Virginia Dental Journal by Virginia Dental Association

VDA MEMBERSHIP

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

Your Professional and Personal Insurance Needs

* PROFESSIONAL PROTECTOR PLAN® -

Consolidate all your office insurance requirements within a unique, replacement cost property and liability package, including malpractice at excellent rates.

* GROUP MAJOR MEDICAL PLAN -

For you, your family, your employees. Deductibles of $200 to $5000 available. Pays up to a maximum of $2 Million for each covered person.

* HOSPITAL

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

* ACCIDENTAL, DEATH AND DISMEMBERMENT -

Up to $300,000 24-hour accident insurance available to member and family.

* DISABILITY INCOME -

Up to 70% of earned income for disability due to sickness or accident. Low-cost association group policies or individual, non-cancellable, guaranteed renewable policies at a substantial discount. Special employee plans.

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

* CONVERTIBLE TERM LIFE -

Up to $1,000,000 for members and spouses. Children's rider available. Insurance does not reduce in amount as age increases.

* PERSONAL LINES - Specially designed for the professional. Protect almost all of your possessions, residences, and valuables - with one policy and one bill payable in installments. Includes Personal Umbrella Liability.

---.."j~r---SUTERHAYCRAFT&SIMMONS INSURANCE

FOR

THE

PROFESSIONAL

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

CAll 703-241-0011 or 800-572-2366 lin Virginia)

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

Dave and Julie Whiston

send their thanks

to the membership

of the

Virginia Dental Association.

Your friendship and support will be remembered always.

z o --~ --u o ~ ~

OFFICERS

President: William H. Allison, Warrenton

President Elect: Wallace L. Huff, Blacksburg

Immediate Past President: Ronald L. Tankersley, Newport News

Secretary- Treasurer: Charles L. Cuttino, III, Richmond

Executive Director: William E. Zepp, CAE

P.O. Box 6906, Richmond, VA 23230

EXECUTIVE COUNCIL

Officers and Councilors listed and Councilors at Large: David C. Anderson, Alexandria (1997) Vice Chairman Thomas S. Cooke, II, Sandston (1998) Gus C. Vlahos, Dublin (1998) Andrew J. Zimmer, Norfolk (1997) Ex Officio Members: Parliamentarian: Emory R. Thomas, Richmond Editor: Francis F. Carr, Jr. Richmond

Speaker of the House: D. Christopher Hamlin, Norfolk

Dean, MCV SchoolofDentistry: Lindsay M. Hunt, Jr., Richmond

COUNCILORS 1) Edward J. Weisberg, Norfolk 2) Bruce R. DeGinder, Williamsburg 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

-J

Z LJ.J o

«-z -o ~

-->

SOCIETY

PRESIDENT

SECRETARY

PATIENT RELATIONS

Tidewater, I

T, Wayne Mostiler 303 DePaul Medicai Bldg

Ralph Howell, Jr.

Wayne E. Stroud

102 Western Avenue Suffolk, V A 23434-4434

5301 Providence Road Virginia Beach, VA 23464

Jeffrey N. Kenney 716 Denbigh Blvd. #C

Corydon B. Butler, Jr. 1319 ,Jamestown Road

Lawrence A. Warren 106 Yorktown Road

Newport News, VA 23602

Williamsburg, VA 23185

Tabb, VA 23693

Roger A, Palmer

Richard Roadcap

John R. Ragsdale. ill

307 Dogwood Lane Emporia, VA 23847

3501 Boulevard Colonial Heights, Va 23834

9 Holly Hill Drive Petersburg, VA 23805

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

Charles E. Gaskins, III

Thomas S. Cooke, III

703 N. Courthouse Rd Ste 201 Richmond, VA 23236

39 W. Williamsburg Road Sandston, VA 23150

James R. Evans 936 Main Street Danville. Va 24541

Gregory T. Gendron 7 Cleveland Avenue

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

Dana Chamberlain 645 Park Blvd. Marion. VA 24354

Jack D. Cole

Shenandoah VaHey, VII

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

Edward L. Amos 1002 Amherst Street Winchester VA 22601

William J. Viglione 302') BerKrnar Dnve Charlottesville VA 229CJ i

Northern Virginia, VIII

Bruce R. Hutchison

Norfolk, VA 23505 Peninsula, II

Southside, III

Richmond. IV

Piedmont, V

Southwest, VI

14260 A-B Centreviile Sq Centreville. VA 22020

Martinsville. VA 24112

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

Edward M. O'Keefe

4102 Electric Road

Roanoke, VA 24014

303 Court Street Abinqdon, VA 24210

Neil J Small 9940 Main Street Fairfax. VA 22021

Vi rg!!!,iJ~rna, Francis F. Carr, Jr., Editor

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

Volume 73

~~ William E. Zepp, CAE, Business Manager

ASSOCIATE EDITORS 3. H. Reed Boyd, III 5. Edward P. Snyder 4. Charles E. Gaskins, III 6. R. Graham Hoskins

7. Gerald J. Brown 8. Bruce W. Jay

October-November-December 1996

MCV Thomas Burke

Number 3

TABLE OF CONTENTS 5

7 8 11

15 17 19

20 24

29 32 41

45 50

Editorial Letters to the Editor The Importance of the Coronal Seal following Root Canal Treatment - Bruce A. Begotka, DDS & Gary R. Hartwell, DDS, MS

1996 VDA President's Address-Ronald L. Tankersley

1996 VDA President-Elect's Address-William H. Allison

Svirsky on Infection Control

Leadership-A Virginia Tradition

VDA Annual Meeting in Photographs

1996 ADA Annual Meeting in Photographs

Deaf & Hard of Hearing Patients: Positive Communication

VDA House of Delegates Actions in Brief

Minutes of VDA Annual Membership Meeting

Component News

MCVNews

COVER: Dave and Julie Whiston, 1996 ADA Annual Meeting, Orlando, FL Provided by Patricia A. Zepp 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.

VIRGINIA

JOURNAL

EDITORIAL

BOARD

VDA COMMITTEE CHAIRMEN Executive

Daniel E. Grabeel

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 â&#x20AC;˘ 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

Relations

History and Necrology

Edmund E. Mullins, Jr.

Budget and Financial Investments

Jeffrey Levin

Institutional Affairs

Elizabeth Bernhard

Cancer and Hospital Dental Service

James A. Pell

Insurance

William H. Higinbotham, Jr.

Caring Dentists Harry D. Simpson, Jr.

Journal Staff

Francis F. Carr, Jr.

Constitution and Bylaws Ronald L. Tankersley

Legislative

T. Wayne Mostiler

Dental Benefits Programs Fred A. Coots, Jr.

Membership H. Reed Boyd, III

Dental Delivery for the Special Needs Patient BarryShipman

New Dentist

Russell A. Mosher, Jr.

Dental Education & Continuing Education Ralph L. Howell, Jr.

Nominating

Ronald L. Tankersley

Dental Health and Public Information Adel J. Rizkalla

Peer Review and Patient Relations Edward M. O'Keefe

Dental Practice Regulation Douglas C. Wendt

Planning

Ronald L. Tankersley

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

Relief

Scott H. Francis

Direct Reimbursement Benita A. Miller

Search Committee for VA Board Ronald L. Tankersley

Environmental Health and Safety Paul Supan

1997 ADA DELEGATION:

Delegates: 138th ADA Session, October 18-22, 1997, Washington DC

William H. Allison (1999) Gary R. Arbuckle (1998) M. Joan Gillespie (1997)

Wallace L. Huff (1998) Emanuel W. Michaels (1999) Leslie S. Webb, Jr. (1997)

Ronald L. Tankersley (1999) Raleigh H. Watson, Jr. (1998) Richard D. Wilson (1999)

William E. Zepp, CAE (Executive Dlrecton

Alternate Delegates:

David C. Anderson (1998) Richard D. Barnes ( 1997)

Anne C. Adams (1998) D. Christopher Hamlin (1997) Lindsay M. Hunt, Jr. (1997)

Charles L. Cuttino, III (1997) Gus C. Vlahos (1998) Andrew J. Zimmer (1997)

Bruce R. Hutchison (1997)

L~DITORIAL

David A. Whiston, DDS - ADA President-Elect 1996-97

Dave Whiston, ADA President-Elect! Virginia and the Sixteenth Trustee District proudly congratulate Dave on his election and his continued service to dentistry. His commitment to responsible leadership will move our profession forward. These are challenging times for dentistry and Dave will meet these challenges for us. As a candidate, Dave presented a powerful message for the future course of dentistry. Sound science, free足 dom of choice for the patient, active legislative involvement, awareness of marketplace issues, and a unified voice for dentistry were his beliefs and he made them important in his successful quest. His credibility, deci足 siveness, and broad experience as a Trustee were quickly seen as the qualities an ADA president must have. Dave campaigned tirelessly, traveling the country many times in many directions. He listened to those he met, he presented his vision, and he made the positive impressions that brought victory in Orlando. The campaign organization behind Dave demonstrated a tremendous outpouring of friendship, dedication to the profession, and commitment to the future. Support for Dave was broad, deep and sincere. In Virginia, we fondly remember two stalwarts, Clarke Brown and Bennett Malbon, who began the big effort with Dave and sadly left us too soon to join in the celebration. From the beginning, there were plenty of hard workers around. Will Allison, Charlie Cuttino, Bruce Hutchinson, Dick Wilson, and Bill Zepp were there - and so were many, many others who did so much, put in tremendous hours, and ran a successful campaign because they wanted this to happen for dentistry. We were not alone. The rest of the Sixteenth District enthusiastically joined us. North and South Carolina dentists helped at every stage; from organizing the effort on through to the victory party. Our friends were instrumental in spreading the word about Dave. From across the country, dentists called to volunteer in ways large and small, either because they knew Dave or they were impressed with him through the earnest efforts of a Whiston worker. The campaign soon became national and not just regional in scope; the election results demonstrated support from all sections of the country. Dave's campaign was clean, well run, had lots of Southern hospitality and is the example for future ADA campaigns. Julie Whiston deserves special praise. Wherever you would find Dave, you would find Julie; she was always smiling, always gracious and she was always checking on something to smooth the way. She has a remark足 able insight into the campaign process and many things went well because she was involved. Thanks. Dave is our President-Elect and he ran a great campaign. That is not enough. Dave is committed, dedicated, knowledgeable and hardworking. If we want the ADA to run as well as he wants it to run, we have to be like him. The membership must help him attain his goals; we can do it with our own commitment and dedication. Leadership in Virginia is not just at the top, it is found everywhere; put yours to work. With Dave Whiston, the ADA has a great future, the challenge is to pitch in, work hard, and help him make it greater.

Franc is J'. Carr, Jr. Editor

Ii LETTERS TO THE EDITOR

October 14, 1996

Editor, VDA Journal

Dear Fellow Members of the VDA:

In recent years it has become increasingly evident that an underlying trend exists which threatens the demise of the dental team. This trend is promoted in the policies adopted by the leadership of the Virginia Dental Hygienists Association (VDHA). While maintaining that it is concerned with providing patient care, the VDHA claims that there is no shortage in the availability of dental hygienists in Virginia. Three years ago, knowing that dentists were going to soon mandate continuing education, the VDHA pressed the legislature to pass a separate bill for hygienists' continuing education with a bogus post-test and one not controlled by the Virginia Board of Dentistry. The American Dental Hygienists Association (ADHA) which gives direction to the VDHA has recently given its support to managed care, and for several years the VDHA leadership has chosen to meet separately from the Virginia Dental Association for its annual meeting. This is not the character of an organization which promotes working together as part of the dental team.

I am overwhelmed by this presentation of the recognition by President Ron. I thank you all. Over the years it has been a pleasure, not a chore, and a love of task, not a duty to work for and with the VDA. Further, I deem it a privilege to be associated with and to work with such wonderful people as there are in our VDA, both members and staff. Be Well.

.'Manny Emanuel W. Michaels, D.D.S. 300 East Little Creek Road Norfolk, Virginia 23505

Fortunately for our profession, the rank and file dentist and dental hygienist are working well together and keeping patient care as the primary objective. This year's annual meeting of the VDA in September experienced the presence of the newly established Commonwealth Dental Hygienists Society (CDHS) with the stated objectives of "preserving, promoting, and improving the profession of dental hygiene and the dental team, and increasing access to quality care for the public". It is good to see dentists and hygienists meeting together, and the sincerity in the willingness to work together was evident. The concept of the dental team is important to our profession and to public health, and I applaud the Commonwealth Dental Hygienists Society as an organization that has taken action to promote and preserve the dental team. Scott Ruffler, D.D.S. Shenandoah, Virginia

Dr. Francis F. "Fred" Carr, Jr., Editor, VDA Journal.

Dr. Francis F. "Fred" Carr, Jr. resigned as Editor of the Virginia Dental Journal, effective January 1, 1996. Dr. Carr served as Editor since 1994 and saw the Journal through a period of change and transition for the Association, as well as its quarterly publication. Fred Carr contributed innumerable hours to insure that the Journal remained among the top refereed dental publications in the country. His efforts are greatly appreciated, especially by those who realize the commitment an editor must make. Dr. Carr will be succeeded at the helm of the Journal by his longtime colleague and friend, Dr. Leslie S. Webb, Jr.

Fred Carr records the work of the Virginia Delegation in the 1996 ADA House of Delegates.

I The L

Importance of the Coronal Seal Following Root Canal Treatment Bruce A. Beeotks, DD~ and Gary R.

It is well known that thorough debridement and proper sealing of the root canal system is imperati ve to attain long -lasting endodon tic success. For many years, leakage studies concentrated only on the apical end of the canal system, with little regard to the sig nificance of the coronal seal following root canal treatment. It was often assumed that placement of a temporary restoration pro vided an adequate seal indefinitely until thc tooth was permanently restored. Sealed root canals can become recontami nated from a coronal direction in the following circumstances: (a) the patient chooses to delay placement of a permanent restoration following endodontic treat ment; (b) the temporary is lost or its seal is compromised; (c) recurrent caries exposes the endodontic filling material; or (d) tooth structure is fractured (I, 2). Following any of these situations, the coronal portion of the obturated canal may become exposed to the many bacteria contained within saliva. The pertinent questions then become, "How quickly docs the root canal system become recontaminated?" and, "At what point does the tooth need to be retreated prior to placement of a permanent restoration ?" The purposes of this paper are to review research done on coronal microleakage: to show that such leakage can significantly affect the failure rate of endodontically treated teeth; and to give general guide lines as to when retreatment should precede the permanent restoration follow ing compromise of the coronal seal.

Literature Review Though not the very first to study coronal microleakaze, Swanson and Madison (3) brought theimportance of this issue to the forefront. They studied coronal microleakage over time, allowing the coronal portion of root canal obturation material to be exposed to fluids similar in composition to human saliva. Extracted human teeth obturated with gutta-percha and Roth \ sealer were exposed to artificial saliva for 3 to 56 days, followed by immersion in dye for 48 hours and a

Hsrtwett,

clearing technique to reveal the extent of coronal leakage. Results of their study showed a significant amount of coronal microleakage (average of 79% of root length showed dye penetration) was evident after 3 days of exposure to artificial saliva. This amount did not differ significantly Cramthe amount of micro leakage seen after S6 days of exposure. In Part II of their research, Madison et aI. (4) compared in vitro coronal microleakage in human teeth obturated with laterally condensed gutta-percha and various sealers. Following placement of teeth in artificial sali va for 7 days and in dye for 48 hours. they found that AH26 sealer demonstrated significantly more coronal microleakage (80% of root length penetrated) than either Seal apex (33%) or Roth's sealer (49%). No attempt was made to remove the smear layer in this study. Following the in vitro studies, Madison and Wilcox (5) evaluated coronal microleakage in an in vivo model. Root canal therapy was performed on 64 posterior teeth in primates using laterally condensed gutta percha and either AH26, Sealapex, or Roth's sealer to obturate the root canals. Unfilled access openings were exposed to saliva for one week: the teeth were then extracted, placed in dye, and cleared. Results, which did not confirm their in vitro studies, showed that dye penetration occurred with considerable variability in all groups, including the positive and negative controls. In most cases the dye penetration extended from I to 4 rnrn into the canals: there were no statistically significant differences among the various sealer groups.

Bacterial Studies Torabinejad et al. (1 ), using extracted human teeth. determined the amount of time needed for two species of bacteria to penetrate root Canals when the coronal aspect of 10 mm lengths of laterally condensed gutta-percha was exposed to these microorganisms. The bacterial species consisted of one highly motile species (Proteus vulgaris; and one nonrno

DD~MS

tile species (Staphylococcus epidcrrnidisi. Total recontamination of the root canal system occurred with P Vulgaris in 10 to 73 days (average: 48.6 days or 0.2 mm/day) and S. epidermidis in 15 to SI days (aver age: 24.1 days or 0.4 rnm/day). This study found that motility of bacteria may not be a factor in their rate of penetration to the apex. Using human sali va, Magura et al. (6) evaluated coronal recontamination of obturated root canals of approximately equal length using both histological examination and dye penetration. They found that salivary penetration at 90 days was significantly greater than that seen at 2, 7, 14 and 28 days. Also, they noted that the salivary penetration assessed in histological sections was significantly less than that seen with dye analysis. Clinically, the impor tance of this finding is that dye studies may show accelerated leakage patterns compared to what is actually occurring inside the tooth. They concluded that obturated root canals which have been exposed to the oral environment for 3 months or more should be endodontically retreated prior to place ment of the permanent restoration.

Radiographic Studies Ray et aI. (7) evaluated the influence of the quality of the coronal restoration and the root canal obturation on the periapical status of 1,0 I0 endodontically treated teeth. The teeth were categorized radiographically as either good restoration (GR) or poor restoration (PR) and good obturation (GO I or poor obturation (PO), The combination of GO+GR resulted in a periapical success rate of 91.4(;c compared to 18.1 % for teeth with PO+PR. Interestingly, GR+PO was significantly more successful than PR+GO (69.6% vs. 44.1 '!<,). The authors concluded that successful periapical healing was more.' dependent upon the quality of the coronal restoration than on the quality of the obturation. In a recently completed pilot study at the Medical College of Virginia School of Dentistry, Monfared and Hartwell (8)

radiographically examined 12,667 teeth in 500 randomly selected dental charts from a recall patient population. Teeth with and without permanent restorations were evaluated following endodontic treatment; 43.8% of teeth permanently restored showed evidence of periapical radiolucency as opposed to 84.3% of teeth with either temporary restorations or no restorations at all.

Obturation Techniques Using an in vitro model with trypticase soy broth and human saliva to study coronal micro leakage, Khayat et al. (2) compared lateral and vertical condensation techniques. Canals condensed vertically were com pletely contaminated, as verified by the broth turning turbid, within 4 to 46 days (average 25.4 days) and those condensed laterally were completely contaminated within 8 to 48 days (average 28.8 days). These results were not significantly differ ent statistically. Baumgardner et al. (9) tested the ability of three obturation techniques to'adapt and seal the coronal portion of the canal. Using both linear leakage and volumetric penetra tion dye to evaluate coronal microleakage, they found that lateral plus vertical conden sation leaked the least, lateral condensation by itself ranked second, and Thermafil exhibited the most leakage. Statistical analysis showed that differences were significant between the lateral plus vertical group and the Thermafil group in both linear and volumetric leakage. Thermafil appeared to have more difficulty adapting to irregular shapes and spaces within the coronal third of the canal.

Temporary Restorations Saunders and Saunders (l0) examined leakage associated wi th various restorati ve materials placed into molar pulp chambers following obturation of the canal system. The materials evaluated included amalsam Ketac Bond, Ketac Silver. and gutta-p:rch:V sealer. These experimental materials completely filled the pulp chambers. The teeth were placed into dye and thermocycled for 24 hours, stored an additional 48 hours in dye. and then cleared. Results showed the guua-percha/ sealer group demonstrated significantly more leakage than the other restorative materials. indicating that gutta-percha should not be used as a temporary filling

material in endodontics. There were no significant differences in leakage between the other three groups. Cavit is a popular temporary filling material used in endodontics. Webber et al. (II) evaluated the thickness of Cavit necessary to achieve an appropriate seal. Using extracted human molars and methylene blue dye penetration, they found that the optimal thickness of Cavit to prevent leakage was 3.5 mrn. Cavil's coefficient of thermal expansion is twice that of zinc oxide eugenol but its compressive strength is only half that of zinc oxide-eugenol (12). This expansion allows Cavit to seal effectively provided that it is surrounded by four walls of tooth structure. Boboti s et aJ. (13) demonstrated that Cavit's excellent seal continued over an eight week period. Zinc oxide-eugenol cements. especially IRM, are also used extensively as temporary filling materials. Though IRM does not seal as well as Cavit (14), especially after thermocycling (13), it is a better temporary filling material, due to its higher compres sive strength, in those situations where moderate to extensive tooth structure has been lost. Anderson et al. (I5) evaluated microleakage of IRM restorations of various powder-to-liquid ratios (PIL) and found that a PIL of 2 g/mL (I scoop powder to three drops liquid) provided the best seal.

Summary Although a plethora of research on coronal microleakage does not exist, the studies do confirm that a sound coronal seal is of paramount importance to the overall success of root canal treatment. Temporary restora tions provide an adequate seal provided they are used correctly and only for a short time. The best rule of thumb is as follows: a properly cleaned, shaped, and obturated tooth should be permanently restored as soon as possi ble. If the cl inician suspects coronal microleakage has OCCUlTed over a time period of 3 months or more, retreatment of the root canal should be performed before placement of a permanent restoration. The clinical significance of corona] recontamination over a time period of I to 3 months is more ambiguous; the existing conditions of each individual case will determine whether retreatment is necessary. Continued research. especially with in vivo models, is needed in this aspect of endodontics.

References 1. Torabinejad M, Ung B, Kettering JD. In vitro bacterial penetration of coronally unsealed endodontically treated teeth. J Endodon 1990; 16:566-569.

2. Khayat A, Lee S, Torabinejad M. Human saliva penetration of coronally unsealed obturated root canals. J Endodon 1993; 19:458-461. 3. Swanson K, Madison S. An evaluation of coronal microleakage in endodontically treated teeth. Part 1. Time periods. J Endodon 1987; 13:56-59. 4. Madison S, Swanson K, Chiles SA. An evaluation of coronal microleakage in endodontically treated teeth. Part II. Sealer types. J Endodon 1987; 13: 109-112. 5. Madison 5, Wilcox LR. An evaluation of coronal microleakage in endodontically treated teeth. Part Ill. In vivo study. J Endodon 1988; 14:455-458. 6. Magura ME, Kafrawy AH, Brown CE, Newton CWo Human sali va coronal microleakage in obturated root canals: an in vitro study. J Endodon 1991; 17:324-331. 7. Ray H, Trope M, Buxt S, Switzer S. The influence of various factors on the radio graphic periapical status of endodontically treated teeth (Abstract no. 7). J Endodon 1993; 19:187. 8. Monfared MM, Hartwell GR. Personal communication. 1996 9. Baumgardner KR, Taylor J, Walton R. Canal adaptation and coronal leakage: lateral condensation compared to Thermafil. J Arner Dent Assoc 1995; 126:351-356. 10. Saunders WP, Saunders EM. Assess ment of leakage in the restored pulp chamber of endodontically treated

multirooted teeth. Int Endod ] 990; 23:28足 33. II. Webber RT, del Rio CE, Brady JM, Segall RO. Sealing quality of a temporary filling material Oral Surg 1978; 46: 123-130.

12. Wilderman FH, Eames WB, Serene TP. The physical and biological properties of Cavit. J Amer Dent Assoc 1971; 82:378足 382.

Upcoming Continuing Education 1997

The Virginia Dental Political Action Committee (VADPAC) is pleased to feature Hugh F. Doherty, DDS,CFP presenting his one-day seminar, "Control The Num足 bers That Control Your Life." Dr. Doherty is a Certified Financial Planner, a national lecturer, author, management and financial resource person to the dental profession. He is CEO of Doctor's Financial Network, a company dedicated to assisting health professionals to develop personal, professional and financial strategies.

13. Bobotis HG, Anderson RW, Pashley DH, Pantera EA. A microleakage study of temporary restorati ve materials used in endodontics. J Endodon 1989; 15:569-572.

Scheduled for January 31, 1997, this seminar is designed for general practitio足 ners, specialists, spouses, financial advisors, office managers, and clerical staff. The learning objective of Dr. Doherty's program is to provide simple methods of number analysis and controls that will enable the doctor and staff to be constantly aware of "Where they have been", "Where they are now", "Where they want to go", and "How well they are doing getting there".

14. Lee Y, Yang S, Hwang Y, Chueh L, Chung K. Microleakage of endodontic temporary restorative materials. J Endodon 1993; 19:516-520.

Mark your calendars now for January 31 and watch your mail for registration information on this valuable seminar.

15. Anderson RW, Powell BJ, Pashley DH. Micro1eakage of IRM used to restore endodontic access preparations. Endod Dent Traumatol 1990; 6:137-14l. \>

Dr. Begotka is an endodontist practicing in Lynchburg, Virginia and Dr. Hartwell is Chairman, Department ofEndodontics at MCVIVCU School ofDentistry.

AIDA

c-~-~-~

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.

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

CONTINUING EDUCATION RECOGNITION PROGRAM

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

VDA Annual Meeting September 24-28, 1997 Hotel Roanoke, Roanoke

VDA Committee Meetings June 12-15, 1997 Sheraton Hotel, Virginia Beach

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

1996 PRESIDENT'S ADDRESS

The past year and a half has been a period of transition for the VDA. Your elected officers and new Executive Director. worked tirelessly to implement needed changes and proactive activities. However, the phenomenal challenges and respon sibilities facing the Association eclipsed the ability of your elected officers, alone, to accomplish your goals. We relied on you, the members for the necessary. direction, time, and labor; and you delivered. In this Olympic year, you deserve a gold medal for professional commitment! As your president, I relied on consensus of the Executive Committee to make decisions not dictated by existing policy. Because of the many issues we faced and the Association's activity level, there were many long laborious meetings and ,;',Nn::onference calls. Many of these meetings were, by necessity, .~;2':"on short notice, required late night driving, and necessitated ~~;'~'",'changes in personal schedules and obligations. These .sacrifices were made without coercion, hesitation or negative :,comment. It is this type of commitment that distinguishes :organized dentistry, and makes me proud to be a part of it. {;{:.:,: . ;

iFismy pleasure to highlight your activities since this time last ~~r, As I review these accomplishments, time constraints 'Ibwme to summarize only those activities that were either wor unique for this year. The same constraints prevent 'from acknowledging your individual contributions. This 'not reflect a lack of appreciation for either the ongoing ities of the Association or your individual efforts. 'Administrative Changes refinement of our Central Office is a necessary orient of our expanded activity level.

"in-house", permitting increased format flexibility and reduced cost to the Association. 5. The VDA Central Office Conference Room was remod eled, and now provides an excellent facility for small to mid sized meetings. 6. VDA Policy was printed and is included in your House of Delegates manual. This will be a useful reference during our deliberations and resource for our members. Increased Utilization of ADA Resources By increasing the utilization of ADA resources, we maximize the value of our member's dues and enhance our perfor mance as an association. This year we asked for and received tremendous support from the American Dental Association. 1. The VDA sponsored an enlightening ADA "Goals and Roles" Workshop in November. This provided a unified sense of direction for the VDA and served as the foundation for our other activities. 2. Virginia was one of thirteen sites selected to participate in the ADA Field Service Program to enhance membership. Membership is our life's blood. Although we can be proud of our existing membership, continued vigilance is necessary for us to represent all dentists in the Commonwealth. The ADA program will place an emphasis on our greatest deficiency, recruitment and participation of female and minority dentists.

TJUOUS

"'Executive Committee developed and implemented a 'rocess for annual evaluation of the Executive Direc ttinput from the various areas of interest within the 'on, communications between you and the Executive ill be enhanced.

'lit~te the realization of our mission, Mr. Bill Zepp nls reorganization and education of the VDA staff. ~staff attended multiple ADA-sponsored confer .,seminars in their respective areas of responsibility.

,~~ie Jungmann joined

the staff as our new Assis ye Director. Previously the Executive Director for .,,~.oental Association, she possesses considerable madministration, computers, and desk-top er contributions as staff coordinator for our rsement Program have already had a positive

3. Virginia was one of only six states to qualify for the ADA Direct Reimbursement pilot program, which will provide sophisticated DR marketing in Virginia at ADA expense. Our qualifying for this program is the result of fastidious planning and attention to detail by your Direct Reimbursement Sub committee. As a result, the effectiveness of the DR Program will be enhanced far beyond that possible with VDA resources alone. 4. Virginia received special support in establishing the ADA's Grass Roots Network for legislative liaison activities. In addition, the VDA dramatically increased its participation in the ADA Public Affairs conference, including very successful congressional visitations. As you know, significant health care reform measures are being legislated as the national level. Thanks to the enthusiastic attitude of our members and concurrent ADA support, Virginia is well on its way to becom ing a real "player" in the national political arena. 5. The ADA conducted a comprehensive Mediation Work shop for 'the Peer Review and Patient Relations Committee.

, 15 of VDA Journal publication were moved 11

You can be proud of dentistry's proactive role in addressing the important issues under the purview of this committee. Increased Liaison Activities Recognizing that the VDA cannot operate in isolation, we increased efforts to improve our liaison with dental students, the dental school, the Board of Dentistry, and dental auxilia ries. 1. The reactivated MCV Liaison Subcommittee and the New Dentist Committee increased their interaction with the MCV dental students. Annual events with all four classes of dental students are planned. In addition, the VDA helped sponsor a student to the ASDA Quad-Regional meeting and is encour aging their increased participation in our Annual Meeting. This increased involvement will result in more informed students that will become active participants in organized dentistry earlier in their careers. Efforts were also made to improve the relationship between the MCV part-time and full time faculties and better coordinate MCV and VDA continuing education courses. 2. At the direction of Governor Allen, the Board of Dentistry conducted a review of its Rules and Regulations this year. Representatives of your qfficer corps and the Dental Practice Regulations Committee represented you well during these proceedings. 3. Improved liaison with dental assistants and laboratory technicians was established this year by the Auxiliary Educa tion & Relations Committee and the Dental Trade & Labora tory Relations Committee. The improved coordination of our annual meeting with that of the dental assistants is just one example of the fruits of these efforts. In addition, Mr. Zepp and I represented you at the Virginia Dental Assistant Association's" Virginia Dental Summit", where meaningful discussions of inter-professional issues occurred. This year's dialogue between the Virginia Dental Hygienist's Association and the VDA was open and candid. I represented you at their annual meeting, where their objectives were clearly enumerated. The Virginia Dental Hygienist's Associa tion officers have expressed the desire for continued coop eration and communications. Although differences in a few policy areas remain, an improved understanding about our policy development process should facilitate communications. Legislative Activities The VDA continued to actively pursue VDA Policy in the Virginia legislature. This included both proactive initiatives of our own and defensive responses in initiatives contrary to VDApolicy. 1. VDA legislative proactive initiatives were responsible for the formation of two legislative study committees: a. A Joint Legislative Study Committee (HJR 81) is evaluat ing the availability of hygienists and investigating methods for 12

providing additional accredited hygiene educational opportuni ties. b. A legislatively directed Dental Task Force is evaluating the status of Public Health Dentistry in the Commonwealth. Hopefully, our efforts will result in the delivery of better dentistry to the economically disadvantaged. 2. The VDA successfully added dentistry to those profes sional services covered by the Virginia Procurement Act (HB 1482). 3. A Virginia Dental Hygienist's Association initiative to allow for the administration of local anesthesia by dental hygienists (HB 1280) was carried over to the next session. 4. The VDA supported Patient Protection Act of 1996 (HB 1393) resulted in legislation that requires that HMOs disclose their financial bonuses and incentives for restricted care. The legislation also prohibits HMOs from contractually denying doctors the right to discuss all treatment options with their patients. In addition, it made it illegal for a contract to indem nify the carrier for the carrier's negligence. The Point-of Service option in the bill was referred to a study committee and will be reconsidered during the next session. Our legislative successes are the result of the efforts of Mr. Chuck Duvall, our lobbyist, working with the VDA staff and you, the member dentists. Without your support, Mr. Duvall could not be successful. I appreciate those of you that gave your time and effort for our legislative activities. Strong support of our PAC is essential for us to effectively deliver our legislative message. With the legislative issues confronting the profession, I hope you will join your officer corps in making PAC activities a priority, and support VADPAC to the maximum of your ability. I encourage you to consider the benefits of belonging to our newest VADPAC membership category, the Governor's Club. Professional Development It is our goal to maximize the Association's responsiveness to its members as well as promote community service, which enhances both our professional pride and dentistry's image. 1. The Ad-hoc Committee on Election Reform submitted its recommendations for your consideration at this meeting. You will reevaluate the nominating and election process to deter mine which method best serves our members. 2. The Ad-hoc Committee on Forensic Dentistry identified eight Virginia dentists with appropriate training. The State Medical Examiner welcomes the participation of VDA mem bers in the identification of disaster victims. The Committee's goal is to increase the number of dentists qualified for this important service. 3. The Executive Council recommended that the VDA, in

Update on Financing of Practice Acquisitions Selling. expanding. acquiring a practice? HPSC, which has financed over 65,000 dentists since f975, olfers you all these benefits:

HPSC Financial Services has recently provided the financing for the acquisition of practices whose selling prices are shown below. State

Selling Price

.$60.000 AZ .,. .317.000 AZ. .. 140.000 AZ. .. 60.000 CA... .... 115,000 CA ... 15.000 CA. ..... 30.000 CA. .. 150,000 CA. ..... 75.000 CA .. CA... ......... 200.000 .... 120,300 CA 30,000 CA. .... 50,000 CA. .... 100,000 CA. CA.. ........ .41,629 .223,451 CA.. ... 65,000 CO.... CO. ............ 70.000 FL .............. 35.000 FL ............. .475.000 FL.. ..... ...... .40,000 .. ... 25.000 FL .. 250,000 FL FL. ............. 350,000 ... 60,000 IL ... KS.. .... 160,000

State

Selling Price

.$180,000 KS.... KY.... ... 133,000 .... 56,125 MA MA ............. 110.000 MA .. ..... 360.000 MA .... .......... 50,000 MA ............. 110,000 MD .. ...... 150,000 NH .... ....... 400,000 NJ ...... .. .. 140,000 NY... ........ 100,000 NY.. ..85.000 NY.. .... 270,000 OH.. .. .. .290,000 OR. .. .. ....... 25,500 OR. . .... .... .30,000 OR ..... ......... 30,228 PA ..... .. ....... 17,500 PA ...... .117,500 TN.. ........... 145.000 TX ................ 75,000 TX. ...40.000 TX .. ............. 55,586 VA .... .. .20,000 WA. .. . .100,000 WI. .. ..310,000

1. Financing of practice acqursitions, up to 100% of purchase price. Competitive fixed rates - no "POints." variables, or hidden fees . 2. Repayment: up to 84 months. No prepayment penalties. To preserve cash flow, no down payment In most cases . 3. Through broker network we help seller find a buyer: buyer find a seller; get appraisals. assist with practice projections . 4. For star tuos and expanding practices, we finance equipment. leasehold improvements, working capital. merchandise contracts, computers, and other office equipment . 5. Innovative, flexible custom plans, geared to cash flow: tax benefits . 6. Leasing options: deferred payment; no down payment; graduated payments up to 72 months . 7. Quick response on leases: up to $125,000, 1.Jloill. Over $125,000, with all requested documents in place, 24-48 hours . 8. Easy add-on to existing lease as practice grows. 9. Funding, servicing of all contracts in-house .

Would you like to discuss your project, or get more information? Call us at 1-800-225-2488 or fax 1-800-526-0259.

~ [nn onatin« Financing for ~ Healthcare Professiollals Michael D. Manter. Senior Sales Manager 4314 Meadowridge. Charlotte, NC 28226 1-800-791-8916 Fax 704-341·1335 Horne Office: Sixty State Street. Boston, MA 02109-1803 1-800-225-2488 Fax 1-800-526-0259

1996 PRESIDENT'S ADDRESS, cont.

cooperation with the National Foundation of Dentistry for the Handicapped, implement the Donated Dental Services (DDS) program. Our profession has a long tradition of willingness to help those in need. This well designed program will give us the mechanism to identify and treat those deserving patients with special needs. New Membership Benefits The VDA continued to develop quality membership benefits at reduced cost. While all VDA activities benefit the members, some are specifically intended to provide individual benefits. Others reduce the cost of benefits by providing non-dues revenue for the Association. 1. As previously mentioned, the Direct Reimbursement program was implemented and will have the supplemental support of the pilot ADA Direct Reimbursement promotional program. 2. The VDA For-Profit Subsidiary Committee successfully completed the formation of the VDA Service Corporation, which will provide non-dues revenue. An inordinate amount of legal and organizational restructuring was necessary to accomplish this goal, and we owe considerable appreciation to members of the committee for their time and expertise. 3. The Relief Committee was reorganized to function in parallel with the ADA Relief Fund. Among other things, the

restructured VDA Relief Fund will afford more flexible use of relief funds for our members in need. 4. The VDA Educational Foundation was developed. With the legal and organizational work done, the Foundation will soon receive funding. The Foundation's potential for im proved, innovative educational opportunities for our members and the public is exciting. 5. The EDI Subcommittee of the Committee on Dental Benefit Programs reviewed the electronic claims submission programs of new vendors. So far, no vendors have met the criteria for VDA endorsement. However, the committee continues to actively evaluate state of the art, innovative EDI programs. 6. The Ad-hoc Committee on Communication & Information Technology plans to develop a VDA Homepage on the Internet. This valuable tool will allow our members and the public to receive contemporary information concerning all aspects of VDA activities. This is another example of our members freely giving their expertise for the benefit of their colleagues. 7. Recognizing the diversity of our interests, we are now offering concurrent CE courses during the Annual Meeting. This enhances educational opportunities for our members. 13

1996 PRESIDENT'S ADDRESS, cont.

Summary You did an unparalleled amount of work this year. To accom plish your goals, many of you attended multiple labor intensive meetings and made considerable personal sacri fice. To sustain this level of enthusiasm, the high esprit de corps you displayed must be maintained.

Paraphrasing a statement by John Gardner, "the dental profession is not measured by its leaders doing extraordinary things, but by its members doing ordinary things extraordi narily well". I am proud to be a member of a profession that has labored to destroy the reason for its existence by promot ing fluoridation and preventive care. I am proud to be a part of a profession universally recognized for its ethics and integrity. I am especially proud of the amazing commitment to the profession that you demonstrated this year. I am honored that you have permitted me to serve as your presi dent during this period of transition, and I know that Dr. Allison can count on your continuing to do ordinary things extraordinarily well during his year as your president.

Such maintenance of enthusiasm requires confidence that elections and appointments are fair and in the best interests of the Association. I hope you will carefully evaluate our election process as well as our committee structure and term limits during this meeting. If you consider the proscribed election process, term limits, or representation on our committees to be inappropriate, I encourage you, as the responsible body, to make the necessary amendments to the Constitution & Bylaws or VDA Policy.

Ronald L. Tankersley

The impressive activity level that you generated this year required concomitant support from Mr. Zepp and the Central Office staff. Without that support, this report would, undoubt edly, be very different. Mr. Zepp's background and talents were precisely those needed during this time of transition and I feel fortunate to have worked with him. I hope that you will personally thank him and his staff for their tireless support of our objectives.

• istrict of Co lumb ia Dental Society

NATION'S CAPITAL DENTAL MEETING Registered Clinicians Dr. Richard Chace

Dr. Larry Rosenthal

For a preliminary program,

CNA Risk Management Seminar

Dr. Michael Siegel

complete and return to:

Dr. LThomas Gallegos

Dr. Bruce Small

D.C. Dental Society

Dr. Harald Heymann

Dr. Udell Webb

502 C Street, NE

Dr. James Jackson

Ms. Katherine West

Washington, DC 20002-5810

Ms. Karen McNeal

Dr. Richard Wynn

202/547-7613

Ms. Linda Miles

Dr. Donald Yu

FAX: 2021546-1482

Also Featuring

For further information, visit our web site at ,'http://aimservi ces. com/ d cds",

· Office Design Lecture and Tour

· Lunch and Learn

· Practice Management Breakfast

· Table Clinics

· U.S. Holocaust Memonal Museum Tour · Cooking Demonstration at L'Academie De Cuisine

· Dental Team Luncheon

, Capitol Hill Tour

• Auxiliary Programs

· VIP Tour of the

.' Gala at the Kennedy Center

Name Address: Cit):

State:

I:ip

National Gallery of Art

300 EXHIBIT BOOTHSl February 13 16 1997 • The Sheraton Washington Hotel

96 PRESIDENT-ELECT'S ADDRESS

, 96 VDA President-Elect's Address

ident has reported on the VDA Activities for "ear: What an impressive list it is. Many \'e worked hare!to make all this happen, but ~member it has taken place under the superb four maestro - Ron Tankersley . . itted, along with all of our officers and the rto carrying out the programs that have been 'he President.

e programs I want to highlight.

The first is Jeld Service Program. With the resources of ~hind us, this should give us a great oppor in new members with a special emphasis on 'minority dentists. Where we enjoy, in ;~.5% ratio of members to market share for ;we have for minorities - 58.5% and for :~%. The second program is the ADA bursement Pilot Program. Our member at the last year's House of Delegates tit wants aggressive action on this matter. ~\right people in place. Dr. Benita Miller ~je Jungmann head this "sophisticated DR am" that our President referred to earlier. ,A backing, this should become one of the PR programs in the country.

Peter Sfikas, who is the head attorney for the ADA. He expressed surprise that this is such a little used vehicle by dentists to even the playing field with managed care. New government anti-trust guidelines make IPA's a timely study. One of the reasons IPA's are not used is because we - the members - do not know how to organize and implement them. This will be the mission of this new sub-committee. The ADA legal staff has offered us their support in this work. There are areas in the Commonwealth where our members could benefit from IPA's right now. Our members often ask - if managed care companies can band together to set fees, why can't we? The IPA is a group form that dentists can use to avoid anti-trust risk when dealing with managed care companies. I have followed a two year effort by the ADA's Council on Ethics, Bylaws and Judicial Affairs to develop a more practical and user friendly ethics code. Our present code has limitations when used to solve ethical prob lems confronted on a daily basis. The code also has short comings as a teaching tool. The Council set up the Editorial Review Sub-Committee where our own Dr. Joan Gillespie is an important member. The sub committee has a report ready for this year's ADA House of Delegates. I am excited about the work done on this report and what an improvement it is over the present ADA Principles of Ethics and Code of Professional Conduct. I have asked Dr. Gillespie to head up a sub committee for the VDA to review our present code and to bring it up to date with the ADA code and report back to our House of Delegates. So -let's join hands and get on with the work that is ahead of us. William H. Allison

rl9s truggle with Managed Care - which ,esembles the Hydra of Greek mythology et up a SUb-committee under the Dental rn~ C.ommittee to look at IPA's -- Individual ()clatlons. This year at the President ,,renee in Chicago, I discussed IPA's with 15

USDTA 'Yc

\PI

lin

fie

S el 01

el Ii'

e rE

T ri

C â&#x201A;Ź

v Ii

1-_,_.,

UNITED STATES DENTAL TENNIS ASSOCIATION

,/'"~ ~

@I:;:

,>;2"~'~ ~~ Of Continuing Education With Prestigious Clinicians

THE NAME OF THE GAME IS TENNIS! We want dentists who love to play tennis and would like a match with The Uni.ted S~ates Dental Tennis Association. It makes a great team serving continuing education with aillevcls 01 tenniS,

The United States Dental Tennis Association is a group of over 300 dentists dedicated to seminars or the highest possible calibre, coupled with tennis. The seminars arc designed to satisfy the requirements of the various Continuing Education programs. Our clinicians are the best obtainable. The United States Dental Tennis Association is designed as a nationally approved sponsor by the Academy of General Dentistry. The formal continuing education programs of this sponsor are accepted by ACD for Fellowship, Mastership and membership maintenance credit. The current term of approval extends from 04/14/1996 to 05/31/1999. This is a non-profit organization with the Board of Directors elected each year from among the members, The dues are a modest $50 per yeClr, We hold two seminars a year, the Annual Meeting in November in the West, and a meeting in the East in April. We occasionally hold an International meeting. We know that you will enjoy being a member of our organization and nWC'ting with your peers from around the country at our seminars. FOR MORE INFORMATION CONTACT

CAROlfNN GAFFNER

EXECUTIVE SECRETARY

USDTA

2180 BRIARCLIFF AVENUE IDAHO FAllS, IDAHO 83404

1-800-445-2524

FAX (208) 523-9004

r SVIRSKY ON INFECTION CONTROL ~

'to :~,

lor. John A, Svirsky, Professor of io rai Pathology, MCV School of ,·.'Dentistry and an ADA Spokesperson ;on AIDS, OSHA, and Infection ~control, continues his colum~ on 'ithese topics. You may call him at ~. (804) 828-0547 or write him in care ~of the Virginia Dental Journal, PO ~l Box 6906, Richmond, VA 23230 ~ 0906 for further information or { inquiries on related topics. HEPATITIS B This is a serious disease that is not going away soon. We need to remember the testing and protection procedures for everyone irrthe dental office. Hepatitis B Viral Markers A. Antibody to Hepatitis B virus surface antigen (Anti-HBs). This lab test confirms that an individual has immunity to Hepatitis B and is the only marker present following vaccination. B. Hepatitis B surface antigen (HBsAg). The presence of this viral marker shows that an individual has the Hepatitis B virus infection. This also must be present for infection with Delta Hepatitis. Patients with Delta Hepatitis have a more serious disease and the indi\/i~ual is more likely to go into fulrnin~l1t hepatitis (and possibly die).) .~;.

tT Antibody to Hep~~s B core

C. antigen (Anti_HBC)'l\!':;'i:s~arker develops early in all rl tl,tlS .B viral infections and persiS efinltely. ; .unoglo An additional test wit I~ B core bulin M antibody to r-J.. . antigen appears earI l O....fect'Ion Hrmore. and persists for siX

This means acute or recent Hepati tis B viral infection when this test is positive. If an individual has both anti-HBc and anti-HBs present on lab testing, this indicates that the individual had a previous Hepatitis B viral infection and developed the antibodies naturally. If only anti-HBs is present, it means that the indi vidual developed antibodies from the vaccine. D. Hepatitis Be antigen (HBeAg). If this marker is present an indi vidual will be HBsAg positive and this correlates with Hepatitis B viral replication and high infectivity. This marker also, like the delta agent, can only be present in an individual who is HBsAg positive. TESTING, CARRIERS, AND VACCINATION It is thought that Hepatitis B virus is most infectious when subclinical (means an individual had the dis ease and never had clinical symp toms). A carrier is defined as an individual with two HBsAg positive tests six months apart. Additionally some studies show that asymptom atic cases are most likely to be carriers and HBeAg (marker of infectivity) positive. Another point to consider with Hepatitis B is that most people are transmitting for a time prior to diagnosis. If a child is born to a HBsAg positive mother, there is a high infectivity rate and high progression to carrier state (almost 90%) in the child. If the mother is a carrier, then the newborn must receive Hepatitis B immunoglobulin (HBIG) [a form of passive immunity from antibodies of an actively immunized host which

gives immediate protection], and Hepatitis B vaccine within days of birth. Hepatitis B vaccination gives active immunity from stimulation of ones own immune system. (This can occur from either a vaccine ora previous Hepatitis B infection.) The CDC says that pregnancy is not a contraindication to vaccination. Post testing for anti-HBs should be scheduled soon after the last inocu lation. This is the only way to tell if you have antibodies and are pro tected from Hepatitis B. The Center for Disease Control says protection lasts at least 10 years and there has been no development of Hepatitis B in any individual who received the vaccine in the United States and was immunocompetent (means an individual at one time had antibod ies). Additionally there have been no dentist to patient outbreaks in dentistry since 1987 when we started using universal precautions routinely in this country. In this country, we have approxi mately one million Hepatitis B surface antigen positive (HBsAg) individuals (carriers). There are approximately 200 deaths a year for Hepatitis B in health care workers. This number should decrease with the increase of universal vaccina tion. We worry about HIV, but only 40 health care workers to date have become HIV positive in the practice of health care. The vaccine is genetically engi neered, completely safe and effec tive in preventing Hepatitis B. Over 90% of people who take the vaccine become immunocompetent. The younger you are the more likely you are to develop antibodies from the 17

vaccine. For individuals who do not part of their vaccination schedule.

develop antibodies. thereisa The only way to ever eliminate a

<;c9nsid~r~tipnfQr sUbgutaneous, . disease throughout the population is

.~·::injectionQfcISmaUamount of':;';' by universally vaccinating the entire

' 0 ' +<,;t':vaccirieevery.ttl\E3e~eel<s;.f15IT1I).·' population and not attempting to .f".",T~i§,,~~S'rj()N~~~happ'r(),,~d by,.the<· only vaccinate high risk groups. 'F9odal')dDrtigAd~inistratjon b~t Great Britain tried only high risk ••. should becpns'i<ieredinin~ividyafs;; vaccination with Rubella vaccine i1 whodonot develop'antibodies.:ltis and it was a complete failure. You fi extremelYimportantto'k;,ow~.Y9ur can never find the high risk groups, c antibody status, if y,ouhave'~v~r; odell who is in the high risk groups.

J Universal vaccination is the key!

developed antibodiesitisfelfthat you will have enough 'antibody .....• '.' .......•.....

response to a Hepatitis .B antigen~' It EMPLOYER AND EMPLOYEE

RESPONSIBILITIES

your antibody status reveals,nO' , ' antibody, then a booster'orre~

vaccination should be considered.. Hepatitis B vaccine must be pro

Knowing the antibody status shortly vided at no cost to an employee

after completion of the vaccination ',. within 10 days of employment. If

series, will reduce the likelihood of boosters are needed, they will be

needing boosters or re-vacclnatlon.', givEtn to the employee at no cost.

;: The employer may not require Hepatitis B screening of employees The key to vaccinationisunilJ.er~al vaccination and all newborns at this;. prior to vaccination and the em time receive Hepatitis B'vaccine as . ployer does not have the right to

know that individual's Hepatitis I antigen/antibody status. This is confidential between the employ and the health care provider. T~ employer is only allowed to kno, that the individual has been vac. nated. An employee can refuse vaccination but this has to be an informed, educated refusal and t refusal must be kept in the em ployee medical records. Also it must be noted that if the employ! changes their mind that the em ployer will provide Hepatitis B vaccine free of charge. At the present time, there is no vaccine for Hepatitis C but I feel t one will be available in the near future. Dr. John A. Svirsky

Virginia has always given leaders to the nation in every field in every year. 1996 is no exception. Dave Whiston's victory in Orlando and the ~.:...---------, successful campaigns of others expanded the Commonwealth's influence in major health care organizations. Both the ADA and the AMA will be lead by Virginians in 1997. Specialty and support associations will also boast Virginia officers. Here are the ones who lead: Whiston, Wootton, Wendt, Zanga, Ford, Laws.

(R) with Percy ~1. Anne "Panny' 'd) in the Malbon

David A. Whiston, DDS of Falls Church is President-Elect of the American Dental Associa足 tion. He is the first Virginia dentist to hold this

office since Harry Lyons in 1957. He is a past

President of the VDA, past ADA Trustee, and an

Oral and Maxillofacial Surgeon.

Percy Wootton, M.D.

Percy Wootton, M.D. of Richmond, is President足 Elect of the American Medical Association. He is the sixth Virginian and the first MCV Graduate to lead the AMA. He is a past President of the Medical Society of Virginia and the Richmond Academy of Medicine and a Cardiologist. Douglas C. Wendt, DDS of Springfield, is Presi足 dent-Elect of the American Prosthodontic Society. He is a past President of the VDA and the Northern Virginia Dental Society, a fellow of the VDA and a prosthodontist in private practice. Douglas C. Wendt, DDS Joseph R. Zanga, MD, FAAP, of Richmond is Vice-President of the American Academy of Pediatrics (AAP) and will be its President in 1997. He is a past President of the Virginia Chapter of the AAP and is Professor of Pediatrics and Emergency Medicine, MCV and VCU. Barbara J. Ford, MLS, of Richmond is President足 Elect of the American Library Association. She is Executive Director of the VCU Libraries. This system includes the Tompkins-McCaw Library which supports the MCV School of Dentistry. She is a past President of the Association of College and Research Libraries. Edward R. Laws, Jr., MD., of Charlottesville, is President-Elect of the American Association of Neurological Surgeons(AANA). He is a past President of the Congress of Neurological Surgeons and its Professor of Medicine and Neurological Surgery at the University of Virginia.

Edward R. Laws, Jr., MD.

Leadership ;s a Virginia tradition and these leaders are the proof.

Virginia has always given leaders to the nation in every field in every year. 1996 is no exception. Dave Whiston's victory in Orlando and the

F==::::=:~~====-----~~ successful campaigns of others expanded the

Commonwealth's influence in major health care organizations. Both the ADA and the AMA will be lead by Virginians in 1997. Specialty and support associations will also boast Virginia officers Here are the ones who lead: Whiston, Wootton, Wendt, Zanga, Ford, Laws.

b~"!d~.WhistoiT'PDS(R) with

Percy Wooten,Mp (L)and Del. Anne "Panny" Rhod~9(R~Rirhmond) in the Malbon

Garden, MCV:' .'. .:

David A. Whiston, DDS of Falls Church is President-Elect of the American Dental Associa足 tion. He is the first Virginia dentist to hold this office since Harry Lyons in 1957. He is a past President of the VDA, past ADA Trustee, and an Oral and Maxillofacial Surgeon.

Percy Wootton, M.D.

Percy Wootton, M.D. of Richmond, is President足 Elect of the American Medical Association. He is the sixth Virginian and the first MCV Graduate to lead the AMA. He is a past President of the Medical Society of Virginia and the Richmond Academy of Medicine and a Cardiologist. Douglas C. Wendt, DDS of Springfield, is Presi足 dent-Elect of the American Prosthodontic Society. He is a past President of the VDA and the Northern Virginia Dental Society, a fellow of the VDA and a prosthodontist in private practice. Douglas C. Wendt, DDS Joseph R. Zanga, MD, FAAP, of Richmond is Vice-President of the American Academy of Pediatrics (AAP) and will be its President in 1997. He is a past President of the Virginia Chapter of the AAP and is Professor of Pediatrics and Emergency Medicine, MCV and VCU. Barbara J. Ford, MLS, of Richmond is President足 Elect of the American Library Association. She is Executive Director of the VCU Libraries. This system includes the Tompkins-McCaw Library which supports the MCV School of Dentistry. She is a past President of the Association of College and Research Libraries. Edward R. Laws, Jr., M.D., of Charlottesville, is President-Elect of the American Association of Neurological Surgeons(AANA). He is a past President of the Congress of Neurological Surgeons and its Professor of Medicine and Neurological Surgery at the University of Virginia.

Edward R. Laws, Jr., M.D.

Leadership IS a Virginia tradition and these leaders are the proof.

VDAto

iamsburg

Dr. Manny Michaels accepts Presidential Recognition

Award from Ron Tankersley.

Dr Raleigh Watson gives Invocation.

Dr. French Moore, Jr. (R) accepts the Pierre

Fauchard Award from Dr. H. Jackson Payne,

Virginia Chairman of the Pierre Fauchard

Academy.

Tommy Haller of Pulaski swears that his golf score was accurate in order to receive his Fellows Certificate from VDA Secretary-Treasurer Charlie Cuttino. Exhibit Hall, Williamsburg

Exhibits 1996

- 1

Dr. Sonny Lefcoe (L) and Dr. Richard Barnes receive ADA Awards for Overseas Volunteer Service. Dr. Dick Wilson addresses the assembly, while Dr. Corey Butler waits his turn.

Mrs. Sue Walker, AADA President, addresses the VDA.

Fellows: (Front Row, L ) Benita Miller, Wayne Mostiler, Roger Flagg, Joseph Cain. (Back Row, L) Jim Johnson, Rick Huffman, Jim Gyuricza, and David Paul

Bud Zimmer, Annual Meeting Chairman, and Bill Zepp, Executive Director, share a Williamsburg "Pineapple Award"

From Left- Dr. Chris Huff, Dr. Will Allison, Dr. Wally Huff at the Annual Meeting.

Virginia House of Delegates, 1996

Dr. John Mason (L) of Component IV receives his Life Membership Certificate from Dr. Dan Grabeel, Chairman of the Executive Council.

Dr. Tankersley delivers President's Address.

Executive Council dons appropriate attire for

Dr. Tankersley's address.

Dr. Hamlin keeps House of Delegates on task.

President Will Allison thanks Immediate Past President Ron Tankersley. Dr. Wally Huff accepts election as VDA President-Elect

L 23

1996 Orlando - ADA - Whiston

From left ADA Delegates Raleigh Watson, Les Webb, Anne Adams and JOan Gillespie follow the yellow pages in the House of Delegates.

Charlie Cuttino (L) and Raleigh Watson discuss the Whiston campaign in the House of Delegates.

From left, ADA Delegates: Ron Tankersley, Gary Arbuckle, Will Allison, Lindsay Hunt, and Charlie Cuttino follow the House proceedings.

Virginia Delegate Joan Gillespie delivers her report as Chairman of the Reference Committee on Communications to the ADA I-i ouse of Delegates. Anne Adams, Bud Zimmer. Bruce Hutchison and Dave Anderson observe the House from the Alternate Delegate area.

Dave Whiston presents his views to the First District Caucus before the vote in Orlando.

Dave Whiston with well-wishers after the election.

Dave Whiston~C~~~tS?On9tat~latjons on his election from ADAPresident1en Pas.

Dave Whiston receives congratulations from Karl Lange, 6th

District Trusee(L), an opposing candidate.

Dave and Julie Whiston are presented to the ADA House of Delegates by President Bill TenPas during the Installation Ceremony.

New ADA President-Elect Dave Whiston speaks to the House of Delegates after the election an足 nouncement.

From (L) Bruce Hutchison, Will Allison, Bill Zepp, Wally Huff, and Dave Whiston review business on the floor of the House.

Dave and Julie Whiston greet friends after the ADA Installation of Officers.

Virginia Leadership: VDA, ADA, Component 8-足 Allison, Whiston, Hutchison.

Bill Zepp, Bruce Hutchison, Ron Tankersley and Dick Wilson discuss formal matters in the Whiston Suite.

Dave Whiston says Thank You to his supporters.

ADA Delegate Les Webb and VDA Executive Director Bill Zepp enjoy the victory celebration. Julie Whiston, French Moore and Nancy Hutchison share congratulations after the election.

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. President

French H. Moore, Jr., DDS

First term ends 6/30/00

303 Court Street

Abingdon, VA 24210

(540)628-7862 FAX(540)676-5537

Vice-President

Mark A. Crabtree, DDS

.Flrst term ends 6/30/98 407 Starling Avenue Martinsville, VA 24112 (540)632-7392 FAX(540)632-2341 Secretary-Treasurer

John S. Lyon, DDS

First term ends 6/30/99

2774 Hydraulic Rd. Ste #201

Charlottesville, VA 22901

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

Nora M. French, DMD

First term ends 6/30/00

Stonewall Acres Professional Center

8567-A Sudley Road

Manassas, VA 22110

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

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 6130/00 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 6/30/00 7035 Mechanicsville Turnpike Mechanicsville, VA 23111 (804) 730-4300 FAX (804)559-4995 Pat K. Watkins First term ends 6/30/99 6606 W. Broad Street, Fourth Floor Richmond, VA 23230-1 71 7 (804) 662-9906 STAFF Marcia J. Miller, Executive Director Pam Horner, Administrative Assistant Kathy Lackey, Administrative Assistant

Monroe E. Harris, Jr., DDS

First term ends 6/30/97

110 N. Second Street

Richmond, VA 2231 4

(804) 783-2800 FAX(804)379-2859 Robert J. Isaacson, DDS, MS, PhD

First term ends 6/30/97

MCV School of Dentistry

Department of Orthodontics

MeV Station Box 980566

Richmond, VA 23298-0566

(804)828-9326 FAX (804)828-5789

Lychia Morris, Office Services Specialist 6606 W. Broad Street, #401 Richmond, VA 23230-1 71 7 (804)662-9906 FAX(804)662-9943 Howard M. Casway, Esquire Office of the Attorney General Assistant Attorney General 900 E. Main Street, Fourth Floor Richmond, VA 23219 (804)786-1023 FAX(804)371-8718

DEAF AND HARD OF HEARING PATIENTS: POSITIVE COMMUNICATION

assured me th~t this ~ould not be a problem, although you

not provide an Interpreter for a regular cleaning. Your

Willingness to consider this request and your questions about

how to procure a qualified interpreter convinced me that my

needs would indeed be addressed.

w?~ld

Dear Dr. Dentist: I do not often have a reason to write a follow-up letter to my dentist but I know the power of positive reinforcement and wanted to be sure you knew how much your efforts are appreciated. I recently visited your office for the first time. As a deaf person, I can tell you that first visits to a new doctor or dentist are usually very frustrating for me. My first visit to your office was very pleasantly different. Let me tell you how. I called your office through the Virginia Relay Center (VRC) because I was not sure if you had a TTY (most doctors do not). The person who answered the phone seemed to be familiar with the Relay Center and courteously arranged my appointment time. The day before my appointment, she called me through the VRC to confirm the time. Wonderful! was thrilled that your office used the VRC to confirm! When I arrived and went to the receptionist, she started talking immediately. I am a skilled lipreader but an appoint ment such as this is too critical to rely on lipreading, espe cially when only 30% of words in spoken English are unique on the lips. I held up my hand and indicated that I could not hear her and gestured for her to please write. Usually, when I do this the person will begin to exaggerate their lip move ments and probably raises their voice. Your receptionist picked up a pad of paper and made very clear, brief notes of the information she needed from me. I waited to be called in for my appointment and was pleas antly surprised when the dental assistant approached me and gently tapped me on the shoulder. In other dental offices, I have sat with my eyes on the door for 30-45 minutes at a time waiting for my name to be called only to look up to see someone standing at the door, looking quite annoyed when the only person in the waiting room (me) did not respond to their name being called out. The hygienist was very careful to spend a few minutes writing notes with me when I first entered the examining room. She asked questions and allowed me to do the same. This was very helpful since understanding would be impossible once she put the face mask on to begin the cleaning. When you entered the room, you did the same thing, writing notes and becoming familiar with me before you began your examina tion. I had requested this appointment because I was con cerned about bleeding gums. After your examination, you again wrote notes to me, explaining that I would probably need extensive periodontal work. You gave me a referral to a qualified periodontist and noted that you were confident that he would meet my communication needs as well. All of the communications awareness that was shown during my visit was wonderful! When I asked if you would consider providing an interpreter in specific dental situations, you

So, Dr. Dentist, thank you for your efforts to make services

for me as accessible as those for any of your other patients.

I will share my positive experience with my friends and family,

deaf, hard of hearing and hearing. A dental diamond in the

rough who cares so much about a patient's needs is indeed a

rare find!

Sincerely,

Your Deaf Patient

Providing a positive communications environment for your

patients who are deaf or hard of hearing is not difficult. The

letter above points out some very simple steps that you can

take to ensure that effective communication occurs.

"I called your office through the Virginia Relay Center (VRC)

because I was not sure if you had a TTY (most doctors do

not.)" "...she called me through the VRC to confirm the time."

The Virginia Relay Center is a public service of the Common

wealth of Virginia. Individuals who are deaf, hard of hearing,

speech impaired or deafblind and who use a text telephone

(TTY) for telephone communication use the VRC to contact

other individuals, businesses or public entities who do not

have a TTY. Most medical or dental offices do not have TTYs

but if office staff are familiar with the use of the VRC, effective

telephone communication can be achieved. When a deaf

patient calls through the relay center, a Communications

Assistant (CA) will introduce the call as being a relay call and

will ask if you have had a relay call before. If you have not,

the CA will explain the process. The CA's job is to relay the

messages between the parties. The deaf person will type

their message to you which the CA will read word for word.

You will respond by voice and the CA will type your message

to the deaf person who will read it on the TTY. You may call

your deaf patient through the relay center also. Simply dial 1

800-828-1140 and give the CA the number you wish to call.

There is no additional charge (other than normal local or long

distance rates) for this service. Or you may opt to have direct

communication with your patient by purchasing a TTY for

your office. Purchasing a TTY is a tax-deductible piece of

equipment. For more information about purchasing a TTY

you may contact the Virginia Department for the Deaf and

Hard of Hearing.

Your receptionist picked up a pad of paper and made very clear, brief notes of the information she needed from me. When a patient who is deaf or hard of hearing comes into your office, they will usually indicate a preferred way to communicate. Some may use voice and ask you to speak clearly and slowly so they may read your lips. Others may indicate through gestures that notes will be needed. Still 29

others may have made arrangement in advance for an interpreter. (More on interpreters in a bit.) "When I asked if you would consider providing an interpreter, you assured me that this would not be a problem, although you would not provide an interpreter for a regular cleaning. " Not every appointment with a person who is deaf or hard of hearing will require an interpreter. You should discuss this with your patient and see if you can reach an agreement on effective communication in various situations. For example, a routine cleaning for a returning patient may not require an interpreter but a first time visit from a patient with significant dental problems may. Securing the services of a qualified interpreter is not difficult, if you know what to do. Many interpreters work as freelance professionals. Your patient may be able to refer you to a qualified interpreter or you can contact the Virginia Department for the Deaf and Hard of Hearing (VDDHH). VDDHH maintains a Directory of Quali fied interpreters which lists contact information for qualified professionals across the state. You will need to contact the interpreter directly and negotiate payments for these ser

vices. Remember Interpreting is a business and you may want to call several interpreters to compare prices. VDDHH can provide you with additional information, if you need assistance. "A dental diamond in the rough who cares so much about a patient's needs is indeed a rare find!" Taking a bit of time to learn about ways to accommodate patients who are deaf or hard of hearing can prove to be an effective business technique. A patient who is deaf and who finds an effectivs communication environment in any business Will probably share their "find" with others in the community thus contrib uting to your business as a service provider. If you would like to learn more about effective communica tion for patients who are deaf or hard of hearing or if you would like to make arrangements for an Outreach Specialis to provide basic training on these issues to your staff, contact the Virginia Department for the Deaf and Hard of Hearing at 1-800-552-7917 (statewide) or (804) 225-2570 ( Richmond).

MEDICAL INSURANCE COSTS MAy BE As DIFFERENT As:

Apples

Oranges

and

Virgl11ia Ocnlal Association SpmlsOt-ed Plan

Cunnll

Healrh Insurance

........................~ Take a look and compare. Lifetime Moximum: $2,000,000 Dedudible: 5200, 5500, 5750 51,000, 52,000, 55,000 Ce-lnsurunce: In Network 90%/10% OUI·ol·Network 80%/20% Out-of·Potket Max: 51,000 per individual 52,000 per fomily Hospice tare: 100% Presuiption Drugs: 58 generic, 516 brand Good Health Discount: 20%, 25%, 30%

/....

.\\

"I"::,::~'.

Then call Suter, Haycraft &: Simmons for an application today! .~

Co-Insurance

Out-of-Potket Max

1-800-572-2366 703-241-0011

Hespice Care

Presuiption Drugs Good Health Distount

.....

........

•..••

.. ........

......................... 1

.. 1 1

--~5H..".....--Endorsed hv:

SUTER HArcRA:f!sSIMMO/flS

[

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 ofDirect 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 whom you 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 FAX

c.P. 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

VDA HOUSE OF DELEGATES ACTIONS IN BRIEF September 22, 1996 The following recommendations were approved on the Consent Agenda: 1. Adopted a recommendation that the Executive Council adopt the following Mission Statement developed during the recent Goals & Roles Workshop as the Mission Statement for the Association: The mission of the Virginia Dental Association: Representing and serving member dentists by fostering quality oral health care and education.

Committee; b) The Executive Committee; and c) Selected VDA Staff 11. Adopted a recommendation that the Bylaws of the Virginia Services Corporation be amended to allow for a Board of Directors consisting of five (5) Directors to include Doctors Jeffrey Levin and Bruce K. Barr.

2. Adopted a recommendation that the Executive Council adopt the goals developed during the Goals & Roles Workshop as the current goals of the Virginia Dental Association as follows:

12. Adopted a recommendation that all standing committees who are requesting funds from the VDA submit their budgets or financi, requests to the Budget and Financial Investments Committee in writing at least 60 days prior to the June Committee meeting and defend those requests at the June meeting at the request of the Budget and Financial Investments Committee.

To Improve and Expand Membership Services.

To Promote the Policy of the Association Through Proactive

Legislative and Regulatory Advocacy on Behalf of the Public and

the Members of the Association.

To Increase Membership Recruitment and Retention.

To Enhance Membership Communications.

To Increase Access to Quality Oral Health Care.

13. Adopted a recommendation that the Executive Committee approve expenditures exceeding budgeted amounts of the VDA's annual budget during the interim period between passage of the annual budqet by the House of Delegates as a matter of checks and balances.

3. Adopted a recommendation that the Ad Hoc Mission & Goals Committee meeting be held one day before the Annual Fall Leader足 ship Conference in both 1996 and 1997 and that a full Goals & Roles Workshop be scheduled every third year, the first being Fall 1998, involving the elected members of the Executive Council and individual VDA members to be selected by the then President. 4. Adopted a recommendation that the 1999 meeting of the VDA be held in Northern Virginia, with a preferred site of the Hyatt Regency Hotel, Reston, VA. 5. Adopted a recommendation that Dentix be conditionally approved for the purpose of review of its contract by the VDA and ADA. 6. Adopted a recommendation that the VDA endorse Atlantic Mutual Companies Personal Lines Insurance Program. 7. Adopted a recommendation that the VDA endorse the CNA Trust as our Major Medical Health Plan as of January 1, 1996, and that the VDA, as per contract, give Acordia/Anthem a 30-day written notice of termination on December 1, 1995. 8. Adopted a recommendation that the VDA submit the following names to the Governor for consideration for appointment to the Board of Dentistry to fill the unexpired term of Dr. Erma Freeman: a) Dr. Michael J. Link b) Dr. Edmund E. Mullins, Jr. c) Dr. Francis F. Carr. Jr., and/or d) Dr. J. Darryl Rice 9 Adopted a recommendation that an award be presented during the 1996 VDA Annual Meeting to Dr. Edward Y. Lovelace for his thirty years of service as Chairman of the VDA Relief Committee. 10. Adopted a recommendation that the official delegation to the ADA Public Affairs Conference in WaShington, DC will be as follows: 3) The Chairman or a designated member of the Legislative 32

14. Adopted a recommendation that the VDA support a Transitior Program for MCV Dental Students, including lunch, as sponsored by the Committee on the New Dentist. 15. Adopted a recommendation that the present funding of $2,5C for the VDA-MCV Freshmen Dental Class Luncheon be continue! as a line item of the VDA Scholarship-Loan Fund Account. 16. Adopted a recommendation that the contract of the insuranc consultant, Sam Rosenthal, be renewed. 17. Adopted a recommendation that a letter be sent to lnsuranct Commissioner Foster on or about the first of April regarding the actions of the Acordia Company and Mary Bowman Telfer. 18. Adoi2N-d a policy statement that the VDA Peer Review and Patient Relations Committee will work to adopt the ADA Peer Review Manual but the Committee feels that definite amendmen will have to be made. 19. Adopted a policy statement that confidentiality of Peer Revil Records is best maintained at the Component level. Data on ca shall be reported on a biennial basis. (58*) Approved a policy statement that in regard to non-VDA members, the (Peer Review) Committee feels that it is appropri: to mediate for members only. Non-members will be informed oj complaints received and they will be informed that VDA membe ship is open to them. 20. Adopted a policy statement that voluntary cooperation with

Peer Review System should be encouraged.

21. Adopted a recommendation that the VDA endorse Benefits

Administration, Inc. for the administration and promotion of DirE

Reimbursement subject to:

a) A favorable review of their financial profile:

b) Discontinuing other DMO plans: and

c) Ownership of data by the VDA.

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 ed ucation, 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 days 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?

We want you to commit to making more money than you are currently making and we want you to do it by working three da ys a week instead OHOUL 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 doctor works 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 urmecessary. 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'

VDA HOUSE OF DELEGATES ACTIONS IN BRIEF ...

22. Adopted a recommendation that the VDA release the $10,000 for one year unconditional membership In the ADRP as soon as possible. 23. Adopted a recommendation that monies be budqeted for continued membership in the ADRP, following evaluation of current ADRP activities. 24. Adopted 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. 25. AdDpted the following slate of officers recommended by the Nominating Committee to be nominated and elected at the 1996 Annual Session, Sunday, September 22, 1996: A. President-Elect Dr. Wallace L. Huff B. Members-at-Large, Executive Council (2 years - 1996-1998) Dr. Thomas S. Cooke, III Dr. Gus C. Vlahos C. ADA Delegates (3 years - 1997, 1998, 1999) Dr. William H. Allison Dr. Ronald L. Tankersley Dr. Emanuel W. Michaels Dr. Richard D. Wilson D. ADA Alternate Delegate (2 years - 1997-1998) Dr. Anne C. Adams

32. Adopted a recommendation that the VDA establish two annu awards for membership recognition of components for: (1) the greatest percentage increase in new members; and (2) the lowes percentage of non-renewals to be awarded at the VDA General Membership Meeting. 33. Adopted a recommendation that the VDA Central Office obta a membership benefits tape to play when people call the office ar are placed on hold. 34. Ado-pted a recommendation that the annual VDA Mernbershq Directory shall contain a VDA committee roster including commit tees, committee member names, their components and their terrr of membership or term expiration dates. 35. Aoo,pted as.amendeo a recommendation that it shall be VDA Policy that a letter be sent from the President to each new commi tee members informing them of their appointment, term of appoint ment and responsibilities of committee membership. 36. CQmmend£Ld Dr. Ronald L. Tankersley for his tireless energy and dedication to the Virginia Dental Association. Upon submission to the House by VDA Reference Committees. TI House took the following actions: 37. Mop-ted a recommendation that the VDA endorse the IMG Glove Product to be marketed to the VDA membership as a VDA For-Profit activity.

26. b..dQp1eQ a recommendation that the amendments to the Constitution and Bylaws be forwarded to the House of Delegates for discussion.

38. Adop1e~arneruied a recommendation that the VDA adopt Policy that an annual review of the VDA Executive Director be conducted.

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

39. Adopted as.arnended a recommendation that the 2001 meeti of the VDA be held at the Roanoke Convention Center.

28. ,A.~pte1:l 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.

40. AdoJ)leJ:1 a recommendation that the Wintergreen Resort be considered for the 1998 Leadership Conference. 41. Ado-pted williPID-viso Bylaws amendment to Article I. MembE ship. Section 1. Subsection D. of the VDA Bylaws pertaining to L Membership by adding "to become effective with the 1997 dues statement."

29. Adopted a recommendation that third party payment consult ants should attempt to resolve quality control issues with the dentist prior to a patient being notified of claims denial based on quality of treatment.

42. AdQp1e.d Bylaws amendment to Article I. Membership. Secti 1, Subsection C of the VDA Bylaws pertaining to Honorary Mernl» ship by adding "The surviving spouse of a member dentist may bE included in this category."

(80*) Approved a recommendation that third party payment consult ants should identify themselves and provide credentials to the dentist when pending claims are denied, so the dentist may respond to the consultant.

43. AdQpted_a~amende_d Bylaws amendment to Article I. SectlG 6, Subsection A pertaining to Reinstatement of Members. Back dues shall be accepted for no more than three years of delinquen prior to the application for reinstatement.

30. A.dopJed a recommendation to make the Direct Reimbursement Subcommittee a Standing Committee of the VDA.

44. AdQJ)ted-..asamended Bylaws amendment to Fellows Selectrc Committee Bylaws regarding Article III, Section 2A, #5 with the replacement of the third sentence ..."The program for this meeting shall be the responsibility of a component representative desig nated by the Chairman."

31. bdo.pted a recommendation that the VDA support the VCU/ MCV School of Dentistry Freshmen Students Luncheon up to $2,500 funding. 34

45. AdQp.tedas amended a recommendation that the Insurance Committee be removed as a Standing Committee of the VDA.

What's the reason for our

SUCCESS We could give you

â&#x20AC;˘

Why IS Delta Dental one of the leading providers of dental care coverage in Virginia2 A major reason is the participation of more than 2400 of the finest dental care providers in the state'. Delta Dental was stoned by dentists, so it's only logical that we understand 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

" DELTA DENTAL-

At Delta Dental, our reputation is built on a tradition of success. 1 Del1oDenloi Pion of Virginia pornctponeq provider directory june '96

DeltaDentalPlan ofVirginia 3807 Brandon Ave., svÂŤ, #360 Roanoke, VA 24018 1-800-572-3044

Alliance of the Virginia Dental Association

AVDA The Alliance NEEDS YOU and so does the dental profession!!! Why join or renew?

Some reasons cited by fellow AVDA members for maintaining membership:

* * * * *

* * * *

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

When you are a member of the Alliance, you are a member of a tripartite organization

patterned after the American Dental Association.

Membership dues entitle you to membership in:

Your local Alliance (where organized) The Alliance of the Virginia Dental Association The Alliance of the American Dental Association In Virginia, where a local alliance is not organized, members join the Alliance of the Virginia Dental Association (AVDA) and the Alliance of the American Dental Association (AADA) as members-at-large and only state and national dues are collected. Not anyone can devote 100% of their time to Alliance activities, but you might be able to donate some time every few years to Alliance activities instead of other volunteer positions. Please complete the following information and mail to: Nan Cook, Membership Chairman, 211 Grande Drive, Richmond, VA 23229 Name Home address

Spouse's name

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

Make check payable to AVDA for $33.00 (AVDA

+ AADA dues)

VDA HOUSE OF DELEGATES ACTIONS IN BRIEF ...

Ad ted a recommendation to approve changes as drafted by · &oValentine to the VDA Constitution and Bylaws regarding the M a% . &C . . Ed r Relief Committee and the Dental Education ontinuinq uca Ion Committee.

47. Adopted Bylaws amendment to Article VIII, Section 4B. #6.b. pertaining to peer review. 48. Adopteg Bylaws changes to Article VIII, Section 1, A. pertaining to the addition of the Committee for Direct Reimbursement as a Regular Standing Committee. 49. Complimented Dr. Allison on a fine speech emphasizing a proposal to explore Individual Practice Associations and to review of the present VDA Code of Ethics. 50. Adopted as amended Bylaws changes to Article IV. Officers. pertaining to the Method of Election and/or Appointment of officers. 51. postponed definitely for two years a recommendation that the current method for the election of officers be maintained. 52. Adopted as amended a recommendation that it be VDA Policy that each VDA committee chairman notify their committee members of each meeting and its agenda at least 30 days before the sched uled meeting date. 53. Adopted as amended a recommendation that the VDA, in . cooperation with the National Foundation of Dentistry for the Handicapped, endorse the Donated Dental Services (DDS) Pro -; gram.

forum for which they intend to submit claim for reimbursement must have the prior approval. 57. Adopteg a recommendation that the Virginia Dental Association contribute $3,000 to the Virginians for Patient Choice Coalition, to assist in the legislative effort regarding Any Willing Provider. 58. Adopted a recommendation that the Virginia Dental Assistants Association members be charged a $15.00 preregistration fee at the 1996 Annual Meeting and that the $25.00 assistant's fee stand for non-VDAA members and that the VDAA preregistration fee be split with the VDA. 59. Adopted a recommendation that the current ADA rules regard ing the Relief Fund Indenture of Trust be adopted by the VDA and that VDA legal counsel examine the current Indenture of Trust Rules relative to Virginia law. 60. Adopted a recommendation that travel expenses incurred by representatives of the VDA in an official capacity, as established by the Executive Committee, be reimbursed for travel, lodging, and the ADA-established per diem. All travel expenses will be submitted to the VDA in travel voucher form. 61. Adopted a recommendation that the on-site registration fee will increase by $50 over the preregistration fee for all dentists and by $10 for all auxiliaries for 1996 only .

. f'

"54. Adopted 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

." /~ittl ttle dental profession, the Committee hopes that the VDA will ~:~ri:,~,;~hco~rage its member dentists to utilize VADL member laborato ;' :.~,:;rtes.r!:' j".

!}i~;:fS5.·Ad~Pted

cJ:~£0~~'"'~>"}'{':~' ::.::1.?::>

the following Resolution:

'~i;·;iVVHERF.AS, it is prohibitive from an educational standpoint for ~.;:~ygi~n.i;>ts to adhere to the ADA educational requirements for

62. Adopted a recommendation that the VDA adopt the ADA's travel voucher, as the standard form for reimbursement to include travel, lodging expenses and a per diem expense the same as the ADA guideline for meals to be turned in to the VDA office within 90 days or forfeit refund. Any trip representing the VDA must receive pre-authorization by the President and/or Executive Committee. 63. Adopted a recommendation that the VDA not support the ASDA request for funding of $500. The VDA will provide a direct grant of $500 to the MCV ASDA for attendance at the ASDA Regional Meeting. 64. Adopted a recommendation that the VDA appropriate $500 to support activities associated with the recognition of 75 years of Public Health Dentistry in Virginia.

·);~.aqmif1istration of local anesthesia which would include instruction in

i:.::··~Bi9chernistry, Anatomy and Physiology, Pharmacology, and clinical :)::, practical training; and, ;"';:i1,(;','::f,:'

.,..'

"' WHEREAS, this bill will not enhance the quality of health care

. delivery in the Commonwealth; and,

i~~WHER~AS, this does not address a current health care need in the .'I'Commonwealth; and,

,,"_"P"o'"

~ ,\~l:-';«----;'''<::''- s

<;VVH.E:~§A.S. there are significant potential cardiovascular, cerebral .,!; ..~nd pplmonary sequela associated with the administration of local

:;.l'i-z.t~~~:~;~peciaIlY those

containing sympa~homimetic drugs. . "... '. . " ' BE IT RESOLVED that the Virginia Dental Associa ;tiontS opposed to the d . . t . i .. · 0 · . · a rrurus ration of local anesthesia by Dental ;IiY9Je Ol;;ts { HB 1280). ,.}/,_~._.,~_

•

, J-;:'_,-,

. . :\;'5.9)Adopt~d a recomm

d r · '.

;:I.it.jadOpfia~.J?Olic that V en a Ion that the Virginia Dental Association

untie r: Y ""Wf~;'.l~ the VDA '-'".,> ..

65. Adopted the following Resolution from 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. 66. Adopted as amended a recommendation that the VDA continue

DA members not assigned an expense budqet seeking to represent the VDA in any

VDA HOUSE OF DELEGATES ACTIONS IN BRIEF . . .

support in the amount of $250, of sending a student to the YMCA Mock General Assembly, 67, Adopted a recommendation for a budqetary request for $1,500 for the printing of the VDA Peer Review Manual and $1,500 funding for an ADA Peer Review Workshop, 68, Rescinded the original 1981 Policy of the Auxiliary Education and Relations Committee, Adopted as amended a recommendation that dental hygiene grants and loans shall be made from all monies in the Dental Auxiliary Fund Savings Account and Student Loan Fund Savings Account 69, Adopted as amended a recommendation that the VDA sponsor the picnic for the Senior Dental Students, their spouses and children, in conjunction with the Richmond Dental Society Golf Tournament at $15 per person not to exceed $3,000 which is then allocated to the Dental Education & Continuing Education Commit tee by action of the Executive Council. 70, Adopted a recommendation that the tuition for VDA-sponsored continuing education programs be increased to $40 per VDA member.

(100*) Approved a recommendation that the VDA support recom mendations 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,

72, 6dopted a recommendation that the Executive Council approve expenditures of up to $26,000 from the reserves if needed to balance the budqet. 73, Adopted a Policy Resolution that the VDA provide an automo bile for Central office use, 74, Adopted as amended a Policy Resolution that the VDA will reimburse the Executive Director for spouse attendance at ADA, VDA Annual Meetings and one other meeting approved by the Executive Committee, 75, Adopted a recommendation that the budgets for 1996 and 1997 of Direct Reimbursement be approved as requested, 76, Adopted as amended a recommendation that the Executive Council approve the Budget as submitted, (*) Items included from the Executive Council Annual Report.

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

MBNA now offering frequent flyer miles . . . Earn frequent flyer miles by upgrading your VDA Gold MasterCard to a Platinum Plus Miles Card. The optional MBNA Platinum Plus Miles travel rewards program allows you to earn miles toward free airline travel on any domes tic 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.

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, call IMG/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. 38

Secondin a Serres: Better by Association

Knowledge by Association

Know

what knowledge is? It's information. Data. Experience. The fruits of research and investigation. It's the intellectual capital that moves America for ward. And that's not all. In today's competitive, knowledge based- economy, knowledge has another important meaning. It means success. What does it take to create a high performance workplace? What's the new data that drives planning and priority setting? How do we tap the power of the technology that is exploding around us? America's associations have the answers. By linking individuals, businesses and industries and by pooling their intellectual and capital resources, associations are powerful creators of knowledge for the new millennium.

How are we creating knowledge by association in America today? We're creating lIelY applicutions for teclmulogy: We're designing technologies that could reduce electricity consumption In America by 20 percent, and CO, emissions by more than a quarter. Developing assistsve technologies for people with spinal cord injury and disease. Testing ethanol-powered engines for city busses to reduce pollution and promote renewable resources.

\Ve're //Iovil/g research 10 actiol/. Association-sponsored research unlocks new solutions for America's future. We're developing better laboratory testing procedures to combat AIDS around the world. Finding the best strategies for implementing the Americans with Disabilities Act. Polling police chiefs and sheriffs about crime prevention-and what works best.

We're linking people witll informution and al/swers. We help America work smarter. We're linking human resource specialists around the world to enhance performance in the workplace. Creating networks for sharing health care information resources in communities. Bringing new findings in science and technology to practitioners nationwide. Associations make sure that know ledge creation can continue to drive innovation, excellence and growth in America. Why?' Because there's no separating what we know from what we are able to do.

Advancing America. Creating Knowledge. Innovating. Learning.

Ensuring Excellence.

Bringing People Together.

j .:.?i••..

Associations Advance America

Minutes of the VDA Annual

Membership Meeting

Sunday, September 22,1996

The 127th Annual Membership Meeting of the Virginia Dental Association was held at the Colonial Williamsburg Lodge Auditorium, Williamsburg, Virginia, on Sunday, September 22, 1996, at 9:00am. President Ronald L. Tankersley called the meeting to order. The invocation was given by Dr. Raleigh H. Watson, Jr. Dr. Edmund E. Mullins, Jr., Chairman of the History and Necrology Committee, presided over the In Memoriam Cer emony. The Ceremony honored the following members: Dr. Sidney Abramson, Hollywood, FL Dr. Albert David Alexander, > € cala, FL Dr. Ernest L. Bayton, Jr., Portsmouth Dr. Clark Bruton Brown, Richmond Dr. Samuel E. Buxton, Jr., Portsmouth Dr. Edward F. Cicinato, Sun City, FL Dr. Lonnie O. Clark, Jr., Virginia Beach Dr. Dennis P. Claypool, Jr., Norfolk Dr. Oscar E. Cordle, II, Virginia Beach Dr. Edward Cowan, Tucson, AZ Dr. Willie Davis Crockett, Richmond Dr. Curtis R. Crowder, Waynesboro Dr. Bymal Muse Haley, Sr., Kilmarnock Dr. John O. Haller, Wytheville Dr. Melvin M. Koogler, Fishersville Dr. Duard Edwin McDaniel, Ewing Dr. Raymond G. McGehee, Arlington Dr. Alexander L. Martone, Norfolk Dr. Robert Reynolds Owens, Hampton Dr. Leslie H. Rawls, Jr., Suffolk Dr. James Conway Smith, Onancock Dr. Orville O. van Deusen, Winchester Dr. Thomas W. Wilson, Newport News Component representatives placed a single rose in a bouquet to commemo rate the deceased members.

President Tankersley recognized Gary Crizer, Sales Manager of the Hotel Roanoke. Mr. Crizer gave a brief program on the Hotel Roanoke and

Conference Center, site of the 1997 Annual Meeting. The 128th VDA Annual Meeting will be held on Septem ber 24-28, 1997. President Tankersley also recognized Dr. Andrew J. Zimmer, 1996 Annual Meeting Chairman, and his Committee. Dr. Zimmer presented the attendance for this year's meeting, as follows: VDA Member Dentists ADA Member Dentists Non-Member Dentists Assistants Hygienists Other Staff Spouses Guests Dental Students Exhibitors Staff

499 14

5 196 137 92 161 40 13 252

1995-1996 Component Presidents and thanked them for their support during his year as President. Dr. H. Jackson Payne, President of the Pierre Fauchard Academy, presented several awards on behalf of the Acad emy. MCV School of Dentistry rising Junior Anthony S. Thomas was recog nized. The Pierre Fauchard Outstanding Dental Student Award was presented to Alfred Thresher, a rising Senior at MCV. The Pierre Fauchard Special Citation was presented to Dr. French H. Moore, Jr. of Abingdon. President Tankersley presented a Special Recognition Award to Dr. E. Y. Lovelace, Jr. of Bedford for his service as Trustee of the VDA Relief Fund from 1966-1996.

10 1,419

Dr. Zimmer noted that the 1996 meeting was the largest in VDA history. President Tankersley introduced various VIP's, including Dr. John Timmerman, President of the South Carolina Dental Association, Dr. Woody Mason, Presi dent of the North Carolina Dental Society, Dr. Greg Chadwick, ADA 16th District Trustee-Elect, and Sue Walker, President of the Alliance of the Ameri can Dental Association. All briefly addressed the House of Delegates. VADPAC Chairman Dr. John C. Doswell, II, made several presentations to component societies and recognized several individuals for their exemplary work in behalf of the political action committee. Dr. Daniel E. Grabeel, Chairman of the VDA Fellows Committee, presented certificates to the 1996 VDA Fellows (see list following Minutes of the Annual Membership Meeting). Dr. Charles L. Cuttino, III, VDA Secre tary- Treasurer, presented certificates to the 50-year, 60-year and Life Members (see list following Minutes of the Annual Membership Meeting). President Tankersley recognized the

President Tankersley presented the first Presidents Award given by the Virginia Dental Association to Dr. Emanuel W. Michaels of Norfolk. The Presidents Award recognizes commitment, dedica tion, and years of meritorius service to the dental profession. The Presidents Award was established during Dr. Michaels' tenure as VDA President in 1983-1984, but never previously presented. President Tankersley called for Old Business. Hearing none, he called for New Business. President Tankersley called for the election of officers for 1996-1997: 1. Dr. Wallace L. Huff, Sr. was nomi

nated for the position of President-Elect.

There being no other nominees, the

Secretary was instructed to record a

unanimous vote.

2. Dr. Charles L. Cuttino, III was

nominated for the position of Secretary

Treasurer.

There being no other nominees, the

Secretary was instructed to record a

unanimous vote.

3. Drs. Thomas S. Cooke, III and Gus

C. Vlahos were nominated for the

positions of At- Large Councilor for a

two-year term. There being no other

nominees, the Secretary was in

Minutes, cant. structed to record a unanimous vote. 4. Drs. William H. Allison, Ronald L. Tankersley, Emanuel W. Michaels and Richard D. Wilson were nominated for the positions of ADA Delegate for three year terms 1997-1999. There being no other nominees, the Secretary was instructed to record a unanimous vote. 5. Dr. Anne C. Adams was nominated for the position of ADA Alternate Delegate for a two year term 1997-1998. There being no other nominees, the Secretary was in足 structed to record a unanimous vote. 6. Drs. Bruce R. DeGinder, Daniel E. Grabeel and Bruce R. Hutchison were nominated to fill the unexpired one year ADA Alternate Delegate term of Dr. Tankersley. Dr. Hutchison was elected to the position. 7. Drs. Bruce R. DeGinder and Gus C. Vlahos were nominated to fill the unexpired two year ADA Alternate Delegate term of Dr. Huff. Dr. Vlahos was elected to the position. 8. Dr. David C. Anderson was nominated to fill the unexpired two year ADA Alternate Delegate term of Dr. Allison. There being no other nominees, the Secretary was in足 structed to record a unanimous vote. President and Mrs. Tankersley presented Bill and Pat Zepp with a gift for their support and assistance throughout the past year. President Tankersley installed the following Virginia Dental Association Officers for 1996-1997: President: Dr. William H. Allison President-Elect: Dr. Wallace L. Huff Secretary-Treasurer: Dr. Charles L. Cuttino, III Councilors-at-Large: Dr. Thomas S. Cooke, III Dr. Gus C. Vlahos President Tankersley installed the following Component Presidents for 1996-1997: Component 1 - Dr. T. Wayne Mostiler Component 2 - Dr. Jeffrey N. Kenney Component 3 - Dr. Roger L. Palmer Component 4 - Dr. Benita A. Miller Component 5 - Dr. James R. Evans Component 6 - Dr. David L. Stepp Component 7 - Dr. J. Ted Sherwin Component 8 - Dr. Bruce R. Hutchison

President Allison presented a Presidential pin and plaque to Immediate Past President Tankersley and presented a gift to Gladys Tankersley, thanking them both for their service to the Virginia Dental Association. Their business concluded, the Annual Membership meeting adjourned at 11:15am.

Component 2 Dr. Robert Reynolds Owens Component 3 Dr. Herbert Tobias Component 5 Dr. James Edward Martin

1996 Fellows Component 1 Dr. Roger H. Flagg Dr. T. Wayne Mostiler Dr. David P. Paul, III

Component 7 Dr. Alonzo L. Phillips Component 8 Dr. George William Bogikes Dr. Arthur Cohen

Component 3 Dr. James K. Johnson Life Members

Component 4 Dr. Benita A. Miller Component 5 Dr. Richard D. Huffman, Jr. Component 6 Dr. Thomas B. Haller Component 7 Dr. Joseph O. Cain Component 8 Dr. James L. Gyuricza

Component 1 Dr. Falcon Hodges Guthrie *

Dr. Melvin R. Morrison

Dr. Jeremy Shulman

Dr. Joe Falk Zoll, Jr.

Component 2 Dr. Edward J. Dawson, Jr. Dr. Robert Vaughan Diggs Dr. Elmer O. Fisher Dr. William Thomas Green Dr. Rene Dirk Koun, Jr. Dr. Theodore Sam Savvas

Fifty Year Certificates Component 1 Dr. Dennis P. Claypool, Jr. Dr. Gladstone M. Hill

Component 4 Dr. Donald Floyd Bunn Dr. Alec Epstein Dr. Francis Merrill Foster Component 7 Dr. Joseph O. Cain

Dr. Edward Cowan

Dr. Welford Wellington Ross

Component 8 Dr. Joseph Gregory Bosco Dr. Don E. Gibbin Dr. Henry Prewitt Lear Dr. Douglas Charles Wendt

President Tankersley then passed the gavel to President-Elect William H. Allison. Sixty Year Certificates

Component 1 Dr. Arthur Siegel

Component 4 Dr. James Scott Duff, Jr. Dr. Francis Joseph Filipowicz Dr. Grayson Goode Fitzgerald Dr. James Riley Knight, Jr. Dr. John Spottswood Mason * Dr. Andrew McDaniel * Dr. Harry Alvah Wakefield Dr. Jay Laird Welliver Dr. Edward P. Woodworth Component 5 Dr. Robert Bently Goodwin Dr. James Edward Johnson, Jr. Dr. James Kenward Metz Dr. I. Slaydon Myers * Dr. Elliott L. Shearer Dr. Charlton B. Strange, Jr. Dr. Marvin Clay Winn

Component 6 Dr. Joe M. Adair

Dr. Maurice Ralph Hamill, Jr.

Dr. William Roger Henley

Dr. French Hale Moore, Jr.

Dr. Brownie E. Polly, Jr.

Dr. William P. Stanton *

"Dentistry desperately needs the guidance of men and

women not content with superficial accounts of its past,

but interested and knowledgeable in its origin,

the basis of its educational system,

its organization and its literature . . . "

This Could Be

Component 7

Dr. William E. Armstrong, Jr.

Dr. Ernest Diaz

Dr. Charles Lewis Shank

Dr. Edwin Alton Thomas

Dr. James Earl Williams

- JUaIU

YOU!

a 9J~ 足

Join

The American Acaderny of the History of Dentistry

Component 8

Dr. William Hodgkin Allison

Dr. Glenn Hunter Birkitt

Dr. Matthew Axton Campbell *

Dr. Patrick B. Colvard

Dr. Herbert Ivan Cueto

Dr. Thomas Graves Gilbert, Jr.

Dr. John A. Koury, Jr.

Dr. John Wesley Pash, Jr.

Dr. Harold Jackson Payne * Dr. Paul Carroll Quinn Dr. Jose Antonio Roca * Dr. Robert P. J. Sabatini Dr. Nathan Shreve Spitler Dr. Harold Paul Wittman Dr. Lawrence L. Ziemianski

Call 847-670-7561 or write American Academy

of the History of Dentistry

100 S. Vail Avenue

Arlington Heights, IL 60005

* Indicates Retired Life Member

Dental Careers Foundation 1905 Huguenot Road, Suite 200, Richmond, Virginia 23235

"Educating Virginia's Finest Dental Assistants"

Dental Radiation Safety

(VA Dental X-Ray Certification)

DCF offers "Dental Radiation Safety" as an individual course, several time per semester. Upon successful completion of this 8 hour course, a participant is certified to expose and develop radiographs in the State of Virginia. Our course offers training in technique as well as radiation safety and includes: -All aspects of Radiation Safety -FMX Placement and Film Mounting -Panoramic & Cephalometric Technique -Endo Films and Quick Developing -Use of RINN XCP Holders -Developing and Fixing & Caring for Processor -Quality Control Measures & Trouble Shooting -And Much More!

Comprehensive

Dental Assisting Raining

DCF offers a course in Dental Assisting 3 times per year. It will be taught on Saturdays for 12 consecutive weeks in a practicing dental office using state-of-the-art equipment for a true "hands-on" experience. The course includes: -Four Handed Chair-side Assisting -Impressions and Lab Procedures -VA X-Ray Certification -Adult & Child CPR Certification -Sterilization and Infection Control -All Textbooks, Notes, Materials & Supplies -Resume and Employment Interviewing -Use & Care of All Equipment -And Much More!

The fee is $99.00. Space is Limited, so call (804) 794-1754 to reserve a seat for you assistant. Our next course will be taught November 16th from 8:00am until 5:00pm.

The all-inclusive fee is $1,495.00. Space is limited, so call (804) 794-1754 to reserve a seat for your assistant today.

"Those students enrolled in the Dental Assisting Course need not register for this course

DCF is licensed by the Virginia State Board of Education and by the Virginia Board of Dentistry

as it is included.

The Virginia Academy of General Dentistry received national honors at this year's Portland AGD Meeting. President Bruce DeGinder accepted the Constituent of the Year Award given to the state with the overall best programs and strengths in membership, continuing edu足 cation, governance, public information and publications The Virginia Academy of General Dentistry also received a first place award in Membership for recruitment and retention programs and a second place award for their Continuing Education Programs.

Virginia to Participate in ADA Field Service Program The Virginia Dental Association has been selected to participate in the ADA's 1996-97 Field Service Program. As one of the 13 dental societies taking part in the program nationwide, the Virginia Dental Association will receive "hands-on" customized membership recruitment and retention (R&R) services from an ADA Field Representative The goals of the field service program are to help increase the number of new members and to retain current members in the dental association, while promoting the benefits of tripartite membership. Dr. Bruce DeGinder wil chair a membership Task Force, whose charge will be to craft and implement an R&R plan of action for the denta association over the next year and a half. ' The first meeting of this Task Force was on October 12, 1996 at the VDA Headquarters in Richmond. Represen足 tatives from all eight components were invited to attend. Those present at the meeting were Dr. Rick Quigg and Ms.Virginia Donne from Component 1, Drs. Bruce DeGinder and Jon Piche from Component 2, Drs. Anne Adams Jack Dunlevy, Russell Mosher, and Kim Swanson from Component 4, Dr. Jim Shearer from Component 5, Dr. Rebecca Swett from Component 7 and Drs. John Salmon and Gary Johnson from Component 8. Also in atten足 dance were Ms. Gail Beiber and Ms. Erin Murphy from the ADA, and Mr. Bill Zepp and Ms. Carole Russell from th VDA Central office. The Task Force reviewed statewide membership statistics to identify geographical areas and special groups of dentists that need concentrated efforts to recruit and maintain membership in organized dentistry. Each compo足 nent received lists of non-member licensed dentists in their area. Based partly on this information, the Task Force developed a written plan of action for the Commonwealth. The committee also reviewed a video tape on ADA benefits and resources which will be sent to all new and current VDA members on request. It was also decided that one membership benefit be highlighted in each VDA Journal to keep all members aware of what organized dentistry does for them. Finally, it was suggested that a comprehensive statewide listing of Continuing Education programs be listed in the VDA Journal and on the VDA Homepage in order to avoid two blockbuster CE courses being scheduled on the same day. Watch the VDA Journal for news of the Task Force activities and membership benefit information. If you would like to be part of the Task Force, which will be planning new and innovative R&R activities, please contact Dr. Bruce DeGinder at (757) 220-9492. Submitted by Kimberly S. Swanson, DDS 44

Einhorn.

CComponent News J

Barry Einhorn

The annual meeting of the Tidewater Dental Association was held August 7, 1996, at the Virginia Beach Ramada Inn. The following officers were elected and installed for the year 1996-1997: Wayne Mostiler president, Jim Baker president-elect, Stan Tompkins vice president, Jamie Krochmal treasurer, and Ralph Howell secretary. Elected to serve on the Executive Committee were: Dennis Cleckner, Neil Landy, Sheila Hardy and Maria Bredalogos. Elected to serve a three year term on the Executive Council of the VDA was Ed Weisberg. The Annual Meeting is a time for honoring those members who have given their time and energy to State Component Society Number One. The most prestigious service award pre sented to a member is the Richard Simmons Award. This award is pre sented in memory of Dr. Simmons, who by this devotion to our component and his love of dentistry, set the standard of professional conduct for all of us. The recipient this year was Barry Einhorn. The award is always a surprise, and this year's honoree was noticeably touched. In his acceptance speech he admitted to "being at a loss of words for the first time in my life". Service awards for ten (10) years of continuous service were presented to the following: Christy Hamlin, Jack Kanter, Bud Zimmer, Wayne Mostiler, Arnold Hoffman, Pat Moore, Dick Foster, Charles Wright, Bucky Harrison, Jim Taylor, Bob Pellerin, Robert Kirkman, Wally Cox, Harold Heafner and Bob Howell (for always moving that "nominations be closed"). Receiving certificates for twenty (20) years of continuous service were: Manny Michaels, Bob Rubin and Barry

A special award was presented by Manny Michaels to Bud Zimmer. Bud is the "sparkplug" who ignites the engine that runs our component. He keeps all of us on our toes and makes sure the wheels turn smoothly both in our component and on the state level. He received a specially designed trophy. One of our colleagues is an unsung hero. Leslie Richmond has given over 400 hours of his time in the past two years to the Virginia Beach Health Department. He performs endodontics primarily on young teenagers. Were it not for his devotion and expertise, many would have lost their first permanent molars. Dr. Richmond was presented a special award from the Virginia Beach Health Department by Roger Flagg.

Jeffrey N. Kenney

Start of press release: Congratulations to Dr. Ron Tankersley on a job well done! At the 138th VDA Annual Meet ing in Williamsburg, Dr. Tankersley turned the gavel over to Dr. Will Allison. Prior to that he reviewed the most recent accomplishments of the VDA that included, but is not limited to, the development of a state Direct Reim bursement program, the establishments of a grass roots network for legislative liaison, the formation of a "For Profit" subsidiary and the endorsement of the Donated Dental Services program for patients with special needs. This year's VDA meeting was a great success from start to finish and a lot of thanks for that should go to Bud Zimmer. There were numerous hours of continuing education and many outside activities.

emphasizinq the value of membership; consequently, as Ron has said, "price is no longer the issue." In Orlando the ADA took action to tap into the "recent grad" market by reducing the cost of membership to recent grads even more than in the past. Moreover, the ADA has passed a dues reduction of thirty dollars this coming year for all members as well. As a unified body we certainly have more potential to influence the future of dentistry. We would like to welcome new mem bers Jon Piche' and Velma Barnwell. During the upcoming elections please meet with, or write, your candidate and let him or her know the issues facing dentistry both now and in the years ahead. This "grass roots" type of interaction has proven very effective across the nation. Your participation can make the difference. If you would like to become involved in the "grass roots" efforts of the ADA please contact your local chairman, if you do not know who that is call the ADA. Congratulations go out to Bruce DeGinder and Bill Bennett for their installation into the International College of Dentists. In closing, on behalf of the members of our component, I would like to congratu late Dr. David Whiston on his election as ADA president-elect at the ADA meeting in Orlando. He has a tremen dous amount of work ahead of him, and I hope everyone will throw their support behind him and help accomplish the goals he has set for our organization and dentistry as a Whole. It's nice to have such a fine member of the VDA represent us on a national level. On behalf of the members of our component, we wish you and your family a safe and joyous Holiday season.

On the component level we are continu ing to identify and recruit new members for the dental society while at the same time attempting to reduce the number of non-renewals. This is accomplished by 45

Legislature will consider this issue in the upcoming session. The VDA House of Delegates voted to oppose this issue and seeks your support. Please contact your legislator and discuss this.

H. Reed Boyd, III

Congratulations go out to several of our component's members! Drs. Sam Galstan and Sharone Ward had their first child. Bailey was born during the Annual VDA Meeting. Sharone and Bailey are doing fine and are healthy. Dr. Herbert Tobias received his SIXTY year certificate. Dr. Tobias lives in Florida now that he is retired and we do not see him in the Component. We all hope he is well and enjoying life! Dr. Jimmy Johnson was elected as a Fellow of the Virginia Dental Association for his service. Jimmy has served in all offices of our Component and has held a VDA Committee Chairmanship for several years. Thanks Jimmy for your years of service and dedication to dentistry, our component and the VDA! Dr. Wright Pond, a Colonial Heights orthodontist, was awarded Fellowship status in the American College of Dentists during the ADA meeting in Orlando, Florida. Wright has been active in many aspects of dentistry and in his community and this recognition is well deserved. Congratulations to all of these dentists! Not members of our component, but we would like to congratulate Dr. David Whiston on his recent election as president-elect of the American Dental Association. We would also like to congratulate Dr. Will Allison on his election as VDA President. Our organi zation and profession are in capable hands and we look forward to the leadership of these two gentlemen. As always, the membership of Component Three is ready and willing to help in any way we can. A call from either of you is all it takes! The House of Delegates was busy in spirited debate over several issues facing the VDA. There is a bill that the Virginia Legislature will be looking at this coming year. The hygienists want to administer local anesthesia and the 46

The Ad Hoc Committee on Election Reform referred several proposals for change in the election procedure to the House of Delegates. The House of Delegates was unable to make a decision and returned some items to the Ad Hoc Committee for further study. The issue of officer elections was tabled for two years. I urge you to contact your component representative to that committee to discuss your thoughts. The continuing education programs at the Annual Meeting were well received. I have heard only great comments about how good the speakers were and how the content of the programs was outstanding. Kudos to Bud Zimmer and his committee for an outstanding meeting. Next year's Annual Meeting is in Roanoke. The House of Delegates had a brief presentation about the renovated Hotel Roanoke. It has been totally refurbished and appears to be a tre mendous facility for a meeting such as ours. Roanoke offers a lot for everyone with Market Square and some outstand ing golf courses. Make your plans now to attend and pick up those needed CE hours as well. Our Component has been busy and we are currently gearing up for the 1996-97 year. Our new president is Roger Palmer of Emporia, president-elect is John Bass of South Hill, Richard Roadcap of Colonial Heights is secre tary and Richard Bates, also of Colonial Heights is treasurer. We have set our Annual OSHA Update and CPR Recerti fication Day for February 7, 1997. Other CE courses are in the works. We are currently planning our National Children's Dental Health Month celebra tion for February. I had the opportunity to attend some of the recent ADA meeting in Orlando, Florida. I visited the technical exhibits and attended the CE course Physical Evaluation of the Dental Patient given by Dr. Stanley Malamed. I have heard

him before and he did not disappoint those in attendance. This course was designed to help the dentist evaluate the patient before you treat and tailor your treatment to the individual patient to prevent the medical emergency in the dental office. An interesting course to say the least! The ADA meeting was huge, the Orlando/Orange County Convention Center must have covered four or five blocks. Held in conjunction with the FDI Congress, dentists were in attendance from allover the world. Next year's ADA Meeting is in Washing ton, D.C. You might want to check the dates and plan to attend. With the holidays upon us, I hope that each of us will take stock of our situa tions and realize how rich we are. Each of us is very fortunate and should be very grateful. The members of Compo nent #3 wish everyone Happy Holidays and a very prosperous New Year!

Charles E. Gaskins III

September was a busy month in the ongoing "life" of the Richmond Dental Society. First, the regular monthly meeting of the Society was held at the Salisbury Country Club. The member ship meeting was preceded by a Socief sponsored afternoon golf tournament held at the Salisbury Club's course. The tournament winners were: "Team Winners": Doctors Tom Cook, Mike Miller, Russ Mosher and Jim Nelson; "Longest Drive": Dr. Mike Miller; and "Closest to the Pin": Doctors Randy Adams, Nelson Herring and Steve Saroff. A good time was had by all of the participants. During the membership meeting, Ms. Nicki Lee and Ms. Sheila Mandt spoke to the membership about the Richmond Dental Society's pledged support of the Greater Richmond United Way's annual fund-raising campaign effort. A

"PHONE-A-THON" effort to solicit member contributions subsequently was held on October 8th and 9th at the United Way Building in Richmond. Also during the meeting, Dr. Lindsay Hunt, Jr., Dean of the MCV School of Dentistry, presented the membership with an update on the status of the dental school; and several statistics concerning this year's freshman dental class. Dr. Hunt also reported that renovations to several of the individual school clinics were ongoing, and that VCU was planning to begin a multi million dollar capital fund-raising cam paign in October. New officers of the Richmond Dental Society for 1996-1997 were formally installed by Dr. Charlie Cuttino, Secre tary-Treasurer of the Virginia Dental Association. Dr. Benita Miller now serves as president; Dr. Gary Hartwell advanced to become president-elect; Dr. Charlie Gaskins began ~s secretary; and Dr. John Kittrell continued as treasurer for another term. A great deal of thanks was given to our outgoing president, Dr. Ed Mullins. Ed put a lot of time and effort into his "year at the top", and the Society has certainly benefitted from his leadership. Thanks again Ed! Mrs. Trudy Levitin, Dental Hygienist and wife of RDS member Don Levitin, announced the formation of a new membership group for hygienists. The Commonwealth Dental Hygienists' Society, Inc., was chartered to offer Virginia's hygienists an alternative representation to the current represen tative organization. Mrs. Levitin asked member doctors to notify their hygien ists, and to please support the new society (financially), as able. Hygienist rnrtornhn.r-C"hin

i c- h"

':3nn'I'":I1

rliIOC' (rol Ir_

duced in various states last year. She further stated that organized dentistry needs to continually monitor the various legislative processes (both state and federal), and pro-actively provide both the public and their legislators with alternative dental care delivery options. Next in September, from the 18th through the 22nd, the Richmond Dental Society's delegation attended the annual Virginia Dental Association meeting in Williamsburg. Our many representatives (such as our state and component officers, delegates and alternate delegates, executive council ors, state committee chairpersons and the staff of the VDA itself) did another outstanding job of addressing the many issues before the VDA at this year's meeting. Let's all thank these, our fellow members, when we see them for taking their time to properly represent us in our professional association. We might also reflect on the question of "What Have I Done For My Profession Lately?" On October 4th, an all day Virginia Dental Association C.E. program was given by our very own Dr. Baxter Perkinson, Jr. Baxter's topic was "Contemporary Cosmetic Restorative Dentistry". The program was well received, and many clinical insights, ranging from PFM crowns to complex treatment cases, were shared. Baxter will present this program again on November 1st, at the Boar's Head Inn in Charlottesville, for the benefit of VADPAC. Doctors John Cranham and Chris Hooper will be featured clinicians at this program. As a "sidelight", VADPAC is in need of significant funding help from all of us at this time. It takes considerable financial support to allow our VDA lobbyist to make an impact on our behalf in the General t..cC'ornhh,

Plo':JIC'o. ni\lo \Alh~t

\/1'"'\11

""~n

South Hotel (Midlothian Turnpike). Dr. Orent's topic will be "A Thousand Pearls". Lastly, an all-day C.E. program by Dr. Gordon Christensen will be held on January 9th, at the Embassy Suites Hotel. Dr. Christensen's topic will be "Dentistry for The 21st Century". The Component's Continuing Education Committee, under the ongoing chair manship of Dr. Norman Marks, has done another great job of scheduling first-class programs this year for the membership's benefit. It is hoped that members will both enjoy the meetings, and certainly learn from the knowledge of our honored speakers. We hope to see you at the meetings! Lastly, and sadly, Dr. Fred Carr has announced that he will be retiring this year as Editor of the Virginia Dental Journal. Fred certainly has given freely of his time and talents to bring us such a quality quarterly journal. Fred's understanding of both clinical and "organized" dentistry has been benefi cial to us all. Thank you Fred, you have made the Virginia Dental Journal a pleasure to read. The Journal certainly will miss you at the helm.

Government to impress upon them the dire need for an excellent dental hy giene program located at Danville Community College. This program would serve southside and central Virginia. As it now stands anyone from the south central part of our state who desires to be a dental hygienist must commute to Roanoke or Greensboro. Dr. Albert Payne presented our needs with facts and figures detailing the shortage of qualified dental hygienists in our area. Dr. Jim Evans was able to entice 20 dentists to attend this meeting. A second meeting was held Danville Community College on October 17, 1996, to discuss two way long distance learning. We held our fall meeting at the Roanoke Marriott, Dr. Tom Orent was the featured speaker. He spoke on Friday, Novem ber 8, and his topic was the 1000 Gems Seminar. The meeting was well at tended and very informative. Congratu lations Dr. Jim Evans on an excellent program. Finally, congratulations to our next ADA president, our own Dr. Dave Whiston. We in the Piedmont wish you luck and please let us know what we can do to help.

R. Graham Hoskins Our meeting in Abingdon was a big success. Lynn Mouden, DDS, MPH. Spoke on "Dentistry's Role in Prevent ing Child Abuse." While this was not a very pleasant subject, it is something that needs to be addressed. Dr. Mouden enlightened all those who attended. Everyone enjoyed the warm hospitality of historic Abingdon and the

Martha Washington Inn.

William P. Stanton (Retired Life).

November 15, 1996 was the date of the fall Component meeting at the Donaldson Brown Center on the beauti ful campus of Virginia Tech. The speaker was Dr. Valerie Beecham who spoke about pharmacology.

Our component also would like to sene congratulations to Dr. David Whiston f becoming elected to the office of President-Elect to the ADA. Dr. Whiston becomes the first dentist frorr Virginia to hold this office since Dr. Harry Lyons many years ago. We kno that Dr. Whiston will do a great job. Component 6 hopes the upcoming yeE will be a successful one for all of our members and all members of the VDA

The spring meeting will be at Emory and Henry College in Emory, Virginia. The speaker will be Mr. Ben Bissell and the topic will be "Dealing with Difficult People, and the Art of Listening." The May meeting will be the weekend of May 16-18 at Pipestem State Resort Park in Pipestem, Wv. Mrs. Ann Page Griffin and Mr. Jasper Lewis, founders of Practicon, Inc., will be speaking on "Managing the Accelerated Dental Practice." The weekend will feature the annual golf tournament and Saturday evening barbecue and after-dinner entertainment. For those who have never been to Pipestem, this is a beautiful area with a variety of activities for all ages and family members. We would like to invite any out-of-compo nent members to attend for a relaxing and informative weekend. The annual VDA meeting was held in Colonial Williamsburg on Sept. 18-22. This was the most-attended annual meeting held to date. Component 6 had a hospitality suite at the meeting in support of one of our own, Dr. Wallace Huff, who was running for VDA Presi dent-Elect. Congratulations go out to Dr. Huff who was elected to this office on Sept. 22. Dr. Huff is deserving and we know that he will do a great job representing Virginia dentists and our component at the state level. Also at the annual meeting Dr. Gus Vlahos was elected as Executive Councilor-at-Large and as an alternate delegate to the ADA. Dr. Ronnie Brown was appointed to the Executive Council of the VDA. Congratulations also go out to Dr. French Moore, Jr. for receiving the Pierre Fauchard Award for his outstand ing service to organized dentistry throughout his dental career! Also recognized at the annual meeting were members who became life members to the VDA. They are Dr. Joe M. Adair, Dr. William Roger Henley, Dr. French Hale Moore, Jr., Dr. Brownie Polly and Dr.

Gerald J. Brown Greetings from the Valley! The SVDA held their Fall meeting September 13, i Charlottesville. Native Virginian, Linda Miles, presented her latest lecture "ThE Art of Selling Dentistry." During the business meeting, the new officers wei installed. The officers are: J. Ted Sherwin, President; Gerald J. Brown, President-Elect; Edward L. Amos, Secretary-Treasurer and William Viglione, Counselor. Chuck Duvall, VDA Lobbyist, presented facts and figures on the status of VADPAC and it impact to the political process. Tammy Graham was introduced as the Execu tive Secretary for Component 7, a new position for this component. The component has chosen a tentative date of April for the Spring Meeting, the speaker is to be announced. Once again, Component 7 has the highest percentage of Commonwealth Club members per capita. A special thanks to those component members who have made the extra commitment to be Governor's Club members: Edward L. Amos, Gerald J. Brown, J. Ted Sherwin, William Viglione, and Raleigh Watson. A standing ovation to the membership who represented this component's interest at the HJR81 hearing in

Harrisonburg on October 2. The component is looking forward to a successful year both educationally and politically, with participation and involve ment from all its members. It is impor tant for all our components members to continue to support VADPAC and ADPAC with monetary contributions and to consider increasing the level of commitment over their current levels.

Component VIII welcomes its newest members: Dr. Philip Artenberg, Dr. Thomas C. Backenstose, Jr., Dr. Stephen Bradley, Dr. Stuart Broth, Dr. Frederick L. Canby, Dr. Li H. Chu, Dr. David C. Circeo, Dr. Peter K. Cocolis, Jr., Dr. Liz Cristofano, Dr. Terry Lynn Johnson, Dr. Kathleen M. Mataldi, Dr. Jeffrey C. Posnick, Dr. Bahar Rowhani, Dr. Theresa L. Shannon, Dr. Karl Smith, and Dr. Carol K. Wong. Mark your calendars for January 10, 1997 when Dr. J. Bermeister will address "Site Specific Periodontal Therapy" at the Fairview Marriott in Falls Church.

~ubliC Health Ne\tV~

The Division of Dental Health, Virginia Department of Health, was presented an award September 27, 1996. This Special Recognition Award was pre sented to the Division of Dental Health by the American Association of Public Health Dentistry in celebration of the seventy fifth anniversary of public health dentistry in Virginia. In accepting this award, the Division recognizes the efforts of many organizations and individuals that have helped us become the second oldest dental public health program in the nation. Dr. Karen C. Day Division of Dental Health Virginia Dept. Of Health

I I,

l.·•,;. I' I·.r I

Bruce W. Jay, Editor Tripartite ten-strike! Congratulations to our own Dave Whiston. Past president of Component VIII, past president of the VDA, and now president-elect of the ADA. Every step of the way a winner, and we are proud of him. The membership of the Northern Virginia Dental Society mourns the passing of two of its members: Dr. Sidney Abramson and Dr. Edward Cicinato. Dr. Abramson was graduated from Georgetown University School of · Dentistry in 1933 and practiced in Alexandria until he retired in 1986. He · became an ADA Life Member in 1977. , He is survived by his wife Ethel. Dr. · Cicinato was also graduated from Georgetown University School of Dentistry and practiced in Northern Virginia. While in practice Dr. Cicinato was active on the Insurance Committee on the local and state level. In addition, he was a member of the Fairfax Dental ,Society, the Dental Progress Study Club, the Commonwealth Dental Study Club and the Delta Sigma Delta Frater :nity. After retiring in 1982, he and his ife Kathleen (Kay), retired to sunny Florida.

Dr. Rhys Jones, Past President of the American Association of Public Health Dentistry, present an award recognizing 75 years of Public Health Dentistry in Virginia to Dr. Joseph Doherty, Dental Director from 1977 to 1994, and JoAnn Wells, Regional Dental Hygienist.

( Mev NOTES

VCU SCHOOL OF DENTISTRY'S ACCREDITATION RENEWED Virginia Commonwealth University's School of Dentistry has been granted a seven-year accreditation renewal by the Commission on Dental Accredita tion. This is the only accrediting body for dental schools in the United States. Approval was granted after an inten sive 19-month self-study and a three day visit by the accrediting team to the dental school, located on VCU's Medical College of Virginia Campus. "That all our programs received accreditation renewal is a tribute to our faculty and staff, who continue to keep our school among the top in the country," said Lindsay Hunt, D.D.S., dean of VCU's School of Dentistry. He noted that the school's quality is further demonstrated by the recent Southern Regional Testing Agency Examination, which dentists must pass before they are allowed to practice in Virginia. All 80 of VCU's 1996 dental graduates passed the exam on their first attempt. The accreditation report reported 47 commendations and strengths of the school, including its use of information technology. In the commission's report, the reviewers commended the school for experimenting with "its impressive information technology apparatus to break new ground in the dental accreditation process ..This experiment holds the potential to facilitate the provision of information and decrease the costs associated with producing the documentation to the institution." The accreditation team also made two recommendations relating to basic science objectives for the curriculum and additional staff support for one of the school's advanced programs. The next accreditation site visit for the school is scheduled for 2003.

VCU has the only dental school in the Commonwealth and is one of 54 accredited schools in the country.

SCHOOL RENOVATIONS KEEP GOING AND GOING AND GOING ... In the last edition of the VDA Journal, I described in great detail the School's renovation plans and schedule for updating both the Oral Surgery Clinic and the patient reception/waiting areas. As you may remember "way back then," I was quite specific concerning the timetable for the completion of these two major projects. Well, wrong again! Both projects are currently "still" under going construction, asbestos removal, inspections, change orders, asbestos removal, and more asbestos removal. (Did you know that asbestos grows back!) Therefore, I have decided to optimistically go the record with a completion date of 1996 or 1997. A project that has been successfully completed is the networking of fiber optic cable to faculty offices. Most MCV dental faculty may now be accessed via E-mail on the Internet. In conjunction with VCU, the School of Dentistry has established a home page on the Internet at the following address: HTTP:// views.vcu.edu./dentistry/. The School's home page currently features our continuing education calendar and admission information. Please let us know what you think by sending your comments to web master. ADVISORY BOARD On September 11 the School of Den tistry held its first Advisory Board meeting at the Commonwealth Club in Richmond. The Advisory Board is composed of 30 members; 20 practitio ners and 10 community and govern mental leaders. Dr. Lindsay M. Hunt appointed Dr. Ronald L. Tankersley as Chairman, Mr. Jack Ackerly as Vice Chairman and Mr. Thomas Burke as Secretary/Treasurer. The mission of the advisory board is "to advise and assist the School of Den tistry in the accomplishment of its goals

for the prevention and treatment of oral disease through the enhancement of the research, education, and service components of its mission. The three major areas where the Board of Advi sors will provide the School with exper tise are: (1) health care delivery and financing; (2) advocate for School of Dentistry needs within the academic community and the Commonwealth, and (3) assist in development efforts to strengthen the position of the School." MOBILE DENTAL VAN RECEIVES $50,000.00 GRAI\JT The Annabella R. Jenkins Foundation has selected the Mobile Oral Health Vehicle as one of its grantees for 1996. The $50,000.00 grant will help provide the funding required to offer indigent patients both primary and comprehen sive care. This is the first major grant received for operational support of the mobile clinic. In 1995, the mobile clinic traveled to 23 Virginia localities and provided services to over 3,400 pa tients. Thomas C. Burke, Jr., Assistant Dean MCV School of Dentistry

UNITED STjjTES POSTjjL SERVICE rAA

Statement of Ownership, Management, and Circulation (Required by 39 U.S.C. 3685)

ication Title

t--,--,----,---,-F----r'--,--r----j 3. Filing Date

VIRGINIA DENTAL JOURNAL

September 5, 1996 6. Annual Subscription Price

January-March; April-June; July-September; October-Decemb~r

12.00

plete Mailing Address of Known Office of Publication (Street, City, County, State, and ZIP+-4) (Not Printer)

5006 Monument Avenue, PO Box 6906, Richmond, VA

23230-0906

plete Mailing Address of Headquarters or General Business Office of Publisher (Not Printer)

Same as Item 7 Names and Complete Mailing Addresses of Publisher, Editor, and Managing Editor (Do Not Leave Blank) her (Name and Complete Mailing Address)

Virginia Dental Association, PO Box 6906, Richmond, VA

23230-0906

(Name and Complete Mailing Address)

Dr. Francis F. Carr, Jr:, PO Box 6906, Richmond, VA

23230-0906

ing Editor (Name and Complete Mailing Address)

Mr. William

Zepp, CAE,

PO Box 6906, Richmond, VA

23230-0906

ner (If owned by a corporation, its name and address must be stated and also immediately thereafter the names and addresses of stockholders owning holding 1 percent or more of the total amount of stock. If not owned by a corporation, the names and addresses of the individual owners must be given. If ned by a partnership or other unincorporated firm, its name and address as weI! as that of each individual must be given. If the publica/ion is published a nonprofit organization, its name and address must be steted.) (Do Not Leave Blank.) Full Name

Address

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

Dental Association

wn Bondholders, Mortgagees, and Other Security Holders Owning or Holding 1 Percent or More of Total Amount of Bonds, Mortgages, or Other ~ None urities. If none, check here. Complete Mailing Address

Full Name

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

o .~ 3526,

October 1994

Has Changed During Preceding 12 Months (If changed, publisher must submit explanation of change with this statement) (See Ins/ructions on Reverse)

13. Publication Name

July-September. 1996

VIRIGNIA DENTAL JOURNAL 15.

14. Issue Date for Circulation Data Below

Average No. Copies Each Issue During Preceding 12 Months

Extent and Nature of Circulation

a. Total No. Copies (Net Press Run) b. Paid and/or Requested Circulation (1) Sales Through Dealers and Carriers, Street Vendors, and Counter Sales (Not Mailed) (2) Paid or Requested Mai! Subscriptions (Include Advertisers' Proof Copies/Exchange Copies) c. Total Paid andlor Requested Circulation (Sum of 15b(1) and 15b(2)) d. Free Distribu1ion by Mail (Samples, Complimentary, and Other Free) e. Free Distribution Outside the Mail (Carriers or Other Means)

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

g. Total Distribution (Sum of 15c and 15f)

h. Copies Not Distributed (1) Office Use, Leftovers, Spoiled (2) Return from News Agents

i. Total (Sum of 15g, 15h(1), and 15h(2)) Percent Paid and/or Requested Circulation (15c/15gx 100) 16. This Statement of Ownership will be printed in the

ISSU;\

Actual No. Copies of Single Published Nearest to Filing Date

3200

3500

NONE

2590

419

131

383

550

802

3140

3392

108

NONE

3200

3500 76%

82%

Oet IDee, 1996

issue of this publication.

Check box if not required to publish.

17. Signature and Title of Editor, Publisher, Business Manager, or Owner

Date

Business Manager

September 5, 1996

, certify that all information furnish n his form is true and complete. I understand that anyone who furnishes false or misleading information on this form or who omits material or information requested on the form may be subject to criminal sanctions (including fines and imprisonment} and/or civil sanctions (including multiple damages and civil oenelties}.

Instructions to Publishers 1. Complete and file one copy of this form with your postmaster on or before October 1, annually. Keep a copy of the completed form for your records. 2. Include in items 10 and 11, in cases where the stockholder or security holder is a trustee, the name of the person or corporation lor whon the trustee is acting. Also include the names and addresses of individuals who are stockholders who own or hold 1 percent or more of thr total amount of bonds, mortgages, or other securities of the publishing corporation. In item 11, if none, check box. Use blank sheets if more space is required. 3. Be sure to furnish all information called for in item 15, regarding circulation. Free circulation must be shown in items 1Sd, e, and f. 4. If the publication had second-class authorization as a general or requester publication, this Statement of Ownership, Management, and Circulation must be published; it must be printed in any issue in October or the first printed issue after October, if the publication is not published during October. 5. In item 16, indicate date 01 the issue in which this Statement of Ownership will be printed. 6. Item 17 must be signed.

Failure to file or publish a statement of ownership may lead to suspension of second-class authorization.

Why Do 60,000 Doctors Trust Us With

Their Professional Reputations?

In an era of "not if, but when" a doctor will be accused of malpractice, your choice of professional liability coverage is extremely important. We know that any allegation can be devastating to both your professional reputation and your personal assets... making the company you choose critical to your future well-being. Many factors should be taken into account when making a decision. Consider our financial strength and stability. We are rated A (Excellent) by A. M. Best and AA ( Excellent) by Standard & Poor's. No other company with an exclusive focus on the needs of the health care community has higher financial ratings.

Look at our experience. For nearly a century we have specialized in defending and protecting doctors. No other company has successfully defended more than 180,000 malpractice claims. Local service is important, too. Our General Agents and Field Claim Managers work with you on every allegation. They average more than 15 years experience working with doctors and the legal system. Why do more than 60,000 doctors trust their professional reputation and personal assets with us? No other company combines nearly a century of experience with financial strength and the local service provided by The Medical Protective Company.

For your copy of the FREE book on evaluating professional liability companies, call:

_ ~. ~,

路~lUH

~'\~~;}.v J"Jro!essiona.Z :Protection Gxclusively s ince ! 899

800-344-1899

What's So Special About Partials From Virginia Dental Laboratories? 1

I I i

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

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

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

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

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

Since

1932

irginia Dental Laboratories, Inc. 130 W. York Street Norfolk, Virginia 235\ 0 (804) 622-4614

ct 19lJ2 Austenal, Inc. All Right. Reserved. Vitallium ' trademark licensee! to Austenal. Inc. by Pfizer Inc.