Virginia Dental Journal by Virginia Dental Association

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Volume 80 . Number 2 . AprillMayl]une . 2003

Richmond Marriott Hotel and

Greater Richmond Convention Center

September 10 - 14, 2003

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THE VIRGINIA DENTAL ASSOCIATION (VDA) / VIRGINIA DENTAL SERVICES CORPORATION (VDSC) have partnered with B&B INSURANCE, ASSOCIATES, INC. to service all your insurance needs.

Call our toll-free number between 8:30 am to 5:00 pm (MON-FRI). Simply dial 1-877-832-9113 for quick and efficient service. It's that easy! ~-

VDAINSURANCEINCLUDES -. ~~

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Choice of health products

Larry Bedsole

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Larry Bedsole Jr.

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Maria Bowersox Deedie Poteat

Choice of individual auto, homeowner insurance, and umbrella coverage

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For information on the wide variety of exciting products our association is offering, please call the VDSC Insurance Service Office at 1-877 -832-9113.

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5204 Rolling Road, Suite B, Burke, VA 22015

Leslie S. Webb, Jr., DD.S. Editor 1. Barry I. Einhorn 2. Sharon Covaney 3. Michael R. Hanley

Susan P. Lionberger Director of Publications ASSOCIATE EDITORS 4. Kathryn Finley-Parker 5. Lori Snidow 6. Robert G. Schuster

Terry D. Dickinson, DD.S. Business Mana er 7. Mac Garrison 8. Scott McQuiston School of Dentistry James Revere

April-June 2003

Volume 80

Number 2

TABLE OF CONTENTS

4 5

Editorial Message From The President

6 7 8

Letter From Dr. Klima and Core Values Letters To The Editor Frequency Of Oral Cancer Screening By General Dentists & Primary Care Physicians Of The Metropolitan Richmond Area

12 16

Abstracts 2003 VDA Meeting Preview

20 26 29 30

2003 Candidate Information Give Kids A Smile Update 2003 2003 Virginia General Assembly Wrapup VADPAC Contributors

36 38 39

Report On 2002 ADA House of Delegates New VDA Members 2003 Eastern Shore MOM Project

43 44

Ethical Collection Service Options Sudden Cardiac Arrest (SCA) Can Occur In Any Dental Office - Are You, Your Staff

And Patients Protected? Investing in 2003: Move In The Right Direction

48 49

Am I In OSHA Compliance? After Hour Care

51 52 53

Estate Planning & Virginia Dental Health Foundation's Tax Smart Annuity The Answers To The Questions You Have About Taking Five Medicaid/FAMIS Patients Real World Tours - Dinner & Learn

DNA Collection As A Mechanism Of Victim Identification

56 57

VDANews Covenants Not To Compete Narrowed In Virginia

58 60 68

Continuing Education, Meetings and Events Component and Speciality News Classified Advertisements

COVER: Virginia Dental Association 2003 Meeting Logo

THE VIRGINIA DENTAL JOURNAL (Periodical Permit #660-300, ISSN 0049 6472) is published quarterly (January-March, April-June, JUly

September, October-December) by the Virginia Dental Association, 7525 Staples Mill Road, Richmond, Virginia 23228, Telephone (804) 261-1610

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

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

POSTMASTER: Send address changes to: Virginia Dental Journal, 7525 Staples Mill Road, Richmond, VA 23228.

MANUSCRIPT AND COMMUNICATION for publications: Editor, 7525 Staples Mill Road, Richmond, VA 23228.

ADVERTISING COPY, insertion orders, contracts and related information: Business Manager, 7525 Staples Mill Road, Richmond, VA 23228.

VIRGINIA JOURNAL EDITORIAL

BOARD

VDA COMMITTEE CHAIRMEN

Ralph L. Anderson James R. Batten Carl M. Block Cramer L. Boswell James H. Butler Gilbert L. Button B. Ellen Byrne Charles L. Cuttino III Frank H. Farrington Barry I. Griffin Jeffrey L. Hudgins Wallace L. Huff Lindsay M. Hunt, Jr. Thomas E. Koertge James R. Lance • Daniel M. Laskin Karen S. McAndrew 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

Annual Meeting Andrew J. Zimmer

Infection Control & Environmental Safety Richard F. Roadcap

Budget & Financial Investments David R. Ferry

Institutional Affairs Elizabeth A. Bernhard

Caring Dentists Harry D.Simpson, Jr.

Legislative Dana H. Chamberlain

Communication & Information Technology Robert B. Hall, Jr.

Membership David B. Graham

Constitution & Bylaws Thomas S.Cooke \II

New Dentist Timothy J. Golian

Dental Benefits Programs Susan F.O'Connor

Nominating Thomas S.Cooke III

Dental Health & Public Information Samuel W.Galstan

Peer Review & Patient Relations Alan Robbins

Dental Practice Regulation J. TedSherwin

Planning David C. Anderson

Direct Reimbursement Theodore P.Cocoran

Search Committee for VA Board of Dentistry Thomas S. CookeIII

Ethics & Judicial Affairs Charles E. Gaskins III

VADPAC Gus C. Vlahos

Fellows Selection Donald L. Martin

FOUNDATIONS Relief Foundation ScottH. Frands

Virginia Dental Health Foundation Raiph L. Howell, Jr.

2003 ADA DELEGATION i Delegates;

I 44th ADA Session, October 23·26, 2003, San Francisco, CA

Anne C. Adams (2005) M. Joan Gillespie (2003) Ronald L. Tankersley (2005)

David C. Anderson (2004) Wallace L. Huff (2004) Leslie S. Webb, Jr. (2003)

Charles L. Cuttino III (2004)

Bruce R. Hutchison (2005)

Andrew J. Zimmer (2005)

Alternate Delegates:

Richard D. Barnes (2004)

Ronald J. Hunt (2003),

William J. Viglione (2003)

Thomas S. Cooke III (2003) Rodney J. Klima (2004) Gus C. Vlahos (2004)

Bruce R. DeGinder (2004)

Kirk Norbo (2003)

Edward K. Weisberg (2004)

\fiYnini!:l nAnt~1 .Iournal

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

OFRCERS

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President: Rodney J. Klima, Burke President Elect: Bruce R. DeGinder, Williamsburg Immediate Past President: Thomas S. Cooke III, Sandston Secretary- Treasurer: Edward J. Weisburg, Norfolk Executive Director: Terry Dickinson, D.D.S. 7525 Staples Mill Road, Richmond, VA 23228

EXECUTIVE COUNCIL

Includes officers and councilors listed and : William J. Viglione, Oharlottesville - Chairman Mark A. Crabtree, Martinsville - Vice Chairman Benita A. Miller, Richmond M. Joan Gillespie, Alexandria Ralph L. Howell, Jr., Suffolk Ex Officio Members: Parliamentarian: James R. Lance, Richmond Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: Bruce R. Hutchison, Centreville Dean, School of Dentistry: Ronald J. Hunt, Richmond

COUNCILORS I James E. Krochmal, Norfolk II McKinley L. Price, Newport News III H. Reed Boyd III, Petersburg IV Anne C. Adams, Richmond V Mark A. Crabtree, Martinsville VI Ronnie L. Brown, Abingdon VII Darwin J. King, Staunton VIII AI Rizkalla, Falls Church

VDASTAFF Dr. Terry Dickinson - Executive Director Stephanie Arnold - Director of Outreach Programs Bonnie Anderson - Administrative Assistant Linda Gilliam - Director of Finance Susan Lionberger - Director of Events & Publications Samantha Paulson· Director of Marketing and Programs Leslie Pinkston - Dir. of Membership Recruitment & Retention Nicole Pugar - Director of Public Policy Barbara Rollins - Asst. Director of Outreach Programs

...J

LIJ

SOCIETY

PRESIDENT

SECRETARY

PATIENT RELATIONS

Tidewater, I

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

Robert A. Candler 116 Janaf Office Bldg Norfolk, VA 23502

Carl Roy 2100 Lynnhaven Pwky #200 Virginia Beach, VA 23456

Peninsula, II

EricW. Boxx 113 Hampton Hwy Yorktown, VA 23693

Sharon K. Covaney 1313 Jamestown Rd. 205 Williamsburg, VA 23185

Kent Herring 122700 McManus Blvd #102B Newport News, VA 23602

Southside, III

Samuel W. Galstan 12290 Iron Bridge Road Chester, VA 23831

D. Kent Yandle 5716 Courthouse Road Prince George, VA 23875

C. Sharone Ward 12290 Ironbridge Road Chester, VA 23831

Richmond, IV

AI J. Stenger 7033 Jahnke Road Richmond, VA 23225

Kathryn Finley-Parker P.O. Box 15188 Richmond, VA 23227

Jerry L. Jenkins 400 Old Hundred Road Midlothian, VA 23114

Piedmont, V

Craig B. Dietrich P.O. Box 4402 Martinsville, VA24115

Randy J. Norbo 1414 Franklin Rd, SW #3 Roanoke, VA 24016

Craig B. Dietrich 604 E. Church Street Martinsville, VA 24112

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

Joseph P. Schneider Route 1 Box 560 Cana, VA24317

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

C. Mac Garrison 129 University Blvd Suite 0 Harrisonburg, VA 22801

Robert B. Hall, Jr. (Treasurer) 130 W. Piccadilly St. Winchester, VA 24401

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

Neil J. Small

A. Garrett Gouldin 101 West Broad St #601 Falls Church, VA 22046

9940 Main Street

~ Southwest, VI Shenandoah Valley, VII

Northern Virginia, VIII

9940 Main Street Fairfax, VA 22031

Neil J. Small Fairfax, VA 22031

Virginia Dental Journal

CEDITORIAL

The Virginia Dental Association has taken additional effective steps to fulfill its commitment to access to dental care for all citizens by implementing "Give Kids A Smile" projects and the "Take Five" effort to increase dentists' medicaid participation.

Leslie S. Webb, Jr. DDS

VA Dental Journal Editor

4 Virainia Dental Journal

"Give Kids A Smile" is a concentrated effort to provide dental evaluation and treatment to children in need. This project also highlights the shortcomings of current government children's dental care programs and the vast quantity of unmet dental need. Clearly, to solve these problems dentistry's input is vi足 tal. At the "Give Kids A Smile Day" in Richmond at the Science Museum of Virginia, it was exhilarating to see the smiles and appreciation of the children who received care and the gratitude of their parents. Legislators and state and local officials came by to see for them足 selves the need and witness the efforts of our volunteer dental team.

The "Take Five" project is highlighted in an article on page 52 of this issue of the Journal. It is gaining momentum. Please sign up and get involved. These efforts, along with our Mission of Mercy (MOM) projects and our Donated Dental Services, have provided millions of dollars worth of dental care to those in need. In addition, dentists provide significant amounts of free care in their offices and many volunteer regularly at free local clinics. Each time I participate in one of these events I am amazed at how much care is given, how appreciative recipients are, and how proud I am to have been in足 volved. The members of the Virginia Dental Association are making access to dental care a true reality in our state. Let's be proud but remember there is much more to do.

~I Carol and I arrived at the Comfort Inn in very rural Onley, Virginia on the East ern Shore late on the evening of Friday, March 28, and were greeted by the desk clerk who asked if we were there for the dental convention I I guess you could describe the Eastern Shore Mission of Mercy as a dental convention of sorts with over 250 dentists, dental team members, and volunteers all coming together with a common purpose of making a difference and providing needed dental services for over seven hundred people! Access to dental care has become a prominent issue both on the national and state level. How we respond as professionals and as an Association to this situation defines us in the eyes of our fellow healthcare providers, as well as, public policy makers-like our State legislature. Our Executive Director Dr. Terry Dickinson tells of being at a meet ing and being asked by an attorney, "Why don't you dentists provide pro bono care like lawyers do?" Can you imagine that? Of course, not only do we provide "unintentional" pro bono work, but also it is estimated that den tists do over 7 billion dollars in free den tistry every year, more than all the vari ous government programs put together! As a profession, we have been quiet and modest about these generous acts, but in today's environment, we can no longer afford to be silent about what we are doing. Our immensely successful "Give Kids a Smile Day" on February 21 51 was meant to highlight our caring activities. Drs. Sharone Ward and Sam Galston did a great job heading up our state efforts. Thanks to all who partici pated. We need to build on the pro gram next year.

MESSAGE FROM THE PRESIDENT

state legislature requiring a percentage of our practice to be Medicaid patients as a requirement for licensure, similar to Minnesota. North Carolina dentists recently had to deal with such proposed legislation. There are fee for service Medicaid pa tients in each one of our eight compo nents. The Virginia Dental Association has been working together with the Vir ginia Department of Medical Assistance Services (DMAS) over the last several years to increase dental access to chil dren and adolescents with Medicaid by improving reimbursement and reducing administrative burdens. Under the "Take Five" program, prior authorization is no longer required except for full banded orthodontics and the 1994 ADA claim form is used. Please call Nicole Pugar at the VDA office and request a sign up form or additional information. Thank you to those members who are provid ers or have recently agreed to Take Five.

Rodney J. Klima, DDS

VDA President

In my mind, the Eastern Shore MOM Project conjures up images of those we helped, like the elderly lady who came on the bus from thirty miles away, or the young woman who walked three hours to get to the project, as well as, those volunteers who treated the pa tients with great empathy and respect for their individual dignity. It is through our involvement in projects like MOM, GKAS Day, and "Take Five" that we dentists assert that we are part of the solution, and not part of the problem, and that we will lead the way for better dental health for all Virginians.

Also on the access front, the Virginia Dental Association is in the midst of an effort to rebuild the state network of Medicaid providers which has shrunk in recent years. This is our "Take Five" program which is a fee for service pro gram and is not managed care. How we do in this initiative will probably de termine if we have to face a bill in the

Virginia Dental Journal

Virginia Dental Association

Constituent of the American Dental Association

7525 Staples Mill Road, Richmond, VA 23228 - 804-261-1610 (phone) 804-261-1660 (fax)

Dear Fellow VDA Member, It is an honor for me to share a few thoughts about this profession and what it means to live by its principles and secondly, how we arrived at this point in the journey toward defining a future filled with hope for this profession. Two years ago the Virginia Dental Association began a journey in search of its destiny. Concerned with the changes we were seeing around us and their possible effect upon the profession, we felt the urgency to prepare this association and its membership for that uncertain future. Knowing that change is certain and ever present, we decided that for us to continue to be the voice of the profession, we needed to prepare for that change and uncertain future so that we could, in effect, continue to 'steer' the best course for the profession- as determined by us. As part of that exercise in designing our future, the Futures Task Force sought to answer several critical questions: 1. What is our purpose in being here as an association and a representative of its members- in other words, what is our corepurpose or reason for being? 2. What are those qualities that are at the core of our being that bind us together no matter what- in other words, what values do we each hold dear in our personal lives and in our relations with each other and our communities? What qualities are so important to us that no matter what happens around us, they will bind us together? 3. And lastly, what is our picture of the future, what are we trying to impart, what is the message we are leaving behind, what is our vision for this association? Difficult questions with not so simple answers. But as you read what these mean to all of us, you will find solace in the message that your association is continuing to prepare itself and its members for that future- one in which our voices will be heard. Decisions concerning this association should be made by those who know this profession best足 not by someone without a DDS after their name and ones who have no business in our business. Change is certain as is our resolve to stand together with these tenants as our guide. The picture will certainly look different in the future but be certain that it will be one guided by these valued principles. This is truly an expression of the soul of this organization. Enclosed in this issue of your Virginia Dental Journal is an 8 X 10 copy of these principles that I have spoken of- the Higher Purpose, our Core Values, and our Vision. This page can be torn out at the perforations and is suitable for framing. Share these principles with your staff and patients- let them know what you and this profession value and cherish. Wallet sized cards are also available from our central office. I hope you will use this copy and continue to be involved in the activities of our Association as we continue to live our higher purpose, values and vision. Sincerely yours,

Rod Klima

VDA

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LETTERS TO

THE EDITOR

Dear Les, This letter is to the VDA Membership. On Feb. 26, Terry and I traveled to Gar den City, Kansas to help organize and to participate in their first MOM project. Kansas became the third state to em brace MOM (Texas was the second). We should all be proud that an idea born in Virginia is expanding to otherstates, To date, their have been nine MOM projects (six in Virginia, two in Texas and now one in Kansas) and there will be five more this year.

This is one of them, and the VDA-DMAS "TakeFive" program has been fashioned to meet the critical need for access that many Medicaid patients lack. If every dentists sees five new Medicaid pa tients, no office will be over-burdened, and Virginia dentistry will have met an obligation to our Commonwealth and the special gift that has been entrusted to us.

There is no doubt that the members of the VDA will meet this challenge. We have shown our humanity in ever so many ways. Our Mission of Mercy project, MOM, has been recognized across the country. The VDA has re ceived an American Dental Association GOLDEN APPLE award for this innova tive program. We have been honored by seeing other states copy and follow We have been given the gift of healing our lead. This recognition is well de served and welcome. However, the and as I told the Dental School Gradua tion Class two years ago, with this greatest recognition lies in the hearts comes responsibility to help those who of the participants, both those who gave are less fortunate, disadvantaged or in and those who received. The ''TakeFive" • need. For those of you that aren't, get program will provide the same kind of involved with MOM, don't live ina vacuum satisfaction and recognition. Dentistry and by getting involved you demonstrate is different, and we do serve. your willingness to become part of the

Way to go VDA. solution and not part of the problem.

Sincerely,

Dr. Tom Cooke

Be Well All, Dr. Manny Michaels ~

Dear Les,

To Members of the Virginia Dental As sociation:

I have always been proud to be a mem

ber of the Virginia Dental Association, I would like to extend my thanks and but never more than now. The VDA is a deep appreciation to members of the living and moving expression of one of Virginia Dental Association and the Al the "Sayings of the Fathers; from those liance of the Virginia Dental Associa to whom much has been given, much tion for their encouragement and out is to be expected."

standing support. The VDA and AVDA sponsored a wonderful reception in my honor in New Orleans after my installa tion as President of the Alliance of the American Dental Association, the den tal spouse organization. It was well at tended by dental leaders and members of the dental community from across the country. In my travels, I continue to re ceive positive comments on this out standing event. I would like give special thanks to Dr. Terry Dickinson, longtime friend Sandy Parks and AVDA president Barbara Yandle for their generosity of spirit, time and talents in arranging the event and making it all possible. Letters of con gratulations were presented from Presi dent George Bush, Senators John Warner and George Allen, Congress men Eric Cantor and Virgil Goode, Gov ernor Mark Warner, Lt. Governor Tim Kaine, Attorney General Jerry Kilgore, as well as letters from other state legis lators. State Senator Walter Stosch sponsored a Commendation from the Senate of Virginia and Delegate Bill Ja nus sponsored a Commendation from the Virginia House of Delegates. These accolades have been accepted with joy and pleasure, but most cher ished is the thoughtfulness and gener ous support of friends from the VDA, and especially my husband Jim with out whom I would not be involved at all. It is with great pride that I represent Vir ginia as president of the Alliance of the American Dental Association. Jocelyn Lance Honorary Member Virginia Dental Association

We dentists have all been charitable in

our own way. Organized giving was al

ways an option, overseas service was

not uncommon, and we all saw patients

at reduced or no fee as the occasion

called for it. No one will ever know how

much free care we have given in the pri

vacy of our own offices, and this is our

business alone. The charitable gift of

the highest merit is the anonymous gift.

There are times when an association is

the only way in which to accomplish a

specific goal or meet a specific need.

Dr. James Bramson, ADA Executive Director; Dr. John Roussalis, ADA 2nd VP; Jocelyn' Lance, AADA President; Jerilyn Bird, AADA President-Elect; and Dr. T. Howard Jones, ADA President pose for a photo at the ADA building in Chicago.

Virginia Dental Journal

FREQUENCY OF ORAL CANCER SCREENING BY GENERAL DENTISTS&l

PRIMARY CARE PHYSICIANS OF THE METROPOLITAN RICHMOND AR~I

A. Omar Abubaker, D.M.D., Ph.D., Sylvia Natalie Lobo, B.S., James C. Burns, D.D.S., Ph.D

School of Dentistry, Virginia Commonwealth University, Richmond, Virginia

Approximately 30,000 new cases of oral cancer are diagnosed each year in the U.S., of which 9,000 result in death. The average 5-year survival rate for oral cancer is about 50 percent. This is pri marily due to late detection. If an oral cancer is detected at the early stage when it is 2 cm in diameter or less, the survival rate increases to about 70% 80%. However, the survival rate when detected in the later stages is only about 18% at most (1). Oral cancer screen ing is a quick, affordable, painless and highly effective means of detecting oral cancer. General dentists and primary care physicians are the most likely prac titioners to first identify oral lesions. However, a significant'number of den tists and physicians may not perform this simple examination on all their pa tients (2-4). Previous studies have examined the referral patterns of pa tients with an oral lesion seen by den tists and physicians (5- 7). However, there are no published studies on the frequency of oral cancer screenings performed by general dentists com pared to primary care physicians. The purpose of this study was to deter mine how often general dentists and primary care physicians perform oral cancer examinations and what steps are taken when oral lesions are de tected. We also examined the differ ences in the referral patterns of den tists compared to physicians as part of their management of these lesions.

The questions included in the survey were: 1) How often do you perform an oral cancer examination on your pa tients? a. Every 6 months

b.Once a year

c. Sporadically

d.Never

METHODS: A survey consisting of 8 multiple-choice questions was mailed to 220 randomly selected general dentists (DDS) and to 220 randomly selected primary care physicians (PCP) in the Metropolitan area of Richmond, Virginia. The re spondents were asked to circle the appropriate answer or answers. A stamped self-addressed envelope was included with the survey. Upon receipt of the responses, the data were tabu lated and compared.

5) If and when you refer a patient with an oral lesion, to whom do you re fer the patient? a.To an Oral and Maxillofacial Sur geon b.To an Oral Pathologist c.To an Oral Oncologist d.To a Primary Care Physician e.To a Family Dentist f. To an Otolaryngologist

8 Virginia Dental Journal

perform biopsy? a.0-10% b.11-30% c.31-50% e.Greaterthan 50% 7) How many malignant lesions have you detected in your practice in the last year?

a.O 2) If you do not perform oral cancer examinations, which of the follow ing is the most likely reason? a. Unfamiliar with cancer screening and lor oral examination b.lnadequate time to perform such examination

c.Other reason(s)

3) What is you r most frequently used method of recording details of sus picious oral lesions? a. Written description b. Lesion measurements

c.Diagram

d. Photograph 4) When you detect an abnormal oral lesion what do you do? a.Observe over a period of time. If YES, for how long do you observe such lesion? i. 2 Weeks ii. 1 Month iii. 6 Months iv. Year or More b. Perform a Biopsy

6) Of the oral lesions you detect each year, on what percentage do you

b.1-3 c.4-6 d. More than 6 8) Do you or your staff offer cessation advice to patients who use tobacco/ alcohol products? a. Routinely b. Frequently c. Sporadically

d.Never

RESULTS: Seventy-three of the 220 primary care physicians (33%) and 111 of the 220 general dentists (50%) responded to the survey. The overall combined response rate was 42%. The responses of both dentists and physicians are as shown in Tables # 1.

Ninety-six percent of dentists provided oral cancer screenings to their patients at least once a year (94.5 % at 6 months intervals and 1.8 % annually). Fewer physicians examined patients for can cer at least once a year (52 % total: 49% annually and 3 % every 6 months). Forty eight percent of physicians sur veyed performed oral screening only sporadically and 2.7% do not perform oral cancer screenings at all. All dentists and the majority physicians who did not perform oral cancer screen ing cited "other reasons" for not routinely performing such examination. A small percentage of physicians indicated that inadequate time and unfamiliarity with such examination as the reasons for not performing oral cancer screening.

AIl physicians and all dentists used a written description to document oral le sions. In addition to the written descrip tion, use of lesion measurements (62% of dentists and 36% of physicians) was the most common method of recording oral lesions. Twenty one percent of den tists and 25% of the physicians used a diagram of the lesion in addition to a written description. None of the physi clans and only 19% of dentists obtained photographs of the oral lesion for docu mentation. A large number (82%) of dentists and about half (42.5%) of the physicians reportedthat they elected to observe oral lesions for a period of time after initial detection. The rest indicated that they would either biopsy the lesion immedi ately or refer the patient to a specialist. The majority of dentists and physicians who said they would observe the lesion did so for 2 weeks to 1 month. Only a very small percentage of dentists and physicians (8% and 9.6~o respectively) said that they would wait for 6 months before making a decision on how to manage the lesion. The specialists who received the most referrals from general dentists and from physicians for evaluation of oral lesions were oral and maxillofacial surgeons (93.6% and 86.3%, respectively). Interestingly, a very small percentage of the dentists (4.5%) in this survey re ferred patients with oral lesions to their primary care physician and somewhat larger percentage of physicians (20.6%) referred their patients to a general den tist. More than one third of general dentists (38.7%) and 11 % of physicians who re sponded to the survey performed their own oral biopsies. Some of the den tists and physicians (16% and 4%, re spectively), biopsied greater than 50% of the oral lesions they saw annually. A maximum of 3 lesions of all lesions detected over the past year was con firmed as malignant. Such number is reported by 31% of dentists and by 40% of physicians. The majority of dentists and physicians (74.7% and 60% respec tively) indicated none of the lesions they detected was eventually diagnosed to be malignant.

Most physicians, (88%), but less than half (44%) of the dentists surveyed rou tinely offered cessation advice to pa tients who use tobacco and alcohol products. None of the physicians and 7% of the dentists never provided ces sation advice to their patients. DISCUSSION: Screening for oral cancer includes in traoral and extraoral examination for changes in texture and color of the oral mucosa, as well as other changes such as bleeding, ulceration, masses and Iymphoadenopathy. Symptoms of oral cancer include painful ulceration, numb ness, otolgia, bleeding, and swelling. The most common locationfor oral squa mous cell carcinoma is the tongue and floor of the mouth. The least common sites are the hard palate and dorsum of the tongue (8).

Early oral cancer detection at a local ized stage is possible if routine oral cancer screening is performed by phy sicians and dentists. Oral screening is a simple and non-invasiveprocedurethat can be accomplished routinely in less than 2 minutes (9). Dentists and physi cians have a unique opportunity to de tect oral cancer early, while it is still asymptomatic, innocuous and often unsuspected. The findings of this study are in agree ment with a previous study which found that most physicians do not conduct a routine oral cancer examination of their patients (10). Lack of routine screening for oral cancer by physicians has been attributed to the fact that many of nondental health professionals receive minimal or no training in oral diseases, and oral cancer detection (11). This leads to a potential lack of oral cancer screening, at least in certain patient population groups.These groups include the elderly and the socioeconomically disadvantaged patients, who are likely to visit their physicians almost twice as often as they do dentists (12,13). Fewer visits to the dentist by these patients is, at least in part, due to lack of public and private third- party financial support for these services (13). The reasons given by physicians for not performing oral cancer screening as a part of their examination include unta

miliarity with such examination (5.5%), inadequate time to perform such exami nations (11 %). It is possible that train ing of primary care physicians on how to perform such examination and edu cation of the importance of such screen ing may increase the number of primary care physicians performing such exam i nation on their patients during routine annual examination. Because the very small number of dentists not perform ing oral cancer screening and the non specific reasons cited by these dentists for not performing such examination, it is likely that no significant further im provement can be made in this area. All respondents used a written descrip tion of the lesion. Although this is often adequate for documentation of oral le sions, use of lesion measurements, a diagram and/or a photograph can make documentation more accurate and al low for better comparison when the Ie sion is re-evaluated at a later time. Most respondents who observed oral lesions did so for only brief period. How ever, a small number waited 6 months. Even though this was a small percent age of the respondents, it reflects an inadequate understanding of manage ment of oral lesions. It is generally agreed that after 2-3 weeks, if an oral lesion is still present and is showinq no signs of healing, it should be biopsied or the patient referred for further evalua tion. The majority of general dentists (74.7%) and primary care physicians (86.3%), biopsied only small number of the lesions detected each year (less than 10% of the lesions). It is possible that such percentage represents these lesions which are small and easy to bi opsy. When referral is made, it was interest ing to see such an agreement on refer ral pattern between physicians and den tists and that the preference was for oral and maxillofacial surgeons over other medical or dental specialists. Such a referral preference possibly occurs be cause both general dentists and primary care physicians consider the oral and maxillofacial surgeon as the first step in the diagnostic process. It can also be due to the frequent interface of this specialty with both dentists and physi cians. The fact that some physicians Virginia Dental Journal

referred to the general dentists is likely due to the fact they consider a general dentist as the best clinician to manage lesions of the oral cavity. However, the few dentists who referredto primary care physicians, possibly felt that the primary care physician is better suited to make the necessary referral for further con sultation and possible cancer treatment. The relatively small number of the le sions detected by dentists and physi cians which eventually were confirmed to be malignant should not affect the critical need to periorm oral cancer screening as a part of the routine oral examination by general dentists and annual check up by primary care phy sicians. It is possible that with more frequent screening, more referral and biopsy of suspected oral lesions, more malignant lesions can be detected an nually by both physicians and dentists. Whereas most physicians counsel against tobacco and alcohol use, den tists do this much less often. This sig nificant difference in such practice is possibly due to a deficiency in dental education in teaching the skills of coun seling techniques on such issues. Both the U. S. Public Health Service Healthy People 2000 initiative and the U.S. Preventive Health Task Force have recommended reducing oral cancer morbidity and mortality through early diagnosis (14, 15). To accomplish this goal, routine oral cancer screening of all persons by physicians and dentists becomes even more important. How ever, before such efforts can be suc cessful in reducing oral cancer mortal ity, targeted professional education for various health professionals needs to be designed to help them modify their ex amination practices and assure profi ciency in the detection of oral cancers. This study identified specific areas of deficiency in the practices of both den tists and physicians in regard to screen ing for oral cancers. These deficiencies involved the frequency of oral screening by primary care physicians and the al most complete absence of counseling of patients by dentists about the effects of smoking and the need for cessation of smoking and decreasing alcohol in take. Such deficiencies can be ad dressed by targeted education in the dental and medical fields (16). Indeed, the New York State Dental Board re 10 Virginia Dental Journal

Shafer WG. Initial mismanagement and delay in diagnosis of oral cancer, J Amer Dent Associ 1975;90,1262. 8. National Cancer Institute, 1973-1989. Cancer Statistics Review 1973-1987. Department of Health and Human Services, NIH pub. No 88-2789, Washington, DC, Government Print ing Office, 1989 9. Niessen LC, Jones JA, Lonergan JJ, Oral examination of the geriatric pa tient. Geriatric Medicine Today 1985, 5:113-6 10. Yellowitz JA, Goodman HS, Wertheimer DA, Physicians' and den tists' oral cancer knowledge and prac tices. An update on geriatric and ger ontology: University of Maryland at CONCLUSIONS: Baltimore,. Geriatric and Gerontology Based on this study, it can be concluded Research, Education and Research that general dentists evaluate patients (GGEAR) Newsletter. Winter 1993. for oral cancers more often and refer 11. Carpenter RD, Yellowitz JA, and patients with abnormal oral lesions Goodman HS. Oral health mortality in Maryland. Maryland Med J 1993, sooner than primary care physicians. 42:1105-1109 Both dentists and physicians are simi lar in most often referring these patients 12, National Center for Health Statistics. Physician contacts by to an oral and maxillofacial surgeon than sociodemographic and health char to any other specialist. There is a slight acteristics. 1982-83; Vital and Health difference between general dentists and Statistics. DHHS pub. No. 87-1589, Series 10, no. 161. Washington, DC: primary care physicians in the fre Government Printing Office. 1988. quency of screening for oral cancer and 13. Jack S, Bloom B. Use of dental ser methods of documentation of oral le vices and dental health, 1986. De sions. Half as many general dentists partment of Health and Human Ser as primary care physicians provide ces vices. Vital and Health Statistics, Na sation advise to patients who use to tional Center for Health Statistics. bacco and alcohol products. DHHS pub. No. (PHS) 88-1593, Se ries 10, no. 165. Washington, DC: Government Printing Office. 1988. REFERENCES: 14. Woolf SH, Kamerow DB, Lawrence 1. Oral Cancer Facts (2001). The Ameri RS, Medalie JH. Estes EH. The peri can Dental Hygienists' Association, odic health examination of older archived at http://WWW.adha.org/oral adults: recommendations of the US health/oralcancer.htm Preventive Services Task Force. J Am 2. Hollows, P., McAndrew, P.G., Perini, Geriatr Soc 1990;38:933-42. M.G. March. Delays in the referral 15. United States Public Health Services. and treatment of oral squamous cell Healthy People 2000: National Health carcinoma. Br. Dent J, 2000,188:263 Promotion and Disease Prevention 5 Objectives. Department of Health and 3. Cowan, C.G., Gregg, T.A., Kee, F. Pre Human Services. DHHS pub. no. vention and detection of oral cancer: (PHS) 91-50212 Washington, DC: the views of primary care dentists in Government Printing Office, 1990. Northern Ireland. Br Dent J 16. Amsel Z, Engstrom PF, Strawitz JG. 1995,179:338-42, The dentist as a referral source of first 4. Schnetler, J.F. Oral cancer diagnosis episode head and neck cancer pa and delays in referral. Department of tients. J Amer Dent Assoc, 1983, 106: Oral and Maxillofacial Surgery, 195 Cheltenham. Br J Oral Maxillofacial 17. Fox, K. New York Moves on oral can Surgery 1992, 30:2103 cer: Law requires CE for dentists. 5. Dimitroulis, G., Reade, P., American Dental Association News Wiesenfeld, D. Referral patterns of 2002, 33 (No.2): 2 patients with oral squamous cell car

cently instituted a regulation requiring that part of the yearly-required continu ing education credits for dentists should be directed toward the prevention and detection of oral cancer and knowledge of the effects of tobacco products (17). If such a requirement is instituted na tionally, and ;s combined with commu nity-based oral cancer screening of the elderly and economically disadvantaged patients, it should lead to an increase in the cancer detection rate and greatly reduce the mortality and morbidity from this disease.

cinoma in Australia, Eur J Cancer B Oral Oncol 1992, 28:23-7 6, Scully C, Malamos D, Levers, BGH, Porter SR, Prime SS. Sources and patterns of referrals of oral cancer; role of general practitioners. British Med J 1986: 293,599.

ACKNOWLEDGEMENT: The authors are very thank to all of those who responded to the survey, and hope they find this article of interest and value to their practice.

Table 1 Questions *How often do you perform an oral cancer examination on your patients? a. Every 6 months b. Once a year c. Sporadically d. Never

105 (94.5) 2 (1 .8)) 5 (4.5) 1 (0.9)

2 (2.7) 36 (49.3) 35 (48) 2 (2.7)

*What is your most frequently used method of recording details of suspicious oral lesions? 111 (100) a. Written description b. Lesion measurements 72 (64.8) c. Diagram 25 (22.5) d. Photograph 21 (18.9) *When you detect an abnormal oral lesion what do you do? a. Observe over a period of time. If YES, for how long do you observe such lesion? i. 2 Weeks ii. 1 Month iii. 6 Months iv. Year or More b.

I ' 18

I I

#MD (%)

*If you do not perform oral cancer examinations, which of the following is the most likely reason? a. Unfamiliar with cancer screening and/or oral 0 (0) examination 0 (0) b. Inadequate time to perform such examination 2 (1.8) c. Other reasons

#DDS (%)

Total

Perform a Biopsy

(5.5) (11) 13 (17.8)

73 (100) 26 (35.6) 18 (24.7) o (0)

(81.9)

31 (42.5)

63 25 9 0

(56.7) (22.5) (8) (0)

5 (6.9)

43 (38.7)

*If and when you refer a patient with an oral lesion, to whom do you refer the patient? a. Refer to an Oral and Maxillofacial Surgeon 104 b. Refer to an Oral Pathologist 30 c. Refer to a Head and Neck Oncologist 0 d. Refer to a Primary Care Physician 5 e. Refer to a Family Dentist 0 f. Referto an Otolaryngologist 9

(93.6) (27) (0) (4.5) (0) (8)

19 (26) 7 (9.6) o (0)

8 (11)

63 (86.3) 3 (4.1) 1 (1.4) o (0) 15 (20.6) 39 (53.4)

*Of the oral lesions you detect each year, on what percentage do you perform biopsy? a.0-10% 83 (74.7) b. 11-30% 7 (6.3) c. 31-50% 7 (6.3) d. Greater than 50% 18 (16.2)

63 (86.3) 1 (1.4) 1 (1.4) 3 (4.1)

*How many malignant lesions have you detected in your practice in the last year? a.O 81 b. 1-3 34 c.4-6 0 d. More than 6 0

44 (60.2) 29 (39.7) 0(0) 0(0)

*Do you or your staff offer cessation advice to patients who use tobacco/ alcohol a. Routinely b. Frequently c. Sporadically d. Never .

(74.7) (30.6) (0) (0)

products? 53 (47.7) 28 (25.2) 31 (27.9) 8 (7.2)

64 (87.7) 11 (15) 1 (1.4) 0(0)

111

i *Percentage may add up to more than 100 because respondents rna) have chose more than one answer. I

Virginia Dental Journal

A visit to the dentist, E. Fremont, u lustrated by A. Mastrocinque. New l =-==~~=~~~~~~~ York: Simon Spotlight, 2002, is part of the series of books featuring the char ~ The following abstracts were pro acter, Little Bill. Children may also rec vided by the Department of Pediat ognize this character from television pro rics at VCU School of Dentistry. We gramming. The simple text and coloriul appreciate the contribution that illustrations make this book most suit these individuals have made to the able for very young children. The text Virginia Dental Journal. addresses dental anxiety and provides reassurances about the experience. It also gives descriptions of the role of dental auxiliaries and is recommended Lepowsky S, Book Reviews. Journal of as a text for children experiencing their General Dentistry 85, January-Febru first dental visit. ary 2003.

[[ i

ABSTRACTS

I ~

It is important to foster positive dental encounters in the pediatric population. General practitioners are often asked to provide resources for families related to dental visits. This article reviews some of the books currently available to edu cate parents and children about dental topics. Some of the books may also be appropriate as waiting room mate rial.

What to expect when you go to the dentist, H. Murkoff, illustrated by L. Rader. New York: Harperiestival, 2002. The author of this book is best known as the co-author of the "What to expect when you're expecting" series. The text is geared towards children ages five and up, but the artwork also captivates younger children. The information helps prepare children for an initial visit as well as the importance of routine dental care. This book is highly recommended for families and waiting room information. Open wide! A visit to the dentist, C. Schoberle, illustrated by B. Goldbert. New York: Simon Spotlight, 2000, is NOT RECOMMENDED. The story is based on characters from the Nickel odeon Rugrats television series. Be cause the Rugrats characters use im proper grammar in the television series, this book follows suit. Unfortunately, some of the information contained in the text is incorrect as well. The pictures are bright and coloriul but do not depict a friendly, relaxed office environment. Dental visits are not recommended un til the primary dentition has completely erupted and some of the anticipatory guidance information is incorrect.

12 Virginia Dental Journal

Nice try, tooth fairy, MW. Olson, il lustrated by K. Tillotson. New York: Simon & Schuster, 2000, is a light hearted story about a child's encounter with the tooth fairy. Although no educa tional information is provided, children about to lose their first tooth may enjoy this humorous story. Dear tooth fairy, K. Mellentin, T. Wood, illustrated by F. Thatcher. New York: Little Simon, serves two purposes: de scribing the origin of the tooth fairy; and educating the child on hygiene and nu trition. The book contains a tooth diary and chart to record the loss of primary teeth and the eruption of permanent teeth, as well as a small pouch for chil dren to place a tooth in prior to putting it under their pillow.

The tooth fairies' nighttime visit, C. Schoberle, illustrated by D. Regan. New York: Little Simon, 1999, is a rhyming story best suited for very young children and relates more to young girls. This book does not address dental visits or oral health and primarily serves as a whimsical story to prepare children for the loss of their first tooth. The book does include two pages of reusable stickers. When evaluating any book for recom mendation, it is important to consider the appropriateness and accuracy of the information presented, as well as whether or not the book will help pre pare children for dental experiences. Positive childhood dental encounters are critical for a lifetime of pleasant visits and reducing the fear over the unknown is an important first step for pediatric patients.

Dr. Jacqueline Carney is a second year advanced education student in Pediatric Dentistry at MCVIVCU School of Dentistry. She received her DDS degree from MCVIVCU School of Dentistry in 2001. Follow ing her residency, Dr. Carney will practice in the greater Richmond area. -~.---- ~ - - - - - -

Roberts MW, Wright TJ. Food Sugar Substitutes: a brief review for dental cli nicians. The Journal of Clinical Pediat ric Dentistry 27 (Number 1): 1-3,2002. The consumption and exposure fre quency of fermentable sugars such as sucrose, fructose, glucose, and maltose has been shown to be conducive to car ies development. Sucrose is the most common sugar added to beverages and food products. It is difficult to avoid sugar in the diet because it is added to so many processed foods. Investigators have recognized the caries potential of sucrose and are searching for alterna tive sweeteners. The purpose of this article is to provide information about these sugars to help the practicing den tist when counseling patients regarding diet and caries prevention.

FDA approved noncaloric sweeten ers Aspartame: Sold under the brand name Nutrasweet and Equal is 200 times sweeter than sucrose. It is the most widely used non-cariogenic artificial sweetener. It is safe for use by type 2 diabetic patients, reported to reduce the number of sickled cells in patients with sickle cell anemia. However, there have been concerns raised relative to toxic affects on growth, glucose homeostatis, and liver functions with long term uses. It is not safe for patients with phenylke tonuria. Acesulfame potassium: Used in baked goods and desserts but there are concerns related to dose-dependent cytogenic toxicity Saccharin: Is 200-500 times sweeter than sucrose and is non-cariogenic and non-caloric. It has a slightly bitter af ter-taste and is identified as a potential bladder carcinogen

Sucrolose: A non-nutritive, non-caloric, and non-cariogenic derivative of sucrose, widely used in food products with no health concerns reported. Other sweetener agents Sorbitol: A sugar alcohol, often used as a bulk sweetener in a variety of food substances. It is half as sweet as sugar and although considered non-cariogenic, it has been shown to be cariogenic with prolonged use by patients with reduced salivary gland function. In addition it is not easily metabolized and can cause diarrhea. if ingested in large quantities. Xylitol: Is non-fermentable, non-cari ogenic, and good tasting. It has the same sweetness as sucrose and is used primarily in chewing gum. Stud ies show that regular use of xylitol con taining chewing gums reduce the amount of dental plaque, increases sa liva flow, and reduces caries incidence and may also reduce ear infection inci dence in young children. The FDA has not yet approved addit~onal uses of xy lito I. Stevia: A naturally occurring herbal sweetener 100-300 times sweeter than sucrose. It is both calorie free and non cariogenic. Only approved as a dietary supplement. It has been shown to have a weak estrogenic effect and could act as a weak male contraceptive agent. It is safe for diabetics and has a mild an tihypertensive quality. Neotame: A new product similar to aspartame is 6000-9000 sweeter than sugar with a clean taste and heat stable. Awaiting approval by FDA. The dentist often has the opportunity to provide advice regarding the importance of diet and the role of sugars in caries formation. Reducing the amount and frequency of exposure is important in preventing caries. Non-cariogenic sweeteners offer an alternative to sugar if used in moderation. The food indus try is continuing to search for non-ca loric and non-cariogenic alternatives to sucrose. Dr. Rhea Davis is a first year ad vanced education student in Pedi atric Dentistry at MCVNCU School of Dentistry. She received her DDS degree from MCVNCU School of Dentistry in 2002.

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Allen K, Kotil D, Larzelere R, Hutfless S, Beiraghi S, Comparison of a com puterized anesthesia device with a tra ditional syringe in preschool children. Pediatric Dentistry. 24(4): 315-20. July/ August 2002. In clinical practice, nearly one in four children presents with some type of management problem. Younger, pre school-aged children are more challeng ing to treat, especially when injections are required. A painless injection is one way to reduce management difficulties. Since pain on injection is due to vol ume pressure changes, slowing the in jection rate is a means of reducing pain. However, it can be difficult to achieve when done manually. Several controlled studies have been done to compare the traditional technique with a computer ized local anesthetic machine. In the first investigation, the Wand was not found to offer any specific benefit. How ever, researchers did not control for in herent differences in the duration of the two different injection methods and failed to target injection sites specifically rec ommended by the manufacturer. In a subsequent controlled study designed to address these problems, the Wand was found to produce significantly fewer disruptive behaviors. Children who ex perienced traditional injections were five times more likely to require restraints. The purpose of this investigation was to extend this research with pre-school aged children. Forty healthy patients between 2 and 5 (mean of 4.1) were selected based on their need for operative dentistry in the maxilla. No effort was made to control for previous experience. Pain behavior was measured using an established pain behavior code. The four categories were 1) Body movement of any part more than 15 cm. 2) Crying, including moaning, complaining of vocalization in general. 3) Restraints: Any restraint by the den tal assistant to control the patient's movement. 4) Stoppage of treatment due to child movement that required the dentist to redirect the child. This was coded only twice and was dropped from the analysis due to its infrequent oc currence. All injections consisted of 2% Xylocaine with 1:100,000 epinephrine

and a 30 gauge. Topical was placed for 30 seconds and a cotton tip applicator was pressed firmly to the tissue for 5 10 seconds on palatal injections. For buccal infiltration, a distraction wiggle was employed. Subjects were visually shielded from knowing which technique they received. The same operator de livered all injections. A research assis tant observed all reactions and was crosschecked by a second independent observer (reliability found to be 82%). Children receiving the Wand injection exhibited disruptive behaviors in a smaller percentage of 15-second inter vals than did those receiving the two tra ditional injections. The Wand patients showed disruptive behaviors in 50% whereas traditional was 71%. Restraints were needed for only 3% with the Wand and 34% for traditional throughout the entire injection. None of the preschool aged children exposed to the Wand re quired restraint during the initial inter val, while nearly half of the children re ceiving a traditional injection required some type of immediate restraint. There was no significant difference between the two techniques for the need of re straint over the duration of the injection. Perhaps most impressive were the re sults showing that none of the preschool aged children exposed to the Wand re quired restraint during the initial 15 sec ond interval, while nearly half of those receiving a traditional injection did. The study concludes that the Wand can sig nificantly reduce disruptive behaviors in young children and may be one method of creating a more positive experience for them. Dr. Chad Ellsworth is a first year ad vanced education student in Pedi atric Dentistry at MCVNCU School of Dentistry. He received his DMD degree from the Oregon Health Sci ences University School of Dentistry in 2002. ~------

Dahsban A, Patel H, Delaney J, Wuerth A, Thomas R, Tolia V. Gastroesoph ageal reflux disease and dental erosion in children. Journal of Pediatrics 2002;140:474-478.

Virginia Dental Journal

flUX is arelatively a l re d ' Gastroesophag e 'n infants an chll· , n I d common conditiO 've study was One ctl dren. ThisprosPe resence of gastroe· to evaluate the Pdisease (GERD) and sophageal reflU~ children with prlrnary dental erosions ,n th tee . and permanent rreversible loss of el 'I pro· Dental erosion ·15 th bY a chemica dental hard tiSSue ofbactena It is cess in the absencerd"dishedouf'area characterized as a ~atening base, This with a smooth, giiSIY harmfUI'In young ar · ulthe problem is partlC ename Ian dden· Of11 children in wh . "nJ teeth are mUch rll11 " ' ) f' I tinlayers of the Pdults. The aoa; ccthinner than in a I surlaces are rnore clusal, and lingU: ExtrinsIc factors d. commonly affeCt facial surtaee olthe (mostly affecting thede the consumption . anterior teeth) ·,nelubeverages. It' nnnslc ofacidic foodsand "nJ flow, eating dis saW"') , factors include regurgitation. orders, and aCid • n37 children, 2to sed a . I ThestudyfoCu were undergOing esc 18years oldwhO asHoduodenoseopy tive esophagO.g,e GERD. Dental ex (EGD) for posslb rlorrned before the amination was P~ure bY one of 2Pedi endoscopic proce eth were evaluated e atric dentists. fh ter"bsence of dental eO" , for the presenc . f dental erosIOns, enty 0 t' Of' erosions, sev. 'on and loca Ion . Instage of dentl tl a~dard EGD examlna volved teeth. st astrointestJnal tract tion of the upper gd biopsy specimens was performed ~~orn the duodenum, were obtained hagus. The sever stomach, and eS~~gitiS was graded as ity of reflux esop evere according to OrS , 'th mild moderate" pauentswi den , ·terla. .h established cn ornpared Wit Paere c tal erosionS W 'nSforthe presence SIO tients without erO fluX esop haglIIS in and severity of reII asag ed'IStn'bUt·ion, e each group as w od intake, and den f0 'dlc C I symptoms, a tal hygiene. , tol09ic evaluation d hiS EndoscopiC an tientshad GERD. Of revealed that 24pa nS were preset1t in ro SIO these, dental e %) Fifty percent had 20 patients (83. 3 h'ad moderate and , 30% mild erosion, rosion The pattern 20% hadsevere e that the posterior d of erosion re veale'I InvolvediIn 17 Of 20 marl Y rt' teeth were p~ Alarge propo Ian of patients (85 Yo) oted to have GE:RD %) n patients (84' 5

,~I JOurnal

and dental erosions had pain and indi gestion from eating fried and/or spicy foods. Other factors besides GERD, including dietary habits and the degree of the in dividual salivary buffering capacity are also believedto influencethe occurrence of dental erosion. Erosions involving primary teeth could be prevented from progressing into permanent teeth if iden tified early and adequately treated. Current management of dental erosions include the use of fluoride rinses, so dium bicarbonate mouth rinse several times a day, and periodic dental as sessment. It is also important to note that if dental erosions are detected in otherwise asymptomatic children, es pecially involving posterior teeth, they should be evaluated for GERD.

Dr. Ajit Patel is a first year advanced education student in Pediatric Den tistry at MCVNCU School of Den tistry. He received his DDS degree from MCVNCU School of Dentistry in 2002. ~----~

AI-Zayer MA, Stratton LH, Feigal RJ,Welch KB. Indirect pulp treatment of primary posterior teeth: a retrospec tive study. Pediatric Dentistry 25(1): 29 36,2002 The purpose of this retrospective study was to determine the clinical and radio graphic success of indirect pulp treat ment (IPT) on primary posterior teeth and to compare the influence of caries risk, skills of the operator, and restor ative material on the success of the IPT. The term indirect pulp cap (IPC) was recently replaced by the term indirect PUlp treatment (American Academy of Pediatric Dentistry Reference Manual) therefore the authors use the term IPT throughout this paper. Records were reviewed of patients treated with IPT in the graduate and un dergraduate pediatric dental clinics at the University of Michigan, School of Dentistry from July 1993 through July 1999. Teeth treated with IPT were not mobile or sensitive to percussion since these signs would indicate pulpal de generation and periapical involvement;

both are contraindicated for IPT. A suc cess indicated that the tooth remained clinicallyand radiographicallyfree of any signs or symptoms of pathology and exfoliated within the normal time. From the 132 patients who met the in clusion criteria, 187 primary posterior teeth were treated with IPT. Ninety-eight of these teeth were first primary molars. The remaining 89 teeth were second primary molars. The age range of the patients was 5-13 years with a mean of 8 years and 6 months. Patients were followed clinically and radiographically for a time ranging between 2 weeks and 73 months. All of the primary molars were lined with calcium hydroxide (Dycal) over the cari ous dentin left behind. Of the187 teeth, 78 only received the dycalliner with no base material as protection. 109 teeth also received a base of either IRM or Vitrebond. For analysis the teeth were restored with either an amalgam (Tytin/ Kerr) or a stainless steel crown (SSG). The success of IPT was 95% (178/187 teeth) with only 9 failures. The use of a base over the calcium hydroxide liner significantly increased the success rate of IPT. Teeth without a base were 8.7 times more likely to fail compared to teeth treated with a base. The use of a SSC after an IPT was significantly more successful than amalgam. Amalgam was 7.7 times more likely to fail com pared to a SSC. The location of the teeth in the dental arch played a significant role in the success of the IPT. The first primary molar was 4.4 times more likely to fail than the second primary molar. Gender, age, caries risk and operator's skill and experience had no significant effect on the success of the IPT. This study suggests that indirect pulp treatment is a successful technique and should be considered as an alternative treatment to pulpotomy in the treatment of deeply carious primary posteriorteeth without signs of pulpal degeneration.

Dr. Frank C. Pettinato II is a second year advanced education student in Pediatric Dentistry at MCVIVCU School of Dentistry. He received his D.M.D. degree from the University of Florida College of Dentistry in 2001.

Following the completion of his esidency, Dr. Pettinato will enter ~rivate practice with his father in Tampa, Florida.

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Soxman, JA, D.D.S. Considerations for treating adolescent patients. Journal of General Dentistry. January-February 2003: 24-26. Eating disorders such as anorexia, bu limia,and gastric esophageal reflux dis ease (GERD) can have devastating ef fects on the enamel. They are most prevalent in adolescent girls. Chronic exposure to the acid in the vomitus pH (1.0-5.0) erodes the lingual surfaces of the teeth. Vigorous brushing to remove any trace of food compounds this ero sion. Gingival recession with abrasion of cervical cementum may also be ap parent. Rinsing with water and sodium bicarbonate after emesis should be rec ommended to neutralize the gastric acids. Custom trays can be fabricated for daily topical fluoride application. The accelerated growth during adoles cence requires an increase in caloric intake but the foods that provide the additional calories often are associated with obesity and caries. The diet of U.S. children has changed dramatically in recent years due to irregular meals, fast foods, snacking. and consumption of high amounts of sugar. Although many age-specific factors make the adolescent more susceptible to caries. the ingestion of carbonated beverages seems to be one of the most significant causes of: 1) increased car ies incidence, 2) enamel dissolution, 3) obesity. 4) type II diabetes, and 5) os teoporosis. Further. sugar-free soft drinks show similar caries incidence. Parents must be cautioned that sugar free carbonated drinks still may contain high concentrations of natural fruit sug ars.

breakdown around sealants and resto rations. Additionally,the phosphoric acid in most cola drinks limits calcium absorption and has a direct influence on density of bone mineral. Once bone is lost. res toration of bone mass may not be pos sible. Studies suggest that there is a direct association between soft drink consumption and bone fractures in teen age girls. The importance of excellent oral hy giene and limitation of dietary sources of acid and sugar must be stressed throughout orthodontic treatment. Far too often, when orthodontic appliances are removed, the perfect orthodontic result is completely overshadowed by severe decalcification. Determining the need for and appropri ate timing of extraction of third molars should be included in the treatment plan ning of adolescents. Performing extrac tions prior to age 18 significantly de creases postoperative complications due to incompletely formed roots pro viding for less bone removal. By per forming extractions earlier, osseous

healing is improved without bony defect. A panoramic radiograph should be ob tained to evaluate the presence and position of the third molars after the completion or orthodontic treatment or by age 15 or 16. Overall, the goals of treatment of ado lescents should include increasing the resistance of teeth to acid dissolution and/or reversing the process of erosion, demineralization, and decalcification. Dietary modifications are mandatory. Post eruptive benefits of topical fluoride in water, rinses, gels, pastes, and var nishes should be utilized. For more serious decalcifation or caries activity. a series of four or five in-office topical fluoride treatments placing the 5,000 ppm pastes or gels in a tray or orth odontic vacuum-formed retainers for home use may be recommended.

Dr. Roy H. Rogers is a second year advanced education student in Pe diatric Dentistry at MCVNCU School of Dentistry. He received his DDS degree from MCVNCU School of Dentistryin 2001. Dr. Rogers will en ter private practice in Boise, Idaho.

September 10-14, 2003

Richmond Marriott Hotel and

Greater Richmond Convention Center

Factors influencing enamel dissolution are: 1) type of acid, 2) chelating proper ties, 3) temperature, and 4) exposure time. Most soft drinks contain phos phoric, citric, tartaric, and/or carbonic acid or a combination thereof; consump tion of these may lead to marginal

Virginia Dental Journal

Join Us In

Richmond!

ows and Rows of Exhibits - over 100!

September 10-14, 2003

Richmond Marriott Hotel &

Greater Richmond Convention Center

ndependence Golf Club - site of the 2003 VDA Golf Tournament!

Chance To Bid On FABULOUS Items During The Auction At The VDA Party! History, History, History! Plenty of historical places to visit and tour in Richmond! Meet New Friends and Catch Up With Old Friends! Over 80 hours of Continuing Education!

waiti~9 in line if you PRE-REGISTER!

Downtown Richmond - restaurants, bars, clubs, museums, dental school, etc!

EVENTS

VADPAC and VDHF Silent Auction Thursday, Sept. 11 & Friday, Sept. 12 VDA Golf Tournament - Friday, Sept. 12 8:30am Shotgun Start Independence Golf Club - Midlothian, Virginia Your tournament package is just $120 which includes green fees, cart, continental breakfast, and lunch recep tion after the tournament. Attendance for this event is open to all registered attendees, spouses/guests, speak ers, VIPs, exhibitors, and sponsors.

VDA Party - Friday, Sept. 12 6:00pm - 10:00pm Richmond Marriott Hotel FREE for all registered meeting attendees, spouses/ guests, speakers, VIPs, sponsors, and exhibitors Dancing, Food, and Live Auction to benefit VADPAC and VDHF.

VADPAC Shoeshine Friday, Sept. 12 & Saturday, Sept. 13

16 Virginia Dental Journal

President's Party - Saturday, Sept. 13 6:00pm - 9:00pm Virginia Science Museum Join Dr. Rod Klima for fun, food, fellowship for the entire family!

4th Annual VDA Photography Contest Dig out your cameras and old photos! All registered at tendees are invited to enter the 4th Annual VDA Photog raphy Contest. The winning photo will appear on the cover of the October issue of the VA Dental Journal.

Look for more event information in the meet ing registration brochure which will be mailed in early July. If you have any questions about the meeting, please email (Iionberger@vadental.org) or call Susan Lionberger at 800 552-3886.

The Virginia Meeting 2003 Schedule

Wednesday, September 10, 2003 11 :OOam - 4:00pm Executive Committee 4:00pm - 6:00pm Executive Council

Afternoon

Thursday, September 11, 2003 7:00am - 5:00pm Registration & Ticket Sales 7:15am· 7:45am Credentials Committee 8:15am-10:15am Opening Session & House of Delegates Reference Committees 10:30am - 5:00pm VDHFNADPAC Silent Auction 12:00pm - 5:00pm ADA 16th District Delegation 4:00pm - 6:00pm Reference Committee Reports 5:00pm - 7:00pm ACD Dinner & Dance 6:00pm - 11 :OOpm

Afternoon Afternoon

Afternoon 1:30pm - 4:30pm 2:00pm - 4:00pm 3:00pm - 4:30pm 4:00pm - 6:00pm 4:30pm - 6:30pm 6:00pm - 10:30pm

Life Would Be Easy If It Weren't For Other People Connie Podesta Continuation of morning session) Bullet Proof Crown and Bridge Dr. Larry Lopez Dentistry & Pharmacology: Managing The Medically Complex: Practical Guidelines For Oral Health Providers Dr. Louis G. DePaola CPR Training (repeat of AM class) Vivian Biggers VAO Board Meeting Constitution & Bylaws Committee Speaker of the House Office Hours VDSC Board Meeting VAGD Board Meeting VDA Party & Live Auction

Friday, September 12, 2003 7:00am VDA Golf Tournament Breakfast (tournament starts at 8:30am) Registration & Ticket Sales 7:00am - 5:00pm VAGD Breakfast 7:00am - 8:30am VDHFNADPAC Silent Auction Saturday, September 13, 2003 8:00am - 5:00pm Morning • Hands On Course - Perio Surgery 7:00am-5:00pm Registration & Ticket Sales Perio Institute 7:30am - 8:30am ICD Breakfast HIPAA

8:00am - 3:00pm Morning Exhibit Hall Open Creating the Ultimate Doctor

8:00am - 9:00am VAE Board Meeting Morning Patient Hygiene Exam

Hands On Course - Ridge Morning Preservation & Perio Defects Karen Davis, RDH Morning Life Would Be Easy If It Weren't Perio Institute Morning For Other People Provisional Restorations That Fit, Connie Podesta Function and Last: Hands Morning Bioterrorism: Dentistry's Role in On Training For The Dental Recognizing and Responding To Auxiliary The Threat Dr. Karen McAndrews Morning Dr. Louis G. DePaola Calcium Hydroxide & MTA (Mineral Morning Bullet Proof Crown and Bridge TrioxideAggregate) and Their Place Dr. Larry Lopez in Modern Endodontics Morning CPR Training Dr. Raymond T. Webber Morning Vivian Biggers Dental Dilemmas: Bridging Theory 9:00am - 4:00pm VADPAC Shoeshine and Practice 9:00am - 4:00pm VDA Logo Shop Open Dr. Thomas K. Hasegawa, Jr. 10:00am - 2:00pm Alliance Meeting & Lunch Morning How To Retire With Millions Exhibit Hall Open 11 :OOam - 6:00pm Mr. Darrell Cain Fellows Lunch 11 :30am - 1:OOpm Morning Secrets of Practice Greatness 11 :30am - 1:30pm ACD Luncheon for Learning Dr. Patrick Wahl & Ms. Lorraine Afternoon Hands On Course - Perio Surgery Hollett Morning Perio Institute Removable Prosthodontics 2003: (continuation of morning seesion) Meeting Patient's Esthetic and Afternoon Removable Prosthodontics 2003: Functional Demands - Part 1/ , Meeting Patient's Esthetic and Implant Supported Prosthetics Functional Demands - Part I , Dr. Richard D. Jordan Conventional Prosthetics Adhesive Dentistry: Materials & Morning Dr. Richard D. Jordan Techniques Simplified Afternoon Creating the Ultimate Doctor

Dr. Jeff J. Brucia Patient Hygiene Exam

Morning Contemporary Pediatric Dentistry Karen Davis, RDH

Dr. Michael A. Ignelzi, Jr. (continuation of morning session)

Virginia Dental Journal

Morning

9:00am - 4:00pm 9:00am - 4:00pm 9:00am - 5:00pm 11 :30am-1 :30pm Noon - 2:00pm Afternoon

Afternoon

Afternoon Afternoon

Afternoon

Afternoon Afternoon

3:00pm - 4:30pm 4:30pm-6:00pm 6:00pm - 9:00pm

Handling In-Office Medical

Emergencies

Sherri Stein

VADPAC Shoeshine

VDA Logo Shop Open

VDHA Meeting & Lunch

Pierre Fauchard Lunch

CDHS Lunch & Meeting

Hands On Course - Ridge

Preservation & Perio Defects Perio Institute (continuation of morning session) Provisional Restorations That Fit, Function and Last: Hands On Training For The Dental Auxiliary Dr. Karen McAndrews (continuation of morning session) PANDA Training Dr. Frank Farrington, Joann Wells & Sonja Lauren How To Invest In Today's Economy Mr. Darrell Cain Secrets of Practice Greatness Dr. Patrick Wahl & Ms. Lorraine Hollett â&#x20AC;˘(continuation of morning session) Adhesive Dentistry: Materials &

Techniques Simplified

Dr. Jeff J. Brucia (continuation of morning session) Successful Encounters With Kids Dr. Michael A. Ignelzi, Jr. Handling In-Office Medical Emergencies Sherri Stein (repeat of morning session) Speaker of the House Office Hours Relief Fund VDA President's Party

Sunday, September 14, 2003 7:30am 7:30am 8:00am 9:00am

- 8:30am - 8:30am - 10:00am - 11 :OOam

9:00am - 10:00am 10:00am - 1:OOpm 1:OOpm - 3:00pm

Past President's Breakfast

50/60 & Life Members Breakfast Registration (Business Mtg & HOD) Old Dominion Dental Society Board Meeting

Business Meeting

House of Delegates

Executive Council

Agenda current as of April 15, 2003. Some events might

change slightly or might not be included in this list.

For exact times for lectures, please refer to the

registration brochure that will be mailed to all VA

dentists in early July.

Additional Continuing Education:

Lectures by Sky Financial, GE Medical Protective

and Mercer Advisors!

18 Virginia Dental Journal

SPONSORS Golf Tournament Anthem Blue Cross Blue Shield

B&B Insurance Associates, Inc. *

Baran Dental Laboratory, Inc.

Bay View Dental Lab

Michael G. Bedsole, CLU

GE Medical Protective*

Goodwin Dental Lab, Inc.

Hermanson Dental

Virginia Dental Laboratories, Inc.

VSOMS

Friday Night VDA Party Baran Dental Laboratory, Inc.

GE Medical Protective*

Goodwin Dental Lab, Inc

Drs. Niamtu, Alexander, Keeney, Harris,

Metzer & Dymon, P.C. VSOMS

VDA President's Party B&B Insurance Associates, Inc.*

Ceramic Arts Dental Lab

Virginia Academy of Endodontists

Virginia Dental Laboratories, Inc.

Exhibit Totebag Anthem Blue Cross Blue Shield B&B Insurance Associates, Inc.* Patterson Dental Company

Continuing Education Sponsors Bronze Bay View Dental Lab Diamond Dental Lab LifeNet Root Laboratory, Inc. Drs. Zussman, Smith, Dolan, Lane, Silloway& Park

Gold American College of Dentists Drs. Cuttino, Nelson, Miller, Eschenroeder, Zoqhby, Swanson, Cyr and McAndrewÂ Commonwealth Oral & Facial Surgery GE Medical Protective*

International College of Dentists - Virginia Section

Gold+ Benco Dental Company

Platinum Delta Dental Plan of Virginia Drake Precision Dental Laboratory

Titanium+ Virginia Dental Services Corporation

On-site Brochure Anthem Blue Cross Blue Shield

PinCrafters

:>ponsorship Donation Received as of April 15, 2003 = Members of the VDAlVDSC Endorsed Programs

r ~.

EXHIBITORS

3i ImplantInnovations 3M ESPE Accu Bite Dental Supply Accutech Orthodontic Lab, Inc. A-Dec AFTCO Asset Protection Group, Inc. .B&B Insurance Associates, Inc.* Banditt lnc., Paul Belmont Equipment .BencO Dental Company Biolase Technology, Inc. Brasseler USA John O. Butler Co. Caesy Education Systems Colgate Oral Pharmaceuticals CollaGenex Pharmaceuticals, Inc. Delta Dental Plan of Virginia Den-Mat/Rembrandt Dentsply Caulk Dentsply Gendex Designs For Vision, Inc. Direct Reimbursement* Discus Dental Donated Dental Services Doral Refining Corporation Drake Precision Dental Lab

Garfield Refining Co.

Pro Dentec

GC America Inc.

Professional Practice Consultants, Ltd.

Professional Sale Associates, Inc.

GE Medical Protective*

Healthy Communities Loan Fund

Professionals Advocate Insurance Co.

R.K. Tongue Co., Inc. HPSC Financial Services

Instrumentarium Imaging, Inc.

Rx Honing (Sharpening) Machine International Dental Group (Ident)

SciCan/Matrix SDI KaVo America Corporation

Kerr Corporation

Sky Financial Solutions' Sonicare/Philips Oral Healthcare LifeServers, Inc. - Richmond, VA'

MAMSI (Mid Atlantic Medical Services, Inc) Sullivan-Schein Dental Midmark Corporation Sybron Endo

M.O.M. Project VA Association of Free Clinics

New Image Dental Laboratory VA Chapter - March of Dimes

Nobel Biocare VA Dental Health Foundation

Northern Virginia Computer Solutions (Section 170 Plan)

NSK American Corp. VA Medicaid Take 5 Program

OMNII Oral Pharmaceuticals VADPAC

Oral-B Laboratories VCU School of Dentistry

Orascoptic VDA Alliance

Patterson Dental Company VDA Logo Shop

Paychex' VDA Membership

Planmeca, Inc. VDAA

Porter Instrument & Royal Dental Group VDSC

PracticeWorks/SoftDent/DICOMlTrophy Highlighted Exhibitors = Meeting Sponsors Premier Dental Products Co. *=VDANDSC Endorsed Programs Paid Exhibitors as of April 15, 2003 Procter & Gamble

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Virginia Dental Journal

, 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 sub mit a statement and CV to be pub lished in the April-May-June issue of the Virginia Dental Journal. Can didates for President-Elect can have a 500 word statement. All other can didates can have a 250 word state ment. This will give the members of the Virginia Dental Association an opportunity to meet candidates for elected offices.

identify and address issues important to the dentists and dental health of the citizens of Virginia. Our members are willing to do the work when it's needed. We have raised money for ADPAC and VADPAC to make sure our voice is heard in the legislature, our members have volunteered time to attend hear ings or talk with legislators and regula tors, our members have volunteered at free clinics and for the MOM Projects of Virginia to show we are willing to do our share to address the access to care issues, and we have stayed members to keep our association strong and ac tive.

Bruce R. Hutchison, D.D.S. Candidate for Office of: President-Elect

The speed of democracy is slow at best. To address this we are in the process of changing our governing structure. Not that our current structure doesn't work and hasn't served us well, but maybe there's a better way. Times are chang ing and so must we. Our goal is to make the association more "user friendly," to make it easier for members to get in volved in projects they identify with and have compassion for without having to stand in line and climb the ladder to be part of the leadership. We want to take advantage of the many talented and motivated members we have and give them the opportunity to serve. Large ships (the VDA) do not turn on a dime. They have momentum, which carries them through the tough waters. Our course (long range plan) is our goal. Sporadic deviations from it make the path erratic and frustrating. It's great when you agree with an idea and we change course in your direction, but what about when you disagree with the change? Long-range planning, constant analysis of incoming ideas, and future looking will help decide our course changes. I think we must be careful to allow for the course to be changed but not get so caught up in being quick and agile that we lose our strength and pur pose.

As Speaker of the House of Delegates for the past fou r years, I have witnessed the VDA in action. Our associa tion is strong. We have been blessed with committed leaders, mem bers who give their support and pitch in when asked, an executive director with vision, a dedicated central office staff who work long and hard for us, a strong working relationship with our state leg islators and Board of Dentistry, and a history of doing the right thing. We are a diverse group with a common goal. Smaller rural components are different than larger metropolitan components. That diversity offers us differences that we have turned into strengths. We have our differences of opinion and yet find a way to work together for the common good of our membership. Issues are always coming and going. On our plate now are: Medicaid fund ing, access to care, safety of amalgam restorations, wastewater, and malprac tice insurance and tort reform. Just over the horizon are more issues. We have faced these before and will continue to 20 Virginia Dental Journal

In summary, I am proud to be a dentist and proud to be a member of the VDA. Our past has been well directed and our future looks bright. I look forward to the

opportunity to serve as your President and ask for your support and vote for President-Elect of the VDA. Thank you. Bruce R. Hutchison, D.D.S. 14245-P Centreville Square Centreville, VA 20121 (703) 830-9110 Component 8

Education: University of Rochester, 1976, B.S., Electrical Engineering, 1977 M.S., Electrical Engineering; Georgetown University of Dentistry, 1981, D.D.S. (cum laude) Membership: NVDS, VDA, ADA, AGD, VAGD, lCD, ACD, Academy of Dentistry International, Southeastern Academy of Prosthodontics, Implant Society of Northern Virginia, Greater Fairfax Dental Study Club, Academy of Sports Dentistry. Honors: Fellow, VDA; Fellow ACD; Fellow, ICD; Fellow, Academy of Dentistry International; ADA Golden Apple Award (outstanding young dentist in U.S.), 1989. Leadership Activities: ADA: Alternate Delegate; Delegate. VDA: Speaker of the House of Delegates; Annual Meeting Committee, Chairman; Young Dentist Committee, Chairman; Delegate; House of Delegates Credentials Committee, Chairman; Executive Council member. Component Society: President; Executive Committee, Chairman; Program Committee, Chairman; Membership Committee, Chairman; Young Dentist Committee, Chairman; VADPAC Committee, member; Executive Committee, member; CPR Instructor; Parliamentarian. Community: VDA MOM Project (NOVA 2002); Donated Dental Service; United States Jaycees; Optimist Club International; Northern VA Dental Clinic; Volunteer Dentist on Northern Cheyenne Indian Reservation in MT: Volunteer Dentist on Mattaponi Indian Tribe in VA; Fairfax County Family Services; Little League Umpire.

VI RG I N IA TRAD ITI 0 N

Edward J. Weisberg, D.D.S. Candidate for Office of: secretary-Treasurer Dentistry faces many chal lenges today, HIPAA, Silver Reclamation, Wastewater not to mention occasional leg islation. I am pleased to be part of the Ex ecutive Com mittee which is the first group of the VDA to tackle these events. As the liaison forthe VDA on the VDSC, I encourage them to actively work tq find ways to reducethe dependence on dues for the VDA to fund it's budget. The Secre tary-Treasurer is responsible for super Vising the collection of monies and dues and the payment of the expenses of the VDA. I have worked hard for the Asso ciation and I am seeking to continue as your Secretary-Treasurer. As a past member and chairman of the Budget and Financial Investments Committee, I am qualified for this office. I am com mitted to a broader involvement of our members and to serving my colleges, its members. I will continue to find ways to improve the budget and accounting process to make it easier for the mem bership to understand. I am open minded and will listen to any member who has an opinion or concern and will formulate a position which I feel will best benefit the members of the VDA not just the needs of only a few. I see many challenges in membership retention and recruitment, which could impact the financial health of the Asso ciation. We must reach out to all of the dentists in Virginia and encourage the many diverse groups to be a part of the VDA. The Internet and email can be a great part of getting our message out and communicating with each other, but we must also be fiscally responsible in how we use these resources. I will in

sure that our dues dollars are spent in the best possible manner and that any proposed dues increases are justified. I have been active in my support of Or ganized Dentistry and ask for your sup port to re-elect me for this office. Edward J. Weisberg, D.D.S. 801 W. Little Creek Road, Ste 103 Norfolk, Virginia 23505 (757) 440-0044 Component 1 Education: College of William and Mary-B.S. Biology 1969 Virginia Commonwealth University-Medi cal College of Virginia-D.D.S. 1973 Memberships: ADA;VDA;Tidewater Dental Association 1973 present;DePaul Hospital Staff 1973 present;Alpha Omega. Honors: Fellow-VDA 1993; International College of Dentists 1995, Pierre Fauchard Academy 1998, American College of Dentists, 1999, Richard Simmons Memorial Award of Compo nent 1, 2000. Leadership Activities: ADA and VDA: Secretary-TreasurerVDA, 2000-, ADA Alternate Delegate 1999-, Executive Council 1994-present, Budget and Fi nancial Affairs Committee 1991-94 (Chairman1992-94), Audio-Visual Chair man Annual Meeting 1983, 1994, mem ber Ad Hoc Committee on X-Ray Regu lations. Component Society: President 1992-93, Treasurer 1990-92, Budget Committee 1990-96 (Chairman 1990 94), ExecutiveCommittee 1983-present, Patient Relations Committee 1980-84 (Chairman 1982-84), ChairmanMember ship Committee 1979. Delegate to An nual Meeting 1984-1994, Alternate Del egate 1980-83, MemberTidewater Den tal Association Foundation (Dorothy Ferris Foundation) 1984-88, President 1987-88. Community: Red Cross-TDA Park Place Free Dental Clinic Steering Com mittee, Founding Director Hampton Roads Volunteer Health Foundation, Inc., Alpha Omega Tidewater Virginia Alumni Chapter, President Vice- Presi dent, Treasurer, Secretary. DePaul Hospital Department of Dentistry, De

partmental Secretary, Associate Chair man. 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 Directors, Founding Board Member, Treasurer, President. Young Audiences of Virginia, Board of Direc tors. Temple Israel Synagogue, Board of Directors, Vice President.

M. Joan Gillespie, D.D.S., M.S. Candidate for Office of: Councilor-at-Large The goverance of the VDA is taking a new and exciting direction. The needs of the modern asso ciation de mand rapid in formation ex change and decision mak ing. We need to set priorities to ac commodate our members and serve the patients of Virginia. The importance of communication and information dis semination in our organization is a duty of all but especially the leadership in our time of change. It has been a privilege to serve the VDA as Councilor-at-Large for almost two years. I would appreciate the opportu nity to continue to fulfill my responsi bilities in that capacity with integrity and responsiveness. M. Joan Gillespie, DD.S., M.S. 4660 Kenmore Avenue, Suite 312 Alexandria, Virginia 22304 (703) 823-2228 Component 8 Education: Trinity College, A.B., 1964; Georgetown University Dental School, D.D.S., 1968; Georgetown University Graduate School, M.S., Periodontics, 1971.

Virginia Dental Journal

Membership: ADA, VDA, NVDS since 1972; American College of Dentists; American Assocation of Women Den tists; Fairfax County Dental Society; Alexandria Dental Society; American Association of Dental Examiners; Southern Regional Testing Agency; American Academy of Periodontology; Pierre Fauchard Academy; International College of Dentists. Honors: ADA Council on Ethics By laws and Judicial Affairs, 1995-1998, Vice Chair, 1997; Appointment to the VA State Board of Dentistry, two terms - 1983-1992; President of the State Board of Dentistry, 1987-1988 and 1988 1989; Virginia Dental Association Fel low; American College of Dentistry Fel low; International College of Dentistry Fellow; and Pierre Fauchard Academy; ADA Career Film. Leadership Activities: ADA: ADA Del egate 1994-2003; ADA Alternate Del egate; Council on Ethics, Bylaws and Judicial Affairs - Vice Chairman 1996 1997; ADA Referetlce Committee on Membership and Communication - Chair 1996; ADA Standing Committee on Con stitution and Bylaws 1995-1998; Ameri can Assocation of Women Dentists, Past President. VDA: VDA Delegate 1978-2000; Constitution and Bylaws Committee Vice Chair; Ethics and Ju dicial Affairs Committee Chair; Councilor to VDA from Component 8; VDA Coun cilor-at-Large; Chair of the Virginia Sec tion of the American College of Dentists. Component: Past President; Member and Past Chair of Executive Commit tee, Ethics Committee, Program Com mittee, Membership Committee Lead ership Committee, and Dental Health Committee; Past Parlimentarian; Past Member of Peer Review, Membership and Dental Directory Committess: Ex Offcio of Northern Virginia Dental Clinic Committee. Other Dental Societies: Past President of Fairfax Dental Soci ety, Alexandria Dental Society, Greater Washington Society of Periodontology, The American Association of Women Dentists, and the Greater Washington Association of Women Dentists. Community: MCVNCU Board of Advi sors, MCV Planning Committee: MCV School of Dentistry Campaign Drive District Leader. Board of American Can cer Society.

22 Virginia Dental Journal

Ralph L. Howell, Jr., D.D.S. Candidate for Office of: COLI nci lor-at-Large As a mem ber of the VDA Execu tive Council for the past two years, I feel that I have repre sented your inte rests in transforming the Virginia Dental Association into a progressive or ganization that is constantly adapting to the changing needs of its members. Our focus continues to be to build our strength by increasing our membership as well as the diversity of our member ship. As this organization continues to change, its leaders will need to be com mitted to this process and proactive in its actions. The way each of us practices dentistry is challenged daily by many outside forces. Some of these include the me dia, the legislature, and the government. The Association must continue to be on the forefront of this change and lead this change; otherwise others may dictate the practice of dentistry to us. With your help, I will continue to do my best to serve the Association as Execu tive Councilor at Large. Thank you for your support. Ralph L Howell, Jr., DDS 102 Western Avenue Suffolk, VA 23434

(757) 539-7695 Component 1 Education: College of William & Mary, BS in Chemistry, 1982, Medical Col lege of Virginia, DDS cum laude, 1989. Membership: ADA, VDA, Tidewater Dental Association; Academy of Gen eral Dentistry; Obici Hospital Medical Staff Honors: A 0 Williams Scholarship re cipient, Omicron Kappa Upsilon, Fel low-Academy of General Dentistry, Fellow-Virginia Dental Association, Pierre Fauchard Academy, Fellow-In

ternational College of Dentists. Leadership Activities: VDA House of Delegates1989-Date, Reference Com mittee on Budget and Fiscal Affairs 1991, Chairman of VDA Continuing Edu cation Committee1996-1998, Annual Meeting Local Arrangements Commit tee Chairman 1998, President VDA Foundation 1996-1999, 2000-Date, Credential's Committee Chairman 1996, 1997, TDA Program Committee Chairman 1995-1997, TDA Executive Committee 1992-Date, President of the Dorothy Ferris Foundation of the TDA 1991-1993, Portsmouth-Suffolk Study Club President 1994-1995, President of the Tidewater Dental Association 2000 2001. Virginia Dental Association Ex ecutive Councilor-at-Iarge 2001-2003. Community: President of the Nansemond-Suffolk Academy Alumni Association 1997-2001; Nansemond Suffolk Academy Board of Trustees 1997-2001; Executive Committee of Obici Hospital 1994-1996; District Chair man of the Colonial Trail District Boy Scouts of America 1994-2001; Colonial Virginia Council, BSA Executive Board 1994-2003; Silver Beaver Recipient BSA; Suffolk Rotary Club 1990-Date; Board of Directors 1997-2000; Presi dent-Suffolk Rotary Club 2003; Oak land Christian Church Board of Deacons 1990-1996, 1999-Date; Chairman Board of Christian Education 1990-1997.

Rodney J. Klima, D.D.S. Candidate for Office of: ADA Delegate It is an ex hilarating ex perience to represent the Virginia Den tal Associa tion at the ADA level. There are so many issues that come up that touch our practice lives daily. I would like to thank the mem bership for giVing me the opportunity to serve in the capacity of an alternate del egate and ask for your support for elec tion as a delegate.

We continue to face new challenges ry year, some are threats, some are eveortunities. I continue to believe that o~:future of dentistry is bright as long tas we work for what is. best for our patients and our profession.

Rodney J. Klima, D.D.S. 5204-B Lyngate Court Burke, VA 22015 703-425-5125 Component 8 Education: College of William and Mary, B.S. Chemistry, Medical College of Virginia, School of Dentistry, D.D.S. (1974), Orthodontics, MCV (1976) Memberships: American Dental As sociation, Virginia Dental Association, NorthernVirginia Dental Society, Ameri can Association of Orthodontists, Vir ginia Association of Orthodontists Honors: Omicron Kappa Upsilon, A.D. WillIiamsAward, Diplomate of the Ameri can Board of Orthodontics, Fellow of the VDA, American College 0f Dentists, In ternational College of Dentists, Pierre Fauchard Academy Leadership Activities:ADA and VDA: ADPAC Board, Alternate Delegate to ADA, Grassroots Co-Chair, VDA Execu tive Council, VADPAC Chairman, Presi dent Virginia Dental Association. Com ponent Society: President NVDS (1994-1995), Executive Committee (1987-present), Councilor (1995-2001), Delegate to VDA (1984-1994), Editor NOVA News, newsletter of the North ern VA Dental Society (1987-1992) Community: Consultant Cleft Palate Team, Walter Reed Army Medical cen ter (1981-1995), youth soccer and bas ketball coach, swim team representative.

Leslie S. Webb, Jr., D.D.S. Candidate for Office of: ADA Delegate It has been a great privilege for me to repre sent the den tists of Virginia as your ADA delegate. My experience at the ADA level has allowed me to develop per

sonal contacts with ADA staff and many delegates from other states, increasing my effectiveness as your delegate.

Ronald J. Hunt, D.D.S. Candidate for Office of: ADA Alternate Delegate

Each year the ADA House of Delegates, our supreme governing body, meets to develop policies, implement new pro grams, and deal with the budget. I have worked for programs that will help our members meet the challenges of daily practice at every stage of their careers, address external legislative and regu latory pressures and support our dental educational system.

The academic and practicing dental commu nities are closely inter twined and share common ideals, goals, and chal lenges. In Vir ginia, the VCU If elected, I pledge to continue to work to School of Den see that the ADA remains relevant to its tistry and the Virginia Dental Associa members and efficient in its operation. tion enjoy a mutually beneficially rela tionship. As dean of the School of Den Leslie S. Webb, Jr., DD.S. tistry and member of the VDA Execu 6800 Patterson Avenue tive Council and Legislative Committee, Richmond, VA 23226 I strive to strengthen even more the bond 804-282-9781 between these two great institutions. In Component 4 addition to keeping the VDA leadership apprised of dental school activities, my Education: University of Richmond, role on the Executive Council and Leg B.S., 1964; Medical College of Virginia, islative Committee is to provide coun D.D.S., 1968.

sel in matters involving dental and den Memberships: ADA; VDA; Richmond tal hygiene education and research. As Dental Society.

a member of the ADA Commission on Honors: OKU; American College of Den Dental Accreditation, I provide counsel tists; International College of Dentists; on matters of accreditation. As a board Pierre Fauchard Academy; VDA Fellow; certified public health dentist, I provide RDS Harry Lyons' Award.

counsel on issues involvinq public Leadership: ADA: (current) ADA Del health dentistry and Medicaid. If re egate. (Past) Member and Chair, Coun elected to serve another two-year term cil of Dental Benefit Programs; Chair, as an alternate delegate to the ADA D.R. Task Force; Chair, ACODENIC House, I will continue to strive to pro Committee; Member, Kid Care Task vide fellow delegates informed counsel Force; Member, Parameters Commit regarding dental education, accredita tee; Member, Indicators Committee; tion, research, and public health issues Member, PINSERV Committee; ADA to come before the House. Alternate Delegate. VDA: (current) Editor of the VA Dental Journal; Execu Ronald H. Hunt, DD.S. tive Council. (past) President, Secre VCU School of Dentistry tary- Treasurer, Delegate, Chairman of Box 980566 the Annual Meeting Commitee; Chair Richmond, VA 23298 man of the Long Range Planning Com 804) 828-9184 mittee; Chairman, Constitutions and Component 4 Bylaws Committee; Chairman, Nomi nating Committee. Component Soci Education: University of Iowa, DDS my: (past) President, Secretary. and MS in Dental Public Health Community: Member, Sate Secretary Memberships: ADA, VDA (North Caro of Human Resources' Task Force to lina and Iowa state associations previ Study Health Needs of School-aged ously), American Dental Education As Children in Virginia; Member, Governor's sociation, American Association of Pub Task Force on Children's Health; Past lic Health Dentistry, International Asso President, James River Estates Civic ciation for Dental Research Association.

Virginia Dental Journal

Honors: Diplomate of the American Board of Dental Public Health; Omicron Kappa Upsilon Honorary Dental Soci ety; Visiting Fellowship to University of Adelaide, Australia; Gies Fellowship to the American Association of Dental Schools; National Academy of Practice in Dentistry; American College of Den tists; International College of Dentists; and Pierre Fauchard Academy. Leadership Activities: Dean of VCU School of Dentistry; VDA Executive Council and Legislative Committee; Section President for International As sociation of Dental Research; Dental Public Health Consultant, 'Curriculum Consultant, Site Visit Chair, Outcomes Assessment Committee Chair, and Member of the ADA Commission on Dental Accreditation; Delegate to the American Dental Education Association House of Delegates; Chair of the Board of Directors for the Virginia Statewide AHEC Program; Chair of VCU's Com mittee on Equity and Diversity; chair of numerous academic dentistry commit tees at three dental schools.

CV information is listed wih Dr. Gillespie's candidancy for Councilor-at -Large.

William J. Viglione, D.D.S. Candidate for Office of: ADA Alternate Delegate

The advance ment and pres ervation of den tistry is at the core of orga nized dentistry. We all need to preserve theval ues, ethics, and conduct that have kept dentistry high among the most respected of profes sions. At the same time we need not to be locked into the past as technologies, materials, and management skills move forward. We, as a profession, need to address access for low-income families, especially their children who can ben efit from our services. In Virginia, we M. Joan Gillespie, D.D.S., M.S. have undertaken the M.O.I'v1. project, but the need is greater than one or two ar Candidate for Office of:

eas of the country during one weekend ADA Alternate Delegate

a year. It is a national crisis and each of our communities suffers with this ac The policies of cess problem. the ADA help to determine the direction of I wish to continue to serve as ADA Alter our profession. nate because I want to be part of the Our officeds solution for this problem, and to repre and our pa sent Virginia values to the future of den tients are im tistry. The delegation from Virginia is of pacted by the the highest quality, and I have benefited deliberations greatly by spending time with them. I and decision wish to continue to grow in the knowl making of the edge and experience at this level with delegation. Whether the topic is amal those high caliber people. Therefore, I gam, dental education, licensure, ask for your support for this position. governace, or outreach programs, be Thanks you and many blessings to you ing a part of this interchange allows for all. idea sharing with delegates from other William J. Viglione, DD.S. states and with the ADA leadership. Serving on the ADA Delegation as a rep resentative of the dentists of Virginia has been an honor. As an Alternate Del egate, I would hope that my diverse range of experience will continue to bring rneaninqful input into the varied issues that confront our members and affect our patients.

ntal Journal

3025 Berkmar Drive, Suite 4 Charlottesville, VA 22901 (804) 973-4355 Component 7 Education: University of Richmond, BS Biology, 1969, Class President; VCU MCV School of Dentistry, DDS, 1972,

Yingling-Lyons Award; US Army, Gen eral Dentist Resident, Ft. Sam Hous ton, Texas, 1972-73; Chief Dental Of ficer, Ft. Deitrick, MD, 1973-75. Membership: ADA; VDA; Shenandoah Valley Dental Association; Charlottesville Albemarle Dental Soci ety; Academy of General Dentistry; Beta Beta Beta; ODK Leadership Society; Phi Gamma Delta; OKU; Delta Sigma Delta; Crown Council. Honors: Fellow of the Virginia Dental Association; Fellow of the American College of Dentists; Pierre Fauchard Academy; Who's Who Among Execu tive and Professionals; VCU Dental School Alumni Star for year 2000. Leadership: VDA: Delegate of the House of Delegates; Executive Coun cilor-at-Large; Fellows Selection Com mittee; Reference Committee Chair; Peer Review and Patient Relations Chair; Executive Committee; Chairman of Executive Council; Representative for Study for Shortage of Dental Hygienists. Component Society: President-elect; President; Component 7 Executive Councilor. Charlottesville-Albemarle Dental Society: Treasurer; President. Community: Church of the Incarnation - Lector and Past President of Parish Council; Board Member of the Ronald McDonald House; Organizer and Vol unteer for the Charlottesville Free Clinic; Dental Consultant for the Our Lady of Peace Retirement Community; Repub lican Party Committee Member; Spiri tual Director Institute Graduate; As sisted with organization of local Medic aid pilot project.

Roger E. Wood, D.D.S. Candidate for Office of: ADA Alternate Delegate As a teacher at MCV, as a men tor to dental stu dents, and as an active practi tioner, I have been privileged to be involved on many levels of dentistry. I feel a great re sponsibilityand commitment and enjoy the giving of time and energy to our profession. As Co

Chairman of "Give Kids A Smile Day" in Richmond, it was exciting to see the eagerness of the volunteers and their willingness to sacrifice their valuable time. I have been fortunate to work on many VDA committees and have espe cially enjoyed serving as Chairman of the Legislative Committee and Vice Chairman of the Dental Practice Regu lations Committee. I feel strongly about the issue of access to care. Therefore, it was a great privilege to be a member of the Mission of Mercy Task Force that initiated what has become so important to people in need and indeed to the vol unteers themselves. I also became a member of the Wise hospital staff so that I could return to treat children un der general anesthesia. We can all make a difference. As a member of the ADA Council on Dental Education and Licensure and a sub-committee of the ADA Council on Dental Benefits, I have worked with the issues that face us now and will be facing us in the future. It is extremely important that the ADA re main a strong voice for dentistry and meets the needs of our existinq and fu ture members. It is with respect that I ask for your support for Alternate Del egate.

Roger E. Wood, DD.S. 11601 Robious Road Midlothian, Virginia 23113 (804) 794-3498 Component 4 Education: Elon College, AB, Biology, 1967; Medical College of Virginia, DD.S., 1975; Indiana University - Per due University at Indianapolis School of Medicine and Hospitals, Residency in Pediatric Dentistry, 1975-1977; Associ ate Professor, MCV; Clinical Professor, MCV. Memberships: ADA; VDA; RDS; American College of Dentists; American Association of Dental Examiners; American Dental Political Action Com mittee; Richmond Donated Dental Ser vices Advisory Board; American Soci ety of Dentistry for Children; American Academy of Pediatric Dentistry; Ameri can Board of Pediatric Dentistry; South eastern Society of Pediatric Dentistry; VA Society of Pediatric Dentistry; MCV Alumni Association; Delta Sigma Delta; Richmond Dental Study Club; Johnston-

Willis Hospital Staff; Chippenham Hos pital Staff; St. Mary's Hospital Staff (Richmond,VA); St. Mary's Hospital Staff (Norton,VA). Honors: A.D. Williams Scholar, 1974; MCV Outstanding Senior Award, 1974; Appointed by Governor to VA State Board of Dentistry, 1988; President, VA State Board of Dentistry, 1992; Ameri can Board of Pediatric Dentistry, 1988; Consultant, American Board of Pediat ric Dentistry, 1991-1992; Fellow, VDA, 1992; Editorial Board, VA Dental Jour nal, 1992-present; Life Member, Ameri can Board of Pediatric Dentistry; Fel low, Pierre Fauchard Academy, 1993; Citizen of the Year Award, 1999, for Goldsboro, NC Flood Relief awarded by Omega Psi Phi Fraternity; Award of Appreciation from the City of Goldsboro, NC for flood relief, 2000; Congressional Award for Extraordinary Leadership and Compassion for service to the people of eastern North Carolina during the dev astation of the floods of 1999 from Con gresswoman Eva M. Clayton; American College of Dentists, 2000. Leadership Activities: ADA: Council on Dental Education and Licensure, 2001-present; Dental Practice Param eters Committee; Committee on Inter national Programs and Development; Subcommittee to address dentallabo ratory technology personnel recruitment and retention, 2002-present; Subcom mittee on quality assessment and im provement,2002-present. VDA: Mis sion of Mercy Task Force; Mission of Mercy Committee; Mission of Mercy Volunteer-present; Chairman Access to

Care Task Force, 2002-present; Virginia Dental Services Corporation Board of Directors, 2001-present; Legislative Committee, 1998-present, Chairman, 1999-2001; Steering Committee, Virgin ians for Improving Access to Dental Care; Futures Task Force; Dental Practice Regulations Committee, Vice Chair man; Planning Committee; Reference Committee. Component Society: Del egate to VDA; Alternate Delegate to VDA; Political Advisory Committee; Ad Hoc Advertising Committee, Chairman; Richmond Dental Society, Board of Di rectors; Long Range Planning Commit tee; United Way Campaign for Dentists; Corporate Sponsorship Committee, Chairman; Dental Health Month Chair man; Co-Chairman for Richmond "Give Kids A Smile Day"; MCV class leader for Clinical Simulation Campaign. VA Board of Dentistry: Legislative Commit tee, Chairman, 1990-1992; Secretary/ Treasurer, 1990-1991; President, 1992. Community: Advisory Board, Rich mond Donated Dental Services, 1998 present; Organization for flood relief in Goldsboro, NC, 1999-2000; Prenatal Classes at Chippenham and Johnston Willis Hospitals, monthly lectures on infant oral health care, 1998-present; Episcopal Church of the Redeemer, Vestry, Finance Chairman, Capital Cam paign Chairman; CARITAS volunteer; Cross-Over Dental Clinic Volunteer; Youth Soccer Coach; Examined and treated 20 Russian orphaned preschoolers and arranged medical treatment for them while they visited the Richmond area, 1998.

Bound for Baltimore:

Charting Our Future

17th National Conference on the New Dentist August 21·23, 2003 Baltimore, MD Baltimore Marriott Waterfront Hotel

·.For more infllmlalion,call the AnleiicariD8I1taiASsociatiOll at 1,800'6214l099reXlell$lon2779

Virginia Dental Journal

Leslie Pinkston, Director of Membership The Virginia Dental Association ran a very successful Give Kids a Smile cam paign during the month of February.The size and quality of the campaign and the support provided across the state by Virginia dentists and volunteers was truly impressive. Due to school closings because of snow, Virginia had some set backs and rescheduling issues, but we hope to expand upon this program next year. The Give Kids a Smile campaign served as a message board across Vir ginia. It enlightened policy makers and the public about the access to care is sues. There was newspaper support not only by "big" city newspapers but also in local area newspapers. All three major televisions networks in Richmond ran announcements during the week of February 21 51; several local stations across the state sent film crews for foot age at various projects. Governor Mark Warner signed a proclamation recogniz ing February Children's Dental Health Month in the Commonwealth of Virginia. In addition to Governor Mark Warner signing a proclamation ... several dentist were successful in obtaining proclama tions recognizing February as Dental Health Month in their counties and cit ies. Congressman Eric Cantor and the Director of DMAS, Mr. Pat Finnerty, at tended a GKAS event at the Science Museum of Virginia in Richmond, VA. The project served as an impetus for oral health to be treated as a health care priority in Virginia. The Virginia 'Give Kids a Smile Day" Committee had two goals: 1- Examine and provide dental hygiene instructions to as many children as possible. 2- Pro vide free follow-up dental care to the children most in need. The children who were seen as patients were identified through several sources. Dentist used the C.H.I.P. program, Head Start, and Boys and Girls Club of Virginia. Addi tionally, they contacted school nurses to identify children and contacted the school boards to identify the schools and students in their area most in need of oral care. Over 6,921 children were

26 Virginia Dental Journal

seen across the state of Virginia during the campaign. Children were screened, educated, fluoridated, given dental care materials, x-rayed, and received seal ants. But most importantly their confi dence was built, as many for the first time saw their healthy smiles in the mir ror. The most important part of this ef fort will be the follow up care the chil dren will receive over the next year through the referrals given. Several vol unteer dentists had commented on how good they felt about the children being able to receive much needed follow up dental care that could not be provided in one day of screening. The ongoing spirit and enthusiasm of Virginia dental volunteers is refreshing! Virginia had over 166 volunteers. We also had 70 dental students as well as numerous others who names were un fortunately not turned in. Our volunteer numbers were well over 300. The volun teer hours tallied came up to over 3,000; this does not include all the behind the scene hours that went into making these events work. The Give Kids Smile Campaign was funded on many different levels. Local component societies supported their dentist by purchasing supplies. Dentist who volunteered their services used many of their own supplies. The Virginia DentalAssociationcontributed $2000.00 and a variety of supplies. In addition, Virginia received generous sponsorship from Crest Healthy Smiles 2010, ADA, Involcor, Sullivan and Schein, Patterson Dental Company, Dexis Digital X-Ray and Chippenham & Johnston-Willis Medical Center which sponsored shirts forthe GKAS volunteers in Richmond. Several companies donated breakfast and lunches to feed the many volunteers across the state. The Virginia Depart ment of Health provided dental chairs, flyers, table displays, and information. Project sites consisted of the Science Museum of Virginia, hygiene clinic at Old Dominion University. roller skating rinks, shopping malls, Virginia schools,

VCU Mobile Oral Health Clinic, new dental clinic at the Boys and Girls ClUb of Richmond, and many dentist offices. Virginia dentist are actively reacting to the oral health care crisis in their own way. Dr. Jay Boyle said, "After seeing what a need there was in one of my lo cal elementary schools, I have decided to adopt one school and provide on go ing dental care for the worst cases." Dr. Edward Mustian III founded a new den tal clinic built in the Boys and Girls Club in Richmond, VA, through a $45,000 grant from the Annabella Jenkins Foun dation. These are but a few of the many initiatives throughout the Common wealth by the profession.

VIRGINIA'S COMMITMENT TO IMPROVING ACCESS TO DENTAL CARE IS RECOGNIZED IN CONGRESS

As a result of his visit to the Children's Science Museum of Rich mond on February 21 , 200 as part of Give Kids a Smile Day, Con gressman Eric Cantor (VA-7) has introduced a House resolution (H. Res 136) praising dentists and the American Dental Association for their efforts and emphasizing the need to improve access to dental care. The ADA has asked its members to contact their respective Mem bers of Congress to ask that they become a co - sponsor of the reso lution and support the passage of it.

This is just another example of the VDA's commitment to improving I access to dental care and making everyone (includinq lawmakers) know the importance of doing so. I ~

GIVE KIDS A SMILE VOLUNTEERS

Dr. Anna Abel Dr. Anne Adams Dr. Michele Ah Ms. Medina Ali Dr. Roosevelt Allen Dr. Steven Alvis Ms. Teresa Anderson Ms. Amber Archie Dr. M. Arroyo-Pratt Dr. Mitch Avent Dr. Desiree Bagheri Ms. Angela Bailey Ms. Tina Bailey Ms. Kelly Banscoter Dr. Stacie Barb Mr. Robert Barlowe Ms. Darian Barnette Dr. Richard Bates Ms. Yvonne Beard Ms. CJ Beauchamp Dr. Elizabeth Bernhard Dr. Ric Birch Ms. Kathy Bounds Dr. Jay Boyle Ms. Kim Boyle Dr. Samtha Brotherton Dr. Ronnie Brown Dr. Brenda Ann Butler Dr. Cathie Butterworth Dr. Ronald Cade Ms. Paula Campbell Ms. Dorothea Carter Ms. Kristie Casper Dr. Steven Castro Dr. Gayatri Chaubal Dr. Tom Cooke Ms. Sharon Covaney Dr. Mark Crabtree Ms. Buena Craft Dr. David Crouse Ms. Cathy Crowder Ms. Kimberly Culp Dr. Charles Cuttino Dr. Frank D'Aquila Ms. Patricia DeSimone Dr. David DeViese Ms. Denia Diaz Ms. Bridgett Dickerson Dr. Terry Dickinson Ms. Kelly Dolin Dr. Raymona Eddleton Ms. Nancy Emch Dr. Kristine Enright Dr. Knstine Enright Ms. Joyce Estes Ms. Carla Faris Dr. Frank Farrington Ms. Julie Ferry Dr. David Ferry Dr. Bob Field Dr. Kitt Finley-Parker Ms. Pat Firer Ms. Wendy Fitzgerald Dr. Scott Francis Dr. Sam Galstan Ms. Rina Gaspari Ms. Ivorie Glass Ms. Tammy Goswick Ms. Diane Grimes Ms. Kim Grossman Dr. Gary Haines Dr. Mike Hanley

Dr. James Hartigan Dr. Carroll Wooddell Ms. Sue Steele Dr. Donna Helton Dr. David Yandle Dr. Ricky Sterne Ms. Wendy Hicks Dr. Kent Yandle Dr. Richard Taliaferro Dr. Charlton Ho Ms. Barbara Yandle Dr. Elizabeth Tarpley Dr. Matthew Hogendobler Ms. Worknesh Tekle Dr. Brenda Young Ms. Dana Holderfield Ms. Cathy Toler Dr. Ralph Howell Dr. George Trask Dr. Wallace Huff Ms. Tricia Traugett Dr. Bruce Hutchison Ms. Caroll Vasquez Ms. Angela Johns Ms. Anabelle Velazquez Dr. Neal Jones Ms. Jo Viglione Dr. Claire Kaugers Dr. William Viglione Dr. Hemani Kaur Dr. Richard Villa Ms. Lavne Kerruish Dr. Gus Vlahos Dr. Christopher King Dr. Sharone Ward Ms. Betsy King Dr. Les Webb Component 5- Dr. Dr. Rod Klima. Dr. Edward Weisberg Donna Helton and Ms. Paula Knight Ms. JoAnn Wells her happy patient Ms. Phyllis Krocmal Ms. Sherry Wilson are all SMILES! Ms. Kathy Lawrence Dr. Roger Wood Dr. Scott Leaf Dr. Guy Levy Dr. Mayer Levy Ms. Robin Levy Ms. Becky Lighfoot Dr. Melanie Love Ms. Tracy Mannino Ms. Melanie Marcotte Dr. Van McCarter Dr. Stephanie McRae Ms. Shirley Meade Dr. Benita Miller Dr. Mark Miller Dr. Bhavana Mistry Ms. Hamany Mol Ms. Beth Moore Dr. Tamesha Morris Dr. John Mosher Dr. Ed Mullins Ms. Kathy Mulloy Dr. Edward Mustian III Ms. An Nguyen Mr. Dao Nguyen Ms. Bonnie Nickerson Dr. Susan O'Connor Ms. Suzette Oyler Dr. Bonnie Pearson Ms. Joan Pellegrini Dr. Anthony Peluso Component 4 - Children in Richmond Ms. Gina Pitrone spend the day at the Virginia Science Dr. Wright Pond Museum learning about nutrition and Ms. Paula Poore dental health. Dr. A. Carole Pratt Dr. James Priest Dr. Norm Prillaman Mr. Cameron Quayle Dr. James Revere Dr. Elizabeth C Reynolds Ms. Euna Rioseco Dr. Richard Roadcap Ms. Maria Robles Dr. Leslie Rye Ms. Barbara Sanderson Ms. Shannon Saunders Dr. Roy Saunders, Jr Ms. Susan Savage Dr. Stephanie Sawyer Dr. Walter Saxon Dr. Richard Schambach Ms. Jannette Sedo Ms. Lei Song Ms. Betsey Soulsby

Component 3 - Mem bers of the Southside Dental Society (along with the toothfairy and Crest toothpaste) pose for a photo with one of the student es say contest partici pants. Between 500 1,500 people visited and/or participated in the Southside's An nual Dental Health Fair held at Southpark Mall on February 22.

Component 2 - Hygienist, Tracey Mannino, instructs chil dren at Briarfield School in Newport News about the im portance of eating healthy and brushing your teeth.

Virginia Dental Journal

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28 Virginia Dental Journal

[

2003 VIRGINIA GENERAL ASSEMBLY WRAPUP Chuck Duvall, VDA Lobbyist

OVERVIEW: The 2003 Session of the Virginia Gen eral Assembly adjourned on Saturday, February 22, 2003 - on time with a bal anced budget. The bUdgetwas balanced on the back of fee increases (including a $5.00 increase in individual and com mercial drivers licenses to mention just one), mark ups in the price of spirits at ABC stores and some consolidations in state services. The House and Senate introduced 2,825 bills and resolutions with 1,646 pass ing. All decisions were made with one eye on the legislation and the other eye on the November 7th , 2003, elections where all 140 seats in the General As sembly have to stand. An update of all the bills monitored andzor lobbied can be viewed by going to the VDA Home Page and keying in: http://www.vadental.org/

Click on "Wrap Up" for "2003 General

Assembly Update." You will need to

sign on with your Member 10 and Pass

word.

We have highlighted some specific is sues below:

clause and signed by the Governor on March 16,2003.

Dental Hygiene/Administration of Drugs: The VDA thoroughly reviewed a proposal suggested by the Dental Hy giene Association that makes a change to the prescription drug statutes to al low dental hygienists to apply topical drugs (Schedule VI) under general su pervision (as opposed to direct supervi sion) of dentists. SB 1090, patroned by Senator Bill Bolling, who also chairs the Joint Commission on Healthcare, has been approved by both Houses of the Legislature and has been signed by the Governor.

Reporting:

Senator Bill Bolling also introduced Senate Bill 1091, which is a product of the Joint Commission on Healthcare. As a consequence of the passage of a new definition of dentistry in 2001 , oral maxillofacial surgeons performing cer tain cosmetic procedures certified by the Board of Dentistry, under SB 1091 , will be required to file reports with Vir ginia Health Information (VHI). These are the same reports presently being filed by plastic surgeons.

Volunteer Dental Services:

At the request of VDA, Delegate Jackie Stump introduced House Bill 1900. This bill was introduced to correct language in legislation that Delegate Stump had passed and signed into law last year. Last year's legislation allowed dentists or dental hygienists who do not pres ently practice in Virginia, but who do hold a valid license or certificate to prac tice elsewhere, to participate in free healthcare clinics in underserved areas of the Commonwealth. HB 1900 clarifies that a paid staff can provide the administrative assistance for a program such as the M.O.M. Project. It also sets more reasonable geographi cal boundaries where the projects can be conducted. Legislation passed with an emergency

VDA, as this bill was being drafted, in dicated that we would not oppose the legislation so long as it did not go be yond the gathering of information as outlined above. This bill, also, was unanimously ap proved by the legislature and signed into law by the Governor on March 16, 2003. It becomes effective on July 1, 2003.

Physician Disciplinary Procedures: Delegate Winsome Sears was the chief patron of House Bill 1441 . This legisla tion was introduced as a result of a num ber of public reports dealing with the present disciplinary practices at the Board of Medicine. The most significant change this bill made was to change the standard for

disciplinary action by the Board of Medi cine from gross negligence to simple negligence. This puts the Board of Medicine consistent with the standard used by most of the other health pro fession licensing boards inclUding the Board of Dentistry. For oral maxillofacial surgeons who have hospital privileges, the bill would ad vance the reporting date that the hospi tal has to tell the Health Professions Board of adverse disciplinary action, i.e., an OMS has had his privileges sus pended by a peer review. The report would be made to the Department of Health Professions within 30 days. An appeals process would be running si multaneously. Though Sears' bill received the bulk of the attention, both within the legislature as well as in the public domain, two other companion bills worked through the legislature. They were SB 871 (in troduced by Senator Creigh Deeds) and SB 1334 (introduced by Senator Bill Bolling).

Medicaid: Across the board budget ary pressures necessitated Medicaid taking a hit. Additional savings were initiated from many of the major provider groups in Medicaid. Fortunately, den tistry escaped the budget-cutting knife. In light of the fact that the present Med icaid coverage for dental services is not at the appropriate level, it is hard to make a case for cutting those existing fees. Vending Machine/Nutritional Stan dards: Two pieces of legislation deal ing with banning vending machines in schools and/or setting nutritional stan dards for school snacks were intro duced. They were H B 2403 (patroned by Delegate Mitch Van Yah res of Charlottesville) and SB 923 (chief pa tron was Senator Leslie Byrne of Fairfax). Both were defeated in com mittee.

Medicaid Oral Health Study:

Two resolutions were presented, one calling

Virginia Dental Journal

for a review of dental participation in Medicaid (HJR 636) and a second one designed to review access to oral health (SJR 317). Both of these measures were defeated in the respective Rules Committee of the House and Senate. These issues have been thoroughly re viewed and studied in the past. Default On Student Loans: Delegate Bob Tata of Virginia Beach was the chief patron of House Bill 1792. This legisla tion allows for the revocation of a license issued by the Health Regulatory Boards, including the Board of Dentistry, for those individuals who are delinquent with the payment of their educational loans.

Total Expended In Legislative Races

HOUSE SENATE

The price to run for elective office in Vir ginia has escalated dramatically, but as a former member of the legislature was fond of saying, "That's the cost of two party politics." Just to give you a better feel for it, we have listed some informa tion in the chart at the end of this ar ticle: In 1995, Senate challengers who won 40% or more of the vote spent an aver age of $158,000. Four years later, chal lengers who had reached that thresh old spent an average of $248,000 - an increase of nearly 60%. The compa rable numbers for the House were $95,000 in 1995 and $169,700 in 1999 - an increase of more than 75%. I bring all this to your attention to point out the fact that VADPAC desperately needs your help now more than ever. Thanks to your efforts, VADPAC has been able to participate in campaigns much more effectively over the last six to-eight years. We cannot stop now. We need to con tinue to move forward. Thanks for your efforts in this regard. 30 Virginia Dental Journal

1995

1999

$5.7 Million

$12.4 Million $8.9 Million

$17.1 Million

$5.8 Million

$11.9 Million

VADPAC CONTRIBUTORS

I\I1s. Nicole Pugar, Director of Public Policy

The following individuals have contributed to the Virginia Dental Political Action Committee (as of March, 2003) . The VADPAC Committee sincerely thanks you for your support and encourages you to continue to support the PAC so that we can support candidates for public office who support dentistry. Active VADPAC ($75)

*Commonwealth Club Member ($200)

**Governor's Club Member ($550)

***Apollonia Club Members ($1,000)

The Governor has proposed a substi tute that will be considered during the April 2,2003, Veto Session. ELECTIONS LIE AHEAD:

As we noted above, all 140 seats of the

Virginia General Assembly stand for

election this year. VADPAC will be par

ticipating in the vast majority of those

elections.

1991

A special thank you to several members who contributed at the! Apollonia Club Level. These individuals gave $1,000 in support of the I VADPAC. Thank you for your support and dedication to the Virginia Dental Political Action Committee! Dr. Charles L. Cuttino III Dr. David M. Deviese Dr. C M Garrison Dr. David B. Graham Dr. Wallace L. Huff Dr. Rodney J. Klima Component 1 Albinder, Kenneth' Archer, Richard D ' Arnaudin, Richard A Bailey, Jeffrey C Baker, J P' Barney, John I Bisese, Samuel S ' Bradshaw, J D Brown, Townsend Jr ' Brownstein, Morton A ' Bussey, William F Jr ' Cahoon, Roger H ' Candler, Robert A' Caravas, Jerry G Jr ' Cash, Lawrence H Cavallari, Kenneth J ' Chappell, Peggy M Clarke, Jerry C Clayton, CG ' Cleckner. Dennis E ' Cooper. Kevin C ' Cox, Thomas L Cox, William R Jr.* Cox, William W ' Cranham. John C ' Cruser. Melvin E III ' Davis, Debra A ' Dilaura. Thomas

Dr. Dr. Dr. Dr. Dr. Dr.

Dodson, William S ' Dodson, William S Jr ' Dorfman, Howard S Drescher, Charles A ' Einhorn, Bernard I ' Etheridge, Daniel M ' Fletcher, Charles P Foleck, Adam S Foster, David K ' Foster, Richard D ' Foster, Tiffany D ' Fuhrmann, Ronald C Fulton, Catherine 0 Furman, Randall I Gigliotti, Frank B Glass, David A ' Goldstein, Keith' Goldstein, Stephen M Graham, David B '" Guthrie. Alfred R Jr Hamlin, Daura C '* Harris, Richard B * Hasty, Michael F Hatcher, William R ' Hearne. Steve P , Hechtkopt, Michael J Hendricks. Arthur C Heriford, Susan E ' Herman. Barry L

Michael Morgan David P. Mueller J. Ted Sherwin Edward P. Snyder William J. Viglione Andrew J. Zimmer Hermelin, Mark Higinbotham, William Jr ,* Hooper, Christopher A ' Hopkins, Thomas U ' Howell, Ralph L Jr ' Howell, Ralph L Jr ' Howell, Ralph L Sr ' Howell, Robert W ' lervolino, Robert A ' Ishom, Thomas J Jett, Lynn T ' Kail, James J ' Kaiser, David L ' Kent, Dean E Kesser, Howard L Kessler, Alan R ' Konikoff, Albert B ' Konikoff. Stephen E ' Krochmal, James E ' Laurence. Charles J Le Tellier, Paul' Leidy, Jeffrey R ' Levin, Mark S ' Levitin, Frederic R * Longman, Bruce I Mahanes, Alan W * Mahanes, C M * March, William C Marcou. Michael A

Becker, Sidney' Mason, Stanley J • Mayo, C V • Bennett, William J McMillan, Vicki M Bernhard, Elizabeth A • Blaney, Theodore A • Meader, Stephanie' Bowe, Thomas P Jr • Meeks, Darrell A • Bowler, Michael W • Midgette, Brian P • Boxx, Eric W • Milonas, Demetrios P Burden, James A • Morgan, Michael S Butler, Corydon B Jr Morgan, Pamela A • Morrison, Marshall W Jr' Butterfoss, Thomas • Mosher, John D Cabaniss, Charles K • Mostiler, Thomas W Covaney, Michael' Mueller, David P ••• Covaney, Sharon C • Newell, Gary Creal, Albert F Jr • Nottingham, James H Jr • Dailey, George C • . 0' Hra, Thomas' Davenport, William L • DeGinder, Bruce R • Oliver, Tracy S •• Denisoh, John J • owens, Russell G Jr Dollar, Matthew' Pellerin, Robert D • Pirog, Dennis J Dreelin, Robert A • Dukart, Rodney C • lauka, Gail V Dumas, Harold B ope, Robert A • Ellis, Robert B • uigg, Richard K • amsey, Harry E III Epstein, Ross' anson, Thomas W Jr' Fashing, Gisela K • Feild, Robert J • hodes, James N • Foretich, Jerome F Jr • lchmond, Leslie I • Forrest, David' ogge, Rod M • rosenblum, Scott H • ; Francis, Scott H • ass, John J Freeman, Gerald Q Jr • , Carl P' Frey, Gilbert J Jr Geary, Thomas R Jr • ledge, James L III • Gibbons, Walter S Jr • 01, George J • Golrich, Scott J • hs, Warren E Green, Barry L er, Laymon A • Griffin, William T • .vage, Anthony W • Harris, Charles R Jr fl, Ivan R Hartmann, Paul K • nbrun, David W • Hinson, Lanny C • umpf,Gregory A Hunt, Elizabeth D' Oscar W Jr let, Harvey Hili" Hunt, John F III • " H K III Hunt, William S • ons, Robert A • Jacobs, George A i, Theodore R • Kaplan, Marvin I • r, Ned D • Kenney, Jeffrey N • .as, Bennett' Kokorelis, Michael J Lee, N R • ins, Stanley P • Leigh, Timothy A • AnthonyG Jr r; Britt E • Lombard, Joseph A Jr • erg, A J • Luckam John P •

urg, Edward •• Lynn, Anne •

y, Charles P Jr. • Martin, Shannon M •

hWalter K • ~~"'''' lin"

**.

Pape, Russell A Parks, William R • Parrott, Thomas R Jr.• Perlman, Steven L Piascik, Christine L Piche, Jon E Price, Mckinley L • Rajniak, John D Rubenstein, Loretta K • Sagman, Michael E Samaha, Lisa M • Sarmiere, Lawrence R Shield, Francis W • Siragusa, Joseph J Springmann, Sebastiana Stall, WM' Sundin, Allan C • Tankersley, Ronald L • Trimmer, William Till' Venne, Marko' Watson, Benjamin T III Wendell, Peter D • Williams, Daniel S • Witty, Thomas E Jr Woodruff, Harvey C III •

Component 3 Bailey, Stephen W • Baranker, Howard J Bates, Richard W • Bissell, Stephen L Boyd, Herbert Rill' Brown, Stephen C Bunch, William G Jr • Callery, William F • Coghill, Thomas M Ellis, David L Farrington, Frank H Ferry, David R • Galstan, Samuel W • Gerard, Scott E • Griffin, Charles' Hanley, Michael R • Henry, Edward P Jr • Henry, William C • Hillier, Joseph C • Johnson, James K • Lynn, John W Meade, Raymond L • Neal, Harold J Jr 0' Neill, Robert L •• 0' Neill, Robert L • n ... I

Yandle, Kent

Component 4 Adams, Anne C • Adams, Randy' Adams, William R • Alexander, John M • Anderson, Ralph H Anderson, Ralph L Atkins, CarlO Jr • Attreed, Elizabeth M Ball, Shari L Barbieri, Steven J Barnard, W C • Barrett, Charles H Baum, Philip J Beam, David R • Betzhold, William C Bird, Eliot W • Blackburn, Jefferson T Brassington, Bryan A • Bryant, Joseph C Burns, Donna A • Byrd, Richard L • Campbell, Michael A Carlton, Jonathan E • Cheng, George S Chevalier, Jack W Ciccone, Robert J Cleveland, Russell A Cole, Gregory A • Cooke, Thomas S III • Cottrell, Richard W • Covington, William D Cox, Gregory R • Cox, Robert Y • Crawley, Theresa Y • Cumbey, James L Jr Cuttino, Charles L III ••• Cyr, Jeffrey E • Dabney, Charles W • Dameron, Stanley D • Davia, Allen J Davis, George E III • Day, Jeffrey' Dedmond, R C • Dickinson, Terry D • Doswell, John C II Duff, James S III • Dunlevy, Harry A • Dymon, William D • Elias, Thomas G

Griffin, Barry I Griggs, Edward N III • Hamilton, Michael D' Harris, Monroe E Jr • Hebertson, Mark S Herring, Nelson Hubbard, Maury A Jr Huddle, David F • Huie, Mark A Hunt, Rona;d Hutcheson, Chuck Hylton, Richard D • luorno, Frank P Jr • Jiral, Paul M • Johnson, Bradley' Johnson, H P III • Johnson, Robert A • Kaugars, Claire C • Keeney, Kanyon R • Kendig, Robert 0 Kerneklian, Murad' Kilbourne, Michael S King, John W Kittrell, John S • Kitts, Connie S • Kontopanos, Gregory K Kurzer, Barry L • Lambrechts, Marcel G Jr • Lance, James R • Layman, Thomas 0 Lazar, Dale' Leahy, Daniel R Leary, BA Levenson, Lanny' Levitin, Donald G • Livick, Brockton A • Lloyd, H C Jr Lombardozzi, Nicholas C Major, David Malone, Christopher M • Marks, Norman' Mason, Erika C • Maynard, John G Jr • Mc Andrew, Brian P • Mc Andrew, Karen S • Mc Munn, Michael 0 • Mears, Gene' Metzger, Lawrence C • Meyer, FW Miller, Benita A • Miller, Michael E • Monacell, John F "'JI_ ..........

lAI... _...J . . . . .

Ottersberg, Christine E * Overstreet, Douglas Jr • Overstreet, Susan R Overton, Bruce W Padgett, Thomas B * Pagan, Robert • Penterson, Robert * Perkinson, William Bill Radcliffe, Stephen S * Redwine, William J Reynolds, Elizabeth C Richardson, Christopher Roberts, Kathryn M • Rose, John B III • Ross, Edward F Jr • Rossetti, Michael A • Saroff, Stephen A Saxon, Walter E. Jr. * Schroeder, James R • Schultz, Allen 0 Selden, Stephen F • Sill, L S Spillers, Ronald E Steadman, Robert B Stenger, AI J • Sterling, Arden M • Stewart, Henry I Straus, Frank 0 • Swanson, Kimberly S -: Swisher, David M • Thomas, Charles P Jr • Todd, Stephen J • Trawick, Donald G • Trow, Thomas H Tuttle, Stephen F' Vacca, Richard S Villa, Richard H Vitsky, Paul L Wade, Frank A Wallace, James C Webb, Leslie S Jr -White, David A White, Paul R II * Whitlow, Odie A Wilkerson-Cox, Sherri" Wilson, Richard Wiltshire, Curtis B Wood, Richard Wood, Roger E • Wood, William C Jr Young, M W Zelazny, Gretchen 0 Zoghby, Gregory M • Component 5 Ah, Michele K • Allara, Jack M II * Andrew, Sandra Austin, Keith H • Bailey, Anthony 0 Barfield, Gordon 0 Barrick, John A • Bittel, David E Black, David E * Blanchette, Mark E • Carter, John C * Coleman, Wayne T •

Coots, Fred A Jr' Crabill, Ralph L Crabtree, Mark •• Crawford, Gary W * Crist, Frank C Jr * Crist, Jason S • Cutright, Barry K Cutright, Martha C Deyerle, William A Dietrich, Craig B • Gendron, Gregory T * Gentry, Garland G • Gilbert, James I III • Greenway, Ralph K Greenway, Ralph N Grogan, Frank Till' Hall, Michael E Hammond, Albin Bill Harvey, PaulO Helton, Donna F • Hinrichs, Robin E • Howard, Gregory 0 * Hoye, James R Hughes, Gregory S • Hunt, Michael G • Hutchens, Gregory' Jenkins, Charles W Jewell, Larry R • Joachim, Richard J Johnson, Geoffrey E • Jones, David C • Jones, Michael L JUlian, James P Kemper, James C Kevorkian, George Jr Krempl, Robert J Lea, William P Jr Lovelace, Edward Y III Mallinak, Raymond F Mayhew, Jessie W Jr Mc Avoy, Brian J * Mc Corkle, Maston R Jr ' Merian, Robert L Midkiff, Kenneth B Midkiff, Kevin S • Moore, J P Jr • Norbo, Randy J • 0' Keefe, Edward M Osborne, Elbert P Jr • Penn, Joseph H Pollard, James A Price, Douglas S Jr Priest, James H Prillaman, William N II • Ramsey, Alexander W • Riley, Jeffery' Roberts, Carole R Rockhill, Amy 0 Roller, William 0 Jr • Shearer, James W • Sherwood, Richard L * Silvers, Arthur T * Singleton, John L Slaughter, Terry W * Smith, C F Smith, Mark P • Smith, Ransom N •

32 Virginia Dental Journal

Smith, Richard 0 II • Snow, Kevin * Snyder, Edward P ••• Sowers, Steven E * Sparger, H M • Stanley, James L Stephens, Nathan C Strange, Charlton B Jr • Sutherland, William M Tabor, Christian S * Thews, Marvin E Jr Vess, Fremont A Jr' Wall, Jesse R • Wallace, Caroline A * Wallace, Donald M • Walrod, John H Walton, Guy W Jr' Wheeler, David L Wheeler, Kyle W • Wheless, John Rill' Wolfe, Barry' Woods, Michael L Zechini, Richard R •

Component 6 Abbott, Michael A * Armour, William 0 Ball, Mark S Bassham, Deborah A Bays, Thomas F • Boswell, Cramer L • Boyle, Richard Pili' Brown, Bobby L' Brown, Ronnie L Chamberlain, Dana Cole, Jack 0 Collins, Timothy E • Copas, Jeffrey M Copenhaver, Richard G Crumpton, Brooks R Dillow, Walter R Jr Doty, Michael 0 Francis, Donald M • Gates, J L Gilliam, George 0 Glasgow, Matthew W Gleason, James M Jr Goad, Marlon AGraham, Robert F Gregg, John M • Harman, Marvin 0 • Harris, Charles E Harrison, Glenn A • Higginbotham, Henry II * Hilton, J E Jr • Hilton, Ronnie M * Hollyfield, NeilD * Householder, RonaldHoward, Clinton W * Huff, Christopher B • HUff, Wallace L ._ Hunter, Amy B' Jessup, Ronald D - Johnston, Frances A * Keene, Carla * Kilbourne, James E Jr Kyle, Lawrence J •

Lawrence, Leighton E • Lykins, Lee Fill' Martin, Donald L * Matheson, Barry R • Mc Donald, Peter J Miniclier, Gordon J * Moore, French Hili * Mowbray, Perry 0 Jr' O'Connor, Susan • Paget, Joe A Jr' Perkins, Dennis W * Perkins, Nancy B * Pittman, Tyler L • Richardson, Emmett III • Robinson, William S Schambach, Richard' Schnecker, Dennis C • Schneider, Joseph P • Schuster, Robert G Schwartz, Frank' Seaver, James M • Semones, John 0 • Shelburne, Roy S • Southern, Cynthia' Stepp, David L • Stubbs, Julie S Stubbs, Paul C Sukle, Vincent F Jr • Thompson, Damon B • Thompson, Daniel E • Throckmorton, Dennis Umstott, Paul T • Vlahos, Gus C -Wheeler, Steven L White, HR, Jr. Young, Glenn A -

Component 7 Akeel, Ed AAlvis, Stephen G Bagheri, Desiree A Baisey, Teresa A Barberio, Frank 0 Berbes, William C • Bickers, Duane J Bigelow, William C Binda, Robert L Binda, Robert L Jr Bream, Alan J • Brill, Byron A * Brooks, Cynthia Brown, Donald R • Byers, Paul G Chicurel, Joseph' Clarke, Stephen M Davis, Jeffrey S' Dearment, Damon W • Dennis, Suzanne M • Devening, 0 C Jr Diaz, Ernest Downey, Ronald G Driscoll, Robert M Jr' Farmer, James R * Fortney, Clark 0 * Freedman, Kathryn G * Gardner, William A Garnes, Richard •

Garrett, Steven G Garrison, C M ••• Gilrain, David L Goodloe, John L III * Greene, Joseph M Jr * Gromling, Thomas A * Grupp, William A II * Haines, Gary W Hall, Robert B Jr • Hamer, David B • Hanson, Benjamin S * Heath, Richard T * Helsley, Conrad A Herring, Carolyn C • Hodges, Jeff E * Horbaly, William Hutson, Hammond M * Inouye, David K' Jones, Frank 0 Kayton, Jack Till' King, Patrick 0 • King, Robert 0 • Kivlighan, Michael F Klamut, Kenneth M • Knight, John H Knight, John Jr Kokel, Deidra L • Kray, Frances M • Krese, David L • Lacy, John J Jr ' Lenz,Brent E Mc Corkle, Allen 0 • Mc Intyre, Joseph M Miller, Robert A • Mistr, Wilson T Neese, Danny B Pemberton, Berkley M Remington, Wayne Robbins, Alan Roller, John R Rosenthal, Ronald L Schultz, James M • Sherman, Heidi A * Sherwin, J. Ted'- Spano, Donald M States, Michael E Stiebel, William L Stone, James R • Stoner, Craig C Stout, Michael E Sweeney, William T • Taliaferro, Richard L • Tamkin, Lewis 0 • Tisdelle, George W • Tolley, Larry L Trabosh, Jon M Viglione, William J -- Wallace, Charles W • Watson, Raleigh H Jr' Whited, Don P Whitney, James H Wright, Douglas 0 • Yeatras, Peter S • Zebarth, Stephen M *

Component 8 Afsahi, Steven P'

1 'f

'b'

,'1

Alachnowicz, J David' Claybrook, Robert A Jr' Alejandro, Rodney A • Cocolis, Peter K Jr • Allegretti, Scott A • Coffelt, Marie P • Allenchey, Elizabeth S Coker, John H Jr' Allison, Wiliam H • Collins, Michael J • Andersen, Holly H Connolly, Susan W • Anderson, David C • Conrad, Paul W • Anoushfar, Scheherazad • Corcoran, Theodore P • Arbuckle, Eric' Covel, Jerome A Argentieri, Robert 0 Crutchfield, William E • Armstrong, Lewis P Cusumano, Joseph' Arzadon, Joseph E • Daczkowski, Thomas' Aziz, Ahmed' Davis, Jeffrey P." Babington, William W • De Leo, Arthur A • Dean-Duru, Lynda N • Bagden, M A' Banker, Lawrence K • Delgado, Edward B • Banks, Robert J • Deutsch, Charles M • Barrett, Harold J • Deviese, David M ••• Basinger, Ashley' Dibbs, Frederick N • Bath, Gregory 0 DiGennaro, Myles R • Batistas, Theofaniy • Dikeman, Ted L • Bell, Alonzo M • Dillon, Kathleen G Bell, Hunter' Direnzo, Gregory S • Bell, John A Jr' Dodrill, David E • Dollard, Wayne J Belmonte, Stephen' Berman, Scott C • Donahue, James J • Bernhart, Brendan J • Donohue, Richard F • Bernhart, Edward J Doriot, Robert E • Bernier, William E • , Dougherty, William V III • Bertman, David' Dryden, James S Jr' Besner, Edward' Durr, J C Jr • Bethel-Soppet, Shirley' Dutson, Henry F Jr • Betzold, William F Dvorak, M C • Binzer, Randall H • Egber, Mark' Block, Robert M • Ehle, Charles E • Bluhm, Andrew E • Ehreth, John S • Bolil, Joseph M • Eichler, Thomas J • Bonacci, Christopher E Ejtemai, Nastaran • Botuck, Henry M • Ellenbogen, Gary F • Brandt, Jason 0 • Ellington, Paul' Brigleb, Richard C • Emad, Neal R • Broth, Stuart A • Evans, Candace E • Evans, Robert L • Brotman, Sanford' Bruno, John F • Fabio, Michael A • Bubernak, Fred A • Fagan, Harold H • Buckis, David C Sr' Falaiye, Victor' Bukzin, Mitchell J • Falbo, Anthony D' Burch, Stephen E • Farr, Michael V • Burger, Brenton W • Fauteux, Kenneth M • Burke, Carol P • Feeney, Brian A • Butts, David L Jr • Ferramosca, Timothy L • Byrne, Kenneth P • Ferrara, Charles M • Canby, Frederick' Ferris, Philip S • Cao, Hong' Fields, Charles R • Fink, Bernard B • Carr, Bernard T' Carson, Daniel 0 • Finnerty, Raymond J • Casey, George M • Fishman, Edward' Casey, Todd M • Fleming, Harold A • Chang, Jonathan Y • Flikeid, Robert C • Charles, Makepeace' Forest, John P • Chaudhry, Maqsood A * Forsbergh, Eric J • Forsee, James H Jr * Chioariu, Ilie Jr * Chuang, Shue-Jen Fox, Lawrence T * Chung, Michael K * Frank, Gerald I • Citron, Albert A • Frank, Harold L * Clark, Brian R • Freedman, Brad M * Clark, Jeffrey S * Fresch, Danine *

Fuchs, Steven' Fuentes, Agnes' Galatro, Derek J • Gallegos, Robert A • Garai, Allen S' Garrett, Wanda F Gerald, Glenn 0 • Geren, James 0 * Gh-Zolghadr, Mandana • Gibberman, Paul' Giberson, Kenneth R • Gilfillan, Andrew G IV' Gillespie, Joan Godlewski, Richard J • Golden, Alan H • Goldhush, Wanda M • Golian, Timothy J • Golub, Mark E • Good, John A Gordon, Mark' Gorman, Michael H • Gouldin, A. Garrett' Graves, Stuart L' Green, Michael J • Green, William p' Greenspan, Gary • Gregory, Mary Griffin, Alfred C Jr' Griffin, Susan S • Grimmer, Bryan L • Grimmer, Lonny 0 • Grubbs, John T • Guleria, Ali' Gyuricza, James L • Haggerty, Kenneth M Hall, Robert G Hanna, Peter J Jr * Hardin, Michael T Harre, John W • Harris, Jeffrey A • Hart, Patrick 0 • Hartman, Melanie W • Hartz, Gary L Hauptman, Ronald S • Henon, James P Herbert, Floyd 0 • Hindman, Edward Jr Ho, Charlton' Ho, Stewart C • Hoang, Duolainey 0 • Hoffman, Gerald A * Hoffman, Howard' Howell, John N II • Hughes, Herbert M • Hughes, Timothy J * Hutchison, Bruce R • IIchyshyn, Nicholas W • Imburg, Irving J Ivy,Gregory' Jackson, Ronald 0 Jay, Bruce W • Jelinek, James W • Johnson, Fred 0 Jr Johnson, Steven 0 • Johnson, Steven R • Jordan, Ralph Kamali, Touraj •

Kean, Edward' Kentz, Patricia' Khouri, John H • Kim, Robin S • Kim, Sonny S • King, Hoang N • Kirksey, Charles 0 • Kitchen, Kim I • Klima, Rodney J ••• Kling, John 0 II • Klioze, Earl E • Klioze, Jeffrey I • Kotler, Lawrence M • Koussa, Mai Y • Krochmal, Frederick S Krygowski, John J • Kuzmik, Michael 0 • La Briola, J 0 • La Cava, James J • Lanier, Stephen T Lanzaro, Peter J Laurent, Barry Lavecchia, Gregory L • Lazear, William R • Le, David Q' Le, Lan p' Le, Trang T* Leaf, Scott H • Lebonitte, Robert A • Lee, Chong W' Leekoff, David I Leff, Gary Leiner, Zachary • Lenz,H T Jr' Lessne, William' Levin, Stanley M Levine, Paul E • Levine, Robert A * Lewis, Andrew G • Li, Tin W' Lillard, Jonathan F • Lindsey, David' Lindsey, Thomas F • Line, Richard Vm * Locke, Maureen' Longauer, E J • Longman, Eddie S • Love, Melanie' Loveday, Clay 0 • Lucht, David W Lupi, James E • Luposello, Mark A • Maharaj, Barry R • Mahn, Douglas H • Marcellin, Roger L • Marcus, Carlene 0 • Marino, John A Markoff, Bruce W' Marzban, Pamela' Marzban, Robert B • Massaro, Alfonso 0 • Massie, Jeffrey M • Maull, Deirdre' Mayberry, Rodney S • Mayo, Ryan C Mayo, Stephen J Mc Combs, Michael A

Mc Donald, Anne S' Mc Donald, Robert A • Mc Grath, Katherine A Mc Grath, Kevin M • Mc Millan, Alex' Mc Quiston, Scott A • Mc Yay, Thomas J • Mercantani, John' Metzdorf, David W • Midkiff, James H • Miller, Glen' Miller, Mark * Mitnick, Howard M Jr • Montalto, Sanford * Morabito, Robert A • Morch, Michael H • Morris, B B • Mortvedt, David M * Moshiri, Tara T • Mossier, Margaret M Motamedi, Saeid • Muller, Lawrence R • Murchie, Carl R • Muss, Nicholas' Nanna, William J Nardiello, Charles A • Nassif, N J • Nelson, Charles H Jr • Newman, Jerome W • Nguyen, Denise T • Nguyen, Diem * Nguyen, Nikki Trinh T • Niles, Raymond R Jr • Norbo, Kirk' Nosal, Gregory • Novick, Arthur J 0' Donnell, William A • 0' Shea, Michael' Oh, Joseph J • Ohri-Parikh, Anuja • Olenyn, Paul T • Oppenheimer, Michael' Ortega, Thu-Nga H • Ossakow, William * Ostrolenk, Arnold Jm • Outten, W L III • Pace, Warren J Jr' Pal, Gopal Palmieri, David * Pandak, Hilary • Papastergiou, George' Pash, John W Jr • Passero, Peter L • Patel, Nimisha • Patil, Sudha P • Patterson, Adrian L Jr • Patterson, Paul H • Patterson, Travis T • Paulsen, Albert G • Peete, David 0 Perez-Febles, Joaquin Pham, Anh' Pham, Hanah • Phass, Dean J • Phass, Sophia C Piccinino, Michael V Pisciotta, Dominick J •

Virginia Dental Journal

Polilko, Michael * Pollack, Richard M * Portell, Frank R * Price, Stephen A * Przybyla, Ted P * Oiu, Kenneth * Rasmussen, Wayne G * Reeves, E A III * Reynolds, Donald F * Reynolds, Gavin E * Rice, Richard 0 * Rich, Jerry H * Richards, Thomas C * Rizkalla, AI * Roberts, Thomas C * Roca, Aurelio A * Rogers, Clark W * Rogowski, David R * Rosenberg, Ronald M * Rosenblum, Steve F * Rosenman, Larry * Rosenthal, Leo J * Roslyn, Albert S * Rothman, Gerald * Rotter, Michael *

Smernoff, Gerald N * Smith, Hubert R Jr * Smith, Mark G * Snider, Lawrence Sours, Charles L Jr * Sours, Elaine K * Spagna, Richard A * St Louis, Stephen Stack, Hollie B Stecher, Roland E * Stephenson, John * Stern, Frederick G * Stern, Richard K * Stoller, Stanley M * Stone, Richard T * Storm, Matthew T * Strange, Robert S * Stringham, William R * Strittmatter, Edward Jr * Stuver, David R * Supan, Paul F Sushner, Leo J * Talaksi, Ruksana A * Tami, Richard G * Tarpley, Elizabeth *

Ruocco, John F * Ruocco, Sandra L * Rye, Dean G * Saba, Shadi * Salmon, John Mill * Samaha, Francis J Sanchez, Marcos D * Sapperstein, Evan R * Sattar, John H * Scello, Peter J * Schecht, Wayne * Scheider, Phillip C * Schell, Robert E * Scimeca, Craig M Sears, Robert S * Seigel, Harold S * Sellers, John G Jr * Sharil,Sherry * Shea, Michael P * Sherman, William B * Shewmaker, Dale P * Sibley, David P * Sisel, Jeffrey A * Sklar, Andrew M * Small, Neil J *

Thariani, Hani * Thomas, Judith A * Thomas, Stephen J * Thomas, William J * Torrey, Edwin A * Tran, Linh T Tsui, Nathan C * Tummarello, Mark L * Tupman, Stephen C * Viscomi, Anthony C * Vorcheimer, Roger F Vroom, Katherine M Wagner, Robert S * Wali, Soliya * Walia, Taranpreet * Wallert, William * Webster, Keri L * Weil, Jack * Weinkam, William H Jr * Weiss, Gary J * Wendt, Douglas C Whiston, David A ** Whittington, Richard M * Wiger, John C * Williams, Jon W *

Williams, Suzanne S * Wilson, Lois S * Winkler, Thomas J * Wissler, Charles * Withers, James A * Wooddell, Carol B * Wooddell, J Douglas Wortman, Michael J * Wu, Linda W * Wyman, Bruce S Wynkoop, Todd E * Vi, Chang * Young, Brenda J * Yun, Samuel Yung, Susan A * Zacko, George B * Zaletel, James G Zier, Tara E * Zimmet, Paul N * Zwibel, Burton C *

VADPAC Contributions By Component 2001 -2003

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] - $13, 562 2 - $14,930 3 - $6,620 4 - $30,495 5 - Sl 2,825 6 - $ ]2,555 7-$16,060 8 - $70.044 Total $177, 091 34 Virginia Dental Journal

2002

] - $27,772 2-$]8.049 3 - $7,450 4 - $32,310 5-$]4,350 6 - $13,445 7 - $] 6,760 8 - $48. 532

] - $24.200 2-$]5,675 3 - $6,075 4 - $28,905 5-$16,550 6 - $14.625 7 - $] 6.600 8-$77.819

Total $178, 668

Total $200, 449

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REPORT ON 2002 ADA HOUSE OF DELEGATES Dr. Wallace L. Huff - Chairman, VA Delegation

The 143 rd Annual Session of the ADA was held in New Orleans October 19 23, 2002. More than 32,000 attendees consisting of dentists, dental students, dental team members, exhibitors and guests attended this convention. The theme forthis year's session "Bring ing Out The Best" was certainly fulfilled by the ADA in education, technical ex hibits, and special events. This included 130 scientific open sessions, 60 regis tered clinics and participation work shops, 550 technical exhibits, nine spe cial events and 35 leisure tours. It was really great to see so many taking ad vantage of these opportunities and en joying all the great attractions of this area, in contrast to Kansas City last year. The Distinguished Speakers Series was a big hit with the honorable past Presi dent George H. Bush, past Secretary of State Madeleine Albright, and past Senator and Presidential candidate Bob Dole.

in the same positive direction we're go ing. I'm sure Howard will do a great job next year. Dr. Eugene Sekiguchi, a general practi tioner from LaCandada Flintridge, Cali fornia, was voted in by the House of Delegates as President-Electof the ADA in a three way race. Candidates for the office of the 151 and 2 nd vice president of the ADA ran uncon tested as did trustee candidates for four districts. Elected unanimously were Dr. David Neumeister of Brattleboro, Ver mont as 151 Vice President and Dr. John E. Roussalis II, of Casper Wyoming as the 2 nd Vice President. Dr. J. Thomas Soliday of Gaithersburg, MD was elected Speaker of the ADA House of Delegates in a two way race. The four new Trustees are Dr. G. Kirk Gleason, 2 nd District; Dr. Perry K. Tumeberg, 81h District; Dr. Michael Biermann, 11 Ih Dis trict; and Dr. Roddy Feldman, 131h Dis trict. nd

A special "Thank You" to Dr. Greg Chadwick for his exemplary leadership this past year as president of the ADA. As Greg said, quoting Mit Sorrells, "This is not my profession. It is not your pro fession. But rather it is our profession, and it belongs not only to us, but to all those who have gone before us to make dentistry what it is today." I, along with the VA delegation want to thank Greg for the role he played in the past year in moving the ADA to a can do ADA. We wish the very best to Greg, Knox and their family. Thanks again for a job well done. Dr. T. Howard Jones, a general practi tioner from Carrolton, Georgia was in stalled as the 1391h president of the as sociation. Four issues of concern to Dr. Jones for the ADA this coming year are membership, education, tripartite relations and federal regulations. As Dr Jones stated in a recent interview that he did not consider the ADA a ship that is off course and that he intended for his time at the helm to keep us headed

36 Virginia Dental Journal

Dr. Mark Feldman is completing his 2 year as Treasurer of the ADA. I person ally believe that the finances of this as sociation are being well managed un der his leadership. In addition, we have our "watchdog" in Bud Zimmer who keeps the members of the 161h District informed with his annual (2003)one page budget summary. Thanks to both Mark and Bud for jobs well done! Starting with the budget, Resolution 27H approves the ADA 2003 annual budqet to $78.9 million. Reso lution 26H amends the bylaws to change the dues of active members to $435.00 (A $15.000 dues increase). The total ADA dues are now $465 which includes a third $30.00 installment of a six year ADA headquarters assessment. Probably the biggest issue at the House of Delegates this year was on Gover nance. Board Report 12 presented two plans. One plan supported more volun teer participation in the ADA while the other plan created less. Our associ a

1 !I

tion is member driven and has a tripar tite structure which is the strength of the ADA. With that in mind, the HOuse of Delegates adopted Res-55H which calls for the BOT to seek input from the membership during the ensuing year on the two options (or other options) for the structure of the House of Delegate and BOT as outlined in Report 12 on Gover nance and report to the 2003 House of Delegates. Res-56H directs the ADA to examine it's Governance structure at least every 12 years. Another resolution that received a lot of activity was the one on Commission on Dental Accreditation (CODA). Our Dis trict (16 th ) definitely had problems with all the resolutions on CODA and it was the strategy of the caucus to defeat the board's resolutions or amend them. After lengthy discussions and much debate, the House of Delegates adopted Res. 1, which resolved that the rules of CODA be approved as revised. Resolution dealing with Bioterrorism Res. 51OH directs the ADA to develop a response plan template that constitu ent and component dental societies can use and that can be integrated into the local mass disaster plan. Res. 52-H calls for the ADA and urges constituent and component dental so cieties to seek and support state and federal legislation that would grant den tists immunity from personal liability for restrictions and services they provide when responding to a mass disaster. Also states that a federal declaration should preempt liability laws and den tal practice acts. Access to Care Res 29-H directs the ADA to conduct and fund an annual "Give Kids A Smile" project. This nationwide event will be gin February 21, 2003 during National Children's Dental Health Month to pro mote access to care for children in underserved segments of society. The one day event will involve dentists throughout the Country volunteering to deliver needed dental care to these chilJ.

dren. This movement has materialized from programs such as the VDA's Mis sion of Mercy (M.O.M.) project. As with the MOM project, this will give dentistry a public forum in which to deliver the message that oral health care for the underserved must become a priority for state and national policy makers. As you know, VA along with other states and local dental groups, have been pro viding free care to the underserved for years. With this national involvement, the association can utilize the local media to underscore dentistry's com mitment to improving access. ADA President Chadwick (Immediate Past) recently told a Senate hearing on oral health care that "the dental Medic aid program is broken." He went on to say that "the Give Kids A Smile project will not solve the problem in a single day and when we get finished that day thousands of children will continue to suffer dental pain until this nation gets 'serious about addressing.the entire is sue of reimbursing and other access problems."

For a more complete summary, one may also log onto: ADA.org:http:// www.ada.org/members/adalresources/ housed/actions.html for a complete list of all the resolutions. In addition, please feel free to contact any member of the Virginia delegation if you have any ques tions concerning the actions of the 2002 ADA House of Delegates. If you are not on the ADA e-mail list, please send them your e-mail address. You will receive frequent updates that will keep you abreast of what is hap pening in dentistry around the country. We would like to extend a very special Thank You to Dr. Dick Wilson who is retiring from the delegation this year. Dick has served on the delegation since 1992. During this tenure, he has served on many councils, commissions, and committees, to list a few: 1.Council on Dental Education 1993-1996 (chair 1994-1996) 2.Commission on Dental Accredita tion -1993-1996 (chair 1994-1996)

Other significant resolutions that were

~passed by the House:

tRes. 73-H approved a one year budqet !.of $323,000 for the ADA Action Plan on 'lAmalgam in Dental Office and Waste ater. The Plan defines "dental best ".anagement practices" and directs the j~DA and urges constituent and com lonent societies to increase dentist's .~lNareness and use of best manage ~ent practices to reduce Amalgam ,~aste. It acknowledges that flexibility . ~ needed by societies to make policy ~r their members based on local con lltions. sss. 25-H directs the ADA's National [arketing Plan to promote direct reim-

3. First Presidential Committee to Study Accreditation (chair 1994) 4. Second Presidential Committee to Study Accreditation (chair 1995 1996) 5.AD HOC Committee on Practice Parameters Development 6. AD HOC Committee on Pre-Gradu ation Licensure Examination

chairman of the 16th trustee district this year. Charlie also served as chairman of the Council on Dental Benefits program, completing his 4th year on that council. • Dr. Bruce DeGinder for his gracious hospitality in opening up his home to the 16 th District Caucus Delega tion while in Williamsburg, VA. • Dr. Anne Adams who chaired the reference committee on communi cations and members services. • Dr. Dick Harris for receiVing the 2002 Distinguished Service Award. • Ms. Jocelyn Lance who was in stalled as the AADA's 46 th Presi dent in New Orleans. Her Presi dential year theme "Your Place In The Dental Community" reflects the diversity of member's needs, con cerns, and roles in serving each other, the ADA, the profession, and the public. Jocelyn, as most of you know, is married to Dr. James Lance (Jim), a retired Endodontist who is now a part-time clinical professor at VCU dental school. Jocelyn will do a great job leading the AADA as she has done in all her past endeav ors. • VCU dental student, Eric L. Kerbs, on his presentation at the 43 rd ADA! DENTSPLY student table clinic competition. The title of Eric's pre sentation was "Competence Genes of Streptococcus Salivarius."

7. Future of Dentistry Project: Panel on Dental Practice

• Dr. Ron Tankersley on his depar ture as chairman of the ADA strate gic planning committee.

Dick has provided this delegation, the

• Dr. Bud Zimmer who was elected

• Dr. Carroll Player, our trustee, for his effective leadership in representing the 16th District on the board of trustees this past year. Members of the Virginia Delegation who served on ADA councils and commit tees are: Charlie Cuttino - Council on Dental Benefits (4 th year) Dave Anderson - Council on Communi cations Rod Klima - ADPAC Ron Hunt - CODA Again, I want to thank you, the Virginia Delegation, for the time and effort put forth at the district caucus in Williamsburg, VA to the convention cau cus, reference committee hearings, and House of Delegate sessions in New Orleans, LA. As President George Bush #41 said on volunteerism, "there can be no defini tion of a successful ~ife that does not include service to others, but you all know that." The 2003 16th District Caucus will be October 10-12, 2003 at the Wild Dunes, Charleston, SC. The ADA House of Delegates will be in San Francisco, CA on October 25-29, 2003. Respectfully submitted by: Dr. Wallace L. Huff Chairman, Virginia Delegation

III

NEW VDA MEMBERS

, J]

~.~~~~~~~~~~~~~~~~~~~~~~~~~~;;;;

THE VDA WOULD LIKE TO WELCOME THE FOLLOWING NEW & REINSTATED MEMBERS. If you get a chance, please introduce yourself and welcome them to the VDA! Tidewater Dr. William H. Walls, Jr. graduated from the Medical College of Virignia, School of Dentristry in 1988. He is currently practicing on Volvo Parkway in Chesapeake, VA. Peninsula Dr. Jeffrey P. Booth graduated from the Medical College of Virginia, School of Dentistry in 1984. He then pursued a degree in Prosthodontics which he com pleted in 1986. Dr. Booth is currently practicing in Hampton, VA. Dr. Frances D. Mullen graduated from the University of Puerto Rico in 1982. Dr. Mullen then went on to serve three years in the Air Force and worked for 16 years in private practice. For the past year, Dr. Mullen has worked in Newport l\Jews, VA, at Community Free Dental Services.

Richmond Dr. Alfred J. Certosimo graduated from the University of Pennsylania in 1977. He also attended an Advanced Education Program in Comprehensive Dentistry at the Naval Postgraduate Dental School in Bethesda, MD. Dr. Certismo is currently an Assisant Professor in the Dept of General Practice School of Dentistry at MCV. Dr. George Cheng graduated from the Medical College of Virginia, School of Den tistry in 2002. He is currently practicing with Dr. Cottrell in King George, VA. Dr. Martin W. Fritz graduated from Ohio State School of Dentistry in 1978. He then completed the two year Advanced Education Program in Fayetteville, NC, in 1989. Dr. Fritz is currently practicing in Louisa, VA. Dr. William Baxter Perkinson, III graduated from the Medical College of Virginia, School of Dentistry in 2002. He is currently practicing in Midlothian, VA

Piedmont Dr. Gregory T. Hutchens graduated from the Medical College of Virginia in 1993. He is currently practicing on Blue Ridge Street in Stuart, VA. Southwest Dr. Monica LeAnn Clisso graduated from the Medical College of Virginia, School of Dentistry in 2002. She is currently practicing with Dr. W.S. Robinson in Clintwood, VA. Dr. John David Hurt graduated from the Medical College of Virginia, School of Dentistry in 1977. He is a retired Air Force Col. and is practicing part time in the Free Clinic in Blacksburg.

Shenandoah Dr. Douglas David Wright graduated from the University of Maryland Dental School in 1985. He is currently practicing with Mountain View Dental Team in Harrisonburg, VA. Northern Va For a listing of new members in Northern VA, please see Component 8's news in the back of this Journal.

2003 EASTERN SHORE

MOM PROJECT

EASTERN SHORE M.O.M. 2003 ANOTHER SUCCESS! ore patients seen, more proce ures performed, more volun ersl The Virginia Dental Health . undation, (VDHF), an affiliate of the A, completed its third successful stern Shore Mission of Mercy ...O.M.) Project. A volunteer team of 1Z~t 225 dentists, hygienists, dental f'·~tants, dental students, hygiene ents, and staff support returned Another satisfied patient! andua High School on March 29 As volunteers began to arrive at reak the long line became visible. reds of men, women, and chil .waited to register and receive erately needed dental care. The igh school shop classes were ormed into 'MASH' dental clinics 786 patients received treat Atotal of 412 restorations, 1,343 lions, 196 cleanings, 755 ex 4 root canals, 109 sealants, 33 5S steel crowns, 14 pulpoto sets of dentures, 2 flippers, 8 repairs, 2 denture relines, and ,ations were performed in 15 )ours. These free dental ser .ere valued at $268,925. The .was hosted by the Eastern Setting up equipment is hard work. Bill Hall receives a well-deserved mas Rural Health System. The sage from Kristin Farrington (Frank's in partnership with the Vir daughter). "., .monwealth University/Medi Lege of Virginia (VCUlMCV) ~f Dentistry and Dental Hy .~.Id Dominion University School al Hygiene, Virginia Depart-

Magic Fingers - Dr. Lance at it again!

Dental student, Vicki Semter with her new "pal!"

INTERESTED IN

VOLUNTEERING

AT AN UPCOMING

VDAM.O.M. PROJECT? Visit the VDA website, www.vadental.org.to

Wise County

Pam Blankenship and Kim Pucket doing one of over 100 sealants provided.

Another grateful stuffed animal recipient.

Jack and Margaret Thompson from Gordonsville with Assistant, Joyce Estes.

THANK YOU TO THE FOLLOWING INDIVIDUALS AND

BUSINESSES FOR GENEROUSLY DONATING SUPPLIES, ETC.

3M Brasseler USA Carol Crouse

Carol Finnerty Carolyn Hawk Jazz Medical McDonald's ! Dr. Benita Miller I Pizza Hut Dr. Carole Pratt I Southern Anesthesia I Surgical, Inc. I I Subway

40 Virqinia Dental Journal

Henry Schein

Wendy's

Norfolk Dental Van

DT 3 Carlette Washington

DT 3 Shucko Jackson

ON Ronaold Patterson

ON Randy Bonilla ON James Walker

ON Jacinte Miller :o:J DT 1 Kenneth Lawrence (Repairman)

Captain Walter Milnichuck (On-site Boss)

"Now, if I were doing it, I would ..."

i MAKING A DIFFERENCE Thanks to the following volunteers for their participation at the ES MOM Project Dave Abbott Omar Abubaker Abrar Algharair Carolee Allen Brad Allen Stephanie Arnold Michael Avent Katherine Aylor Joyce Barcroft Richard Barnes Sheron Barnes Bob Barnes Ricardo Belinchon Jennifer Benedict Bill Berara Beverly Berry Pamela Blankenship Randy Bonilla Elaine Bowser Jay Boyle Carol Brooks J. Wayne Browder Becky Brown Bruce Brown Kendra Brown Keri Butler Gibby Button Shawn Cabbell Robert Candler Zachary Candler Abby Candler John Candler Shannon Candler Susan Carr Denny Cheshire Tom Childrey Donna Cockerille Matthew Cooke Tom Cooke Milton Cooke Sherry Corraro David Crouse Carol Crouse Ben Crowley Charles Cuttino Colleen Daley Robin Dalton Bruce DeGinder Jill Delvillar David DeViese Coral Diaz Terry Dickinson Cherryl Dickinson Wally Edens Sayword Edwards Joyce Estes Pam Evans Rob Eye Jackson Faircloth Frank Farrington Kristin Farrillgton

Abby Ferrar Marcus Fields Kathleen Filicko Rachael Finch Patrick Finnerty Carol Finnerty Helen Fortner Hunter Francis Scott Francis Jan Franklin Michele Freeman Grenn Fritz Gabriel Fritz Christina Gaffos Graham Gardner Bryan Geary Avi Gibberman Meera Gokli Laurie Grasso Missy Griffith Jenny Gross Wendy Hager Christie Hagert Madeline Hahn Bill Hall John Han Cindy Hanrahan Paul Hartmann Mike Healy Clay Hendricks Amy Hendricks Heidi Hessler-Allen Lanny Hinson Tina Horne Shalie Houseknecht John Howard Ralph Howell Tammy Howell Jennifer Jacovides Shucko Jackson Cathleen Johnson Jonathan Jones Kim Jones Susan Jones Jennifer Joyce James Keeton David Keeton Debbie Keller Todd King Shera Kite Rodney Klima Carol Klima Louis Korpics James Krochmal Carol Krochmal Richard Lachine Kim Lake James Lance Jocelyn Lance Margaret Larson

Kenneth Lawrence

Bonnie Lellingwell Kelly Lewis David Lewis Dan Lill Steven Lubbe Ron Lynch Megan Lynch Anna Manilla Ron Manilla Dominic Manilla Danny Manilla Joey Manilla Diana Marchlbroda Mim Martenez Nicole Matern Carol McCarthy Whitney McDaniel Angela McElreath Marina McGraw Tony Meares Emanuel Michaels Faye Miles Jacinte Miller Walter Milnichuck Naomi Mitchell Niloo Mofakhami Melissa Moore John Mosher Byron Murphy Amir Naiminejad Barbara Nichols Bonnie Nickerson James Nottingham Lin Nunnally Hannah Oakland Stuart Oglesby Udo Ogueri Edward O'Keefe Nicole Olsen Rose Marie Owen Sara Painter Russell Pape Robert Patterson Julieta Perezrubio Alejandra Perez-Rubio Jackie Perry Michelle Peters Annah Phung Darryl Pirok Rebecca Pirok Stephanie Pirok Brad Pirok McKinley Price Kim Pucket Sherry Purchas Cameron Quayle Rick QUigg Bridget Reilly-Sheridan James Rhodes Paige Rich Gary Riggs

Kathryn Roberts Patrick Roberts Kate Roberts Pat Roberts Sharon Robinson Neal Rollins Barbara Rollins Anna Nichole Rollins Noel Root Jennifer Rose Rosanne Rosenberg Cheryl Rosner John Ross Angela Rowan Vicki Semter Kara Shantz Sue Shekoski Patti Shifflett Wendy Shinault Vali Shoop Heather Simmons Albert Solomon Betsey Soulsby Robyn Sparks Carl Steger Matthew Storm Lisa Storm Richard Suter Mary Suter Sharon Swanson Jack Thompson Margaret Thompson Alison Thompson Ben Thornal Cathy Toler Amanda Tucker Charlene Velvarde James Walker Carol Walsh Carlette Washinton Jennifer Waterman Jerome Weinstein Edward Weisberg Jeffrey Weisberg Charles Wesley L. Warren West Deena West Gregory Whitmer Teresa Wiley Daniel Williams Keith Williams Jonathan Williams Hollis Wolcott Roger Wood Krista Woodlock JUdy Woolridge Allan Zeno Arlene Zeno Bud Zimmer

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42 Virqinia Dental Journal

115uli1\'an-5;hem Dental

ETHICAL COLLECTION SERVICE OPTIONS

II]

l.C, Systems Members often anguish over the collec tion agency option as a debt collection technique. Chief among those concerns are questions about ethics, the degree of "enthusiasm" an agency should be allowed to put forth, and the price to pay. To assuage those concerns, your as sociation endorsed the collection ser vices of I.C. System. Since then, fa vorable member evaluations and regu lar financial reports indicate that the association's confidence was well placed. Ethical concerns about using a collec tion agency often relate to fears that an agency might use inappropriate tech niques to collect debts. I.C. System has a strong reputation for ethical con duct. And, to allow for fl~xibility in what members feel is an appropriate degree of "enthusiasm", the company offers two programs.

Premier Collect, is designed to maxi mize debt recovery in the shortest pos sible time. This is accomplished by using the full range of legal and ethical collection methods available.

tothe earof I.C. System management. Such access insures that rates paid by members are reasonable, and that any problems are resolved openly, and on a timely basis. I.C. System has been in business since 1938 and serves clients in all 50 states.

It is an ethical and effective debt man agement company that returns hun dreds of thousands of dollars to clients every month. To learn how I.C. System can also help you, contact the asso ciation office or call I.C. System toll free, at 1-800-279-3511 .

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Virginia Dental Journal

[I SUDDEN CARDIAC ARREST (SCA) CAN OCCUR IN ANY DENTAL OFFICE L

ARE YOU, YOUR STAFF AND PATIENTS PROTECTED?

LifeServers, Inc. Most dental offices have a fire ex tinguisher, a smoke detector, and maybe even a sprinkler system. These are the kinds of safety equip ment that most practices install in their offices to protect their patients and staff. Unfortunately, these pre cautions are unable to protect against the number one killer ... heart disease. Sudden Cardiac Arrest strikes with out warning. Most people don't sur vive. It is not enough to do CPR and call for emergency help. Sudden Cardiac Arrest takes the lives of ap proximately250,000 people per year, and can leave a tragic void in fami lies, workplaces and communities. Cardiologists estimate that more than half of these deaths could have been prevented with early defibrilla tion. In the event of sudden cardiac ar rest, every minute of delayed access to life-saving defibrillation dramati cally reduces a person's chance of survival by as much as 10% per minute. Quick action by the first per son on the scene can truly make a difference in saving a life. Dentalof fice automated external defibrillators (AED's) make early defibrillation readily available and are easy to use! The VDSC has extensively re searched Automated External Defibrillators (AED's) and chose the Medtronic-Physio-Control's line of defibrillation products. They have endorsed LifeServers, Inc., located in Richmond, VA, to distribute the equipment and provide a full line of implementation services to VDA members across the state.

Here is what is available for your of fice ...

., The newest, most USER FRIENDLY, AED on the market

L1FEPAK 500 ., The tried and true choice - the AED most emergency response teams use ., Simple 2-button unit designed for more frequent, rugged use ., Automatic self-testingand visible readiness display helps assure you that your device is ready to go ., Powered by a 5 year, non rechargable lithium battery ., Weighs about 7 pounds

L1FEPAK 20 ., Combines the AED function with manual capability so that trained clinicians can quickly and easily deliver advanced di agnostic and therapeutic care. ., Easily converts to manual mode ., Easy to carry, maintain and ser vice ., Data management capabilities designed to meet your needs ., Flexible therapy options ... non invasive pacing, electrodes or hard paddles, docking station and pulse oximetry

CR PLUS ., This unit can be designed to be fully automatic or semi-auto matic - YOUR CHOICE ., Easy to use with it's simple 1 2-3 step operation ., Lightweight and compact - only 4112 pounds ., Unique, cost-effective power system

LifeServers, Inc. provides a dis counted price on these products for the VDA membership. Call (804)364-1047 or toll free 1(866)L1FE500 to schedule your dental office delivery!

300,000 250,000

200,000

150,000

100,000

50,000 0

AIDS

Breast Cancer

Lung Cancer

C'AUSES OF DEATH IN THE U.S. -1996

Statistical Abstract of the U.S, 1998, Hoover's Business Press, 118th Edition

44 Virginia Dental Journal

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46 Virainia Dental Journal

l"f'"

INVESTING IN 2003: MOVE IN THE RIGHT DIRECTION

Gene Dongieux, Chief Investment Officer, Mercer Advisors The first quarter is traditionally a time to reflect on where we have been and where we are going. As the first quarter ends, many investors continue to be paralyzed with lack of direction, waiting for the market to reveal the answer to successful investing. In a way, the market has revealed the answer, but most investors don't know how to rec ognize or use the information. The mistake many of us make (in many areas of life) is expecting the future to be like the past or the present when that expectation is unjustified. Over time, we can expect life to offer up joys, heart aches, certain predictable expenses (college, retirement), and yet it is un predictable in the short term. This also describes the market. For many investors, 2002 was a year to doubt deep-seated assumptions. Early in the year, the Enron scandal broke, and investors questioned the integrity of the very companies (and their ac countants) that comprise the market. Throughout the year, story after story appeared about brokers and brokerages questioned (and in some cases pun ished) for malfeasance like destroying e-mails and manipulating company evaluations for personal gain. Ten of Wall Street's largest firms agreed to pay $1.4 billion in damages for "misleading customers" based on stock research. By summer, people were abandoning the market in droves, leaving assets in cash and fueling a boom in real estate purchase and refinance. There is a world of difference between losing faith in brokers and losing faith in the whole market. The brokerage sys tem is not based on the needs of indi vidual investors, so it's not inappropri ate to be frustrated by their model. On the other hand, the market has been the most reliable way for individual in vestors to profit from the growth of the economy as a whole, and profit in a way that would not have been possible through banks or the other limited op tions available. As if to make that point clearer, the bleak end of the third quar

ter last year was the jumping off point for a 10% jump in the fourth quarter. There are two times investors are likely to lose discipline: when the market is very good and when the market is very bad. It makes sense. When the mar ket is acting most differently from ex pectations is when we are most likely to ask ourselves if our expectations are accurate. This year, for the third year in a row, the market was bad. Investors without context and without the right long-term expectations bailed out and missed the strong fourth quarter perfor mance. Unadvised investors also have the addi tional handicap of believing that they need to place bets on only one segment of the market rather than to diversify - a belief fostered and nurtured by brokers and the financial press. Right now, thou sands of investors are carrying out a strategy based on what the market did in 2002. However, in 2002, the only asset class to show a positive perfor mance (but still below long-term expec tation) was International Small, an as set class that we have used for years but that most investment managers and brokers don't even acknowledge. Most investors wouldn't build a strategy around International Small because it's not familiar, but those same investors didn't hesitate to build strategies around another asset class that is just as nar row, U.S. Large Growth. U.S. Large Growth may seem more familiar, but it is no more valid - and it was one of 2002's worst performers (-28%). With no attractive options, many inves tors sit paralyzed. They see the mar ket moving, but they don't know which segment of the market will take them farther. And they are anxious - they have more riding on the outcome since they lost so much in the last few years that they were counting on. There is an alternative. Some investors can move forward with confidence, se cure in the knowledge that, while the market may not be good at the moment,

their financial outlook still is. They for mulate their long-term investment strat egy with their advisors based on their needs, not what the market does in the short term. The market has historically rewarded consistency and diversification'. Diver sified investors have no anxiety about choosing a sector and don't have to kick themselves when they are wrong (as odds dictate they will be most of the time). More importantly, they can move forward with peace of mind and without any baggage from the past weighing them down. So what kind of investor are you? Do you react to the market or do you act on your own agenda? The answer could determine your financial future. Many investors will literally be unable to make up the losses they have sustained this year, not to mention the previous two negative years, because they chased returns that proved elusive. Begin to day to move forward on your own invest ment agenda, and you will not only be giving yourself peace of mind today, you will be taking a strong positive step to ward realizing your financial dreams. Gene Dongieux is Chief Investment Of ficer of Mercer Advisors, one of the Mer cer Global group of companies. Mer cer Global helps dentists like you live in Personal, Practice, and Professional Freedom" through personal financial planning, investment management, and practice management customized and integrated with your needs, your vision, and your life. Mercer Advisors is en dorsed by this association to provide its members comprehensive financial plan ning services. What resources do you need to reach your goals? More time? More money? Whatever you need, we offer a solution. It's that simple. Contact Mercer Global Companies at (800) 898-4642 or on line at www.mercerglobal.com.

Virginia Dental Journal

AM I IN OSHA COMPLIANCE? Healthcare Compliance Service

There are many questions asked about Occupational Safety and Health Admin istration(OSHA) regulationsand the avail able methods to use for compliance. Most dental practices at one time or another have entered this arena of complexity with the best intent, only to realize they end up with more questions than an swers. When asked if OSHA training has been performed most offices will reply "yes." The real questions should be- how long ago, was it documented and placed into the employee personnel file, and was a specific OSHA training program de signed for the dental industry utilized? OSHA was designed to prevent employee injury or illness from occurring while at the workplace. There are rules and regu lations that apply and must be followed by the employer. The regulations, when enforced, will reduce workplace injury/ill ness resulting in the benefit of everyone. Am I in OSHA compliance? One way to

be sure is to start by educating your self, or an appointed person, for ongo ing OSHA management at the workplace. There are many types of training pro grams available on the market place to day. Be careful not to go overboard with expensive programs or kits for OSHA compliance, as they tend not to be spe cific for the dental industry. Be selective and consider what is actually necessary for your office to be in compliance. The Virginia Dental Services Corpora tion has an endorsed vendor, Healthcare Compliance Service (HCS), who will dis cuss with you, specific to your office, what is really necessary. The regula tions are fairly easy to adapt ensuring total compliance with little ongoing ef fort once the training program has been established. This training should to be updated annually with documentation or anytime there is a newly hired em ployee. Actual time spent for employee training and ensuring office compliance

varies depending on the size of the prac tice but on the average it should only take a few hours annually with the right program in place. The cost will vary de pending on the size of the practice how ever it should not be significant. The employer or a delegated employee should perform OSHA training and office compliance annually with the assistance of the HCS OSHA training kit - developed specifically for Virginia Dental Associa tion members. This kit will enable you to manage your training program effectively, ensuring total compliance will little effort. When asked "Are You in Compliance" the answer without hesitation should be "YES." For more information about OSHA compliance as it relates to you and your office see the adjacent adver tisement for Healthcare Compliance Service, our newly endorsed vendor for you office's total compliance needs, or call 610-518-5299.

Healthcare Compliance Service PRESENTS

OSHA COMPLIANCE Each year dental practitioners throughout the U.S. are required to pertorm annual OSHA training to their employees. Many questions are raised about the type of training required, how long will it take, and how much will it cost? There are a variety of different programs, courses, and training materials with costs ranging from $350.00 to $1500.00, which only adds to more questions. Why the large difference in costs? What is really necessary and what is fluff? The bottom line is a relatively manageable list of requirements which OSHA has put together to ensure workplace safety for the employee. HCS has designed a user friendly VDA OSHA dental specific training manual and guideline with individual employee training manuals that cover all of OSHA requirements including bloodborne pathogen training. This manual has everything necessary to place the office as well as the employee in compliance for Virginia Dental Association Member This step by step training course is easily implemented and time efficient. Once in place annual renewal training becomes automatic and very cost effective. This kit comes with the OSHA Office/Employee Training and Guidelines Manual plus five dental specific employee training handbooks (extra handbooks available) These kits are updated annually for the latest OSHA regulations. The complete cost including shipping for this training kit is well below what you might expect. The reason, simple ... How much should a training/guidelines manual with individual employee handbooks cost? Answer $345.00 To order now or if you have any questions on other EPA/OSHA regulations or services regarding waste lead, amalgam. mercury, photo chemical. sharps. or medical waste, please contact us at; Healthcare Compliance Service P.O. Box 72557 Thorndale Pa. 19372 Phone-610-518-5299. Fax-61 0-518-2995. E-mail-HCSTODAY@CS.COM. Website-www.hcstoday.com ~--

48 Virginia Dental Journal

"i'

AFTER HOURS CARE

II]

GE Medical Protective Patients' after-hours emergency needs are a concern for dentists. The issue of providing or arranging for emergency services is an ethical obligation, accord ing to the ADA Principles of Ethics and Code of Professional Conduct, Section 4.8, which states:

Dentists shall be obliged to make reasonable arrangements for the emergency care of their patients of record. Dentists shall be obliged when consulted in an emergency by patients not of record to make reasonable ar rangements for emergency care. If treatment is provided, the den tist, upon completion of treatment, is obligated to return the patient to his or her regular dentist unless the patient expressly-reveals a dif ferent preference. Theoretically, every dentist wants to ensure that his or her patients can ac cess the services of a competent den tist in an emergency situation. How ever, the ADA code does not fully ad dress some of the other circumstances that may occur when patients seek emergency care during off-hours. Emergency care planning may include any of the following: • Dr. Smith goes on vacation and Dr. Jones, a colleague down the street agrees to provide emergency care for Dr. Smith's patients. Perhaps they formalize this arrangement so that each coversfor the other wheneverthe need arises. This might include ill nesses, family emergencies, vaca tions, etc. The only disadvantage to this arrangement might be that the two of them would need to plan out their families' vacation schedules in advance and that they probably could not both attend the same educational seminars. Minor challenges, easily addressed. The major advantage to this type of ar rangement is that Dr. Jones has the additional benefit of knowing in advance

which patients have had invasive proce dures during the several days before Dr. Smith leaves town. Dr. Jones may also have access to these patients' records and he will have a better chance of pro viding them seamless care because of his knowledge of the treatment provided. Hopefully,these two dentists know each other well enough to feel comfortable with each other's clinical abilities and communication skills. There should be no reason to assume that one would criticize the work of the other to a pa tient and, unless a particular patient chose to make a change (and patients have a right to do so), neither doctor would "recruit" the patients of the other. In some areas, several doctors formal ize this type of coverage arrangement. When more dentists participate in this coverage plan, the doctors have greater flexibility in scheduling their out-of-office time while still knowing that their pa tients' emergency needs will be promptly addressed. Formalizing this agreement ensures that one participant doesn't take advantage of the system. Formalizing also ensures that patients are promptly referred back to their den tist of record. Finally, written agree ments should specify collegial discus sions about patients' clinical problems, availability of records when feasible, and refusal to engage in "criticism" of the work done by other doctors. • Dr. Smith is ill or on vacation and leaves a voice message on his an swering system telling patients when he will return to the office and that, in the meantime, they should go to the local Emergency Department if they have an emergency or they should call again. Perhaps the sale benefit to this approach is that Dr. Smith has let his patients know that he will be unable to treat them for a specific time period. Assuming that his answering system doesn't develop some type of glitch, a patient who has a significant problem may follow these instructions and proceed to the ED where a phy sician is likely to assess the patient's problem. Depending on the results

of this examination, the patient may

be sent home with pain medication

and an antibiotic. Or, the physician

may provide clinical care on the spot.

An additional scenario may emerge

if the patient is referred to another

dentist for immediate treatment. The

disadvantage to this arrangement is

that neither the physician nor another

dentist is likely to have access to Dr.

Smith's records. The treating doctor

must rely on the patient's recounting

of the problem and the current state

of the treatment-which mayor may

not be accurate. If Dr. Smith is un

available by phone, he may be

blindsided by treatment decisions he

may not agree are in the patient's

best interest.

The ADA statement on emergency care addresses the needs of patients who are already under the care of a dentist. The document refers, for example, to the situation in which Dr. Jones treats Dr. Smith's patient in an emergency situation and then refers the patient back to Dr. Smith. However, another scenario is just as likely to occur-and this is not addressed by the Code of Professional Conduct. • Dr. Smith is called at home by a per son who is not a patient of record and who is not a patient of a dentist with whom Dr. Smith has an after-hours treatment agreement. This individual tells Dr. Smith that he has a dental emergency; he wants Dr. Smith to open his officeand provideemergency care. On the basis of the ADA state ment, Dr. Smith might feel obliged to provide this service. In fact, some significant risk issues may be at tached to this scenario. Ultimately, Dr. Smith will determine the best policy to use when addressing this kind of request. But when devising this policy, Dr. Smith should consider the following questions: ·:·Opening an office after hours may expose the dentist to security risks. This unknown person may have a legitimate dental emer-

Virginia Dental Journal

gency; he may also have a gun and be intent on robbing Dr. Smith. In order to address this situation, Dr. Smith may prefer to offer to meet the patient at a nearby Emergency Department where the basics of emergency care can be imple mented and follow-up treatment scheduled. .:. Most dentists agree that pa tients who do not have a personal dentist are at higher risk for oral health problems. Many of these individuals are sporadic in their oral hygiene, rarely have their teeth cleaned or their dental status assessed, and often have significant problems before they seek dental care. Dr. Smith will have greater difficulty achieving a satisfactory outcome for this patient. His efforts may be fur ther hampered by the necessity to provide aggressive care for a patient whose health history and whose ability/willingness to be compliant may be problematic. • An individual calls or visits Dr. Smith's office. He is not Dr. Smith's patient. Neither is he a patient of one of Dr. Smith's colleagues. The individual reports that he has a dental emer gency and that, although he does not currently have the time/money/insur ance approval to initiate care, none theless he would like to obtain pain relief and then schedule the actual treatment for a later date. Risk is sues that Dr. Smith should consider include: ·:·This person may be a perfectly in nocent individual, but this scenario is often reported by law enforce ment officials as indicative of drug seeking activity. Scam artists are often "new to town," currently not under the care of a dentist, unwill ing to authorize treatment (other than pain medication), and they promise to return in a day or two to commence the actual treatment. Police and drug enforcement offic ers note that these persons often name a particular drug that "works best" for them and they may be come belligerent and threatening if the doctor offers emergency treat

50 Virginia Dental Journal

ment, but will not write a prescrip tion for a painkiller. .:.Dentists are frequently advised by law enforcement experts to refuse to treat unknown persons without an up-front agreement that treat ment will be initiated before pre scriptions (in very limited amounts) will be given to unknown parties. In general, dentists who implement this type of policy soon discover that the "walk in emergency" or the "late at night" emergency trade has sud denly disappeared. While it is true that dentists do have an obligation to try to provide emergency care for patients, this is an instance in which charity begins at home. Individu als who have the greatest right to a dentist's concern and emergency inter vention, are that doctors own patients. When dentists agree to provide emer gency coverage for each other's pa tients, it would be best if these arrange ments are made within a formal con text so that each participant is laboring under the same set of expectations and promises. Kentucky has been reported as a state that has a high risk for drug-seeking activity from individuals ostensibly try ing to obtain health care services. The prevalence of drug theftand relatedcrime

(especially related to oxycontin) in creases the risk of physical injury to health care workers who have access to high value street drugs. The mere possession of a DEA number and a pre scription pad, dictates that dentists should not allow themselves to be duped because of their ethical concern for pa tients. State or local dental associations and study groups may be able to provide guidance for dentists who want to en sure that patients do indeed have ac cess to after-hours emergency care but who also don't want to be put into the awkward position of having to pro vide care for a person who will not com ply with standard treatment protocols, who may be engaging in unlawful activi ties, and who will either inadvertently or intentionally place the dentist at risk. Cooperative efforts with DEA officials, hospital Emergency Departments, phy sicians who treat drug addicts, and a consistent local approach to the design of after-hours emergency services poli cies will help dentists: a) ensure that legitimate and compliant patients ac cess needed care; b) restrict the emer gency care for some individuals to envi ronments that are safe for the doctor as well as for the patient; and c) make it more difficult for persons with hidden agendas to engage in illegal activity.

2003 VA BOARD OF DENTISTRY The Virginia Board of Dentistry is appointed by the Governor and is composed of seven dentists, two hygienists and one citizen representative. Contact the Board office or a member of the Board on questions on rules and regulations. MEMBERS

Michael J. Link, D.D.S. GaryTaylor, D.D.S. STAFF Nora M. French, D.MD. Sandra K. Reen, Executive Director Darryl Lefcoe, D.D.S. Senita Bookes, Admin. Assistant Gopal S. Pal, D.D.S. Kathy Lackey, Administrative Assistant Harold S. Seigel, D.D.S. Brenda Duncan, Office Services Specialist James D. Watkins, D.D.S. Sheila Lester-Mitchell, Records Manager Trudy Levitin, R.D.H. Cheri Emma-Leigh, Operations Manager Deborah Southall, R.D.H. Robert Winters, Esquire (Citizen Member) Virginia Board of Dentistry

6606 W. Broad Street, #401

Richmond, VA 23230-1717

(804)662-9906 FAX(804)662-7246

ESTATE PLANNING & VIRGINIA DENTAL HEALTH

FOUNDATION'S TAX SMART ANNUITYTM

Richard Howard, The Foundations Company ''You can't take it with you" I was recently in a meeting on estate planning when a tax attorney was speak ing about people who react to hearing of someone's death by saying "it was so unexpected." The attorney went on to say, "How can death be unexpected? Everyone is going to die. It is just a matter of timing." The attorney then made the point that we all get just one chance to arrange our finances before death and he implored us to "don't mess it up." Obviously, this was a dramatic way to start a class on estate planning and emphasize the need for taking some simple steps to reduce tax cost at life's end. It is an inevitable truth that some day all of us will die, yet many of us spend a good portion of our lives deny ing it. Unless you stumbled onto this article thinking you were reading a tech nical medical article, your willingness to read about estate planning suggests you are not as deluded about your mor tality as most people. Estate planning is important business when you have people in your life and own any items of value, sentimental or otherwise. Estate planning is more than simply planning for death. It consists of three separate plans -1). the first plan is for the accumulation of assets; 2). the second plan is for the preservation of assets once they are accumulated and 3). the final plan is for the distribution of assets to your heirs. If you are not sure this information ap plies to you then you should consider the following reasons for estate planning:

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planning can help you re duce or avoid federal and state es tate taxes, so more of your estate is passed on to your beneficiaries.

» Estate planning

allows you to de cide how your estate will be divided.

» Estate planning

helps you to pro vide for your spouse and other re maining family members, and es pecially for any special concerns such as care of minors or handi capped family members.

tal Health Foundation (charitable af filiate of the Virginia Dental Association) can assist you in accomplishing your financial goals.

The Foundation'suniquetax planningtool and income vehicle provides a simple » Estate planning avoids delays in answer to many of the complex ques the distribution of your estate. tions raised by the estate planning pro cess. The Tax Smart AnnuityTM fits any » Estate planning reduces the cost estate plan, saves you tax dollars, and of administering your estate. allows you to simplify your finances with legally guaranteed income for you and If you are at the third stage of the es your spouse. REMEMBER, THE FIRST tate planning process or at the end of STEP TO MAXIMIZING WEALTH IS your career and concerned with how to MINIMIZING RISK. There are no fees or transfer your assets from your retirement hidden charges associated with this pro plan and into income vehicles for retire gram. To receive your income and tax ment, you should consider how the Tax deduction numbers and a no obligation Smart Annuity ™ from the Virginia Den proposal, call 1-800-692-6893. Dell- Employee Purchase Program Virginia Dental Services Corporation has teamed up with Dell to of fer special discounts and offers not available to the general public. Shopping with EPP has many benefits:

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Virginia Dental Journal

THE ANSWERS TO THE QUESTIONS YOU HAVE ABOUT

TAKING FIVE MEDICAID/FAMIS PATIENTS

Nicole Pugar, Director of Public Policy Realizing the growing need to address the problem of inadequate access to dental care for many children through out the Commonwealth, the Virginia Dental Association (VDA) and the De partment of Medical Assistance (DMAS) called all on dentists to Take Five', In January 2003, a letter explaining the Take Five' initiative was sent to all den tists in the state.

Should you have any additional ques tions and concerns about the program, or would like a copy of the rates at which Medicaid provides reimbursement, please do not hesitate to contact either Dr. Stephen Riggs, dental consultant at the Department of Medical Assistance at (804) 786-6635 or Nicole Pugar at the Virginia Dental Association at (804) 261-1610.

A new initiative designed to enable den tists to treat the underserved without en during the some of the administrative procedures that Medicaid providers have experienced in the past, Take Five' asks that dentists agree to treat 5 total pa tients under the age of 21 who receive traditional fee for service Medicaid/ FAMIS benefits. Participating dentists will not be asked to provide care to pa tients who receive managed care ben efits, thus avoiding the administrative confusion when requesting coverage approval or reimbursement from various managed care payors.

We hope that you will participate in the Take Five' initiative and will provide ser vices to the children who need you to help them obtain much needed dental care.

While the primary goal of the initiative is to provide care to children in desper ate need of dental care, the VDA and DMAS hope that those who agree to participate will recognize the efforts the Department has made to increase the reimbursement rates and to ease the burdens placed on the dentists agree ing to provide care to fee for service Medicaid/ FAMIS patients. With a new understanding and appreciation for the Medicaid/ FAMIS program, it is the VDA and Department's hope that dentists will provide more care to Medicaid patients and thus begin to resolve the access to dental care crisis the state now faces. Both the VDA and DMAS understand dentist's apprehension to enlist in a new initiative such as Take Five' especially in light of the negative image that some times has been bestowed on the Med icaid program. Below please find some answers to the most frequently asked questions about Take Five'.

52 Virginia Dental Journal

FREQUENTLY ASKED QUESTION

About Enrolling as a Provider Q: How do I enroll in the program?

A:. Participants in the Take Five program will be asked to only complete a (1) page provider application to enroll in the program. Completed applications should be mailed to: First Health Provider En rollment Services, PO Box 26803, Richmond, VA 23261-6803 To obtain an application please call Nicole Pugar at the Virginia Dental As sociation at (804) 261-1610.

Q: What information will I receive once I enroll?

A:. You will receive from First Health, the DMAS enrollment agent, a letter notify ing you of your assigned provider number and the effective enrollment date. Please use the DMAS internet site http://dmas.state.va.us/man uals/den/ dentoc.htm to obtain a provider manual, dental forms and other information about the program. If you do not have internet access, please call Common wealth Martin at (804) 780-0076 to ob tain a paper copy.

Q: Who can I contact if I have ques tions about DMAS policy or billing?

A:. Any questions about DMAS policy or billing should be directed to the DMAS helpline at 1-800-552 -8627 or Dr. Stephen Riggs at (804) 786-6635. About Identifving and

Treating the Patients

Q: How will I obtain my five pa tients?

A:. You will not be required to identify the patients you will see (although you can do so if you know Medicaid patients you would like to treat). Once you have submitted your application - your name will appear on the dental Medicaid pro vider file maintained by the Department of Medical Assistance - you can request that DMAS identify your practice as not taking new patients once you have ac cepted the total number of patients that you would like to see. Patients will re ceive your name as a FEE FOR SER VICE MEDICAID PROVIDER when they call DMAS to determine who they may see for treatment. You may tell addi tional patients that call your office that you are not accepting new Medicaid / FAMIS patients. Q: What level of treatment am I be ing asked to provide to the patient? A: By agreeing to see Medicaid/FAMIS patients you are consenting to provide the services for which DMAS agrees to reimburse you. You are not being asked to care for the patients for any particu lar length of time. You can decide how many times you will see them and what procedures you will perform to complete their treatment.

Q: How do I know which patients I can see? A: Because Medicaid patients often share the names of providers they see with others, patients who are enrolled in managed care (HMO) Medicaid pro grams may call your office. Your office has the responsibility of ensuring that

the patients you agree to see are fee for service patients. To help identify if they are a fee for service patient instruct your office to ask the patient when they call for an appointment the color of their Medicaid/FAMIS card. Until JUly 2003, fee for service patients will have blue and white cards, the traditional fee for service/FAMIS patients have red and white cards and the man aged care patients have cards with the names of the HMO on them (ex: Virginia Premier). Each patient who has traditional fee for service Medicaid! FAMIScoverage will be receiving a plastic card begin ning July, 2003. If the patient is not sure if they are still eligible to receive benefits, please ask the patient for his or her recipient identification number and then call 1-800-884-9730 or 1-800 772-9996 to check their eligibility and ensure they have coveragefor the date of the appointment (a patient's eligi

proprietary dental invoice and preauthorization request forms will no longer be accepted after June 20, 2003.

or Nicole Pugar at the Virginia Dental Association at (804) 261-1610. About Concerns

To help reduce administrative burdens, providers have the option to bypass those servicesthat requireprior approval except full banded orthodontics. For more information about this please con tact Dr. Stephen Riggs, dental consult ant at DMAS. Q: What is the reimbursement rate for the procedures?

A:. Two separate rate increases were implemented in July 1998 and July 2000. On average, reimbursement rates have increased by 60% for most procedures since June 1998. To receive a copy of some examples of the rates at which Medicaid provides reimbursement, please contact either Dr.Stephen Riggs, dental consultant at the Department of Medical Assistance at (804) 786-6635

Q: What happens when a patient needs to be referred to specialist or another provider?

A:. Contact Dr. Stephen Riggs at DMAS to help identify a specialist or additional provider. Q: What happens if patients break appointments?

A:. Federal Regulations do not permit DMAS to reimburse providers for bro ken appointments. Claims submitted for broken appointments will not be hon ored. Tohelp avoid problems associated with broken appointments, providers may want to consider block scheduling for Medicaid patients on a certain time and/ or day of the week.

REAL WORLD TOURS - DINNER & LEARN ~~Zh~an change from month to ~~'~~~~~~~~~~~~~~~~~~~~~~~~~~~

II] If you or the patient is not sure which type of Medicaid (fee for service or HMO) they have, you can call the re cipient eligibility helpline 1-800-884 9730 or 1-800-772-9996. Q: What is the age of the patients that I will be agreeing to see?

A: Patients enrolled in the Medicaid pro gram are under the age of 21. FAMIS patients must be under the age of 19. About Reimbursement Q: How do I submit claims to Medic aid for reimbursement?

A: Medicaid currently accepts claims submitted on the 1994 ADA claim form. On June 20, 2003 the Department will implement COT - 4 Coding and you may begin using these codes to be compli ant with HIPAA regulations. Old codes will not be accepted on or after 10/16/ 03. On June 20, 2003, quadrant coding will be eliminated and only one form, the (1994 ADA Claim Form) will be ac cepted for requesting preauthorization or for filing claims. Please note that

Leslie Pinkston,Director of Membership January 1Oth-The VDA sponsored a Real World Tour in Northern VA for VCU/MCV dental students. Dr. Tim Golian made the office arrangements, thank you! The students first went to the office of Dr. Bruce Hutchison. Dr. Hutchison and Dr. Michael Gorman gave the students a tour, fed them lunch and answered lots of questions. Next stop was Dr. Christopher Bonacci's office. Dr. Bonacci had one of the students sign in as a "pa tient" that day. He then took the stu dents through the steps one of his patients would go through (minus the actual surgery) ....it was inter esting seeing a "paperless" office at work. Many thanks to Dr. Golian, Dr. Hutchison, Dr. Gorman and Dr. Bonacci for sharing your Friday with the MCV students!

January 13th- The Virginia Dental Association had their official kick off for the Mentoring Program. Mentors and Mentee's meet at the Richbrau Brewery for an evening of food and getting to know one another. Dr. Elizabeth Reynolds handed out bro chures and explained the "rules" of being a mentor/mentee. The VDA hopes to expands upon this pro gram in the future; there seems to be a high interest from the fresh man and sophomores. January 21stThe V DA sponsored the first of a series of "Dinner and Learn" Programs. These programs are held every 3rd Tuesday from January through April in the Lyons Bldg. at 6:00 pm. Sky Financial came and made a presen tation on "Financing For Your Fu ture". They covered how to read credit reports, examples of good Viroinia Dental.lollrnal

!=i~

credit vs. bad credit,controlling debt today and after graduation,and how credit and financing can affect the students options upon graduation. February 18th- The VDA held its second "Dinner and Learn" Pro gram. Dr. Kenneth Copeland came and discussed the many pros and cons of starting out as associate, purchasing a practice, evaluating and choosing a practice opportunity, financing and contracts,and associating with a family member. Dr. Copeland also covered the unique decisions that new gradu ates and associates face and the significant impact those decisions will have on their future. The Virginia Dental Association would like to thank Dr. Copeland for participating in this program. February 26th- Tfle Richmond Dental Society, the VDA, and Sullivan-Schein Dental Supply sponsored a local Real World Tour for the VCU/MCV students. We would like to thank Dr. Frank luorno and Dr. Christian Tabor for opening their doors and welcoming the stu dents in their beautiful new offices in Wyndham! Hopefully next time we won't have a huge snow storm and more students will be able to attend. March 7th- The Virginia Dental As sociation held the Sr.Transition Pro gram for rising seniors. Dr. Wilson Jewell, 16th District Rep, and Dr. Elizabeth Reynolds did a great job taking the transition message directly into the dental school and providing information to assist den tal school seniors in making the transition from dental school to practice or graduate training. The attendees also received first hand information on the benefits of orga nized dentistry! March 18th- The VDA held its third "Dinner and Learn" Program: "Ask

54 Virginia Dental Journal

the Doc". Dr. Tom Cooke and Dr. Kevin Swenson sat down in front of the students and let them fire away with questions. It was a very informative evening! Many thanks to both Dr. Cooke and Dr. Swenson.

Tom Cooke, Hazel Luton, Kevin Swenson catch up after the "Dinner and Learn" pro gram at the dental school of March 18.

Dental students tour Drs. luorno and Tabor's beautiful offices during a "Real World" tour on February 26.

[Ie

DNA COLLECTION AS A MECHANISM OF VICTIM IDENTIFICATION

=:JI]

Charles L. Cuttino, D.D.S. - VDA Bioterrorism Task Force, Chair Forensic medicine has utilized DNA samples for many years to establish relationships with known individuals for identification purposes. These samples can be obtained from hair, blood or body fluids. Dentists have the most ready access to one source of material that can be utilized to identify persons who may be victims of mass disaster, ab duction, fires, or deceased unidentifiable persons. The source is saliva. The tests of salivary DNA is so sensitive that one millimeter of saliva is enough to run hun dreds of genetic tests for diseases as well as individual identification.' The Virginia Dental Association in co operation with the Virginia State Police has established a mechanism which will help the identification of individuals who cannot be identified in any other way. In the past, dentists have aided in the iden tification process by supplying intra-oral or panorex films along with chart nota tions of carious, missing teeth and the type and position of restorations. This has limited the identification of deceased individuals where there is little left for comparison or the dentist cannot be contacted. Collection of DNA samples from buccal swabs is a ready source of DNA for iden tification. The dentist utilizes cotton swabs to collect saliva and desqua mated cells from the buccal mucosa of the a patient and stores these in the patients chart or gives the samples to the parent or individual to store in a safe place for use if necessary. The procedure is as follows: 1. Obtain the consent of the patient or parent to obtain the sample. 2. Using two cotton tipped applicators vigorously swab the buccal mucosa for saliva. Encourage the individual to coat the cotton tip applicator with saliva. 3. Air dry the swabs for 20 (twenty) minutes. 4. The dry swabs are placed in a pa per envelop and labeled with the in dividuals name, address and date

of birth. (Do not place in any type of plastic envelop) (These may be placed in normal coin envelops.)2 5. The packaged swabs are then re tained in the patients chart or deliv ered to the individual.

ing to the Virginia Department of Foren sic Science these samples could be utilized for greater than many years. In fact small amounts of DNA have been utilized to study Pre-historic animals as well as police investigations

Having a known source of DNA would have helped the identification of hun dreds of victims after the tragedy of 9/ 11. Identification of victims is necessary for closure of a loss as well as the legal aspect for settlement of estates.

This program sponsored by the VDA and the Virginia State Police will complement Governor Warner's KIDsafe program to have DNA samples collected from children. Our program will allow collection for all individuals including both children and adults.

Dentists must become more proactive in providing this service for their pa tients. This will have application for the Virginia Dental Association's Mission of Mercy (MOM) Projects and Give Kids a Smile patients (GKAS). If an individual does not have a dentist of record or has not had regular dental care they may have a sample collected and they them selves would store the sample. Accord

The Virginia Dental Association encour ages all dentists to participate in this public service program. 1 National Institute 01 Dental and Craniolacial Research, Research Digest; December 1997 2 Personal Communication: Jean M. Hamilton, Forensic Scientist, Virginia Division of Forensic Science.

Dr. Rod Klima thanks the VA State Police for their participation in this project as Jocelyn Lance and Dr. Charlie Cuttino look on.

"And you are going to do what with that?"

VDA NEWS

II] VDA FLAG CONTEST

NEW ON THE VDA

WEBSITE

The VDA is looking for creative ideas for a new flag! Please submit your color drawings to the VDA on 8 112 x 11 paper by June 11th. The winner's drawing will be turned into a flag which will be sold at the VDA logo shop at the VDA An nual Meeting in September. The winner's creation will also be on the cover of the July-September 2003 issue of the VA Dental Journal and posted on the VDA Website. For more informa tion or questions, please call Leslie in the VDA central office at 800-552-3886.

Check out new items on the VDA website - www.vadental.org! • Classified Advertisements • MOM Eastern Shore Statistics and Photos • MOM registration form for Wise MOM Project • VDA Annual Meeting information • VDAHero • VDA Committee Meeting Minutes And Much More!

CONGRATULATIONS Dr. Frank Farrington receiving the VDA

Community Service Award from Dr. Klima.

The ADA & VDA would like to congratu late the following VA Certified Dental Technicians for 25 years of service to the dental profession. Larry Clukey - Chesapeake George Shartis - Richmond

MEMBERSHIP DIRECTORY CORRECTION

Ms. Jocelyn Lance discusses important dental issues with Senator George Allen.

The phone numberfor Dr. James Baker of Chesapeake, VA was incorrectly listed in the 2002-2003 VDA Member ship Directory. The correct phone num ber is 757-483-4700.

IB.D~~~ Dr. Scott Berman, Dr. Will Allison, and Dr. H.~1. Barrett sit down with congres sional staff to discuss issues facing dentistry.

PLEASE TAKE TIME

TO REMEMBER VDA

MEMBERS THAT

RECENTLY PASSED

AWAY:

Tidewater

Dr. Albert Stokes

Piedmont Dental Society J;

The Legislative Gang pose for a photo with Senator George Allen

56 Virginia Dental Journal

Dr. CharlesR. Sydnor

COVENANTS NOT TO COMPETE NARROWED IN VIRGINIA

David S. Lionberger, Christian & Barton, LLP Recent cases decided by the Virginia Supreme Court in 2002 have seriously narrowed, but not eliminated, the en forceability of covenants not to compete in Virginia. Although each case depends on its own facts, two rules apply to interpreting covenants not to compete. First, cov enants in restraint of trade are not fa vored, will be strictly construed, and, in the event of an ambiguity, will be con strued in favor of the employee. Sec ond, the employer bears the burden to show that the restraint is no greater than necessary to protect a legitimate busi ness interest, is not unduly oppressive in curtailing an employee's ability to earn a livelihood, and is reasonable. The Court not only considers whether the restrictive covenant is reasonable on its face, in terms of the time, place and scope of the restriction itself, but also examines the legitimate, protectable interests of the employer, the nature of the former and subsequent employment of the employee, whether the actions of the employee actually violated the terms of the non-compete agreement, and the nature of the restraint in light of all the circumstances of the case. Unlike many other states, if the covenant not to compete is found unreasonable, Vir ginia courts will not reduce the restric tions to what is reasonable, but rather will strike down the covenant not to com pete in its entirety. An office furniture salesperson worked for five years for her employer. In 2000, the employee signed an employment agreement with a covenant not to com pete, broadly phrased to restrict the em ployee, for a period of one year after em ployment, from any type of employment, or any type of ownership or association, directly or indirectly, with any business similar to the employer's business within a 50 mile radius of any of the employer's offices or locations where the employee worked. The employee re signed and began to work in sales for a competitor of the employer. In the law

suit to enforce the covenant not to com pete the employer essentially argued that the covenant not to compete was reasonable on its face and therefore should be enforced. The employer iden tified no legitimate business interest that was served by prohibiting the employee from employment in any capacity by a competing company. The Court noted that reasonable time, place and scope restrictions must also be found no greater than necessary to support le gitimate business interests of the em ployer, and that the latter showing was not made by this employer. As a re sult, the Court struck down the covenant not to compete in its entirety. Similarly, a manufacturer of high perfor mance drive systems and electronic motor controls employed a technician in 1991. By 1998 the technician had been promoted to a quality and reliabil ity manager position. In 1997, the em ployee was asked to sign a confidenti ality agreement and covenant not to compete that prohibited the employee, for a period of two years after employ ment, from any type of employment, or any type of ownership or association, directly or indirectly, with any business similar to the employer's business within a 100 mile radius of the employer's main office. This covenant not to compete did define a "similar busi ness" as any business that designs, manufactures, sells or distributes mo tors, motor drives or motor controls. The employer argued that by this definition the covenant not to compete was nar rowly tailored only to protect it from former employees disclosing its propri etary or confidential information to com petitors. The Court disagreed, noting that restricted activities could include a wide range of enterprises unrelated to the employer's business. Therefore, despite the definition of "similar busi ness", the scope of the covenant not to compete was found to be overbroad and the Court refused to enforce the cov enant not to compete. Further, the Court refused an injunction against the

employee trorn disclosing trade secrets, despite the fact that the employee did gain knowledge 01 the employer's trade secrets, because there was no proot that the employee had or would disclose such trade secrets. It is clear that employers tace a heavy burden to prove that a covenant not to compete is not only reasonable in terms of the time, geographic reach and scope of the restriction, but also that the em ployer must specifically identify the le gitimate business interests it seeks to protect (such as confidential informa tion, specialized training or investment in the employee, confidential business practices or trade secrets) as well as demonstrating how the covenant not to compete is narrowly tailored to support and protect those legitimate interests. In many cases, particularly for lower level employees who have not received specialized training or knowledge of key business trade secrets, it will be diffi cult for an employer to meet this bur den of proof. As a result, employers should not rely solely on a covenant not to compete to protect their legitimate interests. As dental practices seek to protect their business interests from competition or misappropriation of con fidential business information, they should carefully assess and evaluate the interests or information they seek to protect, whether the terms and reason ableness of any covenant not to com pete being used narrowly protects such interests, and, if appropriate, consider confidentiality and non-disclosure agree ments as alternate attempts to protect their confidential business information.

Viremia Dental Journal

CONTINUING EDUCATION SEPTEMBER 2003

VDA Annual Meeting September 10 - 14, 2003 Richmond, VA Friday, September 12 Perio Institute "Hands On Course - Perio Surgery" Ms. Connie Podesta "Life Would Be Easy If It Weren't For Other People" Dr. Larry Lopez "Bullet Proof Crown and Bridge" Karen Davis, RDH "Creating The Ultimate Doctor-Patient Hygiene Exam" Dr. Richard Jordan "Removable Prosthodontics 2003: Meet ing Patient's Esthetic and Functional De mands - Part I" Dr. Louis DePaola "Bioterrorism: Dentistry's Role in Recog nizing and Responding TO,The Threat" and "Dentistry & Pharmacology: Managing The Medically Complex: Practical Guidelines for Oral Health Providers" Speaker TBD "HIPAA" Vivian Biggers "CPR Training" Saturday, September 13 Dr. Raymond Webber "Calcium Hydroxide & MTA (Mineral Triox ide Aggregate) and Their Place In Modern Endodontics" Perio Institute "Hands On Course - Ridge Preservation & Perio Defects" Dr. Karen McAndrew "Provisional Restorations That Fit, Func tion & Last: Hands On Training For The Dental Auxiliary" Dr. Richard Jordan "Removable Prosthodontics 2003: Meet ing Patient's Esthetic and Functional De mands - Part II" Dr. Patrick Wahl and Lorraine Hollett "Secrets of Practice Greatness" Dr. Michael Ignelzi "Contemporary Pediatric Dentistry" and "Successful Encounters With Kids" Dr. Thomas Hasegawa "Dental Dilemmas: Bridging Theory and Practice" Dr. Jeff Brucia "Adhesive Dentistry - Materials & Tech niques Simplified" Mr. Darrell Cain "How To Retire With Millions" and "How To Invest In Today's Economy"

58 Virginia Dental Journal

Ms. Sherri Stein

"Preparing For An In-office Emergency"

Plus, courses by Sky Financial, GE Medi

cal Protective and Mercer Advisors.

Component CE Programs· For registration information, contact the appropriate person below: 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. Samuel Galstan (President) Linda Simon (Executive Secretary) Ann Gillespie (Executive Secretary) Sonya Ferris (Executive Secretary) Patricia Fuller (Executive Secretary) Susann W. Hamilton (Executive Director)

(757) 491-4626 (757) 565-6564 (804) 796-1915 (804) 379-2534 (540) 732-3789 (276) 628-4934 (804) 985-1939 (703) 642-5297

VAGD Programs - please contact Frances Kimbrough (Executive Secretary) at 804-320-8803.

VCU School of Dentistry - please contact Martha Clements at 804-828-0869.

www.dentistry.vcu.edu/ce/courses.shtml

VCU School of Medicine (Anatomy Dept) - please contact Dr. Hugo Seibel at 804-828-9791.

VAE - please contact Dr. Timothy J. Golian at 703-273-8798.

VSOMS and VAO - please contact Nicole Pugar at 804-261-1610.

AIDA C·E·R·P

CONTlNlANG EDUCATION RECOGNITION P~OGfW.l

[

The VDA is recognized as a certified sponsor of continuinq dental education by both the ADA CERP and the Academy of General DentIstry

MEETINGS & EVENTS

June 19-22, 2003 VSOMS Annual Meeting Courtyard Marriott - Virginia Beach, VA

Sept. 14-18, 2005 VDA Annual Meeting Marriott - Richmond, VA

June 26-29, 2003 VDA June Committee Meetings The Cavalier Hotel - VA Beach, VA

September 13-17, 2006 VDA Annual Meeting Hotel Roanoke & Conference Center

June 29-July 2, 2003 VAO Annual Meeting Greenbrier Resort, White Sulfur Springs WV July 25 - 27, 2003 MOM Project - Wise County Sept. 10-14, 2003 VDA Annual Meeting Marriott - Richmond, VA October 23 - 26, 2003 ADA Annual Session San Francisco, CA June 24-27, 2004 VDA June Committee Meetings The Cavalier Hotel - VA Beach, VA Sept. 8-12, 2004 VDA Annual Meeting Waterside Marriott - Norfolk, VA

II]

Mark Your Calendar The VDA Is Going Back To Norfolk In 2007 • New Schedule • New Time of Year • New Meeting • New FUN The 2007 VDA Meeting will take place June 15-17, 2007 at the Norfolk Waterside Marriott. The only events scheduled are I continuing education, exhibits, ! and social!

Apples and Oranges, we know you can not compare the two. Yet some labs would have you believe that their partial alloy is the same as Vitallium. There is only one Vitallium RPD and only a Vitallium Trademark Laboratory can provide you with a Vitallium Partial Denture. Vitallium uses only the purest elements with no nickel and no beryllium in its formulations. The Vitallium System is a matched set of materials that provide the greatest accuracy for a guaranteed fit and patient satisfaction. Don't be fooled, there is a difference, ask for Vitallium by name and look for the Vitallium Shield, your only guarantee it's a Vitallium Partial Denture.

The Narne You Know ·The AlloyYou Tru~t ·The Laboratorie~ That Can

Goodwin Dental Lab., Inc. 2110 Maywill St. Richmond, VA 23230 800-476-4351 /804-358-2113

~ ~"'ll!l!f

Saunders Dental Lab., Inc. 502 McDowell Ave, NE Roanoke, VA 24016 800-476-7319/540-345-7319

Haislip Dental Lab., Inc.

Virginia Dental Labs., Inc.

525 Wilborn Ave. South Boston, VA 24592 800-226-1839/434-575-7947

130 W. York St. Norfolk, VA 23510 800-870-4614757-622-4614

For more information on Yitallium alloy~ or the Vitallium Laboratorv near YOU call Au~tenal at 1·~ijij·611·ij3~1 l'

Virginia Dental Journal

. ·T

[II

COMPONENT NEWS

Component I Tidewater

Dr. Chris Hooper will be presenting a seminar on Cosmetic Dentistry on April 25 th at the Holiday Inn Chesapeake. We pray for peace everyday! Have a great spring

Dr. Barry Einhorn, Editor

•

Well, spring has finally arrived. As I write this the jonquils are in full bloom and all my tulip bulbs are showing off their qlo rious colors. In the words of our distinguished presi dent Harvey Shiflet, "The Tidewater Dental Association has had a busy first quarter." Dr. Anthony Peluso chaired the com mittee for the first "Give Kids a Smile Day "on February 15th.The event held at the clinic of the Old Dominion Univer sity School of Dental Hygiene. Thirty eight children were examined, x-rayed and had sealants applied by hygiene students. We hope to continue this pro gram on an annual basis. Dr. Bud Zimmer headed up another highly successful MOM Project on the Eastern Shore on March 29 th and 30th • The VDA should be very proud of MOM for we have set the standard for other states. This is a great way to show how private practitioners can perform social services without government interven tion!

The Tidewater Chapter Of Fellows of the Virginia Dental Association has urged members of our component to support the Take Five Medicaid Pro gram. This will once again be a fine way to serve those folks who cannot afford fee for service dentistry. Dr. John Mosher attended the Legis lative Conference in Washington in March to hear and discuss the latest national dental issues before Congress. Dr. Harvey Shiflet attended a confer ence as the representative of the VSDC Board in San Antonio, Texas. Ideas were exchanged and new products and services were discussed.

60 Virainia Dental Journal

Component" Peninsula

Dr. Sharon Covaney, Editor Component II's year is coming to a close with summer approaching (rather slowly)! It has been a busy yet infor mative and productive year for our soci ety from continuing education courses to community involvement with Give Kids A Smile Day and with the opening of a free dental clinic. In January, Dr. Ron Tankersley helped us start the year off right with a continu ing education course discussing Eth ics. Thanks to Dr. Mike McCormick who helps to arrange our continuing educa tion speakers, we were fortunate enough to have Dr.Robert A. Lowe, part ner of Dr. Ross Nash, speak to us at an all day course on "Predictable Tech niques For Total Esthetics". Dr. Lowe even broke away from the Hinman Den tal Meeting to come and speak to us! He offered some helpful hints and for those of you who missed this, Dr. Nash and his team are offering a Team Ex travaganza this summer in Williamsburg. Finally, our last continu ing education course for the year fea tured our own Dr. James Watkins and Dr. Mike Link discussing "Virginia Den tal Board Issues". It was good to get a clearer view of how the Board functions and what some of their present issues involve. Thanks for the information from all of our speakers! The Peninsula Dental Society partici pated in programs providing dental ser vices to those less fortunate in the com munity. Specifically, The Peninsula Dental Society had two very success ful school-based projects for the na tional Give Kids A Smile Day. Drs. Liz Bernhard, Guy Levy, Mitch Avent and

Bob Field screened approximately 110 children with the help of volunteer den tal auxiliaries. The Peninsula Institute of Community Health dental clinic has offered their facility for follow-up dental care for these students. In addition. preparation for the opening of the Pen insula Christian Free Clinic is well un der way to begin providing dental care on Thursday evenings. In closing out this year, it is time to be gin thinking about next year and the elected officers for 2003-2004 for the Peninsula Dental Society are as follows: Immediate Past President-Dr. Eric Boxx, President-Dr. Scott Francis, President Elect-Dr. Sharon Covaney, Secretary-Dr. Liz Bernhard, Treasurer-Dr. Mike McCormick and Counselor-Dr. McKinley Price. Thanks for your hard work!

Component III Southside

Dr. Mike Hanley, Editor Greetings from Southside! What a winter we had - I finally got to use up all that rock salt from 96. At our recent business meeting, offic ers for the upcoming year were an nounced: President - David Ferry President Elect - Kent Yandle Secretary - Sharone Ward Treasurer - Brad Trotter I guess Brad has figured out how it works down here ... show up for your second meeting and the next thing you know, you're an officer! Thanks to all of you for voiunteerinql Speaking of volunteering: Sam Galston and his wife, Sharone Ward, headed up the VDA efforts for Give Kids A Smile ( GKAS ) day in February. Our particular efforts were in Hopewell's elementary and middle schools. Several hundred children were screened, given oral hy giene instruction, a fluoride treatment, and a new toothbrush. Students of the hygiene class and dental school joined

our members. These are sharp, ener getic people ready to join our profes sion. It was fun working with them. The following day, we had our annual Health Fair at South Park Mall. What a turnout! I've never seen the Van that full before - for several hours! The students, once again, were there in great num bers with table clinics and examinations. Sam was in charge of this as well. Thanks to him and all the folks who helped. Congratulations are in order for Shirley Meade who will be installed this Sep tember as President of the Alliance of the VDA. Ray can do the cooking for a year. And like a teapot with no water, I guess Bob Leigh Grossmann has run out of steam. He is retired. Can his golf gID any better? ... Brace yourself!

in.

And finally ... while a school in Hopewell on GKAS day, I noticed a boy with a puzzled look as Dr. Ellis was talk ing to him. I overheard Dr. Ellis telling the boy -" floss is like a beach towel, plaque is gooey as syrup." I had to step in and tell David - today is NOT Give Kids A Smile day. See you at the beach! Component IV Richmond

Our component has been under the ex cellent leadership of president Dr. AI Stinger. AI is a great visionary who worker tirelessly for the RDS & VDA this year. Thank you AI, you will bea hard act to follow.

Component V Piedmont

On February 21 51 we held our first "GIVE KIDS A SMILE DAY" at The Science Museum of Virginia in Richmond. We had many RDS members, hygienists, staff and VCU dental students volunteer. These volunteers provided examination, performed prophylaxis, topical fluoride treatments, x-rays and oral hygiene in structions to over 100 children in need. A special thanks to Dr. Roger Wood and Dr. Ray Eddleton from the RDS for all of their hard work in organizing the event.

Dr. Lori Snidow, Editor

Dr. Kate Roberts, Chair of the Dental Public Health & Information Committee, has worked vigorously on screening the elementary school children of the inner city Richmond City Public Schools. Dental students and residents from VCU assisted Dr.Roberts. Kate is an enthu siastic and highly motivated new den tist and we are very fortunate to have her as a member of the RDS.

ABOUT OUR MEMBERS • Dr. Gary Hartwell was elected to serve as president of the 2003 - 2004 American Board of Endodontics.

Spring is here, summer is just around the corner and everyone is anxious to wind down for this year. Our compo nent has been very busy. Our monthly membership meetings have given us wonderful CEo Dr. Richard Wilson pre sented a thought provoking presenta tion on ethical dilemmas we all face in the practice of dentistry. Dr. Charlie Cuttino presented "Cracking the Code in CDT-4". Dr. Cuttino stated that we should code for what we do. The April meeting brought us Dr. Tom Waldrop from VCU/MCV speaking on "Periodon tics Today - Trends and Techniques".

Component VI Southwest

Dr. Robert G. Schuster, Editor No News To Report Component VII

Shenandoah Valley •.

Dr. Mac Garrison, Editor No News To Report

Component VIII Northern Virginia

• Dr. Graham Gardner and his wife Jen nifer welcomed their second child, Finn, on Jan.1 O'". • Dr. Jeff Byer and his wife Patricia had their first child, Andrew Jacob, on Jan. 22.

Dr. Kit Finley-Parker, Editor

No News To Report

Congratulations from all of the RDS members - Hope you are finally getting some of that much needed sleep! Our year-end Golf Outing and Cookout is scheduled for May 16 th at Indepen dence Golf Course. The RDS wishes all the Components a happy and healthy summer. See you in September!

Dr. Scott McQuiston, Editor Northern Virginia is gearing up for a great spring and summer after a long, cooooooid winter. We were privileged to have had some terrific speakers in our area. Dr. Stanton Wolfe spoke on Lo cal Anesthesia, Dr's Pantera and Garlapo on Restoring Endo Teeth, Dr. Alan Fetner on periodontics and Joan Garbo finished this years lecture series with staff enhancement. The Society also sponsored an informative HIPPA lecture given by Harris Biomedical. Thanks go out to the program commit tee for their hard work and diligence in bringing quality speakers to our mem bership. Our committee on the New Dentist has been busy planning a fam ily night in June to see the Prince WillVirginia Dental Journal

VSOMS NEWS Give Kids A Smile Day in February was a great success. It was ~~Id at the Northern Virginia Dental Clinic and 51 children showed their smiling faces. Prophies, education on tooth care and entertainment in the form of puppets were provided. Although we were under five feet of snow that day, the turn out was very good. Just what the kids wanted to do on a snow day! On January 29thwe held our new mem ber orientation in which the following new dentists were introduced: Scott Aylor, DDS Qais Musmar, DDS Brendan Bernhart, DDS Anhhuy Nguyen, DDS Rick BUi, DMD Vacora Oliver, DDS Jonathan Chang, DDS William Ryals, DMD • Makepeace Charles, DDS Amy Senh, DDS Frederick Farahi, DDS Rainey Suon, DDS Parastoo Golestani, DDS Marcus Swann, DMD Michael Han, DDS James Woodard, DMD Petula Hom-Minniti, DDS Mojgan Mazhari, DDS Congratulations to these fine profession als as they start their practices in North ern Virginia. This is a wonderful begin ning to organized dentistry!

Stephanie L. Arnold Director of Outreach Programs

2002-WHAT A YEAR!! I am happy to report that 2002 wa~ a record breaking year for DDS. With each passing year, more patients are being treated and more services are being provided thanks to our volunteers. This past year, over 300 patients re ceived dental care. During 2002, we also saw our 1oooth case completed and services donated surpassed the $2 mil lion mark. Thanks again to all of the volunteer den tists and labs who have donated their time and services so that those less fortunate can smile again. It would be great if we could get even more people back in good oral health in 2003. REGISTER WITH DDS! If you would like to volunteer (or know someone who would) your time and ser vices to treat elderly and disabled indi viduals through the Donated Dental Services program, please contact:

Stephanie Arnold Project Coordinator (804) 264-9010 Patients are seen in your private office, and volunteer specialists and labs are available to assist in cases where needed. Even if you only take one case per year, that is one more person who is able to smile proudly, and in some cases ev~n eat food for the first time in years-pain free. DDS makes volunteering easy!

Dr. Anna Abel and her friendly frog coax an apprehensive patient while Mother looks on and big brother peeks around the door at the NVDS Give Kids A Smile program.

62 Virginia Dental Journal

Dr. James Nelson, President The Virginia Society of Oral and Maxil lofacial Surgeons will hold their 2003 Annual Meeting at the Courtyard Marriott, Virginia Beach, Thursday, June 19 through Sunday June 22, 2003. Dr. David Schwab of Lake Mary, Florida will present a fast moving lecture .entitled "Specific Strategies for Mark~tlng yo~r Oral Surgery Practice". Participants Will learn how to create a mini marketing plan that will result in an. increase i~ referral from general dentists. In addi tion to the many attractions Virginia Beach offers, the meeting will also fea ture the Annual VSOMS Golf Tourna ment as well as a cocktail reception. For more information about the meet ing or to obtain a registration brochure please contact Nicole Pugar, VSOMS liaison at (804) 261- 1610 or pugar@vadental.org.

VAO NEWS

Dr. Steve Hearne, Past President The 2003 Annual Meeting of the Virginia Association of Orthodontists will be held Sunday, June 29 through Wednesday July 2, 2003 at the Greenbrier ~e~~rt, White Sulphur Springs, West Virginia. The meeting which is being held in con junction with the 3M Unitek Summit Meeting, will feature the lectures by ~r. Richard P. McLaughlin and Dr. G. Will iam Arnett. In addition to the continuing education, the meeting will also include exciting social events. On Sunday June 29 the VAO and 3M Unitek will host a reception for all registered for the meet ing. On Monday enjoy the afternoon on the Greenbrier Golf Course, home of the International Ryder Cup and Solheim Cup. The meeting will conclude with an exclusive VAO cocktail party, dinner and dance. The meeting registration dead line is June 2,2003. Reservations at the Greenbrier should be made as soon as possible as space is limited. To ma.ke lodging reservations at the Greenbrier please call the Reservations Department at 1-800-624-6070. For more informa tion about the meeting or to obtain a registration brochure, please contact

Nicole Pugar, VAO liaison at (804) 261 1610 or pugar@vadental.org.

[

]

VAE NEWS

~~~~~~~~~~~~~. 1111

Dr. Timothy J. Golian, President The Virginia Academy of Endodontists will be meeting in conjunction with the VDA annual meeting in Richmond, Vir ginia on Saturday September 13, 2003. The annual business meeting will be at 8:00 am to 9:00am, followed by the an nual CE meeting that will feature Dr.Ray Webber speaking on Pulpal Therapy and The Use of I\I1TA and Calcium Hy droxide. EVERYONE IS WELCOME. A special thanks goes out to our Imme diate Past President Dr. Frank Portell for a job well done. Dr. Portell having served our Academy for two consecu tive years, displayed wonderful leader ship and insight throughout his term. I would like to also welcome t[1e new of ficers for 2002-2003 Pres.: Dr. Tim Golian V. Pres: Dr. Steve Forte SecfTres: Dr. David Palmieri CE Director: Dr. Larry Kotler In closing, I would like to extend a warm welcome to new member Dr. John D. Bramwell, and look forward to seeing all of you in September.

[II PUBLIC

HEALTH NOTES

Dr. Karen C. Day Dir. Division of Dental Health This February the Division of Dental Health (DDH), Virginia Department of Health, participated in a number of ac tivities to recognize National Children's Dental Health Month includingthe Eighth Annual Dental Extravaganza held Sat urday February 22rd at Southpark Mall in Colonial Heights. Staff of DDH pro vided information about dental health to hundreds of citizens and worked with the Southside Dental Society on the essay contest this year "How Do Your Teeth Help You To Be Healthy." Division staff also participated in "Give Kids a Smile Day" event working with VCU School of Dentistry and private dentists

in Richmond City and Hopewell. DDH was represented at the Chesterfield County School Board meeting on February 11, where the Board thanked the staff for school activities that improve children's dental health. On February 12, the Chesterfield County Board of Supervisors resented a resolution to DDH staff recognizing "Give Kids a Smile Day" and "National Children's Dental Health Month" in Chesterfield County. The resolution expresses their gratitude on behalf of Chesterfield County residents to all dental profes sionals who help protect children's den tal health. Finally, the Central Shenandoah Health District celebrated "Fifty Years of Fluoridation in Virginia" with a presentation of community ap preciation awards to the waterworks operators of the Lexington Field Office District. Dr. David Larsen, District Health Director, acknowledged the individual efforts of the public water systems to maintain optimal community water fluo ridation levels in their localities. Follow ing the recognition ceremony Dr. Lisa Syrop, Fluoridation Coordinator for the Division of Dental Health Health, pre sented a lecture on "Fluoridation and Public Health." Fifty-fiveprivate and pub lic health dentists, dental staff and water works personnel attended.

ICD NEWS

Corydon Butler, Michael Miller, Ronnie Brown, Harvey Shiflet, Ted Sherwin, Timothy Russell, and Gus Vlahos were inducted into the ICD on Friday, Octo ber 18, 2002 during the College's An nual Meeting at the Sheraton New Or leans Hotel in New Orleans, LA. The Virginia Section of the ICD held their annual meeting at the Norfolk Water side Marriott Hotel on Saturday morn ing, September 21,2002. We were very privileged to have as our guest speaker, Dr. Terry D. Dickinson, the Executive Director of the VDA and fellow of the Virginia Section of the ICD. Starting on the theme of ''The Responsibilities of Fellowship" that was promoted by Past President of the USA Section of the ICD Dr. Emanuel W. Michaels, Dr. Dickinson presented an outstanding and extremely interesting talk on the International Col lege of Dentists.

II]

Dr. Roger H. Flagg Vice Regent For The 16th District Of The International College of Dentists

Dr. Terry Dickinson, VDA Executive Direc tor, holds up a photo of Dr. Emanuel Michals during his presentation in Sep tember 2002.

The International College of Dentists is proud to announce the induction of their newest members. Dr. Donald Martin,

Top Row - Left To Right: Donald L. Martin, Pulaski; Corydon B. Butler, Jr. Williamsburg:

and Michael E. Miller, Richmond.

Bottom Row - Left To Right: Ronnie L Brown, Abington; Harvey H. Shiflet III, Virginia

Beach; J. Ted Sherwin, Orange; Timothy E. Russell Ill, Alexandria; and Gus C. Vlahos,

Dublin.

Virginia Dental Journal

The Virginia Section of the ICD pre sented its 2002 Annual Award to Russell M. Weaver, a junior dental student at the VCU/MCV School of Dentistry, who achieved the Highest Grade Point Aver age during his first two years at the den tal school. The award is a check for Five Hundred Dollars ($500.00) and a certificate attesting to his accomplish ment.

Mr. Russell M. Weaver receiving the VA Section of the ICD2002Annual Award. Left to Right: Dean Ronald J. Hunt; Mrs. Weaver; Russell M. Weaver; Roger Flagg, DDS, DeputyRegentfor VA. As of January 1,2003, Dr. Roger Flagg assumed his new duties as Vice Re gent for the 16th District of the lCD, which is composed of North Carolina, South Carolina, and Virginia. He was nominated and elected to that position during the National Meeting in New Or leans, LA. The new Regent for the 16th District of the ICD is Dr. Theodore Roberson of Durham, NC. Dr. Roberson is a member of the faculty of the Univer sity of North Carolina School of Den tistry and is know to many Virginia den tists because of his membership as part of the ADA 16th District Delegation. Dr. William J. Bennett of Williamsburg has accepted the position of Deputy Regent for Virginia and Dr. Richard D. Barnes of Hampton has agreed to continue his service as Councilor.

Deputy Regent forVA, Roger H. Flagg, DDS, with the Presidents of NC, SC and DC Dental Societies. Left to Right: Dr. Dou glas Rawls (SC), Dr. RogerFlagg, Dr. Sally Cram (DC) and Dr Robert Plage (NC).

64 Virginia Dental Journal

SCHOOL OF DENTISTRY ~I~~~~~~~~~~~~~~Il] Dr. James Revere Executive Associate Dean ART AUCTION A HUGE SUCCESS More than 200 friends and alumni of the School of Dentistry gathered to offer their support at an art auction held to benefit the School's simulation clinic campaign. Dr. Baxter Perkinson alumnus, general dentist, noted water colorist, and Rector of the VCU Board of Visitors - donated 50 of his origi nal, framed watercolor paintings forthe auction that raised more than $100,000 for the proposed clinic. "Dr. Perkinson has been overwhelming in his support of the School of Dentistry and its capital campaign," said Dr. Ron Hunt, Dean of the School. "His contri bution will go a long way toward provid ing the kind of technology that is nec essary to improve our educational pro grams and to better prepare future den tists. "The School wishes to thank Dr. Perkinson and all the alumni and friends who gave so generously to make this auction such a huge success," he said. The auction was held the evening of March 21 at the Virginia Crossings Resort and Conference Center in Glen Allen, Va. The auction proceeds pro vide a major boost to the $4 million es timated cost of constructing the dental school's simulation clinic. A total of $1 .4 million has been raised in gifts and pledges for the campaign thus far. The proposed 4,500 square foot simu lation clinic will include 100 simulation stations. Each station will be equipped with a mannequin head and torso, an air/water syringe, suction capability, high-speed and low-speed handpieces, an overhead dental light, a computer monitor, and high-speed internet ac cess. An adjacent area will contain 20 virtual reality tooth preparation training units that will be available for student use 24 hours every day. An additional 4,000 square-foot area will house a new state-of-the-art, multi-use conference facility for lectures, seminars, and con

tinuing education classes. "Simulation laboratories and virtual re ality training units are the wave of the future in dental education," said Dr. Jim Revere, Executive Associate Dean at the School of Dentistry. "Such facilities allow dental students to gain experience with simulated patients, thus easing the transition from the laboratory to the clinic. This new technology significantly enhances the preclinical educational experience, and we at VCU intend to be a part of this important new trend."

Dr. Baxter Perkinson, Mrs. Marilyn Harman and Dr. RobertHarman review the art cata log prior to the auction HOLCOMB CLINIC FOR ORAL AND MAXILLOFACIAL SURGERY IS DEDI CATED On February 13th, 2003, the VCU School of Dentistry dedicated the Raymond Alvey Holcomb Clinic for Oral and Maxillofacial Surgery. The newly renovated and expanded clinic was made possible by a $200,000 gift from Mrs. Kay Holcomb Clary and her family in honor of her father, Dr. Raymond Holcomb. "This renovation is especially important because it permits the expansion of the scope of services available in the oral and maxillofacial surgery clinic," Dean Ron Hunt said during the dedication ceremony. "More dental patients will be served and our dental students will be provided additional educational experi ences." Dr. Holcomb practiced dentistry in Fredericksburg, Va., devoting most of his career to the practice of oral sur gery. A 1941 graduate of the MCV School of Dentistry, Dr. Holcomb served with the U. S. Army in Italy and North

ti'

~frica during World War II and returned ~~y Fredericksburg

to practice dentistry ''61946. He was very active in the Vir ~lnia dental community and served a '~erm as President of the Northern Vir lnia Dental Society. an Hunt emphasized that the reno

tion and expansion of the clinic also 'ill allow improved urgent and emer ncy care and enhanced anesthesia d sedation services for patients. In dition, the School will be able to inte ate its surgical programs by incorpo ting the faculty practice with the stu nt and resident clinic operations, he id.

She successfully attracted intramural funding from the dental school and ex tramural funding from the Nationallnsti tute of Dental and Craniofacial Research and the American Association of Orth odontists Foundation. Shroff's research at VCU centers on the osteoclastic function during tooth eruption in a transgenic knock-out murine model. She believes information obtained from such animal models will be critical to the basic understanding of tooth erup tion and delayed tooth eruption, both of which have immediate clinical relevance.

r, Richard Clary, Mrs. Kat ryn Holcomb ;Clary, Ms. Margaret Clary, Mrs. Kathryn 'hgus, Ms. Becca Clary and Dr. Ron Hunt, ,. ean

'·Qr. Bhavna Shroff joined the faculty f~S a Professor of Orthodontics in Octo er. Shroff, a native of Paris, France, eceived her dental degree from the niversity Paris V Rene-Descartes. She orked there for three years as a part me instructor while practicing general entistry. Shroff completed a master's egree in Human Biology prior to joing the Orthodontic residency program tthe University of Connecticut in den I sciences. There, she earned a cer icate in Orthodontics and master's egree in Dental Science. In 1989, hroff joined the Orthodontic faculty at e University of Maryland in Baltimore. er responsibilities at Maryland included irecting Orthodontic postgraduate re . earch. She mentored 13 master's ;projects during her 13 years at Mary . nd. Her most recent research project, ApoPtosis and Collagenase Expression ,During Eruption, received the Kress iflesearch Award from the Middle AtIan itic Society of Orthodontists. Shroff's research interests focus on the funda i;:mental mechanisms of tooth eruption.

Dr. Bhavna Shroff

Dr. Andrew Yeudall joined the faculty in November in the VCU Philips Insti tute in the School of Dentistry as an Associate Professor of Oral and Cran iofacial Molecular Biology. Dr. Yeudall's academic degrees were earned at the University of Glasgow. He received a Bachelor of Science with Honors in Bio chemistry in 1983, a dental degree in 1986, and a doctorate in molecular bi ology in 1991. Yeudall undertook ad vanced training in clinical oral pathol ogy in Glasgow from 1987 to 1990. He accepted his first faculty position in the Department of Oral Medicine, Surgery, and Pathology at the University of Bristol in the U.K. From 1993 t01997, he com pleted advanced postdoctoral training at the National Institute of Dental and Craniofacial Research at the National Institutes of Health in Bethesda, Mary land. In 1997, he returned to the U.K. for a position as a visiting lecturer at the Eastman Dental Institute. In 1999, he was appointed as an associate member of the Cancer Biology and Therapy Interdisciplinary Research Group at King's College, London, and as a Senior Clinical investiqator in the Departmentof Craniofacial Development at Guy's Hospital in King's College. He

rose to the rank of Clinical Senior Lec turer in 2001. Yeudall's research interests include the molecular and cellular biology of head and neck squamous cell carcinoma, the sixth most prevalent malignancy in the United States. His research is directed toward understanding the molecular pathogenesis of squamous cell carci noma, which has three main compo nents: Understanding cell cycle pro gression and its integration with cell surface receptor signaling pathways; identification and characterization of genes that induce or repress invasion and metastasis; and, identification of genes whose products may represent novel diagnostic/prognostic markers and targets for molecular therapy of cancer. Since his arrival, Yeudall has been at work equipping his new research lab and preparing grant applications for submis sion to a variety of funding agencies. He was granted status as a full mem ber of the VCU Massey Cancer Center, as his expertise in biochemistry and molecular biology complements the ongoing head and neck cancer research at the medical center campus.

Dr. Andrew Yeudall

STUDENTS FROM THE VCU SCHOOL OF DENTISTRY VOLUNTEER FOR GIVE KIDS A SMILE DAY EVENTS

More than 125 dental hygiene and den tal students from VCU participated in the events leading up to and culminat ing in "Give Kids A Smile Day." The stu dents provided oral health screenings and dental services for more than 800 elementary and middle school children at seven area schools. They also par ticipated in "Give Kids a Smile Day"

Virginia Dental Journal

events held on March 21 at Colonial Heights' South Park Mall and at the Science Museum of Virginia in Rich mond. The student volunteers worked together with members of the VDA and the Alliance to the VDA.

periences will open the door to their continued desire to help those in need. i

.~.\

Students Tamesha Morris '03, Sunee Salpetchniyom '04, Sara Thayaprasat '04, Sam Nwogu '04 talk with Dr. Peter Trager '68 of Marietta, GA and Dr. Clifton Johnson '85 of Columbus, GA.. Students, facultyand Nurse Reed at Long Pond Clinic in Jamaica Students Keith Van Tassell, '04, Jason G. Campbell, '04, and Aramesh Mahoozi '03, talk with Congressman Eric Cantor at the Science Museum of Virginia. JAMAICA PROJECT 2002

From Oct. 30 through Nov. 19, 2002, Long Pond Clinic in Trelawny Parish, Jamaica, buzzed with activity. The Ja maica Project - an energetic team of VCU faculty, staff, and student volun teers - had come to town. Twenty-six dental students, two hygiene students, 11 faculty members and one dental as sistant delivered dental care to people whose needs ranged from prophies and composites to complicated surgical extractions. With the help of Nurse Reed, a local nurse who screened the patients, the VCU team worked hard, seeing more than 1,500 patients. In addition to the work done at Long Pond Clinic, groups of dental caregivers traveled to remote locations, visiting five schools during the three-week project. Treatment provided during these trips included extractions, prophies, hygiene instruction, and fluoride rinses. A trip also was made to Good Hope Planta tion to provide care to on-site employ ees who were unable to travel to the clinic in Long Pond. The trip to Jamaica was possible thanks to those in the dental community who donated dental supplies and made mon etary contributions. The Jamaica Project, begun in 1986 by the VCU School of Dentistry, provides a mean ingful addition to the didactic study and clinical instruction students receive dur ing dental school. Hopefully, such ex

66 Virginia Dental Journal

HINMAN SCHOLARSHIP AWARDEES HONORED AT RECEPTION

[II

ALLIANCE NEWS

Barbara Yandle, President Sarah Friend and Gloria Fernandez, fourth year students at the VCU School of Dentistry, were named the School's 2003 Hinman Scholarship Award recipi ents. Ms. Friend and Ms. Fernandez joined other scholarship winners from southern dental schools at the Thomas P. Hinman Dental Meeting in Atlanta on March 22. During the meeting, they at tended educational and scientific ses sions and received recognition at the Hinman Awardees' luncheon, where each scholarship recipient was given a scholarship check and a commemora tive plaque. During the Hinman meeting, the School held a reception hosted by Dr. Jim Re vere, Executive Associate Dean. Ap proximately 35 dental students from VCU - the largest group of VCU den tal students ever to attend a Hinman meeting - were joined at the recep tion by 60 VCU dental alumni from Vir ginia, Georgia, Florida, and South Caro lina. The School wishes to acknowl edge the generosity of Drs. Brian Harsha, Clifton Johnson, Ann Bentley Kirol, Stephen Radcliffe, and Peter Trager, who sponsored dental students to the 2003 Hinman meeting.

2003 Hinman Scholars, G lor i a Fernandez '03 'and Sa rah Friend '03.

The Virginia Alliance has been able to help support the MCV Dental Clinic Van and the Donated Dental Services pro gram sponsored by the VDA. $500 was given to each area to help support their access-to-service outreaches. This funding is made possible by our sales of children's T-shirts, bibs, and onesies with "I Love My Dentist. He's/She's My Dad/G raddad/Morn" and by our sales of jewelry items. This year's Leadership Conference was held March 5-8 in Lincoln, Nebraska. AADA President Jocelyn Lance headed our informative sessions which included such speakers as Jon Holtzee, ADA Director of State Government Affairs; Joan Hanson, ADA Public Information Directorfor "Give Kids a Smile Day"; and U.S. Congressman Tom Osborne of Nebraska. Several informative work shops were offered in the area of Dental Health Education, including the efforts of the Missouri and Minnesota Dental Associations to educate the public re garding the health dangers of soda ma chines in public schools. Their "Stop the Pop" brochures provide compelling data that the prevalence of high fructose and/or high phosphoric sodas can im pact not only dental health, but also the rising problems of obesity and/or diabe tes. Salt Lake City, Utah will be the site for next year's Leadership Confer ence. I would encourage anyone to at tend. Conference is both educational and entertaining.

Four members of the Alliance attended the MCV Dental Student Clinic Day on April 9 th . For the fourth year, the Alli ance sponsored a free raffle to married dental students for a $60 WalMart Gift Certificate. The Clinic Day is an oppor tunity for the Alliance to "spread the news" that the Alliance is a national or ganization of men and women who sup port the values and goals of organized dentistry. Through Clinic Day we offer dental spouses a free one-year mem bership in the Alliance in order for them to learn more about our initiatives in oral health education, legislation and advo cacy, and membership development. It's not too early to start planning for our VDAJAVDA Annual Meeting at the Marriott in Richmond. Please mark September 10-14 on your calendars and plan to attend. The state committee is planning many fine things for our week end. Our annual Alliance luncheon and meeting will be held on Saturday, Sep tember 13th .

The Virginia Alliance Executive Board would like to welcome Norma Roadcap from Colonial Heights! Norma is the new President of the Alliance of the Southside Dental Society. As an orga nized Alliance, we have three compo nent Alliance organizations in Virginia: Roanoke Valley, Richmond, and Southside. Members-at-Iarge are also a part of our State and National organi zation and are recipients of both our state "Dental Dominion" newsletter and our national "Key" newsletter. Please contact ourVice-President for Member ship, Mrs. Shirley S. Meade (13004 Chipstead Road, Chester, VA 23831. Phone 804.796.2002) for more informa tion. Please feel free to give us a call and find out more about the Alliance! See you in September!

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classified ads Classified advertising rates are $40 for up to 30 words. Addi tional words .25 each. The classified advertisement will be in the VDA Journal and on the VDA Website - www.vadental.org. It will remain in the Journal for one issue and on the website for a quarter (3 months) unless renewed. All advertisements must be prepaid and cannot be accepted by phone. Faxed advertise ments must include credit card information. Checks should be payable to the Virginia Dental Association. The closing dates for all copy will be the 1st of January, April, July, October. After the deadline closes, the Journal cannot cancel previously ordered ads. This deadline is firm. As a membership service, ads are restricted to VDA and ADA members unless employment or con tinuing education related. Advertising copy must be typewritten and sent to: Journal & Website Classified Department, Virginia Dental Association, 7525 Staples Mill Rd., Richmond, VA 23228 or fax (804) 261-1660. The Virginia Dental Association reserves the right to edit copy or reject any classified ad and does not assume liability for the contents of classified advertising.

DENTISTS - FULL-TIME & PART-TIME Prison Health Services is looking for Dentists willing to challenge themselves for unique rewards and satisfaction. Escape the ordi nary and make a difference with us! We currently have FT (Mon-Fri) & PT positions at the Greensville Correctional Center in Jarratt. This is an excellent opportunity to practice dentistry in a modern practice setting. VA license required. We offer very competitive and a com plete benefits package including: health/dental/life insurance, paid vacation/holidays/sick ieaee, paid malpractice insurance, 401 (k) plan, and more! Contact Mindy Halpern at (800) 729-7053; fax (877) 729 7053; e-mail athalpermh@asgr.com. EEO/AA PRACTICE FOR SALE Williamsburg: #7008, Gross $228,334; 4.5 days, 3 operatories; 1200 sq. ft. office space, assistant, receptionist condo office for sale with practice in professional park. Excellent potential. Winchester Area: #7042, Gross $237,949; 4.5 days 30peratories; 1200 sq. ft. office space, assistant, hygienist (pt), receptionist, Excellent potential, close to D.C. Tappahannock Area: #7077, Gross $265,089; 3 days 2 operatories; 850 sq. ft. office space, assistant (pt), receptionist (pt), Boat, sail, and grow with the beautiful people in the Northern Neck., Room for expansion. Southwestern Virginia: #7051, Gross $457,878; 3.5 days, 4 operatories; 1400 sq. ft. office space, 2 assistants, hygienist, re ceptionist, Excellent potential, near major university. Richmond: #7006, Gross $130,976; 4 days, 30peratories; 750 sq. ft. office space, assistant (pt), receptionist (pt) Excellent merger opportunity. Danville Area: #7018, Gross $292,117; 3.5 days, 4 operatories; 2150 sq. ft. office space, assistant (ft), assistant (pt), office man ager; Beautiful office, large lot, computer system, Excellent potential. All practices listed above have 100% financing available. For more information on any practice listed above, call Professional Practice Consultants, Ltd. Dr. Jim Howard @ 910-523-1430

ASSOCIATE POSITION NEAR HARRISONBURG, VA General dentist needed for an associate position leading to buy-out of busy, progressive practice located in the beautiful Shenandoah Valley. Excellent opportunity; 22 year old family practice in fast grow ing local community. Great earning potential. Contact Thomas M. LaTouche, DDS, 4167 E. Point Road, Elkton, VA 22827 or email mosestom@shentel.net. ENDODONTIST - MARYLANDIWASHINGTON DC SUBURBS Relocate to this cosmopolitan, economically stable area. Excellent opportunity for practicing endodontist to join an established practice. State-of-the-art facilities, fee-for-service only. Generous salary and benefits with "fast-track" full partnership available. Fax CV 301-951 0448. CAREER OPPORTUNITIES Outstanding career opportunities in Virginia providing ongoing pro fessional development, financial advancement and more. Positions also available in FL, GA, IN, MI, MD and PA. For more information, contact Jeff Dreels at 941-955-3150 or fax CV to 941-330-1731 or e-mail todreelsj@dentalcarealliance.com DENTIST OPPORTUNITY - RICHMOND Dental clinic serving the homeless population is seeking a dentist 12 20 hours a week. This unique opportunity at the Daily Planet Healtheare for the Homeless is available June 1, 2003 and offers a very competi tive compensation. In return for your efforts this position will allow you to gain valuable dental experience, manage the dental facility at a community health center, work at a place with no restrictive cov enant, have negotiable days and hours, have no financial risk - come to work and go home, teach dental hygiene and dental students every week, and work with an under-served population who will thank you for your work. Please fax your resume to Dr. Peter Murchie at 804-783-2514 or call him at 804-649-2119 x247 to find out more information about this exciting and wonderful opportunity. DENTAL PRACTICE FOR SALE Great opportunity to buy dental practice with two excellent locations. Well-established general practice, great patients, caring and well trained staff willing to stay and work with new owner. First location on Hwy 460, Zuni, VA. Includes large office space, new building, new equipment and four tully equipped operataries. Second location on Market Street in Downtown Suffolk, VA. Well-established, desir able location with two fully equipped operatories. Will sell together or separately. Immediate occupancy. Please contact B.J. at (757) 539 37-35 or Susie at (757) 934-1189.

DENTIST - WESTERN STATE HOSPITAL Position available for full-time Dentist to provide primary dental ser vices at a 286-bed adult inpatient psychiatric hospital. Duties include: Plan and implement comprehensive oral hygiene therapy, restorative dentistry, periodontics, complete or partial prosthodontia and limited pedodontics (emergency referral from nearby child/adolescent psy chiatric facility). Dental suite with 3 operatives and panorex room. Dental assistant available for chairside assistance and front office management. Salary negotiable based on experience. Contact Dr. Mary Claire Smith, MD, MediealDirector, WSH, P. O. Box 2500, Staunton, 24402-2500 0 r call 540-332-8211. E-mai I VA msmith@wsh.state.va.us. Human Resources may be contacted at 540-332-8300 for application information. EEO

DENTAL OFFICE FOR SALE OR LEASE Dental office-4,000 sq ft (can be divided 2,000 up/down) Retired Dentis! WANTS to sell OR lease this already fitted building to a Den tist. Owner financing. Fredericksburg, VA Call Adrianna for details, Cowan & Assoc. 800-500-6600 or 540-840-3137

68 Virginia Dental Journal

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