November 2014 WDA Journal

In Legislation

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

Fall/winter 2014 WDA Tongue ‘n’ Cheek ... and Teeth, too! patient newsletter inserted in this issue.

Learn more on page 16

NOVEMBER 2014 | Focus on: Trends in Dentistry

INSIDE THIS ISSUE

Buyer’s market: Trends in practice sales and acquisitions

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Emily Bultman, CDE WDA Communications Coordinator ebultman@wda.org

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Dealing with unsolicited merchandise ..................................... p. 6 WDA Pyramid of Pride award recipients ................................... p. 10

WDA Foundation golf outing raises $12,000 and awareness ................................... p. 11

The definition of a trend is a general direction in which something is developing or changing.

In dentistry, there are several emerging trends that may have significant effects on the profession.

To gain a better understanding, the Wisconsin Dental Association asked five practice transition consulting companies to provide a brief overview of what market trends they have recently seen.

Below are their responses:

AFTCO

One trend we continue to see in dentistry is the influence insurance companies’ have over where patients go for treatment. They manipulate the system and encourage dentists to give steep discounts from their usual and

customary fees plus an agreement not to bill the patients for the differential.

Policy holders should be paid for services provided and dentists should be able to bill patients at their fee schedule prices. Ironically, this could mean feefor-service patients would pay for their services and not help subsidize work done on other patients Dentists have all the power because they have the license, but they are out negotiated.

Dentists cannot collude with other dentists and make a planned and organized effort to take on insurance companies. However, independently they could withdraw from insurance plans if desired.

Another trend we see is large group dental offices gaining a stronger foothold in the future.

WDA grows with eight new members

The Wisconsin Dental Association advances the interests of its members and the dental profession by promoting professional excellence and quality oral health care for the public.

Mission Statement:

The Wisconsin Dental Association is pleased to welcome 8 new members to organized dentistry. These new members, their cities of practice and/or residence or components (if applicable) are: Dr. Luis Almeida, Milwaukee Greater Milwaukee Dental Association Dr. Tara Ferris, Manitowoc Manitowoc Calumet County Dental Society Dr. David Jadin, Appleton Outagamie County Dental Society

Dr. Laniel Razdolsky, Beloit Rock County Dental Society Dr. Kimberly Rybicki, Milwaukee Greater Milwaukee Dental Association Dr. Derek Schmidt, Waukesha Waukesha County Dental Society

Connect with us on WDA J ournal

is a publication of

Nondentists come into the organization and attempt to direct the dentistry with regard to profitability rather than with regard to the needs of the patient. It takes a strong individual to stand up to the organization and hold your ground against the source of your next paycheck.

Some dentists are not comfortable or equipped to be practice owners and have better lives working for someone else. At the same time, it is still their responsibility to ensure work is getting done and patients are cared for appropriately.

All the pieces are in place for dentists to govern what happens in this industry.

Maybe this is a like “boiling frog syndrome” when a frog is placed in pot of lukewarm water and the heat is gradually turned up. continued on page 8

Highlight

Dr. Jennifer Sinnen, Milwaukee Greater Milwaukee Dental Association Dr. Matthew Welch, Merrill Central Wisconsin Dental Society

WDA member and pediatric dentist Dr. Heidi Eggers-Ulve (Green Bay) was a guest on WFRV-TV’s “Local 5 Live” on Aug. 27, 2014. Dr. Eggers-Ulve shared information about why baby teeth matter and the impact dental disease can have on a child’s emotional and physical well-being and educational development.

and visit us online @ WDA.org

W isconsin D ental A ssociation , I nc .

NOVEMBER 2014 • Volume 90, No. 11

One person can make all the difference For many years, I took my Wisconsin Dental Association membership for granted. I was among those who let others do the work, being content devoting myself to my practice and my family.

However, a time came when things started to change. Attendance at local dental meetings had begun to falter and soon only a select few were running my component. They were willing to make decisions and most members were willing to let them.

I complained things were better in the past when members got together for dinner, invited a speaker, jointly elected officers, decided on dues and what our year’s focus would be.

My complaints spurred former WDA Trustee Dr. Francesca DeRose (Racine) to tell me there was an open spot on a WDA committee. Up until this point, I had served as component officer and WDA delegate for many years, but I wanted to give someone else an opportunity to serve.

I was invited to join the WDA Legislative Committee and I attended my first meeting in Madison, where I was welcomed by WDA Director of Government Services Mara Brooks and other committee members.

My legislative education began at that meeting where I learned how much our profession is governed by legislators who have little inside information on dentistry.

I also read a state legislator’s comments in the newspaper about how greedy dentists had become. I knew better.

Many years of local participation treating Medicaid patients, conducting school dental exams, fitting mouth guards for

student athletes and participating in other charitable events told me I needed to do more to correct the impression these comments generated.

I made it my mission to get to know my state representatives and senator, visit them in Madison after meetings and on WDA Legislative Day and invite them to my office to discuss dental issues.

I was soon joined in these efforts by Drs. Sue Cable (Kenosha), Lyndsay Knoell (Racine), Francesca DeRose (Racine) and Nicolet DeRose (Racine).

Dr. Francesca DeRose set up a local legislative dinner meeting with the Kenosha and Burlington dental societies. Between these annual meetings and Legislative Day, we scheduled office fundraisers for the legislators and encouraged local dentists to donate a combined $1,000 for each event.

At the time, the Racine and Kenosha areas were heavily Democratic and Wisconsin had a Democratic governor, but other state areas were heavily Republican.

I understood we needed to get favorable votes from those in both parties.

Our fundraisers provided the opportunity to educate local office holders while offering campaign donations. These meetings focused only on dental issues. We also found dentists contributing directly to candidates and asked them to pass it through the Wisconsin Dental Political Action Committee’s Direct Giver program.

We stumbled along the way, feeling we

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ADVOCATE were getting nowhere with one party so we decided to ramp up efforts with the other party.

This didn’t work and the lesson learned is to support those in power, whichever party, but be sure both sides see some support for their candidates.

I began to attend my congressman’s listening sessions, but found these to be unfocused. When the opportunity arose I volunteered to attend the American Dental Association’s Washington Leadership Conference and spent time speaking to my congressman and his staff.

I encourage all WDA members to review the WDA legislative priorities (printed in the WDA Sourcebook and posted on WDA.org) and find a colleague willing to discuss the issues.

Also, take the time to meet with local legislators to discuss these issues and contribute through WIDPAC to them.

Combine with other components to sponsor a dinner in their honor and visit Madison on Legislative Day. Generally, legislators want to do the right thing, but don’t know what will work best for their constituents.

Emphasize how local dental offices provide jobs in the community, maintain the oral health of the community and volunteer time and financial support to many community activities.

Own Your Smile campaign response Jan. 1 - Sept. 30, 2014 • WDA office: 184 public inquiries (calls, emails) • YouTube views of TV spots o “No Insurance Required”: 1,383 o “Today”: 973 • Unique views on WDA.org: Own Your Smile public page: 2,503 • Find A Dentist on public ADA MouthHealthy.org o 7,668 Wisconsin ZIP code searches o 539 percent increase (estimated 1,200 searches in all of 2013) • WDA Find A Dentist profiles o 2,245 WDA dentists o 882 WDA dentists or 36.6 percent with enhanced profiles (15 percent national average) Need to enhance your FREE Find A Dentist profile?

Log in to the ADA.org Member Center: www.ada.org/en/ member-center

Ned Murphy, DDS WDA Southeast Region 4 Trustee n_murphy@ameritech.net

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November 2014 WDA.org

WDA Board proposes 50 percent reduction in special assessment Carol Weber, APR WDA Director of Communications and Marketing cweber@wda.org

Citing a “great year in the stock market”, the Wisconsin Dental Association Board of Trustees is sending a resolution to the House of Delegates calling for a 50 percent reduction in the special public awareness campaign assessment to $120 for active members (prorated by dues category). Capital reserves would be tapped to make up the estimated $400,000 $500,000 difference through 2016.

In 2013, the WDA House approved a three-year (2014 - 2016) special assessment to supplement the annual budget for an expanded oral health literacy, public awareness campaign.

The Own Your Smile or OYS campaign kicked off last January with two

goals: motivate adults statewide to make good oral health a priority and increase the number of individuals seeking affordable, preventive care in WDA member dentists’ practices.

In a separate resolution, the Board is recommending no increase in 2015 WDA dues (see box).

The Board is also forwarding to the House a Finance Committee resolution that, if approved, will “sunset” WDA staff support for Give Kids A Smile®.

Components and individual dental practices are welcome to continue their GKAS® outreach activities which are often held on the first Friday of February during National Children’s Dental

Health Month.

Three of 17 initiatives on the proposed legislative priority listing for the 2015-16 session are recommended at high priority.

If approved by the House, the WDA will actively pursue meetings and necessary activities to: 1. Advance the concept of a self-funded Direct Reimbursement plan for state of Wisconsin employees beginning in 2016 2. Initiate a multi-county Medicaid pilot project that would test fair-market, dental reimbursement as a way of reducing barriers to care 3. Create a more meaningful state loan forgiveness or grant program for dentists

who work in underserved areas or see low-income patients; WDA is interested in working with Marquette University School of Dentistry on new “rural track” program to provide funding and targeted training for dental students who commit in their first year to practicing in a rural or underserved area after graduation.

The Board is also proposing a new medium legislative priority that calls for implementation of an exam not involving patients as another option for obtaining a Wisconsin dental license.

Specifically, the WDA would encourage the Dentistry Examining Board to accept the National Dental Examining Board of Canada’s Objective Structured Clinical continued on page 5

“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 WDA.org website and accessed monthly via WDA Executive Director’s Update e-newsletter. For more information visit WDA.org or call the WDA Legislative Office at 608-250-3442.

Updated information is highlighted.

The Issue

Current Buzz

WDA Actions

Next Steps

Dental Medicaid pilot project to test fair-market rate reimbursement for children’s and adult emergency (limited type) services in several counties across the state.

State Rep. Gary Tauchen (R-Bonduel) previously approached WDA about serving as lead for dental MA pilot legislation.

State Rep. Tauchen and his staff have met several times with the WDA lobby team and other legislators to identify potential counties with an eye on geographic distribution and bipartisan balance.

Draft bill expected in early October; Rep. Tauchen will submit to Legislative Fiscal Bureau for estimated costs of raising MA reimbursement for emergency services (children and adults) to the 50th and 75th percentiles of the American Dental Association fee survey.

Leaders of the legislative and executive branches have expressed a willingness to consider the MA pilot, but say it depends on state finances at budget time.

WDA staff gathered national and statewide data around the questions of access to care and market-rate reimbursement; findings submitted to state Rep. Tauchen’s office for consideration.

WDA staff have met at least four times with state Rep. Tauchen and/or members of his legislative staff.

The WDA Legislative Advocacy Committee welcomed state Rep. Tauchen to its Oct. 1 meeting in Madison and heard more about his plans to move this issue forward in the next legislative session.

Planned closing of Meriter Hospital’s Max Pohle Dental Clinic in Madison in June 2015.

Patients with developmental disabilities or other conditions requiring dental treatment under general anesthetic in an operating room are expected to be impacted the most.

Meriter-UnityPoint Health announced in late August its intent to close Meriter Hospital’s Max W. Pohle Dental Clinic in June 2015 citing $600,000 in annual losses associated with treating special needs patients in the operating room. To help soften the blow of the clinic closure, the hospital intends to give $1 million to Access Community Health Centers so it can expand its dental services. Read Wisconsin State Journal story at http://bit.ly/ZqLGnw. A coalition of parents/caregivers of individuals with special needs, advocacy groups for this population, Greater Dane Dental Society members who volunteer at Max Pohle clinic and WDA staff and lobbyists (ADA State Public Affairs grant dollars tapped), are working to raise public and lawmaker awareness of this pending dental access crisis.

WDA staff, lobbyists and member dentists are working closely with the special needs dental coalition to develop and implement political advocacy and public awareness plans.

On the group’s behalf, WDA representatives have reached out to various sources seeking data on MA-special needs hospital utilization and costs. The coalition agrees data is needed to first clearly identify the problem before multiple solutions can be debated and pursued.

This issue coalition had a second meeting scheduled for Oct. 1. A letter to the editor of the Wisconsin State Journal was being drafted at journal deadline time.

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.

Effective Feb. 1, 2013, Wisconsin’s optimal level of fluoride is 0.7 mg/L. The Centers for Disease Control and Prevention recognizes community water fluoridation as one of the 10 greatest public health achievements of the 20th century.

Fluoride activity (Keep; Remove; Watch) continues across Wisconsin in 2014: • Evansville (Rock County) W • Green Bay (Brown County) W • Merrill (Lincoln County) W • Madison (Dane) W • Monroe (Green County) W • Neenah (Winnebago County) W • Shell Lake (Washburn County) R • Sun Prairie (Dane County) K • Watertown (Jefferson County) W Wisconsin Oral Health Coalition members asked to help American Dental Association educate U.S. Congress on oral health benefits of CWF due to anti-fluoridation group’s lobbying efforts in D.C.

The WDA works with Children’s Health Alliance of Wisconsin, DPH, DNR, Wisconsin Oral Health Coalition and Wisconsin Dental Hygienists Association on implementing a “rapid response process” and promoting public education in communities with fluoridation challenge.

WDA staff Erika Valadez notifies local member dentists and dental hygienists in communities facing challenges to CWF to provide educational materials to officials and residents as needed.

Dentist and dental hygienist members are invited to join in the WDA Facebook and Twitter discussion on Fluoride Fridays.

Members facing fluoride challenges in their communities or who would like to have their local water supplies fluoridated should contact Erika Valadez (evaladez@wda.org) for WDA assistance.

Legislative-related meetings 2014 • Dentistry Examining Board: Nov. 5; meetings held at Department of Safety and Professional Services, 1400 E. Washington Ave., room 121A, Madison; start promptly at 8:30 a.m.

2015 • Dentistry Examining Board: Jan. 7, March 4 , May 6 , July 1 , Sept. 2, Nov. 4; meetings held at Department of Safety and Professional Services, 1400 E. Washington Ave., room 121A, Madison; start promptly at 8:30 a.m.

• Feb. 11 - WDA Dental Academy; 9 - 11 a.m., Hilton Hotel, Madison; for more information, contact Mara Brooks (mbrooks@wda.org or 888-538-8932).

• March 18 - WDA Legislative Day; 8:30 a.m. - 1:30 p.m.; Monona Terrace Convention Center, Madison; to register, contact Dana Ponce (dponce@wda.org or 888-538-8932).

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Messages

Julio Rodriguez, DDS WDA President jrodriguez@wda.org

Ready for the silver tsunami?

L

ike the rest of the country, our patient population in Wisconsin is increasingly getting older.

The aging population is also keeping their natural teeth longer.

Both of these trends will have a major impact on the organization and delivery of oral health care going forward.

As the former chair of the Green County Health Department Advisory Board, I participated in several health coalition meetings where I learned firsthand the tribulations older people living in nursing homes and other facilities have accessing dental care.

A majority of the elderly population receive Medicare or Medicaid insurance benefits. Unfortunately, these programs offer limited coverage for their oral health care needs.

Are you prepared to treat older patients in your practice? How about individuals with disabilities, whether they are physical or cognitive? Have you treated residents from a nursing home lately?

As far as I know, the only clinic with the ability and capacity to treat elderly and disabled patients is Meriter Hospital’s Max W. Pohle Dental Clinic in Madison.

However, it was recently announced this facility will close in summer 2015 and discontinue 35 years of ministry

treating the most vulnerable of patients.

The aging crisis needs to be addressed as it will only get worse in the coming years.

of them will need to rely on social programs or may have no programs at all to take care of their dental needs as they attempt to maintain optimal oral conditions.

This becomes more difficult when previous insurance coverage is terminated once they reach retirement age and a myriad of medical and dental conditions compound the problem.

We all can imagine horror stories when we think of difficulties we will have to overcome to take care of our aging patient population. However, I am not sure we even know how to address the problem.

This is one of the main reasons that as WDA president, I have taken the initiative to appoint a task force to study this impending problem and to try and determine the extent of the crisis, as well as what type of action is necessary to find a proper solution to this looming challenge.

Figuring out effective ways to treat older and disabled patients is no doubt a large undertaking, but I am convinced by working together the WDA can help find the right solution.

Smile at an older patient tomorrow, they will appreciate it; spend some extra time with him or her chair side, they need the human contact just as much as your expertise.

Figuring out effective ways to treat older and disabled patients is no doubt a large undertaking, but I am convinced by working together the WDA can help find the right solution.

Dentists and dental professionals need to be ready and prepared to understand the needs of this population segment. We need to create solutions for their access to care, as their needs are very different from other patients.

Today’s older adult patient is entirely dissimilar from an elder patient 20-30 years ago. As a result of our efforts in prevention, community water fluoridation and skillful dental treatment, older people are keeping most of their teeth and getting more complex dental procedures (e.g., implants, sophisticated prosthetic appliances).

As this population reaches the sunset of their life, some

Robert Brennan, DDS, WDA Editor rbrennan@wda.org

In the end...we’re all dentists

T

he focus of this month’s WDA Journal is “Trends in Dentistry”. In the last 40 years, I have seen major changes in clinical dentistry with the development of new materials, instruments and techniques.

Naturally, we will continue to see more of that but the trends that will affect how we practice the most have nothing to do with new materials or techniques.

There are three trends I think will affect how we practice dentistry in the future.

The first is an economic trend. There continues to be a major shift in our economy from well-paying, stable, full-time manufacturing jobs providing dental benefits to lower-paying service or retail jobs that often are parttime or temporary and provide no dental benefits.

We have already seen the results of this economic trend with decreased patient visits, decreased dental spending and decreased dental incomes. I expect that trend to continue in the future.

The second major trend is pressure from outside groups, the government and insurance companies to change how dental care is delivered and reimbursed.

There will continue to be an expansion of the Federally Qualified Health Centers. Pew Charitable Trusts and the W.K. Kellogg Foundation will continue to advocate for new, lesser-trained providers of dental care.

Editorial Advisory Board WDA Editor Robert Brennan, DDS, Neenah 920-725-0551 • rbrennan@new.rr.com Robert Darling, DDS, Sheboygan 920-457-1717 • rdarling@midwest-dental.com Ellyn English, DDS, La Crosse 608-775-2696 • ellynmenglish@gmail.com Glenn Gequillana, DDS, Milwaukee 414-649-3510 • nicjenglen@msn.com Gene Shoemaker, DDS, Waukesha 262-542-0431 • gopackshoe@aol.com

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But, the third trend is the one I think will have the most affect on how we practice in the future. It is the accelerating shift from dentists owning their own practices to dentists working as employees.

The WDA needs to find ways to be relevant to all dentists - no matter what the practice situation. Remember, in the end, we’re all still dentists.

This trend is nothing new in health care. As government, health insurance companies and outside groups became more involved in health care, we’ve seen major changes in how that care is provided. The day of the individual physician owning his/her own practice is all but gone. Most of them are now employees of a hospital, a large clinic or a health care organization.

My dad was a pharmacist who owned his own drugstore. Today, that is almost nonexistent. National chains and retail store pharmacies have mostly replaced the small, local drugstore. Most pharmacists are

Submitting

employees rather than owners.

Optometry is also moving in this same direction, from small independent businesses to large corporations or retail store clinics where the optometrists are employees.

I see nothing to indicate that dentistry will be different. It is occurring later for us than some of the other groups, but the trend is evident.

Fighting the trend is not going to stop them. Whether the trend is good or bad is not the point either. It is happening and we are going to have to adapt. This is especially true for the Wisconsin Dental Association.

Before you can change, you have to be aware of the trends; this is where the WDA is in a good position.

Your leadership is aware of the trends, has been discussing them and strategizing the future direction of your association.

As the WDA moves forward, don’t think it is abandoning solo, private practitioners. They are still a large part of the group we represent. But, we need to start changing now, so we can help all dentists as different practice situations evolve.

The WDA needs to find ways to be relevant to all dentists - no matter what the practice situation.

Remember, in the end, we’re all still dentists.

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 be 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.

November 2014 WDA.org

In other actions, the Board approved Executive Director Mark Paget’s recommendation that a new Membership Development Committee be created. It would have four work groups to tackle: recruitment and retention; new dentist involvement; membership dues structure; and leadership development.

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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 Julio Rodriguez, DDS, Brodhead 608-897-8645 • jrodriguez@wda.org President-Elect Paul Levine, DDS, Milwaukee 414-355-0213 • plevine@wda.org Vice President Ryan Braden, DDS, Lake Geneva 262-248-0120 • rbraden@wda.org Past-President Timothy Durtsche, DDS, La Crosse 608-784-7319 • tdurtsche@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/Secretary Mark Paget, West Allis 414-755-4100 • mpaget@wda.org

Board continued from page 2

Examination which is often referred to as OSCE. The resolutions highlighted here and others related to bylaws, the 2015 budget and leadership development will be brought before the 144th WDA House of Delegates when it convenes Nov. 13 and 15 at the Wisconsin Center in Milwaukee.

In other actions, the Board approved Executive Director Mark Paget’s recommendation that a new Membership Development Committee be created. It would have four work groups to tackle: recruitment and retention; new dentist involvement; membership dues structure; and leadership development.

Non-dues revenue WDA Insurance and Services Corp.

President Mara Roberts reported the recent endorsement of Association Gloves saw a 21 percent increase in revenue over the second quarter. Central

Data Storage, offered by The Dental Record and endorsed by the American Dental Association, is 22 percent ahead of budget year-to-date.

The for-profit subsidiaries are on track to provide $465,500 in sponsorships and royalty payments to the WDA in 2014.

New task forces Volunteers will soon be recruited for a task force charged with reviewing current WDA governance structure and making recommendations for streamlining decision making and reducing related administrative costs across the state dental association.

A second new task force will focus on improving the oral health of patients with special needs and the elderly in Wisconsin. This group is to be chaired by the immediate past-president, beginning with Dr. Timothy Durtsche (La Crosse).

Proposed 2015 WDA membership dues Active (prorated for first, second, third and fourth year out of dental school)...............................$845* Practicing life.......................$634* Full-time faculty/public health .............................................$211 Retired....................................$125 Enrollees in advanced training programs.................$30 Affiliate/nonresident...............$75 Dental hygienist.......................$75 Associate..................................$20 *The proposed reduced special assessment is in addition to these amounts

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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 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 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 Region 4 Southeast Edward Chiera, DDS, Beloit 608-362-5712 • echiera@wda.org Cliff Hartmann, DDS, Greenfield 414-543-4700 • chartmann@wda.org Ned Murphy, DDS, Racine 262-886-9440 • n_murphy@ameritech.net

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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 Rosa Barnes Marquette University School of Dentistry rbarnes@wda.org Speaker of the House Richard Lofthouse, DDS, Fennimore 608-822-3770 • rloft1@tds.net ADA 9th District Trustee Gary Jeffers, DDS, Northview, Mich.

313-494-6678 • jeffersg@ada.org

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BUSINESS of Dentistry Earn CE credits and experience summer soltice in Alaska

Dealing with unsolicited merchandise Steven R. Battenberg JD of Michael, Best and Friedrich, LLP

Have you or your practice received merchandise through the mail that you or your staff did not order? Then, a short time later, did you receive a bill for the merchandise?

Certain companies may engage in the aggressive (and illegal) business practice of Steven R. Battenberg sending unsolicited merchandise and then attempting to bill and collect for it. This practice violates both federal and Wisconsin state law.

The following addresses some of the more common questions and answers regarding unsolicited merchandise.

efforts), but it may also help to clean up an honest error. Send your letter by certified mail; keep the return receipt and a copy of the letter for your records. (A draft letter that you may use is included at the end of this Q&A.) Q. What should I do if the seller continues to contact me and/ or threatens to contact a collection agency for payment?

A. You may contact your nearest federal postal inspector or the Wisconsin Department of Agriculture, Trade and Consumer Protection at 608-224-5012.

Q. What should I do if the unordered merchandise I received was the result of an honest shipping error?

A. Again, you have no obligation to return the product and you may keep it for free. However, if the merchandise

Q. Do I need to return or pay for merchandise I never ordered?

A. No. If you receive merchandise that you did not order, you have a legal right to keep it as a free gift (39 USC Section 3009; Wis. Stats. 241.28).

Q. Do I need to contact the seller of such merchandise and tell them of my intentions?

A. No. You have no legal obligation to contact the seller. However, it is generally a good idea to write a letter to the seller stating that you did not order the item and, therefore, you have a legal right to keep it for free. You may also wish to put the seller on notice that further efforts to collect payment from you will be reported to federal and state authorities. Such a letter may not only discourage a seller from further contact with you (and further collection

WDA Journal

Q. Is there any merchandise that may be sent legally without my consent?

A. Yes. Two types of merchandise may be legally sent to you without your consent: • Free samples that are clearly marked as free.

• Merchandise from charitable organizations asking for contributions.

Lani Becker, CAE WDA Director of Membership, Meetings and Strategic Initiatives lbecker@wda.org

In either event, you may keep such merchandise as free gifts.

A sample letter for responding to unsolicited material on your practice letterhead follows here: [Date] VIA CERTIFIED/RETURN RECEIPT [Vendor] [Address] Re: Account # Dear Sir/Madam:

was received as a result of an honest shipping error, it may be a good idea to offer to return the merchandise, provided the seller pays for postage and handling. Give the seller a specific and reasonable amount of time to pick up the merchandise or arrange to have it

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shipped back to the seller at no expense to you.

We have received an unsolicited shipment of ____________ with the enclosed invoice for payment. We have checked our records and have determined that we neither ordered nor consented to the shipment of this material to us. Under 39 U.S.C. 3009and Wis. Stats. 241.28, we are under no obligation to pay for such merchandise or to return it to you.

Please remove any charges from our account and remove us from your mailing list. If you persist in collection efforts, we will contact the appropriate federal and state authorities.

Sincerely, ____________________

Join the Wisconsin Dental Association and Marquette University School of Dentistry for a seven-day, continuing education Alaskan cruise aboard Holland America’s Oosterdam.

The ship will leave Vancouver, British Columbia on June 21, 2015 and make its way to Seward, Alaska (three hours from Anchorage). While at sea, attendees have the opportunity to earn nine CE credits by attending the “Beauty and the Beast” program.

This two-part course will be tag-teamed by nationally-recognized, esthetic lecturer Dr. Corky Willhite and WDA member Dr. Mark Huberty (Sheboygan).

The “Beauty” portion focuses on “Transitional Bonding: Non-traditional Composite Restorations for Major Occlusal and Esthetic Changes Composite”.

Dr. Willhite, who has achieved fellowship in the Academy of General Dentistry and the American College of Dentists, will show how this practical technique offers many advantages over traditional composite or porcelain restorations and requires virtually no prep – even for smile make-overs and full-mouth rehabilitation cases.

Patients, including those needing extensive changes for function and esthetics, love conservative treatment, whether for financial reasons or because they don’t want their teeth “drilled down”. This course will help any doctor master their composite bonding skills.

Dr. Willhite is one of only 50 fellows of the American Academy of Cosmetic Dentistry. He is also a faculty member of the Center for Esthetic Excellence in Chicago and conducted postgraduate esthetic programs for the University of Rochester’s Eastman Dental Center and the University of Minnesota.

His private practice, The Smile Design Center, is outside of New Orleans and is limited to cosmetic dentistry.

The “Beast” portion is called “Do You Know What’s Lurking Behind the Veneer?”.

A patient may be provided with a functional and esthetic looking smile, but accurately diagnosing common problems encountered behind the veneer is another thing.

Dr. Huberty’s portion of the course will help identify what to look for, give insight into potential joint issues and expand treatment planning options thus giving more predictable treatment results.

Dr. Huberty has achieved mastership in the AGD, and maintains fellowships in the ACD and the International College of Dentistry. He has presented for the WDA, the WDA-MUSOD-Pierre Fauchard Mentor Program and local dental societies throughout Wisconsin.

He has a general dental practice in Sheboygan, but focuses on complex muscle, joint and tooth problems.

Staterooms start at $1,429 per person.

If booked by Nov. 17, 2014, dentists save $100 and dental team member save $50 on course registration fees.

Visit www.specialeventcruises.com or call 800-326-0373 for complete details.

November 2014 WDA.org

Key

• You don’t have to pay for merchandise you didn’t order.

• OSHA is pertains to employee safety and is disciplinary, complaint driven; while the CDC is about patient safety and is research-driven.

• Earn nine CE credits during the MUSOD/WDA Alaskan cruise in June 2015; visit wda.org for more information.

takeaways...

OSHA requirements vs.

CDC recommendations Nan Kosydar Dreves, RDH, MBA WDA dental hygiene member and president of Professional Health Horizons ndreves@hhorizons.com

Occupational Safety and Health Administration requirements are regulations created by the federal government to protect workers’ safety. Regulations created for dentistry are meant to protect dental health care professionals from bloodborne pathogens and other chemicals.

OSHA is a disciplinary agency to whom employees can and do complain to if they feel their work environment is not safe.

Nan Kosydar Dreves Not providing employees proper personal protective equipment (i.e., gloves, masks and body clothing) can be considered a willful violation (meaning the owner knows it is wrong or should have known). Business owners could be inspected, fined and/or if egregious enough – shut down.

Other examples of OSHA regulations, include hepatitis B vaccinations available to all workers with occupational exposure, training on bloodborne pathogen standard, post-exposure evaluation and follow-up to workers experiencing a significant exposure/injury.

It is important to remember OSHA is regarding employee safety, not patient safety and it is disciplinary, complaint-driven.

R ecommended

The Centers for Disease Control and Prevention is a component of the U.S. Department of Health and Human Services. Its mission is to detect, research and respond to emerging health threats, most recently Ebola.

The CDC promotes safe, healthy behaviors and uses science to track diseases. Dental licensing boards also use these recommendations as the standard of care for infection control.

Recommendations include safety glasses on dental patients where splashing and splattering may occur, critical instruments sterilized between patients, hands washed when gloves are removed and steam sterilizers spore tested weekly.

Patient safety, not employee safety, is

key for the CDC which is researchdriven, not disciplinary.

Dental offices must comply with OSHA and the CDC. However, a dentist who is not employed at a large group/corporate – either their own (e.g., LLC, PC SC) or someone else’s is exempt from OSHA. However, the clinical team still must comply. This loophole for dentists is not encouraged, as this role is important for overall compliance.

Watch for these upcoming topics: Nov. 25 Business Managment: Preventing Employee Theft Dec. 16 Risk Management: Crown and Bridge

Sources: osha.gov, cdc.gov, osap.org and ada.org Editor’s Note: Frequently asked OSHA/CDC compliance questions and answers will run in the WDA Journal on a periodic basis. These FAQS will also be posted under the Regulatory section on the Business of Dentistry page on WDA.org.

Visit http://bit.ly/1kL13Pl to access the full video library.

Free online CE

Dental office OSHA citations

The Colgate Oral Health Network for Professional Education and Development offers free continuing education in the form of webinars and online courses.

The courses are designed for oral health professionals, but are open to all who are interested in learning the latest evidence-based information and practices.

Register at http://bit.ly/1uS sv3y.

The following OSHA citations* were issued in Wisconsin last year: • 45 bloodborne pathogens • 23 hazard communication • 4 maintenance, safeguards and exit routes • 5 wiring methods • 3 fire extinguishers • 2 compressed gas • 2 eye/face protection • misc., e.g. asbestos and emergency plan Total of 54 offices were cited in 2013. *More than one citation can occur in any one office.

Source: OSHA citations - Milwaukee Area Office

products , programs and services

Your association did the research...you reap the benefits!

INSURANCE

PRACTICE MANAGEMENT AMO - Association Members Only (office supplies) 800-420-6421 | www.goamo.com

Professional Liability and Office Protection Group Life, Short and Long-Term Disability Group and Individual Health Insurance Individual Life Individual Disability Worker’s Compensation Homeowners and Auto Insurance Long-Term Care Insurance Medicare Supplement Programs Personal Umbrella Insurance Direct Reimbursement Section 125 Plans POP and NESP Plans ERISA and COBRA Compliance Advanced Planning Services To take advantage of these quality plans and their high-level benefits geared to the special needs of Wisconsin’s dental community, call 800-242-9077, send email to info@insuranceformembers.net or visit www.insuranceformembers.com.

WDA.org

Association Gloves 877-484-6149 www.wdagloves.com Central Data Storage (online data backup and recovery) 800-243-4675 www.dentalrecord.com/centraldatastorage The Dental Record (patient records) DentForms by MedicTalk (electronic forms) 800-243-4675 www.dentalrecord.com HealthFirst (amalgam separators) 800-3331-1984 www.healthfirst.com InTouch Practice Communications (custom on-hold advertising and appointment reminder system) 877-493-9003 www.intouchdental.com

LB Medwaste Services (medical waste) 715-842-2048 www.lbmedwaste.com Officite (websites) 888-738-8834 www.officite.com/wda The Omnia Group (pre-employment testing and background checks) 800-525-7117 | www.omniagroup.net The QTI Group (human resources) 888-575-3273 www.qtigroup.com Scientific Metals (metal refining) 888-949-0008 www.scientificmetals.com/wda UPS (shipping) 800-members (800-636-2377) savewithups.com/ada

FINANCIAL SERVICES ADA Visa Card from U.S. Bank (credit card) 888-327-2265 x94225 www.usbank.com/ADA94225

AMP Wealth Management (401k Plans, and Personal Wealth Management) 414-332-1011 | www.ampinvestment.com CareCredit (patient financing) 800-800-5110 www.carecredit.com/ada Chase Paymentech (credit card processing) 800-618-1666 www.bestpaymentprocessing.com/ada Transworld Systems Inc. (credit and collections) 608-276-8307 web.transworldsystems.com/Madison U.S. Bank Practice Finance (practice and commercial real estate financing) 414-765-5498 www.usbank.com/smallbusiness/practice-finance

OTHER SMALL-BUSINESS PRODUCTS Mercedes-Benz (auto) 866-628-7232 www.ada.org/mercedes Lands’ End (staff apparel) 800-990-5407 www.ada.org/4270.aspx or ces.landsend.com/ADA

November 2014

WDA Journal

7

Focus on: Trends in dentistry

INSESSION REMINDERS...

• WDA hotel rates at Hilton Milwaukee and Milwaukee Hyatt expire Oct. 29: http://bit.ly/1rpmRzR • CE handouts available from Oct. 30 through Dec. 1 at: http://bit.ly/ZCy2OJ • Fax (414-0276-8431 or 800-864-2997) or mail preregistrations to WDA West Allis office by Nov. 10 for discounted rate. Download form http://bit.ly/1oLhaii • Save time, money when you register online by midnight Nov. 12: http://bit.lhy/VP7Xaz

Register online today!

Nov. 13-15, 2014 Wisconsin Center, Milwaukee

WISCONSIN DENTAL ASSOCIATION

INSESSION Wisconsin’s Largest Dental Study Club

Exploring dental trends through CE and exhibits Carol Weber, APR WDA Director of Communications and Marketing cweber@wda.org

Explore the latest in treatment procedures and business management during continuing education courses and then visit the exhibit hall to examine (and purchase!) the products and materials needed for successful integration of new knowledge into your dental practice at the Wisconsin Dental Association’s InSession - Wisconsin’s Largest Dental Study Club, Nov. 13 - 15 at The Wisconsin Center in Milwaukee.

Here are just a few examples of how the upcoming WDA InSession can be your one-stop shop for what’s trending in today’s dental profession.

Trend

Continuing Education

Course #

Exhibit Hall (Nov. 13 & 14)

Antioxidants & oral cancer

“Integration of Antioxidant Arsenals and Oral Cancer Screenings - Are You There Yet?”

103

OraPharma

Composite resins, implants

“Everyday Composite Resins and Immediate Placement and Provisionalization of Implants” “Ridge Preservation for Esthetics, Prosthetics and Implant Placement” “Methods for Implant Temporization; Helping the Tissue and the Surgeon”

108 126 ILS 201a, 201p

Centrix Inc., Dentsply International Lord’s Dental Studio, PJ’s Dental Lab

Endodontics

“Full Circle Endodontics” “The Meat and Potatoes of Endodontic Treatment...”

116 127

Brasseler USA, Dentsply Tulsa, Komet USA

Esthetics

“The Ultimate Esthetics Course” “Transitional Bonding” “Adding Incisal Length for Function and Esthetics”

110 120 125

COSMEDENT INC.

Financial management

“Get Your ‘Ask’ in Gear - Healthcare Collection Training” “Brush Up on Buying and Selling a Dental Practice” “Maximizing Your Financial Position throughout Your Career...”

112 ILS 207a, 207p ILS 209a, 209p

AFTCO, Dental Practice Advisors, Edge Advisors, PARAGON Dental Practice Transitions, Schenck SC - Health Service Team

Lasers & CAD/CAM

“Introducing and Illuminating Lasers & CAD/CAM”

117A, 117B

Henry Schein Dental, Patterson Dental

Oral hygiene

“Hormones, Heart, Health and Hygiene”

129

Colgate, Johnson & Johnson, Procter & Gamble/Crest Oral B, Tess Oral Health

Periodontal diagnosis, treatment planning and surgery

“Introduction to Periodontal Surgery” “Contemporary Clinical Periodontics in 2014” “Think Outside the Mouth - Treatment Planning for Nonsurgical Periodontal Treatment” “Periodontal Surgery: Flap, Crown, Lengthening and Mucogingival Surgery for Augmentation of Keratinized Gingiva” “Soft Tissue Grafting and Periodontal Plastic Surgery”

102 109 111 122

Hu-Friedy

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #317

Dental trends continued from page 1

Are dentists gradually relinquishing parts of their industry. Is this the right thing to do? Will there come a tipping point when dentists will use the power of the dental license and take back the dental industry?

Dental Practice Advisors

Dentistry has been and will always be one of the greatest professions in terms of personal fulfillment and financial reward. Like other industries, dentistry is shaped by trends. Whether these trends are viewed as positive or negative, their impact needs to be understood and addressed.

From a clinical standpoint, advances in systemic health, technology and materials have dramatically improved patient care.

The business side of dentistry has been largely unaffected by major influences until relatively recently.

The influence of insurance plans, growing large group/corporate dental activity and the recession’s effect on consumer behavior have begun to impact how dentists conduct their businesses. If not careful, dentists may inadvertently allow this to change their relationships with patients.

Large group/corporate operations come in many shapes and sizes. Taken as a whole, they are beginning to drive up practice values in certain areas and reduce the pool of younger doctors available to purchase independent practices. They actively market, provide solid training and are improving doctor retention.

They offer legitimate career options for those who desire a certain type of

ILS 202a, 202p

work-life balance.

The long-term impact remains to be seen, but in the short-term this limits the pool and drives up the cost of associate doctors.

Insurance reimbursement rates are declining and insurance companies are more closely scrutinizing procedures being performed. That, combined with consumers’ economic concerns, is impacting some offices’ ability to gain patient acceptance for long-term, comprehensive treatment plans.

To maintain the profession, independent dentists must neutralize the negative impact of these trends on patient care and profitability by improving leadership, communication skills, branding and operational efficiency.

Edge Advisors

In 2014, the experts at Edge Advisors anticipates a similar trend as to what has occurred in the past few years.

“Edge is committed to helping the dentists of Wisconsin preserve privatepractice dentistry, but in order to do that, we need to educate the younger dentists on the benefits of owning their own practices,” Edge Advisors Principal Andy Lehmkuhl said.

More dental service organizations or DSOs are purchasing practices using private sector money to finance these purchases rather than going the traditional route of securing bank financing.

DSOs have departments set up and focus solely on acquiring dental practices throughout Wisconsin. The head start these organizations get over the typical continued on page 11

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November 2014 WDA.org

Challenges to future dental education William Lobb, DDS Dean of Marquette University School of Dentistry william.lobb@mu.edu

As Marquette University School of of any dental school’s identity. To justidirector of research are just two examDentistry starts its new academic year, it fy a place as a contributing member of ples of how we are addressing these is fitting to consider the trends that will the university community, knowledge changing needs. shape our future activities. through discovery and translational Faculty recruitment and retention We welcomed 100 new students in research must be shared. also remains a challenge in dental August, with the Class of 2018 represent We are actively working to change the education. ing our second class of 100 students (50 culture within the dental school toward With the addition of several new Wisconsin residents and 50 out-of-state research. While we have certainly been dental schools in the past few years, residents) since we began the planned there has not been a similar gain increase of 20 additional students per of faculty. People have moved year. around to support teaching in The gender mix of dental school these new dental schools with classes has shifted toward more female no net gain in the number of Photo credit: James Brozek/MUSOD students on the national level. This faculty. year marks the first time MUSOD has MUSOD has been actively more females than males in the incomrecruiting for several vacant full- MUSOD students talk with a professor in the simulation ing class. time positions. Some of these are lab which opened in fall 2013. The new lab is part of Nationally, dental school applicato replace faculty who have moved the 40,000 square-foot expansion. tion rates are somewhat down, but our on and some are new positions to yield on admission offers remain high support the expanded class size. group make keeping up with the trends as it has for the past several years.

What is remarkable about the in dental education challenging.

The dental curriculum continues to applicant pools for the various posi However, it is critical that we respond Photo credit: James Brozek/MUSOD evolve and change to meet the needs tions is they are comprised mostand react in timely ways, so we can of MUSOD graduates who will be ly of newly-graduated specialists. survive the challenges of the trends and practicing into the next three or four The second class of 100 dental students is welcomed A majority of these applicants also remain relevant and effective. decades of their lives. We are finding at the white coat ceremony in August 2014. MUSOD did not receive their initial dental Ongoing self-evaluation of our staffways to implement interprofessional was able to accommodate more students by expand- education in the United States. ing, curriculum and facilities enhances learning opportunities and incorpoIt appears there will be a much our ability to do just that. ing its clinic space. rate new technologies and practice more international complexion to The recent expansion of MUSOD’s methods into the curriculum to better our faculty in the upcoming years. facilities and the attention given to reflect the current and future directions involved in various areas of research The building of our expanded Dr. Jeff keeping our technology current, made of providing dental care. in the past, we must continue to grow and Beth Moos Faculty Practice is just possible with the generous and ongoing The ability for a dental school to stay in this area and provide our faculty, another demonstration of our efforts to support of alumni and friends during our ahead of the technology curve is always and most importantly our students, with meet these faculty recruitment and retenBuilding for the Future Drive, exemplichallenging, but we must strive to keep opportunities to participate in research tion challenges head on. fies our plans in action and ensures we up if we are to continue to graduate comactivities.

A unique blend of people comprise continue to effectively respond to future petent dentists capable of contemporary The new Delta Dental of Wisconsin a dental school community: students, trends. practice.

Research Laboratory in our school’s patients, faculty and staff. The different Research has become a vital aspect expanded facility and the hiring of a needs and aspirations of this diverse BE SURE TO VISIT US AT WDA INSESSION! BOOTH #316

WDA.org

November 2014

WDA Journal

9

SERVE

Dr. Michael Donohoo to receive WDA Lifetime Achievement Award Betsy Krekling WDA Member Relations Coordinator bkrekling@wda.org

Dr. Michael Donohoo, a general dentist in Milwaukee, has been selected to receive the Wisconsin Dental Association’s highest honor - the 2014 Lifetime Achievement Award.

A WDA past-president, Dr. Donohoo has been a leader at the local, state and national levels of organized dentistry.

He has served in various positions with the Greater Milwaukee Dental Association, including president before serving on the WDA board as a trustee and in various officer posts.

Dr. Donohoo was elected WDA speaker of the WDA House of Delegates six times.

He was a delegate to the American Dental Association House of Delegates multiple times and was active on the American Dental Political Action Committee Board where he served as chair in 1999 and 2000.

Upon graduating in 1980 from Marquette University School of Dentistry, he joined his father, Dr. Stanley Donohoo, in private practice.

Mike’s sister-in law, Dr. Monica Hebl (Milwaukee) joined the practice in 1985.

While Dr. Stan is no longer with them, their dental practice continues his tradition of providing care to the area’s low-income patients.

“Mike believes knowledge will get you far, but it’s how you share that knowledge with people and connect them to others that increases the value of the knowledge exponentially. This drives him to invite, connect, remember and appreciate those that touch his life,” Dr. Hebl said.

Dr. Donohoo participates in the WDA, MUSOD, Pierre Fauchard Mentor Program and he is a tremendous role model for future leaders of the association.

“Mike is a one-man, leadership development task force and instinctively knows how to develop leadership in others. He truly enjoys seeing their success,” Dr. Hebl said.

Dr. Donohoo’s mentoring doesn’t stop with dental students. Many current and past WDA leaders have thanked him for recruiting and mentoring them into leadership.

“He has the passion for dentistry, but also the drive to promote the great field of dentistry. I cannot think of anyone I have worked with over the years that deserves the WDA Lifetime Achievement Award more than him,” Dr. James Springborn (Appleton).

Dr. Donohoo’s contributions to the dental profession are remarkable and the WDA is pleased to be able to recognize his contributions in this manner. continued on page 16

Q&A

Other 2014 Pyramid of Pride recipients Community Outreach Award Ms. Robbyn Kuester, Wisconsin Department of Health Services Dr. Dennis Loeffler (La Crosse) Dr. Dana Lubet (Middleton) Ms. RoAnn Warden Friends of Dentistry Award D & S Dental Laboratory (Waunakee) Media Awareness Award Green Bay Press Gazette Media Relations Dr. Robert Brennan (Neenah) Dr. Gene Shoemaker (Waukesha) New Dentist Leadership Award Dr. Cheska AveryStafford (Milwaukee)

Outstanding Leadership in Mentoring Dr. Steven Sewall (Milwaukee) Political Action Award Ms. Mara Brooks Dr. Paul Feit (Sturgeon Bay) Dr. Kent Vandehaar (Chippewa Falls) WDA Award of Honor Dr. Kathleen Kelly (Madison) Dr. Patrick Tepe (Verona) Suite 501 Creative Partners State Rep. Robin Vos (Burlington) WDA Foundation Philanthropic Award Delta Dental of Wisconsin

CASE STUDY #161

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #417

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

A 54-year-old male presented with an exophytic and erythematous soft tissue lesion of the floor of his mouth (Figure #1). This lesion of several months duration was asymptomatic and would bleed upon touching.

Figure #1

Questions: 1

What would you consider in your differential diagnosis: A. Squamous cell carcinoma B. Papilloma C. Pyogenic granuloma D. Capillary hemangioma E. All of the above

2- What is the best method to make a definitive diagnosis: A. An incisional biopsy B. An excisional biopsy C. Brush biopsy D. Needle biopsy E. None of the above Answers on page 15

10

WDA Journal

November 2014 WDA.org

Dental trends continued from page 8

36-hour-per week practicing associate that may be interested in purchasing a practice is hard to make up and it stacks the deck against the solo buyer model in many cases.

Wisconsin is one of the few states that allows non-dentists to own dental practices which shows investors Wisconsin dentistry is “open for business.”

“Education needs to start at the dental schools and be carried throughout local component society meetings all the way back to the WDA. Individual dentists owning their practices is a way of life and it may be disappearing unless a dramatic change starts to happen,” Edge Advisors Principal Mike Bark said.

Paragon

Wisconsin has historically been a state with efficiently run and profitable dental practices. Because of this, practices have often transitioned in the range of 70-75 percent of the prior year’s collections among Paragon’s clients.

With returns on investments of 35 percent and greater, as well as strong six-figure

cash flows after overhead and acquisition debt, we have seen a significant increase in buyer interest in practices for sale.

This increase in demand, including the uptick in investment capital pouring into the market, is causing year-to-date transition valuations of 75-85 percent of prior year’s revenues to become the norm. Of course, each practice is valued on its own merits. Not all practices can receive these same valuations.

We have also seen a significant increase in the number of transitions closing in 2014, as well as many more practices going on the market. More and more of the baby boomer generation have decided it is finally time to develop an exit strategy.

The number of dentists transitioning out of dentistry is likely only to increase which could make 2014 one of the first years leading to a building trend, a trend that could ultimately have the effect of increased supply and eventually, lower practice values.

There is also an increase in the number of investment group buyers entering the Wisconsin market. We see dentist-led

entities and non-dentist owned venture capital groups seeking to acquire well-run practices.

Another trend which may help offset the increase in practices coming on the market is the national trend of more dental schools opening.

Schenck Business Solutions

Trends we have observed include dentists practicing longer and wanting premium pricing for their practices without much investment in new technology, as well as new dentists choosing large group/ corporate dentistry vs. private practice.

Physically and mentally, dentists can practice longer than they were able to just a few decades ago. Technology, four-handed sit-down dentistry, as well as good ergonomics have prolonged the practicing life of dentists.

Some need to continue, as their retirement nest egg will not provide the day-today lifestyle they have become accustomed to in their daily lives (sometimes due to negative personal or market events). Many

continue simply because they still enjoy it!

Several technology trends have been seen this year, including practices moving their dental software into the cloud, which means no more massive software updates or network configuration problems.

More and more offices are decreasing costs and increasing efficiencies by becoming chartless or paperless.

Data security also can’t be emphasized enough and data breaches happen every day. A regular security assessment from an IT specialist is highly recommended.

Younger dentists are going to work in large group/corporate dentistry, because student debt has increased as well as the cost of dental school. New dentists want to live and practice in metro areas instead of rural communities.

Another reason for this is the willingness to “own” a business seems to have declined and large group dentistry has lost much of the negative stigma it used to have.

Sellers also do not want to mentor or finance - they want to sell and walk away.

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #521

WDA Foundation golf out raises nearly

$12,000

The Wisconsin Dental Association Foundation raised nearly $12,000 at the Wisconsin Dental Golf Tournament held at the Legend at Brandybrook in Wales on Sept. 8.

Funds raised will help support the foundation’s oral health programs while meeting the current and future needs of the dental profession.

Thank you to the 119 golfers, nine sponsors and other donors.

Congratulations to Dr. Joe Kunick (Cedarburg) who took top honors with a low gross score of 74.

Mark your calendar for next year’s golf outing scheduled for Aug. 31, 2015 (Monday before Labor Day) at Pine Hills Country Club in Sheboygan.

For more information, visit wda.org/wda-foundation.

WDA.org

November 2014

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11

Classifieds driven care is a must. Excellent compensation, paid CE and great work/life balance. If interested, please email your information and questions to WinningSmileTeam@gmail.com. #11-2014-12

Practice for Sale/Lease GENERAL DENTAL PRACTICE FOR SALE: Brookfield, WI. $450K working 3.5 days per week. Loyal long term staff and patient base. No PPO’s. Endo and oral surgery referred.

Contact: Ccon369@sbcglobal.net for more information. #09-2014-20 DENTAL OFFICE FOR LEASE - Prime location in Madison, WI 310 N Midvale Blvd 1,019 sq ft and partially equipped Elevator in building for accessibility Full Service lease Available now. Contact 608-798-6401 for more information. #09-2014-10

Properties/Office Space Available Seeking dentist to share office space in Glendale WI on Port Washington Road. Up to Five operatories available, lab, private office, staff lounge, 3100 sq ft, secure modern building, ample parking Contact beh5150@gmail.com or 414964-8850 #10-2014-11

Practice Position Opportunity Dental Dreams desires motivated, quality oriented associate dentists for its offices in IL (Chicago & suburbs), DC, LA, MI, MA, M.D., 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. #02-2014-03 Associate Wanted for a large and busy two location practice located between Madison and Milwaukee with excellent reputation.

Four full-time hygienists. Modern office and equipment. Great, highly trained staff.

Excellent management and marketing support. Paid continuing education and other benefits. Partners in the practice would appreciate talking to dentists with great attitudes and similar mindsets. Equal Opportunity Employer. For more information, visit our website www.lakemillsmiles.com.

Contact Marti at lakemillsdental@yahoo. com. #10-2014-01

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

Positions available in multiple communities statewide. Competitive compensation, enhanced benefits and the opportunity for ownership.

Contact kbell@amdpi.com. #10-2014-08 Green Bay, WI – Well-established private group practice looking for an Associate General Dentist. Position includes highlytrained clinical and business support, use of digital X-ray and chartless systems, and a competitive salary and benefits package.

This is a potential buy-in opportunity.

New graduates are welcome to apply.

Interested parties should send resume or CV to Amy (Business Manager) at afw@ dentalartsofgreenbay.com or fax to 920-4948195. #09-2014-13 Associate or Associate to Ownership is private practice ownership in your future? Are you looking for a thriving practice without the management headaches? I have an excellent opportunity for an experienced dentist looking to transition to future ownership. You will enjoy a state of the art facility, exceptional patient care, and a highly skilled team to assist you. I am flexible with my transition plan. 2 -2.5 days per week. Waukesha County. Respond to Wisconsin Dental Association, Blind Box 1106 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. #11-2014-06

Wausau, WI – Busy Central Wisconsin Dental Practice (in business for 30 years) looking for a full-time associate dentist to join a family friendly dental practice. This growing practice offers a very competitive plus compensation and benefits. Please send your information to info@ szmandadental.com. 09-2014-12 Position available. Associate wanted in Eau Claire – Two doctor general dental practice seeking associate to partnership candidate.

Excellent salary guarantee/benefits. Reply in confidence to lgworknow@gmail.com. #102014-07

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #306

Associate Dentists Wanted - We’ve been retained by sole practitioner clients in Green Bay and the Fox Valley to fill associate dentist positions. These positions offer strong DDS clinical support, solid dental team, modern facilities and great clinical experience with the potential to transition into ownership in a relatively short period of time. Competitive compensation package. For more information call Jen Valentine PHR of Dental Practice Advisors at 920-593-7250. Confidentiality will be strictly maintained. #11-2014-11 Wisconsin: Great career opportunity! We are looking for motivated associates to join our practice. For over 44 years we have served South-Central Wisconsin with a wide range of general and family dental services including periodontics, endodontics, implant placement, Digital x-rays, I-Cat Scans, facial cosmetics and cosmetic dentistry. Haye Dental Group is located in beautiful Janesville, Wisconsin, 35 minutes from Madison and 90 minutes from Milwaukee and Chicago. We welcome experienced and new dentists with comprehensive salary packages in the $150,000 range plus benefits and quarterly bonuses. We fully support your professional success and are excited to have you consider joining us to build our practice into one of the best dental practices in Wisconsin. (Dental student inquiries are welcome and encouraged). Visit our website at www.hayedental.com. Haye Dental Group, 107 N. Crosby Ave., Janesville, WI 53548. Call Dawn at (608)752-7931 or email dmarro@hayedental. com. 09-2014-14 Looking for an Associate Dentist to join our thriving two-location practice in the Fox Valley area; option to purchase/buy-in available. Stateof-the-art offices equipped with the latest digital technology. 3 FT hygienists, 7+ ops per location, over 5,800 active patients and rapidly growing.

Soon-to-be Elite Invisalign Provider (current leading Premier Provider in NE Wisconsin).

Loyal, long-term staff and patient base with steady new patient inflow/retention (20+/mo) and great marketing support. Collects over $1.8M. Ideal candidate will be highly-motivated with strong communication and interpersonal skills and an interest in being involved in the community and future of the practice. A focus on quality, patient-

DENTAL HEALTH ASSOCIATES OF MADISON was recently recognized by Madison Magazine as one of the Best Places to Work “Class of 2014”! We are looking for a GENERAL DENTIST with experience to work in one of our smaller offices in the heart of Madison, Wisconsin and a PERIODONTIST for our east side Madison location. Our “practice within a practice” model offers you the autonomy to work with your own practice and team, making treatment decisions on your own patients yet enjoying the full access to an administrative team supporting you behind the scenes. We are a dentist owned group providing top notch dental care at seven locations in the Madison, Wisconsin area; and Momentum Insurance Plans Incorporated, our dental insurance company, provides access to high-quality, affordable dental insurance in the Madison area and nationwide. With great working conditions, benefits, salary, and exceptional staff, we are fortunate to retain an experienced team of professionals for a long term career within our group practice. Visit us at www.dhamadison.com or e-mail your CV tohhoffland@dhamadison.com. 11-2014-01

Locum Tenens/Flexible Opportunity Passionate for patient care and want a flexible schedule? We seek experienced dentists to fill daily/weekly/monthly locum tenens needs to cover leaves and extended vacations. Perfect for dentists wanting to pick up extra hours.

May involve travel with overnight stays.

Typically includes 32-36 hours/week when needed. Competitive pay. You have complete freedom to work as many or as few locum sessions as you’d like! Opportunities available with Midwest Dental (WI, MN, IA, IL, KS, MO), Mountain Dental (CO, NM) and Merit Dental (PA, OH, MI). Contact Laura Anderson Laehn, 715-225-9126, landerson@ midwest-dental.com. Learn more about us: www.midwest-dental.com, www.mountaindental.com and www.mymeritdental.com.

Growing and Busy Southeastern Wisconsin dental office is seeking the right candidate for a full time associate to join our practice. Candidate must have good work ethic, excellent dental skills and good chairside manners. Dentist will be rewarded with an excellent compensation package. Full benefits are given, including 401(k) and malpractice coverage. A future buyin opportunity is also available. An experienced and caring staff are available to help the right dentist to accomplish their goals. This is a great opportunity for an experienced dentist or a dentist just starting out. New graduates are welcomed to apply. Email resumes to: dldntdental@yahoo.com #08-2014-10

Associate Dentist needed for a busy private practice. Located in Inver Grove Heights, Minnesota. Our newly renovated practice offers Cerec, digital radiograph, laser and paperless charting. Two or more years’ experience preferred.

Partnership available. Please send resume to: jnelson@cahilldental.com. #11-2014-13

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To

Purchase Ads on shopwda.org

Associate or Associate to Ownership is private practice ownership in your future? Are you looking for a thriving practice without the management headaches? I have an excellent opportunity for an experienced dentist looking to transition to future ownership. You will enjoy a state of the art facility, exceptional patient care, and a highly skilled team to assist you. I am flexible with my transition plan. 2 -2.5 days per week. Waukesha County. Respond to Wisconsin Dental Association, Blind Box 1106 6737 W. Washington St., Ste. 2360, West Allis, WI 53214. #11-2014-06 Associate dentist needed for established private practice in Waukesha. Starting at 2 days/ week and increasing with patient flow. Wellestablished practice moving to a brand new, larger facility in a prime location. Excellent long-term staff. Future buy-out a distinct possibility. I am flexible on many aspects of this opportunity, but the right candidate would need to have a similar philosophy on dentistry and patient treatment.

Please email: thelake777@gmail.com to arrange a time to tour the office and discuss position specifics. 11-2014-04

Wisconsin Dells – Practice Opportunity Midwest Dental is seeking dental candidates for the Wisconsin Dells area. Our philosophy of preserving and supporting the traditional private practice setting provides a great work-life balance, excellent compensation and benefits, and unlimited opportunities for professional development. Our comprehensive support team takes care of the administrative details, providing you the freedom to focus on your patients and skills. If you possess a passion for providing quality care and are looking for a rewarding practice opportunity in the Wisconsin Dells area, please contact Laura Anderson Laehn by phone at 715-225-9126 or email at landerson@ midwest-dental.com. Visit our website at: www.midwest-dental.com. #11-2014-02

Our thriving multi-doctor practice is currently looking for a motivated periodontist with strong clinical skills, including all phases of periodontal treatment and implant placement. We offer excellent compensation and a full array of benefits. There could also be the opportunity for partnership in the future. Applicants can send their CV to jasons@madisonfamilydental.com. #09-2014-21

Equipment Wanted Wanted Pan Digital or Film Digitial Intraoral Hardware and Software Email wkinonit@yahoo. com. #11-2014-14

Equipment for Sale 2 Coltene Spec 3 LED curing lights for sale.

Originally $1100 each, will take $600 or best offer. Call 920-819-3434.

Advertiser Index -

Thank you for supporting the WDA Journal!

AFTCO........................................... 5 www.aftco.net Baker Tilly .................................... 13 www.bakertilly.com Chicago Dental Society.................. 15 www.cds.org Delta Dental ................................. 10 www.deltadentalwi.com Dental Practice Advisors .................. 9 www.dentalpracticeadvisors.com Edge Advisors .............................. 16 www.edgeadvise.com Keller.............................................. 2 www.kellerbuilds.com Midwest Dental................................ 6 www.midwest-dental.com Paragon........................................ 12 www.paragon.us.com ProAssurance.................................. 8 www.proAssurance.com Professional Insurance Programs....... 5 www.insuranceformembers.com The Dental Record........................... 2 www.dentalrecord.com

place a display or classified ad , visit shopwda . org or contact E mily B ultman at ebultman @ wda . org .

New Product/

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Many victims of identity theft, like those whose physical possessions are stolen, feel violated and uneasy. Identity theft resolution can be emotionally taxing, time consuming and potentially expensive. It’s difficult to know where to begin or how to navigate through the maze created by legal, financial and credit institutions.

As a member of the Wisconsin Dental Association, you can purchase West Bend’s Home and Highway® policy at a special discount.

In addition to many great coverages and benefits, you also have a solution to the problems identity theft can cause.

It’s the Identity Protection Program and it offers: • Access to identity protection services that can help you avoid identity theft in a variety of situations, like when you’re traveling, relocating, getting married or after a disaster • Personal assistance to help resolve identity theft-related problems • $30,000 in expense reimbursement coverage for costs like attorney fees, lost wages and long-distance phone charges The program also gives you access to identity protection services for these trending threats: • Email compromise • Social media compromise • Phish • Device compromise • Breach For an additional nominal premium, you’ll have your own personal identity theft resolution professional and thousands of dollars of protection needed to restore your good name.

Visit thesilverlining.com to find out more.

West Bend Mutual Insurance Co. ....11 www.thesilverlining.com

Classified Advertisements Rates for classified advertisements for Wisconsin Dental Association members are 0-34 words - $65; 35-69 words - $85; 70-105 words - $125; 106-140 words - $135; 141-175 words $145. Nonmember rates are 0-34 words - $95; 35-69 words - $110; 70-105 words - $135; 106-140 words - $150; 141-175 words - $170.

New in 2014! Place an ad online now for $25 (within three business days).

Make your ad stand out by boxing your ad for $150 per month, adding a company logo for $30 per month or including a confidential blind box for $10 per month.

Full color, mini-display are available in three sizes and frequency discounts are offered for one month, three months, six months and 12 months.

Artwork can be created for you at an additional charge: $75 for initial mini-display creation $50 per hour for edits after initial run (one hour minimum will be charged).

Visit www.shopwda.org for more information and to place your ad.

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 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. Classified ads submitted after the deadline can be posted on the last business day of the month as a web only ad at the standard rate. 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.

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Calendar *Shaded events offer continuing education credits.

OCTOBER

29 NEW DENTISTS WDA New Dentist Networking & Continuing Education Event “Been There, Done That: Fundamentals of a Successful Dental Practice” 2 CE credits (nonclinical) 6 - 9 p.m.

Rock Bottom Brewery, 740 N. Plankinton Ave., Milwaukee Register at http://bit.ly/1panoIC For more information, contact Betsy Krekling at bkrekling@wda.org or 414-755-4126.

NOVEMBER

4 “Eating Disorders: A Personal Story and the Dental Implications Eileen Donohoo, RDH and Mary Donohoo 2 CE credits Visit www.marquette.edu/dentistry for more information.

5 Dentistry Examining Board 8:30 a.m.

1400 E. Washington Ave., Rm 121A

Department of Safety and Professional Services Madison 13-15 WDA InSession and House of Delegates For more information, visit WDA.org 21 “A Necklace of Oral Medicine and Pathology Pearls for Dental Hygienists” Dennis Lynch, DDS 7 CE credits Visit www.marquette.edu/dentistry for more information.

27-28 WDA offices closed for Thanksgiving

DECEMBER

11-13 “Success Strategies and Creating a Healthy Work Environment” Cathy Jameson 9.5 CE credits Wisconsin Dental Study Club winter meeting The Grand Geneva Resort and Spa in Lake Geneva For more information, contact Dr. Gene Sorensen at GSoren1974@aol.com

19 “Spanish for Dental Staff” Silvia Campazzo Northeast Wisconsin Technical College • Green Bay 8 CE credits For more information, visit https://corporatetraining.nwtc.edu.

Contact Mara Brooks at mbrooks@wda.org for more information

24-26 WDA offices closed for Christmas and floating holiday

18 WDA Legislative Day Monona Terrace Convention Center in Madison For more information, contact Dana Ponce at dponce@wda.org

31 WDA offices closed for New Year’s Eve

JANUARY 2015

1-2 WDA offices closed for New Year’s and floating holiday

FEBRUARY

6 Give Kids A Smile Visit ADA.org to register and for more information 11 WDA Dental Academy Hilton Hotel in Madison

20-21 WDA Board of Trustees meeting Hyatt Place in Madison

MARCH

––––––––––––––––––––––––––––––– 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 send email to ebultman@wda.org.

Visit WDA.org

for upcoming component meetings and events.

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 January 2015 WDA Journal, which is mailed to members in mid-December 2014, all advertising materials must arrive in the WDA Executive Office by the second Tuesday of November 2014.) 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, WDA.org.

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Jordy Nelson Packers communiqu e´ Facebook contest Amanda Brezgel WDA Electronic Communications Coordinator abrezgel@wda.org

“Green Bay Packers wide receiver and Inside the Huddle” host Jordy Nelson posted one #OwnYourSmile Facebook post to his 354,000+ Facebook fans on Sept. 18 introducing a contest to “like” the WDA Facebook page and win a jersey autographed by him.

The Wisconsin Dental Association began this contest with 4,109 Facebook followers and earned 2,387 new followers to end with a Facebook audience of 6,496. The Jordy Nelson Facebook contest ran from Sept. 18-26 and increased the WDA’s Facebook following Green Bay football player Jordy by 58.09 percent.

This contest is part of the Own Your Smile oral Nelson, who appears on the TV health literacy, public awareness campaign show “Inside the Huddle”, encouraged his Facebook fans to “like” media buy with Lammi Sports Management.

To keep our new Facebook followers the WDA page for a chance to win engaged, WDA regularly posts oral health an autographed jersey of his. This contest earned the WDA 2,387 new information and tips, public polls, etc.

One set of four Packer tickets for the Sunday, followers.

Nov. 16 game at Lambeau Field remains from the OYS preseason buy with the Packers Television Network. The communications and marketing team is formulating a plan to use the tickets as a way to increase the WDA’s Twitter audience.

Follow us on Twitter @wisconsindental to learn about this contest and all WDA news!

Congrats to Own Your Smile contest winners A round of applause for Dr. Mark Paschen (Baraboo) and Dr. Laura Rammer (Sheboygan), winners of recent Own Your Smile Wisconsin Dental Association member contests.

Dr. Paschen won four tickets to the Oct. 2 Packers vs. Vikings game at Lambeau Field by enhancing his Find A Dentist profile on ADA. org. His name was randomly drawn from a list of 805 WDA practicing dentists with enhanced FAD profiles.

Enhance your profile under “My ADA” at www.ada.org/en/member-center.

Dr. Rammer won four tickets and backstage passes to Oct. 20 taping of weekly “Inside the Huddle” TV show in Green Bay. Her name was randomly drawn from the 74 WDA practicing dentists who completed a brief online survey about the first year of the Own Your Smile oral health literacy, public awareness campaign.

Watch for a story highlighting OYS member survey results in the December WDA Journal.

Dr. Mark Paschen (Baraboo), an avid Packer fan pictured with Aaron Rodgers in May 2007, won tickets to cheer on the team at its Oct. 2 game when he updated his updating his Find A Dentist profile in the Own Your Smile member contest.

Q&A

Case study continued from page 10

A:

1) E 2) B

Final diagnosis: Pyogenic granuloma

Discussion Pyogenic granuloma is a reactive fibro-vascular or granulation tissue growth with remarkable endothelial and capillary proliferation. The term pyogenic granuloma implies a lesion is a reaction to a pyogenic microorganism is a misnomer.

There is no relationship between these lesions and bacteria. While pyogenic granuloma in the oral cavity mostly involves gingival tissue, it can occur anywhere in the mouth.

A chronic trauma or introduction of a foreign substance like calculus in the gingival sulcus is responsible for the development of a pyogenic granuloma.

A remarkable female predilection exists, and pregnant women in their second or third trimesters are more prone to develop pyogenic granuloma which is also referred to as “pregnancy tumor”.

Total surgical excision is the treatment of choice. To prevent recurrence, the chronic irritant must be eliminated, and in case of gingival pyogenic granuloma, curettage of the underlying tissue and root planning is required.

To rule out other diagnostic possibilities, the surgical material should be evaluated histologically.

Acknowledgement: This case was contributed by Dr. Christopher Bergstrom (Appleton), an oral and maxillofacial surgeon.

Ezedin M. Sadeghi, DDS, MS Oral and Maxillofacial Pathologist Associate Professor, Marquette University School of Dentistry Referral and Consultation: 414-288-6559 Biopsy Service: 414- 805-8440

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WDA shares full spectrum of practice options POP continued from page 10

Emily Bultman, CDE WDA Communications Coordinator ebultman@wda.org

Becoming a dentist is about more than just having a job. It is a professional career and finding the right fit is important.

With this in mind, the Wisconsin Dental Association was invited back to Dr. Nick Shane’s (Elm Grove) practice management class at Marquette University School of Dentistry in September 2014 to present information about the various business models available.

Last year’s presentation was well-received by students.

“It is important for students to receive information about what practice options are possible, so they can make an educated-decision on how they want to practice dentistry. Hearing firsthand from the WDA and its members is just as important, because this reinforces the value of joining organized dentistry,” Dr. Shane said.

While the WDA does not promote any one business model, WDA Member Relations Coordinator Betsy Krekling highlighted different options for practice: solo practitioner/ownership, partnership/ dual ownership, associate, large group

Photo credit: Emily Bultman, WDA

Third from the right, Dr. Mike Grady (Milwaukee) talks with MUSOD students about his path in dentistry after the WDA business model presentation in September 2014.

dental practice and non-business models (e.g., Federally Qualified Health Centers, uniformed federal service and dental school faculty).

Resources and tools were also provided to help students decide what is the right path for them after graduation.

“Right now, we are focused on completing our requirements, treating patients in

the clinic and preparing for the licensure exam... I am in the U.S. Navy so I am not in the same position as other students. But, hearing this information makes all of us think about our careers before we dive into society,” MUSOD student Thomas Korte said.

WDA members Drs. Lysette Brueggeman (West Bend), Michael Grady (Milwaukee) and Gene Shoemaker (Waukesha) spoke to students in small groups to share their personal experiences and answer any questions.

“The final year of dental school shapes different types of questions from students.

Our presentation prompted several specific questions which led to deeper questions students had been pondering. This class gave them an opportunity to get at least one more opinion. Even days later, a student from my group came up to me at MUSOD and thanked me for the discussion, commenting it was the among the most “real” interactions they had with a practicing dentist and students were still talking about the class,” Dr. Brueggeman said.

POP Award reception on Nov. 13 Wisconsin Dental Association Pyramid of Pride Award recipients will be recognized on Thursday, Nov. 13 during the afternoon session (1:30 to 3:30 p.m.) of the WDA House of Delegates.

Celebration of the attendees’ contributions will take place from 4:30 p.m. to 6 p.m. with a champagne and cake reception in the Exhibit Hall at the Wisconsin Center.

Everyone is welcome to attend this event sponsored in part by Henry Schein Dental.

For more information, contact Betsy Krekling at bkrekling@wda.org or 414-755-4126.

BE SURE TO VISIT US AT WDA INSESSION! BOOTH #504

Fall/winter 2014 WDA patient newsletter in this issue The fall/winter 2014 Tongue ‘n’ Cheek... and Teeth, too! patient newsletter is inserted in this issue of the WDA Journal. We encourage you to place this public information in your waiting area for patients to enjoy and to use as a basis for chairside education.

Tongue ‘n’ Cheek…and Teeth, too! also can be viewed in digital-flip format and downloaded on WDA. org. Articles in this fall/winter issue include: • Meet the dental team • Expanded health coverage spurs dental visit increase for college-age adults • Doctors of oral health • Become a label detective • E-cigarettes: A growing concern • TNC earns regional, national awards A limited number of hard copies are available on a first-come, first-served basis.

To request copies or share ideas for future TNC newsletters, contact WDA Communications Coordinator Emily Bultman at 414-755-4110 or ebultman @wda.org.

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