North Shore District Dental Society
Transcription
North Shore District Dental Society
North Shore District Dental Society Amesbury Beverly Boxford APRIL 11, 2013 Meeting Danvers 6:30 Social Hour 7:00 Dinner Essex Georgetown Hawthorne Hotel, Salem Gloucester Please Visit our Table Clinics: York Dental Laboratory • Straumann Astra Tech • Biomet 3i • Crest+OralB • ADT Hamilton Ipswich Lynn Lynnfield Magnolia Manchester Marblehead Middleton Nahant Newbury Newburyport Peabody Rockport Rowley Salem Salisbury Saugus Swampscott Topsfield RAMZI SARKIS, DMD, MSD THE PERIO-ENDO CONNECTION TOPIC: The intimate relationship between the root canal system and the periodontium sets the stage for a variety of clinical pathological presentations. Endo-perio lesions commonly go unrecognized and are often misunderstood. This presentation will provide the practitioner with the information necessary to diagnose endo-perio disease and assist the dentist with determining the prognosis of such cases. ☛ Provide an understanding of the endo-perio pathophysiology OBJECTIVES: ☛ Identify signs and symptoms of the endo-perio lesions This presentation’s goal is to bring forward ☛ Classify endo-perio lesions current knowledge and concepts to shed light ☛ Recognize and classify cracked teeth and vertical root fractures on the endo-perio connection. ☛ Review various clinical and pathological manifestations of this connection The objectives are seen to the right: ☛ Discuss treatment options BIOGRAPHY: Dr. Ramzi Antoine Sarkis received his specialty training in Endodontics at Boston University School of Dental Medicine, and is also a graduate of BU’s DMD, AEGD, and MSD programs. His research thesis focused on the antibacterial activity and microleakage resistance of surgical retrograde filling materials. Before studying in the United States, Dr. Sarkis pursued post-doctoral training in Paris, France and Beirut, Lebanon where he also received his first dental degree in 1994 from Saint Joseph University. Wenham Please visit our website: www.nsdds.org He is an Assistant Professor of Endodontics and previous director of the post-graduate program in Endodontics at Boston University. Dr. Sarkis has presented at the Yankee Dental Congress, Yankee Dental Institute, International Association for Dental Research, and the American Association of Endodontists as well as internationally. He volunteers to the American Association of Endodontists and the MA Dental Society from which he received “10 under 10” award. Dr. Sarkis has been exclusively practicing Endodontics since 2005 in Brookline and Peabody, he recently opened his practice in Lexington, MA. North Shore District Dental Society Chairman’s Message April 2013 Newsletter the money will benefit nobody. There is still so much left to do. Our final meeting of the season will be on April 11. We will have a new slate of officers to vote on, guests from Forsythe Dental Hygiene School, MDS foundation, and LCHC. Ramzi Sarkis will lecture on the Endo-Perio connection and we all get another chance to hang with colleagues. State wide events include Beacon Hill Day,a Board of Trustees Meeting, and the House of Delegates meeting. Let’s not forget the Howard Skurow golf Outing on June 17 either. I want to thank all of the board members who have been an absolute pleasure to work with this year. You have all stepped up to the plate when asked, and your energy and enthusiasm have been inspirational to myself and all members of our district. We are all better off for your combined efforts. I thank all of our council representatives for doing a fabulous job representing us at the state level and teaching me about the true reach of the MDS. I thank Peter Hjorth for his efforts as our district trustee. Peter volunteers an enormous amount of his time attending meetings and represents us well at the state level. Thanks to John Herzog for putting together a successful speaker program this season. I also want to thank Steve Baratz for his support as vice-chairman and for being ready to take the reigns as your next chairman, and Jeff Dornbush for his tireless energy. Finally, I am thankful to all the past leaders of our district for your words of advice and for setting an example of professionalism we all can aspire to reach. The future of dental practice is going to change. This is the only certainty. Now, more than ever, we need to be involved with organized dentistry so that our voices are heard and we have influence over the shape of dental care and how it is provided to the public. We cannot afford to isolate ourselves in our practice and “let someone else take care of it”. I have found that my time spent working for our profession has given back to me in ways I could not have for seen. We need each other for support in this highly challenging yet rewarding career we have chosen to be a part of. So, get involved, stay involved and keep smiling. Thanks to all. Darryl R. Smith, D.D.S. Chairman Darryl R. Smith, D.D.S. Chairman NSDDS Springtime is here, or at least it is supposed to be, and it is just hitting me that my term as your chairman is drawing to a close. I find myself reflecting on the years’ activities and achievements as well as the tasks still on hand. I want to thank all of you for giving me this opportunity to be your chairman and for the chance to grow as a dental professional. I think the greatest achievement of our district has been the continued improvement of communications amongst our members and the steps we have taken to distribute our newsletter digitally. From the feedback I get from other leaders we are the envy of the MDS in this area. The steps we have taken to be more High tech have helped create excitement for our district’s activities, attracted newer members to our meetings, inspired new leaders to step up to the plate and get involved, and saved our district a boatload of money. Some of these changes have not been easy, but I feel we are adapting well. Dentists and patients of Massachusetts suffered a setback when Governor Patrick failed to sign the MDS sponsored non covered services bill into law. We are not giving up however, and will reintroduce the bill this year. Stay in touch and contact your representative when asked to do so. It’s easy, only takes a few minutes and is so important to let them know we care. Times are a-changing and if we don’t speak up we might not like what we get in this new age of health care reform. I am glad we are getting to a point of closure with the money we were assessed for a hygiene school. Thank you to all generous enough to redirect your money to the Lynn Community Health Center or the MDS Foundation. Both causes will advance our profession in the area and improve access to care for thousands of underserved individuals. There are still about 140 of you who have not yet responded and I beg you to check your email for the steps to take to redirect YOUR money. Find the release form, fill it out to donate the money to LCHC, the MDS Foundation, or have it returned to you. If you do not reply Page 2 North Shore District Dental Society April 2013 Newsletter MINUTES Executive Board Meeting Hawthorne Hotel, March 7, 2013 Attendance: Drs. Mashid Mirghassemi, Thomas 6. Report by Dr. Fisher that he is scheduled Sterio, Darryl Smith, John Fisher, Brian Chuang, to meet with the Superintendent of Salem Linda Massod, Michael Costello, Jeffrey Dornbush Schools with Victoria Talabian and Stuart Gould regarding Polishedteeth.com, an in 1. Report by Guest Board Member Dr. Mirghassemi school program with potentially questionable on the Massachusetts Leadership Institute and its strategies for delivering certain dental value for encouraging younger dentists to learn services to Mass Health children. how to get involved with the society. (Featured 7. Vote to postpone the Joel Richardson article below) facebow proposal. 2. Vote to approve February 2013 Executive board 8. Chairman’s Report on the refund of only Minutes. $91,638 of original the $256,000 originally 3. Secretary’s Report (Dr. Chuang): All the raised for a hygiene school which never paperwork that the MDS requires: a list of all the materialized. Discussion of strategies for officers compiled from the nomination meetings, contacting remaining donors to decide on the the election report, an disbursement of their funds in order to avoid activity report to list out all the events, and a list of the House of eventual seizure by the Commonwealth. Delegates. The NSDDS executive board voted to award Fanice Jean Batiste the 2013 Steven 9. Discussion of possible plans to reach the Stone Scholarship, which is a $1000 stipend for 75 dentists practicing on the North Shore the advancement of her education. who are not members of the ADA or the MDS, and to engage them in the activities 4. Treasurer’s Report (Dr. Saati): Postponed. of the district and the political agenda of 5. Editor’s Report (Dr. Dornbush): Bob Freedman owner of PIP Printing has merged with East Longmeadow, Ma. Dr. Michael Costello is the new Co-Editor of the NSDDS newsletter. the Society. Considered utilizing the services of previous dental practice volunteers and compensating them from society funds. Meeting adjourned at 8:45 pm. Page 3 MESSAGE FROM OUR CHAIR-ELECT Hi to all of our long time, new, and somewhere-in- between members of the North Shore District. We want more and more of you coming to meetings next season. We are publishing the dates of those meetings so you can plan your life around them well in advance. You Do Not want to miss them. ”Why” you say? MARK YOUR CALENDARS Beacon Hill Day Wednesday, April 3, 2013 I am glad you asked. Because it is your privilege to spend time with your colleagues and exchange ideas, questions, and feelings about your life’s work. Because it is your responsibility to support the organization that is your only real voice to have some power to control your destiny in the profession you chose to make your living in. Because the Hello everyone, important day is coming up soon. It is Beacon Hill Day, the speakers next season, if we achieveAnour goals, will be very relevant to the everyday things which cause you anxiety, day when all members of the MDS have an opportunity to meet with their representative senators to talk about their desires job. We to have are trying to address frustration, and other emotions state which add to yourand stress in a wonderful but stressful their legislators act on behalf of all practicing dentists in some difficult dental proceduresMassachusetts. which most This of usisperform Kugelwith is making a return visit by a chance everyday. to have oneDr. onGerry one contact the people who most positively us on thedaily things we want to have popular demand. We want to help you getcan the most out ofimpact a hygienist’s effectiveness and production. We done. The non covered services bill was given the green light by the legislature and would passed if the governor theso bill. The future. want to prepare you for what will be the look of thehave typical dental practice insigned the not distant feeling is that we can be confident that the legislature will back us IT WILL BE DIFFERENT and you need towin know deal with it. again and this how time. to It has been reintroduced at the State House. So, come that day andBORID take a day out of the office toon getInfection what you Control. How can you Of course, we will offer a night devoted to the required program want over the long haul. Also CALL YOUR REPRESENTATIVE and SENATOR to ever complain when it will be convenient free? How about quality devoted tell them howand important it is to you thatathey back night this and any otherto make your website bill that will benefit dentistry. It is easy and totally non the best it can be so you can attract more new patients (we all want that)? We want to find a speaker to help threating. I promise. date of Beacon Hill Day is Wednesday, April that 3, 2013. All the you use insurance to get the bestThe financial returns and combat the things anger you about the insurance details are there for you obtain from the dental society or your companies. These are some coming attractions so knowit.what you canSteve get out of this valuable organization. So district officers. Thisyou is worth Best to all, Baratz come to every meeting and bring a dentist friend who hasn’t been to a meeting in a while. Tell him or her why they should come. They’re not a member? Kick them in the behind and tell them why they MUST join! The major thrust for the coming year is membership and participation. More to come...See you next season (as well as this April). Steve Baratz, your next chairman. Here is next year's schedule: September | October | November meetings are at THE Salem Country Club EXEC BOARD September 12, 2013 GENERAL MEETING September 19, 2013 (these are the second and third Thursdays due to Rosh Hashanah) EXEC BOARD October 3, 2013 GENERAL MEETING October 10, 2013 EXEC BOARD November 7, 2013 GENERAL MEETING November 14, 2013 February | March | April meetings are at the Hawthorne Hotel EXEC BOARD February 6, 2014 EXEC BOARD March 6, 2014 EXEC BOARD April 3, 2014 GENERAL MEETING February 13, 2014 GENERAL MEETING March 13, 2014 GENERAL MEETING April 10, 2014 Page 4 At the Presidential Leadership Dinner on March 13, Dr. Friedman reinforced: Five Reasons Why YOU Should Attend ➤ Beacon Hill Day ➤ Dear MDS members, I would like to encourage you to register for Beacon Hill Day 2013, to be held on April 3 at the Omni Parker House in Boston. I am often asked why it is so important to attend this event, so here are my top five reasons for attending Beacon Hill Day: ❶ It is a great chance to reconnect with colleagues as well as meet first time attendees. ❷ MDS staff will schedule individual meetings with state representatives and senators, guaranteeing a chance to discuss legislation with your elected officials. We will also review the best way to present this information to your legislators. ❸ The dental society’s lobbying team will provide updates on the MDS’s legislative priorities, including the noncovered services bill and assignment of benefits legislation, prior to the meetings with elected officials. ❹ We have a great guest speaker joining us this year! Glen Shor, Secretary of Administration and Finance, will discuss the state’s fiscal climate as well as the issues surrounding financing escalating health care costs in the Commonwealth. ❺ At the end of the day, I will be armed with the tools and information needed to communicate the dental society’s legislative initiatives to both my colleagues as well as my elected officials. I sincerely hope you’ll join me on April 3rd for this interesting and informative event. Round-trip transportation from MDS headquarters in Southborough, departing at 8:30am, is available to all registrants, and the program will begin at 10am. For more information, and to register for the event, click here. If you have any questions about the event, please contact Victoria Ryan at 508-449-6042 or vryan@massdental.org. Sincerely, Paula K. Friedman, DDS, MSD, MPH President, Massachusetts Dental Society March 2013 Page 5 MESSAGE FROM OUR VICE CHAIR Dr. Lawrence Monaldo ORAL CANCER FOUNDATION SPONSORS 14TH ANNUAL ORAL CANCER AWARENESS MONTH IN APRIL 2013 BRIAN HILL AT: WWW.ORALCANCER.ORG What has the greatest impact on survival rates of oral cancer? Radiation? Chemotherapy? Perhaps surgery? The truth is none of these; rather, it is the point in time at which the disease is discovered. Early discovery of oral cancer affects survival outcomes and reduces treatment-related morbidity more than anything else. And no one is better positioned to make early detection a reality than the dental community. Unfortunately, two-thirds of newly diagnosed individuals are found when the disease is at stage three or four. The good news: it does not have to be this way. To help draw attention to this situation, the oral cancer foundation is sponsoring the 14th annual oral cancer awareness month in April. The foundation is encouraging dental practices across the United States and Canada to offer free oral cancer screenings for at least three hours one day during the month to people in their communities. A public that understands the risk factors and early signs and symptoms of the disease are better prepared to recognize and self discover things that should take them to the doctor for further evaluation. fastest growing segment of the oral cancer population. Oral cancer is not a rare disease. Each hour of every day, one American dies of the disease, and four more Americans are newly diagnosed. It is crucial to have an annual oral cancer screening by a professional. Oral cancer is one of the few cancers that are on the rise in the U.S. When found early, oral cancers have an 80% or better survival rate. Like other cancer screenings, such as those for cervical, skin, prostate, colon and breast cancer, Oral cancer screenings can be an effective means of finding cancer at its earliest and most easily treatable stage. It can be done as part of a regular dental hygiene check-up. Dental practices wishing to sign up to conduct an event, and people wishing to find a practice offering free screenings in their community, may do so at www.oralcancer-screening.org. The foundation will provide participating practices with all the materials needed to conduct the screenings and to generate exposure for the event in their community. About the Oral Cancer Foundation The oral cancer foundation, founded by oral cancer survivor Brian R. Hill, is a Non-profit 501(c)(3) public service charity that provides information, patient support, sponsorship of research, and advocacy related to this disease. It maintains a web site at www.oralcancer.org, which receives millions of hits per month? “The dental community needs to be the first line of defense against oral cancer,” said Brian Hill. “Just performing ‘opportunistic’ five-minute oral cancer screenings of the existing patient population that visits a dental office every day, could have a profound impact on our ability to discover the disease at earlier, even precancerous, stages. This could help us dramatically reduce the mortality and morbidity of this disease.” The incidence of oral cancer is increasing at an alarming rate due to a new viral etiology, the human papilloma virus (hpv-16). For decades, the leading cause of oral cancer had been tobacco. Today, however, young, non-smoking individuals are the “ Supporting the foundation's goals is a scientific advisory board composed of leading cancer authorities from varied medical and dental specialties, and from prominent educational, treatment, and research institutions in the United States. Page 6 Secretary Dr. Brian Chuang EXTRACT from the Constitution and by-laws of the Massachusetts Dental Society Chapter XIX NORTH SHORE DISTRICT DENTAL SOCIETY BYLAWS as of October 29, 2011 North Shore District Dental Society Component of the Massachusetts Dental Society and the American Dental Association 113. A Secretary shall be elected for a three (3) year term of office 114. (that term to start after annual meeting of Massachusetts Dental 115. Society House in 1993). 116. The Secretary shall keep accurate minutes of the proceedings of all 117. meetings; he shall notify all new members of their election; he shall 118. see to it that notices of North Shore District meeting are mailed to 119. each member; he shall notify members of their election to offices and 120. committees; he will keep copies of all official letters he may write; 121. he shall make a semi-annual and annual report to the Secretary of the 122. MDS prior to the mid-winter meeting and the annual meeting 123. of the State Society; he shall keep a card system in such a form as 124. to constitute a current account with all members of his District. He 125. shall be a member of the Massachusetts Dental Society House of 126. Delegates. 127. An Assistant Secretary shall also be elected for a three (3) year 128. term of office to assist the secretary where needed. This officer 129. will assume the office of secretary at the end of their term. Date: March 7, 2013 7:37:17 PM EST Hi all, Just forwarding the reports that I sent to MDS: 1. List of delegates who will be coming to the House of delegates 2. NSDDS board 3. Activity report of 2012-2013 (that is more for MDS' record). Sincerely, Brian P. Chuang, DMD MSD Secretary, North Shore District Dental Society (NSDDS) Office (978) 532-0500 PREVIEW OF APRIL BALLOT Massachusetts Dental Society Two Willow Street, Suite 200 Southborough, MA 01745 Phone: 508-449-6036 Fax: 508-449-6136 Email: lholt@massdental.org North Shore District Election Reporting Form [2013-2014] Position Member Chair Darryl Smith [page 1 of 2] Term Expiration 2013 Chair-elect Steven Baratz 2013 Vice Chair 2013 Lawrence Monaldo Secretary Brian Chuang 2013 Assistant Secretary Helyne Hamelburg 2013 Treasurer Spiro Saati 2013 Assistant Treasurer Linda Massod | Tom Sterio | Meng-Chieh Lee 2013 Editor Mark Wang | Jeff Dornbush | M. Costello 2013 Trustee Peter Hjorth 2015 The following positions are district representatives serving on statewide MDS councils: Council on Access, Prevention and Interprofessional Relations John Fisher 2015 Council on Dental Care and Benefits Programs (also serves as chair of district peer review committee) Anabel Franciskato 2015 Council on Public Affairs Meng-Chieh Lee (to be updated) 2015 Council on Dental Education Viktoria Talebian 2014 Council on Membership Tom Sterio 2016 Council on Nominations (shall not serve 2 consecutive years) John Herzog (to be chair Darryl Smith) 2013 Council on Dental Practice Yuri Shamritsky 2015 MDS-PAC/MDS-People’s Committee Representative (must be an MDS-PAC/MDS-People’s Committee contributor) Please note: Metropolitan is allowed three representatives to MDS-PAC/MDS-People’s Committee and South Shore is allowed two representatives. All other districts are allowed one. 2015 Rocco Iocco Page 8 PREVIEW OF APRIL BALLOT Massachusetts Dental Society Two Willow Street, Suite 200 Southborough, MA 01745 Phone: 508-449-6036 Fax: 508-449-6136 Email: lholt@massdental.org North Shore District Election Reporting Form [2013-2014] [page 2 of 2] District Ethics Committee (One chair, two members) Chair Arnold Maloff Member #1 Rocco Iocco Member #2 David Cormier | Steven Baratz District Peer Review Committee The district peer review committee shall be composed of a minimum of seven members each. The district representative to the CDCBP shall serve as chair. The district shall elect a minimum of six members. One of the members shall be designated as the mediator. Chair (Is also the Council on Dental Care and Benefits Representative (See Pg.1 of this form) Chair Anabel Franciskato Mediator Darryl Smith Elected Member #2 Steven Baratz Elected Member #3 Brian Chuang Elected Member #4 Arnold Maloff Elected Member #5 Josephine Pandolfo Elected Member #6 John Herzog Delegates List North Shore District Dental Society MDS House of Delegates June 14, 2013 Please fill in the names of your chair, secretary and treasurer. They are your first three delegates. Then you will need 5 more to total the eight that your district is allotted. Please note: Your district trustee is a delegate also, but does not need to be included in your list of eight. Thanks for completing this form and getting it to us by March 1. Please contact Senior Director Lois Holt (contact information below) if you have any questions. D elegates Chair: Darryl Smith Secretary: Brian Chuang Treasurer: Spiro Saati Helyne Hamelberg Josephine Pandolfo Viktoria Talebian Mary Pomponi Steven Baratz A LT E R N AT E S Page 9 Meng-Chieh Lee Michael Costello Tom Sterio John Fisher North Shore District Dental Society As secretary of the North Shore District, I herewith submit the following report of the membership and meeting activities for the year 2012-2013: Full Active Members Active (50%) 1st Time Active Active Life Members Retired Members Retired Life Members First Year Out of School Second Year Out of School Third Year Out of School Fourth Year Out of School Permanent Disability Allied Dental Health Professionals Total Membership to Date Newly Elected Members Report of Activities for the Year: Executive Committee Meetings: September 6, 2012 October 4, 2012 November 1, 2012 February 5, 2013 March 7, 2013 April 4, 2013 District Meetings: September 13, 2012 Digital Imaging Systems for the Dental Office Dr. Carl Boscetti October 18, 2012 Physics Forceps, Implants and Sinus Lifts Dr. Timothy Kosinski November 15, 2012 2012 Restorative Update Dr. Carl McManama February 7, 2013 Digital Smile Design Dr. Jeffrey Dornbush March 14, 2013 Pain Management, Medications, and Misuse Dr. Paul Vankevich April 11, 2013 The Endo Perio Connection Dr. Ramzi Sarkis “ Respectfully submitted, Brian P. Chuang, DM Page 10 SPOTLIGHT ON INFECTION CONTROL On Monday, March 18, Dr. Dornbush’s office team attended its annual OSHA and Infection Control training mandated for all licensed providers for their license renewal in Massachusetts under regulation CMR 234 8.00. Associate Director, Anthony Boschetti, DMD of Dynamic Dental Safety conducted the training. to become more vigilant on compliance issues for all aspects of health care providers. The dental board in Massachusetts (BORID) is becoming very aggressive in their oversight of responsibilities rules and regulations related to what is required for dental compliance.” “Since the department of public health oversees professional licensure, especially for dentistry, is in such turmoil right now, they are going to be more aggressive than ever in maintaining compliance for all protocols and procedures as indicated in the Commonwealth of Massachusetts regulations (CMR 234) which applies to all dentists, dental hygienist, dental assistants in the state of Massachusetts. These rules and regulations are being strictly followed and strictly enforced. All dental offices should make themselves aware of the rules and regulations and be in compliance with a group such as Dynamic Dental Safety..” Dr. Boschetti informed us of the existing climate of accountability in the Massachusetts Department of Public Health and made the following statement: “ “Currently department of public health in Massachusetts is in a state of flux right now due to non compliance issues throughout the state in various health related activities. The Department of public health is under going internal audits for lack of oversight for compliance issues related to NECC, related to Ameridose, related to the Annie Dookan scandal at the chemistry lab for the state police. Because of this neglect or lack of proper oversight or compliance the state has included or has begun Page 11 North Shore District Dental Society April 2013 Newsletter SUMMARY of BOARD OF TRUSTEE’S ACTIONS F E B R U A R Y 2 0 1 3 - by peter hjorth President Dr. Paula K. Friedman informed the Board that DentaQuest has contributed $60,000 to the Oral Health Summit to be held on June 7, 2013 at the Westin Copley. She outlined the plan and invitation list for the meeting, which will include representatives from the other five first district states as well as MDS leaders. • President Dr. Friedman reviewed plans for an MDS Leadership Dinner on March 13 at Blue Ginger in Wellesley. An agenda will be sent in advance to all participants, which will include district trustees, chairs and chairs-elect. • President Dr. Friedman, Yankee 2013 General Chair Dr. Raymond Martin, and others reported that Yankee was a huge success from budgetary and execution perspectives, and that the meeting seemed to be enjoyed by all. Yankee attendance has grown 6% in the past five years. • MDS 150th Anniversary Task Force Chair Dr. Richard Lentini spoke to the Board about the variety of activities that are planned for 2014. They include a commemorative calendar, an exhibit at YDC 2014 and a special issue of the MDS Journal. There was also a discussion of a social event that is still in the planning stages. • The Board discussed the advisability of changing the MDS logo, possibly in connection with the 150th Anniversary and asked the Committee on Communications to continue to explore the options. • Dr. Timothy Snail, Charles River Associates, gave a final report during executive session on the data collection on the impact of the Delta Dental fee changes on MDS members. • Roger Donoghue, Capitol Consulting, reported to the Board on legislative issues and reviewed the legislative process in which the governor vetoed the non-covered services bill in the last legislative cycle. The bill has been refilled. • President Dr. Friedman informed the Board that she had received positive feedback from the dental school deans on a meeting held with the Executive Committee and Council on Dental Education on January 31, 2013. Secretary Dr. William Dennis reported that Dr. Alan Gold was elected as the chair of the MDS Council on Nominations and that a mail ballot had been completed. The nominations slate, to be presented at the June MDS House of Delegates, includes Dr. Edward Swiderski, Worcester District trustee, as vice president. • President-elect Dr. Michael Wasserman reported on the ADA President-elect's Conference, held in January, at which the MDS was identified as one of the dental societies whose membership had grown. He also said that the ADA's Call to Action will include eight health care initiatives to assist with access to care. There was also discussion at the meeting on mid-level providers. • Speaker of the House Dr. Thomas Torrisi led a discussion on the executive director's review during executive session. • Treasurer Dr. Michel Jusseaume reminded the Board of the upcoming meeting of the Budget and Fiscal Planning Committee on Wednesday, March 27. • Assistant Treasurer Dr. Howard Zolot announced that the Investment Subcommittee has chosen a new investment team to replace UBS. New England Private Wealth Advisors will begin managing the MDS portfolios following a transition phase. The new company will also assist with revising the financial policy statements. • Spring Insurance Group/MDSIS CEO George Gonser said that Spring has a high retention rate and has realized significant growth during the past year. A new life insurance program has been added. He also began to explain the dental component of the Massachusetts Health Care connector/ exchange that is part of the Affordable Care Act. • The Board voted to cancel the MDS agreement with Code Red for automatic external defibrillators. Executive Director Dr. Robert Boose reported on a disciplinary issue with a member who did not comply with the findings of peer review. The • • Page 12 North Shore District Dental Society April 2013 Newsletter CONTinued SUMMARY of BOARD OF TRUSTEE’S ACTIONS F E B R U A R Y 2 0 1 3 - by peter hjorth matter was appealed to the ADA, which found that suspension of membership was too harsh of a sanction. The ADA did agree that the member was in violation of MDS policies. • Middlesex Trustee Dr. Mary Jane Hanlon reported on progress on developing First District bylaws. • The Board discussed the Etherington Award for 2014 and voted to forward the name of a Massachusetts' candidate. The decision will be made by all of the First District states at NEDLC later in March. • EDIC Trustee Director Dr. John Fisher reported that EDIC President and CEO Dr. Charles Hapcook will move from president to chairman of the board. An executive search firm is on schedule with finding a replacement for Dr. Hapcook. • Southeastern District Trustee Dr. Raymond Martin announced that, due to a conflict of interest, he has resigned his position as an EDIA director. Members interested in that position should contact the executive director or the president. • Dr. Charles Silvius, chair of the MDS Constitution and Bylaws Committee, reported on the work of the committee. The Board approved revised proposed changes to the Bylaws. The proposed changes will be presented to the MDS 2013 House of Delegates in the form of resolutions. • Metropolitan Trustee Dr. John (Chris) Owen, who is the Board's trustee liaison to the Council on Dental Practice, told the Board about a meeting that the council had in November with Dr. Brent Martin, MassHealth Dental Director. The discussion centered on the impact of Public Health Dental Hygienists (PHDH) on the MassHealth dental program. • Director of Dental Practice Ellen Factor made the Board aware of an Abuse and Neglect Program being held in cooperation with the Massachusetts Medical Society. The event will be held on Tuesday, March 12, 2013 in Waltham, and speakers will include Olympic Gold Medalist Kayla Harrison. • The Board's BORID liaison, Dr. Stephen Shea, reported that Dr. Roderick Lewin has stepped down as BORID secretary and Dr. Milton Glicksman is now in that position. Dr. Shea said that BORID's discussion on PGY1 (a post graduate year of study in place of the NERB exams) is ongoing. • Worcester Trustee Dr. Edward Swiderski, who is the Board's trustee liaison to the Committee on Legislation and Governmental Affairs, reminded the Board that the annual Beacon Hill day will be on April 3 this year at the Omni Parker House in Boston. • Merrimack Valley Trustee Dr. Thomas Trowbridge, who is the Board's trustee liaison to the Council on Membership, spoke about a new Leadership Development Task Force, which will nurture new leaders into programs and leadership opportunities. The Board charged the council to bring a resolution to the MDS 2013 House of Delegates to offer reduced MDS membership dues to community health center dentists on a trial basis. North Shore Trustee Dr. Peter Hjorth, who is the Board's trustee liaison to the Boston Collaborative Group, described various events the group has held, as well as an upcoming Town Hall Meeting on February 28 at the Omni Parker House in Boston. • In 2012, the MDS Foundation awarded five grants to various organizations for a total of $111,000. There are new targeted grants that do not require applications for funding. The Board approved the concept of an "ambassador/liaison" from each district to advocate for the Foundation. • The Board reviewed and approved revised MDS Strategic Goals and Objectives for 2013-2016. The goals will be reviewed again at the Annual Retreat in July 2013. Many thanks to the folks at Henry Schein for their continued participation and support of our North Shore District Dental Society. Page 13 FROM OUR MARCH 14, 2013 MEETING Secretary Dr. Brian Chuang awards Dr. ARNOLD WALLINS his Life Membership Pin. DR. ARNOLD WALLINS Dr. Brian CHUANG NORTH SHORE DISTRICT DENTAL SOCIETY BYLAWS as of October 29, 2011 North Shore District Dental Society Component of the Massachusetts Dental Society and the American Dental Association [EXTRACT from the Constitution and by-laws of the Massachusetts Dental Society Chapter XIX] 59. Life Membership: The Life Members shall be the present Life 60. Members, and hereafter those Active Members in good standing who 61. have held membership in good standing for thirty-five (35) con62. secutive years or a total of forty (40) years in this and other 63. constituent societies of the American Dental Association and 64. have attained the age of sixty-five (65) years. Page 14 FROM OUR MARCH 14, 2013 MEETING Dr. Darryl Smith awards Fanice Jean Batiste the 2013 Steven Stone Scholarship Recipient. DR. DARRYL SMITH FANICE JEAN BATISTE T he Steven Stone Scholarship is awarded to a dental hygiene student/dental assistant student who is interested, demonstrates that they have a need for it, and wants to stay in the area. dental assisting program. All the letters of recommendation from her teachers are great. Aside from going to school, she’s working at Dunkin Donuts and the manager is very happy how punctual she always is. On March 14, 2013, the North Shore District Dental Society Executive Board approved the $500 scholarship award. Subsequently, Jennifer Hanlon will collect all of the information at the Massachusetts Dental Society and arrange for the MDS Foundation to match it with another $500 for a total of $1,000. Her personal letter was very moving as she talks about how there are times that it’s just so tough that she was thinking about if she should just give up and then the letter said “but I’ve come this far already and I’m doing something I want to do”. It is a very fitting case for what this scholarship is intended for. She lives on the North Shore and we welcome her to practice on the North Shore. Fanice is a second year student at the Middlesex Community College in the associate degree Page 15 North Shore District Dental Society Dr. Mashid Mirghassemi April 2013 Newsletter There are 5 lectures but the 2nd year is more work so time wise it works for me. Guest Member at the March 14, 2013 North Shore District Dental Society Executive Board Meeting JOHN FISHER: It would be worthwhile for others if you did a little article for our newsletter. MASHID: Sure. It’s very nice if more and more mentors come. Right now there are 14. I think they are the only one from our District. Report on the MDS Leadership Institute This is a good idea! Dr. Mirghassemi “says the MDS Leadership Institute is a MASHID: I like the variety of people that they chose. It’s not just private practice, there are people that are there from school – they are students that are active and there are 2 of them in a program. I was impressed with the variety of people that chose to do this. good experience for younger dentists to learn how to get involved with the society. ----Steve Baratz “ DARRYL: Now do you think you would want to get involved in a role with the Dental Society like the Executive Board. MASHID: Thank you for inviting me. DARRYL SMITH: Mashid, tell us what you did. You took a course with the Mass Dental Society on leadership? MASHID: Eventually, it’s great because you want to have an impact on what is going on. I did CAPIR (Council on Access, Prevention, and Interpersonal Relationships) before – I had to take a little time off because I had a baby but I really liked what they were doing and now John took over and John really likes that. MASHID: It’s happening now. It’s a 2 year program that started in September. The first year there are 4 lectures and one team building event that you go through and they teach you leadership skills and I have more detail that I can tell you and the 2nd year you can pick up a project and we are now in the initial process of doing that and you work on that during the 2nd year. It’s like a volunteer project with different ideas that they propose to us or we can pick anything that we want. We can do one of the committees that they have so right now we have one more lecture to go and then there is a break and then we start the 2nd year process. MASHID: When I was on the Council they were doing a lot for nursing homes and for younger people. I also like the committees that especially know insurances – the way they are treating benefit cuts and I would like to prevent what is happening in other states before it gets back to us and happen here. JOHN FISHER: That’s another Committee If you had an interest in being on that Committee – dental health benefits. JOHN FISHER: And there’s actually an honorarium associated with that. MASHID: Oh for that? Yeah. Actually for my project next year I was thinking about it. MASHID: Right. JOHN FISHER: The only reason I mention that is because it might be worthwhile to publish that so that other young dentists are aware – DARRYL: Good, we will definitely want to keep you on a list of people to contact when a position becomes open. JOHN FISHER: How did you decide you were going to do it? MASHID: Sure. DARRYL: So, thanks for doing that. That’s great. So, that’s our introduction. Do you know everyone else here MASHID? MASHID: I heard from a few people here on the board. MASHID: Carlene Tsai told me about it and I thought it was a great idea. A lot of personal skills are developed and also you learn about volunteer work if you want to be active in the Society. When I looked into that, I realized it’s not a big, huge commitment. MASHID: Of course. I’ve been to Board meetings before. Page 16 North Shore District Dental Society April 2013 Newsletter TIPS FOR MAXIMIZING YOUR WEBSITE EFFECTIVENESS* The following are some pearls of wisdom gleaned from a course in digital marketing at this year’s Yankee: 6. Include a section highlighting the Team with photos and job descriptions of staff members 1. Place your phone number and address prominently at the top right hand side of your website. The address should be in plain text to help with SEO. Use the word CALL in front of the phone number. 7. If applicable, use Before & After Photographs in the main navigation. Use this title in lieu of Smilemakovers, for SEO considerations. 8. Testimonials are one of the top three sections new patients look for when deciding on a new doctor. New patients are typically more interested in what others say about you than what you say about yourself. Ideally you would include a testimonial on every single page of the site, so that no matter where they go the potential patient is constantly reinforced with great things other people say. 2. Place a link on the top right that gives people the ability to email you. Ideally, use your receptionist’s name, as in “Email Mary with your questions”, and when clicked on it would link them through to the contact page. 3. Incorporate a picture of the doctor and or staff on your home page. Personal pictures make the site more inviting. Any media accolades, awards, etc. should always be clearly displayed on the home page. 9. Your “Contact Us” page should have an interactive map and hours of operations. A really strong testimonial on this page will help reduce the likelihood of people clicking off while they are making the decision on whether or not to reach out. This is a great page to display a video testimonial if you have one. Also include a note about financing for patients who may be price conscious. 4. Text on your home page should comprise 300-500 words with 3-5 keywords. Include a list of the services you specialize in. 5. Format your navigation panel so that you have one row of links along the top or left hand side of your site that begins with your home page and ends with your Contact Us link. You should also have a sitemap at the bottom of each page for easy navigation. Page 17 *EverydayHealth.com North Shore District Dental Society April 2013 Newsletter Expanded Perspectives on Invisalign from a Father and Daughter: Dr. Jack Bednar [ practicing North Shore orthodontist ] Dr. Katy Bednar [ grad. student in orthodontics at Boston University ] Is Invisalign the Universal Solution? during orthodontic therapy. However, its ability to totally control inclination, rotation, and torque are somewhat limited and bodily movement of teeth is not as efficient or as predictable as can be achieved with fixed appliance orthodontic therapy. Much of the evolution of the appliance has been through the efforts of pioneers in the field such as Dr. Robert Boyd who has experimented extensively with the Invisalign appliance. by Jack Bednar The most important treatment factor in orthodontics is “control”. All forces utilized in orthodontics must answer to Newton’s Third law: “Every action has an equal and opposite reaction” Consequently, not only the “action” force must be under the orthodontist’s control but the “reaction” force as well. Hence, “anchorage” becomes the means by which the “reaction” force is controlled so that the mandibular teeth can be aligned into a specifically designated area in the arch and the maxillary dentition can be properly interdigitated with the mandibular arch. As noted above, control of the dentition during orthodontic treatment permits the movement of teeth into predictable locations in the dental arch. There are very important parameters which dictate where the teeth should be positioned during orthodontic therapy. Forty years of research on relapse and retention at the University of Washington have clearly demonstrated that instability of post orthodontic results are statistically related to expansion of the lower dentition labially and to increase in lower intercanine dimension during treatment. Dr. Roger Wise during his Boston University residency in orthodontics also investigated the periodontal implications of labial expansion of lower incisors during phase I orthodontic therapy of Begg technique treated patients. His findings concluded that labial expansion of lower incisors can lead to undesirable fenestrations and dehiscences under soft tissue coverage that may appear to be clinically normal. Consequently, orthodontic appliances must have the capacity to move teeth to predetermined positions in the arches and simultaneously comply with the demands of stability and periodontal health. Undesirable expansion can lead to undesirable long term consequences. Post-treatment retention is still critically important even when teeth are bodily moved in a controlled manner to predictable final positions which are esthetically pleasing and as stable as possible. However, orthodontic patients are always subject to potential relapse and every effort needs to be made to place the teeth in the most predictable stable Precise tooth movement requires control in three dimensions and it is achieved in fixed appliance orthodontics by the combination of a simple force and a couple. The couple is a two point contact between the tooth surface/bracket and the archwire. Control of tipping mesio-distally and rotation of the tooth is realized by the Twin Bracket design which permits the orthodontist to tie the archwire tightly into the bracket with contact on the mesial and distal wings. Control of labio-lingual inclination can be accomplished by the insertion of a rectangular archwire into a pretorqued rectangular bracket slot or through the use of torquing auxiliaries. Once the two point contact/couple has been established, the tooth can then be moved bodily with a simple force, without tipping, to its designated location in the arch. The use of a simple force without a couple will result solely in a tipping movement of the tooth. When Invisalign first came onto the scene, the original appliance was more or less a tipping, simple force appliance. Over the years, it has evolved into a more complex appliance with a combination of a simple force and a couple to attempt to attain bodily movement Page 18 North Shore District Dental Society positions and then retain the final result indefinitely due to the unpredictable nature of post treatment results. Can Invisalign treatment meet all the strict treatment requirements that are normally attainable with fixed appliance therapy? Can Invisalign treatment be utilized in all types of skeletal and dental malocclusions? The experienced orthodontic practitioner may choose to combine Invisalign treatment with extraoral appliances and fixed appliances during different phases of orthodontic therapy to achieve the best predictable results. It is vitally important that the Invisalign practitioner be experienced in the technique and be aware of any limitations of the appliance when treatment planning the case. April 2013 Newsletter instructions on fabrication dimensions, color, contour and his or her desires on how they want the final result. Invisalign is just the same. As the clinician, one needs to detail exactly how they feel the case should be treated. When Invisalign sends a Clin Check with proclinations of teeth or A-P corrections that you either know are impractical or unwise, you need to ask them to make the corrections that you want. It is not unlikely that a clinician would send a case for 6, 7, or 8 Clin Checks before they are completely satisfied with the movements of teeth and the final result. Invisalign is simply the technician who fabricates the appliance that will be used. You are the clinician who will be treating the patient. You need to keep that in mind when assessing how you will achieve healthy, functional and esthetic results. Practicality of Invisalign Invisalign has done a fantastic job marketing to the public. It has helped to not only get people excited about a new, extremely esthetic method of straightening teeth, but it has also driven the public into their dentists and orthodontists asking for Invisalign. At this point it is the wise clinician who assess the case and determines if the orthodontic movements necessary can be accomplished using Invisalign. Again it is a treatment modality, not a treatment plan. Case selection is critical. The clinician needs to know the possibilities and limitations that Invisalign provides. Often in more complex Class II cases, where A-P movements are necessary, ideal results can be achieved with a combination of Invisalign and conventional fixed appliances. Often the public is very unaware of the esthetic choice of ceramic fixed appliances as an alternative when Invisalign is not the correct modality. Ceramic braces have made huge esthetic advances in past years, to the point where it would be hard pressed to even tell if someone 10 feet away was wearing them. Combination treatment options are able to maintain gorgeous esthetics while achieving outstanding results. Cases can start out using Invisalign to level and align teeth, then switch to conventional braces for molar uprighting and more difficult movements which often require better control, and then finish with Invisalign. Quite frankly the options are endless. As long as the clinician keeps a practical mindset and adheres to the fundamental techniques of orthodontic tooth movement, they can achieve wonderful results, while providing the patient with an extremely esthetic treatment option. by Katy Bednar “You the orthodontist, them the technician.” This is a line often heard in the clinic from the faculty in the Orthodontic Department at Boston University when looking over a Clin Check, an Invisalign virtual treatment plan. BU is currently the only dental school in Boston which offers its residents the opportunity to treat patients with Invisalign. The idea being that once residents graduate they should not only be competent clinicians but also knowledgeable in a variety of treatment modalities. That is precisely what Invisalign is, a treatment modality, not a treatment plan. It is critical to realize as a clinician that Invisialign is a wonderful asset to any practice, but the principles and mechanics that dentists and orthodontist know to hold true for conventional fixed appliance orthodontics need to be followed. If it should not be attempted with conventional fixed appliances, then it should not be done with Invisalign aligners. For example, many years of research has taught the prudent clinician that proclining lower incisors, flaring them out over the bone, is detrimental to the periodontium creating fenestrations and dehiscences. If Invisalign sends a Clin Check in which they are unraveling crowded teeth by proclining lower incisors, the clinician needs to realize the consequences of this action. It is here that treatment planning is vital. In an ideal world Invisalign would send you a treatment plan with “X” amount of aligners and a perfect result every time, but we know this does not happen. A dentist wouldn’t send a crown out for fabrication that said “make me a crown” on a lab prescription, but rather he or she would send detailed Page 19 North Shore District Dental Society April 2013 Newsletter Letter to the Editor and phobias at 8.7%, where females are twice as often affected as males. The incidence of dental phobia over eight years was alone cited as 16.5% and some sources as high as 24.3% with strong female preponderance. Postprocedural pain can be disabling and sometimes difficult to control. Much of its severity can be and should be addressed before the procedure begins. As part of my service I would be able to ameliorate the severity and intensity of the pain patients can experience. Patients have Stefan Ianchulev become accustomed to provide painless treatment and calming environment. An anesthesiologist can be very instrumental in accomplishing this. Dear NSDDS Editor, As a member of the Anesthesia Society, I would like to inform the members of the North Shore Dental Society of the opportunity to involve board certified anesthesiologists to handle the various stages of sedation or general anesthesia for their procedures. In our current age and state of the art medical and dental achievements, anxiety and pain should be a thing of the past. The visit to the dentist or physician should not be marred by fear and discomfort. Yet, 40 million Americans, or 18% of the US population older than 18 years of age, suffer from anxiety disorder according to the National Institute of Mental Health. Generalized anxiety disorder prevalence is 3.1%, panic disorder 2.7% However, the provision of such services to the patient in the office setting is sometimes complex and not without risks which is why an anesthesiologist is necessary. I would like to offer you help in adding the skills of a Board Certified Anesthesiologist to your practice for the provision of the entire scope of anesthesia as well as with the accreditation process and provision of anesthesia services. My email address: sian66@yahoo.com Thank you very much. Kind regards, Stefan Page 20 Please contact your customer care representative, Jacqueline Love, 203.415.3329 or emailcare at Jackie@yorkdentallab.com Pleaseatcontact your customer representative, Jacqueline Love, at 203.415.3329 or email at Jackie@yorkdentallab.com DESIGN... ZR Picasso Full Contour boasts the largest anatomical library. This allows you boasts to accurately match your DESIGN... 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Visit our channel on 4 Pin Oak Drive Branford CT 06405 www.zrpicasso.com | www.yorkdentallab.com www.yorkdentallab.com www.zrpicasso.com 4 Pin Oak Drive Branford CT 06405 (P) 800.345.7760 | (F) 203.776.4726 www.zrpicasso.com | www.yorkdentallab.com (P) 800.345.7760 | (F) 203.776.4726 www.youtube.com/yorkdental To The Editor, “I’m Liza Bathurst, a Marblehead native who is returning to school to pursue a career in dental hygiene and looking for the opportunity to gain experience in a dental office environment. My ideal situation would be to find a dental assistant opportunity, as I will be obtaining Radiology Certification in early May through the Yankee Institute. My previous employer’s will attest that I am personable, professional and hard-working. Given the opportunity, I am confident that I will be an excellent addition to your office team! I can be contacted by email, liza.bathurst@gmail.com, or cell phone, (617) 791-3954 at your convenience.” You can perform a great service for aspiring young students in the dental assisting program at Greater Lawrence Technical Vocational High School in Andover. Dianne Skreslet, dental assisting instructor, seeks contributions of expired dental materials, operatory stools for the dentist. educational models, including skulls. donations may be delivered to Jeffrey dornbush at nsdds meetings, or arrangements can be made with: ➟ Dianne at dskreslet@glts.net, or by calling her at 978-407-5411. 15 th Annual NSDDS Howard M. Skurow Memorial Golf Outing Tedesco Country Club Monday, June 17, 2013 12-6 pm call Kerry McGrath 781-596-2220 06.17.2013 Brian Gaffey Territory Manager— Boston North gaffey.bh@pg.com 978-314-9885 dentalcare.com © 2011 P&G North Shore District Dental Society April 2013 Newsletter April 11, 2013 The Hawthorne Hotel Passed Hors d’oeuvres: (6:30 - 7:00pm) Black & Blue Beef - Blackened Sirloin on Blue Cheese Cream on Baguette Toast Chicken Spinach Meatball with Marsala and Mozzarella and Prosciutto Buffet: (7:00 - 8:00pm) Sophia’s Arugula Salad with Prosciutto, Medjool Dates, Blue Cheese, Sliced Toasted Almonds with White Balsamic Vinaigrette Caprese Salad, Ripe Tomatoes, Fresh Mozzarella, Basil Leaves, EVOO, Warm Rolls & Butter Roasted Salmon with Mango Salsa Herb and Pepper Crusted Roasted Prime Rib of Beef Chicken Picatta with Lemon Beuree Blanc and Mushrooms Roasted Fingerling Potatoes, Maple-Spiced Glazed Carrots (1) Plate of Fresh Fruit on each Table - Served with Dessert Creme Brulee, Freshly Brewed Coffee and Decaffeinated Coffee, and Herbal Teas Note: Coffee Service with Dinner Astra Tech BioManagement Complex™ —function, beauty and biology in perfect harmony THe nexT besT THing THe besTTeeTH THing To nexT naTural To nexT naTural THe besTTeeTH THing To naTural TeeTH The success of an implant system cannot be determined by one single feature alone. The Astra Tech system is designed for successful maintenance of marginal bone integrity and soft tissue health, through the unique combination of key features: g Featurin ue the uniq ® ce! eg surfa tiv Ac SLat in Fe ur ue the uniq ® ce surfa ! SLActive g Featurin ue the uniq ® surface! SLActive ® ® ® ® ® © Straumann © Straumann USA, LLC 2008. USA, Straumann LLCUSA, 2008. Straumann and SLActive andare SLActive registered aretrademarks registered trademarks of Straumann of Straumann Holding Holding All rights AG. reserved. All rights reserved. © Straumann LLC 2008. Straumann and ®SLActive are registered trademarks of AG. Straumann Holding AG. All rights reserved. OsseoSpeed™ — more bone, more rapidly MicroThread™ — biomechanical bone stimulation Conical Seal Design™ — a strong and stable fit Connective Contour™ — increased soft tissue contact zone and volume Local Astra Tech representative: Ellen Claggett - 781-810-6191 www.astratechdental.com North Shore District Officers 2013 Chair Dr. Darryl Smith 781-592-1620 Chair Elect Dr. Steven Baratz 781-631-1482 Vice Chairman Dr. Lawrence Monaldo 978-745-8774 Assistant Secretary Dr. Helyne Hamelburg 781-598-3700 Treasurer Dr. Spiro Saati 978-531-2185 Assistant Treasurer Dr. Linda Massod 978-774-4505 Editor Dr. Mark Wang 978-531-3400 Trustee Dr. Peter Hjorth 978-531-3010 Assistant Editor Dr. Jeffrey Dornbush 781-639-0700 Secretary Dr. Brian Chuang 617-852-3636 Program Chair Dr. John Herzog 978-777-1560