Articulator - Mid-Peninsula Dental Society

Articulator JANUARY / FEBRUARY / MARCH 2015
1
Mid-Peninsula Dental Society
Articulator
JANUARY / FEBRUARY / MARCH 2015
Mission Statement
The MPDS supports our dentists in creating and sustaining vibrant, active practices while improving the health of our
community through service, education, and advocacy.
Vision Statement
Our members are actively engaged in our energized and cohesive community of dentists, advocating the interests of our
profession and serving the health of our community through outreach education and treatment.
President’s Message
Dear fellow MPDS members,
Ken
Scheifler
I hope you all had an enjoyable and relaxing Holiday season with loved ones. It’s with great
excitement and anticipation that I begin my first message to the society as your 2015 President.
When you make the commitment to advance on the Board from the entry-level Members at Large
position, the 7 year commitment can seem a bit daunting. In retrospect, as I often say watching
my kids grow up, the time has flown. I’m humbled and have been inspired by those who have
preceded me and appreciate their commitment to our society. It’s because of them and their
effective teamwork with our wonderful executive director, Mary Conway that our society is so
strong.
As we begin a new year, let’s reflect on what I believe was an exemplary year for our society and
organized dentistry. Our Mid-Peninsula Dental Health Foundation realized its most productive year,
providing more care this year to the underserved than any other year since its inception in 1968.
Our foundation continues to be a model of community outreach success and has helped several
other component societies implement similar programs.
Relatively speaking, our society serves a much smaller population of dentists, but our influence has
been widespread. As an example, two of the CDA Presidents over the past 6 years have been from
our local component. A Palo Alto dentist and Past President of our society, Dr. James Stephens’
leadership as 2014’s CDA President was very inspirational. Jim proved to be an amazing leader in
what proved to be a banner year for the CDA.
Here were some highlights:
• CDA worked effectively with a diverse coalition to ensure that Proposition 46 was overwhelmingly
defeated. The main goal of this measure was to increase the earning potential for lawyers involved
in healthcare litigation, further raising the costs of care and threatening access to care;
• With the CDA’s support, Dr. Jim Wood of Healdsburg was the first dentist elected to State
Assembly, giving him a strong voice for our profession and raising oral healthcare awareness in the
Legislature;
• CDA continues to pursue legal action against Delta Dental for its lack of transparency in a
proposed fee reduction for its member dentists
Articulator JANUARY / FEBRUARY / MARCH 2015
As participants for the CDA’s House of Delegates in November, a few Board members and myself
were given the honor of representing our society and casting our votes on issues that impact us all
as California dentists. These parliamentary proceedings can be very slow and boring at times, but
I can assure you, the process is thorough and those giving their time to this process are passionate
and care deeply about the future of our profession.
I left this event with a renewed perspective about the effectiveness and supportiveness of the CDA.
They truly have “our backs.” On a local level, I want all of you to know that the MPDS Board has
“your back.” I encourage you to let us know how we can better serve you. I assure you, your voice
will be heard. We are planning to send a survey to all of you. Please take some time to express
your thoughts. What are we doing well? What improvements would you like to see? What ideas
do you have to make for a healthier society? Don’t forget, our society is only as strong as its
membership.
Member involvement has been one of largest challenges over the past few years and will continue
to be a high priority. With the help of our New Dentist Committee, we hosted a higher attendance
of new members at our society functions in 2014. Although our society circle has expanded a bit,
we have a long way to go. I speak for the Board when I say we’re also not nearly satisfied with
the level of society and CDA/ADA membership amongst our local dentists. We have another great
year planned with some amazing speakers and great events. I look forward to seeing you there.
I’m not a social butterfly and joining the Society and Board were not comfortable decisions for
me. I know from my own experience how intimidating it can feel arriving at events where you
don’t know many people. Through my own participation and involvement, I’ve met some amazing
people and have grown great relationships. I know firsthand the impact our dental society can
have on its members. So, please do your part to participate and expand your involvement. Join
or contribute to our Foundation, join a committee, participate in CDA Cares, attend our educational
and social meetings. In the process of growing the health of our society and our profession, I
speak from experience when I say it will pay significant personal dividends. n
Next Board Meeting
CPR Courses
January 20th
Crowne Plaza Cabaña Hotel, Palo Alto
By appointment at your office.
Call Society Office today.
New Member
Jennifer Lehnhardt, DDS
General Practice
Indefinite Practice
Loma Linda 2013
2
Articulator JANUARY / FEBRUARY / MARCH 2015
Conway’s Corner
Mary Conway
Happy New Year, I hope that your holidays were as pleasant as mine were.
I welcome Ken Schweifler as Mid-Peninsula Dental Society’s President for
2015 and his Board, Lee Panec, Reza Riahi, Joyce Cheng, Chris Joy,
Nidhi Pai, and Trustee , Bert Rouleau and welcome to our Members-atLarge, Jennifer Rearrick, Jenny Yoo, Dan Ponce and Aaron Rouleau.
The CDA House of Delegates on
November 14th-16th
showed the
best of what can be done when
professionals from across the state
met to respond to the needs of the
profession, public, and our members.
Over two hundred representatives from
every dental society in California met in
San Diego for three days to set policy
for CDA. Pictured your Delegates, Fella
Benyammi, Erlyn Hernandez, Alternate
Delegate & Trustee, Bert Rouleau. Our
very own past Jim Stephens stepped
down as CDA President. He planned a very fun party when all the work was done on Saturday
night, the theme was Jimmy Buffet. Pictured are the whole MPDS team, including Jim and his
wife, MPDS member Susie Park, Past CDA President Brian Scott and MPDS Delegates, Lee
Panec, Reza Riahi, Ken Schweifler and Joyce Cheng. The house made key decisions about
new work, new policy, and improvements to a variety of activities influencing dentists across
the state. It truly was a banner year for CDA’s advocacy program!!
Vote No On 46! We did it! No: 67.1% Yes: 32.9% Despite a formidable
adversary, together we accomplished what is rarely done in California: a landslide
victory! Thank every one of YOU who voted, put up the yard sign, wore the
button, educated your patients and colleagues.
End of Year Advocacy Highlights n landslide defeat of Proposition 46 n Enactment
Assembly Bill (AB) 1962 greater transparency to dental plans & accountability for
spending patient premium revenue n ongoing funding for a state dental director to
oversee a comprehensive state oral health program n defeat proposals expanding scope
of practice for dental hygienists and authority of the Dental Hygiene Committee of CA n
preventing “clawback” of Denti-Cal reimbursement rate cut retroactive to June 2011 and
budget language establishing Denti-Cal performance measures to evaluate utilization,
access and availability of dental providers n Supporting AB 1174 signed into law codifying
Virtual Dental Home model providing for dentist-directed teams to use telehealth to
provide care in public health settings n dental coverage “embedded” in medical plans
sold through Covered California are separately monitored by state regulators to ensure
dental component of these plans maintains adequate network of dental providers to
provide timely access to care.
3
Articulator JANUARY / FEBRUARY / MARCH 2015
February-Give Kids a Smile-February 6th, 11th-13th,18th-20th
Once again our Society will be conducting school classroom instruction. MPDS School
Program has been going strong for many years now. The School Program gives volunteer
dentists the chance to help promote proper oral hygiene to students. All you need to do
is donate a few hours in the communities that the Mid-Peninsula Society serves. If you're
interested in volunteering for this worthwhile cause, call the MPDS at (650) 328-2242, or email
me at [email protected]. I look forward to hearing from you! A special thank you to Dr. Merna
Tajaddod for her help this past year as the Community Services Chair. Please let us make
this an all society effort and help Merna. Be looking for further correspondence in the coming
month. Thank you!
Regulatory Posters are coming out in the spring.
CDA will be mailing them to your offices. Besides the
typical posters it will also include auxiliary duties poster,
radiation safety poster, post exposure management
protocol and steps to follow after an exposure to blood
or saliva.
The Foundation's CDA Cares events for 2015 will be
held in at Cal Expo Fairgrounds in Sacramento on
March 27th – 29th. For more information on how to
get involved, visit cdafoundation.org and sign up
today!! With the help of 1,700 volunteers — including
more than 900 dentists and dental professionals — the
CDA Cares volunteer dental program provided $1.62 million in care at no charge to 2,203
patients December 7-8 at the Del Mar Fairgrounds in San Diego. We would like to extend
a big thank you to those who volunteered and provided donations to help make the clinic a
big success. Since 2012, CDA Cares has provided more than $6 million in care to more than
8,000 people who experience barriers to care. n
4
Articulator JANUARY / FEBRUARY / MARCH 2015
MPDS had a busy Fall with
the September 19th, October 3rd,
Halloween Meetings/Oktoberfest and
the CDA House of Delegates
5
Articulator JANUARY / FEBRUARY / MARCH 2015
6
Articulator JANUARY / FEBRUARY / MARCH 2015
IN MEMORIAM
Barney Young Lim
Aug. 4, 1954 - Nov. 10, 2014
Portola Valley, California
Barney Lim was born in Rochester, MN, to Dr. Richard and Catherine Lim on August 4, 1954,
and he was the second of nine children. His family lived in Winnipeg, Canada, before relocating
to Santa Barbara.
Barney graduated with honors from UC Davis and received his Doctorate in Dentistry from
UCLA. After graduating from UCLA, Dr. Lim attended the periodontal residency at the University
of Washington. Dr. Lim had the distinction of being one of the first periodontists in California
to receive implant training from Dr. P.I. Branemark, inventor of the modern day dental implant.
Barney was a member of the American Academy of Periodontology, the California Society of
Periodontists, the California Dental Society, and the American Dental Association. In addition,
he previously held faculty positions at UCLA Dental School and UCSF Dental School.
Barney practiced periodontics in Menlo Park for 26 years. Barney was a gifted athlete and
outdoorsmen who spent many happy hours climbing the hills to Skyline on one of his beloved
bicycles. He loved skiing, backpacking in the Sierras, and played USTA tennis every season.
Barney is survived by his wife Katie, daughter Alayna, and son, Eric. He also leaves behind his
father, Dr. Richard Lim of Santa Barbara and seven siblings: Alan, Cindy, Dennis, Francine, Gina,
Howard and Irene and their families. Barney was preceded in death by his mother Catherine
and brother Eric Lim.
Donations in memory of Barney can be made to the Bonnie J. Addario Lung Cancer Foundation,
1100 Industrial Road #1, San Carlos, CA 94070.
7
Articulator JANUARY / FEBRUARY / MARCH 2015
SAVE THE DATE
Mid-Peninsula Dental Health Foundation Fundraiser
Friday, March 20, 2015
Crowne Plaza Cabaña Hotel, Palo Alto
“Bonded Restorations in the
Anterior & Posterior Dentition”
~ Please note NEW Schedule for our all day programs ~
• 7:30 Registration/Exhibitors
• 8:30-2:00 pm Program
• 6 CEU’s
• Box Lunch
Dr. Pascal Magne is an Associate Professor with Tenure and the Don and Sybil Harrington Foundation
Chair of Esthetic Dentistry in the Division of Primary Oral Health Care, University of Southern California,
School of Dentistry (USCSD), Los Angeles.
Dr. Magne graduated from the University of Geneva Dental School, Switzerland, in 1989 with a Med.
Dent. obtained his Doctorate in 1992 and his Ph.D. degree in 2002. He received postgraduate training
in fixed prosthodontics and occlusion, operative dentistry and endodontics, and was a lecturer at the
same university beginning in 1989 until 1997. From 1997-1999, he was a Visiting Associate Professor at the Minnesota Dental
Research Center for Biomaterials and Biomechanics, University of Minnesota, School of Dentistry. After concluding two years of
research, Dr. Magne returned to University of Geneva Dental School and assumed the position of Senior Lecturer in the Division
of Fixed Prosthodontics and Occlusion until his departure for USCSD in February 2004.
Dr. Magne is a recipient of multiple awards from the Swiss Science Foundation, the Swiss Foundation for Medical-Biological
Grants, and was the recipient of the 2002 Young Investigator Award from the International Association for Dental Research. He
is also the author of numerous clinical and research articles on esthetics and adhesive dentistry and is an internationally known
lecturer on these topics. Furthermore, Dr. Magne authored the book Bonded Porcelain Restorations in the Anterior Dentition - A
Biomimetic Approach which has been translated into eight languages and is considered as one of the most outstanding books
in the field of adhesive and esthetic dentistry.
About the Program: The combination of both composites and ceramics seems theoretically appropriate to reproduce the original
stiffness of the tooth and modulate the tooth-restoration strength. Therefore, modern concepts in restorative dentistry have
brought new solutions through bonded porcelain restorations (BPRs) that are stress distributors and involve the crown of the
tooth as a whole in supporting occlusal force and masticatory function. Among these, the good overall clinical behavior of
anterior porcelain laminate veneers bonded tooth in terms of fracture rates, microleakage, debonding and soft tissue response is
generally well recognized and attested by numerous clinical studies. Continuous developments in the field of adhesive restorative
techniques have permitted significant broadening of the originally-defined spectrum of indications for BPRs in the anterior
dentition and thus contribute to two of the major objectives of conservative restorative dentistry: the maximum preservation of
sound tooth structure and the maintenance of the vitality of the teeth to be restored. Indications for BPRs are extending to more
perilous situations (worn-down, nonvital or crown-fractured teeth), resulting in considerable improvements, comprising both
the medical-biological aspect and the socio-economical context (ie, decrease of costs when compared to traditional and more
invasive prosthetic treatments). From this perspective, indications, treatment planning, diagnostics, tooth preparation, laboratory
procedures and adhesive luting procedures of BPRs will be carefully detailed. n
8
Articulator JANUARY / FEBRUARY / MARCH 2015
CALENDAR OF EVENTS
MID-PENINSULA DENTAL SOCIETY
2015 CALENDAR OF EVENTS
DATE
TIME
PROGRAM TITLE
SPEAKERS
January 23
8:00-12:30
INFECTION CONTROL/
DENTAL PRACTICE ACT
Staff Appreciation Day
Stacey Pruitt, RDA
Eve Cuny, MS
March 20
7:30-2pm
Dental Health Foundation Charity
“Bonded Restorations in the Anterior
& Posterior Dentition”
Friends/SpouseS /Staff
Pascal Magne, PhD, Dr.,
Med. Dent.
May 7
5:00-8pm
Shred-a-thon
Friends/SpouseS /Staff
September 11
7:30-3pm
Joint Meeting with San Mateo County
Dental Society
“Monolithic Restorations”
Staff Included
Mike DiTolla, DDS, FAGD
YES
October 9
7:30-2pm
“The 4 Riddles” Staff Included
Gary DeWodd, DDs, MS
YES
November 12
6:00-8:00
“ Last Best Oktoberfest Social”
Annual Membership Meeting
COUPON
NO
NO
NO
YES
9
Articulator JANUARY / FEBRUARY / MARCH 2015
10
How
to set goals in dental practice
How to set goals in the dental practice Envisioning and goal-­‐setting are related activities, but serve different purposes. Both are important for professional success. A practice vision is a big picture of the future of the business. Goals are guideposts to reach for that keep a dentist tracking toward his/her vision. Michael Perry, DDS, CDA director of practice management, suggests dentists establish a practice vision initially. “I recommend creating a practice vision first. Once a dentist has decided upon a location, an easy template to use is to ask themselves a series of questions about patient-­‐care time, patient types, treatment modalities, revenue goals and design and equipment,” Perry said. Below are the questions Perry recommends dentists ask themselves. 1)
2)
3)
4)
5)
How much do you want to work? Have you set a revenue goal? Whom do you want to treat? What type of procedures do you want to perform? What do you want your physical office to look like? The answers to these questions generate the planning and organizational documents necessary for leading the practice toward its vision. These include a business plan, marketing plan, overhead control document and continuing education plan. When these documents are completed, the doctor is ready to set goals. It’s possible to attach a goal to any statistical key performance indicator. For a solo general practice, Perry said the most important indicators are: 1)
2)
3)
4)
5)
6)
7)
8)
9)
Net production. Gross production is the total dollar amount produced when services are billed at UCR (market) fees. Adjustments are the dollar amounts deducted for PPO dental benefit plan fees or other types of discounts. Gross production minus adjustments = net production. Hygiene net production. Calculated in the same manner utilizing production created in the hygiene department. Collections. Often called “income” or “gross revenue.” New patients, PPO. The number of new patients entering the practice that have a dental benefit plan where the doctor is a contracted provider. New patients, cash/indemnity. An indemnity benefit plan is one where the doctor is not a contracted provider. Patients are therefore charged the same fees as those who pay cash. Number of adult prophylaxis procedures. Number of periodontal maintenance procedures. Number of scaling and rootplaning procedures. Ending accounts receivable. Monies owed for services already provided. “The number 6, 7, and 8 indicators show the relative proportions of periodontal services a practice is providing. These ratios should match the prevalence of periodontal disease in the population,” Perry said. “In my experience, the levels of leadership and management necessary to design and implement these organizational systems are lacking in many practices.” CDA Practice Advising was created to train and aid members to be successful in these and numerous other business systems. For more information, visit cda.org/advising. n
Duc V
Form
Duc V
Form
Articulator JANUARY / FEBRUARY / MARCH 2015
ISLAND VIEW
A publication of the Santa Barbara-Ventura County Dental Society
www.sbvcds.org
Nov/Dec 2014
PRESIDENT’S MESSAGE
page 2
TRUSTEE’S REPORT
page 4
CHARACTER C O UviewNtheT S
golf socia
l
photos on
page 8!
DENTIST RANKED
AS NO.3...
An article by Larry Simpson, DDS
page 6
STUDY:
DENTAL CHAIR-SIDE
hen your computer will not boot up and refuses to go to your documents in Word, is that an omen that you
HEALTH...
should just stop? Probably.
W
page 13
However, before I stop, I want to retell one of my very favorite ethics stories. This is the one where Dr. Michael
Josephson
was asked
to come
up to Sacramento to give the State Assemblymen some lessons in ethics, since
WELCOME
NEW
MEMBERS!
page 14of them had been caught with their hands in the cookie jar, and subsequently went to prison. When he
several
arrived, he was greeted by their Executive Director, who exclaimed, “Dr. Josephson, I am so happy you are here,
because these people lie all the time!" Then he continued, “I hardy lie at all."
FDA RELEASES NEW SAFETY
Dr.
Josephson recounted that this is like a one-eyed man going to a blind convention, he was “King of the Hill."
INFORMATION...
page 22
While
you may be at the top of the hill, above everyone else, you are still in the throws of lying with the rest of
them. It would have been so much better, had he said, “I never lie at all."
VOLUNTEERS NEEDED FOR
vie
w tand
he your brain hits reset. However, your
I realize that when you start discussing ethics, your eyes gloss over,
m
e
m
beYou
CDA CARES
POMONA
r simply have to continue to be better
conduct,
since you are
a professional, requires you to be ethically clean.
p
page
23
a
r
ty
and upgrade your honesty.
photos on
page 18!1961, that seems so long ago, but it went
My
first continuing education
meeting with SBVCDS was in September
CHARACTER
COUNTS
bypage
like24
a flash. It was held at the Pierpont Inn, in Ventura. There were about 285 members in our SBVCDS. There
were no women dentists in our Society, during this time.
COVERED CALIFORNIA CHANGES...
The
room
page
27 was so smoky that when they turned off the lights, we could hardly see the slides. The speaker was a
dentist, from some distant community to the South, sharing his dental knowledge. Speakers don’t do that anymore,
their honorariums have skyrocketed.
Those were the days that all you had to do was to hang out your shingle and magically your appointment book
became full. Even at that time, we had consultants that would tell you how to do the management business aspect
of your practice better. I was taken back a notch, when the consultant asked me for my real records, “my second set
11
12
Articulator JANUARY / FEBRUARY / MARCH 2015
of books." I still think, he didn’t believe me, when I told him I didn’t have one.
One on my fondest memories of serving as a Trustee for CDA was being involved in the leadership. This was a time
when the malpractice awards were rising very quickly and insurance companies were raising their premiums at an
accelerated rate. I was on an ad-hoc committee to negotiate new malpractice premiums for our 13,000 member
dentists. Dr. J. David Gainer was our liaison, going back and forth from one room in the hotel to another, trying
to get a cost figure our members could afford. He finally came back in and told us, “that no matter how high of
premium, Chubb Insurance Co. was not interested in offering any public liability policy to our members."
One of our members on the committee said, "then why don’t we just start our own insurance company?" We all
agreed that seemed to be the best course of action. There it was: the start of TDIC. It was a daunting task, and the
insurance companies tried their best to extinguish this new fledging company by losing money in loss leaders,
year after year, undercutting the TDIC premiums. However, there were enough dentists who understood what was
going on. We loaned TDIC the money until it could have stability of its own.
It was a fast journey, of some fifty years, and I have enjoyed the opportunity to discuss ethics and have had some
fun writing Character Counts for these last 13 years.
Don’t forget Epictetus’s, 55-135 A.D., prescription for the good life:
1. Mastering your desires.
2. Performing your duties.
3. Learning to think clearly about yourself and your relations within the larger
Community of Humanity.
I would like to thank Chris (my wife) for being my editor, who keeps asking, “Who was your English teacher?" Also I
would like to thank Suzanne Berger DDS and Linda Lacunza, Executive Director, for their kindnesses over the years.
GOODBYE
REMEMBER...YOUR CHARACTER
COUNTS!
On behalf of everyone at the Dental Society, I want to sincerely thank Dr. Larry Simpson for his many, many
years of service to this profession. Always thinking, always a leader, always willing to volunteer, always with
a funny story and a wry smile, always a pleasure to be around. Our newsletter has been better because of his
contributions of Character Counts and I know many of us have learned a thing or two from him along the way.
While we will no longer be receiving submissions of this article from Dr. Simpson, we all know we can always
find him on the tennis courts so we can still turn to him when we need him. Thank you, Dr. Simpson!
Linda Lacunza
25
Articulator JANUARY / FEBRUARY / MARCH 2015
13
!&! &# ! #!& !"" &! !" #""&# #!"! #!" !$!"
""%%% "!
!&! &# ! #!& !"" &! !" #""&# #!"! #!" !$!"
""%%% "!
""%%%%!
"!""&""&! "!&!"!
""%%%%! "!""&""&! "!&!"!
!&! &# ! #!& !"" &! !" #""&# #!"! #!" !$!"
""%%% "!
""%%%%! "!""&""&! "!&!"!
By LAURA JOHANNES
With the Canary System, light and heat are
reflected off of a tooth to detect changes
in the tooth’s structure. QUANTUM
DENTAL TECHNOLOGIES INC.
The Claim: Laser and light machines can detect tooth decay earlier than X-rays, which dentists say generally
don’t show the presence of cavities until there is a fairly large hole in the tooth.
The Verdict: A growing body of research shows the light-based devices are highly sensitive. A recent study
found one device caught 93% of early caries, the dental term for tooth decay, compared with 27% for X-rays.
But some scientists warn the machines could result in overtreatment—as early decay may not need a filling.
"" &&!""" """"""!"""'!!" #"# The $14,000 Canary System, named after the birds used by coal miners for early detection of dangerous gases
in
mines, hit the U.S. market in 2013 from Toronto’s Quantum Dental Technologies Inc. It is one of the newer
models
in a class of so-called cavity-detection systems designed to give early warning of decay. The Canary
gives out readings on a scale of up to 100, with a reading over 20 indicating signs of tooth decay; over 70
indicates
advanced decay. So far, insurance coverage is scant, so many dentists are offering the scans free of
charge as part of a regular office visit or cleaning.
"" &&!""" """"""!"""'!!" #"# In her Salem, Mass., office, dentist Pamela M. Maragliano-Muniz demonstrated her Canary System for me.
She put safety glasses on a staff member and shined a red light on each tooth for a few seconds. The first
scan, which is displayed on her computer monitor, came up with a reading of 12, suggesting a healthy tooth.
But another tooth showed a 93, suggesting an advanced problem.
"" &&!""" """"""!"""'!!" #"# Earlier light systems measured the fluorescence caused by bacteria that cause tooth decay. The Canary uses
heat and light reflected from the tooth to warn of changes in the structure of the tooth. Some devices offer
other advanced new features. The Spectra Caries Detection Aid from Air Techniques Inc. in Melville, N.Y., can
automatically integrate the results into patient records, the company says.
Articulator JANUARY / FEBRUARY / MARCH 2015
%"
The $14,000 Canary System from
Quantum Dental Technologies
Inc. QUANTUM DENTAL
TECHNOLOGIES INC.
The Canary, unlike earlier cavity detectors on the market, can also catch decay between teeth, says Stephen
Abrams, president and founder of Quantum.
A study of the Canary used between teeth—presented in July at the European Organization for Caries Research
meeting in Greifswald, Germany—tested 50 extracted teeth in the lab using both X-rays and the Canary. The
(%
"-"05512%,&0.,3"-23,%-2"+
%#(-.+.')%1-#
researchers
then examined slivers of the teeth
under a microscope
to look for decay. The Canary caught 93%
of the decayed teeth but also incorrectly gave a positive result in seven healthy teeth. X-rays detected 27% of
the decay
and
gave a false positive result in five teeth.
.!.3%%$2.%%"%-2)12 4)#%"!%"0(22/44441*#.,"02)#+%1$.5.3-%%$2.1%%"$%-2)12
Since it is easier
to maneuver the Canary in a lab setting, the results are likely better than would be seen in a
24)#%"5%"0
human study,
says
co-author Bennett T. Amaechi, a professor at the University of Texas Health Science Center
),)-'!.30 %%2(031()-'
at San Antonio’s
School of Dentistry.
(22/44441*#.,"02)#+%1
The devices do a good job of detecting decay in extracted teeth tested in a lab, scientists say. But there aren’t
##('#!####"#"#"#""($##!!*#$
enough studies on their use in humans—particularly on how to use the results to whether to drill or not, they say.
"#$"#!$"$")!#$!(&#$"#!"$#"#&#!#
!!##("(
“The jury is out, and not on the question of does [the technology] work, because it does,” says Matthew
Messina,
a Cleveland dentist and spokesman
for the American Dental Association. “The question rests at what
+$!("$###
$"#"##(&!$"#",
point"("
##&
""%#"#""!#!#
do we intervene?”
""# + $"#!"#"#&##&#!%,
The existence of false positives shows it’s important to use a variety of examination methods, including X-rays
and '"#""#%""&"#*"!###$"%!#('#
visual exam, before drilling, says Dr. Amaechi.
#"$!("%"$'!!"("!
When a machine finds early decay, before agreeing to go under the drill, patients should ask the dentist
%!"#'!##
"$#(
$"if the
tooth
decay can be reversed, says Clifton M. Carey, a professor at University of Colorado School of Dental
"!((!!#$!#!##""$
$!!#"#!%!"'$##!##!$"
!%#
Medicine
at Anschutz Medical Campus in Aurora, Colo. Methods to reverse decay include better toothbrushing,
"##"####(!%!""("#
!(!""!#
improved
diet and a potpourri"#""##$!!"####
of toothpastes and gels that add fluoride and minerals to the teeth, dentists say.
# $!!##
#"#""'
Dr. Carey, who has no financial ties to any of the device companies, found in a 2013 study that the Canary can
give early warnings of new decay under a composite, or white-colored, filling.
!!'&"#"#'#% "$"#$'
Write to Laura Johannes at [email protected]
###!'%!'&!"&'$!
"#!&#
!
WEB LINK OF ABOVE ARTICLE:
http://www.wsj.com/articles/tooth-decay-detected-by-laser-and-light-systems-1420483113#livefyre-comment
$!"#$!"&"
"#*$&
")"!%" #!*!&%%$(
%"#*%"$*"'$#$%"!!"!"
$'%"!*%&$'&"!!'%"&% &$$"($!*"'$'%$$$ !&!*"#*$&
)"$!"!#$%"!'%"$&""$$ '&#"#%#%"!&&")"!%#$!&%&
"$(%&)))$#$!&%" 14
Articulator JANUARY / FEBRUARY / MARCH 2015
15
Register Today!
Register Today!
Beyond the Science:
Patient emotions in dentistry
Beyond the Science:
Patient emotions in dentistry
It is estimated that 75% of U.S. adults experience some degree of dental fear. But fear, as well as anxiety and worry, may not be easily
identified by the dental practitioner which can cause big legal issues down the road. Learn to correctly handle patients who exhibit these
emotions so you can keep your practice and your patients, safe.
�
�
�
It is estimated that 75% of U.S. adults experience some degre
identified by the dental practitioner which can cause big lega
Recognize when, and how, to dismiss
a patient without
placing
themkeep
at risk your practice and your patients, sa
emotions
so you
can
Establish trust in the doctor-patient relationship to encourage treatment compliance
Create office protocols to instill confidence in the dentist and staff
�
�
�
Recognize when, and how, to dismiss a patient with
Establish trust in the doctor-patient relationship to
Create office protocols to instill confidence in the d
Plus:
� Earn a 5% Professional Liability premium discount* for two years
� Receive 3.0 units of Core C.E.
� Obtain professional advice via a Q&A
Fees
• Dentist/staff: $50
• Part-time Dentist*: $25*
• New TDIC Policyholders: Free
(within the first policy year)
*Must have a TDIC part-time Professional Liability policy to be eligible for this discount
Friday, January 30, 2015
9:00 a.m. - noon
Doubletree San Jose
San Jose, CA
Register today! Space is limited.
Plus:
� Earn a 5% Professional Liability premium discount
� Receive 3.0 units of Core C.E.
� Obtain professional advice via a Q&A
Fees
• Dentist/staff: $50
• Part-time Dentist*: $25*
• New TDIC Policyholders: Free
(within the first policy year)
*Must have a TDIC part-time Professional Liability policy to
Friday, January 30, 2015
9:00 a.m. - noon
Doubletree San Jose
San Jose, CA
Articulator JANUARY / FEBRUARY / MARCH 2015
ar
emin
S
New
Beyond the Science:
Patient emotions
in dentistry
It’s estimated that 75% of U.S. adults experience some degree of
dental fear. But fear, as well as anxiety and worry, may not be easily identified
by the dental practitioner which can cause big legal issues down the road. Learn
to correctly handle patients who exhibit these emotions so you can keep your
practice, and your patients, safe.
*Important information
about your 5% Professional
& Dental Business Liability
premium discount. TDIC policyholders who
complete a seminar or
eLearning option will
receive a two-year, 5%
Professional & Dental
Business Liability premium
discount effective their
next policy renewal. To
obtain the two-year, 5%
Professional & Dental
Business Liability premium
discount, California dentists
must successfully complete
the seminar by April 24,
2015. Nonpolicyholders
who complete a seminar
or eLearning option, and
are accepted for TDIC
coverage will also be
eligible for this discount.
• Recognize when, and how, to dismiss a patient without placing them at risk
• Establish trust in the doctor-patient relationship to encourage treatment compliance
• Create office protocols to instill confidence in the dentist and staff
Plus:
• Earn a 5% Professional Liability premium discount for two years*
• Receive 3.0 units of Core C.E.
• Obtain professional advice via a Q&A
Reserve your space today at thedentists.com/seminars
Unable to attend in person?
Visit thedentists.com/eLearning to explore convenient eLearning options.
Protecting dentists. It’s all we do.
®
800.733.0634 | thedentists.com
16
Articulator JANUARY / FEBRUARY / MARCH 2015
DENTAL CHAIR
REUPHOLSTERY
Call for your FREE quote!
L
AN
D DE
N
T
IR
TE
CH
A
RY
L
MEDIC
A
A
1.888.499.4400 or visit medchair.com
REUPHOL
S
Visit medchair.com for
Easy Cleaning Instructions
17
Articulator JANUARY / FEBRUARY / MARCH 2015
RICHARD KATZ, M.D. - VU HUYNH, M.D.
BAY AREA MOBILE ANESTHESIOLOGISTS
PHYSICIAN ADMINISTERED SEDATION AND GENERAL ANESTHESIA IN YOUR OFFICE
We will increase your efficiency and your patients comfort by bringing our mobile anesthesia practice to your office.
You and your patients will have the safety of a hospital operating room without the hassle and added cost.
Former Adjunct Clinical
Instructor at Stanford
Graduate of UCLA
Anesthesiology Residency
Program
Twenty one years experienced
Children, adults, and patients with special needs.
Competitive fees.
Both Physicians are Diplomates of the American Board of Anesthesiology, ACLS and PALs certified, and have Dental
Board of California Permits for Sedation and General Anesthesia
Graduate of Illinois Masonic
Medical Center Residency
in Anesthesiology, University
Of Illinois
Fully credentialed and on Staff at O’Connor Hospital, Regional Medical Center of San Jose and multiple surgery centers.
Nine years experienced
Cell: 408.218.2321 / Email: [email protected]
18
Articulator JANUARY / FEBRUARY / MARCH 2015
Carroll & Company (650) 403-1010
!
CARROLL
& COMPANY
www.carrollandco.info
matching the right dentist
with the right practice
Since 1963 Carroll & Company has provided consulting and brokerage
services related to professional practice transitions. Our services include all
aspects of appraising, buying, and selling of professional practices.
We have helped many clients from dental school through retirement. So
whether you are a recent graduate; an associate looking to jumpstart your
career; a military professional acclimating to civilian life; or a seasoned
professional considering retirement - Carroll & Company can help you.
We have the practical experience to successfully guide you through the entire
process, making your transaction enjoyable. We offer screening and "practice
matching" of potential purchasers; arrangement of financing; checklists and
sample transition letters; thorough, comprehensive contracts; and consulting
for positive results.
The goal of Carroll & Company is to provide quality service with integrity,
professionalism and confidentiality. We would welcome the opportunity to be a
part of your team.
For listings and upcoming practices for sale contact us at (650) 403-1010
Carroll & Company
2055 Woodside Road, Suite 160
Redwood City, CA 94061
Serving you: Mike Carroll &
Pamela Gardiner
CA DRE #00777682
• Dedicated to the dental community
• Committed to confidentiality
• Over 40 years experience in buying & selling dental
practices
• Over 1,500 practice sales
• Services include contract coordination & financial
assistance
19
Articulator JANUARY / FEBRUARY / MARCH 2015
CLASSIFIED ADS
Palo Alto Dental Space Available: 2421 Park Blvd, suite A202. 1,325 square feet. There are five operatories,
a reception area, lab and a kitchenette. For more info please contact John McKenna or Wayne Kumagai at
Cornish and Carey. 650-322-2600
High Quality Dental Practice for sale: Nicely appointed dental practice located in Palo Alto, California on
Middlefield Road close to University Avenue and Stanford. Practice age: 35 years. Fee for service General
Dentistry with some Prosthodontics. It has 929 sq feet with three ops, newly upgraded computers, Dexis x-rays
and Dentrix G-2. Nice reception area, business office, private office, public & private restroom. Doctor is retiring.
For more information, please send a cover letter and current CV to [email protected] or call
Douglas Falk at 408-205-8833.
Laser/Pocket Pro for Lares Research for Sale: Laser Machine Pocket Pro Pulsed/ND…YAG LASER/Item
#12570/This laser machine has been used only for 10 patients and it’s practically brand new! Asking Price is
negotiable, call 650-325-0465
Lab Space Available: Lab space 452 square feet with an extra balcony/100 sq feet. Rent charged on the
452. 2237 Alma St., Palo Alto All cabinetry & casters in place for a lab. Please contact Dr. Mazzetti at 650464-8795.
Zoom Whitening Take Home Kit for Sale: Couple of Zoom teeth whitening gel kits are available for sale
(Custom trays are NOT included). They are all brand new, has never been opened and they all contains: (1) Relief
ACP Oral Care Gel, 2.4mL (0.08fl.oz.), (1) Philips Zoom 22% Carbamide Peroxide Whitening Gel, (2) mixing tips
for syringes, (1) Tray Case, EVA Tray Material (2 pieces in each set), (1) instruction manual and retired in $13.00
each. Expiration date of 09/2013. (650) 322-7716
Single LD workstation/cart for sale: Adjustable LCD arm / Adjustable height / CPU holder / Small footprint
/ Keyboard tray / Advance cable management. $500. (650) 322-7716
Medical/Dental space in prime downtown Menlo Park location. Ground floor 930 square feet. On-site
parking. Full service lease. 1300 University Drive. Contact John Borcich 650-208-3069 or [email protected].
Dental office space available for rent: Newly remodeled, state of the art small office ( 3 operatories) available
for rent on Fridays and Saturdays in Palo Alto. A great RDA is also available for those days if needed. If interested
please call Dr. Emam at (650)-321-0340.
Dental Office Space To Share In Atherton. Are you being forced to relocate? Three operatories, Pristine
Condition, Professional Building. Elevator and ample parking. Please contact Chrissy at (650) 361-1994.
Recently (2007) remodeled dental office in downtown Palo Alto available on Fridays and weekends : Our
state of the art office has six operatories, full lab facilities, xray and cerec equipment. We see patients Monday thru
Thursday from 8-to 5, and would like to see our facility utilized for greater amount of time. If interested please contact
Christine Hansen DDS at [email protected].
X-ray Equipment for Sale: Orthopantomograph OP100, Perfect condition. Add phosphorus sensor for
full digital. Software controlled diagnostic pano dental x-ray for producing high-quality images of dentition,
tm-joints and skull/ Many procedures including std. pano, pediatric, wide layer, ortho zone, orthogonal, tmj,
maxillary sinus exposures. $10,000 or best offer (650) 360-9227
For Sale: Matching pair of mobile dental Cabinets 5-drawer with white corian top. $250.00 Or Best offer?
Please email me at [email protected]
20
Articulator JANUARY / FEBRUARY / MARCH 2015
MID-PENINSULA DENTAL SOCIETY
21