Virginia Dental Journal by Virginia Dental Association

OCTOBER - DECEMBER 2004

VOL. 82 NO.4

THE VIRGINIA DENTAL ASSOCIATION

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Contents For October-December 2004

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Dental Journal

Volume 81 Ne s and Headlines

Departments

Number 4

Den

labor

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F 2 Virginia Dental Journal

ecause One eeKend CAN MaKe All ne Difference...

N ext Projects:

Easte rn Shore, VA

April 2-3, 200 5

Nort hern VA

April 15-17, 2005

Missions

"'~ o/Mercy

Virgi n ia D enta l Health Foundation

Virginia Dental Journal

From The Editor

This September and October, I had the opportunity to attend two outstanding dental meetings: the Virginia Dental Association "Virginia Meeting" in Norfolk, Virginia and the American Dental Association Annual Meeting in Orlando, Florida. Both meetings offered a wide array of continuing den tal education, outstanding technical exhibits, and fun social functions.

Leslie S. Webb, Jr. DDS

VA Dental Journal Editor

I also had the opportunity to be a part of the House of Delegates at these meetings and observe our constitu ent and national associations conduct their yearly business meetings. We as dentists are truly fortunate to have such outstanding association meet ings to gain knowledge of the latest techniques, products and equipment in dentistry and to interact with our colleagues from Virginia and across the entire country. Even if not delegates to these meetings, we can attend refer ence committee hearings and express

our opinions about issues before our governing bodies. I am constantly impressed with our many dental colleagues and associa tion staff members who help plan and assist in running our meetings. We must applaud them as well as our col leagues who serve as delegates. Our delegates give much time and effort to learn the issues and attend refer ence committees and delegate sessions to represent us. As a member of our tri-partite dental family, I urge you to take advantage of your association meetings. You will gain much person ally and professionally. Next year the Virginia Meeting will be held September 14-18 at the Marriott Hotel in Richmond, Virginia. The American Dental Association will meet in Philadelphia, Pennsylvania, October 6-9, 2005. Plan now to at tend.

CAN YOU HELP? The Board of Directors is forming a Bioterrorism/ Mass Disaster Subcommittee to formulate the VDA's emergency response to mass disasters and needs volunteers. If you have an interest in bioterrorism or forensic dentistry and would like to serve on this subcommittee, please contact Bonnie Anderson in the VDA central office at anderson@vedaental.org or at (804) 261-1610.

NOTE: If you have a latex-free practice or are aware of one, please contact Dr.

Terry Dickinson at the VDA office at (804) 261 -1610.

4 Virginia Dental Journal

Message From The President

Th e world today is getting sm aller and smaller. Gov ernment intrusion is happening in all busin esses, includ ing ours. Increasingly, there are other groups who think they sho uld direct how dentistry should be practic ed. Th ese include governm ental agencies , regul atory agencies, insurance com panies, and other healrhcare organiza tions and trade associations. They all think they can fix dentistry. We mu st me et these challenges head on if we are to rem ain the keepers of our profession. Perception is reality. I know, and each of you knows, that everyone of us contributes to our communities and profession in man )' ways. We are town mayors, town council members, school board members, church dea con s and layperson s, Sunday school teachers, volunteer firefighter s and paramedics. We serve on countless boards of directors for variou s govern ment and charity o rganizatio ns. We all give. We all co ntribute to worthy causes and provide dental services to those in need for free or reduced fees. We have all been taught to just do th e right thing and not brag abo ut it or call attention to ourselve s. And we'll continue to do tho se things because th at's wh o we are. But percepti on is reality and no one notices. In th e past several years the VDA has sponso red 13 MOM projects throughout the Commonwealth . Volunteer dentists and staff members have pro vided over 4 and a half million dollars in free dental care to our citizens. The DDS Program, where dentists provide free care to the qualifi ed indigent popu lation has provided more than 2 .5 m illion dollars in dental care to th ose in need . Local dental laboratories have chipped in and pro vided neces sary laboratory work free of charge. And Give Kids a Smile has provided dental education and treatm ent for underprivileged kids throughout th e state. Participation in th ese events is easy to document, others see it. It gets the publicity that others notice.

It gives us credi bility as an associa tion and a profession and in doing th at , op ens doors so that our message can be heard . Legislators and other agenci es throughout Virginia know about us because of these program s and are asking us to help solve th e problem s we face in delivering dental care. Th at 's why it is so important th at we continue on thi s path- it opens so man y doors. So I ask each of you this coming year to get invol ved in th ese programs. Find a way to participate. Do so me good and get o ur association noticed. You'll win , o ur citizens win , and the association wins. Access to care is the buzz word th ese days. Person ally, I think man y groups use it as an excuse to get th eir agen das on th e tabl e. The truth is, access to care is a probl em in Virginia and throughout our great nation. If we don't find a way to fix it, so meo ne else will. Our MOM projects have helped identify the problem and call atten tion to it. But th e MOM projects can't solve the problem . Free dental care in our offices and in free clini cs cannot solve th e problem. The dental Medicaid system in Virginia is badl y broken . Few dentists participate be cause of th e abysma l reimbursement rates, brok en appo int me nts, and th e mountain s of paperwork necessary to subm it a claim. Today, we have the ear of the director of DMAS (dental medical assistanc e services) and we have the opportunity to provide input into creating a system that will work. The door is op en for our participation and I'm really excited abo ut having the opportunity to create a system that will work for the patients and the dentists. If we don't fix it- who will? Wastewater is fast becoming an issu e of concern for us. Th e issue is, how much mercury we are putting into the wastew ater th at leaves our offices. Th e fact is, dentists are not large cont ribu tors of me rcu ry to th e enviro nment. We mu st realize how ever that our contribution is not negligible and th at we are easy targets to go after. Re-

Bruce R. Hutchison, DDS

VDA President

search has shown that we can elimina te 80 % of the amalgam disch arge from o ur offices by following so me standard pro cedures. These have been published in the VDA and ADA Journals and are available on th e VDA website (vade n tal.org). They are called Best Manage ment Practi ces. These relat ively eas)' to follow steps include such things as: No free mercury in th e dental office Use of precapsulated amalgam Prop er disposal of unused am algam Proper disposal of chairsidc and central vacuum traps Prop er handli ng of removed amalgam Proper handling of extracted teeth containing amalgam We can all do our part. If all of us fol low th ese pract ices, we will be doing our job and car rying our share of the load . We mu st as indi viduals and as an association show we are doing our part. In Jul y, the American Dental Hygiene Association announced that their recent House of Del egates had offi cially adopted resolutions to create an "advanced dental hygiene practitioner" who would , with additional train ing , provide "d iagnostic, preventative, restora tive and therapeuti c services directly to the public." In other word s Continued On Page 15

Virginia Dental Journal

wish to thank the members of the House who served on the Creden tials Committee and the Refer ence Committees. The ir fine work helped the House cover all matters in an efficient manner. The Com mittee members were:

Letter To The Editor

September 17, 2004 Dr. Leslie S. Webb, J r Editor, VDA Journal 7525 Staples Mill Road Richmond, Virginia 23226

Sam C alston, Chairman, M ichael Abbott, Alonzo Bell, Elizabeth Reynolds, Krista Woodlock.

I wish to say thank you to all of the VDA Delegates and Alternates that served in the 33rd Annual Virginia Dental Association H ouse of Del egates. Each and everyone of you should be congratulated for your efforts this past September. A great deal of the business of the Associa tion was covered and policies have been set that will allow the VDA to move ahead in the future. I also

Governance Reference Committee

3000: Graham Ga rd ner, Chairman, Rob ert C and ler, D ana Chamberlain, Vincent Dougherty, Clay Weisberg.

Credentials Committee:

Dear Editor,

Peter Cocolis, C hairma n, Jam es Shearer, Michael Abb ott, Karen Cole, Anthony Peluso.

Budget Reference Committee

1000: Mike O 'Keefe, C hairman , Allen Davia, Eric Boxx, Mich ael H anley, Kimberly Swanson.

Fin ally, I would like to thank Bon nie Anderson , Lind a G illiam, and Nicole Pugar, our VDA Staff, for their assistance in the preparation of all of the Referenc e C omm itt ee reports and for th eir assistance dur ing the Ann ual Meeting. Ralph L. Ho well, J r. Speaker, House of D elegates

Membership Reference Committee

2000:

Personal

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6 Virginia Dental Journal

A Let ter Fro m The Mem bership Com m ittee Submitted By: Dr. Karen Cole, Chairman of the VDA Membership Committee

Dr. Bruce DeGinder, 2004 VDA

Dear VDA Members, Entering the last quarter of the year, most of us are starting to evaluate our current financial situations, trying to figure out ways to better ourselves economically for the year to come. At this point, your may ponder the thought "are my dental society dues really worth it?"

6) The ADA Seal Program to help con sumers choose the best dental products for their use. 7) Political action and lobbying sup port on members' behalf.

President of the Academy of General Dentistry on July 11, become President of the AGO in 2006-07. The Academy of General Dentistry is a member organization

As Chairman of Membership for the VDA, I am here to tell yo u "yes, they are" and share with you these benefits that your participation in organized dentistry provides to all members. 1) Monthly issues of The Journal of the American Dental Association and ADA News, in addition to, your VDA Journal and any local society news.

9) Support services for dentists, includ ing the ADA Well Being Program, the ADA Litigation Stress Support Group and the ADA Emergency Fund.

2) Access to the ADA web site - www. ada.org - 24 hours a day, 7 days a week, which enables one to easily ob tain oral health information. Access to the VDA website - www.vadental.org.

I have highlighted just a few of the in credible benefits that come with being a member of the VDAJADA . I believe what membership allows most is the ability to meet, talk and share with col leagues our experiences and knowledge to better treat our patients.

4) Discounted servi ces and products through the VDAJADA including (just to name a few): a. C ar rental, hotel and

travel discounts

b. Credit card processing c. Credit card program

with frequent flyer miles

d. Life and disability programs 5) Assistance with third party claims, insurance and reimbursement issues, as well as the creation of the Code on Dental Procedures for filing insurance forms.

President, was elected as Vice

2004 in Anaheim, CA. He will

8) Patient education programs, videos, posters, charts, brochures, etc. . . to help dentists' educate the public. HIPPA manual, OSHA manual and regula tory compliance updates, for example, are also available to help members to follow and implement up-to-date office policies.

3) Reduced rate Continuing Educa tion courses at VDA and ADA annual meetings.

Congratulations Dr. Bruce DeGinder!

In closing, I would encourage each of you to continue to renew your mem bership and to take the challenge and recruit a new member to the VDAJ ADA this year. Do not underestimate the power of one. Together, we can help the VDA continue to excel in ser vice to our community, our members and especially our proud profession .

representing some 35,000 mostly general dentists.

How the ADA

Helps You HIPAA Securi!y Kit The April 2005 HIPAA Security deadline is coming...are you prepared? The ADA's HIPAA Security Kit offers quick tips for compliance that won't break your budget. For more information call 1.800.947.4746 or visit www.adacatalog.org.

A'O)A. American Dental Association

wwwada .org

Sincerely, Dr. Karen Cole

Virginia Dental Journal

Abstracts Of Interest The following abstracts were pro vided by the Department of Oral and Maxillofacial at VCU School of Dentistry. We appreciate the con tribution that these individuals have made to the Virginia Dentaljournal.

Pard SM, Triplett RG : Interactive imaging for implant planning, place ment, and prosthesis construction. J Oral Maxillofac Surg, 2004 Sep; 62(9 SuppI2}:41-7 Just as implants have revolutionized the field of dentistry, interactive computer technology is doing the same for oral implantology. 111is review describes new technology that uses computed tomogra phy in the treatment planning, surgery, and prosthesis delivery of full-arch, fixed, implant retained restorations. Patients must have an existing complete denture of appropriate function and esthetics as the final fixed prosthesis will be a close replica of the existing denture. A silicone putty guide splint is fabricated to provide stabilization of the denture during CT scanning. Radiographic markers are applied to the existing denture and the patient then receives a CT of the ap propriate arch in O.6mm axial acquisition slices. 111e information from the CT is downloaded into a computer program that allows precise treatment planning. Using the software, the treating doctor can place virtual implants, abutments and final prosthesis into the multi-di mensionally reconstructed CT scan, fa cilitating avoidance of anatomical struc tures and placement of implants in ideal position. Once an ideal treatment plan is designed, the information is transferred electronically to the company (Oralim; Medicine NV, Belgium) for fabrication of an exact surgical guide splint as well as the final prosthesis, which are sent back to the doctor along with a detailed map describing the appropriate implant size for each osteotomy site. At a subsequent appointment, the patient is locally anes thetized, and stabilizing pins are placed

Virginia Dental Journal

through the surgical guide into the bone to stabilize the surgical guide. Osteoto mies are then prepared in exactly the correct position to exactly rhe correct width and depth through the surgical guide splint using a Hapless technique. Implants (TiUnite-Nobel BioCare) are placed into the osteotomies, the surgical guide splint is removed, abut ments are affixed and the final full arch restoration delivered immediately. The occlusion is adjusted and postopera tive instructions given prior to patient dismissal. Although this technique may initially require increased investment of time and resources, it ofFers benefits of ideal, precise treatment planning, minimally invasive surgical technique with decreased postoperative pain and swelling, decreased operating time, as well as immediate delivery of a perma nent implant retained restoration . The technology is potent but user-friendly and marks a significant development in implant dentistry. M.A. Baber, DDS. Dr. Baber is a graduate of the University of Tenessee School of Dentistry and is currently a 2nd year resident in Oral and Maxil lofacial Surgery at the VCU Medical Center. Misch, Craig M.: Immediate loading of definitive implants in the edentu lous mandible using a fixed provision al prosthesis: the denture conversion technique. J Oral Maxillofac Surg 62:106 (suppl Z), 2004. This article describes an immediate load technique utilizing 5 root form implants and conventional implant components placed in the anterior mandible to con vert a patient's existing denture into a provisional fixed prosthesis. Immediate load implants in the anterior mandible have been found to have comparable success rates to 2-stage loading and have the major added benefit of providing patients with an immediate fixed result in addition to decreasing chair time needed for conventional denture adjust ments. As with most procedures, patient selection is key to success. Patients with a square anterior arch form provid ing poor anterior-posterior room for

implant placement, poor bone quality, or those with severe retrognathia and/or severe parafunction resulting in heavy loading of the anterior mandibular teeth are not good candidates for this tech nique. The technique begins with a good conventional denture demonstrating even centric contacts. Prior to surgery a bite registration is made and a surgical template fabricated from the existing denture. A full thickness flap is elevated locating the mental foramina and the most distal implants are placed 5mm anterior to the mental foramina. The middle implant is located midway anteriorly and the last two implants split the distance posteriorly. Abutments are then placed that will extend 1-2 mm su pragingivally. The soft tissue is sutured with gut and a registration of the abut ments is captured in the denture. Holes are then drilled through the denture around the abutments. 111e denture is replaced in the patient's mouth and copings are screwed into the abutments. It is suggested that one coping should be initially secured to confirm proper denture placement. The coping is then secured to the denture holes with self curing acrylic while in the patient's mouth . After the acrylic has cured, the denture is removed and the form is con verted into a fixed prosthesis removing the flanges. Patients are then followed regularly to evaluate denture stability until the final prosthesis is fabricated three months later. Dr. Dorothy Wojtkowski: Dr. Wojt kowski is a graduate of the University of Seattle School of Dentistry and is currently a 2nd year Oral and Maxillo facial Surgery resident. Single Tooth Immediate Provisional Restoration of Dental Implants: Tech nique and Early Results: M. Block, I. Finger,et al. Journal of Oral and Maxillofacial Surgery, 62:1131-1138,2004 To many patients the biggest drawback to implants is the delay in treatment time between placement of an implant and the restoration of said implant. In

this articl e, M ichael Block and col leagues hypothesized that preop erative fabric ation of the impl ant abutment and provi sional restoration can provide successful immediat e provision alizat ion of implants, if specific diagn ostic criteria were used for patient selecti on. In their stu d y, they prospectively followed 74 implant cases which were treated over a peri od of 6 months to 2 years at the Loui siana Sta te University Schoo l of Dentistry. Specific dia gnosti c criteria were used in selecting patients for this technique. First, th e im plant site should have sufficient bon e in all dimen sion s to support an impl ant. Second , sufficient space for th e placem ent of an an atom ic restor ation sho uld be availabl e. If the opposing occlusion would interfer e with the restoration , a 2-stage method should be used . Third , the pati ent would be ex pected to comply with a soft (p referably pureed) diet for up to 8 weeks. Thos e with parafunctional habits were not con sidered cand idates. With the above criteria their technique showed a 94 % success rate (70 of74 cases). Their technique was to place the im -

plant analog on a mod el preope ratively, prepare an abutme nt on the model, and fabri cate a pro vision al restoration out of occlusion. Th e abutment and provision al restoration wo uld then be placed int raop eratively by the surgeo n after the implant is placed according to th e prescription of the restor ing dentist. Th e final restoration is placed wh en the im plant has osseointegrated . Thi s technique provides the patient with an esthetically accep ta ble option during th e healing phase of their impl ant surgery.

Terry Nedbalski, D.D.S. is a 2nd year Oral and Maxillofacial Surgery resident at the Medical College of Virginia Hospitals. Burning Mouth Syndrome (BMS): Double Blind Controlled Study of Alpha-Lipoic acid (Thioctic Acid) Therapy. Femiano F, Scully C. 1 Oral Pathol Med 31:267-269,2002

with an intraoral burn ing sensation in th e absence of mucosal lesion s. It been describ ed as feelin g that the mouth has been burnt by hot liquid. Women , part icularly post men opausal wom en, are mu ch more likely to be affected than men. It has been suggested th at BMS is lin ked to free radic al prod uct ion. ll1is study evaluated the effect of alph a-lipoi c acid (a free radical scavenger) in treat ment of BMS. Potenti al patients were screened for alteratio ns in laboratory parameters that could be responsible for BMS . Th ese tests included : wh ole blood folat e, seru m vitamin B12, serum ferri tin , seru m glucose, and th yroid hormone levels. A group of 96 pati ents was selected that had no relevant past med ical o r drug history and no labor a tory findings consistent with BMS. Hal f of the patients received 200 mg of alpha- lipoic acid thre e rimes a day, and half received 100 mg of cellulose starch three tim es a day. The pati ents were medi cated for 2 months. Evaluat ion of the patients occurred every 15 days and

Burning Mouth Synd rome (BMS) is a com mon dysesth esia that is associated

Make A Difference Without Ever Leaving YOur Office!

Continu ed On Page / 7

Bcfon:

Become A Donated Dental Services Volunteer! Ail ..

Contact Stephanie Arnold at (804) 264-9010 or via Email at

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Ruthanne Daluisio - DDS Patient Virginia Dental Journal

Cavity Free Zone

The Virginia Dental Association worked with the Boys and Girls Club this sum mer helping with their Cavity Free Zone Program. Staff members from the VDA met with children at the Capital One Boys and Girl Club in Richmond for 8 educational sessions on oral health care. The kids were great - hopefull y they had fun as well as gained new knowledge in taking care of their teeth!

Tidewater Dental Association Presents 2004 Dr. Richard B. Simmons Award At Fall Meeting cian and a humanitarian . H e led by example. The Simmons Award is the highest award we can bestow on one of our members for outstanding ser vice. The first Simmons award went to Dr. Edward M yers in 1973. We have made thi s award each year except 1980 for the past 30 years. It has been my honor and privilege to personally know each of these Simmons Award doctors and I would like to thank each one of them for the many hours of service each has given to dentistry and to all of us in the Tidewater Dental Association. Dr. Odilon P. Decarnbre awarded th e Dr. Richard B. Sim mo ns Award at T idewater Denral Meeting on August

18, 2004 .

The Dr. Richard B. Simmons award is presented to a Tidewater Dental As soci ation member who has un selfishly given of his o r her time and talent for the betterment of Dentistry through the year s.

It is my extreme pleasure to present the 2004, Dr. Richard B. Simmons award to Dr. Odilon P. Delcambre. I know of no one who deserves this award more. We are very fortun ate to hav e had his wise council and his service to us for over 50 years. Del, thank you for being such a good friend to most of us here tonight and for bein g a mentor to so many people during your life time. You're a real class ac t!

Named in honor of the 62nd Presi dent of the Virginia Dental Associa tion, Dr. Simmons was a Tidewater practitioner who has been described as a true gentlem an , superb clini

Presented By Dr. Thomas W . Peterson August 18, 2004 Fall meeting of the Tidewater Dental Associ ation

VDSC: Businessowners Policy Packaged with Malpractice Insurance Changes The GE Medical Protective Co. malpractice insurance policy can be purchased bundled with a business owners policy (BOP). For many years GEMPCO was "packaged" with a dentist specific Hartford Insurance Co. policy. Due to a relationship change berween the se rwo carriers, so me (bur not all) of the packaged policyholders have been or will be notified that their 10 Virginia Dental Journal

Hartford Insurance policy will be replaced with a Safeco Insur ance Co. or a Zurich Insurance Co. one. Be assured that all the carriers mentioned in thi s article are highly rated and excellent companies. However, you need to evaluate your replacement policy. The coverage ma y not be identical and the change may range any where from minor to sub stantial.

If you have questions abour your business owners policy and would like to have th e replacement policy reviewed by an independent agency, please contact the VDSC Insurance Office/B&B Insurance at 87 7-832

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Virginia Dental Journal

Dr. Jim Pride Dies At 68 Excerpts Of Press Release From Pride Insistute quantitatively analyze the dental prac tice, and in general an unpreceden ted scientific approach to leadership and management which revolutionized every dental office system. He led the vanguard to prepare den tists finan cially for retirement and also created original concepts and agreements for practice transitions, which have aided dentists in making pivotal changes at the crossroads of their lives. His teach ings resulted in hundreds of dentists and their families expressing their gratitude to him for enhancing their lives, both personally and profession ally, and transforming their future.

Dentistry mourns the passing of one of its great leaders, James R. Pride, DDS, who died on August 11, after a long bout with cancer. He was 68 years old. As a visionary thinker, in novator, and charismatic speaker, Dr. Pride leaves an indelible mark on his profession and on those who knew him. He worked as a clinical dentist, assistant dean of the University of the Pacific School of Dentistry, and founder of Pride Institute, the practice management company where thou sands of dentists have learned to apply his innovative teachings to achieve practice success. "We mourn the pass ing of our much-loved founder," says Amy Morgan, CEO of Pride Institute, "while we maintain his legacy and cel ebrate his life through our continued growth and success." During his distinguished career, Dr. Pride introduced many innovations that have now become standard prac tices in dentistry, such as dual-entry operatories, l Ovminute appointment scheduling, statistical benchmarks to

12 Virginia Dental Journal

In later years, he also realized one of his greatest visions and passions, that of bringing a thorough education in practice management to dental stu dents. The curriculum he inspired is now being taught in three universities, with more in the pipeline. Dr. Pride was an untiring crusader for private-care dentistry. As a vision ary, he fought against managed care dentistry and was a co-founder of the Summit Group, which addressed the many issues challenging private dentistry. He successfully introduced his entrepreneurial concepts to Pride Scandinavia, a group of dentists whom he mentored in establishing thriving private-care practices as an alterna tive to the socialized medicine of their countries. He was also a co-founder of the Alliance of Dental Reimbursement Programs. He applied his leadership methods at Pride Institute, where he earned the respect and admiration of his loyal staff of consultants, trainers, and affili ates. His teachings have been widely disseminated to dentists through four major volumes published by Pride In stitute, through his popular leadership seminar and numerous other courses

and curricula offered by the Institute, and through the many articles he wrote and the newsletters he published. The institute that bears his name, which he founded 28 years ago, continues to ex pand its programs, serving dentists and the profession through its intensive management courses, seminars, edu cational materials, transitions division, university curricula, and other work. As another example of his prodigious feats, Dr. Pride purchased land on the rocky hillside of St. Helena, California and transformed it into a hugely suc cessful, award-winning winery bearing the label Pride Mountain Vineyards. When his Merlot was selected to be served at the dinner marking the 50th anniversary of NATO, the largest gath ering of heads of state in 30 years at the White House, he quipped that the president of France probably wanted to taste a good red wine. Dr. Pride was a member of the Ameri can Dental Association, the California Dental Association, the American College of Dentists, the International College of Dentists, and the Omega Kappa Upsilon Honorary Society. He also received the Chairman's Award from the American Dental Trade As sociation. He is survived by his wife, Carolyn, their two children, Suzanne Pride Bryan and Steven Pride, and four grandchildren. In his honor, the Dr. James R. Pride Endowed Chair in Dental Practice has been established at the University of the Pacific School of Dentistry. Anyone wanting to contribute may do so with a donation made payable to the UOP School of Dentistry, 2155 Webster St., San Francisco, CA 94115.

DIRECT

A Letter to all VDA Members From DR. Committee Chairman, Dr. Ted Corcoran

I M

Dear Virginia Dental Association Members,

The Direct Reimbursement Committee is pleased to announce the endorsement of Direct

Assignment/Direct Reimbursement dental plans and Benefits Administration, Inc . (BAI) by the

Virginia Manufacturers Association (VMA).

The Virginia Manufacturers Association is a membership organization much like the VDA. VMA

members are manufacturers from across the state that represent over 150,000 employees. The

target market for our efforts with the VMA will be the nearly 300 employers with 50-500

employees. In the coming weeks, BAI and the VDA will be working closely with the VMA to

present a private label Direct Assignment/Direct Reimbursement Plan to VMA members.

This endorsement can potentially have a great effect on the number of lives covered by Direct

Assignment/Direct Reimbursement in the state of Virginia. Our goal will be to contact all of the

VMA member companies with in our target market and introduce them to the concept of Direct

Assignment/Direct Reimbursement. As these VA manufacturers begin to adopt DAIDR Dental

Plans into their benefits offering , VDA members from across the state will begin to see an

increase in the number of unrestricted , fee-for-service patients they see in their offices .

R 5 E

M E

This is an exciting time for the Direct Re imbursement Program as we hope to see great results

from this new endorsement. We thank you all for your continued support of Direct

Reimbursement/Direct Ass ignment and hope that you will soon be welcoming new DAIDR

patients to your office through the Virginia Manufacturers Association endorsement. If you have

any questions, please feel free to contact Elise Woodling at the VDA Central Office at 800-552Â

3886.

Sincerely ,

Theodore P. Corcoran, D.D.S.

Direct Reimbursement Committee, Chairman

Direct Reimbursement Committee

Dr. C . Mac Mahanes - Component 1 Dr. Eric W. Boxx - Component 2 Dr. H. Reed Boyd - Component 3 Dr. Marcel Lambrechts - Component 4

DIRECT REIMBURSEMENT

Dr . Glenn A. Young - Component 6

Dr. David R. Swett - Component 7

Dr. John W . Willhide - At Large

Dr. Leslie S. Webb. Jr. - Ex Officio

TI, c

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Virginia Dental Journal

Virginia Dental Association Board of Directors Actions in Brief September 12,2004 The following anions are listed as informa tion only: 1. Dr. James R. Lance was reappoint ed Parliamentarian.

2. Dr. Leslie S. Webb, J r. was reappointed Journal Editor. 3. A motion was made, seconded and passed that the VDA Board of Directors encourages the VDSC to investi gate an alternate electronic claims process ing company to WEB-MD and to present the VDA Board of Directors a financial proposal to facilitate this change.

Virginia Dental Association Minutes of the 135th Annual Business Meeting Sunday, September 12, 2004 The 135th Annual Membership Meeting of the Virginia Dental Association was held at the Norfolk Waterside Marriott Hotel Sunday, September 12, 2004 . President Bruce R. DeGinder called the meeting to order. The flag pledge was recited . The following deceased members were remembered: Component 1 - Aubrey Rives, William Keel, Jerome H . Weinstein, Van K. Heely, Millard P. Doyle , Kenneth H. Schw artz and Falco n Guthrie. Com ponent 2 - Erwin G. Cogen and Joseph Riley. Component 4 - Pamela Nuckols and John Beall. Component 5 - Mel vin G . Leisure. Component 8 - Arthur Anderson , Albert White, Henry P. Lear, Stuart Ross Chilcott and Jack A. Sah. The 2004 Fellows were announced : Component 3 -CO Sharone Ward . Com ponent 4 - James F. Nelson. Component 5 - Craig B. Dietrich, Douglas S. Price, Jr. and Edward P. Snyder. Component 8 - Theodore P. Corcoran and W Vincent Dougherty III.

14 Virginia Dental Journal

The following received Life Member Certificates in 2004: Component I - Dr. Paul M. Brickman, Dr. Jerry c. Cl arke , Dr. Charles A. Drescher Dr. Willi am D . Dwyer. D r. H arvey A. Glick. Dr. Ralph W. H aywood, Dr. David L. Kaiser, Dr. Stanley H . Legum , Dr. Denn is J. Pirog , Dr. Stephen T. Verm illion . Component II - Dr. Raymond A. Flanders. Dr. Thomas R. Geary, Jr., Dr. Adrian A. Robertson, Dr. Harold E. Sm ith. Component III - Dr. Robert L. Grossmann, Dr. Kenneth W. Morris. Component IV - Dr. Henter L. Blevins, Dr. Joseph C. Cox, Jr., Dr. Alfred D . Hurt, Jr., Dr. Darryl J. Pirok, Dr. James H. Revere, jr., Dr. Curtis W Kennedy, Jr. Component V - Dr. Bobby D. Burnette, Dr. Jam es E. Gosney, Dr. Jonas B. Spiegel, Dr. Robert E. Wallace, Dr. George A. Stermer, jr., Component VI - Dr. Wils on G. Harper, Dr. Ron nie M. Hilton, Dr. Wallace L. Huff: Dr. Thomas R. Jones. Component VII - Dr. Wallace B. Lutz, Dr. Donald E. Tim berlake. Component VIII - Dr. Robert M. Averne, Dr. George R. Aylor, Jr., Dr. David J. Cantor, Dr. Ch arles M. Deutsch, Dr. Thomas E. Drummond , Dr. Bennett I. Finkel stein, Dr. Frederick J. McCoy, Dr. Jame s T. Planicka, Dr. Donald F. Reyn olds , Dr. David A. Whiston, Dr. Burton C. Zwibel. The following received 50 Year Certificates in 2004: Component I - Roge r H . Flagg. Component VII - Alden S. Anderson , Jr., Charles L. H alstead. Component VIII - Cl ark A. Cheney, Robert A. M cDonald , Leslie C. Ogilvie. The following received 60 Year Certificates in 2004: Component I - Edmund G. Brodie. Component II - Dr. Apollon G . Orphanidys. Component IV - Morris M . Edi son, Don ald C. Shroyer. Component VI - Robert E. Miller, Jr. The following were recipients of the VDA awards: Emanuel W Michaels Distinguished Den tist Award - Dr. Andrew J. Zimmer Dental Team Member Award - Elaine Pritchett Browser, CDA and Betsey Soulsby New Dentist Award - Dr. Kevin S. Swenson Special Service Award - Lor i Atkins Becky Dav is, Joy Mitchell, and Am y'Phil

lips Commun ity Service Award - Dr. Roger E. Wood and JoAnn Wells. RDH Presidential Award - Dr. A. C arole Pratt and Dr. Robert A. Levine Dr. Mark Feldman , ADA. presented an Award of Merit (Brave Band of Budge teers) ro Dr. Andrew] . Zimmer as well as an ADA Presidential Citation. Dr. Sam Galstan was presented an ADA Recognition Plaque for h is work to in crease access to comprehensive dental care in special popularion groups. Dr. DeG inder announced that the North ern Virginia Dental Society received an ADA Golden Apple award for its Science Fair Awards Program . Dr. Tim Russell was recognized for his work with the prog ram . Dr. G us Vlahos, VADPAC Chair, an nounced the following VADPAC awards : Category A - Small Component Member ship : Percentage of members who contrib uted ro VADPAC C omponent 6, Percent age of Commonwealth Club Members Component 6 Category B - Large Component Member ship: Percentage of members who cont rib uted to VADPAC Component 8, Percent age of Commonwealth Club Members Com ponent 8 Dr. Ted Sherwin , Local Arrangem ents C om m ittee Chair, gave the report on the meeting att endance and recogniz ed his com mi tt ee members for their help . (Meet ing attendance 1.848 ) Dr. DeGind er announced the following election results: President-Elect - Dr. Mark A. Crabtree ADA Delegates - Drs. Rich ard D. Barnes (3yr term); Charles L. Cuttino III (3 yr term) ; Edward J. Weisberg (3 yr term ); Gus C. Vlah os (2 year term); David C. Anderson (1 yr term). ADA Alternare Del egates - Drs. Alonzo M. Bell (2 yr term ); Mark A. Cr abtree (2 yr term ); Ralph L. Howell, Jr. (2 yr term ); Kirk Norbo (2 yr term); Elizabeth C. Reynolds (2 year term); J. Ted Sherwin (I yr term ). The out-going component presidenrs were recogni zed.

Th e VDA officers, dire ctors, ADA del ega rion members and componenr pr esidenrs were installed . Dr. De G ind er presenred in-co m ing VDA President, Dr. Bruce R. Hutchison , with the president' pin. Dr. Hutch ison tha nked Dr. D eGinder for his service as presidenr over the past year and presenred him wit h the past presi dent's pin , the VDA To rch Bearer Award and the AD A Co nsti tuent Presiden t's plaque. The meetin g was adj ourned .

How the ADA

Helps You Aetna Settlement Continuing the charg~ Even though the Aetna lawsuit settlement has been finalized, dentists with continuing concerns can still make their voices heard. The July 21, 2004 final agreement call s for a compliance dispute process toallow dentists covered by the settlement torelay their concerns at

www.ada .org/prof/advocacyllegallaetna.asp

A\D)A. American Dental Association wwwada .org (Q

NOTE: Please refer to the V irgin ia Dental Association web site at www.vadental. org for the min utes of th e House of Delegates and an updated copy of the C onstitution and Bylaws. If you are un able to access th ese files on the web, please co ntact Bonnie Anderson at

(804) 26 1-1610.

Continue d From Page 5

th ey want to pro vide services th at in Virg ini a, onl y a licen sed dentist can provid e. I have person ally spoken with m o re th an 2 doz en Virgin ia hygien . ists, som e members of the V D HA and man y non-members. First of all, not a single one realized th at th e A , )H A had taken this action and not a single on e agreed with it. I don't believe th at the hygienists in Virginia want this. Th e AD HA repr esents only 18% of licen sed hygieni sts in the US . Person ally, I believe the lead ership is out of touch with th e me mbership and certa inly out of tou ch with the profes sion as a wh ole. I regret th at thi s issue has been aro und as lon g as it has. I regret th at it is an us versus th em issue. We should all be working for th e sam e thing- the best p ossibl e care for our pati ents- and I trul y believe that mo st hygienists want exactly that. But to igno re thi s act ion is to give it credibil ity. I believe th at dental hygieni sts are an integral part of the dental team and I wo uld never want to practice wi tho ut them. Th ey are critical to th e excellent care we provide Out patients. But th ey are not dentists and are not "junior dentists." If they want to perform dental procedures, then addition al tra ining is alread y available, it's called dental school. We kn ow from surveying th e m ember ship, that the ability to find an d hire a hygien ist in the co mmo nwealth is a probl em. W he ther th ere is a sho rt age of hygieni sts, a maldistribution of dental hygienists, licensed hygien ists o nly willing to wo rk part tim e hours, poor wor king co nd itions, or inade quate pay I d on't kn ow. But I do kno w there is a problem. There are sim ply no t en o ugh hygieni sts working en ou gh hours to provide the care th at dentists see as necessary. We will focus on this problem this year and co me up wi th some solutio ns. I can't tell you wh at th e solutions are, but I can prom ise yo u we are searching .

Th e future of dentistry in Virginia is un certa in. I know I look at it as an association leade r and a practi cing gene ral dentist , and see a stro ng brigh t future. But I can't view it from the per spect ive of a non-m ember dentist, o r a hygienist , o r dental assista nt, or an ed ucato r. In th e spring of 2005 , th e VDA will spo nsor a D ental Sum m it to explore th e future of dentist ry in th e C o mm o nwealth. We intend to invite dent ists, hygi enists, dental assistants, ed uca to rs, and dental lab oratory and trad es peopl e both members and non m em bers of th eir appropriate organi zations. We will sit do wn together and discu ss th e issues of Licen sur e Scop e of practi ce Access to dental care Lead ership Sup ervision of personnel

Thi s group w ill report back to th e VDA with information and poss ibly suggestions on future actions to take. I'm excited a bout rhe p rocess and an ticip ate learn ing much from th ose who have in th e past been excluded from thi s type of research en counter gro u p. I anticipate some lively discu ssion and some great new id eas. Please feel free to offer ideas and sugges tio ns for top ics. I want th e pro cess to be meaning ful and produ ce so me great food for thought, debate, and acti on. I unde rsta nd th at any org aniza tion can never repr esent 100 % of every mem ber's opinio ns 100% of the time. It can't be don e. But I wa nt you to kn ow that any issue is op en for discussion . If it's important to you , then it's im por tant for all of us to at least cons ide r. This is your associati on and I want it to stay th at way. If we're addres sing yo ur issues and making you happy- let us kn ow. If not- let us kn ow th at also. I look forw ard to servin g you and the associa tio n in th e co ming year. Thank you .

Virginia Dental Journal

Professional Hallmarks By: Dr. Steven A. Gold, DDS Reprinted with permission from the California Dental Associat ion As I took a shortcut across th e USC camp us the o the r day, I d iscovered thi s plaque and quote. Bein g close to the schoo l of dentistry, I paused for a moment to take in th e seren e enviro n ment and ponder th e wo rds of C havez. Th ey seem parti cularly applicable to our profession because th ese two ende avo rs, ed uca tion and service, are suc h integral co m pone nts of dent istry, In fact, I firmly believe that by focus ing o ur effo rts in th ese two areas, we can overcome any chall en ges we face as individual dentists or as a united profession. Let's examine each and see wh at we're doing and what we could be doing to promote and improve our efforts. When most of us think of dental education, we th ink of dental scho ol. After all, it is wh ere we all starte d our journey as dentists. I ha ve previou sly sha red co m ments on dental schoo ls in this co lum n . I would assert , how ever, th at th e most critical part of o ur edu cati on co mes after we graduate. I heard D r. Go rdo n C hristensen , know n and respect ed worldwide for his clinical skills and kn owledge, say th at whe n he oarad uated dental scho ol, he was "just not dangerous." I've grappled with sim ilar feelings. M any aspects of th e dental pro cedures I perform o n a dail y basis were learn ed, not in dental schoo l, but in co n tin ui ng education cou rses and in p ractice through repe tition. One such procedure that comes imme di ately to my m ind is Class II com po site restora tio ns. A qu ick info rm al surv ey of my co lleagues tells me I'm not alone. Th e road to placin g excel lent Cl ass II composites has incl uded mastering such techniqu es as ru bber dam isolati on, minimal preparations, bi-rine rin gs, sectional matrices, denti n

bond ing, sens itivity co ntro l with glass ion omer liners, Howable co mpos ite layers increm ental build-up tech niques, dire ctional and ramped curing, fin ishing and pol ishing. Several years ago, I was a master of none of th ese. I hated posteri or co mpo sites so mu ch I fell in love with th em. Th e joy was in overco m ing th e ch allenge through ed ucation. It is inspi ring to see tho se who con tinue to further their dental tr aini ng, not because the y have to b ut because th ey love to. I hope I have as mu ch passion abo u t learn ing when I am as old as som e of my colleag ues and

the subject of debate. Mu ch of the profession 's service to th e public is often performed by ind ividu al dentists with littl e o r no public fanfare. Th ese indivi duals form th e grassroots of th e profession's public service. So me examples of th ese efforts are dentists who parti cipate in schoo l screenings, partake in scho ol ed ucatio nal talks, volunteer at small co m m uni ty clini cs o r travel to remote areas both in and ou tside of the co unt ry providing much need ed dental care. Th ere is ano the r arm of public service that occurs on a grander scale often with a higher degree of public visibil ity. The se efforts are often carried o ut by concerted efforts of th e trip artite of or gani zed dentistr y. Th e Give Kids a Smile program is on e example, and the C D A Foundation is ano ther. Th e former has received much press; I would like to briefl y mention the latter. In a report to th e Board of Trustees in Febru ary, C DA Foundati on C ha ir man, Brian Sco tt, DDS, outline d no less th an 20 strategic ini tiatives for 2004 /2 005 and six long-range goals and objectives through 2012! I'm su re staff would be happy to provid e an y member with details o f these activities b ut suffice to say that yo ur founda tions is worki ng hard to serve the publ ic on every member's beh alf.

The end of all education should surely be service to others.

- CESAR ESTRADA CHAVEZ

16 Virginia Dental Journal

mentors wh o, even in retirem ent and even in to th eir 80's, relentlessly pursue continu ing ed uca tion. Many may not be aware of C DA's efforts to be inte grally in volved in its members' lifelon g edu cati on. Mo st visible is Scientific Sessio ns. M any of us have parti ci pated in th ese bi- annual events and are aware of th e qu ality of speakers and pro grams th at are offered . But CDA is also developing o nline learning and oth er avenu es to promote education. C DA is continually making efforts to provide qu ality, reliable and relevant cont in uing ed ucation to its members. What about service? I think of service as bei ng divided into three categories: service to patients, service to public, an d service to th e profession . By na ture, dentist ry is a serv ice profession . We serve pati ents everyday. How and how well we serve them varies widely am on g ind ividu al dentists and is ofte n

Many of yo u are aware of co untless individu als who serve th e profession at rnanv levels. If th ere is an y doubt that dentists give back to their profession , o ne need look no furt her than a C DA or ADA House of D elegat es meeting, take a roll call of the volunteer faculty at our dental schoo ls, o r attend a meeting of the International Asso ciatio n of Dental Research. The su m total of the se efforts is a dental pr ofes sio n that continues to be strong in its lead ership, that co ntinues to effectively train tomorrow's professional s, and contin ues to dis cover new and better

materi als and techniques to treat o ur patients. So may we rest o n our current lau rels in the areas of ed ucati o n and service? What type of grade would we receive in th ese two areas? I thi nk Cesar

be a showcase of individuals who no t o nly believe th at education and serv ice are hallm arks of th e profession but who, like Cesa r C havez, em body these virtues through th eir wo rds and their actions.

Continued From Page 9

Much of the pro fession's service to the public is of ten performed by individual den tists with little or no public fanfare. C ha vez would p roba bly give us a B+. We certai nly ma ke noble efforts in these areas and outshine man y o ther professions with our en dea vo rs. But we can always do better. Dentistry is still pervaded by indi vid uals who seek only to m inim al co ntinuin g ed uca tio n, and is even tainted by th ose who use dishonesty to obt ain the se m inim al requirements. Several years ago , a pro gram called Q U IL3 (q uality Improve ment through Life-Long Learn ing) met with shar p cri ticism and unfortu nately was not resoundingly accep ted by the profession . Furthermore, th e percentage of den tists wh o volun tarily serve th e public and the profession are, by all est imations, a scare minority. And mu ch of th e good th at is clone is undone by those wh o place their fina ncial interests and goa ls above the best in teres ts of the patient , do ing a d isservice to everyo ne but th em selves. Perh aps o ut pro fession al future will be en hanced by refocu sing on the value of education and service. Perh aps we will have a new wave of leaders wh o prom ot e and fost er an enviro nme nt that allows service and ed uca tio n to Hourish far beyond current levels. And pe rh aps one day denti str y will

patients showin g a redu ction of symp toms at 4 months were given an addi tional o ne month course of medication . TIle patients were then evaluated at o ne year following the commencement of the study. Sratisrical analysis showed significant imp rovement with alpha lipoic acid compared to the placebo. 87% of patient s taking alpha-lipoic acid report ed resoluti on or impro vement compared to 0% improv ement reported by pat ients takin g the placebo. One year follow-up showed 73% of pat ients maint ained the level of improv ement in symptoms while takin g alpha-lipoic acid. This study shows that alpha -lipoic acid therapy does reduce symptoms as sociated with burning mouth syndro me and suggests BMS may be a neuropath y associated with free radical produ ction.

Michael Wilson, DMD-- Dr. Wilson is a graduate of the University of South Carolina School of Dentistry and a 2nd year resident in Oral and Maxillofacial Surgery at the Medical College ofVA Hospitals.

CDC-NIH resources examine dental role in diabetes care By Craig Palmer From ADA website New diabet es materials from the Cen ters for Dis ease Con tro l and Preventio n and N atio nal In stitutes of Health em phas ize th e key role of dental pro fessio nals in a team app roach to patient care. "Peo ple wi th d iabetes are more likely to have gum (peri odo ntal) disease, and prob lem s with gu m health can alert dentists an d me m bers of th e dental team to an in d ividu al wh o is possibl y havin g prob lems with self-care and cont rol of blood sugar levels," said D r. W illiam M aas, dire ctor of the C DC di vision of oral healt h . " D ental p rofessionals are in a unique pos ition to rein force th e need for care from the othe r health professionals on th e d iab etes care team," D r. M aas said. The m aterials fro m th e C DC-N IH National Di abet es Ed ucatio n Progr am include Wo rki ng Together to Ma nage Dia betes: A G uide for Pharmacis ts, Pod ia trist s, O ptometrists an d D ental Pro fes sionals (PPOD) , a diabetes med icati on suppleme nt an d a poster o n "The ABCs of D iabet es." These and related diabetes resources for healt h profession als are avail able at th e N ation al D iabetes Ed uca tion Progra m We b site. To view th e PPOD guide or orde r a free copy, visit "What's New" at the N DE P Web site or call toll free 1-800-4 38-5 383 fo r a recorde d menu of inform ational choices in Eng lish and Spa nish . Th e materials enco urage all health pro fession als to understan d th eir un iqu e con tr ibution to d iabetes team care so their advice to pa tien ts is consistent, said an N DEP Aug. 11 p ress release. More information abo ut th e dental p rofessional's role in treatin g pati ents with diabetes is also available in the JADA su ppleme nt, Di abet es and Oral Health.

Virginia Dental Journal

Code of Virginia ยง 63.2-1606(A)

Mandated Reporters of Adult Abuse, Neglect, and Exploitation Include

โ ข

Indicators of Adult Abuse, Neglect, and Exploitation Physical Signs

PsychologicallBehavioral Signs

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Dehydration or malnutrition Broken bones Pain from touching Scratches, punctures, bums, or bruises Soiled clothing or bed

Depression Lack of communication and talking Isolation or withdrawal Anxiety Anger Frequent change of healthcare professionals

Signs of Caregiver Abuse ./ ./ ./ ./ ./ ./ ./ ./

Forced isolation Lack of affection or care for the adult Communicates to others that adult is a burden Conflicting stories or accounts of details Prevents adult from speaking with others Prevents visitation from family and friends Inappropriate sexual relationship or language History of mental illness, criminal behavior, or family violence

If you suspect abuse of an adult age 60 or over or an

adult who is incapacitated, call your local

department of social services or the

Virginia Department of Social Services'

24-hour toll-free Adult Protective Services hotIine:

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20 Virginia Dental Journal

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Virginia Dental Journal

Practice values are at an

all time high...

Now is the time to sell your practice

and use it to fund your pension plan.

• Continue to practice after sale

• Stop worrying about staff issues

• Maintain current income levels

• Stop worrying about equipment

• Maximize pension contribution without funding for staff

repair • No more payroll deadlines

100 Arbor Oak Drive

Suite 303

Ashland, VA 23005

(804) 752-2761

Jeff A. Thornberg

Gary T. Hollender

Kenneth E. Copeland, DOS

Gary R. Arbuckle, ODS

Brandon S. Hollender

22 Virginia Dental Journal

Amalgam Waste: ADA's Best Management Practices Berthold M. Amalgam waste: ADA's best managemnet practices. ADA News May 17, 2004;35(10):1,21. Cop yrig h t © 2004 American Dental Association. All rights reserved. Reprinted by permission. The May 17 issue of ADA News features a handsome brochure, Best Management Practices for Amalgam Waste. But the real beauty of this ADA docu ment is in the text, and how dentists can help contribute to a cleaner environment. Dentists, by adhering to the BMPs, can voluntarily take reasonable steps to reduce amalgam in wastewater dis charge and make dental offices more environmentally friendly. "BMPs are the right thing to do," wrote ADA President Eugene Sekigu chi and Executive Director James B. Bramson in a Feb. 20 letter to con stituent dental societies. "ALL dentists should follow BMPs for this very simple reason." In the letter, Drs. Sekiguchi and

Bramson also note that environmen tal regulators are looking closely at the issue of dental wastewater and what dentists are doing to protect the environment. The profession wishes to show regulators that voluntary measures like BMPs work. If dentists cannot achieve reductions in amalgam discharge, regulators may insist on mandatory controls. In that scenario, the letter reads, den tists could be required by law and/or regulatory action to install amalgam separators. Dentists also might have to pay for costly testing of their office discharge to check whether they are achieving a certain numerical level of mercury in the wastewater. This level can be measured in units as small as parts per trillion, and fines and penal ties for exceeding it can be expensive. But the Association is working with the federal Environmental Protection

Agency and state and local authorities to convince them to rely on dentists' voluntary measures - instead of mandatory controls. And that's where the BMPs come in. The ADA's Best Management Prac tices for handling amalgam waste are listed in a simple do-and-don't format. There's also a practical guide to integrating BMPs into your prac tice, a straightforward introduction that covers the most salient issues, an explanation of types of amalgam waste and additional resources. "The BMPs were developed as a tool to help the dental community in tegrate environmentally conscious practices and procedures into their daily routine," says Dr. Art Jeske, chair of the ADA Council on Scientific Affairs. The BMPs also include steps for Continued On Page30

Virginia Dental Journal

Branding With The Dental Artist's Brush By: Lisa M arie

a rn aha, DO ,FAG D, P

Reprinted with permission from th e June 2004 issu e of Woman D entist Journal my share of exqui ire esrh tic cases over the y ars, But J wanted to be doing them m o re frequently. I wanted to be known a the "expert" in our commu nity - the ab clute fin st at combin ing th an nd sci n e of d nrisrrv, I wanted to becom rh quintessential dental arri t. After clearly shari ng Illy dream with my office team we began defining our pra tice rni sion , our vision and Furth r honing who w were and who

n mi Alysdf for an updated

i ~ (mage. n s year in solo practice, yet I found my If truggling with the pa ionare desir 0 b com known and r specred as a premier esthetic dent ist. After all, in a short time I had become an accomplished, award-winning artist. assumed that with my artistic talent, technical exp rrise, and ornrnitment to excellence in comprehensive dental care, I was perfectly uited to attaining such a goal. I believed I had all that wa necessary for a solid rep u tat io n as a world-class esthetic de ntist, just like 0 many nationa lly recogn ized colleague 1 had spem years studying under and emulating. But no mat ter how hard I tir ed , I felt as though I hadn't yet "a rrived ." Sure, I had done d Itt

Gam

the sam what elusive ombined mak a person glow. process of cienrific and artistic rudy in pired me to realize omething I must have known all my life (and what must have be n a major reason I was drawn to d entistry) ... ones srnil i a tangible and outward sign of one's inner beauty. And that "glow" ha its origin in the sm ile. As women de ntist , we are ble sed with an inclination toward beauty, bala nce. an d ha rmony. We arc vcrifi ably focu ed on th e visual per pc ctive o f beauty. Why? To paraphrase the words o f an elega n t and di stingui hed

24 Virginia Dental Journa l

Linda further explained that if] was hoping to attract more mature indi vidual - those who needed, wanted, and co uld afford esthetic d ental ca re - I would hav e to giYe up orne of th e di straction caused by interactions with

children. I would also have ro focus my marketing on a well-defined target audience. After much deliberation and more discussion with my office team. we decided ro heed her advice. That decision marked the beginning of the transformation from our office of 21 year s ro o ur new, pe rso na lly d e ig ned , state-of-the-art dental office located in the charming. ups ale development of Port Warwick (in Virgi nia). just a fI w m iles fro m our existing practice.

be a place of harmony and tranquil ity. an unhurried place, and a place where our patients w ill feel honored by the servi e we provide with warmth, integrity, and professionalism. They will ense our unparalleled dedication to our healing art. And the setting will permit the soothing engagement of all the senses. Coming to our e ffi e will b an experience that our patients will graciously and gratefully receive.

Linda rh n su ge.o;tcd that [ begin de veloping method tor' branding' my pra ti e. Unfamiliar with ha term. I inquired. In Linda' own words, "Take four or five word that you wi h to be known for. ti them in a bow. and ah~ .. :your ha X0 ur. BRA D."

patient welcome packets. "I nregriry" graced the covers of our programs for both of those very spiritual cererno nie as well. We are in the process of preparing re are cards. referral thank yous, and all-o casion card with the "Integrity" image for use in our practice. At our dedication ceremony, we presented each guesr with an S"x8 " inged and numbered gi I r produc tion of the "Integrity" piece. The most exciting lise of the image, however, is in the reproduction that was created for our 21-foor-h igh wall. ove rh r ceprion room d k. E digiraHy di vid d the original piece into four equ L parts and had each pan reprodu d on canvas. creating a 64-square-foot image. II four pi c s hang on thar 1I nAaD ing he aJ.r. . d dram r" ~=';;'T<C:J,~~t;,.",

hav d r rmined to be rh single mo t im po rta nt characteristic of our p ra rice philosophy.

After my offic team and I lady d fined our intent. we b gan to reate our dream office. We went to th e beach for a weeken d retrea t and tried {O imagine what t hat d ream office would look and fed like. When we began ro imagin e it, we reflect ed o n a love and passion for nature. Our new office. we thought. will be a beautiful place. a sacred, heating pace. IT will

We have since used the "Integrity" image (in its entirety and in segm nrs) in our practice brochur . throughout our Web site, and on invitations to our groundbreaking ceremony and offi ce de dication. Fo r th e ceremonies, we de igned bo o km arks with the " Integ rity" image. along with our mission sta te m en t and a des cription of " W ho \'(fe Are" (even before we becam who we have become)! We continue to include the bookmark in our new-

in a variety of markering projects. and I personally give them to each new patient at the conclu 'io n of the first appointment with us. Ln addition when a patient refer ' a friend to rh office, w send him or her a personal. hand-written note (I enjoy writing those m yself) o n one of my art cards, along with a small, museum-quality rep roduct io n of one of my origin al art pieces elected just for that person. For the holiday season. we cho e another piece of my original artwork CUII/illlll'd

[>agl' J 1

Virginia Dental Journal 25

Virginia Dental Association

Ski 'n Learn Seminar 16 CE Hours

Call 800.489.2532

March 19-26, 2005 Big Sky Resort Big Sky, Montana The Virginia Dental Association and the Alabama Dental Associa tion (ALDA) will jointly host a Ski 'n Learn Seminar at Big Sky Resort in Big Sky, Montana, March 19-26, 2005. Several other state dental as sociations will also co-sponsor the trip including Colorado, Idaho, Kentucky, North Dakota, South Dakota, Okla homa, Maryland, Missouri, Pennsyl vania, Tennessee and West Virginia. Montana is known for its vast, beautiful landscapes and at Big Sky, there 's no exception. Big Sky Resort is Montana's largest destination resort, featuring uncrowded skiing on 3,600 acres with a vertical rise of 4,350 feet. World-class skiing and riding is spread across three interconnected mountains with 150 trails and 400 inches of annual snowfall. With two terrain parks, a half-pipe, and the Lone Peak Tram whisking skiers and riders to 11,150 feet, Big Sky is the choice of many winter enthusiasts from around the globe. Continuing Education

26 Virginia Dental Journal

For Registration Information.

The Ski 'n Learn Seminar offers 16 hours of continuing education held Monday, March 21 through Thursday, March 24. A morning session will be held from 7:30-9:30 a.m. , with an afternoon session from 4:30-6:30 p.m. A full breakfast will be served to seminar attendees at the morning sessions and snacks and beverages are offered during the afternoon sessions. The seminar will include the following speakers and topics:

Dr. Mike Edwards "Update on Dental Materials " 2 CE Us 'Multimedia and Patient Education " 2 CEUs

Dr. Rick Harrell "Contemporary Extraction Practices in Orthodontics" 4 CEUs

Dr. Jim Roberts "Relationship ofPeriodontal Disease to Systemic Diseases" 2 CEUs "When Is It Appropriate to reftr patients with periodontal disease?" 2 CEUs

Dr. Mike O'Brien "Practice Transition - What To Do and When To Do It! " 2 CEUs "The G.B. - 5 Crown and Bridge Tech nique" 2 CEUs

Lodging Huntley Lodge - This three-story hotel was parr of the late NBC news broadcaster Chet Huntley's original vision . With recent remodeling, it is as tasteful as it is convenient. The Hunt ley complex includes a nne dining room , lounge, coffee carr , concierge, shops, ski storage, meeting rooms and Solace Spa.

Shoshone - Shoshone combines the service of a hotel with the comforts of a condominium. This recently remod eled seven-story landmark is attached to the Yellowstone Conference Cen ter and Huntley Lodge. Solace Spa, shops, espresso cart , and Kids Club are located in the lobby.

The Summit - This l G-srory luxury

complex combines the convenience of a hotel with the am eni ties of a con dominium. Flexible lock- ofls allow for man y sleeping configu rati on s. Th e Summit melds European sophistica tion with Western style with th ree high capaci ty lifts within 100 yards of the entry. Big Horn - Big Horn Condominiums are truly a home away from home. These units are spacious, well-planned and especi ally comfortable for gro ups. Enjoy views of Lake Levinsky and Lone Mountain.

Transportation Located just 45 m iles so uth of Boze man, Montana, and only 18 miles north of the Yellowst one Park border, th e resort is easily accessible via jet service into Bozeman o n N orthwest, Delta, United, H orizon, and Skywest Airlines. G round Transportation is available by way of rental car o r shuttle.

$2 1 Sport Ski Package $2 8 High Perfo rman ce Ski Package $26 Snowboard Package $13 C hild Package And when yo u're not skiing, th e Big Sky area offers plenty of winter activities like snow mo biling and wildlife viewing in Yellowstone N at iona l Park (located just 18 miles from the resort), snowshoe ing, sleigh ride dinners, ice skating, free child ren's apres ski activities, or relaxing with a spa treatment fro m th e Solace Spa.

patient credit online. Decisi ons will be made about all appli ca tions within minutes so that you and your patients can decide about treatment options with the knowl edge of the available financing.

Making financing availabl e to your patients will allow you to provid e the treatments that you deem most appropriate with out the con straints of insurance For registr ation informa tio n, contact the restrictions. Pati ents who take Alab ama D ental Association via phone advant age of financing through (80 0) 489 -2532, fax (334) 262 -62 18, o r Enhance will also reduce the email waren@aldaonline. o rg. amount of time and energy your office spends on tryin g to collect on acco unts receivable. To find The VDSC is proud to announce out more about what Enh anc e Patient Financing can do for our latest endorsement: your office and your patients, ple ase contact them at 877-436 4262 or visit their website at www.enhancepatientfinance. com.

Resort Amenities Locat ed at the base of Lone Moun tain, the compl ex includes meeting rooms, an am ph itheater, a scenic Main D ining Room, C her's Bar, 2 outdoor heated po ols, jacuzzis, saunas, a health facility, tenn is and volleyb all courts, a ma ssage stu d io, and retail shops all in the sam e area. Ne xt do or is th e M ountain Mall, providing additio nal restaur ants/bars, shops, and services.

Skiing and Recreation The skiing at Big Sky is trul y legend ary. Th e experience is based on huge vertic al, tremendou s elbow roo m and breathtakin g scenery. The facts tell th e sto ry -- two mountains, 3,600 skia ble acres, seven teen lifts, 400 inches of light, d ry sn ow annually, no lift lines and th e nati on's 2nd largest vertic al d rop of 4,35 0 feet. G ro up Ski Rental Rat es:

~nha I

e P ti n Fina cin 10 -' 1'0111" flt:'oltl,

Enh ance is a premi er patient financ ing agenc y that can help your pa tients finance the dental treatments they want and need. With no sign up fee , no non-use fee and high rates of approval, Enhance can offer financing options for your patients that are easy to understand and easy for your office to use. The VDSC Bo ard has evaluated the Enhance program and we believ e that it is a gre at option for VDA members interested in offering finan cing to their patients. Your office can sign up for no fee and begin submitting applications for Virginia Dental Journal

OSHA, HIPAA and EPA Regulations

What Do I need to know as a dentist?

Three of the major Federal regula tory agencies affecting the dental industry are the Occupational Safety and Health Administra tion (OSHA), US Department of Health and Human Services (DHHS) and the Environmental Protection J\gency (EPA). O SHA's main function is the p'rotection of workers while on the job. The EPA is concerned with pollution control and managing hazardous waste and DHHS regulates and enforces the new Health Insur ance Portability and Account ability Act (HIPAA). All of these agencies impact the dental profes sion. Under OSHA regulations, any industry that has personnel with occupational exposure to blood borne pathogens and hazardous materials must annually train their workers on these dangers. This training consists of two ele ments, both of which need to be addressed. The first area deals with the Bloodborne Pathogen Standard, (29 Code of Federal Regula tions 1910.1030) and the second element of OSHA training is the Hazard Communication Standard (29 Code of Federal Regulations 1910.1200). This is also referred to as "Worker Right-To-Know." This area looks at chemical and other physical hazards in the workplace. Both the Bloodborne Pathogen Standard and the Hazard Com munication Standard require a written plan that is also reviewed during the annual OSHA train

ing. All employees are to be trained annually with written documenta tion of training in their personnel file. Under EPA regulations, any busi ness that generates hazardous waste has a "Cradle to Grave" respon sibility, meaning the business is liable for this waste from creation to recycle or disposal. Generation, storage and disposal of hazardous waste are regulated under EPA's Resource Conservation and Re covery Act (RCRA). Infectious waste management is controlled at the state level by individual state regulations. HIPAA is the latest in regulatory compliance affecting any health care provider and any other person or organization who fUrnish es, bills, or is paid for healthcare in the normal course of business. The regulation mandates employee training and awareness for proper management of all personal infor mation and protection of all health information that identifies the individual. Dental establishments for the most part recognize "red bag" waste and dispose of it accordingly but management of hazardous waste, OSHA or HIPAA compliance can be more complicated. Hazardous wastes from the dental practice that should be managed include but are not limited to; • photo chemical waste, • lead and lead foil found in x-ray film, aprons and lead lined boxes • waste vacuum pump filters con

28 Virginia Dental Journal

taining amalgam particulate • chairside vacuum traps • mercury found in thermometers, blood pressure equipment • Elemental mercury. These wastes under EPA (RCRA) regulation must be identified and recycled at state-licensed facilities. Paper-trail recording of the waste recycling is imperative in the man agement of the "Cradle to Grave" responsibility. OSHA training must be performed on any employee that has occupa tional exposure to hazardous or bio-hazardous material. The regulations which need to be managed for total compliance can be complicated and time consum ing. The Virginia Dental Associa tion along with the Virginia Dental Services Corporation has endorsed Healthcare Compliance Service or HCS. HCS will provide all services necessary to ensure total compli ance with VDA member discount pricing. They are a nationwide full service company providing waste management and compliance services to the healthcare indus try, For more information contact Elise Woodling at tHe VDA or see Healthcare <Co m p liance Service's ad located on page 3S of this issue of the Virginia Dental Journal.

Together we can provide dental care for every Virginian

from the very first smile.

Is there anything in the world h appier than a kid 's sm ile? At Delta Dent al, it's always been our mission to work with Virgi nia's outstanding dentists to make chil dren's smiles as brigh t and healthy as possible. One way we do it is through our S m art Sm iles" program. Partne ring with Boys & G irls Cl ubs, we make sure children get regular den tal check-ups, learn ® how to take care of their teeth thro ugh ed ucatio nal programs, and receive tra nsportation to denta l appointments. This help is provided to those childre n who are underAo."""",,··,,,'~"" 1""" insured o r who have no insurance .

Teeth on the Go!" is ano ther innovati ve approach to children's dental care . Wo rking with the Virginia D epartment of Ed ucation , Del ta Dent al is making an educational "tool kit" available to element ary scho ols acro ss Virginia, free of charge . It helps kids make a commi tm ent to taking care of th eir teeth now and for a lifetim e. We'd like to than k all the Virginia den tists who help make these pro grams succeed.

~ DELTA DENTAl.:' Delta Denial Plan of Virgini a

(800) 237-6060 - www.deltadentalva.com

Virginia Dental Journal

Continued From Page 23

recycling am algam waste and impor tant questions to ask amalgam waste re cyclers. "The good news ," the brochure notes, "is th at amalgam waste, kept separate from other wastes, can be safely recycled .... The ADA strongly recom mends recycling as a best man agement practice for dental offices." Though dentistry contributes less th an one percen t of mercury released to the environment from human activ ity, according to the EPA's Office of Air Quali ty Planning and Standards, and followin g the BMPs is no gua r- . antee th at regulato rs will not impose mandato ry controls, the Associati on is working with the EPA and regulato rs to convin ce them to rely on dentists' volun ra measu res.

"Th e very found ation of our argu ments ," write Drs. Sekiguchi and Bram son , "is our often-expressed belief to regulators that we can effec tively deliver th e message to dentists to follow BMPs." Th e president and executiv e direc tor add, "We hope that in the near futu re, com pliance with BMPs will be as commonplace in the dental office as masks and gloves."

AADA Member Project

Awards It has just been announ ced that Alli ance of the Virginia Dental Associa tion has won the AADA constituent award for th e: Best aired broadcast message or pro gram (radio, television or other elec tronic m edia ) concern ing an Alliance , an Allian ce member and/ o r dentistr y. This award for our AVDA web page was given during th e M ember Proje ct Awards Lun cheon at the AADA An nual Session in Orlando.

2004 VDSC Raffie Results!

This year in the Exhibit Hall at the VDA Annual Meeting, the VDSC held a raffle with prizes donated from various Endorsed Vendors. The winners of the 2004 VDSC Raffle were:

Dr. Susan O'Connor ofIndependence - 2005 VDA Dues donated by B&B Insurance Dr. James Chau ofVirginia Beach Odyssey Putter donated by GE Medical Protective Dr. David Ellis ofHopewell- DVD Player donated by C & F Investment Services Dr. Hood Biggers ofMidlothian A Case of Gloves donated by Top Quality Manufactur mg Dr. Sharon Colvin ofChesapeake - Movie Gift Basket donated by LifeServers Dr. Richard Barnes ofHampton Hand Painted Birdhouse donated by SMARTMOVE Thank you to all of the participants in the VDSC Raffle! 30 Virginia Dental Journal

Co1lt;lll/ed From Page 25 for o u r office greeti ng ca rd. The arne image was u ed for personal invi tatio ns [Q our patient, the local med ical com m unity, and our Po rt Warwick co m muni ty fo r a holiday open house.

visio n an d generous with referrals of their patient [Q one another.

In a variety of ways, we ar e tablishing a clear sense that in this dental o ffice everything we do is th ro ug h th eyes f a dental arti r.

When not being used for dental semi nar , the upstairs i known as "The Up p r Gallery, ' my an studio/gallery. Our pat ients frequently ask [Q visit the gallery befo re or aft r their appoinrrnen ,and even arrange to bring a group o f friends [Q share the experience. "Ihe bonu for u is that we have the opportunity to escort these pot nrial patien ts on a tour of our lov Iy d ntal offic pace on their way to the gallery.

erves a a meet-

U~S."'lIJJil!i!b.."rB

no i "I'.'~=~"·o;~ · u; rd

:0 f

In addirieu (0

rig s u: ing our 3,-00

square fuet of dental office space, we held lectures in th Advanced Dental Training Facilirv our econd- tory, I ,200-square-foot space. We used our b a utiful, tate-of-the-art facil ity ro entertain nearly 100 denti t . dental team member and practice management co nsulta nts .

Virginia Dental Journal 331

Virginia DentalAssociation Making a Difference: Living, Learning, Leading

Membership Matters Submitted By: Leslie Pinkston, Director of Membership Services

In Virginia, as of September 2004, approximately 71.5% of dentists are currently members of organized dentistry. Nationally that number is just over 72%. In 2003 the VDA dentist represented 74.4% of the Market Share for Virginia and it is disturbing to see the numbers dropping! So what you say ... but unless the dentist of Virginia try to maintain member ship at or above 75% they (you) risk losing that undisputed voice of dentistry nationwide that you may have so long taken for grant ed. Also, least you forget, there is that intangible but important reason for becoming and staying a member that is often forgotten about - friendship! The Virginia Dental Association has concentrated on increasing its membership throughout 2004. We are proud of the efforts made by the MembershiplNew Dentist Committee's and the Grassroots Membership Initiative Team and thank them for their hard work! The VDA has also worked on improving our member benefits to include a re-designed Web site, continuing education opportuni ties, keeping members informed about CUlTent issues facing orga nized dentistry, legislative/govern mental advocacy, and an excellent endorsed vendor and discount programs. As a member, have you ever asked 32 Virginia Dental Journal

yourself or been asked, "What does the VDA stand for? Do you know? This is a difficult question that has no simple answer! But in reading the VDA Core, you will find meaning in the purpose of the VDA being here as an asso ciation, the qualities that bind the dentist of Virginia together and the picture of the future.

The VDA: A Community of Professionals Advancing Den tistry and Serving the People of Virginia Our VDA Values - the immutable principles by which we live, lead and learn. Having integrity and compassion Fostering social responsibility Embracing diversity Ou r VDA Vision - the future we envision for 2012. Empowering the dental commu nity through innovation, diversity and service. Our VDA Mi ssion - the business of today. The VDA: A Community of Professionals Advancing Den tistry and Serving the People of Virginia .

VDA Core Our Foundation *Our VDA Core is comprised of our VDA higher purpose, our val ues, our vision and our mission *We will live our VDA Core on a daily basis. Our VDA Higher Purpose - the reason our VDA exists.

In closing, hopefully reading this will reaffirm your belief in the VDA and help you to commu nicate that belief to prospective members and to your patients. It is critical to the future of dentistry that you continue to encourage an old class mate, a new dentist or associate to become active in organized dentistry.

Playing Percentages...

Virginia Dental Association

Market Share

4000 3,350

3500

.--

3,517

3,371

3,355

3000

2,51 2500

r-r-

2,51

2,49

2,52

.--

r-t-

3,703

3,609

3,467

r-t-

2,65

2,58

2,64

Virginia De ntal

Association Market Share

- Date Septem ber 13, 2004

2000 Si nce December o f 2003, tbe VON s marke t share has d ro p ped by 2,9%.

1500 -

1000

- --

500

Th e VDA market share has drop ped from 74.4% in 2003 to 7 1.5% as of September 2004,

75 12 0M

171 19 0M

73 19°1<

17 1 Is°l<

74 90M

74 ~OM

I7I Iso

1998

199 9

2000

200 1

2002

2003

2004

Year

All tables are based on activ e Ilcensed only.

VDA Membership Breakdown by Component Tidewater

For information about joi ni ng th e VDA, contact Leslie Pinkston , VDA D irector of M ember ship @ 800- 552-3886 or

12.2% Peninsula

Northe rn VA 36.0%

7.2% Southside

3.0%

pinkston@vadental.or~ . I

"'-..__ Richmond 19. 1% I

Shenandoah _~I

8 1%

Southwest

Piedmont 9.0%

5.5%

VDA Membership by Age Group* 1200 - , - - - - - - - - - - - - - - - - - - - - - - . 1000 800

600 -1- 400

200

o -+----

-----,--

20-29

30-39

40-49

50-59

VDA Me mb ership by Age

Gro up

Membership based on age

indicates that the majority

of th e VDA memb ers are 50

years and older.

60+

Age *Only includes members with a reported birth year (79 members not included)

Virginia Dental Journal

Dear V.D.A. member, We are really excited about the start of our third annual "Give Kids a Smile!" initiative. This is a nationwide program that is sponsored by the A.D.A., that is attempting to have simultaneous events in every state on Friday, February 4, 2005. The focus of this program is to increase access to dental care in underprivileged children, through education, treatment, and helping these children to find a dental home, as well as making the decision makers in this country aware of the access to dental care crisis that currently exists. It is important to note that we want each component, and within each component every interested dentist to participate in this event, and that there are a number of different ways possible to help. Many of you already do events in February, we just want to make sure that the V.D .A. central office is aware of these, so that we can include these as V.D.A. "G.K.A.S.!" events.

Last year we focused primarily on screenings and education. This year we would like to add some treatment. What we have discussed is perhaps having a central person in each area or each component perform some pre-screenings, and then assign a certain number of patients to each volunteer dentist, so that the volunteer dentist could then treat these patients in their own office where they feel most comfortable. It is essential that we coordinate publ icity and p.r. for this event, since it is so important to show how well organized dentistry gives back to our constituency. Most of you already do some volunteer work during February for Children's Dental Health month-let's just all do it on the same day!

Please check off how you would be willing to help and return to your component representative so that they can help coordinate their plans. 1).

Volunteer to screen and educate and/or treat patients in your own office, or a component members office.

2). Volunteer to help at a children's dental health fair.

3). Volunteer to work at a free clinic in your component.

4) . Volunteer to speak at a school.

5). Volunteer to help with a mini-M .O.M. project.

In order to make this event a success, we need your help, and once again, thanks to the many volunteers who helped last year, and to those who will help this year! Sincerely,

C. Sharone Ward , DDS Co-Chair

34 Virginia Dental Journal

Samuel W. Galstan, DDS

Co-Chair

ding at"

Virginia Dental Journal

Welcome New Members!

Check Us Out!

Tidewater Dental Associatio n Dr. Allen Karp received his DDS fro m VCU Sch ool of De n tis try in 1987 . Dr. Karp is cu rre n tly pracricing den rimy in Vi rginia Beach , VA.

Dr. Miguel Fernandez received his D .D .S. fro m VCU Sch ool of De n tistry in 2000. H e th en com pleted his AE G D in 20 0 1. Dr. Fern andez recently lefr the N avy and is pracricing in V irg in ia Beach whe re he purc hased D r. Ar no ld Hoffman's pracrice in V irginia Beach , VA. Dr. Bruce Utterback received h is D .D .S. fro m the University of Pennsylvania in 1985. D r. Utterback is cur ren tly p ract icing denti stry wi th Associa te Den tal Care in Virg inia Beach, VA.

Dr. Deborah Blanchard received her D .D.S. from VCU School of Den tistry in 2004 . D r. Blanchard is cu rre n tly wo rking on her AEGD Residency at the Naval Den tal Cen ter in N or folk , VA.

Peninsula Dental Society Dr. Jennifer Butterfoss Barton received her D .D .S. fro m VC U School of D entistry in 200 2 and received her M .S. in June o f 2004 fro m th e U ni versity of Louisville. D r. Banon is curren tly pra cricing wi th Dr. Th omas Bur terfoss in G rafron, VA.

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Southside Dental Society Dr. Shannon Bowman received her D. D .S. from the VCU Schoo l o f D ent ist ry in May 2004. D r. Bowman will be practicing de n tistry at the new office be in g b uilt by Central V irginia H ealth Serv ices, In c. in Hopewell, VA.

Richmond Dental Society Dr. Bhavna Shroff - received he r D. D .S. from Paris V

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Raymond James Financial Services, Inc.

D ouglas H artz, Bran ch Manage r 804-378-7296 DeA nn Rinehart, Operations Manager 800-583-3863 1400 Alverser D rive, Midlo thian, VA 23113

Rene D escarres M omrouge in 1982. D r. Sh roff wen t on ro receive her Masters in D ental Science and a cer tificate in O rthodontics in 19 89. Dr. Shroff is cu rren tly wo rk ing as a full -rime faculty m em ber at the VCU School of Den tistry.

Dr. Ailin Shan - received his D .M .D. fro m Boston U niversiry in M ay 20 04 . D r. Sha n is practicing den tistry in Ric hmond, VA.

Secu rities arc o ffered exclusively through Ra ym o nd james Fin an ci al Se rvic es, Inc , nu-m ber NAS D /S IPC:. an indep endent bro ker dealer, and nrc n OI insured by the r:OIC or any o ther han k insu rance, nrc not dep osits or o b hg.2 rio n ~ o f the bank. arc not gua ran teed h~' the ban k, and arc sub ject 10 rick , inlcudin g the possible loss

o f principal.

36 Virginia Dental Journal

Dr. Sharon K. Lanning - received her D .D .S. from SU NY Buffalo Schoo l of Dent al Medicine in 1996 . She then received he r Ce rtifica te in Period ontics from VCU/M CV Schoo l of Dentistry in 1999. Dr. Lann ing currently has a Faculty Practice at VCU/MCV School of De n tistry. D r. Emily P. Smith - received her D. D. S. from VCU/MCV Schoo l o f D entistry in 2003. She then com pleted her AEGD Program in June of2004. D r. Sm ith is currentl y practicing with Dr. Kin Finley-Parker in Richmond, VA. Dr. Paul Hudson - received his D. D .S. from VCU/MCV School of De ntistry in M ay 2004 . Dr. Hudson is curren tly practicin g denti stry in Rich mond, VA with Dr. Gillia m . Dr. Pamela K. Donohue - received her D .D.S. from VCU/MCV Schoo l of Dentistr y in 1981. She then com pleted her Advanced Residency in Pediatric Dentistry in Ft. Meade, MD in 1993. Dr. Do noh ue is cur rently practicing dentistry in Richmo nd, VA with Dr. Ma rt ha Dawso n. Dr. Beatrice D. Muncy - received her D .D .S. from VCU/MCV Schoo l of De nt istry in 1992. She is curren tly practicing dentistry with D r. James M uncy in Richm ond, VA. Dr. James L. Muncy - received h is 0. 0 .5 from VCU/MCV Schoo l of D enti str y in 199 1. He is cur ren tly p racticing dentist ry with D r. Beatri ce Muncy in Richmond, VA. Dr. Julia Davis - received her D .D. S. from VCU/ MCV Schoo l of Dentistr y in 2004 . She is cur ren tly practicing de ntistry in Mec ha nicsville, VA.

Dr. Brian Levitin - received his D. D .S. from VCU Schoo l of De n tist ry in May 2004 . D r. Levitin is curre nt ly practic ing dentist ry in Richmo nd, VA with Dr. Donald G. Levit in. Dr. Debra Hazelton - received her D DS from VCU School of Dentistry in 1994. She then completed her AEG D from VCU in 1995 and her certi ficate in Prosth odontics in 1997 . Dr. H azelton is curren tly a faculty memb er at VC U Schoo l of De ntis try. D r. John Peroutka- received his D .D .S. from VCU Schoo l of Den tistry in 2003. H e then completed his AEGD at the University of Florida in June of2004 . D r. Peroutka will be p racticing dentistry in Rich mo nd, VA.

Sep t. 14-18, 2005 VDA Ann ual Meeting Marr iott - Richmo nd, VA Sept ember 13-17,2006

VDA Ann ual Meeti ng

H o tel Koano ke & Lo'rtference Center Ju n e 16 & 17, 2007

VDA Annual Mee ting (Ex hibits, CE &

Social)

Waterside Marriott - Norfo lk, Vi\

l:.Q.n1PillltD C E..fIog.mlWi - Fo r regis tra

lion in fo rmation, co ntac t [he approp riate

person below ;

Dr. Majd Babik - received his DDS from VC U Scho ol of D enti stry in 2003 . H e then com pleted his AEGD at the Un iversity of Florida at St. Pe tersburg in June of 2004 . D r. Babik is curre ntly looking for a solo pract ice in Richmond , VA. D r. Ronald Mamrick - received his DDS from VCU Schoo l of De n tistry in 200 0. H e th en completed his AEG D at the Un iversity of North Ca r olina in 200 1. D r. Mamrick is current ly practicing dentist ry in Mid lothian, VA with Dr. Steve Tut tle. Dr. John Andre - received his D.D.S. from H oward D en tal Schoo l in 1986. H e is curren tly pract icing denti stry in G len Allen , VA.

Co mpo ne nt 1 (fide\\ ate r) (E xec u tive Sec re ta ry) Co rnponen r 11 (Peninsula)

(E xccuuve Sec rctar v) Co mpo nent III (So uth side) (p resident) Co m po ne nt 1V (Rich mo nd) (E xecutive Secret ar y) Co mpo nent V (p ied mom) (Executive Sec re tary) Co mpo nent V1 (So uth west) (Ex ecuti ve Sec retary) Co mponent Vll (Shenandoa h) (E xec utive Secr etar y) Co mponen t vm (N ort hern Vii) (Executive Directo r)

Virgin ia D o nne (757) 4 YI-4626 Ka thy I farris (757) 56 0-6564 IJr . Sa m ue l Gal srun (804) 7%-1Yl 0 Linda Simo n (804) 323-5 1YI Ann Huffman (276) 7.12 ·_H89 So nya Fnr i ~ (276) 628-4 Y34

Parricta Fuller (804) 985 - 1939 S usann \,\1. H anul tor (703) 642-5297

Y.I.\ G D P Cp n ra Ol) • please co n tac t Frances Kimbrough (Executive Secretar y) at 804-320-8803 .

y el l Sch oo l of Dent iSTry · please co ntact Martha Clcruenrs

Dr. Fereshteh Jarvandi - received h is D. D .S. from VC U School of Dentist ry in 1991. H e is curre n tly practicing denti str y in Rich mond, VA.

at 804-828-0869. www dc n [j SI ry.Y ( lI . cd u / o: / a ntr scs.sh tml ~ Q QL.o L1k diC l!){,

Dr . HllgO Seibel at ~

Piedmont D ental Society Dr. Anthony Elgohary - received his D .D .S. from Tufts School of Dental Med icine in 2003 . Dr. Elgohary is cur rentl y pra ct icing dent istry in Freder icksburg, VA.

Continuing Education

Meetings & Events

Dr. David R. Brajdic - received his D.M.D. from the U niversity of Pittsburgh in 1984 . H e also received a Ce rt ificate in Co mprehensive Den tistry from the Na tio nal Naval D en tal Continued On Page 38

(,\ mlto rnr Ds."J][\ - pleas e con tact

80 ~ - H 2 8- 9 7 9 1.

please contact D r. Ti mot hy J. Go lian at 703-273-8798

VS<) \ 15 and \/.-\0 - please co ntact N ico le Pogar at 804-26 1 [61 0.

AIDA C·E·R·P CONTINUING EDUCATION RECOGNITION PROGRAM The VDA is recogni zed os a ce r t ified sponsor of co nti nuing den t o l educati on by both the ADA CERP an d th e Aca de my of General Denti s t ry.

Virginia Dental Journal

Continued From Page37

to teach next year."

School in Bethesda, MD . Dr. Brajdic is currently practicing dentistry in

The applica tio n dead line is Ju ne 2 1 for non-licensed candida tes and J uly 5 for persons curren tly hold ing a valid teaching license.

Roanoke, VA.

Dr. Lori Petree - received her D D S from the University of N o rt h Carolina D e ntal School in 1997. D r. Pe tr ee is c urren tly prac ricing dentist ry in

Int erested person s ma y learn more abo ur Teac h for Virgi nia by visiti ng its web site, www.teach forvirgi nia .org, or by atte ndi ng two upco m ing informational sessions . The sessio ns are sched uled for Jun e 2 at Taze well Midd le School in Tazewel l Cou nty and in the Fairfax area on Ju ne 9 at King 's Park Library in Burke .

Greens bo ro, NC, w i th D r. Pe rr y Je f fries .

Southwest Dental Society Dr. Tr avis Ratliff received h is D .M. D . from t he U nivers ity of Ken tucky in 2003 . Dr. Ra tl iff is curren tly pract ic ing dent istr y a t th e C li nc hco Dental Clinic in C li nc hco, VA.

Dr. Victoria C. Bettis received h er D .D.S. fro m th e U n ive rsity of T eri n es see in 198 1. D r. Bettis wi Jl be p rac t ic ing d entistry in Abingdo n, VA wi th Brown Dental Associa tes .

N orthern Virginia Dental Society

Recruitment Program Seeks Prospective Teachers Informational Sessions, Application Deadlines Approaching A Message From The Virginia Department of Education

Dr. Jyothi Koneru - rece ived h er DDS from New York Univer si ty in

2003. Dr. Koneru is currently practic ing dentistry in Laurel, MD.

Dr. Natalie Lobo - received her DDS from VCU School of Dentistry in

In an effort to recrui t 300 new classroo m teachers - especially to rural and under staffe d com m u ni ties, the Vi rginia Depart ment of Education (D O E) and the New Teac her Pro ject have launched Teach for Vi rginia recrui tment prog ram.

2004. Dr. Lobo is currently practicing dentistry in Woodbridge, VA.

Dr. Kristen Hae-Won Bae - received h er D.D.S. from the University of M aryl and in 2000. Dr. Bae is c urren tly p rac tici ng dentistry w ith Drs. A d ili, Va hi d , an d Ass ocia tes in Ce ntrev ille , VA.

Dr. Neha Galiara recei ved h er D.M.D. from the Med ica l Co llege of Georgia in 1997. She then co mp le te d her GPR a t St. An t ho ny H o sp it al in Oklahoma C ity, Oklahoma in J u ne

1998. Dr. Nabeel Khan received h is D .D .S fro m VCU Sc hool of De ntistry in

Contin ued On Page49

38 Virginia Dental Journal

Des igned wi th recent co llege graduates, career changers, and career ed ucarors in min d, t he Teach for Virgin ia in itiative, is looking for high ly qualified candidates interes ted in working in the common weal th's publ ic schoo l classroo ms. No prior classroo m reac hin g exper ience is necessar y to app ly ro the program. "Tea ch for Virgi nia offers a streamlined app licatio n process," said Thomas A. Ellio tt, DOE's assistant superinte ndent of teacher ed ucation and p rofessio nal licensure. " Fro m submissio n o f marer ials th rough the in terview process, Teach for Virginia p rovides a 'one-stop sh o p.' It 's desig ned ro easily co n nect in rerested can d idates with 38 school d ivision s seeki ng ed ucators for their classrooms. In onl y rwo m onths, more than 700 peop le have either applied or beg un the app licat ion process

At the sessions, repre sentatives from Teach for Virginia and local educators serv ing as "Teacher Ambassadors" will sha re de ta ils abour the recruitment in itiative and p rovide cand idates with the opportu n ity to hear how they can begin reaching in Virgin ia p ublic schoo ls as early as this fall. Info rma tion will also be provide d o n the requ irements for app lying for the Teach for Virginia program .

The Teach fo r Virg ini a p rogram is a t'NO year par tnership sponso red , in part, by the U .S. Department of Ed ucation . It is being facilitated by The New Teacher Project , a non-profit organization th at works wit h school d istricts, states, and ot her educa tional en tities to en hance their capacity to recruit, select, tra in, and suPPOrt ou t stand ing new teachers . The New Teac her Project has partnered wir h numero us states and schoo l d istr icts arou nd th e country includ ing New York City, New O rlea ns, and Washin gron , D C. For more info rma tio n abo ut Teac h for Virginia , call the program info rmatio n line ar (804) 225-4544 .

Hottest Investment Tips

managed risk.

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term investo r: 1. GET STARTED EARLY! It's impossible to stress this point too

much! De spite othe r finan cial pres sures, this can often make the differ ence in reaching your goal. Hi stori cal ly, srock values appreciate in the lon g run so investing over lon g periods can help your appreciati on potent ial with

amount every month. Like any other investment, this approach cannot pro tect from loss or guarantee a profit, but it may help to lower the average cost of your investment purchases.

3. REINVEST RETURNS By reinvesting distributions from investm ents, you may be able to increase your account balan ce over the long term . Assuming a positive retu rn on your invest ment, you will realize greater ben efits from the power of com po und ing. Thi s is the concept of earn ings on earnings. 4. MAXI M IZE TAX ADVANTAG ED RETIREMENT PLAN S

If ret irement is one of your objectives, be certa in to invest in an employer spo nsored retirement plan if you are eligible. M ost plans allow pre-tax

cont ribut ions and tax-deferred acco unt earn mgs. Don't forget about IRAs either. 5. D ON'T BE T O O SAFE DURING RETI REM EN T Continued On Page 4 J

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Disposal Fees and Extended Warranties: Milking the Cash Cow

By: Robert E. Horseman, DDS Reprinted with permission by the California Dental Association

"Do you - state you name - hereby solemnly swear to take this patient as you own , to have and to hold in sickness and health, through sore spots and relines , in ad justments and remakes from this day forth as long as you both shall live?" . . .Excerpt from the Bioform Oath

The dentist, in his naivete , is si multaneously suffused with frus tration, despair and anger because he knows that once again profes

Any dentist who has ever performed an im mediate denture service for a patient knows the following to be true: The patient becomes an ex officio member of your family for a mini mum of a year. You may not always know where your kids are, but the full immediate patient is always there.

Sharps Disposal $25 X-ray Solution Silver Recover y Fee $ 16 Disposables Disposal $12.95 Second, one of the most lucrative schemes retailers ever concocted has been operating success fully for ages and once again , the dental profession has missed the boat. We speak, of course, of the Extended Warranty or Service Agreement.

Sometimes the relation ship is forever, or until the dentist mercifully succumbs to self-in flicted wounds. A fre quently used option is the our-of-state move , leaving no forwarding address. For most procedures,

there is a beginning, middle and

an end . For immediate dentures,

there is no end, at least not one

that is mutually recognized by both

dentist and patient.

40 Virginia Dental Journal

ardous wast es are disposed of for a fee. Car batteries, for example, and used oil from his automobile and his old tires are hauled away at his expense. In his own office, hazard ous wastes generated by his patients' needs are hauled away, also at his expense. N ever appearing on the dentist' bills are the words:

sional retailers have made him realize what a chump he has been all these years. First, our dental colleagues discov ered that in the real world, haz

You've just purchased your Kenmore wash ing machine from Sears. There is no way you will exit the store with our being "offered" (see The God father, parts I through III) a service agreement. The service agreement says in effect that although you

have purchased this marvelously engineered precision masterpiece of modern-day technology from us, it's going to break. The cost of just one visit, say, to replace the interhybaric spin cycle configuration module is more than twice the extended war ranty fee. So you buy it. There is more pressure to take the service agreement than you would encounter at 40 fathoms without a diving suit. Not once has a configuration module failed during the first four years of service even if you had four kids and the interhybaric spin cycle thing goes 24/7. But you don't know that. If you should have the moxie to depart the store without surrendering to the salespersons blandishments, one of their account reps will phone you every three months for the rest of your life warning you about the perils of go ing without the extended warranty. Retailers love the service agreement. So would dentists. Suppose your fee for a full immedi ate included the denture itself, the insertion and a 20-minute lecture on shrinkage and healing plus the standard warranty of 10 days or 10 ContinuedFrom Page 39

When you retired , preservation of cap ital was a steadfast financial planning rule. However, because of inflation, you should be more concerned with preserving your spending power. To keep ahead of the game you must take inflation and taxes into account for the actual amount of your investment return. "Safe" investments could be a losing proposition if they offer no growth potential. 6. PREPARE FOR THE LONG HAUL

meals, whichever comes first. The cow" exten d e d warran ry, or "cash cas cow as we professional tooth persons will come to call it, covers sore spots adjustments up to four the first year, two the second and one on your birthday. It also includes relines and a box of denture adhe sive attractively gift boxed. And last, but certainly not least, are two occlusaJ equilibration visits avail able on request even if you haven't the faintest idea of what that means.

without protection of an extended warranty, the whole thing may explode at any moment, then our professional obligation has been met. We've come a long way. Den tists of 30 years ago would never have thought of that. It is our fond hope that eventu ally we will be able to sell service agreements to patients who have no trouble at all. We may poke fun at lawyers and questions their activi ties sometimes, but consider this: Who thought up retainer fees?

This overlooked bonanza would apply equally to crowns, bridges and fillings of every so rt . Dentists have always been very careful to avoid guaranteeing anything they do. "It's human tissue," we point out. "W h o knows what it's going to do? " Nonsense!

How the ADA

Helps You Fluoridation Initiatives Community water fluoridation is the single most effective public health measure to prevent tooth decay. The ADA offers a number of technical resources to support fluoridation initiatives.

What if Sears felt that way about its Craftsman table saws? All that extended warran ty/ service agree ment money would be down the tubes, foolishly spent on food or rent, or some other frivolous frit tering.

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If a patient wearing one of our cast partials, or equipped with a mouthful of orthodontic appli ances gets the uneasy feeling th at Follow the plan. Don 't be tempted to over react to short-term market fluc tuations. Chasing "hot" rips could damage your long term plan .

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7. SCHEDULE REGULAR PORTFOLIO CHECKUPS Your financial portfolio may need gradual adjustment as your lifestyle changes. You should review your hold ings with your financial advisor at least once a year. If you have a major life change (e.g. baby, marriage, job change or early retirement) , make an immedi ate appointment.

Virginia Dental Journal

Student News Submitted by: Leslie Pinkston , VDA D irecto r of Membership Services

June 17th was a busy day at the MCV Alumni House! The annual Freshman Luncheon was held for all rising first year dental students. Dr. Baxter Perkinson (keynote speaker) reassured the student s there is a wonderful profession/life awaiting them upon completion of dental school! Dean Hunt, Dr. Booker, Dr. DeGinder, Dr. Dickinson, Dr . Reynolds and Dr. G ardner all too k time to attend and "mingle" with th e studen ts! Thank you.

C hesapeake where the studen ts toured their nine-operatory office and got the feel of a multi-doc tor practice. The stu dents ended the day at the office of Dr. Krista Woodlock in Virg inia Beach. The students were fascinated and im pressed by her newly built, totally paperless office wh ere Th e New Dentist Committee's all the letters are scanned into the hard dri ve and all the radiographs award winning Real World Tour took place in T idewater for the are digital. Dr. Woodlock's "office of the future" was a great inspiration to the students . The tour was sponsored by Sullivan-Schein who provided breakfast at Dr. Bivin's office and lunch at D r. Wood locks. The company also pro vided VC U Stud ents visit Dr. Todd Bivins office on hand Real World Tour out s and catalogues for the student s first time on Friday, June 11, 2004. to take home with Seventeen stu dents from VCU / th em . MCV School of Dentistry toured the offices of D r. Todd Bivins, Drs. Thomas and Thomas and Dr. Krista In Jun e, Dr. Todd Woodlock. Th e tour began at Dr. Bivins, Dr. Eliza Bivin's newly built 4000 squ are beth Reynolds and foot facility wh ere Tro y M cCollum dental students, ofXP Consulting was on hand to ans wer the mo re complex qu estions C lay Weisbe rg, Dan regarding Dr. Bivins chair side com Chatterley, and David Woodruff puter set-up. The tour cont in ued at were sponsored by the Ne w Den the office of Thomas and Thomas in tist Committee to attend th e New

42 Virginia Dental Journal

Dentist Conference held in San Diego, CA. The dental students that attended were winners of an essay contest sponsored by the New Dentist Committee. More th an 360 new dentists, dental students,

Drs. Krista Woodloch and Todd Bivins with C lay Weisberg meet with AD A President Dr. Eugene Sekiguchi at CN D Meeting in San D iego.

dental office staff and constituent dental society att ended the ADA l Sth New Dentist Con ference. Conference programming brought together future and cu r rent leaders in organized dentistry and was "reportedly" a wonderful experience for the VCU/MCV dental stude nts th at attended.

Pie Eating Co ntes t

In Jul y, D r. Bruce D eGinder, VDA President, met with incoming dental students during orientation

week. Dr. DeGinder did a great job in welcoming the students to dentistry and the VDA. Bags with the Virginia Meeting information as well as steel travel mugs were given to each new student. Thank you Dr. DeGinder!

Learn during the third week in

August for VCU/MCV Legislative

Week. Mr. Dennis Gallagher, VDA

Lobbyist, was kind enough to speak

In August the VDSC sponsored its Annual Symposium for the junior and senior dental students. Dr. Steve Rasner held an entertaining all day seminar on "Realizing the Dream". Many thanks to VDSC and all board members able to at tend including Dr. Robert Levine, Dr. Fred Coots, Dr. Frank Crist, Dr. Jeffrey Levin and Dr. Wally Huff.

(L-R) Dennie Gallagher, Dan Poucher, Leslie Pinkston , Bradford Allen and Nathan Saydyk

to the students and explain what a lob byist does and the 1\ -. . . impact PAC has on ,-,- -- _. ' their future careers. ~~'iiP] Mr. Gallagher also -,, addressed the Bills and Budget Amend ments currently affecting dental students and dentist such as the dental school temporary li censure and preceptorship program, dental school training simulation The VDA helped to sponsor the equipment, tax reform, oral quality VCU Welcome to Dentistry picnic assurance and peer review, amal held August 13,2004. What a gam, managed care dental plans, great way for all the students to retroactive denial of claim by health begin their new academic year. carriers, as well as Medicaid dental The pie eating contest was most service carve out. entertaining, and the VDA would like to congratulate Nadia Church, The VDA New Dentist Committee 0-2007 for being the 2004 Pie and the ADA sponsored their annu Eating Champion! Nadia received al "Smart Start Program" for fresh a curing light from Sullivan man dental students. Dr. Wilson Schein Dental. Jewell, 16th District Representative from Wilmington, NC and Dr. The VDA sponsored a Lunch and .. .,

, , 11\

.!~~~

...

. ,

Krista Woodlock were the featured speakers. They both did a great job explaining the impact student debt can have on the student's futures as well as answering many questions! In September the VDA sponsored a Lunch and Learn for the VCU residents with the help of Dr. Deborah Hazelton . Many thanks go to our VDA lobbyists Chuck Duval and Denny Gallagher for educating the residents on what a lobbyist does as well as the impact decisions made in the House of Delegates and Senate have on their future careers. Ms. Elise Woodling, VDA staff, also spoke and gave a wonderful presentation on Direct Reimbursement.

,,,' ••

·~I

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Virginia Dental Journal

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YO U ARE KEY IN ENDING ADULT ABUSE IN VIRGINIA! Mandated Reporters for Adult Protective Services Each year, an est imated rwo mill ion vulnerable adults are victims of abu se or neglect. Sexual assault and finan cial, verbal , and ph ysical abuses are just so me of th e mistre atments faced by the elderly and incapacitated adults from their care givers and others. Many are unable to cry out for help on their own - their help must come from others. Mandated repo rte rs are on the front lines and best positioned to identi fy and repo rt suspected ad ult abu se, neglect , and exploitat ion. The Virginia Department of Social Services (VOSS) relies on you to identify persons 60+ and ad ults 18 + and who are incapacitated who need our protect ion. Anyone can report suspected abuse , but mand ated reporters are required to do so by law. Effective Jul y 1, 2004 , the Co de of Virginia , § 63.2-1606 (A), you are mand ated by State law to report suspect ed ad ult abu se, neglect, and exploitation if any of the following categories apply to you :

44 Virginia Dental Journal

• All persons who are licensed , certified, or registered by health regulatory boards (except those licensed by the Board of Veterinary Medicine) includi ng the Board of Nursin g; Board of Medicine; Board of Pharmacy; Board of Dentistry; Board of Funeral Directo rs and Em balmers; Board of Optometry; Board of C o unseling; Board of Psychology; Board of Social Work; Board of Nursing Home Administrators; Board of Audiology and Speech Pathology; and Board of Physi cal Therapy; • Any mental health services provider as defined in § 54 .1-2400.1; • Any emergen cy medical services per sonnel certified by the Board of Health pursuant to § 32 .1-111.5; • Any guardian or con servator of an adult; • Any person employed by or contracted with a publi c or private agency or facility and working with ad ults in an adminis trative , suppo rtive o r direct care capac ity;

• Any person providing full, int ermit tent, or occasional care to an adult for compensation , including but not limited to com pa nion, cho re, homemaker, and personal care wo rkers; and • An y law-enforcement officer. If yo u suspect adult abuse, neglect , o r exploit at ion, you must immediately report your suspicion to the Adul t Pro tective Services (APS) unit of yo ur local dep artment of social services or to the APS toll-free, 24-hour horline at 1 (888) 83-AD ULT. Sexual abu se, death , seri o us bodil y injury or disease believed to be the result of abu se o r neglect, or any o ther criminal activity involving abuse or neglect that places the ad ult in im minent danger of death or serious bodily harm mu st be reported to law-enforcement. De ath s that appear to have resulted from abu se or neglect must also be immediate ly reported to the local medical exam iner and the local law-enforcement agency. Reports of suspec ted ad ult abu se, neglect, or exploitation sho uld identify the adult

and include a descr iption of th e circum stances that indi cate that abu se may be occurring. Th e specific nam e of the suspected victim is not required ; how ever, the info rmatio n must be sufficient to help APS locate them. Mand ated reporters are required to cooperate with APS workers throughout the investigatio n and to make available any info rmatio n, records, or reports that do cument the basis for the report. If a mandated reporter willfull y fails to report suspected ad ult abuse, neglect, or exploitation immed iately upon suspi cion , he or she may be subject to a civil money penalty. Th e ide ntity of mand ated reporters is confidential unl ess d isclosure is autho rized by the reporter or ordered by the court. Anyone wh o files a report or provides record s or informatio n in a sus pected ad ult abuse case is immune from civil or criminal liability du e to the ir reporting or releasing of information.

Report suspected abuse, neglect, or ex ploitation of adults to APS at your local departm ent of social services or to the 24 -ho ur, toll-free hotline at:

Co mpone nt III Southside

Legislative Day on the Hill Friday, Jan. 21, 2005 This annual eve nt at the C apitol is an excellent o pportunity for d entists to speak to their legislators abo u t issues pe rtinent to th e 20 05 G en eral As sem bly Session. This year, dentists will also be paired with dental st ud en ts for legislator visits. Further information and registrat ion form s wi ll be mailed out shortly. If yo u h ave any questi on s, please contact:

Dr. Mike Hanley, Eclitor

G reetings fro m Southside,

As of this writing, we have escaped dam

age from this year's cro p of hurricanes.

Had a great Virginia Meeting in N o r

folk. Whil e there, our new presid ent,

Kent Yandl e, was swo rn in . Our other

officers are:

President Elect: Shar one Ward

Secretary: Brad Trotter

Treasurer: Earl Shuffo rd

Emily Ward VDA Di rector of Pub lic Policy Tel. (80 4) 261-1610 wa rd @vade n tal.or g

COMPONENT

NEWS

C omponent I Tidewater

1-888-832-3858 When calling in the Richmond area, please call: 804 -371 -0896 Dr. Barr y Einhorn, Editor No N ew s To Rep ort, Please Contact Your Component Secretar y.

Component II Peninsula

The ADA in Orlando was pretty good too . Th ere were lots of courses to choose from and a massive exhibit hall. The hall was so big th at if I hadn't had my cell ph one with me my face would be on the side of a milk cart o n. On N ovember 12, Dr, Creg Tar ant ola will present "Principles for Predi ct able Success in Today's D enti stry." If you are reading this before the l Zrh, come join us. If it's after the 12th, we had a great day and learned a lot. Finally, it seems Buck Rutledge and D avid Ellis were o n Arn old Palm er's cour se in Orlando (after the C E). After 15 m inutes of pestering the "Ki ng" on the practice ran ge, Arn ie signed an old VCU foo tball hat th at Ellis was wearinzb· In return, Arn ie had Da vid sho w him how to consistently hit a shank with his driver.

Dr. E lizabeth A. Bernh ard, Editor See you th is winte r, No N ews To Repo rt, Please Contact Yo ur Component Secretary.

Mike

Virginia Dental Journal

Component IV Richmond

Component V

Piedmont

Dr. Roger E. \\Iood, Editor Dr. Lori Snidow, Editor The Richmond Area has recently been slammed with a hurricane or tropical storm almost every week. We have been left with major flooding of homes, damage to offices, and washed our roads. Hopefully, these srorms will abate soon. Th e VDA Annual Meeting in Norfolk was a welcome and drier respite. The quality and qu antity of continuing education courses was excellent. Everyone es pecially enjoyed renewing friend ships from across the state. The officers for 2004-2005 are as fol lows: President: Dr. Frank Straus President-Elect: Dr. Kate Finley Parker Secretary: Dr. Roger E. Wood Treasurer: Dr. Ed Griggs We have fantastic cont inui ng educa tion opportunities planned for the upcoming year. On Friday, Novem ber 19,2004, Ms . Connie Podesta will present "Life Would Be Easy If It Wasn't For Other People ." Th is will be a greatly entertaining all-day pro gram . On Friday, February 18, 2005, Dr. G ordon Christensen will present "The C hristensen Borrom-Line-2005." Thi s sem inar is sure ro fill up! Sign up early or be disappointed! Then on Frid ay, April 8, 2005 , Dr. Ray Ber rolorri will present "C o nt em po rary Bondodontics." Thi s course includes techniques you can put ro use in your office th e following Monday morning. Bring your clini cal assistan ts so they wilJ be able ro keep up with you ! Barren down the hatches, George, there 's ano ther hurricane (and another) headed our way!

46 Virginia Dental Journal

N o News To Report . Please Contact Your Component Secretary Co m po ne nt VI Southwest

Dr. Robert G. Schuster, Editor N o News To Report. Please Co nta ct Your Co mpo nent Secr etary

Component

VII

Shenandoah Valley

Dr. Harry M. Sar relle, III , President N o News To Report. Please Contact Your Co mponent Secretary Componen t VIII Northern Virginia

Dr. Scott Mcquiston, Editor The new administration of the NVDS rook the hel m in September and got off ro a smashing start under the direction of President Melanie Love. As we prep ared for the VDA Annual Meeting we rook time ro honor Dr. H . D. Barrett with a Lifetime Achieve ment Award at ou r Annual Business meeting. Al so in September the society honored our many members by celebrating Member Appreciation Month. It takes a "village" people and our members deserve the recogni

tion for their unwavering devoti on to dentistry and the ir com m itment ro organized dentistry. Give yourself a pat on the back! Way back in July, three of our central office staff arrended the ADA Manage ment Co nference in C h icago. I heard it was a good time. We'd like to th ank the staff for their commitment ro our many effort s and for always being available, not onl y to o ur membersh ip, bur to th e public. Susan Hamilton, Ellen Flanagan, Kathy Griffanti, and Gina Hersh really do work hard ! We are gearing up for some fascin ating CE thi s year. Programs chair G arrerr Gouldin has set up a lecture series that is sure to edu cate , stimulate an d motivate us all. Speaking of great pro grams, our Committee for the New Dentist held a wonderful sym posiu m, C reating the Ideal Dental Offi ce. It was informative and well received. In other news the N orthern Virginia Dental C lin ic (NVD C) announ ced that 60 dentists and 4 hygienists qualified for more th an $122,000.00 in state tax credits for their volunteer hours at the clini c. The credits are issued through the Virginia Nei ghbor hood Assistance Program and are the largest th e clinic has ever issued . The NVDC is a not for profit dental clin ic created by the Society ro allow access to dental care for the underserved in our communi ty. Cl in ic director Tom Wilson has done a tremendous job in securing eq uipment and helping to create a clinic that is a pleasant place to volunteer. Speaking fro m experi ence, it's a nice feeling giving back to the community and it help s having a clinic that is comfortable and has an inviting staff-everyone should try it! C iao!

All Component News Is Submitted On A Volunteer Basis By Your Com ponent Secretary. To Learn More About Specific Events, Or To Find Out More bout pcoming Event In Your Component, Plea e Contact Your Component Secretary.

Alliance News Shirley S. Meade, President The Virginia Dental Alliance enjoyed the outings and camaraderie of the Virginia State Meeting in Norfolk. We missed those of you wh o could not be with us. The changes to our Con stitution and By-Laws passed. And I am pleased to announce that Dottie Hendricksen, Lynchburg, will be our D ental Health Education chairman. Welcome, Dottie! We were also privi leged to offer for sale, Mary Angela's Best of Everything. Thi s is a cookbook written by Mary Angel a Morgan , a dental spouse and Alliance member from Richmond. Contact Jocelyn Lance , joceaada@comcast.n et, if you would like to purchase a copy. By the time yo u read this, the AADA Annu al Session in Orland o will have taken place. The most outstanding event for the Virginia Alliance was certainly th e election of Allene Rice of Sutherland as District 2 Tru stee. Al lene will oversee the states of Pennsyl vani a, Virg inia, West Virginia, Dela ware, M aryland , and New Jersey as well as Wash ingto n, D C, Puerto Rico, and Fede ral Dental Services. We look forward to Allene keeping us informed of AADA proceedings. The Virginia Alliance was th e recipient of o ne award in Orland o in the Public Relati on s category for the "Alliance of th e Virginia Dental Association (AVDA) Web Page". M an y thanks go to Jocelyn Lance and the VDA for setti ng this up. C heck us out at, www. vade nta l.org. Click on "Public" and th en "Alliance".

we still have bibs and one sies with "I love my dentist. He's/She's my Dad/ Grandpa, Mom." Also M ary Angela's cookbook. And the new AADA cook book, "D ishing up Sm iles", sho uld be available. Thi s cookbook is suitable for office reception areas. Co ntac t info r mation can be found o n o ur web site. Plan s are now underway for our partic ipati on in the Legislator Dental Care Kit Di stribution Program. The VDA Legislat ive Day is to be held on Friday, Janu ary 14, 2005. Barb ara Yandle will once again serve as our Legislative C hairma n for this proj ect , but several volunteers are needed to help visit the legislators on this da y and distribute o ur kits and apples. Please ma rk thi s date o n your calendars and jo in us in Richmond that morn ing. Let Barbara know that you are willing to assist and to parti cipate in thi s day of advocacy for dentistry. The Virginia Alliance Executive Board will meet the follow ing day, Saturday, January 15, 2005 for our mid-winter board meeting. It is at this meeting th at we will consider d isbursement of the moni es set aside for phil anthropy for th is fiscal year. We will also be m aking final plans for o ur participa tion in the AADA Leadership Confer ence which will be held February 24 26, 200 5 in Savannah, GA. I strongly encourage you to con side r atte nd ing. AADNADA Grants of up to $600 are available to first-time atte ndees. Dead lin e for applying is Janu ary 15,2005. Th ere is a lot to look forw ard to in the com ing year! I have enjoyed the privi lege of serving as your Alliance presi dent for this past year, and now know fro m experience just how quickly the seco nd year of my term will fly by.

VAENews

Dr. Timothy J. Golian, President

N o N ews To Report. Please Contact

Your Organizatio n Secreta ry

Virginia Association of Or

thodontists

Penny L. Lampros, 0.0 .5, M.S.D.

President, VAO

N o N ews To Rep or t. Please Contact

Your Organiza tio n Secretary

Virginia Society of Oral

and Maxillofacial

Surgeons

Rob ert A. Strauss, 0 .0.5, M.D.

President, VSMOS

N o News To Rep ort. Please Co nta ct

Your Organization Secretary

How the ADA Helps You ADA Seal ofAcceptance Since 1931. the ADA Seal ofAcceptance has symbolized excellence In oral health care products, Recognized by more than 70 percent ofAmericans, more than 1.300 dental products carry this distinguished status, For alist ofSeal products. visit www.ada,org,

A\O>A. Atnl'r1rlln [")enllllAIllJOfJ.r iull WWW••

dM.g

C> 2004 M lllrlcnn Domnl '" "",Inllon All rlQhlt r~.

If anyon e needs ideas for Christmas,

Virginia Dental Journal

School O f D entistry Dr. Betsy A. Hagan Senior Associate Dean for Dentistry Meredith Bryk Contributin g Editor

Phase I of the renovation projects, which includes the renovation of 14,500 square feet on the first Hoor of the Lyons and Wood Building, is underway. This phase includes:

Dean Hunt (left) reviews plans with Dr. Gibby Button (right), Associate Professor of General Practice & Director of Renova tion Planning. The first phase, which musr be completed before the simulation lab can be constructed on the third floor of Lyons, includes: new locker rooms for students; a new off-clinic laboratory for juniors & seniors; a new laboratory for our service technicians and relocation of the dental store.

• New locker space for the dental and dental hygiene students. • New bathroom facilitie s with show ers. • Relocation of the Henry Schein Dental Store. • Relocation of the Department of Orthodontics academic offices. • Construction of a 40-station student laboratory to support patient activi ties. • Construction of a state-of-the-art service lab for the current dental labo ratory technicians.

48 Virginia Dental Journal

To date, the new locker space for the senior dental students and the new bathroom facilities have been completed. Construction of the academic offices for th e Department of Orthodontics, the dental store and additional locker rooms will begin in August 2004. The remaining two of three lecture halls on the fourth Hoor of the Lyons Building were also renovated this summer through University funding. All three classrooms are now equipped with state-of-the-art technol ogy.

heightened awareness of the plights of people who have limited access to dental care. Dental statistics provided by FCCV in Lynchburg confirm the success of these community partn er ships. Under the supervision of the volunteer dentists in the community, the dental sruden ts provided care for 683 patients; services included 65 7 examinations, 651 restorations, and 453 extractions. All total, over 2, 895 hours of servi ce were provided by the dental students and over 7 18 hours by the dental h ygien e students.

Practice Management Software

For several years, the dental school has been examining the marketplace for dental practice management prod Update on Community uces to replace our older technology Based Education information systems. The goal was to find an enterprise-class dental pra ctice The VCU School of Den management software to operate our tistry continues to expand its dental clinics and clinical academic community-based experiences for programs. The dental school also fourth-year dental and dental hygiene wanted a system that would facilitate students. Starting th is Fall semester, the transition to an electronic patient students will rotate to the Ame rican record with fully digital imaging and Red Cross dental clinic in Norfolk radiographs and Periodon tal and Restorative chart ing. The new system would also need the function ality of several other applications such as chart tracking, instru ment management, subjec tive evaluations and dental materials inventory. After reviewing several systems, it soon became apparent that an off-the-shelf practice manage May 2004 graduares, Drs. Alison Cadaret ment package did not have the Thompson and Veldon Moser treat a patient capabilities needed to meet the while Or. William Riley (center), 0 '64 requirements of an academic watches over their work at the Free Clinic of institution nor could it oper Central Virginia. ate in a large-scale network environment. After a lengthy process, and the Bradley Clinic in Roanoke. a contract was awarded to HealthLast year, students began working soft Inc., makers of Windent dental in the Free Clinic of Central Vir software system. Since Windent has a ginia (FCCV) in Lynchburg and the commercial and an academic product, N orthern Neck Free Clinic in Kilmar many of the capabilities found in their nock. Through these free clinic commercial product will be moved settings, th e stu d ent s have gained a

Assistant Dean for Admissions

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The VDA is required byfederal Law to publish these documents annually. Richmond Dental Society Dr. Joshua Rubinstein - received his D .D.S. from VCU School of Dentistry in

2004. Dr. Rubinstein is currently practic

ing dentistry in Dr. McMunn's office in

Richmond, VA.

Dr. Graham Rose - received his D.D.S .

from VCU School of Dentisrry in 1992.

He then received his certificate in Ad

vanced Education in General Dentisrry in

1993. Dr. Rose is currently practicing in

Richmond, VA.

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Dr. Michael Healy, Assistant Professor of General Practice, was appointed As sistant Dean for Admissions effective July 1, 2004. In this position, he will head the DDS Admissions Committee and will be responsible for recruit ment for the predoctoral program. Dr. Healy received his DDS from the New York University College of Dentistry in 1985. After 15 years of private practice in New York and New Jersey, he began his tenure at VCU as an adjunct faculty member in the Depart

Under the leadership of Mr. Mike Morgan, the dental school's Director of Information Systems, the project is now well under way with plans to go live in the Dental Faculty Practice by Thanksgiving, followed by the postgraduate and predoctoral clin ics. Once completed, this initiative will place the dental school among the most technologically advanced dental schools in the country.

rnerit of General Practice in 1999. A full-time member of the department since 2002, his most recent appoint ment was vice chair of the department. Dr. Healy is pursuing a Master of Edu cation in Administration and Supervi sion at the VCU School of Education, which he is scheduled to complete in August 2004 .

into their academic version thus satisfying the clinic management and academic needs of the schoo!. Win dent is currently utilized in the dental schools at Ohio State University and the University of Iowa.

2004. Dr. Nabeel is currently practicing dentistry in Reston , VA. Last Minute Add iti o ns Tidewater Dental Association Dr. Hisham Barakat - received his 0.0.5 from the University of Alexandria in Egypt. He then completed his graduate studies at Louisiana State University in 2003. Dr. Barakat is currently practicing dentistry in Virginia Beach, VA. Dr. Eli Sweiry - received his D.D.S. from VCU School of Dentistry in 2000. Dr. Sweiry is currently practicing dentistry in Virginia Beach, VA, in his newly built denral office.

Shenandoah Valley Dental Association Dr. Mark Cloth - received his D.D.S. from VCU School of Dentistry in 1980. Dr. Cloth then wenr to the Advanced Res idency Training Program in Orthodontics and received his certificate in Orrho donrics in 1993. Dr. Cloth is currently practicing in Charlorresville, VA. Dr. Shannon Butler - received her D.D.S. from VCU School of Dentistry in 1995. She then received her certificate in Advanced Education in General Dentistry in 1996. Dr. Butler is currently practicing in Culpeper, VA.

IPLEASE NOTE:

The House OfDelegates Minutes are posted on the website at www. uadental.org: Please contact Bon nie Anderson in the VDA office 'at (804) 261-1610 ifyou require further assistance. Virginia Dental Journal

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50 Virginia Dental Journal

Classified Ads Classified advertising rates are $40 for up to 30 words. Additional 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 advertisements must include credit card information. Checks should be payable to the Virginia Dental Association. The closing dates for aU 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 continuing education related. Advertising copy must be typewritten and sent to: Journal & Website Classified Department, Virginia Dental Association, 7525 Staples :MiU 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.

IPRACTICES FOR SALE Williamsburg: #7008, Gross $233,387; 4.5 days, 3 operatories; 1200 sq. ft. office space, assistant, receptionist, condo office for sale with practice in professional park, Excellent potential. 100% financing available. Winchester Area: #7042, Gross $254,639; 4.5 days, 3 operato ries; 1200 sq. ft. office space, assistant, hygienist (pt), receptionist, Excellent potential, close to nc., 100% financing available. Tappahannock Area: #7077, Gross $265,089; 3 days, 2 opera tories; 850 sq. ft. office space, assistant (pt), receptionist (pt) Boat, sail, and grow with the beautiful people in the Northern Neck. Room for expansion., 100% financing available. Hampton #7007, Gross $406,640; 5 days, 3 operatories; 1600 sq. ft. office space, assistant, bookkeeper (pt), office manager, 3 additio nal plumbed but unequipped operatories, 100% financ ing available. Richmond: #7006, Gross $146,094; 4 days, 30peratories; 750 sq. ft. office space, assistant (pt), receptionist (pt), Excellent merger opportunity, 100% financing available. Northern #7035, Gross $608,006; 5 days, 5 operatories; 3700 sq ft. office space, assistant, additional plumbed but unequipped o perato rI', 100% financing available. Danville Area: #7018, Gross $310,365; 3.5 days, 4 operato ries; 2150 sq. ft. office space, assistant (ft), assistant (pt), office manager; Beautiful office, large lot, computer system, Excellent potential, 100% financing available. Hampton: #8107 Gross $743,949; 4 days; 6 operatories; 2,400 sq ft office space; office manager, bookkeeper, 2 assistants, 2 hygienists. Great opportunity. 100% financing. Roanoke Area: #7076 Gross $671,878; 4 days; 4 opera tories, plus 1 plumbed but unequipped; 2,000 sq ft office space; 2 recep tio nists, 2 assistants, hygienist. Great opportunity. 100% financing. Fo r more information on any practice listed above, call Profes sio nal Practice Consultants, Ltd. Dr. Jim Howard @ 910-523 1430

Charlottesville #8077 Associate - Busy GP needs associate.

E as ter n Shore #8041 Equity Associate - Very busy GP needs

equity associate immediately!

Fairfax County #8110 Associate - Pedo associateship available

immediately in brand new office.

Manassas #8091 Associate - Join group practice for long term

associateship in Manassas with excellent staff and working condi

tio ns. Possible buy-out in future.

For more information, call Professional Practice Consultants, Ltd.

Dr. J im Howard @ 910-523-1430.

SSOCIATE Virginia - Richmond. Seeking highly motivated full-time associ ate with the possibility of partnership. This is a well-established, high quality, booming practice providing all phases of dentistry including sedation and implants. Excellent opportunity for the right person. Call (804) 794-4433 or fax resume to (804) 379 5263 . Well established and growing family practice seeks experienced dentist. Unique situation eliminates management hassles. High ly competitive compensation package with the option for owner ship. Contact Dr. Steven Perlman or send curriculum vitae. City: Hampton Contact: Dr. Steven Perlman Phone: 757-826-7372 Fax: 757-826-1739 E-mail Link:sperlmn.cox.net Address: 4000 \'V, Mercury Blvd., Hampton, VA 23666

Part-time Dentist for Louisa County. 20 hours per week. Work in Free Dental Clinic. We are devoted to serving patients who live at or near poverty level. 540-967-1510. Ask to speak with Susan.

PED IATRIC DENTIST Maryland State Board member is looking for a Pediatric Dentist associate for Maryland pedo. practice located midway between Baltimore and Annapolis. Brand new 5200 sq. ft. office with all new equipment. This beautiful office is the most ethical practice you'll find. Partnership potential. Maryland license required. Fax resume to (410) 760-1422. E-mail any questions to d rbd l mco mca st.net. S$$$ opportunity for dental Team in the Dublin, VA region at the New River Valley Detention Facility. Southern Health Partners, A leading provider in the correctional healthcare field, is seeking a Dentist and an Dental Assistant to provide dental care for about 30 inmates. This facility has a den tist however due to the increased population at this facility there is a need to have a back-up dentist. This will be a one time ser ice and the times will be flexible. We have a fully equiped denra unit in a secured setting. If interested please call Don Eidman, Regional Administrator @ office # (704) 933-2958, Cell # (704) 05-1425 or Jennifer Hairsine, VP (888) 231-2888, ext. 11.

Virginia Dental Journal

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have an immediate opening for a general dentist near Char lotte sville, Virginia. I am looking for a dentist wh o wan ts to be his/her own boss in his/her own o ffice. The o ffice is fully ~quipped and computerized. WE have trained staff with busi ness system s in place. We will perform the marketing required to insure a steady flow of pati ents. There can be an immediate buy-in agreement if desir ed . ll'his is a chance for you to have your own o ffice with no cash linvestment. If interested please call (540) 432-6616. D ouglas Iwright, DDS I A.T E Che ster , VA practice seeking an associate that is interested in working in a high volume environ me nt. D ays are flex ible. M ust be comfo rtable perfor ming extractions. Good chair side is requir ed . Pay will dep end on candid ate. Can tact Brian Whitl ey at 1-800-313-3863 ext. 2290 or email bwhitlcy@a ffordablecare .com

U J::.N lAL PRACTICE

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~ION ILO CAT IO N : Yorktow n, VA - close p roximity to Williams burg, N ewpo rt New s & Ha mpto n IEstablished 29 year old general p ractice, eigh t operatories, three hygienists and steady new patient num bers. O p port unity to be ~ s s o c i a t e d with a very nice practic e enviro nme nt. Professional building with ort hodontist and period onti st in buildin g. Pr actice ~oes all ph ases o f denti str y including hospital-based patient s in an o perating room setting. Great oppo rt unity for practitioner who [wants to be a p art of a dynamic prac tice involved in mo re than the Inormal ro utine o f dentistry. Part nersh ip oppo rtunity available.

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'H A R T

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GREAT Opport unity! I am looking for a full time associa te to Iprovide quality care to my patients. My o ffice is a three ope ra to ry single D oc tor mod ern ge neral dent al practice. We prov ide jall aspects of dentistry fro m p rophylaxis to implant s. Recent wadu ates enc ourages to app ly. Please call my o ffice at 434-975 6181 or e-mail meat edakeel@dr-akeel.com IWJ::.~l

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6 ope raror y - well esta blished part -time dental practice - Gross ~ 3 6 0, 00 0 - 100% sale or part nership available - excellen t ~row t h

po tential - 2,200 patient reco rds. Call Th e Snyder Gro up 800-988-5674 or visit www.snydcrgro up.nct.

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Commonwealth of Virginia offers dental chairs for auc tio n on GovDeals. Lo t of 6 chair s (sold individually). Purchased new in 1994. Starti ng bid is $200. Visit www.govdeals.com to place ro u r bid!

Please conta ct: Dr. Michael W Bow ler, DD.S. 757-898-1919 o ffice 757-365-4006 home IUt't'lCh SPA : H

Fully equipp ed and plumbed dent al o ffice, located in the center Io f Virginia Beach, VA. Office includes 3 ope ratories, 3 de ntal chairs with ligh ts, 2 dental x-rays, x-ray pro cessor, panorex x-ray, new carpe t, sto rage room with autoclave , private o ffice, built in cabinets, and o pen design. Must see to fully appreciate. Move in ready condition. Flexible lease term s. Pictures available via e-mail at jgreenside@cox.net. Please call Joh n at (757) 285-2300.

IDENTIST Progressive de ntal practice requires full-time dentist to join o ur dynamic team . Our stat e-o f-the-art facility with a staff dedicated to excellenc e is located in the Tid ewater area of Southeastern lYirginia. E xcellen t commincation skills, dedication to success, and a strong commitment to continuing education are essential. IWe are looking for a person who will be willing to make a buy-in commitment after a o ne-year asso ciate period . To ensure the success o f the candida te, we have des igned a men ror ship program tha t involves con tinuo us team training. \X!e are also workin g with consultants to ensure th at a solid patient base is available imme diately upon joining. This is the per fect o ppro tunity for a new or recen t graduate with an op en mind and a commitment to t he highest clinical and practice stan dard s. Co ntact Brian Midgette, !DDS at (757) 483-4700 or bpmmcv87@a ol.co m

how best to prepare thi s as so ciatio n for the uncertaint y that we sure ly face . You may not have conside red ge tt ing involved in the asso ciation in the past but perhap s today you feel like you have someth in g to offer the profession which has given so much in return to you. If so, we are interested in talking to you ab out atte nd ing this 2nd annua l leadership training/mentor s h ip pr ogram that will take pl ace at the Florence El ston Inn and Conference Center at Sweet Briar College in Amherst , Vir g in ia o n April 30th and 3 1st, 2005 . Th is w ill be a I and 1h day filled with communication, community and le arning - all 'Leadership Tomorrow' University about what it takes to be a le ader for the profess ion, for your Is looking for you! community, for your practice. If you env ision yourself as o ne of the leaders o f tomorrow or In preparing o ur association for the future, we are seeki ng members who mi ght be inte res ted in leadership po sitions for would lik e more inform at ion , please contact you r Board of D irectors representative or the VDA at 804-2 61-1 610. the future and who would like to take part in d iscussions of

52 Virginia Dental Journal

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

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

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

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

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

Since 1932

irginia Dental Laboratories, Inc. 130 W. York Street Norfolk, Virginia 23510 1-800-870-4614

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