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In This Issue

Letter FROM The Editor ....................................2

Building Your Web Presence Webinar .............3

NXTGEN Transition Dinner ...............................4

Legislative Report ..............................................6

Chesapeake Dental Conference ......................7

MOM Event: A Volunteer’s Perspective ...........9

Center for Oral Health Studies ...................... 10

Classifieds ........................................................ 11

DAC Gives Back Recap!

(l to r) Dr. Richard Kelley, Deborah Cartee, RDH, Dr. Charlie Doring, Dr. Robert Wilson, Jr., Senator Roy Dyson and Dr. Tris Kruger

September 20-22, 2013

This year’s DAC Gives Back was another huge success. Over 30 dental professionals migrated to Bedford, Pennsylvania for continuing education and much needed R&R. Although it was a bit chilly to participate in outdoor activities, attendees thoroughly enjoyed themselves. The Friday evening reception was a fun way to unwind after the first day’s activities and provided everyone a chance to gather their spouses, children and guests together for some casual socializing. The lectures were engaging, informative and well received and the resort atmosphere added to the casual flow of the event. Be sure to attend next year, March 20-22, 2014! Look for information on our website at www.msda.com.

Special thankS go to the following people… For their dynamic and thorough lectures: w Mr. Mike Graham, American Dental Associationw Dr. Doug Barnesw Dr. Ziad Aliw Mr. Darin McCue, Phoenix Systems For their support and partnership: w Phoenix Systemsw R.K. Tongue Co., Inc.w American Express OPEN For their leadership and support: w Dr. Bill Martin, DAC Presidentw DAC Board of Trusteesw MSDA Staff F

Two studies I reviewed this month, in two different journals, regard the issue of the

pathology of inflammation and its role in disease. One study was written in the Journal

of the American Medical Athletic Association (Vol 26 #1 2013, “Weight Loss and its Role in

Reducing Chronic Inflammation”. Edward R. Sauter, MD, Ph.D.). The other is medicine

and science in Sports & Exercise, Vol 44 #11 2012, “Resistance Training Reduces Subclinical

Inflammation in Obese, Postmenopausal Women”. M.D. Phillips, Ph.D.; et al.

The first paper discusses the link of the stress reaction of the body to adipocyte (fat

cell) hypertrophy which leads to increases in pro- and anti-inflammatory mediators called

adipokines and eventually to cell rupture and inflammation.

“Fat cells produce adipokines, including leptin, tumor necrosis factor (TNF-α)

interleukin (IL)-6, c-reactive protein (CRP), and adiponectin.” Adipokines effect insulin

signaling leading to the metabolic syndrome, and altered expression of adipokines can

lead to cancer tumor initiation and growth.

Weight loss achieved by surgery, diet or diet and exercise decreased chronic inflammation

in obese and morbidly obese individuals. Adiponectin (a regulator of glucose and fatty

acid (FA) breakdown) increased and breast cancer risk decreased with the weight loss.

Apparently the exercise groups must intensely exercise (as far as a marathon) to elicit an

anti-inflammatory effect, without diet, but diet and exercise did achieve the reduction

of inflammatory markers, as noted by Dr. Sauter, the other way to reduce inflammation,

without weight loss, is by targeting the inflammatory response by drugs: Cyclooxygenase

(COX) inhibitors, such as aspirin or COX 2 specific inhibitors such as Celecoxib. NASIDS

(non-steroidal anti-inflammatory drugs) and glucocorticoids can be used for acute

anti-inflammatory effects, but are not suitable for chronic use. Nutraceuticals, such as

Curcumin, prevented weight gain in animals fed a high fat diet; and Resveratrol showed

to have cardioprotective effects in animals and mimic dietary restriction and in humans

can decrease tumor proliferation in patients with colorectal cancer.

Inflammation resolving lipids are derived from 3(FA): Arachidonic Acid (AA) –

Lipoxin; Eicosapentaenoic Acid (EPA) resolvins, or Docosahexaenoic Acid (DHA) –

protectins and maresins. These omega-3 FA (N-3 FA) are contained in fish oil, and can

mediate the inflammatory process, mitigating some of the chronic pathological aspects of

disease. Obesity is associated with chronic inflammation and increases the likelihood of

diseases such as atherosclerosis, cancer and type II diabetes. Weight loss and targeting the

inflammatory response are two ways to limit inflammation. Endogenous lipid mediators

such as resolvins, lipoxins, maresins and protectins, work to remove inflammatory

mediators, but can become overwhelmed with higher levels of mediators, which are

often present in obese individuals.” Weight loss by any means also reduces these disease

markers (adipokines).

The other paper uses resistance training (RT) to lower the pathologic markers of obesity/

inflammation: proinflammatory adipokine leptin, TNF-α, IL-6 & CRP. Adiponectin and

anti-inflammatory agent is reduced.

Page 2 MSDA Newsletter May 2013

Letter FROM The EditorDiet and Exercise... As Important As Ever!

Tris Kruger, DDS, MS, CNSEDITOR

Dr. E. Duston Mersinger, PrEsiDEnt

Dr. George shepley, PrEsiDEnt-ElEct

Dr. Haley tate, VicE PrEsiDEnt

Dr. steven Delgado, VicE PrEsiDEnt-ElEct

Dr. richard M. Kelley, sEcrEtary

Dr. thomas a’Becket, trEasurEr

Dr. craig slotke, sPEaKEr of tHE HousE

Mr. frank Mclaughlin, ExEcutiVE DirEctor

Dr. tris Kruger, EDitor

Valentia Mundell, ManaGinG EDitor

statements of opinion and supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of MsDa unless such statements have been adopted by MsDa. Deadline for all copy is the 10th of the preceding month.

Maryland state Dental association6410 Dobbin road, suite f, columbia, MD 21045-4744410.964.2880 . 410.964.0583 (fax) . www.msda.com

Please Direct all advertising & article submissions to:fatcat studios, 1616 shakespeare st., Baltimore, MD 21231410.534.8700 . 410.534.6700 (fax) . MsDaads@aol.com

Diet and exercise reduce macrophage

infiltration and reduce cytokines. “The

pro-inflammatory milieu in adipose tissue

of obese individuals promotes insulin

resistance, endothelial dysfunction and atherosclerosis.”

“Consistent exercise training (aerobic or RT) has reduced markers of inflammation in

various tissues including CRP, TNF-2, leptin and toll-like receptor (TLR)-4,” and anti-

inflammatory (AI) markers adiponectin, AIM cytokine – IL-10 have increased; after

exercising.

“Here we show that a whole-body RT protocol of moderate-high intensity exerts

beneficial changes in subclinical inflammation in circulation and in stimulated culture

in obese, post menopausal women, a group at risk for the metabolic syndrome.” (My

Emphasis.)

“RT is anti-inflammatory, independent of weight loss... overweight and obese persons

should be encouraged to continue consistent exercise, even if they are not experiencing

weight loss, because health benefits can result even if they are not readily apparent.” (M.D.

Phillips, Ph.D., et al.)

So here are two studies that link obesity to inflammation as the chief mediator of

pathology, and both make the case for diet and exercise as the best, if not the only, way to

achieve better health.

Very Best!

T F

Weight loss achieved by surgery, diet or diet and exercise decreased chronic inflammation in obese and morbidly obese individuals.

MSDA Wins Award From ADA

MSDA is the proud recipient of the ADA’s award for Membership Outreach, specifically for Greatest Net Gain of New Dentists for a Society with 2001-3500 members in 2012.

Dr. Radjabli and Dr. Kilian accepted the award on Saturday, April 6th while attending the ADA’s Conference on Membership Recruitment & Retention being held in Chicago, IL at ADA Headquarters.

Congratulations to Dr. Horng – chair of the Committee on New Dentists, members of the committee and Colleen Fowler for their tremendous efforts in demonstrating the value added benefit of organized dentistry that the Tripartite can deliver to the new dentists. F

(l to r) Dr. Edgar Radjabli, Kim Dresser, Dr. Jerry Kilian and ADA President Dr. Robert A. Faiella.

May 2013 MSDA Newsletter Page 3

www.henryschein.com/pptwww.snydergroup.net

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Join us for a Webinar on May 22

The searching Patient – building your Complete Web Presence so They find you!

Wednesday, May 22 | 1 - 2 p.m.

Presented by:

This course will discuss the ever-growing importance of creating an online presence for your practice. We will start by examining the many ways a patient can search for a new local dentist online, from search engines and consumer sites to mobile devices, online reviews and Facebook. We will then review the core tools and strategies you need to start taking control of your online presence, including a practice website, local search marketing, reputation management, social media and a fully-functional mobile website.

You will learn first-hand how to:

l launch a professional, practice website that works for your practice 24/7

l earn a top search ranking for your local area on major search engines, such as Google

l increase new patient referrals with Facebook and blogging

l improve your online image and secure new appointments through reputation management and positive patient reviews

l effectively reach patients from virtually any location with a mobile website

Plus understand how a typical patient can search for you and communicate with your practice

on the Internet.

After registering you’ll receive a confirmation email containing information about joining the Webinar.

System RequirementsPC-based attendees require: Windows® 7, Vista, XP or 2003 ServerMac®-based attendees require: Mac OS® X 10.6 or newerMobile attendees required: iPhone®, iPad®, Android™ phone or Android tablet

sPaCe is liMiTed.

Reserve your Webinar seat now at:

https://www4.gotomeeting.com/register/226463039

Have you received your 2013 ADA Membership Card?

If not, email Kim at kim@msda.com.

Page 4 MSDA Newsletter May 2013

Frederick County Dental Society

Dr. Suh Yun Chang

Howard County Dental Association

Dr. Niffat Ajmal

Dr. Riffat Ajmal

Dr. Zaneta Hamlin

Dr. Daniel Pahk

Dr. Sangita Doshi Tejas

Southern Maryland Dental Society

Dr. Amir Sarkarzadeh

Dr. Annie Yu

Affiliate Members

Dr. Mohammed Warshanna

Membership MattersThe following members were

approved for membership with

MSDA in April 2013.

NXTGen Transition Dinner – Class of 2013!

Once again, the Alewife Restaurant in Baltimore presented the perfect backdrop for the annual NXTGen Transition Dinner on March 28th. The event was attended by over 30 graduating senior dental students and residents who are in the process of completing their postgrad programs. MSDA leaders, Drs. Andy Horng, Edgar Radjabli, George Shepley and Ann Christopher were on hand to help explain the importance of becoming involved in and maintaining their involvement in organized dentistry through the tripartite structure.

This event is, first, designed to celebrate the accomplishments of the graduating students and residents and assist them in “transitioning” from student members of ASDA to active members in the ADA; and second, to let them know of the resources available to them as they transition from student to dentist. Attendees received information that will be helpful for those moving into practice after graduation. F

If you would like to opt-out of receiving the print

version of this newsletter, please call MSDA at

410.964.2880.

May 2013 MSDA Newsletter Page 5

Dental Expressions®

According to the American Dental Association 2010 survey of dentists on their use of technology and social media, almost 60 percent of practitioners had established a primary practice Web site in order to educate the public, connect with potential patients and enhance communication with current patients.1 A growing number of dentists are now expanding their networking ability by linking their practice-based Web sites to the following types of media platforms:t social networking sites (e.g., Facebook, MySpace, Tagged), which promote mutual

sharing of news and information, as well as marketing messagest video and photo sharing sites (e.g., YouTube, Flickr, Google Docs), which facilitate

exchange of footage and imagest micro-blogging sites (e.g., Twitter), which encourage interaction via short published

messages and linkst weblogs (e.g., corporate and personal blogs, as well as blogs hosted by traditional media

publications), which communicate ideas and opinions in journal formatt business networks (e.g., LinkedIn, Xing), which connect job seekers and potential

partners to the practice or organization, and colleagues with each othert forums and discussion boards (e.g., Whirlpool, Yahoo! Groups, Google Groups), which

support sustained dialogue among community members

While social media tools may be an effective means of promoting a dental practice, their misuse can invite exposure to a variety of legal and operational perils, as demonstrated by the following scenarios:t While on his dental practice’s Facebook page, a dentist accepted a patient’s online “friend”

request and began communicating with the patient regarding her current course of care. The patient relied on the dentist’s advice in lieu of seeking onsite care, eventually suffering serious complications from an apparent delay in treatment. Subsequently, a lawsuit was filed against the dental practice, asserting unethical conduct on the part of the dentist, among other allegations.

t Under an adopted “username,” a dentist blogged about why he preferred not to treat patients who carried a certain type of dental insurance. Soon afterward, a patient with the specified insurance coverage sued the dentist, alleging a missed diagnosis and negligence. The plaintiff’s attorney was able to obtain and produce copies of the blog postings, making the case more difficult to defend.

t A dentist specializing in cosmetic procedures “tweeted” that she achieves “outstanding results” without substantiating data to support the remarks. Some of her patients, who were dissatisfied with their treatment outcomes, complained to the state board of dental examiners. The board sanctioned the dentist for false and exaggerated representations under federal and state truth-in-advertising laws. These exposures could have been avoided had proper social media safeguards been in place. This edition of Dental Expressions® offers practical strategies for maximizing the advantages of social media while mitigating associated risks.

Preparatory MeasuresBefore initiating a social media project, dentists should fully consider its implications

from a strategic, marketing, liability and information security perspective. The following questions can help focus the planning process:t What is the underlying purpose of the social media activity?t Does the proposed social media presence complement the business strategy of the dental

practice?t Who is the intended audience for the site, page or profile?t Which topics, activities and forms of interaction will be promoted, and which will be

excluded?t Are adequate human and financial resources available to maintain and update the project

on an ongoing basis?t Which media platform, tool or application is best suited to the intended purpose and

audience?

1 the survey report is available to aDa members at http://www.ada.org/1441.aspx. to access it, scroll down to “2010 technology and social Media survey (January 2012).”2 Major security assessment sites include the national Vulnerability Database at http://nvd.nist.gov/ and the open source Vulnerability Database at http://www.osvdb.org/. to identify vendors that have experienced a privacy breach, visit the open security foundation’s DatalossDB at http://datalossdb.org/.

Dentists may wish to retain a social media specialist to answer these initial questions, as well as to assist in the planning and implementation of the following essential activities:t establishing practical boundaries and guidelines for electronic media uset promulgating sound operating rules and security controls to protect against infiltration and

other external threatst negotiating with vendor platforms regarding terms of use, such as requirements for separate

login pages and writt assessing platforms, applications and/or vendors regarding capabilities, consumer

familiarity, costs, convenience and security considerations2

t reviewing insurance policies for potential coverage gaps and recommending portfolio changes, where necessary

Once the site goes online, the social media consultant also can help educate staff, patients and other users on rules and etiquette; advise on updating guidelines; assist legal counsel in reviewing and updating vendor contracts and site controls; and ensure that all social media tools have a consistent identity and appearance, including appropriate use and placement of the practice logo.

Social Media SafeguardsThe following measures can help improve compliance with social media use expectations

and limit liability exposure:Draft formal policies and procedures. Written guidelines should be designed to protect patient privacy, prohibit misleading and harassing statements, and specify the individuals authorized to speak on behalf of the practice. Guidelines also should mandate review by legal counsel of internal protocols, vendor operating policies, and contract provisions regarding privacy obligations and security controls.

Incorporate social media issues into staff training. Sessions should cover such key concerns as social networking protocol and expectations, parameters for use during working and non-working hours, potential legal pitfalls, patient confidentiality issues and disciplinary consequences of misuse. Offer training to all new employees upon hire and annually thereafter, documenting session content and attendance.

Establish standard terms of use. Inform users that they are subject to the site’s terms and conditions and that repeat violations will result in termination of access. The “click agreement” with users should be written in clear and unambiguous language and include these basic provisions, among others:

t Users understand the risks associated with participating in online communication and acknowledge that postings by dentists and staff are not intended to be interpreted as a dental diagnosis or treatment.

t Service marks and trademarks of the practice are the sole property of the organization, and no copyrighted text, image, video or audio content may be distributed, modified, reproduced or used, in whole or in part, without prior consent of the practice.

t Blog postings may be edited or deleted by the practice without prior notice, and abusive, illegal, disruptive or medically misleading communications are subject to immediate removal.

t Disclosure of patient health information shall be governed by patient privacy policies, as well as relevant federal and state privacy laws. Solicitation of confidential or proprietary patient information is strictly prohibited.

t The practice is indemnified against any damages, liabilities, judgments or expenses arising from any third party claim involving posted material.

Prepare disclaimer statements. Sites should include the following standard disclaimers:t All content and information are of an unofficial nature and are not intended to be

interpreted as dental advice.t The views expressed are those of users and do not necessarily represent those of the

practice.t The sponsoring practice is not obligated to monitor chat rooms, Facebook pages, bulletin

boards or other interactive areas where visitors post their comments.

Institute strict editorial controls. Written guidelines for user-posted comments should include the following restrictions:t Postings cannot contain specific patient data or other confidential information.

continued on page 12

Join Your Fellow Dentists in Annapolis & Support Your Profession!

Dentist Day 2014Wednesday, February 19, 2014 | 8 a.m. - 2 p.m.

Calvert House on State Circle, Annapolis, MD

Page 6 MSDA Newsletter May 2013

Legislative Reportby Dr. Charles Doring, MSDA Legislative Affairs Committee Chair

The Legislative Affairs Committee (LAC) of the MSDA has reviewed several hundred bills that have potential impact on dentistry and has testified at several dozen hearings on bills. The LAC would like to thank the many MSDA members who took the time to testify, attend Dentist Day or contact their legislator about important legislative issues. This session has had its ups and downs. A detailed report on the Legislative Session will appear after the close of session in the MSDA Newsletter. Here are some of the actions to date on topics covered at Dentist Day:

n HB 625/SB 614 Dental Radiation Machines – Maintenance & InspectionsOur bill was an attempt to reduce the need for the Maryland Department of Environmental (MDE) x-ray inspections if an office showed evidence of compliance with annual service providers’ inspections. Unfortunatly, both bills had unfavorable reports in their respective committees. MDE testified in opposition to the bill and stated the need for inspections based on a 56% walk-in compliance rate (regardless of the type of infraction) by dentists and an uncertainty on how thorough their registered service providers were at testing our equipment. More information on this issue will be discussed as it becomes available.

n HB 783/SB 515 Dispensing Dental Prescription Products and AntibioticsOur bill would have excluded several dental prescription products, namely fluoride and antibacterial rinses, from pending State Board of Pharmacy regulation. Despite the tremendous panel of experts assembled to testify on the safety, proper patient education and use of these products, the Senate committee gave an unfavorable report to our legislation. More to follow on this topic as it becomes available.

n HB 1121/SB 459 Dental Hygienists and Community Health FairsInitially opposed by the MSDA, we were able to work with the bill sponsors to amend the bill to allow dental hygienists to participate in community-based health fairs unsupervised with appropriate patient safeguards and follow-up in place. To date, no action in the Senate, but this bill has passed the first reader in the House of Delegates.

n HB 506 Dental Mercury-Water Service Bill InsertMSDA testified in opposition to this bill which would have required public water utilities to put annual inserts into their bills warning customers about the dangers of dental amalgam and further offer advice on alternative restorative materials. This anti-amalgam bill had an unfavorable committee report.

n HB 1116/SB 509 Cosmetic Surgery RegulationIn an attempt to better regulate cosmetic spas that had fatalities while performing liposuction, dentistry was inadvertently included in the regulations. MSDA, lead by our president Dr. E. Duston Mersinger provided amendments to exclude the practice of dentistry from the bills. The house committee gave an unfavorable report on the bill and the Senate committee has taken no action to date. F

Your Reputation

Your Peace of Mind

Your Assets

We’re watching like a hawk

Business Insurance Professional Liability General Liability Property Insurance Workers Comp Commercial Auto Employ. Practices Liability

Individual Insurance Life / Disability Medical Insurance Long-Term Care Annuities Auto / Home

Employee Benefits Group Medical Group Life Group Disability Group LTC

Financial Services * Group Retirement Plans Individual Retirement Investments Wealth Management Alternative Investments Financial Plans

* Securities and Investment Advisory Services offered through Woodbury Financial Services, Inc., Member FINRA, SIPC, and Registered Investment Advisor.

Tongue | Gerner Financial Services, LLC and Woodbury Financial Services, Inc. are not affiliated entities

MSDA Prepay Dues Installment Program Offered Again for 2014THE ‘EASY BUDGETING’ WAY TO PAY YOUR DUES

We are happy to once again offer a dues installment program structured to make your day-to-day expenses easier to manage, more efficient and worry free. Sign-up for the MSDA Prepay Dues Installment Program. You can prepay your 2014 membership dues by choosing one of the following options:

• Four Payment oPtion ....September, October, November & December 2013

• Five Payment oPtion .....August, September, October, November & December 2013

• Six Payment oPtion .........July, August, September, October, November & December 2013

Details of the program:

• Your credit card will automatically be charged each month.

• Any changes/increases in the total dues will be reflected on the final payment.

• You will receive an invoice (in November) that will reflect the total amount owed for 2014. This invoice is for record keeping and tax purposes only; it is not a bill. Your account will continue to be debited monthly until dues are paid in full.

• Your 2014 dues payments will be based on what you paid for your 2013 dues (please refer to your 2013 dues statement or your AP records). Due to possible dues changes, we can not quote you your exact dues amount at this time.

• An application (bright pink postcard) for the Prepay Dues Installment Program will arrive in the near future. Please return the postcard by June 30, 2013.

• The are no additional monthly charges for this program. This is a benefit of MSDA membership.

For questions regarding the MSDA Prepay Dues Installment Program,

please contact Kim Dresser at the MSDA Office at 410.964.2880, ext. 106 or kim@msda.com. F

May 2013 MSDA Newsletter Page 7

CDC Advance Program

is in the mail!

Registration and Housing

opens June 1st!

Mobile App available June 1st!

Download the FREE Guidebook app through your App Store and search for Chesapeake Dental Conference!

YOGA on the BEACH!

This year, yoga classes will be available at both the Holiday Inn and the Hilton Suites on Friday and Saturday mornings!

Plus

ONLINE HANDOUTS & ONLINE SURVEYS

Returning this Year

Seacrets Party!!! | Exhibitor Scavenger Hunt

Mini Golf Tournament | DAC Row Game Show

Get New Patients With A Complete

Web Presence

Web Presence Packages starting at $945

888-501-8852 or WWW.officite.com/dental

Online Reviews

Make sure patients can find your practice online

“1,276 new patients!” dr. arthur novick reston, Va

“3,425 new patients!” Grove dental associates downers Grove, il

“326 new patients!” dr. matthew Kutz monona, Wi

Chesapeake Dental ConferenceH I G H L I G H TS

JUNE

1st

Page 8 MSDA Newsletter May 2013

Our friendly team focuses on helping dentists reach their financial goals as well as creating a “quality life”.

Please visit our website and Facebook page to learn more.

www.facebook.com/schiffcpa

www.schiffcpa.com

For more information, please call Allen Schiff, CPA, CFE to chat about your practice management, consulting, tax and accounting needs.

410-321-7707MARYLAND’S ONLY DENTAL CPA FIRM

Mission of MercyUpcoMing EvEnt

p.g. coUnty

August 1-3, 2013

contact Dr. Kruger at 301.983.2290

TWO DAYS TO CHOOSE FROM!4.5

cE crEDits

PreSented byJill H. baskin, ddS

SPonSored by

MSDA is pleased to present

CNA Risk Management Seminar

The presentation will provide you with skills, tips and techniques to better manage patients and your roll in the practice. Its goal is to stimulate you to assess your practice, apply critical thinking based on the information presented and make prudent choices that enhance patient care and reduce your chance of having a malpractice claim.

Dentists who are insured with R.K. Tongue and the Professional Protection Plan for their professional liability insurance will receive a 7.5% premium credit off their professional liability policy, good for 3 years.

date/time: Thursday, May 16 OR Friday, May 17

time: 8:00 am – 12:30 pm

FeeS: $125 All Attendees

Location: MSDA Classroom, Columbia, MD

reFreSHmentS: Hot breakfast will be served before the course

Starting the Oral Cancer Dialogueby Dr. Harry Goodman & Ms. Amanda Wallace

Early identification of oral and pharyngeal cancers is a critical element in reducing both morbidity and mortality as well as improving survival associated with this disease. A primary means to detect oral cancer in its earliest stage is to conduct routine oral cancer examinations annually. Yet, only 38% of Maryland adults aged 40 years and older reported in 2010 that they had an oral cancer exam in the past year.i While receipt of oral cancer examinations from a dental or medical provider has increased somewhat in Maryland over the past fifteen years, clearly more progress is needed to keep Marylanders healthy.

What if Maryland adults were unaware that they were receiving an oral cancer examination even when such an exam was actually rendered? Such a phenomenon was studied by Awojobi et alii to determine if patients are aware of receiving oral cancer screenings. Their paper explores the disconnect between actual receipt of the oral cancer examination and patients’ awareness of this important procedure. The investigators concluded that 72% of patients were unaware if their dentists checked for signs of oral cancer as part of their routine exam.

When a patient leaves the physician’s office after a mammogram or colonoscopy, they are very aware that they were just examined for cancer and that the results are going to be delivered to them after a certain amount of time. However, because an oral cancer examination is often performed seamlessly within the overall oral examination, unless it is communicated by the dental provider that such an exam is being provided, it is quite possible that the patient leaves the dentist’s office without knowing they received an oral cancer exam and the results of that examination. Awojobi et al. found that 92% of patients would like to be told that their mouths are being checked for oral cancer. It therefore is incumbent upon the dental provider to make their patients aware that they received an oral cancer examination, the results of the examination and why it is so important that it be done on an annual basis.

So what can you do, to help break this trend? Inform your patient that you are performing a routine check for oral cancer and let them know if you see anything of concern. If you need more information about how to begin the oral cancer dialogue with your patients, visit http://www.oralcancerfoundation.org/ for additional resources.

For more information: http://phpa.dhmh.maryland.gov/oralhealth/SitePages/Home.aspx or contact: dhmh.oralhealth@maryland.gov F

i Maryland Brfss and Maryland cancer surveyii awojobi, o., scott, s. E., & newton, t. (2012). Patients’ Perceptions of oral cancer screening in Dental Practice: a cross-sectional study. BMC Oral Health, 12(55), retrieved from http://www.biomedcentral.com/1472-6831/12/55

Adult Dental Visits Declines, Children’s Increased In Recent Years

Adults’ dental visits have declined while children’s increased during the period between 2000 and 2010, according to new research briefs released by the American Dental Association’s Health Policy Resources Center (HPRC). Surprisingly, the trend in reduced adult utilization predates the economic downturn that began in 2007.

The dental utilization gap between high-income and low-income adults grew across the country, while the gap between high-income and low-income children shrank, which the authors of the analysis attribute to greater efforts by states to improve dental coverage for all children.

“It’s natural to expect that fewer adults would seek non-emergency dental care in this economic climate,” said ADA President Dr. Robert A. Faiella. “But the fact that this trend began prior to the downturn in the economy is disturbing. This should be a wakeup call to anyone who doubts what we have been saying for years: millions of Americans aren’t getting the dental care they need, and many are suffering with untreated disease that affects their overall health.” F

Reprinted in part, with permission, from ada.org.

May 2013 MSDA Newsletter Page 9

Mission of Mercy: A Volunteer’s Perspective, PART 1

On the afternoon of Thursday, March 14th, I departed on a trip to Salisbury that, according to my GPS, would take two hours and thirty-nine minutes. I was headed to the Mission of Mercy (MOM) dental clinic where I was scheduled to begin working the following morning. Volunteers were already on location, setting up the Wicomico Youth and Civic Center where the MOM event was about to take place.

I had never experienced an event like this myself. I was told that it would be a massive charitable event with many volunteers from all walks of life, and, above all, that it would be very touching. The clinic was designed to provide free dental care to hundreds of patients over the course of two days, helping as many individuals as possible. As an employee of the Maryland State Dental Association’s Charitable & Educational Foundation – a charity involved in sponsoring the event – I had a very active interest in what those two days would bring.

I neared the Civic Center around 2:30 p.m., having decided to preregister in order to earn myself some extra minutes the next morning before my 4:00 a.m. shift. I had volunteered for this shift since I really wanted to be out there with the patients – to see what they would see, to be part of the process with them from start to finish, to relate to them and perhaps to bring a smile to their faces before the dentists had their turn to do the same. As I pulled in and saw the size of the facility, my anticipation grew. It was bigger than I had imagined, and it was clear that many would be helped. After completing my registration I stopped by the pep rally where I recognized a few faces, then quickly went to my hotel to get as many hours of sleep as my early morning shift would permit.

I woke up at 3:00 a.m. and though I had been frustrated with the late night giggling coming from the girls in the next room, I found myself eagerly compelled to get the day started. I left my room armed with three hours of sleep and pockets stuffed full of things I’d later lose or realize I had no use for. I pulled into the Civic Center around 3:35 a.m. and was again greeted by a sight that grew my

anticipation – in the low light of the building’s entrance way there were hundreds of people already waiting in line! I stepped out of my car into the piercingly frigid morning air and began walking toward the entrance in search of other volunteers. As I approached, I realized two things: one, that I was definitely the first volunteer on site, and two, that I felt more out of place with every step.

I meandered into a semicircle of heavily clothed attendees who spoke softly amongst themselves and seemed to give me slightly more attention than they were giving each other. It was clear that many had camped out overnight despite the intense cold. After a few dawdling moments, a group of individuals rounded the corner of the facility, walking towards me with such purpose that made it plainly obvious they were also volunteers.

As it turned out, Dick Van Gelder and Lynne Peverley (community leader for the clinic and coordinator, respectively) were part of this group. Despite the intense stress of their roles and the early hour, I found both of them to be very happy, energetic and friendly. They gave the now growing group of volunteers a concise briefing on their roles, and set off to their next task while leaving us to ours. We were to set up our tent, keep the people in queue informed and, in general, try to keep the mood positive amongst the freezing and tired patients to be.

As we set up the tent around 4:30 a.m., I was surprised at how much the patient line had grown since I had arrived just one hour earlier. At that moment the attendees needed some information, distraction from the cold and some entertainment. Luckily for me, I at least believed myself capable of providing those things. I set out into the crowd and found my apprehension immediately disappearing. I spoke with those in the front of the line and was amazed to learn that they had been waiting since 8:00 p.m. I moved along the line for the remainder of the morning providing information, cracking cheesy jokes and offering any help that I could. I shared laughs and formed bonds with many people that morning, which fostered a hope that none of them would be turned away – a hope made unrealistic by the overwhelming number of people.

One young lady expressed her fears of exactly this, to which I attempted to comfort her by jokingly suggesting that I would give her hand warmers the next morning if she were turned away that day. The facility started taking patients at 6:00 a.m. and things really started moving. The attendees were great – many just seemed to be waiting for someone to come around and give them any excuse to smile, while others seemed to have no trouble finding excuses to do so on their own. One particular section of the line could be seen laughing and rocking out to their music. It was truly awesome to share in their experience and to see how amazingly grateful they were. Even when the line had to be cut off, and many people who had waited many freezing hours were sent home, I could hear the voice of one of the displaced attendees shouting his thanks to everyone involved for the opportunity. He was one among many, and the need for increased access to care in the region was well demonstrated by the line which had, at its peak, wrapped well around the building and along the adjacent street.

It was shortly before noon, and my next shift began inside in 15 minutes. Though I didn’t want to leave the people in line, I was eager to see the inside of the facility and reconnect with the patients I had met earlier that morning. Look for PArT II In The June Issue!

Maryland Recognized for Improved Dental Care Utilization

The Health Policy Resources Center has released a comprehensive state-by-state analysis of dental care utilization. Results show that the vast majority of states made progress in increasing dental care utilization among low-income children since 2000.

in Maryland, for example, the utilization rate among low-income children more than quadrupled, from 11 percent in 2000 to 48 percent in 2010. Oklahoma had the next largest increase, with utilization increasing from 15 percent in 2000 to 45 percent in 2010.

For adults, the story is very different. In most states,the utilization rate declined for low-income adults. In fact, only two states experienced a significant increase in utilization: Massachusetts and Virginia. Read the full report at: ada.org/1442.aspx. F

Reprinted, with permission, from ada.org.

Mid-aTlanTiC P.a.n.d.a.

Prevent abuse & neglect Through dental awareness

A public-private collaboration of child abuse recognition and referral

ConTaCT: Peter J. Holmes, MS, Administrator, Treasurer 410.598.1368 midatlanticpanda@ymail.com

Page 10 MSDA Newsletter May 2013

To Register...

CE Course Listing

CENTER FOR ORAL HEALTH STUDIES REGISTRATION FORM Payment must accompany registration form

confirmation: you will not receive a confirmation unless you call and request one.Payment Process: your payment will not be processed until a few days before the course.refund & cancellation Policy: upon written request of cancellation (at least one week prior to the class date) a refund will be issued less a $25 administrative fee. if you have purchased textbooks, they are non-refundable.return check Fee: $25 fee will be charged for all returned checks.PLEASE PRINT CLEARLy

coursE titlE: __________________________________________________________________________ DatE of coursE: _______________

aDDitional coursE titlE: __________________________________________________________________ DatE of coursE: _______________

aDDitional coursE titlE: __________________________________________________________________ DatE of coursE: _______________

naME: _____________________________________________________________ crEDEntials: o DDs o rDH o Da o officE staff

naME (2): __________________________________________________________ crEDEntials: o DDs o rDH o Da o officE staff

naME (3): __________________________________________________________ crEDEntials: o DDs o rDH o Da o officE staff

PHonE: WorK: ________________________________ HoME: ______________________________ fax: ________________________________

EMail: ______________________________________________________________________________________________________________

aDDrEss: ____________________________________________________________________________________________________________

city: ____________________________________________________________________ statE: __________ ZiP: ____________________

auxiliary staff only: EMPloyEr’s full naME: ________________________________________________________________________________________________

PAyMENT INFORMATION (CHECkS AND VISA/MASTERCARD ONLy): (auxiliary staff pays the same fee as their employer unless they become a MsDa member for $50 annually)

cHEcK aMount EnclosED/aMount to BE cHarGED: $ ______________________________________________________ (Make checks payable to MsDa)

Visa/MastErcarD only # ____________________________________________________________________ ExP. DatE: _________________Please note that all credit card payments are processed no earlier than one week before the class date.

siGnaturE: __________________________________________________________ DatE: _______________

fax (410.964.0583); mail to MsDa, 6410f Dobbin rd, columbia, MD 21045-4744. if for some reason the course you have chosen has been cancelled, you will receive a call from the MsDa staff.

-------------------------------------------------------------------------------8 hour Radiation Safety Update (8 ce credits)Dates: Wed., May 15, 2013 Wed., June 12, 2013 Wed., July 17, 2013 Time: 9:00 AM – 5:00 PMFees: $155 MSDA Member / $255 Non-MemberInstructor: Dr. Ron Holderman, DDS, Ed.D, FAGDLocation: MSDA Classroom, Columbia, MDRefreshments: Breakfast and lunch is served.Description: Satisfies the Maryland 8-hour requirement for recertification for dental assistants. It is an overview of dental radiography for dentists and hygienists desiring to update their skills.

--------------------------------------------------------------------------------cna Risk Management Seminar (4.5 ce credit) Date: Thurs., May 16, 2013 OR Fri, May 17, 2013 Time: 8:00 AM – 12:30 PMFees: $125 All AttendeesInstructor: TBDLocation: MSDA Classroom, Columbia, MDRefreshments: Breakfast will be served before the course.Description: The presentation will provide you with skills, tips and techniques to better manage patients and your roll in the practice. Its goal is to stimulate you to assess your practice, apply critical thinking based on the information presented and make prudent choices that enhance patient care and reduce your chance of having a malpractice claim.Dentists who are insured with R.K. Tongue and the Professional Protection Plan for their professional liability insurance will receive a 7.5% premium credit off their professional liability policy, good for 3 years. ***NOTE: Maximum of 65 attendes per day. ***

Dental Assisting Certification Coursesintroduction to Basic Dental assisting (chairside)**Howard Community College Course** (8 Sessions)

This is a noncredit course offered by Howard Community College’s Division of Continuing Education & Workforce Development. For more information on the course, please contact Continuing Education at 443.518.1700. For information on registering, please visit http://coned.howardcc.edu/registration_and_payment/How_to_Register.html The students, upon successful completion of the course, will have job entry-level skills as a Dental Assistant and will receive a certificate of completion.

Prerequisites:

1. High School Graduate or Equivalent 2. People Oriented3. Have an Interest in Dentistry! 4. Team PlayerDates: Please contact HCC directly.Time: 1:30 PM – 6:30 PM Fees: $825 Total *All Students are required to purchase the textbooks

Instructor: Rose Morgan, CDALocation: MSDA Classroom, Columbia, MD

Course Overview:

Week 1 ...History of Dentistry, Dental Anatomy, Dental Laws & Ethics, the

Dental Team, Dental Terminology, and Preventive Dentistry

Week 2 ...OSHA, Infection Control, Disinfection and Sterilization

Week 3 ...Basic Instruments, Equipment and Office Familiarization,

Operative Dentistry and Dental Materials, Dental Specialists

Week 4 ...Alginate Impressions, Identification of Impression Trays

Week 5 ...Clinical Assisting and Four Handed Dentistry

Week 6 ...Lab Session

Week 7 ....HIPAA Regulations, People & Dentistry, Interoffice Responsibilities

Week 8 ... Job Recruitment Skills and Final ExamThis Course is Also offered By:Please register with the institution.l Carroll Community College: Cust. Service @ 410.386.8100l Chesapeake College: Karen Bailor @ 410-822-5400 ext 704--------------------------------------------------------------------------------oral Radiography techniques (36 hours)Prerequisites:

1. High school graduate or equivalency2. Letter from the employing dentist verifying employment and a commitment to your direct clinical supervision. 3. Must have a working knowledge of basic oral anatomy, basic infection control and basic dental terminology.

Dates: 1. June 17, 24, July 1, 8, 15, 22, 29, August 5, 12, 19, 26, September 9 (Mondays) 2. September 16, 23, 30, October 7, 14, 21, 28, November 4, 11, 18, 25, December 9 (Tuesdays)Time: 6:45 PM –9:45 PM (same time applies for all courses)

Fees: $525 Members / $575 Non-MembersInstructor: Dr. Ron HoldermanLocation: MSDA Classroom, Columbia, MDDescription: Prepares dental assistants who are employed in a dental office to sit for the DANB Dental Radiation Health and Safety Certification exam. All clinical practice takes place at the student’s place of employment. Pathway I• 18yearsofage• 3months(300hours)fulltimeinclinicalsettingindentaloffice• Basicdentalassistingcourse• Mustbeemployedindentalofficefordirectclinicalsupervision.Pathway II• Basic dental assisting course prior to Board approved radiology course (18 years of age for Radiology), not to be taken concurrently.• Must be employed in dental office for direct clinical supervision, unless classroom facility offers hands on Clinical.

This Course is Also offered By:Please register with the institution.l Carroll Community College: Ellen Cornelius @ 410.386.8122l Chesapeake College: Karen Bailor @ 410-822-5400 ext 704l Southern Maryland Dental Society: Janice Farber@ 301-345-4196--------------------------------------------------------------------------------

expanded functions (general Dentistry and/or orthodontics as permitted by Maryland law)

Prerequisites:

1. High School Graduate or Equivalent2. Letter from the employing dentist verifying employment and commitment to your direct clinical supervision. 3. Experience in a dental office 4. Have a working knowledge of basic oral anatomy, dental terminology and basic infection control.5. Radiation certification preferred, but not mandatory

Instructor: Dr. Ron HoldermanLocation: MSDA Classroom, Columbia, MDDescription: Successful completion of this course prepares the assistant for the Maryland Board Qualification Examination (QDA\QOA). All clinical practice takes place at the student’s place of employment.

three options are available for this course. Dates and prices for each vary depending on selection. 1. general Dentistry and orthodontics (16 Sessions, 48 hours) Dates: 1. June 27, 28, July 3 (Wed), 5, 11, 12, 18, 19, 25, 26, August 1, 2, 8, 9, 15, 16 2. August 22, 23, September 5, 6, 12, 13, 19, 20, 26, 27,October 3, 4, 10, 11, 17, 18 *Thursdays and Fridays Time: 6:45 PM – 9:45 PM Fees: $955 Members / $1005 Non-Members

2. general Dentistry only (chairside) (12 Sessions, 36 hours)Dates: 1. June 27, 28, July 3 (Wed), 11, 12, 18, 25, 26, August 1, 8, 9, 15 2. August 22, 23, September 5, 12, 13, 19, 26, 27, October 3, 10, 17 *Thursdays and Fridays Time: 6:45 PM – 9:45 PM Fees: $765 Members / $815 Non-Members

3. orthodontics only (12 Sessions, 36 hours)Dates: 1. June 27, July 3 (Wed), 5, 11, 18, 19, 25, August 1, 2, 8, 15, 16 2. August 22, September 5, 6, 12, 19, 20, 26, October 3, 4, 10, 17, 18 *Thursdays and Fridays Time: 6:45 PM – 9:45 PM Fees: $765 Members / $815 Non-Members l Certificates of Completion will be granted upon successful completion of course. There is

a $10 fee for replacement certificates. l

Please register with the institution.l Carroll Community College: Ellen Cornelius @ 410.386.8122l Chesapeake College: Karen Bailor @ 410.822.5400, ext. 704l Southern Maryland Dental Society (College Park): Janice Farber

@ 301.345.4196 F

NOTE: Course dates are tentative and can be cancelled if attendance is poor. MSDA will notify you 1 week prior to cancellation.

Please mail or fax the registration form and payment to the MSDA, or register online at www.msda.com. For additional information, contact the

MSDA office at 410-964-2880.l The Maryland State Dental Association is an ADA CERP Continuing Education Recognized Provider. l Auxiliary staff pays the same rate as their employer. If they are not employed, they pay the non- member rate. Auxiliary staff may join MSDA as an “Associate Member” for $50/year and receive member rates.l Auxiliary pays the member fee (dental assistants/hygienist). l Please note our cancellation policy on the Registration Form. l The views of the speakers do not necessarily reflect the views of the Maryland State Dental Association.

License Renewal Guidelines: The Maryland State Board of Dental Examiners now requires that ALL 30 CE credits must be obtained by December 31 of the year PRIOR to the license expiring. For example: If a license expires on June 30, 2008, all CE credits to qualify for renewal must be taken by December 31, 2007. The Licensees may still request, in writing, a six month extension, but all CE credits must be obtained on or before the expiration date of the license. Questions? Call the Maryland State Board of Dental Examiners at 410-402-8501.

Participation Course Policy: In accordance with the American Dental Association CERP standards, enrollment in participation courses will be limited to provide an appropriate instructor/attendee ratio to ensure that close supervision and adequate direct interchange takes place between course participants and instructors.

Financial Support Disclosure Policy: It is policy of the Maryland State Dental Association, in accordance with the American Dental Association CERP standards, to disclose the name of any organization or agency providing financial or other support (and the nature of the support) for all courses provided by the MSDA.

Balanced View of All Therapeutic Options: The above presenters and presentations will provide a balance view of all therapeutic options. If trade names of commercial products are used during the presentation those of several companies will be presented rather than the product of a single sponsoring company.

For courses at Carroll and Chesapeake, please register with the institution. For more dental assisting classes, contact

Southern MD Dental Society at 301.345.4196.

Employment__________________________________________

ASSOCIATE WANTED: Established private practice in Southern Calvert County seeks Associate Doctor. PT to FT opportunities with possible buy/in, buy/out option. Contact Brian at: calvertdental@earthlink.net.__________________________________________

ORTHODONTIST: Great opportunity for a motivated and charismatic orthodontist to provide care in Baltimore County. Wonderful staff, state-of-the-art office, guaranteed compensation. Could lead to partnership. Contact: orthoamy@gmail.com.__________________________________________

HELP WANTED: Semi-retired Georgetown graduate developing a new concept of a general group practice including all disciplines. Interesting opportunity for qualified practitioners interested in a 1- or 2-day practice near Frederick. Deluxe free overnight accommodations for staff included on-site. Equity position possible. Email: toplogger@myactv.net.__________________________________________

GENERAL DENTIST NEEDED: BALTIMORE. Highly skilled and motivated General Dentist needed as an Associate to join a successful General Dental Practice located in Baltimore, MD. Buy-in opportunity available for the right candidate. Contact Eric Schifff w/Schiff Dental Brokerage, LLC for more information at: 410.321.7727 (o), 443-255-5111 (c), or via email to: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com.__________________________________________

ASSOCIATE DENTIST WANTED: Bel Air. Fee-for-service practice is seeking PT/FT Associate for busy high-quality practice. Applicants should have experience or GPR. Email resume to: DDS4ALL@aol.com.__________________________________________

PART-TIME DENTIST WANTED two or three days per week. No weekends or nights. Upscale Crofton family practice. Fax resume to: 410.544.0242 or email: stormin469@aol.com.__________________________________________

ASSOCIATE WANTED: OCEAN CITY, MD. Associate for established General Dentist too busy for solo practitioner to handle current and constantly growing demand. Opportunity to perform all phases of dentistry. Call: 410.202.9478 or email: apply@dentalposition.com. __________________________________________

PEDIATRIC DENTIST WANTED to share office space in Towson. Newly renovated orthodontic office with individual treatment areas. Contact: orthoamy@gmail.com.__________________________________________

May 2013 MSDA Newsletter Page 11

Classifieds__________________________________________

PRACTICE OF THE MONTH: BALTIMORE – VIEW OF THE HARBOR. State-of-the-art, Paperless, 2 GP Practice. Senior Doc retiring. Sought after partnership compares with the best. Contact us at: info@aftcomaryland.com or call: 443.802.9454 for details. Reference Code: KBM__________________________________________

DENTAL OFFICE BUILDING FOR SALE: ELDERSBURG. Free-stand-ing professional building, +/- 4000sf, located on Rt. 26 near the intersection of Rts. 26 and 32 with excellent signage, visibility and parking. 11 operating areas, large reception, 2nd floor administrative area and full basement for storage. Call Dave Sciamarelli of MacKenzie Commercial at: 410.953.0357.__________________________________________

SPACE FOR LEASE: ELLICOTT CITY. Opportunity to share space in large dental practice in Ellicott City. Fully-equipped operatory available as needed. Front desk staff and rental options vary. Email: ellicottdds@yahoo.com.__________________________________________

PRACTICE FOR SALE: CENTRAL, PA. Well established, 5 ops. Rev $755K. R/E available. Call Donna at: 800.988.5674. www.snydergroup.net.__________________________________________

AFTCO NATIONWIDE PRACTICE OPPORTUNITIES. AFTCO has the largest selection of practice opportuni-ties throughout the United States. For more information log-on to: www.AFTCO.net or call: 800.232.3826.__________________________________________

POLCARI ASSOCIATES, LTD. 28 YEARS OF SELLER SERVICES: Dental practice appraisals, partnership assistance, practice sales. Since we sell so many practices, we know our market well. No up-front fees. Single representation. Call today to get started. FREE CONSULTATION. POLCARI ASSOCIATES, LTD. Serving our fellow dentists since 1985. 800.544.1297. www.polcariassociates.com__________________________________________

POLCARI ASSOCIATES, LTD. BUYER SERVICES: No fees to buyers to be listed with us for a practice to purchase. Free financing assistance. If you have found a practice on your own we can still help you verify the value using our inexpensive nationally used computer program DENTAPPRAISETM designed for buyers looking at multiple practices. POLCARI ASSOCIATES, LTD. Serving our fellow dentists since 1985. 800.544.1297. www.polcariassociates.com __________________________________________

POLCARI ASSOCIATES, LTD. THREE closings in April, THREE scheduled for May. 6 Happy Buyers and 6 Happy Sellers. But we have dozens of other buyers ready to buy. If you are considering a sale, there is only one call you need to make. 800.544.1297. Since 1985, we are Maryland’s sales leader. www.polcariassociates.com.__________________________________________

PRACTICE FOR SALE: MONTGOMERY COUNTY. 3 ops, room for 4. Retiring dentist. Grossing over $260K PT. Refers out everything. Digital x-rays. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

PRACTICE FOR SALE: ANNE ARUNDEL COUNTY. 2 ops, room for 3. Established, grossing $300K PT. Very high net. Retiring. Prof. Bldg site. Digital x-rays. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

PRACTICE FOR SALE: P.G. COUNTY. Modern, digital, paperless, 4 operatory, established practice grossing $500K. Room for 6 ops. In prof. condo park on main highway. Buy or rent condo. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

PRACTICE FOR SALE: ROCKVILLE. Modern, 4 ops, grossing $600K. Owner ill and must sell. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

PRACTICE FOR SALE: FREDERICK COUNTY NORTH, COUNTRY PRACTICE. Main street of a small town, but not far from Rt. 15 and not far from Carroll County. Retiring dentist grossing over $325K with high net. 3 ops. Only dentist in town. Free-standing office. PRICE REDUCED. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

PRACTICE FOR SALE: EASTERN SHORE PRACTICES: NEAR THE WATER. Modern, total fee-for-service, daytime prac-tice grossing $600K. Great practice in a great area. Also INTERIOR EASTERN SHORE, established retiring den-tist. Priced to sell. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

__________________________________________

PRACTICE FOR SALE: NORTHERN CHARLES COUNTY NEAR PG COUNTY. Free-standing, 6 op, general practice grossing approx $1M. Long time staff. Not far from National Harbor and right in the heart of building boom. PRICE REDUCED. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

PRACTICE FOR SALE: BOWIE. Small, PT practice in South Bowie growth area. 2 ops, pl. for 3. Pan. Office can be a starter GP or specialist. PRICED TO SELL. POLCARI ASSOCIATES, LTD. 800.544.1297. www.polcariassociates.com__________________________________________

ENDO PRACTICE FOR SALE: CHEVY CHASE, MD. Well-established, boutique Endodontic Practice for sale. 2 ops (plumbed for 3) Profes-sional Building, 100% fee-for-service, 20 years of referral sources.Seller available 3 days per week for transition. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC at: 443.255.5111 or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

HUGE OPPORTUNITY: GENERAL DENTAL PRACTICE FOR SALE IN ST. MARY’S COUNTY, MD. Grossing $1.9M++, 3800sf, 3200 active patients. A tasteful investment in leasehold improvements and brand new technology has elevated the value and attractiveness of this practice to a luxurious look and feel. Be confident that your patients will be ushered into a professional environment of modern style and sophistication of patient-optimized space. 100% Financing Available. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

GENERAL PRACTICE FOR SALE: BALTIMORE, MD. General Practice located steps from Harbor East. Three newly renovated OPs with brand new equipment. 75% fee-for-service / 25% PPO. Currently open only 3 days per week with minimum of 10 new patients per week. Unbelievable growth potential! 100% Financing Available. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com.__________________________________________

GENERAL PRACTICE FOR SALE: LARGO, MD. General Practice located in Prince George’s County. Unbelievable growth poten-tial for the right Candidate! 100% Financing Available. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

GENERAL PRACTICE FOR SALE: PIKESVILLE, MD. General Practice located in NW Baltimore grossing in excess of $400K at only 2 days per week. Unbelievable growth potential! 100% Financing Available. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

GENERAL PRACTICE FOR SALE: WALDORF, MD. Grossing $550K+, digital office located in major retail shopping center, 3 fully-loaded ops (room for 6). 100% Financing Available! Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

GENERAL PRACTICE FOR SALE: WALDORF, MD. Grossing in ex-cess of $500K! 9-chair practice inside 3600sf free-standing building. Fantastic opportunity to own the practice and the real estate. 100% Practice financing available! Motivated Seller! 100% Financing Available. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

ENDO PRACTICE FOR SALE: LAUREL, MD. 2 op Endodontic Practice for sale. Seller is retiring, but will stay for the transition. Fantastic opportunity to own the practice and the real estate. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

BUY-OUT OPPORTUNITY: WILLIAMSBURG, VA. Associateship leading to Partnership or Buy-Out. Associate wanted to join a successful General Practice located in Williamsburg, VA. This is an outstanding opportunity for the right candidate to purchase a rap-idly growing practice with a 6-12 month period to test the waters. This is not a job opportunity; this is a future ownership opportu-nity. New Practice, Digital Equipment, Growing Revenues. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com__________________________________________

continued on page 12

__________________________________________

DENTAL HYGIENIST NEEDED: Busy Rockville practice seeks FT/PT Dental Hygienist. Email resume to: doctorbonding@ yahoo.com.__________________________________________

PERIODONTIST SEEKING POSITION AS ‘IN-HOUSE’ PROVIDER: Looking for one day per week. Large general practice is ideal. Trained in all aspects of perio, including treatment planning, surgery, grafting, GTR and implants. Contact: justperio@yahoo.com__________________________________________

DENTAL DREAMS SEEKS GENERAL DENTISTS: Dental Dreams desires motivated, quality oriented general dentists to work in our busy PA, MD and DC practices. At Dental Dreams, we focus on providing the entire family superior quality general dentistry in a modern technologically advanced setting with experienced support staff. Because we understand the tremendous value of our associate dentists, we make sure that their compensa-tion package is amongst the best. Our competitive compensa-tion package includes: minimum guaranteed salary of at least $120,000 with potential to earn up to $300,000, visa sponsor-ship and health and malpractice insurance reimbursement. Make Dental Dreams a reality for you! To apply, please email CV to: humanresources@dentaldreams.org or call 312.274.4520.__________________________________________

PRACTICE TRANSITION CONSULTANT WANTED. Consulting firm seeking Practice Transition Consultant. Full training and support. Unlimited earning potential. Contact: careers@paragon.us.com or 866.898.1867.__________________________________________

FUSION DENTAL is an established growing multi-discipline group located in Maryland and Virginia. Excellent compensa-tion and benefits package to include 401K match and ownership potential. Email Dr. Gregory Bob at: Gbob@amdpi.com.__________________________________________

PEDIATRIC DENTIST WANTED to share office space in Westminster.Newly renovated orthodontic office with private treatment operatories. Contact: ortholaura@gmail.com.__________________________________________

TEMPORARY DENTIST COVERAGE: KEEP EARNING REV-ENUE while on vacation, pregnancy leave, disability, emergencies/ transitions. AGD Masters over 80 years combined experience willing to serve you. MD/VA. Dr. Laurence Fields: 301.947.3388. Dr. David Frome: 240.994.3284. davkat18@msn.com.__________________________________________

ASSOCIATE DENTIST NEEDED: FT/PT in Harford County. Fax resume to: 410.939.9049 or mail to: PO Box 992, Aberdeen, MD 21001.__________________________________________

ASSOCIATE WANTED: Busy Rockville practice seeks FT General Dentist. Position has potential for growth and partnership. Maryland license required. Email resume to: doctorbonding@yahoo.com.__________________________________________

Real Estate Opportunities__________________________________________

OFFICE SPACE FOR LEASE: BEL AIR. Ideal for well-established or new dentist looking to start a practice. 1700sf, fully-equipped with 4 beautiful operatories overlooking scenic grounds on main road with ultimate visibility (5000 cars/day). All equipment, instruments, furnish-ing available. Parking for 20 cars. Email: maryland47@comcast.net.__________________________________________

DENTAL OFFICE SPACE FOR SALE: ROCKVILLE-DERWOOD. Turn-key condominium, 3 operatories, 1 hygiene room, 4th operatory roughed-in. Panex, x-ray, digital x-rays. Fully-equipped, supplied and computer-ized. Sterilizing area, reception room, business office, lab, kitchenette, bathroom. Free parking. Call: 301.762.6832. __________________________________________

DENTAL PRACTICE AND CONDO FOR SALE: Forty-year-old dental practice and condo for sale. Three operatories, digital x-ray, Pan, 900 sf. EMail: RLELYUS@aol.com or call: 301.449.3350.__________________________________________

PRACTICE FOR SALE: DELMARVA PENINSULA. Profitable, well-es-tablished General & Cosmetic dental practice in year-round beautiful Ocean setting. Grossing over $1M. For additional information, email: info@marylanddentalpracticeforsale.com. __________________________________________

SPACE FOR LEASE: ROCKVILLE. Opportunity to share space in mod-ern dental practice in Shady Grove corridor. Fully-equipped operatories available as needed. Please call: 301.417.6957.__________________________________________

GENERAL PRACTICE FOR SALE: NORTH BALTIMORE. Highly desirable area. Rev. $600K. Mostly FFS. 5 ops. Adec equipment and digital periapicals. Real estate available. Call Tom Bonsack, DDS, at: 410.218.4061.__________________________________________

SPACE FOR LEASE: 2 fully-equipped operatories in state-of-art dental office. Ideal for specialist or GP looking to start own practice. Call Sandy at: 410.841.5400.__________________________________________

eschiff@schiffcpa.com aschiff@schiffcpa.com

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443-255-5111

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Allen M. Schiff, CPA, CFE

Eric S. Schiff, Director of Sales

• Maryland’s only Dental Brokerage owned by a Dental CPA

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BUYER SERVICES For buyers looking at multiple practices we can analyze each inexpensively

using DENTAPPRAISE™ our computer appraisal program that gives a “ballpark” appraisal value to see if the asking price is realistic.

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Practice Sales . Appraisals . Partnerships

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OVER 25 YEARS OF SERVICE

september 20-22, 2013

CLASSIFIEDScontinued from page 11_________________________________________

ORTHODONTIC PRACTICE FOR SALE: High grossing, fee-for-service, 4-day multi-office Orthodontic practice with 2 locations in Balti-more County, Maryland. Both practices located in well-established communities. Ample parking and excellent exposure / visibility from main road. State-of-the-art technology (35+ yrs. of Goodwill. Annual Collect, Approx. $1.1M). Unbelievable growth potential! 100% Financing Available. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com_________________________________________

NEW LISTING FOR SALE: WASHINGTON, DC. General Practice located in Washington, DC. Unbelievable growth potential for the right Candidate! Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com_________________________________________

NEW LISTING FOR SALE: MEDICAL / DENTAL CONDO OFFICE FOR SALE IN SALISBURY, MD. Condo located on Milford Street (The Medical District of Salisbury, MD). Located near student hous-ing at Salisbury University. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com_________________________________________

WANTED: MARYLAND DENTAL PRACTICE LISTINGS! We have many well-qualified clients looking to purchase a practice in Maryland. If you are interested in selling your practice or plan on retiring in the near future, please contact us today to discuss your sale and transition options! All inquiries are held in the strictest of c onfidence. Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiffcpa.com. www.schiffdentalbrokerage.com_________________________________________

_________________________________________

GENERAL PRACTICE FOR SALE: FALLS CHURCH, VA. 3-day per week Solo Practice for sale located in Falls Church, VA. 2012 Collections of $260k, 3 Ops (Plumbed for 4) 1600sf. Unbeliev-able growth potential for the right Candidate! Contact Eric Schiff w/ SCHIFF DENTAL BROKERAGE, LLC for more information at: 410.321.7727 (o), 443.255.5111 (c) or via email at: eschiff@schiff-cpa.com. www.schiffdentalbrokerage.com_________________________________________

Services_________________________________________

REUPHOLSTERY: Patient chairs and stools reupholstered in your operatory in one day. Ask about our invisible relaxation systems. Vinyl Crafters: 800.286.8738. http://vcupholstery.com/_________________________________________

Equipment_________________________________________

FOR SALE: Dental Equipment for six operatories, available in Waldorf, MD. Due to office consolidation. Available Equipment Includes: ADEC Dental Chairs, Units, Lights, X-ray Equipment, Panoramic Unit. Please call: 301.638.0192._________________________________________

FOR SALE: ENDODONTIC SUPPLIES & EQUIPMENT (due to retirement). Burs Carbide, Diamond Burs, entire Apico Surgery set-up, New Ultrasonic Diamond Tips, Buchanan & CPR Tips, Sterilox Unit, Maileffer K-Files Dentsply, Electric Motor for NT Files. Best offer. Contact Stanley Klein, DDS at: 443.271.3682._________________________________________

FOR SALE: Two Summit 950SH white orthocarts lightly used, $800/each; Three ADEC 1005 dental chairs including doctor and assistant chairs, $400/each; One Belmont chair, $200. Call: 301.733.1552 (office) or 240.586.2740 (cell)._________________________________________

t No unlawful material can be posted on the site, nor any content that could be considered obscene, defamatory, threatening, harassing or malicious.

t No material can infringe on the rights of any third party, including rights to intellectual property, privacy or branding.

t Superlative and absolute phrases are to be avoided, such as “best care,” “highest quality” or “state of the art,” as they may be used in a legal action alleging breach of an express or implied warranty.

t Messages may not entice prospective patients to expect care beyond the practice’s capabilities, nor rely on falsely promised accommodations.

t Any off-topic material may be deleted, including the promotion of outside products, services, groups or organizations.

t The practice reserves the right to remove posts advertising commercial products, including business solicitations, chain letters or pyramid schemes. Platform settings should disable advertisements and “pop-ups” when possible.

t Users may not impersonate another person or share their identity and password.

Develop an incident response plan. The written response plan should address violations of site rules, such as password compromise, hacking, or posting of unauthorized patient images or other inappropriate content. At a minimum, the plan should encompass removal of objectionable material, notification of offenders, documentation and reporting of incidents, and staff follow-up action and disciplinary standards, drafted in compliance with relevant employment laws.

Resourceslimoli, P. “impact of social Media on Dental Practices.” Dentistry Today, posted January 1, 2012. available at http://www.dentistrytoday.com/viewpoint/7719-impact-of-socialmedia-on-dental-practices.

“social Media checklist.” Sidekick Magazine (online, not dated). available at http://sidekickmag.com/continuing_education/social-media-checklist/.

u.s. Department of Health & Human services center for new Media, “HHs new Media standards and Policies checklist,” available at http://newmedia.hhs.gov/resources/standards_and_policies_checklist.pdf, and “social Media 101 overview: the WHat and the WHy,” available at http://newmedia.hhs. gov/resources/socialmedia101overview06-29-09.pdf.

The Dental Expressions® publication, “Social Media Liability: Understanding and Addressing the Risks” is available for access at Error! Hyperlink reference not valid. Control>CAN’s Download Library> Dental Expressions. Copyright © 2012 Continental Casualty Company. All rights reserved.

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