the journal - Philadelphia County Dental Society

Transcription

the journal - Philadelphia County Dental Society
The Journal
of the Philadelphia County Dental Society
July/August/September 2013
12-TDIC_PA-0405.pdf
1
11/15/12
8:46 AM
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For more than three decades, we’ve had a singular focus
on protecting dentists. Which is why we insure nearly
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the Pennsylvania Dental Association. We offer:
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Exclusive Risk Management seminars
Dedicated Risk Management Advice Line
New dentist program
Endorsed by
TDIC is Rated A (Excellent)
by A.M. Best Company.
A.M. Best Company rating effective March 2012. For the latest rating, access ambest.com
For a quote, contact PDAIS
877.732.4748
thedentists.com
The Dentists Insurance Company
THE JOURNAL
of the Philadelphia County Dental Society
_________________________________________________________________________________
First District of the Pennsylvania Dental Association
July/August/September 2013 x Vol. 79 x No. 3
______________________________________________________________________________________________
Saul N. Miller, D.D.S., '14
Editor
CONTENTS
Stanley B. Toplan, D.D.S.
Associate Editor
President’s Message ........................................................................... 3
Teresa F. Ravert
Executive Director
OFFICERS
Kevin J. Klatte, D.M.D.
President
Andrew J. Mramor, D.D.S.
President-Elect
Judith A McFadden, D.M.D.
Secretary
A J. Chialastri, D.D.S.
Secretary Emeritus
Rochelle B. Lindemeyer, D.M.D.
Treasurer
Stanley B. Toplan, D.D.S.
Historian
GOVERNORS
Membership Report............................................................................... 4
Dr. Anand V. Rao Is PDA First District Trustee .................................... 5
2013 Liberty Continuing Education Courses ........................................ 6
President’s Project: New Dentists Workshop…. ................................ 8
Newsbriefs ........................................................................................ 10
MOM-n-PA........................................................................................ 14
PDA Annual Session ........................................................................ 15
Health Watch ..................................................................................... 16
Patient Referral Questionnaire ............................................................ 21
Dental Dates ....................................................................................... 23
Classified Ads ................................................................................... 27
Peter J. Carroll, D.D.S., '14
Susan M. Chialastri, D.M.D., '15
Renee Fennell Dempsey, D.M.D., '14
Jay M. Goldberg, D.D.S., '13
Chinchai Hsaio, D.M.D., '15
Amid I. Ismail, B.D.S., '13
Stanley W. Markiewicz, D.M.D., '14
Harold L. Middleberg, D.D.S., '13
Thomas P. Nordone, D.M.D, '13
Mary M. “Toni” Rust., D.D.S. '15
•••
Anand V. Rao, D.M.D., '17
PDA Trustee
•••
EXECUTIVE OFFICES:
One Independence Place
241 South 6th Street, Unit #C3101
Philadelphia, PA 19106-3797
215-925-6050
FAX: 215-925-6998
E-mail: [email protected]
WEB: www.philcodent.org
Member Publication
The JOURNAL is published by the Philadelphia County Dental Society, One Independence Place, 241
South 6th Street, Unit #C3101, Philadelphia, PA 19106-3797.
The opinions expressed herein are those of the author under whose name they appear and are not to be
regarded as representing the views of the Philadelphia County Dental Society unless so indicated.
All advertising materials and correspondence, including classified advertisements and replies should be
sent to: JOURNAL of the Philadelphia County Dental Society, One Independence Place, 241 South 6th Street,
Unit #C3101, Philadelphia, PA 19106-3797.
The Philadelphia County Dental Society does not approve or disapprove any products or services advertised in the JOURNAL.
Articles for publication may be sent directly to the Editor electronically via e-mail to [email protected]
Articles and classified advertisements should be submitted as Word documents; all other advertising should be
submitted in .pdf format (Adobe 6.0 or higher). Contact the Society via telephone or e-mail if you require
additional information. Deadline for copy is the first of the month PRECEDING the month of issue.
Subscription is included in the annual dues. The JOURNAL is published electronically 4 times a year,
January through December. Single printed copies: $4.00. Standard postage paid at Philadelphia, Pennsylvania.
Copyright 2013. The Philadelphia County Dental Society.
Thanks to CE Vendors
Thanks to the companies who support our continuing education programs. Here are some of the representatives
attendees met at the March and May programs. We ask all members to support these companies.
e John Paul Murray and Serkan
Uluturk, Hiossen
f Bob Opperman, The Insurance
Agency for Dentists, LLC
Above (l-r): Kurt Taylor, Willis of Delaware; Lynn Pencek, Orascoptic; and Shotzi Baker, PDAIS
Below (l-r): Gregory Schultz, PNC Bank; Jennifer Gerhart & Gregg Petrosky, Caulk/Dentsply
Not shown are Mark Robert, Schumacher Dental Instruments; Marv Silverman,
Kerr TotalCare; Dr. Richard Steel, AFTCO Transitions Specialist; George Williams, PNC Bank
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President’s Message
Kevin J. Klatte, D.M.D.
¾ In the last issue of The
Journal, I wrote about the
sweeping governance changes
that would be considered by the
PDA House of Delegates at the
Annual Session on April 26 and
27. To bring you up to date, the
delegates agreed to accept the
report of the Governance Task
Force which recommended a
vast alteration in the administrative footprint of the
Association. The delegates then charged the Bylaws
Committee with the task of revising the Bylaws to
include the intended changes. The results of the
committee’s deliberations will be presented and
voted upon at next year’s meeting of the House of
Delegates. If the amended Bylaws are approved at
that time, the PDA will enter a transition period to
incorporate the changes. As I noted in my last message, the delegates have been aware that we need to
change the way we do business in order to secure the
Association’s future sustainability. There is great
optimism that these changes will provide a roadmap
for a successful future for the PDA. The First District’s new Trustee, Dr. Anand V. Rao, has been
appointed as a member of the Bylaws Committee,
and I know he will keep us informed as the
committee deals with the challenges of such a
sweeping overhaul. I’d like to take the opportunity to
thank Dr. Thomas P. Nordone, who has just completed a four-year term as First District Trustee.
Tom has been an active and engaged member of the
PDA Board of Trustees, and he was in constant
contact with First District leaders keeping us “in the
loop” about all PDA activities. The workload of the
PDA Board of Trustees requires much dedication
and an enormous time commitment. On behalf of all
PCDS members, I express deep appreciation to Tom
for his willingness to serve, and I convey our very
best wishes to Anand as he begins his tenure as
Trustee. Actions of the PDA House of Delegates are
available to all members at padental.org (member
login required).
¾ One of the most edifying professional events
I can remember was the MOM-n-PA held on May 31
and June 1 at the Liacouras Center at Temple University. It was almost overwhelming to see so many
members of the dental community (more than 900)
come together on those days to provide free dental
care to approximately 1800 individuals. This
certainly was a monumental and successful achievement thanks to the cooperative efforts of dentists,
spouses, staff members, laboratories, dental supply
companies and the community at large. Kudos to the
MOM-n-PA Board, chaired by Dr. Gary S. Davis of
Shippensburg, and including, among others, the
following members of the First District: Doctors
Peter J. Carroll, Thomas W. Gamba, Amid Ismail
and Renee Fennell-Dempsey. The MOM Board and
its many committee chairpersons worked tirelessly
to bring together all of the elements that ultimately
produced a successful event. Thanks and well done
to all of YOU who participated on those days or who
donated supplies and/or money. The first Pennsylvania MOM was a testament to your kindness,
professionalism and community spirit. Visit mom-npa.com for follow-up information, and watch the
MOM video on YouTube at
http://www.youtube.com/watch?v=g9z_fbtWlJ8
¾ On June 4, Doctors Sylvan Morein, Anand V.
Rao and I were among more than one hundred
dentists, spouses and dental students from across
the Commonwealth who had the privilege of
participating in the PDA Day on the Hill. We met
with legislators to discuss SB 520 — the Assignment
of Benefits bill and SB 290 and HB 1446 —
advocating the reinstatement of funding for the
Donated Dental Services (DDS) program. This is
such a worthwhile annual event. I wish that more of
our members would take the time to participate. It
shows the face of dentistry to our legislators and
demonstrates to them our commitment to the vital
importance of oral health as part of overall health
care in Pennsylvania. See photos of the Day on the
Hill at padental.org (search Day on the Hill).
¾ One last reminder to new dentists (those who
completed dental school and/or postgraduate programs from 2004 to 2013): a New Dentists Workshop
on Budgeting & Debt Management is scheduled for
Saturday, September 28, from 8:30 a.m. to 1:30 p.m.,
at the Chart House Restaurant on the Delaware
River. I selected this topic because of my discussions
with numerous recent graduates who have shared
their feelings of being overwhelmed and even discouraged by their financial obligations. I encourage
you to participate. See pages 8 and 9 in this issue for
more information. ™
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Membership Report
We welcome the following to membership in the Philadelphia County Dental Society.
APRIL 9, 2013
RECENT GRADUATE
Dr. Thanh Bang
Temple University Kornberg School of Dentistry, 2012
Dr. Ljiljana Stanisic
University of Pennsylvania School of Dental Medicine, 2011
Dr. Woo Hyun (Daniel) Cho
University of Pennsylvania School of Dental Medicine, 2011
Dr. Boryana Stoyanova
University of Pennsylvania School of Dental Medicine, 2010
Dr. Holly H. Do
Temple University Kornberg School of Dentistry, 2011
Dr. Abbey D. Sullivan
Temple University Kornberg School of Dentistry, 2007
Temple University, 2009, (Pediatrics)
Dr. Elizabeth P. Heindel
University of Pennsylvania School of Dental Medicine, 2012
Dr. Jessica Hershman
Temple University Kornberg School of Dentistry, 2012
Dr. Grace Lee
University of Michigan School of Dentistry, 2011
Dr. Pooja Mukhatyar
University of Minnesota School of Dentistry, 2011
Dr. Satyaprasad C. Nayak
University of Pennsylvania School of Dental Medicine, 2012
GRADUATE STUDENT
Dr. Hayward B. Drane
University of Pennsylvania School of Dental Medicine, 2012
U of P School of Dental Medicine, 2014 (Orthodontics)
Dr. Raha Mozaffari
University of Pennsylvania School of Dental Medicine, 2012
AEMC, 2013 (GRP)
Dr. Jackson Nguyen
Temple University Kornberg School of Dentistry, 2012
Episcopal Hospital, 2013 (OMFS Internship)
Dr. Jamie M. Yum
Temple University Kornberg School of Dentistry, 2012
Temple University, 2013 (AEGD): 2016 (MPH)
Dr. Reeme K. Sreedharan
Boston University School of Dentistry, 2011
New Orleans, LA
Distinguished Keynote Speaker - Former President Bill Clinton - Thursday, October 31
Continuing Education Programs - Thursday, October 31 to Sunday, November 3
World Marketplace Exhibition - Thursday, October 31 to Saturday, November 2
House of Delegates - Friday, November 1 to Tuesday, November 5
Mission of Mercy (MOM) - Sunday, November 3
volunteer to provide dental treatment to underserved patients
Registration NOW OPEN
Visit ada.org/goto/session
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Dr. Arnand V. Rao Is PDA First District Trustee
Dr. Anand V. Rao was
installed as PDA First District
Trustee during the 2013 PDA
Annual Session held on April 26
and 27 in Hershey, PA. In 1993,
Anand earned a bachelor’s degree in neurobiology at the
University of Pennsylvania, and
he received his D.M.D. from the
School of Dental Medicine in
1997. He also earned a certificate in finance from the Wharton School. Anand
is the President/CEO of Dentists on the Square in
Philadelphia. Previously, he worked in New York as
a clinical assistant professor at the State University
of New York Health Science Center as a general
dentist for underserved citizens in the Borough of
Brooklyn. He also served as a clinical consultant for
medicalrecords.com where he assembled and designed
questionnaires and contributed to a web site launch
as part of a product development process.
From 1996 through 1999, Anand was a clinical
assistant instructor and a dental school extern at
Kings County Hospital Center in Brooklyn, Saint
Luke's Roosevelt Medical Center, and Guy's and
Saint Thomas Medical and Dental School in London,
England. In addition to general dentistry, he provided treatment in orthodontics, periodontics, oral
surgery and implant dentistry. He documented and
submitted a supplemental journal and evaluation of
comparative experiences in American and British
dentistry. In April 2007, Anand was a finalist for the
ADA Foundation Hillenbrand Fellowship award, a
program that introduces dentists to some non-clinical
aspects of dentistry, such as dental society affairs,
education, research, business, industry and management. A major interest in access to care for the
underserved led him to become active in Pennsylvania’s first Mission of Mercy (MOM-n-PA) which
recently provided more than $1 million in free dental
care to disadvantaged and underserved citizens in
Philadelphia. In addition to volunteering to provide
treatment, Anand was instrumental in obtaining
donations and supplies for the event.
Anand's involvement in organized dentistry
began in 1998 with membership in the ADA. He has
been a member of the Philadelphia County Dental
Society Board of Governors since 2009. During 20122013, he served on the PDA Dental Benefits Committee and assisted in the adjudication of member
complaints and correspondence regarding thirdparty reimbursement. In addition, he has been
involved in the advocacy of legislative initiatives
such as non-covered services, assignment of benefits,
and anesthesia for the physically and mentally
challenged.
As a member of the PDA Board of Trustees,
Anand will impact many areas, including the new
PDA governance model and association policies. He
is serving as a member of the PDA Bylaws Committee, and he will have an opportunity to directly
participate in drafting revisions and/or amendments
to the PDA Bylaws. ™
If your actions inspire others to dream more,
learn more, do more
and become more, you are a leader.
· John Quincy Adams
Pennsylvania State Board of Dentistry Information
If you have changed your address, State Board regulations require you to notify the SBOD of your new address.
For the complete text of the SBOD’s Rules and Regulations, visit the web site listed below. (On the left side,
click on Health Related Boards, then click on Dentistry; click on Rules and Regulations.)
Visit the web site at www.dos.state.pa.us or call the State Board of Dentistry at 1-717-783-7162
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The Philadelphia County Dental Society announces
The 2013 Liberty Continuing Education Series
at the Philadelphia Hilton City Avenue Hotel
4200 City Avenue, Philadelphia, PA
TWO programs remain at a tuition of $175.00/PCDS Member Dentist
Programs begin at 8:30 a.m. and conclude by 3:30 p.m. (unless otherwise stated). Continuing education
credits awarded; hours will be deducted for those who arrive late and/or leave prior to conclusion. Course
descriptions available by fax (215-925-6998) or e-mail: [email protected]
In recognition of the need for quality continuing education, and in an effort to make such programs attractive and accessible to members,
the Philadelphia County Dental Society proudly presents this package as a MEMBERSHIP BENEFIT. Every effort is made to bring you
outstanding programs at minimal cost to you.
Information and materials presented by clinicians are intended for your personal evaluation and are not necessarily
endorsed by the Philadelphia County Dental Society. The Society does not express or imply that individual courses will
be accepted for various state mandatory continuing education requirements. The individual license holder must
consult the regulations pertaining to your state/s.
œœœœœœœœ
CE 63 – Friday – September 20, 2013
Dr. Jehyun David Chong — “Major Principles for Practical
Implant Dentistry”
This program is designed to fulfill a doctor's desire to learn simple implant dentistry with practical, clinical
information and techniques. Emphasis is placed on diagnostic treatment planning, simple implant placement, and
prosthetic considerations and complications. (7 CE credits)
presented in cooperation with Hiossen, Inc.
participating partners: AFTCO Transition Consultants; Kerr Corporation; Orascoptic;
PDAIS; PNC Bank; Schumacher Dental Instruments;
The Insurance Agency for Dentists; TotalCare by Kerr; Willis of Delaware
CE 64 – Wednesday – November 6, 2013
Dr. Richard L. Wynn — “Drugs in Dentistry — including Herbals
and Natural Products”
The latest information on conventional drugs, herbal supplements and nutraceuticals having an impact on dental
and dental hygiene practice will be presented. Discussions will include new medical drugs, drug-induced
osteonecrosis of the jawbone, an update on the latest guidelines for antibiotic and analgesic use, and four newly
approved blood thinners. Herbal supplements will be discussed and health benefits compared, including free radicals,
reactive oxygen species, antioxidants, chocolate, red wine, Co-Q-10, Omega-3’s, vitamin D and dental herbal products.
The latest on the relationship between CRP (C-reactive protein) levels, periodontal disease and the risk of heart attack
will be covered, along with the benefits of moderate alcohol consumption. (7 CE credits)
presented in cooperation with Delta Dental of Pennsylvania
participating partners: AFTCO Transition Consultants; Hiossen, Inc.; Kerr Corporation;
Orascoptic; PDAIS; PNC Bank;The Insurance Agency for Dentists;
Total Care by Kerr; Willis of Delaware
NO REFUNDS on courses purchased as part of the CE package. Each program includes lunch and FREE parking validation.
At the end of each calendar year,we provide you with a yearly transcript of all courses you attended through PCDS.
Reservation Form ÎÎÎ
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Use a SEPARATE reservation form for each person - this form may be duplicated.
Or register online at our Web Site: www.philcodent.org
RESERVATION FORM / 2013 LIBERTY CONTINUING EDUCATION PROGRAMS
PCDS MEMBER NAME _________________________________________________________________
ADA # ______________________ TEL # (_____)________________ FAX # (_____)_______________
ADDRESS _____________________________________________________________________________
CITY/STATE/ZIP__________________________________E-MAIL _____________________________
NAME _______________________________________________________ will attend as follows:
Be certain to indicate the CODE NUMBER for each course you choose [i.e., CE 63].
__ PCDS Member for EACH program: #____ #____
$175.00
__ ADA Member Dentist, for EACH program: # ____ #____
(Include a copy of your current ADA membership card)
$250.00
__ Non-Member Dentist, for EACH program: # ____ #____
$300.00
__ Graduate Student/Resident for EACH program: # ____
(Include a copy of your current ADA membership card)
$ 95.00
__ Staff employed by PCDS Member for EACH program: #____ #____
$ 95.00
__ Staff employed by Non-Member, for EACH program: #____ #____
$125.00
PAYMENT ENCLOSED IN THE AMOUNT OF ………………………………………… $______
Method of Payment:
Card # _
ˆ Check
ˆ Visa
ˆ MasterCard
___ ____ ____ ____
Exp. Date _
ˆ American Express
_/__
Signature (required for charge cards): ______________________________________
Mail to PHILADELPHIA COUNTY DENTAL SOCIETY
One Independence Place – 241 South 6th Street – Unit #C3101 - Philadelphia, PA 19106-3797
TELEPHONE: 215-925-6050
FAX: 215-925-6998
Confirmation & Tickets will be mailed to you approximately 10 days prior to each course.
CE transcripts will be mailed each year in December. Each attendee is responsible for forwarding copies to the appropriate
licensing or accrediting agencies (State Board, AGD, Specialty Boards, etc.).
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NEW DENTISTS – Save the Date – Saturday, September 28, 2013
8:30 a.m. to 1:30 p.m.
The Philadelphia County Dental Society President’s Project Workshop:
BUDGET, DEBT MANAGEMENT STRATEGIES & FINANCIAL PLANNING
IDEAS FOR NEW DENTISTSÛ
ÛNew Dentists are defined by ADA as dentists who have graduated within the last 10 years
x
Do you have a budget? Do you think a budget would help you better understand
where you are financially?
x
Are you feeling overwhelmed by your educational loans, practice purchase, or
other loans?
x
Do you know your personal insurance needs?
x
Have you ever worked with a financial planner?
x
Do you wonder how you will ever save for your home purchase, your children’s
education, or your retirement?
x
Are you “financially literate?” Does money lingo and stock market talk leave you
wondering what it is all about?
x
Would you just like to get a few ideas about how to better manage your money
and reduce your anxieties about your financial future?
IF SO . . . plan to attend this unique workshop that PCDS and Adviser Investments have
developed especially for new dentists. The program is based on “real life” budgets and financial
information submitted by several new dentist members of the Society.
Limited Number of Attendees — Advance Registration Required
FREE**TO ADA MEMBERS WHO ARE EITHER NEW DENTISTS, GRADUATE
STUDENTS/RESIDENTS, SENIOR ASDA MEMBERS AND YOUR SPOUSE/SIGNIFICANT OTHER
(**A $25.00/person deposit is required to reserve your place/s, refundable after your attendance;
refunds will be granted if notice of cancellation is received no later than Sept 18.)
NON-MEMBER (and spouse/significant other of non-member)
TUITION: $40.00/person
Included: breakfast/lunch, program materials, and free parking
Location: The Chart House Restaurant, 555 S. Columbus Blvd., Philadelphia, PA
Directions on PCDS website: www.philcodent.org
Complete the Registration Form and return with Deposit/Tuition
For more information, e-mail [email protected]
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Registration Form--use THIS FORM to register yourself and/or spouse/significant other
Or register online at www.philcodent.org after July 12
PHILADELPHIA COUNTY DENTAL SOCIETY PRESIDENT’S PROJECT WORKSHOP
Saturday, September 28, 2013
8:30 a.m. – 1:30 p.m.
Chart House Restaurant, 555 S. Columbus Blvd., Philadelphia, PA 19147
INCLUDES FREE PARKING, PROGRAM MATERIALS, BREAKFAST/LUNCH
BUDGET, DEBT MANAGEMENT STRATEGIES & FINANCIAL PLANNING
IDEAS FOR NEW DENTISTS*
*New Dentists are defined by ADA as dentists who have graduated within the last 10 years
Seating is limited—Register Early!
Note: No CE Credits available for this Workshop.
NAME: ________________________________________________________PHONE: ____________________________
SPOUSE/SIGNIFICANT OTHER NAME: __________________________________________________________________
STREET ADDRESS: ________________________________________________________________________________
CITY/STATE/ZIP: __________________________________________________E-MAIL: _________________________
I AM A CURRENT MEMBER OF:
PCDS †
PDA †
ADA †
ASDA** †
**list your dental school on Other ADA Organization line:
OTHER ADA ORGANIZATION(S) † (please list)
I AM NOT CURRENTLY AN ADA MEMBER
†
FREE FOR ADA MEMBERS WHO ARE EITHER NEW DENTISTS*, GRADUATE STUDENTS/RESIDENTS, SENIOR
ASDA MEMBERS OR THEIR SPOUSE/SIGNIFICANT OTHER – $25.00 DEPOSIT/PERSON IS REQUIRED***
FOR MEMBER AND SPOUSE/SIGNIFICANT OTHER
***Deposit will be returned to attendee/s on Sept. 28 if paid by check, OR for cancellations received by Sept. 18, in writing, deposit
will be returned by mail. Credit card deposits will be kept on hold to ensure attendance & charged for “no-shows”.
TUITION FOR NON-MEMBERS AND YOUR SPOUSE/SIGNIFICANT OTHER – $40.00/PERSON
MEMBER (and spouse/significant other) DEPOSIT – $25.00/PERSON IS ENCLOSED:
1 - † $25.00
2 - † $50.00
NON-MEMBER (and spouse/significant other) TUITION – $40.00/PERSON IS ENCLOSED:
Refunds will be granted if cancellation is received in writing by Sept. 18
1 - † $40.00
2 - † $80.00
Total Payment Enclosed $ ___________
Method of Payment: † Check
† Visa
† MasterCard
† American Express
Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Exp. Date __ __ /__ __
Signature (required for charge cards): ___________________________________________
MAIL TO PHILADELPHIA COUNTY DENTAL SOCIETY WITH YOUR FEE/DEPOSIT
One Independence Place, 241 S. 6th St . - Unit #3101 - Philadelphia, PA 19106-3797
Telephone: 215-925-6050
FAX: 215-925-6998
Tickets will be mailed to you approximately 10 days prior to the Workshop
Newsbriefs
Infection Control Issue in York, PA
Recently, there was a stir within the media
regarding accusations against a York County dentist
regarding improper infection control. The dentist
was accused by a disgruntled former employee who
filed complaints with the State Board of Dentistry
(SBOD) and with the Department of Labor over
other work issues. The Department of Health
performed a surprise inspection and immediately
suspended the dentist’s license.
The infractions included the following:
- Spore testing of the autoclave was performed
once per month instead of weekly.
- Cetylcide was used in the ultrasonic cleaner
instead of ultrasonic solution.
- The cold sterilization solution was used for 30
days without daily testing.
- Autoclaved instruments were stored in drawers
without bags.
- Impression trays were not sterilized.
The dentist reached a consent agreement with
the SBOD on June 7, 2013. Of course, the media
portrayed the incident as if the dentist used dirty
instruments — perhaps wanting to attach a local
angle to the recent infection control issue in
Oklahoma. Once the consent agreement is fulfilled:
- The dentist will be able to have the suspension
lifted and be placed on a 5 year probation.
- All patients must be notified that they might
have been exposed to bloodborne pathogens and
should be tested at the dentist’s expense.
- The dentist will be required to take a 20 hour
infection control course, retake the Board exam on
infection control, hire an infection control consultant,
and have another dentist monitor sterilization
practices for 5 years.
- The office will also be subject to surprise
inspections by the Department of Health. ™
Safety Awareness Checklist
The ADA Council on Dental Education and
Licensure sponsors a Safety Awareness Campaign to
promote the need for the dental team to routinely
inspect their office equipment and supplies.
A safety checklist is available for dentists and
their staff to use as a guide to inspect for safety and
a variety of equipment and supplies such as nitrous
oxide apparatus, sterilization protocols and medications in emergency drug kits. To download a copy
of the checklist, visit
http://ada.org/sections/educationAndCareers/pdfs/cdel_saf
ety_checklist.pdf ™
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ADA Says Affordable Care Act Falls Short
As reported in a recent edition of ADA News by
Kelly Soderlund, the Affordable Care Act (ACA) falls
short in lowering dental care costs, increasing access
to care and improving health outcomes. The ADA
Health Policy Resource Center (HPRC) published
the research briefs. Marko Vujicic, Ph.D., managing
vice president of HPRC said, “. . . our findings should
raise concern among oral health advocates. Despite
the fact that the mouth is the gateway to the body
and oral health is a key part of whole body health,
the Affordable Care Act fails to address critical
access to dental care issues in the United States.”
“Through their analyses, the HPRC has made a
compelling case on the need to act now to address
the oral health care crisis facing tens of millions of
Americans,” said ADA President Robert A Faiella.
“We are committed to creating and sustaining
actionable solutions that provide care now to people
in need, prevent disease from occurring or recurring
and provide people with the knowledge that
empowers them to be good stewards of their own oral
health.”
HPRC published three research briefs that
looked at how the Affordable Care Act will affect
dental benefits: Dental Benefits to Expand for
Children, Likely Decrease for Adults in Coming
Years; Affordable Care Act Expands Dental Benefits
for Children but Does Not Address Critical Access to
Dental Care Issues; and Accountable Care
Organizations Present Key Opportunities for the
Dental Profession. ADA members may read all of the
research briefs at http://www.ada.org/1442.aspx ™
PDA Presents Webinar about
Affordable Care Act
A Webinar explaining how the Affordable Care
Act (ACA) may affect dentists in Pennsylvania is
available online to PDA member dentists. The
expansion of medical insurance coverage and
changes to how health care is financed could have a
transformative impact on dentistry in Pennsylvania
and across the country. Aspects of the ACA impact
dentists not only as health care professionals, but
also as small business owners and consumers of
medical care. The full impact of the ACA on
dentistry remains uncertain at this stage, but PDA
can highlight some of the potential changes that will
most likely occur in the near future. Visit padental.org
use the member login and look for “What’s
Happening” on the home page. ™
(continued on page 11)
Newsbriefs (cont’d.)
ADA to Sponsor MOM at Annual Session
in New Orleans
Did you miss the opportunity to participate in
MOM-n-PA? Did you participate and still have a
feeling that you want to do more? If you are planning
to attend the ADA Annual Session in New Orleans,
you will have the opportunity to participate in a
Mission of Mercy (MOM) charity dental clinic on
November 3, 2013.
The ADA hopes to serve some 1,000 patients in
need of dental care that day. The ADA will host the
MOM event in conjunction with the America’s
Dentists Care Foundation (ADCF) with the support
of the Louisiana Dental Association and the New
Orleans Dental Association. Dentists, dental team
members, dental students, office staff, families and
friends (age 18 and older) who will be in New
Orleans for the Annual Session are encouraged to
volunteer for the event.
“This is the first MOM program that will actively
recruit dental professionals from around the country
to participate at one location,” said Ms. Lani Becker,
associate executive director of the Wisconsin Dental
Association and ADCF board member.
Eight hundred MOM volunteers will serve in a
multitude of roles. Roughly half will be dental
professionals who will provide triage services,
radiology, diagnostics and treatment, including
restorative and specialty care. Others –students,
laboratory technicians and front office specialists –
will be utilized to help MOM run smoothly. About
200 nonclinical volunteers cover support services
from registration, patient greeting and escorting,
conducting exit interviews, site set-up and teardown,
parking attendants and many more roles. For more
information or to register as a volunteer, visit
ADA.org/MOM or ADA.org/session ™
ADA Works for You
ADA News staffer David Palmer recently
reported that ADA’s Action for Dental Health
campaign launch drew widespread media attention.
ADA President Dr. Robert Faiella fielded call-in
questions at the National Press Club on May 15,
2013 from New York Times and Wall Street Journal
reporters. Scripps Howard Foundation Wire and
free-lance reporters were among media representatives at the Press Club event expected to file
reports for other public and professional audiences.
Dr. Faiella conducted pre-event interviews with
CQ, Los Angeles Times, ABC News New York and
Politico reporters. Bloomberg, NBC and dental trade
media were among other media inquiring about the
new ADA campaign. ™
Pulitzer Prize Awarded for
Fluoridation Stories
The editorials of two staffers at the Tampa Bay
Times that helped educate voters in a fight to restore
community water fluoridation to Pinellas County,
Florida, have been awarded a Pulitzer Prize. Editorial editor Tim Nickens and columnist Daniel Ruth
were honored on April 15, 2013 for a series of ten
editorials over a nearly 14-month period about the
Pinellas County Commission’s decision to stop
fluoridating its water.
The series delved into the campaign of misinformation that anti-fluoride activists and county
commissioners used as the basis of the October 2011
decision to halt fluoridation to some 700,000 residents. The series educated readers with the facts
and scientific evidence of the safety and efficacy of
fluoridation, examined the effects that discontinuing
fluoridation had on the county and advocated for
voters to support county commissioner candidates in
favor of fluoridation rather than two incumbents
who were instrumental in the decision to stop
fluoridating.
Tampa Bay Times editor Neil Brown wrote in his
letter of nomination, “These editorials produced
profound results. In a rare occurrence, voters in
November ousted two incumbent commissioners who
had voted to stop adding fluoride in the water and
replaced them with two candidates who pledged to
add it back. In their first meetings after the election,
the new commissioners fulfilled their pledge.”
Fluoridated water supply was restored in March
2013. ™
ADA Offers Guide to Patients with Medical
Conditions
Some dental patients may present with a range
of medical complexities. The ADA Practical Guide to
Patients with Medical Conditions provides a
comprehensive resource that addresses these
challenges that may affect dental treatment, tackling such conditions as cardiovascular disease,
pregnancy, endocrine disorders, geriatric health and
functional issues, human immunodeficiency virus
and more, The publication is designed to assist
dentists in safely delivering coordinated oral health
care for patients with medical challenges. More than
200 images and 75 tables help to illustrate content.
A companion website is also available with
downloadable images and tables, case studies and
more.
The Guide (P031) is $59.95 for members and
$89.95 for nonmembers. For information, visit
ADAcatalog.org or call 1-800-947-4746. ™
(continued on page 12)
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Newsbriefs (cont’d.)
PDA Works for You
PDA members can visit padental.org and gain
information from a list of Frequently Asked
Questions (FAQs). PDA provides answers to
practitioners’ questions on a variety of topics and
issues, including advertising, dental records, legal
issues, patient accounts, and supervision of auxiliary
staff. These are meant to provide information to
members and are not intended to provide legal
advice. After member login, select Resources &
Programs from the subject bar and then FAQs. ™
IRS E-publication for Small Businesses
The IRS’ new service, e-News for Small
Businesses, is distributed every Wednesday. E-News
provides timely, useful tax information right to your
computer.
To start your free subscription, go to IRS.gov at
http://www.irs.gov/businesses/small/content/0,,id=154826,
00.html Type in your e-mail address and “submit.” ™
Reporting Theft of Controlled Substances
The U.S. Drug Enforcement Agency’s (DEA)
form for reporting theft or loss of controlled
substances is online in a secure, electronic format.
Form 106 is on the DEA’s Diversion Control
Program at www.deadiversion.usdoj.gov/
Select the DEA Form 106 On-Line button on the
right side of the homepage. ™
Labor Posters Required for the
Dental Office
The Department of Labor and Industry
maintains a list of the state- and federal-mandated
posters that employers are required to post. The
posters cover a wide variety of topics, including the
Occupational Safety and Health Administration,
Federal Minimum Wage, the Family and Medical
Leave Act and Equal Employment Opportunity.
To view information about your obligations, visit
http://www.dol.gov/osbp/sbrefa/poster/matrix.htm ™
Online Retirement Application
for Social Security
Are you ready to apply for Social Security retirement benefits? You can do so from home or office at
www.socialsecurity.gov You can complete the retirement application in as little as 15 minutes. In most
cases, after you click the “Sign Now” button and
submit the application, you’re done. Social Security
will contact you if more information is needed.
If you are uncertain about when to retire, look at
“When to Start Receiving Retirement Benefits” at
www.socialsecurity.gov/pubs/10147.html or “Retirement
Estimator” at www.socialsecurity.gov/estimator ™
12
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Dental X-Ray Procedures Exam
Information
To meet state requirements to perform dental xray procedures in Pennsylvania, dental assistants
are required to pass the Radiation Health and Safety
(RHS) exam administered by the Dental Assisting
National Board, Inc. (DANB). After passing the
exam, assistants must complete an application form
the Pennsylvania State Board of Dentistry (SBOD)
for authorization to perform x-ray procedures.
Once authorization has been received, assistants
may only perform x-ray procedures on the premises
of a dentist under the direct supervision of the
dentist.
Dental assistants who are already authorized by
the SBOD to perform radiological procedures do not
need to retest.
For more information, visit www.danb.org On the
left side, click State Specific Information, select PA,
and you will be able to access the needed
information, or call 1-800- FOR-DANB. ™
Encourage Patients to Be
Bone Marrow Donors
As reported recently in the ADA News by Kelly
Soderlund, the ADA House of Delegates passed a
resolution in 2012 to help member dentists understand the importance of promoting bone marrow
matching programs. The resolution states: “that the
ADA urges members to support participation in the
bone marrow matching program by providing
appropriate literature in their offices, gathering
samples and forwarding them for registration.”
The resolution encourages dentists to get the
kits, swab their patients’ cheeks and send the
samples in to the registry. But because a medical or
dental professional is not necessary for the task, it
also indicates that patients can obtain a kit with the
materials to swab their own cheek cells and mail the
samples to a bone marrow registry.
The National Marrow Donor Program is one of
the largest registries in the country and, according to
its website ( http.//marrow.org/Home.aspx ) determines
the type of tissue in the samples it receives. Doctors
around the world search the registry to find a match
for their patients in need of a bone marrow
transplant. People can join online and receive their
kit in the mail or in person. Gift of Life Bone Marrow
Foundation is another bone marrow registry
(http://www.giftoflife.org/default.aspx ) ™
(continued on page 13)
Newsbriefs (cont’d.)
Resource on Treating Obesity Available
The Obesity Action Coalition and the American
College of Physicians have a new free resource for
health care professionals who treat excess weight
and obesity. Excess Weight and Your Health–A
Guide to Effective, Healthy Weight Loss is a 32-page
guidebook and DVD that offers health care
professionals a mechanism to introduce the topic of
weight into their practices.
“Dentists are very cognizant of overall health
and how it relates to the treatment they provide.
Diseases like diabetes have a deleterious effect on
oral health and link directly to obesity,” said Dr.
John Fisher, a member of the ADA Council on
Access, Prevention and Interprofessional Relations.
“Many dental offices may be interested in using this
resource to help their patients understand how their
weight affects their oral and overall health.” The
DVD features two experts in the field of obesity
discussing real patients who have battled, and
continue to battle, excess weight and obesity.
Christopher Still, D.O., medical director, Center for
Nutrition and Weight Management at the Geisinger
Obesity Institute and Domenica Rubino, M.D.,
founder and director, Washington Center for Weight
Management and Research, discuss how weight
impacts health and what patients can do to manage
their weight and improve their health.
To learn more about the resource or to order a
free copy, visit www.obesityaction.org/oacacpdvd
Your patients can also get more information on
diet and dental health at the ADA’s consumer
website, MouthHealthy.org ™
Creating an Emergency Bloodborne
Pathogen Exposure Control Plan
The Occupational Safety and Health Administration (OSHA) requires medical and dental offices
to establish a written Exposure Control Plan (ECP)
that provides employees with guidance on reacting to
exposure incidents. According to OSHA standards
expert Leslie Canham, writing in the December
issue of AGD Impact, a publication of the Academy of
General Dentistry, this plan, which should also
explain what officials to contact during the follow-up
to exposure, must be available for easy access by
office staff.
“To create a proper ECP, you should add specific
details, including where required OSHA accident
forms are located and how to obtain each employee’s
medical records, including his or her most recent
vaccinations,” Ms. Canham writes. “Your office’s
ECP should include procedural guidelines that aid
your employees in maintaining OSHA standards for
bloodborne pathogen emergencies.”
According to Ms. Canham, an ECP should
include information on four things:
1. Providing immediate care to the exposed
employee, including instructions on treating the
exposed site;
2. Determining the immediate exposure risk;
3. Evaluating the exposure source;
4. Getting the exposed employee professional
care.
Ms. Canham stresses that time is critical when
dealing with bloodborne pathogens and that
treatment is more effective the sooner it is
administered.
For more OSHA and Infection Control resources,
visit ADAcatalog.org or call 1-800-947-4746. ™
Middle-agers Do Double Duty
More and more Americans are part of the
“sandwich generation,” caring for both children and
parents, according to a Pew Research survey. Fortyseven percent of adults in their 40’s and 50’s are
either raising or supporting a child and have at least
one parent 65 years old or older, and fifteen percent
are providing financial support to both.
The survey, completed in late 2012, found that
forty-eight percent of adults ages 40-59 gave at least
some financial support to an adult child in the past
year; twenty-seven percent provided the primary
support — a significant increase from 2005. On the
other hand, nearly twenty-one percent of middleaged adults provided a parent with some financial
support in 2012 — a figure relatively the same as
2005.
The survey found an interesting note about
attitudes toward support: seventy-five percent of all
adults believe grown children have a responsibility
to financially assist elderly parents who need help,
but only fifty-two percent agree that parents have a
similar obligation to help a grown child. ™
September 11, 2001
Remembering those who lost their lives or
were injured, as well those who lost loved
ones and friends on that tragic day.
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Members Volunteered at MOM-n-PA
Temple University’s Liacouras Center was
transformed into a 120-chair dental clinic for
MOM-n-PA on May 31 and June 1. More than
900 volunteers, including 151 dentists,
welcomed more than 1800 patients.
For information on how you can help with
future MOM projects, visit MOM-n-PA.com
Dr. Peter J. Carroll was in charge of
routing patients.
Dr. David A. Tecosky organized and
distributed refreshments to volunteers.
Dr. Kevin J. Klatte, PCDS President,
assisted patients on the clinic floor.
Thank you
to all the volunteers who made
Pennsylvania’s first
MOM-n-PA in Philadelphia
an outstanding success!
Photos courtesy of Sean Connolly, the Bravo Group.
14
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Members at PDA Annual Session
First District delegates listened to discussion of resolutions at the PDA House of Delegates,
April 26 and 27, at the Hotel Hershey in Hershey, PA. Shown above in the
foreground are (l-r) Doctors Anand V. Rao, Andrew J. Mramor, and Thomas W. Gamba.
Shown below are (l-r) Doctors Renee Fennell-Dempsey, Stanley W. Markiewicz
and Mary M. “Toni” Rust.
e Dr. Peter J. Carroll lent his insights
to the House discussions about the PDA
Governance Task Force
recommendations.
f PCDS President Dr. Kevin J. Klatte
shared his opinions with House
members prior to a vote.
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Health Watch
Restless Legs Syndrome & Men
Restless legs syndrome is a common and
mysterious condition, and the cause is unknown. People
with this condition feel an overwhelming need to move
or stretch the legs. They also complain of a pulling or
crawling sensation in the legs. Symptoms tend to be
worse at night, making sleep difficult. Estimates
suggest that up to 24 million people in the United
States — ten percent of the adult population — may have
restless legs syndrome. Unfortunately, the cause is not
known.
For most people with restless legs syndrome, it’s an
annoyance. If symptoms are bad enough, medicines can
help. But a new study suggests that this condition may
be more than just an annoyance. It may be linked with
a higher risk of early death. The medical journal
Neurology published results of the new study.
Researchers looked at death rates of more than 18,000
older men (with an average age of 67). They found that
nearly four percent had restless legs syndrome. Also,
about twenty-five percent of those with the condition
and fifteen percent of those without it died during the
8-year study, which translates to a nearly forty percent
higher risk of death for those with restless legs syndrome.
Some causes of death were seen more commonly in
the restless legs group, including lung disease,
hormonal disorders, nutritional or metabolic conditions,
and diseases of the blood and immune systems.
Researchers also looked at death rates just for men
who did not have important chronic medical conditions
(such as cancer or heart disease). When they were
excluded, the increased risk of death among those with
restless legs syndrome was even more dramatic. These
healthier men with restless legs had almost double the
death rate of otherwise similar men without the
condition. Researchers also adjusted their numbers to
account for differences in obesity, health habits and
other sleep problems. They still found an increased risk
of death among men with restless legs syndrome.
Dr. Robert Shmerling, of Harvard Medical School,
writing on Intelihealth.com noted that “The results of this
study surprised me. . . There is no obvious reason that
it should lead to early death. In fact, much of the news
about this condition in recent years has been positive.
Recent research has found several new and effective
treatments.”
(continued on page 17)
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16
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Health Watch (cont’d.)
Restless Legs Syndrome (cont’d.)
If you are diagnosed with the condition, he notes,
you can make helpful changes, including exercising
regularly, stretching, getting regular massage,
applying heat (by using a heating pad or by taking
hot baths), not smoking and avoiding alcohol and
caffeine for a period of time. A number of
medications have proven helpful in treating restless
leg syndrome. Consult your physician for information about medications that have proven helpful in
treating restless leg syndrome.
Dr. Shmerling notes that, while the recent study
included only men, we can expect continued research
into the condition to determine its cause and effect
on all people. ™
Be Optimistic
Edward T. Creagan, M.D, professor of medical
oncology at the Mayo Clinic, writing on the Mayo
Clinic website at mayoclinic.com says that,
“Everyone struggles with disappointments, setbacks
and missed opportunities. Why do some people seem
able to bounce back and learn from these experiences, while others never rally and live a life of
disappointment and frustration?” Dr. Creagan, who
is also certified in internal medicine and hospice
medicine and palliative care, points to a book by
Martin Seligman, Ph.D., entitled Learned Optimism:
How to Change Your Mind and Your Life. Dr.
Seligman, a professor of psychology and former
president of the American Psychological Association,
suggests that we can learn to see that light at the
end of the tunnel. We can learn to see that the glass
is half full, and adjust our reaction to the situation.
Dr. Creagan agrees that our past stays with us,
but that doesn’t mean we are prisoners of that past.
People can make choices. We can create options to
maximize inner peace and serenity, health and a
sense of self-worth. He notes that having one person
who truly believes in you can make all the difference
in the world. ™
continued on page 18)
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Health Watch (cont’d.)
Actor Attributes Oral Cancer to HPV
Recently, actor Michael Douglas indicated that his
throat cancer was caused by oral sex. In an interview
published in a British newspaper, The Guardian,
Douglas said, “without wanting to get too specific, this
particular cancer is caused by HPV (human
papillomavirus). . .” and indicated that oral sex was one
of the causes of his cancer. Douglas also has a history of
smoking and heavy drinking and had previously
attributed his throat cancer to those causes.
In January 2013, the ADA Council on Scientific
Affairs released a Statement on Human Papillomavirus
and Squamous Cell Cancers of the Oropharynx. The
report begins, “The rising incidence of oropharyngeal
cancer, specifically oropharyngeal squamous cell carcinoma (OSCC) associated with human papillomavirus
(HPV), is a significant concern for the health care
community. Over the past quarter-century, HPV
infection has become firmly established as an etiologic
risk factor for cancers of the oropharynx, specifically
those of the tonsils and the base of the tongue. Based
on data from U.S. cancer registries, an estimated 63
percent of oropharyngeal cancers each year — or over
11,000 cases — are associated with HPV infection.”
Dentists must be especially aware of the signs of
this increasing health threat and add this topic to
patients’ health history documentation as necessary.
To read the ADA Statement and additional information, visit http://www.ada.org/1749.aspx#top ™
Monitoring Blood Pressure Online
An online tool can help people lower blood pressure,
as reported in the journal Circulation: Cardiovascular
Quality and Outcomes, a publication of the American
Heart Association (AHA). The program, called
Heart360, is a free online tracking tool. In the study,
298 people with high blood pressure were randomly
divided into 2 groups. One group used Heart360. They
uploaded data to the tool from their home blood pressure monitors. This information was sent to pharmacists, who were trained to monitor and adjust people’s
medicines. The second group received usual care from
their physicians. They also received pamphlets on
managing high blood pressure, diet and exercise. After
six months, fifty-four percent of the Heart360 group
had lowered blood pressure to their target levels. About
thirty-five percent of people in the usual-care group
reached their goals. The differences were even wider for
people with diabetes or kidney problems. To participate
in Heart360 visit online at https://www.heart360.org/™
(continued on page 19)
Notify Us about Changes of E-Mail Address
To PCDS Members: If you change your e-mail address, remember to notify the Philadelphia County
Dental Society so we can keep our records current and you will continue to receive The Journal
electronically. Send your new address to [email protected] (be certain to send us your full name, too,
so we can attach the new address to the correct member.)
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18
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Health Watch (cont’d.)
Study Finds Little Reason to Buy Organic
Organic foods have few, if any, health advantages over conventional foods, according to a
research review published in The Journal Annals of
Internal Medicine. The researchers looked at thousands of prior studies. They focused on 237 that met
their standards for how well the research was done.
Only seventeen studies compared how the foods
affected people. The others focused on properties of
the foods themselves. Nutrient levels varied greatly,
with no clear patterns. Organic produce was thirty
percent less likely to have pesticide residue than
conventional produce. Children in two studies were
less likely to have pesticides in urine if they ate
organic diets; but researchers said the amounts were
small and within safety limits. Bacteria levels were
about the same in both kinds of meats; but the
bacteria in the conventionally produced meats were
more drug-resistant. They were thirty-three percent
more likely to resist multiple antibiotics. ™
More Americans Walking
Nearly 2 out of 3 American adults now say that
they walk at least ten minutes per week. However,
too few are getting enough exercise to make a
difference in their health, according to a 2010
national survey from the Centers for Disease Control
and Prevention (CDC). Almost sixty-two percent of
adults surveyed said they walked for ten minutes or
more at least once in the last week. That's up from
fifty-six percent in 2005. People in the West walk the
most; those in the South walk least. The CDC said
the improvement is a first step toward getting more
Americans active; however, current recommendations encourage at least 150 minutes per week of
walking or other moderate exercise. Research has
shown that this amount of activity can improve
health. The survey was reported in the Morbidity
and Mortality Weekly Report in August of 2012. ™
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T HE J OURNAL
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Are you afraid of doing endo?
If so, this is the perfect seminar for you!
ENDODONTICS FOR THE 21st CENTURY THE SARGENTI N2 METHOD
Half Day Seminar
4 Hours AGD Credits
Featuring Dr. Alvin Arzt
with Dr. Joe Steven, Jr. & Dr. Mark Troilo
9:00 am - 1:00 pm
Philadelphia, PA at the Downtown Marriott Courtyard
Friday, September 20, 2013,
9:00 am - 1:00 pm
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This lecture will demonstrate how you can increase your
endodontic success rate using proven techniques and
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Seminar Topics
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To Register, call KISCO at 1-800-325-8649 or go to www.aesoc.com
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Academy of General Dentistry Approved National Sponsor - 4 hours credit FAGD/MAGD
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Approved PACE Program Provider
FAGD/MAGD Credit Approval does not imply acceptance by a state or
provincial board of dentistry or AGD
endorsement.
Jan. 1, 2013 to
Dec. 31, 2014
Provider ID:!218607
Philadelphia County Dental Society
Patient Referral Questionnaire
PCDS continues to update its list of members who will accept patient referrals from the Society. Most of our referrals are for
Philadelphia County, but we will keep on file information about doctors in other areas. When a patient contacts the Society for a
referral, the patient is usually given a maximum of three offices – according to zip code. Provide as much information as
possible and return the completed form (printed or typed) to the Society’s Executive Office by fax (215-925-6998).
Doctor’s Name: _______________________________________________
Zip Code: ______________________
Primary Office Address: _________________________________________________________________________
City/State: _______________________________ Telephone @ area code: _________________________
Secondary Office Address: _________________________________________
Zip Code: ____________________
City/State: _______________________________ Telephone @ area code: _________________________
Dental School: _________________________________________ Graduation year: _________________
Specialty School: __________________________________________ Completion year: ______________
( ) General/Family Practice
( ) Specialty Practice (indicate Board Certified or Board Eligible)
Endodontics
( ) C E
Periodontics
( )
C E
Oral Pathology
( ) C E
Perio/Prosth
( )
C E
Oral Surgery
( ) C E
Prosthodontics
( )
C E
Orthodontics
( ) C E
Public Health
( )
C E
Pediatric Dentistry ( ) C E
Current Affiliation/s:
___ Hospital Staff: _____________________________________________________________________
___ Teaching Position: __________________________________________________________________
Language/s other than English: ___________________________________________________________
Check each category that applies to your practice:
__ Accessible for
__ Emotionally Handicapped
__ Medically Compromised
__ Physically Handicapped
__ Wheel Chair
__ Bonding
__ Cosmetic
__ Crown & Bridge
__ Emergencies
__ Evening Hours
__ Gen. Anesthesia
__ N2O
__ for Oral Surgery
__ for Restorative
__ Nursing Home (on staff)
__ Removable Dentures
__ Saturday Hours
__ Senior Discount
__ Time Payments
__ TMJ
__ Veneers
__ Homebound Patients
__ Implants
__ Surgical Placement
__ Restoration of
__ IV Sedation
__ Hygienist on Staff
__ Insurance Participant
__ Lab on Premises
__ Medicaid Participant
__ Military Dependents
Provide any additional information about your practice that might help our staff in referring patients to you:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Doctor’s Signature ________________________________________
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Date: _______________________
P HILADELPHIA C OUNTY D ENTAL S OCIETY
21
UP
INGcture
P
E Le
KE U
TS e 6 CE
S
I
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T
EN cour
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1
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3
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THE DENTAL SOCIETY OF CHESTER COUNTY
Re g i s
AND DELAWARE COUNTY, PA
on - li ter
DKUd ne at
proudly presents
ental
.c
DKU Continuing
Dental Education
Springfield Country Club,
Delaware County
DKU is an ADA CERP Recognized Provider. ADA CERP
is a service of the American Dental Association to
assist dental professionals in identifying quality
providers of continuing dental education. ADA CERP
does not approve or endorse individual courses or
instructors, nor does it imply acceptance of credit
hours by boards of dentistry. DKU designates this
activity for 30 continuing education credits. Concerns
or complaints about a CE provider may be directed to
the provider or to ADA CERP at www.ada.org/cerp.
om
Approved PACE Program Provider
FAGD/MAGD credit. Approval does not
imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval
extends from 3/1/2013 to 2/28/2017.
Provider ID #217995
Friday, November 15, 2013
Jeff Staads – Billings, MT – “You Cannot Not Communicate” Everyday, in every situation that involves another person, communication takes place. We recognize it most
readily when words are used. Besides the words we choose and use, messages are always being sent. The way you dress, your self-image, can all send messages. Are the messages received by our
patients and others the same ones we think we are sending? Improving your communications skills will not only help you get treatment acceptance but also help you prevent accounts receivable
from developing by verbally supporting your financial expectations. Should accounts receivable develop, you will learn how to collect them. You will learn: Skills that improve your communications; How to change your attitude when dealing with problems; The different characteristics of challenging people; Eight action steps to better deal with the people that challenge us; Create an effective financial policy; Get better results by controlling the collection conversation; Collect more money at time of service. Since 1990, as President of BRC, Jeff talks with an average of 100 audiences
each year across the U.S. and internationally on communications skills, collections, sales and leadership. This course is a must for the entire dental team! This course is cosponsored by an educational grant from Dodd Dental Lab, Bonadent Lab and Dentsply.
Wednesday, December 18, 2013
Lou Graham, DDS – Chicago, IL – “Updates in Direct and Indirect Restorative Dentistry: Mastering Today’s Materials for Your Practice”
With life expectancies now approaching 80-95 years of age, it becomes our responsibility as oral health care providers to approach our patients with the most conservative restorations to maximize tooth
structure. This course is about how to create long lasting restorations and the essential steps that MUST be incorporated into the process. The changes in materials have been profound and this program
will present casework for all classes of restorations with the latest research and materials presented. Course objectives: Lights, their value, and the hidden secrets of what you need to know for proper
curing.• Total-etching, Selective Etching, Self-etching…what to do? • How do the new low stress composites make our lives easier? Are they worth it? • The new age of Biomemetic liners and bases and
why they are so valuable and unique. • Conservative caries removal • Mastering the latest in Class 2 matrix systems • Understanding: e Max, All Zirconia Restorations, Porcelain Restorations: The pros
and cons to each. • How preparations vary and why one is far more conservative and the benefits of single use burs. • Maximizing your impressions: Techniques in both traditional and digital •
Cementation: A game-changer non-resin biomimetic cement that delivers a superb seal along with ease of use and far more, will be presented along with step by step techniques from accurate interproximal adjustments, to polishing, leading to the final cementation. Dr. Graham is the former Dental Director of the University of Chicago’s Department of Dentistry. He is an internationally recognized lecturer extensively involved in continuing education for dental professionals. This course is co-sponsored by an educational grant from Dodd Dental Lab, Dentsply, Bonadent Lab, Shofu, Doxa and SDI.
Wednesday, January 15, 2014
John Minichetti, DMD – Englewood, NJ – “Information all Dentists Must Have for Successful Implant Treatment” This program is designed for
the dentist wishing to learn how to incorporate or expand their implant knowledge and techniques. Participants will go over diagnosis of the implant patient, treatment options for the edentulous
patient, atraumatic extraction techniques, socket grafting, bone augmentation, mini implant surgery, basic implant surgery and implant restorative options. CT diagnosis and computer milled abutment restorations will be reviewed. At the completion of the course the participants will be able to: Understand how to diagnosis patients for dental implants; Analyze patients with CT Imaging;
Evaluate the complexity scale of the patient for dental implants; Perform Atraumatic Extractions; Perform ridge preservation and socket grafting; Understand basic mini implant and standard root
form dental implant surgery; Know the fixed abutment choices for dental implants; Understand implant overdenture options for fully edentulous patients. Dr. John Minichetti has been placing and
restoring implants for over 25 years. He is a fellow of the American Academy of Implant Dentistry (AAID). He is also a Diplomate of the American Board of Oral Implantology/ Implant Dentistry of
which he has served as President.This course is co-sponsored by an educational grant from Dodd Dental Lab, Dentsply and Hayes Handpiece Repair.
Friday, April 11, 2014
L. Stephen Buchanan, DDS, FICD, FACD – Santa Barbara, CA – “The Art of Endodontics: Everything Has Changed but the Anatomy” This
presentation relates the most fundamental and unchanging endodontic issues—pulp, dentin, root, and root canal anatomy—to principles of treatment, simplifying our choices among evolving procedural technologies. A diagnostic regimen is shown that can rule endo in or out, and if pain is of endo etiology, it can discover which tooth is referring the pain. Dr. Buchanan will also show his
most current treatment methods. Procedures covered include guided-access cavities, rotary negotiation, shaping canals with one to three files, bug-jarring irrigation and 3D obturation accomplished
in seconds. After watching this presentation attendees should understand: The influence of endodontic anatomy on pulp degeneration and how the complexities of root canal systems dictate treatment to their full apical and lateral extents. How 3D and 2D radiography with thermal pulp testing can deliver 100% diagnostic confidence. How to treatment plan emergency care, endo vs implant,
and how you are going to successfully invade pt’s root canal systems. How cutting with guided access burs reduces loss of tooth structure while improving file paths. How rotary negotiation brings
the 10X improvement that rotary shaping did 15 years ago. Why 3D obturation can improve success rates and how simple it is to do with today’s technology. Dr. Buchanan is a diplomate of the
American Board of Endodontics and an assistant clinical professor at the post-graduate endodontic programs at USC and UCLA. This course is co-sponsored by an educational grant from Dodd
Dental Lab and Dentsply.
Thursday, May 8, 2014
Glenn Dupont DDS – St Petersburg, FL –“Solving the Most Difficult Cases: A Step-by-Step Process” After graduating from Emory University School of
Dentistry in 1979, Dr. Dupont joined the practice of Dr. Peter Dawson. He is currently the Director of Faculty at the Dawson Academy. Dr. DuPont will share a process that he has been using successfully to solve the most difficult problems that patients present with. He has accumulated some extremely challenging cases over the last 34 years. Anterior open bites, class three problems,
anterior cross bites, posterior cross bites, deep over bites, bulimia and anterior wear are a few of the cases that he will address. A step-by-step process will be presented in a series of checklists
that the attending dentist can immediately apply to help solve problems with their patients. Learning objectives: Review key principles and concepts of esthetics and function; Apply the four treatment options to solve functional issues; Utilize the Functional-esthetic 2-D checklist; Show the use of the 10 Step 3-D checklist; Discuss checklists for lab communication to ensure predictabilty;
Utilize a specific process to sequence all types of cases for efficiency and productivity; Apply these checklist and principles to a number of different cases. This course is co-sponsored by an educational grant from Dodd Dental Lab, Dentsply and Hayes Handpiece Repair.
Those taking the full DKU Series will receive both Bonus Courses at the Valley Forge Radisson Hotel
Thurs., Sept. 26, 2013
BONUS #1: Gordon Christensen, DDS; “Clinical Update”
Wed. – Fri., March 5-6-7, 2014
BONUS #2: Members choose one course from the Valley Forge Dental Conference
All meetings will be held at the Springfield Country Club on Route 320, Springfield, Delaware County, PA, except for the Bonus Courses held at the Valley Forge Radisson
Hotel. Registration for all courses 8:15 AM. Lecture 9:00 AM – 4:30 PM. Continental breakfast and lunch included for all DKU courses.
FEES
22
Delco and Chesco Society Members - Entire Series plus both bonus Courses - $695, Individual Courses - $195, 3 Courses - $530, 4 Courses - $615
Other ADA Members - Entire Series plus both bonus Courses - $745 Individual Courses - $210, 3 Courses - $570, 4 Courses - $665
Non-ADA Members - Entire Series plus both bonus Courses - $815, Individual Courses - $225, 3 Courses - $605, 4 Courses - $715
Staff members accompanied by a doctor will be $95 per course per person with reservation at least one week in advance, $110 per course per person at door.
Cancellations and Refund Policy - No refunds will be made without notice of at least one week prior to course date. (A $25 administrative fee will be deducted.)
For information please contact: DKU • c/o Barry Cohen, DMD • 4750 Township Line Rd • Drexel Hill, PA 19026 • 610-449-7002 • [email protected]
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Dental Dates
The JOURNAL welcomes news concerning activities of your dental study club or other bona fide dental associations. Send
information (as formatted below) to the Philadelphia County Dental Society via e-mail: [email protected] or fax: 215-9256998. Deadline for publication is the first of the month prior to publication (September 1 for the
October/November/December issue), and information will be published on a space-available basis.
JULY
23
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast — 6:30 p.m. Dinner meeting
(Gallo’s Restaurant) featuring Dr. David Appleby, “Review of Removable Partial Denture Design Fundamentals.” For information, contact: Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com
24
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city - 6:30 p.m. Dinner meeting
(Doubletree Hotel) featuring Dr. David Appleby, “Review of Removable Partial Denture Design Fundamentals.” For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com
AUGUST
13
14
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast - 6:30 p.m. Dinner meeting
(Gallo’s Restaurant) featuring Mark Kiefer, “Computers in the Dental Office.” For information, contact:
Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city - 6:30 p.m. Dinner meeting
(Doubletree Hotel) featuring Mark Kiefer, “Computers in the Dental Office.” For information, contact:
Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com
SEPTEMBER
11
NE DENTAL IMPLANT/PERIODONTAL PROSTHESIS STUDY CLUB — Dinner meeting at the Buck
Hotel, Feasterville, PA at 6:00 p.m., featuring Jeffrey S. Mannheimer, PT, Ph.D, CCTT, CODN, Adjunct
Clinical Professor, Department of Rehabilitative Medicine, Columbia University; Private Practice, Delaware
Valley Physical Therapy Associates, “Overlooked Causative and Perpetuating Factors Relative to Headache,
Orofacial and Temporomandibular Pain/Dysfunction Syndromes with Therapeutic Implications.” For
additional information, contact Paula Chernoff at 215-677-8686 or email at [email protected]
11
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — Joint program in northeast — 6:30 p.m.
Dinner meeting (Gallo’s Restaurant) featuring Dr. Robert Faulkner — topic TBA. Sponsored in cooperation
with Dentsply/Astra. For information, contact: Sandra J. Berlin at 215-722-4290 or visit
www.PhilaPerioImplants.com
18
GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB — 6:00 to 9:00 p.m., featuring Joann
Guerenlian, R.D.H., Ph.D., Haddonfield, NJ, “An Inside Look at Oral Pathology.” 3 CEUs. For information,
contact Maggie Rutherford, R.D.H. at [email protected]
20
PHILADELPHIA COUNTY DENTAL SOCIETY — Continuing Education Course at Hilton Philadelphia
City Avenue Hotel, featuring Dr. Jeyhun David Chong, “Restoration of Implants.” For information, contact the
Society at 215-925-6050 or visit the web site at www.philcodent.org
CHESAPEAKE DENTAL CONFERENCE — Ocean City, MD. For information, call 410-964-2880 or visit
online www.msda.com
20-22
28
PHILADELPHIA COUNTY DENTAL SOCIETY — “Debt Management & Financial Planning for the New
Dentist.” 8:30 a.m. to 1:30 p.m. — The Chart House Restaurant, 555 S. Columbus Blvd., Philadelphia, PA.
For information, contact the Society at 215-925-6050 or visit the web site at www.philcodent.org
OCTOBER
2
GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB — 6:00 to 9:00 p.m., featuring P.D.
Miller, Jr., D.D.S., Clinical Professor, Department of Periodontics, Medical University of South Carolina, “An
Evidence Based Scoring System to Accurately Determine Periodontal Prognosis.” 3 CEUs. The Northeast
Philadelphia Dental Implant Study Club members will also attend this course. For information, contact
Maggie Rutherford, R.D.H. at [email protected]
3-4
THREE RIVERS DENTAL CONFERENCE — Seven Springs Mountain Resort. For information, visit
online at www.dswp.org or e-mail [email protected] or call 412-321-5810.
(continued on page 24)
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Am Pract Philad Cty
10/2/12
12:03 AM
Page 1
DENTAL
PRACTICE
SALES
Ask
About Our
FREE GUIDES
For Sellers
& Buyers!
Want to Know More? We Can Guide You.
American Practice Consultants, a full service Dental Practice Broker
& Appraiser, was founded in 1985 by Philip A. Cooper, D.M.D.,
M.B.A. to provide a range of transition services to dentists who are
selling or buying a practice.
Let Us Expertly
Guide You Through:
•
•
•
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AND SO MUCH MORE!
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Philip A. Cooper, D.M.D., M.B.A.
704 East Main Street, Suite D • Moorestown, New Jersey 08057
856-234-3536 • 800-400-8550 • [email protected]
24
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Dental Dates (cont’d.)
OCTOBER
22
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city — 6:30 p.m. Dinner meeting
(Doubletree Hotel) featuring Dr. Louis Rossman, “Differential Diagnosis of Toothache Pain: Odontogenic
Etiologies.” For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com
23
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast — 6:30 p.m. Dinner meeting
(Gallo’s Restaurant) featuring Dr. Louis Rossman, “Differential Diagnosis of Toothache Pain: Odontogenic
Etiologies.” For information, contact: Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com
31 — Nov 5 AMERICAN DENTAL ASSOCIATION — 154th Annual Session, New Orleans, LA. For information,
visit the web site at www.ada.org/goto/session
NOVEMBER
6
PHILADELPHIA COUNTY DENTAL SOCIETY — Continuing Education Course at Hilton Philadelphia
City Avenue Hotel, featuring Dr. Richard Wynn, “Pharmaceuticals.” For information, contact the Society at
215-925-6050 or visit the web site at www.philcodent.org
12
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast — 6:30 p.m. Dinner meeting
(Gallo’s Restaurant) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial
Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 1. For information, contact: Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com
13
GREATER PHILADELPHIA DENTAL HYGIENE STUDY CLUB — 6:00 to 9:00 p.m., featuring Kenneth
Kornman, D.D.S., Ph.D., Chief Scientific Officer, Interleukin Genetics, Inc., Waltham, MA, “The Role of
Genetics and Epigenetics in the Diagnose and Management of Periodontitis.” 3 CEUs. The Northeast
Philadelphia Dental Implant Study Club members will also attend this course. For information, contact
Maggie Rutherford, R.D.H. at mrutherford@padental implants.com
19
PHILADELPHIA COUNTY DENTAL SOCIETY — Annual Business Meeting and Election of Officers —
7:00 p.m., at the Executive Office. All members are welcome to attend.
19
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city — 6:30 p.m. Dinner meeting
meeting (Doubletree Hotel) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial
Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 1. For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com
29 — Dec. 4 GREATER NEW YORK DENTAL MEETING — Jacob K. Javits Convention Center. For information,
visit www.gyndm.com or call 212-398-6922.
DECEMBER
3
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — northeast — 6:30 p.m. Dinner meeting
(Gallo’s Restaurant) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial
Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 2. For information, contact: Sandra J. Berlin at 215-722-4290 or visit www.PhilaPerioImplants.com
10
CONTINUING EDUCATION FOR DENTAL EXCELLENCE — center city — 6:30 p.m. Dinner meeting
(Doubletree Hotel) featuring Dr. Joseph Greenberg & Dr. Tim Greco, “Harmonizing Dental & Facial
Esthetics: How to Examine, Diagnose & Treat to a Predictably Successful Outcome.” Part 2. For information, contact: Vickie Fisher at 215-732-4450 or visit www.PhilaPerioImplants.com
Learn the Benefits of Your ADA Membership
The ADA Member Benefits Handbook is a 24-page downloadable publication that contains helpful
information to assist member dentists enhance patient care and achieve success through the practice of
dentistry. It offers descriptions of and contact information for programs and products
available to ADA members.
Visit www.ada.org
Member login required;
the publication can be accessed on the right hand side of the Member home page.
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Classified Ads
Classified Advertisement Policy. The Society reserves the right to accept, decline or withdraw classified
advertisements at its discretion. The Society believes the advertisements that appear in these columns are from
reputable sources; the Society neither investigates the offers being made nor assumes any responsibilities concerning
them. Every precaution is taken to avoid mistakes, but responsibility cannot be accepted for clerical or printer’s
errors. Requests to run advertisements “until further notice” cannot be accepted; the advertiser is responsible for
renewals. Names of box number advertisers cannot be revealed. The JOURNAL reserves the right to edit copy of
classified advertisements. Classified ads will not be taken over the telephone.
DOCTOR, ARE YOU SEEKING EMPLOYMENT?
Call the Philadelphia County Dental Society at 215925-6050 or Fax 215-925-6998 to have your name
listed on our employment referral list. Weekdays, 9
a.m. to 5 p.m.
DOCTOR, ARE YOU LOOKING FOR AN ASSOCIATE or for a dentist to work in your practice? Call
the Philadelphia County Dental Society at 215925-6050 or Fax 215-925-6998 for the list of dentists
seeking employment. Weekdays, 9 a.m. to 5 p.m.
HOMEBOUND PATIENTS NEED CARE — If you
have time in your schedule, why not consider
providing care to homebound patients? Many
patients need dental care, and most pay for the
services. For more information, call Dr. Glenn
Goodhart at 215-635-0200.
MARYLAND DENTAL PRACTICES FOR SALE—
2 FREDERICK COUNTY semi-rural practices; both
prices drastically reduced; EASTERN SHORE
Grossing $600K, and interior grossing $375K;
BALTIMORE County grossing $356K. 3 ops retiring.
ANNE ARUNDEL 3/4 ops, grossing $400K. Shopping Center and 2 op Prof. Bldg. CALL FOR MORE.
800-544-1297 www.polcariassociates.com
FOR SALE — Berks County dental office. Dentrix
software, Schick digital radiography, 1700 active
patients. 4 modern treatment rooms with state-ofthe-art equipment. Free-standing 2100 sq. ft. facility
on busy corner with adjacent vacant lot available for
expansion. Email: [email protected]
LET ME PAY FOR YOUR HAWAIIAN VACATION! NJ and PA licensed GP will do quality endo
in your office. Also available as fill-in general dentist. Call 856-772-2293.
PRACTICE TRANSITIONS — We specialize in
Practice Sales, Appraisals and Partnership Arrangements. Ask about our free guides for Sellers and
Buyers. For information on services and listings,
contact Philip Cooper, D.M.D., M.B.A., American
Practice Consultants, toll free 1-800-400-8550, or
www.ameriprac.com
OPPORTUNITY AVAILABLE — Established Bala
Cynwyd practice seeks an associate who is
motivated, skilled and able to work independently.
Could lead to transition/purchase potential. Call
Steven @ 610-960-8905.
SPACE AVAILABLE — Main Line Location — 4chair office. One-to-three days possible in our fully
equipped state-of-the-art facility. Fax for further
information at 610-667-4374.
OPPORTUNITY AVAILABLE — Hygienist — Take
charge of your schedule and earning potential.
Operations in 5 counties. Call for further
information at 610-664-7795.
OPPORTUNITY AVAILABLE — Doctor needed for
unique opportunities. This is not your ordinary
practice. Excellent earning and ownership potential.
Must possess energy and drive for servicing a high
demand population. For information, please fax @
610-667-4374 or call Steven @ 610-960-8905.
FOR SALE — Practices in zip codes 19116 or 18960.
Includes equipment, inventory, four operatories.
Transition available. Established practice that
owner would like to sell to reduce workload. Fax:
215-643-0333 or e-mail: [email protected]
Advertise in the Journal of the Philadelphia County Dental Society. The Journal is published
quarterly and is made available online for members at: www.philcodent.org
The Journal is an informative resource, providing timely, helpful information to members of the
Philadelphia County Dental Society.
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Sponsor a new PDA member, get $100!
Help PDA increase its market share of dentists in Pennsylvania by sponsoring a new
member! When sponsoring a new member, you’ll not only be contributing to your
professional association, but you’ll receive $100 as thanks for your efforts!
Your $100 reward can be:
& Used to indulge yourself for a job well done.
& Applied to your recruited member’s dues.*
& Applied to your membership dues.*
& Donated to the Pennsylvania Dental Foundation.
*All credits will apply to the following year’s dues.
For more information visit www.padental.org/100.
28
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Have a safe
and happy
summer
PCDS Liberty Continuing Education Dates for 2013
Register online at www.philcodent.org
(See pages 6-7 in this issue)
Friday, September 20 — Restoration of Implants with Dr. David Chong
In cooperation with Hiossen, Inc.
Wednesday, November 6 — Pharmaceuticals with Dr. Richard Wynn
In cooperation with Delta Dental of Pennsylvania
Mark Your Calendar Now & Plan to Attend
PCDS Continuing Education
Convenient ™ Relevant ™ Affordable
Helping you meet your legal and ethical responsibilities.