San Joaquin Dental Society March-April 2006, Vol. 33, No. 2

Inside this Issue ...

Don’t Get Me Started“Criticizing Dentistry” .................... 2

Su Salud Invitation ........................ 5

A Peer Review Dilemma -- Retreating a Previous Dentist’s Work .......................................... 6

Want to be a Leader ..................... 7

Alveolar Osteitis ............................ 7

New - Vehicle Donation Rules ....... 8

Orange Chair Diaries ..................... 8

Identity Theft: You May Be at Risk .......................................... 9

2006 Office Poster Update ......... 10

Take Our Daughters/Sons to Work Event - April 27, 2006 .... 11

Today’s Business Challenges Facing the New Dentist ......... 12

Give Kids a Smile Day ............... 13

24th Annual Leadership Conf. .... 14

Departments:Upcoming Programs .................... 3Welcome New Members .............. 4Save the Date! .............................. 5Newsletter CE ............................ 10St. Raphael’s Volunteers ....12 & 15Classified Ads ........................... 15Directory Updates ....................... 15SJDS Activity Calendar .............. 15Future CDA & ADA Meetings ..... 15Keeping in Touch with Members 15

President’s Message

Continued - Page 4

Janice Moreno, DDSPresident

Attending the CDALeadershipConference

Real and excit-ing things arehappening atCDA and it is allabout YOU theM E M B E R .Diversity inmembership andleadership is be-coming a priority.In the past, ifyou wanted tovolunteer andserve on acommittee at

CDA you had to be known andrecommended by the local Dental SocietyBoard, Nominating Committee; and then,once asked, you submitted yourapplication and resume to CDA andhoped to hear from them. Usually thatwas after you had already served as anofficer of your local Dental Society.

How does it work now? CDA wantsanyone who is talented and interested toapply and they have made that processsimple. You go online to CDA’s websiteand apply under 2006 LeadershipApplication Information (deadline thisyear is June 12, 2006). You do not have towait to be asked, it is up to you tovolunteer. If you do not get asked thisyear, you can keep your application andCV on file and apply another year.Besides Councils to serve on, there aretask forces that deal with specific issuesthat may have a special interest to you.Let CDA know where your interests are.

CDA recently held their annualLeadership conference at Indian Wells,CA. Outstanding keynote speakers suchas Nido R. Qubein and Steve Rizzo were a

CDA is About MemberServices

highlight of the meeting. This two daymeeting was held to prepare better leadersin those who serve you in your dentalsociety and at CDA. I encourage you tobe involved in our local Dental SocietyBoard. Take that first step, go online toCDA’s website and see where you canmake a difference.

A few quotes from Nido QubeinI felt were powerful: “Allmeaningful change comes fromwithin and change is also anopportunity.” We need toembrace change and not befearful of it. Another point hemade was, “who you spendtime with is who you become.”I can say I am proud of theassociation of the leaders andmembers of our dental society.

What other Member Benefits doesCDA offer? Have you gotten mail fromCDA and glanced at it and thought, “Ihave that all covered” and just thrown itin the trash? I have done that because Ididn’t understand what EndorsedPrograms were all about. We have aCouncil on Endorsed Programs at CDA,chaired by, no other than our own, Dr.Bruce Toy. Dr. Toy and the members onthis Council carefully review all thevendors that come to CDA to be endorsedand look at Ethics, and “what can thisservice do to benefit our members.”

When you think of TDIC or 1201 –do you think of malpractice insurance or

Delta-Sierra Dental Digest

Page 2 Delta-Sierra Dental Digest March-April 2006

Published by theSan Joaquin Dental Society

7849 N. Pershing Ave.Stockton, CA 95207

Phone (209) 951-1311FAX (209) 951-1321

Website: www.sjds.orge-mail: sjds-kw@sbcglobal.net

All expressions of opinion and all statementsof supposed facts are published on the au-thority of the writer over whose signature theyappear, and are not regarded as expressingthe view of the San Joaquin Dental Society un-less such statements or opinions have beenadopted by its representatives.

This publication solicits essays and articles ofinterest to the general membership. Articles(please include name and address) submittedto the Editorial Board should be no longer than1,000 words. (All submitted articles are subjectto approval by the Editorial Board.)

Published or inserted advertisements does notinfer that the San Joaquin Dental Societyendorses those companies or products.

Deadline to Submit Articlesfor the Next Issue - 5/12/06

EDITORIAL BOARD -SJDS Board of Directors

EDITORIAL STAFFNicolas Veaco, MD, DDS, Editor

Kathy White, Executive DirectorColleen Lee, Secretary

Delta-SierraDental Digest

2006 Board of DirectorsOFFICERS

Dr. Janice Moreno ..................... PresidentDr. Bill Huiras .................... Vice PresidentDr. Lester Low ......................... TreasurerDr. Amy Scriven ........................ SecretaryDr. Ed Graham .................. Immediate Past

President

BOARD OF DIRECTORS

Dr. Tony ArredondoDr. Robert ArteagaDr. Luisa BermudezDr. Rick CastelanelliDr. Ramon ChicchonDr. Paul GeorgeDr. Donald Huang

Dr. Michael JoryDr. Matthew MilnesDr. Robyn ShieldsDr. Bruce ToyDr. Nick VeacoDr. Cameron Wheeler

MEMBER PUBLICATIONAMERICAN ASSOCIATIONOF DENTAL EDITORS

aeda

Don’t Get Me Started ...

Nicolas Veaco, MD, DDS

CDA Trustee:Dr. Phil Abeldt

A number of years ago while eatingdinner at a dentist friend’s house, I dis-covered something funny about dentists.We often bring things home from the of-fice. In their bathroom, under the sink,they had a gallon pump bottle of Scopemouthwash, a case of Costco brand toiletpaper, and a spooled crate of garbage

bags. In adrawer was apackage of in-t e r l o c k i n g ,folded papertowels; the kindyou put in ametal wall dis-penser. I hadhad a couple ofglasses of wine,so I thoughtthis was hilari-ous. When I

told my hosts what I thought was sofunny, the wife scolded me for “snoopingthrough their things.”

I have told this story before andsome find the IRS skirting behavior ofsmall business owners amusing while oth-ers are put off by my drunken inquisitive-ness. I thought about it and realized thatmy behavior was boorish and that I hadbroken the trust of people who had in-vited me into their home. I eventuallyapologized to the couple and have made ita point to never break such a confidenceagain. I have to admit that discussing thisis a little embarrassing and even humiliat-ing, but for the sake of this article, Ithought it necessary.

Some of you might now deem me un-trustworthy. I submit that I am now moretrustworthy for having erred, realized Ihad done so, made amends, and now dis-cuss it openly. If we both know my capa-bility for doing wrong, we both will bemore vigilant. If you had asked me theday before I acted so rudely whether Ihad ever snooped like that before, I wouldhave told you that I hadn’t. Neither I northe couple was consciously aware of mycapability. Could you then have trustedme more then than now?

In 1997, Reader’s Digest publishedan article by William Ecenbarger, a re-porter, who went to his dentist of fifteenyears for an exam, X-rays, and an updatedtreatment plan. He took his radiographs tothree dental school instructors who vali-dated his personal dentist’s assessment.He then went to fifty, randomly selected,dentists across the United States who of-fered their own treatment plans. Aboutone in four agreed with his dentist andthe dental school instructors. Recently, anarticle, “Health Insurance – 10 ThingsYour Dentist Doesn’t Want You to Know”appeared in AOL Money & Finance.

The specific criticisms are un-important, but the essence isthat dentists sell costly, some-times unnecessary treatmentplans and work hard at seeingour patients frequently. Uni-formly, the response to thesearticles is defensive. Ourspokespeople offer up point bypoint rebuttals in a very serioustone.

But isn’t the reality that dentistry is in themidst of a technological boom and thatmany of these newer technologies aremore expensive and untested over alonger period of time? The range of possi-bilities for treating interproximal caries, forexample, is mind boggling. In my opinionthere are two aspects to dentistry: onecenters around the basic treatment of dis-ease and the other around boutique ser-vices in a spa-like atmosphere. We buytechnology to sell technology to our pa-tients. We call their cell phones if we arerunning 10 minutes late. We offer moistlemon scented towels after treatment aswell as flexible payment options. Wewisely keep ourselves in their conscious-ness by sending birthday cards, friendlyreminders, and refrigerator magnets. I be-lieve that we rationalize the latter by in-

Criticizing Dentistryby Nicolas S. Veaco, M.D., D.D.S.

Continued - Page 6

March-April 2006 Delta-Sierra Dental Digest Page 3

2006 ProgramsMarkYour

Calendar

September 21, 2006 2:00 PM Extended Program Wine & Roses, Lodi

Dr. Arun Garg“Current Concepts in Im-plants, Ridge Preservationand Bone Grafting for theGeneral Practitioner”

Dr. Arun K. Garg is currently Professor of Sur-gery in the Division of Oral/Maxillofacial Surgery,Department of Surgery at the University of Miami,School of Medicine.

Dr. Garg is a full time faculty member, Director ofthe Center for Dental Implants, and has published nu-merous articles and book chapters on Bone Physiol-ogy, Bone Grafting, Bone Growth Factors, and Plate-let Rich Plasma (PRP), as well as several text-books. He is the editor of “Dental Implantology Up-date.”

October 12, 2006 5:30 PM

Staff Appreciation NightStockton CivicAuditoriumHawaiian Theme

May 18, 2006Extended Regional General Membership Meeting

2:00-9:00 PMIronstone Vineyards, Murphys

About Our Speakers ...

“Dento-Alveolar Surgery: ItDoesn’t Have to Be Hard”

Two Required Courses

“California Dental Practice Act --

High Tech-Low Risk” Speaker, Arthur Curley

“Infection Control” Speaker, Bill Carpenter, DDS

Arthur Curley is a senior trialattorney in the professional liability

litigation firm of Bradley, Curley, Asiano,Barrabee & Crawford, P.C. Aftergraduating from UC Berkeley with honorsin 1970, he obtained his JD in 1974 fromthe University of California, HastingsSchool of Law in San Francisco and iscurrently an Assistant Professor at theUniversity of the Pacific in San Francisco.As a trial attorney, he has beenrepresenting business clients andprofessionals in the fields of health, law,and accounting for over 30 years, and hastried cases throughout California. Inaddition, Mr. Curley has given riskmanagement courses to variousprofessional organizations throughoutthe United States. He is an associate ofthe American Board of Trial Advocates, ismarried, has three children, lives inLarkspur, CA and competitively racesHawaiian outrigger canoes.

William Carpenter, is Professor andChair of Oral Pathology and

Medicine, at UOP’s Arthur Dugoni Schoolof Dentistry. Dr. Carpenter is a 1964Graduate of Pittsburgh School ofDentistry, and George WashingtonUniversity School of Dentistry with aspecialty in Oral Pathology. He hasreceived numerous awards from dentalorganizations and is involved in manyprofessional activities. He has madehundreds of presentations locally,nationally and internationally. Bill’sresearch has been varied over his 30years in Oral Pathology and OralMedicine. His most recent research hasbeen with Dr. Sol Silverman in the field ofBiomarkers and oral cancer. He has hadarticles published in more than 78publications and abstracts in more than38 publications.

November 30, 2006 2:00 PM Extended Program Wine & Roses, Lodi

Dr. Alan Felsenfeld

Dr. Felsenfeld is Adjunct Associate Professorand Director, Oral and Maxillofacial Surgery Clinic atthe UCLA School of Dentistry.

One of the more frustrating areas in the practiceof dentistry is the unpredictability of office oral sur-gery. Frequently, much time is spent dealing withproblems encountered as general dentists attempt toextract teeth. Wouldn’t it be nice to be able to decidewhen a surgery is likely to cause trouble for the prac-ticing dentist and when to refer the patient to a spe-cialist? As you perform routine office surgery, arethere instruments or techniques that can make theprocedures easier to do? Additionally, when prob-lems and complications do occur, are there ways tohandle them efficiently and with confidence?

Page 4 Delta-Sierra Dental Digest March-April 2006

A Warm WelcomeTo Our

New Members

- Continued from Page 1

Jamese Bassett, DDSGeneral Dentist2004 Graduate, UCSF230 N. California St.Stockton, CA 95202209-940-7200

Rick Rawson, DDSOral Maxillofacial SurgeonPost-Graduate Student2002 Graduate, UOPJune 2006, Loma Linda UniversityWill be practicing at3427 Deer Park Dr, Suite BStockton, CA 95219209-951-9045

Vimala Vontela, DDSAffiliate MemberMember of S. Alameda CountyDental Society2000 Graduate, UOPGeneral Practice527 E. Center St.Manteca, CA 95336209-823-7655

Robert McClurg, DDSAffiliate MemberMember of Sacramento DentalSociety1976 Graduate, Loyola University1978 Graduate, Loyola UniversityOrthodontics4647 Quail Lakes Dr.Stockton, CA 95207209-478-6000

Workman’s Compensation insurance? Idiscovered that there are many otherEndorsed programs that can benefit you– following are some of them.

DRNA, Dentalcare WasteManagement offers services such asamalgam recycling kits, amalgamseparators with a 3-5 year recyclingcontract (many dental suppliers will sellyou a separator but how will you recyclethe waste and what will it cost you), leadfoil program (did you know that thosecans full of lead foil that you have savedfor years in your office are not supposedto be kept in the office but picked up andrecycled), and spent fixer recycling.Many items can be mailed in their mail-back program – compare rates and see ifyou can see a savings.

OSHA Review – besides offeringyou in office education for staff on amonthly and yearly basis – they nowoffer spore checking for your sterilizersthat can be a savings just in the amountof postage you use each year.

Care Credit – offers financingoptions for your patients to afford dentaltreatment you may recommend.

Long term care insurance – do youknow how you will be cared for when youcan no longer perform daily activities?

Health Savings Accounts (SterlingHSA) – This “allows employers andemployees to contribute up to $2700 perindividual or $5450 per family (pretaxdollars deducted from gross earnings –contribution is taxable by state but not byfederal). Contributions and interest growtax free and distributions from HSA’s aretax free if used for a qualified medicalexpense (distributions can be made at anytime, including years after the date ofservice).” (Cora M. Tellez, Pres. SterlingHSA).

Guardian Life Ins. Co. – is alsoendorsed by CDA, offers office overheadinsurance and is the only carrier thatoffers reducing term disability insurance.“Reducing term disability benefit willalways be the full amount of monthlyindemnity. Only the number of monthspayable will be reduced.”

Insurances on your PersonalProperty in your office – Have you

recently looked at what you havepurchased for your office and are youcovered adequately? Would you becovered for a new autoclave if it blew upor would just the surrounding area becovered? Are your computers coveredfor damage? You may wish to speak toTDIC’s Risk Management department andhave an analysis done on your practice tosee if you are properly insured. Your localreps are Jamie Davenport and VincentKing.

McKenzie Management – Oneoption of practice management available(also endorsed by CDA).

Finally, when we talk about memberbenefits let us not forget the huge benefitof our Scientific Sessions in Anaheimand San Francisco each year. I don’tknow if you have recently signed up for amajor convention anywhere, but often itis $1,000 or more for one annual meeting.At our CDA meetings, entrance andlectures costs you nothing. Yourmember’s dues have paid it all. Many ofthe above vendors will be able to be seenat Scientific Sessions and some will bevisiting your local general membershipmeetings.

Is it worth being a member of CDA,ADA, and SJDS? – You bet it is! And,with the team we have in place at CDA, Ifeel that it is only going to get better. Ifyou have a friend, colleague, fellowdentist who is not a member, let themknow of the benefits of joining today!

Janice Moreno, DDSPresident

CDA is About Member Services

March-April 2006 Delta-Sierra Dental Digest Page 5

REVISED - Save the Date Saturday, September 30, 2006

6:00 PM

St. Mary’s Interfaith CommunityServices will once again celebrate a

“GALA” event. An elegant evening underthe stars honoring

San Joaquin Dental Society and thevolunteer work done at St. Raphael’sDental Clinic. It will be a gala evening

of dinner, dancing and live auctionat Bob & Dorothy Panella’s

Oak Farm Vineyards.

On behalf of the Board ofDirectors of Su Salud, I would liketo extend a cordial invitation to themembers of the San JoaquinDental Society to join us onSaturday, April 29, 2006, between10 a.m. and 4 p.m. for our Tour ofLife III at the Harney Lane migrantlabor camp east of Lodi.

The Tour of Life is a unique,cost-effective health-educationprogram that has already proven toincrease healthy behavior amongmigrant women and their childrenby providing free, understandablehealth education and diseaseprevention lessons.

The primary goal of theprogram is to reduce overutilization of emergency rooms,hospital stays and doctor visits.

The program helps people torecognize the health risk factorsthat promote chronic diseaseswhile focusing on the leadingcauses of death, the highestincidence of disease and theimportance of early detection.

On the day of the Tour, weare especially in need of bilingualmedical volunteers to help withconsultations. We will also needbilingual assistance with healthclasses after the first day of theTour. Bilingual interpreters, withGod’s help, will be provided.

If you have further ques-tions, please do not hesitate tocall me at (209) 815-4636.

Guillermo Vicuna, DDS

Save the Date!

SaturdayJuly 22, 2006

A family picnic, BBQ, membercar show and plenty for thefamily to do will be held at LodiLake on Saturday, July 22, 2006.

If you have a cherished antiquecar, a spiffy newcar, a hot rodthat you wouldlike to show off,or just enjoyviewing cars andsocializing, this

is an event for you and yourfamily! An event for active andretired members!

Questions contact Drs. John Hall(Stockton) , Matt Milnes (Manteca) or

Jeff Smith (Sonora).

Our Mission ...The mission of the SanJoaquin Dental Society,an organization of localdental professionals, is toprovide professionaldevelopment and advance-ment for its members. TheSociety is committed toimproving the community’soral health through informa-tion, education and servicewhile maintaining thehighest standards of ethics.

Page 6 Delta-Sierra Dental Digest March-April 2006

Risk Management

A new patient comes in foremergency treatment due to severe pain.During the exam, the patient informs youthat she has filed a complaint with peerreview against her previous dentist. Afterevaluating the area treated by theprevious dentist, you determine thatimmediate treatment is needed to eliminatethe pain. In this situation, you may beunsure how to proceed.

Your primary responsibility is totreat the patient’s immediate condition.However, there are certain steps you cantake to help facilitate the peer reviewprocess without jeopardizing the patient’speer review case.

Evaluate and document the patient’sbaseline condition thoroughly beforebeginning treatment. Be sure to includepre-treatment photos and radiographsand a detailed explanation of the patient’schief complaint in the baselinedocumentation. Thorough, comprehen-sive documentation is critical to the peerreview process, especially when thepatient has not been examined by the peerreview committee. This documentationwill help establish a clear understandingof the patient’s oral health status prior toany treatment rendered by you.

Even if the patient attempts to probeyou for comments on the prior dentist’swork, do not make unknowing, un-

A Peer Review Dilemma – Retreating aPrevious Dentist’s WorkVincent Keene, Risk Management Analyst, TDIC

supportable, or unjustified commentsregarding the previous dentist or the workperformed by him/her. The AmericanDental Association’s Principles of Ethicsand Code of Professional Conduct,section 4-c-1 states: “A difference ofopinion as to preferred treatment shouldnot be communicated to the patient in amanner which would unjustly implymistreatment. There will necessarily becases where it will be difficult todetermine whether the comments made arejustifiable. Therefore, this section isphrased to address the discretion ofdentists and advises against unknowingor unjustifiable disparaging statementsagainst another dentist. However, itshould be noted that, where commentsare made which are not supportable andtherefore unjustified, such comments canbe the basis for the institution of adisciplinary proceeding against thedentist making such statements.”Therefore, patients should be informed oftheir present oral health status withoutdisparaging comment about priorservices.

Treat this patient as you would anyother patient. Proper documentation andtaking pre-treatment precautionarymeasures, before re-treating the patient,will help to facilitate a fair peer reviewproceeding.

voking the former. In other words whencriticized for being good at offering ser-vices that people desire to pay for, webristle and complain that we are providersof important healthcare services that areimportant for personal well-being, blah,blah, blah.

What is wrong with admitting thatthere are many ways to treat dental dis-ease and that we offer many alternatives?Because dentists are well paid, still areprimarily fee for service and offer cosmeticprocedures not reimbursed by insurancecarriers, we have great incentive to marketourselves. Our employees are well paid.We pay a lot of taxes, donate to charityand are often community leaders. I don’tsee that any of that is a problem. Theproblem is in being honest with ourselvesand our patients about our tendency toseek wealth in the process of providinghealth care. One of the hardest questionsI have to answer is when a patient essen-tially asks, “Would you give you thou-sands of dollars if you were me?” A partof me really likes my personal wealth. Apart of me tries hard to be a dispassionateprofessional. By consciously being awareof the part of me that likes the money, Ibelieve I can be a better professional andgive an honest answer to the hard ques-tion. What’s more by not hiding my per-sonal success, my patients are aware ofmy tendency as well. Their vigilancehelps me maintain my objectivity and Ivalue it.

Since I moved away from my dentistfriend many years ago, we only see oneanother rarely, but I am still welcome intheir home. We are all happy to spendtime together. I wonder if that would bethe case if instead of apologizing I haddefended my behavior by getting angryand making pronouncements about guestbathroom etiquette. I think it would be re-freshing to have an open discussionabout dentistry, technology, variability oftreatment recommendations, the waysthat we increase our personal income andhow that affects the services we provide.

Criticizing Dentistry- Continued from Page 2

March-April 2006 Delta-Sierra Dental Digest Page 7

Would you like to improve yourprofession, make enduring friendshipswith bright enthusiastic professionalswhile cultivating leadership skills that willlast a lifetime? You are presented withthese opportunities and so many morewhen you join the leadership teams ofyour local component, CDA, and ADA. Itis my honor to chair the LeadershipDevelopment Committee, absolutely themost exciting and rewarding place to be atCDA for the last two years. We aredeveloping programs to improve theleadership skills of CDA volunteers whilestreamlining and simplifying the learningprocess to become a proficient leader. These skills can be used in organizeddentistry, in your practice, in serviceclubs, church groups, and in yourcommunity. Leadership is an activity thatcan improve all areas of our lives. Pleaseseize this opportunity to take control ofyour life and your profession.

If you are interested in a leadershipposition in your local dental society,contact a member of your componentBoard of Directors, your local Leadershipchair, or the Executive Director.

If you are interested in astatewide or ADA position, pleaseapply to CDA. Application packetsare available which will explain theduties, responsibilities, andopportunities for leadershipavailable at CDA and ADA.

Access application packetsonline at www.cda.org

A direct link to the “2006Leadership Application” infor-mation is provided on theWelcome Page of the professionalportion of the web page whereapplications can be completedonline.

If you applied in 2005, you cansimply complete a Letter of Intent, andask that the application that yousubmitted last year be used again.

If you would like to work on asingle topic of great interest to you, fillout a Letter of Interest so that you canbe considered for placement on short-term task forces or work groups. Thesecommittees usually convene for a fewmeetings, research and discuss their areaof responsibility, come to a conclusion,and are disbanded. Task forces andwork groups have great appeal to thosevolunteers who have little time to give. Also, if you wish to be considered for aposition on the Leadership DevelopmentCommittee, submit a Letter of Interestlocated on the CDA “2006 LeadershipApplication” website.

A few of our members perceive thatorganized dentistry is going in the wrongdirection. If you fall into that categoryand are content to sit back and complainabout the present leadership, there is noneed for you to apply. However, if youwant to make a difference, provide newideas, and lead organized dentistry to abetter future, please apply. Your point ofview is important! Become a leader andhelp reshape the profession.

We want a diverse group of peopleto apply, a cross section of dentistry,people who want to experience the joyand fulfillment of truly making adifference in their profession. Pleasetake advantage of this opportunity. Itcould enrich your life forever!

Want to be aLeader?

CDA LeadershipApplication Deadline

June 12, 2006

Alveolar OsteitisAlveolar osteitis or “dry socket” is a

painful condition resulting from the loss ofblood clot post dental extraction. The inci-dence as reported in the literature rangesfrom 3% to 25% following third molar sur-gery. This variability is also reflectedamong individual surgeons and probablyresults from differing criteria for definingthe condition. If defined as pain causingreturn to the office for evaluation, the inci-dence is likely closer to 25%.

I personally have a low threshold fordiagnosing alveolar osteitis, because I feelthe inconvenience of dressing changes isless of a disability than tolerating pain andtaking narcotic analgesics. I considerworsening pain on the fourth postopera-tive day not attributable to infection orother complication such as bony dehis-cence as likely due to dry socket. If painand debris are elicited upon irrigation ofthe surgical site, I diagnose alveolar ostei-tis.

The pathophysiology of alveolar os-teitis is not completely understood, al-though risk factors include smoking, oralcontraceptives, pregnancy, certain nonste-roidal anti-inflammatory drugs and the ex-perience of the surgeon. The incidence canbe reduced by placing topical antibiotics inthe extraction site, preoperative rinsingwith chlorhexadine and copious irrigationwith saline solution intraoperatively.

The treatment of dry socket involvesgently irrigating the socket of any debrisand placing an obtundent dressing. I preferto use a prepackaged sterile dressing witha radio-opaque strip coated with eugenolin petroleum base. There are a number ofcommercial preparations available whichare all equally effective. The key to treat-ment is making the correct diagnosis (forexample, not failing to diagnose a postop-erative sinusitis or boney dehiscence), andtreating the patient with once daily or ev-ery other day or so dressing changes untilsymptoms resolve. Dressing changes areusually required for a week or so, but maylast up to 3 weeks especially in cigarettesmokers. Patients who require prolongedtreatment should have another source fortheir pain ruled out. A radiograph shouldbe taken to rule out jaw fracture or retainedtooth fragments.

Nick Veaco, MD, DDS

Continuing Education

Page 8 Delta-Sierra Dental Digest March-April 2006

Brett L. Tholborn

Donating your used car, truck, orboat to a charity has become popular inrecent years. Advertisements are oftenheard on the radio. It is an easy way to

support a goodcause and get atax deduction atthe same time.Before 2005, itwas up to eachtaxpayer to decidehow much theirdonation was worthbased on theestimated “fairmarket value” of

the vehicle being donated. But,concerned about inflated valuations andexcessive deductions and abuses, theInternal Revenue Service (IRS) tightenedthe rules last year.

Because most charities sell donatedvehicles at auction, the IRS now uses thegross auction proceeds as the bestestimate of fair market value. For mostdonations, that is the maximum amountyou can claim as a deduction. If the valueis over $500, the charity will send you aForm 1098-C, Contributions of MotorVehicles, Boats, and Airplanes, or anequivalent statement, showing the grossproceeds. You must attach this form toyour tax return when such a deduction isclaimed.

In some cases, the charity will keepthe vehicle for its own use or will give orsell it to a needy individual. They still arerequired to send you a Form 1098-Cthough, which is used in the same mannerto calculate your deduction. The IRS haswarned taxpayers about abusive actionsby some charities. These charities selldonated vehicles at auction but claim thesales are to needy individuals at belowmarket value. The donor is then told thathe or she can take a larger tax deductionthan the sales proceeds. The IRS hasstated that this practice is not permittedand will subject the charity to penalties.Unfortunately, if you follow this adviceand do not follow the rules and take toolarge of a deduction, you will also besubject to penalties.

New VehicleDonation Rules

If your donation is worth $500 orless, you will generally have to estimatethe fair market value yourself. You canuse a guide to used car prices, classifiedads, or the internet to arrive at a value.Kelley Blue Book is an excellent source ofinformation, both in print form and on-line. If you use a price guide, use the“private sale” (low) value, not the “dealerretail” (high) value. Make sure you pick avalue that matches the age and conditionof your vehicle and keep documentationfor your records. You might even want totake photographs to support yourvaluation. You will also need a writtenacknowledgment from the charity if youclaim a value of $250 or more.

Finally, remember that your incometax savings are only a fraction of thevehicle’s value. If your Federal and statecombined income tax rates are 33%, andthe vehicle is worth $2,000, you will realizean income tax reduction of $660.Consider selling the vehicle for half-price($1,000), and giving the charity the $340difference, which will substantially reduceyour risk of audit.

Brett L. Tholborn, CPABrett L. Tholborn is a Stockton CPA practicingat 1743 Grand Canal Blvd., Suite 17,Stockton, CA 95207. If you have questions,please call Brett at 209-474-3375 or e-mailhim at Brett@Tholborn.com.

The futureof California’sdental healthworkforce isnot just rosy;it’s simplyorange - andshaped like achair. So what’sthe deal withthe orange

chair, you ask? In an effort to alleviateshortages of dental health professionals,the California Dental Association and itsAllied Dental Health Program havetargeted a grassroots effort to interestand ultimately recruit young people intothe various fields of dentistry.

To appeal to a young and diverse

-- Continued next column

audience of junior high and high schoolstudents, a resource kit was developed to“speak” to them during a time when theyare beginning to explore their futurecareer opportunities. The kit is ideallysuited for use at career fairs or individualclassroom presentations and features amemorable mascot - a vintage orangedental chair.

If you attended spring or fallsessions last year, you have likely seenthis well-traveled chair that appearsprominently in the “Orange ChairDiaries” resource kit. In addition to aPowerPoint presentation, talking pointsand lesson plans for the classroom, thekit features a fun and engaging three-minute DVD that introduces a group ofyoung, talented and hip dentalprofessionals and how their career as adentist, dental hygienist, dental assistantand dental laboratory technician givesthem professional satisfaction andpersonal freedom to pursue their featuredhobbies. As the orange chair takes ahumorous journey with them to thebeach, a cow pasture, a soccer field andeven to a car wash, the more unpleasantassociations people typically have aboutdental chairs such as braces, fillings orroot canals seem secondary to therewarding career and lifestyle oppor-tunities it can provide.

While the “Orange Chair Diaries”was developed to help encouragestudents to view the dental profession ina new and enticing light, recruiting tomor-row’s dental professionals is still greatlyinfluenced by dedicated volunteers likeyou. Help share the opportunities younow enjoy by committing to visit at leastone classroom this year. To check out acopy of the “Orange Chair Diaries”resource kit, contact the SJDS at (209)951-1318.

In addition to recruiting in theschools, you can effortlessly recruiteveryday by displaying the “Careers inDentistry” brochures in your office. Toreceive free brochures and a holder,contact SJDS at (209) 951-1318, we havea supply of them; or Mary Sobieralski,CDA’s ADHP Administrator at (800)736-7071 ext. 4979 or you can e-mail Maryat mary.sobieralski@cda.org.

“Orange Chair Diaries”

March-April 2006 Delta-Sierra Dental Digest Page 9

Health care providers are keenlyaware of their obligation to protect theirpatients’ private information.Unfortunately, in many cases, they arenot as careful with their own personalinformation. Recently, dentists havereported cases of their own identity beingstolen by patients, employees, orexperienced thieves using a SocialSecurity number and good credit standingto obtain additional credit.

Since business liability policiestypically do not cover losses resultingfrom a dentist’s identity being stolen, it isimportant to minimize the risk of identitytheft by limiting access to your personalinformation.

� Keep personal items such as walletsand purses locked in a drawer or anoffice while at work.

� Limit the number of employees withoffice keys.

� Shred all personal information prior tothrowing it in the trash or recycling.Skilled identity thieves hack intopersonal computers or sift throughtrash looking for discarded mail suchas bank and credit card statements,credit card offers, or tax information.

� Assign passwords to your computerand apply firewalls.

� Avoid using commonly known defaultuser IDs and passwords such as yourmother’s maiden name or your birthdate. The Federal Trade Commission(FTC) recommends using a “strong”password instead of a series ofconsecutive numbers or letters. Astrong password consists of acombination of letters and numbers.

Identity theft is the number oneconsumer complaint reported to the FTC(ALERT, Volume 32, Number 2, January 13,2006, California Chamber of Commerce.)As a precautionary measure, the FTCrecommends continually monitoring your

Identity Theft: You May Be at RiskJaime Davenport, Risk Management Analyst, TDIC

credit report and reading financialaccount statements carefully andthoroughly. Signs that your identity maybe compromised include:

� Receiving credit cards for which youdidn’t apply.

� Being denied credit or being offeredless favorable credit terms, like a highinterest rate or a low limit, for noapparent reason.

� Failing to receive monthly statementsor other mail. Follow up with creditorsif invoices do not arrive on time. Amissing invoice could mean an identitythief has changed the billing addressand taken over the account.

The Fair Credit Reporting Actrequires each of the major nationwideconsumer reporting companies providefree copies of credit reports, uponrequest, once every 12 months. To orderyour credit report, visitwww.annualcreditreport.com or call toll-free (877) 322-8228.

If you think you are a victim ofidentity theft, place a fraud alert on yourcredit report by contacting one of thefollowing three credit reporting agencies:

Equifax ............................. (800) 525-6285 www.equifax.comExperian ............................ (800) 397-3742 www.experian.comTransUnion ....................... (800) 680-7289 www.transunion.com

Filing a fraud alert entitles you tofree copies of your credit reports. Reviewthem carefully, looking for inquires fromcompanies you have not contacted,accounts you didn’t open, and debts onaccounts you can’t explain. If inaccurateinformation exists, contact the creditorand petition to get it removed. Close theaccounts that you know, or believe, havebeen tampered with or openedfraudulently by speaking with someone inthe creditor’s security or frauddepartment. Follow up theseconversations in writing, and send theletters via certified mail. Keep copies ofall correspondence. Also, file a reportwith the local police department. Often,creditors request copies of police reportsas proof of the crime. Finally, file acomplaint with the FTC. You can do thisonline at www.consumer.gov/idtheft orcall the FTC’s Identity Theft Hotline at(877) 438-4338.

Risk Management

Page 10 Delta-Sierra Dental Digest March-April 2006

SJDS NewsletterContinuing Education

2006 Office PosterUpdate

There are changes to a few of therequired posters in your office. We havelisted the “new” posters (first threebullets below) in this letter for you topost in your office with the set of posterswe provided you which were spiral boundlike a calendar.·4 Replace Your Rights under USERRA(Uniformed Services Employment andReemployment Rights Act) with a newposter, dated January 2006, which can beprinted from:» http://www.dol. gov /vet/programs/userra/USERRA Private. pdf#Non-Federal.

4 Replace Notice to Employees ofUnemployment Insurance, StateDisability Insurance, and Paid FamilyLeave Insurance poster (DE1857 A) witha new poster, dated 12-05 at the bottomleft corner, available at:» http://www.edd.cahwnet.gov/uirep/de1857a.pdf

4 Replace Whistleblowers Notice with anew one available at:» http://www.cda.org/ca memberlpolicy/osha/whistleblowers act 2004.pdf

The following change can be made withpen on the spiral-bound calendar set ofposters. Simply cross out the $45.84 andwrite in $47.81.

4 Update section 1(A)(3)(h)(iv) of IWcOrders Regulating Wages, Hours, andWorking Conditions in Professional,Technical, Clerical, Mechanical andSimilar Occupations (Order 4-2001)from $45.84 to $47.81.

A list of required postings for dentaloffices can be found on CDA Online,http://www.cda.org/cdamember/policyosha/app4postings.htm. The listincludes contact information for agenciesand web links to posters. If you havequestions or comments regarding theposters or the summary of laws andregulations contact Teresa Pichay atteresa.pichay@cda.org or at 1-800-736-7071 at ext. 4992

1. You are seeing a new patient foremergency treatment. The patientinforms you that he or she has filed apeer review claim against a previousdentist. Your primary responsibility isto:a. Send the patient back to the previous

dentist.b. Take a thorough evaluation of the

patient with specific criticisms of theprevious dentist.

c. Treat the patient’s immediatecondition.

d. Make sure you get all payment priorto rendering any service.

2. You agree to see the above patientfor treatment.a. You should document the patient’s

baseline condition.b. Obtain pre-treatment photographs and

radiographs.c. Document the patient’s chief complaint.d. All of the above.

3. During your treatment of this patient,the patient probes you for commentson the prior dentist’s work. Youshould:a. Get out your loops and sharpest

explorer.b. Get out a tape recorder to document

all that you say.c. Avoid making unknowing, unsupport-

able, or unjustified comments.d. Tell the patient how your treatment

plan would have differed.

4. You should treat this patient:a. Very carefully.b. Worse as a favor to your colleague.c. Better in hopes that the patient will

drop the claim.d. Just as you would any other patient.

5. The lay or common term foralveolar osteitis is:a. Dry rot.b. Dry socket.c. Dry pocket.d. Doctor, I’d like some more Vicodin.

6. The incidence of alveolar osteitispost third molar extraction variesfrom 3% to 25% as reported in theliterature.a. Trueb. False.

7. The reason for this variability is:a. Differing criteria among individual

surgeons.b. Ego.c. Cost of dressings.d. Time spent changing dressings.

8. Reasonable criteria for making thediagnosis of alveolar osteitis are:a. Worsening pain on the fourth

postoperative day.b. No evidence of infection.c. Pain and debris elicited on gentle

irrigation.d. All of the above.

9. Risk factors for alveolar osteitisinclude:a. Pregnancy.b. Oral contraceptives.c. Cigarette smoking.d. All of the above.

10. The initial treatment of alveolar osteitis includes all except the following:

a. Oral antibiotic therapy. b. Eugenol impregnated dressing. c. Gentle irrigation. d. Daily or every other day or so

dressing changes.

Answers on Page 14

March-April 2006 Delta-Sierra Dental Digest Page 11

The 12th annual Take Our Daughters/Sons to Work event is scheduled for April27, 2006. This national event,encompassing over 17 million workplaceparticipants since 1993, is an opportunityto promote careers in the dentalprofession. Members who take part inthis event, geared for girls and boys from8-12 years old, can take pride in theprofession’s collective efforts to:

� Start young people thinking abouttheir future

� Underscore the value of education� Demonstrate dentistry’s commitment

to helping young people learn aboutcareer alternatives

� Share information on careers in thedental profession (information theymay not have considered otherwise)

� Mentor the future workforce

From a career perspective, members,along with other dental team staff, canprovide valuable career exposure todentistry, dental assisting, dental hygieneand dental laboratory technology careers.The entire dental team could participate inthis event.

Since mentoring is a closely relatedactivity to this national event, pleaseconsider participating in the ADA youthmentoring initiative—it’s an opportunityfor member dentists to mentor today’syouth who are interested in dentistry. Ifyou are interested in finding out moreabout the mentoring initiative, please call800-621-8099, ext. 2390, or emailskoogb@ada.org.

There is a wealth of informationonline at http://www.daughtersandsonstowork.org/ for this nationalevent. The guidelines found in theWorkplace Planning Tips at http://www.daughtersandsonstowork.org/wmspage.cfm?parm1=299 provide apotentially useful outline. A suggestedschedule of activities for all dental teamstaff follows.

Orientation/Get Acquainted� Introductions & Overview of Day’s

Activities� Tour of office

Take Our Daughters/Sons To Work Event -- April 27, 2006Time to Share (Shadowing andInformation Interviews)

� Participant(s) interview employeesponsor and others in the office

� Handout—Questioning the World—Tips for a Great Interview can be used.

� Participants can take notes using notepad and/or employee sponsor caninterview participant

LunchGroup activity or with dental team staffsponsor

Hands-on-ActivitiesEducation-related Activities� Teach brushing/flossing on manikin/

model and then demonstrate in theparticipant’s mouth (could then bedone by participant)

� Teach oral cancer self-examinationusing mouth mirror and gauzesquares: participant could try the selfexam technique

� Set up an experiment portraying theprocess of tooth decay

(The ADA catalog, available atwww.adacatalog.org/, may haveadditional materials available such aspamphlets for these activities.)

Clinical Activities� Mount radiographs (most offices have

old films that can be handled)� Discuss and practice dressing in-

putting on OSHA-related infectioncontrol: personal protectiveequipment (masks, gloves, faceshields, gowns)

� Mock set-up/break-down of infectioncontrol gear on chair/operatory;sterilization of instruments

� Disclose and record plaque scores(can relate nicely to brushing/flossing)

Laboratory Activities:� Mix alginate and take impressions from

a cast� Mix dental materials: cements,

composites, amalgam

Other Possible Activities:� File patient charts (front office)� Help bring patients back to the

operatory for treatment� Help to replenish supplies in the

operatory rooms� Address/label appointment reminder

cards (front office)

WRAP-UP & GOOD BYEHand out Certificate of Participation toeach participant and/or goody bags ofgiveaways - tooth brush, educationalbrochures, career brochures/fact sheets(available from ADA).

Page 12 Delta-Sierra Dental Digest March-April 2006

Are you a New Dentist? If yougraduated from dental school less thanten years ago, the answer is yes! Thenyou are probably facing some of the samechallenges in dentistry as yourcolleagues.

1. Finding the Right JobNow that dental school is over, where

do you start your first job? Assumingthat you are like most new dentists, youwill probably not buy a practice right outof school. So choosing your firstprofessional experience is one of themost important decisions you will make.Avoid the mistake of taking the first joboffered to you. Without proper thoughtand consideration, this can lead to a veryfrustrating experience. Prior to taking thatfirst job, consider the followingquestions:

� Will this practice give you thepotential to purchase?

� Is the owner willing to be a mentor?What type of dentistry do you wishto do?

� How will this practice meet yourpersonal financial requirements?

� Will the owner share patients?� Is the owner financially sound?� How will restrictive covenant impact

your future plans for practicing inthis area?

� Will you get management experience?� Most importantly, will you be happy

going to work in that environmentevery day?

2. Becoming a Practice OwnerMost new dentists eventually reach a

point where they are comfortable owningtheir own practice. This point is reachedat different times for different people, butit usually comes at a time when the newdentist is comfortable practicing clinicallyand ready to assume the role of an owner.When the young dentist reaches thispoint, it’s time to start looking for anopportunity. This opportunity couldcome in the form of purchasing a retiringdentist’s practice, buying a practice, orstarting from scratch. In any of thesecases, here are some things to consider:

� Where do you want to live and why?

Today’s Business Challenges Facing the New Dentist� What is the availability and need for

dentists in the area?� What type of practice are you

interested in?� Do you want the seller to stay for a

transition period?� What advisors will you need to help

you?� How much do you need to make?� Do you wish to own real estate?� What is your timetable?

3. Leading your TeamYou can cut a great prep but can you

lead and manage? Once the new dentistbecomes the owner of a practice, theirleadership and management skills aretested everyday. The new dentist shouldseek training to develop their leadershipskills. As an effective practice owner, thenew dentist soon learns that the firstresponsibility as a leader is to develop avision for the practice and motivate theteam to view that vision as their own.Building a great team takes time and israrely done in one season. Goal setting isalso essential in being an effective leader.“If you don’t care where you are, you arenever lost.” Set practice goals regularlyand implement a system where the goalsare monitored frequently.

4. Tackling the Debt ProblemShakespeare may have counseled

“neither a borrower nor a lender be,” butthe bard never had to pay his waythrough dental school. Most new dentistsgraduate dental school with considerabledebt, and within a few years accumulatemore debt for a home mortgage andpractice acquisition. Much of this debt isnecessary and inevitable. With properplanning, the new dentist can look downthe road of becoming debt-free. Each planstarts with putting together a budgetwhere the surplus funds can ‘be appliedto the debt. While becoming debt-free iscertainly a top priority, new dentistsshould approach debt reduction, with theguidance of their advisors, in a consistentand systematic manner.

5. Living Within Your Means“I am indeed rich, since my income is

superior to my expense, and my expenseis equal to my wishes.” The new dentist

will go from very little income to asubstantial income in a short period oftime. Learning to control spending whenyou can afford almost anything you wantis a challenge. In the game of life,spending less than you make can lead tofinancial success. Follow the advice ofgood competent advisors: accountant,attorney, banker, insurance advisor, andfinancial advisor.

Nava Fathi, DDSReprinted with Permission, Cutting EdgeSanta Clara County Dental Society

St. Raphael’s DentalClinic is in GREATneed of volunteerdentists. If you cangive 1/2 day permonth, every othermonth, or more often,the staff and patientsand other volunteerswould really appreci-ate it.

Contact Judy Salcidoat St. Raphael’s(467-0703) to sign up,or find out who mightbe volunteering on aday you’d like to vol-unteer, so you canwork as a team.

Please considervolunteering!

Volunteers

Needed !!!

March-April 2006 Delta-Sierra Dental Digest Page 13

Royal Aaby, DDSRobert Arteaga, DDS Emma Ayala Lisette Cardenas Nidia GutierrezGurrinder Atwal, DDS Jerilyn Dowling Nora Guitierrez Lavada Laster Shonci Turner Jeniffer VasquezClifford Bradshaw, DMD Susan Frueh Jackie Hundley Valerie Kiser Leaunae Martinez Rhonda Reynolds Ida SwankSteven Brizendine, DDS Mona Adams Debbie Cox Sharon Newby Sybill Rabon Jennifer Sanchez Julie Sanchez Lulu YepezMichael Carl, DDSAndrea Cervantes, DDSRamon Chicchon, DDSLita Rodriguez, DDS Ivan ChicchonTamara Clauson, DDS Amery DeYoung Ann Lenoci Chrissy Montez Robyn Reher Jesse Salcido Donna ThercotManuel Contreras, DDSAllan Corey, DDSBradford Dickey, DDS Margarita Adams Jessica Barba Nancy FisherJose Fidel, DDSDouglas Fong, DDSJan Fricke of UOPJennifer Gordon, DDS Timmisha PettifordEdward Graham, DDS Katie Cates Michelle Fox Shauna Hall Sandra PaulaJohn Hall, DDSMary Hoff, DDSDebra Horlak

William Huiras, DDS Adolfo CarilloJeff Huston, DDS Mary ZapienPablo Jacobo, DDSRoger Lang, DDSGeorge Lin, DDS Lisa Her Rebecca WuBradley Louie, DDSCaressa Louie, DDS Amy Hu Donna Louie Terrie Mercer Cassie PeoplesLester Low, DDS Amanda Baker Brenda Lee Decker Lisa Grimmett Erica Lechich Audrey ReglaWilliam Marweg, DDSMatthew Milnes, DDSJanice Moreno, DDS

Michael Moreno, DDS Kristina Brady Joyce Crame Marlene Garcia Maria Guzman-Silva Jennifer Ortega Ida Van PeltBrandon Nash, DDSDwayne Nash, DDS Seidy Cabrales Theresa Flores Debra StephensChristopher Parker, DDSLynn Parker, DDSPankaj Patel, DMDGary Sakai, DDS Margaret Dah Gena Guererro Andrea MoncevaisSteven Sanford, DDSAmy Scriven, DDSPatricia Tay, DDSBruce Toy, DDSLoc Tran, DDS

Give Kids a Smile Day

James Van Sicklen, DDSLaurent Vien, DDS Thao NguyenShanda WallaceHonping Wong, DDS Rose Zamora

2006 Give Kids a Smile Day, headed up by chairpersons of different areas: Lynn Parker, Bruce Toy, LitaRodriquez, and Shanda Wallace. This year’s even included more dental office visits for work that needed to becompleted following screenings at St. Raphael’s Dental Clinic. Volunteers were plentiful! Thank You Volunteers... without your support, this event would not be successful. Listed below are members and their staff whosigned up to volunteer at the 2006 event. A hearty thanks to everyone!

Lita Rodriquez treating a child on GiveKids a Smile Day that was screened at

St. Raphael’s Dental Clinic.

Above right - JaniceMoreno talking toparent

Left - Mary Hoff workingwith a parent

Right - Amy Scrivenregistering children

(Left-Right) Dedicated Members - Jim Van Sicklen,Laurent Vien, and George Lin

Page 14 Delta-Sierra Dental Digest March-April 2006

The conference blends networkingwith continuing education, leadershiptraining and social activities for dentistsin practice fewer than 10 years.

Register by May 12, 2006 for a re-duced fee. In addition, early registrantsare eligible for special prize drawings.

For more information about theconference, call 312-440-2779, e-mailwww.newdentists@ada.org, or visit theNew Dentist section of www.ADA.org.

Boston Seaport HotelJune 22-24

SJDS 24th Annual Leadership ConferenceSeascape Resort, Aptos, CA

Dale Redig, DDSConference Facilitator

Bill HuirasVice President

Donald Huang

Luisa Bermudez

(left-right) Ed Graham, Nick Veaco,Matt Milnes, and Amy Scriven

Rick Castelanelli

Phil Abeldt, Trustee

The San Joaquin Dental Society wishes to thank the following officers and Board of Directors who attended theFebruary 10, 11, 12, 2006 Annual Leadership Conference: Officers: Janice Moreno, Bill Huiras, Lester Low, AmyScriven, and Ed Graham; Board of Directors: Tony Arredondo, Luisa Bermudez, Rick Castelanelli, Paul George, DonaldHuang, Matthew Milnes, Robyn Shields, and Nick Veaco; and Trustee: Phil Abeldt. These members gave of their time andpersonal expenses to attend the annual conference. Some came early to golf or just tour the area. Most brought theirfamilies and spouses. Leadership worked over the weekend with conference facilitator Dale Redig, DDS,past Executive Director of CDA. It was also an opportunity for families to meet each other at a groupdinner and the SJDS Leadership spent time getting to know one another.

Janice MorenoPresident

Answers toContinuing Education

Questions:Question

#1 - c#2 - d#3 - c#4 - d#5 - b

Question#6 - a#7 - a#8 - d#9 - d #10 - a

Complete the answer sheet inserted with thisnewsletter and return to SJDS for CE.

March-April 2006 Delta-Sierra Dental Digest Page 15

Address, Phoneor Fax Changes:

DirectoryUpdatesPolicy: No display advertising is accepted in this section. All orders must be submitted in

writing, typewritten, by mail, fax or e-mail. The advertiser must also notify the publisher in writingabout each renewed advertisement. No orders will be accepted by phone. The publisher reservesthe right to decline, withdraw or edit copy at its discretion.

Classified ads are free to SJDS members. To renew your ad, please notify the Societyoffice no later than the deadline for articles noted on page 2 of this newsletter.

Classified Ads

May2 CDA Legislative Day4 Executive Committee Mtg. (12:15 PM)8 Budget & Finance Committee (6 PM)11 Board of Directors Mtg. (6 PM)18 Regional General Membership Mtg.

(1:30 PM)19-20 CDA Board of Trustees Meeting24 CPR Recertification (4 PM)29 Memorial Day (SJDS Office Closed)

June13 Executive Committee Mtg. (12:15 PM)15 Board of Directors Mtg. (6 PM)20 CPR Recertification (4 PM)22-24 ADA New Dentist Conf. (Boston)26-30 Executive Director on Vacation

July4 Independence Day (Office Closed)18 Executive Committee (12:15 PM)19 CPR Recertification (4 PM)22 Car Show and Family Picnic (Lodi

Lake)27 Board of Directors (6 PM)

SJDS Activity Calendar

General Dentist - A general dentist who likes to doendo is needed at the MACT Health Board inTuolumne City, CA. Contact Dr. Doan for moreinformation 209-928-4279.

STARTER DENTAL PRACTICE FOR SALE – 1,506sq. ft., 5 ops, plumbed and ready, new and oldequipment. North Stockton, 8626 Lower SacramentoRd., #37B, $90K or best offer. Negotiable. Dr. Lin714-906-1316.

Seeking full-time dentist – associate to work at theStockton & Galt office with buy-in potential forStockton office. Fax resumes to 209-952-9292.

Brighten your image, call VALLEY MEDICALREPAIR today! Reupholster those dingy dentalchairs & waiting room chairs now. Dave’s Valley

Custom Upholstery / Valley Medical Repair has beenmaking them look new for 25 years right here in SanJoaquin Valley. For your convenience, installationscan be done on weekends, during break periods,days off and evenings. Call anytime 8 AM to 8 PMdaily (209) 887-DAVE (3283) Linden, CA. Please seeour website: www.valleymedicalrepair.com orwww.davesvcu.com

TIMECLOCK 2000 — A professionally writtensoftware program to act as a time clock andbookkeeper for all of your employees. Employeespunch in or out on any computer in your office.Keeps track of regular, overtime, holiday, vacationand sick hours plus breaks and mileage. Total hours,overtime and gross pay automatically at the end ofeach pay period. Several other reports are alsoavailable. Saves time through automatic calculationsand saves money by preventing errors andemployee overstatement. If you are using a manualtimeclock or handwriting times on a card, it is time toenter the 21st century. 30-day money back guarantee.Windows 95/98/ME/XP/2000. Discount available tomembers of SJDS. Contact Charles Feldman (209)957-8776.

Two Revised Directory Pages Insertedwith this newsletter:

Dr. Dwayne Nash was incorrectly listed as“retired” in the recent membership direc-tory. We apologize for this error, andwould like you to know that HE IS NOTRETIRED, and still practicing.

Dr. Roberto Espejo, affiliate member - Hisaddress was incorrectly printed in the di-rectory for his Stockton office. His cor-rect address is 222 E. Acacia, Stockton,CA 95204.

Dr. Trang Duong, DDS of Manteca(Orthodontist) -- her correct fax number is824-7510.

A Hearty Thanks toOur St. Raphael’s

Dental ClinicVolunteers

Our thanks to the following membervolunteers who gave of their time andtalent in February and March at St.Raphael’s Dental clinic:

You can’t change the world in fourhours, but volunteering 4 hours permonth or every other month at St.Raphael’s Dental Clinic is a start.Call Judy Salcido at the clinic to signup (467-0403).

For questions call Dr. RaynorHarmeson (478-5060), or Dr. BruceToy (478-4322).

Tony ArredondoAllan CoreyPaul GeorgeDwayne NashCalvin Ota

Carla PenaJames Van SicklenNick Veaco

CDA Scientific SessionsApril 27-30, 2006 ........................ AnaheimSeptember 15-17, 2006 .... San FranciscoMay 3-6, 2007 ............................. Anaheim2007 Fall ....... ADA Mtg. in San Francisco

ADA Annual MeetingsOctober 16-20, 2006 ....... Las Vegas, NVSeptember 27-30, 2007 ... San FranciscoOctober 16-19, 2008 ..... San Antonio, TXOctober 1-4, 2009 ............... Honolulu, HI

Keeping in Touch With Members . . .Congratulations to retired member AlTonn of Manteca, who recently had afull-page, featured article about himpublished in the International Collegeof Dentists, District 13 (California)newsletter. Referred to as an “unsunghero,” Al was featured for his manyinvolvements since retiring afterpracticing for more than 50 years as apediatric dentist. A member of theFederal DMORT (Disaster MortuaryResponse Team), he worked in NewOrleans, after Hurricane Katrina; andprior to that he was deployed by FEMAto the World Trade Center disaster of9/11/01. When he is home in Manteca,“no watching daisies grow for him,” ashe is a civilian member of Manteca’sPolice Dept., riding along in patrol cars,looking for the bad guys in town.

PRSRT STDU. S. PostagePAIDPermit No. 286Stockton, CA

San Joaquin Dental SocietyDelta-Sierra Dental Digest7849 N. Pershing Ave.Stockton, CA 95207

SJDS Membership BenefitThe Exclusive Patient

Payment Plan

Don’t pay retail rates for process-ing “rewards” cards ... pay“healthcare” rates through Re-triever. Call to find out how you canobtain a “free” statement analysis!

Since 1994 SJDS has been providing this greatmembership benefit. Retriever’s goal is “tohave every patient treated in your office, ei-ther pay at the time of treatment, or guaranteepayment with a credit card”.

Processing at the lowest rateWinner of Visa Member Quality

Performance Award

� No Set-up Fee� No Transaction Fees� Only Processing Program on the

market which is “Customed Designed”for the Dental Office

Call Frank Shiner yourRetriever representative

to discuss this SJDSMembership Service.

1-800-337-3630

A CERTIFIED PUBLICACCOUNTING FIRM

1743 GRAND CANAL BLVD., SUITE 17STOCKTON, CA 95207-8108

Tholborn Accounting

209-474-3375