will - Arkansas State Dental Association

Transcription

Award-Winning Journal of the Arkansas State Dental AssociationVolume 84, Number 1 • Spring 2012
Arkansas Mission of Mercy Honorary Chairs,
the Honorable Jonesboro Mayor Harold and Susan Perrin
Dental Advisory Committee • Building patient trust
Take A Closer Look
At Your Insurance Coverages
partial to blending in...
...a partial that blends in
Endorsed by the Arkansas State Dental Association
Regions Insurance proudly presents the following programs:
For patients who want a
comfortable partial that
blends more naturally
into their mouth.
Contact Green Dental Laboratories, Inc.
at 800.247.1365 for our exclusive
ClearFrame solution!
•
•
•
•
Professional Liability
Property/General Liability
Individual Disability Income
Business Overhead Disability
•
•
•
•
Acc. Death & Dismemberment
Hospital Indemnity
Long-Term Care
Term Life
Please contact Regions Insurance soon for more information and a quotation:
Dwight Callaham
[email protected]
501.661.4958
Denise Turner
[email protected]
501.661.4954
Vernon Dutton
[email protected]
501.661.4959
Holly Schieber
[email protected]
501.661.4951
888.272.6656 • 1500 Riverfront Drive (72202) • Post Office Box 3398 (72203) • Little Rock, Arkansas
© 2012 Regions. Insurance products are not FDIC insured, not a deposit, not an obligation of or guaranteed by Regions Bank, its affiliates, or any government agency, and may lose value.
©2012 DIL, LLC
Implants
Partials
Dentures
Don’t Let Your Patients
Go “Tooth-Less”
Implants
Partials
Our quality speaks for itself.
501.352.6580
800-656-1113
North Little Rock, AR
Dentures
CONTENTS
Award-Winning Journal of the Arkansas State Dental Association
Vo l u m e 8 4 , N u m b e r 1 • S p r i n g 2 01 2
FEATURES:
Oral
Health
special
features
19
23
26
28
33
Joy and Sadness
The Office of Oral Health has come a long way since 1999
By Dr. Lynn Mouden
Delta Dental’s Affiliation Plans
for the Future
By Ed Choate
A Funding Alternative for
Long Term Care Expenses
By Dwight Callaham
Incorporating Minimal Oral Sedation Techniques
into the Arkansas Dental Practice
By K. David Stillwell, DDS, MAGD, FAAHD
A Kinder and Gentler Time in Dental Education
By Judith A. Ross, DMD, MS, Laura Darnell, DMD, PhD, Janet Harrison, DDS
and Timothy L. Hottel, DDS, MS, MBA
DEPARTMENTS:
AR
F rom the P resident : B y J im P hillips . . . . . . . . . . .
F rom the E ditor : B y T erry F iddler . . . . . . . . . . .
V olunteer O pportunities . . . . . . . . . . . . . . . . . .
F rom the E xecutive D irector : B y B illy T arpley . .
D ental S chools . . . . . . . . . . . . . . . . . . . . . . . . . .
D istrict D ental S ociety N ews . . . . . . . . . . . . . . .
A ssociate N ews . . . . . . . . . . . . . . . . . . . . . . . . . .
O bituaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C ov er
Arkansas Dentistry, Spring 2012
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
photo by
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
. 9
13
16
17
31
36
43
46
J oey G l aub
7
Accadia Court
From the
President
Accadia Court is nestled
in private green spaces with
quiet wooded views.
It’s also just down the street
from J.Crew.
ASDA Officers
President
James B. Phillips, MS, DDS
Jonesboro, Northeast
President-Elect
Miranda Childs Bebee, DDS
Arkadelphia, Southwest
Vice President
Robert Jolly, DDS
Little Rock, Central
Secretary/Treasurer
Mark Muncy, DDS
Clarksville, Northwest
Editor
Terry Fiddler, DDS
Conway, Central District
ASDA EXECUTIVE COUNCIL
Niki Carter, DDS
Little Rock, C (2012)
Paul Winborn, DDS
Fort Smith, NW (2014)
Jerry Friend
Little Rock, C (2015)
Alisa Hopper, DDS
Monticello, SE (2013)
Bob Gardner, DDS
Walnut Ridge, NE (2014)
Susan Wamble
Pine Bluff, SE (2015)
Angela Broomfield, DDS
Springdale, NW (2016)
David Cole
Magnolia, SW (2015)
Mike Brown, DDS
Newport, NE (2012)
Larkin Wilson, DDS
El Dorado, SW (2016)
ASDA Staff
Executive Director
Billy Tarpley
[email protected]
The New Destination For Health Care in Little Rock.
Membership Services
Cheryl Ball
[email protected]
Assistant Executive Director
Drew Ramey
[email protected]
ARKANSAS STATE BOARD OF
DENTAL EXAMINERS
PResident
H. Warren Whitis, DDS
Osceola (2012)
Vice-President
Drew W. Toole, DDS
Pine Bluff (2013)
Secretary/Treasurer
George Martin, DDS
Fayetteville (2014)
Lease space available from
1,200 to 9,000 square feet.
For information on available commercial property in Chenal Valley, contact:
Brandon Rogers, Commercial Broker 501-821-9105
Rebecca Catlett Cate, Commercial Broker 501-821-9107
Dr. James Phillips
David Bell, DDS
Arkadelphia (2016)
Robert Keene, DDS
North Little Rock (2015)
Jennifer Lamb, RDH
Little Rock (2016)
David E. Walker, DDS
Pine Bluff (2014)
Public member
Sheila Castin
Little Rock (2013)
Public Member
Ryan Solomon
Little Rock (2013)
Homegrown Dental Education,
Time to Plant the Seed?
An unprecedented opportunity to partner in developing dental education is
on the horizon for ASDA. Specifically, we are being asked to help establish a
“blueprint” for post-graduate dental education here in Arkansas.
Asked by whom? The Chancellor of the University of Arkansas Medical
Sciences, Dr. Dan Rahn has approached ASDA to establish a collaborative
pathway to initiate post-graduate education at UAMS.
What might this mean for Arkansas dentists? Initially, development of a
General Practice Residency would be centered in Little Rock. This training
program would follow established GPR guidelines and might consist of only a
couple of residents in the beginning then expand as required. For those of
you who are not familiar with a GPR curriculum, the following is typical:
Length of program: 1 year
Number of positions: flexible
Financial arrangement: salaried
Rotations:
Hospital dentistry, including comprehensive patient care of the medically,
physically, and psychologically challenged patients; restorative in the O.R.;
conscious sedation techniques for general dentistry; “on call” for the emergency room and inpatients. Typical rotation is 7 months.
One (1) month on oral and maxillofacial surgery.
One (1) month on anesthesia
One (1) month on medicine where the emphasis is assessing a variety of medical conditions.
One (1) month on Pediatric dentistry.
A partial month rotation in periodontal practice.
Obviously, all criteria for a GPR are already in place at UAMS. Initiation of a
program merely takes the desire to begin.
Continues
9
President
Continued from page 9
This is where our “unprecedented seed of
opportunity” can be planted. Past UAMS
Chancellors have given no thought to the
dental education possibilities inherent at
UAMS. Dr. Rahn was one of the principal
guiding forces in obtaining funding for
a new dental building for the University
of Georgia School of Dentistry and is an
aggressive advocate for dental education.
He has been tasked by the Arkansas
State Legislature to further all health
education in the state, including dental.
The next step might possibly be the
incorporation of all or a part of the UT
Pediatric Dentistry Residency (both 24
and 36 month programs) into the UAMS
system. As most Arkansas Dentistry
readers know, the current clinical setting of the resident training program
is located at the Crittenden Regional
Hospital in West Memphis. It seems a
logical step to incorporate this training
program into UAMS with rotations not
only at LeBonheur Hospital but also
the Arkansas Children’s Hospital.
Establishment of these training programs
could set the stage for an UAMS Oral and
Maxillofacial Surgery Residency. Because
of the involvement of the Medical School,
this program might possibly offer both a
“standard” 4-year OMFS residency and an
extended “dual degree” MD/DDS program.
The need is evident. UAMS has the only
level I trauma center in the state; but without OMFS participation. Most maxillofacial
trauma in the eastern part of the state is
transferred to “The Med” in Memphis.
How long Tennessee will treat our trauma
patients is anyone’s guess. Dr. Rahn realizes the unique skill set provided by the
OMFS residents in occuloplastics, reconstructive surgery, otolaryngology, craniofacial surgery, anesthesia, etc. Establishment
of this residency program would also not
10
be significantly problematic; UAMS has
complimentary programs in nearly every
other surgical subspecialty. Obviously
all it takes is a desire and funding.
Another way UAMS and ASDA might
partner is in the realm of dental continuing education. How about an annual
head and neck dissection course for those
who want to sharpen their skills; or how
about pathology lectures featuring the
State’s Board Certified oral pathologists?
Telemedicine/distance learning already
encompasses many UAMS departments.
How about CE teleconferenced from Little
Rock to all areas of the State? Availability
of dental specialists has always been a
problem in rural areas. In the future,
teledentistry may offer the possibility
of reducing professional isolation.
How convenient would it be to certify your
dental assistants in nitrous oxide analgesia
right in you own facility? This is a working
reality. ASDA and the Arkansas State Board
of Dental Examiners have approved the
concept as presented by Dr. Lindy Bollen
of the UAMS School of Dental Hygiene.
You would be able to go online through a
secure site and have your staff complete the
didactic portion through teledentistry. The
“hands-on: training would be done under
the dentist’s direct supervision. After successful completion, the Board would issue
a permit. This process would standardize
the educational process across the state.
On July 5, 2007, Senator Jack Critcher,
Chair of the Senate Interim Committee
on Public Health, Welfare and Labor,
and Representative Eddie Cooper, Chair
of the same Committee in the House,
representing the State of Arkansas Bureau
of Legislative Research, requested from the
Chancellor of UAMS that a study “of the
need for a school of dentistry” be undertaken. Dr. Charles Cranford was asked
by the committee to lead this research
and is the primary author of the study.
The results of this interim study proposal
(ISP 2007-173) which was also authored
by Ann Bynum, EdD; Gene Jines, DDS,
FICD; Robert Jolly, DDS; James Koonce,
DDS, MSD; Susan Long, EdD, RDH; and
Lynn Mouden, DDS, MPH, FICD, FACD;
are available through ASDA. Two initial
steps were suggested: 1) establishing a
component within UAMS named the
Arkansas Center for Dental Education
which would report directly to the
Chancellor; 2) instructing the Center for
Dental Education to develop a comprehensive plan for a UAMS College of Dentistry.
At the present time, only step one has
been completed. If you noticed on the
recent ASDA manpower survey, one of
the questions asked was that; if you, the
practicing Arkansas dentist, thought
a dental school was necessary. I know
what the general dentists in Jonesboro
would vote – I can actually see 12
dental offices out my front window!
If you read the interim study, it makes a
compelling argument for a dental school
in the future – but probably far in the
future. Certainly not in my practice life
and most likely not the traditional model
that we see at the University of Tennessee.
In conclusion, dental education across
the nation is changing. Discussions of
access to care, cost of educating our new
dentists, mid-level providers, curriculum,
etc. are being discussed at the highest
levels of state and federal government.
We have a singular opportunity to
partner with UAMS led by a chancellor
who is vitally interested in dental education. It is time to harvest this bounty.
Jim Phillips, DDS
President,
Arkansas State Dental Association
Get the MoNey you Need
Without tyiNG up the MoNey you Need
Arvest can help you get the equipment you need with a simple financing process.
•100%financingisavailable
•Fasterturnaroundthanmanyloanoptions
•Provensolutions
•Flexibilityinpaymentstructure
•Overcomebudgetlimitations
•Preserveexistinglinesofcredit
•Won’ttieupyourworkingcapital
For more information contact Bill King, NMLS #564301
at (501) 379-7256 or [email protected].
arvestleasing.com
MemberFDIC
Spring 2012, Arkansas Dentistry
From the
Energize Your Practice
Arkansas Dentistry is owned by the Arkansas
State Dental Association and published three
times a year by Matthews Publishing Group.
For subscription information, please contact
ASDA at 501-834-7650.
Publisher
Jennifer Matthews Kidd
Matthews Publishing Group
[email protected]
Art Director
Jon D. Kennedy
The Freelance Co.
[email protected]
Communications director &
managing editor
Kelly Cargill Crow
[email protected]
Editor
Terry Fiddler, DDS
Managing Editor
Billy Tarpley
Copy Editor
Joyce Fiddler
Advertising Questions?
For advertising information, please contact
Jennifer Matthews Kidd at 501-907-6776.
Now may be the best time to make an investment in your practice.
New equipment, technology, and unique design solutions offer opportunities
for greater efficiency so you can attain your business goals even faster.
Let the experts at Henry Schein show you how to add value to your
practice and energize your productivity!
Arkansas Center
Memphis Center
Henry Schein Dental
10303 Colonel Glenn Road
Suite 1D
Little Rock, Arkansas 72204
Henry Schein Dental
8400 Wolf Lake Drive
Suite 112
Bartlett, Tennessee 38133
Phone: 501.224.1221
Fax:
501.224.1170
Phone: 901.373.2572
Fax:
901.385.2607
Email: [email protected]
DENTAL EQUIPMENT DIGITAL IMAGING DIGITAL RESTORATIONS COMPUTER HARDWARE OFFICE DESIGN
The Fine Print:
The Arkansas State Dental Association and
Arkansas Dentistry disclaim and are wholly
free from responsibility for the opinions,
statements of alleged facts, or views therein
expressed by contributors to the publication
unless such statements have been adopted
by the Association. Manuscripts and news
items of interest to ASDA are invited. All
communications intended for publication
should be electronically mailed to Billy
Tarpley at [email protected]. We prefer
that the article be an attachment in Microsoft
Word, rich text format.The editor reserves the
right to edit all contributions and to reject
or delete material which may be deemed
unsuitable for publication.
How to contact us:
Arkansas Dentistry
c/o Arkansas State Dental Association
7480 Highway 107
Sherwood, AR 72120
Telephone: 501-834-7650
Facsimile: 501-834-7657
Equipment Sales & Service: 1-800-645-6594
www.henryscheindental.com
© 2010 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.
editor
Delta Dental Affiliation with Renaissance –
VOTE!
The following questions and answers were submitted to the editor following a
meeting with the officers and Executive Council of the ASDA with Mr. Ed Choate
of Delta Dental of Arkansas. Your Editor asked Mr. Choate and Dr. Herman Hurd
for any additional information to be submitted to Arkansas Dentistry to perhaps
answer questions that our members may have considered. All questions and
answers came from Delta Dental. Each member dentist needs to make a decision
based on the effect there will be on his patients and his practice. Will the affiliation be something I want to vote for or against?
Q&As for Provider Meetings on Delta Dental of AR Affiliation with
Renaissance
Q. What is RHSC and how long have they been in business?
A. Renaissance Health Service Corporation is a non-profit holding company
made up of seven other Delta Dental member companies (also non-profits):
Tennessee, Kentucky, North Carolina, Michigan, Ohio, Indiana and New Mexico.
The initial alliance by Tennessee, Michigan, Ohio and Indiana was formed about
seven years ago. The other companies have joined in the last three to four years.
Q. Will providers continue to work directly with
DDAR or will we interact with Renaissance?
A. Arkansas providers will continue to work directly with DDAR - you will
have no or virtually no interaction with Renaissance. Providers will continue
to contact Dr. Hurd, Edie Arey or our provider service staff in Arkansas as
needs or questions arise. Perhaps most importantly, DDAR will continue to
set provider reimbursement fees for our participating providers in Arkansas.
Q. Since Tennessee has been part of Renaissance for several
years, what do their providers think about the affiliation?
A. The Delta Dental of Tennessee management team and their board are very
happy with the affiliation. I cannot speak for the providers but would encourage you to contact your dentist friends there and ask their opinion. However,
since that transaction occurred several years ago, they may not recall or recognize Renaissance since they only interact with Delta Dental of Tennessee.
Continues
13
Editor
Continued from page 11
Q. What assurance is there
that DDAR will continue to
provide those services locally
(e.g., setting provider fees)?
A. Each Delta Dental member company
operates independently and is governed
by a local board of directors who has
control over its Articles of Incorporation
and Bylaws. Therefore, those services
cannot be unilaterally removed from
our company by Renaissance.
Renaissance requires
that all member
companies name
them as corporate
member and all
other participating
companies have done
so. Renaissance’s
role as corporate
member is to
provide a structured,
collaborative
process to make
decisions on how the
affiliation will invest
in technology and
achieve operational
efficiencies.
14
Q. Is reducing costs the sole reason for joining Renaissance?
A. It is an important reason but we
also expect to improve our operational and information technology
capabilities. Our objective is to improve
our capabilities while keeping our
costs competitive in the market.
Q. I understand why Delta would
want to affiliate with other companies but why do we have to give
up our role as corporate member?
A. Renaissance requires that all member
companies name them as corporate member and all other participating companies
have done so. Renaissance’s role as corporate member is to provide a structured,
collaborative process to make decisions on
how the affiliation will invest in technology and achieve operational efficiencies.
Q. What do we “give up” as a
corporate member if we approve
the changes to the DDAR
Articles of Incorporation?
A. As the DDAR corporate members,
participating providers have three rights:
1) vote on DDAR board members - you
may vote “for” or “withhold” your
vote; 2) amend the DDAR Articles of
Incorporation - requires a majority vote of
corporate members and a majority vote of
the DDAR board of directors (both must
approve exactly the same language); and
3) amend the DDAR Bylaws - requires at
least two-thirds of corporate members
in person to vote in favor of a change to
the bylaws or at least two-thirds of the
DDAR board of directors in person to
vote in favor of a change in the bylaws
(a higher standard is required since the
bylaws can be changed by either party).
Q. If we approve the affiliation then learn it is not to our
advantage, what can we do?
it will require a conversion of all support
systems and, if it is “without cause” (no
breech of contract by Renaissance), there
are significant additional costs to DDAR.
Q. What will DDAR do if the
affiliation does not pass?
Thinking of Going Digital?
A. Consumers are demanding more
affordable health care and medical/dental
insurance so we will have to find other
ways to reduce all costs (e.g., administrative costs, treatment costs, etc.) associated
with our business in order to remain competitive in this rapidly changing market.
Q. Is Renaissance actively recruiting other Delta Dental companies?
A. No, however, a number of Delta
Dental member companies are evaluating their strategic options and some
are considering Renaissance.
Q. Why limit the provider election
process to two dentist directors?
A. Our intent is to continue this
process into the future but we want
to stop after the first two dentist directors are elected to ensure the process
is working well for both parties.
Q. Some of your dentist directors
have served for a long time. How
can we be assured there will be an
election of two new dentists directors within a reasonable time?
A. If the Affiliation is approved, we will
add a new dentist to our board in 2012.
The process will begin in April with a goal
of electing the new director in time for
our board meeting on July 20. The DDAR
board is carefully evaluating term limits
and has encouraged long-term dentist
directors to consider early retirement from
the board to create an opportunity for providers to elect a second director in 2013.
CREATE FAST, ACCURATE IMPRESSIONS
TAKE IMAGESWITH CONFIDENCE
Acquire precise optical impressions for instant feedback with CEREC® AC
powered by Bluecam. Seamlessly transmit impressions to the laboratory
with CEREC® Connect, the world’s largest digital dental network.
Digital radiography can eliminate the need to store, handle and dispose
of chemicals and reduces radiation to a fraction of the amount given off
by conventional X-rays, providing a safer environment for your staff and
your patients. And taking X-rays has never been faster or more accurate,
with full-screen, adjustable images ready in just seconds.
Digital impression technology offers faster laboratory turnaround times,
shorter seating appointments and better fitting restorations – all without
the mess of conventional impressions.That means a better experience
for your patients and increased productivity for your practice.
For more information, contact your Patterson
representative or your local branch.
Little Rock Branch
3301 Main Street
Bryant, AR 72022
A. DDAR has the right to terminate the
affiliation agreement at any time in the
future. However, this should be done only
after very thorough consideration because
Schick offers a full line of intraoral and extraoral digital X-ray products,
including wireless sensors, panoramic imaging systems and digital
pan retrofits to provide a solution for every dental imaging need.
P110851 (10/10)
Tulsa Branch
1913WestTacoma St., Suite F
Broken Arrow, OK 74012
Memphis Branch
7866Trinity Road, Suite 101
Cordova,TN 38018
Advertiser Resource Index
Volunteer
Opportunities
AFTCO............................................... 38
Arkansas Dentistry.......................20, 45
Why not volunteer your dental services once or twice a year in the community that provides your livelihood? Volunteer
dentists, hygienists, assistants and staff are needed.
Some of the volunteer dental clinics in central Arkansas and their times of operation are listed below. A contact person is
included to answer questions and set up a time to volunteer.
Shepherd’s Hope Clinic
2404 S. Tyler
Little Rock, AR 72204
Contact: Pam Ferguson
501-614-9523
Hours: 6:00 p.m. – 9:00 p.m. every Tuesday
www.shepherdshopelr.org
Chenal Properties................................. 8
Delta Dental Plan of Arkansas................
..............................................Back cover
Dental International Lab...................4-5
River City Ministries
1321 East Washington Ave.
No. Little Rock, AR
Contact: Carol Ezell
501-376-6694
Hours: 8:30 a.m. – 4:30 p.m.,
seven days a week
www.rivercityministries.org
Edmonds Prosthetic Lab . ................. 18
Green Dental Lab....................................
.........inside front and inside back cover
Henry Schein..................................... 12
Northwest Arkansas Free
Health Center
10 South College Avenue
Fayetteville, AR 72701
Contact: Monika Fischer-Massie,
479-444-7548 or
[email protected]
Hours: Thursdays start between 4:00 and 5:30 p.m.
for about 2.5 hours;
Fridays start between 8:30 and 9:00 a.m.
for about 2.5 hours
Clinic makes accommodations for the volunteer
dentists’ schedules.
Jonesboro Church Health Center Dental Clinic
200 West Matthews Ave.
Jonesboro, AR 72401
870-972-4777
Christian Community Care Clinic
2200 W. South St.
Benton, AR 72015
Contact: Kae Wissler at Dr. Richard Phelan 501-778-7129
Hours: The 2nd and 4th Tuesday of every month
6:00 p.m. – 8:00 p.m.
www.bentoncareclinic.com
Charitable Christian Medical Clinic
133 Arbor St.
Hot Springs, AR 71901
Contact: Millie Lopez, 501-318-1153
Arkansas Health Care Access
Little Rock, AR
Massco................................................ 27
National Practice Transitions............. 21
Ocean Dental..................................... 22
Paragon.............................................. 41
Patterson Dental Supply, Inc.............. 15
R-dent Dental Laboratory, Inc.............. 6
Arkansas Donated Dental Services
Little Rock, AR
Editor’s Note: If you know of clinics anywhere in Arkansas that need to be included
please contact the editor at [email protected] or 501-327-7778.
16
Billy Tarpley
There’s a Change in the Wind
Arkansas Diamond Plan.................... 35
ARVEST.............................................. 11
Interfaith Health Clinic
514 West Faulkner
El Dorado, AR 71730
Contact: Charlotte Ellen,
870-864-8010
Hours: 8:00 a.m. – 5:00 p.m.,
Monday through Friday
Executive Director
Alabama Implant Education.........24-25
Volunteer Opportunities – A Chance to Give Back
Harmony Clinic
201 East Roosevelt Road
Little Rock, AR 72206
Contact: Eddie Pannell
501-375-4400
Hours: day and evening clinics,
Monday – Saturday
www.hamonyclinicar.org
from the
Regions Insurance................................ 3
This publication was made possible with
the support of these advertisers. They
deserve your consideration and patronage
when making your corporate purchasing
decisions.
When I was hired as your Executive Director in 1993, the new concept of “managed care”
was just making its arrival on the health care scene. Managed care was a totally new
model of delivery based on the theory that the care of a group of patients could actually
be managed. From the outset, we knew that managed care was actually managed cost.
For dental patients, little provision was made within the managed care model for the
essential dental services that you provide your patients every day.
As managed care permeated the health care delivery model, a new term arose: quality of
care. In other words, providers, payers and employers all questioned whether the quality
of patient care would suffer if providers were forced to function in a manner that requires
management of cost. To borrow from Asian philosophy, we find that after two decades of
extensive analysis the prevailing concept of quality of care has become yin to the managed care yang.
So, who really determines the quality of care? Is it the provider, who has taken an oath to
utilize his or her best judgment and skills in a manner that will produce the best outcome
for the patient? Or is it the insurance company and payers, who have contracted with an
employer or group to create a network of providers who supposedly will provide an optimum schedule of procedures at a minimum cost? Perhaps it is the patient, who in a perfect world would utilize the myriad resources to achieve and maintain optimum health in
the interest of enjoying a better quality of life and, ultimately, save his or her employer the
burden of excess premium costs.
To this point, we have become so steeped in the existing health care delivery system that
we may have overlooked other available options that require a new way of thinking, a
new point of view. Already we are hearing of the coming shortfall in state Medicaid funding when an additional 250,000 Arkansans enter the eligibility rolls in 2014. We hear
daily about the threats of PPACA (Patient Protection and Affordable Care Act, or
ObamaCare.) We are inundated with reports about the lack of dental care for the working
poor and indigent population who seek treatment in hospital emergency rooms for dental
related maladies, not to mention the efforts from national foundations who promote the
acceptance of mid-level providers as a logical solution for dentally underserved areas.
ASDA has its collective eyes wide open as we analyze the coming changes to health care.
In an effort to provide you with firsthand knowledge of the current status of proposed
changes, we encourage you to attend the “Health Policy Panel Discussion” during the
ASDA annual session at lunchtime on Friday, April 20 in the Statehouse Convention
Center in Little Rock. We have assembled a panel of leading policy makers to discuss the
current challenges and proposals in Arkansas. Lunch will be provided, and we encourage
you to attend.
Meantime, ASDA is working for you. Stay tuned.
Billy Tarpley
Billy Tarpley
Executive Director, ASDA
17
Joy and Sadness
The Office of Oral Health has come
a long way since 1999
Dr. Mouden
By Lynn Douglas Mouden, DDS,
MPH, FICD, FACD
The Office of Oral Health in the
Arkansas Department of Health has been
in existence since 1999 when Dr. Fay
Boozman brought me to Arkansas to
develop a state oral health program. It was
his foresight and the subsequent leadership at the Department that have led to so
many victories for oral health in our state.
With no staff support, no funding
and no infrastructure, the early days were
a challenge. Managing to beg, borrow
and steal enough to start driving around
the state with a portable exam light, 2000
saw Arkansas’ first statewide oral health
needs assessment. Of course it only proved
what we already suspected – some parts
of the state were horribly underserved
and caries was virtually rampant among
some populations. But that early survey
led to successful applications for support
funding from both the Centers for Disease
Control and Prevention (CDC) and the
Health Resources Services Administration
(HRSA). With those grants, the Office of
Oral Health began to grow and mature.
So, what’s changed since 1999?
Arkansas has a vibrant oral health surveillance system. To a private practice
dentist, that may not mean much. But
with our responsibility for all Arkansans,
it’s just as important as doing initial and
follow-up exams on an individual patient.
The results of that data collection and
analysis are published each year in what
the CDC calls a “burden document.”
Arkansas has what is arguably the
best and most active state oral health
coalition in the country. In 2000, Billy
Tarpley, representing the Association,
joined me and individuals representing
dental hygienists, Head Start, the General
Assembly, and the Governor’s Office at
the National Governors’ Association
Policy Summit. That workshop, with
input from various national experts gave
impetus for more efforts in Arkansas. The
passion of those six individuals quickly
grew to what we now have with almost
50 agencies and organizations in the
Arkansas Oral Health Coalition, Inc.,
with the slogan of “SMILES: AR, U.S.”
Our Coalition works in areas of prevention, access, education and policy, and
has so many projects that it meets every
month – a feat unduplicated in any other
state oral health coalition in the country.
Arkansas has a statewide dental
sealant initiative, “Seal-the-State.”
Beginning with a grant from the Daughters
of Charity Foundation, Seal-the-State
began in 2007 in two schools. Now
partnering with Arkansas Children’s
Hospital, Seal-the-State reaches almost
2,000 children each year providing
dental sealants in the school setting.
Community Water Fluoridation
has long been proven as the single most
effective and efficient method to prevent
caries in a population. However, in 1999
only 49 percent of Arkansans enjoyed
the benefit of fluoridation. Working with
individual communities and water systems,
we were able to move that to as high as
69 percent. But anti-fluoridationists were
able to convince a few water systems
In private practice
I had about 5,000
patients. As Arkansas
State Dental Director,
I’ve had 2.9 million
patients. As CDO,
I can affect the oral
health of more than
31 million patients!
to stop providing this important public
health measure by using totally-unfounded
scare tactics, including that age-old story
that fluoridation is a Communist plot.
In one of my favorite city council hearings, I was called both a Communist and
a Fascist in the same evening. Needless
to say, those claims were not offered by
someone with a degree in political science. Another infamous evening had a
3-2 vote in favor of fluoridation which the
mayor declared as a defeat to the motion.
The ASDA led the charge in 2005 to
move a fluoridation requirement forward in
the Legislature. The bill, introduced by Dr.
Tommy Roebuck during his House tenure,
passed the House of Representatives twoto-one, but was killed in a Senate committee. Senator David Johnson (D-Little
Continues
19
In one of my favorite city council hearings, I
was called both a Communist and a Fascist
in the same evening. Needless to say, those
claims were not offered by someone with a
degree in political science.
19¢ is all it takes to reach
3,000 customers
award-W
inning Jou
rnal of the
ark
ansas Sta
te Dental
associati
on
This half-page ad
would only cost 19¢
per reader!
Volume 82,
Number 3
• fall/Winte
r 2010-2011
Advertise in the one magazine
that make dollars and sense.
With a readership of more
than 3,000 dentists, dental
students, hygienists and
business owners, your ad
in Arkansas Dentistry is
viewed by either your
customer, your potential
Oral He
altH PO
licy • He
customer or someone
altH ca
re refOrm
who can refer you to a
potential customer, so not a single cent of your
advertising budget is wasted. Call Matthews Publishing Group
today to begin promoting your business in Arkansas Dentistry.
Journal of
award-Winning
the arkansas state
volume 82, number
n
Dental associatio
2 • summer 2010
ASDA PresidentMason
Colonel Robert
age • busy time
ConferenCe Cover
20
h
for oral healt
For more information, call the publisher, Jennifer Matthews Kidd
at 501.907.6776 or e-mail her at [email protected]
Rock) introduced SB 359 in the 2011
session. With the help of the Coalition, the
ASDA, Delta Dental, the Pew Charitable
Trusts and others, we did get the fluoridation bill through both houses and was
signed into law by Governor Beebe as Act
197. The law requires fluoridation in all
water systems that serve 5,000 or more
customers. When fully implemented,
it will bring our fluoridation rate to an
incredible 87 percent. Frankly, both the
passage of the bill and the realization of
such an achievement would not have been
possible without the pledge from the Delta
Dental of Arkansas Foundation to support
the purchase of fluoridation equipment
in the amount of at least $2,000,000!
So, why sadness to go along with
the joy? Because it’s been my pleasure to
be leading the Office of Oral Health since
its beginning, but now, 12 years later, an
incredible opportunity has arisen for me.
By the time you read this, I will be just
outside Washington, DC in the role of
Chief Dental Officer (CDO) for the Centers
for Medicare and Medicaid Services (CMS).
CMS, part of the Department of Health
and Human Services, is possibly the largest
non-defense agency in the Federal government with an annual budget near $800
billion. As CDO, it will be my pleasure to
help direct oral health policy that affects
so many Medicaid and CHIP patients
across the country. Building on what
I’ve said in the past: in private practice
I had about 5,000 patients. As Arkansas
State Dental Director, I’ve had 2.9 million
patients. As CDO, I can affect the oral
health of more than 31 million patients!
I’ve made wonderful friends in
Arkansas. I’ve enjoyed the chance to
work with an incredible staff in the
Office of Oral Health. I’ve been blessed
by the partnerships and collaborations
that have truly improved oral health
in Arkansas. And I will miss all y’all.
Dr. Mouden is now the former Director, Office
of Oral Health in the Arkansas Department
of Health and currently Chief Dental Officer
at CMS. You can contact him at mouden@
swbell.net.
Discover the
NPt ADvANtAge
rAisinG THe level OF service
lOWerinG THe cOsT OF BrOKerAGe
s e r v i c e s i n c lu d e
u Low Commissions - Our Clients Save Thousands
u Written Appraisal of Practice
u Minimization of Tax Liability
u Consultation for Patient & Staff Retention
u Free Draft Legal Documents
u Buyer Representation Services also Available
Transitions
Expect More From Us.
H. Frederick Bacon, dds
Regional Representative
877.365.6786
www.nptnetwork.com
Ocean state of mind...
Delta Dental’s Affiliation
Plans for the Future
Full-time oppportunities available in:
- Fayetteville
- Jonesboro
- Little Rock
Part-time opportunities available
in all locations
For more information:
Office of Doctor Recruitment
405.707.6110
oceandental.net
Equal Opportunity Employer
Chad Hoecker, DDS (General Dentist & Owner)
ARKANSAS - IOWA - KENTUCKY - LOUISIANA - OHIO - OKLAHOMA - TEXAS
Ed Choate
By Ed Choate
Guest Writer
With what appears to be eminent
health care reform on the horizon and
soaring health care costs, Delta Dental
of Arkansas (DDAR) has been exploring
a number of strategies that would help
to ensure our long-term viability in an
uncertain market. Protecting our business
priorities to offer excellent products, service and rates were key considerations in
this process. We believe we have found the
best solution to help secure our priorities.
After careful thought and consideration, the DDAR Board of Directors
unanimously voted in support of our
affiliation with Renaissance Health
Service Corporation (RHSC), a family of
companies made up of seven other Delta
Dental member companies, specifically
those in Tennessee, Kentucky, Michigan,
New Mexico, North Carolina, Ohio and
Indiana. These companies combined
cover over seven million people and
represent over $2.5 billion in revenue
– one of the largest providers of dental
benefits in the nation. This opportunity
will enable DDAR to spread its administrative costs across RHSC companies
while gaining access to industry-leading
technology and world-class service.
In order for this transaction to
move forward, the current Articles of
Incorporation of DDAR must be revised to
permit RHSC to serve as the sole corporate
member of DDAR. RHSC also serves as
the sole member for the Delta Dental
companies mentioned above. Please be
aware that the proposed Articles change
does not change your status as a participating dentist or the reimbursements that
you receive as a participating dentist with
Delta Dental in any way. Furthermore,
DDAR is, and will remain, an Arkansas
non-profit corporation, subject to Arkansas
laws with Arkansas dentists and consumers serving on our board of directors.
The current DDAR Articles make all
participating dentists “members” of the
non-profit company, so you also have an
important role in this process. You have
been asked to approve an amendment to
the DDAR Articles to name RHSC as the
sole corporate member as stated below.
The current language in
Article VII reads as follows:
Every ethical dentist, optometrist, or ophthalmologist, duly licensed under the laws
of the State of Arkansas, and whose license
is valid and unrevoked, shall be eligible
for membership in Delta Dental Plan of
Arkansas, Inc., and upon the signing of
the applicable Participating Agreement,
and approval by the Board of Directors,
shall become a qualified member thereof.
An annual meeting of the members of the
corporation shall be held in accordance
with the By-Laws for the election of directors and for the transaction of such other
business as shall come before the meeting.
The current language in Article
VII would be replaced by:
The sole corporate member of the
Corporation shall be Renaissance
Health Service Corporation (the
“Member”), a nonprofit corporation exempt from taxation pursuant
to section 501(c)(4) of the Internal
Revenue Code of 1986, as amended.
In mid-March, you received an
invitation to a Special Membership
Meeting and a proxy to vote on this
issue. Dr. Herman Hurd, DDAR’s Dental
Director, and I have been attending the
most recent ASDA Dental District Society
Meetings to share this affiliation process
in more detail with you, to gather your
feedback and answer any questions you
have. In addition, we have also shared
with you DDAR’s plans to adopt a
new provider election process. The officers and Board of Directors
of DDAR believe this affiliation represents an excellent opportunity for
the organization, its participating
dentists and policy holders, and we
strongly recommend your approval.
Thank you again for your participation in Delta Dental of Arkansas. We
sincerely value our relationship with you
and look forward to working with you
in the years to come to improve the oral
health of the citizens of Arkansas. AD
Ed Choate is president of Delta Dental of
Arkansas.
23
DENTAL IMPLANT
TRAINING PROGRAM
WITH LIVE SURGERY
(PATIENT PROVIDED*)
Are you seriously and earnestly
considering placing dental implants
in your practice?
By taking this course you will receive all the knowledge you need to
successfully place implants: didactic knowledge, hands-on training
and LIVE SURGICAL EXPERIENCE.
Our goal is to put these skills in your hands so you can effectively
treat your patients with the best techniques dentistry has to offer.
This course is taught using distance learning, group sessions, invited speakers,
and intensive educational experiences including hands-on LIVE SURGERY
with PATIENT PROVIDED.* Call us today for more information.
(205) 532-1861
UPCOMING
COURSES
Instructional
Session 1
Phoenix, Arizona
Aug. 23-25, 2012
Venue TBA
Instructional
Session 2
LIVE SURGERY
(Patient Provided)*
Birmingham, Alabama
Sept. 27 or 29, 2012
(choose one day)
Lecture (required)
Sept. 28, 2012
Instructional
Session 1
Dallas, Texas
Oct. 25-27, 2012
Venue TBA
Instructional
Session 2
LIVE SURGERY
(Patient Provided)*
Birmingham, Alabama
Nov. 29 or Dec. 1, 2012
(choose one day)
Lecture (required)
Nov. 30, 2012
$4,950.00
36 CE credit hours
AGD Disclaimer
www.AlabamaImplantEducation.com
BioHorizons Inc. is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The
formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and
membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or
AGD endorsement. The current term of approval extends from 06/01/2009 to 05/31/2013.
CLINICAL EXCELLENCE • REAL EDUCATION
*AIE will make a diligent and reasonable effort to provide a patient for the surgical experience. In the event that elements
beyond the control of AIE should occur, delegates will be provided with an alternative session for surgery in Alabama. AIE
is not responsible for costs which might be incurred to participate in this CE event.
For more information
or to sign up for a course
please call
205-532-1861
or 256-797-1964.
You can also submit inquiries
by emailing
[email protected]
A Funding Alternative for
Long Term Care Expenses
into this product you are guaranteed:
An amount will be paid to
you to assist in funding your longterm care expenses up to 5 times the
amount you paid into the product.
If you die before using up the long
term care benefit or even if you never
use the long-term care benefit, a death
benefit or a combination of death and
long-term care benefit will be paid to
you that can be significantly greater than
the amount you paid into the product.
If you need the money you paid
into the product you can receive that
payment back in full guaranteed.
Let me tell you why I believe this
approach is the more practical way to
go. You have basically three ways to fund
long term care expenses: 1) Self insure;
2) Buy conventional long-term care
insurance; 3) Buy the new product.
Self Insure: If you self insure, you will
need to “set aside” assets to be used for
potential long-term care expenses. Those
assets should not be touched for retirement
income needs and ideally should be very
By Dwight Callaham
Guest Writer
While I am not naive to think everyone who picks up Arkansas Dentistry reads
my article, I am confident you are reading
this now. So let me give you an excuse not
to read further. If you are under age 50
you may want to turn the pages and find
another article to read. But if you are over
50, I challenge you to continue to read.
For those of us past age 50, our
thinking about life (family, friends, retirement, and mortality) has become even
more prominent than when we were
younger. Back in our 30s and 40s it was
time of survival…surviving the creditors,
the child(ren) needs, the marriage concerns, among many things. For those of
you who have survived and have been able
to reflect now on family (grandkids particularly), friends (dear ones), retirement
(will I or can I) and mortality (when is it
coming) I would conclude your thinking
is more serious in these areas now. In the
area of retirement I would like for you to
think about how best to pay for expenses
associated with one’s inability to take care
of one’s self both mentally and physically.
As many of you already know, the cost of
long term care is high ($3,000 - $5,000
per month). For those of you who have
done serious financial planning, you
have found this is a real exposure that
you probably addressed. In doing so, you
probably already purchased long term care
insurance but I challenge you to read on
since there may be a better way. For those
who have not addressed this challenge, I
26
strongly encourage you will continue to
read. That said, let me tell you a true story.
A few months back after reading an
article in Dentaltown, I received a call from
one of my dentist clients inquiring about
long term care Insurance. After visiting
with him, I recommended that he take a
serious look at a relatively new product
that has been designed to assist in paying
for long term care expenses…among other
liquid in nature. The amount of future
long term care expenses are unknown and
thus the amount of assets allocated to long
term care will need to be increased thus
taking more away from retirement income.
Conventional long term care
Insurance: This approach is the “peace
of mind” approach that insurance offers.
If you need long-term care the policy
will pay the defined benefit to help fund
those expenses. For that “peace of mind”
you pay an annual cost (premium) into
the policy. But what if you never need
long-term care? The premium paid is
lost. You or your estate receives zero if
you die before using any of the benefits.
New product: In essence you are
self insuring but allowing the insurance
company to take the risk that could mean
significantly greater money paid than the
amount you allocated into the product.
Instead of keeping your money in a certificate of deposit (with minimal interest
credited) or an equity account (stock market) that has been historically volatile, you
re-allocate your money into this product.
If you need to access the account for longterm care you can do so up to 500 percent
of the amount you put into the product.
If you die, before incurring long term care
expenses, a death benefit significantly
greater than the amount you allocated
into the plan will be paid. If you need
the money for more urgent needs such as
income, you are guaranteed to receive the
amount you allocated into the plan back.
If you are like me, I prefer to read
about a product before I invest a lot
of my time and the “promoter’s” time
plus written word allows me to better
understand since I can read it again and
again. Feel free to contact me at: Dwight.
[email protected], Dwight Callaham,
PO Box 3398, Little Rock, AR 72203
or call me 501-661-4958 and I will be
glad to direct information your way.
Now for those of you who are under
age 50 who read this article I commend
you since at some point in the future you
will be over age 50 (God willing) and what
you have read could be helpful to you.
For all…enjoy your day! AD
things. After a few weeks of discussions,
he decided to fund the product as recommended and he made this statement: “Why
would anyone not want to do this?" The
only answer I had was that people just
do not know about it. As a result of his
comment and my disappointing answer, I
want to let you know about this product.
Simply put… If you reposition your
assets (not spend) and place an amount
27
Incorporating Minimal Oral Sedation
Techniques into the Arkansas
Dental Practice
By K. David Stillwell, DDS, MAGD,
FAAHD
Associate Professor and Assistant Director,
University Hospital General Practice
Residency, University of Alabama at
Birmingham
The author has no proprietary, financial,
economic, commercial, professional, or other
personal interest of any nature or kind in
any product, service and/or company that
could be construed as influencing the position
presented in this article.
ABSTRACT
Phobic, elderly, physically disabled,
or emotionally challenged patients
present unique challenges in the dental
operating environment. Reducing stress
during the dental appointment allows
for improved cooperation, safety and
clinical efficiency. There is an increased
need for dentists who are able to confidently and competently render care
to these patients. Adult oral conscious
sedation at the minimal level is a valuable way to more effectively manage the
specific dental needs of this growing
population. In this article, information
and procedures will be outlined to assist
the dentist with incorporation of minimal
sedation techniques into daily practice.
INTRODUCTION
Contained in this review is a detailed
outline of information and procedures
for a systematic sedation protocol as
currently employed in a hospital-based
general practice residency program. We
28
Reducing stress during the dental
appointment allows for improved
cooperation, safety and clinical efficiency.
There is an increased need for dentists who
are able to confidently and competently
render care to these patients.
describe our protocol as Adult Minimal
Oral Sedation (AMOS) which we define as
a minimally depressed level of consciousness produced by a pharmacologic method
in which ventilatory and cardiovascular
functions are unaffected while yielding
a patient that can respond normally to
tactile stimulation and verbal commands.1
The outline will detail the various inoffice processes employed in our AMOS
methodology, including: 1) proper patient
selection for minimal sedation, including use of an appropriate preoperative
physical status assessment tool like the
American Society of Anesthesiologists
(ASA) classification method, 2) effective
preoperative physical evaluation procedures, 3) medical risk assessment and
informed consent and 4) practice logistics,
information flow, and instrumentation.
This protocol has been observed to be
a valuable and reliable adjunct to our
clinic patients which could be reproduced in other practice environments.
BACKGROUND AND EVOLUTION
OF AMOS
As the adult segment of the U.S.
population continues to grow and age,
there is an increased need for dentists
who are able to safely and routinely
render sedative dental procedures to
these patients. Standards of care continue
to evolve as new evidence on sedative
agents and technique is reported. This
has recently prompted most state dental
boards to revise their regulation of the
enteral (oral, sublingual, rectal) administration of sedatives to be consistent
with the American Dental Association’s
2007 Guidelines for the Use of Sedation
and General Anesthesia by Dentists.2
Expanding the capabilities of a
practitioner to safely implement and
provide outpatient sedation hinges
upon the individual’s willingness to
seek out appropriate and frequent
continuing education courses and to
dedicate sufficient time, resources, and
training within the office environment.
In general, minimal sedation training
should include updates in patient
evaluation, informed consent, monitoring,
discharge criteria, documentation,
facilities, equipment and personnel. The
treatment environment must be properly
equipped with redundant suction devices,
physiologic monitoring equipment, a
positive pressure oxygen delivery system,
and emergency drugs including the
benzodiazepine reversal agent, flumazenil.
In-office protocols for the delivery
of dentistry under sedation must
be developed to include assessment
of recovery for home readiness and
activation of emergency management
services (EMS). Training programs for
staff should be held at frequent intervals
and documented in order to maintain
compliance with regulatory agencies.3
AMOS can be safely rendered by more
practitioners once these training programs
are completed, additional equipment
is obtained, and office procedures
are modified to incorporate all of the
defined regulatory requirements.
Rules governing the administration
of anesthesia in the state of Arkansas
are contained in the Arkansas Dental
Practice Act, Chapter17-82-101. Arkansas
dentists considering the use of in-office
sedative techniques should carefully
review all rules and regulations related
to additional training and education,
issuance of permits, and requirements
for administration of oral conscious
sedation, particularly Article XIII,
Definition #A7 (minimal sedation),
#A11 (titration), #A15 (incremental
dosing) and #A16 (supplemental dosing).
Arkansas’s rules and regulations have
been standardized to the 2007 ADA
Guidelines, so each dentist should
review and understand any differences in
terminology that may currently exist.
CONCLUSION
In the U.S., 80 percent of dentists are
generalists; less than 10 percent are either
oral surgeons or dental anesthesiologists.
These statistics indicate that there are
not enough anesthesia-trained dentists
Training programs for staff should be held
at frequent intervals and documented
in order to maintain compliance with
regulatory agencies.
to treat all of the patients who desire to
receive treatment under sedation.10 It is
important to encourage more dentists
to strive to incorporate an efficacious
in-office sedative technique in order to
assist this underserved portion of the
population. A growing volume of research
and clinical experience has shown that
the administration of adult minimal
oral sedation (AMOS) by properly
trained providers can provide a safe
and effective means for treating many
special needs patients in an outpatient
dental setting. This allows a population
that has historically had limited or
no routine dental care a much needed
opportunity to access treatment that will
improve their health and quality of life.
As part of our practice’s AMOS
technique, we utilize limited incremental
oral dosing. Also known as titration,
re-dosing is an example of a commonly
employed off-label practice which has
grown in popularity. Quarnstrom and
Donaldson11 employed oral triazolam
in 270 cases over a course of 15 years
in a dosage range of 0.125-0.5mg and
only resorted to supplemental doses for
17 (9.0 percent) of their 188 patients,
yet achieved a published success rate
for a satisfactory level of sedation of
98.4 percent. They concluded that the
justification for using intravenous agents
for patients requiring sedation was
difficult when oral medication could
provide such an excellent alternative,
particularly in light of the increased
cost of malpractice insurance and the
difficulty and expense involved in
obtaining IV sedation certification. Some
controversy remains regarding titration
when employing the oral sedation
route. Repeated oral administration of a
benzodiazepine like triazolam has been
reported to result in that medication
reaching a constant blood-level after it is
administered over the course of three to
five half-lives (which achieves a steadystate condition) when the amount of drug
that is accumulated equals the amount
that is eliminated.3 Many feel that this
phenomenon produces the intrinsic safety
mechanism of the benzodiazepine class
and allows for the safer administration
of two smaller doses over time based on
observation of patient response rather
than one large dose at the onset.
However, there is a delay in drug
equilibration between the plasma
and the effect site which can predict
possible overdose if additional doses
are administered only on the basis of
periodic intraoperative reassessment
of the patient’s anxiety level, since the
plasma concentration may still be rising
after the prior dose. Certain key attributes
of the benzodiazepine class suggest that
administering additional amounts of the
drug at time points less than one hour on
the basis of the patient’s sedative response
can result in additional dosing while the
central effects of the original dose still
are increasing. This can lead to overdose.
This consideration has accounted for
our AMOS protocol to include a single
supplemental intraoperative dose at hour
two of the procedure, to limit operating
Continues
29
time to four hours, and to avoid multiple
incremental dosing techniques.
There is fairly strong opinion that the
oral route is inherently the safest and most
practical route for drug administration.3, 10
Protection is provided against foreign
substances by the vomiting mechanism,
first-pass elimination and a muted
anaphylactic response. The relatively slow
absorption reduces distributional
influences and allows for recognition of
deleterious trends and the possibility to
prevent further absorption. The oral route
also avoids local damage associated with
needle puncture, ischemia from intraarterial injection and venous irritation
leading to thrombophlebitis. The use of an
orally administered drug also avoids
exacerbating anxiety in patients who are
fearful of venipuncture. The cost of care
also is substantially less for an orally
administered agent compared with that
involving a parenterally administered
sedative. When employing AMOS in the
context of appropriate standards of care,
the interests of the public and the
profession are well served by providing a
cost-effective service that can be made
widely available. AD
Dr. Stillwell maintained a general dentistry
practice in Marion County, Arkansas until
2003, when he began full-time teaching at
the University of Missouri-Kansas City. He
has been affiliated with the University of
Alabama Hospital General Dentistry Practice
Residency in Birmingham, Alabama
Editor’s Note:
Due to space limitations sections of this
article were omitted. The article in its
entirety with charts and tables are available
on the website. www.arkansasdentistry.org
Sections omitted from this
publication include:
Patient Evaluation and Risk Assessment
Preoperative and Intraoperative
Responsibilities
Strategically Selected Sedative Agents (The
Amos Armamentarium)
30
dental
There is fairly strong opinion that the oral
route is inherently the safest and most
practical route for drug administration.
Antihistamines
Hydroxyzine (Atarax©, Vistaril©)
Dosing
Benzodiazepines
Midazolam (Versed©) Dosing
Triazolam (Halcion©) Dosing
Lorazepam (Ativan©) Dosing
Non-Benzodiazepine Hynotic “Z-DRUGS”
Zolpidem (Ambien©) Dosing
Zaleplon (Sonata©) Dosing
Respiratory Support and Supplemental
Inhalation Analgesia
Recovery and Reversal of the Amos Patient
Discharge and Postoperative Management
of the Amos Patient
References
Appendix
Table One: Evaluation of Preoperative
Health Status Prior to AMOS
Figure One: Continuum of Sedation and
Anesthesia
Image One with Legend: Reclined Patient
Under Sedation
Table Two: Drug Armamentarium for
AMOS Procedures
since 2009.
REFERENCES
1. Excerpted from Continuum of Depth of
Sedation: Definition of General Anesthesia
and Levels of Sedation/Analgesia, 2004, of the
American Society of Anesthesiologists (ASA).
2. ADA Guidelines for the Use of Sedation and General
Anesthesia by Dentists. 2007. pp 47-66. http://www.ada.org/sections/educationAndCareers/
pdfs/doc_policies.pdf. Accessed January 11, 2011.
3. Dionne RA, Yagiela JA, Cote CJ, et al. Balancing
efficacy and safety in the use of oral sedation in dental
outpatients. J Am Dent Assoc. 2006;137:502-513.
4. ASA Physical Classification System. Cleveland
Clinic. Available at: http://my.clevelandclinic.org/
services/Anesthesia/his_ASA_Physical_Classification_
System.aspx. Accessed January 11, 2011.
schools
Dean Henry Gremillion gives a presentation on
“New Horizons in Dentistry.”
5. ASA Physical Status Classification. American Society
of Anesthesiologists. Available at: http://www.asashq.org/
clinical/physicalstatus.htm. Accessed January 11, 2011.
6. Coke JM, Edwards MD. Minimal and moderate oral
sedation in the adult special needs patient. Dental
Clinics of North America 2009;53(2):221-230.
LSU School of Dentistry
7. Goodchild JH, Donaldson M. Calculating and justifying total anxiolytic doses of medications for in-office use. Gen Dent 2006; 54:54-57.
Terrific Turnout for
Pre-Dental Conference
8. Yagiela JA, Neidle EA, Dowd FJ. Pharmacology and
Therapeutics for Dentistry, ed 4. St. Louis: Mosby;1998.
9. Donaldson M, Gizzarelli G, Chanpong. Oral
Sedation: a primer on anxiolysis for the adult
patient. Anesth Prog 2007;54:118-129.
10. Berthold C. Enteral sedation: safety, efficacy, and
controversy. Compendium 2007;28(5): 264-272.
11. Quarnstrom FW, Donaldson M. Triazolam
use in the dental setting: a report of 270 uses
over 15 years. Gen Dent 2004;52:496-501.
12. Feck AD, Goodchild JH. The use of anxiolytic
medications to supplement local anesthesia in the
anxious patient. Compendium 2005;26(3):183-190.
13. Wynn RL, Bergman SA. The new Z-drugs as
sedatives and hypnotics. Gen Dent 2005;53:174-177.
14. Terano MG, Rossi M, Palomba V, Smerieri
A, Parrino L. New drugs for insomnia: comparative tolerability of zopiclone, zolpidem,
and zalephon. Drug Saf 2003;26:261-282.
15. Malamed SF. Sedation: A guide to patient
management, ed. 3. St. Louis: Mosby; 2003.
16. Goodchild JH, Dickinson SC. Anxiolysis
in dental practice: a report of three cases.
Gen Dent 2004;52:264-269.
17. Romazicon Side Effects. Drug Information
Online at Drugs.com. Available at: http://
www.drugs.com/sfx/ romazicon-side-effects.
html?printable=1. Accessed January 11, 2011.
18. Boynes SG, Moore PA, Lewis CL, Zovko J,
Close JM. Complications associated with anesthesia
administration for dental treatment in a special
needs clinic. Special Care Dentist 2010; 30(1):3-7.
APPENDIX
Table One: Evaluation of Preoperative
Health Status Prior to AMOS
Figure One: Continuum of Sedation and Anesthesia
Image One with Legend: Reclined Patient under Sedation
Table Two: Drug Armamentarium for AMOS Procedures
By Dean Henry Gremillion
The second pre-dental conference at
the LSU School of Dentistry attracted 193
students from 15 universities, including
two from out-of-state, several who were
exploring dentistry as a second profession and two students who are still in
high school. All were eager to learn what
it takes to become a dentist or dental
hygienist and how to be accepted into
the LSU School of Dentistry. Fifty-seven
attendees were pre-hygiene students.
The event, entitled “Pre-Dental 101: A
Brush Up on Dentistry,” was held all day on
Saturday, February 4, 2012. “When we first
planned this event, we expected 25 students
to attend,” said Dean Henry Gremillion
in his opening remarks.”Looking at your
curious faces validates the tremendous
respect that dentistry enjoys in our society.”
The conference was comprised of 17
hours of instruction, including a special
three-hour track for pre-hygiene students.
A major emphasis was placed on interaction between current dental students
and the pre-dental students. First-year
dental student Brent Benoit gave a detailed
account of the admissions application,
right down to what kind of recommendation letters are important. He told his
own dramatic story of his acceptance,
including mistakes he made and how he
was the last student to be accepted into
his class. His advice to the students was
“apply early, apply early, and apply early.”
A panel of four dental students,
Jeff Schott, Russ Noles, Katie Evans and
Stuart Huntsman, gave a synopsis of the
trials, tribulations and rewards of each
year. The dental students emphasized
the importance of staying focused, working hard and not giving up. Additional
dental students helped with the handson demonstrations of chalk-carving
and waxing. Tours of the school were
also provided by dental students.
Second-year dental student Colten
Ducote gave an overview of freshman
operative dentistry. “I talked to several students from smaller school such as
Louisiana Tech, University of Louisiana
at Monroe, and Nicholls State who were
very appreciative for a conference of this
nature because their schools do not have
large pre-dental societies. I think this
conference will continue to be a great asset
to pre-dental students for years to come.
It’s a great career education program.”
One of the pre-dental students
commented that she learned more
about dentistry at the one-day confer-
ence than she had learned in three
years of college instruction.
Nineteen members of the LSUSD
faculty presented overviews of dental
hygiene, prosthodontics, periodontics,
forensics, pediatric dentistry, orthodontics, morphology, anatomy, endodontics
and oral and maxillofacial surgery. A
spokesman from the financial aid office
described ways to pay for dental school.
The program was organized by
Dr. John Ritchie, admissions director
and director of the Summer Enrichment
program. He led a discussion about how
to be admitted and how to make the
most of the interview process. Dr. Jessica
Perkins, a 2007 graduate of LSUSD who
practices general dentistry in Mandeville,
Louisiana, talked about how to transition
from dental student to dental practitioner.
Registration for the event was
handled by the LSU Pre-Dental Society,
under the leadership of Evan Riley.
Members of the society also provided
the manpower to stage the event.
Continues
31
A Kinder and Gentler Time
in Dental Education
LSU – Swamp Boy
Dr. John Ritchie (center), admissions director, with student organizers of the conference, from
left, Leigh Griffin, Paige Muse, Quyen Nguyen, Elise Wyatt. Second row, Luke Riley,
Randy Roth, Dr Ritchie, Evan Riley and Colby Gray.
For information on admissions, got to
www.lsusd.lsuhsc.edu and click “Future
Students.”
Third-year student Brandon Mack (top
left) and attendees at the Pre-Dental Society
conference watch first-year student Deborah
Ho (right) demonstrate how to do an
amalgam restoration on a typodont. Brandon
is from Conway and Deborah is from
Arkadelphia.
UT College of Dentistry News
Tim Lanier, Director of
Development
Capital Campaign Update
Dean Tim Hottel and the entire
UT College of Dentistry would like
to thank everyone in Arkansas who
has made a financial commitment to
the college during our ongoing capital
campaign. We are proud to tell you that,
32
over the last six years, the college has
received more than $19 million in
donations from alumni and friends. We
simply could not do it without you.
The top priority for our capital
campaign has been and continues to be
renovation and modernization of the
Dunn Dental Building. The updated fourth
floor undergraduate clinic is now fully
operational, as are the specialty clinics for
pediatric dentistry, post-graduate periodontics and prosthodontics. The orthodontics
clinic renovation will begin soon.
Oral surgery is seeking funds to
renovate and re-equip their clinic and we
are on the campaign trail for funding to
equip the new graduate endodontic clinic.
We also have additional needs related to
the undergraduate clinical area and outside
the clinical area as well, including our
student conference room, student lounge,
oral pathology lab and research labs, just to
name a few. The college also needs scholarship support for our Arkansas students. As
you can see, there are a number of ways to
help, depending on your area of interest.
We invite you to come by and see the
progress that is being made on the Dunn
Building. If you would like to make a gift
or pledge to the Dunn Building (undergrad
or one of the specialties), scholarship sup-
Spencer Gordy of Conway is loving every
minute of his experience in Louisiana—
dental school and otherwise. He’s president
of his class, doing great academically and
the recipient of the first ever LSU School
of Dentistry Ethics and Professionalism
Award and Scholarship. Most of his close
friends are of the Cajun persuasion he’s
getting immersed in the Cajun culture. His
dad isn’t sure one-handed dentists are in
very high demand, but Spencer says being
the gun man on alligator hunts is one of the
most exciting things he’s ever done.
port for our Arkansas students or any other
specific need in the college, please contact
Tim Lanier, Director of Development, at
800-733-0482 or [email protected].
Upcoming UT College
of Dentistry Events
The College will host a reception for all alumni in conjunction with
the Arkansas State Dental Association
Meeting in Little Rock. The reception
will take place on Friday, April 20, 2012
from 5:30 to 7:00 p.m. at the Little
Rock Convention Center. If you need
additional information, please contact
the UT Health Science Center Office of
Development and Alumni Affairs at 800733-0482. We hope to see you there.
In addition, we hope you will make
plans to be in Memphis on March 2-4
for the 2012 MidSouth Dental Congress.
Join us for alumni activities, reunions
and continuing education for the
entire dental team. For more information call 877-216-0009 or go to www.
midsouthdentalcongress.com. AD
By Judith A. Ross, DMD, MS,
Laura Darnell, DMD, PhD, Janet
Harrison, DDS and Timothy L.
Hottel, DDS, MS, MBA
College of Dentistry,
University of Tennessee
Health Science Center
Dental education is a kinder and
gentler profession these days as compared
to years past. The heavy handed, step
on your wax pattern, or crushing your
wax onlay is a thing of the past. Dental
educators in general have realized that
teaching styles need to change with
each generation. The core curriculum
for dental education has remained the
same for the most part. However, dental
technologies and products are always
changing as they are improved; therefore,
teaching methods and additions to the
curriculum must keep up with the times.
As late as the 1980s and early
1990s, many dental schools had the
philosophy that there was “no wiggle
room” for a student who needed extra
help. Dental students lived in fear of failing pre-clinical dental courses and having
to repeat the year or worse being asked
to leave. Unfortunately, dental educators have had the belief that the younger
generation of dentists could not be on par
with the dentists of generations past.
Traditionally, curricula in dental
schools emphasized memorizing facts
and gaining the technical skills needed
to practice dentistry without having the
student understand the process or use
of reasoning in the clinical setting. The
pre-clinical/clinical areas inhibited this
If a student comes in with a negative
attitude and states “I can’t do it,”
the student will not be successful in
remediation. Students must know they can
succeed even if it takes a little longer at the
beginning of their dental education.
integration and it resulted in students viewing the pre-clinical phase as a “hurdle to be
overcome.” The traditional curricula failed
to make the student responsible for learning but rather focused on the responsibility
of the faculty’s teaching the students.1
There has been an evolution in dental
school teaching methods in the last few
years. Remediation is now a recognized
part of dental education and is valuable
tool to many dental students and practicing dentists. Throughout the dental
curriculum, students are expected to meet
specific competency standards. When a
student fails to demonstrate competency,
remediation is implemented to correct deficiencies in specific skills.2 Students who are
succeeding academically but performing
marginally in the clinical setting will benefit from a clinical remediation program.
The program should identify such students
and provide one-on-one or one-on-two
instruction in the clinical setting in order
to improve their clinical performance.3
Remediation is also important for
students who are having trouble passing
the state dental boards and for dentists
who need a refresher course for the
renewal of their licenses. It is also a valuable tool in the pre-clinical setting with
students who have failed one or more preclinical dental courses. Hutton and Krull
Sutherland state that the advantages of
clinical remediation programs are that they
“(a) provides intensive instruction at the
clinical site, (b) allows additional attention
for marginal students without compromising educational needs of other students,
and (c) increases retention rates without
lowering standards of competency.”3 An
additional benefit is that students and
faculty acquire another opinion about
the student’s clinical performance.3
Many of the students who need remediation have a sincere desire and strong
drive to be dentists. However, all do not
have the basic skills to improve without
extra help. Remediation is a proven avenue
that will help most students achieve their
dream of being dentists if the students
are successful in mastering the basic
hand skills needed to pass the pre-clinical
courses. Students who have had a hard
time mastering a new set of hand skills
need to know they should not be ashamed
about their past performance. The student
will start fresh with remediation and hopefully will be able to master the hand skills
with the extra one-on-one help. When students need extra help it is very important
that they realize it is not how they start a
project but how they finish it. If a student
comes in with a negative attitude and
Continues
33
states “I can’t do it,” the student will not be
successful in remediation. Students must
know they can succeed even if it takes a
little longer at the beginning of their dental
education. If one truly tries his/her best,
that is all that can be expected. Self degradation never leads to a successful outcome.
The technique for remediation
at an early level is simple. The beginning skills should be evaluated with a
pre-test. Using the results of the test,
a custom plan for remediation can be
established. Specific remediation plans
based on individual academic performance
are important for ensuring success.4
Feedback from the faculty should “guide
students in self-evaluation to facilitate
psychomotor skill acquisition and maintenance of competent performance.”2
The strategies used in remediation must meet the specific needs of the
student. Some basic exercises can be
used initially so the student can be somewhat successful. This allows the faculty
member to find some good aspects of the
student’s work that can be critiqued in a
positive way. Areas in which the student
did well can be emphasized followed by
what was not done as well. An individual
tutoring program for each student must
meet the needs of each student.2
Students who have a variety of
problems with hand-eye coordination often
need remediation in order to continue their
education. Identifying these students with
problems early in their dental education
is important for their success. Generally,
these students require more one-on-one
instruction and repeated exercises.5 Many
dental schools have found that the use
of dental simulators such as the DentSim
helps the preclinical dental student practice
the basic cavity preparations and therefore
reduces the need for individual instruction.
The simulator experience provides
“instant objective performance evaluation”
for students without waiting for a faculty
member to critique their work. This fast
and precise evaluation by the DentSim
allows students to prepare more teeth in
less time in order to master the basic concepts of operative dentistry more quickly. 6
However, there may still be some
34
students who need one-on-one help from
a faculty member to truly understand
what is needed to improve their preclinical
performance. Many students in the newer
generation are visual learners but still
need help from a faculty member to
understand exactly what they can do to
improve their work. These students often
find it is helpful if the faculty member
illustrates and discusses their mistakes
and provides suggestions about how they
can improve. For example, in operative
dentistry many students do not understand
the reverse S curve in a Class II preparation and can benefit if the faculty member
draws it and discusses with them how to
achieve it. The faculty member should
then ask questions to make sure the
student truly understands this concept.
After drawing and discussing what
the student should be trying to achieve preclinically, the student does a preparation on
the bench top, and then on the manikin.
Without a good mental picture of the preparation, the student will not be able to do it
with his/her hands. The brain has to have
the blueprint for the hand skills to follow.
When students finally master
a set of skills on one tooth, they can
then do the same preparation on the
contra-lateral tooth. This allows them
to see that they can work on both sides
of the mouth. The students start on
the lower arch and then proceed to the
upper arch, allowing them to use direct
vision with their work before taking on
indirect vision. Mastering one set of skills
is vitally important before adding more
complicated tasks for the students to do.
When doing remediation, successes
must be measured in small increments at
the beginning to provide encouragement
and a positive learning atmosphere. When
students have completed remediation
and passed the final practical exam, they
know they can do the work. Conquering
the task is of utmost importance in
completing remediation and then moving on to the next level of patient care.
Is remediation one hundred percent
successful? - No. A remediation course
does not guarantee that the student will
be promoted. Students must demonstrate
that they have mastered the skills and must
earn their promotion to the next level.
Dental education has changed
over the last 25 years, for the better.
The University of Tennessee College Of
Dentistry is ahead of the power curve and
is working hard at having an excellent
dental school tempered with a caring, supportive faculty who go the extra mile to
help teach students who need some extra
attention. The environment for teaching
and learning at our College is outstanding,
and we are fortunate to have an administration that recognizes the need for a
remediation program. The administration
has provided the faculty with opportunities
to work with those students who need
extra help with hand skills so they can
fulfill their dreams of becoming dentists.
The combination of proper experiences,
repeated exposure to standard techniques
and appropriate evaluations, will reduce
the need for students to spend additional
years in dental school or even face dismissal.7 Remediation has allowed our faculty to
help students who need extra help to be
successful. We are producing great dentists,
and dental education at the University of
Tennessee is kinder and gentler in 2012. AD
Supplemental retirement plan
for Medicaid providers!
Medicaid providers can defer Medicaid income on a pre-tax
basis into the State of Arkansas Deferred Compensation
Plan, commonly referred to as the Arkansas Diamond Plan.
Providers practicing in group settings, as well as individual
private practice, are eligible to participate.
Medicaid deferrals may be made in addition to any
contributions you are making to your current retirement plan
established by your professional group or individual practice.
Medicaid providers enrolled in the Plan can defer up to $17,000 of
Medicaid income for calendar year 2012. Medicaid providers that
are age 50 or older in 2012 can defer up to $22,500 of Medicaid
income for calendar year 2012.
Over the past few years, hundreds of Medicaid providers have
enrolled in the Arkansas Diamond Plan to take advantage of the
opportunity to defer a portion of their Medicaid income. The Plan has
been available for more than 30 years.
For additional information regarding participation in the
Arkansas Diamond Plan contact Robert Jones of
Stephens Inc. at 501-377-8112.
Dr. Judith A. Ross is from the Department of
Restorative Dentistry, College of Dentistry,
University of Tennessee Health Science Center
References:
1 Fincham AG, Shuler CF. 2001. The Changing Face of
Dental Education: The Impact of PBL, J Dent Educ.
65(5): 406-421.
2 Branson B, Toevs S. 1999. An Assessment of Issues
Related to Clinical Skill Remediation in Dental Hygiene
Education, J Dent Hyg. 73(4): 200-4.
3 Hulton JA, Krull Sutherland RE. 2007. Clinical remediation in a nursing program, Teaching and Learning in
Nursing, 2(3): 68-71.
4 Freudenthal J, Bowen DM. 2010. A Scholastic Appeals
Process for Dental Hygiene Student Remediation and
Retention, J Dent Educ. 74(3): 268-274.
5 Ojimba JI, Ferguson MB. 2004. Evaluation of Third
Year Dental Students Hand Skills Levels, IADR/AADR/
CADR 82nd General Session (Abstract).
6 Hollis W, Darnell L, Hottel TL, Harrison J, 2011. The
Latest Advances in Dental Simulation at the University
of Tennessee, JASDA, 83(2):37-38.
7 Glassman P, Chambers DW. 1998. Developing competency systems: a never ending story, J Dent Educ. 62(2):
173-82.
The program is brought to you
through a partnership between
Arkansas Diamond Plan and the
Arkansas State Dental Association.
District Dental
Dr. Bill Lefler and Carolyn in Rome
Society news
Central District News
Dr. Werner Schneider
The Southwest
Dental conference was
held in Dallas, Texas
from January 12-14,
2012. Some of those in
attendance from
Central District were:
Les Cooner, Randy
Rhea, William Russell and Werner
Schneider from Little Rock; Billy Don
Vaden, Paul Dean, Danny Cook from
North Little Rock; Mike Harrison from Hot
Springs as well as Martin Zoldessy from
Pine Bluff (Southeast District) and Steven
Kilpatrick from Fort Smith (Northwest
District).
The Central District Dental Society
held its elections meeting on November 17,
2011and appointed new officers. The new
officer positions for 2012 are President Dr.
John Pitts President, President-Elect Dr.
Ned Alley, Vice President Dr. Amir Mehrabi
and Dr. Lindy Bollen continues to serve as
secretary-Tteasurer. Dr. Scott Jolley was
recognized for his service as President of
Central District in 2011, as well as being
elected to serve on the Executive Council.
New members of the Central District recognized were Jana Barfield and Amy
Barfield from Little Rock, Brandon Stroope
from North Little Rock, Nicholas Clark
from Cabot and Brandon Benton from Hot
Springs. Dr. Jim Phillips, ASDA President,
was in attendance and gave a brief progress
report on the ASDA. Dr. Don Callan
rounded out the meeting by giving a one
hour CE presentation on dental implants.
36
Dr. John Pitts’ new hardware
Speaking of our new Central District
President, most of you know Dr. John Pitts
as an outdoor adventurer/athlete as reported here with articles about mountain
climbing to marathons. Unfortunately,
those reports may be coming to an end for
awhile, for John took a tumble on a recent
ski trip. On January 14, while skiing at
Snowbird Resort near Salt Lake City, Utah,
John took a spill resulting in the fracture of
his ankle, tibia, fibula and a rescue on the
slopes. Surgery involved the placement of
pins, plates and screws as well as nonweight bearing activities for three months!
We certainly hope for a quick and successful recovery for John.
Drs. Bill Alfonso and Steve Molphus
of North Little Rock sponsored an all day
CE course in December 2011. The course
was held at the Crowne Plaza in Little
Rock on December 2, and had 128 dentists
and staff in attendance. The course title
was “Implant Treatment Planning” and was
presented by Dr. Jean Francois Bedard. The
course was very informative and presented
by Bill and Steve as their first annual
Christmas CE program with hopes of it
becoming a yearly event.
Dr. Bill Lefler, from Hot Springs
Village, and his wife Carolyn went on a
cruise in November 2011. They cruised
with the Regency Cruise Line from Venice
to Rome, Italy with stops at Split and
Dubrovia, Croatia, Malta, Sicily, Pisa and
Monte Carlo. While cruising, Dr. Lefler
attended and lectured in a Canadian Dental
Symposium. The symposium was titled
“The Profitable Practice, Why and How”.
Featured speakers included Mr. Tim
Brown, a very successful broker who evaluates and sells dental practices and Mrs.
Anita Judd, who has lectured all over the
world on practice management. Bill also
noted that this cruise followed the same
route as the ship that recently ran aground
and sank, but his Captain had enough
sense to stay far away from shore.
The baby business is again busy in
the Central District. Someone needs to
check the water at the offices of Drs. Tina
Nichols and Samaria Mascagni. We recently reported about two births from their
office staff personnel and now, Samaria and
her husband Jeff are expecting their second
child, a girl, in June 2012. Also, Samaria
and Tina’s associate, Dr. Julie Rauton and
her husband Steve are expecting their first
child, a boy, also in June 2012.
Dr. Ross Atkinson, periodontist from
Hot Springs, and his wife Cheryl Jo welcomed their first grandchild, Ethan Ross
Atkinson, on November 30. The proud
first-time parents are Libby and Chris
Atkinson of Little
Rock. Some of
you know Chris
as he works for
Heartland
Payment Systems,
a company
endorsed by the
Arkansas Dental
Association to
Dr. Atkinson with
manage payroll
Ethan Ross
processing. He
provides these services in several Arkansas
dental practices. Ethan has a rich dental
heritage. His aunt is Jamie Hazelwood who
currently practices hygiene at the Air Force
Base in Jacksonville. His paternal great
grandfather is Jim Atkinson, a retired dentist who practiced in Magnolia for many
years. As is apparent from the photo-Ross
is a proud granddad!
Dr. Robert Beavers from Beebe and
his wife Kelly are proud to announce thebirth of their baby girl. Emory Quinn was
born on July 17, 2011 weighing 7 pounds,
1ounce and was 19 inches long and joins
sister Caroline(9) and brother Cameron(8)
in the Beaver clan. According to mom and
dad, Quinn is a very good little girl and has
become the “Office Baby” because everyone loves her so much. Robert’s office staff
has some “grand” announcements as well.
Pamela Reed, office manager, is about to
become a first time grand mom. Her son
Adam and daughter in-law Beth are expecting their first child, a son, in June 2012.
Both are serving in the Navy and are stationed in Norfolk, VA. Rebecca Blanchard,
financial administrator, was blessed with
her first grandchild, a baby boy. Paxton
Michael Swindle was born on September
11, 2011 weighing 6lbs. 5ozs.and 19 inches
long with red hair and blue eyes. Proud
parents are Rebecca’s daughter Chelsey and
son in-law Jason who serves in the Army
and stationed in Savannah,GA. Also,
Robert’s hygienist Cami Smith married
Rick Moody on July 3, 2011. Cami’s 6 year
old son Jack walked her down the aisle and
gave her hand in marriage. All make a
beautiful family and are very happy.
Also exchanging wedding vows were
Tessa Pinney and John Choate. They were
united in marriage on December 10, 2011
at First United Methodist Church in North
Little Rock. Proud parents were Dr. Joe and
Debbie Pinney of North Little Rock and
James and Connie Choate of Beebe. Jodi
Harris, sister of the bride, served as matron
of honor and Will Choate, brother of the
groom, was best man. Others in the wedding party were Tessa’s brothers Joey and
Scott Pinney as well as many cousins of the
bride and groom. A reception was held at
Lafayette Square in Little Rock and the
couple honeymooned on a cruise to the
Caymen Islands and Cozumel, Mexico.
The couple will live in Sherwood were
Tessa is a hygienist in her dad’s practice
and John is a teacher at Sylvan Hills Middle
School as well as being a worship leader at
Pulaski Heights Methodist Church.
A few offices in Central District have
new associates coming aboard. Dr. Gene
Howard of Bryant is proud to welcome Dr.
Sam Wright into his practice. Sam is a
native of North Little Rock and got his
undergraduate degree from Florida State
University in 2005. He received his DMD
degree from the University of AlabamaBirmingham Dental School in 2009. Sam
practiced for 2 years at Healthy
Connections, Inc. in Mena, AR before starting with Howard Family Dentistry on
December 1, 2011. Sam is single and excited to be back living and working in central
Arkansas. Also, Dental Designs Family
Dentistry in Conway is proud to welcome
Dr. Jennifer Daniel to their practice.
Jennifer joins the practice of Drs. J.
Anthony Smith, Leo Crafton, Jennifer
Weaver, and R. E. Hambuchen. Jennifer is a
native of Newark, AR and did her undergraduate education at Lyon College where
she played for the women’s basketball team
for four years and graduated in 2005. She
received her DDS degree from the
University of Tennessee Dental School in
2009 and became an associate for Dr. Matt
Williams and Highland Family Dentistry in
Highland, Ark. Drs. Williams and Steele
(Jennifer’s maiden name) opened the All
Smiles Dental Clinic (children’s clinic) in
Batesville in June 2011 were she is the
managing associate and practices three
days a week. Jennifer’s association with
Conway came through her marriage to
Matt Daniel in August 2011. Matt is the
head coach of the women’s basketball team
at UCA in Conway, where they both reside.
Jennifer started with Dental Designs in
November 2011 and is currently there two
days a week and excited about the opportunity to practice with a great group of
dentists and their staff.
Dr. Tony Tortorich, an Oral Surgeon
from Little Rock, and his wife Torre traveled to Hawaii for a week in January 2012.
Continues
37
Dr Tony Tortorich and Torre Tortorich
at the summit of mount Haleakala on the
island of Maui. Tony attended the 19th Annual
International Symposium on Oral and
Maxillofacial Surgery sponsored by the
University of California at San Francisco
on the island of Maui. Multiple topics in
oral and maxillofacial surgery were covered, but ample time was allowed for recreation and relaxation. This was certainly a
break from the cold and wet weather in
Arkansas that week.
Dr. Ajay Suri, an Orthodontist from
Little Rock, has finally moved into his new
office. Ajay relocated from his old office in
the Tanglewood Shopping Center to
Rahling Circle Road in west Little Rock. If
that address sounds familiar, it should,
because he is now the new neighbor with
Dr. Lindsey Cloud who built and relocated
to Rahling Circle in 2004 after he, his
brother and dad’s practice burned to the
ground in 2003. Ajay’s office is approximately 5,500 sq. ft. and part of a larger
building complex that is being subdivided
for ownership. Ajay somehow managed to
be out of town during the move, but his
wife took care of that during the first week
of January. He and his staff opened the
doors to patients at the new location on
January 12.
Northeast District
Dr. Michael Thompson
Greetings to
everyone from the
Northeast District. We
hope that all of our
colleagues have started
the new year off with
enthusiasm and good
health. Our annual Winter District Meeting
was held at Arkansas State University
February 2–4. Approximately 230 were
registered including over 70 doctors in attendance. We also had 23 vendors displaying
the latest from implantology to new anesthesia techniques. I was particularly intrigued
with a nasal spray that is coming to market
that will anesthetize the maxillary anteriors
without injections! I believe everyone would
welcome that—especially our patients.
District President Dr. Robert Carter
opened our meeting. Dr. Bill Panneck
gave a high-tech video presentation of
what ArMOM is all about. As most of
you know, ArMOM will be held in the
Call 1-800-232-3826 for a
free practice appraisal,
a $2,500 value!
AFTCO is the oldest and largest dental
practice transition consulting firm in the
United States. AFTCO assists dentists with
associateships, purchasing and selling of
practices, and retirement plans. We are
there to serve you through all stages of
your career.
Helping dentists buy & sell practices for over 40 years.
38
WWW.AFTCO.NET
Convocation Center at Arkansas State
University April 27-28. We already have
over 50 doctors signed up to participate!
Everyone is really excited about ArMOM
coming to Jonesboro for 2012.
The main speaker was Dr. Harald
Heymann, past Chairman and Graduate
Program Director of the Department of
Operative Dentistry at the University of
North Carolina School of Dentistry. His
very interesting and informative talk centered on esthetic and adhesive dentistry.
Katy Warren, who is a professor in the
Department of Dental Hygiene at UAMS in
Little Rock, gave two lectures on Saturday.
She gave us an update on infection control
and followed by a discussion on digital
radiography. Also on Saturday, Dr. John
Vaselaney lectured on risk management
in the dental practice. He is the National
Director of Dental Risk Management
for CNA Healthpro and the Professional
Protection Plan. The information he
presented is something we all should hear
every year. Billy Tarpley, Executive Director
of ASDA, Ed Choate from Delta Dental, Dr.
Gene Jines, and Dr. Herman Hurd were also
present to give us updates on various issues
facing us in the coming year. There was a
lengthy discussion on the proposed changes
in Delta Dental. Last but not least, Dr. Steve
Modelevsky helped to get several dental
assistants certified to monitor nitrous oxide
in our practices. Dr. Model, as he is known
to us, has been doing this course for free
every year for over 25 years! Thanks, Steve.
New officers were also elected
and approved. They are as follows:
President: Dr. Cindy Landry
Vice President: Dr. Katy Wagner
Secretary/Treasurer: Dr. Mike Thompson
State Executive Council Members:
Dr. Robert Gardner
Dr. Stotts Isbell
District Executive Council Members:
Dr. Bryan Copeland
Dr. Chris Beller
Dr. April Buffington
Dr. Robert Kaloghirou
Representative to the Arkansas
State Board of Dental Examiners:
Dr. Robert Carter
Continues
Dr. Jay Fergus, staff and Dr. Billy Spades in front of their new building at open house
Some of Dr. Mike
Thompson’s staff
working check-in
Dr. Stotts Isbell
with his plaque
Dr. Dean Tyrer, Dr. Harald Heymann
and Dr. Steve Chason
Dr. Robert Kaloghirou, who won the
tickets to the Red Hot Chili Peppers concert
(donated by Delta Dental of Arkansas)
Dr. Kelly-Gwynne Fergus and her staff
signing people up for ArMOM
Dr. Mike Thompson, Dr. Bob
Carter and Dr. John Sanford
39
We recognized the tireless efforts
of Dr. Stotts Isbell, our immediate past
president, with a plaque. A special thanks
goes out to Dr. Jim Phillips, who is the
current president of the Arkansas State
Dental Association. I do not know how
he gets as much accomplished as he does
around the state and keep his oral surgery
practice running at full tilt in Jonesboro.
Lastly, I would like to recognize Dr. John
Sanford of Jonesboro, who retired in
early 2012. Dr. Sanford began practicing
dentistry in 1960 and kept going strong
for 52 years! He has been very active in
our district and typically sits on the front
row of all the meetings. He plans to still
attend the NEA District Conferences and
hang around Jonesboro. We all wish him
and his lovely wife, Joy, all the best
Drs. Billy Spades and Jay Fergus just
opened their brand new high-tech dental
office. I know they and their staff are
enjoying their new building. It is always
nice to practice in a state-of-the-art facility.
I truly hope everyone has a productive and safe 2012. I look forward to
seeing all of you at ArMOM, April 27-28!
Northwest District News
By Dr. Wes Borengasser
Dr. Bryan Bishop has assisted the
Magazine school district in opening a
dental clinic within the Magazine Wellness
Center run by Director Donna Robinson.
Magazine was the recipient of a $500,000
grant spread out over five years by the
Arkansas School Based Health Center
(SBHC). The SBHC grant is a competitive
application process made possible and supported by Arkansas Governor Mike Beebe
and the Arkansas Tobacco Excise Tax. The
funds are to be used to promote health,
wellness, and academic achievement in
Arkansas public schools. The program is a
collaboration of the Arkansas Department
of Education, Office of Coordinated School
Health, Arkansas Department of Health,
Arkansas Department of Human Services,
Arkansas Center for Health Improvement,
and Arkansas Children’s Hospital. The
Wellness Center consists of two dental
operatories with dental chairs donated
by UAMS and C.U.R.E. In addition to
40
Southeast District News
the dental clinic, the Wellness Center
consists of medical, optometry, and psychiatry examination rooms. The Center
is currently serving students and staff but
will open up to the public in August.
By Dr. Stacey Swilling
The Jefferson
County Dental Society
met December 8,
2011, at the Pine Bluff
Country Club for their
annual Christmas
Party. The dinner was
a prime rib buffet
with all the trimmings. A great time was
enjoyed by all who attended. The evening
ended with the annual Bingo Game.
Dr. David Denson of Monticello
is proud to report that his younger son,
Nathaniel, graduated from the University
of Tennessee College of Dentistry in May.
His older son, Nick, will finish his OB/GYN
residency at Parkland in Dallas in June. He
and his wife, Pam, were married in July
2011; she is an OB/GYN physician, too.
Dr. Michael Clark of Pine Bluff
states that his son, Chris, is doing well
in his first year of dental school at the
University of Missouri, Kansas City.
AR-FEB-2012.pdf
His daughter,
Samantha, is1 in 2/8/12
her third10:04 AM
(l-r) Dr. Mike Curry, Dr. Steven
Kilpatrick, Dr. Wes Borengasser and Dr.
Charlie Liggett at Free Extraction Day at
UAFS Hygiene School
Superintendent Mrs. Sandra Beck, Dr.
Bryan Bishop, Ms. Donna Robinson
Wellness Center Director.
On Saturday December 17, 2011
Dr. Charlie Liggett held his 3rd Annual
Free Extraction Day at the UAFS Hygiene
School. Over 175 people were seen
for over 200 extractions. Many local
dentists, hygienists, and staff joined Dr
Liggett, including Dr. Mark Bailey, Dr.
Wes Borengasser, Dr. Mike Curry, Dr.
Neil Treece, Dr. Steve Kilpatrick, Dr. Jim
Saviers, Dr. Mike Liggett, Dr. Kris Liggett,
Dr. Ward Clemmons, Dr. Brad Becker,
Dr. Bill Pickard, and Dr. Aaron Forrester.
Donations were given by Kool Smiles, Dr.
Monte Butler, Dr. Bryan Bishop, Benco,
Hawthorne Pharmaceuticals, Blaze’n
Burrito, among others. It was a great
success and even bigger plans are in the
works for next year. If you are interested
in helping out in 2012 please contact
Dr. Liggett at [email protected].
From January 5-14, Dr. Liggett
participated in his 12th dental mission
trip to Jamaica. This year he worked in
May Pen and saw around 300 patients
extracting nearly 1000 teeth (a tooth every
three minutes). Over 200 cleanings were
done by the group of hygienists. What
really makes this trip so special is the fact
that the group includes an entire lab team
that can make and deliver dentures over
the week that they are there. This year
the team cranked out over 200 dentures,
allowing many who had not been able to
smile for decades to leave with a big toothy
smile. Dr. Liggett makes this trip every
January with approximately 17 other dental professionals from Florida, Mississippi,
Louisiana, South Africa and Colombia.
Patrick Morrisey at the Eagle South Court
of Honor
Patrick Morrisey pinning an Eagle Scout
Mom Pin on his mother, Carolyn Morrisey
Continues
DENTAL PRACTICE TRANSITIONS
to have this new technology and are
excited for this new development!
Dr. and Mrs. R. Mark Bailey
announce the marriage of their daughter
Jordan Leigh to Clinton Anglin. Jordan
and Clinton were married on Saturday,
November 19, 2011 at The Chapel at The
Jones Center in Springdale, Arkansas.
C
Dr. Charles G. Liggett, DDS,
PA www.parklanedental.com
Roblee Orthodontics hosted an Open
House on December 30 in their Har-ber
Meadows location in Springdale, AR. Dr.
Roblee and his staff wanted to use this
opportunity to invite friends, family, and
other dental personnel to come see the
office and learn about the newest advancement in his practice – the new Cadent
iOC Digital Impression System! This new
system means no more impressions or
molds of your teeth needed when you
have Invisalign or traditional orthodontic treatment. Roblee Orthodontics is
the only orthodontic office in the area
Stephen C. Fisher, D.D.S. & James R. Cook, D.D.S.
have entered into a co-ownership arrangement
Clarksville, Arkansas
M
Y
CM
MY
CY
CMY
K
Stephen C. Fisher, D.D.S.
has acquired and merged the practice of
Danny Blaine Leeds, D.D.S.
Clarksville, Arkansas
Marshall S. Meggers, D.D.S. & Michael D. Grounds, D.D.S.
have entered into a Progressive Ownership Program
North Little Rock, Arkansas
Paragon is proud to have represented all parties in these Arkansas transactions
(l-r) Dr. R. Mark Bailey, Janet Bailey,
Jordan Bailey Anglin and Clinton
Anglin.
Approved PACE Program Provider
FAGD/MAGD Credit
Approval does not imply acceptance by a state or
provincial board of dentistry or AGD endorsement
4/1/2009 to 3/31/2012
Sign up for our free newsletter at paragon.us.com
Contact us at 866.898.1867 or [email protected]
41
year of dental school at Kansas City,
and she will be doing an externship in
Barrow, Alaska, inside the Arctic Circle.
Dr. George Morrisey of Pine Bluff will
participate in a medical-dental mission trip
to Honduras February 25th-March 3rd.
Looking forward to seeing those pictures.
George’s son, Patrick, was presented
his Eagle Scout award recently at a Court
of Honor ceremony at First Baptist Church
in Pine Bluff. Photos are of Patrick at the
Eagle South Court of Honor and of Patrick
pinning an Eagle Scout Mom Pin on his
mother, Carolyn. Way to go, Patrick.
Dr. Ray Colclasure’s office had a
good time getting into the Halloween
spirit this year. The office staff and all
their patients enjoyed the holiday
Dr. Ray Colclasure’s office staff at
Halloween
Dr. Terri Eubanks of Monticello
made the annual overnight trip with her
office staff to celebrate the Christmas
season. Accommodations were at the
Embassy Suites and dinner was at
Arthur’s Steakhouse in West Little Rock.
Terri surprised the staff with airplane
senior at Star City, has committed to play
football for the University of Arkansas at
Monticello Bollweevils. Drue was recently
named All-District, All-State, and All
Star in football. Congratulations, Drue.
Southwest News
Dr. Terri Eubanks and Beverly
Bradshaw at Dr. Terri Eubank’s Christmas
party
tickets to Las Vegas for her own 50th
Birthday Bash. Everyone was excited, and
Caesar’s Palace will never be the same.
Terri took her son Cole and two of
his friends to the Cotton Bowl Classic
in Dallas. The boys enjoyed the game
and now want to go to the Super Bowl.
Terri’s daughter is in her junior year at the
University of Texas at Arlington and works
part time as a head cheer coach at a local
gym. Terri’s husband, Von, has been home
since Thanksgiving but is getting ready to
go back to California to work in February.
Lance Harvey, Sissy’s son, and his buck
42
news
By Dr. Wendell Garrett
The SWDDS
Annual Meeting will
be held June 8 and 9,
2012 in Hope, Ark.
at the Hope Country
Club. The traditional
Golf Tournament will
be held on Friday
afternoon. The Golf Awards and Supper
will be held on Friday evening. Details of
the Saturday Lectures will be sent soon.
Charlotte Pratt was the grand winner of Dr. Ryan Hanry’s Relay for Life
Team’s Valentine Raffle. Kayla Foster
presented Charlotte a gift certificate for
dinner and a movie for two. She, also,
was given a half dozen Valentine Day
roses. Although not confirmed, someone
in El Dorado commented that Ryan’s
wife Stephanie was seen with an equally
beautiful half a dozen Valentine Day roses.
Dr. Ryan Hanry’s Relay for Life Team’s
Valentine Raffle
Beth Rippy, RDH, and Sissy Harvey,
RDA, at Dr. Terri Eubank’s Christmas
party
associate
Sissy Harvey, Terri’s assistant, shares
that her son Lance killed a 24-point buck
this season scoring Boone and Crockett
204. He plans to take it to the Arkansas
Big Buck Classic. Her other son, Drue, a
Please send your news and journal
information to Dr. Wendell Garrett at
[email protected]. AD
Pulaski Technical College
Dental Assisting Program
DeAnna Davis
This year we
added Franklin
Elementary School to
our list of Community
Service Projects. We
have been providing
fluoride varnish at Bale,
Stephens and Wilson. Stacy and Tiffany
at Children’s International do all of the
leg work and our students get to place
the varnish on the children’s teeth. It is
great to see hygiene students working
placing sealants on the kid’s teeth as we
do the varnish. Our students love the
opportunity to work with the children.
February 6 was the first day for
clinicals. They do four, three week, rotations. One rotation is a specialty of their
choice. We are very appreciative of our
dentists and staff that help us out with
completing our student’s education.
We will be setting up new competencies for our students so that they can check
off on being proficient at placing sealants.
The Arkansas Board of Dental Examiners
voted on Article XI, under Dental Hygiene,
to remove sealants as an exclusive function for hygiene only. We want our
student to be proficient at placing sealants
should they be called upon to do so.
As we close one year we prepare
to welcome the next class of students.
We have been taking applications since
September. The class is full and there are
students on the alternate list. Letters will
go out in May requesting their acceptance
and before we know it we will start all
over again. Our goal is to graduate competent dental assistants and enable them
to be employed in the field of dentistry.
It is coming up soon on the end
of the year for our Dental Assisting
Students. Twenty two will graduate on May 10 at Verizon Arena.
Graduate
Tiffany Brown
Saressa Nash
Penny Everest
Jess Parsley
Jennifer Fason
Lindsey Peterson
April Holter
Tyler Rivers
Angela Johnson
Maghan Slater
Shalonda Jordan
Jackie Smith
Rachel Langley
Karla Strickland
Shanna Lonadier
Katie Thoman
Heather Martone
Shantavia Thomas
Ashley Metscher
Lana Williams
LaTara Morris
Rapheal Williams
Tiffany Brown
Penny Everest
Jennifer Fason
April Holter
Angela Johnson
Shalonda Jordan
Rachel Langley
Home Town
Little Rock
Little Rock
North Little Rock
Roland
Conway
Little Rock
North Little Rock
Conway
Little Rock
Cabot
Little Rock
Bryant
Benton
Bryant
Austin
Houston
Hensley
North Little Rock
Little Rock
Mabelvale
North Little Rock
Little Rock
Little Rock
North Little Rock
Conway
North Little Rock
Little Rock
Little Rock
Benton
Shanna Lonadier
Heather Martone
Ashley Metscher
LaTara Morris
Saressa Nash
Jess Parsley
Lindsey Peterson
Tyler Rivers
Maghan Slater
Jackie Smith
Karla Strickland
Katie Thoman
Shantavia Thomas
Lana Williams
Rapheal Williams
Austin
Hensley
Little Rock
North Little Rock
Little Rock
Roland
Little Rock
Conway
Cabot
Bryant
Bryant
Houston
North Little Rock
Mabelvale
Little Rock
UAFS College of Health Science
Department of Dental Hygiene
Director of Dental Hygiene
By Mitzi Efurd, RDH, MS
The fall semester was extremely
busy and the spring
semester is underway.
Thirty one (31)
students returned
in January and are
treating patients in the clinic on Monday,
Wednesday, Thursday and Friday. Senior
students will do a Community Dental
Clinic rotation this semester under
the guidance of Dr. James Burgess.
The Dental hygiene program acquired
an additional digital Schick sensor
in the fall. The sensor was acquired
with Carl Perkins grant funding.
Pam Davidson and Mitzi Efurd presented to the Fort Smith Community on
Oral Cancer and Diabetes. Mitzi Efurd pre43
sented “Best Practice for Infection Control”
to the Fort Smith Dental Community.
Virginia Hardgraves anticipates completion
of a Master’s Degree in Dental Hygiene
Education from UMKC in May 2012.
Community outreach activities for
fall consisted of: Step Out Diabetes walk
and the Susan G. Komen Paint the Park
Pink Walk. A free extraction day was held
at the dental hygiene clinic on December
17, 2011. Thirteen area dentists worked
with students from both classes along with
dental hygiene faculty, dental office staff
and community volunteers. The patient
count at the end of the day was 175, with
a great feeling of accomplishment and
community spirit. It is our hope to make
this an annual event. In February senior
students will travel to the “Watch Clinic”
in Mena to place sealants for local elementary schools. Junior and Senior students
will present to adult centers and/or area
elementary schools in the spring semester.
Senior students will present their
Table Clinics at the Arkansas State Dental
Meeting on April 20. They will also
present their Table Clinics as a local CE
opportunity on April 17 in the Weidman
Center. Senior students will participate at
the Northwest Arkansas Dental Meeting
on March 2 and 3 at the Phoenix Expo
Center in Fort Smith. UAFS will host SRTA
on May 18 and 19. Pinning will be held on
May 4 in the Weidman Center. Graduation
will be on May 5 in the Stubblefield Arena.
Class of 2012
Leah Beckum
Brittany Bell
Mandy Bobo
Stefanie Bounds
Katherine Byars
Joy Calef
Kara Crone
Kristen Ferguson
Rebekah Hinkle
Misty Holmes
Shasta Jordan
Leigh Komp
Taylor Mertin
Jessica Ray
Terri West
44
St. Paul, Arkansas
Greenwood, Arkansas
Fayetteville, Arkansas
Fordyce, Arkansas
Fort Smith, Arkansas
Joplin, Missouri
Fayetteville, Arkansas
Jonesboro, Arkansas
Fort Smith, Arkansas
West Fork, Arkansas
Tahlequah, Oklahoma
Paris, Arkansas
Paris, Arkansas
Wynne, Arkansas
Greenwood, Arkansas
UAMS Department of Dental
Hygiene
UAMS Department of
Dental Hygiene
By Susan Long, RDH, EdD
Chairman & Professor
The spring semester brings great excitement as the seniors
are fitted for caps and
gowns, and the juniors
began providing care
to “real patients” in
the Dental Hygiene Clinic after months of
practicing their skills on each other in the
fall. The seniors are now busy observing
in dental offices to learn the administrative
aspects of dental practices and developing
policies & procedure manuals specific to
the office in which they observe, presenting
table clinics, and completing community
service hours. They are also preparing
for the National Board Dental Hygiene
Examination that they will take later this
spring and the SRTA (Southern Regional
Testing Agency) clinical exam that will
be offered at UAMS on April 27-28. All
of our soon-to-be 2012 graduates and
their hometowns are listed below.
Service continues to be a very valued
component of the department’s mission.
Each October and February, the department offers a “free sealant day” in recognition of National Dental Hygiene (October)
and National Children’s Oral Health
(February) months. Students participate in
Children International’s school-based sealant project where mobile dental equipment
is set up in Little Rock elementary schools
for the purpose of placing dental sealants
for the month of February. During the
event, our students provide approximately
250 hours of service during which over
1,000 sealants are placed for nearly 350
children. The junior class is planning on
participating in ArMOM in Jonesboro in
late April. The department anticipates 30
to 35 students and faculty volunteering
for the event. Later in the spring, faculty and students will participate in “Spit
Tobacco Prevention Night” at the Arkansas
Traveler’s baseball game sponsored by the
Arkansas Department of Health, Office of
Oral Health. Children are given t-shirts
and other prizes for signing pledges not
to use tobacco products and in “Special
Olympics, Special Smiles” at Harding
University in Searcy where participating
athletes receive oral health screenings and
referrals to local dentists for unmet needs.
Throughout the year, the department
receives numerous requests to participate
in community health events and speak to
a variety of community groups. Students
are required to complete a minimal
number of service hours while enrolled
in the dental hygiene program; however,
many student exceed that requirement.
In 2011, the faculty had three
peer-reviewed publications, written a
textbook chapter, and had case studies
accepted by the Joint Commission of the
American Dental Association for use on
the National Board Dental Hygiene Exam.
Faculty have made nine invited presentations and made two poster presentations.
The department submitted five grant
applications of which two were funded
and a third is still under review. Dorothy
Hampton successfully completed the
requirements of the Arkansas State Board
of Dental Examiner to become a Registered
Dental Assistant (RDA). Susan Long was
reappointed by the Joint Commission
on National Dental Examinations to
the Dental Hygiene National Board Test
Construction Committee. Rhonda Sledge
was selected to serve as a judge for the
undergraduate Student Table Clinics and
Research Poster Sessions at the American
Dental Hygienists’ Association’s 88th
Annual Session in Nashville, Tennessee.
In 2012, the Department will be
offering continuing education courses in
the administration & monitoring of nitrous
oxide (March) and the administration
of local anesthesia (May). We anticipate
have on-line CE courses in nitrous oxide
and digital dental imaging (to include
cone beam CT) available very soon. We
also have several web-based, independent
study CE courses. Please make sure to
check our webpage or call the Department
for more information (www.uams.edu/
chrp/dentalhygiene or 501-686-5734).
UAMS Class of 2012
Graduate
Home Town
Daniela Azevedo GamaNorth Little Rock
Stephanie Brown
Sheridan
Christina Bryson
Paragould
Mary Beth Byerly
Flippin
Deidre Cotton
Conway
Bailey Dietrich
White Hall
Haley Gartman
Rogers
Kristen Goodin
Benton
Mary Dudley Hodges
Amber Luther
2012
1 • spring
number
ociation
Dental ass
Hot Springs
Alexander
Hot Springs
Mountain Home
Brynn McCollum
North Little Rock
Reagan McKinley
Horatio
Christy McSpadden
san Perrin
d and Su
yor Harol
y Chairs,
Honorar
esboro Ma
rable Jon
the Hono
Paragould
Kelly Miller
Midway
Whitney Moffitt
Searcy
Cassie Morrison
Paragould
Melody Motal
Little Rock
Haley Owens
Amity
Amanda Pendley
Ashley Ratton
volume 84,
e
ansas stat
of the ark
ning Journal
award-Win
Little Rock
Olivia Lieblong
April Loken
We know we look good.
Forrest City
Megan Whitney Jameson
Jessie Jones
Go Ahead and Stare
Dental
y
aDvisor
t
nt trus
ing patie
ee • BuilD
Committ
award-Winning Journal of the
arkansas
State dental association
Volume 83, number 3 • Fall/Winter
2011-2012
Houston
Greers Ferry
Taihlor Roberson
Conway
Leslie Robinson
Camden
Robin Sherrill
Dumas
Kristin Snyder
Bentonville
Savannah Stewart
Batesville
Amber Stubenfoll
Bull Shoals
Toshua Thomas
Mayflower
Lindsey Tucker
Brinkley
Heather Waller
Emerson
Whitney West
Brittany Wilson
Jessica Wright
Bryant
Jonesboro
Flouridation • aSda annua
l SeSSion
Contact Jennifer Matthews Kidd for
advertising information:
501.907-6776 or [email protected]
Bismarck
AD
45
greendentallab.com
800.247.1365
obituaries
Dr. Lester Milam Sitzes Jr.
Dr. Lester Milam
Sitzes Jr. of Hope
passed away into the
arms of his Lord
Saturday, March 24th
2012 in the Heart
Hospital in Little
Rock.
He was born March 4, 1930 in Beirne,
Arkansas to Lester Milam Sitzes Sr. and
Myrtle Wooldridge Sitzes.
He is preceded in death by his parents, his sister Erselle, his wife of 55 years
Barbara Ann Sitzes and his daughter-in-law
Cathy Sitzes.
Dr. Sitzes graduated from Gurdon
High School and then attended Ouachita
Baptist College earning a Bachelor of
Science Degree at Baylor University. He
completed his studies at St. Louis College
of Dentistry in 1956 and entered the
United States Air Force serving as a
Captain stationed at Maxwell Air Force
Base in Montgomery, Alabama.
While in dental school Dr. Sitzes
married his high school sweetheart from
Richwoods Barbara Ann Smith. They had
one son Lester III during the last year of
dental school and twin sons Donald and
David in Alabama during Dr. Sitzes’ tour
of duty.
Dr. Sitzes and family then returned
home to Gurdon to practice dentistry. In
March 1963 Dr. Sitzes moved his practice
to Hope. For the next 28 years he served
the area full time and another four on a
part time basis. Dr. Sitzes and his family
joined the First Baptist Church in 1963 and
have been members to this day. He served
as the assistant and interim song director of
46
He was a member of the Arkansas State
Dental Association Executive Board and
was the State President in 1972-73. He was
the secretary-treasurer and the president of
the Southwest Arkansas Dental Society, The
Texarkana Dental Society and the Ark-LaTex Dental Association.
the church for many years.
Dr. Sitzes served on the Hope City
Board, was president of the Gurdon and
Hope Chamber of Commerces and the
Rotary Clubs.
He was a member of the Arkansas
State Dental Association Executive Board
and was the State President in 1972-73. He
was the secretary-treasurer and the president of the Southwest Arkansas Dental
Society, The Texarkana Dental Society and
the Ark-La-Tex Dental Association. He was
a selected member of the Delta Sigma Delta
dental Fraternity, the Pierre Fauchard
Society, The American College of Dentistry
and the International College of Dentistry.
He was the Founding President of the
Arkansas State Dental Association Political
Action Committee.
Dr. Sitzes was appointed by Governor
Wintrop Rockefeller to serve on the
Arkansas Governmental Efficiency Study
Commission and by Governor David Pryor
to serve on the Arkansas State Health
Coordinating Council eventually serving as
President of the Council. He was a long
standing member of the First National
Bank Board of Directors advising his good
friend Tom Ed Hays Jr. Dr. Sitzes was an
avid fisherman, outdoorsman and tree
farmer. He and his wife Barbara were long
time supporters of the Boy Scouts in Hope
and Governor Mike Huckabee.
He is survived by his sons Dr. Lester
Sitzes, III and Marilyn of Hope, Dr. Donald
Sitzes and Denise of Nashville, Arkansas
and Dr. David Sitzes and Rhonda of Bella
Vista, Arkansas. He leaves nine grandchildren: Dr. April Brown of Boerne, Texas;
Jessica Jungerman of Nashville; John Sitzes
of Hope; Bryan Sitzes of Fayetteville; Drew
Sitzes of Russellville; Evan Sitzes of Osaka,
Japan; Jordan Sitzes of Mineral Springs;
Jenae Sitzes of Bella Vista and Tristan Sitzes
of Hope. He also is survived by three great
grandchildren: Wesley and Landon
Jungerman of Nashville and John David
Sitzes of Mineral Springs.
Funeral Services were held March 27
at First Baptist Church of Hope. Interment
followed at Memory Gardens Cemetery.
The family wishes for memorials to
be made to the Boy Scout Troop 5 building
fund or First Baptist Church of Hope. AD
First impressions,
as you know, are
very important!
We want to get your impression
of us right the first time!
Green Dental Laboratories, Inc. is
a full-service laboratory offering
comprehensive restorative solutions
to fit any plan of patient
care you determine is best
for your patient.
Services we provide
Limitless Restorative Options
• Fixed
• Implant Dentistry
• Removable • Sleep/Migraine Therapy
Free pick-up and delivery
5 year guarantee
Implant Tool Loan Service
Chairside Service
Case Support/Treatment Planning from Dentists
on Staff
Implant Diagnostic Service
Precision Scan, Design and Milling Technology
Continuing Education
Green Dental Laboratories, Inc. • 1099 Wilburn Road • Heber Springs, AR 72543 • 800.247.1365
Arkansas Dentistry
Arkansas State Dental Association
7480 Highway 107
Sherwood, AR 72120
The Future
is here for your claim payments with
Delta Dental Direct Deposit.
Direct Deposit from Delta Dental is safe, convenient,
dependable and available right away! Signing up is
quick and easy and you can receive payments within
24 hours of claim adjudication!
Receiving payment has never been faster.
Please contact Professional Relations at
800-462-5410 for more information.

will - Arkansas State Dental Association

Transcription

Similar documents

TLC-Dec15-Ronit-3

dental fear? - Sedation Dentist Ocean City

COMMUNICATING WITH THE DENTAL LABORATORY

craig s. kohler dds, mba, magd

HELP DENTAID TO END ORAL PAIN

Children in Need of Dental Treatment Program

to this!

SUNDAYS FROM 10:00AM

HONORS CONVOCATION TO FEATURE FAMU

ACDLA Cosmetic Dental Grant Campaign