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May 2015 Volume L, Number 3 26 Travel with a Purpose Serving Children in Cambodia We’re headed to the AAPD Annual Session. Join us at booth #805. We’re unveiling new products you don’t want to miss. Visit our booth and pick up your free copy of our newly released book Volume III. Get inspired by our latest creations and get your dream office started with IDS! Visit us at imaginationdental.com Call toll free 1.888.884.4102 PDT PEDIATRIC DENTISTRY TODAY The Magazine of the American Academy of Pediatric Dentistry Welcome 6 9 9 Membership 34 35 35 36 38 A Message from Your President A Message from Your CEO Headquarters Office Staff Update Legislative and Regulatory Update 10 11 13 14 Litch’s Law Log Federal News State News PAC Corner AAPD 2015 18 General Information 27 Housing Information 20 Keynote Address and Opening Ceremony 20 Preconference Course 22 Social and Networking Events 24 AAPD 2015 Sponsors Welcome New Members Member Benefit Spotlight 2015 Membership Directory Corrections AAPD Resident Recognition Awards Member News Travel with a Purpose Serving Children in Cambodia Policy Center 40 Technical Brief Updates 41 Pulp Therapy Systematic Review Education 49 2015 GSRA 49 Joint Academic Day 50 AAPD CE Courses Healthy Smiles, Healthy Children 52 President’s Message 53 Access to Care Grants 54 Call for HSHC Grants Columns 31 Catching up with Dr. Edward H. Moody 42 Insurance 46 Media Mix 26 Opportunities 66 70 71 71 71 Seeking Pediatric Dentist Faculty Positions Practice for Sale Practice Transitions Office Space Staff Editorial Group The PDT magazine (ISSN 1046-2791) is published bimonthly by the American Academy of Pediatric Dentistry, 211 E. Chicago Avenue—Suite 1600, Chicago, Ill. 60611, USA, (312) 337-2169. Periodical Postage Paid at Chicago, Ill. and at additional mailing offices. POSTMASTER: Send address changes to PDT, 211 E. Chicago Avenue—Suite 1600, Chicago, Ill. 60611, USA. PDT is the official member magazine of the American Academy of Pediatric Dentistry (AAPD). The magazine is distributed to members as a direct membership benefit. Nonmember subscriptions are available at a domestic rate—$20 and foreign rate—$30 at the above address. Opinions expressed in PDT are not necessarily endorsed by the AAPD. American Academy of Pediatric Dentistry 211 East Chicago Avenue, Suite 1600 Chicago, IL 60611 (312) 337-2169 (312) 337-6329 www.aapd.org Chief Executive Officer John S. Rutkauskas [email protected] Chief Operating Officer and General Counsel C. Scott Litch [email protected] Publications Director Cindy Hansen [email protected] Magazine and Web Manager Thomas McHenry [email protected] Public Relations Senior Manager Erika Hoeft [email protected] Vice President for Meetings and Continuing Education Tonya Almond [email protected] Meeting Services Senior Manager Kristi Casale [email protected] Senior Director of Development and Charitable Programs Paul Amundsen [email protected] Annual Fund Coordinator Michelle Hidalgo [email protected] Membership and Marketing Director Suzanne Wester [email protected] Advance your practice. The world’s most trusted pediatric crowns. Be confident in your choice. NuSmile Signature pre-veneered and NuSmile ZR monolithic zirconia crowns give dentists a choice fitting their technique and clinical preferences. Both with proven results of clinical success and parent satisfaction. If it’s from NuSmile it’s backed by thorough research, designed to deliver time saving efficiencies, and used by more dentists than any other brand…all at an exceptional price. It’s that simple. • Over 4 million restorations and counting • Used 2 to 1 over the most competitive brand • Less technique sensitive than composite strip crowns • Amazingly lifelike esthetics • 9x times stronger than natural teeth • Quick and easy to use See how NuSmile Pediatric Crowns fit into your practice at www.nusmilecrowns.com To get started with NuSmile Pediatric Crowns email [email protected] or call 1-800-346-5133 I www.nusmilecrowns.com I +1-713-861-0033 Committed to pediatric dentistry and your clinical success. Pediatric perfection. Digital sensors that fit 100% of your patients. Only the #1 flexible phosphor sensor can give you all of this: • Ability to fit patients with small mouths, large tori, and gag reflexes • Faster image processing than film • Better image resolution than film • Exact same size and workflow as film • Ultra-compact Swift for chairside use Scan the QR Code to watch a video on ScanX Swift and its benefits to the Pedo practice and its patients. To learn more about our wide variety of award winning dental products, visit www.airtechniques.com. IMAGING UTILITY ROOM MERCHANDISE Dr. Edward H. Moody AAPD President Going Forward As my term as 67th AAPD President comes to its conclusion, I’d like to offer some brief thoughts on the past twelve months and a few of the things I believe the AAPD should be looking at going forward. Central Office Relocation District and State Unit Numbers and Revenue Additional office space in the ADA Building became available last year and we were able to negotiate favorable terms for an expansion with a long-term lease for our central office. The move into the new AAPD office space was completed last fall and we now occupy the entire 16th floor of the ADA building in Chicago. This move allowed us to position ourselves well for the next 10 to 15 years by consolidating all of our offices and resources onto a single floor as well as provide an efficient layout for staff and yet still have ample room to expand into should it become desirable in the foreseeable future. Many district and state units have prospered over the past year as dues collections by the AAPD on their behalf have significantly increased both their membership numbers and their financial resources. Increased membership and the associated monies collected should allow each of these organizations to increase the level and effectiveness of service they are able to provide and thereby reinforce the value of membership in state and district components. Relationship with ADA and Other Specialty Organizations Our Pediatric Oral Health Policy and Research Center has continued to expand its workload and provides us the capability to rapidly and effectively address issues with a national impact, the most recent example being the CDC report that indicated a trend toward a significant decrease in Early Childhood Caries (ECC) in young children. While this type of report might lead some to believe that we’ve turned the corner in regards to reducing ECC, a Policy Center brief pointed out that there are still far too many children, particularly in certain high risk populations, who have substantial unmet dental needs and that clinicians, researchers, and policy makers shouldn’t be too quick to claim success and begin directing their focus on other areas. As we have met with ADA leadership and leadership of the other dental specialty groups, it is clear that we are recognized as the authority on children’s oral health issues, and also that our opinions and thoughts on other matters related to dentistry in general and to areas of overlap between our specialty and other dental specialties are not only valued, but are actively sought. The relationship between AAPD and the ADA and between AAPD and the other dental specialty organizations is frankly as strong and collaborative as I have ever seen it. There is regular and open communication between the groups, including face-to-face meetings, and we are actively engaged in projects together that directly effect not only pediatric dentistry, but dentistry as a whole. International Outreach and Collaboration We’ve established more extensive and ongoing communications with some our international counterparts, beginning with attendance at the International Association of Pediatric Dentistry in 2013 and again at the European Academy of Pediatric Dentistry this past June. Dialogue between leadership of the organizations has taken place about joint ventures or meetings and a joint meeting with the Royal College of Surgeons of Ireland is currently being scheduled for Dublin in the fall of 2016. To continue the outreach, we have extended invitations to various national and international dental organizations for their presidents to attend our 2015 Annual Session in Seattle or the 2016 Annual Session in San Antonio. 6 May PDT 2015 | A Message from your President Pediatric Oral Health Policy and Research Center Public Policy Advocates and Federal Legislation Our interaction with policy makers at the federal level has increased in both numbers and effectiveness. At our recent Public Policy Advocacy Conference in Washington, D.C., we had nearly 200 participants including a number of residents, and were able to get our message into key offices on both the Senate and the House. Our message to them has always been about finding ways to allow more children to receive needed dental care and that we must insure there are adequate numbers of pediatric dentists and mechanisms in place to help recruit and retain qualified faculty for our residency programs. Going Forward Aside from the agenda and priorities that will be set by our incoming president, there are still two remaining task forces due to deliver their reports in May. The content of these reports should provide strategies about how AAPD can identify and cultivate members who demonstrate particular talents early in their careers and ways in which we might increase the value of Affiliate membership and thereby encourage more general dentists to work with us as we treat the children of this country. Other areas that will need to be considered are the changing influences on our workforce, particularly issues such as debt that are unique to those who are finishing or have recently completed their residencies and are looking at various practice options, the significant gender shift in our membership and the effect that may or may not have on practice patterns or distribution, and the influence of economic pressures and changes in the public and private insurance markets that have led to the emergence of new practice models over the last several years. And Finally I appreciate all the support and assistance I’ve received during the past year from the membership and from our outstanding staff, the kind invitations and gracious hospitality extended as I traveled representing the Academy, and particularly those AAPD members who willingly volunteer their time and talents to help take better care of children. Thank you for the privilege of serving as AAPD president! A Message from your President | May PDT 2015 7 MAM AAPD 2015 PDT AD 8.5 x 10 7-8 .pdf 1 3/26/15 10:37 AM Dr. John S. Rutkauskas AAPD CEO POHRPC on New CDC Data The American Academy of Pediatric Dentistry, the leading authority on children’s oral health, provided commentary on the report, Dental Caries and Sealant Prevalence in Children and Adolescents in the United States, 2011-2012, by the U.S. Department of Health and Human Services, CDC and the National Center for Health Statistics. Dr. Paul S. Casamassimo, director of the AAPD Pediatric Oral Health Research and Policy Center stated, “Preliminary CDC data suggests that some progress has been made in reversing this trend [of increasing ECC], with more very young children receiving care, most likely due to the increased number of pediatric dentists who care for this age group, as well as improvements in Medicaid dental programs in some states. However, the majority of Medicaid children are still not obtaining oral health services on a par with those privately insured.” “Of particular interest is the five percent decrease in which 23 percent of children ages 2 to 5 years had caries in primary teeth,” continued Casamassimo. “True prevention of caries starts by 1 year of age. The early dental visit can reduce a child’s future risk of dental disease and enhance oral health throughout childhood. We note that the number of pediatric dental training positions has more than doubled in the past 15 years, resulting in an overall increase in AAPD member pediatric dentists from 3,329 in 2000 to 6,252 at present. We also note that an analysis of Medicaid 416 dental data from 2000-2012 indicates that the number and percent of children receiving dental services under Medicaid has grown continuously over this period. It is likely that these two factors (an increased supply of pediatric dentists and modest improvements in Medicaid dental programs) have contributed to this positive outcome.” About the key finding on how untreated tooth decay in primary teeth among children aged 2–8 was twice as high for Hispanic and non-Hispanic black children compared with non-Hispanic white children, Casamassimo said, “We understand that certain groups are disproportionately affected by caries. Unfortunately, these are often those whose circumstances prevent realization of the preventive and treatment opportunities other children enjoy. Ultimately, the negative social determinants of health affect oral health much as they do general health in this population. These results point to the need to redouble our efforts on adequate financing of care and reaching these children and their families to increase oral health literacy.” The other key finding to highlight was about how three in five adolescents aged 12–19 had experienced dental caries in permanent teeth, and 15 percent had untreated tooth decay. He stated, “This statistic speaks loudly that the war on dental caries is far from over. We see in this report that one in five children has decay in their primary teeth and that ultimately, dental caries wages on into adolescence for many children. The results speak to the need for continuing diligence well into adolescence with preventive services, a Dental Home and repeated risk assessments as habits and circumstances continue to change. Lengthening recall periods in any phase of childhood and adolescence is not supported by evidence and puts children at risk for carrying dental disease into young adulthood.” According to the AAPD “State of Little Teeth Report,” which features the latest scientific research on the public health crisis of tooth decay, a child with unhealthy teeth is at risk for future oral health problems as an adult. Untreated tooth decay can lead to infection, loss of teeth, and expensive emergency and restorative interventions. The report notes that the effects of the caries epidemic extend far beyond the affected children to the greater community. It is estimated that more than $40 billion per year is spent on the treatment of dental caries in the United States. AAPD Headquarters Staff Update We’re pleased to announce that Colleen Bingle joined the AAPD in February as meetings and exhibits associate. Bingle is a 2013 graduate of Boston College and has experience in event planning and catering management with After School Matters in Chicago, the Harvard University Alumni Association and the Union League of Chicago. A Message from your CEO | May PDT 2015 9 C. Scott Litch Chief Operating Officer and General Counsel Litch’s Law Log Supreme Court Rules Against North Carolina’s Dental Board You have probably read about this case in a previous column, the AAPD CEO’s annual report, or the ADA News. There is also background on the AAPD website http://www.aapd.org/aapd_joins_supreme_ court_brief_in_support_of_north_carolina_dental_board_vs_ftc/?pg=2. The AAPD joined Amicus Curiae (friend of the court) briefs before both the Fourth Circuit Court of Appeals and the U.S. Supreme Court in the case of North Carolina State Board of Dental Examiners v. the Federal Trade Commission (FTC). On Feb. 25, 2015, the U.S. Supreme Court ruled that a North Carolina dental board doesn’t have antitrust protections to limit the actions of dentists from whitening teeth because the board is not actively supervised by the state. Justice Anthony Kennedy wrote the 6-3 opinion for the court. Justices Antonin Scalia, Clarence Thomas and Sam Alito dissented. The case arose when the FTC challenged the decision by the North Carolina board to limit teeth-whitening services in the state to dentists. They deemed the dental board’s actions suppression of competition. That ruling was upheld by the U.S. Circuit Court of Appeals. The Supreme Court subsequently granted the board’s request for review of the Circuit’s decision. They argued the board should not be immune because North Carolina did not actively supervise the board’s actions. The board argued that, as a state agency, it does not need to be actively supervised by the state. Concerned about the negative impact that the lower court’s ruling could have on the ability of professional boards to regulate their respective professions, ADA, AAPD, the AMA, and 15 other associations filed a friend-of-the-court brief supporting the state board’s position. The Court’s majority opinion said that since the board is controlled mostly by dentists and not actively supervised by the state, it doesn’t have antitrust immunity. Therefore, it cannot make decisions as drastic as telling non-dentist tooth whiteners that they cannot practice. To satisfy the requirement of active supervision, the court observed that state officials must possess and exercise power to review the particular anticompetitive acts of private parties and disapprove those that fail to accord with state policy. The “mere potential for state supervision is not an adequate substitute for a decision by the State.” Daily involvement by the state in an agency’s operations is not required to satisfy the second requirement. It is only important that the state’s involvement provide a “realistic assurance” that the anticompetitive conduct of an actor such as the board “promotes state policy, rather than merely the party’s individual interests.” The court accordingly identified three requirements of active supervision: 10 May PDT 2015 | Legislative, Regulatory and Legal Update • The state supervisor must review the substance of the anticompetitive decision, not merely the procedures followed to produce it. • The state supervisor must have the power to veto or modify particular decisions to ensure they accord with state policy. • The state supervisor may not itself be an active market participant. The ADA believes the decision constitutes a radical departure from the court’s established law, and throws into question the regulatory, licensing, and disciplinary authority of thousands of professional boards across the country. ADA General Counsel Craig Busey was kind enough to provide the following commentary on the case and its implications: “The ADA is extremely disappointed with the Court’s decision. It is noteworthy that North Carolina board was acting under its authority to prohibit the unlicensed practice of dentistry and relied on the state’s Dental Practice Act, which includes “removing stains and accretions from the teeth,” in its definition of dental practice. That would appear to be an active assertion of the state’s authority to regulate the unauthorized practice of dentistry for public safety. The amicus argued that that the members of the North Carolina board, as a state agency established by state legislation and pursuing the responsibilities assigned to it by state statute, were immune from federal antitrust law liability under the State Action Doctrine as enunciated by the Supreme Court in its 1943 landmark decision, Parker v. Brown, 317 U.S. 341. In that case, the State of California had established an agricultural regulatory body consisting of market participants. The court held that conduct by a state with anticompetitive effects may serve public health and safety concerns that override the interests served by imposition of the federal antitrust laws and that it is the state that should be able to make that decision for itself. Who the members of the body were or how they were chosen did not concern the court. The members’ exemption from enforcement of the antitrust laws existed by virtue of the fact that they were serving on a state agency created by the sovereign state of California. The ADA believes that the well-established, 70-year-old precedent announced in Parker should have been applied in the North Carolina case, where the board is unquestionably a state agency created by the sovereign state of North Carolina. In the ADA’s view, the court’s analysis need not have gone any further than this. Unfortunately, the Court effectively disregarded the teachings of Parker v. Brown and imposes on a bona fide state agency a rule that in the past it only applied to non-state bodies. The court held “active supervision by the state” is required in order to shield the board and its members from federal antitrust liability. The court’s decision leaves professional boards across the country in a quandary, with no explanation as to what level of active supervision is necessary to invoke immunity for each board. In addition, boards are likely to be extremely reluctant to take actions that may subject them to legal exposure, and individual members may be justifiably concerned about possible liability.” I am also fearful this decision will cause state boards to be extra cautious about enforcing existing regulations where there is any likelihood of a legal action. This would include regulations governing specialty advertising, namely that a general dentist is not allowed to hold herself out as a specialist. Alito made the following logical point in his dissenting opinion: “Staffing the State Board of Dental Examiners with certified public accountants would certainly lessen the risk of actions that place the well-being of dentists over those of the public, but this would also compromise the State’s interest in sensibly regulating a technical profession in which lay people have little expertise.” Well said! Unfortunately, we now we face an era of “state supervisors”—who are not dentists—hovering over the decisions made by state dental boards. For further information, contact Chief Operating Officer and General Counsel C. Scott Litch at (312) 337-2169, ext. 29, or [email protected]. Legislative and Regulatory Update Unless otherwise noted, for further information on any of these issues, please contact Chief Operating Officer and General Counsel C. Scott Litch at (312) 337-2169 or [email protected]. Federal news AAPD 2015 Legislative and Regulatory Priorities These priorities, as developed by the Council on Government Affairs and approved by the board of trustees, are available on the AAPD website at http://www.aapd.org/assets/1/7/2015_Legislative_Priorities_for_website.pdf. Top priorities continue to be Title VII pediatric dentistry funding (see below), amendments to the Affordable Care Act (including extension of the CHIP program), and Medicaid dental reforms (including reform of RAC audits). Dental Associations Spell Out Fiscal Year 2016 Oral Health Funding Priorities for Congress On Feb. 9, 2015, the AAPD, along with the American Dental Association, American Dental Education Association, and the American Association for Dental Research, communicated FY 2016 oral health funding priorities to the chairs and ranking minority members of the Senate and House Appropriations Committee’s Subcommittee on Labor, Health and Human Services, Education related agencies. This request includes the AAPD’s top funding priority, $10 million for pediatric dentistry training under Title VII of the Public Health Service Act (Section 748). The letter also requests report language encouraging the Health Resources and Services Administration (HRSA) to initiate a new grant cycle for dental faculty loan repayment. Copies of the letters are available on the AAPD website at http://www.aapd.org/ assets/1/7/FY2016_Dental_Request_Letters.pdf. Legislative, Regulatory and Legal Update | May PDT 2015 11 Organized Dentistry Coalition (ODC)1 Weighs In The AAPD signed onto several ODC letters to Congress in support of the following legislation: Action for Dental Health Legislation. H.R. 539 would allow organizations to qualify for Centers for Disease Control (CDC) oral health grants to support activities that improve oral health education and dental disease prevention and develop and expand outreach programs that facilitate establishing Dental Homes for children and adults, including the elderly, blind and disabled. The bill would also support charitable programs such as Give Kids A Smile and Missions of Mercy, reduce the number of people who visit the for dental conditions by referring them to dental practices, and ensure more Americans have access to drinking water with fluoride. Applying antitrust law to health insurance. H.R. 494, introduced by Congressman (and dentist) Paul Gosar, R-Ariz.-4th, would amend the McCarran-Ferguson law and authorize the Federal Trade Commisiion and the Justice Department to enforce the federal antitrust laws against health insurance companies engaged in anticompetitive conduct. It would not interfere with the states’ ability to maintain and enforce their own insurance regulations, antitrust statutes and consumer protection laws. Because states vary in their enforcement efforts, the impact of the amendment on health insurance companies would differ from state to state. The bill would help interject more competition into the insurance marketplace by authorizing greater federal antitrust enforcement in instances where state regulators fail to act. 1 Expanding the student loan interest deduction. H.R. 509 would expand and enhance the federal income tax deduction for student loan interest. This would help alleviate the alarming levels of educational debt that dental students face, which averaged $247,222 in 2014. The bill would increase the allowable student loan interest deduction from $2,500 per year to $5,000 per year, and would also eliminate the legal limit on how much income an individual can earn and still claim the deduction. Increasing the FSA annual cap. The Responsible Additions and Increases to Sustain Employee (RAISE) Health Benefits Act of 2015 would address current drawbacks to the use of Flexible Spending Arrangements (FSAs). FSAs allow consumers to set aside pretax dollars to pay for health care services and items that are not covered by insurance, such as vision and dental services, doctor copayments, prescription drugs and medical supplies. The bill would cancel the “use-it-or-lose-it” rule for all FSAs, allowing families to build balances over several years. The bill would also double the current FSA annual contribution cap to $5,000 and allow families with more than two dependents to save an additional $500 a year for each additional dependent. ODC is a coalition of associations representing practicing dentists, including ADA, AGD, NDA, HDA, and other dental specialties. New ACA Analysis from ADA’s Health Policy Institute (HPI) The February 2015 HPI report “More Dental Options in 2015 Health Insurance Marketplaces”2 reveals some positive developments, but with many challenges still remaining. • There is an upward trend in the share of medical plans with embedded dental benefits in the health insurance marketplaces. More than a third (35.7 percent) of medical plans have embedded pediatric or family dental benefits. • While pediatric dental benefits are an essential health benefit under the Affordable Care Act, many plans do not offer first dollar coverage for preventive dental services. • Medical plans with embedded pediatric dental benefits are more likely than stand-alone dental plans (SADPs) to provide first dol- 2 lar coverage for preventive dental services. This is partially due to federal regulations that reduced the out-of-pocket maximum for SADPs; as a result, many plans modified their first dollar coverage for preventive services. • Information on dental benefits is much more transparent in the 2015 Federally-Facilitated Marketplace compared to 2014. This was something strongly advocated by the ADA and AAPD with the CMS Center for Consumer Insurance Information and Oversight (CCIIO). However, many unknowns remain about ACA pediatric oral health coverage including network adequacy, patient utilization and provider reimbursement. The ADA HPI ACA reports are all available on the AAPD website at http://www.aapd.org/ advocacy/aca_basics. The authors of this research brief are: Cassandra Yarbrough, M.P.P.; Marko Vujicic, Ph.D.; Kamyar Nasseh, Ph.D. 12 May PDT 2015 | Legislative, Regulatory and Legal Update State news State Legislative Day in Annapolis Maryland Academy of Pediatric Dentistry Public Policy Advocate Dr. Stuart Blumenthal reports the following. Feb. 25, 2015, was Dentist Day in Annapolis for the state legislature, sponsored by the Maryland State Dental Association (MSDA). Approximately 150 dentists participated. MSDA focused on three bills: • SB 421 / HB 766 Practice Ownership. While dental practices must be owned by a dentist licensed in the Maryland, this bill provides an exemption for ownership of an FQHC while requiring that all dentists practicing in such setting maintain state licensure. • SB 198 / HB 355 Public Health Dental services for adults. This bill would expand Medicaid dental benefits for postpartum women. • Cultural and Linguistic Competency. MSDA opposes this bill that would require continuing education in cultural competency in every two-year renewal cycle for licensure. RAC Audit Reform Bill Moves Forward in Nebraska Nebraska Academy of Pediatric Dentistry Public Policy Advocate Dr. Holly Portwood along with Dr. Jessica Meeske (Council on Government Affairs NorthCentral district representative) report the following: Based on a significant challenge posed by a Medicaid Recovery Audit Contractor (RAC) in Nebraska that impacted all Medicaid participating dentists in the state3, the Nebraska Society of Pediatric Dentistry and the Nebraska Dental Association (NDA) are pursuing RAC Audit reform legislation. Legislative bill 315 would require RAC auditors to: • Limit the review of claims to within three years after the initial date of payment. • Send a determination letter concluding an audit within 90 days after receipt of material requested of the provider. • Furnish adequate information for any providers to identify records requested. • Utilize a licensed health care professional from the area of practice being audited to establish methodology consistent with practice guidelines, standards of care, and the state Medicaid provider handbook. • Exclude medical necessity reviews in which the provider had obtained prior authorization. • Provide greater due process for notification of an adverse determination and scheduling of on-site audits, along with the right to appeal a determination. This would include an informal appeals process along with a formal administrative appeal. • Limit retroactive enforcement where the procedure or service has been consistently utilized by a provider for more than five years prior to the audit. 3 • Prohibit recovery of overpayments until after all informal and formal appeals have been completed, except in cases of suspected fraud. • Limit records requests to not more than five percent of the service being reviewed, not to exceed 200 records, and give providers 45 days to respond. • Provide data on audit metrics on the department’s website annually. • Perform education and training programs for providers to cover a summary of audit results, description of common issues, problems and mistakes, and opportunities for improvement. • Allow electronic submission of requested records. During a legislative hearing on this bill, both pediatric and general dentists testified including pediatric dentists Dr. Jessica Meeske and Dr. Eric Hodges. Also testifying were medical, hospital, community health center, nursing home and pharmacy associations. Ron Wiseman, the office manager of pediatric dentist Dr. Lourdes SecolaOcanto, also provided testimony. Thanks to this strong support, the bill was approved unanimously out of committee. It is important to note that while the NDA will lead this charge, this is not a pediatric dentistry bill or even a dental bill but rather an “all Medicaid provider bill.” For the record, we did learn that dentists were the only ones to get RAC audited this year, so it was great that so many other provider groups are stepping up to support us! We especially thank David O’Doherty (NDA executive director), Scott Morrison (NDA president), and Kim Robak (NDA lobbyist), who spent countless hours working on this bill. Technical assistance from AAPD (Scott Litch) and ADA (Janice Kupiec) staff was also tremendously helpful. See AAPD website for more details at: http://www.aapd.org/medicaid_rac_audits_pose_threat_to_children%E2%80%99s_access_to_oral_health_care/ Legislative, Regulatory and Legal Update | May PDT 2015 13 PAC Corner AAPD CONTRIBUTIONS (* Steering Committee and Advisory Board Members) 982 contributions from 912 members PATRIOT ($1,000 AND ABOVE) Mary Jo McGuire Ricardo A. Perez Reneida E. Reyes* NorthCentral District Mary J. Hayes Jeffrey J. Johnson Edward L. Rick Southeastern District Girish Banaji K. Jean Beauchamp* Kimberly A. Brown Stephanie C. Chen James B. Congleton Scott D Goodman J. Huel Harris Heidi A. Herbst Beth E. Kailes Andrew S. Middleton Pamela A. Morgan Heber Simmons Jr.* Northeastern District Warren A. Brill Lois A. Jackson* Southeastern District Saadia I. Mohammed Barry P. Setzer Staci M. Suggs Tanya C. Wall Southwestern District Edward L. Donaldson Jr. Southwestern District Behzad Baghai Linda T. Burke Reeca D. Daves Jill A. Decker Anthony J. Frizzo Andrew M. Heaton Philip H. Hunke* Vent S. Murphy Michael D. Oliver Jr. Patrick J. Ryan Rebecca M. Wilson Western District J. Kyle House CABINET ($500-$999) NorthCentral District Daniel P. Carroll John H. Deppen Clifford R. Hartmann Vickie L. Hemann Kyle M. Hensley Brent L. Holman Bret M. Jerger Eric J. Koren Martin J. Makowski James D. Nickman* Curt S. Ralstrom* Neophytos L. Savide* Eric A. TeDuits Western District Rick J. Nichols Brian J. Saunders CONGRESS ($250-$499) NorthCentral District Laura R. Adelman Kyle D. Amspaugh Salwa Atwan Bobbi L. Augustyn Phillip A. Baker Neal R. Benham Michael F. Bigler Samuel G. Blanchard Susan Bordenave-Bishop Kristin H. Bothun Northeastern District Dwight J. Ashby Jennifer D. Epstein Carey L. Fister Mark R. Harrison Lewis A. Kay* Shari C. Kohn* Steven D. Lasser Brian S. Martin 14 May PDT 2015 | AAPD PAC John A. Bozic Martha J. Braid Daniel M. Briskie Christopher E. Carroll Susan H. Carron Sean L. Cook Carolyn B. Crowell Thane Evans Crump Charles S. Czerepak Carmen L. Dana Jeffrey A. Dean Thomas M. Donohue Deryl W. Drum Pamela R. Erickson Naila S. Farooq Renee D. Fraser Lisa Gabrish John A. Gennantonio John H. Gerstenmaier John H. Gerstenmaier III Daniel M. Gindi D. Michael Goebel Jason M. Golnick Michael L. Gordon Ann L. Griffen Thomas D. Hall Robert S. Haring Dorthe Hartmann Stephen M. Heaney John D. Hennette Gonzalo Hernandez Nancy E. Hijjawi Nicola C. Hill-Cordell Mitzi L. Hines Eric D. Hodges Chad J. Hoge Mikala Hoge James Bryan Hohenstein David L. Jones Lori J. Kerber Timothy R. Kinzel Richard B. Kirchhoff Kenneth S. Kollmann Amy E. Kramer Matt P. Kubovich Diana A. Kyrkos Andrea R. Lederman-Cotton Andrea M. Leyland Robyn R. Loewen Janice A. Lubas Thomas J. Madl Jr. Robert F. Majewski Sam Malcheff Andy J. Malcolm Denise D Maniakouras Susan S Maples Jaime K. Marchi Jessica Massie Michael S. Mathews Susan M. Maurer Thomas J. Maurice Melissa A. McHenry Dennis J. McTigue Candace A. Mensing David M. Miller Anthony L. Minutillo Kara M. Morris Cecilia A. Moy W. Patrick Noonan Sonja G. Norris Jane E. Odgers Robert C. Payne Vacharee Peterson Cindy R. Pong Ronald L. Poulos Mary Ann Rackauskas Frank G. Radis Daniel G. Raether Elizabeth F. Ralstrom Sara R. Rauen Dardis Rockland A. Ray Jason Richards Charles W. Rigg Gregory A. Robbins John S. Rutkauskas* Frances P. Santoro Matthew D. Schieber Nannette R. Sherman Jane A. Silk Thomas L. Sitzer Christa Y. Spates Brian C. Stecker Bob C. Stone Lisa F. Strunk John M. Sushynski Sarah E. Swenson Rita J. Tamulis-Shea Mary E. Tierney Carl Andrew Trout Victoria A. Ursitti Aimee C. Valleau Eric C. Van Gilder Eric J. Van Miller Christopher E. VanDeven Connie M. Verhagen Gina D. Waite James A. Weddell Laura J Westover Kay L. Wilson Terri A. Winn William L. Wrobel Yu-Ju Yang Northeastern District Dawn Abousy Maryam Azadpur Michelle M. Backhaus Scott A. Bialik Stuart D. Blumenthal Richard A. Brown Cavan M. Brunsden Lisa C. Campanella John J. Caravolas Kathleen L. Carroll Sobia Carter Jerome S. Casper Nancy A. Cavotta-Morton Dianna J. Champion Lennie M. Checchio Simon Cheirif Courtney H. Chinn Elizabeth Cipes Chisholm Monica H. Cipes Anthony P. Colandrea Jr. Brian D. Collins Lynn M. Collins Philip M. Coniglio Jr. Gary L. Creisher Yasmi O. Crystal Jennifer L. Cully Arthur A. Daniels Jr. Beatriz De la Roche Jason T. Decker Cara C. DeLeon Annemarie DeLessio-Matta Lawrence Dinkes Mary Beth Dunn Glen F. Ehrenman Craig E. Elice Luis S. Englander Richard W. Eytel Jay L. Felsenstein Mary A. Flanagan Valerie Fong Richard J. Galeone Geraldine Garcia-Rogers Robert R. Gatehouse Edward L. Ginsberg Joseph Giuliano Kathryn M. Glazer Jay Goldsleger Agnieszka B. Gosk Jonelle S. Grant Kristine A. Grazioso James B. Haas Eric S. Hans Raven R. Henderson Ronald J. Hrinda David S. Iglewicz Christos A. Ioannou Michael A. Ioannou John Iwasaki Laurie B. Jacobs Margot H. Jaffe Julie Y. Jong Jeffrey D. Kearns John J. Keating III Douglas B. Keck Mahnaz M. Khan Michael King Michael Koumaras Gerald Krause Alan K. Kuwabara Ann M. Lambert Christine M. Landes Seth D. Latimer Stephen C. Levin William H. Lieberman Gary S. Lindner Lawrence I. Lipton Lawrence A. Louie Margaret Madonian Aaron M. Mannella Ivan R Marcal Elliott David Maser* Rosalie V. Matos Timothy P. McCabe Eugene J. McGuire Kraig C. McKee Jeffrey M. Melini Sandhya Menon Christina Mercurio Stephen C. Mills* Bhagwati J. Mistry Gregory S. Mokotoff Joseph P. O’Donnell Leslie A Olton Kristin Paoli Robert Peracchia Harold J. Pincus Charlene Pirner Katherine Wezmar Poepperling L. Allan Pyke Nancy L. Rajchel Mario E. Ramos Varsha Reddy Olga L. Restrepo Michael S. Rosenbaum Kimberly A. Rosenfeld Alan Sacks Zuhair Sayany Frank P. Scartozzi Douglas S. Schildhaus Emily B. Scholl David E. Shapter Irvin B. Sherman Deven V. Shroff Caryn M. Siegel Kenneth M. Simckes Rachael L. Simon Catherine M. Skarulis Scott J. Solow Shubha Soni-Gaur Andrew Spadinger Angela M. Stout Frank Strazza Rebekah Y. Tannen W. Fred Thal Marie Tremblay Deborah A. Troy Hiroshi Tsuyuki Susan E. Vickers Gary Warrington Ross M. Wezmar Whitney R. Wignall Sonia J. Wu Jeannine E. Wyke Alan R. Zicherman Derek S. Zurn Southeastern District John A. Acosta George A. Adams Jr. George A. Adams Sr. Randy Adams Tricia J. Altschuler Caryn M. Alvarado Reza Ardalan Carl O. Atkins Jr. Alan E. Babigan Jackie L. Banahan John I. Barney David E. Barto Jr. Charles L. Belknap Carlos A. Bertot Gayla Bivens-Moss Joel A. Black Jr. Jason A. Blair Priscilla J. Bond Harry E. Bopp Brit E. Bowers Carol J. Braun James M. Brittain Richard F. Brooks Townsend Brown Jr. Brad Young Bryan Angela D. Bulloch-Patterson Richard M. Butler Jr. Ania Cabrerizo Robert F. Caldwell William L. Chambers H. Todd Chambliss Theresa L. Clifton Paula L. Coates H. Bryan Cobb Kristina D. Coffield H. Byron Colley III Charles O. Coulter Ryan A. Cregger Timothy F. Crisp Mary W. Crockett Benjamin J. Cumbus Jay C. Curry David Kennon Curtis Jr. Jayne E. Delaney Christopher M. Dermody Alissa N. Dragstedt Janet S. Ellington Robert H. Ellis III Robert H. Ellis Jr. Catharine A. Enright Chad S. Eslinger Joseph A. Faiz Oliver P. Favalli Margaret Danielle Funny Stephens David H. Moore Arthur P. Mourino Gary R. Myers Mike D. Mysinger Marinela M. Nemetz David D. Olson Meredith L. Papadea Jerry L. Parker Ajit A. Patel Ashley J. Patnoe Charles H. Perkins Amber O. Perry Gail V. Plauka Lisbeth W. Poag Brandi Prather William N. Quinton David M. Rider Rafael Rivera Jr. Charles W. Roberts Paul T. Rose Ronald J. Rozanski David L. Russell Ben Saunders Julia Isherwood Schreiber Stanley A. Sheppard Richard A. Simpson G. Rick Singh Shepherd A. Sittason Steven R. Slavkin David R. Stanley Elizabeth J. Staves Josh Sullivan Trice W. Sumner Shauna C Tanner Jordan Tarver Carly W. Thomas David E. Thome Jorge O. Torres Tu Tran Jason E. Turner Chester J. Tyson IV Hugh D. Vice John L. Wasdin Michael D. Webb Jack Weil Adam W. Weinberg William L. Whatley Jr. Halley R. White Katrina C. White B. Gene Whitehead Abby T. Wilentz John C. Williams Heather H. Wise Jennifer L. Woodside Steven J. Fuson Clay P. Goins William A. Greenhill Charles R. Hall* Martha V. Hardaway Robert B. Harrison Rhea M. Haugseth Aleighia Barker Helderman Cynthia L. Hipp Jeremy L Hodge Kirby C. Hoetker Sharon L. Holley Robert L. Hollowell III Daniel T. Howell James L. Hutton III Mary P. Huxford Thomas G. Ison Sherida D. Jacobs Perry L. Jeffries April J. Johnson Toyer Amy G. Jones Kelly M. Jones S. Kimberly Jones Yoo Mee Kim Helena J. Krajewski Beverly A. Largent Mark A. Lawrence Jessica Y. Lee Jasper L. Lewis Jr.* George B. Liles Tammi T. Lockhart Christopher L. Maestrello Jack D. Mallette Catherine V. Marcantonio Barry K. Marcum Maria G. Marranzini Charles U. Mauney Jr. Dale Mayfield Silas E. McAninch Laura B. McAuley J. Britt McCarty Alston J. McCaslin VI Silas D. McCaslin Joy McKee E. Lynn McLarty Timothy E. McNutt Sr. Tina L. Merhoff Elizabeth C. Miller Keri L. Miller Phillip H. Miller Rodric L. Miller Wesley B. Moffett Tara L. Moncus Nancy Montgomery Edward H. Moody Jr.* AAPD PAC | May PDT 2015 15 Southwestern District Jeffrey J. Ahlert Courtney Alexander Elsa C. Alfonzo-Echeverri Scott A. Andersen George M. Angelos Anthony D. Bain Donna J. Barefield John L. Barnett Jr. Nelle V. Barr William C. Berlocher James L. Bevans Matthew C. Bittle Carl D. Bloom Carlen Palmer Blume Jim O. Bowden Richard R. Brasher Jr. Todd S. Brasuell Emily M. Brown Kennell P. Brown Jr. John L. Caldwell Rita M. Cammarata Brent C. Caple Lisa A. Carlson-Marks Vanessa G. Carpenter Ludivina R. Casas Joseph B. Castellano Justin W. Cathers Claudia A. Cavallino Barrie B. Choate Edward A. Christensen David A. Ciesla Pamela C. Clark Brad S. Comeaux Paige Sigsworth Comeaux Jennifer Criss Andrea T. D’Addario Emily C. Day Rachel Deal Rob L. Delarosa Mischelle Doll Jill M. Donaldson William H. Dunklin III Diane M. Earle Cassandra J. Elkins Aaron W. Engels Kelli L. Ettelbrick Gregory D. Evans John T. Fales Jr. 16 May PDT 2015 Barry J. Farmer Gerard R. Feldhaus Suzanne E. Fournier Lisa M. Fox Casey R. Frazier Michelle L. Freeze D. Ray Gifford Fred D. Griffin George A. Gutierrez William B. Haley II Randy W. Hamilton III Ryan W. Hanry Joseph Andy Harris Meredith A. Harris Donald W. Haskins Susie S. Hayden Lori Henderson Ty A. Hinze Craig S. Hollander Bilkisu Idakoji Robert B. James Dustin Janssen Jeffrey A. Kahl William A. Keaty Paul A. Kennedy Jr.* Dietmar Kennel Jennifer L. Kiening Derek G. Kirkham Mark H. Kogut Manivara P. Krone Reena Kuba Naomi L. Lane Hoanh B. Le Kecia S. Leary Brynn L. Leroux Donna Lindsey Amy Luedemann-Lazar Catherine L. Lyles Josefina V. Martinez Julie A. Martinez Georganne P. McCandless Robert H. Melton S. Troy Miller Carlos N. Mohamed Marty R. Montgomery Brent W. Moody Anna B. Moreau Robert E. Morgan Jack W. Morrow | AAPD PAC Ira N. Moyer James N. Murtaugh Subash Mutyala Shilpa R. Nileshwar Robert H. Offutt Michael Oppedisano Monali R. Patel Gloria A. Phillips Michael D. Plunk Nick A. Prater Judith A. Ragsdale David T. Ramirez Evan J. Reed Donald H. Roberts Ryan S. Roberts Maria de Jesus Rodriguez Nick Rogers Edith Rojas-Candelas Benjamin D. Rosenberg Paul I. Rubin Aide J. Rubio-Sanchez Bryan P. Savage Kelly K. Sawyer N. Sue Seale Cheryl S. Sellers Susan V. Seybold Joel B. Shields Jonathan D. Sierk Scott D. Smith* Alfred P. Smithwick III John L. Snuggs David M. Strange Jr. Robin G. Stratmann Ben Taylor Eddie G Tennison Gregory C. Thiel Larry W. Thomas Kenny C. Thompson Maria B. Tiefenbach Terri E. Train Heber C. Tuft Keith A. Van Tassell Paula E. VanBuskirk Alejandra Villasenor Katherine E. Vo Crystal R. Walker Danny D. Watts Mark S. Weaver Bruce H. Weiner Wavel L. Wells Theresa M. White Michael K. Wilkerson Thomas H. Wingo Jr. Gloria Yanez Clyde N. Yost Michael R. Yost Jeffrey O. Young David L. Zatopek Jason A. Zimmerman Western District Julie D. Anfinson Gregory B. Apostle Ann T. Azama Sophie Liamidi Baird Bradley S. Barlow Curtis J. Barnett Armand Begian Mary Elizabeth Bisese Justin J. Bittner Lisa D. Brennan Jeffrey N. Brownstein Norman Bunch Jeffrey S. Burg Pamela D. Butler Richard S. Chaet Steven D. Chan Joseph F. Cochran Jr. Santos Cortez Jr. Eric A. Downey David E. Doyle Jr. Kerisa S. Elloway Chad W. Ellsworth Rodman O. Emory Frank J. Enriquez Jared D. Evans Brett Flaherty. April N. Foster Joseph D. Fridgen Doug Fryer Lynn K. Fujimoto Andrew H. Garabedian Jonathan M. Gidan Jane Gillette Radford Y. Goto Todd A. Gray Kenneth D. Greenstadt Amybeth Harmon Douglas J. Harrington Sarah Hill Jennifer L. Hoffer Janelle E. Holden James M. Hori Scott T. Jacks Andrew J. Kapust Neil M. Katsura Brady S. Keller Nazli Keri Michelle R. Kobayashi Thomas H. Larson Tra T. Le Christian K. Lee Jonathon E. Lee Mark S. Lisagor* SallySue M. Lombardi Jared D. Lothyan Randall K. Lout Larry W. Loveridge Oariona Lowe Trace M. Lund Mark D. Maklin Natalie C. Mansour Kevin R. Markham J. Chris Martin Claudia Masouredis Jade Miller* Amy K. Monti Marie Moran Richard P. Mungo* Mark D. Mutschler Steven J. Niethamer Dennis Paul Nutter Judith S. Pabst Brett M. Packham Mercedes Y. Padilla Cynthia P. Pelley Jose C. Polido Brian C. Quo Gregory K. Rabitz Corina Ramirez Jennifer Ramirez Seth L. Reder Robert L. Ripley Hila Robbins Lindsey A. Robinson Fariborz Rodef David L. Rothman Estela Sanchez Camille L. Sata Ilse Savelli David Mark Seman Mary V. Shannon Robert Sheffield Leland W. Shenfield Kanoknuch Shiflett Richard S. Sobel Joshua J. Solomon Cory M. Stark Martin R. Steigner Ellen Stone Jeffrey V. Sue Karen A. Sue Dean T. Sueda Benjamin C. Sun Luke Y. Teruya Michael C. Tew Jane M. Thomason Reed E. Thompson Susan B. Tiede Charlie E. Toillion David Toillion Kenny K. Tse Jr. Patricia N. Turley Christine M. Tweedy John M. Ukich John R. Ukich Laleh Vakili Renn Veater Christopher E. Wacker T. Dean Walker Michael D. Weideman Jared W. Welch Jeremy C. Wiggins Randall R. Wiley Huey-Ju Grace Yeh AMBASSADOR ($100-$249) No District Unit Jason F. Koesters NorthCentral District Brent J. Bradley Paul S. Casamassimo Chifan Cheng Julie M. Collins Melissa M. Connell Nicolet DeRose Scott A. Dexter Thomas W. Evans Bryce M. Goebel Drew Arthur Goebel Joe F. Inman Raymond A. Maturo Jacob E. Myers Teresa F. Sit Arnold L. Tracht Lauren S. Weddell Thomas G. Wilson Northeastern District Ronald J. Albert Madeline M. Badalaty Sheldon M. Bernick Nancy E. Cosenza Lisa C. Gamache Lynne G. Halik Jocelyn Jeffries-Bruno Daniel J. Kane Ketevan Kiguradze Robert L. Lerman Rachel A. Maher Lauro F. Medrano-Saldana Phyllis G. Merlino Jeffrey R. Moran Lisset Penton Amy L. Planz Sheryl R. Radin Sidney A. Whitman Steven E. Yarmosky Southeastern District Joshua A. Brink Baker Chambliss Elizabeth S. Check Noel K. Childers James P. Crews II Raymond K. Doty Jr. Laura D. Durham Shelley Wilkerson Ellis Kimberly C. Elvington Felicia L. Goins D. Christopher Hamlin H. Pitts Hinson Kelly W. Hughes Michael A. Ignelzi Jr. Lauren Brock Jones James M. Keeton Jr. Rochelle Lopyan Jila J. Mahajan Mario J. Martinez Allen D. McCorkle Margaret G. Moore Kevin M. Raines Keith L. Ray Kenneth B. Rogers Stephanie H. Steinmetz Ana Marai Vales Eli E. White Jr. Kelly R. Zukaitis Southwestern District Christian C. Cabello Laura L. Carter Mitchell Marvin V. Cavallino Justin N. Chan Debra C. Duffy Timothy R. Fagan Daniel P. Grilli Jeffrey A. Hoffman Cecily L. Jackson Matthew B. Johnson Candace Culpepper Light Michelle R. Lindsay Philip D. Moses Brett H. Mueller Jon S. Ousley Claudia E. Rodriguez Jill M. Shonka Candice R. Sullivan Janice A. Townsend Northeastern District Marc L. Albano Loren C. Baim Kenneth R. Banas Renuka R. Bijoor Nina B. Casaverde Peter Catapano Jerome Kleponis Douglas Pollack Erin M. Power Suzy H. Press Gerald Rosen Jay Skolnick Kimberly Thomas Darnell M. Young Western District Urmi Amin Kyoko Awamura James J. Crall John L. Gibbons David L. Good Todd L. Hillyard Gregory L. Johnson Jennifer A. Koumaras Bernard J. Larson Dawn McClellan David H. Okawachi Dennis R. Peterson Tyrone F. Rodriguez Erik H. Roos Deyanira Sanchez Natalie Vander Kam Chao-Wen Joann Wang Southeastern District Angela P. Baechtold Shellie Branson Kristen Flowers Crowder Maggie Novy Davis John J. Flowers Jr. Rodney A. Jackson Catherine D. Robinette Laurie M. Tedder JUNIOR AMBASSADOR (STUDENTS, $25-$99) Northeastern District Yassmin Aljaberi Aruna Rao Southwestern District Elizabeth Diana Crespi Katherine S. Galm Lauren C. Gulka David J. Hayutin Eric J. LeBlanc K. Renee McGough Richard D. Olinde Southeastern District Justin C Berman GENERAL DONOR (LESS THAN $100) No District Unit Jonathan David Evans NorthCentral District Lynse J. Briney Richard M. Loochtan Joe S. Olsen Tehemina Gagrat Richardson Sonal N. Shah Ralph E. Wyand AAPD PAC Western District Patricia A. Benton John B. Gill Cody C. Hughes Stacey R. Kutsch Doris Lin-Song Rabin A. Marfatia Stephanie D. Moniz Tricia A. Ray Angelina Ring Charlotte Roberson Mark J. Rosenberg | May PDT 2015 17 AAPD 2015 The AAPD Annual Session app is now available with complete meeting details, program information, speakers, and much more! The app can be downloaded in the iTunes App Store and Android Marketplace and can also be accessed with the Blackberry web browser. The online itinerary planner is also available with a complete list of session descriptions, a full list of exhibitors and an interactive floor plan to plan your time on the show floor. Visit http://www.eventscribe.com/2015/AAPD/ to create an account so you can save your itinerary for Seattle. Seattle Mountains, water, art, music, culture, food and wine—his area of the Pacific Northwest has it all, and we’ve developed a tour program to showcase the highlights! Visit http://www.aapd.org/annual/annual_2015/tours/ for a complete list of tours. Getting There Seattle-Tacoma International Airport is conveniently located 16 miles from the city center with easy access to downtown Seattle. Taxis are available and range from $40-$50 depending on the time of day. For more information on Shuttles and trains, please visit http://www.aapd.org/annual/annual_2015/travel/. Ground Transportation Downtown Airporter by Shuttle Express • Downtown Airporter departs from level 3 of the parking garage, island 2. Follow the signs to ground transportation, taxis, limos, hotel shuttles on the third floor of the parking garage. • Adults: One way ticket is $18/person and roundtrip is $31; children 17 and under ride free (one per paying adult); additional youth ride at adult price. • Hours: Departures from SeaTac Airport and downtown Seattle 24-hours day, every day. Leaves SeaTac Airport approximately every 30 minutes. Service on-demand during off peak times, reservations are recommended. • For more information or to make a reservation: (855) 566-3300. Preferred Shuttle Express Town Car Service • One-way to/from airport starts at $59. For more information please visit http://www. aapd.org/annual/annual_2015/travel/. 18 May PDT 2015 | annual session 2015 Registration Hours and Tote Bag Pick Up CE Credits and Evaluations Bring your confirmation email with you to AAPD 2015. Use the bar code at the scan and print stations to have your badge and any tickets purchased printed at a station. Pick up your tote bag and registration materials and you’re ready for the sessions and networking events throughout AAPD 2015. AAPD is providing electronic session evaluations and an overall evaluation which will track your CE hours for you. Upon completion of the evaluations, you will be able to email a CE certificate to yourself to track your CE hours from AAPD 2015. Complete the evaluations when you return home to obtain a CE certificate for your records. Thursday 8 am – 6 pm Posters on Demand Friday 7 am – 5 pm Saturday 8 am – 5 pm Sunday 8 am – 12 pm AAPD is presenting all poster research in an online e-gallery and poster app. Stop by to see Posters On Demand in the Auditorium at the Washington State Convention Center during exhibitor hours and check out the presenting authors. Sponsored by Pacific Dental Services, Inc. Share a photo showing your pride of your profession for a chance to win an American Express gift card. Upload a photo showing how your pride is reflected in the world of pediatric dentistry on Twitter, Facebook, or Instagram with the hashtag #aapd2015.* * How to play: All entries must be received by 12 p.m. May 15, 2015, enter to win one (1) $100 American Express gift card by submitting a photo sharing your professional passion on the AAPD Facebook page (https://www.facebook. com/groups/aapdinfo/) or using the hashtag #aapd2015 via Twitter or Instagram. On May 15, 2015, our team of discerning judges will choose the best shot and notify the winning participant of their award. Multiple entries are encouraged, bonus points are awarded for comments and likes from your friends, but creativity ultimately wins the prize. Sunday, May 24, 2015 Sunday, May 24, 2015 1 – 3:30 pm Noon – 1:30 pm Esthetic Pediatric Crowns In-Depth with Drs. Donly, O’Connell and Cohn Sheraton Seattle Hotel— Ballard Room Registration Fee: $195 Doctors Rewired: Work Smarter, Live BETTER Sheraton Seattle Hotel— Jefferson Room Zirconia ceramic crowns are a relatively new technology available for the restoration and rehabilitation of anterior and posterior primary teeth; requiring new skills for the pediatric dentist. The presentation will cover different crown options available, as well as cementation considerations for the best results. At the end, we’ll review clinical cases and answer frequently asked questions. This is a hands-on workshop lead by experienced practitioners which will cover the most current theoretical and clinical principals and techniques for sizing, preparation, fitting and cementation of preformed ceramic pediatric crowns. Get the guidance and inspiration you need to overcome practice challenges. Free yourself by implementing efficiencies, marketing, and best practices to reach your goals. Isn’t it time to focus on things that inspire you, bring success and make life more rewarding? The educational goals of this course are: Satellite Symposium Photo Contest—Show Us Pride in Your Profession! #aapd2015 • Brief review of diagnosis and treatment planning principals which reflect the clinical guidelines of the AAPD on full coverage restorations for primary teeth. • Participants will be competent in the application of zirconia ceramic full coverage restorations of severely decayed or fractured primary teeth. For course registration please contact Angela Weber at (504) 620-3494 or email [email protected]. Sponsored by Dental Synetics. • They will be familiar with the indications and contraindications for the placement of such restorations. All necessary equipment and materials will be available for participants to achieve the course goals. Questions about the symposium? Contact (800)346-5133 or [email protected]. Sponsored by NuSmile Pediatric Crowns annual session 2015 | May PDT 2015 19 Keynote Address and Awards Ceremony A Conversation with Frank Abagnale Friday, May 22 7:30 – 9 am Frank W. Abagnale is one of the world’s most respected authorities on forgery, embezzlement, and secure documents. For over 36 years he has worked with, advised, and consulted with hundreds of financial institutions, corporations, and government agencies around the world. Abagnale’s rare blend of knowledge and expertise began more than 40 years ago when he was known as one of the world’s most famous con men. This was depicted most graphically in his best-selling book, “Catch Me If You Can,” a film of which was also made, directed by Steven Spielberg with Leonardo DiCaprio and Tom Hanks. The Tony-Award winning musical, “Catch Me if You Can,” directed by multiple award winner Jack O’ Brien, opened on Broadway at the Neil Simon Theatre in April 2011. Preconference Course Start Monday Smiling Not Stressing – A Course for Dentists and the Dental Team Thursday, May 21 8:30 am – 5 pm Ann Bynum, D.D.S.; Debbie Castagna; Robert Delarosa, D.D.S.; Michael A. Ignelzi Jr., D.D.S., Ph.D.; Greg Psaltis, D.D.S. What stresses you about pediatric dentistry? Is it the over-indulged child who will not listen, the helicopter parent with unreasonable expectations, the bynum dentist who never seems to lead or the dental team member who never seems to care? Do you ever have that nagging feeling that your practice could run more efficiently and if it did, your stress would be reduced? Do you lay awake at night wondering how your practice will grow in an increasingly competitive market characterized by decreasing reimbursements from public and private payors? Come and spend the day with us as we share real-life experiences and provide you with practical solutions that will increase your happiness, joy and satisfaction and allow you to achieve a better professional and personal balance. 20 May PDT 2015 | annual session 2015 castagna delarosa ignelzi psaltis Social & Networking Events First Timers’ Reception Thursday, May 21 5:30 – 6:30 pm Join other first-time Annual Session attendees at this reception to make new acquaintances from your district or mingle with old friends. The AAPD board of trustees welcomes you to AAPD 2015! Welcome Reception: TRIFECTA: EMP, Chihuly and Space Needle Thursday, May 21 7 – 10 pm Seattle Center—three of the spectacular venues synonymous with Seattle with exclusive access for AAPD with interactive entertainment connecting the event through the public spaces. The EMP Museum, a modern ode to the music experience, includes mesmerizing interactive exhibits that are fun for the whole family. Check out the 365 degree panoramic views from Puget Sound to downtown Seattle on the Observation Deck of the Space Needle as well as marvel at the glass masterpieces at the stunning and recently opened Chihuly Glass and Gardens Museum. Each venue has something to stimulate the senses and create a memorable experience! Of course, we will be tasting our way through Seattle with the Memorial Day inspired offerings that will include a Pacific Northwest focus on ingredients. Each of the venues provide an added bonus of allowing guests to travel to and from the event via the monorail (built for the World’s Fair in 1962) which connects downtown to the Seattle Center. Sponsored by Sunstar Americas, Inc. 5k Fun Run Career Fair Friday, May 22 Friday, May 22 Join in the fun! Get outside and experience the Pacific Northwest views and big air. Myrtle Edwards Park, which is located on the water’s edge along Elliott Bay, has fantastic views of the Olympics Mountains, Mount Rainier (when it’s out!), and Puget Sound. The park is located less than two miles from the Washington State Convention Center and easily accessible from downtown. The park is named after the former president of the City Council, Myrtle Edwards. Edwards was always at the forefront of campaigns and programs to preserve Seattle’s natural beauty and to enhance it with new parks, planting and sculpture. The Career Fair is a great opportunity for a new pediatric dentist seeking their first practice position or the more experienced pediatric dentist who is looking for a change to network with hiring organizations. 6:30 – 7:30 am 22 May PDT 2015 | 3:30 – 5:30 pm annual session 2015 The cost to participate for AAPD Members is $150; recruitment companies may exhibit at the price of $500. For more information or to download the Career Fair form, visit http://www.aapd.org/annual. Sponsored by NuSmile Pediatric Crowns New Dentist Happy Hour Presidents’ Farewell Dinner Friday, May 22 Sunday, May 24 GameWorks Fremont Studios 5:30 – 7:30 pm (Ticketed Event) Come enjoy the two floors of interactive video games that will bring any new dentist right back to their childhood. GameWorks offers a huge variety of high and low-tech games to suite all skill levels. This evening will be full of fun and laughter as you play the night away, while enjoying casual food and beverages. Attendees will be given a gamecard to give them access to as many games as they wish during the event. Sponsored by Treloar & Heisel and MedPro 6:30 – 10:30 pm Steampunk! Tonight, you will be entrenched in a visual experience that delights the senses, entertains the goer, and engages the viewer. This theme ties Victorian/Edwardian-era aesthetic and industrialization together with a sci-fi edge for an exploration of creative anachronism that permeates the décor, entertainment, and food and beverage presentations. Clock faces, cogs and gears, Edison bulbs and candelabra fashioned from copper pipe and fittings are collaged with loose blooms, flowing branches and glowing candles. Interactive entertainment and an excellent band is featured plus an Absynth Bar! Reception is sponsored by Treloar & Heisel Dinner is sponsored by MAM International Reception Saturday, May 23 5:30 – 7:30 pm This reception began in 2010 at the Annual Session and has continued to be a popular event for international members and attendees. Join members of the AAPD board of trustees, learn more about the AAPD and network with fellow international attendees before enjoying your evening in Seattle. Meet & Greet Lounge Friday, May 22–Sunday, May 24 AAPD Mentor Program Back by popular demand, the Mentor Program is available for residents, new dentists, and seasoned professionals to sign up for Seattle. You will once again be able to meet your partner at the Meet & Greet Lounge to walk the exhibit floor together and discuss how to get the most out of AAPD 2015. With nearly 500 participants already signed up, this is bound to be a successful program yet again. New dentists and residents are encouraged to join seasoned professional dentists in the Meet & Greet Lounge during the 2015 Annual Session! Mentors and mentees will meet in a lounge area on the exhibit floor to Explore the Exhibits together. In addition to visiting booths and discussing how to get the most out of the Annual Session experience, they have the chance to ask questions about their mentor’s practice and career. We want to help you continue the conversation among the seasoned members and those newer to practicing; use the show floor as an opportunity to discuss pediatric dental topics while they meet with various dental companies providing goods and services. Enjoy a cool drink, meet new acquaintances in the lounge while waiting to meet your mentor or mentee. Sponsored by Smiles for Life Network annual session 2015 | May PDT 2015 23 AAPD 2015 Sponsors The AAPD and Healthy Smiles, Healthy Children gratefully acknowledges the generosity of the following organizations for their annual support of AAPD 2015. USE ON SPACE MAINTAINERS LABORATORIES Strategic NuSmile Pediatric Crowns Pacific Dental Services, Inc. Sunstar Americas, Inc. Gold 3M ESPE Cheng Crowns MAM Treloar & Heisel / Med Pro Silver EZ Pedo KSB Dental Ortho Synetics Preventech Procter & Gamble Oral Health: Crest and Oral-B Smiles for Life Network Bronze PG_ProfessionalOralCareLogo.indd 1 Air Techniques, Inc. Album Society Baylor Pediatric Dentistry Alumni Fund Indiana University Pediatric Dentistry Alumni Association KinderKrowns Miller Family Foundation Practicon SML Space Maintainers Laboratories 24 May PDT 2015 | annual session 2015 USE ON Help them score superior results* while they learn You know better than anyone that proper brushing techniques take time to develop. Fortunately, with Philips Sonicare For Kids, young patients can get the most from each brushing, right from the start. It helps to compensate as they develop their technique – performing 500 brush strokes per second to effectively remove up to 75% more plaque in hard-to-reach places.** And with its fun design and cool features to help boost compliance, Philips Sonicare For Kids is a total game-changer for your younger patients’ success. philipsoralhealthcare.com * Versus a manual toothbrush ** Than a manual toothbrush Feature Travel with a Purpose Serving Children in Cambodia by Laurie Mathews At Global Dental Relief (GDR), our mission is to bring free dental care to children throughout the world. Volunteer dentists, hygienists, assistants and non-dental volunteers deliver treatment and preventive care in dental clinics that serve children in schools, orphanages and remote villages. With a vision to transform lives and cultivate community through volunteerism, GDR provides opportunities for diverse groups of volunteers to explore the world and bring free dental care and oral hygiene education to thousands of impoverished children in Nepal, India, Guatemala, Vietnam, Kenya and Cambodia. For more information on volunteer opportunities visit the Global Dental Relief website at http://www.globaldentalrelief.org, email [email protected] or call (303) 858 8857. Join us and see the world as you’ve never seen it before. You don’t have to be a dentist to volunteer. 26 May PDT 2015 | Feature Story Dr. Rhea Haugseth runs a busy pediatric practice in Marietta, Ga., but today she is packed and ready to join a humanitarian mission to Cambodia. Haugseth is joining volunteers traveling with Global Dental Relief to provide first time dental care to Cambodian school children. As her plane lands, the air is moist and tropical and the drive from the airport passes palm trees and barefoot children playing in dusty yards. That evening, Haugseth meets the rest of the team—six dentists, one dental assistant and 13 non-dental volunteers from five U.S. states, Canada and Malaysia. The group is diverse, with non-dental volunteers including an ICU nurse, commercial fisherman, foreign service officer, teacher, C.E.O. and retirees. This next morning the group heads to their first clinic day, starting early to beat the heat of the day. On the bus, everyone is quiet as they prepare for the work ahead. After a 20-minute drive, they are deep in the countryside, passing ox carts and swarms of children biking to school. Shortly after, the group arrives at a village school where the clinic has been set up in a converted classroom – close quarters for six dental stations. The clinic day begins with a briefing on protocol, field equipment and training for the non-dental volunteers. Within minutes, the lines of students arrive and each child is given a dental chart, a new toothbrush and toothbrush instruction. Patients line up at the door while trying to catch glimpses of clinic activities inside. Within the hour, each dentist and their newly minted “dental assistant” settles into work, and the clinic is underway. Non-dental volunteers adapt to new roles as chairside assistants, or sterilize and restock instruments, manage patient lines or work to instill tooth brushing skills in each child. Throughout the morning, each patient gets a dental exam and is numbed for restorations and extractions. Most children have never used a toothbrush and suffer from decayed and infected primary and permanent teeth. Volunteers are sobered by the depth of dental need before them. Restoring a child to full dental health may take two to three dental visits. Today 70 percent of the children seen in the clinic require care. This figure will rise markedly as the team treats older classes over the course of the clinic. Two hours into the morning a special moment happens as the clinic begins to hum. Volunteers hit stride with newly acquired skills and the clinic becomes fully functional. “I was moved by how quickly the group pooled skills and knowledge to become a strong, effective team,” said Haugseth. “The group had a lively sense of humor and was motivated both by the beautiful, open smiles of the children and their desperate need for care.” “I was impressed”, she continued, “by the level of organization provided by Global Dental Relief. When we arrived the clinic was set up, the equipment worked and I had the supplies I needed. With this much organization, I could do what I came for – settle in and treat children.” Cambodia is one of the two newest countries for Global Dental Relief. GDR began in Cambodia in 2013, working in village schools in the countryside near Siem Reap, the bustling gateway to the world famous temples of Angkor Wat. The country’s population of 15 million people have survived a devastating past. The country is emerging as a place of hope – reestablishing schools, building infrastructure and reclaiming a rich cultural heritage. The country is also a tourist destination for visitors to the world famous temples of Angkor Wat. While much is changing, most of the population still lives under basic conditions. Forty percent of the population is 14 years or younger; 70 percent live without improved sanitation and 40 percent without access to clean water. School is compulsory in Cambodia, and education is free, but families pay the cost of uniforms, books, lesson plans and bicycle transport. Older children are often needed at home to care for younger siblings or farm the fields. About 30–40 percent of rural students graduate from high school; and 80 percent or more complete sixth grade. Cambodia has 258 dentists or one dentist per 100,000 people. This means village children lack access to dental care, or even basic toothbrush and dietary instruction. Global Dental Relief ’s goal is to bring each child back to full dental health and return to these same patients every two years. This effort is key to forging sustainable oral health through treatment, consistent brushing and education. Feature Story | May PDT 2015 27 Global Dental Relief volunteers have been working since 2001 to bring care to children overseas. GDR now works in six countries— Nepal, India, Vietnam, Guatemala, Kenya, and the newest location, Cambodia. In 2014, 249 dedicated volunteers served 13,000 children with $6.3 million in donated dental care in these six countries. Like Haugseth’s team, GDR hosts up to six dentists and two dental hygienists on each of 16 dental trips a year. Dr. Mark Lisagor, a pediatric dentist from California, first joined a GDR trip to India in 2003 and was hooked. He eventually deepened his commitment to become a trip leader, leading four dental trips a year to Nepal and India. “Global Dental Relief is passionate about helping as many children in the world as possible,” says Lisagor. “Having been part of more than 50 dental teams with many different non-profit agencies, I continue to be impressed that they never waiver from their core belief that each and every child needs to be treated with gentle kindness and respect. It is an honor to be a small part of this effort.” Dr. Purva Merchant, a pediatric dentist from Seattle, has traveled with GDR on two trips. On her second trip, she was joined by her husband and a non-medical volunteer assisting chairside and helping with sterilization. Merchant loves treating children and the chance to couple her dental skills with travel and immersion in other cultures. “Being a part of an international volunteer group and taking my professional expertise to a population that most needs my services has been a dream from the first day of dental school”, says Merchant. “Seeing that dream become a reality is so rewarding, energizing and makes me want to volunteer over and over again!” A pediatric dentist from Ohio, Dr. Doug Lin, has joined GDR in every location except Kenya. On each trip he brings one of his daughters or his wife to share this sense of giving and the deep rewards it brings. As Lin says: “The children are fantastic – and it takes so little for us 28 May PDT 2015 | Feature Story to make a difference in their lives. It is important for my two teenage daughters to broaden their horizons bringing care to children from a developing country it is a deeply satisfying experience for all of us.” Each dental trip cares for children in a unique part of the world. In Nepal, volunteers work in the capital city of Kathmandu and have the opportunity to trek on the Everest trail after the clinic. In India, volunteers work in the shadow of the towering Himalayas in the spectacular, remote setting of Ladakh. Guatemala volunteers serve indigenous populations in the misty Mayan Highlands. In Kenya, volunteers work at the Kikuyu Dental hospital set in the hills of Nairobi and treat children who brush daily but have no access to care. “GDR trips are a wonderful way to help others in a supported environment,” says Haugseth. “We were well taken care of from the time my airplane landed until I departed. The clinic was well stocked and highly organized. This is a wonderful way to give back – a great chance for service while seeing remarkable parts of the world.” Haugseth’s group continued their work in Cambodia for six days, with a crucial day off in the middle. On their day off, volunteers enjoyed a spectacular sunrise over Angkor Wat, followed by a tour of the world-renown temples filled with exquisite carvings and surrounded by dense jungle and exotic sounds. At day’s end, volunteers returned to the hotel to rest or opted to join Haugseth for an invigorating zip line tour through the forest canopy. Cambodia lures you with its natural beauty, open vistas of fresh green rice fields, and resting, partially submerged water buffalo. This time of year baby buffaloes play alongside their more sedentary mothers, while fishermen cast nets into standing water and children dive in adjacent canals. Cambodia is also a very safe country and volunteers are free to walk late into the evening or take a run in the early morning dawn. All too soon the clinic end approaches. During the final day, volunteers treat children returning for follow-up care. These are children with more extensive dental needs, requiring two three visits to the clinic. Roxy Fletcher, an R.D.A. from Spokane Valley, Wash., is delighted when a young girl from the first day runs back to her chair, adamant that only Fletcher treat her. Other volunteers are moved by students who smile on their return. Some, after a second long turn in the dental chair, sit up and say thank you at the end of treatment. As the day comes to a close, volunteers say heartfelt goodbyes and exit the clinic to an impromptu concert by children from the local school. The children sing the GDR tooth brushing song (to the tune of “Row, Row, Row your Boat”). All are touched by the lovely voices and their extra effort to add beautiful hand gestures and enhance their version of “Brush, Brush, Brush Your Teeth.” The team is weary as they make their way back to the hotel but the conversation is lively and filled with stories of children and clinic days past. Altogether, the team reached 640 children, providing 937 restorations and 325 extractions and a total of $242,000 in dental care (U.S. equivalent). Each child also received a fluoride treatment, a new toothbrush and oral hygiene instruction. As Dr. Matt Fisher, a pediatric dentist from Albuquerque, New Mexico, says: “The only part of my trips with GDR that I don’t love is having to say goodbye to the amazing children when I leave. Throughout the year I eagerly anticipate my next trip to spend time and work with this extended family.” Feature Story | May PDT 2015 29 Feature Catching up with Dr. Edward H. Moody Reflecting on His Year as AAPD President By Erika Hoeft 1. As AAPD president, your agenda has focused on increasing AAPD’s collaboration with other dental organizations, particularly internationally, growing the value of AAPD membership and the effectiveness and direction of the organization, and finally, acting on recommendations from the four task forces. Can you please share how each of these goals have been accomplished? Increasing our interaction and collaboration with various international pediatric dental organizations was a goal that came out of one of our task forces. It’s going to take a little longer to get all the specific details and responsibilities firmly in place, but we’ve made it a priority to interact more with our counterparts internationally, whether it be through attending each other’s meetings, conducting future joint meetings or sharing information and resources as we each develop evidenced-based dentistry guidelines. We’ve tried to continue outreach to the various district and state units, stressed the importance of all states having a Public Policy Advocate (PPA), and increased membership numbers and revenue while lowering overhead for the 26 states and two districts that are having their dues collected by the Academy. Better involvement at every level—state, district and national— allows us to refocus on our real mission, which is optimal oral health for all children. Two of the four task forces have fully completed their assignments, reported to the board and their recommendations have already been implemented. The other two felt that they needed additional time to finish their charges and therefore won’t report until May, so any actions specific to their recommendations will carry past my term. 2. Are there achievements of AAPD under your leadership of which you’re most proud? While not all of these took place entirely under my term, I think over the past year we’ve tried to refocus on what our real mission is and laid a good foundation for the Academy going forward through several projects that have come to fruition. The recommendations of two of our task forces have already been set into place. As a result, we have significantly increased our communication and collaboration with the ADA on areas of mutual interest, as well as with other national and international dental and nondental organizations. We also expect to have specific action items that can be considered and implemented once we receive reports from the remaining two task forces in May. Feature Story | May PDT 2015 31 We’ve completed the move into the new offices in Chicago, and by so doing, have consolidated all of our resources on a single floor of the ADA building, which has provided ample room for our existing operations and secured additional space to grow in the future. We now have a long-term lease with the ADA that provides security and stability in our capital outlays for at least the next 12-15 years. We’ve made a concerted effort to assist our districts and states and be responsive to the needs and concerns of individual members. Collection of dues by the AAPD for the various districts and states has increased their membership and provided them with additional resources to provide mmember benefits at a more grassroots level. There are now PPAs in place in two-thirds of the states and as we move toward a model where trained advocates are actively representing our interests and those of the children we serve at both the state and national level, it is becoming increasingly important for the remaining state units to identify and have someone actively participating as a PPA. in the past couple of years in terms of prevention, less invasive means of treatment, better and more durable materials, and development and implementation of new technology, the practice of dentistry 10 years from now is likely to be a lot different from what we are doing . 5. You have played a key role in promoting our Monster-Free Mouths campaign and have also lent your expertise on a variety of topics, including pacifier use and establishing a Dental Home, on our consumer hub: http://mouthmonsters.mychildrensteeth.org/. We have also increased our presence on social media, particularly with our Facebook page, increasing the number of “likes” in January 2014 from 6,000 to more than 40,000 in December 2014. Do you think this concentrated effort is making a difference and reaching the lay public as hoped? Please explain. I hope it has had and continues to have a large impact in motivating and educating parents to take an active approach in their child’s oral health. When statistics indicate that nearly half of children don’t see a dentist and many of those who do have their initial visit after problems have already developed, anything we can do to raise awareness is a step in the right direction. Social media and use of the Internet is becoming the one of the primary ways that parents and caregivers get their information about pediatric dentistry, so our efforts are going to have to continue to concentrate in that area. Driving traffic to the consumer hub by referencing it in our various media opportunities is a great way to get our message out and as we increase the number of topics and pieces available on the site, it will only increase in value to the public. As far as the Facebook page, going from 6,000 to 40,000 is a huge difference in one year’s time, I see this as a real area for potential growth and outreach going forward. 3. From your perspective, has the ACA impacted pediatric dentistry? If so, in which ways? The ACA has already begun to affect pediatric dentistry and will continue to do so as it becomes fully implemented, but in its present form, not necessarily in a positive way. There are flaws in the legislation that need to be addressed, but with the current political climate in Washington where both sides have established a position and are reluctant to compromise, significant change in the near future doesn’t appear likely. I wrote a fairly detailed article about the ACA and its impact on pediatric dentistry in PDT last fall in which I stated that in my opinion, provisions of ACA have had unintended consequences which have reduced rather than improved access and utilization for children [This article appeared in the September-October 2014 issue of PDT and can be found online at http://www.pediatricdentistrytoday.org/2014/ September/L/5/] 4. Looking ahead, are there other industry issues or technological advances that could potentially affect pediatric dentistry down the road? We have a number of corporate partners who are on the forefront of the dental industry, who strongly believe in what we do, and who are always looking for ways to collaborate in the development of new products or techniques that will improve children’s oral health. As someone in private practice, I’m a little out of the loop in terms of the dental industry as a whole or the research that will ultimately determine what is coming five or 10 years down the road from a technological perspective. With the rapid changes we have seen just 32 May PDT 2015 | Feature Story 6. How would you recommend addressing the faculty shortage issue? As someone who hasn’t been in an academic position, my impression is that this is such a difficult problem because there isn’t a one size fits all solution. Each institution is different, each position is different, people aren’t all motivated by the same thing, and faculty time dedicated for teaching, clinic responsibilities, and/or research requirements can vary immensely. To try to help recruit new faculty members, we already have a program in place funded through Title VII in which new faculty members are eligible to have their student loans repaid on a prorated basis over a five year period and there are several programs that have taken advantage of these funds quite successfully. There is also a Master Clinician program in which we train and develop persons who might be further along in their careers but have indicated an interest in going into a teaching position in some capacity. These programs are certainly steps in the right direction. Perhaps we need to start looking at what some of the barriers are that may tend to discourage younger dentists from considering an academic career and find creative ways to address those barriers. We should also look for better ways to identify, encourage and cultivate those who have an interest in teaching or who exhibit a talent for teaching earlier in their careers. For those without an academic background, this becomes a particularly difficult question to address and propose a solution to because unfortunately it’s an environment in which we have far too little familiarity. 7. You participated in a national satellite media and radio tour in late October 2014 alongside the ADA’s Dr. Maria Lopez Howell and OHA’s Beth Truett to discuss the Ad Council’s new campaign public service announcements, as well as National Brush Day efforts. Can you please share insight into this experience? and it was interesting to see firsthand how all that takes place, as well as how rapidly and efficiently national media (both radio and television) can set up and get a message like the Ad Council’s PSA on-air to different outlets. As we did the various media events, we spoke about the importance of children’s oral health and emphasized the necessity of early dental visits, as well as parents helping their children brush for two minutes twice a day. We spent most of the day doing radio and television interviews with stations in various sized media markets across the country The initial Ad Council PSA was successful well beyond their expectations in terms of exposure and market penetration and there is every hope that the second one will be as well. Additionally, this was the first year of trying to emphasize National Brush Day and tie a specific day—the day after Halloween—to the need for parents to actively take a role in helping their children brush. It will be interesting over the next couple of years to see if that effort is repeated and if anything long term successfully comes out of it. 9. Do you think we’re doing a good job at getting the age 1 dental visit message out to parents and caregivers? Why or why not? We’re certainly trying, but I’ve always believed that getting the age 1 visit universally accepted was going to be a slow process because to some degree we were fighting inertia and dentists and health care providers as a whole were not (and still aren’t) all giving the same message. For so many years it has always been “age 2” or “age 3” and until those who have always used that as their standard either age out or come to understand that the age 1 visit is the best way to minimize dental issues for children and give them the best chance toward a lifetime of oral health, it’s just going to take time. It’s important that we educate new physicians, pharmacists, nurses, or any other health care provider or source of health care information that it is critically important that children be seen at age 1. Then from a dental standpoint, we have to make sure new dental school graduates understand that age 1 is the standard and make sure they are comfortable seeing those children and speaking to parents about prevention and good oral care for their baby. It does little good if parents are told age 1, but then can’t find a dentist who will see their child because they aren’t comfortable seeing an infant. 8. In your opinion, how can dental professionals do a better job of reaching parents and educating them on the importance and critical nature of their children’s good oral health? We have to get others involved, in particular those outside our own offices or clinics. Groups that immediately come to mind are other dentists, hygienists, physicians, nurses, pharmacists, teachers and essentially anyone that parents look to as a reliable source to turn to for health care advice. It’s also important to understand where else today’s parents and caregivers are looking for information, such as social media and the Internet, and then make sure that the sources they are looking at and relying on are accurate. Too many people still have the attitude that it’s not important to care for primary teeth and it’s important for us to consistently get the correct message out by generating increased awareness of sites such as http://www.mychildrensteeth.org, in addition to maintaining an active presence on social media. 10. Anything else you would like to add? The Academy is in very good hands going forward, from the outstanding staff we have at the central office to the dedicated members who volunteer their time or who serve on councils and committees, and the members of the board and officers; all of whom continually work toward making optimal oral health for all children a reality. I very much appreciate the trust and the unique experience I’ve had serving as the Academy’s president this past year and am grateful for all the support and assistance I’ve received from the membership, as well as our AAPD staff. I have truly enjoyed serving as your president and am sincerely grateful for the opportunity. Feature Story | May PDT 2015 33 Welcome New Members The AAPD would like to welcome new members that have joined in January – February 2015. We look forward to supporting your professional needs. For further information membership and membership benefits please contact Membership Department at (312) 337-2169. Allied Membership Jane Sobel Active Membership Ammon Kan Nevin K. Allen Friends of Pediatric Dentistry Membership Regina Pope-Ford Affiliate Membership B. Alexandra Barton Daniel Workie Elena Bedilo Elizabeth M Skaf Gaggandeep Singh Gayla Ballou J. David Purcell James B. Quartey Jon Federspiel Jonas Stefani Jose V Juarez Katherine Patry Kris A Volcheck Kyle Pettersen Mark Remick Melissa Reed Rosson Nancy Vann Cole Neeta Arya Roberto Moreno Sarah Vanderbosch Stephanie McCarty Brown Sylvia Cuellar 34 May PDT 2015 International Membership Fatima Abd El Moniem Ahmed El Hendawy Je Seon Song Jihun Kim Kyungmun Hwang Postdoctoral Membership Alexandra Katsantoni Angie Mariela Sage Candace Josephine Lee Casey Lee Catherine Elizabeth Fillmore Denisse Monroy Doribeth Ruiz Fabiola Carolina Sosa-Banda Jennifer Tolbert Flanagan Jose Rafael Navarro Juan Manuel Ojeda Kathryn Faye Fabella Katya Basora Kisha Steele Mitchell Kristen Mullins Douglas Kristina V. Durickas | Member News Kunal Chander Lorielle Alter Maria-Eleni Limaki Matthew Douglas Bury Matthew David Tillman Murad Awadh Alrashdi Nicole S Bartosik Nisha Mehta Patricia Sánchez-Puche Wesley Wonyong Choi William Andrew Mallard Predoctoral Membership Alison Reeann Smith Anthony Guinn Bahar Houshmand Becky Chiem Breanna Lee Donal Chi-Lan T Pham Corey D. Hastings Fatima A Taher Grace Gianneschi Hannah Frebel Isabella Newcomer Israel Saintil Jaclyn Vu Jasma’ Leah McDonald Jean Kang Jungsun Seo Ahn Juveria Syed Ali Hussain Mrs. Kayla Ann Brooks Newton Kelvin Chen Kyle Clayton Kirk Monpreet kaur Dhillon Morvarid Moini Nag Bum Chu Nathaniel Garret Patrick Timothy Cooper Samneet Kaur Mangat Samuel B. Oh Somang Lee Travis Alan Neu Winnie Wong Xue S. Zhae Zehra Raza Zaid International Student Membership Caitlin Mary Agnew Doohwan Bae Eun Jung Sang Han Keul Jeong Ilyong Jeong Jacquelyn Maree Fechney Ji-soo Sang Min-Kyoung Park Tae-hyoung Kim AAPD Endorsed Member Benefit TransFirst® Speaks Your Language A dental practice’s payment processing needs are different from those of a coffee shop or a boutique. Over the past 19 years we have gained the experience to provide you with efficient and well thought-out payment processing options that support your practice. As AAPD’s endorsed provider for payment processing, TransFirst offers your practice tools that allow you to: • Increase cash flow. • Improve workflow. • Increase patient satisfaction. Top-notch Customer Service TransFirst is large enough to have the resources your practice needs, and small enough to give individual attention to every customer. We created dedicated roles on our support team to better serve dental practices like yours. A U.S.-based customer service team that’s seasoned, trained has an in-depth understanding of AAPD members’ needs is on hand 24/7 to help. Here’s what AAPD members who use TransFirst are saying: Accelerate and Simplify Patient Receivables with TransFirst • Automatic recurring payments — ability to send emailed notification of receipts • Online patient payments — receive payments faster, directly from your website with a “Pay Now” button. Patients can pay their bills any time! • Eliminate dedicated phone line — State of the art, Web-based payment processing system • Preferred pricing discount — special pricing for AAPD members • Rated A+ by the Better Business Bureau Dr. Ryan Hughes—”I have enjoyed working with TransFirst, they have met my every need. The best part of TransFirst is that I haven’t even thought about my payment processing since I signed with them. As a small-business owner, one less thing to worry about is a bonus.” Specialized Product Suite Your practice is unique and we believe you deserve customized health care processing options that fit your specific needs. We’ll even help train you and your staff on the ins and outs of our system. Whether your needs are Web-based, setting up recurring payments, ACH processing or beyond, we’ll keep your practice PCI compliant. Plus, now you can accept American Express® Card payments at the same rate as other payment cards — practices that process less than $1,000,000 in American Express annual charge volume may be program-eligible (some restrictions and exclusions may apply). American Express Cards can potentially bring in new business and help boost your bottom line. And it’s all through TransFirst, all your processing information with one statement, one point of contact and one great price! Can We Lower Your Processing Costs? Is your practice currently paying too much for credit and debit card processing? We’re pleased to offer AAPD members a no-obligation statement savings analysis.* We’ll review your three most recent merchant statements to look at your rates, fees and other expenses you might be able to eliminate or lower if you process with TransFirst. Nine out of 10 practices saved an average of $2,256 in 2013 by processing with TransFirst! We can help you keep your processing costs under control – and that’s one less thing for you to worry about. Simply call (877) 731-7772 to see how much you could save! *Comparison applies to standard card organization fees only, not to include monthly equipment or software fees. All accounts subject to credit approval; some restrictions and exclusions apply to all offerings. Trademarks are the property of their respective owners. TransFirst, LLC is a registered ISO/MSP of: Wells Fargo Bank, N.A., Walnut Creek, California, and Synovus Bank, Columbus, Georgia, for Visa® and MasterCard® transactions only. 2015 Membership Directory Revisions The following names were omitted from the 2015 Membership Directory: Dr. Ryan T. Hajek Pediatric Dental Specialist Bayliss Park Dental Group 114 ½ South 6th Street Council Bluffs, IA 41401-4234 (605) 354-7077 Dr. Madeline Goettl 2222 Vining Dr. Unit E Woodbury, MN 55125-7570 (414) 510-3226 Dr. April R. Davis 2840C Canterbury Circle Port Clinton, OH 43452 (727) 492-9705 Dr. Deven N. Shroff 5961 Exchange Dr Ste 116 Eldersburg, MD 21784-9266 (410 )549-1212 Dr. Sheela Jayappa Patel 2600 E. Berry St. Fort Worth, TX 76105-4750 Dr. Nathinee Jaiarj 5961 Exchange Dr Ste 116 Eldersburg, MN 21784-9266 (410) 549-1212 Dr. Evelyn C. Sheehy 56 The Priory Priory Park Blackhealth, London SE3 9UZ United Kingdom Dr. Rebecca TurnerWehman 5961 Exchange Dr Ste 116 Eldersburg, MN 21784-9266 (410)549-1212 10045 Baltimore National Pike Ste A1 Ellicott City, MD 21042-3673 (410) 203-2410 Member News | May PDT 2015 35 AAPD Resident Recognition Awards The AAPD Pediatric Dental Resident Committee developed the Resident Recognition Award to recognize pediatric dental residents doing innovative and interesting activities in their training programs. Selected residents are awarded with a monetary prize, featured on the AAPD website, featured in Pediatric Dentistry Today, and recognized at the awards ceremony during the annual AAPD meeting. Nominations are reviewed by a panel of at least three reviewers from the Pediatric Dental Resident Committee, New Committee, and the Council on Membership and Membership Services. Winners are chosen based on activities during residency that contribute to one or more of the following fields: patient care, education (i.e., teaching), research and community service. Innovation, time commitment, and significance of service to others are the primary factors considered in the selection process. Please join us in recognizing the two winners for the Fall/Winter cycle. Avani Khera, D.M.D. Lutheran Medical Center – Providence, Rhodie Island site Expected Graduation Date: 06/30/2015 Teaching Dr. Avani Khera, second-year resident at Lutheran Medical Center (LMC) – Rhode Island, entered her program with a strong interest in promoting oral health and dental education across disciplines. For example, she served as dental director of a school-based community outreach program in Worcester, Mass., a program that involved leading educational sessions for the women, infants, and children enrollment office and screening over 2,000 children via the Ronald McDonald Caremobile. Upon matriculating at LMC, she sought out additional opportunities to promote pediatric oral health with a particular emphasis on dental trauma. She recently completed two online articles for the Rhode Island “Teeth First” organization. These invited pieces outline triage and treatment algorithms for parents of children suffering a dental trauma. Khera is currently developing additional articles focused on trauma prevention. Furthermore, she developed an educational program for emergency room physicians at Hasbro Children’s Hospital in Providence, R.I. The program includes a case-based update of current AAPD guidelines for the management of dental trauma in the emergency room and includes a hands-on workshop that allows providers to practice placing a dental splint and managing complicated fractures. She hopes to expand this program to additional community hospital emergency providers at locations without routine access to pediatric dentists on call. As part of a rotation focused on the intersection of medicine and oral health, Khera joined various specialty clinics including those focused on hematology/oncology and rheumatology. In addition to 36 May PDT 2015 | Member News being able to observe the complex care coordination involved in these disorders, Khera developed evidence-based presentations on topics including the dental care of children undergoing chemotherapy and the oral manifestations of Sjögren’s syndrome. She also visited local primary care practices in order to educate them on the importance of establishing a dental home and appropriate behavior patterns by age 1. Within her own training program, Khera was invited to lead several educational initiatives via LMC’s national online didactic curriculum. For example, she presented a lecture entitled “Dental Treatment of a Child with Down syndrome under General Anesthesia,” that reviewed the underlying relevant pathophysiology, systemic manifestations, and operative planning implications of a 5-year-old patient she had recently treated. A second lecture, also delivered via live video feed to 12 LMC residency sites, focused on tips in preparing and delivering a case presentation. Finally, she has created teaching modules that will remain a part of the LMC core virtual curriculum that discuss the epidemiology of traumatic dental injury, sequelae to the underlying succedaneous teeth, and complex medical assessment strategies. Each module ends with a case-based quiz designed to consolidate knowledge of reviewed material. Khera’s experience at LMC has served as a reminder of a recurring theme in her life – she has been blessed to learn form and work alongside similarly impassioned individuals and dedicated mentors at every step. Moving forward, she hopes to build on her residency educational experiences as an attending/faculty at an academic pediatric dental program. Alexis L. Cohen Columbia University Expected Graduation Date: 06/30/2015 Community and Public Service Dr. Alexis Cohen worked hard in dental school to complete both an M.P.H. and D.D.S. degree; a benefit of working on both degrees simultaneously was being able to integrate the concepts as they were learned—instantaneously applying public health knowledge and ideas to dentistry, and learning how to envision oral health from a big picture perspective. graduate and practice in rural areas assigned by their government, had limited clinical experience and almost no experience working with children. Screening close to a thousand students in the nearby primary schools and teaching the dental therapy students how to educate a classroom was another vital component of this trip. As a PGY1, Cohen joined a group from Somos Amigos working in a dental clinic in the rural mountainous area of Naranjito in the Dominican Republic. This organization returns three times a year to the same location. Through the years they have helped build a school, church and health clinic. Medical and dental records are kept for all the patients—Somos Amigos and their participants serve as the primary health care providers for this mountainous community and for patients coming from as far as the Haitian border. Most recently Cohen reunited with her alma mater on her own time and participated in an global health program in Kathmandu, Nepal. This program set up a dental clinic at a boarding/day school in the part of the city that is home to many Tibetan refugees. The extent of the decay was extraordinary and the pediatric team was focused on managing the caries through the use of silver diamine fluoride with the hope that on return, the decay rates will be lessened and restorative treatment could be completed for this population, providing the community the more realistic task of managing the oral health of the children through preventive efforts. Cohen not only participated by providing clinical treatment and applying the SDF, but alongside another pediatric dentist completed well over 200 examinations, collecting DMFS data on the population as a baseline for future assessment. Screening the children afforded her the chance to see what the community was faced with at large and being a part of the process of developing ways to manage these caries on a community scale was an invaluable learning experience. Entering her PGY2 year she traveled to Songea, Tanzania with Miracle Corners of the World. This organization has built a dental clinic in this rural area of Tanzania which lies very close to the border of Mozambique. The focus of this trip was to bring dental care to the community, while capacity building and working on the sustainability of the dental care. Working with six dental therapy students from the Mbeya dental therapy school, Cohen participated as both a clinician and an educator to the students. These students, who were soon to Her experiences from her seat in Northern Manhattan to as far as the mountains of Nepal have shown her the range of what is possible, as well as the range of challenges often involved in development work. Learning how to deliver a culturally appropriate health message is one of the challenges Cohen hopes to continue to work on; navigating governing bodies, and cultural barriers are other such challenges that she is excited to take on as she strives to make changes in global oral health. As she entered advanced specialty education she knew she wanted to hone her clinical skills, but she never wanted to lose sight of how to apply these skills globally. Even though connecting with the community in Washington Heights requires the same skills as connecting with any another community, she still wanted to be out in the world and was able to participate in a handful of global projects, each with a slightly different focus. Member News | May PDT 2015 37 25TH ANNIVERSARY25TH ANNIVERSARY BAckgRouNd AND oBjEctIVE The Norton M. Ross Award for Excellence in Clinical Research was established to recognize investigators whose clinical research has had a meaningful impact on some aspect of clinical dentistry. Twenty-four distinguished recipients have received the award since its inception in 1991. 2015 2015 Norton M. Ross Award Norton M. Ross Award This award honors the memory of Dr. Norton M. Ross (1925-1990), a dentist and pharmacologist who spent most of his career in academic and research positions. Dr. Ross elevated clinical research to a higher level of scientific standards. His considerable contributions to the fields of oral medicine and dental clinical research have had a positive and lasting influence on the public’s oral health. For Excellence in Clinical Research For Excellence in Clinical Research This award recognizes an individual who has made significant contributions clinical investigations that have advanced the BAckgRouNd ANDinoBjEctIVE diagnosis, treatment and/or prevention of craniofacial-oral-dental The Norton M. Ross Award for Excellence in Clinical Research was diseases, as well as outstanding research endeavors in other areas. established to recognize investigators whose clinical research has had a meaningful impact onPROCEDURE some aspect of clinical dentistry. NoMINAtIoN Twenty-four distinguished recipients have received the award Submit a concise letter of nomination describing the nominee’s since its inception in 1991. accomplishments in the context of the award’s objectives, along This award honors the memory of Dr. Norton M. Ross -1990), The with the nominee’s curriculum vitae and a list(1925 of publications. a dentist letter and pharmacologist whoinspent most the of his careerofinthe nominee’s should be explicit describing impact academicresearch and research positions. Dr. Ross elevated clinical research on clinical dentistry. to a higher level of scientific standards. His considerable contribucRItERIA tions to the fields of oral medicine and dental clinical research have Selection is based upon theonscope of the nominee’s had a positive and lasting influence the public’s oral health.research, with special emphasis on its impact on clinical dentistry and on publicaThis award recognizes an individual who has made significant tions in refereed journals. contributions in clinical investigations that have advanced the recipients typically demonstrate a high level of creativity and diagnosis,Award treatment and/or prevention of craniofacial-oral-dental For example, individuals who have not only developed diseases, innovation. as well as outstanding research endeavors in other areas. new materials but also conducted the clinical trials necessary to NoMINAtIoN translatePROCEDURE the research results to clinical application are more probSubmit a able concise letter ofthan nomination describing theinnominee’s candidates those involved solely clinical testing of dental accomplishments context of theThey award’s along new insights materialsinorthe other products. mayobjectives, have generated with the nominee’s curriculum vitae and a list of publications. The letter should be explicit in describing the impact of the nominee’s research on clinical dentistry. cRItERIA Selection is based upon the scope of the nominee’s research, with special emphasis on its impact on clinical dentistry and on publications in refereed journals. Award recipients typically demonstrate a high level of creativity and innovation. For example, individuals who have not only developed new materials but also conducted the clinical trials necessary to translate the research results to clinical application are more probable candidates than those involved solely in clinical testing of dental materials or other products. They may have generated new insights 38 May PDT 2015 | Member News into disease etiology and/or pathogenesis, which, in turn, have led to changes in therapeutic and/or preventive measures for a given disease. AwARd AND REcogNItIoN The recipient will receive a $5,000 honorarium and a plaque. SpoNSoRShIp The American Dental Association sponsors the award with the generous support of Johnson & Johnson Healthcare Products, Division of McNeil-PPC, Inc. dEAdlINE Nominations must be received at ADA headquarters by June 26, 2015. Please address nominations to: into disease etiology and/or pathogenesis, which, in turn, have led Kathleen Alexandrakis to changes in therapeutic and/or preventive measures for a given The Norton M. Ross Award disease. American Dental Association East Chicago Avenue, Chicago, Illinois 60611 AwARd211 AND REcogNItIoN [email protected] The recipient will receive a $5,000 honorarium and a plaque. 312.440.2852 SpoNSoRShIp The American Dental Association sponsors the award with the generous support of Johnson & Johnson Healthcare Products, Division of McNeil-PPC, Inc. dEAdlINE Nominations must be received at ADA headquarters by June 26, 2015. Please address nominations to: Kathleen Alexandrakis The Norton M. Ross Award American Dental Association 211 East Chicago Avenue, Chicago, Illinois 60611 [email protected] 312.440.2852 Obituary David A. Bresler David A. Bresler, D.D.S., 61, died March 21, 2015, in Philadelphia, Pa., from unexpected surgical complications, with his family by his side. He was born Aug. 25, 1953, in Philadelphia, to Kalia and Dr. R. Ralph Bresler. Bresler graduated from Abington High School in 1971. He completed his undergraduate education at Temple University and continued his graduate education at Temple University School of Dentistry. Bresler completed a residency program in Pediatric Dentistry at St. Christopher’s Hospital for Children from 1979-1981. Bresler’s father taught him many important lessons but three in particular paved the path to his success and ultimately to the legacy he’s left behind. First lesson was to find out what you’re good at and become the best at it. He successfully accomplished this goal. Bresler opened his first pediatric dental office in Roxborough in 1982. Over the next 30 years he was able to expand the practice with additional locations in Dresher, Jenkintown, Newtown Square, South Philly, and Northeast Philadelphia. He quickly became known as “The Kids’ Dentist, Kids love to visit”. The second lesson was to always put your patients’ needs first and the rewards will follow. The R. Ralph Bresler Memorial Award at Temple University is given to the dental student who most closely follows this moral compass. Bresler ran his practice with integrity and made sure to instill these values to his children and his thousands of students. The last lesson was that when climbing the ladder of success there are two ways to get to the top. The first is to step on others along the way and the second is to pull them up the rungs with you. Anyone you ask can attest that he certainly wanted to pull everyone up with him. He continued to mentor and help former students create their own success stories by sharing with them all of his knowledge and experiences. Bresler was a pioneer in developing an efficient model of pediatric dental care for all children regardless of their income level. The “Bresler” model of pediatric dental care that he had created is unmatched and will survive as a model for dental care for the world to follow. He was the Owner/Operator or Doc Bresler’s Cavity Busters – a 7 location multi-dentist, multi-specialist group practice including pediatric dentistry, general dentistry and orthodontics. He was the owner/founder of Red Lion Surgicenter – the nation’s first free standing ambulatory surgicenter devoted exclusively to dental procedures. He also established Special Touch Dentistry – a dental practice dedicated to providing the highest quality dental care to adults with special needs. Bresler was a committed teacher and mentor to countless students who had the opportunity to work beside him and under his thoughtful guidance. Generations of dentists —and their patients—will continue to benefit from his commitment to the dental profession for many years to come. He was a Clinical Associate Professor at Temple University Kornberg School of Dentistry and often lectured at the University of Pennsylvania School of Dental Medicine, Harcum College, and Manor College. He was an active staff member at St. Christopher’s Hospital for Children and Children’s Hospital of Philadelphia. He was a spokesperson for the American Academy of Pediatric Dentistry and often lectured around the country, always well known for his lectures on behavior management. A true humanitarian, Bresler was actively involved in the YMCA, the Sunshine Foundation and the Shriners. He also led many dental mission trips to Haiti where thousands of patients with otherwise no access to care received often life-saving dental treatment. His children will continue to lead the Haiti Project in honor of their father. His interests included going to flea markets, restoring antique cars, Corvette club, and spending time down at the shore. He also had the world’s largest DAB (his initials) beer memorabilia collection, which is ironic since he’s never had a beer in his life. Most important though was spending time with his family. A truly devoted husband, father and grandfather, he showered his wife, children and grandchildren, and all of their friends, with unconditional love. Bresler never said he was going to work, rather he was going to play. His passion for helping others was infectious and all three of his children—Josh, Jason and Rachel—followed in his footsteps to pursue careers in children’s dentistry. Bresler lived life to the fullest, treasuring every moment spent with family, friends, colleagues and students. The impact that he made on this world will be celebrated for countless years to come. Bresler is survived by his wife Sherry; children Dr. Joshua (Dr. Tracey) Bresler, Dr. Jason (Dr. Jill) Bresler, Dr. Rachel Bresler, Alicia Andaloro, DeAnna Andaloro, & Melissa Andaloro; grandchildren Noah, Gwen and Kayla; brother Samuel (Linda) Bresler and sister Judith (Ralph) Lerner. Donations may be sent to the Sunshine Foundation (www.sunshinefoundation.org - 1041 Mill Creek Drive, Feasterville, PA 19053) or Temple Dental Haiti Club (3223 N. Broad Street, Philadelphia, PA 19140). Member News | May PDT 2015 39 ediatric Oral Health Research Policy Center & New Technical Brief: Unique Considerations for Medicaid Audits of Pediatric Dental Practices & Policy Center Advisory Board Dr. Scott W. Cashion Dr. James J. Crall Dr. Kevin J. Donly Dr. Sara L. Filstrup Dr. Jane Gillette Dr. Jessica Y. Lee Dr. Tegwyn Brickhouse Dr. Paul A. Reggiardo Dr. Joseph McManus POHRPC Research Fellows Dr. Natalia Chalmers Dr. Donald Chi Dr. Joanna Douglass The February 2015 Technical Brief from the Policy Center analyzes the characteristics of pediatric dental practices crucial to the effectiveness of Medicaid audits. The report supports efforts to eliminate abuse in the Medicaid program. However, it notes that unfair auditing practices will discourage pediatric dentists from providing care through Medicaid, which will have a substantial negative impact on children’s access to oral health care. ed Reseiaatric O rch ra Policly Healt Cente h Uniq ue C r on side ratio ns Intro d edic aid A udit s of uctio The n Amer the ican M ship edicaid Academ s y pr asso with th ogram of Pedi . ird at cia from tion, th -party Further, ric Denti pa th fede e ral an reputa yors. Fr e AAPD stry (AAP Audi ti au d ts st are ne ately, ate ag on of ou d and is oppo D) supp or se audi the qual cessary encies an r profes abuse by d to th ts the ts ne sio to e co disti are a cr ity and co identify d the po n. Such dentist mmiss ed to ad nction s iti ns im dres prop ssible loss unprof harm th ion of disti s was betw cal part istency nc es er fra e te, the nu tion will een tru of mai of audi paymen of mem sional co patien ud by ntai ts w denti fraud bers ting t an ly nd m ha After ber of de ve a su fraudul ning prog practice d instan hip stat uct can e are sw sts in and abus ent thei bsta e in a br s vary resu ces of us in th ram or the ntial pr ief ntists w eff e AA lt in se n to se r relation impa actices integrity greatly fraud rve atric ectivene review illing to PD rious with , th an ct on be pa dent ss of of AA in M . cons and, by tant child d honest ey are tween al PD Po rticipat edica eque co m re e poin practice Medica os nt licy nces are pr ts id s on Th in Medica n’s acce mistakes t effec ractors id progra ss to tive esen in this and the audits . id. ird-P in whe and by ms. Unfo ted to disc oral Auditing sp ar state. rtunheal mak ussion ecial cir pediatric ty Audi prac n they th e au Al ts cu ti ca ar de , th ce ca m nm e this ntist dits s re th ake ough repo work highlight stances ry roug failing rt di for pr to m a clear ed by of tre : the de ha scus at m large ovid ak ers an the ca ment in ograph ses thre redu e this ics se e ction a d pa AAP tients studies hospita of pati characte in ents D Po l or in ristics serv , th am ed un cluded The licy o AA der th in th bulatory e service crucial to n ultim PD Polic is s se e T of re tti Med hird ately, y icaid port. Re ng. The pedi-Part harm Statemen pr co im og m po fu y Au men ram. l to bo t on Th 1. dation rA lack ird-P dits th th s ar e of ty Au prov peer An au ider re and dits (App the ditor sh view. Au to M en su ou edica dix 3) spec bject ar ld have ditors oft id id re ia 2. ea. Fo su en la cipie entifies Conti lizes in ck th r ex fficient seve nts: pe ral pr on th ngency fe diatric ample, knowle e trainin actice de dg g a (RAC e amount es. The ntistry. pediatric e of the or creden s as pote po ) prog of fu denti approp tials ne ntial the AA ram nds tential fo st ’s ly un 3. audi riate clini cessary fair an Flaw PD belie for Med recupera r a confl t find cal gu to cond ed m icare ted. ves it d, ict of ings iden shou idelines uct an ob tify truethodolo is a prob , and subs While su intere ld be and prac gy. Th lemati eque ch a sy st exist e ou stan jective re tice 4. re nt tli s e st c vie w er em ly in m ap Inco hen s, wed dards of view. etho ex simila pr was ns by a r geogaudit met dology oach th tended crea audito care Guid istency to rs te at de in ho us ra d elines re sh M ntist with ed ph as dolo who . gy sh for da ould be edicaid un part of ceive co AAPD ic area Amer m re s ta ou Re an pe pe de min Clinica ican ld co d ns al r Acad l Gu on simila consisten ing is in ed by Co the Affor very Audi ation ba emy idelin co se r ng dabl tly of Pe e Ca t Contra d es. Aupatient po compa nsistent ress. diatric ct re Ac re pe an POHR pula diting t (ACA or Denti PC ers w d often Audit crite tions. stry ), op ithin - Fe ria sh b20 the sa aque. In 15.ind ould d 10 me sp or be co ecialtyder to nsist ent who with AAPD Pedi atric Clinica Oral l Heal th Re sear ch & Polic y Ce nter Three characteristics are crucial to the effectiveness of Medicaid audits in pediatric dentistry, according to the brief. First, patient demographics show a higher risk of severe dental disease in children covered by Medicaid. Second, pediatric dental practices provide more complex care to younger children than do other dentists. Third, children seen by pediatric dentists are more likely to require dental treatment in a hospital or ambulatory setting and have a special health care need. Pedia tric D enta 3/2/15 The report recommends consistent, objective audit methods grounded in sound clinical practice including: Dr. Amr M. Moursi • Report cards issued to dentists regarding their services compare to other dental providers; Dr. Arthur J. Nowak • Analysis of the number and type of local dentists; and Policy Center Staff Dr. Paul S. Casamassimo Dr. Robin Wright Leola Mitchell 40 May PDT 2015 10:30 | l Pra AM • Comparisons between the proportion of children who receive diagnostic and preventive services and the proportion of children who receive comprehensive and hospital-based care. The brief provides additional information on the impact of Medicaid audits on access to dental care for children, as well as current real-life stories of pediatric dental audits in Nebraska, Connecticut and Maine. For further information, please contact AAPD Policy Center Assistant Director Robin Wright at (312) 337-2169 or [email protected]. Laurel Graham uary for M Dr. Jessica Y. Lee Dr. Anupama Rao Tate Febr Policy Center ctice s 2015 New Technical Brief: Public Policy Advocate Tip Sheet on Medicaid Compliance and Audit Issues AAPD Public Policy Advocates are in an ideal position to promote fair and consistent auditing practices in their own states. This brief discusses how Advocates can establish state-level relationships with public and private entities that share the goal of improved oral health for children as well as educate members about relevant regulations, documentation standards and appropriate billing practices. December 2014 ediatric Oral He Research Policy Centalth er & Public Policy Advo cate Tip Sheet1 on Medicaid Complian and Audit Issues ce However, you don’t have to be a Public Policy Advocate to find value in this report, because it offers practical tips for surviving an audit as a pediatric dental provider. Some of the tips discussed are: The American Academ program.Further,theAAy of Pediatric Dentistry (AAPD) support s the need PDisopposedtothecom Such conduct could mission offraudbyany to address waste, fraud and abuse result in the impositi in the Medicaid dentistintheirrelati on of sanctions such Medicaid program onships withthirdparty s, recoupment of as the loss of the Medicaid paymen payers. dental license, inability membershipstatusinthe ts, and civil or criminal to participate in AAPD.2 penalties. It could state also result in the More than half of dentist losing pediatric dentists accept new Medicai beneficiariesofstateM d patients, edicaid programs,while percentmorepublicaidp 15.4percenthavenod 25.5 percent of patients in pediatri c dental offi entalbenefitscover ces are preparememberstocomatientsthangeneraldentists.3Assuch age.Pediatricdenti ,thestateAAPDPublicP plywith stsseea Medica lmost20 idrulesandthusdiscou benefitby: olicyAdvocate(PPA)isin ragefraudandab anidealpositionto use.Stateunitscanprov • Establishing state-lev idesignificantme mber el relationships with forchildren. both public and private entities that share the goal of • Advocatingforf improved oral health airandconsistentauditi ngpractices. • Educatingmem bersaboutrelevantregula tions,documentati onstandardsandapprop riatebillingpractices. • Be sure you and all members of your business office team read and understand what’s in your state Dental Medicaid Provider Manual; • Since the language in the Manual can be ambiguous, always ask for clarification in writing from your Dental Medicaid Program staff or the managed care contractor; Relationships Oneofthemostcriti calrelationshipsforthe statePu • Learn the basics of dental coding yourself rather than relying exclusively on your office manager; • Promptly meet requests for medical records from state agencies; and • Be wary of billing software designed to “maximize” revenues. blicPolicyAdvocatetode velopisthatwiththeSta teMedicaidagency. AccordingtoCMS, “States and the Centers for Medicare and programs consiste Medicaid Services nt with Title XIX of the Social Security (CMS) share responsibility for operati states with interpre Act and its impleme ng Medicaid tive guidance to use in applying nting regulations. tance including tools statutor CMS provides and data, federal match for their expendi y and regulatory requirements, of the program, technical assisand, within federal tures and other resource and state guidelin rates, paying claims, s. States fund their es, operate their enrolling provider share individual program s and beneficiaries, States have consider s, including setti contracting with able discretion in ng plans and claiming the manner in which employ that flexibility expendi in ways that enhance they operate their safeguard dollars programs, but should tures. care, promote overall expended, whether always program originating from governments share federal or state sources.effectiveness and effi ciency, and account Together, the federal andtheextenttowhicht ability for the integrity of the total investments and state hatinvestmentproduces of dollars in the valueforbeneficiariesa Medicaid program ndtaxpayers.”4 States have the right to set standards safe,effectiveanda regarding medical necessit ccountablecareforitsc (EPSDT)guidelines. hildrenthatisconsistent y, but they must do so within the contact of promoti withEarlyandPeriodicS ng creening,Diagnosti candTreatment American Academ y of Pediatric Denti stry Pediatric Oral Health POHRPC-Audit-10.14.in Research & Policy dd 1 Visit the Policy Center webpage to download your own copies of these two valuable resources on Medicaid audits. Pulp Therapy Systematic Review Update This article continues a series explaining the Academy’s inaugural EBD systematic review and guideline development process. As this article goes to press, Academy staff members, your peers and outside experts steeped in evidence-based practice have already convened at headquarters to analyze the studies uncovered through the rigorous EBD methodology. To get to this point, each AAPD member of the Pulp Therapy Evidence-Based Dentistry Workgroup (EBDW) has: participated in twice-monthly two hour calls, screened 303 citations, read 85 full-text studies, and extracted data (each study requires EBDW members to fill a form consisting of 61 fields, such as radiographic findings and risk of bias variables) of 70 studies. Additionally, the pulp therapy workgroup has registered its review with PROPSERO, an international database of prospectively registered systematic reviews. This step is essential to completion of a gold standard systematic review. To date, the EBDW has spent roughly 100 to 170 hours screening, reviewing and extracting studies. During the onsite meeting, pulp therapy experts (Drs. Coll, Seale and Vargas) reviewed the extraction sheets of over 90 randomized controlled trials of pulp therapy treatments and determined which studies are like enough to combine and quantify. Once these studies are statistically analyzed, the EBDW will formulate the findings into evidence tables. The resulting systematic review will be the basis of the AAPD’s first EBD guideline. These guidelines harken in a new age in pediatric dentistry research. And while these guidelines will be produced utilizing different protocols from the past, they will be relying on pediatric dentists with years of clinical experience. For further information, please contact AAPD Policy Center EBD Manager Laurel Graham at (312) 337-2169 or [email protected]. Center 3/2/15 10:32 AM The Pulp Therapy EvidenceBased Dentistry Workgroup members include the following people: Dr. James A. Coll, professor at Univ. Maryland School of Dentistry; Dr. N. Sue Seale, Editor in Chief of Pediatric Dentistry and the Journal of Dentistry for Children and professor at Baylor College of Dentistry, Dallas, Texas; Dr. Kaaren Vargas, Corridor Pediatric Dentistry. Statistician: Dr. Ann Lazar, assistant professor University of California San Francisco Department of Preventive and Restorative Dental Sciences and Department of Epidemiology and Biostatistics. Feature Story | May PDT 2015 41 Behind the Code Revision of D1208 As of Jan. 1, 2015, D1208 reads: Topical application of fluoride — excluding varnish The rationale for revising D1208 was that in 2014 there was significant confusion when to use D1206 (topical application of fluoride varnish) and D1208 (topical application of fluoride). D1206 was originally instituted in CDT 2007-2008 to report the therapeutic use of fluoride varnish for moderate to high caries risk patients. During the CDT 2013 code maintenance cycle, the diagnostic wording “for moderate to high caries risk” was removed. As it existed in CDT 2014, there was overlap between D1206 topical application of fluoride varnish and D1208 topical application of fluoride. Many providers reported D1208 for all topical application of fluoride procedures, regardless of the type, or modality. However, it is important to clearly distinguish between fluoride varnish and other types of fluoride for more accurate clinical recordkeeping and tracking treatment outcomes. Also, Affordable Care Act (ACA) compliant benchmark pediatric dental plans may limit reimbursement to fluoride varnish. Revising the nomenclature for D1208 to specifically state “excluding varnish” makes it clear that D1206 should only be reported when documenting the topical application of fluoride varnish, and D1208 should only be used when documenting or reporting the topical application of all other types of fluoride. CDT 2015 Revised Codes The Code Maintenance Committee (CMC) completed its review and deliberation for 119 requests for Current Dental Terminology (CDT) 2015. The CMC approved 16 new codes, deleted five codes, revised 52 codes revised five subcategories. All of the code changes became effective Jan. 1, 2015. This article will focus on code revisions that pertain to pediatric dentistry. Next issue will focus on additions and deletions. For a complete summary of all new pediatric dental changes plus other chapters to assist in claims submissions, ICD and CPT codes, the AAPD offers members a copy of the 2015 AAPD Coding and Insurance Manual for $19.95. To order, simply go to the AAPD Online Store. D0350 2D oral/facial photographic image obtained orally or extra-orally Rationale: D0350 has been revised to add “2D” to the nomenclature. CDT 2015, D0350 has not been limited to 2D photographic images. However, beginning in 2015, D0350 will only describe 2D photographic images. A separate code (D0351) has been added to describe 3D photographic images that are used for dental or maxillofacial diagnostic purposes. D0481 Electron microscopy As it existed in CDT 2014, there appeared to be redundancy between D1206 topical application of fluoride varnish and D1208 topical application of fluoride. Many providers reported D1208 for all topical application of fluoride procedures, regardless of the type. Yet, it is important to clearly distinguish between fluoride varnish and other types of fluoride for more accurate clinical recordkeeping and tracking treatment outcomes. Also the Affordable Care Act (ACA) benchmark for pediatric dental plans may limit reimbursement to fluoride varnish. Rationale: The revision of this code involves the deletion of the word “diagnostic” from the nomenclature. Also, the descriptor was deleted completely. The CMC felt that the nomenclature is selfexplanatory; therefore, there is no need for a descriptor. Revising the nomenclature for D1208 to specifically state “excluding varnish” now makes it clear that D1206 should only be reported when documenting the topical application of fluoride varnish, and D1208 should only be used when documenting or reporting the topical application of all other types of fluoride. D1208 Topical application of fluoride — excluding varnish D1550 cement or bond space maintainer Rationale: Lots of confusion existed among dental staff regarding the use of D1206 (topical application of fluoride varnish) and D1208 (topical application of fluoride – excluding varnish). Rationale: Revising D1550 clarifies that it can be used when cementing or bonding a space maintainer. Many codes were revised to include bonding as an alternative to cementation. D1206 was originally instituted in CDT 2007-2008 to report the therapeutic use of fluoride varnish for moderate to high caries risk patients. During the CDT 2013 code maintenance cycle, the diagnostic wording “for moderate to high caries risk” was removed. D2910 cement or bond inlay, onlay, veneer or partial coverage restoration 42 May PDT 2015 | Insurance Rationale: Revising D2910 clarifies that it can be used when cementing or bonding any partial coverage restoration, which may include, but not be limited to, inlays, onlays veneers. D2915 cement or re-bond indirectly fabricated or pfabricated post and core Rationale: The nomenclature was revised to include the term “bond,” along with many other codes. Also, the term “cast” was replaced with “indirectly fabricated,” to be consistent with D2952 and D2953. D2920 cement or bond crown Rationale: This nomenclature revision clarifies that either cementing or bonding of a crown may be reported as D2920. D2975 Coping A thin covering of the coronal portion of a tooth, usually devoid of anatomic contour, can be used as a definitive restoration. Rationale: The CMC voted to revise D2975 and delete D6975 to eliminate what appeared to be an overlap in CDT and to more accurately describe that a coping covers the coronal portion of the tooth. The phrase “fabricated of metal and” was also deleted from the D2975 descriptor. Effective Jan. 1, 2015, D2975 can now be used to report a coping that can serve as a definitive restoration, which may or may not be an integral part of a fixed prosthesis. Insurance representatives on the CMC voiced concerns that some dentists are misusing the coping codes by submitting claims for a coping and a zirconia crown on the same tooth. D4249 Clinical crown lengthening – hard tissue This procedure is employed to allow a restorative procedure on a tooth with little or no tooth structure exposed to the oral cavity. Crown lengthening requires reflection of a full thickness flap and removal of bone, altering the crown to root ratio. It is performed in a healthy periodontal environment, as opposed to osseous surgery, which is performed in the presence of periodontal disease. Rationale: Beginning in 2015, the descriptor for D4249 has been revised to clarify that clinical crown lengthening – hard tissue requires reflection of a full thickness flap and removal of bone to the extent that it alters the crown to root ratio. By requiring a “full thickness flap” the CMC’s goal is to make it clear that a full thickness surgical flap must be reflected to provide access to the bone. Some bone must be removed in order to accomplish crown lengthening, and report D4249. Furthermore, the amount of bone removed must alter the crown to root ratio. The descriptor was also revised to clarify that clinical crown lengthening is performed to allow a restorative procedure on a tooth with little or no tooth structure exposed to the oral cavity. The last sentence of the descriptor stating, “Where there are adjacent teeth, the flap design may involve a larger surgical area” was eliminated. Crown lengthening is always performed in a healthy periodontal environment. If periodontal charting and radiographs indicate periodontitis (pathological bone loss), then reflecting a full thickness flap and removing or reshaping the bone should be reported as osseous surgery (D4260 or D4261), not crown lengthening. D6930 cement or bond fixed partial denture Rationale: This nomenclature revision clarifies that cementing or bonding of a fixed partial denture may be reported as D6930. D7285 Incisional biopsy of oral tissue – hard (bone, tooth) For partial removal of specimen only. This procedure involves biopsy of osseous lesions and is not used for apicoectomy/periradicular surgery. This procedure does not entail an excision. Rationale: The nomenclature for D7285 was revised to clarify that this is an “incisional” hard tissue biopsy. A sentence was added to the descriptor to clarify that a hard tissue oral biopsy does not involve an excision of the entire lesion or specimen. If the entire hard tissue lesion is removed, then the appropriate hard tissue excision code (D7440-D7461) should be reported instead of D7285. The American Association of Oral and Maxillofacial Surgeons (AAOMS) representative noted that many providers erroneously submit claims for a biopsy and an excision of the lesion (on the same day). A biopsy only involves the partial removal of a lesion or specimen (and subsequent pathological microscopic evaluation), whereas an excision involves complete removal of a lesion (and subsequent pathological microscopic evaluation). Subsequent pathological microscopic evaluation should be reported separately. D7286 Incisional biopsy of oral tissue – soft For partial removal of an architecturally intact specimen only. This procedure is not used at the same time as codes for apicoectomy/periradicular curettage. This procedure does not entail an excision. Rationale: “Incisional” was added to the nomenclature and a sentence added to the descriptor to clarify that D7286 is used to report the partial removal of an oral soft tissue lesion. If the entire soft tissue lesion or specimen is removed, then one of the excision codes should be reported (D7410-D7415). According to the AAOMS CMC representative, many providers submit for a biopsy of the lesion, in addition to an excision (on the same day). A biopsy involves the partial removal of a lesion or specimen (and subsequent pathological microscopic evaluation), whereas an excision involves complete removal of a lesion (and subsequent pathological microscopic evaluation). Subsequent pathological microscopic evaluation should be reported separately. D8660 Pre-orthodontic treatment examination to monitor growth and development Periodic observation of patient dentition, at intervals established by the dentist, to determine when orthodontic treatment should begin. Diagnostic procedures are documented separately. Rationale: Added to CDT over 19 years ago, D8660 has generated considerable confusion among general dentists, orthodontists insurance payers. Some payers have considered it a catchall code for any diagnostic procedure performed during an orthodontic work-up. Others have viewed D8660 as a comprehensive orthodontic evaluation. Neither assumption is correct. Insurance | May PDT 2015 43 According to representatives of the American Association of Orthodontists (AAO), D8660 should be used to document visits where a potential patient’s dentition growth and development are monitored. These visits precede the preparation of an appropriate orthodontic treatment plan, and any diagnostic procedures are to be documented and reported separately starting the case. The revised nomenclature and new descriptor clarifies that specific diagnostic procedures should be reported separately (i.e., panoramic image (D0330), cephalometric image (D0340), photographs (D0350 or D0351), diagnostic casts (D0470), etc.). D8670 Periodic orthodontic treatment visit Rationale: The phrase “as part of a contract” has generated considerable confusion as to the application of D8670. As a result, the CMC voted to eliminate the confusion by removing this reference to a contract in the nomenclature. The contract has no bearing on the clinical procedure; therefore, it is not relevant to the code describing the procedure. D8693 cement or bond fixed retainer Rationale: This nomenclature revision clarifies that cementing or bonding of a fixed retainer may be reported as D8693. Note that this revision also removed the ‘s’ from “retainers.” Generally, there is only one fixed retainer – the lower retainer. However, if two retainers are cemented or bonded, report D8693 twice on the claim form and indicate the arch treated. D9221 Deep sedation/general anesthesia – each additional 15 minutes Rationale: The entire descriptor was eliminated since D9221 is not a stand-alone code. It is a companion code to D9220 and is only billed along with D9220 when anesthesia time exceeds 30 minutes. Since the billable anesthesia start and end times are already delineated in the descriptor for D9220, the descriptor for D9221 was eliminated in CDT 2015. Several requests to completely revise the descriptors for D9220 and D9221 were denied because the CMC felt that the requested changes in language would substantially change the nature of the procedure as described in the current CDT. This requested change had the potential to result in confusion. D9241 Intravenous moderate (conscious) sedation/analgesia – first 30 minutes Anesthesia time begins when the doctor administering the anesthetic agent initiates the appropriate anesthesia and invasive monitoring protocol and remains in continuous attendance of the patient. Anesthesia services are considered completed when the patient may be safely left under the observation of trained personnel and the doctor may safely leave the room to attend to other patients or duties. The level of anesthesia is determined by the anesthesia provider’s documentation of the anesthetic’s effects upon the central nervous system and not dependent upon the route of administration. Rationale: The CMC revised the nomenclature for D9241 to reflect the continuing movement from the term “conscious” to “moderate.” As published in the “ADA Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students,” moderate sedation is the current term used for this level of sedation. There is no mention of “conscious sedation.” While it was acknowledged that “moderate” is the current term, the CMC decided to include both “moderate” and “conscious” in the nomenclature to be consistent with medical CPT codes, terminology used in some state laws, and to help transition and educate dentists to the new terminology. D9242 Intravenous moderate (conscious) sedation/analgesia – each additional 15 minutes Rationale: For consistency with D9241, the CMC revised the nomenclature to reflect the ongoing movement from the word “conscious” to “moderate.” The descriptor was deleted because D9242 is only reported in conjunction with D9241 when IV moderate (conscious) sedation exceeds 30 minutes, making the descriptor redundant and unnecessary. D9248 intravenous moderate (conscious) sedation A medically controlled state of depressed consciousness while maintaining the patient’s airway, protective reflexes and the ability to respond to stimulation or verbal commands. It includes intravenous administration of sedative and/or analgesic agent(s) and appropriate monitoring. The level of anesthesia is determined by the anesthesia provider’s documentation of the anesthetic’s effects upon the central nervous system and not dependent upon the route of administration. Rationale: For consistency with the revisions made to D9241 and D9242, and language contained in state laws and CPT medical codes, the CMC revised the nomenclature of D9248 to reflect the continued movement from the word “conscious” to “moderate” for intravenous and intravenous moderate (conscious) sedation procedures. Code D9248 may still be used to report mild sedation. Restorative Category revision: Rationale for revision: The restorative subcategory was previously written in a narrative format. In order to be consistent with other descriptors, this formatting was changed to a matrix format. For questions, please contact Dental Benefits Manager Mary Essling at [email protected] or (312) 337-2169. 44 May PDT 2015 | Insurance AAPD Staff Assists Member on Strip Crown Coverage ADA Claim Form Updated for ICD-10 Diagnosis Codes Recently, a member call reported that Cigna denied services for code D2390 – resin-based composite crown, anterior (strip crown) on teeth D, E, F and G which all involved extensive decay, decalcification on the MDFL and I surfaces. The updated 2012 ADA claim form now has entry boxes for diagnosis codes. Entering ICD-10 diagnosis codes on the dental claim form is not mandatory yet, but they will be for medical claims on Oct. 1, 2015. Pediatric dentists and their staffs should become familiar with this medical diagnosis code set. In addition, diagnoses must be part of each patient’s documentation. Keep in mind that most business office team members do not have the clinical knowledge to choose diagnosis codes. The determination of accurate diagnoses for patients is the responsibility of the dentist, and it is vitally important for successful claims and avoiding audits. The full dental team needs to embark on a training program to learn about ICD-10 diagnosis code sets. Also, dental practices should develop their own encounter forms. This course will help you customize and design those forms to meet your office needs. Cigna denied all of the strip crowns based on rationale that they were a cosmetic service for aesthetics only. Cigna paid the equivalent of a 2933 stainless steel crown (SSC) with resin window. Our member noted that that complete coverage was the only treatment option so that they could remain functional for this patient. The treatment was not provided for aesthetic purposes and was not cosmetic in nature. The treatment provided was to facilitate normal function. AAPD staff contacted Cigna’s national dental director and this was their response: “I had our team review the claim case from doctor’s office and Cigna will be processing the claim as submitted.” Our member was reimbursed for D2390 on all four teeth. Please feel free to contact AAPD Dental Benefits Manager Mary Essling at [email protected] or (312) 337-2169! We are here to assist! Please be sure to attend the ICD-10 course at Annual Session on Friday, May 22, from 1:30 to 4:30 p.m. The course instructor, Rhonda Buckholtz is a certified professional coder and of ICD-10 education and training at the American Association of Professional Coders (AAPC). Rhonda has more than 20 years of experience in health care, working in the reimbursement, billing and coding sector, in addition to being an instructor. More coding information on CPT medical codes! CMS just released a document that cross walks CPT codes to CDT codes. For complete article, go to http://medicaid.gov/search.html?q=cross%20walk. Florida Added to Non-Covered Services Law Map Florida joined 33 other states in passing a fee capping law for covered services, effective July 1, 2014. A non-covered service is a cost incurred by the patient for a dental treatment or service that is not covered or reimbursed by the patient’s dental benefit plan. Thirty-four states have now passed a law prohibiting fee capping. This means that PPO plans may not control fees for non-covered services provided for patients covered under fully insured plans that are regulated by state law. Note that insurance plans are governed by the state in which they were purchased, not the state in which the insured lives. Keep in mind that fee capping laws do not apply to federal or self funded (ERISA) plans, which typically use a thirdparty administrator (TPA). With all PPO contracts, the provider is required to submit all patient charges to the insurance payer. When fee capping laws do not apply, your fee may be controlled by the contracted plan’s fee schedule even for a non-covered service. For more information, visit http://www.aapd.org/media/Policies_Guidelines/P_FeeCapping.pdf. Insurance | May PDT 2015 45 Media Mix For more information on how to submit your media coverage, please contact Public Relations Senior Manager Erika Hoeft at (312) 337-2169 or [email protected]. AAPD President Featured as BabyCenter Expert AAPD President Dr. Edward Moody contributed a bylined article to BabyCenter titled, “Teething 101: Tips from a dentist and dad,” as part of our National Children’s Dental Health Month outreach. According to the article: “Teething typically begins when a baby is between six and eight months old, although some children don’t have their first tooth until 12 to 14 months. The two bottom front teeth (lower incisors) usually come in first and next to grow in are usually the two top front teeth (upper incisors). Then, the other incisors, lower and upper molars, canines, and finally the upper and lower second molars typically grow. All 20 baby teeth should be in place by the time a child is around two and a half years. In preparation for teething, it’s best to educate yourself on what to expect and what you can safely do to help your child. Starting at the age of six months, signs to look for are irritability, accompanied by a lot of biting or chewing on hard objects and drooling. Other signs include gum swelling and tenderness; refusing food; and – as mentioned earlier – disrupted sleep.” Media Highlights Media Outlet AAPD Expert(s) Date Topic Featured Philadelphia Inquirer Healthy blog AAPD President Dr. Ed H. Moody (Tenn.) Jan. 14, 2015 Why Should I Find a ‘Dental Home’ for my Child? KETV ABC Dr. Paul Casamassimo (Ohio) Jan. 26, 2015 Kids Should Get First Dental Checkup by Age 1 Dimensions of Dental Hygiene AAPD President Dr. Ed H. Moody (Tenn.) February 2015 Education is the Key Parents Magazine Drs. Courtney Chinn (N.Y.) & Lezli Levene Harvell (N.J.) February 2015 Five Tooth Truths Fox News, Mother Jones Magazine Dr. Jeffrey Camm (Wash.) February 2015 Creative Diagnosis Parents.com Rosie Pope/Parenting & AAPD Feb. 3, 2015 Kids’ Dental Health: Making Little Teeth a Big Deal KAZM-AM Radio Dr. Joseph Creech (Ariz.) Feb. 4, 2015 Making Your Child’s Dental Health a Priority PennLive.com Dr. Dwight Ashby (Pa.) Feb. 5, 2015 Parents Play Key Role in Easing Children’s Dental Fears, Harrisburg-area Docs Say FoxNews.com AAPD President Dr. Ed H. Moody (Tenn.) Feb. 8, 2015 7 Mistakes Parents Make With Their ’ Teeth NY1 Dr. Laurence Hyacinthe (N.Y.) Feb. 12, 2015 Fit : Maintaining Oral Hygiene for Children WinonaDailyNews.com Dr. Chris Carroll (Minn.) Feb. 15, 2015 Children Need Access to Quality Dental Care FoxNews.com Dr. Paul Casamassimo (Ohio) Feb. 16, 2015 Children Whose Parents Have a Positive Attitude Less Likely to Have Cavities, Study Says DentistryIQ.com Dr. Conway Jensen (Wash.) Feb. 17, 2015 Behavior Management Considerations in the Pediatric Dental Patient El Diario Dr. Mario Ramos (N.J.) Feb. 17, 2015 40 Percent of the Children of Mexicans Born in the U.S. have Higher Incidence of Caries Star Tribune Dr. Jim Nickman (Minn.) Feb. 19, 2015 Health beat: Parenting Style has Role in Cavities Hornets.com Dr. David Moore (N.C.) Feb. 27, 2015 Charlotte Pediatric Dentistry Becomes the Official of the Hornets Fox News Chicago Dr. Charlie Czerepak (Ill.) participated in a live interview on FOX32 Chicago with anchor Corey McPherrin. The interview covered AAPD’s National Children’s Dental Health Month messages, highlighting the prevalence of tooth decay and emphasizing that NCDHM is a great time to find a pediatric dentist. Czerepak advised that parents should assist children with brushing and flossing until they are around 7 years of age and demonstrated the proper techniques with his patient, Dylan. 46 May PDT 2015 | Media Mix DailyParent.com NCDHM Videos AAPD President Dr. Edward Moody and AAPD President-Elect Dr. Robert Delarosa were both interviewed by Stephanie Witmer for a story on DailyParent.com on common kids’ dental health problems and how to avoid them. According to the article: AAPD also partnered with Rosie Pope, parenting adviser, in producing two videos for National Children’s Dental Health Month. Both of which can be located on our consumer hub at http://mouthmonsters.mychildrensteeth.org. It probably comes as no surprise that cavities top the list of dental issues among patients ages 1 to 18, according to Dr. Robert Delarosa, a pediatric dentist in Baton Rouge, La., and the president-elect of the American Academy of Pediatric Dentistry. Although cavities can cause a lot of problems, most of the time, they’re preventable. Breaking news and in-depth coverage from AAPD’s official – and imaginary – news bureau, the Pediatric Dentistry News Network. Our child anchor gets the scoop during National Children’s Dental Health Month with special guest and parenting expert Rosie Pope. Our kid anchor gets the scoop on teething in this exclusive interview with Rosie Pope and AAPD’s Dr. Amr Moursi. Dr. Edward Moody, a pediatric dentist in Morristown, Tenn., and the current president of the AAPD, says that, in general, parents schedule their child’s first dental visit too late— often by several years. The AAPD recommends children see a dentist by their first birthdays, but many parents wait until age 2 or 3 or later. Ad Council Updates With Three out of Four Parents Admitting their Kids Forget to Brush their Teeth, Kids’ Healthy Mouths Campaign Continues to Encourage Kids to Brush for Two Minutes, Twice a Day As part of National Children’s Dental Health Month, Campaign Announces Video Contest Winners, Texting Challenge and Revamped Mobile App To coincide with National Children’s Dental Health Month, the Ad Council and The Partnership for Healthy Mouths, Healthy Lives are extending their successful Kids’ Healthy Mouths campaign to encourage children to brush their teeth for two minutes, twice a day. Beginning and continuing throughout February, the campaign will announce the winners of a national video contest. They will also introduce a new SMS texting challenge and new characters for their popular mobile app, Toothsavers. In December, the Ad Council kicked off its first ever video contest with Zooppa, the world’s leading crowd sourced marketing platform for producing creative content. The Kids’ Healthy Mouths contest called on Zooppa’s community of over 27,000 amateur and professional video makers to leverage the existing campaign strategy to create their own videos showing parents trying to give important advice in just two minutes. The final videos were reviewed by creative directors at ad agency Grey New York and the Ad Council. The Ad Council is pleased to announce the following videos as contest winners: Eyes on the Ball (Sam Benenati), How To Weed The Garden (Joseph Binetti), Mime (Jason Kraynek), Birds and Bees (Jason Kraynek), Children’s Oral Health Career (Sean Tracy), Big Boy Time (Justin Pinder) and Sharing (Terrence Jones) with Let’s Change the Oil (Cynthia Bravo) and The Talk (Allen Baldwin) as early entry winners. In addition to announcing the video contest winners, Kids’ Healthy Mouths has various additional initiatives planned for the month of February including: Texting Program Challenge: Kids’ Healthy Mouths invites parents to join their free texting program which further supports the campaign’s main goal of encouraging parents to make sure their children brush their teeth for two minutes, twice a day. Texters can take part in a five-day family brushing challenge this month, and will also receive personalized tips and support. Text TOOTH to 97779 to join. Toothsavers App Update: The widely popular mobile app Toothsavers is getting an update this month with three new characters (Alice in Wonderland, Pinocchio, Rabbit). The new characters will be announced on Kids’ Healthy Mouths social channels. Since its launch, more than 68,400 people have downloaded the app. Scholastic Partnership: ’ Healthy Mouths has partnered with Scholastic to continue to educate parents and teachers on the importance of brushing. Resources are available at Scholastic.com/ HealthyTeeth for caregivers and Scholastic.com/2min2x for teachers where they can download lesson plans, activities, an oral health care book list, oral health care tips in English and Spanish, and a printable oral health poster. Since the campaign launch in August 2012, media outlets throughout the country have donated more than $78 million to run the PSAs. Additionally, over 1.9 million people have visited the campaign website to learn more about the importance of children’s oral health. Media Mix | May PDT 2015 47 Financial Services for the Dental and Medical Professional 2015 NuSmile Graduate Student Research Awards 2015 Joint Academic Day Sponsored by NuSmile Pediatric Crowns, the Graduate Student Research Award was established in 1989 for current students and residents and recent graduates from advanced education programs in pediatric dentistry. The AAPD Committee on Scientific Affairs selects eight finalists to present their research during the Annual Session. Finalists receive complimentary Annual Session registration for themselves and a guest, travel expense reimbursement, a cash award and plaque presented during the General Assembly. A matching cash award is given to each finalist’s training program. Plan on meeting your colleagues for the 2015 Joint Academic Day being held at the Seattle Sheraton Hotel on Wednesday, May 20, 2015. The combined morning session for pre- and post-doctoral program directors will feature Bruce Silverstein, M.D., a gastroenterology professor from the University of Washington School of Medicine, speaking about his innovative teaching methods that have earned him “favorite teacher” status among UW medical students year after year; Joel Berg, D.D.S., presenting a talk titled “Managing up and down: Manage and be Managed”; and David Johnsen, D.D.S., speaking on “Critical Thinking: Cornerstone for a Culture of Inquiry: Theory and Practice.” Also included on the program are Drs. N. Sue Seale and Paul Casamassimo discussing the results of a survey and article published on the topic of predoctoral patient pools for achieving competency on pediatric dentistry and the resident and program director perspectives on resident preparedness. Finally Dr. Allen Lurie will provide an update on the Image Gently campaign. Congratulations to the following recipients: Reem Almashat, B.D.S. Nova Southeastern University Gina Bufalini, B.A., D.M.D. University of Pittsburgh Larkin Clark, D.D.S. University of Tennessee Health Science Center Angela Cook, D.D.S. Texas A&M University Baylor College of Dentistry Karin Herzog, D.D.S. University of Washington Michele Lacy, D.M.D. Children’s Hospital Colorado Amy Luce, D.M.D. University of Florida Karen Mak, D.D.S. University of Washington Following their oral presentations at the Annual Session, the Graduate Student Research Award recipient judged to have accomplished the most outstanding research project is awarded the Ralph E. McDonald Award. The recipient receives an additional cash award. Established in 1991, the award honors the late Ralph E. McDonald, AAPD past-president and editor emeritus. The Indiana University of Pediatric Dentistry Alumni Association graciously supports this award. Following lunch, the Society of Predoctoral Program Directors and the Society of Postdoctoral Program Directors will hold discussions on issues relevant to predoctoral and postdoctoral topics of interest. The AAPD graciously acknowledges Procter & Gamble Oral Health: Crest and Oral-B for their continued sponsorship of the Joint Academic Day Education | May PDT 2015 49 An Update in Pediatric Restorative Dentistry Symposium AAPD Continuing Education Courses Registration Now Open! Register now for our Fall CE courses. Whether you’re looking for sedation, a course for your assistants or just need an update on the latest in oral pathology, there’s something for everyone! These courses are guaranteed to sell out so don’t wait to register, visit http://www.aapd.org/events and sign up today! Oral Clinical Exam Review SEPtember 10, 2015 Hyatt Regency Gainey Ranch Scottsdale, Arizona If you’re serious about becoming a diplomate, this course could make the difference. Presented by leading educators and clinicians, this course focuses on preparing the candidate to succeed in the oral portion of the board examination. Participants will have the opportunity to be part of numerous mock examinations and will learn skills to deliver an impressive performance. Learn about the various domains contained in the American Board of Pediatric Dentistry examination, successful test taking techniques and how to be prepared for this type of high-stakes clinical examination. Comprehensive Review of Pediatric Dentistry SEPtember 11–13, 2015 Hyatt Regency Gainey Ranch Scottsdale, Arizona This highly acclaimed course provides a comprehensive review of pediatric dentistry. It may be helpful to AAPD members in their preparation for the American Board of Pediatric Dentistry (ABPD) examinations, although participation in this course does not guarantee successful completion of board exams. The curriculum is also designed to serve as a comprehensive and indepth review of pediatric dentistry to those attendees who may be either board certified already or not planning on taking the exam. Topics to be discussed include Growth and Development, Assessment and Prevention, Oral Pathology, Care for Special Needs Patients, Restorative Dentistry and Materials, Trauma, Behavior Management and Pulp Therapy. At the conclusion of the course, participants will have gained a better understanding of how to prepare for the exam including: Expert clinicians presenting this course utilize a lecture format to review the subjects included in the board examinations. Participation in this course does not guarantee successful completion of board exams. • Topical areas of the exam The curriculum is also designed to serve as a comprehensive and in-depth review of pediatric dentistry to those attendees who may either be board certified or not planning on taking the examination. • American Academy of Pediatric Dentistry guidelines • The examination process • Suggested readings for exam preparation • How cases are designed and graded. Speakers Paul Casamassimo, D.D.S., M.S. Henry Fields, D.D.S., M.S., M.S.D. This course is approved for 7 continuing education credits. Sponsored by NuSmile Pediatric Crowns 50 Course Director and Speaker Kevin J. Donly, D.D.S., M.S. Speakers Catherine M. Flaitz, D.D.S., M.S. Andrew L. Sonis, D.M.D. Amr M. Moursi, D.D.S., Ph.D. This course is approved for 22 continuing education credits. Sponsored by NuSmile Pediatric Crowns Hyatt Regency Gainey Ranch May PDT 2015 | Education ENHA NCED C OURSE Sedative and Medical Emergencies in the Pediatric Dental Office for the Dental Assistant A Symposium on Important Oral and Cutaneous Lesions in Infants and Children october 23–24, 2015 JW Marriott, Las Vegas, nevada Hilton Bonnet Creek Orlando, florida This one-and-a-half-day course is specially designed for the pediatric dental assistant to enhance their knowledge and understanding of sedation emergencies and other emergent medical conditions in the office. An introduction to oral sedatives and using nitrous oxide/oxygen sedation will be included. Participants will learn how to organize and prepare the office for an organized response to a medical emergency and how to assist in the management of medical and sedation emergencies. NEW: This four hour workshop on Saturday morning allows hand-on training for the dental assistant. Participants will rotate through multiple stations to include airway management; intubation; airway equipment; papoose board and monitor placement. Course Director and Speaker Morton Rosenberg, D.D.S. Invited Speakers Stephen Wilson, D.M.D., M.A., Ph.D. Steven Ganzberg, D.M.D., M.S. John Nathan, D.D.S., MDentSc Sarat Thikkurissy, D.D.S., M.S. This course is approved for 11 continuing education credits. NEW RSE COU Safe and Effective Sedation of the Pediatric Dental Patient october 23–25, 2015 Hilton Bonnet Creek, Orlando, florida This is a newly designed American Academy of Pediatric Dentistry sponsored course. This course is designed for pediatric dentists who have had training in sedation techniques during their graduate or residency training programs and are looking to refresh their knowledge and those residents looking to enhance what they are currently learning in their programs. The course includes lectures, audience-interactive case presentations, and more clinically relevant considerations, but retains relevant topics associated with safe sedation of children such as the pre-sedation assessment, sedation and post-sedation period, patient monitoring and future trends. Additional materials are presented about the child’s personality, drug selection and a reference list. This course is consistent with the ADA’s Guidelines on Teaching Pain Control and Sedation to Dentists and Dental Students in a Continuing Education Program. The course level, according to ADA Guidelines, Part II, Definitions, Education Courses, is that of a survey course and does not offer direct, clinical patient management. Course Director and Speaker Stephen Wilson, D.M.D., M.A., Ph.D. Invited Speakers Steven Ganzberg, D.M.D., M.S. John Nathan, D.D.S., MDentSc Sarat Thikkurissy, D.D.S., M.S. december 4–5, 2015 This symposium is designed to update the practitioner on the diagnosis and management of common and important orofacial and cutaneous disorders and lesions. Dental anomalies, soft tissue and jaw lesions and specific skin disorders will be presented. This multidisciplinary discussion will also include newly defined lesions and the latest diagnostic and therapeutic approaches. Correlation of orodental and cutaneous with systemic disease and common syndromes will be discussed. Characteristic radiographic findings and the role of cone beam CT for jaw lesions will be highlighted. Interspersed throughout the course will be panel discussions about orofacial lesions and disorders so the audience can participate in steps associated with developing a differential diagnosis and formulate a plan for managing the condition. Sound bites summarizing timely literature on clinically relevant topics will ensure that the audience leaves with the most recent information. Extensive flow charts for establishing a working diagnosis and comprehensive medication handouts will complement the lecture material for use in the practice setting. Course Director and Speaker Catherine M. Flaitz, D.D.S., M.S. Invited Speakers Christel Haberland, D.D.S., M.S. Daniel Stoeckel, D.D.S. Adelaide Hebert, M.D. John Hellstein, D.D.S. Timothy Wright, D.D.S. Juan Yepes, D.D.S., M.D., MPH, MS, DrPH Marcio da Fonseca,D.D.S., M.S. Ann Griffin, D.D.S. Karen Baker, B.S., M.S. Dat Tran, D.M.D. John Hicks, M.D., PhD., D.D.S. This course is eligible for 17 hours of continuing education credit. Sponsored by Pacific Dental Services The AAPD is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in indentifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. This course is approved for 20 continuing education credits. Sponsored by EZ Pedo Education | May PDT 2015 51 Healthy Smiles, Healthy Children: The Foundation of the American Academy Healthy Smiles Healthy Children of Pediatric Dentistry supports community-based initiatives that provide ® The Foundation of the American Academy of Pediatric Dentistry Dental Homes to children from families who cannot afford dental care. Dr. Beverly A. Largent HSHC President HSHC Grantmaking Surpasses $3 Million Mark Healthy Smiles, Healthy Children’s February board of trustees meeting was a particularly momentous occasion. HSHC approved 22 grants totaling more than $1.1 million, making 2015 the single largest year for grant commitments. To provide some perspective, consider: • HSHC issued $97,000 in grants the first year they were offered in 2010. • HSHC grantees have helped provide Dental Homes to more than 290,000 kids. • Including our 2015 grants, HSHC has awarded more than $3 million in grants and commitments to 70 organizations in 26 states. None of this would be possible without AAPD member generosity. A few years ago HSHC Treasurer Dr. Ned Savide commented during deliberations about our expanding grantmaking program that it was “time we put on our big-boy pants.” HSHC was evolving into national grantmaking body with an emerging national presence. Whether it’s donning our big boy – or big girl – pants, HSHC’s influence and impact is growing thanks to the generosity and expertise of AAPD members. And we’re just getting started. As I reported to you previously in this space, last fall our Grants and Programs Committee and our grant reviewers met in Chicago to calibrate the application review process and identify markers for proposed outcomes research. These markers, in turn, have been incorporated into our research plan that includes a multi-site assessment of Foundationsupported initiatives over several years. We’re actively pursuing funding support from other national foundations that could become our philanthropic partners. 52 May PDT 2015 | Healthy Smiles, Healthy Children Pediatric dentists’ expertise, coupled with HSHC’s assessment process, will help us evaluate what works and what doesn’t, and it will help us improve our grantmaking process that, in turn, will allow the Foundation to help even more children receive the dental care they need. Another reason our February meeting proved to be so momentous: It was our opportunity to honor one of our most generous AAPD members, Dr. Jerry Miller. HSHC’s home is now the Jerome B. Miller, D.D.S., Center for Philanthropy and Leadership, located within the American Academy of Pediatric Dentistry’s (AAPD) new headquarters offices in the American Dental Association building. Jerry is an AAPD past president, a founding trustee of HSHC, and current HSHC Trustee Emeritus. He is a generous HSHC donor and was a catalyst in the development of the AAPD/HSHC leadership development series with the Kellogg School of Management at Northwestern University and the Wharton School of Business at the University of Pennsylvania. More than 120 AAPD members have participated in the Kellogg and Wharton programs since 2004. As part of the office dedication, HSHC Vice President Dr. Neal Benham presented Jerry with two portraits painted by Neal. One will be on display at the Miller Center and the other was presented as a gift to Jerry. The portraits, the reception and naming HSHC’s home in Jerry’s honor are just a small measure of immense gratitude we have for a generous leader who is a great example to all of us. And Jerry would be the first to tell you: Every gift makes a difference and helping children is the greatest honor of all. HSHC Grants Thanks to the increasing generosity of AAPD members and other supporters, Healthy Smiles, Healthy Children (HSHC) total grant-making surpassed the $3 million mark. Over the past six years, HSHC will have made commitments to 70 organizations in 26 states – helping more than 290,000 children receive Dental Homes. HSHC Grant Distribution Since 2010 55,000 20,000 20,000 60,000 60,000 20,000 415,000 14,908 This year, HSHC will make more than $1.1 million in grants to 22 organizations this year – including two $375,000 multi-year grants. This is the largest grant commitment ever made by HSHC. 90,000 35,000 20,000 30,000 60,000 444,795 20,000 10,000 534,860 157,000 177,000 35,476 45,000 76,800 20,000 455,000 20,000 105,000 In 2015, HSHC will award $400,000 in single-year grants to 20 organizations. Two previous grantees also will receive HSHC’s multi-year grants, receiving $75,000 a year through 2020. Kids’ Community Dental Clinic, in Burbank, Calif., and the Waukesha County Community Dental Clinic, in Waukesha, Wis., are the 2015 recipients of HSHC multi-year grants. Each will receive $75,000 a year over the next five years. 2015 HSHC (single year) Recipients Caridad Center, Inc., Boynton Beach, Fla. CASS Community Health Foundation, Kansas City, Mo. Head Start Dental Clinic, Champaign, Ill. Center for Pediatric Dentistry, Seattle, Wash.* Charles Henderson Child Health Center, Troy, Ala. Children’s Dental Services, Minneapolis, Minn. Hennepin Health Foundation, Minneapolis, Minn. Children’s Hospital Colorado, Aurora, Colo. Kids Smiles, Philadelphia, Pa. Cincinnati Health Department, Cincinnati, Ohio KidSMILES Pediatric Dental Clinic, Dublin, Ohio Community Health Centers of Burlington, Burlington, Vt. Neighborcare Health, Seattle, Wash. The Dental Foundation of Oregon, Wilsonville, Ore. Petaluma Health Center, Petaluma, Calif. Eastman Institute for Oral Health, Rochester, N.Y. St. Vincent Healthcare Foundation, Billings, Mt. Family Healthcare, Fargo, N.D. Yale New Haven Hospital Department of Pediatric Dentistry, New Haven, Conn. First Choice Health Centers, Inc., East Hartford, Conn. The Floating Hospital, Long Island, N.Y. *Dental Home Day host clinic Healthy Smiles, Healthy Children | May PDT 2015 53 2016 Call for HSHC Grants Healthy Smiles, Healthy Children (HSHC) is committed to supporting community-based initiatives providing Dental Homes for children whose families cannot afford dental care. Since 2010, HSHC has awarded more than $3 million in grants to 70 organizations in 26 states that have helped more than 290,000 children in need. HSHC anticipates awarding over $1 million in grants in 2016. The American Academy of Pediatric Dentistry defines a Dental Home as the ongoing relationship between the dentist and the patient, inclusive of all aspects of oral health care, delivered in a comprehensive, continuously accessible, coordinated and family-centered way. HSHC supports this goal through its Grants targeting children up to age 18. HSHC Grants are one-year matching grants of up to $20,000, supporting community-based initiatives in the U.S. that provide dental care and ultimately serve as a Dental Home to underserved/limited access children. Special consideration will be given to programs supporting the age 1 dental visit and providing care to special needs patients. HSHC funds may be applied to cover costs such as, but not limited to: • • • • Child oral health care; Clinic supplies, instruments and equipment; Salary; Education and/or outreach to recruit dentist participation in program activities. Guidelines and application instructions are available on the HSHC website at http://www.healthysmileshealthychildren.org. For more information, contact Grants and Corporate Relations Manager Tracey Schilligo at (312) 337-2169 or via email at [email protected]. Applications are due Aug. 3, 2015. HSHC Trustee Emeritus Dr. Jerome B. Miller receives his portrait, painted by HSHC Vice President Dr. Neal Benham (right), during the February dedication naming HSHC’s offices the Jerome B. Miller, D.D.S., Center for Philanthropy and Leadership Development. 54 May PDT 2015 | Healthy Smiles, Healthy Children Give Now Visit www.healthysmileshealthychildren.org for more information. Experience the adventure of invention & discovery at the Museum of Flight. Healthy Smiles Healthy Children ® saturday ( may 23 2•0•1•5 7 pM 10 pm Museum of Flight S e a t t l e , Wa s h i n g t o n Limited tickets available for purchase at $625 per person For more infor mation or to purchase tickets, please contact Michelle Hidalgo at (312) 337-2169 or [email protected]. ABPD | May PDT 2015 57 Dentists are architects. Dentists are constantly thinking out of the box and developing plans and solutions to fit each individual situation. The specialized training, attention to detail and confidence to try new approaches are what draw big thinkers to this truly exciting profession. At Cheng Crowns we meticulously design our crowns without taking short cuts. Our zirconia crowns offer CrimpLock Retentive Margins that ensure the right fit and retention without completely relying on cement adhesion. We’re proud to be a leader that enables dentists to be more effective, efficient, and profitable. Experience the Cheng Crowns difference. Order your starter kit at chengcrowns.com/order. P.O. Box 5001 • Exton, PA 19341 T 800.288.6784 F 610.296.5742 E [email protected] www.chengcrowns.com BOOTH 317 Stop by our booth for a HANDS-ON DEMO and FREE SAMPLE KIT! Zirconia Kinder Krowns® Less time from this perspective. Anterior LP (Less Prep)™ Upper First Molar LP (Less Prep)™ LP LP ™ < LESS PREP < LESS PREP The most challenging posterior crown to place is undoubtedly the upper first molars. The NEW, innovatively designed Upper First Molar LP™ crowns feature a flattened buccal surface and wider buccal-lingual dimension – requiring LESS PREP to properly fit an appropriately sized crown. 100% CUSTOMER SATISFACTION GUARANTEED ss ss proudly made in USA For more information visit KinderKrowns.com or call 877-557-6967. ©2015 Kinder Krowns®. All Rights Reserved. ™ The LP™ Zirconia Anterior Kinder Krowns® is our newest anterior contour option. The cervical margin on the LP™ zirconia anteriors have been squared interproximally and opened up slightly facial-lingually – minimizing the amount of reduction necessary to properly fit an appropriately sized crown. Certified Dental Laboratory ISO 13485 < LESS PREP 0086 AVAILABLE-ONLY AT-KINDER-KROWNS® Protecting Smiles From Generation to Generation. No matter your patient's age, our new clear formula Vella 5% sodium fluoride with xylitol offers improved esthetics, a smooth and easy application, and the extra protection they need. When your varnish application looks better, feels better in the mouth, and tastes great, it’s sure to improve patient compliance. Plus, Vella has great fluoride release and uptake at two hours1, and it provides relief from hypersensitivity. To order Vella, call your favorite dealer, or visit Preventech.com for a FREE SAMPLE! Available in: Strawberry Melon Spearmint Bubble Gum 4330-C Matthews-Indian Trail Road • Indian Trail, NC 28079 • 800.474.8681 • 704.849.2416 • fax: 704.849.2417 • preventech.com Absolute Satisfaction Guaranteed. ¹Data on file. Zir-Lock®Ultra Guaranteed retention Prime SL™ Space-loss crowns EZPEDO Voted #1 EZPEDO crowns were voted #1 preferred brand of all pediatric Zirconia crowns. Come visit us at booth 611 and find out why EZPEDO was rated best. Posterior V2™ Same great look. Radical new fit EZ-Seat™ Contours EZPU Be the expert™ The original brand was just voted the best! Your go-to-crown™ in every clinical situation. ezpedo.com | 888 539 7336 YOU’RE THEIR HERO... WE’RE YOUR ALLY HU-FRIEDY’S PEDIATRIC PRODUCT LINE Hu-Friedy understands that successful outcomes in pediatric dentistry require a delicate touch, uncompromising attention to detail and commitment to precision. That’s what we deliver. The petite beak design of our Pedo Crown & Gold Scissors allows for swift and effortless trimming in cases as needed. Our pre-trimmed, pre-crimped Pedo Crowns allow for quick and simple placement while delivering proper space maintenance and resisting abrasion and perforation. We are continuously expanding our product offering to accommodate the needs of the pediatric dentist, helping you perform at your best. Learn more about our Pediatric Solutions at Hu-Friedy.com ©2014 Hu-Friedy Mfg. Co., LLC. All rights reserved. In Arizona operating as: START A GREAT, REWARDING CAREER WITH OUR GROWING TEAM! We can help you reach your true potential faster. Get access to ownership opportunities, higher income potential, extensive business support and the latest technology. We’re where you want to be: Opportunities available throughout Arizona, California, Colorado, Georgia, Idaho, Missouri, Nevada, Oregon, Texas, Utah & Washington. My Kid’s Dentist® and Every Kid’s Dentist® would like to recognize the following pediatric owner dentists for keeping little mouths happy and healthy: Dr. Jantzen Anderson Colorado Springs and Fountain, CO Dr. Lonny Carmichael Buckeye, AZ Dr. Lafe Chaffee Casa Grande, AZ Dr. Chris Claus (Coming soon to Minnesota) Fairfield and Woodland, CA “I love the freedom that working with Every Kid’s Dentist® affords me. I own my practice, but I get tons of support. I also love that my peers and associates are residency trained.” -Bobby Raber, DMD, Board Certified Pediatric Owner Dentist | Prescott, AZ. Dr. Eric Ellis Phoenix and Laveen, AZ Dr. Brian Hatch Frisco and Wylie, TX Dr. Kelly Kim Murrieta, CA Dr. Lisa Phillips Westminster, CO To join us, contact Scott Lauer: 949-257-5696 or [email protected] MyKidsDentistOnline.com/careers Dr. Bobby Raber Prescott and Phoenix, AZ Dr. Tanner Zane Stockton, CA Help your patient relax! 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Choose Classic or Capnography ClearView™ Classic ale Secure Femmple Sa ck Lo Luer ection Line Conn • Clear outer hood shows slight fogging when patient breathes properly through nose, and allows view of nasal/facial seal of the soft inner hood • Low profile expands clinical field of view, provides easier access to patient's mouth, and keeps patient from making hood adjustments to see activities, operatory TV, etc. • Appealing colors/scents delight and engage patients; unscented available • Hood-in-hood design diminishes ambient nitrous oxide • Single-use minimizes cross-contamination; saves staff time • CO2 Capnography version available to fulfill regulatory requirements • Use with a variety of scavenging circuit brands ClearView™ CO2 Capnography (3 Sizes) Connect to capnography monitor sample line and verify patient end-tidal CO2 (3 Sizes) Contact us today for free samples! Visit us at the AAPD Annual Session booth #205 www.accutron-inc.com 800.531.2221 All our products are MADE IN THE U.S.A. Opportunities For information regarding placing a listing in PDT or Pediatric Dentistry please visit the AAPD Career Center at http://jobs.aapd.org or call (312) 337-2169 SEEKING PEDIATRIC DENTISTS CALIFORNIA—CHINO. We are a fast growing pediatric specialty practice in San Bernardino County (30 min. North East of Orange County) seeking pediatric specialists who loves to serve children with their excellent clinical and communication skills. We are interested in doctors looking for a long-term relationship with our practice and that are committed to their success. We are a team of experienced business professionals that know how to make a practice successful, and our doctors and team are dedicated to our strong culture and proudly share the same vision, goals and purpose. For more information please contact [email protected]. COLORADO—DURANGO. Smiles 4 Kids in beautiful Durango, CO is seeking a general or pediatric dentist to work in our two busy practices treating children. Sedation and hospital dentistry are available. We offer a very competitive compensation and benefits package. Ski, mountain bike, and fly fish out your back door rather than sit in traffic. For more information please contact [email protected]. COLORADO—FORT COLLINS. Pediatric dental position in Northern Colorado. Pediatric Dental Certificate. For more information please contact [email protected]. CONNECTICUT—SOUTHERN FAIRFIELD COUNTY. Full time Pediatric Dentist for Southern Fairfield County. Fast paced state of the art office. We are looking for the ultimate outgoing personality with the total schmooze factor but a true professional too. In addition to that you must have a great work ethic & be eager to put your skills to the test, a creative approach when delivering oral health education to parents in a non-judgmental format, love to have fun, and probably the most important love kids… and lots of them! Please send your C.V. to amyp@ kidsfirstdentistry.com. GEORGIA—NORCROSS. Excellent opportunity to join our quality oriented and fast paced pediatric dental offices located in the Norcross/ Cumming, Georgia. We are a pediatric dentist owned private practice with two offices in Georgia. Our high tech offices use paperless charting and are completely digital within our five operatories. We are looking for a pediatric dentist to join our amazing team of highly trained personnel. We do in-office sedations. Very competitive compensation and benefits. Applicants are invited to email C.V. to [email protected] or call (404) 433-1317. FLORIDA—BOCA RATON. Looking for an opportunity with a successful and growing company? Gentle Dental is comprised of 29 “full service” General and Multi-Specialty practices located throughout South Florida! Gentle Dental currently has opportunities for qualified General Dentists & Specialists given our continued expansion and excess demand for our services, we are presently seeking a Pediatric Dentist to join our family in our growing 66 May PDT 2015 | Opportunities South Florida offices. Please Inquire about Generous Sign-On Bonus for this Position!!!Gentle Dental offers you: Excellent Earning Potential—Gentle Dental operates more efficiently and we share the results with our doctors through a higher compensation model. Ability to Focus on Patient Care—By delegating all the management and administrative stresses to us, our doctors can focus on providing the best patient care possible. State-of-the-Art Facilities—Our dentists enjoy working in state-of-the-art facilities with the latest dental technology and equipment. Quality of Life—Since you don’t have to worry about insurance claims, payroll, staffing, accounting and marketing, you have the time to enjoy everything Florida life has to offer, including our many golf courses and beautiful beaches. If you are ready to take the next step in your career as a Specialist and want a position with excellent earning potential, Gentle Dental has what you are looking for .Apply today! Contact: Bradford Cabibi - Doctor Recruitment Email: bcabibi@ gentledentalgroup.com; [email protected] website: http://www.gentledentalgroup.com/; http://www. gentledentalgroup.com/career-search/?PHPSESSID=cbe2d f920d72598e27a45439bfb9f79aPhone: 561-999-9650 Ext. 6146Fax: 561-526-2576. ILLINOIS—SPRINGFIELD. Wonderful pediatric dental practice for sale in Abraham Lincoln’s hometown. This is a 39 year old practice and a great opportunity for the right person. I have a terrific recall program with three hygienists. The practice involves the full range of pediatric dental care in the office and two large hospitals. Practice growth and expansion possibilities in Springfield are unlimited. Practicing pediatric dentistry in Springfield has been perfect , but it is time for me to retire. If interested, please send resume to [email protected] INDIANA—FISHERS. Exceptional General or Pediatric Dentist opportunity is available in a wellestablished practice for a career oriented individual. The primary dentist enjoys an excellent reputation and has a long standing history of providing quality pediatric dentistry while building long term trusting relationships with families. Our families expect a dentist that is energetic, highly professional, with a strong compassionate demeanor. The practice owner seeks a like-minded associate pediatric or general dentist who is able to expand services to our children and adolescent patients. *Must be licensed in the state of Indiana to practice dentistry*Must be able to travel and grow satellite locations if FT opportunity is desired.*PT opportunity offers Fishers, IN location. For more information please contact [email protected] MARYLAND—BEL AIR. PEDIATRIC DENTAL PRACTICE IN BEL AIR, MARYLAND PROUDLY LOOKING FOR AN ASSOCIATE. Well established private pediatric dental practice continues to grow and we wish to add a part-time doctor to our team. Our office is state of the art and designed for child and parent acceptance. Sedation and OR at 2 nearby hospitals. Consider this prime opportunity and contact us! [email protected] or (410) 569-6700; www.growingsmiles.com. MASSACHUSETTS—PEABODY. Seeking Pediatric Dentist North Shore, Boston Associate position with potential for partnership in pedo-ortho group practice north of Boston. Full or part-time. Fax C.V. to (978) 535-6327 or email [email protected]. MASSACHUSETTS—STOUGHTON. Phenomenal Pediatric Dentist opportunity awaits you in Massachusetts! Start or move your pediatric dental career with no financial outlay by you. Become part of the largest orthodontic group in the region, with 9 current locations spanning from Boston to the Mid-Cape. We are seeking an energetic, enthusiastic and motivated Pediatric Dentist to start and develop the “pediatric wing” to our thriving practice. We will provide the facilities, the equipment, hire and manage the staff and handle the marketing as well as all of the business needs. All you need to do is bring your talent, expertise, highest quality patient care and beaming personality to the table. Full-time work available immediately. Working at multiple locations, this opportunity will never be monotonous or mundane. Our practice success is grounded in our Core Values of Support, Professionalism, Integrity, Respect and Excellence...we use the acronym SPIRE. If your Core Values are aligned with ours, we will make a dynamite team! Please email C.V. and cover letter to Dr. Robert Chavez at [email protected] and/or Dr. Andrew Chase at [email protected]. NEW HAMPSHIRE—NEW LONDON/ CONCORD. Our rapidly growing pedo-ortho practice is seeking a pediatric dentist (new grad or experienced) to join us in beautiful New Hampshire. Our office locations are ideal -- providing easy access to Boston, the ocean, the White Mountains, and the Lakes Region. NH is a great place to raise a family and offers a great quality of life. Our patients present with preventative, restorative, orthodontic, and behavior management needs including hospital rehabilitations. Our staff is excellent and our newly renovated offices are state of the art. This is a wonderful opportunity. Please fax your resume to (603) 224-3330, or e-mail to: concordpediatricdentistry@ hotmail.com NEW JERSEY—OLD BRIDGE. IMAGINE THIS.....a fully booked schedule, appreciative patients, a fun-spirited and caring culture, all within a fully digital and staff managed practice. You can deliver pediatric dental care to children in need with a smile on your face and a spring in your step every day. Competitive salary to start at $250 +, including a full benefits package. Don’t miss out on this exciting opportunity - submit your resume today!! Email resumes to: [email protected]. NEW JERSERSY—HAMILTON SQUARE. Outstanding opportunity for a Pedodontist looking to join a well established multidisciplinary dental practice that specializes in pediatric dentistry. Located in beautiful Hamilton Square, New Jersey, just outside historic Princeton, New Jersey. Hamilton Dental Associates has been serving the greater Mercer County area for over 50 years. We are a highly respected private practice in search of a recent graduate or an established practitioner for a full time or part time position with potential for partnership. Applicants should be highly skilled, ethical and compassionate. We offer a comprehensive full benefits package. Please email: Drdjeng@hamiltondental. com and/or telephone (609) 586 - 6603. NEW JERSEY. Well-established Pediatric dental practice in Union County, NJ, has an excellent opportunity available for a part-time pediatric associate, with full-time, partnership potential in the future. We are located within close proximity to New York City, Staten Island, and all major highways. Please email résumé. For more information please contact [email protected]. NEW MEXICO—ALBUQUERQUE. Smiles For Kids Dentistry (www.smilesforkidsdentistry.com) is a privately owned group dental practice based in Albuquerque, New Mexico that is seeking both pediatric specialists and/or general dentists willing to work on kids aged 2-18 years. We have several new openings due to expansion and are in search of friendly & skilled dentists that are looking for a great lifestyle and the opportunity to really make a difference in the many under-served communities in which we operate. We are not a large corporate owned entity with mandates and production targets overseen by non-dentist management, but rather a smaller blend of individually-operated dental offices backed by a supporting infrastructure of pediatric specialists that caters to each local community and its needs. We have positions available in both the Albuquerque and Las Cruces metro areas. Now in its 7th year of operations, Smiles For Kids Dentistry has become a true dental ‘home’ to over 20,000 patients in New Mexico with over a 98 percent patient satisfaction score. We take great care in observing the following operating principles: We believe that ‘how’ we do dentistry gives us an advantage in the dental marketplace by offering dentistry at the highest standard of care possible for each and every patient. As such, we believe in a diagnosis and treatment approach that is the best for each patient and not dictated by fee schedules and/or company mandated production targets. We believe in providing our doctors and patients with the best quality materials available, state of the art dental equipment including hand pieces and chairs, and sophisticated software and computing systems. We believe in offering a positive dental experience for each patient and parent, meaning that we do not force treatment or engage in practices that may further traumatize patients. We believe that the environment in which we operate gives us an advantage in the dental market by offering a true ‘dental home’ to every patient. As such, we believe in hiring the most talented employees and giving them opportunities to develop and grow within our organization. We believe in building ‘stateof-the-art’ offices that are equipped with updated decor, large and spacious treatment and hygiene areas, and the latest multimedia options for patient comfort and experience We believe in providing an environment that is candid, transparent, and friendly for all patients, parents, and employees. Typical work weeks average between 4 to 4.5 days a week, 6-8 hours a day. First year Pedodontic Associates typically earn a first year compensation between 250k-350k based on a mixture of base salary and production related compensation. General Practicioners working on children can expect to earn between $150K-185K. Additional benefits include company paid health care costs, relocation expenses/signing bonus, vacation time, liability insurance coverage, and continuing education allotments. Our operations are headquartered in the beautifully sunny state of New Mexico, an outdoor-enthusiasts dream destination in the Southwest that enjoys a mild, dry climate and over 330 days of sunshine a year. Nearby activities include unlimited hiking trails, several world class golf courses, hunting, camping, fishing, both road and mountain biking, and snow skiing. With a laid back culture, wonderfully warm & caring people, and a strong economic infrastructure, New Mexico is consistently named as one of the best places to live in the U.S. over the past few years. Come join us for awhile to help pay off your dental school debts or come enjoy the “Land of Enchantment’ on a permanent basis! Come and help us make a difference in a location that yearns, fully appreciates, and is willing to pay you for your expertise, skills, and schooling! Interested candidates can send their resume/C.V. to [email protected] or can call Jim Tasker directly at (303) 815-0735 for more information. For pictures of our clinic & to see what others are saying about us, you can visit our website at www.smilesforkidsdentistry.com or visit our page on Facebook at www.facebook.com/smilesforkidsdentistry. Opportunities | May PDT 2015 67 NEW YORK—CAPITAL DISTRICT/ALBANY AREA. Our highly respected, multi-doctor practice seeks an associate after recent expansion into a beautiful, newly constructed second location. Our practice has a well-established patient base, while also rapidly expanding with over 150 new patients monthly from consistent referral sources, which include pediatricians and general dentists. We are located 15 miles south of Saratoga Springs and the Adirondack Mountains, and also less than three hours from New York City and Boston. The Capital District is a great place to raise a family with its strong public school systems, reasonable cost of living, and four seasons that offer all outdoor recreational activities. Perform excellent dentistry with all the latest clinical modalities, including hard and soft tissue lasers. Confidently treatment plan high quality dentistry with all necessary behavior management modalities: nitrous oxide, oral conscious sedation and off-site general anesthesia. Work with a trusted, well-trained and highly motivated team. Be proud of your abilities in helping children attain a lifetime of healthy smiles in a comfortable, fearless, and safe environment. Contact Drs. Decker, Cavotta, Charlesworth at (518)785-3911. NEW YORK—CLIFTON PARK. Are you interested in serving patients with unsurpassed clinical excellence? Come explore a truly unique pediatric practice where we routinely surprise patients and their parents by doing ordinary tasks extraordinarily well each and every time. We treat each child and family with respect and strive to serve all children of the Capital District including the least privileged of our society. Our office exemplifies what can be achieved by a team of people inspired to be collectively more than thee sum of our parts. We seek an extraordinary associate to join our team. We offer an unmatched benefit package including a four day work week, 1,500.00 per day, 401K, longevity bonus, continuing education allowance, reimbursement for board certification, PALS training, two weeks vacation, all fees associated with professional organizations and licensing, malpractice insurance, and full premium coverage on medical and dental insurance individual or family. Please contact Dr. McDonnell or Dr. McMahon at info@ buildinghealthysmiles.com. NEW YORK—ENDICOTT. Are you interested in making a difference in the life of a community and its children? Do you have what it takes to be a leader in pediatric healthcare? Can you imagine achieving your financial dreams and more? You can accomplish your professional and personal dreams in this upstate area which borders the Finger Lakes region, Catskill Mountains, and the Endless Mountains of NE Pennsylvania. We are three a three hour drive from NYC and Philadelphia. Established, vigorous practice seeks talented and dedicated associate leading to partnership. Your senior partners welcome your involvement in all aspects of pediatric dentistry including orthodontics, cleft palate team, hemophilia clinic, care of persons with special needs, membership on staff of local hospitals and more. If you are the kind of person who enjoys the challenge of a lucrative, multifaceted practice and has the desire to be a positive influence in the local medical community, then Valley Dental Pediatrics is waiting for you. Please contact Dr. Gary Bigsby and Dr. Michelle Tunison at drtunison@valleydentalpediatrics. com or (607) 745-3903. 68 May PDT 2015 | Opportunities NEW YORK—ROCHESTER. Western New York Dental Group (WNYDG) has been committed to providing quality dental care and excellent service to our patients in the Buffalo and Rochester, NY area since 1972. With convenient private neighborhood dental offices, your own personal dentist, a team of caring professionals, and our “always here for you” attitude, Western New York Dental Group offers the utmost convenience and patient satisfaction. Our dentists provide a wide variety of services to our patients including all phases of general, family and state of the art cosmetic dentistry. When the need arises for the services of a dental specialist, we are able to provide treatments with the help of our in-house team of specialists in pediatric dentistry, orthodontics, oral and maxillofacial surgery, endodontics and periodontics. Western New York Dental Group is currently seeking a full-time Pediatric Dentist to join our team in Rochester, NY. This is a great opportunity to join and established multispecialty group practice! This position has proven patient demand and referral base. We offer a competitive salary and excellent benefit package including a 401k, health insurance and a professional work environment. To learn more about this opportunity contact Kate Anderson by email: kateanderson@amdpi. com or phone: (781) 213-3312. NORTH CAROLINA—CHARLOTTE AREA. Outstanding opportunity in Charlotte area for pediatric or dual pedo/ortho specialist. Our busy, growing practice seeks that special, motivated, personable, well-trained individual to join in our success and quick track to partnership. Our pedo/ ortho group has served this area for over 30 years and the future is bright. Please call or fax a resume to Dr. Bill Connor (704) 865-6425; fax(704)865-2568;or visit http://www.peddent.com. OHIO—CLEVELAND. Ohio—Suburban Cleveland Pediatric Dentist Opportunity Sign on Bonus! Do you want to work with a great team that focuses on quality care above all else? Our offices have state of the art equipment and a team that allows the dentist to concentrate on providing superior clinical care. We use top of the line supplies and have partnered with national vendors to service our team members and offices Offering: •Earning potential in excess of $200,000•All digital office with cloud based software solutions •Full benefits available•401k with employer match that is vested from day one •Employer paid professional liability insurance •Employer paid association dues •Continuing Education allowance The successful candidate will be a licensed DMD or DDS and must have completed a Pediatric Dentist residency and should be licensed or qualified to obtain license in Ohio. All interested candidates should send their C.V. and cover letter to Dr. Carl Ruggiero at [email protected] OREGON. This opportunity truly has it all. Live and work with a full time salary in the Great Northwest where it is green year-round and outdoor recreation is at your fingertips, all while making a Creating Happy Spaces and Smiling Faces Dental Office Entertainment Touchscreen - Video - Tablet FREE Quote and Color Mockup www.Toviga.com 404-521-9054 [email protected] great income with ownership available! Hiking, fishing, skiing, cycling, and even surfing are all close by. Be in the heart of Oregon’s wine country, with picturesque vineyards and small town charm just outside Portland, Oregon. This is a unique position that sees a healthy mix of both privately insured and Medicaid patients, treating everyone with equal care and respect, ensuring ALL children in the community have access to specialty care. This opportunity involves mentorship and eventual partnership with the current owner and includes low overhead costs, great staff, and an ownership pathway offered up front. This truly is a great opportunity to live in a beautiful area of the country while serving the community. Either part time or full time available, depending on needs of candidate. Benefits include all professional fees, insurance, CE, travel, paid moving expenses, etc. Great opportunity to join a growing private practice on the outskirts of the Portland, Oregon metro area. I am looking for someone who wants to be a part of the community and will ensure all kids can receive specialty care with equal respect, regardless of if they are on private insurance or on Medicaid. Must be able to work well independently and as a team member. For more information please contact [email protected] OREGON—SALEM. great opportunity to join a thriving pediatric practice in Salem, Oregon. You will enjoy a friendly atmosphere, great compensation, and a quality-oriented practice. We’re looking for a fun, outgoing individual interested in a long term relationship for part-time or full-time associate position, with the potential of an eventual partnership. Other benefits such as paid malpractice, CE courses, health insurance and 401k plan are available. State of the art building and equipment features 6 treatment areas, the latest amenities including ceiling mounted televisions, game center, and toddler play area. The office provides a full range of pediatric dental services including N2O, oral conscious sedation, laser and hospital dentistry with an excellent team including EFDA assistants. Salem is a family-oriented city with exceptional schools and unlimited recreational activities nearby. We believe in the importance of work/life balance. Interested candidates please forward your C.V. to [email protected]. PENNSYLVANIA—ALLENTOWN. We are a well-established, thriving, private pediatric dental practice looking to add a third pediatric dentist to our staff. This is an excellent long term career opportunity for an energetic, compassionate pediatric dentist to join our highly respected, quality oriented office. Our goal is to provide the highest quality of pediatric dental care from infancy to teenage years, including special needs children, in a safe and nurturing environment, tailored to each individual’s unique dental, behavioral, and developmental needs. A full range of dental services are provided including sedation and OR with hospital privileges available. We are a fee for service practice located in South Whitehall township, Pennsylvania. This position will likely be PT to start. Please visit our website to learn more about our practice at www. gordonjanikpediatricdentistry.com. Interested candidates please e-mail resume to Carrie Breyer at [email protected]. RHODE ISLAND—CRANSTON. Well established pediatric dental office serving the Rhode Island community for over 35 years is seeking a motivated and caring pediatric dentist. We have a strong presence in our small state, which compliments our positive reputation. Part-time position leading to full time/ partnership track. We have two modern offices equipped with the latest digital technology including all digital radiographs. Our offices are located near beaches, a major Ivy League institution, and the culture and diversity of Providence, RI. To find out more information about our office, please contact Craig Elice at [email protected]; (401) 4635540. TEXAS—AUSTIN. PEDIATRIC DENTIST Progressive Pediatric Dental Practice in Austin is looking for an energetic Pediatric Dentist to join our team. We offer a comprehensive compensation package. New grads welcome to apply. Please e-mail C.V. to [email protected] TEXAS—EL PASO. Well known and Successful El Paso, TX Pediatric Dental office is looking for Full-time or Part-time Pediatric Dentists to join our Practice. We are Leaders in Pediatric Dental care in town offering all Pediatric Dental services, including Hospital dentistry, In-office sedation and care for special needs patients. We’re seeking a Caring and Motivated Pediatric Dentist with a genuine love for children, Excellent Communications skills and a Team player. We have a friendly, dedicated, and well-trained staff. We offer production based compensation. For more information please contact [email protected] TEXAS—HOUSTON. I am a board-certified pediatric dentist in Houston, TX. We are looking for a part-time associate to start in July 2015, or sooner if possible. The position is for 3 days a week with a full-time opportunity by the end of the year. We are a private practice that has experienced tremendous growth, and we are looking for an enthusiastic pediatric dentist to join our team. We are patientcentered and always strive for the highest level of care. We have the latest equipment and technology, have an excellent trained support team, and offer sedation dentistry and hospital dentistry. This is a great opportunity for learning and growth in a practice that truly focuses on quality patient care. Please reply to this ad if interested at [email protected] TEXAS—ROUND ROCK. Carus Dental, established in 1983 in Austin, TX, has always been committed to the traditional doctor-patient relationship and to the highest quality in dental care and service. We currently have 55 doctors on staff across our 20 practices in Austin, Houston and Central Texas. We offer dental services in general dentistry, oral surgery, orthodontics, pediatric dentistry, endodontics, and peridodontics in some or all of our practices. Carus Dental has been accredited by the Accreditation Association of Ambulatory Health Care since 2000. We are actively seeking PartTime Pediatric Dentist for Round Rock, TX office two to four days per month. For more information please contact Kate Anderson (kateanderson@amdpi. com). VIRGINIA—ASHBURN. Location: Ashburn Children’s Dentistry was established in 2000. This modern and spacious 14 operatory practice is centrally located in a Northern Virginia suburb, minutes from Washington Dulles Airport. Philosophy: Our vision is to connect with every child in a significant way by providing outstanding, advanced customized care delivered with exceptional results that create delightful patient relationships. Professional Memberships: Dr. Dean-Duru maintains memberships in the American Academy of Pediatric Dentistry (Diplomate/Fellow), American Dental Association, Academy of Laser Dentistry (Fellow), American Association of Functional Orthodontics, Virginia Dental Association, and Northern Virginia Dental Society. Technology: Laser dentistry (the area’s first and most qualified laser practice), state of the art intra-oral camera and cavity detection system, movie glasses and audio visual equipment, digital radiographs, digital charting, nitrous oxide and sedation, modern reception area including gaming station, movie amphitheater, and beverage bar.Services: We provide a range of services to our patients of all ages including newborns. Our associates will be required to provide basic dental services to all of our patients. Certain dental procedures like surgical extractions, root canal therapy, and TMJ therapy we do not typically provide here and it would be a plus if you could provide any of these in addition to your general pediatric dental work. Media: Dr. Lynda Dean-Duru’s excellence has been recognized by Consumers’ Research Council of America (America’s Top Dentists). She has also been widely acclaimed by Washingtonian Magazine, I Am Modern Magazine, Incisal Edge Magazine (Lucy Hobbs Award for Clinical Expertise), Northern Virginia Magazine to name a few. Marketing: Part of our marketing strategy is to create and maintain relationships with patients, parents, and the allied health community in order to promote the practice’s vision and values. Beyond the clinical care and service, our associates actively promote the clinic with external and internal activities resulting with an increase of new patient flow and their own patient base. Employment Opportunity: We are currently seeking a full time pediatric dentist available April 2015. Associate colleagues will have the freedom to practice the full scope of pediatric dentistry in an environment superbly supported by highly skilled and motivated team members. Compensation: We offer a strong compensation package for someone who has a strong desire to continuously improve and grow through education, creativity and innovation. We are really looking for the right fit. If this sounds like what you are looking for, we’d love to hear from you. For employment inquiries, please email Dr. Lynda Dean-Duru at [email protected]. VIRGINIA—FREDERICKSBURG/ MANASSAS/FALLS CHURH. Well established multi --location, pediatric/orthodontic practice with highly trained support staff in Northern Virginia area. Seeking energetic, quality oriented pediatric dentist to help us meet the demands of our multiple location practice. We offer excellent compensation and benefits. This position can be part time or full time. For more information please contact pediatricden@ yahoo.com. VIRGINIA—NORTHERN. General Dentist. Dental office in Northern Virginia seeking an energetic, motivated and experienced part/full time dentist to join our dynamic team. The Ideal candidate must have a current Commonwealth of Virginia license and a minimum of 3-5 years of experience. The candidate should be passionate to serve. For more information please contact pediatricden@yahoo. com. UTAH—LAYTON. Pediatric Dental Practice in Northern Utah seeks motivated Pediatric Dentist to replace exiting dentist. Ideal opportunity to be busy from the start. 30-35 hours per week. Possible part time position available as well. Please contact Laura at [email protected]; (801) 791-3210. Opportunities | May PDT 2015 69 INTERNATIONAL CANADA—NOVA SCOTIA—HALIFAX. The IWK Health Centre, Halifax, Nova Scotia provides quality care for children, women and families in Canada’s three Maritime Provinces and beyond. It is a children’s and women’s tertiary care health centre dedicated to family-centred care, education and research. The IWK Health Centre is located on one of the world’s great natural harbours and is home to many fine restaurants, a bustling waterfront and an active cultural community. The Province of Nova Scotia is home to pristine beaches and seacoast, outdoor adventure and 5 UNESCO world heritage sights. Our Mission• To make a difference in the health and well being of women, children, youth and families • To bring together care, research, teaching and advocacy for the best possible results • To be global leaders in research and knowledge ions Division sharing Our VisionHealthy families. The best care. DENTIST, Today www.iwk.nshealth.caPAEDIATRIC IWK HEALTH CENTREThe IWK Health Centre is actively seeking a Paediatric Dentist to complement our 4 Paediatric Dentists on staff with the Department of Dentistry, IWK Health Centre and the Division of Paediatric Dentistry, Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie University. The IWK Health Centre is a teaching hospital affiliated with Dalhousie University Faculties of Dentistry, Medicine and Allied Health Sciences. The Paediatric Dentist should have training and demonstrated competence in provision of multidisciplinary care both in the hospital clinic and operating room to tertiary care paediatric hospital patients including those who are medically compromised, or have intellectual and physical disabilities. In addition to the clinical activities described, the successful candidate will provide care to paediatric dental patients referred to the Paediatric Dental Unit in the Children’s Health Program, from communities within the Province of Nova Scotia. Active Staff Paediatric Dentists are involved in education through the Division of Paediatric Dentistry, Faculty of Dentistry, Dalhousie University, teaching dental and dental hygiene students and our one-year postgraduate Paediatric Dental General Practice Residency, on an assigned basis. A graduate training program in the specialty of Paediatric Dentistry is under active development. Paediatric dentists also participate in teaching of graduate periodontics and OMF and undergraduate and graduate medical students at the IWK and Dalhousie. Applicants must have a Fellowship with the Royal College of Dentists of Canada and must be able to obtain licensure in the province of Nova Scotia. Please send a cover letter and curriculum vitae along with two letters of reference to: Dr. Ross D. Anderson, Chief of DentistryIWK Health Centre5850/5980 University Avenue, PO Box 3070, Halifax NS B3J 3G9Tel: (902) 470-8678, (902) 428-8012, Fax: (902) [email protected] IWK Health Centre and Dalhousie University are equal opportunity employers and educators. ONTARIO—TORONTO. Fantastic opportunity for a Pediatric Dentist who has strong behavior management and communication skills. We are aptly situated within the Greater Toronto Area and rapidly growing. We provide a pleasant, family oriented work environment focused on fun, comforting dental visits. Services offered included oral sedation and general anesthetic to a wide patient base. Associate enjoys excellent remuneration, with high financial growth potential and opportunity for buy-in. Email Sandra with C.V. at [email protected] FACULTY POSITIONs TEXAS—DALLAS. FACULTY OPPORTUNITY—PEDIATRIC DENTISTRY The Texas A&M University Baylor College of Dentistry Department of Pediatric Dentistry is inviting applications for a full-time tenure, or nontenure track faculty position at the rank of Assistant Professor or higher depending on qualification. The position is currently available. Candidates should hold a DDS/DMD degree, have completed an ADA accredited postgraduate training program in pediatric dentistry and be board certified or board eligible. If board eligible, certification will be required by six (6) years from the last date of training. Interested individuals should have a strong commitment to teaching, clinical research and service. Duties will primarily include clinical and didactic teaching at both the pre-doctoral and graduate levels; and participation in clinical research and service at the dental school and hospital. Salary and academic rank will be commensurate with the qualifications of the selected applicant. Applications, including a letter of interest, curriculum vitae and names of three (3) references should be submitted to: Dr. Alton G. McWhorter, Professor and Chair, Department of Pediatric Dentistry, Texas A&M University Baylor PDT1505 Pediatric Dentist Pasco, WA | Hermiston, OR Advanced Pediatric Dentistry, located in Pasco Washington and Hermiston Oregon, has an immediate opening for a compassionate and motivated pediatric dentist interested in opportunities to provide care focusing on prevention and community involvement. We offer a competitive salary, quarterly bonus potential, health savings account, 401(K) retirement plan, company paid professional liability insurance, paid vacations, continuing education reimbursement and signing bonus. The opportunity for future partnership is an option as well. For inquiries contact Dr. J. Kyle House (541) 387-8688 or send resume to [email protected] 70 May PDT 2015 | Opportunities College of Dentistry, P. O. Box 660677; Dallas, TX 75266-0677.The Texas A&M Health Science Center is an Equal Opportunity/Affirmative Action/ Veterans/Disability Employer. PRACTICE FOR SALE GEORGIA—NORTH. Fantastic pediatric dental practice for sale in north Georgia. Perfect opportunity for a pediatric dentist looking to purchase a wellestablished practice that still has room to grow in your own direction and style. Single doctor practice is 7 1/2 years old and located in an excellent 3000 sq ft facility with great equipment. Reasonable lease and wonderful, hard-working staff. Great community to live in with a large referral area. Selling doctor moving due to spouse’s job opportunity. Send inquiries to [email protected] NEBRASKA—NORTH PLATTE. North Platte, NE. Great practice for sale in the Sandhills of Nebraska. Located an hour from Lake McConaughy and designated as “Rail Town USA”, this town rests at the junction of the North and South Platte rivers with easy travel to Denver CO and Lincoln NE. If you are looking for a relaxed pace of life and enjoy the small town life, this city is for you. All digital, state of the art facility with 4 chairs all plumbed for N2O. Stand alone building. Very large draw area and excellent referral base with room to grow. Privileges established at the hospital and surgery center for OR cases with cases booked a few months out routinely. Sees a healthy mix of insurance and medicaid in a state that is virtually recession proof. Good net. With the right person, this is a golden opportunity. Possibility for quick transition. Please email Dr. Simpson at [email protected] for details. NORTH CAROLINA—GREENSBORO. 30+ year full service pediatric dental practice for sale. Practice is full range, with restorative, preventive, orthodontics, and hospital treatment. Hospital is Level 2 Trauma Center with 2 day op facilities, and full services. Large referral area. Production average for last 5 years-$1,810,000 - 98 percent collection rate and 48% overhead. 950+ new patient exams per year. Well trained staff, 4-4 1/2 day work week currently. Very efficient 2950 square foot Pride-THE Design building with 6 operatory bay and 1 private treatment room. Recently redocrated. Building is in campus setting with another building site that could be developed or sold. ScanX digital xrays. Greensboro is home to 2 branches of the UNC University system with numerous other colleges. School system is excellent. Easy transportation throughout city. Close to mountains and beaches. Excellent opportunity for experienced Pediatric Dentist wishing to relocate or 2 Pediatric Dentists wishing to partner or dual trained Pediatric Dentist. Contact Dr Bryan Cobb at (336) 288-9445 or email [email protected] for more details. OHIO—NORTH CENTRAL. A high quality patient oriented practice is for sale. Located in a small town with strong agricultural and manufacturing base and is home to a branch campus of The Ohio State University. The practice is an easy 40 minute drive from Columbus. Operating room facility available across the street. Interceptive Orthodontics, preventive and restorative care provided to appreciative patients. No Medicaid. Loyal staff, condominium office with other health care providers. Five chairs, Scan X, computerized scheduling and billing. Contact 740-251-8201 for additional practice details. PRACTICE TRANSITIONS PEDS Exclusively. Practice Sales/Transition, Retirement Transition, Associates/Partnerships: Leader since 2004 in the recruitment of Pediatric Dentists nationwide working with Clients and Candidates coast to coast. We understand Pediatric Dentistry, this is our specialty coast to coast. Time to sell, transition into retirement, add an associate, looking for a partner? Looking for a Job or a practice to purchase? Are services are no cost to all Candidates. Let us help you explore your options. We work with all residents, military and confidential Pediatric Dentists in practice today. Practice Sales and Retirement Transition-We are not practice brokers, do not charge 10%, do not sign exclusive agreements and no-risk. We have Buyer’s, Associates, jobs and practices for sale. Tremendous success! You have seen us at the AAPD every year and we have over 40 years experience. To learn more about us, visit our web page and exclusive National Pediatric Dentists Job Board, www.PEDS-Exclusively.com. Toll free 866-533-5899, [email protected]. OFFICE SPACE TEXAS—LEWISVILLE. Office space for pediatric dentist for lease or sale. Gas, water and suction for 5 chairs in an open area and one private operatory. Large waiting room, finance office, consult room, x-ray room, lab, 2 private offices, kitchen/ lounge and built in video game console. 2560 sq. ft. Minimal time required to be open for business. In building with 2 general dentists. 972-317-6211. Tastes better. Won’t clump. Costs less. Introducing wonderflTM Better flavors, better formula Chocolate and Spearmint We only sell direct. We save you money. 888.667.9475 72 May PDT 2015 | Opportunities THE POWER OF RESULTS INSPIRATION EXPERIENCE SOLUTIONS BOOTH #918 Stop by AAPD booth #918 to find out about the Power of DentalSynetics and pick up your free copy of the 2015 practice inspiration guide. DentalSynetics and You. Together We Can Make It Happen. 877-674-1111 www.DentalSynetics.com Go Paperless, Mobile, Seamless at Every Point of Patient Care XLDent™ practically eliminates down time between patients. Giving you more time to focus on what really matters. Your data goes where you go. Designed for your Pediatric Practice so you can: • Record, code and access ALL patient data and images in an instant, all from ONE device. • Present recommendations and obtain signed consent for treatment on the spot. Save Time, In Real Time. Because It’s Your Time. CERTIFIED • CE CERTIFIED • CE • D D• • CE FIED RTIFIE I T R C FIED • ERTIFIE RTI 800.328.2925 | www.XLDent.com Wisdom Teeth Management Treatment of Facial Injury Administration of Anesthesia Corrective Jaw Surgery Dental Implant Surgery Dental and Soft Tissue Surgery Facial Cosmetic Surgery TMJ and Facial Pain Head, Neck and Oral Cancer Obstructive Sleep Apnea Cleft Lip/Palate and Craniofacial Surgery Why refer patients to a surgeon even if their third molars are erupted and pain-free? Even erupted third molars can be prone to disease. An Oral and Maxillofacial Surgeon is well-qualified to regularly assess a patient’s third molar status or, if necessary, to remove problem wisdom teeth. When it comes to wisdom teeth, pain-free does not mean problem-free. Please visit MyOMS.org for further information. MyOMS.org © 2015 American Association of Oral and Maxillofacial Surgeons (AAOMS). Proud sponsor of the Proud Sponsor of Healthy Smiles, Healthy Children Dentistry American Academy of Pediatric 630.954.2662 • www.amarekfinejewelry.com 3021 Butterfield Rd • Oak Brook, IL • Mon - Sat 10am - 6pm • Sun 12pm - 5pm THE FRESHEST TASTE PROPHY PASTE Order online or call 888.667.9475 www.glitzdental.com TrusT our sTAiNless rePuTATioN Introducing NeoMTA Plus , an affordable and predictable bioceramic cement for TM ® “everyday” dentistry. NeoMTA Plus’s stain-free properties ensure it won’t discolor teeth, making it the ideal solution for patients of any age including children. Easy to mix, handle and place Stays in place and won’t wash out At less than $4.11 per treatment*, it is more affordable than other MTA alternatives. Top Endodontic Reparative Cement Award winner. Biomed inc. Call 941.896.9948 or visit avalonbiomed.com to order NeoMTA Plus. *Per treatment costs quoted are based on purchase of the NeoMTA Plus 7 gram Kit. TM In San Antonio, the bell towers of Spanish colonial missions have greeted mornings for almost 300 years. Mexican, European and Western cultures have melded to form a unique personality, and in the heart of it all, you’ll find a downtown core with a river running through it. The recently expanded River Walk runs aside the San Antonio River connecting hotels, restaurants, shops, missions and the Henry B. Gonzalez Convention Center. From a burgeoning culinary scene to over 50 golf courses and theme parks like SeaWorld San Antonio and Six Flags Fiesta Texas, there’s a lot to love about San Antonio. JOIN US AT THE GOURMET COFFEE BAR IN THE MEET AND GREET LOUNGE AT THE AAPD MEETING IN SEATTLE, MAY 22-24, 2015 The Smiles 4 Life Network creates lifestyles that work for you. Enjoy great benefits and pay when you work for us. Or sell your practice and continue doing what you love, without the hassles of running a business. Join Smiles 4 Life Network today because it’s never too early to enjoy what you’ve earned. We are currently HIRING PEDIATRIC DENTISTS and ORTHODONTISTS in South Carolina, Georgia, Virginia, Washington DC and Maryland. We are also ACQUIRING PEDIATRIC DENTAL and ORTHODONTIC PRACTICES in several states. Visit SmilesForLifeNetwork.com to learn more. CONTACT: DR. CHARLES COULTER, Owner, Pediatric Dentist [email protected] 770-695-4530 BRIAN FRIEDMAN, Chief Development Officer [email protected] 678-923-4466 SmilesForLifeNetwork.com A dental experience that makes kids smile. Mom Approved. Enhance your practice growth with kid-friendly technology – no shot, no drill* – that moms talk about with other moms. Expand Your Pediatric Offerings: Infant and child frenectomies. Expose unerupted teeth. Sealant and PRR prep and etch. Class 1-V cavity preps – without the scary sound of a drill! Differentiate your practice and deliver more smiles (877) 813-1443 #1 Pediatric Laser in Dentistry *Individual sensitivity to pain may vary. No shot in most cases. © 2015 BIOLASE, Inc. All rights reserved. Pediatric Dental Marketing Branding, Websites, Brochures, Referral Pads & More... Visit our website to see how we can help your practice grow! Responsive Websites for Any Device Patient Education Videos Logos & Branding Practice Brochures Patient Education Materials SEO & Online Marketing Call us for a free consultation! Social Media Management 1-855-903-0359 ClueDentalMarketing.com Engage,Wow & Win More Patients! All-In-One Engagement Marketing Suite 15 Custom Reward, Loyalty & Kids Club Programs Fun-Filled Patient Hubs Contests, Prizes, Gaming & More Automated Contest Library & Engagement Program Mobile Patient Applications Prize & Reward Fulfillment Service Patient Referral Management Social Media Library, Content Manager & Publisher Integrate your Hub & Practice Management Software Practice Reviews, Testimonials & Patient Surveys Analytics, Reporting & Cost Controls Reminders & Messaging SCHEDULE A LIVE DEMO! 800-560-1469 practicegenius.com AAPD Seattle Booth 724 Demo & Win Prizes! Copyright © 2015 PracticeGeniusTM LLC. All Rights Reserved. Patient Rewards HubTM is a service of PracticeGeniusTM LLC. All registered trademarks belong to their respective companies. eek Craftsmanship Sleek Craftsm cision Top-of-the-line Quality Top-of-th ality Surgical-grade Precision Surgical It’s time to make steel Stainles cision Stainless the switch. al-grade Precision Top-of-the-line Precis Surgical-grade Slee manship Sleek See you at the AAPD! #738 -the-line Precision Precision Precis ess steel Quality Stainless steel Qual Visit us at booth Experience both the wonder and innovative use of the Apple Watch and ACERO3S! Enter to win your own Apple Watch for every $50 spent on ACERO3S crowns. ✔ Constructed with surgical-grade stainless steel and preformed and pre-contoured to prevent microgaps, ACERO3S stainless steel crowns use a clear, easy to understand numbering system that can be paired with other organizational trays, making use and re-ordering as efficient as possible. ✔ ✔ ✔ Why spend more than you need to? (855) 282-7782 | www.AceroCrowns.com Half the price Same sizing Premium quality Laser etched on lingual and won’t fade after autoclaved! IS HYPOPHOSPHATASIA (HPP) IN YOUR PRACTICE? PREMATURE, PAINLESS, WHOLE-ROOT EXFOLIATION OF DECIDUOUS TEETH IS A HALLMARK OF PEDIATRIC-ONSET HPP. 1-6 HPP can be life threatening.4,7 It is an inherited metabolic disorder, and patients of all ages can experience a range of systemic consequences.4 Low alkaline phosphatase (ALP) activity, resulting from loss-of-function mutations in the ALPL gene, is the cause of HPP.4,8,9 In patients with HPP, acellular root cementum is deficient, resulting in compromised periodontal attachment.10 Premature exfoliation of the incisors with root intact is typical.3 Incisor from patient with HPP with root intact. Incisor with root resorbed. Image courtesy of Research Center, Shriners Hospitals for Children – St. Louis. PEDIATRIC DENTISTS CAN PLAY A CRITICAL ROLE IN THE DETECTION OF HPP. If you see signs of HPP in your practice, speak with your patient’s pediatrician or urge the parents to speak with a pediatrician about getting their child tested for low ALP. A routine blood test for low ALP can lead to an accurate diagnosis.3,4 Learn more at HelpDiagnoseHPP.com References: 1. Whyte MP. Physiological role of alkaline phosphatase explored in hypophosphatasia. Ann N Y Acad Sci. 2010;1192:190200. 2. van den Bos T, Handoko G, Niehof A, et al. Cementum and dentin in hypophosphatasia. J Dent Res. 2005;84(11):1021-1025. 3. Mornet E, Nunes ME. Hypophosphatasia. In: Pagon RA, Bird TD, Dolan CR, Stephen K, eds. GeneReviews. Seattle, WA: University of Washington, Seattle; 1993. http://www.ncbi.nlm.nih.gov/books/NBK1150/. Published November 20, 2007. Updated August 5, 2010. Accessed March 31, 2014. 4. Rockman-Greenberg C. Hypophosphatasia. Pediatr Endocrinol Rev. 2013;10(suppl 2):380388. 5. Reibel A, Maniére M-C, Clauss F, et al. Orodental phenotype and genotype findings in all subtypes of hypophosphatasia. Orphanet J Rare Dis. 2009;4:6. http://www.ojrd.com/content/4/1/6. Published February 21, 2009. Accessed March 31, 2014. 6. Whyte MP, Murphy WA, Fallon MD. Adult hypophosphatasia with chondrocalcinosis and arthropathy: variable penetrance of hypophosphatasemia in a large Oklahoma kindred. Am J Med. 1982;72(4):631-641. 7. Fraser D. Hypophosphatasia. Am J Med. 1957;22(5):730-746. 8. Whyte MP. Hypophosphatasia: nature’s window on alkaline phosphatase function in humans. In: Bilezikian JP, Raisz LG, Martin TJ, eds. Principles of Bone Biology. Vol 1. 3rd ed. San Diego, CA: Academic Press; 2008:1573-1598. 9. Whyte MP. Hypophosphatasia. In: Scriver CR, Beaudet AL, Sly WS, Valle D, eds. The Metabolic and Molecular Bases of Inherited Disease. Vol 4. 8th ed. New York, NY: McGraw-Hill; 2001:5313-5329. 10. Foster BL, Ramnitz MS, Gafni RI, et al. Rare bone diseases and their dental, oral, and craniofacial manifestations. J Dent Res. 2014;93(suppl 7):7S-19S. Copyright © 2015, Alexion Pharmaceuticals, Inc. All rights reserved. 0115.3.3.0.003 DOWNLOAD COMPLETE MOUTH MONSTER DEFENSE KIT Join the Monster-Free Mouths Movement Stand up to the Mouth Monsters — those little mascots for tooth decay, the number-one chronic infectious disease among children in the US. Help your kids keep the monsters out of their mouths with our handy posters, fact sheets and other fun stuff available for download on our website: mychildrensteeth.org/mouth_monsters TM YOUR SOURCE for Pediatric Appliances and Products SPACE MAINTAINERS LABORATORIES SML is your premier provider – “fitting” your every need with a complete range of simple, effective, affordable treatment solutions. We are your partner in pediatric patient care, and have been for more than 50 years. Nance SML Band & Loop Lower Lingual Arch (LLHA) 1-800-423-3270 E ISTRA S www.SMLglobal.com G Rapid Palatal Expansion (R.P.E.) R RE Groper Pedo Partial (composite or acrylic) U R O P E www.SMLpediatrics.com NEW FOR 2014 LIFELIKE™ PEDIATRIC CROWNS Better than Zirconia – and conveniently compatible with any restorative composite. Lifelike™ Pediatric Crowns deliver simple, ultra-durable, natural-looking results. • Esthetically translucent – easy chair-side shading • Color stable – no stain, discolor or fade • Easily adjustable – height, length, contour Available in Six Sizes for Each Tooth – Centrals and Laterals 470-300 LIFELIKE™ ANTERIOR CROWN KIT 24 Crowns – Centrals and Laterals $349.00 470-350 LIFELIKE™ 1ST PRIMARY CROWN KIT 24 Crowns – 1 of each crown $349.00 REPLACEMENT CROWNS, ea $12.95 Specialized Care Co, Inc. Rainbow Stabilizing System ® ur See O Come ed System mprov le New I tt in Sea 11 #7 Booth New soothing, teal-blue color New breathable mesh Bright new colors! Durable vinyl cover in new deep teal Hinged Board bends with the dental chair Coordinates with our original teal boards The Rainbow® Stabilizing System, designed for dentistry, consists of a breathable mesh wrap and a padded board. The system keeps the patient safe while maintaining a cool environment and providing access for monitoring wires. Our colorful closures give the wrap a friendly look, so it is better accepted by patients and parents. Update your office today! Call us toll free at 1-800-722-7375 or visit our website at www.specializedcare.com We create unique products that help you provide safe, comfortable care. www.specializedcare.com __________________________________________________________________________________________________ 24 Stickney Terrace Unit 2, Hampton, NH 03842-4902 603-926-0071 fax 603-926-5905 © 2015 Specialized Care Co., Inc. 800-722-7375