APRIL 2011 VOLUME 12, ISSUE 4 AVAILABLE ONLINE AT TDA.ORG

Inside

Kennedy Dental Center Group Holds 5K TDA Smiles FoundationRemembering Mrs. Macaulay TDA Perks TEXAS Meeting Preview MK’s Board Notes TSBDE Rule Update

May Journal News

Oral Cancer special issue

Around the State

May 5-8, 2011The TEXAS Meeting, San Antonio May 8, 2011TDA Board of DirectorsSan Antonio

Click & Connect

Join us on Facebookwww.groups.to/texasdental Follow us on Twittertwitter.com/theTDA Get LinkedINLinkedin.com, search “Texas Dental Association”

JUNE, 2008 VOLUME 9, ISSUE 6 AVAILABLE ONLINE AT TDA.ORG

InsideMedicaid in My Office?Yes, I Think So!Richard M. Smith, DDS

TDA Smiles FoundationTMOM gains ardent advocate

Ask the PresidentIncoming President’s messageHilton Israelson, DDS

Let’s TalkOutgoing President’s messageA. David May, Jr., DDS

2008-2009 TDA Board of Directors

Meet Your TDA StaffTDA’s new Finance Director Dee Dee Delagarza

Congratulations to TDA Component Societies

Streamline Your Insurance ClaimsSpeeding up confirmation of benefits and eligibility

TSBDE Rule UpdateRequirements for dental office radiograph machines

In the NewsTDA members in the news

July Journal NewsTooth Whitening: A Clinical Review

TDA Historical PerspectivesDentists, dental hygienists, and the dental team

The 2007 C.T. Rowland AwardOrthodontic case report

The El Paso Dental Conference

Around the StateAugust 14:TDA Board MeetingAustin, Texas

October 15-19:ADA Annual SessionSan Antonio, Texas

Click & ConnectUpdate Profile tda.org – Membership Info Ask a Colleague tda.org – Features TEXAS Meeting Photostexasmeeting.com/estore

Volunteer for ‘08 ADAtda.org/volunteerada08

Every Member MattersRise’ Lyman, DDS, TDA Future Focus Committee

Membership growth is vital to any thriving organization. The Texas Dental Association (TDA) Board is strongly committed to the Membership goal within the “TDA 2009” strategic plan, which addresses continued growth. I am proud to report that, as evidence of that commitment and for the second year in a row, the TDA received the following ADA awards in 2008:• Greatest Percentage Membership Net Gain: Texas had a net gain of 198 members in the year 2007.• Top Constituent Dental Society with Greatest Percentage of Non-Members to Membership: Represents a conversion of 4.7 percent of non-members into membership at end of year 2007.• Top Constituent Dental Society to Improve Retention Rate Percentage in 2007: Represents a 97 percent Association retention rate, which is an increase of 7 percent from the previous year.• Greatest Percentage of New Dentist Members: Represents a gain of 111 new dentist members (those dentists who are 1-9 years out of school).

Another example of the commitment to the growth of our Association is the TDA Externship Program, which builds student awareness of organized dentistry. This innovative program, created in 2007, offers students the opportunity to gain insight into the different components of organized dentistry including legislative and regulatory affairs, membership, governance, continuing education, and charitable dentistry and to gain a better understanding of their role as future leaders of the dental team. The program is open to dental students from each of the three dental schools in Texas. This year the externship program will take place June 20 – June 27 in Austin at the TDA central office. As an ongoing effort to enhance the value and benefits of the Association, the TDA Council on Membership developed a survey that was sent to all members in 2006. The results clearly showed that members have a high satisfaction rating with benefits such as the TEXAS Meeting, TDA publications, and the ability to participate philanthropically in the TDA Smiles Foundation. A great number of the discounted programs offered to members through the TDA Perks Program also received a high satisfaction rating. In accordance with the strategic plan, the Council on Membership, will survey members again in 2009. Participation from all members and a collaborative effort between the ADA, TDA, and local component societies are the keys to successful membership recruitment and retention. We encourage every member to get involved whether it is by attending local meetings, taking part in Give Kids a Smile! Day activities, volunteering at a Texas Mission of Mercy, or participating in TDA Legislative Day activities in Austin. Each member matters and is essential to the continued growth of our Association and of organized dentistry. This is the seventh and final in a series of articles focused on the TDA’s accomplishments guided by the strategic plan. To view the entire plan, log in at www.tda.org and click on “TDA 2009” under “Current Issues” on the member homepage. For more information, please contact Lyda Creus Molanphy, staff liaison to the Future Focus Committee, at the TDA central office, (512) 443-3675.

MembershipDentists will value membership and participation in the TDA.

Objectives1. Improve perceived value and benefits of membership in TDA. a. Increase members’ knowledge about the impact and benefits of TDA membership. b. Ensure that components are an integral aspect of the membership process. c. Create greater awareness of the availability of the Peer Review, Ethics & Judicial, and Risk Management benefits. d. Actively promote adherence to the Code of Ethics. e. Enhance communication with members and non-members. f. Build student awareness of and interest in organized dentistry and membership in TDA. g. Ensure ongoing contact with students throughout dental school. h. Work closely with dental school faculty. i. Evaluate number of nonmember dentists who attend and participate in TDA activities (TEXAS Meeting, TDA Smiles Foundation programs, etc.).Metrics1. Seventy percent of active licensed dentists in TX will be members of TDA by 2009 (baseline of 68.5% in January 2007); increase

membership retention rate to 97 percent by April 2007 (baseline 96% in 2006). a-d. Increase the number of dentists serving on component peer review and ethics and judicial affairs committees to attain a

participation rate of 2-5 percent relative to the total number of component society members by August 2009.2. Ninety percent of TX dental school graduates actively licensed in TX will be members of TDA five years after graduation (89%

dental student conversion from the graduating class of 2005 in Texas).3. Increase the number of member dentists actively participating in TDA by 1 percent a year (as measured by a variety of means

– participation at TX Meeting, TMOM, TXDDS, FSI programs, DENPAC participations, TDA legislative day) with annual report to TDA Board by the Council on Membership.

4. Establish baseline of nonmember participation at TDA activities (CAS, TDA Smiles Foundation, Membership) 5. Established baseline of members’ understanding of and satisfaction with the benefits of their TDA membership through Member

Benefits and Services Survey (completed Nov 2006), re-evaluate % increase at that time for 2009.6. Sixty-five percent of all full-time faculty will be TDA members by 2009 (2006 baseline = 63%).

Mission: To be The Voice of DenTisTry in Texas

Manpower Advocacy OrganizationalExcellence

Public Image

Development Membership

The TDA will update it’s strategic plan with another statewide retreat in August of 2008.

In 2003, Texas Dental Association members from across the state develop TDA’s first strategic plan, TDA 2009.

Texas Medicaid Electronic Health Record (EHR) Incentive Program

This is the fifth in a series of articles to keep you informed of the Texas Medicaid Electronic Health Record (EHR) Incentive Program and continuing

efforts to implement health information exchange initiatives across Texas. The incentive program provides incentive payments to Medicaid providers for the adoption and meaningful use of certified EHR technology. Future articles will focus on helpful reference websites, health information exchange, meaningful use for dentists, certified EHR technology for dental practices, and other relevant topics of interest to dentists and health information technology (IT). The Texas Health and Human Services Commission (HHSC) is helping physicians, dentists, and health care providers sign up for new incentive payments for using electronic health records. Doctors who establish electronic health record systems that meet federal standards can earn up to $63,750 in Medicaid incentive payments over 6 years. Providers can begin enrolling in the program now, and the first payments are expected in May. The Certified HIT Product List (CHPL) (http://www.cms.gov/EHRIncentivePrograms/25_Certification.asp#TopOfPage) provides the authoritative, comprehensive listing of complete EHRs and EHR modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health Information Technology (ONC). Each Complete EHR and EHR Module has been certified by an ONC-Authorized Testing and Certification Body (ONC-ATCB) and reported to ONC. Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program. As a reminder, dentists do not need to have certified EHR technology in place to register for the EHR incentive programs. However, dentists must adopt, implement, upgrade, or successfully demonstrate meaningful use of certified EHR technology under the Medicaid EHR Incentive Program and successfully demonstrate meaningful use of certified EHR technology under the Medicare EHR Incentive Program before they can receive an EHR incentive payment.

TDA Wins Membership Awards

Legislative Update

Non-Covered Services On May 30, 2011, Texas will adjourn the 82nd legislature. Meeting everyone’s expectations, this session has brought many unique challenges, the largest being a budget shortfall in the range of $23 billion. The Texas House and Senate continue to work to balance the budget mainly by making cuts. Of note, Health and Human Service agencies face a potential reduction of 17 percent.

There are still several stages in the process that will affect the final version of the budget. The House and Senate appropriation bills differ by several billion dollars and both sides will meet in a conference committee to work out the differences. In addition to the continued work on the budget, the arduous task of redrawing district lines also remains.

Even with the many hurdles, the TDA remains optimistic about seeing its legislation implemented in statute. Currently, the TDA is closely monitoring over 150 pieces of legislation. Of those pieces, legislation prohibiting the capping of non-covered services (SB 554/HB 1776) has been at the center of TDA’s advocacy efforts. The hard work of the TDA Council for Legislative and Regulatory Affairs (CLRA), experienced legislative consultants, and dedicated TDA staff have helped propel the bill through the legislative process. SB 554 was passed off the Senate floor on April 14, 2011, and is now headed to the House. HB 1776 is pending in the House Committee on Insurance.

With only a month remaining until session adjourns, CLRA, legislative consultants, and TDA staff will continue to work diligently to educate legislators and promote the highest standards of oral health care for all Texas citizens.

Proposed Changes to Texas Medicaid Dental ProgramSince the update in the March TDA Today, the TDA submitted its final comments on the Health and Human Services Commission’s (HHSC) Request for Proposals (RFP) for the Texas Dental Program. HHSC is seeking the services of two or more dental contractors to commercially administer the statewide Medicaid/Children’s Health Insurance Program (CHIP) dental programs beginning in March 2012.

As a next step, the TDA plans to meet with HHSC officials this summer as they finalize selection of the dental contractors.

In tandem with HHSC’s RFP efforts, the Texas Legislature continues to work through the budget process and the final funding available for Medicaid/CHIP dental services will be unknown until the end of the legislative session — May 30, 2011.

Look for your next update in the May 2011 TDA Today.

For questions or comments, contact TDA’s policy manager Ms. Diane Rhodes at (512) 443-3675 or diane@tda.org.

(L-R) Accepting the awards on behalf of TDA are Dr. Richard D. Collins of Houston, Greater Houston Dental Society; Ms. Jane Evans, Dallas County Dental Society (DCDS) executive director; Ms.  Carrie Goss, DCDS membership coordinator; Ms. Rachael Daigle, TDA membership coordinator; Ms. CeCe Broussard, GHDS membership coordinator; Dr. Jean E. Bainbridge of Dallas, ADA Council on Membership; Dr. Joshua A. Austin of San Antonio, San Antonio District Dental Society.

For the fifth consecutive year, the Texas Dental Association won national awards at the recent ADA Recruitment and Retention Conference held in Chicago, April 1-2, 2011. The awards were for the Greatest Net Gain in Membership, the Greatest Percentage of Nonmembers to Membership and the Greatest Net Gain of New Dentists. Since 2006, the TDA has received 17 awards from the ADA for its recruitment and retention efforts.

The TDA would like to thank component society leaders, volunteers, and staff for their hard work which, in partnership with the state, contributes to the continued growth and success of the association.

State Board Elects New Secretary During the April 2011 Texas State Board of Dental Examiners’ meeting, members elected Dr. Steve Austin, a general dentist from Amarillo, as board secretary. Dr. Austin received his Doctor of Dental Surgery from the Baylor College of Dentistry in 1985. The board elects a new secretary each year. This year, Dr. Austin was the sole nominee to replace Dr. Tamela “Tammy” Gough who now serves as presiding officer. As board secretary, Dr. Austin chairs the Board’s Enforcement Committee. Prior to being elected secretary, he served as a member of the Enforcement and Licensing Committees. Dr. Austin’s term continues through 2013.

April 2011 / TDA Today / 2

Happy, Healthy Smiles … That’s Our Mission!

141st Annual Session of the Texas Dental Association

May 5 – 8, 2011 • San Antonio, Texas

TDA Smiles Foundation (TDASF) lost one of its most valuable, dedicated volunteers, Ellen Macaulay, this month after a long battle with cancer. She was the wife of Dr. Kent Macaulay of Round Rock. Mrs. Macaulay volunteered at many Texas Missions of Mercy and Smiles on Wheels helping Dr. Macaulay run triage. She was always there to scribe for any dentist that needed her assistance, comfort a nervous patient, or help a new volunteer learn the triage ropes. Her smile was contagious and her zest for life was admirable.

Mrs. Macaulay will be greatly missed by the TDASF sta� and volunteers. We would love to hear any stories or memories you have had with her! Please e-mail them to TDASF missions manager Melinda Biggs, melinda@tda.org.

Memorial contributions in her honor can be made to the TDA Smiles Foundation or � e Breast Cancer Resource Center in Round Rock, Texas.

Bragging Rights Winner� e tally has been counted and there is a winner of the Bragging Rights contest! Want to know which school has the most TDASF supporters? You’ll � nd out at the TEXAS Meeting next month. Come by TDASF booth #577 or register to play at the upcoming Healthy Smiles Golf Tournament. � is is an amazing tournament held at the beautiful Pecan Valley Golf Course in San Antonio during the TEXAS Meeting. � e event starts at 7:30 in the morning, includes breakfast and lunch, prizes, and a lot of golf!

To register to play, or to learn about sponsorship opportunities, visit tdasf.org and click on the Healthy Smiles Golf Tournament Logo.

Remembering Ellen Macaulay

Never too late! Never too late! Never too late! Never too late!C. Roger Macias, Jr., DDS, Chair, 2011 TEXAS Meeting

� at’s right! It is never too late to register for the 2011 TEXAS Meeting, May 5-8, 2011, in beautiful San Antonio!

San Antonio has been home to the largest dental meeting in Texas for 37 years. We are excited to present nearly 100 world renowned speakers o� ering more than 200 sessions covering every topic of dentistry to provide continuing education for the dentist and their entire team including the laboratory technician. � is year we are o� ering several of Saturday’s courses designed with the laboratory technician in mind. Be sure that you and your technician come to the “open forum” panel discussion on the future of the dentist/technician relationship in a digital world. You don’t want to miss this!

Perks Partner News Dr. Bud Luecke, Laptop Door Prize, Spark Excitement at TEXAS Party Don’t miss Dr. Bud Luecke and his band, “Morning,” inspired

by classic rock icons of the 1950’s and 1960’s: Elvis, the Beatles, and Jimi Hendrix. � ey’ll perform a fun mix of classic rock and country dance music at the popular TEXAS Party event, sponsored by TDA Perks Program. Pick up your free guitar pick — each uniquely numbered. � en stick around to see if Dr. Luecke draws your pick number, and makes you the lucky winner of a new Dell Inspiron™ laptop!

TDA Perks Program Sponsors GOLD Reception at TEXAS Meeting Continuing a long tradition of support, TDA Perks Program will once again sponsor the GOLD (Graduates of the Last Decade) Reception at the 2011 TEXAS Meeting. TDA Perks Program negotiates discounts or other bene� ts on products and services vetted by a board of nine TDA members. Perks’ money-saving bene� t is especially meaningful to younger TDA member dentists, who are busy building practices, short on time, and likely retiring dental-school debt. “� e relationship between younger TDA-member dentists and TDA Perks Program has been a win-win one, and we keep younger members in mind when we evaluate potential partnerships. We’re pleased to continue supporting GOLD members by sponsoring their well-received reception at TEXAS Meeting,” said Dr. W. Kenneth Horwitz, president of TDA Financial Services, Inc., which manages TDA Perks Program.

ERRATA In the March 2011 TDA Today, the TDA Perks’ website was incorrectly listed. � e correct website address is tdaperks.com.

Questions? Call TDA Perks Program at: (512) 443-3675.

Kennedy Dental Center Holds 5K Run in Corpus Christi On Saturday, February 26, 2011, Kennedy Dental Care held its � rst ever Kennedy Dental Care 5K Fun Run / 2-mile Walk in Corpus Christi. � e event included 264 registered runners and walkers and was organized to bring awareness to February Dental Health Month. Proceeds from the event bene� ted Timon’s Ministries, a nonpro� t organization which aids the local community, particularly the less fortunate and homeless in their time of need. Timon’s Ministries opened a dental clinic in April of 2009 to serve indigent in the area. � e clinic is completely sta� ed with volunteers from the community. Dr. Paul A. Kennedy III of Corpus Christi said he was extremely pleased with the participation and support for the event. “We know there are many unmet oral health needs in the community and hopefully this will raise awareness of that problem.” He says the event was made possible by numerous volunteers and support from local area businesses and extends a special thank you to the following: Volunteers: Merritt Kennedy, Lisa & Alex Peterson, Penelope Baker, Andrea Farias, Annabel Warren, Diane Toscano, Kyle & Lindsey Schmidt, Raquel Huebner, Beverly Hayes, Nora Bower, Dr. Nicole B. Pruitt, Dr. Rex & Jennifer Wildey, Leeann Franco, Brooke & Brenton Franco, Kyle Sanchez, Betty Sandoval, Missi & Brittany DeClercq, Gracie Alvarado, Felicia Parker, Selinda Cantu, and Daniella Pulido. Sponsors: Patterson’s Dental, STVT, American Bank, H.E.B., Pinnacle Computer Services, Classic Printing, LeVu, Kosmo’s Salon, Yorktown Christian Academy, iSupCC, B&J’s Pizza, Gold’s Gym, Jason’s Deli, Gattitown, Academy Sport and Outdoors, Corpus Christi Athletic Club, Niko’s Steakhouse, Montana Mike’s, Sonic, McCallister’s Deli, Everest Water, Free Birds, Corpus Christi Auto � eft Department, Corpus Christi Police Department and Amigo’s Cakeland. For more information about Kennedy Dental Care, please visit paulkennedydds.com.

(L-R) Drs. Rex E. Wildey, Paul Kennedy III, and Nicole B. Pruitt of Kennedy Dental Care of Corpus Christi participate in the Kennedy Dental Care 5K Fun Run / 2-mile Walk in Corpus Christi in February.

(L-R) Drs. Paul Kennedy III and Charles (Chad) M. Allen III, both of Corpus Christi, prepare for the Kennedy Dental Care 5K Fun Run / 2-mile Walk in Corpus Christi in February.

Dr. Kent and Mrs. Ellen Macaulay of Round Rock are pictured. Mrs. Macaulay, a longtime TDASF supporter and volunteer, passed away this month after a lengthy battle with breast cancer.

REGISTER ONSITE — Registration HoursWednesday, May 4 3:00 PM – 6:00 PM� ursday, May 5 7:00 AM – 5:00 PMFriday, May 6 7:00 AM – 5:00 PMSaturday, May 7 7:30 AM – 1:30 PM

COMPLIMENTARY ONSITE PARKING (� ursday and Friday only)� e Alamodome is located at 100 Montana St., San Antonio, Texas 78203. Complimentary shuttle service will be provided to and from the Alamodome (Lot B) for all TEXAS Meeting attendees.

STATE-OF-THE-ART EXHIBIT HALLVisit the exhibit hall in order to � nd more than 500 exhibitor booths that can help you with all of your o° ce needs! � e exhibit hall opens � ursday, May 5, 2011, at 10:00 AM.

And don’t forget about the fabulous Texas Party on � ursday night with food, music, and dancing to thrill all!

We look forward to seeing you all in the next few weeks! Look for me and stop by and say, “HI!”

¡Bienvenidos a San Antonio!

April 2011 / TDA Today / 3

Barriers to Care ThepolicypositionscomingoutoftheAmericanDentalAssociationonwhatwehaveheretoforecalled“accesstocareproblems”arenowbeingrephrasedas“barrierstocareproblems”(1).Thisisamuchtruerrepresentationofthatwithwhichwearedealing.Ofthebarriersthatmightpreventanindividualfromreceivingdentalcare,moneyisbyfarthemostsignificant.Forexample,aMarch7,2011,articleintheADA NewsstatesthatthelackofreasonableMedicaidreimbursementratesisadrivingforcebehindaccessdisparities(2). AstheTDApresident,Ihavevisited25ofthe26districtdentalsocietiesinTexasthisyear.Oneschedulingconflictpreventedmefromvisitingall26,butTDAparliamentarianDr.MichaelStuartandTDAexecutivedirectorMs.MaryKayLinncoveredthatvisit.Ineachmeeting,Ihaveaskedthequestion,“Wouldthoseamongyouwhohavenoopenappointmentsonyourbookandcouldnotacceptanewpatientpleaseraiseyourhand?”Ihaveyettoseeahand.Iknowtherearepracticesthathavereachedtheircapacitytodeliverdentalcare,buttheymustberare.Infactmostdentistsassuremetheycouldseeconsiderablymorepatients.Wehavenotexhaustedourdentalcarecapacity. In2007,thePewCenterontheStatesgaveTexasalettergrade“B”baseduponresponsestoeightPewcreatedbenchmarksaimedataddressingchildren’sdentalhealthneeds.Nearly54percentofMedicaid-enrolledchildrenreceiveddentalservicesin2007.Thisisveryclosetothe58percentofchildrenwithprivateinsurancewhowereseen(3).Ofthoseremainingunseenpatients—privatepayersandMedicaidpatients—mostdonotseeadentistbecause1)theylackthemoney,2)theyareunwillingtotakethetime,or3)theydonotfeeltheneed. InTexas,geographymayalsobeabarriertocare.Ofthe254countiesinTexas,therearesevencountieswithlessthan1,000residents(4).Onecounty,LovingCounty,hasonly65residents(4)!Ifyouchoosetoliveinaremotearea,accesstomanythingswillbedifficult,e.g.,dentistry,medicine,food,clothing,etc. Unfortunately,asignificantportionofourpopulationdoesnotvisitthedentistwhentheyarenotinpain.Weknowthatalmostalldentalproblemsarepreventable.However,gettingpatientcomplianceisdifficult,eveninthosewhomweseetwiceayear.Whatchancedothosewhoneverseeadentisthaveofpreventingdentaldisease?Withoutprevention,theprofessionhasnochanceofdrillingandfillingourwayoutoftheproblem. Soitisallaboutmoney.• Charitablecaremustbefunded:Fundedbythe

government(thetaxpayer).Fundedbycharitableorganizations.

• Preventivedentaleducationisaboutmoney:Moneytopayyourstafftobeeducators.Moneyforpublicmediacampaigns.Moneyforpubliceducationonpreventivecare.

• Bringingdentalcaretothoseinremoteandunderservedareasisaboutmoney:Moneytobuyandstaffclinicsorfederallyqualifiedcommunityhealthcenters.Moneytofunddentiststopracticeinunderservedareas.

• Buildingsocialservicesystemsdesignedtoencourageparentstoseekregulardentalcarefortheirchildrencostmoney.

Remember,nodentist,unlessheorshehasamagicmoneytree,canindividuallyfundcharitablecare.Heorshecanonlyusethefacilitypaidforbyhisorherprivatepayingpatientstotreatthosewithoutresources. Removingthebarrierstodentalcareisnotinthehandsofthedentist,butdependsratheronthewillofthepopulationasawholetoallocateanadequateportionofitsresourcestogetthejobdone. Thisarticlewillbethelastofmy“Ron’sRuminations”fortheTDA Today.IhaveenjoyedwritingforyouandhopemyeffortshavestimulatedsomeofyourthoughtsandconversationsaboutdentistryandtheTDA.

References1. BreakingDownBarrierstoOralHealthforall

Americans:TheRoleofWorkforce,AStatementfromtheAmericanDentalAssociation.Chicago:AmericanDentalAssociation.February22,2011.

2. ADAquestionsfindingsfromPewDHATstudy.ADANews.Chicago:AmericanDentalAssociation.March7,2011.

3. ThePewCenterontheStates.TheCostofDelay:StateDentalPoliciesFailoneinFiveChildren.February2010.

4. DepartmentofStateHealthServicesCenterforHealthStatistics.

Ron’s Ruminations

Ronald L. Rhea, DDS, TDA President 2010-11Below is a summary of actions of the TDA Board of Directors during the February 24 and 25, 2011, meeting with TDA president Dr. Ronald L. Rhea presiding.

Policy ResolutionsBUDGET ISSUES99-2011-B (P): AdoptedpolicythattheTDAcoverthepremiumcostsoftheindividualpoliciesrecommendedbytheFrostInsurancegroup,providedthecomponentsocietieselecttohaveDirectorsandOfficersinsurance.108-2011-B (P): Adoptedthe2012proposedbudgetfortheTDA.

MISCELLANEOUS116-2011-B (P) (2/3 vote; held over to 2012, or unanimous if voted 2011): AmendedasectioninConstitution,ArticleV,Section20,ELECTIONtoread:SECTION20.ELECTION:TheofficersofthisAssociationshallbeelectedbytheHouseofDelegatestoserveuntiltheirsuccessorsaredulyelectedasprovidedinChapterIVoftheBylaws.117-2011-B (P): Amendedasectiontoread:SECTION50.TERMOFOFFICE.Theelectiveofficersshallserveforatermofone(1)yearunlessotherwiseprovidedinthesebylaws.118-2011-B (P): AddedanewdutytoBylaws,CHAPTERV,BOARDOFDIRECTORS,Section40,POWERSANDDUTIES,A.Powerstoread:h.ToimplementADAand/orTDAmembershipinitiativesinregardtodues.119-2011-B (P):AmendedthesecondsentenceoftheExplanatoryNoteinCHAPTERI.MEMBERSHIP,SECTION29,QUALIFICATIONS,A.ACTIVEMEMBERtoread:Activemembershipshallceaseuponthedatewhentheaboveactivemembershipqualificationsarenolongermet.120-2011-B (P): RescindedResolutions48-1984-H,491984H,66-2004-H,71-2007-H,80-1972-H,112-1999-H,117-1982-H.121-2011-B (P): ApprovedthatitisthepolicyoftheTDAthattheTexasReceptionbefacilitatedannuallyattheAmericanDentalAssociationAnnualSession.RescindedResolution61-1988-H.122-2011-B (P): ApprovedawardstobepresentedonbehalfoftheAssociation.123-2011-B (P): ApprovedaServiceRecognitionAwardtobepresentedtoMs.MarthaS.Phillips,executivedirectoroftheGeorgiaDentalAssociation.126-2011-B (P) 2/3 vote required: Deletedasubsectionwithreads:ChapterV.Section40,PartB.,Subsectionj.ToserveasFinanceCommitteefortheAssociation.

Non-Policy and Board Policy ResolutionsAPPOINTMENTS103-2011-B (BP): ApprovedaReliefFundworkgroupbeestablishedtoreviewlettersofinterestreceivedconcerningdistributionofrelieffundgrants.TheworkgroupwillbecomposedofthedirectorsoftheBoard,Drs.RitaM.Cammarata,MichaelJ.Goulding,ArthurC.Morchat,andT.BethVance,withRitaM.Cammarataservingaschair.137-2011-B (NP): AppointedDr.HarveyKesslerasassociateeditoroftheTexasDentalJournaltoserveaconcurrenttermofthecurrentTexasDentalAssociationEditor.138-2011-B (NP): AppointedtheExecutiveDirectorSearchCommitteewiththefollowingmembers:Dr.MichaelL.Stuart-chair(NE);Dr.MatthewB.Roberts,TDApastpresident(SE);Dr.LisaB.Masters,Board(SW);Dr.RitaM.Cammarata,Board(SE);Dr.MichaelJ.Goulding,Board(NW);Dr.LarryD.Herwig,Board(NE);Dr.DavidH.McCarley,chair,TDACouncilonConstitutionandBylaws;Dr.J.GregoryCondrey,TDAHouseofDelegates(SE);andthefollowingconsultants:Ms.DeeDeeDelagarza,staff–director;Ms.DianeRhodes,staff;andMs.TerryJordan,humanresourceconsultant.TheexecutivedirectorofTDAshallprovideforassistanceasmayberequiredbythecommittee.Thequalifications,jobdescription,process,andtimelineshallbepresentedtotheBoardofDirectorsforapproval.

BUDGET95-2011-B (NP): ApprovedthehonorariumpaidtoTDAmemberdentistswhoparticipateintheTEXASMeetingasaclinicianberevisedbeginningwithnextyear’smeeting:$500honorariumperhalf-daysession;hotelaccommodationstosupportteachingschedule;andtravelfundsand/orparking(negotiablebasedonhomebase).96-2011-B (NP): IncreasedthestipendpaidtotheTexasDentalAssistantsAssociation(TDAA)by$250tototal$1000,beginningwiththe2012payment.Inaddition,theTDAAwillbegivenacomplimentary6’educationaltableintheTEXASMeetingregistrationareatopromotetheTDAAprogramsandactivities.100-2011-B (BP):ApprovedtheTDABoardofDirectorstodevelopandofferadditionalcriteriafortheTexasDentalAssociationReliefFundapplicationandguidelinesforitsreviewprocess.EarningsfromtherelieffundwillbedistributedequallyamongcharitieslocatedwithineachofthefourTDAdivisionswhenfeasible,dependingonthetotalnumberofqualifiedapplications.107-2011-B (NP):Approved2010lineitemsoverbudget,totaling$95,138.111-2011-B (NP): Approvedfundingforthereplacementofcarpetandbasemoldingandtherepaintingofallfourthflooroffices,hallwaysandtheBoardRoomattheTexasDentalAssociation.112-2011-B (NP): Approvedthe2010surplusallocationasrecommendedbytheBudgetCommittee.115-2011-B (NP): Approvedallnon-duesincomereceivedfromFinancialServices,Inc.tobeplacedinthegeneralfundoftheTDA.RescindedResolution99-1998-H.135-2011-B (NP): ApprovedthatasummaryoftheFebruary2011Board’sdiscussionandtheHahn,TXreportbereferredtothePublicRelationsTaskForceforreviewandreportbackattheApril2011BoardofDirectorsmeeting.

MK’s Board Notes

Mary Kay Linn, TDA Executive Director

CORRESPONDENCE98-2011-B (NP): ApprovedsendingalettertotheTexasStateBoardofDentalExaminerscommentingontheproposednewrulesforChapter110SedationandAnesthesia.101-2011-B (NP): ApprovedwritingalettersupportingDr.DavidF.Nichols,Dr.M.DavidTillman,Dr.ClarkH.Whitmire,andMs.LindaMayforappointmentbyGovernorRickPerrytotheTexasStateBoardofDentalExaminers.102-2011-B (NP): ApprovedwritingalettersupportingDr.WilliamS.NantzforappointmenttotheTexasWindstormInsuranceAssociation(TWIA).132-2011-B (NP): ApprovedsendingalettertotheTexasDepartmentofStateHealthServicesrequestingthatDr.JamesA.KatancikbeappointedtotheHealthyTexasBabiesInitiativeExpertPanel.

MISCELLANEOUS133-2011-B (NP): ApprovedthememorandumrespondingtotheStateofTexasdraftRFP#529-12-0003,“HHSCTexasDentalProgram.”134-2011-B (NP): ApprovedtheTDACommunicationsCommitteebeplacedundersunsetreviewfortheyear2012.

OUT-OF-STATE TRAVEL104-2011-B (NP): Approvedout-of-statetravelandregistrationforDr.MatthewB.RobertstoattendtheMid-YearMeetingoftheAmericanAssociationofDentalBoardsinApril2011inChicago,Illinois.

Below is a summary of actions of the TDA Board of Directors during the April 1 and 2, 2011, meeting with TDA president Dr. Ronald L. Rhea presiding.

Policy ResolutionsMISCELLANEOUS73-2011-BS(P):Approvedthatreports,recommendationsandotherwrittendocumentsrequestedby,receivedoracceptedbytheTexasDentalAssociation,whichcontainstatementsofproposedpoliciesoftheAssociation,shallnotbepublishedbytheAssociationnorconsideredpolicyoftheAssociationuntilanypolicyrecommendationsareapprovedbytheHouseofDelegatesoftheAssociationorinsituationsprovidedinthebylawsoftheAssociation,theBoardofDirectorsoftheAssociation.87-2011-B (P) 2/3 Vote Required: ApprovedthatChapterI,Section70,Subsection1.oftheBylawsbeamendedtoread:I.ACCEPTANCEOFBACKDUESANDSPECIALASSESSMENTS.ForthepurposeofestablishingcontinuityofactivemembershipinordertoqualifyforOrderofGoodFellow,lifemembershipandtheFiftyYearAward,backduesandspecialassessments,exceptasotherwiseprovidedintheseBylaws,shallbeacceptedfornotmorethanthethreeyearsofdelinquencypriortothedateofapplicationforsuchpayment.Therateofsuchduesandspecialassessments,exceptasotherwiseprovidedintheseBylaws,shallbeinaccordancewithSubsectionAabove.125-2011-DETAS-B (P): ApprovedaspolicyoftheTDAtousethetermdentistordoctorinallcommunicationswhenreferringtotheheadofthedentalteam.131-2011-B (P): ApprovedthattheTDAsupportandrecommendlanguageforadoptionaspolicybytheTexasOralHealthCoalition.156-2011-B (P): ApprovedtheMinutesofthemostrecentAnnualSessionoftheHouseofDelegatesbepostedontheAssociation’swebsitenolaterthanSeptember1,eachyear.158-2011-B (__): Approvedthat,inprincipleandinpractice,theTDAvaluesandseeksdiverseandinclusiveparticipationwithintheAssociation.

Non-Policy and Board Policy ResolutionsAPPOINTMENTS148-2011-B (NP): AppointedthefollowingindividualsastrusteesoftheTDASmilesFoundationforatermofJune1,2011,untilMay31,2014:Dr.JayAdkins,Dr.DavidWoodburn,Dr.LarrySpradley,Dr.MichaelGiesler,Dr.James.DouthittandDr.DougBogan.Dr.W.BenTaylorisappointedasatrusteeoftheTDASmilesFoundationforatermbeginningJune1,2011,untilMay31,2013.154-2011-B (NP): Approvedthe2011-2012Committeeappointments.155-2011-B (NP): Approvedthe2011-2012Councilnominations.

BUDGET ISSUES139-2011-BS-1 (BP):ApprovedtheBoardofDirectorsshallreceivetrainingandeducationinboardfinancialreportsannually.139-2011-BS-2 (NP): ApprovedtheTDABoardofDirectorssecuretheservicesofthe“GreenlightsforNon-ProfitSuccess”consultingfirmfortrainingandeducationinboardfinancialreportsattheearliestopportunity.143-2011-B (BP): ApprovedtheTDASecretary-Treasurer’snewreportingformattobepresentedinparallelwiththeoriginalformat.147-2011-B (NP): Approvedrecipientsforthe2010ReliefFund.149-2011-BS (NP): ApprovedthattheBuildingAccountandtheinterestincomegeneratedfromtheaccountfundsberestrictedforuseofbuildingmaintenance,repairsandremodelingofthebuildings.AnyunusedinterestgeneratedfromtheBuildingAccountshall,attheendofthebudgetyear,bereturnedtotheprincipleofthataccount.RescindedResolutions100-1996and132-1997.150-2011-B (NP): ApprovedtherepaymentoftheBuildingAccountintheamountof$25,000beginintheyear2011withsubsequentpaymentstofollow.

CORRESPONDENCE157-2011-B (NP): ApprovedtheTDApresidentsignontoaletterwithDr.W.MarkDonald,presidentoftheMississippiDentalAssociation,requestingthattheADAreviewitspoliciesand,accordingly,addressastatementoftheAmericanAssociationofPublicHealthDentistryconcerningmidleveldentalproviderprograms.

MISCELLANEOUS160-2011-B (BP): ApprovedthatthefirstitemunderDEFINITIONSintheInvestmentPolicyStatementapprovedbytheTDABoardofDirectorsinNovember2002,whichreads“Fund”shallmeantheTDAReliefFundandtheReserveDivisionoftheTDAGeneralFund.”beamendedasfollows:TheTexasDentalAssociationInvestmentFundmaybedividedintothreefunds:TDAReserveDivision-InvestmentAccount;TDAReserveDivision–EmergencyAccount;TDAReliefFundAccount;andtheInvestmentpolicyforeachaccountshallbethepolicyshownonExhibitsA,B,&C.

OUT-OF-STATE TRAVEL146-2011-B (NP): Out-of-statetravelapprovedforTDApresidentDr.J.PrestonColeman,thepresident-elect,andTDAexecutivedirectorMs.MaryKayLinntoattendthe2011SouthCentralStatesLeadershipConferenceonMay20-21,2011,inWichita,Kansas.

TDAT april 2011.indd 3 4/25/11 12:58 PM

BIGGER-THAN-EVERDAILY DRAWINGSAT TEXAS MEETING!

BIGGER-THAN-EVER

Going to TEXAS Meeting? This year, you’ve got more chances than ever before to win great prizes! A Dell Inspiron™ laptop will be given away each day (Thurs/Sat will be a drawing for dentists, and Friday, for staff). Or you could win an AED, cash, or other exciting prizes! Pick up an entry form at any TDA Perks partner’s booth in the Perks Area (Aisle 500).

Laptops generously sponsored by Perks partner, Managed Backup Solutions (MBS).

APRIL 2011 VOLUME 12, ISSUE 4 AVAILABLE ONLINE AT TDA.ORG

EDITORIAL STAFFDr. Stephen R. Matteson, D.D.S., Editor

Nicole Scott, Managing EditorBarbara S. Donovan, Art DirectorPaul H. Schlesinger, Consultant

BOARD OF DIRECTORS

Ronald L. Rhea, D.D.S., PresidentJ. Preston Coleman, D.D.S., President-elect

Matthew B. Roberts, Immediate Past PresidentVice Presidents

R. Lee Clitheroe, D.D.S., SoutheastJohn W. Baucum III, D.D.S., Southwest

Kathleen M. Nichols, D.D.S., NorthwestDonna G. Miller, D.D.S., Northeast

Senior DirectorsKaren E. Frazer, D.D.S., SoutheastLisa B. Masters, D.D.S., Southwest

Robert E. Wiggins, Jr., D.D.S., NorthwestLarry D. Herwig, D.D.S., Northeast

DirectorsRita M. Cammarata, D.D.S., Southeast

T. Beth Vance, D.D.S., SouthwestMichael J. Goulding, D.D.S., Northwest

Arthur C. Morchat, D.D.S., Northeast

Ron Collins, D.D.S., Secretary-TreasurerGlen D. Hall, D.D.S., Speaker of the HouseMichael L. Stuart, D.D.S., Parliamentarian

Stephen R. Matteson, D.D.S., EditorMary Kay Linn, Executive DirectorWilliam H. Bingham, Legal Counsel

TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental As-sociation, 1946 S. IH-35, Ste 400, Austin, Texas 78704-3698, (512) 443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S. IH-35, Ste 400, Austin, TX 78704-3698.Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental As-sociation (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30.Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6.Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda.org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Association, unless such statements have been adopted by the Association. Articles are ac-cepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.

Member Publication

Distal Migration of the Mandibular Second Premolar

Years ago, a dental student asked me a question about her patient. “Why is the mandibular second premolar located in the space of the extracted first molar, is tipped mesially, and located posterior to an edentulous space between itself and the first premolar?” Not knowing the answer (how embarrassing), a prospective research project was designed to work on this question. Five years later, the following article was published in Angle Orthodont (1). It has a pubmed number (6959676) but is so old that one can only find the article by entering the phrase, “extreme distal migration” into a Google search. Take a look. Let me know if you have seen any examples of this abnormality of eruption and if there were any treatment implications. My email is: texdented@gmail.com.

Reference1. Matteson SR, Kantor ML, Proffit WR. Extreme distal migration of the mandibular second molar. Angle Orthod. 1982

Jan;52(1):11-8. PMID: 6950676

Evidence-Based Practice Tip of the Month

Stephen R. Matteson, DDS, Editor

TSBDE Rule Update This recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices.

Disciplinary Matrix The Texas State Board of Dental Examiner’s (TSBDE) recently developed a “Disciplinary Matrix” outlining disciplinary policies when the TSBDE takes disciplinary action in accordance with Texas Occupations Code §263, §265, and §266. The matrix provides licensees, attorneys, the public, and Administrative Law Judges ready access to the board’s enforcement policies. Further, the matrix is intended to maintain flexibility in determining the most appropriate sanction for each violation and allow the TSBDE to take into account aggravating and mitigating factors (i.e., the licensee’s compliance history, the seriousness of the violation, the threat to the public’s health and safety) when determining sanctions. The matrix is organized by violation type and distinguished by violation tiers. The violations described in the matrix mirror the violations specified in Texas Occupations Code. Violations that are distinguished as First Tier Violations are those that the TSBDE determines to be less serious, or which pose a minimal threat to public safety, after consideration of any aggravating or mitigating factors. Violations that are distinguished as Second, Third, or Fourth Tier Violations are those that the TSBDE determines to be more serious, or which pose more than a minimal threat to public safety, after consideration of any aggravating or mitigating factors. Each violation tier in the matrix includes a description of events that might fall within that violation tier. The corresponding sanction description describes each of the sanctions that could be imposed. To view the TSBDE’s disciplinary matrix, please go to tda.org. For more information, please contact TDA policy manager Ms. Diane Rhodes at (512) 443-3675, diane@tda.org.