Virginia Dental Journal by Virginia Dental Association

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Dental Journal

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MEETING

Septenlber 13 -17,2000 Williamsburg Lodge & Inn Williamsburg, Virginia

Vol U ill e 77 • N U ill b e r 2 .:. Apr il • May •

JU n e, 2 0 0 0

NEW

NEWI NEWI NEWI

VlRGJINRA DENTAL SERVlCES CORlPOMTKON ANNOLiNCES

B&B

The Virginia Dental Association (VDA) and the Virginia Dental Services Corporation (VDSC) are proud to announce a new affiliation with B&B Insurance Associates, Inc. Who will sell and service all your insurance needs.

C all our toll-free number between 8:30 am and 5:00 pm, Monday through Friday. Simply dial 1-877-832-9113 toll free for quick and efficient service. It's that easy. The VDSC Insurance Service Center also has a fax line, 1-703-323-7169

V DA's INSURANCE PROGRAM INCLUDES • Choice of Health Products-Contact-Gene Bedsole or Larry Bedsole • Choice of Business & Professional Liability Ins. Contact-Maria Bowersox or Deedie Poteat • Choice of individual auto and homeowner insurance Contact-Vicki Roberts

CALL TODAY for information on the wide variety of exciting products our association is offering for the upconing year. Our service and marketing departments will be delighted to answer your questions. Call the VDSC Insurance Service Office at 1-877-832-9113 to find out how our association is working to assist members in this important area.

TOLL FREE: 1-877-VDA-9113

B&B INSURANCE ASSOCIATES, INC., 5204 ROLLING ROAD, STE. B, BURKE, VIRGINIA 22015

Leslie S. Webb, Jr., D.D.S. Editor 1. Barry I. Einhorn 2. Eric W. Boxx 3. Michael R. Hanley

Susan P. Lionberger Publications ASSOCIATE EDITORS 4. Harry A. "Jack" Dunlevy 5. Barry K. Cutright 6. Robert G. Schuster

Ter>'iickinson, D.D.S. BusinessMana er 7. Victor G. Sa:&hders 8. Danine Fresch:; School of De" '.'

Volume 77

TABLE OF CONTENTS 4 5 6 7 9 13 16 22 28 29 29 31 35 36 43 43 44 47 47 48 49 50 53 58 64

Editorial Message From the President Guest Editorial Letters To the Editor New Technologies In Cosmetic Facial Surgery Abstracts 2000 VDA Annual Meeting Preview Candidate Information How To Get on the Internet ADA Online (ADA.org) Update Dentistry Online 2000 Session of the Virginia General Assembly - The Year of th ADA Grassroots Conference VADPACContributors Office Structure Can Impact Local BPOL Tax Tax Information - Form 8826-Disabled Access Credit VDANews Direct Reimbursement News VDSC and VDA Endorsed Programs Universal Precautions, Deemed Consent & The Dental Office Membership Benefit Highlight - Membership and Retired Memb Continuing Education and Meetings Actions of the Executive Council Component News & Specialties News Classified Advertising

COVER: The Virginia Dental Association Annual Meeting Logo Surrounded By Scenes of wi@iqiStlurg. :></":::\"":'

THE VIRGINIA DENTAL JOURNAL (ISSN 0049 6472) is published quarterly (January-March, April-June, July-S , October-December) by the Virginia Dental Association, 5006 Monument Avenue, PO Box 6906, Richmond, Virginia 23230-0906, Tele 04)358-4927 SUBSCRIPTION RATES: Annual: Members, $6.00. Others $12.00 in U.S., $24.00 Outside U.S. Single copy: $ 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, RictJ,nond, VA 23230-0906.

VIRGINIA JOURNAL EDITORIAL

BOARD

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

VDA COMMITTEE CHAIRMEN Annual Meeting Carole A. Pratt

Ethics & Judicial Affairs Ronald L. Tankersley

Auxiliary Education & Relations Alan W. Mahanes

Fellows Selection Donald L. Martin

Budget & Financial Investments James W. Baker

History & Necrology French H. Moore1/1

Cancer & Hospital Dental Service Michael E.Miller

Infection Control & Environmental Safety Paul F.Supan

Caring Dentists Harry D.Simpson, Jr.

Institutional Affairs Elizabeth A. Bernhard

Communication & lntormatlon Technology Dennis E.Cleckner

Journal Staff

Leslie S. Webb, Jr.

Constitution & Bylaws Charles L. Cuttino III

Legislative

Roger E. Wood

Dental Benefits Programs Richard D. Barnes

Membership

Kimberly S. Swanson

Dental Continuing Education B. Ellen Bryne

NewDentist

Carolyn C. Herting

Dental Delivery for the Special NeedsPatient AIJ. Stenger

Nominating

Charles L. Cuttino /II

Dental Health & Public Information Samuel W. Galstan

Peer Review & Patient Relations NeilJ. Small

Dental Practice Regulation N. Ray Lee

Planning

Wallace L. Huff

Dental Trade & Laboratory Relations William M. Midkiff

Search Committee forVA Board of Dentistry Charles L. Cuttino III

Direct Reimbursement David Swett

VADPAC

Rodney J. Klima

FOUNDATIONS Relief Foundation ScottH. Francis

VDA Foundation

Ralph L. Howell, Jr.

1999 ADA DELEGATION Delegates: 14()It ADA Session/ October9-1~ 199~ Honouu. HI

David C. Anderson (200 1) Charles L. Cuttino III rzoot )

Wallace L. Huff(2oo!) Bruce R. Hutchison (2002)

Leslie S. Webb,Jr. (2000) Richard D. Wilson (2002)

M. JoanGillespie (2000) Ronald L. Tankersley (2002) Andrew]. Zimmer (2002)

AlternateDelegates: AnneC.Adams (2000) Bruce R. DeGinder (2000) KirkNorbo (200 ! )

Thomas S. Cooke1/1 rzoo: ) Rodney J. Klima (2000) Edward K.Weisberg (2000)

Richard D. Barnes (2000) Ronald]. Hunt William]. Viglione (2oo!)

rzoon

Representing and serving member dentists by fostering quality oral healtheare and education.

I-

OFACERS President: Andrew J. Zimmer, Norfolk President Elect: David C. Anderson, Alexandria Immediate Past President: Charles L. Cuttino III, Richmond Secretary- Treasurer: Thomas S. Cooke III, Sandston Executive Director: Terry Dickinson, D.D.S. P.O. Box 6906, Richmond, 23230-0906

EXECUTIVE COUNCIL Includes officers and councilors listed and: William J. Viglione, Charlottesville - Chairman Bruce R. DeGinder, Williamsburg - Vice Chairman Richard H. Wood, Richmond D. Christopher Hamlin, Norfolk Rodney J. Klima, Burke Ex Officio Members: Parliamentarian: Emory R. Thomas, Richmond Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: Bruce R. Hutchison, Centreville Dean, School of Dentistry: Ronald J. Hunt, Richmond

I II III IV

Edward J. rg, Norfolk Bruce R. 'De~!riaer, Williamsburg H. Reed B()~~~If, Petersburg Anne C. ,A,daml),Hichmond Martinsville V Mark A. VI Ronnie Ll 'Abingdon VII Darwin J:i<j aunton VIII M. Joan Gitf Alexandria

VDA STAFF ;: Dr. Terry Dickinson - Executiveupirector Bonnie Anderson - Administrative Assistant Ronya Edwards - Marketing and Programs Coordinator Linda Gilliam - Director of Finance Tara Hackenberg - Public AffairS Coordinator Allison Hutcher - Dir. of MernbefJ.hip Recruitment & Retention Julie Heuser - DDS Project Coordinator Susan Lionberger - Events .&,ptiblications Coordinator Barbara Rollins - Assistant DPSProject Coordinator

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SOCIETY

PRESIDENT

SECRETARY

Tidewater, I

James E. Krochmal 801 W. Little Creek Rd., 107 Norfolk, VA 23505

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

L.LJ

Peninsula, II

Gary A. Riggs, Jr. 1610 Aberdeen Rd., Ste. B Hampton, VA 23666

Eric W. Boxx 113 Hampton Highway Yorktown, VA 23693

;Kent Herring 122700 McManus Blvd #1 02B Newport News, VA 23602

Southside, III

Scott E. Gerard 9401 Courthouse Rd., 202 Chesterfield, VA 23832

Ronald L. Wray P. O. Box 150 McKenney, VA 23872

John R. Ragsdale III

9 Hollyhill Drive

Petersburg, VA 23805

Richmond, IV

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

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

William J. Redwine .6808 Stoneman Road Richmond, VA 23236

Piedmont, V

William W. Martin 4935 Boonsboro Road Lynchburg, VA 24503

Gregory T. Gendron 7 Cleveland Avenue Martinsville, VA 24112

Craig B. Dietrich £04 E. Church Street Martinsville, VA 24112

Frances Anne Johnston P.O. Box 2045 Abingdon, VA 24212

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

Paul T. Umstott

300 W Valley Street

Abingdon, VA 24210

Shenandoah Valley, VII

Carolyn C. Herring P. O. Box 2826 Staunton, VA 24402

J. Darwin King, Sr. 1220 N Augusta Street Staunton, VA 24401

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

Northern Virginia, VIII

AI Rizkalla 3100 S. Manchester St. T-4 Falls Church, VA 22044

Melanie R. Love 6711 Whittier Avenue McLean, VA 22101

Neil J. Small 9940 Main Street Fairfax, VA 22031

~ Southwest, VI

III

EDITORIAL

Throughout our great country, citizens are volunteering as never before to help fellow individuals in need. This volunteer spirit has been quite evident among dentists at the component and state level in Virginia. It is well documented that individual dentists have long provided free and re duced fee care to patients in need through their practices. In recent years, individual dentists have helped form and staff dental missions abroad to care for those who otherwise would not receive dental care. Components and individual dentists have helped set up and staff com munity dental clinics in Virginia to provide care to underserved popula tions. The Virginia Dental Association, through its member volunteers in their own offices, is helping to provide care to those in need through the Do nated Dental Services Program. Now the VDA is organizing Mission of Mercy ("MOM") to provide dentistry to areas in Virginia where there are unusual dental access problems. This effort will begin in Wise County at the Lonesome Pine Airport on July 14-16, 2000. For more information about the Mission of lVIercy ("MOM") program, please see page 41. It is easy to write a check or make a contribution, but a gift of your time and personal ability to a person or group of people in dental need is a wonderful humanitarian service and can bring immeasurable personal satisfaction. You can make a difference ... get involved! And let's give a big thank you to those who are already volunteering.

Leslie S. Webb, Jr., D.D.S. Editor

Can You Beat This? Terry "Iron Man" Dickinson shot a hole-in-one on the 11 th Hole 85 yard up hill par 3 at the Keswick Club golf course on April 6, 2000. The shot was made with a wedge. If this is not lucky enough, a lady in the group directly behind Terry also had a hole-in-one. What do you sup pose the statistical probability of two holes-in-one in a row is?

Two holes-in-one!

4 Virginia Dental Journal

MESSAGE FROM THE PRESIDENT

Meeting" - a new name, a new meeting! Better yet - bring them! It will make a difference.

Spring has once again trans formed the bare Virginia country side into a colorful, vibrant lush landscape. The combination of blooming daffodils, tulips, aza leas and dogwoods and the unique reds and greens of emerging spring foliage is hard to match. Through the excep tional efforts of Ron Tankersley, Bruce DeGinder, and Terry Dickinson, our new Executive Director, the Virginia Dental Association's Annual Meeting has undergone a similar meta morphosis. Just a few years ago the VDA Annual Meeting con sisted of a single day of continu ing education. This year our con tinuing education offerings have literally blossomed into more than forty hours of available courses! In addition to excellent clinical dentistry speakers there will be a lecture and workshop course de signed especially for hygienists, a nutrition course comparing the latest fad diets, a primer course on computers and even a course on retirement strategies. There is literally something for every staff member. Look further in this issue for more information. Tell your staff about "The Virginia

The 2000 General Assembly Ses sion has concluded. Our Asso ciation was able to achieve much of what we sought this year, in cluding mandated anesthesia services for special needs pa tients and additional funding for Medicaid reimbursement. Al though we were unable to obtain all the funding desired, the reim bursement levels are more than twice what they were just two years ago. My thanks to all those who participated in our success ful Day on the Hill, and those who contacted legislators during the committee deliberations. A spe cial thanks goes to our able lob byist, Chuck Duval and Terry Dickinson for their tireless energy and vigilance during this past ses sion. Not only was the Associa tion able to obtain positive results, but we avoided several legislative and regulatory initiatives that would have had a negative im pact on our membership. I can not overemphasize the irnpor tance of participation in our leg islative process by making con tacts with legislators when needed and maki ng that VADPAC donation when asked. Having the monetary resources in our PAC to make strategic con tributions makes a difference in our legislative presence.

was the featured speaker cover ing many subjects related to Mem bership in the Millennium and getting the most out of belonging to an active, involved association. Mark Rubin, Esq., ADA Associ ate General Counsel, provided pertinent information on man aged care contracts and other legal issues. Attendance was good and participation lively, not only during the presentations, but also during the VDA Committee and Executive Council meetings. In the near future you will receive our Member Needs and Prefer ences Survey. Please help the Association by returning this sur vey to the central office as quickly as possible. A significant re sponse will make the results that much more meaningful. Letting us know how you feel will make a difference. Thank you. Andrew J. "Bud" Zimmer VDA President

Our Spring Leadership Confer ence was held in Charlottesville from April 6-9. Mark Levin, CAE Virginia Dental Journal 5

[GUEST EDITORIAL II]

Richard D. Wilson, D.D.S. How will we be different? Today's practicing dentist has available a great quantity of new technologies, new materials and new techniques. Thanks to talk shows, the print media, commercials and the Internet, patients have become increasingly aware of oral well ness, of esthetics and even of im plants. The economy has been vigor ous and disposable income in high. The private practice dentistry is reasonably robust. Assuredly, research will help to sustain this remarkable surge in oral health care with fresh and presently unexpected diagnostic and therapeutic modalities. Our dental school appli cants, while increasing in numbers, demonstrate an ever ascending level of quality. International dentistry is under going simultaneous growth in concern for oral health and improvements in ac cess to care. The contrapositions on licensure issues continue to elicit thoughtful and colleague-like conversa tion at the national level. So far, so good. Are these assessments of our profession's current strengths accurate or are they dangerous assumptions that lead to complacency? Probably both. We should take great pride in our pro fession moving ahead scientificallywhile being accompanied by the partnering of enhanced quality of care. As we expe rience our luxuriant plenty of newness, does the existence of "good times" fog our vision a bit? Is this an opportune time to prepare for the future - or do we prefer to wait, to be dealt problems and then react? Let's peer into the future and ask our selves a few diverse questions: 1. As individual dentists, how can we assure ourselves that dentistry in

the next couple of decades will not merely survive, but will flourish? Will Society allow our status as a profession to endure, or shall we become an appendage of Medi cine? How will our communities judge us as we enhance access, as we con front minority issues and as we re spond to the needs of special pa tients? How will the new graduate's en trance into the ever-changing, free market arena affect professional ethics, quality of care or compen sation? What breakthrough developments will dramatically alter the ways the practitioner now treats patient con ditions? How can dental schools continue to fulfill their mandate in the face of reduced financial support, loss of younger faculty and the increasing demands of updating facilities and technology?

These and many other perplexing ques tions do not yield to easy and quick rem edies. They compel the most intense and thorough introspective analysis and corralling of the abundant assets of the profession. Constructive, responsive and flexible strategies for the next gen eration of dentists and dental patients could then be developed. This, the profession, is in the process of doing. In a very consequential and proactive response, The American Dental Asso ciation House of Delegate has approved "THE FUTURE OF DENTISTRY PROJECT." This comprehensive and broad-spectrum undertaking will gather numerous practitioners, financial ex perts, researchers, educators and den tal industry, dental benefits and dental licensure representatives. Over a pe riod of 15 months or so, these men and women will people a series of panels. They will be directed to review six ar eas (Dental Practice, Dental Education, Dental Research and Science, Financ ing of DentalServices, Dental Licensure/ Regulationsand InternationalDentistry). They will meet, write and review posi

tion papers, examine data related to their respective assignments and then develop recommendations. Cross cut ting ancillary issues (technology, ac cess to care, demography, oral epidemology, organized dentistry and dental work force) will be integrated into each of the reports as appropriate. The goal of all this is to ensure that the pro fession will continue to be durable, strong and effective in meeting the fu ture oral health care needs of Society. The final question: "How will be differ ent?" has to be addressed during this project. It does seem clear the care we offer to patients in the year 2000 is no tably better than that available to the patients of the 1940's and the 1950's. It seems equally clear that our cascad ing volume of change will intensify-leav ing the dentist of this next decade astride a mount racing toward a future of un foreseen advancements. So, this is an exciting time to be a den tist. However, history cautions us that exciting times usually are accompanied by divergent opinions and contentious issues. For example: well marketed but faulty materials, electronic confidential ity of patients records, and competition for workforce personnel will be but a few of the multiple bumps in the road that will face us. Our response will have to be profession-wide and will require an artful and visionary blending of creative science and practical experience with the individual dentist's personal and pro fessional standards. In other word, bountiful technologies changes, more efficient and productive delivery systems and a capacity to pro vide vivid and lovelyestheticsmust never mean a relinquishment of our values or a subordination of our ethics. Just how successful dentistry will be in meeting this challenge will be an indication of our merit as a thinking and caring pro fession. So, we will be different - we will be bet ter skilled, more knowledgeable, more proficient - in other words, able to do more and to do it better. But we shall also be expected to be professional.

That must never change.

6 Virginia Dental Journal

express my appreciation to the alumni and friends of the [[LETTERS TO THE EDITOR School who consider both the School and the VDA in their charitable giving and with their volunteer Dear Les: efforts. There are too many individuals I would like to encourage our members to thank, so I'll just say thank you to to submit their ideas, worries, and/or everyone and wish you and the mem opinions either to their ADA delegates bership the very best. or to Les Seldin, Chair of the Oversight Committee. As you know, the "Future Sincerely,

of Dentistry" project will be presented Thomas C. Burke, Jr.

to the House for approval at the 2001 Assistant Dean for External Relations

Annual Session. My own view is that ~ the input of our general membership _. should receive the serious attention of Open Letter to the Members of the Vir those involved in the final decision. ginia Dental Association: Sincerely,

Dentistry and how it is practiced is be Richard D. Wilson, DD.S.

ing challenged across the nation as well - - - - ~ . _ - - - - as in Virginia. Our challenge within or ganized dentistry is "Do we let out side forces determine how and what Dear Les, we practice or do we determine our own direction of dentistry?" I want to let you know that I will be leav ing the dental school at the end of Feb ruary. I have taken a new position with Dentistry has made tremendous Virginia Commonwealth University as progress over the years, and this Director of the Virginia Commonwealth progress continues today. In the 1950's University Foundation. This position will when the current laws were written, we provide me an excellent opportunity at were using silicates to restore anterior teeth cosmetically rather than compos the university level. ites. As dentistry has become more specialized, limitation of practitioners During my fourteen years with the den and certification within that scope of tal school, it has given me the opportu practice has became the standard. Pros nity to meet and work with many mem thodontics was the first to establish a bers of the Virginia Dental Association as well as its excellent staff. I have Board of Prosthodontics. Currently there enjoyed my association with the VDA are nine recognized specialties in den Executive Committee and the members tistry. Each of these groups has estab of the VDA. I want to thank you and lished current definitions of their spe cialties. Each certifying board deter the VDA for your continued support dur mines the qualifications of their special ing my tenure with the School. Our in ized practitioners who take the exami stitutional and organizational relation ship is uniquely positive and mutually nations. They also, to some degree, determine the scope of practice of those rewarding. practitioners. In addition, I wanted to also state that together we have accomplished many In Oral and Maxillofacial Surgery, pro cedures have advanced from exodontia wonderful projects from the very begin ning in 1986 with the completion of the to extraoral incisions and drainage, tem poromandibular open joint surgical pro VDA/MCV Endowment Fund Cam paign, which has grown to over $4.2 cedures, surgical orthognathics and genioplasties. Open reduction of facial million, and provides 50 students schol arships annually. I am also very proud fractures including orbital, zygomatic, of our recently completed "Excellence nasal, maxillary, and mandibular frac Through Research, an Investment in our tures have traditionally been a part of Future" Campaign. I especially want to the specialty of Oral and Maxillofacial

II]

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Surgery. However, the surgical ap

proaches and instrumentation have un

dergone dramatic changes. Bone graft

ing procedures currently utilize the iliac crest, ribs, cranium and tibia as a do nor site. Through advanced training for Oral and Maxillofacial Surgeons, the contempo rary practice of dentistry includes all of the above as well as brow lifts, rhino plasties, blethroplasties, face lifts, der mal rejuvenation, and other facial cos metic procedures.

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Periodontics now incorporates the gath ering of bone for grafting from distant sights including tibial and iliac crest grafts. Maxillofacial Prosthodontics rou tinely construct nasal and ear prosthe sis for cosmetic reconstruction. Resi dencies in General Anesthesia are now available for general dentists. One of the areas of major concern is what is the acceptable scope of prac tice for the Oral and Maxillofacial Sur geon. Through fellowships and continu ing education some surgeons have pre pared and gained experience in these new procedures that encompass the contemporary scope of practice. We should not penalize a surgeon just be cause they may not have had the op portunity to obtain a medical degree during their residency and years of prac tice. Laws controlling the practice of dentistry were first passed in 1886. 1 The major recodification of the Virginia Code oc curred in 1950. The practice of dentistry in 1950 as stated in 54-146 (What constitutes the practice of Dentistry) that: Any person shall be deemed to be practicing den tistry, who uses the words dentist, or dental surgeon, the letters 0.0.5., 0. M. 0., or any letters or title in connec tion with his name, which in any way; represents him as engaged in the prac tice of dentistry, or any branch thereof; or who holds himself out, advertises or permits to be advertised by sign, circu lar, handbill, newspaper or otherwise that he can or will attempt to perform dental operations of any kind; or who shall diagnose, profess to diagnose, or Virginia Dental Journal 7

profess to treat any of the diseases or lesions of the oral cavity, its contents or contiguous structures, or shall extract teeth, or shall correct malpositions of the teeth or jaws, or shall take impres sions, or shall supply or repair artificial teeth as substitutes for natural teeth, or shall place in the mouth and adjust such substitutes, or do any practice included in the curricula of recognized dental colleges, or administer or pre scribe such remedies, medicinal or oth erwise, as shall be needed in the treat ment of dental or oral diseases, or shall use an X-ray or administer local or gen eral anesthetic agents for dental treat ment or dental diagnostic purposes. And any person shall be deemed to be practicing dentistry who is a manager, proprietor, operator, or conductor of a place for performing dental operations of any kind, or who for a fee, salary, or other reward paid or to be paid either to himself or to another person, performs or advertises to perform dental opera tions of any kind, diagnoses or treats diseases or lesions of human teeth or jaws, mechanically, or by means of ra diograms, or attempts to correct malpositions tnereot?

The 1999 Code of Virginia now states the Practice of Dentistry is '~ny person shall be deemed to practicing dentistry who (I) uses the words dentist or dental surgeon, the letters D.D.S., D.MD., or any letters or title in connection with his name, which in any way represents him as engaged in the practice of dentistry; (ii) holds himself out, advertises or per mits to be advertised that he can or will perform dental operations of any kind; (iii) diagnosis, treats, or professes to diagnosis or treat any of the diseases or lesions of the oral cavity, its contents, or contiguous structures, or (iv) extracts teeth, corrects malpositions of the teeth or jaws, takes impressions for the fab rication of appliances or dental prosthe sis, supplies or repairs artificial teeth as substitutes for natural teeth, or places in the mouth and adjusts such substitutes? It is interesting to note that "no dentist shall be supervised within the scope of the practice of dentistry by any person who is not a licensed

dentist." A dentist as defined in 54. 1-2700 means

8 Virginia Dental Journal

a person who has been awarded a de gree and is licensed to practice den tistry.5 In 1988 the first definition of dentistry appears in the Code of Virginia. The addition to 54.1-2700 states that "Den tistry" means the branch of the healing arts concerned with the prevention, di agnosis, and treatment of diseases and the restoration to health of the struc ture of the oral cavity, including teeth and surrounding and supporting struc tures." As these practices have developed the legal application has not kept up. In some states the legal guidelines are very limited as to what a dentist can perform. Virginia is no exception. In 1997 the ADA House of Delegates passed a contemporary definition of Dentistry which states: Dentistry is the evaluation, diagnosis, prevention and/ or treatment (nonsurgical, surgical or related procedures) of diseases, disor ders and/or conditions of the oral cav ity, maxillofacial area and/or the adja cent and associated structures and their impact on the human body; provided by a dentist, within the scope of his/her education, training and experience, in accordance with the ethics of the pro fession and applicable law. The ADA also directed the ADA Coun cil on Education to continue to monitor the scope of practices in dentistry to determine when the profession has pro gressed to a point for the need of amendments that are necessary to re flect the current, contemporary scope of the practice of dentistry. 7 We, in Virginia, need to come into the millennium with a definition to protect the practice of dentistry and our patients. We need to know what services, those who practice dentistry, can provide. Al though there were not many legal re strictions to the scope of practice of dentistry prior to 1988, the current defi nition of dentistry in Virginia's statute is a problematic for contemporary prac tice. The bottom line is what a trained dentist may provide for your patients. There are forces outside of dentistry that desire to limit the scope of dentistry to

that of the 1950's. Can you imagine putting such a restriction on the prac tice of Medicine or the computer indus try? Do we want to accept this limita tion, or do we want to practice at the level of dentists trained in the year 2000? Without a change in the current defini tion of dentistry, our Oral and Maxillofa cial Surgery Residency program at the VCU/MCV School of Dentistry will not be able to train future residents to the level of contemporary scope of practice. We, the members of the Virginia Den tal Association, need to participate in the process of changing the current definition of dentistry in the Virginia stat ute to reflect what we actually perform on a daily basis. It is the only way we can legally protect our scope of prac tice. This impacts the treatment ofTMD, infections, facial fractures, maxillofacial prosthetics, dentofacial deformities and anesthesia as well as all procedures that are considered to be cosmetic by nature. The VDA has the support of the Virginia Board of Dentistry in instituting an ini tiative to change the definitions in the Code of Virginia. To be able to do this, each and every one of you needs to contact your Executive Councilor and At-Large Councilor about your thoughts and be prepared to contact your legis lator. This is a situation that impacts all practicing dentists. Your input and in volvement in this process will impact what the future dentists can face in prac tice and how they practice. We, the Virginia Dental Association, are the foundation on which the future of dentistry is based. Sincerely, Charles L. Cuttino, DDS Past President - VDA References: Powell, H. w., 100 Years of Dentistry in Virginia, Virginia State Dental Association, p. 32, 1969 2 Code of Virginia - 54.1-146 - 1950 3 Code of Virginia - 1999 4 Code of Virginia - 1999 5 Code of Virginia - 54.1-2700 - 1989 6 Code of Virginia - 1988 7 American Dental Association House of Delegates - 1997 1

NEW TECHNOLOGIES IN COSMETIC FACIAL SURGERY

Joseph Niamtu, III D.D.S. The first part of the 20th century for dentistry was concerned with com bating dental caries and improving prosthetics to replace missing teeth. As caries prevention be came a reality public awareness and education on prevention in creased dramatically. The second portion of this century has seen the profession of Dentistry evolve largely in a cosmetic direction. Oral and maxillofacial surgeons have always had a focus on cos metic surgery. Trauma reconstruc tion, orthognathic surgery and chin surgery have all been predicated on cosmetic enhancement as well as function. Advances in medical re search, biomaterials and technol ogy have provided new minimally invasive cosmetic facial surgical procedures, well within the scope of our specialty. These new procedures and mate rials have added simplicity, predict ability and affordability to facial re juvenation. Concomitantly, baby boomers are reaching their fifth decade and starting to show the effects of aging. Societies' focus on youthful appearance as well as the need to look young to compete in the corporate marketplace have

all fueled the increased demand for cosmetic facial surgery. Many dental practitioners refer to themselves as cosmetic dentists, but few look beyond the mouth to improve the total esthetics of their patients. Having a basic knowl edge of the causes of facial aging and the basic treatments available can assist the cosmetic dentist in improving the total facial esthetics of their patients. In short, simple facial cosmetic procedures can serve as a frame to accent the cos metic dentistry in the same man ner that an ornate frame accents the work of an artist. Technology has brought forth changes for both the patient and the doctor. Some of the newer tech nologies in facial cosmetic surgery will be discussed in this article. Laser Technology There is no doubt that laser tech nology has been the most signifi cant change in facial cosmetic sur gery in the last 20 years. Wrinkles (rhytids), acne scars and traumatic scars have been effectively treated with lasers for the past 5 years, which has all but replaced derm abrasion and previous techniques.

The C02 laser is the most com mon wavelength laser used for skin resurfacing. The laser produces an intense amplified beam of light that can actually burn off the wrinkled or damaged skin in layers of 50-1 00 microns (0.05-.1 millimeter) per pass. The laser burn is about the size of a postage stamp and these areas are overlapped to cover all the skin of the face. A single pass with the C02 laser will burn off the epidermis and most lentigines (brown spots, age spots, sunspots, or liver spots). For deeper wrinkles or acne scars multiple laser passes are required so that the superficial and intermediate layers of the der mis are destroyed. By destroying the epidermis and upper layers of the dermis, most superficial brown spots and wrinkles are ablated. By wounding the dermis in a controlled manner, the tissues contract and new collagen is formed that causes a more youthful skin (Figure 1). It takes about 2 weeks for the new epidermis to reform and the face is very red for the first week and gradually fades to normal over sev eral weeks. Women may wear makeup at 2 weeks to cover the redness. Most patients require 1-2 weeks of recovery for full face la ser treatment.

Figure 1A shows the dramatic rejuventing effect of the C02 laser in treating wrinkles while Figure 1B shows the effect on acne.

Virginia Dental Journal 9

Complications are rare and include temporary hyperpigmentation, pro longed redness, secondary herpes infection, and under and over treat ment. The Erbium:YAG is a newly applied laser for skin resurfacing. This la ser has a higher affinity for tissues with water and causes much less thermal damage than the C02 la ser. The Erbium laser produces less postoperative redness than the C02 laser, but is not as effective for deep lesions, wrinkles and scars. The C02 laser is also utilized as a surgical tool. Cosmetic eyelid sur gery (blepharoplasty) is now fre quently performed with the laser instead of using a scalpel. Less bleeding and better control are some of the advantages of the la ser. Gravity, sun damage, and weaken ing of the eyelid support cause droopy skin and herniated fat around the eyes and eyelids. The laser is frequently used for conven tional upper eyelid skin, muscle and fat removal and newer surgical ap

proaches are performed through the inside of the lower eyelid (transconjucntival), which leaves no scar and causes less tissue con traction. Finally, the C02 laser can be used to shrink down the excess and baggy skin and fat associated with aging eyelids. Figure 2 shows a before and after picture of a patient with baggy and droopy upper and lower eyelids as well as fat bags under the eyes. Botox (Botulinum toxin A) Botulinum toxin A has also brought new technology to facial rejuvena tion.

Many individuals have very strong muscle function in the glabellar area involving the action of the cor rugator supercili, procerus and or bicularis muscles. These individu als not only have deep scowl lines, but frequently their friends and fam ily interpret this muscle activity as frowning, scowling or displeasure. In the past, treating these muscles meant invasive procedures at tempting to actually remove the muscle fibers and it was a signifi cant procedure with mixed results.

Botulinum toxin A (commercially sold as Botox) is the active toxin that causes Botulism food poison ing. This toxin in minute doses is safe and predictable. Botulinum toxin A has been safely used for over 20 years by opthalmologists to paralyze the extraocular muscles for strabismus. Some of these pa tients noticed an improvement in their facial wrinkles. Botulinum toxin A paralyzes striated muscle fibers by blocking the uptake of ace tylcholine at the motor endplate. This paralysis lasts for 4-6 months. Botox is injected into various areas on the face to intentionally paralyze muscles that are responsible for certain facial wrinkling. The glabel lar area (between the eyes) is the most common area for Botox injec tion. The frontalis (forehead wrinkles) and lateral canthus (crow's feet) wrinkles are also eas ily treated. Several injections are done in the various areas with a 30-gauge needle and the muscles take about 72 hours for total paralysis to en sue. Figure 3 shows before and 1 week after photos of a patient who had Botox injections in the glabellar, frontalis and lateral canthal regions. Figure 4 shows a before and 1 week after photo of the treatment of hypertrophic masseter muscles. Before the advent of Botox, surgery was required to treat masseteric hy pertrophy.

Figure 2A. Before and after laser blepharoplasty of upper 2A and lower laser resurfacing.

10 Virginia Dental Journal

Figure 3. Pre and post Botox injection.

The patient is making the same scowl in

both pictures. The brow retractor musclature if paralyzed preventing con traction.

containing xylocaine and a 1:1 mil lion concentration of epinephrine. The volume of injected solution helps break up the fat cells, pro vides local anesthesia and assists with hemostasis. After injection of 100-300 ml of tumescent solution into the submental region, fat can be suctioned with increased effi ciency. Figure 4. Before and after Botox injection for hypertrophic masseter muscles.

Research has been done to selec tively paralyze the various mastica tory muscles to control bruxing. Botox injections are simple, require no time away from work and last from 4-6 months. Complications are rare. There are no reported adverse reactions to Botox and, if injected close to the upper eyelid, less than 1% of patients will expe rience a droopy eyelid for several weeks.

Gore-Tex Facial Implants New biomaterials are affecting medicine and dentistry every year. Gore- Tex is the trade name for ex panded polytetrafluoroethylene (ePTFE) which is the same mate rial as Teflon. Gore-Tex is best known for it water repellant proper ties in rainwear and as a new ma terial for dental floss. Gore-Tex has been successfully implanted in the body for almost 30 years in the form

Figure5 shows a Gore-Tex chin implant in place Note the labial branches of the men tal nerve. The implant is placed through an incision inside the lower lip with no ex ternal scar. The implant is secured to the mandible with several microscrews.

of vascular grafts. There have been over 5 million grafts placed without a case of rejection. Recently, Gore Tex has been given FDA approval for facial implants. The company makes an array of stock implants including chin, cheek and nasal implants. In addition, Gore-Tex strands are available for implanta tion under wrinkles, lip augmenta tion and to fill in other facial defects. The chin implant surgery is usually performed in the office under with sedation and local anesthesia and the surgery takes about 45 minutes. Patients usually require 5 days of recuperation. Complications in clude transient lip numbness, infec tion, or implant rejection, the last two being rare. Chin implants have been blamed for resorption of the anterior mandible; however, the author has not noticed this compli cation in a series of over 100 chin implants of various materials over the past 16 years.

Tumescent Liposuction Although liposuction has been a common cosmetic procedure for 15 years, the past 5 years have shown advances in the basic technique. Tumes cent liposuction is a technique where the surgeon in jects a significant volume of saline

Liposuction is performed for fat ac cumulations under the chin, the neck, and the jowl areas. It can fre quently be performed in conjunction with chin implant surgery (Figure 6). Liposuction is usually performed in the office and recovery takes 5-7 days. Complications are rare and include nerve damage or skin streaking.

Fat Transfer Although most patients desire fat reduction, fat transfer surgery has come into vogue during the past several years. In the search for the ideal implant for augmentation, the use of the patient's fat has many advantages. It is usually readily available, non-allergenic, feels natu ral, and is a living tissue. The fat is harvested by conventional liposuction of the abdomen, thigh or buttocks. After harvesting, the fat is centrifuged and reinjected into other areas. The most common

Figures 6 illustrates the striking profile changes seen with a combination of tu mescent liposuction and Gore-Tex chin implant.

Virginia Dental Journal 11

areas for fat transfer are the lips and nasolabial folds (Figure 7). The body will resorb a portion of the transplanted fat and the areas re quire about 3 injections to achieve a permanent augmentation. Ex cess fat is frozen and stored for fu ture injection. Fat transfer is usually performed under local anesthesia in the office environment. Complications are rare and include overcorrection or increased resorption of the trans planted fat by the host.

Figure 7 shows nasolabial folds augmented with transferred fat. Note the improvement of the eyes from blepharoplasty and laser resurfacing. The patient still has residual redness around the eyes two weeks after her laser surgery.

Endoscopic Forehead and Brow Lifting Aging causes the forehead and eyebrows to droop. The normal female eyebrow is located above the level of the superior orbital rim and the male eyebrow is usually at the level of the rim. As the brow descends, the redundant tissue forms excess sagging of the lateral eyelid and brow skin. In addition, the forehead is often wrinkled. In the past, brow-lifting procedures required large surgical incisions in the scalp or smaller incisions on the forehead that frequently left un sightly scars. With the advent of endoscopic surgery, forehead and brow lifting may now be performed through several 1/2-inch incisions inside the hairline. The endoscope allows the oral and maxillofacial surgeon to operate on the under side of the forehead, scalp, and 12 Virginia Dental Journal

brows without large incisions or in vasive techniques. This technol ogy also allows direct visualization of nerves and blood vessels (BC) to prevent damage or injury. Endoscopic midface lift is frequently performed simultaneously through the temporal incisions. The sag ging midface tissues are sus pended to a more normal position which produces an augmentation of the cheeks and reduces the ap pearance of the nasolabial folds or smile lines. This is the same tech nology that allows gall bladder or joint surgery to be performed through tiny incisions.

key gobbler deformity". The rytidectomy procedure is de signed to tighten the saggy subcu taneous connective tissues known as the SMAS (superficial muscular aponeurotic system) as shown in illustration 9A. The excess preauricualr and neck skin are then excised and the skin is tightened as shown in figure 98. A combination of the deep and su perficial tightening and excess skin removal causes improvement in the jowl and neck area (Figure 9C and D).

Endoscopic brow lifting is usually performed under sedation and lo cal anesthesia. Recovery is about 1 week and complications include te mpo rary scalp numbn ess and weakness of the forehead muscles.

Figure 8A shows a before and after result of endoscopic brow and forehead lift. Not the elevation of the eyebrows in the post op image. Figure88 shows a schematic diagram of the endoscope and instrumentation under the skin while figure 8C shows an actual endo scopic view of the supraorbital nerve (N).

Facelift Surgery Facelift surgery (rhytidectomy) is performed primarily to rejuvenate the lower face and neck. Aging causes the facial tissues to droop and the formation of jowls (excess soft tissue at the lateral mandible regions) and excess neck skin which is also referred to as a "tur

Figure 9 A illustrates tightening of the sub cutaneous tissues (SAMS) while figure 98 shows excision and tightening of the ex cess skin. Figure 9C shows the typical aging face with heavy jowling and excess neck skin. Figure 9D shows the same pa tient after facelift surgery.

Conclusion Like all of dentistry, the scope of oral and maxillofacial surgery is rapidly expanding. It is important for all dentists to become familiar with the new cosmetic facial techniques available to their patients. Cos metic facial surgery can enhance the patient's health and well-being and accentuate the cosmetic den tal procedures performed by their dentists. Or. Niamtu is in the private practice of oral & maxillofacial surgery in Richmond, VA.

11:

I!QSSTRACTS

The following abstracts were pro vided by the Department of Pe diatric Dentistry at VCUlMCV School of Dentistry. We appre ciate the contribution that these individuals have made to the Vir ginia Dental Journal. S Gibson, S Williams, Dental Caries in Pre-School Children: Associations with Social Class, Tooth-brushing Habit and Consumption of Sugars and Sugar-Containing Foods. Car ies Research. 33: 101-113. 1999. The purpose of this study was to de termine the predictors for caries in children. Linear regression analy sis was used to examine data from the 1992-93 British National Diet and Nutrition Survey, which involved 1,450 pre-school children (age 1.5 4.5). The children were divided into groups based on social class (oc cupation of the head of household involving manual labor and non manual) and then further divided based on tooth brushing habits (once a day or less vs. greater than one time per day) giving a total of four different groups. Diet was re corded for 4 days in a diary. It was then analyzed for the amount and frequency of the consumption of bis cuits and cakes, sugar confection ery, chocolate and soft drinks, as well as the percentage of energy from non-milk extrinsic sugars (sugars not contained within the cellular struc ture of foods such as table sugar and fruit juices). Reviewing the literature, social class is shown to be a significant risk fac tor in many health issues, including dental caries. Some attribute this to increased sugar consumption, but the authors believe this to be a sim plistic approach that ignores many underlying variables including brushing frequency, age of brush ing onset, maternal oral microbiol ogy, and the use of preventive ser

vices. Research has also shown the use of fluoridated toothpaste rather than the mechanical cleansing to be the important factor in caries preven tion. This research showed the strength of the association between social class and caries experience was twice that between tooth brushing and caries. It was nearly three times that between sugar confectionery and caries, but only in children who brushed once a day or less (other dietary variables were not signifi cant). Tooth brushing frequency appeared to have a stronger impact on caries prevention in the non manual group than in the manual group. The authors conclude that brushing at least twice a day with a fluoridated toothpaste may be more effective at preventing caries than restricting sugar intake. Overall, this study seemed well de signed with good statistical analysis. The study design did not, however, provide a way to determine between mealtime sugar consumption and snacking. This could affect the re sults since sugars consumed be tween meals and before bedtime are potentially more harmful to teeth. A large part of dentistry with children involves prevention and education. Due to time constraints and limits to patient cooperation and absorption of new information, it would be use ful to know what areas of instruction are most effective at reducing car ies. According to this article, teach ing the child to brush at least twice a day with fluoridated toothpaste will have the greatest impact.

Dr. Gary Meyers is a first year ad vanced education student in Pe diatric Dentistry of MCVIVCU School of Dentistry. He received his D.M.D. degree from the Uni versity of Florida College of Den tistry in 1998. Dr. Meyers was in private practice in 1998/1999 in Orange Park, Florida. _.

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R.W. Ellis, M.A. Latta, G.H. Westerman, The Effect of Air Abra sion and Acid Etching on Sealant Retention: an In Vitro study. Jour nal of the American Academy of Pe diatric Dentistry. 21 (6): 316-319, 1999. The purpose of this study is to evalu ate the short-term (72 hour) and long-term (120 day) shear bond strengths of pit and fissure sealants following various approaches to enamel preparation. Eighty-four re cently extracted human, permanent molars were used in this study. The study was divided into six treatments groups of fourteen teeth each. Twenty-eight bonding surfaces (buc cal and lingual) were treated by one of the following methods: (1) No treatment, (2) Air Abrasion, (3) 35% Phosphoric acid etch, (4) Fluoride free pumice followed by 35% phos phoric acid etch, (5) Air abrasion followed by 35% phosphoric acid etch, and (6) 3% hydrogen perox ide followed by 35% phosphoric acid etch. A light cured pit and fissure sealant (Delton) was bonded to each of the buccal and lingual enamel surfaces for all treatment group specimens. Results indicate that all the acid treated groups were equivalent to each other, and signifi cantly greater than air abrasion alone after 72 hours of distilled wa ter storage. Based on shear bond strength, air abrasion combined with 35% phosphoric acid etch treatment significantly enhanced both the short and long term bond of the seal ant to enamel. Air abrasion alone is not sufficient for promoting high bond strength of a sealant to enamel.

Dr. Matthew Abdoney is a second year advanced education stu dent in Pediatric dentistry at the Medical College of Virginia, Vir ginia Commonwealth University, School of Dentistry. He received his D.M.D. degree from the Uni versity of Florida College of Den tistry in 1998. FollOWing the completion of his residency, Dr. Abdoney will enter private prac tice in Tampa, Florida. Virginia Dental Journal 13

rate occasion to evaluate intra evaluator reliability. K. Uprichard, B. Potter, C. Russell,

1. Schaffer, S. Adair, R.N. Weller. Comparison of direct digital and con ventional radiography for the detec tion of proximal surface caries in the mixed dentition. Journal of the American Academy of Pediatric Den tistry. 22(1): 9-15, 2000. The purpose of this study was to compare the performance of direct digital radiography and traditional dental radiography for the detection of proximal surface dental caries in the mixed dentition. Fifteen quadrants of extracted teeth with a total of 270 proximal surfaces were imaged using direct digital (Schick Technologies) and conven tional films (D&E speed Plus films). Each quadrant consisted of ran domly chosen teeth mounted in den tal stone, to produce a representa tion of a dental arch (permanent molar, primary 1st and 2nd molars, and canine). The conventional and digi tal setups were calibrated for com parable film densities using a 4-step aluminum wedge technique. All quadrants were exposed using a specially designed jig to duplicate exact central ray angulation for both conventional and digital exposures. Five pediatric dentists evaluated conventional and digital radiographs twice and their results were com pared to a gold standard. The gold standard is a histological evaluation of each proximal surface. The sur faces were graded for presence of caries on a 1-5 scale (1-definitely present, 2-probably present, 3-un sure, 4-probably not present and 5 definitely not present). The extent of the caries were graded on a 1-4 scale (1-no caries, 2-caries in enamel only, 3-less than or equal to half the way from the external sur face of tooth to the pulp, 4-caries greater than half the way from the external surface of the tooth to the pulp). Some of the examiners evalu ated the surfaces again on a sepa 14 Virginia Dental Journal

The data was analyzed using re ceiver operating characteristic (ROC) and analysis of variance (ANOVA). The levels of significance were established at P=0.05. The principal finding was that both film types were statistically more accu rate in proximal caries detection than direct digital receptor. The second finding was that digital imaging was significantly less accurate in demon strating the extent of caries com pared to conventional film, especially for incipient lesions. However, the results imply that with increased ex perience, direct digital images may be as accurate as conventional film based images for diagnosis.

Dr. Brian T. Brumbaugh is a first year advanced education stu dent in Pediatric Dentistry at MCVIVCU School of Dentistry. He received his DDS degree from the Louisiana State Univer sity School of Dentistry in New Orleans in 1999. ~----

G. Holan, D. Ram, Sequelae and Prognosis of Intruded Primary Inci sors: A Retrospective Study. Jour nal of the American Academy of Pe diatric Dentistry. 21 (4): 243-248, 1999. Files from 218 children who sought treatment for intruded primary inci sors were investigated. Files from 22 children could not be traced leav ing 196 children. Follow-up exami nations of at least 12 months were done on 110 of the children (study group). Eighty-six children (non-re spondent group) were unavailable for follow-up. Basic data was taken from the files of children in both groups. The data included demo graphic details, age at the time of injury, type of teeth intruded, degree of intrusion (partial or complete), di rection of apex (labial or palatal), fracture of bone plate (yes or no),

and antibiotic prescription (yes or no). The children were assigned to three groups depending on age at the time of injury (12-23 months, 24 35 months, and 36 or more). The data reported a mean age of 28 months at the time of injury. Boys experienced intrusive injuries more often than girls by a 1:7:1 ratio. Fifty-seven percent of all children had just one intruded incisor while 34% had two intruded teeth, 4% had three affected teeth and 5% had all maxillary primary incisors intruded. Fifty-eight percent of the teeth were partially intruded while 39% were completely intruded. The study group had more teeth that were com pletely intruded than did the non-re spondents group. The root apices of more than 80% of the intruded teeth were pushed labially. Sixty eight percent of the intruded teeth that were not extracted at the initial visit survived more than 36 months after injury. Complete re-eruption occurred at 88% of the 123 teeth that were available for follow-up evaluation. Ectopic re-eruption (mostly rotation) was present in only 37% of the cases and was observed more often in the 24-35 month age group. Habits such as pacifier use and thumb sucking may prevent full re-eruption. Systemic antibiotic therapy does not seem to affect the survival rate of intruded primary teeth. Completely intruded teeth re erupted fully in 84% of the cases compared to 92% for partially in truded teeth. Radiographic evalua tion of the re-erupted teeth revealed 52% had pulp canal obliteration. Sixty-three percent of the re-erupted teeth presented with some coronal discoloration, most commonly yellow.

Dr. Jeffrey D. Kearns is a second year resident in Pediatric Den tistry at MCVNCU School of Den tistry. He received his DDS de gree from the University of Mary land Dental School in Baltimore in 1998. Following the comple tion of his residency, Dr. Kearns will enter private practice with his father in Harrisburg, PA.

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Virginia Dental Journal 15

Top 10

Reasons To

Attend

William.sburg Lodge & Inn Septem.ber 13-17, 2000

Learn about the good, bad & ugly about the diets of

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Fellowship, fun & faIUily!

8 7

Over 40 hours of continuing education credits!

Shoe slunes by Drs. ZiIUIUer, K1iIUa, Howell, Viglione, Wood and rnore!

6 5 4 3

Lecture and hands-on workshop specifically for dental hygienists.

Free Ailinission to Casino Night.

Over 92 Exhibit Booths (More than any other WilliaIUsburg IUeeting).

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Elvis is waiting tables at WilliaIUsburg Lodge.

Mal~e Plans To Attend -- Registration Material Will Be Mailed in Early July! 16 Virginia Dental Journal

Annual Meeting 2000 Schedule

Wednesday, September 13, 2000

2:30pm-3:30pm

7:30am-11 :30am 11 :00am-12:00pm 12:30pm-5:00pm 1:00pm-5:00pm 5:30pm-6:30pm

2:30pm-5:00pm

Executive Committee Golf Exhibition Golf Tournament Registration & Ticket Sales Golf Reception

3:30pm-5:00pm

Thursday, September 14, 2000 8:00am-6:00pm 8:00am-5:00pm 8:00am-10:30am 10:00am-1 0:30am 10:30am-12:00pm Noon-1 :30pm 1:30pm-4:00pm 1:30pm-4:00pm 1:30pm-4:00pm 1:30pm-4:00pm 3:30pm-5:00pm 5:00pm-6:15pm 7:30pm-9:30pm

Registration & Ticket Sales Board of Dentistry Executive Council Credentials Committee House of Delegates Fellows Luncheon Reference Committee 1000 Reference Committee 2000 Reference Committee 3000 Reference Committee 4000 ADA 16th District Delegation Opening Session ACD Dinner

4:30pm-6:30pm 4:30pm-6:30pm 7:30pm-12:30pm

Saturday, September 16, 2000 7:00am-5:00pm 7:30am-8:15am 7:30am-8:30am 8:00am-10:30am

8:30am- 11 :30am

Friday, September 15, 2000 7:00am-5:00pm 7:00am-8:30am 8:00am-5:00pm 8:00am-10:30am

8:30am-11 :30am

10:00am-2:00pm 10:00am-4:00pm 10:00am-5:00pm 11 :30am-1 :30pm 1:00pm-5:00pm

1:30pm-2:30pm

1:30pm-4:30pm 1:30pm-4:30pm

1:30pm-4:30pm

Registration & Ticket Sales VAG 0 Breakfast Board of Dentistry Nutraceuticals for the New Millennium: Dramatic Evidence That Food is Medicine Ms. Pamela Smith, RD, CON Recipes for Successful Anterior Esthetics Dr. Gerald Chiche Instrumentation for the Hygienist to Manage Occupational Pain (lecture) Dr. Harold Meader Alliance Mtg & Lunch Mercer Global Consultations Exhibit Hall Open ACD Luncheon for Learning Instrumentation for the Hygienist to Manage Occupational Pain (hands-on) Dr. Harold Meader Refining Periodontal Disease Management: Treating the Host Response VAO Board Meeting Recipes for Successful Anterior Esthetics Dr. Gerald Chiche Infectious Diseases & OSHA For the 21 st Century Dr. John Svirsky

Ten Steps To Avoid Leaving Your Estate to the IRS Joseph T. Buxton, III, Esquire Diets: Who's right and who's wrong? Ms. Pamela Smith, RD, CON 21 s t Century Financial Strageties for Dentists Kirk Manzo (Mercer Global Advisors) VAGD Board Meeting Constitution & Bylaws Committee Casino Night & Auction

8:30am-11 :30am

9:00am-2:00pm 9:30am-1 :30pm 9:30am-1:30pm 11 :30am-1 :30pm Noon-4:30pm 1:00pm-4:30pm 1:00pm-2:30pm 1:30pm-4:30pm

2:30pm-5:00pm

4:30pm-6:00pm 6:30pm-7:30pm 7:30pm-Midnight

Registration & Ticket Sales The ABC's of the Internet Dr. Cory Butler ICD Breakfast Mechanical Instrumentation and Other Technological Advancements in Endodontics Dr. Joe Camp Name that Disease Dr. John Svirsky Practical Pathways to Practice Prosperity Dr. Roger Kiesling Alliance 1\l1tg. & Lunch Exhibit Hall Open Mercer Global Consultations Pierre Fauchard Lunch CDHS Lunch & Mtg. VSPD meeting VAE Meeting Practical Pathways to Practice Prosperity Dr. Roger Kiesling Mechanical Instrumentation and Other Technological Advancements in Endodontics Dr. Joe Camp Relief Fund VDA & MCV Reception President's Banquet & Dance

Sunday, September 17, 2000 8:00am-10:00am 9:00am-4:00pm 9:00am-10:00am 10:00am-1 :OOpm 1:00pm-3:00pm

Registration VDHA Board Mtg & Lunch Business Meeting House of Delegates Executive Council

Preliminary Schedule current as of April 18,

2000. Some events might change slightly or

may not be included.

Virginia Dental Journal 17

Continuing Education

Friday, September 15 Pamela M. Smith, R.D. 8:00 - 10:30 am Nutraceuticals for the New Millen nium: Dramatic Evidence That Food is Medicine

The function of food beyond its nutri tive value alone, but for distinct phar macological properties, is the new focus for health promotion. The food chemicals that have been shown in strumental in alleviating and preventing disease will be iden tified and discussed, along with vital new information for mak ing preventative eating and life-style choices that will help dental practices and their patients to stay healthier, feel bet ter and live longer. Pamela M. Smith, R.D. 2:30 - 5:00pm

and practical products and techniques that work for tooth preparations, impressions, cementations and bonding, and shade matching. About the Speaker: Dr. Gerard J. Chiche is the Chairman of the Prosthodontics Department at Louisiana State Univer sity where he also maintains an intramural restortative prac tice devoted to Esthetics and Implants. He has given over 500 programs nationally and internationally and holds mem bership in the American College of Dentists, the American Academy of Esthetic Dentistry, the American Academy of Crown and Bridge, the American Academy of Restorative Dentistry and the Omicron Kappa Upsilon Dental Honor So ciety. He is director of the American Academy of Esthetic Dentistry and is also, with Alain Pinault, the author of the textbook: Esthetics of Anterior Fixed Restoration.

Bay View Dental Laboratory, Inc. is the Exclusive Sponsor of Dr. Chiche's Morning Session.

Diets: Who's right and who's wrong?

Harold L. Meador, DDS 8:30 -11 :30am (Lecture) 1:00 - 5:00pm (Workshops)

Ms. Smith will discuss the advantages and disadvantages of all the "fad" diets that have appeared in the last few years.

Instrumentation For the Hygien ist to Manage Occupational Pain

About the Speaker: Pamela Smith is a nationally known nutritionist, energy coach, speaker, bestselling author, and culinary expert. She hosts the popular High on Health tele vision program for America's Health Network, and her daily feature Living Well may be heard on radio stations nation wide. She has been featured on The Today Show, Lifetime Network, CNN News, CNN Financial News, Focus on the Family, The 700 Club, and is a regular guest on the TV Food Network, Money Matters, and Parent Talk.

The program deals with the three basic causes of occupational pain in hygienists, i.e., a compromising ergonomic work place, violating neu tral body positions and exhausting vital muscle groups. It includes ergonomic considerations in the workplace, posture, instrumentation technique and other factors essential for the hygienist in understanding what causes as well as what helps correct occupational pain.

Gerald J. Chiche, DDS 8:30 - 11 :30am & 1:30 - 4:30pm Recipes for Successful Anterior Esthetics

In this era of fitness and elegance, you must rapidly become an "Esthetician" of the smile. Basic esthetic principles combined with practical crown and bridge tech niques can be formulated into a simple and systematic step-by-step approach. It works with any presently available ceramic system and will help you solve numerous esthetic problems with method and improved laboratory support in order to achieve predictable esthetic results. A practical outline of current Fixed Prosthodontics techniques will also be depicted in terms of armamentarium 18 Virginia Dental Journal

About the Speaker: Harold L. Meador, DDS, BSD, after 44 years in the private practice of dentistry, the 36 years in periodontics, is retired but on the clinical faculty of the gradu ate program in the Department of Periodontics, UTHSCSA Dental School in San Antonio. He has lectured, conducted clinical research and published articles on periodontics, in strumentation, and dental insurance, and since 1985 has presented programs on instrumentation techniques, focus ing on the erogonomic and orthopaedic principles that im pact the hygienist.

Premier Dental Products Company is the Exclu sive Sponsor of Dr. Meador's program.

John A. Svirsky, DDS, M.Ed 1:30 - 4:30pm Infectious Diseases & OSHA For the 21st Century This entertaining and informative course will offer the most current in formation on HIV/AIDS, OSHA and infectious diseases as they impact our dental practices. The update will include information on: HIV/AIDS, Hepatitis B, Hepatitis C, Tuberculosis, drugs to put AIDS in remission, post-exposure protacol, needle stick data, OSHA, ergonomics and a journey through the AIDS epidemic. About the Speaker: Dr. Svirsky is a professor in the depart ment of oral and maxillofacial pathology at Virginia Com monwealth University. In addition to teaching, he is involved in private practice of oral medicine and oral pathology. As an ADA media spokesperson on HIV issues and a member of the ADA speaker's bureau, he was interviewed on national television regarding handpiece sterilization. The ADA awarded him their Presidential Citation for significant contributions to the oral health of the public and the profession of dentistry.

Saturday, September 16 John A. Svirsky, DDS, M.Ed 8:30 - 11:30 am Name That Disease and Other Pathology Party Games This is the self-assessment course you have been waiting for to test your skills and memory to a wide variety of condi tions. You even get to grade yourself! Try your luck at iden tifying lesions, syndromes and diseases. Toward the con clusion of the program the correct answers to the cases will be discussed along with treatment options. A good time will be had by all! Joe H. Camp, DDS, MSD 8:00 - 10:30am & 2:30 - 5:30pm Mechanical Instrumentation and Other Technological Advance ments in Endodontics We live in an age where technology is expanding faster than its benefits can be scientifically verified. This presentation will address this di lemma while building upon estab lished principles of sound endodontic practice. Diagnostic, access, pain control, number of appointments and patient management aspects will be discussed. About the Speaker: Dr. Camp attended dental school at

U.N.C. School of Dentistry. He completed graduate training in pediatric dentistry at Indiana and endodontic training at U.N.C. He is currently in private practice of endodontics in Charlottes, NC. He has lectured and published extensively in the areas of traumatic injuries, pediatric endodontics and endodontics. He is adjunct associate professor at U.N.C. School of Dentistry.

Roger L. Kiesling, DDS 8:30 - 11 :30am & 1:30 - 4:30pm Practical Pathways To Practice Prosperity General dental restorative cases will be related to overall practice opera tion. Doctor and team concerns as they relate to practice philosophy, diagnosis and treatment planning, case presentation, patient management, practice size and profitability are highlighted. Emphasis on enhanced inter disciplinary relations is correlated with improved general den tal restorative outcomes and practice building. Excellent clinical decisions reward the practice by following strategi cally planned practice management pathways which allow for heightened and sustainable practice prosperity for both the doctor and the team. About the Speaker: Dr. Kiesling is an Associate Faculty Member of the LD Pankey Institute and has been Chairman of the ADA Council on Dental Practice, and the President of the Montana Dental Association. He has been in private practice in Helena, Montana since graduating with honors in 1973. He is a fellow of the AGO, American College of Den tists, Pierre Fauchard Academy and a member of the Ameri can Academy of Fixed Prosthodontics.

Delta Dental Plan of Virginia is the Exclusive Sponsor of Dr. Kiesling's Morning Session.

Capsule Clinics Refining Periodontal Disese Management: Treating the Host Response Friday - 1:30 - 2:30pm Sponsored by Collagenex Pharmaceuticals, Inc. This presentation discusses the host response modulation as an adjunctive approach to periodontal disease treatment. It includes a discussion of the role of bacteria and the role of the host response in periodontal tissue destruction, and dis cusses the concept of adding host response modulatory agents to periodontal treatment plans. Bisphosphonates, NSAIDS, and tetracyclines with a focus on Periostat will be presented as host modulatory agents that show promise as adjuncts in periodontal disease management.

Virginia Dental Journal 19

Ten Steps To Avoid Leaving Your Estate to the IRS Friday - 2:30 - 3:30pm Joseph T. "Chip" Buxton III, Esquire This lecture will address various techniques that profession als should consider in their personal estate and financial planning to prevent unnecessary federal estate taxes, pre mature payment of income taxes on qualified plans and IRAs, and other problems commonly associated with a professional's failure to plan for the effective disposition of their estates at death. Mr. Buxton is President and founding partner of Joseph T. Buxton III PC, a Professional Law Corporation with offices in Yorktown and Urbanna, Virginia. Formerly the Associate General Counsel and Corporate Attorney for the Newport News Shipbuilding and Drydock Company, he has been in private practice since 1978 and now concentrates his area of the practice in Living Trusts, Estate Planning, Estate Ad ministration and Elder Law. 21st Century Financial Strategies for Dentist Friday - 3:30 - 5:00pm Kirk Manzo -- Sponsored by Mercer Global Advisors Managed care, increasing taxes and ever-expanding govern ment regulations are among the many economic challenges faced by dentists as we head into the new millennium. In this presentation, Mr. Manzo from Mercer Global Advisors will give you the tools to take your financial future in your own hands. You'll learn the keys to building wealth, reduc ing taxes, retiring well and crafting an effective estate plan, in spite of the many obstacles in your way. You'll also dis cover a proven approach to investment management that Fortune calls "how the really smart money invests." It's based on extensive research and has been shown to work in all market environments. Finally, you'll learn the four biggest mistakes investors make and how to avoid them. If you want to learn what has already helped thousands of dentists, don't miss this presentation. Mr. Manzo is the Eastern Regional Manager for Mercer Glo bal Advisors overseeing the New Client Programs for our Fi nancial Planners in the eastern United States. Mercer Glo bal Advisors is a fee-only financial planning and investment management firm specializing in working with doctors. Mr. Manzo speaks extensively each year to doctors and their families on such topics as financial planning, investments, and estate planning. Mercer Global Advisors is an endorsed vendor of the Virginia Dental Association. The ABC's of the Internet Saturday - 7:30 - 8: 15am Cory Butler, D.D.S. Need help "surfing the Internet?" Do you feel like technology is leaving you behind? Come to Dr. Butler's Open Forum on Internet Training. Bring your Internet questions and prob lems. Learn valuable tools to explore the World Wide Web.

20 Virginia Dental Journal

Social Events

7th Annual Golf Tournament Wednesday, September 13 Your tournament package is just $125, which includes the clinic, cart, green fees, and a box lunch. The tournament will being at 1:OOpm at the golf courses at Colonial Williamsburg. Attendance for this event is open to all regis tered attendees, spouses/guests, exhibitors and sponsors. Participants are invited to attend a reception following the tournament. Attire is collared shirts. Silent Auction Thursday, September 14 - Friday, September 15 Bid on fabulous prizes during the Silent Auction to benefit the VDA Foundation and VADPAC. Casino and Live Auction Friday, September 15 Admission to the 3rd Annual Casino Night will be FREE. Just wear your conference badge to gain entrance to the fun! Take a chance at craps, blackjack, roulette, wheel of fortune and other games. Participants will enjoy food, fun, fellow ship and the opportunity to win great prizes. We will close down the casino tables (temporarily!) half-way through the night for the Live Auction. This will be your chance to bid on great prizes to benefit the VDA Foundation and VADPAC. President's Dinner Dance Saturday, September 16 Join VDA President, Bud Zimmer, for an enjoyable evening in the Virginia Room. Back by popular demand is the Fat Ammond's Band to rock the night away. Shoe Shine TBA Bring your old shoes! Have VDA President, Bud Zimmer, and other VDA Leaders shine your shoes. There is no cost but donations will go to the VADPAC. Photography Contest TBA Dig out your old camera! All registered attendees are en couraged to enter the VDA Photography Contest. Black & White and Color photographs will be judged and the winner will have their photo placed on the cover of the October December 2000 issue of the Virginia Dental Journal.

More information regarding all programs at the Annual Meeting will be included in the registra tion materials which will be mailed in early July.

A&A Pro-Den-Temps Inc.

Accu Bite Dental Supply, Inc.

Accutron, Inc.

A-dec

AFTCO

American Dental Technologies

Paul Banditt, Inc.

Belmont Equipment Corporation

Benco Dental Co.

Brasseler USA

John O. Butler Co.

Coast Dental Services, Inc.

Colgate Oral Pharmaceuticals

Collagenex Pharmaceuticals

Delta Dental Plan of Virginia

Den-Mat Corporation

Dental Design Solutions, Inc.

Dental/Medical Diagnostic Systems,

Inc. Dentrix Dental Systems Dentsply Caulk Dentsply Gendex Dentsply Tulsa Dental Products

Designs For Vision, Inc. Direct Reimbursement Doctors Insurance Reciprocal Doral Refining Corporation Drake Precision Dental Lab. EagleSoft - A Patterson Company ESPE America Garfield Refining Co.lBiDent IntI. GC America Inc. HPSC Financing Services InfoLogic, Inc. International Dental Group (Ident) KaVo America Corporation Kerr Corporation Lares Research The Medical Protective Co.* Mercer Global Advisors* Mid-Atlantic Dental Sales, Inc. Midmark Corporation National Biological Labs, Inc. Nobel Biocare Oral-B Laboratories/Braun Orascoptic Research Pack Online

Highlighed Exhibitors Are Also Sponsors of the VDA Annual Meeting * = Exhibitors who are members of VDANDSC Endorsed Programs

Patterson Dental Supply, Inc. Paychex, Inc.* Planmeca, Inc. Premier Dental Products Co. Proctor & Gamble Pro-Dentec Profit Finder Professionals Advocate Insurance Co RGP Dental Sci Can Inc. Shofu Dental Corporation Sky Financial Solutions Sonicare Soredex, Inc. Sullivan-Schein Dental Sulzer Calciter Su rgitel/General Scientific Team Placement Service, Inc. Thompson Dental Company 3i 3M Dental Products Trigon Blue Cross Blue Shield Upholstery Packages & Services U.S. Army Paid Exhibitors As Of April 18, 2000

Spor1S0rs

Continuing Education Sponsors Bay View Dental Laboratory, Inc.- exclusive sponsor of Dr. Chiche's morn足 ing session Delta Dental Plan of VA - exclusive sponsor of Dr. Kiesling's morning session Premier Dental Products Company - exclusive sponsor of Dr. Meador's Hygientist Course Drake Precision Dental Laboratory, Inc. International College of Dentists The Medical Protective Company* Old Point Trust & Financial Services, N.A. Master Sponsors (Golf & Casino) Baran Dental Laboratory, Inc. Crestar Bank Drake Precision Dental Laboratory, Inc. Drs. Cuttino, Nelson, Miller, Eschenroeder, Zoghby, Swanson & Cyr Drs. Zussman, Smith, Dolan, Lane & Silloway The Medical Protective Company* VA Association of Orthodontists

Golf Sponsors Goodwin Dental Labs, Inc. LifeNet 3M Dental Products Casino Sponsors Accutech Orthodontic Lab, Inc. Doctors Insurance Reciprocal Patterson Dental Supply, Inc. Quality Dental Lab Team Placement Service, Inc.

Sponsorship Donation Received as of April 18, 2000 * = Sponsor who are members of the VDANDSC Endorsed Programs

Support the Exhibitors and Sponsors that support the VDA Annual Meeting! Virginia Dental Journal 21

LEADERSHIP The 1996 Virginia Dental Association House of Delegates adopted Consti tution and Bylaws changes stating that candidates for VDA elective of fices have the opportunity to submit a statement and CV to be published in the April-May-June issue of the Virginia Dental Journal. Candidates for President-Elect and Secretary! Treasurer can have a 500 word state ment. All other candidates can have a 250 word statement. This will give the members of the Virginia Dental Association an opportunity to meet candidates for elected offices.

Thomas S. Cooke III, 0.0.5 Candidate for Office of: President - Elect For the past six years, it's been my pleasure to serve as Ex ecutive Councilor-at Large and Secretary/ Treasurer of the Virginia Dental Association. During this time, we have seen tremendous growth and maturation of our orga nization. An increase in member ship and an expanded mission have necessitated the addition of more staff with increased responsibilities, and we have been fortunate to have a wonderful group in place working hard for the VDA. One of the more important transformations within the organization came with the cre ation of DR, VDSC, the Foundation, and DDS moving us to a more pro active rather than reactive mode, and I am proud to have helped implement these changes. 22 Virginia Dental Journal

• • •

The problem of making the budget accounting process understand able to the membership has been addressed and rectified. The cen tral office has been streamlined with the use of broadcast fax and e-mail. We have been making great effort to reach out to dental stu dents, younger dentists and other non-member dentists to illustrate the benefits of membership. Non dues revenue income has in creased and the annual meeting has grown. Our participation with the DDS program and the statewide success of DR is something of which we can be proud. As an or ganization, we have made tremen dous strides in the last few years, and we must continue to evolve by growing the membership, expand ing the annual meeting, revamping communications and increasing DDS participation. I am pleased to have had the opportunity to work with the VDDA as it is developing in new directions and hope you sup port my candidacy for President Elect of the VDA. Name: Thomas S. Cooke III Address: 39 W. Williamsburg Road City & Zip: Sandston, 23510 Phone: (804) 737-7402 Component: 4

Leadership Activities: ADA and VDA: Alternate Delegate, Mediation Workshop, ADPAC;VDA Secretary/ Treasurer, Executive Council, Del egate, Reference Committee Chair, Peer Review/Patient Relations Chair, Fellows Committee, Annual Meeting Committee, Presidents Club, Commonwealth Club. Com ponent Society: President, Secre tary, Board of Directors, Delegation Chair, Peer Review/Patient Rela tions Chair, Arrangements Chair, Long-Range Planning Chair, By laws Chair, Budget Chair, Harry Lyons Chair, Nominating Chair, Mili tary Committtee. Community: Trinity Methodist Church, Greater Richmond Area Health Education Center - Execu tive Committee Program Chair, Byrd International Airport Rotary Club - Past President, Class Agent VMI 1970, Blue Cross Blue Shield Advisory Committee

Daniel E. Grabeel, D.D.S. Candidate for Office of: President-Elect

I am request ing your sup port for presi dent-elect of the VDA. I CV and Biographical Information feel I know the work, Education:Virginia Military Institute, dedication, and responsi 1970, B.S., Biology; Medical College of Virginia School of Dentistry, 1974, bility this po D.D.S.

sition entails. Membership: RDS, VDA, ADA, I also feel I have the experience, knowledge, and energy to do this Academy of General Dentistry

Honors: Fellow VDA, Fellow job in a responsible and profes Pierre Fauchard Academy, Fellow sional manner. International College of Dentistry,

Fellow American College of Den I feel that most of you know me and tistry, Paul Harris Fellow

are aware of my work in the VDA

VIRGINIA TRADITION

the last twenty-five years, so I will only hit some high spots for your information. I have served on nu merous committees, house of del egates, alternate delegate and del egate to the ADA, the executive council for 12 years of which 3 were spent as vice-chairman and 4 as chairman, 7 years on the executive committee. I would like to continue the excel lent leadership we have had in the past and concentrate on legislative, ethics, membership, communica tion and continue better relationship among components, if you will elect me as your president-elect. Name: Daniel E. Grabeel Address: 1949 Thomson Drive City & Zip: Lynchburg, 24501 Phone: (804) 846-5951 Component: 5

Education: University of Rich mond, BS Chemistry, 1963; MCV Dental School, D.D.S., 1967. Membership: ADA, VDA; Pied mont Dental Society; Lynchburg Dental Society; Academy of Gen eral Dentistry Honors: Fellow of the Academy of General Dentistry; Fellow of the VDA; Fellow of the Pierre Fauchard Academy; Fellow of the International College of Dentists; Fellow of the American College of Dentistry; Fel low of Academy of Dentistry Inter national; Chief - Dental Services for Lynchburg General Hospital and VA Baptist Hospital. Leadership Activities: ADA and VDA: ADA Alternate Delegate (1987-94); ADA Delegate (1994 95); VDA Annual Meeting, Budget & Financial, Caring Dentist, Dental Health & Effective, Endowment Fund, and Ethics & Judicial Affairs

Committees; Fellow Committee Secretary, Chairman; Vice Chair man (1991-94) and Chairman (1994-98) of VDA Executive Coun cil; VDA House of Delegates (1975 86); Executive Committee (1991 98); VDA Foundation. Component Society: Counselor; President (1986-97). Other Dental Societies: Lynchburg Dental Society - Secre tary/Treasurer (1983-84 and 1988 89); President (1990-91); AGO President (1991-92); Regional Di rector; National Trustee; Public In formation Officer. Community: Scout Master for the Boy Scouts of America; Past Presi dent of the Hill City Exchange Club; United Way Volunteer; Board Mem ber of the Chamber of Commerce; Past Advisor for the Lynchburg Dental Assistant Association; Boonsboro and Houndslake Coun try Clubs; Rotary Club President and Assistant Governor; Mason; Scottish Rite 32; Shriner - Kizem; Lynchburg Health Care Coalition; Chairman of the E.C. Glass Dental Assistant Advisory Committee.

William J. Viglione, D.D.S. Candidate for Office of: Executive Councilor at Large I have served on the Ex ecutive Council for seven years. Five of those years have been as a representa tive from Component 7 and two as Councilor at Large. I have had the honor of serving as Chairman of the Executive Council

this past year, therefore also serv ing as a member of the Executive Committee. The enthusiasm and activity of each committee of the Virginia Dental Association seems to be at an all time high. The business of the VDA has become more complex and in volves not only legislative issues, but also public image and protes sionalliaisons with physicians and surgeons of the Medical Society. Consistency and experience are important in institutional memory to help keep the association moving forward instead of revisiting old is sues. I offer stability to that memory and can help steer us by sharing that information with committees, leaders and members. I want to continue in the service and growth of the Virginia Dental Asso ciation. By being reelected to the Executive Council as Councilor at Large, I can offer a view of the past with excitement for the future that will benefit all members. Name: William J. Viglione Address: 3025 Berkmar Dr. Ste. 4 City & Zip: Charlottesville, 22901 Phone: (804) 973-4355 Component: 7

Education: University of Rich mond, BS Biology, 1969, Class President; VCU-IVlCV School of Dentistry, DDS, 1972, Yingling Lyons Award; US Army, General Dentist Resident, Ft. Sam Houston, Texas, 1972-73; Chief Dental Of ficer, Ft. Deitrick, MD, 1973-75. Membership: ADA; VDA; Shenandoah Valley Dental Asso ciation; Charlottesville Albemarle Dental Society; Academy of GenVirginia Dental Journal 23

eral Dentistry; Beta Beta Beta; ODK Leadership Society; Phi Gamma Delta; OKU; Delta Sigma Delta; Crown Council. Honors: Fellow of the Virginia Den tal Association; Fellow of the Ameri can College of Dentists; Pierre Fauchard Academy; Who's Who Among Executive and Profession als. Leadership: VDA: Delegate of the House of Delegates; Executive Councilor-at-Large; Fellows Selec tion Committee; Reference Com mittee Chair; Peer Review and Pa tient Relations Chair; Executive Council of the Executive Commit tee; Representative for Study for Shortage of Dental Hygienists. Component Society: President elect; President; Component 7 Ex ecutive Councilor. Charlottesville Albemarle Dental Society: Trea surer; President. Community: Church of the Incar nation - Lector and Past President of Parish Council; Board Member of the Ronald McDonald House; Organizer and Volunteer for the Charlottesville Free Clinic; Dental Consultant for the Our Lady of Peace Retirement Community; Republican Party Committee Mem ber; Spiritual Director Institute Graduate; Assisted with organiza tion of local Medicaid pilot project.

Richard H. Wood, D.D.S. Candidate for Office of: Councilor-at-Large I am pleased to announce my candi dacy for Ex ecutive Councilor-at Large. Dur ing the past 3 years in this position, I have had the opportunitynot only to represent you 24 Virginia Dental Journal

and your interests but also to so licit input on your expectations of our organization. I believe this po sition is designed to advocate the needs and issues of the entire membership of the VDA. It is my desire and responsibility to bring to our elected leadership your issues and concerns, regardless of the region, that will help us all further the profession of dentistry. Our or ganization is one best led by the ideas of its members. The age in which we practice den tistry is a challenging one. Through the VDA, however, we have the op portunity to influence our own des tiny as a profession. We must seek out ways to be proactive. It is our chance to impact legislation and regulations. Organized dentistry has been a part of my practice since I graduated in 1972. I have been active with the VDA and the Richmond Dental So ciety for many years. I seek your support to represent the state's membership on the Executive Council for the next 2 years. Name: Richard H. Wood Address: 7702 Parham Rd Ste 306 City and Zip: Richmond 23294 Phone: (804) 747-9511 Component: 4 CV and Biographical Information Education: VirginiaMilitaryInstitute - B.S. Biology 1968; Medical Col lege of VirginialVCU - DD.S. 1972 Memberships: ADA; VDA; Rich mond Dental Society; Staff, HealthSouth Hospital; Kappa Alpha Order; Delta Sigma Delta Dental Fraternity; Richmond Dental Study Club; 1988-1990 Secretary, VA AGO and AGO House of Delegates 1989,1990 Honors: Omicron Kappa Upsilon National Dental Honor Society; Fel low VDA, Pierre Fauchard Acad

emy, American College of Dentist Leadership: VDA: House of Del egates; MCV Endowment Fund; Dental Trade and Lab Relations; Chairman Professionalismand Eth ics; Annual Meeting; Whiston '96 Campaign; Executive Council. Component Society: Treasurer, President, and Board of Directors; Long Range Planning Committee; New Practitioners Committee; Bud get and Finance Committee; MCV Endowment Committee; Continu ing Education; Auditing Committee; Professionalism and Ethics Com mittee; Nominating Committee; Political Action Committee Community: Active Member of River Road Baptists Church, Youth Chairman for Capital Campaign, 1997; Board of Directors for River Road Child Development Center; Music Committee; Collegiate School Village Green Fair Prizes Committee

M. Joan Gillespie, D.D.S., M.S.

Candidate for Office of:

ADA Delegate

For the American Dental Asso ciation to be a member driven organi zation, issue discussion must take place on many levels local, state and national. Tripartate communication is key to achieving a unified and informed association. The ADA Delegation must therefore be sensitive to the needs of the entire membership whether they be in clinical practice, in education, in research or in den tal school. The ADA Delegation assumes the

responsibility of problem solving in order to affect solutions that will enhance the practice of dentistry, present and future, and ensure that protection of our patients. It is both a privilege and a pleasure to serve on our delegation along with our colleagues from North and South Carolina. I would hope that my diverse range of experience has brought and will continue to bring meaningful input into the varied is sues that face the Northern Virginia Dental Society, the Virginia Dental Association and the American Den tal Association. Name: M. Joan Gillespie Address: 4660 Kenmore Ave Ste 312 City & Zip: Alexandria, 22304 Phone: (703) 823-2228

Education: Trinity College, A.B., 1964; Georgetown University Den tal School, D.D.S., 1968; Georgetown University Graduate School, M.S. Periodontics, 1971. Membership: ADA, VDA, NVDA since 1972; American College of Dentists; American Association of Women Dentists; Fairfax County Dental Society; Alexandria Dental Society; American Association of Dental Examiners; Southern Re gional Testing Agency; American Academy of Periodontology; Pierre Fauchard Academy; International College of Dentists. Honors: ADA Council on Ethics, Bylaws and Judicial Affairs, 1995 1998, Vice Chair, 1997; Appoint ment to the VA State Board of Den tistry, two terms - 1983-1992; President of the State Board of Dentistry, 1987-1988 and 1988 1989; Virginia Dental Association Fellow; American College of Den tistry Fellow; International College of Dentistry Fellow and Pierre Fauchard Academy; ADA Career Film.

Leadership Activities: ADA: ADA

Delegate 1994-2000; Alternate Del

egate; Council on Ethics, Bylaws and Judicial Affairs - Vice Chair man 1996-1997; ADA Reference Committee on Membership and Communication - Chair 1996; ADA Standing Committee on Constitu tion and Bylaws 1995-1998; Ameri can Association of Women Dentists - Past President. VDA: VDA Del egate 1993-1994; Constitution and Bylaws Committee Vice Chair; Eth ics and Judicial Affairs Committee Chair; Councilor to VDA from Com ponent 8; Chair of the Virginia Sec tion of the American College of Den tists. Component Society: Past President; Member and Past Chair of Executive Committee, Ethic Committee, Program Committee, Membership Committee, Leader ship Committee, and Dental Health Committee; Past Parliamentarian; Past Member of Peer Review, Membership and Dental Directory Committees; Ex Officio for North ern VA Dental Clinic Committee. Other Dental Societies: Past Presi dent of Fairfax County Dental Soci ety, Alexandria Dental Society, Greater Washington Society of Pe riodontology, and American Asso ciation of Women Dentists. Community: MCVNCU Board of Advisors, MCV Planning Commit tee; MCV School of Dentistry Capi tal Campaign Drive - District Leader. Board of the American Cancer Society.

Leslie S. Webb, D.D.S. Candidate for Office of: ADA Delegate The House of Delegates is the supreme governing body of the American Dental Asso ciation. As such it devel ops the poli

cies of our association, approves the budget and decides on the implementation of programs. Our association must be member and volunteer driven. I feel it is impera tive for our association to be re sponsive in helping out members meet the challenges in daily prac tice and in addressing external chal lenges facing our profession. I have previously served as an ADA delegate, Council of Dental Benefits member and chairman, DR task force chairman and on several ADA committees. This experience has provided me with a broad knowl edge of the ADA structure and per sonnel. It has also produced many contacts with other state ADA del egations. This experience helps me to be an effective representa tive for Virginia in presenting our viewpoints and addressing the is sues facing us at the ADA. Virginia dentists want programs and ser vices that help them practice den tistry more effectively. They want to maintain an outstanding dental educational system. They want help in defending the profession form unnecessary or unwarranted laws, rules, regulations and attacks. They also want their dues dollars well spent and true benefit for those dollars. It has been a great privilege for me to represent the dentists of Virginia, and, if elected, I will continue to work for a strong, effective and respon siveADA. Name: Leslie S. Webb, Jr. Address: 6800 Patterson Avenue City & Zip: Richmond, 23226 Phone: (804) 282-9781 Component: 4

Education: University of Rich mond, B.S., 1964; Medical College of Virginia, DD.S., 1968. Memberships: ADA; VDA; Rich mond Dental Society Virginia Dental Journal 25

Honors: OKU; American College of Dentists; International College of Dentist; Pierre Fauchard Academy; VDA Fellow; RDS Harry Lyon's Award. Leadership Activities: ADA: Cur rent ADA Delegate; Past - member and chair, Council Dental Benefits Program; Chair, DR Task Force; Chair, ACODENIC Committee; Member, Kid Care Task Force; Member, Parameters Committee; Member, Indicators Committee; Member, PINSERV Committee; Al ternate Delegate. VDA: Current Editor of the Virginia Dental Jour nal; Executive Council; Chairman for the ad hoc Communications Re view Committee; Delegate; Past President, Secretary/Treasurer; Chairman of the Annual Meeting Committee; Chairman of the Long Range Planning Committee; Chair man of the Constitution & Bylaws Committee; Chairman of the Nomi nating Committee. Component Society: Past President, Secretary. Community: Member, Secretary of Human Resources Task Force to Study Health Needs of School Aged Children in Virginia; Member of the Governor's Task Force on Children's Health; Past President of the James River Estates Civic As sociation.

Anne C. Adams, D.D.S. Candidate for Office of: ADA Alternate Delegate I have been honored and privileged, for the past few years to serve as an alternate del egate to the American Dental Asso ciation. It is not quite as much fun as attend ing the meeting as a member with free time to enjoy the excellent 26 Virginia Dental Journal

continuing education courses or

the many tours that the Host City

provides. It does provide the op

portunity to learn a great deal

about our organization and the

many opportunities and chal

lenges that face out profession,

today and tomorrow.

As an alternate delegate from Vir

ginia, I feel like I have the capabil

ity of influencing the policies and

governance of our organization. I

feel that I can make a difference.

However I can not do this alone. I

need to have the support of ev

ery one of you and your input to

make good decisions to mold our

profession.

Upsilon,1987; American College of Dentist 1989, Chairman 1999; Fel low of VDA 1989; Pierre Fauchard Academy, 1990, Chairman 1992 1994; International College of Dentists, 1994; MCV/vCU Alumni Star Award, 1995. Leadership Activities: ADA: Council on Membership 1996 1999, Chairman \998; Task Force to Study The Implications of The Advisory Opinion on the An nouncement of Credentials By General Dentist (5.1. 1); Advisory Committee Allied Dental Person nel Study, Council on Dental Edu cation 1993-\995. Alternate Del egate from VDA to ADA. VDA: Executive Council Component IV; Delegate to VDA from Richmond Dental Society, Chairman of Aux iliary Education and Relations Committee, Other committees; Component Society: President, Treasurer, Board of Directors, and other committees.

We need to have a strong and

committed membership. We

need to have better communica

tion and this should be easier in

this world of fast technology. We

need to have more money to pro

vide more necessary services to

our members without raising

dues. We need to assess what Bruce R. DeGinder, D.D.S. we really need from our organiza Candidate for Office of: tion so that we are not duplicat ADA Alternate Delegate ing services that are available

other places and more reason

These past ably priced.

few years have been a I would consider it a great honor

particularly to serve you again as one of your

exciting time alternate delegates in 2001.

for the Vir ginia Dental Name: Anne C. Adams

Association Address: 8917 Fargo Road, #B

and orga City & Zip: Richmond, 23229

nized den Phone: (804) 270-6808

tistry in gen Component: 4

eral. It is ex tremely important that we main Education: Radford College, tain and expand our attention to 1967, BA; Medical College of Vir membership issues - continu ginia-Virginia Commonwealth Uni ously evaluating and meeting the versity, 1975, MS Microbiology; needs of our existing and future Medical College of Virginia-Vir members is one of my primary ginia Commonwealth University, goals. Likewise, facilitating com munication and dissemination of 1980, D.D.S.

Memberships: ADA, VDA, RDS. information statewide is critical to Honors: Omicron Kappa our long-term success. I will con

tinue to seek your feedback on which issues and concerns are most important to you in your daily practice of dentistry. It has been my privilege to serve as an ADA Alternate Delegate for three years. During this time, I have had the opportunity to ob serve, interact, and contribute to our delegation in a very meaning ful way. I believe it is critical to continually research and prepare for the diverse issues affecting our profession, and with your sup port I am committed to giving the time and energy needed to ad dress these concerns in a proac tive manner. Name: Bruce R. DeGinder Address: 240 McLaws Cir. Ste 153 City & Zip: Williamsburg, 23185 Phone: (757) 220-9492

Education: University of Virginia, Echol Scholar - B.A. with Distinc tion, 1984; Medical College of Vir ginia School of Dentistry, D.D.S. - Magna Cum Laude, 1988. Membership: ADA; VDA; Pen insula Dental Society; Academy of General Dentists; Academy of Dentistry International; American College of Dentists; International College of Dentists; Virginia Acad emy of General Dentists. Honors: Fellow of the Virginia Dental Association; International Who's Who of Entrepreneurs; Fellow of the Academy of Den tistry International; Fellow of the Academy of General Dentistry; Fellow of the American College of Dentists; ADA Golden Apple Award, New Dentist Leadership in Virginia; Fellow of the International College of Dentists; Who's Who of Dentistry; Pierre Fauchard Academy. Leadership Activities: ADA and VDA: VDA Vice Chairman of Ex ecutive Council; Annual Meeting

Co-Chairman (1999-2000); ADA Local Arrangements Committee Washington, DC; Chairman of the ADA/VDA Membership Field Ser vice Committee; ADA Alternate Delegate (1995); Chairman of the VDA Membership Committee, Young Dentist Committee. Com ponent Society: President (1994 95); President Elect (1993-94), Secretary (1991-93); Chairman of the Planning Committee, Execu tive Secretary Search Commit tee, Young Dentist Committee, Membership Committee. Other Dental Societies: President, Vice President and Component Repre sentative of the Virginia Academy of General Dentistry; Chairman of the Academy of General Dentistry Membership Council, Young Den tist Task Force, Legislative Com mittee; Region VAGD Treasurer and Parliamentarian; AGD Del egate & Alternate Delegate; AGD - Local Arrangement Committee; Part-time Faculty at MCV Dental School; Member of Board of Trustees and Treasurer for IVlCV Alumni Association. Community: Williamsburg Com munity Hospital Dental Staff; Co lonial Capitol Kiwanis Community Service Committee Chairman; Volunteer Dentistry in Jamaica in coordination with MCV Dental School.

would like to thank the membership for giving me the opportunity to serve in this capacity and also for your support for reelection. We continue to face new chal lenges every year, some are threats, some are opportunities. I continue to believe that the future of dentistry is bright as long as we work for what is best for our patients and our profession. Name: Rodney J. Klima Address: 5204 B Lyngate Ct. City & Zip: Burke, 22015 Phone: (703) 425-5125 Component: 8

Education: College of William & Mary, B.S. Chemistry; Medical Col lege of Virginia School of Dentistry, DD.S. 1974, Orthodontics, 1976. Membership: ADA; AAO; VDA; VAO; NVDS; Fairfax County Dental Society; College of Diplomats American Board of Orthodontists. Honors: Omicron Kappa Upsilon; A.D. Williams Award; Diplomate of the American Board of Orthodon tists; Fellow of the Virginia Dental Association, American College of Dentists, International College of Dentists, Pierre Fauchard. Leadership Activities: ADA and VDA: ADPAC Board; Alternate Del egate to ADA; Grassroots Co-Chair; VDA Executive Council; VDAPAC Rodney J. Klima, D.D.S. Chairman; VDA Budget and Finan Candidate for Office of: cial Affairs Committee (1994 ADA Alternate Delegate 1997). Component Society: Presi dent (1994-1995); Executive Com It is an exhila mittee (1987-Present); Councilor rating experi (1995-Present); Delegate to the ence to rep VDA (1984-Present); Editor of resent the Vir NOVA News, Newsletter of the ginia Dental Northern Virginia Dental Society Association (1987-1992). Other Dental Societ at the ADA ies: VAO - President. level. There Community: Consultant Cleft Pal are so many ate Team, Walter Reed Army Medi issues that cal Center (1981-1995); Youth soc come up that cer and basketball coach; swim touch our practice lives daily. I team representative. Virginia Dental Journal 27

Edward J. Weisberg, D.D.S. Candidate for Office of: ADA Alternate Delegate The House of

Delegates of

The Ameri

can Dental

Association

adopts the

budget and

develops the

policies and

programs of

our Associa

tion. As a member of the VDA and

the 16th district delegations, I im

mediately became active in the del

egation and I am seeking to con

tinue in the position of Alternate

Delegate to the ADA. I am com

mitted to a broader involvement

base which will enhance my com

mitment to the VDA and serving my

colleges, its members. I will be

open minded and listen to any

member who has an opinion and

will formulate a position which will

best benefit our Virginia members

not just the needs of only a few.

present, Budget and Financial Af fairs Committee 1991-94 (Chair man 1992-94), Audio-Visual Chair man Annual Meeting 1983, 1994, member Ad Hoc Committee on X Ray Regulations. Component So ciety: President 1992-93, Treasurer 1990-92, Budget Committee 1990 96 (Chairman 1990-94), Executive Committee 1983-present, Patient Relations Committee 1980-84 (Chairman 1982-84), Chairman Membership Committee 1979. Del egate to Annual Meeting 1984-1994, Alternate Delegate 1980-83, Mem ber Tidewater Dental Association Foundation (Dorothy Ferris Foun dation) 1984-88, President 1987 88.

HOW TO GET ON THE INTERNET

Cory Butler, D.D.S.

Like many of us I was confused and in the dark when I first heard of the Internet. The mere concept of be ing able to access such a wide va riety of information from my home computer was incredible; now it's Name: Edward J. Weisburg

Address: 801 W. Little Creek Road, difficult to imagine life without it. I learned how to "surf" the Internet Suite 103

City & Zip: Norfolk, Virginia 23505 from a friend; however,obtaining ac cess to the world wide web is Phone: (757) 440-0044

easier than you think. Just follow Component: 1

these cookbook directions and Education: College of William and you'll be amazed at how simple access to the Internet can be. Mary-B.S. Biology 1969

Virginia Commonwealth University

Medical College of Virginia-DD.S. 1. Make sure your modem (either external or internal) is installed 1973 correctly. Memberships:ADA;VDA;l1dewater Dental Association 1973 2. Select an Internet Service Pro vider (ISP), such as: present;DePaul Hospital Staff 1973 Compuserve, AOL, etc. and in present;Alpha Omega. stall their software. Most of the Honors: Fellow-VDA 1993; Inter programs are very easy to add national College of Dentists 1995, and compatible with your exist Pierre Fauchard Academy 1998, ing software. American College of Dentists, 1999. Leadership Activities: ADA and 3. After signing up with an ISP, open your Window program VDA: ADA Alternate Delegate 1999-, Executive Council 1994 and by following the instructions 28 Virginia Dental Journal

Community: Red Cross-TDA Park Place Free Dental Clinic Steering Committee, Alpha Omega Tidewa ter Virginia Alumni Chapter, Presi dent Vice- President, Treasurer, Secretary. DePaul Hospital De partment of Dentistry, Departmen tal Secretary, Associate Chairman. Old Dominion University, Dean's Advisory Board to the School of Dental Hygiene. Wards Corner Optimist Club, Board of Directors, President, Vice President. Norfolk Chamber Consort Board of Direc tors, Founding Board Member, Treasurer, President. Young Audi ences of Virginia, Board of Direc tors. Temple Israel Synagogue, Board of Directors, Vice President.

given to you by your ISP con nect to their server through your modem. (Your computer will automatically dial the number you need for access.) 4. After you are connected open your browser by double clicking on the symbol or icon (eg. Netscape or Microsoft Internet Explorer are the most com mon) and the "http. It" (shown near the top of the screen) type in www.yahoo.com and begin your search of subjects that you would like to explore. 5. Or if you know the address of a particular place you want to visit just type in the address and push enter, such as: www.vadental.org. Best of luck & have fun! Are you lost? Do you want to learn more about the Internet and how to use your computer? Join Dr. Butler during his CE course "The ABC's of the Internet" at the VDA Annual Meet ing on September 151

[II

ADA ONLINE (ADA.ORG) UPDATE

The new software now operating the members-only Discussion Fo rum makes it more reliable and flex ible and allows for better organiza tion and archiving of postings. The Continuing Education Course Listing is now a searchable data base, with searches possible by subject, audience, type of course, course title, month and year, self study format, sponsor and location. A sponsor list is available, and a "Tips" feature can be consulted for conducting effective searches. In addition, the ADA CERP list has been updated. The CE Course List ing and the CERP list are in the Education content area. More than 560 members have reg istered with the ADA Library via the Web site to use the National Library of Medicine's Loansome Doc order service for literature searches of the MEDLINE database. Upon reg istering, members receive the Library's unique identification num ber to expedite Loansome Doc ser vice. The online registration form and other information on Loansome Doc are in the ADA Library Ser vices, in the Research & Clinical Issues content area. Also in Library Services, additions and updates have been made to the Dental Jour nal Links and the Web Resource List. The latter now has several links to information on material safety data sheets (MSDS). An order form, information and other resources on the 51 st annual National Children's Dental Health Month and the video news release, "Dentistry to the End of the Century and Beyond," can be found in "What's New" and under Patients & Consumers.

IIJ

The updated document, "Research Issues of Importance to the Prac ticing Dentist," is in the Research & Clinical Issues content area. The unofficial actions of the 1999 ADA House of Delegates,along with the index of resolutions and the House-approved updated State ment on Bloodborne Pathogens, Infection Control and the Practice of Dentistry, are in Leadership Re sources in the Members Only con tent area. The statement is included in Infection Control content in the Research & Clinical Issues area. The 1999-2000 list of ADA officers and trustees, including e-mail ad dresses, is under Leadership Re sources in the Members Only area. An alert to grassroots Action Team leaders on the next steps involved in the ADA's patient protection leg islation strategy can be found un der Government & Politics in the Members Only content section. Updates of the ADA's Guidelines for Teaching the Comprehensive Con trol of Pain and Anxiety in Dentistry, the ADA's Policy Statement and Guidelines on The Use of Con scious Sedation, Deep Sedation and General Anesthesia; licensure information for dentists from other countries; and the latest issue of Communications Update, from the Commission on Dental Accredita tion can be found in the Education content area. In November 1999, the Web site set record highs in total hits through out the site and user sessions, with 3.25 million and more than 210,000, respectively. Average daily hits amounted to more than 108,000, and average daily user sessions

(individual visits) amounted to slightly more than 7,000, both records. Traffic dropped somewhat during December, probably due to the holidays. By early January, member logins for access to re stricted content totaled 21,700, con tinuing a sign-up pace of 30 or so per day that has prevailed for the past year. Additionally, nearly 1,000 members have subscribed to the new ADAGram push service, and nearly 400 members have sent in their Web site addresses for listing in the online member directory since mid-September. Reprinted with permission from Dental Editor's Digest, February 2000.

[II DENTISTRY ONLINE

Russ Mosher, D.D.S. As your representative from the 16th district, I am your "Window" to our national organization. So, click here and continue. Yes, the ADA is responding to the changing com munication media as a new way of doing its business. They (that is "we") believe that the future suc cess of our organization lies in our website, ADA Online. As the ADA speaks for our profession, it speaks not only for member dentists, but as our bylaws read, for the benefit of the public. When the public wants to hear about dental issues, be it waterline safety, handpiece sterilization, or amalgam fillings, they should be able to access a qualified expert opinion from the leader of the field, The ADA Online Website, not some upstart silicon valley website that is funded by some gazillionaire who wants to Virginia Dental Journal 29

speak for dentistry. We have for midable opponents in the dental arena who would love to be consid ered "the expert." This would give them web-hits which translate into dollars very quickly. We would have to pay them to speak for our benefit. This is how the insurance industry took over medicine. They were considered the deliverer of healthcare instead of the doctors. In the near future, we as an asso ciation will be asked to "ante-up" our investment in our website to stay a cutting edge expert in our field. Only by doing so can we speak ef fectively to the public on dental is sues. The website itself has re cently eclipsed the 4 million hits per month mark and is increasing. As our profession is targeted by "en tertainment" agencies, rival websites and the government (aka OSHA), we need to address the public's concern in a responsible

manner in a method that is quick and accessible ... ADA Online. Bear in mind that as an organiza tion, we recently refused to spruce up our image with the public by de nying the public awareness cam paign. At some point, we are going to have to "pay the piper" and de cide that our profession has a duty to the public. We need to ensure that the public's perception of us is created not by 60 Minutes or OSHA but by the American Dental Asso ciation. Hopefully we can realize that our duty to the public lies not only in placing a good filling, but also in providing them with scien tific information that validates the good filling. Gone are the days of blind faith in your doctor. Let's be responsible enough to keep our image from slipping down the chart of trusted professions. Ante-up your dues dollars; a good reputa tion doesn't come cheap!

Want to learn what happened in the 2000 Legislative Session? Looking for info on upcoming CE courses? What's happening at the VDA? Want more information about joining VADPAC? Want to learn more about Direct Reimbursement or Donated Dental Services? Visit the VDA's website for answers to these questions...and much more.

www.vadental.org

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30 Virginia Dental Journal

2000 SESSION OF THE VIRGINIA GENERAL ASSEMBLY THE YEAR OF THE UNDERSERVED Chuck Duvall, VDA Lobbyist The 2000 Session of the Virginia General Assembly adjourned on March 10, one day ahead of sched ule. This year's session lasted 59 days, during which almost 3,200 bills and resolutions were reviewed. With Republicans controlling both the House and Senate for the first time in modern history, three issues dominated the 2000 Session: the $48 billion dollar biennial budget; debate over assistance to dis placed textile workers; and trans portation priorities and funding. From the perspective of the Virginia Dental Association (VDA), the 2000 General Assembly Session would have to be labeled "The Year of the Underserved." A sizable number of bills were introduced dealing with underserved areas and underserved populations, some of which focused specifically on den tistry. Many of these measures re sulted from the Joint Commission on Health Care's study of dental services in underserved areas. As you know, the VDA has been in the forefront of efforts to address the need to provide dental services in underserved areas. Our primary legislative message over the past several years has focused on Med icaid, specifically our efforts to both increase Medicaid dental service reimbursement rates and address specific problems associated with the delivery of Medicaid dental ser vices. The VDA has worked actively to convince the General Assembly to increase Medicaid dental reim bursement rates. Last year, for

example, the General Assembly concurred with an association re quest and directed the Department of Medical Assistance Services (DMAS) to develop a plan to raise those rates to the 85th percentile of usual, customary and reasonable charges. Unfortunately, there were no addi tional Medicaid dental service funds in this year's budget as that docu ment was introduced. The VDA acted promptly to remedy this situ ation by asking that budget amend ments be introduced in the House by Delegate Frank Hall and in the Senate by Senator Edd Houck.

should cover that 10 percent in crease. VDA will be working with DMAS to make certain that this oc curs. Second, the association was in strumental in adding an amendment that specifies that dentists who par ticipate in Medicaid are not required to provide services to commercial plans of managed care vendors unless these dentists agree volun tarily to participate in such plans. Other legislative items dealing with underserved issues include the fol lowing: Budget Amendments:

The Senate Finance Committee recommended $6 million in addi tional funding. But the budget rec ommended by the House Appro priations Committee contained no additional funding for these pur poses. With Budget Conferees - four leg islators from each chamber - about to meet, a call to action went out from VDA and many of you an swered that call. As a result of your contacts with the Budget Conferees and primarily because of the active involvement of Senator William Wampler (R-Bristol), an additional $4.1 million was added to the bud get for Medicaid dental service re imbursements over the course of this biennium. Two other budget amendments important to dentists also passed. First, DMAS has been directed to devise a plan to increase dental re imbursements by 10 percent over the next biennium, the $4.1 million

•

Provide $50,000 for dental health care projects for poor children in Fredericksburg.

•

Direct the Department of Health to review monies budgeted by local health departments for dental services versus amounts actually spent. This amendment further directs the Department to identify the im pact of budget language that would require it to spend its full dental appropriation for dental health services.

•

Require the Department of Health to study the condition and utilization of dental trailers located across the Common wealth.

•

Provide funding to establish a combined dental school schol arship program and a dentist loan repayment program.

Virginia Dental Journal 31

dental health program in those communities that do not have access to public dental health services. Dental services are currently offered in about one half of the communities that operate public health clinics.

Volunteer License: This legislation, introduced by Del egate Bud Phillips (D-Castlewood), would have established a volunteer dental license in underserved ar eas. VDA Executive Director, Dr. Terry Dickinson, has established a Virginia Volunteer Dental Program whereby dentists from throughout Virginia will participate in a clinic to be held in Wise County on July 14, 15 and 16. In light of the VDA's re sponse to his legislation, Delegate Phillips withdrew his bill. If any of our readers are interested in par ticipating in this year's volunteer dental program, please call the VDAoffice.

Provide a sales and use tax exemption to nonprofit organi zations promoting careers in health service in medically underserved areas.

_ Direct the State Health Com mission to assume responsibil ity for recruitment and retention programs for health care pro viders in underserved areas.

Special Needs Dental Patients: Another bill dealing with volunteer licenses in underserved areas was introduced by Delegate Bob Bloxom of the Eastern Shore. This legisla tion will be considered again next year and the VDA will be working with Delegate Bob Bloxom in the interim to help address the issues presented in his bill.

several key points: -

There are a small number of patients involved;

Dental services themselves are not covered under this legisla tion;

Procedures can be undertaken only after a dentist has con sulted with the covered person's treating physician;

_ Insurers will incur minimal costs - one state estimated 0.042 percent of premium dollar; and _ Without treatment, overall health and quality of life are negatively impacted.

House Bill 165 was introduced at VDA's request by Delegate Jim Shuler (D-Blacksburg). This legis lation seeks to remedy a serious problem for children and others with physical and/or mental disabilities that require in-depth dental proce dures: no insurance coverage for anesthesia.

A special note of thanks is extended to the many pediatric dentists across the Commonwealth who made presentations before the Man dates Commission and helped in contacting legislators regarding HB 165.

It will require that coverage be pro vided for children under five who are severely disabled or have a medi cal condition that requires hospital ization or general anesthesia for dental treatment. The same cov erage will apply to those who are severely disabled or have a medi cal condition requiring hospitaliza tion or general anesthesia for den tal care.

As you may recall from previous legislative reports, the Certificate of Public Need issue has been thor oughly debated in the Common wealth over the last several years.

Certificate of Public Need:

Joint Commission Legislation: As we noted earlier, much of the legislation dealing with underserved areas was introduced as a result of the deliberations of the Joint Commission on Health Care. Bills approved by the General Assembly will: -

Create a dentist loan repayment program.

_ Direct the VCU/MCV School of Dentistry to prepare and submit a plan for establishing an extern program for dental students to gain experience by serving in underserved areas.

Direct the State Health Com missioner to examine the fea sibility of establishing a public

32 Virginia Dental Journal

This measure, thoroughly reviewed by the Special Advisory Commis sion on Mandated Health Insurance Benefits last summer, received its unanimous support. The measure also received the unanimous sup port of the General Assembly. In presenting this legislation to the General Assembly, we focused on

Legislation designed to establish a framework for the phased elimina tion of Certificate of Public Need was passed this session. Senate Bill 337, patroned by Senator Steve Martin (R-Chesterfield County), mandates the Joint Commission on Health Care to design an implemen tation plan for presentation in the 2001 General Assembly. Under the provisions of Senator Martin's bill, the phase-out would begin in July of 2001 and be completed by July, 2004. You may ask: "What does that have

Foreign Trained Dentists:

to do with dentistry?" While SB 337 was moving through the legislature, the Virginia Hospital & Healthcare Association, with the strong and active participation of the State Chamber of Commerce, developed a bill to mandate the re porting of certain medical and, we felt, dental procedures to the Vir ginia Health Information Network. Presently, only hospitals are re quired to provide reports on the scale envisioned by the VHHA bill.

Legislation was carried over to the 2001 Session which would allow foreign-trained dentists to secure Virginia licensure by passing a com petency test. VDA noted its con cerns with the bill's patron and will work with him this year in an effort to resolve the particular situation which gives rise to this legislation.

The kinds of information that den tists would be required to file for some procedures would include the name of the provider, name of the insurance company, the employer, the patient's sex, race, date of birth, principal and secondary diagnosis, procedure, date of procedure, charges, etc.

Legislation to make less onerous the Department of Environmental Quality's interpretations of its medi cal waste regulations was carried over. The Department has indi cated it will reopen the regulatory process regarding medical waste. VDA will monitor that process as those regulations move forward.

Since we were told that it was never the intent of the patron of this bill to include dentistry under its provi sions, VDA asked Senator Steve Newman (R-Lynchburg) to intro duce an amendment on the Sen ate floor to explicitly exclude den tistry.

All Insurance Products:

Senator Newman's amendment was adopted and is incorporated into House Bill 1203, which passed both chambers has been sent to the Governor for his review.

Other Legislation Introduced: Delta Dental: Delta Dental had two identical bills introduced during this year's ses sion (HB 835 and SB 593). This legislation eliminates the require ment that a nonstock corporation administering a dental plan be an agent for the participating dentist. Both bills passed.

Medical Waste:

Bills introduced in both the House and Senate passed to allow that providers not be required to take all lines of coverage offered by an in surance carrier. The language con tained in this legislation is very simi lar to that which the VDA had incor porated into the budget regarding Medicaid.

Children's Medical Security In surance Plan: DMAS introduced and the General Assembly passed legislation to change the name this plan to the Family Access to Medical Insur ance Plan, FAMIS. This was an effort to make this program more like private insurance.

Access to Dental Care in Underserved Areas: The Joint Commission on Health Care will continue to study ways to increase access to dental care in underserved areas. The study

resolution also contains language regarding mercury and dental amal gams. VDA will obviously partici pate in that study very actively.

HMO Liability: Both House and Senate bills to es tablish HMO liability were defeated.

Drug Testing: Legislation requiring that healthcare providers initiate drug-free work place programs was carried for ward to the 2001 Session. Only the highlights of the 2000 Ses sion are enunciated above. We want to particularly thank Dr. Terry Dickinson, who served not only in his capacity as Executive Director but also as the Public Affairs Coor dinator until the latter part of the Session when Tara Hackenberg, the new Political Affairs Coordina tor, came on board. Both of these fine people were of immense as sistance. We also want to thank the VDA leadership, the contact dentists, and each of you who made a special effort to contact legislators to let them know that dentists care about their patients. Indeed, almost ex clusively, the legislation that we actively lobbied this year dealt with patients, including access to den tal care, assurance that patients receive appropriate dental care and the ability of dentists to continue to deliver proper and appropriate den tal care. All the bills passed now make their way to the Governor's office. He has until April 10, 2000, to review them. The legislature will recon vene on April 19, 2000, to consider any vetoes or amendments to leg islation. All legislation that was passed will become law on July 1, 2000, unless otherwise noted. Virginia Dental Journal 33

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ADA GRASSROOTS CONFERENCE Rod Klima, D.D.S., Grassroots Co-Chair Members of the Virginia Dental As sociation stormed Capital Hill Tues day, March 21 st, in a heavy spring rain. Once again patient protec tion was foremost in mind, as the struggle to pass a real Patients' Bill of Rights enters the decisive stage. The lobbying activity was part of the ADA's Washington Leadership Conference 2000 held March 19-21 at the J.W. Marriott Hotel. The VDA was represented at the conference by President Bud Zimmer, President-elect Dave Anderson, Dave Whiston, Wally Huff, H. J. Barrett, Harvey Shiflet, Gus Vlahos, Rod Klima, Alan McCorkle, Executive Director Terry Dickinson and Public Affairs Coor dinator Ms. Tara Hackenberg. The meeting opened on Sunday, March 19, with a morning training session for new Action Team Lead ers in the ADA Grassroots Network. After lunch Mike Dunn rallied all Action Team Leaders to the new challenges we face in the political arena. Mr. Dunn is a noted speaker on legislative issues and lobbying. He stresses the disproportionate influence that can be created in our politics by those who contribute fi nancially as well as work in cam paigns. Mr. Dunn emphasizes that a strong Grassroots Network like the ADA's can defeat big money in terests. The Sunday afternoon session con tinued with ADA president Richard Mascola, Executive Director John Zapp and head of the Washington office, Ms. Dorothy Moss. Jack Germond, Syndicated Columnist and author of the current best seller, "Fat Man in the Middle Seat," was

the keynote speaker. His talk was at times insightful, funny and de pressing. Regarding the current election, he expressed some dis gust for the negative campaigning of both of the front runners. Monday, March 20 was full of infor mative sessions. In the morning we heard about "Our Digital Future - The Virtual Association". Not only can ADA goods and services be interacted over the internet but members positions on legislative bills such as Patient Protection can be E-mailed to members of Con gress at critical times of consider ation.

bloodborne pathogens requlations but seemed to gloss over the ergo nomics issues. We then heard from the Surgeon General David Satcher. He reported that the Sur geon General's Report on Oral Health is due out soon. Monday afternoon consisted of breakoutsessionscoveringsuchtop ics as "Selling a Difficult Issue: Role Play", "Practical Solutions to En hance Access", "Cyberadvocacy: Speaking out inthe InternetAge", and "Antitrust: Facts and Myths".

The highlights of the session was going up to Capital Hill Tuesday morning. The main thrust was the The biggest treat of any ADA meet Patient Protection Bill especially ing is to hear from our good friend with those dentists visiting Repub Last year the in Congress Charlie Norwood. lican Senators. Once demeaned by the Washing House of Representatives passed ton Post as a country dentist from the Norwood-Dingall Bill, which the Georgia, Dr. Norwood has gained ADA supports. The Republican status, through sheer persistence, controlled Senate passed a much in his quest for passage of the weaker bill which excludes about Patient's Rights Bill. Once called 125 million Americans who have PARCA, it is now the Norwood stand alone dental plans, and fails Dingell Bill. Dr. Norwood also to provide for accountability by man seems to take great pleasure in aged care plans. The two versions tweaking the bureaucrats at OSHA, of Patient Protection are now in much to the delight of our profes conference. The ADA hopes that sion. Ergonomics is now on the Grassroots lobbying efforts will front burner so his watchdog efforts sway Republican Senators who are really needed. According to Dr. have not supported us up to now. Norwood, ergonomics regulations should be based on science. This The conference was very stimulat is the ADA's position as well, and ing for all who attended. The words we lobbied it on Capital Hill. Other of President John F. Kennedy "Po wise, we may have a world where litical action is the highest respon all injuries are workplace related sibility of a citizen" rang true. and are never caused by what a person does outside of work. OSHA Deputy Director Jerry Mande followed Dr. Norwood. He comple mented the ADA for its work on the Virginia Dental Journal 35

VADPAC CONTRIBUTORS

II]

Tara Hackenberg, VDA Public Affairs Coordinator The Virginia Dental Political Action Committee (VADPAC) gives dentists, their spouses and other friends of dentistry an opportunity to pool financial resources and face issues in the legislature as a united voice. It is important that dentists across Virginia be assembled through VADPAC; there are many organizations with a strong message and a loud voice. VADPAC must be among the strongest and the loudest to be noticed in this competitive arena! Last year VADPAC collected a record amount. In spite of this, we are still not among the top twenty PAC groups in Virginia. We need a greater percentage of participation by our membership to rise to a higher level! If we do not take responsibility for our profession and the laws that govern its conduct, others will. Please become a member of VADPAC today. If you are a current member of VADPAC, please consider a higher contribution level. Your support is very important to the livelihood of YOUR political action committee and YOUR profession. Mail your contribution to VADPAC: P.O. Box 6906路 Richmond, VA . 23230. If you have questions concerning VADPAC, please call Tara Hackenberg at (804) 358-4927 or (800) 552-3886. Thanks goes to the following dentists and other contributors whose generous contributions made VADPAC a success last year. We need your support again to make 2000 even more successful! Thanks again for your commitment and dedication. Active VADPAC Membership ($60) *Commonwealth Club Membership ($160) **Governor's Club Membership ($510) Component 1 Kenneth Albinder* Richard Archer* Richard Amaudin* Ted Bachas* James W. Baker* Henry Barham* Truman Baxter Samuel Bisese* Harry Boggs* J. Bradshaw* Townsend Brown* David Buckis* William Bussey* Roger Cahoon Jerry Caravas* Lawrence Cash Jerry Clarke C. Gary Clayton* Dennis Cleckner* ThomasCox* William Cox* John Cranham*

Benjamin Foster' Richard Foster* Glen Fritz Catherine Fulton* Frank Gigliotti* David Glass* Stephen Goldstein David Graham* Alfred Guthrie

D. Chris Hamlin**

Albert Konikoff* Stephen Konikoff* Robert Korman* James Krochmal Darryl Lefcoe* Sanford Lefcoe* Mark Levin* William Macchia* Alan Mahanes* C. Marshall Mahanes* David Marshall* C. Vaughan Mayo* Brian McAvoy Stephanie Meader* James Meares* Darrell Meeks* Emanuel Michaels Demetrios Milonas*

Richard Harris" Michael Hasty* William Hatcher* Charles Hayes Steve Hearne * Michael Hechtkopf* Arthur Hendricks* Barry Herman William Higinbotham** Michael Morgan** Arnold Hoffman Pamela Morgan James Holley* John Mosher* Chris Hooper* Thomas Mostiler** Thomas Hopkins' David Mueller* Ralph Howell* Gary Newell

36 Virginia Dental Journal

Robert Pope Richard Quigg* Harry Ramsey Holman Rawls* Elizabeth Resnick Carter Richards* Leslie Richmond* Scott Rosenblum* David Rowe* James Rutlidge* Laymon Salyer* Cary Savage Gregory Schrumpf Oscar Self

Harvey Shiflet** H. Shoaf Joel Siaven* Theodore Smith* Harold Taylor James Taylor* Ned Taylor* Gayle Terwilliger* Stanley Tomkins* Jules Wainger*

Melvin Cruser* Debra Davis* Thomas Dilaura William Dodson* Charles Drescher Kevin Ellis* Eugene Eskey* Daniel Etheridge* Charles Fletcher Melvin Ford*

Robert Howell*

Douglas Hughes

Robert lervolino*

Thomas Ishom

Lynn JeW

Michael Kahn*

James Kail*

David Kaiser*

Michael Kelley*

Howard Kesser

Winona Newman* James Nottingham* Thomas O'Hara Tracy Oliver** Charles Olson

James Pauley*

Robert Pellerin*

Thomas Peterson

Dennis Pirog

Gail Plauka*

Component 2

William Deeley Bruce DeGinder* John Denison* John Daley William Falls Robert Field* Scott Francis* Gerald Freeman Gilbert Frey Thomas Geary* Scott Golrich* Barry Green William Griffin* Lanny Hinson* Elizabeth Hunt* John Hunt* William Hunt* Timothy Johnston* lVIarvin Kaplan* Jeffrey Kenney** Michael Kokorelis

N. Ray Lee**

Timothy Leigh

Guy Levy*

Michael Link

Joseph Lombard*

John Luckam*

Andres Maeso

Montague Martin

Shannon Martin*

Kenneth Mello

Alfred Moore

Donald Moskowicz

George Nance*

Michael Nickerson*

J. Stuart Oglesby* Timothy Overby* Frank Pape William Parks Richard Pauley Steve Perlman Christine Piascik

Jon Piche

Gary Riggs*

Joseph Riley

Loretta Rubenstein*

Lisa Samaha'

Lawrence Sarmiere

Francis Sheild*

Harry Simpson*

Eric Smith*

Gary Smith*

John Speegle*

W. Mark Stall* Allan Sundin* Ronald Tankersley** William Trimmer Marko Venne* Laurence Warren* James Watkins Marvin West Daniel Williams* Harvey Woodruff*

David Ferry* Erma Freeman Samuel Galstan* Scott Gerard* Charles Griffin Michael R. Hanley* William Henry* Jerry Isbell* James Johnson* James Keeton David Kemler* H. Clifford L1oyd*

John Lynn Raymond Meade* Shirley Meade F.W. Meyer* Harold l\Ieal* Robert O'Neill* Roger Palmer Douglas Peoples* A. Wright Pond** Reed Prugh John Ragsdale*

Eugene Richardson Ralph Rutledge* Earl Shufford James Siagle* Vera Tarasidis Harvey Thompson* William Thornton C. Sharone Ward* JamesWebb* R. Wray Kent Yandle

Raymonia Eddleton* Thomas Eschenroeder* Robert Evans Steven Evens Kathryn Finley-Parker* Glenn Fortner Francis Foster* Sharon Freeland* Basil Friend*

Mark Kowal Marcel Lambrechts* James Lance* Jocelyn Lance Daniel Laskin Beth Ledwith Richard Lehew* Jeffrey Levin Lanny Levenson*

Robert Penterson Edward Radcliffe* Stephen Radcliffe* William Reams William Redwine Elizabeth Reynolds* John Rose* Edward Ross* Michael Rossetti*

John Ames Mark Artzer* Mitchell Avent Daniel Babcock* Richard Barnes** Jeffrey Bass* Sidney Becker* William Bennett* Elizabeth Bernhard* Theodore Blaney Thomas Bowe Eric Boxx James Burden Corydon Butler* Thomas Butterfoss* Charles Cabaniss* William Cornette* Albert Creal* George Dailey*

Component 3 Stephen Bailey* Howard Baranker Richard Bates* Stephen Bissell* Herbert Boyd* William Callery* Jonathan Carlton* Thomas Coghill* Robert Comstock Kenneth Copeland

Component 4 Anne Adams** Randy Adams William Adams* William Aldridge* Carl Atkins* Elizabeth Attreed Shari Ball

A. Jeffrey Weisberg* Edward Weisberg* Robert Wernick* Charles Wesley Walter Wexel* TarekZaki* Andrew Zimmer**

Virginia Dental Journal 37

Mark Barban* Steven Barbieri W. Barnard*

Charles Barrett

Philip Baum

Dewey Bell*

Eliot Bird

Frank Bruni

Donna Burns

Richard Byrd*

Francis Carr, Jr.**

Russell Cleveland

Charles Clough'

Kyle Coble'

Thomas Cooke, \11**

Richard Cottrell*

William Covington

Gregory Cox*

James Cumbey*

Charles Cuttino**

Jeffrey Cyr**

Charles Dabney*

Stanley Dameron*

Allen Davia

George Davis*

Robert Deal*

R. Cris Dedmond*

John Doswell, 11*

Harry Dunlevy**

William Dymon

Virginia East

William Gardner*

Charles Gaskins**

Edward Griggs'

MeeraGokli*

Michael Gore

Lloyd Green

Barry Griffin

Michael Gwaltney*

Michael Hamilton

Monroe Harris'

Gary R. Hartwell**

Paul Harvey'

David Helsel*

Nelson Herring

Paul Hicks

Maury Hubbard

David Huddle**

Raidah Hudson

Ronald Hunt

Richard Hylton*

H. Phillip Johnson, 111* Robert Johnson' Stanley Jones Claire Kaugars Kanyon Keeney David Kemler* Murad Kerneklian John S. Kittrell** Dongsup Kim Connie Kitts* Gregory Kontopanos

Donald Levitin* Brockton Livick H. Chris L1oyd*

Nicholas Lombardozzi

Richard Macilwayne

David Major

Norman Marks*

Charles Martin*

Stuart Martin

Erika Mason*

John Maynard*

Michael McArtor*

J. McComb

Michael McMunn*

Gene Mears*

Jose Mera

F. Meyer*

Benita Miller*

Mike Miller**

John Monacel*

Joseph Morgan

Gary Morgan

Russell Mosher*

Lloyd Moss*

Patricia Moss*

Edmund Mullins*

Walter Murphy

M. Neale

James Nelson**

Joseph Niamtu

David Nyczepir*

Julie Palmore

Stephen Saroff Walter Saxon James Schroeder** L. Sill

AI Stenger**

Arden Sterling*

Henry Stewart

Frank Strauss"

John Sutherland

Kimberly Swanson**

David Swisher

Emory Thomas'

Charles Thomas'

Steven Todd

Thomas Trow*

Richard Villa*

Paul Vitsky'

Frank Wade

James Wallace

Leslie S. Webb, Jr.**

Jay Welliver

David White

Paul White*

Odie Whitlow

Sherri Wilkerson-Cox*

Richard D.K. Wilson*

A. Wood

Richard Wood*

Roger Wood**

William Wood*

M. Young

Gregory Zoghby*

ComponentS

Walter Dickey Craig Dietrich* William Farthing* John Fedison* David Fitzgerald Ross Gale Gregory Gendron* Garland Gentry* Richard Golden* Dan Grabeel** Michael Hall Donna Helton Robin Hinrichs" Larry Jewell* Richard Joachim* James Johnson David Jones Michael Jones' James Jordan* George Kevorkian* Benjamin Knight* Robert Krempl* Willis Lanier William Lea*

Raymond Mallinak* William M. Martin* William W. Martin** Jessie Mayhew Maston McCorkle* Stephen McCuin* Benjamin Meeks Kenneth Midkiff J. Moore* Richard Newton* Edward O'Keefe** Elbert Osborne George Parker* Joseph Penn Richard Poe Cleveland Porter Douglas Price* Alexander Ramsey Amy Rockhill* Richard Ruble Elliott Shearer* James Shearer* Richard Sherwood* Terry Slaughter'

Mark Smith* Richard Smith George Snead Edward P. Snyder** Steven Sowers H. Sparger* G.M. Sprinkle* Nathan Stephens William Stokes* Charlton Strange William Sutherland J. Svitzer* Charles Sydnor Marvin Thews Fremont Vess* Caroline Wallace* Guy Walton* Kyle Wheeler David Wheeler John Wheless Marvin Winn* Barry Wolfe' Michael Woods'

Frances Johnston* Thomas Jones*

Jimmie Rudd' Richard Schambach*

James Adams MicheleAh* A. Anderson

Sandra Andrew

Lewis Arthur*

Keith Austin*

John Barick*

David Bittel

David Black

Jarrod Brown'

Douglas Burnett

Charles Burt*

Wendell Butler

John Carter*

Kenneth Chalfant

Fred Coots

Mark A. Crabtree**

Gary Crawford

Frank Crist*

Jason Crist*

Michael Davis

William Deyerle*

Component 6

J. Gates George Gilliam* 38 Virginia Dental Journal

Michael Abbott William Armour Mark Ball Thomas Bays* Cramer Boswell* Richard Boyle* Bobby Brown* Ronnie Brown* Omer Campbell* Dana Chamberlain* Jack Cole* Timothy Collins* Jeffrey Copas* Brooks Crumpton Dee Danner* H. Davis* Walter Dillow*

Marlon Goad* Robert Graham* John Gregg* Marvin Harman* Charles Harris* Glen Harrision* Henry Higinbotham* J. Hilton* Ronnie Hilton* Neil Hollyfield Ronald W. Householder* Clinton Howard* Christopher Huff* Wallace Huff** Amy Hunter* William Irby, Jr.* Ronald Jessup*

James Kilbourne M. Kiser* David Kovach Lawrence Kyle* Leighton Lawrence* John Lents Thomas Littrell Lee Lykins** Richard Mansell Donald Martin* Barry Matheson* Peter McDonald* French Moore** Susan O'Conner* Joe A. Paget, Jr.* John Prince* Lane Rapp*

Dennis Schnecker* Robert Schuster* Frank Schwartz* James Seaver* John Semones* Roy S. Shelburne* David Stepp* Vincent Sukle Daniel Thompson* William B. Thompson* Paul Umstott* Gus C. Vlahos** Steven Wheeler W. Wilson* Walter Worrell* Glenn Young*

Component?

William Duncan* James Farmer* Clark Fortney William Gardner Richard Garnes* C. Mac Garrison** David Gilrain* Lester Godfrey* John L. Goodloe, Jr.* James Gordon* Joseph Greene* Thomas Gromling* Robert Grover William Grupp Robert Hall* David Hamer* Fred Hamer* Albin Hammond W. Hanna Richard Heath* John Helleberg Carolyn Herring* Jeff Hodges* Hammond Hutson*

David Jones* Jack Kayton Daniel Kelly* Patrick King* Robert King Deidra Kokel Frances Kray* John Lacy* James Lambert Robert Lawrence Wallace Lutz Virgin Marshall Allen McCorkle* Robert McGrail Robert Miller Danny Neese* Stephen Paulette* Kenneth Rasmussen Wayne Remington* Alan Robbins* John Roller* Scott Ruffner Harry Sartelle* Richard Schroeder*

James Schultz* Heidi Sherman* J. Ted Sherwin ** James Soderquist Donald Spano Michael States* William Stiebel Craig Stoner* Michael Stout* William Sweeney* David Swett* Richard Taliaferro* Lewis Tamkin* George Tisdelle* Larry Tolley Jon Trabosh Roger Troyer Wayne Vest William Vigilone** Joseph Waff* Charles Wallace Raleigh Watson* Barton Weis Alan White* Peter Yeatras*

William Lea David Leekoff Gary Leff* H. Thomas Lenz* Barry Leon William Lessne* Vickie Leung* Robert Levine* Stanley Levin Paul Levine Andrew Lewis Tin Li* Jonathan Lillard Scott Lindemann* Thomas Lindsay Richard Line*

Donald Reynolds* Richard Rice* Thomas Richards Adel Rizkalla* Thomas Roberts Aurelio Roca* Clark Rogers David Rogowski* Frank Romano* Ronald Rosenberg* Steve Rosenblum* Larry Rosenman* Leo Rosenthal* Albert Roslyn Gerald Rothman Leslie Rouse Virginia Dental Journal 39

Stephen Alvis* Teresa Baisey William Berbes* Kathryn Biery* William Bigelow* Robert Binda* David Blanton* Lawrence Brannon* Alan Bream* Byron Brill* Cynthia Brooks* Donald Brown** Gerald Brown** Stephen Clarke* Robert Collins* Paige Crowder* Jeffrey Davis* Damon Dearment* Suzanne Dennis* D. Devening Ernest Diaz* Ronald Downey Robert Driscoll*

Component 8

Kenneth Fauteux* Mehrdad Favagehi* Sawsan Abousy* Charles Ferrara* Jules Abramson* Phillip Ferris* Arthur Alexander Raymond Finnerty* William H. Allison** Charles Fletcher* Arthur Anderson* Robert Flikeid* David Anderson* L. Floyd* Scheherazad Anoushfar* John Forest* Kolman Apt* James Forsee* Gary R. Arbuckle** Bonnie Foster* Robert Argentieri Harold Frank* Lewis Armstrong Brad Freedman* Thomas Armstrong* Nora French Joseph Arzadon* Charles French M. Bagden* Janet French

Lawrence Banker* Danine Fresch* Robert Banks* Steven Fuchs* Harold J. Barrett, Jr.** Allen Garai* Glenn Gerald*

David Bath* James Geren*

Gregory Bath* Ali Ghatri*

Walter Bechtold Paul Gibberman*

John Bell* Don Gibbin*

Stephen Belmonte* William Belt* Kenneth Giberson*

Scott Berman* M. Joan Gillespie*

Edward Bernhart* Alan Golden

William E. Bernier* Mark Golub*

David Bertman* John Good

Edward Besner* Dawn Goodhand*

Mark Gordon*

Randall Binzer* William Binzer* Stuart Graves*

Robert Block* Alfred Griffin** Andrew Bluhm Susan Griffin

Mark Grimes

Darcey Bohince* Lonny Grimmer*

Joseph Bolil* Christopher Bonacci* Richard Gruntz

Ali Guleria*

Henry Botuck* John Bramwell James Gyuricza*

Adolph Brazinski* Kenneth Haggerty*

Richard Brigleb* Peter Hanna

Paul Brosnan* Sameh Hanna*

John Harre*

Jeffrey Brown* Michael Harrison*

John Bruno* Fred Bubernak* Ronald Hauptman*

Mitchell Buzkin* Douglas Herbert*

Carol Burke* R. Alan Hinkle*

Paul Callahan* Stewart Ho*

Long Hoang*

Karen Callahan* Daniel Carson* David Hom

George Casey* Roxana Homayoun*

Muna Caskin* John Howell*

Joseph Cavallo Winfred Hudgins"

Albert Citron* Herbert Hughes*

Brian Clark* Timothy Hughes*

Jeffrey S. Clark* Gary Hussion

Bruce R. Hutchison** Robert Claybrook* Peter Cocolis* Irving Imburg*

Marie Coffelt* Giovanni luculano*

Gregory Ivy*

Michael Collins" Susan Connolly* Ronald Jackson

Paul Conrad* Bruce Jay*

Theresa Crawley James Jelinek*

Fred Johnson

Liz Cristofano* William Crutchfield* Herschel Jones

Ralph Jordan

Joseph Cusumano* David DeBenedetto John Kannar*

Arthur DeLeo Gregg Kassan*

David Deviese* Shohreh Kazerooni*

Robert Dewitt Edward Kean*

Frederick Dibbs* Patricia Kentz

Robin Kim*

Gregory Direnzo** Byron Dixon* Hoang King*

Charles Kirksey*

Hoang 00*

40 Virginia Dental Journal

Maureen Locke E. Longauer* Eddie Longman* Melanie Love* James Lupi* Mark Luposello* Bruce Markoff* Alfonso Massaro* Jeffrey Massie* Stephen Mayo Michael McCombs* Thomas McCrary* Robert McDonald Anne McDonald Katherine McGrath Kevin McGrath* Robert McHugh* Scott McKinney James McKittrick Thomas McVay John Mercantini* David Meroney* David Metzdorf* Mark Miller Howard Mitnick* Peter Morabito* Robert Morabito Michael Morch* Alvan Morris Margaret Mossier David Mortvedt* Saeid Motamedi* Lawrence Muller* Carl Murchie Elizabeth Muss* William Nanna Charles Nardiello" Mona Nashid* Charles H. Nelson, Jr.* Nikki Trihn Nguyen* Denise Nguyen* Raymond Niles* Kirk Norbo* Gregory Nosa/* William O'Donnell* PaulOlenyn* MichaelOppenheimer* Arnold Ostrolenk* W. L. Outten, 111*

Warren Pace*

George Papastergiou*

John Pash*

Kimberly Passero*

Sudha Patil

Adrian Patterson"

Paul Patterson

Travis Patterson*

Albert Paulsen*

Bahar Rowhani John Ruocco* Sandra Ruocco* Joseph Ruzzo* Robert Sabatini John M. Salmon, 111* Francis J. Samaha** Marcos Sanchez* Louis Savarie Peter J. Scelfo*

Phillip Scheider*

Richard Schneider*

Robert Sears*

John Sellers*

Theresa Shannon*

William Sherman*

Dale Shewmaker*

Joseph Skapars

Gerald Smernoff*

Hubert Smith*

Lawrence Snider

James Snyder*

George Solier*

Charles Sours"

Elaine Sours

Richard Spagna*

Nathan Spitler*

Eddie Stallings*

Roland Stecher

John Stephenson*

Richard Stern*

Richard Stone*

Matthew Storm*

Robert Strange*

William Stringham

David Stuver*

Paul Supan

Rivhard Tami*

Elizabeth Tarpley

Hani Thariani*

Stephen Thomas*

Ronald Tolson*

Nathan Tsui*

Rena Vakay*

Roger Vorchheimer

Robert Wagner*

William Wallert*

Dan Watt

Richard Waxler

Jack Weil*

William Weinkam

Gary Weiss

Douglas Wendt*

David Whiston** Jay White*

Richard Whittington*

John Wiger*

John Willhide*

James Donahue*

William Dougherty*

Thomas Drummond

James Dryden*

Michael Dunegan*

Charles Ehle*

John Ehreth*

Neal Emad*

Jerrold Epstein

Robert Evans*

Michael Fabio*

Harold Fagan*

Michael Farr*

Kim Kitchen* Rodney J. Klima** John Kling* Lawrence Kotler* Peter Kunec Michael Kuzmik Thomas Kwon* John I. Krygowski* J. La Briola* Donald Larson* Barry Laurent* William Lazear* Lan Le*

H. Jackson Payne*

David Peete

Joaquin Perez-Febles

Tuyet Phan*

Dean Phass*

Sophia Phass*

James Planicka*

Michael Polifko*

Richard Pollock

Frank Portell*

George Pugh

Wayne Rasmussen*

Edward Reeves, 111*

Jon Williams* Suzanne Williams Thomas Winkler Mark Winkler Allan Winters James Withers J. Douglas Wooddell

Linda Wu*

Brenda Young

Susan Yung*

Paul Zimmet*

Burton Zwibel*

A special thank you is in order to several members who have joined the new Apollonia Club category. To become a member of the Apollonia Club, one must submit a VADPAC contribution of $1000 and we already have 15 members for 2000! Thank you for your support and dedication to the Virginia Dental Political Action Commit tee! Component 1 Component 4 Component 7 Dr. Francis Carr Dr. David Mueller Dr. Gerald Brown Dr. Andrew J. Zimmer Dr. Thomas S. Cooke, III Dr. William J. Vigilione Dr. Charles L. Cuttino Dr. Joseph Niamtu ComponentB Component 2 Dr. James Schroeder Dr. David Anderson Dr. Ron Tankersley Dr. AI Stenger Dr. H.J. Barrett Dr. Bruce Hutchison Dr. Rodney J. Klima

~~~:~;~~~]~e:!c~our interimi ~> '.'~~

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Virginia Dental Journal 41

OFFICE STRUCTURE CAN IMPACT LOCAL BPOL TAX

David S. Lionberger, Esquire - Christian & Barton, L.L.P. Many Virginia localities impose a re quirement that businesses obtain a business, profession or occupation (UBPOL") license in order to conduct business in that locality. This license is then taxed annually at a flat fee or at a percentage rate based upon the type of business and the total gross receipts for that business in the lo cality. Performing professional den tal services is considered a profes sional service and thus dentists must pay an annual BPOL license tax or license fee at the rate imposed upon providers of professional services. The rates imposed by the various lo calities in Virginia differ. In the City of Richmond, for instance, every person engaged in a professional service and having an office or place of business in the City of Richmond must pay a BPOL license fee of $30.00 or a BPOL license tax equal to 0.58% of the gross receipts of the business or profession. The gross receipts subject to this BPOL tax are broadly defined, in cluding almost all types of income to the business. A recent ruling by the Virginia Department of Taxation in dicates the breadth of gross receipts subject to BPOL tax, as well as a planning opportunity to avoid add ing to these gross receipts and in creasing the BPOL tax. Two dentists (A & B) operated as separate sole proprietors in the same locality, but shared office space and the expenses of operat ing the office. A reimbursed B for one-half of the office operating ex penses, and B actually paid the bills. B recorded A's payment of A's share of the expenses as "gross receipts" or "other income" on Schedule C for B's federal income tax return. B was assessed BPOL tax calculated by applying the BPOL tax rate to B's

gross receipts, which included the amount of the expense-sharing pay ment by A. B contested the inclu sion of A's expense-sharing pay ment in the calculation of B's gross receipts subject to BPOL tax. The Virginia Department of Taxation ruled that the amount of A's reim bursement of expenses to B consti tuted gross receipts to B from an "ancillary business" of B's practice: namely, providing office supplies to A in addition to providing dental ser vices to B's patients. Therefore, the amount of A's expense-sharing pay ment was properly included in B's gross receipts from his dentistry busi ness and subjected to the BPOL tax which applied to those gross re ceipts. Because there is no deduc tion from gross receipts for the of fice expenses incurred and paid by B, A's reimbursement to B of A's

share of the office expenses had the effect of increasing B's BPOL tax without a commensurate increase in B's real revenues to pay this in creased tax. To avoid this result, A & B could form a limited liability company or limited partnership which operates the com bined practices and divides the in come and revenues there from ac cording to the agreement of A & B. If A & B decline to combine their prac tices into one business, then they will need to recognize the additional BPOL tax cost presented by this ex pense-sharing arrangement. Do you have a legal topic you would like to learn more about? If so, e-mail (Iionberger@vadental.org) or fax (804 353-7342) your topic ideas to Susan Lionberger at the VDA office. Your topic idea might be addressed in a future is sue of the Virginia Dental Journal.

TAX INFORMATION

FORM 8826-DISABLED ACCESS CREDIT

Internal Revenue Service The Disabled Access Credit was enacted to help eligible small busi nesses comply with the Americans with Disabilities Act of 1990. Cer tain equipment purchases, if quali fied, can be used to reduce income tax. In order to qualify, the equip ment purchased must be necessary in order to comply with the Ameri cans with Disabilities Act. There has been some misunder standing of the Disabled Access Act allowed to certain health care orga nizations that meet the definition of an "eligible small business." The problem concerns equipment pur chased by dentists or physicians. The equipment includes intraoral

cameras, digital radiography ma chines, periodontal probes or x-ray machines. These items provide a general benefit to the dentist or phy sicians in examining or treating pa tients. The equipment, however is not special use equipment, but equipment having general utility with respect to all patients, and any spe cial benefits for the disabled are merely incidental benefits. There fore, these types of equipment pur chases do not qualify for the credit. Consult with your tax advisor or call the Internal Revenue Service at 1 800-829-1040 to order Form 8826 or to get all the facts on the Disabled Access Credit. Virginia Dental Journal 43

VDA NEWS M.O.M. -- MISSIONS OF MERCY

(VDA OUTREACH PROJECT)

Out-reach: the extending of ser

vices or activities beyond current or

usual limits.

Project: confronts and redefines

important issue or

an problem .....and starts with you.

In partnership with multiple service groups (St. Mary's Hospital Health Wagon, District 24-F Lions Club, Social Service Agencies, VA Pub lic Health, R.A.M., MCV Dental School, etc.) the Virginia Dental As sociation has embarked upon a most worthwhile journey of provid ing dental services to those citizens of the Commonwealth living in spe cific defined areas of the state, faced with unusual dental access problems. The first area that has been defined is located in the southwestern part of the state, specifically Wise and surrounding counties. This project has a specific time frame (July 14, 15, 16,2000) and scope of service. The project will be held at the Lone some Pine Airport in Wise County during those days. Local partners are investigating housing options for those from out of the immediate area. More specific information will follow as the project is developed. One of our partners, R.A.M. (Re mote Area Medical), is a non-profit, publicly supported, all-volunteer air borne medical relief corps serving remote and rural areas of the United States and the world. R.A.M. teams provide general medical, surgical, eye, dental and veterinary care free of charge to those in need. Wher ever they go, Remote Area Medical teams change helplessness to 44 Virginia Dental Journal

hope, pain to healing and despair to faith in a better way of life. R.A.M. will be providing the major ity of the dental equipment (chairs, handpieces, surgical instruments, paper supplies, sterilizers, etc.) However, if the dentist volunteer has a favorite product (gloves, etc.) or piece of equipment (curing light, handpiece, surgical instrument, etc.), we suggest they bring that to the site. We are asking also for do nations of supplies (anesthetic, gloves, other disposables, etc.) both from the providers (and their friends not attending) and cornrner cial dental suppliers. All providers of dental services will need to pro vide a copy of their current Virginia

dental or dental hygiene license. The project will need general den tists, oral surgeons, pediatric den tists, hygienists, chairside and sur gical assistants, and anyone who just wants to help with logistics, pa perwork, etc. We will take your ser vices one, two, or all three days, or any part of a day. You certainly will not be working under ideal "dental office" conditions but we will do all possible to make the conditions as favorable as possible. If this type of project is of interest to you, please fax or phone Dr. AI Stenger, Out reach Project Manager (804-320 7147-phone,804-323-6913-fax). Its demands will be heavy but its returns are immeasurable.

The Virginia Dental Association Foundation Presents ...

The Dental Dream Team:

Unmasking Behavioral Styles of

Patients and Peers

Suzanne Boswell

Friday, June 2, 2000

9:00am - 4:00pm

Richmond Mariott Hotel

Richmond, Virginia

A unique and powerful workshop. The topics covered can have immediate positive impact on team members and patients.

6 Hours of Continuing Education

For registration information, contact Ronya Edwards at the

VDA Office at 800-552-3886

VDA NEWS

Request for Nominations Nominations are now being accepted for the VDNs Community Service Award 2000 In 1999, the Virginia Dental Associa tion established the Community Ser vices Award. This award recognizes a dental health care provider who, in the area of community dental health, has made significant contri butions to his/her community through professional achievement, volunteer efforts, and leadership. The first re cipient, Dr. Lawrence Brannon of Charlottesville was presented the award at the VDA annual meeting in Reston. Dr. Brannon was recognized for cre ating, with the help of the Albemarle Baptist Association, the "Dental Net work" in Charlottesville. This pro gram was designed to supplement two other access initiatives in the area, the Charlottesville Free Clinic and the Donated Dental Services Program. Dr. Brannon screens pa tients, including establishing treat ment plans one day a month. He then contacts an area dentist who has agreed to treat patients in his program. The patients are assisted by a social worker or church official that help with scheduling and main taining appointments. Dr. Brannon's leadership and dedication to service has resulted in 80% of the area den tists contributing to the program. In 22 years the program has treated 110 patients and provided $220,000 of free dental care to patients in the community who were financially un able to receive care. Many of us know colleagues or other dental health care workers in our communities who have made similar contributions to community dental heath. Please assist the Virginia Dental Association with recognizing

these individuals by nominating a person for the VDA 's Community Service Award 2000. Benevolence is an integral part of the dental pro fession. It is important that we rec ognize and celebrate our colleagues who have shown leadership and ex traordinary initiative in their benevo lent activities. Please contact your component president to receive a nomination packet. Nominations for the award should be submitted to the VDA Central Office by June 1,2000. Request for Nominations ADA Health Foundation is seeking nominations for the Frederick S. McKay Award for Excellence in Pre ventive Dentistry

Note to the membership: The letter sent to you recently concerning the Healthy Loan Communities Fund incorrectly addressed you as "Mr." or "Mrs." instead of by the correct address of "Doctor." A mailing service used by the organiza tion (HCLF) incorrectly ad dressed these letters using our database. Our apologies for this oversight. --- Terry D. Dickinson, DD.S. VDA Executive Director

This award - given every other year - has been created to publicly rec ognized a dental practitioner who, while engaged in private practice or academia, has made a significant research or clinical contribution to the public's oral health. The Virginia Board of Dentistry is appointed by the

2000

VIRGINIA BOARD OF

DENTISTRY

Criteria: The suc cessful nominee must be an ADA member meeting the following crite ria: high level of in tellectual curiosity; dedication to im proving both the oral health of the public; and perse verance in pro moting the benefits of their research or clinical contribu tion to public oral health care. For more informa tion, call the ADA.

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. Nora M. French, D.M.D.

Monroe E. Harris, Jr., DD.S.

Michael J. Link, DD.S.

French H. Moore, Jr., DD.S.

Gopal S. Pal, DD.S.

Gary Taylor, DD.S.

Richard D. Wilson, DD.S.

Carolyn B. Hawkins, RD.H.

Stephanie P. Olenic, R.D.H.

Vacant - Citizen Member

STAFF

Marcia J. Miller, Executive Director

Pam Horner, Administrative Assistant

Kathy Lackey, Administrative Assistant

Ida Hill, Office Services Specialist

6606 W. Broad Street, #401

Richmond, VA 23230-1717

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

Virginia Dental Journal 45

VDA NEWS NEW STAFF AT THE VDA

II] ANSWERS FOR PATIENTS' WATERLINE QUESTIONS The Infection Control & Environmen tal Safety Committee has created a message that can be posted in den tal offices regarding the recent wa terlines issue. A Message For My Patients:

Allison Hutcher

Director of Membership

Recruitment & Retention

Allison joined the VDA on March 1, 2000 and is responsible for the re cruitment and retention of the Association's membership. Allison's background is patient services, edu cational programs and fundraising for both the American Cancer Soci ety and American Heart Association. She is looking forward to learning about organized dentistry and work ing with the staff and members of the VDA. Allison is a 1995 graduate of West Chester University, a Pennsylvania state university. She enjoys travel ing, watching movies, and spending time with family and friends. Allison, her husband Noah and their two cats will be moving into a new house in Chesterfield this summer.

VDA License Plates If you are interested in obtaining a VDA licenseplate for your car, please fax your name, address, phone & fax number & e-mail address to the VDA Central Officeat (804)353-7342. The DMV requires a commitment of a minimum of 350 people to consider making the license plate. Further in formation will follow to those inter ested. 46 Virginia Dental Journal

Tara Hackenberg

Public Affairs Coordinator

A native of Lake Forest, IL and long time resident of the Richmond, VA area, Tara Hackenberg has as sumed the position of Public Affairs Coordinator for the Virginia Dental Association (VDA). Prior to taking the position with the VDA, Tara received her BA in Political Science with a minor in History from Elon College near Burlington, NC in 1997. After receiving her degree, she managed the PAC and grassroots activities for Blue Cross and Blue Shield of North Carolina and later supervised the REALTORS® PAC and grassroots initiatives at the Virginia Association of REALTORS®.

Research Participants

Needed For TMD

StudyatNIH

The Pain and Neurosensory Mecha nisms Branch of the National Institute of Dental and Craniofacial Research is presently recruiting patients in the age range of 18-65 with temporomandibu lar disorders (TMD) for two random ized, double blind and placebo-con trolled clinical studies. For more information or an application, please contact Dr. Lauren Ta at (301) 4D2-6437.

Patients from time to time ask ques tions about bacterial issues relating to dentalwaterlines. ModernDentistryhas continued to strive for the highest stan dards of patient care, including infec tion control and patient safety. The word "BIOFILM" describes a thin layering of microorganisms which can build up in such common water-carry ing devices as water fountains, faucets, showerheads, garden hoses, and even every day water bottles. Just as biofilms are present in the plumbing and other areas in both your home and office, it may also exist in waterlines supplying the dental office. Our practice seeks to employ the high est current technology standards for contemporary dental offices regarding dental water quality. Moreover, our of fice will continue to add and integrate new technologies as they demonstrate their efficacy based on sound scientific evidence. Our office is committed to you, the pa tient. New products and new research are continually evolving, as is the Pro fession of Dentistry. Our priority is and always will be the safety and well being of you, the patient. Should you have any concerns about issues of infection control, water quality, or any other ar eas of Dentistry, I will be pleased to personally answer you questions. (Signed by the Dentist)

DIRECT REIMBURSEMENT NEWS

Ronya Edwards, Marketing and Programs Coordinator The ADA is working with FCB Direct, a business-to-business marketing company, to implement its print me dia plan for 2000. This year, 51 to tal insertions are planned (three more than last year), with a special emphasis on business publications such as Forbes, Time, Business Week, CFO, and The Wall Street Journal. This year's DR print cam paign is expected to generate 27,634,380 exposures to company owners, HR executives and decision makers. The VDA will have a full-page color ad in the annual issue of the Health Care Buyer in May. The magazine has a total circulation of 45,000 in cluding Benefits or HR Directors, CEOs, Public Officials, and Indepen dent Insurance Brokers and Con sultants located in all 40 indepen dent cities of Virginia, the District of Columbia, Baltimore, 95 Virginia counties, and 10 Maryland counties. The VDA also plans to have a full page color ad in the October issue of the Virginia Business magazine which reaches more than 120,000 decision makers across Virginia ev ery month.

•

*FYI - Bureau of Labor Statistics Report In December 1999 the Bureau of Labor Statistics (BLS) released the results of its annual US Benefits sur vey in a report entitled Employee Benefits in Medium and Large Pri vate Establishments, 1997. The study, conducted in 1997, surveyed private, non-agricultural companies with 100 or more employees. High lights are listed below: •

Approximately 59% of full-time employees at medium and large companies were offered some

kind of dental care in 1997. Of the 22.6 million workers with dental benefits surveyed that year, 81% were in traditional, fee-for-service dental plans, 11 % were in dental preferred provider organizations (dental PPOs), and 8% were in dental health maintenance organiza tions (dental HMOs). Regardless of the type of plan, the BLS su rvey reported that 98% of dental plans cover ex ams, x-rays, surgery, fillings, periodontal care, endodontics, crowns and prosthetics. 82% reported that their dental plan included a total annual maxi mum covered. 17% reported that they did not, and the other 1% was not determinable. Further, the average yearly maximum, based on survey re sponses, was $1,216. For the highest number (39%) of workers surveyed in 1997, the total annual maximum for their dental plan was $1,000. For 17% of responses-the second most common-their annual maximum was $1 ,500. For 11 %, the annual maximum covered by their dental plan was between $1,001 and $1,499, and 7% of

•

respondents reported a maxi mum of less than $1,000. Moreover, according to the BLS report, access to dental benefits varies according to type of in dustry. For example, of the pro fessional and clinical employees surveyed, 64% reported that dental care was covered. This compared to the 59% of clerical and sales employees and 56% of "blue-collar" employees.

This is valuable information that can give DR promoters insight into our target audience and the dental care benefits offered to employees. The published BLS report, also known as Bulletin 2517, is available from the US Government Printing Office. Also, many charts and graphs from the study can be found at the BLS web site: http://stats.bls.gov/ ebshome.

Reminder If you and your staff would like to learn more about Direct Reimburse ment or would like some DR educa tional materials for your patients please contact Ronya Edwards at the VDA office. * Excerpt from ADA DR Newsletter.

VDSC AND VDA ENDORSED PROGRAMS

~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ronya Edwards, Marketing and Programs Coordinator Need latex gloves for your dental office?

Call1MG at 800-775-6412

Need to lease an automobile?

Call Creative Financial Services at 804-270-3042

Need a credit card?

Call MBNA America at 800-457-3714

For a complete listing of all of the endorsed programs please call the VDA

office at 800-552-3886 or visit the VDA web site at www.vadental.org.

Virginia Dental Journal 47

UNIVERSAL PRECAUTIONS, DEEMED CONSENT, & THE DENTAL OFFICE

Thomas P. Cox, ARM, General Agent - The Medical Protective Company The following is offered from a risk management perspective and not as legal advice. There are two sections of the Vir ginia Code that place specific re sponsibilities on health care provid ers when dealing with situations that have bloodborne pathogen ramifica tions. The usual reference is to Hu man Immunodeficiency Virus, or HIV, but the following would also relate to Hepatitis-B Virus (HBV) and Hepa titis-C Virus (HCV). Section 32.1 36.1 relates to the confidentiality of any testing for these infections; the section that will be explored in this article is 32.1-45.1, which relates to deemed consent. Before summarizing this code sec tion and suggesting risk manage ment strategies for compliance, it may be helpful to recall how these types of statutes came into exist ence. As knowledge of HIV grew and understanding of transmission modes evolved, the realization dawned that a large number of people, virtually anyone, could carry and transmit the virus. More impor tantly, many HIV-positive people could be ignorant of the infection, especially those not fitting the early model of a likely carrier, Le., homo sexual and bisexual males, intrave nous drug users, and people with multiple sex partners. Because in fection with HIV carried such severe ramifications, various authorities came to believe that it would be wise to treat all people as if they were HIV positive. This assumption led to the development of what we now call Universal Precautions. Universal Precautions is predi cated on the belief that all people are HIV-positive (HBV and HCV later being added). Therefore, whenever 48 Virginia Dental Journal

a person is engaging in an activity that could lead to exposure to blood, or to body fluids that could contain blood (semen, saliva, nasal dis charge, vaginal fluids, etc.), barrier protection is mandated. These bar riers, designed to prevent the ex change of body fluids between people, take the form of face shields, face masks, rubber gloves and the like, in any medical setting. Addi tionally, sterilizing and disinfecting any equipment that is potentially ex posed to these fluids is also vitally important. While our understanding of these viruses has evolved, some informa tion less frightening than before and some more frightening, Universal Precautions remains extremely im portant in protecting dental office patients and dental office employ ees. Concern over the inadvertent exchange of body fluids between patients and health care workers motivated Virginia's General Assem bly to pass the two code sections referenced above, each becoming effective in 1990. Perhaps the most important section, from a health and safety perspective, is 32.1 45.1....Deemed consent to testing and release of test results re lated to infection with human immunodeficiency virus. In sum mary, this section states that any patient who agrees to undergo a medical procedure that has the po tential for blood or body fluid expo sure, agrees to have his/her blood tested for HIV/HBV/HCV should a health care worker be exposed to the patient's blood or body fluid during the procedure. Conversely, any patient who is exposed to the blood or body fluids of a health care worker, during a medical procedure, has the right to have that worker's blood tested for HIV/HBV/HCV; for

this reason your employees should be aware of this statute, too. In both cases, the person exposed has a right to the results of the test. The key provision of this statute, however, is in the phrase "deemed consent." Specifically, in anything other than an emergency situation, "... it shall be the responsibility of the health care provider to inform pa tients of this provision prior to pro viding them with health care services which create a risk of such expo sure." (emphasis added). In other words, the patient must be told about this provision before treatment is rendered; if the patient then elects to proceed, he/she has deemed con sent to be tested if an exposure oc curs. If the patient is not told of this provision prior to treatment and an exposure occurs, the patient can refuse to be tested and there is no recourse for the health care worker. Remember that the standard you will be held to is that of a reasonable and prudent provider, taking steps that would be considered sufficient by most dentists practicing in Vir ginia. For this reason you are al ways urged to discuss these matters with your colleagues to determine what is acceptable in your area. Not all procedures carry the same risk of exposure and it could be argued that your duty to ensure proper con sent would increase or decrease based on the risk of exposure. The risk management adage for this is that you do not want to develop a $10,000 solution for a 1a-cent prob lem. The following are steps that can help you meet the notification re sponsibility, with the simplest (but least defensible) first: •

Post signs in the waiting room

• Endorsed carrier of.th , ", , ", ',l1! Dental~pci~ ", '~

_,.f

''1

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

CINCINNATI

INSURANCE COMPANIES

52 Virginia Dental Journal

MEETINGS

[I Month

Organization

Meeting

Location

June 8-11, 2000

VDA

Committee Meeting

Sheraton Oceanfront Hotel - Virginia Beach

June 22-25, 2000

VSOMS

Annual Meeting

Sheraton Oceanfront Hotel - Virginia Beach

June 23-27, 2000

VAO

Annual Meeting

Cavalier Hotel - Virginia Beach

Sept. 13-17, 2000

VDA

Annual Meeting

Williamsburg Lodge - Williamsburg

Sept. 22-24, 2000

16th District

16th District Caucus

Embassy Suite - Greenville, SC

Oct. 14- 18, 2000

ADA

Annual Session

Chicago, Illinois

Nov. 2000 (dates TBA)

VDA

Leadership Meeting

TBA

Jan. 2001 (dates TBA)

VDA

Committee Meeting

TBA

June 7-10, 2001

VDA

Committee Meeting

Sheraton Oceanfront Hotel - Virginia Beach

June 23-28, 2001

VAONSOMS

Annual Meeting

Frenchman's Reef Marriott - St. Thomas VI

Sept. 12-16,2001

VDA

Annual Meeting

Hyatt Hotel- Crystal City, VA

Sept. 18-22, 2002

VDA

Annual Meeting

Waterside Marriott - Norfolk, VA

Sept. 10-14, 2003

VDA

Annual Meeting

Marriott - Richmond, VA

Sept. 8-12,2004

VDA

Annual Meeting

Waterside Marriott - Norfolk, VA

Sept. 14-18, 2005

VDA

Annual Meeting

Marriott - Richmond, VA

eson, D.D.S.

High TechDentistry Unda Miles, C.M.C., C.S.P.

Leadership 足 It's~ !earn ~/~

~,rdf:ilitaln,~1)D:S.,M.B.A.

TheOne DayDental MBA

COME AND EXPERIENCE THE BEAUTY OF GRAND

CAYM~N ISLAND,

BWI

Virginia Dental Journal 51

UPCOMING CONTINUING EDUCATION MAY 2000

Mr. Kirk Manzo (Mercer Global Advisors) 21 st Century Financial Strategies for Dentists

Topic to be determined The Cavelier -- Virginia Beach, VA

May19 Shenandoah (7)

Steve M. Seltzer, MBA

101 Technology Pearlfor Dentistry Shearaton -- Harrisonburg, VA

May19 VA Academy of General Dentistry Dr. Dan Becker Pain & Anxiety Control; Medical Urgencies & Emergencies in Dental Practice Richmond, VA

May 19-21 Southwest (6) TBA Pipestem WV State Park

September 16

AUGUST 2000

Virginia Dental Assoc. Annual Meeting Williamsburg Lodge & Inn

August 11 Southwest (6) -- VDA Co-Sponsored Dr. Franklin Weine Avoiding Problems in Clinical Endodontics Higher Educational Ctr - Abingdon, VA

August 18-19 VA Academy of General Dentistry Dr. Henry Gremillion Facial Pain Virginia Beach, VA

Dr. Roger Kiesling Practical Pathways to Practice Prosperity

September 8 Shenandoah (7) Dr. Robert Amato Endodontics for the General Dentist Waynesboro Country Club

June 2

OCTOBER 2000

VDA Foundation Ms. Suzanne Boswell The Dental Dream Team: Unmasking Behav September 15 ioral Styles of Patients and Peers Virginia Dental Assoc. Annual Meeting Marriott Hotel-- Richmond, VA Williamsburg Lodge & Inn

June 14 Southside (3)

Dr. Robert Straus

Management of Medical Emergencies Emporia, VA

June 22-25 VSOMS Annual Meeting Dr. Peter Waite Snoring & Sleep Apnea Sheraton - Virginia Beach, VA

June 25·26 VAO Annual Meeting Dr. Robert Vanarsdall Topic to be determined The Cavelier -- Virginia Beach, VA

June 27 VAO Annual Meeting Ms. Judy Rubin

Dr. Joe Camp Mechanical Instrumentations and other Tech nological Advancements in Endodontics Dr. John Svirsky Name That Disease and Other Oral Pathology Party Games

SEPTEMBER 2000

JUNE 2000

Dr. Cory Butler The ABC's of the Internet

October 29 Tidewater (1) Dr. Fred Bell Implants Location -- TBA

Ms. Pamela Smith, RD, CON

Diets - Who's Right & Who's Wrong?

NOVEMBER 2000

Dr. Gerald Chiche Recipe for Successful Anterior Esthetics

November 3-4 VA Academy of General Dentistry Colonial Dental Conference

Dr. Harold Meader Dr. Ed McGlumply & Dr. Larry Peterson Instrumentation for Hygienists to Manage Oc Implant Dentistry cupational Pain Dr. John Kois Periodontics & Restorative Dentistry Dr. John Svirsky Richmond, VA Infectious Diseases & OSHA for the 21 st Cen tury November 17 Southwest (6) SpeakerTBA Refining Periodontal Disease Management: Dr. Marvin Ladov Oral Surgery: Impactions, Extractions and Treating the Host Response Corrective Actions Donaldson Brown Conf. Ctr. - Blacksburg Joseph T. "Chip" Buxton III, Esquire Ten Steps ToAvoid Leaving Your Estate to the IRS

Component CE Programs --For registration information, please contact the appropriate person below: ($40 - Members of VDA & Auxiliaries --$75 - Persons other than VDA members. Fee includes lunch and coffee break.) Component I (Tidewater) Component II (Peninsula) Component III (Southside) Component IV (Richmond) Component V (Piedmont) Component VI (Southwest) Component VII (Shenandoah) Component VIII (Northern VA)

Virginia Donne (Executive Secretary) Kathy Harris (Executive Secretary) Dr. James L. Slagle (CE Coordinator) Linda Simon (Executive Secretary) Dr. William W Martin (CE Coordinator) Dr Francis Anne Johnston (CE Coordinator) Patricia Fuller (Executive Secretary) Susann W Hamilton (Executive Director)

(757) 491-4626 (757) 565-6564 (804) 733-9490 (804) 379-2534 (540) 344-4112 (540) 628-9507 (804) 985-1939 (703) 642-5297

AIDA

The VDA is recognized as a certified sponsor of continuing dental education by both the ADA CERP and the Academy of General Dentistry.

VAGD Programs - For registration information, please call the VAGD Office at 804-320-8803

VD~ Programs - Registration information will be mailed in July for the 2000 Annual Meeting in Williamsburg.

VSOMS & VAO -- For registration information, please call Tara Hackenberg at the VDA office' 804-358-4927.

50 Virginia Dental Journal

~-~-~-~

CONTINUING EDUCATION RECOGNITION PROGRAM

that summarize the statute

•

• •

(NOTE: Copies of the statute should be available from your professional liability carrier);

•

Have the patient sign a consent form specifically related to the statute.

Incorporate a summary of the While it would be up to a jury to de statute into your new-patient in termine if notification was adequate, these procedures are, in fact, what formation form;

Post signs in each treatment area most health care providers in Virginia have developed to comply with this that summarize the statute;

Verbally inform the patient of the statute. If you do not have any poli statute and document the dis cies or procedures related to this issue, it is recommended you decussion and consent; and/or,

velop and implement some as soon as possible. If you have policies and procedures in place, it is a standard recommendation that all policies and procedures be reviewed on an an nual basis, and this might be a good time to do so. If you believe that you do not have any patients that are positive for HIV, HBVor HCV, please review paragraphs two and three of this article.

MEMBERSHIP BENEFIT HIGHLIGHT-LIFE

MEMBERSHIP AND RETIRED MEMBER STATUS

Kimberly S. Swanson, D.D.S., VDA Membership Task Force Why lose all of the benefits of member ship in organized dentistry just because you are getting ready to retire? You may continue to benefit from ADA/VDA in surance programs, financial services, publications and library services, and discounts at meetings and continuing education courses. You may continue (or become) active in legislative activi ties to benefit the profession you have devoted your career and energy to. If you like to travel, maintaining your mem bership may provide some financial ben efits. Last but not least, being a mem ber means continuing your contact and camaraderie with your colleagues. This article will explain different mem bership categories and the associated changes in dues. Please read on .... Retired Member: any active member in good standing who no longer earns income from dentistry. This includes income as a dental school faculty mem ber, a dental administrator or consult ant, or as a practitioner of any activity for which a license to practice dentistry is required by the Commonwealth. To qualify for Retired Member Status, the member must submit an affidavit attest ing to his/her retirement through the component (local) or constituent (state) society. Contact the Virginia Dental Association for information and assis tance. Retired members pay 25% of

dues and are entitled to all privi leges of an active member. Life Member: a member in good stand ing who has been an active and/or re tired member in good standing for 30 consecutive years, or a total of 40 years. One must be at least 65 years young to qualify. Life membership shall be ef fective the calendar year following the year in which requirements are fulfilled. Maintenance of membership in good standing in the VDA and your local den tal society shall be a requisite for con tinuance of life membership. The Asso ciation will notify those members who are eligible for life membership. Active life members pay 50% of dues and enjoy all benefits of membership. To clarify, these are members who are have met the requirements for Life member ship and who are still active in the prac tice of dentistry. There is an advantage to keeping your membership active each year! Retired Life Member: A member who has met the requirements for Life Mem bership, as above, but who no longer earns an income from dentistry as out lined above. To qualify for Retired Life Member Status, the member must sub mit an affidavit attesting to his/her quali fications through the component (local) or constituent (state) dental society. Contact the Virginia dental Association

for information and assistance. Retired Life Members are exempt from dues but still retain their membership benefits. However, life members who no longer pay dues will only receive the JADA by subscription. If you are retired or simply have more time to travel, membership in organized dentistry has travel discounts- avail able to members only: •

•

Up to 10% discount on Hertz car rental rates. Call the Hertz ADA Members-only desk at 1-800-654 2200 Reduced hotel rates when visit ing Chicago, I\lew York, or Wash ington D.C. for either business or pleasure. Call the ADA Depart ment of Conferences and Meet ing Services at extension 2583. Join the Magic Kingdom Club for special rates at Walt Disney World by calling extension 2897.

For more information on the many ben efits of organized dentistry and differ ent categories of membership, call the ADA at (312)440-2500 or use the mem bers-only toll-free member listed on the back of your membership card. You may also call the Virginia Dental Associa tion at (804)358-4927 or 1-800-552

3886. Membership Matters!

Virginia Dental Journal 49

ACTIONS OF THE EXECUTIVE COUNCIL

JANUARY 13 -16, 2000

ACTIONS OF THE EXECUTIVE COUNCIL A. THE FOLLOWING CHANGES TO THE BYLAWS WERE APPROVED BY THE EXECUTIVE COUNCIL WITH A RECOMMENDATION FOR ADOPTION BY THE HOUSE OF DELEGATES: 1. Change number of members on the Dental Practice Regulations Com mittees from 16 to 17 members be cause the ADA recognizes one additional specialty. Article VIII, Section 4.A 1..4., Dental Practice Regulations Com mittee a. Membership: This Committee shall consist of 4-6-17 members ... 1. Change the names of the Commit tee For Direct Reimbursement and Committee On The New Dentist to the Direct Reimbursement Commit tee and the New Dentist Commit tee. Article VIII, Section 1.A and Section 4, A. would then be re-al phabetized and renumbered. 2. Article VI, Section 1 C. Closed Sessions: All members in good standing of the Virginia Den tal Association and other invited in dividuals may attend all Executive Council meetings, except when by a majority vote, the Council Gftatf ffl8fI chooses to meet in a closed Session. The Executive Council must consider and act upon all min utes and reports of other closed committee sessions in closed Ses sion. 4. Article VIII, Section 4 1. Annual Meeting Committee a. Membership: This Committee shall consist of e!eveft- thirteen members, including one representative from each component, a-ttd the VDA President, President-Elect and Sec retary- Treasurer, and one liaison member from the New Dentist Com mittee and one from the Member

ship. The chairman shall appoint one member to serve as liaison to the Annual Meeting Committee. The Committee shall meet at least two times a year and additional meetings scheduled at the call of the chairman.

ship Committee. The appointed members shall serve a term of four years, limited to two terms. 5. Article VIII, Section 7. Committee on the ~~ew Dentist New Dentist Committee a. Membership: The Committee shall be composed of nine members, one member from each component so ciety who shall have received a D.D.S./D.M.D degree less than ten years before the time of selection. The ninth member shall be a stu dent member of the American Stu dent Dental Association at the VCU/ MCV School of Dentistry who shall be appointed by the President of the Association, in consultation with the Dean of the Dental School. The Chairman shall appoint one member to serve as liaison to the Annual Meeting Committee. The Committee shall meet at least two times a year and additional meet ings scheduled at the call of the chairman. 6. Article VIII, Section 4 15. Dental Trade and Laboratory Relations Committee a. Membership: This committee shall consist of twe+ve thirteen members, including one representative from each component society, ttOO four members-at-Iarge appointed to serve for four years on a rotating basis by the President of the As sociation and a liaison from the Vir ginia State Dental Laboratory As sociation.

8. Article VIII, Section 4.A Standing Committees 24. Search Committee for Virginia Board of Dentistry

Candidates

a. Membership: This Committee shall consist of the Immediate Past President of each component soci ety serving two year staggered terms with components 1,3,5,7 member terms to begin on odd numbered years and components 2,4,6,8 member terms to begin on even numbered years and is to be chaired by the immediate Past President of the Virginia Dental Association. B. THE FOLLOWING ITEMS WERE APPROVED BY THE EXECUTIVE COUNCIL WITH RECOMMENDA TION FOR ADOPTION BY THE HOUSE OF DELEGATES:

1. It shall be the policy of the VDA to use the General Guidelines for elections (supersedes 1998 policy). •

• 7. Article VIII, Section 4 21. Membership Committee a. Duties: The duties of this Commit tee shall include the following: es tablishing an ongoing plan of recruit ment for new and non-member den tists in the state; assisting compo nent and constituent members in obtaining ADA and VDA member ship benefits; establishing pro grams for retention of existing mem bers; and promoting and develop ing policies and programs that re spond to the needs of the member

•

The time of the nominations and elections will be presented in the VDA Journal and the Program of the Annual Meeting. The report of the Nominating Com mittee will be made at the First Ses sion of the Annual Meeting. I\lominations will be made from the floor at the First Session of the An nual Meeting. Seconding speeches will be two (2) minutes and limited to only those candidates in contested elections. If an additional candidate is nomi nated from the floor. The election will be held prior to the Annual Business Meeting of the As sociation. Ballots will be printed containing the

Virginia Dental Journal 53

• • • •

names of thosewho have been nomi nated. Ballot boxes will be provided for each office being elected. The presidents of the various cam ponents will serve as tellers. An officer of the Association, who is not a candidate, will announce the results of the election. In the event of a runoff election, blank ballots will be provided.

1. The VDA reaffirms its endorsement of the definition of dentistry as ap proved by the ADA (10/21/97). 3

It shall be the policy of the VDA to encourage all components to form a local Ethics Committee.

1. It shall be the policy of the VDA that all members of the Association re cite "The Dentist's Pledge" at the Annual Session of the Virginia Den tal Association. 5. It shall be policy of that VDA that Component presidents be tasked with making Board of Dentistry can didate recommendations to the VDA Central Office by January 1st of each year. Along with the rec ommen dation will be a current CV for those nominees.

THE FOLLOWING ACTIONS OF THE EXECUTIVE COUNCIL ARE INCLUDED FOR INFORMATION ONLY:

A. The Following Items Were Adopted: 1. Dr. Dickinson should explore the possibility of a hygiene lecture and participation course to be added to the 2000 Williamsburg meeting and he be allowed to fee these courses. 2. The VDA will enter into an agree ment with the Virginia State Univer sity to be a community partner in the Health Career Opportunities Program (HCOP). 3. A Volunteerism Forum will be held at the Williamsburg meeting. 4. The VDA provide a room and time, at this year's Williamsburg Annual Meeting, for a beginners class on

54 Virginia Dental Journal

the Internet and computers for a 1 hour period with a possible "hands on" aspect.

11. The VDA encourages its compo nents to work with their member ship, through mediation, to insure compliance with the Principles of Ethics and Code of Professional Conduct of the ADA and the Rules and RegUlations of the State of Vir ginia with reference to any and all advertising violations.

S. That information be distributed to the membership explaining what email, chat rooms, web sites and ISP (Internet Service Provider) are and questionsshould be in the mem bership survey for those who have e-mail and/or web sites. Also ques tions in the survey for those who would like a short course in e-mail, chat rooms, web sites and ISP.

12. The VDA make available a copy of each of the two (2) videos on water line quality to each of the eight com ponents.

6. The Executive Council, on behalf of the VDA, asks the ADA to provide a conference (either nationally or re gionally) on development and/or en hancement of web sites for con stituent and/or component societ ies.

13. The VDA assist the Infection Con trol & Environmental Safety Com mittee, in its effort to help ensure maximum participation in the up coming bulk liquid mercury collec tion program, by printing an article in the Journal.

7. The VDA requests that the ADA PINSERV Committee establish a permanent position of Coordinator of Communication (or another ap propriate name) to maintain com munication between the ADA and brokers marketing Direct Reim bursement.

14. The Virginia Dental Association supports efforts such as a six (6) step pay differential, as proposed by the Central Virginia Training School Department of Human Re sources, to the Central Office of the Department of Mental Health and Mental Retardation Substance Abuse Services to enhance recruit ment and retention of dentists who provide oral health services to spe cial institutional populations.

8. Any policy of the VDA should be referred to the C&B Committee for either inclusion in or elimination from the Constitution & Bylaws. This would eliminate conflicts be tween the Constitution and Bylaws and VDA Policy. 9. The DMAS Dental Advisory Com mittee address dentist-medicaid communication concerns as expe ditiously as possible in order to eliminate paperwork and treatment road block, specifically but not lim ited to use of one, standardized ADA form and immediate pre-autho rization and claims processing. A mechanism for oral pre-authoriza tion for urgent care needs to be implemented as well. 10. The VDA suggests that the Indiana spousal survival guide be referred to the VDA Alliance so that they might form a committee to assist surviving spouses in the event of the death of a spouse.

15 The VDA continue to support per sonnel to conduct the Donated Den tal Services program. 16. If any Constitution and Bylaws mo tions are passed at the June Com mittee Meetings, the Constitution and Bylaws Committee must meet within one month to assure the c1ar ity and appropriateness of language and consistency with other parts of the Constitution and Bylaws. 17. The Search Committee for Board of Dentistry Members keep a list of potential candidates to be kept for a period of four (4) years. 18. Component awards of the VDA be published in the VDA Journal and announced at the VDA Annual Meeting.

19. The Communications Review Com mittee, with the aid of the VDA Ex ecutive Director, develop RFPs and bids to upgrade the VDA web site and report back by the VDA June Committee Meetings.

5. To the Executive Committee to con sider Williamsburg as a future site for the VDA Annual Meeting since it will be expanding its present fa cilities to accommodate a larger meeting.

A. The Following Items Were De 6. To all committees a request that each committee chairman review feated: the VDA web site and make sug gestions for enhancements to the 1. An amended motion that the "In The web site concerning their respec Event A Spouse Survival Guide" tive committee. from the Indiana Dental Association, be directed to the VDSC for review 7. To all component societies a re and consideration of possible dis quirement that all component soci tribution eties submit by form, fax, or e-mail, to the VDA Central Office, the first 2. A motion that the VDA recommend of each quarter, any continuing edu and encourage the Virginia Board cation courses they have planned. of Dentistry to revise its definition of dentistry to reflect the definition 8. To the Annual Meeting Committee approved by the ADA (10/21/97). a request by the New Dentist Com mittee that consideration be given 1. A motion that the president of the to a half-day seminar spot for top VADL be included as a voting mem ics of interest to the new dentist at ber of the Dental Trade and Labo the state Annual Meeting in 2001, ratory Relations Committee. with the potential to be an ongoing event. 4. A substitute motion that the Execu tive Council requests that all com ponent societies submit all planned 9. To the Executive Committee for clarification, the mechanism for the c.e. courses to the VDA Central apportioning of delegates to the Office at the t" of each quarter by House of Delegates. The Commit form, fax, or e-mail. tees finds the wording clear, but apparently the actual practice does C. The Following Items Were Re not reflect this. ferred: 2. To the Planning Committee to ex amine the committee structure with regards to committee numbers, consolidation, appropriateness, makeup and frequency of meetings and the possibilities of the use of ad-hoc committees and task forces to handle some committee busi ness. 3. To the Communication and Informa tion Technology Committee to have a development and enhancement workshop, given by the ADA, on de veloping constituent and component web sites. 4. To the Budget Committee to con sider a COLA annual dues increase and report back to the Executive Committee.

10. To the Executive Committee for re view, Article IV, Section 2.K and in Article VII, Section 2 in regard to the House of Delegates adoption of the Annual Meeting site. 11. To the Executive Committee, a re quest for the definition of "closed session" as mentioned in Article VI, Section 1.C and in Article VIII, Sec tion 2.10. 12. To the Constitution & Bylaws Com mittee to amend the duties of the Dental Continuing Education Com mittee to investigate need and op tions for continuing education within the Commonwealth. 13. To the Annual Meeting Committee to consider inviting a representative

of the VADL member laboratories and laboratories participating in the DDS program to attend the annual meeting continuing education pro grams at minimal or no cost. 14. To the Constitution and Bylaws Committee to modify the Bylaws to allow the Planning Committee to have the ability to make inter-com mittee referrals; the duties of the Planning Committee be revised to allow the use of inter-committee referrals and to make recommen dations to the Executive Council. 15. To the Constitution and Bylaws Committee to strike "long range planning from the duties of the Plan ning Committee. Article VIII, Section 4, A 23. Planning Committee b. Duties: The duties of this Commit tee shall be to serve as a Planning Committee for the Virginia Dental Association on emergency matters, strategic planning, and long range planning; and to review Committee activities and programs of the As sociation. This Committee will make recommendations to the Ex ecutive Council. The Committee shall meet at least two times a year and additional meetings scheduled at the call of the chairman. 16. To the Communication & Informa tion Technology Committee the task of building support for member den tists to aid in the acquisition of com puters/internet skills.

D. The Following Items Were Re ceived As Information Only: 4. The local Annual Meeting Commit tee (2000) will explore the possibil ity of elimination of the exhibitor re ceptions and look at alternative events. 5. The DR Committee will investigate the possibility and cost of mailing the Direct Reimbursement Newslet ter to each member. 6. The DR Committee will form a sub committee to study the develop-

Virginia Dental Journal 55

ment and implementation of a bro ker sales contest. 7. The DR Committee will form a sub committee to put together a den tist and dental staff education pro gram on DR to be presented to each component on a regular basis. 8. The New Dentist Committee passed a motion to pay 25% of the ASDA dues for the second year dental students and 75% of ASDA dues for 3'd year dental students to be presented in August 2000. 9. The Legislative Committee will ap point a subcommittee to review the Virginia Dental Practice Act to de termine what changes should be recommended should the Dental Practice Act be opened by the Leg islature. This subcommittee will conduct and coordinate with the Dental Practice Regulations Com mittee of the VDA. 10. The Membership Committee recom mends that the New Dentist Com mittee complete a roadmap "Get ting Started On Your Own" for each component. Components 7 and 8 have a template. 11. The Planning Committee proposes that every member of the VDA in a leadership position should strive to have an e-mail address, access to an Internet chat room and video conferencing. Leadership positions shall be defined as elected officers, Executive Council members, VDA committee chairpersons and com mittee members. 12. The Planning Committee meeting will not be scheduled in conflict with any committee where the chairman is a member of the Planning Com mittee. 13. The following names will be submit ted to the Governor as potential can didates for citizen appointment to the Virginia Board of Dentistry: Jane Woods, Robert Winters and Wayne Withers, Jr. 14. The following names will be added to the VDA pool of potential candi

56 Virginia Dental Journal

dates for the Virginia Board of Den tistry: Drs. Fred Carr and Paul Zimmet. 15. The following names will be submit ted to the Governor for reappoint ment to the Virginia Board of Den tistry: Dr. Nora French; Carolyn Hawkins, RDH; Dr. French Moore, Jr.; Stephanie Olenic, RDH; Dr. Gary Taylor. 16. The Ad Hoc Committee On Awards will write a letter to select constitu ent societies and VDA component societies asking them to define existing awards that are given by individual constituent and VDA component societies. 17. The VDA Foundation will sponsor a continuing education meeting June 2, 2000. 18. The VADPAC Committee passed a motion to change the Common wealth Club donation to $125 and the Governor's Club to $550; the Appolonia Club will be created with a donation level of $1000 (2001).

able positions. All elective positions shall be voted on separately, except that ADA Delegates, Alternate Del egates and Executive Councilor-At Large shall be voted on as groups. 2. Article VI, Section 1 D. The meetings of the Executive Council shall be held immediately preceding and immediately follow ing the Annual Meeting and at such other stated times as the Execu tive Council itself may determine. Special meetings may be called by the Chairman and shall or may be called t::ij:')6ft- at the request of three of its members. 3. Article VI, Section 2 A. Authorize the expenditures of all monies belonging to the Associa tion, and may authorize certain of ficers or committees to expend monies for specific purposes. Ap propriations other than the usual expenses of the Association shall have the require a majority vote ef in the House of Delegates at the Annual Meeting.

D. Nominate three members to be pre 19. The VADPAC Committee passed a sented to the Governor of the Com motion to hold a live and silent auc monwealth to fill each vacancy, as tion to be hosted at the 2000 An they occur, on the Virginia Board of nual Meeting. Dentistry. as they occur.

E. The following editorial changes to the Bylaws were approved and included as information only. 1. Article IV, Section 2 D. The elective officers shall be elected by ballot of the membership at the Annual Membership Meeting. A majority vote shall elect. In the event of an unopposed nomination, it may be moved that the secretary be instructed to cast the ballot of the members for the candidate or slate. If no nominee receives a majority of the votes cast on the first ballot, the nominee receiving the lowest number of votes shall be dropped, and a new ballot taken. In elections for multiple positions, a ballot will be invalid if the same name is voted more than once or the number of names on the ballot does not equal the number of avail

O. Have the right to review the House of Delegates Manual of Standing Rules for the Annual Session and propose any changes in the Manual or in the BYLAWS. which will pro mote better functioninQ of the House of Delegates. 4. Article VI, Section 3 A. Vacancies on the Executive Coun cil, except those of the component societies, shall be filled by the President with the approval of the Executive Council. A vacancy in the representation of a component society shall be filled by an appoint ment made by the president of the component society concerned or as prescribed by the Constitution and Bylaws of the-that component society. concerned. B. The Executive Council shall have the power, by a two-thirds vote of

those present and voting, to declare a vacancy in its own body because of the continued absence of a mem ber or the violation of the Principles of Ethics and Code of Professional Conduct of the Association or the component society to which he belongs, or the violation of these BYLAWS, by such member,

pFemote better functioning of the House of Delegates; (4) tofunction ~ as a personnel committee to se lect and employ an Executive Di rector, Auditor, Legal Counsel and other employees as deemed nec

essary; (5) to selectiae the time and place of the Annual Meeting for ap proval by the Executive Council and adoption by the House of Delegates; (6) to investigate in'l1'estigating the violations of the Principles of Eth ics and Code of Professional Con duct in cases appealed by a mem ber of a component society and to reportiee findings to the Executive Council for its consideration as pre scribed in ARTICLE I, Section 5, C, e, of these BYLAWS, All actions

of this Executive Committee must be reported to and approved by the Executive Council.

5, Article VII, Section 2 Section 2, Duties: The duties of the Executive Committee shall in elude the follmving It shall be the

duty of the Executive Committee: (1) to transaction ef emergency business during the interim between Meetings of the Executive Council; (2) to organize organizing the agenda for Executive Council meet ings; (3) to review~the House of

Delegates Manual of Standing Rules for the Annual Session and fHQPBSiFlfj to propose any changes in the Manual or in the BYLAWS as deemed necessary 'which will

To April, a motion that the Execu

tive Council and component soci

eties seek, from the members,

materials that are important to the

history of the VDA.

To June, a motion that the Execu

tive Council instruct the Communi

cations and Information Technology

Committee to put the membership directory on the web site within the next nine (9) months. The Central Office is to be instructed to print a copy of the directory and mail to any member on request. A notice is to be posted in the fall issue of

the VDA Journal notifying members

of the availability.

To June, a motion that the continu

ing education funding go back to the

VDA and not be the responsibility

of the VDA Foundation.

The Following Items Were Post

poned Definitely:

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Virginia Dental Journal 57

COMPONENT NEWS

Component I Tidewater

Dr. Barry Einhorn, Editor Greetings from Tidewater. I am writing this article on the very first day of spring. It is raining and blustery, but my rose bushes are beginningto show leaves and the fairways on our golf course are start ing to look green. Surely good weather cannot be too far away. Our component has had a busy winter season. We started with a very suc cessful Children's Dental Health Month celebration. Ably led by Dr. Anthony Peluso, we held a Dental Health Fair at the Virginia Marine Science Museum in Virginia Beach. Old Dominion Univer sity dental hygiene students presented a table clinic promoting children's den tal hygiene. The tooth fairy was also present. Radio station WCMS aired a weeklong radio giveaway. Dental hy giene baskets, including an Oral B toothbrush were awarded to five winners in our area. The first annual FUN RUN/ WALK was sponsored by TDA and The Navy Dental Center Mid-Atlantic. It was held at the Norfolk Botanical Gardens. The first one hundred participantsacross the finish line were awarded a dental hygiene goody bag. Many folks con tributed to the success of our program. Special thanks to the Navy Dental Cen ter Mid-Atlantic and the ODU Dental Hygiene School. On April 14 th we held our Spring Semi nar. Dr.Tom Orent was the speaker and offered his "1000 Gems" seminar. Some of the gems were: How to help your staff appreciate the true value of their current compensation. How to place consistent f1oss-snaps-through con tracts on class II composites. How to get free airfare without really trying. How to answer the question, "Doctor, how long can this wait?" An exciting new chairside custom staining technique anyone can do.

58 Virginia Dental Journal

Our president, Dr. Jamie Krochmal, has been working to head off a proposal by Smile Care Dental Company to open a clinic at the Norfolk Naval base ex change. They claim that dependents are under utilizing the existing insurance program because there are not a suffi cient number of civilian dentists conve niently located to potential clients. This is clearly an attack by a private com pany on the effectiveness of privateprac tice dentistry. Hopefully our congress man and others will help stave this ef fort off. We look forward to greeting you in June at Virginia Beach for the committee meetings. Bring the family and enjoy the beach in early summer. Component II Peninsula

ADA alternate delegate spot to be voted on in September. We were glad to welcome two new members in March: Les Davenport and Walton Bolger. Finally, for several years we have sent judges to participate in the local science fairs. Along with their parents, winners are invited to a component dinner to present their projects and receive rec ognition for their efforts (in addition to a cash award). This year was especially nice for me, as my daughter, Sarah Boxx, was one of the winners. She had no insider advantage, but I will confess to providing Peridex samples for the project. It is nice to see your kids grow ing up. Have a great summer! See you in the fall. Component III Southside

Dr. Eric Boxx, Editor Driving to work on a spring morning in Williamsburg, it struck me just how for tunate we are to live in such a beautiful area. Going the "long way" to work through the College and the restored area, every turn is a postcard. Makes you glad to be alive. If that sounds like a promo, I guess it is. Mark you calen dars now for your own fall trip to Williamsburg for the Virginia Meeting, September 13th-17th. March was a big month on the Penin sula. On March 10th, Dr. Rob Strauss from MCV gave an excellent all day pre sentation on "Medical Emergencies in the Dental Office" to our largest turnout ever for a C.E. course. At our component meeting, we elected a new slate of officers to be installed in September. Immediate Past President Sonny Riggs President Jim Watkins President Elect Jon Piche Secretary Eric Boxx Treasurer Scott Francis Councilor Bruce DeGinder Dr. Deginder is also a candidate for an

Dr. Mike Hanley, Editor We did survive the first winter of the millennium here in southside. In Chester, we finally were able to use our sleds for the first time in three years; and does that phone ever stop ringing whenthe snow comes down! "Roads are too slick ...Don't have snow tires ...And that's just the staff! You may as well stay home and build a snowman with the kids. There really are a lot of flaky drivers...if you catch my drift. Former owner and operator of Tidewa ter Dental Laboratory, Carroll Greene, Jr., died recently in Hopewell. The later part of his career was spent in Peters burg and Colonial Heights operating Green's Dental Lab. He retired in 1998. Preparing to serve Southside as next year's treasurer, Dr. David Ferry, won the position in a landslide vote at our recent business meeting. Dave has for years been Southside Component Rep resentative for the Virginia Academy of General Dentistry.

Dr. Bob O'Neill has been chosen as president-elect of the Virginia Society of Oral Maxillofacial Surgeons. Thanks to both of you able leaders for donating your time. Component III will once again sponsor a day of Continuing Education in Em poria. On June 14, Dr. Robert Straus will speak on Management of Medical Emergencies in the dental office. Fol lowing the presentation, we will all ad journ to the famous Emporia Pork Fes tival and make PIGS of ourselves. This is good eatin! Bring your staff. If you've never tried boiled Chitterlings ...1want to be there to watch.

Dr. Norman Marks, Chairman of Com ponent IV's Continuing Education Com mittee, continues to schedule excellent speakers for our membership and peri odic all day meetings. We've contin ued to hear top-notch speakers this year. Our component is grateful for the good work of Norman and his commit tee. The RDS will not have monthly mem bership meetings for June, July and August. Remember - the VDA meeting in Williamsburg in September will be upon us soon. Make early plans to be there, and have a great summer!

Component IV Richmond Component V Piedmont

Dr. Jack Dunlevy, Editor Capitol region dentists participated in the legislative process during this year's General Assembly session. Our com ponent had several participants in the VDA effort to lobby legislators. After an early breakfast, we braved the chilly walk to the legislators' offices. The VDA's views were well represented, and we were warmly received. Don't be afraid to speak up to your legislators our representatives usually welcome our views. Congratulations to the 2000 MCV gradu ating class. Students have continued to express interest in organized den tistry, and the number of students at tending our monthly membership meet ing has continued to increase. Our com ponent encourages students to attend our upcoming golf and tennis outing again this year. Richmond Dental Society members continue to be recognized for their ac complishments. Dr. Roger Wood has been recognized for his efforts on be half of the town of Goldsboro, NC. Roger and his wife, Monette, were presented with humanitarian awards fortheir Flood Relief program following last fall's hurri cane.

Dr. Barry Cutright, Editor

In March, Dr. Robert Faulkner and Dr. John Beumer presented a seminar to regional dentists, which addressed both removable prosthetics and dental im plants in the total rehabilitation of our patients. Dr. Faulkner is a practicing prosthodontist in Cincinnati. Dr. John Beumer is the director of the UCLA Prosthetic program. When you com bine "in the trenches" dentistry with "higher education" you have the best of both worlds. How can you lose? These guys covered the basics and likewise gave clinical tips on how to satisfy the most difficult to please patient. If you have not have the opportunity to restore a dental implant you should at tend one of their seminars. What do you do when the patient is missing only one tooth and the remainder of the mouth is in perfect condition? This sce nario is becoming more common place. Likewise, our patient's willingness to buzz down the adjacent virgin teeth is becoming less popular. Thanks Dr. Ri chard Sherwood for hosting this func tion.

Component VI Southwest

Dr. Robert G. Schuster, Editor If you were honing your word associa tion skills, what word first comes to mind when you hear the word March? Some would say spring time, although February had some very spring-like days this year. I might say birthday, as I celebrate one of these each March. Isn't it strange how these annual events seem to circumnavigate with increas ing rapidity? Those of Irish heritage would consider such things as St. Patrick's Day and corned beef and cab bage and green beer. Sporting enthusi asts would say madness. At present the NCAA collegiate basketball tourna ment is underway. Congratulations to Dr. Wally Huff and his North Carolina Tarheels. Someone asked me the other day if Penn State has a basketball team. Check out those NIT semifinals. Spring is such an exciting time of growth, hope and renewal. Our component leadership is preparing for our upcoming Spring meeting which will be held at Pipestem State Park and Resort in West Virginia on May 19-21, 2000. This is a weekend meeting which features a golf tournament, barbecue and the many amenities offered by Pipestem Resort State Park. The summer component meeting is scheduled for August 11, 2000 at the Higher Education Center in Abingdon, VA. Dr. Franklin Weine will present "Avoiding Problems in Clinical Endodon tics". The Virginia Highlands Festival in Abingdon is also scheduled at this time. The festival features arts, crafts, an tiques and entertainment. The main stage of the historic Barter Theatre will be featuring "My Fair Lady". A special thank you to Dr. Ronnie Brown, who serves as Component rep resentative to the VDA Executive Coun cil. Dr. Brown does a great job keeping the membership updated on current is sues being discussed at the state level. Virginia Dental Journal 59

The final component meeting of this year will be held at the Donaldson-Brown Center on the campus of Virginia Tech in Blacksburg, VA on November 17, 2000. Dr. Marvin Ladov will provide the program entitled "Oral Surgery: Impac tions, Extractions, and Corrective Ac tion." I hope to see you in Virginia Beach at the summer committee meetings. Best wishes to all members of component VI. I am very proud of our component membership, and their continuing com mitment to serving our chosen profes sion of dentistry. Component VII Shenandoah Valley

Three motions were voted upon and passed to make changes in SVDA by laws. The motions included extending the office of Treasurer from one year to two years. We are delighted to welcome Dr. David K. Inouye,Charlottesville, a new mem ber to our component. If you know of any dentists new to our area, please make sure to invite them to join and participate in our component. Please mark your calendar for our next program that Dr. Herring has arranged on May 19th at Four Points Sheraton in Harrisonburg. The topic will be 101 Technology Pearls for Dentistry. The speaker will be Mr. Steven Seltzer, M.B.A. We look forward to seeing you there for an excellent program. Component VIII Northern Virginia

The component was pleased to have as our guest at the lunch portion of the meeting. Dr. James Revere, Executive Associate Dean, who is acting Dean in Dr. Hunt's absence. Dr. Revere gave members an update on activities at VCU/MCV Dental School. Officers for next year were announced; President, Dr. Victor Saunders, President-Elect, Dr. Conrad Helsley, Treasurer, Dr. Rob ert Hall and executive Counselor, Dr. Darwin King. Discussion was held regarding the fi nancial status of our component. It was pointed out that our component dues .are one of the lowest in the state and that expenses have outpaced revenues for the past several years. Following discussion, members voted to increase component dues to $75.00.

60 Virginia Dental Journal

We would like to welcome the following

new members:

Kristen E. Bowling, D.D.S.

Neil Charaipotra, D.D.S.

Michael Chung, D.D.S.

Keith J. Wilson, D.D.S.

Loudes A. Christopher, D.D.S.

Diane H. Pham, D.D.S.

Wesley D. Powell, D.D.S.

Stephans Tisseront, D.D.S.

VAE NOTES

Dr. Stephen J. Barbieri, President

Winter is through, spring has sprung and summer is fast approaching. Before we know it the fall meeting will be upon us.

Dr. Victor G. Saunders, Editor The Shenandoah Valley Dental Asso ciation is busy with the arrival of spring. We recently completed an excellent continuing education program at the Omni Hotel in Charlottesville, Va. The speakers were faculty members from the University of North Carolina who spoke on Primary and Permanent Tooth Trauma. A great deal was learned by those in attendance.

worked together to offer suggestions to

the large group present about "starting

up" a new practice or making an exist

ing one more efficient. Many thanks

goes to the coordinators, Drs. Tim

Golian and Pete Cocolis.

Dr. Danine Fresch, Editor Here's an endorsement for CPR! On a recent ski trip, Dr. John Williams and his wifewere havinga greattimetogether on the slopes. They had just lunched and were just off the chair lift when they saw a man collapsed on the hill. Dr. Williams began administering full CPR as his wife called 911 on her cell phone. The man was in full respiratory and car diac arrest. John stayed with him about 12 minutes until the ER personnel ar rived. The ENT "defibbed" him and flew the man to the local hospital by heli copter. The man turned out to be a 57 year-old who smoked. He consequently had a quintuple hi-pass, lived and his back at his home. Dr. Williams is very humble as he reported the story. How ever, I know he definitely save a life that day. Let us all remember to keep our CPR up to date and to thank the Soci ety for making it easier to do so. Our Young Dentist's Committee has been very active. They recently had a successful evening with 11 participants, including accountants, software compa nies, radiologists, staffing people and management consultants. This group

Unfortunately plans for a spring meet ing didn't materialize. We hope to be able to have something in the spring of 2001. However, the VAE meeting in Septem ber should prove to be exciting and ben eficial. This year's program has been expanded to an all-day session in order to be more closely associated with the main VDA programs. We are very for tunate to have Dr. Joe Camp as our speaker. He will present a variety of endodontic topics including diagnosis, instrumentation trauma, treatment of primary teeth and the use of MTA. We invite all VAE and VDA members to join us for what will be an informative presentation.

VAO NEWS

II,

Dr. M. Alan Bagden, Immediate Past President The next annual meeting of the VAO will take place at the traditional venue of Virginia Beach during the weekend of June 24-27,2000. Mark your calend

ers now and block out the days so that you can attend the meeting. President Rod Klima assures all of us that it will be a great meeting with first class con tinuing education from Dr. Slick Vanarsdall and even better social time with Bill Deal. Make every effort to at tend this, the first VAO meeting of the new millennium. Registration informa tion will be sent out shortly. Be sure to confirm as soon as possible. As many of us are aware, the College of Diplomates of the American Board of Orthodontics has established a Foun dation to further the ideals of the Board. Solicitations for donations were sent out to all CDABO members and so far the response has been very rewarding. As indicated in the letter a list of current contributors will be presented here and in the VAO newsletter. At this point the Foundation recognizes the following doctors for their generous contributions: Dr. Kolman Apt, Dr. Alan Bagden, Dr. Donald Brown, Dr. Mike Dunegan, Dr. Harry Dunlevy, Dr. AI Griffin, Jr., Dr. Frances Kray, Dr. Perry Mowbray, Dr. Jack Rosenberg, Dr. Bob Strange and Dr. Bill Wallert. We recognize and thank these doctors and encourage all of our members to contribute. Any contribu tions can be sent to the CDABO Foun dation c/o Dr. Alan Bagden.

VSOMS NOTES

Dr. Paul K. Hartmann, President We had a great turnout for our ACLS recertification and Risk Management Course in February! We now turn our attention toward our Annual Meeting in Virginia Beach, June 23-25,2000. This year Dr. Peter Waite, Chairman of The Department of Oral and Maxillofacial Surgery atthe University of Alabama will give a presentation on Snoring and Sleep Apnea. It promises to be a great meeting, and Virginia Beach is our most popular location. Mark your calenders and bring the family! We are continuing our efforts with the VDA to update the Definition of Dentistry in the state Dental Practice Act. The current definition is outdated, and the ADA passed a more accurate definition

in 1997. This effort is a high priority, and is therefore consuming much of our attention. We enthusiastically welcome Tara Hackenberg to the VDA! She has al ready been a huge help in her short time here.

leaders who have served on the Alli ance for 5 years or less. This year is the first year the American Dental Association has provided a special funding grant for Leadership Confer ence attendees. I am thrilled to be chosen as one of the twelve grant re cipients. The Alliance has given me a great many honors. The most cher ished, is the opportunity to be a part of its growing membership.

rrc----]

J [

ALLIANCE NEWS

Carol Rasmussen, President Spring sprung with a happy vengeance for our Alliance. So much news - so little space and time. The AADA Leadership Conference at the Westin Hotel in Indianapolis was delightful and dynamic. In addition to the workshops on Membership, Den tal Health Education, Legislative Up date, President-Elect and Budget, seminars were offered on Insurance Fraud, Marketing, Reverse Caregiving and Abuse Awareness. Of course there was time for carriage rides, Indy 500 and Corner Prairie tours, shop ping, and a "starry, starry night" of dinner, music and fun. Recently a dentist spouse told a colleague, "oh yea, the Alliance is just a wives club." CLUELESS! Anyone who attends an Alliance Leadership Conference knows it's much, much more. Hun dreds of Dental Spouses (women and men) come together from allover the country for five days of intense learn ing, sharing networking and caring about anything and everything that is important to dental families. I am never more proud of our organization than when I'm at "Leadership." The AVDA received a letter of thanks from Virginia House of Delegate mem ber Jay Katzen for our visit and "goody" bag of Virginia grown apples and oral hygiene supplies, artistically adorned by Virginia elementary school students. "Jay, it was our plea sure." I am proud and honored to be the re cipient of the 2000 Beulah K. Spen cer Award for District 2. This award is given each year as recognition of

Our Alliance has received a letter from Julie Heuser, Project Coordinator of VDA's Donated Dental Services, re questing our help. A portion of that letter follows: "The DDS program pro motes volunteerism from within the dental professional community and helps hundreds of elderly and disabled people each year receive free com prehensive care. The DDS's grant cycle for the program's major funding source, the Virginia Health Care Foundation, ends June for 2000. I am currently seeking monies from several private and corporate foundations across Virginia to address this, but the grant seeking process is lengthy and time consuming. Therefore, it is necessary for the program to investi gate other avenues for funding. It is my hope that the alliance will support and compliment the program's efforts to secure monies. The VDA has ex pressed its commitment and dedica tion to the fiscal livelihood of the DDS Program and I am very interested in learning more about how the Alliance may work with the program to ensure its continued success. I look forward to further communication with the Al liance." Members, remember, Article II of our Constitution and By-Laws states, "The object of the Alliance shall be to secure the cooperative ef forts of its members for the promo tion of dental education and philan thropy, and to form fellowship to pur sue these common interests. This Alliance shall be available at all times to serve, to the best of its ability, the requests of the Virginia Dental Asso ciation." Please let me hear from you on this very critical issue. Important Dates: September 14-17, 2000, AVDA Board and Annual Meet ing, Williamsburg Lodge. This is a Virginia Dental Journal 61

meeting you won't want to miss! Join new members and us "old tim ers" for fun, fact and family pro gramming. Registration forms coming soon. "Life is too short to let it pass you by!" October 14-18, 2000, AADA Annual Session, Chi cago, Illinois. As always, we end with our invitation and application for dental spouses to join us. Mother Teresa reminds us, "We cannot do great things on this earth. We can only do small things with great love." Please contact Bar bara Yandle, Membership Chair, 5900 Turkey Oak Drive, Richmond, VA 23237.

I[puBLIC HEALTH NOTES III Dr. Karen C. Day, Director Division of Dental Health

National Children's Dental Health Month Activities This year's National Children's Dental Health Month (NCDHM) activities by the Virginia Department of Health (VDH) dental programs included poster con tests, health fairs and school classroom presentations. The Portsmouth Health Department Dental Program provided dental health education to 45 class rooms in conjunction with the Old Do minion Dental Hygiene Program. Loudoun County Health Department screened six thousand students with the assistance of volunteer dentists from the community. In Wythe County a dental health month coloring contest, dental screenings and dental programs were offered to preschool children. The Divi sion of Dental Health (DDH) continued a successful partnership with the Southside Dental Component for the Fifth Dental Extravaganza in Colonial Heights. DDH also developed educa tional exhibits and brochures on dental flossing with the theme "Floss in Feb ruary" which were distributed statewide during NCDHM at public health clinics and school presentations. The public health dental staff issued a flossing chal lenge to children and their parents to increase the awareness of preventing periodontal disease.

62 Virginia Dental Journal

[II

SCHOOL OFDENTlSTRY

Tom Burke, Assistant Dean The Pediatric Dentistry Clinic reopened after a yearlong renovation project in December. "It is a pleasure to have our clinic back," said Dr. Frank Farrington, Chair. "It's been a challenging year yet, this new 3500 square foot facility makes the transition worth the effort." The new pediatric clinic incorporatesthe advantages of an open bay design and also features glass block cubicles down one side for residents. It is also de signed to facilitate clinical education by joining pre-doctoral students with resi dents and faculty all working within the same clinical facility. The advantage of running a clinic where specialists, resi dents, and dental students work to gether is simple. It provides students the opportunity to observe and assist in cases they would not normally be ex posed too. Including patients undergo ing sedation or general anesthesia. The clinic has 11 operatories, a quiet room, and 2 sedation/general anesthe sia suites. There is a Panorex in the clinic as well as all chairs are equipped with nitrous oxide analgesia. Air abra sion and digital radiography are also available. The clinic also has pre-op/ recovery room, sterilization, laboratory and storage facilities. The Clinic was last updated in 1981-82. The Pediatric Dentistry faculty is cur rently composed of:

Dr. Jeff Wood, works with dental students in the new pediatric dentistry clinic.

Dr. Christopher Maestrello, a 1997 graduate of the program and a 1999 graduate of the Dental Anesthesia pro gram. Dr. Maestrello is responsible for all conscious sedations and general anesthesia in the clinic.

Dr. Martin Walton, joined in 1998. He is the course the undergraduate clinical and is responsible for the operations of the clinic.

the faculty director for curriculum day to day

Dr. Jeffrey Wood who helped design the clinic recently accepted the posi tion as department chairman at the University of the Pacific in San Fran cisco. Dr. Wood left the School in Janu ary. Dr. Arthur Mourino, director of the graduate program. Dr. Frank Farrington, Chair

Tom Burke leaves the School Tom Burke, Assistant Dean for Exter nal Relations has taken a new position within the University as Director of the Virginia Commonwealth University Foundation. Tom began his dental school career in 1986 and was respon sible for fund raising, alumni activities, and the continuing education program. "It was been a wonderful fourteen years working the alumni and friends of the School," said Tom. "Together we have had a significant impact." During his tenure, the School increased its overall endowment by $12 Million dollars along with a host of facility improvements in-

The glass block design allows light into cubicles while providing privacy for pa tients.

eluding the recently completed Philips Institute for Oral and Craniofacial Mo lecular Biology. Although, he is quick to remind everyone that pledge pay ments are still desperately needed to payoff the construction loan from the MCV Foundation. "One of my biggest concerns about ac cepting the new position was having to leave so many wonderful friends within the dental community. I have enjoyed my association with organized dentistry and especially the volunteer leaders of our various fundraising endeavors. Cathleen and I often considered our selves just another couple within dental society. It's been great working with the VDA, but the timing is right on this opportunity and I am really looking for ward to the challenge of managing the VCU Foundation."

Tom will begin his new duties on March

27 and we wish him well.

Class of 1975 Establishes Kaugers Fund Drs. Tom Morris, Jim lV1uehleck, and George Nance are chairing a class ef fort to establish an endowment fund in memory of their classmate and friend Dr. George Kaugers. Anyone interested in contributing to the fund should direct their gifts to the MCV Foundation, PO Box 980234, Richmond, VA 23298 and

please make your check payable to the MCV Foundation and note on the check "Kaugers Fund." The class hopes to secure the gifts/pledges needed to name the fund prior to celebrating their 25 th Anniversary in April during Home coming 2000. If you have questions concerning a gift to the fund, please call Elaine Shaw atthe dental school (804) 828-4695.

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Virginia Dental Journal 63

classified ads Classified advertising rates are $30 for up to 30 words. Addi tional words .25 each. All advertisements must be prepaid and cannot be accepted by phone orfax. Checks should be payable to the Virginia Dental Association. The closing dates for all copy will be the 1st of January, April, July, October. Example: July 1, at 5pm is the closing date for the July August-September Journal issue. After the deadline closes, the Journal can accept no ads nor can it alter or cancel previously ordered ads. This deadline is firm. As a membership service, ads are restricted to VDA and ADA members unless employment or continuing education related. Advertising copy must be typewritten and sent to: Journal Classified Department, Virginia Dental Association, P.O. Box 6906, Richmond, VA 23230-0906.

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reserves the right to edit copy or reject any

classified ad and does not assume liability

for the contents of classified advertising.

Dentist Career Associateship Opportunities available in

high-end, successful, fee-for-service driven practices po

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visit our website at www.dentalrecruiting.com.

Dental Professional wanted for health centered dental prac tice in affluent Northern Virginia. Integrate your dental skills and health knowledge with other health practitioners (MD,ND,DC). An open mind, good communication skills, experience and a desire to work at the cutting edge are a must. Contact DAN STORCK at (703) 518-5361 or fax resume (703) 518-0603.

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Partnership available with a large, well-established, 20-year practice on the Hampton/Newport News peninsula. This prac tice enjoys many new fee-for-service patients monthly. This is an opportunity for a general dentist who is interested in practicing comprehensive dentistry while learning the busi ness skills of managing a practice. In addition, techniques on how to earn millions and invest these assets will be shared if the partnership is consummated. Experience pre ferred, but will consider efficient, talented dentist who prac tices all phases of general practice and can communicate well with patients. Fax resume to (757) 827-7772.

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64 Virginia Dental Journal

Advertiser Index AFTCO Cincinnati Insurance Co. Delta Dental Plan of Virginia Dentsar Ltd. Seminars Forest Irons Mainstreet Dental MBNA The Medical Protective Co. Professional Service Plan Sonicare VDSC Service Center VA Dental Labs, Inc.

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