Single Day Dentistry At The Bryn Mawr Hospital

Philadelphia Metropolitan Edition | May 2009
VOL. 4, NO. 5
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Single Day
Dentistry At
The Bryn Mawr
Hospital
Providing Comprehensive,
Multidisciplinary Dental Care
in a Safe Hospital Setting
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contents
VOL. 4, NO. 5
4
MAY 2009
2
Protect Your Practice With
Strong Systems and Controls
10 feature
adults are bracing for
the future
Y
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Adults Are
Bracing
for
the
Future
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Providing Comprehensive,
Multidisciplinary Dental Care in
a Safe Hospital Setting
7
Doctor of Dentistry
Message Board
14
Doctor of Dentistry
Advisory Board
DEPARTMENTS
12 news
13 equipment/supplies
15 finance
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By Stephanie Freeman
Gibraltar Construction
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Corporation Builds
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Photo by Photo Designs by Jody
4 COVER STORY
Single Day Dentistry
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featu
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DOC ON THE Cover
Single Day Dentistry at the Bryn
Mawr Hospital
10
years or problems that have developed specifically in adulthood.
WHY BRACES, WHY NOW?
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Contact Information
Adulthood
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haveoforthPhiladelphia Metropolitan edition
of independence. The
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of Doctor
Dentistry
Doctor of Dentistry, call Publisher
c/o Maureen
Martinez A person who may
odontic work done to improve
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Maureen Martinez at (610)not
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Publisher: Maureen MartinezTeeth that are too close together are very difficult to clean properly
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CEO: David McDonald President: Tony Young Chief Financial Officer: Webster Andrews Vice President of Market Development: Ken Minniti Publisher
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Whether braces are clear, hidden or easily removable, they all
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Although every precaution is taken to ensure accuracy of published materials, Doctor of Dentistry cannot be
serve
to
force
teeth
into
a
more
exact
position.
By
putting
constant
structive procedures on the jaw. The length of time elastics
held responsible for opinions expressed or facts supplied by its authors. Copyright 2009, Sunshine Media, Inc.
All rights reserved. Reproduction
in whole
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pressure
onoraintooth,
its root
willpermission
be pushed
against the alveolar
necessary varies greatly, dependent on individual patient nee
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bone, allowing that portion of the bone to slowly disintegrate,
Metal braces may be quite conspicuous, but 02-220
if finances are an
which eases the tooth into the desired placement. There are many
sue, this type of correction is quite economical for patients beca
options for patients and orthodontists to consider together
when Metropolitan
standard bracesdoctor
are veryofdurable
and are
the2009
least| expensive
t
Philadelphia
dentistry
May
1
determining the best route to a healthy smile.
of braces available.
Protect Your Practice With
Strong Systems and Controls
By Sue Locke, Director of Consulting, Coaching Solutions Dental Consulting
Let’s begin by saying the obvious: “An
For example, bank reconciliations need
account that day. It should tie in to your day
ounce of prevention really is worth a pound
to be done on a monthly basis. Your bank
sheets, showing you what was paid and by
of cure!”
statement balance should tie in, to the
which patient. We have also found people
Coaching Solutions believes strongly
penny, with the cash balance your comwho used the machine to give their accounts
in each of our clients, and we do our
puter system has at month’s end. We have
credits, as well as maneuver funds on your
best to support success on many levels.
seen honest errors made, like a posting to
books to show accounts paid and manage
Cantilevered systems and controls in every
QuickBooks for $3,000, when in fact a
to keep money for themselves.
aspect of your practice will help safeguard
bank deposit was made for $30,000. This
Alan M. Schiff, CPA, CFE, a founding
you and your practice.
honest but undiscovered error ultimately
member of the Academy of Dental CPAs, .
TED
While the subject of fraud and theft in the
led to an underreporting of income to the
(www.schiffcps.com), tells us H
that
BIeven
I
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dental office is not a pleasant one to ponder,
IRS, and set off an audit.
with controls in place,LY
thePR
single largest
CT
your awareness and involvement in the daily
We have also uncovered a dishonest
deterrent toStheft
TRI in the dental office is
S
I
business aspects of your practice are critical
employee who had control of payroll.
theEbelief
NT that you will be caught and
M
U
in protecting you on every level. It must
She called in the hours worked to a payOC punished. Your team needs to know that
SD
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also be said that honest mistakes happen,
roll service, had direct deposits
you review your end-of-day sheets, look
OF T set up
E
S
and having good systems that you review
and would intermittently
give
herself
an
at accounts receivable and keep abreast of
U
ED
Z
I
Rof vacation pay! The owner your business details.
will alert you to take care of things in a
“extra” week
THO
U
A
timely manner. Evaluating your business U
never
questioned
her or looked at his
One of the best ways to avoid fraud and
. N
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and administrative areas, identifyingIweak
payroll reports.
theft is to hire the right people. Most of you
A, I
EDcontrol
M
areas and overhauling your internal
Credit
card
processing
must
also
be
have chosen to implement a strong human
INE
H
S
systems will go aUlong
way in bringing semonitored. End-of-day receipts will show
resources manual and also use the guideS N
08 practice.
curity to20
your
you every activity that has happened on your
lines we recommend in The Seven Steps
©
to Successful Hiring Manual. (If you do not
have this manual, please call Sandy Budinsky
at (856) 786-4814.) All potential employees
should be interviewed several times, and
you MUST check references. Potential
employees should be willing to take a drug
test, have a criminal background and credit
check and be willing to take assessments for
employment. Preventive measures are well
worth the cost. Please call us if you need
help in any of these areas.
Unfortunately, we have uncovered
embezzlers in practices who were trusted
employees, tireless workers, never took
vacations and worked uncompensated overtime because they were “dedicated” to their
jobs. Even more unfortunate, the doctors/
owners of the practice never really looked at
their books or took time at the end of a busy
day to make sure everything balanced out
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2 | Philadelphia Metropolitan doctor of dentistry
May 2009
perfectly. The real responsibility lies with
your staff. Please call our office if you would
new standard that will foster a strong founyou to make sure your employees know that
like a copy of a daily protocol checklist.
dation for your day-to-day operations.
you check and double check everything and
In summary, it is up to you, the owner
Coaching Solutions Dental Consulting offers
hold people responsible to have an accurate
of the practice, to gain clarity on what is
experienced professionals who will customize a
accounting of all transactions.
happening in the business of your business.
powerful in-office coaching program designed to
Let’s do an inventory of present office
Remember, the fact that you are a good clihelp you achieve financial stability and develop
internal controls:
nician will not protect you from becoming
your personal practice. They offer a pay-as-you-go
1. Does the person responsible for prepara victim of loss or theft. Orchestration of
program that will support your budget so you can
ing checks have check-signing ability?
complete and thorough systems and conget the help you deserve. Call (856) 786-4814
2.Does the person paying the supplier
trols, along with daily follow-up, will set a
today or visit www.Coaching-Solution.com. n
invoices approve purchase orders?
3.Does the person who takes the daily deposit to the bank prepare the deposit?
4.Does the person who prepares and
reviews the monthly patient statements
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also mail them?
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5.Does only one person open the mail?
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Does that person have charge of
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accounts receivables?
ENT
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6.Does the person who does payroll (or
OC
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calls in payroll) distribute the checks?
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7. Does the employee in charge of patient
DU
IZE
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billing and accounts receivable have
O
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AUT
authority to write off errors?
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8.Do patients complain about billing
,erA
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ME
rors or bills they say are E
paid
and show
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as open?
UNS
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0 your end-of-day credit card
9. Do you
0use
©2
transaction log receipt as part of your
end-of-day tie-out process and match it to
your patient appointment log? (Note: All
patients, including those who cancelled
that day, need to be accounted for.)
10. Do cash transactions get recorded and
deposited the same day with a computer
receipt for the patient and the office?
11. Do you review and audit your end-ofday reports daily?
If you answered “yes” to questions 1
through 8, you are at risk and controls
should be put into place to protect everyone, including honest and hardworking
employees. If you answered “no” to questions 8 through 11, you can begin to tighten
your security now.
A daily protocol checklist can be implemented to ensure that the proper systems
and procedures are being adhered to by
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Philadelphia Metropolitan doctor of dentistry
May 2009 | 3
cover
story
Single Day Dentistry
Providing Comprehensive, Multidisciplinary
Dental Care in a Safe Hospital Setting
By Glori Gayster
The History
Mission Statement
Started in 1974 by Louis F. Rose, D.D.S., M.D., at the Medical
College of Pennsylvania, Single Day Dentistry is a program
To enhance, improve and maintain dental function and oral health
dedicated to providing comprehensive care for patients who
for those patients in need of utilizing all the modalities of treatment
that dentistry and medicine have to offer.
are unable to be treated in the traditional dental office environTo provide the patient with generalists and specialists whose
ment. Dr. Louis has a dual degree in medicine and periodontics,
knowledge is current and their skills exceed the standard of care.
stating, “It was early in my career that I realized that often, physiTo provide medical professionals that will assess and assist in treating
the patient’s well-being so that their total health care is considered.
cally, mentally and medically challenged patients were deprived
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of comprehensive dental care due to the patient’s inability either
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utilizing sedation or general anesthesia, often resulting
in a decreased
to control their voluntary motor movements or respond to comY
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need for multiple dental visits, as mostSor
mands. Hence, I felt that this program would offer them a more
TRallI of the treatment can be
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accomplished in one session.
controlled environment that would meet their medical and dental
ENT
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Single Day Dentistry
needs.” The program evolved and continued until 2003, when
OC is a multidisciplinary program that utilizes
S Ddoctors and medical support teams to assist in proI
H
dentists,
medical
the Medical College of Pennsylvania closed.
OF T
In 2004, Dr. Rose’s brother, Robert C. Rose, D.M.D., re-estab- Uviding
SE quality dental care for the patient. The dentistry is performed
D
IZE by a team of specialists brought together based on the treatment
lished the Single Day Dentistry program at Bryn Mawr HospitalOinRBryn
UTH who required. This group may include a restorative-cosmetic dentist,
Mawr, PA. Since Dr. Robert took the helm, numerous
Aindividuals
N
U
.
periodontist, endodontist, oral surgeon and oral medicine dentist.
were unable to receive traditional dental,care
INChave been successfully
A
I
Depending on the type and extent of dental treatment necessary,
treated and are now maintainedMthrough
ED regular visits.
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patients can be treated in Bryn Mawr Hospital’s Outpatient Surgical
H
UNS
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Center or operating room.
The Program
8
200 Day Dentistry program was specifically developed for
©Single
Great attention to detail is a hallmark of the program, and the
The
medical precautions taken throughout the process are unparalleled.
patients who are mentally and/or physically challenged, severely
These include a careful evaluation of the patient’s past and current
dental phobic or medically compromised. The latter may include
medical history, as well as a thorough physical exam with blood
cases of cerebral palsy, muscular dystrophy, seizure disorders, autism,
work analysis.
uncontrolled diabetes, dementia, Parkinson’s disease and severe
“Over the years, we have only had a few patients that were not
cardiovascular disorders. These individuals can benefit greatly by
candidates for the program,” states Dr. Robert. “Such instances
having their dental treatment performed in a safe hospital setting,
may have involved individuals who had acute pulmonary probPhotographed from left to right are: Robert Rose, DMD; Steven
lems that would have placed them at risk for general anesthesia.
Hart, DDS; Barbara Steinberg, DDS; Louis F. Rose, DDS, MD;
However, once their health issues became stable, these same
Kenneth Lee, DDS; Harvey Wank, DMD; Sam Kratchman, DMD.
patients were able to have their dental needs successfully provided
Missing from photo is Steven Altas, DMD.
by Single Day Dentistry.”
Frequently, this patient population presents with poor oral
hygiene due to their medical condition and/or physical disability. With the recent links between periodontal disease
and other chronic illnesses such as cardiovascular disease and
diabetes, the importance of providing periodontal treatment is
paramount. Statistically, 80% of Americans suffer from some
sort of periodontal disease. While research is still needed to
prove the actual cause/effect relationship, these individuals
may have an increased risk for other chronic diseases.
Photo by Photo Designs by Jody
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May 2009
Photo by Photo Designs by Jody
The Team
The heart and soul of Single Day Dentistry is its team: a
well-trained group of professionals with a shared philosophy and
dedication to patient care.
Within the multidisciplinary team, no one member is considered
more important than another. They are each highly skilled in their
respective areas of expertise and well respected by their peers.
Dr. Robert, the program Director and partner at Devon Dental
Associates, received his D.M.D. at the University of Pennsylvania
School of Dental Medicine and has had several academic appointments in the Division of Dental Medicine at MCP-Hahnemann
University. He currently is on staff at the Bryn Mawr Hospital in the
Division of Oral Maxillofacial Surgery and Dentistry.
Dr. Barbara J. Steinberg, the Medical-Dental Administrator for
Standing form left to right are: Robert Rose, DMD; Barbara
Steinberg, DDS; Louis Rose, DDS, MD.
Single Day Dentistry, received her D.D.S. from the University of
Maryland School of Dentistry and completed a residency at the
care to this underserved patient population. In addition to
Medical College of Pennsylvania. She is a clinical professor of surgery
treating the patient’s obvious restorative problems, we alsoD.
at Drexel University College of Medicine and an adjunct associate
TE
focus on treating all potential emergent complications
professor of oral medicine at the University of Pennsylvania School
IBIthat
H
O
R
would be difficult or impossible to treat in
of Dental Medicine.
LYanPinstitutional
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or outpatient setting.”
This describes only two of the nine members of the dental and
STR
S
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Dr. Steven L. Atlas, board
medical professional team. The others are equally experienced and
N certified in periodontology and
ME of Periodontology, adds, “It is an exU
Diplomate, American
Board
C
share a passion for the program.
O
ISbeDpart of this unique and highly experienced team,
H
treme honor
to
“I have had the pleasure of being a part of Single Day Dentistry
T
OF
SE has been working together for so many years. We are a cohesive
at Bryn Mawr Hospital, organized by Dr. Bob Rose,” says Dr. Sam Uwho
D
E group, able to help those patients who are often desperate for care
Kratchman. “I am personally responsible, along with my partner,
RIZ
O
H
UTare needed and turned away by other practitioners.”
Dr. Ken Lee, for any of the endodontic procedures
that
UNA
.
C
Supporting the doctors is an equally qualified trio, who are longfor these patients. Single Day Dentistry provides
, IN an excellent choice
DIA or require dentistry per- term employees of Devon Dental Associates.
E
of care for patients who are hospitalized
M
INE Drs. Rose and Barbara Steinberg
“I’ve been a member of the Single Day Dentistry team for three
formed under generalSanesthesia.
H
N
coordinate00
everything
8 SU so well that I am informed when to show up years,” shares Polly Murphy, the program’s Business Manager. “I
2
am often the patient or guardian’s initial contact, enlightening
in the©operating room and I can perform multiple root canals very
them as to the benefits of the program, as well as assisting them
efficiently as needed.”
with insurance and financial questions. I also get to be part of
“When I was approached to be a part of the program, I
the patient’s care by assisting in the operating room, witnessing
knew it was a way to give many individuals a second lease
firsthand the patient’s transformation.”
on their ‘dental’ life,” states Steven Hart, D.D.S., partner
Karen Hurwitz, EFDA, adds, “As one who helps organize all the
at Devon Dental Associates. “We are a terrific team who see
materials needed for the procedures, I have been so fortunate to
eye to eye on the importance of providing the highest-quality
participate in the dental rehabilitation of these patients. I actually get
excited when I learn that a new patient will be a part of the program,
Single Day Dentistry Team
because I know we are providing an invaluable service.”
Julie Wallace, RDH, adds, “As the program hygienist, I am often
Robert C. Rose, D.M.D., Program Director, Cosmetic
and Restorative Dentistry
the last one to work on the patient during the procedure, but more
Louis F. Rose, D.D.S., M.D., program founder, periodontist
importantly, I am the one who sees them on a regular basis afterBarbara J. Steinberg, D.D.S., Medical-Dental Administrator,
wards. I am so proud to be a part of the program.”
Oral Medicine
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Steven Atlas, D.M.D., periodontist
Steven Hart, D.D.S., cosmetic and restorative dentistry
John Hobson, M.D., internal medicine
Sam Kratchman, D.M.D., endodontist
Ken Lee, D.M.D., endodontist
Harvey Wank, D.M.D., oral maxillofacial surgeon
Polly Murphy, D.A., Program Business Manager, dental assistant
Karen Hurwitz, EFDA, expanded functions dental assistant
Julie Wallace, RDH, hygienist
The Process
Single Day Dentistry is a well-defined and structured program. It
is designed to ensure the highest level of care while maintaining open
communication with patients, their families, guardians and caretakers. Since other dental and medical professionals refer many of these
individuals to the program, the process ensures that the referrers
Philadelphia Metropolitan doctor of dentistry
May 2009 | 5
Photo by Photo Designs by Jody
remain an integral part of the diagnosis, treatment plan and care.
The process begins with a full dental evaluation at Devon
Dental Associates in Wayne, PA. The patient’s medical history
is reviewed, necessary radiographs are taken and a comprehensive examination is performed, charting all restorative and
pathology data. Any and all applicable insurance information
is discussed as well.
Using the gathered details, diagnoses are determined and a treatment plan is outlined by the Single Day Dentistry team. The specifics
of the plan are discussed with the patient and any family member,
guardian or caretaker who needs to understand and support the
Photographed from left to right are: Polly Murphy, Office Manager;
recommended course of action. If approved, a detailed letter and
Karen Hurwitz, EFDA and Julie Wallace, RDH
treatment plan is signed by either the patient or someone responsible
For those individuals referred by other dental and medical profesfor authorizing medical care.
sionals, the results of the treatment are all sent to the referrer for
At this point, the patient or caretaker is introduced to
follow-up and ongoing care of their patient. Because the patient is
Dr. Steinberg, who is the Medical-Dental Administrator for
now dentally and periodontally healthy, periodic routine maintenance
Single Day Dentistry. “As the liaison between the dental and
and ongoing care are more easily accomplished, in many cases in a
medical teams,” says Dr. Steinberg, “I have the pleasure of betraditional dental office setting.
ing part of the patient’s care from start to finish. Having been
D.
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I
involved with hospital dentistry for the past 35 years, I can truly
H
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The Result
say that the professionalism and the compassion of the Bryn Mawr
L
ICT
T
While the patients who participate
inRthe Single Day Dentistry
Hospital staff, including the nursing, anesthesiology team and
S
S
I
NT
program vary in terms M
ofEtreatment
modalities, they all share a
OR auxiliary staff, are second to none.”
U
OC
successful outcome.
As part of this process, a detailed letter including mediD
IS
Dr.OGary
cal history, diagnoses and treatment plan is sent to Dr. John
F THNataupsky, a restorative dentist from Wilkes-Barre,
SEknown most of the Single Day Dentistry team for more than
Hobson of Haverford Medical Associates. During the patient’s D Uhas
E
Z
physical exam appointment, Dr. Hobson reviews theHcase
ORIde- 30 years. In his practice, he was treating a close friend’s daughter
T
U
A
who was severely dental phobic. She required so much complex,
tails and conducts a complete physical and blood
. UN work analysis
C
N
time-consuming dental treatment that Dr. Nataupsky did not
to ensure the patient is safely ableIA
to, Iundergo the prescribed
EDHobson and Dr. Steinberg
know how he could possibly keep up with her emergent problems.
procedures. At this point,
Dr.
M
NE
I
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S
discuss the patient
UN and identify any medical issues that may She was referred to the Single Day Dentistry program and in
S
8
impact 2on
00the proposed dental treatment. When the patient one single hospitalization, all of her dental needs were met. Dr.
©
Nataupsky says emphatically, “This treatment was life altering
is medically
cleared, the surgical center or operating room is
for this 18-year-old. The dental pain that had plagued her for five
scheduled, and the team is assembled. The procedure takes
years is now gone and she is now able to return her focus to her
place within 30 days of the physical and blood work.
social and academic demands that had been previously neglected.
Some of the most common procedures conducted within the
It is an excellent way to overcome difficult situations and create
Single Day Dentistry program include periodontal treatment, dental
life-altering results.”
restorations, root canal therapy and crowns. More extensive cases
Finally, the testimony from the above patient speaks volumes:
have also been successfully treated in the hospital setting, such as
Dear Dr. Rose,
dental implant placement and fixed bridges. The complexities of the
Your thoughtfulness and amazing work means the world to me.
treatment plan, as well as any unforeseen complications that may
Thank your for all the time you spent restoring my smile. You have
arise during the actual procedure, dictate the duration of anesthesia
truly changed my life. I now am able to smile and be confident about
and length of the patient’s postoperative stay.
how I look. The hard work you all did on my mouth has really pushed
With the same care and attention to detail provided before the
me to be thankful and happy. Thank you!
actual procedure, Dr. Steinberg is at the patient’s side until being
— Sarah R. n
discharged from the hospital. She, along with Dr. Hobson, is responsible for all aspects of the hospital care.
But the follow-up and patient care do not end when the indiFor further information please contact:
vidual leaves Bryn Mawr Hospital. Within 24 hours, Dr. Steinberg,
Devon Dental Associates
Dr. Rose or Dr. Hart will be in touch to make sure the patient is
Single Day Dentistry
doing well. If necessary, a postoperative follow-up visit is scheduled
125 East Swedesford Road, Suite 111
within a specified amount of time, and every effort is made to do
Wayne, PA 19087
this on an outpatient basis.
Phone: (610) 687-0990
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May 2009
Doctor of Dentistry Message Board
If you have anything you would like to announce to 3,000
dentists in the greater Philadelphia region, e-mail it to publisher
Maureen Martinez at [email protected]. Deadlines are
the first of every month, working one month in advance.
CB Dental Laboratories, LLC Presents
CEU Seminars for May 2009
Seminar for Dentists
“Nobel Guide Perfect Planning for Perfect Teeth” — May 14,
evening seminar, sponsored with Nobel Biocare
“i-CAT 3-D Cone Beam Imaging System,” June 2 or 11;
please call for final dates. Experience i-CAT imagery, evening
seminar, doctors attending receive complimentary i-CAT scan
($400 value).
Patient” — May 8, Friday morning seminar, sponsored with
Brasseler USA
Seminars for Dental Assistants
“From Dental Assistant to Treatment Coordinator”
“Improving Teamwork and Communication” Y
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Seminar for Office Managers and
Front Desk Staff
“Payment Arrangements: Learn Skills for Success”
“Managing/Handling Insurance”
D.
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Please call for June seminar dates. For seminar details,
contact
B
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PROwill be deMrs. O’Keefe at (610) 662-4729. Number ofLY
CEUs
ICT Dental Implant &
termined with each program. Location:
TRBentz
S
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Seminar for Hygienists
Prosthodontic Conference Center,
ENT 2601 DeKalb Pike, 2nd Floor, E.
M
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“Technique-Enhanced Hygiene Maintenance for the Implant
Norriton, PA 19401.
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Philadelphia Metropolitan doctor of dentistry
May 2009 | 7
Gibraltar Construction Corporation
Builds Community Awareness at ‘Band
Together for Survival’
By Glori Gayster
Gibraltar Construction Corporation
lives of those who are less fortunate.
(GCC) is well known as a leader in
“We’ve always strived to support the
commercial construction, with its
philanthropic efforts of others, includspecialization in the design and coning clients, vendors, friends and peers,”
struction of dental offices, medical
states Lee. “Now, Gibraltar Share
imaging facilities and ambulatory surFoundation provides a vehicle for us
gical centers throughout southeastern
to directly make a difference for those
D.
Pennsylvania, New Jersey and Delaware.
causes that most interest us.”
ITE
B
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Since 1991, GCC has offered an unwavOn Friday, May 8, 2009,
GSF will
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Robin, is fulfilling social responsibility
ering commitment to the highest-quality
present the inaugural
Band
Together
ICT
R
T
and dedication to others and the comS
standards, combining first-rate skill,
for Survival,
IS a live benefit concert to be
Tthe
N
munity with the formation of Gibraltar
forward-thinking technology and inheld
at
newly renovated Count Basie
E
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OCUTheatre in Red Bank, NJ. The event’s
Share Foundation (GSF). Under Robin
spired creativity to provide superior
D
S
THI
and Lee’s leadership, GSF isOF
committed
service in completing diverse turnkey
mission is to educate our communities
E
S
to building a better
future
for
others
projects. Led by Lee Babitt, Paul Lazar
and achieve a heightened awareness of the
DU
IZE of local, regional
through itsOR
support
and Michael “Mac” McVey, the company
urgency for early breast cancer detection
TH charitable agencies as well procedures and accessibility of available
U
and
national
continues to enjoy continued growth in
A
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C. Uas the creation of unique events and
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a declining economy through its offices
resources for the preservation of body
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,
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targeted
efforts
to
promote
awareness
in Gibbsboro, NJ; Red Bank,
NJ; and
and life, regardless of insurance coverage
EM
of humanitarian causes. Further, the
Phoenixville, PA. SHIN
or financial position.
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foundation
is
dedicated
to
giving
back
to
Since forming
19
years
ago,
Lee,
As the closing event of Paint the Town
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the community and helping improve the
President/CEO,
along with his wife,
Pink, a weeklong event that transforms
Red Bank into “Pink Bank” in support of
breast cancer awareness, and in collaboration with Riverview Medical Center,
Cou nt Basie Theat re Fou ndat ion,
Parker Family Health Center and Red
Bank R iverCenter, Band Together
for Survival promises to entertain
and inform a full house of more than
1,500 attendees.
Community partners, including 180
Turning Lives Around, Community
YMCA, Junior League of Monmouth
Cou nt y, Mon mout h Cou nt y A r t s
Council, the American Cancer Society
and The Wellness Community, are helping to promote the event among their
constituents. These groups will also provide information about their programs
and services, many of which are offered
at no cost or at a reduced rate.
To t he Babitt family — Robi n,
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8 | Philadelphia Metropolitan doctor of dentistry
May 2009
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Hannah, Sara and Lee — Band Together
for Survival is more than a benefit
concert; it is personal. Robin, herself a
breast cancer survivor, is committed to
helping others and providing invaluable
and potentially lifesaving direction to
other women who may be unfamiliar
with available resources or unable to
achieve diagnostic evaluation due to
inability to access proper health care or
collaborative Tell It Like It Is tour to
absence of medical insurance.
D.
the Count Basie Theatre stage for Band
“Our goal is to extend beyond breast
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cancer ‘awareness’ and educate by diPRO
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cent blog from Kelley,
“Together
we will
recting individuals to assistance and
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play music
and
behind-the-scenes
diagnosis with qualified health care
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stories
providers,” explains Robin, who hopes
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that this inaugural concert event andSanD
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has been a good friend of mine for
nual campaign will expandOtoFthe
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many years now, and we share common
Jersey community and
eventually
achieve
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goals within this current state of the
national recognition.
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music business.”
“While
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night
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Grey Eye Glances is an adult-altertive
and
inspirational,
it
is
designed
to
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About the Event
native
band from Philadelphia, and
be
a
great
evening
of
entertainment,”
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Dwayne Keith, songwriter and keyboard
Lee adds. “We are so excited to bring
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UforNS
Band Together
Survival
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player, has compared the music to that
together
this
nationally
recognized
8
To Educate.
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of artist Sarah McLachlan, Renaissance
and
diverse
assembly
of
performers
to
A unique benefit concert presented by
or the band 10,000 Maniacs. To quote
entertain
our
guests.
It
is
sure
to
be
a
Gibraltar Share Foundation
Paul Moffett of the Louisville Music News,
celebration of life!”
Friday, May 8, 2009
“Most of these songs are very musical
Headliner Jeffrey Gaines is known
7:30 p.m.
and melodic, with thoughtful arrangeby
many
in
the
New
York/New
Jersey
Count Basie Theatre
99 Monmouth Street
ments — for some, the very definition
area. His soulful voice, mesmerizing
Red Bank, NJ 07701
of pop rock.”
lyrics and moving acoustic performances
Box Office: (732) 842-9000
To kick off the event, Band Together
have shared the touring stage with such
for Survival welcomes Outside the Box,
musical legends as Stevie Nicks and Sting.
Performers include:
Jeffrey Gaines
a blues-based, Americana and jam-band
Rolling Stone magazine states, “One of
Josh Kelley and Ryan Cabrera —
based out of the Jersey Shore and New
pop’s finest singers, Jeffrey Gaines is
Tell It Like It Is tour
York City areas. Sure to be one of the
the voice of a new generation.” Over the
Grey Eye Glances
Outside the Box
Jersey Shore’s next top musical stars,
years, Gaines has entertained audiences
the band was the 2008 Stone Pony
across the country. “Gaines’ deceptively
Tickets:
Summer House Band and is a memsimple, disarmingly direct ruminations
From $15 to $55
ber of the Jersey Shore Jazz and Blues
on life finds an audience of those desirChartered motor coach transportation
Foundation. Outside the Box has played
ing more from music than a fleeting
from South Jersey for $15 per person,
the Red Bank Jazz and Blues Festival
f
lavor-of-the-month
buzz.
Gaines
is
round trip
and various other local and regional
extraordinary and timeless,” adds the
Space is limited.
music festivals.
Chicago Tribune.
For more information: www.
Robin promises, “Band Together for
For
the
younger
generation,
Josh
bandtogetherforsurvival.com
Survival will be a night to remember!” n
Kelley and Ryan Cabrera bring their
Philadelphia Metropolitan doctor of dentistry
May 2009 | 9
feature
Adults Are Bracing for the Future
By Stephanie Freeman
According to the American Lingual Orthodontic Association,
there are approximately 1 million people improving their smiles
with orthodontics in North America, and 20% of them are over
the age of 18. More than ever, adults are settling into orthodontists’
chairs to take care of issues that were not remedied in their younger
years or problems that have developed specifically in adulthood.
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WHY BRACES, WHY NOW?
Adulthood brings changed perspectives, self-sufficiency and
financial independence. The majority of adult patients have orthodontic work done to improve their appearance. A person who may
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not have had the means to have orthodontic correction earlier in
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life may now be financially ready to have a brand-new smile.
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Aside from the esthetic appeal of gleaming, straight teeth, this
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implements and come in different
shapes
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Teeth that are too close together are very difficult to clean properly
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on a daily basis. Plaque and tartar buildup, leading to gingivitis, will
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present serious dental problems such as tooth decay, periodontal
sArchwires:
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disease and gum recession, which have a tremendous impact onED U of teeth and enable brackets to push against teeth.
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the health and wellness of patients. Extra or missing teeth
sLigatures: Because classic braces have no ligating system,
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affect speech patterns, creating problems that could
be
aided
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ligatures fasten the archwire to the brackets and, in some cases,
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the help of orthodontic correction. A, INC
work to push certain groups of teeth together. Ligatures come in
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different colors, so coordinating with brackets is an option.
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sElastics: Patients wear elastics for hours or weeks at a time to
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serve©to force teeth into a more exact position. By putting constant
structive procedures on the jaw. The length of time elastics are
pressure on a tooth, its root will be pushed against the alveolar
necessary varies greatly, dependent on individual patient needs.
bone, allowing that portion of the bone to slowly disintegrate,
Metal braces may be quite conspicuous, but if finances are an iswhich eases the tooth into the desired placement. There are many
sue, this type of correction is quite economical for patients because
options for patients and orthodontists to consider together when
standard braces are very durable and are the least expensive type
determining the best route to a healthy smile.
of braces available.
CLASSIC METAL BRACES
Even though images of metal mouths may dance in patients’
heads, today’s metal braces are significantly more comfortable
and attractive. Not only are there different colors to choose from,
but they now come in many shapes as well. An added bonus is
that braces now contain smaller implements, so a more compact,
yet effective approach is acquired. A person may require teeth
extraction before placement of standard braces and will need to
wear them for a period of one to three years for optimum results.
There are many elements that help to make this traditional method
successful, including:
sBrackets: These tiny devices glued to each tooth press teeth into
desired positions with the aid of wires and elastics. Bracket sizes
are determined by individual tooth size and can be customized
in both color and shape.
1 0 | Philadelphia Metropolitan doctor of dentistry
May 2009
CLEAR, CERAMIC BRACES
Wanting to achieve the same retention as with traditional metal
braces but with less visible implementation, patients may choose
clear, ceramic braces. Ceramic braces are glued to the teeth and
tightened in the same manner as metal braces. These devices can
blend in with the natural color of the teeth and have smaller wires
with antireflective coating, which make them noticeable only
at a very short distance. The length of wear is similar to that of
traditional braces.
HIDDEN, LINGUAL BRACES
“Lingual braces can be utilized for several different diagnoses
because they gently work to guide teeth into proper alignment,” says
Jeff Collins, D.D.S., M.S.D., orthodontist at Parker Orthodontics in
Parker, Castle Rock and Elizabeth, CO. “With these braces fitted at
the back of the teeth, patients can eat, speak, laugh and smile without
having anyone take notice of their specific style of treatment.”
New on the market is the innovative option of iBraces from
LingualCare. Like other lingual braces, iBraces are placed
behind the teeth, but differ in that they are fully molded to
a patient’s individual prescription for correction. iBraces are
the only braces available in the United States that are 100%
customized for patients. As part of this advanced product package, iBraces includes:
sI"RACKET 4HESE BRACKETS ARE CUSTOMIZED SPECIlCALLY FOR EACH
patient and are smaller for better comfort. Also, a larger base
helps to prevent the loss of the brackets, which can occur with
other braces.
sI7IRE0RECISION!RCHWIRESI"RACESUTILIZEROBOTICWIREBENDING
technology with up to four wire sequences that require little to
no adjustment.
sI4RAY 4HESE INDIRECT BONDING TRAYS ARE INCLUDED WITH EACH
iBracket and are designed to alleviate common clinical issues
associated with lingual devices and provide precise bonding to
the brackets.
iBraces are an option for adults as well as children and adolescents,
as long as all permanent teeth are intact.
patients to maintain adequate dental hygiene. The Damon System
produces braces with shape-memory wires and utilizes a mechanism
that slides in order to keep the movement of teeth more natural
and comfortable.
Adults with primarily esthetic concerns may also appreciate another aspect of the Damon System. The Damon System
Bracelift aids in smoothing cheek contours, creating better facial
balance and a fuller, wider smile, while also providing traditional
orthodontic correction.
Results of the Damon System can be seen in eight to 10 weeks,
which is a relatively short amount of time. The finished smile
can, in some cases, be complete in six months.
THE REMOVABLE ALIGNER
Invisalign from Align Technology, Inc. is a convenient way of
straightening teeth without the visible signs of an orthodontic
appliance. A mold is taken of the teeth, allowing a device to
be created to fit cohesively into a patient’s mouth. Every two
weeks, the trays are replaced and each set of aligners works to
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improve positioning of teeth. This type of correction can cater
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to the needs of many dental patients with conditions
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crossbite, underbite and other malocclusions,
while
allowing
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the device to eat or
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brush teeth.
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theirOspeech
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believe their orthodontic
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removed. In reality,
is intended to aid dental providers in choosing the right course of
retainers are an
treatment for patients with relatively simple dental issues.
absolute necessity for
maintaining the finished
s)NVISALIGN%XPRESSINCLUDESUPTOTRAYSANDHELPSPATIENTSWHO
changes made by
need only minor improvements. This particular product is someorthodontic devices.
Retainers are an absolute necessity
times used as a precursor to restorative treatment or in cases of
“In the 1970s and
for maintaining the finished results
’80s, it was thought
orthodontic relapse.
of orthodontics. Orthodontists
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that wearing a retainer
a year after braces
were removed was
enough to balance
the bite,” says John
Murphy, D.D.S., M.S., orthodontist in private practice in
Glen Ellyn, IL. “Now, retainers are designed more efficiently
for continuous wear. Retaining devices should be a lifelong
commitment for patients because of the constant shifting of
teeth, which, if unimpeded, can result in a need for further
orthodontic correction.”
For some adults, the reality of forgetting to wear a retainer when
they were younger hits hard as they sit in an orthodontist’s chair
decades later, awaiting further correction. To alleviate this concern,
orthodontists can place permanent wiring behind the anterior teeth
to provide stabilization of the final result achieved from using
braces. Because these retainers are attached permanently, except
for follow-ups, it will serve to meet patients’ needs without the
inconvenience of remembering to insert a retaining device.
can place permanent wiring behind
the anterior teeth to provide the
stabilization needed to keep that new
smile beautiful.
BRACE YOURSELF FOR RESULTS
The road to a healthy smile differs with each patient, and the
progress of orthodontic correction will be seen at different times
for each individual.
“Thanks to new technology in orthodontic devices, patients with crowding can see corrective changes in six to 12
weeks,” says John E. Murphy, D.D.S., M.S., orthodontist in
private practice in Glen Ellyn, IL. “If we are simply aligning teeth with braces, it will usually take 12 to 14 months.
If extraction is necessary, treatment duration can take up to
two years. Adults are able to see virtually the same amount
of positive results as younger patients, but each treatment
option is individualized and will finish according to the
specific patient.” ■
Philadelphia Metropolitan doctor of dentistry
May 2009 | 11
news
Genetic Discovery Could
Lead to Advances in
Dental Care
Researchers have recently discovered
the gene that is responsible for the growth
of tooth enamel, a finding that could
eventually have a drastic impact on cavity prevention and the restoration or even
replacement of teeth.
The gene, named Ctip2, a transcription
factor already known to encourage bodily
functions including immune response and
the development of skin and the nervous
system, has recently been shown to play a
vital role in tooth development.
This discovery made on laboratory mice
potentially opens the door for the use of
tooth stem cells to grow new enamel.
Previously, researchers had success growing
inner portions of the tooth in laboratory
animals, but lacked the genetic material to
grow the hard outer layer of enamel.
With th is finding, published in
Proceedings of the National Academy of Science,
patients suffering from tooth enamel erosion due to smoking, drinking or drug use
will have a viable option for treatment
to repair damaged enamel and prevent
future cavities.
varicella zoster can live dormant in the body
for decades and, when active, lead to herpes zoster, commonly known as shingles.
Herpes zoster causes painful blisters along
sensory nerves and can lead to osteonecrosis
of the jaw, resulting in severe damage and
tooth loss.
Although the exact reason for tooth
loss caused by osteonecrosis of the jaw is
unknown, researchers believe that lack of
blood flow and inflammation may be the
root cause.
Childhood Chicken Pox
Could Affect Adult Oral
Health
The varicella zoster virus, also known
as chicken pox, affected nearly 4 million
children a year at its peak, according
Dentists First to Spot
to the Centers for Disease Control and
Eating Disorders in
D.
Prevention. After the introduction of a
Patients
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vaccine in 1995, however, that number
According to the Academy
PROof General
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dropped 83%. Despite the decline in
Dentistry, dentists
are the first line of
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the illness, there are still some potendefenseT when
it
comes
to identifying
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tial long-term health effects of chicken CUpatients
suffering from eating disorders.
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pox infections.
Eating
disorders
deprive the body of key
THI
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According to a study inSE
General Dentistry,
vitamins, minerals and nutrients needed
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Whether natural or man-made, at least one in four businesses
affected by a disaster never reopen. Though emergencies are
unpredictable, when you have a plan in place you can adapt,
recover and stay in control.
It’s never too late to protect your business until it is.
Make a plan.
READY.GOV
1 2 | Philadelphia Metropolitan doctor of dentistry
May 2009
news
to maintain good overall health, and cause
noticeable dental symptoms.
Bulimia nervosa, a common eating
disorder, affects teeth and gums by causing repeated exposure to strong stomach
acids, with 89% of bulimics affected.
Patients suffering from anorexia nervosa
are at a tremendous risk for periodontal
disease resulting from self-starvation and
lack of nutrients.
The oral symptoms of eating disorders
can manifest in several ways, including
tooth erosion, bad breath, mouth sores, dry
mouth, cracked lips and bleeding gums.
Delta Dental of Illinois, a not-for-profit
dental service corporation, urges early intervention in regard to patients with eating
disorders and encourages dental professionals to make appropriate referrals for
such cases.
equipment/supplies
RGP Inc. Receives
Patent for Ergonomic
Backrest Design
In December, the USPTO awarded
a patent on the innovative and unique
design of a backrest that RGP Inc. utilizes in its ergonomically designed 400-D
operatory stool.
RGP’s 40 0-D incorporates a unique split-back
design, providing increased
support and airflow while
allowing for relief of spinal
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pressure. The unique
design
OH
PR
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was awarded
patent
No.
L
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RIC on December
T
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IS
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RGP manufactures and
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d ist r ibutes t he Swed ish
OF
First Interventional CT
USE
Seating System, with availD
Scanner Used for Dental
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able articulating armrests
H
Implants in U.S.
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used by medical and dental
U
3-D computed tomography (CT) scanC.
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professionals worldwide.
IA
ners are commonly used in dentalED
M implant
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Visit RGP’s website at www.rgprocedures prior toSthe
HINactual physical
N
pErgo.com, call 1-800-522-9695
SU of new technology, a
implant. Courtesy
008
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or e-mail [email protected]. n
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CT scanner
is now available to capture im-
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ages throughout oral surgeries when they
are most valuable, making surgeries more
successful and less invasive.
The new scan employs a cone beam
CT (CBCT) to provide on-site, threedimensional radiographic imaging while
reducing radiation levels about 90%.
CBCT technology allows dental professionals the largest field of view and least
amount of radiation, making it ideal for
use intraoperatively for dental procedures
requiring the greatest precision.
Currently available at select academic facilities and high-end dental implant centers, the
use of CBCT technology greatly improves
accuracy and virtually negates the need for
follow-up appointments and scans.
All news items written by Adam Haskew. n
Philadelphia Metropolitan doctor of dentistry
May 2009 | 13
Doctor of Dentistry Advisory Board
Doctor of Dentistry would like to thank its founding advisory board members for their keen insight and knowledge. Below are a list of
the members for the 2008-2009 year.
Barbara A. Alba, President
WellStar Marketing, Inc.
Phone: (215) 321-3592
[email protected]
David A. Bresler, D.D.S.,
pediatric dentist
Phone: (215) 350-9527
[email protected]
www.cavitybusters.com
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Earl Broker, D.D.S., orthodontist
Phone: (856) 770-9200
[email protected]
www.drsbroker-kushner.com
©
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TRI
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NT A. Levine, D.D.S.,
ERobert
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periodontist/dental implant surgeon
DOC
PA Center for Dental Implants
& Periodontics
Phone: (215) 677-8686
www.PAdentalimplants.com
Joe Capista, D.D.S., aesthetic
and general dentistry
Williamsburg Dental
Phone: (610) 353-7706
www.williamsburg-dental.com
Lee S. Babitt, President/CEO
Gibraltar Construction Corporation
Phone: (856) 435-4411
www.Gibraltar-Construction.com
Carl Tinkelman, D.M.D.,
endodontist
Phone: (215) 735-1131
[email protected]
Rocky Farahmand, MDT,
implantologist and technical advisor
Finesse Dental Lab
Phone: (856) 424-6650
[email protected]
www.FinesseDentalLab.net n
1 4 | Philadelphia Metropolitan doctor of dentistry
May 2009
finance
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If you are like most individuals today, you
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Philadelphia Metropolitan doctor of dentistry
May 2009 | 15
finance
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advertisers’ index
Colonial Dental Lab, Inc................12
Cornerstone Dental Labs..................7
Dental Management
Advisory Services........................15
F.X. Cassidy & Associates, P.C.......16
Finesse Dental
Lab, Inc............. Inside Front Cover
Gibraltar Construction
Corporation................... Back Cover
JPS Medical Waste Disposal..........13
Main Line Laminate Dental
Studio LLC....................................3
Mark F. Seltzer & Associates...........3
MileStone Bank................................2
Photo Designs
By Jody............... Inside Back Cover
TS Technology.................................8
1 6 | Philadelphia Metropolitan doctor of dentistry
May 2009
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