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---..!%r---- . SUTERHAYCRAFT&SIMMONS

INsuRANCE

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THE

PROfESSIONAL

Virginia Dental Association's Insurance Broker 113 Park Avenue • Falls Church, Virginia

CAU 703-241-0011 or 800-572-2366 (in Virginia)

OR FAX 703-237-3562 or 703-538-1571

The One Hundred Twenty Seventh Annual Meeting

of the Virginia Dental Association

wi II convene

at the Colonial Williamsburg Lodge Convention Center

from September 18 through September 22, 1996.

An excellent scientific session has been scheduled, including

presentations by Drs. Karl Leinfelder, Sam Low,

Richard Roblee, Pat Allen, and John Svirsky.

1996 ADA President Dr. Bill TenPas and his wife Kathy will

join us on their way to the ADA Annual Meeting in Orlando.

The meeting will mark the final campaign stop for the next

ADA President Elect Dr. Dave Whiston and his wife Julie.

In addition to the outstanding clinical presentations, meeting

goers may enjoy numerous recreational and social activities,

including a golf clinic exhibition with Curtis Strange, a golf

tournament at Williamsburg's Golden Horseshoe, Tavern

Dinners, tours of Colonial Williamsburg and Carter's Grove,

or a trip to nearby Busch Gardens.

Plan now to attend the 1996 VDA Annual Meeting in Williamsburg!

OFFICERS

President: Ronald L. Tankersley, Newport News President Elect: William H. Allison, Warrenton Immediate PastPresident: Leslie S. Webb, Jr., Richmond Secretary- Treasurer: Charles L. Cuttino, III, Richmond

COUNCILORS 1) Edward J. Weisberg, Norfolk 2) Richard D. Barnes, Hampton 3) Harold J. Neal, Jr., Emporia 4) James R. Lance, Richmond 5) Daniel E. Grabeel, Lynchburg, Chairman 6) Gus C. Vlahos, Dublin 7) William J. Viglione, Charlottesville 8) Rodney J. Klima, Burke

EXECUTIVE COUNCIL

Officers and Councilors listed and Councilors at Large:

David C. Anderson, Alexandria (1997) Vice Chairman

Andrew J. Zimmer, Norfolk (1997)

Wallace L. Huff, Blacksburg (1996)

Thomas S. Cooke, II, Sandston (1996)

Ex Officio Members:

Parliamentarian: Emory R. Thomas, Richmond

Editor: Franci~ F. Carr, Jr. Richmond

Speaker of the House: D. Christopher Hamlin, Norfolk

Dean, MCV School ofDentistry: Lindsay M. Hunt, Jr., Richmond

SOCIETY

Tidewater, I

Peninsula. II

Southside. III

Richmond. IV

Piedmont. V

Southwest. VI

Shenandoah Valley. VII

PRESIDENT

SECRETARY

PATIENT RELATIONS

David P. Paul. III

James E. Krochmal

W. Walter Cox

4616 Thoroughgood Drive

801 W. Little Creek Rd. Ste 107

5717 Church land Blvd.

Virginia Beach. VA 23455

Norfolk, VA 23505

Portsmouth VA 23703

Gisela K. Fashing

Corydon B. Butler. Jr.

Lawrence A. Warren

150 Strawberry Plains Rd.

1319 Jamestown Road

106 Yorktown Road

Williamsburg, VA 23188

Williamsburg. VA 23185

Tabo . VA 23602

Michael R. Hanley

John M. Bass 212 N. Mecklenburg Avenue

John R. Ragsdale. III

2001 W. Broadway Hopewell. VA 23860

South Hill, VA 23970

Petersburg. VA 23228

Edmund E. Mullins. Jr.

Gary R. Hartwell

William James Redwine

6808 Stoneman Road

4107 W Franklin Street

6808 Stoneman Road

Richmond, VA 23228

Richmond. VA 23226

Richmond. VA 23228

Richard D. Huffman. Jr.

Gregory T Gendron

Edward M O'Keefe

4346 Starkey Rd., Ste 3

7 Cleveland Avenue

4102 Electric Ruad

Roanoke. VA 24014

Martinsville. VA 24112

Roanoke. VA 24014

Gus C Vlahos

Dana Chamberlain

Jack D Cole

PO Box 1379

645 Park Blvd.

303 COUlt Street

Dublin. VA 24084

Marion. VA 24354

Abingdon VA. 24210

Edward L. Amos 1002 Amherst Street

Gerald J. Brown

'Nilliam J. Viglione

324 Boscawen Street

Winchester VA 22601

Winchester. VA 22601

3025 Berkmar Drive Charlottesville V.b.22901

M. Alan Bagden

James A. Pel l

Neil J Small

6120 Brandon Ave

Seven Corners Professional Bldg

9940 M air Street

Falls Church. VA 22044

F a.rta Âť VA. 22031

Ste 104

Springfield. VA 22150

Page 2

9 Holly Hill Drive

Vi rgi!!liJ~rna,

William E. Zepp, CAE, Business Manager

Francis F. Carr, Jr., Editor

1. Bernard I. Einhorn 2. Jeffrey N. Kenney

0/0 Iume

5 7 8 12 13 20 26 27 37 38 42 45 46 48

3. H. Reed Boyd, III 4. Gary R. Hartwell

ASSOCIATE EDITORS 5. Edward P. Snyder 7. William C. Bigelow Thomas Burke MCV 6. R. Graham Hoskins 8 Bruce W. Jay

Jufy - YLugust - September 1996

9'{um6er 3

Editorial

Message from the President

C.elebrating 75 Years of Dental Public Health in Virginia

by Karen C. Day, DDS, MPH

Common Oral Lesions in Virginia

by James C. Burns, DDS, PhD

Abstracts

Lynchburg Dental Society Health Fair

Svirsky on Infection Control

by John A. Svirsky, DDS

Executive Council Actions June, 1996

VADPAC Support

by Rod Klima, DDS

Health Volunteers Overseas- 10lh Anniversary

Component News

MCV News

Olympic Torchbearers

ADA Takes Action on Two HIV Fronts

COVER: A visit to a Wise County School in J 92 \ by the first Public Health

Dentist in Virginia. Photo courtesy of Virginia Division of Dental Health

PUBLICATION TEMPLATE & TYPESETTING: C:\Change

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

by the Virginia Dental Association, 5006 Monument Avenue, PO Box 6906, Richmond, Virginia 23230-0906, Telephone (804)358-4927

SUBSCRIPTION RATES: Annual: Members, $6.00. Others $12.00 in U.S., $24.00 Outside U.S. Single copy: $6.00.

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

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

MANUSCRIPT AND COMMUNICATION for publications: Editor, PO Box 6906, Richmond, VA 23230-0906.

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

Page 3

VIRGINIA JOURNAL

EDITORIAL

BOARD

VDA COMMITTEE CHAIRMEN 1996 Annual Meeting Andrew J. Zimmer Auxiliary Education A. Carole Pratt

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

Executive Ronald L. Tankersley Relations

History and Necrology Edmund E. Mullins, Jr.

Budget and Financial Investments Jeffrey Levin

Institutional Affairs Elizabeth Bernhard

Cancer and Hospital Dental Service Robert L. O'Neill

Insurance William H. Higinbotham, Jr.

Caring Dentists Harry D. Simpson, Jr.

Journal Staff Francis F. Carr, Jr.

Constitution and Bylaws Leslie S. Webb, Jr.

Legislative Harold J. Barrett, Jr.

Dental Care Programs Kirk M. Norbo

Membership Bruce R. DeGinder

Dental Delivery for the Special Needs Patient Barry Shipman

New Dentist Russell A. Mosher, Jr.

Dental Education & Continuing Education James K. Johnson

Nominating Leslie S. Webb, Jr

Dental Health and Public Information Gisela K. Fashing

Peer Review and Patient Relations Edward M. O'Keefe

Dental Practice Regulation Douglas C. Wendt

Planning Leslie S. Webb, Jr.

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

Relief Scott H. Francis

Environmental Health and Safety Dennis E. Cleckner

Search Committee for VA Board Leslie S. Webb, Jr.

Virginia Dental Political Action John C. Doswell, II.

1996 ADA DELEGATION:

Delegates:

Gary R. Arbuckle (1998) Wallace L. Huff (1998) Raleigh H. Watson, Jr. (1998)

M. Joan Gillespie( 1997) Leslie S. Webb, Jr. ( 1997) William H. Allison (1996)

Stephen L. Bissell (1996) Emanuel W. Michaels (1 996) Richard D. Wilson (1996)

Ronald L. Tankersley ( 1997) Andrew J. Zimmer ( 1997) Anne C. Adams (1996)

D. Christopher Hamlin (1996) David C. Anderson (1 996) Bruce R. Hutchison ( 1996)

Alternate Delegates:

Richard D. Barnes (1997) Charles L. Cuttino, III (1997) Lindsay M. Hunt, Jr. (1997)

Page 4

EDITORIAL

ELECTION REFORM II I have been a reader of the Virginia Dental Journal for many years. There are some constants in the magazine; technical information, component news, information about VDA meetings and proceedings, and the pages at the front, listing officers at the state and local level. As a Young (or New) dentist, I noticed all those areas and took an interest in them. Those listings of officers on the first few pages then and probably now would leave the beginning dentist with a few questions. What I saw then, and what others have mentioned to me through the years, is how frequently a member would simultaneously hold multiple elected offices. There could be many combinations of these hon ors; sometimes they would hold both component and state offices, others would hold elected ADA Delegate or Alternate Delegate positions and also be VDA Officers whose position included appointment as an ADA Alternate Delegate. Other arrangements abound, these are the ones brought up most often in conversation. It can appear that once the member is in one office, there is always the chance to pick up another for security, or merely to climb the ladder a little faster. The effect on the New and post-New dentist who notices this usually falls into a how-do-they-beat-the-system attitude. The election held in Williamsburg this year will demonstrate this beat-the-system. There are several positions that will come open only if someone moves into another office, and then that person uses the provisions in our Constitution and By-Laws to vacate the lesser and keep the higher spot. Vigorous floor elections and multiple candidates are good in our Annual Membership Meeting but such a jumble at the last minute deprives the voter and the office-seeker the chance to deliberate and to inform. This fall the VDA Ad Hoc Committee on Election Reform will have suggestions of better ways for candidates to present themselves and their positions but they do not address the multiple-office situation. This is an opportune time for Delegates to broaden the leadership base by enlarging the candidate field. The Virginia Dental Association has many opportunities for leadership. There are abundant positions available to develop the individual and benefit the Association. It may not be necessary to place strictures in our by-laws forbidding multiple offices if the membership wants to widen the experience level of the VDA. Serious involve ment at the voting level can bring serious change. Political Correctness theory would say that in this instance there should be a victim and someone to blame. We cannot blame those who want to serve, even in several places, and the members are certainly not victims; they have been voting. The governance of the VDA is important, for it is our future. I urge you to look at this issue not in terms of personalities, components, or careers, but as a means to broaden and strengthen our leadership base. The New Dentist needs to see more names in the front of the Journal, so that they can plan for their names to be there soon.

:francis T Carr, Jr. Editor

'" ~, ~

Page 5

~ •....

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

- "

I-----~-

, LETTERS TO THE EDITQ .,<,'iJ<P),fZ[li,Ji!

.;.,"'<

Recently the Virginia Legislature made somech~;es'io .: concerning business licenses that will have an enon:p.o~f;' on dentists. This was an extremely bad and unfairi~w tb~i made enormously worse. It was done in committee cli~' . Delegate Richard Cranwell. He said, if it neededto~} it should be done through the VDA. . .' ,

the communication of the I urge each reader to care .DA's acfions to Its mem ers. ., e on page .. ".,..i 'd'··O.'r' Tankersley's President s Messag lYCOr'lS,er. the expecta ii.' .4 i ; ' . . . It discusses the concerns, ~.~e:, . d the responsibilities of both the ligatIOns an . arid its membership in the requirement of com

,.,,;iMR(PC:1n'~,le~er addrebss

:,,>Y.0',

;:;he'legislative issues in Dr. Morgan's letter,

In Roanoke County a select few businesseserepf tax. Banks are exempt, insurance companies, mp~ companies, and some pay on net income rather:' Dentists pay on gross. Last year 5200 busill~~~~ produced $3.75 million. The new lawexern'R.(~,:5" businesses from the tax but they have tOP~Y,',~$ This will produce less than $200,OOO.:rhis~?~ 1400, including dentists, to come uP\Vith~3.;~' will see a huge increase in taxes. This is.~<Jlli' Virginia communities except those :wjth:' -, 25,000.';' The VDA has a paid lobbyist. ' Ho';'did opposition? When is the VDAgoihgt6 rather than to us? In the more than 3 de VDA they h a v e : " ' " 'if • killed an excellent health insurance the worst. • gotten mandatory continuing~~~~ , people telling us what to do.:' '., • killed our exemption for jUry~I,l~.r~;. summer and one month in the~~" the court after 5:30 PM to see~b:~; next day. It is not enough" .. employees. • gotten us another credit on this? • gotten us a collection agl:ncY~7 .i' on this? sotten in the rubber glove bU~; •

<'"

Hard as I try I can't see any val~,.#tjjf' a group that exists to feed itself.",:;:,

D15~

James K. Morgan, Roanoke, Virginia

Page 6

! .

es: sue was not ignored by the V~A.. Legisla ythe 1996 Session of the Virginia Ge~Ins but the first step in what hopefully will If'l9 series of attempts to r~structure the "tst9-X" (Business Professional. Occu~a'Tax);' None of the caps that existed pn~r ".> f this bill with regard to any of the van terprise were increased. The cap on Ices at $ .58 per $100 of gross re lsted prior to the passage of this bill, is y attempt to increase the tax at any level should be adamantly opposed.

~<issues mentioned: tlnuin education: The on-going ,profession require all of us to con .s'much education as possible, "ben legislation was passed in 1987 Ellllptions for jury duty, it was done so ,{reached a point where very few pro lYing as jurors. This obviously pre here individuals in certain cases lhebenefit of a jury composed of ',)il;Jportant to remember that when assed, malpractice insurance was ~fact, some medical professionals ,..<r,ere no malpractice coverage was iswas to be one bill in a package of reform the tort system in the Comia.

l Message from the President. · · · l

Information is power. But without communication, information is worthless. The dynamic communica tion of ideas is an essential element of success in today's world. If we want to effectively deal with the issues influencing our profession, the VDA must have effective communications with its members. With good communication, more dentists will better understand the legislative issues that affect den tistry with increasing frequency, and legislators will understand our position on those issues. Inter professional conflicts are often the result of miscommunication, not differences in objectives, and effective communication can reduce unnecessary professional divisiveness. Managed care policies are dynamic, and a constant stream of information is necessary for mem bers to obtain the data essential for sound decision making. Continuing education opportunities are constantly changing, and members need current information to appropriately plan their professional development. Better communication will result in both an increase in membership and increased appreciation of membership value. Most dentists who are not members of the VDA/ADA do not perceive the value of membership. Likewise, most of the vociferous complaints that we receive from members reflect either lack of knowledge of VDA positions and initiatives or lack of understanding of the development of these positions and initiatives. If we expect to maintain the unity and strength necessary to achieve our goals, we must constantly strive to enhance our communications. To satisfy this need for strengthened communications, the VDA's new Committee on Communications and Information Technology is hard at work. After discussing several potential projects, they are mak ing their first priority the establishment of a VDA Homepage on the Internet. This will complement the ADA Homepage and be a useful tool for providing contemporaneous information to our members and the public. Once fully developed, this Homepage will have applicability for almost every facet of the VDA's activities. Many of our committees are already excited about the Homepage's potential to in crease their effectiveness. We plan to have the ADA Homepage online for demonstration at the September 19-22 Annual Meeting in Williamsburg. Those of you that are not currently using the Internet will be able to see, firsthand, the tremendous potential of such a communications tool. I hope you will all come to the meeting, explore the ADA Homepage, and thank Corey Butler and his committee for the work they are doing in your behalf.

Page 7

CELEBRATING 75 YEARS

OF DENTAL PUBLIC HEALTH IN VIRGINIA

By Karen C. Day, D.D.S., M.P.H., Acting Director and Joseph M. Doherty, D.D.S., M.P.H., Former Director, Division of Dental Health, Virginia Department of Health

This year marks the 75th anniversary of the establishment of the first dental public health program in Virginia. In 1920, State Health Commissioner Dr. E. G. Williams appointed Dr. E. J. Applewhite, a former president of the Virginia Dental Associa足 tion, to make a survey of the oral conditions among children in the state. The survey lasted four months and 76 of the 100 counties in the state were visited. Because of the appalling 1925 _Transporting a dental unit in oral conditions, the Virginia Dental Association formulated and submitted recommendations to the State Board of Health. In the Southwest portion of the state. February 1921, Dr. N. Talley Ballou was appointed dental director of the Bureau of Mouth Hygiene, making Virginia the second oldest dental program in the nation. Today, every state but two have some formal state governmental structure for dental public health. Dental programs were formed because of the realization that dental caries was a major public health problem affecting every segment of society. While the organizational structure and program activity of each state may differ due to funding and staffing patterns, the goal of each program remains the same - the achievement of optimal oral health for all people. During the early years, services provided for children included screenings, cleanings, fillings and extractions. Education was a major component of every program and emphasized proper brushing, restriction of sweets and regular visits to the dentist. The total state budget was $9,000 the first year of the program. Two full time and two part time dentists provided 14,561 procedures for 4,803 children. While periodontal disease was recognized, it received little attention because of the over足 whelming dental caries condition presented by every child receiving dental care. It is no wonder dental public health in 1945 embraced fluoridation with its promise of eliminating dental decay. Dentists, public and private, have seen the affects of fluoridation on the dental health of the children in Virginia. Estimates are that community water fluoridation currently costs on average $0.51 per person per year, far less than the fee for a restoration. Dental public health has worked hand-in-hand over the years with the entire dental profession to implement fluoridation where feasible, and this measure has become the foundation of every state dental public health program. State dental public health has also encouraged fluoride research and has quickly adopted fluoride in all its forms as a means of reaching rural children who do not have the benefits of fluoridated water. Dietary supplements, topical fluoride application, fluoride mouth rinse, and school fluoridation have been or are currently part of every state program. Today the state dental program has 57 full and part time dentists, 70 dental assistants and 5 dental hygienists providinq services to 67 localities. Last year, 49,409 children received dental services in a total of 98,239 patient visits. Almost 19,000 children participated in dental health education programs and 27,000 school children were screened for oral disease. Patients received over 400,000 services valued at more than 10 million dollars. Dental sealants have proven to be an effective dental preventive measure. Last year more than 67,000 sealants were applied to the of Virginia school children by public health professionals. Education is still a major theme of every dental program with the prevention of periodontal disease now receiving its due emphasis. Educational sessions and workshops on other aspects of oral health have expanded to include sealants. smoke足 less tobacco and nutrition.

Pl1gc 8

While dental public health looks upon its patients as everybody in the jurisdiction it serves, it agrees with the statement by Hubert Humphrey that "the moral test of government is how it treats those who are in the dawn of life, the children; those who are in the twilight of life, the aged and those who are in the shadows of life, the sick, the needy and the handicapped." Dental public health has therefore strived to pass that moral test and has worked diligently to serve in a particular way the population mentioned in Mr. Humphrey's state ment. Public health has attempted to remove any barrier that prevents people from practicing or utilizing dental preventive mea sure whether they be social, economic or educational. Over the years, dental public health has supported the inclusion of dental benefits under state Medicaid programs, and encouraged third-party insurers as a means of making dental care available to all people. We have encouraged the provision of adequate and appro priate dental care for Head Start children, persons in our mental and penal institutions as well as the indigent nursing home population in our country.

1935 - Dr. Fred Morton performs dentistry on a school age child without the benefit of electricity.

There have been great improvements in the dental health of the people of this country since the founding of the first state dental public health program seventy five years ago. We in state dental public health think that we have played a major role in these im provements. We recognize, however, that it would not have been possible without the wholehearted support of the entire dental profession. Dental Public health, as practiced on the state level, has always been one of partnership. Without the cooperation of orga nized dentistry, individual dentists, dental hygienists and assistants, school personnel, dental schools, state and local health officials, none of the accomplishments of public health dentistry would be possible.

1940 - Dr. George Feld in Warrenton, Virginia

Page 9

DENTAL PUBLIC HEALTH

PROGRAM MILESTONES

1916

Virginia was the first state to pass legislation appointing a dentist to the State Board of Health. Dr. Guy D. Harrison served until 1948.

1920

Dr. E. J. Applewhite appointed by Dr. E. G. Williams, State Health Commissioner, to conduct a statewide dental survey as recommended by the Virginia Dental Association; 76 of the 100 counties were visited.

1921

Dr. N. Talley Ballou appointed Director, Bureau of Mouth Hygiene - Dental Care in Wise County schools begins.

1948

Topical fluoride demonstration program of the United States Public Heath Service begins in Virginia in cooperation with the Bureau of Dental Health and the Virginia Dental Association.

1948

Lactobacillus Acidophilus (decay producing bacteria) program for the control of dental decay offered

1995 - JoAnn Wells RDH, BSD provides education at an elementary school in Sus足 sex, Virginia

1996 - Children enjoying fluoride mouth rinse program in Goochland County. 30,000 school children currently participate statewide in this pro足 gram.

Pagcl C

1991 - Dr. Gordon Witcher,

Chesterfield County Health Department.

to all the dentists by the Bureau of Dental Health in cooperation with the Consolidated Laboratories.

1950

Dental Rural Health Scholarship Program initiated.

1951

Lynchburg becomes first Virginia community to fluoridate public water supply for the prevention of dental decay.

1956

The first cleft-lip, cleft palate program was initiated at Children's Hospital.

1958

First Dental Public Health Educator employed by the Division of Dental Health.

1960

Stannous fluoride offered to all dentists in the state for application to children's teeth to prevent dental decay.

1962

Oral Cytology Program for the detection of oral cancer offered to all dentists in the state by the Division of Dental Health in cooperation with the MeV School of Dentistry.

1968

First organized Oral Cancer Detection Screening Program in the state held by Virginia Beach by the Division of Dental Health in cooperation with the Virginia Beach Dental Study Club. Annual screening throughout the state held in cooperation with the MCV School of Dentistry, the Virginia Cancer Association, the Virginia Dental Association and the Division of Dental Health. Dental Hygiene Scholarship Program begins with six scholarships, increased to 12 in 1972. Dental Hy~iene Extramural Program initiated by the MCV School of Dentistry's Department of Dental Hygiene in cooperation with the Division of Dental Health. Dental Student Extramural Program initiated by the MCV School of Dentistryin cooperation with the Division of Dental Health. Combined Supplemental Fluoride Demonstration Program begins by the National Institute of Dental Research (1\lIDR) in Nelson County. National Demonstration Fluoride Mouth rinse Program funded by NIDR begins in Charles City County. First fluoride mouth rinse program initiated by the Division of Dental Health begins in Buckingham County. School fluoridation study initiated by NIDR in cooperation with the Division of Dental Health begins in Cumberland, Amelia and Mathews Counties. First Continuing Dental Education Conference held for public health dental personnel. Categorical Dental Fluoridation Grant awarded to the Division of Dental Disease by the Centers for Disease Control. First Waterworks Operator Training Course for fluoridation initiated by the Division of Dental Health in cooperation with the Division of Water Supply Engineering. First sealant grants awarded to local health department dental programs. Division of Dental Health receives the World Health Day Award presented by the American Association for World Health.

Page 11

COMMON ORAL LESIONS IN VIRGINIANS

James C. Burns, D.D.S., Ph.D.

The question is often asked by dental students and dental practitioners as to whether oral pathology is common. Ad ditionally, they ask which lesions are most common. A retrospective study from patient's charts was published in the Journal of the American Dental As sociation listing the thirty most common oral soft tissue lesions. The patient sam pling was drawn from seventeen mass oral screenings in Minnesota between 1957 and 1972. That study documented the common ora/lesions noted in 23,616 head and neck examinations. The present study evaluated the oral pa thology experience of patients in Vir ginia. Virginia dentists participating in the AGO Mastership Program were asked to perform 100 consecutive head and neck examinations and document any abnormalities. Twenty-three den tists performed 2,250 head and neck ex aminations. One thousand one hundred and fifty-one abnormalities were noted and tabulated. Table 1 depicts the col lated results. Tori made up 37% of the abnormalities while white lesions that do not rub off ("Ieukoplakias") were 15% of the total. If dental practitioners/students knew the 15 most common abnormali ties (tori, leukoplakia, Fordyce's gran ules, ulcers, amalgam tattoo, fissured tongue, exostosis, reactive inflammatory lesions, geographic tongue, varicosities, herpes lesions, angular cheilitis, fibro mas, mucoceles, and lichen planus) they would be capable of diagnosing and treating over 90% of the possible abnormalities noted on head and neck examinations. However, one must never forget the rare possibility of de tecting a malignancy exists and is one of the most important reasons for doing head and neck examinations on all our patients. It has been estimated by the Center for Disease Control that the five year survival rate for intraoral squamous cell carcinoma could be extended from the current 51% up to a projected 75% if lesions were detected earlier by ad-

Page 12

equate and frequent head and neck ex aminations. In this study two malignan cies (adenocarcinoma, squamous cell carcinoma) were discovered. This rate of approximately one malignancy per ev ery 1,000 head and neck examinations is in general agreement with previous stud ies. In summary, abnormalities of the oral cav ity do exist at a fairly high incident rate (1,151 abnormalities discovered in 2,250 mouths). The vast majority of these ab normalities are one of the 15 most com

mon entities. Additionally, rare but po tentially fatal intraoral malignancies can be picked up on head and neck examina tions. Therefore, the old adage of "com mon things occur commonly" is definitely true and it behooves us as the dental practitioners of the state of Virginia to perform adequate and frequent head and neck examinations. *Bouquot, J.E., "Common Oral Lesions Found During A Mass Screening Exami nation", JADA Volume 112, January 1986, pages 50-57.

TABLE 1 Oral Abnormalities Noted After 2,250 Head & Neck Examinations Tori (Mandibular = 307 Maxillary "Leukoplakia" Linea Alba (cheek biting) Leukoplakia Nicotine Stomatitis Leukoedema Hyperkeratosis Snuff Pouch Fordyce's Granules Ulcer Aphthous ulcer Traumatic ulcer Inflammatory ulcer Amalgam Tattoo Fissured tongue Exostosis Reactive Inflammatory Lesions Fistula Irritated area Inflamed area Irritation from RPD Petechiae Dilantin Hyperplasia Pyogenic Granuloma A.N.U.G. Pericoronitis Geographic Tongue Varicosities

= 119)

426

41 13 11 6 6 6 117 55 33 18 4 33 33 32 29

3 14 5 2 1 1 1 1 1 27 25

I~BSTRACTS

TABLE 1 (cont.) 24

's:';, Recurrent Herpes Labialis Primary Herpes Stomatitis ~r Cheilitis r-:.: fibroma

23 1

15 12 11 10 10 9 9 5

ele '~fPlanus

rigioma 'ped,border of tongue 'ryHyperplasia ontal Abscess ; ngue

oma

4 4 3 3

issuratum lingual tonsil tonsil

a a

jl1a

13 3 3

sed Tongue 'ed Papillae on Tongue 'denoma 'Red Tongue ation (?Nevus vs. Melanotic Macule) "homboid Glossitis

2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1

';'tnerary Teeth aped Lateral Incisor arcinoma ous cell Carcinoma Tongue Biter

1151

2250

James C. Burns, D.D.S., Ph.D. is Professor and Chairman, Department of Oral Pathology MCV-VCU School of Dentistry, '

In this issue are eight articles abstracted from the current literature by four post-doctoral residents in periodontics. The Virginia Dental Journal is grateful to the Medical College of Virginia School of Dentistry, to the graduate students, to Or. Joahn Burmeister, Chairman, and to Or. Thomas Waldrop, Director of the Graduate Program, Department of Periodontics.

Martinez-Canut P. Lorea A., and Magan R: Smoking and peri odontal disease severity. J. Clin PeriodontoI22:743-749, 1995. PURPOSE: To evaluate the influence of tobacco on the sever ity of periodontal disease and to quantify the strength of this influence in proportion to the amount of tobacco consumed. M & M: 889 periodontal patients SUffering from mild to advanced periodontitis were selected: 47% nonsmokers and 53% smokers. All the subjects received a clinical periodontal examination. A mean value was obtained for each periodontal parameter, gingival recession (GR), pocket depth (PO), probing attachment level (PAL), and mobility (M) for each patient to define the degree of disease severity. The number of cigarettes consumed daily was analyzed. RESULTS: The patient's sex affects the severity of periodon tal disease, showing a statistically significant difference for GR, PO, and PAL. Males have a 17% higher REC, 6% greater PO, and 8% greater PAL than females. On average, males show 0.54 +/- 1.05 mm higher attachment loss than females. No significant differences in mobility were noted. Age influenced GR, PO, and PAL, and this was statistically significant between groups. For each year of life, there was an increase of 4.1 % for GR, 0.2% for PO, and 0.7% for PAL. There was a mean of 0.05 mm more PAL on all teeth annually for smokers. After age 50, there was not a significant influence of age on these factors. Tobacco consumption also increased significantly the values for periodontal variables, showing statistically signifi cant differences for GR, PO, and PAL, Each extra cigarette smoked daily increases the GR values by 2.3%, the PO values by 0.3%, and the PAL values by 0.5%. No statistically signifi cant differences were found between nonsmokers and smok ers for 10 or less cigarettes per day. With higher consumption of tobacco, greater mobility was observed. For each extra cigarette smoked per day, there was an increase in mobility of 1.2%. One, 10, and 20 cigarette smoked per day, there was an increase in attachment loss of 0.5%,5%, and 10%, respec tively, for subjects of the same age, while each year of life would increase PAL by 0.7%.

Page 13

L~B~IRACTS, cont. ·11 DISCUSSION: Within the limits of this study, it can be concluded that tobacco increases the severity of periodontal dis ease, the effect being clinically evident above a certain amount of tobacco con sumed. Each extra cigarette smoked dai.lyhas a similar effect of one more year of life. Therefore, this result confirms that t?bacco is an important risk factor for pe riodontal disease. (Dr. Morgan)

Herrero F. Scott J, Maropis P, and Yukna R: Clinical comparison of desired versus actual amount of surgical crown lengthening. J. Periodonto/66:568-571 , 1995. PURPOSE: To compare the actual amount of supracrestal tooth length ob tained during surgical crown leQgthening procedures with presurgically desired amount. M & M: Twenty-one teeth in 16 patients received surgical crown lengthening. The surgeons consisted of four first-year and four second-year graduate students and four faculty. The surgical technique was determined by the individual operating surgeon. Clinical parameters measured included: mobility, tissue bio-type (narrow, average, wide), GI, and PI. The gingival margin was marked with a round bur and stents were made to measure alveolar crest height. Mobility and clinical mea surements from a fixed reference on the stent to the alveolar crest were made af ter each procedure was completed. RESULTS: Experienced periodontists re moved more bone (mean 1.1+/-0.6 mm) than either the second-year graduate stu dents (0.8=/-0.5 mm) or the first-year graduate students (0.0+/-0.7 mm). Sta tistically, no significant correlation was obtained between experience level and mean-obtained biological width. None of the statistical analyses demonstrated sta tistical significance from baseline for any of the clinical parameters or among op erator experience levels. DISCUSSION: Overall, the proposed minimum desired 3 mm distance from planned restoration margin to alveolar crest. the "biological width", was not rou-

Page] -+

tinely achieved in this study. Clinicians may need to be more aggressive during surgical crown lengthening procedures to achieve the proposed goal of 3 mm bio logical width. (Dr. Morgan) Dr. Chad T. Morgan received his B.S. in 1990 from the University of Utah and his D.D.S. in 1994 from Virginia Common wealth University. He is the recipient of an Alexander Fellowship for Research and a winner in the 1996 Billy M. Pennel competition. He is a 3rd-year postdoctoral student in periodontics at VCU.

Ramberg P, Furuichi Y, Volpe A., Gaffar A, and Lindhe J: The effects of antimicro bial mouth rinses on de novo plaque for mation at sites with healthy and inflamed gingivae. J. Clin Periodontol 234:7-11, 1996. PURPOSE: To evaluate to what extent mouth rinses containing triclosan and chlorhexidine may modify the amount of de novo plaque that forms on tooth sur faces adjacent to healthy and inflamed gingival units. M & M: A total of 10 volunteers were in cluded in this study. On day 0, samples of GCF were obtained from predeter mined sites, and gingivitis was assessed. The participants were asked to abstain from all mechanical plaque control mea sures for the following 18 days. During the first 4 days (rinse Phase I), they rinsed 2 times daily with 20 ml of a given mouth wash preparation. Clinical examinations including assessment of plaque, gingivi~ tis, and GCF were repeated on days 4,7, and 14. On day 14, the participants re ceived a comprehensive professional tooth cleaning, after which rinse Phase II was initiated. During this second phase, the participants rinsed for 4 days with the same mouthwash preparation and in the same manner as during rinse Phase I. Clinical examinations were repeated on day 18. One day 18, they received a thor ough cleaning and were to perform me chanical plaque control for 4 weeks. A new 18-day period of monitoring was then initiated. A total of three experimental periods were repeated until all SUbjects had rinsed with three different mouthwash preparations. They were the following: placebo, triclosan, and chlorhexidine. GCF, GI, and plaque indices were mea-

sured.

various mouth rinse groups, neither on

day 0 or day 14. The mean GI SCores and mean GCF volumes were in all three groups significantly higher on day 14 than on day O. The placebo group received a significantly higher mean plaque SCore than the other two groups at the end of Phase I. The mean plaque score for the triclosan group was significantly higher than the corresponding chlorhexidine score. During rinse Phase II, significantly more plaque formed in the placebo group than in the other groups, and the least amount of plaque formed in the chlorhexidine group. Irrespective of the day of observation, in all study groups, de novo plaque formation was more pro nounced on tooth surfaces adjacent to inflamed than healthy gingival units. The triclosan and chlorhexidine mouth rinse groups received significantly lower plaque values than the placebo group, and the mean plaque scores for the triclosan group were significantly higher than the values for the chlorhexidine group at tooth surfaces adjacent to both healthy and in flamed gingival sites. DISCUSSION: The results of the present study demonstrated that significantly more plaque formed at sites with gingiVi tis than formed at surfaces adjacent to healthy gingival units, and pre-existing gingivitis affected the amount of the de novo plaque that formed in SUbjects who rinsed with mouthwash preparations con taining either chlorhexidine or triclosan. Thus, in all four study groups, the plaque scores representing rinse Phase II were about 20-30% higher than the corre sponding scores in rinse Phase I. (Dr. Ramos)

Muller H, Eger T, and Lange 0: Mana-illZ ment of furcation-involved teeth. J Clin Periodonto/22;911-917, 1995. PURPOSE: To present data, collected ret rospectively, which may indicate the in fluence of (1) operator experience, (2) degree of furcation involvement. as well as (3) tooth type on the decision for a cer tam mode of therapy for periodontitis-af fected multi rooted teeth. M & M: The retrospective anaivsis of the present study was based on 558 patients

who had been treated by operator 2 dur ing his three-year course of postgradu ate periodontal training. Before treat ment and at the end of initial periodon tal treatment, periodontal conditions were routinely examined. Pocket depth (PO), recession, bleeding on probing (BOP), plaque, and mobility were mea sured. In multirooted teeth. furcation involvement was measured using the Hamp and Nyman classification. Dur ing surgery, different treatment modali ties were applied in diseased furcation areas of multirooted teeth: (1) scaling and root planing with and without furca tion plasty with scalers, curettes, files, or fine rotating flame-shaped diamond burs, (2) resective measures; (3) tunnel ing; (4) regenerative measures; or (5) extraction. RESULTS: Furcation involvement of at least one multi rooted tooth was found in 292 patients (52%), 62.5% of opera tor 1, and 40% of operator 2. Similar numbers of degree I, II, and III turcation involvements were treated by operator 1. In contrast, in patients treated by

operation 2, there was a predominance of degree I involvement. Scaling and root planing with or without furcation plasty was the main treatment choice in 97-98% degree I furcation involvements, irrespective of tooth type and operator. A degree II involvement prompted op erator I in 75% and operator 2 in 83% to scaling as a sole measure. A total of 28 teeth, including 16 third molars, were extracted. Regeneration was performed in 17 cases. In contrast, the whole therapeutic spectrum was applied if a through-and-through furcation involve ment was diagnosed. Degree of furca tion involvement strongly influenced whether or not scaling as a sole mea sure was performed. An increase in degree of one unit increased the odds of resective measures for all teeth by a factor of 4.4. The decision for tunnel preparation was also strongly influenced by furcation degree. While degree in general was positively associated with regenerative procedures, this was not

true for upper second molars, where the odds decreased by a factor of 4 with in creasing furcation involvement. It is obvious that degree, as well as uncom mon multi rooted teeth and wisdom teeth, was positively associated with extraction. DISCUSSION: Within the limited scope of the present approach, it may be con cluded that decision for one or the other treatment modality seems to depend mainly on degree of furcation involve ment as well as tooth type. Whether treatment resulted in acceptable peri odontal conditions should be investi gated. (Dr. Ramos) Dr. Ellen Ramos received her B.S. in 1990 From the College of William & Mary and her D.MD. in 1994 from the University of Pennsylvania School of Dental Medicine. Her honors include the St. Georges Oral Cancer Society Fel lowship, the Excellence in Preventive Dentistry Award, and the Alexander Fel lowship for Research. Dr. Ramos is a

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3rd-year postdoctoral student in periodon tics at VCU. Greenstein G: Clinical significance of bac terial resistance to tetracyclines in the treatment of periodontal diseases. J Pe riodontal 66:925-932, 1995. PURPOSE: To address the clinical sig nificance of bacterial resistance to tetra cyclines (TCN) as it relates to the treat ment of periodontal disease. Structure and mode of action of TCN: TCNs have the same basic four-ring carbocyclic struc ture and differ from each other by varia tion at C#5, 6,7. TCN binds to receptors on ribosomes in a position that blocks at tachment of aminoacyl-+RNA to its ac ceptor site thereby preventing the addi tion of new amino acids to growing pep tide chains. • Mechanisms of resistance to TCN: Three different mechanisms that account for bacterial resistance to TCN have been detected: (1) TCN efflux (resistant bacte ria pump TCN out of the cell); (2) riboso mal protection, whereby the TCN does not bind to the ribosome; and (3) TCN inacti vating enzyme. SUMMARY: Recently, it has been re ported that approximately 12% of the to tal cultivable subgingival microflora in patients with AP are resistant to TCN. This percent may increase after TCN therapy, and the elevated number of re sistant organisms may be transient or persist for a prolonged period of time. Ac cordingly, infections caused by bacteria resistant to TCN may be associated with protracted illness, increased morbidity, additional therapy, and greater costs due to treatment failure. In general, resistance to TCN, as well as other antimicrobials, is recognized as a growing problem. This was emphasized in a recent article which addressed the extensive use of antibiot ics (AB) in this country. It was concluded that many AB are becoming virtually use less and that clinicians should avoid in appropriate use of these drugs. Similarly, Murray has suggested that nondrug therapy for infections that can be

treated mechanically would help avoid development of resistant strains of patho gens. In this regard, there are numerous articles that have demonstrated success ful conventional therapy for adult peri odontitis without adjunctive use of AB. Therefore, during periodontal therapy, un necessary use of TCN, which may induce drug resistance, should be avoided. Fur thermore, since empirical selection of TCI\J can inadvertently induce increased levels of bacterial resistance, it would be beneficial if AB selection was guided by drug sensitivity testing prior to initiating AB therapy. In conclusion, development of resistant strains to different types of TCI\Js may be an inevitable consequence of their utilization; however, the rate at which resistance develops can be dimin ished by the rational use of these drugs. (Dr. Kharmouche)

Novaes AB, Novaes ABJ, Moraes N. Campos GM, and Grisi MFM: Compliance with supportive periodontal therapy. J. Periodonto/67:213-216, 1996. PURPOSE: To analyze compliance of pri vate practice patients according to age, sex, and type of treatment. M & M: 1,280 records were reviewed; 905 had periodontal surgery. Patients were classified according to their cooperation as regular (R) when they fulfilled 2/3 of their appointments; irregular (I) 2/3 of their appointments: and noncompliant (N). RESULTS: 25.2% were N, 40.1% were R, and 34.7% were I. The number of women who returned for supportive peri odontal therapy (SPT) was significantly greater than for men (76.5% vs. 72.2%). The two groups of patients, ages 21-40 and 41-60, showed the greatest interest in SPT, with a clear predominance of fe males. R increased with age. The per cent of surgery patients was significantly greater (70.7%) but not significant (NS) between male and female in the therapy group. The proportion of surgery patients who returned for SPT was significantly higher than nonsurgery patients; however, there was I\JS between the two groups for R (40.5% vs. 38.9%). For I there was a significant difference (37.2% for the sur gery vs. 28.8% for nonsurgery). This same significance was found for N sur

gery and non surgery patients. Surgical patients complied with maintenance therapy nearly twice as frequently as those who did not have surgery. DISCUSSION: The authors believe that personal attention by the clinician was fundamental in obtaining long-term com pliance. An aggressive and consistent routine of direct patient contact and an intense public health program to educate the population in oral health may improve these findings. (Dr. Kharmouche) Dr. Jean-Claude Kharmouche was awarded the D.D.S. from Aleppo Univer sity, Syria, in 1989 and the D.M.D. from Boston University in 1993 and is also a recipient of an Alexander Fellowship for Research. He was a winner in the 1996 Billy M. Pennel competition. Dr. Kharmouche is a 3rd-year postdoctoral student in periodontics at VCU.

Meschenmoser A, d'Hoedt B, Meyle J, Elbner G, Korn 0, Hammerle H, and Schulte W: Effects of various hygiene pro cedures on the surface characteristics of titanium abutments. J Periodontol 67:229-235, 1996. PURPOSE: To investigate the effects of various cleaning procedures on the sur face microstructure of titanium implants. M & M: New titanium abutments were treated on marked surface areas with a pure titanium curette, a steel curette, a plastic curette, an air abrasive polishing system, and with an ultrasonic system. One marked area was left untreated on each abutment as a reference. Custom made polymer templates were used to fix the curettes on a vertical guide, thus en suring that both the vertical instrument strokes and the angulation of the curettes were constant throughout the experiment and were reproducible. Instrument pres sure was maintained at a constant level (420 N) for all curettes through the use of a spring scale. With each instrument, 10 vertical strokes were completed. With the air-powered abrasive system, each area was sprayed with sodium bicarbonate particles at a right angle to the surface for 30 seconds at a distance of 4mm from Page 17

ABSTRACTS, cont.

! I l--~---._-_._-_J

the abutment surface. For each cleaning procedure, five identically-treated abut ment areas underwent qualitative and quantitative assessment. For evaluation, the abutment surfaces were investigated by a scanning electron microscope (SEM). A quantitative measurement of the surface roughness was performed with a profilometer. The confocal laser scanning microscope allows a three-di mensional graphic reproduction of surface structure and the direct measurement of the depth of surface deepenings and el evations. RESULTS: Examination of the curettes themselves did not reveal any material wear after use. After the use of the plas tic curette, there were no differences be tween the treated and the untreated ar eas. The steel curette produced major alterations visible to the naked eye. The titanium curette also created considerable surface alterations. The gouges were less distinctive than those caused by the steel

(l1all surface structures. Since the influ

:(1ce of such surface de~ects on t~e peri

irtlplant tissue reactions IS unpredictable,

the titanium curette and the air abrasive system can only be recommended with restrictions. The steel curette and the ul tra.s onic system proved to be totally un suitable for cleaning titanium Implants. (Dr. Araujo)

curette. A massive surface roughness was caused by the ultrasonic system. It resulted in deep grooves and ridges. At high magnification (1000X), the surface treated with the air powder abrasive sys tem reveals small craters caused by the salt crystals hitting the titanium surface. The profilometer showed that the steel curette and the ultrasonic system pro duced a distinctly rougher surface. The confocal laser-scanning microscope showed no differences between the un treated and the treated surfaces using the plastic curette. The depth of the gouge created with the steel curette was about 8mm. Titanium curettes caused minor, narrow scratches which barely penetrated (3 mm deep) into the surface. The ultra sonic system created enormous surface defects consisting of deep grooves (more than 10 um) and material elevations. The air powder abrasive system created cra ters which penetrated deeper (about 5 um) into the surface than the grooves from the titanium curette did.

PURPOSE: To examine the effects of endodontic medicaments of fibroblast at tachment to dentin surfaces free of a smear layer.

DISCUSSION: This study proves the su periority of the confocal laser-scanning microscope for investigating extremely

M & M: 300 extracted, unerupted third molar teeth were used. The smear layer was removed by using saturated citric

Breault LG, Schuster GS, Billman MA, Ha.nson BS, Kudryk VL, Pashley DH, Runner RR, and McPherson JC: The ef fects of intracanal medicaments, fillers-, and sealers on the attachment of human gingival fibroblasts to an exposed dentin surface free of a smear layer. J. Periodonto/66:545-551 , 1995.

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acid (pH=1.0) for two minutes. Experi mental medicaments were packed into the pulp chamber of each crown speci men through the open apical end. The materials utilized included: laterally, con denses guttapercha with Roth's ZOE based sealer, warm gutta-percha with and without Roth's sealer, calcium hydroxide, formocresol, sterile cotton pellet, or an empty chamber (control). A predeter mined dentin surface area was then in oculated with human gingival fibroblasts (HGF) at a concentration of 2 x 104 cells per ml. The cells were allowed to adhere to the dentin surface for either 4 or 24 hours to compare the effect of medica ment diffusion on cell attachment or growth over time. Then cell attachment was quantified using a methyl-tetrazolium assay. A net optical density (0.0.) Was calculated that reflected the number of attached, viable HGF only. Direct mea surement of the residual dentin thickness (ROT) between the pulp chamber and dentin surface was also made. RESULTS: Tooth specimens filled with gutta-percha, warm gutta-percha with sealer, cotton or calcium hydroxide showed inhibition of attachment after 4

hours, ranging from control levels to about 50%. These were not significantly differ ent from the control values. Only warm gutta-percha without sealer (77.8%) and formocresol (75.5%) demonstrated signifi cant inhibition of HGF attachment. ROT ranged from 1.7-2.9 mm after 4 hours of incubation. Significantly decreased cell numbers were seen again in the warm gutta-percha without sealer (28.7%) and formocresol groups (98.3%) after 24 hours of incubation. In the other groups, inhibition ranged from 10-20% of the con trols. ROT ranged from 1.6-2.8 mm after 24 hours of incubation. DISCUSSION: During periodontal surgi cal procedures, the cementallayer of the root may be removed, exposing the un derlying dentin. Dentin may act as diffu sion channels for medicaments and full ers placed within the root canal, and these may then affect cells of the periodontium. Inhibition of HGF attachment with warm gutta-percha without sealer and formocresol suggests that inhibitory ma terials diffused through the dentin to the surface. Gutta-percha has a high zinc oxide content (59.1-75.3%). The zinc

component has been implicated in the in vitro antibacterial activity of gutta-percha and could affect the strength or rate of fibroblast attachment. Roth's sealer could account for the decreased inhibitory ef fect of both warm gutta-percha with sealer and laterally condensed gutta-percha with sealer. The use of Roth's sealer appears to have a protective role in cell attach ment inhibition, possibly by preventing the generation of zinc ions.(Dr. Araujo)

Dr. Augusto Araujo received his B.S. from the University of Maryland in 1991 and his D.M.D. from the University of Penn sylvania in 1995. He graduated Magna Cum Laude from Maryland and was a Dean's Scholar in dental school. Dr. Araujo is a 2nd-year postdoctoral student in periodontics at VCU.

Page 19

sri's Dental Health Month in Lynch

ne i.ynchburq Dental SOUt; Ty } iCie;, ,iE JO children attenc trieir [·2:-!i3! ~-;':: 'T!"i arr at E.C Glass ~ligh Sci-iDa' ")r" Hie !OtTi\ng of February 10. The· L.'yT,r-'hr~.'.,~:;·;· ental As sis tant s SI:)C;'::~~'/. L~.; /nchburo D8!lta; Alliance. and ~~,..):: ~~!f~n .1 Careers :::~;r()gl·2!;l Ell E c~ \~i.1:?'>:? :-' chooi a'so had major roles rr ~:i~: 3SS of the event. Tha: eVI:;;r", ':~. 30 ·:~,\ii!(jren enjoyec a. r'./1oic,~ R i~ _'. Jnr:;cI8S'l Skate Center :=.<:'::i2· .. 'c }\je oenta: health p[·8sentC:.i~(J:"':~~ :';.,r'c .othbrushss to the 250 stucen:s ,~nE: utcnerson Early Lean'ii-~: -i z;

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MEMORIAL TO BENNETT MALBON On April 23, 1996, friends and colleagues of the late Dr. Bennett A. Malbon gathered at his alma mater, Randolph-Macon College, Ashland, to dedicate a quiet area to his memory. At the site, adjacent to the house of his Kappa Alpha Order, an oak tree had been planted, a bench placed, and a plaque inscribed to commemorate his presence among us. Dr. Ladell Payne, President of Randolph-Macon, spoke of Dr. Malbon's fidelity to the college, his service to the community and his devotion to his chosen professioh.

The Dr. Bennett A. Malbon bench at Randolph-Macon College, with the Kappa Alpha House in the background.

This tribute to Dr. Malbon, in a place so special to him, was provided for through the remem足 brances of fellow dentists with whom he had practiced and served throughout his life.

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Dr. Perkinson appointed to VCU Board Governor George Allen recently appointed Dr. W. Baxter Perkinson, Jr., of Richmond to the Virginia Commonwealth University Board of Visitors for a four-year term. A past president of the Richmond Dental Society, the Richmond Dental Study Club, and the Virginia Academy of General Dentistry, he is a principal in a multi-dentist practice in the Richmond area. Dr. Perkinson is a frequent lecturer on current dental topics both in Virginia and at major regional meetings. He has been closely involved in alumni, continuing education, and student instruction at the dental school since his graduation. Dr. Perkinson and his wife, Elaine, have four children; their daughter Catherine is a member of the class of 2000 at the MCV-VCU School of Dentistry.

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VIRGINIA BOARD OF DENTISTRY

World Dental Congress

Dentists and Hygienists Appointed to State Board

September 28-0ctober 1. 1996

Orlando C)h

Governor George Allen recently named three VDA members and two hygienists to the Virginia Board of Dentistry. Current Board Member and former VDA President Dr. French Moore, Jr. of Abingdon was reappointed for another four year term. Dr. Nora French of Sterling and Dr. Gary Taylor of Portsmouth received initial appointments to the Board. Dr. French gradu ated from the University of Louisville School of Dentistry in 1975 and is in general practice with her son Dr. Charles French in Sterling. Dr. Taylor received his dental degree in 1975 and completed his orthodontic training in 1977 at the University of Tennessee Dental School and has practiced in Portsmouth since then. Dr. French and Dr. Taylor replaced Dr. Patricia Speer and Dr. Alonzo Bell who were eligible for reappointment. Governor Allen also appointed Ms. Stephanie Olenic, RDH of Mechanicsville and Ms. Carolyn Hawkins, RDH of Newport News to the two hygiene positions on the Board. They replaced Ms. Catherine Cotter, RDH, and Ms. Saundra Nelson, RDH, who were eligible for reappointment.

Page 22

VIRGINIA BOARD OF DENTISTRY

July I, 1996 - June 30, 1997

The Virginia Board of Dentistry is appointed by the Governor and is composed of seven dentists, two hygienists and one citizen representative. Contact the Board office or a member of the Board on questions on rules and regulations. Acting President

Robert J. Isaacson, DDS, MS, PhD

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Richmond, VA 22314

(804) 783-2800 FAX(804)379-2859

Gary Taylor, DDS First term ends 6/30/00 Doctors Morris & Taylor, Ltd. Doctors Court, 500 Rodman Avenue Portsmouth, VA 23707 (804)397-7038 FAX(804)399-6779 NC (919) 441-6683 Carolyn B. Hawkins, RDH First term ends 6/30/00 East End Health Facility 1033 28th Street Newport News, VA 23607 (757)247-2193 FAX (757)247-2991 Stephanie P. Olenic, RDH First term ends 6130/00 7035 Mechanicsville Turnpike Mechanicsville, VA 23111 (804) 730-4300 FAX (804)559-4995 Pat K. Watkins First term ends 6130/99 6606 W. Broad Street, Fourth Floor Richmond, VA 23230-1717 (804) 662-9906 STAFF

Mark A. Crabtree, DDS

First term ends 6130/98

407 Starling Avenue

Martinsville, VA 24112

(540)632路7392 FAX(540)632-2341

Marcia J. Miller, Executive Director Pam Horner, Administrative Assistant Kathy Lackey, Administrative Assistant

John S. Lyon, DDS

First term ends 6130/99

2774 Hydraulic Rd. Ste #201

Charlottesville, VA 22901

(804)973-2968 FAX(804)973-0257

Nora M. French, DMD

First term ends 6130/00

Stonewall Acres Professional Center

8567-A Sudley Road

Manassas, VA 22110

(703)369-4545 FAX(703) 369-4545

Lychia Morris, Office Services Specialist 6606 W. Broad Street, #401 Richmond, VA 23230- 1717 (804)662-9906 FAX(804)662-9943 Howard M. Casway, [squire Office of the Attorney General Assistant Attorney General 900 E. Main Street, Fourth Floor Richmond, VA 23219 (804)786-1023 FAX(804)371 -8718

Aftco® Associates

PRACTICE TRANSITION /MANAGEMENT CONSULTANTS

Established 1968

Five or Three, But Not Four

practice is a business. This is

becoming more apparent to

dentists every day. A practice is made

up of an office, a doctor, a staff and

patients. A practice brings in income,

pays expenses and (hopefully) makes a

profit. Income must exceed expenses in

order to make a profit.

Overhead expenses for the average den

tal practice will run about sixty percent

of gross income. That leaves forty per

cent to be paid to the doctor for provid

ing dental services. This is the 60/40

overhead rule, and it applies to most

practices. For most

practices, this forty

percent of gross in

When come represents doc

tor compensation, not

they are "profit."

money gets set aside for the children's education, the home mortgage gets paid off, etc. This is when most doctors de cide to cut their workdays back to four days a week instead of five. Working four da ys a week sounds great. However, that causes problems, not so lutions. Think about it. The rent, utili ties, telephone, staff salaries, payroll taxes, etc. are all five-day expenses. These expenses don't drop or become less if the doctor works four days a week. If the first three days of income pays the overhead expenses, then the

doctors cut back to cutting out a doctor

There is something you can do about it, however, and you need to do it before you lose too many patients (because of less accessibility) and too much money from paying five days of overhead out of the income from a four-day work week. It will require some changes in your lifestyle, but we have found that dentists can get used to anything. Are you ready for the answer?

Wewantyou to commit to making more money than you are currently making and we want you to do it by working three days a weekinsteadoffour. That's right, we want you to work three days a week if four days a week,

your practice can support this pro compensation day ...

gram.

or fifty percent of the doctor's net compensation.

During their early

years in practice, most

dentists will work five days a week in

order to build a practice. There is over

head five days a week, and the doctor

works five days a week. Thus, a balance

is maintained between overhead and

workdays.

Now, let's go back to the 60/40 over

head rule. If office overhead averages

60% using a five-day work week, then

the income from the first three days

pays the overhead expenses of the prac

tice, and the income from the last two

days represents doctor compensation.

That's how it works for most practices

where the doctorworks five days a week.

As the years go by, the doctor's income

needs tend to lessen, and quality of life

considerations come into play. Educa

tion and equipment loans are paid,

last two days provides the doctor com pensation. When doctors cut back to four days a week, they are not cutting out an overhead day... they are cutting out a doctor compensation day. Thus, one of two net income days is cut out, or fifty percent of the doctor's net compen sation. It does not make sense to cut personal income by fifty percent, but doctors do this all the time. Every doctor has five days a week of overhead expenses. Working five days a week is fine, but unnecessary. If you are working four days a week, then you are losing a lot of money, but perhaps your income needs are less than they once were and you haven't noticed it. Regardless, it is cost ing you a lot of money.

AFTCO will need to evaluate your facility, staff and patient base. If your practice has what it takes for this pro gram, then all we will need is a commit ment from you to be willing to work less time in the practice... and make more money than you are making now! Oh yes, one other thing, you will have twenty six weeks of vacation time every year for the remaining years you wish to practice and still make more money than you are now making. AFTCO developed this three-day pro gram for dentists who have decided that they are ready to work less time in the office and still make more money. This is for dentists who feel that there should be a payoff for all those years of hard work and sacrifice. If you are a dentist who thinks it is time to improve your "Quality of Life," call us today'

For more information, call AFTCO Associates today!

Page 24

Upcoming Continuing Education 1996

Component 1 Friday, October 18, 1996 Dr. John A. Svirsky

"AIDS/OSHA Update"

Sheraton Oceanfront Hotel, Virginia Beach

Send registration to the Tidewater Dental Association.

Component 3 Friday, September 6, 1996 Dr. Michael Glick Country Club of Petersburg. Send registration to the Virginia Dental Association. Component 4 Friday, October 4, 1996 - Dr.W. Baxter Perkinson, Jr. "Implant Restoration & Porcelain Restorations" Holiday Inn, 164/West Broad. Send registration to the Richmond Dental Society.

AIDA ~-:E:-~-" CONTINUING EDUCATION RECOGNITION PROGRAM

The Virginia Dental Association is recognized as a certified sponsor of continuing dental education by both the ADA CERP and the Academy of General Dentistry. All courses presented at the 1996 VDA Annual Meeting are approved for credit by these agencies. as well as by the VirginiaState Board of Dentistry.

Component 5 Friday, November 8, 1996 - Dr.Tom Orent "One Thousand GEMS Seminar" * Note: $20 fee for lunch Roanoke Airport Marriott.

Send registration to the Virginia Dental Association.

Component 6 Friday, August 16, 1996 Drs. John Kenney & Lynn Mouden

"Dentistry's Role in Preventing Child Abuse and Neglect:'

Martha Washington Inn, Abingdon.

Send registration to the Virginia Dental Association.

16th Trustee District Caucus September 6-8, 1996 Asheville, NC

VDA Leadership Conference路 November 1 - 3, 1996 Boar's Head Inn, Charlottesville

VDA 127th Annual Meeting September 18-22, 1996 Williamsburg Lodge, Williamsburg

VDA Committee Meetings January 31 - February 1, 1997 Hyatt Hotel, Richmond

ADA 137th Annual Meeting September 28-0ct. 2, 1996 Omni Rosen Hotel, Orlando, FL

VAO Annual Meeting VSOMS Annual Meeting June 27-July 1, 1997 Cavalier, Virginia Beach Page 25

SVIRSKY ON INFECTION CONTROL

Dr. John A. SvirskX Professor of Oral Psthoiogy: MCV School ofDentistry and an ADA Spokesperson on AID~ OSHA and Infection Control. contiues his column on these topic/ You may 011him at (804) 828-0547 or write him in care of the VIRGINIA DENTAL lOURNAl, PO Box 6906/ Richmond. VA 23230-0906 for further information or inquiries on related topics. Dr. Svirsky is on the program for the 1996 VDA Annual Meeting in Williamsburg.

Disposal of medical waste in sharps containers from dental offices

1. Sharps should be packaged in rigid, highly leak resistant and highly puncture resistant contain ers that are properly iabelqo (buy from a manufac turer or dental supply house). 2. Sharps containers should be accessible and therefore there should be one in any operatory that generates regular medical waste. An employee should not have to walk into another room and dispose of regulated medical waste (this puts an employee at greater risk of a job related injury). These containers should only be filled to three quarters full in such a way that sharps can be dropped into the container, not forced into the con tainer.

3. Before being filled to capacity, these contain ers are to be delivered to a permitted regulated medical waste treatment or storage facility (the sharps can be picked up from your office by a regu lated medical waste treatment firm). Saliva Ejectors

1. There are now studies that suggest the saliva ejector in low volume evacuation systems have the potential for cross-contamination due to the common practice of having patients close their mouth/lips around the ejector tip. It is thought that completely closing your lips around the ejector tip can cause a decrease in vacuum line pressure and may allow the evacuated fluid in the line to now backwards with the possibility of reaching the patients mouth. 2. There have been no documented cases of disease transmission from back flow, but as a pre ventive measure, patients should not be allowed to close their lips around the saliva ejector tips. No back flow has been reported using high-volume evacuators and these would be the instrument of choice whenever possible. Current infection control recommendations call for disposal of saliva ejector tips after use on each patient. Rinsing and disinfect ing evacuation lines between patients is also recom mended.

MBNA now offering frequent flyer miles ... Earn frequent flyer miles by upgrading your VDA Gold MasterCard to a Plati num Plus Miles Card. The optional MBNA Platinum Plus Miles travel rewards program allows you to earn miles toward free airline travel on any domestic commercial airline. To upgrade your card or to obtain additional information about the Platinum Plus Miles travel rewards program, call MBNA Customer Service at (800) 421-2110. For more information about the VDA Mastercard Program, please call Connie Jungmann at the VDA Office, (800) 552-3886 or (804) 358-4927.

Page 26

EXECUTIVE COUNCIL ACTIONS

June 16, 1996

Received as information only a recommendation to send Dr. Madison R. Price to the ADA Symposium "Dentistry's Role in Mass Disasters", June 28-29, 1996.

Received as information only a recommendation that the VDA President appoint Dr. Leslie S. Webb, Jr. as the Executive Commit足 tee Liaison to VADPAC.

Received as information only a recommendation to accept the resignation of Dr. Francis F. Carr, Jr., as VDA Journal Editor effective December 31, 1996. '

fumroved a recommendation that monies be budgeted for continued membership in the ADRP, following evaluation of current ADRP activities.

Approved a recommendation that a Certificate of Appreciation be developed for presentation to members at the discretion of the Executive Council. The award(s) will be presented by the Chairman of the Executive Council during the VDA Annual Business Meeting.

6QJ:2roved a recommendation that the following slate of officers be nominated and elected at the 1996 Annual Session, Sunday, September 22, 1996:

President-Elect:

Dr. Wallace L. Huff

Members-at-Large, Executive Council (2 years - 1996-98)

Dr. Thomas S. Cooke, III

Dr. Gus C. Vlahos

ADA Delegates (3 years - 1997, 1998, 1999)

Dr. William H. Allison

Dr. Ronald L. Tankersley

Dr. Emanuel W. Michaels

Dr. Richard D. Wilson

ADA Alternate Delegate (2 years - 1997-98)

Dr. Anne C. Adams

Approved the following recommendation by the Ad Hoc Committee on Communication and Information Technology:

WHEREAS, the VDA would like to become more prominent across the nation and worldwide, WHEREAS, the VDA would like to disseminate current (daily or weekly) legislative, educational and membership benefit information to its members and prospective members, WHEREAS, the VDA would like to disseminate information to the public. THEREFORE, BE IT RESOLVED that a budget request of $2,000 be designated to develop a Home Page on the Internet. 8.

Approved as amended the following recommendation from the Ad Hoc Committee for Election Reform:

1 2 3 4 5 6

ARTICLE IV

Officers

~ectiol"L1.

The officers of the Association shall be the following:

Elected - President, President-Elect, and Secretary-Treasurer; Appointive - Editor,

Parliamentarian, and Executive Director; Others - Immediate Past President, Chairman of

the Executive Council, and the Speaker of the House of Delegates.

Method of Election and/or Appointment:

8 9

The President-Elect shall automatically succeed to the office of the President at

close of the Annual Meeting.

10 11

A Jist of VDA offices open for election for the coming year will be sent to each

component prior to the Fall Leadership Conference.

Page 27

EXECUTIVE COUNCIL ACTIONS(cont.) 12 13 14 15 16 17 18 19

BC. a.

20 21 22 23 24

25 26 27

28 29 30 31

32 33

35 36 37 38 39

40 41

42 43 44

c. b.

June 16, 1996

Nominations for the elective offices may be made by one of the following methods: By the Nominating Committee, which consists of one representative e/eetefi selected by each component in the state from its membership and the three most Immediate Past Presidents the Virginia Dental Association who are willing afld able to sefVC shall serve as its chairman. and either the wesident or the president足 elect of each component society. The immediate Past President of this Association sAall be Chairman. The duty of this committee sAal1 be to nominate, in their opinion, the one most qualified person fm each available elective office; Each component repre3entatilfe 3Aall have deten'l1ined, in advance, the consenSU3 of Ai3 componcnt conceffling nominee3. No person serving on tAts the Committee is eligible to run for any elected office in the Virginia Dental Association for that year. If the Immediate Past President cannot serve as chairman of this committee, the committee would elect a chairman from their existing membership. Each component representative will serve a two-year term, with the even and odd numbered components alternating terms, with a limitation of three consecutive terms. Candidates for each office will be voted on collectively This committee shall recommend all candidates receiving at least three votes from the Nominating Committee for each available office. Potential candidates may be submitted for Nominating Committee consideration by each component representative on the committee or by the endorsement of at least twenty-five members of the VDA, as verified by the Secretary- Treasurer of the VDA. All candidates must have filed their CV and position papers with the VDA Central Office by February 1 to be published in the VDA Journal. By the endorsement of at least twenty filfe member3 of the A3sociation or the executLve committees of two component societies. Such nominations shall be submitted to the Secretary Treasurer of tAis Association who sAall determine tAe proposed candidates eligibility for the office. From the floor at the Annual Meeting, provided the nominee is in attendance and will accept the nomination. Nominations made according to pro" isions of a. and b. above shall be published in the Annual Meeting issue of the 't!f:ginia Dental Joufflal. If these nominees .... ish, and it is submitted in time, they may include a position statement on any ieseee-

AQQroved a recommendation that the amendments to the Constitution and Bylaws be forwarded to the House of Delegates for discussion.

10.

Approved a recommendation that the House of Delegates will consider how the general officers will be elected.

11.

Approved a recommendation that the registration fees for the 1997 Annual Meeting in Roanoke be the same as the 1996 meeting in Williamsburg.

12.

Received as information only a recommendation from the Auxiliary Education and Relations Committee to support Home Page on Internet through the VDA and the Committee would support and utilize the service.

13.

Approved a recommendation that the following 1981 policy of the Auxiliary Education and Relations Committee be rescinded: Dental hygiene grants should be limited to the interest generated on the principal of the Student Loan and Scholarship account, and be replaced with: Dental hygiene grants and loans shall be made from all monies in the Student Loan and Scholarship account.

14,

Approved a recommendation that the VDA sponsor the picnic for the Senior Dental Students and the families in conjunction with the Richmond Dental Society Golf Tournament at $15 per person with an estimated cost of $3,000. which is then allocated to the Dental Education and Continuing Education Committee by action of the Executive Council.

15.

8.QQLoved the following recommendation from the Constitution & Bylaws Committee: Article I, Section 6, subsection A shall read: Reinstatement of Members: A.

Page 28

Former members who have been dropped for nonpayment of dues may be reinstated upon the payment of dues in arrears. Back dues shall be required accepted for no more than three years of delinquency prior to the application for reinstatement.

Received as information only a recommendation, that the name of the Dental Care Programs Committee be changed to the Dental Benefits Programs Committee. Approved a recommendation that third party payment consultants should attempt to resolve quality control issues with the dentist prior to a patient being notified of claims denial based on quality of treatment. Approved a recommendation that third party payment consultants should identify themselves and provide credentials to the dentist when pending claims are denied, so the dentist may respond to the consultant. Approved a recommendation to make the Direct Reimbursement Subcommittee a Standing Committee of the VDA. Approved as amended a recommendation that the tuition for VDA-sponsored continuing education programs be increased to $40 per fJefflOO VDA member. Approved a recommendation that VDA support the VCU/MCV School of Dentistry Freshmen Students Luncheon up to $2,500 funding, Received as information~ a recommendation that a duplicate copy of Dr. Rizkalla's carousel of slides be made for each of the VDA component societies, and a copy be kept in the VDA Central Office. Referred back to Committee for additional information and further study a recommendation regarding the presentation of a prize to one of the fifteen Virginia Science Talent Award Program winners. Prize to be named "Dr. Bennett A. Malbon Prize" The prize would underscore the VDA's commitment to sponsor the future and acknowledge Dr. Malbon as a role model for Virginia's future dentists. Received as information 6nly a recommendation that an article be written for the November issue of the VDA Journal to include the following: A.

Review and update current guidelines for work authorizations to iaboratories and their proper maintenance.

Explain the regulations pertaining to shade selections by laboratories and include a frank discussion of the issues and responsibilities involved.

C. D.

Encourage dentists to visit the laboratories they utilize and to establish good communications with them. Encourage dentists to use VADL Laboratories.

25.

Approved as amended a recommendation that in the interest of improving the overall level of patient care and strengthening the dental laboratory industry by participating in an organization that promotes high standards, continuing education and cooperation with the dental profession, the Committee hopes that the VDA can endorse the VADl and will encourage its member dentists to utilize VADL Laboratories.

26.

Approved a recommendation from the Fellows Selection Committee that Article III, Section 2A: Duties of Chairman, Line 5... The program for this meeting shall be the responsibility of a component representative designated by the chairman. (This would replace the third sentence in Articie III, Section 2A, #5)

Dr. Gus Vlahos reports to the Executive Council. Committee on the New Dentist, June 1996

Page 29

VDA Committee Meetings June, Virginia Beach Drs. Francis F. Carr, Jr. and Harold J. Barrett, Jr. with Senator John Warner

U. S. Senator Warner and

VDA President Tankersley

Members get ready for Executive Council Meeting

EXECUTIVE COUNCIL ACTIONS (cont.)

June 16, 1996

27.

Received as information only a recommendation from the Institutional Affairs Committee to delay discussion of Bylaws changes pertaining to committee membership and duties until the next VDA Institutional Affairs Committee meeting.

28.

Received as information only a recommendation from the Institutional Affairs Committee that the committee establish a vehicle for the purpose of meeting with the Executive Council and representatives of Division of Dental Health and other appropriate institu足 tions to discuss methods of improving involvement of public health and institutional dentists in the VDA and its components. Approved as amended a recommendation that the Insurance Committee agrees to fflOv'e under the for profit arffl of the 'lDA and report to the for profit cOfflfflittee be removed as a Standing Committee of the VDA.

29.

30.

Approved as amended a recommendation that the VDA continue support, in the amount of $250, of sending a student to the YMCA Mock General Assembly.

31.

AQilloved a recommendation that the VDA contribute $3,000 to Virginians for Patient Choice - this amount is equal to last year's contribution.

32.

Approved a recommendation that the VDA establish two annual awards for membership recognition of components for: (1) the greatest percentage increase in new members; and (2) the lowest percentage of non-renewals to be awarded at the VDA General Membership Meeting.

33.

Approved a recommendation that the VDA Central Office obtain a membership benefits tape to play when people call the office and are placed on hold.

34.

Received as information only a report from Gail Bieber with the ADA regarding the ADAlVDA Field Service Program.

35.

&mroved a recommendation that it be VDA Policy that each VDA committee chairman notify their committee members of each meeting and its agenda.

36.

Approved a recommendation that the annual VDA Membership Directory shall contain a VDA committee roster including commit足 tees, committee members names, their components and their terms of membership or term expiration dates.

37.

Approved as amended a recommendation that it shall be VDA Policy that a letter be sent from the President to each new commit足 tee member including informing them of their appointment. term of appointment and responsibilities of committee membership.

Page 30

What's the reason for our

sue L

CE S

s--~-_I

â&#x20AC;˘

We could give you

Why is Delta Dental one of the leading providers of denIal care coverage in Virginia 2 A. major reason is the participation of more than 2400 of the finest dental care providers in the stote. Delta Dental was stoned by dentists, so it's only logical ihor we undersfand what works best for patients and dental care providers alike In partnership with dental professionals, we'll continue to lead the way in dental plan coverage

At Delta DenIal, our reputation is buill on a trodwion of success

DELTA DENTAL Delta Dental Plan ofVrrginia 3807 8randon Ave., SW., #360 Roanoke, VA 24018 1-800-572-3044

Page 31

EXECUTIVE COUNCIL ACTIONS (cont.)

June 16, 1996

38.

Approved a recommendation that the VDA support recommendations of Mays & Valentine's June 6, 1996 draft to convert the VDA Relief Committee (an indentured trust) to the VDA Relief Fund as a 501(c)3 Virginia non stock corporation pending final review by this Committee and the VDA Executive Committee.

39.

Approved a recommendation to approve changes as drafted by Mays & Valentine to the VDA Constitution & Bylaws regarding the Relief Committee and the Dental Education & Continuing Education Committee.

40.

Received as information only the adoption of the Governor's Club category of membership in VADPAC as presented and requests encouragement for the membership to participate.

41.

Received as information only a recommendation that each VADPAC Component representative be in contact with Component Secretary-Treasurer specifically to evaluate if the individual component's operating budget would allow the Component to sponsor a Continuing Education program for the purpose of generating proceeds for VADPAC.

42.

Received as information only a recommendation that VADPAC adopt the "Fair Share Plan".

43.

Received as information only a recommendation that VADPAC fund an additional $500 (total $1,000) for the Alliance of the Virginia Dental Association Annual Legislative State Capitol Project for the 1996-97 Session.

44.

8QQroved a recommendation for a budgetary request from the Peer Review and Patient Relations Committee for $1 ,500 for the printing of the VDA Peer Review Manual and funding for an ADA Peer Review Workshop in the amount of $1 ,500.

45.

Approved a recommendation that the following amendment be made to the VDA Constitution and Bylaws: Article VIII, Section 4B. #6.b. (Page 33 of the Constitution & Bylaws)shall read: b. Duties: The duties of this Committee shall include the following: hearing and acting on appeals resulting from actions of component society peer review committees, maintaining liaison with component peer review and patient relations commit足 tees to exchange information concerning effective ways of handling patient grievances and peer review; and keeping the peer review manual current by proposing new and appropriate changes to the Executive Council and House of Delegates when necessary. In all original hearings, actions on appeal, and other matters brought to the Committee, the Committee shall conform to the provisions of the peer review manual.

46.

Approved a recommendation that the Executive Council approve the expenditures of up to $26,000 from the reserves if needed to balance the budget.

47.

Approved a recommendation that the Executive Council approve the Budget worksheets as submitted.

48.

Approved a recommendation that the budgets for 1996 and 1997 of Direct Reimbursement be approved as requested.

49.

Received as information oQly a report from the Virginia Dental Services Corporation on the activities of the VDSC.

50.

Received as information only a report from the VDA Executive Director regarding the activities of the Virginia Dental Associa足 tion during the past year and a schedule of planned events and activities for the coming year.

51.

Received as information only a report from the VCU/MCV School of Dentistry on activities at the School since the January Committee meetings.

52.

Received as information only a report from the Acting Director of the Division of Dental Health of the Virginia State Health Department on activities of the Division since the January Committee meetings.

Page 32

· L~M-up ... A Vw~rvadUw-rv Vl¥~V~ciLtA~W-VV

12 7tJv A V\¥lUCLl; Meet:~

5 eptembe« 18 -22 1996 W' , ~ Vl¥~ J

r--

WHY A DIRECT REIMBURSEMENT PLAN?

Direct Reimbursement is a simple, cost-effective method for employers to provide dental health care benefits to their employees. Whether the company is large or small, these self-funded dental benefit plans can be designed to employer's specifications. DR plans have been proven to save employers money when compared with traditional dental insurance plans.

What Are The Advantages of a DR Plan? Freedom of Choice: In a Direct Reimbursement plan, employees are free to choose their dentist with out being forced to choose from those on a provider list. The dentist and the patient determine the treatment plan without limitations imposed by insurance com panies.

Flexibility: Flexibility of plan design allows the employer to control the level of benefits in the plan. An employer may choose to include deductibles and! or an annual maximum benefit. Costs: Plan cost is based on actual dental expense incurred, not on premium payments made, regard less of usage.

Administration: An employer can choose to have a third party administrator (TPA) administer the plan, or elect to self-administer the DR plan. Either way, administrative costs are far less than with a tradi tional dental insurance plan.

How Can You Participate In Promoting DR?

First, educate yourself about the advantages of Direct Reimburse ment. Secondly, talk with your patients about their dental ben efits plan. Each day you are in contact with patients, business organizations, and neighbors; among this group of people you probably know at least one business owner or human resource manager for a business. These are the individuals who are mak ing the insurance purchasing decisions for their business or com pany.. Your role is to help us to identify those decision makers whomyou feel will be open to discussing the benefits of DR. If you are able to provide a referral or have a contact who would

like more information about Direct Reimbursement. please con tact anyone of the individuals listed below:

Connie L. Jungmann

Assistant Executive Director

Virginia Dental Association

804-358-4927

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

804-353-7342 FAJ(

CP, Coyner, Benefits Consultant

Benefits Administration. Inc. 804-320-4500 804-379-3509 FAX Jon L.W. Swan, Benefits Consultant

Benefits Administration. Inc.

804-378-6206

804-379-3509 FAX

Page 34

Virginia selected to participate in ADA's DR advertising campaign The ADA recently launched its national DR advertising campaign with a full-page ad In Business Insurance, the most-read trade publication among benefits purchas ers. The ad is just the opening phase of the national DR campaign called for by Res. 129-95 and approved by the ADA Board of Trustees at its April meeting. The overall DR campaign will also include an interactive computer disk that explains how DR works and how employers can implement a DR dental plan. The disk will be polybaqqed along with Business Insurance and mailed to targeted markets in mid-July. A second full-page ad will be used interchangeably each week in Busi ness Insurance through the end of August; the ads will also appear in Employee Benefit News and Human Resource Executive throughout July and August. states, Caiifornia, Georgia, Indiana. Minnesota, Texas and Virginia, have been selected to participate in a pilot direct mail campaign. These test markets were selected based Oil their geographic location, their experience in promoting DR and their ability to follow up on leads generated from the campaign. "It was critical for each of the pilot markets to have in place the resources to respond to leads on employers interested in adopting DR," noted Clay Mickel, associate executive director, ADA Division of Communications in a recent ADA News article. "The last thing we want to do is generate a lot of leads and not be able to follow up." All materials will encourage benefits managers to contact the ADA, noted Mr. Mickel, so the Association can track the success of the campaign. But leads will be for warded to the states for follow-up. SIX

The pilot project begins in July with a teaser mailed to benefits managers at com panies targeted within each state. The purpose of the first mailing will be to intro duce DR to benefits managers and to encourage them to watch their mail for the DR computer disk. The disk will be mailed to the same benefits managers, and a third piece will follow the disk and remind benefits managers to call the ADA for more information. A special toll-free number has been established within the Council on Dental Benefit Programs to field calls from interested benefits manag ers. Funding for the campaign - some $400,000 - will carry the DR message through the end of August. The success of the campaign then will be evaluated for refine ment. The ADA Board of Trustees and the 1996 House of Delegates will decide the future of the campaign with input from the councils on Dental Benefits Pro grams and Communications.

< z

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Page 35

IRl

VADPAC

LEADERSHIP

DINNER

Fresh from his triumph in the Republican Senate Primary Election, U.S. Senator John W. Warner was the principal speaker at the VADPAC Annual Leadership Dinner on June 14, 1996 at the Sheraton Oceanfront Hotel, Virginia Beach. The Senator reminded the 107 in attendance that June 14 was Flag Day and gave us his thoughts on our flag and its symbolism. He emphasized the necessity of citizen involvement in the political process and the positive effect organized dentistry has in legislative affairs. VADPAC was fortunate to have this friend of our profession join us for the evening. VADPAC members also heard from Mrs. Jocelyn Lance, Legislative Chairman. Alliance to the American Den足 tal Association and from Chuck Duvall, VDA Lobbyist. Dr. Ray Lee, VADPAC Program Chairman. aided by Senator Warner, honored Mr. Duvall with a surprise birthday cake on his 52nd Birthday. VDA President Dr. Ron Tankersley made closing remarks, thanking Senator Warner and urging all Virginia dentists to work in the Political arena, think of their future, and contribute to VADPAC.

Page 36

The dentists of Virginia can be proud of our support for VADPAC over the years. The PAC system for political contributions was legislated twenty years ago as part of post-Watergate campaign reform. Though the PAC system has been under fire in the present congress the odds appear to be in favor of the present system remain足 ing intact. Our political system is a flawed one, but we could make a good case that it is the best the world has known up to now. Legislation and government involvement in our daily lives is a real growth industry. Nothing reflects this more than the cost of getting elected to public office. In case you have not noticed, it has risen tremcn足 dously in recent years, and with the stakes so high it is not surprising. Politicians need large, often huge sums of money to get elected. They cannot get their message out without the funds. Contributions, either personal, or through our VADPAC do not buy votes or appointments. Money does let the politician know who their friends are , and gives access. Through this access our representatives can present the view of the Virginia Dental Association on a particular issue to the candidate or incumbent. The politician can then decide to support our position partially. in full, or not at all. A good example of this interaction occurred recently when our VDA president. Dr. Ron Tankersley, presented a VADPAC check to Senator John Warner. The Senator asked Ron, what about managed care? How is it affecting dentistry? Forty five minutes later Senator Warner was extremely well informed on our viewpoint. We had access and were listened to. In his speech to us at the VADPAC dinner at the VDA Committee Meetings at Virginia Beach in June, Senator Warner expressed support for the goals of HR 2400, the Family Health Care Fairness Act. This bipartisan bill now before Congress authorized by Representative Charlie Norwood. a Georgia dentist, stresses patient choice, access, and plan accountability in managed care. This sequence of events exemplifies what our VADPAC hopes to help accomplish with the key politicians of Virginia on the state and national level.

Today we face the challenge of bringing our VADPAC to a higher level so we can continue to be a player in the politics of Virginia. The PAC contributions for 1996 have been significantly lower than in the past. The 1996 VADPAC cam足 paign is underway and we need your help. We have to build towards 1997 when all of the 140 legislative seats as well as the executive officers are up for grabs in the Virginia State Government. In case you did not realize it, these are the folks who make the laws which govern how you practice dentistry! The basic VADPAC categories of giving, $50 for active membership, $100 additional for Commonwealth Club remain the same. In order to respond to the increased costs which are involved a new category of giving, the Governor's Club has been inaugurated. In this category a $500 contribution ineludes VADPAC Contribution, VADPAC Commonwealth Club, ADPAC Century Club, VADPAC Leadership Dinner and Private Function with Key Political Figures. VADPAC needs your support more than ever this year. To send in contributions or get information the VADPAC address is: P.O. Box 6906, Richmond, VA 23230. Telephone is (800) 552-3886.

Rod Klima

s u

Page 37

The Virginia Dental Association is pleased to provide

a new service to its members - a Member Glove Benefit Program. IMG/GMI premium powdered latex examination gloves are available to VDA members at a cost of $39.50 per case (packed 10 boxes per case, 100 gloves per box) plus shipping. Shipping discounts are available on purchases of 4 or more cases. Payment options for gloves ordered include prepayment, credit card or invoice. A $1.50 dividend is paid to the Association on every case of powdered gloves purchased by VDA members, providing non-dues revenue to support dental programs in your Association. Here is an opportunity to purchase quality latex examination gloves at an outstanding price, and to give a little back to your Association with each order placed.

To place your order for gloves, caIIIMG/GMI at (800) 775-6412 or (800) 633-4568, Monday through Friday, 6:00am to 5:00pm (Pacific time.) For additional information about the glove program, call IMG/GMI Customer Service at (800) 608-8585, or Connie Jungmann, Assistant Executive Director at (800) 552-3886 .

•

Health Volunteers Overseas'Tenth Anniversary August 1st marks Health Volunteers Overseas' (HVO) 10th anniversary.

Since 1985, HVO has sent more than 1540 volunteer physicians, nurses,

dentists, physical theraptists and other health professionals overseas to

teach. Their impact is beyond measure. Sharing their knowledge and

expertise with local health care providers and educators has resulted in

improved health care outcomes for thousands of patients around the world.

Thanks to HVO volunteers, new concepts in rehabilitation were introduced

in Vietnam; graduate programs in orthopaedics were established in Ethio

pia and Uganda; hundreds of anesthesia assistants were trained in Malawi

and Uganda; a formal two year training course for nurse anesthetists was

established in Guyana; oral health surveys were conducted in Grenada

and Guyana; medical libraries were put into place in Mozambique, Ethio

pia, Vietnam, Malawi, and other sites; and over $5.7 million of educational

materials and equipment were sent overseas.

HVO is a private, non-profit voluntary organization whose mission is to

foster long-term improvements in the quality and availability of health care

in developing countries through training and education. Currently HVO

has programs in 19 countries throughout Africa, Asia, and Latin America.

Revenue sources include membership dues from individuals, corporations

and professional associations, as well as donations and grants. HVO also

participates in the Combined Federal Campaign as well as state and local

workplace giving campaigns. Ninety-six percent of all resources in 1995

were directed to programs with the remaining 4% being spent on fundraising

and administrative expenses. Every dollar donated to HVO in 1995 gener

ated $14 in services, educational materials and other support for program

sites.

Donald Timberlake, DDS, from Charlottesville spent a part of 1995 in Viet

nam donating his services in this program.

Page 38

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Page 39

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Page 40

FOR

TH:::

FRCFESSIONAl

The Virginia Academy of Gen eral Dentistry received national honors at this year's Portland AGD Meeting. President Bruce DeGinder ac cepted the Constituent of the Year Award given to the state with the overall best programs and strengths in membership, continuing education, gover nance, public information and publications The Virginia Academy of Gen eral Dentistry also received a first place award in Membership for recruitment and retention pro grams and a second place award for their Continuing Edu cation Programs.

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It's happening in Williamsburg It's happening in Williamsburg It's happening in Williamsburg

September 18 - 23, 1996 Be sure to register by

August 19, 1996!

J Dental Careers Program Director Honored The Director of the Dental Careers Program at E.C. Glass High School in Lynchburg has been named Lynchburg's 1996 Teacher of the Year. Ms. Sandy Williams received the award at a recent meeting of the School Board and will represent the city in regional Teacher of the Year competi tion later this fall. Williams has spent six years building and teaching the Dental Careers Program. "I feel so close to my students, Williams said. "I really feel like they are mine." The dental program is made possible through a partner ship between the Lynchburg school system and the Lynchburg Dental Society, which provided much of the money for the two operatories, instruments, and other equip ment. Ms. Williams teaches between 30 and 40 students each year to be chairside dental assistants. They spend two years in the program with much of the second year spent in a local dental office. Many students go on to be come dental hygienists, lab technicians, or other medical professionals. Ms. Williams was selected from among six nominees be cause of her strong communications skills and teaching strategies, said AI Coleman, the Lynchburg school admin istrator coordinating the selection process.

Page 41

( Conlponent News)

..r

Barry Einhorn, Editor

Our annual meeting was held on Wednesday, August 7th, at the Ramada Plaza Resort in Virginia Beach. At this meeting we discharged our 1995-96 slate of officers with special thanks to David Paul for an outstanding tenure as president. We also installed Wayne Mostiller as president for 1996-97. We take pride in the accomplishments of our colleagues in our component. Dr. Jack Atkins was one of only seventeen Virginians who was selected as a torch bearer for the Olympic Games. Jack was chosen because of his many years of commitment to community service. He has traveled for many years to third world countries performing dental service as well as giving many hours to his local community. Speaking of foreign dental service, Harold Haefner and Warren Sachs were in Haiti giving emergency care. Harold told me that they had a dental chair out in the jungle with only a portable lamp for a light and all they did was extract teeth. After working for several hours, he looked up from the dental chair to see a line of patients stretched as far as he could see. Rob Rubin was recently elected presi dent of the Edward H. Angle Society of Orthodontists. The Angle Society is composed of approximately 500 orth odontists representing 4% of the nation's orthodontic specialists. Membership in the Angle society requires that each member present reports of his or her re search to colleagues and prepare articles for publication in the Angle Orthodontist.

Page 42

We mourn the passing of our colleague and friend, Lonnie O. Clark, Jr. Dr. Clark graduated from MCV Dental School in 1943 and after serving in the Navy Den tal Corps during the second World War, he opened his practice in Virginia Beach in 1946. Dr. Clark served as president of the Vir ginia Dental Association in 1980-81. He was a past president and treasurer of the Tidewater Dental Association. Dr. Clark was a member of the Pierre Fauchard Academy, a fellow of the American Col lege of Dentists and the International Col lege of Dentists. In 1992 he received the Richard Simmons Award from the Tide water Dental Association.

Cory Butler, Editor

As Summer becomes a distant memory, we should all reflect upon the accomplish ments of the VDA (especially on the leg islative front) and its leadership under the direction of Ron Tankersley; however, we should not become complacent in our ever changing profession. A tremendous amount of work remains to be done; as a reminder Dr. David A. Whiston continues his pursuit of ADA president-elect for 1996 in Orlando, and we once again encour age your help. In addition, we, as always, need your help in contacting legislative candidates for the upcoming elections in November. Furthermore, please inform Benefits Administration, Inc. of any po tential businesses interested in Direct Re imbursement. A number of our members attended the June Committee Meetings in Virginia Beach and were involved at various lev els. We encourage everyone's input; in

volvement is part of the democratic pro cess that makes our organization stron ger. On the local scene we would like to thank our component president, Gisela Fashing for her diligence and leader ship over the past year. We congratu late Dr. Wilson Ames on his article in The Virginian Pilot commemorating his family's 100 years of practice and ser vice in the community in Smithfield. We would like to welcome the newest mem ber of our component, Dr. Jon Piche'. Our condolences go out to the family of Dr. Thomas Wilson who passed away in April of this year. The 1996 VDA Annual Meeting in Williamsburg (September 18-22) prom ises to be one of the best yet with a golf tournament and clinic beginning on Wednesday (given by two time U.S. Open Champion Curtis Strange) fol lowed by two full days of continuing education (remember those mandatory CE hours), the return of tavern dinners, lantern tours, presidential gala and dis count coupons available to Busch Gar dens. For more information on how you and your family can enjoy this fabulous weekend contact the VDA office. The members of our component hope to see you there!

•

Reed Boyd, Editor

It never ceases to amaze me how fast time flies. It seems that just yesterday the kids were getting out of school for the summer and so many plans of sum mer were beginning to come to realities as the time for vacation arrived. I guess that it just seems that way because so many plans are made so far in advance. It seems that we are constantly looking months into advance for everything. Cer

tainly in our practices where appointments are being scheduled six months ahead, time must seem to move quicker. Vaca tions are behind us. My family and I were busy this summer. Between Little League Baseball and Boy Scouts with our son Adam, swim team meets with our daugh ter Jessica, we were extremely busy. I went to Boy Scout Summer Camp with Adam my first time in thirty years. Wow, it hardly seems it has been that long. We were fortunate to obtain tickets to several Olympic events and spent about a week in Atlanta. That was a tremendous expe rience, seeing nations compete in an arena other than a battlefield and in the spirit of competition and peace. It was a very insightful experience, not to mention the sense of patriotism that overwhelms you as you watch our athletes compete for our country and watch as the national anthem is played during a Gold Medal Ceremony. I can only urge you to MAKE the opportunity to go to the Olympic Games. You will not regret it!

•

The Southside Dental Society has been active during the summer. We had Dr. Joe Niamtu with us in June for a day of Continuing Education and the Pork Fes tival. Joe spoke on Office Emergencies and Office Management during the day and the afternoon was left free to enjoy chitlings and other fine pork products, along with beverages and music at the Pork Festival. We have been busy and our new officers are planning the next year which is beginning right now. Dr. Roger Palmer of Emporia is taking over as President. Dr. Mike Hanley is moving into the office of Immediate Past Presi dent. Dr. John Bass of South Hill is as suming the office of President-elect, Dr. Richard Roadcap of Colonial Heights will be our Secretary and Dr. Richard Bates, also of Colonial Heights, will be our Trea surer. The Annual Meeting of the VDA is just around the corner. New officers will be installed and Dr. David Whiston will be sent off to the Annual ADA Meeting with good luck in his quest to become the next ADA President. Good Luck, Dave, as you seek to gain the leadership of our organi zation! Do us proud!

enjoyment and learning. Several continu ing education courses are being offered which will almost completely satisfy your licensure requirements for CEo The House of Delegates will be looking at sev eral Constitutional changes. A commit tee to study Election Reform was ap pointed and has been meeting to look at the election processes within the VDA with the goal of making it an easier and more "open" process for everyone wish ing to get involved. The actual election of officers has come under close scrutiny by the committee and several proposals for change have been suggested. Cur rently, the election of VDA officers is held at the Annual Meeting and any member of the VDA present at the meeting can vote. There is a movement to change this and allow the House of Delegates to do the voting for the officers rather than the individual members. An interesting fea ture of our Constitution allows the House of Delegates the power to change the vot ing process by a vote within the House of Delegates. Essentially, the House of Del egates has the power to remove the vote of the individual members of the VDA in the election of officers. If you have an interest in the voting process of the VDA, you need to talk with your Component's Delegation and let them know your feel ings. I am sure that this issue will be re ferred to a Reference Committee at the Annual Meeting. I would urge you to at tend the Annual Meeting in person and make your feelings known at the Refer ence Committee Hearings. There will be other interesting meetings and happen ings. I would urge you to come to Williamsburg and attend the meetings so that you, your component, our VDA and the ADA will all benefit. Look forward to seeing you in Williamsburg. I wish each of you all of the best in your endeavors and life. Keep smiling!

"=.omporrerlt 1\/

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Gary R. Hartwell, Editor

There was outstanding participation by our component membership at the June VDA Committee Meetings in Virginia Beach. The VDA continued to move for ward with its Direct Reimbursement Pro gram. Its efforts have been recognized by the ADA in being selected as one of the few states to pilot the overall direct reimbursement effort being promoted at the national level. The component looks forward to a very exciting Fall Schedule. The annual Sep tember VDA Meeting in Williamsburg will feature an outstanding continuing educa tion program. It is such a wonderful time of the year to visit a beautiful place and have both a positive educational and so cial experience with members from throughout the state. Dr. Norman Marks has arranged out standing programs for both our monthly component meetings and all-day continu ing education courses during the coming year. The monthly meetings for October and November will feature Dr. George Kaugars (October 17th) speaking on "Ra diographic Diagnosis" and Dr. David Burns (November 21st) whose topic will be "Implant Retained Overdentures". There will be two all day continuing edu cation courses in October. The first pre sentation on October 4th will feature our own Dr. Baxter Perkinson. This will be followed on October 25th with Roger Levin's outstanding presentation on prac tice management. Look forward to seeing everyone in Williamsburg!

This Annual Meeting of the VDA prom ises to be an exciting one. Some out standing programs are planned for your Page 43

( Component News J

'::omponent \/1 '~;outt'I\II/e::::t

R. Graham Hoskins, Editor C.(,mponent . . ,.

F'It?cimc,nt

Ed "Chopper Snyder, Editor

The summer has ended, vacations are over, and its time to return to the school time routine! Please mark your calen dars for our fall meeting. This meeting will be held at the Roanoke Marriott. The date will be Friday, November 8, 1996. The speaker will be Dr. Jim Orent and his topic is titled "The 1000 Germs Semi nar". This will be an excellent meeting to learn some practical "pearls" while acquiring nearly half the necessary con tinuing education credits to maintain your state dental license. Be alert for more specific information. Dr Mark Crabtree was recently elected Vice-Mayor of Martinsville. He is also a member of our State Board of Dentistry. Congratulations Mark! Please give me a call or write/fax me a letter if you have anything to report in the VDA Journal. Dr. Edward "Chopper" Snyder 15 Cleveland Ave., Suite #6 Martinsville, VA 24112 (540) 632-4144 Fax (540) 632-9083

August 16th, 1996, will be the date of the annual Abingdon meeting at the Martha Washington Inn. The speakers will be Dr. John P. Kennedy and Dr. Lynn D. Mouden on "Dentistry's Role in Preventing Child Abuse and Neglect." This meeting is timed to coincide with the local Highland Crafts Festival which offers unusual shop ping and browsing opportunities. The Barter Theatre is right across the street from the Martha Washington Inn and makes for an enjoyable stay. The Fall meeting will be on November 15, 1996, at the Donaldson-Brown Center at VA. Tech in Blacksburg. The speaker will be Dr. Valerie Beecham and the topic will be Pharmacology. The Spring meeting will be March 7,1997, at Emory and Henry College. The speaker will be announced at a later date. The May meeting is slated for May 16 18, 1997, at Pipestem State Resort Park in Pipestem, WV. The component is pleased to announce the speakers, Dr. Jasper Lewis and Anne Page Griffith, founders of Practicon. They will be speak ing on "Secrets to Managing the Acceler ated Dental Practice." Plan ahead now for an enjoyable weekend with the annual golf tournament and outdoor barbecue. Looking forward further the Abingdon meeting is scheduled for August 15, 1997 with Dr. Harold Crossley speaking on Therapeutics and Pharmacology.

Page 44

In component news, Dr. William Stanton was granted Retired Membership from the ADA in June. Dr. Perry Stubbs rejoined the component as a retired member. Dr. Christopher Huff was appointed to the Membership Committee. Dr. Wally Huff received the nomination for the VDA President-Elect to be voted on during the Annual Meeting September 18-22, 1996 in Williamsburg. Component 6 will spon

sor a social function from 5-8pm in Suite 4026 - everyone is invited to join us. The component welcomes Dr. William Henley of Lebanon into Retired Life Mem bership and welcomes the following mem bers into Life Membership - John Kelley of Bristol, Gene Rorrer of Abingdon, and William Stanton of North Tazewell. The Southwest Component also notes with sadness the death of Dr. Walter Pierce of Bluefield

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Component VII has alway had outstand ing members and here is certainly one of them. He is a Shenandoah and VDA Past President, ADA Delegate, Pilot and former elected offical. Busy as he is, he finds time to become deeply involved in his church and take on great responsibil ity. We congratulate the Reverend Dr. Ra leigh H. Watson upon his ordination to the Sacred Diaconate by the Rt. Rev. James P. Clark, Bishop of the Southern States, Anglican Province of Christ the King (Tra ditional Episcopal) on June 1, 1996 in Winchester. He will serve as Assistant Deacon of St. Michael the Archangel Epis copal Church in Winchester and will con tinue in full-time practice of dentistry in Berryville. We hope to see all our members at the VDA Annual Meeting in Williamsburg.

Comt:":,nerI1 \/Ili r',jorlhetTI \"'ir~jlilla

Mev Notes Bruce W. Jay, Editor Congratulations to John Coker of Fredericksburg on his carrying the Olym pic torch on June 21st. John was nomi nated by the United Way, whose respon sibility it was to select "local community heroes" to carry the torch throughout the US on its way to Atlanta. The Northern Virginia Dental Society mourns the passing of Dr. Sidney Abramson in March of this year. Born on March 26, 1911, Dr. Abramson was gradu ated from Georgetown University School of Dentistry in 1933. He joined the NVDS and the DC Dental Society in 1933, the same year he established his practice on North Alfred Street in Alexandria, In 1977, he became an ADA Life Member. He re tired from practice in 1986. He is sur vived by his wife, Ethel B. Abramson of Alexandria. On March 20, 1996 on behalf of the NVDS, Dr. Alan Bagden accepted a por table dental unit that the Reston Rotary Club had donated to the Society. Dr. Vince Mascia spearheaded a drive to ac quire the equipment which will be used for local charity work and to perform den tistry for the poor in foreign countries. Also in March of this year, Drs. Gary Arbuckle, Mitchell Buksin, Charles French, Gopal Pal, John Hall, Sameh Hanna, Bruce Hutchison, Mike Kuzmik, Don Chaen Kwok, Mark Luposello, John Salmon, Phil Wine and Tim Russell rep resented the NVDS in its second National Science Talent Awards Program (NSTAP). The NSTAP recognizes the research accomplishments of area high school students and promotes an inter est in dentistry and dental research as careers.

Thomas C. Burke, Assistant Dean for Continuing Education In June, the School implemented plans to renovate the second and third floors of the Lyons Building. In order to accomplish the renovation, the School is also having to re move asbestos from the first, second and third floors. Once the asbestos removal is complete, the School will begin redesign ing space on the third floor for alternative uses including additional research space. This space is now available due to the re duction in the School's enrollment from 110 students per class to 80 students per class. The renovations and improvements to the second floor are currently underway while those on the third floor await comple tion of asbestos abatement.

studentsa discreetarea to discuss individual patient concerns and answer questions, thus creating a more patient-friendly environ ment. The asbestos removal on the third floor of Lyons is scheduled to be completed by the end of September, and the renovations to the Oral and Maxillofacial Surgery/Emer gency Care Clinic should be completed to wards the end of October. The patient receptions area is scheduled to be com pleted before the end of September. In conjunction with these facility renova tions, the Lyons Building is being wired with fiber optic cable to improve computer con nectivity. This project will enable faculty to communicate more effectively both in ternally and externally. Once this is ac complished, the entire dental school com plex will be capable of accessing individual offices as well as the Internet.

The two major projects scheduled for the second floor are the renovation of the Oral Surgery Clinic and the redesign of the pa tient reception and waiting area. The "new" Oral and Maxillofacial Surgery/Emergency Care Clinic will include nine operatorles, equipped with Adec chairs, units, and lights. As you may know, the patient waiting area and chart room are currently located on the second floor between the Woods and the Lyons buildings. This area is also being redesigned with new furnishings. One important change in the redesign of the second floor waiting area will be the relocation of the reception desk and chart room. The reception desk will be relocated toward the hallway facingthe elevators. The other major change will be the eventual relocation of the chart room to the first floor of the Lyons Building. By relocating the chart room and moving the reception desk it will enable us to enlarge and im prove the patient waiting area. In addition to the renovation of the space, six new pa tient counselingcarrels will be constructed. These semi-private areas will allow staff and

Page 45

TORCHBEARERS Two Virginia dentists were Torchbearers as the 1996 Olympic Torch Relay came trough the Commonwealth on its journey from Greece to the Centennial Olympiad in Atlanta. Dr. John H. Coker, Jr., a Stafford Orthodontist, carried the torch through Fredericksburg on June 21. He is a Past President of the Fredericksburg United Way and his Rotary Club. Dr. Coker was an organizer of the Stafford Youth Basketball Association and has been Senior Warden at St. George's Episcopal Church. Dr. John M. Bass, a South Hill General Practitioner, carried the torch from Route 1 through Dogwood Triangle Park in South Hill on June 22. He is a marathon runner and frequent long distance cyclist. Dr. Bass is an enthusiastic volunteer with the South Hill Chamber of Commerce; this past year he organized an Oral Cancer Screening Clinic for his community. He is incoming President-Elect of Component

Dr. John Coker of Staford, tvaves to well足 wishers as he carries the olympic flame on his relay lap through Fredericksburg.

Dr. John Bass of South Hill holdsthe Olympic Flame high before beginning his part of the 1996 Torch Relay. III.

The Atlanta Committee for the Olympic Games chose these leaders and dentists for their outstanding contributions to their communities. For 84 days, beginning April 27, the Olympic Torch Relay of 5500 individuals carried the Olympic Flame through thou足 sands of communities across America. We are proud of the Virginia Dentists chosen for this honor.

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DCF offers a course in Dental Assisting 3 times per year. It wit be taught on Saturdays for 12 consecutive weeks in a practicing dental office using state-of-the-art equipment for a true "handson" experience. The course includes: -Four Handed Chair-side Assisting

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Page 46

hcenved h~ the Vrrgim.r ~tclll' Board ol

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Firstin a Series

When are Americans at their best? When are we most likely to find the creativity, the new ideas, and the leadership we need to advance-as individuals, as businesses, as communities, and as a nation? America's associations know when. It's when we come together,when weshare knowledgeand information,and when togetherwechart a course for innovation, excellence, and growth. Makingthings better by associationhas been a guiding principle in American culture and commerce since Revolutionary times. As a nation, we learned early on that we could achievegreat thingsby joining with others. Byassociation.

How is America making things better by association today?

We're creating knowledge. Pushing at the forefront of new technologies. from ethanol powered busses to reduce potlution in America',inner citiesto better laboratorytestingproceduresto combat AIDS around the world. Creating networks for sharing health care information resources. Doing the research to understand the role of women-ownedbusinessin jobscreation.

We're il/I/ovating. Creating training programs that help workersshift from decliningindustries to growing ones. Helping communities create and sustain positive businessclimate. Developing model financingstrategiesto maintain affordablehousingstock.

We're learning. Helpingworkersgain and applynewtechnical skillsthat they needto be competitivein the digital age. Certifying and re-certifying professionals-from architects to engineers to nurses-as knowledge advances. Creating the public education programs that make everyonesmarter about the health and lifestyle changesthat can mean longer,better lives.

We're definil/gstanda:dsfor excellence. Setting the bar high, for everything from standards for teaching mathematics in elementary and secondary school to standards for bursting strength in packages. And taking on the tough ones: creating standards for ethical performance in medicine, as technologymakesknowingwhat'sright harder and harder.

AI/d we're helpil/gpeopleal/dCOII/II/llllities grow. Sharing best practicesacrosscommunities and professions, in everythingfrom marketing and customer serviceto building diversityin the workforce. Providingopportunities for community service. Creating forums,in communitiesand industries,for training the next generation of talented young leaders.

Advancing America. Creating knowledge. Innovating. Learning.

Ensuring excellence. Bringing people together.

ji Associations Advance America

Page 47

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

Integrity. Virginia Dental Laboratory uses

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

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

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

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

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

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

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

Since /932

irginia Dental Laboratories, Inc. 130 W. Yark Street Norfolk. Virginia 23510 (804) 622-4614