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WMDDS 2012 Fall Bulletin
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FALL ISSUE 2012VOL. 45, NO. 1
Bulletin
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WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 1
Contents
President’s Message ..................................................................................................... 2
Editor’s Thoughts ........................................................................................................ 4
Notice of Election ........................................................................................................ 5
Trustee Report ............................................................................................................. 6
The Toughest Job You’ll Ever Love ............................................................................ 8
Point of Light and West Michigan .............................................................................10
Technically Speaking ...................................................................................................21
Will 2012 See the End of Bush Era Tax Cuts? ...........................................................22
New Dentist Outing Treats the Farmers to Rain .......................................................23
Ad Council Launches Children’s Oral Health Campaign .........................................24
God Bless Integrated America .....................................................................................25
Classified Ads ...............................................................................................................26
Advertiser Index ...........................................................................................................27
The Buying and Selling of a Business .........................................................................28
About the Cover
A team of West Michigan students and dental professionals head down on a dental
mission trip to Guyana, South America in March of 2011. For more details of the
trip, please refer to the feature article on page 8.
Mission StatementThe Bulletin is the newsletter of the WMDDS and its mission is to inform the membership of
upcoming and recent events, state & local issues related to dentistry, and as a forum for its officers,
representatives, and members to discuss appropriate topics of interest to the membership.
Communication & Advertising PolicyThe Bulletin will publish submitted articles from members and others that relate to the practice of
dentistry, small business, social, or political issues affecting dentists, or other subjects of interest to
the membership. All published items are subject to space restrictions and the community standards
of the WMDDS. The editors reserve the right to reject any article or advertisement deemed
inappropriate and to edit submissions as they see fit.
Submission & Publication Policy: Articles and advertisements must be submitted no
later than the 1st of the month preceding publication date. The Bulletin has six publications:
the winter issue, spring issue, summer issue, directory issue, fall issue, holiday issue. Direct
submissions or correspondences to:
Dr. Jeffrey S. Smith • 3050 Ivanrest SW, Suite B • Grandville, MI 49418
Phone: 616.531.1554 FAX 616.531.6947 • Email: [email protected]
Include “Newsletter” in the subject line
Editor Dr. Jeff Smith
Associate Editors Dr. Seth Vruggink Dr. Derek Draft Dr. Aric Smith Dr. Brian Licari
Advertising Editor Elaine Fleming Executive Secretary WMDDS 511-F Waters Building Grand Rapids, MI 49503 (616) 234-5605 [email protected]
West Michigan District Dental Society Executive Board 2012-2013 President Dr. Tyler Wolf President-Elect Dr. Margaret Gingrich Vice President Dr. Samuel Bander Secretary-Treasurer Dr. Kathleen Ellsworth Editor Dr. Jeff Smith Immediate Past President
Dr. Larissa Bishop
Directors Dr. Steve Conlon Dr. Leonard Bartoszewicz Dr. Brian MulderArea Representatives
Kent County Dr. Michael Palaszek Ionia-Montcalm
Dr. John O’Donald
County Mecosta County Dr. Erick Perroud Ottawa County Dr. Meredith Smedley
MDA IV District Dr. Brian Cilla Trustees Dr. Colette Smiley
Big Rapids Dental Study Club OfficersPresident Dr. Erick Perroud Vice President Dr. Christa SternSecretary Dr. Christa SternTreasurer Dr. Erick Perroud
Holland-Zeeland Dental Society OfficersPresident Dr. Meredith Smedley Treasurer Dr. Robert Ankerman Secretary Immediate Past President
Ionia-Montcalm Dental Study Club OfficersPresident Treasurer Dr. Kirkwood Faber
Kent County Dental Society OfficersPresident Dr. Norman Wilhelmsen Vice President Dr. Michael Palaszek Secretary Dr. Kathryn SwanTreasurer Dr. James Papp
West Michigan Dental Foundation OfficersPresident Dr. John Marshall Vice President Mrs. Wendy Mc Ginnis Secretary Mrs. Carol Klein Treasurer Mr. Joe Van Laan
The Bulletin of the West Michigan Dental Society is published six times a year (the winter issue, spring issue, summer issue, directory issue, fall issue, and holiday issue). The opinions expressed in The Bulletin are not necessarily the opinions of the West Michigan District Dental Society.
Contributions to The Bulletin are welcome and should be addressed to The Bulletin Editor, 3050 Ivanrest SW, Suite B, Grandville, MI 49418. Requests for purchase of advertising space should be directed to the Advertising Editor, Elaine Fleming, (616) 234-5605. The deadline is the 1st of the month prior to publication.
© 2012-2013 West Michigan District Dental Society Bulletin
ello again. I’m speaking to you today as I stand
atop my sturdy soap box. I’m not in the habit of
preaching, but I noticed something in a magazine
today that put me in the mood to do just that. If you’re curi-
ous, it was an advertisement placed by one of our own brethren.
Why would that prompt me to write an editorial about it? I’ll
get back to that…
Not-so-fun fact #1: The Gallup Poll for Honesty and
Ethics in Professions 2003 rated dentists at #5 with a 61% high
approval rating. In 2009, we dropped out of the top ten and
dropped to 57%. What’s further is that from 2006 to 2009
only one other profession dropped more than we did in the
public’s eye (state governors if you were wondering). Our
profession has not been included in the poll since.
Not-so-fun fact #2: An article’s title, written in our own
profession’s journal (JADA, September 1, 2011), asks the
question “Are Dentists Losing Their Status as ‘Professionals’?”.
Ponder that one a bit.
In my dental practice, I do something that I call the new
patient interview. It is my first contact with the vast major-
ity of my patients. In this process, I sit down at my desk and
“chat” with the patient before we do anything in the operatory.
Part of my routine is to talk about our team philosophy. I
talk directly about the fact that I consider myself “old school”
in terms of how I believe professionalism should be defined
and carried out. I have frank discussions about treating every
individual with the dignity and respect that they deserve.
Something that I feel is lacking more and more in our world.
This has to do with my personal code of ethics. These ethics
should coincide with the code of ethics that we all pledged to
uphold when we swore an oath upon graduation from dental
school. Part of this code of ethics covers how we market our-
selves and our profession to potential patients, as well as how
we compare ourselves to our peers in dentistry.
So back to this full-page ad that I viewed in our big city
magazine… It stated in no uncertain terms that this particu-
lar dentist had “earned a Degree in Cosmetic and Aesthetic
dentistry from (XYZ) University School of Dentistry.” Well,
as far as I was aware, there was no such thing as a recognized
specialty degree in cosmetic or aesthetic dentistry. Knowing
that we dentists are way to exacting, I’m convinced that the
word ‘degree’ was used both specifically and intentionally
to convey some sort of mastery of the craft that had been
bestowed by an institution of higher learning. Quite the sell-
ing point.… Yet as purposefully misleading as it is dishonest.
So…. Of course I called the (XZY) University Dental
School to inquire about this “degree” program, only to be told
by the confused administrator that no such program exists.
“We sometimes do continuing education courses on that
topic,” I was told, in her warm southern drawl. Not that this
was such a revelation, but only a confirmation.
So for what possible reason would this dentist produce
such a false statement and use it in his advertisement for all
of Grand Rapids to see? I mean, it couldn’t have been to woo
patients in his door or to make himself look more qualified
(read ‘better’) than his brethren…because THAT would be
unethical right?
Take a few minutes to let your fingers do some walking
through the local phone book or some clicking on the web….
You might be appalled at what you will read coming from
dentists that you may know – dentists that took the same
oath and should be operating under the same code that you
are. You may gain a better understanding of why the public is
losing faith in us.
Some examples that I have seen include:
• “Voted #1 Dentist in Michigan” (Billboard)
• “Voted Top Dentist in Grand Rapids”
• “… A Better Dental Experience”
• “Specializing in Cosmetics and Implants”
• “Secrets your dentist doesn’t want you to know.” (Local
Dentist’s Website Blog)
• “West Michigan’s Leader in…”
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 20122
P R E S I D E N T ’ S M E S S A G E
Ethics in AdvertisingBy Tyler A. Wolf, DDS, WMDDS President
H
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 3
P R E S I D E N T ’ S M E S S A G E
And don’t even get me started on the flood of “mercury fill-
ings” fear mongers. You know the ones that prey on patient’s
fears under the guise of being somehow more “biological” in
their delivery of dental care than the rest of us. But that’s for
a whole other article….
Now listen, I realize that this sort of thing is not as overtly
damaging as if another dentist slammed your past treatment
right in front of a patient during a second opinion appoint-
ment. I get that. However, it is very insidious what it does to
the moral and ethical fabric of our profession.
We are better than that. We need to be the professionals
that our patients expect and deserve. We need to remain in
the footsteps of those who have walked before us and made
what we do great.
Let’s all take a higher road, please.
I would be remiss if I did not mention what the majority
Member FDIC
LocationsCascade Rd at Spaulding - SE
Northland Dr at Plainfi eld - NE
Monroe Ave at Louis - DowntownWilson Ave at 56th - SW
(616) 956-9030foundersbt.com
Born here.
Staying here.Growing here.
Our local bank proudly supports the dedicated West Michigan Dental Community.
of us already know. I am not referring to the most, but to the
few. We are a great and proud profession. We can and should
respect one another because we are doing very good things for
our patients in the name of their health. As that is the case, it
should anger you that such a small few can cause us to lose
face in the eyes of the public that we serve. It is my hope that
at least we can take pause and consider what our appropriate
message should be.
Our MDA and WMDDS Peer Review Ethics Committees
are well-versed in what constitutes borderline or over-the-line
advertising. I find a measure of solace in their vigilance. You
can help too by reporting any questionable content that you
may come across.
As always, my eyes and ears are open to any comments or
concerns that you may have. My office number is 457-4600,
and my email is [email protected].
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 20124
his month’s message from Dr. Tyler Wolf is going to
be a tough act to follow, but as your new and very
green editor, I’ll give it
my best shot. Our profession
has, on occasion, been accused of
being more concerned with the
bottom line (i.e. the business end
of dentistry), than with the deliv-
ery of caring and compassionate
treatment to our patients, as well
as always looking out for what is
in their best interest (i.e. being
ethical health care professionals).
This conception/misconception
is exacerbated by another crowd
who would accuse our profession
of not “paying its fair share back
to society.”
One reason that dentistry
sometimes takes these hits is that
we don’t do a good enough job
of informing the public and
media of all of the time, money,
and personal effort we donate
to help others who are less for-
tunate, but are in real need of our services and care. Maybe
we don’t want to appear to be too braggadocious or self-
promoting, but the fact remains that many dental professionals
are often more than willing to sacrifice the bottom line for
the sake of their profession. One such example is the work
of Dr. Scott Hodges, who has been organizing mission trips
Just Why Are We In It?By Dr. Jeff Smith, WMDDS Editor
E D I T O R ’ S T H O U G H T S
in Guyana, South America, for the last ten years. The list of
other WMDDS members who routinely give freely is simply
too long to mention in an editorial this short.
It can be very challenging to break the flow of our daily
professional, personal, and family commitments and rou-
tines, but I would ask you to ponder this question: Which
stays longer in your heart and memory, the “thank you” and
appreciation you got from someone for doing something spe-
cial, or the income numbers from an especially good month at
the office? I would wager that it is almost certainly the former.
We will have an opportunity for two days in Saginaw on
the weekend of June 6-9 next year to participate in an event
that will help to meet some of the dental needs of thousands
of people in the State of Michigan.
This program will draw hundreds
of volunteer dental professionals
from around the Midwest, and
has gained national media atten-
tion when it has been organized
and put on in other cities in the
United States. This program is
called the “Mission of Mercy” or
MOM. It is a non-profit orga-
nization which provides, trans-
ports, and maintains all of the
equipment necessary for such an
undertaking. MOM also helps to
organize the volunteers, as well
as set-up, run, and tear down
all of the equipment after the
last patients have been seen. The
costs for this endeavor are pri-
vately raised by dental organiza-
tions in the state where the event
is held. Donations may come
in the form of funds, supplies,
meals/snacks, and other support items. Please stay tuned for
further information in coming issues of the Bulletin and
MDA Journal on how to register for and/or donate to next
year’s MOM event in Saginaw.
T“ Maybe we don’t want
to appear to be too
braggadocious or self-
promoting, but the fact
remains that many dental
professionals are often
more willing to sacrifice the
bottom line for the sake of
their profession.”
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 5
West Michigan District Dental Society Notice of Election
(Written mail-in ballots will be sent 30 days following this notice)
In accordance with the West Michigan District Dental Society by-laws, the Nominations Committee presents the follow-
ing slate of candidates for the positions of Alternate Delegates and Delegates for the 2013 Michigan Dental Association
House of Delegates and WMDDS offices for 2013-2014. By-laws require that a written notice of the names of the nomi-
nees for elective offices be published 30 days prior to the election. The election will be held by a mail-in ballot.
Five (5) of the following will be elected to a two-year term as a Delegate to the MDA House of Delegates and the remaining
eleven (11) will serve a one-year term as an Alternate Delegate.
Dr. Larissa Bishop Dr. Doug Klein Dr. Steve Conlon
Dr. Kevin Kross Dr. Matt Lieto Dr. Kevin Rebhan
Dr. James Hur Dr. Michael Nichols Dr. Lathe Miller
Dr. Ryan Lebster Dr. Aaron Clark Dr. David Armbrecht
Dr. Leonard Bartoszewicz Dr. Hany Boulos Dr. Trish Roels
Completing the delegation in accordance with the WMDDS by-laws are the following members:
Dr. Tyler Wolf, chair Dr. Margaret Gingrich Dr. Sam Bander
Dr. Seth Vruggink Dr. Doug Killian Dr. Kathryn Swan
(Drs. Wolf, Gingrich and Bander are automatic seats and Drs. Vruggink, Killian and Swan are serving the second year of
a two-year term as delegates.)
The Nominations Committee further recommends the following candidates to fill the following Society offices for
2013-2014:
Dr. Margaret Gingrich, President
Dr. Sam Bander, President-elect
Dr. Steve Conlon, Vice President
Dr. Kathleen Ellsworth, Secretary/Treasurer
Dr. Leonard Bartoszewicz, Third Year Director
Dr. Brian Mulder, Second Year Director
Dr. Lathe Miller, First Year Director
The Nominations Committee, shall include as a nominee for any of the above mentioned positions, the name of any
West Michigan District Dental Society member in good standing for whom a petition, signed by fifteen (15) active
members of the Society has been submitted. Petitions should be delivered by December 5, 2012 to the chairperson of the
Nominations Committee, Dr. Larissa Bishop, 4050 Del Mar Drive SW #B, Grandville, MI 49418.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 20126
lthough summer may feel long gone, I would like to
spend some time updating you on the activities and
decisions made at this year’s MDA Summer Board
meeting, as well as some other local news, too.
Access to CareDonated Care Research Project: The MDA Board has
approved funding for a study and report on the amount of
pro-bono work performed in private dental practices. This
study will also determine the amount of work that dentists
donate outside of the office – in community clinics, MOM
events, etc. The research is just beginning and the data should
be ready this Fall.
Kent County Health Department: The Kent County Health
Department recently received a $5000 grant from the ADA
Foundation Samuel D. Harris Fund for Children’s Dental
Health. Grants are given to non-profit agencies and organiza-
tions that sponsor oral health instruction for mothers/care-
givers to help reduce the incidence of early childhood caries.
Internet Coupons & Professional EthicsPrompted by questions from MDA members, the MDA’s
Committee on Peer Review/Ethics has been studying the issue
of dentists promoting their practices with internet coupons,
e.g., Groupon. MDA legal counsel has stated that review of
both the ADA and MDA Codes of Ethics shows practice pro-
motion via the use of internet coupons is unethical. “The offer
and award of referral gifts or Groupon discounts to patients
may violate certain ADA ethical rules, including the rule
prohibiting dentists from giving rebates and splitting fees.”
Fall 2012 Trustee ReportBy Dr. Colette Smiley, MDA Trustee
MDA-IFG & MDA ServicesAt the June Board meeting, we received great news from our
ever-growing subsidiaries, MDA-IFG and MDA Services.
Non-dues revenue from the subsidiaries returned to the MDA
the equivalent of $486 for each MDA active member. This
equates to MDA dues for 2512 members or 69% of the active
membership! This is a real hidden benefit to us all.
The MDA Services glove program is growing very rapidly;
interestingly, 67% of MDA Services glove business is outside
our own membership – 13 other state dental associations
and three medical associations endorse our product. MDA
Services is now using this same successful business model to
expand into facemasks.
If you haven’t tried the MDA Services glove program, give
it a try. You can order or request samples online or by call-
ing 877-484-6149. Every time you utilize an MDA-endorsed
program, you receive savings through product discounts.
And the MDA also benefits by receiving an additional source
of revenue, at no additional cost to you. This is a win-win
opportunity for MDA members.
MembershipThe MDA’s current membership market share is 74.7%. In
total, 98% of dentists have renewed their membership in
2012, which secures the MDA’s place in the top 10% of all
state associations in the country.
For WMDDS, we have an 87% membership market share
– in the top 15% of components in our state. Congratulations
to WMDDS Membership Committee Chair Dr. Kathryn
Swan and her committee!
Strategic Planning Also at the Summer meeting, the MDA Board heard a presen-
tation by Dr. Michael Gallery, the MDA’s strategic planning
consultant. Dr. Gallery challenged the MDA to “Do a few
things well. As an association, we (MDA) try to do too much.”
Currently, about 50% of MDA’s revenue is from dues; Dr.
Gallery challenged the MDA to try and reduce dues down to
one third of the total MDA revenue.
The MDA is in the initial phase of studying its governance
system. No, our current system is not broken. The MDA
has excellent membership market share in a bad economy,
A
T R U S T E E R E P O R T
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 7
and we are about to pay off our building mortgage ahead of
schedule. The driving goal behind the governance study is to
make our Association more effective. It is important to have a
governance model that works as well as possible to move our
Association forward.
Thank you to Dr. Deb Peters and Dr. Kevin Rehban for
your service on the Governance Task Force!
Veterans CollaborationThe State of Michigan has the eleventh largest veteran’s popu-
lation in the U.S., and this population is not accessing the
federal funds available to them for dental care, other types of
health care, and energy costs.
To increase utilization, the MDA is partnering with the
Michigan Department of Veterans Affairs to produce a bro-
chure, explaining to veterans that they may be entitled to fed-
eral assistance. The brochure will contain a phone number for
the veteran to call and see if he or she qualifies for these funds.
This partnership is ideal. In some instances, the dentist
may be the first point of contact for a veteran. All it takes
from you is one question, “Are you a veteran?” The launch of
the program is scheduled to coincide with Veteran’s Day this
November. Look for the brochures in the mail.
Now, A PleaThis past May, 3750 emails were sent through the MDA’s
Capwiz site, encouraging members to contact their legisla-
tors regarding the expansion of Healthy Kids Dental. I am
happy to report that as of October 1, Healthy Kids Dental will
expand to ten more counties in our state, including Mecosta
and Montcalm counties in West Michigan.
Only 168 members responded to this email plea.
Interestingly, 2894 members opened the Capwiz alert, 516
then went to the Capwiz site, but only 168 responded.
Contacting a legislator through Capwiz required 3 clicks of
the mouse and an individual to know (or be able to find) his/
her ADA membership number. Our support of the MDA’s
legislative efforts only benefits us all – please participate!
And, A Thank YouI thank you for the privilege of being your Trustee. Please
be in contact with any concerns or comments you may
have, or if there is any way I can assist you. I can be reached
at 616.560.1104 or [email protected]. Send me a tweet
@smileycolette.
T R U S T E E R E P O R T
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 20128
F E A T U R E A R T I C L E
r. Steve Hall, a dental school classmate and good
friend, had been bugging me gently, but semi-
persistently during our weekly “dental lunches” at
Arby’s for at least four or five years. He was part of a group of
West Michigan dentists, hygienists, assistants, students, and
lay people who had been
going down to Guyana,
South America, for a week
in March on a Christian
Dental mission trip. When
Steve first began asking
me, I was happy to make
a cash donation, but to
actually take a week off
from practice and fam-
ily, and travel down to
some hot, humid, and
unheard of country where
the mosquitos are prob-
ably the size of humming
birds (over active imagi-
nation at work), forget
about it!
Well, in a moment of weakness or perhaps lapse of reason,
I agreed to attend an organizational meeting at Dr. Scott
Hodges’ office for the upcoming trip in March of the next
year. About 30 of us were informed that while we would be
perfectly safe and well cared for, we would have to be cogni-
zant of the customs and sensibilities of the Guyanese, who
have descended from a fifty/fifty split of people from India
and Africa, and whose religious faiths tended towards Hindu
D
and Islam. Everything that we needed for the 8-day trip had
to fit in a carry on size case or duffel bag. That meant one half
of the bag was used for clean socks and underwear, and the
other half contained our scrubs and toiletries. (Smart phones
and iPads down there would be pretty much useless.) The
vast majority of the luggage space on the plane was composed
of over forty large suitcases and crates containing all of the
equipment and supplies necessary to treat anywhere upwards
of 400 people in a make shift clinic set up in an open church.
After leaving Grand Rapids around 11 am, we flew out of
Detroit Metro to JFK, and ultimately arrived in Georgetown,
Guyana, sometime around 8 am the next day. The weather
was warm and moderately humid, much like the sensation
you get upon arriving in Florida when you have been in
Michigan all winter. There was an air conditioned bus waiting
for us just outside the terminal and off we went on the 3-hour
trip to the small village of
Bath. About halfway there,
the bus broke down on
the main highway, which
is only two lanes and no
wider than the street in
front of your home. The
bus pulled over to the side,
all of our luggage, equip-
ment, and dental supplies
were removed from the
large pickup which had
been following, and we
made the rest of the trip
(all of us) standing in the
back of that open truck
going down the “highway”
in the wrong lane (previous British rule in Guyana) dodg-
ing cattle, dogs, bicyclists, and oncoming traffic. The locals
watching us seemed genuinely amused as we passed by. Many
smiled and waved. We were definitely an odd sight as the
number of our group was probably larger than the rest of
the white people within the country combined. (Maybe they
thought that this was the American version of mass transit.)
Late that afternoon we finally arrived at Bath, dropped our
stuff off in the home of the missionary, Andy and his wife,
The Toughest Job You’ll Ever Love By Dr. Jeff Smith, WMDDS Editor
The local church is cleared out, and transformed into a functional dental clinic.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 9
F E A T U R E A R T I C L E
Kathleen, and began assembling the clinic in the new but
growing village church. Scott Hodges did an incredible job
of assembling, and then later maintaining 16 “operatories”
tirelessly. All of the supplies and instruments were organized,
sterilized, and then dispensed around the dental units which
consisted of folding loungers for the patients, 5-gallon paint
buckets for the clinicians to sit on, and cardboard boxes with
mobile air and suction hoses which ran off of shop vacs and
generator-driven air compressors.
The clinic opened at 7 the next
morning, and there were people who
had been waiting in line since 4 am.
(Earlier the church pastors had told
the villagers that an American dental
team would be coming to provide
free dental care for 4 days). During
the day, hygiene students from Ferris
did prophies and screened patients,
many of whom had never had any
professional care. While there is a
state-sponsored dental program in
Guyana, it consists almost entirely
of extractions. Sugar is a major agri-
cultural crop in Guyana, and many
who harvest the sugar cane chew
on it all day while they work in the
field. We were told by some of our
patients that extractions done by
the local dentists (maybe 12 to 20
in the entire country) were usually
without anesthesia, since they typically saved the lidocaine for
their cash patients. The fact that we could actually save teeth
with restorations if they weren’t too bombed out, or extract
if necessary without pain, had people waiting for two or three
days to get in to the clinic. Between equipment failures, Dr.
Hodges was even able to get some root canals in. We would
try to close the clinic by 8pm, but we almost never got out
before 9 or 10. During the day, we would grab meals, snacks,
or breaks in shifts. When we finally got back to our mission
home, there was time for a shower, meal (almost always the
same food that the villagers eat, only in mass quantities),
and a group talk during which time anyone could share their
thoughts on the day’s events or how they were adapting/
holding up to the demands of the trip. Even though it was
always warm at night, I usually feel asleep as soon as my head
hit the pillow.
By the last day of clinic, we had changed from a group of
30 strangers and morphed into a tightly-knit team. Everyone
knew the names of their fellow team members and what
supplies or help their colleagues needed while they
were providing care. We were finally
“cranking out” dentistry and hygiene
because there was no tomorrow.
Many of the villagers came back into
the clinic with family and friends.
Some even brought gifts for mem-
bers of the team. Upon departure,
not only had some of us learned to
eat and enjoy iguana, but we had
formed new friendships and bonds
within the team, and also with the
pastors, their families, and many of
the villagers in Guyana as well.
Two days later, Sunday around
6pm, after 36 hours of travel, storm
delays, and immigration and cus-
toms officials, we were back home
again. We were hungry for family
and fast food, and were completely
exhausted. Many of us had to be
back to school or at the office the
next day. All I wanted after some
long hugs with my family was enough sleep to recharge
for the next day. After recounting the details of the trip to
family, friends, and anyone else who was polite enough to
listen, the recurring question was, “Are you glad you went on
the trip?” Without hesitation, my answer was and still is two
trips later, “As crazy as it might seem, ABSOLUTELY.”
Hygiene students from Ferris work tirelessly into the night.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 201210
ave you heard of the Points of Light program and
wondered what it is? Or are you familiar with
Points of Light but not really sure how to become a
Points of Light dentist?
The primary mission of
the Points of Light program
is to promote the first dental
visit by age one. Additionally,
the Points of Light program
provides an online database,
serving as a parent resource,
of participating dentists that
accept infants, Head Start
students, and children with
Special Health Care Needs.
In order to understand
the program better, I inter-
viewed some of the partici-
pating Point dentists in our
community. Thanks to Drs.
Stephanie Benton, Kathleen
Ellsworth, Ryan Lebster, Karen O’Rourke, Dan Peters, and
Scott Van Timmeren for their helpful input!
What motivated you to become a Points of Light provider?Practitioners interviewed wanted to provide the service of a
one-year-old exam to patients, primarily to educate parents
on their essential role in their child’s oral health, starting at
an early age.
In addition, this early counseling and intervention pre-
Points of Light and West MichiganBy Dr. Colette Smiley, MDA Trustee
C O M M U N I T Y O U T R E A C H
vents the need to treat decay later on. As one provider stated,
“A one year old dental visit is a heck of a lot easier than doing
fillings on a two-year-old!”
What were the challenges in implementing the one-year-old dental visit in your practice? Did you encounter any resistance from other dentists, staff, or patients?Providers stated their partners and staff readily recognized the
need for early intervention and implementation of the Points
of Light program into their practices went smoothly. “Once
you integrate infant oral health into your practice, it becomes
commonplace.”
“The old habit of a parent thinking the first dental visit
should be at the age of three
can be hard to break.” To
educate parents in the prac-
tice, and increase the per-
ceived value of a one-year-
old dental visit, a number
of practices put together a
packet of information spe-
cific to oral health for infants
and toddlers.
One of the goals of the Points of Light program is to optimize the com-munication between the pediatric medical community and dental providers, encouraging
coordinated, timely referrals from pediatricians or other primary care providers. Have you done any specific outreach in our community, informing others that you are providing this service?One Point dentist in a smaller West Michigan community has
spoken with local physicians, hospitals, clinics, day care pro-
viders, churches, and Head Start programs and reports posi-
tive, receptive responses. All providers noted it would be very
easy to provide information to other health care providers
in the form of a packet or even a brief introductory meeting.
H
Dr. Chris Smiley does age one-year exam.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 11
Another practitioner noted, “I don’t really need to do any
specific outreach in the community. The young mom’s in my
practice are now creating a ‘buzz’, telling their friends about
this service I’m providing!”
Have you experienced any challenges as a Points of Light provider?It seems that both physicians and parents may not understand
the importance of the one-year dental check up. But after
presenting the literature and establishing a relationship, the
current Point providers all noted that physicians and parents
were firmly on board.
“It’s a simple thing to do and I love getting into parents
heads early. Assure dentists they only need to see the infants
in their own practice; they are not required to see anyone else.”
I have been doing one-year-old dental exams for several years. Why should I sign up as a Points of Light dentist online? It’s good for kids and it’s good for you! On the Points of Light
website, the Parent Resources page offers a zip code-driven
search function that enables parents to locate dentists in their
area that accept infants. In addition, on the website you can
specify the patient population that you desire to treat.
West Michigan POL WorkgroupAn informal Points of Light workgroup has come together
with the goal of increasing the network of West Michigan
practices willing to accept infants, Head Start children, and
children with Special Healthcare Needs.
Once a tipping point of Points of Light providers is
achieved, the group plans to approach the West Michigan
medical and Head Start communities to stimulate early refer-
rals. The oral and overall health of the community, starting
with the youngest members, will improve as a shift occurs
from a surgical caries intervention to prevention.
Looking for more information on the program, or ready to
sign on as a Point dentist? Go the Points of Light website:
www.pointsoflightonline.org.
Several Points of Light providers will be available at the
October 26 WMDDS meeting to answer questions as well.
HANC Ad for the Bulletin 8/15/12 Size: 7.5” wide x 3.25” high (One-third Horizontal) 1213-5309
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Where Good Ideas Add Up.™
“ Owning a building for your practice can be a great wealth generator. However, it is not advisable in every situation and careful analysis should be done.”
For 14 more Good Ideas from Hungerford, please email Rick Chrisman at [email protected], or call Rick at (616) 949-3200.
Good Ideain a series of 15
When it comes to building your practice,
experience matters. Hungerford’s
Healthcare Industry Services team has it.
Our understanding of the dental
industry helps us provide services and
expertise beyond the scope of most
accounting � rms. We can help enhance the e� ciency and success
of your business.
Get to know us.
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#2
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NO
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I • APRIL 17-2
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Catch the Spirit in Novi!
MDA 2013 Annual SessionSuburban Collection Showplace, Novi • April 17-20, 2013
Pre-Register Early!Online registration opens Dec. 20, 2012!
Join your colleagues for great social events, a variety of topics and speakers and nearly 200 exhibits.
New this year — one hour “Hot Topic” sessions —more information coming soon.
SpeakerS include:
Scott Benjamin, DDSJoseph Best, DDS, PhDM. Douglas Campbell
W. Choong Foong, PhDMary Govoni, RDA, RDH
Derek HeinTimothy Kosinski, MS, DDS
Glenn LombardiSusan Maples, DDSAlan Mead, DDS
Kenneth Myers, DDSWilliam Nudera, DDS, MsChristopher Smiley, DDS
Jon Suzuki, DDS, PhD, MBADomenica Sweier, DDS, PhD
Anastasia Turchetti, RDHStephen Ura, DDS
Kelli VrlaDaniel Ward, DDS
Plus keynote speakerCoNNie PoDeSTA
and others
Michigan dentistry’s Biggest ce event!
Keeping You Prepared
So you’re never SurpriSed
MDA programs are continuously reviewed to ensure your coverage needs are being met. MDA Insurance and MDA Services offer a wide range of programs including:
• ExaminationGloves• CreditCardProcessing• PayrollProcessing• ProfessionalLiabilityInsurance• PracticePropertyInsurance• IndividualandGroupHealthInsurance• LifeandDisabilityInsurance
Enjoy quality programs, group savings and lower dues.
www.mdaprograms.com www.smilemichigan.com
(800) 860-2272
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 201214
* Malpractice insurance is underwritten by Professional Solutions Insurance Company, 14001 University Ave., Clive, IA 50325. Professional Solutions Insurance Company is rated “A” (Excellent) by A.M. Best for financial strength and operating performance. A.M. Best ratings range from A++ to S. ©2012 PSIC NFL 9191 ALL
To learn more, call 1-800-718-1007, ext. 9191,or visit www.profsolutions.com.
Get competitive dental malpractice insurance coverage with protection you can trust
from an “A” (Excellent) rated* company—PSIC.
4th Annual
DENTAL APPRECIATION NIGHTPresented by
SMS/grgriffins @griffinshockeytext GRIFF to 88188for offers, info & more! griffinshockey.com1.800.2.HOCKEY
Friday, March 8 at 7 p.m. VAN ANDEL ARENA The Grand Rapids Griffins invite your office to join us for all the fun and excitement of Dental Appreciation Night!
Last season, over 500 dental professionals, their families and friends enjoyed this special game.
This season’s Dental Appreciation Night will feature:• Special in-game promotions and $1 concession specials• Discounted tickets for your office• Ticket proceeds benefiting the West Michigan Dental Foundation For more info including discounted ticket pricing, please contact Andrew Rubinstein at 616.774.4585 ext 3023 or [email protected]
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 201216
56 Grandville Avenue sw . Suite 100Grand Rapids, Michigan 49503 . 616 235 5200
Your practice depends on the individualized service you provide each and every client. So does ours.With extensive hands-on experience in the healthcare industry, our team focuses on the financial and operational challenges you face everyday. We are committed to providing industry-specific expertise relevant to you, without compromising your patient focus.
For more information please visit BeeneGarter.com or contact Brian LaFrenier at (616) 235-5200.
Evolving your practice today for a healthier tomorrow.
Tax Planning and Preparation
Sales and Use Tax
Accounting Software Installation and Support
Bookkeeping and Assistance
Start-Up Consulting
Choice of Entity Analysis
Cash Flow Projections
Overhead Analysis
IRS Representation
Payroll Processing
Retirement Plan Design and Administration
Human Resources
Succession Planning
Business Valuation
Estate Planning and Wealth Management
Copyright © B
eene Garter LLP An independent m
ember of M
oore Stephens International Limited
2012 Directory Corrections & Additions
Changes indicated in bold
CorreCtions:
niCHoLs, MiCHAeL G826 PARCHMENT DRIvE SE, #200GRAND RAPIDS, MI 49546949-5290 FAX 949-5714
new MeMber:
Dr. rAHAf HALiMeH12662 riLey street #110HoLLAnD, Mi 49424616.399.3946 fAX 616.399.4774
Keystone Pharmacy, your accredited compounding experts! Using the latest technology and purest ingredients, we create custom medications for your patients, which are prescribed by you and conveniently delivered to your patient’s home. Call our pharmacist today!
creams & gels • gummies, lollipops & lozenges sterile medications • suppositories, sprays and more
KEYSTONE PHARMACYSpecializing In Your Health
4021 Cascade Road SEGrand Rapids, MI 49546616-974- 9792www.keystonerx.com
Happier Patients—One Compound at a Time
Your Fantastic Dental team, what makes it work?Presented by Dr. Rhonda Savage, CEO of Miles Global
January 11, 2013 | Frederik Meijer Gardens & Sculpture Park | CE Credits: 7
This lively session outlines what Miles Global finds as a common thread among their top clients who have the
finest care along with a happy, productive work environment. But most of all, they also have a healthy bottom line.
T – Time to Train and Teach: Patient education and verbal skills
E – Expectations, we all have them for ourselves & our team… communication is key!
A – Accountability provides for a successful practice
M – Motivation: When morale goes up, the practice goes up!
Attendees will learn:
How to attain clinical excellence through comprehensive treatment planning | How to attract and retain the ideal
dental team | The four best tips in scheduling | The key elements to effective communications | Systems of a
successful practice: hygiene, reactivation, accounts receivables | Build fun and excitement into your practice
After this inspiring and motivating full-day comprehensive course, you will get
back to your practice and be amazed at the difference. Experience a day with
your fantastic dental TEAM and find out how to make it work for your practice.
This is a full day presentation – ideal for the dentist and the entire team.West Michigan District Dental Society is an
ADA CERP Recognized Provider.
ThAnk yOu TO OuR SPOnSORS whO hAvE hElPED TO MAkE ThESE PROGRAMS AvAilAblE TO uS.
Supporting Sponsor:Platinum Sponsors:
NAME
ADDRESS
ADDITIONAL REGISTRANT(S) AT THIS ADDRESS
MDA-member dentist – $225
WMDDS retired member dentist – $100
1st staff member – $100
2nd-5th staff members – $90
6th-12th staff members – $85
13th staff member and over – $80
per non-member dentist – $450
TOTAL:
PAY BY CHECK: Make checks payable to: West Michigan District Dental Society. Remit to: Elaine Fleming | c/o WMDDS | 161 Ottawa NW | Suite 511-F, Waters Building | Grand Rapids, Michigan 49503 | Questions? Call 616.234.5605 or email [email protected]
PAY BY CREDIT CARD: � VISA � Mastercard
CREDIT CARD # EXPIRATION DATE/SECURITY CODE
NAME ON CARD
SIGNATURE
registration Form
One thing I am certain about is my malpractice protection.”
“Dentists are dealing withmany unknowns...
Professional Liability Insurance & Risk Management Services
ProAssurance Group is rated A (Excellent) by A.M. Best. ProAssurance.com • 800.292.1036
Many dentists are feeling the impact of lowered demand for dentistry due to the economy.Profi tability challenges and increased risk to meet those challenges contribute to an atmosphere of uncertainty and lack of control.
What we do control as dentists: our choice of a liability partner.
I selected ProAssurance because they stand behind my good dentistry. In spite of the maelstrom, I am protected, respected, and heard.
I believe in fair treatment—and I get it.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 19
To:
Grand Rapids Dental Hygienists SocietyValerie Davis RDH2247 Valen1ne BLVD NEGrand Rapids MI 49525
ABOUT TH
E SPEA
KER:
GR
DH
S W
elco
mes
:
Amelia (A
my) Haz
elwoo
d, RDH, B
S
Amy Ha
zelw
ood, RDH
, BS ha
s bee
n prac9c
ing clinical hygiene
in
northe
rn In
dian
a an
d Michiga
n for
over 30 ye
ars. A very ac9v
e co
mpo
nent m
embe
r of A
DHA, sh
e is also a na9
onally-‐fe
atured
autho
r an
d spea
ker. A Dis9
nguished
Alum
ni of Ind
iana
Unive
rsity
Sou
th
Bend
, Amy ha
s ove
r 30 ye
ars
expe
rienc
e as a m
erit status part-‐
9me associate lecturer in
prev
en9v
e de
n9stry in
den
tal
educ
a9on
at Ind
iana
Unive
rsity
So
uth Be
nd. Spe
cial in
terests
includ
e prev
en9v
e de
n9stry. Am
y is the lead
-‐hygienist in
a 3-‐den
9st,
12-‐hygienist prac9
ce, a
nd brin
gs a
wea
lth of p
rac9
cal e
xperienc
e to
her a
udienc
es.
Amy has teamed up with Jillian
Michaels and been on The Doctor's
Show to help educate audiences on
topics in preven1ve den1stry!
!!"#$%&
'()'*+
%+*,-%&(
$$#./-%.0%*%)'*12%3'(+%%
PRESENTS:
2012 FALL CONTINUING EDUCATION SEMINAR11/16/2012
Amelia (Amy) Hazelwood, RDH, BS
“Periodontal Disease, What Should We Be Telling Patients?”
To:
Grand R
apids Dental H
ygienists SocietyValerie Davis RDH2247 Valen1ne BLVD N
EGrand Rapids M
I 49525
ABOUT THE SPEAKER:
GRDHS Welcomes:
Amelia (Amy) Hazelwood, RDH, BS
Amy Hazelwood, RDH, BS has been prac9cing clinical hygiene in northern Indiana and Michigan for over 30 years. A very ac9ve component member of ADHA, she is also a na9onally-‐featured author and speaker. A Dis9nguished Alumni of Indiana University South Bend, Amy has over 30 years experience as a merit status part-‐9me associate lecturer in preven9ve den9stry in dental educa9on at Indiana University South Bend. Special interests include preven9ve den9stry. Amy is the lead-‐hygienist in a 3-‐den9st, 12-‐hygienist prac9ce, and brings a wealth of prac9cal experience to her audiences.
Amy has teamed up with Jillian Michaels and been on The Doctor's Show to help educate audiences on topics in preven1ve den1stry!
! !"#$%&'()'*+%+*,-%&($$#./-%.0%*%)'*12%3'(+%%
PRE
SENTS:
2012 FALL C
ONT
INUING
ED
UC
ATIO
N SEM
INAR
11/16/2012
Am
elia (Am
y) Hazelwood, R
DH
, BS
“Periodontal Disease, W
hat Should We B
e Telling Patients?”
About the Speaker:
GRDHS Welcomes
Amelia (Amy) Hazelwood, RDH, BS
Amy Hazelwood, RDH, BS, has been practicing clinical hygiene in northern Indiana and Michigan for over
30 years. A very active component member of ADHA, she is also a nationally-featured author and speaker.
A Distinguished Alumni of Indiana University South Bend, Amy has over 30 years of experience as a merit
status part-time associate lecturer in preventive dentistry in dental education at Indiana University South
Bend. Special interests include preventive dentistry. Amy is the lead hygienist in a 3-dentist, 12-hygiene
practice, and brings a wealth of practice experience to her audiences.
Amy has teamed up with Jillian Michaels and has been on “The Doctors” television show to help educate
audiences on the topics in preventive dentistry.
Creative:
Account:
Production:
Proofreader:
Client: PNCCampaign: BBK Business Line Creative Dentistgyro job #: 431-041PNC job #: N/AAD #: BBK-DEN-OPPSDG #: IN25890HH
Date created: 7/27/12Pub: West Michigan District Dental
Society BulletinCover Date: TBDMaterials due: 8/1/12
Pages: FP non-bleedTrim: 7.5"x 9.75"Live:Bleed:Prod designer: LM
for the achiever in youSM
Having acceSS to caSH tHat allowS you tofinance your growtH.With Cash Flow Options
SM
from PNC and a dedicated Healthcare BusinessBanking team, we can help you take advantage of everyday untapped opportunities.Like helping ensure access to credit. So you can make improvements, expand,purchase or buy into a practice. For uncovering opportunities to help improve yourcash flow and to learn more about PNC Advantage for Healthcare Professionals,visit pnc.com/cfo, stop by a branch or call 1-855-PNC-4DDS.
AccelerAte receivAbles
improve pAyment prActices
invest excess cAsh
leverAge online technology
ensure Access to credit
All loans are subject to credit approval and may require automatic payment deduction from a PNC Bank Business Checking account.Origination and/or other fees may apply. PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”). Cash Flow Options is a service mark of The PNC Financial Services Group, Inc. © 2012 The PNC Financial Services Group, Inc. All rights reserved. PNC Bank, National Association. Member fDic
T E C H N I C A L L Y S P E A K I N G
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 21
n each WMDDS Bulletin, I will be fielding your questions
about technology, its place in the dental practice, and
beyond. Send your questions to [email protected]
and I’ll answer them on my blog, facebook, and in each
Bulletin. Here’s a topic that many of you have questioned.
How can I loathe passwords less?Yeah I know. I don’t like them either. Want to know what I
like less? Stolen documents, stolen personal information, and
spam sent from my hacked email account. Believe me, every-
one is at risk, and a good password policy is important. Let’s
start with a test. How secure are your passwords?
Here is a fun test. Go to howsecureismypassword.net and
have a go using some of your common passwords. What are
you results? I’ll share. My email password is 1 million years.
My logmein.com password is 26 million years. Another com-
mon one I use is 35 sextillion years. I’ll offer $100 to anyone
who can guess it.
If you have a result like “Your password would be cracked
almost instantly” you have a little work to do. How can we
make it a little easier?
My first trick is a program called Keepass. Think of this
as the digital version of the password sheet you keep in your
desk drawer. All of your passwords are stored in this program.
It requires one password to open it, which means you only
need to come up with one really great password. Keepass can
run on Windows, Mac OS, Linux, Droid Phones and tablets,
iPhones and iPads, and a few other mobile platforms. It really
is pretty slick. It even generates passwords for you if you want
something really secure. I honestly don’t even know my bank
passwords thanks to this program.
My second trick is to modify words that are easy to remem-
ber. For example, if you use your dog’s name, rover, our test
above tells us that your password could be cracked instantly.
We need to add some capital letters, numbers, and symbols.
Easy. Change the “O” to a Zero and the “e” to a Three. R0v3r.
Still looks like rover right? Now we need a symbol and lets add
some more numbers. I like the @ sign, and using digits from a
familiar phone number. We end up with R0v3r@3421. We’re
up to 58 years to crack it, nice!
I guess that’s it. Two tricks. You can do that! Please, get rid
of your password cheat sheet and switch to Keepass or some-
thing like it and beef up your passwords a little bit.
What are your thoughts? What are your password tricks?Comment on our blog or facebook article. We’d love to hear
your opinions on passwords or any other topic.
Facebook: facebook.com/ddsintegration
Blog: ddsintegration.com/blog
Tech Q & ASubmitted by Greg Feutz, President, DDS Integration
Greg Feutz is President of
DDS Integration, a
Grand Rapids based dental
technology company.
I
West Michigan District Dental Society is now on Facebook
Check us out and we’re sure you’ll “Like” us!
Creative:
Account:
Production:
Proofreader:
Client: PNCCampaign: BBK Business Line Creative Dentistgyro job #: 431-041PNC job #: N/AAD #: BBK-DEN-OPPSDG #: IN25890HH
Date created: 7/27/12Pub: West Michigan District Dental
Society BulletinCover Date: TBDMaterials due: 8/1/12
Pages: FP non-bleedTrim: 7.5"x 9.75"Live:Bleed:Prod designer: LM
for the achiever in youSM
Having acceSS to caSH tHat allowS you tofinance your growtH.With Cash Flow Options
SM
from PNC and a dedicated Healthcare BusinessBanking team, we can help you take advantage of everyday untapped opportunities.Like helping ensure access to credit. So you can make improvements, expand,purchase or buy into a practice. For uncovering opportunities to help improve yourcash flow and to learn more about PNC Advantage for Healthcare Professionals,visit pnc.com/cfo, stop by a branch or call 1-855-PNC-4DDS.
AccelerAte receivAbles
improve pAyment prActices
invest excess cAsh
leverAge online technology
ensure Access to credit
All loans are subject to credit approval and may require automatic payment deduction from a PNC Bank Business Checking account.Origination and/or other fees may apply. PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”). Cash Flow Options is a service mark of The PNC Financial Services Group, Inc. © 2012 The PNC Financial Services Group, Inc. All rights reserved. PNC Bank, National Association. Member fDic
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 201222
re you ready for 2013? Taxes are increasing. Plan on
it. The Bush era tax cuts from ten years ago are set to
expire at the end of 2012. Congress may act to pre-
vent some of the increases, but can we really count on that?
You need to know how this will affect you and your practice,
and prior to year end you should explore any strategies that
might ease the heavier tax burden.
Consider the following:The effect of the Bush era tax cuts expiring will be:
• The Federal income tax rates for individuals will increase
in 2013. We will go from six brackets (10%, 15%, 25%,
28% and 35%) to five (15%, 28%, 31%, 36% and 39.6%).
• The capital gains rate will increase from 15% to 20%.
• Dividends will be taxed at ordinary rates instead of 15%.
• The temporary 2% reduction in payroll taxes will expire at
the end of 2012.
Not to mention, other breaks that go away:• Estate and gift tax provisions will change significantly. The
amount of an individual’s estate that can be excluded from
estate and gift tax drops from $5 million to $1 million, and
the top rate increases from 35% to 55%.
• Itemized deductions and dependency exemptions will
again be subject to phase outs.
• The threshold for itemized medical deductions will increase
to 10% of adjusted gross income.
• The Child Tax Credit will decrease from $1,000 to $500.
Also be aware of new taxes that take effect in 2013 as a result of health-care reform:
• The Medicare portion of payroll taxes will be increased
by 0.9% for individuals with wages exceeding $200,000
($250,000 for married).
• There will be a new 3.8% Medicare contribution tax on
unearned income of high-income individuals.
What will congress do? It’s an election year. It’s anybody’s guess. Although there
continues to be discussion about extending the expiring pro-
visions, nothing is certain. Both political parties are calling for
an extension of the Bush era tax cuts. The disagreement seems
to center around whether the tax breaks get extended for
everybody, or just those earning $200,000 or less ($250,000
for married couples). Many expect that there will not be any
resolution until after the November election.
Some planning opportunities to consider:Even with all the uncertainty, it’s a good time of year to talk to
your CPA about planning opportunities. There still is time to
implement strategies before year end that will improve your
situation. Multi-year tax projections should be made before
implementing any of the following ideas. Determine what
actions should be taken in 2012 and what can wait for next
year. You worked hard for that money. You want to keep as
much of it as possible.
• Take advantage of the $5 million gift exemption before the
potential decrease in 2013.
• Accelerate passive income to minimize the 3.8% Medicare tax.
• Accelerate bonuses to minimize the 0.9% Medicare tax.
• Accelerate itemized deductions to avoid limitations.
• Accelerate medical expenses to avoid the increase in threshold.
• Consider reallocating your portfolio to minimize passive
income.
• Consider harvesting capital gains in 2012 versus 2013.
• Consider accelerating the sale of your business.
• Consider not electing the installment method on sales.
• Pay dividends from closely held C corporations.
Your plan of action:There are a lot of changes coming our way. It would be wise
to be proactive and make the effort to understand how the
changes will impact you. Then do what you can to minimize
the effect. The political and economic uncertainty needs to be
considered, and this will make planning all the more difficult.
You should meet with your trusted advisors in the near future
and determine a plan of action that works for you.
Richard L. Chrisman, CPA, MST is the Managing Shareholder of
Hungerford, Aldrin, Nichols and Carter PC, a Tax, Auditing and Business
Consulting firm with offices in Grand Rapids and Greenville, MI. The firm
is celebrating 70 years of helping local businesses, including many area
dental practices.
Will 2012 See the End of Bush Era Tax Cuts?Submitted by Richard L. Chrisman, CPA MSTHungerford, Aldrin, Nichols & Carter, PC
F I N A N C I A L N E W S
A
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 23
uail Ridge Golf Club in Ada hosted another New
Dentist Golf Outing on July 27, 2012. The course
was beautiful, the turnout wonderful, and the rain
was wet. Golfers were able to complete 9 holes before the skies
opened up and encouraged everyone back to the clubhouse.
Good food and camaraderie followed, along with a great raffle,
highlighted by a 60″ flat screen TV donated by Davis Dental
Lab and an iPad contributed by Studio 2 Dental. Contest
prizes were deferred and will add to the haul for next year – so
plan on attending! The Dr. Robert Mitus Scholarship fund at
the West Michigan Dental Foundation was still a big winner
for the day as the recipient of the largest contributions to date
– thank you to all who participated.
A thunderous applause goes to the many generous spon-
sors who made this day a successful fundraiser and gave
everyone a chance to leave with one of the great raffle or door
prizes. Next year we will put someone else in charge of the
weather!
Please offer your thanks and support to:
Presenting/Grand Prize SponsorDavis Dental Lab
60″ LD TruSlim Flat Screen TV
Gold Level SponsorHenry Schein Dental – Hole in One Sponsor: $25,000
Founders Bank and Trust – Beverage Cart
Patterson Dental – Mac Dental Lab
Studio 2 Dental Lab - iPad
Hole Sponsors & Raffle SponsorsBank of Holland | Great Lakes Financial Insurance Agency
Grand Ridge Orthodontics | Brian Cilla Periodontics
First Companies Construction | Dixon Architecture
Dentsply North America | Air Techniques | Adec
MDA Ins and Financial Group | Norman Camera
DentaChoice On-Site Repair | Dental Art Lab
Valleau & VanDeven Pediatrics | OMSA
Cathy Oglesbee (Patterson Dental)
A Special Thank You to our VolunteersBetsy Haller of The Bank of Holland
Candice Grinwis of Schein Dental
Dawn Norman of NFD
Brian Rhodes and the staff of Quail Ridge Golf Club
New Dentist Outing Treats the Farmers to Rain Submitted by Dr. Devin Norman
N E W D E N T I S T F O R U M N E W S
Q
Brian Mulder, Craig Start, Mike Bennett, Joe Vaughn
Kurt McNulty, Skip Reath, Steve Dumas, Doug Klein
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 201224
including Tooth, the tooth fairy, from the upcoming Dream
Works Animation film “Rise of the Guardians.”
Not all of the videos are directly related to healthy teeth.
These videos feature Scooby-Doo and Tom and Jerry stories,
along with entertainment by Dream Jam Band, to entice their
children to spend a full two minutes brushing their teeth.
Parents are encouraged to have their children watch the
videos on a smartphone or computer while they brush their
teeth. Since kids are accustomed to using their electronic
devices throughout the day, it’s a great way for the kids to use
them for something as productive as brushing their teeth.
Many people do not know that tooth decay is the most
common chronic childhood disease, with more than 16 million
kids suffering from untreated tooth decay in the U.S. The
mouth is the gateway to a person’s overall health, and an
unhealthy mouth can be associated with obesity, diabetes,
oral cancer and other medical conditions.
“We find that many people are surprised to learn that oral
health problems cause kids to miss 51 million schools hours
and their parents to lose 25 million work hours each year,”
said Wolf. “We hope this campaign’s simple message will raise
the overall awareness of the importance of good oral health
and its impact on total health.”
Wolf also reminds parents that in addition to brushing and
flossing at home, it’s important to eat healthy foods and have
a regular dental check-up.
t’s bedtime and your six-year-old daughter can’t wait to
brush her teeth. The struggle that you’ve come to expect
over brushing teeth seems to be easing. Can it be true?
Just in time for new back-to-school routines, the Ad
Council, along with the American Dental Association, has
launched Kids’ Healthy Mouths to teach parents and children
about the importance of oral health.
It’s part of The Partnership for Healthy Mouths Healthy
Lives, a coalition of leading oral health organizations commit-
ted to improve children’s oral health so that they can develop
into healthy, productive adults.
The Kids’ Healthy Mouths website, 2min2x.org, features
fun facts for parents and children, lots of helpful resources
and links to 14 two-minute videos produced by Cartoon
Network and My Kazoo.
According to a survey conducted by the Ad Council, 60
percent of parents with children ages 12 or younger report
that they do not regularly help their child brush their teeth
or check to make sure they’ve done a good job. Also, close to
one-third (31%) report arguing with their kids at least once a
week about brushing their teeth.
This new public service campaign stresses the importance
of brushing for two minutes twice a day. Parents report that
their child usually wastes over two hours each day playing
video games, texting or watching an online video. The cam-
paign highlights the necessary balance of children’s time: If
your child spends hours on playtime, why shouldn’t they
spend two minutes taking care of their teeth?
“The dental profession hopes that this simple message will
have a positive and long-lasting impact on children’s oral
health and overall health,” according to local dental society
president Tyler Wolf, D.D.S.
“Most oral health problems are preventable, using steps
that can easily become a part of every child’s daily routine,”
said Wolf. “This campaign will help parents learn how easy
it is to protect their children, give them healthy mouths and
help them lead healthy lives.”
Sesame Street has created a 30-second television spot based
on its “Healthy Teeth, Healthy Me” campaign featuring Elmo
singing to kids, reminding them to “Brushy Brush” their teeth
every day. There is also a 30-second TV spot with characters,
T H E G R A N D R A P I D S P R E S S H E A L T H S E C T I O N A R T I C L E
Ad Council Launches Children’s Oral Health Campaign: Brush Your Teeth for 2 Minutes, Twice a DayReprinted from The Grand Rapids Press, September 2, 2012
I
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 25
ebruary 1973, Chungryangri, North Korea – A two-
week old baby girl was found abandoned in a ditch.
She was sent to the City Baby Home and eventually
to a foster family while awaiting her adoption through Holt’s
Children’s Services. She weighed five pounds and had an eye
infection and bronchitis. If not for the love and care of her
foster mother, who fed this baby every three hours around
the clock for four months, she probably would have died. She
came to us when she was five months old – a scrawny, olive-
skinned, nine-and-a-half pound baby with black hair.
Thus began our journey into “integrated America.” My
husband, two sons (ages seven and nine) and I nurtured
her with faith, food and lots of love. In 1973, we lived on a
quarter-mile long street of “all-white families.” Amidst the
neighborhood children, our daughter definitely looked differ-
ent. I remember one neighborhood youngster asking if, when
our daughter grew up, she would look like the rest of the kids
on the street. But as the neighbors all welcomed her and began
to see beyond the color of her hair and skin, we watched as she
grew from that helpless baby to a friendly, out-going, beautiful
girl. Her best friend, born the same year on our street, was
blond and blue-eyed and we called them, “East (Asia) meets
West (America).” Still best friends today, they are both mar-
ried, mothers, and their children are friends, too. Outside the
neighborhood, when she would accompany me on shop-
ping trips, little kids would get in her face and ask their moth-
ers why her (slanted Asian) eyes looked like that. Thirty-nine
years ago there were not as many Asian adoptions as there are
today. There are a lot of Life Lessons I could write about
those thirty-nine years.
Fast forward to 2012: On this same street, a few years
ago, one of the new young families adopted two little boys
from Ethiopia. There is a Mexican family living nearby. In
churches and schools, in stores and restaurants, in the parks
and workplaces, on television and in movies, on billboards
and in the newspapers we see people of all colors. My daugh-
ter teaches third grade to an integrated class of children.
America has become “integrated.”
It is just like the hymn: “America, America, God shed his
grace on thee, and crown thy good with brotherhood from sea
to shining sea.”
(Note: I realize that “Integration” is not limited to just the color
of one’s skin, but those are other life lessons.)
God Bless Integrated AmericaSubmitted by JoAnne Hodder, RDH, BS
L I F E L E S S O N # 9
F
Mission Statement: An organization dedicated to the improvement of oral health through the financial support of
education and service programs to address the needs identified by the dental profession and the communities it serves
in Kent, Ottawa, Ionia, Mecosta and Montcalm counties.
MARK YOUR CALENDARwest Michigan Dental foundation
Annual Golf outing
friday May 31, 2013 egypt Valley Country Club
watch for more information about this event!
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 201226
C L A S S I F I E D A D S
Established Dental Office Space – 2003 Burton SE (between Breton and Plymouth). End unit with 720 sq. ft. and a full basement, on-site parking, adjacent 3 spaces occupied by estab-lished dentists. Great traffic counts on Burton in an established residential area. Call Bruce at 942.9492.
General Dentist Seeking Associate Position in Grand Rapids area – General dentist residing in the Grand Rapids area is seeking an associate position for 1-2 days per week in the Grand Rapids and surrounding area. If you are looking for an associate for your practice, please call 616.975.2870. REF # GR Associate.
Office Space for Lease – Up to 6900 S.F. available; will divide. Basement storage available. Newer class A building. Great visibility! Located at 1151 East Paris Ave SE (across from Bonefish Grill). Owner occupied. Call Dr. Sam Bander 616.949.5980 or e-mail [email protected]. Visit www.drsambander.com to take a look.
Equipment for Sale – Two Belmont Pro II patient chairs, wing back style for sale. Model 037S. Better than good condition. Two casting units for sale and a porcelain oven for sale. Call 616.633.8132.
Seeking Employment – General dentist with several years of experi-ence seeking part-time employment in the West Michigan and surrounding areas. Proficient in all areas of general dentistry. A team player. Please reply to [email protected].
Dental Office for Lease – Why spend $250,000 in dental build-out costs? Beautiful dental suite is now available for lease in Class A contemporary three-story brick and glass building located off of East Beltline Avenue in Grand Rapids Township. This ten-year old modern dental office includes 3 private ops, 4 chair open bay area, is plumbed for nitrous, air, water, power, CAT-5, vacuum, wet/dry lab and x-ray. The building is a contemporary 3 level with ample parking, 4 bathrooms, staff lunch area, private doctor’s office with restroom and shower, reception desk for check-in and out, and has a heated storage area if needed. Immediate oc-cupancy. $16.25 per square foot, triple net. Please contact Scott Morgan at Colliers International at 616.292.3455 to schedule your visit.
Current student at the University of Michigan School of Dentistry – graduating May 2011, looking for full-time or part-time position in a private practice as an associate in the Grand Rapids and surrounding areas. Please contact 954.562.1122 or [email protected].
Dental Office for Lease – Time to move up? Busy northeast area dental suite at 1750 Grand Ridge Ct. NE, 3295 SF, ten-year old modern dental office available. 3 pvt ops, 4 chair bay area, plumbed for nitrous, air, water, power and vacuum, lab, x-ray, staff area, pvt. office, reception, storage available. Former pedo practice obtainable Jan. 1st 2011. Contact Dr. John Monticello 616.364.1700 or [email protected]
The classified ad rate is $10.00 up to and including 30 words; additional words 15¢ each. Space permitting, WMDDS members may
place ads free of charge as a membership service. Ads should be submitted in writing and sent with payment to Elaine Fleming,
WMDDS, 511-F Waters Building, Grand Rapids, MI 49503. Telephone numbers and hyphenations count as two words, abbrevia-
tions count as one word. Ads received after the first of the month prior to publication may appear in the following issue.
Associate position wanted – Newly graduated dentist from UDM looking for full time position as an associate of progressive dental practice in Grand Rapids and surrounding areas. Please call 616.617.9725 or email [email protected].
General Dentist – Looking to pur-chase a practice along the lakeshore (Grand Haven, Holland, Saugatuck area) or Grand Rapids area. Please contact [email protected].
Dental Office for Lease – with imme-diate availability. Near the “medical mile” on primary road with high traffic count and super visibility. Has been a dental office for over 40 years. Very good lease terms/rates. Would make awesome start-up or satellite. For more info, email [email protected].
General Dentist – Looking to purchase a practice or pursue transition in Grand Rapids area. Three years of experience. Please email to: [email protected].
For Rent – An upstairs air-conditioned dental office, approximately 1440 square feet in downtown Greenville, Michigan, 40 miles northeast of Grand Rapids. The office consists of 3 opera-tories, a private office, 2 laboratories, and a reception area. The office build-ing has ample free parking. $800 per month.
For Sale – Lab Master Foster Model Trimmer, Model # MT115, like new $600. ESPE Pentamix 2, $100. Contact 616.949.7510.
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 2012 27
C L A S S I F I E D A D S
Office Space for Lease AND Building for Sale –Dental suite available in great location! 1350 SF located in Ridgepark Professional Building at 2426 Burton St. SE. Fully equipped and furnished, 4 operatories, lab, private office, reception, business office, full basement. Call Dr. Sam Bander 616.949.5980 or e-mail: [email protected]. The building is also for sale. Great income opportunity.
For Sale – Adec Continental Units (2); Belmont Prosthodontic Chairs (2); Dental Ez J Chair; Sirona X-rays (2); Adec Post mount light; Pelton Crane Post mount light; Adec Hygiene Unit; Osada XL-030 Lab Handpiece; Triad 2000 Curing Unit; Buffalo Model Trimmer; Baldor Lathe; Assistants Stools (2). Please call 616.633.8132.
For Sale – Adec Continental Units (2); Belmont Prosthodontic Chairs (2); Dental Ez J Chair; Sirona X-ray; Adec Post mount light; Pelton Crane Post mount light; Adec Hygiene Unit; Osada XL-030 Lab Handpiece; Triad 2000 Curing Unit; Buffalo Model Trimmer; Baldor Lathe; Assistants Stools (2); DentalEZ HDX X-ray; 8 reception room chairs; Porcelain oven; AcuCam intraoral Camera; Whip Mix combination unit. Please call 616.633.8132.
Seeking employment – General den-tist with eight years of experience seeking part-time employment in West Michigan area. Enjoys practicing most areas of dentistry. Please email: [email protected].
Seeking employment: General den-tist with eight years experience seek-ing part time employment in West Michigan area. Enjoys practicing most areas of dentistry. Please email [email protected].
General Dental Practice in Grand Rapids Area – Established practice with gross receipts in excess of $600,000 with a healthy recall pro-gram, paperless office, 6 fully equipped operatories. For additional informa-tion please call 616.975.2870 or email [email protected].
For Sale – Sirona Cerec 3D Acquisition unit 3.8 updated software, MCXL Mill-ing Machine with wireless interface. Excellent used condition. Less than 100 units milled. Transfer owner with Patterson, includes vita blocks and wall mount block board, $40,000/obo.Other used dental equipment for sale: 2 Royal and 3 Dental Eze chairs, 5 Pelton Crane pole mounted chair lights, 2 Adec and 2 Marus dental units, 1 Biotec unit, 1 Panorex J Morita Versa View, 5 ceiling mount arms and 3 wall mount arms for computer mon-itors, 1 Porter portable nitrous delivery system, 1 Aribex Nomad Handheld X-ray. Please call for more info, prices, or photos 616.634.0605.
For Sale – Several items from ortho-dontic office. Siemens 10E Pan/Ceph x-ray, Ritter PA x-ray, treatment chairs and stools. Call 616.538.3545 anytime for more information.
The Bulletin wishes to thank our valued
advertisers who support organized
dentistry by helping to defray the cost
of printing and mailing.
Advertising in the Bulletin is seen
by over 90% of the dentists in the
West Michigan District. This includes
five of the fastest growing counties
in the state: Kent, Ottawa, Ionia,
Montcalm and Mecosta.
For information on advertising rates,
call Elaine Fleming, WMDDS Executive
Secretary at 234-5605. Target your Market
– advertise in the Bulletin!
Beene Garter ......................................16
DDS Integration .... outside back cover
Davis Dental
Laboratory ............... inside front cover
Founders Bank & Trust ......................3
Great Lakes Financial Insurance ........7
Henry Schein ............inside back cover
Hungerford, Aldrin, Nichols &
Carter, PC ..........................................11
Keystone Pharmacy ..........................16
MDA IFG ...........................................13
PNC Bank ..........................................20
ProAssurance.....................................18
Professional Solutions ......................14
A D V E R T I S E R I N D E X
WEST MICHIGAN DISTRICT DENTAL SOCIETY | FALL ISSUE 201228
here’s no question that running your own practice
entails risks that dentists and oral surgeons in hospital-
based practices may never face, from buying your
own equipment and space to attracting and building a roster
of loyal patients. Yet for those with an entrepreneurial streak,
there are also significant benefits to being in business for
yourself: setting your own hours, making your own business
decisions and deciding for yourself how much time to spend
with each patient.1
One way to mitigate some risks of establishing your own
practice is to buy one that’s already established and thriving
– whether you’re a junior member looking to take over the
practice where you work, or are coming in as an outside buyer.
In any sale such as this, just about all of the terms may be open
for negotiation. While the specifics vary widely from deal to
deal, here are some of the main points to be worked out.
What Are You Buying?Taking ownership involves purchasing either stock in the
practice or purchasing its assets. Sellers may prefer to sell
stock for the tax advantages of paying capital gains versus
ordinary income taxes. But keep in mind that a stock pur-
chase means you acquire not just the assets of the practice but
also liabilities such as payables, money owed to employees,
or even malpractice suits.2 Buyers often find it simpler to buy
just the assets. If the seller insists on stock, you may be able to
negotiate concessions elsewhere.
Protect Your Competitive EdgeIn a dental practice, “assets” mean more than just tables,
chairs, equipment and supplies. Perhaps the most important
are the dentists themselves. Because patients can be very loyal,
you’ll want to secure an assurance that your seller doesn’t
close the deal and open a new office down the street having
lured away half of your newly acquired patient list. Negotiate
restrictions that prevent the seller(s) from practicing in the
same geographic area for a mutually agreed upon period after
the sale.3
Resolve the ReceivablesMaintaining steady cash flow can be tricky during the tran-
sition process. One of the main questions is whether the
buyer owns the seller’s accounts receivable or borrows them.
Purchasing means that you as buyer keep the money that
comes in after the sale is complete. Of course, no payment
is certain until you’ve got it in hand, so it’s vital to have a
clear picture of receivables and, potentially, to negotiate an
after-sale reduction in price to reflect delinquent payments.
Borrowing means you collect and pass along those receivables
to the seller. But since transactions have costs, you might con-
sider negotiating a fee for this process.
Purchasing a practice is likely to be one of the biggest and
most exciting events of your career. Be sure to get expert
advice from attorneys and financial managers with experience
in dental practice transactions. The more homework you do
up front, the better chance you’ll have of proving the adage
that practice makes perfect.
1 Caffarini, Karen. “Staying in Private Practice Pffers its Own Rewards,”
American Medical News, July 18, 2011. http://www.ama-assn.org/amednews/
2011/07/18/bica0718.htm
2 Cohen, Jeffrey L. “What to Expect When Buying a Practice,” Medical
Economics, May 25, 2012. http://digital.healthcaregroup.advanstar.com/
nxtbooks/advanstar/medec_20120525/index.php#/44
3 Greenbaum, Peter A. “Nuances of Purchasing a Medical Practice,” New
Jersey Lawyer, June 2, 2008.
The Buying and Selling of a BusinessPart one: Maximize your purchase power
Submitted by Scott Hoag, Vice President, PNC Healthcare Business Banking
P R A C T I C E M A N A G E M E N T
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WEST MICHIGAN DENTAL SOCIETY
511-F Waters Building
Grand Rapids, MI 49503
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PerMit # 657