Virginia Dental Journal by Virginia Dental Association

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VDSC's HEALTH INSURANCE PROGRAM INCLUDES • High quality competitiveLy priced health products! • DeductibLe LeveLs from $500 to $5,000 per year!! • "Choice" option aLLowing dentist(s) to choose separate pLa ns for themseLves and staff!!!

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V IRG IN IA CALL TODAY for information on the wide variety of excitinq heaLth products our associat is offering for the upcoming year. Our service and marketing departments will be deLighted to answer your questions. CalL the VDSC Insurance D ENTAL SERVICES Service Center at 1-800-832-7001 to find out C ORPORATION

how our association is working to assist members in this important area.

A WHOLLY OWNED SUBSIDIARY OF THE VIRGINIA DENTAL ASSOCIATION

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Leslie S. Webb, Jr. Editor 1. Barry I. Einhorn 2. A. J. Booker 3. H. Reed Boyd III

Volume 75

Tanya D. Moore Publications ASSOCIATE EDITORS 4. Harry A. "Jack" Dunlevy 5. Barry K. Cutright 6. Robert G. Schuster

William E. Zepp;,CAE Business Mana er 7. Robert G. }-fall, Jr. 8. Melanie R.Love School of Del'l~i~_t'}' Thomas Burke

October - December 1998

Number 4

TABLE OF CONTENTS 4 5 6 7 13 18 21 22 27 31 32 34 36 38 40 41 42 44 46 48 49 50 51 52 55 62

Editorial Letters to the Editor Message From the President Maxillary Hypolasia President's Address President-Elect's Address From the Executive Director VDA Annual Meeting House of Delegates Actions in Brief Executive Council Actions in Brief Minutes of the 129th Annual Business Meeting 1998 Special Awards and Fellows ADA Annual Meeting VDA Foundation Section 170 Plan Dentistry and Underserved Areas KidsCAR.E. Fair Legislative Overview Electronic Claims Upcoming Continuing Education Practice Management Resources Chicken Soup Goes Dental DR News Mouthguard Education Alliance News Component News & Specialty News Classified Advertising

COVER: Dr. Dave Whiston addresses the 129th Annual Business Meeting

of the Virginia Dental Association.

PUBLICATION TEMPLATE: C:\Change

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

VIRGINIA JOURNAL EDITORIAL

BOARD

VDA COMMITTEE CHAIRMEN

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

Annual Meeting Bruce R. Hutchison

Fellows Selection Donald L. Martin

Auxiliary Education & Relations T. Andrew Thompson

History & Necrology French H. Moore III

Budget & Financial Investments Raymond L. Meade

Infection Control & Environmental Safety Paul F. Supan

Cancer & Hospital Dental Service Michael E. Miller

Institutional Affairs Elizabeth A. Bernhard

Caring Dentists Harry D. Simpson, Jr.

Journal Staff Leslie S. Webb, Jr.

Communication & Inlormation Technology Corydon B. Butler, Jr.

Legislative T. Wayne Mostiler

Constitution & Bylaws Wallace L. Huff

Membership H. Reed Boyd III

Dental Benelits Programs Fred A. Coots, Jr.

New Dentist Carolyn C Herring

Dental Continuing Education B Ellen Bryne

Nominating Wallace L. Huff

Dental Delivery lor the Special Needs Patient AI J Stenger

Peer Review & Patient Relations Neil J Small

Dental Health & Public Inlormation AI J Rizkalla

Planning William H. Allison

Dental Practice Regulation Albert L Payne

Reliel Foundation Scott H. Francis

Dental Trade & Laboratory Relations Jeffrey L. Hudgins

Search Committee lor VA Board 01 Dentistry Wallace L. HUll

Direct Reimbursement David Swett

VADPAC Rodney J. Klima

Ethics & Judicial Mairs M. Joan Gillespie

VDA Foundation William H. Allison Virginia Dental Services Corporation Jeffrey Levin, President

1998 ADA DELEGATION Delegates:

139th ADA Session, October 24 - 28, 1998, San Francisco- CA David C. Anderson (2001) Charles L. Cuttino III (2001)

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

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

Emanuel W. Michaels (1999) Richard D. Wilson (1999)

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

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

Alternate Delegates: Anne C. Adams (2000) Bruce R. DeGinder (2000) Rodney J. Klima (2000)

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

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

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

...J

LLJ

SOCIETY

PRESIDENT

SECRETARY

PATIENT RELATIONS

Tidewater, I

Stanley P. Tompkins 5830 Trucker Street Portsmouth, VA 23708

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

W. Walter Cox 5717 Churchland Blvd. Portsmouth, VA 23703

Peninsula, II

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

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

Lawrence A. Warren 106 Yorktown Road Tabb, VA 23693

Southside, III

Richard F. Roadcap 3501 Boulevard Colonial Heights, VA 23834

Richard W. Bates 3505 Boulevard Colonial Heights, VA 23834

Richard F. Roadcap 3501 Boulevard Colonial Heights, VA 23834

Richmond, IV

John S. Kitrell 2600 Grove Avenue Richmond, VA 23220

H.A. "Jack" Dunlevy 11601 Robious Rd, Ste 130 Midlothian, VA 23113

William J. Redwine 6808 Stoneman Road Richmond, VA 23236

Piedmont, V

Mark A. Crabtree 407 Starling Avenue Martinsville, VA 24112

Gregory T. Gendron 7 Cleveland Avenue Martinsville, VA 24112

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

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

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

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

Shenandoah Valley, VII

Robert B. Hall, Jr. 130 W. Piccadilly Street Winchester. VA 22601

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

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

Northern Virginia. VIII

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

Neil J. Small 9940 Main Street Fairfax, VA 22031

Neil J. Small 9940 Main Street Fairiax, VA 22031

~ Southwest, VI

[II

EDITORIAL

As you receive this issue of our Journal, the Congressional elections are now history. In the last session of Congress gridlock among the various parties and personalities prevented much action. This was especially true with the ADA-backed PARCA (Patient Access to Responsible Care Act) legislation, which addressed patient rights in health care. Ironically, while Republican Rep. Charlie Norwood (R-GA) in the House and Sen. Alfonse D'Amato (R足 NY) in the Senate were the lead sponsors, it was Democrats who were the major supporters of patient rights legislation. Then President Clinton em足 braced this issue and promoted a Democratic Patient Bill of Rights initiative. The Republicans then abandoned PARCA and seemed to want a minimal patients' rights bill. Thus, no bill progressed.

Patients' rights in health care will again be an ADA centerpiece legislative initiative. Key points of emphasis will be freedom of choice of provider for patients, maintenance of the doctor-patient rela足 tionship, and no discrimination based on the degree of the provider. It has been estimated that the cost of these patient protection safeguards would add as little as 0.7% to 2.6% to health care costs. The majority of states have enacted many patient protection provisions, but 125 million Americans are in plans that use federal ERISA loopholes to escape state controls. Among the issues that need to be addressed in legislation are: 1. Plans need to explain their rules and limitations in clear terms. 2. There should be no unreasonable delays or denial of claims. 3. There should be a clear appeals process. 4. Health plans should be held legally accountable for their decisions. 5. The provider and patient should be free to discuss all treatment options. 6. Patients should be able to seek emergency care without fear that their plan will not cover services. Hopefully, in its next session, Congress will enact many of these issues into legislation. I urge you to write your Senators and Representatives and let them know you want these issues addressed. I also call your attention to page 42 of this VDA Journal where our lobbyist Chuck Duvall addresses current legislative issues affecting dentistry in Virginia. Become aware of these issues. Then con足 tact your state legislators about them. Finally, VADPAC and ADPAC need your financial support so that dentistry's voice can be heard. Join our PAC - invest in your future in dentistry. Leslie 5. Webb, Jr., D.D.S. Editor 4 Virginia Dental Journal

LETTERS TO THE EDITOR

Dear Dr. Webb, I would like to take a moment to thank the VDA staff tor the job they did at the Annual Meeting in Williamsburg. Connie, Bonnie, Lisa, Tanya, Ronya, Liz and Linda are to be commended for this. I know it is not always easy to be smiling and friendly throughout these arduous days, but they were. They certainly were a tremendous help to the officers and did anything we asked. The Virginia Dental Association is blessed with a staff that is efficient, helpful, competent and friendly and Bill Zepp has done a wonderful job in putting together this mix of individuals. Sincerely,

Thomas S. Cooke, DD.S.

September 25, 1998 Dear Dr. Webb, I would like to publicly thank the many dedicated members of the House of Delegates who shouldered the responsibility of crafting the policies, by-laws, and future of the VDA at the annual meet ing. To all members of the Executive Council, House of Delegates, and VDA staff who endured, a long day, Sunday September 20 in Williamsburg, your show of enthusiasm for our profession made me proud to have the opportunity to assist in the process. My job was easy thanks to the following people: VDA Staff of: Bonnie Anderson Ronya Edwards Lisa Finnerty Linda Gilliam

Connie Jungman Elizabeth Keith Tanya Moore Bill Zepp

The Reference Committees

Dear Dr. Webb: Every dentist should attend a New Dentist Conference! What a wonderful opportunity to discuss ideas with peers, to speak with the Trustees of the ADA and to attend CE courses relevant to the topics we as new dentists are interested in. As always, it was great to see Dave and Julie Whiston, Anne Adams, Bruce DeGinder and Russ Mosher. My husband David accompanied me and we received many comments on how well represented Virginia was in Seattle. On Friday we attended an all day Endodontic course given by Dr. Andre Mickel which enlightened us on the latest techniques in patient comfort and endodontic instrumentation. Saturday we attended a practice management course given by Sally McKenzie which was very pertinent at this time in our career. The cocktail receptions given on Thursday and Friday nights were a good time to socialize with dentists from all over the na tion and discuss ideas and issues pertaining to dentistry. It was also interesting to note how many dentists in attendance in Se attle had attended previous New Dentist Conferences. George Stratigopoulos and the entire New Dentist Committee are to be commended for organizing such a beneficial event for new dentists. We are so fortunate to have such outstanding individuals in the ADA. We are already looking forward to next years' New Dentist Conference and hope to bnng many other Virginia dentists with us Sincerely, Rebecca Swett, D.D.S.

1000 Budget & Fiscal Affairs: Dr. Frank Crist, Chair Dr. Scott Francis Dr. Catherine Oden-Fulton Dr. John Salmon Dr. Robert Schuster

2000 Public Affairs: Dr. William B. Thompson, Chair Dr. A.J. Booker Dr. Mark Crabtree Dr. John Kittrell Dr. Melanie Love

3000 Professional Affairs: Dr. Rebecca Swett, Chair Dr. Russell Mosher Dr. Richard Roadcap Dr. T. Andrew Thompson Dr. Stanley Thompkins

4000 President's Address & Administrative Matters: Dr. Sam Galstan, Chair Dr. Gerry Brown Dr. Kathryn Finley-Parker Dr. Roger Flagg Dr. Travis Patterson

The Credentials Committees: Dr. Dennis Cleckner, Chairman - 1 Dr. Cleve Porter - 5 Dr. Mike Miller - 4 Dr. Reed Boyd - 3 Dr. Jim Gyuricza - 8

Dr. Emory Thomas, Parliamentarian, spent hours with the Speaker to refine the process and make it comprehensible. Those members of the VDA who have missed the opportunity to serve as a participant at this level would be shocked to learn of the energy this group has for their association and their profes sion. It is definitely a membership benefit all dentists in the state will enjoy, I guarantee it! Please join me in giving a big round of applause and thanks to all your peers who are "active" members in the VDA. -- Sincerely,

Christopher Hamlin, D.D.S.

Virginia Dental Journal 5

[II

MESSAGE FROM THE PRESIDENT

JI]

We have just completed a successful annual meeting in Williamsburg and are beginning our 130lh year as an association. Our goals for the year include the education of our members on the reali足 ties of Management Service Organizations so that they may make informed choices on how and what type of dentistry they wish to practice. This will hopefully extend into the dental education process as a benefit for our new practitioners. To give you a perspective for the rest of 1998 and 1999, we have Thanks足 giving, the Christmas Holidays, the New Year and then the General As足 sembly. This next session is shaping up as active as previous sessions. We will have ongoing concerns about funding for Dental Medicaid, Assignment of Benefits, as well as intrusions into the practice of Dentistry. We need your support with contributions to VADPAC and as liaisons to the respective Delegates and Senators. For us to continue to be successful at the Capital we need all of our members' help. Membership continues to be a concern for the Association. The Public Awareness Campaign will be decided at the ADA Annual Meeting in San Francisco in October. This may have a significant impact on our dues structure. Whatever the outcome we need to continue to support our tripartite member足 ship. Together we are a force in the practice of Dentistry, separated we are floundering. The Leadership Conference this year will concern diversity issues in Dentistry. We want to address those issues within our Association to answer the concerns of all our members. Here's to a good Association year and Happy Holidays.

Charles L. Cuttino III, D.D.S. VDA President

6 Virginia Dental Journal

MAXILLARY HYPOPLASIA: DENTOFACIAL ORTHOPEDICS VERSUS SURGICAL ORTHODONTICS

~ - A REPORT OF TWO CASES

AUTHORS:

Jack Dunlevy, D.M.D., M.S.

Roger E. Wood, D.D.S.

Nicholas Lombardozzi, D.D.S.

Raymonia A. Eddleton, D.O.M.D.

Michael E. Miller, D.D.S.

Richard Perkins, D.D.S.

INTRODUCTION Patients with Class III occlusal and skeletal relationships present the orthodontist with unique challenges. Patients with true man dibular prognatism often require surgical reduction of the man dible to correct their occlusal problem. Efforts to inhibit mandibu lar growth have proven to be largely unsuccessful. Another cause of the Class III relationship, and the resulting negative overjet, is lack of anteroposterior growth of the maxilla (maxillary hypopla sia). Orthopedic advancement of the maxilla provides the orth odontist with a means of correcting this classification of skeletal abnormality. (I -5).

Depending on the cause of the maxillary underdevelopment com bined with the patient's and the families attitude regarding therapy, treatment plans can be devised which are specific to the patient. Two patients are discussed, both presenting with maxillary hypo plasia. The first child underwent growth modification to advance the maxilla and correct the negative overjet relationship. A re verse pull headgear was utilized to protract the maxilla (6-8). The decision to utilize the reverse-pull headgear was based upon the child's cephalometric and clinical examination, growth potential, and high level of patient compliance. The second patient under went two phases of orthodontics in conjunction with multiple seg ment maxillary orthognathic surgery to correct the dental and skel etal malocclusion secondary to a unilateral cleft lip and palate. In this case, growth modification was not attempted. CASE #1: The patient was a healthy eight year old Caucasian male. The boy's parents were concerned with his "underbite." Neither parent had a negative overjet relationship, but a younger sister had a similar malocclusion. There was no history of any oral habits that might effect the occlusion. The family was highly motivated to attempt correction of the malocclusion.

Facial analysis revealed a maxillary anteroposterior hypoplasia (figures I and 2). The midfacial region was flattened and the na solabial angle was obtuse. The facial symmetry was normal, and the lower facial height was decreased. When smiling, excessive display of the mandibular incisors was evident. The maxillary inci sor display was minimal.

FIGURE 1

FIGURE 2

There were no functional complaints. Upon closure, a 2 millime ter centric slide was apparent. It was not possible to position the mandible to achieve positive overjet. Occlusal wear was not present. Occlusal analysis displayed multiple problems. The bite depth was 100% (figure 3). The maxilla was constricted (approximately 4 millimeters). Both dental arches were well aligned with adequate space for the secondary dentition. There was a negative overjet of 3 millimeters.

FIGURE 3

Radiographic analysis displayed slightly delayed dental develop ment. All permanent lateral incisors were erupted. Cephalomet ric analysis displayed a mild to moderate skeletal Class III rela tionship (figure 4). The ANB angle was 0 (norm = 2 - 4°), and the SNA angle was 79°(norm = 82 - 84°), indicating a mild to moder0

Virginia Dental Journal 7

ate skeletal Class III relationship (figure 4). There was a low man dibular plane angle (21° to Frankfurt Horizontal, norm = 28°), and the maxillary incisors were moderately proclined (116° as related to the SN line, norm = 103°).

FIGURE 6

FIGURE 4

A treatment plan was designed to correct the following problems: Moderate skeletal maxillary A-P hypoplasia with negative overjet. Mild to moderate skeletal maxillary constriction. Decreased facial height with a low smile line. Deep overbite. Treatment goals were: Relatively increase A-P maxillary growth and achieve positive overjet. Expand the maxilla. Increase facial height and improve the smile line. Open the deep overbite. A reverse pull headgear was fitted to a removable maxillary appli ance (5-8). The appliance was designed to utilize its components to achieve treatment goals (figure 5 and 6). The components in cluded a jackscrew to expand the maxilla, occlusal acrylic to elimi nate occlusal interferences when "jumping" the anterior crossbite, and metal attachments for headgear elastics. The appliance was worn 22 hours per day, and the headgear was worn while sleep ing and for four to six additional hours (12-14 hours per day).

During the course of treatment, the headgear and appliance were adjusted regularly. About one to two pounds of force was exerted by the headgear elastics. The child's parent turned the expansion screw three times weekly until the desired maxillary width was achieved. Treatment was concluded after 16 months. The treatment goals were achieved (figure 7-9). Cephalometric analysis revealed the following treatment effects: Slight protraction of the maxilla as evidenced by an opening of the SNA angle to 82°, an increase in facial height with a mild opening of the v-axis, and decreased procumbency of the maxillary incisors (the upper incisor to SNB line angle declined 4°).

FIGURE 7

FIGURE 8

FIGURE 5

FIGURE 9

8 Virginia Dental Journal

CASE #2: The patient presented as a healthy 9 1/2 year old Caucasian male. In infancy, this child underwent primary palatal closure and cleft lip repair. The parent was aware of the need for extensive dental care, including orthodontics. Speech was minimally effected by the defect.

Facial examination revealed findings consistent with primary re pair of a left unilateral cleft lip and palate (figures 10- 11). Lack of paranasal and nasal bone development was evident with a short columella and some asymmetry of the alar base. The upper lip showed thin lip tissue but an excellent primary lip repair. An obvi ous Class III profile with Class III lip posture and lip incompetence was seen with a 6 millimeter interlabial gap in repose. The chin length however, was less than average measured from soft tissue pogonion to the chin/throat angle.

FIGURE 13

Panoramic evaluation displayed absence of the maxillary left lat eral incisor with poor position of the adjacent canine (tooth #11) (figure 14). The maxillary second premolar was extremely crowded. Cephalometric analysis displayed a skeletal maxillary anteropos terior deficiency with negative overjet (figure 15).

FIGURE 14

FIGURE 10

FIGURE 15

FIGURE 11 Occlusal analysis displayed maxillary constriction and a posterior crossbite of the left posterior segment (figures 12-13). A large anterior open bite was present, and the maxillary dental midline deviated 3 millimeters left of the mid-facial plane. The overjet was a negative 3 millimeters. The mandibular arch demonstrated ideal arch length and arch form. The maxillary incisors were poorly aligned and tipped into the cleft.

A treatment plan was designed to correct the following problems: Skeletal maxillary A-P hypoplasia with negative over jet and open bite. Skeletal maxillary constriction. Clefting of bone in the area of tooth #10. Absence of tooth #10. Lack of eruption of tooth #11. Severe dental crowding of tooth #4. Treatment goals were: Transverse expansion of the maxillary arch. Bony cleft closure to allow eruption of tooth #11. Elimination of maxillary crowding. Substitution of tooth #11 for tooth #10. Elimination of open bite and negative overjet relationship. A first phase of therapy included maxillary expansion and alveo lar bone grafting of the cleft. Expansion eliminated the posterior crossbite and created space for the unerupted canine. An autog-

FIGURE 12

Virginia Dental Journal 9

enous graft was placed following seven months of expansion. The maxillary right second premolar was extracted due to crowding. Following surgery, orthodontic appliances were placed on the maxillary arch. The impacted canine was aligned and substituted for the missing lateral incisor. Excellent healing of the bone graft was noted. Following 18 months of maxillary alignment, appliances were placed on the mandibular arch. Both mandibular first premolars were extracted. Orthodontic mechanics attempted maximum re traction of the mandibular incisors to minimize the extent of ad vancing the maxilla. Minimal surgical advancement should lessen the chances of surgical relapse. The extraction spaces were closed in nine months, and surgical arch wires were placed prior to orthognathic surgery (figure 16).

FIGURE 18

FIGURE 19

FIGURE 16

A surgical plan was devised to accomplish the following goals: 1.

Advance the maxilla to create normal overjet, gain support for the nasal base, and improve facial balance.

Coordinate the maxillary arch with the mandibular arch transversely and obtain adequate overbite utilizing segmen tal maxillary surgery. Since the skeletal anteroposterior discrepancy was only moderate in this patient with a rela tively short chin length, the decision was made to operate only on the maxilla. He was taken to the operating room and underwent a three piece LeForte I osteotomy with rigid fixation. The procedure was performed without complica tions and was tolerated well by the patient. His post-surgi cal recovery was uneventful.

The patient underwent post-surgical orthodontics, and appliances were removed. The treatment goals were achieved, though we had difficulty obtaining ideal bite depth (figure 17-20).

FIGURE 20 DISCUSSION

These two cases represent treatment planning decisions that need to be made when initially evaluating maxillary hypoplastic chil dren in the mixed dentition. Children with inadequate anteropos terior maxillary growth often respond well to dentofacial orthope dics - especially if their problem is not severe and if no future growth problems are anticipated. Children with cleft lip and palate present with underdeveloped maxillae that aren't expected to grow normally. These patients are usually best treated with a combina tion of orthodontics and maxillofacial surgery, since growth modi fication is unlikely to be successful. Both patients were initially examined in the mixed dentition. The cleft palate patient needed expansion and bone grafting so that the maxillary left canine could descend through the graft site. Though the bone graft ideally should have been placed before the canines root development was nearly complete, the results were good. Orthopedic maxillary expansion was accomplished with out difficulty, a typical result in children of this age. Though maxillary expansion was easily accomplished in the max illary protraction patient, we were most concerned with our ability to protract the maxilla. Children in the early mixed dentition re-

FIGURE 17

10 Virginia Dental Journal

spond most favorably to reverse pull headgear therapy. This is because the maxillary sutures have not fused (this usually occurs in adolescence) and the willingness of patients in this age group to cooperate with removable appliances. Both growth and coop eration are less favorable as patients approach adolescence. In both cases, timely evaluation enabled us to plan necessary treat ment without growth limitations. Both patients had supportive fami lies who were actively involved in their children's treatment. The growth modification child might require future treatment in the secondary dentition, since it is difficult to project future growth and development. Occlusal changes will be monitored during re tention checks. Hopefully, occlusal correction will lead to more favorable growth. Any deleterious effects on growth caused by the malocclusion have been eliminated. Hopefully, any future treat ment will be minimized.

REFERENCES 1)

3) 4)

6) CONCLUSION 7) Children's occlusal problems are best evaluated during the mixed dentition. Treatment can be planned based upon the occlusal defect and the family's treatment desires. Patients exhibiting nega tive overjet often benefit from maxillary protraction. Orthopedic and surgical protraction are both treatment options to consider when evaluating young children.

Orthopedic Correction of Class III Malocclusion: Reten tion and Phase II Therapy, Turley, PK Journal of Clinical Orthodontics, June, 1996, pp 313-324. Dietrich, U.C., 1970. Morphologic Variability of Skeletal Class III Relationships as Revealed by Cephalometric Analysis. Transactions of the European Orthodontic Socieiy, pp. 249-259. Campbell, P.M., 1983. The Dilemma of Class III Treat ment Early or Late? Angle Orthodontist 53: 175-191. Nanola, R., 1980. Biomechanical and Clinical Consider ations of a Modified Protraction Headgear. American Journal of Orthodontics 78: 125-139. Cozzani, G. 198 1, Extra Oral Traction and Class III Treat ment. American Journal of Orthodontics 80: 638-650. Delaire, J: Confection'Du Masque Orthopedique. Rev Stomatol Paris, 1971: 72: 579-584. Perit, H.: Adaptations Following Accelerated Facial Mask Therapy, in McNamara, J. A., Ribbens, K.A., Howe, R. P. (Eds): Clinical Alteration of the GroWing Face. Mono graph No. 14, Craniofacial Growth Series. Ann Arbor, Mich., Center for Human Growth and Development, Uni versity of Mich., 1983, pp 48-59. McNamara, J.A.: An Orthopedic Approach to the Treat ment of Class III Malocclusion in Young Patients. J. Clini cal Orthodontics 1987: 22: 578-608.

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12 Virginia Dental Journal

Speaking of change, there is an anonymous quote that goes like this: "Changing one thing for the better is worth more than proving a thousand things are wrong." So I say to you today, I hope that the changes that have been made and those that are still in process in the VDA this year will prove to be an added benefit to our members and move our asso ciation forward. President's Address

Williamsburg, VA

September 17, 1998

Wallace L. Huff, D.D.S.

It's great to be back in historic Williamsburg for the 129th Annual Meeting of the Virginia Dental Association. Two years ago, in this very place, I accepted the nomination and election as President- Elect of the VDA. Has it really been two years? My, how the time does fly! I want to thank all of you for being here today and for your service to the Virginia Dental Association. This year has had an added highlight for me, because my friend, colleague and our very own Dave Whiston is servinq as the ADA President. His popularity and leadership style have set a new standard for the office of the ADA president; I hope that I, along with our membership, have in some small way, helped him attain some of his goals for the ADA this past year. Dave and Julie have worked tirelessly throuqh out the year on our behalf. Being in historic Williamsburg, I am reminded that today is the birthday of this country and the most perfect document ever prepared by mankind-the constitution of this country. It has been an honor and a privilege for Emogene and I to represent the VDA this year within the Commonwealth and our neighboring states. We thank you for giving us that privilege. I would like to acknowledge the other officers: President Elect Charlie Cuttino, Secretary/Treasurer Tom Cooke, Past President Will Allison, Chairman of the Executive Council Dan Grabeel, Vice-Chairman Dave Anderson and the other Councilors. I would also like to acknowledge our ADA Del egation and our Editor, Les Webb. They have all helped to make this a most successful year. I would also like to thank Ralph Howell, Annual Meeting Chairman, the Annual Meeting Committee, and VDA staff, for their outstanding work in putting this annual session to gether. Thank you, Ralph. As most of you are aware, our Constitution and Bylaws re quire me to make a report on the activities of the associa tion to you, the House of Delegates at this annual meeting. This has been a year of change. This year we have a new governor of the Commonwealth, a new dean at our dental school and Mark McGuire has broken Roger Maris' 37 year old home run record.

One of those changes beginning with this annual session is that the tax returns are available for public inspection in the registration area. This includes the VDA, VDSC, VADPAC, Relief Fund Foundation, VDA Foundation, and the Virginia Foundation of Dentistry for the Handicapped. If any VDA member wants to examine these reports, they may do so. The VDA was successful in its legislative agenda during the 1998 General Assembly. As you know, my number one priority as incoming president last year was to address the Dental Medicaid crisis that consisted of increasing funding for Medicaid reimbursements for the needy children of Vir ginia. In spite of Governor Gilmore's car tax being the cen terpiece of legislation, over 10 Million dollars was added to the Medicaid dental service budget. But just as important as the monetary enhancement, was the establishment of a dental advisory coalition, which was mandated by this budget amendment. The primary purpose of the coalition was to focus on ways to: 1) increase the number of dentists participating in the Medicaid program; 2) increase the level of participation by those dentists al ready in the program; and 3) advise DMAS on dental reim bursement rates. This was an issue that took a lot of coop eration, coordination and input. It began in 1997 with HB600, which called for the Depart ment of Medical Assistance (DMAS) to study this situation. The Williamson Institute at MCV conducted the study. Mem bers servinq on the coalition representing the VDA are: Dr. Joseph Paget, Jr. Blacksburg; Dr. Vicki Tibbs, Quinton; William E. Zepp, CAE, VDA Executive Direc tor; and Dr. Frank Farrington, Chairman, MCV Depart ment of Pedodontics. Representing the Virginia Association of Orthodontists are Drs. William Horbaly, Charlottesville and Thomas E. Spill ers, Richmond. I want to thank all of you for serving on this coalition. I understand there have already been two meet ings in a series of scheduled meetings between DMAS and the Coalition. I want everyone to pause, stop and think where we were a year ago with this issue and realize how significant it is that these meetings actually occurred. I certainly hope that this is just the beginning of a new era in communications with DMAS - communications, which have surely been lacking and have contributed to many of the frustrations in the past. Again, we have fought a good battle this past year. From the introduction of the Williamson Institute study in the 1997

Virginia Dental Journal 13

budget amendments, through the participation of over 1,200 dentists in their survey and focus group, through the involve ment of hundreds of dentists (YOU) contacting their legisla tors, the VDA, our lobbyist (Chuck Duvall) who is just amaz ing in getting things done, and through the assistance pro vided by many of the agencies that work directly with Med icaid recipients. All these individuals need to be commended for their efforts and they all need to understand what a valu able service they have performed for the children of our commonwealth. But, it will all be meaningless if social services, Headstart, our referring physicians and the families enrolled in the Med icaid program find that there are no providers willing to treat these children (especially in the areas they live). Legisla tors were truly impressed with the message that was deliv ered by VDA members on this subject. They now need to be truly impressed with the response that is given and with the care that is also provided to Virginia's needy young people. The Virginia Dental Hygienist's Association initiative to al low for the administration of local anesthesia by dental hy gienists (SB627) was defeated in the full committee on a vote of 11 to 4, The defeat of this bill received outstanding support from the VDA membership; there were over 20 den tists present from around the state at the full Senate Educa tion Committee hearing, Dr. Ron Tankersley (former VDA president) explained our opposition to this bill, Even though this bill was defeated two years ago in the House of Del egates and was defeated soundly this year in the Senate Committee, there are already indications that the hygien ists will be back with another bill in 1999. So I would ask all of you to continue voicing VDA's opposition to allowing Den tal Hygienists to administer local anesthesia. Contact your legislators and let them know this is the one procedure in your practice that can prove to be fatal to your patient. If you have not seen the ADHA plan to gain independent prac tice, you should, If you have not seen the ADHA position on managed care, you ought to. We must be active in this arena, to the extent that we educate our members on the larger picture with the ADHA and the VDHA. This issue with the hygienists is not over, They will be back next year for this and other issues. We must educate our members on the larger issues such as the ADHA pathway to unsupervised practice and the ADHA position paper on managed care, They fully support managed care and hope to be the gatekeepers for dentistry someday. Despite the opposition of various business and industry groups HB1075, patroned by Delegate Ken Melvin (0 Portsmouth) was signed by the Governor. This bill requires closed-panel HMO's to offer employees with group health coverage a point of service option that would allow them to use a non-HMO provider. The employee choosing the POS option would pay for all additional costs associated with the benefit. The VDA worked closely with Virginians for Patient Choice (VPC), a patient/provider coalition, to make certain that a point of service option for managed care policies was

14 Virginia Dental Journal

studied by the joint health care commission during 1997, Dr, Les Webb (a former VDA President) was appointed to that study, and I want to thank Les for his contribution in helping to get this bill passed. Pediatric dentists in Virginia have brought to the attention of the VDA that they are having difficulty in getting reim bursed for general anesthesia when providing dental ser vices to special needs children. This also applies to some individuals who may be handi capped. HB93 I sponsored by Delegate Shuler (D Blacksburg) was assigned to the Mandates Commission, an agency that was created by the General Assembly to allow for a more detailed review of insurance policy man dates. This issue will be reviewed in detail by the commis sion this year; I would ask that all VDA members, to which this applies, present any accurate information that would help the Commission in making the appropriate recommen dation to the 1999 session of the General Assembly. Funds have been obtained for an additional hygiene pro gram at Germanna Community College. The Community College System at this time is reviewing the opportunities to provide additional training in the Shenandoah Valley area. The Kid Care/CHIP program provides an additional influx of federal money for the children's health programs. It was our desire to get the state to use some of these funds in the Medicaid program, but Governor Gilmore wanted to have Kid Care Coverage provided through a private insurer or HMO rather than Medicaid. The assignment of benefits bill, designed to allow insured parties to assign their benefits to the provider of their choice, will be a major issue for the VDA during the 1999 legislative session. Last year when this bill (patroned by Delegate John Tate of Marion) was to be heard in the subcommittee, there were at least 20 lobbyists present who represented various insurance carriers. In light of this fact, the VDA, after consulting with Delegate Tate, decided to carry the bill forward to 1999. But a mistake on the part of the committee recorded the vote as "stricken" and this requires the bill to be reintroduced at the 1999 session. So, I would encour age all VDA members to contact your legislators and let them know that a third-party payer's refusal to honor as signment of benefits seeks to generate a procedural ob stacle and attempts to create a negative change in the tra ditional patient provider relationship. Both the patient and the provider are being penalized for exercising their free dom of choice. Without everyone's support we could not have been as suc cessful as we were this year, And I want you to know from the bottom of my heart that I appreciate all of you who gave of your time and effort for our legislative activities, In addition, strong support of our PAC is essential for us to effectively deliver our legislative message. This year the VADPAC committee, with Dr. Rod Klima, our lobbyist Chuck

Duvall and staff member Lisa Finnerty, have done an out standing job in raising funds for our legislative activities. Although the next session of the Virginia General Assem bly seems far away at this time, I want to remind you that the entire House of Delegates and State Senate stand for election in 1999. As I have stated before, we know that leg islation will continue to propose threats to dentistry and to our patient's welfare. It is only through our PAC funds that we gain access to the political arena and are able to get our issues on the table so that our views can be heard. Only by having a strong PAC can we be a significant player in state politics, which effects the way we practice dentistry. When your VADPAC committee contacts you, I would ask you to consider becoming a member of the Governors Club. This higher level of giving will certainly be a step toward greater political activism for dentistry. If you have questions about your VADPAC membership status, please contact Lisa Finnerty at the VDA office. There really is no single answer to managed care. While most dentists have a choice as to whether to participate with managed care organizations, many patients do not. The insurance industry and their dental plans will totally change the dental profession, unless dentistry speaks up to the decision-makers within business and industry. I still believe that DR remains the most viable alternative to man aged care. Quoting Roger Schultz (a CLUJ on promoting Direct Reim bursement Dental Plans: "When a wolf is hungry and is seek ing a meal from a herd of antelope, it systematically carves out the young, the weak, and the aged. These are the vul nerable ones in the herd. On a similar basis, the insurance industry recruits from certain segments of dentistry, that is those dentists who feel a higher volume of "discount" den tistry is the answer to their financial needs. So, for those dentists who are comfortable with a practice where they are told which patients they are to see, which treatment they are to provide, and what they can charge, these changes will be acceptable. However for those dentists who value their private prac tices, who want patients coming to them voluntarily, and who want to practice quality dentistry and earn a respect able income, it is now time to become a spokesman for our profession concerning DR. With Mobil Oil and Wachovia Bank bringing DR to their Virginia-based employees, it is now estimated that there are around 10,000 lives covered by DR in Virginia. However over the course of this past year, the number of leads that Connie, Cork, and Jon have been receiving from VDA member dentists has dropped drastically. In order to keep our DR marketing effort alive and well, I want to stress how important it is for dentists to be involved in the lead pro cess. Today, employers seldom hear from their dentist; they only hear from the insurance industry. As Cork and Jon will tell you, the dentist referral (lead) is still the best way to open the door for them to talk to employers about DR.

Dentists must become proactive in their communities and become a resource to the employers understanding about dental plans and exposing them to the concept of DR. So again, as I did last year, I would challenge each member dentist of the VDA to provide at least one potential lead to Connie, Cork or Jon this year. On a brighter note, I would like to congratulate Cork and Jon on their recent award for DR sales in the ADRP sales contest. This is how the contest was structured: The Alli ance for Direct Reimbursement Plans (ADRP) earlier this year announced its plans to run a sales contest among its brokers. The broker who sold DR plans covering the high est number of total employees between February, 1998 and July 31, 1998 would be the winner. These winners were announced at the recent "DR Days" conference in Chicago. I am pleased to report that Jon Swan and Cork Coyner of Benefits Administration were awarded a prize of $1000 for the third highest total number of employees signed on to DR during the contest's time frame. Membership recruitment and retention activities have been and will remain a high priority item this year. As most of you know, the VDA has participated in the ADA Field Service Program since 1996. The goals of this task force, chaired by Dr. Bruce DeGinder, are to increase the number of new members and decrease non-renewals. One of the target goals was to add 150 new members by the end of 1997 (at this time last year, they had recruited 123 new members). Since the implementation of the Field Service Program in the fall of 1996, VDA has recruited 180 new members (new members and transfers), surpassing the task force goal of recruiting 150 new members by the end of 1997. There were also increases in numbers and market share in sev eral key target groups, including minorities, new dentists, young dentists and women dentists. The VDA non-renew rate decreased from 2.4% to 2.3%. again surpassing the task force goal of maintaining a non renew rate of 2.6% by the end of 1997. So I would like to congratulate Bruce, along with Dr. Reed Boyd, chairman of the Membership Committee, along with the staff at VDA for the excellent job they did on recruitment and retention this past year and I know they will keep up the good work. As Dr. Gary Rainwater said at the 1997 ADA HOD, "we must continue to involve ourselves and make necessary innova tions so that students will feel a part of what we are and what we do from the first day they enter dental school that is the key to membership recruitment and retention." I am pleased to inform you that the VDA has been selected to participate in the membership services outreach program for 1998-1999, formerly the ADA Field Service Program. In addition to its traditional 18 months assistance, the ADA Membership Services Outreach Program has been ex panded to offer designated societies with a number of "Brush-Up" recruitment and retention services to help in crease membership and decrease non-renewals.

Virginia Dental Journal 15

And now the time has come: The American Dental Asso ciation House of Delegates in October will decide whether to seek a $300 annual dues increase from each member over three years to finance a $30 million public relations (awareness) campaign. (30 million a year for 3 years). On Sunday morning at our annual membership meeting, Clay Mickel, Director of the Council on Communications, will review one more time the awareness campaign for VDA members. Then the VDA House of Delegates will vote on this issue and their vote will give direction to your ADA Del egates for their vote in San Francisco. Will an affirmative vote cause our membership to drop? Is the campaign worth the price? Will it put patients in your office? Will it have a positive effect on the image of dentistry? Will it increase the oral health awareness of our citizens? Should the House of Delegates approve the measure?

for Dentistry's involvement in science fairs. As our Execu tive Director Bill Zepp stated: "The students in Arlington rep resent what's right with schools, kids and families. VDA's involvement is an easy "win-win' situation: we honor stu dents with tremendous academic potential in the sciences and get credit for recognizing them. This is the kind of posi tive public awareness we can use." It really is a minimal investment with a significant payoff. When we invest in the future through today's top students, we can't lose and I agree. Even though our country's standard of dental care is the highest in the world, there are millions of disabled and eld erly Americans who are desperately in need that are not being served. For these Americans, statistics show that the primary restriction to access to dental care is the cost. As you are aware Medicaid does not provide dental benefits to adult recipients.

I certainly hope everyone read the articles in the latest edi tion of our Virginia Dental Journal. Dr. Reed Boyd, chair man of the VDA Membership Committee, wrote an article on why he supports this campaign. Dr. Richard Hewitt, who serves on the ADA Council on Communications and repre sents the 16th district from South Carolina, wrote a letter to the editor urging support of this initiative. In addition, an other two-page article entitled The Facts About the ADA Awareness Campaign was included in the last journal.

The first DDS program was started in Denver, Colorado in 1985 and last year the VDA implemented this access pro gram to help disabled and elderly people who can neither afford dental care nor are eligible for public aid. The Vir ginia Health Care Foundation and the Annabella Jenkins Foundation have provided grants to fund operating costs, in addition to direct support from the VDA.

But as the Editor of our Journal and former VDA President Les Webb stated: "It's neither right nor wrong to support or oppose this advertising campaign, but it is your opinion that is important." I agree.

The current statistics for the VDA as of August 19, 1998 are as follows: • 66 closed/completed cases • 91 cases-patients in treatment

Although the amount being spent on this campaign is a small figure compared to what most dentists spend on practice promotion, it nevertheless requires your close evaluation of all the information provided to make an informed decision which will be in the best interests of your patients and your profession. So I ask you, please let your ADA Delegates hear from you; but when the vote has been taken and the decision has been made, let us join together to keep our profession strong. I would like to recognize Dr. Tim Russell who has been in strumental in establishing and coordinating the efforts of the VDA's sponsorship of awards at the Virginia State Sci ence and Engineering Fair. At the June committee meeting, the Executive Council ap proved a motion that the VDA fund a total of $1,300 for the VDA Science Talent Award Program. In order to recognize the sixteen program semi-finalists with a $50.00 award each, in addition to the $500 Malbon prize. The VDA became in volved in this primarily through the efforts of Dr. Russell. Dr. Russell has been working for several years with the state science fair as a volunteer judge. It was through Tim's ef forts that the VDA and ADA became involved in this worth while endeavor. The VDA by funding the Bennett Malbon prize beginning in 1997 and the ADA listened well enough to establish a category in the Golden Apple Award Program

16 Virginia Dental Journal

In-kind contributions: • Dentists $135,571.68 • Laboratories $ 17,039.99

For a total $152,611.67

The current volunteer numbers: Dentists - 241 Labs - 56 There have been 905 applications received to date. Our profession has a long tradition of willingness to help those in need and I want to thank each of you who have participated in the program over the past year. Your contri butions have made a difference. The treated patients are most appreciative of our efforts and are now able to enjoy the comfort, function and dignity of dental health. Last month each of you received a letter from Dr. Cuttino concerning DDS and requesting you to sign up ASAP. In addition I would ask each of you to visit the DDS booth lo cated in the registration area. I would like to recognize Elizabeth Keith, who coordinates the DDS project at the VDA office. I would like to thank her along with Dr. AI Stenger (chairman of the Committee on Dental Delivery for the Special Needs Patient) for their hard work and dedication in promoting this most worthy program.

This is certainly a community service, which not only en hances our professional pride, but also the image of Den tistry in Virginia. At this meeting we will be initiating the P.A.N.D.A. (Prevent Abuse and Neglect through Dental Awareness) program. Dr. Lynn Mouden who is the ADA spokesman on child abuse will present the P.A.ND.A. seminar, "How Dentistry Suc ceeds Preventing Child Abuse and Neglect." P.A.N.D.A. is the successful model coalition program to increase recog nition and reporting suspected child abuse and neglect through educational and awareness initiatives. At the VDA HOD last year a resolution was passed to support a dental coalition aimed at educating dentists and dental hygienists about the problems of child abuse and neglect, teaching them to recognize the signs of abuse and neglect and in forming them of their ethical and legal responsibilities in re porting suspected abuse cases. Coalition members are the VDA, Virginia Dental Hygienists Association, Commonwealth Dental Hygienists Society, Vir ginia Bureau of Child Protective Services, Virginia Division of Dental Health, MCVNCU Dental School and Hygiene pro gram. Delta Dental Insurance of Virginia is serving as the corporate sponsor. Dr. Lynn Mouden will be helping in the organization and implementation of the P.A.N.D.A. program. The goal of PANDA is to create an atmosphere of under standing in the dental community, which will result in the prevention of child abuse and neglect through early identifi cation and reporting of children who have been abused or neglected. Dentistry has a long history of prevention. Dentistry's role in prevention can now be expanded to include the preven tion of family violence. We must all be involved in protecting children from abuse and neglect. P.A.N.D.A. is a proven program to help children. I ask all of you to be a part. I want to personally thank all of the committee chairmen who have served with me this year for your involvement and commitment to dentistry and the VDA. This year we held a Committee Chairman Workshop at the beginning of the VDA Winter Committee Meetings. I firmly believe, no it's not that I believe, it is a fact: the com mittee structure is the foundation of our association. The committees initially develop the policies and programs of the VDA. Representation on the committees is a privilege and should be taken seriously. The focus of VDA committees is communication, organiza tion and responsiveness, Without going into a summary of the workshop, I felt that this was one of the most successful meetings of the year. I felt it got all committee chairpersons on the same page and provided on outline or itinerary to follow during their particular committee sessions. The next committee chairman meeting will be held during the Janu ary Committee Meetings in Richmond under the direction

of your incoming President, Dr. Cuttino and I would just en courage all chairman, both old and those newly appointed, to communicate with your President concerning the inter est level and responsiveness of your committee members. Lack of interest or continued absence by a committee mem ber weakens that Committee; with these changing times in dentistry that is the last thing we want to happen. I would also like to recognize at this time those of our mem bership who served vital roles on the ADA Councils, Com mittees and Commissions. These members have been very instrumental in the success of our Association this year. Dr. Les Webb, who is the outgoing chair of the Council on Den tal Benefits; retiring Council on Membership chair Ann Adams (Anne remains on the council one more year); out going Council on Ethics, Bylaws arid Judicial Affairs mem ber Joan Gillespie; outgoing Council on Scientific Affairs member Dr. Ellen Byrne; Committee on the New Dentist member Dr. Russell N. Mosher; and Joint Committee on National Dental Examinations member Dr. Sanford N. Lefcoe. We thank all of you for your service to dentistry. I would also like to extend congratulations to Drs. Dick Wil son and James Schroeder on their recent appointments by Gov. Jim Gilmore. Dr. Richard D. Wilson was appointed to the Virginia Board of Dentistry and Dr. James R. Schroeder was appointed to the State Board of Health. Both of these gentlemen will be outstanding representatives on their re spective boards. Dr. Lindsay M. Hunt was installed as President of the Ameri can Association of Dental Schools at their annual session (in Minnesota) this year. In addition, three of our members who are alumni of the MCVNCU School of Dentistry were recognized during this year's Homecoming and Commence ment activities. Dr. French Moore, Jr. was presented the University's highest honor: the Edward A. Wayne medallion for his outstanding contributions to the university commu nity. Dr. Cyril R. Mirmelstein was presented with the Medi cal College of Virginia Alumni's Association Alumnus of the year award and Dr. Sanford Lefcoe (Sonny) was presented with the dental division of the MCV Alumni Association out standing Dental Alumnus Award. All three of these gentleman (Alumni) are proud examples of individuals who have dedicated a significant portion of their professional lives to volunteer service and leadership. In closing, I would like to share with you a poem that I have had on the wall in front of my desk since I started my private practice in Dentistry in 1971. The poem is entitled "The Man in the Glass": When you get what you want in your struggle for self and the world makes you king for a day, just go to a mirror and look at yourself and see what THAT man has to say.

Virginia Dental Journal 17

For it isn't your father or another or wife whose judgment upon you must pass; The fellow whose verdict counts most in your life is the one staring back from the glass. You may be like Jack Homer and chisel a plurn And think you're a wonderful guy, But the man in the glass says you're only a bum If you can't look him straight in the eye. He's the fellow to please, never mind all the rest, for he's with you clear up to the end, And you've passed your most dangerous, difficult test If the man in the glass is your friend. You may fool the whole world down the pathway of years

And get pats on the back as you pass,

But your final reward will be heartaches and tears

If you've cheated the man in the glass.

President-Elect's Address

Williamsburg, VA

September 16, 1998

Charles L. Cuttino III, D.D.S.

I am proud to stand here before you today, because I stand on the shoulders of those who have preceded me. Those Quoting from a speech by Dr. Robert B. Shira, Dean Emeri足 are the Moores, Whistons, Copelands, Watsons, Webbs, tus of Tufts University: "I think it is an excellent idea to Tankersleys, Allisons, and the HUffs, who have led this frequently look into a mirror and look closely at ourselves." organization into the 90's. I want us to continue the progression that has been made over the last eight years. What is the image that we see?

Do we see an individual who is kind, considerate, and

Having been involved with the administrations of these compassionate?

leaders, I have been particularly proud of what we have Do we see an individual who has the proper perspective? accomplished. The first accomplishment was the recruitment Do we see an individual who is doing to others as he would and employment of Bill Zepp as our second Executive have done for himself?

Director. With Bill's help and leadership, he has brought us So I say to you, if your mirror reflects this type of individual

I am confident that you will meet the challenges that face

our profession, and by meeting those challenges, you will

continue to make our Association and the profession of Den足

tistry great.

Thank you all for giving me the opportunity to serve and for

your tremendous support this past year.

in to the next phase of our Association. Screaming and hollering may be the case, but we have been led to this point. Secondly,1 am proud of our association with Chuck Duvall. Chuck is our VDA lobbyist. Our impact on protecting the practice of Dentistry has been enhanced and advanced by his help. We are in a period where our Legislative interface is dependent upon our involvement in the process and the leadership we exhibit. With Chuck's continued help we can enhance the presence of Dentistry and protect what we daily practice. Our involvement with the Legislative process includes our commitment to VADPAC. In the House of Delegates we have 221 delegates and alternates. Within this group 74.2% of the members contribute to our PAC. 25.8% have chosen not to be contributors. We can do better, and we as leaders have to be better examples to all of our members if we are to be able to sustain and increase our good relationship with our delegates and senators.

Looking for info on upcoming CE courses?

What's happening at the VDA?

Want to learn more about Direct Reimbursement?

Visit the VDA's website for answers to these

questions... and much, much more.

www.vadental.org 18 Virginia Dental Journal

We have new and old challenges that face us daily in the practice of dentistry. One of the new challenges that we must deal with is that of Management Service Organizations (MSO). These come with many acronyms such as DMSO (dental management service organizations), DPMC (dental practice management companies) or DMSC (dental management service companies) to name a few. As you can tell these companies come in many shapes and structures. Our graduating students are faced with an ever-increasing debt for their education. In some cases this debt may be as high as $250,000. A student faced with starting a practice

and a family may well have an opportunity to become associated with a management organization that will determine where, how, and what type of dentistry they practice. These deci-sions may well lead the new dentist into a situation that is a long-term relationship that may be untenable and limit the future options available to him or her. A dentist facing retirement may find these organizations attractive for a cash flow situation only to find out that there are contractual arrangements that obligate him or her to long term practice with a decreased practice worth. We as an association cannot make the choices for the individual dentists but we can educate them to make the correct choice for themselves. Therefore, there is an emergent need for the Association to educate our members about this type of influence on the practice of dentistry. This education extends to undergraduate dental education as well. My first recommendation to the Association for the up coming year is that the Association develop a liaison with Dr. Hunt, the new Dean of our dental school, and provide an advisory voice to the Practice Management courses at the school giving a private practice prospective on Management Service Organizations. I will also refer to the Committee on Dental Education Issues, for the development of printed materials which may be used by the new dentist for practice choices and choices for the more mature dentist as they prepare for their retirement. Concerns have been raised around the country about the structure of many of these service organizations. I request that the Dental Practice Regulations Committee work with the Virginia Board of Dentistry to establish regulations and statutes which will not allow a Management Service Organization to interfere with the decision making right of the dentist, or with the dentist - patient relationship. I would also ask that this committee and the Board determine if such management relationships could be construed in any way as fee splitting; as well as make statutory recommendations to solve this potential legal and ethical problem. Another related concern for the practice of Dentistry within the Commonwealth has to do with what we call our practices. I would request the Ethics and Judicial Affairs Committee in consultation with the Dental Practice Regulations Committee, determine what would constitute an ethical and legal locator name for dental practices and make recommendations to the Executive Council. Ultimately this would be referred to the Virginia Board of Dentistry for their consideration. Our medical colleagues have long had ethical locator names without degrading the practice of Medicine. I feel now is the time to study this topic which is abused daily in Virginia. I feel that the Planning Committee should be the future "think tank" of this association and that the committee should have input from as many resources as possible. Therefore, I request that the reference committee on The Presidential Address and Administrative matters send a resolution to this

house making all of the Associations committee chairmen members of the Planning Committee. The association has undergone many changes in the electoral process in the past several years. This House will be deliberating a new policy on elections. I request that the policy statement already presented be changed to include the statement, "Nominations for the elected offices of the Virginia Dental Association will be made at the Opening Session of the Annual Meeting. Ballots will be printed after the nominations listing all the candidates for office. Elections will be held prior to the Membership Meeting of the Association (Sunday) and will be over seen by the appointed tellers. The results of these elections will be announced during the Membership Meeting. Runoff elections will be held during that meeting." Since there will no longer be by virtue election slots, this would allow the members of the VDA to know who the candidates are and allow them two days to learn whether they want the nominated individuals to represent the membership. There are two additional programs that the VDA has been developing and we need the help of the membership to make them successful. The first is Direct Reimbursement. We have been one of the more successful states in identifying and converting businesses in the country. What we need is to have each member identify and refer one potential business to the VDA central office. If each member did that it would mean 3000 potential conversions in a year. Lets take this idea back to our components and generate the contacts. The second project has to do with Science Fairs. Through the inspiration of Tim Russell, we have established the Malbon Award for the winner of the Virginia State Science Talent Award Program. This year we will increase our awards to include the semi-finalists winners on the state level. I think we should expand our involvement to the component level and I request that you involve your own components in supporting those Science Fairs that occur locally by sponsorship and becoming judges. For positive examples of how this can be done, we only have to look at the programs which Components Two and Eight have developed. This is one of the most positive things we can do to interest young scientists for a future in dentistry. I became involved in organized dentistry when I, as a new member, approached Hugh Rankin, then President of Component 4, and informed him that organized dentistry did not do any thing for new practitioners. He responded by telling me he had a job for me. Now I tell you that I have a job for you! All of us can do something for dentistry and can interest others on becoming involved in the organization called dentistry. Together, you and I working in concert and involvement with each other can look forward to a successful year for the Virginia Dental Association. Thank you.

Virginia Dental Journal 19

Dr. Paul C. Belvedere

Composites

Dr. Mark }. Friedman Porcelain Veneers

Dr. Linda C. Niessen Gertutrtc Dentistry

Dr. I. Mel Hawkins

Dr. M. Nader Sharifi

MotivatIOn/Communication

Anesthesia

Removoble Prosthetics

Dr. Ioe H. Camp

Endodontics

Dr. John A. Kanca, III Dr. Bruce W. Small Adhesive Dentistry Esthetics

Dr. Gordon I. Christensen Restorative DentIStry

Oral Surgery

Dr. Marvin H. Berman

Dr. Myer S. Leonard

Dr. John A. Svirskv

Oral Pathology

Dr. Alan J. Drinnan OrafMedicine

Ms. Linda L. Miles

Practice Management

Restorative DentlstryffMD

Dr. Clifton O. Dummett, Jr.

Dr. Myron Nevins Periodon tics

Dr. Van P. Thompson

Pediatric Dentistly

Dr. Terry T. Tanaka

Dental Materials

More than 30 special lecturers are also on the program.

For more information, visit us at our website

www.hinman.org. Or. complete this form and mail or fax

to the Hinman Dental Society. 60 Lenox Pointe. Atlanta. GA 30314.

Fax (4tH) 231-9638. Telephone (404) 231-1663.

Hotel & Airline Reservations (800) 143-1581.

Name Address Citv

Telephone

State

Zip

[II

FROM THE EXECUTIVE DIRECTOR. ..

Those of you who were able to join us in Williamsburg in September may have visited the new Virginia Dental Services Corporation table display, focusing on the various products endorsed by the VDSC. The display, designed by VDA staffer Ronya Edwards, features two quotations regarding associations and for-profit subsidiaries. Arleigh Greenblat, writing in the February 1996 issue of Association Management, notes that "subsidiaries allow associations to accomplish myriad important goals, including producing nondues revenue streams and providing customized programs designed to attract and retain members ... (the) rewards can be considerable." Regarding those "nondues revenue streams," the American Society of Association Executives observed that "aside from generating much足 needed income, nondues revenue programs can increase member benefits, help ward off unpopular dues increases, and establish unique relationships with members." The VDSC, formed by the House of Delegates in 1996, is a wholly owned subsidiary of the VDA, operating entirely to benefit the membership of the Association. As a wholly owned subsidiary, all assets can be di足 rected back to the VDA as dividends. These dividends can ease the strain of an otherwise dues driven budget, increasing member services, activities, and programs without increasing Association dues. Since early 1998, Dr. Jeff Levin has served as President of the VDSC, ably assisted by board members Drs. Bob Levine, Harvey Shiflet, and Fred Coots. They have focused primarily on the endorsed insurance pro足 grams and have taken some steps to both offer quality products to the members at reduced rates, while enhancing the revenue to VDSC. The recent endorsement of The Medical Protective Company for liability and malpractice insurance is a good example. The Medical Protective product, long playing second to the PPP product, has significantly improved in recent years and is now comparable to the PPP. However, the MedPro Package is more favorably priced for the average member; in addition, the endorsement contract with VDSC is significantly improved. Bottom line: a better bottom line for VDSC, VDA, and the individual members. You can expect to see major improvements in other endorsed insurance products in the very near future. At the risk of totally bludgeoning a perfectly good appaloosa, I would once again urge each member to make that little leap of faith to trust and support your colleagues on the VDSC Board as they work to improve and enhance this Association. Talk to any of them, or to your VDA elected officers, and you will realize that we are all on the same team, working for the VDA and its members. The time for doubt and suspicion, if there was really ever a time, is long past. Lastly, the only way that "nondues revenue streams" can ever amount to more than a trickle is through the support of the membership. The mere establishment of the subsidiary and endorsement of the products does not create revenue for VDSC. VDSC believes that its endorsed products are equal to or better than their competitors. You can support your Association by buying VDSC endorsed products and services, carrying the MBNA credit card, utilizing IC Systems for collections, and filing claims electronically with ENVOY. In previously addressing the VDA corporate structure (Virginia Dental Journal, Volume 74, number 3), I stole a line from the Virginia Lottery and noted that "you can't win if you don't play." Actually, we won't win if you don't play. Take another look at the VDSC products and resolve that you will be part of the solution in 1999. Regards, William E. Zepp, CAE Executive Director Virginia Dental Journal 21

22 Virginia Dental Journal

Virginia Dental Journal 23

24 Virginia Dental Journal

Virginia Dental Journal 25

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VDA HOUSE OF DELEGATES ACTIONS IN BRIEF

September 20, 1998 The following recommendation was approved on the Consent Agenda:

The Virginia Dental Association supports a statewide voluntary program to collect Bulk Elemental Mercury from dentists as long as such a program is revenue neutral and does not impose a liability to the Virginia Dental Association.

Adopted a recommendation that Dr. Will Allison be appointed as a member and President of the VDA Foundation Board.

Upon submission to the House by VDA Reference Committees, the House took the following actions: 2.

Approved the 1999 Virginia Dental Association Budget as presented.

Approved the 1999 Direct Reimbursement Budget as presented.

Adopted a recommendation that the VDA endorse the establishment of dental hygiene programs in the Shenandoah Valley in those communities with the support of the local dentists.

Adopted the following resolution:

Adopted a recommendation that the VDA House of Delegates approve the American Dental Association National Awareness Campaign.

10.

Adopted the following as VDA Policy: 1.

2. 3. Resolved, that as a matter of policy the Virginia Dental Association supports the right of all Virginians to have a point-of-service option available that guarantees their right of choice of health care providers regardless of the health care benefit delivery system. And be it further

Resolved, that the Virginia Dental Association continue to actively support legislation assuring that a point-of足 service option is available to all Virginians regardless of the medical or dental Managed Care health delivery system at a fair and justifiable cost to the patient.

6. 7.

8. 6.

Adopted the following resolution: Resolved, that as a matter of policy, the Virginia Dental Association supports the right of all Virginians to have their assignment of health care payment honored by their health care insurer, regardless of the participation status of the dentist. And be it further Resolved, that the Virginia Dental Association continue to actively support (or initiate) legislative and/or administrative process to prohibit third party payers from refusing to recognize assignment of payment when any beneficiary so authorizes it regardless of the

participation status of the dentist.

Adopted the following resolution: The Virginia Dental Association recommends that for those dental procedures, for which practitioners choose to utilize amalgam, that dentists eliminate the use of bulk amalgam alloy, and adopt pre-encapsulated amalgam techniques in their dental practices.

The administrative progression for presiding officer during elections will be the President, President-Elect, Secretary/Treasurer, and Immediate Past-President when the appropriate presiding officer is involved in an election. Names of nominees shall be displayed during elections. Pre-printed and pre-distributed blank ballots shall be used. The time periods during which votes are being counted shall be used forVADPAC and awards presentations. In elections for multiple positions, a ballot will be invalid if the same name is voted more than once or the number of names on the ballot does not equal the number of available positions. The order of elections shall be published with the meeting agenda. Any candidate for VDA office is entitled to a two (2) minute nomination speech, unless the candidate is unopposed. Announced candidates for any elected position shall notify the VDA Journal editor of any position he/she would vacate as a result of his/ her election for publication in the Journal with their announcement.

11.

8dopted that VDA Policy will permit, on a one-time basis, a licensed dentist applying for membership, who has never been a member of the ADA and is not otherwise eligible as a new graduate, shall pay reduced dues at

the rate of 50% of active member dues in the first year,

and shall pay 100% dues in the second year and each

year thereafter.

12.

Adopted the following Bylaw amendment:

Article VIII, Section 4.A 4. Constitution and Bylaws Committee: a. Membership: This Committee shall consist of the immediate Past President. the Speaker of the House, the current and immediate past Parliamentarians, and two members-at-Iarge to be appointed by the President of the Association.

Virginia Dental Journal 27

HOUSE OF DELEGATES ACTIONS IN BRIEF CONT. 13.

Adopted the following Bylaw amendment: Article IV, Section 2 D. The elective officers shall be elected by ballot of the membership at The Annual Membership Meeting. A majority vote shall elect. In The event of an unopposed nomination, it may be that the secretary be instructed to cast the ballot of the members for the candidate or slate. If no nominee receives a majority of the votes cast on the first ballot, the nominee receiving the lowest number of votes shall be dropped, and a new ballot taken. In elections for multiple positions. a ballot will be invalid if the same is voted more than once or the number of names on the ballot does not equal the number of available [2Qsitions. All elective positions shall be voted on separately, except the positions of ADA Delegates, Alternate Delegates and Executive Councilor-At足 Large shall be voted on as groups.

16.

Adopted the following Bylaw amendment: Article VIII, Section 1. C. Administrative Standing Committees Strike out and renumber. 1. llistory aAd Necrelogy Committee Article IV, Section 4-C.g Insert the word and after Budget and Financial Investments Committee and delete the remainder of the sentence after Annual Meeting Committee to read as follows: g. Serve as an ex officio member of the BUdget and Financial Investments Committee and the Annual Meeting Committee. aAd the Ilistory afld ~~ecrelogy Committee. Add Section 4-C.k to read as follows:

14.

Adopted the folloWing Bylaw amendment:

!s.., Article VIII Committees Section 4. Names and Duties of Committees: A. REGULAR STANDING COMMITIEES: 4. Constitution and Bylaws Committee b. Duties: The duties of this Committee shall include the following: keeping the BYLAWS of this Association in a consistent and accurate condition by proposing new and appropriate amendments to the Executive Council and the House of Delegates when deemed necessary; reviewing all CONSTITUTION or BYLAWS amendments proposed by the Executive Council; reviewing all CONSTITUTION or BYLAWS amendments proposed in reports of Reference Committees of the House of Delegates before action by the House; and reviewing after passage any CONSTITUTION or BYLAWS change which the House may have adopted in a version differing from that proposed by the Reference Committee. Review shall be for the purpose of assuring clarity and appropriateness of language, consistency with other parts of the CONSTITUTION and BYLAWS, and correctness of numbering. In such review, the Committee is authorized to make necessary changes in wording or in numbering which will in no way alter the sense of the intent of the amendment as passed by the House. The Committee shall also revise the House of Delegates Manual of Standing Rules for the Annual Session as necessary so that the Manual will conform to the CONSTITUTION and BYLAWS. 15.

Adopted a recommendation that the Planning Committee or a designated subcommittee, in consultation with other Committees and/or resources of the Virginia Dental Association, will be the planning and implementation source for the ongoing development of non-traditional accredited dental hygiene educational programs within the Commonwealth.

'128 Virginia Dental Journal

Additional duties to include the following: stimulating interest in outstanding personalities and events in Virginia dentistry of the past; arranging the commemoration of such events or persons through publication of articles or the placing of suitable memorials; collection and preservation of Items of historical interest in Virginia dentistry; reviewing questions involving conflict of views or facts in Virginia dental history. and pUblishing or seekin9-Publication of various historical accounts of general interest to the public and orofession. The SecretarvlTreasurer shall report to the Annual Meeting all deaths of members of the Association during the year and handle appropriate coussaoiuuuuu: with the families of these members.

Article VIII, Section 4 C. ADMINISTRATIVE STANDING COMMITTEES Strike out and renumber Ilistory fmd Necrology Committee 8;;

Membership: This Committee shall consist of at least eight members, including one represefltative frem each compofleflt society aRei such other members of the Associatiofl as may show a special iflterest aAd be appoiAted by the PresideAt. ORe of thcse may be especially desigflated as Ilistorian by tlge PresideAt. The Secretary Treasurer shall be afl ex official meffiber of this Committee.

IT.

Duties: The duties of tl9is Committee shall iflclude the followiflg: stiffiulatiRg iflterest in outstaAding personalities and events in Virginia deAtistry of tlge past; arranging fer the cOffimemoralion of such eveflts or persofls through publication of articles or the plaeiflg of suitable memorials; collectiofl afld presef'v'8tiofl of items of Mistorieal iflterest ifl Virginia dentistry; revievviflg questions iflvolving coflflict of vie'....s of facts iA Virginia dental histort; aAd

publisning or seeking publication of various nistorical accounts of general interest to the public anei profession. Tnis Committee shall report to tne Annual Meeting all deEltns of members of tne Association during tne year. Tne Committee ChairmEin shEll1 nandle appmpriate correspondence witn the families of tnese members. 17.

20.

Section 1. Classification. The members of this AssoÂ ciation shall be classified as follows: Active Associate Affiliate

Adopteg the following Bylaw amendment: 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. Tt'te Dean of the MCV School of Dentistry shall be recommended for nominEition to serve as an Alternate Delegate.

18.

Adopte-.d the following Bylaw amendment: ARTICLE I Membership

Retired Missionary

Honorary Members shall be those practitioners of

dentistry or medicine and others who have made

valuable contributions to the science of dentistry,

or those whom this Association deems to honor.

The surviving spouse of a member dentist ma'y be

included in Inis category.

Affiliate Members shall be the surviving spouse or a staff member em{2loved in any capacitv in the office of a member dentist in good standing in the J,lirginia Dental Association.

Article VIII Section 4 A. REGULAR STANDING COMMITTEES

Election to Membership:

H. Affiliate Member: T~alifv for this category the surviVing spouse or staff member must submit an affidavit, to the dentist's component societv, to attest to the fact that the affiliate member is either a surviving spouse or a staff member of a Virginia Dental Association member dentist. Affiliate members shall be. entitled to participate in education. service and benefit programs offered to Virginia Dental Association members. This class of membership will not be eligible for any additional membership wivileges.

12. Planning Committee

19.

Fellow Student

Adopted the following Bylaw amendment:

Honorary Life

Membership: This Committee shall consist of the President-Elect, four most recent Past Presidents, and four members-at-Iarge, two of whom shall be appointed for two-year terms by the President-Elect. One of these at-large members shall have graduated from a dental school within the past ten years. The Committee shall elect its own Chairman annually.

P.dopted the following Bylaw amendment: Section 7. Article VIII, Section 1

A. Regular Standing Committees Addition of Dental Continuing Education Committee Insert after 14 to read as follows:

15. Dental Continuing Education Committee Article VIII Section 4 A. REGULAR STANDING COMMITTEES Insert 15 to read as follows: ~

ÂŁL

Dental Continuing Education Committee Membersh~his Committee shall consist of 10 members inclUding one representative from each component society and 2 members from the MCV/ VCU School of Dentistrv. Duties: Establishment. of continuing education {2rograms for member dentists and their staffs: monitoring VDA's central calendar of all continuing education {2rograms in Virginia; continual review of new technological advances in CE presentations; and serve as a repository for potential CE speakers.

Dues:

Honorary Members, MIssionary Members, tlfltj Student Members and Affiliate Members shall be exempt from all dues.

21.

Adopted a recommendation to support the current method of election as delineated in the Bylaws.

22.

Adopted a recommendation that the VDA's upcoming Annual Meeting schedule be confirmed as follows: 1998 1999 2000 2001 2002

Colonial Williamsburg Lodge Hyatt Regency Colonial Williamsburg Lodge Hyatt Regency Marriott

Williamsburg Reston Williamsburg Crystal City Norfolk

23.

Beferred to the Constitution and Bylaws Committee a review of conflicting wording in Article VI, Section 2.K and Article VII, Section 2 in the Constitution and Bylaws.

24.

Referred to the Executive Committee a recommendation that in the upcoming year the Virginia Dental ASSOCiation develop a liaison with Dr. Ronald J. Hunt, the new Dean of the dental school, and provide an advisory voice to the Practice Management courses at the school, giving a private practice perspective on Management Service Organizations.

Virginia Dental Journal 29

25.

Referred to the Dental Continuing Education Committee. A recommendation that the development of printed materials, which can be used for the new dentist on practice choices and choices for the more mature dentist as they prepare for their retirement, to the Dental Education Issues Committee.

26.

Referred to the Dental Practice Regulations Committee a recommendation that the Dental Practice Regulations Committee work with the Virginia Board of Dentistry to establish regulations and statutes which will not allow a Management Service Organization to interfere with the decision making right of the dentist or with the dentist 足 patient relationship. I would also ask that this Committee and the Board determine if such management relationships could be construed in any way as fee splitting, as well as make statutory recommendations to solve this potential legal and ethical problem.

27.

Referred to the Ethics and judicial Affairs Committee to study the ethics of locator names a recommendation that the Ethics and Judicial Affairs Committee, in consulation with the Dental Practice Regulations Committee, determine what would constitute an ethical and legal locator name for dental practices and make recommendations to the Executive Council. Ultimately this would be referred to the Virginia Board of Dentistry for their consideration. Our medical colleagues have long had ethical locator names without degrading the practice of Medicine.

28.

Referred to the Executive Council a recommendation that the Planning Committee should be the future think tank of this Association and that the Committee should have input from as many resources as possible. Therefore, I request that the Reference Committee on President's Address and Administrative Matters send a resolution to this house making all VDA committee chairmen members of the Planning Committee.

29.

Referred to the Planning Committee a recommendation that the policy statement already presented to the House on elections be changed to include the following: 1. Nominations for the elected offices of the Virginia Dental Association will be made at the Opening Session of the Annual Meeting. Ballots will be printed after the nominations, listing all candidates for office. 2.

Elections will be held prior to the Membership Meeting of the Association (Sunday) and will be overseen by the appointed tellers.

3. The results of these elections will be announced during the Annual Membership Meeting. Runoff elections will be held during that meeting. Since there will no longer be by virtue election slots, this would allow the members of the VDA to know who the candidates are and allow them

30 Virginia Dental Journal

two days to learn whether they want the nominated individuals to represent the membership. 30.

The following were submitted for life membership: Component 1 - Doctors Dean A. Brainerd, Morton A. Brownstein, William S. Dodson, Harold P. Heafner, Jr., Arnold M. Hottman, Joseph H. McCoy, Jr., George R.C. McGuire, Samuel V. Russo. Component 2 - Doctors John F. Hunt III, George R. Knox, Madison R. Price. Component 4 - Doctors Llewellyn T. Flippen, Robert W. Goode, Richard K. Green, Herbert W. Kaplan, John P. McCasiand, Julian C. Metts, Jr., Richard D. Wilson. Component 5 - Doctors Ralph N. Greenway, Benjamin F. Knight, Jr., George H. Snead, Jr. Component 6 足 Doctor Jack D. Cole. Component 7 - Doctors Robert S. Markley, Raleigh H. Watson, Jr. Component 8 足 Doctors William C. Binzer, Raymond T. Bond, Robert Y. Coleman, Ralph Gibson, Jr., George R. Keough, Eddie Stinnett.

31.

Dr. D. Christopher Hamlin was re-elected Speaker of the House.

Dr. Chris Hamlin, Speaker of the House, presides over the House of Delegates on Sunday, September 20, 1998.

VDA EXECUTIVE COUNCIL ACTIONS IN BRIEF

SEPTEMBER 17 AND 20,1998 September 17,1998

8QQroved a recommendation to approve the re-appointment of Dr. Emory Thomas as Parliamentarian for 1998-99.

The Following Bylaw Change Was Considered: (voted on by fax 7/22/98)

Approved a recommendation to reaffirm the contract of the Executive Director and continue the relationship with the VDA Auditor, McGladrey & Pullen, and the VDA Le gal Council, Mays & Valentine.

Approved the following proposed Bylaws change add ing the Affiliate Member Category to the Bylaws. VIRGINIA DENTAL ASSOCIATION BYLAWS ARTICLE I Membership

The Following Items Were Referred To Committee:

Approved a recommendation to refer the feasibility of a cost of living dues increase to the Budget and Financial Investments Committee for study.

Approved a recommendation that the BUdget and Finan cial Investments Committee recommend a policy on re serve funds for the VDA.

Section 1. Classification. The members of this Associa tion shall be classified as follows: Active Retired Student

Honorary Associate Missionary

Fellow Life ~ffiliate

The Followinsltem Was Received As Information Only: C. Honorary Members shall be those practitioners of dentistry or medicine and others who have made valuable con tributions to the science of dentistry, or those whom this Associa tion deems to honor. The surviving spouse of a member dentist may be included in this category.

Received as information only the VDA reimbursement policy.

September 20, 1998 The Following Items Were Approved:

Affiliate Members shall be the surviving spouse or a staff member employed in any capacity in the office of a mem ber dentist in good stancling in the Virginia Dental Association. Section 2.

Election to Membership:

H. Affiliate Member: To qualify for this category the surviving spouse or staff member must submit an affidavit attest ing to the fact that he/she is either a surviving spouse or a staff member of a Virginia Dental Association member dentist. to the dentist's component society. Affiliate members shall be entitled to participate in education. service and benefit programs offered to Virginia Dental Association members. This class of member ship will not be eligible for any additional membership privileges. Section 7.

Dues:

F. Honorary Members, Missionary Members e:ntI Student Members and Affiliate Members shall be exempt from all dues.

The Executive Council recommends adoption of the above recommendation by the House of Delegates.

Approved the election of Dr. David C. Anderson as Chair man of the Executive Council.

Approved the election of Dr. Gus C. Vlahos as Vice Chair man of the Executive Council.

Approved the re-appointment of Dr. Emory Thomas as Council Parliamentarian.

Approved a motion that the Chairman of the Executive Council appoint an ad hoc committee to discuss the Plan ning Committee makeup changes proposed by the Presi dent Cuttino.

The Following Item Was Referred to Committee: 1.

Approved a motion that the Executive Council recom mend to the Constitution & Bylaw Committee that the Fellows Selection Committee be removed from the list of Specialized Standing Committees (Article VIII, Sec tion B) and that they take appropriate actions for the Bylaws change.

The FolloWing Items Were Approved: 1.

Approved a recommendation to appoint Dr. Will Allison as a member and president of the VDA Foundation Board.

Approved a recommendation that Dr. Leslie S Webb, Jr. be re-appointed as Editor of the VDA Journal.

Virginia Dental Journal 31

MINUTES OF THE 129TH ANNUAL BUSINESS MEETING =

Sunday, September 20, 1998 The 129'h Annual Membership Meeting of the Virginia Dental As sociation was held at the Colonial Williamsburg Lodge, Williamsburg, Virginia on Sunday, September 20, 1998.

President Huff recognized the 1997-1998 component presidents and thanked them for their support during his year as president. Dr. Rodney J. Klima, VADPAC chairman gave the VADPAC report.

President Wallace L. Huff called the meeting to order at 8:30am in the Auditorium. Dr. Raleigh H. Watson, Jr. delivered the invocation and President Huff led the Pledge of Allegiance. Clay Mickel of the American Dental Association, Division of Com munications, presented the proposed ADA Public Awareness Campaign. Dr. Thomas S. Cooke III, SecretaryiTreasurer, presided over the Memorial Ceremony. The following deceased members were recognized: Drs. Albert P. Hass (1); Leonard L. Levin (1); Robert K. Barger (2); Wade L. Traynham (2); John S. Albright III (3); Robert F. Freeman (4); Albert L. Huband, Jr. (4); Robert B. Goodwin (5); Sanford A. Lipford (5); French H, Moore, Sr. (6); Marvin Klavans (8); Miles J Merritt (8); David L. Redding (8). President Huff introduced the following guests: Dr. David A. Whiston, ADA President; Dr. D. Gregory Chadwick, ADA 16th District Trustee; Dr. Kenneth D. Owen, 16th District ADPAC Trustee; Dr. James C. Elliott, Jr., North Carolina Dental Society President; Dr. Timothy I. McConnell, South Carolina Dental Association President; Dr. Alan Marx, District of Columbia Dental Society President. Dr, N. Greg Chadwick, ADA 16th District Trustee, was introduced and gave a brief report. Dr, David A. Whiston, ADA President, was introduced and spoke about his year as ADA president. Dr. Huff presented Dr. Whiston with a memento of his 1996 presi dential campaign. Dr. Donald L. Martin, Chairman of the VDA Fellows Selection Committee, Presented certificates to the 1998 VDA Fellows (see attached list.). Dr. Thomas S. Cooke III, VDA SecretaryiTreasurer, presented certificates to the 50-Year, 60- Year and Life Members (see at tached list). Dr. Bruce DeGinder presented plaques to the Membership Task Force (see attached list). Dr. Roger H. Flagg, Deputy Regent, Virginia Section, International College Of Dentists, presented Jamie Watson a $500.00 check recognizing him for the highest grade point average in his class for the first two years in dental school. Dr. Ronald L. Tankersley, American College of Dentists, presented the Student Professionalism Award to David Hughes.

32 Virginia Dental Journal

Dr. Kenneth D. Owen, ADPAC, 16th District, gave the ADPAC re port and presented Dr. Klima with a plaque recognizing Virginia for the highest contributions to ADPAC in the 16th District. Dr. Ralph L. Howell, Jr. reported on the 1998 VDA Annual Meet ing and presented the attendance for the meeting as follows: Dentists Spouse & Guest Assistants Hygienists Other Staff VDA & Component Staff Exhibitors Dental Technicians

582 209 156 65 68 16 374 ~

1,484 A motion was properly made, seconded and passed that any by virtue seats will be elected en masse after all other elections are held. Dr. Daniel E. Grabeel and Dr. Andrew J. Zimmer were nominated for the position of President-Elect. Dr. Zimmer was elected. Drs. William J. Viglione, Gus C. Vlahos and Richard H. Wood were nominated for the two (2) positions of At-Large Councilor for a two year term. Drs. Viglione and Wood were elected. Drs. Wayne Mostiler and Gus C. Vlahos were nominated for the At-Large Councilor position vacated by Dr. Zimmer for a one year term. Dr. Vlahos was elected. Drs. David C. Anderson, Charles L Cuttino III and Wallace L. Huff were nominated for the three (3) positions of ADA Delegate for a three year term 1999-2001. There being no other nominees, Drs. Anderson, Cuttino and Huff were elected by acclamation. Drs. Anne C. Adams, Bruce R. DeGinder, Rodney J. Klima and Edward J. Weisberg were nominated for the three (3) positions of ADA Alternate Delegate for a two year term 1999-2000. Drs. Adams, DeGinder and Klima were elected. Drs. Richard D. Barnes, Daniel E. Grabeel and Edward J. Weisberg were nominated for the two (2) two year ADA Alternate Delegate positions created by the election of Drs, Cuttino and Huff as Del egates. Drs. Barnes and Weisberg were elected, Dr. David A. Whiston, ADA President, installed the VDA officers and component presidents for 1998-1999. VDA Officers: President President-Elect Secretary-Treasurer

Dr. Charles L. Cuttino III Dr. Andrew J. Zimmer Dr. Thomas S. Cooke III

Component Presidents: Dr. Stanley P. Tompkins Dr. Corydon B. Butler, Jr. Dr. Richard F. Roadcap Dr. John S. Kittrell Dr. Mark A. Crabtree Dr. Robert G. Schuster Dr. Robert B. Hall, Jr. Dr. James L. Gyuricza

Fifty Year Certificates: Component Component Component Component Component Component Component Component

1 2 3 4 5 6 7 8

President Huff presented the second President's Award given by the Virginia Dental Association to Dr. French H. Moore, Jr. The President's Award recognized commitment, dedication and years of meritorious service to the dental profession.

Component 1 Component 2 Component 3 Component 4 Component 5

Component 7 Component 8

President Huff passed the gavel to President-Elect Charles L. Cuttino III. Drs. Whiston and Cuttino presented a presidential pin and plaque to Immediate Past President Huff and Dr. Cuttino presented a gift to Emogene Huff, thanking them both for their service to the Vir足 ginia Dental Association. Their business concluded, the Annual Membership Meeting ad足 journed at 12:13pm.

Dr. Sanford L. Lefcoe, Jr. Dr. Edward T. Clark Dr. Herbert R. Boyd, Jr. Dr. Robert M. Comstock Dr. John D. Beall Dr. Nathan B. Evens Dr. Walter S. Claytor Dr. Edwin A. Gendron Dr. George Green Dr. Emerson C. Gambill, Sr. Dr. Ernest L. King, Jr. Dr. William P. Dodson Dr. Paul E. Halla Dr. Irving J. Imburg Dr. Albert B. White

Sixty Year Certificates: Component 1 Component 2 Component 8

Dr. Kenneth H. Schwartz Dr. Apollon G. Orphanidys Dr. Lucas H. Blevins

Life Members: Membership Task Force Members: Component 1 Component 1

Component 2 Component 3 Component 4

Component Component Component Component

5 6 7 8

Dr. Richard Quigg Virginia Donne, Component 1 Executive Secretary Dr. Bruce DeGinder Dr. Jon Piche' Dr. Reed Boyd Dr. Anne Adams Dr. Jack Dunlevy Dr. Russell Mosher Dr. Kim Swanson Dr. Jim Shearer Dr. Christopher Huff Dr. Rebecca Swett Dr. Richard Pollock Dr. Gary Johnson Susann Hamilton, Component 8 Executive Director Ellen Flanagan, Component 8 Administrative Assistant William E. Zepp, VDA Executive Director

Component 4

Component Component Component Component

5 6 7 8

Component 4

Component 5

Component 6 Component 7

1998 Fellows: Component 1 Component 2

Component 2

Dr. S. Robert Howell Dr. Bruce R. DeGinder Dr. Fabienne J. Morgan Dr. Corydon B. Butler, Jr. Dr. Gisela K. Fashing Dr. Herbert Reed Boyd III Dr. James L. Slagle, Jr. Dr. Charles E. Gaskins III Dr. Russell N. Mosher, Jr. Dr. Fred A. Coots, Jr. Dr. Peter J. McDonald Dr. James C. Gordon, Jr. Dr. Stephen F. Rosenblum

Component 8

Dr. Dean A. Brainerd Dr. Morton A. Brownstein Dr. William S. Dodson Dr. Harold P. Heafner, Jr. Dr. Arnold M. Hoffman Dr. Joseph H. McCoy, Jr. Dr. George R. C. McGuire Dr. Samuel V. Russo Dr. John F. Hunt III Dr. George R. Knox Dr. Madison R. Price Dr. Llewellyn T. Flippen Dr. Robert W. Goode Dr. Richard K. Green Dr. Herbert W. Kaplan Dr. John P. McCasland Dr. Julian C. Metts, Jr. Dr. Richard D. Wilson Dr. Ralph N. Greenway Dr. Benjamin F. Knight, Jr. Dr. George H. Snead, Jr. Dr. Jack D. Cole Dr. Robert S. Markley Dr. Raleigh H. Watson, Jr. Dr. William C. Binzer Dr. Raymond T. Bond Dr. Robert Y. Coleman Dr. Ralph Gibson, Jr. Dr. George R. Keough Dr. Eddie W. Stinnett

Honorarv Membership: Jocelyn R. Lance

Virginia Dental Journal 33

1998 SPECIAL MEMBERSHIP AWARDS & FELLOWS

VDA FELLOWS: (Front Row) Dr. James C. Gordon, Jr, Dr. Stephen F. Rosenblum, Jr., Dr. Bruce R. DeGinder, Dr. Gisela K. Fashing, Dr. Russell N. Mosher, Jr. (Back Row) Dr. Charles E. Gaskins III, Dr. James L. Slagle, Jr., Dr. Herbert Reed Boyd III, Dr. Fabienne J. Morgan, Dr. Corydon B. Butler, Jr.

FIFTY YEAR AWARD: Dr. Sanford L. Lefcoe, Jr., Dr. William P. Dodson, Dr. Herbert R. Boyd, Jr.

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LIFE MEMBERS: .(Front Row) Dr. Harold P. Heafner,

Jr., Dr. Samuel V. Russo, Dr. Joseph H. McCoy, Jr.

(Back Row) Dr. Madison R. Price, Dr. Arnold M.

Hoffman, Dr. Raleigh H. Watson, Jr., and Dr. Richard

D. Wilson.

SIXTY YEAR AWARD: Dr. Appollon G. Orphanidys.

34 Virginia Dental Journal

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VSDA Registration Form Fall-Winter 1998-99 Print Name as You Would Like it to Appear on Your Certificate

Home Phone

Work Phone

Address

City

Zip

Dental Practice Name

Dental Practice Address Birth Date VISA

_ Sex M _

County or City of Residence

or MC # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expires

Print Name of Card Holder

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. Refunds will be given for short courses if cancellation is received . fee. 48 hours before scheduled class minus a $10. o0 orocessmz

Check Here

Course # 101 101 101 101 100 100 104 104

VA X-RA Y CERTIFICA TlON COURSES (Richmond) Saturday, October 10,1998 (Roanoke) Saturday, November 7,1998 (Fairfax) Saturday, November 14,1998 (Richmond) Saturday, December 19,1998 COMPREHENSIVE DENTAL ASSISTING Jan 9-Mar 27, 1999 (Saturdays Only) (Richmond) Apr 1O-Jun 26, 1999 (Saturdays Only) (Roanoke) BLEACHING TRAYS & ATHLETIC GUARDS Friday, October 9,1998* (Richmond) (4 CE Hrs) Friday, January 8,1999* (Richmond) (4 CE Hrs) (*Must Bring Stone Models)

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

Cost $109 $109 $109 $109

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$159S $1595

l pm-Spm l pm-Spm

$165 $16S

Mail this registrauon form and credit card information or check (payable to VSDA) to.

virginia School of Dental Assisting, 1905 Huguenot Road, Suite 200, Richmond, Virgmia 23235.

Or FAX it (credit card only) to 804-794-7974

Virginia Dental Journal 35

36 Virginia Dental Journal

David Whiston awards the VDA with the Golden Apple Award for Excellence in Science Fair Pro足 gram Support and Promotion. Accepting the award for the VDA includes: Charles L. Cuttino III, William H. Allison, William E. Zepp, Wallace L. Huff, David C. Anderson, and Thomas S. Cooke III. The Presidential Citation from the President of the ADA, David Whiston, was awarded to (front row) David C. Anderson, William E. Zepp, Bruce R. Hutchison, (back row) William H. Allison, Charles L. Cuttino III, Richard D. Wilson, and Douglas C. Wendt (not pictured) at the 139th ADA Annual Session in San Francisco.

Virginia Dental Journal 37

VIRGINIA DENTAL ASSOCIATION ... FOUNDATION T OFFERS SECTION 170 PLAN TO BUILD FUTURE ENDOWMENT

--:J

Mr. Richard Howard, President & CEO of The Foundations Company In October, the Virginia Dental Association Foundation unveiled its long-awaited tax-deductible, retirement, income and savings program for dentists. The Foundation's new benefit for Virginia dentists, The Section 170 Plan. is a deferred gift annuity program. It will benefit both the participant and in the future the Foundation. The program can be used as a perfect supplement to existing pension and profit sharing, 401 k plans or as a stand-alone retire ment planning vehicle.

bracket then deferring payments of income until a later time when you have a lower bracket with less income and a lower tax bracket."

The plan allows the participating dentist to contribute dollars each month to the annuity program for future use. There is no limit to the amount that a participant can fund. In return, the participant receives a tax deduction for each year that a contribution is made to The Section 170 Plan. Also, the Foundation provides a 50 percent match of the dentist's benefits.

The Section 170 Plan is a "deferred" gift annuity; thus the tax deduction and the rates are higher because of the deferral of income.

The participant receives a guaranteed income for the lives of two people based on the rates issued by the Council on Gift Annu ities. The council is a volunteer advisory committee founded in 1927 and supported by more than 1,200 charitable organizations nationwide. The annuity investment is secured by legal contract and reinsured by a major insurance company. The participant pays no administrative fees or expenses for this flexible savings and income plan. Participation in the VDAF savings/retirement program does not conflict with any qualified plan [e.g., 401 (k)]. To be eligible to participate, the dentist must agree to allow the Virginia Dental Association Foundation to insure his or her life. Upon the participant's demise, the Foundation receives the death benefit in the name of the dentist as an endowment. These funds will then become the bUilding blocks for the non-profit organization's future endowment. The Foundation's endowment provides funds for key charitable and educational programs sup ported by the dental profession.

"Rates of return and tax deductions are both determined by the participant's present age and the age when the person wants to begin to receive the deferred income payments. The percentage rates paid are those suggested by the Council on Gift Annuities plus a 50 percent matching benefit."

Participants in the VDAF's deferred annuity program determine the amount of their yearly contribution. The minimum contribu tion is $300 per month. The maximum cash contribution that is deductible in anyone year is 50% of adjusted gross income with a 5-year carry-forward for the excess. Contributions other than lump sums are then automatically transferred from the participant's bank account to the Foundation's annuity account. Monthly, the VDAF office drafts a check to the reinsurer. This funds each participant's future annuity payments and the 50 percent match of benefits. When a participant in the plan dies, the Foundation receives the death benefit. This money becomes the Virginia Dental Associa tion Foundation's endowment in the name of the participant. To request more information about The Section 170 Plan, call the VDA Central Office at 1-800-552-3886, ext.14.

The plan is administered through agreements between VDAF and The Foundations Company, Jacksonville, FL and Association Plan Management, Inc., Grand Rapids, MI. These two organizations are administering over $100 million in deferred gifts for medical foundations and other charitable organizations in Florida, Geor gia, Mississippi, Virginia, South Carolina and nationally, the Ameri can College of Endocrinology. Experienced consultants meet with interested individuals to discuss the benefits and tax deductions with The Section 170 Plan. Mr. Richard Howard, President & CEO of The Foundations Com pany explains, "The Section 170 Plan allows dentists to get im mediate tax deductions, while deferring the receipt of money to a future date. By allowing the Virginia Dental Association Founda tion to insure the participant's life, there will be a stream of future income to provide the Foundation with a sizable endowment." Mr. Howard stresses the flexibitity of the program with immediate tax and estate planning advantages. "The major benefit of this program, aside from simplicity and safety, is the advantage of receiving a current tax deduction while you are in a higher tax

138 Virginia Dental Journal

Mr. Richard Howard, President & CEO of The Foundations Company, and Ronya Edwards. VDAMarketing Coordinator. dis cuss future marketing materials for the VDAF.

It's Not Too Late to Join Your Colleagues

In Supporting Excellence Through Research.

Dr. Christopher A. Hooper

Dr. Charles R. Counts

Or. John W. Unger

Or. Ralph K. Greenway

Dr. S. Harold Horwitz

Dr. Mark A. Crabtree

Or. Leslie S. Webb, Jr.

Or. Ralph N. Greenway

Or. Douglas S. Price, Jr.

Dr. Lindsay M. Hunt

Dr. Davey Crockett

Dr. Jerome H. Wernstein

Or Barry I. Griffin

Dr. David H. Reames, Jr.

Dr. Bruce R. Hutchinson

Dr. Gilbert F. DeBiasi

Dr. A. Jeff Weisberg

Or. Thomas A. Gramling

Dr. Theril Reedy

Dr. H. Philip Johnson III

Or. William A. Oeyerle

Dr. Edward J. Weisberg

Or. Joseph A. Gwiaadowski

Dr. Charles W. Rentz IV

Anonymous

Dr. S. Bernard Jones

Or. Michael V. Dishman

Dr. Walter Wenk

Virginia Commonwealth University

Dr. Fred F. Kennett

Or. Ronald G. Downey

Dr. Kyle W. Wheeler

Or. Philip W. Handy

Dr. E. John Riggs Dr. David W. Riley

GIFTS OF 51 MILLION OR GREATER Dr. W. Baxter Perkinson, Jr. GIFTS OF 5500.000 TO 5999.999

GIFTS OF 5100.000 TO 5499.999

Ken E. Handley

Dr. Robert R. Powers

Dr. Gavin E. Reynolds

Dr. John S. Kittrell

Dr. Robert Paine

Dr. Paul R. White II

Dr. Russetl S. Harden

Or. Rodney J, Klima

Or. Charles S. Fralin

Dr. Raymond P. White, Jr.

Dr. Richard B. Harris

Dr. James L. Riley

Or. David R Konikoff

Dr. Gerald I. Frank

Or. David A. White

Dr. Paul K. Hartmann

Dr. Frank Robertello

Dr. David L. Ballard

Or, Albert R Konikoff

Dr. Rodney T. Gardner

Or. Odie A. Whitlow

Dr. Gary R. Hartwell

Dr. Sharon S. Roberts

Medical Coltege of Virginia Foundation

Dr. Stephen E. Konikoff

Dr. Marshall P Gordon III

Or. John W. Willhide

Dr. S. K. Heard III

Dr. Lewis T. Rogers

Dr. Daniel M. Laskin

Dr Daniel E. Grabeel

Dr. Curtis B. Wiltshire

Or. Van K. Heeley

Dr. Edward F. Ross. Jr.

Or. French H. Moore. Sr.

Lynchburg Dental Society

Or. Barry Lee Green

Dr. Richard R. Zechini

Or. Larry D. Hensley

Dr. Michael A. Rossetti

Dr. J. Gary Maynard, Jr.

Dr. James L. Gyuricza

Dr. Andrew J. Zimmer

Dr. Arnold M. Hoffman

Dr. John M. Salmon til

Dr. George R. C. McGuire

Dr. James E. Hardigan

Dr. Ralph Howell, Jr.

Or. Theodore S. Savvas

Dr. Raymond L. Meade

Dr. William H. Higinbotham, Jr.

GIFTS OF 5500 TO 52499

Dr. Jeffrey L. Hudgins

Or. Kevin G. Scanlan

Or. Erwin Abetl III

Dr. Garrett E. Hurt

Or. Michael C. Schuck

Dr. Ray Hilton

Mr. John P. Ackerly, III

Or. Allyn G. Janney, Jr.

Dr. Stephen F. Selden

Dr. Maury A. Hubbard, Jr.

Mrs. Barbara J. L. Albro

Or. Jerry L. Jenkins

Or. Martin Sheintoch

Dr. David F. Huddle

Dr. John M. Alexander

Or. Edgar F. Jessee, Sr.

Or. Robert A. Simmons

Or. Wallace L. Huff

Dr. Dandridge B. Allen

Or. Larry R. Jewell

Dr. Edward P. Snyder

Dr. Herbert M. Hughes

Or. Edward P. Allen

Dr. Robert O. Kendig

Southside Dental Society

Dr. J. W. Isbell

Dr. W. Scott Andersen

Dr. J. N. Kenney

Dr. Roy E. Stanford

Or. Richard J. Joachim

Dr. Michael S. Anglin

Or. Mark A. Kerr

Dr. David L. Stepp

Or. Warren G. Karesh

Dr. Frank L. Angus

Or. John W. King

Dr. John A. Svirsky

Dr. William P. Kennedy

Dr. Lewis P. Armstrong

Or. Fred A. Knevs:

Dr. David D. Swett

Dr. E. Davey King

Dr. Lewis A. Arthur

Or. Ronald F. Knight

Dr, Gary P, Tarangelo

Or. Thomas E. Koertge

Dr. Gary V. Avakian

Or. Michael J. Konter

Dr. Gerald T. Taylor

Dr. Lawrence M. Kotler

Dr. Katherine P. Aylor

Dr. Lawrence J. Kyle

Or. James Taylor

Dr. Peter J. Lanzaro

Mrs. Zita M. Barree

Dr. James R. Lance

Or. Hugh Teller

Dr. Chong W. Lee

Or, J. M. Bass

Dr. Thomas O. Layman

Or. Cephas V. Thomason III

Dr. Stanley H. Legum

Or, Scott C. Berman

Dr. Richard A. LeHew

Or. Denis P. Trupkin

Dr. Sommers D. Stancell

Dr. Donald G. Levitin

Or, Kile D. Bigelow

Dr. William P. Lea, Jr.

Or. Joseph E. Van Sickels

CLUB OF EXCELLENCE

GIFTS OF 525.000

TO 599.999

Anonymous

Dr. French H. Moore, Jr Dr. Joseph H. Morgan

Adec Inc

Dr. Gerald J. Brown

Dr. William D. Covington

Dr. Frank C. Cns t, Jr.

Dr. James A. Harrell, Sr.

Dr. Edmund E. Mullins, Jr. Dr. James F. Nelson Dr. George A. Oley III Dr. William R. Parks Dr. A. Wright Pond, Sr

CLUB OF COMMITMENT GIFTS OF 510.000 TO 524.999 Dr. Calvin L. Belkov Dr. M. Joan Gillespie Mr. Charles Krumbein Dr. Jeffrey Levin Dr. Norman J. Marks Dr. Michaela. McMunn Dr. Arthur Mourino Dr. Robert L. O'Neill

Dr. Gordon Prior Dr. James H. Revere, Jr. Dr. J. Darrell Rice Dr. Carl P. Roy Or. Michael E. Sag man Dr. Francis J. Samaha Dr. David C. Sarrett The Shenandoah Valley Dental Association

Dr. Stephen J. Verber

Or. Guy G. Levy

Or. Robert A. Bischoff

Dr. Madison Price

Dr. Darryl L. Lefeoe

Dr. George R. Vaughan

Dr. William J. Viglione

Or. Miller B. Lewis, Jr.

Dr. Stephen L. Bissell

Dr. Robert B. Steadman

Dr. John D. Lentz

Virginia Association of Orthodontists

Dr. Richard J. Lieb

Dr. Scott Blanchard

Dr. Stanley M, Levin

Virginia Society of Periodontists

Dr. Michael Link

Or. Mark E. Blanchette

Dr. Brockton A Livick

Dr. William W. Martin

Dr. John D. Bramwell

Dr. Maureen Locke

Dr. Benita A Miller

Dr. Philip H. Brandt

Or. Bobby A. Lomax

Dr. Michael E. Miller

Dr. Rudolph H. Bruni, Jr.

Dr. Raleigh H. Watson, Jr.

Winchester Dental Society

Dr, Cyril R. Mirmelstein

Dr. James Burden

Dr. Nicholas C. Lombardozzi

Dr. Jonathan D. Wong

Dr, Michael S. Morgan

Dr. Julie E. Carter

Or. James F. Londrey

Dr. S. Lee Wheeler

Or. Roger E. Wood

Dr, Perry D. Mowbray, Jr.

Dr. Dana H. Chamberlain

Dr. James E. Lupl

Dr. David L. Wheeler

Dr. CarlO. Atkins, Jr.

Dr. Richard H. Wood

Dr. James K. Muehleck

Dr. Wayne T. Coleman

Dr. Lee F. Lykins III

Dr. John R. Wheless III

Dr. Richard D. Barnes

Dr. Benjamin H. Yarborough It

Dr. Walter K. Murphy

Dr. Martha Creasy Cutright

Dr. Virgil H. Marshall

Or. David A. Whiston

Dr. Ronald L. Tankersley Dr. Richard D. Wilson CLUB OF HONOR GIFTS OF 55.000 TO 59.999 Dr. Joe M. Adair Dr. Anne C. Adams Dr. William H. Allison

Delta Dental Plan of Virginia, Inc. Virginia Academy of General Dentistry

Dr. Roger L. Visser

Dr. S. McDonald Wade, Jr.

Dr. Jules M. Wainger

Dr. Boyd O. Welton

Dr. Harold J. Neal, Jr.

Dr. Jeffrey E. Cyr

Dr. Frederick E. Martin III

Dr. Gregory L. Whitmer

Dr. Paul A. Neumann

Dr. Bruce R. DeGinder

Dr. John S. Mason

Dr. Paul M. Wiley

Or. Dennis G. Page

Or. Robert E. Oivalentin

Dr. Erika C. Mason

Dr. William C. Williams

Dr. A. Omar Abubaker

Ms. Joan Pellegrini

Dr. Hugh B. Douglas, Jr.

Dr Richard S. Wilson

Dr. Herbert H. Bonnie

Dr. John O. Akers

Dr. Patrick T. Quisenberry

Dr. Bernard I. Einhorn

Dr. Kristine MayhewEnright

Dr. Kenneth D. Bowman

Dr. A. Robert Anderson, Jr.

Or. Edward H. Radcliffe

Dr. Robert B, Ellis

Dr. John A. Burmeister

Dr. A. Scott Anderson III

Dr. James C. Burns

Dr Elizabeth M. Attreed

Dr. Gilbert L. Button

Dr Mark D. Barban

Dr. Pamela F. Regimbal

Dr. Nathan B. Evens

Dr. Jerry G Caravas

Dr Steven J. Barbieri

Dr. Donald F. Reynolds

Dr Steven E. Evens

Dr. Fred Carr

Dr Harold J. Barrett, Jr

Dr. Samuel V. Russo

Dr. James R. Farmer

Dr. Barbara A. MorganWashington

Dr. Kenneth E. Copeland

Dr. William J. Bennett

Dr. Warren E. Sachs

Dr. Frank H. Farrington

Dr. Thomas J Morris

Dr. John Cranham

Dr. Theodore A Blaney

Dr. Harvey A. Schenkein

Dr. Stephen T. Fleetwood

Dr. David A. Morris

Dr Charles L. Cuttino III

Dr Cramer L. Boswell

Dr. Ivan R. Schiff

Dr. Charles F. Fletcher

Dr. Russell N. Mosher

Dr. G. Curtis Dalley

Dr. Herbert R. Boyd III

Dr. James R Schroeder

Dr. Robert C. Flikeid

Dr. Lloyd F. Moss. Jr.

Dr John C. Doswell II

Dr. Bryan Bre samqto n

Dr. Barry S Segal

Dr. Ann-Marie Funda

Dr. Patricia A. Moss

Dr. Harry A

Dr. Byron A. Brill

01. James W

Dr. WillIam A. Gardner

Dr. T. Wayne Mostiler

Dr. Carol N. Brooks

Dr. Richard L. Sherman

Dr. Donald G. Garver

Dr. Jack A. Mr-azrk

Dr. Linda W. Baughan Or. Dewey H. Bell, Jr. Dr. William E. Bernier

CLUB OF MERIT GIFTS OF 52500 TO 54.999

Or. Marshall S. Bonnie

Dr. J

Dunlevy

Robert Eshleman

Or. Harry A. Raddin, Jr Dr. Thomas W. Ranson, Jr

Shearer

Or. Marshall C. England Dr Eugene H. Eskey, Jr.

Dr. Robert A. McDonald Dr. Thomas J. McVay Dr. Emanuel W. Michaels Dr. John F. Monacell

Dr James H Forsee. Jr.

Dr. Marshall Br-ownstetn

Dr. Harvey H. Shiflet III

Dr. Charles E. Gaskins III

Dr. George L. Nance

Mr Thomas C. Burke, Jr.

Dr. Walker W, Stuvar

Dr. Thomas R. Geary

Dr. William N. Nelson, Jr.

Dr George S Fox, Jr

Dr James H. Butler

Dr. AlOYSIUS Stenger

Dr. James D. Geren

Dr. Vernon E. O'Be rrv. Jr.

Dr. Randall Furman

Dr. Charles K. Cabaruss

Dr. Arden M

Dr. George D. Gilliam

Dr. Rand R. Ollerton

Dr. James C Gordon, Jr.

Dr. Joseph V Califano

Dr Robert A. Strauss

Dr. Robert E. Gilliam

Dr. Alan M. Padgett

Dr. Alfred R. G utn ne. J r.

Dr Orrin W Clifton

Dr. Kit Tucker Sullivan

Dr, M. David Gladstone

Dr. Albert L. Payne

Dr. Betsy A. Hagan

Dr. Timothy E. Collins

Dr. David M

Dr Harvey A. Glick

Dr. Susan G. Penruston

Dr. Raben G. Hahn

Dr. Thomas S Cooke, 111

Dr. Richard L. Taliaferro

Dr. Raben J. Goral

Dr. John H. Penny, Jr.

Dr. James A. Harrell, Jr

Dr Frederick A. Coots. Jr.

Dr. George STate, Jr.

Dr. Lawrence T Grand

Dr. Robert N. Penterson

Dr. Harold P Heafner, Jr

Dr Fred B. Cor nett

Dr. Marvin E. Thews, Jr.

Dr Lloyd A. Green

0,. Eugene A. Petrasy

Dr. Lanny C. Hinson

Dr. William R. Cornette

Dr. Peter S. Trager

Dr. Joseph M. Greene, Jr

Piedmont Dental Society

SWisher

Dr. Patrick J. Woznak Dr. Kent Yandle

Dr. A. Nelson Yarbrough

Or. Douglas C. Yauch

Dr. Alfred P. Moore

Dr FranCIS M. Foster

Sterling

Dr. Royce W. Woolfolk, Jr.

Gifts made through

September 1, 1998.

Support the Excellence

Through Research足 An Investment in Our Future Campaign which will establish an Institute for Oral and Craniofacial Molecular Biology at the School of Dentistry, Medical College of Virginia, Virginia Common足 wealth University. Call the School of Dentistry at

804.828.4695 to find out how you can help. Paid for by the Medica! College of Virginia Fcutvdeuon.

Virginia Dental Journal 39

MAKING IT EASIER TO PRACTICE DENTISTRY

IN AN UNDERSERVED AREA

VHCF Staff Writer Virginia's Healthy Communities Loan Fund is paving the way for other states that want to make it easier for people living in remote areas to seek dental care. Not only does this keep costs down, but it also re-invests health care dollars in the communities that generate them. This inno vative loan program is also proving that the public and pri vate sectors can work together effectively, As a matter of fact, " The Healthy Communities Loan Fund is much more on top of things and able to provide useful informa tion than its counterparts in four other states," said Travis Hale of the Georgia Health Policy Center, which is looking to design a similar loan fund for Georgia. The continuing imbalance between the number of dentists in rural and urban areas prompted the Virginia Dental As sociation to join forces with the Virginia Health Care Foun dation in support of the Healthy Communities Loan Fund. The most recent HCLF recipient, Dr. Richard Wayne Cottrell, became a member of the VDA while still in train ing at the Medical College of Virginia School of Dentistry. Dr. Cottrell used the VDft:s/ADft:s "State and County De mographic Reports" to select a location for his new prac tice, King George County. King George, an underserved area, welcomed Dr. Cottrell enthusiastically and with good cause. Dr. Cottrell gradu ated cum laude with highest honors in his clinical studies, being number two in his class. Together with his wife, An drea, and their two-year old son, Evan, Dr. Cottrell looks forward to putting down roots in King George. "I believe that King George is a place where I can contribute and be part of a community. I wanted to have my own practice. It's the American dream to be in business for yourself, and I wanted to participate in that dream." Resourceful dentists can use a HCLF loan to obtain work ing capital, build or renovate facilities, buy equipment, or finance a recruitment package. The HCLF also offers a wide range of personal services. This program's unique capacity to put the right people in touch with each other or to find answers to a wide range of questions can save over whelmed clinicians a great deal of time and trouble. To do this the HCLF taps into a statewide network of resources. No commercial bank provides comparable services. According to Dr. Cottrell, " The Healthy Communities Loan Fund went to bat for me so that I got a loan that met my needs without delay. They paid attention to my train ing, my prior work experiences and my potential when making their recommendations to First Virginia Bank. It also helps that they're located across the street from MCV's School of Dentistry. I was able to walk over and pick up

40 Virginia Dental Journal

my application. It's nice to know people care about you and are ready to do what they can when you're just start ing out. I wouldn't have gotten such a good loan without their help!" The Virginia Health Care Foundation administers the HCLF which is underwritten by First Virginia Banks, Inc. and the Robert Wood Johnson Foundation. There are currently ten partner organizations that include the Virginia Dental Association, the Medical Society of Virginia, and the Vir ginia Hospital and Healthcare Association. For more information, contact Lilia W. Mayer, Healthy Communities Loan Fund Coordinator at the Virginia Health Care Foundation in Richmond, Virginia.

Phone: (804) 828-7494 E-Mail: loanfund@vhcf.org Website: www.vhcf.org/loanfund.htm

1998

VIRGINIA BOARD OF

DENTISTRY

The Virginia Board of Dentistry is appointed by the Gov ernor 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 regu lations. Nora M, French, D,M.D. Monroe E, Harris, Jr, D.D.S. Michael J. Link, D.D.S. French H, Moore, Jr. D,D.s. Edmund E. Mullins. D.D.S. Gary Taylor. D.DS Richard D. Wilson. D.D.S Carolyn B. Hawkins, R.D.H. Stephanie P Olenic, R.D.H Pat K. Watkins STAFF Marcia J. Miller, Executive Director Pam Horner, Administrative Assistant Kathy Lackey, Administrative ASSistant Lychia Morris. Office Services Specialist 6606 W. Broad Street, #401 Richmond, VP-, 23230-1717 (804 )662-9906 FAX(804)662-9943

RESULTS OF THE DENTAL SCREENING AT KIDS C.A.R.E. FAIR

ELEPHANTS FORK ELEMENTARY SCHOOL

Suffolk, Virginia

August 1, 1998

Elizabeth Bernard, D.D.S., Chairman of Institutional Affairs Committee The Western Tidewater Health District Dental Staff coordinated the Dental Screening at the CAR.E. fair this year as it has for the past 3 years. A dental assistant from Dr. Anderson's Of fice, Ms. Susie Plumlee and a Dental Hygienist from Dr. March's office, Ms. Diane Crumpler generously gave of their time to help with the education activity. We also enjoyed the assis tance of Mrs.Joan Hughes, a volunteer from Suffolk and Ms. Annie Stamm, a nurse and health educator from the Portsmouth Health Department

information from the Colgate Corporation on healthy dental habits. Based on the number of toothbrushes distributed 126 people visited the dental exhibits. Dr. Elizabeth Bernhard screened children in one corner of the room. A portable chair and light loaned by Dr. Sherman of Peninsula Health District were very valuable in conducting the exams. Results of the survey are as follows:

Participants stopped by 4 displays to get information about How to Brush, Sealants, Nutrition, and the Importance of Visiting the Dentist Toothbrushes, floss and toothpaste were distrib uted along with instructions on how to brush at the Brushing display. At the nutrition station, children learned about which snacks were healthy for teeth. After answering a question about whether or not a snack was good for the teeth, they were re warded with a piece of sugar free bubble gum. When they visited the Sealant display they saw a demonstration on how sealants were placed and got information on the program in Southampton County which is sponsored by the Virginia Health Care Foundation. Each person got a pencil which reminded them that "Sealants Save Smiles". Cards of dentists in the area were distributed at the Visit the Dentist station as well as

39 children were screened. Age distribution

Race and sex 23 black 16 white 20 female 19 male

4 2 7 10 7 3 4 2

2 yrs and younger 3 yrs. Treatment Needs 4 yrs. 3 had fillings 5 yrs. 2 had sealants 6 yrs. 8 had dental treatment needs 7 yrs 14 children could have used sealants 11 yrs. 7 had orthodontic needs 12 yrs.

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HarborDen.tal

1999 VDA LEGISLATIVE OVERVIEW Charles R. Duvall, VDA Lobbyist The 1999 session of the Virginia General Assembly will convene on Wednesday, January 13, 1999. The VDA is now reviewing and finalizing its 1999 legislative package. Listed below are several items that will be included in that effort.

SPECIAL NEEDS DENTAL CARE: At request of the Virginia Society of Pediatric Dentistry, the Virginia Dental Association (VDA) had introduced during the 1998 session of the Virginia General Assembly HB 931 (Patron, Delegate James Shuler (D), Blacksburg). This measure, which would mandate general anesthesia and hospital care for special needs dental patients, has been referred to the Mandates Commission under the Bureau of Insurance at the State Corporation Commis sion. We are working actively with dentists across the state to have one-on-one sessions with members of the Mandates Commission and are preparing for a presentation before that Commission. This is an issue that is patient driven. It is an issue that dentists can take pride in putting before the General Assembly, but it is one that will require a great deal of our attention as we move into 1999. A preliminary meeting with representatives of the Virginia HMO Association has been held. The purpose of this meeting was to allow all parties the opportunity to more fUlly present their point of view. Contacts indicating support for HB 931 with the members of the Mandates Commission would be very helpful. The Legisla tive members of the Commission are as follows: Senator Stephen H. Martin (Chesterfield);Senator H. Russell Potts, Jr. (Winchester); Delegate James M. Shuler (Blacksburg) and Delegate Vivian E. Watts (Annandale). The Governor Appointed Members of the Commission include: John 1. Ashley, MD.(Charlottesville); Johanna B. Chase (Charlottesville); George W. Dawson (Lynchburg); Duval Dickinson (Fredericksburg); Rowena J. Fullinwider (Norfolk); Charles B. Garber (Richmond); Matthew D. Jenkins (Richmond); Bill McCall (Petersburg); Myrna McLaughlin (Richmond) and Kelley Osborn (Blackstone).

ASSIGNMENT OF BENEFITS: In the fall of 1997, Trigon notified its insurees and providers that it would no longer allow the assignment of benefits to non-network professional providers. Refusal on the part of the third party payer to honor assign ment of payment creates several unnecessary steps in the delivery of health care and fails to meet any public or patient needs. VDA is very carefully reviewing assignment of benefits legislation. Again, this is a patient issue. Dentists are going to bat for their patients. Though the arguments are on VDA's side, it will take major involvement from dentists across the state to move this issue forward in the 1999 session of the Virginia General Assembly. Packets of information are in the process now of being disseminated to the VDA contact network so that they can sit down and have face-to-face meetings with legislators. The results of that effort will be reviewed at our November Leadership Conference. If you would like to make additional information of would like to make a contact please call Lisa Finnerty at the VDA Central Office (800/552-3886) MEDICAID DENTAL SERVICE REIMBURSEMENTS: Though $10 million in additional money was added to the Medicaid budqet for dental services for the next biennium, continued work on this SUbject needs to take place. As part of the budqet package that was approved, a dental health coalition was put in place. That group has met on two separate occasions and has put on the table many areas that need careful consideration. VDA also has prepared a mailer, which has been dissemi nated to all licensed dentists across the Commonwealth. This mailer outlined the procedures to qualify to receive Medicaid patients and also provided information regarding the actions that have taken place as a result of the legislation approved by the 1998 session of the Virginia General Assembly. KID CARE: The Kid Care funding, which also was approved by the 1998 session of the Virginia General Assembly, sets aside over $90 million of federal and state funds to be used in the next two years to provide health care, including appropriate dental services, to uninsured children. We will be working closely with the Department of Medical Assistant Services (DMAS) to make certain that dental services are appropriately covered as the Kid Care program moves forward. DENTAL HYGIENE: As you are aware, over the last several years, two dental hygiene programs have been added in Danville and Fredericksburg at Germanna Community College. Additionally, the Community College System has set aside funds to review an appropriate program for the Shenandoah Valley, an area that was identified by the General Assembly study of 1997 as needing additional training opportunities for dental hygienists. Our conversations with the Chancellor of the Community College System have produced very positive results and we look forward to continued dialogue with the Com munity College System in an effort to make certain that appropriate dental hygiene training is provided where needed. In all probability, legislation to allow dental hygienists to legislatively expand their scope of practice will surface again in 1999. As you will recall during 1998, a bill was introduced in the state Senate to allow hygienists to administer local anesthesia. That measure was defeated in committee. It is incumbent upon all of us to make certain that legislators hear our strong voice of opposition to such a measure.

42 Virginia Dental Journal

OTHER ISSUES: Aside from these issues, in the 1999 General Assembly session legislation dealing with drug switching, nitrous oxide, certificate of public need, medical malpractice, HMO liability, review of our Health Regulatory Boards and dental advertising may also be in the mix.

Upcoming 1999 will not be a dull legislative year seats in our legislature stand for election.

particularly when you cast all of these issues against the fact that all 140

VADPAC: Our PAC is on a roll. Dentists across Virginia have particiapted as never before in VADPAC. You realize the importance of "putting their money where their mouth is" in the political process. You realize the importance of providing support for those individuals who make decision that impact upon your ability to practice your chosen profession and impact upon your patients in their desire to receive appropriate dental care. As we move into 1999, please give us your thoughts and suggestions, continue to visit with legislators and participate in VADPAC activities. Again, 1999 will be busy year!

Dr. Jerry Brown once again presents a gener ous contribution to VADPAC on behalf of the Virginia Academy of Dentistry.

Drs. Bruce DeGinder, Brcue Hutcheson, James Gyuricza, and Kirk Norbo happily contribute their support to ADPACNADPAC.

Whether it's OSHA, managed care or dental coverage for uninsured children, events in Congress affect you and your patients every day. • That's why ADPAC is so important. ADPAC works with your state PAC to elect candidates who under stand dentistry and oral health. •

when legislation happens, it happens for you, not ill you. • To learn more about ADPAC, contact your state dental society.

AmorJom 0en"1.~ A<1ioo e

Preventive care for dentistry. corunounons to ADPAC are strictly voluntary and are not deductible for federal Income tax purposes,

Virginia Dental Journal 43

BEHIND YOUR SCREEN WITH ELECTRONIC CLAIMS A look at the role of todav's claims clearinahouses ENVOY Corporation

In an increasingly computerized dental environment it can be difficult to keep up with how all the moving parts fit together. For example, have you ever considered the depth and scope of resources that lie behind your practice management system (PMS)? Of course, you're using it to perform a variety of important business office functions like patient registration, charting, scheduling and tracking accounts receivable. But when you submit a claim electronically how does it end up on the insurer's desk? There are multiple pathways your claim can take. It really depends on how your PMS vendor chooses to establish its electronic claims connections. How this is accomplished can result in some very complex "claims traffic". For instance, a PMS vendor may submit all of your claims to a clearinghouse, Re ENVOY Corporation. The clearinghouse will then perform payer specific edits and send acceptable claims to the intended payer in an required payer electronic format. The clearinghouse finances the resources necessary to ensure that the right format is used. It's important to understand that these are constantly changing in response to the payer's emerging business requirements. This equates to a great deal of expense and one of the main reasons Why the health care industry uses claims clearinghouses. But what happens when a clearinghouse doesn't have an electronic connection to a payer you'd like to send an electronic claim to? At this point, the PMS vendor has to make some serious decisions. The PMS vendor may use another clearinghouse which does maintain the payer connection needed. Or the PMS vendor may develop its own electronic connection to the necessary payer. However, this option isn't always available because the payer may not support multiple direct electronic connections. As you can begin to see the development of an electronic network which can

44 Virginia Dental Journal

process your claims can easily become cumbersome. PMS vendors want to submit claims to clearinghouses which support as many direct connections as possible. This is especially important when dealing with a larger payer because if the PMS vendor can't make this connection electronically it makes the service to the end user less valuable. For this reason clearinghouses are trying to become as comprehensiveas possible by forming numerous direct connections to payers. All this activity, however, has put a real burden on payers - especially large payers like Aetna US Healthcare, Cigna and Prudential. In an effort to contain and eventually decrease its costs to support multiple direct connections, Aetna US Healthcare decided to sell its EDI subsidiary, Health Data InterchangeCorporation. Aetna US Healthcare processes over 30 million claims electronically every year. They were constantly developing and maintaining diverse electronic connections. They decided that it was becoming much too expensive to continue doing business this way. Of the factors that lead to its decision to use one claims clearinghouse for all of its electronic connections, Aetna US Healthcare looked hard at quality, ease of use, financial strength, market presence and long term viability. They eventually selected ENVOY Corporation. ENVOY maintains more direct connections to dental insurers than any claims clearinghouse in the nation. As a result of its decision all claims electronically submitted by a dental provider to Aetna US Healthcare go through ENVOY. ENVOY has taken the responsibility of forming direct connections with the various clearinghousesand PMS vendors so that Aetna US Healthcare won't have to. And thus goes the world of electronic claims processing or "switching" as it is sometimes called in the industry. Although switching claims is related to your PMS vendor, its really a totally

separate world. PMS vendors focus on your business office requirements and keep up with the latest desktop functionality which you need to stay efficient in your dental practice. The claims clearinghouse focuses on connectivity and keeping up with formatting changes. To understand how pervasive this emerging claims network is consider that in 1993 4% of all dental claims were submitted electronically or 12 million claims. In 1997, well over 45 million claims or 13% of all dental claims were submitted electronically and that number is growing exponentially. In fact, as a result of passage of the Health Insurance Portabilityand Accountability Act of 1996 (HIPAA), the nation's 350 million annual dental claims are supposed to "go electronic" over the next 18 - 24 months. In addition to claims the emergence of DMOs is creating a whole new information market defined by 0 managed care data requirements such as encounters, eligibilities, rosters, authorizations and referrals. As a result, today's clearinghouses must focus and adapt their resources to manage such information. Each of these transactions have been included in the HIPAA legislation and so will become standard PMS menu items in the coming months and years ahead. In order to reach these objectives, claims clearinghouses must be well capitalized and able to adapt quickly to both emercmg legislation and market-based reforms which deter-mine what dental health data management needs will be in the future. In addition, the claims clearinghouse your PMS vendor deals with must have a solid understanding of the industry, know what connections need to be developed and how to efficiently develop them so that they can cope with the industry's demand for electronic commerce - all behind your screen!

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0 Virginia Dental Journal 45

UPCOMING CONTINUING EDUCATION

Month

Component

Meeting

Location

SpeakerfIopic

Nov. 13, 1998

Southwest (6)

CE Program

Donaldson-Brown Conference Center, Blacksburg

Dr. Hugh Doherty, "How to Play the Game of Business and Win!"

Nov. 13, 1998

Richmond (4)

CE Program

Sheraton Park South

Dr. Gary A. Morris, "Basics of Implan Treatments"

VDA co-sponsored

Nov. 20, 1998

NVDS(8)

CE Program

Fairview Marriott

Dr. G.L. Johnson

Dec. 4,1998

Richmond (4)

CE Program

Embassy Suites Hotel, Richmond

Dr. Ross Nash, "Esthetic Dentistry -颅 Treatment Planning With Modern Materials"

Feb. 5, 1999

Richmond (4)

CE Program

Sheraton Park South

Dr. W Charles Blair, "Improving Practice Profitability"

March 5, 1999

NVDS (8)

CE Program

Fairview Marriott

Dr. John Svirsky, Oral Pathology/Radiography

Newport News

Dr. John SVirsky

VDA co-sponsored

March 12, 1999

Peninsula (2)

CE Program VDA co-sponsored

March 12, 1999

Southwest (6)

CE Program

Van Dyke Center, Emory

Dr. Jeffrey Hutter, "Facial Space Infections of Dental Origin & Traumatic Injury Update"

March 26, 1999

Richmond (4)

CE Program

Embassy Suites Hotel, Richmond

Dr. Dan Fisher, "Everyday Adhesive Dentistry"

Apr. 3D-May 2, 1999

Piedmont (5)

CE Program

The Homestead

Dr. Daniel Becker, "Update in Pharmacology for the Dentist"

May 14-16, 1999

Southwest (6)

CE Program

Pipestem State Park, Pipestem, WV

Dr. Dave Chance

Aug. 13, 1999

Southwest (6)

CE Program

Higher Educational Center, Abingdon

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

Donaldson Brown ConferenceCenter, Blacksburg

Dr. Michael V. Dishman, "Bleaching & Cosmetic Dentistry"

VDA co-sponsored

Nov. 12, 1999

Southwest (6)

CE Program

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

46 Virginia Dental Journal

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Virginia Dental Journal 47

Kimberly S. Swanson, D.D.S., VOA Membership Task Force Membership in the American Dental Association, the Virginia Dental Association, and your local dental society represents a powerful commitment to your chosen profession. One aspect of being a professional is keeping current on the many issues af fecting dentistry. Information in virtually every area of dentistry is available to members of organized dentistry to enable them to maintain this professional commitment. Please take advantage of this important membership benefit. The Internet is a widespread, rapid, and efficient method of com munication. The ADA has an award-winning site on the World Wide Web called ADA ONLINE. Information on the web site is organized into four categories: News, Practice & Profession, Products & Services, and Consumer Information. ADA ONLINE includes an event calendar, dental society directories, and state dental society dates and locations. Legal and ethical issues as well as dentistry-related Internet questions, problems, general comments, or concerns. Although anyone with Internet access can call the Department of Professional Communications at ex tension 2801, or directly contact ADA ONLINE at http:// www.ada.org. The Virginia Dental Association also has an Internet site acces sible at http://www.vadental.org.This site contains general as sociation information, direct reimbursement information, legisla tive updates, membership benefits, and consumer information. As with The ADA website, a continuing education calendar and upcoming events schedule, as well as access to related web sites are available. The ADA Survey Center is an outstanding informational resource. Because the amount of information and data available is too ex tensive to describe completely in a short article, only a brief over view follows. The ADA collects, analyzes, and disseminates statistical infor mation through the Survey Center on trends affecting dentistry. Surveys include both ADA members and non-members, as well as constituent and component dental societies. The Survey Center maintains an updated State and County Level Demo graphic Report with population statistics and numbers of den tists and their occupational status for specific geographic areas. This information is very important for new dentists as well as established dentists seeking to open satellite offices or sell prac tices. The Survey Center has also maintained an updated Sur vey of Dental Fees since 1976. The Survey of Dental Practice, conducted annually since 1982, provides information on charac teristics of the private practice of dentistry in the United States. The Survey Center also conducts comprehensive surveys of all dental schools, accredited specialty and advanced general den tistry programs, and accredited allied dental educational institu tions. For a more detailed description of information available through the Survey Center or to access information, call the ADA at extension 2568, contact ADA ONLINE at http://www.ada.org or email the Survey Center directly at survey@ada.org. ADA members enjoy full library privileges at the largest dental library in the world. The library has a collection of over 45,000 volumes, including 1000 current journal titles. The package li

48 Virginia Dental Journal

brary service provides reference materials on any subject. This is available to ADA members only. A collection of 3500 such package libraries is available. Members can request one of these prepared packages, or an individualized custom research pack age on any dental topic of interest. Photocopies of articles and Medline searches are also available. Book loans by mail are available to ADA members only. Modest fees do apply to some services. For more information, call the Department of Library Services at extension 2653. The Journal of the American Dental Association (JADA), the most widely read dental journal in the English language, provides read ers with the latest scientific and practice information available. The ADA News is the most popular dental newspaper in the United States and contains current information and events that affect the daily practice of dentists as well as the future of the profession. The Virginia Dental Journal contains scientific and clinical updates as well as current constituent component activi ties and a current continuing education schedule. All of these publications are for members only. For questions regarding JADA or the ADA News, call the ADA Publishing Co., Inc. (ADAPCO): extension 2742. (Classified Ad vertising), extension 4671 (editorial questions), or extension 2867 (subscriptions). Address changes, or placing a SUbscription on hold for an extended period of time, can be accomplished by calling the ADA Council on Membership at extension 2614. Contact the Virginia Dental Journal editor at (804) 358-4927 or 1-800-552-3886. Membership in organized dentistry provides access to a power ful partnership of people and programs whose goal is to help its members protect their career investment. For more information on the many benefits of membership, call the ADA, the Virginia Dental Association, or your local dental society. Call the ADA operators at (312) 440-2500 or the members-only number listed on the back of your membership card. The Virginia Dental As sociation can be reached by calling (804) 358-4927 or toll-free 800-552-3886. Remember: Membership Matters!

~ c. !" rn o

e 'iii 'E

Membership Task Force: (Front row) Dr. Bruce DeGinder, Dr. Kim Swanson, Dr. Rebecca Swett, Dr. Anne Adams, Dr. Jack Dunlevy. (Back row) Dr. Russ Mosher, Dr. Jon Piche', Dr. Reed Boyd III. Members not pictured: Dr. Richard Quigg, Virginia Donne, Dr. Jim Shearer, Dr. Jim Shearer, Dr. Christo pher Huff, Dr. Richard Pollock, Dr. Gary Johnson, Susann Hamilton, Ellen Flanagan, William E. Zepp.

CHICKEN SOUP GOES DENTAL

II!

Sunnyvale, California-Win $2,000 in the new Chicken Soup for the Dental Soul story contest! In the last four years, the Chicken Soup folks have brought you such bestsellers as Chicken Soup for the Teenage Soul, Chicken Soup for the Woman's Soul, and Chicken Soup for the Mother's Soul. To date, more than 30 million Chicken Soup books have been sold worldwide. Now the Chicken Soup people are working on a new title: Chicken Soup for the Dental Soul. You can be a part of the process-here's how.

Contestants are invited to submit one or more true, dentistry-related short stories - written for an audience of dental patients - to Don Dible, Coauthor, Chicken Soup for the Dental Soul, 1250 Oakmead Parkway, Suite 210, Sunnyvale, CA 94086 or email us at dentalsoul@aol.com. Stories should be no longer than three double-spaced, typewritten pages. Suitable story subjects might deal with parenting, the Tooth Fairy, kindness, kids at the dentist's office, self-esteem, attitude, over coming obstacles, perspective, teaching and learning, special moments, and living your dream. In fact, just about any story related to the dental profession that inspires the soul, touches the heart, brings a tear to the eye, provides food for thought, or tickles the funny bone will be a welcome contest entry. The primary objectives of Chicken Soup for the Dental Soul will be to enhance the image of the dental profession; persuade people it's a good idea to have semi-annual checkups and teeth cleaning, and practice good oral hygiene including regular brushing and flossing. The Chicken Soup folks believe that publication of a great book full of true stories about people in the dental profession including dentists, dental hygienists, and dental assistants' and patients' first-hand experiences with them will achieve those objec tives. You are invited to be a part of this exciting and rewarding process. Contest-winning stories will be selected by the Chicken Soup organization. The writer of the first place story will receive a prize of $2,000; the second-place winner will receive $1,000; and the third place winner will receive $500. The writers of all other stories published in this volume of Chicken Soup for the Dental Soul will receive $300. All monies will be paid within two months of publication of the book. Receipt of all stories submitted will be acknowledged by postcard. There you have it, four great reasons for writing and submitting your stories: 1) you'll help improve the image of the dental profes sion; 2) you'll raise public awareness of the importance of good dental hygiene; 3) you'll have a chance to get paid as a writer; and 4) if your story is one of the 101 selected for publication, you'll achieve bestselling author status as your work appears in millions of books! Contest deadline is January 1, 1999.

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DR NEWS

ll:

Connie Jungmann, VDA Assistant Executive Director

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Benefits Administration receives recognition for DR marketing efforts... In February, the Alliance for Dental Reimbursement Plans (ADRP) announced the implementation of a broker DR sales contest to run through July 31, 1998. Four prize categories were established with first, second and third prizes to be awarded to the certified brokers who implemented DR plans covering the most employees. A fourth prize category was established to recognize the broker who implemented the most DR plans during the contest period. The contest winners were announced during the annual DR Days Conference held in Chicago, August 28-29. First prize (5 days, travel and expenses paid at Pride Napa Valley Vineyard) was awarded to Financial Resources Group, Jonathan Hogge, San Diego, California. Mr. Hogge, a double contest winner, also received the fourth-place prize ($1,000) for the most DR plans implemented. Second place winner ($2,500) was Financial Designs Ltd., Scott McGraw, Denver, Colorado. Third place winner ($1,000) was Benefits Administration, Inc., Jon Swan and C.P. Coyner, Midlothian, Virginia. Congratulations to Jon and Cork for a job well done!

DR Challenge issued to VDA member dentists... Educating Virginia employers about Direct Reimbursement and the promotion of DR as the 'dental plan of choice' remains a priority issue for the leadership of the Virginia Dental Association. This goal was recently enforced by both newly elected President, Dr. Charles Cuttino and Immediate Past President Dr. Wally Huff as they addressed the membership during the VDA Annual Meeting in Williamsburg. Both Drs. Cuttino and Huff expressed the importance of the dentist's involvement in the promotion of DR, and in the lead referral process. "Dentists must become proactive in their communities and become a resource to the employers understanding dental plans and exposing them to the concept of DR," Dr. Huff stated. He went on to challenge each member dentist of the VDA to provide at least one potential DR lead this year. Dr. Cuttino echoed this challenge in his President-Elect's address issued to the membership. "What we need is to have each member identify and refer one potential business to the VDA central office. If each member did that it would mean 3000 potential conversions in a year." It is now estimated that with Mobil Oil and Wachovia Bank bringing DR to their Virginia-based employees, there are around 10,000 lives covered by Direct Reimbursement in the Commonwealth. The VDA continues to work in coopera足 tion with the ADA, ADRP and Benefits Administration to actively promote DR to Virginia businesses. However, the dentist referral (lead) is still the best way to open the door to talk to employers about DR. As Dr. Huff stated, "In order to keep our DR marketing effort alive and well, I want to stress how important it is for dentist to be involved in the lead process. Today employers seldom hear from their dentists; they only hear from the insurance industry." If you are able to provide a referral or have a contact that would like more information about Direct Reimbursement, please contact Connie Jungmann or Ronya Edwards at the VDA Central Office.

Virginia attendees at DR Days: Jon Swan, Dr. John Willhide. Connie Jungmann, Dr. Les Webb. Ronya Edwards, and Cork Coyner.

50 Virginia Dental Journal

Dr. Dale Redig, CEO and Chairman of the Board, ADRP (far left) and ADRP Assoc. Director of Mar足 keting, Philip Pfeifer (far right) present the broker contest prize to Cork Coyner and Jon Swan of Ben足 efits Administration.

MOUTHGUARD EDUCATION

II]

Shari L. Ball, D.D.S., Dental Health and Public Information Committee

The Dental Health and Public Information Committee of the Virginia Dental Association has various important projects. One of our focuses is for the increase in education and use of custom fitted mouth guards when athletes participate in a variety of sporting activities. Dr. Lisa Marie Samaha is a 1982 graduate of MCV NCU School of Dentistry and is a general dentist in private practice in Newport News, VA. She is a vocal advocate of a wide range of dental health related issues, including oro-facial injury relative to sporting activity and has been a national spokesperson for the Academy of Sports Dentistry. On July 15, 1998 Dr. Samaha graciously donated time from her busy schedule to speak on behalf of the VDA at the Virginia High School League Summer Clinic for Coaches. This is an annual meeting held for high school coaches and trainers statewide. Approximately 1200 coaches attended this meeting in Hampton, Virginia. Dr. Samaha educated a crowded room of coaches and trainers on "The Growing Use of Manditory Mouthguards in Sporting Activity: How, Why, What, When and Where?" She quoted recent research promoting custom mouth guards over the typical "boil and bite" variety, supporting

it with trauma slides, which were very effective at convincing the audience. Other topics addressed included smokeless tobacco use and immediate treatment of avulsed teeth. The coaches and trainers were extremely receptive and their questions reflected a great need for the face to face education. We greatly appreciate Dr. Samaha's contribution to our committee's efforts promoting the use of athletic mouth protectors. It was a wondetiul success. For more information on the Academy for Sports Dentistry you may call 1-800-273-1788.

Dr. Lisa Samaha volunteers her time to educate Virginia High School League coaches on the importance of proper mouthguard use in sports.

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ATTENTION DENTISTS -足 LEND US YOUR SPOUSES! Nan Cook, President of AVDA The Alliance of the Virginia Dental Association (AVDA) is a group of dental spouses dedicated to serving the public and the profession of dentistry. We are involved in various dental health projects, as well as legislative and philanthropic endeavors related to dentistry and health care in general. This past year the AVDA has: , Distributed over 500 dental health care kits to members of the General Assembly and their staff members. 'Distributed posters and baseball cards featuring the home run record-breaking Mark McGwire (the son of a dentist!) and promoting the ongoing nationwide spit tobacco campaign project undertaken by our national organization, the Alliance of the American Dental Association (AADA). * Raised over $2600 through the efforts of our ever enthusiastic State Projects Chairman, Nancy Hutchison of Centreville.

From these funds we were able to make contributions to the Foundation for Dental Health Education and the MCV Mobile Dental Health Unit. , Sent three delegates to the Annual Session of the Alliance of the American Dental Association in Washington, D.C. in October of '97 and six representatives to the National Leadership Conference in Asheville, North Carolina in March of '98. * Represented Virginia on the National level with Sandy Parks of Newport News serving for the past two years as District 2 Trustee (comprising the states of Delaware, Maryland, New Jersey, Pennsylvania, Virginia and West Virginia, and the District of Columbia, Federal Dental Services, Panama Canal Zone, Puerto Rico and the Virgin Islands) and with Jocelyn Lance of Richmond as ingoing Treasurer for the AADA.

At our recent annual meeting in Williamsburg, we enjoyed a luncheon at the Boxwood Inn and a tour of historic Lee Hall Mansion on Thursday, held our Board Meeting and Luncheon on Friday, attended Dr. Lynn Mouden's course on Child Abuse Prevention on Saturday morning, and enjoyed a wonderful luncheon on Saturday afternoon featuring entertain足 ment by the musical duo of Capelli performing music of the 16th , 17th , and 18th centuries on Saturday afternoon. Despite this schedule, there was plenty of time for shopping and sightseeing, which is always a must during any visit to the Colonial Capital. We would very much like to see YOUR spouse join us in our activities and projects for the coming year. Plans are now underway for next year's annual meeting in Reston in September of 1999. Please encourage your spouse to join us by filling out the application located in this journal. Remember, we're your biggest fans - help us help you!

1998/99 Officers of AVDA

Alliance attendees prepare for lunch at Boxwood Inn and a tour of Lee Hall Mansion during the 1998 VDA Annual Meeting.

52 Virginia Dental Journal

President:

Nan Cook (Mrs. Bruce C. Cook) Richmond, VA

Vice President:

Katharine Morgan (Mrs. James K. Morgan) Roanoke, VA

Secretary:

Jennifer Hudgins (Mrs. Jeffrey L. Hudgins) Richmond, VA

Treasurer:

Shirley Meade (Mrs. Raymond Meade) Chester, VA

JI]

VDA ALLIANCE NEWS

The Alliance NEEDS YOU and so does the dental profession!!!

Why join or renew?

Some reasons cited by fellow AVDA members for maintaining membership:

* *

* * * * *

* * *

Personal growth, improved self-esteem Obtain career contacts, become more involved in the community Opportunities for education Understanding changes affecting the dental profession and being a part of the legislative process on both the state and national level Newsletters - local, state and national Social activities and developing friendships Providing services and dental health education to our community "Spousal support" - supporting your spouse through a better understanding of dentistry "I can't spare time to volunteer so I support AVDA's aims with my dues" Alliance membership is an investment in the profession and in you personally

When you are a member of the Alliance, you are a member of a tripartite organization patterned after the American Dental Association. Membership dues entitle you to membership in: Your local Alliance (where organized) The Alliance of the Virginia Dental Association The Alliance of the American Dental Association In Virginia, where a local alliance is not organized, members join the Alliance of the Virginia Dental Association (AVDA) and the Alliance of the American Dental Association (AADA) as members-at足 large and only state and national dues are collected. Not anyone can devote 100% of their time to Alliance activities, but you might be able to donate some time every few years to Alliance activities instead of other volunteer positions.

Please complete the following information and mail to: Katharine Morgan, Membership Chair, 6821 Columbine Lane, Hollins, VA 24019 Name

Spouse's name

Home a d d r e s s - - - - - - - - - - - -

_ _

Make check payable to AVDA for $33.00 (AVDA + AADA dues)

Virginia Dental Journal 53

Available in AL, AR, FL, GA, IL, IN, IA, KS, KY, MD, MI, MO, MT, NE, NH. NC, ND, OH, PA, SC, SD, TN, VT, VA, WV, WI. THE

CINCINNATI

INSURANCE COMPANIES

_-':::.J

Adv. 440-A (9/98)

Making our strength your future ...

(

ill shortly after and died two days ) fell later. He will be sorely missed by any

COMPONENT NEWS

one who has ever attended a Tidewa ter Dental Association meeting.

Component I Tidewater

Dr. Barry Einhorn, Editor

•

The change of seasons is upon us, the leaves are falling ever more rapidly and the Bermuda grass is turning brown, so we begin a new program year. Our component is proud of Bud Zimmer who was elected President elect of the VDA. He will surely do a great job. We are also pleased that Ed Weisberg was elected as Alternate delegate to the ADA and of course our own Christy Hamlin will once again return as Speaker of the House of Delegates of the VDA. At our annual meeting in August Stan Tompkins was installed as President; James Krochmal was elected Presi dent-elect; John Mosher, Vice Presi dent and Ralph Howell, Secretary. Bud Zimmer received the Simmons Award, which is awarded to a member of our component for long and meritorious service. An added feature of our an nual meeting was a contest between Bud Zimmer, Charlie Cuttino, and Ralph Howell to see who had the most pins on his vest. Manny Michaels, an impartial judge, awarded the decision to Bud; Charlie was a close second and Ralph received honorable men tion for neatness. On October 30th Joe Camp addressed an all day continuing education ses sion. Joe is an Endodontist and will talk on treatment of trauma to teeth and treatment of pulpally involved teeth. An ex- pediatric dentist, Joe is a most entertaining as well as highly informative speaker. I have heard him speak at least 5 times and I always learn something new. We are all sad to acknowledge the un timely passing of Bob Howell. Bob had been elected a fellow of the VDA at this year's meeting and was intro duced at the Fellows Luncheon. He

Bob Rubin has just announced his re tirement from practice. An orthodon tist who distinguished himself as a practitioner and a researcher in his field, Bob gave many years of out standing service to our component as our president, as editor of our news letter and as an all around idea man. Bob has been active all his life in "lib eral" causes. He is an outspoken ad vocate for the rights of minorities. I am sure many organizations are lin ing up at his doorstep now that he has so much free time. I leave you with these words of wisdom from Dr. Rachel Naorni Remen. "When we are seen by the heart we are seen for who we are. We are valued in our uniqueness by those who are able to see us in this way and we become able to know and value ourselves." Component II Peninsula

Dr. A.J. Booker, Editor I have heard it said that there are two things that one should not watch be ing made - sausage and politics. The former we shall leave to our colleagues in Smithfield. Having just returned from the annual session in Williams burg, I am pleased to report that the later is alive and healthy and not alto gether unpleasant to watch. Cordial, efficient and well managed are all ad jectives that come to mind when I think back on the weekend we spent in our colony's capital. For all of you folks who stopped by to have something to nibbble on with us at our hospitality "sweet" we would like to say thank you. It was rewarding to see both Bruce Deginder and Richard Barnes receive the support of their colleagues as they were elected to serve as alternate del egates to the ADA convention in San Francisco. To all those members who

have not seen their House of Del egates in action, I encourage you to stick around till the fat lady sings on Sunday and watch the sausage being made. Once again the PDS is going Carib bean in November to help entertain and hopefully educate our local and state legislators. This event was well received by both members and hon orable guests last year as a night of fun and useful smoozing. Everbody limbo! This is going to be a busy year for our newly installed component president Cory Butler. He and his wife Allison have added a fourth son to their brood. Albert Einstein encouraged us to try not to become a man of success but rather to become a man of value. The peninsula is fortunate to have a man of both many successes and of great value to his patients and all others lucky enough to have been touched by his rich and abundant life. Dr. Paul Orphanidys received his sixty-year certificate and a well deserved stand ing round of ovation in Williamsburg this year. Also recognized for their lon gevity and commitment were Dr.Edward T. Clark, fifty-year certifi cate, and Dr. S. John Hunt Ill, George Knox, and Madison Price, life mem bership. To all our distinguished col leagues we would like to say well done and thank you for your leadership. In the where are they now department, we'd like to welcome our newest mem bers: Dr. Sharon Covaney, Billy Falls, and Matt Dollar. Having opened with politics in mind I would be remiss if I chose not to close with same. Not the politics of Huff, Cuttino, or Whiston. But rather that witches brew boiled inside the beltway. Justice Oliver Wendell Holmes said it best- "Sin has many tools, but a lie is the handle that fits them all."

Virginia Dental Journal 55

Component III Southside

Dr. Reed Boyd, Editor The Southside Dental Society has fin ished another successful quarter of the year. Our semi-annual Business Meet ing was held in September just prior to the VDA Annual Meeting. At this meet ing, we had as our guests Dr. Dan Grabeel, Dr. Charlie Cuttino, Mr. Bill Zepp and Dr. Jim Revere. Dr. Revere introduced us to Dr. Ronald Hunt the new Dean of the Dental School. It was a pleasure to meet Dr. Hunt and wel come him to the State of Virginia and Component #3. During the meeting, we also installed our new officers for the coming year. Dr. Richard Roadcap was installed as President. Dr. Scott Gerard became our President-elect, Dr. Richard Bates our Secretary and Dr. Ronnie Wray our Treasurer. Dr. Harold Neal will continue as our Executive Councilor. We hon ored Dr. John Bass, our Immediate Past President for his good work dur ing the past year. The VDA Annual Meeting held during September in Williamsburg was an out standing success. The CE courses were very entertaining and informative. The Commercial Exhibit area was packed and overflowing. Casino Night was lots of fun and very successful, benefiting the VDA Foundation. Dr. Dave Whiston, ADA President and Dr. Greg Chadwick, 16th District Trustee were present with us. Elections were held for the VDA Officers. Congratula tions to Dr. Bud Zimmer who was elected VDA President-elect and to all the other new officers. The VDA House of Delegates voted to support the pro posed ADA Awareness Campaign. Our Delegates to the ADA's House of Delegates will be voting on this issue when they attend the Annual Meeting of the ADA in San Francisco in Octo ber. Please speak to them and let them know your feelings on this and all of the other issues that are out there.

56 Virginia Dental Journal

Several of our members were recog nized at the VDA Annual Meeting for their service to dentistry and the VDA. Dr. Jay Slagle and myself were elected as Fellows of the VDA. My father, Dr. Herbert P. Boyd, Jr. and Dr. Robert M. Comstock were presented with their Fifty Year Certificates. I had the privi lege of presenting my father his certifi cate and I would like to thank the VDA for allowing me to do this. It meant a lot to both of us. The Pierre Fauchard Academy inducted Dr. Richard Bates into its membership Congratulations to all of these individuals. At the Annual Meeting of the ADA in San Francisco, Dr. Ray Meade was in ducted as a Fellow In the American College of Dentists. At that same meet ing, Dr. Harold Neal and Dr. Robert O'Neill were inducted as Fellows of the International College of Dentists. Re cently, Dr. Robert O'Neill was elected Secretary-Treasurer of the Virginia So ciety of Oral and Maxillofacial Surgeons for 1998-99. Congratulations to these gentlemen on their honors. Finally, Dr. Randy Ragsdale and Dr. Jay Slagle have reached an important designation in their careers. Back in the spring, both of these periodontists sat for their Boards. In May, they were both notified that they had become Diplomates of the American Board of Periodontology. Both Randy and Jay described the process as grueling, but have now been rewarded with Board Certification. Congratulations to Randy and Jay on this outstanding achievement. Congratulations to Kent Yandle! Kent was runner-up in the third flight of the Country Club of Petersburg's Match Play Championship back in August. Best wishes go to Mike Hanley. Mike has moved his office from Hopewell to the River's Bend area in Chester and has opened a new office there. Mike says the move takes him closer to home, but the truth is he is moving closer to the River's Bend Golf Course. In closing I think it is important to note that we had an excellent Annual Meet ing. We would be remiss not to thank the VDA Staff for all of their hard work

and dedication to putting on a grea meeting. In fact, I would like to thanl them for all of their hard work through out the year. So thanks to all of you ir Richmond. We really do appreciateyOL and all that you do. I would like to remind everyone of the upcoming Leadership Conference to be held at Wintergreen in early November. Hope to see you there! Component IV Richmond

Dr. Jack Dunlevy, Editor Like the VDA, the Richmond Dental Society has been busy preparing forthe 1998-99 year. Dr. John Kittrell as sumed the RDS presidency at our Sep tember meeting. Dr. Gary Hartwell pro vided excellent leadership overthe past year. As a full time faculty member at the Dental School, Gary has provided valuable insight regarding the contin ued good relationship between our As sociation and MCV. We'll continue to value his input! The following individuals were inducted into leadership positions of the Rich mond Dental Society: Dr. John Kittrell, President; Dr. Charles E. Gaskins III, President-elect; Dr.Jack Dunlevy, Sec retary; Dr. Russell Mosher, Treasurer; Dr. AI Stenger, Finance Committee Chair; Dr. Barry I. Griffin, Dr. Marcel Lambrechts, Jr., and Dr. Stephen J. Todd, Board of Directors. Congratulations are extended to Dr. Charlie Cuttino, President-elect of the VDA. Charlie will provide able leader ship during his tenure, as he has in a myriad of ways within our component. Two RDS members have been ap pointed to State Boards by Governor Gilmore. Dr. Richard Wilson will be a member of the State Board of Dentistry. Dr. James Schroeder has been ap pointed to the Board of Health. The RDS expresses it's gratitude and sup port to these members. Jocelyn Lance is the recipient of the 1997-98 Thelma J. Neff Distinguished Service Awar

This award is presented by the Auxil iary of the ADA at the ADA National Meeting. Congratulations, Jocelyn! Our October membership meeting included a session with Dr. J. Ross McClung, Professorof Anatomy at MCV. Dr. McClung spoke on "Revisiting the SensoryNervesof the Face."November's membershipmeetingwillfeature Dr. Mike Miller. Mike's talk is entitled "Changing Faces of Orthognathic Surgery." The following speakers are scheduled to address our Component: On December 4, Dr. Ross Nash will present a day long program entitled "Esthetic Dentistry Treatment Planning with Modem Materials." On January 21, Mr. John Fitzpatrick, an attorney, will speak on "Pitfalls of Documentation and Malpractice - is each Patienta Potential Lawsuit." On February 5, Dr. Charles W. Blair will present a day long course entitled "Improving Practice Profitability." Our March 18 meeting will feature Dr. James Soderquist, discussing "Orthodontics to Enhanceyour EstheticDentistry." Another day long course is scheduled for March 20, when Dr. Dan Fisher, President of Ultradent Products, will be speaking on "Everyday Adhesive Dentistry." Drs. James Schroeder and AI Stenger conclude our meetings with a discussion of "Successful Associateships."

A somewhat uneventful quarter otherwise, however, there seems to be a growing number of CEU opportunities on the local level. As you know, some will br Mark McGwires, and others, watch one, do one, teach one speakers. Let me know how you vote so we can be more selective in how we spend our future downtime. Practice transitions-- Dr. Norm Prillaman has joined Dr. Richard Zechini in Lynchburg in the practice of Orthodontics. Dr. Pamela Baker has joind Dr. Artur "Skip" Silvers in the practice of General Dentistry. Dr. Bakers graduated from MCV this past spring. Welcome back to work Dr. Demby Lewis. Your dedication to dentistry and excellence continues to be an example for your colleagues. A final take home message from Dr. Frank Crist, Jr.-- Spring 1999 meeting at The Homestead, April 3D-May 2. Speaker TBA. Component VI Southwest

Dr. Robert G. Schuster, Editor

Component V Piedmont

Dr. Barry Cutright, Editor To paraphrase Victor Hugo, nothing is more powerful than, "an Idea whose time has come." Anne Hutcherson, RDH, MS has been instrumental in transforming the idea of a VWCC-DCC Joint Venture Dental Hygiene Program from virtual reality into a hands on event. And, having contributed $7, 625 in volunteer time to the program just this past Spring, area dentists remain committed tot he long term success of this program. Will keep you posted as recruting effort for 1999 begin.

The final component meeting of 1998 will be held at the Donaldson-Brown Conference Center, on the Virginia Tech campus in Blacksburg, VA, on Friday, November 13. The featured speaker will be Dr. Hugh Doherty. His topic will be "How to Play the Great Game of Business and Win." Virginia Tech has been making headlines lately as the Hokies football team has posted a 4-0 record, and a top twenty national ranking. Personally, I am a Penn State graduate and have different alle giances, but I know Dr. Wallace L. Huff will appreciate the added recognition for his beloved Hokies.

in order for the following component members who serve on the State and/ or National level: Dr. Ronnie L. Brown,

VDA Executive Council Dr. Wallace L. Huff, Immediate Past President of the VDA and ADA Delegate Dr. French B. Moore Jr., Virginia Board of Dentistry Dr. Gus C. Vlahos, VDA Executive Council

During the annual meeting of the Virginia Dental Association in Williamsburg, VA, Dr. Wallace L. Huff was honored for his service as President of the VDA. Dr. French B. Moore, Jr. received the distinguished Presidential Award. Dr. Peter McDonald was honored as a Fellow of the VDA. Dr. Jack Cole received Life Membership status. We are especially proud of all of your achievements, and the examples of leadership and service which you provide. The first component meeting of 1999 will be hold at the van Dyke Center, in Emory, VA, on March 12. The featured speaker will be Dr. Jeffrey Butter. He will speak about "Facial Space Infec tions of Dental Origin and Traumatic Injury Update." A very special thank you to Dr. Will iam B. Thompson for all your hard work and accomplishments as Presi dent for Component VI this past year, and to Tracy D. Thompson, who served as executive secretary and main support person to Bill. To all members, I hope you enjoy the beauty of the fall season and look for ward to seeing you in Blacksburg.

A simple definition of a leader could be an individual who has a compass in their mind and a magnet in their heart. They always have direction and others are drawn to their standards. Congratulations and appreciation are

Virginia Dental Journal 57

Component VII

Shenandoah valleY,1

VAG NOTES (~_ _~J

further strengthened my belief that we need EVERYONE'S involvement in organized dentistry. This is the only way in which those representing the members in voting on key issues can accurately pass on the opinions of their component.

Dr. Robert Miller, Past President The VAO had their fall board meeting during the VDA meeting in Williams burg. Dr. Alan Bagden presided and plans are well underway for the next meeting this summer in Williamsburg (June 25th-29 th at the Kings Mill Re sort). Next summer's featured speaker will be Dr. Wick Alexander from Arlington, Texas. Members are encouraged to block off those dates now for what is shaping up to be the best meeting to date! Plans are still developing for the winter seminar at Big Sky Montana. This meeting is open to all dentists and their families and the topics will appeal to all par ticipants. The dates are January 23rd through the 30th, 1999. The bro chures will be mailed soon but mark your calendar now! If you are inter ested in receiving VAO Winter Semi nar information call Lisa Finnerty at the VDA Central Office.

Dr. Bob Hall, Jr., Editor Greetings from Component VII. Our last component meeting was held in Charlottesville in June. Dr. Hal Crossley gave an excellent and infor mative presentation on Clinical Phar macology. Dr. Crossley is highly rec ommended to any other components looking for a speaker. The next com ponent meeting will be held in Win chester on March 19th. Special thanks go out to our outgoing component president Jerry Brown and the other outgoing state officers for their hard work and dedication this past year. We would also like to congratulate Bill Vigilione on being elected counselor at large at the VDA meeting. Component VIII Northern Virginia

Dr. Melanie Love, Editor I know Component 8 is looking forward to a cool Fall after a long, hot Summer. Williamsburg was a wonderful place to end the hot months and much was accomplished at the Virginia Dental Association Annual Meeting. As a Delegate and a member of a Reference Committee, it was a great opportunity to be a part of the decision making process. The Public Awareness Campaign was approved through the House of Delegates after much discussion at the Reference Committee meeting. While the majority of the comments were in favor of passing the Campaign, several insightful points were made and gave the members of the Committee a clear outlook on the general consensus of the Virgin.ia membership. Having the opportunity to sit on this Reference Committee and seeing how many of our members state-wide participated in the meeting

58 Virginia Dental Journal

September has been a busy month for Component 8 thus far with the induc tion of the following new members: Dr. Gregory Bath Dr. Michael Mcintire Dr. Daniel E. Cassidy Dr. Donald Larson Dr. Christine A. Golis Dr. David Q. Le Dr. Tanya M. Hussein Dr. Robert A. Morabito Dr. Giovanni luculano Dr. Bruce Nouri Dr. Adam Schwartz We welcome all of our new members! Finally, Dr. Frank Samaha was pre sented with Northern Virginia Dental Society's Lifetime Achievement Award. Dr. Samaha's family participated in the presentation of this very prestigious honor. He is the only the third recipi ent of this award in the history of its existence and we give him our warm est congratulations for this honor!

The VAO board would like to thank Dr. Bill Horbaly and Dr. Tom Spillers for volunteering their time to the DSS Medicaid review committee. As many of you know Medicaid reimbursement for Orthodontic treatment has increased, however we still have too few Medicaid providers. All members are encouraged to participate. If you have, questions regarding Medicaid feel free to call either Dr. Bill Horbaly or Dr. Tom Spillers.

ii"ffi Feel free to call a board member if you C

have questions or concerns regarding to be discussed or future meeting ideas.

8 topics

1998-1999 Component Presidents: (Front row) Corydon Butler, Jr. (2), Mark Crabtree (5), Robert Schuster (6), Richard Roadcap (3), (Back Row) James Gyuricza (8), Stanley Tompkins (1), John Kittrell (4), Robert Hall, Jr. (7).

VAO Board Members discuss the upcoming meetings and events.

VAO Winter Seminar at

Big Sky Montana

January 23 -30, 1999

•

t" , .,.. ~~1

www.bigskyresort.com

Call Lisa Finnerty for details.

he truly has become one of the gifted "subspecialists" in our profession. Other notable guest speakers included our District 3 Trustee, Dr. Larry Nissen who brought us up to speed on pertinent issues facing our specialty and on the Board's outlook for the future, and Dr. Steve Holmes who informed us on how AAOMS National Insurance continues to grow, fight for its insureds and consequently keep our malpractice premiums reasonable. Everyone seemed to enjoy the Saturday night seafood buffet as well as the excursion to the Marine Science Museum for the walking tour, IMAX presentation "SHARKS', and the dessert reception that followed. Sunday morning brought the conclusion of our business agenda along with the election of officers for the coming year. Dr. Paul Hartmann was named President-elect, Dr. Robert O'Neill selected as Secretary Treasurer, and Drs. Steve Paulette and Kimberley Swanson added to our list of Councilors-at-Iarge. Congratulations! I also thank the various exhibitors who helped sponsor our meeting and help to educate us on what's new with materials and instrumentation - much applause for this wonderful addition to our meetings. A very special and much deserved THANK YOU goes out to Mr. Bill Zepp, our executive director, along with his wife Pat who labored diligently to pull off a well-run and pleasant annual meeting once again!

VSOMS NOTES ('----)

Dr. Michael E. Miller, President Summer is over, fall is here, and with the termination of daylight savings time in the upcoming weeks, we find ourselves slipping into our Dracula like existences, our sunny days continually truncated until the end of December when the process reverses itself, baiting us with a measly parcel of additional brightness each sunrise and sunset. Personally, I love the autumn and winter in Virginia and as long as the temperature stays above 40 degrees Fahrenheit one can still manage to swing a golf club without the use of supplemental oxygen. This year's VSOMS annual meeting took place at the Sheraton Hotel and Dr. Pat Dolan presided over the agenda with great aplomb. We thank Pat far a year of hard work and a job well done. Our guest speaker Dr. Larry Steinberg braved the Florida wildfires, and not without trepidation, returned to one of his many training grounds to endure the banter of a number of historical "co-residents" while educating the group on various aspects of pediatric maxillofacial surgery. Dr. Steinberg's relevant, interesting and up-to-date presentations left us to realize that

Virginia continues to propel VSOMS members into positions of leadership in organized dentistry! At the recent VDA Annual meeting, our own Dr. Charles L. Cuttino was elected VDA President. He was "sworn in" by none other than Northern Virginia's Dr. David Whiston, ADA President. Conqratulations Charlie on your rise to this position and for your diligent efforts to promote the liaison between the AAOMSNSOMS and the ADA! VDA.

After a modicum of legal arm twisting, it appears that Trigon of Virginia's HMO Healthkeepers of Virginia policy will now be covering orthognathic surgery. Specific criteria regarding the decision-making process have not been elucidated and our society continues to investigate any possible methods of insuring fair reimbursement rates (certainly without luck as of yet). The Board of Dentistry has informally relayed to us that our request for an update of the definition of dentistry and OIVlFS may require a change in our state's dental practice act - this will be investigated in the near future and we plan to work on this issue in conjunction with the VDA. The VSOMS will be organizing and sponsoring a seminar on implant dentistry to be presented to students of MCV School of Dentistry sometime this winter, the exact date to be forthcoming. Also, we are both privileged and excited to be holding our 1999 annual meeting in conjunction with the VDA Annual meeting in September of next year. Many thanks to Dr. Bruce Hutchison and the Annual Meeting Committee for their "open-arms" support. We hope to work together to make the 1999 meeting the most successful yet! On a note of concern, please keep Dr. Jim Priest in your thoughts and prayers. This good friend and past president of the VSOMS was diagnosed with Guillain-Barre syndrome this summer and we wish him a full and complete recovery.

Virginia Dental Journal 59

( PUBLIC HEALTH NOTES) Dr. Karen C. Day, Director Division of Dental Health The 21st Annual Dental Public Health Continuing Education Meeting was held in Roanoke, Virginia this past July 22-24. Dr. Wallace Huff, President, Virginia Dental Association gave enthu siastic opening remarks to the 105 pub lic health dentists, dental assistants and dental hygienists attending the conference. During the meeting speakers presented updates on den tal public health issues and clinical top ics such as fluoride varnishes, endo dontics and stainless steel crowns. A highlight of the annual meeting is the presentation of the Joseph M. Doherty Public Health Dentistry Award. This award honors Dr. Joseph Doherty, former director of the Division of Den tal Health. Recipients of this award have exhibited outstanding community seNice in public health dentistry, given leadership in professional organiza tions and been involved with achieve ments beyond routine dental service in the health district. This year the Jo seph M. Doherty award was presented to Sandra Scripture, a dental assistant with Three Rivers Health District in Warsaw, Virginia. Mrs. Scripture is the first dental auxiliary to receive this honor and the statewide dental staff was pleased to recognize her commit ment to public health dentistry.

Public Health Dentistry Award - Dr. Joseph Doherty presents the Public Health Dentistry Award to Mrs. Sandra Scripture, dental assis tant with the Three Rivers Health District.

60 Virginia Dental Journal

SCHOOL OF DENTISTRY

NOTES

Tom Burke, Assistant Dean Waldrop co-winner

Robinson Award in Periodontics

Dr. Thomas Waldrop, Associate Professor and Director of the Post Doctoral Periodontics Program, in the Department of Periodontics, was recently recognized by the American Academy of Periodontology Foundation as a co-winner of the R. Earl Robinson Periodontal Regeneration Award. This award is presented annually by the AAP Foundation for a peer-reviewed published paper(s) that has contributed most to the knowledge of periodontal regeneration within a given calendar year. Dr. Waldrop was a co-author on two research papers dealing in periodontalregeneration. The first paper was entitled "Effects of Guided Bone Regeneration Around Commercially Pure Titanium and Hydroxyapatite Coated Implants.I.Radiographic Analysis." The second paper was entitled "Effects of Guided Bone Regeneration Around Commercially Pure Titanium and Hydroxyapatite Coated Implants. II. Histologic Analysis.

Both papers were published in the Jour nal of Periodontology. The articles were a result of a masters thesis project de veloped and mentored by Dr. Waldrop. The other co-winners are Dr. William Stentz, Dr. Brian Mealey, Dr. Pirkka Nummikoski and Dr. John Gunsolley, formerly a faculty member at VCU, who is now at the University of Maryland. School of Dentistry

New Faculty Members

Dept. of Oral and Maxillofacial Surgery: Dr. James Wilbanks, Clinical Assistant Professor, Department of Oral and Max illofacial Surgery. Dr. Wilbanks is a graduate of Meharry Medical College School of Dentistry and served in the United States Army for twenty-two years. He retired from the military with the rank of Colonel in 1975. Since that time he has maintained an active Oral and Maxillofacial Surgery practice in Richmond. He joined the School of Dentistry faculty in the fall of 1998.

Department of Pediatric Dentistry:

Dr. Martin Walton, III, Clinical Assistant

Professor, Department of Pediatric Den

tistry. Dr. Walton is a graduate of

Meharry Medical College School of

Dentistry. He attended the University

of Maryland, Baltimore College of Den

tal Surgery for his speciality training.

Upon graduation from Maryland, he

served in the United States Navy. Dur

ing his military career Dr. Walton was

an instructor of pediatric dentistry for

residents at the Navy Dental Corps

Comprehensive Dentistry, Advanced

Education in General Dentistry, and

General Practice Residency Programs.

Dr.Walton joined the School of Dentistry

faculty in September.

Department of General Practice:

Dr. Richard Sterne, Assistant Professor,

Department of General Practice. Dr.

Sterne is a VCU graduate completing

his Doctor of Dental Surgery degree in

1996. Prior to joining the School of

Dentistry faculty he practiced in

Lynchburg, VA.

Dr. Russell Bogacki, Clinical Assistant

Professor, Department of General Prac

tice. Dr. Bogacki is a VCU graduate and

received his Doctor of Dental Surgery

degree in 1997. Dr. Bogacki joined the

School of Dentistryfacultythis academic

year.

Dr. Jennifer Rose, Clinical Assistant

Professor, Department of General Prac

tice. Dr. Rose received her Doctor of

Dental Surgery degree in 1997 from

VCU. She then attended the Advanced

Education in General Dentistry Program

and received her AEGD Certificate in

1998. Dr. Rose joined the School of

Dentistry tacutty during the past aca

demic year.

Department of Orthodontics:

Dr. Denis Britto, Clinical Assistant Pro

fessor, Department of Orthodontics.

Denis received his Doctor of Dental

Surgery degree from VCU in 1996. He

then attended Indiana University where

he did his specialty training in Orthodon

tics with a minor in Oral Pathology.

Upon completion of this program Denis

earned a Master of Science in Dentistry.

He joined the faculty at the beginning of

the academic year.

continues to receive support from alumni Dept. of Oral and Crainofacial Molecu

and friends of the School to establish lar Biology:

Dr. Todd Kitten, Research Assistant Pro an Institute for Oral and Craniofacial Molecular Biology. "I am pleased and fessor, Department of Oral and Cranio

facial Molecular Biology. Dr. Kitten is a grateful for the support, said Dr. Jeffrey graduate of the University of Dallas in Levin, Chairman. Although, we have Irving, Tx. He received his PhD. de achieved our $4 Million goal we still need gree in Microbiology from the University to raise funds to fulfill two major com of Texas Health Science Center at San mitments within the Campaign. The first Antonio. Upon receiving his PhD. Dr. is the Willie Crockett Scholarship Fund Kitten continued his education in a Post that has a goal of $220,000. To date we Doctoral Fellowship at the University of have received gifts and pledges of Wisconsin in Madison, prior to joining $145,000 towards this scholarship fund. The second major campaign commit the VCU faculty.

ment we need to meet is the $1 Million Admissions, Student Affairs & Financial endowment goal for the Institute. We need to locate a donor(s) who would Affairs:

Ms. Helen Dugger, Financial Aide Co consider establishing a named profes ordinator. Helen is a VCU graduate and sorship. This professorship is extremely will complete a Masters Degree in Edu important for the future well-being of the cation/Administration and Supervision in Institute," concluded Dr. Levin. May of 1999. Helen has been associ

ated with the University since 1986 work The Institute is planned to be con ing with financial aid. She joined the structed on the fourth floor of the Wood dental school faculty this fall.

Memorial Building. The plans call for construction of the new research facility to begin this spring with operations Dental School Campaign Continues The Excellence Through Research - An scheduled to begin summer of 1999. Dr. Investment In Our Future Campaign Frank Macrina will serve as its Director

and Department Chairman. Dr. Macrina is internationally known for his work on infectious diseases and bacterial resis tance to antibiotics. The Institute has recently hired its first researcher, Dr. Todd Kitten. Dr. Kitten has focused his re search expertise in developing a vaccine to combat infectious Endocarditis. This disease can be attributed to oral bacte ria that enters the blood stream during dental procedures and colonize around the valves of the heart. In certain cases a piece of the tissue may dislodge from the heart valves and move to the brain where it may cause a stroke. Dr. Kitten's research is designed to develop a vac cine that would continually protect the heart valves from Endocarditis.

Dr. Wally Huff, VDA President, welcomes Dr. Ronald Hunt, MCVIVCU School of Dentistry Dean, to the VDA.

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Virginia Dental Journal 61

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COMPLETELY EQUIPPED DENTAL PRACTICE

FACILITY FOR SALE

Great opportunity in Warrenton, Virginia for new practitioner or specialist. Completely furnished and equipped, three operatory dental office. We have outgrown this space and our new building is nearing completion. This present space and equipment will be available around December of this year. Nice buildout. If this space is not taken by a dentist, the dental leasehold improvements will be sacrificed for a non-dental use. Leased space. 100% financing available, with no payments for one full year. All you have to pay the first year is rent and utilities. Call 540-349-0033 for details.

Classified Advertising

Classified advertising rates are $30 for up to 30 words. Additional words .25 each. All advertisements mustbe prepaid and cannotbe accepted by phone or fax. Checks should be payable to the Virginia Dental Association. The closing dates for all copy will be the 15th of December. March, June, and September. Example: December 15, at 5pm is the closingdatefor the Janu ary-February-March Journal issue. After the deadline closes, the Journal can accept no ads nor can it alter or cancel previously ordered ads. This deadline is firm. As a membership service, ads are restricted to VDA and ADA members and are restricted to non-commercial copy. Advertising copy must be typewritten and sent to: Journal Classified Department, Virginia Dental Association, P.O. Box 6906, Richmond, VA 23230-0906.

ASSOCIATE POSITION AVAILABLE- opportunity to the right person looking to start working in a multi-professional(3) environment with large space to establish your own clien tele. Referral sources from onsite hygiene program as well as the dentists offer an easy start to income from collection and production. This is a large practice looking for some one who wishes to be involved in a fast paced and chal lenging career, with the eventual purpose of partnership. No financial outlay necessary. Drs. Goldstein, Cooper, and Couch 6263 Portsmouth Blvd. Portsmouth, VA 23701 PH 757-488-1285 FAX 757-465-9132

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

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~ame it. we finance it. Stall-Ups. Expansions. Practice equipment. computers andother office equipment Working capital. Leasehold improvements. Supplv contracts. Practice acquisitions anQ_Duv-ins. with additional financing of equipment, working capital, etc. for the acquired practice

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UNITED STJJ.TES

I!iiiir POSTJJ.L SERVICE

Statement of Ownership, Management, and Circulation TM

(Required by 39 USC 3685)

1. Publication Title

2. Publication Number

VIRGINIA DENTAL JOURNAL

01014191-16141712

4. Issue Frequency

Quarterly

3. Filing Date

5. Number of Issues Published Annually

January-March; April-June; Julv-Sentember路 October-December

September 25, 1998 6. Annual Subscription Price

12.00

7. Complete Mailing Address of Known Office of Publication (Not printer) (Street, city, county, state, and ZIP+4)

Contact Person

William E. Zepp

5006 Monument Avenue, PO Box 6906, Richmond, VA 23230-0906

Telephone

(804) 358-4927

8. Complete Mailing Address of Headquarters or General Business Office of Publisher (Not pnnter)

Virginia Dental Association, PO Box 6906, Richmond, VA

23230-0906

9. Full Names and Complete Mailing Addresses of Publisher, Editor, and Managing Editor (Do not leave blank) Publisher (Name and complete mailing address)

Virginia Dental Association, PO Box 6906, Richmond, VA

23230-0906

Editor (Name and complete mailing address)

Dr. Leslie S. Webb, Jr., PO Box 6906, Richmond, VA

23230-0906

Managing Editor (Name and complete mailing address)

Mr. William E. Zepp, CAE, PO Box 6906, Richmond, VA 23230-0906 10. Owner (Do not leave blank. If the publication is owned by a corporation, give the name and address of the corporation immediately followed by the names and addresses of all stockholders owning or holding 1 percent or more of the total amount of stock. If not owned by a corporation, give the names and addresses of the individual owners. If owned by a partnership or other unincorporated firm, give its name and address as well as those of each individual owner. If the publication is published by a nonprofit organization, give its name and address.) Full Name Vir~inia

Complete Mailing Address

Dental Association

5006 Monument Avenue PO Box 6906 Richmond VA 23230-0906

11. Known Bondholders, Mortgagees, and Other Security Holders Owning or Holding 1 Percent or More of Total Amount of Bonds, Mortgages, or Other Securities. If none, check box Full Name

~ Kl None Complete Mailing Address

12. Tax Status (For completion by nonprofit organizations authonzed to mail at special rates) (Check one) The purpose, function. and nonprofit status of this organization and the exempt status for federal income tax purposes: ~ Has Not Changed During Preceding 12 Months

Has Changed During Preceding 12 Months (Publisher must submit explanation of change with this statement)

PS Form

3526,

September 1995

(See Instructions on Reverse)

Virginia Dental Journal 63

13. Publication Title

14. Issue Date for Circulation Data Below

Virginia Dental Journal 15.

July-September, 1998 Average No. Copies Each Issue During Preceding 12 Months

Extent and Nature of Circulation

a. Total Number of Copies (Net press run)

b. Paid and/or Requested

Circulation

(1) Sales Through Dealers and Carriers, Street Vendors, and Counter Sales (Not mailed) (2) Paid or Requested Mail Subscriptions (Include

advertiser's proof copies and exchange copies)

c. Total Paid and/or Requested Circulation

(Sum of 15b(t) and 15b(2))

d. Free Distribution by Mail

(Samples. complimentary. and other free) e. Free Distribution Outside the Mail (Carriers or other means)

Actual No. Copies of Single Issu e Published Nearest to Filing Date

3500

NONE

2654

524

184

221

f. Total Free Distribution (Sum of 15d and 15e)

708

754

g. Total Distribution (Sum of 15cand 15t)

3362

3305

(1) Office Use, Leftovers, Spoiled

138

(2) Returns from News Agents

NONE

3500

79%

80%

h. Copies not

Distributed

i. Total (Sum of 15g, 15h(1), and 15h(2)) Percent Paid and/or Requested Circulation

(15c 115g x 100) 16. PublicatIon of Statement of Ownership !XI Publication required. Will be printed in the Oct IDee, 1998 Publication not required. 17. Signature and Title of Editor. Publisher, Business Manager, or Owner

issue of this publication. Date

Business Manager

9/25/98

I certify that all information fu . ed on this form is true and complete. I understand that anyone who furnishes false or misleading information on this form or who omits material or information requested on the form may be subject to criminal sanctions (including fines and imprisonment) and/or civil sanctions (including multiple damages and civil penalties).

Instructions to Publishers 1. Complete and file one copy of this form with your postmaster annually on or before October 1. Keep a copy of the completed form for your records. 2. In cases where the stockholder or security holder is a trustee, include in items 10 and 11 the name of the person or corporation for whom the trustee is acting. Also include the names and addresses of individuals who are stockholders who own or hold 1 percent or more of the total amount of bonds, mortgages, or other securities of the publishinq corporation. In item 11, if none, check the box. Use blank sheets if more space is required.

3. Be sure to furnish all circulation information called for in item 15. Free circulation must be shown in items 1Sd, e, and f. 4. If the publication had second-class authorization as a general or requester publication, this Statement of Ownership, Management, and Circulation must be published; it must be printed in any issue in October or, if the publication is not published during October, the first issue printed after October.

5. In item 16, indicate the date of the issue in which this Statement of Ownership will be published. 6. Item 17 must be signed. Failure to file or publish

a statement of ownership may lead to suspension of second-class authorization.

PS Form 3526, September 1995 (Reverse)

64 Virginia Dental Journal

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Virginia Dental Laboratories come only as the result of years of experience, painstaking effort and a deep commitment to integrity. Commitment. Virginia Dental Laboratories is • dedicated to providing you and your patients 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 dedicatior specially qualify us to satisfy the needs of you and your patients.

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Since 1932

irginia Dental Laboratories, Inc.

Austenal, Inc. by Pfizer Inc.