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2 INSCRIPTIONS | November 2015 22

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3INSCRIPTIONS | November 2015

CONTENTS

INSCRIPTIONSEDITOR’S COLUMN

04 Butter me up

November 2015

ESSENTIAL READING FOR ARIZONA DENTISTS

EXECUTIVE DIRECTOR OF THE STATE BOARD OF DENTAL EXAMINERS

12 BODEX update

06

08

AzDA annual awards CONGRATS TO DRS. ROBINSON, TURNBULL, HOWARD, HARVEY, SHANAHAN, AND THOMPSON

Finishing strong HUGE TURNOUT FOR WOMEN IN DENTISTRY GALA

14

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10

IV sedation IMPLICATIONS FOR THE MODERN DENTIST’S PRACTICE

Member dentist feature PEDIATRIC DENTIST KYLA HOLLEN , DMD, MPH, TUCSON, AZ

Mythbusters PRACTICE SALES AND TRANSITIONS

Caution BODEX subpoenas MAKE SURE SUBMISSIONS ARE COMPLETE AND TIMELY

AzDA wants you to lead APPLY TODAY

Mentoring a dental student—3,000 miles away

LEAD program dines, discusses leadership

Hats off to future dentists of the Millennial generation

Pima Dental Study Club hosts first annual pub crawl & poker run to benefit HopeFest

Classifieds

EMV and your practice MAKING SENSE OF THE MEDIA HYPE

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Retraction notice: last month’s issue (page 50) had incorrectly listed AS-DOH second-year dental student as Andrew rather than Austin Shackelford.

AzDA EXECUTIVE DIRECTOR’S COLUMN

44 Pima Community College THEIR NEW, INNOVATIVE AND INTEGRATED APPROACH TO LEARNING

4 INSCRIPTIONS | November 2015

INSCRIPTIONS EDITOR Eric K. Curtis, DDS, MA

EDITOR’S MESSAGE

Everyone experiments when they go to college, trying out new clothes, perhaps, and alternative music, or fresh philosophies, or shady political ideas that will upset their parents. Some slip into new states of con-sciousness, often induced by alcohol or drugs. My most profound college lifestyle experiment, carried out with my roommate Kurt in our apartment kitchen, felt as dangerous as dope. We stopped using margarine, and stocked the refrigerator instead with fresh cream butter.

My butter conversion was a big deal. My mother, born during the De-pression and raised in the depths of World War II, had only ever eaten margarine, and she fed it to her children with a righteousness born of deprivation. Margarine felt practically moral compared to extravagant, liber-tine butter. “I don’t even butter my bread. I consider that cooking,” San Francisco socialite Katharine Cebrian once said, as if to seal butter’s reputa-tion as the slather of decadence. Even

certain Bible verses, such as “she brought forth butter in a lordly dish” (Judges 5:25), made milk fat products sound excessive.

Practical, cow-free margarine, in fact, a French chemist’s invention of the 19th century, ruled the 20th. There were at least three reasons for the imitator’s ascendance. First, butter required heavy labor—milking the cow, collecting the cream, cranking the churn. In an agrarian society, such handwork was unremarkable. In 1911, the average American consumed 19 pounds of butter. But World War I and the Wall Street crash sent farm families streaming into the cities, where lab-concocted non-dairy oleo spreads went further on strained factory incomes.

Second, butter became scarce. The war effort required the mass produc-tion of weapons at the expense of nearly everything else. Authorities rationed sugar, meat, coffee, cheese, tires, gasoline, and, of course, but-ter. The guns-and-butter dichotomy, still invoked today by economists to describe the relationship between military and civilian spending, was in-

vented by uber-Nazi Hermann Goer-ing. “Would you rather have guns or butter?” Goering famously explained. “Preparedness makes us powerful. Butter merely makes us fat.”

In wartime America, eating margarine practically symbolized a family’s sup-port of our boys in uniform. Even af-ter the war, the Good Luck margarine company hired Eleanor Roosevelt to advertise margarine’s patriotic impera-tive: “That’s what I’ve spread on my toast,” the former first lady declared in a 1959 commercial.

Third, medical experts proclaimed margarine a health food, at least compared to butter, which was fat shamed for its perceived role in mak-ing the world obese and infarction-worthy. By 1976, the average Ameri-can ate 12 pounds of margarine, and only three pounds of butter.

For decades, butter remained irre-trievably old-fashioned, a yesteryear memory that Garrison Keillor could comfortably reference on his faux-retro National Public Radio show A Prairie Home Companion: “Dad is a pat of butter in a hot frying pan.”

Butter became so unhip and not with it that even part-time actress and full-time foodie-goddess Gwyneth Paltrow had to excuse herself for partaking. “Could I use some butter and cheese

BUTTER ME UP



Dr. Curtis practices dentistry in Safford, where he made the sourdough slice on page 4 and, at left, the whole wheat loaf with truffle salted butter.

and eggs in my cooking without going down some kind of hippie shame spiral?” Paltrow said, sounding distinctly defensive. “Yes. Of course I could.”

Only comics and other angry coun-ter-culture types dared criticize mar-garine’s hegemony. Frank Zappa sang, “Saint Alphonso’s pancake breakfast, where I stole the margarine.” Comedi-an Demetri Martin declared in one of his routines, “I like to use ‘I Can’t Be-lieve It’s Not Butter’ on my toast in the morning, because sometimes when I eat breakfast, I like to be incredulous. ‘How was breakfast?’ ‘Unbelievable!’”

Through those years, butter’s credibil-ity continued only in the culture mem-ory of aphorisms and pithy quotes. “She looked as if butter wouldn’t melt in her mouth—or anywhere else,” actress Elsa Lanchester said.

“I don’t walk,” said rapper Kid Cudi. “I glide, like butter.”

“Just call him butter,” ESPN commen-tator Stuart Scott roared, “’cuz he’s on a roll!”

And what do you call the kind of dental practice that offers basic, smooth, easy-care procedures? Ex-actly. It’s bread and butter dentistry.

Although I have been a butter gour-mand since the Carter Administra-tion, it wasn’t until last month that I actually concocted my own. Larry and Linda Faillace, of Three Shepherds Cheese in Warren, Vermont, taught me how to make cultured butter, a slightly fermented version that adds intriguing complexity to the flavor. The process is both easy and mes-merizing. Start with heavy cream. Add a few crystals of mesophilic bacteria. Leave overnight. The next day you have crème fraiche, a mild sour cream, which you beat (I use a stand mixer) into whipped cream, then butter cream, then butter, trans-forming an oil-in-water emulsion to a water-in-oil one. Squeeze out the buttermilk, wash the butter, and salt it to taste, or not. What’s old is new, and what’s basic, when perfect, is sub-lime. When asked about his favorite food, chef Jacques Pepin replied, “If you have extraordinary bread and extraordinary butter, it’s hard to beat bread and butter.” Indeed.

One more tiny revelation about butter: brown it. Heating butter separates the milk solids and water from the butterfat. Do it gently, and you get clarified butter, also called ghee, excellent in lighting up both

Indian cooking and Tibetan butter lamps. Boil butter until it turns nutty and sweet, like caramel, and you have brown butter, which is heavenly with pasta. Brown butter will also utterly transform chocolate chip cookies.

Other people have finally noticed. After all these years wandering in the food-history wilderness, butter is com-ing back into vogue. I know this both because in 2011, two Swedes were ar-rested for trying to smuggle 550 lbs. of butter into Norway, proving demand is way up, and because last year New York Times food maven Mark Bittman urged Upper East Side thought leaders to lighten up on their anti-butterfat bias. “Eat real food,” he wrote.

The Internet has thoroughly reha-bilitated my favorite guilty pleasure. Studies now suggest that heart attack incidence increases with rising marga-rine use—but not with butter, which is rich with additional good news in the form of fat-soluble vitamins, in-cluding the anti-cancer vitamin K2, as well as butyrate to fight inflammation and the anti-tumor, anti-fungal fatty acid conjugated linoleic acid (CLA). Eating fats, high-profile doctors cur-rently advise, doesn’t make you fat.

Internet rumors also suggest that but-ter prevents and/or repairs dental car-ies. I’ll bet brown butter is even more effective. Maybe it could neutralize the sugar acidity in my chocolate chip cookies. I’ll do more research and get back to you.

After all these years wan-dering in the food-history

wilderness, butter is coming back into vogue.


ANNUAL AWARDS

Jonathan D. Robinson, DDS Thomas W. Turnbull, DDS Robert J. Howard, DDS

The Dentist of the Year Award For Outstanding Contributions to The Profession of Dentistry in Arizona

AzDA Service Award In Recognition of Life-Long Achievement and Enduring Contribu-

tions to the Profession of Dentistry



• President NADS• Vice President NADS• Secretary, Treasurer NADS• Delegate NADS• Alternate Delegate NADS• Director NADS• Trustee AzDA• AzDA Council on Communications• AzDA Council on Government Affairs• AzDA Council on Dental Care, Chair• BODEX Coronal Polish Committee

• BODEX Evaluator, 1303 Sedation Permits

• Delegate ADA• Alternate Delegate ADA• Northern Arizona Pediatric Den-

tal Study Club, founder• Give Kids A Smile• MOM participant• Fellow, International College of

Dentists• Fellow, Pierre Fauchard Academy• Life Member ADA• Life Member AzDA• Life Member AAPD• Dental Materials Labratory Instruc-

tor for Dental Hygiene and Pre-clinical Dental Students at USC

• Clinical Instructor in Pediatric Dentistry at OHSU

• Graduated from Ohio State University with honors in 1972

• First involved in organized den-tistry in 1979 as a delegate to the House of Delegates / SADS

• President of SADS. During my term, the City Council of Tucson voted to fluoridate the water sys-tem. The mandatory waste water permit and testing were removed by the Pima County Board of Supervisors. SADS received the ADA Apple Award for tripartite involvement in our efforts with the Board of Supervisors.

• Member of Pima Community College advisory board that was responsible for starting the Dental Hygiene college to help with the hygienist shortage in Tucson

• Member and examiner for BODEX

• Member of Board of Directors of Delta Dental of Arizona

• SADS Chair of the Ethics Committee

• AzDA Board of Trustees

• Volunteered annually at HopeFest and Give a Kid a Smile

• Helped organize and was a panel member for the Good, Bad, and Ugly CE program to promote ethics to young SADS members

• Member, American Dental As-sociation, 1983 to present

• Member, Arizona State Dental Association, 1989 to present

• Member and Fellow in the Acad-emy of General Dentistry, 1983 to present

• Consultant, Arizona State Board of Dental Examiners, 1997 to present

• Member, House of Delegates to AZDA, 1998 to 2013

• Board of Directors, AzDA, 2012, 2013

• Chairman, NADS Peer Review Committee, 1998 to present

• Chairman, Northern Arizona Dental Study Club, 1995-2003

• Treasurer, Northern Arizona Network for Dental Excellence

• Member, AzDA Council on Den-tal Education, 2009-2011

• Volunteer Provider, Give Kids a Smile Program

• Volunteer Provider, Donated Dental Services, ADF

• Volunteer Provider, North Coun-try Dental Clinic

• Volunteer Provider and Co-Director of Dental Services, Sid Davis Memorial Dental Clinic


Brien Harvey, DDS Bryan J. Shanahan, DDS Michael R. Thompson, DDS



AzDA President’s Award In Appreciation for your Support, Commitment and Contribution

to the Association President

AzDA President’s Award In Appreciation for your Support, Commitment and Contribution

to the Association President

• Chairman of the AzDA Council on Education and Chairman of the AzDA annual convention (now the WRDC) 1989-1995;

• 2004-2009, Editor, Inscriptions, Journal of the Arizona Dental Association

• 2002-2008 and 2013-Present, Member, Council on Bylaws, AzDA (2014-present, Chairman)

• 2001-2002, President, Arizona Dental Association

• 2001-2002, Interim Executive Director, Arizona Dental Asso-ciation

• 1998-2001, Member, Council on ADA Sessions and International Programs, American Dental As-sociation

• 1996-2003, Member, Board of Trustees, Arizona Dental Asso-ciation

• 1997-2012, Member, Council on Communications, Arizona Dental Association

• 1992, President’s Award, AzDA

• 1995, 2003, Arizona Award, AzDA

• 2004-present—Volunteer, Do-nated Dental Services

• 2008-present—ADA Alternate Del-egate or Delegate to the ADA House

• 2008-2009—AzDA Secretary

• 2006-2008—AzDA Board of Trustees

• 2002-2003—NADS Past President

• 2001-2002—NADS President

• 1999-2000—NADS Secretary/Treasurer

• 1996-1998—NADS Board of Directors

• 1998-1999—AzDA Council on Government Affairs

• 2009—AzDA Board of Trustees, Vice President

• 2010—AzDA Board of Trustees, President Elect

• 2011—AzDA Board of Trustees, President

• 2012-2014—AzDA Council on Nominations

• 2015—14th District, ADPAC Chair

• Fellow of the American College of Dentists

• Fellow of the International Col-lege of Dentists

• Fellow of the Pierre Fauchard Academy

• Fellow of the Academy of Den-tistry International

• Fellow of the Academy of Gen-eral Dentistry

• AzDA President—2006-2007

• CADS President—1998-1999

• President, Arizona Academy of General Dentistry—1995-1996

AWARDS• Fellowship in the Academy of

General Dentistry—1986• Fellowship in the Pierre Fauchard

Academy—1995• Fellowship in the American Col-

lege of Dentists—1999• Fellowship in the International

College of Dentists—2000• Fellowship in the Academy of

Dentistry International—2004• Hall of Fame Service Award -

Arizona Dental Association—2008• Lifetime Achievement Award –

Arizona Dental Association—2010• Dentist of the Year Award –

Arizona Dental Association—2014


The final session of the 2015 WID series (Pathways to Leadership, ADA President-

Elect, Dr. Carol Gomez-Summerhays) wrapped up at the palatial Arizona Country Club on Oct 8. The sold out event was open to all women den-tists as well as dental students from ASDOH and Midwestern.

Like other social events, there was food, gift bags, and giveaways—what was different was a genuine feeling of support and community. Friend-ships formed, stories and emotions were shared, lives were touched, and dentists (and future dentists) real-ized something powerful: “We’re not alone in this—we have a circle of friends we can now call upon for support, encouragement, and clinical

FINISHING STRONGHUGE TURNOUT FOR WOMEN IN DENTISTRY GALA


advice.” If you weren’t able to attend, don’t worry, plans are already in the works to make WID 2016 bigger and better. So you can carry on the com-munity and continue to build friend-ships, plans are also underway to allow attendees to easily reconnect with peers they met at the event through online forums—keep an eye out for updates on that. A special thanks to AzDA President Dr. Allison House and AzDA’s membership department (Phyllis, Janna, Dary, and Jenny) for making this series so wonderful.

Check out AzDA’s Facebook page for WID photos. facebook.com/azdental

Keep an eye on the WID website for updates about next year’s event at women.azda.org

http://facebook.com/azdental

http://women.azda.org/


To panic or not to panic? That is the question. If your office does not have a new EMV chip-reading terminal for credit card processing, there is no need to panic.

Despite the sometimes erroneous media reporting and the multitude of sales calls you may have already re-ceived, this EMV shift is not as big of a cliff as many would have us believe. Your machine will still read magnetic stripes, and credit cards will still have the magstripe on them. It is not a law to have EMV equipment, nor is it a Payment Card Industry (PCI) mandate. There is no fine, and you will not pay higher rates if you do not have the equipment.

What is EMV? EMV stands for Europay, Mastercard and Visa, and is the global standard for credit card security that uses en-crypted chips on credit cards, rather than magnetic stripes, to process transactions. In the wake of numer-ous large-scale data breaches and increasing rates of counterfeit card

fraud, U.S. card issuers are migrating to this new technology to protect consumers and reduce the high cost of fraud that they incur. EMV-chip cards are designed to decrease credit card counterfeiting by making them more difficult to copy. Unlike magnet-ic-stripe cards, which store unchang-ing data in their stripes, EMV-chip cards generate a new code for every transaction. Cardholders also have to verify their EMV card purchases with either a signature or by entering a PIN. However, the new EMV cards will still have the magnetic stripes on them for quite some time.

It is important to note the technol-ogy involved is expensive—to both the manufactures of equipment and the card-issuing banks. As a result, the transition is moving slowly.

Liability shift—what does it mean? While EMV is not a mandate, you may want to have this technology to avoid the liability shift that went into effect October 1, 2015. If a patient presents a card which contains an EMV chip and you swipe the magnetic stripe instead of using a chip reader—and the card is stolen or counterfeit—you will have no recourse, and you will lose any related chargeback.

GUEST ARTICLE— Jennifer Nieto, Best Card

EMV AND YOUR PRACTICEMAKING SENSE OF THE MEDIA HYPE

How far behind is the transition? 3.69%: Merchants in the US that can accept EMV chip cards as of 7/2015 (=295,000/8,000,000 merchants)

18%: Visa cardholders that have been issued and EMV chip card as of 7/2015

13%: MC/Visa/Disc/AMEX cardhold-ers with an EMV chip as of 7/2015.

http://www.digitaltransactions.net/news/story/Visa_s-Latest-EMV-Snapshot_-127-Million-Chip-Cards_-295_000-EMV-Accepting-Locations

35%: Percent of those who have actually used them as intended.

http://nr.news-republic.com/Web/ArticleWeb.aspx?regionid=1&articleid=46030562

40%: Estimated percentage of U.S. debit cards that will be issued as EMV cards by the end of 2015.

70%: Estimated percentage of U.S. credit cards that will be issued as EMV cards by the end of 2015.

7%: ATMs in the U.S. that can read EMV chip cards as of 7/2015.

$500: Average cost of an EMV compliant point-of-sale terminal.

http://www.creditcards.com/credit-card-news/emv-faq-chip-cards-answers-1264.php#ixzz3fVV1qO8C

http://www.digitaltransactions.net/news/story/

http://nr.news-republic.com/Web/ArticleWeb.as

http://www.creditcards.com/credit-card-


Jennifer Nieto is President of RJ Card Processing Inc. (d/b/a Best Card), an AzDA Perks Endorsed Company for credit card processing. She is a former CPA and Direc-tor of Finance for the Colorado Dental Association. bestcardteam.com

Currently, if a fraudulent card is swiped at your office, the dispute would follow standard chargeback protocols. This means that you would have a chance to prove that your staff performed due diligence. You would have approximately 30 days to respond to the dispute with proof that your signed receipt has the same NAME and SIGNATURE as that on the presented card. This will continue to be the case for cards which do NOT have EMV chips in them after October 1, as well as for any keyed transactions.

Should you purchase new equip-ment NOW? Even though there is a low incidence of fraudulent cards (i.e. STOLEN or COUNTERFEIT) at dental practices, you should consider updating your equipment. The cost of the equipment could be offset by NOT LOSING one large-ticket chargeback. EMV will eventually be the standard world-wide. Thankfully, it will be a more secure system. As a final thought about purchasing, con-

sider avoiding a lease agreement as merchants pay $30-$75 monthly on non-cancellable 48 month-leases, and then they have a buyout at the end of the lease.

What does your team need to know? To minimize liability to the practice there are some important things staff need to be trained in.

First, with any face-to-face transac-tion, it is important that your team match the name on the card with the person presenting it. Also, be sure the signature matches the name on the card.

When keying in a credit card, it’s important your team input the 3-digit CVV code (4-digit for Amex), as well as the address and zip code of the cardholder’s account. If all three of these key identifiers match, you will most likely win the chargeback.

EMV-compliant transactions require customers to insert the card in the reader and leave it there until the transaction is complete. Make sure that your new equipment is PIN-enabled in case the issuer of the EMV card requires a 4-digit code—even for credit transactions.

http://bestcardteam.com/

http://www.ddsworkshop.com/


THE STATE BOARD OF DENTAL EXAMINERS Elaine Hugunin, Executive Director

ARIZONA STATE BOARD OF DENTAL EXAMINERS

BODEX UPDATE

Thank you to the Association for the opportunity to address the House of Delegates at its meeting on Septem-ber 19, 2015. As I indicated in my update, and it is a cliché’, I am preach-ing to the choir at these meetings. However, I believe the update is valuable to the Association leaders. I thanked the Association for its sup-port of the Board’s continuation bill, provided highlights of the past year, and shared the Board’s upcoming challenges and opportunities. I’d also like to offer kudos to Dr. Anthony Caputo for facilitating the meeting.

Many members at the meeting shared that they did read this Inscriptions column. And while I appreciate hear-ing their feedback, after six years of monthly columns I am sometimes challenged with content. Therefore, I would appreciate any and all feedback regarding the column as well as Board operations and activities.

At the Board’s August 7, 2015 meet-ing, it took the following actions:

• Approved two disciplinary con-sent agreements: One for continuing education in crown and bridge and practice

management and one for con-tinuing education in the fabrica-tion of bridges

• Approved eight non-disciplinary consent agreements: Three of these cases resulted in continuing education in crown and bridge; three included continuing education in record keeping; three included continu-ing education in risk management; and one required continuing education in operative treatment planning of placing posterior restorations

• Approved six non-disciplinary let-ters of concern:

1. Dr. Cardinal should ensure complete documentation of all procedures including any ad-justments made to prosthesis.

2. Dr. Viking should inform the patient of any event related to the informed consent that oc-curs during treatment.

3. Dr. Packer should ensure appro-priate communication between the front office and himself.

4. Dr. Charger should completely and thoroughly document all of the procedures for treat-ment rendered.

5. Dr. Ram should have standards in place to ensure that the treatment planned is the treat-ment performed.

6. Dr. Dallas should be familiar with the rules and regulations of the Dental Practice Act

• Approved A. T. Still University of Health Sciences dba Arizona School of Health Sciences as a charitable organization for the purposes of Arizona Administra-tive Code R4-11-1209(A)(4)(f)

• Conducted one formal interview

As I have previously communicated, the Board has the option to pull items from the consent agenda for discus-sion on the recommended action. At the August 2015 Board meeting, five cases were pulled. One of these cases was recommended for disci-pline. However, the Board voted to modify the agreement to add ad-ditional sanctions. Three cases were recommended for non-discipline; two of which the Board voted to make disciplinary, and one was to modify the type of continuing education. The last case was on the Board’s consent agenda to be terminated per patient letter. The Board believed that unpro-fessional conduct may have occurred and that the case should be further investigated. All of these licensees

CONTINUED ON 18


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Implications for dentists Dental anxiety is an issue for any practicing dentist, with implications for patients and dentists alike. Anyone familiar with the dentist office knows that dental anxiety is real, with a mea-surable effect on office efficiency and patient experience. Dental anxiety has well-documented physiological and psychological effect, that can be deleterious to the lives of our patients, even in the long-term. Literature dem-onstrates that the majority of dental patients prefer sedation for endodon-tics, periodontics, and extraction pro-cedures, and those with anxiety even prefer sedation for simple cleanings.

While the phenomenon of dental anxiety is present in a wide variety of populations, less frequently discussed is the emotional stress placed on dentists themselves, who, over time may feel burdened by the anxiety that dental care causes patients. Many dentists feel limited in their options for treatment without increasing their liability, especial-ly for those who need deeper, titrated levels of sedation and anesthesia.

Fortunately, high-quality, safe, and af-fordable dental sedation is available to Arizona dentists through a number of different anesthesia providers.

Will the cost of IV sedation affect the profitability of my office? Partnering with an anesthesia group who offers you an essentially cost-neutral way to attract more patients into your office. Offering patients flexible, affordable anesthesia care is a marketable asset. Not only is offering IV sedation “in vogue” with trends, having sedation readily available is something that can be included in ad-vertising materials and can be a draw even for patients who may be con-sidering your office for non-sedation procedures and regular dental care.

For dentists performing specialized procedures, being partnered with an anesthesia group is another aspect which drives referrals into your office, as many patients prefer to have some form of sedation available (even if not utilized for the current procedure) as an option for their treatments.

Sedation utilizes minimal resources in your office while offering an attrac-tive treatment option for patients. Typically, most anesthesia providers supply all of their own equipment. Dentists typically add a small fee (ie $50) to cover staff resources and drug supplies. Between the mini-mal cost and potential for increased volume, coupled with the safety and liability protection of another licensed, insured provider who is administering

anesthesia, having a relationship with a responsive anesthesia group can drive profitability for dentist offices.

What is the right type of provider for my office? For over a century, anesthesia has been the domain of dentists, certi-fied registered nurse anesthetists, and physicians. Each of these pro-fessions currently provides all types of sedation in dental offices, from IV sedation to general endotracheal anesthesia. While each has a differ-ent background, they all have similar training in anesthesia and related sci-ences, and all three professions have a comparably impressive level of safety. With this overlap, it’s important to get to know an individual providers’ background. Be sure to ascertain an individual’s comfort and experience in resuscitative measures, co-morbidities, and difficult airway management. An airway emergency is not the time to be attempting techniques that have never been used—it’s a time to use skills honed by years of practice. The difference between an “event” in your office and a brief change in physiological status is often based on the experience of the provider in your office. As the old saying goes, “All providers are li-censed, not all providers are the same.”

IV SEDATIONIMPLICATIONS FOR THE MODERN DENTIST’S PRACTICE

GUEST ARTICLE Joseph A. Rodriguez, CRNA

IMPLICATIONS FOR THE MODERN DENTIST’S PRACTICEIMPLICATIONS FOR THE MODERN DENTIST’S PRACTICEIMPLICATIONS FOR THE MODERN DENTIST’S PRACTICE

CONTINUED ON 16


http://www.officetransitions.com/


Is IV sedation and general anesthesia safe for my patients? Anesthesia requires constant attention for safe administration because anes-thesia is a “spectrum” that is unique for each patient. Even using straight-forward intravenous medications, such as midazolam and fentanyl, can easily put a patient into deep sedation or even general anesthesia, where airway reflexes are obtunded or lost. Even with advanced monitoring and exten-sive education, administering anesthe-sia requires constant vigilance.

With that said, anesthesia is 50 times safer than it was in the 1950s, and dentists can partner with anesthesia providers to provide sedation with a high-degree of confidence in regards to safety for their patients. Anes-thesia related morbidity is far more frequent than mortality—with human error (poor teamwork, lack of com-munication, inexperienced provid-ers) being the most common culprit. Therefore, it’s important to choose an anesthesia group that emphasizes teamwork, safety and communication.

What are the Arizona regulations regarding sedation in dental offices? There are four permits pertaining to sedation and anesthesia. R4-11-1301 allows dentists to administer general anesthesia and deep sedation. R4-11-1302 pertains to parenteral sedation. R4-11-1303 pertains to oral seda-tion. R4-11-1304 allows dentists to work with Certified Registered Nurse Anesthetists or Physician Anesthesiol-ogists without having any of the other permits. If the dentist has no permit, dentists must work with a Dentist An-esthesiologist, who themselves carry the proper permits. Further informa-tion on these permits is available from the State Board of Dental Examiners.

How will sedation cases affect the ‘flow’ of my office? IV sedation and general anesthesia, as intimidating as they may seem, do not have to disturb the normal flow of the dental office. However, some modifica-

tions must be made from non-sedation cases. Dentists should allow additional time for pre-operative and post-operative recovery, especially in the instance of using one operatory for the surgery and recovery. Your anesthesia provider must know the details of the procedure to efficiently and skillfully administer the anesthetic, so communi-cation is paramount for safety.

Putting the “sedation lineup” in a room that is further away from patients com-ing in for routine care keeps the case out of sight for your other patients. It is also recommended that you ask your anesthesia provider to keep the volume of their monitors and alarms to a minimum. Many patients report a feeling of anxiety when they hear alarms, as media portrayals of anesthe-sia give them the idea a sedated patient is in critical condition. Although moni-tors and alarms need to be audible, especially the high (indicating oxygen saturation within normal limits) or low (oxygen saturation below acceptable levels, needing immediate intervention) tones of the pulse oximeter—none of these tones need to be so loud that they disturb the entire office.

Summary There are significant benefits for dentists developing a relationship with an anesthesia group. Offering your patients IV sedation is a powerful mar-keting tool, and having a relationship in place means you can offer this service in an efficient way with minimal inter-ruption to other service lines. Sedated patients are nearly always satisfied patients who in-turn share with their family and friends what type of experi-ence they had in your office. Finally, a separate professional administering the anesthetic provides not only the dentist protection from liability for anesthesia outcomes, but another team member who is focused on the safety and posi-tive experience of your patient.

Joseph Rodriguez is a managing partner for Arizona Anesthesia Solutions, a group solely focused on dental and office anesthesia, and President-Elect of the Arizona Association of Nurse Anesthetists. AzAnesthesiaSolutions.com, [email protected]

IV SEDATION—CONTINUED FROM 24

Improve patient retention

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Cardinals therapy with my dad

Ms. Elaine Hugunin, Executive Director of the Arizona State Board of Dental Examin-ers. AzDA members are invited to submit questions to [email protected], Fax: 602.242.1445. Your question(s) could be used in future columns.

will be offered the modified agree-ments or they may choose to appear before the full Board for a formal interview. Of the five cases, three of the licensees have chosen to appear at the October 2, 2015 Board meet-ing for a formal interview.

Again, as previously communicated, there have also been instances where the Board pulled cases from the

consent agenda and ordered lesser sanctions (e.g., voted to dismiss a case in lieu of issuing the recommended letter of concern).

As a result of amendments to the Dental Practice Act, the audio record-ings of Board meetings are required to be placed on the Board’s website. I am not sure how many licensees will want to listen to a four or five hour Board meeting especially since it does not qualify for continuing education hours!

I trust that your days are as positive as the Arizona Cardinals have been or at least at the time of this writing. GO CARDINALS!

BODEX—CONTINUED FROM 12

The ADA has released its new Dental Benefit Video Series, providing an overview of the dental benefits market, common issues reported by contracted dentists, and best practices for signing a contract.

Whether you’re about to sign your first contract or you’d like to better understand your current one, you’re urged to take advan-tage of these informative tutorials. They include “What Dentists Need to Know before Signing Managed Care Agreements,” “Common Carrier Processing Policies,” and “Coding on a Den-tal Claim Form.” For more info, visit success.ada.org then search for dental benefit videos.

DENTAL BENEFIT TUTORIAL SERIES NOW AVAILABLEThe ADA has released its new Dental Benefit Video Series, providing an overview of the dental benefits market, common issues reported by contracted dentists, and best practices for signing a contract.
















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MEMBER DENTIST FEATUREPEDIATRIC DENTIST KYLA HOLLEN , DMD, MPH, TUCSON, AZ

What’s your professional background from dental school to the present? I graduated with the fourth class from the Arizona School of Dentistry & Oral Health (Class of 2010). I was initially drawn by their one-page web page that advertised graduates would participate in a variety of clinical-care settings, possibly even assist with delivering babies in rural Alaska where there was a complete lack of access-to-care. After graduating, my husband (Christopher Chin, DMD, MPH) and I practiced in rural Missouri for three years. During this time, I had the opportunity to manage a community health clinic site and develop a variety of community programs, as well as act as an adjunct faculty member for ASDOH.

Although living in rural Missouri was an adventure as a general dentist, my passion for pediatric dentistry was un-fulfilled. I simply needed the advanced training to provide the level of care that I recognize is important for children to build a strong dental foundation, par-ticularly for those with advanced care needs. I returned to Arizona to start residency with NYU-Lutheran at their Tucson location. Spending two years back in Arizona convinced my husband and me that we couldn’t imagine living anywhere else.

I knew my vision for a pediatric prac-tice was different, so starting my own practice was a must. My experiences as a general dentist and in public health have sensitized me to the need for innovation and the need for change in the existing traditional model in pe-diatric dentistry. Children and families these days have different needs: for one, we are heavily influenced by tech-nology. Second, I recognize that more children than ever have a special health care need, which is why I designed my practice to take into consideration children of all needs. I particularly focused on those children who might have sensory processing disorders. Therefore, the office was designed to be particularly free of visual stimuli that might present as a threat. When you walk in a room, one of the last things you notice is the dental equipment. Third, family has come to be much more involved with care, and I think that’s great because parents should be involved with their child’s care. When you stop and think about it, how can we expect a parent to care for their child’s teeth if they aren’t actively in-volved with their dental visits as well?

Taking all of these ideas, I formulated my plan for my practice during my last year of residency. And in July of 2015, Southwest Kids Dentistry opened, the week after I received my pediatric residency certificate.

Living in the middle of nowhere, starting my own

clinic, and immersing myself in community health

really gave me a “resi-dency” experience of sorts

like no other.

“

21INSCRIPTIONS | November 2015 21INSCRIPTIONS | November 2015

22 INSCRIPTIONS | November 2015 CONTINUED ON 26

How did you get involved in organized dentistry? Involvement in organized dentistry truly started for me when I was in college. My mentor, a private practice dentist for whom I worked, invited me to dental meetings because he was ac-tive in the Oregon Dental Association.

One of the major influences to en-gage with organized dentistry started in dental school with a free mem-bership in American Student Dental Association (ASDA). My involvement in dental school included participating in ASDA events and being a chair to the Web Development Committee. It is so important to be involved in organized dentistry because of the opportunity to create positive change for our profession. While one dentist can affect many patients and positively impact their oral health, organized dentistry gives us the ability to influ-ence our profession.

Do you have aspirations in serving organized dentistry in a leadership role? I have two goals. I feel that one of the challenges that face organized den-tistry is finding a way for the younger

generation to find time in our busy schedules to make time for socializing with each other so that we can iden-tify issues, that we can connect, and that we can work together to solve common problems.

My second goal is that I hope to find challenges facing younger dentists and work to solve problems. For example, one of the challenges I am facing right now is credentialing with our state Medicaid system in a timely and orga-nized fashion. It has been an amazingly inefficient system that I think not only affects practitioners on a personal level, but also impacts our community as a whole.

What’s been the most rewarding dental charitable outreach you’ve participated in? The most rewarding charitable out-reach I’ve been a part of was orga-nizing and implementing a bi-annual school screening event in Missouri. All of the elementary school students in the town in which I worked were screened into categories of need at the beginning of the year. The screenings were performed after a 40-hour workweek, but the teachers

were willing to arrange their entire school health fair around our schedule because there were no other den-tists who were available to make this event possible.

For the remainder of the school year, we would coordinate the children’s dental care to the community dental clinic. I don’t know how many count-less nights were spent in the school nurses’ offices, brainstorming how to get children the care they needed. At the end of the school year, we would go back to the school and re-screen before summer break to assess improvement and identify new needs. Each year the need reduced. Original-ly there was a high percentage identi-fied as “high need” or “urgent need” due to child’s self-reported pain, or due to evident and active abscesses and severe decay. All of those hours screening the children and coordinat-ing their visits was exhausting, but worth it because the follow-up and establishment of a dental home cre-ated so much of a difference.

Describe an interesting story about your transition into the United States? Managing editor’s note: This question was asked in a previous interview I conducted. I accidentally copied and pasted into the questions I’d sent Dr. Hollen. Even though she was born in the United States, she had a little fun at my expense (deservedly so) and answered the question anyway.

My transition was pretty seamless. I was born via an (unplanned) Ce-sarean section in Corvallis, Oregon. Funny story—my dad almost missed the birth because he was a young lawyer and too afraid to ask the judge to reschedule the trial for the day my mom went into labor. My paternal grandmother had to march down to the courtroom herself and interrupt the proceedings for the day (as the legend goes) so my dad could make the hour drive to the nearest birthing hospital where my mom was getting ready to deliver. We then made the hour drive back home to the Oregon coast, where I spent the next 18 years getting accustomed to life in America.

23INSCRIPTIONS | November 2015 23

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DR KYLA HOLLEN—CONTINUED FROM 22

What does your personal/professional life look like with a husband who is also a dentist? We spent some time practicing to-gether in Missouri as general dentists while we both worked on our public health degrees. There wasn’t much else to do there except dedicate ourselves to dentistry, which we did happily together. Now that I am a pediatric dentist, of course, we do not practice together anymore. My husband remains a very strong mem-ber of my practice, but in non-clinical capacity. We both have different strengths and weaknesses, so we make a great team.

I would say our definition of work-life balance is the same, which would be mostly work because we both love dentistry. We love to brainstorm about how we can create change for our community, share our (now dif-ferent) clinical experiences, and it has not been unusual for us to spend our Saturday nights watching YouTube dental surgery videos.

We both align on our value for con-tinued education and dedication to our work that guidelines aren’t really necessary. We still get out—we love powder skiing, biking, swimming, and hiking. Our little rescue dog, Bullet, is also our beloved child, and she is spoiled by us both.

What new technology has you excited? The use of ultrasound technology that will potentially replace ionizing radiation for detection of dental car-ies. I think we still will have plenty of hurdles until the final product comes to the US market, but I think this will definitely be on the horizon and something to look forward to in the next ten years or so.

What encourages you about where dentistry is headed? Technology is changing our traditional modalities—we still have plenty of room for improvement but even things such as digital impressions have come so far in the last ten years, it will be great to see the future.

What concerns you about where dentistry is headed? I hope we are able to maintain indi-vidualized care by individual practi-tioners, but I think we need to do so in innovative ways. I think we could benefit by more group practices and sharing resources to reduce overall costs. As part of residency, I spent quite a bit of time in the medical setting. I find frustrations of medical professionals are so much greater than ours because of their system of health care delivery. The medical pro-fessionals of today fit into a greater system and no longer are empowered as individuals. I feel we are running dangerously close (in dentistry) to a model that removes the practitioner from these same decisions because of competing interests in an evolving health care system of which we are not sure where its headed.

What types of cases do you enjoy working on? Cases when my patient gives me a high-five and says they’d come back tomorrow. For me, it is less proce-dural and more meaningful to observe a child’s behavior change over a suc-cession of visits. From a procedural

standpoint, full mouth rehabilitation of a young child is very rewarding because of the potential to impact nu-trition, school performance, and self-esteem. I still value providing the high-est quality of care. I am very “picky,” but the appeal of pediatric dentistry has less to do with the procedure and more to do with an attitude.

Is there a patient you treated who had a profound affect in your life? I think sometimes all we as dentists see is teeth—it is so hard not to with our training. As a new dentist, I was focused on the message of oral hygiene and all those messages we learn in dental school. I once had a patient present for a dental checkup and she admitted really never brushed her teeth. After further discussion, however, she also could not recall her bathing routine with much ease. I finally stepped back and noticed her overall appearance, which was consistent with a person who was never taught proper hygiene routines. I thought, “How could I expect some-one who only showered once every three weeks to brush their teeth twice a day?”

It became apparent we would need to work on overall hygiene as well. I think some of the best things we can do for our patients are on a much more basic level. Readjusting my personal expectations about what a patient brings to the discussion have forever been shaped by such an eye-opening moment.

What professional and personal goals are still on your “to do” list? Personal—Completing an Ironman. I enjoy athletic torture and the Ironman is truly one of the toughest mental, physical, and emotional athletic events that is attainable for the average person if given the proper time and dedication.

Professional—I hope to create collab-orative opportunity between medi-cal and dental professionals that can improve the health of our patients in a coordinated manner that would be feasible in any practice setting.

Readjusting my personal expectations about what a patient brings to the

discussion have forever been shaped by such an eye-opening moment.

“Dental Practices for Sale

Matt Porter, MBA

menlotransitions.com

Call 480-290-7720

Work With Someone You Can Trust!

Tempe (MDT178). . . . . . . . . . . . . $599,000COMING SOON!• 6 ops, 5 equipped• Retiring dentist, all FFS & Delta PremierChandler (MDT176) . . . . . . . . . . . . $TBDCOMING SOON!• Avg 20+ new patients per month• Retail location

West ValleyPhoenix (MDT179) . . . . . . . . . .$1,300,000COMING SOON!• Excellent cash flow, consistent revenue• High traic intersection, only FFS/PPOSun City (MDT157) . . . . . . . . . . $449,000• Extremely low overhead• All digital, denture lab on siteSurprise (MDT160) . . . . . . . . . . . . . . $TBDCOMING SOON!• Days per week (3), All digital• Major retailer anchoredGlendale ORTHO (MDT165) . . . $395,000JUST LISTED!• 7 ops, recently renovated• Mature practice, over 40 years oldPeoria ORTHO (MDT172) . . . . . $399,000• 8 ops, fully equipped• Growth potential, all digital

Northern ArizonaMohave County (MDT174) . . . . $330,000JUST LISTED!• Mature, all FFS practice• Real Estate available for purchase

East ValleyScottsdale/PhoenixScottsdale (MDT156). . . . . . . . . . . $249,000BACK ON MARKET!• Avg 15 new patients per month• All digital, potential for merger or growthParadise Valley (MDT175) . . . . . . . $99,000• Highly visible retail location• Located next to Paradise Valley

Southern ArizonaTucson (MDT177) . . . . . . . . . . . . .$TBDCOMING SOON!• Mature practice, 9 ops• Avg 13 new patients per month

Menlo would like to congratulate the following clients who we assisted in completing transitions this month:

Smiles of Chandler, PLLC for acquiring the practice of Louis J Casillas, DDS in Chandler

Torgerson Dental, LLC for acquiring Oak Valley Family Dentistry in Queen Creek

Dr. Michael Papademetriou, DMD, MS for acquiring Desert Ridge Orthodontics in Phoenix


Dental Practices for Sale

Matt Porter, MBA

menlotransitions.com

Call 480-290-7720

Work With Someone You Can Trust!

Tempe (MDT178). . . . . . . . . . . . . $599,000COMING SOON!• 6 ops, 5 equipped• Retiring dentist, all FFS & Delta PremierChandler (MDT176) . . . . . . . . . . . . $TBDCOMING SOON!• Avg 20+ new patients per month• Retail location

West ValleyPhoenix (MDT179) . . . . . . . . . .$1,300,000COMING SOON!• Excellent cash flow, consistent revenue• High traic intersection, only FFS/PPOSun City (MDT157) . . . . . . . . . . $449,000• Extremely low overhead• All digital, denture lab on siteSurprise (MDT160) . . . . . . . . . . . . . . $TBDCOMING SOON!• Days per week (3), All digital• Major retailer anchoredGlendale ORTHO (MDT165) . . . $395,000JUST LISTED!• 7 ops, recently renovated• Mature practice, over 40 years oldPeoria ORTHO (MDT172) . . . . . $399,000• 8 ops, fully equipped• Growth potential, all digital

Northern ArizonaMohave County (MDT174) . . . . $330,000JUST LISTED!• Mature, all FFS practice• Real Estate available for purchase

East ValleyScottsdale/PhoenixScottsdale (MDT156). . . . . . . . . . . $249,000BACK ON MARKET!• Avg 15 new patients per month• All digital, potential for merger or growthParadise Valley (MDT175) . . . . . . . $99,000• Highly visible retail location• Located next to Paradise Valley

Southern ArizonaTucson (MDT177) . . . . . . . . . . . . .$TBDCOMING SOON!• Mature practice, 9 ops• Avg 13 new patients per month

Menlo would like to congratulate the following clients who we assisted in completing transitions this month:

Smiles of Chandler, PLLC for acquiring the practice of Louis J Casillas, DDS in Chandler

Torgerson Dental, LLC for acquiring Oak Valley Family Dentistry in Queen Creek

Dr. Michael Papademetriou, DMD, MS for acquiring Desert Ridge Orthodontics in Phoenix

http://menlotransitions.com/

http://www.menlotransitions.com/


For a dental transitions professional, much time with clients—both those looking to buy and sell a dental prac-tice—is spent dispelling misconceptions and myths associated with practice sales and helping them avoid pitfalls.

Although some of the misconceptions are downright humorous, e.g., “I don’t have to pay any taxes on the sale of my practice, right?” Most of the misunder-standings are fairly common and easily addressed. On what may be the single most important financial decision of a dentist’s career, knowledge is power.

Whether a buyer or seller, by educat-ing yourself, you can set yourself up to succeed.

Pitfalls Lease Negotiations. If you are considering future retire-ment or transition at the time of your lease renewal, make sure to read the fine print and propose changes where necessary. Although it may not seem like the lease directly impacts a future sale, lease language can make or break a practice transition. For example, there are a few landlords that have a clause, buried deep in the fine print that requires you to pay the landlord 10% of the proceeds of your practice

sale. Can you imagine writing a check for up to $100,000 to a deadbeat landlord when you sell your practice?

Also, be mindful of the amount of term (years) left on your lease. Most banks and lenders will require that the term left on the lease (including op-tions) is equal to or greater than the term on the buyer’s loan. So if the buying dentist is obtaining a ten- year loan, make sure you have at least ten years left on the lease.

I’m going to hire an associate and sell my practice to him in the future. There’s old adage, attributed to Ben Franklin, that’s often applicable when associates hired under this premise: “By failing to prepare, you are prepar-ing to fail.”

Without a defined purchase contract in place PRIOR to the associate start-ing, there are bound to be major is-sues, even with the best of intentions between the associate buyer and the seller. Without a predetermined time frame and phasing plan in place (with specific milestones and a method of valuation and payment for the practice) up to 80% of loose associate buy-in arrangements end up dissolv-ing. Without a defined agreement up front, the venture dissolves after a year or two, leaving the associate feeling like they wasted valuable time in their career. The seller, although a year or two closer to retirement, now has to head back to square one in the

transition process again. It becomes an unnecessary, heavy emotional drain on both parties who must re-turn to the drawing board in mapping out their respective careers. By defin-ing a plan with dates, timelines, and defined actions, this frustration can be avoided altogether.

Myths I will have to carry the note on the sale of my practice because banks aren’t lending to recent dental school grads. False! The dental practice lending market is very fluid, but in the last year, lenders have been providing financing for 100% of the purchase price AND an amount for the buyer’s working capital, up to as much as an additional $50,000. What may be counterintuitive is that lenders are more apt to provide financing for a more expensive practice than a lower priced practice. This is due to the more expensive practice’s ability to provide the cash flow necessary to pay the buyer’s student loan, practice loan and living expenses. Some banks will even lend to new graduates, while others require at least a year of experience or count an AEGD as equivalent work experience.

Practice valuations place heavy weight on the last three years of financials. False! In the past, practice appraisals were typically calculated using the last three year’s financials, but other than establishing a pattern of consistent

GUEST ARTICLE— Matt Porter, MBA, Menlo Dental Transitions

PRACTICE SALES AND TRANSITIONS


performance, the last three years are of little consequence. In today’s market, due to the amount of large fluctuations in the micro and macro economy, both buyers and lenders are basing their valuations on the last 12 months of financials and collec-tions. In addition, in situations of declining revenues of typically more than 10%, lenders will require some type of seller financing for a portion of the purchase.

Practices are selling for X% of collections. False! Every time a practice valuation is reduced down to a simple, generic rule of thumb, such as percentage of collections, it is simply an uneducated valuation. In this past year, it is not uncommon for practice transition firms to have completed dozens of local transitions, ranging from 60% to 96% of their respective collections. There is such a broad spread in these values that it impossible to use this rule of thumb as a proper bench-mark. Much of a valuation depends

on what’s ‘below the line,’ such as expenses and profitability, not to mention the qualitative facets of each practice—location, demographics, staff, equipment, facility, procedures, insurance mix—and the list goes on.

It typically takes six months to sell a practice. False! As with valuation, a sweep-ing generalization doesn’t give you

enough information to make an informed decision and plan your exit strategy. For a practice in a metro-politan area, a broker can typically have a practice sale completed in 4-6 months. In a more rural area, you need to start planning earlier, as it can take a broker anywhere from 18-24 months to sell a practice in a rural area. Brokers representing specialty practices in a metropolitan area have a similar time frame of roughly 12 months. Based on secondhand experience of watching for sale by owner (FSBO) dental practice sales, it typically takes the owner/dentist 12-18 months to sell their own practice in a metropolitan area. Of course all these time frames depend on a number of factors, most notably on sales price.

A significant number of patients will leave after the sale of a dental practice. False! It is an old wives’ tale that up to 20% of the patients in a practice will leave during the first year of a transi-tion. Many transition professionals

Every time a practice valuation is reduced down to a simple,

generic rule of thumb, such as percentage of

collections, it is simply an uneducated valuation.

http://www.sofi.com/azda


Matt Porter is a dental practice broker who specializes in helping dentists sell, buy, merge, and appraise practices. His firm, menlotransitions.com, helps local practices each year in both planning and executing their transition strategy. [email protected]

work hard to track patient loss and attrition, and have found that after the initial six months of a transition, the average patient loss is found to be around 5%. but even that amount is typically offset by new patient flow. Based on conversations with national dental lenders and practice brokers

in other regions with similar tracking methods, the range of results is be-tween 2% to 8%. Even in the circum-stance of a short transition period of 30 days, with the right planning and programs in place, the patient attrition has stayed in the range of 5%.

In today’s world where the Internet provides a perceived credibility to anyone with a keyboard or a blog, you can’t believe everything you hear. The aforementioned misconcep-tions are prevalent in today’s dental market, and they are often passed on from colleague to colleague through anecdotal stories. Don’t be afraid to pick up the phone and ask for some real-time advice from your broker or CPA. A good advisor will have their finger on the pulse of the current market. Armed with the facts and being able to avoid the future pitfalls, you can confidently plan your transi-tion and ultimate retirement, leading to more peace of mind today and more financial freedom.

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Recently a few members have notified AzDA that they have received, from BODEX, notice of proposed non-dis-ciplinary consent agreement imposing a $500 civil penalty for failure to com-ply with a subpoena. In these cases, either the records were not received on a timely basis, or the records were not complete. In both of these recent cases, the dentists in question were not even the subject of the Board`s investigation. You, as licensees of the Board of Dental Examiners, are ultimately responsible for cooperating with a Board investigation, so this is a task that should not, and cannot, be relegated to your staff.

Dental offices should have policies in effect to outline the procedures that must be followed when a notice is received from BODEX that subpoe-nas records. Here are a few tips to guide you through this process:

• Subpoenas are issued via certified mail with a return card that requires a signature. If it is signed by a staff member, make sure that you are notified of its receipt immediately.

• The subpoena will name the patient, and will notify you if the investigation involves another den-tist (the name of the dentist under investigation will be listed on the caption in the upper left corner).

• If the subpoena relates to a complaint filed against you, your name will be listed in the caption.

If this is the case, it highly recom-mended that you immediately notify your malpractice carrier, or your attorney. If a response to the subpoena is submitted by your attorney, it still needs to be supplied by the return date.

• Freeze the records. While you may note in the record that a subpoena for the record has been received, make a chart note and date it. Make NO ALTERA-TIONS to the record.

• Carefully review the subpoena and the attached checklist that will describe all of the elements of the patient record that are necessary to be provided. Use this as check-list for yourself to make sure you supply the entire record.

• Take the time to review the patient record as soon as possible. If your records are stored in elec-tronic form, make sure that you personally view the entire record. If there are other sub-files where other parts of the record are stored (like scanned documents, radiographs, etc.), make sure that material is gathered for review and copying. Make hard copy print outs, and check against the electronic record to make certain the full record has been copied. If you are using paper records, do a page by page check to ensure that the submission is complete.

• Hard copy radiographic films should be mounted and dated. Do not release original radiographs! They have to be maintained in your record. However, any copies must be of diagnostic quality.

• Digital radiographs and intraoral photographs can be submitted on either a CD or a flash drive. Make sure they can be opened. Alternatively, the radiographs can be printed on glossy paper. The dates taken is required to be noted on the submission.

• A BODEX Subpoena will grant you 14 days to return the mate-rial to the Board office. The days start counting as of the date the

BODEX SUBPOENASCAUTION

MAKE SURE SUBMISSIONS ARE COMPLETE AND TIMELY

EXECUTIVE DIRECTOR’S MESSAGE

AzDA EXECUTIVE DIRECTOR Kevin B. Earle, MBA, MPHAzDA EXECUTIVE DIRECTOR Kevin B. Earle, MBA, MPH


certified mail “green card” is signed. 14 days means 14 days, and not one day later!

• Requests for extensions can be considered by BODEX, but must be received by the return date for the subpoena. BODEX will only extend the return date by an ad-ditional 14 days. If your request is filed late (by 4 days for example), the extension can only be granted to the remaining 10 days.

• You, as the licensed dentist, are re-sponsible for the submission. Once you have reviewed the material, prepare a cover letter to BODEX acknowledging receipt of the sub-poena, and enclosing the material in the return envelope. Keep your own full copy of the record.

• DO NOT use regular mail to send the records back to BODEX. Send the materials with a signa-ture required, using Express Mail, FEDEX or UPS. That way you can be assured that the materials were received, and received on time, and allow yourself several days in advance of the return date.

• If you receive any follow up com-munication from BODEX staff, note the date and time of the call, who called, and what specifi-cally was said. These conversa-tions can, and should, be noted in the patient record.

EDITORIAL STAFF Eric K. Curtis, DDS, Editor // Jeremy Tuber, Managing Editor

INSCRIPTIONS is the journal of the Arizona Dental Association (AzDA). All views expressed herein are not to be regarded as the views of AzDA. INSCRIPTIONS is published under the leadership of the AzDA Council on Communications. Neither the Council, editorial staff, editor, nor AzDA is responsible for opinions or statements, all of which are published solely on the authority of the author cited. AzDA reserves the right to illustrate, reduce, revise, or reject any editorial submissions. Contents may not be reproduced in whole or in part without the express written consent of AzDA. AzDA does not assume liability for contents of advertisements, nor do advertisements constitute endorsement of products or services. AzDA reserves the right to refuse or cancel any advertisement at any time. INSCRIPTIONS is a benefit of AzDA membership, included in annual dues. Annual subscriptions are $50 (US) domestic and $100 (US) international. Subject to change. Member Publication American Association of Dental Editors. Winner: Special Citation USA Section International College of Dentists Journalism 2009 Awards, and 2012 Silver Scroll Award.

AzDA EDITORIAL BOARD Eric K. Curtis, DDS, ChairBrien V. Harvey, DDS John R. Carson, DDSN. Paul Kline, DDSKacy J. La Fleur, DDS

Timothy G. Wilson, DDS Bobby Y. Yang, DDS Robert H Foster, DDSRobert S. Roda, DDS

AzDA BOARD OF TRUSTEES Allison B. House, DMD, PresidentBrian Powley, DDS, President-electJacqueline Allen, DDS, Secretary-TreasurerLisa A. Lear, DDS, Past PresidentPat W. Rabot, DMD, CADS TrusteeMichael Cavender, DDS, CADS Trustee

B.J. Henkenius, DDS, NADS TrusteeLeslie Seaman, DDS, NADS TrusteeThomas Kramkowski, DDS, SADS TrusteeMichael LaCorte, DDS, SADS TrusteeKevin Earle, MPH, Executive Director, Ex Officio Anthony Caputo, DDS, Ex Officio

ARIZONA DENTAL ASSOCIATION // azda.org 3193 N. Drinkwater Blvd., Scottsdale AZ 85251

480.344.5777 or 800.866.2732 // Fax: 480.344.1442

Volume 29, Number 11, November 2015Journal of the Arizona Dental Association Serving Central, Northern, and Southern Arizona Dental Societies

INSCRIPTIONSNovember 2015

ESSENTIAL READING FOR ARIZONA DENTISTS

Kevin Earle, MPH, is Executive Director of the Arizona Dental Association. His email address is [email protected].

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Have you thought about volunteer-ing at your component or state level but are afraid you lack the leadership skills to serve? Do you have a desire to contribute to dentistry’s future but don’t know where to start? Then AzDA’s Leadership Exploration And Development (LEAD) program is for you! It is designed to give you the training and experiences to become leaders in our association and actively participate in the advancement of our members’ success.

Apply now for the LEAD’s second class program created to extend leadership opportunities to new vol-unteers for CADS, NADS, SADS, and AzDA. The LEAD program will build leadership skills through training and immersion activities at the local and state levels. No previous participa-tion in organized dentistry is required, just an interest in volunteering and contributing to your profession.

The second class of LEAD participants will be announced during the April 8-9, 2016 Western Regional Dental Convention (WRDC) in Phoenix. A mentor will be paired with each class member, who will be invited to attend the AzDA president’s reception during which participants will get to know their classmates.

Session One In June 2016 the class will meet for a 5-hour session of leadership skills and

assessment training, which will include an overview of what makes an effective volunteer and how the ADA, AzDA, and local components of the tripartite system support each other and in turn help member dentists succeed. A class project will be chosen that is relevant to AzDA, organized dentistry, or den-tistry in general. Mentors will serve as consultants to the project.

Session Two The next activity will offer an im-mersion experience on September 16-17, 2016 at the AzDA House of Delegates meeting in Tucson at the Loews Ventana Canyon. Participants will attend Friday’s Board of Trustees meeting and Saturday morning AzDA House of Delegates meeting on Sep-tember 17, 2016.

Session Three The third activity will involve partici-pation with the Council on Govern-ment Affairs in Oral Health Day at the Capitol to be held in February 2017 in Phoenix. Class members will attend a morning training session to learn about current advocacy issues for our members and state govern-mental affairs.

Session Four To cap the LEAD experience, the final session will take place at the

WRDC meeting in Phoenix on April 7-8, 2017. The class will present its group project and upon comple-tion be recognized in a graduation ceremony. The class will receive a certificate and free registration to the 2017 WRDC. They will act as fellows to help mentor the next class of LEAD Program participants. The graduates will be invited to explore leadership roles at the local compo-nent and state level.

Between Sessions Class members will attend one or two meetings of AzDA Councils or local component meetings. Par-ticipants are encouraged to become familiar with the Arizona Dental Foundation, AzDA Perks, and BO-DEX and the Association’s Mediation Services. Monthly meetings will be held by videoconference to work on the group project and to discuss these additional experiences.

LEAD Candidate Criteria Six applicants will be chosen by the AzDA Council on Membership & New Dentists. Candidates, who must be AzDA members in good standing, will complete an online application and be evaluated using the following criteria:

• A written one-paragraph re-sponse to the question “Why are you interested in participating in the AzDA’s LEAD Program?

• Two endorsements by fellow AzDA members

• A complete and current CV

One hundred percent attendance and participation is required of all participants at each of the designated sessions. Reimbursements will be provided up to $300 per participant.

Apply now at azda.org/lead to LEAD! The application deadline is Jan 30, 2016.

AzDA WANTS YOU TO LEADAPPLY TODAY

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Going to church on an unassuming Sunday, Life Time AzDA member Dr. Richard Martin and his wife Judy had no idea they were about to embark on a yearly charitable mission three thousand miles away. After hearing a missionary speak about a home of refuge in Nicaragua for sexually abused girls, they inquired if the girls were receiving dental care. “Oh no,” was the grave response, “that’s way too expensive.” After talking it over, the Martins, along with AzDA lifetime member Dr Jerry Denning, made plans to visit the school and offer free dental care to the girls there. That was four years ago, and that’s when they met Nora.

Nora was born into a middle class family and raised in Managua, Nica-ragua. At 15 years of age, Nora be-came pregnant due to abuse. Angry and ashamed, Nora left home never to return. She traded clothes with a poor beggar woman on the street, so she would look poor. Not wanting to be found by her family, she made up a false name and a fictitious life story. Feeling alone in the world, Nora went to the convent in Managua and pleaded with the nuns to take her in.

They explained to her that they couldn’t take in pregnant girls, nor could they take care of a new born child. They suggested that she go to the police. The police took her to Emmanuel Home of Protection—where the Martins met her three years later. Beyond the connection the Martins felt for the girls at the home, they found something special in Nora: she was in her first year of dental school.

Dr. Martin reflects, “Nora has a heart for helping her own people and feels that providing dental care is a power-ful way to do just that. She has seen the difference we’ve made in the lives of the girls at the school (through dental care) and she wants the ability to affect people in the same way.”

Over the last four years, they’ve re-turned to the school to provide den-tal care, the Martins (and now AzDA member Dr. Kris Putrasahan) have invested time nurturing and encourag-ing Nora. When Nora was still in the classroom (a couple of years ago), she shared with Dr. Martin that she was overwhelmed with the difficulty, long hours and hard work.

Dr. Martin, like many dentists, had been in her shoes before. “You’ll get through this tough didactic part, and when you get to actually put all this into practice, and work on real pa-tients, you’ll know this was all worth it. Hang in there, kid,” he encour-aged her. The program, which goes from 7am to 7pm is a grueling one. In fact, Nora is one of 25 in a class that started with 125 students.

Thankfully, she is entering her fifth and final year—after which, Nora looks to establish a dental clinic in remote eastern Nicaragua at a small medical clinic, where there isn’t a dentist for hundreds of miles. The Martins and Dr. Putrasahan have purchased scrubs and left instruments and supplies there for her after each clinic, and the missionaries who run the school have financially supported Nora as best they can. However, with tuition at $350 a month and the cost of supplies at $8,000 a semester, she does need support. If you’d like to help, contact Dr. Richard Mar-tin (623.931.9257) or his wife Judy (623.979.6551). or ([email protected]).

MENTORING A DENTAL STUDENT— 3,000 MILES AWAY (L-R): Dr. Kris Putrasahan, Nora, Dr. Richard Martin(L-R): Dr. Kris Putrasahan, Nora, Dr. Richard Martin(L-R): Dr. Kris Putrasahan, Nora, Dr. Richard Martin(L-R): Dr. Kris Putrasahan, Nora, Dr. Richard Martin

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Our dinner club hosted the inaugural class for the leadership, exploration and development (LEAD) program and the LEAD committee members.

The first class participants attended the Fall Conference meetings for the Council on Government Affairs, the Arizona Dental Foundation and the AzDA Board of Trustees on Friday. On Saturday, they observed the AzDA House of Delegates meeting.

We thought it would be nice for our club to host this group for dinner to lead by example. We wanted them to see firsthand our camaraderie in working together as a team. And, for the club to share our leadership experiences.

—AzDA Past-President Dr. Lisa Lear

LEAD PROGRAM DINES, DISCUSSES LEADERSHIP IN DENTISTRY


Front row (L-R): SADS Preisdent Dr. Tung Bui, Deputy Executive Direc-tor Beverly Giardino, Dr. Andrew Zeiger, CADS President Dr. Jennifer Enos, Dr. Onika Patel.

Back row (L-R): Dick Lear, Dr. Christopher Fowler, Dr. Christo-pher Chin, Dr. Kyla Hollen, Brock Bakewell, MD, Dr. Jeffrey Wight, AzDA Past President Dr. Lisa Lear, Dr. Steven Richardson, Dr. Austin Willcox, CADS Trustee Dr. Michael Cavender, Dr. Luke-Hieu Nguyen, and CASDF President Dr. Pat Rabot.

Lower left photo (L-R): Dr. Howard Steinberg, Dr. Daniel Kovacik, and Angela Herro, MD.

Lower right photo: Past SADS Presi-dent Dr. Robert Wood wrestling with a pot in the kitchen.

Congratulations to AzDA member Dr. Jeanette MacLean for her KTAR interview being featured in the ADA’s Morning Huddle email!

Dr. MacLean appeared live on The Agenda on KTAR 92.3 to discuss pediatric dental health myths, such as how often children should visit the dentist and when they should have their first dental visit. You can hear the interview by visiting https://www.youtube.com/watch?v=Evn4RV50DcA















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Every year hundreds of dental students volunteer their knowl-edge and skills, connecting them

to their communities through thou-sands of service hours in programs that promote oral health. These services range from oral health and nutritional education to free screen-ings and dental treatment. They participate in walks, runs and wide range of activities supporting charities, propelling causes and raising aware-ness for an extensive array of health and social issues. Their energy and commitment to helping others is powerful. These students are only a small part of a nation-wide force and a part of a much bigger phenomenon called the millennial generation!

Who are Millennials, and what do we know about them? The Millen-nials are defined as the generation born in the early 1980s to late 1990s. Unfortunately, this generation is often described in not so flattering terms. However, being different is not nec-essarily lacking. Naturally, members of each generation are the product of the social, economic, and political climate during the formative years of that generation. Often wrongly ac-cused, the Millennials are blamed for being an indifferent generation.1

Millennials have been the focus of substantial volume of studies and re-search, according to the U.S Chamber of Commerce Foundation, and as such are likely the most studied generation to date.2 It is demonstrated that this generation has a unique way of view-ing civic engagement. Civic engage-ment to this generation means making a difference in the life of their commu-nities and beyond. It means promoting good quality of life, through both politi-cal and nonpolitical processes.3

The “2013 Millennial Impact Report” was released by the Achieve Research Agency after surveying 2665 young Americans. They reported that in 2012, 73% of Millennials volunteered for a non-profit organization. Three quarters of them were motivated by a passion for a cause and 67% believed that they made an impact. 4

This generation is motivated to make a difference and is engaged in vol-unteering more than any generation in American history.1, 5 The greater involvement in volunteering of this generation appears to be partially due to its unique characteristics. Members belonging to the millennial cohort, for example, are considered to have a strong positive attitude and an optimis-tic outlook more so than previous gen-erations in their ability to affect change in their communities. They also tend to enjoy and own a “can-do” attitude about problems or issues that they face and a will to “get things done.”5

This generation’s drive for volunteer-ing is fueled by curiosity and a love of learning about the world around them, cultures, and different point of views. They are America’s most racially diverse generation.6 This gen-eration feels the obligation to defend the well-being of humans, animals, the environment, and the planet. They challenge the stereotype of being a generation that is tethered to technology, although they are digital natives and the generation of the “selfie” (Oxford Dictionaries “word of the year” in 2013).6 They use technol-ogy to their benefit and not only as their way to express one’s identity but also to construct personalized networks of friends, colleagues and affinity groups.6 They are connected through technology not tethered to it.

The Millennial’s sense of duty means developing the combination of knowl-edge, skills, values and motivation to make a difference. The National Center for Service-Learning defines service-learning as “an activity that is focused on meeting a human need in the community where that need has to do with the well-being of individuals and/or of the environment in which they live, also as opportunities for stu-dents to reflect on their experience.”7

Who are Millennials? They are our future colleagues. And while some of them are dental students, they have something to teach us all.

HATS OFF TO FUTURE DENTISTS OF THE MILLENNI-AL GENERATION

MEMBER DENTIST Aseel Murad, DMD

1) More Millennials Value Volunteering Than Previous Generation Did. January 2015-Philanthropy News Digest

2) U.S. Chamber of Commerce Foundation. Millen-nial Generation Research Review

3) The Civic and Political Participation of Millen-nials, Hollie Russon Gilman and Elizabeth Stokes Newamerica.org

4) Millennial Impact Report 2013.

5) David J. Burns , Jane Reid , Mark Toncar , Cynthia Anderson & Cassandra Wells (2008) The Effect of Gender on the Motivation of Members of Genera-tion Y College Students to Volunteer, Journal of Nonprofit & Public Sector Marketing, 19:1, 99-118, DOI: 10.1300/J054v19n01_05

6) Millennials in Adulthood: Detached from Institu-tions, Networked with Friends. Pew Research Center

7) The National Center for Service-Learning defines service-learning; What is serice learning

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Cone Beam Computerized Tomography (CBCT) Basics for the Dental Professional with R. Todd Erickson, DDS, MS on November 14, 2015 2 CEU The Integration of New Technologies in Dentistry and Their Impact on Oral Health with Tony Hashemian, DDS and Robert Levine, DDS on December 4, 2015 4 CEU Laser: An Emerging Scientific Technology Workshop with Janet Press, RDH on January 30, 2016 7 CEU What is it? How do I use it? Today’s Dental Products and Treatment Options with Tricia Osuna on February 20, 2016 4 CEU Primary Care Update: An Interprofessional Approach at the Paris Las Vegas Hotel, Las Vegas, NV on March 3-5, 2016 Diabetes Mellitus: Strategies for Providing Comprehensive Care

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The Pima Dental Study Club (PDSC) was founded over thirty years ago by dentists practicing in Tucson and Southern Arizona. The club has oper-ated continually and offers monthly continuing education programs to members who are dentists and spe-cialists in dentistry. Membership has grown tremendously over the years, with current membership at its high-est with over 110 members. Most members are also SADS members.

The PDSC was organized for three purposes: to provide a forum for dentists to network, to obtain continuing education credits locally, and to keep members informed of pertinent issues relevant to dentistry. PDSC holds eight to ten continuing education meetings for dentists per year, each offering two credit hours. On occasion, the club hosts a mem-ber social or plans a CE excursion.

While the club has hosted multiple CE excursions in recent years, includ-ing Portland, Alaska fishing, Napa Val-ley, Cabo, and hosts a holiday dinner yearly, it had not hosted a local event such as a pub crawl. However, with the goal of promoting camaraderie among members, and fun outside of the learning environment (while at the same time raising funds toward a great cause) the PDSC hosted its First Annual Pub Crawl & Poker Run on Friday, October 9.

The event was held in Downtown Tucson. Fifty members and friends took part in the activities. The group was divided into small teams were formed who strolled the streets of Downtown Tucson, visiting six pubs,

competed in a poker run, and fin-ished a terrifically fun scavenger hunt. As member Dr. Katie Hammel put it “We had a great time. It was fun catching up with my dental friends doing something silly and fun!”

Prizes included an Apple watch for the best poker hand, and a Flemings’ gift card for the worst. A number of other prizes were awarded for the scavenger hunt winners, as well as door prizes. Everyone was a winner—it was a great time for all among good friends and colleagues.

The group raised over $1,000 toward Hopefest Tucson (www.hopefest.com). A large number of local dentists volunteer during HopeFest. In fact, many PDSC members con-tribute by providing triage at Kino Stadium, others open their offices for free dental services, or contribute by making material, equipment and/or financial donations. As the pub crawl brought the club together to have a good time, Hopefest offers the op-portunity to join together and give back to the community.

Dr. Tim Lew remarked, “The pub crawl was fantastic. Hopefully we can do it again soon.” I think many mem-bers would agree with Dr. Lew.

The PDSC would like to thank South-ern Arizona Endodontics for sponsor-ing the event. A special thanks goes to SADS President & PDSC Board Member Dr. Tung Bui for organizing the event, and to all the volunteers and local venues that helped make it possible.

MEMBER DENTIST Lenny Arias, DDS, Tucson, AZ

Dr. Arias is a SADS member and the president of the Pima Dental Study Club. If you would like information about the club, email her at [email protected]

Pima Dental Study Club hosts First Annual Pub Crawl & Poker Run to benefit HopeFest



Why would AzDA members be interested in the program offered at Pima Community College (PCC)? PCC offers students a unique dental education integrating Dental Hy-giene (DH), Dental Assisting (DA), and Dental Laboratory Technology (DLT). PCC is one of the few institu-tions offering these kinds of integra-tive experiences. The college has one of less than twenty Dental Laboratory programs in the country.

PCC’s Dental Studies programs are all flagship programs in the com-munity, with very high performance outcomes (retention, Board test re-sults, and placement). In addition, the Programs received a Department of Education grant, designed to expand educational opportunities for Hispanic students and enhance program offer-ings and quality.

Why is the integrated program attrac-tive to dentists hiring team members? The program provides new technol-ogy and an interprofessional dental treatment model within a support-

ive community college setting. The program will expand the enrollment capacity by the end of grant year five to address the community need for quality-credentialed dental hygienists, dental assistants, and dental laboratory technologists. This instructional model affords DA, DLT, and DH students a real-world educational experience bet-ter preparing them for employment to work as a collaborative team, as well as building a foundation of learning upon which they can further pursue an advanced education.

What gave the PCC progam a jumpstart? The Department of Dental Studies received a $3.25 million, five-year grant to update curricula, improve training for faculty members and students in emerging technology, and redesign and renovate the Clinic and Dental Studies programs’ teaching facilities. The Title V Grant, “Abriendo Puertas/Opening Doors; Innovation in Dental Studies Education,” will enable the Dental Studies programs to develop a tri-program, integrative dental treatment model providing comprehensive student instruction. In this innovative educational setting, DLT students will have the op-portunity to provide prosthetic support

for the dental residents’ patients, which will maximize their employment poten-tial as they will have already produced and delivered tangible patient cases. DA students will acquire actual chairside experience to include general dentistry and dental hygiene assisting practice. Additionally, DA and DH students will acquire skill development in each of the dental specialties.

COURSE REDESIGN The Program involves the develop-ment of new courses and the rede-sign of current curricula, as well as the incorporation of new state of the art technology to address identified curriculum gaps between instruction delivered and current industry trends.

DENTAL CLINIC AND TEACH-ING FACILITIES RENOVATION Through the expansion and renova-tion of facilities, and the installation of new equipment, the Dental Studies programs’ teaching facilities will have increased student capacity, updated technology, and the ability to pilot new curriculum. Ten additional dental chairs will be added to the existing clinic for a total of 23 chairs at the conclusion of renovation. Additionally, PCC’s Dental Technology Lab is slated to be rede-signed and fully renovated next year.

These renovations will also make it possible for Dental Studies students and faculty to collaborate in a fu-ture grant initiative – the addition of an Advanced Education in General Dentistry (AEGD) training program which provides postdoctoral training for dentists. The AEGD program will place qualified dentists in the PCC West Campus facilities, providing an opportunity to develop clinical patient training for students as well as low-cost restorative care for the communi-ty. This integrative teaching model will enhance educational offerings at PCC and will be unique within a community college setting.

What’s been the grant’s progress to date, and what’s left to be done? The Title V Grant activities increase postsecondary success by infusing curricula with emergent and innovative

PIMA COMMUNITY COLLEGETHEIR NEW, INNOVATIVE AND INTEGRATED APPROACH TO LEARNINGTHEIR NEW, INNOVATIVE AND INTEGRATED APPROACH TO LEARNINGTHEIR NEW, INNOVATIVE AND INTEGRATED APPROACH TO LEARNINGTHEIR NEW, INNOVATIVE AND INTEGRATED APPROACH TO LEARNINGTHEIR NEW, INNOVATIVE AND INTEGRATED APPROACH TO LEARNING

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SCOTTSDALE, ARIZONA

We are pleased to announce...

Aaron J. Wildung, D. D.S.

Richard A. Alverson, D.D.S.has acquired and merged the practice of

SCOTTSDALE, ARIZONA

We are pleased to have represented all parties in these transitions.

http://www.aftco.net/

http://sq.ft/

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http://www.aftco.net/


technology to enhance student oppor-tunities for direct employment upon graduation. The project will significantly expand the enrollment capacity of our Dental Studies Programs by at least 30% to address the community need for quality-credentialed dental hygien-ists, dental assistants, and dental labora-tory technologists.

Training completed in the first two years of the Grant (October of 2013 through October of 2015):

• Implemented soft tissue lasers – Dental Hygiene Education

• Included electronic patient re-cords–Dental Assisting Education

• Added Computer-aided design and computer-aided manufactur-ing (CAD/CAM)

• Attended a restorative dental hygiene course for faculty in August of 2015, which will lead to a redesign in course content for dental hygiene students

CURRICULUM• Redesigned Dental Hygiene Edu-

cation clinical courses to include soft tissue lasers

• Redesigned Dental Assisting Edu-cation clinical courses: to include electronic patient records and coronal polish syllabi modifications

RENOVATION

Phase 1 (Completed Sept., 2014)• Record review room

• Consultation room

• X-ray viewing area (relocated, enlarged, and printing capabilities)

• Panoramic area (relocated, new acquisition computer and housing)

• Faculty grading station

• Six operatories

Phase 2 (Completed Sept., 2015)• Reception area/patient lobby

• Reception business office

• Reception storage room (relo-cated and enlarged)

• Remodeled faculty grading station

• Seven operatories and cabinetry

• Student and faculty locker room

Phase 3 (Summer, 2016)• Seven additional dental operatories

• New porcelain room, with inter-nal exit from Dental Lab

Will there be a residency program offered at PCC? Yes, there will be a residency pro-gram offered at PCC beginning in 2018. PCC, in affiliation with the Lutheran Medical Center, will add the CODA accredited AEGD Train-ing Program. This program will include two full-time dental residents who provide affordable, full-service dental care to community patients while creating a unique clinical educational experience for students. A ground-breaking concept for a community college setting, this integrative clinical teaching model will launch an exclu-sive educational offering never before provided in the history of the college, and one of very few across the country.

How will the program and facility at PCC benefit the community? The PCC Dental Studies programs benefit the community by providing high-quality and low-cost educa-tional opportunities and pathways to employment. By the end of the five-year grant, PCC will benefit the community by providing comprehen-sive, low-cost dental services. The grant will enable the establishment of the Department of Dental Studies Continuing Education (CE) offerings, to include:

• Arizona Certified Soft Tissue Laser

• Restorative Procedures for dental assistants and dental hygienists

• CAD/CAM Technologies

• Anesthesiology for dentists and hygienists

• Coronal polishing and dental seal-ant for dental assistants

The Program will also apply to be a testing center for the Western Re-gional Examination Board.

PIMA COMMUNITY COLLEGE—CONTINUED FROM 44


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CLASSIFIED SECTION

Place your INSCRIPTIONS and or online classified ad by visiting

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AzDA/ADA Members per month$25 first 30 words

$.35 cents per additional word

Non-Members per month$100 first 30 words

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ONLINE ------------------------------------------------- Members $25 per month

Non-Members $50 per [email protected]

QUESTIONS/INQUIRIES 480.344.5777 Office

800.866.2732 Toll Free 480.344.1442 Fax

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PRACTICES, SPACES, AND REAL ESTATE

FOR SALE OR LEASE

DYK, the average visitor on azda.org’s classified section spends over 4 minutes looking through ads? Place yours today.

DENTISTS WANTED

ALL ARIZONA PRACTICE LISTINGS STATEWIDE KHOT has listings through-out Arizona. Contact us for a practice just right for you. View our ads atwww.OfficeTransitions.com and www.AZDA.org. Katie Hines 602-619-3287 www.Of-ficeTransitions.com w/ RE/MAX Excalibur Commercial

AVAILABLE MDT PRACTICES SCOTT-SDALE/PHOENIX - SCOTTSDALE/PHOENIX-Scottsdale PEDO (MDT166) $515, 000, mature, established practice, retiring doctor, room for growth. Scotts-dale (MDT156) $249,000 avg 15 new pa-tients per month. All digital, potential for merger or growth. EAST VALLEY - Chan-dler (MDT171) $475,000.Established, loyal patient base, high producing hygiene, all digital. Queen Creek (MDT173) $225,000, 6 ops, 4 equipped, avg 14 new patients per month. WEST VALLEY - Sun City (MDT157) $449,000. Extremely low overhead, Mostly FFS patients. All digital, denture lab on site. Surprise

(MDT160) $TBD. Days per week (3), all digital, major retailer anchored. Glendale ORTHO (MDT165) $395,000 7 ops, recently renovated mature practice, over 40 years old. Peoria ORTHO (MDT172) $399,000, 8 ops, fully equipped, growth potential, all digital. Northwest AZ (MDT174) $TBD, mature, all FFS practice Real Estate available for purchase www.menlotransitions.com 480-290-7720.

DENTAL OFFICE FOR SALE OR LEASE Carefree Highway & I-17. Beautiful ortho build-out +2,982 SF, generous front-door parking, monument signage + ample building signage; Jennifer Pliska | GPE Commercial Advisors | 602-518-0292 | [email protected]

DENTISTS SERVING DENTISTS West-ern Practices Sales invites you to visit our website, www.westernpracticesales.com to view all of our practices for sale and to see why we are the broker of choice for sellers throughout Nevada, California & Arizona. Because we are owned by dentists, we know the profession well and understand your unique needs. (800)641-4179.

PRESCOTT TURNKEY DENTAL OFFICE FOR LEASE 1727 Willow Creek Road, cor-ner property, stand alone, 2100 sq ft, 6 ops 5 equipped. All equipment for sale; Leica M320 (2) See photos at www.Prescottsmiles.com e-mail: [email protected]

TUCSON - Several excellent practice purchase opportunities or associate w/buy-in options. Small to large offices located throughout the greater Tucson area. Priced at fair market value. Do not work for someone else when you can own your own practice. Call AFTCO at (800) 232-3826.

ASSOCIATE - DO YOU LOVE YOUR JOB? Are you being supplied a steady stream of new patients or are you expected to find your own? Are you provided the opportunity to do the dentistry you love to do or are you fed the leftovers? Are you able to provide the quality of care you can be proud of or are you forced to cut corners? Are you surrounded by a supportive team or do you feel like an outsider? The top two reasons associateships fail is a lack of new patients and high production procedures being hoarded by the owner dentist. We have solved both of those problems. Visit www.vibrantassociate.com for details on how to apply!

ASSOCIATE DENTIST Generous com-pensation, stress free office. Part time to full time. Looking for a team player for a highly productive and caring office! Ex-perience and familiarity w/ Cerec a plus! We provide high quality dental care in a positive work environment. Enjoy a pleas-ant commute to Maricopa, AZ. For more information please email to [email protected]

ASSOCIATE NEEDED Dr Regina Cobb DDS won her election for AZ House of Representatives and is looking for an experienced dentist to work at her office in Kingman, AZ. The practice was estab-lished over 20 years ago, it is a thriving practice with a loyal patient base. We bill fee for service and Delta Dental. Kingman is a smaller community, within traveling distance of several urban areas. We are looking for a dentist with Endo experi-ence and is willing to do Cerec training. All interested parties please send resumes to [email protected].

ASSOCIATE OPPORTUNITY! General dentist wanted part time to start, leading to full-time in North Phoenix. Immediate partnership opportunity available for the right candidate leading to full ownership if desired. Please FAX CV to 877-581-5499.

EAST & WEST VALLEY Multiple loca-tions Dental Practice is seeking General Dentists, Oral Surgeons, and Orthodon-tists for the East and West Valley to join our growing and exciting Dental Group. If you are seeking a dental home with great earning potential, then we want to meet you! We are expanding our group of dentists and would like to present this opportunity to quality, experienced out-going dentists. Experience in placing Implants is preferred. Please send your Resume’ and/or CV to: [email protected] DENTIST in the subject field.

ENDODONTIST POSITION IN GILBERT Imagine being part of a state-of-the-art endodontic practice, partnering with an of-fice who has a well-trained team ready to help you excel and a Board Certified En-dodontist who will mentor you to ensure your success. If you are a board eligible/certified Endodontist, excited to part of a thriving practice, please email your CV to [email protected]

ENDODONTIST-TUCSON, MUL-TISPECIALTY GROUP! Associated Dental Care Providers is an established multi-specialty group with 10 locations in Phoenix and Tucson, AZ. Our quality group practice is seeking an Endodon-

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ADVERTISER INDEXAFTCO ......................................................................................................45 Arizona Anesthesia Solutions ......................................................39 Arizona Healthcare Realty .................................................................2 Arizona School of Dentistry and Oral Health ....................41 AzDA Perks .................................................................................... 24-25 Brown and Brown Insurance ....................................Back Cover Comitz Beethe ......................................................................................41 Dani Dental Studio .............................................................................35 Dentist Benefits Insurance Company .......................................39 Desert Mountain Insurance Company ....................................51 Dream Seminars ...................................................................................11 Katie Hines Office Transitions ......................................................15 Kimball and Nickerson ......................................................................23

Kirshner and Klarfeld ..........................................................................18 Menlo Dental Transitions................................................................27 Metro Denver Dental Society ......................................................13 Mudlick Mail ............................................................................................50 Paragon Dental Practice Transitions .........................................13 Proactive Practice Management ..................................................31 Revere Financial Services.................................................................17 Sofi Lending ...........................................................................................29 SourceOne Dental ............................................................................37 Southwest Capital Advisors...........................................................33 Text 2 Floss .............................................................................................16 Total Freedom Implant Center ...................................................41 Western Practice Sales .....................................................................49

tist to practice 3 days a week in one of our Tucson locations. This is a wonderful opportunity to take a front seat in driving our established & flourishing Endodontic program. This opportunity is uniquely po-sitioned to receive referrals from our doc-tors, as well as other doctors who practice in the community. Enjoy the traditional doctor patient relationship from initial examination, treatment planning and treat-ing the patient to completion, in a team environment with professional and clinical support to best service your patients. Our continual focus on quality care, community involvement and professional development makes for a rewarding career for special-ists who join our team. We’d love to hear from you! Contact Kate Anderson: [email protected] or 781-213-3312.

FT DENTIST ASSOCIATE POSITION IN LAKE HAVASU! Established, pro-ductive Family practice seeking general dentist now. Experience desired but recent Graduates welcome. Work along with owner/dentist, three hygienists and excellent well trained assistants. Attractive office with 9 state of the art operatories all equipped with digital x-ray unit and TV monitor. Live and play where you work in this friendly recreational Lake /desert community with a diverse, growing popu-lation! Located only 2 hours from Vegas and 3 hours from Phoenix, Barstow and Palm Springs. If interested please e-mail cover letter and CV to [email protected], contact Barbara for more information 928-855-5041.

GENERAL DENTIST Dentist of 27 years needs a quality driven associate for his very busy (non-corporate) office. Willing to men-tor the right associate. Almost exclusively operative, crown and bridge. Removable skills are a plus. The staff is hard working, smart and friendly. No HMO’s, weekends,

or evenings! New, downtown location with 10 operatories. $150K/year minimum on 4.5 days/week (or 30% collections). E-mail CV to [email protected].

PEDIATRIC DENTIST New Pediatric Den-tal office searching for a Pediatric Dentist to join our team in Scottsdale, AZ! New private pedo office with potential for ownership. Our group has several other dental offices with an established structure in place. Looking for an energetic profes-

long relationships with our exceptional staff and rapidly growing patient base. This den-tist must have a passion for expanding their clinical and practice management skill-set as there is partnership potential for the right person. A generous compensation package including medical, dental and retirement benefits available. If you have gentle hands, a warm heart, strong character and integrity, and wish to live in the most beautiful part of Arizona, our team would love to meet you! Send your CV to [email protected]

sional who will live and provide care in the community. Compre-hensive benefits pack-age offered including Medical and Vision insurance plans, 401K opportunities, Malprac-tice Insurance and In-House CE opportu-nities. Equal Opportu-nity Employer. Please submit your resume to [email protected].

PRESCOTT AREA- FULL TIME DENTAL ASSOCIATE Our close knit office is look-ing for an energetic, motivated, outgoing individual to fill our Dental Associate position. Horizon Dental Group strives to provide exceptional patient care while mak-ing a positive impact on our community. Applicants must have a friendly disposition and demonstrate a genuine interest in building life-

800.641.4179

[email protected] WESTERNPRACTICESALES.COM | ADSTRANSITIONS.COM

-Featured Monthly Listings -

Timothy Giroux, DDS Jeffrey Tonner, JD Eric Stavoe, DDS President/Owner AZ Dental Attorney AZ Representative 800-641-4179 602-266-6060 602-677-8645

All ADS companies are independently owned and operated.

Az-368G SCOTTSDALE: $1.2m in ‘14! 2,750sf w/4ops + 1 add’l. $950k

Az-272 AVONDALE: 1,800sf w/ of 4 ops + 1 add’l. $340k

Az-368P SCOTTSDALE: Prosthodonic 2,750sf w/ 4ops + 1 add’l. $950k

Az-445 COMBINED SALE-OFFERED AT $1.7m! Phoenix: 3,400 sf w/ 14 ops . Grossed $945k 2014!

Glendale: 4,236 sf w/ 12 op + 2 add’l. Grossed $978k 2014

AZ-455 TWO FOR ONE—CALL FOR DETAILS! Green Valley: Great Location! 1,000sf w/ 3ops

Tucson: Professional Bldg! 1,200sf w/ 4ops





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PROFESSIONAL SERVICES

MOBILE ENDODONTIST Why refer out your root canal patients when they are most comfortable in your office? I am a mobile En-dodontist with 17yrs experience. I will come to your office, bring all of my own equipment. Your needs may be once a week, bi-weekly or once a month. By providing an Endo specialist you can increase office revenue while keeping your patients in your office. Contact [email protected]

PAULA D. AGUAYO – ATTORNEY Call (602) 686-5016 and visit online at www.PaulaAguayo.com Professional entity formation¸ employment agreements¸ contract preparation¸ review and nego-tiation including commercial lease and practice sale/purchase agree-ments. Affordable¸ experienced and responsive representation.

THE MOST AMAZING DENTAL ASSOCIATE POSITION IN ARIZONA At Vibrant Dentistry our passion is empowering oth-ers to improve their health and confidence. We believe that ideal dental health and esthetics are life changing; we believe it is our responsibility to make recommendations to our patients based on achieving ideal dental health and esthetics. We believe in constant development of our clinical and customer service skills. We believe providing a superior customer experience empowers our patients to get the care they need. We believe in giving back to the com-munity that we are grateful to be a part of. We believe that by growing our practice five times, new opportunities for serving our patients, community and fellow team members will be endless. These beliefs have led to tremendous growth and the opportunity for a great dentist to join our team! We are proud members of The Scheduling Institute’s 5X Program and were awarded their Lamborghini in 2012. If you are an enthusiastic, passionate dentist, looking for an opportunity to join an established GROWING prac-tice that puts the patient first, then visitwww.vibrantassociate.com for details on how to apply. We look forward to hearing from you, and best of luck in your career search! Carl J. Metz, D.D.S.

TUCSON GENERAL DENTIST Our dental office in Tucson is looking for the ideal full time general dentist for our dental practice. The position offers an excellent income opportunity with a base salary and incentive opportunities. The position also offers medical insurance, 401k, and other covered benefits. Our practice is fully digital and is modern and offers an excellent team environment. Interested candidates please email their CV for [email protected]


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ARIZONA DENTAL ASSOCIATIONARIZONA’S VOICE OF DENTISTRY SINCE 1909

3193 N Drinkwater Blvd., Scottsdale, AZ 85251

PRSRT STDUS POSTAGE

PAIDPHOENIX, AZ

PERMIT NO. 365

44 INSCRIPTIONS | Journal of the Arizona Dental Association, May 2014

Arizona Dental Association“Arizona’s voice of dentistry since 1909”3193 N Drinkwater Blvd., Scottsdale, AZ 85251

PRSRT STDUS POSTAGE

PAIDPHOENIX, AZ

PERMIT NO. 365

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For Professional Liability, Worker’s Compensation, and Property Coverage

Contact: Jessica MacNeil602-664-7025

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For Long Term Care and Income Disability CoverageContact: Kurt Adams

602-664-7082kadams@ bbphoenix.com

For Individual Health InsuranceContact: Linda Little

602-664-7063llittle@ bbphoenix.com

Also Available:Home, Auto, Umbrella-Business Insurance

Call Robin Haun at 602-494-6735 or [email protected] for Free Quote

Members Save 5% - 20%

Endorsed Products Include:• Professional Liability

• Workers Compensation

• Health Insurance

• Property Coverage

• Disability Income

• Individual Life

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