Articulator Vol12_Issue1 - Metro Denver Dental Society

Transcription

August/September 2007
Volume 12, Issue 1
Articulator
C O N N E C T I N G M D D S M E M B E R S W I T H L O C A L N E W S A N D I N F O R M AT I O N F O R O U R P R O F E S S I O N
I N S I D E :
Reflections
2
“Off the Charts” Fundraising
Success
2
Letter to the Editor
2
New Guidelines for Prevention
of Infective Endocarditis
3
Risk Management
3
9Health Fair
4
Practice Transitions
5
Practice Management
6
Transitions
7
Annual Meeting
8–9
Finance
10
Continuing Education
Survey Results
11
Bisphosphonate-related
Osteonecrosis of the Jaws
12
Calendar of Events
14
Classifieds
15
connections
for
our
p ro f e s s i o n
Award-winning Dental Service
OUTSTANDING ACCOMPLISHMENTS RECOGNIZED
aged Coloradans through the
On Thursday, May 10,
Colorado Foundation of
2007, four individuals who
Dentistry for the Handihave given the gift of hope
capped’s (CFDH) Donated
and health to those in need
Dental Services program.
were honored through the
A volunteer for the CFDH
MDDS Community Service
program since 1978, Dr.
Recognition Awards
Wise’s efforts have improved
Program. These individuals
the quality of life for dozens
were recognized for making
Dr. Randall Wise:
Dr. Lawrence Purcell:
of individuals suffering from
major contributions to dental
Outstanding Service to
Outstanding Service to
seriously neglected dental
advocacy and to dental
Patients with Special
the Underserved Award
Needs
Award
problems.
patients with special needs
and the underserved in both
Lawrence J. Purcell,
the Denver and world
DDS, a retired general dentist
communities. Recipients were
residing in Littleton, received
selected by members of the
the 2007 Outstanding
MDDS Community Access to
Service to the UnderCare Committee and awards
served Award. He was
were presented to the followrecognized for his dedicated
ing honorees at a ceremony
service in providing free and
held during the MDDS 110th
low-cost dental services to a
Annual Meeting (see pages
Dr. Paula Coffee:
Dr. Stephanie Clements:
variety of underserved
Outstanding Service to the Outstanding Contributions
eight and nine for more
World Community Award
to Dental Advocacy Award populations. Dr. Purcell has
Annual Meeting highlights).
an extensive 40-year history
We wish to thank our
of volunteerism, providing
2007 award recipients for
received the 2007 Outstanding
making such an extraordinary and
Service to Patients with Special
treatment to uninsured and lowimportant difference to so many.
Needs Award. He was recognized
income families at the Inner City
Randall S. Wise, DDS, a
for his commitment to providing
Health Center, volunteering for Kids
Lakewood-based general dentist,
cost-free dentistry to disabled and
In Need of Dentistry (KIND) for 25
Continued on page 6
MDDS Watch Dog
■
DENVER CO
PERMIT 2882
PA I D
3690 South Yosemite Street Suite 200
Denver, Colorado 80237
Metropolitan Denver Dental Society
PRSRT STD
U.S. POSTAGE
How Deep Are Your Pockets? Are
Periodontal Disease and Embezzlement Similar?
By Debra S. Lane, CPA, MT
Editor’s Note: The Colorado Dental Association recently sent an email alert to
members regarding a $200,000+ embezzlement that occurred in a dental practice
related to processing credit cards. We will not provide details here as anyone who
might read this could duplicate the method. Members may call CDA staff member,
Rose McKee, at (303) 996-2847 to learn more.
You tell your patients that periodontal
disease can often go undiagnosed for
years, and that they may not be aware of
the problem until their gums and the
supporting bone are seriously damaged.
You tell your patients that periodic
examinations and good daily oral
hygiene routines are the best way to
control the disease.
And yet, even though you continue to
disseminate this information, some of
your patients choose to ignore your
advice and preventive treatment until the
damage is done. They just don’t think it
could happen to them.
Frequently, dentists suffer from the
same myopia. Experts estimate that more
than 50% of dentists are embezzled with
an average loss of $50,000. But, because
embezzlers often steal relatively small
amounts over a long period of time, the
misappropriation of funds goes
unnoticed.
Similar to periodontal disease,
Continued on page 13
CE Survey Results
The issue of mandatory continuing education for health
professionals is a controversial
topic in Colorado because of
questions about its efficacy,
public demands for accountability and consumer protection.
In the past 15 years, the
number of states requiring CE
for many professions has significantly increased. Currently,
Colorado and Wisconsin are
the only two states that do not
have CE mandates for dental
licensure. In order for MDDS to
know the membership‘s stand
on mandatory CE, should it
become a legislative issue for
our state, an electronic survey
was sent to members to obtain
feedback on voluntary and
mandatory CE requirements.
See page 11 for survey results.
R eflections
MDDS Articulator
In Memoriam: Dr. Larry Meskin
By Matt Dunn, editor
The unexpected passing of Dr. Larry
Meskin leaves a considerable void in
the dental profession. As a respected
scientist, clinician and writer, as a
former editor of JADA and former dean
of the University of Colorado School of
Dentistry, he will be impossible to
replace.
As an educator, mentor and friend
he will be sorely missed.
I first became acquainted with Dr.
Meskin in the late 1990s, while working
on the student dental journal at
Northwestern University. He read all
the student journals — as eagerly as we
all read his JADA, it seemed – and on
crossing paths in Chicago he would
offer his insight and encouragement.
In the fall of 1999, I had a surprise
call from Dr. Meskin asking if I might
have time to help out as a member of
the JADA editorial board. He said I
would be about half the age of everyone
on the board, but that he’d like to have
a recent dental school graduate around
to do some writing and offer a bit of
perspective.
I accepted, of course, and when I
showed up at the first editorial board
meeting sometime afterwards, I recall
entering a room full of startled faces
presuming I’d wandered down the
wrong corridor. One said, “I’m sorry,
this is the editorial board meeting. Can
we help you?”
Whereupon a smiling Dr. Meskin
said, “This is Dr. Dunn, our newest
board member. Have a seat, glad you
could be here.”
After the meeting, Dr. Meskin took
me aside and said I really needed to
start calling him “Larry” — instead of
this “Dr. Meskin” business. I assured
him I would try, but that it might be
difficult, given his gigantic resume
which included DDS, PhD, MSD
and MPH degrees. Among others,
I presume.
Though I tried, over the years, I’m
afraid I never did make good with
Larry’s request. Two months ago, at the
CU dental school scholarship luncheon,
we had a pleasant conversation and I
learned of his plans for retirement, the
next active phase of his life.
But when I stood up to give a brief
presentation, I found myself referring to
“Dr. Meskin” on this and “Dr. Meskin”
on that. Whoops. He must have known
it was completely hopeless, at that
point.
It is altogether saddening that Larry
will not be able to pursue the retirement
plans he outlined at the luncheon the
other day, but, though foreshortened, his
life was a good and full one and he left
an indelible mark of excellence on the
dental profession.
Though I will remember much about
Larry, I will most remember his
columns for JADA. They were superb,
each one of them, with a grand total of
131 produced during his 11 years as
editor. The style was flowing and familiar, the content simple and profound.
I presumed he wrote them with ease,
as they were so easy to read. I asked
him once how long it took him to write a
column, and was surprised to learn how
many hard hours he devoted to each
effort, writing and rewriting until they
captured what he wanted to say. For
our former JADA editor, it was a labor
of love.
“Off the Charts” Fundraising
Success
Special thanks to The Better
Shredder, Inc. and members who
participated in the first annual
Spring Cleaning, After Taxes
Shredding Day. Over $7,500 was
raised to benefit the Metro Denver
Dental Foundation’s Domestic
Violence Dental Care Program
through the destruction of patient
records, x-rays and other confidential documents. In partnership with
The Better Shredder, the Foundation
provided several discounted destruction options to ensure compliance
with patient record
retention/destruction rules. Options
included ongoing monthly services,
one-time pick-ups and a one-day
drop-off event to help members
properly dispose of materials that
could leave them vulnerable to
identity theft and fraud.
If you have old patient records
and x-rays piling up, we can still
help you destroy these and other
confidential documents with peace
of mind and in adherence with State
Board law.
Watch for details soon about next
year’s event, slated for May 2008,
or contact The Better Shredder
anytime at (303) 426-5722 to
schedule a pick-up. If you have
questions about patient record
destruction laws, please contact
(303) 488-9700, ext. 3270.
On May 12, 48
individuals showed up
in the MDDS parking
lot and dropped off
over 500 boxes, filling
three high-volume
mobile shredding
trucks to the brim in
just four hours!
2
■
M D D S Articulator
In Larry’s final column for JADA in
December of 2001, he relayed a few
inspirational words from a plaque that
had caught his eye in the lobby of the
Hilton Palacio del Rio in San Antonio.
Fitting as they are, I reproduce this
quotation from architect H.B. Zachry
here:
“I do not choose to be a common
man. It is my right to be uncommon if I
can. I seek opportunity, not security. I
will refuse to be a kept citizen, to be
humbled and dulled by having my state
and my nation look after me. I want to
dream and build, to fail and to succeed,
never to be remembered among those
weak and timid souls who have known
neither victory nor defeat.
I know that happiness can come
only from the inside through hard
constructive work and sincere positive
thinking. I know that the so-called
pleasures of the moment should not be
confused with a state of happiness. I
know that I can get a measure of inner
satisfaction from any job if I intelligently plan and courageously execute it.
I know that, if I put forth every iota
of strength I possess — physical,
mental, spiritual — toward the accomplishment of a worthwhile task, ere I
fall exhausted by the wayside, the
Unseen Hand will reach out and pull
me through. Yes, I want to live dangerously, to plan my procedures on the
basis of calculated risks, to resolve the
problems of everyday living into a
measure of inner peace. I know if I
know how to do all this, I will know how
to live and, if I know how to live, I will
know how to die.”
Our most sincere thanks to The
Better Shredder for going over and
above to support our Foundation and
for providing MDDS members with a
safe, confidential and reliable service
that is economical, convenient and
environmentally responsible.
EDITOR
Dr. Matt Dunn
MANAGING EDITOR
Michelle Cunningham
COMMUNICATIONS COMMITTEE
Dr. Matt Dunn, Chair
Dr. Gary Belanger
Dr. Michael Bellon
Dr. Paul Bottone
Dr. Douglas Carver
Dr. Mike Diorio
Dr. Erik Hekkert
Dr. Jeffery Hurst
Dr. Greg Ingalls
Dr. Erik Mathys
Dr. Deborah Michael
Dr. Kenneth Peters
MDDS EXECUTIVE COMMITTEE
President
Terry L. Brewick, DDS
President-elect
Troy A. Fox, DDS
Vice President
George G. Gatseos, DDS
Secretary
Michael J. Scheidt, DDS, MS
Treasurer
Charles S. Danna, DDS
Executive Director
Terri Gilpin
GRAPHIC DESIGN
Zullo Design
PRINTING
Dilley Printing
The Articulator is published bi-monthly by the
Metropolitan Denver Dental Society and distributed to MDDS members as a direct benefit of
membership.
Editorial Policy
All statements of opinion and of supposed fact
are published under the authority of the authors,
including editorials, letters and book reviews.
They are not to be accepted as the views and/or
opinions of the MDDS.
The Articulator encourages letters to the editor,
but reserves the right to edit and publish under
the discretion of the editor.
Advertising Policy
All matters pertaining to advertising should be
addressed to advertising sales manager,
Advertising Sales Department at MDDS, 3690
S. Yosemite St., Suite 200, Denver, CO 80237,
(303) 488-9700. All advertising appearing in
the Articulator must comply with official
published advertising standards of the
American Dental Association. The publication
of an advertisement is not to be construed as an
endorsement or approval by the Metropolitan
Denver Dental Society. A copy of the advertising
standards may be obtained upon request
through MDDS.
Inquiries may be addressed to:
Metropolitan Denver Dental Society
3690 S. Yosemite, Suite 200
Denver, CO 80237-1827
Phone: (303) 488-9700
FAX: (303) 488-0177
www.mddsdentist.com
©2007 Metropolitan Denver Dental Society
Letter to the Editor
Dear Dr. Dunn:
I enjoyed reading Dr. Aldo Leopardi’s article entitled, “Should General
Dentists be Surgically Placing Implants?” in the March/April 2007 issue of the
Articulator Magazine. He makes some good significant points about the legal
implications of placing implants and the various steps that a general dentist
should go through in gaining adequate education. I hope that GPs are not
discouraged about placing implants.
May I please add that there are significant legal implications in endodontic therapy, complex rehabilitation, third-molar extraction, nitrous oxide use
and innumerable other clinical procedures. I’m not sure that implant placement in a healthy patient with good bone is any more threatening.
I suggest that each of us should not take on any new clinical procedure
without adequate education and that we consider not doing to others that we
will not do to ourselves.
Thanks for alerting us about the continuing legal challenges.
Sincerely,
Gordon J. Christensen, DDS, MSD, PhD
Diplomate, American Board of Prosthodontics
www.mddsdentist.com
New Guidelines for Prevention of
Infective Endocarditis Announced
New guidelines for prevention of infective endocarditis were released by the American
Heart Association (AHA) on April 19. The AHA and ADA now recommend that fewer
dental patients with heart disease receive antibiotic prophylaxis before dental procedures to prevent the heart infection called infective endocarditis (IE). The guidelines
were developed by a group appointed by the AHA that included experts in infectious
disease and cardiology and members representing the ADA. The guidelines were
endorsed by the Infectious Diseases Society of America and the Pediatric Infectious
Diseases Society. After reviewing relevant scientific literature from 1950–2006, the
group concluded that bacteremia resulting from daily activities is much more likely to
cause IE than bacteremia associated with a dental procedure. In addition, only an
extremely small number of IE cases might be prevented by antibiotic prophylaxis, even
if prophylaxis is 100% effective. Based on these conclusions, antibiotic prophylaxis is
now recommended before dental procedures only for patients with underlying cardiac
conditions associated with the highest risk of adverse outcome from IE, such as
patients with artificial heart valves, a history of endocarditis, certain serious congenital
heart conditions and heart transplant patients who develop a problem with a heart
valve. The full report, along with supporting charts, is available on the ADA website,
easily accessed through www.mddsdentist.com. Click on the MDDS Watch Dog. If
you have any questions about these guidelines, please contact the ADA Division of
Science by calling (800) 621-8099, ext. 2878.
U
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2007
MDDS is an ADA CERP and
AGD PACE recognized provider.
CPR & AED Training & Two-year Certification
Presented by Jeff Speer, Life Rescue CPR
This program is ideal for all office personnel who need CPR training or recertification.
DATE: August 22, 2007
TIME: 6:00 p.m. – 9:00 p.m.
DATE: October 4, 2007
TIME: 6:00 p.m. – 9:00 p.m.
PRICE: $45 each for MDDS dentist / staff
LOCATION: MDDS Headquarters
2007 Women Dentist Forum
A N E W C O L L A B O R AT I V E W O R K S H O P
Presented by Annamaria Phillips
You will master skills needed to increase your effectiveness and walk away with solutions
that can be integrated into your practice — producing instant results. As an added bonus,
there is an opportunity for a one-on-one consultation session with Annamaria to attain
instant answers to your most burning questions.
DATE: October 12, 2007
PRICE: $159 each for MDDS woman dentist
MORE DETAILS COMING SOON
Generously Sponsored by: United Western Bank, 3M ESPE and SAS Transitions
PICS (Professional Internet Case Simulations)
Editor’s Note: Dr. Charles Danna, MDDS treasurer, sent the following
letter to his pre-med patients in consideration of the new guidelines.
Special thanks to Dr. Danna for sharing this excellent communication
resource with all of us. Feel free to duplicate and send to your pre-med
patients.
Dear Patient:
We wish to ensure your well being and health by asking you to review the following
information. In the past we have asked you to take antibiotics before certain dental
procedures. The American Heart Association has changed its guidelines in stating
that most of the patients to whom we have been giving short-term antibiotics as a
preventive measure before dental treatment no longer need to follow this procedure.
The patients that fall into this category are patients with the following:
■
Mitral valve prolapse
■
Rheumatic heart disease
■
Bicuspid valve disease
■
Calcified aortic stenosis
■
Congenital heart conditions such as ventricular septal defects, atrial septal defect
and hypertrophic cardiomyopathy
ORAL LESION MYSTERY
Presented by Alan Gould, DDS, MS
PICS is a different style of Internet-based continuing education, that allows dentists and
staff to interact with a patient case scenario. This “learn-by-doing” approach integrates
knowledge with clinical skills — the more you do, the more proficient, confident and
competent you become. Visit www.mddsdentist.com for a free demo.
PRICE: $39 each for MDDS dentist / staff
MORE DETAILS COMING SOON
COMING in Fall 2007...
Nitrous Oxide Administration Training
Beginning and Advanced CEREC Training
Dental Community Exchanges
C ONTACT MDDS
FOR MORE
I NFO
OR TO
R EGISTER
( 3 0 3 ) 4 8 8 - 9 7 0 0 o r w w w. m d d s d e n t i s t . c o m
Preventive antibiotics are still advised for some conditions. We have enclosed a copy
of the American Heart Association’s recommendations. Please review this with your
physician, so that we may follow his/her opinion on your needs.
R isk Management
What really went on…Hmm?
By Nathan Reynolds, DDS
This should or may be the question you ask yourself as you listen to a patient
describe what went on in a previous dentist’s office. After some close
questioning of the patient for clarification, you may still be at the same point.
So what now? Here are some of my suggestions to manage the situation.
Before your thoughts about the previous dental care leap out your mouth, ask
yourself if you have all of the information about the care. Either way, advise
the patient that you need to contact the previous dentist and want permission
to do so. If the patient refuses to give permission, this is a “signpost” to pay
attention. You are the one who decides if there is enough information to
proceed. You may be faced with deciding to no longer go forward with the
patient and/or give them time to think about your request and contact you if
they wish you to proceed. I believe it is good professional courtesy and being
risk management savvy to contact the prior dentist. You would certainly want
the same consideration if the table was turned.
My experience in managing the Trust’s litigation has shown time and time
again that what actually happened or was said in the other dentist’s office is
not what the patient has claimed. Unfortunately, when the dentist chooses to
rely on limited information and comments accordingly, things can escalate or
proceed to litigation, plus, hard feelings may develop among colleagues. So I
leave you, again, with the following advice...Get the fullest of information!
Dr. Nathan Reynolds, of Berkley Risk Services of Colorado, can be reached at
(303) 357-2600.
www.mddsdentist.com
■
3
9Health Fair
“IT IS ALWAYS EXCITING TO HELP PEOPLE IN A HEALTHY WAY. I LOVE THAT SO MANY COLORADO PEOPLE TAKE ADVANTAGE OF ALL THE HEALTH SCREENINGS AND THAT THEY ARE SO FULL OF QUESTIONS. THERE IS A LOT WE CAN DO TO
SUPPORT THE HEALTH OF OTHERS AND THE 9HEALTH FAIR AFFIRMS THAT WE ARE OUR OWN BEST ADVOCATES.”
— 2007 MDDS 9HEALTH FAIR VOLUNTEER SURVEY COMMENT
The 9Health Fair is Colorado’s largest and most-trusted non-profit health fair
program that offers free and low-cost health awareness and educational
screenings in hundreds of communities around Colorado. It’s mission is to
promote health awareness and to encourage individuals to assume responsibility for their own health; its goal is to reach as many people as possible by
offering free and low-cost health awareness and educational screenings.
Forty-eight MDDS volunteers provided dental screenings at over 30 9HF
locations across the metro area in April. Ninety-five percent of volunteers
responding to a survey* indicated that the quality of their volunteer experience
was excellent or good and 100% believe the 9HF is very valuable or valuable
to their communities.
We estimate that the majority of our volunteers screened between 31–45
patients each within a five-hour timeframe. Anyone, regardless of income level,
can take advantage of all health screenings offered, so participants represent a
broad spectrum of economic diversity. Volunteer feedback suggests that the
9HF experience reinforced what volunteers already knew about the struggle
many go through to obtain basic dental care. It is important to note that
MDDS’s involvement with the 9HF symbolizes our commitment to advocating
dental health as an important part of overall health for all individuals.
Overall, the rewards of volunteering far outweighed any challenges. While
over 80% of our volunteers definitely plan to return to next year’s 9HF, we will
be able to accommodate many more in 2008. What is it really like to volunteer? Here is what some of our volunteers had to say about their experience:
■
“How can you improve my experience? ‘It is what it is’ — The health fair
always attracts great professionals. All the media coverage and praise for
screeners and participants increases knowledge and education of what
comprehensive health is all about. Keep up the good work!”
■
“Being able to refer people for needed care was the most rewarding aspect.
Thanks for providing the resources/access to care directory.”
■
“The most rewarding aspect was that it was stimulating to work with a big
group of people who were so enthusiastic.”
■
“I enjoyed answering questions the patients had regarding their dental
health. I felt that was a valuable portion of my volunteering.”
■
“All patients were very appreciative and respectful.”
■
“The most rewarding aspect was occasionally seeing a patient that has no
other access to dental screenings.”
If you are interested in volunteering, contact (303) 488-9700, ext. 3270 or
pr@mddsdentist.com. If you volunteered for the 9HF in 2007 and your name
is not included on our list, please let us know. As the event is very large with
multiple methods of volunteer recruitment, we may be unaware of your
participation if you did not sign up directly with MDDS.
*40% of those surveyed responded
Thank you to the following 2007 volunteers for representing the dental
profession at the 9Health Fair. Your efforts reflect positively on dentistry and
its dedication to community service and prevention.
Dr. Robert Allen
Dr. Doyle Beavers
Dr. Brittany Bevis
Ms. Donna Blatchford
Ms. Janine Bornhoft
Dr. Ronald Brown
Dr. Michelle Caldwell
Dr. Tara Carroll
Dr. Elsa Castro
Ms. Joy Coffin
Dr. Kevin Dawson
Ms. Laura Dawson
Dr. Raymond Evans
Dr. Bonnie Ferrell
Dr. Stephen Friedman
Ms. Ashley Gordon
Dr. David Gryzick
Ms. Niki Hall
Dr. Olinga Hargreaves
Dr. Lyle Heimerich
Mr. Willie Johnson
Dr. Ted Johnson
Dr. Nelson Joo
Ms. Heather Kimball
Dr. Beth Kreider
Dr. Cheryl McCarty
Ms. Molly Meehan
Dr. Michael Ontiveros
Dr. Kevin Patterson
Dr. Bruce Peterson
Dr. Ricarda Prentice
Dr. Verne Primack
Dr. Arthur Robbins
Dr. Edward Rosenfeld
Dr. Steven Runnings
Dr. Pasco Scarpella
Dr. Frank Scavuzzo
Dr. Michael Scheidt
Ms. Rosezetta Shelley
Ms. Natalie Shropshire
Dr. Cort Sullivan
Dr. Thomas Thomasson
Dr. Lori Trembath
Ms. Jodi Ushman
Dr. Pamela Walsh
Dr. David Wheeler
Ms. Julie Wood
Ms. Lanette Woodworth
Special thanks to those of you who offered to help, but could not be
accommodated with a screening location:
Dr. Diane Fuller
Dr. Alan Gurman
Mrs. Geraldine Herberger
Dr. Joseph Herberger
Dr. Paul Horiuchi
Dr. Norm Huebl
Dr. Curtis Johnsen
Dr. Carolyn Kupka
Dr. Cary La Couture
Dr. Bryan Miller
Dr. Scott Peppler
Dr. Robert Powers
Dr. Patrick Sweeney
Dr. Terry Wostrel
Ultimate simplicity in temporization.
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■
M D D S Articulator
Finish and polish
What dentists are saying.
“
Making temporaries is now very
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quick and easy, producing a temporary that
fits well, is kind to the tissue, does not come
off in my experience, and keeps the occlusion
in place. A definite winner for 3M ESPE!
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4
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This is a paradigm shift in
temporization. Adjectives alone cannot
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like this. It’s a total success for high-quality
temporary restorations.
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— Robert G. Ritter, DMD
www.mddsdentist.com
P ractice Transitions
Buying a Dental Practice?
HAVE YOU THOUGHT ABOUT
HOW YOU WILL FINANCE YOUR
RETIREMENT ?
By Susan A. Spear
Buying a dental practice can be a challenging process. Should you associate prior to an
eventual buy-out? Is it reasonable to believe that you can purchase your own business
right out of dental school or a GPR program and be successful? Should you consider a
new start up practice with no patients? Let’s explore some answers to these questions.
An associate process can be very rewarding. When handled “correctly” the process
can create a seamless transition for a new owner. In a practice where the owner dentist
still enjoys practicing dentistry, has several years left before retirement, wants the opportunity to mentor someone else and has the patient base to support another dentist it can
be ideal for both of you. As an associate you can provide the opportunity for the owner
dentist to begin modifying his/her schedule to spend more time away from the practice. It
provides an excellent learning experience for a new graduate or someone with limited
business experience. Working as an associate may also help you pay down school debt
and earn the money for an eventual buy-in/buy-out. Although associateships sound like
the ideal transition model, you need to keep in mind that opportunities are limited to the
practices that can support this type of arrangement.
When a practice cannot support two dentists and the owner dentist is not in a position
to adjust his/her income until the practice is sold, having an associate is not an option.
For this dentist even a short associate period may be too disruptive financially to meet
their transition needs. Likewise, it may be an unreasonable expectation for a dentist who
has been a solo practitioner for 20, 30 or 40 years to work closely with another dentist.
Associateships require commitment to the relationship. They also create new dynamics in
managing staff and absolutely change the way the practice is structured. In these cases, a
direct purchase might serve both parties more effectively. In today’s marketplace there
are numerous dental lenders who understand and support your financial position and
who are able to provide up to 100% of your financing needs. In addition they can provide
working capital over and above your practice purchase price to help you upgrade equipment, add computerization, etc. Even with a direct practice purchase there is still a
period where the owner dentist will be available to assist you with learning about the
practice and how to manage the business. The previous owner offers transition support as
part of the transfer of the goodwill value of the practice. A post-acquisition period can be
two weeks to 30 days in-office consultation with another six months to a year of contact
support where applicable. Although
you want the previous owner to introIf you should choose to “start-up”
duce and endorse you, you will also
your own practice…it is prudent to
find that you want to take possession
enlist the services of qualified
or control as soon as possible.
advisors to assist you. Hire a
Another option as part of a direct
trusted practice management
sale is a “reverse role” arrangement.
In this option, you purchase the
advisor with a proven reputation
practice and become the new owner,
and track record for helping
but the dentist selling the practice
dental practices grow. Talk with
remains as an independent contractor
other professionals in your local
or associate. The previous owner
area to get bona-fide referrals.
commits to a longer transition period
and is willing and able to handle the
shift in responsibility, control and leadership. If you can work with the previous owner
dentist where he/she can treat patients maybe 1–2 days a week for six months or longer
without disrupting your plans to move forward, you may find the reverse role option ideal
for your practice transition needs. I often meet with dentists who no longer want the
business ownership, but still want to enjoy the clinical aspects of treating patients.
However, they are hesitant to relinquish their practice to someone else because it will
mean they can no longer practice dentistry.
If an associateship buy-in/buy-out or direct practice purchase option is not right for
you, then you may want to consider a practice start-up. With a practice model in mind
and a high need to “do it yourself,” a practice start-up may be right for you. Lenders will
often be willing to give you money. From their perspective they are lending against potential. Dentists have a good reputation for paying back their debts. Money may not be your
issue. However, location, location, location becomes incredibly important if choosing to
begin a practice from scratch. You are counting on volume or high numbers of people
who need a dentist in their area to build your practice rather than the reputation and
stability of a previous owner. It is important to note that new start-up businesses may
carry higher risk.
In recent Wall Street Journal articles written by Kelly Spors, he quotes; “Amy Knaup,
a researcher at the Bureau of Labor Statistics found that 66% of the 212,182 employer
businesses started in the second quarter of 1998 lasted two years, and 44% survived four
years.” Further, in another article Kelly presents; “A study of closure data by the Small
Business Administration found that the two factors with the greatest correlation to a
business’s chance of survival were having $50,000 or more in start-up capital and being
an employer, which essentially means hiring outside workers. Another survey conducted
in 2000 in Wisconsin found that small-business counselors and financing experts see
businesses fail most often because of poor cash-flow management, undercapitalization,
failure to write a business plan and improper pricing of services. From the various
surveys, the most common problems appear to be lack of adequate capital and being illprepared.”
L ET US HELP YOU LEAVE
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For more information contact us at (303) 639-5100
or visit our website at www.shwj.com
Continued on page 7
www.mddsdentist.com
■
5
P ractice Management
Authenticity Happens
(Part 1 of 4)
By Amy Kirsch & Dr. Bill Campbell
Are you doing what you love and enjoy at work? Do you inspire trust
in your staff and patients? Does your dental practice reflect who you
really are? If your answer was no to any of these questions, perhaps
you have lost touch with your “authentic self.” The authentic leader
knows and is comfortable with whom she or he really is and their
practice reflects it.
We used to believe that happiness was a result of doing the right
stuff, pleasing those who expect certain things from us and by pursuing the “good life” as defined by our culture. Here we are after many
degrees, hours of CE, with a comfortable lifestyle, a good marriage,
nice kids, a healthy mortgage and student loan package. Why do we
feel so empty?
Some experts are calling this phenomenon the “failure of success.” We have paid a
tremendous price to get where we are. We have sacrificed time, money, effort and
relationships to reach this ultimate goal of success, and we are still not happy. So why
do we feel so out of sorts, so isolated, so alone?
The answer lies in the phrase: “The secret to true happiness is to lower your
expectations.” If you don’t like the word “lower,” then substitute “examine.”
The expectations we have all tried to meet through all the teachers, instructors,
parents, family, church, athletics, the media, etc. have led us further away from
our authentic self.
In working with dentists, we have discovered that the first step in becoming an
authentic leader is to recognize the “failure of success” and the price you have paid.
The second step is acceptance and being willing to change to be happy. “Yeah, I’ve lost
my way, but, you know what? I’m capable of finding my authentic self, and if I am
going to feel better about myself and my practice, I must.”
The third step is a little tricky. It involves some change in our thought patterns. The
authentic thought is that happiness is a choice, not an event, and that I am capable of
choosing to be happy, no matter what! This is a revolutionary concept, absolutely
essential for the authentic person and eventually for the authentic leader.
Next Issue: The Path to Authenticity
Amy Kirsch is a nationally known dental consultant and speaker who provides
customized consulting services and training for dentists and their teams. Her
consulting firm, Amy Kirsch & Associates, is located in Centennial, Colorado. Dr.
Campbell is a consulting psychologist who focuses on professionals in private
practice. His mission is to create opportunities for professionals to learn more
about their authentic selves and see how their professional and personal lives
can become more joyful and satisfying.
CAC Awards
Continued from page 1
years and rendering care to Colorado Foundation of
Dentistry for the Handicapped patients for ten years.
Paula K. Coffee, DDS, a Parker-based general
dentist, received the 2007 Outstanding Service
to the World Community Award. Dr. Coffee
has served the underprivileged in third world
countries, providing dental services since1983.
Dr. Coffee made her first trip to the Dominican
Republic as a dental student with the Institute for
Latin American Concern (ILAC). Over the years,
Dr. Coffee has made multiple overseas trips
and has spent up to eight weeks at a time
providing dental care, under extreme conditions,
such as working with no running water or electricity.
Additionally, Dr. Coffee has been responsible for sending thousands of
dollars worth of dental supplies overseas.
Dr. Stephanie Clements, former 9NEWS medical reporter, received
the 2007 Outstanding Contributions to Dental Advocacy Award.
She was recognized for her accuracy in reporting on complex dental procedures and implications and for educating tens of thousands of 9NEWS
viewers about dental issues while demonstrating responsibility and thoughtfulness to both patients and providers.
Nominate someone you know for Community Service
Recognition Award at www.mddsdentist.com.
6
■
M D D S Articulator
www.mddsdentist.com
Transitions
HONORED
LAUNCHED
The Inner City Health
Center (ICHC) presented
its annual Founders’
Award to Dr. Major
Tappan, president of
Dental Access Centers, at
its Salsa and Soul event on
May 10. The Founders’
Award honors an individDr. Tappan is pictured second from left.
ual who exemplifies the
ideals and mission established by ICHC founders. Co-founder, Jan Williams wrote, “We chose Dr.
Tappan as this year’s recipient because he has a heart for the underserved
that is desperately needed in the dental field. I first met Dr. Tappan about 12
years ago, when he was just envisioning Dental Access Centers. He has
fought long and hard for the dental needs of the underserved in our community and truly deserves this recognition on behalf of the founders.”
A new public education campaign launched recently in the Denver metro
area to educate pregnant women and new mothers about how their own oral
health can directly impact their baby’s oral health. As discussed in the Policy
on Early Childhood Caries from the American Academy of Pediatric Dentistry
and American Academy of Pediatrics, research shows that children whose
mothers have high levels of mutans streptococci are more likely to acquire the
decay-causing organism than those whose mothers have healthy mouths.
Delta Dental of Colorado Foundation recently conducted research in the
Denver metro area that found fewer than 30% of new mothers were aware of
this risk while they were pregnant and not even 10% went to the dentist
specifically as part of their prenatal care. Because of these results, the
Foundation felt it was important to make pregnant women and new mothers
aware of the risks their own dental disease can have on their babies. In
addition to print and radio ads, the Delta Dental of Colorado Foundation has
also mailed the ads and policy statements to dentists, clinics, pediatricians
and OBGYNs to make them aware of this campaign. While the ads encourage mothers and pregnant women to see a dentist regularly, the campaign
also seeks to encourage dentists and other medical professionals to discuss
this issue with their patients who are expecting or who have young children.
To receive more information or a small waiting room display, please call
Barbara Springer at (303) 741-9300.
On Friday, June 15, 2007, the following MDDS members, who achieved Life
Membership in organized dentistry in January 2007, were presented with
certificates at the CDA House of Delegates meeting. Life Membership is
earned when a dentist has maintained membership for 30 continuous or a
total of 40 years with the American Dental Association and is 65 years of
age. We appreciate the dedication and commitment these members have
given to organized dentistry:
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W. M. Allen, DDS
Jeffrey R. Browman, DDS
Donald K. Cunningham, DDS
Howard F. Ford, DMD
DeWayne L. Glenn, DDS
William Hoffman, Jr., DDS
Richard S. Kloehn, DDS
Thomas A. Knappe, DDS
James E. Latta, DDS
Donald S. Safer, DDS
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Bill J. Miller, DDS
Ronald L. Morse, DDS
Richard D. Mulholland, DDS
Justin L. Roth, DDS
Donald S. Safer, DDS
Floyd T. Sekiya, DDS
William S. Spanjer, DDS
Milan Uremovich, DDS
Kenneth V. Wadsworth, DDS
On June 15, 2007, the Colorado Dental Association presented awards to
the following dentists at its 121st Annual Session in Breckenridge, Colorado.
Dr. Jeffery M. Hurst received the 2007 Distinguished Leadership
Award for exemplary service to organized dentistry, to the future of dentistry
and to advocacy on behalf of the dental community. Dr. Jennifer J. Garza
received the Volunteer of the Year Award for her efforts toward the
MDDS/CDA Careers in Dentistry Explorer Post Program.
The Omicron Kappa
Upsilon (OKU) National
Dental Honor Society held
its annual convocation and
banquet on May 10, 2007.
The following individuals
were inducted as new alumni
members: Chad Burgess,
Andrea Burt, James
Jerman, James Kinkade, Heath Snell and Benjamin Wall. The recipient of The William S. Kramer Award of Excellence for high academic
ranking was David Clayden, a third-year dental student.
IN MEMORIAM
Dr. James “Jim” Bennett of Westminster died on May 19, 2007. He was
77. Dr. Bennett was a member of organized dentistry for 46 years. In lieu of
flowers, donations may be made in his memory to the Hyland Hills
Foundation, 1800 West 89th Avenue, Denver CO 80221.
Lawrence H. Meskin, DDS, PhD, died on June 26,
2007. He was 71. Dr. Meskin recently retired as continuing dental education director for the CU School of
Dentistry. Over the course of his distinguished career, he
served as dean of the University of Colorado School of
Dentistry from 1981–1987, was vice president for
academic affairs and research at the CU–Health
Sciences Center and was the editor of the Journal of the American Dental
Association for 11 years. He was active in the field of international dental
health and authored more than 100 publications in dental and medical literature. He received the coveted William John Gies Award from the American
College of Dentistry, the Thomas Jefferson Award from CU, the Distinguished
Service Award from CDA, the Outstanding Service to the Dental Profession
Award from MDDS and was named one of dentistry’s “top 25 visionaries” by
the American Student Dental Association. In lieu of flowers, contributions may
be made to Temple Sinai.
www.mddsdentist.com
We have never been big
believers of one size fits all...
...especially when it comes to financing
United Western Bank specializes in dental practice business
needs and when it comes time to finance your project
nobody is better at putting together a customized package to
suit your practice. Whether you are starting from the
ground up, expanding or acquiring, our lenders will make
sure you receive the best financing for your project.
Formerly Matrix Capital Bank
Please contact :
Annemarie E. Murphy
1-888-606-6226
Or visit our website
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Practice Transitions
If you should choose to “start-up” your own practice, these studies suggest that it is
prudent to enlist the services of qualified advisors to assist you. Hire a trusted practice
management advisor with a proven reputation and track record for helping dental
practices grow. Talk with other professionals in your local area to get bona-fide referrals. Be cautious about programs that offer to “do it all” for you. Some companies offer
to get you financed, provide practice management advice, negotiate leases or building
purchases, etc., without the proper licenses or credentials and promise to provide a one
stop shopping experience as long as you are willing to pay! Work with certified financial advisors, CPAs and attorneys who are honest, ethical and follow tax regulations,
etc., to prevent future liabilities. You can expect your investment for the beginning
level practice to be approximately $350,000–$400,000 or higher. This amount does not
include your advisement fees and other incidentals.
Also, recognize that the success of your efforts may take a while. Be prepared to
wait a few years before you experience your expected outcomes.
One reason you might have chosen dentistry as a career is because you identified
yourself as an entrepreneur and someone who has the potential to be an owner of a
business. Even if you plan to partner with others, your equity position will always be
valuable to you as a decision-maker and leader. Determining which option will work
best for you is one of the most important decisions of your life. Best of luck!
■
7
T H E
1 1 0 T H
M D D S
A N N U A L
M E E T I N G
A N D
S O C I E T Y
D I N N E R
The 110th MDDS Annual
2007–2008 MDDS
Meeting and Society Dinner Board of Directors
Over 290 individuals gathered at the Denver Museum of Nature and Science
to celebrate the 110th MDDS Annual Meeting and Society Dinner on
May 10, 2007. Before and after the meeting, guests were treated to a reception at the home and gardens of Dr. Terry Brewick and Mr. Rick
Morales. In addition to the installation of officers, the meeting included an
awards presentation for those volunteers who have made tremendous contributions to the Society, our Foundation, the profession and our community.
The results of the Metropolitan Denver Dental Society’s 2007–2008 membership
election were announced at the Annual Meeting. Dr. Michael Poulos presided over
the installation of the Society’s Executive Officers and Board of Directors:
President Terry L. Brewick, DDS, a member since
1984. He received his DDS degree from the University of
Nebraska in 1980. His general practice is located in Denver.
President-elect Troy A. Fox, DDS, a member since
1989. He received his DDS degree from the University of
Colorado in 1989. His general practice is located in
Evergreen.
Dr. Terry Brewick
Vice President Michael J. Scheidt, DDS, MS, a member since 1978. He graduated from Indiana University with his DDS degree and received his residency training
in periodontics at The United States Army Institute of Dental Research. His periodontal practices are located in Northglenn and Broomfield.
Treasurer Charles S. Danna, DDS, a member since 1977. He received his DDS
degree from the Loyola University of Chicago in 1976. His general practice is located
in Littleton.
Secretary George G. Gatseos, DDS, MSBA, a
member since 1983. A graduate of the University of
Colorado, he received his MSBA from the University of
Northern Colorado. He is an Associate Professor in the
Department of Restorative Dentistry at the University of
Colorado School of Dentistry.
Dr. and Mrs. George
Gatseos
The 2007–2008 MDDS Board of Directors include:
Mitchell N. Friedman, DDS, a member since 1979. He received his DDS degree
from New York University in 1978. His general practices are located in Arvada and
Lafayette.
President’s Message
By Dr. Terry Brewick
I hope this message finds all who read it in good health and enjoying their
summer. I am deeply honored to be the 110th president of the Metropolitan
Denver Dental Society. Two records were broken during our 110th annual
meeting, 294 people were in attendance and sponsorships amounted to
$12,500. My sincere thank you to all who attended the event and also, I
would like to express my gratitude for our generous sponsors. The evening
proved to be very successful in public outreach and public relations. We had
many guests from outside of the dental community and they were very
impressed with the good deeds that our dental society is providing to the
metropolitan Denver area. Again, I would like to congratulate all the award
winners and especially mention Dr. Ken Peters who received the Honus
Maximus award. Ken has spent many hours serving our dental community
and the award (which is the highest one we give) was certainly deserved.
In June, I was a delegate at the Colorado Dental Association’s 121st
Annual Session. In preparation for the Annual Session, MDDS with the cooperation of CDA conducted a survey on mandatory CE for the state. Please
refer to page 11 of this publication for results from this poll. Fifty-seven
percent of the MDDS members and 53% of CDA members outside MDDS
membership indicated that they were in favor of mandatory continuing
education. Surveys were sent to members by email (approximately 70% of the
membership). Of the 1,876 members polled 30% responded, which is a
tremendous response rate. Some members of the delegation felt the mention
that Colorado is one of only two states that doesn’t have mandatory CE and
that there is a bill in the legislature in Wisconsin to institute mandatory CE,
leaving Colorado as the only state without mandatory CE, biased the poll. In
my opinion, this was a statement of fact and we would have been remiss not
to point this fact out to our members. Delegates often times do not know the
exact wishes of their members, but in this case they did. 55% of the dentists
polled in our state wanted mandatory CE. Unfortunately, resolution 06-07-S1
was defeated 49 to 53. The specific wording of this resolution was: Resolved,
8
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M D D S Articulator
Olinga Hargreaves, DDS, a member since 1999. She received her DDS degree
from the University of Texas Health Sciences Center in 1999. Her general practice is
located in Denver.
Paul L. Glick, DDS, MS, a member since 1975. He graduated from the University of
Illinois at Chicago with his DDS degree and from the University of Iowa with his
periodontics degree. His periodontal practices are located in Aurora and Littleton.
Jason P. Hall, DDS, member since 2000. He received his DDS degree from the
University of Missouri-Kansas City in 1997. His general practice is located in
Castle Rock.
Brett R. Levin, DMD, a member since 2001. He received his DMD degree from the
University of Pennsylvania in 2000. His general practice is located in Denver.
Brett H. Kessler, DDS, a member since 2000. He received his DDS degree from the
University of Illinois at Chicago in 1995. His general practice is located in Denver.
Our most sincere thanks to Dr. David Klekamp for his dedication and thoughtfulness
in serving as MDDS president this past year. Special thanks to outgoing Board
members, Dr. Diane Fuller of Denver, and Dr. Michael Varley of Highlands Ranch,
for all the time, effort and knowledge that they have shared with us.
Pictured left to right: Dr. Michael Poulos, Dr. Olinga Hargreaves, Dr. Mitch
Friedman, Dr. Brett Levin and Dr. Ken Peters.
www.mddsdentist.com
T H E
1 1 0 T H
M D D S
A N N U A L
M E E T I N G
A N D
S O C I E T Y
Organized Dentistry Leaders Recognized
MDDS has many capable and interested volunteers, as well as
dedicated committee chairs to lead
us in the achievement of organizational goals. MDDS wishes to thank
all of our member volunteers and
the committee chairs. To honor
those members who have demonstrated outstanding leadership in
organized dentistry during his term
as 2006/07 president, Dr. David
Klekamp presented awards to the
following dentists at the Annual
Meeting:
Kenneth S. Peters, DDS, a
Highlands Ranch-based general
dentist and part-time faculty
member at the University of
Colorado School of Dentistry,
received the 2007 Honus
Maximus Award. This award is
the highest honor MDDS bestows on
members who have advanced the
dental profession and made major
improvements in the oral health of
the community. Dr. Peters was
recognized for outstanding volunteer
leadership, serving as a CDA trustee
for two consecutive terms, as an
MDDS past president, on numerous
committees for MDDS and CDA and
for a variety of community service
projects.
Michael J. Scheidt, DDS, MS,
a Northglenn and Broomfield-based
periodontist, received the 2007
MDDS Volunteer of the Year
Award for contributions in a
spectrum of MDDS events, committees and programs during his
second year as MDDS Treasurer.
Dr. Scheidt has made major contributions as the Society’s most active
MDDS Ambassador Program
mentor and as a Careers in
Dentistry Explorer Post volunteer.
Michael N. Poulos, DMD, MS,
a Denver-based periodontist,
received the 2007 MDDS Chair of
the Year Award for service as
chairman of the Public Relations and
Rocky Mountain Dental Convention
Marketing Committees and for his
work planning the 2008 Rocky
Mountain Dental Convention as cochair. Dr. Poulos is also a valuable
Domestic Violence Dental Care
Program and Explorer Post volunteer.
Dr. Ken Peters
Dr. Michael Scheidt
Dr. Michael Poulos
(pictured on left with
Dr. David Klekamp)
Honus Maximus Award
Volunteer of the Year Award
Chair of the Year Award
D I N N E R
We wish to extend a
very special thank you to
the evening’s generous
sponsors for their support
of and valued involvement
with MDDS, our member
dentists and the advancement of the dental
profession:
Metro Denver Dental Foundation
Award of Excellence
Recognizing Outstanding Contributions to the
Domestic Violence Dental Care Program
The Metropolitan Denver Dental Foundation (MDDF) honored Dr. Jim Abramowitz
with the 2007 Award of Excellence for Outstanding Service to the
Domestic Violence Dental Care Program (DVDCP). He received this award
for significant contributions to individuals who suffer needlessly from oral health
complications that affect their overall well being and social consequences that affect
self-esteem and employability.
The mission of the DVDCP could not be achieved without the important partnerships that we develop with all 134 volunteer dentists who participate in the program.
These partnerships fulfill a promise to our communities by offering life-changing
dental healthcare to those survivors of abuse with the greatest need, who have the
greatest promise of eventual self-sufficiency. The Award of Excellence was created to
recognize those collaborations that stand out from the rest on an annual basis.
Since 2005, Dr. Abramowitz has treated over a dozen patients who were in
desperate, urgent need of dental care. While most program volunteers evaluate one to
three patients annually, Dr. Abramowitz has treated up to four patients at a time. To
date, the treatment value of his contributions is well over $50,000.
The DVDCP is a community service project of MDDS member dentists that offers
cost-free dental care to qualifying disadvantaged survivors of domestic violence in
Denver in an effort to restore oral health and assist in recovery. The program is
supported by MDDF, which was established in June 2005 to advance awareness and
education for improved oral health and to enhance access to dental care for all
populations served by MDDS member dentists. To date, almost $500,000 in comprehensive dental services have been donated by metro area dentists to patients enrolled
in the program. For more information on the Domestic Violence Dental Care Program,
please contact (303) 488-9700, ext. 3270 or visit www.mddsdentist.com.
www.mddsdentist.com
Dr. Jim Abramowitz
Rick’s 9th Avenue
a Hair Salon
Horizon BanksUptown Branch
■
9
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or contact the office of Dr. Gary Radz at (303) 298-1414.
F inance
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Goldilocks and the Bears
knowing that all your
By Lawrence E. Howes, MBA, CFP
insurance needs are handled
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Workers’ Compensation
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10
■
M D D S Articulator
The stock markets have been kind and generous to us for about five years now. Growth
has been steady and, assuming you spread your risks with a good asset allocation
model, you should have been rewarded with good portfolio returns. Stocks in general,
both US and International, have been hovering in record territory for several weeks and
I believe that much of the logic behind these stellar numbers is the record earnings,
huge cash positions, high productivity and genuine growth from most US companies.
The last time we saw numbers like this (think February 2000) many investors were
thinking that it was “different this time,” and that a company did not need actual
earnings for its stock to be this high. Well, as many unpleasantly discovered, yes, you
do! Actual earnings are the key to high valuations.
Most of the US economy is doing pretty well right now. Tax collections are excellent
and the US federal budget deficit is rapidly shrinking. In fact, it managed to generate a
$177 billion surplus in April. On the flip side, there is a substantial Federal Trade
deficit running at around $68.7 billion. This means that more money is going out of the
country for things like oil than is coming in for things like US made farm equipment.
Basically, our trading partners are grateful that we keep buying all the stuff they want
to sell. With all this activity, it’s no wonder that the stock markets are high all over the
globe.
Other evidence suggests, however, that things are slowing and that there might be
less of this buying and selling going forward. To me, the prudent investor should be
aware that there are some bears sniffing around looking for trouble. Perhaps this cheerful and bubbly investing environment might be coming to a close. Good times always
do come to a close and it’s likely time to rethink your current asset allocation. Both the
US and International stock markets are overdue for a correction, and by a correction I
mean markets dropping 8–10%. As the summer goes on, a correction could happen
suddenly in Europe, China or the US. When it does, the rest will follow. This correction, although impossible to actually predict, should not come as a shock to you,
because, after all, investing is two or three steps forward and then one back.
It’s time to look at safe and steady investments and develop an anchor for the
coming storm. As Goldilocks kept trying each bowl of porridge to find perfection, it is
time to reconsider those dull and unexciting investments, thus making your afternoon
nap a peaceful one.
Lawrence E. Howes, MBA, CFP®, is a principal at Sharkey, Howes & Javer, Inc., a
Denver based, FEE-ONLY, financial planning and investment management firm
that has worked with many dentists over the years. For more information contact
SHWJ.com or (303) 639-5100.
www.mddsdentist.com
CE Survey Results
■
MDDS
CDA (outside MDDS)
What is your primary type of dental practice?
General Dentistry
67%
73%
Specialist
25%
23%
Dental School Faculty
4%
0%
Public Health Dentistry
2%
1%
Consultant
0%
1%
Other, please specify
2%
2%
Total
■
100%
299
100%
264
300
100%
263
298
100%
263
293
100%
260
300
100%
265
100%
100%
100%
100%
Do you believe organized dentistry in Colorado should pursue
a continuing education mandate in the Colorado legislature
for dentists?
Yes
61%
56%
No
39%
44%
Total
295
100%
262
Get your golf game ready for the premier
golf major of the dental profession.
When: Friday, September 14, 2007
Where: The Ridge at Castle Pines North
golf course
Why: Great game. Great people. Great
location. Proceeds benefit the MDDF
Domestic Violence Dental Care Program
How: Call (303) 397-ROOT (7668) or
email info@parkridgeendo.com
If you have not received your
registration form, contact Park
Ridge Endodontics, PC.
Registrations are due
NO LATER than August 15, 2007
to ensure your participation
100%
Do you believe mandatory continuing education for dental
licensure is needed in the state of Colorado?
Yes
57%
53%
No
43%
47%
Total
■
265
Do you think the majority of the public believes that dentists
have mandatory continuing education requirements for dental
licensure in Colorado?
Yes
71%
69%
No
29%
31%
Total
■
100%
25%
18%
31%
25%
0%
To what extent do you believe that mandatory continuing
education may be effective in protecting society from
incompetent healthcare professionals?
1 – Not Effective
17%
18%
2
8%
6%
3
8%
7%
4
6%
11%
5 – Somewhat Effective
20%
24%
6
9%
4%
7
9%
11%
8
10%
8%
9
5%
4%
10 – Extremely Effective
7%
7%
Total
■
300
100%
Do you believe that continuing education increases your
competency in treating your patients?
1– No Increase
1%
1%
2
1%
1%
3
1%
1%
4
0%
2%
5 – Somewhat Increases
8%
4%
6
4%
4%
7
8%
5%
8
11%
17%
9
11%
12%
10 – Positively Increases
56%
53%
Total
■
265
How valuable do you believe continuing education is to the
success of your practice?
1– Not Valuable
0%
2%
2
1%
0%
3
1%
1%
4
1%
0%
5 – Somewhat Valuable
8%
7%
6
2%
3%
7
9%
8%
8
15%
21%
9
13%
10%
10 – Extremely Valuable
51%
48%
Total
■
100%
How many years have you been in practice?
1–10
27%
11–20
20%
21–30
27%
30+
24%
Other, please specify
1%
Total
■
300
A Tradition Unlike Any
Other In Dentistry
100%
The Metro Denver Dental Foundation's Domestic Violence
Dental Care Program (DVDCP), increases access to direct
dental health services for disadvantaged survivors of abuse.
Since 2002, almost $500,000 in dental treatment has been
donated by 134 volunteer dentists to over 100 patients.
Proceeds from the tournament will benefit the DVDCP.
my Kirsch &
A S S O C I AT E S
You have the clinical skills to
provide excellent dentistry….
We provide the business and leadership
skills to take your practice to the next level.
Let Amy Kirsch & Associates customize a program
to help you achieve your professional goals.
Call us or visit our website at:
www.amykirschandassociates.com
303.796.0056
Creating Successful
Practices!
Members of the Academy of
Dental Practice Management
Consultants and the National
Speaker’s Association
NEW!
The Authentic
Leadership Series
For Dentists
Amy Kirsch &
Karla Gunner-Barringer
Visit www.mddsdentist.com for complete survey results.
www.mddsdentist.com
■
11
Bisphosphonate-related
Osteonecrosis of the Jaws
By Kevin M. Patterson, DDS, MD
Current bisphosphonate compounds include:
The first reported cases of exposed bone in the maxillofacial
region not related to trauma or radiation therapy occurred in
Route
Potency
2002. These patients were being treated with intravenous
1. Pamidronate (Aredia)
Intravenous
10,000+
bisphosphonates for metastatic breast cancer, multiple myeloma,
2.
Zoledronate
(Zometa)
Intravenous
1,000-5,000
hypercalcemia of malignancy and other neoplasms that metasta3. Ibandronate (Boniva)
Oral
1,000
size to bone. Bisphosphonates are also routinely used in the
4.
Risedronate
(Actonel)
Oral
1,000
treatment of post-menopausal osteoporosis and glucocorticoid
associated osteoporosis. These initial cases were first reported
5. Alendronate (Fosamax)
Oral
1,000
by oral and maxillofacial surgeons with the presenting
6. Tiludronate (Skelid)
Oral
50
symptoms including exposed bone in the maxillofacial region,
7. Etidronate (Didronel)
Oral
1
most commonly the mandible.
The current definition of bisphosphonate-related osteonecroRisk factors for the development of BRONJ include dentoalveosis of the jaws (BRONJ) is exposed bone in either the maxilla or
lar trauma (i.e., dental extraction, surgical implant placement),
mandible for greater than eight weeks in a patient taking a
type of bisphosphonate therapy (intravenous therapy, oral
bisphosphonate with no history or radiation therapy to the jaws.
therapy), duration of treatment greater than three years,
This exposed bone can occur spontaneously or secondary to a
concomitant oral disease, (i.e.,
surgical insult, (i.e., tooth extraction,
periodontal disease, dental
dental implant placement, etc.). As of
Given the large number of
abscess), increasing age, caucasian,
now this phenomenon has not been
multiple myeloma, breast cancer,
individuals on oral
documented in any other skeletal sites.
osteoporosis diagnosis along with
bisphosphonates, this can
It begins by affecting the alveolar bone,
cancer diagnosis, corticosteroid
potentially turn into a significant
but in advanced cases can involve the
therapy, diabetes, smoking, alcohol
healthcare problem.
basilar bone placing the patient at risk
use, poor oral hygiene and
for a pathologic fracture.
chemotherapeutic drugs.
Bisphosphonates have a high affinity
for calcium and are potent inhibitors of osteoclastic activity
Staging and Treatment Strategies
which leads to abnormal and reduced bone turnover; they also
AT RISK: These patients have no exposed or necrotic bone, but
decrease normal osteoblastic induction of osteoclastic activity
have been treated with either oral or intravenous bisphosphoand also decrease angiogenesis leading to decreased blood
nates. These patients require education and regular follow-up to
vessel proliferation. Bisphosphonates are taken up by osteohopefully detect a problem soon after it develops. Oral surgical
clasts and upon the death of an osteoclast these compounds are
procedures should be avoided for patients with a history of
released and then taken up by another osteoclast thus leading to
intravenous bisphosphonate therapy, but can be performed on
the long half-life of these compounds.
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12
■
M D D S Articulator
www.mddsdentist.com
MDDS Watch Dog
Bisphosphonate-related Osteonecrosis of the Jaws
embezzlement can be controlled. It requires your involvement. It requires periodic
examinations. It requires good internal controls.
The reality is, if you have employees, you have a high risk of being a victim of
embezzlement. According to the Denver District Attorney’s Office website, “embezzlement is at epidemic proportions accounting for 20 percent of all cases filed by the
Denver District Attorney’s Economic Crime Unit.” In 1970, one in 200 employees was
dishonest; today, one in six employees is dishonest.
patients taking oral bisphosphonates given that appropriate informed consent has been
obtained.
How Embezzlement Occurs
First, employees must have the opportunity to steal. Second, they must have a motive.
Third, they must rationalize to themselves that they either deserve or have to steal from
you.
Opportunity is the easiest area for you to control in your practice. However, keep in
mind, if employees want to steal from you badly enough, they probably will — but you
can make it more difficult for them.
STAGE 1: These patients have asymptomatic exposed/necrotic bone but no evidence
of infection. Treatment consists of antibacterial mouth rinse, regular clinical follow-up
and possible discontinuation of bisphosphonate therapy. Oral surgical procedures
should be avoided on these patients; if possible endodontic treatment along with possible crown amputation should be done
to avoid additional trauma to the affected area.
STAGE 2: Patients in this category have
■
Pocket cash from patients
■
Stealing petty cash
exposed/necrotic bone associated with pain and
erythema with or without purulent exudate.
Treatment in this stage consists of broadspectrum antibiotics, antibacterial mouth rinse,
pain control and only superficial debridement
to eliminate soft tissue irritation. Also, if a
tooth becomes symptomatic in the area of
bone exposure and needs to be removed it is
thought that this can be done since an area of
symptomatic bone exposure already exists.
■
Lapping checks — cash or checks are removed from the daily deposits and replaced
with subsequent receipts
STAGE 3: These patients have exposed/necrotic bone, pain, infection, pathologic
The most common method of embezzlement in a dental practice occurs through theft of
cash, checks or supplies. Here are a few embezzlement situations that may occur.
■
Insurance fraud
■
Forging endorsements
■
Writing duplicate accounts payable checks or writing checks to phony vendors
■
Stealing supplies and re-selling or returning to vendors for refunds that are pocketed
by employees
Embezzlement also occurs because dentists fail to report these crimes to law enforcement officials. This failure allows the criminal (yes, embezzlement is a crime) to steal
again from another dental practice.
Involvement
Dentists spend their days practicing dentistry and frequently provide little or no
oversight for staff members who manage their businesses. In this often-occurring situation, embezzlement can thrive. Controlling embezzlement requires your involvement.
Watch for key indicators in your office.
fractures, extra-oral fistula formation or progression of disease to basilar bone.
Treatment again consists of antibiotic therapy and pain control, antibacterial rinse and
surgical debridement/resection for control of pain and infection.
The vast majority of cases of BRONJ are associated with intravenous bisphosphonate
therapy, but there are now isolated cases associated with oral preparations. Given the
large number of individuals on oral bisphosphonates, this can potentially turn into a
significant healthcare problem. Current treatment regimens are at best palliative and
the current treatment of choice is prevention. Physicians are much more aware of this
disease and drug companies have sent several warning letters in an attempt to increase
awareness of this problem. If you have a patient with a history or bisphosphonate
therapy and exposed bone it is imperative that this patient be seen by an oral and
maxillofacial surgeon to assess the severity of the problem and determine the appropriate therapy. There is a very concise position paper recently released by the American
Association of Oral and Maxillofacial Surgeons that is available on their website at
www.aaoms.org.
Like periodontal disease, embezzlement may not always be prevented, but with a few
basic changes in your practice operations, it can be controlled.
Please visit www.mddsdentist.com or call (303) 488-9700, ext. 3270 for the
continuation of this article, including tips on key indicators and protection of
documents, as well as an extensive checklist of daily, weekly and monthly exams
and internal controls to help you minimize your risk.
REPRINTED with permission by the Colorado Dental Association.
Debra Lane, CPA, MT, is the president of Lane and Associates. For more information, contact Debra at (303) 841-2602 or www.lanepccpa.com.
President’s Address
that the CDA support a statutory requirement for continuing education for
dentists. The second part of the resolution, 06-07-S2 “Be it further resolved,
that the CDA board of trustees develop a position statement regarding
continuing education for dentists,“ was adopted. In discussions with Dr.
Jeanne Salcetti, the newly installed CDA president and Gary Cummins,
CDA’s executive director, a positive position statement could be written by
CDA’s board of trustees should the members want this. I would urge all those
in favor of mandatory CE, as I am and 57% of our membership responding
to the poll is, to send an email to CDA at Luanne@cdaonline.org and copy
MDDS at mdds@mddsdentist.com to express your comments regarding the
House of Delegates vote.
As a reminder, the Rocky Mountain Dental Convention is being held
January 17,18 and 19, 2008 at the Colorado Convention Center. The
headquarters hotel has changed to the Hyatt Regency Denver at the
Colorado Convention Center directly across the street from the Convention
Center. Please talk with your colleagues in town, throughout the state and out
of state and urge them to attend the RMDC for outstanding educational
opportunities and camaraderie with their peers. To get details go to
www.rmdconline.com.
On a final note, I am always available as your president. Please feel free
to contact me at my office (303) 832-7789 or on my cell phone at (303)
907-1819. My email address is tbrewick@govparkdental.com. Thank you
again for letting me serve you as your president of the Metropolitan Denver
Dental Society.
www.mddsdentist.com
Do you have old patient records
and x-rays piling up?
Get a discount on shredding services and help the
Metro Denver Dental Foundation.
Get rid of all your clutter and
free up valuable shelf space.
Destroy confidential documents,
with peace of mind.
The Better Shredder, Inc. will extend a discount to MDDS
members for one-time or monthly home or office shredding services
while donating 10% of each service back to the Foundation.
Stay tuned for details on the 2nd Annual Spring Cleaning,
After Taxes Drop-off Day in May 2008.
The Metro Denver Dental Foundation will assist you with state
law compliance and will even notify your patients.
Call TODAY!
(303) 426-5722
www.bettershredder.com
■
13
Calendar of Events
AUGUST 2007
August 17–18
Academy of LDS Dentists:
30th Annual Meeting
Brigham Young University
To Register: (801) 422-8925 or
ldsdentist.byu.edu
Local contact: Dr. Brian Secrist
(303) 989-9010
August 22
Metro Denver Dental Society
CPR & AED Training and Two-Year
Certification
Presented by: Jeff Speer, Life Rescue CPR
6:00 p.m. – 9:00 p.m.
MDDS Headquarters
Denver, Colorado
(303) 488-9700 or
www.mddsdentist.com
SEPTEMBER 2007
September 14
MOLARS Dental Golf Championship
Benefiting the Metro Denver Dental
Foundation
The Ridge at Castle Pines North
(303) 397-ROOT or
info@parkrigdeendo.com
September 20
Denver Implant Study Club
Visions of Where We Are and
Where We Are Going with Implant
Dentistry
Presented by: Dr. Clark M. Stanford
5:30 p.m. – 8:30 p.m.
MDDS Headquarters
Denver, Colorado
Dr. Aldo Leopardi, (720) 488-7677
September 21
2007 Paulina’s Promise Lecture Series
The Art of Direct Resin
Presented by: Dr. Ron Jackson
9:00 a.m. – 4:00 p.m.
Dr. Gary Radz, (303) 298-1414 or
www.paulinaspromise.com
September 24
Colorado Prosthodontic Society
Update on Reconstructive Dentistry
with Special Emphasis on the
Compromised Anterior Dentitions
Presented by: Dr. Urs Belser
9:00 a.m. – 4:00 p.m.
Holiday Inn DIA Convention and
Conference Center
(303) 422-0094 or
www.coloradoprossoc.com
COPIC Financial Service Group
YOUR INSURANCE RESOURCE
Best rates
September 27–30
American Dental Association
148th Annual Session
San Francisco, California
www.ada.org/goto/session
OCTOBER 2007
October 4
Metro Denver Dental Society
CPR & AED Training and Two-Year
Certification
Presented by: Jeff Speer, Life Rescue CPR
6:00 p.m. – 9:00 p.m.
MDDS Headquarters
Denver, Colorado
(303) 488-9700 or
www.mddsdentist.com
October 4
Rocky Mountain Dental Study Club
When The $#!@ Hits The Fan and
The Patient Goes Down the Drain:
Emergency Office Protocol
Presented by Dr. Gregory Ingalls
6:00 p.m. – 9:00 p.m.
Strings Restaurant
Denver, Colorado
(303) 758-4900 or
rsvpfromsite@rmdsc.org
October 10–13
American Association of Oral and
Maxillofacial Surgeons
89th Annual Meeting, Scientific
Sessions and Exhibition
Hawaii Convention Center
Honolulu, Hawaii
(800) 822-6637 or www.aaoms.org
October 12
MDDS Women Dentist Forum
Walk the Talk: Achieve Connection
with Your Patients and Your Staff
Presented by: Annamaria Phillips
McCormick & Schmick’s, DTC
Denver, Colorado
(303) 488-9700 or
www.mddsdentist.com
Discounts for CDA members
Planning and asset protection
!
!
!
!
!
!
!
!
!
Property and casualty insurance, business
owners property & liability (BOP) and
equipment breakdown
Workers' compensation
ERISA, fidelity, and fiduciary bonds
Employment practices liability
Disability income
Life insurance
Disability business overhead expense
Long-term care planning services
Long-term care insurance
Today’s Necessities...Tomorrow’s Security
CDA Endorsed Agency
(720) 858-6280 (800) 421-1834
www.copicfsg.com
Visit www.mddsdentist.com for
more calendar listings.
A Patterson Company
EagleSoft
14
■
M D D S Articulator
Denver Branch
3449 North Chambers Rd.
Suite F
Aurora, CO 80011
303.393.1081
P7359 (8/06)
www.mddsdentist.com
Classifieds
Submissions should be received, in
writing, no later than August 17, 2007 to
appear in our next issue. MDDS makes
no claim, stated or implied, as to the
quality of goods and services or the
accuracy of the following ads.
Specialist opportunities also available for part
and full-time Ortho, Endo, Oral Surgery, Pedo
and Perio with exceptional compensation.
Call Dr. Mark Birner at (303) 691-0680,
email at mbirner@birnerdental.com or visit
www.BDMS-PerfectTeeth.com.
DENTAL PRACTICE FOR SALE –
PERIODONTIST/ASSOCIATE: Our
beautifully designed high quality group
practice in Lakewood, CO is seeking a
permanent part-time periodontist one or two
days per week. Flexible. Please email CV to
grabiak@westwooddental.net.
DENTAL START UP PRACTICE
FOR SALE: Centennial, Colorado. A
steal at $200K! Owner has done all of the
work! Excellent location, beautiful facility with
stylish reception and business center, 3 stateof-art treatment rooms including all digital
radiography, sterilization center, separate lab,
doctor’s office, and spacious staff lounge. Dr.
is returning to oral surgery residency and
must transition the space. Will consider all
offers. Call Susan Spear @ (303) 973-2147
or susan@practicebrokers.com.
EQUIPMENT FOR SALE & SPACE
FOR LEASE: 6 treatment rooms fully
equipped with Pelton Crane. You renew lease
in Highlands Ranch HealthCare Plaza. 2,625
sq. ft. Available 12/2007. Current dentist’s
lease terminates February 1, 2008 and
relocating practice. Contact Robert Martinich,
DMD, (303) 791-0160. Extremely, reasonably
priced.
DENTAL PRACTICE FOR SALE:
Alamosa, Colorado — Practice grossing over
$510K with low overhead! Fee-for-service,
Digital x-ray, state-of-art facility. Dental
Condo part of the sale! Enjoy mountain living
with hiking, fishing, hunting, skiing, and
more! If you’ve been dreaming about a
modern practice in a small town atmosphere,
then don’t miss this opportunity! Call Susan
Spear @ (303) 973-2147 or
susan@practicebrokers.com
OFFICE SPACE AVAILABLE: Up to
4 operatories available to rent in an upscale
general practitioner’s office in Aurora.
Exceptional opportunity for a satellite office.
Please call Dr. Jonathan Rones at
(303) 743-7662 or (303) 341-6961.
ASSOCIATE: Monument, Colorado —
Associate to Partner! My doctor is searching
for an associate who wants to eventually
share the practice! He is looking to find a
quality dentist who can assist with his large
practice and grow new business. He plans to
expand his new office space and needs
someone who wants more than just a job.
The associate must be willing to live and
practice in the beautiful rolling hills of
Monument. Exceptional location, state-of-art
facility, established patient base, great team!
Call Susan Spear @ (303) 973-2147 or
susan@practicebrokers.com.
PRACTICE FOR SALE – SW
DENVER: 2 restorative ops, 1 hygiene.
Gross 400K 3 days a week. Selling for
medical reasons. Contact (303) 918-1522 or
miles7550@aol.com.
ASSOCIATESHIPS/PRACTICE
OPPORTUNITIES: Have you been
Aurora, Colorado. Small established practice
— Perfect for a new grad! Owner nets $133
Nice spacious facility, solid long time patient
base, staff willing to stay after transition!
Motivated Seller. Call Susan Spear @ (303)
973-2147 or susan@practicebrokers.com.
ASSOCIATE/PARTNER WANTED:
High quality group practice in Aurora is
seeking a FT associate/partner. Must have a
min. of two years dental experience. Potential
for partnership within 12 months. Please
email your resume to:
familydentist4you@yahoo.com.
DENTAL PRACTICE FOR SALE –
LAKEWOOD, COLORADO. Practice
Valued at $341,000. Practice producing 4045K per month! Newly remodeled state-of-art
facility with 5 treatment operatories.
Computerized with digital radiography,
beautiful reception and business area,
separate sterilization center, prosthetic lab
(large enough for two docs), spacious staff
and meeting room and private doctor office.
This one has all the “bells and whistles.”
Exceptional dental team! Dr. is retiring. Call
Susan Spear @ (303) 973-2147 or
PRACTICES — COLORADO AND
NEARBY STATES: Aurora, Arvada,
Boulder, Cherry Creek, Colorado Springs,
Crested Butte, Denver, Eagle, Ft. Collins,
Loveland, Glenwood Springs, Grand
Junction, Edwards, Highlands Ranch,
Lakewood, Pueblo, Rifle, Central Mountains,
Colorado Southern, Colorado Southwest,
Mountain Resort, Steamboat, Durango,
Dillon, Winter Park, AZ, NV, SD, WY, IA, NEScottsbluff. Specialties CO: 2 Oral Surgery
practices; 1 Pediatric practice. See
www.ADStransitions.com for details or call
ADS Precise Consultants: Peter Mirabito, DDS
or Jed Esposito, MBA at (303) 759-8425.
looking for a practice in Fort Collins or the
surrounding area. He is interested in designing a future transition relationship with the
new dentist. He is looking for a practice that
produces well and has a quality staff in place.
If you have been considering a practice sale,
but are not quite ready to give up dentistry all
together, don’t miss the opportunity to meet
this wonderful young dentist. Please call
Susan at (303) 973-2147 or email
susan@practicebrokers.com. I can help you
every step of the way!
ASSOCIATES WANTED:
COLORADO— Positions leading to Buyin: Colorado Springs, Denver- (Spanish
speaking a must), Littleton (2), Parker, Oral
Surgery (2). Nearby States: Casper, WYBrand new state of the art facility; 35%
Production and more. ADS Precise
Consultants: Peter Mirabito, DDS or Jed
Esposito, MBA. (303) 759-8425 or
www.ADStransitions.com.
COLORADO DENTISTS: Do you want
to retire, but need help deciding how to
begin? Have you heard or experienced
associateships that don’t work? Try a new
associate approach and contact Susan Spear
at SAS Transitions to help you find a better
way! (303) 973-2147 or
www.sastransitions.com.
TEMPORARY DENTIST AVAILABLE: Why close your office for lack of
OFFICE SPACE FOR LEASE:
HYGIENISTS: Great part- and full-time
career opportunities. Large multi-practice
group offering flexible work schedule and
excellent compensation/benefits package.
Call Sonja at (303) 285-6022 for more information.
PRACTICE FOR SALE
COLORADO: Aurora, Metro Denver,
Centennial, Alamosa PENDING—Lakewood,
Centennial, Aurora! Call for new listings!
Susan Spear, Practice Transition Specialist /
Licensed Broker Medical Practice Brokers, Inc.
(303) 973-2147 or
DENTIST: Perfect Teeth is seeking senior
Dentists in Arizona, Colorado and New
Mexico with a compensation range of
$90,000 to $200,000+. Successful private or
group experience required. Benefits package.
Also seeking Associate Dentists with a
compensation range of $75,000 to $95,000.
www.mddsdentist.com
Transition Consulting for Dental Professionals
Selling Your Practice, Buying a Practice,
Creating an Associateship or Partnership?
Now You Have a Choice!
"Susan Spear and SAS Transitions allowed me to find a positive and rewarding
ending to my 40 years of clinical dentistry. Susan’s innovation, compassion and
caring for me, the new dentist, the staff, and my patients made my transition a
win-win situation for all and easy sailing.” – Dr. Roger Boltz
"Your planning process was intense and rewarding. You helped me make it
through a difficult stage of transitioning my three practices. You also did a
beautiful job on my practice prospectus profile and I look forward to working
with you in the future.” – Dr. Lisa Brennan
If you want a transition broker that can speak
your language, knows how to create successful
outcomes, will work harder than any other
broker to help you attain your dreams, then...
Contact Susan Spear Today!
303.973.2147
www.practicebrokers.com
susan@practicebrokers.com
FORT COLLINS DENTAL
PRACTICE! I have an exceptional dentist
looking for more than just a job? Do you
want to practice dentistry in Colorado and
someday call your practice your own? Call
Susan Spear today to learn about how she
can help you with all of your practice transition questions. (303) 973-2147 or
vacation, pregnancy, disability coverage? I
am semi-retired, quality oriented, GP DDS —
willing to cover your office on a short-term
basis anywhere in Colorado. Terms
negotiable. (970) 547-1440.
Susan A. Spear
Transition Practice Specialist
Licensed Colorado Broker
Professional dental office space consisting of
1,243 sq. ft. will become available for leasing
August 2007. Currently partitioned, plumbed
and wired for 3 dental operatories. The
dental suite is in excellent condition and is in
a wonderful location and beautiful building in
Aurora. Great visibility and easy access near
a highly residential area. Ideal location for
GP, ortho, pedo, prosth, perio or endo. Call
Dr. James Trompeter at (303) 688-3838.
ASSOCIATE POSITION OPPORTUNITY: Well-established metro Denver
Colorado Employment Kit
Your resourceful guide to a sample employment manual,
the latest Colorado human resources laws, sample forms, required
posters and the latest data on employee recruitment, performance
evaluation, benefits, termination and more...
CUSTOMIZABLE FOR YOUR PRACTICE — AVAILABLE
EXCLUSIVELY THROUGH MDDS
OFFICE MANUAL: Customizable manual and policies
EMPLOYMENT LAWS: State/Federal Laws and I-9 information
PRE-EMPLOYMENT: Sample applications, background/reference checks
EMPLOYEE MANAGEMENT: Performance reviews, injury/illness
EMPLOYEE DISCIPLINE: Discipline and termination information
Contact (303) 488-9700 for more information
or to order your copy today
ASSOCIATE BUY-IN: Cheyenne, Wyo.
Three operatory practice grossing $820,000,
with 45 percent overhead. Call Larry
Chatterley (303) 795-8800.
PRACTICE: LONGMONT, COLO.
Grossing over $700,000 and netting
$350,000, fee-for-service patient base. Call
Larry Chatterley at (303) 795-8800.
PRACTICE: SE DENVER, COLO.
Grossing $272,000 with two ops. (can
expand to three) price at $65,000. Call Larry
Chatterley at (303) 795-8800.
PRACTICE BUY-IN: Woodland Park,
Colo. Grossing $900,000 with six ops with
new equipment. Please call Larry Chatterley
at (303) 795-8800.
PRACTICE: Fort Collins, Colo. Grossing
$240,000 with three ops. Call Larry
PRACTICE: Delta, Colo. Acquire the
building and the practice for $220,000. Call
Larry Chatterley at (303) 795-8800.
PRACTICE: Southwestern CO in
Durango/Cortez area. Grossing $240,000.
Call Larry Chatterley at (303) 795-8800
PRACTICE ASSOCIATE BUY-IN:
Hotchkiss, CO. Extremely busy practice
booked out three months. Call Larry
Chatterley for more info or email him at
larry@ctc-associates.com.
area practices seeking general dentist for
associate position. Fee for service only.
Minimum of 3 years experience required.
Please contact Malcolm E. Boone, DDS, MS at
(303) 388-1661 or (303) 451-1111 for
details or fax CV to (303) 451-7238.
PRACTICE: South Colorado Springs,
Colo. Five ops., new equipment with digital Xrays and grossing $477,000. Call Larry
SELLER/BUYER SERVICES: If you
would like more information on how to buy,
sell or associate in a practice, please check
our website, www.ctc-associates.com; email
larry@ctc-associates.com or call CTC
Associates at (303) 795-8800.
A HAPPY STAFF???: Consider making
PRACTICE ASSOCIATE BUY-IN:
PART-TIME DENTIST NEEDED:
your staff happy by freeing up storage space
and saving them from sorting through
hundreds of forceps and old boxes of
supplies that you are never, ever are going to
use. Instead, do a good deed by donating
your UNUSED equipment and supplies to
PROJECT CURE. We help set up dental clinics
all around the world. For info or pick up, call
Dr. A. at (303) 877-7804.
Denver Tech Area. Call Larry Chatterley for
more info or email him at larry@ctc-associates.com
Are your recently retired looking for
something one or two days a week? The
Colorado Foundation of Dentistry for the
Handicapped (CFDH) needs a part-time
dentist to provide dentistry at nursing homes
and to treat homebound people. Competitive
salary. Please call (303) 534-5360 or fax
resume to (303) 534-5290 or e-mail to
fleviton@nfdh.org.
PRACTICE: Small town southern
Colorado. Grossing $343,000, 51 percent
overhead, busy practice, facility and equipment look great. Call Larry Chatterley at
(303) 795-8800.
■
15
LIFE RESCUE CPR ASSOCIATION
CPR PRO/AED
For the Dental care
Provider and Staff
10641 W. Indore Dr.
Littleton, CO 80127
PHONE 303-932-6268 FAX 303-932-2524
Serving the Dental Community since 1985
Jeff Speer
American Safety and Health Institute
Certified Instructor/Firefighter/EMT/Owner
I HAVE BEEN TOLD MANY TIMES,
“This is the best and most well taught class I’ve ever had!”
I THINK YOU WILL AGREE!
16
■
M D D S Articulator
Training is scheduled at your office at
your convenience or you can join another
training elsewhere
2 YEAR CPR CERTIFICATIONS!
DISCOUNTS FOR LARGE GROUPS
I am honored to be the exclusive provider
for University of Colorado School of
Dentistry, Metro Denver Dental Society,
Colorado
Coaches
Association,
Knowledge Learning Corporation and
many
more
Dental
Practices
and
Businesses throughout Colorado.
www.mddsdentist.com

Articulator Vol12_Issue1 - Metro Denver Dental Society

Transcription

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