2012 Spring-Summer Newsletter

Dear Doctor,As the only organization focused exclusively on the field of general dentistry, the Academy of General Dentistry (AGD)’s goal of advancing the value and excellence of general dentistry has made it a leading organization for the general dentist.

The AGD has your best interests in mind and serves as a strong voice advocating on behalf of the general dentist. I would like to invite you to join us in our mission and to take advantage of the resources we can offer you and your practice.

As a thank you for membership, the Washington AGD will offer FREE continuing dental education courses!!

Look what’s coming up; Free Courses for Members of the Washington AGD:

Thursday, September 20th, 2012Future Strategies “Preparing Dentists for the Future”Register online www.washingtonagd.orgA forum on the significant changes occurring in the dental industry that directly impact private practice and the future for dentist-owners6:30pm-9:00pm Speaker-Dr. Marc Cooper

Registration must be done no later than September 17th, 2012 to reserve your space. There is NO registration at the door.Thursday, November 8th, 2012 “STICK to the Basics! – The Secrets to Predictable Adhesive Dentistry”-Register Online www.washingtonagd.org6:30pm-9:00pm Speaker-Dr. Ed Hewlett

Registration must be done no later than November 5th, 2012 to reserve your space. There is NO registration at the door available!

Please contact Valerie Bartoli to learn more about registering for these courses and getting involved in the Washington AGD’s upcoming events. Registration will be opening soon and space is limited so email [email protected] to hold your space now!! These FREE courses are open to WAGD members only!!

Washington

Not a member yet? To become an AGD member today, complete and return the enclosed application, or visit www.agd.org to join online. We look forward to serving you as a member. Join now and go above and beyond in yourdental career! Washington AGD Approved PACE Program Provider #219331. FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or WAGD endorsement. Washington AGD PACE Provider (6/1/2010-5/31/2014).

A newsletter providing dentistry with

the latest news and information

Issue 26, No. 1Winter/Spring 2012

Page 2 ..............DirectoryPage 3 ..............AGD Credits for Study ClubsPage 3 ..............The Sky is FallingPage 4 .............. InsanityPage 5 ..............Federal Way Dentist ElectedPage 6 ..............Legally MinePage 7 ..............Orthodontic ProgramPage 8 .............. InvisalignPage 9 ..............Facebook/ReputationPage 10 ............Clinical ComplicationsPage 11 .............Clinical Complications, cont.Page 12.............Gingival Dental ConnectionPage 13 .............Gingival Dental Connection, cont.Page 14 ............Mastertrack ProgramPage 15 .............Dr. Dan Fischer & Carol JentPage 16 ............Pacific NW Dental ConferencePage 17............. .QR BarcodesPage 18 ............Membership Application

What’s Inside

Winter/Spring 2012

Free CE Courses for Members of the WAGD!! Look what’s coming up in Free CE!!

Take Yourself Off The Target

Understanding Legal Tools The key to Lawsuit Protection and Tax

Reduction

The Washington Academy of General Dentistry Invites you to a seminar presented by Legally Mine

Spouses Encouraged to Attend

Date: 4/19/2012

Speaker: Daniel J. McNeff, CEO Place: Sea Tac Airport Marriott 3201 S. 176th Seattle, WA 98188

Time: 6:30pm – 9:00pm

OFFICERS

President Jim Cunnington, DDS (541) 420-2830 [email protected]

President-Elect Steven Thomas, DMD, FAGD (206) 713-0101 [email protected]

Secretary/Treasurer Stephen Russell, DDS (360) 943-8182 [email protected]

Immediate Past President David Keller, DDS, MAGD, ABGD (360) 690-5676 [email protected]

Editor Valerie Bartoli (253) 306-0730 (253) 891-4053 Fax [email protected]

BOARD MEMBERSTeresa K. Kang, DDS (425) 821-8411 [email protected]

Tar Chee Aw, DDS, MS (206) 543-5948 [email protected]

BOARD MEMBERSE. Ricardo Schwedhelm, DDS, MSD (206) 543-5948 [email protected]

Puneet S. Aulakh, DDS (425) 255-6476 [email protected]

Stephen Russell, DDS (360) 943-8182 [email protected]

Todd Haworth, DDS, MAGD (360) 457-5152 [email protected]

Steven Thomas, DMD, FAGD (360) 659-5007 [email protected]

Jeanine McDonald, DDS, FAGD (509) 891-7770 [email protected]

Joseph F. Sepe, DDS, FAGD (360) 576-0647 [email protected]

Teresa Kang, DDS (425) 821-8411 [email protected] Tar Chee Aw, DDS, MS (206) 543-5948 [email protected]

Kishore Shetty. DDS. MAGD (713) 517-2252 Tar Chee Aw, DDS, MS (206) 543-5948 [email protected]

COMMITTEE CHAIRContinuing Dental Education Gary Heyamoto, DDS, MAGD (425) 485-8885 [email protected]

Legislative Bryan Edgar, DDS, MAGD (253) 838-9333 [email protected]

Membership Dr. Kishore Shetty (713) 517-2252 [email protected]

Student Program Coordinator E. Ricardo Schwedhelm, DDS, MSD (206) 543-5948 [email protected]

Pace/Sponsor Approval Linda Edgar, DDS, MAGD (253)-838.9333 [email protected]

Dental Care Joseph Schneider, DDS, FAGD [email protected] (206) 878-1237

Webmaster Puneet S. Aulakh, DDS (206) 790-1485 [email protected]

C/O Membership Chair Dat Giap, DDS (206) 332-1861 [email protected]

2012 WAGD DIRECTORY

WAGD PresidentJim Cunnington DDS

Regional DirectorGuy HansonDDS, MAGD

AGD Vice PresidentLinda Edgar DDS, Med, MAGD, LLSRWAGD PACE CHAIR Sponsor Approval

NATIONAL AND REGION XI OFFICERS 2012

Region XI TrusteeGary Heyamoto DDS, MAGD,LLSR

Region XIValerie BartoliExecutive DirectorWAGD Executive Director CDA, ED

[email protected]

[email protected]

[email protected]

900 Meridian E STE #19-361Milton, WA [email protected]

[email protected]

Washington Academy of General Dentistry • Issue 27 • 2012 • www.washingtonagd.org • 2

The Sky Is Falling! The Sky Is Falling!

By Jim Cunnington II DDSPuyallup, WA

I sat through a presentation the other day where a respected dental advisor painted a colorful portrait of his expectations of the near future of dentistry. He described entrepreneurial investors with hundreds of millions of dollars making contractual associations with large dental insurance firms to control access to patient care. He said they would swoop down to a town near you, snatch away your nest egg of good will, and leave you nakedly shivering in the dark while your smoldering wreck of a practice rots in the ditch of America’s business highway. Many moons ago, I was a hyperactive preacher’s kid. My dear mom would drag this wiggle-worm down to the corner drug store and climb the stairs to an unobtrusive second-floor office where our family dentist held forth. He would check and clean my teeth, then do a filling or two if I needed it. Mom would write him a check. He would give her a receipt. Dad would mail the receipt to the regional church administration where a secretary would mail back a check for a set percentage of the fee. This would all take about a couple of weeks. I suspect the dentist’s overhead hovered around thirty percent at the time.In the seventies, our august leader,

Public Information Officer

At Large Board Member Sang Bae, DDS (425) 485-8885 [email protected] Constitution & By-laws Comm. Chair Todd Haworth, DDS, MAGD (360) 457-5152 [email protected]

REPRESENTATIVEDental Student Dean Whiting (425) 609-3288 [email protected]

Dental Student Seth Perrin (206) 954-5150 [email protected]

Dental Student Charmaine Felix (206) 849-3651 [email protected]

Dental Student Josh Manchester [email protected]

Senior Student Chair S. Brady Bates (509) 868-1623 [email protected]

Junior Student Chair Rachael “Tyler” Smoot [email protected]

President Richard Nixon, announced he was going to fix the tragedy of costly medical (and dental) care by flooding the market with doctors. The medical/dental schools were encouraged to admit students before they graduated from college. The four year program was shortened to three, and many of the class sizes were increased by fifty to one-hundred percent! The dental schools implemented a federally funded program called T. E. A. M. It was formed to teach the dental students the modern technique of four-handed, multi-chair, expanded-function dentistry. Coincidentally, dental insurance was then becoming popular. At that time, the annual insurance limit was far beyond the cost of a crown, and patients rarely reached their max. The overhead for a practice drifted upward past fifty percent. The staffing hassles were certainly more pronounced, but the schedule was still solid and the net felt good. In the nineties, demand for care seemed to be slipping a bit. Holes started showing up in the schedule. Insurance benefit restrictions became a little more entertaining. Experts lectured us to “thrive by going up market,” and the overhead was now creeping past seventy percent. As we now approach the teens of our century, the scheduling potholes sometimes look like a bombed out war zone. Seven figure CEOs of mega insurance companies run multi-million dollar advertising campaigns while managing hordes of insurance processors to creatively deny basic care. Overhead is becoming nosebleed. (How

do you cook a frog? Put ‘em in cold water, slowly crank up the heat, and voilá!) Through all of these decades, I was fortunate enough to come in contact with a few dentists who swam against the tide. One is a prominent dentist in Arizona. He’s very energetic, thoughtful, studious, and a great communicator. For a time, he became convinced of the benefits of the “modern” office. He spent four years doing a careful study trying to prove that a multi-chair, expanded-function office was more financially viable than a small office. The stats came back proving the opposite. Even with a little bit of the inevitable down time, the inherently high overhead during those times crashed through the net totally destroying any efficiency of scale. So he has spent the past several years both practicing and teaching the merits of doing excellent dentistry with just one chair. He now has vastly less overhead and much more satisfaction. For some unexplainable reason, however, the equipment reps don’t seem to be sponsoring his lectures. An Australian dentist wrote a book on how to do low overhead, high quality dentistry with a few assistants and no front desk. The assistants split out the charts. Each created one-on-one relationships thereby, and thus they “owned” their patients. The doctor was just there to “help out.” I visited with a dentist in a small town in Norway a few years back who worked quite happily doing all phases of dentistry with one chair, and one employee. He did quite well for himself as well. He told The Sky is Falling

continued on page 4


These pages are filled with opportuni-ties to move toward a better, saner place. It is said that once you step out the front door, your journey is half done. If you haven’t done so already, we urge you to avail yourself of these wonderful courses offered. Step out the door. Make that decision. You will meet some extraordinary people and make new friends along the way.

Insanity Insanity, as the saying goes, is doing the same thing over and over while expecting different results. In the practice of dentistry, this adage is played out clinically by seeing the same failures over and over, and wondering “Why is this happening?” We may see it show up in the same friction between staff members, repeated charting errors, and angry patients confused about their bill.

Not long ago I heard a corollary to the above definition of insanity: Wanting things to be different, but being unwilling to change ourselves.

Now perhaps insanity is too strong a word. For most of us, the image of a person suffering from a true DSM-IV mental illness does not fit with a successful doctor of oral medicine. If the word insanity is too strong, that’s okay. Thank goodness that’s not the kind of insanity to which I am referring.

Personally, I have done the same things over and over expecting that it will be different this time. I have also wanted my world to be a little different, but have been unwilling to change myself. From these experiences, I have changed, sometimes quickly and sometimes slowly. I don’t think I’m unusual. I’ve seen my colleagues behave the same way. It’s a normal part of the human condition to some extent.

The practice of dentistry entails growth, both clinically and personally. We are often confronted with our failures more immediately as few other professionals are. We want things to be different and better, but often are too comfortable or lack the enthusiasm to change ourselves.

The WAGD is all about growth. It’s all about making your world a little better. Ultimately, it’s about delivering the best dentistry to your patients.

me that many European dentists tend to have their ops set up so they can work alone most of the time. A few years ago, a well respected dentist here in Seattle gave a demonstration to the WAGD on how his practice slowly evolved to just one employee – his wife. He did great work, had many high-end patients, and was very satisfied due to the extremely low overhead. Maybe it’s due to my naivety, but I do not believe a mega-dental institution, with investors expecting to skim a sizable profit from their millions invested, could equitably compete with an experienced dentist who is well trained in the disciplines and who carefully manages his/her low overhead business. Nor do I believe a truly savvy CFO would prefer the pervasive umbrella of a big-name dental insurance company over the simplicity and financial efficiency of direct reimbursement. It seems to me that the evolution has gotten so far out-of hand that a semblance of sanity should somehow sneak back into the picture. So my personal view of a future outlook is, in a word, diversity. If one wants to hang back, let someone else run the business and focus solely on clinical care. It’s possible. If one wants to simply manage passive income, that’s possible, too. And if one should desire to be the captain his/her smaller boat with all its simplicity and flexibility, this, too, is not without its financial reward and peace of mind. This brings me to the WAGD. No matter which way one wants to do dentistry, loading one’s quiver with the arrows of improved and expanded clinical skills will empower him/her to rise above the rumbling herd. We have many programs available to get wet-fingered participation courses that can empower our potential. Don’t worry! Be happy! Every generation has brought its inexorable change to dentistry. Fortunately, the sky has not altogether fallen for low overhead dentistry which remains a satisfying option that can yet be highly rewarding.

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The Sky is Falling continued from page 4


1) What has your year as AGD vice-president been like? Over the past four months since my election for AGD Vice President on July 28, 2011, I have been to Chicago

three times for council and executive meetings, Philadelphia to see the site for the 2012 AGD Annual Meeting, Destin Florida for a Board meeting and Las Vegas twice for the week-long ADA meeting and our new Practice Management meeting that we started this year. I have also participated in 28 conference calls. Since I am still Seattle King County Past President, a Washington State delegate and an ADA delegate from Washington this year, it has also been exciting to be involved in the Access progress we have had in our state as well as the efforts to bring synergy to the profession by the ADA and AGD collaboration of projects with the help of outside companies who have been so generous. 2) What has been your biggest accomplish-ment this past year? Both the ADA and AGD have a mission of helping patients and advocating and educating the profession. It is my desire to help synergize all parties interested in attaining these goals because together we will make the profession stronger. One of my passions is to help those who have no money get access to dental care and help new graduates get work to help pay off their huge school loans. Thanks to a very involved Seattle King County Access Committee, creative ideas offered by Drs. Bart Johnson and Amy Winston and the help of Swedish hospital, Pacific Hospital Preservation and Development Authority (PHPDA), WDS, Burkhart and possibly Pierre Fauchard Foundation donations we have helped develop a program that helps eliminate dental emergency visits which saves costs for the state. It started with a “Golden Ticket”

which was given to every patient that came to the ER in pain. Swedish saw the potential of cost savings and with the help of those listed above funded a three-chair dental clinic that will help take care of patients with dental pain and “leave no abscess behind.” The Seattle King County Foundation which gets most of its money from the annual auction has agreed to partner and help fund a navigator-scheduler-assistant and a part- time practitioner 2 days a week who will help coordinate volunteers for the program. We are also helping the Northwest Kidney patients who can’t afford dental work get their work done and be ready for their kidney transplant. At the ADA house of delegates, and through collaborative efforts of many states, we proposed that ADA look at a resolution to help the funding of dentists in underserved clinics that have no other source of funding. It is only through the collaboration and synergy of “MANY” that we will really “MAKE A DIFFERENCE”. 3) What has been your biggest challenge this past year? The biggest challenge besides finding time to “fit it all in” and practice dentistry is the frustration I have felt with the PEW and Kellogg support of the funding of another dental professional who will be allowed to do extractions and prepare teeth for fillings and will not have a dental degree. The feasibility of a program like this to succeed is questionable and my concern is that the millions of dollars spent will be wasted. It would make more sense to me for these foundations to look at a program of setting up endowments that might spin off thousands of dollars a year forever with NO ADDITIONAL INVESTMENT which could be used to fund dentists to work in under served clinics—helping the access problem for those that have some f the most complicated treatment needs we see and who are usually systemically compromised. 4) How are the goals and visions of AGD and the ADA similar and where do they diverge? I believe the goals and visions of AGD and ADA are very similar. Most AGD leaders are also involved at least as ADA members. Many are involved as members and Chairs of ADA Councils. Working together we can accomplish much

more synergistically than we can if we are duplicating efforts. In Washington we have even offered courses through AGD that are FREE if the dentist is BOTH a member of AGD and ADA because we feel strongly about the efforts of BOTH organizations. Because AGD is focused on the General Dentists—their education and the needs they have to be successful in practice—our focus is more “specialized.” ADA members come from all specialty areas and their needs and focus, depending on the issue, may vary from the needs and focus of the general dentist. I personally believe we are all connected through referrals and the need to collaborate on patient treatment. It is vital to be connected and have open communication so that differences and similarities can be explained and respected. 5) What is on the horizon facing you as AGD president-elect? Several states are also facing insurance company decreases in reimbursement which are threatening the viability of the dental practice as we know it. The repeal of the McCarren Fergusion Act is vital to help with the antitrust issues dentists find themselves in when they try to counter these activities. Student debt is on the rise and we need to educate the students in efficient practice management systems early, along with the concept that saving is vital to their long—term professional success. Corporate dentistry may “appear to be the only answer” to some new graduates. Dental Schools are losing more and more state funding. We have an excess of dental students graduating with no positions, yet “for profit” schools are being started. PEW and Kellog continue to suggest that non-dentists can do dentistry and are will-ing to pour money into their training, leaving the states or other programs to pay new provider’s salaries. An increase in oral health literacy early on is needed to create a “tipping point” to decrease dental disease in our country. ADA and AGD and other organizations, both dental and non-dental, could synergize to bring this important information to the public. Together we must be creative so that we can start solving some of these problems now. “Many Baby steps make one giant footprint”

DR. DAVID HOUTENINTERVIEWS

DR. LINDA EDGAR

Interview with Dr. Edgar continued on page 14


Present:Understanding Legal Tools:

A Down to Earth Guide to Lawsuit Protection, Prevention and Tax Reduction

Thursday April 19, 2012

6:30pm-9:00pm

At the Sea Tac Airport Marriott 3201 S. 176th Seattle, WA 98188

Please join us for an evening that you cannot afford to miss! Today, successful professionals are faced with many challenges, especially financial challenges. Heavy tax burdens as well as legal assaults by trial attorneys are some of the most dangerous and time consuming battles fought by today’s professionals. We will be discussing, in a down to earth manner, proper legal structuring for a dental practice and how it will ease the burden of taxes as well as protect your personal as well as professional assets from any lawsuit. We look forward to spending the evening with your society and teaching you how to legally keep what you have worked hard to earn.

This is a FREE Course for Washington AGD Members!! ***See Registration Details to attend for Free***

&

Registration for Continuing Dental Education Courses Washington Academy of General Dentistry2012 WAGD Fellowtrack Registrations FormFax back to: Valerie Bartoli, WAGD Executive Director (253) 891-4053Name:________________________________________________________AGD#_________Staff Attending:______________________________________________(Please Provide Names)Tel:_________________________________Cell:_____________________________________Fax:_________________________________Email:___________________________________Address:_____________________________City_________State_____Zip:_________*Important Information (Please Read & Initial)Please Circle Credit Card: Visa MasterCard Amex ExpressName on Credit Card (if different than above)____________________________________________Exp Date:_______ Security Code#________ Card #:________________________________________ $3.50 Credit Card Processing Fee will be added. Please Initial_____Total $___________Tuition:WAGD Member: Free WAGD Member Staff with DDS: $50 AGD Member from another state: $100AGD Member Staff from another state with DDS: $75 Non-AGD Member DDS: $399Non-AGD Member Staff with DDS: $199Dinner is included with Registration. Parking is not included with registrationYou must RSVP your attendance two weeks in advance. There are no refunds with the Fellowtrack or AGD Membership. All of the courses are limited attendance.

ADVERTISE IN THE WASHINGTON ACADEMY OF GENERAL DENTISTRY

NEWSLETTER First of all, our thanks to you as a loyal advertiser in the WAGD quarterly newsletter. These publications reach the almost 4500 member dentists practicing in Washington. Here are our 2012-13 plans: We will publish our quarterly newsletter in November, February, June and September. We’re also offering classified advertising. If you would like to share an article please email [email protected]: We are continuing our popular 5% discount to those who commit to all 4 publications! You will also receive a complimentary copy of the Newsletter. If you have questions, please e-mail our publisher, Bill Newcomer, [email protected] or call him at

503.318.5916 or 360.573.1201

DO YOU HAVE OFFICE SPACE TO LEASE,

EQUIPMENT TO SELL, PLACE AN AD IN

THE NEWSLETTER.

Washington AGD Announces its 1st“Husky Football

Dental Study Club”!!! Starting

September 15th, 2012

More to come......

SAVE THE

DATE!!


Washington AGD Hands-On

Orthodontic ProgramRegister Now!

Space is Limited!!!

Where:Comfort DentalOffice of Binh Tran, DDS, FAGD1014 South 320th streetFederal Way, WA

Starting Date:Friday January 11th & 12th, 2013 Add to my calendarCourse Tuition: $10,000 for 12 sessions AGD Member Dentist$2,000 for 12 sessions for CDA with AGD Member Dentists

$12,000 for 12 sessions for Non-AGD Member Dentist

$4000 for 12 sessions for CDA with Non-AGD Member Dentists* Payment Plans are available

Material Costs: $3,000 dentist supplies/instruments to treat 10 cases in their own office.

$120 Tip Edge Orthodontics Dr. Parkhouse Text bookSpeaker-Binh Tran DDS

Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or WAGD endorsement. Washington AGD PACE Provider (6/1/2010-5/31/2014).Disclaimer *As a Non-Profit entity, Washington AGD does not endorse, partner or solely support companies, products or speakers, but rather recognizes speakers, products and sponsors for their their services to our Washington AGD educational programs. The views and opinions of the speaker expressed during the educational program, do not necessarily state or reflect those of the Washington AGD.

Space is limited to 10 participants. Register today!!Course Location: Comfort Dental 1014 South 320th street, Federal Way, Wa. 98003Course providers: Dr. Binh Tran DDS, Lily Stefoglo, CDACourse Date, Time, Length: Second weekend of each month for 12 months. Starting Jan 2012. Fridays are lectures and Saturdays are patient treatment. Maximum attendees: 10, Interview by Dr. Tran for acceptance. Contact: Dr. Binh Tran 206-276-6179 for Interview or email [email protected] Course Content/Objectives:• Trainingfrominitialconsultationtofinalretainerdeliveryandmonitor:• Initialorthodonticexaminationandcomprehensivetreatmentplan.• Orthodonticrecordsandmanagementsystem• PhotographyandCasepresentation• OrthodonticOfficeandFinancialmanagementsystem• CephAnalysisandFACEprinciples• OrthodonticsPrinciplesandMechanicsforAngleclass1,2,and3• ClinicalOrthodonticpractice:frombandingtodebanding.• Orthodonticsuppliesorderingandmanaginginventory• Posttreatmentretentionandmonitor• SurgicalandTADinOrthodontic.• PediatrictoGeriatricorthodontics.• Atrainingmanualsandrelatedreferencepapersisincluded.• Attendeewillbetrainedinhowtostartorthodonticserviceintheiroffice.• AttendeewilltreatandpresentaminimumoftwoofDr.Tranpatients.• Attendeeisrequestedtostarttreatmentintheirownofficeandpresentthosecases.• Monthlyquizandafinalexamwillbegiventoconfirmlearnedconcepts• FinalPlaqueandCertificatepresentationwithDinner(spouseinvited)Course Goals:At the completion of this course, attendees will be able to confidently identify orthodontic problems and provide treatment solutions in their own office. This course will provide additional office income while enhancing all other treatment results that the doctor is providing. Course requirement: Attendance, Office capacity, patients’ availability, supporting staff. The doctor is encouraged to select one CDA from the office to attend a staff training course if possible. However, past doctors have trained their own staff to provide care.Registration for Continuing Dental Education Courses Washington Academy of General Dentistry2012 WAGD Fellowtrack Registrations FormFax back to: Valerie Bartoli, WAGD Executive Director (253) 891-4053Name:________________________________________________________AGD#_________Staff Attending:______________________________________________(Please Provide Names)Tel:_________________________________Cell:_____________________________________Fax:_________________________________Email:___________________________________Address:_____________________________City_________State_____Zip:_________Course tuition: $10,000for12sessionsAGDMemberDentist•$2,000for12sessionsforCDAwithAGDMemberDentists$12,000for12sessionsforNon-AGDMemberDentist•$4000for12sessionsforCDAwithNon-AGDMemberDentists* Payment Plans are availableMaterial Costs: $3,000 dentist supplies/instruments to treat 10 cases in their own office.$120 Tip Edge Orthodontics Dr. Parkhouse Text bookPlease Circle Credit Card: Visa MasterCard Amex ExpressName on Credit Card (if different than above)_____________________________________________________Exp Date:_______ Security Code#________ Card #:________________________________________________ $3.50 Credit Card Processing Fee will be added. Please Initial_____ Total $___________*As a Non-Profit entity, Washington AGD does not endorse, partner or solely support companies, products or speakers, but rather recognizes speakers, products and sponsors for their services to our Washington AGD educational programs. The views and opinions of the speaker expressed during the educational program do not necessarily state or reflect those of the Washington AGD.Washington AGD Approved PACE Program Provider #219331 FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry, AGD or WAGD endorsement. Washington AGD PACE Provider (6/1/2010-5/31/2014).


Invisalign

I am a general dentist, and when it comes to orthodontics, I am limited to Invisalign. Don’t get me wrong, Invisalign is a great treatment option, but sometimes it can be really frustrating when there is a minor tweak you need to accomplish slight rotation, slight diastema, slight tilt. The option is to do a refinement or settle for the result. In the end, the patients are happy, but I’m not. I know a better result is possible. I can do better. This was the primary reason for signing up for the hands-on WAGD Orthodontics, taught by Dr. Binh Tran. I remember learning about orthodontics was one of the toughest things I did in dental school. Not because it was difficult, but because it was so boring and the furthest thing from practical. It was very hard learning about theories and tooth development because the whole time you were thinking, “how am I going to use this?” I have known Dr. Tran for the past 4 years and I know him to be a hands-on and a very practical person. I knew I would be gaining knowledge that I could use Monday morning. I signed up for class in December, and from the day I signed up, he was in contact with me. We had homework: identify teenage patients that are in class 1 molar, with crowding, crossbites, or spacing. Inform the patient and parents that they could benefit from orthodontics. Don’t push, just inform. Let them know that you are taking the course and if you qualify, we will do the treatment for half price. With just a simple sign in the reception area, and a few minutes of talking to the patients and parents, I had five patients. For each of the patients, I took photos and emailed Binh about the case. He would go over what to tell the patients and parents, what type of treatment, and what to expect. Next was taking ortho models and sending the patients to NW Radiology for a pan, ceph, and a ceph analysis (tracings). The first day of class was the complete opposite of dental school. From the beginning, it was all practical information. After a quick overview about orthodontics, we discussed the basics, what we were trying to accomplish, and how we were going to get there. There were actual patient cases. It was like a big jigsaw puzzle, and Binh showed us what the results would look like. We just had to put the pieces together. It is a lot easier to do a puzzle

with a group of people. The second day of class was hands-on at Dr. Tran’s office. Dr. Tran had patients for us to work on. We were broken in groups of two and each one of us got to band and bracket a patient. I brought my assistant to the course and we each did one side. After finishing with our patient, we went and saw what everyone else was doing. Talk about hands on! After the patient portion, Binh took us back to his office and we went over our individual cases. I don’t know if there is another ortho course where you get so much hands-on experience, let alone have one-on-one sessions with the teacher, who is also on-call for any help you might need. You are welcome to follow the course on our class blog: www.wagdortho.wordpress.com. You get so much hands-on experience in addition to having one-on-one sessions with the teacher, who is also on-call for any help you might need. Bannerwood Family & Cosmetic Dentistry (425) 378-DENT www.factoriadental.com

Ready to talk about the elephant in the room?

Meet Ellie.She’d like to help you pay peanuts for the products and services you need most.

> P r o f e s s i o n a l S e r v i c e s > P e r s o n a l S e r v i c e s

Through AGD Benefits Plus, various organizations provide exclusive offers or member discounts on a variety of high-quality products and services. For more information about the AGD Benefits Plus programs, visit the Membership section at www.agd.org, or contact our Member Services Center at 888.243.3368.

Be sure to identify yourself as an AGD member when you contact these Benefits Plus Providers to take advantage of these exclusive offers or member discounts.

AGD Benefits Plus programs are subject to change without notice.

AGD Visa® Platinum Card Brought to you by Capital One®

Credit card provider

www.agd.org/agdcard

AVIS/Budget Car rental discounts 800.698.5685 800.455.2848

Banc of America Practice Solutions Inc. Office loans & commercial real estate 800.497.6076

CareCredit Patient financing 800.300.3046, ext. 4519

Dentist’s Advantage Professional liability &

malpractice protection 888.778.3981

Elavon Canadian credit card processing 888.362.6712

Hagan Benefits, Inc. Group life and disability insurance

877-280-6487

Liberty Mutual Auto & home Insurance 877.477.3320

The Online Practice Practice websites 888.932.5560

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ZOLL Medical Corporation Defibrillator services 800.348.9011, ext. 9137


Reputation. It’s a funny thing. Everyone has one. In many ways it is our most valuable asset. Today’s day to day signatures of our purpose and behavior become tomorrow’s reputation and today’s reputation will become our tomorrow’s legacy. This legacy is our only intentional way to influence our future and even the future beyond our lifetime. If we do it right, each of us has an opportunity to make a difference even after our passing. What a trip! What a gift... life beyond dentistry. Dentists have reputations like all people. Large groups of people also have reputations. For example, Italy has a reputation for great wine and France has a reputation for great food. What is your reputation as a dentist? A reputation doesn’t just show up. It is by design but sometimes that design is unconscious. A reputation takes time to create and it takes time to change. Choosing a reputation, like writing a vision statement of your purpose as a dentist, could be the single most significant event of a dental practice. This is where you make your declaration to your staff and patients. We are at another crossroads in dentistry. There is a trend to do everything faster, be more

efficient and more profitable. I think when I go fast, I eventually miss things. Certainly, some dentists simply produce faster, with superb results, but what I am talking about is going fast and generating results that are short of what we are capable of producing when we take our time to do it right. We must decide early in our career whether we want to be “fast” or “fine.” The question is do we want to be about the business of dentistry or about the profession of dentistry? What about the patient? We must decide if we want to diagnose and treat patients based on our needs or the patients’ needs. Is your practice a patient-centered practice? Many dentists say this is where practice satisfaction truly lives. When our dentistry is at a mastery level, then our staff, existing patients, and new referrals truly know that our mandate is treatment that means value to them. Like attracts like. It is cosmic law. If you are at your best, then you will attract staff and patients that are at their best. Patients will readily accept treatment because they have already sought a best dentist, not a least expensive dentist. And so, reputation can be a delicate thing.

Respectfully submitted by, John West, DDS, MSD

It is perhaps the most important professional possession that we own. It must be nurtured, developed, and designed with intention. The late L.D. Pankey is quoted as saying, “It is not hard to be the best. There is no competition.” Do you have a reputation that represents you and your special sets of skill, care, and judgment? If not, perhaps today is the day to begin. Your reputation will happen no matter what. The question is will it be by default or by design? The answer is in the mirror. My niece Grace knows I like quotes so she offered one to me a couple of weeks ago that seems to perfectly fit with each of our unique reputations: “Be yourself…because everyone else is already taken.”

REPUTATION

Can Facebook fix your practice? As social media makes a larger and larger impact on the lives of our patients, many practices are wondering how they can use that technology to better serve their patients. While I am not an expert, I believe a dialogue about the pros and cons of social media is beneficial to our members. In doing so, however, I will limit my discussion solely to Facebook, the most popular and best known social media outlet. There are over 800,000,000 active Facebook users, more than 1 out of every 9 humans on the Earth! More than 50% access their account on a daily basis. An average active user has 130 friends and is connected to over 80 community or business pages and events.(1) These staggering statistics make it completely obvious that if you’re not on Facebook, you are missing a chance to serve your patients, because they definitely are on Facebook! Stop resisting and check it out. For resisters I ask you to consider two things: first, imagine Facebook as a virtual discussion, for it truly is. If you’re not at the table, how will you know what your patients want or need? Second, consider a business page as a virtual storefront, like the sign you have right now out on the street in front of your office beckoning patients to come and see what you have to offer! What are some pros to Facebook? Well, you

can communicate quickly (immediately) with your patients! When I launched the Facebook page for my brand new dental practice, Granite Dental, in less than five minutes I had advertised my new practice to over 1,000 friends for free! More importantly, within 24 hours I had 32 people “like” my practice, which sent a notification to all of their friends that they like my dental practice. Assuming each of them has 500 friends, 17,000 people were aware of the launch of my page within 24 hours! What else can Facebook do? It gives me a chance to blog, which is an online journal entry I create to serve my patients. Blogs can include topics like how third party financing will allow my patients to receive the care they want and deserve, how IV sedation will allow them to finally get the care their fear has prevented, or something as simple as where I like to eat lunch! What I really like is when I have a patient that comes through that owns a restaurant, I can blog about it, “like” their Facebook page, and then my patient gets a little free advertisement from us! I love helping my patients enjoy success in their professions just like they help me! Other great things Facebook can do: you can offer discounts or sweepstakes on your page. You can post links to informational sites like the AGD’s “Know Your Teeth.” You can explain what the letters after your name mean, include bios of your team, post photos of some complicated cases you’ve completed. Truly you can do almost as much in your virtual office waiting room as you could in your real one.

But, that leads to the primary con for Facebook: Facebook will not create itself, nor will it maintain itself. Unfortunately, if you’re looking for something you can just put up and neglect, social media may not be the right answer because, just like your website, a lame page might communicate a lame doctor to your friends, family, and patients. It will take time, perhaps 1 hour/week, to keep your site current, interesting, and relevant. It is wise also to remember that it truly is a virtual waiting room, so spamming your friends with “Free bleaching with exam and x-rays” every week, like every other dentist, will probably drive people away, not towards your page. Instead, I encourage you to demonstrate that you care, that you’re willing to listen, that your patients are people, and you’ll find that for no money down and a little investment of time your patients are more loyal, more compliant, and that they’re sending you their friends and family! If you want to learn more, take advantage of your membership by attending a great upcoming CE course offered by the WAGD on February 24th: “Social Media and Your Practice.”. Details can be found on our website: www.washingtonAGD.org

Author:Dr. David A. Keller, DDS, MBA WAGD Immediate Past PresidentGranite Dental [email protected](1) retrieved from http://www.facebook.com/press/info.php?statistics 01

FEB 2012 @ 11:12am


Clinical Complications in Fixed Prosthodontics: Cause, Prevention, & ManagementSpeaker-Charles J. Goodacre, DDS, MSD7 Hours of CDE for $99

10th Annual William Howard Memorial LectureSeaTac Airport Marriott 3201 S. 176th, Seattle, WA 98188Hotel #206-241-2000Hosted by: Seattle-King County Dental Society (SKCDS)& Washington Academy of General Dentistry (WAGD)

This presentation will identify the most common causes of failure and the most common complications encountered in fixed prosthodontics (conventional single crowns, conventional fixed partial dentures, all-ceramic crowns, resin-bonded prostheses, post and cores, and implant prostheses). Causes of the complications will be identified along with methods of minimizing or preventing their occurrence.

Synopsis: A knowledge of the factors that produce failure in conventional and implant prosthodontics enhances our ability to develop effective treatment plans, facilitates success, promotes optimal doctor-patient communication regarding anticipated treatment outcomes, and provides early diagnosis of problems encountered during long-term maintenance.

Objectives: Following the presentation, attendees will be able to: 1. Identify the types of complications that occur in fixed prosthodontics and implant dentistry.2. List the factors that are most likely to cause complications.3. Develop strategies that can be used to minimize or eliminate failures.

7 Hours of CDE for $99 to members of both the Seattle-King County Dental Society & Washington Academy of General DentistryThe William Howard Program: This inaugural program is named in honor of Dr. William Howard, long-time AGD Editor and person who made a difference in the lives of thousands of people. *Important Registration Information (Please Read)This course is $99 to members of the SKCDS & Washington AGD. You must be a member of both organizations to register at $99. To guarantee entry, you must Pre-Register and bring the confirmation email provided to you from the Seattle-King County Dental Society to the course. No confirmation sheet means no entry into the course. If you are a member of only one of the organizations, there is an additional registration fee (see next page).

You must RSVP your attendance two weeks in advanceThe SKCDS & WAGD reserve the right to cancel or alter a course. There will be no at the door registrations or walk-ins allowed. All courses have limited attendance.

May 11th, 2012Time: 9:00am-4:00pm

(Lunch is included with tuition)


May 11th, 2012-ATTENDEE REGISTRATION SPEAKER-DR. CHARLES GOODACRE

___________________________________________________________________________________________________________________NAME ADA & AGD# (Required for Free Entry)

___________________________________________________________________________________________________________________EMAIL ADDRESS (REQUIRED FOR COURSE CONFIRMATION) FAX

___________________________________________________________________________________________________________________CREDIT CARD BILLING ADDRESS qWORK qHOME

___________________________________________________________________________________________________________________CITY STATE ZIPADDITIONAL ATTENDEES

___________________________________________________________________________________________________________________NAME POSITION

CARD ACCOUNT NUMBER EXPIRATION DATE

___________________________________________________________________________________________________________________FULL NAME (AS IT APPEARS ON CARD)

___________________________________________________________________________________________________________________CARDHOLDERS SIGNATURE

Type Qty Before 5/4/2012 After 5/14/2012 Total

Both AGD & ADA Member $99 $110 $

AGD & ADA Member Staff $75 $85 $

AGD OR AGD Member $199 $210 $

AGD OR ADA Member Staff $99 $110 $

Non-Member $399 $410 $

Non-Member Staff $175 $185 $

TOTAL $

qVISA qMasterCard qCheck enclosed (Checks should be made out to Seattle-King County Dental Society)

_____________________________________________________________________________________________Please send this form to: Or fax to: Seattle-King County Dental Society Seattle-King County Dental Society2201 Sixth Avenue, Suite 1210 (206) 443-9308Seattle, WA 98121-1832

May 11th, 2012Time: 9:00am-4:00pm

(Lunch is included with tuition)


The Gingival Dental Connection

Why do we care so much about the gingiva? Why is the gingiva so important? We will take a step back and start with biology. The attached gingiva is pale pink, has a firm texture, and in 40% of adults has stippling, which is the orange peel surface, due to the presence of rete ridges of collagen that crown into the keratinized epithelium. The mucogingival junction delineates the oral mucosa, which is vascular, has loose collagen, elastic fibers and muscle. It is covered by a thin layer of nonkeratinized epithelium and this permits movement and stretching associated with mastication, speech, and facial expression. The outer surface of the gingiva is covered with a thick layer of keratinized stratified squamous epithelium with finger-like projections, which are rete pegs, into the dense collagen underneath. The strong attachment of collagen to the epithelium between the rete pegs causes the gingiva to have a stippled surface when it is normal. Not all individuals have evident stippling and this does not mean that the tissue will be inflamed. Rete ridges grow only into the keratinized layer, not into the mucosa. The attached gingival is firm, resists forces, it is pale pink, and it is keratinized from the mucogingival junction to the free gingival margin. It is a keratinized, stratified, squamous epithelium that is firmly attached to the cementum and the alveolar bone through connective tissue fibers. The mucosa is loose, highly vascularized, nonattached tissue that has loose collagen, muscle fibers, and vessels. It is not keratinized. Based on its loose nature, its function is to allow movement and stretching for speech and facial expression. The major group of gingival fibers are the gingival dental group, which is embedded in cementum and fanning out to the gingival margin. The coronal half of the gingival sulcus is line based sulcular epithelium. This is a nonkeratinized stratified squamous epithelium that is thinner than the outer gingival epithelium and it serves as a protective barrier. The apical half of the gingival sulcus is lined by junctional

epithelium, which acts as a seal against the tooth’s surface. The junctional epithelium depends on intact epithelial and strong collagen fibers that keep the gingiva in contact with the tooth. The junctional epithelium is present on natural teeth and implants. The junctional epithelium has ten to twenty cells and its turnover is one to six days. Its adhesion is through hemidesmo-somes. The function of the gingiva is different from that of the oral mucosa. The gingiva must resist the mechanical stimuli of food particles impinging on it during mastication as well as having large accumulations of plaque, bacteria, and direct contact with the gingival sulcus. The gingival tissue must act as a seal in the sulcus that protects the underlying tissue from sub gingival plaque and prevents loss of tissue fluid. In the classical periodontal literature, Dr. Lang and Dr. Loe, from the Journal of Periodontology 1972, found that all surfaces that exhibit less then 2mm of keratinized gingiva presented inflammation and varying amounts of exudate. Inflammation is not the result of only mechanical irritation, but from a mobile (nonkeratinized gingiva/mucosa) which facilitates the introduction of microor-ganisms. Gingival health is compatible with narrow gingiva, but despite excellent home care, inflammation persists on areas with less then 2mm of keratinized gingiva. The areas with the narrowest gingiva are the linguals of the low ante-rior incisors and the buccal of the lower canines and first bicuspids. Both Drs. Lang and Loe in 1972 and Drs. Steller and Bissada in 1987 agreed that 4mm or more of keratinized tissue is ideal for RPDs and 2mm of keratinized attached gingiva is recommended for the health of natural teeth and subgingival restorations. The volume of keratinized gingiva helps us improve the aesthetics and protects better than the mucosa from abrasive agents, such as restorative procedures, trauma from brushing, flossing and mastication. This is also true for implants. Gingival Recession – The Etiology of Recession Why do we have recession in the first place?

Primary factors: 1. Thin periodontium 2. Position of the teeth (root prominence) 3. Frenum attachments and the vestibular depth 4. Seconary etiology factors such as trauma from brushing, restorative trauma, occlusal trauma, or orthodontics All recession should be covered as long as the ideal periodontal support is present. The prime reason to treat recession is to prevent bone loss and concomitant gingival recession. Teeth at a high risk for recession are those that are facially placed or prominent root forms, those that already have recession, and those with minimal gingival volume. When speaking of restorative margins, when we are packing cord for restorative dentistry on areas of thin biotype (areas with inadequate keratinized gingival thickness), recession will likely occur. Currently there are multiple techniques and materials that can be utilized to augment the gingiva. The techniques and materials have to be chosen based on the patient’s needs. Today we also have procedures such as periodontally accelerated osteogenic orthodontics, which is based on the regional accelerated phenomenon (RAP). As far as materials, we have accellular dermal matrix (ADM/AlloDerm), enamel matrix derivative (EMD/Emdogain), platelet derived growth factors (PDGF plus BTC – beta-tricalcium), and a combination of techniques and materials should be chosen based the patient’s needs. From the literature, GTR membranes plus dental tissues and coronally positioned flaps do not improve the gingival thickness by themselves. Thickness is increased with free gingival grafts when the soft tissue grafts (autogenous connective tissue grafts, acellular dermis grafts, bovine collagen, and PAOO-periodontally accelerated osteogenic orthodontics). An example of the advances in soft tissue grafting procedures is taken from the research of Dr. Mike McGuire who compared a xeno graft with collagen matrix with a connective tissue graft both in

Gingival Dental Connection continued on page 13Washington Academy of General Dentistry • Issue 27 • 2012 • www.washingtonagd.org • 12

combination with coronally positioned flaps. This showed how a bovine graft is successful, but not as successful as the traditional connective tissue graft. This is a great advance in research. On his study, he found that autogenous connective tissue grafts had the greatest percentage of root coverage, which varied on the 6-month and 12-month post-operative period between 95.6% to 100% comparison to the xeno-graft, which was between 83% and 88% coverage. It is important to point out that in his study he followed up at four years and for autogenous connective tissue grafts he found stability with root coverage of 99% compared to 86% for the bovine grafts. Drs. Bruno and Bowers published in the International Journal of Periodontics and Restorative Dentistry in the year 2000 an article that was called “Histology of a Human Biopsy Following the Placement of Subepithelial Connective Tissue Graft.” They looked at the type of attachment that was gained with an autogenous connective tissue graft. Contrary to what was thought in the past—that we would obtain a long junction epithelial attachment—they found a connective tissue attachment against the roots. Based on the study by Dr. Bowers, we know that the width of the attached gingiva on the buccal surfaces has the broadest zone in the area between the lateral and central incisors, then the maxillary first bicuspid and canine, followed by the buccal of the lower anterior lateral and central incisors, followed by the buccal of the second molars, and the smallest width was found on the area of the mandibular first bicuspid and canine. This is relevant as we need to be very detailed when doing an evaluation for the area of deficiency. Regarding the width of the attached gingiva on the lingual surfaces, Dr. Voight and company found that the second and first molars had the greatest lingual band and the lingual of the lower anterior sextant had the narrowest band of keratinized tissue. Physiological Dimensions Significant to Restorative Dentists Maintaining healthy periodontium is critical to the prognosis of the teeth. There

are three different dimensions. a. Superficial b. Crevicular c. Subcrevicular

The superficial dimension is the extent from the mucogingival junction to the gingival margin, which is in charge of preventing the pull from the frenums and muscle fibers of the mucosa, therefore preventing the retraction of the free gingival margin, which could cause recession. How much gingiva is adequate for restorative procedures? Drs. Mainer and Wilson concluded that 5mm is adequate and we need to have 3mm of attached gingiva and 2mm of free gingiva. With regard to the thickness, we know that is very important to have thickness to prevent recession and for good health. From the biological standpoint, we would like to ideally wait at least eight weeks after a crown lengthening procedure or periodontal surgery before restorative margins are prepared. The reason for this is to allow the sulcus to re-establish. We know that the sulcus will establish itself by coronal migration of the free gingival margin and not by apical migration of the epithelium. At week one post-surgery, we have a long junctional epithelium re-established. At week four post-surgery, we have the connective tissue re-established. At week eight, we have complete re-establishment of the sulcus. For anterior preparations, it is recommended to wait twelve to sixteen weeks to ensure that there is gingival margin stability in the anterior zone. This allows the gingival sulcus/crevice to develop.

Biological width The initial studies by Dr. Gargiulo in 1961 concluded that there is a proportional relationship between the crest of bone, the connective tissue attachment, the epithelial attachment, and the sulcular depth. They describe the biological width as the sum of the epithelial at-tachment (0.97mm, but could vary from 1.0 to 9.0mm due to the long junctional epithelium) and the connective tissue attachment (1.07mm). This measurement is constant; therefore, the biological width

is on average 2.04mm +/- depending on the epithelium thickness. To be accurate, they recommend bone sounding in prepa-ration for crown lengthening. Subtraction of the sulcular depth will then provide us with the individual patient’s biological width. It is important to note the mucogingival re-lationship to orthodontics. When doing an orthodontic evaluation, it is important to look for aberrant frenums that will prevent the closure of diastemas and that are causing pull of the gingival margin. Is there a lack of keratinized gingiva (see-through mucosa)? Are there any impacted teeth? Are there any pre-existing areas of recession? Is there soft tissue overgrowth either induced by plaque and/or medication that could restrict access or home care for the patient? Are there any supraerupted teeth (especially in posterior bite collapse patients) that need extra anchorage? What is the width of the keratinized gingiva before and during orthodontic therapy? There was a study by Dr. Coatman that concluded that teeth with < 2mm of ke-ratinized gingiva had a greater incidence of complete loss of keratinized gingiva than those with 2mm or more. It was concluded that mucogingival problems noted after orthodontic treatment are often the result of preexisting mucogingival defects. Remember, patients can better maintain health on attached gingiva. For best results, management of recession should be done in its early stage. Recession is not just the loss of soft tissue, but the loss of bone.

Silvia La Rosa, D.D.S.Diplomate of the American Board of Periodontology

Gingival Dental Connection continued from page 12


Washington AGD Mastertrack Program Open to ALL Dentists-Register Today

*Hands-On Program 16 different disciplines*

Where: SeaTac Airport Marriott 3201 S., 176th Street Seattle, WA 98188

Starts: Thursday September 20, 2012 at 8:00 AM PDT -to- Sunday September 23, 2012 at 12:00 PM PDT Add to my calendar *Fours Session per Year & always months of September, November, January & April. Time: Always Thursday thru Saturday 8:00am-5:00pm & Sunday 8:00am-12:00. Includes Light Breakfast, Lunches and all Materials Tuition per year $5000 for AGD Members. $5500 for Non-AGD members. Payment Plans are available.

Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. Washington AGD PACE Provider

(6/1/2012-5/31/2014)

The Washington AGD is offering a program that showcases courses in at least 16 different disciplines.

This program will give each participant over 5 years, 600 hours (with protocol) of PACE approved continuing dental

education credits, of which 400 hours are participation hours.

*For those dentists seeking a well balanced hands-on interdisciplinary education, this study club program will answer that call! *For those dentists seeking Fellowship in the AGD, This program contains all of the requirements to reach this goal. *For those seeking Mastership in the AGD, this program over 5 years contains all of the requirements to achieve Mastership.

Check out our Speaker Line Up Below for 2012-2013

Fax Your Registration Today!!

How It Works

Washington AGD will be accepting the first 30 applicants who contract for the year. There will be four sessions per

year, each consisting of a 28+credit. Washington AGD FREEZES your yearly tuition ($5000 for AGD Members, $5500.00 for Non-AGD Members) for each

remaining four years. Payment Plans are available to participate in the program each year.

Speaker Line Up for 2012-2013 September 20-23rd, 2012

Dennis Braunston-Digital Photography Dr. Sergio Kuttler-Endodontics

Dr. David Clark-Fixed Prosthodontics Masters Case Presentation

November 8-11th, 2012 Dr. Greg Gillespie-Fixed Prosthodontics

acceptance by a state or provincial board of dentistry or AGD endorsement. Washington AGD PACE Provider

(6/1/2012-5/31/2014)

Masters Case Presentations

Speaker Line Up for 2012-2013 September 20-23rd, 2012

Dennis Braunston-Digital Photography Dr. Sergio Kuttler-Endodontics

Dr. David Clark-Fixed Prosthodontics Masters Case Presentation

November 8-11th, 2012 Dr. Greg Gillespie-Fixed Prosthodontics

Dr. James Brudvik-Removable Prosthodontics James Moquin-Heartstart Medical

Masters Case Presentation January 24-27th, 2013

Dr. Richard Winter-Esthetics Dr. John Gammichia-Operative

Dr. Michael Johnson-Removable Prosthodontics Masters Case Presentation

April 25-28th, 2013 Dr. Bart Johnson-Special Needs/Medically Complex

Patients Dr. Silva LaRosa-Perio (Pending)

Dr. Ariel Raigrodski-Prosthodontics Masters Case Presentations

Application for Washington Academy Courses Send to:

Valerie A. Bartoli, Executive Director

Name_______________________________AGD Number_______________________

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Credit Card Payment: (Please Circle) American Express, MasterCard or Visa

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Application for Washington Academy CoursesSend to: Valerie A. Bartoli, Executive Director

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Payment Plans are Available-Please Contact: Valerie Bartoli, Executive Director

Tuition for Mastertrack Sessions$5,000 for AGD Members

$5,500 for non AGD Member (AGD Membership $399) *U.S. Dollars

Three Easy Ways to Register

Mail: 900 Meridian E. Suite #19-361 Milton, WA 98354

Phone: 253-306-0730 Fax: 253-891-4053 Cancellation Policy: Due to the nature of this course, no refunds of the yearly tuition will be given. Organizers will not be liable for any expenses incurred by participants due to missed sessions. The WAGD reserve the right to cancel a course if the minimum registration expectations are not met. Reg-istrants will be notified and full tuition refunds will be issued.

www.WashingtonAGD.org

6) What is going on with you personally? I had a new granddaughter- 7 weeks early- last June , 2011 – there is no greater gift!! Time with her is a priority. My husband, Bryan, is also heavily involved with organized dentistry as ADA state treasurer, AGD Investment Committee and also his work on the Dean’s search for the University of Washington. My son is a Fed Ex Pilot and I have 2 great golden retrievers that I bought at our Seattle King County Auction several years ago.

7) How do you juggle all of your activities (AGD, SKCDS, ADA, an active practice, family (granddaughter), etc.?” Gym Time “ is gone but “It is amazing what you can accomplish when you don’t know what you can’t do” 8) Anything else you want to cover?!! Favorite quote: “Excellence is the result of caring more than others think is wise, risking more than others think is safe, dreaming more than others think is practical and expecting more than others think is possible” I want to thank those leaders and friends who have been my mentors and continue to help me develop as a leader-and given me the courage to assume this new role.

Interview with Dr. Edgar continued from page 5

Helping Dentists Pursue Their Financial Goals

Stifel, Nicolaus & Company, Incorporated | Member SIPC and NYSE

Investment Services Since 1890

David G. Wilson, Jr.Senior Vice President/Investments

(503) 499-6260 • (866) [email protected] • www.wfgofstifel.com

121 SW Morrison, Suite 1800 Portland, Oregon 97204

David G. Wilson, Jr.Senior Vice President/Investments


ABOUT THE LECTURERs

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ScheduLe (Doctors)

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ULTRAdEnT PROdUCTs, InC. sAvE THE dATE

© 2011 Ultradent Products, Inc. All Rights Reserved. Ultradent Products, Inc. is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. AGD - Accepted Program Provider. FAGD/MAGD. Credit 5/1/11 to 6/30/13. Provider # 209016.

Dr. Dan Fischer and Carol Jent, RDH, BADr. Dan Fischer and Carol Jent, RDH, BADr. Dan E. FischEr graduated from Loma Linda University in 1974. Following graduation, he was an instructor in the restorative department at Loma Linda. Dr. Fischer maintained a full-time private practice for fifteen years, working after hours on research and development. Since 1990 he has worked extensively in research and development but still maintains a part-time practice with an emphasis on esthetic dentistry. He is president and chief executive officer of Ultradent Products, Inc. and extensively involved in the research and development of many products used widely in the dental profession, with numerous U.S. and foreign patents granted/pending. He currently serves as an adjunct professor at Loma Linda University and the University of Texas at San Antonio. He was awarded the Lifetime Achievement Award from the AACD in 2005.

In October, 2011, Dr. Fischer was inducted into the American College of Dentists (ACD), the oldest national honorary organization for dentists. Its members have exemplified excellence through outstanding leadership and exceptional contributions to dentistry and society. Long regarded as the “conscience of dentistry,” the ACD serves to elevate the standards of dentistry, encourage graduate study, and grant fellowship to those who have done meritorious work.

carol JEnt, rDh, Ba Some people think Carol Jent is trying to fit two lifetimes into one. While running marathons, hunting big game, and crashing small planes, she earned a degree in dental hygiene from the University of Alaska. Later, she graduated from the University of Utah in communications and marketing with an emphasis in health care. Now the dental hygiene program manager and R&D clinical hygienist for Ultradent Products, Inc., Carol maintains a busy lecture schedule, authors dental and dental hygiene articles, and serves on the boards of numerous organizations, including Dimensions of Dental Hygiene magazine, Sealants for Smiles, and the Utah and Alaska Dental Hygiene Associations. An avid volunteer, Carol contributes her time and expertise to Donated Dental Services, Sealants for Smiles, and an annual healthcare mission to China. Thankfully she no longer flies small planes.

BELLEVUE, WA ~ FREE SEMINARSponsored by Ultradent Products, Inc.

Date: 08/10/2012 8

Meydenbauer Convention Center 11100 NE 6th Street Bellevue, WA 980044th Floor, Rooms 404-406 Event Phone: 425-637-1020Complimentary course (light breakfast and lunch provided)

Registration: 7:30 AM; Seminar: 8:00 AM - 5:00 PM

Registration: 7:30 AM; Seminar: 8:00 AM - 5:00 PM (Limited staff seating)

Cancelation fees may apply 800.520.6640 | www.ultradent.com/bellevue

TO REGIsTER PLEAsE CALL:



doctor’S Lecture

Staff Lecture

ULTRAdEnT PROdUCTs InC. sAvE THE dATE

Lessons of the Downturn: Positioning for the Future

Improving Your Effectiveness as a Dental Professional

This course will focus on practical information that can be utilized in your practice. Course topics will include:

Dr. Fischer’s one-day course provides an abundance of ideas and techniques to enhance your practice while accommodating the needs of all patients. It demonstrates how the use of tech-nology enables you to provide affordable, quality treatments that improve your patients’ lives and your bottom line. It also emphasizes minimally invasive, repairable esthetics and early childhood preventative intervention.

Everyone wants to improve their effectiveness on the job. Take this opportunity to learn about tried and true dental products and techniques from Ultradent’s R&D clinical hygienist, Carol Jent. Carol will break the day into two of the following three informative and engaging sessions:

seven Products Every hygienist needs to Know about. Learn the ins and outs of some of the most essential products available to hygienists today. Carol will cover a few of the “must-haves” in her hygiene tool kit, including some very unique products developed by hygienists to make their jobs easier.

Putting an End to Dental caries: Wishful thinking or Potential reality? Dental caries is the most common chronic disease affecting children in the United States. It is five times

• The important principles of quality adhesives and esthetic resins for direct reconstruction of the anterior fractured tooth• More about tooth whitening/bleaching and the minimum age one can bleach• The best treatment options for fluorosis • The mechanism of the peroxide whitening process• Techniques for the direct reconstruction of mutilated posterior teeth

more common than asthma and seven times more common than hay fever. Is there a “magic pill” to prevent tooth decay? Possibly. Learn about products that can help your patients overcome this preventable disease.

tooth Whitening: Your Questions answeredDid you know Americans spend approximately $1.4 billion on tooth whitening every year? Keep up to date on this hot topic as Carol discusses the history and theory of tooth whitening, safe and efficacious treatment strategies, how to match the right product to the right patient, the latest research breakthroughs, and the all-important pre-whitening exam.

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1-800-520-6640 Ultradent Seminars

Note: Due to limited space, registration is limited to 2 clinical staff members per doctor.





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doctor’S Lecture

Staff Lecture












8







doctor’S Lecture

Staff Lecture












8




TO REGISTER PLEASE CALL1-800-520-6640

Ultradent SeminarsNote: Due to limited space, registration is limited to 2 clinical

staff membersper doctor.


It was 1960 and the World’s Fair was coming to Seattle. Looking to capitalize in on the futuristic theme, WSDA members created Dr. Wes

Day, S.A.P.D. to promote the 1962 Scientific Session (which later became the PNDC). Wes Day was conceived as an alliteration of

WSDA, and his fancy title was Space Age Pioneer Dentist.

REGISTER AT: www.wsda.org/pndc

Pacific Northwest Dental onferenceJune 14 & 15, Seattle, Washingtonc

“Goodbye Seattle!”

SAVE $1,585!more than

90lectures at no additional ost

Earnc up to

14CDE Credits over two days!

Need more info?www.wsda.org/pndc · [email protected] · 800-448-3368

Dr. Gordon Christensen ........Restorative

Dr. Bart Johnson ................Anesthesia/ Pharmacology

Mr. Kirk Behrendt ..............Practice Management

Ms. Jennifer Blake ..............Dental Assisting

Dr. Art DiMarco..................Anesthesia

Dr. Martha Anne Keels .........Pediatrics

Dr. Frank Milnar .................Esthetics

Dr. Brian Novy ...................Caries

Dr. Dolphine Oda ................Oral Lesions

Ms. Eva Grayzel.................Oral Cancer Survivor

Ms. Mary Osborne .............Communication

Dr. Joan Otomo-Corgel ........Perio Hygiene/ Women’s Health Mr. Gary Zelesky ...............Team Motivation

Ms. Rachel Mele ................Social Media

Dr. Betsy Bakeman .............Occlusion

Dr. Jeff Brucia ....................Restorative

Ms. Tina Calloway ..............Assistants

Mr. Art Cole ......................First Aid/CPR

Dr. Timothy Hess ................Implant Restoration

Dr. Charles Gerba ...............Germ Control

Ms. Kristy Menage Bernie ....Dental Hygiene

Ms. Amy Kirsch..................Marketing/ Customer Service

Dr. Edward Zuckerberg ........Technology/ Social Media

Dr. Marty Zase ..................Cosmetic Dentistry

Dr. Olya Zahrebelny ............Dental-Medical Coding

Ms. Cheri Wu ....................Ultrasonics

Ms. Tricia Osuna .................Dental Hygiene

Dr. Mark Ryder ..................Periodontics

Dr. Sonia Leziy andDr. Brahm Miller .................Implants

Ms. Anna Marie Hauser,Ms. Mary Johnson, andMs. Gail Liberman ..............Radiography

Dr. Sam Kratchman .............Endodontics

PArtial list of speakers · get the complete list at: www.wsda.org/pndc-schedule

2012

more

than 300Exhibitors

to shop with!

WSDA members

Early Bird FEES:(Before April 30)

WSDA members: $165

Non-ADA Members: $1,750

Staff: $115

PNDCJanuary 2012 PCDS.indd 1 3/12/12 10:05 AM


delay or effort, bringing the viewer to the advertiser’s site immediately, where a longer and more targeted sales pitch may continue. I found this link to be very useful in developing barcodes for different companies I work with.

http://qrcode.kaywa.com

Once your barcode is created, click on the image and then right click to save it as a .png file to your computer. Look in the market on your smartphone for the barcode scanner application

www.washingtonagd.org

QR Barcodes QR Code (abbreviated from Quick Response Code) is the trademark for a type of matrix barcode (or two-dimensional code) first designed for the automotive industry. More recently, the system has become popular outside of the industry due to its fast readability and large storage capacity compared to standard UPC barcodes. The code consists of black modules arranged in a square pattern on a white background. The information encoded can be made up of four standardized kinds (“modes”) of data (numeric, alphanumeric, byte/binary, Kanji), or through supported extensions, virtually any kind of data.[1] Invented by the Toyota subsidiary Denso Wave in 1994 to track vehicles during the manufacturing process, the QR Code is one of the most popular types of two-dimensional barcodes.[2] It was designed to allow its contents to be decoded at high speed.[3] Formerly confined to industrial uses, they have in recent years become common in consumer advertising and packaging, because the dissemination of smartphones “has put a barcode reader in everyone’s pocket” for the first time. As a result, the QR code has become a focus of advertising strategy, since it provides quick and effortless access to the brand’s website.[4][5] Beyond mere convenience to the consumer, the importance of this capability is that it increases the conversion rate (that is, increase the chance that contact with the advertisement will convert to a sale), by coaxing qualified prospects further down the conversion funnel without any

UPCOMING COURSES

The Key to Asset Protection & Tax Reduction

April 19th, 2012 6:30pm-9:00pm Legally Mine-Daniel McNeff

Future Strategies “Preparing Dentists for the Future”

Thursday, September 20th, 2012 6:30pm-9:00pm Speaker-Dr. Marc Cooper

“STICK to the Basics! The Secrets to Predictable

Adhesive Dentistry”

Thursday, November 8th, 2012 6:30pm-9:00pm Speaker-Dr. Ed Hewlett

Register Online www.washingtonagd.org

10% off all apparel orders through May 31, 2012.

Find us on Facebookwww.facebook.com/ReferralBuildersLLC


Member Information

First name MI Last name Designation Date of birth (mm/dd/yyyy) (e.g. DDS, DMD, BDS) Required for access to the members-only AGD website

Do you currently hold a valid U.S./Canadian dental license? q Yes q No _______________________________________________________________________________________________________ License number State/Province Date renewed (mm/yyyy)

Type of membership (See back page for definitions): (check one) q Active general dentist q Associate (Dental specialist) q Resident q Dental student q Affiliate

If you are not in general practice, please indicate your specialty: _______________________________

Current dental practice environment: (Check one) q Solo q Associateship q Group practice q Hospital q Resident q Corporate q Other____________________________

q Faculty _________________________________________________________________ q Federal Services ___________________________________________________________________ Please indicate institution Please indicate branch

If you are a member of the Canadian Forces Dental Service, please indicate your preferred constituent: q U.S. Military counterpart q Local Canadian constituent

Contact Information Preferred billing/mailing address: q Business q Home Your AGD constituent (local chapter) is determined by your business address, unless one is not available. Preferred method of contact: q Email q Mail q Phone q Text

Business address City State/Province ZIP/Postal code

Name of business (If applicable) Phone Fax

Home address City State/Province ZIP/Postal code

Phone Primary email Website address

Educational Information Are you a graduate of an accredited* U.S./Canadian dental school? q Yes q No q Currently enrolled

Dental school City State/Province Date of graduation (mm/yyyy)

Are you a graduate of (or resident in) an accredited* U.S. or Canadian post-doctoral program? q Yes q No q Currently enrolled Type: q AEGD q GPR q Other

____________________________________________________________________________________________________________________________________Post-doctoral institution State Start date (mm/dd/yyyy) End date (mm/dd/yyyy)

Optional Information Gender q Male q Female

Ethnicity q American Indian q Asian q African-American q Hispanic q Caucasian q Other

I am interested in participating in the AGD Mentor Program as a: q Mentor q Mentee

For more information: Call us toll-free: 888.AGD.DENT (888.243.3368) Or join online: www.agd.org

2012 Academy of General DentistryMembership Application

Referral InformationIf you were referred to the AGD by a current member, please note information below:

Member’s Name

City, State/Province, or Federal Services Branch

Payment q Check (Enclosed)q VISA q MasterCard q American Express q Diners Club q Discover Note: Payments for Canadian members can only be accepted via VISA, MasterCard, or check.

____/_______ _____________________________________ Expiration date Please print name as it appears on the card

Return this application with your payment to: Academy of General Dentistry, 211 E. Chicago Ave., Ste. 900, Chicago, IL 60611-1999

For applicants paying with credit cards, fax to: 312.335.3443 (secure fax number)

I hereby certify that all of the above information is correct, and that by signing this application agree to all terms of membership including completion of 75 hours of continuing education every three years for Active General Dentist and Associate Members.

Signature Date

Dues Information

*See back of form. For information on qualifying for the residency dues discount, please refer to the description on the back.

Please check membership type applying for: U.S. Canada Puerto Rico

q Active General (in Canadian dollars)

Dentist ....................$354.00 ............$288.00 ...........$296.00q Associate ....................354.00 ..............288.00 .............296.00q Affiliate ......................177.00 ..............144.00 .............148.00q Resident ......................71.00 ................57.00 ...............59.00q 2011 Graduate ............71.00 ................57.00 ...............59.00q 2010 Graduate ..........142.00 ..............115.00 .............118.00q 2009 Graduate ..........212.00 ..............173.00 .............178.00q 2008 Graduate ..........283.00 ..............231.00 .............237.00q Student ........................16.00 ................16.00 ...............16.00

1. AGD Headquarters Dues .............................. _________

2. AGD Constituent Dues ................................ _________Please refer to back side for constituent dues

Total Amount Enclosed: ................................. _________

Promotional code:_______________________

Stay Social with the AGD!Search “Academy of General Dentistry” to connect with us on:

WEBAPP


Telephone: 866-548-2468 ** FAX: 206-575-8177 ** www.harrisbiomedical.net ** [email protected]

I’m not surethat’s whatHIPAA had

in mind,

I think Dr. Weilerneeds tohandle

this one.

Yes, Chrissie,I’d call that

a needlestick.

“The Compliance Company”As one of the country’s leading dental compliance firms since 1989,

HARRISBIOMEDICAL™ provides the full range of complianceservices including preparation of your written programs, WISHA,HIPAA, AND BLS/CPR staff training, free facility compliancereviews, answers your questions, and expert hands-on support.

“It’s like having a full-time compliance expert on staff.”

WISHA programs and staff training HIPAA programs and staff training 1st Aid / BLS CPR staff training

©

HARRISBIOMEDICALCOMPLIANCE SERVICES

1035 Andover Park West, Suite 120

Seattle, Washington 98188

TM

It’s no secret that WISHA inspectors are investigating dental offices throughout the state at record numbers. More dental offices were randomly selected for a WISHA inspection in the first three months of this year than were randomly inspected in 2008 and 2009 combined.And, according to the Division of Occupational Safety and Health (the folks from Labor and Industries who do the inspecting), they’re not done yet. Being ready when the inspector walks through y our door is crucial.

aking sureyou’re in compliance can be confusing and frustrating. HARRISBIOMEDICAL

has been helping dentists navigate the compliance maze for years. In timeslike these a call to the “Compliance Company” is a good first step.

Each regulation has a different mandate and a variety of rules and m

What happens when WISHA walks in?


Constituent of the Academy of General DentistryValerie A. Bartoli, Executive Director900 Meridian E. Suite #19-361 • Milton, WA 98354p. 253.306.0730 • f. 253.891.4053

PRSRT STDUS POSTAGE

PAIDPORTLAND ORPERMIT NO 243

Washington

www.washingtonagd.org

Martin A. Seidenschmid, D.M.D.Diplomate American Board of Oral & Maxillofacial Surgery

Office Hours: Monday thru Friday – 8:00 - 4:30Emergency cases seen same day.

Gregory W. Boice, D.M.D.Diplomate American Board of Oral & Maxillofacial Surgery

Edwin M. Leung, D.M.D., M.D.Diplomate American Board of Oral & Maxillofacial Surgery

Visit us on the web: vancouveroralsurgerygroup.com

Dental Implants

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Oral Pathology

Cone Beam CT

Anesthesia

PRP

Bone & Socket Grafting

Sinus Lift

Corrective Jaw Surgery

Facial Trauma

Two easy locations to serve you just off I-205 and I-5

Eastside Office (off 205) 300 SE 120th Ave., Suite 800 Vancouver, WA 98683 360.260.3290

Downtown Office (off I-5)

1300 Esther St., Suite 100Vancouver, WA 98660360.695.9248

Three Board-Certified Oral Surgeons in One Practice

O�n HouseVancouver Oral Surgery Group

invites you and your sta� to a�end an o�n house of our new

Cascade Park oce and surgical suites . 4:00 to 7:00 p.m.

�u�day, Mar� 22, 2010300 S E 120th Avenue, Suite 800

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Meet our wonderful sta�, tour our new oce, and enjoy ho� d ’oeuv�s and drinks.

R S V PMichele Black • 360.606. 2401 • ichele [email protected]

Disregard e R S V P if you have already �sponded to �e evite �eviously sent .

Vancouver Oral Surgery Staff

Your voice for excellence through education and advocacy

= FREECE

Scan with the bar code scanner app on your smartphone, or visit www.agd.org/membership/QRCE to access your FREE Self-Instruction exercise!

Documents

2012 Spring-Summer Newsletter