINNATI INSLRA!'iCE COMI'A'\IES

(111d )'01/r

1mlcliee lPl'tb tbe Dmtist's P'lckclge Policy fronl

Cd111-H()()-769-05~8

for tbe

11I1111e

Cincim1dt! J11S~mlltce

of (//1 independeHt aqcn! Hem y011

.-- --,

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 Irifor-rnat.iorr, call Dr. Douglas S. Johnson Office (800) 222-0455 • Fax (813) 791-8628

Virginia Dental Association 128 Annual Meeting

BOOTH 21 & 22

~. BMWZ3

$499 month On view at the Hotel Roanoke September 24 -28, 1997

Stop by for a no-obligation lease quote. Any make or model

Creative Leasi ng (804) 270-3042 Automobile & Equipment Leasing 38-month lease. First month payment, secunry deposit. tax, title & tags due at delivery

1997 Survey of Dental Practice

D R NEWS Three More Virginia Businesses Convert to DR "We are pleased to announce that the following Virginia ,businesses have been added to the Direct Reimburse . ent roster: Gloucester Southside Insurance Agency ,Gloucester), Worth Higgins & Associates (Richmond), , nd the Virginia Education Association (Richmond.) Two tthese companies were referred to us through brokers working with Jon and Cork at BAI, and the other was eferred to us by the ADA as a result of their DR media 'ampaign. All three of these employers have selected ,AI to administer their DR plans. f you are able to provide a referral or have a contact

Who would like more information about Direct Reim ,ursement, please contact anyone of the individuals [sted below: Connie L. Jungmann

Assistant Executive Director, VDA

804/358-4927 or 804/353-7342 FAX

800/552-3886 (toll free in-state)

C.P. Coyner, Benefits Consultant Benefits Administration, Inc. 804/320-4500 or 804/379-3509 FAX

The 1997 Survey of Dental Practice, the most complete source of information on the private practice of dentistry in the United States, has been mailed to a five percent sample of private practitioners nationwide. The survey is conducted annually by the American Dental Association's Survey Center. Data from the survey is used to assess the current status of, and trends in, practice activity, auxiliary employment, income, and other characteristics fundamental to the dental profession. The Survey of Dental Practice has been conducted by the Survey Center for more than forty years. Past survey results are available by con tacting the Survey Center at 312-440-2568. Karen Schaid Wagner, Director of the Survey Center, stresses that "the American Dental Association remains the most complete source of demographic and economic information for the profes sion. Our ability to do so is entirely dependent upon the efforts and contribution of the sampled dentists. It is vital that each den tist complete and return the questionnaire as accurately and promptly as possible. Since the results of this research project are often used to measure the relative economic health of the profession and to provide a guide for policies/issues relevant to dental professionals, the time spent to participate is truly an in vestment with high returns." As with all surveys conducted by the Association, participation is voluntary and confidential. Private practitioners selected to participate are encouraged to complete and return the question naires as soon as possible. If you receive a questionnaire and are unable to participate or have any questions, please contact the Survey Center at 312-440-2568. When completed, the re sults of this survey will be available from the Survey Center.

Jon Swan, Benefits Consultant

Benefits Administration, Inc.

804/378-6206

804/379-3509 FAX

DR Brochures Available for Patient Distribution

IMG Simplifies Shipping Rates 'he following DR materials are available to VDA mem 'ers who would like to help promote Direct Reimburse ; ent. Please contact Connie Jungmann at the VDA ,entral Office (804/358-4927 or 800/552-3886 toll free n-state) for ordering assistance. ;'irectReimbursement - The Dental Plan for Smart Companies

,ublished by the ADA; brochure, booklet and disk format group: Employers, CEOs & Benefits Managers

'~rget

" Dental Benefits Plan Check-Up: hat Patients should know before selectin a dental benefits pial]

blished by the VDA; brochure format arget group: Patients & Employers •R -Quick Reference Card for Staff Ublished by the VDA ,arget group: A DR quick reference qu.de for front office staff

As a result of an increase in UPS shipping rates and in an on going effort to service its customers, IMG has negotiated a vol ume discount rate with UPS on gloves being shipped to Virginia Dental Association member dentists. Previously a multi-tiered rate structure, the new simplified two-tier rate structure went into effect January 1, 1997. The new rates are: 1-9 cases, $9.50/ case and 10 or more cases, $7.00/case. All glove orders are shipped via UPS ground direct to the dental office. Additionally, IMG was notified of a second UPS rate increase in February, but chose to keep its rates constant and not to pass the second In crease on to its customers since the new rate structure had been put into effect only one month before. The focus of product endorsements by the VDA and the Virginia Dental Service Corp. (VDSC) has always been to provide quality products to our members at a reasonable cost. Although you may be able to find a particular product through a wholesaler or discount store at a lesser price, please keep in mind that your support of these endorsed programs is providing direct support in the form of non-dues revenue to the VDA and VDSC,

Virginia Dental Journal 35

ALLIANCE OF THE VDA

All spouses and guests are invited to join us for an exciting workshop as The Virginia Dental Alliance presents:

Prescriptions for

Financial Health

Friday, September 26th / 2:00-3:30pm / Hotel Roanoke & Convention Center Wheat First Butcher Singer Financial Consultant Jennifer Nay will be the speaker at this informative workshop filled with ideas for both the novice and experienced women investors. Topics will include: -Asset allocation - the investment strategy for today and tomorrow -NEW options with IRA's and ill@lifiedretirement plans -How to save $ on your taxes -Mutugl! fundi:! & annuities - which one should you own? -Deterrnininq your net worth and investment objective Financial Planning for Individuals - Mrs. Nay believes that before you make an investment decision. it's important that she understand where you are today and where you want to be in meeting your Investment goals. Working With Wheat first's financial planning specialists, Mrs. Nay can analyze your financial situation and recommend steps to irnprove il by offering: * Estate tax planning 10 protect your heirs from substantial

de足 lays, fees, and taxes; * Asset allocation strategies to properly balance your portfolio to reflect your need for growth or income, and * Education funding analysis to project college costs and deter足 mine tile necessary funds you will need 10 send your child to college.

The fee for the Alliance of the Virginia Dental Association's Buffet Brunch on Saturday, September 27th, was omitted from the 1997 VDA Annual Meeting. Program If you plan to attend, please make checks payable to AVDA for $25.00 and mail by September 1 to: Esther Vaughan gig Kenbridge Place Salem, VA 24153

Katharine Morgan 6821 Columbine Lane Hollins, VA 2401 9

We apologize for any inconvenience.

36 Virginia Dental Journal

Retirement Programs - Mrs Nay serves the needs of Individuals ana small business owners in establishing ana maintaining effective retirement plans for themselves and their employees. She offers a compre足 hensive range of services and can help you evaluate the best retirement plan for your needs, including: Self-directed IRA'; simple IRA's and IRA rollovers; and 401(k), 403(b), pension and profit-sharmq plans. Jennifer Nay specializes in deSIgning portfolios that are unique to each investor's SItuation, and believes a good investment program enhances personal wealth and the fife-styles of indIViduals. Prior 10 JOining Wheat FIrst Butcher Singer, Mrs. Nay worked as an Account Executive for an investment banking firm in New York City and as a Financial Consultant, Assistant Branch Manager and Bond Specunist at Charles Schwab in Richmond

pPACNADPAC:MORE BANG FOR THE BUCK

by Lisa Finnerty, VDA Public Affairs Coordinator

'., al Action Committees, or PACs, allow groups of people who tlC II sirililar ideas and values to support candidates of their choos rein the case of the American Dental Association's Political '. n committee (ADPAC) and the Virginia Dental Association's IIOcal Action Committee (VADPAC), this would include individu ,11111 h understand the importance of dentistry and are commit O . ~o the oral health of the Commonwealth and the nation. "ough PACs we are able to exercise our constitutional right to .itio n the government.

1 history of PACS dates back to the early 1930s, when the

e ral government denied banks from contributing money in sup ';of candidates running for public office. Similarly, labor unions inemid 1940s, governed by the same mandate, were no longer 1 to use dues money for political purposes. PACS, as we know •. ~ today, did not surface until the Campaign Finance Reform )of 1974 which followed the Watergate Scandal during the Nixon ~rninistration. Congress instituted campaign finance reform mea 'ies to more closely track campaign contributions which candi ales received. Additionally, Congress formed the Federal Elec "11 commission, allowing private and public contributions to PACs 'be used to support political candidates. iJrrently there are 4,528 federally registered PACs in the United .tales. There are 419 active registered PACs in Virginia. Both . PAC and VADPAC are of direct benefit to you. :"ere does seem to be some confusion pertaining to the five types PAC contributions. Thus, a brief explanation of ADPAC, ADPAC apilal Club, VADPAC, VADPAC Commonwealth Club and ~DPAC Governor's Club follows: • ADPAC funds are distributed to candidates running for seats in the United States Congress. When a dentist contributes individual funds to ADPAC, the contribution is either sent directly to the ADPAC office or to the VDA office as part of active VADPAC/ADPAC dues. If the ADPAC contribution is sent to the VDA office it is for warded to ADPAC. The ADPAC fiscal and membership year runs from January 1 to December 31. The ADPAC Board determines which candidates receive contributions; however, they rely on input from the state political action committees in determining contributions. • ADPAC Capital Club is a higher level of giving to the political action committee. Membership in the Capital Club is a $100 contribution. Capital Club members receive a specially designed pin each year. The ADPAC Capital Club fiscal and membership year runs from ADA Annual Meeting to ADA Annual Meeting.

• VADPAC funds support Virginia statewide candi dates and General Assembly candidates. Active VADPAC/ADPAC membership is a $50 contribution. VADPAC may accept either corporate or personal funds. The VADPAC fiscal and membership year runs January 1 December 31. The VADPAC Review Committee deter mines which candidates receive funds. The review committee encourages member dentists to submit PAC requests. Contributions to VADPAC are used to support legislators across the state. The program and platform of the individual candidate determines whom VADPAC supports - not the candidate's party affiliation. • VADPAC Commonwealth Club is a higher level of giving which requires a $100 contribution, in addition to your normal $50 VADPAC/ADPAC dues. As a Common wealth Club member you are entitled to attend the annual VADPAC/ADPAC Continuing Education Seminar at a significantly reduced rate. • VADPAC Governor's Club was initiated by VADPAC last year as a new level of participation. A contribution of $500 to VADPAC entitles you to the following: VADPACI ADPAC membership; Commonwealth Club membership; ADPAC Capital Club Membership; two tickets to the annual VADPAC Leadership Dinner; a private reception with a key political figure; and a special Governor's Club pin. If you have already made your contribution to VADPAC/ADPAC or the Commonwealth Club it will be credited toward the $500 contribution required to be a member of the Governor's Club. Last year 57 of your colleagues joined this elite group of contributors! Of course, the most important aspect of PAC membership is the knowledge that you are actively participating in the political pro cess and ensuring that the way you practice your profession is not determined by outside entities. Please take a moment to join VADPAC/ADPAC if you have not already done so or to enhance your current level of giving. 1997 is a busy year with all 100 seats of the Virginia House of Del egates, as well as the three statewide offices, up for re-election. As VADPAC is an ever evolving and dynamic process, staff will be suggesting recommendations to the VADPAC Committee to regulate the billing process and to streamline the relationship be tween the various levels of giving. Feel free to call me, Lisa Finnerty, at the VDA Central Office (800)552-3886 or your local VADPAC Committee Representative if you have any questions or comments.

Virginia Dental Journal 37

The Virginia School ofDental Assisting Formerly Dental Careers Foundation

"We Educate Virginia's Finest Dental Assistants"

Central Virginia Campus 1905 Huguenot Rd, #200 Richmond, Virginia Phone (804-794-1754)

Western Virginia Campus Cave Spring Office Park Roanoke, Virginia Toll Free 1- 888-99~DENTAL

Dental Radiation Safety Virginia Dental X-ray Certification Several times per semester, VSDA 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 VSDA courses include: • • •

Adult & Infant CPR Osha & Infection Control Comprehensive Dental Assisting

All Aspects of Radiation Safety Endo Films & Quick Developing FMX Placement and Film Mounting Use of RJNN XCP Holders Panoramic & Cephalometric Technique Developing & Fixing and Processor Maintenance Quality Control Measures and Troubleshooting And Much Morel

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 VSDA.

VSDA Registration Form 1997 Name - - - - - - - - - - - - - - - - - c c - - - c c - - SS#

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

Home Phone Address Dental Practice Name Dental Practice Address Birth Date

Work Phone City

-------- Zip

_ Sex M

VISA or MC # Print Name of Card Holder

_ _

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

_ _

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

Registration is accepted until class begins, provided that a class is not full ..

Check Here

Course # 101 101 101 101 101 101 101 101 101

Section # 007 008 014 015 009 010 011 012 013

Date Sat., June 28, 1997 (Richmond) Sat., July 26, 1997 (Richmond) Fri., Aug. 15, 1997 (Roanoke) Sat., Aug. 16, 1997 (Roanoke) Sat., Aug., 23, 1997 (Richmond) Fri., Sept., 26, 1997 (Richmond) Sat., Oct. 25,1997 (Richmond) Sat, Nov. 22,1997 (Roanoke) Sat., Dec. 13, 1997 (Richmond)

Time 8am-5pm 8am-5pm 12-8prn 8am-5pm 8am-5pm 8am-5pm 8am-5pm 8am-Spm 8am-Sprn

Cost $99.00 $99.00 $99.00 $99.00 $99.00 $99.00 $99.00 $99.00 $99.00

Mali this registranon form and credit card information or check (payable to VSDA) to. Virginia School of Dental Assisting, 1905 Huguenot Road, Suite 200, Richmond, Virginia 23235. Or FAX it (credit card only) to 804-794-7974.

Paid Advirtisement

Southside Sponsors Children's Dental Health Fair

Is Children's Dental Health Fair was a voluntary, cooperative

6rt between a number of groups, including: the Southside

intal Society, the Crater Health District of the Virginia Depart

3nt of Health, Dental Division, the Alliance of the Southside

intal Society, the dental students from the Medical College of

;ginia, faculty from the Medical College of Virginia School of

Jntistry. All of these people need to be thanked for their dedi

tion and effort to care for the dental health of central Virginia's

rildren.

poster contest was held in local schools, with the theme be g:"Secrets to a Winning Smile". The winners were presented th gift certificates and prizes at the Children's Dental Health rlr, the posters were displayed, the Medical College of Vir nia Mobile Oral Health van was on hand to perform free den I screenings and numerous groups were present with displays id table clinics to promote children's dental health.

Dr. Samuel W. Galstan, Ms. JoAnn Wells and the tooth fairy present an award to a poster contest winner.

Virginia Public Health Service, Division of Dental Health hygienist presentat a booth to explain proper brushing.

Mev dental students kept the customers satisfied.

~/ilance

officers displayed 'nformat,on on the dangers of

smokeless tobacco.

Virginia Dental Journal 39

Paid Advirtisement

The American Endodontic Society can help you get you on the pathway to saving teeth in the 21st Century!

Hyatt Regency Washmgton, DC Saturday, October 18, 1997

AES offers you an excellent Seminar on Simplified Endodontics. At 8:00 a.m. on Saturday, October 18, at the Hyatt Regency, Washington, DC, the day following the AES Annual Meeting and on the occasion of ADA Annual Session, three distinguished clinicians will present an updated AES Seminar on Simplified Endodontics for the General Practitioners.The Basic/Advanced course will be given by Drs. Alvin H. Arzt, James F. Garry, and Ramon Werts.

CONTINUING EDUCATION RECOGNITION PROGRAM

The American Endodontic Society is an ADA CERP Recognized Provider. Accepted National Sponsor FAGD/MAGD Credit, March 1, 1995 to March 31, 1998. Approved for Continuing Education credit, California Board of Dental Examiners. Dr. Arzt

Dr. Garry

Dr. Werts

PROGRAM-One Extraordinary Day OneAppointment or Two? Biologic and Histologic Background Diagnosis and Therapy Canal Engineering-s-Giromatic Sonic Instrumentation Ultrasonic Instrumentation The Fistulator-F istulamat Compatible with Gutta Percha Pedodontic Endodontics Increasing Your Success Rate Posterior Teeth Made Easier Apicoectomy-An Obsolete Approach

FEE SCHEDULE for the Basic/Advanced Course (lunch included)

For AES members For non-members

$225 $275

PLAN TO ATTEND!

Make hotel reservations through the ADA Housing Bureau.

-----------------------------------------------------AES SEMINAR OCTOBER 18, 1997 PLEASE ENROLL ME PLEASE PRINTOR TYPE

Name StreetAddress City, State, Zip AES Member: 0 YES 0 NO

Telephone (

Dental Student: 0 YES LJ NO My check for $

Mail this coupon today to: American Endodontic Society 14 Springtree Lane Yardley, PA, USA 19067-1830 USA

(215) 321-5888 is enclosed.

Upcoming Continuing Education 1997

10atefTi me

Component

Meeting

Location

. August 15

Southwest (6)

CE Meeting VDA Sponsored

Abingdon, VA

Dr. Harold Crossley

"Therapeutics & Pharmacology"

Shenandoah(7)

CE Meeting

Staunton, VA

Dr. John A. Burmeister

"Practical Periodontics for Failing Pockets"

September 12

VDA Annual Session, Hotel Roanoke/Convention Center, Roanoke, VA

Sept. 24-28 \ October 10

Peninsula(2)

CE Program VDA Sponsored

Williamsburg, VA

Dr. Harold Crossley "Street Drugs"

October 17

Southside(3)

CE Program VDA Sponsored

C C of Petersburg

Dr. Tom Dawson

"Contemporary Restorative Dentistry"

, November 7

Tidewater(1 )

CE Program

TBA

Dr. Mark Barry "Pharmacology & Therapeutics"

Southwest(6)

CE Program

VA Tech,Blacksburg Donaldson Brown Ctr.

Dr. Captain Jeffrey Hutter

"Facial Space Infections of Dental Origin

& Traumatic Injury Update"

November 14

Leadership Conference

November 13-15 November 14

Boar's Head Inn, Charlottesville, VA

Southwest (6)

VPI

Blacksburg, VA

Richmond (4) ;

CE Program VDA Sponsored

Richmond, VA

Dr, Jeffrey A. Sherman "State of the Art Radiosurgery"

December 12

Tidewater (1)

CE Program

TBA

Dr. Charles Blair

'Tax Management"

April 24, 1998

Tidewater (1)

CE Program

Chesapeake Conf.Ctr. Chesapeake, VA

Dr. Howard Farran

"Practice Management"

" November 21

TBA

CONTINUING EDUCATION RECOGNITION PROGRAM The Vlrglnlo ~en~Q' Assocro tior. '5 recognized os (] c er rif ie d sponsor of conTlnumg dental educo+lO~ b'y' both thr. II DJ\ CERP and the Acodeomy of Genero i Den+,s1 r j All courses presented at t he 1996 'IDA Annua' ME:et inS ore opprovco fo~ credit by these 0genc.le.s, as we.l as by the Vtrglnlo5tote Boord of DentiSTry

Virginia Dental Journal 41

l Component News l (-~-_.

Component /I Peninsula

Component II/ Southside

Component I Tidewater Dr. Cory Butler, Editor Dr. H. Reed Boyd III, Editor

Dr. Barry Einhorn, Editor Greetings from Tidewater. While we are in the midst of summer there is a great deal of activity in our component. We have a membership task force that is headed up by Dr. Rick Quiqq that is focusing on fe male dentists in the area, as well as new graduates. The committee is going to try to recruit dental students from Tidewater because it might be quite productive. We are gearing up for our annual meeting to be held on Wednesday, August 20, at the Noriolk Airport Hilton Hotel. We will install our new officers and present our annual awards for serviceWe are happy to share the good news that Dr. Cathy Oden was recently married to Mr. Steven Fulton, who is a freelance writer and producer. Dr. Marvin Resnick recently re tired and is enjoying the good life. The same is true of Dr. Ralph Futterman who is now wearing his tennis shorts under his street clothes so that he can jump into a phone booth and become a tennis player at a moment's notice. Dr. Bob Kirkman is recovering from bypass surgery, and by the time you read this column he will probably be back in first gear. Our condolences go to Dr. Larry Cash on the passing of his dear wife Anne. She was a good friend to many members of the Tidewater and will be sorely missed. Dr. Bud Zimmer has developed a reputa tion for designing pins for organizations. His latest creation is a past president's pin. I can't wait to get mine. He also has accu mulated a vast collection of pins that he sports on a vest. Look for him at the VDA meeting in September. Congratulations to Dr. Wayne Mostiler who will be retiring as president of our compo nent in August. He did a wonderiul job. Wayne has been very responsive to the needs of our members and devoted to or ganized dentistry.

42 Virginia Dental Journal

As the lazy days of Summer pass us by we are all back in the "routine" of school and other activities; football has begun and not far behind will be Autumn and with it the 1997 VDA Annual Meeting in Roanoke scheduled for September 24-28. Please make plans now to attend what is sure to be another great meeting, and at the same time meet almost all of your continuing edu cation requirements for the year. On behalf of our component, I would like to thank and congratulate Jeff Kenney for his diligence and endeavors while he was president this past year; his leadership will be missed. Moreover, we would like to wish our incoming president, Guy Levy, the best. Guy has a fantastic agenda planned for our component for the coming year. Furthermore, we would like to congratulate another member of our component, Dr. Mike Link, on his recent appointment to the Board of Dentistry. Our component mem bership continues to grow as we welcome the following new members: Dr. Terry Hake, an endodontist who recently set up practice in Williamsburg; Dr. Ross Epstein, a general dentist practicing in Newport News; and Dr. David Matney, practicing with Dr. Tom Morris in Williamsburg. On a sad note, our thoughts and prayers go out to the family of Dr. Ron Godby; our compo nent lost a good friend and colleague. Looking ahead to continuing education op portunities, you should mark your calendars now for "Street Drugs" presented by Harold Crossley, D.D.S., PhD. on Friday, Octo ber 10.1997, at the Omni Hotel in Newport News. As a final note, I would like to thank the VDA Journal staff for their assistance and patience while I was editor for our compo nent. We are very fortunate to have such a professional organization in the VDA of fice. Thank you.

Summer greetings from the Southside Den tal Society' Schools closed and the Southside Dental Society immediately kicked off the summer season with a con tinuing education course and social event. Back in June, Dr. Baxter Perkinson met with us to give us an update on restorative den tistry. This meeting has become an annual affair and is held in Emporia, the same day as the Pork Festival. We meet for a CE course in the morning and part of the after noon, then we adjourn for the Pork Festi val. A great time is had by all. Fun, facts and food - it just doesn't get any better than that! We will hold our semiannual business meeting in September to elect officers and prepare for the VDA Annual Meeting in Roanoke. The meeting is shaping up to be a great meeting and the CE courses look to be a tremendous opportunity to hear some outstanding speakers, pick up those needed CE credits, and meet some old friends. I understand that the Hotel Roanoke has been completely renovated and is a first class facility. I personally am looking forward to visiting Roanoke as I have not been to that city and part of the state in a while. I just need a list of restau rants, golf courses and night spots and I will be all set. The Membership Task Force and Member ship Committee of the VDA will be man ning a booth in the hotel. Please stop by and check it out, you never know what you might find there. I assure you that you will learn something about your tripartite mem bership that you did not know. If nothing else, stop by and let us know what we can do to improve membership benefits and en courage more dentists to TAKE ADVAN TAGE of organized dentistry. As Chairman of the Membership Committee, I promise you that your suggestions will be heard and acted on. I also promise you a response on your suggestions. Please stop by: The VDA will also be hosting a hospitality suite at the ADA Annual Meeting to be held in Washington. D.C. in mid-October. This

is a great chance to attend one of the ADA's meetings, hear some outstanding clinicians speak, and see your national organization at work firsthand. Remember, our own Dr. Whiston takes the reins at this meeting! I am sure that you will not be disappointed. As I have become more involved in the dental association, I am every amazed at the workings of it. So many people give so freely of their time and efforts so that the rest of us can benefit. I am amazed by the "machinery" that runs and is the VDA. I do not know what dentistry would be without organized dentistry. I see things every day and realize that organized dentistry had a role in making it that way. I see new things happen every day and realize that orga nized dentistry helped it to happen, and happen in a way that is usually favorable to all of us ...or at least was heard. That is truly the important part...that organized dentistry gets the message of dentistry heard! New and exciting things are hap pening in the VDA and the ADA every day. They require our help, our suggestions, our support - OUR MEMBERSHIP - to have an impact! I ask that YOU get involved and then get someone else involved, It is true, Dentistry is health care that works! We in Southside, Virginia invite all of you to Roanoke and to Washington, D.C. to celebrate dentistry! Hope to see you there!

ments at The Country Club of Virginia. Many thanks to Lanny and Greg; as well as to Doctors John Doswell, Russ Mosher, Benita and Mike Miller, Ms. Linda Simon, the corporate sponsors, and everyone else who helped plan and direct the events of the day. As the 1996-1997 "year" comes to a close, indeed many other thanks also need to be offered. The current officers, the Execu tive Councilor, the Parliamentarian, those members who chaired and staffed commit tees, our Executive Secretary, Ms. Linda Simon; and the membership in general, all should be thanked for the significant indi vidual and cumulative hard work that went into making this "year" so enjoyable, pro ductive, and successful. At the next regular monthly membership meeting on September 11 , new component leadership will be installed for 1997-1998. Dr. Gary R. Hartwell will become President. President-Elect will be Dr. John S. Kittrell, Dr. Charles E. Gaskins III will continue as Secretary, and Dr. Russell N. Mosher, Jr. will become Treasurer. Mr. Robert Ukrop of Ukrop's Super Markets, Inc. is sched uled to speak. Members and their spouses certainly will enjoy his insiqhttul manage ment comments. Richmond Dental Society members are reminded to finalize their plans to attend the 1997 Annual Meeting of the Virginia Dental Association to be held in Roanoke, September 24-28. See you there!

Component IV Richmond Component V Piedmont

Dr. Charles E. Gaskins III, Editor As summer vacations continue, much needed fixtures and additional office capa bilities continue to be added at the Rich mond Dental Society's central office. The progress is noticeable, and these additions will certainly benefit the membership.

As a post-note to the Component's May 16, monthly membership meeting, Doctors Lanny Levenson and Greg Zoghby ar ranged for a bicycling "Tour de West End" for those cycling members who were will ing to brave the traffic and streets of Rich mond. These hearty souls pedaled (rode?), while other members and MCV students participated in the golf and tennis tourna

Dr. Edward P. Snyder, Editor

We in Southside Virginia have kept busy this summer. The executive board of the Piedmont Society met prior to our last meet ing in Danville. Dr. Jim Evans directed a very successful meeting with more than 130 attending. The board met again August 12, 1997, at Bewards Landing on Smith Moun tain Lake to prepare for our fall meeting. Speaking of our fall meeting, it will be held in Lynchburg at the Holiday Inn Select on Friday, October 31. Please mark your cal endars so that you can obtain 6 hours of CE credit.

Component VI Southwest

Dr. David L. Stepp, Editor

It has been another busy year for Compo nent VII, including two great component continuing education meetings. Our first meeting on March 7, featured Dr. Ben Bissell from Emory and Henry College in Emory, VA. Dr. Bissell discussed "Dealing with Difficult People." This was very infor mative since we all deal with difficult people in practice and in society in general, or worse yet may be one. Our second component meeting was held on May 16-18, at Pipestem Resort in Pipestem, West Virginia. Our speakers were Drs. Chris Hooper and John Cranham. They discussed cosmetic den tal cases, posterior composites, fifth gen eration bonding agents and new ceramic systems. Chris and John are both very knowledgeable speakers and excellent cli nicians. This is the second time we have had these individuals speak to our compo nent and we really enjoyed them. If you have not heard them speak, I would rec ommend you do so. We have two remaining component meet ings on the agenda for 1997. The next one will be our annual meeting scheduled for August 15, at the beautiful Martha Wash ington Inn in Abingdon, Virginia. Dr. Harold Crossley will discuss "Therapeutic Drugs in Pharmacology." Dr. Crossley is a den tist on faculty at the University of Maryland School of Dentistry and is a very dynamic speaker. This meeting is always one of our favorites; it is held during the annual Vir ginia Highlands Festival in Abingdon. We would love to have you join us. The last meeting of the year for our com ponent will be held on November 14, on the campus of Virginia Tech in Blacksburg. Our speaker will be Dr. Jeffrey Hutter dis cussing "Facial Space Infections of Dental Origin and Traumatic Injury Update." Dr. Hutter is the postgraduate program direc tor in Endodontics at the University of Mary land School of Dentistry. Dr. Hutter is also an excellent speaker with a subject that is pertinent to all of us.

Virginia Dental Journal 43

The June VDA Committee Meetings were held In Virginia Beach on June 12-15. The committees worked hard and a lot was ac complished. A good time was had by all We would also like to remind everyone to mark their calendars for the 128th Annual Meeting of the Virginia Dental Association to be held in Roanoke on September 24 28. This meeting will be held at the Hotel Roanoke & Conference Center that has been completely renovated and includes high-tech meeting facilities. Several excel lent continuing education courses have been scheduled, offering a good opportu nity to work toward your fifteen hours of CE licensing requirement. In Roanoke, one of our own, Dr. Wallace Huff will become the next president of the VDA. We look for ward to seeing everyone in the Star City of Roanoke in September. Have a great sum mer!

Component VII Shenandoah Valley

Dr. Rebecca Scanga Swett, Editor

The SVDA is pleased to welcome the fol lowing new members: Dr. Lois Bersheid-Brunn Dr. Larry Brannon Dr. Ronald Davis Dr. Joel Evans Dr. Sean Fessenden Dr. William Grupp Dr. Clifton Harris Dr. William Horbaly Dr. Thomas Livesay Dr. Tammy Neal Dr. David Polk Dr. Richard Smith Dr. Gregory Wall Dr. Barton Weis It is our hope that each will become active in helping our component become the best it can be. The membership committee is now focus ing on new dentists. Please welcome any new dentists in your area to become a member of the SVDA and invite them to attend our upcoming CE meeting Septem ber 12, 1997, at the Ingleside Resort in Staunton, Virginia. The topic for this course will be "Practical Periodontics for Failing Pockets" given by Dr. John Burmeister of MCV. Our regular business meeting will occur on this date as well Officers will be installed, as well as approval of the final draft of the Constitution and By-Laws. On behalf of Component 7, I wish you all a pleasant summer and look forward to meet ing you at the Ingleside in September.

I hope this note finds all of you relaxed and enjoying the summer! VDA Committee meetings were held in Vir ginia Beach, June 12-15, 1997. I would like to thank all committee members from our component for their generous gift of time in their attendance. We are a stron ger component because of their dedication. Much was accomplished and we look for ward to the state meeting in Roanoke this year on September 24-28. I hope to see you all there'

Component VIII Northern Virginia

No news received. We are happy to welcome Patricia Fuller as the new executive secretary for our com ponent. She can be reached at (804) 985 1939 or by fax (804) 985-8974. Pat brings 16 years office of experience including ed iting, publishing and owning her own insur ance firm. She has a degree in business from the College of the Albemarle and in Early Childhood Education from Old Do minion University.

44 Virginia Dental Journal

VWCC Brings Hygiene

Program to Danville

The VDA Auxiliary Education & Rek-ltlons Committee has received the following in formation from Ann B. Hutcherson at Western Community College regarding the establishment of a hygiene prorgam at Danville Community College

Twelve students from the DarlVille/ Martinsville region have been admitted to the DCC site for the beginning of classes in August; 21 students will be enrolled in Roanoke, for a combined class size of 32. The DCC site class is comprised of eleven females and one male, four have dental assisting experi ence. The average age is 25, and nine of the incoming students have college experience. Robin Jennings, RDH. has been employed as the part-time dental hygiene faculty member responsible for preclinical laboratory instruction on-site' at the George Washington High School clinic The DCC site program advisory: committee includes the following dentists from the region: Drs. Donna Helton Albert Payne, Zachary Hairston. and Mark. Crabtree. The regional dental com- :, munity has been most supportive In do nating both equipment and financial sup port for the initiation of the extended Site, and in addition, Virginia Western has· received a $125,000 budgetary appro- i priation from the General Assembly for " the 1997-98 academic year for costs re- ' lated to the project. The faculty at Vir ginia Western look forward to a success ful academic year, and appreciate the i support of all the professionals who have . helped to make this possible

FUNDING YOUR PENSION PLAN

WITH THE VALUE OF YOUR PRACTICE

ou ' ve done it. You've built a suc cessful practice, you own a big house and drive a nice car. You've raised your kids and provided them with a good edu cation. You are probably in your mid-to late forties or early fifties. You've climbed the proverbial mountain and you have slain all the dragons you care to. You still enjoy practicing your profession, although it's probably not as exciting as it used to be. Those little problems of owning and oper ating a practice continue to annoy you.

house may still have a substantial mort gage. You figure you need to practice for at least another ten years or so just to make ends meet and that puts you even closer to retirement age, so where can you get the money you need for your pension plan? Your practice! It is one asset that can be liquidated now and the value of your prac ticeutilized to fund your pension plan. But wait a minute, you need to continue to practice, so how can you sell your practice? AFTCO's Pre-Sale Program is the answer. You can cash in on the value of your practice now and continue to practice for five, ten or even fifteen years (you deter mine the number of years). This unique program will allow you to contribute that money to your pension plan, for your

paid on interest, and that money in your pension plan begins to grow at arapid rate. By the time you are ready to retire, the money you received for the value of your practice could grow by two, three and even four times the present value of your prac tice. That compounded value should more than adequately provide for your retire ment, and you did not have to compromise your life-style.

Now, suppose you decide to do nothing and continue on as you have been. You will You've done better than most. Your friends work another ten years or so (provided you don't die or become disabled in the and colleagues hold you in high regard. interim), and you probably still won't have Your family appreciates how you have the money set aside for retirement. So you provided for them over the years. Not a bad track record, and you ha ve reason to be might try to lower your standard of living to save money. You may begin by selling proud. However, there may be one very important item that was your house and moving into a smaller one. The compromised in your "I quest to provide so much probIem is, it wi IIalso be ...the value of your practice could grow by for so many... your pen more difficult at that age two, three and even four times sionplan. to maintain today's level of production. As a re the present value of your practice You figured out how to ~============================== sult, your income may get into practice and be a begin to drop as well. benefit only (no staff contributions). You success. Now, at your age, it's time to figure There goes the extra money for retirement, can get a lot more details abou t this pro out how you can get out of practice... alive. even after you lower your standard of gram when you speak to an AFTCO ana You don't want to practice until you die living. lyst. because you can not afford to retire. You don't want death to be your reward for a The only option left is towork until you die. You might ask, just how much is my prac lifetime of providing for others. You want If you die, you have life insurance to take tice worth? Practice values vary greatly, a chance to enjoy life now ... to enjoy free care of your estate. If you get sick and with rural specialty practices on the low end dom from stress and quality of life. cannot work, however, that is a whole of the scale and general (primary care) different picture (and not a very pretty practices in large metropolitan areason the It takes a great deal of money to do this. one). You would not believe the number of upper end. You can assume your practice However, chances are you are working as doctors I've seen retire over the years that is worth somewhere between fi fty to ninety hard as you want at this stage in your life, did so just hoping they would die before percent of one year's gross revenues! We're and you are probably spending almost all their money ran out! talking about real dollars that can be used your earnings justto maintain your present to fund your retirement. life-style. Putting money away for retire This does not have to happen to you, how ment is a great idea, provided it does not ever, because you can do something about Now what happens next is really interest require you to work longer hours or lower it. You can continue your present income, ing. Once AFT CO completes this program your current standard of living. fund your retirement plan and improve for you and the money begins to flow, the your quality of life NOW. Don't put it off, miracle of compound interest takes over. You may still have to incur some future call AFT CO Associates today to arrange for Interest is paid on principal and interest is college expenses for your children, and the a consultation. You will be glad you did!

Find out the value of your practice... call AFTCO today to receive a

FREE APPRAISAL!

Aftco® Associates

1 (800) 232-3826

Look Who "Maybe" Coming to MCV Richmond Dental Society/Medical College of Virginia Outing - A Huge Success The attendance at this year's RDS/MCV GolflTennis/Cookout at the Country Club of Virginia was bigger and better than previous events. On a beautiful May afternoon, sixty very enthusiastic senior dental students and family members joined RDS members in a Captain's Choice Golf Tournament at the Westhampton Golf Course, In total there were 26 foursomes or 104 golfers who participated in the Golf Tournament. Senior students could also participate in a Tennis Tournament and both sporting activities were culminated with a family style cookout buffet for all participants. The buffet alone was attended by over 340 including 180 students and family members. All were treated to a ham burger/hot dog buffet with all the accouterments. The RDS also had plenty of entertainment for the children including music, a juggler/magician, and face painting. The School would especially like to thank RDS President Dr. Benita Miller and the event Chairman, Dr. John Doswell along with his committee, Dr. Curt Wiltshire and Dr. Jeff Hudgins. Also, we would like to express our appreciation to the VDA who helped sponsor this event with funding from the Committee on the New Dentist and its Chairman Dr. Russ Mosher.

Consider this, to be evaluated for a position in the Freshman Class starting Dental School in 1998, a candidate should meet at a minimum the following cntena: have an overall 3.3 GPA from their undergraduate school, score significantly above the national average on the DAT exam, and be able to demonstrate a basic knowledge of dentistry through observation of oral health care professionals. By achieving this basic criteria, a candidate will more than likely be granted an interview to join D'02. In 1998, it is estimated that 10,000 undergraduates will apply nationally to Dental Schools. This is a 25% increase over the previous year. In 1997, MCV/ VCU received over 1300 applications for the 80 available positions in the D-1 Class. At the same time the various back grounds and experiences of the individu als applying to Dental Schools continues to change. While the vast majority of candidates applying to Dental Schools are the traditional matriculants there are some new trends towards nontraditional students applying to Schools of Dentistry. At MCVIVCU, the student body currently Includes an attorney, a physician, several engineers, hygienists, and pilots. Other students have expertise and work experience in business, finance, and education. This diversity of experiences enriches all of us.

It was a great event to kickoff graduation weekend and all seemed to have a wonderful day.

"Excellence through Research - An Investment in our Future" Campaign Update The $4 Million Capital Campaign for the School of Dentistry to establish a research center and a Department of Oral Biology in the School continues to receive Widespread support. The goal of this effort is to improve the research capabilities of the School by providing new equipment and laboratory space within the dental school. The School has received gifts and pledges of $2.7 Million towards its $4 Million goal. This has all been accomplished With the help of 300 gifts from alumni and friends of the School. Dr. Jeffrey Levin has provide tremendous leadership and enthusiasm leading the Campaign. In recognition of his efforts, the MCV Foundation recognized Dr. Levin at their annual dinner in July with a certificate and an award. A special thank you goes to Dr. Andrew Zimmer and Dr. Charles Cuttino for designing the medallion for the Cam paign. The medallion pictured here is designed to be used on Campaign materials and on incentive items. It has been made into a lapel pin that will be mailed to all contributors to the Cam paign this fall. It features a beaker with the symbol of dentistry, a microscope symboliZing research, and a lighted candle with oak leaf representing knowledge. All of these representations rest on an outline of the Lyons Dental Building. The medallion is rounded out with the Campaign title and founding date of the School. The medallion will also be struck and hung when the Oral Biology Research Center is dedicated. Tom Burke, Assistant Dean Development and Continuing Education

d 3

IJJ

;;0

Twilight banquet culminated the day long festivities. The Campaign Medallion

46 Virginia Dental Journal

GIVE YOURSELF SOMETHING

To SMILE ABOUT.

VIRGINIA DENTALAsSOCIATION

MBNX

PIATINUM PLUS CREDIT CARD

IT'S LIKE NO CREDIT CARD YOU CURRENTLY CARRY. • A credit line up to $100,000, No Annual Fee, and a 5.9% fixed introductory Annual Percentage Rate (APR) for cash advance checks and balance transfers!

• Purchase protection against theft or damage

• Toll-free MBNA Platinum Plus service 24 hours a day

• Free Year-End Summary of Charges

• Platinum Passage-a 24-hour toll-free travel service that guarantees the lowest available published airfare at the time of booking

• Credit line increase decisions in 15 minutes or less

• $1,000,000 Common Carrier Travel Accident Insurance at no additional cost"

• Optional MBNA Platinum Plus Miles travel rewards program for FREE airline tickets**

• The MBNA Platinum Plus Pledge-We will not sell your name to other companies, and we will not send you mail you don't want

Get the new standard in credit cards.

• Free MBNA Platinum PItts Registry

(Please mention priority code QWPI u.ben calling)

CAn TOLL-FREE 1-800-457-3714

MBNK'" pLATINUM ( IJ e

pLUS

standard

,'\TM ,l1\J b'li\\, (,'."h .l\h:\Il~t~ 1\ I', whldl ,,,, munth afu-r vour J' ~()LIlI[ L' llJ'crWt~ Wjl<'~1 vrur -rnnnnum

'h;,;,:;':~::,':,",',':~~::':~:,:~::::~~m~,::,'~':~: III

vour APR for both

r'tll

The curre.n mdt;.:ni APR I' i'IHdn,t uu.mmun- S::!) (.,1,11 advam c-, J.IlG 11iJIlprl"IT!()[]Ull.l1 ,,\Ph i'.IIJnL(~' LJ.[t! Gc,]J advarn r

II:"; 1',:'~\'IC;;;;i~1, :~t~~;..

[)"IJ\

"~lf")

,Hid ouc.'tJ.lldlll!-' cash advance Jrld IJakllll III' (",~L ,;dVJf,((: (hlth

(a,11 "dv,l!l(( (rnnumun-

The current jmm1n,HJf1JI AllR c>fln )1)[ Cl.Sll ,lJ\"IIlU' (h~d,,-,, :lr,,] b,IWfJLt" L[,1I1"j(:"~ 1'> 'J'" not n'(tl\U! hy rbc clOSt" 01 the-ii"~[ (nm;"Jllt(· hlllJfl).:cyril JOi!(J\\III!-' 1(" Pavnn-nr Due

!'Jymelllio

of (:1<;11

J.JVJIlC("

whl<h S-':,IT!'l)....muru 51 (l} Transar rron !c-(

rransrer, rrtcv 'Jill Ltc used

,'I ra} (it 0, p.n

.1[1'.

cbtd, ancl i)J.I~nct v.irv 1 r<t'l~.l'

t.on

tr.nr-Ier tn!l~.lUI(j1l'1 u-e .md AT.\j

wtll]-x,

j,;~ Ban!

C;~"il

(.l '.U!cll,-·d ,ll!'.;Ula-"

::II' \'arl.1H"·f(w _""

of II In' ,rail',I,'r'" mOIj('\ urcJ("r~, LXlo. lo[[er)

MI3i\I\ 2::U)Un; .\fB~A

111,(\

.1II"o.,t·

nuuithi,

;~;;I:ft~\\I~'>S"t~:l\~;~ ;(~:\~~~:'l,~;~~{e~l;:lj~,s:~~j~~:;~~

i,rSl ]IVL \\'l1r·1I

kcts, ,me '. .L',]n(,

rc lour prnrm.uona'

p.dm~·.1

"" Enroll 1':"lillllll, arrc,:urIInc (111 to vour MFli\ ,-\ Piulnilil/i Pi:" cn-du card nccnuur '., CU\liJmt:f~1 Lnrollm-ut will j.., rt-urwrc: G.Ul vrvr ut d" ~hUH ')fll":J[ tur tl'-.:Ihlf"Luvn.ruer-, Thr- lurru,l enrollment l!J'l l~ r:>c' vc.ir Plt,bl refer to the MB:\A !'/'l!iii/III,' !)!U"IJii, 'Irrrr-, M'l; (lIIil!j[J(lfIS fur " rornplere dc-l,U]" "lhc mturrrunon about rl- CUSh ot theum: dncnrx·rj in thl\ J.J"t"rllwmtn; I' '::''-CUfJ,I'-.b lit'" '.J- Trw 111((Jrma(j(l:1 rna, 11.!\t ITl'll,",,·r! ,ltl'; rhnt Til "h.H l1l.n 11J.\,t dwn:.:<'ci . c;,' \[B"\,,\ ,·t TIl"

;dl!

I-KII(I-"~~-I\'::(,,,:

MBl\A Arnc ru-a Bank.l\.A" l~ tne cxclusrvc Issuer and adrrunrstraror of'rhl: Platrn um rim crcdu card pfllt!ram n.l\l! ~~f\ H.es J'l I'rr,\ Idt2 l(J /I,[[.J\' ,1\ P!J:I'UI!I. (u,;r'lm;;-r, r, ,lr" tht eli, iI") lridi~\'tr\d~!lti·, owurc ~nd i,1 lnrer n.nu-nal Jill pUi'llan; ,,, llCtll.v .\IBl\-A J." J'eunalh ~t__ ~YI(t rnar]. Amtr;CJ hdnl. i\ A 1,)')- MBi\/\ AIIIt"f1la Bmk. 1\ f, ADC,·l\All-ll li-

I': ..Iil/iIIl

tr-~'"t '

\j,15(t~C.~r,J I~ "

rt,"I':\"r,..-, :,~f\'l

t:"

m",.~

PL-b\'':''i

classified ads

Classified Advertising Classified advertising rates are $30 for up to 30 words. Additional words .25 each. All advertisements must be prepaid and cannot be acceptedby phone or fax. Checks should be made payableto the Virginia Derual Association. The closing dates for all copy will be the 15lh of December, March, June and September. Example: Dec. 15, at 5pm is the closing dale for the January-February-March Journal issue. After the deadlinecloses, the Journal can accept no ads nor can it alteror cancel previouslyordered ads. This deadline is firm.

EQUIPMENT

As a membership service, ads are restricted to VDAand ADA members and are restricted to non-commercial copy. Advertising copy must be typewritten and sent to: Journal Clas sified Department, Virginia Dental Association, PO. Box 6906,Richmond, VA 23230-0906

Nitrous Oxide MDM Dial Mixer Unit - Gas flow determined by percentage-oxygen flush. Almost brand new. $995 with por table stand. Contact: Harry Simpson, D.D.S. /802 Old Oyster Point Road / New port News, VA 23602-7215/ Phone: 757 595-2511.

The Virginia Dental Association reserves the right to edit copy and does not assume liabil ity for the contents of classified advertising.

PRACTICE OPPORTUNITIES Rural practice on Eastern Shore (Parksley) needs full time dentist. 205K gross on 2 day week. Five fully-equipped operatories, lab, computerized, staff, turn key. Building for sale or lease. Some owner financing. Hunting/fishing abound. Great place to raise a family S89,000. Contact: Dr. Baczek (evenings) 757-336-3256. Wanted: a confident dentist who is a self starter. Object: opportunity for partnership in mature Chesterfield County cosmetic and restorative practice. Contact: James Glaser, D.D.s. / 804-271-4940. PART-TIME SCHOOL DENTIST NEEDED - fully equipped laboratory and dental as sistant provided. Call Edd Houck, Fredericksburg City Schools, (540)372 1127 ext.13.

CONTINUING EDUCATION 16 CREDITS/$100.00 STATE DENTAL BOARD LICENSURE. ADA-CERP, AGD FAGD/MAGD RECOGNIZED. OTC/Rx Oral Medicine Self-Study Exams. Send $100.00: Suite 258-CE Cleveland, OH 44122. You know that plaque bacteria are stubborn little devils. Fortunately, the new sonicare"' plus~ sonic toothbrush works at 31,000 gentle brush strokes a minute to remove plaque bacteria, even below the qumline" Actually reversing gingivitis" And it now has a smaller brush head for even easier maneuverability Try it out. If it's not to your liking, return the brush and we'll pick up the bill. Of course, the plaque you build up after is yours to keep. For your free 30-day

sonlcare .J~:;;

trial, call 1-800-676-S0NIC (7664).

the sonk dental hygiene product

(91997 Ophva Corporation sonlcare IS a reqrsterec trademark. and plus IS a trademark 01Opnva Corporation 1 Johnson R>-! Department of Periodontics. University of 1J.klshlngton 1994 2. Ho H, Nreoermeo R J elm Dent 1997;8.15-19 3 Mc~nnes C Johnson B J S/m Pendonloi 1994,65.692-697 4 Tnten CB, Armitage GC J Cltn Penodontof 1996,23:641~648

Stop by booth #29 at the annual Virginia Dental

Association meeting in Roanoke

48 Virginia Dental Journal

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

JJro[essional :Aotection G.rcZusiYl!9' since J8 99

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

Integrity. Virginia Dental Laboratory uses

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

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

Accuracy. Our entire procedure for construct • ing Vitallium Partial Dentures is quality-con trolled to achieve the utmost accuracy. This accuracy means faster delivery of the restoration; reduced chairtime and greater patient satisfaction.

Commitment. Virginia Dental Laboratories is

• dedicated to providing you and your patients with the highest quality partial dentures available. We believe that the combination of our quality raw mate rials, such as Vitallium Alloy; our skilled technicians; our unequaled experience and our steadfast dedication specially qualify us to satisfy the needs of you and your patients.

Quality. Our partial denture restorations begin • with quality raw materials such as Vitallium® Alloy. Vitallium Alloy® is totally biocompatible. It is nickel- and beryllium-free. Its surface won't tarnish, dull or corrode in the oral cavity or in the body.

For special treatment on your next partial denture case, please contact Virginia Dental Laboratories!

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

Since

1932

irginia Dental Laboratories, Inc. J 30 W. York Street Norfolk. Virginia 2351 () (757) 622-4614 (800) 870-4614

~. 1'1'12 Ausien.rl. Inc. All Right-, Reserved. Vitallium trademark licensed to Austenal, Inc. by Pfizer Inc.