April 2014 TDA Today
APRIL 2014 VOLUME 15, ISSUE 4 Texas’ Graduating Dental Students Join Organized Dentistry CONTENTS One hundred percent of the graduating seniors of the University of Texas Health Science Center at San Antonio Dental School (108) and the University of Texas School of Dentistry (UTSD) (84) signed up to join the tripartite system of the American Dental Association during ADA National Signing Days on May 13 and April 4, 2014, respectively. • Star of the South Dental Meeting • Dentists Who Care 18th Annual Charity Dental Conference • Sales and Use Tax • TDA Smiles Foundation • President’s Statement • Meet the Staff - Donna Musselman, CMP • Member Spotlight - Carmen P. Smith, DDS — Dallas • TDA Perks - Free TEXAS Meeting App Delivers Convenience • TSBDE Rule Update • HIPAA Update: Microsoft Discontinues Support for Windows XP April Texas Dental Journal Unusual Radiographic Finding TDA members speak to graduating dental students at the University of Texas School of Dentistry at Houston (UTSD) during ADA National Signing Day in early April. They told the students of their positive experiences as members of organized dentistry, and all 84 students signed up for the ADA’s tripartite membership. Pictured are (L-R) 8th District President Dr Randal Glenn of Missouri City, TDA Past President Dr Tommy Harrison of Katy, TDA Council on Membership member Dr Hugh Patton of Pearland, and UTSD Associate Professor Dr Gary Frey of Houston. Candidates Forum for TDA Editor — Daniel L. Jones, DDS Upcoming Events May 1-4 The TEXAS Meeting. TDA Annual Session, San Antonio Using your smart phone, scan this QR code to access the TDA Today on TDA.org. TDA and the local component societies helped facilitate the events. The students also attended evening happy hours hosted by TDA Perks and DENPAC, the political action committee of TDA. On April 16, Baylor College of Dentistry held ADA National Signing Day, which will be featured in the May 2014 TDA Today. Robert Truitt Maberry Sr, DDS, 89, of Abilene, and formerly of Fort Worth, died April 2, 2014. His funeral and interment were April 7, 2014. Dr Maberry was born November 25, 1924, in Pritchett. He graduated from Gilmer High School and East Texas State Teachers College (now Texas A&M at Commerce) where he earned a bachelor of science degree in chemistry. He was accepted to Maberry both medical and dental schools but graduated from the University of Texas Dental Branch at Houston in 1947 with a dental degree. Then 22, he set up his first dental practice in Teague. He married Joan Davis in 1948, and the couple had 4 sons. He served in the U.S. Navy and was stationed at San Diego. Following his discharge in 1952, he moved his family to Fort Worth, practicing there until he retired in 2006. He served as president of the Fort Worth District Dental Society and the TDA, as well as the editor of the TDA. He was elected as a Fellow of the American College of Dentists and the International Society of Dentists and was a member of the Southwest Prosthetics Association. In his personal life, he was a respected musician, playing his way through dental school. He enjoyed photography and was a Mason and a Shriner. Dr Maberry was a member of First Presbyterian Church in Abilene. Survivors are his wife of 65 years, Joan Maberry; sons, Robert Maberry Jr, DDS, PhD, and wife, Anita, Phillip Davis Maberry, and Mark Maberry, MD, all of Abilene, and James Michael Maberry of Cleburne; brother, James Douglas Maberry, MD, of Fort Worth; 2 grandchildren; and 4 greatgrandchildren. The family asks that memorials be made to the Alzheimer’s Association, TDA Smiles Foundation, or First Central Presbyterian Church of Abilene. Read more about Dr Maberry in the obituary published on legacy.com. the time is right Maintenance: A Case Report Dentistry: A Case Report Dental school graduates across the country are encouraged to join organized dentistry during ADA National Signing Day. Several local members of TDA spoke to the graduating classes to explain the importance of becoming a member of ADA, TDA, and the component societies. TDA Remembers Past President and Former Editor Dr Robert Maberry Sr During Routine Periodontal Digital Dentistry and Implant AVAILABLE ON TDA.ORG The Annual Session of the Texas Dental Association May 1-4, 2014 • San Antonio, TX Steven W. Spivack, DDS, Chair, Council on Annual Session If you have not registered for the 2014 TEXAS Meeting, May 1-4, in beautiful San Antonio, you can do so online at texasmeeting.com. San Antonio has been the home to the largest dental meeting in Texas for 30 years. The members of the Council on Annual Session are excited to present the 3-day education schedule offering 90 of the most respected educators in dentistry and showcasing more than 200 outstanding continuing education sessions. You can register on line at texasmeeting.com until April 27. BEST EXHIBIT HALL EVER The TEXAS Meeting would not be complete without a visit to the exhibit floor. Come explore more than 300 exhibitor booths where you will find all of your supply and equipment needs. Exhibit hall opens Thursday, May 1, at 10:00 am. Visit the Texas Meeting Café, and enjoy breakfast and lunch with your $10 meal voucher. After the seminars, join us for happy hour on Thursday and Friday, 4:30 pm-6:00 pm. What a great place to meet friends and colleagues. ONSITE – Registration Hours – Convention Center Wednesday, April 30 3:00 pm – 6:00 pm Thursday, May 1 7:00 am – 5:00 pm Friday, May 2 7:00 am – 5:00 pm Saturday, May 3 7:30 am – 1:30 pm COMPLIMENTARY ONSITE PARKING (Thursday and Friday) Attendees can park at the Alamodome (Lot B), 100 Montana St. A complimentary shuttle provides transportation to/from the convention center. NOTE: Due to construction a new “drop off” point is in front of the convention center instead of the Bowie entrance as in the past. Make sure to allow extra travel time to get to your classes as this construction can cause delays. So, why not treat yourself and stay at one of the convention hotels and enjoy a little more sleep and a brief morning walk to your courses and social events at the convention center. Contact the hotels directly to make reservations. I would like to personally greet you at the “TDA Perks Presents: The Texas Party” on Thursday, May 1, 6:00 pm-8:00 pm, in Bridge Hall. Please stop by. Enjoy food, beverages, music, interactive activities and dancing. Masquerade DJ will entertain. The council looks forward to seeing you at the 2014 TEXAS MEETING. THE TEXAS MEETING I MAY 1-4, 2014 I HENRY B. GONzALEz CONVENTION CENTER I SAN ANTONIO, TX Like us on Facebook Follow @theTDA on Twitter Connect with us on LinkedIn Texas Dental Program Medicaid/CHIP Message from the Health and Human Services Commission While the Texas Health and Human Services Commission (HHSC) is still moving forward with the goal of unbundling D0145 (First Dental Home), the implementation of this unbundling has been delayed and will not be effective April 1, 2014. Please note that due to this delay, the changes proposed at the February 17, 2014, rate hearing are on hold and the caries risk assessment codes will continue to pay at $0 until the unbundling changes occur. While HHSC does not yet have a new target date, we will provide timely updates on this implementation regularly to prepare providers for potential changes. Affordable Care Act Medicaid Provider Credentialing Requirements As of January 1, 2013, all Texas Medicaid dentist providers must re-enroll in Texas Medicaid at least every 5 years. All providers who were enrolled in Texas Medicaid BEFORE January 1, 2013, must complete the re-enrollment process by March 24, 2016. HHSC recommends that providers begin the reenrollment process as early as possible. Reenrollment includes the submission of a new Texas Medicaid Provider Enrollment Application and all additional documentation so that the provider may continue to participate in Texas Medicaid. Sales and Use Tax: Texas Comptroller of Public Accounts Whether sales and use taxes apply to your dental practice depends on the specific situation of your practice. If you sell tangible personal property such as toothpaste and toothbrushes and purchase tangible personal property such as dental equipment or gloves, then your practice is likely subject to sales and use taxes. Although most drugs and medical supplies and equipment sold or dispensed in the dental office are exempt from sales tax, the dentist owes taxes on non-exempt tangible personal property used to provide dental services. Sales and use taxes apply at different times. For example, generally speaking, sales taxes refer to taxes collected from the patient at the time non-exempt items are purchased in your dental office. Use taxes are remitted by you to the comptroller if you purchased a taxable item and did not pay sales tax on it. Tax Code §151.313 Health Care Supplies includes a sales and use tax exemption for over-the-counter drugs or medicines. Comptroller Rule 3.284 Drugs, Medicines, Medical Equipment, and Devices (34 Texas Administrative Code §3.284(a)(6)) defines an over-the-counter “drug or medicine” as a product that: • is intended for use in the diagnosis, cure, mitigation, treatment or prevention of disease, illness, injury or pain; • is applied to the human body or is a product that a human ingests or inhales; is not an appliance or device; • is not food; or, • is labeled or required to be labeled with a “Drug Facts” panel in accordance with regulations of the federal Food and Drug Administration. Additionally, dental appliances including implants, dentures and splints, also are exempt from Texas sales tax. Comptroller Rule 3.284 (34 Texas Administrative Code §3.284 (a) (4)) defines “dental device” as an artificial replacement of one or more teeth or a dental appliance worn on the teeth to correct irregularities of growth or position. However, the term “dental device” does not include toothbrushes, toothpaste, dental floss, mouth mirrors or other devices used to prevent cavities or plaque build-up or removal. The rule also states that sales tax is not due on the sale, lease, or rental of medical equipment meeting the definition of a dental device. The Comptroller’s staff addressed the taxability of a variety of specific products listed below. They recommend that items designated as taxable should be purchased tax-paid (or accrued and reported as a taxable purchase) by the dental office. Item Fluoride Toothpaste Non-Fluoride Toothpaste Non-Fluoride Mouthwash Fluoride Mouth Rinse Home Sodium Flouride Therapy (eg, “Prevident 5000”) Whitening Gel (Teeth bleaching gel) Non-Fluoride Gum Non-Fluoride Breath Spray Fluoride Dental Gel Electronic Toothbrushes (eg, “Sonicare”) Texas Medicaid & Healthcare Partnership Updates: tinyurl.com/TMHPartnership Affordable Care Act Provider Enrollment FAQs: tinyurl.com/TMHPFAQ (Re-enrollment, pg 10) DentaQuest Recredentialing Providers must re-credential every 3 years. DentaQuest will initiate contact with providers approximately six months prior to expiration of the credentialing to start the process. Providers should make sure that their email address and mailing address is current with DentaQuest. In addition, DentaQuest will need to make sure that your roster of dentists is current. Failure to do any of the aforementioned could delay or create other issues with re-credentialing. Any updates can be made by contacting your provider representative or emailing email@example.com directly. MCNA Dental Recredentialing MCNA Dental would like to take this opportunity to inform you that the recredentialing process for our entire network of providers is scheduled to begin October 2014. It is our policy to ensure our providers are recredentialed at least every 36 months. To begin the process, MCNA’s Credentialing department will send a recredentialing package to you 120 days prior to your recredentialing date. The cover letter included in the package will provide instructions for you and state the due date by which you should return all documents to MCNA. Once the credentialing team has successfully completed the recredentialing process with you, we will send you an official welcome letter. If you have any questions or concerns, please contact the MCNA Provider Hotline toll-free at 1-855-PRO-MCNA (1-855-776-6262). Training Opportunities – 2014 TEXAS Meeting The TDA Committee on Access, Medicaid & CHIP is sponsoring 2 education courses during the TEXAS Meeting. Class size is limited, so reserve your spot today by visiting texasmeeting.com. The Impact of Fraud, Waste, and Abuse on Medicaid/CHIP Dental in Texas Friday, May 2, 2014 9:00 am to 12:00 pm Linda Altenhoff, DDS Chief Dental Officer HHSC Office of Inspector General Medicaid & The Children’s Health Insurance Program (CHIP) Friday, May 2, 2014 2:00 pm to 5:00 pm Linda Altenhoff, DDS, Monica Anderson, DDS, Brenda Walker, Carlos Garcia, DMD APRIL 2014 • TDA Today • 2 Taxable Status Exempt Taxable, unless the toothpaste contains a drug fact label or a product that mitigates, treats or prevents disease. Taxable, unless the mouthwash contains a drug fact label or a product that mitigates, treats or prevents disease. Exempt Exempt, as information on this product states that it is adult fluoride toothpaste to prevent tooth decay and reduce tooth sensitivity. Taxable, unless the gel contains a drug fact label or a product that mitigates, treats or prevents disease. Taxable Taxable Exempt Taxable as a nonexempt dental device. The Comptroller’s staff stressed that the above guidance is based on the information presented. Other information, though similar, may provide a different result. Item Use tax is payable on the purchase of non-exempt items such as certain medical equipment and supplies, computer hardware and software, office equipment and supplies, furniture, etc., if sales tax was not collected and remitted at the time of purchase. Comptroller Rule 3.346 Use Tax (34 Texas Administrative Code §3.346) defines and details requirements regarding use tax. The Comptroller’s staff also addressed the use tax for certain dental items often purchased by dentists. The Comptroller’s staff stressed that the guidance to the right is based on the information presented. Other information, though similar, may provide a different result. For additional questions regarding the letter, contact the Comptroller’s Office at 800-688-6829 or 512-305-9899. Taxable Status Diamond burs Taxable Lucite Bur Blocks Taxable Blend Alloy Exempt Dispensers for alloy — used to Exempt hold silver alloy pellets and mercury before mixing. Hand pieces Taxable Needles Exempt Exempt, if the dentist certifies on an Exemption Certificate that the materials are necessary and essential to the actual manufacturing of prosthetic devices. Dental Instruments Taxable Impression material Cleaners and germicide solutions for disinfecting dental instruments. Taxable Prophy Cups and Prophy Angels Taxable Dentists Who Care 18th Annual Charity Dental Conference Dentists Who Care (DWC), recipient of The Governor’s Award for the Best Charity Organization in Texas in 1999, is a non-profit charity organization that was created in 1996 to help address the issue of poor oral health among indigent children of the Rio Grande Valley. DWC’s mission is to provide for the dental needs of children who have no money, no Medicaid, and no dental insurance. This mission is accomplished through the utilization of a Mobile Dental Unit and the award-winning Charity Dental Voucher Program. As one of their fundraising events, Dentists Who Care will hold its 18th Annual Charity Dental Conference on August 1-2, 2014, at the Isla Grand Beach Resort on South Padre Island. Approximately 500 dentists and their staff attend this event, which includes a range of quality speakers from around the country. One can sense the brotherhood and cooperation that is unique among the dentists of the Rio Grande Valley. Bring your family and have fun on the beach and at Schlitterbahn before summer is over. Visit our website and consider registering. Join us as we attend CE courses and lay groundwork for providing charity dental care for 2015. For more information, please call 956-318-3383 or visit our website at dentistswhocare.us. happy healthy smiles... that’s our mission! 2014 Healthy Smiles Golf Tournament Don’t forget to register for the annual Healthy Smiles Golf Classic! This fun, charity golf tournament benefits the TDA Smiles Foundation (TDASF), and is held on the Friday of the TEXAS Meeting, May 2, 2014, at the Quarry Golf Club in San Antonio, with a shotgun start at 7:00 am. Lunch will be provided and the tournament will also offer fun contests, prizes and awards. Don’t pass up this opportunity to sponsor a great cause while having a great time! To register as a player, foursome, or become a sponsor, please contact the TDASF office at 512-448-2441 or email TDASF Director Judith Gonzalez at firstname.lastname@example.org. Help us improve access to dental care for thousands of your fellow Texans in need, and have a great time doing it! President’s S tatement David A. Duncan, DDS, TDA President Volunteering is good for everyone. While you’re helping someone in need, you’re helping yourself, too. You grow as a person, you meet new people, you develop new skills and interests, and you have a sense of achievement. TDA MEMBER SPOTLIGHT It is important that we dentists serve as the pillars of our communities, and volunteering our time is one way to do that. This month is Child Abuse Prevention Awareness Month, and one of our members Dr Carmen Smith serves as a Court Appointed Special Advocate. She provides more eyes and ears for judges and members of Child Protective Services so they can determine a positive outcome for children who are removed from abusive homes. Read her story in the Member Spotlight of this issue (to the right of this message). Carmen P. Smith, DDS Dallas April is National Child Abuse Prevention Month, but one TDA member does her best to help abused or neglected children all year long. Her work as a dentist is important, but her work as a volunteer makes a lasting impact on many people. Consider volunteering with a civic organization like Dr Smith or with our own TDA Smiles Foundation. After all, “Volunteers are paid in six figures … S-M-I-L-E-S!” (Gayla LeMaire). Carmen P. Smith, DDS, is a Court Appointed Special Advocate (CASA) volunteer. She acts as a voice for children who are removed from their homes due to abuse or neglect. MEETYOURSTAFF Donna Donna Musselman joined TDA in 1999, Mus and is currently one of the longestMeeti selman, C ngs As employed members of the annual sociat MP e session team. If you’re calling the office to inquire about hotel rooms or registration, chances are you’ve talked with Donna. She and the rest of the Department of Annual Session work all year long to make the TEXAS Meeting the best dental meeting in the country. Where did you grow up? Born and raised in Austin, Texas. As a true native Austinite, it has been my privilege to be part of this beautiful city my entire life. Where breakfast tacos are a major food group, you don’t have to wait for Halloween to see the bats, you bleed orange, and the music … well — hello! — it’s Austin! Austin is as comfortable as a much-loved pair of jeans, and it looks just as good. I’m proud to call this “weird little big town” my home. What is one thing about you that might surprise people? I am a huge film fan, especially Oscar-nominated films. I have seen every Oscar-nominated film since 1942. Hollywood’s classical film noir period from the early 1940s to the late 1950s is my favorite. What is your favorite thing about the job? You’ve heard the phrase, “It’s all in the details.”If I had to pick my favorite thing, it would be the details. I enjoy being part of a team that develops such an amazing dental meeting each year from start to finish. Each day is a different detail or multiple details at one time. I find this balancing act in my profession both challenging and fulfilling. Also, I enjoy the interaction with members and staff. I rarely meet a stranger, and I can talk the ear off a brass donkey. So, customer service comes naturally, and I enjoy making others smile. What certifications do you have for this position? I am a certified meeting professional (CMP) and a member of Meeting Professionals International. Why did you decide to come to the Texas Dental Association? Truth be told, I came to TDA in March 1999 as a temporary. I had 2 small children, we were building a home, and I wanted to purchase new furniture. I was thrown into this whirlwind of preparing for the annual session. Instantly, I was hooked! I went from wanting a temporary job, to developing a real passion for the meeting industry. In June 1999, I became a permanent fixture at TDA. Fifteen years later, I look back over my time with the TDA and am truly grateful for the moment that brought me here and being introduced to the exciting meeting industry and dental profession. Thousands Attend Star of the South Dental Meeting More than 5,900 dentists, dental professionals, exhibitors, and guests attended the Star of the South Dental Meeting on March 27-29, 2014, at the George R. Brown Convention Center in Houston. More than 50 speakers offered more than 90 lectures and participation courses at the event, sponsored by the Greater Houston Dental Society. Pictured at the Greater Houston Dental Society’s (GHDS) dental conference in Houston are the 2014 Star of the South Council Members at the exhibit hall ribbon cutting: (L-R) Dr Greg Condrey, GHDS Meeting Planner Charlotte Bolls, Dr Michael Hodapp, GHDS Executive Director Ms Susan McKee, Dr Randal Glenn, and Dr Dean Hutto. Next year will mark the 44th anniversary of the Star of the South Dental Meeting. It will be January 22-24, 2015. For more information, please visit starofthesouth.org. Dr Smith graduated from Baylor College of Dentistry in 1996. She is a general dentist in Dallas. She became a CASA volunteer, completing its 40 hours of training, 1 year ago. She says she felt the need to volunteer in a non-dental organization and first learned of CASA when she was involved in the Junior League of Dallas. “I see so many stories (of child abuse) on the news. I thought I needed to do something, be a part of correcting the system.” According to the Dallas CASA website, on an average day in Dallas County, more than 2,000 abused and neglected children live in foster care because they cannot live safely at home. Part of the responsibility of a CASA volunteer is to help judges and Child Protective Services come to a decision about the future of where a child may safely live. They advocate for the best interest of the children. Dr Carmen P. Smith of Dallas (left) is a Court Appointed Special Advocate in Dallas. She is pictured with her supervisor Peggy Kaiger at the CASA Dallas office. Dr Smith says she felt she needed to serve as a voice for these children. “We serve as another eye and ear for the children,” Dr Smith explains. “We report to the judge to help him or her and Child Protective Services come to a decision.” She is required to complete 12 hours of CE each year to maintain her position as a CASA volunteer. Sometimes she must spend time with the child and the families to report her observations or attend a court hearing for custody, which Dr Smith has twice done. Dr Smith prefers to work with the younger children, those under 3 years old, but says the biggest reward is seeing all of the children receive the proper care. “When you see a child reunite with parents or get adopted and know they will be well taken care of, it feels good to know you’ve played a part.” For more information on becoming a CASA volunteer, visit casaforchildren.org. This recurring section highlights the lives of TDA members outside of the office. If you have an interesting story about yourself, if you are working on a project that your peers might find interesting, or if you have a hobby that keeps you busy, please contact TDA Managing Editor Nicole Scott, email@example.com, 512-443-3675. Free TEXAS Meeting App Delivers Convenience Get instant CE verification, download course handouts, and access course schedules, floor plans, maps, and more on your mobile device. Simply search “2014 TDA” in the Apple App Store (on iPhones) or Google play (on androids). Select and download the free Texas Meeting app, sponsored by TDA Perks Program and its 2014 Gold Sponsors: Philips Sonicare and Philips Zoom!, Sedation Resource, and TDA Financial Services Insurance Program. For more information regarding TDA Perks Program, visit tdaperks.com, or call 512-443-3675. APRIL 2014 • TDA Today • 3 TSBDE Rule Update This recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices. Dental Treatment of Sleep Disorders EDITORIAL STAFF Nicole Scott, Managing Editor Barb Donovan, Art Director Paul H. Schlesinger, Consultant During its February 28, 2014, meeting, the Texas State Board of Dental Examiners (TSBDE) withdrew the second draft of a new rule governing the dental treatment of sleep disorders and voted to publish a third rule version in the Texas Register for 30-day public comment. The third version of the new rule was published in the March 28, 2014, issue of the Texas Register. Board of Directors David A. Duncan, DDS, DDS, President David H. McCarley, DDS , President-elect Michael L. Stuart, DDS, Immediate Past President Vice Presidents Jean E. Bainbridge, DDS, Northeast Gregory K. Oelfke, DDS, Southeast Yvonne E. Maldonado, DDS, Southwest David C. Woodburn, DDS, Northwest Senior Directors Jerry J. Hopson, DDS, Northeast William S. Nantz , DDS, Southeast Joshua A. Austin, DDS, Southwest Steven J. Hill, DDS, Northwest Directors William H. Gerlach, DDS, Northeast Karen A. Walters , DDS, Southeast John B. Mason, DDS, Southwest Charles W. Miller, DDS, Northwest The TDA Council on Dental Education, Trade & Ancillaries is reviewing the third draft of the new rule and is preparing a comment letter for the TDA Board of Directors to approve and submit to the TSBDE during the rule comment period. The TDA submitted comment letters to the previous rule drafts in June 2013 and October 2013. Upon final adoption by the TSBDE, this new rule will define the scope of practice of a dentist in the treatment of sleep disorders. The information in this TSBDE Update came from 22 Texas Administrative Code §108.12— Dental Treatment of Sleep Disorders. For more information, please contact TDA Policy Manager Diane Rhodes at 512-443-3675, firstname.lastname@example.org. Microsoft W i n d o w s HIPAA Update: Microsoft Discontinues Support for Windows XP X P Microsoft discontinued its technical support for Windows XP as of April 8, which could put dental practices still using the operating system at increased risk of serious HIPAA security problems. Security updates that help protect personal computers against newly discovered vulnerabilities will no longer be provided for Windows XP as of that date. According to Microsoft, “Unsupported and unpatched environments are vulnerable to security risks. This may result in an officially recognized control failure by an internal or external audit body, leading to suspension of certifications, and/or public notification of the organization’s inability to maintain its systems and customer information.” Although the HIPAA Security Rule does not specifically require the use of operating systems that are manufacturersupported and continuing to use Windows XP after April 8 is not a HIPAA violation, it is advisable for dentist covered entities in this situation to review and revise their HIPAA Security risk assessment and reinforce security measures. The written risk assessment includes acknowledging the security vulnerability, documenting the plan being put into place to address the vulnerability, and detailing a migration path to a supported operating system within a suitable timetable. Ignoring the increased risks posed by an unsupported operating system and refusing to even try to do an analysis of the situation is inviting trouble. The HIPAA Security rule requires dentists to address risks that occur over time by updating the office’s risk analysis. APRIL 2014 Ron Collins, DDS, Secretary-Treasurer John W. Baucum III DDS, Speaker of the House Michael D. Vaclav, DDS, Parliamentarian Michael L. Stuart, DDS, Interim Executive Director William H. Bingham, Legal Counsel VOLUME 15, ISSUE 4 TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental Association, 1946 S IH-35 Ste 400, Austin, Texas 78704-3698, 512-443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S IH-35 Ste 400, Austin, TX 78704-3698. Copyright 2014 Texas Dental Association. All rights reserved. Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental Association (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30. Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6. Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda.org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Association, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer. AVAILABLE ON TDA.ORG FOR 2014 BOOTH 243 TDA members have access to special discounted pricing on all Sonicare products and signiﬁcant discounts on Philips Zoom! teeth-whitening products. BOOTH 247 TDA members receive a 10% discount on Sedation Resource’s extensive line of reasonably-priced sedation supplies, and year-round discounts on equipment. BOOTH 263 Health, business, specialized, and personal-lines insurance products designed to meet your needs today and into the future. More at: tdaperks.com Questions? Call: 512-443-3675.