virginia dental journal
DESCRIPTION
Journal of the VIrginia Dental AssociationTRANSCRIPT
• • Volume 80 . Number 2 . AprillMayl]une . 2003
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Richmond Marriott Hotel and Greater Richmond Convention Center
September 10 - 14, 2003
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THE VIRGINIA DENTAL ASSOCIATION (VDA) / VIRGINIA DENTAL SERVICES CORPORATION (VDSC) have partnered
with B&B INSURANCE, ASSOCIATES, INC. , >·'..•.>,V1roiniaDental Associationk . e;,.'C.'" , .... to service all your insurance needs.
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Call our toll-free number between 8:30 am to 5:00 pm (MON-FRI). Simply dial 1-877-832-9113
for quick and efficient service. It's that easy!
VDAINSURANCEINCLUDES ~- ~ - ~~ ~ ~ - - ~ ~ ~ ~ ~ . ~
Programs Contacts
Choice of health products Larry Bedsole Deedie Poteat Larry Bedsole Jr.
Choice of business & professional Maria Bowersox liability insurance, malpractice Deedie Poteat insurance and umbrella
Choice of individual auto, Vickie Roberts homeowner insurance, and umbrella coverage
Choice of life insurance, estate Larry Bedsole planning, long term care, long term Larry Bedsole Jr. disability, and pensions
TOLL FREE: 1-877-VDA-9113 FAX: 1-703-323-7169
For information on the wide variety of exciting products our association is offering, please call the VDSC Insurance Service Office at 1-877-832-9113.
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5204 Rolling Road, Suite B, Burke, VA 22015
Leslie S. Webb, Jr., DD.S. Editor
1. Barry I. Einhorn 2. Sharon Covaney 3. Michael R. Hanley
Susan P. Lionberger Director of Publications
ASSOCIATE EDITORS 4. Kathryn Finley-Parker 5. Lori Snidow 6. Robert G. Schuster
Terry D. Dickinson, DD.S. Business Mana er
7. Mac Garrison 8. Scott McQuiston School of Dentistry James Revere
Volume 80 April-June 2003 Number 2
TABLE OF CONTENTS 4 Editorial
5 Message From The President
6 Letter From Dr. Klima and Core Values
7 Letters To The Editor
8 Frequency Of Oral Cancer Screening By General Dentists & Primary Care Physicians
Of The Metropolitan Richmond Area
12 Abstracts
16 2003 VDA Meeting Preview
20 2003 Candidate Information
26 Give Kids A Smile Update 2003
29 2003 Virginia General Assembly Wrapup
30 VADPAC Contributors
36 Report On 2002 ADA House of Delegates
38 New VDA Members
39 2003 Eastern Shore MOM Project
43 Ethical Collection Service Options
44 Sudden Cardiac Arrest (SCA) Can Occur In Any Dental Office - Are You, Your Staff
And Patients Protected?
47 Investing in 2003: Move In The Right Direction
48 Am I In OSHA Compliance?
49 After Hour Care
51 Estate Planning & Virginia Dental Health Foundation's Tax Smart Annuity
52 The Answers To The Questions You Have About Taking Five Medicaid/FAMIS Patients
53 Real World Tours - Dinner & Learn
55 DNA Collection As A Mechanism Of Victim Identification
56 VDANews
57 Covenants Not To Compete Narrowed In Virginia
58 Continuing Education, Meetings and Events
60 Component and Speciality News
68 Classified Advertisements
COVER: Virginia Dental Association 2003 Meeting Logo © 2003. All Rights Reserved. PUBLICATION TEMPLATE: C:\Change
THE VIRGINIA DENTAL JOURNAL (Periodical Permit #660-300, ISSN 0049 6472) is published quarterly (January-March, April-June, JUlySeptember, October-December) by the Virginia Dental Association, 7525 Staples Mill Road, Richmond, Virginia 23228, Telephone (804) 261-1610 SUBSCRIPTION RATES: Annual: Members, $6.00. Others $12.00 in U.S., $24.00 Outside U.S. Single copy: $6.00. Second class postage paid at Richmond, Virginia. Copyright Virginia Dental Association 1996 POSTMASTER: Send address changes to: Virginia Dental Journal, 7525 Staples Mill Road, Richmond, VA 23228. MANUSCRIPT AND COMMUNICATION for publications: Editor, 7525 Staples Mill Road, Richmond, VA 23228. ADVERTISING COPY, insertion orders, contracts and related information: Business Manager, 7525 Staples Mill Road, Richmond, VA 23228.
VIRGINIA VDA COMMITTEE CHAIRMEN JOURNAL
EDITORIAL BOARD
Ralph L. Anderson James R. Batten Carl M. Block Cramer L. Boswell James H. Butler Gilbert L. Button B. Ellen Byrne Charles L. Cuttino III Frank H. Farrington Barry I. Griffin Jeffrey L. Hudgins Wallace L. Huff Lindsay M. Hunt, Jr. Thomas E. Koertge James R. Lance • Daniel M. Laskin Karen S. McAndrew Travis T. Patterson III W. Baxter Perkinson, Jr. Lisa Samaha David Sarrett Harvey A. Schenkein James R. Schroeder Harlan A. Schufeldt John A. Svirsky Ronald L. Tankersley Douglas C. Wendt Roger E. Wood
Annual Meeting Andrew J. Zimmer
Budget & Financial Investments David R.Ferry
Caring Dentists Harry D.Simpson, Jr.
Communication & Information Technology Robert B. Hall, Jr.
Constitution & Bylaws Thomas S.Cooke\II
Dental Benefits Programs Susan F.O'Connor
Dental Health & Public Information Samuel W.Galstan
Dental Practice Regulation J. TedSherwin
Direct Reimbursement Theodore P.Cocoran
Ethics & Judicial Affairs Charles E. Gaskins III
Fellows Selection Donald L.Martin
FOUNDATIONS
Relief Foundation ScottH. Frands
Infection Control& Environmental Safety Richard F.Roadcap
Institutional Affairs Elizabeth A. Bernhard
Legislative Dana H. Chamberlain
Membership David B. Graham
New Dentist Timothy J. Golian
Nominating Thomas S.CookeIII
PeerReview & Patient Relations Alan Robbins
Planning David C.Anderson
Search Committee forVA Board of Dentistry Thomas S.CookeIII
VADPAC GusC. Vlahos
Virginia Dental Health Foundation Raiph L. Howell, Jr.
2003 ADA DELEGATION i
Delegates; I 44th ADASession, October 23·26, 2003, San Francisco, CA
Anne C. Adams (2005) M. Joan Gillespie (2003) Ronald L. Tankersley (2005)
Alternate Delegates: Richard D. Barnes (2004) Ronald J. Hunt (2003), William J. Viglione (2003)
David C. Anderson (2004) Charles L. Cuttino III (2004) Wallace L. Huff (2004) Bruce R. Hutchison (2005) Leslie S. Webb, Jr. (2003) Andrew J. Zimmer (2005)
Thomas S. Cooke III (2003) Bruce R. DeGinder (2004) Rodney J. Klima (2004) Kirk Norbo (2003) Gus C. Vlahos (2004) Edward K. Weisberg (2004)
I) \fiYnini!:l nAnt~1 .Iournal
Representing and serving member dentists by fostering quality oral health care and education.
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OFRCERS COUNCILORS President: Rodney J. Klima, Burke I James E. Krochmal, Norfolk President Elect: Bruce R. DeGinder, Williamsburg II McKinley L. Price, Newport News Immediate Past President: Thomas S. Cooke III, Sandston III H. Reed Boyd III, Petersburg Secretary- Treasurer: Edward J. Weisburg, Norfolk IV Anne C. Adams, Richmond Executive Director: Terry Dickinson, D.D.S. V Mark A. Crabtree, Martinsville
7525 Staples Mill Road, Richmond, VA 23228 VI Ronnie L. Brown, Abingdon
EXECUTIVE COUNCIL Includes officers and councilors listed and : William J. Viglione, Oharlottesville - Chairman Mark A. Crabtree, Martinsville - Vice Chairman Benita A. Miller, Richmond M. Joan Gillespie, Alexandria Ralph L. Howell, Jr., Suffolk
Ex Officio Members: Parliamentarian: James R. Lance, Richmond Editor: Leslie S. Webb, Jr., Richmond Speaker of the House: Bruce R. Hutchison, Centreville Dean, School of Dentistry: Ronald J. Hunt, Richmond
SOCIETY
Tidewater, I
Peninsula, II
Southside, III
Richmond, IV
Piedmont, V
Southwest, VI
Shenandoah Valley, VII
Northern Virginia, VIII
PRESIDENT
Harvey H. Shiflett III 3145 VA Beach Blvd #104 Virginia Beach, VA 23452
EricW. Boxx 113 Hampton Hwy Yorktown, VA 23693
Samuel W. Galstan 12290 Iron Bridge Road Chester, VA 23831
AI J. Stenger 7033 Jahnke Road Richmond, VA 23225
Craig B. Dietrich P.O. Box 4402 Martinsville, VA24115
Susan F. O'Connor P.O. Box 1086 Galax, VA 24333
C. Mac Garrison 129 University Blvd Suite 0 Harrisonburg, VA 22801
Neil J. Small 9940 Main Street Fairfax, VA 22031
VII Darwin J. King, Staunton VIII AI Rizkalla, Falls Church
VDASTAFF Dr. Terry Dickinson - Executive Director Stephanie Arnold - Director of Outreach Programs Bonnie Anderson - Administrative Assistant Linda Gilliam - Director of Finance Susan Lionberger - Director of Events & Publications Samantha Paulson· Director of Marketing and Programs Leslie Pinkston - Dir. of Membership Recruitment & Retention Nicole Pugar - Director of Public Policy Barbara Rollins - Asst. Director of Outreach Programs
SECRETARY
Robert A. Candler 116 Janaf Office Bldg Norfolk, VA 23502
Sharon K. Covaney 1313 Jamestown Rd. 205 Williamsburg, VA 23185
D. Kent Yandle 5716 Courthouse Road Prince George, VA 23875
Kathryn Finley-Parker P.O. Box 15188 Richmond, VA 23227
Randy J. Norbo 1414 Franklin Rd, SW #3 Roanoke, VA 24016
Joseph P. Schneider Route 1 Box 560 Cana, VA24317
Robert B. Hall, Jr. (Treasurer) 130 W. Piccadilly St. Winchester, VA 24401
A. Garrett Gouldin 101 West Broad St #601 Falls Church, VA 22046
PATIENT RELATIONS
Carl Roy 2100 Lynnhaven Pwky #200 Virginia Beach, VA 23456
Kent Herring 122700 McManus Blvd #102B Newport News, VA 23602
C. Sharone Ward 12290 Ironbridge Road Chester, VA 23831
Jerry L. Jenkins 400 Old Hundred Road Midlothian, VA 23114
Craig B. Dietrich 604 E. Church Street Martinsville, VA 24112
Paul T. Umstott 300 W Valley Street Abingdon, VA 24210
Alan Robbins P.O. Box 602 Timberville, VA 22853
Neil J. Small 9940 Main Street Fairfax, VA 22031
Virginia Dental Journal 3
CEDITORIAL ~]
Leslie S. Webb, Jr. DDS VA Dental Journal Editor
The Virginia Dental Association has taken additional effective steps to fulfill its commitment to access to dental care for all citizens by implementing "Give Kids A Smile" projects and the "Take Five" effort to increase dentists' medicaid participation.
"Give Kids A Smile" is a concentrated effort to provide dental evaluation and treatment to children in need. This project also highlights the shortcomings of current government children's dental care programs and the vast quantity of unmet dental need. Clearly, to solve these problems dentistry's input is vital. At the "Give Kids A Smile Day" in Richmond at the Science Museum of Virginia, it was exhilarating to see the smiles and appreciation of the children who received care and the gratitude of their parents. Legislators and state and local officials came by to see for themselves the need and witness the efforts of our volunteer dental team.
The "Take Five" project is highlighted in an article on page 52 of this issue of the Journal. It is gaining momentum. Please sign up and get involved.
These efforts, along with our Mission of Mercy (MOM) projects and our Donated Dental Services, have provided millions of dollars worth of dental care to those in need. In addition, dentists provide significant amounts of free care in their offices and many volunteer regularly at free local clinics.
Each time I participate in one of these events I am amazed at how much care is given, how appreciative recipientsare, and how proud I am to have been involved. The members of the Virginia Dental Association are making access to dental care a true reality in our state. Let's be proud but remember there is much more to do.
4 Virainia Dental Journal
~I MESSAGE FROM THE PRESIDENT I~
Carol and I arrived at the Comfort Inn in very rural Onley, Virginia on the Eastern Shore late on the evening of Friday, March 28, and were greeted by the desk clerk who asked if we were there for the dental convention I I guess you could describe the Eastern Shore Mission of Mercy as a dental convention of sorts with over 250 dentists, dental team members, and volunteers all coming together with a common purpose of making a difference and providing needed dental services for over seven hundred people!
Access to dental care has become a prominent issue both on the national and state level. How we respond as professionals and as an Association to this situation defines us in the eyes of our fellow healthcare providers, as well as, public policy makers-like our State legislature. Our Executive Director Dr. Terry Dickinson tells of being at a meeting and being asked by an attorney, "Why don't you dentists provide pro bono care like lawyers do?" Can you imagine that? Of course, not only do we provide "unintentional" pro bono work, but also it is estimated that dentists do over 7 billion dollars in free dentistry every year, more than all the various government programs put together! As a profession, we have been quiet and modest about these generous acts, but in today's environment, we can no longer afford to be silent about what we are doing. Our immensely successful "Give Kids a Smile Day" on February 2151 was meant to highlight our caring activities. Drs. Sharone Ward and Sam Galston did a great job heading up our state efforts. Thanks to all who participated. We need to build on the program next year.
Also on the access front, the Virginia Dental Association is in the midst of an effort to rebuild the state network of Medicaid providers which has shrunk in recent years. This is our "Take Five" program which is a fee for service program and is not managed care. How we do in this initiative will probably determine if we have to face a bill in the
state legislature requiring a percentage of our practice to be Medicaid patients as a requirement for licensure, similar to Minnesota. North Carolina dentists recently had to deal with such proposed legislation.
There are fee for service Medicaid patients in each one of our eight components. The Virginia Dental Association has been working together with the Virginia Department of Medical Assistance Services (DMAS) over the last several years to increase dental access to children and adolescents with Medicaid by improving reimbursement and reducing administrative burdens. Under the "Take Five" program, prior authorization is no longer required except for full banded orthodontics and the 1994 ADA claim form is used. Please call Nicole Pugar at the VDA office and request a sign up form or additional information. Thank you to those members who are providers or have recently agreed to Take Five.
In my mind, the Eastern Shore MOM Project conjures up images of those we helped, like the elderly lady who came on the bus from thirty miles away, or the young woman who walked three hours to get to the project, as well as, those volunteers who treated the patients with great empathy and respect for their individual dignity. It is through our involvement in projects like MOM, GKAS Day, and "Take Five" that we dentists assert that we are part of the solution, and not part of the problem, and that we will lead the way for better dental health for all Virginians.
Rodney J. Klima, DDS VDA President
Virginia Dental Journal 5
Virginia Dental Association Constituent of the American Dental Association
7525 Staples Mill Road, Richmond, VA 23228 - 804-261-1610 (phone) 804-261-1660 (fax)
Dear Fellow VDA Member,
It is an honor for me to share a few thoughts about this profession and what it means to live by its principles and secondly, how we arrived at this point in the journey toward defining a future filled with hope for this profession.
Two years ago the Virginia Dental Association began a journey in search of its destiny. Concerned with the changes we were seeing around us and their possible effect upon the profession, we felt the urgency to prepare this association and its membership for that uncertain future. Knowing that change is certain and ever present, we decided that for us to continue to be the voice of the profession, we needed to prepare for that change and uncertain future so that we could, in effect, continue to 'steer' the best course for the profession- as determined by us.
As part of that exercise in designing our future, the Futures Task Force sought to answer several critical questions: 1. What is our purpose in being here as an association and a representative of its members- in other words, what is our corepurposeor reason for being? 2. What are those qualities that are at the core of our being that bind us together no matter what- in other words, what values do we each hold dear in our personal lives and in our relations with each other and our communities? What qualities are so important to us that no matter what happens around us, they will bind us together? 3. And lastly, what is our picture of the future, what are we trying to impart, what is the message we are leaving behind, what is our vision for this association?
Difficult questions with not so simple answers. But as you read what these mean to all of us, you will find solace in the message that your association is continuing to prepare itself and its members for that future- one in which our voices will be heard. Decisions concerning this association should be made by those who know this profession bestnot by someone without a DDS after their name and ones who have no business in our business.
Change is certain as is our resolve to stand together with these tenants as our guide. The picture will certainly look different in the future but be certain that it will be one guided by these valued principles. This is truly an expression of the soul of this organization.
Enclosed in this issue of your Virginia Dental Journal is an 8 X 10 copy of these principles that I have spoken of- the Higher Purpose, our Core Values, and our Vision. This page can be torn out at the perforations and is suitable for framing. Share these principles with your staff and patients- let them know what you and this profession value and cherish. Wallet sized cards are also available from our central office.
I hope you will use this copy and continue to be involved in the activities of our Association as we continue to live our higher purpose, values and vision.
Sincerely yours,
Rod Klima
VDA Representing and Servinp Memb9' Dentists Virginia Dental Association Bv Fostering Quality Ora' Health CarE' a r-lG" Education
6 Virginia Dental Journal
Higher Purpose A community of professionals advancing
dentistry and serving the people ofVirginia
Values Having integrity and compassion
Fostering social responsibility Embracing diversity
Vision Empowering the dental community
through innovation, diversity and service
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LETTERS TO THE EDITOR
Dear Les,
This letter is to the VDA Membership.
On Feb. 26, Terry and I traveled to Garden City, Kansas to help organize and to participate in their first MOM project. Kansas became the third state to embrace MOM (Texas was the second). We should all be proud that an idea born in Virginia is expanding to otherstates, To date, their have been nine MOM projects (six in Virginia, two in Texas and now one in Kansas) and there will be five more this year.
We have been given the gift of healing and as I told the Dental School Graduation Class two years ago, with this comes responsibility to help those who are less fortunate, disadvantaged or in•need. For those of you that aren't, get involved with MOM,don't liveina vacuum and by getting involved you demonstrate your willingness to become part of the solution and not part of the problem.
Sincerely, Dr. Tom Cooke
Dear Les,
I have always been proud to be a member of the Virginia Dental Association, but never more than now. The VDA is a living and moving expression of one of the "Sayings of the Fathers; from those to whom much has been given, much is to be expected."
We dentists have all been charitable in our own way. Organized giving was always an option, overseas service was not uncommon, and we all saw patients at reduced or no fee as the occasion called for it. No one will ever know how much free care we have given in the privacy of our own offices, and this is our business alone. The charitable gift of the highest merit is the anonymous gift.
There are times when an association is the only way in which to accomplish a specific goal or meet a specific need.
This is one of them, and the VDA-DMAS "TakeFive" program has been fashioned to meet the critical need for access that many Medicaid patients lack. If every dentists sees five new Medicaid patients, no office will be over-burdened, and Virginia dentistry will have met an obligation to our Commonwealth and the special gift that has been entrusted to us.
There is no doubt that the members of the VDA will meet this challenge. We have shown our humanity in ever so many ways. Our Mission of Mercy project, MOM, has been recognized across the country. The VDA has received an American Dental Association GOLDEN APPLE award for this innovative program. We have been honored by seeing other states copy and follow our lead. This recognition is well deserved and welcome. However, the greatest recognition lies in the hearts of the participants, both those who gave and those who received. The ''TakeFive" program will provide the same kind of satisfaction and recognition. Dentistry is different, and we do serve.
Way to go VDA.
Be Well All, Dr. Manny Michaels
~
To Members of the Virginia Dental Association:
I would like to extend my thanks and deep appreciation to members of the Virginia Dental Association and the Alliance of the Virginia Dental Association for their encouragement and out
standing support. The VDA and AVDA sponsored a wonderful reception in my honor in New Orleans after my installation as President of the Alliance of the American Dental Association, the dental spouse organization. It was well attended by dental leaders and members of the dental community from across the country. In my travels, I continue to receive positive comments on this outstanding event.
I would like give special thanks to Dr. Terry Dickinson, longtime friend Sandy Parks and AVDA president Barbara Yandle for their generosity of spirit, time and talents in arranging the event and making it all possible. Letters of congratulations were presented from President George Bush, Senators John Warner and George Allen, Congressmen Eric Cantor and Virgil Goode, Governor Mark Warner, Lt. Governor Tim Kaine, Attorney General Jerry Kilgore, as well as letters from other state legislators. State Senator Walter Stosch sponsored a Commendation from the Senate of Virginia and Delegate Bill Janus sponsored a Commendation from the Virginia House of Delegates.
These accolades have been accepted with joy and pleasure, but most cherished is the thoughtfulness and generous support of friends from the VDA, and especially my husband Jim without whom I would not be involved at all. It is with great pride that I represent Virginia as president of the Alliance of the American Dental Association.
Jocelyn Lance Honorary Member Virginia Dental Association
Dr. James Bramson, ADA Executive Director; Dr. John Roussalis, ADA 2nd VP; Jocelyn' Lance, AADA President; Jerilyn Bird, AADA President-Elect; and Dr. T. Howard Jones, ADA President pose for a photo at the ADA building in Chicago.
Virginia Dental Journal 7
I
FREQUENCY OF ORAL CANCER SCREENING BY GENERAL DENTISTS&l PRIMARY CARE PHYSICIANS OF THE METROPOLITAN RICHMOND AR~I
A. Omar Abubaker, D.M.D., Ph.D., Sylvia Natalie Lobo, B.S., James C. Burns, D.D.S., Ph.D School of Dentistry, Virginia Commonwealth University, Richmond, Virginia
Approximately 30,000 new cases of oral cancer are diagnosed each year in the U.S., of which 9,000 result in death. The average 5-year survival rate for oral cancer is about 50 percent. This is primarily due to late detection. If an oral cancer is detected at the early stage when it is 2 cm in diameter or less, the survival rate increases to about 70%80%. However, the survival rate when detected in the laterstages is only about 18% at most (1). Oral cancer screening is a quick, affordable, painless and highly effective means of detecting oral cancer. General dentists and primary care physicians are the most likely practitioners to first identify oral lesions. However, a significant'number of dentists and physicians may not perform this simple examination on all their patients (2-4). Previous studies have examined the referral patterns of patients with an oral lesion seen by dentists and physicians (5- 7). However, there are no published studies on the frequency of oral cancer screenings performed by general dentists compared to primary care physicians. The purpose of this study was to determine how often general dentists and primary care physicians perform oral cancer examinations and what steps are taken when oral lesions are detected. We also examined the differences in the referral patterns of dentists compared to physicians as part of their management of these lesions.
METHODS: A survey consisting of 8 multiple-choice questions was mailed to 220 randomly selected general dentists (DDS) and to 220 randomly selected primary care physicians (PCP) in the Metropolitan area of Richmond, Virginia. The respondents were asked to circle the appropriate answer or answers. A stamped self-addressed envelope was included with the survey. Upon receipt of the responses, the data were tabulated and compared.
8 Virginia Dental Journal
The questions included in the survey were: 1) How often do you perform an oral
cancer examination on your patients? a. Every 6 months b.Once a year c. Sporadically d.Never
2) If you do not perform oral cancer examinations, which of the following is the most likely reason? a. Unfamiliar with cancer screening
and lor oral examination b.lnadequate time to perform such
examination c.Other reason(s)
3) What is you r most frequently used method of recording details of suspicious oral lesions? a.Written description b. Lesion measurements c.Diagram d. Photograph
4) When you detect an abnormal oral lesion what do you do? a.Observe over a period of time. If
YES, for how long do you observe such lesion?
i. 2 Weeks ii. 1 Month iii. 6 Months iv. Year or More
b. Perform a Biopsy
5) If and when you refer a patient with an oral lesion, to whom do you refer the patient? a.To an Oral and Maxillofacial Sur
geon b.To an Oral Pathologist c.To an Oral Oncologist d.To a Primary Care Physician e.To a Family Dentist f. To an Otolaryngologist
6) Of the oral lesions you detect each year, on what percentage do you
perform biopsy? a.0-10% b.11-30% c.31-50% e.Greaterthan 50%
7) How many malignant lesions have you detected in your practice in the last year? a.O b.1-3 c.4-6 d. More than 6
8) Do you or your staff offer cessation advice to patients who use tobacco/ alcohol products? a. Routinely b. Frequently c. Sporadically d.Never
RESULTS: Seventy-three of the 220 primary care physicians (33%) and 111 of the 220 general dentists (50%) responded to the survey. The overall combined response rate was 42%. The responses of both dentists and physicians are as shown in Tables # 1.
Ninety-six percent of dentists provided oral cancer screenings to their patients at least once a year (94.5 % at 6 months intervals and 1.8 % annually). Fewer physicians examined patients for cancer at least once a year (52 % total: 49% annually and 3 % every 6 months). Forty eight percent of physicians surveyed performed oral screening only sporadically and 2.7% do not perform oral cancer screenings at all.
All dentists and the majority physicians who did not perform oral cancer screening cited "other reasons" for not routinely performing such examination. A small percentage of physicians indicated that inadequate time and unfamiliarity with such examination as the reasons for not performing oral cancer screening.
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AIl physicians and all dentists used a written description to document oral lesions. In addition to the written description, use of lesion measurements (62% of dentists and 36% of physicians) was the most common method of recording oral lesions. Twenty one percent of dentists and 25% of the physicians used a diagram of the lesion in addition to a written description. None of the physiclans and only 19% of dentists obtained photographs of the oral lesion for documentation.
A large number (82%) of dentists and about half (42.5%) of the physicians reportedthat they electedto observe oral lesions for a period of time after initial detection. The rest indicated that they would either biopsy the lesion immediately or refer the patient to a specialist. The majority of dentists and physicians who said they would observe the lesion did so for 2 weeks to 1 month. Only a very small percentage of dentists and physicians (8% and 9.6~o respectively) said that they would wait for 6 months before making a decision on how to manage the lesion.
The specialists who received the most referrals from general dentists and from physicians for evaluation of oral lesions were oral and maxillofacial surgeons (93.6% and 86.3%, respectively).
Interestingly, a very small percentage of the dentists (4.5%) in this survey referred patients with oral lesions to their primary care physician and somewhat larger percentage of physicians (20.6%) referred their patients to a general dentist.
More than one third of general dentists (38.7%) and 11 % of physicians who responded to the survey performed their own oral biopsies. Some of the dentists and physicians (16% and 4%, respectively), biopsied greater than 50% of the oral lesions they saw annually. A maximum of 3 lesions of all lesions detected over the past year was confirmed as malignant. Such number is reported by 31% of dentists and by 40% of physicians. The majority of dentists and physicians (74.7% and 60% respectively) indicated none of the lesions they detected was eventually diagnosed to be malignant.
Most physicians, (88%), but less than half (44%) of the dentists surveyed routinely offered cessation advice to patients who use tobacco and alcohol products. None of the physicians and 7% of the dentists never provided cessation advice to their patients.
DISCUSSION: Screening for oral cancer includes intraoral and extraoral examination for changes in texture and color of the oral mucosa, as well as other changes such as bleeding, ulceration, masses and Iymphoadenopathy. Symptoms of oral cancer include painful ulceration, numbness, otolgia, bleeding, and swelling. The mostcommon locationfor oralsquamous cell carcinoma is the tongue and floor of the mouth. The least common sites are the hard palate and dorsum of the tongue (8).
Early oral cancer detection at a localized stage is possible if routine oral cancer screening is performed by physicians and dentists. Oral screening is a simpleand non-invasiveprocedurethat can be accomplished routinely in less than 2 minutes (9). Dentists and physicians have a unique opportunity to detect oral cancer early, while it is still asymptomatic, innocuous and often unsuspected.
The findings of this study are in agreement with a previous study which found that most physicians do not conduct a routine oral cancer examination of their patients (10). Lack of routine screening for oral cancer by physicians has been attributed to the fact that many of nondental health professionals receive minimal or no training in oral diseases, and oral cancer detection (11). This leads to a potential lack of oral cancer screening, at least in certain patient populationgroups.These groups include the elderly and the socioeconomically disadvantaged patients, who are likely to visit their physicians almost twice as often as they do dentists (12,13). Fewer visits to the dentist by these patients is, at least in part, due to lack of public and private third- party financial support for these services (13).
The reasons given by physicians for not performing oral cancer screening as a part of their examination include unta
miliarity with such examination (5.5%), inadequate time to perform such examinations (11 %). It is possible that training of primary care physicians on how to perform such examination and education of the importance of such screening may increase the number of primary care physicians performing such examination on their patients during routine annual examination. Because the very small number of dentists not performing oral cancer screening and the nonspecific reasons cited by these dentists for not performing such examination, it is likely that no significant further improvement can be made in this area.
All respondents used a written description of the lesion. Although this is often adequate for documentation of oral lesions, use of lesion measurements, a diagram and/or a photograph can make documentation more accurate and allow for better comparison when the Iesion is re-evaluated at a later time.
Most respondents who observed oral lesions did so for only brief period. However, a small number waited 6 months. Even though this was a small percentage of the respondents, it reflects an inadequate understanding of management of oral lesions. It is generally agreed that after 2-3 weeks, if an oral lesion is still present and is showinq no signs of healing, it should be biopsied or the patient referred for further evaluation. The majority of general dentists (74.7%) and primary care physicians (86.3%), biopsied only small number of the lesions detected each year (less than 10% of the lesions). It is possible that such percentage represents these lesions which are small and easy to biopsy.
When referral is made, it was interesting to see such an agreement on referral pattern between physicians and dentists and that the preference was for oral and maxillofacial surgeons over other medical or dental specialists. Such a referral preference possibly occurs because both general dentists and primary care physicians consider the oral and maxillofacial surgeon as the first step in the diagnostic process. It can also be due to the frequent interface of this specialty with both dentists and physicians. The fact that some physicians
Virginia Dental Journal 9
referred to the general dentists is likely due to the fact they consider a general dentist as the best clinician to manage lesions of the oral cavity. However, the few dentists who referredto primary care physicians, possibly felt that the primary care physician is better suited to make the necessary referral for further consultation and possible cancer treatment. The relatively small number of the lesions detected by dentists and physicians which eventually were confirmed to be malignant should not affect the critical need to periorm oral cancer screening as a part of the routine oral examination by general dentists and annual check up by primary care physicians. It is possible that with more frequent screening, more referral and biopsy of suspected oral lesions, more malignant lesions can be detected annually by both physicians and dentists. Whereas most physicians counsel against tobacco and alcohol use, dentists do this much less often. This significant difference in such practice is possibly due to a deficiency in dental education in teaching the skills of counseling techniques on such issues.
Both the U. S. Public Health Service Healthy People 2000 initiative and the U.S. Preventive Health Task Force have recommended reducing oral cancer morbidity and mortality through early diagnosis (14, 15). To accomplish this goal, routine oral cancer screening of all persons by physicians and dentists becomes even more important. However, before such efforts can be successful in reducing oral cancer mortality, targeted professional education for various health professionals needs to be designed to help them modify their examination practices and assure proficiency in the detection of oral cancers. This study identified specific areas of deficiency in the practices of both dentists and physicians in regard to screening for oral cancers. These deficiencies involved the frequency of oral screening by primary care physicians and the almost complete absence of counseling of patients by dentists about the effects of smoking and the need for cessation of smoking and decreasing alcohol intake. Such deficiencies can be addressed by targeted education in the dental and medical fields (16). Indeed, the New York State Dental Board re
10 Virginia Dental Journal
cently instituted a regulation requiring that part of the yearly-required continuing education credits for dentists should be directed toward the prevention and detection of oral cancer and knowledge of the effects of tobacco products (17). If such a requirement is instituted nationally, and ;s combined with community-based oral cancer screening of the elderly and economically disadvantaged patients, it should lead to an increase in the cancer detection rate and greatly reduce the mortality and morbidity from this disease.
CONCLUSIONS: Based on this study, it can be concluded that general dentists evaluate patients for oral cancers more often and refer patients with abnormal oral lesions sooner than primary care physicians. Both dentists and physicians are similar in most often referring these patients to an oral and maxillofacialsurgeon than to any other specialist. There is a slight difference between general dentists and primary care physicians in the frequency of screening for oral cancer and methods of documentation of oral lesions. Half as many general dentists as primary care physicians provide cessation advise to patients who use tobacco and alcohol products.
REFERENCES: 1. Oral Cancer Facts (2001). The Ameri
can Dental Hygienists' Association, archived at http://WWW.adha.org/oral health/oralcancer.htm
2. Hollows, P., McAndrew, P.G., Perini, M.G. March. Delays in the referral and treatment of oral squamous cell carcinoma. Br. Dent J, 2000,188:2635
3. Cowan, C.G., Gregg, T.A., Kee, F. Prevention and detection of oral cancer: the views of primary care dentists in Northern Ireland. Br Dent J 1995,179:338-42,
4. Schnetler, J.F. Oral cancer diagnosis and delays in referral. Department of Oral and Maxillofacial Surgery, Cheltenham. Br J Oral Maxillofacial Surgery 1992, 30:2103
5. Dimitroulis, G., Reade, P., Wiesenfeld, D. Referral patterns of patients with oral squamous cell carcinoma in Australia, Eur J Cancer B Oral Oncol 1992, 28:23-7
6, Scully C, Malamos D, Levers, BGH, Porter SR, Prime SS. Sources and patterns of referrals of oral cancer; role of general practitioners. British Med J 1986: 293,599.
7. Shafer WG. Initial mismanagement and delay in diagnosis of oral cancer, J Amer Dent Associ 1975;90,1262.
8. National Cancer Institute, 1973-1989. Cancer Statistics Review 1973-1987. Department of Health and Human Services, NIH pub. No 88-2789, Washington, DC, Government Printing Office, 1989
9. Niessen LC, Jones JA, Lonergan JJ, Oral examination of the geriatric patient. Geriatric Medicine Today 1985, 5:113-6
10. Yellowitz JA, Goodman HS, Wertheimer DA, Physicians' and dentists' oral cancer knowledge and practices. An update on geriatric and gerontology: University of Maryland at Baltimore,. Geriatric and Gerontology Research, Education and Research (GGEAR) Newsletter. Winter 1993.
11. Carpenter RD, Yellowitz JA, and Goodman HS. Oral health mortality in Maryland. Maryland Med J 1993, 42:1105-1109
12, National Center for Health Statistics. Physician contacts by sociodemographic and health characteristics. 1982-83; Vital and Health Statistics. DHHS pub. No. 87-1589, Series 10, no. 161. Washington, DC: Government Printing Office. 1988.
13. Jack S, Bloom B. Use of dental services and dental health, 1986. Department of Health and Human Services. Vital and Health Statistics, National Center for Health Statistics. DHHS pub. No. (PHS) 88-1593, Series 10, no. 165. Washington, DC: Government Printing Office. 1988.
14. Woolf SH, Kamerow DB, Lawrence RS, Medalie JH. Estes EH. The periodic health examination of older adults: recommendations of the US Preventive Services Task Force. J Am Geriatr Soc 1990;38:933-42.
15. United States Public Health Services. Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Department of Health and Human Services. DHHS pub. no. (PHS) 91-50212 Washington, DC: Government Printing Office, 1990.
16. Amsel Z, Engstrom PF, Strawitz JG. The dentist as a referral source of first episode head and neck cancer patients. J Amer Dent Assoc, 1983, 106: 195
17. Fox, K. New York Moves on oral cancer: Law requires CE for dentists. American Dental Association News 2002, 33 (No.2): 2
ACKNOWLEDGEMENT: The authors are very thank to all of those who responded to the survey, and hope they find this article of interest and value to their practice.
Table 1 Q# Questions #DDS (%) #MD (%) 1 *How often do you perform an oral cancer examination on your patients?
a. Every 6 months 105 (94.5) 2 (2.7) b. Once a year 2 (1 .8)) 36 (49.3) c. Sporadically 5 (4.5) 35 (48) d. Never 1 (0.9) 2 (2.7)
2 *If you do not perform oral cancer examinations, which of the following is the most likely reason? a. Unfamiliar with cancer screening and/or oral 0 (0) 4 (5.5)
examination 0 (0) 8 (11) b. Inadequate time to perform such examination 2 (1.8) 13 (17.8) c. Other reasons
3 *What is your most frequently used method of recording details of suspicious oral lesions? a. Written description 111 (100) 73 (100) b. Lesion measurements 72 (64.8) 26 (35.6) c. Diagram 25 (22.5) 18 (24.7) d. Photograph 21 (18.9) o (0)
4 *When you detect an abnormal oral lesion what do you do? a. Observe over a period of time. 91 (81.9) 31 (42.5) If YES, for how long do you observe such lesion?
i. 2 Weeks 63 (56.7) 5 (6.9) ii. 1 Month 25 (22.5) 19 (26) iii. 6 Months 9 (8) 7 (9.6) iv. Year or More 0 (0) o (0)
b. Perform a Biopsy 43 (38.7) 8 (11)
5 *If and when you refer a patient with an oral lesion, to whom do you refer the patient? a. Refer to an Oral and Maxillofacial Surgeon 104 (93.6) 63 (86.3) b. Refer to an Oral Pathologist 30 (27) 3 (4.1) c. Refer to a Head and Neck Oncologist 0 (0) 1 (1.4) d. Refer to a Primary Care Physician 5 (4.5) o (0) e. Refer to a Family Dentist 0 (0) 15 (20.6) f. Referto an Otolaryngologist 9 (8) 39 (53.4)
6 *Of the oral lesions you detect each year, on what percentage do you perform biopsy? a.0-10% 83 (74.7) 63 (86.3) b. 11-30% 7 (6.3) 1 (1.4) c. 31-50% 7 (6.3) 1 (1.4) d. Greater than 50% 18 (16.2) 3 (4.1)
7 *How many malignant lesions have you detected in your practice in the last year? a.O 81 (74.7) 44 (60.2) b. 1-3 34 (30.6) 29 (39.7) c.4-6 0 (0) 0(0) d. More than 6 0 (0) 0(0)
I ' *Do you or your staff offer cessation advice to patients who use tobacco/ alcohol products? 18 a. Routinely 53 (47.7) 64 (87.7)
b. Frequently 28 (25.2) 11 (15) I c. Sporadically 31 (27.9) 1 (1.4) I d. Never . 8 (7.2) 0(0)
'I Total 111 73 i *Percentage may add up to more than 100 because respondents rna) have chose more than one answer. I
Virginia Dental Journal 11
i ABSTRACTS l=-==~~=~~~~~~~[[ II~
~ The following abstracts were provided by the Department of Pediatrics at VCU School of Dentistry. We appreciate the contribution that these individuals have made to the Virginia Dental Journal.
Lepowsky S, Book Reviews. Journal of General Dentistry 85, January-February 2003.
It is important to foster positive dental encounters in the pediatric population. General practitioners are often asked to provide resources for families related to dental visits. This article reviews some of the books currently available to educate parents and children about dental topics. Some of the books may also be appropriate as waiting room material.
What to expect when you go to the dentist, H. Murkoff, illustrated by L. Rader. New York: Harperiestival, 2002. The author of this book is best known as the co-author of the "What to expect when you're expecting" series. The text is geared towards children ages five and up, but the artwork also captivates younger children. The information helps prepare children for an initial visit as well as the importance of routine dental care. This book is highly recommended for families and waiting room information.
Open wide! A visit to the dentist, C. Schoberle, illustrated by B. Goldbert. New York: Simon Spotlight, 2000, is NOT RECOMMENDED. The story is based on characters from the Nickelodeon Rugrats television series. Because the Rugrats characters use improper grammar in the television series, this book follows suit. Unfortunately, some of the information contained in the text is incorrect as well. The pictures are bright and coloriul but do not depict a friendly, relaxed office environment. Dental visits are not recommended until the primary dentition has completely erupted and some of the anticipatory guidance information is incorrect.
A visit to the dentist, E. Fremont, ulustrated by A. Mastrocinque. New
York: Simon Spotlight, 2002, is part of the series of books featuring the character, Little Bill. Children may also recognize this character from television programming. The simple text and coloriul illustrations make this book most suitable for very young children. The text addresses dental anxiety and provides reassurances about the experience. It also gives descriptions of the role of dental auxiliaries and is recommended as a text for children experiencing their first dental visit.
Nice try, tooth fairy, MW. Olson, illustrated by K. Tillotson. New York: Simon & Schuster, 2000, is a lighthearted story about a child's encounter with the tooth fairy. Although no educational information is provided, children about to lose their first tooth may enjoy this humorous story.
Dear tooth fairy, K. Mellentin, T. Wood, illustrated by F. Thatcher. New York: Little Simon, serves two purposes: describing the origin of the tooth fairy; and educating the child on hygiene and nutrition. The book contains a tooth diary and chart to record the loss of primary teeth and the eruption of permanent teeth, as well as a small pouch for children to place a tooth in prior to putting it under their pillow.
The tooth fairies' nighttime visit, C. Schoberle, illustrated by D. Regan. New York: Little Simon, 1999, is a rhyming story best suited for very young children and relates more to young girls. This book does not address dental visits or oral health and primarily serves as a whimsical story to prepare children for the loss of their first tooth. The book does include two pages of reusable stickers.
When evaluating any book for recommendation, it is important to consider the appropriateness and accuracy of the information presented, as well as whether or not the book will help prepare children for dental experiences. Positivechildhood dental encounters are critical for a lifetime of pleasant visits and reducing the fear over the unknown is an important first step for pediatric patients.
Dr. Jacqueline Carney is a second year advanced education student in Pediatric Dentistry at MCVIVCU School of Dentistry. She received her DDS degree from MCVIVCU School of Dentistry in 2001. Following her residency, Dr. Carney will practice in the greater Richmond area.
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Roberts MW, Wright TJ. Food Sugar Substitutes: a brief review for dental clinicians. The Journal of Clinical Pediatric Dentistry 27 (Number 1): 1-3,2002.
The consumption and exposure frequency of fermentable sugars such as sucrose, fructose, glucose, and maltose has been shown to be conducive to caries development. Sucrose is the most common sugar added to beverages and food products. It isdifficult to avoid sugar in the diet because it is added to so many processed foods. Investigators have recognized the caries potential of sucrose and are searching for alternative sweeteners. The purpose of this article is to provide information about these sugars to help the practicing dentist when counseling patients regarding diet and caries prevention.
FDA approved noncaloric sweeteners Aspartame: Sold under the brand name Nutrasweet and Equal is 200 times sweeter than sucrose. It is the most widely used non-cariogenic artificial sweetener. It is safe for use by type 2 diabetic patients, reported to reduce the number of sickled cells in patients with sickle cell anemia. However, there have been concerns raised relative to toxic affects on growth, glucose homeostatis, and liver functions with long term uses. It is not safe for patients with phenylketonuria. Acesulfame potassium: Used in baked goods and desserts but there are concerns related to dose-dependent cytogenic toxicity Saccharin: Is 200-500 times sweeter than sucrose and is non-cariogenic and non-caloric. It has a slightly bitter after-taste and is identified as a potential bladder carcinogen
12 Virginia Dental Journal
Sucrolose: A non-nutritive, non-caloric, and non-cariogenic derivative of sucrose, widely used in food products with no health concerns reported.
Other sweetener agents Sorbitol: A sugar alcohol, often used as a bulk sweetener in a variety of food substances. It is half as sweet as sugar and although considered non-cariogenic, it has been shown to be cariogenic with prolonged use by patients with reduced salivary gland function. In addition it is not easily metabolized and can cause diarrhea. if ingested in large quantities. Xylitol: Is non-fermentable, non-cariogenic, and good tasting. It has the same sweetness as sucrose and is used primarily in chewing gum. Studies show that regular use of xylitol containing chewing gums reduce the amount of dental plaque, increases saliva flow, and reduces caries incidence and may also reduce ear infection incidence in young children. The FDA has not yet approved addit~onal uses of xylitoI. Stevia: A naturally occurring herbal sweetener 100-300 times sweeter than sucrose. It is both calorie free and noncariogenic. Only approved as a dietary supplement. It has been shown to have a weak estrogenic effect and could act as a weak male contraceptive agent. It is safe for diabetics and has a mild antihypertensive quality. Neotame: A new product similar to aspartame is 6000-9000 sweeter than sugar with a clean taste and heat stable. Awaiting approval by FDA.
The dentist often has the opportunity to provide advice regarding the importance of diet and the role of sugars in caries formation. Reducing the amount and frequency of exposure is important in preventing caries. Non-cariogenic sweeteners offer an alternative to sugar if used in moderation. The food industry is continuing to search for non-caloric and non-cariogenic alternatives to sucrose.
Dr. Rhea Davis is a first year advanced education student in Pediatric Dentistry at MCVNCU School of Dentistry. She received her DDS degree from MCVNCU School of Dentistry in 2002.
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Allen K, Kotil D, Larzelere R, Hutfless S, Beiraghi S, Comparison of a computerized anesthesia device with a traditional syringe in preschool children. Pediatric Dentistry. 24(4): 315-20. July/ August 2002.
In clinical practice, nearly one in four children presents with some type of management problem. Younger, preschool-aged children are more challenging to treat, especially when injections are required. A painless injection is one way to reduce management difficulties. Since pain on injection is due to volume pressure changes, slowing the injection rate is a means of reducing pain. However, it can be difficult to achieve when done manually. Several controlled studies have been done to compare the traditional technique with a computerized local anesthetic machine. In the first investigation, the Wand was not found to offer any specific benefit. However, researchers did not control for inherent differences in the duration of the two different injection methods and failed to target injection sites specifically recommended by the manufacturer. In a subsequent controlled study designed to address these problems, the Wand was found to produce significantly fewer disruptive behaviors. Children who experienced traditional injections were five times more likely to require restraints. The purpose of this investigation was to extend this research with pre-school aged children.
Forty healthy patients between 2 and 5 (mean of 4.1) were selected based on their need for operative dentistry in the maxilla. No effort was made to control for previous experience. Pain behavior was measured using an established pain behavior code. The four categories were 1) Body movement of any part more than 15 cm. 2) Crying, including moaning, complaining of vocalization in general. 3) Restraints: Any restraint by the dental assistant to control the patient's movement. 4) Stoppage of treatment due to child movement that required the dentist to redirect the child. This was coded only twice and was dropped from the analysis due to its infrequent occurrence. All injections consisted of 2% Xylocaine with 1:100,000 epinephrine
and a 30 gauge. Topical was placed for 30 seconds and a cotton tip applicator was pressed firmly to the tissue for 510 seconds on palatal injections. For buccal infiltration, a distraction wiggle was employed. Subjects were visually shielded from knowing which technique they received. The same operator delivered all injections. A research assistant observed all reactions and was crosschecked by a second independent observer (reliability found to be 82%).
Children receiving the Wand injection exhibited disruptive behaviors in a smaller percentage of 15-second intervals than did those receiving the two traditional injections. The Wand patients showed disruptive behaviors in 50% whereas traditional was 71%. Restraints were needed for only 3% with the Wand and 34% for traditional throughout the entire injection. None of the preschoolaged children exposed to the Wand required restraint during the initial interval, while nearly half of the children receiving a traditional injection required some type of immediate restraint. There was no significant difference between the two techniques for the need of restraint over the duration of the injection.
Perhaps most impressive were the results showing that none of the preschoolaged children exposed to the Wand required restraint during the initial 15 second interval, while nearly half of those receiving a traditional injection did. The study concludes that the Wand can significantly reduce disruptive behaviors in young children and may be one method of creating a more positive experience for them.
Dr. Chad Ellsworth is a first year advanced education student in Pediatric Dentistry at MCVNCU School of Dentistry. He received his DMD degree from the Oregon Health Sciences University School of Dentistry in 2002.
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Dahsban A, Patel H, Delaney J, Wuerth A, Thomas R, Tolia V. Gastroesophageal reflux disease and dental erosion in children. Journal of Pediatrics 2002;140:474-478.
Virginia Dental Journal 13
flUX is arelatively al re d '
Gastroesophage 'n infants an chll·, n I d common conditiO 've study was One
ectl dren. ThisprosP resence of gastroe· to evaluate the Pdisease (GERD) and sophageal reflU~ children with prlrnary dental erosions ,n th
tee .and permanent
rreversible loss of · the l 'IDental erosion 15 bY a chemica pro·
dental hard tiSSue ofbactena It is cess in the absencerd"dishedouf'area characterized asa ~atening base, This
giiS f I' with a smooth, IY harm UIn young · ular I dd problem is partlC the ename an en·
children inwhOf11 . "nJ teeth are mUch Prll11" ' ) f' I
tinlayers of the dults. The aoa; cc-thinner than in a I surlaces are rnore clusal, and lingU: d. ExtrinsIc factors
tcommonly affeC facial surtaee olthe (mostlyaffecting thede the consumption
· elu It' .anterior teeth) ,n beverages. nnnslc ofacidic foodsand "nJ flow, eating dis
saW"') ,factors include regurgitation. orders, andaCid
• n37 children, 2to sed a . I
ThestudyfoCu were undergOing esc18years oldwhO asHoduodenoseopy tive esophagO.g,e GERD. Dental ex(EGD) for posslb rlorrned before the amination was P~ure bY one of 2Pedi
ce endoscopic pro eth were evaluated atric dentists. fheter "bsence of dental
eO" ,for the presenc . f dental erosIOns,
enty 0 t' Of'erosions, sev. 'on and loca Ion . In-stage of dentltl a~dard EGD examlnavolved teeth. st astrointestJnal tract tion of the upper gd biopsy specimens was performed ~~orn the duodenum, were obtained hagus. The severstomach, andeS~~gitiS was graded as
op ityof refluxes evere according toOrS , 'thmild moderate" pauentswi den
, ·terla. . h established cn ornpared Wit Pa-
ere ctal erosionS W 'nSforthe presence
rOSIO h Itients without e fluX esop agl IS in of re d' t 'b t· and severity II asage IS n U ion,
each group as we od intake, and den'dlc f0CI symptoms, a
talhygiene. , tol09ic evaluation
d hiS EndoscopiC an tientshad GERD. Of revealed that 24pa nS were preset1t in
roSIO these, dental e %) Fifty percent had 20 patients (83.3 h'ad moderate and
, 30%mild erosion, rosion The pattern 20% hadsevere edthat the posterior
veale di 17of erosion re 'I Involve In Of 20marl Y rt'teeth were p~ Alarge propo Ian of
patients (85 Yo) oted to have GE:RD 45%)n
patients (8 ' ,~I JOurnal
and dental erosions had pain and indigestion from eating fried and/or spicy foods.
Other factors besides GERD, including dietary habits and the degree of the individual salivary buffering capacity are also believedto influencethe occurrence of dental erosion. Erosions involving primary teeth could be prevented from progressing into permanent teeth if identified early and adequately treated. Current management of dental erosions include the use of fluoride rinses, sodium bicarbonate mouth rinse several times a day, and periodic dental assessment. It is also important to note that if dental erosions are detected in otherwise asymptomatic children, especially involving posterior teeth, they should be evaluated for GERD.
Dr. Ajit Patel is a first year advanced education student in Pediatric Dentistry at MCVNCU School of Dentistry. He received his DDS degree from MCVNCU School of Dentistry in 2002.
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AI-Zayer MA, Stratton LH, Feigal RJ,Welch KB. Indirect pulp treatment of primary posterior teeth: a retrospectivestudy. Pediatric Dentistry 25(1): 2936,2002
The purpose of this retrospective study was to determine the clinical and radiographic success of indirect pulp treatment (IPT) on primary posterior teeth and to compare the influence of caries risk, skills of the operator, and restorative material on the success of the IPT. The term indirect pulp cap (IPC) was recently replaced by the term indirect PUlp treatment (American Academy of Pediatric Dentistry Reference Manual) therefore the authors use the term IPT throughout this paper.
Records were reviewed of patients treated with IPT in the graduate and undergraduate pediatric dental clinics at the University of Michigan, School of Dentistry from July 1993 through July 1999. Teeth treated with IPT were not mobile or sensitive to percussion since these signs would indicate pulpal degeneration and periapical involvement;
both are contraindicated for IPT.A success indicated that the tooth remained clinicallyand radiographicallyfree of any signs or symptoms of pathology and exfoliated within the normal time.
From the 132 patients who met the inclusion criteria, 187 primary posterior teeth were treated with IPT. Ninety-eight of these teeth were first primary molars. The remaining 89 teeth were second primary molars. The age range of the patients was 5-13 years with a mean of 8 years and 6 months. Patients were followed clinically and radiographically for a time ranging between 2 weeks and 73 months.
All of the primary molars were lined with calcium hydroxide (Dycal) over the carious dentin left behind. Of the187 teeth, 78 only received the dycalliner with no base material as protection. 109 teeth also received a base of either IRM or Vitrebond. For analysis the teeth were restored with either an amalgam (Tytin/ Kerr) or a stainless steel crown (SSG).
The success of IPT was 95% (178/187 teeth) with only 9 failures. The use of a base over the calcium hydroxide liner significantly increased the success rate of IPT. Teeth without a base were 8.7 times more likely to fail compared to teeth treated with a base. The use of a SSC after an IPT was significantly more successful than amalgam. Amalgam was 7.7 times more likely to fail comparedto a SSC. The location of the teeth in the dental arch played a significant role in the success of the IPT. The first primary molar was 4.4 times more likely to fail than the second primary molar. Gender, age, caries risk and operator's skill and experience had no significant effect on the success of the IPT.
This study suggests that indirect pulp treatment is a successful technique and should be considered as an alternative treatment to pulpotomy in the treatment of deeply carious primary posteriorteeth without signs of pulpal degeneration.
Dr. Frank C. Pettinato II is a second year advanced education student in Pediatric Dentistry at MCVIVCU School of Dentistry. He received his D.M.D. degree from the University of Florida College of Dentistry in 2001.
----Following the completion of his esidency, Dr. Pettinato will enter~rivate practice with his father in Tampa, Florida.
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Soxman, JA, D.D.S. Considerations for treatingadolescent patients. Journal of General Dentistry. January-February 2003: 24-26.
Eating disorders such as anorexia, bulimia,and gastric esophageal reflux disease (GERD) can have devastating effects on the enamel. They are most prevalent in adolescent girls. Chronic exposure to the acid in the vomitus pH (1.0-5.0) erodes the lingual surfaces of the teeth. Vigorous brushing to remove any trace of food compounds this erosion. Gingival recession with abrasion of cervical cementum may also be apparent. Rinsing with water and sodium bicarbonate after emesis should be recommended to neutralize the gastric acids. Custom trays can be fabricated for daily topical fluoride application.
The accelerated growth during adolescence requires an increase in caloric intake but the foods that provide the additional calories often are associated with obesity and caries. The diet of U.S. children has changed dramatically in recent years due to irregular meals, fast foods, snacking. and consumption of high amounts of sugar.
Although many age-specific factors make the adolescent more susceptible to caries. the ingestion of carbonated beverages seems to be one of the most significant causes of: 1) increased caries incidence, 2) enamel dissolution, 3) obesity. 4) type II diabetes, and 5) osteoporosis. Further. sugar-free soft drinks show similar caries incidence. Parents must be cautioned that sugarfree carbonated drinks still may contain high concentrations of natural fruit sugars.
breakdown around sealants and restorations.
Additionally,the phosphoric acid in most cola drinks limits calcium absorption and has a direct influence on density of bone mineral. Once bone is lost. restoration of bone mass may not be possible. Studies suggest that there is a direct association between soft drink consumption and bone fractures in teenage girls.
The importance of excellent oral hygiene and limitation of dietary sources of acid and sugar must be stressed throughout orthodontic treatment. Far too often, when orthodontic appliances are removed, the perfect orthodontic result is completely overshadowed by severe decalcification.
Determining the need for and appropriate timing of extraction of third molars should be included in the treatment planning of adolescents. Performing extractions prior to age 18 significantly decreases postoperative complications due to incompletely formed roots providing for less bone removal. By performing extractions earlier, osseous
healing is improved without bony defect. A panoramic radiograph should be obtained to evaluate the presence and position of the third molars after the completion or orthodontic treatment or by age 15 or 16.
Overall, the goals of treatment of adolescents should include increasing the resistance of teeth to acid dissolution and/or reversing the process of erosion, demineralization, and decalcification. Dietary modifications are mandatory. Post eruptive benefits of topical fluoride in water, rinses, gels, pastes, and varnishes should be utilized. For more serious decalcifation or caries activity. a series of four or five in-office topical fluoride treatments placing the 5,000 ppm pastes or gels in a tray or orthodontic vacuum-formed retainers for home use may be recommended.
Dr. Roy H. Rogers is a second year advanced education student in Pediatric Dentistry at MCVNCU School of Dentistry. He received his DDS degree from MCVNCU School of Dentistryin 2001. Dr. Rogerswill enter private practice in Boise, Idaho.
September 10-14, 2003 Richmond Marriott Hotel and
Greater Richmond Convention Center
Factors influencing enamel dissolution are: 1) type of acid, 2) chelating properties, 3) temperature, and 4) exposure time. Most soft drinks contain phosphoric, citric, tartaric, and/or carbonic acid or a combination thereof; consumption of these may lead to marginal
Virginia Dental Journal 15
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VADPAC Shoeshine Friday, Sept. 12 & Saturday, Sept. 13
President's Party - Saturday, Sept. 13 6:00pm - 9:00pm Virginia Science Museum Join Dr. Rod Klima for fun, food, fellowship for the entire family!
4th Annual VDA Photography Contest Dig out your cameras and old photos! All registered attendees are invited to enter the 4th Annual VDA Photography Contest. The winning photo will appear on the cover of the October issue of the VA Dental Journal.
Look for more event information in the meeting registration brochure which will be mailed in early July.
If you have any questions about the meeting, please email ([email protected]) or call Susan Lionberger at 800552-3886.
16 Virginia Dental Journal
The Virginia Meeting 2003 Schedule
Afternoon Life Would Be Easy If It Weren't For Other People Connie Podesta Continuation of morning session)
Afternoon Bullet Proof Crown and Bridge Dr. Larry Lopez
Afternoon Dentistry & Pharmacology: Managing The Medically Complex: Practical Guidelines For Oral Health Providers Dr. Louis G. DePaola
Afternoon CPR Training (repeat of AM class) Vivian Biggers
1:30pm - 4:30pm VAO Board Meeting 2:00pm - 4:00pm Constitution & Bylaws Committee 3:00pm - 4:30pm Speaker of the House Office Hours 4:00pm - 6:00pm VDSC Board Meeting 4:30pm - 6:30pm VAGD Board Meeting 6:00pm - 10:30pm VDA Party & Live Auction
Saturday, September 13, 2003 7:00am-5:00pm Registration & Ticket Sales 7:30am - 8:30am ICD Breakfast 8:00am - 3:00pm Exhibit Hall Open 8:00am - 9:00am VAE Board Meeting Morning Hands On Course - Ridge
Preservation & Perio Defects Perio Institute
Morning Provisional Restorations That Fit, Function and Last: Hands On Training For The Dental Auxiliary Dr. Karen McAndrews
Morning Calcium Hydroxide & MTA (Mineral TrioxideAggregate) and Their Place in Modern Endodontics Dr. Raymond T. Webber
Morning Dental Dilemmas: Bridging Theory and Practice Dr. Thomas K. Hasegawa, Jr.
Morning How To Retire With Millions Mr. Darrell Cain
Morning Secrets of Practice Greatness Dr. Patrick Wahl & Ms. Lorraine Hollett
Morning Removable Prosthodontics 2003: Meeting Patient's Esthetic and Functional Demands - Part 1/ , Implant Supported Prosthetics Dr. Richard D. Jordan
Morning Adhesive Dentistry: Materials & Techniques Simplified Dr. Jeff J. Brucia
Morning Contemporary Pediatric Dentistry Dr. Michael A. Ignelzi, Jr.
7:00am
7:00am - 5:00pm 7:00am - 8:30am 8:00am - 5:00pm Morning
Morning Morning
Morning
Morning
Morning
Morning
9:00am - 4:00pm 9:00am - 4:00pm 10:00am - 2:00pm 11 :OOam - 6:00pm 11 :30am - 1:OOpm 11 :30am - 1:30pm Afternoon
Afternoon
Afternoon
Wednesday, September 10, 2003 11 :OOam - 4:00pm Executive Committee 4:00pm - 6:00pm Executive Council
Thursday, September 11, 2003 7:00am - 5:00pm Registration & Ticket Sales 7:15am· 7:45am Credentials Committee 8:15am-10:15am Opening Session &
House of Delegates 10:30am - 5:00pm Reference Committees 12:00pm - 5:00pm VDHFNADPAC Silent Auction 4:00pm - 6:00pm ADA 16th District Delegation 5:00pm - 7:00pm Reference Committee Reports 6:00pm - 11 :OOpm ACD Dinner & Dance
Friday, September 12, 2003 VDA Golf Tournament Breakfast (tournament starts at 8:30am) Registration & Ticket Sales VAGD Breakfast VDHFNADPAC Silent Auction
• Hands On Course - Perio Surgery Perio Institute HIPAA Creating the Ultimate DoctorPatient Hygiene Exam Karen Davis, RDH Life Would Be Easy If It Weren't For Other People Connie Podesta Bioterrorism: Dentistry's Role in Recognizing and Responding To The Threat Dr. Louis G. DePaola Bullet Proof Crown and Bridge Dr. Larry Lopez CPR Training Vivian Biggers VADPAC Shoeshine VDA Logo Shop Open Alliance Meeting & Lunch Exhibit Hall Open Fellows Lunch ACD Luncheon for Learning Hands On Course - Perio Surgery Perio Institute (continuation of morning seesion) Removable Prosthodontics 2003: Meeting Patient's Esthetic and Functional Demands - Part I , Conventional Prosthetics Dr. Richard D. Jordan Creating the Ultimate DoctorPatient Hygiene Exam Karen Davis, RDH (continuation of morning session)
Virginia Dental Journal 17
Morning Handling In-Office Medical Emergencies Sherri Stein
9:00am - 4:00pm VADPAC Shoeshine 9:00am - 4:00pm VDA Logo Shop Open 9:00am - 5:00pm VDHA Meeting & Lunch 11 :30am-1 :30pm Pierre Fauchard Lunch Noon - 2:00pm CDHS Lunch & Meeting Afternoon Hands On Course - Ridge
Preservation & Perio Defects Perio Institute (continuation of morning session)
Afternoon Provisional Restorations That Fit, Function and Last: Hands On Training For The Dental Auxiliary Dr. Karen McAndrews (continuation of morning session)
Afternoon PANDA Training Dr. Frank Farrington, Joann Wells & Sonja Lauren
Afternoon How To Invest In Today's Economy Mr. Darrell Cain
Afternoon Secrets of Practice Greatness Dr. Patrick Wahl & Ms. Lorraine Hollett
•(continuation of morning session) Afternoon Adhesive Dentistry: Materials &
Techniques Simplified Dr. Jeff J. Brucia (continuation of morning session)
Afternoon Successful Encounters With Kids Dr. Michael A. Ignelzi, Jr.
Afternoon Handling In-Office Medical Emergencies Sherri Stein (repeat of morning session)
3:00pm - 4:30pm Speaker of the House Office Hours 4:30pm-6:00pm Relief Fund 6:00pm - 9:00pm VDA President's Party
Sunday, September 14, 2003 7:30am - 8:30am Past President's Breakfast 7:30am - 8:30am 50/60 & Life Members Breakfast 8:00am - 10:00am Registration (Business Mtg & HOD) 9:00am - 11 :OOam Old Dominion Dental Society Board
Meeting 9:00am - 10:00am Business Meeting 10:00am - 1:OOpm House of Delegates 1:OOpm - 3:00pm Executive Council
Agenda current as of April 15, 2003. Some events might change slightly or might not be included in this list. For exact times for lectures, please refer to the registration brochure that will be mailed to all VA dentists in early July.
Additional Continuing Education: Lectures by Sky Financial, GE Medical Protective and Mercer Advisors!
18 Virginia Dental Journal
SPONSORS r~.
Golf Tournament Anthem Blue Cross Blue Shield B&B Insurance Associates, Inc. * Baran Dental Laboratory, Inc. Bay View Dental Lab Michael G. Bedsole, CLU GE Medical Protective* Goodwin Dental Lab, Inc. Hermanson Dental Virginia Dental Laboratories, Inc. VSOMS
Friday Night VDA Party Baran Dental Laboratory, Inc. GE Medical Protective* Goodwin Dental Lab, Inc Drs. Niamtu, Alexander, Keeney, Harris,
Metzer & Dymon, P.C. VSOMS
VDA President's Party B&B Insurance Associates, Inc.* Ceramic Arts Dental Lab Virginia Academy of Endodontists Virginia Dental Laboratories, Inc.
Exhibit Totebag Anthem Blue Cross Blue Shield B&B Insurance Associates, Inc.* Patterson Dental Company
Continuing Education Sponsors
Bronze Bay View Dental Lab Diamond Dental Lab LifeNet Root Laboratory, Inc. Drs. Zussman, Smith, Dolan, Lane,
Silloway& Park
Gold American College of Dentists Drs. Cuttino, Nelson, Miller, Eschenroeder,
Zoqhby, Swanson, Cyr and McAndrewCommonwealth Oral & Facial Surgery
GE Medical Protective* International College of Dentists - Virginia Section
Gold+ Benco Dental Company
Platinum Delta Dental Plan of Virginia Drake Precision Dental Laboratory
Titanium+ Virginia Dental Services Corporation
On-site Brochure Anthem Blue Cross Blue Shield PinCrafters
:>ponsorship Donation Received as of April 15, 2003 = Members of the VDAlVDSC Endorsed Programs
EXHIBITORS 3i ImplantInnovations 3M ESPE Accu Bite Dental Supply Accutech Orthodontic Lab, Inc.
A-Dec AFTCO Asset Protection Group, Inc. .B&B Insurance Associates, Inc.* Banditt lnc., Paul Belmont Equipment .BencO Dental Company Biolase Technology, Inc. Brasseler USA John O. Butler Co. Caesy Education Systems Colgate Oral Pharmaceuticals CollaGenex Pharmaceuticals, Inc. Delta Dental Plan of Virginia Den-Mat/Rembrandt Dentsply Caulk Dentsply Gendex Designs For Vision, Inc. Direct Reimbursement* Discus Dental Donated Dental Services Doral Refining Corporation Drake Precision Dental Lab
Garfield Refining Co. GC America Inc. GE Medical Protective* Healthy Communities Loan Fund HPSC Financial Services Instrumentarium Imaging, Inc. International Dental Group (Ident) KaVo America Corporation Kerr Corporation LifeServers, Inc. - Richmond, VA'
Pro Dentec Professional Practice Consultants, Ltd. Professional Sale Associates, Inc. Professionals Advocate Insurance Co. R.K. Tongue Co., Inc. Rx Honing (Sharpening) Machine SciCan/Matrix SDI Sky Financial Solutions' Sonicare/Philips Oral Healthcare
MAMSI (Mid Atlantic Medical Services, Inc) Sullivan-Schein Dental Midmark Corporation M.O.M. Project New Image Dental Laboratory Nobel Biocare Northern Virginia Computer Solutions NSK American Corp. OMNII Oral Pharmaceuticals Oral-B Laboratories Orascoptic Patterson Dental Company Paychex' Planmeca, Inc. Porter Instrument & Royal Dental Group PracticeWorks/SoftDent/DICOMlTrophy Premier Dental Products Co. Procter & Gamble
Sybron Endo VA Association of Free Clinics VA Chapter - March of Dimes VA Dental Health Foundation
(Section 170 Plan) VA Medicaid Take 5 Program VADPAC VCU School of Dentistry VDA Alliance VDA Logo Shop VDA Membership VDAA VDSC
Highlighted Exhibitors = Meeting Sponsors *=VDANDSC Endorsed Programs Paid Exhibitors as of April 15, 2003
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3. The way Cincinnati
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1 «
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Virginia Dental Journal 19
LEADERSHIP • • •
The 1996 Virginia Dental Association House of Delegates adopted Constitution and Bylaws changes stating that candidates for VDA elective offices have the opportunity to submit a statement and CV to be published in the April-May-June issue of the Virginia Dental Journal. Candidates for President-Elect can have a 500 word statement. All other candidates can have a 250 word statement. This will give the members of the Virginia Dental Association an opportunity to meet candidates for elected offices.
Bruce R. Hutchison, D.D.S. Candidate for Office of: President-Elect
As Speaker of the House of Delegates for the past fou r years, I have witnessed the VDA in action. Our association is strong. We have been
blessed with committed leaders, members who give their support and pitch in when asked, an executive director with vision, a dedicated central office staff who work long and hard for us, a strong working relationship with our state legislators and Board of Dentistry, and a history of doing the right thing. We are a diverse group with a common goal. Smaller rural components are different than larger metropolitan components. That diversity offers us differences that we have turned into strengths. We have our differences of opinion and yet find a way to work together for the common good of our membership.
Issues are always coming and going. On our plate now are: Medicaid funding, access to care, safety of amalgam restorations, wastewater, and malpractice insurance and tort reform. Just over the horizon are more issues. We have faced these before and will continue to
20 Virginia Dental Journal
identify and address issues important to the dentists and dental health of the citizens of Virginia. Our members are willing to do the work when it's needed. We have raised money for ADPAC and VADPAC to make sure our voice is heard in the legislature, our members have volunteered time to attend hearings or talk with legislators and regulators, our members have volunteered at free clinics and for the MOM Projects of Virginia to show we are willing to do our share to address the access to care issues, and we have stayed members to keep our association strong and active.
The speed of democracy is slow at best. To address this we are in the process of changing our governing structure. Not that our current structure doesn't work and hasn't served us well, but maybe there's a better way. Times are changing and so must we. Our goal is to make the association more "user friendly," to make it easier for members to get involved in projects they identify with and have compassion for without having to stand in line and climb the ladder to be part of the leadership. We want to take advantage of the many talented and motivated members we have and give them the opportunity to serve. Large ships (the VDA) do not turn on a dime. They have momentum, which carries them through the tough waters. Our course (long range plan) is our goal. Sporadic deviations from it make the path erratic and frustrating. It's great when you agree with an idea and we change course in your direction, but what about when you disagree with the change? Long-range planning, constant analysis of incoming ideas, and future looking will help decide our course changes. I think we must be careful to allow for the course to be changed but not get so caught up in being quick and agile that we lose our strength and purpose.
In summary, I am proud to be a dentist and proud to be a member of the VDA. Our past has been well directed and our future looks bright. I look forward to the
, opportunity to serve as your President and ask for your support and vote for President-Elect of the VDA. Thank you.
Bruce R. Hutchison, D.D.S. 14245-P Centreville Square Centreville, VA 20121 (703) 830-9110 Component 8
Education: University of Rochester, 1976, B.S., Electrical Engineering, 1977 M.S., Electrical Engineering; Georgetown University of Dentistry, 1981, D.D.S. (cum laude) Membership: NVDS, VDA, ADA, AGD, VAGD, lCD, ACD, Academy of Dentistry International, Southeastern Academy of Prosthodontics, Implant Society of Northern Virginia, Greater Fairfax Dental Study Club, Academy of Sports Dentistry. Honors: Fellow, VDA; Fellow ACD; Fellow, ICD; Fellow, Academy of Dentistry International; ADA Golden Apple Award (outstanding young dentist in U.S.), 1989. Leadership Activities: ADA: Alternate Delegate; Delegate. VDA: Speaker of the Houseof Delegates;Annual Meeting Committee, Chairman; Young Dentist Committee, Chairman; Delegate; House of Delegates Credentials Committee, Chairman; Executive Council member. Component Society: President; Executive Committee, Chairman; Program Committee, Chairman; Membership Committee, Chairman; Young Dentist Committee, Chairman; VADPAC Committee, member; Executive Committee, member; CPR Instructor; Parliamentarian. Community: VDA MOM Project (NOVA 2002); Donated Dental Service; United States Jaycees; Optimist Club International; Northern VA Dental Clinic; Volunteer Dentist on Northern Cheyenne Indian Reservation in MT: Volunteer Dentist on Mattaponi Indian Tribe in VA; Fairfax County Family Services; Little League Umpire.
A VI RG I N IA TRAD ITI 0 N Edward J. Weisberg, D.D.S. Candidate for Office of: secretary-Treasurer
Dentistry faces many challenges today, HIPAA, Silver Reclamation, Wastewater not to mention occasional legislation. I am pleased to be part of the Executive Com
mittee which is the first group of the VDA to tackle these events. As the liaison forthe VDA on the VDSC, I encourage them to actively work tq find ways to reducethe dependence on dues for the VDA to fund it's budget. The Secretary-Treasurer is responsible for superVising the collection of monies and dues and the payment of the expenses of the VDA. I have worked hard for the Association and I am seeking to continue as your Secretary-Treasurer. As a past member and chairman of the Budget and Financial Investments Committee, I am qualified for this office. I am committed to a broader involvement of our members and to serving my colleges, its members. I will continue to find ways to improve the budget and accounting process to make it easier for the membership to understand. I am open minded and will listen to any member who has an opinion or concern and will formulate a position which I feel will best benefit the members of the VDA not just the needs of only a few.
I see many challenges in membership retention and recruitment, which could impact the financial health of the Association. We must reach out to all of the dentists in Virginia and encourage the many diverse groups to be a part of the VDA. The Internet and email can be a great part of getting our message out and communicating with each other,but we must also be fiscally responsible in how we use these resources. I will in
sure that our dues dollars are spent in the best possible manner and that any proposed dues increases are justified. I have been active in my support of Organized Dentistry and ask for your support to re-elect me for this office.
Edward J. Weisberg, D.D.S. 801 W. Little Creek Road, Ste 103 Norfolk, Virginia 23505 (757) 440-0044 Component 1
Education: College of William and Mary-B.S. Biology 1969 Virginia Commonwealth University-Medical College of Virginia-D.D.S. 1973 Memberships: ADA;VDA;Tidewater Dental Association 1973present;DePaul Hospital Staff 1973present;Alpha Omega. Honors: Fellow-VDA 1993; International College of Dentists 1995, Pierre Fauchard Academy 1998, American College of Dentists, 1999, Richard Simmons Memorial Award of Component 1, 2000. Leadership Activities: ADA and VDA: Secretary-TreasurerVDA, 2000-, ADA Alternate Delegate 1999-, Executive Council 1994-present, Budget and Financial Affairs Committee 1991-94 (Chairman1992-94), Audio-Visual Chairman Annual Meeting 1983, 1994, member Ad Hoc Committee on X-Ray Regulations. Component Society: President 1992-93, Treasurer 1990-92, Budget Committee 1990-96 (Chairman 199094), ExecutiveCommittee 1983-present, Patient Relations Committee 1980-84 (Chairman 1982-84), ChairmanMembership Committee 1979. Delegate to Annual Meeting 1984-1994, Alternate Delegate 1980-83, MemberTidewater Dental Association Foundation (Dorothy Ferris Foundation) 1984-88, President 1987-88. Community: Red Cross-TDA Park Place Free Dental Clinic Steering Committee, Founding Director Hampton Roads Volunteer Health Foundation, Inc., Alpha Omega Tidewater Virginia Alumni Chapter, President Vice- President, Treasurer, Secretary. DePaul Hospital Department of Dentistry, De
partmental Secretary, Associate Chairman. Old Dominion University, Dean's Advisory Board to the School of Dental Hygiene. Wards Corner Optimist Club, Board of Directors, President, Vice President. Norfolk Chamber Consort Board of Directors, Founding Board Member, Treasurer, President. Young Audiences of Virginia, Board of Directors. Temple Israel Synagogue, Board of Directors, Vice President.
M. Joan Gillespie, D.D.S., M.S. Candidate for Office of: Councilor-at-Large
The goverance of the VDA is taking a new and exciting direction. The needs of the modern association demand rapid information exchange and decision mak
ing. We need to set priorities to accommodate our members and serve the patients of Virginia. The importance of communication and information dissemination in our organization is a duty of all but especially the leadership in our time of change.
It has been a privilege to serve the VDA as Councilor-at-Large for almost two years. I would appreciate the opportunity to continue to fulfill my responsibilities in that capacity with integrity and responsiveness.
M. Joan Gillespie, DD.S., M.S. 4660 Kenmore Avenue, Suite 312 Alexandria, Virginia 22304 (703) 823-2228 Component 8
Education: Trinity College, A.B., 1964; Georgetown University Dental School, D.D.S., 1968; Georgetown University Graduate School, M.S., Periodontics, 1971.
Virginia Dental Journal 21
Membership: ADA, VDA, NVDS since 1972; American College of Dentists; American Assocation of Women Dentists; Fairfax County Dental Society; Alexandria Dental Society; American Association of Dental Examiners; Southern Regional Testing Agency; American Academy of Periodontology; Pierre Fauchard Academy; International College of Dentists. Honors: ADA Council on Ethics Bylaws and Judicial Affairs, 1995-1998, Vice Chair, 1997; Appointment to the VA State Board of Dentistry, two terms - 1983-1992; President of the State Board of Dentistry, 1987-1988and 19881989; Virginia Dental Association Fellow; American College of Dentistry Fellow; International College of Dentistry Fellow; and Pierre Fauchard Academy; ADA Career Film. Leadership Activities: ADA: ADA Delegate 1994-2003; ADA Alternate Delegate; Council on Ethics, Bylaws and Judicial Affairs - Vice Chairman 19961997; ADA Referetlce Committee on Membership and Communication - Chair 1996;ADA StandingCommittee on Constitution and Bylaws 1995-1998; American Assocation of Women Dentists, Past President. VDA: VDA Delegate 1978-2000; Constitution and Bylaws Committee Vice Chair; Ethics and Judicial Affairs Committee Chair; Councilor to VDA from Component 8; VDA Councilor-at-Large; Chair of the Virginia Section of the American College of Dentists. Component: Past President; Member and Past Chair of Executive Committee, Ethics Committee, Program Committee, Membership Committee Leadership Committee, and Dental Health Committee; Past Parlimentarian; Past Member of Peer Review, Membership and Dental Directory Committess: ExOffcio of Northern Virginia Dental Clinic Committee. Other Dental Societies: Past President of Fairfax Dental Society, Alexandria Dental Society, Greater Washington Society of Periodontology, The American Association of Women Dentists, and the Greater Washington Association of Women Dentists. Community: MCVNCU Board of Advisors, MCV Planning Committee: MCV School of Dentistry Campaign Drive District Leader. Board of American Cancer Society.
Ralph L. Howell, Jr., D.D.S. Candidate for Office of: COLInci lor-at-Large
As a member of the VDA Executive Council for the past two years, I feel that I have represented your inte rests in transforming the Virginia
Dental Association into a progressive organization that is constantly adapting to the changing needs of its members. Our focus continues to be to build our strength by increasing our membership as well as the diversity of our membership. As this organization continues to change, its leaders will need to be committed to this process and proactive in its actions.
The way each of us practices dentistry is challenged daily by many outside forces. Some of these include the media, the legislature, and the government. The Association must continue to be on the forefront of this change and lead this change; otherwise others may dictate the practice of dentistry to us.
With your help, I will continue to do my best to serve the Association as Executive Councilor at Large. Thank you for your support.
Ralph L Howell, Jr., DDS 102 Western Avenue Suffolk, VA 23434 (757) 539-7695 Component 1
Education: College of William & Mary, BS in Chemistry, 1982, Medical College of Virginia, DDS cum laude, 1989. Membership: ADA, VDA, Tidewater Dental Association; Academy of General Dentistry; Obici Hospital Medical Staff Honors: A 0 Williams Scholarship recipient, Omicron Kappa Upsilon, Fellow-Academy of General Dentistry, Fellow-Virginia Dental Association, Pierre Fauchard Academy, Fellow-In
ternational College of Dentists. Leadership Activities: VDA House of Delegates1989-Date, Reference Committee on Budget and Fiscal Affairs 1991,Chairman of VDA Continuing Education Committee1996-1998, Annual Meeting Local Arrangements Committee Chairman 1998, President VDA Foundation 1996-1999, 2000-Date, Credential's Committee Chairman 1996, 1997, TDA Program Committee Chairman 1995-1997, TDA Executive Committee 1992-Date, President of the Dorothy Ferris Foundation of the TDA 1991-1993, Portsmouth-Suffolk Study Club President 1994-1995, President of the Tidewater Dental Association 20002001. Virginia Dental Association Executive Councilor-at-Iarge 2001-2003. Community: President of the Nansemond-Suffolk Academy Alumni Association 1997-2001; NansemondSuffolk Academy Board of Trustees 1997-2001; Executive Committee of Obici Hospital 1994-1996; District Chairman of the Colonial Trail District Boy Scouts of America 1994-2001; Colonial Virginia Council, BSA Executive Board 1994-2003; Silver Beaver RecipientBSA; Suffolk Rotary Club 1990-Date; Board of Directors 1997-2000; President-Suffolk Rotary Club 2003; Oakland Christian Church Board of Deacons 1990-1996, 1999-Date; Chairman Board of Christian Education 1990-1997.
Rodney J. Klima, D.D.S. Candidate for Office of: ADA Delegate
It is an exhilarating experience to represent the Virginia Dental Association at the ADA level. There are so many issues that come up that touch our practice lives
daily. I would like to thank the membership for giVing me the opportunity to serve in the capacity of an alternate delegate and ask for your support for election as a delegate.
22 Virginia Dental Journal
We continue to face new challenges ryyear, some are threats, some are
eveortunities. I continue to believe that o~:future of dentistry is bright as long t we work for what is best for our pa-as . tients and our profession.
Rodney J. Klima, D.D.S. 5204-B Lyngate Court Burke, VA 22015 703-425-5125 Component 8
Education: College of William and Mary, B.S. Chemistry, Medical College of Virginia, School of Dentistry, D.D.S. (1974), Orthodontics, MCV (1976) Memberships: American Dental Association, Virginia Dental Association, NorthernVirginia Dental Society,American Association of Orthodontists, Virginia Association of Orthodontists Honors: Omicron Kappa Upsilon, A.D. WillIiamsAward, Diplomate of the American Boardof Orthodontics, Fellow of the VDA, American College 0f Dentists, International College of Dentists, Pierre FauchardAcademy Leadership Activities:ADA and VDA: ADPAC Board, Alternate Delegate to ADA, Grassroots Co-Chair, VDA Executive Council, VADPAC Chairman, President Virginia Dental Association. Component Society: President NVDS (1994-1995), Executive Committee (1987-present), Councilor (1995-2001), Delegate to VDA (1984-1994), Editor NOVA News, newsletter of the Northern VA Dental Society (1987-1992) Community: Consultant Cleft Palate Team, Walter Reed Army Medical center (1981-1995), youth soccer and basketball coach,swim team representative.
Leslie S. Webb, Jr., D.D.S. Candidate for Office of: ADA Delegate
It has been a great privilege for me to represent the dentists of Virginia as your ADA delegate. My experience at the ADA level has allowed me to develop per
sonal contacts with ADA staff and many delegates from other states, increasing my effectiveness as your delegate.
Each year the ADA House of Delegates, our supreme governing body, meets to develop policies, implement new programs, and deal with the budget. I have worked for programs that will help our members meet the challenges of daily practice at every stage of their careers, address external legislative and regulatory pressures and support our dental educational system.
If elected, I pledge to continue to work to see that the ADA remains relevant to its members and efficient in its operation.
Leslie S. Webb, Jr., DD.S. 6800 Patterson Avenue Richmond, VA 23226 804-282-9781 Component 4
Education: University of Richmond, B.S., 1964; Medical College of Virginia, D.D.S., 1968. Memberships: ADA; VDA; Richmond Dental Society. Honors: OKU; American Collegeof Dentists; International College of Dentists; Pierre Fauchard Academy; VDA Fellow; RDS Harry Lyons' Award. Leadership: ADA: (current) ADA Delegate. (Past) Member and Chair, Council of Dental Benefit Programs; Chair, D.R. Task Force; Chair, ACODENIC Committee; Member, Kid Care Task Force; Member, Parameters Committee; Member, Indicators Committee; Member, PINSERV Committee; ADA Alternate Delegate. VDA: (current) Editor of the VA Dental Journal; Executive Council. (past) President, Secretary-Treasurer, Delegate, Chairman of the Annual Meeting Commitee; Chairman of the Long Range Planning Committee; Chairman, Constitutions and Bylaws Committee; Chairman, Nominating Committee. Component Socimy: (past) President, Secretary. Community: Member, Sate Secretary of Human Resources' Task Force to Study Health Needs of School-aged Children in Virginia; Member, Governor's Task Force on Children's Health; Past President, James River Estates Civic Association.
Ronald J. Hunt, D.D.S. Candidate for Office of: ADA Alternate Delegate
The academic and practicing dental communities are closely intertwined and share common ideals, goals, and challenges. In Virginia, the VCU School of Den
tistry and the Virginia Dental Association enjoy a mutually beneficially relationship. As dean of the School of Dentistry and member of the VDA Executive Council and Legislative Committee, I striveto strengthen even more the bond between these two great institutions. In addition to keeping the VDA leadership apprised of dental school activities, my role on the Executive Council and Legislative Committee is to provide counsel in matters involving dental and dental hygiene education and research. As a member of the ADA Commission on Dental Accreditation, I provide counsel on matters of accreditation. As a boardcertified public health dentist, I provide counsel on issues involvinq public health dentistry and Medicaid. If reelected to serve another two-year term as an alternate delegate to the ADA House, I will continue to strive to provide fellow delegates informed counsel regarding dental education, accreditation, research, and public health issues to come before the House.
Ronald H. Hunt, DD.S. VCU School of Dentistry Box 980566 Richmond, VA 23298 804) 828-9184 Component 4
Education: University of Iowa, DDS and MS in Dental Public Health Memberships: ADA, VDA (North Carolina and Iowa state associations previously), American Dental Education Association, American Association of Public Health Dentistry, International Association for Dental Research
Virginia Dental Journal 23
Honors: Diplomate of the American Board of Dental Public Health; Omicron Kappa Upsilon Honorary Dental Society; Visiting Fellowship to University of Adelaide, Australia; Gies Fellowship to the American Association of Dental Schools; National Academy of Practice in Dentistry; American College of Dentists; International College of Dentists; and Pierre Fauchard Academy. Leadership Activities: Dean of VCU School of Dentistry; VDA Executive Council and Legislative Committee; Section President for International Association of Dental Research; Dental Public Health Consultant, 'Curriculum Consultant, Site Visit Chair, Outcomes Assessment Committee Chair, and Member of the ADA Commission on Dental Accreditation; Delegate to the American Dental Education Association House of Delegates; Chair of the Board of Directors for the Virginia Statewide AHEC Program; Chair of VCU's Committee on Equity and Diversity; chair of numerous academic dentistry committees at three dental schools.
M. Joan Gillespie, D.D.S., M.S. Candidate for Office of: ADA Alternate Delegate
The policies of the ADA help to determine the direction of our profession. Our officeds and our patients are impacted by the deliberations and decision making of the
delegation. Whether the topic is amalgam, dental education, licensure, governace, or outreach programs, being a part of this interchange allows for idea sharing with delegates from other states and with the ADA leadership.
Serving on the ADA Delegation as a representative of the dentists of Virginia has been an honor. As an Alternate Delegate, I would hope that my diverse rangeof experience willcontinue to bring rneaninqful input into the varied issues that confront our members and affect our patients.
ntal Journal
CV information is listed wih Dr. Gillespie's candidancy for Councilor-at -Large.
William J. Viglione, D.D.S. Candidate for Office of: ADA Alternate Delegate
The advancement and preservation of dentistry is at the core of organized dentistry. We all need to preserve thevalues, ethics, and conduct that have kept dentistry high
among the most respected of professions. At the same time we need not to be locked into the past as technologies, materials, and management skills move forward. We, as a profession, need to address access for low-income families, especially their children who can benefit from our services. In Virginia, we have undertaken the M.O.I'v1. project, but the need is greater than one or two areas of the country during one weekend a year. It is a national crisis and each of our communities suffers with this access problem.
I wish to continue to serve as ADA Alternate because I want to be part of the solution for this problem, and to represent Virginia values to the future of dentistry. The delegation from Virginia is of the highest quality, and I have benefited greatly by spending time with them. I wish to continue to grow in the knowledge and experience at this level with those high caliber people. Therefore, I ask for your support for this position. Thanks you and many blessings to you all.
William J. Viglione, DD.S. 3025 Berkmar Drive, Suite 4 Charlottesville, VA 22901 (804) 973-4355 Component 7
Education: University of Richmond, BS Biology, 1969, Class President; VCUMCV School of Dentistry, DDS, 1972,
Yingling-Lyons Award; US Army, General Dentist Resident, Ft. Sam Houston, Texas, 1972-73; Chief Dental Officer, Ft. Deitrick, MD, 1973-75. Membership: ADA; VDA; Shenandoah Valley Dental Association; Charlottesville Albemarle Dental Society; Academy of General Dentistry; Beta Beta Beta; ODK Leadership Society; Phi Gamma Delta; OKU; Delta Sigma Delta; Crown Council. Honors: Fellow of the Virginia Dental Association; Fellow of the American College of Dentists; Pierre Fauchard Academy; Who's Who Among Executive and Professionals; VCU Dental School Alumni Star for year 2000. Leadership: VDA: Delegate of the House of Delegates; Executive Councilor-at-Large; Fellows Selection Committee; Reference Committee Chair; Peer Review and Patient Relations Chair; Executive Committee; Chairman of Executive Council; Representative for Study for Shortage of Dental Hygienists. Component Society: President-elect; President; Component 7 Executive Councilor. Charlottesville-Albemarle Dental Society: Treasurer; President. Community: Church of the Incarnation - Lector and Past President of Parish Council; Board Member of the Ronald McDonald House; Organizer and Volunteer for the Charlottesville Free Clinic; Dental Consultant for the Our Lady of Peace Retirement Community; Republican Party Committee Member; Spiritual Director Institute Graduate; Assisted with organization of local Medicaid pilot project.
Roger E. Wood, D.D.S. Candidate for Office of: ADA Alternate Delegate
As a teacher at MCV,as a mentor to dental students, and as an active practitioner, I have been privileged to be involved on many levels of dentistry. feel a great responsibilityand
commitment and enjoy the giving of time and energy to our profession. As Co
I
Chairman of "Give Kids A Smile Day" in Richmond, it was exciting to see the eagerness of the volunteers and their willingness to sacrifice their valuable time. I have been fortunate to work on many VDA committees and have especially enjoyed serving as Chairman of the Legislative Committee and ViceChairman of the Dental Practice Regulations Committee. I feel strongly about the issue of access to care. Therefore, it was a great privilege to be a member of the Mission of Mercy Task Force that initiated what has become so important to people in need and indeed to the volunteers themselves. I also became a member of the Wise hospital staff so that I could return to treat children under general anesthesia. We can all make a difference. As a member of the ADA Council on Dental Education and Licensure and a sub-committee of the ADA Council on Dental Benefits, I have worked with the issues that face us now and will be facing us in the future. It is extremely important that the ADA remain a strong voice for dentistry and meets the needs of our existinq and future members. It is with respect that I ask for your support for Alternate Delegate.
Roger E. Wood, DD.S. 11601 Robious Road Midlothian, Virginia 23113 (804) 794-3498 Component 4
Education: Elon College, AB, Biology, 1967; Medical College of Virginia, DD.S., 1975; Indiana University - Perdue University at Indianapolis School of Medicine and Hospitals, Residency in Pediatric Dentistry, 1975-1977; Associate Professor, MCV; Clinical Professor, MCV. Memberships: ADA; VDA; RDS; American College of Dentists; American Association of Dental Examiners; American Dental Political Action Committee; Richmond Donated Dental Services Advisory Board; American Society of Dentistry for Children; American Academy of Pediatric Dentistry; American Board of Pediatric Dentistry; Southeastern Society of Pediatric Dentistry; VA Society of Pediatric Dentistry; MCV Alumni Association; Delta Sigma Delta; Richmond Dental Study Club; Johnston-
Willis Hospital Staff; Chippenham Hospital Staff; St. Mary's Hospital Staff (Richmond,VA); St. Mary's Hospital Staff (Norton,VA). Honors: A.D. Williams Scholar, 1974; MCV Outstanding Senior Award, 1974; Appointed by Governor to VA State Board of Dentistry, 1988; President, VA State Board of Dentistry, 1992; American Board of Pediatric Dentistry, 1988; Consultant, American Board of Pediatric Dentistry, 1991-1992; Fellow, VDA, 1992; Editorial Board, VA Dental Journal, 1992-present; Life Member, American Board of Pediatric Dentistry; Fellow, Pierre Fauchard Academy, 1993; Citizen of the Year Award, 1999, for Goldsboro, NC Flood Relief awarded by Omega Psi Phi Fraternity; Award of Appreciation from the City of Goldsboro, NC for flood relief, 2000; Congressional Award for Extraordinary Leadership and Compassion for service to the people of eastern North Carolina during the devastation of the floods of 1999 from Congresswoman Eva M. Clayton; American College of Dentists, 2000. Leadership Activities: ADA: Council on Dental Education and Licensure, 2001-present; Dental Practice Parameters Committee; Committee on International Programs and Development; Subcommittee to address dentallaboratory technology personnel recruitment and retention, 2002-present; Subcommittee on quality assessment and improvement,2002-present. VDA: Mission of Mercy Task Force; Mission of Mercy Committee; Mission of Mercy Volunteer-present; Chairman Access to
Care Task Force, 2002-present; Virginia Dental Services Corporation Board of Directors, 2001-present; Legislative Committee, 1998-present, Chairman, 1999-2001; Steering Committee, Virginians for ImprovingAccess to Dental Care; Futures Task Force; Dental Practice Regulations Committee, Vice Chairman; Planning Committee; Reference Committee. Component Society: Delegate to VDA; Alternate Delegate to VDA; Political Advisory Committee; Ad Hoc Advertising Committee, Chairman; Richmond Dental Society, Board of Directors; Long Range Planning Committee; United Way Campaign for Dentists; Corporate Sponsorship Committee, Chairman; Dental Health Month Chairman; Co-Chairman for Richmond "Give Kids A Smile Day"; MCV class leader for Clinical Simulation Campaign. VA Board of Dentistry: Legislative Committee, Chairman, 1990-1992; Secretary/ Treasurer, 1990-1991; President, 1992. Community: Advisory Board, Richmond Donated Dental Services, 1998present; Organization for flood relief in Goldsboro, NC, 1999-2000; Prenatal Classes at Chippenham and JohnstonWillis Hospitals, monthly lectures on infant oral health care, 1998-present; Episcopal Church of the Redeemer, Vestry, Finance Chairman, Capital Campaign Chairman; CARITAS volunteer; Cross-Over Dental Clinic Volunteer; Youth Soccer Coach; Examined and treated 20 Russian orphaned preschoolers and arranged medical treatment for them while they visited the Richmond area, 1998.
Bound for Baltimore: Charting Our Future 17th National Conference on the New Dentist August 21·23, 2003 Baltimore, MD Baltimore Marriott Waterfront Hotel
·.For more infllmlalion,call the AnleiicariD8I1taiASsociatiOll at 1,800'6214l099reXlell$lon2779
Virginia Dental Journal 25
Leslie Pinkston, Director of Membership
The Virginia Dental Association ran a very successful Give Kids a Smile campaign during the month of February.The size and quality of the campaign and the support provided across the state by Virginia dentists and volunteers was truly impressive. Due to school closings because of snow, Virginia had some set backs and rescheduling issues, but we hope to expand upon this program next year. The Give Kids a Smile campaign served as a message board across Virginia. It enlightened policy makers and the public about the access to care issues. There was newspaper support not only by "big" city newspapers but also in local area newspapers. All three major televisions networks in Richmond ran announcements during the week of February 2151
; several local stations across the state sent film crews for footage at various projects. Governor Mark Warner signed a proclamation recognizing February Children's Dental Health Month in the Commonwealth of Virginia. In addition to Governor Mark Warner signing a proclamation ... several dentist were successful in obtaining proclamations recognizing February as Dental Health Month in their counties and cities. Congressman Eric Cantor and the Director of DMAS, Mr. Pat Finnerty, attended a GKAS event at the Science Museum of Virginia in Richmond, VA. The projectserved as an impetus for oral health to be treated as a health care priority in Virginia.
The Virginia 'Give Kids a Smile Day" Committee had two goals: 1- Examine and provide dental hygiene instructions to as many children as possible. 2- Provide free follow-up dental care to the children most in need. The children who were seen as patients were identified through several sources. Dentist used the C.H.I.P. program, Head Start, and Boys and Girls Club of Virginia. Additionally, they contacted school nurses to identify children and contacted the school boards to identify the schools and students in their area most in need of oral care. Over 6,921 children were
26 Virginia Dental Journal
seen across the state of Virginia during the campaign. Children were screened, educated, fluoridated, given dental care materials, x-rayed, and received sealants. But most importantly their confidence was built, as many for the first time saw their healthy smiles in the mirror. The most important part of this effort will be the follow up care the children will receive over the next year through the referrals given. Several volunteer dentists had commented on how good they felt about the children being able to receive much needed follow up dental care that could not be provided in one day of screening.
The ongoing spirit and enthusiasm of Virginia dental volunteers is refreshing! Virginia had over 166 volunteers. We also had 70 dental students as well as numerous others who names were unfortunately not turned in. Our volunteer numbers were well over 300. The volunteer hours tallied came up to over 3,000; this does not include all the behind the scene hours that went into making these events work.
The Give Kids Smile Campaign was funded on many different levels. Local component societies supported their dentist by purchasing supplies. Dentist who volunteered their services used many of their own supplies. The Virginia DentalAssociationcontributed $2000.00 and a variety of supplies. In addition, Virginia received generous sponsorship from Crest Healthy Smiles 2010, ADA, Involcor, Sullivan and Schein, Patterson Dental Company, Dexis Digital X-Ray and Chippenham & Johnston-Willis Medical Center which sponsored shirts forthe GKAS volunteers in Richmond. Several companies donated breakfast and lunches to feed the many volunteers across the state. The Virginia Department of Health provided dental chairs, flyers, table displays, and information. Project sites consisted of the Science Museum of Virginia, hygiene clinic at Old Dominion University. roller skating rinks, shopping malls, Virginia schools,
VCU Mobile Oral Health Clinic, new dental clinic at the Boys and Girls ClUb of Richmond, and manydentist offices. Virginia dentist are actively reacting to the oral health care crisis in their own way. Dr. Jay Boyle said, "After seeing what a need there was in one of my local elementary schools, I have decided to adopt one school and provide on going dental care for the worst cases." Dr. Edward Mustian III founded a new dental clinic built in the Boys and Girls Club in Richmond, VA, through a $45,000 grant from the Annabella Jenkins Foundation. These are but a few of the many initiatives throughout the Commonwealth by the profession.
VIRGINIA'S COMMITMENT TO IMPROVING ACCESS TO
DENTAL CARE IS RECOGNIZED IN CONGRESS
As a result of his visit to the Children's Science Museum of Richmond on February 21, 200 as part of Give Kids a Smile Day, Congressman Eric Cantor (VA-7) has introduced a House resolution (H. Res 136) praising dentists and the American Dental Association for their efforts and emphasizing the need to improve access to dental care.
The ADA has asked its members to contact their respective Members of Congress to ask that they become a co - sponsor of the resolution and support the passage of it.
This is just another example of the VDA's commitment to improving
I access to dental care and making
I
everyone (includinq lawmakers) know the importance of doing so. ~
GIVE KIDS A SMILE VOLUNTEERS
Dr. Anna Abel Dr. Anne Adams Dr. Michele Ah Ms. Medina Ali Dr. Roosevelt Allen Dr. Steven Alvis Ms. Teresa Anderson Ms. Amber Archie Dr. M. Arroyo-Pratt Dr. Mitch Avent Dr. Desiree Bagheri Ms. Angela Bailey Ms. Tina Bailey Ms. Kelly Banscoter Dr. Stacie Barb Mr. Robert Barlowe Ms. Darian Barnette Dr. Richard Bates Ms. Yvonne Beard Ms. CJ Beauchamp Dr. Elizabeth Bernhard Dr. Ric Birch Ms. Kathy Bounds Dr. Jay Boyle Ms. Kim Boyle Dr. Samtha Brotherton Dr. Ronnie Brown Dr. Brenda Ann Butler Dr. Cathie Butterworth Dr. Ronald Cade Ms. Paula Campbell Ms. Dorothea Carter Ms. Kristie Casper Dr. Steven Castro Dr. Gayatri Chaubal Dr.Tom Cooke Ms. Sharon Covaney Dr. Mark Crabtree Ms. Buena Craft Dr. David Crouse Ms. Cathy Crowder Ms. Kimberly Culp Dr. Charles Cuttino Dr. Frank D'Aquila Ms. Patricia DeSimone Dr. David DeViese Ms. Denia Diaz Ms. Bridgett Dickerson Dr. Terry Dickinson Ms. Kelly Dolin Dr. Raymona Eddleton Ms. Nancy Emch Dr. Kristine Enright Dr. Knstine Enright Ms. Joyce Estes Ms. Carla Faris Dr. Frank Farrington Ms. Julie Ferry Dr. David Ferry Dr. Bob Field Dr. Kitt Finley-Parker Ms. Pat Firer Ms. Wendy Fitzgerald Dr. Scott Francis Dr. Sam Galstan Ms. Rina Gaspari Ms. Ivorie Glass Ms. Tammy Goswick Ms. Diane Grimes Ms. Kim Grossman Dr. Gary Haines Dr. Mike Hanley
Dr. James Hartigan Dr. Donna Helton Ms. Wendy Hicks Dr. Charlton Ho Dr. Matthew Hogendobler Ms. Dana Holderfield Dr. Ralph Howell Dr. Wallace Huff Dr. Bruce Hutchison Ms. Angela Johns Dr. Neal Jones Dr. Claire Kaugers Dr. Hemani Kaur Ms. Lavne Kerruish Dr. Christopher King Ms. Betsy King Dr. Rod Klima. Ms. Paula Knight Ms. Phyllis Krocmal Ms. Kathy Lawrence Dr. Scott Leaf Dr. Guy Levy Dr. Mayer Levy Ms. Robin Levy Ms. Becky Lighfoot Dr. Melanie Love Ms. Tracy Mannino Ms. Melanie Marcotte Dr. Van McCarter Dr. Stephanie McRae Ms. Shirley Meade Dr. Benita Miller Dr. Mark Miller Dr. Bhavana Mistry Ms. Hamany Mol Ms. Beth Moore Dr. Tamesha Morris Dr. John Mosher Dr. Ed Mullins Ms. Kathy Mulloy Dr. Edward Mustian III Ms. An Nguyen Mr. Dao Nguyen Ms. Bonnie Nickerson Dr. Susan O'Connor Ms. Suzette Oyler Dr. Bonnie Pearson Ms. Joan Pellegrini Dr. Anthony Peluso Ms. Gina Pitrone Dr. Wright Pond Ms. Paula Poore Dr. A. Carole Pratt Dr. James Priest Dr. Norm Prillaman Mr. Cameron Quayle Dr. James Revere Dr. Elizabeth C Reynolds Ms. Euna Rioseco Dr. Richard Roadcap Ms. Maria Robles Dr. Leslie Rye Ms. Barbara Sanderson Ms. Shannon Saunders Dr. Roy Saunders, Jr Ms. Susan Savage Dr. Stephanie Sawyer Dr. Walter Saxon Dr. Richard Schambach Ms. Jannette Sedo Ms. Lei Song Ms. Betsey Soulsby
Component 3 - Members of the Southside Dental Society (along with the toothfairy and Crest toothpaste) pose for a photo with one of the student essay contest participants. Between 5001,500 people visited and/or participated in the Southside's Annual Dental Health Fair held at Southpark Mall on February 22.
Component 4 - Children in Richmond spend the day at the Virginia Science Museum learning about nutrition and dental health.
Component 2 - Hygienist, Tracey Mannino, instructs children at Briarfield School in Newport News about the importance of eating healthy and brushing your teeth.
Virginia Dental Journal 27
Ms. Sue Steele Dr. Ricky Sterne Dr. Richard Taliaferro Dr. Elizabeth Tarpley Ms. Worknesh Tekle Ms. Cathy Toler Dr. George Trask Ms. Tricia Traugett Ms. Caroll Vasquez Ms. Anabelle Velazquez Ms. Jo Viglione Dr. William Viglione Dr. Richard Villa Dr. Gus Vlahos Dr. Sharone Ward Dr. Les Webb Dr. Edward Weisberg Ms. JoAnn Wells Ms. Sherry Wilson Dr. Roger Wood
Dr. Carroll Wooddell Dr. David Yandle Dr. Kent Yandle Ms. Barbara Yandle Dr. Brenda Young
Component 5- Dr. Donna Helton and her happy patient are all SMILES!
Whatfs the reason for our
SUCCESS •
We could give you I
of them.
Why is Delta Dental one of the leading and largest providers of dental care coverage
in Virginia? A major reason is the participation of 2400 of the finest dental care
providers in the state. Delta Dental was started by dentists, so it's only logical that
we understand what works best for patients and dental care providers alike.
At Delta Dental, our reputation is built on a tradition of success.
4 DELTA DENTALGD
DeltaDentalPlanofVirginia 4818 Starkey Road Roanoke, VIrginia 24014 1·800·237·6060 wwwde l taderir al va.corn
* Delta Dental Provider Directory 2000
28 Virginia Dental Journal
2003 VIRGINIA GENERAL ASSEMBLY WRAPUP [
OVERVIEW: The 2003 Session of the Virginia General Assembly adjourned on Saturday, February 22, 2003 - on time with a balancedbudget. The bUdgetwas balanced on the back of fee increases (including a $5.00 increase in individual and commercial drivers licenses to mention just one), mark ups in the price of spirits at ABC stores and some consolidations in state services.
The House and Senate introduced 2,825 bills and resolutions with 1,646 passing. All decisions were made with one eye on the legislation and the other eye on the November 7th
, 2003, elections where all 140 seats in the General Assembly have to stand. An update of all the bills monitored andzor lobbied can be viewed by going to the VDA Home Page and keying in:
http://www.vadental.org/ Click on "Wrap Up" for "2003 General Assembly Update." You will need to sign on with your Member 10and Password.
We have highlighted some specific issues below:
Volunteer Dental Services: At the request of VDA, Delegate Jackie Stump introduced House Bill 1900. This bill was introduced to correct language in legislation that Delegate Stump had passed and signed into law last year. Last year's legislation allowed dentists or dental hygienists who do not presently practice in Virginia, but who do hold a valid license or certificate to practice elsewhere, to participate in free healthcare clinics in underserved areas of the Commonwealth.
HB 1900 clarifies that a paid staff can provide the administrative assistance for a program such as the M.O.M. Project. It also sets more reasonable geographical boundaries where the projects can be conducted.
Legislation passed with an emergency
Chuck Duvall, VDA Lobbyist
clause and signed by the Governor on March 16,2003.
Dental Hygiene/Administration of Drugs: The VDA thoroughly reviewed a proposal suggested by the Dental Hygiene Association that makes a change to the prescription drug statutes to allow dental hygienists to apply topical drugs (Schedule VI) under general supervision (as opposed to direct supervision) of dentists. SB 1090, patroned by Senator Bill Bolling, who also chairs the Joint Commission on Healthcare, has been approved by both Houses of the Legislature and has been signed by the Governor.
Reporting: Senator Bill Bolling also introduced Senate Bill 1091, which is a product of the Joint Commission on Healthcare.
As a consequence of the passage of a new definition of dentistry in 2001 , oral maxillofacial surgeons performing certain cosmetic procedures certified by the Board of Dentistry, under SB 1091, will be required to file reports with Virginia Health Information (VHI). These are the same reports presently being filed by plastic surgeons.
VDA, as this bill was being drafted, indicated that we would not oppose the legislation so long as it did not go beyond the gathering of information as outlined above.
This bill, also, was unanimously approved by the legislature and signed into law by the Governor on March 16,2003. It becomes effective on July 1, 2003.
Physician Disciplinary Procedures: Delegate Winsome Sears was the chief patron of House Bill 1441. This legislation was introduced as a result of a number of public reports dealing with the present disciplinary practices at the Board of Medicine.
The most significant change this bill made was to change the standard for
disciplinary action by the Board of Medicine from gross negligence to simple negligence. This puts the Board of Medicine consistent with the standard used by most of the other health profession licensing boards inclUding the Board of Dentistry.
For oral maxillofacial surgeons who have hospital privileges, the bill would advance the reporting date that the hospital has to tell the Health Professions Board of adverse disciplinary action, i.e., an OMS has had his privileges suspended by a peer review. The report would be made to the Department of Health Professions within 30 days. An appeals process would be running simultaneously.
Though Sears' bill received the bulk of the attention, both within the legislature as well as in the public domain, two other companion bills worked through the legislature. They were SB 871 (introduced by Senator Creigh Deeds) and SB 1334 (introduced by Senator Bill Bolling).
Medicaid: Across the board budgetary pressures necessitated Medicaid taking a hit. Additional savings were initiated from many of the major provider groups in Medicaid. Fortunately, dentistry escaped the budget-cutting knife. In light of the fact that the present Medicaid coverage for dental services is not at the appropriate level, it is hard to make a case for cutting those existing fees.
Vending Machine/Nutritional Standards: Two pieces of legislation dealing with banning vending machines in schools and/or setting nutritional standards for school snacks were introduced. They were HB 2403 (patroned by Delegate Mitch Van Yah res of Charlottesville) and SB 923 (chief patron was Senator Leslie Byrne of Fairfax). Both were defeated in committee.
Medicaid Oral Health Study: Two resolutions were presented, one calling
Virginia Dental Journal 29
for a review of dental participation in Medicaid (HJR 636) and a second one designed to review access to oral health (SJR 317). Both of these measures were defeated in the respective Rules Committee of the House and Senate. These issues have been thoroughly reviewed and studied in the past.
Default On Student Loans: Delegate Bob Tataof Virginia Beach was the chief patron of House Bill 1792. This legislation allows for the revocation of a license issued by the Health Regulatory Boards, including the Board of Dentistry, for those individuals who are delinquent with the payment of their educational loans.
The Governor has proposed a substitute that will be considered during the April 2,2003, Veto Session.
ELECTIONS LIE AHEAD: As we noted above, all 140 seats of the Virginia General Assembly stand for election this year. VADPAC will be participating in the vast majority of those elections.
The price to run for elective office in Virginia has escalated dramatically, but as a former member of the legislature was fond of saying, "That's the cost of twoparty politics." Just to give you a better feel for it, we have listed some information in the chart at the end of this article:
In 1995, Senate challengers who won 40% or more of the vote spent an average of $158,000. Four years later,challengers who had reached that threshold spent an average of $248,000 - an increase of nearly 60%. The comparable numbers for the House were $95,000 in 1995 and $169,700 in 1999 - an increase of more than 75%.
I bring all this to your attention to point out the fact that VADPAC desperately needs your help now more than ever. Thanks to your efforts, VADPAC has been able to participate in campaigns much more effectively over the last sixto-eight years.
We cannot stop now. We need to continue to move forward. Thanks for your efforts in this regard.
Total Expended In Legislative Races
1991 1995 1999 HOUSE $5.7 Million $12.4 Million $17.1 Million
SENATE $5.8 Million $8.9 Million $11.9 Million
~I VADPAC CONTRIBUTORS
I\I1s. Nicole Pugar, Director of Public Policy
The following individuals have contributed to the Virginia Dental Political Action Committee (as of March, 2003) . The VADPAC Committee sincerely thanks you for your support and encourages you to continue to support the PAC so that we can support candidates for public office who support dentistry.
Active VADPAC ($75) *Commonwealth Club Member ($200) **Governor's Club Member ($550)
***Apollonia Club Members ($1,000)
Dr. Michael Morgan Dr. David P. Mueller Dr. J. Ted Sherwin Dr. Edward P. Snyder Dr. William J. Viglione Dr. Andrew J. Zimmer
Dr. Charles L. Cuttino III Dr. David M. Deviese Dr. C M Garrison Dr. David B. Graham Dr. Wallace L. Huff Dr. Rodney J. Klima
A special thank you to several members who contributed at the! Apollonia Club Level. These individuals gave $1,000 in support of the I
VADPAC. Thank you for your support and dedication to the Virginia Dental Political Action Committee!
Component 1 Dodson, William S ' Hermelin, Mark Albinder, Kenneth' Dodson, William S Jr ' Higinbotham, William Jr ,* Archer, Richard D ' Dorfman, Howard S Hooper, Christopher A ' Arnaudin, Richard A Drescher, Charles A ' Hopkins, Thomas U ' Bailey, Jeffrey C Einhorn, Bernard I ' Howell, Ralph L Jr ' Baker, J P' Etheridge, Daniel M ' Howell, Ralph L Jr ' Barney, John I Fletcher, Charles P Howell, Ralph L Sr ' Bisese, Samuel S ' Foleck, Adam S Howell, Robert W ' Bradshaw, J D Foster, David K ' lervolino, Robert A ' Brown, Townsend Jr ' Foster, Richard D ' Ishom, Thomas J Brownstein, Morton A ' Foster, Tiffany D ' Jett, Lynn T ' Bussey, William F Jr ' Fuhrmann, Ronald C Kail, James J ' Cahoon, Roger H ' Fulton, Catherine 0 Kaiser, David L ' Candler, Robert A' Furman, Randall I Kent, Dean E Caravas, Jerry G Jr ' Gigliotti, Frank B Kesser, Howard L Cash, Lawrence H Glass, David A ' Kessler, Alan R ' Cavallari, Kenneth J ' Goldstein, Keith' Konikoff, Albert B ' Chappell, Peggy M Goldstein, Stephen M Konikoff. Stephen E ' Clarke, Jerry C Graham, David B '" Krochmal, James E ' Clayton, CG ' Guthrie. Alfred R Jr Laurence. Charles J Cleckner. Dennis E ' Hamlin, Daura C '* Le Tellier, Paul' Cooper. Kevin C ' Harris, Richard B * Leidy, Jeffrey R ' Cox, Thomas L Hasty, Michael F Levin, Mark S ' Cox, William R Jr.* Hatcher, William R ' Levitin, Frederic R *
Cox, William W ' Hearne. Steve P , Longman, Bruce I Cranham. John C ' Hechtkopt, Michael J Mahanes, Alan W * Cruser. Melvin E III ' Hendricks. Arthur C Mahanes, C M * Davis, Debra A ' Heriford, Susan E ' March, William C Dilaura. Thomas Herman. Barry L Marcou. Michael A
30 Virginia Dental Journal
Mason, Stanley J • Mayo, C V • McMillan, Vicki M Meader, Stephanie' Meeks,Darrell A • Midgette, Brian P • Milonas, Demetrios P Morgan, Michael S **. Morgan, Pamela A •
Becker, Sidney' Bennett, William J Bernhard, Elizabeth A • Blaney, Theodore A • Bowe, Thomas P Jr • Bowler, Michael W • Boxx, Eric W • Burden, James A • Butler, Corydon B Jr
Morrison, Marshall W Jr' Butterfoss, Thomas • Mosher, John D Cabaniss, Charles K • Mostiler, Thomas W Covaney, Michael' Mueller, David P ••• Covaney, Sharon C • Newell, Gary Creal, Albert F Jr • Nottingham, James H Jr • Dailey, George C •
. 0' Hra, Thomas' Oliver, TracyS •• owens, Russell G Jr Pellerin, Robert D • Pirog, Dennis J
lauka, Gail V ope,Robert A • uigg, Richard K • amsey, Harry E III anson,Thomas W Jr' hodes, James N • lchmond, Leslie I • ogge, Rod M • rosenblum, Scott H • ass, John J
, Carl P' ledge, James L III • 01, George J • hs, Warren E er, Laymon A •
.vage, Anthony W • fl, Ivan R nbrun, David W • umpf,Gregory A Oscar W Jr
let, Harvey Hili" " H K III ons, Robert A • i, Theodore R • r, Ned D • .as, Bennett'
ins, Stanley P • AnthonyG Jr r; Britt E • erg,A J • urg, Edward •• y, Charles P Jr. • hWalter K •
Davenport, William L • DeGinder, Bruce R • Denisoh, John J • Dollar, Matthew' Dreelin, Robert A • Dukart, Rodney C • Dumas, Harold B Ellis, Robert B • Epstein, Ross' Fashing, Gisela K • Feild, Robert J • Foretich, Jerome F Jr • Forrest, David'
; Francis, Scott H • Freeman, Gerald Q Jr • Frey, Gilbert J Jr Geary, Thomas R Jr • Gibbons, Walter S Jr • Golrich, Scott J • Green, Barry L Griffin, William T • Harris, Charles R Jr Hartmann, Paul K • Hinson, Lanny C • Hunt, Elizabeth D' Hunt, John F III • Hunt, William S • Jacobs, George A Kaplan, Marvin I • Kenney, Jeffrey N • Kokorelis, Michael J Lee, N R • Leigh, Timothy A • Lombard, Joseph A Jr • Luckam John P • Lynn, Anne • Martin, Shannon M • ~~"'''' lin"
Pape, Russell A Parks, William R • Parrott, Thomas R Jr.• Perlman, Steven L Piascik, Christine L Piche, Jon E Price, Mckinley L • Rajniak, John D Rubenstein, Loretta K • Sagman, Michael E Samaha, Lisa M • Sarmiere, Lawrence R Shield, Francis W • Siragusa, Joseph J Springmann, Sebastiana Stall, WM' Sundin, Allan C • Tankersley, Ronald L • Trimmer, William Till' Venne, Marko' Watson, Benjamin T III Wendell, Peter D • Williams, Daniel S • Witty, Thomas E Jr Woodruff, Harvey C III •
Component 3 Bailey, Stephen W • Baranker, Howard J Bates, Richard W • Bissell, Stephen L Boyd, Herbert Rill' Brown, Stephen C Bunch, William G Jr • Callery, William F • Coghill, Thomas M Ellis, David L Farrington, Frank H Ferry, David R • Galstan, Samuel W • Gerard, Scott E • Griffin, Charles' Hanley, Michael R • Henry, Edward P Jr • Henry, William C • Hillier, Joseph C • Johnson, James K • Lynn, John W Meade, Raymond L • Neal, Harold J Jr 0' Neill, Robert L •• 0' Neill, Robert L • n ... I n A
Yandle, Kent
Component 4 Adams, Anne C • Adams, Randy' Adams, William R • Alexander, John M • Anderson, Ralph H Anderson, Ralph L Atkins, CarlO Jr • Attreed, Elizabeth M Ball, Shari L Barbieri, Steven J Barnard, W C • Barrett, Charles H Baum, Philip J Beam, David R • Betzhold, William C Bird, Eliot W • Blackburn, Jefferson T Brassington, Bryan A • Bryant, Joseph C Burns, Donna A • Byrd, Richard L • Campbell, Michael A Carlton, Jonathan E • Cheng, George S Chevalier, Jack W Ciccone, Robert J Cleveland, Russell A Cole, Gregory A • Cooke, Thomas S III • Cottrell, Richard W • Covington, William D Cox, Gregory R • Cox, Robert Y • Crawley, Theresa Y • Cumbey, James L Jr Cuttino, Charles L III ••• Cyr, Jeffrey E • Dabney, Charles W • Dameron, Stanley D • Davia, Allen J Davis, George E III • Day, Jeffrey' Dedmond, R C • Dickinson, Terry D • Doswell, John C II Duff, James S III • Dunlevy, Harry A • Dymon, William D • Elias, Thomas G
Griffin, Barry I Griggs, Edward N III • Hamilton, Michael D' Harris, Monroe E Jr • Hebertson, Mark S Herring, Nelson Hubbard, Maury A Jr Huddle, David F • Huie, Mark A Hunt, Rona;d Hutcheson, Chuck Hylton, Richard D • luorno, Frank P Jr • Jiral, Paul M • Johnson, Bradley' Johnson, H P III • Johnson, Robert A • Kaugars, Claire C • Keeney, Kanyon R • Kendig, Robert 0 Kerneklian, Murad' Kilbourne, Michael S King, John W Kittrell, John S • Kitts, Connie S • Kontopanos, Gregory K Kurzer, Barry L • Lambrechts, Marcel G Jr • Lance, James R • Layman, Thomas 0 Lazar, Dale' Leahy, Daniel R Leary,BA Levenson, Lanny' Levitin, Donald G • Livick, Brockton A • Lloyd, H C Jr Lombardozzi, Nicholas C Major, David Malone, Christopher M • Marks, Norman' Mason, Erika C • Maynard, John G Jr • Mc Andrew, Brian P • Mc Andrew, Karen S • Mc Munn, Michael 0 • Mears, Gene' Metzger, Lawrence C • Meyer, FW Miller, Benita A • Miller, Michael E • Monacell, John F "'JI_ .......... lAI... _...J..... *
Ottersberg, Christine E * Coots, Fred A Jr' Overstreet, Douglas Jr • Crabill, Ralph L Overstreet, Susan R Crabtree, Mark •• Overton, Bruce W Crawford, Gary W *
Padgett, Thomas B * Crist, Frank C Jr *
Smith, Richard 0 II • Snow, Kevin *
Snyder, Edward P ••• Sowers, Steven E * Sparger, H M •
Lawrence, Leighton E • Lykins, Lee Fill' Martin, Donald L *
Matheson, Barry R • Mc Donald, Peter J
Garrett, Steven G Garrison, C M ••• Gilrain, David L Goodloe, John L III *
Greene, Joseph M Jr *
1'f 'b'
,'1
Pagan, Robert • Crist, Jason S • Stanley, James L Miniclier, Gordon J * Gromling, Thomas A *
Penterson, Robert * Cutright, Barry K Stephens, Nathan C Moore, French Hili * Grupp, William A II * Perkinson, William Bill Cutright, Martha C Strange, Charlton B Jr • Mowbray, Perry 0 Jr' Haines, Gary W Radcliffe, Stephen S * Deyerle, William A Sutherland, William M O'Connor, Susan • Hall, Robert B Jr • Redwine, William J Dietrich, Craig B • Tabor, Christian S * Paget, Joe A Jr' Hamer, David B • Reynolds, Elizabeth C Gendron, Gregory T * Thews, Marvin E Jr Perkins, Dennis W * Hanson, Benjamin S *
Richardson, Christopher Gentry, Garland G • Vess, Fremont A Jr' Perkins, Nancy B * Heath, Richard T *
Roberts, Kathryn M • Gilbert, James I III • Wall, Jesse R • Pittman, Tyler L • Helsley, Conrad A Rose, John B III • Greenway, Ralph K Wallace, Caroline A * Richardson, Emmett III • Herring, Carolyn C • Ross, Edward F Jr • Greenway, Ralph N Wallace, Donald M • Robinson, William S Hodges, Jeff E *
Rossetti, Michael A • Grogan, Frank Till' Walrod, John H Schambach, Richard' Horbaly, William Saroff, Stephen A Hall, Michael E Walton, Guy W Jr' Schnecker, Dennis C • Hutson, Hammond M *
Saxon, Walter E. Jr. * Hammond, Albin Bill Wheeler, David L Schneider, Joseph P • Inouye, David K' Schroeder, James R • Harvey, PaulO Wheeler, Kyle W • Schuster, Robert G Jones, Frank 0 Schultz, Allen 0 Helton, Donna F • Wheless, John Rill' Schwartz, Frank' Kayton, Jack Till' Selden, Stephen F • Hinrichs, Robin E • Wolfe, Barry' Seaver, James M • King, Patrick 0 • Sill, L S Howard, Gregory 0 * Woods, Michael L Semones, John 0 • King, Robert 0 • Spillers, Ronald E Hoye, James R Zechini, Richard R • Shelburne, Roy S • Kivlighan, Michael F Steadman, Robert B Hughes, Gregory S • Southern, Cynthia' Klamut, Kenneth M • Stenger, AI J • Hunt, Michael G • Sterling, Arden M • Hutchens, Gregory'
Component 6 Abbott, Michael A *
Stepp, David L • Stubbs, Julie S
Knight, John H Knight, John Jr
Stewart, Henry I Jenkins, Charles W Armour, William 0 Stubbs, Paul C Kokel, Deidra L • Straus, Frank 0 • Jewell, Larry R • Ball, Mark S Sukle, Vincent F Jr • Kray, Frances M • Swanson, Kimberly S -: Joachim, Richard J Bassham, Deborah A - Thompson, Damon B • Krese, David L • Swisher, David M • Johnson, Geoffrey E • Thomas, Charles P Jr • Jones, David C •
Bays, Thomas F • Boswell, Cramer L •
Thompson, Daniel E • Throckmorton, Dennis
Lacy, John J Jr ' Lenz,Brent E
Todd, Stephen J • Jones, Michael L -Trawick, Donald G • JUlian, James P
Boyle, Richard Pili' Brown, Bobby L'
Umstott, Paul T • Vlahos, Gus C --
Mc Corkle, Allen 0 • Mc Intyre, Joseph M
Trow, Thomas H - Kemper, James C Brown, Ronnie L Wheeler, Steven L Miller, Robert A • Tuttle, Stephen F' Kevorkian, George Jr Chamberlain, Dana - White, HR, Jr. - Mistr, Wilson T -Vacca, Richard S Krempl, Robert J - Cole, Jack 0 - Young, Glenn A - Neese, Danny B Villa, Richard H Lea, William P Jr Collins, Timothy E • Pemberton, Berkley M Vitsky, Paul L - Lovelace, Edward Y III Wade, Frank A Mallinak, Raymond F -
Copas, Jeffrey M -Copenhaver, Richard G
Component 7 Akeel, Ed A-
Remington, Wayne -Robbins, Alan -
Wallace, James C - Mayhew, Jessie W Jr Crumpton, Brooks R Alvis, Stephen G Roller, John R Webb, Leslie S Jr -- Mc Avoy, Brian J * Dillow, Walter R Jr - Bagheri, Desiree A Rosenthal, Ronald L -White, David A Mc Corkle, Maston R Jr ' White, Paul R II * Merian, Robert L
Doty, Michael 0 -Francis, Donald M •
Baisey, Teresa A Barberio, Frank 0 -
Schultz, James M • Sherman, Heidi A *
Whitlow, Odie A Midkiff, Kenneth B Gates, J L Berbes, William C • Sherwin, J. Ted'-Wilkerson-Cox, Sherri" Midkiff, Kevin S • Wilson, Richard Moore, J P Jr • Wiltshire, Curtis B Norbo, Randy J •
Gilliam, George 0 Glasgow, Matthew W Gleason, James M Jr -
Bickers, Duane J -Bigelow, William C -Binda, Robert L
Spano, Donald M States, Michael E -Stiebel, William L
Wood, Richard - 0' Keefe, Edward M Goad, Marlon A- Binda, Robert L Jr Stone, James R • Wood, Roger E • Osborne, Elbert P Jr • Graham, Robert F Bream, Alan J • Stoner, Craig C Wood, William C Jr - Penn, Joseph H Gregg, John M • Brill, Byron A * Stout, Michael E Young, M W Pollard, James A - Harman, Marvin 0 • Brooks, Cynthia Sweeney, William T • Zelazny, Gretchen 0 - Price, Douglas S Jr - Harris, Charles E - Brown, Donald R • Taliaferro, Richard L • Zoghby, Gregory M • Priest, James H Harrison, Glenn A • Byers, Paul G - Tamkin, Lewis 0 •
Prillaman, William N II • Component 5 Ramsey, Alexander W • Ah, Michele K • Riley, Jeffery'
Higginbotham, Henry II *
Hilton, J E Jr • Hilton, Ronnie M *
Chicurel, Joseph' Clarke, Stephen M Davis, Jeffrey S'
Tisdelle, George W • Tolley, Larry L Trabosh, Jon M
Allara, Jack M II * Roberts, Carole R Andrew, Sandra Rockhill, Amy 0 Austin, Keith H • Roller, William 0 Jr •
Hollyfield, NeilD *
Householder, Ronald-Howard, Clinton W *
Dearment, Damon W • Dennis, Suzanne M • Devening, 0 C Jr
Viglione, William J --Wallace, Charles W • Watson, Raleigh H Jr'
Bailey, Anthony 0 Shearer, James W • Barfield, Gordon 0 Sherwood, Richard L *
Huff, Christopher B • HUff, Wallace L ._
Diaz, Ernest Downey, Ronald G
Whited, Don P Whitney, James H
Barrick, John A • Silvers, Arthur T *
Bittel, David E Singleton, John L Black, David E * Slaughter, Terry W *
Blanchette, Mark E • Smith, C F Carter, John C * Smith, Mark P •
Hunter, Amy B' Jessup, Ronald D -Johnston, Frances A *
Keene, Carla *
Kilbourne, James E Jr
Driscoll, Robert M Jr' Farmer, James R *
Fortney, Clark 0 *
Freedman, Kathryn G *
Gardner, William A
Wright, Douglas 0 • Yeatras, Peter S • Zebarth, Stephen M *
Component 8 Coleman, Wayne T • Smith, Ransom N • Kyle, Lawrence J • Garnes, Richard • Afsahi, Steven P'
32 Virginia Dental Journal
Alachnowicz, J David' Claybrook, Robert A Jr' Alejandro, Rodney A • Cocolis, Peter K Jr • Allegretti, Scott A • Coffelt, Marie P • Allenchey, Elizabeth S Coker, John H Jr' Allison, Wiliam H • Collins, Michael J • Andersen, Holly H Connolly, Susan W • Anderson, David C • Conrad, Paul W • Anoushfar, Scheherazad • Corcoran, Theodore P • Arbuckle, Eric' Covel, Jerome A Argentieri, Robert 0 Crutchfield, William E • Armstrong, Lewis P Cusumano, Joseph' Arzadon, Joseph E • Daczkowski, Thomas' Aziz, Ahmed' Davis, Jeffrey P." Babington, William W • De Leo, Arthur A • Bagden, M A' Dean-Duru, Lynda N • Banker, Lawrence K • Delgado, Edward B • Banks, Robert J • Deutsch, Charles M • Barrett, Harold J • Deviese, David M ••• Basinger, Ashley' Dibbs, Frederick N • Bath, Gregory 0 DiGennaro, Myles R • Batistas, Theofaniy • Dikeman, Ted L • Bell, Alonzo M • Dillon, Kathleen G Bell, Hunter' Direnzo, Gregory S • Bell, John A Jr' Dodrill, David E • Belmonte, Stephen' Dollard, Wayne J Berman, Scott C • Donahue, James J • Bernhart, Brendan J • Donohue, Richard F • Bernhart, Edward J Doriot, Robert E • Bernier, William E • , Dougherty, William V III • Bertman, David' Dryden, James S Jr' Besner, Edward' Durr, J C Jr • Bethel-Soppet, Shirley' Dutson, Henry F Jr • Betzold, William F Dvorak, M C • Binzer, Randall H • Egber, Mark' Block, Robert M • Ehle, Charles E • Bluhm, Andrew E • Ehreth, John S • Bolil, Joseph M • Eichler, Thomas J • Bonacci, Christopher E Ejtemai, Nastaran • Botuck, Henry M • Ellenbogen, Gary F • Brandt, Jason 0 • Ellington, Paul' Brigleb, Richard C • Emad, Neal R • Broth, Stuart A • Evans, Candace E • Brotman, Sanford' Evans, Robert L • Bruno, John F • Fabio, Michael A • Bubernak, Fred A • Fagan, Harold H • Buckis, David C Sr' Falaiye, Victor' Bukzin, Mitchell J • Falbo, Anthony D' Burch, Stephen E • Farr, Michael V • Burger, Brenton W • Fauteux, Kenneth M • Burke, Carol P • Feeney, Brian A • Butts, David L Jr • Ferramosca, Timothy L • Byrne, Kenneth P • Ferrara, Charles M • Canby, Frederick' Ferris, Philip S • Cao, Hong' Fields, Charles R • Carr, Bernard T' Fink, Bernard B • Carson, Daniel 0 • Finnerty, Raymond J • Casey, George M • Fishman, Edward' Casey, Todd M • Fleming, Harold A • Chang, Jonathan Y • Flikeid, Robert C • Charles, Makepeace' Forest, John P • Chaudhry, Maqsood A * Forsbergh, Eric J • Chioariu, Ilie Jr * Forsee, James H Jr *
Chuang, Shue-Jen Fox, Lawrence T * Chung, Michael K * Frank, Gerald I • Citron, Albert A • Frank, Harold L *
Clark, Brian R • Freedman, Brad M *
Clark, Jeffrey S * Fresch, Danine *
Fuchs, Steven' Fuentes, Agnes' Galatro, Derek J • Gallegos, Robert A • Garai, Allen S' Garrett, Wanda F Gerald, Glenn 0 • Geren, James 0 *
Gh-Zolghadr, Mandana • Gibberman, Paul' Giberson, Kenneth R • Gilfillan, Andrew G IV' Gillespie, Joan Godlewski, Richard J • Golden, Alan H • Goldhush, Wanda M • Golian, Timothy J • Golub, Mark E • Good, John A Gordon, Mark' Gorman, Michael H • Gouldin, A. Garrett' Graves, Stuart L' Green, Michael J • Green, William p' Greenspan, Gary • Gregory, Mary Griffin, Alfred C Jr' Griffin, Susan S • Grimmer, Bryan L • Grimmer, Lonny 0 • Grubbs, John T • Guleria, Ali' Gyuricza, James L • Haggerty, Kenneth M Hall, Robert G Hanna, Peter J Jr * Hardin, Michael T Harre, John W • Harris, Jeffrey A • Hart, Patrick 0 • Hartman, Melanie W • Hartz, Gary L Hauptman, Ronald S • Henon, James P Herbert, Floyd 0 • Hindman, Edward Jr Ho, Charlton' Ho, Stewart C • Hoang, Duolainey 0 • Hoffman, Gerald A * Hoffman, Howard' Howell, John N II • Hughes, Herbert M • Hughes, Timothy J * Hutchison, Bruce R • IIchyshyn, Nicholas W • Imburg, Irving J Ivy,Gregory' Jackson, Ronald 0 Jay, Bruce W • Jelinek, James W • Johnson, Fred 0 Jr Johnson, Steven 0 • Johnson, Steven R • Jordan, Ralph Kamali, Touraj •
Kean, Edward' Kentz, Patricia' Khouri, John H • Kim, Robin S • Kim, Sonny S • King, Hoang N • Kirksey, Charles 0 • Kitchen, Kim I • Klima, Rodney J ••• Kling, John 0 II • Klioze, Earl E • Klioze, Jeffrey I • Kotler, Lawrence M • Koussa, Mai Y • Krochmal, Frederick S Krygowski, John J • Kuzmik, Michael 0 • La Briola, J 0 • La Cava, James J • Lanier, Stephen T Lanzaro, Peter J Laurent, Barry Lavecchia, Gregory L • Lazear, William R • Le, David Q' Le, Lan p' Le, Trang T* Leaf, Scott H • Lebonitte, Robert A • Lee, Chong W' Leekoff, David I Leff, Gary Leiner, Zachary • Lenz,H T Jr' Lessne, William' Levin, Stanley M Levine, Paul E • Levine, Robert A * Lewis, Andrew G • Li, Tin W' Lillard, Jonathan F • Lindsey, David' Lindsey, Thomas F • Line, Richard Vm *
Locke, Maureen' Longauer, E J • Longman, Eddie S • Love, Melanie' Loveday, Clay 0 • Lucht, David W Lupi, James E • Luposello, Mark A • Maharaj, Barry R • Mahn, Douglas H • Marcellin, Roger L • Marcus, Carlene 0 • Marino, John A Markoff, Bruce W' Marzban, Pamela' Marzban, Robert B • Massaro, Alfonso 0 • Massie, Jeffrey M • Maull, Deirdre' Mayberry, Rodney S • Mayo, Ryan C Mayo, Stephen J Mc Combs, Michael A
Mc Donald, Anne S' Mc Donald, Robert A • Mc Grath, Katherine A Mc Grath, Kevin M • Mc Millan, Alex' Mc Quiston, Scott A • Mc Yay, Thomas J • Mercantani, John' Metzdorf, David W • Midkiff, James H • Miller, Glen' Miller, Mark * Mitnick, Howard M Jr • Montalto, Sanford *
Morabito, Robert A • Morch, Michael H • Morris, B B • Mortvedt, David M * Moshiri, Tara T • Mossier, Margaret M Motamedi, Saeid • Muller, Lawrence R • Murchie, Carl R • Muss, Nicholas' Nanna, William J Nardiello, Charles A • Nassif, N J • Nelson, Charles H Jr • Newman, Jerome W • Nguyen, Denise T • Nguyen, Diem *
Nguyen, Nikki Trinh T • Niles, Raymond R Jr • Norbo, Kirk' Nosal, Gregory • Novick, Arthur J 0' Donnell, William A • 0' Shea, Michael' Oh, Joseph J • Ohri-Parikh, Anuja • Olenyn, Paul T • Oppenheimer, Michael' Ortega, Thu-Nga H • Ossakow, William *
Ostrolenk, Arnold Jm • Outten, W L III • Pace, Warren J Jr' Pal, Gopal Palmieri, David *
Pandak, Hilary • Papastergiou, George' Pash, John W Jr • Passero, Peter L • Patel, Nimisha • Patil, Sudha P • Patterson, Adrian L Jr • Patterson, Paul H • Patterson, Travis T • Paulsen, Albert G • Peete, David 0 Perez-Febles, Joaquin Pham, Anh' Pham, Hanah • Phass, Dean J • Phass, Sophia C Piccinino, Michael V Pisciotta, Dominick J •
Virginia Dental Journal 33
Polilko, Michael * Ruocco, John F * Smernoff, Gerald N * Thariani, Hani * Williams, Suzanne S *
Pollack, Richard M * Ruocco, Sandra L * Smith, Hubert R Jr * Thomas, Judith A * Wilson, Lois S *
Portell, Frank R * Rye, Dean G * Smith, Mark G * Thomas, Stephen J * Winkler, Thomas J *
Price, Stephen A * Saba, Shadi * Snider, Lawrence Thomas, William J * Wissler, Charles * Przybyla, Ted P * Salmon, John Mill * Sours, Charles L Jr * Torrey, Edwin A * Withers, James A * Oiu, Kenneth * Samaha, Francis J Sours, Elaine K * Tran, Linh T Wooddell, Carol B *
Rasmussen, Wayne G * Sanchez, Marcos D * Spagna, Richard A * Tsui, Nathan C * Wooddell, J Douglas Reeves, E A III * Sapperstein, Evan R * St Louis, Stephen Tummarello, Mark L * Wortman, Michael J *
Reynolds, Donald F * Sattar, John H * Stack, Hollie B Tupman, Stephen C * Wu, Linda W *
Reynolds, Gavin E * Scello, Peter J * Stecher, Roland E * Viscomi, Anthony C * Wyman, Bruce S Rice, Richard 0 * Schecht, Wayne * Stephenson, John * Vorcheimer, Roger F Wynkoop, Todd E * Rich, Jerry H * Scheider, Phillip C * Stern, Frederick G * Vroom, Katherine M Vi, Chang *
Richards, Thomas C * Schell, Robert E * Stern, Richard K * Wagner, Robert S * Young, Brenda J *
Rizkalla, AI * Scimeca, Craig M Stoller, Stanley M * Wali, Soliya * Yun, Samuel Roberts, Thomas C * Sears, Robert S * Stone, Richard T * Walia, Taranpreet * Yung, Susan A * Roca, Aurelio A * Seigel, Harold S * Storm, Matthew T * Wallert, William * Zacko, George B * Rogers, Clark W * Sellers, John G Jr * Strange, Robert S * Webster, Keri L * Zaletel, James G Rogowski, David R * Sharil,Sherry * Stringham, William R * Weil, Jack * Zier, Tara E * Rosenberg, Ronald M * Shea, Michael P * Strittmatter, Edward Jr * Weinkam, William H Jr * Zimmet, Paul N *
Rosenblum, Steve F * Sherman, William B * Stuver, David R * Weiss, Gary J * Zwibel, Burton C *
Rosenman, Larry * Shewmaker, Dale P * Supan, Paul F Wendt, Douglas C Rosenthal, Leo J * Sibley, David P * Sushner, Leo J * Whiston, David A ** Roslyn, Albert S * Sisel, Jeffrey A * Talaksi, Ruksana A * Whittington, Richard M *
Rothman, Gerald * Sklar, Andrew M * Tami, Richard G * Wiger, John C * Rotter, Michael * Small, Neil J * Tarpley, Elizabeth * Williams, Jon W *
VADPAC Contributions By Component 2001 -2003
sono
70,em
6O,em
so,em
4O,em
sorm
lO,em
iono
sroo
8 r-
8 r
8 ~
4 4 .---
.--- 1 4 r
.--- I 7 ~
.--- 2
I 2 5 6 .--- 5 2 2 2 7.---.---- .--- ~~ .--- 6
.- 3 3 ~
1..1-,1,---,
2£X)]
] - $13, 562 2 - $14,930 3 - $6,620 4 - $30,495 5 - Sl 2,825 6 - $ ]2,555 7-$16,060 8 - $70.044
Total $177, 091
2002
] - $27,772 2-$]8.049 3 - $7,450 4 - $32,310 5-$]4,350 6 - $13,445 7 - $] 6,760 8 - $48. 532
Total $178, 668
] - $24.200 2-$]5,675 3 - $6,075 4 - $28,905 5-$16,550 6 - $14.625 7 - $] 6.600 8-$77.819
Total $200, 449
34 Virginia Dental Journal
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Virainia Dental ,101 irnal :V:;
REPORT ON 2002 ADA HOUSE OF DELEGATES [ 1 ! Dr. Wallace L. Huff - Chairman, VA Delegation I
The 143rd Annual Session of the ADA was held in New Orleans October 1923, 2002. More than 32,000 attendees consisting of dentists, dental students, dental team members, exhibitors and guests attended this convention.
The theme forthis year's session "Bringing Out The Best" was certainly fulfilled by the ADA in education, technical exhibits, and special events. This included 130 scientific open sessions, 60 registered clinics and participation workshops, 550 technical exhibits, nine special events and 35 leisure tours. It was really great to see so many taking advantage of these opportunities and enjoying all the great attractions of this area, in contrast to Kansas City last year.
The Distinguished Speakers Series was a big hit with the honorable past President George H. Bush, past Secretary of State Madeleine Albright, and past Senator and Presidential candidate Bob Dole.
A special "Thank You" to Dr. Greg Chadwick for his exemplary leadership this past year as president of the ADA. As Greg said, quoting Mit Sorrells, "This is not my profession. It is not your profession. But rather it is our profession, and it belongs not only to us, but to all those who have gone before us to make dentistry what it is today." I, along with the VA delegation want to thank Greg for the role he played in the past year in moving the ADA to a can do ADA. We wish the very best to Greg, Knox and their family. Thanks again for a job well done.
Dr. T. Howard Jones, a general practitioner from Carrolton, Georgia was installed as the 1391h president of the association. Four issues of concern to Dr. Jones for the ADA this coming year are membership, education, tripartite relations and federal regulations. As Dr Jones stated in a recent interview that he did not consider the ADA a ship that is off course and that he intended for his time at the helm to keep us headed
36 Virginia Dental Journal
in the same positive direction we're going. I'm sure Howard will do a great job next year.
Dr. Eugene Sekiguchi, a general practitioner from LaCandada Flintridge, California, was voted in by the House of Delegates as President-Electof the ADA in a three way race.
Candidates for the office of the 151 and 2nd vice president of the ADA ran uncontested as did trustee candidates for four districts. Elected unanimously were Dr. David Neumeister of Brattleboro, Vermont as 151 Vice President and Dr. John E. Roussalis II, of Casper Wyoming as the 2nd Vice President. Dr. J. Thomas Soliday of Gaithersburg, MD was elected Speaker of the ADA House of Delegates in a two way race. The four new Trustees are Dr. G. Kirk Gleason, 2nd District; Dr. Perry K. Tumeberg, 81h
District; Dr. Michael Biermann, 11 Ih District; and Dr. Roddy Feldman, 131h District.
Dr. Mark Feldman is completing his 2nd
year as Treasurer of the ADA. I personally believe that the finances of this association are being well managed under his leadership. In addition, we have our "watchdog" in Bud Zimmer who keeps the members of the 161h District informedwith hisannual(2003)one page budget summary. Thanks to both Mark and Bud for jobs well done!
Starting with the budget,
Resolution 27H approves the ADA 2003 annual budqet to $78.9 million. Resolution 26H amends the bylaws to change the dues of active members to $435.00 (A $15.000 dues increase). The total ADA dues are now $465 which includes a third $30.00 installment of a six year ADA headquarters assessment.
Probably the biggest issue at the House of Delegates this year was on Governance. Board Report 12 presented two plans. One plan supported more volunteer participation in the ADA while the other plan created less. Our associ a
tion is member driven and has a tripartite structure which is the strength of the ADA. With that in mind, the HOuse of Delegates adopted Res-55H which calls for the BOT to seek input from the membership during the ensuing year on the two options (or other options) for the structure of the House of Delegate and BOT as outlined in Report 12 on Governance and report to the 2003 House of Delegates. Res-56H directs the ADA to examine it's Governance structure at least every 12 years.
Another resolution that received a lot of activity was the one on Commission on Dental Accreditation (CODA). Our District (16th) definitely had problems with all the resolutions on CODA and it was the strategy of the caucus to defeat the board's resolutions or amend them. After lengthy discussions and much debate, the House of Delegates adopted Res. 1, which resolved that the rules of CODA be approved as revised.
Resolution dealing with Bioterrorism Res. 51OH directs the ADA to develop a response plan template that constituent and component dental societies can use and that can be integrated into the local mass disaster plan.
Res. 52-H calls for the ADA and urges constituent and component dental societies to seek and support state and federal legislation that would grant dentists immunity from personal liability for restrictions and services they provide when responding to a mass disaster. Also states that a federal declaration should preempt liability laws and dental practice acts.
Access to Care Res 29-H directs the ADA to conduct and fund an annual "Give Kids A Smile" project. This nationwide event will begin February 21, 2003 during National Children's Dental Health Month to promote access to care for children in underserved segments of society. The one day event will involve dentists throughout the Country volunteering to deliver needed dental care to these chil-
J.
dren. This movement has materialized from programs such as the VDA's Mission of Mercy (M.O.M.) project. As with the MOM project, this will give dentistry a public forum in which to deliver the message that oral health care for the underserved must become a priority for state and national policy makers. As you know, VA along with other states and local dental groups, have been providing free care to the underserved for years. With this national involvement, the association can utilize the local media to underscore dentistry's commitment to improving access.
ADA President Chadwick (Immediate Past) recently told a Senate hearing on oral health care that "the dental Medicaidprogram is broken." He went on to say that "the Give Kids A Smile project will not solve the problem in a single day and when we get finished that day thousands of children will continue to suffer dental pain until this nation gets
'serious about addressing.the entire issue of reimbursing and other access problems."
Other significant resolutions that were ~passed by the House: tRes.73-H approved a one year budqet !.of $323,000 for the ADA Action Plan on 'lAmalgam in Dental Office and Waste
ater. The Plan defines "dental best ".anagement practices" and directs the j~DA and urges constituent and comlonent societies to increase dentist's .~lNareness and use of best manage~ent practices to reduce Amalgam ,~aste. It acknowledges that flexibility ..~ needed by societies to make policy ~r their members based on local conlltions.
sss. 25-H directs the ADA's National [arketing Plan to promote direct reim-
For a more complete summary, one may also log onto: ADA.org:http:// www.ada.org/members/adalresources/ housed/actions.html for a complete list of all the resolutions. In addition, please feel free to contact any member of the Virginia delegation if you have any questions concerning the actions of the 2002 ADA House of Delegates.
If you are not on the ADA e-mail list, please send them your e-mail address. You will receive frequent updates that will keep you abreast of what is happening in dentistry around the country.
We would like to extend a very special Thank You to Dr. Dick Wilson who is retiring from the delegation this year. Dick has served on the delegation since 1992. During this tenure, he has served on many councils, commissions, and committees, to list a few:
1.Council on Dental Education 1993-1996 (chair 1994-1996)
2.Commission on Dental Accreditation -1993-1996 (chair 1994-1996)
3. First Presidential Committee to Study Accreditation (chair 1994)
4. Second Presidential Committee to Study Accreditation (chair 19951996)
5.AD HOC Committee on Practice Parameters Development
6. AD HOC Committee on Pre-Graduation Licensure Examination
7. Future of Dentistry Project: Panel on Dental Practice
Dick has provided this delegation, the
chairman of the 16th trustee district this year. Charlie also served as chairman of the Council on Dental Benefits program, completing his 4th
year on that council.
• Dr. Bruce DeGinder for his gracious hospitality in opening up his home to the 16th District Caucus Delegation while in Williamsburg, VA.
• Dr. Anne Adams who chaired the reference committee on communications and members services.
• Dr.Dick Harris for receiVing the 2002 Distinguished Service Award.
• Ms. Jocelyn Lance who was installed as the AADA's 46 th President in New Orleans. Her Presidential year theme "Your Place In The Dental Community" reflects the diversity of member's needs, concerns, and roles in serving each other, the ADA, the profession, and the public. Jocelyn, as most of you know, is married to Dr. James Lance (Jim), a retired Endodontist who is now a part-time clinical professor at VCU dental school. Jocelyn will do a great job leading the AADA as she has done in all her past endeavors.
• VCU dental student, Eric L. Kerbs, on his presentation at the 43rd ADA! DENTSPLY student table clinic competition. The title of Eric's presentation was "Competence Genes of Streptococcus Salivarius."
• Dr. Ron Tankersley on his departure as chairman of the ADA strategic planning committee.
• Dr. Bud Zimmer who was elected
, • Dr. Carroll Player, our trustee, for ~I J]
his effective leadership in represent- III NEW VDA MEMBERS J ing the 16th District on the board of trustees this past year.
Members of the Virginia Delegation who served on ADA councils and committees are: Charlie Cuttino - Council on Dental Benefits (4th year) Dave Anderson - Council on Communications Rod Klima - ADPAC Ron Hunt - CODA
Again, I want to thank you, the Virginia Delegation, for the time and effort put forth at the district caucus in Williamsburg, VA to the convention caucus, reference committee hearings, and House of Delegate sessions in New Orleans, LA.
As President George Bush #41 said on volunteerism, "there can be no definition of a successful ~ife that does not include service to others, but you all know that."
The 2003 16th District Caucus will be October 10-12, 2003 at the Wild Dunes, Charleston, SC.
The ADA House of Delegates will be in San Francisco, CA on October 25-29, 2003.
Respectfully submitted by: Dr. Wallace L. Huff Chairman, Virginia Delegation
~.~~~~~~~~~~~~~~~~~~~~~~~~~~;;;;
THE VDA WOULD LIKE TO WELCOME THE FOLLOWING NEW & REINSTATED MEMBERS. If you get a chance, please introduce yourself and welcome them to the VDA!
Tidewater Dr. William H. Walls, Jr. graduated from the Medical College of Virignia, School of Dentristry in 1988. He is currently practicing on Volvo Parkway in Chesapeake, VA.
Peninsula Dr. Jeffrey P. Booth graduated from the Medical College of Virginia, School of Dentistry in 1984. He then pursued a degree in Prosthodontics which he completed in 1986. Dr. Booth is currently practicing in Hampton, VA.
Dr. Frances D. Mullen graduated from the University of Puerto Rico in 1982. Dr. Mullen then went on to serve three years in the Air Force and worked for 16 years in private practice. For the past year, Dr. Mullen has worked in Newport l\Jews, VA, at Community Free Dental Services.
Richmond Dr. Alfred J. Certosimo graduated from the University of Pennsylania in 1977. He also attended an Advanced Education Program in Comprehensive Dentistry at the Naval Postgraduate Dental School in Bethesda, MD. Dr. Certismo is currently an Assisant Professor in the Dept of General Practice School of Dentistry at MCV.
Dr. George Cheng graduated from the Medical College of Virginia, School of Dentistry in 2002. He is currently practicing with Dr. Cottrell in King George, VA.
Dr. Martin W. Fritz graduated from Ohio State School of Dentistry in 1978. He then completed the two year Advanced Education Program in Fayetteville, NC, in 1989. Dr. Fritz is currently practicing in Louisa, VA.
Dr. William Baxter Perkinson, III graduated from the Medical College of Virginia, School of Dentistry in 2002. He is currently practicing in Midlothian, VA
Piedmont Dr. Gregory T. Hutchens graduated from the Medical College of Virginia in 1993. He is currently practicing on Blue Ridge Street in Stuart, VA.
Southwest Dr. Monica LeAnn Clisso graduated from the Medical College of Virginia, School of Dentistry in 2002. She is currently practicing with Dr. W.S. Robinson in Clintwood, VA.
Dr. John David Hurt graduated from the Medical College of Virginia, School of Dentistry in 1977. He is a retired Air Force Col. and is practicing part time in the Free Clinic in Blacksburg.
Shenandoah Dr. Douglas David Wright graduated from the University of Maryland Dental School in 1985. He is currently practicing with Mountain View Dental Team in Harrisonburg, VA.
Northern Va For a listing of new members in Northern VA, please see Component 8's news in the back of this Journal.
2003 EASTERN SHORE MOM PROJECT
Another satisfied patient!
Magic Fingers - Dr. Lance at it again!
EASTERN SHORE M.O.M. 2003 ANOTHER SUCCESS!
ore patients seen, more proceures performed, more volunersl The Virginia Dental Health . undation, (VDHF), an affiliate of the
A, completed its third successful stern Shore Mission of Mercy
...O.M.) Project. A volunteer team of 1Z~t 225 dentists, hygienists, dental f'·~tants, dental students, hygiene
ents, and staff support returned andua High School on March 29As volunteers began to arrive at reak the long line became visible. reds of men, women, and chil.waited to register and receive eratelyneeded dental care. The igh school shop classes were ormed into 'MASH' dental clinics
786 patients received treatAtotalof 412 restorations, 1,343 lions, 196 cleanings, 755 ex4 root canals, 109 sealants, 33 5S steel crowns, 14 pulpoto
sets of dentures, 2 flippers, 8 repairs, 2 denture relines, and
,ations were performed in 15 )ours. These free dental ser.erevalued at $268,925. The .was hosted by the Eastern Rural Health System. The
in partnership with the Vir"., .monwealth University/MediLege of Virginia (VCUlMCV) ~f Dentistry and Dental Hy.~.Id DominionUniversity School al Hygiene, Virginia Depart-
Setting up equipment is hard work. Bill Hall receives a well-deserved massage from Kristin Farrington (Frank's daughter).
Dental student, Vicki Semter with her new "pal!"
Pam Blankenship and Kim Pucket doing one of over 100 sealants provided.
Another grateful stuffed animal recipient.
~ Jack and Margaret Thompson from Gordonsville with Assistant, Joyce Estes.
INTERESTED IN VOLUNTEERING
AT AN UPCOMING VDAM.O.M. PROJECT?
Visit the VDA website, www.vadental.org.to register on-line or call Barbara Rollins at 804-2611610.
L July 25-27, 2003 Wise County
THANK YOU TO THE FOLLOWING INDIVIDUALS AND BUSINESSES FOR GENEROUSLY DONATING SUPPLIES, ETC.
3M Henry Schein Brasseler USA Wendy's Carol Crouse Carol Finnerty Norfolk Dental Van Carolyn Hawk DT 3 Carlette Washington Jazz Medical DT 3 Shucko Jackson McDonald's ON Ronaold Patterson
! Dr. Benita Miller ON Randy Bonilla I Pizza Hut ON James Walker . Dr. Carole Pratt
ON Jacinte Miller :o:JI Southern Anesthesia DT 1 Kenneth Lawrence (Repairman) I Surgical, Inc. Captain Walter Milnichuck (On-site Boss)
"Now, if I were doing it, I would ..." I I Subway
40 Virqinia Dental Journal
--i
",
MAKING A DIFFERENCE Thanks to the following volunteers for their participation at the ES MOM Project
Dave Abbott Omar Abubaker Abrar Algharair Carolee Allen Brad Allen Stephanie Arnold Michael Avent Katherine Aylor Joyce Barcroft Richard Barnes Sheron Barnes Bob Barnes Ricardo Belinchon Jennifer Benedict Bill Berara Beverly Berry Pamela Blankenship Randy Bonilla Elaine Bowser Jay Boyle Carol Brooks J. Wayne Browder Becky Brown Bruce Brown Kendra Brown Keri Butler Gibby Button Shawn Cabbell Robert Candler Zachary Candler Abby Candler John Candler Shannon Candler Susan Carr Denny Cheshire Tom Childrey Donna Cockerille Matthew Cooke Tom Cooke Milton Cooke Sherry Corraro David Crouse Carol Crouse Ben Crowley Charles Cuttino Colleen Daley Robin Dalton Bruce DeGinder Jill Delvillar David DeViese Coral Diaz Terry Dickinson Cherryl Dickinson Wally Edens Sayword Edwards Joyce Estes Pam Evans Rob Eye Jackson Faircloth Frank Farrington Kristin Farrillgton
Abby Ferrar Marcus Fields Kathleen Filicko Rachael Finch Patrick Finnerty Carol Finnerty Helen Fortner Hunter Francis Scott Francis Jan Franklin Michele Freeman Grenn Fritz Gabriel Fritz Christina Gaffos Graham Gardner Bryan Geary Avi Gibberman Meera Gokli Laurie Grasso Missy Griffith Jenny Gross Wendy Hager Christie Hagert Madeline Hahn Bill Hall John Han Cindy Hanrahan Paul Hartmann Mike Healy Clay Hendricks Amy Hendricks Heidi Hessler-Allen Lanny Hinson Tina Horne Shalie Houseknecht John Howard Ralph Howell Tammy Howell Jennifer Jacovides Shucko Jackson Cathleen Johnson Jonathan Jones Kim Jones Susan Jones Jennifer Joyce James Keeton David Keeton Debbie Keller Todd King Shera Kite Rodney Klima Carol Klima Louis Korpics James Krochmal Carol Krochmal Richard Lachine Kim Lake James Lance Jocelyn Lance Margaret Larson Kenneth Lawrence
Bonnie Lellingwell Kelly Lewis David Lewis Dan Lill Steven Lubbe Ron Lynch Megan Lynch Anna Manilla Ron Manilla Dominic Manilla Danny Manilla Joey Manilla Diana Marchlbroda Mim Martenez Nicole Matern Carol McCarthy Whitney McDaniel Angela McElreath Marina McGraw Tony Meares Emanuel Michaels Faye Miles Jacinte Miller Walter Milnichuck Naomi Mitchell Niloo Mofakhami Melissa Moore John Mosher Byron Murphy Amir Naiminejad Barbara Nichols Bonnie Nickerson James Nottingham Lin Nunnally Hannah Oakland Stuart Oglesby Udo Ogueri Edward O'Keefe Nicole Olsen Rose Marie Owen Sara Painter Russell Pape Robert Patterson Julieta Perezrubio Alejandra Perez-Rubio Jackie Perry Michelle Peters Annah Phung Darryl Pirok Rebecca Pirok Stephanie Pirok Brad Pirok McKinley Price Kim Pucket Sherry Purchas Cameron Quayle Rick QUigg Bridget Reilly-Sheridan James Rhodes Paige Rich Gary Riggs
Kathryn Roberts Patrick Roberts Kate Roberts Pat Roberts Sharon Robinson Neal Rollins Barbara Rollins Anna Nichole Rollins Noel Root Jennifer Rose Rosanne Rosenberg Cheryl Rosner John Ross Angela Rowan Vicki Semter Kara Shantz Sue Shekoski Patti Shifflett Wendy Shinault Vali Shoop Heather Simmons Albert Solomon Betsey Soulsby Robyn Sparks Carl Steger Matthew Storm Lisa Storm Richard Suter Mary Suter Sharon Swanson Jack Thompson Margaret Thompson Alison Thompson Ben Thornal Cathy Toler Amanda Tucker Charlene Velvarde James Walker Carol Walsh Carlette Washinton Jennifer Waterman Jerome Weinstein Edward Weisberg Jeffrey Weisberg Charles Wesley L. Warren West Deena West Gregory Whitmer Teresa Wiley Daniel Williams Keith Williams Jonathan Williams Hollis Wolcott Roger Wood Krista Woodlock JUdy Woolridge Allan Zeno Arlene Zeno Bud Zimmer
--
• Appraisal/Valuation a.4!.Professional Practice Services --a' Transitions"
• Associateships
Professional Practice Transitions (PPT) is pleased to welcome
Bob Anderson • ContractServices
to itsdental practice sale consulting team, With hismanyyears of • PracticeBrokerage experience working in theVirginia marketplace, Bobhas earned the
trust andrespect ofVrrginia dentists. • Non-Owner Practice
Purchase Funding
As thepractice sale andconsulting division for Sullivan-Schein Dental,
• PracticeManagement' PPTprovides a full range ofpractice brokerage, transition consulting,
partnership andpractice appraisal services. • Partnerships
Please call Bob Anderson at 804-379-6467 to • PracticeMergers
congratulate him on his new position and for a
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42 Virqinia Dental Journal
ETHICAL COLLECTION SERVICE OPTIONS II] l.C, Systems
Members often anguish over the collection agency option as a debt collection technique. Chief among those concerns are questions about ethics, the degree of "enthusiasm" an agency should be allowed to put forth, and the price to pay. To assuage those concerns, your association endorsed the collection services of I.C. System. Since then, favorable member evaluations and regular financial reports indicate that the association's confidence was well placed.
Ethical concerns about using a collection agency often relate to fears that an agency might use inappropriate techniques to collect debts. I.C. System has a strong reputation for ethical conduct. And, to allow for fl~xibility in what members feel is an appropriate degree of "enthusiasm", the company offers two programs.
Premier Collect, is designed to maximize debt recovery in the shortest possible time. This is accomplished by using the full range of legal and ethical collection methods available.
Recovery Plus, is designed to collect debts with special emphasis on safeguarding business relationships. This is accomplished by relying upon more conservative methods in the early stages, and at the member's option, either foregoing more aggressive techniques, or reserving them for later in the process. You decide which approach is best for you.
The system of charges is competitive. There is an enrollment fee for most plans,with collectioncommissions rangingupwardfrom29% dependinguponthe plan and account characteristics.
I.C. System has a strong commitment to service after the sale, backed by a customer relations staff, easily accessible by a toll free telephone number.
A key benefit of endorsement is that it provides your association with access
tothe earof I.C. System management. It is an ethical and effective debt manSuch access insures that rates paid by agement company that returns hunmembers are reasonable, and that any dreds of thousands of dollars to clients problems are resolved openly, and on a every month. To learn how I.C. System timely basis. can also help you, contact the asso
ciation office or call I.C. System tollI.C. System has been in business since free, at 1-800-279-3511 . 1938 and serves clients in all 50 states.
Having Troubles Collecting Your Receivables?
Stamp out those unpaid bills!
The Virginia Dental Association has partnered with l.C, System to provide members
with intelligent collection solutions.
i.U II.C. Systems, Inc. P.O. Box 64639 Call Today!
, • St. Paul, MN 55164-0639 1-800-279-3511LC'o,'STI::M www.icsystem.com
Virginia Dental Journal 43
[I SUDDEN CARDIAC ARREST (SCA) CAN OCCUR IN ANY DENTAL OFFICE .1
L ARE YOU, YOUR STAFF AND PATIENTS PROTECTED? I
Most dental offices have a fire extinguisher, a smoke detector, and maybe even a sprinkler system. These are the kinds of safety equipment that most practices install in their offices to protect their patients and staff. Unfortunately, these precautions are unable to protect against the number one killer ... heart disease.
Sudden Cardiac Arrest strikes without warning. Most people don't survive. It is not enough to do CPR and call for emergency help. Sudden Cardiac Arrest takes the lives of approximately250,000 people peryear, and can leave a tragic void in families, workplaces and communities. Cardiologists estimate that more than half of these deaths could have been prevented with early defibrillation.
In the event of sudden cardiac arrest, every minute of delayed access to life-saving defibrillation dramatically reduces a person's chance of survival by as much as 10% per minute. Quick action by the first person on the scene can truly make a difference in saving a life. Dentaloffice automated external defibrillators (AED's) make early defibrillation readily availableand are easy to use!
The VDSC has extensively researched Automated External Defibrillators (AED's) and chose the Medtronic-Physio-Control's line of defibrillation products. They have endorsed LifeServers, Inc., located in Richmond, VA, to distribute the equipment and provide a full line of implementation services to VDA members across the state.
LifeServers, Inc.
Here is what is available for your office ...
L1FEPAK 500 ., The tried and true choice - the
AED most emergency response teams use
., Simple 2-button unit designed for more frequent, rugged use
., Automatic self-testingand visible readiness display helps assure you that your device is ready to go
., Powered by a 5 year, nonrechargable lithium battery
., Weighs about 7 pounds
CR PLUS ., This unit can be designed to be
fully automatic or semi-automatic - YOUR CHOICE
., Easy to use with it's simple 12-3 step operation
., Lightweight and compact - only 4112 pounds
., Unique, cost-effective power system
., The newest, most USERFRIENDLY, AED on the market
L1FEPAK 20 ., Combines the AED function
with manual capability so that trained clinicians can quickly and easily deliver advanced diagnostic and therapeutic care.
., Easily converts to manual mode
., Easy to carry, maintain and service
., Data management capabilities designed to meet your needs
., Flexible therapy options ... noninvasive pacing, electrodes or hard paddles, docking station and pulse oximetry
LifeServers, Inc. provides a discounted price on these products for the VDA membership.
Call (804)364-1047 or toll free 1(866)L1FE500 to schedule your dental office delivery!
300,000
250,000
200,000
150,000
100,000
50,000
0
CancerCancer
LungAIDS Breast
C'AUSES OF DEATH IN THE U.S. -1996 Statistical Abstract of the U.S, 1998, Hoover's Business Press, 118th Edition
44 Virginia Dental Journal
-'0 2"."."""3,..
'"·~e·'" ilr:
LifePak 500 - Automated External Defibril LifePak 20 - Defibrillator/Monitor lator
Press the flashing button if told to do so.»
push the button to release the lid and turn on the defibrillator. I
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46 Virainia Dental Journal
II
l"f'"
INVESTING IN 2003: MOVE IN THE RIGHT DIRECTION
Gene Dongieux, Chief Investment Officer, Mercer Advisors
The first quarter is traditionally a time to reflect on where we have been and where we are going. As the first quarter ends, many investors continue to be paralyzed with lack of direction, waiting for the market to reveal the answer to successful investing. In a way, the market has revealed the answer, but most investors don't know how to recognize or use the information. The mistake many of us make (in many areas of life) is expecting the future to be like the past or the present when that expectation is unjustified. Over time, we can expect life to offer up joys, heartaches, certain predictable expenses (college, retirement), and yet it is unpredictable in the short term. This also describes the market.
For many investors, 2002 was a year to doubt deep-seated assumptions. Early in the year, the Enron scandal broke, and investors questioned the integrity of the very companies (and their accountants) that comprise the market. Throughout the year, story after story appeared about brokers and brokerages questioned (and in some cases punished) for malfeasance like destroying e-mails and manipulating company evaluations for personal gain. Ten of Wall Street's largest firms agreed to pay $1.4 billion in damages for "misleading customers" based on stock research. By summer, people were abandoning the market in droves, leaving assets in cash and fueling a boom in real estate purchase and refinance.
There is a world of difference between losing faith in brokers and losing faith in the whole market. The brokerage system is not based on the needs of individual investors, so it's not inappropriate to be frustrated by their model. On the other hand, the market has been the most reliable way for individual investors to profit from the growth of the economy as a whole, and profit in a way that would not have been possible through banks or the other limited options available. As if to make that point clearer, the bleak end of the third quar
ter last year was the jumping off point for a 10% jump in the fourth quarter. There are two times investors are likely to lose discipline: when the market is very good and when the market is very bad. It makes sense. When the market is acting most differently from expectations is when we are most likely to ask ourselves if our expectations are accurate. This year, for the third year in a row, the market was bad. Investors without context and without the right long-term expectations bailed out and missed the strong fourth quarter performance.
Unadvised investors also have the additional handicap of believing that they need to place bets on only one segment of the market rather than to diversify - a belief fostered and nurtured by brokers and the financial press. Right now, thousands of investors are carrying out a strategy based on what the market did in 2002. However, in 2002, the only asset class to show a positive performance (but still below long-term expectation) was International Small, an asset class that we have used for years but that most investment managers and brokers don't even acknowledge. Most investors wouldn't build a strategy around International Small because it's not familiar, but those same investors didn't hesitate to build strategies around another asset class that is just as narrow, U.S. Large Growth. U.S. Large Growth may seem more familiar, but it is no more valid - and it was one of 2002's worst performers (-28%).
With no attractive options, many investors sit paralyzed. They see the market moving, but they don't know which segment of the market will take them farther. And they are anxious - they have more riding on the outcome since they lost so much in the last few years that they were counting on.
There is an alternative. Some investors can move forward with confidence, secure in the knowledge that, while the market may not be good at the moment,
their financial outlook still is. They formulate their long-term investment strategy with their advisors based on their needs, not what the market does in the short term.
The market has historically rewarded consistency and diversification'. Diversified investors have no anxiety about choosing a sector and don't have to kick themselves when they are wrong (as odds dictate they will be most of the time). More importantly, they can move forward with peace of mind and without any baggage from the past weighing them down.
So what kind of investor are you? Do you react to the market or do you act on your own agenda? The answer could determine your financial future. Many investors will literally be unable to make up the losses they have sustained this year, not to mention the previous two negative years, because they chased returns that proved elusive. Begin today to move forward on your own investment agenda, and you will not only be giving yourself peace of mind today, you will be taking a strong positive step toward realizing your financial dreams.
Gene Dongieux is Chief Investment Officer of Mercer Advisors, one of the Mercer Global group of companies. Mercer Global helps dentists like you live in Personal, Practice, and Professional Freedom" through personal financial planning, investment management, and practice management customized and integrated with your needs, your vision, and your life. Mercer Advisors is endorsed by this association to provide its members comprehensive financial planning services. What resources do you need to reach your goals? More time? More money? Whatever you need, we offer a solution. It's that simple.
Contact Mercer Global Companies at (800) 898-4642 or on line at www.mercerglobal.com.
Virginia Dental Journal 47
~I AM I IN OSHA COMPLIANCE?
Healthcare Compliance Service
There are many questions asked about Occupational Safety and Health Administration(OSHA) regulationsand the available methods to use for compliance. Most dental practices at one time or another have entered this arena of complexity with the best intent, only to realize they end up with more questions than answers. When asked if OSHA training has been performed most offices will reply "yes." The real questions should be- how long ago, was it documented and placed into the employee personnel file,and was a specific OSHA training program designed for the dental industry utilized?
OSHA was designed to preventemployee injury or illness from occurring while at the workplace. There are rules and regulations that apply and must be followed by the employer. The regulations, when enforced, will reduce workplace injury/illness resulting in the benefit of everyone.
Am I in OSHA compliance? One way to
be sure is to start by educating yourself, or an appointed person, for ongoingOSHA management at the workplace. There are many types of training programs available on the market place today. Be careful not to go overboard with expensive programs or kits for OSHA compliance, as they tend not to be specific for the dental industry. Be selective and consider what is actually necessary for your office to be in compliance.
The Virginia Dental Services Corporation has an endorsed vendor, Healthcare Compliance Service (HCS), who will discuss with you, specific to your office, what is really necessary. The regulations are fairly easy to adapt ensuring total compliance with little ongoing effort once the training program has been established. This training should to be updated annually with documentation or anytime there is a newly hired employee. Actual time spent for employee training and ensuring office compliance
varies depending on the size of the practice but on the average it should only take a few hours annually with the right program in place. The cost will vary depending on the size of the practice however it should not be significant.
The employer or a delegated employee should perform OSHA training and office compliance annually with the assistance of the HCS OSHA training kit - developed specifically for Virginia Dental Association members. This kit will enable you to manage your training program effectively, ensuring total compliance will little effort.
When asked "Are You in Compliance" the answer without hesitation should be "YES." For more information about OSHA compliance as it relates to you and your office see the adjacent advertisement for Healthcare Compliance Service, our newly endorsed vendor for you office's total compliance needs, or call 610-518-5299.
Healthcare Compliance Service PRESENTS
OSHA COMPLIANCE
Each year dental practitioners throughout the U.S. are required to pertorm annual OSHA training to their employees. Many questions are raised about the type of training required, how long will it take, and how much will it cost?
There are a variety of different programs, courses, and training materials with costs ranging from $350.00 to $1500.00, which only adds to more questions. Why the large difference in costs? What is really necessary and what is fluff?
The bottom line is a relatively manageable list of requirements which OSHA has put together to ensure workplace safety for the employee.
HCS has designed a user friendly VDA OSHA dental specific training manual and guideline with individual employee training manuals that cover all of OSHA requirements including bloodborne pathogen training. This manual has everything necessary to place the office as well
as the employee in compliance for Virginia Dental Association Member
This step by step training course is easily implemented and time efficient. Once in place annual renewal training becomes automatic and very cost effective.
This kit comes with the OSHA Office/Employee Training and Guidelines Manual plus five dental specific employee training handbooks (extra handbooks available) These kits are updated annually for the latest OSHA regulations.
The complete cost including shipping for this training kit is well below what you might expect. The reason, simple ... How much should a training/guidelines manual with individual employee handbooks cost? Answer $345.00
To order now or if you have any questions on other EPA/OSHA regulations or services regarding waste lead, amalgam. mercury, photochemical. sharps. or medical waste, please contact us at;
Healthcare Compliance Service P.O. Box 72557 Thorndale Pa. 19372
Phone-610-518-5299. Fax-61 0-518-2995. [email protected]. Website-www.hcstoday.com
~--
I
48 Virginia Dental Journal
"i'
AFTER HOURS CARE ~I II]
Patients' after-hours emergency needs are a concern for dentists. The issue of providing or arranging for emergency services is an ethical obligation, according to the ADA Principles of Ethics and Code of Professional Conduct, Section 4.8, which states:
Dentists shall be obliged to make reasonable arrangements for the emergency care of their patients of record. Dentists shall be obliged when consulted in an emergency by patients not of record to make reasonable arrangements for emergency care. If treatment is provided, the dentist, upon completion of treatment, is obligated to return the patient to his or her regular dentist unless thepatient expressly-revealsa different preference.
Theoretically, every dentist wants to ensure that his or her patients can access the services of a competent dentist in an emergency situation. However, the ADA code does not fully address some of the other circumstances that may occur when patients seek emergency care during off-hours.
Emergency care planning may include any of the following:
• Dr. Smith goes on vacation and Dr. Jones, a colleague down the street agrees to provide emergency care for Dr. Smith's patients. Perhaps they formalize this arrangement so that each coversfor the otherwheneverthe need arises. This might include illnesses, family emergencies, vacations, etc. The only disadvantage to this arrangement might be that the two of them would need to plan out their families' vacation schedules in advance and that they probably could not both attend the same educational seminars. Minor challenges, easily addressed.
The major advantage to this type of arrangement is that Dr. Jones has the additional benefit of knowing in advance
GE Medical Protective
which patients have had invasive procedures during the several days before Dr. Smith leaves town. Dr. Jones may also have access to these patients' records and he will have a better chance of providing them seamless care because of his knowledgeof the treatment provided. Hopefully,these two dentists know each other well enough to feel comfortable with each other's clinical abilities and communication skills. There should be no reason to assume that one would criticize the work of the other to a patient and, unless a particular patient chose to make a change (and patients have a right to do so), neither doctor would "recruit" the patients of the other.
In some areas, several doctors formalize this type of coverage arrangement. When more dentists participate in this coverage plan, the doctors have greater flexibility in scheduling their out-of-office time while still knowing that their patients' emergency needs will be promptly addressed. Formalizing this agreement ensures that one participant doesn't take advantage of the system. Formalizing also ensures that patients are promptly referred back to their dentist of record. Finally, written agreements should specify collegial discussions about patients' clinical problems, availabilityof recordswhen feasible, and refusal to engage in "criticism" of the work done by other doctors.
• Dr. Smith is ill or on vacation and leaves a voice message on his answering system telling patients when he will return to the office and that, in the meantime, they should go to the local Emergency Department if they have an emergency or they should call again. Perhaps the sale benefit to this approach is that Dr. Smith has let his patients know that he will be unable to treat them for a specific time period. Assuming that his answering system doesn't develop some type of glitch, a patient who has a significant problem may follow these instructions and proceed to the ED where a physician is likely to assess the patient's problem. Depending on the results
of this examination, the patient may be sent home with pain medication and an antibiotic. Or, the physician may provide clinical care on the spot. An additional scenario may emerge if the patient is referred to another dentist for immediate treatment. The disadvantage to this arrangement is that neither the physician nor another dentist is likely to have access to Dr. Smith's records. The treating doctor must rely on the patient's recounting of the problem and the current state of the treatment-which mayor may not be accurate. If Dr. Smith is unavailable by phone, he may be blindsided by treatment decisions he may not agree are in the patient's best interest.
The ADA statement on emergency care addresses the needs of patients who are already under the care of a dentist. The document refers, for example, to the situation in which Dr. Jones treats Dr. Smith's patient in an emergency situation and then refers the patient back to Dr. Smith. However, another scenario is just as likely to occur-and this is not addressed by the Code of Professional Conduct.
• Dr. Smith is called at home by a person who is not a patient of record and who is not a patient of a dentist with whom Dr. Smith has an after-hours treatment agreement. This individual tells Dr. Smith that he has a dental emergency; he wants Dr. Smith to open hisofficeand provideemergency care. On the basis of the ADA statement, Dr. Smith might feel obliged to provide this service. In fact, some significant risk issues may be attached to this scenario. Ultimately, Dr. Smith will determine the best policy to use when addressing this kind of request. But when devising this policy, Dr. Smith should consider the following questions:
·:·Opening an office after hours may expose the dentist to security risks. This unknown person may have a legitimate dental emer-
Virginia Dental Journal 49
gency; he may also have a gun and be intent on robbing Dr. Smith. In order to address this situation, Dr. Smith may prefer to offer to meet the patient at a nearby Emergency Department where the basics of emergency care can be implemented and follow-up treatment scheduled.
.:. Most dentists agree that patients who do not have a personal dentist are at higher risk for oral health problems. Many of these individuals are sporadic in their oral hygiene, rarely have their teeth cleaned or their dental status assessed, and often have significant problems before they seek dental care. Dr. Smith will have greater difficulty achieving a satisfactory outcome for this patient. His efforts may be further hampered by the necessity to provide aggressive care for a patient whose health history and whose ability/willingness to be compliant may be problematic.
• An individual calls or visits Dr. Smith's office. He is not Dr. Smith's patient. Neither is he a patient of one of Dr. Smith's colleagues. The individual reports that he has a dental emergency and that, although he does not currently have the time/money/insurance approval to initiate care, nonetheless he would like to obtain pain relief and then schedule the actual treatment for a later date. Risk issues that Dr. Smith should consider include:
·:·This person may be a perfectly innocent individual, but this scenario is often reported by law enforcement officials as indicative of drugseeking activity. Scam artists are often "new to town," currently not under the care of a dentist, unwilling to authorize treatment (other than pain medication), and they promise to return in a day or two to commence the actual treatment. Police and drug enforcement officers note that these persons often name a particular drug that "works best" for them and they may become belligerent and threatening if the doctor offers emergency treat
50 Virginia Dental Journal
ment, but will not write a prescription for a painkiller.
.:.Dentists are frequently advised by law enforcement experts to refuse to treat unknown persons without an up-front agreement that treatment will be initiated before prescriptions (in very limited amounts) will be given to unknown parties. In general, dentists who implement this type of policy soon discover that the "walk in emergency" or the "late at night" emergency trade has suddenly disappeared.
While it is true that dentists do have an obligation to try to provide emergency care for patients, this is an instance in which charity begins at home. Individuals who have the greatest right to a dentist's concern and emergency intervention, are that doctors own patients. When dentists agree to provide emergency coverage for each other's patients, it would be best if these arrangements are made within a formal context so that each participant is laboring under the same set of expectations and promises.
Kentucky has been reported as a state that has a high risk for drug-seeking activity from individuals ostensibly trying to obtain health care services. The prevalenceofdrug theftand relatedcrime
(especially related to oxycontin) increases the risk of physical injury to health care workers who have access to high value street drugs. The mere possession of a DEA number and a prescription pad, dictates that dentists should notallow themselves to be duped because of their ethical concern for patients.
State or local dental associations and study groups may be able to provide guidance for dentists who want to ensure that patients do indeed have access to after-hours emergency carebut who also don't want to be put into the awkward position of having to provide care for a person who will not comply with standard treatment protocols, who may be engaging in unlawful activities, and who will either inadvertently or intentionally place the dentist at risk. Cooperative efforts with DEA officials, hospital Emergency Departments, physicians who treat drug addicts, and a consistent local approach to the design of after-hours emergency services policies will help dentists: a) ensure that legitimate and compliant patients access needed care; b) restrict the emergency care for some individuals to environments that are safe for the doctor as well as for the patient; and c) make it more difficult for persons with hidden agendas to engage in illegal activity.
2003 VA BOARD OF DENTISTRY TheVirginia Board of Dentistry isappointed bytheGovernor and is composed of seven dentists, two hygienists and one citizen representative. Contact the Board office or a member of the Board on questions on rules and regulations.
MEMBERS Michael J. Link, D.D.S. GaryTaylor, D.D.S. NoraM. French, D.MD. DarrylLefcoe, D.D.S. Gopal S. Pal, D.D.S. Harold S. Seigel, D.D.S. James D. Watkins, D.D.S. Trudy Levitin, R.D.H. Deborah Southall, R.D.H. Robert Winters, Esquire
(Citizen Member)
STAFF Sandra K. Reen, Executive Director Senita Bookes, Admin. Assistant Kathy Lackey, Administrative Assistant Brenda Duncan, Office Services Specialist Sheila Lester-Mitchell, Records Manager Cheri Emma-Leigh, Operations Manager
Virginia Board of Dentistry 6606 W. Broad Street, #401 Richmond, VA 23230-1717
(804)662-9906 FAX(804)662-7246
ESTATE PLANNING & VIRGINIA DENTAL HEALTH FOUNDATION'S TAX SMART ANNUITYTM
Richard Howard, The Foundations Company
''You can't take it with you"
I was recently in a meeting on estate planning when a tax attorney was speaking about people who react to hearing of someone's death by saying "it was so unexpected." The attorney went on to say, "How can death be unexpected? Everyone is going to die. It is just a matter of timing." The attorney then made the point that we all get just one chance to arrange our finances before death and he implored us to "don't mess it up."
Obviously, this was a dramatic way to start a class on estate planning and emphasize the need for taking some simple steps to reduce tax cost at life's end. It is an inevitable truth that someday all of us will die, yet many of us spend a good portion of our lives denying it. Unless you stumbled onto this article thinking you were reading a technical medical article, your willingness to read about estate planning suggests you are not as deluded about your mortality as most people. Estate planning is important business when you have people in your life and own any items of value, sentimental or otherwise.
Estate planning is more than simply planning for death. It consists of three separate plans -1). the first plan is for the accumulation of assets; 2). the second plan is for the preservation of assets once they are accumulated and 3). the final plan is for the distribution of assets to your heirs.
If you are not sure this information applies to you then you should consider the following reasonsfor estate planning:
» Estate planning can help you reduce or avoid federal and state estate taxes, so more of your estate is passed on to your beneficiaries.
» Estate planning allows you to decide how your estate will be divided.
» Estate planning helps you to provide for your spouse and other remaining family members, and especially for any special concerns such as care of minors or handicapped family members.
» Estate planning avoids delays in the distribution of your estate.
» Estate planning reduces the cost of administering your estate.
If you are at the third stage of the estate planning process or at the end of your career and concerned with how to transfer your assets from your retirement plan and into income vehicles for retirement, you should consider how the Tax Smart Annuity ™ from the Virginia Den
tal Health Foundation (charitable affiliate of the Virginia Dental Association) can assist you in accomplishing your financial goals.
The Foundation'suniquetax planningtool and income vehicle provides a simple answer to many of the complex questions raised by the estate planning process. The Tax Smart AnnuityTM fits any estate plan, saves you tax dollars, and allows you to simplify your finances with legally guaranteed income for you and your spouse. REMEMBER, THE FIRST STEP TO MAXIMIZING WEALTH IS MINIMIZING RISK. There are no fees or hidden charges associated with this program. To receive your income and tax deduction numbers and a no obligation proposal, call 1-800-692-6893.
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Virginia Dental Journal 51
r J
THE ANSWERS TO THE QUESTIONS YOU HAVE ABOUT TAKING FIVE MEDICAID/FAMIS PATIENTS
Nicole Pugar, Director of Public Policy
Realizing the growing need to address the problem of inadequate access to dental care for many children throughout the Commonwealth, the Virginia Dental Association (VDA) and the Department of Medical Assistance (DMAS) called all on dentists to Take Five', In January 2003, a letter explaining the Take Five' initiative was sent to all dentists in the state.
A new initiative designed to enable dentists to treat the underserved without enduring the some of the administrative procedures that Medicaid providers have experienced in the past, Take Five' asks that dentists agree to treat 5 total patients under the age of 21 who receive traditional fee for service Medicaid/ FAMIS benefits. Participating dentists will not be asked to provide care to patients who receive managed care benefits, thus avoiding the administrative confusion when requesting coverage approval or reimbursement from various managed care payors.
While the primary goal of the initiative is to provide care to children in desperate need of dental care, the VDA and DMAS hope that those who agree to participate will recognize the efforts the Department has made to increase the reimbursement rates and to ease the burdens placed on the dentists agreeing to provide care to fee for service Medicaid/ FAMIS patients. With a new understanding and appreciation for the Medicaid/ FAMIS program, it is the VDA and Department's hope that dentists will provide more care to Medicaid patients and thus begin to resolve the access to dental care crisis the state now faces.
Both the VDA and DMAS understand dentist's apprehension to enlist in a new initiative such as Take Five' especially in light of the negative image that sometimes has been bestowed on the Medicaid program. Below please find some answers to the most frequently asked questions about Take Five'.
Should you have any additional questions and concerns about the program, or would like a copy of the rates at which Medicaid provides reimbursement, please do not hesitate to contact either Dr. Stephen Riggs, dental consultant at the Department of Medical Assistance at (804) 786-6635 or Nicole Pugar at the Virginia Dental Association at (804) 261-1610.
We hope that you will participate in the Take Five' initiative and will provide services to the children who need you to help them obtain much needed dental care.
FREQUENTLY ASKED QUESTION
About Enrolling as a Provider
Q: How do I enroll in the program?
A:. Participants in the Take Five program will be asked to only complete a (1) page provider application to enroll in the program. Completed applications should be mailed to: First Health Provider Enrollment Services, PO Box 26803, Richmond, VA 23261-6803
To obtain an application please call Nicole Pugar at the Virginia Dental Association at (804) 261-1610.
Q: What information will I receive once I enroll?
A:. You will receive from First Health, the DMAS enrollment agent, a letter notifying you of your assigned provider number and the effective enrollment date. Please use the DMAS internet site http://dmas.state.va.us/manuals/den/ dentoc.htm to obtain a provider manual, dental forms and other information about the program. If you do not have internet access, please call Commonwealth Martin at (804) 780-0076 to obtain a paper copy.
Q: Who can I contact if I have questions about DMAS policy or billing?
A:. Any questions about DMAS policy or billing should be directed to the DMAS helpline at 1-800-552 -8627 or Dr. Stephen Riggs at (804) 786-6635.
About Identifving and Treating the Patients
Q: How will I obtain my five patients?
A:. You will not be required to identify the patients you will see (although you can do so if you know Medicaid patients you would like to treat). Once you have submitted your application - your name will appear on the dental Medicaid provider file maintained by the Department of Medical Assistance - you can request that DMAS identify your practice as not taking new patients once you have accepted the total number of patients that you would like to see. Patients will receive your name as a FEE FOR SERVICE MEDICAID PROVIDER when they call DMAS to determine who they may see for treatment. You may tell additional patients that call your office that you are not accepting new Medicaid / FAMIS patients.
Q: What level of treatment am I being asked to provide to the patient?
A: By agreeing to see Medicaid/FAMIS patients you are consenting to provide the services for which DMAS agrees to reimburse you. You are not being asked to care for the patients for any particular length of time. You can decide how many times you will see them and what procedures you will perform to complete their treatment.
Q: How do I know which patients I can see?
A: Because Medicaid patients often share the names of providers they see with others, patients who are enrolled in managed care (HMO) Medicaid programs may call your office. Your office has the responsibility of ensuring that
52 Virginia Dental Journal
the patients you agree to see are fee for service patients.
To help identify if they are a fee for service patient instruct your office to ask the patient when they call for an appointment the color of their Medicaid/FAMIS card. Until JUly 2003, fee for service patients will have blue and white cards, the traditional fee for service/FAMIS patients have red and white cards and the managed care patients have cards with the names of the HMO on them (ex: Virginia Premier).
Each patient who has traditional fee for service Medicaid! FAMIScoverage will be receiving a plastic card beginning July, 2003. If the patient is not sure if they are still eligible to receive benefits, please ask the patient for his or her recipient identification number and thencall 1-800-884-9730 or 1-800772-9996 to check their eligibility and ensurethey havecoveragefor the date of the appointment (a patient's eligi
~~Zh~an change from month to
If you or the patient is not sure which type of Medicaid (fee for service or HMO) they have, you can call the recipient eligibility helpline 1-800-8849730 or 1-800-772-9996.
Q: What is the age of the patients that I will be agreeing to see?
A:Patients enrolled in the Medicaid program are under the age of 21. FAMIS patients must be under the age of 19.
About Reimbursement
Q: How do I submit claims to Medicaid for reimbursement?
A: Medicaid currently accepts claims submitted on the 1994 ADA claim form. On June 20, 2003 the Department will implement COT - 4 Coding and you may begin using these codes to be compliant with HIPAA regulations. Old codes will not be accepted on or after 10/16/ 03. On June 20, 2003, quadrant coding will be eliminated and only one form, the (1994 ADA Claim Form) will be accepted for requesting pre- authorization or for filing claims. Please note that
proprietary dental invoice and preauthorization request forms will no longer be accepted after June 20, 2003.
To help reduce administrative burdens, providers have the option to bypass those servicesthat requirepriorapproval except full banded orthodontics. For more information about this please contact Dr. Stephen Riggs, dental consultant at DMAS.
Q: What is the reimbursement rate for the procedures?
A:. Two separate rate increases were implementedinJuly 1998 and July 2000. On average, reimbursement rates have increased by 60% for most procedures since June 1998. To receive a copy of some examples of the rates at which Medicaid provides reimbursement, please contact either Dr.Stephen Riggs, dental consultant at the Department of Medical Assistance at (804) 786-6635
or Nicole Pugar at the Virginia Dental Association at (804) 261-1610.
About Concerns
Q: What happens when a patient needs to be referred to specialist or another provider?
A:. Contact Dr. Stephen Riggs at DMAS to help identify a specialist or additional provider.
Q: What happens if patients break appointments?
A:. Federal Regulations do not permit DMAS to reimburse providers for broken appointments. Claims submitted for broken appointments will not be honored. Tohelp avoid problems associated with broken appointments, providers may want to consider block scheduling for Medicaid patients on a certain time and/ or day of the week.
REAL WORLD TOURS - DINNER & LEARN ~~'~~~~~~~~~~~~~~~~~~~~~~~~~~~ II] Leslie Pinkston,Director of Membership
January 1Oth-The VDA sponsored a Real World Tour in Northern VA for VCU/MCV dental students. Dr. Tim Golian made the office arrangements, thank you! The students first went to the office of Dr. Bruce Hutchison. Dr. Hutchison and Dr. Michael Gorman gave the students a tour, fed them lunch and answered lots of questions.
Next stop was Dr. Christopher Bonacci's office. Dr. Bonacci had one of the students sign in as a "patient" that day. He then took the students through the steps one of his patients would go through (minus the actual surgery) ....it was interesting seeing a "paperless" office at work. Many thanks to Dr. Golian, Dr. Hutchison, Dr. Gorman and Dr. Bonacci for sharing your Friday with the MCV students!
January 13th- The Virginia Dental Association had their official kick off for the Mentoring Program. Mentors and Mentee's meet at the Richbrau Brewery for an evening of food and getting to know one another. Dr. Elizabeth Reynolds handed out brochures and explained the "rules" of being a mentor/mentee. The VDA hopes to expands upon this program in the future; there seems to be a high interest from the freshman and sophomores.
January 21st- The V DA sponsored the first of a series of "Dinner and Learn" Programs.
These programs are held every 3rd Tuesday from January through April in the Lyons Bldg. at 6:00 pm. Sky Financial came and made a presentation on "Financing For Your Future". They covered how to read credit reports, examples of good
Viroinia Dental.lollrnal !=i~
credit vs. bad credit,controlling debt today and after graduation,and how credit and financing can affect the students options upon graduation.
February 18th- The VDA held its second "Dinner and Learn" Program. Dr. Kenneth Copeland came and discussed the many pros and cons of starting out as associate, purchasing a practice, evaluating and choosing a practice opportunity, financing and contracts,and associating with a family member. Dr. Copeland also covered the unique decisions that new graduates and associates face and the significant impact those decisions will have on their future. The Virginia Dental Association would like to thank Dr.Copeland for participating in this program.
February 26th- Tfle Richmond Dental Society, the VDA, and Sullivan-Schein Dental Supply sponsored a local Real World Tour for the VCU/MCV students. We would like to thank Dr. Frank luorno and Dr. Christian Tabor for opening their doors and welcoming the students in their beautiful new offices in Wyndham! Hopefully next time we won't have a huge snow storm and more students will be able to attend.
March 7th- The Virginia Dental Association held the Sr.Transition Program for rising seniors. Dr. Wilson Jewell, 16th District Rep, and Dr. Elizabeth Reynolds did a great job taking the transition message directly into the dental school and providing information to assist dental school seniors in making the transition from dental school to practice or graduate training. The attendees also received first hand information on the benefits of organized dentistry!
March 18th- The VDA held its third "Dinner and Learn" Program: "Ask
54 Virginia Dental Journal
the Doc". Dr. Tom Cooke and Dr. Kevin Swenson sat down in front of the students and let them fire away with questions. It was a very informative evening! Many thanks to both Dr. Cooke and Dr. Swenson.
Dental students tour Drs. luorno and Tabor's beautiful offices during a "Real World" tour on February 26.
Tom Cooke, Hazel Luton, Kevin Swenson catch up after the "Dinner and Learn" program at the dental school of March 18.
[IeDNA COLLECTION AS A MECHANISM OF VICTIM IDENTIFICATION =:JI] Charles L. Cuttino, D.D.S. - VDA Bioterrorism Task Force, Chair
Forensic medicine has utilized DNA samples for many years to establish relationships with known individuals for identification purposes. These samples can be obtained from hair, blood or body fluids. Dentists have the most ready access to one source of material that can be utilized to identify persons who may be victims of mass disaster, abduction, fires, or deceased unidentifiable persons. The source is saliva. The tests of salivary DNA is so sensitive that one millimeter of saliva is enough to run hundreds of genetic tests for diseases as well as individual identification.'
The Virginia Dental Association in cooperation with the Virginia State Police has established a mechanism which will help the identification of individuals who cannot be identified in any other way. In the past, dentists have aided in the identification process by supplying intra-oral or panorex films along with chart notations of carious, missing teeth and the type and position of restorations. This has limited the identificationof deceased individuals where there is little left for comparison or the dentist cannot be contacted.
Collection of DNA samples from buccal swabs is a ready source of DNA for identification. The dentist utilizes cotton swabs to collect saliva and desquamated cells from the buccal mucosa of the a patient and stores these in the patients chart or gives the samples to the parent or individual to store in a safe place for use if necessary.
The procedure is as follows: 1. Obtain the consent of the patient
or parent to obtain the sample. 2. Using two cotton tipped applicators
vigorously swab the buccal mucosa for saliva. Encourage the individual to coat the cotton tip applicator with saliva.
3. Air dry the swabs for 20 (twenty) minutes.
4. The dry swabs are placed in a paper envelop and labeled with the individuals name, address and date
of birth. (Do not place in any type of plastic envelop) (These may be placed in normal coin envelops.)2
5. The packaged swabs are then retained in the patients chart or delivered to the individual.
Having a known source of DNA would have helped the identification of hundreds of victims after the tragedy of 9/ 11. Identification of victims is necessary for closure of a loss as well as the legal aspect for settlement of estates.
Dentists must become more proactive in providing this service for their patients. This will have application for the Virginia Dental Association's Mission of Mercy (MOM) Projects and Give Kids a Smile patients (GKAS). If an individual does not have a dentist of record or has not had regular dental care they may have a sample collected and they themselves would store the sample. Accord
ing to the Virginia Department of Forensic Science these samples could be utilized for greater than many years. In fact small amounts of DNA have been utilized to study Pre-historic animals as well as police investigations
This program sponsored by the VDA and the Virginia State Police will complementGovernor Warner's KIDsafe program to have DNA samples collected from children. Our program will allow collection for all individuals including both children and adults.
The Virginia Dental Association encourages all dentists to participate in this public service program.
1 National Institute 01 Dental and Craniolacial Research, Research Digest; December 1997 2 Personal Communication: Jean M. Hamilton, Forensic Scientist, Virginia Division of Forensic Science.
Dr. Rod Klima thanks the VA State Police for their participation in this project as Jocelyn Lance and Dr. Charlie Cuttino look on.
"And you are going to do what with that?"
VDA NEWS II]
NEW ON THE VDA WEBSITE
Check out new items on the VDA website - www.vadental.org!
• Classified Advertisements • MOM Eastern Shore Statistics and
Photos • MOM registrationform for Wise MOM
Project • VDA Annual Meeting information • VDAHero • VDA Committee Meeting Minutes
And Much More!
Dr. Frank Farrington receiving the VDA Community Service Award from Dr. Klima.
Ms. Jocelyn Lance discusses important dental issues with Senator George Allen.
Dr. Scott Berman, Dr. Will Allison, and Dr. H.~1. Barrett sit down with congressional staff to discuss issues facing dentistry.
IB.D~~-
~
J; ~
The Legislative Gang pose for a photo with Senator George Allen
VDA FLAG CONTEST
The VDA is looking for creative ideas for a new flag! Please submit your color drawings to the VDA on 8112 x 11 paper by June 11th.The winner's drawing will be turned into a flag which will be sold at the VDA logo shop at the VDA Annual Meeting in September. The winner's creation will also be on the cover of the July-September 2003 issue of the VADental Journal and posted on the VDA Website. For more information or questions, please call Leslie in the VDA central office at 800-552-3886.
CONGRATULATIONS
The ADA & VDA would like to congratulate the following VA Certified Dental Technicians for 25 years of service to the dental profession.
Larry Clukey - Chesapeake George Shartis - Richmond
MEMBERSHIP DIRECTORY CORRECTION
The phone numberfor Dr. James Baker of Chesapeake, VA was incorrectly listed in the 2002-2003 VDA Membership Directory. The correct phone number is 757-483-4700.
PLEASE TAKE TIME TO REMEMBER VDA
MEMBERS THAT RECENTLY PASSED
AWAY:
Tidewater Dr.Albert Stokes
Piedmont Dental Society Dr. CharlesR. Sydnor
56 Virginia Dental Journal
COVENANTS NOT TO COMPETE NARROWED IN VIRGINIA
David S. Lionberger, Christian & Barton, LLP
Recent cases decided by the Virginia Supreme Court in 2002 have seriously narrowed, but not eliminated, the enforceability of covenants not to compete in Virginia.
Although each case depends on its own facts, two rules apply to interpreting covenants not to compete. First, covenants in restraint of trade are not favored, will be strictly construed, and, in the event of an ambiguity, will be construed in favor of the employee. Second, the employer bears the burden to show that the restraint is no greater than necessary to protect a legitimate business interest, is not unduly oppressive in curtailing an employee's ability to earn a livelihood, and is reasonable. The Court not only considers whether the restrictive covenant is reasonable on its face, in terms of the time, place and scope of the restriction itself, but also examines the legitimate, protectable interests of the employer, the nature of the former and subsequent employment of the employee, whether the actions of the employee actually violated the terms of the non-compete agreement, and the nature of the restraint in light of all the circumstances of the case. Unlike many other states, if the covenant not to compete is found unreasonable, Virginia courts will not reduce the restrictions to what is reasonable, but rather will strike down the covenant not to compete in its entirety.
An office furniture salesperson worked for five years for her employer. In 2000, the employee signed an employment agreement with a covenant not to compete, broadly phrased to restrict the employee, for a period of one year after employment, from any type of employment, or any type of ownership or association, directly or indirectly, with any business similar to the employer's business within a 50 mile radius of any of the employer's offices or locations where the employee worked. The employee resigned and began to work in sales for a competitor of the employer. In the law
suit to enforce the covenant not to compete the employer essentially argued that the covenant not to compete was reasonable on its face and therefore should be enforced. The employer identified no legitimate business interest that was served by prohibiting the employee from employment in any capacity by a competing company. The Court noted that reasonable time, place and scope restrictions must also be found no greater than necessary to support legitimate business interests of the employer, and that the latter showing was not made by this employer. As a result, the Court struck down the covenant not to compete in its entirety.
Similarly, a manufacturer of high performance drive systems and electronic motor controls employed a technician in 1991. By 1998 the technician had been promoted to a quality and reliability manager position. In 1997, the employee was asked to sign a confidentiality agreement and covenant not to compete that prohibited the employee, for a period of two years after employment, from any type of employment, or any type of ownership or association, directly or indirectly, with any business similar to the employer's business within a 100 mile radius of the employer's main office. This covenant not to compete did define a "similar business" as any business that designs, manufactures, sells or distributes motors, motor drives or motor controls. The employer argued that by this definition the covenant not to compete was narrowly tailored only to protect it from former employees disclosing its proprietary or confidential information to competitors. The Court disagreed, noting that restricted activities could include a wide range of enterprises unrelated to the employer's business. Therefore, despite the definition of "similar business", the scope of the covenant not to compete was found to be overbroad and the Court refused to enforce the covenant not to compete. Further, the Court refused an injunction against the
employee trorn disclosing trade secrets, despite the fact that the employee did gain knowledge 01 the employer's trade secrets, because there was no proot that the employee had or would disclose such trade secrets.
It is clear that employers tace a heavy burden to prove that a covenant not to compete is not only reasonable in terms of the time, geographic reach and scope of the restriction, but also that the employer must specifically identify the legitimate business interests it seeks to protect (such as confidential information, specialized training or investment in the employee, confidential business practices or trade secrets) as well as demonstrating how the covenant not to compete is narrowly tailored to support and protect those legitimate interests. In many cases, particularly for lowerlevel employees who have not received specialized training or knowledge of key business trade secrets, it will be difficult for an employer to meet this burden of proof. As a result, employers should not rely solely on a covenant not to compete to protect their legitimate interests. As dental practices seek to protect their business interests from competition or misappropriation of confidential business information, they should carefully assess and evaluate the interests or information they seek to protect, whether the terms and reasonableness of any covenant not to compete being used narrowly protects such interests, and, if appropriate, consider confidentiality and non-disclosure agreements as alternate attempts to protect their confidential business information.
Viremia Dental Journal 57
CONTINUING EDUCATION ~I I~ SEPTEMBER 2003
VDA Annual Meeting September 10 - 14, 2003 Richmond, VA
Friday, September 12 Perio Institute "Hands On Course - Perio Surgery" Ms. Connie Podesta "Life Would Be Easy If It Weren't For Other People" Dr. Larry Lopez "Bullet Proof Crown and Bridge" Karen Davis, RDH "Creating The Ultimate Doctor-Patient Hygiene Exam" Dr. Richard Jordan "Removable Prosthodontics 2003: Meeting Patient's Esthetic and Functional Demands - Part I" Dr. Louis DePaola "Bioterrorism: Dentistry's Role in Recognizing and Responding TO,The Threat" and "Dentistry & Pharmacology: Managing The Medically Complex: Practical Guidelines for Oral Health Providers" Speaker TBD "HIPAA" Vivian Biggers "CPR Training"
Saturday, September 13 Dr. Raymond Webber "Calcium Hydroxide & MTA (Mineral Trioxide Aggregate) and Their Place In Modern Endodontics" Perio Institute "Hands On Course - Ridge Preservation & Perio Defects" Dr. Karen McAndrew "Provisional Restorations That Fit, Function & Last: Hands On Training For The Dental Auxiliary" Dr. Richard Jordan "Removable Prosthodontics 2003: Meeting Patient's Esthetic and Functional Demands - Part II" Dr. Patrick Wahl and Lorraine Hollett "Secrets of Practice Greatness" Dr. Michael Ignelzi "Contemporary Pediatric Dentistry" and "Successful Encounters With Kids" Dr. Thomas Hasegawa "Dental Dilemmas: Bridging Theory and Practice" Dr. Jeff Brucia "Adhesive Dentistry - Materials & Techniques Simplified" Mr. Darrell Cain "How To Retire With Millions" and "How To Invest In Today's Economy"
Ms. Sherri Stein "Preparing For An In-office Emergency"
Plus, courses by Sky Financial, GE Medical Protective and Mercer Advisors.
Component CE Programs· For registration information, contact the appropriate person below:
Component I (Tidewater) Virginia Donne (Executive Secretary) (757) 491-4626 Component II (Peninsula) Kathy Harris (Executive Secretary) (757) 565-6564 Component III (Southside) Dr. Samuel Galstan (President) (804) 796-1915 Component IV (Richmond) Linda Simon (Executive Secretary) (804) 379-2534 Component V (Piedmont) Ann Gillespie (Executive Secretary) (540) 732-3789 Component VI (Southwest) Sonya Ferris (Executive Secretary) (276) 628-4934 Component VII (Shenandoah) Patricia Fuller (Executive Secretary) (804) 985-1939 Component VIII (Northern VA) Susann W. Hamilton (Executive Director) (703) 642-5297
VAGD Programs - please contact Frances Kimbrough (Executive Secretary) at 804-320-8803.
VCU School of Dentistry - please contact Martha Clements at 804-828-0869. www.dentistry.vcu.edu/ce/courses.shtml
VCU School of Medicine (Anatomy Dept) - please contact Dr. Hugo Seibel at 804-828-9791.
VAE - please contact Dr. Timothy J. Golian at 703-273-8798.
VSOMS and VAO - please contact Nicole Pugar at 804-261-1610.
The VDA is recognized as a certified sponsor of AIDA C·E·R·P continuinq dental education by both the ADA CERP and the Academy of General DentIstryCONTlNlANG EDUCATION RECOGNITION P~OGfW.l
MEETINGS & EVENTS [ II]
June 19-22, 2003 Sept. 14-18, 2005 VSOMS Annual Meeting VDA Annual Meeting Courtyard Marriott - Virginia Beach, VA Marriott - Richmond, VA
June 26-29, 2003 September 13-17, 2006 VDA June Committee Meetings VDA Annual Meeting The Cavalier Hotel - VA Beach, VA Hotel Roanoke & Conference Center
June 29-July 2, 2003 VAO Annual Meeting Mark Your Calendar Greenbrier Resort, White Sulfur Springs WV
July 25 - 27, 2003 The VDA Is Going Back MOM Project - Wise County To Norfolk In 2007 Sept. 10-14, 2003 VDA Annual Meeting • New Schedule Marriott - Richmond, VA
• New Time of Year October 23 - 26, 2003 • New Meeting ADA Annual Session
• New FUN San Francisco, CA
June 24-27, 2004 The 2007 VDA Meeting will take VDA June Committee Meetings The Cavalier Hotel - VA Beach, VA place June 15-17, 2007 at the
Norfolk Waterside Marriott. Sept. 8-12, 2004 The only events scheduled are IVDA Annual Meeting
continuing education, exhibits, !Waterside Marriott - Norfolk, VA
and social! J
58 Virginia Dental Journal
Apples and Oranges, we know you can not compare the two. Yet some labs would have you believe that their partial alloy is the same as Vitallium. There is only one Vitallium RPD and only a Vitallium Trademark Laboratory can provide you with a Vitallium Partial Denture. Vitallium uses only the purest elements with no nickel and no beryllium in its formulations. The Vitallium System is a matched set of materials that provide the greatest accuracy for a guaranteed fit and patient satisfaction. Don't be fooled, there is a difference, ask for Vitallium by name and look for the Vitallium Shield, your only guarantee it's a Vitallium Partial Denture.
The Narne You Know ·The Alloy You Tru~t ·The Laboratorie~ That Can Goodwin Dental Lab., Inc. Saunders Dental Lab., Inc.
2110 Maywill St. ~ 502 McDowell Ave, NE Richmond, VA 23230
~"'ll!l!f Roanoke, VA 24016
800-476-4351 /804-358-2113 800-476-7319/540-345-7319
Haislip Dental Lab., Inc. Virginia Dental Labs., Inc. 525 Wilborn Ave. 130 W. York St.
South Boston, VA 24592 Norfolk, VA 23510 800-226-1839/434-575-7947 800-870-4614757-622-4614
For more information on Yitallium alloy~ or the Vitallium Laboratorv near YOU call Au~tenal at 1·~ijij·611·ij3~1 l' l" v
Virginia Dental Journal 59
[II COMPONENT NEWS II Component I Tidewater
('•
Dr. Barry Einhorn, Editor
Well, spring has finally arrived. As I write this the jonquils are in full bloom and all my tulip bulbs are showing off their qlorious colors.
In the words of our distinguished president Harvey Shiflet, "The Tidewater Dental Association has had a busy first quarter."
Dr. Anthony Peluso chaired the committee for the first "Give Kids a Smile Day "on February 15th.The event held at the clinic of the Old Dominion University School of Dental Hygiene. Thirty eight children were examined, x-rayed and had sealants applied by hygiene students. We hope to continue this program on an annual basis.
Dr. Bud Zimmer headed up another highly successful MOM Project on the Eastern Shore on March 29th and 30th
•
The VDA should be very proud of MOM for we have set the standard for other states. This is a great way to show how private practitioners can perform social services without government intervention!
The Tidewater Chapter Of Fellows of the Virginia Dental Association has urged members of our component to support the Take Five Medicaid Program. This will once again be a fine way to serve those folks who cannot afford fee for service dentistry.
Dr. John Mosher attended the Legislative Conference in Washington in March to hear and discuss the latest national dental issues before Congress.
Dr. Harvey Shiflet attended a conference as the representative of the VSDC Board in San Antonio, Texas. Ideas were exchanged and new products and services were discussed.
60 Virainia Dental Journal
Dr. Chris Hooper will be presenting a seminar on Cosmetic Dentistry on April 25th at the Holiday Inn Chesapeake.
We pray for peace everyday! Have a great spring
Component" Peninsula
Dr. Sharon Covaney, Editor
Component II's year is coming to a close with summer approaching (rather slowly)! It has been a busy yet informative and productive year for our society from continuing education courses to community involvement with Give Kids A Smile Day and with the opening of a free dental clinic.
In January, Dr. Ron Tankersley helped us start the year off right with a continuing education course discussing Ethics. Thanks to Dr. Mike McCormick who helps to arrange our continuing education speakers, we were fortunate enough to have Dr.Robert A.Lowe, partner of Dr. Ross Nash, speak to us at an all day course on "Predictable Techniques For Total Esthetics". Dr. Lowe even broke away from the Hinman Dental Meeting to come and speak to us! He offered some helpful hints and for those of you who missed this, Dr. Nash and his team are offering a Team Extravaganza this summer in Williamsburg. Finally, our last continuing education course for the year featured our own Dr. James Watkins and Dr. Mike Link discussing "Virginia Dental Board Issues". It was good to get a clearer view of how the Board functions and what some of their present issues involve. Thanks for the information from all of our speakers!
The Peninsula Dental Society participated in programs providing dental services to those less fortunate in the community. Specifically, The Peninsula Dental Society had two very successful school-based projects for the national Give Kids A Smile Day. Drs. Liz Bernhard, Guy Levy, Mitch Avent and
Bob Field screened approximately 110 children with the help of volunteer dental auxiliaries. The Peninsula Institute of Community Health dental clinic has offered their facility for follow-up dental care for these students. In addition. preparation for the opening of the Peninsula Christian Free Clinic is well under way to begin providing dental care on Thursday evenings.
In closing out this year, it is time to begin thinking about next year and the elected officers for 2003-2004 for the Peninsula Dental Society are as follows: Immediate Past President-Dr.Eric Boxx, President-Dr. Scott Francis, PresidentElect-Dr. SharonCovaney,Secretary-Dr. Liz Bernhard, Treasurer-Dr. Mike McCormick and Counselor-Dr. McKinley Price. Thanks for your hard work!
Component III Southside
Dr. Mike Hanley, Editor
Greetings from Southside!
What a winter we had - I finally got to use up all that rock salt from 96. At our recent business meeting, officers for the upcoming year were announced: President - David Ferry President Elect - Kent Yandle Secretary - Sharone Ward Treasurer - Brad Trotter
I guess Brad has figured out how it works down here ... show up for your second meeting and the next thing you know, you're an officer! Thanks to all of you for voiunteerinql
Speaking of volunteering: Sam Galston and his wife, Sharone Ward, headed up the VDA efforts for Give Kids A Smile ( GKAS ) day in February. Our particular efforts were in Hopewell's elementary and middle schools. Several hundred children were screened, given oral hygiene instruction, a fluoride treatment, and a new toothbrush. Students of the hygiene class and dental school joined
. ·T
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our members. These are sharp, energetic people ready to join our profession. It was fun working with them.
The following day, we had our annual Health Fair at South Park Mall. What a turnout! I've never seen the Van that full before - for several hours! The students, once again, were there in great numbers with table clinics and examinations. Sam was in charge of this as well. Thanks to him and all the folks who helped.
Congratulations are in order for Shirley Meade who will be installed this September as President of the Alliance of the VDA. Ray can do the cooking for a year.
And like a teapot with no water, I guess Bob Leigh Grossmann has run out of steam. He is retired. Can his golf gID any better? ... Brace yourself!
And finally ... while in. a school in Hopewell on GKAS day, I noticed a boy with a puzzled look as Dr. Ellis was talking to him. I overheard Dr. Ellis telling the boy -" floss is like a beach towel, plaque is gooey as syrup." I had to step in and tell David - today is NOT Give Kids A Smile day.
See you at the beach!
Component IV Richmond
Dr. Kit Finley-Parker, Editor
Spring is here, summer is just around the corner and everyone is anxious to wind down for this year. Our component has been very busy. Our monthly membership meetings have given us wonderful CEo Dr. Richard Wilson presented a thought provoking presentation on ethical dilemmas we all face in the practice of dentistry. Dr. Charlie Cuttino presented "Cracking the Code in CDT-4". Dr. Cuttino stated that we should code for what we do. The April meeting brought us Dr. Tom Waldrop from VCU/MCV speaking on "Periodontics Today - Trends and Techniques".
Our component has been under the excellent leadership of president Dr. AI Stinger. AI is a great visionary who worker tirelessly for the RDS & VDA this year. Thank you AI, you will bea hard act to follow.
On February 2151 we held our first "GIVE KIDS A SMILE DAY" at The Science Museum of Virginia in Richmond. We had many RDS members, hygienists, staff and VCU dental students volunteer. These volunteers provided examination, performed prophylaxis, topical fluoride treatments, x-rays and oral hygiene instructions to over 100 children in need. A special thanks to Dr. Roger Wood and Dr. Ray Eddleton from the RDS for all of their hard work in organizing the event.
Dr. Kate Roberts, Chair of the Dental Public Health & Information Committee, has worked vigorously on screening the elementary school children of the inner city Richmond City Public Schools. Dental students and residents from VCU assisted Dr.Roberts. Kate is an enthusiastic and highly motivated new dentist and we are very fortunate to have her as a member of the RDS.
ABOUT OUR MEMBERS • Dr. Gary Hartwell was elected to serve
as president of the 2003 - 2004 American Board of Endodontics.
• Dr. Graham Gardner and his wife Jennifer welcomed their second child, Finn, on Jan.1 O'".
• Dr. Jeff Byer and his wife Patricia had their first child, Andrew Jacob, on Jan. 22.
Congratulations from all of the RDS members - Hope you are finally getting some of that much needed sleep!
Our year-end Golf Outing and Cookout is scheduled for May 16th at Independence Golf Course.
The RDS wishes all the Components a happy and healthy summer. See you in September!
Component V Piedmont
Dr. Lori Snidow, Editor
No News To Report
Component VI Southwest
Dr. Robert G. Schuster, Editor
No News To Report
Component VII
Shenandoah Valley •.~
Dr. Mac Garrison, Editor
No News To Report
Component VIII Northern Virginia
Dr. Scott McQuiston, Editor
Northern Virginia is gearing up for a great spring and summer after a long, cooooooid winter. We were privileged to have had some terrific speakers in our area. Dr. Stanton Wolfe spoke on Local Anesthesia, Dr's Pantera and Garlapo on Restoring Endo Teeth, Dr. Alan Fetner on periodontics and Joan Garbo finished this years lecture series with staff enhancement. The Society also sponsored an informative HIPPA lecture given by Harris Biomedical. Thanks go out to the program committee for their hard work and diligence in bringing quality speakers to our membership. Our committee on the New Dentist has been busy planning a family night in June to see the Prince Will-
Virginia Dental Journal 61
I~VSOMS NEWS
Give Kids A Smile Day in February was a great success. It was ~~Id at the Northern Virginia Dental Clinic and 51 children showed their smiling faces. Prophies, education on tooth care and entertainment in the form of puppets were provided. Although we were under five feet of snow that day, the turn out was very good. Just what the kids wanted to do on a snow day!
On January 29thwe held our new member orientation in which the following new dentists were introduced:
Scott Aylor, DDS Qais Musmar, DDS Brendan Bernhart, DDS Anhhuy Nguyen, DDS Rick BUi, DMD Vacora Oliver, DDS Jonathan Chang, DDS William Ryals, DMD • Makepeace Charles, DDS Amy Senh, DDS Frederick Farahi, DDS Rainey Suon, DDS Parastoo Golestani, DDS Marcus Swann, DMD Michael Han, DDS James Woodard, DMD Petula Hom-Minniti, DDS Mojgan Mazhari, DDS
Congratulationsto these fine professionals as they start their practices in Northern Virginia. This is a wonderful beginning to organized dentistry!
Dr. Anna Abel and her friendly frog coax an apprehensive patient while Mother looks on and big brother peeks around the door at the NVDS Give Kids A Smile program.
Stephanie L. Arnold Director of Outreach Programs
2002-WHAT A YEAR!!
I am happy to report that 2002 wa~ a record breaking year for DDS. With each passing year, more patients are being treated and more services are being provided thanks to our volunteers.
This past year, over 300 patients received dental care. During 2002, we also saw our 1oooth case completed and services donated surpassed the $2 million mark.
Thanks again to all of the volunteer dentists and labs who have donated their time and services so that those less fortunate can smile again. It would be great if we could get even more people back in good oral health in 2003.
REGISTER WITH DDS! If you would like to volunteer (or know someone who would) your time and services to treat elderly and disabled individuals through the Donated Dental Services program, please contact:
Stephanie Arnold Project Coordinator (804) 264-9010
Patients are seen in your private office, and volunteer specialists and labs are available to assist in cases where needed.
Even if you only take one case per year, that is one more person who is able to smile proudly, and in some cases ev~n
eat food for the first time in years-pain free.
DDS makes volunteering easy!
Dr. James Nelson, President
The Virginia Society of Oral and Maxillofacial Surgeons will hold their 2003 Annual Meeting at the Courtyard Marriott, Virginia Beach,Thursday, June 19 through Sunday June 22, 2003. Dr. David Schwab of Lake Mary, Florida will present a fast moving lecture .entitled "Specific Strategies for Mark~tlng yo~r
Oral Surgery Practice". Participants Will learn how to create a mini marketing plan that will result in an. increase i~
referral from general dentists. In addition to the many attractions Virginia Beach offers, the meeting will also feature the Annual VSOMS Golf Tournament as well as a cocktail reception. For more information about the meeting or to obtain a registration brochure please contact Nicole Pugar, VSOMS liaison at (804) 261- 1610 or [email protected].
VAO NEWS
Dr. Steve Hearne, Past President
The 2003 Annual Meeting of the Virginia Association of Orthodontists will be held Sunday, June 29 through Wednesday July 2, 2003 at the Greenbrier ~e~~rt,
White Sulphur Springs, West Virginia. The meeting which is being held in conjunction with the 3M Unitek Summit Meeting, will feature the lectures by ~r.
Richard P. McLaughlin and Dr. G. William Arnett. In addition to the continuing education, the meeting will also include exciting social events. On Sunday June 29 the VAO and 3M Unitek will host a reception for all registered for the meeting. On Monday enjoy the afternoon on the Greenbrier Golf Course, home of the International Ryder Cup and Solheim Cup. The meeting will conclude with an exclusive VAO cocktail party, dinner and dance. The meeting registration deadline is June 2,2003. Reservations at the Greenbrier should be made as soon as possible as space is limited. To ma.ke lodging reservations at the Greenbrier pleasecall the ReservationsDepartment at 1-800-624-6070. For more information about the meeting or to obtain a registration brochure, please contact
62 Virginia Dental Journal
Nicole Pugar, VAO liaison at (804) 261 in Richmond City and Hopewell. DDH Corydon Butler, Michael Miller, Ronnie 1610 or [email protected]. was represented at the Chesterfield Brown, Harvey Shiflet, Ted Sherwin,
County School Board meeting on Feb- Timothy Russell, and Gus Vlahos were
[ VAE NEWS ]
1111~~~~~~~~~~~~~.
Dr.Timothy J. Golian, President
The Virginia Academy of Endodontists will be meeting in conjunction with the VDA annual meeting in Richmond, Virginia on Saturday September 13, 2003. The annual business meeting will be at 8:00 am to 9:00am, followed by the annual CE meeting that will feature Dr.Ray Webber speaking on Pulpal Therapy and The Use of I\I1TA and Calcium Hydroxide. EVERYONE IS WELCOME.
A special thanks goes out to our Immediate Past President Dr. Frank Portell for a job well done. Dr. Portell having served our Academy for two consecutive years, displayed wonderful leadership and insight throughout his term. I would like to also welcome t[1e new officers for 2002-2003
Pres.: Dr. Tim Golian V. Pres: Dr. Steve Forte SecfTres: Dr. David Palmieri CE Director: Dr. Larry Kotler
In closing, I would like to extend a warm welcome to new member Dr. John D. Bramwell, and look forward to seeing all of you in September.
[II PUBLIC HEALTH NOTES II Dr. Karen C. Day Dir. Division of Dental Health
This February the Division of Dental Health (DDH), Virginia Department of Health, participated in a number of activities to recognize National Children's Dental Health Month includingthe Eighth Annual Dental Extravaganza held Saturday February 22rd at Southpark Mall in Colonial Heights. Staff of DDH provided information about dental health to hundreds of citizens and worked with the Southside Dental Society on the essay contest this year "How Do Your Teeth Help You To Be Healthy." Division staff also participated in "Give Kids a Smile Day" event working with VCU School of Dentistry and private dentists
ruary 11, where the Board thanked the staff for school activities that improve children's dental health. On February 12, the Chesterfield County Board of Supervisors resented a resolution to DDH staff recognizing "Give Kids a Smile Day" and "National Children's Dental Health Month" in Chesterfield County. The resolution expresses their gratitude on behalf of Chesterfield County residents to all dental professionals who help protect children's dental health. Finally, the Central Shenandoah Health District celebrated "Fifty Years of Fluoridation in Virginia" with a presentation of community appreciation awards to the waterworks operators of the Lexington Field Office District. Dr. David Larsen, District Health Director, acknowledged the individual efforts of the public water systems to maintain optimal community water fluoridation levels in their localities. Following the recognition ceremony Dr. Lisa Syrop, Fluoridation Coordinator for the Division of Dental Health Health, presented a lecture on "Fluoridation and Public Health." Fifty-fiveprivate and public health dentists, dental staff and water works personnel attended.
ICD NEWS II] Dr. Roger H. Flagg Vice Regent For The 16th District Of The International College of Dentists
The International College of Dentists is proud to announce the induction of their newest members. Dr. Donald Martin,
inducted into the ICD on Friday, October 18, 2002 during the College's Annual Meeting at the Sheraton New Orleans Hotel in New Orleans, LA.
The VirginiaSection of the ICD held their annual meeting at the Norfolk Waterside Marriott Hotel on Saturday morning, September 21,2002. We were very privileged to have as our guest speaker, Dr. Terry D. Dickinson, the Executive Director of the VDA and fellow of the Virginia Section of the ICD. Starting on the theme of ''The Responsibilities of Fellowship" that was promoted by Past President of the USA Section of the ICD Dr. Emanuel W. Michaels, Dr. Dickinson presentedan outstanding and extremely interesting talk on the International College of Dentists.
Dr. Terry Dickinson, VDA Executive Director, holds up a photo of Dr. Emanuel Michals during his presentation in September 2002.
Top Row - Left To Right: Donald L. Martin, Pulaski; Corydon B. Butler, Jr. Williamsburg: and Michael E. Miller, Richmond. Bottom Row - Left To Right: Ronnie L Brown, Abington; Harvey H. Shiflet III, Virginia Beach; J. Ted Sherwin, Orange; Timothy E. Russell Ill, Alexandria; and Gus C. Vlahos, Dublin.
Virginia Dental Journal 63
The Virginia Section of the ICD presented its 2002 Annual Award to Russell M. Weaver, a junior dental student at the VCU/MCV School of Dentistry, who achieved the Highest Grade Point Average during his first two years at the dental school. The award is a check for Five Hundred Dollars ($500.00) and a certificate attesting to his accomplishment.
Mr. Russell M. Weaver receiving the VA Section of the ICD2002Annual Award. Left to Right: Dean Ronald J. Hunt; Mrs. Weaver; Russell M. Weaver; RogerFlagg, DDS, DeputyRegentfor VA.
As of January 1,2003, Dr. Roger Flagg assumed his new duties as Vice Regent for the 16th District of the lCD, which is composed of North Carolina, South Carolina, and Virginia. He was nominated and elected to that position during the National Meeting in New Orleans, LA. The new Regent for the 16th District of the ICD is Dr. Theodore Roberson of Durham, NC. Dr. Roberson is a member of the faculty of the University of North Carolina School of Dentistry and is know to many Virginia dentists because of his membership as part of the ADA 16th District Delegation. Dr. William J. Bennett of Williamsburg has accepted the position of Deputy Regent for Virginia and Dr. Richard D. Barnes of Hampton has agreed to continue his service as Councilor.
Deputy Regent forVA, Roger H.Flagg, DDS, with the Presidents of NC, SC and DC Dental Societies. Left to Right: Dr. Douglas Rawls (SC), Dr. RogerFlagg, Dr. Sally Cram (DC) and Dr Robert Plage (NC).
~~~~~~~~~~~~~~Il]SCHOOL OF DENTISTRY~I Dr. James Revere Executive Associate Dean
ART AUCTION A HUGE SUCCESS
More than 200 friends and alumni of the School of Dentistry gathered to offer their support at an art auction held to benefit the School's simulation clinic campaign. Dr. Baxter Perkinson alumnus, general dentist, noted watercolorist, and Rector of the VCU Board of Visitors - donated 50 of his original, framed watercolor paintings forthe auction that raised more than $100,000 for the proposed clinic.
"Dr. Perkinson has been overwhelming in his support of the School of Dentistry and its capital campaign," said Dr. Ron Hunt, Dean of the School. "His contribution will go a long way toward providing the kind of technology that is necessary to improve our educational programs and to better prepare future dentists.
"The School wishes to thank Dr. Perkinson and all the alumni and friends who gave so generously to make this auction such a huge success," he said.
The auction was held the evening of March 21 at the Virginia Crossings Resort and Conference Center in Glen Allen, Va. The auction proceeds provide a major boost to the $4 million estimated cost of constructing the dental school's simulation clinic. A total of $1 .4 million has been raised in gifts and pledges for the campaign thus far.
The proposed 4,500 square foot simulation clinic will include 100 simulation stations. Each station will be equipped with a mannequin head and torso, an air/water syringe, suction capability, high-speed and low-speed handpieces, an overhead dental light, a computer monitor, and high-speed internet access. An adjacent area will contain 20 virtual reality tooth preparation training units that will be available for student use 24 hours every day. An additional 4,000 square-foot area will house a new state-of-the-art, multi-use conference facility for lectures, seminars, and con
tinuing education classes.
"Simulation laboratories and virtual reality training units are the wave of the future in dental education," said Dr. Jim Revere, Executive Associate Dean at the School of Dentistry. "Such facilities allow dental students to gain experience with simulated patients, thus easing the transition from the laboratory to the clinic. This new technology significantly enhances the preclinical educational experience, and we at VCU intend to be a part of this important new trend."
Dr. BaxterPerkinson, Mrs.Marilyn Harman and Dr. RobertHarman review the artcatalog prior to the auction
HOLCOMB CLINIC FOR ORAL AND MAXILLOFACIAL SURGERY IS DEDICATED
On February 13th, 2003, the VCU School of Dentistry dedicated the Raymond Alvey Holcomb Clinic for Oral and Maxillofacial Surgery. The newly renovated and expanded clinic was made possible by a $200,000 gift from Mrs. Kay Holcomb Clary and her family in honor of her father, Dr. Raymond Holcomb.
"This renovation is especially important because it permits the expansion of the scope of services available in the oral and maxillofacial surgery clinic," Dean Ron Hunt said during the dedication ceremony. "More dental patients will be served and our dental students will be provided additional educational experiences."
Dr. Holcomb practiced dentistry in Fredericksburg, Va., devoting most of his career to the practice of oral surgery. A 1941 graduate of the MCV School of Dentistry, Dr. Holcomb served with the U. S. Army in Italy and North
64 Virginia Dental Journal
ti'
~frica during World War II and returned ~~y Fredericksburg to practice dentistry ''61946. He was very active in the Vir~lnia dental community and served a '~erm as President of the Northern Virlnia Dental Society.
an Hunt emphasized that the renotion and expansion of the clinic also
'ill allow improved urgent and emerncycare and enhanced anesthesia d sedation services for patients. In dition, the School will be able to inteate its surgical programs by incorpoting the faculty practice with the stunt and resident clinic operations, he id.
I
r, Richard Clary, Mrs. Kat ryn Holcomb ;Clary, Ms. Margaret Clary, Mrs. Kathryn
'hgus, Ms. Becca Clary and Dr. Ron Hunt,,. ean
'·Qr. Bhavna Shroff joined the faculty f~S a Professor of Orthodontics in Octo
er. Shroff, a native of Paris, France, eceived her dental degree from the niversity ParisV Rene-Descartes. She orked there for three years as a partme instructor while practicing general entistry. Shroff completed a master's egree in Human Biology prior to join-g the Orthodontic residency program tthe University of Connecticut in denIsciences. There, she earned a cericate in Orthodontics and master's egree in Dental Science. In 1989, hroff joined the Orthodontic faculty at e University of Maryland in Baltimore. er responsibilities at Maryland included irecting Orthodontic postgraduate re
. earch. She mentored 13 master's ;projects during her 13 years at Mary. nd. Her most recent research project, ApoPtosis and Collagenase Expression ,During Eruption, received the Kress iflesearch Award from the Middle AtIanitic Society of Orthodontists. Shroff's research interests focus on the funda
i;:mental mechanisms of tooth eruption.
She successfully attracted intramural funding from the dental school and extramural funding from the Nationallnstitute of Dental and Craniofacial Research and the American Association of Orthodontists Foundation. Shroff's research at VCU centers on the osteoclastic function during tooth eruption in a transgenic knock-out murine model. She believes information obtained from such animal models will be critical to the basic understanding of tooth eruption and delayed tooth eruption, both of which have immediateclinical relevance.
Dr. Bhavna Shroff
Dr. Andrew Yeudall joined the faculty in November in the VCU Philips Institute in the School of Dentistry as an Associate Professor of Oral and Craniofacial Molecular Biology. Dr. Yeudall's academic degrees were earned at the University of Glasgow. He received a Bachelor of Science with Honors in Biochemistry in 1983, a dental degree in 1986, and a doctorate in molecular biology in 1991. Yeudall undertook advanced training in clinical oral pathology in Glasgow from 1987 to 1990. He accepted his first faculty position in the Department of Oral Medicine, Surgery, and Pathology at the Universityof Bristol in the U.K. From 1993 t01997, he completed advanced postdoctoral training at the National Institute of Dental and Craniofacial Research at the National Institutes of Health in Bethesda, Maryland. In 1997, he returned to the U.K. for a position as a visiting lecturer at the Eastman Dental Institute. In 1999, he was appointed as an associate member of the Cancer Biology and Therapy Interdisciplinary Research Group at King's College, London, and as a Senior Clinical investiqator in the Departmentof Craniofacial Development at Guy's Hospital in King's College. He
rose to the rank of Clinical Senior Lecturer in 2001.
Yeudall's research interests include the molecular and cellular biology of head and neck squamous cell carcinoma, the sixth most prevalent malignancy in the United States. His research is directed toward understanding the molecular pathogenesis of squamous cell carcinoma, which has three main components: Understanding cell cycle progression and its integration with cell surface receptor signaling pathways; identification and characterization of genes that induce or repress invasion and metastasis; and, identification of genes whose products may represent novel diagnostic/prognostic markers and targets for molecular therapy of cancer.
Since his arrival, Yeudall has been at work equipping his new research lab and preparing grant applications for submission to a variety of funding agencies. He was granted status as a full member of the VCU Massey Cancer Center, as his expertise in biochemistry and molecular biology complements the ongoing head and neck cancer research at the medical center campus.
Dr. Andrew Yeudall
STUDENTS FROM THE VCU SCHOOL OF DENTISTRY VOLUNTEER FOR GIVE KIDS A SMILE DAY EVENTS
More than 125 dental hygiene and dental students from VCU participated in the events leading up to and culminating in "Give Kids A Smile Day." The students provided oral health screenings and dental services for more than 800 elementary and middle school children at seven area schools. They also participated in "Give Kids a Smile Day"
Virginia Dental Journal 65
events held on March 21 at Colonial Heights' South Park Mall and at the Science Museum of Virginia in Richmond. The student volunteers worked together with members of the VDA and the Alliance to the VDA.
Students Keith Van Tassell, '04, Jason G. Campbell, '04, and Aramesh Mahoozi '03, talk with Congressman Eric Cantor at the Science Museum of Virginia.
JAMAICA PROJECT 2002
From Oct. 30 through Nov. 19, 2002, Long Pond Clinic in Trelawny Parish, Jamaica, buzzed with activity. The Jamaica Project - an energetic team of VCU faculty, staff, and student volunteers - had come to town. Twenty-six dental students, two hygiene students, 11 faculty members and one dental assistant delivered dental care to people whose needs ranged from prophies and composites to complicated surgical extractions. With the help of Nurse Reed, a local nurse who screened the patients, the VCU team worked hard, seeing more than 1,500 patients.
In addition to the work done at Long Pond Clinic, groups of dental caregivers traveled to remote locations, visiting five schools during the three-week project. Treatment provided during these trips included extractions, prophies, hygiene instruction, and fluoride rinses. A trip also was made to Good Hope Plantation to provide care to on-site employees who were unable to travel to the clinic in Long Pond.
The trip to Jamaica was possible thanks to those in the dental community who donated dental supplies and made monetary contributions. The Jamaica Project, begun in 1986 by the VCU School of Dentistry, provides a meaningful addition to the didactic study and clinical instruction students receive during dental school. Hopefully, such ex
periences will open the door to their continued desire to help those in need.
i
.~.\
Students, facultyand Nurse Reed at Long Pond Clinic in Jamaica
HINMAN SCHOLARSHIP AWARDEES HONORED AT RECEPTION
Sarah Friend and Gloria Fernandez, fourth year students at the VCU School of Dentistry, were named the School's 2003 Hinman Scholarship Award recipients. Ms. Friend and Ms. Fernandez joined other scholarship winners from southern dental schools at the Thomas P. Hinman Dental Meeting in Atlanta on March 22. During the meeting, they attended educational and scientific sessions and received recognition at the Hinman Awardees' luncheon, where each scholarship recipient was given a scholarship check and a commemorative plaque.
During the Hinman meeting, the School held a reception hosted by Dr. Jim Revere, Executive Associate Dean. Approximately 35 dental students from VCU - the largest group of VCU dental students ever to attend a Hinman meeting - were joined at the reception by 60 VCU dental alumni from Virginia, Georgia, Florida, and South Carolina. The School wishes to acknowledge the generosity of Drs. Brian Harsha, Clifton Johnson, Ann Bentley Kirol, Stephen Radcliffe, and Peter Trager, who sponsored dental students to the 2003 Hinman meeting.
2003 Hinman Scholars, G lor i a Fernandez '03 'and Sarah Friend '03.
Students Tamesha Morris '03, Sunee Salpetchniyom '04, SaraThayaprasat '04, Sam Nwogu '04 talk with Dr. Peter Trager '68 of Marietta, GAandDr. Clifton Johnson '85 of Columbus, GA..
ALLIANCE NEWS [II II Barbara Yandle, President
The Virginia Alliance has been able to help support the MCV Dental Clinic Van and the Donated Dental Services program sponsored by the VDA. $500 was given to each area to help support their access-to-service outreaches. This funding is made possible by our sales of children's T-shirts, bibs, and onesies with "I Love My Dentist. He's/She's My Dad/Graddad/Morn" and by our sales of jewelry items.
This year's Leadership Conference was held March 5-8 in Lincoln, Nebraska. AADA President Jocelyn Lance headed our informative sessions which included such speakers as Jon Holtzee, ADA Director of State Government Affairs; Joan Hanson, ADA Public Information Directorfor "Give Kids a Smile Day"; and U.S. Congressman Tom Osborne of Nebraska. Several informative workshops were offered in the area of Dental Health Education, including the efforts of the Missouri and Minnesota Dental Associations to educate the public regarding the health dangers of soda machines in public schools. Their "Stop the Pop" brochures provide compelling data that the prevalence of high fructose and/or high phosphoric sodas can impact not only dental health, but also the rising problems of obesity and/or diabetes. Salt Lake City, Utah will be the site for next year's Leadership Conference. I would encourage anyone to attend. Conference is both educational and entertaining.
66 Virginia Dental Journal
Four members of the Alliance attended the MCV Dental Student Clinic Day on April 9th
. For the fourth year, the Alliance sponsored a free raffle to married dental students for a $60 WalMart Gift Certificate. The Clinic Day is an opportunity for the Alliance to "spread the news" that the Alliance is a national organization of men and women who support the values and goals of organized dentistry. Through Clinic Day we offer dental spouses a free one-year membership in the Alliance in order for them to learn more about our initiatives in oral health education, legislation and advocacy, and membership development.
It's not too early to start planning for our VDAJAVDA Annual Meeting at the Marriott in Richmond. Please mark September 10-14 on your calendars and plan to attend. The state committee is planning many fine things for our weekend. Our annual Alliance luncheon and meeting will be held on Saturday, September 13th
.
The Virginia Alliance Executive Board would like to welcome Norma Roadcap from Colonial Heights! Norma is the new President of the Alliance of the Southside Dental Society. As an organized Alliance, we have three component Alliance organizations in Virginia: Roanoke Valley, Richmond, and Southside. Members-at-Iarge are also a part of our State and National organization and are recipients of both our state "Dental Dominion" newsletter and our national "Key" newsletter. Please contact ourVice-President for Membership, Mrs. Shirley S. Meade (13004 Chipstead Road, Chester, VA 23831. Phone 804.796.2002) for more information. Please feel free to give us a call and find out more about the Alliance!
See you in September!
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Virginia Dental Journal 67
classified ads Classified advertising rates are $40 for up to 30 words. Additional words .25 each. The classified advertisement will be in the VDA Journal and on the VDA Website - www.vadental.org. It will remain in the Journal for one issue and on the website for a quarter (3 months) unless renewed. All advertisements must be prepaid and cannot be accepted by phone. Faxed advertisements must include credit card information. Checks should be payable to the Virginia Dental Association. The closing dates for all copy will be the 1st of January, April, July, October. After the deadline closes, the Journal cannot cancel previously ordered ads. This deadline is firm. As a membership service, ads are restricted to VDA and ADA members unless employment or continuing education related. Advertising copy must be typewritten and sent to: Journal & Website Classified Department, Virginia Dental Association, 7525 Staples Mill Rd., Richmond, VA 23228 or fax (804) 261-1660. The Virginia Dental Association reserves the right to edit copy or reject any classified ad and does not assume liability for the contents of classified advertising.
DENTISTS - FULL-TIME & PART-TIME Prison Health Services is looking for Dentists willing to challenge themselves for unique rewards and satisfaction. Escape the ordinary and make a difference with us! We currently have FT (Mon-Fri) & PT positions at the Greensville Correctional Center in Jarratt. This is an excellent opportunity to practice dentistry in a modern practice setting. VA license required. We offer very competitive and a complete benefits package including: health/dental/life insurance, paid vacation/holidays/sick ieaee, paid malpractice insurance, 401 (k) plan, and more! Contact Mindy Halpern at (800) 729-7053; fax (877) 7297053; e-mail [email protected]. EEO/AA
PRACTICE FOR SALE Williamsburg: #7008, Gross $228,334; 4.5 days, 3 operatories; 1200 sq. ft. office space, assistant, receptionist condo office for sale with practice in professional park. Excellent potential. Winchester Area: #7042, Gross $237,949; 4.5 days 30peratories; 1200 sq. ft. office space, assistant, hygienist (pt), receptionist, Excellent potential, close to D.C. Tappahannock Area: #7077, Gross $265,089; 3 days 2 operatories; 850 sq. ft. office space, assistant (pt), receptionist (pt), Boat, sail, and grow with the beautiful people in the Northern Neck., Room for expansion. Southwestern Virginia: #7051, Gross $457,878; 3.5 days, 4 operatories; 1400 sq. ft. office space, 2 assistants, hygienist, receptionist, Excellent potential, near major university. Richmond: #7006, Gross $130,976; 4 days, 30peratories; 750 sq. ft. office space, assistant (pt), receptionist (pt) Excellent merger opportunity. Danville Area: #7018, Gross $292,117; 3.5 days, 4 operatories; 2150 sq. ft. office space, assistant (ft), assistant (pt), office manager; Beautiful office, large lot, computer system, Excellent potential. All practices listed above have 100% financing available. For more information on any practice listed above, call Professional Practice Consultants, Ltd. Dr. Jim Howard @ 910-523-1430
ASSOCIATE POSITION NEAR HARRISONBURG, VA General dentist needed for an associate position leading to buy-out of busy, progressive practice located in the beautiful Shenandoah Valley. Excellent opportunity; 22 year old family practice in fast growing local community. Great earning potential. Contact Thomas M. LaTouche, DDS, 4167 E. Point Road, Elkton, VA 22827 or email [email protected].
ENDODONTIST - MARYLANDIWASHINGTON DC SUBURBS Relocate to this cosmopolitan, economically stable area. Excellent opportunity for practicing endodontist to join an established practice. State-of-the-art facilities, fee-for-service only. Generous salary and benefits with "fast-track" full partnership available. Fax CV 301-9510448.
CAREER OPPORTUNITIES Outstanding career opportunities in Virginia providing ongoing professional development, financial advancement and more. Positions also available in FL, GA, IN, MI, MD and PA. For more information, contact Jeff Dreels at 941-955-3150 or fax CV to 941-330-1731 or e-mail [email protected]
DENTIST OPPORTUNITY - RICHMOND Dental clinic serving the homeless population is seeking a dentist 1220 hours a week. This unique opportunity at the Daily Planet Healtheare for the Homeless is available June 1, 2003 and offers a very competitive compensation. In return for your efforts this position will allow you to gain valuable dental experience, manage the dental facility at a community health center, work at a place with no restrictive covenant, have negotiable days and hours, have no financial risk - come to work and go home, teach dental hygiene and dental students every week, and work with an under-served population who will thank you for your work. Please fax your resume to Dr. Peter Murchie at 804-783-2514 or call him at 804-649-2119 x247 to find out more information about this exciting and wonderful opportunity.
DENTAL PRACTICE FOR SALE Great opportunity to buy dental practice with two excellent locations. Well-established general practice, great patients, caring and welltrained staff willing to stay and work with new owner. First location on Hwy 460, Zuni, VA. Includes large office space, new building, new equipment and four tully equipped operataries. Second location on Market Street in Downtown Suffolk, VA. Well-established, desirable location with two fully equipped operatories. Will sell together or separately. Immediate occupancy. Please contact B.J. at (757) 53937-35 or Susie at (757) 934-1189.
DENTIST - WESTERN STATE HOSPITAL Position available for full-time Dentist to provide primary dental services at a 286-bed adult inpatient psychiatric hospital. Duties include: Plan and implement comprehensive oral hygiene therapy, restorative dentistry, periodontics, complete or partial prosthodontia and limited pedodontics (emergency referral from nearby child/adolescent psychiatric facility). Dental suite with 3 operatives and panorex room. Dental assistant available for chairside assistance and front office management. Salary negotiable based on experience. Contact Dr. Mary ClaireSmith, MD, MediealDirector, WSH, P. O. Box2500, Staunton, VA 24402-2500 0 r call 540-332-8211. E-mai I [email protected]. Human Resources may be contacted at 540-332-8300 for application information. EEO
DENTAL OFFICE FOR SALE OR LEASE Dental office-4,000 sq ft (can be divided 2,000 up/down) Retired Dentis! WANTS to sell OR lease this already fitted building to a Dentist. Owner financing. Fredericksburg, VA Call Adrianna for details, Cowan &Assoc. 800-500-6600 or 540-840-3137
68 Virginia Dental Journal
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irginia Dental Laboratories, Inc.
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Virginia Dental Association 7525 Staples Mill Road Richmond, VA 23228