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October 2011
Marion Polk The Newsletter of the Marion Polk Dental Society
The Newsletter of the Marion Polk Dental Society
“ODA Conference”
By: Michelle Aldrich, DMD
Another year, another convention…I cannot even count how many Oregon Dental Conventions I
have attended in the last twenty-plus years. Each year has its similarities as well as its differences. This
convention was no different.
The dental hygienists have had the ODHA as a part of the convention and then separate in a building
across the street. It was nice to see them be a part of the convention again this year. Parking and traffic
remains a negative which can likely not be improved on without moving the convention to another
venue.
The exhibits and continuing education seem to be a constant across my memory of ODC. It is
always a great place to talk with vendors about problems encountered and new products available.
Continuing education courses can be just what you need to learn about, or a nice brush-up on an
old topic.
A few highlights of our visit to the exhibit hall were spending time with the people from Angie’s List
and learning how their program works for both dental offices and the consumer. The salesman from
Bisco taught us more about their new product, Thera-cal. We had heard about this product at a Gordon
Christensen course as a single step alternative for a liner/base/pulp-cap material. The show discount
helped our decision to purchase the product. Our staff found the free massages at the far end of the
exhibit hall and teeth bleaching at the Patterson booth. They were still talking about it this week!
One thing has never been a disappointment to me is the camaraderie of seeing and socializing with
my “dental brethren.” This is often the only time of the year I get to see certain individuals. It just goes
to show there is a little bit of everything at the Oregon Dental Convention. This year was no different.
MAY 2013
VOLUNTEERS ARE NEEDED
MOM 2014 will be in Salem,
July 10-13th.
Save the date, plan now to be there!
The MP Newsletter is a member publication of the American
Association of Dental Editors
MARION POLK
DENTAL SOCIETY
BOARD OF DIRECTORS
PRESIDENT
Bart Carter, DMD MS
PRESIDENT-ELECT
Chris Finlayson, DMD
VICE PRESIDENT
David Swiderski, DDS, MD
PAST PRESIDENT
Michelle Aldrich, DMD
SECRETARY TREASURER
Michelle Aldrich, DMD
(interim)
REPRESENTATIVE AT LARGE
Frank Allen, DMD, MAGD
REPRESENTATIVE, MARION COUNTY
Ronda Trotman Reese, DMD
REPRESENTATIVE, POLK COUNTY
Selma Moon Pierce, DDS
TRUSTEES TO THE ODA
Joni Young, DMD
Gary Boehne DMD, MAGD
PEER REVIEW COMMITTEE-CHAIR
Stephen Hough, DDS
ADMINISTRATIVE SECRETARY
Lori Lambright
ADA
PH: (800) 621-8099
FAX: (312) 440-2500
Website: www.ada.org
ODA
PH: (800) 452-5628
FAX: (503) 218-2009
Email: info@oregondental.org
Website: www.oregondental.org
MP
PH: (503) 581-9353
FAX: 503) 581-0628
EXECUTIVE BOARD
NOTES
The Executive Board met on April 2nd, 2013
The MP Dental Day committee met at 6:15PM
prior to the Board meeting start. All specifics are
being worked out. One last meeting on April
23rd , 6:30PM will be needed to finalize details
for the free clinic at Chemeketa on May 3rd.
The ODA Executive Board is working on
conference calls to fine tune finances with new
Director Donald Bretthauer, who is well versed in
the subject of budgets.
HOD representation will be very important this
year due to significant changes in Governance.
Delegates will now elect members of the Board
of Trustees.
Suggestions were taken for newsletter articles.
The 2013-14 speaker schedule is complete with
the exception of two dates where topics and titles
are needed. The schedule will be mailed to all
dentists in the summer.
It was announced that MOM 2014 will be located
at Chemeketa Community College in Salem,
July 10-13th. Details will be broadcast as they
become available.
New Board candidates names are needed for four
executive positions that will be open on June 1st.
Board members will make calls and contact
dentists to see if they have interest. With the
changes in ODA Governance the two current
Trustee positions will be eliminated leaving MP
with only eight board members.
MP will be asking sponsors of the September
10th CE course to provide a raffle as a big
welcome back motivator. This course will be
accommodated by the Boys and Girls Club of
Salem. All staff are encouraged to attend as the
topic will be on teens.
Page 2 MAY
Page 3
A Life member is an active retired dentist in good standing who is at least 65 and has maintained either
30 consecutive years or 40 non-consecutive years of active and or retired membership.
Active life members pay half of their active dues for both ODA and ADA, retired life members do not
pay dues. These MP members have reached a milestone in their tripartite membership and have
achieved life member status in 2013.
GERALD E. ANDERSON, DMD
DONALD J. FROMHERZ, DMD
DENNIS D. JOHNSON, DMD
JOHN CHRIS MARTIN, DMD
HENRY CLAYTON STEARNS, DMD
ROGER K. VANSANTEN, DDS
CONGRATULATIONS TO
MPs NEWEST RETIREE
Dr. Timothy Boehm, DMD, MS
as of May15th.
Dr. Boehm joined MP in March
2006, is a 1975 graduate of
OHSU and earned his MS in
2002.
Thank you for your years of service
to the community, enjoy your time!
MISSION OF MERCY 2014 IN SALEM
Add it to your calendar, it’s confirmed….Mission of Mercy 2014
will be held at Chemeketa Community College in their gym,
July 10-13th! Set up will be the 10th, patients are seen on the 11
&12 and tear down will be the 13th.
If you want to see how the process works please consider volunteering for MOM 2013 in Portland for
some hands on experience.
MPS NEWEST LIFETME MEMBERS
CONGRATULATIONS….
Marion Polk Dental Society has been designated an approved PACE program Provider by the Academy of General Dentistry. This program provider’s formal CDE programs are accepted by the AGD for
membership maintenance, Fellowship, and Mastership credits. The current term of approval that has been
requested by the Oregon AGD, from National AGD on your behalf is from August 1, 2011 through July 31, 2015. Provider ID#212405
TUESDAY-MAY 14, 2013
“Techniques and Trends in Dental Materials”
Jon Fundingsland-3M/ESPE
MENU: Beef burgers with cheese and condiments, potato salad, baked beans, watermelon wedges,
beverages, light dessert and no host-bar, garden burgers on request.
COST: $20 cash or check only.
RESERVATION DEADLINE: is Thursday May 9th!!! All meals reserved and not honored will be
billed. You may cancel on or before May 9th without charge.
PARKING: Is behind Roth’s, use the Hospitality door upstairs to the 2nd floor, “Oregon Room”.
RSVP: (503)581-9353 or e-mail mpdentalce@qwestoffice.net. You are asked to reserve with or
without a meal in order to have the proper amount of seating available.
SPONSORS: Assured Dental Lab, WEO Media, O’Brien Dental Lab, Key Bank
BIO: After training as a Chemical Engineer, Jon Fundingsland joined 3M in 1979. During his long
career in dental materials, Jon has held positions of increasing responsibilities in the areas of research,
product development, technical services, international profession service and most recently, as the
scientific affairs manager for the Restorative Business Team. His current assignment is as professional
relations manager.
OBJECTIVE: Learn new techniques and tips to optimize the performance of today’s adhesives,
composites and cements. Differentiate between the restorative options for CAD/CAM dentistry.
DESCRIPTION LECTURE: During this presentation you will see both clinical and technical results
with today’s restorative products and cements. Adhesives have changed rapidly in recent years. How
are the new universal systems working? Nanotechnology: What can it offer to restorative materials,
from adhesives to flowables to universals to glass ionomers. Cements: With the increase in ceramic
restorations, cementation has become a topic of interest. Today’s systems are stronger, more efficient,
and more color stable. From a clinical perspective, techniques and tips collected through collaborations
LOCATION: Roth’s West Salem
TIME: 5:30 social hour 6PM dinner 6:45 Speaker Presents 2CE
All Staff Welcome to Attend!
Page 4 MAY
Page 5
A DAY OF GIVING-SATURDAY MAY 11, 2013
Northbank Surgical Center will be offering surgical procedures at no cost to patients on
Saturday, May 11th to those in our community that are unable to pay due to extenuating
circumstances such as no health care coverage, etc.
Volunteers include surgeons, anesthesiologists, nurses, business office teammates and janitorial
services. Medical Teams International through Dr. Phillips’ referral has graciously offered
their dental van to meet the needs of 15-20 patients that need extractions.
If you have a patient that you believe would be a candidate for the Day of Giving please
contact one of the Surgical Center at, (503) 364-3704.
NOTICES...
UPDATED 1-9 FORM REQUIRED FOR ALL NEW HIRES
The Department of Homeland Security announced that a new form 1-9 will be required for all
new hires immediately. Prior versions of the Form 1-9 can no longer be used effective May 7.
There is no fee for completing the form and it is not filed with the USCIS or any government
agency. However, employers are responsible for completing and retaining the forms for a
designated period and making it available for inspection by authorized government officers.
From: ADA
PROPOSED BOARD OF DENTISTY CHANGES TO SEDATION PERMITS
Dentists with Minimal Sedation permits will NOT be allowed to use benzodiazapines or
narcotics on children age six or younger. This ruling will require Oregon dentists to get
Moderate sedation permits if they want to sedate children. From: OBD
MEDICARE CLAIM DENIAL PROCESS BEGINS MAY 1
On May 1, Medicare will "turn on" a claim denial process that affects dentists and other health
care providers ordering particular Medicare-covered items or services for Medicare beneficiar-
ies. As of that date, a provider of a covered clinical laboratory, imaging, durable medical
equipment, prosthetics, orthotics and supplies (DMEPOS) or home health service will not be
paid if the ordering or certifying practitioner has not enrolled in Medicare or properly opted
out.
The announcement of Phase 2 implementation in a special edition of Medicare Learning Net-
work Matters includes guidance on orders or referrals by dentists.
For more coverage, please read the ADA News.
EFFECTIVE MAY 1ST-Regence will require all providers to receive claim payments via EFT.
Page 6
SAVE THE DATES
2013
May 3rd-Chemeketa MP Dental Day-Friday
9AM-2PM OIT/Health Sciences
Building
May 14th-Roth’s “Techniques and Trends in Dental
Materials”
Jon Fundingsland-3M/ESPE (Vote for new Executive Board)
Sept. 6-7th-Friday & Sat.
Sunriver, OR “HOD conference”
Sept. 10th-Boys & Girls-Club
“Teenagers-What Their Mouths
are Telling You But They Aren’t”
Lisa Copeland, RDH-Philips
Sonicare
October 8th-Roth’s
“Ergonomics in the Office-How to
Prevent Back Pain and What to
Do When it Hits”
Jeffrey Blanchard, PT, MS
Therapeutic Associates
November 12-Roth’s
“TBA”
Hrishi Iyengar, MD, FACC
Salem Heart Center
MAY
FRIDAY MAY 3rd, “MP DENTAL DAY”
1st ANNUAL FREE CLINIC AT the OIT
DENTAL HYGIENE BUILDING/
CHEMEKETA 9AM-2PM
MPDS MISSION STATEMENT
“Committed to fostering collegiality, education and
community service”
Page 7
HOD SEPTEMBER 6 & 7, 2013 SUNRIVER
RESORT
MP will need to fill 8 delegate positions
and 2 alternate positions before July 8th!!
Governance will be the new standard with changes
that were instituted at last years House. Delegates will
now elect the members of the Board of Trustees, while
also having direct input into other ODA business. It is
of the utmost importance that MP is fully represented.
Call or e-mail the MP office and let Lori know that you will be willing to represent your component
society this summer. MP will reimburse members $100 towards travel/room expenses.
Lodging: 1-800-801-8765 or www.sunriver-resort.com, mention HOD to take advantage of your room
discount.
Nearby recreation abounds. Horseback riding for all ages, guided outdoor tours, explore a crater, bike
tours perfect for kids. Bring your family and take a mini-vacation!
For more information regarding House of Delegates go to: www.oregondental.org.
Lori @ (503) 581-9353 or mpdentalce@qwestoffice.net
Page 8 MAY
THE EXECUTIVE BOARD NEEDS
YOU!
Nominations are being
accepted for the 2013-2014
MP Board.
Elections will be held on
May 14th, which is the last CE course of the current
series.
Is this the year you make time to volunteer? Many
of the past Board members have spent several years
in a variety of positions and have found it an great
way to become acquainted with other dentists in the
component. This is also an excellent avenue to
share your concerns and thoughts with other dental
colleagues.
Board Positions open June 1st are:
President Elect
Vice President
Rep. at Large
Secretary/Treasurer-Nominee Jennifer Frankel
Please contact Lori at the MP office with your
interest. @ (503) 581-9353.
VOLUNTEERS
EXIT HERE!
Upcoming DFO
Event - Chip for
Teeth Golf Tournament
Friday, June 21st.
Call the DFO to save
your spot.
(503) 594-0880.
Jennifer Frankel, DMD has a new office:
Dental Arts NW-4734 River Rd., Keizer, Or 97303
(503) 463-4663
Page 9
Platinum Sponsor: Chemeketa Community College Foundation Silver Sponsor: The H Group, Inc.
Pearl Sponsors: Rich Duncan Construction Saalfeld Griggs, PC Cravinho & Jaeger Financial, Inc. Drs. Bud & Selma Pierce Donofrio-Skyline Ford, Mercedes-Benz and Acura of Salem HR Central Inc. Willamette Valley Bank Columbia State Bank
Other Sponsors: DBC Oregon Tech Dental Hygiene Chemeketa CC Dental Assisting Assured Dental Lab Dr. & Mrs. Frank Allen Medical Teams International O’Brien Dental Lab Patterson Dental Boys & Girls Club of Salem Salem Free Medical & Dental Clinic
Approximately 17 of MPs dentists will be under the auspices of the OIT/CCC Dental Hygiene Clinic. MP dentists will be working with OIT’s second year hygiene students who will have completed all x-rays and will be administering anesthesia for the project. Chemeketa’s second year dental assistants will be assisting and are looking forward to the new skills they will acquire. There is general excitement for the project. This free dental clinic will treat 50-75 low-income patients that have been pre-screened to enable the event to run smoothly. The intent is to have a manageable, pleasant experience for all involved.
MP DENTAL DAY, MAY 3, 2013 The goal of $10,000
for MP Dental Day 2013
has been reached.
Thank you donors!!!
There is still time to make a donation! Make your check to: the ODA Charitable Activities Fund, with a memo-MP Dental Day. Mail checks to: MPDS 2020 Commercial St. SE, Salem, OR 97302 Any excess funds will be held in the ODA Charitable Activities Fund for future MP Dental Days.
Page 10 MAY
Tobacco and heavy alcohol use are the primary risk factors for oral cancer, which has traditionally been
a disease of older men.
Despite national primary prevention strategies that have resulted in a precipitous decline in the rate of
cigarette smoking since 1965, the overall incidence of head and neck cancer in the United States has
decreased only modestly. In addition, recent evidence suggests that the rate of some types of head and
neck cancer (oral and oropharyngeal) is increasing in younger (44-58 years) never-smokers.
Human papilloma virus (HPV) has been identified as a major risk factor for squamous cell carcinoma of the tonsil
and base of tongue and is the reason behind a striking increase in the incidence of oral, head and neck
cancers (OHNC) in young (less than 60), never-smoking patients. HPV infection is highly prevalent in
the U.S. population. If recent trends in the incidence of HPV-driven OHNC continue, it is estimated that
by the year 2020, the number of oropharyngeal cancers diagnosed each year will surpass cervical
cancers. Even more alarming, in the U.S. more people die from OHNC than from melanoma, cervical
cancer, and ovarian cancer combined.
The silver lining in this discouraging trend is that HPV-related OHNC appears to have a better progno-
sis than its HPV-unrelated counterpart. According to a recently published report, the three-year survival
of HPV-positive OHNC patients is 84% compared to 57% survival for HPV-negative patients who were
treated with the same standard chemoradiation therapy protocols. This realization has lead some
researchers to question whether or not standard therapeutic protocols can be “de-escalated” to improve
functional outcomes and quality of life, without sacrificing disease control.
Towards that goal in 2010, the Federal Drug Administration approved the use of the DaVinci Robot
for the treatment of oral, head and neck cancer. Known as ‘transoral robotic surgery’ or ‘TORS”, this
minimally invasive technique now affords a ‘natural orifice’ surgical resection of tumors of the orophar-
ynx that previously required extensive operations to perform, or were treated with combinations of
chemotherapy and radiotherapy. TORS offers the potential advantage of eliminating the need for
radiation and/or chemotherapy in some patients, or possibly decreasing the dose of postoperative
radiation therapy, thereby minimizing side effects of treatment. Surgeons at the Providence Cancer
Center were among the first on the West Coast to perform TORS for malignant tumors.
For many patients with OHNC, surgery remains the primary modality of treatment. The development
of modern reconstructive techniques, such as microvascular free tissue transfer, coupled with digital
treatment planning and image guidance, pioneered at Providence Cancer Center, has significantly
enhanced the surgeon’s armamentarium for the predictable reconstruction of ablative defects following
oral, head and neck cancer resections. These techniques allow for removal of the cancer and restoration
of the patient’s speech, swallowing and appearance in a single operation. Collaboration with dental
specialists also allows the replacement of missing bone and teeth to return the patient to optimal oral
function (figure 2-3). These technological advances in surgery have been coupled by novel chemothera-
peutic regimens that are increasingly incorporated into already well-established radiation therapy proto-
cols utilizing salivary gland-sparing intensity-modulated radiation therapy (IMRT) techniques.
The Providence Oral, Head and Neck Cancer Program was initiated at the Providence Cancer Center in
2009 with the goal of improving patient care by: 1) coordinating multidisciplinary diagnosis and
treatment; 2) utilizing technology to provide less invasive therapy and improve functional outcomes; Continued on next page
RISING RATES OF ORAL CANCER AMONGST NON-SMOKING YOUNG PEOPLE
By: R. Bryan Bell, MD, DDS, FACS
Page 11
and 3) collaborating with translational scientists in order to develop novel therapeutic agents and bring
them to clinical trial.
Opened in December 2012, The Providence Oral, Head and Neck Cancer Clinic blends medicine and
dentistry-creating a multi-disciplinary medical and dental oncology clinic, a first in the Pacific North-
west. The Providence Oral, Head and Neck Cancer Clinic has three distinct components:
The outpatient clinic will be located on the 6th floor of the Providence Cancer Center. The
program’s multidisciplinary team of more than 20 specialists includes head and neck surgeons,
otolaryngologists, oral and maxillofacial surgeons, radiation oncologists, medical oncologists,
reconstructive microvascular surgeons, radiologists, pathologists, dentists, speech/swallow
therapists, and social workers. Members of the team work together to develop treatment plans for
head and neck cancer patients that incorporate the latest technology and most advanced surgical
techniques, including minimally invasive surgery, robotic surgery, microvascular reconstructive
surgery, virtual surgical planning, and numerous nonsurgical cancer therapies.
A Maxillofacial Prosthodontist will consult with patients in the clinic. He will design and coordi-
nate prosthetic rehabilitation to replace missing areas of bone or tissue and to restore oral functions
such as swallowing, speech and chewing. Fitting of the devices will be done in the Providence Child
Center Dental Clinic.
Because various cancer treatments affect patients and alter dental care, a Dental Oncologist will be
an active member of the multidisciplinary team in the clinic beginning in July 2013. Pre-treatment,
dental intervention and active dental treatment to lessen the side effects of cancer and its treatment
will be provided to patients both in the Cancer Center Clinic and in the Child Center Dental Clinic.
Figure Legend:
Figure 1. Transoral robotic surgery (TORS) allows for minimally invasive
surgical resection of tumors of the oropharynx that previously required
extensive operations to perform.
Figure 2. Computer plan of oral cancer patient. A software program is
utilized to plan the resection (maxillectomy) and reconstruction with the
patient’s own fibula.
Figure 3. Specialized cutting guides are printed using a CAD/CAM process,
which assists in transfer of the virtual plan to the patient and optimal
reconstruction and return of form and function.
Figure 4. Panoramic radiograph demonstrating the resection and fibular
free flap with dental implants placed into the fibula.
Figure 5. Grateful oral cancer survivor. Modern reconstructive and prosthetic
methods allow for optimal functional outcomes, including a dental implant
supported, fixed prosthesis, despite removal of two thirds of the patient’s
upper jaw. Continued on next page
Page 12
Cancer continued
Quick Tip - Diagnosing oropharyngeal cancer
Most commonly presents as firm neck mass in adult (under 60 years old)
May be precipitated by throat pain, difficulty swallowing, hoarseness, but not necessarily
Tonsil mass or enlarged pharyngeal tonsil may or may not be present
Base of tongue tumors generally require nasopharyngoscopy to identify
NECK MASS IN AN ADULT IS METASTATIC SQUAMOUS CELL CARCINOMA UNTIL
PROVEN OTHERWISE
About Dr. Bell:
Dr. Bell, an oral and maxillofacial surgeon, is Medical Director of the Providence Oral, Head and Neck
Cancer Program and Clinic at the Providence Cancer Center, Affiliate Professor at Oregon Health and
Science University, and maintains a private practice at Head and Neck Surgical Associates in N.W.
Portland.
Acknowledgement: The author would like to thank Dr. Larry Over, a maxillofacial prosthodon-
tist from Eugene, Oregon, for his friendship, support and guidance during the reconstruction
of dozens of oral cancer patients over the last 10 years. His dedication and ingenuity has
benefitted the citizens of Oregon and most importantly, the patients whom it is our privilege to
serve. Dr. Over restored and prosthetically rehabilitated the patient presented in this article
(figures 2-5).
R. Bryan Bell, MD, DDS, FACS
Medical Director
Providence Oral, Head and Neck Cancer Program and Clinic
Providence Cancer Center, 4805 NE Glisan St., Suite 6N50, Portland, OR 97213
MAY
On behalf of the Pacific Coast Society for Prosthodontists, Dr. Larry M. Over would like to invite MP
members to the, 2013 Annual Meeting in Anchorage, Alaska. The meetings will take place at the Hotel
Captain Hook, June 26th-June 29th, 2013. For more information any interested
member may go to PCSP.com.
Thank you,
Larry M. Over, D.M.D, M.S.D.
SCHOOLS OUT
SKSD
June 6 & 7: Graduations
June 11: last day for K –5
June 12: Last day for 6-11
Dallas SD June 1 Graduations
June 5: Last day for all elementary
June 6: Last day for secondary
Central SD June 7: Last day
Page 13
ODA Dentists Well-Being
24-hour Hotline
1- 503-550-0190
For help with litigation stress
support,
contact ODA's central office at
(800) 452-5628 Ext. 108.
The May issue of the MP newsletter will be the last edition
until September. Members are encouraged to send updates or
photos on summer events, trips and projects, MP will be happy
to publish those in the Fall.
Thank you Lori
MP
MOMENTS IN DENTAL
HISTORY - 1846
William Thomas Green
Morton An American dentist
who first publicly demonstrated
the use of inhaled ether as a
surgical anesthetic in 1846.
The promotion of his questiona-
ble claim to have been the
discoverer of anesthesia became
an obsession for the rest of his
life.
Deadlines for all contributions, articles and sponsored ads is
the15th of the prior month.
Page 14
HIPPA Q & A
A dental association peer review committee has requested
records on one of our patients. The committee provided a release
signed by the patient. Are we in violation of HIPAA if we release
the records without a business associate agreement?
No. You are not in violation of HIPAA if you disclose information to your state
dental association for peer review. Business associate agreements have no
relevance to peer review in this situation. The key is to make sure the patient has
signed a release that authorizes disclosure of his or her records.
Beryl Fletcher, 503-218-2010 ext. 106. For any questions you might have.
MAY
ADA UPDATING HIPAA
MANUAL
Compliance is expected by
September 23, 2013. Most
covered dental practices will
need to review and revise
their HIPAA compliance
policies, procedures and
documents, such as, Notice
of Privacy Practice and Busi-
ness Associate Agreements,
to comply with regulations
that went into effect March
26th. Dental practices have
been given an additional 180
days from March 26th to
comply with requirements.
The ADA will send a
comprehensive update to
the ADA Practical Guide
to HIPAA Compliance
Privacy and Security Kit later
this year. Nine examples of
“major provisions” in the
final rule will be cited.
Page 15
Page 16
MAY
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