sugar, lasers - Metro Denver Dental Society

ARTICULATOR
MDDS
Connections for Metro Denver’s Dental Profession
June 2011
Volume 15, Issue 4
New - It’s Like A Mogwai Turned Gremlin 6
Lasers: An Emblazoned Discussion
Between A Panel Of Metro
Denver Periodontists 8
Sugar That Reduces Tooth Decay? 14
Find It, Arrest It, Kill It,
Don’t Let It Get Away 19
Ask A Professional 24
LASERS,
SUGAR,
and the
FUTURE
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ARTICULATOR
MDDS
Connections for Metro Denver’s Dental Profession
Volume 15, Issue 4
MDDS Articulator
Editor
Carrie Seabury, DDS
Managing Editor
Jason Mauterer
Creative Manager
Chris Nelson
Communications Committee
Anil Idiculla, DMD, Chair
Chris Baer, DMD
Jennifer Derse, DDS
Michael Diorio, DDS
Karen Franz, DDS
Kelly Freeman, DDS
Brandon Hall, DDS
Kyle Klepacki, DDS
Jeremy Kott, DDS
Nicholos Poulos, DDS
Maureen Roach, DMD
MDDS Executive Committee
President
Charles S. Danna, DDS
President-Elect
D. Diane Fuller, DDS
Vice President
Mitchell N. Friedman, DDS
Secretary
Larry Weddle, DMD
Treasurer
Scott M. Maloney, DMD
Executive Director
Elizabeth Price, MBA, CDE
Printing
Dilley Printing
The Articulator is published bi-monthly by
the Metropolitan Denver Dental Society
and distributed to MDDS members as a direct
benefit of membership.
Editorial Policy
All statements of opinion and of supposed fact
are published under the authority of the authors,
including editorials, letters and book reviews.
They are not to be accepted as the views and/or
opinions of the MDDS.
The Articulator encourages letters to the editor,
but reserves the right to edit and publish under
the discretion of the editor.
Advertising Policy
MDDS reserves the right, in its sole discretion,
to accept or reject advertising in its publications
for any reasons including, but not limited
to, materials which are offensive, defamatory
or contrary to the best interests of MDDS.
Advertiser represents and warrants the advertising
is original; it does not infringe the copyright,
trademark, service mark or proprietary rights of
any other person; it does not invade the privacy
rights of any person; and it is free from any
libel, libelous or defamatory material. Advertiser
agrees to indemnify and hold MDDS harmless
from and against any breach of this warranty as
well as any damages, expenses or costs (including
attorney’s fees) arising from any claims of
third parties.
Inquiries may be addressed to:
Metropolitan Denver Dental Society
3690 S. Yosemite St., Suite 200
Denver, CO 80237-1827
Phone: (303) 488-9700
Fax: (303) 488-0177
mddsdentist.com
©2011 Metropolitan Denver Dental Society
mddsdentist.com
June 2011
Inside This Issue:
A Letter From Our President……………4
Event Calendar.............…....................18
Reflections………………………………………..6
Material Matters...........…....................19
New News - Lasers.....…........................8
Practice Management.....….................20
Member Matters…................……………10
Ask a Professional................................24
Clinical…................….................…………12
Classifieds..............................................26
Education........….......................…………13
Legislative...........…............................... 28
New News - Xylitol….….......................14
MDDS Night at the Rockies............... 29
Finance Management......…...............16
Get To Know Your MDDS Staff
Jason Mauterer - Director of Marketing & Communications
We’ll be featuring a
Metro Denver Dental
Society employee in
each of the upcoming
issues of the Articulator.
For this edition, we’d
like to introduce you
to Jason Mauterer,
the Marketing and
Communications
Director for MDDS, as well as the managing
editor of the Articulator. He moved to
Centennial, CO in October 2010 with
his wife Stacey and two young boys from
Albuquerque, NM to take this position.
Jason received his bachelor’s degree
from Louisiana State University with
concentrations in photography and
anthropology – clearly preparing to shoot for
National Geographic. He was a professional
photographer in Baton Rouge, LA when
Hurricane Katrina occurred, after which he
moved to Albuquerque, NM. There he began
his association career with the Credit Union
Association of New Mexico as a graphic
designer. He quickly moved up the ranks to
marketing director. During Jason’s four year
stint in Albuquerque, he also helped launch
a new marketing firm and was the managing
editor for the New Mexico Dental Journal.
In the eight months Jason has been with
MDDS, he has already played key roles in the
success of the 2011 RMDC, the rebranding
of the 2012 RMDC, the new look of the
Articulator, the new MDDF and RMDC
websites (keep an eye out for the new MDDS
site!), and the general cohesiveness of the
marketing and communications now coming
from the MDDS. He is the director liaison to
the Member Services, Communications and
Public Relations Committees.
If you have any comments, questions or
concerns for Jason, please don’t hesitate to
contact him at jmauterer@mddsdentist.com.
Member Publication
3
A LETTER FROM
OUR PRESIDENT
Reflections from the President
By Charles Danna, DDS
W
ow! It has
been an
interesting
year. I have
been associated with
the Board of Directors
since 2002 and I have
been honored to have served with nine
outstanding individual presidents in that
time period. During that time we created
a new brand for MDDS and the Rocky
Mountain Dental Convention, formerly
known as the Denver Midwinter
Convention. The board formulated and
executed two strategic plans for MDDS.
I have worked with three different
executive directors in that time. I chaired
the 2007 RMDC, which was the 100th
anniversary of the MDDS convention.
We thought we had pulled out all the
stops for that convention–wait until
2012! We have addressed several outside
issues that had effects on the practices
of our members. Several new programs
for our members were set up and we
started a charitable dental foundation,
MDDF. I was told when I first joined
the board that I would be expected to
attend four quarterly board meetings and
be available to sit on a few committees
as a liaison. All I can say is that I was
misinformed. At first I started to keep a
log of the meetings I attended;
I quit that after the second month.
Even though all of those years seemed
like a lot of work, it was pretty easy
compared to last year. In the last year, we
drastically changed directions and got
out of our comfort zone. We replaced
our executive director and several staff
members. A creative department was
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started at MDDS which gave us the
ability to keep our marketing and journal
publishing in house. We made several
changes to the RMDC, some turned
out great and some not so great. One
example of a great one is the partnership
we have established with the Dawson
Academy. We changed the fee structure
for membership which evenly divided
the support of our society among all of
our members. We are actively trying
to meet the needs of our new dentist
members. I know some of our actions
have been questioned but I feel the
results of these changes will enhance our
society now and in the future.
“The upcoming RMDC
is going to be a one-of-akind in our region.”
I know it sounded like I was whining
about the time commitment involved
with being on our board. However, I
never felt like it was a burden. Mostly
because I was never alone; I was always
exposed to other volunteer dentists and
staff members who showed the same, if
not more passion for MDDS. The other
incentive to participate has been all the
friends I have made in the last nine years
that would have been strangers if I had
not joined the board. I would especially
like to thank Dr. George Gatseos for his
leadership during the last year. I cannot
think of a time when the board has dealt
with so many controversial issues. Dr.
Gatseos would always take everyone’s
opinion to heart and try to lead us to
common ground. I am happy that he is
finally able to concentrate on his full-
time job at the University of Colorado’s
Dental School.
Currently, I am excited about the staff
we have in place and their ability to
think outside of the box. The society is
in sound financial condition and has
weathered the past recession with the
help of our new financial advisors. The
upcoming RMDC is going to be a one-of
-a-kind in our region. We were the first
society to have the Dawson Academy
present their course outside of Florida.
This was one of the goals from our
strategic plan. At the 2012 RMDC the
Dawson course will be back along with
Dr. Peter Dawson. I had personally asked
him to come to our convention at the
Hinman meeting six years ago. He told
me he would only go to meetings that
he could be driven to. The success of the
Dawson Institute at the RMDC changed
his mind and got him excited to come to
Denver. We have also negotiated a deal
with the Pankey Institute to come to the
2012 RMDC for a three-day course. This
is the first time they have presented this
course away from Florida. This, along
with the other headline speakers is going
to make our convention unique.
I want to thank and congratulate all
the volunteers that have helped initiate
these changes and all the volunteers that
continually help keep MDDS running
smoothly.
Sincerely,
Charles (Chuck) Danna, DDS
Articulator
June 2011
mddsdentist.com
Articulator
June 2011
5
REFLECTIONS
New - It’s Like a Mogwai turned Gremlin
By Carrie Seabury, DDS
I
am in serious danger.
The train of calamity
is gaining speed and
I can feel the bile in
my throat accumulating.
The growing panic I
am feeling stems from
the fact that this May marked the 6th
anniversary of my graduation from
dental school. It is well known that
without research and CE intervention,
five years marks the start of the
declination of my brain from informed
and savvy to passé and stagnant. The
sneaking suspicion that I may not be
fresh, new, up to date, or even green is a
scary thought. Much like the impending
doom of a mid-life crisis, I am feeling
the claw of the dental grim reaper on my
shoulder.
What if my dental skills have gone
stale? What if the continuing education
classes I take are still leaving my career
in a decayed, musty state? Also, for the
love of He-Man and all things mighty,
where can I find full text articles of the
latest, greatest peer reviewed research
articles now that the CU Health Sciences
Library has kicked me off their specialpeople-VIP-good-luck-trying-to-bribea-student-for-their-super-secret-code
database? Finally, once I find this Holy
Grail of research material, what do I do
with it?
There are three aspects involved in
updating my clinical and diagnostic
skills. First, the aforementioned quest
for actual peer reviewed full articles has
challenged my crafty internet skillz (the
“z” is completely intentional here). I
don’t want to rely on the mildly biased
articles left on my desk by my supply
rep (although he is a very intelligent and
helpful dude) and I don’t want to Google
all my questions (although if it is on the
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internet it must be true, right? Right?
Bueller?). However, that leaves me with
a very daunting task. Either I subscribe
to every peer reviewed journal out there
and create my own super-powered database or I maneuver my way through
Pub-Med/highbeam/single citation
matcher/citation linker/scholar.google/
Cochrane library/LoansomeDoc.com.
org.edu.gov. I don’t know. They both
sound pretty easy. I’ve got some extra
time to burn.
“Once I have uncovered
a fresh, new, promising,
literature-backed idea,
how do I implement
this in my practice
without making myself,
my staff, or my patients
nervous?”
My second dilemma when I consider
updating my dental approach is the
level of experimentation involved.
Once I have uncovered a fresh, new,
promising, literature-backed idea, how
do I implement this in my practice
without making myself, my staff, or my
patients nervous? I think my left eye just
had a petit-mal seizure from the stress of
thinking about it.
New research is to the practicing
dentist like Smurfette is to Gargamel.
One cannot exist without the other –
otherwise the whole Smurf show would
be cancelled and we would all be in
a horrible, unthinkable place if that
happened. However, when they spend
any time in the same room together,
clashes can be expected. We have to
introduce progress to our practice whilst
acknowledging the feeling that we are
contradicting our past selves. When we
become brave enough to upgrade, our
patients and staff may just call us out
on our apparent hypocrisy. They tell us,
“Dr. Fantastic, you told me six months
ago that an implant was the way to go.
Now you are telling me to scrap the
implant and have a bionic-tech-Johnny
# 5.0-stem-cell transplant placed? What’s
the deal?”
It’s not like I am implementing every
Johnny#5 idea that crosses my path, nor
am I running a version of the infamous
Tuskegee studies in my practice. I
like to think I have some potential for
critical thinking that keeps me from
being suckered into all things new, but I
certainly don’t want to withhold valuable
treatment from my patients if the
hesitation only stems from a fear of the
new. It’s a delicate balance that everyone
has to establish in their own practice.
Everyone has a different comfort level,
and that is OK.
I’m sure I will someday figure out an
ideal way to research and implement
the best new ideas available. I’m pretty
sure I have the words “up-to-date” in
my marketing, so I better get on that.
However, I leave the juiciest dilemma for
last: The third question I have involves
the aftermath of my updates. Once I am
current and modern, when do I get to
start yelling and belittling other dentists
whom don’t do it my way? I can’t wait
for the chance to dishonor my colleagues
because they are doing procedures that
are so 2000-and-late. Perhaps once I am
finished humiliating them for having a
different opinion than yours superiortruly, I can mock them for not knowing
the real name of He-Man’s Battlecat. I
mean, who doesn’t know that?
continued on next page
Articulator
June 2011
Mogwai turned Gremlin cont.
So there you have it. As I see it, the
three biggest barriers to introducing
the new and savvy to our practices
are a lack of easy accessibility to
peer reviewed journal articles,
the inevitable clashes involved in
adopting a new philosophy, and the
unwillingness of our collective group
of colleagues to accept that there are
many valid and sometimes conflicting
approaches to high quality dentistry.
If you have suggestions on keeping
it fresh besides watching back-toback episodes of Fresh Prince of
Bel Air, I would love to hear them.
Truth be told, and I know this comes
as a shock, Will Smith is hilarious
and Carlton Bank’s dances are truly
inspirational, but it hasn’t really
helped me stay fresh in my practice.
Good luck in staying on the current
side of dental advancements, and if
you are still wondering, Battlecat’s real
name is Cringer. Tsk, tsk people, you
should have known that. Cheers to the
new and the fresh!
Share Your Knowledge –
Share Your Passion!
Teach interested young students
(ages 14-21) specific skills and help
them understand how fulfilling a
career in dentistry truly is. Volunteer
to participate in the 2011 Careers in
Dentistry Explorer Post 269 this fall.
Provide hands-on opportunities for
young people to help them gain
insights and practical experience
while considering a career in dentistry.
Giving students an understanding of
what a dental career is really like can
help them make the right educational choices now to succeed later.
This program is co-sponsored by the Colorado Dental Association through
an alliance with Exploring, a national subsidiary of the Learning for Life
program.
To get involved please contact Amy Boymel, MDDF Executive Director,
at 303.957.3272 or aboymel@mddf.org.
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In many cases, a cone beam CT scan may be necessary for more accurate diagnosis and planning.
Dr. Debra Gander maintains a practice limited to oral and maxillofacial radiology with emphasis in
imaging for dental implants.
Expand your patient offerings without expanding the walls of your own practice.
Offer your patients precision 3D dental imaging by referring them to us.
Refer a patient.
Collaborative Oral Care
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Visit thefauchardcenter.com and click Refer A Patient.
303.741.3300
Articulator
June 2011
7
LASERS
AN EMBLAZONED DISCUSSION
Between a Panel of Metro
Denver Periodontists
Intro By Carrie Seabury, DDS
R
ecently the American Academy of Periodontology
(AAP) released a statement titled “The Efficacy of
Lasers In the Non-Surgical Treatment of Periodontal
Disease.” The AAP states, “Clinical application
of lasers for the treatment of periodontal disease has
continued to expand since their introduction for this
purpose in the early 1990’s but remains controversial.” The
statement provides an “evidence-based perspective” on three
periodontal applications of lasers:
(1) Laser mediated sulcular and/or pocket debridement (laser
curettage); (2) Reduction of subgingival bacterial levels as a
result of laser therapy; (3) SRP: Elimination of calculus and
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endotoxin with a hard tissue laser. The Articulator invited
three MDDS periodontists to weigh in with their own
personal practice philosophies. There is always more than
one effective clinical approach in every aspect of dentistry.
Our intention is to spur some further discussion on the topic
in our community, and of course, to highlight some of our
fantastic local periodontists. For further information on this
topic please reference:
American Academy of Periodontology statement:
www.perio.org/resources-products/posppr2.html (look under the
heading Academy Statements)February 2011 JADA article on the topic:
www.jada.ada.org/content/142/2/194.full
Articulator
June 2011
NEW
NEWS
Nicholas M. Poulos, DDS
Unfortunately, the research is not
there yet. As dentists, we owe it to our
patients to maintain a high standard of
practicing only evidence based medicine.
Lasers are very exciting and they have
tremendous potential in both dentistry
and medicine, but all “evidence” thus
far supporting the use of lasers for the
treatment of periodontal disease has been
strictly anecdotal; REGARDLESS OF
LASER TYPE AND TECHNIQUE! All
controlled studies to date comparing the
“I pride myself on staying
up-to-date on the newest
techniques, materials and
instruments in periodontics
and implant dentistry, but
I refuse to treat my patients
as test subjects.”
use of lasers either as an adjunct to or as
a substitute for mechanical debridement
have shown no added benefit and a
few have even shown the negative sideeffect of root damage. I pride myself
on staying up-to-date on the newest
techniques, materials and instruments in
periodontics and implant dentistry, but I
refuse to treat my patients as test subjects.
I am as excited as anybody about the
future of lasers and their potential as a
less invasive alternative to traditional
periodontal therapy, but until this
treatment is proven to be as good as or
better than what we currently do, it will
not be used in our office.
Christopher J. Sakkaris,
DDS, PC
The integration of laser technology into
dentistry has been slow and fraught
with disappointment in past years.
Dental lasers, like any instrument, have
mddsdentist.com
specific applications and characteristics
which make them extremely useful.
Unfortunately, dental laser manufacturers
have, to their own peril, mismarketed and
“Laser therapy has
significantly improved my
success rate with non-invasive
therapy, increased patient
access to care and decreased
patient post-operative risk.”
undereducated their customers as to their
abilities. Lasers are now being applied
for niche procedures, with significant
perceived benefits over traditional
approaches.
The most popular of these niches is the
management of periodontitis. Laser
therapy has significantly improved my
success rate with non-invasive therapy,
increased patient access to care and
decreased patient post-operative risk.
Like it or not, laser therapy is becoming
a significant player in today’s dental
practice.
Brian Gurinsky, DDS, MS
One of the most frequent questions I
get asked by patients and other dental
providers is “do you use a laser to treat
periodontitis?” As a periodontist, I
am inherently trained to critically
evaluate materials and products before
integrating them into patient therapy.
The use of a laser has many purported
benefits for treating soft tissues such as:
killing bacteria, removing the diseased
epithelial lining, decreasing bleeding and
potentially decreasing post-procedure
pain. Obviously, those benefits merit
taking a look at the use of a laser.
Both the American Academy of
Periodontology (AAP) and the American
Dental Association (ADA) recently did
a systematic review of the literature to
determine the efficacy of using a laser in
non-surgical therapy to treat periodontal
disease. Both groups came to the same
conclusion: Laser therapy is not better
than conventional non-surgical treatment
and may even yield a lesser result.
Specifically, to resolve and maintain gum
disease, thorough root debridement
is the key, not removal of the sulcular
lining. Clearly, hand instrumentation
and ultrasonic root debridement are
more effective at this than a laser as a
monotherapy. In addition, a “hard tissue”
laser that can remove calculus would
also have the potential of damaging the
“Laser therapy is not better
than conventional nonsurgical treatment and may
even yield a lesser result.”
root surface. But what about reducing
the bacterial load? Only 2 of the 6 articles
that measured this actually showed laser
therapy to be effective in reducing the
microbial load.
While the research presently does not
suggest that a laser is any more effective
than what we currently use for nonsurgical intervention, I suspect in the
future there will be a time and place for
these in our practice as better products
come to market and more research is
conducted.
Articulator
June 2011
9
MEMBER
MATTERS
New Members - Welcome!
Dr. Kerri L Lawlor - Endodontics
Dr. Kevin H Andrus - Endodontics
Dr. Emanouela D Carlson - Endodontics
Dr. Dawn Wehking - General
Dr. Andrew W Glassick - General
Dr. Michael Woods - General
Dr. Aaron W DeGarmo - General
Dr. Chelsea R Deutscher - General
Dr. Elizabeth Vivona - General
Dr. Cristiana Oltean - General
Dr. Brian J Kajewski - General
Dr. David T Sugiyama - General
Dr. Jasper Bartolome - General
Dr. Joshua D Carter - General
Dr. Joshua D Hollingshead - General
Dr. Craig G Larson - General
Dr. Lauren K Peterson - General
Dr. Kenneth M Burson - General
Dr. Minh N Phan - General
Dr. Jennifer Rankin - General
Dr. Jeffrey H Erickson - General
Dr. Sheila Stille - General
Dr. Matthew Allen - General
Dr. Andrea E Schmidt - General
Dr. Haeman Noori - Oral Surgery
Dr. Monica M King - Orthodontics
Dr. Lisa M Austin - Orthodontics
Dr. Daniel J Rejman - Orthodontics
Dr. Eric P Anderson - Periodontics
Dr. Richard F Druckman - Prosthodontics
Dr. Chad M Boustany - Prosthodontics
MDDS Tequila Tasting
Assignments Restaurant at the Denver
Culinary Arts and Design School
May 25, 2011
Attendees of the MDDS Tequila Tasting &
Networking Event were first treated to Dr.
Bottone’s Knock-Your-Socks-Off margaritas and
a tour of the Denver Culinary Arts and Design
School. Next was a presentation from Dr.
“Pablo” Bottone on blue agave and the origins
of tequila, followed by a sampling of tequila and
a meal specially designed to match the tequilasoaked palette. The event was hit – keep an eye
for the next Tasting & Networking Event!
Membership Spotlight:
Ian Paisley, DDS
Introducing Dr. Ian Paisley – one of our outstanding
members of the MDDS Board of Directors. We
interviewed him to see where his journey through
organized dentistry has taken him.
Dr. Paisley, what made you want to join the MDDS Board of Directors?
Left to Right: Dr. Charles Danna, Dr. Paul "Pablo" Bottone,
and Mrs. Tonya Danna
Joining the MDDS Board of Directors was very exciting. After spending the last
seven years learning about the society by serving on various committees, it is
great to be a part of the central nerve center.
Tell us about your involvement with the Rocky Mountain Dental Convention.
As Chairman of next year’s RMDC, my goal is to help create a convention that
will stand out to not only our members but to attendees coming from all over the
nation. It is also important that we create a convention that speaks to a younger
generation and the ever-evolving practice of dentistry. I feel fortunate to be
surrounded by so many tireless volunteers willing to dedicate so much of their
time to make our convention a success.
Attendees enjoy a tour of the Denver Culinary Arts and Design School.
Anything in particular that you are looking forward to for next year’s RMDC?
I am most excited about the unique and diverse education program featuring
lectures by Dr. Peter Dawson himself, as well as the Pankey Institute. The social
offerings at the RMDC are also picking up steam and promise to thoroughly
entertain our attendees well into the night.
Ian Paisley, DDS, has been a member of MDDS since 2004. He received his DDS
degree from the University of the Pacific in 2003. Dr. Paisley’s general practice is
in Brighton.
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Ms. Kristina Adkins, winner of the event door prize.
Articulator
June 2011
MDDS New Member Networking Event
DTC Tavern April 14, 2011
The Metro Denver Dental Society hosted a great event at the DTC Tavern on Thursday, April 14, 2011. In attendance were new members, ambassadors, board members and MDDS staff. Colin Carr of Carr Healthcare
Realty generously sponsored the event. We look forward to hosting another new member event in the fall!
Members mingling at the MDDS New Member Networking Event.
Left to Right: Drs. Elizabeth Vivona and Colleen Halligan
Left to Right: Drs. Debra Gander, Erik Mathys, Brian Gurinsky
Left to Right: Drs. George Gatseos, Karen Franz, Maria Juliana DiPasquale
In Memoriam - Scot S. Thompson, DDS
Thompson, Dr. Scot S., DDS
Dec 9, 1969 - Mar 12, 2011
mddsdentist.com
Highlands Ranch, CO, formerly of Omaha. Survived by wife,
Cary; daughter, Tegan; mother, Jeanie Gilmore; father, George
Thompson; sister, Kimberly Cassey; brother, Michael Gilmore;
sisters, Jenny, Jessie and Jacqui Thompson; niece, nephews and
other loving relatives.
Published in Omaha World-Herald from March 17 to March 18, 2011
Articulator
June 2011
11
CLINICAL
Diagnosis Challenge–Oral Pathology
By John D. McDowell, DDS
Your patient is a 68 year-old Caucasian woman who presents with
a chief complaint of, “I have had this sore on my upper gums and
roof of my mouth and I want you to check it out. I think it started
as a small irritated area about 4-5 months ago, but never really
hurt so I didn’t worry about it until recently. Within the last few
weeks, it has started to bleed easily when I brush my teeth. I know
it’s growing because it’s become hard to floss in the area without
causing my gums to hurt and bleed.
Her medical history is non-contributory with the exception of
being post-menopausal and “a little high blood pressure.”
She tells you she takes 25 mg. hydrochlorothiazide every day.
She says the dentist did not mention any abnormalities at her last
“routine cleaning” appointment 9 months ago.
Her extraoral exam is within normal limits with the exception of
3 detectable lymph nodes in the left submandibular triangle. All
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3 nodes are firm (but not bony-hard), freely-movable and slightly
tender to palpation. No other abnormal lymph nodes are detected.
The gingival lesion feels very firm to palpation. She tells you
that the lesion-associated gingival tissues are slightly tender to
palpation.
Although there is slight bleeding upon probing of the gingival
tissues associated with the lesion, no probing depths greater than
4 mm. are detected.
Radiographs suggest a widened periodontal ligament space with
a loss of definite lamina dura on the mesial and distal of the
maxillary left central incisor. No other abnormalities are detected
in the periapical radiographs of the anterior maxillary teeth.
Suggested Differential Diagnosis on page. 27
Articulator
June 2011
EDUCATION
Congratulations to the University of Colorado
Anschutz Medical Campus graduating dental class of 2011!
Dr. Steven Bauman
Dr. Nicholas Bennetts
Dr. Julie Berkhoff
Dr. David Bryant
Dr. John Chase
Dr. Eric Chatterley
Dr. Matthew Checketts
Dr. Paul Cho
Dr. Andrew Comerci
Dr. Jennifer Connor
Dr. Rena Curtis
Dr. Brandy Dale
Dr. Melissa Farbod
Dr. Angelique Freking
Dr. Robert Gartland
Dr. Chandara Im
Dr. Brad Johnson
Dr. Leslie Jones
Dr. Mark Jordan
Dr. Gabrielle Jung
Dr. Corey Koch
Dr. Ryan Leary
Dr. Richard Leensvaart
Dr. Matthew Mauck
Dr. Cody McElroy
Dr. Mirela Memic
Dr. Renee Moran
Dr. Ian Morse
LSU alum Jason Mauterer, MDDS Director
of Marketing & Communications, shakes
hands with former LSU quarterback
Dr. Matthew Mauck, now a CU graduate.
Dr. Kevin Sessa and recent graduate,
Dr. Lana Nysse.
Dr. Minh Tram Nguyen
Dr. Lana Nysse
Dr. Joseph Pitluck
Dr. Jessica Roeber
Dr. Rachel Ross
Dr. Erin Sain
Dr. Theodore Shille
CDA Executive Director, Dr. Quinn
Dufurrena, chatting with Dr. Denise
Kassebaum, Dean of the University of
Colorado School of Dental Medicine.
Dr. Tam Than
Dr. Jeremy Thomas
Dr. Bo Tran
Dr. Brian Trommeter
Dr. Marjorie Williams
Dr. Bradley Wilson
Dr. Nicholas Wilson
Dr. Christopher Yoon
Not pictured: Dr. Brady Bichon, Dr. Barbara Heupel
mddsdentist.com
Dr. Kevin Varley
Dr. Adam Walker
Dr. Jared Wallis
New Alumni Members of the Pi Rho Chapter of Omicron Kappa Upsilon,
the National Dental Honor Society: (left to right) Drs. Nicholas Bennetts,
Cody McElroy, Marjorie Williams, Erin Sain, Julie Berkhoff and
Brian Trommeter
Instructor Dr. David R. Hartman receives
a warm hug from graduate Dr. Corey Koch.
Articulator
June 2011
13
SUGAR
THAT REDUCES TOOTH DECAY?
Practical Guidelines For Using Xylitol
To Help Prevent Decay In Childrern
I
t may seem strange to hear that
“sugar” can help prevent caries
in children, but it’s true. Xylitol is
a sugar substitute commercially
used in numerous products such as
gums, mints, syrups, candies, jellies,
baked goods, children’s vitamins and
dental products. It is endorsed by
the American Academy of Pediatric
Dentistry as a product that, with daily
use, can be helpful in preventing
dental caries. As pediatric dentists, we
first became interested in xylitol ten
years ago after reading a pilot study
by Autio and Courts evaluating the
acceptance and compliance of xylitol
chewing gum in a Head Start program.
These researchers cited numerous field
14
mddsdentist.com
By Dr. Nelle Barr, DMD, Dr. Betty Barr, DMD
and Dr. Sean Whalen, DDS
studies that show chewing xylitol gum
reduced the incidence of dental caries
by lowering strep mutan counts. As
researchers continued their efforts, they
mounted a body of evidence showing
indisputably that regular use of xylitol
reduces the prevalence of decay.
However, the minimal dosage and
frequency were still undetermined. In
2008, Ly, Milgrom and Rothen from the
University of Washington confirmed
through a series of studies that a dose
of two to three grams, used three times
daily, is effective in reducing strep
mutan counts.
These research findings are significant
because dental decay is the number
one chronic disease of childhood,
with 50 percent of all children having
decay when they start kindergarten.
In our Westminster office we often see
these unfortunate children with severe
decay, pain and swelling, and we find
that treating them is challenging. The
children have to be managed delicately
to give them the best experience
possible to protect their developing
psyches. In addition, dental treatment
is stressful, time consuming and
expensive for the parents.
Obviously, we need to treat the decay,
but we also need to manage the disease.
We counsel parents and work with
them to manage their children’s decay
Articulator
June 2011
NEW
NEWS
just like a diabetic would manage
their diabetes or an asthmatic
would manage their asthma.
Managing decay is tough. Of
course, we emphasize a healthy,
low sugar, low carbohydrate diet
and place sealants where they are
indicated. We encourage good
home care, but these children are
often young; they don’t like to
brush, don’t like the taste of the
toothpaste and don’t cooperate
for brushing or flossing. We stress
the use of fluoride toothpastes,
rinses, gels and varnish; however,
a growing percentage of parents
don’t want to use fluoride products
because of their concern about
fluoride’s negative health effects.
Plus, the child that won’t cooperate
with brushing and flossing often
hates the fluoride gel, making home
compliance another battle.
Even if home compliance was easier
and more successful, the evidence
shows that fluoride treatments
reduce lesions by only 30 percent,
whereas habitually using xylitol can
prevent 50 to 70 percent of decay.
Of all our preventive strategies,
xylitol shows the most promise.
Milgrom et al. showed xylitol
pediatric topical oral syrup (8
grams per day) divided into two or
three doses given during primary
tooth eruption in children aged
15 to 25 months reduces tooth
decay up to 70%. Xylitol is also
good for cancer patients or patients
that have difficulty complying
with tooth brushing because of a
disability. It is safe for diabetics
and hypoglycemics because of its
low glycemic index. It is also safe
for nursing and pregnant women.
Xylitol has one-third less calories
than sugar, so it’s also fine for the
mddsdentist.com
obese child. It's affordable, easy to
use, good tasting and, as Autio and
Courts’ study showed, children will
comply. Finally, xylitol does not
carry with it the negative public
concerns that fluoride does, which
makes it an easy sell.
Xylitol is naturally
occurring in some fruits
and vegetables. For
example, one cup of ripe
raspberries contains one
gram of xylitol.
Xylitol is naturally occurring
in some fruits and vegetables.
For example, one cup of ripe
raspberries contains one gram of
xylitol. To be effective it has to be
in a food source that is released
into the mouth and lingers,
allowing therapeutic levels in the
saliva to be reached. There is some
promising research showing that
xylitol in gummy bears could be
effective at reducing strep mutan
levels.
Xylitol does have its drawbacks.
Habitual, long-term compliance
is understandably an issue. In
very young children syrup is the
vehicle of choice because mints and
gums can be a choking hazard. In
addition, gum is not permitted in
all settings. If xylitol is consumed
in quantities four to five times what
is needed for caries prevention, it
can cause osmotic diarrhea.
In addition, xylitol is dangerous
for dogs.
In order for xylitol to be most
effective, parents need to
understand how to implement
xylitol into their children’s daily
routine. We give parents in our
practice a handout as a guideline to
follow. You can access this handout
online at the MDDS website –
mddsdentist.com. Xylitol is safe
and effective at helping our patients
manage decay. We hope you
consider xylitol for your patients,
especially those at high risk for
dental caries.
For more information
visit page 17 to view
the usage chart
for Xylitol.
Want to contribute an
article to the MDDS
Articulator?
We would love to hear
from you!
Contact Jason Mauterer at
jmauterer@mddsdentist.com
or call 303.488.9700 x3270
Articulator
June 2011
15
FINANCE
MANAGEMENT
FYI
By Edward Leone Jr., DMD, MBA, RFC
For most of us, the letters FYI mean "for
your information.” Indeed, the content
of this article is for your information. I
more view FYI as standing for "flexible
yielding investments.” It has been my
experience in discussions with my
dental colleagues that there are many
interpretations of what is implied when
we talk about cash equivalents, bonds,
stocks, options, derivatives and hedge
funds. Let’s dedicate some time and a
few paragraphs to exploration of cash
equivalents, bonds (types, benefits and
risks) and stocks (types, benefits and
risks). A future writing will be dedicated
to the other flexible yielding investments.
Cash and Cash Equivalents
These investments include money
market mutual funds, bank certificates
of deposit and bank savings accounts. A
money market mutual fund is a fund that
invests in short term debt instruments
such as U.S. Treasury Bills, Certificates
of Deposit, Commercial Paper (short
term debt 60 days to one year of major
corporations) and Bankers’ Acceptances
(30-60 day drafts which banks use to
finance international transactions). Cash
equivalents are useful to provide a short
term parking place for money. These
vehicles are liquid, relatively safe (high
quality in money market funds and FDIC
insurance for CDs and savings accounts)
and require little or no cost to convert to
cash. Yields are very modest, but may be
enhanced by using CDs and staggering
maturities to match cash demands. Early
redemption of CDs involves penalties.
These short term investments are
sensitive to changes in market interest
rates and yields are subject to taxation at
ordinary income rates. These investments
can be subject to purchasing power risk
when held for long periods of time.
Bonds
Our first consideration is with
government securities which consist of
bills, notes and bonds. A Treasury Bill is
a short term debt security which matures
in either 4, 13, or 26 weeks. They are
purchased in amounts of $1,000 and are
issued at a discount to face value. The
yield comes when the Bill is redeemed at
face value upon maturity. The Treasury
Note has a 1 to 10 year term. They
are issued in $1,000 amounts and pay
interest semi-annually. A Treasury Bond
has a maturity of greater than 10 years
and is issued in $1,000 amounts also
paying interest on a semi-annual basis.
The U.S. Treasury also offers Treasury
Inflation-Indexed Securities (TIPS) for
which the principal value is adjusted
every six months based on changes in the
Consumer Price Index. These securities
represent a very high quality investment
with a high certainty of income yield.
The interest paid is not subject to state
or local taxation, but is subject to federal
ordinary income tax rates. The rate of
return is comparatively low and subject
to a degree of interest-rate risk. Other
than T Bills and TIPS, these investments
are also subject to purchasing power risk
over the long term as a result of increases
in inflation. It is important to note that if
a T Bill is sold before its date of maturity,
the difference between the price paid and
the selling price must be reported and
is subject to ordinary income taxation.
A Treasury Note or Bond if sold on the
open market before its maturity date will
be subject to short or long term capital
gain or loss taxation.
Corporate bonds represent a loan from
the bondholder to a corporation. The
bond generally has a date of maturity.
This is the date on which the loan (face
amount) must be repaid. During the
term of the loan, interest (at the coupon
rate) is usually paid every six months.
Corporations are ranked for credit
worthiness by professional appraisal
services such as Moody’s Investors
Service from AAA high to D default.
Investment grade bonds are ranked AAA
to BB. Generally the lower the credit
quality, the higher the interest paid to
the bondholder will be to compensate
for added risk of default. Bond interest
is subject to ordinary income tax rates
while the market value of a bond varies
with changes in market interest rates.
The capital gain or loss incurred when
a bond is sold before its maturity date is
subject to tax at the appropriate capital
gains rate.
Municipal bonds are issued by state,
county or city governments and other
non-federal government agencies. They
pay a fixed rate of interest and are exempt
from federal income tax, but may also be
exempt from state and local tax under
some circumstances. They come in the
form of general obligation (backed by the
issuing agency) revenue based (fees are
used to pay the debt) or private purpose
(financing of activities not usually
associated with government functions).
These bonds appeal to those in higher
income tax brackets due to their tax
exempt status.
Common Stocks
A common stock represents an
ownership interest in a corporation.
Stocks have historically provided a
return on investment which is higher
than that for fixed income investments.
Many types stock are highly marketable
for the most part, but market prices can
fluctuate widely. Stock pricing may be
FYI cont. on page 27
16
mddsdentist.com
Articulator
June 2011
SUGAR
THAT REDUCES TOOTH DECAY?
Practical Guidelines For Using Xylitol
To Help Prevent Decay In Childrern
By Dr. Nelle Barr, DMD, Dr. Betty Barr, DMD
and Dr. Sean Whalen, DDS
Xylitol
Xylitol is a delicious sweetener that occurs naturally in many fruits and vegetables and is safe for children and adults.
Xylitol looks like sugar and tastes as sweet, but has 33% fewer calories, 75% fewer carbohydrates and a
much lower glycemic index of 7, making it safe and beneficial for diabetics, hypoglycemics and everyone
concerned with achieving and maintaining an ideal body weight.
How can Xylitol help prevent caries?
Scientific studies show that xylitol inhibits caries, keeping bacteria from adhering to teeth and tissues of
the mouth. Years of clinical research confirm that using xylitol regularly helps reduce dental plaque and
promotes better oral health. Xylitol is rated safe by the FDA and World Health Organization.
Using Xylitol to Prevent Decay
GUM
Gum
Amount of Xylitol
Where to Purchase
Ice Breakers “Ice Cubes” gum
1.0 gram/piece
Retail stores
“Carefree Koolerz” gum
1.5 gram/piece
Retail stores
Epic Xylitol gum
1.06 gram/piece
Online at epicdental.com
Zellies Xylitol gum
1.0 gram/piece
Online at zelliescleanwhiteteeth.com
Ricochet Xylitol Gum
1.0 gram/piece
Online at emeraldforestxylitol.com
a Broomfield, CO company
Chew 2 pieces of any of the gums listed above for 5 minutes 3 times a day to help prevent decay.
MINTS
Mints
Amount of Xylitol
Where to Purchase
Ricochet Xylitol Mints
1.0 gram/mint
Online at emeraldforestxylitol.com
Suck on 2 of the Ricochet mints for 5 minutes 3 times a day to help prevent decay.
Epic Xylitol Mints
.50 grams/mint
Online at epicdental.com
Spry Mints
.50 grams/mint
Online at xlear.com/spry
Zellies Xylitol Mints
.50 grams/mint
Online at zelliescleanwhiteteeth.com
Suck on 4 of the Epic, Spry or Zellies mints for 5 minutes 3 times a day to help prevent decay.
SYRUP
Syrup is the vehicle of choice for young children. It is safe for children as young as 9 months of age.
Syrup
Amount of Xylitol
Where to Purchase
Maple Flavored Syrup 8.5 oz. gluten free syrup
4.0 grams/1 tsp.
Online at globalsweet.com
Give 1 tsp. 2 times a day
mddsdentist.com
Articulator
June 2011
17
EVENT
CALENDAR
JULY 2011
SEPTEMBER 2011
FEBUARY 2012
July 15–22
MDDSAlaskan CE Cruise through
Tracy Arm Fjord, with round trip
from Seattle, WA
mddsdentist.com or 303.488.9700
Sept. 6
MOLARS Dental Golf Championship
MDDS Basic Radiation
AUGUST 2011
August 5
BBCDS Dental Aid Fundraiser
DENTAL AID FUNDRAISER – Food,
Drinks and Live Music!
Longmont, CO
For more information, visit
www.bbcds.org or email info@bbcds.org.
August 6
MDDS Night with the Colorado Rockies
4:30 pm-10:00 pm
Coors Field
2001 Blake Street
Denver CO 80205
Bring your family and friends to root for
the home team as they face off against
the Washington Nationals on Saturday,
August 6, 2011. The festivities begin at
4:30 p.m. in the Coors Outfield Picnic
Area with a classic picnic grill buffet.
The game will start at 6:10 p.m.
Rate: $45 per attendee
Registration Deadline: August 1, 2011
To register go to mddsdentist.com
MDDS CPR/AED Course
Aug. date and time TBD
Hit the links for the 6th annual
MOLARS Dental Golf Championship
at The Ridge at Castle Pines North
on Sept.16th and support the Smile
Again Program® while you play one of
Colorado’s most beautiful courses.
8:00 a.m. start time
For information call Amy R. Boymel
303.957.3272 or email aboymel@mddf.org
MDDS CPR/AED Course
Sept. date and time TBD
OCTOBER 2011
MDDS CPR/AED
MDDS office
Oct. date and time TBD
MDDS Clinical Course - Sleep Medicine,
National Jewish Hospitial
Oct. date and time TBD
NOVEMBER 2011
MDDS Behavior Management
Strategies in Pediatric Dentistry with
Special Consideration of Medical
Immobilization
mddsdentist.com
MDDS CPR/AED
MDDS office
Feb. date and time TBD
MDDS Hands-on Course - Pankey
Institute: Introduction to Bonded
Porcelain Restorations
Feb. date, location and time TBD
FEBUARY 2012
MDDS CPR/AED
MDDS office
Mar. date and time TBD
APRIL 2012
MDDS CPR/AED
MDDS office
April date and time TBD
MDDS Clinical Course
Comparative Lasers
MDDS office
April date and time TBD
MAY 2012
MDDS Family Fun Event
May date, location and time TBD
DECEMBER 2011
MDDS Annual Meeting
Inducting Dr. Diane Fuller
May date, location and time TBD
Nov. date and time TBD
Are you an MDDS Member who would
like to list your event in the Event Calendar?
18
Feb. date and time TBD
MDDS office
MDDS Nitrous Oxide
Childerns Hospitial
Dec. date and time TBD
Contact Jason Mauterer at
jmauterer@mddsdentist.com
or call 303.488.9700 x3270
MDDS office
JUNE 2012
MDDS Weekend Family
Adventure Trip
June date, location and time TBD
MDDS CE Cruise
June date, location and time TBD
Articulator
June 2011
MATERIAL
MATTERS
Find It, Arrest It, Kill It….Don’t Let It Get Away
By Sheldon M. Newman, DDS, MS
Incipient caries is our nemesis. Fighting it is our goal. New
methods are being developed for diagnosing it, stopping it and
killing it. We know we can fight the demineralization process
and we may even be able to remineralize the tooth. We can
cover or infiltrate it to possibly keep it from progressing without
eliminating tooth structure. These methods can be used to treat
white spot lesions.
fluoride in a toothpaste from 3M/ESPE. The combination of
fluoride with the availability of calcium phosphate could have a
synergism to enhance a cariostatic effect.15,16 There are a number
of products on the market that contain calcium phosphates in
various forms and fluoride that can help us fight incipient carious
activity in tooth structure. These products can be used to help
reduce and eliminate hypocalcified white spot lesions.
First we have to find these tiny lesions that aren’t necessarily
obvious at first glance. There are new systems that can add
to visual, tactile and radiographic diagnostic techniques. The
Diagnodent from Kavo has been around for over a decade to help
find smaller lesions.1 There will also be another system coming to
the market soon called the Canary System from Quantum Dental
Technologies with improved diagnostic capabilities.2 Once found,
how do you non-invasively treat these lesions?
There are methods to find caries, arrest caries, and kill caries
without invasively cutting tooth structure and having to restore
the tooth with plastic and metal materials.
A new concept material extends to smooth tooth surfaces the
proven effectiveness of pit and fissure sealants. Richard Simonsen
presented pit and fissure sealants as a proven preventive treatment
in 1977.3 By 1998 Eva Mertz-Fairhurst proved that sealants
could prevent radiographically evident caries progress in pits
and fissures for 10 years.4 Today DMG offers a product, Icon,
that non-invasively infiltrates lesions to slow caries progress.5 In
addition to retarding caries progression, the resin can mask white
spot lesions non-invasively.6 More studies are being done, some in
conjunction with fluoride treatment for enhanced effectiveness.
A relationship between fluoride and the inhibition of caries
was first identified by Frederick McKay early in the 1900’s.7,8 In
addition to fluoride-containing toothpaste, whose effectiveness
relies on patient compliance, we use professionally applied
fluoride varnishes9,10 to aid in fighting this disease. The newest
addition to our armamentarium for treating, and possibly
preventing or reversing initial caries lesions, is calcium phosphate.
There are many forms of calcium phosphate, one being the tooth’s
hydroxyapatite, a carbonated-hydroxy-calcium –phosphate. One
form is a non-crystalline, amorphous calcium phosphate (ACP)
developed at the ADAHF Paffenbarger Research Center11,12 and
a milk protein associated, casein-phosphopeptide amorphous
calcium phosphate (CPP-ACP)13,14 developed in Australia. Both
were developed in the mid 1990’s. The ACP has been incorporated
into a series of products from Bosworth that include an ortho
adhesive, a pit and fissure sealant, a liner, etc. When incorporated
into a resin, the ACP has to be released from the resin to have
any effect. Certain formulas that slightly increase the hydrophilic
nature of the resin will allow slow egress of the active agent from
the resin accessible to tooth surface. The CPP-ACP is in GC’s MI
Paste Plus with fluoride. The CPP-ACP is also in a varnish from
Premier. Recaldent is a CPP-ACP in Trident Xtra Care chewing
gum. There are crystalline forms of calcium phosphate, such as
tri-calcium phosphate, that have been used in combination with
mddsdentist.com
1. Shi XQ, Welander U, Angmar-Mansson B; Occlusal caries detection with KaVo DIAGNOdent
and radiography: an in vitro comparison. Caries Research 34(2):151-8, 2000 Mar-Apr.
2. Hellen A, Matvienko A, Mandelis A, Finer Y, Amaechi BT; Optothermophysical properties of
demineralized human dental enamel determined using photothermally generated diffuse photon
density and thermal-wave fields. Applied Optics 49(36), 6938-6951, 2010.
3. Simonsen RJ, Stallard RE; Sealant-restorations utilizing a diluted filled composite resin: one year
results. Quintessence International 8(6):77-84, 1977 Jun.
4. Mertz-Fairhurst EJ Curtis JW Jr, Ergle JW, Rueggeberg FA, Adair SM; Ultraconservative and
cariostatic sealed restorations: results at year 10. Journal of the American Dental Association
129(1):55-66, 1998 Jan.
5. Martignon S, Tellez M, Santamaria RM, Gomez J, Ekstrand KR; Sealing distal proximal caries
lesions in first primary molars: efficacy after 2.5 years. Caries Research 44(6):562-70, 2010.
6. Kim S, Shin JH, Kim EY, Lee SY, Yoo SG; The evaluation of resin infiltration for masking labial
enamel white spot lesions. Caries Research 44:171-248, Abs.47, 2010.
7. McKay FS; An appraisal of the water-borne fluoride-dental caries relationship. American Journal
of Public Health & the Nation's Health. 43(6 Pt 1):700-3, 1953 Jun.
8. McKay FS; Relation of mottled enamel to caries. Journal of the American Dental Association
15:1429-37, 1928.
9. Tan HP, Lo EC, Dyson JE, Luo Y, Corbet EF; A randomized trial on root caries prevention in
elders. Journal of Dental Research 89(10):1086-90, 2010 Oct.
10. Slade GD, Bailie RS, Roberts-Thomson K, Leach AJ, Raye I, Endean C, Simmons B, Morris
P; Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal
children: results from a community-randomized controlled trial. Community Dentistry & Oral
Epidemiology 39(1):29-43, 2011 Feb.
11. Skrtic D, Antonucci JM; Dental composites based on amorphous calcium phosphate - resin
composition/physicochemical properties study. Journal of Biomaterials Applications 21(4):375-93,
2007 Apr.
12. Skrtic D, Hailer AW, Takagi S, Antonucci JM, Eanes ED; Quantitative assessment of the efficacy
of amorphous calcium phosphate/methacrylate composites in remineralizing caries-like lesions
artificially produced in bovine enamel. Journal of Dental Research 75(9):1679-86, 1996 Sep.
13. Bailey DL, Adams GG, Tsao CE, Hyslop A, Escobar K, Manton DJ, Reynolds EC, Morgan MV;
Regression of post-orthodontic lesions by a remineralizing cream. Journal of Dental Research.
88(12):1148-53, 2009 Dec.
14. Reynolds EC, Cain CJ, Webber FL, Black CL, Riley PF, Johnson IH, Perich JW;
Anticariogenicity of calcium phosphate complexes of tryptic casein phosphopeptides in the rat.
Journal of Dental Research 74(6):1272-9, 1995 Jun.
15. Vogel GL. Zhang Z. Chow LC. Carey CM. Schumacher GE. Banting DW; Effect in vitro
acidification on plaque fluid composition with and without a NaF or a controlled-release fluoride
rinse. Journal of Dental Research 79(4):983-90, 2000 Apr.
16. Ekstrand KR, Bakhshandeh A, Martignon S; Treatment of proximal superficial caries lesions
on primary molar teeth with resin infiltration and fluoride varnish versus fluoride varnish only:
efficacy after 1 year. Caries ResearcH 44(1):41-6, 2010.
Articulator
June 2011
19
PRACTICE
MANAGEMENT
Communication Skills and Dental Technology
By Amy Kirsch
I
n today’s competitive
dental environment, there
are two crucial keys to
great case acceptance,
increased production and
healthy new patient flow.
First, creating a strong trusting relationship
with your patients, and secondly, involving
your patient in the treatment planning
process. Now more than ever, it is critical
the doctor and team educate their patients
through technology and at the same time,
provide a high level of empathetic and
caring communication skills. State of the art
technology allows us to educate our patients,
but unfortunately, some of the focus on our
technology can also take away from building a
solid trusting relationship with our patients.
How can we utilize the technology to provide
the highest quality care and build on the
patient/doctor relationship? Let’s discuss the
five ways to incorporate the technology and
provide an environment of building trust
and care:
1. Patient check-in and arrival: Before
handing them the electronic pad to sign off on
their new patient paperwork or update their
medical history, greet them by name and shake
their hand. The dental hygienist and assistant
should be going into the reception area to greet
their patients by name instead of calling them
from the doorway.
2. Listen: Before taking their extra-oral and
intra-oral photos, perio probing or using the
VELscope, take a few minutes to listen to your
patient’s needs. Sit in front and slightly to the
side of your patient as you ask open-ended
questions, maintain eye contact and then listen
to their responses. There is an old saying,
“Patients don’t know how much you know
until they know how much you care.”
It is too easy to focus on the technology in
the treatment room, versus the person behind
the teeth.
20
mddsdentist.com
3. WIIFM’s: When introducing technology to
patients, make sure you use a “WIIFM-What’s
in it for me?” For example:
• “To catch problems when they are small,
Dr. Smith has asked me to take 4 cavity
detecting films.”
• “To save you time away from work and
avoid a second appointment (and injection) we
provide a one appointment crown procedure.”
• “To possibly avoid a painful procedure down
the road and arrest your gum infection, we will
utilize a soft tissue laser at your next visit.”
production and collection. Focus your team
efforts this year on communicating excellence
while using the latest and greatest technology
for a WIN-WIN for you and your patients.
Amy Kirsch is a nationally known dental
consultant and speaker and the owner of Amy
Kirsch & Associates in Greenwood Village,
Colorado. She is a member of the Academy
of Dental Management Consultants and the
American Academy of Cosmetic Dentistry.
She has been a Visiting Faculty Member of the
L.D. Pankey Institute and is currently a Clinical
Assistant Professor at the University of Colorado
School of Dental Medicine.
4. Digital communications: Confirm your
patients’ appointments according to their
personal preference: Email, text or phone call.
Did you know 75% of today’s dental patients
prefer a text or email confirmation for their
appointments? Using Demand Force or Smile
Reminders helps keep your schedule full and
productive and makes your practice appear
to be state of the art. To reach out to your
patients, keep them educated and informed
with a great website, a professional Facebook
page and email newsletters.
5. Treatment Planning: Involve your patients in
their treatment planning by giving them a copy
of their Treatment Plan and intraoral photos.
Circle or highlight the areas of concern and the
order of treatment. “So you can make the best
decision possible regarding your treatment, I
am including this information for your review.
My job is to tell you what you need; your job is
to decide when you would like to do it.”
In the last few years, we have all noted many
patients who are watching their pocketbook
regarding dentistry. No matter what their dental
insurance coverage is or their personal financial
situation, almost all patients want a dentist and
team they can trust and who utilizes the latest
in technology. One without the other results in
a lower case acceptance and therefore, lower
Articulator
June 2011
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Articulator
March/April 2011
21
NON-PROFIT
NEWS
A True Dental Lifeline
By Michael Diorio, DDS
I
magine being able to help someone to whom life has not been kind, a fellow
human that has had struggles and is trying to move on to a better place. What
if improving their dental health might serve as a stepping stone to a better path
in life, helping them improve their overall health? You can help them to restore
some self esteem and dignity or simply get them out of pain.
Turning Trash
into Treasure
By Amy R. Boymel,
MDDF Executive Director
Now let’s imagine being able to accomplish that without any insurance hassles,
no lab fees and the ability to provide the care in the comfort of your own office
with your own equipment and staff.
No need to imagine, someone else already has.
This opportunity to serve has actually existed for
over 35 years, having its birth right here in our
mile high city of Denver. Many of us know it as the
National/Colorado Foundation of Dentistry for the
Handicapped (NFDH). I personally have been a
provider since 1995 and will continue as long as I am
still able to practice dentistry.
Much like the services it provides to its clients, the
Foundation, as it is known by, has undergone a
makeover of sorts. It is still the same solid charitable
organization that its founder, Dr. Larry Coffee,
established in 1976. Recently the NFDH did change
its name, or façade, to something that is more
Jan, a DDS patient, with Dr. Wayne Selting
relevant of its mission and what it accomplishes.
Dental Lifeline Network is the new name of the dental charity that has provided
over 200 million dollars worth of dental care nationwide and 19.7 million dollars
right here in Colorado.
Dental Lifeline Network has different methods of providing care for those truly in
need. One of the programs is known as DDS or Donated Dental Services. This is
where volunteer dentists and labs work together to
provide comprehensive dental care for patients in
need. The patients are pre-screened and a synopsis
of their needs and condition is presented to the
doctor for approval before the patient is scheduled.
The providing office can treat as many or as
few cases as they desire in a year. There is also a
network of specialists to provide services that a GP
Rene, a Dental HouseCalls patient,
may not be comfortable providing.
with Dr. Robert Walden
Another mode of treatment is the Dental House Calls program. It utilizes a van
that will actually travel to locations, usually nursing homes and other similar care
facilities. The van is staffed by a full time driver/chair side assistant and a dentist that
is paid a nominal stipend to provide the care.
As with most charitable situations, the need for care far exceeds the number of
volunteers that are currently providing care, both dentists and labs. I would like to
challenge my colleagues that are not involved with Dental Lifeline Network to try it
just once. If you find it as rewarding as I have, you will probably be looking forward
to your next chance to make a difference. If it is not for you, at least you have been
able to help out one person who was able to receive some much needed dental care.
To join or find out more information please check out dentallifeline.org or contact
the Colorado office at 303-534-5360.
22
mddsdentist.com
Left to Right: Dr. Gene Bloom, Dr. Michael Poulos, Dr. Charles Danna
O
n a not-quite-sunny Saturday in May more
than 50 people helped turn their trash into
treasure for MDDF. Cars, trucks and minivans filled with boxes paraded through the
MDDS/CDA parking lot for MDDF’s annual Shred
Event. More than 500 boxes of old dental records,
financial papers and other documents were shredded,
with all of the proceeds benefitting MDDF programs.
The 2011 Shred Event raised more than $11,000!
And it couldn’t have happened without you – MDDS
members! Extra special thanks go out to Dr. Charles
Danna (MDDS President), Dr. Michael Poulos
(MDDF President), and Dr. Pat Prendergast (MDDF
Vice-President) who led the volunteer effort, ably
assisted by Ms. Korinna Milam and Dr. Carl Boymel,
with special help provided by Ms. Harper Milam.
This event would not be possible without the generous
support of Cornerstone Records Management and
their amazing staff, directed by Mr. Bill Bradford.
Shredding trucks were humming and ready to go early
in the morning and the crew worked non-stop until
every last paper was destroyed. MDDF is truly grateful
to have such a wonderful partner.
If you missed the Shred Event this year, there’s always
next year! But if you need help clearing out the clutter
sooner, please consider contacting Cornerstone
Records Management at 303-307-9890. Be sure to
mention that you’re an MDDS member for special
“members only” discount rates.
To everyone who supported the 2011 Shred Event
– whether you posted your Legal Notice through
MDDF, brought your boxes to the event, or
volunteered your time – THANK YOU!
Articulator
June 2011
MARK YOUR
CALENDAR
January 19 ▶ 21, 2012
Rocky Mountain Dental Convention
20 CONNECT
12 RMDC ▶ DENVER,CO
Check out our
heavy-hitting
educational
lineup at the
Rocky Mountain
Dental Convention!
Photo by: Steve Crecelius and VISIT DENVER
Learn more at
RMDCONLINE.COM
▶ Dr. Peter Dawson & The Dawson Academy
▶ Dr. Gordon Christensen
▶ Dr. Terry Tanaka
▶ The Pankey Institute
Above: The Convention Center’s Famous “Blue Bear” Sculpture
Below: The Beautiful and Modern Colorado Convention Center
See You Here at the RMDC this January!
Photoby:
by:Scott
ScottDressler-Martin
Dressler-Martinand
andVISIT
VISITDENVER
DENVER
Photo
ASK A
PROFESSIONAL
Here are some helpful Q&A's regarding personal asset protection.
Questions by Carrie Seabury, DDS with answers by Kimberley G. Taylor, B.A., J.D
Q: What is the biggest issue you see dentists overlook?
A: A significant portion of my practice is focused on reviewing
and negotiating office leases as well as property purchase and sale
agreements for dentists. The most common comment I make to
my clients is that they should have the “buyer” or “tenant” name
on those documents changed from their own name to that of a
business entity that they have formed. Among other formalities
that should be followed with respect to the management of
the business entity that is formed, all agreements (i.e., leases,
contracts, etc.) should be made in the name of the entity. In each
instance, not only should the entity’s name appear, but also, the
correct title of the person signing for the entity. For example, "By:
Jane Dentist, Manager" for a limited liability company or "By: Jane
Dentist, President" for a corporation. This is a protective measure
that I recommend for almost any circumstance where a dentist is
entering into a business transaction.
Q: Are there restrictions on how dentists’ business
entities are formed?
A: The corporate practice of medicine doctrine is a legal concept
derived from common law that recognizes and requires that
actual people, not entities, practice medicine, but the Dental
Practice Law of Colorado (Colorado Revised Statutes 12-35101, et seq.) does permit dentists to operate the business of
their practice through professional service entities (“PSEs”) so
that dentists may utilize business entities in order to attain tax
advantages and personal liability protection in circumstances
that are common among businesses. These legal structures
mandate that the owners of any PSE must be licensed dentists.
Furthermore, there are statutory requirements regarding liability
issues, insurance and other matters that must be included in the
governing documents of these entities. Therefore, when forming
an entity, it is important that dentists work with professionals who
are aware of these requirements and know how to incorporate
them into the business entity’s governing documents.
Q: What is the benefit in forming a business entity?
A: Forming a business entity such as a corporation,
S-Corporation, or Limited Liability Company can provide broad
protection from personal liability for the debts and liabilities of
the business entity. That means that, generally, creditors can reach
the entity's assets, but once those assets are exhausted they should
not, ordinarily, be able to reach the personal assets of the entity’s
owners. One simple example to illustrate this point follows. Jane
Dentist owns an office and the surrounding parking that benefits
the office. She owns this property in her own name and not that
of an entity. One day, in an area of the parking lot that is owned
24
mddsdentist.com
by the Jane Dentist, a patient slips, breaks his leg and hits his head
on the surface of the lot causing a concussion. The patient has to
have surgery and misses work. The patient then decides to seek
compensation for his injuries and lost income. If the insurance
on the property does not cover this circumstance or has been
otherwise exhausted, the patient may decide to sue Jane Dentist
personally for the damages. This could deplete Jane’s savings and
be financially devastating. If Jane Dentist had created a business
entity to own the property and followed the proper formalities
for maintaining that entity, Jane would likely be protected from
personal liability because the patient would only be able to sue
Jane’s business entity. The exposure to the kind of tort liability
described in the example can occur whether you own or lease.
Furthermore, every dentist, whether owning or renting, will be
exposed to contractual liability for its loans, equipment, services,
employment contracts, etc. Forming an entity mitigates the
exposure to personal liability. While no law suit is welcome to an
entity or person, it is better to have an entity bear the brunt of the
matter rather than you and your family.
Q: You mention following formalities in the operation of
your business, what do you mean?
A: As discussed above, forming an entity will provide a veil
to protect owners from certain personal liability for the debts
and liabilities of the entity. That means that, generally, creditors
can reach the business entity's assets, but once those assets
are exhausted they should not, ordinarily, be able to reach the
personal assets of the entity’s owners. Under some circumstances
(usually civil litigation), however, those to whom the entity may
be liable might attempt to "pierce the corporate veil." “Piercing
the veil” is a legal concept that describes an action to have the
business entity ignored for purposes of the litigation so that the
personal assets of the entity’s owners can be reached. An action to
pierce the veil of liability protection may be successful if a plaintiff
can prove that the corporation is essentially a sham and is only an
extension of its owners being used to perpetrate fraud. Then, the
liability protection provided by forming an entity could be lost.
Therefore, treating the entity as a being separate from its owners
and following the proper formalities for the kind of entity that
you form is essential. By way of example and not limitation,
acts to observe these formalities include: filing annual reports;
maintaining enough money in your bank accounts to cover
necessary business operations, including deductibles and
liabilities as they come due (e.g. monthly rent, monthly insurance,
etc.); keeping business bank accounts separate from personal
accounts; and maintaining appropriate record books to document
the formal actions taken by the entity.
Articulator
June 2011
WATCH DENTAL LINE 9
ON CHANNEL 9
Thursday, July 7, 6:00 – 7:30 a.m.
exciting DiSc
eDucational
SeminarS
location:
MDDS Building,
3690 S. Yosemite Street,
Denver, CO 80237
time:
5:30 PM to 8:30 PM
Complimentary light dinner
at 5:30 PM. Lecture begins
promptly at 6:00 PM.
CE credits are available.
Fees for 2011 are waived due
to corporate sponsorship.
The Denver Implant
Study Club (DISC)
c/o Aldo Leopardi, BDS, DDS, MS
7400 East Crestline Circle, Suite 235
Greenwood Village, CO 80111
Please note:
Capacity is limited. If interested in
attending, please call 720.488.7677
to reserve your place.
Check Out Our Newly
Designed Rocky Mountain
Dental Convention Website!
may 26, 2011
Dental implant treatment Planning:
Hands-on Session.
Dr. Aldo Leopardi, Prosthodontist,
Greenwood Village, Colorado
September 8, 2011
Zimmer Dental
ten Keys for Successful
implant restorations.
Dr. James A. Rivers, Professor and Chair,
Department of Oral Rehabilitation,
College of Dental Medicine, Medical
University of South Carolina
november 10
Astra Tech
implant abutment Selection: the a
to Z of implant restorative Dentistry
in the general Dental Practice.
Dr. Jason Bortolussi, Prosthodontist,
London, Ontario, Canada
For aDDitional inFormation viSit:
www.KnowleDgeFactoryco.com/DiScScHeDule
rmdconline.com
mddsdentist.com
2011
aldo leopardi, BDS, DDS, mS
Prosthodontist /// P. 720.488.7677 /// F. 720.488.7717
Articulator
June 2011
25
CLASSIFIEDS
DENTAL TECHNICIAN WITH 30 YEARS
EXPERIENCE seeking employment with a
dental practice. Experienced in all types of
fixed dental restorations, especially implants.
Anxious to relocate. Lawrence M. Friebel,
CDT P: 858.272.9987; F: 858.272.9986;
larryfriebel@att.net
RPM: 300-40,000 rpm
Torque: 5.5 Ncm at 300-12,000 RPM
Irrigation: Internal Coolant Tubing
Retails: $8,000.00
For Sale: $6,000.00
Jenn Alvarez 303.791.3232
MIDMARK M3 ULTRAFAST STERILIZER
Brand new and has never been removed from
original box! Sterilizer unwrapped instruments
and handpiece in just 6 minutes and pouched
instruments in just over 10 minutes. One-step
loading operation, push button cycle selection,
automatic drying and automatic door opening.
External Dimensions: 6.9”Hx17.8”Wx22”L
Chamber Dimensions: 1.6”Hx7.6”Wx12.1”L
Reservoir Capacity: 1.2 Gallon
Retails: $4,637.56 - $5,995.99
For Sale: $4,200.00
Jenn Alvarez 303.791.3232
SOUTH DENVER / HIGHLANDS RANCH
area Immaculate, modern 4 op practice
off University Blvd.& 470 - available on
Thursday and Friday. Seeking an Oral
Surgeon or Periodontist to share space. Seven
general practice dentists in the complex.
720.218.0883
KAVO INTRASURG 300 PLUS Only
surgical unit with light . Automatic handpiece
recognition, no re-programming needed.
Records maximum torque used at each step,
beneficial for immediate loading implants.
DENTAL SPACE AVAILABLE 1127 East
Mississippi Ave., Aurora Colorado. Dental
suites available and ready to move in. Several
sizes from 860 to 2,100 square feet. Call
Curley Properties, LLC 303.799.8800
FOR SALE: Three Royal pedo/ortho dental
chairs in good condition, $300 each. Also, eight
reception room chairs and three task chairs, all
matching color to the dental chairs, $35 each.
303.740.7088, orthopedo@comcast.net
THE DENTAL LIFELINE NETWORK
COLORADO, formerly known as the
Colorado Foundation of Dentistry for the
Handicapped, is seeking dentists for its
portable treatment system that treats those
in nursing centers or centers for people
with disabilities. Work one to two days per
week. Dentists are reimbursed for their
services. Such a position could be especially
appealing to semi-retired dentists. Interested
dentists should contact Gary Cummins at
303.534.5360 or 888.471.6334.
HIRE ME TO SELL YOUR PRACTICE! 16
Years Experience in Dental Transitions! I get
results! It’s a Seller’s Market! I have “qualified”
Buyers! I also help dentists with Associate to
Partnerships or Associate Buy-outs! Don’t
miss out on the best opportunity to sell!
Practice Values are strong, Interest Rates are
still low for Buyers, I work with lenders who
have money! Susan Spear, Practice Transition
Specialist / Licensed Broker SAS Transitions,
MPB, Inc. 303.973.2147 susan@sastransitions.
com/susan@practicebrokers.com
SPACE SHARING: BROOMFIELD,
COLORADO Share space in “high end”
facility in excellent location! Will include
disposable supplies and computer support!
Digital radiography, Pano, Staff availability
negotiable. Lease for less and improve your
start-up location, begin your own practice
without the big cost, or just enjoy managing a
small practice! Susan 303-973-2147 or susan@
sastransitions.com
PRACTICES FOR SALE: Sold- Fort Collins,
Cheyenne, Metro-Denver…New!!! Listings
Now Available! Northeastern Colorado,
Boulder County, Metro Denver, Southern
Colorado! Call today for specific information.
Inventory changes before my ads! My
special buyer pool gets first come first serve!
Susan Spear, Practice Transition Specialist
/ Licensed Broker, SAS Transitions, MPB,
Inc. 303.973.2147 susan@sastransitions.com/
susan@practicebrokers.com
PEDIATRIC DENTAL PRACTICE: EUREKA,
CALIFORNIA Did you just finish your
Pediatric Residency? Great opportunity for
pediatric dentist looking for a quality life style,
exceptional income and benefits working in a
new, modern pediatric dental office. Revenues
of $1.5M with low overhead, great purchase
price. Owner retiring and motivated to sell!
Check it out! Susan Spear, MPB, Inc., PC,
Inc. of California, 303.973.2147 email susan@
practicebrokers.com
For information about the Articulator Classifieds contact
Jason Mauterer at jmauterer@mddsdentist.com
or call 303.488.9700 x3270
26
mddsdentist.com
Articulator
June 2011
FINANCE
MANAGEMENT
FYI cont. from page 16
affected by factors other than the financial
condition of the corporation. Such factors
include political events, tax laws, interest
rates and economic conditions. Dividend
payments, if they are issued, are taxed
as capital gains, while stock sales which
trigger a capital gain or loss are also taxed
at the appropriate capital gains rate. Stocks
are many times purchased as contained
in a mutual fund. I have observed many
individuals purchasing several mutual
funds thinking they are diversifying their
investment portfolio without considering
the content of the mutual funds they hold.
In many cases, individuals acquire several
mutual funds holding similar equity
investments and are just duplicating rather
than diversifying their investments. It is
common practice for equity investors to
compare their investment performance
to broad market averages such as the
Dow Jones Industrial Average (30 large
capitalization stocks), the Standard and
Poor’s 500 index (500 large capitalization
stocks), the NASDAQ (an electronic
securities trading market in the United
States), the Russell 2000 index (2000
small-cap stocks) and the Wilshire 5000
index (virtually all stocks traded in the
United States) depending on the market
capitalization and industry associate
with their portfolio holdings. As stated
above, yields in the form of dividends
and capital appreciation can be very good
with equities while protection over the
long term against the forces of inflation
can also be achieved. For the financial
rewards however, there are risks which the
investor needs to identify and mitigate or
accept. A long time horizon for investing
and diversity of allocation among different
types of equities are significant factors in
having success with equities. It is quite
the challenge to maintain investment
performance on a consistent basis. Seek
out the appropriate expert with investment
knowledge and skills to meet your needs.
Sources:
“The Tools and Techniques of Investment
Planning” S .R. Leimberg
Dr. Leone has been a clinical practicing
dentist for 39 years and is a past president of
MDDS and CDA. He is currently serving the
profession of dentistry as the treasurer of the
American Dental Association. Dr. Leone is
also an associate at GHP Investment Advisors
Inc. in Denver, Colorado.
Diagnosis Challenge–Oral Pathology
By John D. McDowell, DDS
Suggested Differential Diagnosis from page 12
■
■
■
■
Squamous cell carcinoma (SCC)
Pyogenic granuloma
Papilloma
Peripheral giant cell granuloma
Because this lesion is exophytic, has a history of recent appearance with relatively rapid growth, is a “mixed red
and white lesion” and has an irregular eroded/ulcerated surface, a malignancy must be included in the differential
diagnosis. Since squamous cell carcinomas (SCC) represent more than 90% of oral malignancies, SCC must be
considered as the diagnostic imperative and should therefore go to the number one position on the differential.
The working diagnosis should be SCC.
After informing this patient about the potential for a malignant lesion, the plan with the highest utility should be
to biopsy this lesion at the earliest possible time. A biopsy is the only way to determine what this lesion actually is.
The pathology report indicated that this was a moderately well-differentiated SCC without bony involvement.
As a result of early diagnosis, surgical and oncologic treatment resulted in a very favorable outcome.
mddsdentist.com
Articulator
June 2011
27
LEGISLATIVE
2011 Legislative Success:
State Loan Forgiveness Available to Dental Faculty
By Jennifer Goodrum, CDA Government Relations
T
Photo Credit: Stan Obert and VISIT DENVER
Expect more...
Karlton D. Childress, CFP®, helps
dentists plan for their financial
futures. He was raised in a dental
family; he understands dentists.
Karlton is another reason why
you can expect more with us.
CALL TODAY FOR A FREE
FINANCIAL CONSULTATION
303.639.5100
S,, H
S
H


  J

PERSONAL FINANCIAL MANAGEMENT
shwj.com
Est. 1990
SUCCEED
PLANinvest
he Colorado state legislative session
concluded on May 11. During the 2011
session, the Colorado Dental Association
(CDA) monitored over 40 bills with direct
and indirect impacts on the dental profession.
With just a week left in the session, six bills
favorable to dentistry were signed into law.
One of the key bills passed this session is
HB11-1281, sponsored by Rep. Janak Joshi
(R-Colorado Springs) and Sen. Betty Boyd
(D-Lakewood). HB11-1281 expands a state
pilot program for faculty loan forgiveness
that had previously been restricted to nursing
faculty. The bill transfers administration and
funding for this program from a private entity
to the state office of primary care. With this
transition, all healthcare professional faculty,
including dentists and dental hygienists, will
be eligible to apply for state loan forgiveness
funds starting July 1, 2011. Eligibility criteria
for the state program are likely to mirror those
for federal faculty loan forgiveness programs,
which require a faculty to have an employment
commitment for a full-time or part-time faculty
position for a minimum of two years. We hope
that this faculty loan forgiveness program can
help dentistry continue to recruit top faculty,
especially during this time where higher
education funding has been severely impacted.
Traditional loan forgiveness programs for
dentists, primary care healthcare providers in
full-time practice, and public and non-profit
healthcare facilities are still available and were
unaffected by HB11-1281. Separately, the CDA
was successful in defending against budget cuts
to dental provider loan forgiveness programs
this session.
The CDA continues to monitor legislation and
advocate on the dental profession’s behalf at
the statehouse. A complete update on bills with
impacts on dentistry will be published in the
Summer CDA Journal.
a law office for dental and medical business needs .
Office Leases
Practice Transitions
Formation of Practice Entities
Property Purchases
Estate Planning
General Business Needs
Emphasis is placed on understanding client needs and using technology, resources, and relationships with your
brokers, consultants, bankers and CPAs to meet those needs in an efficient, effective and professional manner.
Law Office of Kimberley G. Taylor, LLC | www.lawofficekgt.com | 303-526-8456 or 970-926-6389 | kim@lawofficekgt.com
MDDS NIGHT
at the
Colorado Rockies vs.
the Washington Nationals
Saturday, August 6, 2011
Picnic starts at 4:30PM
Game begins at 6:10PM
Bring your Friends and Family to Watch the
Colorado Rockies beat the Washington Nationals!
REGISTER ONLINE at mddsdentist.com. If you have any questions
contact Debra Arneson, Associate Director of Convention & Events,
at darneson@mddsdentist.com or call (303) 488-9700.
Hosted by:
Do you know someone
considering a Career in
Dentistry?
Does your child or grandchild want to follow in
your career footsteps? Do you have patients who’ve
expressed an interest in being a dentist? If so, tell
them about Explorer Post 296, a program offered by
MDDF for students aged 14 – 21 who are considering
a career in dentistry.
They’ll get hands-on experiences and learn from the
experts (like you!) what it’s really like to be a dentist,
manage a practice, and so much more.
Please get in touch with Amy Boymel,
MDDF Executive Director, at 303-957-3272
or aboymel@mddf.org to learn more.
MARK YOUR
CALENDAR FOR
SEPTEMBER 16TH!
Dr. Scott Whitney hosts
the MOLARS Dental
Golf Championship
Hit the links for the 6th annual
MOLARS Dental Golf Championship
at The Ridge at Castle Pines North
on Sept.16th and support the Smile
Again Program® while you play
one of Colorado’s most beautiful
courses.
REGISTER BY AUG.12th!!
For information
Call Amy R. Boymel 303-957-3272
Or email aboymel@mddf.org
30
mddsdentist.com
Delta Dental of Colorado Fund
By Barbara Springer
At its most recent meeting, the
Delta Dental Board of Directors
approved $3 million for the
formation of the Delta Dental of
Colorado Fund. The Fund will
be used to provide low income
Coloradoans access to free dental
insurance for two years.
“The Fund will target our state’s
low-income population. It’s an
extremely underserved group;
many are currently suffering
from oral disease.” said Barbara
Springer, Delta Dental’s Vice
President of Administration.
The program is intended to give
patients a long-term experience
with a dental provider. “Our
expectation is that these people
will be with the program long
enough to see results.”
Get help for your low-income
patients
Do you have uninsured patients
who could benefit from this
program? What about Delta
Dental insured, low-income
patients facing unaffordable
out-of-pocket costs in the future?
The Fund can be used to help
folks regardless of whether they
currently have dental coverage.
The Delta Dental of Colorado
Fund will be available to lowincome Colorado residents
beginning July 1, 2011. All Delta
Dental providers will receive an
informational packet this month,
which will outline the program
and help you understand which
patients qualify for the program.
Fund grantees must see a Delta
Dental participating provider.
If you know a patient who could
benefit, contact Barbara Springer
at bspringer@ddpco.com.
Serve on the Delta Dental Board
Delta Dental of Colorado is
currently accepting applications
for its Board of Trustees. Those
interested should contact Kim
Fazekas at kfazekas@ddpco.com.
Articulator
June 2011
ADA Conference on Membership Recruitment and Retention
Chicago, IL March 31 – April 2, 2011
Left to Right: Left to right: Mr. Jason Mauterer, Ms. April Kates Ellison, Ms. Jennifer Wissel
and Dr. Brian Gurinsky
Left to Right: Dr. John Kuehne, ADA Director of Research & Laboratories, gives
a tour of the ADA Division of Science
Representatives of the MDDS Member Services Committee
attended the Annual ADA Recruitment & Retention Meeting in
Chicago, IL at the ADA headquarters. They learned a great deal
about new ways to recruit and retain members as well as how the
ADA can help us in our local initiative. If you are interested in
joining the Member Services Committee, please contact Jason
Mauterer, MDDS Director of Marketing & Communications,
at (303) 488-9700 or jmauterer@mddsdentist.com.
CDA Ladies in the Loupe
Denver Botanic Gardens, Denver, CO
Don't miss the CDA’s inaugural "Ladies in the Loupe"
program at the Botanic Gardens in Denver on Saturday,
July 16 from 11 a.m. to 2 p.m.
Brunch will be served at one of Denver's most beautiful
venues, and guided tours of the gardens
will be available prior to the program at 10 a.m.
Member Survey
Coming Soon!
Keep an
eye out for
an MDDS
member
survey in your
email, and
a chance
to win an
iPad!
Dr. Kathleen O’Loughlin, the ADA Executive Director, will
be the keynote speaker, addressing specific issues facing
women dentists. If you haven’t heard her speak, you won’t
want to miss this incredible opportunity! In addition,
roundtable discussions will cover a variety of topics such
as staff issues, stress, coping with family and a demanding
career, etc.
Female dentists are a growing demographic in our
profession today and this is a great opportunity to foster
that network. Please attend this program and bring another
dentist with you – member or non-member. Travel
scholarships are available for thosewho live outside the
metro area.
For more information and to RSVP, please contact CDA
Director of Membership Jeanne Nicoulin at
303.996.2842, 800.343.3010 x102 or jeanne@cdaonline.
org. There is no cost to attend this program but advanced
registration is required as seating is limited.
mddsdentist.com
Want to contribute an article
to the MDDS Articulator?
We would love to hear from you!
Contact Jason Mauterer at
jmauterer@mddsdentist.com
or call 303.488.9700 x3270
Articulator
June 2011
31