Pennsylvania Dental Journal Pennsylvania Dental Journal
Transcription
Pennsylvania Dental Journal Pennsylvania Dental Journal
Pennsylvania Dental Journal Vol. 77, No. 1 • January/February 2010 11 Day on the Hill Rescheduled 21 What Were You Thinking? 42 PDA’s 142nd Annual Session T H A Y E R D E N T A L L A B O R A T O R Y , I N C . Thayer’s discount policy doesn’t rely on coupons or gimmicks . . . Thayer Dental Laboratory has offered the same volume discount to its customers for over 30 years. We don’t offer special coupons to anyone - and we only have one price list for all our customers. Our discount policy treats everyone fairly. Pay your statement balance by the 10th of the month: For balances of $5,000 or more take 10% off your statement balance if you pay by check - or 8% by credit card. For balances of $2,500 to $4,999 take 5% off your statement balance if you pay by check - or 3% by credit card. ... that’s a smart move. For balances of $250 to $2,499 take 2% off your statement balance if you pay by check. It’s just that simple. THAYER DENTAL LABORATORY, INC. 131 Old Schoolhouse Lane • P.O. Box 1204 Mechanicsburg, PA 17055 717-697-6324 • 800-382-1240 • fax: 717-697-1412 www.thayerdental.com “ Yo u r P a r t n e r i n M a s t e r i n g N e w Te c h n o l o g i e s ” ® P e n n s y l v a n i a D e n t a l J o u r n a l • w w w. p a d e n t a l . o r g Dr. Bruce R. Terry (Editor) 85 Old Eagle School Road, Wayne, 19087-2524 (610) 995-0109 • pullpulp@aol.com 4th...Dr. Michael S. Shuman…2013 1052 Park Road, Blandon, 19510-9563 (610) 916-1233 • msshuman@epix.net Dr. Joseph J. Kohler III (Associate Editor) 219 W. 7th Street, Erie, 16501-1601 (814) 452-4838 • docjjk3@gmail.com 5th...Dr. David R. Larson…2013 1305 Middletown Rd. Ste 2 Hummelstown, 17036-8825 (717) 566-9797 • PDATrustee5th@hotmail.com Dr. Brian Mark Schwab (Associate Editor) 1021 Lily Lane, Reading, 19560-9535 (610) 926-1233 • brianmschwab@aol.com Rob Pugliese (Director of Communications) P.O. Box 3341, Harrisburg, 17105 (800) 223-0016 • FAX (717) 234-2186 rap@padental.org Dr. Richard Galeone (Editor Emeritus) 3501 North Front Street, Harrisburg, 17110 (717) 234-5941 • FAX (717) 234-2186 rjgdds59@comcast.net Dr. Judith McFadden (Editor Emerita) 3386 Memphis Street, Philadelphia, 19134 (215) 739-3100 Officers Dr. Andrew J. Kwasny (President) 3219 Peach Street • Erie, 16508-2735 (814) 455-2158 • kwas2@live.com Dr. William T. Spruill (President-Elect) 520 South Pitt Street, Carlisle, 17013-3820 (717) 245-0061 • wtspruill@comcast.net Dr. Thomas W. Gamba (Immediate Past President) 255 S 17th Street Suite 2807 Philadelphia, 19103-6228 (215) 546-2311 • twgamba@mac.com Dr. Stephen T. Radack III (Vice President) 413 East 38th Street, Erie, 16504-1621 (814) 825-6221 • stradack3@aol.com Dr. Dennis J. Charlton (Speaker) P.O. Box 487 • Sandy Lake, 16145-0487 (724) 376-7161 • djcdmd@windstream.net Dr. Gary S. Davis (Secretary) 420 East Orange St. • Shippensburg, 17257-2140 (717) 532-4513 • doctord@epix.net Dr. R. Donald Hoffman (Treasurer) 105 Penhurst Drive, Pittsburgh, 15235 (412) 648-1915 • rdh2@pitt.edu 6th...Dr. John P. Grove...2011 PO Box 508, Jersey Shore, 17740-0508 (570) 398-2270 • jdgrove@uplink.net 7th...Dr. Peter P. Korch, III...2010 4200 Crawford Ave., NorCam Bldg. 3 P.O. Box 1388, Northern Cambria, 15714-1388 (814) 948-9650 pda.seventh.district.trustee@gmail.com 8th...Dr. William J. Weaver...2011 Brookville Dental, 123 Main Street Brookville, 15825-1212 (814) 849-2652 • wjweaver@gmail.com 9th...Dr. Joseph J. Kohler III...2012 219 W 7th Street, Erie, 16501-1601 (814) 452-4838 docjjk3@gmail.com 10th...Dr. Donald A. Stoner...2011 Oakmont Dental Associates 154 Allegheny River Blvd., Oakmont, 15139-1801 (412) 828-7750 • oakmontdental@msn.com ADA Third District Trustee Dr. Charles R. Weber 606 East Marshall Street, Ste 103 West Chester, PA 19380-4485 (610) 436-5161 • crweberdmd@comcast.net PDA Council Chairs Council on Communications & Public Relations Dr. David A. Tecosky Council on Dental Practice Dr. Bruce Parker Council on Government Relations Dr. Herbert L. Ray, Jr. Council on Membership Dr. Karin D. Brian PDA Committee Chairs Trustees By District 1st...Dr. Thomas P. Nordone…2013 207 N. Broad Street, Philadelphia, 19107-1500 (215) 557-0557 • drtpn@aol.com 2nd...Dr. Bernard P. Dishler...2011 Yorktowne Dental Group Ltd. 8118 Old York Road Ste A, Elkins Park, 19027-1499 (215) 635-6900 • dishyork@aol.com 3rd...Dr. D. Scott Aldinger...2012 8555 Interchange Road, Lehighton, 18235-5611 (610) 681-6262 • dist3bot@ptd.net Access to Care Committee Dr. Bernadette A. Logan Annual Awards Committee Dr. Charles R. Weber Concerned Colleague Committee Dr. Bartley J. Morrow Environmental Issues Committee Dr. Marian S. Wolford Forensic Odontology Committee Dr. Jeff D. Aronsohn New Dentist Committee Dr. Brian Mark Schwab 2 January/February 2010 • Pennsylvania Dental Journal PDA Central Office 3501 North Front Street P.O. Box 3341, Harrisburg, 17105 (800) 223-0016 • (717) 234-5941 FAX (717) 232-7169 Camille Kostelac-Cherry, Esq. Chief Executive Officer ckc@padental.org Pennsylvania Dental Journal Mary Donlin Director of Membership med@padental.org The Official Publication of the Pennsylvania Dental Association January/February 2010 • Volume 77, Number 1 Marisa Swarney Director of Government Relations mss@padental.org Features Rob Pugliese Director of Communications rap@padental.org Rebecca Von Nieda Director of Meetings and Administration rvn@padental.org Leo Walchak Controller ltw@padental.org Board Committees Legend Executive Committee Chairman Budget, Finance & Property Chairman Bylaws Committee Chairman EDITORIAL Board Dr. Daniel Boston Dr. Allen Fielding Dr. Marjorie Jeffcoat Dr. Kenneth G. Miller Dr. Andres Pinto Dr. Deborah Studen-Pavlovich Dr. James A. Wallace Dr. Charles R. Weber Dr. Gerald S. Weintraub 21 What Were You Thinking? By Dr. Bruce R. Terry, Editor 24 New Members Share Their Experiences 31 Your New ADA Trustee: Dr. Charles R. Weber Departments 5 7 9 15 47 49 50 51 53 59 Impressions Letters to the Editor Government Relations Membership Matters It’s Your Money Awards & Achievements In Memoriam On the Lighter Side Continuing Education Classified Advertisements The mission of the Pennsylvania Dental Journal is to serve PDA members by providing information about topics and issues that affect dentists practicing in Pennsylvania. The Journal also will report membership-related activities of the leadership of the association, proceedings of the House of Delegates at the annual session and status of PDA programs. PENNSYLVANIA DENTAL JOURNAL (ISSN 0031-4439), owned and published by the Pennsylvania Dental Association, 3501 North Front Street, Harrisburg, 17110, is published bi-monthly: Jan/Feb, Mar/Apr, May/June, July/Aug, Sept/Oct, Nov/Dec. Address advertising and subscription queries to 3501 North Front Street, P.O. Box 3341, Harrisburg, 17105. Domestic subscriptions are available to persons not eligible for membership at $36/year; International subscriptions available at $75/year. Single copies $10. Periodical postage paid at Harrisburg, PA. “The Pennsylvania Dental Association, although formally accepting and publishing reports of the various standing committees and essays read before the Association (and its components), holds itself not responsible for opinions, theories, and criticisms therein contained, except when adopted or sanctioned by special resolutions.” The Association assumes no responsibility for any program content of lectures in continuing education programs advertised in this magazine. The Association reserves the right to refuse any advertisement for any reason. Copyright ©2010, Pennsylvania Dental Association. POSTMASTER: Send address changes to Pennsylvania Dental Association, P.O. Box 3341, Harrisburg, PA 17105. MEMBER: American Association of Dental Editors January/February 2010 • Pennsylvania Dental Journal 3 4 January/February 2010 • Pennsylvania Dental Journal Impressions Batter Up I love technology. There is nothing quite like LCD televisions. My new 46-inch LCD is a thing of beauty. The picture is fantastic and the clarity is like nothing else. Case in point, there is nothing quite like baseball in 1080p, whatever that means! This past October I found myself glued to the television during the baseball playoffs and subsequent World Series. Now, I am no stranger to the game. I remember bringing a transistor radio to elementary school and junior high in the ‘60s and ‘70s. For those of the X, Y and Millennial generations, that was the 1960s and 1970s. As my eight-year-old son would say, “Were you alive when Lincoln was President?” Abraham Lincoln was year zero for my son. But back to baseball. I am what you would call a fair weather fan of the sport. I may go to one or two games per year. I don’t watch much baseball on TV, and I only became really interested in playoff games in the past few years as my adopted team, the Phillies, rose to national acclaim. So, you could say I like the game but I don’t love the game. 2008 was quite special when the Phillies went all the way to win the World Series. At that time, I watched all of the games on my traditional 36-inch old style tube television. Only three years old at the time and already obsolete. The series was exciting and the outcome was even better. This year as the playoffs approached I was again excited. Not to see my team go all the way, but to see the games on my new HD LCD TV. During the first playoff game, I noticed something I hadn’t paid much attention to in the D r. B r u c e R . Te r r y past. Maybe it was because I was not in the 400 section of Citizens Bank Park, or maybe it was because I had a front row seat with High Def. I began to notice all the spitting. Not just the occasional “THWAT,” but a constant, steady stream of sputum that only an internist could love. Every camera shot revealed players moving their mouths with the sole purpose of winding up and delivering a lugee with curve ball precision. Some loads contained juices from smokeless tobacco, some from Big League Chew bubblegum. Still others contained fragments of sunflower seeds. Each was unique and each was choreographed like the corps de ballet. As a dentist and health-care provider, my thoughts began to turn to how unsanitary the whole thing was. I wouldn’t want to step anywhere near these guys without a full Hazmat suit. The respective dugouts really scared me. I imagined the floor of the dugout to resemble a five-day-old, uncleaned birdcage. Is there enough hand sanitizer to spray on the entire field before and after every game? During the first World Series game the expulsion of bodily fluids continued with reckless abandon. I wondered how all of this began. Baseball was unique in the players’ quest to remove all liquids from their head and neck region. Can you imagine a golf or tennis player spitting with the same abandon as a major league baseball player? Players in other sports can be seen chewing gum occasionally, but nothing like baseball players. Was it the long intervals of inactivity that spawned this need to spit, or was there another reason? I was reminded of my days in college. One afternoon in early spring, my fraternity brothers and I stepped out onto the lawn like sea lions on a floating piece of ice in the Arctic Ocean. Some of my brothers had developed a habit for smokeless tobacco. I had never seen this before in real life, only in the movies. I thought those that chewed were either from 18th century England, the Wild West, or 20th century coal mining towns. Sorry, no offense to the coal mining townspeople! Each of these brothers were talking and simultaneously spitting into a plastic beer cup, of which our fraternity had ample supply. The juices that accrued into these cups looked something like the backwash bottom of a cup of Guinness beer. Thank goodness they used the cups, otherwise I don’t know where I would have been able to step. Another freshman brother approached the social gathering outside. I watched (continued on page 6) January/February 2010 • Pennsylvania Dental Journal 5 Impressions as he joined the conversation and tried desperately to fit in. In just a few minutes, he had acquired his own plastic cup and began telling a story about some girl he met the other day while breaking momentarily to spit into his own cup. He didn’t notice that the others where chewing and spitting, nor did he notice that his cup was filled with clear fluid while the others were filled with a brown juice that needs no further explanation from me. The conversation continued and the other brothers were beginning 6 January/February 2010 • Pennsylvania Dental Journal to snicker at the actions of the freshman. Finally, one of them exploded in laughter and asked the freshman what he was doing. He looked embarrassed and had no answer. The older brothers began to tease him and he walked away. He was just trying to fit in. I wonder if it’s the same in Major League Baseball. Are they all trying to fit in, or is there a reason for their oral habits? I checked online and with some acquaintances in the sport and nobody was able to give me an answer. I am still looking, and I would greatly appreciate an explanation for this behavior. Even if you don’t know the answer but have a really good guess, let me and your colleagues know. For more information about the dangers of smokeless tobacco for you, your family, friends or patients, go to www.ada.org and enter smokeless tobacco into the search engine. The ADA has many good references for those interested. —BRT Letters to the Editor Dear Bruce, You are doing a nice job with the Journal. It was nice to feature the dentists who volunteer their time both locally and internationally. Thanks for mentioning DVI. I have been there 11 times and go almost every year. We have several dentists from the Philly area who go there often. Jeff Blum, of Wynnewood, Stu Messinger, of Broomall, Eric Cantor, of Center City Philadelphia and myself. We also now have an American Friends of DVI, which mainly does fundraising and meets annually at the New York Meeting. Thanks again. I hope we get many more volunteers. Let everyone know that they can get more information about Dental Volunteers for Israel and American Friends by going to the DVI website at www.dental-div.co.il. Shel Bernick Reitz Becomes AADA President Pennsylvania’s own Carol Reitz was installed as president of the Alliance of the American Dental Association (AADA) October 4 during the AADA’s Convention in Hawaii. An alliance member for nearly 30 years, Mrs. Reitz brings a wealth of national, state and local experience to her latest position. She has held virtually every office for the Alliance of the Pennsylvania Dental Association and the Alliance of the Berks County Dental Society, from dental health chair to president. She also has served the AADA as a member and liaison to its Council on Government Affairs. “That position gave me great insights into issues affecting dentistry and our dental families,” Reitz said. “This is an area where the Alliance can double our efforts in the legislative arena on both the state and national levels.” Carol is a past recipient of AADA’s Thelma J. Neff Distinguished Service Award for outstanding contributions and service to the alliance. As president, she will be leading AADA’s efforts in legislative advocacy, dental health education for children and seniors, well-being of the dental family, leadership and membership. One priority for her term will be increasing AADA membership through strategic planning efforts that she is chairing. Carol is the fifth AADA president from Pennsylvania, following Alma Berk (1961-62), Rosemary Fitzpatrick (1980-81), Ellen Pagano (1986-87) and JoAnn Thomas (1994-95). She and her husband, Dr. John Reitz, a Reading general dentist, have three children; Christopher, 26, Eric, 23 and Lauren, 18. In her spare time, Mrs. Reitz competes on a U.S. Tennis Association adult tennis team that went to the Nationals in 1999 and is captain of a tennis team. PDA member Dr. Dave Aucther, AADA president Carol Reitz and PDA president-elect Dr. Bill Spruill. January/February 2010 • Pennsylvania Dental Journal 7 Government Relations The Pennsylvania General Assembly returned to session in late January to begin the second year of the two-year legislative session. This gives PDA one year to advance its legislative priorities before legislation “dies” during the sine die period at the end of the year. Any legislation that fails to pass in 2010 must be reintroduced the following year for the new 2011-12 legislative session, and once again move through the entire legislative process of approval from various committees before it gets voted on by the full Senate and House. PDA has listened to our members and understands that you are most concerned about insurance practices, scope of practice issues and fair licensing regulations. Over the last year, PDA’s staff and lobbyists worked continuously to introduce legislation that will alleviate some of those concerns while ensuring patient safety and access to dental care. But your help is needed to educate lawmakers about the need to pass these important pieces of legislation, and time is of the essence. Members’ participation in PDA’s grassroots advocacy efforts is essential to passing legislation before it dies at the end of the year, losing any momentum we achieved during the 20092010 legislative session. We had to cancel our annual lobbying event at the Capitol in October due to unforeseen circumstances in which the legislature canceled its session days, but we encourage you to come to this year’s Day on the Hill, which has been rescheduled for Tuesday June 8. The legislature will be in session! Please register online at www.padental.org or submit the reg- istration form found on page 13. Why is it important that you come to Day on the Hill this year? Here are three reasons: 1. If you are upset about receiving notification from an insurance company that it wants you to sign an amended contract capping the fees you set for non-covered services or any service provided after patients exhaust their maximum allowance, then you’ll want to come to Day on the Hill to talk to you legislators about it. PDA sought sponsors in both the House and the Senate to introduce legislation that prohibits all insurers operating in Pennsylvania from capping services not covered by their plans or any services provided after patients meet their maximum allowance. Sen. Kim Ward (R-Westmoreland) introduced a bill in January and it is currently assigned to the Senate Banking and Insurance Committee for consideration. 2. If you are tired of not getting paid when your patients choose you as their doctor but you are not a provider in the patient’s insurance plan, then you’ll want to come to Day on the Hill on June 8 to talk to your legislators about this. PDA is working with a representative to introduce legislation that would require insurance companies to assign benefits to providers in cases where you are a non-participating provider treating a patient with its insurance plan. PDA believes that this is primarily an issue of patient choice, and secondly, that it is fundamentally unfair for dentists to never receive payment for services rendered. Once introduced, this bill will be assigned to the House Insurance Committee for consideration. 3. Have you ever faced a situation where an insurance company is demanding patient records for review, costing you and your staff valuable time and money? Most insurers exercise a policy of reviewing dental claims no matter how long ago they were submitted and paid. If you would like to level the playing field with insurance companies, then you will want to come to Day on the Hill to talk to your legislators about HB 215. Rep. Stephen Barrar (R-Delaware) introduced HB 215, legislation that would prohibit insurance companies from retroactively denying dental claims after one year. This legislation passed the House Insurance Committee in the fall and now faces consideration from the House Appropriations Committee. But PDA and other health-care provider groups face strong opposition from the insurance industry. The House Insurance Committee tacked on two amendments before passing HB 215, essentially weakening the bill. These amendments extend the official retroactive review period from 12 to 18 months, and (continued on page 10) January/February 2010 • Pennsylvania Dental Journal 9 Government Relations allow for “tolling,” a mechanism that allows insurers to effectively extend the review period indefinitely by making repeated requests for documentation from providers. We need your help convincing members of the House Appropriations Committee to remove these amendments from HB 215. These issues will be of primary focus for PDA during Day on the Hill, but they are far from the only issues impacting the dental profession. Dentistry faces challenges on scope of practice issues for members of your dental team, restrictions on the use of dental amalgam, funding for Medical Assistance and dental education programs and insurance mandates that will allow you to provide better care for your patients. Please take the time to attend Day on the Hill on June 8. Though it might mean one day out of your office this year, your presence increases the likelihood of passing insurance reforms significant enough to impact the bottom line for your business for years to come. 10 January/February 2010 • Pennsylvania Dental Journal Government Relations January/February 2010 • Pennsylvania Dental Journal 11 Government Relations 12 January/February 2010 • Pennsylvania Dental Journal Government Relations January/February 2010 • Pennsylvania Dental Journal 13 Membership Matters January/February 2010 • Pennsylvania Dental Journal 15 Membership Matters 16 January/February 2010 • Pennsylvania Dental Journal Membership Matters January/February 2010 • Pennsylvania Dental Journal 17 Membership Matters 18 January/February 2010 • Pennsylvania Dental Journal Membership Matters Welcome New Members! Following is a listing of members who have recently joined PDA, along with the dental schools from which they graduated and their hometowns. Dr. Leyla A. Abdulhay University of Pennsylvania Breinigsville Dr. Joseph F. De Santis University of Pittsburgh Garnet Valley Dr. Kristen D. Falanga University of Pennsylvania White Hall Dr. Shimma Abdulla Temple University Philadelphia Dr. Rishin N. Desai University of Pennsylvania Philadelphia Dr. Jarrett B. Foust University of Tennessee Pittsburgh Dr. Timothy J. Atkinson University of Detroit Mountain Top Dr. Richard V. Eidelson Temple University Bala Cynwyd Dr. Brandon Goldwater Temple University Conshohocken Dr. John D. Basile University of Pennsylvania Fairview Dr. Susan D. Ermish Temple University Berwick Dr. Michelle L. Halpern Harvard Dental School Bala Cynwyd Dr. Thomas Lin Boston University Aldan January/February 2010 • Pennsylvania Dental Journal 19 What Were You Thinking? By Dr. Bruce R. Terry, Editor Not everyone knows they want to be a dentist when they are eight years old. That’s what I noticed when I moved from elementary school to high school, and from college to dental school. In junior high I needed to pick a career and write a report. Mine was titled “The Tooth, The Whole Tooth And Nothing But The Tooth.” The letter grade on the outside cover was a B-. It was not because of content. I had interviewed my family dentist and my orthodontist, I included radiographs and panographs and I also had statistics. No, the problem was my writing skill. The teacher actually wrote, “Good Luck, you’ll make a great dentist, but you need more help with writing.” I’m not kidding when I say I was told not to pursue a career in writing. I guess that helped cement my decision to become a dentist. But did I really know what I was getting into? No way. Nobody really tells any of us what we are in store for. Whether you thought about dentistry at the freakish age of 8 or when you were 21, it was likely an emotional decision rather than a carefully analyzed career path. Few if any of us had demographic information on trends in dentistry, and even fewer knew what dental school was all about. B- The Tooth, The Whole Tooth And Nothing But The Tooth by Bruce Terry January/February 2010 • Pennsylvania Dental Journal 21 What Were You Thinking? I remember the first time I met with my high school guidance counselor. Mrs. Cheeks (her real name) asked what my career goal was. Without a moment’s hesitation I told her that I wanted to go to dental school. She looked at my grades and said, “Sounds great.” No comments like, “Are you sure you know what you are doing?” Or, “Did you know that the cost of 8 years of college and dental school will be $30,000?” That was if you graduated in 1986. Today that number is $300,000. Mrs. Cheeks did not give me information on how to set up a dental office or find a practice when I graduated. Mrs. Cheeks did suggest colleges that would be good for a science bound student like myself. She did not give me any guidance for what I was about to embark upon. No discussion about how to handle college or what to expect in dental school. Nobody taught me about incorporating a business, opening a checking account, hiring or firing staff or buying dental supplies. For that matter, no one in dental school taught me any of these things either. So, most of us find ourselves in dental school without a clue. Sure we are smart enough to score well on tests, but we have no street smarts. The residents that I see at the dental school each year have nearly made it to the end of their mandatory education and they have no idea what’s next. They ask me questions like, “Where should I go to work?” or “How do I know that I have a fair contract?” For more than 15 years I have presented the practice management information that these residents need. While I am only scratching the surface, it’s clear how hungry these students are for information on the “real world.” Just like you and me, they have spent from 8 to 10 years in higher education. They have learned all of the science, diagnostic tests and medically necessary information. They have practiced their skills on mannequins, classmates and patients from the inner 22 January/February 2010 • Pennsylvania Dental Journal city. They are confident in their skills as clinicians but scared to practice in the “real world.” So, like you and me, these students begin thinking of the future some time while they are in dental school, somewhere between oral pathology and beer pong. Some students will continue on the path as a general dentist. For many that means a general practice residency (GPR) followed by a position as an associate dentist. Statistics from a 2008 ADA report of dental graduates showed that 33 percent of students moved onto private practice. Another 33 percent went into an accredited AEGD or GPR program, and the other 33 percent went into a specialty training program like endodontics, periodontics or others. For those entering private practice, the real learning is just beginning. Joining a practice has always been an eye opener for a new dentist. Patient no-shows, insurance company denial of claims and patients’ failure to pay are just a few of the exciting experiences that these new dentists will face. We have asked six new PDA member dentists to share their experiences from dental school to “real world” practice. Dr. Alejandro Montalvo currently practices at Community Volunteers in Medicine, West Chester. He was as surprised as you that he ended up at CVIM, but he couldn’t be happier. Dr. Drew Carlin is a pediatric dentist and he has a great vision for his profession. Dr. Connie Wilson returned to the rural part of Pennsylvania she originally came from. Dr. Sara Haines and Dr. Jessica Guy are both general dentists AND also full-time moms and both have traveled unique and fascinating paths to where they are. Dr. Stefanie Walker was born and raised in Germany, came to the United States to pursue her education and is now doing the invaluable work of educating others. Enjoy their stories. Dr. Jessica Guy: Career and Family Takes Multitasking to New Levels As a kid I often thought about becoming “a doctor,” but I didn’t discover I wanted to be a dentist until college. In fact I spent a good portion of my young life dismissing the idea because spending all day with your hands in someone’s mouth seemed too bizarre. One Memorial Day weekend I was home from college visiting family and pondering my future. My uncle, a dentist, asked if I could help him with an emergency since his assistant was away for the holiday. I agreed simply because I had nothing better to do but it was as if fate handed me an evacuator. What had once seemed like a “gross” career became grossly interesting. I ended up assisting for his associate over summer break and by fall knew I was going to apply to dental school. I graduated from Wilkes University in May of 2000, married in June, and in August entered the then Temple University School of Dentistry. My first two years were harrowing. I thought I was studious, but the volume of information presented was overwhelming. I thought I was dexterous, and then I tried to carve my first tooth out of wax (we nicknamed it “little nubby”). Still, as I trudged on my brain and fingers fumbled less. The best encouragement actually came from the faculty with the worst reputations. You have to grow up a little to realize not every professor who “grades hard” is “being mean” and that most of the so-tough-they-make-you-cry row instructors are just brutally honest and very demanding in their expectations, as they should be. With their guidance, I was almost confident when I faced my first patient. Senior year was exhausting and not just from preparing for Boards. In December of 2003, we learned I was expecting. My husband and I were excited and a bit unsettled. Like most students I had considered the specialties, but after 20 straight years of school (not including kindergarten or pre-K) I was ready to take a break. I entertained the ideas of NHS or the military but I had to think of my new family: Would my husband be able to find work where I’d be assigned? If deployed, could I leave our little boy? Ultimately we decided we needed geographical stability and decided to go into private practice. We considered the options (solo or group, start-up or associate) and were fortunate enough to find a solution. The next year, 2004, was another busy year. I graduated and moved back to the Poconos, where I had grown up. That August I had a beautiful baby boy and 10 weeks later I entered practice as an independent contractor sharing space in the office of my uncle, Dr. R.C. O’Boyle. The easiest part of entering practice was clinical: Temple trained me to use my hands and mind. The business end was more difficult: 24 January/February 2010 • Pennsylvania Dental Journal knowing how to run a handpiece doesn’t mean you know how to run an office. I learned so much that first year, most of which seems rote when I try to write it out. For example, I learned there are really many great resources available through PDA! I learned I shouldn’t have waited so long to join my local dental society. Professional camaraderie is something one takes for granted while in school. It’s nice to have colleagues to commiserate with. I learned it’s good to have a mentor. I appreciated all the knowledge and experience my uncle shared with me. I learned that, sadly, even those patients who understand the mouth-body connection can doubt its value. No one would haggle about setting a broken arm, so why do they quibble about restoring Jessica A. Guy, DMD, wife and mother of two, is a general dentist with Pocono Kids Dental Care located in the Valerie M. Hodge Memorial Dental Clinic in East Stroudsburg. She is a 2004 graduate of Temple dental school. a broken molar?. I learned when it comes to billing and insurance, a great office manager is a must and that your team must share your vision. When they do, you gain a little island of consistency in the stormy sea of everyday surprises. And I learned that balancing my personal life was even more complicated than office affairs. My husband and I were used to long days. He’s always worked a heavy schedule and my studies had demanded a tremendous amount of my time. So when I traded them for charts and EOB’s it wasn’t too different for us, but it was hard for our baby boy. I know childcare has become necessary for most families, just as dual income has, but with a fledgling practice and my husband commuting, we found our son could be in daycare for 10-12 hours each day. Career and family: it is difficult to have both without sacrificing something. It was difficult to face the fact that our little one spent so much time away from us. Since the practice was so new, my husband’s job was providing our financial stability but it offered no flexibility. After much deliberation I consolidated my schedule to allow for more time with our son. Time flew by and before I knew it our baby boy was old enough for preschool! Since he was in class five days a week, I began opening up my schedule. The logical next step would have been to buy into my uncle’s practice but I wasn’t entirely sure about this decision. While private practice was fulfilling, I often found myself wishing I could do more. Like many areas of the state, mine has a large problem with access to care. And like many, I couldn’t work the state plans into my practice, so I started to look outward. I told my family that before I committed to partnership I might want to give clinic work a try. I applied to work at St. Luke’s Union Station Dental Clinic, but the position had been filled. However, they still needed doctors to serve on their mobile dental clinic, the HealthStar II, providing care to underinsured children in the Bethlehem/Easton area. Eagerly, and a bit nervously, I agreed. As my first day drew near the common fears raced through my head: kids can be unpredictable and uncooperative when fully immersed in clinic care, working part-time for both health systems, I knew I had found my passion in public health and, surprisingly enough, pediatrics. When a full-time position opened with PHS, I resigned from active duty at St. Luke’s, ending my commute. So what now? I’m very happy but I wish I could do a pediatric residency. It’s not just because I’m tired of having to remind parents that, “although we’re a pediatric practice, I’m just a general dentist who likes working with kids.” I want the skills that come with the credentials. Pocono Kids Dental Care is still a basic needs clinic; currently myself, two hygienists and two assistants provide preventative, restorative and some surgical care under cooperation and local anesthetic. Children with complex cases behaviorally, medically and dentally are referred to a pedodontist. Dr. Jessica Guy using big pokey metal tools to perform uncomfortable procedures on them. Kids hate shots. Kids cry! In reality I knew it wouldn’t be that bad as I had a handful of pintsized patients in private practice. Still, being able to handle the occasional pre-adolescent is not the same as working a full schedule. The funny thing was, once aboard I found things really weren’t that bad; actually they were very, very good. It wasn’t too long before I realized I wanted to do public health full-time. While I loved my private patients I knew if I closed my practice they would be able to find new dental homes, as there are many top-notch doctors in my county. My concern was more pedestrian: the drive to and from Bethlehem. I know a lot of people are commuters, but I am not one of them. That’s when chance smiled on me again. I was contacted by Pocono Health System (PHS) about a part-time position in their Valerie M. Hodge Memorial Dental Center providing basic needs care for children ages 3-18 on state assistance. I grew up in Stroudsburg, and my mom has been an RN for PHS since before I was born. When I began my search for clinic work my first thought was Pocono, but no positions were available at the time. Working for their clinic, Pocono Kids Dental Care, I would finally be able to help out in my own community, so I said yes to PHS and goodbye to private practice. Once Still, residency would mean a two-year sabbatical and uprooting my family. The goal is selfless, but to reach it I’d have to be selfish. I know I’m doing good work but I feel capable of doing so much more. For now I’ll look for other ways to improve and expand the program. And my family? On an average weekday, I get to spend about four waking hours with my kids: one before work, three after. Yes, there are kids now. In August, just before our little boy turned five, we welcomed a beautiful baby girl. I only took eight weeks leave and decided to stay full time as I had “my other kids” at the clinic to consider. My mom is watching our little girl, and although I miss my baby terribly while I’m at work, I feel less guilty about my hours because I know she’s with her Grammy. Kindergarten keeps our son busy during the day. We try to make the most of our free time. Once the kids are in bed, I get two hours to spend on my hubby or CE or bill paying or laundry or, even sometimes, me. Often I find there aren’t enough hours in the day so I cheat, like tonight when I’m up past bedtime, and deadline, trying to care for our baby girl and type at the same time. But stealing time only works for so long. There are people who don’t need sleep, but I’m not one of them. So, off to bed I go to dream of what fate might hand me next. January/February 2010 • Pennsylvania Dental Journal 25 Dr. Drew Carlin: Conquering New Challenges Every Day I didn’t commit to becoming a dentist until late in my college career. I was still considering medical school, but every physician I spoke to openly discouraged me with complaints of long hours and poor compensation, loss of autonomy for treatment decisions and oppressive insurance companies. In the fall of my senior year I spent an internship with a family dentist who obviously enjoyed his profession. He felt very rewarded practicing and running his own business, and the dentist’s patients made it known how much they appreciated his efforts. Looking back, I understood very little of what clinical dentistry was about, but the idea of being able to treat pain and dental disease, be your own boss, improve a person’s self-image and avoid much of the upheaval overtaking modern medicine was very alluring. By the end of the semester, I had decided them at an early stage. When I became aware of the number of dental specialties that existed, I was intrigued by the idea of becoming a specialist, focusing on one specific problem within dental medicine and helping to coordinate care within that discipline. I never had that one pivotal moment or patient that sent me on the path to pediatrics, but a series of experiences that culminated with my application to a pediatric residency position. Pediatrics is probably the scariest field for most dentists. Like most of my classmates, I had written off ever choosing to treat more children than I absolutely had to early on. I was fortunate to have some very good instructors and a handful of patients that I enjoyed working with. I also had a series of personal revelations as I related to dentistry. A lot of Dr.DrewCarlin to take the Dental Admission Test (DAT). Dental school is mostly long stretches of monotony punctuated by moments of terror, unless you are fortunate enough to have good friends to share the experience with. Hearing the experiences shared by other graduates, I don’t think I am doing a disservice to my alma mater by saying this. Dental schools (and faculties) do not seem to spend much time coddling their students. There is little to prepare you for the experience, especially when the day comes to begin caring for live patients, and there is little assistance for those who struggle. My friends had two theories to explain the chair to my left in the preclinical laboratory: either it was cursed, or I was quietly driving people mad. During my first year of dental school, three different students sat to my left in turn. Each very suddenly departed, to be replaced by another unsuspecting studentdoctor, never to be seen or heard from again. My group of friends was close to the first girl, and we took her loss very hard. By the time the third casualty came along, it had become a source of dark humor and we took strength in the fact that the rest of us were going strong. I am sure those people are better off today having figured out dentistry was not for 26 January/February 2010 • Pennsylvania Dental Journal my adult patients were extreme dental phobics, and hadn’t seen a dentist in many years, often because of some traumatic experience at the hands of a mean, sadistic dentist when they were young. A large segment of the population avoids regular dental care because of dental anxiety, which in turn contributes to severe dental disease and a need for more invasive dental procedures when the patient finally does turn up. I wanted to get to these patients earlier, before the cycle of chronic disease and debilitating anxiety takes hold. I also found that I had much more empathy and patience for a kid just being a kid, than a middle-aged person being a really big child. The profession also appeals to me because it is multi-faceted. Pediatric dentistry has become the specialty tasked with caring for patients with special health care needs, as well as the field dedicated to treating dentoalveolar trauma because of the associated child behavioral issues. The challenge of taking on patients who others may be unable or unwilling to see, and treating others in times of distress, is very rewarding. I was among the fortunate applicants to match with a pediatric residency at Children’s Hospital of Buffalo, affiliated with SUNY at Buffalo School of Dental Medicine. I only realized how privileged I really was when, as a second-year chief resident, I helped interview and rank prospective candidates. There are a host of well-qualified and deserving individuals intensely competing for a few precious resident positions every year. What stands out from my two years at Buffalo are a lot of late-evening and middle-of-the-night visits to the emergency department while on-call, a lot of hard work in the clinics on some (mostly) wonderful patients, and the best group of fellow residents in the world, without hyperbole. It was great-on-the-job training, and I learned firsthand by observing my attendings both what to do and what not to do. Residency was a tremendous stepping stone from dental school to private practice. I believe there are a few special students who are equipped to make the Drew J. Carlin, DMD, earned his dental medicine doctorate at Temple University in 2007. An Erie native, he now practices n his hometown at Beautiful Smiles Children’s Dental Health. transition without postdoctoral experience, but most would benefit from even a year of additional training as a few states now require. My patient load jumped from around 2 a day to 16, I had regular collaboration with experienced colleagues in dentistry and in the medical profession, and training in sedation, anesthesia, pediatric medicine and trauma. It was a hard two years and an invaluable experience. The best part of pediatrics is being at the forefront of dental public health, with the opportunity to educate parents and children and help treat the most prevalent chronic childhood disease in this country. I also have the challenge of treating patients who otherwise might not receive care for health, developmental or behavioral reasons. The easiest part of transitioning to private practice has been the professionalism and support of my boss and his staff. There can be a lot of social and political turmoil swirling beneath the surface of any busy dental office. It says a lot about a group if they can allow a young, untested dentist to come in and help him to work up to his potential and feel welcomed. The hardest part has been working alongside a trusted and well-respected doctor who has been in practice for more than 25 years. While his practice is treating second-generation patients, for me gaining parent (and patient) trust is a daily struggle. Every week or so, just to keep me from getting overconfident, I seem to get a precocious kid in my chair who asks his mother something along the lines of, “does he know what he’s doing?” Even worse are the parents who show their obvious disappointment when I, rather than the other doctor, come over to examine their child. On a personal level, for me the hardest part of being a dentist is trying to leave the dentistry at the office. I see a lot of children with severe dental disease, and many of those kids and their parents are ill-equipped to cope with treatment. Most of my experiences are positive, but I tend to forget the good and hold onto the bad. I am fortunate to have a supportive wife and beautiful son to come home to at the end of the day. I try to remember the wisdom of one of my attendings, who told me that as time goes on you will find you win more battles than you lose, and I try to learn from each experience that doesn’t exactly go my way. To anyone soon to enter the practice of dentistry, I think the best advice given to me was from an instructor in dental school who said it was up to me to graduate with a solid foundation, but I would never leave knowing how to do everything well. There is simply too much to know and too many methods and materials to master. The key to a good dental education is learning to be self-critical, to know how to evaluate what you have done on your own and to learn how to improve on your next attempt. Next fall I will sit before the American Board of Pediatric Dentistry to attempt to become boardcertified in my field. Board certification may be the last important piece of paper on my office wall, but the work of professional improvement is perpetual. We have a lot of work to do as a profession and a community at large to educate the population about the epidemic of childhood dental caries and the poor lifestyle decisions that contribute to this crisis. Every day is a new challenge, and my patients are never predictable. January/February 2010 • Pennsylvania Dental Journal 27 Dr. Stefanie S. Walker: Going the Extra Mile for the Next Generation of Dentists By Brian Mark Schwab, DMD, Associate Editor As many dental school graduates flock to residencies and to the realm of private practice, we need to remember that our dental schools are facing a major crisis: a lack of faculty members to educate the next generation of dentists. This is a national problem, not just a Pennsylvania problem. There are currently several hundred faculty vacancies across the 58 dental schools in the United States and Puerto Rico. This problem is only expected to intensify and get worse over time. The following story revolves around a discussion that I had with my great friend and colleague, Dr. Stefanie S. Walker. Dr. Walker was born and raised near Stuttgart, associated with general dentistry and that she would excel in her pre-clinical and clinical experiences. At one point in dental school, Stefanie considered a possible interest in prosthodontics because she loved cosmetic procedures, crown and bridge, and comprehensive treatment planning. During dental school at Penn, Stefanie did an externship for several weeks at the University of Colorado at Denver where she spent most of her time observing and treating patients in the GPR. She liked it so much that she eventually decided to enter the GPR herself where she mastered her clinical skills in oral surgery, implantology, endodontics, and many other disciplines. Stefanie also discovered that she had a special knack for dealing with patients who had crippling Dr.Stefanie Germany and came to the United States to pursue an undergraduate education at Oakland University in Michigan. She graduated from The University of Pennsylvania School of Dental Medicine in 2006 and completed the general practice residency (GPR) at the University of Colorado at Denver in 2007. She is currently the director of the GPR and also maintains an intramural practice within the University of Colorado at Denver. She spends one day a week teaching in the undergraduate dental emergency clinic in addition to dividing the remainder of her time between her obligations to her patients and her residents. Stefanie decided she wanted to work in the dental field after she graduated from high school and performed a six-week rotation at a dental hospital in Tuebingen, Germany, where she assisted in multiple specialties and clinics. Upon entering dental school, she had also spent several months working in the office of an orthodontist in Michigan. She had an affinity for orthodontics and thought she would possibly end up studying it someday. Little did she know that she would fall in love with the variety 28 January/February 2010 • Pennsylvania Dental Journal dental phobias. She was so good at dealing with difficult patients that her colleagues were referring patients to her that not only had special emotional/psychological needs but also special medical needs. “It really rounded out my education,” Stefanie said, “and it allowed me to offer care to people whom otherwise were not able to attain dental care. “This is my greatest reward as a dentist and I recall this whenever I feel consumed with too much work.” Stefanie entered her residency in Colorado expecting to become more educated in general and cosmetic dentistry, after which she would join an established practice or maybe even set up a practice of her own. Because she was such an outstanding resident, the faculty members at the University of Colorado asked her to join them as a faculty member at the dental school after she completed her residency. They appointed Stefanie to the rank of associate professor, and her responsibilities included teaching one day a week in the clinic and devoting the remainder of her time in direct patient care. This lasted only a short period of time before Stefanie was promoted, by her peers, to be the director of the faculty practice. The faculty practice is a highly respected clinical practice composed of general dentists and specialists, all of whom are clinical faculty members who supplement their incomes by providing care with a private practice feel within the realm of the university. Stefanie was willing to take upon the additional administrative responsibilities of being director of the faculty practice, although she admits the HR intricacies of a large university were extremely frustrating and user-unfriendly, but she did not want to give up her teaching time or her time practicing dentistry. She continued to work three and a half days as a dentist, one day as a teaching faculty member, and half a day handing her administrative duties, in which she oversaw over 20 doctors and for the patient and the profession, and to uphold the highest of ethical standards. Stefanie touches the hearts of her colleagues, students and patients alike. Her intense dedication and professionalism are of the highest caliber, and although she sets lofty goals, she never ceases from hard work until those goals are materialized. One undergraduate student shared with Stefanie that he was unable to competently perform dental extractions. Stefanie worked one on one with this student, explaining her technique, and not only was he able to extract that tooth, but he reached competency in oral surgery and is applying to oral surgery programs as he finishes his dental school this spring. If we sit back and recall our own dental school experiences, we can each think of at least one faculty Walker dozens of staff members. “I always hoped that I would end up teaching parttime in a university setting because I was a teaching assistant at Penn for operative dentistry, removable and fixed prosthodontics and worked as a tutor for students who had trouble developing their hand skills,” Stefanie said. Her story goes one step further. A few months ago, the Dean of the School of Dental Medicine at the University of Colorado at Denver, Dr. Denise Kassebaum, approached Stefanie to ask her if she would consider becoming the director of the GPR program. In her new role, Stefanie would be totally responsible for the didactic education and clinical experiences of her residents as well as the administrative responsibilities involved in running a program of this kind. “It will definitely be a lot of work, but I know it will get done, and at the end of the day, my residents will be among the best trained in the nation!” she said. Stefanie will hold her residents to the same standards she holds herself to: hard work, excellence in dental techniques and knowledge, advocacy Stefanie S. Walker, DMD, is a 2006 graduate of Penn dental school and a member of the American Dental Association, the Colorado Dental Association, and the Metro Denver Dental Association. member who really had a profound impact on us. It is remarkable to see that despite a major loss in the rank and file faculty members in American dental schools today, there always were and always will be special educators like Dr. Stefanie Walker who will promote the art and science of dentistry in the academic settings. “Going the extra mile for my students is within my role as a teacher and unlike some professors who consider teaching to be just a job, I consider it to be my life,” she says. Thanks for all the hard work Stefanie. The Pennsylvania Dental Association appreciates your endeavors toward the betterment of dental education. January/February 2010 • Pennsylvania Dental Journal 29 Dr. Alejandro Montalvo: Overcoming Initial Hardships Builds Confidence Dentistry wasn’t a career I considered until years after I graduated college with no prerequisites completed for a medical career. I did, however, have enough academic qualifications to work in advertising, and as luck would have it, I went to work for a medical advertising firm that led to my exposure to dentistry that eventually became an interest and eventually a career. I went to dental school in Massachusetts, and knew early on that I was interested primarily in general dentistry rather than a specialty degree. In retrospect, I knew very little about the variety of positions available to general dentists, but knew that I would be moving to Pennsylvania after graduation because my wife had accepted a job offer in Philadelphia. Finding Alejandro R. Montalvo, DMD is a 2008 graduate of the Harvard School of Dental Medicine. phere I had recently left. Those few dentists looking to hire associates had only limited hours to offer. I was eventually able to assemble a reasonable parttime schedule in three different private practices and a community health center. Again, there were tradeoffs. While building a patient base was difficult, observing the different styles of office and patient management were a great learning experience. After a few months, the community health center offered me a full-time position with administrative duties. I had experience working in a community health setting previously, and while the pace of the clinic can often approach that of the franchises, the spirit of the work elevates it into something much more rewarding. Improving access to care for an Alejandro Dr.Montalvo a job can be tricky on its own, and having to do so in another state while finishing dental requirements did not make things any easier. Ultimately – possibly because their recruitment pitch was very well practiced – I took a position as a general dentist at one of the local dental franchises. My time with the franchise had memorable highs and lows. On the one hand, I saw more patients in four months than some of my friends in GPR programs saw in their full year of residency. My speed increased dramatically as a result of the fast pace. However, I also was exposed to things that were never discussed in dental school. Profit-driven dentistry and questionable patient ethics were hallmarks, and I never felt at home. Ultimately, the corporate nature of the franchise became my savior as I was laid off in a restructuring move at the height of the economic crisis. Relief didn’t last long, as entering the job market in the middle of a recession presented me with few options for new employment and fewer that did not carry similar signatures from the franchise atmos- 30 January/February 2010 • Pennsylvania Dental Journal underserved population is personally fulfilling, while working with volunteers from various fields and backgrounds in dentistry is professionally enriching as well. Despite the hardships in the first year, it’s hard to imagine having taken a different path to where I am now. The exposure to different populations, styles of work and personalities has left me much more confident about the challenges faced in this field. And my advice to any student or recent graduate is to do whatever it takes to build your confidence as you head into whatever is your next step. Residencies, CE courses, relentlessly picking the brains of anyone you know working in your region. I am unable at this time to predict what the future has in store for my career. Regardless, through the lessons and experiences I had in my first year out of dental school I feel I will be well prepared. Your New ADA Trustee: Dr.Charles R.Weber Charles R. Weber, DMD, a past president of the Pennsylvania Dental Association, was installed as the Third District Trustee of the American Dental Association October 10 at the ADA’s 150th Annual Session and World Marketplace Exhibition in Hawaii. Serving as the trustee from the third district, Dr. Weber will represent Pennsylvania on the ADA Board, which formulates and reviews policies and programs and makes recommendations to the members of the ADA’s governing body, the House of Delegates. Dr. Weber, a general dentist from West Chester, will play a major role in the ADA’s organizational objective of being America’s leading advocate for oral health. After graduating from Seton Hall University and the University of Pennsylvania School of Dental Medicine, Dr. Weber served as a captain in the United States Army Dental Corps, on active duty from 1969 to 1971. At that point, he went into private practice and soon became involved in organized dentistry. At the national level, Dr. Weber served on the ADA’s Council on Dental Practice from 1997 to 2001 and the Council on ADA Sessions from 2003 to 2007. In addition to serving as PDA president in 2004-2005, Dr. Weber is also a past president of the Chester-Delaware Dental Society and the Second District Valley Forge Dental Society, where he served as district trustee to the PDA from 2000-2004. He has been a delegate in the ADA and PDA House of Delegates for many years, and has served on the ADA Council on Dental Practice as well as the ADA Council on Annual Sessions. Throughout his time as a PDA leader, Dr. Weber has taken a great interest in technological advancements and PDA’s increased use of its communications tools. He has been a longtime member of the editorial board of the Pennsylvania Dental Journal. Dr. Weber and his wife, Karen, reside in East Goshen, Pa., and are the parents of three adult children. January/February 2010 • Pennsylvania Dental Journal 31 Dr. Sara Haines: Navigating the Unique Challenges of a Dentist AND New Mom By Brian Mark Schwab, DMD, Associate Editor The American Dental Association reports that the average indebtedness for a dental school graduate exceeds $130,000. New Dentists have an enormous challenge to face with respect to economics. Many times, it is essential to purchase a home and/or business. For one member of our Pennsylvania Dental Association New Dentist Committee (NDC), the list of obligations hits new proportions because of the addition of a baby to her family. Dr. Sara L. Haines, of Millersburg, graduated from the University of Pittsburgh School of Dental Medicine in 2009 and she and her husband just added daughter Makayla to their family in November. Historically speaking, dentists and dental school graduates have been primarily men. In 2010, we are approaching equal gender representation in American dental schools. At the University of Pennsylvania School of Dental Medicine for example, the incoming freshman class has had more women than men for the past six years. There is a unique subset of challenges that women new dentists face with respect to their male peers. Dr. Haines offered to help us understand these differences. “Being a full-time working mom is difficult but rewarding,” Sara said, when asked about life after dental school. “Having a daughter forces me to work harder in the office and in my home and I try to make every second away from my daughter worth it.” Professional mothers really became mainstream in the 1980s, when educated women began integrating into the professional workplace in force. Sara is not alone in her experience. Female dental students, who do not have children while in school, generally will begin having children within the first few years of working as dentists. When recalling her need for a few weeks of maternity leave, Sara stated that “as a female, one of the features of a practice that I was looking for was to have a group practice with at least one associate so that the practice would not have to be shut down for prolonged periods of time.” As demographics change, we will see more and more women dentists. “Many people are surprised to see a young female as their dentist,” Sara shared. “It was interesting getting friends and patients to understand that I was 34 January/February 2010 • Pennsylvania Dental Journal a real dentist, prepared to do fillings, extractions, root canals.” Fortunately for Sara, she moved into her hometown and joined a practice where she already knew a majority of the patients. “Everyone made me feel very much at home and welcomed,” she said. Sara also describes her dental school experience as being “stressful, challenging, and uplifting, because you were in the same boat as the rest of your classmates.” “We were all going through the same steps at the same time,” she added, “and it was really nice to be able to share notes, techniques, and study with friends.” In the 1970s, women dental students shared in Sara L. Haines, DMD, is a 2009 graduate of the University of Pittsburgh School of Dental Medicine and practices in Millersburg. surveys that they were not treated with equality by male professors and fellow male dental students. Thankfully in 2009, men and women are treated indifferently in American dental schools. According to the American Association of Women Dentists (AAWD), by the end of this decade, nearly one-half of the dentists practicing in the United States will be women. This means that male dominated practices will need to be able to offer certain degrees of flexibility when opening their doors to women associates. The AAWD states that hiring a woman associate will not affect profitability or efficiency. Dental manufacturers are now beginning to address and dispense with products and services that better suit the needs of women dentists such as smaller “petite” aspirating syringes and operating chairs that have smaller, lower backs, both of which align as more user-friendly for women dentists. In 1971, 3 percent of all dental students were women; soon we will approach the point at which 50 percent of practicing dentists are women. According to the AAWD, more women are happier with their careers in dentistry than their male counterparts and the ratio of women to men is expected to increase. Sara has a very interesting aside in her path to becoming a dentist. She initially went to Dental Hygiene School at the University of Pittsburgh and realized after she graduated that she wanted to be a dentist. “Upon graduating with my DMD degree, I wanted to start working as soon as possible, but with just a degree and no license and no DEA number, I was unable to work as a dentist but I was able to work as dental hygienist,” Sara said. This allowed for the few weeks to pass by more quickly because Sara was prepared to work and familiarize herself with the office, the staff, the members in dental school taught me about patient management. I am glad that we had such great faculty members at Pitt and I am also thankful for all the real-world experiences I had being involved with ASDA and the PDA.” There is no doubt that Dr. Sara Haines is well on her way to becoming an excellent family dentist. Her passion for the profession and for continuing education speaks for itself. She joined PDA’s NDC right out of dental school and has already offered many good improvements and suggestions to the discussions of that group. Many years ago, it was thought that women dentists would not be of full value to the workforce. Women were expected not to work as many hours as men, they were predicted to take time off to raise Dr.SaraHaines patients and other logistics. Once she had her license in hand, she began working full time. The AAWD reported that women dentists work only four hours less per week than male dentists, down significantly from the 1980s when nearly 50 percent of women dentists worked on a part-time basis. The AAWD also states that women dentists have the ability to address their patients’ fears more directly than their male counterparts. Sara shared that in dental school she had a very phobic patient who needed a lower 2nd molar extracted. She asked the patient why he was afraid and he said that he was “afraid of dentists.” Sara added a humorous touch because she told him that he need not worry, because she was not yet a dentist! The patient laughed and was able to get through his treatment with no further difficulty. “A relaxed patient is a good patient,” Sara said, and “I try to first assure that a patient under my care is totally relaxed and calm. “I try to remember the things that my faculty children, and they were projected to be unable to offer the full range of comprehensive services that male dentists could offer. I am happy to see that all of these projections are false and that women dentists are capable of offering great dental care to their patients. Women dentists will offer similar hours and work ethics as their male counterparts and they will join the ranks of those dentists who have made American Dentistry the best in the world. New women dentists face challenges that are totally unique to them and luckily, they are well prepared in school to face those challenges and meet the demands of the profession. January/February 2010 • Pennsylvania Dental Journal 35 Dr. Constance Wilson: Practice Thriving Despite Surprises, Bumps in the Road This was not what I expected. Here I was, fresh out of dental school, and the proud owner of my own practice. Not working as an associate, making money for some other doctor. I was going to do things my way, on my terms. But, see, I didn’t figure on this. One month in, I had to give someone the axe. How the heck do I do this? Will I get sued? What if she cries? Or, worse, what if she yells at me? Somehow, during the past four years of school they skipped this lesson. Like it hasn’t been hard enough running my own practice. Paying people on time, the proper rate. Does everyone have the same trouble counting the number of days in a pay period? And who knew that Constance all my heart, but the thought of spending the next 20 years of my professional life being called “Baby Doc” didn’t hold a lot of appeal. But a dad’s still going to be a dad, and he’s still always there to help. He’s always there for me with advice, teaching me the tricks of the trade and even holding my hand sometimes when necessary. For instance, I recently had to replace an EFDA on short notice. My father gave me what I call my “early inheritance,” his incredibly experienced EFDA, Trish, who has been a dream to work with. In fact, I count myself very lucky with my entire team. I work side by side with Dr. Julie Barna, who has been practicing in the Lewisburg area for 28 years. I count myself fortunate every day that I can Dr.Wilson changing toothbrushes would actually have meaningful impact on a hygienist’s life? And taxes? My parents did that for me! Yet, even when things look bleak, I know that I’m actually pretty lucky. I may be the one who has to make the tough decisions, but I can still always count on my family, my current staff and my former classmates for some amazing support along the way. I guess we can all say we wouldn’t be here without our families. But for me it’s doubly true. See, I grew up in a very dental family. My dad graduated from Temple and has been practicing dentistry for close to 40 years. My mother has been a hygienist for the same amount of time. I can depend on my brother for all sorts of amazing overnight lab fixes, as he has been a lab technician for years. And, my sister... the black sheep. Don’t know why she didn’t want to play with teeth all of her life... She’s a teacher but I can always count on her for the best moral support, ever. Like my father, I did my dental studies at Temple. Also like my father, I returned to central Pennsylvania to begin my practice. But when I graduated, I knew I wasn’t going to work with my dad. I love him with 36 January/February 2010 • Pennsylvania Dental Journal Constance L. Wilson, DMD, is a 2008 graduate of Temple University’s Kornberg School of Dentistry and practices in Lewisburg. rely on her wealth of experiences and expert opinions. A nice bonus, too, is that Julie had a great team already working with her that I got to adopt as my own. Our super sweet and experienced hygienist Barb and our perfect secretary Janie make up a team that’s a true pleasure to work with and learn from. Of course, my dental support group doesn’t stop there. After fighting our way through four years of early morning classes (as well as some evening activities that might not be quite as ADA approved), I know that former Temple classmates will always make time to give me advice, or just listen to me complain. (And if not...I’m pretty sure some of you owe me money. Just saying.) Anyway, with the support of my family, my super staff, and my friends from dental school, I got through that firing, unpleasant as it was. And I’ve gotten through a few more bumps along the way too. I’m probably still not the world’s greatest businesswoman, but I’m definitely feeling more comfortable. Oh, and I even know what tax forms are now! Now if someone could only walk me through Quick Books... New Website Sections Launched In our ongoing effort to educate the public with information regarding dental health, PDA recently unveiled a brand new section of the website, the Kids’ Corner. This section, featuring a cartoon molar named Topher Tooth, is geared towards children of all ages. It offers interactive games, activities and valuable information on a variety of oral health topics. The site features the long and interesting history of dentistry and the tools used to keep smiles healthy, as well as frequently asked questions covering everything from gingivitis to braces. Kids will find information on how to keep their teeth healthy by brushing and flossing, nutritional tips, an explanation and diagrams of the different types of teeth and much more. Bright colors, fun graphics and buttons for easy navigation add to this section’s appeal. Please visit the Kids’ Corner and tell your patients to check it out at www.padental.org/kidscorner. Another important part of the PDA website is the National Children’s Dental Health Month (NCDHM) section. Because NCDHM has three different audiences – dentists, teachers and students – three separate sections have been developed, each catering towards a specific group of viewers. Dentists will find information on the NCDHM Rewards program, district and local chair responsibilities, event planning tips, a material order form and more. The students’ and teachers’ sections feature downloadable activity sheets, a classroom lesson plan, the history of NCDHM, poster contest information and comment forms. Visit www.padental.org/ncdhm to explore these sections and prepare for your NCDHM event this February. If you have any comments or suggestions for PDA’s website, please contact Natalie Kinsinger, web content and graphic design manager, at (717) 234-5941, ext. 104 or nmk@padental.org. January/February 2010 • Pennsylvania Dental Journal 37 Keeping Current with the Evolving Makeup of the Pennsylvania Population By H. Barry Waldman, DDS, MPH, PhD Abstract The changing residential population of the Pennsylvania requires continued monitoring if health practitioners are to maintain an awareness of the individuals in their community. A review of federal agency reports provides a general overview of Pennsylvania and national demographic and health factor characteristics. 38 January/February 2010 • Pennsylvania Dental Journal Between 2000 and 2008, there was an increase of 167,000 in the population of Pennsylvania (a 1.4 percent increase, from 12,281,000 to 12,448,000 residents – compared to an 8.0 percent increase nationally). The increasing numbers and evolving makeup of the residential population of the state requires continued monitoring if health practitioners are to maintain an awareness of the individuals in their community. For example, since 2000 there were limited changes in the proportional distribution of the racial populations in the state: • White non-Hispanic residents in the population increased from 85.4 percent to 85.6 percent. • Black non-Hispanics residents increased from10.0 percent to 10.8 percent. • Asian and Hispanic residents increased, respectively, from 1.8 percent to 2.4 percent and 3.2 percent to 4.5 percent.1, 2 In 2000, 91.6 percent (11.5 million individuals 5 years and older) spoke English as their primary language. However, at home: • 357,000 residents spoke Spanish • 144,000 spoke various Asian and Pacific Island languages, including Chinese, Korean, Tagalog, Japanese, Thai, Miao, and Hmong • 70,000 spoke Italian • 69,000 spoke German • 47,000 spoke French • 32,000 spoke Russian • 31,000 spoke Polish • 20,000 spoke Arabic • 10,000 spoke various African languages.3 Health status The recent far-reaching 2008 report by the National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factors Surveillance System, includes demographic information at the national level and for each state regarding the resident population’s health status, use of oral health services and health insurance coverage.4 General Health status About 84 percent of the Pennsylvania population and 85 percent of the national population reported that they were in good or excellent health. • Among Pennsylvania residents, a slightly greater proportion of females than males and a greater proportion of blacks than whites were in fair or poor health. • The proportion of individuals with fair or poor health increased with age, with progressively lower incomes and reduced levels of education. Disabilities Approximately one-in-five Pennsylvania and U.S. adult residents reported one or more disabilities, including physical, mental or emotional problems. • Among Pennsylvania residents, a greater proportion of females than males and a greater proportion of blacks and Hispanics than whites reported that they had a disability. • The proportion of individuals with disabilities increased with age, with progressively lower incomes and reduced levels of education. Dental visits Health insurance coverage A similar percent of Pennsylvania and U.S. residents (71 percent) reported a dental visit in the past year. • Among Pennsylvania residents, a greater percent of females than males, whites and Hispanics than blacks, and populations with progressively higher income and education reported a dental visit in the past year. • Between ages 18 and 64 years, 67 to 75 percent, and 64 percent of the 65 and over population reported a dental visit in the past year. About 88 percent of Pennsylvania residents, compared to 85 percent of U.S. residents had some form of health insurance coverage. Note: the federal report does not specify the particular types of coverage (public vs. private) or the types of covered health services. • Among Pennsylvania residents, women, whites, progressively older, higher income and educated populations had health insurance coverage. (Tables 1 and 2) Tooth extractions A greater percent of Pennsylvania adult residents (51 percent) than U.S. residents (44 percent) reported that they had any permanent teeth extracted. • Among Pennsylvania residents, blacks, progressively older residents, lower income and reduced levels of education populations reported having had permanent teeth extracted. The availability of insurance coverage is a significant factor in the use of health services. The lack of insurance coverage may be a factor in higher rates of tooth extractions (i.e. a less expensive procedures than complex restorative services) for lower income and black populations. Chronic disease factors The National Center for Chronic Disease Prevention and Health Promotion also provides an extended report on chronic disease indicators for each state and national averages. In most areas that are reviewed there are limited differences between Pennsylvania and national data. January/February 2010 • Pennsylvania Dental Journal 39 Table 1. Health status, disabilities, dental visits, tooth extractions and health insurance coverage of U.S. and Pennsylvania adult residents: 2008 4 Health status Limited activity due to physical, mental or emotional Dental visit problems in past year Good or better Fair or poor Any permanent Health insurance teeth extracted coverage United States 84.9% 15.0% 20.5% 71.3% 43.9% 85.4% Pennsylvania 83.6 16.3 21.0 71.0 50.7 88.5 Gender Male Female 84.1 83.3 15.8 16.7 19.7 22.3 68.1 73.7 50.1 51.3 85.8 91.0 Race/ethnicity White Black Hispanic Other 84.8 75.4 81.3 84.0 15.1 24.6 18.7 15.9 20.7 24.7 24.7 13.6 71.9 60.8 72.7 74.7 50.7 60.0 41.5 na 90.3 79.2 na 84.8 91.6 90.6 88.4 84.8 78.7 71.8 8.3 9.3 11.5 15.1 21.2 28.1 15.0 14.6 14.9 20.5 28.8 29.8 72.6 67.3 73.5 74.4 74.9 64.3 13.9 30.2 38.2 53.8 69.3 84.4 74.2 83.5 88.4 89.0 91.9 98.0 Household income <$15,000 $15-24,999 $25-34,999 $35-49,999 $50,000+ 59.3 72.0 79.6 86.7 92.6 40.6 28.0 20.3 13.2 7.4 47.4 28.2 25.5 20.3 13.7 47.6 54.8 62.8 69.8 83.0 70.4 68.8 60.1 59.3 38.5 78.7 79.1 84.3 90.0 94.7 Education < High school High school High school + College grad 65.6 78.3 86.0 92.9 34.3 21.6 13.9 7.1 32.7 23.5 19.9 15.9 53.3 64.7 73.0 81.6 73.8 62.2 45.8 35.0 77.0 86.4 88.8 93.6 Age 18-24 25-34 35-44 45-54 55-64 65+ • More than 60 percent of the adult population is overweight or obese. • About half of the population has inadequate physical activity. • 16 percent of adults report they binge drink and about one-in-five smoke. • Nationally, there are 31,000 annual new cases of invasive cancer of 40 January/February 2010 • Pennsylvania Dental Journal the oral cavity and pharynx. • Slightly more than one-quarter of adults have been informed they have high blood pressures; 83 percent of Pennsylvania residents so informed are taking medication. • About 71 percent of dentulous adults had their teeth cleaned in the previous year. (Table 3) Commentary No single review can provide a complete inventory of the sweeping changes in the demographic and health factor characteristics of our nation and in Pennsylvania. Nevertheless, individual practitioners increasingly will need to maintain currency with many of these Table 2. Reported average and range of health status, disabilities, dental visits, tooth extractions and health insurance coverage average of U.S. and Pennsylvania adult residents: 2008 4 General health Good or excellent Fair or poor Pennsylvania Average Average United States Range by state 84% 16 76% (WV) - 89% (UT) 24 11 85% 15 developments. The detailed studies referenced in this review can be explored by individual practitioners to provide initial steps in this process. Just as the lessons learned in dental schools those many years ago must continuously be updated, so too must an awareness of the individuals being served in our communities. References Disabilities One or more 21 20 17 (IA, ND) - 26 (OK) Dental visit In past year 71 71 58 (OK) - 80 (CT) Tooth extractions One or more tooth extractions 51 44 33 (UT) - 60 (WV) Health insurance Any form 85 74 (TX) - 95 (MA) 89 Table 3. Selected factors related to chronic diseases for Pennsylvania and U.S. residents: 2005-2007 5 Pennsylvania United States Overweight or obese adults > 18 years 63% 63%* Inadequate recommended physical activity for youths 62 65 Inadequate recommended physical activity for adults 50 50* Binge drinking among adults** 16 16 Cigarette smoking among adults 21 20 Invasive cancer of the oral cavity and pharynx (annual incidence)*** 10 10 High blood pressure awareness among adults 28 28* Individuals who have been told they have high blood pressure and are taking medication 83 80* Teeth cleaning among adults in previous year 71 68 * Median ** 5 or more drinks in a row for males, 4 or more drinks in row for females, in the last two weeks *** An average of 1,467 new cases are diagnosed annually in Pennsylvania 1 U.S. Census Bureau. American Fact Finder. Profile of General demographic characteristics: Pennsylvania, 2000. Web site: http://factfinder. census.gov Accessed July 15, 2009. 2 U.S. Census Bureau. State and County Quick Facts: Pennsylvania. Web site: http://quickfacts. census.gov/qfd/states/42000.html Accessed July 15, 2009. 3 Census Bureau. Census 2000: Language spoken at home and English ability – Pennsylvania. Web site: http://www.friendsfw.org/LEP/ census/Census_PA_LEP.pdf Accessed July 15, 2009. 4 National Center for Chronic Disease Prevention and Health Promotion. Behavioral Risk Factors Surveillance System: Prevalence and Trends Data. Web site: http://apps.nccd.cdc.gov/brfss Accessed July 9, 2009. 5 National Center for Chronic Disease Prevention and Health Promotion. Chronic disease indicators. Web site: http://apps.nccd.cdc.gov/cdi Accessed July 13, 2009. About The Author Dr. Waldman is a Distinguished Teaching Professor in the Department of General Dentistry at Stony Brook University in New York. He can be reached at hwaldman@notes.cc.sunysb.edu January/February 2010 • Pennsylvania Dental Journal 41 “The purpose of the Pennsylvania Dental Association shall be to serve the public, improve their health, promote the art and science of dentistry and represent the interests of its members and the people they serve.” (PDA Mission Statement) “Darkness falls across the land/ The midnight hour is close at hand/ Creatures crawl in search of blood/ To terrorize y’alls neighborhood The foulest stench is in the air/ The funk of forty thousand years/ And grizzly ghouls from every tomb/ Are closing in to seal your doom Dr. Andy Kwasny P re s i d e n t Stephen T. Radack, III, DMD General Chair Committee Chairs Dr. Timothy J. Armanini Entertainment & President’s Dinner Dr. Gregg M. Garcia Fun Run Co-Chair Dr. Ronald W. Helminski Registration Dr. Joseph J. Kohler, III Fun Run Co-Chair Dr. Michael Kolodychak Finance and Fundraising Dr. Joseph E. Ross Printing and Publicity Dr. L. William Veihdeffer Hospitality 42 And though you fight to stay alive/ Your body starts to shiver/ For no mere mortal can resist/ The evil of the thriller.” (“Thriller” — Michael Jackson) “A man shall leave his mother and a woman leave her home, And they shall travel on to where the two shall be as one. As it was in the beginning is now and til the end, Woman draws her life from man and gives it back again. And there is love, There is love.” (“The Wedding Song” — Paul Stookey) Other than the first, what could the previous statements possibly have to do with the 142nd Annual Session of the Pennsylvania Dental Association? As the General Chair of the session, it is truly my honor and privilege to invite all PDA members to The Hotel Hershey on April 22-25, 2010, to find out. The Annual Session Committee has worked hard to provide you with a mixture of association business by day and relaxation, food, fun and entertainment on both Friday and Saturday evenings. Hershey has many local attractions – shopping at the outlets, the Hershey Gardens, ZooAmerica, Chocolate World, challenging golf courses and historic trolley tours of Hershey, as well as The Spa at The Hotel Hershey. Contact the Hotel’s guest services staff at (717) 534-8860 for more information on things to see and do in Hershey. The First Meeting of the House of Delegates will convene promptly at 7:30 p.m. on Thursday, April 22. After the First Meeting, you will have the opportunity to catch up with old friends and make some new ones in the Iberian Lounge, Fountain Café or at one of the hospitality suites. Delegates and alternates will attend an important informational session followed by reference committee hearings on Friday. The informational session, presented by PDA chief January/February 2010 • Pennsylvania Dental Journal executive officer, Camille Kostelac-Cherry, Esq. and controller Leo Walchak, will address the current effect administrative fees have on both operations and the budget. This presentation will include important information that will support action items regarding changes to the governance of PDA. A luncheon will be held for all delegates and alternates where special membership awards will be presented and the retiring council/committee members will be recognized. After lunch, the reference committee hearings will reconvene until their conclusion. On Friday evening, when the sun starts its descent into the hills of Hershey, the ghosts, goblins and ghouls that hide in the daylight will make their appearance in the Garden Terrace Ballroom at the “Halfway to Halloween” party. As you’ve seen in the Journal, on email and at www.padental.org, this will be a costume party. For those of you who didn’t take the opportunity to get a costume in October, there will be costume rentals available on-site before the party. Keep your eyes open that night!! You never know what lurks around each corner as you make your way to get treats at the “Trick or Treat” stations throughout the ballroom. Video DJ Steve Ney will provide the musical entertainment and before the evening is done, we may actually see a PDA version of Thriller! He has a huge selection of music available and will have something that appeals to everyone. On your registration form please tell us which five songs you would like to “do a little dance and get down tonight” by. I encourage you to check out the deejay’s website www.mobiledjsteve.com to see his awesome video music library. On Saturday morning, if you have escaped the “evil of the thriller,” rise early from your tombs and join the hardy for the Annual Fun Run/Walk. There will be commemorative t-shirts for all and trophies for a select few. The district caucuses will follow. On Saturday evening, we will gather to honor our President, Dr. Andy Kwasny and his wife, Sharon at the President’s Dinner Dance, where black tie is optional. This will NOT be like any other President’s Dinner you have attended. In 2010, Andy and Sharon will celebrate their 25th wedding anniversary. So this year at the dinner dance, we will not only honor Andy and Sharon on the conclusion of his presidency, but the relationship they have shared for almost 25 years. Think about a big wedding reception with a big wedding party and 150 or more of your “friends and family.” Once the “wedding” cake has been cut, the toast has been delivered and the last plate has been cleared, join the happy couple on the dance floor and “bust a move” to the high-energy sounds of the Burning House Band. Sunday morning we will get back to the business of honoring our mission statement during the final session of the House of Delegates as well as voting for PDA officers and our ADA delegates and alternate delegates. The Alliance of the Pennsylvania Dental Association (APDA) will hold its 60 th Annual Meeting on April 24-25. All spouses are welcome to attend the events and participate in a chocolate and wine pairings seminar. Register today! The registration form can be found on page 45. The members of the Annual Session Committee hope that you and your entire family will enjoy the activities available during the meeting. We look forward to welcoming you to Hershey. I urge you to check the 2010 PDA Annual Session link at www.padental.org/as for any updates. Sincerely, Stephen T. Radack, III, DMD General Chair PROGRAM HIGHLIGHTS Pennsylvania Dental Association • 142nd Annual Session Hotel Reservation Information Reservation Deadline March 15, 2010* T h u r s d a y, A p r i l 2 2 Registration 1:00 PM House of Delegates 7:30 PM Candidates Reception 9:00 PM Hospitality Suites 9:00 PM Fr i d a y, A p r i l 2 3 Reference Committees Registration Luncheon for Delegates and Alternates Sponsored by PDAIS All Day 8:00 AM Noon Pitt Alumni Reception 4:30 PM Halfway to Halloween Costume Party Sponsored in part by PDAIS 6:30 PM Hospitality Suites 10:00 PM S a t u r d a y, A p r i l 24 Fun Run/Walk District Caucuses 6:30 AM All Day PDA Former Presidents’ Breakfast 8:30 AM President’s Reception & Dinner Dance Sponsored in part by Thayer Dental Labarotory 6:00 PM Hospitality Suites 10:00 PM S u n d a y, A p r i l 2 5 Breakfast for Delegates and Alternates Sponsored by PDAIS 6:30 AM Voting 7:00 AM House of Delegates 8:00 AM Reserve your room at the Hotel Hershey by calling (717) 533-2171 or (800) 533-3131 and providing the group code 36277. Room rate: $202 single/double plus 11% tax. All guest rooms are non-smoking. Ask the reservationist about upgrading to a bedroom in one of the new Woodside Cottages. Guests of the Woodside Cottages enjoy larger bedrooms, a private outdoor entrance and adjacent parking spaces along with beautiful views from rocking chairs on the front porch. Rent an entire cottage (4 or 6 bedrooms) with your family and friends to enjoy the Great Room as a communal gathering place. Upgrades are available on a first come, first serve basis for an additional fee of $100 per night plus applicable taxes. Reservations must be guaranteed by charging one night’s rate plus 11% tax. Cancellations occurring less than 72 hours prior to arrival will be charged one night room and tax. *The block of rooms at the Hotel Hershey will be held until March 15, 2010, or until rooms are exhausted. After March 15 or once rooms are exhausted, whichever shall occur first, rooms will be assigned on a space available basis. January/February 2010 • Pennsylvania Dental Journal 43 Attendee Registration Form NAME NICKNAME FOR BADGE SPOUSE/GUEST PDA ANNUAL SESSION April 22-25, 2010 at The Hotel Hershey Please fill out this form and return by March 15, 2010, even if you will not be attending any social events. Return to: Pennsylvania Dental Association Annual Session P.O. Box 3341 • Harrisburg, PA 17105 Fax: (717) 232-7169 OR Register via the PDA website at www.padental.org/as (IF AT T E N D I N G ) NICKNAME FOR BADGE ADDRESS CITY PHONE S TAT E ( WORK) ZIP FA X S P E C I A L D I E TA R Y / A C C E S S I B I L I T Y N E E D S Mark the appropriate line with “M” for yourself and “S” for spouse. ___ PDA Member (District #____ ) ___ Guest I am a: PDA Delegate ___ ASDA Member ___ APDA Member (Alliance) PDA Alternate Delegate Event Date Event # Attending Cost Friday, April 23 Luncheon for Delegates and Alternates (sponsored by PDAIS) Use zero if you are not attending _____ X Complimentary for delegates & alternates Friday, April 23 Halfway to Halloween Costume Party List any songs you want to hear _____ X $45 Children age 12 and under Please provide age and gender for each child _____ X Complimentary _____ X $15 = ________ M L XL XXL Total = ________ Saturday, April 24 Fun Run/Walk — Circle t-shirt size: S Saturday, April 24 President’s Reception and Dinner Dance _____ X $85 = ________ Children age 12 and under (chicken tenders) _____ X $25 = ________ Total Enclosed $ Method of Payment Please make check payable to: 2010 PDA Annual Session Check MasterCard VISA American Express Discover EXP. DATE CARD NUMBER SIGNATURE Halfway to Halloween Costume Party — “Trick or Treat” at the food stations while you enjoy the sights and sounds provided by Steve Nye, The DJ Guy. There will be special treats for the children and spooktacular fun for all! (Sponsored in part by the Pennsylvania Dental Association Insurance Services, Inc. (PDAIS). Costumes are encouraged and rentals will be available on-site.) President’s Reception and Dinner Dance — Please join us to thank Dr. Andrew J. Kwasny and his wife, Sharon, for their service to organized dentistry and to celebrate the couple’s commitment to each other. The wedding reception style event will celebrate their 25th wedding anniversary. (Sponsored in part by Thayer Dental Laboratory, Inc. Black Tie or Dark Suit, please.) Cancellations must be received, in writing, by March 31, 2010, in order to obtain a refund. NO on-site ticket sales. 44 January/February 2010 • Pennsylvania Dental Journal Alliance of the Pennsylvania Dental Association Partnering to promote oral health in the community The Alliance of the Pennsylvania Dental Association (APDA) welcomes all dental spouses into membership to support oral health education and legislative involvement. 60th Annual Meeting 2010 APDA Convention Registration Form Friday, April 23 Registration Deadline March 15, 2010 Make Checks Payable to APDA and mail with completed registration to Stephanie Test at 888 Kingswood Lane, Danielsville, PA 18038 APDA Registration 1:00 PM APDA Social Event Chocolate and Wine Pairings 2:00 PM Questions? Contact Stephanie at (610) 462-1109 Saturday, April 24 APDA Registration 8:45 AM APDA Board Meeting 9:00 AM NAME COMPONENT APDA Past Presidents’ Reception 11:00 AM APDA Member Luncheon 12:30 PM APDA Social Event 3:00 PM Visit The Hershey Story. Meet in the lobby for hot chocolate and cocoa tasting. Transportation and admission is on your own ADDRESS CITY S TAT E PHONE ZIP CELL SPOUSE’S NAME Event Cost # Attending Total APDA Friday Social Event $40 per person X _____ = _________ APDA Past Presidents’ Reception Complimentary X _____ = _________ APDA Member Luncheon $50 per person X _____ = _________ January/February 2010 • Pennsylvania Dental Journal 45 EASTERN DENTAL SOCIETY 2 0 1 0 We continue our 102nd year of camaraderie and education as one of the oldest dental societies in the region! Spring Dine Around: Wednesday, March 17th, 2010 Rylei Restaurant, 130 Almshouse Road, Suite 401, Richboro, PA "Help, My Portfolio Has Fallen and Can't Get Up! - Investment Strategies for Uncertain Times". Mr. Jeff Wherry, CFP: Jeff is Managing Director from Treloar and Heisel Financial Group who will present this very timely topic. Jeff has lectured at numerous dental meetings throughout the country, including the ADA Annual Session, and is very well regarded throughout the dental community. Spring All Day Program: Friday, April 16th, 2010 The Buck Hotel, Feasterville, PA "The REALITY View on Products and Techniques — What You Need to Know BEFORE Using Them on Patients" Dr. Michael Miller: Dr. Miller is the president and co-founder of REALITY, an independent research and publishing organization dedicated to covering the ever-growing field of esthetic dentistry. This presentation will cover many of the latest and most valuable products, materials, and equipment that you can immediately put to use in your office. New products will be compared to the classic ones and unbiased recommendations for purchasing will be given. If you ever wondered whether those new products are better than the ones you’ve been using, this is the seminar you should attend. You'll see many helpful technique tips that will make your life easier and your practice more productive. For more information on Eastern Dental Society, please contact Dr. Charles Gemmi at cgemmi@yahoo.com or (215) 676-7846 www.Eastern-Dental.org 46 January/February 2010 • Pennsylvania Dental Journal It’s Your Money Wait, Late and Rebate By Mark J. Funt, DMD, MBA Catchy title, isn’t it? Last month, on a Friday morning, one of my referring doctors called my office regarding a patient he was seeing in his office. The patient was a 17-year-old male who was having pain in a wisdom tooth secondary to a pericorinitis. He wanted him to be seen as soon as possible. My office policy is very simple. When it comes to emergencies – I will not turn anyone away. I know a lot of the patients that call are doing it for convenience only, but I have to take these calls at face value. My receptionist told the patient’s mother we would be happy to see her son that afternoon, but there could be a wait and the wait could be lengthy. One of the problems with health care today is access, and I do not want that to be an issue in my office. Some patients are thrilled to death they will be seen in such a timely fashion and others want to be seen exactly at 2:47 without a wait. The patient came to my office in the afternoon along with all the other emergencies that day (it was an unusually busy day with emergencies), and he waited a long time. After the consult, the patient was escorted to my receptionist and the mother wanted a copy of her son’s Panorex because she wanted to go somewhere else. She felt my practice was a factory. My office is anything but a factory, and we explained to her that on that afternoon there were many other emergency patients like her son and that was why the wait was long. On Monday morning when she came to pick up the X-ray, there was not one patient in the waiting room. I do not want to get into a discussion as to the proper way to schedule. I will leave that to the management consultants. I schedule for increased productivity and efficiency in order to keep patient waiting times to a minimum. As we all know, that five minute procedure can turn into that 45 minute disaster and your entire schedule gets backed up and then you are running late. In oral surgery in particular, sometimes patients do not wake up from the anesthesia in a timely fashion and that throws me behind. As a matter of fact, I have a sign in my office that reads “due to the nature of oral surgery, appointments are of approximate time only.” I try to work my emergency patients in between my scheduled patients. I do not feel it is fair to make a patient who has had an appointment wait for an emergency patient. I know some dentists leave time open in their schedule to treat their emergency patients. My concern is what happens if I do not have any emergency patients that day and that allotted time just gets wasted. On a personal note, I once had an appointment with an orthopedic surgeon at a major teaching university in Philadelphia. I waited almost three hours to see the doctor. Several weeks later, I had my follow-up appointment and I ran almost one hour late. When I got to my appointment, the receptionist reminded me I was an hour late, as if she was implying I wouldn’t be seen that day. I told her that was great because it meant I would only have to wait two hours this time compared to my last appointment. I was seen in 15 minutes. The purpose of this article is discussing those strategies you can employ if you are running late. For those patients sitting in your waiting room, you could explain the situation and ask them if they would like to reschedule. Patients are always appreciative of your efforts to be considerate of their time. Most patients are understanding and have already rearranged their schedule and will just wait. The second suggestion is that if it is early enough in your day, call those patients who are scheduled later in that day and tell them you are running late. Ask them to give you a phone number where they can be reached later in the day, and tell them you will call with a time when their wait would be minimal, if at all. You can also give them the option of rescheduling. Rescheduling means you may have to stay later one day, or in extreme cases, come in on one of your days off, even if that is a weekend, to accommodate those patients. Finally, if your patients had to wait a long time, give them a discount (rebate) on the service you provided. I am sure that if you are like me and you go to a restaurant where the service is horrible, you want the manager to do “something” for you and good management will oblige. Remember we are in the service industry. (Pretty clever how I worked in that “rebate” to complete my title, don’t you think?) I want to conclude with a true story on what I will call “reverse” waiting. A patient (who I will call “Mary”) comes to my office as an emergency patient to have a tooth removed late in the afternoon on a Thursday. Mary was having a significant amount of pain from a tooth which she knew could be a potential problem, and when she last saw her dentist, she was told (continued on page 48) January/February 2010 • Pennsylvania Dental Journal 47 It’s Your Money that if the tooth acted up she would either need a root canal to save the tooth or have the tooth removed. She was an old patient of mine who hadn’t seen her dentist for this emergency because she knew what she wanted and she wanted the tooth extracted. What she didn’t know was the tooth was part of three-unit bridge. The first time I tried to cut through a bridge to separate the tooth I was extracting from the rest of the bridge, I perforated the crown on the other abutment. That was also the last time I sectioned a bridge. I had the patient’s general dentist separate (cut) the bridge for me. I called the patient’s dentist and asked him if she could come over and have the bridge sectioned. He told me he was leaving for the day and could not wait for the patient to come to his office, which by the way, was no more than 15 minutes from my office, at the most. I relayed the message to the patient who was livid that her dentist of 30 years would not wait for her to come over to have the bridge cut so I could take out her painful tooth. She got on the phone and called the dentist’s office herself and after some predictable and rather heated discussion, he relented. She went to his office to have the bridge cut. I waited for her to return to my office so I could extract her tooth. I don’t know if she ever returned to that dentist or not. In some ways, Mary’s story reminds me of what is going on with this health care reform proposal. We all want health care for all, with no restrictions to access or technology, but we all 48 January/February 2010 • Pennsylvania Dental Journal know that is impossible to afford or even accomplish. Unless, of course, it involves us or a loved one, in which case we don’t care about the cost or the access barriers. In my previous article on quality dentistry, I listed the 7 “C”s of what I think is important to having a successful practice. Consideration of one’s time was one of those “Cs.” It is impossible to think we can be all things to all people all of the time, and sometimes no matter how hard we try, we will not please everyone. However, giving access to emergency patients, minimizing wait times and treating patients the way we would treat ourselves and our family members is something we should all strive for. Dr. Mark Funt is a Board Certified Oral and Maxillofacial Oral Surgeon who maintains a full- time practice in Elkins Park. He received his MBA from Temple University in 1994. Since that time, he has lectured and written articles on practice management and investing topics. Awards & Achievements PDA Staff Member Accepted to Prestigious National Leadership Academy Jessica Forte, component relations manager, has been selected as a member of the ASAE & The Center for Association Leadership’s Class of 2011 Leadership Academy. This program prepares young professionals for executive positions in the association and nonprofit industry. The class consists of 25 young professionals selected from a broad pool of applicants representing local, regional and national organizations. The Academy aims to develop young professionals into leaders and prepare them to serve their organizations in the changing work environment. The Academy is part of an overall strategy by ASAE & The Center to proactively address 21st century workforce issues. Supported in part by a grant from American Express, the Academy provides an innovative learning environment that meets the changing needs of future leaders as they progress in their careers. It will involve interactive learning methods, including online education and web-based discussions facilitated by CenterU, ASAE & The Center’s online education provider. The students will have an opportunity to interact with fellow participants online, as well as face-to-face during key events, like the Great Ideas Conference, Future Leaders Conference and Annual Meeting & Exposition. For more information about ASAE & The Center’s Leadership Academy, visit www.asaecenter.org/academy. Jessica began working as Membership Coordinator for the Pennsylvania Dental Association in 2004, after receiving her Bachelor of Arts in Communications and Public Relations from Elizabethtown College. During her tenure as membership coordinator, Jessica implemented additional recruitment and retention activities including the popular new dentist receptions and dental student welcome back celebrations. She increased attendance at dental student outreach events by 150 percent and transformed PDA’s placement service from hard copy to completely online. In April 2008, Jessica was promoted to Component Relations Manager. Since taking the position, Jessica has created and implemented the Component Relations Outreach Program (CROP), which has been featured in previous editions of the Journal, and was most recently featured in the December issues of Transitions. “Jessica’s initiative in pursuing personal standards of excellence is exemplary. Her acceptance into the Leadership Academy comes as no surprise to those of us who have watched her develop into the consummate professional we know,” said Camille Kostelac-Cherry, Esq., chief executive officer of PDA. “She is truly a role model for young professionals, both men and women alike.” Jessica resides in Harrisburg with her younger sister Lyndsay, and two Australian Shepherds, Bella and Sawyer. ICD and ACD Updates The USA Section of the International College of Dentists (ICD) held its Annual Convocation in Honolulu, Hawaii October 2. Dr. Robert Kramer retired as Regent of ICD District 3 and has moved to Arizona to assume a faculty position at Midwestern University School of Dental Medicine, Glendale, AZ. Dr. Linda Himmelberger is now Regent, Dr. Peter Korch is Vice Regent and Dr. R. Donald Hoffman is Deputy Regent. Dr. Mary Ann Davis-King was awarded ICD Fellowship and Dr. Robert Runzo was awarded Master Fellow status at the Convocation. Dr. Robert Runzo Dr. Runzo has been a long-time delegate or alternate delegate to the American Dental Association and the Pennsylvania Dental Association. Though he is retired from practice, Dr. Runzo is active in numerous professional organizations and is secretary of the Dental Society of Western Pennsylvania. The American College of Dentists held its Convocation October 1 in Honolulu. The following PDA members were inducted into the ACD as new Fellows: Dr. Peter Korch, Dr. William Glecos, Dr. David Anderson, Dr. Joseph Kohler, Dr. Dennis Zabelsky and Dr. Stephen Jaworski. (continued on page 50) January/February 2010 • Pennsylvania Dental Journal 49 Awards & Achievements NCDHM Program Racks Up Award PDA’s National Children’s Dental Health Month (NCDHM) program received first place honors in the ADA’s 2009 Samuel D. Harris NCDHM State Program Award. This marks the fourth time in the last seven years that PDA has been honored for its NCDHM program. Each year, the Harris Award recognizes and rewards three state societies that have demonstrated successful statewide efforts that provide benefits to the public and the profession during NCDHM. PDA won out over the other two merit winners, the Missouri Dental Association and the South Carolina Dental Association. Though PDA has received merit honors in four of the last seven years, this is the first time we have received first place since 1992. PDA’s NCDHM program also earned a Capital Award from the International Association of Business Communicators (IABC) Harrisburg Chapter for the 2009 program, an award PDA has won five times in the past seven years. Our NCDHM program received a Gold award in the category of Community Relations Campaigns. This is a momentous achievement for PDA and all of our members who so generously donate their time and resources to make the program a success. The NCDHM honor was one of two Capital Awards PDA received. The Pennsylvania Dental Journal won a Silver Capital Award in the category of four-color magazines. The awards will be displayed at the Central Office alongside the many Capital Awards won in previous years. 50 January/February 2010 • Pennsylvania Dental Journal In Memoriam Dr. Donald C. Eichenlaub Mount Jackson University of Pittsburgh (1953) Born: 3/23/23 Died: 10/26/09 Dr. Edward H. Sebastian McKees Rocks University of Pittsburgh (1953) Born: 9/18/26 Died: 11/13/09 Dr. John T. Dubinski Fitzwilliam, NH Temple University (1957) Born: 5/18/26 Died: 10/30/09 Dr. Douglas W. Flowers West Lawn SUNY-Buffalo (1976) Born: 4/9/50 Died: 11/15/09 On the Lighter Side It’s Not Just About the Teeth There is the story of the traveler who approached the gatekeeper of a town and asked what the people in town were like. The gatekeeper replied with the question, “What were the people like in the town that you came from?” When the traveler said that they were miserable, selfish and mean spirited, the gatekeeper told him that he would find the people just the same in his town. When another stranger approached the gatekeeper, the same conversation took place, except that the second traveler said that he came from a town where the people were kind, loving and gentle. The gatekeeper told the stranger that he would find the people just the same in the town that he guarded. Have you ever noticed that the patients who you might consider difficult one day, can be the reason you love dentistry the next? Did they have a group epiphany and decide that they were indeed blessed to be your patients? Did they suddenly become charming, intellectually stimulating individuals with genius dental IQ’s who want what they need, can’t wait to get started and actually pay your fee for the service before the treatment is even initiated? The answer is, “I think not!” As singer-songwriter Sarah Henderson wrote, “You can blame your momma, you can blame your daddy, too, you can blame society, but honey it’s all up to you.” Each day we have important choices to make such as what to eat for lunch, should we exercise or sit down until the urge passes, and whether to listen to Rush Limbaugh or Sean Hannity. An S a u l N . M i l l e r, D D S often overlooked choice is our attitude, the operative factor in our approach to our day, our lives, our patients and the daily collection of crises we call dental practice. Attitude is an equal partner with aptitude, education, care, skill and judgment. It might even be considered the managing partner. We can approach (no pun intended) the day like US Airways Captain Chesley “Sully” Sullenberger, or we can blame the birds and lose control. In her new song, “Circle of Blame,” Amy Miller wrote, “It’s just the game we play, called the circle of blame...we point the finger at whomever we choose, to clear our name and avoid the abuse.” Anatomically, it’s easier to point outwardly than inwardly, but we need to focus on fixing the problem, not the blame! An essential part of an attitude that brings joy to your day and the day of those around you is gratitude. Thank you, Rita (my assistant)! We need to gain control of the negativity that tends to pervade our consciousness and, therefore, our view of the world and those in it. Robert A. Emmons, a professor of Psychology at the University of California wrote that “...one way is through the practice of developing gratitude...through thoughts and cognitions by which we can replace non-grateful thoughts.” Gratitude has been called the “most pleasant of virtues and the most virtuous of pleasures,” and it is a mindset that increases emotional and physical health. It is a challenge for people to be antagonistic if you are sincerely appreciative of them and their efforts. Of course, some people are more than up to the challenge. It is also difficult for you to be miserable if you are grateful for, among other things, the day, your family, your patients, your staff and the fact that your computers did not crash for a change. Suddenly, your days are stimulating, fun, joyous, and your raison d’être. Did you have a patient transfusion? Was it a miracle? What changed? The answer is no doubt you! The epiphany was yours, and the choice was always there. Once you have made this choice, do not think for a moment that achieving this attitude adjustment will be easy, especially considering that life is not a straight line and that we (continued on page 52) January/February 2010 • Pennsylvania Dental Journal 51 On the Lighter Side must contend with, among so many other things, the loss of loved ones, the economy, anger, fear and illness. Yet we have to move on. Changes have to be made one day at a time, one minute at a time, one patient at a time. There is a Buddhist saying, “Let us rise and be grateful...if we did not learn a lot today, at least we learned a little, and if we did not learn a little, at least we did not get sick, and if we got sick, at least we did not die; so, let us all be thankful.” For example, I was grateful for the senior citizen discount at the Garnet Hill cross country ski center, but they could have asked if I was eligible. So let’s put some thanks in our tanks and gratitude in our attitudes. You might even thank me; we shall see. I appreciate your time. Merci, danke, gracias, kiitos, toda raba, mahalo nui loa and siyabonga. Dr. Saul N. Miller is the editor of the Journal of the Philadelphia County Dental Society. Originally published in The Journal of the Philadelphia County Dental Society (April/May/June 2009 issue) 52 January/February 2010 • Pennsylvania Dental Journal Observations By Dr. Alex J. McKechnie In Carlisle, a borough man was cited for harassment after police said he drove out of his way to flick a toothpick on the sidewalk in front of another man’s home again. This is a summary offense, which carries a fine up to $300. A couple months later, the harassment charge was withdrawn by mutual agreement. A free medical/dental clinic in the Lebanon County area for those without insurance opened recently. The organization was started by some retired doctors from Hilton Head, SC, called Volunteers for Medicine. They now have 74 clinics in the United States with their West Chester clinic being the other one in Pennsylvania. They target the working poor but others can be eligible. It is estimated that as many as 10,000 of that county’s residents have no health care. The start-up took a year with donations from a foundation, businesses, churches and individuals. Their goals are to provide 36 hours per week of medical services and 10 hours per week of dental services. There will be about 80 volunteer doctors, dentists and clerical staff to run the clinic. They have six medical exam rooms and two dental rooms and a dental x-ray machine. The clinic still needs dental hygienists. Wow! What is next? Recently a 60-year old woman blind for 9 years regained useful vision following a rare operation in Miami in which surgeons removed the “eye-tooth,” drilled a hole in it, inserted a plastic lens into the hole and implanted the tooth/lens combination into her eye. With 20/70 vision she can now recognize faces and read a newspaper with a magnifying glass. The lady lost her vision to Stevens-Johnson syndrome. An Italian doctor, Benedeteo Stampelli, invented this tooth-lens procedure in 1963, and it only recently spread in Europe and Japan. It is called a modified osteo-odonto-keratoprosthesis. It is a multi-staged procedure. The “eye” tooth was extracted, shaved flat horizontally, a hole drilled in it and acrylic lens inserted. Then the tooth lens prosthesis was implanted under the skin beneath the clavicle for three months. The scar tissue was removed from the damaged cornea, and a month later a patch of skin from the inside of her cheek was laid over the cornea to replace the moist tissue lost to the disease. Two months later, the tooth/lens combination was cut out of the skin over the center of the cornea, a hole cut down into the eye and the tooth-lens inserted. The flap was closed and a tiny hole made so the lens can protrude. If there is no infection, it is expected that 20/70 vision will be preserved for the next 10 years. Continuing Education University of Pittsburgh Contact: Lori Burkette Administrative Secretary (412) 648-8370 On-Campus Programs February 5 OSHA/Bloodborne Pathogen Update: Training Session for the Office W. H. Milligan III, DMD, PhD February 12 In Office Full and Partial Denture Repairs Peter A. Guevara, DMD February 13 The History and Development of Complete Denture Occlusion Robert L. Engelmeir, DMD February 19 Current Issues in Health and Disease Kenneth R. Etzel, M.S., Ph.D February 20 Nitrous Oxide Certification – Part 2 Joseph A. Giovannitti Jr., DMD Michael A. Cuddy, DMD February 26 Potpourri Donald J. Pipko, DMD, MDS Mark S. Glovis, DDS March 5 Dental Materials Update and A Review of Teeth Whitening Systems David P. Donatelli, DDS John J. Ference, DMD, MPH March 6-7 – Part 1 March 20-21 – Part 2 Local Anesthetics for the Dental Hygienist Sean G. Boynes, DMD Paul A. Moore, DMD, PhD, MPH March 19 Implant Considerations in Endodontic Therapy: When to Hold and When to Fold George Just, DDS, J.D. March 26 Periodontal Accessories Othman Shibly, DDS, MS March 27 Surgical Crown Elongation Hands On/Limited Attendance Ali Seyedain, DMD, MDS Pouran Famili, DMD, MDS, MPH, PhD April 9 New Products and Procedures That Make Sense Donald E. Antonson, DDS, M.Ed April 16 Dental Photography: Shooting Digital Ali Seyedain, DMD, MDS April 17 How to Optimize the Results with Photoshop - Limited Attendance Heiko Spallek, DMD, PhD April 24 Dental Implants: What I have Learned in 25 Years! Steve J. Kukunas, DMD May 1 Radiology Review for the Dental Assistant Judith E. Gallagher, RDH, Med May 7 When the Unexpected Happens Are You Ready? Jane Segal, DMD May 7 The Oral Surgery Experience: Tips, Techniques and Planning James Tauberg, DMD May 13-14 – Part 1 June 10-11 – Part 2 Local Anesthetics for the Dental Hygienist Sean Boynes, DMD Paul Moore, DMD, PhD, MPH May 22 Bowser Memorial Lecture: Virtues of Profitable Dentistry Howard Farran, DDS, MBA, MAGD Off-Campus Programs Altoona January 28 Prevention of Disease Transmission in the Office OSHA Update Dr. W. H. Milligan February 25 Tricky Decisions and Treatment Techniques in Pediatrics Dr. Jane A. Soxman March 11 Current Issues in Health and Disease Dr. Kenneth Etzel April 8 Creating Smiles with the Latest Generation of Esthetic Techniques and Materials Dr. Luis Sensi Bradford March 24 Cad/Cam in Your Office Dr. Kevin Pawlowicz April 22 Oral Mucosal Disease: An Update Dr. Scott S. DeRossi (continued on page 54) January/February 2010 • Pennsylvania Dental Journal 53 Continuing Education September 23 Immediate Load Implant Retained Overdentures Utilizing Mini and Small Diameter Implants Dr. Joseph P. Buttacavoli October 14 Pediatric Dentistry Made Easy for the General Practitioner Dr. R. Glenn Rosivack Butler February 11 Drugs, Herbals, Nutraceuticals: New Issues for Dentistry Dr. Richard Wynn March 4 Oral Surgery for the General Practice Dr. Joseph E. Cillo Jr. April 15 Achieving Excellence in Treating and Counseling the Oral Oncology Patient Sandra Boody, CDA, RDH, MEd Erie February 24 Updates in Pediatric Dentistry: Treating Tiny Tots to Teens Dr. Lance Kisby March 17 An Overview of Oral Pathology Dr. Bobby Collins April 14 Shift Happens! New Directions with Adhesive Restorative Materials Dr. Howard E. Strassler Greensburg Febraury 12 Nutrition and Nutraceuticals: Update for the Dental Professional Dr. Nasir Bashirelahi March 5 Enteral Sedation in the 21st Century Dr. Joseph A. Giovannitti April 9 Shift Happens! New Directions with Adhesive Restorative Materials Dr. Howard E. Strassler Johnstown March 25 Current Issues in Health and Disease Dr. Kenneth Etzel April 28 Periodontics 2010: Pearls for the General Practice Dr. Francis Serio October 13 Updates in Pediatric Dentistry: Treating Tiny Tots to Teens Dr. Lance Kisby November 18 The Restorative Edge Dr. James Braun Pittsburgh (VAMC) February 10 Drugs, Herbals, Nutraceuticals: New Issues for Dentistry Dr. Richard Wynn March 10 A Potpourri of Dental Challenges and Their Current Protocol of Care Dr. Dai C. Phan April 14 An Overview of Oral Pathology Dr. Bobby Collins May 5 Updates in Pediatric Dentistry: Treating Tiny Tots to Teens Dr. Lance Kisby Pottsville January 21 Classical Complete Dentures: A Technique Review Dr. Medick Capirano An open letter to all in the dental community from PDA’s Concerned Colleague Committee: During these difficult economic times, some of us may resort to coping behaviors that are unhealthy. Those who resort to such behaviors may not only pose a potential risk to themselves, but to patients and members of the public as well. If you are aware of someone in our dental community who may be exhibiting some of the signs of chemical dependency (such as extreme mood swings, isolation, excessive use of alcohol or pain medications, DUI violations, etc.) consider contacting the Pennsylvania Dental Association Concerned Colleague Committee for more information at (800) 223-0016. Helping our colleagues and those around them should be important to all of us. Professionally Yours, Members of the Concerned Colleague Committee 54 January/February 2010 • Pennsylvania Dental Journal Continuing Education February 17 The Components of an Aesthetic Dental Practice: Putting Them Into Practice Dr. Kurt Laemmer March 10 Updates in Pediatric Dentistry: Treating Tiny Tots to Teens Dr. Lance Kisby April 8 Drugs, Herbals, Nutraceuticals: New Issues for Dentistry Dr. Richard Wynn April 7 Tricky Decisions and Treatment Techniques in Pediatrics Dr. Jane A. Soxman Steubenville, Ohio February 18 Pharmacotherapeutics in Dental Practice “It’s More Than PEN V’s and APAP/HC’s” Dr. Daniel E. Becker Reading March 25 Tricky Decisions and Treatment Techniques in Pediatrics Dr. Jane A. Soxman April 9 Drugs, Herbals, Nutraceuticals: New Issues for Dentistry Dr. Richard Wynn April 29 Periodontics 2010: Pearls for the General Practice Dr. Francis G. Serio May 14 What’s Hot and What’s Getting Hotter Dr. Howard Glazer Titusville September 10 Porcelain Veneers: The Prep vs. No-Prep Controversy…The Whole Story! Dr. Steven Weinberg October 15 Miracles and Myths of Direct Composite Restorations Dr. Mark Latta Scranton January 20 Oral Mucosal Disease: An Update Dr. Scott S. DeRossi February 10 A Potpourri of Dental Challenges and Their Current Protocol of Care Dr. Dai C. Phan March 10 New Developments in Endodontic Therapy Dr. George M. Just January 20 Myofascial Pain and Trigger Point Therapy Tasso G. Spanos February 17 Update on Restorative Materials and Techniques Dr. Kevin Pawlowicz March 24 Medical Emergencies in the Dental Office Dr. Michael Cuddy April 21 Techniques and Advances in Forensic Dentistry Dr. Michael N. Sobel Williamsport January 20 Tricky Decisions and Treatment Techniques in Pediatrics Dr. Jane A. Soxman February 10 Immediate Load Implant Retained Overdentures Utilizing Mini and Small Diameter Implants Dr. Joseph P. Buttacavoli March 10 Drugs, Herbals, Nutraceuticals: New Issues for Dentistry Dr. Richard Wynn April 21 Oral Mucosal Disease: An Update Dr. Scott S. DeRossi Temple University Contact: Dr. Ronald D. Bushick or Nicole Carreno (215) 707-7541/7006 (215) 707-7107 (Fax) Register at www.temple.edu/dentistry/conted.htm February 24 Nitrous Oxide Sedation Allen F. Fielding, DMD, MD MBA/Stanton Braid, DMD Andrea Haber-Cohen, DMD, MD March 10 Dental Management of Emergencies and Medically Compromised Patients Allen F. Fielding, DMD, MD, MBA Gary Jones, DDS March 19 Ethics in Dentistry-Ethical Principles and Code of Professional Conduct Ethical Dilemmas in PracticeMalpractice, Licensure and Risk Management Lillian Obucina, DDS, JD March 26 Updates in Pediatric Dentistry: Treating Tiny Tots to Teens Lance Kisby, DMD, FASCD, FAGD, FAAPD (continued on page 56) January/February 2010 • Pennsylvania Dental Journal 55 Continuing Education April 9 A Complete Guide to Predictable and Profitable Anterior and Posterior Esthetic Restorations (Hands-On) Marvin Fier, DDS, FASDA November 5 Exquisite Complete and Implant Retained Over-Dentures Calibrated for the General Practitioner Joseph Massad, DDS April 16 The Immediate Placement of Endosseous Dental Implants in Fresh Extraction Sites Michael Peleg, DMD November 19 Empowering the Dental Team to Deliver “Quality” Periodontal Care in Restorative Practice Samuel B. Low, DDS, MS, Med April 28 Hypnosis and Treatment of Anxious Patients Marc Gottlieb, DDS December 3 The Art and Science of CAMBRA: A Team Approach Using Chemical Treatments and Minimally Invasive Dentistry Douglas Young, DDS, MS, MBA June 17-27 10 Day Cruise N Learn to Ireland Practical Clinical Oral Pathology Jim Drummond, DDS, MSD, PhD September 15 Ultrasonics: Evidence Based Approach to Non-Surgical Periodontal Therapy Assessing Aesthetic Options for Non-Surgical Periodontal Therapy Gail Malone, RDH, BS September 24 The Million Dollar PLUS Blue Collar Practice Craig Callen, DDS October 22 Update in Restorative Dentistry Lou Graham, DDS October 29 New Approaches for Clinical Anti-Infective Periodontal Therapy Thomas Rams, DDS University of Pennsylvania Contact: Susan Conroy (215) 573-9098 or log on to www.dental.upenn.edu/cde January 23 TMJ Imaging and Diagnosis: Tomograms, MRIs, and Occlusal Appliance Adjustment Normand Boucher, DDS Ryan Tamburrino, DMD February 13 Optimizing New Advances in Periodontal Instrumentation (Limited to 25 – REGISTER EARLY!) Daniel W.K. Kao, DDS, MS Paul Levi, Jr., DMD February 27 Endodontics in the 21st Century & Retreatment Samuel Kratchman, DMD March 20 Tooth and Consequences Gail E. Yarnell, DMD, JD March 27 Enamel Therapy: The Next Generation of Care (AM) Maria Perno Goldie, RDH, BA, MS March 27 Evidence-Based Decision Making for Oral and Systemic Health (PM) Maria Perno Goldie, RDH, BA, MS April 10 Restoring Dental Implants: A General Dentist’s Guide (UPDATED for 2010!) Daniel Kubikian, DMD April 17 Enhancing The Esthetics and Function of Ceramic Restorations (Limited to 30 – REGISTER EARLY!) Alan Atlas, DMD Najeed Saleh, DMD Consumer Survey Data Available The American Dental Association’s website (ada.org) has a section titled Consumer Issues and Public Opinion Surveys that will be of interest to PDA members. There are public opinion surveys, a series of reports from periodic surveys that gauge the public’s opinions and experiences with dental health care; a survey of advertising effectiveness; and consumer price index for dental services. You can access full reports available for download at: http://www.ada.org/ada/prod/survey/publications_consumer.asp. 56 January/February 2010 • Pennsylvania Dental Journal Continuing Education May 8 The Latest in Dental Technology: Learn from the Master Michael Bergler, MDT May 22 Pharmacology Primer: Dose Response Relations and Adverse Drug Interactions Elliot V. Hersh DMD, MS, PhD St. Mary’s Educational Conference Center in Gunners Inn and Restaurant, St. Marys Contact: Rebecca Von Nieda, PDA (800) 223-0016, ext. 117 May 21 A Simple Path to Excellent Endodontics Michael J. Ribera, DMD, MS Greensburg Seventh District Dental Society Giannilli’s II Restaurant & Banquet Facility, Greensburg Contact : Rebecca Von Nieda, PDA (800) 223-0016, ext. 117 The Penn Stater Conference Center Hotel, State College Contact: Dr. David Schimmel (814) 234-8527 March 19 The Restorative Edge James Braun DDS, MS drschimmel@verizon.net April 16 Getting to the Heart of the Matter – Periodontal Disease and its Effect on Heart Disease and Diabetes Joel Weintraub, MEd, BS May 14 Updates in Pediatric Dentistry: Treating Tiny Tots to Teens Lance E. Kisby, DMD Brookville Educational Conference Center in Brookville Hospital Annex Contact: Rebecca Von Nieda, PDA (800) 223-0016, ext. 117 March 5 Effective TMD Diagnosis and Management Edward F. Wright, DDS, MS, MAGD March 26 An Approach to Medically Complex Patients and Medical Risk Assessment Scott S. De Rossi, DMD May 19 The Art of Dental Therapeutics: Dental Drugs and Over-the-Counter Dental Products Peter Jacobsen, PhD, DDS Beaver Valley Dental Society Contact: Dr. David C. Spokane dspokane@stargate.net February 18 Soft Tissue Diode Lasers Jennifer Allen March 18 An Overview of Anterior Esthetics Dr. Ed Narcisi February 12 Composites: Better and Faster James Hamilton, DDS April 15 Oral Pathology: An Update for the General Practitioner Dr. Mike Ban April 9 Open Your Door to the New Periodontics Tim Donley, DDS May 20 Updates in Prosthodontics Dr. George Hadeed May 14 Ergonomics, Efficiency and Economics: Maximizing Comfort and Productivity for the Dental Team Mary Govini, CDA, RDH, MBA Seventh District Annual Meeting Dental Society of Chester County and Delaware County DKU Continuing Dental Education Springfield Country Club Delaware County Contact: Dr. Barry Cohen (610) 449-7002 DKUdental@aol.com April 14 Esthetic Integration of DigitalCeramic Restorations on Implants and Natural Teeth Bernard Touati, DDS Philadelphia County Dental Society 2009 – 2010 Liberty Continuing Education Series Philadelphia Hilton City Avenue Hotel Contact: Teresa F. Ravert, Executive Director (215) 925-6050 Fax (215) 925-6998 e-mail: philcodent@aol.com or visit the web site at www.philcodent.org April 30 Restoration of Implants Dr. Paul Goodman May 21 Techniques & Materials for Fixed Prosthodontics Dr. Alan A. Boghosian January/February 2010 • Pennsylvania Dental Journal 57 ADA Launches Community Dental Health Coordinator Pilot Program at Temple University The American Dental Association (ADA) has signed an agreement with Temple University to train new dental team members as part of a pilot program to improve the oral health in underserved communities. The Community Dental Health Coordinator (CDHC) is a member of the dental health team who works in communities where residents have limited access to dental care to improve their oral health. The CDHC provides a limited range of preventive dental care services—including screenings and fluoride treatments. However, of greater importance to these communities, the CDHC will help patients navigate the health system and access care by a dentist or an appropriate clinic and engage in educational activities to improve community members’ oral health habits. Temple will recruit and train CDHCs from urban locations in Philadelphia over the next two years, returning them to their communities to work as dental team members under the supervision of dentists. Although the CDHC is a new dental team member whose merits are not yet known, many studies of the community health worker (CHW) model indicate that they can make significant contributions to a community. Because the CDHC will function much like a CHW, the ADA believes that they, too, will have a positive impact on the oral health of their communities through education and outreach. “We are delighted to welcome Temple’s participation,” said ADA President Dr. Ron Tankersley. “The pilot at Temple will help us understand the effectiveness of a dental health coordinator in underserved urban settings.” Dr. Amid Ismail, dean of Temple University’s Kornberg School of Dentistry and one of the architects of the CDHC program, explained why the program is seeking to place CDHC trainees in their own communities. “Our aim is to ensure that the coordinator is able to bridge the gap between local cultures and health care systems. The CDHC can help improve people’s oral health habits and help patients navigate the social and bureaucratic barriers that prevent them from gaining access to available dental health services,” Dr. Ismail said. Temple is the third of three pilot CDHC program sites. Two other pilot programs are directed by University of Oklahoma, which is training CDHCs from rural areas, and the University of California at Los Angeles, which, in conjunction with Salish Kootenai College in Montana, is training students from American Indian communities. The ADA has funded the program, which will train six students per site each year. 58 January/February 2010 • Pennsylvania Dental Journal Classified Advertisements Rates: $45 for 45 words or less, $1 for each additional word. $1 for each word set in boldface (other than first four words). $10 to box an ad. $5 for PDA Box number reply. One free ad to deceased member’s spouse. Website: All Journal classified ads will be posted on the public section of the PDA website, unless otherwise requested. Ads will be posted within 48 hours of receipt, but no earlier than one month prior to the date of the Journal issue. Ads will be removed at the end of the two months of the Journal issue. Deadlines: Jan/Feb Issue — Deadline: Nov 1 • Mar/Apr Issue — Deadline: Jan 1 • May/Jun Issue — Deadline: Mar 1 • Jul/Aug Issue — Deadline: May 1 • Sept/Oct Issue — Deadline: Jul 1 • Nov/Dec Issue — Deadline: Sept 1 Payment: Upon submitting ad. Mailing Address: Send ad copy and box responses to: PDA Dental Journal • PO Box 3341 • Harrisburg, PA 17105 Classified Advertising Policy: The Pennsylvania Dental Association is unable to investigate the offers made in Classifieds and, therefore, does not assume any responsibility concerning them. The Association reserves the right to decline to accept or withdraw advertisements in the Classifieds. The Journal reserves the right to edit classified ad copy. How to reply to a PDA Box Number: Your Name & Address Here Pennsylvania Dental Journal PO Box 3341 Harrisburg, PA 17105 Attn: Box J/F____ OPPORTUNITIES AVAILABLE Outstanding Career Opportunities In Pennsylvania, providing ongoing professional development, financial advancement and more. Positions also available in FL, GA, IN, MI, VA and MD. For more information contact Jeff Dreels at (941) 955-3150, fax CV to (941) 330-1731 or e-mail dreelsj@dentalcarealliance.com. Visit our website: www.Dentalcarealliance.com. Northwest Pennsylvania — General Dentist Wanted Progressive group practice situated in northwestern Pennsylvania is seeking an ambitious, self-motivated general dentist as an associate, leading to a part ownership in the practice. There are no limitations to your development. Reply is confidential. Please call (814) 723-4488, ext. 14, fax CV to (814) 723-0769 or e-mail wdah@westpa.net. Lancaster Group Practice Associateship or Associate to Partnership in Lancaster, Pennsylvania. Large group dental practice. Income potential of $100,000 to $200,000 plus. Must be a multi-skilled, excellent dentist. This may be one of the best dental practices in the state! Call (717) 394-9231 or e-mail SJRDMD@aol.com. POSITION AVAILABLE Harrisburg applicant must be proficient in all chairside phases of fabricating dentures. This position is ideal for a retired dentist wishing to work part time. Salary negotiable. Respond to PDA Box J/F 1. Associate Dentist Dental Dreams desires a motivated, quality oriented Associate Dentist for its offices in Pennsylvania, Connecticut, Massachusetts, Illinois and Texas. At Dental Dreams, we focus on providing the entire family superior quality general dentistry, in a modern technologically advanced setting with experienced support staff. Because we understand the tremendous value of our Associate Dentists, we make sure that their compensation package ranks among the best in the industry. Our average colleague Dentist earns $240,000 per annum, and is supported with health insurance, 3 weeks vacation and malpractice insurance. Visa sponsorship assistance is available. For more information, please call Chyrisse Patterson at (312) 274-0308, extension 320 or e-mail your CV to cjpatterson@kosservices.com. Associate Needed Do you aspire to be a partner in a growing group practice? Do you have management abilities? Then you may be the kind of associate we are seeking. Our group is located in the Central Susquehanna Valley near Bucknell and Susquehanna Universities. We are seeking a general dentist capable of a wide range of procedures. No HMO’s Medical assistance is optional. Want to know more? Call (570) 742-9607, e-mail copdha@sunlink.net, or fax your resume to (570) 742-9638. Scranton Busy Scranton dental office looking for partner/business associate. Fax resume to (570) 343-3850 or call (570) 347-2920. (continued on page 60) January/February 2010 • Pennsylvania Dental Journal 59 Classified Advertisements South Central PA — Associate Wanted Associate wanted for General Dental office in South Central PA. Skill in endo, oral surgery and pediatric dental care a plus. In nice, private building in suburban area, near area hospital. Good visibility, good parking Monday – Thursday. Owner will be teaching part time. Can discuss possibility of purchase. Contact office manager at (717) 359-9926. Please leave message. Call will be returned. General Dentist Seeking Associate Well-established, busy general dentistry practice in eastern Pennsylvania seeking a full-time associate. Pleasant working conditions with a long-term staff. A great opportunity with generous compensation and benefits. Stand alone 7-op building with room to grow. This can be your future… an eventual buy-out is an option. Call (610) 863-4692 or e-mail donnacorvino@yahoo.com. Hershey — General Dentist Well-established, busy multi-doctor practice in an area providing exceptional quality of life. State-ofthe-art facility, excellent opportunity. Call (717) 534-2985. On-Call Dentist Hershey Here’s a chance to make a difference in the lives of children from need! Milton Hershey School (MHS) is a home and school in Hershey for children from need. Founded 100 years ago by Milton S. Hershey and his wife, the School currently serves almost 1,800 students from pre-K through 12th grade. Students who otherwise may have limited opportunities now receive an education, housing, food, clothing, health care and more, thanks to the generosity and foresight of Mr. and Mrs. Hershey. 60 January/February 2010 • Pennsylvania Dental Journal We are currently seeking an On-Call Contract Dentist to provide intermittent coverage to the Director of Dental Services in providing direct dental care to our students. The times of coverage needed are holidays, weekends and weekdays/weekends throughout the summer. Interested dentists should have: • A minimum of 5 years experience in pediatric dentistry or general dentistry. • DDS or DMD required. • Board certification in General Dentistry with pediatric population experience. • Familiarity with Dentrix or other electronic dental record system a plus. • Excellent skills in interacting with children and youth are needed. • Experience working with children from need a plus. To learn more, please contact Dr. Marlene Navedo at navedom@mhs-pa.org or (717) 5202847. We value diversity. General Dentist Wanted General dentist is needed for busy NE Philadelphia dental office. F/T P/T. Great reimbursement for right person. Call (215) 331-7585 or fax resume (215) 331-7589. Dentist Wanted Pediatric dentist, orthodontist is needed for NE Philadelphia dental office. P/T. Call (215) 331-7585 or fax resume (215) 331-7589. GENERAL DENTIST GENERAL DENTIST to work in a unique location on unique patients. Must be skilled and flexible. You’ll be well compensated in your paycheck, but the hugs you’ll get from the patients and their families will be worth a lot more! Send resume via e-mail to 661dntlguy@gmail.com. re[think] your dental career Pennsylvania Allentown – Belle Vernon – Brentwood – Butler – Easton – Erie – Greensburg – Harrisburg – Hazleton – Hermitage – Johnstown – Lancaster – Mechanicsburg – Monaca – North Hills – Pittsburgh – Pleasant Hills – Pottstown – Reading – Robinson – Scranton – Shadyside – Stroudsburg – Tarentum – Uniontown – Wilkes-Barre – Williamsport – York. Coming Soon Altoona – Canbury – Monroeville New Castle – State College – Washington. Become an Aspen Dentist. • Practice comprehensive general dentistry. • Receive expert support to develop practice success. • Fast track your dream of practice ownership. • Work in a prime Aspen practice located where you want to be. To learn more, please contact our Recruitment Team at: Tel: (866) 451-8817 OR visit our website: www.aspendentistjobs.com OPPORTUNITIES WANTED Seeking PT Employment in NJ or PA General dentist with 20 years experience, 10 years experience of surgically placing and restoring implants. I have placed and restored more than 1,500 implants. Looking for part-time employment in New Jersey or Pennsylvania. I have all my own equipment and components. I am also very proficient with extractions, including partial bony. If interested please call (215) 752-1250. Classified Advertisements OPPORTUNITIES AVAILABLE PENNSYLVANIA Established family dentistry partnership entering transition-retirement phase seeking one or two dentists to purchase, or associate leading to ownership, in a beautiful, growing, and family friendly environment in South Central PA. Quality, fee-forservice practice, with excellent patient retention and staff. Flexible arrangements/terms. Please reply to Drs. Greene & Hart in Hanover at (717) 632-8571; fax (717) 632-6466 or e-mail hanoverharts@hotmail.com. Dental Office Space Available Located at 500 W. Township Line Road, Havertown, PA 19083, (busy corner property at Township Line Road and Greenview Lane). • Available Mondays, Thursdays and Fridays (Other hours are negotiable). • Newly renovated in 2006. 3 operatories (computers, monitors and digital x-ray). • 1 Laboratory. • Business area. • Reception area. • Dr.’s Office. • 2 powder rooms. Please contact Thomas Chermol Jr. DDS at (610) 283-3903 or e-mail to tlcgdent@comcast.net. Office Space Available Share space and equipment with a general dentist located in Lewisburg. Five operatories fully equipped including Casey and Digital Radiography. Separate reception and storage areas. Off-street parking. Please call (570) 523-3991 if interested. FOR SALE Northeast Pennsylvania Well-established general practice for sale in Wayne County/Pocono Mountain area. Owner looking to retire. Completely renovated 1,300 sq. ft. modern office with room for expansion. Real estate also available. Please contact aes631@gmail.com or (570) 862-4921. Lackawanna County Well-established family practice in Lackawanna County. 4 ops, great staff, low overhead plus real estate. This office shows very well. Please contact Sharon Mascetti at Henry Schein Professional Practice Transitions (484) 788-4071 or (800) 730-8883. (continued on page 62) January/February 2010 • Pennsylvania Dental Journal 61 Classified Advertisements Northeast of Pittsburgh Fee-for-Service Practice (only participates with Delta Dental Insurance). Located 75 miles northeast of Pittsburgh. Practice collects $1,200,000 per year on 3 1/2 days per week (28 hours). Practice sees 25 to 30 new patients per month. Practice offers Oral/IV Sedation (PA Permit 1); advanced restorative and cosmetics. Doctor does own endo, surgery and most implants. Dentist is willing to mentor new buyer (if so desires) for up to 2 years. Practice is housed in a gorgeous Victorian mansion, which also contains 3 apartments. Real estate is available for sale or lease. Serious inquiries only. Contact Dan Slain at Henry Schein Professional Practice Transitions at (412) 855-0337 or (800) 730-8883. Western Pennsylvania / Greater Pittsburgh Area / (Upcoming service to Philadelphia/Eastern PA). Several practices available with collections ranging from $200,000 to $1,000,000. PA - (#’s are collections) Beaver County $500,000, Mercer County $700,000, Meadowlands area $400,000, Forest Hills $770,000, Mt. Lebanon $300,000, South Hills Pediatric Practice $480,000, Meadville Prosthodontist $500,000, South Park $200,000, Punxsutawney $385,000, Canonsburg $210,000, Tri-State Periodontist $900,000, Mid Mon Valley $360,000, Latrobe $400,000, Forest Hills $350,000, Venango County $360,000, Bethlehem (building). OH – Numerous. We also have several other dental practices and dental labs available in Michigan, Massachusetts and Southern California. 62 January/February 2010 • Pennsylvania Dental Journal Please contact Bob Septak at (724) 869-0533, ext. 102 or e-mail bob@udba.biz, WWW.UDBA.BIZ. As always, we treat these matters with the highest amount of confidentiality and any contact with United Dental Brokers of America will be kept completely confidential. Central Dauphin County Harrisburg suburbs, great location, all phases of dentistry. 1,200 active patients, mostly FFS. Great pre-tax cash flow and tax benefits. Real estate available. Contact smuench@paragon.us.com. Ortho Practice Harrisburg area, computerized, 2007 collections exceed $1 million. Seller willing to stay on as desired by purchaser. Excellent possibilities for this transition whether you are a seasoned provider or new out of residency. Real estate available. Contact smuench@paragon.us.com. Harrisburg West Shore A tremendous opportunity to purchase a small practice with a large number of active patients and turn it into a very high producing practice. Great cash flow, tax benefits and return on investment. Excellent facility and equipment. All the right ingredients for success. Real estate available also. Contact smuench@paragon.us.com. PRACTICES FOR SALE – DISTRESS SALE – Harrisburg – Orthodontic (Adult and Children) – 6 operatories with newly renovated build-outs, 1,950 square feet, on the corner of two major highways with great signage, private parking is ample, also on-street parking, blended insurance. WILL SELL RECORDS ONLY FOR QUICK SALE. GREAT OPPORTUNITY. Practice Sales & Transitions, (877) 539-8800, check listings at www.dentalsales.org. Dental Practice Sale Northwestern PA – General – Wonderful community. 5 ops w/ room for expansion. Rev $541K. Call Donna (800) 988-5674. PRACTICE FOR SALE — DUTCHESS CTY Wonderful, 4 op, digital, general practice with 2,000 active patients. Rev $825K. Call Donna (800) 988-5674. Dental Practice For Sale — Montgomery County Montgomery County - 7 ops, 1500 active pts., 32 hrs/wk., leased 1600 s/f in free standing bldg., Strong hyg. Rev.$617k. Call Donna (800) 988-5674. PRACTICE BUYERS WANTED For great practices in the Pennsylvania area. We have many practices available for sale. Are you tired of being an employee in a dead end job? Call us for a FREE CONSULTATION to find out about these opportunities. THE MCNOR GROUP, (888) 273-1014, ext. 103, or johnf@mcnorgroup.com. www.mcnorgroup.com. Practice Sales in PA Please call Nancy Schoyer at (888) 237-4237 or e-mail to nschoyer@comcast.net and ask about our 19 listings in PA. We have practices for sale near Harrisburg, four in York Co., the Pittsburgh and Philadelphia areas, Linesville, Williamsport, Berks County and Hanover. Call The MCNOR GROUP AT (888) 273-1014, ext. 103, or e-mail johnfm@adstransitions.com. Classified Advertisements NEW PRACTICES FOR SALE We have six excellent new listings in PA! Central – Grosses $400K. Great location. 6 ops. FFS. Near Pittsburgh – Practice and building for less than $295K. Motivated seller. Scranton – Practice and building available. This practice grosses $600K. Berks County – Great place to raise a family. This practice collects over $900K. Near Chambersburg and Bedford – Practice and building for sale. Great practice. Near Philly – Seeking an associate to buy-in and buy-out. $1.4 million in revenue in this modern highly profitable practice just 30 minutes from Philadelphia. Please see John McDonnell’s article in the November issue of the Dental Economics magazine, page 94 titled “Why Not Sell Now?” Contact THE MCNOR GROUP AT (888) 273-1014 ex. 103 or johnfm@adstransitions.com for more information on these and other opportunities in the area. www.mcnorgroup.com. PRACTICE FOR SALE NEAR PITTSBURGH This is a great opportunity. This practice is located in 1,400+ square feet and has four fully equipped treatment rooms, and is collecting over $990K with high earnings. The real estate is also available for purchase. This is a great practice for someone that has a dead end job and wants to control their destiny. We have 100 percent bank financing available at reasonable rates and terms. THE MCNOR GROUP, (888) 273-1014, ext. 103 or johnf@mcnorgroup.com. www.mcnorgroup.com. General Practice North of Pittsburgh IMMEDIATE SALE – Active general practice north of Pittsburgh. Well established, busy, EXCELLENT staff, facility, patient base, equipment, OPPORTUNITY. Reply to PDA Box J/F 2. General Practice Clearfield-Jefferson IMMEDIATE SALE – Wonderful Clearfield – Jefferson County area. Active, well-established general practice. Excellent staff, patient base, equipment, OPPORTUNITY. Reply to PDA Box J/F 3. Pittsburgh, South Hills Over $1,000,000 gross income. Eight upgraded operatories, computerized with digital radiography, real estate available. Selling doctor will stay to provide smooth transition and passive income to the new owner. Earn $250,000 after financing. Contact: dmoffa@paragon.us.com or (866) 841-0353. MARYLAND PRACTICES FOR SALE. All areas including Baltimore, DC suburbs, eastern shore. No buyers fees. We help you get full financing. Our economy is still booming. Call for current listings. POLCARI ASSOCIATES, LTD (800) 544-1297 or www.polcariassociates.com. FOR SALE Small town dental practice and real estate in Lancaster County. First floor with three operatories. Employee parking in rear. Second floor, private one bedroom apartment. Average collections are over $265,000 on two days/week. Priced to sell. Call (717) 665-1587 or edhaas@dejazzd.com. owner would like to sell to reduce workload. Fax (215) 240-7957 or e-mail dentalpractice@comcast.net. Salem County, NJ Practice for sale with real estate, Salem County, NJ. General dentistry, very busy practice with high net, wellestablished and newly renovated. E-mail inquiries to vic3132008@gmail.com. Lancaster County Established family practice for sale in Lancaster Co. Dentist willing to transition with buy-out. Spacious office with seven ops. and high tech equipment. Pleasant suburban setting. $800,000 gross/yr. Please call (717) 725-0032. Southwestern PA General practice for sale in a lovely college town in southwestern PA. 3 operatories, plumbing for a fourth. Grossing 250K plus on three days a week. Practice established for 25 years. Excellent possibilities. Panorex, Eagle Soft. Reply to PDA Box J/F 4. EQUIPMENT FOR SALE For Sale Two Dent-X EVA Size #2 Digital X-Ray Sensors with four docking stations. Paid $16,400. In excellent condition. Make offer. Contact DMD4760@aol.com or call (412) 687-2005. (continued on page 64) Practice for Sale Practice for sale in prime location. Includes equipment, inventory and four operatories. Transition available. Established practice that January/February 2010 • Pennsylvania Dental Journal 63 Classified Advertisements PROFESSIONAL SERVICES Locum Tenens Professional Temporary Coverage Professional temporary coverage of your dental practice (locum tenens) during maternity, disability and personal leaves. Free, no obligation quotes. Absolute confidentiality. Trusted integrity, since 1996. Nation’s most distinguished team. Always seeking new dentists to join the team. No cost, strings or obligation - ever! Work only when you wish (800) 600-0963. www.doctorsperdiem.com. E-mail: docs@doctorsperdiem.com. Consulting Services CPA having 22 + years’ experience (including with AFTCO Associates) offers independent dental advisory services involving Buying, Selling, Mediation, Valuation, Expert Witness or Tax Planning. Joseph C. Bowers, MBA, CPA/PFS, (610) 544-4100 or e-mail jcbowers@verizon.net. PARAGON Dental Practice Transitions The nation’s leading transition specialists have opportunities available for both buyers and sellers. David A. Moffa, DMD, MAGD – Western Pennsylvania (866) 841-0353, dmoffa@paragon.us.com. Steven Muench, DDS, MAGD – Eastern Pennsylvania (877) 678-1647, smuench@paragon.us.com. Visit our website at www.paragon.us.com. 64 January/February 2010 • Pennsylvania Dental Journal Practice Transitions Selling – buying – merging – establishing associateships. CERTIFIED VALUATIONS FOR ALL PURPOSES by Master Certified Business Appraiser. Professional Practice Planners, 332 Fifth Avenue, McKeesport, PA 15132. (412) 673-3144 or (412) 621-2882 (after hours.) PARTNERSHIPS OR DELAYED SALES We have many satisfied clients with associates in your area that we have helped to either buy-in, buy-out or a delayed sale with the current associate. Without a quality valuation and plan up front these transactions normally fail. Call or e-mail us to arrange a FREE CONSULTATION to find out if you are a candidate for this service. The result is higher income and a higher practice value for the seller and a clear financially positive path for the associate. THE MCNOR GROUP, (888) 273-1014, ext. 103 or johnf@mcnorgroup.com. www.mcnorgroup.com. NEW OWNER REPRESENTATION Our family and organization has represented over 1,000 new owners over the last 65 years in the MidAtlantic area that have purchased, started or became partners in a dental practice. Ownership is a decision that is too important to make without a qualified facilitator. We can get the new owner 100 percent financing plus working capital. Call us for a FREE CONSULTATION and allow us to send you a list of our references. THE MCNOR GROUP, (888) 273- 1014, ext. 103, or johnf@mcnorgroup.com. www.mcnorgroup.com. PRACTICE VALUATION APPRAISAL We are the only transition consulting company in the area that has a Certified Valuation Analyst (CVA) as a principal that focuses exclusively on the transition of DENTAL PRACTICES. Please see the article by CVA Karen Norris on page 82 of the April ‘07 issue of Dental Economics on this subject or call or email us for a FREE CONSULTATION and a copy of the article. If you are selling, buying, creating a partnership or just want to find out the current value of your practice contact THE MCNOR GROUP, (888) 273-1014, ext. 103, or johnf@mcnorgroup.com. www.mcnorgroup.com. Practice Transitions We specialize in Practice Sales, Appraisals and Partnership Arrangements in Eastern Pennsylvania. Free Seller and Buyer Guides available. For more details on our services, contact Philip Cooper, DMD, MBA America Practice Consultants, (800) 400-8550 or cooper@ameriprac.com.