February 2013 WDA Journal

Advocate...Educate...Empower...Serve!

FEBRUARY 2013 | Focus on: Children’s dental health

INSIDE THIS ISSUE

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Plan now for WDA Legislative Day 2013....p. 3 New and deleted CDT codes...................p. 6 Health care reform.....p. 11 DHS issues mobile dental clinic brochure...........p. 13 MUSOD expansion update......................p. 14

‘Baby Teeth Matter’ campaign to promote first exam by age 1 in dental home Carol Weber, APR WDA Director of Public Relations cweber@wda.org

New 30 and 15-second television spots, press releases, website content, social media posts and patient education materials will be used throughout the third and final year of the Wisconsin Dental Association’s “Baby Teeth Matter” campaign which kicks off during National Children’s Dental Health Month 2013.

This year’s core message is: A lifetime of healthy, pain-free smiles begins with a dental exam around a child’s first birthday.

The 30-second TV spot opens at a family birthday party where a mother and her young son are reviewing his “baby’s firsts” photo album which includes an empty page titled, “First Dental Visit”. The scene morphs from mom demonstrating how she’ll hold the little one on her lap when he visits the dentist to a dental office where a WDA dentist is conducting a knee-to-knee exam of the child with mom’s assistance.

Two 15-second spots – one a trimmed-down version of “Baby’s First Dental Visit” and another featuring “Grandpa’s 161st Dental Visit” – will be broadcast later in the year as bookends at the beginning and end of commercial breaks.

The same actors who played the mom, little girl, older brother and WDA dentist in the first two “Baby Teeth Matter” spots (2011 and 2012) are again featured in this year’s campaign. In addition, the 1-year-old is the little girl’s reallife younger brother, so facial similarities add a touch of reality to the new spots.

WDA airs its spots statewide during over-the-air programs, such as local news. The cable buy includes shows with a high percentage of young (ages 18 – 34) female viewers. In addition to zeroing in on the “Baby Teeth Matter” campaign’s target audience, cable TV delivers good value and enables WDA messages to air consistently over an

This youngster’s first dental appointment was captured as part of the WDA Baby Teeth Matter “Take your toddler to the dentist” Facebook photo contest conducted in December. The social media photo-posting competition helped promote early childhood dental health and lay the groundwork for the 2013 public awareness campaign that encourages parents to take their 1-year-olds to the dentist for a first dental exam.

extended period of time.

The 15-second spots will serve as a bridge to the WDA’s 2014 public awareness campaign that will promote regular checkups in a dental home to help individuals have a lifetime of healthy, pain-free smiles.

National research conducted by the Ad Council prior to it creating the “Kids’ Healthy Mouths” campaign found parents are motivated to keep their children out of pain. The American Dental Association is a member of the Partnership for Healthy Mouths, Healthy Lives which launched the national children’s dental health education effort developed by the Ad Council last August.

The WDA again worked with Group One Marketing, Endless Productions and

Nine new members and growing…

Dr. Katie Hansen, West Bend Washington Ozaukee County Dental Society Dr. Mark Hower, Wausau Central Wisconsin Dental Society

the public.

and quality oral health care for

promoting professional excellence

Susan Donovan, RDH Racine

and the dental profession by

advances the interests of its members

The Wisconsin Dental Association

The Wisconsin Dental Association is pleased to welcome nine new members to organized dentistry. These new members, their cities of practice and/or residence or components (if applicable) are:

Mission Statement:

EDUCATE

Dr. Hillary Hunter, Prescott Northwest District Dental Society

Dr. Joseph Uker, La Crosse La Crosse District Dental Society

Dr. Jacquelyn Mathews, Manitowoc Manitowoc Calumet County Dental Society

Dr. John Welch, Greenfield Greater Milwaukee Dental Association

Dr. Christopher Potrykus, Delafield Waukesha County Dental Society

Dr. Koua Xiong, Rice Lake Northwest District Dental Society

Connect with us on WDA J ournal

is a publication of

W isconsin D ental A ssociation , I nc .

Mainly Editing to produce this year’s TV spots. Group One Marketing also handles the media buy.

WDA staff works with the Public Relations Committee and its Dental Home Subcommittee in developing current public awareness campaign strategy.

February 2013 marks four years since member dentists were mailed a WDA Dental Home continuing education kit containing an instructional DVD and supporting print materials. This information is now available to all dentist and dental hygienist members on the association’s website at http://bit.ly/ZmiAow (login required). Members can also earn two clinical CE credits for just $10.

Highlight

Dr. Heidi Eggers-Ulve (Green Bay), pediatric dentist, visited the set of daytime TV show “The Better Half” in late December 2012 to discuss why baby teeth matter and the importance of all family members practicing good oral hygiene.

and visit us online @ WDA.org FEBRUARY 2013 • Volume 89, No. 2

Mara Roberts named WDAISC president Mara Roberts, CLU, RHU, REBC has been named president of the Wisconsin Dental Association Insurance and Services Corp effective Feb. 1, 2013.

Ms. Roberts replaces Tom Witkowski whose retirement is effective Feb. 2.

As WDAISC president, she will be responsible for the WDA’s forprofit subsidiaries: WDA Insurance Programs, Professional Insurance Program Services and WDA Professional Services.

“As president, I will make necessary changes to ensure WDAISC remains relevant for years to come. What has made us successful to date won’t necessarily be what keeps us successful. I look forward to uncovering the opportunities that will move us into the future,” Ms. Roberts said.

After joining WDAIP in 1995, she held various roles, including account executive, director of marketing and director of sales and marketing.

Ms. Roberts has served as vice president of WDAIP since 2008.

“I am approaching this position with an open mind and positive attitude. We face numerous challenges from a multitude of forces and need to be open to new ideas and new approaches to remain successful. A positive attitude is absolutely necessary if we’re going to surmount whatever challenges are put in front of us,” she said.

Ms. Roberts has received numerous awards from the insurance industry and continues to be involved in several civic organizations.

She is a director of the Society of Financial Service Professionals and has served on the board of directors for the Waukesha Women’s Center and the Independent Insurance Agents of America.

Ms. Roberts holds a bachelor’s degree in business administration from the University of Wisconsin in Milwaukee and several insurance industry designations from the American College in

“I am approaching this position with an open mind and positive attitude. We face numerous challenges from a multitude of forces and need to be open to new ideas and new approaches to remain successful. ...”

Bryn Mawr, Penn. She also attended the UW-Madison Management Institute’s Strategic Market Planning, Sales Force Compensation and Management program.

She and her husband, Steve, reside in the Town of Summit. Together, they volunteered at the WDA and WDA Foundation Mission of Mercy events in 2011 and 2012.

In her free time, she enjoys reading, traveling and boating.

Congratulations, Mara!

Call for leadership nominations EMPOWER The Wisconsin Dental Association Nominating Committee invites members to nominate officer candidates for 2013-14, including president-elect, vice president and speaker of the House of Delegates.

The deadline for nominations is June 3, 2013.

This committee will meet via conference call on June 5 and then present its slate of candidates to the WDA House of Delegates on Nov. 16, 2013 in Middleton.

Nominations may be submitted to the WDA Nominating Committee (see box) or made from the House floor.

Nominees’ digital headshots and curriculum vitae should be sent to Lisa Chandre in the WDA Executive Office at lchandre@wda.org or fax 414-755-4105 for publication in the October 2013 WDA Journal.

President-elect and vice president The president-elect serves for one year before automatically advancing to the presidency.

Duties include working with WDA staff and the Michigan Dental Association delegation chair to coordinate cau-

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cus meetings for the American Dental Association’s 9th District.

The vice president also serves for one year.

The president, president-elect and vice president work closely together to represent the dental profession in meetings with government officials and state legislators.

These three officers support one another in serving as WDA spokespersons with the media and other organizations.

Speaker of the House Working with staff, the speaker sets the WDA House of Delegates’ agenda. He or she presides over all house meetings, performing duties according to parliamentary procedure and guiding the Reference Committee when necessary with resolution wording and procedures.

The speaker is elected for a one-year term that can be renewed indefinitely.

Contact WDA Executive Director Mark Paget at 800-234-4515 (toll-free, direct) or mpaget@wda.org for detailed position descriptions or with questions about the nominating process.

2013 WDA House Nominating Committee Region 1 Dr. Jodi Slominsky (Eau Claire), chair, 715-831-8875, jslominsky8875@charter.net Region 2 Dr. Martin Williams (Green Bay), 920-662-1600, marty@sierradentalgb.com Region 3 Dr. Russ Dunkel (Greenfield), 414-427-8565, dunkeldds@aol.com Region 4 Dr. H. Michael Kaske (Twin Lakes), 262-877-2161, hmkdds42@gmail.com Region 5 Dr. Randy Ballweg (Prairie du Sac) 608-643-8505, rballweg@villagefamilydental.com

New digital-flip format WDA Journal now available

New technology has made it easier and more convenient than ever to read the WDA Journal online.

Starting with the January 2013 issue, Wisconsin Dental Association members can read the journal in a digital-flip format. The animated pageflip technology has the look and feel of the print version with the convenience of online.

Digital-flip formats are created using the free version of online publishing software, Issuu.

This software also is used by the Ohio Dental Association, Texas Dental Association and Washington State Dental Association.

Features include: • Modern design • Easy-to-use online viewer • Full-screen mode option • Hyperlinking of websites and emails • iPhone, iPad and Android devices supported Your WDA Journal is now posted on www.wda.org in both the new digitalflip format and traditional PDF (login required). A hard copy continues to be mailed to all members on a monthly basis.

We want to know what you think of the new digital-flip format WDA Journal! Send questions or comments to WDA Managing Editor Emily Bultman at ebultman@wda.org.

February 2013 WDA.org

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WDA Legislative Day J March 27, 2013 Madison J Register online @ www.wda.org

Plan now for WDA Legislative Day 2013 ADVOCATE Don’t miss the opportunity to join colleagues from across Wisconsin in raising visibility and understanding of dental issues among state legislators.

Attend the Wisconsin Dental Association’s 2013 Legislative Day on Wednesday, March 27 at Monona Terrace Convention Center in Madison.

Help support WDA’s image as the “Tooth Party” whose members advance issues that promote professional excellence and quality oral health care for the public.

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Meet your legislators

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Cost

• Attend WDA 2013 Legislative Day and learn about the law-making process • Become more knowledgeable on issues facing dentistry • Meet with your state legislators

Registration is $25 per person (includes continental breakfast and lunch).

Many components cover registration fees for dentists in their area who attend this event. Check with your component leadership to determine if your cost is covered.

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RSVP

How can you help?

Schedule

The day begins at 9 a.m. with guest speakers and a panel discussion.

Learn more about the WDA’s legislative agenda, with emphasis on non-covered services, definition of dentistry and regulation of mobile dental clinics.

Following lunch, attendees can visit their legislators in the Capitol. The WDA encourages attendees to schedule visits around 1:30 p.m with your lawmakers in advance.

If you need help setting up your meetings, please contact WDA Director of Government Services Mara Brooks at mbrooks@wda.org or 888-538-8932.

Register on http://bit.ly/WsEEbB (member login required).

For more information, contact Dana Ponce at dponce@wda. org or 888-538-8932.

Join us in the conversation...

...together we can have a stronger voice.

WDA Government Buzz gives members a snapshot of the current status of dental-related policies and legislation. The Issue tells you who, what and why; Current Buzz gives you a status update on the issue; WDA Actions highlights your professional association’s activity and position; and Next Steps anticipates what’s around the corner and, in some cases, identifies what WDA members can do. “WDA Government Buzz” is updated for each issue of the journal. Current “buzz” available on www.wda.org website and accessed monthly via WDA Executive Director’s Update e-newsletter. For more information, visit www.wda.org or call the WDA Legislative Office at 608-250-3442.

Updated information is highlighted.

The Issue Non-covered services legislation to stop dental plans from setting fees for services they don’t reimburse.

Simplifies barriers to care with treatment decisions made between dentist and patient; improves small-business climate with marketplace determining reasonable fees.

Minimal fiscal impact on state budget.

Similar legislation has now been adopted in 29 states.

Community water fluoridation is safe, effective and economical, providing substantial oral health benefits to approximately 90 percent of children and adults on public water systems in Wisconsin.

The Centers for Disease Control and Prevention recognizes community water fluoridation as one of the 10 greatest public health achievements of the 20th century.

Pilot new grassroots strategy for building strong relationships between WDA dentists and six to eight key state legislators who are in a leadership position to make laws and pass regulations that impact the practice of dentistry and delivery of patient care.

Current Buzz WDA staff, contract lobbyists and leaders are outlining strategy to counter the strong lobbying influence of the insurance industry and Wisconsin Manufacturers and Commerce in advance of introducing NCS bills to the 2013-14 state Legislature.

Assembly Speaker Rep. Robin Vos (R-Burlington) has indicated WDA may need to “deal” with insurance plans (e.g., Humana) and adopt model legislation more similar to that passed in other states.

WDA Actions

Next Steps

WDA leaders are willing to negotiate and compro- WDA staff working to identify potential leads mise on the definition regarding services after the and co-sponsors in preparation for introducing maximum is met.

NCS bills in both houses in January.

However, WDA will stand firm on its desire to include a “de minimus” clause to prevent insurance WDA staff also continues gathering information companies from paying a nominal fee (e.g., $5 on successful NCS efforts in 29 other states. for an implant) and then saying dentists could only charge that nominal fee because it was a “covered service”.

Despite 41 co-sponsors and bipartisan support in both houses during last legislative session, this bill failed to pass last session.

Factions within communities continue challenging oral health value and safety of public water fluoridation despite 67 years of scientific results.

Objections often tied to budget concerns and/or U. S. Department of Health and Human Services proposed change in optimal fluoridation level to 0.7 milligrams per liter Building off a successful team effort that preserved community water fluoridation in greater Milwaukee area last summer, Children’s Health Alliance of Wisconsin, state Department of Health Services, Wisconsin Oral Health Coalition and WDA continue working together to address local fluoridation challenges statewide with a “rapid response” process and public education.

Unique opportunity to establish and/or strengthen constituent-dentist relationships, help dentists become familiar with the WDA legislative agenda and have a WDA lobbyist present to help guide the dental-focused discussion and answer any unexpected or tough questions.

WDA is using its American Dental Association State Public Affairs grant to implement a proactive, coordinated, statewide communications plan that focuses on educating local elected officials and the general public about fluoridation’s benefits.

DHS and WDA working with Waupaca and Holmen dentists who have volunteered to speak on the benefits of community water fluoridation before local boards and councils in January 2013.

“Fluoride Fridays” were launched in December on WDA’s Facebook wall and Twitter channel.

WDA members are encouraged to contact Erika Valadez (evaladez@wda.org) for staff assistance with responding to fluoridation challenges.

Scientific info is being shared with member dentists and dental hygienists, state lawmakers and the public via “Myth vs. fact” briefs in various WDA communications.

A WDA lobbyist will work with member dentists and key state lawmakers to schedule mutuallyconvenient dates and times to meet for no more than one hour at a local coffee shop or restaurant for informal discussions of oral health and business of dentistry issues.

These are NOT fundraisers or campaign volunteer recruitment efforts.

A WDA contract lobbyist will contact dentists in the pilot areas soon about participating in this new local legislative outreach. Participation is limited to 10 dentists per coffee.

Please contact Executive Director Mark Paget (414-755-4100 or mpaget@wda.org) with questions about this pilot project.

Legislative-related meetings 2013 • Dentistry Examining Board: March 6, May 1, July 3, Sept. 4, Nov. 6; all meetings are held at Department of Safety and Professional Services, 1400 E. Washington Ave. in Madison and start promptly at 8:30 a.m.

• March 27 – WDA Legislative Day; Monona Terrace, 1 John Nolen Dr., Madison; 9 a.m.; details and registration information to be announced at later date.

WDA.org

February 2013

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Messages

Timothy Durtsche, DDS, WDA President tdurtsche@wda.org

Prevention is key to child’s oral health

K

ids. Most of Wisconsin Dental Association member dentists treat them, but some of us don’t.

However, we all need to be concerned about the oral health of children in Wisconsin as there is a huge amount of unmet dental need.

Not only do we need to continue to provide direct care, we need to stress prevention and preventive care.

Seal-A-Smile provided sealants for more than 20,000 students during last school year.

Give Kids A Smile® will be held Feb. 1, 2013 for its 11th year.

The WDA and WDA Foundation will sponsor their fifth Mission of Mercy in June 2013.

In addition, many WDA dentists provide care for underserved children in their offices throughout the year.

The state’s Division of Health Services and Wisconsin Oral Health Coalition recently released the Wisconsin Oral Health Improvement Plan.

While we don’t agree on all of the proposals, there are general items that if enacted would reduce the prevalence of oral diseases and reduce disparities in oral health status among populations.

There is great disproportion in Wisconsin among children in different socioeconomic and ethnic groups regarding untreated caries, early childhood caries and caries experience.

While we don’t agree with all of the proposals, several items if enacted, would reduce the prevalence of oral diseases and reduce disparities in oral health status among populations.

Not only do we need to continue to provide direct care, we need to stress prevention and preventive care.

We will never be able to “drill and fill” our way out of this dilemma.

Education of children, parents, grandparents, teachers and other health care providers is a must.

As dentists and dental hygienists, we need to continue to visit schools and present information about nutrition, home care, regular dental visits and establishing a dental home.

We need to work with our county health departments and be a resource for them.

Women Infants and Children programs need to include oral health education along with the other education for their clients.

Currently, about 90 percent of Wisconsin community water systems are fluoridated. There are some looking to discontinue what is perhaps our greatest

public health effort for reducing dental caries and putting ourselves out of business.

If you live or practice in such a community, please be willing to work with your county health department, community leadership and the WDA to be a spokesperson.

We need only to look at what happened in Milwaukee in 2012 to know how quickly fluoridation can be put at risk of being discontinued.

I know that I don’t feel I am an expert when I speak up, but we all need to communicate that fluoridation is safe, effective and economical.

Contact the WDA if you need any information or support.

Community water fluoridation is a great equalizer for preventive care, as it is effective across all of socioeconomic and ethnic groups.

We also need to be continually vigilant working with our legislators about providing a market reimbursement rate for Medicaid and BadgerCare services.

The WDA is still advocating for a pilot program to demonstrate how increasing to a market-level reimbursement rate will lead to more patients being treated.

Whether or not you actually treat children in your practice, please be an advocate for children’s oral health in your community and throughout the state.

Robert Darling, DDS, WDA Editorial Advisory Board Member rdarling@midwest-dental.org

Access to ‘don’t’ care

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n dental parlance, the phrase “access to care” is used to describe a number of circumstances in which an individual may not or cannot receive appropriate dental and oral health care.

Contributing factors may be economic (limited financial resources), political (underfunded state and federal programs) or situational (rural areas or patients with disabilities).

Events like the Wisconsin Dental Association and WDA Foundation Mission of Mercy are noteworthy for not only the extraordinary numbers of patients cared for by volunteers, but the images of patients waiting for hours in lines that stretch the length of a city block.

Clearly, there is an access to care issue for many individuals.

However, for every MOM captured in the headlines, there are hundreds of community clinics and smaller local events like Give Kids A Smile® attempting to address access to care issues.

These, too, have a great demand, and are organized and staffed by many dental teams and components throughout Wisconsin.

However these volunteers, in an effort to meet great needs, also deal with the darker and frustrating issue of

Editorial Advisory Board Robert Brennan, DDS, Neenah 920-725-0551 • rbrennan@new.rr.com Robert Darling, DDS, Sheboygan 920-457-1717 • rdarling@midwest-dental.com Glenn Gequillana, DDS, Milwaukee 414-649-3510 • nicjenglen@msn.com

being available for care and having no patient in the chair – broken appointments.

These vex our individual practices, and impact the bottom line.

Practice management experts give presentations on addressing issues, such as impressing upon patients the value of the care which they need or preventing cancellations due to outbreaks of “financial flu”.

...for every MOM captured in the headlines, there are hundreds of community clinics and smaller local events like Give Kids A Smile® attempting to address access to care issues.

Where is the discussion for those who need the care, and the care is being provided pro bono?

It would be easy to write off these individuals by saying they “just don’t care”, or wish there was a greater discussion about the taboo topic of personal responsibility.

Submitting

In reality, the reasons are as varied as the human condition. Fear is always a great obstacle; fear of pain or fear of learning how bad things might be.

Other reasons may be embarrassment, the lack of reliable transportation, spousal control and abuse or mental illness. We should not be too quick to judge.

Is it possible we are too generous as a profession?

Have our regular charitable events become a “dental home” by default, and missing an appointment is not a problem because there will always be another? These are all good questions, but with no easy answers.

February is set aside to promote children’s dental health and education. Many dentists and their dental team members will open their practices to see children in great need on Friday, Feb. 1 for GKAS® day, and others will offer care in a variety of venues both that day or in the future.

There may be some empty chairs, but we cannot be discouraged.

These children have no control over the choices of their parents or caregivers and ultimately suffer as a result of those choices which limit their access to care.

Our commitment as a profession must be that we will always be available to those children, even if others don’t seem to care.

letters to the editor

The WDA Journal invites readers to express their views in letters to the editor. This provides a forum for discussing topics of interest to the dental profession.

To be considered, letters must be 300 words or less and signed with an e-mail address or phone number.

The Editorial Board reserves the right to edit for space, clarity, civility and accuracy. Any changes will be shared with the writer before publication.

If your letter is selected, contact will made to confirm receipt.

Submit letters to the editor via email to ebultman@wda.org or fax to 414-755-4111.

You may also mail your letter to:

WDA Journal | Attn: Dr. Robert Brennan | 6737 W. Washington St. | Suite 2360 | West Allis, WI 53214 WDA style note: We make every effort to bold members’ names in articles.

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February 2013 WDA.org

FEBRUARY 2013 V OL UME 89, N UM BE R 2

Editor Robert Brennan, DDS, Neenah 920-725-0551 • rbrennan@wda.org Executive Editor Mark Paget 414-755-4100 • mpaget@wda.org Managing Editor Emily Bultman 414-755-4110 • ebultman@wda.org OFFICERS President Timothy Durtsche, DDS, La Crosse 608-784-7319 • tdurtsche@wda.org President-Elect Julio Rodriguez, DDS, Brodhead 608-897-8645 • jrodriguez@wda.org Vice President Paul Levine, DDS, Milwaukee 414-355-0213 • plevine@wda.org Past-President Steven Stoll, DDS, Neenah 920-725-4307 • sstoll@wda.org Treasurer John R. Moser, DDS, Milwaukee 414-273-9800 • jmoser@wda.org Editor Robert Brennan, DDS, Neenah 920-725-0551 • rbrennan@wda.org Executive Director Mark Paget, West Allis 414-755-4100 • mpaget@wda.org

Legislative outreach, fluoride communications get boost with SPA grant renewal The Wisconsin Dental Association has earned another six-month extension, January through July 2013, of its State Public Affairs grant from the American Dental Association.

The renewed grant is helping kickstart WDA legislative efforts for the 201314 state lawmaking session. It is also providing public relations support for a proactive, coordinated, statewide fluoride communication plan launched late last year.

This latest round of SPA funding makes

Region 5 Southwest L. Stanley Brysh, DMD, Madison 608-417-6500 • lbrysh@meriter.com David Clemens, DDS, Wisconsin Dells 608-254-2345• dclemens@wda.org Patrick Tepe, DDS, Verona 608-848-4000 • ptepe@wda.org Region 6 Student Region Derek Schmidt Marquette University School of Dentistry dschmidt@wda.org Speaker of the House Richard Lofthouse, DDS, Fennimore 608-822-3770 • dlofthouse@wda.org ADA 9th District Trustee Dennis Engel, DDS, CDE, Mequon 262-242-8929 • engeld@ada.org Member Publication

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ADVOCATE & EDUCATE

it possible for WDA government services staff to to work with Greg Hubbard of Hubbard Wilson & Zelenkova, LLC in Madison. The public relations team continues to tap into the creative power of Evan Zeppos and Brenna Sadler of the Milwaukee, Chicago and New York communications firm Laughlin Constable.

The ADA House of Delegates approved the SPA grant program in 2006.

Approximately $30 from each member’s national dues is allocated annually to fund the SPA budget.

From January 2010 through June 2013, the WDA has benefited from nearly $319,000 in SPA funds.

“To paraphrase the credit card commercial - SPA funds are proving ‘priceless’ in helping the WDA expand its bipartisan, grassroots legislative network and strengthen our public reputation as a leading voice and advocate for oral health care policies in the Badger State,” Executive Director Mark Paget said.

communiqu e´ Help spread pro-fluoride info Amanda Brezgel WDA Electronic Communications Coordinator abrezgel@wda.org

Region 2 Northeast Paul Feit, DDS, Sturgeon Bay 920-743-6976 • pfeit@wda.org Peter Hehli, DDS, Appleton 920-997-1557 • phehli@wda.org Jeffrey Kraig, DDS, Fond du Lac 920-922-9000 • jkraig@wda.org

Region 4 Southeast Ryan Braden, DDS, Lake Geneva 262-248-0120 • rbraden@wda.org Ned Murphy, DDS, Racine 262-886-9440 • nmurphy@wda.org

Percent (minimum) of tooth decay prevented during a lifetime thanks to fluoridated water.

Carol Weber, APR WDA Director of Public Relations cweber@wda.org

Region 1 Northwest David Kenyon, DDS, Altoona 715-832-3385 • dkenyon@wda.org Jeff Nehring, DDS, Mercer 715-476-3432• jnehring@wda.org Jennifer Peglow, DDS, Stevens Point 715-344-2324 • jpeglow@wda.org

Region 3 Greater Milwaukee Thomas Kielma, DDS, Milwaukee 262-649-3510 • tkielma@wda.org Lynn Lepak-McSorley, DDS, Milwaukee 414-383-8787 • llepak-mcsorley@wda.org Thomas Raimann, DDS, Hales Corners 414-425-1510 • traimann@wda.org

FLUORIDE FACT

In December 2012, the Wisconsin Dental Association launched “Fluoride

Fridays” in an effort to educate the public and dental community about the benefits of community water fluoridation.

“Fluoride Fridays” is a tool identified in the WDA statewide fluoridation communications plan. The plan was developed and is being implemented with the assistance of public relations professionals at Laughlin Constable with funds provided through an American Dental Association State Public Affairs grant.

Fluoride facts and interactive questions are posted on the WDA’s Facebook wall and Twitter channel every Friday. Future postings may include links to pro-fluoride news coverage and WDA-TV videos.

For example, one recent post was, “Fluoride Friday! True or False: “Tooth decay is no longer a problem in the United States.”

Fluoride myth vs. fact Myth Fluoridated water isn’t safe for babies and young children

Fact The American Dental Association concludes it is safe to use fluoridated water to mix infant formula and encourages parents to discuss any questions they may have with their dentists and pediatricians.

Although using fluoridated water to prepare infant formula might increase the chance that a child develops dental fluorosis, nearly all instances of fluorosis are a mild, cosmetic condition.

Fluorosis nearly always appears as very faint, white streaks on teeth. The effect is usually so subtle that only a dentist would notice it during an examination. Mild fluorosis does not cause pain, nor does it affect the function or health of the teeth.

A 2010 study examined the issue of fluorosis and infant formula, and reached the conclusion that no general recommendations on avoiding use of fluoridated water in reconstituting infant formula are warranted.

The researchers examined the condition’s impact on children and concluded the effect of mild fluorosis was not adverse.

If you are looking for an easy way for your practice to utilize social media, then you’ll want to take advantage of “Fluoride Friday” postings on WDA Facebook and Twitter.

Help the WDA spread the pro-fluoride word by “liking”, “sharing” and “retweeting” our messages via your practice or personal social media platforms. This also helps keep dental practices’ social media channels fresh with little investment of staff time.

The Centers for Disease Control and Prevention has proclaimed community water fluoridation to be one of the 10 greatest public health achievements of the 20th century.

By using utilizing social media, we are helping educate individuals and local community leaders statewide about the oral health benefits of fluoride to all residents.

Infant formulafluoride intake recommendations Members of the 2011 ADA expert panel encourages clinicians to follow the American Academy of Pediatrics guidelines for advising parents and caregivers of infants who consume powdered or liquid concentrate infant formula as the main source of nutrition: • Suggest the continued use of powdered or liquid concentrate infant formulas reconstituted with optimally fluoridated drinking water, while being cognizant of the potential risk of enamel fluorosis development.

• When the potential risk of fluorosis development is a concern, suggest ready-tofeed formula or powdered or liquid concentrate formula reconstituted with water that is either fluoride-free or has low concentrations of fluoride.

Source: The American Dental Association Fluoride Facts and ILikeMyTeeth.org Additional “Fluoride myth vs. fact” items will appear in future WDA Journals as an ongoing effort to educate our members about the science behind community water fluoridation.

February 2013

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BUSINESS of Dentistry Is the 60 percent rule of thumb outdated?

Michael Bark CPA/CVA/MST Edge Advisors, LLC Principal mike@edgeadvise.com

There is a notion general dental practices sell for 60 percent of their average collections over their most recent threeyear span.

In looking at the data of the practices sold during the past year, I believe this 60 percent rule of thumb is outdated.

There are some specific reasons for this change as Edge Advisors’ data shows larger economic issues at work.

For example, of 18 general dental practices sold in 2012, the average percent paid on these sales was 67.43 percent with the median price being 65.44 percent.

The range of sales prices was 53.19 percent to 73.79 percent.

So what is driving this?

An increase in price can’t be solely attributable to the work of a broker, because we simply cannot make up a value and expect people to pay it.

Michael Bark Other factors are at play here, including low interest rates and more buyers in the marketplace than sellers.

Interest rates Most certified valuation analysts agree a capitalization of income approach is a sound way to value a dental practice due to the practice’s ability to generate free cash flow.

If CVAs agree that an income approach is the best way to value a practice, we are

subscribing to a method that applies a capitalization rate to a stream of cash flow. The lower the capitalization rate is, the higher the value is.

In developing a capitalization rate, most CVAs will use a buildup methodology.

Starting with a risk-free rate of return, other economic factors and a practice’s specific risk are added.

The risk-free rate is generally considered to be the rate paid on a 20-year federal bond.

In the past few years, this interest rate dropped nearly 1.5 percent.

This means capitalization rates are lower than they have been in the past, which increases the value of a business.

Think of this a different way. A capitalization rate is essentially the rate of return an investor would expect to get on an investment given the risks associated with it.

With lower interest rates, people are looking for alternatives to invest in and are willing to take a lower rate of return than they have in the past.

This is due to other investment options, especially real estate and traditional bank investments, not being as attractive.

Interest rates also are important,

because this lowers the cost of borrowing for a buyer.

It might be the wrong way to approach things, but when most people buy things they focus more on the monthly payment they will need to make rather than the amount paid.

It’s easier for a buyer to service debt at 5 percent than it is at 8 percent. This will give a buyer a little more purchasing power.

More buyers in the marketplace Wisconsin is a unique state in the dental world. One does not need to be a dentist in order to own a dental practice.

While there have always been large group practices, there is an increased number of smaller venture capital firms in the dental industry.

The impact of the stock market crash in 2008 also plays a role.

Demographics suggest a market with an excess of sellers, but dentists are working longer than they had planned to recoup some of their investment losses.

Practices are available for sale, but not quite in the numbers to keep up with the demand in marketplace.

It is important to remember this is, and will always be, a fluid market.

Rules of thumb are nice ways to get an idea for what your practice might be worth, but I think rules of thumb can be outdated.

The value of your specific practice will depend on a variety of factors and it’s important to examine your specific situation.

‘If I leave here tomorrow…’

New and deleted CDT codes for 2013 Erika Valadez WDA Dental Practice and Government Relations Associate evaladez@wda.org

Don’t risk claims rejections – use the new dental codes that became effective on Jan. 1, 2013.

The American Dental Association offers a choice of many coding materials to best suit the needs of dentists and dental staffs.

The CDT 2013: Dental Procedure Codes manual contains all the Code on Dental Procedures and Nomenclature.

Key updates include, 35 new codes, 37 revised codes, 12 deleted codes and seven new or revised service categories/subcategories.

It is important for offices to update their systems to coincide with these changes, so the proper billing code reflects treatments performed.

The ADA sells a hard copy book with CD-ROM or electronic version.

A resource guide and training manual (Dental Coding Made Simple) is also available with frequently asked questions, coding exercises, an illustrated implant section, new HIPAA Compliant 2012 ADA Dental Claim Form and a continuing education exam worth five credits.

To order new CDT products, visit www.adacatalog.org or call 800947-4746.

A simple breakdown of new and deleted codes is available on the Business of Dentistry page on www.wda.org.

Mara T. Roberts, CLU, RHU, REBC WDAISC President mroberts@insuranceformembers.net

Some of you may know the song which starts off with this famous line – it’s a classic and whether you like it or not, you always end up singing along.

Just the thought of being as carefree as the song suggests is appealing, especially on stressful days. Then, there is the reality check.

Like most of your colleagues you: • Own a practice-probably with a partner • Have employees • Have a client base • Have some business debt • Have some personal debt • Have a family you support You cannot afford to be carefree. In fact, you need to stop and think about what would happen to these above items if you were to “leave here tomorrow” permanently.

If you don’t know or don’t like the answer, then now is the time to do something about it while you can control the outcome.

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All too often, a family member calls agreements in place. inquiring about how they should handle In Wisconsin, you do not have to be their father’s or mother’s dental practice. a dentist to own a dental practice; thereThe dentist has either become extremefore, if your spouse or son/daughter is a ly ill or has passed non-dentist, away. your partners At this point, could be in Dentists may set up buy/sell the family is in business with agreements to ensure funds a defensive posiyour spouse tion as they try to or your son/ are available for their partners make important daughter. to buy out their share of the decisions under A policy practice upon death or disability. very difficult cirsearch will Office overhead policies ensure cumstances; and help detertypically with mine if any a business remains viable very little instrucother policies and can be sold or transitioned tion or underare in place, at a reasonable price. standing of the otherwise it dental practice. is up to the When these family to calls come in, a network of pracdetermine where those important papers tice advisors can help determine have been filed. the direction the family wants to go Again, all too often no instruction has with the practice, especially if there been left. is a partner involved and no formal Dentists may set up buy/sell agree-

ments to ensure funds are available for their partners to buy out their share of the practice upon death or disability.

Office overhead policies ensure a business remains viable and can be sold or transitioned at a reasonable price. Life and disability insurance policies protect personal assets, so families are not forced to make extreme changes in their lifestyle.

Instructions should be outlined and both husband and wife made aware as to the location of these documents.

Once an insurance claim is filed and approved, funds are made available for implementation of the plan as instructed by originator of the plan. This is the best case scenario given difficult circumstances.

If you want control over what happens to your practice and your family’s financial situation, you need to plan before you die.

It’s not morbid; it’s the business side of dentistry.

February 2013 WDA.org

Key

takeaways...

Dental practice FAQ 0 1 TOP A

CALLER Q&

The Wisconsin Dental Association staff receives a multitude of phone calls and emails every day.

Questions come from member dentists, dental hygienists, assistants, office managers, other organizations and patients who are looking for answers to dentistry-related topics.

• Review value of your practice and the factors affecting its market value • Visit www.wda.org for a simple breakdown of 35 new codes and 12 deleted codes • Prepare for the unexpected - review life and disability insurance policies • Dental hygienist can see patients when dentist is gone IF specific conditions met • Small business survival tips

During 2013, a frequently asked dental practice question and answer will run in every issue of the WDA Journal.

For more information, visit www.wda.org or review FAQs in the WDA Sourcebook.

when the dentist is gone IF all of the following conditions are met (as required in Chapter 447 Wisconsin Statutes, Section 447.06 (2) (c) (1-4) Practice Limitations):

Q.

1. Individual is a patient of record for not less than six months 2. Patient gives consent to be treated when the dentist is not on the premises 3. A dental hygienist is acting under the written or oral prescription of the dentist 4. Patient has been examined by the dentist within the last 12 months

If a dentist is going to be out of the office, can a dental hygienist still see patients while he/she is gone?

A.

Yes, dental hygienists can still see patients

Wausau dentists recognized for growing clinics in tough economy Pam Rucinski Partner at Rucinski & Reetz Communication Rucinski@rucinskireetz.com

What do you get when combining four determined loaned them another 50 percent and they received pediatric dentists, a rural population of underserved the remaining 40 percent from an SBA Certified children in need of dental care and a U.S. Small Development Company.

Business Administration 504 loan?

“As a result, we were able to build three new clinics, The answer is more clinics to serve kids. hire two more doctors, six dental hygienists, four assis Drs. Thomas Turner (Wausau), Carl Hash tants and three administrative staff. Our practice has ( Wa u s a u ) , C o r e y grown to serve 15 counties,” Dr. Brimacombe and Turner said.

Joshua Spiegl, of First Impressions opened First Impressions in 1992 in Wausau and has Pediatric Dentistry expanded to offices in Weston, and Orthodontics proStevens Point, Rhinelander, vide specialized, comMedford and Shawano. It prehensive oral health currently employs 73 people, care for infants, chilincluding nine dentists. dren, adolescents and First Impressions also is patients with special Wisconsin’s largest provider of needs. pediatric dentistry services to “The SBA loan Medicaid recipients.

First Impressions SC dentists’ Drs. Thomas Turner, Carl gave us the financial Hash, Corey Brimacombe and Joshua Spiegl were “From the beginning, First flexibility to expand named 2012 Small Business Person of the Year by the Impressions’ mission was dedito other rural commu- U.S. Small Business Administration. cated to making sure lownities where children income families receive the lacked specialty dental same level of respect and treatcare. This allowed us to spread the loan out,” Dr. Turner ment as other patients,” said Dr. Turner. said.

First Impressions also has a “tooth” mobile that trav In return, the SBA took notice of First Impressions els to 15 counties to provide dental screenings and refer achievements and named the dentists the 2012 children who need dental care to one of its clinics. All Wisconsin Small Business Persons of the Year. the clinics are brightly colored with an assortment of Award criteria include business growth, innovative- games and activity centers for children. ness and creativity, response to solving problems and “Our practice is a stellar example of what a dental contributions to the community. team can do when its values, heart and business sense “We are honoring First Impressions’ achievements come together,” said Dr. Turner. and spirit of entrepreneurship, innovation and determination,” SBA Administrator Karen Mills said. “It is Submitting small business award nominations this spirit that continues to drive economic recovery, Every year since 1963, National Small Business economic growth and job creation.”

Week has recognized the outstanding achievements of According to SBA 504 guidelines, the four owners America’s small businesses for their contributions to contributed 10 percent of expansion costs, their bank their local communities, and to our nation’s economy.

WDA.org

Visit www.sba.gov for complete award descriptions, 2014 deadlines and directions on how to submit award applications.

Small business survival tips Cut costs: Take a look at overhead costs and see where cuts can be made to recurring expenses. Invest in technologies that trim costs in the medium-to-long term.

Use low-cost marketing techniques: With the popularity of social media, products and services can be marketed for low or no cost.

You may have to spend some time learning the ins and outs, but if you succeed at it, a new avenue opens up to get more customers.

Focus on retaining existing customers: It is far easier to make use of existing customer relationships to increase your sales than approach prospects who don’t know you.

Consider the following: • Repeat customers spend 33 percent more than new customers • Referrals among repeat customers are 107 percent greater than non-customers • It costs six times more to sell something to a prospect than to sell that same thing to a customer Make your office operations more efficient: Go paperless – it may cost you some time and money now but it will be a blessing for your small office in the months and years to come.

For more information, visit www.sba.gov.

February 2013

WDA Journal

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Focus on: Children’s dental health

Mobile dental clinic bringing relief to children Emily Bultman WDA Communications Coordinator ebultman@wda.org

MUSOD and TCCDC partnership expands

Currently, the TCCDC has 104 volunteer dentists, 44 volunteer dental hygienists and 14 staff members. Approximately 125 other non-dental volunteers help the clinic run effectively and efficiently.

“Chances are the kids will get more frequent care with transportation issues resolved, and they will learn about the benefits of a healthy mouth earlier in life,” TCCDC Executive Director Robert Glass said.

More than 250 restorative patient visits have been accomplished since September 2012.

During the summer, the mobile clinic will visit community sites including YMCAs, Boys and Girls Clubs and food pantries. The goal is to treat approximately 750 patients (adults and children) per year on the mobile clinic.

The bus, built by ADI Mobile Health,

features three dental chairs and digital and Panographic X-ray machines. It is as fully equipped as a stationary dentist’s office.

Volunteer Dr. Tim Brown (Neenah) said the new mobile bus allows TCCDC to bring dental services to a more realistic proximity to the patients most in need.

“The new mobile bus allows kids to get the appropriate treatment without having to miss additional school time,” Dr. Brown said.

The concept of a mobile clinic was in the works for 18 months. It came to fruition following a $300,000 contribution from the J. J. Keller Foundation.

The Oshkosh Community Foundation delivered nearly all of the remaining funds needed based on the significant value of services the mobile clinic would provide to their community.

“I feel very blessed to be in the Fox River Valley where individuals, foundations and corporations feel so strongly about helping those who cannot help themselves,” Mr. Glass said.

Mr. Glass explained the fixed clinic TCCDC currently occupies is in the north end of the three-county area.

Consideration was given and a detailed study accomplished to determine if a fixed location on the south end of the area would achieve the clinic’s mission effectively.

The study concluded a second fixed clinic in the area was not sustainable, based on the number of volunteers TCCDC has.

Currently, the TCCDC has 104 volunteer dentists, 44 volunteer dental hygienists and 14 staff members. Approximately

125 other non-dental volunteers help the clinic run effectively and efficiently.

The new mobile clinic bus visits elementary schools three to four days per week, and currently serves 67 percent of the schools in the overall TCCDC service area.

“MUSOD’s mission is committed to excellence in education, scholarship and the provision of high-quality oral health care. Consistent with the university’s traditions and values...”

“With treatment and education, our goal is to be a factor in helping to drive down health care costs, while keeping these children from replacing the current adults being treated within TCCDC facilities,” Mr. Glass said.

Top left: Focus on the Children Coordinator Jessica Hendrickson helps set up the mobile dental clinic bus.

Top middle: Students stand in front of the new TCCDC mobile dental care bus.

Bottom: J.J. Keller Foundation Executive Director Mary Harp-Jirschele and TCCDC Executive Director Robert Glass attend the mobile dental clinic open house in May 2012.

Free children’s oral health social postings Amanda Brezgel WDA Electronic Communications Coordinator abrezgel@wda.org & Emily Bultman WDA Communications Coordinator ebultman@wda.org

Waiting for the right time to utilize social media? The Wisconsin Dental Association is providing members with free children’s dental social media posts in February.

In celebration of National Children’s Dental Health Month, the WDA will post children’s oral dental health tips on its Facebook wall and Twitter channel.

An example Facebook post: Remember to brush kids’ teeth for two minutes, two times a day.

Visit www.2min2x.org for more information.

All you need to do is follow the WDA on Facebook and Twitter.

Members are encouraged to share, like or retweet these tips on your personal or dental practice’s Facebook and Twitter accounts.

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WDA Journal

The van is even a miniature replica of the new mobile dental clinic.

Dr. Sheila E. Stover (Brookfield), MUSOD clinical associate professor and director of rural outreach programs, said this outreach ties directly to the school’s mission.

“This is an opportunity for students to work with children, as well as learn about acute dental problems first hand,” she said. “In support of a tiered learning model, one D3 and one D4 student travel to the mobile clinic together. They are able to discuss what they learned each day of the rotation.”

MUSOD’s mission is committed to excellence in education, scholarship and the provision of high-quality oral health care. Consistent with the university’s traditions and values, the school recruits and educates a diverse student body, fosters personal and professional excellence and promotes leadership expressed in service to others.

“We want students to learn different health models and serve the underserved. Access to dentistry is an important topic and more models of care are emerging every day,” Dr. Stover said.

Another benefit of having MUSOD students travel to the mobile dental clinic is to work with volunteer dentists.

“It is important for students to interact with dentists, as it shows students after graduating and building a practice they can do something similar in their own community,” Dr. Stover said.

The Tri-County Community Dental Clinic unveiled its mobile dental care bus to provide dental hygiene and restorative services to area underprivileged children and adults in May 2012.

The 39-foot, $779,000 dental bus provides free oral health services to underprivileged children and adults in Winnebago, Outagamie and Calumet countries.

The new mobile clinic is an extension of the TCCDC’s free “Focus on the Children” dental care program that started in 2009.

The Marquette University School of Dentistry has expanded its existing partnership with Tri-County Community Dental Clinic.

Going forward, MUSOD students will switch off working on the bus 10 months out of the year.

Bergstrom Corporation donated a Dodge Grand Caravan to TCCDC to transport students to and from the location of the clinic.

February 2013 WDA.org

Focus on: Children’s dental health

Morgenroth (Brookfield) Photo courtesy of Dr. Jim

Healthy children starts with healthy smiles Milwaukee Public Schools and Social Development Commission Head Start programs received care on Oct. 6 at Marquette University School of Dentistry during the 14th annual Head Start Dental Day. “This charitable outreach helps Head Start youngsters comply with the preschool program’s annual dental exam requirement, while dental and dental hygiene students gain valuable clinical experience,” Dr. Tom Raimann (Hales Corners), event chair and a WDA Greater Milwaukee Region 3 trustee, said.

This yearly oral health event has provided at least 6,000 young people with dental exams and care since 1999.

Head Start Dental Day is Photo courtesy of Dr. Jim Morgenroth (Brookfield) organized by representatives of the Greater Milwaukee Dental One preschooler is ready for her dental exam at Association, Wisconsin Dental MUSOD on Oct. 6.

Hygienists’ Association – Southeast Component, Children’s Health Alliance of Wisconsin, Milwaukee Area Health On Sept. 29, 50 children were welEducation Center, MUSOD and the comed at Waukesha County Technical MPS and SDC Head Start programs.

College’s dental hygiene clinic.

Dental supplies were provided by Another 500 youngsters from the Approximately 200 volunteer dental professionals, dental and hygiene students and faculty provided more than $30,000 in free dental exams, cleanings, fluoride treatments and oral hygiene instruction to area preschoolers last fall during Head Start outreach events in southeastern Wisconsin.

Patterson Dental and Omni/3M. WDA Insurance & Services, Corp. also provided refreshments for volunteers at MUSOD. Fourteen children from the Head Start and Women, Infant and Children programs in Sheboygan County received dental exams and instruction in personal oral hygiene during Fall Dental Exam Day on Nov. 3 at the Midwest Dental office in Sheboygan.

Volunteer dentists and dental hygienists included Drs. Robert Darling (Sheboygan), Ken Geiger (Sheboygan), Abbie Kershner (Manitowoc), Laura Rammer (Sheboygan), Judy Lee, RDH, and Cheri Schneider, RDH. Social workers, public health nurses and Hmong and Spanish translators also were available.

Children with urgent dental needs were referred for treatment. Every child also received a goody bag that includes a toothbrush, toothpaste and dental floss. Financial support and supplies are donated by Midwest Dental and volunteer dentists.

The event is organized by the Sheboygan County Dental Access Committee with representatives from the Sheboygan County Dental Society, Sheboygan County Health and Human

Photo courte sy of Dr. Ro bert Darling (Sheboygan )

Dr. Abbie Kershner of Manitowoc (left) looks at one preschooler’s teeth during the Fall Dental Exam Day in Sheboygan on Nov. 3, 2012.

Photo at top left: Making those Head Start pearly whites shine at the annual dental day at WCTC on Sept. 29, 2012.

Services Department and the Sheboygan County Head Start.

“Unfortunately, the 2012 event may be the last screening day of this type as the committee rethinks how best to reach these children,” Dr. Darling said. (See Dr. Robert Darling’s guest editorial on p. 4).

Free children’s dental health resources available The 2013 National Children’s Dental Health Month program posters are now available for shipping.

English and Spanish posters are available by contacting the Wisconsin Dental Association and are FREE of charge.

This year’s NCDHM campaign slogan “Get a Gold Medal Smile” is featured on both sides of the poster.

One side of this eye-catching poster features the McGrinn Twins, Flossy and Buck, along with their best friends and next door neighbors, Den and Gen Smiley, going for the gold to get a winning smile.

On the reverse side, pre-teens/teens are participating in sports with a gold medal smiles.

This year’s campaign brings together thousands of dedicated dental professionals, health care providers and others to promote the benefits of good oral health to children and adults, caregivers and teachers.

The NCDHM Program Planning Guide is available for downloading at www.ada.org/ncdhm.

It offers program coordinators, dental societies, teachers and parents resources to promote the benefits of good oral health to children.

WDA.org

The ADA has free online resources that can help you with oral health presentations, discussion ideas, hands-on activities, career planning worksheets and games.

The guide includes easy-to-do activities, program planning timetable tips, a sample NCDHM proclamation and more.

Each February, the American Dental Association and WDA sponsor NCDHM to raise awareness about the importance of oral health for youngsters.

Developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums.

The ADA has free online resources that can help you with oral health presentations, discussion ideas, hands-on activities, career planning worksheets and games.

A limited number of educational cartoon DVDs and classroom resources are available on loan through the WDA. Contact WDA Communications Coordinator Emily Bultman at 414-755-4110 or ebultman@ wda.org to borrow items.

Other materials, including the new “Dudley’s Grade School Musical” DVD, can be purchased through the ADA Catalog.

For more information, visit www.ada.org.

February 2013

WDA Journal

9

Insurance N Time to reflect in the new year Nancy J. Wuenne WDAIP Property & Casualty Division Manager nwuenne@insuranceformembers.net

With the holiday season behind us, it is a good time to reflect on the things we are grateful for in life.

As we start to think about our plans in 2013, we also remember what we need to protect ourselves, our families and our businesses.

Underwritten by CNA Insurance, PPP® has been providing superior practice protection to dentists across the country for more than 40 years.

This issue of Wisconsin Dental Association Insurance Programs’ Insurance News highlights changes to the Professional Protector Plan® and workers’ compensation.

Be sure to read these changes that will affect your practice. Contact WDAIP with any questions or concerns.

Underwritten by CNA Insurance,

InsuranceUpdate

Professional Protector Plan® policy changes Amanda Gorman WDAIP Account Representative agorman@insuranceformembers.net

PPP® has been providing superior practice protection to dentists across the country for more than 40 years.

The policy was written by dentists for dentists, and it is continuously reexamined and endorsed by other state dental associations as the best available.

Workers’ compensation insurance is a state-regulated policy to cover work-related injuries.

Your employees must have workers’ compensation insurance.

Our trusted partner, West Bend Mutual Insurance Company, offers the added benefit of HIV testing of a patient when an employee gets a needle stick.

WDAIP’s Property and Casualty Division continues to offer personal lines insurance at a discounted rate to WDA

Effective March 1, 2013, there are

important changes you will see on your Professional Protector Plan® renewal policy.

Your policy will now include $50,000 of cyber liability coverage at no charge.

This will provide coverage for network security, privacy injury and privacy regulatory proceeding claims.

There will also be a change in your property coverage. CNA Insurance is changing the minimum amount for Valued Practice Income coverage to $4,000 per day.

Your current limit may be lower than

members, their families and their employees.

Close attention should be given to protecting your personal property and liability exposures.

There are exposures you may not realize need to be addressed.

Contact our knowledgeable staff to get a quote at 800-2429077 (toll-free) or 414-277-7727.

Even if you just need to use us as a resource regarding a question or concern, WDAIP is here to help.

Feel free to contact me directly at nwuenne@insuranceformembers.net or 414-755-4180.

this new minimum, meaning you will see an increase in coverage, as well as an increase in premium.

VPI coverage provides the daily limit selected for the number of days you select in advance, due to covered damage to your property.

This limit can be lowered to an amount more appropriate for your practice by submitting a profit and loss statement or your most recent tax return with your renewal application.

If you have questions or concerns, contact WDAIP at 800-242-9077(tollfree) or 414-277-7727.

Workers’ compensation rate changes Amanda Gorman WDAIP Account Representative agorman@insuranceformembers.net

As of Oct.1, 2012, there have been some slight changes in the rating structure for workers’ compensation policies for dentists.

Below you will find a chart that shows the differences.

Old Rates Effective Prior to 10/1/12

WDA Insurance Programs had a wonderful time at the Vendor Fair held Nov.6, 2012 at Marquette University School of Dentistry.

It was a great opportunity to interact with students and see new faces.

This year’s raffle prize winner was MUSOD student Michael Stangler.

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WDA Journal

New Rates Effective 10/1/12 and Forward

Class code rate: $.44 for each Class code rate: $.43 for each $100 of payroll $100 of payroll Minimum policy premium: $299 Minimum policy premium: $297 Maximum payroll for sole Maximum payroll for sole proprietor: $42,640 proprietor: $44,408 Maximum payroll for corporate officer: Maximum payroll for corporate officer: $63,960 $66,612

These changes should not make a large difference in yearly premiums.

Contact WDAIP at 800-242-9077 or pip@execpc.com with questions or concerns.

InsuranceCheck

Avoid insurance cancellations Kim Waisanen WDAIP Senior Account Representative kwaisanen@insuranceformembers.net

The number one reason insurance gets canceled is due to unpaid premium.

Generally, premiums can be paid via direct bill, credit card or automatic withdrawal.

Direct bill payments may involve a billing fee, risk of receiving your bill late in the mail or the risk of your payment getting lost in the mail.

Even paying via credit card or debit card involves a risk, as these cards have an expiration date.

Upon receiving new cards, if the new numbers are not called in on time, payments can lapse and insurance can be canceled.

To avoid billing fees and the risk of a premium going unpaid, it is highly recommended to pay premiums via automatic withdrawal.

Whether the mail system is slow or you’re on vacation, your premium payment has been made!

Adding teen drivers to WDAIP personal umbrella Carla Saltzman-Young WDAIP Account Representative cyoung@insuranceformembers.net

Adding a teen driver to your auto policy can be costly. Often times the premium on an auto policy increases, and in most cases, the premium on an umbrella policy will increase as well.

However, Wisconsin Dental Association members can take advantage of an umbrella policy that doesn’t increase when new drivers are added to it The WDA personal umbrella policy has set premiums for each coverage level regardless of the number of drivers in your household, number of homes you own, etc.

If you are interested in additional information regarding the WDA personal umbrella policy, contact our personal lines team at 414-277-7727, 800-242-9077 (toll-free) or pip@ execpc.com

Find us on

February 2013 WDA.org

News

for

D e n ta l P r o f e s s i o n a l s

www.insuranceformembers.com | pip@execpc.com | 800-242-9077

Health care reform update Davina N. Golden WDAIP Benefits Division Manager dgolden@insuranceformembers.net

Since President Barack Obama was re-elected to a second term in office, implementation of the health care reform law is no longer uncertain.

We are pleased to announce new health insurance options for dentists and their staffs.

These new options combine unique features with affordable premiums.

• Final rules on establishment of exchanges and required essential benefits • How exchanges and employers will interact and share information • Process for employer reporting and disclosure requirements • Process and templates for employer notices to employees regarding exchanges and subsidies • Clarification of rules for wellness incentives There will be modifications made to

While the law will go into effect, there are still many provisions that need to be worked out.

Items still requiring clarification include:

the law as economic and political dynamics will require Democrats and Republicans to compromise on various issues.

The friendly, knowledgeable staff of Wisconsin Dental Association Insurance Programs is here to provide you with the details of health care reform as they become available to us.

We can answer any questions regarding your current insurance policies.

Contact us at any time to review your benefits or to learn more about the other types of coverage available.

We are pleased to announce new health insurance options for dentists and their staffs.

These new options combine unique features with affordable premiums.

To learn more, contact WDAIP at 800-242-9077 (toll-free), 414-277-7727 or pip@execpc.com.

Own any winter toys?

We cover them all Carla Saltzman-Young WDAIP Account Representative cyoung@insuranceformembers.net

Coverage for recreational vehicles can sometimes be overlooked, but it is just as important as any other insurance policy.

For some reason, people get the impression their fun “toys” are somehow covered by a homeowner’s policy.

We also forget the fact that snowmobiles, boats, all-terrain vehicles and other recreational vehicles can cause serious injury and damage.

Most home and auto policies do not offer sufficient coverage for snowmobile and other recreational vehicle losses.

WDAIP offers a wide range of specialized policies for your snowmobile and other recreational vehicles.

Do you own a high performance sled? We offer coverage for most models.

Contact our personal lines team for additional information at 800242-9077 (toll-free), 414-277-7727 or pip@execpc.com.

Reminder to increase disability benefits Kim Waisanen WDAIP Senior Account Representative kwaisanen@insuranceformembers.net

Dentists, employees and associate members with disability insurance through EPIC are reminded to increase their benefits upon receiving salary increases.

Benefits may only be increased once a year.

You may fax your request to increase your benefits along with proof of salary increase to 414-277-1124.

WDA.org

WDA Insurance Programs’ annual Risk Management Seminar was at full capacity. The event hosted on Nov. 2, 2012 in Pewaukee was well-received.

Speakers included Dr. Jill Baskin of River Forest, Ill. and attorney Pat Sullivan from Siesennop & Sullivan.

All attendees insured with WDAIP’s Professional Protector Plan® received a 7.5 percent discount on their liability insurance.

LEGAL Q&A Q:

I treat a lot of minor patients in my

Do you need disability insurance?

Kim Waisanen WDAIP Senior Account Representative kwaisanen@insuranceformembers.net

The majority of Americans insure their house, automobiles, health and life. What about insuring their income?

If you couldn’t live comfortably without your income, you need disability insurance.

While most people think that disabilities are typically caused by freak accidents, the majority of long-term absences are actually due to illnesses, such as cancer and heart disease.

The loss of income can be so devastating that it forces some people to foreclose on their home or even declare bankruptcy.

The WDAIP offers individual and group disability insurance.

An individual disability policy has a higher premium than group disability, but it can move with you from job to job and offers benefits, such as “own occupation”.

This will pay benefits if the insured can’t perform the exact job held before becoming disabled.

Employers may offer group disability insurance to their employees, or employees working more than 20 hours per week can purchase disability insurance on their own.

For more information, contact your WDAIP account representative at 414-277-7727 or 800-2429077.

Attorney W. Patrick Sullivan Siesennop & Sullivan Attorneys at Law http://www.siesennopsullivan.com

limitation set under Wis. Stat. § 893.55 (the

In other words, a minor pursuing a dental

Under Wis. Stat. § 893.55, action must be brought within three years from the date of the injury or one year from the date the injury was discovered, or in the exercise of reasonable diligence should have been discovered, but not longer than five years from the date of the act or omission.

After a child turns 10 years old, action is governed by the same statute of limitations as adults and must be initiated either within three years of the date of injury or within one year of discovery, provided more than five years have not passed since the act or omission.

practice. Is the statute of limitations statute of limitation for adults), or by the time malpractice action always has until the age on claims for dental malpractice by the minor child reaches the age of 10 years, of 10 to file suit, no matter when the alleged whichever is later. negligent act or omission occurred. children different from adults?

It depends on the age of the child.

Wis. Stat. § 893.56 controls malpractice actions by minors.

The statute provides that if the patient is under the age of 18, and not under a disability (e.g., developmentally disabled), the cause of action must be brought within the time

A:

February 2013

WDA Journal

11

WDA members encourage kids to ditch the candy Emily Bultman WDA Communications Coordinator ebultman@wda.org

Wisconsin Dental Association dentists encouraged kids to do away with excessive sweets to give their teeth a healthy boost.

A young patient adds sweet treats to the collection at Dr. Kathleen Doyle-Kelly’s (Fond du Lac) practice during a candy buyback event. Almost 50 pounds was collected.

WDA members and their offices throughout the state participated in a nationwide campaign to buy Halloween candy from children and donate it to Operation Gratitude, a nonprofit organization that assembles and ships care packages to troops deployed overseas.

Not only does this program provide support to troops overseas, but it also encourages children to adopt healthy dental and eating habits.

Drs. Robert Asp and Maureen Asp Porter of Hilbert Family Dental offered kids $1 per pound of candy. Prizes, such as iPods and gift certificates, were raffled to participants.

Drs. Thomas Albiero, Cynthia Jakusz, Keith Templin and Chad Zambon and their staff at Dental Professionals in

Germantown collected more than 435 Drs. Tyler Hubbard and Regan Luders and their staff at Door County pounds.

Drs. Richard Bailey and Terese Bailey Dental Care in Sturgeon Bay collected bought back more than 200 pounds of candy to help preserve youngsters’ smiles.

Drs. Daniel Koester and Ehsan Saleki candy from Hartland families.

Dr. Scott Beattie (Eagle River) handed joined their staff at Oak Creek Dental out goody bags and other prizes to children Care in collecting candy from kids. in exchange for their sweets. Adults par- Dr. Andrew Kokodynski (Lake ticipated in the program by donating socks Geneva) and his staff at Kokodynski Orthodontics collected 54 pounds of for soldiers.

For the third year, Drs. Rieck Beiersdorf candy from patients in Lake Geneva and (Plymouth) and James Kuhlow (Waldo) Burlington. hosted a candy buyback. Approximately For the sixth year, Dr. Paul Levine 69 pounds was collected and sent to sol- (Brown Deer) turned leftover Halloween candy into cash for trick-or-treaters. diers.

Dr. Liberty Boucher (Madison) and Levine Dental also hosted a holiday toy her staff at Odana Hills Dental hosted a and food drive for local families in need. candy buyback for the third year. More than 280 pounds of sweet treats was collected from youngsters.

Dr. Michael Costello (Milwaukee) and the Downtown Dental Group joined this anti-decay movement by giving away $1 per pound of candy.

Drs. Jessica Davis, Steve Eiler, and Bradley Foss of Hillside Dental in Ripon collected candy to help preserve smiles of youngsters.

Dr. Kathleen Doyle-Kelly (Fond du Photo courtesy of Shane Opatz/Eau Claire Leader-Telegram Lac) and her office collected 49 pounds Dr. Tony Pilgrim and his team at Fall Creek of candy for Operation Gratitude.

Drs. David Ducommun and Caitlin Dental collected 65 pounds of candy during Kudlata and their team at Madison their Halloween buyback event.

No Fear Dentistry participated in this event for the third year. They added an Dr. David McCann and his team extra touch by distributing $2 bills and at Fontana Family Dentistry exchanged $1 gold coins to children in exchange for candy for cash and gave each participant a goody bag and toothbrush. their candy.

Dr. Daniel Garcia (Cedarburg) col- Dr. Margaret Miller (De Pere) and lected candy, letters and drawings from her staff at the Children’s Dental Clinic children. These items were shipped with hosted their second annual candy buyback toothbrushes and toothpaste to Operation event.

Dr. Tony Pilgrim and his team at Gratitude.

Fall Creek Dental paid trick-or-treaters $1 per pound of candy. Approximately 65 pounds of candy were collected from the communitywide event. Five kids also donated their earnings to send to the troops.

Holidays made brighter by food and toy drives Wisconsin Dental Association members hosted a variety of events during the holiday season to help put smiles on the faces of needy children and their families in their communities.

In effort to give back, dentists and their staffs sponsored toy and food drives to make a difference.

Drs. Brandon Brunner, William Neuschaefer and Emily Jahimiak of Elmbrook Family Dental in Brookfield hosted a food drive for the Hunger Task Force. With the help of patients, staff 12

WDA Journal

Midwest Dental in Sheboygan got in the spirit of Halloween by dressing in theme of “Things that Scare Dentists”. Ashley Schmitz, RDH, (left) wears a Dots candy costume and Kim Conklin, dental assistant,

sports a Capri Sun juice pouch outfit.

Dr. Michael Schneidler (Pewaukee) hosted a fifth annual candy buyback event and collected 920 pounds of candy.

Sheboygan County Dental Access Committee and community volunteers collected 1,600 pounds of candy from various schools and dental offices. In addition, four large cartons of personal care supplies, including toothbrushes, toothpaste, soap and shampoo were also donated to Operation Gratitude.

The Sargento Company in Plymouth donated space on one of their refrigerated trucks for transportation of the donations to San Diego before sending overseas to the troops.

Dr. Leslie Showalter (Fort Atkinson) of Rock River Dental collected candy to help preserve smiles of youngsters.

Drs. Joe Theisen and Lisa Henson of Regis Court Dental Associates in Eau Claire partnered with Regis High School’s Key Club to collect 306 pounds of candy.

A $500 donation was given to the club for their help with the candy buyback event and continued effort in the community.

“Obviously, as dentists we’re really concerned about the consumption of refined sugars as far as health effects on the mouth. We just thought it was a great opportunity to create awareness,” Dr. Theisen said.

and businesses in their building, more than 500 pounds of non-perishable food items were collected.

Dr. Dennis Fehrman (Schofield) organized a toy drive during the holiday season to put smiles on the faces of children. All toys collected were donated to the “Christmas Families Project” at Covenant Community Presbyterian Church.

Drs. Todd Hehi, Kelly Payne, Shayna Pearson and Damon McCan and their Oak Park Dental team collected more than 130 pounds of food for the community pantry.

Drs. Robert Heil (Kaukauna) and Heather Heil (Kaukauna) Dental Expressions collected approximately 505 pounds of food for the Freedom Food Pantry.

If your practice hosts an event during 2013, please consider sharing a photo with WDA Journal Managing Editor Emily Bultman at ebultman@wda.org.

February 2013 WDA.org

DHS UPDATE

DHS issues mobile dental clinic guidance brochure Robbyn Kuester, RDH, BSDH DHS Sealant and Fluoridation Program Coordinator robbyn.kuester@wisconsin.gov

Oral health care delivery within schools is a rapidly growing avenue that provides access to care to all school-aged children.

As awareness of oral health care increases, school administrators and nurses are confronted with multiple options while looking for a program to provide oral health care services to their students.

The Wisconsin Oral Health Program in the Division of Public Health has recently seen a surge in technical assistance requests from school administrators, as a result of several new school-based providers contacting schools.

In response, the OHP collabo-

rated with the Wisconsin Oral Health Coalition to create a document designed to help guide schools in making informed decisions regarding the type of oral health program that would meet the needs of their students.

The mobile program brochure, “Selecting a SchoolBased Oral Health Care Program: Questions and Answers for School Staff”, includes information on different models of schoolbased programs, the importance of developing relationships with providers in the community and specific questions to consider asking regarding the care and treatment being provided by individuals, agencies and organizations.

This can be viewed at http://1.usa. gov/VhGxtt.

School-based programs differ in the

types of oral health providers that actually provide the care, specific services being delivered, target populations, cost to the students, case management and how follow-up care is handled for students with additional treatment needs.

It can be confusing to school administrators with an existing program if they are contacted by a new school-based oral health program.

Scenarios like this have resulted in a few schools mistakenly thinking they were talking with their existing provider. This is especially troublesome when communication occurs with staff not directly involved with the existing program, for example, superintendents.

Schools without existing programming in place are extremely excited about the opportunity to offer schoolbased oral health services to their students. However, they may select a provider who does not meet their families’ needs.

Some school administrators have

encountered misunderstandings that could have been avoided if a few key questions were addressed in the early planning stages.

Other administrators have reached out to us for assistance in making an informed decision.

With the growing trend in schools requesting additional information, it became apparent that school administrators needed direct and succinct information to assist in making appropriate decisions.

We hope the guide will help school administrators make the best choice for their schools.

I welcome questions or concerns you may have regarding this brochure, school-based oral health programs, dental sealants or community water fluoridation.

Contact me at 608-266-0876 or robbyn.kuester@wisconsin.gov.

Additional DEB disciplinary action cases Erika Valadez WDA Dental Practice and Government Relations Associate evaladez@wda.org

The Wisconsin Dental Association continues to print license disciplinary actions ordered by the Dentistry Examining Board.

The WDA believes it is important for dentist and dental hygienist members to be aware of the types of issues and concerns that can lead to disciplinary actions.

Even if a decision is reported, an appeal may be pending (which may stay the disciplinary action until the appeal is resolved).

The state Department of Safety and Professional Services announced the following disciplinary orders against dentists from February to October 2012 (part one ran in the January 2013 WDA Journal): Case 6 Dr. X was reprimanded for difficulties involving three different root canal procedures in which the canals were not opened to an effective length, and then obturated with silver points.

The patient was not referred to an endodontist or informed the canals could not be opened to an effective length and risks associated with inadequate pulp removal.

WDA.org

As a result, the patient experienced severe discomfort and required retreatment of each canal which cost an additional $4,200.

Dr. X departed from the standard of care and minimum competence in the practice of dentistry and must complete nine hours of education in endodontics and pay $600.

To view the complete summaries, visit http://1.usa.gov/VhFQAw. Case 7 Dr. X petitioned the DEB for full reinstatement of license regarding the January 2007 order for drug testing and professional mentoring. In April 2010, Dr. X was granted a reduction of frequency in drug testing.

However, the department has not received any reports pertaining to the professional mentoring requirements.

Dr. X’s petition to remove all limitations was denied. The drug and alcohol screening requirements were terminated, but Dr. X was ordered to comply and arrange for the professional mentor to provide formal written reports assessing Dr. X’s performance to the department on a monthly basis for three consecutive months.

The board will not consider full licensure until Dr. X is in full compliance of this order.

Case 8 Dr. X was reprimanded for departing from the standard of care in orthodontics when bracketing was completed and retainers made, but closing the practice prior to fitting the patient with the retainers occurred.

Upon referral to another dentist for care, the second dentist determined the retainers would need to be fabricated due to shifting and no longer fitting; and also the case was finished prematurely.

The patient was left with class II malocclusions, substantial overjet and maxillary midline shifted to the right, which required approximately 18 additional months of brackets and elastics costing $3,750.

Dr. X must complete eight hours education in orthodontics and to pay $750.

Case 9 In 2008, Dr. X was notified of verification procedures regarding the clinics sterilization cycles to show they are operating properly.

In 2009, Dr. X’s clinic was closed and the necessary verification of sterilization cycles was still not performed. While the clinic was still in operation, Dr. X operated a Waterlase laser for herpetic lesions, papillomas, fibromas and hyperplasic tissue growth in and around the oral cavity.

It was reported, on several occasions, this laser was also used to remove skin warts and moles from the hands, neck and shoulders of some friends, staff and family members.

This deviates from the scope of dentistry in Wisconsin. Dr. X must complete three hours education in ethics and to pay $1,100.

Additional cases will be printed in future WDA Journals.

To view the complete summaries, visit http://1.usa.gov/VhFQAw.

February 2013

WDA Journal

13

Construction rolls along for MUSOD expansion William K. Lobb, DDS, MS, MPH MUSOD Dean William.lobb@marquette.edu

As we settle into the new year, work is under way on the 40,000-square-foot expansion at Marquette University School of Dentistry.

After months of planning and fundraising, the $16 million project is expected to open in August 2013.

I would like to thank all of our generous supporters, including hundreds of MUSOD alumni and Wisconsin Dental Association members.

This support and advocacy has helped us move this project forward.

We would not be where we are if it wasn’t for the commitment and support of the WDA. To set the scene, a large hole now is in the ground to the south of the existing dental school building.

Along the way, we have faced a few interesting challenges. This includes

MUSOD Dean Dr. William Lobb checks out construction progress of the dental school’s addition.

Your financial support is still needed. How you can help: 1. Make your gift online at www.marquett.edu/giveonline (Scroll to “MUSOD Building for the Future Fund”)

2. Print a pledge form at www.marquette.edu/dentistry/ building-for-future-dentistry and mail in

3. Contact MUSOD Director of Development David O’Neill at david.oneill@marquette.edu or 414-288-6048.

continued on page 19...

CASE STUDY #140

Q&A

excavating the site of the old Deaconess Hospital.

Concrete walls, floors and columns have been found, as well as some long forgotten asbestos which was bagged and buried when the old site was filled in.

After clearing the old items, new concrete footings were poured and iron work associated with the foundation of the new three-floor structure has started to take shape.

A new midsized, technology-rich classroom space named by the WDA is one of the many features. This will be used for continuing education and a variety of other uses.

Other key elements include an additional 24-chair clinic, an expanded faculty practice, space for clinical research and faculty offices and support space.

presented by Ezedin M. Sadeghi, DDS, MS, MUSOD Associate Professor and Oral Pathology Director ezedin.sadeghi@marquette.edu

A 45-year-old male was referred to an oral surgery clinic for the diagnosis and treatment of a polypoid mucosal mass of left lower lip (Figure #1).

The lesion was non-ulcerated and asymptomatic. The patient was otherwise healthy.

FIGURE #1

Questions:

1- What would you consider in your differential diagnosis?

A. Irritation fibroma B. Lipoma C. An old mucocele D. Pyogenic granuloma E. Squamous cell carcinoma

2- What would you do to make a definitive diagnosis?

A. Incisional biopsy B. Brush biopsy C. Excisional biopsy D. Do nothing since it is asymptomatic E. None of the above Answers on page 19

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February 2013 WDA.org

ADA launches Dental Symptom Checker A patient has a mildly painful blister on the tip of the tongue. What is it?

As dentists know, it could be any number of things.

To provide patients with accurate information about their symptoms and help them make better-informed decisions about their oral health, the American Dental Association has introduced the ADA Dental Symptom Checker on www.mouthhealthy.org.

After entering their age and gender in the symptom checker, patients can identify the location of the symptom they’re having and other factors, such as pain or discharge. They can read about various conditions that fit that description.

The symptom checker is not meant to diagnose or replace the role of the dentist.

In fact, many of the conditions emphasize the importance of seeing a dentist or physician.

WDA.org

The ADA Dental Symptom Checker was developed by the association in conjunction with an ADA member dentist who is a faculty member at an accredited U.S. dental school. Four ADA councils vetted the symptom checker.

The ADA launched the awardwinning MouthHealthy.org website in June 2012 to reach the 80 percent of Internet users who seek health information online.

Consumers can find oral health concerns organized by life stages, A-Z topics with videos, ADA Seal of Acceptance products and tips and activities to make oral health care fun for kids.

In developing MouthHealthy.org, a symptom checker tool was identified as the top feature requested by consumers.

The ADA Dental Symptom Checker is now available as an interactive Web platform on MouthHealthy.org, as well as a downloadable app on iTunes and Google Play.

Visit www.mouthhealthy.org and check out the new tool to help build consumer awareness of the importance of oral health and visiting a dentist regularly.

In Memoriam The Wisconsin Dental Association extends its condolences to the families and friends of the following dentists who have passed away: Dr. Howard L. Barton La Crescent, Minn.

(Formerly La Crosse) Passed away Dec. 3 Member for 63 years Dr. William J. Sievert Beverly Hills, Calif.

(Formerly Milwaukee) Passed away Dec. 20 Member for 58 years Help us keep our information current.

If you are aware of a colleague who has passed away, please call the WDA at 800364-7646.

February 2013

WDA Journal

15

Classifieds Practice for Sale/Lease Unique Turn Key Opportunity. Beautiful NEW clinic in Germantown, WI for lease.

New top of the line Adec equipment. Digital X-ray and Pano, monitors in ops. High end finishes. Two ops completely built out, room for 4 ops total. Lab. Immediately available. 262509-5755 Ext. 4216, hr@greatlakesdentalusa. com. #01-2013-03

Edge Advisors has 15 and counting dental practices for sale! Want to sell your real estate with the practice? Contact Jessica at Jessica@ EdgeAdvise.com or call 715-379-1796 to find out about how to sell both at the lowest price in the industry. #11-2012-09 Green Bay – General dental practice for sale. ptions include immediate or transition buy-in. No temporary associates. Recent graduates welcome. Excellent full-time staff.

Two computerized, fully equipped dental ops.

One computerized and equipped hygiene room. Doctor retiring. Respond to Wisconsin Dental Association, Blind Box 1106, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214 #11-2012-06

Properties/Office Space Available General dentist seeking a practioners, preferably with own patient base, to share office space. Ideally suited for general dentist, prosthodontist, periodontist or orthodontist.

Four operatories and laboratory available.

Respond to Wisconsin Dental Association, Blind Box 1004, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. #10-2012-04

Practice Wanted Greater Milwaukee Area – Experienced, compassionate dentist seeking transition buy-in, purchase or associateship leading to ownership of existing family practice in the greater Milwaukee area. Respond to Wisconsin Dental Association, Blind Box 1007, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. #01-2013-06

Southern Wisconsin Practice Wanted for Purchase: We are looking to purchase a modern general practice with at least 3 operatories. We currently have 4 locations and are open to retaining current owner as IC dentist. Please contact Mary Beth at 630-8335110 or maybeth@chicagolanddentists.com. #01-2013-09

Practice Position Opportunity

Andy Lehmkuhl and your local team at Edge Advisors have transitioned 30 practices in the past two years. We charge less and get the best results in the industry. Need help hiring an associate? Currently we have more than 14 available. See what your colleagues are talking about at www.EdgeAdvise.com. Contact 414255-5669 or Andy@EdgeAdvise.com. #112012-10 Outstanding Opportunity: Partners in Care is seeking an experienced part-time Oral Surgeon for our Southeastern Wisconsin location. We have a strong flow of established and new patients.

Visit our website at www.chicagolanddentists.com to see our locations. Email Resume/CV to marybeth@ chicagolanddentists.com. #04-2012-09

Racine – Racine Dental Group is seeking two enthusiastic general dentists to join our large group practice in the summer of 2013.

Applicants are being sought due the retirement of two our partners. We have existed as a group for nearly 50 years, and will be opening a new, state-of-the-art facility in early 2014.The qualified candidates will enter as associates, but have the opportunity for partnership/buy-in after three years. An established patient base, experienced staff, in-house lab and an extensive support staff will ensure a smooth transition.

A guaranteed starting salary, benefit package and promising future make this opportunity impossible to pass up! A minimum of one year

experience or GP residency required. Contact drscherrer@racinedentalgroup.com to discuss further. #01-2013-11

Temporary/Flexible/Dynamic Opportunities Do you have a passion for patient care?

Do you enjoy new challenges and desire a flexible work environment? We want to talk with you! Our team is looking for doctors with open personalities who are interested in covering maternity leaves, military leaves, and extended vacations in our Fee for Service practices. If you’ve ever considered the benefits of temporary coverage, give us a call.

With us, you can work as much or as little as desired. We have practices located in various communities throughout WI, MN, IL, and IA. To learn more, please contact Laura Anderson Laehn at 715-926-5050 or landerson@midwest-dental.com. Visit online at www.midwest-dental.com and www.mountaindental.com. #06-2010-01 Outstanding Opportunity: Partners in Care is seeking a part-time general dentist, 3 and a half days per week, for our new Southeastern Wisconsin location. We offer excellent benefits and a minimum pay guarantee to start. We are looking for candidates with at least two full years of experience to be a part of our dedicated team of professionals. Visit our website at: www. chicagolanddentists.com to see our other four locations. Email Resume/CV to marybeth@ chicagolanddentists.com. #04-2012-11 La Crosse – A general dentist position is available in a local community dental clinic beginning in spring/summer 2013. This is an established well-organized clinic in a state-ofthe art facility including computer charting and digital systems. Excellent compensation and benefits available. Possible loan forgiveness option. Located in beautiful La Crosse, Wisconsin. Please contact Dr. Joseph L. Kotnour at 608-782-3102, 608-782-3120 (fax) or kotjonesdental.com. #12-2012-03 Milwaukee Suburb – Seeking partner for immediate or gradual buy-in. High gross, low overhead with newer equipment and furnishings. Room to expand with large patient base and two full-time hygienists. Call 262-5426002 or 262-391-0543. #07-2012-02

Dentist Jobs: Aspen Dental offers tremendous earning potential and a practice support model that empowers dentists.

We eliminate obstacles for dentists to own their own practice. Call 866-748-3678 or visit www.aspendentaljobs.com. #01-2011-02 Opportunities Available - Wisconsin.

The Wisconsin Office of Rural Health has detailed information on general and specialty dentist positions in both smaller towns and larger cities located throughout Wisconsin. Most of these positions qualify for the $50,000 loan repayment program from the State of Wisconsin. The Wisconsin Office of Rural Health has recently added a Dentist Placement Program to our successful Physician Placement Program. Located at the University of Wisconsin School of Medicine and Public Health, we are a not-for-profit organization dedicated to helping improve the quality of healthcare for the people of Wisconsin. For information, call Marsha Siik at 800-385-0005, e-mail siik@wisc.edu, or fax CV to 608-261-1893. #9-2

Classified Advertisements The rate for classified advertisements for Wisconsin Dental Association members is $60 for 30 words or less; additional words 50 cents each. All ads are placed online at www.wda.org. A blind box number is an additional $10. Non-WDA members are charged an additional $25 for each ad and payment must be received prior to publication. Include company logo for $30 per month. Boxed classified ads also are available in three sizes: one inch = $100; two inches = $150; or three inches = $200.

Make your ad stand out with a full color, mini-display. Save 10 percent when you run a display ad for three months or more.

Mini-display classified ads now available in three sizes: two inches = $200; or three inches = $250; or four inches = $300. Artwork can be created for you at an additional charge: $75 for initial minidisplay creation $50 per hour for edits after initial run (one hour minimum will be charged). Visit www.wda.org to view rate sheet and download classified contract.

Cancellation of ads must be received in writing.

Please note all ads must be pre-paid.

Please include payment (check or credit card number) with your classified ad when submitting. You can download the contract online at www.wda.org or call 414-755-4110. To place an ad, mail, fax or email ebultman@wda.org copy to the Wisconsin Dental Association, Attn: Emily Bultman, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214; fax to 414-755-4111. The deadline for classified advertisements is the second Tuesday of the month, two months before advertisement insertion. It is against WDA policy to do unauthorized mailings pertaining to individual classified advertisements. When responding to a Blind Box, please indicate the blind box number on the envelope. When they are received by the WDA office, they are forwarded unopened to the address of the person holding the blind box. Sample: Wisconsin Dental Association, Blind Box #10, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214.

16

WDA Journal

February 2013 WDA.org

To

place a display or

classified ad , please contact

E mily B ultman at ebultman @WDA. org .

Appleton, WI – Associate position available for 2 Dr. practice looking to add a 3rd Dr. 3,000 patient base. Sign-on bonus and no non-compete initially. Buy-in option available. Please call 920-225-0123. #10-4.

MADISON – Full-time and part-time associates needed. Reach for a Brighter Future! Our group practice continues to grow!

Take advantage of this opportunity to live in a great city working with a well-established exceptional group of 26 dentists and staff.

Dental Health Associates of Madison, Ltd. (DHA) in Madison, Wisconsin is looking for FULL and PART-TIME ASSOCIATES to practice general dentistry. If you have a DMD or DDS degree, are licensed in the State of Wisconsin, and have a minimum of two years clinical experience (preferred), we’d like to talk to you. We offer a guaranteed salary to start, if desired, plus excellent benefits including fullypaid family health insurance, dental, short and long-term disability, long-term care, malpractice insurance, ADA, WDA, AGD dues, 401(k) with match and profit sharing, vacation, paid holidays… and more! For more information regarding our practice, visit our website at www.dhamadison.com. You can apply online or send your resume or CV to: Human Resources Director, Dental Health Associates of Madison, Ltd., 7001 Old Sauk Road, Madison, WI 53717, or email jobs@dhamadison.com. #11-2012-08 Greenfield, WI – Seeking an ambitious associate general dentist. FT or PT. Molar endo and extraction experience required. Fax resume to 414-327-7551. #02-2013-05.

Eau Claire, WI – Looking for a full-time associate dentist to join a busy two doctor practice. This growing practice is well-established in the community and has recently been digitalized.

Potential buy-in, competitive compensation and benefits all being offered. Please send your information to ecfd@eauclairefamilydental. com. #02-2013-07

Dental Dreams desires motivated, quality oriented associate dentists for its offices in IL (Chicago & suburbs), DC, LA, MI, MA, MD, NM, PA, SC, TX and VA. We provide quality general FAMILY dentistry in a technologically advanced setting. Our valued dentists earn on average $230,000/yr plus benefits. New graduates encouraged! Call (312)274-4524 or email dtharp@kosservices.com. #7-3

skills, efficiency and earning potential. Please email your resume to carylleach@prairedental. com for consideration. 02-2013-04

ForwardDental is in search of exceptional Dentists to join our busy Wisconsin practices.

Positions offer competitive compensation, enhanced benefits and the opportunity for ownership! Contact Kelly at kfredrick@amdpi. com. #10-2011-05

Manitowoc – Midwest Dental is seeking a full time dentist in Manitowoc.

Green Bay – Midwest Dental is seeking a full time dentist in Green Bay.

We offer the opportunity to lead your own clinical team while shedding the administrative and financial burdens. Our philosophy of preserving and supporting the traditional private practice setting provides a great work-life balance, excellent compensation and benefits, and unlimited opportunity for professional growth. If you possess a passion for providing quality care and are looking for a rewarding practice opportunity in Manitowoc, please call Andrew Lockie at 715-579-4076 or email alockie@midwest-dental.com.Visit them online at www.midwest-dental.com. #102012-01

We offer the opportunity to lead your own clinical team while shedding the administrative and financial burdens. Our philosophy of preserving and supporting the traditional private practice setting provides a great work-life balance, excellent compensation and benefits, and unlimited opportunity for professional growth. If you possess a passion for providing quality care and are looking for a rewarding practice opportunity in Green Bay, please call Andrew Lockie at 715-579-4076 or email alockie@ midwest-dental.com.Visit them online at www.midwest-dental.com. #10-2012-02

Looking for an associate dentist to join our Eden Prairie, Minnesota group practice. The right candidate must have complete at least one year GPR, a military rotation or two-five years of experience in a private practice setting.

Excellent technical, clinical and communication skills will be necessary for this position. We will provide a mentoring relationship to increase

Are you happy in your current office? Before you make a move or accept another offer, be sure to check us out! Our dental practice, located in Southern Wisconsin, is looking for a long term associate to join our steadily growing practice and community. We service all aspects of general dentistry, including implant placement and restoration. Come and be a part of our fun, talented and enthusiastic team! We are offering a top base salary, production bonus program, and a generous benefits package. Please submit CV/ resume to: dentaldr@ymail.com. #3-7

New Product/

Service Corner Make sure data is backed up efficiently and securely Protect your office from losing important patient data by using a secure online backup service from The Dental Record.

Many dental offices backup their data locally using tapes or an external hard drive.

Others use an inexpensive consumer-based online backup, such as carbonite.

Both approaches will work, but they are not as efficient or secure as having professionals backup your data online automatically.

Central Data Storage from The Dental Record will securely backup your data daily for you. This data will be compressed, encrypted and redundantly stored in two secure data centers.

This also will ensure that you are always compliant with any Health Information Technology for Economic and Clinical Health Act and Health Insurance Portability and Accountability Act regulations.

Other online backup services may be cheaper, but they are not designed for the regulations of the health care profession.

For example, they cannot offer certain immediate restore services in emergencies, and some of them will refuse to sign a Business Associate Agreement which is required

by HIPAA. Several companies require a minimum one year contract.

Online backup from Central Data Storage and The Dental Record specialize in dentistry, offer one of the best prices in the profession, require no contracts and support is available 24/7 to restore any data you need immediately.

To schedule a FREE data assessment and 30-day trial, call The Dental Record at 800-243-4675 or visit www.dentalrecord.com/centraldatastorage

WDA.org

Opportunities in Rice Lake and Merrill Midwest Dental is seeking a full time dentist in our Rice Lake and Merrill practices. We offer the opportunity to lead your own clinical team without the administrative and financial burdens. Our philosophy of preserving and supporting the traditional private practice setting provides a great work-life balance, excellent compensation and benefits, and unlimited opportunity for professional development. If you possess a passion for providing quality care and are looking for a rewarding practice opportunity in the Rice Lake or Merrill areas, please contact us at 715926-5050 or email development@midwestdental.com. Visit us online at www.midwestdental.com. #02-2013-06 Green Bay, WI – Well-established, private group practice is looking for a full-time Associate General Dentist to start in spring 2013. Position includes highly-trained clinical and business support, use of digital X-ray and chartless system, and a competitive benefits package. This is a potential buy-in opportunity.

Successful candidates will have military, GPR or equivalent experience, a strong patient-focus to oral health education and treatment, and the drive to become a future partner. Interested parties should send a resume or CV to Amy (Business Manager) at afw@dentalartsgreenbay. com or fax to 920-494-8195. #02-2013-03

MORE REASONS TO SMILE! We’ve always believed in putting patients first.

In fact, Dental Associates was built on the notion that everyone deserves access to affordable dental care of the highest caliber. From a small solo practice that launched more than 35 years ago, Dental Associates has grown to 10 multispecialty dental centers. We’re proud to bring quality, progressive treatment to communities across with the day-to-day business tasks. Put all your focus back on your patients and you will enjoy more of those rewarding moments!

We’d love to have you join us. Visit our website at dentalassociates.com, call or send resume/CV in confidence to: sbullen@ dentalassociates.com or Dental Associates Attn: Susan Bullen, 11711 W. Burleigh St., Wauwatosa, WI 53222, 800-315-71107, 414456-9911(fax). #02-2013-02

Office Equipment for Sale Four royal ortho chairs and matching ross side units. White/maroon. Like new. $3,500 total. Good for exam/hygiene/simple restorative, satellite. Contact Penny at 608-663-8819. #022013-01

Miscellaneous

Mike Bark – The ONLY accredited “Institute of Dental CPA’s” certified Wisconsin CPA/ Accountant and best valued. Give us a call and let’s talk about how we can help you improve your situation. Contact 414-759-9629 or Mike@ EdgeAdvise.com. #11-2012-11 Vanity Phone # for Sale 920-DENTIST Contact 561-654-1300 #10-2012-08 Escape from stress to Sanibel, FLA. Perfect for a family vacation, staff winter getaway or girls week in Florida! Discounted rates! Call 262-785-1499. #4-2 Protect Your Reputation. Potential patients (even referrals) Google you before they schedule.

1 negative review = average of 30 lost new patients. E-Book will show you what to do. Free at DDSReputationDefender.com. #02-2013-08

Advertising Index

Thank you for supporting the WDA Journal!

AFTCO....................................... 16 www.aftco.net Delta Dental................................ 19 www.deltadentalwi.com Edge Dental.. ............................... 15 www.edgeadvise.com Midwest Dental............................ 14 www.midwest-dental.com Officite....................................... 20 www.officite.com Paragon. . .................................... 14 www.paragon.us.com West Bend Mutual Insurance Co. . . .. 15 www.thesilverlining.com

February 2013

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Calendar

*

*Shaded events offer continuing education credits.

FEBRUARY

1 Give Kids A Smile® For more information, visit www.wda.org 7 “Airway Management” Richard Mason, AHA, ACLS, PACS and BLS instructor Two CE credits For more information, visit www.marquette.edu/dentistry

15 “What’s Instrumental to You?” Nancy Miller, RDH, BA Northeast Wisconsin Technical College, Green Bay Four CE credits For more information, visit https://corporatetraining.nwtc.edu 22-24 “Essentials of Dental Implantology” Implant Educators Rick Ferguson, DMD 48 CE credits (combined with Jan. 25-27 course) For more information, visit www.implanteducators.com

8 “Advanced Cardiac Life Support Recertification” Richard Mason, AHA, ACLS, PACS and BLS instructor Five CE credits For more information, visit www.marquette.edu/dentistry

MARCH

“Restorative Update 2013” John Burgess, DDS Six CE credits For more information, visit www.marquette.edu/dentistry 8-9 WDA Board of Trustees meeting Radisson Paper Valley Hotel Appleton For more information, visit www.wda.org 9 Mentor Program event Marquette University vs. DePaul men’s basketball game BMO Harris Bradley Center 2 p.m.

For more information, contact Susan John at sjohn@wda.org

1 “Dental Occupational Health & Safety Training” Nan Kosydar Dreves, RDH, MBA, CDA Northeast Wisconsin Technical College, Green Bay Four CE credits For more information, visit https://corporatetraining.nwtc.edu 6 Dentistry Examining Board 8:30 a.m.

1400 E. Washington Ave., Rm 121A Department of Safety and Professional Services, Madison

22 “Maximizing Dental Practice Efficiency from the Front Desk to the Back Door” Ms. Mary Govoni, RDH Three CE credits For more information, visit www.marquette.edu/dentistry 22 “Disease Updates for Dental Staff” Steven Zent, DDS, MD Northeast Wisconsin Technical College, Green Bay Three CE credits For more information, visit https://corporatetraining.nwtc.edu 23 Mentor Program CE event “Preparing Yourself to Evaluate and Treat Facial Pain” Kenneth Waliszewski, DDS, MS For more information, contact Susan John at sjohn@wda.org 27 WDA Legislative Day Monona Terrace Community and Convention Center Madison For more information, visit www.wda.org 29 WDA offices closed for Good Friday

APRIL

1 “Introduction to Laser Dentistry for Dental Hygienists” Angie Mott, RDH Northeast Wisconsin Technical College, Green Bay Three CE credits For more information, visit https://corporatetraining.nwtc.edu

10-17 WDA and MUSOD 7-night CE Western Caribbean cruise Ma’Lou C. Sabino, DDS Nine CE credits For more information, visit www.wda.org

13 Marquette University School of Dentistry Student Research Day For more information, visit www.marquette.edu/dentistry

WDA Legislative Day J March 27, 2013 Madison J Register online @ www.wda.org

21 “Surviving and Thriving in a Challenging Economy” Mary Govoni, RDH Three CE credits For more information, visit www.marquette.edu/dentistry

6 Smile Day Discovery World, Milwaukee Hosted by the Greater Milwaukee Dental Association Contact Dr. Chan Tran at chantran@hotmail.com or Dr. Russ Dunkel at dunkeldds@aol.com with questions

MAY

1 Dentistry Examining Board 8:30 a.m.

1400 E. Washington Ave., Rm 121A Department of Safety and Professional Services Madison 2-4 INSESSION WDA InSession Kalahari Resort & Convention Center Wisconsin Dells For more information, visit www.wda.org WISCONSIN DENTAL ASSOCIATION

Wisconsin’s Largest Dental Study Club

7&9 “Radiology for Dental Auxiliaries” Rod Daering, RTR; Sherry Ortiz, RTR; Vicki Romans, RTR Four CE credits For more information, visit www.marquette.edu/dentistry 27 WDA offices closed for Memorial Day

JUNE

21-22 WDA Board of Trustees meeting Landmark Resort Egg Harbor For more information, visit www.wda.org ––––––––––––––––––––––––––––––– Do you have an event you’d like to include in the WDA Journal Calendar of Events?

If so, please call WDA Managing Editor Emily Bultman at 414-755-4110 or 800-364-7646; fax to 414-755-4111 or email to ebultman@ wda.org.

Register and reserve hotel room for 2013 InSession May 2 - 4 2013

|

Kalahari Resort

Registration is now open for 2013 InSession – Wisconsin’s Largest Dental Study Club in Wisconsin Dells.

Visit http://bit.ly/UGyQtE to register.

Watch for the InSession Program Guide in the mail with complete information.

Call Kalahari Resort & Convention Center at 877-253-5466 to reserve your room and mention “Wisconsin Dental Association 2013” to receive our group rate.

Room reservation deadline is March 31, 2013.

WISCONSIN DENTAL ASSOCIATION

INSESSION Wisconsin’s Largest Dental Study Club

The WDA Journal is published monthly by the Wisconsin Dental Association (USPS 0285-460), 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. Phone 414-276-4520. Yearly subscriptions are $20 for WDA members; $100 for nonmembers; $25 for associate members; $30 for dental school students; $45 for dental schools and agencies and $125 for foreign mailings. Periodicals postage paid at Milwaukee, Wis. POSTMASTER: Send address changes to WDA Journal, 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. The Wisconsin Dental Association reserves the right to illustrate and/or edit all reader contributions.

Views expressed in the WDA Journal are not necessarily those of the WDA. All advertising in the WDA Journal must comply with the advertising standards of the WDA. The publication of an advertisement is not to be construed as an endorsement for approval by the WDA or any of its subsidiaries unless the advertisement specifically includes information that such approval or endorsement has been granted. The deadline for all display advertisements is the second Tuesday of the month, two months before advertisement insertion (For example, if you want your ad to appear in the April 2013 WDA Journal, which is mailed to members in mid-March 2013, all advertising materials must arrive in the WDA Executive Office by the second Tuesday of February 2013.) Advertising space is limited, so advertisers are encouraged to reserve space early. Back issues of the journal are available for six months following publication or while supplies last. Communications and copy for publication should be addressed to Dr. Robert Brennan, editor, and may be mailed to the WDA at 6737 W. Washington St., Ste. 2360, West Allis, WI 53214; faxed to 414-755-4111 or emailed to ebultman@wda.org. Portions of the WDA Journal can also be found on the WDA Web page, www.wda.org.

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February 2013 WDA.org

MUSOD continued from page 14

During the holidays, some internal remodeling projects were completed in the existing simulation laboratory in preparation for the “extreme makeover” they will receive as the space is expanded to make room for additional students.

The Advanced Care Clinic, which houses our Advanced Education in General Dentistry Residency Program and accommodates our emergency and special needs patients, was reconfigured in response to the need for a new loading dock. Changes to the dental storage area planned.

We are managing the expansion project and its impact on our educational and patient care programs quite well, in spite of the disruption of a construction site right outside the door.

While MUSOD was able to success-

fully raise sufficient funds to proceed with the construction, we will continue to solicit support for the project until completed.

We have an ongoing need to raise funds to support equipment and technology in the beautiful new space.

And, we all know a budget created in 2007 doesn’t always match the reality of the expenses of 2013.

So once again, thanks to the WDA for helping to get us to this point.

Updates will to be shared in future WDA communications as the project progresses.

Please continue your support as we “Build for the Future” to meet workforce demands and increase access to oral health for underserved patients.

Don’t forget to submit GKAS® photos Give Kids A Smile® program participants are invited to submit photos from local events held across Wisconsin.

GKAS® day is scheduled for Friday, Feb. 1 and events will continue throughout the month.

A parent or guardian must give permission for pictures to be taken of a child undergoing treatment at a GKAS® event.

The WDA general GKAS® waiver form includes photo consent.

Download a GKAS® waiver form at http://bit.ly/10fWZi4.

Photos will be featured online in the www.wda.org GKAS® photo gallery and in an upcoming issue of the WDA Journal.

Send digital photos to Emily Bultman at ebultman@wda.org.

Educate

Please identify individuals in the photo(s), where and when picture(s) were taken and who took photos.

Q&A

Case study continued from page 14

A:

1) a, b, c and d 2) c

Final Diagnosis: Irritation fibroma

Discussion Irritation fibroma, also known as focal fibrous hyperplasia, is a reactive lesion that occurs as a result of oral mucosal response to a chronic irritation or injury.

It is primarily found on the gingival tissue, lip, buccal mucosa and the border of the tongue.

The lesion is usually asymptomatic and is presented as a non-ulcerated polypoid mucosal mass. When the source of irritation is eliminated, the lesion usually becomes smaller but it will never regress. Histologically, the lesion is made of mature collagen fibers and fibroblasts.

Local excision and removal of the irritant is the treatment of choice.

Histological evaluation of the lesion would help to establish a definitive diagnosis.

Acknowledgement: This case was contributed by Dr. John Rydlewicz (Appleton), an oral surgeon.

Ezedin M. Sadeghi, DDS, MS Oral & Maxillofacial Pathologist Associate Professor, Marquette University School of Dentistry Referral and Consultation: 414-288-6559. Biopsy Service: 414805-8440.

WDA.org

February 2013

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Milwaukee Dental Hygiene Study Club celebrates 10 years

Contact Cristy Marsh, RDH, at 414-282-2642 or hygiene@premierperio.com for more information on the

Milwaukee Hygiene Study Club.

Emily Bultman WDA Communications Coordinator ebultman@wda.org

As medicine and technology continue to advance, dental hygienists play an even greater role in the overall health management of their patients.

With recent clinical studies showing a direct connection between an individual’s oral health and general health, there is an obvious need for hygienists to focus on continuing education.

The Milwaukee Dental Hygiene Study Club was created in 2003 to enhance the profession of dental hygiene and to continue quality patient care through group learning, networking, problem-solving and education.

After 10 years, the club continues to be a network for members as they achieve beneficial knowledge.

“Learning with and from one’s peers in a structured and supportive environment is the most effective way to master challenges posed by today’s dental profession,” Milwaukee Dental Hygiene Study

Club Coordinator Cristy Marsh, RDH, said.

As a result of Dr. Constantine Stamatelakys (Greenfield) participation in the renowned Seattle Study Club, he sought to bring this high-quality CE approach to Milwaukee.

In 1997, the Milwaukee Study Club was established for general dentists, specialists and dental lab technicians.

“After seeing how successful the study club was for dentists, I wanted to start a dental hygiene study club as an affiliate. It has been wonderful to see the club grow, while keeping the original commitment to enhancing the profession through group learning,” Dr. Stamatelakys said.

Today, the club has more than 50 members.

“We are excited about the enthusiastic response from the dental community and look forward to even more growth in the future,” Ms. Marsh said.

In addition to providing an interactive website for members, the group meets throughout the year at Carl’s Catering in Greendale, Wis. Each meeting qualifies for three or more CE credits, and features local and national renowned speakers who provide valuable insight and information for dental hygienists.

Members enjoy the camaraderie and networking opportunities afforded through our CE course meetings, where they interact in a non-intimidating manner with experts in the field and listen to the latest developments in dental hygiene.

“We focus on the needs of our members through feedback and suggestions,” she said.

Upcoming topics include, “What

the Dental Team Should Know About Dental Implants” and “Adapting Your Practice Techniques to Meet the Needs of Patients with Cognitive Challenges”.

For more information, contact Cristy Marsh, RDH, at 414-282-2642 or hygiene@premierperio.com.

WDA Dental Hygienist Membership: Surround yourself with success!

Research shows dental hygienists, like YOU, want to be more involved in your profession and help set the direction of future patient care.

The Wisconsin Dental Association believes dental hygienists should be involved and established a licensed dental hygienist membership category to provide them an opportunity to do so.

For more information, contact WDA Member Relations Coordinator Amy Landis at alandis@wda.org or 414-755-4126.

We invite hygienists to join the WDA, so together we become better advocates for patients.

Join today!

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