Issue 3 january 2018 wsda news

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WSDA ry nua · ja e3

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The voice of the Washington State Dental Association

news

THE PNDC ISSUE

Also in this issue: LEGISLATIVE PREVIEW FOUNDATION NEWS th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org · 1

PREMIER BUILDERS DENTAL FACILITIES

Constantine Builders has built its business foundation on the ability to establish relationships based on trust, dependability, quality craftsmanship and integrity. We always put the client’s needs first with the firm belief that the best source for future business is satisfied clients.

C O N S TA N T I N E B U I L D E R S . C O M 2 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

Come for the education, stay for the fun. Connect with friends and colleagues at PNDC 2018.

WSDA news

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special report: oic update

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guest editorial

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Cover story by Rob Bahnsen

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cover story wsda foundation news

issue 3 · january 2018

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wsda news

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wdia news

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in memoriam

16-17

11th district news

18-21

legislative preview

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clinical corner

22-23

ada news

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first person: dr. stephen lee

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classifieds

Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings

Dr. Ashley L. Ulmer Dr. Amy M. Winston

Continuing Education and Events Coordinator Sarah Quigley

Editorial Advisor y Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joseph Vaughn

WSDA Staff:

Membership Ser vices Coordinator Rachel Gunderson

Washington State Dental Association Dr. Cynthia R. Pauley, President Dr. Christopher Delecki, President-elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Bernard J. Larson, Immediate Past President Board of Directors Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Chris Dorow Dr. Linda J. Edgar Dr. John Gibbons Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Eric J. Kvinsland Dr. I. Blake McKinley Dr. Randall H. Ogata

Executive Director Bracken Killpack Assistant Executive Director Kainoa Trot ter Controller Peter Aaron Director of Government Affairs Mellani McAleenan Director of Operations Brenda Berlin

Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Administration and Financial Coordinator Tom Harshbarger Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368 E- mail/web: info@ wsda.org/wsda.org

Ar t Director/Managing Editor Robert Bahnsen Director of Continuing Education and Events Emily Rademacher, CMP Government Affairs Associate Emily Lovell

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In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com.

The WSDA News is published eight times yearly by the Washington State Dental Association. Copyright © 2018 by the Washington State Dental Association, all rights reser ved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions.

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98107. ISSN 1064-0835

Member Publication American Association of Dental Editors.

Winner: 2017: Journalism Award, Platinum Pencil, Leadership Article, Division 1, Honorable Mention; 2016: Platinum Pencil Award; 2015: Golden Pen Award Honorable Mention; 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversit y and Inclusion; 2013: Journalism Award, Platinum Pencil; 2012: Journalism Award, Best Newslet ter, Division 1, Platinum Pencil Award Honorable Mention (2); 2008: Best Newsletter, Division 1; 2007 Platinum Pen Award; 2006 Honorable Mention; 2005 Platinum Pencil Award; 2005 Publication Award; International College of Dentists.

table of contents issue 3, januar y 2018

a day in the life

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special report oic complaint

Time is right for OIC to reconsider Delta decision Complaint seeks full investigation of 2013 Delta reorganization effort

Pauley

Delecki

Larson

By Drs. Cynthia Pauley, Christopher Delecki, Bernard Larson, Nathan Russell, and Todd Irwin

Russell

Irwin

“This complaint is another critically important step in our continued efforts to make Delta more patient-focused and bring much-needed transparency to its operations. To understand its importance, let’s briefly review what led us to this point.”

On behalf of concerned dentists across the state of Washington, we have taken the important and necessary step of filing a complaint with the Washington State Office of the Insurance Commissioner (OIC) against the board of directors and executive management of Washington Dental Service (which does business in our state as Delta Dental of Washington or Delta).

This complaint is another critically important step in our continued efforts to make Delta more patient-focused and bring much-needed transparency to its operations. To understand its importance, let’s briefly review what led us to this point.

In June, using a process provided for in the Delta bylaws, member dentists requested a special membership meeting to consider proposed bylaws amendments. Nearly 650 Delta members signed the petition in 24 hours, far exceeding the threshold to compel Delta to hold the special meeting.

The resulting special meeting was held in early September, with hundreds of member dentists from across the state attending, and many bringing proxies from their fellow dentists who could not attend. Of the more than 2,300 votes cast, over 91 percent supported the proposed amendments. Some of the key changes would:

• Require that 94 percent of Delta revenues be directed to

paying for patient care and, if Delta’s administrative burden Continues to grow above 6 percent, the excess would be re funded to those purchasing coverage;

• Require that Delta, like other health insurance providers,

work with the OIC and participate in an independent review board to resolve disputes between the company and a provider over care decisions;

• Require the Delta Board of Directors to formally vote on all

recommendations from its Member Advisory Board regarding patient care procedures, claims processing and other issues and to make the results of those votes available to the Member Advisory Board, which may in turn report them to Delta members;

The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.

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• Provide additional opportunities for members to nominate

individuals, dentists and non-dentists alike, to serve as directors of the corporation;

• Encourage contested elections for director positions and

require written ballots, with the disclosure of results to the members;

• Require Delta to disclose its administrative expenses by

category and provide detailed financial statements of all affiliated entities, including corporate contributions to the foundation and how these contributions were used, particularly regarding lobbying and commercial advertising;

• Require Delta to disclose the percentage of claims denied

and, of those, the percentage reviewed by a licensed dentist in making that decision; and

• Require Delta to make records of not just its Board of Directors

meetings, but also all committee meetings and other corporate records available to its members for their review.

Despite overwhelming support for these changes to help strengthen the doctor-patient relationship and make Delta more responsive to both patients and members, Delta’s board ignored the clear direction provided by the organization’s members. In late September, the board announced that it was vetoing the majority of the approved bylaws amendments.

One rationale given by the board for a number of its decisions in rejecting the amendments was that the amendments were inapplicable following a corporate restructuring undertaken in 2013.

That’s where the complaint to the OIC comes in. The complaint states that Delta’s board, over a period of four years, not only pursued the reorganization without notification to the corporation’s member dentists, but also misled the OIC regarding key facts during the review process.

First, the complaint alleges that the Delta board misled the OIC to believe there was no objection to the reorganization from member dentists. Delta did not provide its member dentists with actual

notice of the reorganization until after the process was complete.

Until then, Delta only notified its members of an upcoming name change, and not of the related corporate reorganization.

In August of 2017, CEO Jim Dwyer, wrote to Delta members saying, “But after our holding-company reorganization was approved by Washington’s Office of the Insurance Commissioner, we described the parent-subsidiary structure in our 2013 Annual Report which was distributed to all [Delta] members.”

But what Dwyer’s statement doesn’t say is that the 2013 Annual Report wasn’t published until 2014 and that, then, the disclosure was not made in Delta’s management message but instead was buried in a footnote to the financial statements prepared by Delta’s auditors.

The fact that Dwyer would imply that a hard-to-find, after-thefact disclosure is sufficient again shows the lack of regard for member input and transparency, and it provides further evidence that Delta’s objective was to restructure the organization without input or approval from its member dentists. Dwyer clearly indicates in his August 2017 communication that after-the-fact communication on important governance changes is sufficient communication for Delta member dentists. We disagree.

Given this lack of full and timely disclosure, member dentists had no practicable opportunity to weigh in, no reason to critically examine how the proposed changes would negatively impact their rights or patient care, no chance to express any concern or opposition, or no reason to even monitor the OIC website for details on the proposal.

In recent years, Delta has sought to disenfranchise the governance rights of its member dentists. This is clearly articulated in the Delta Board minutes from its June 2013 meeting. In that meeting, Dwyer articulated his belief that members are a “stakeholder deserving of time and attention by the Provider Services Department” but should not be considered a “strategic partner” in regard to governance issues. Delta’s recent governance decisions clearly follow Dwyer’s philosophy.

The complaint also alleges that the board misled the OIC to believe the corporation’s member dentists had no right to vote to approve the reorganization or proposed amendments to the corporation’s articles of incorporation. This is simply not the case. Both state law and the corporation’s governing documents required

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special report oic update complaint

“The complaint states that Delta’s board, over a period of four years, not only pursued the reorganization without notification to the corporation’s member dentists, but also misled the OIC regarding key facts during the review process.”

special report oic complaint

“If Delta is truly committed to transparency, it’s time for it to cast aside the empty rhetoric and take visible, immediate actions to address its members’ concerns.”

such approval. Prior to the reorganization, the articles of incorporation clearly stated that a two-thirds vote of the members would be required to approve any amendments. Earlier amendments in 1963, 1984, and 1991 all were approved under that practice. But no vote was held on the 2013 amendments.

Similarly, the complaint alleges that the board misled the OIC to believe the board, rather than the member dentists, had the right to approve amendments to the bylaws, which were a key part of the 2013 reorganization. Yet, prior to that reorganization, those bylaws clearly stated that they could be amended or repealed by a two-thirds vote of the membership. There was no provision in either the articles of incorporation or the bylaws that authorized the Board to move unilaterally to amend, modify, or repeal any bylaws without a member vote.

Perhaps most importantly, the complaint argues that the Board misled the OIC to believe its member dentists would have the same rights after the reorganization that they had in the pre-reorganization corporation. This assertion is made in plain English in several places in the documents Delta’s board filed with the OIC in relation to the 2013 reorganization.

The complaint alleges that the Board took affirmative steps to limit or eliminate certain rights of the corporation’s members in connection with the reorganization, without telling either the members or the OIC. This was done despite repeated assurances to the OIC that the member dentists would have “the same” rights after the reorganization as they enjoyed before. Despite these assurances, one of the board’s first actions as part of the 2013 reorganization was to remove some of the corporation’s standing committees, including the Member Advisory Committee, from the bylaws.

Even after obtaining approval of the proposed restructuring, the complaint alleges that Delta executive management did its best to hide the true impact of the board’s actions from member dentists.

The company’s online provider portal continued to display the out-of-date, pre-reorganization bylaws until August 2017, when a member asked to receive the most recently adopted bylaws in preparation for the special membership meetings.

The bottom line is that, in granting approval for the 2013 restructuring, the OIC relied on these and similar misleading statements provided by or on behalf of the Delta board.

Delta leadership now is using the powers it claims it has, obtained through this series of misleading statements to and omissions of material information from the OIC, as a basis for rejecting

many of the bylaws amendments proposed and overwhelmingly adopted by its members to improve the patient and provider focus of the organization. Bylaws rejected by the board include important patient protections such as an Independent Review Board that is already in place for medical insurance plans in Washington.

The time to correct these problems is now.

In our complaint, we are asking that Delta be forced to provide all of its member dentists with a full and accurate disclosure of the effects of the 2013 reorganization on their rights as members. Further, we request that the OIC recognize member dentists’ rights provided under state law and the corporation’s pre-2013 governing documents, and provide the members an opportunity to vote on whether they approve both the 2013 restructuring and all subsequent amendments to the corporation’s articles of incorporation and bylaws undertaken by the board without a member vote.

Our expectation is that such a vote could remove the corporate sleight-of-hand that the Delta board and executives have used to deny the will of member dentists, and clear the way to return more transparency, patient focus, and provider responsiveness to Delta’s operations.

In a recent letter to one of the authors of this editorial, Washington Dental Service CEO Jim Dwyer identified “corporate transparency” as a goal that he and his board share with the organization’s members. However, Delta’s actions – the under-the-radar restructuring to systematically limit or eliminate member participation in governance; the veto of common-sense changes that gained more than 90 percent support in a legitimate vote of participating members; the decision to cancel the 2017 annual member meeting even though it is required by the bylaws; the continued campaign to distort members’ motives and avoid increased focus on patient care – speak much louder than the words Dwyer puts on paper.

If Delta is truly committed to transparency, it’s time for it to cast aside the empty rhetoric and take visible, immediate actions to address its members’ concerns.

This OIC complaint is a major step in trying to restore accountability to Delta’s leadership team and board of directors. As this process moves forward in the months ahead, we will continue to keep you posted on our progress.

We thank you for your support in these efforts. There’s more work to be done.

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For the past 31 years, I’ve been the chief dental officer of The Yakima Valley Farm Workers Clinic. I’ve had the great fortune to be at the dental department’s helm as it grew from a six operatory, two clinic program to more than 120 operatories, 11 clinic system spanning eastern Washington and Oregon. My organization’s mission is to serve the poor and address their oral health needs. From the very beginning, I understood that the needs of the communities we serve are overwhelming. I kept thinking; if I just had one more dentist, I could solve their problems.

While we serve multiple counties, Yakima County is where we have the majority of our dental clinics and the best oral health data. I was told (and believed) that access was the answer and my job was to increase access as much as I could, which we did. In the Yakima Valley, my health center grew to seven clinics and 65 operatories, including two pediatric dental clinics. We developed an advanced education in general dentistry residency and partnered with Lutheran Medical Center out of New York University to initiate a pediatric dental residency in order to bring in even more high trained dentists to address the needs of our patients.

Over the years, Yakima County private and public dentists have achieved phenomenal success in providing care to Medicaid-eligible children. Our enhanced rates for the 0-5-year-old Medicaid-eligible population have had tremendously positive effects in increasing access over the years. Working together, 68 percent of Medicaid-eligible children access routine dental care. This is the highest rate in the state and one of the highest access rates in the country, rivaling even commercial insurance access. Parents seeking a dentist for their child can find one. I can proudly say that, in many ways, we have solved the access issue for Medicaid-eligible children in our county.

The state of Washington conducts a Smile Survey every five years. It involves a statewide oral health screening of three groups of children: low-income preschoolers enrolled in the Head Start/Early Childhood Education and Assistance Program; kindergarteners; and third-graders. The survey produces statewide and county data, so I am able to follow the data and trends in Yakima County for the past 20 years. The dentists practicing in Yakima County, whether in the private sector or in community health settings, are an incredibly hard-working group. The Smile Survey shows the untreated caries have decreased from 25 percent in 2005 to 8 percent in 2015 for the 3-5-year-old Medicaideligible children. The Yakima County dentists have done an incredible job of accessing this vulnerable population and treating their existing disease. We achieved this with an effective combination of enhanced reimbursement rates and innovative dental residency programs embedded into our dental safety net.

For many years, I have observed an effort by some advocacy groups to create dental midlevel providers who, if licensed, would be encouraged to practice in dental clinics like mine. Many proponents of dental midlevel providers believe this practice model will expand access to care in a way that we cannot achieve with the existing workforce all while costing less money. Based upon my experience, I do not see the merit of these claims.

A significant cost of midlevel providers that must be considered is the cost of supervision by a dentist. This time supervising takes away from time that a dentist can be providing care. Often procedures become more complex than anticipated and cannot be treated within the limited scope of a midlevel provider. Medicaid-eligible populations are often in more need of complex care, which would further complicate adding dental midlevel providers to our workforce. I can’t speak for other states but we do not have a shortage of dentists in Washington. It makes little financial sense to place midlevels in operatories

Dr. Mark Koday Chief Dental Officer Yakima Valley Farm Workers Clinic

“It makes little financial sense to place midlevels in operatories that can be utilized by dentists. A midlevel would also be less productive and unable to offer a full complement of services our patients need. Put simply, dental midlevel providers are a ‘solution’ to a problem that we do not have.“

Continued on page 29

The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.

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guest editorial dr. mark koday

Midlevel providers: A distraction, not a solution

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THE PNDC ISSUE

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Dr. Gordon Christensen brings a full day to PNDC 2018!

The Christensen “Bottom Line” 2018

Dr. Tieraona Low Dog walks you through alternative medicine options for your patients

Audience: All attendees Saturday, June 23 Morning session 8:30 - 11:30 a.m.

Afternoon session 1 - 4 p.m.

CE Credits: Each session 3 Credits

Dietary Supplements: A Critical Review of the Evidence

PNDC 2018 has engaged Dr. Gordon Christensen, arguably one of the best-known and well-respected educators in the country, to present a full-day session on Saturday, June 23. Christensen’s “Bottom Line 2018” session will be wide-ranging, relying on audience participation to drive the content, which may include the following topics, depending on interest and time; the state of the profession, diagnosis and treatment planning, equipment, esthetic dentistry, implant dentistry, occlusion, operative dentistry, preventive dentistry, prosthodontics, and technology. If you haven’t seen Christensen live, now is your chance to hear why so many dental professionals call him “the best of the best.”

Audience: All attendees Thursday, June 21 from 2 - 5 p.m.

CE Credits: 3 Credits

Relevant to all dentists

We know that many mid- to late-career dentists revere Christensen, but we reached out to dentists early in their careers to get their opinion, too. Dr. Kevin Suzuki said, “He is articulate, very intelligent, and has vast experience. His name is so well-known, it is like seeing a celebrity. He is still innovating and researching for practical advances in dentistry. Dr. Christensen is very knowledgeable, current, and relevant to the clinical and scientific aspects of dentistry.” Dr. Kim Trieu echoed Suzuki’s thoughts, and added, “Everyone needs to hear Dr. Christensen at least once in their lifetime. He always draws those big crowds! He is known to be completely neutral in his clinical reports, and extremely credible. I am curious to hear his opinion on CAD/CAM technology and 3D printing, along with any other newer dental technology. However, even if he doesn’t discuss those topics, I am definitely intrigued to hear what he has to say.” Dr. Elissa Maynard called Christensen a “dental celebrity,” and noted, “It’s a chance to see one of the biggest leaders in dentistry. He’s had an inspiring career, and has demonstrated a dedication to best practices and quality improvement.”

If you were on the fence about attending this amazing Saturday session, we hope we’ve inspired you to attend!

Audience: All attendees Thursday, June 21 from 8 - 11 a.m.

CE Credits: 3 Credits

Integrative Medicine: It’s Not Alternative Anymore

When we presented Dr. Tieraona Low Dog several years ago, she was a PNDC favorite, and it’s easy to see why. Her engaging, on-point delivery makes her a joy to listen to, and she presents information that’s just a bit outside of the mainstream. Here in Washington, we get it! As a physician and an expert in alternative medicines, Low Dog brings a unique perspective to the PNDC, one that is well worth hearing.

This year, she’ll present two sessions: one on supplements and the other on integrative medicine. We wondered, isn’t a conversation about supplements better left to physicians? Not necessarily, says Low Dog. She explains, “I believe understanding the role of vitamins, minerals, essential fatty acids, and probiotics in health is important for all healthcare providers to be familiar with. Calcium and vitamin D are important for bone health and tooth retention. What would you say if a patient asked about these? Someone presents with angular chelitis and glossitis. What is the differential? Would you recognize iron deficiency anemia? Do you know science-based recommendations for idiopathic taste disorder? The oral cavity can yield powerful clues for nutritional deficiencies.

The dental team should know how to recognize them, and should be familiar with the most common risk factors. The dietary supplements we will be discussing have a component relevant to the dental team. Safety will be included in the conversation, as will resources for getting up-to-date science-based information and for third-party testing of dietary supplements for quality.” In this session, Low Dog will talk about Omega 3s, which are so prevalent in fish, and something that everyone needs in their diet. But how much fish would a person have to eat to get enough? Would supplements be easier? Is it possible to get the Omega 3s you need

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We couldn’t be more excited about the lineup at PNDC 2018! With world-renowned speakers like Dr. Gordon Christensen, top-tier presenters like Dr. Uche Odiatu and Dr. Harold Crossley, and stellar presenters including Kristy Menage Bernie, Dr. Lee Ann Brady, Kathy Bassett, and Dr. Tieraona Low Dog (just to name a few), PNDC 2018 has stacked the program with presenters and sessions for every dental team member. The WSDA News recently reached out to get an in-depth look at some of these sessions to find out what they’ll be covering, and why you should attend.

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Photos: Clockwise from upper left: Dr. Uche Odiatu,

1 0 路 th e wsda ne w s 路Dr. issue 3, Brady, januarDr.y Tieraona 路 2018Low 路 www.wsda.org Lee Ann Dog, Ms. Kristy Menage Bernie, Ms. Kathy Bassett, Dr. Gordon Christensen

PNDC 2018 is an amazing value! For just $175 - $275 members* can earn 20 CE credits, including Dr. Gordon Christensen’s all day program on June 23! *Early Bird pricing, ends May 4!

REGISTER TODAY: wsda.org/pndc for good health by eating fish? Low Dog will explain the options in a way that will be easy to pass on to patients and loved ones.

Low Dog’s integrative medicine session will cover information important to all health providers, such as how do nutrition, stress, and sleep impact inflammation and thus oral health? What are we learning about the microbiome and its impact on overall health, including oral health? What about its effect on low energy or GERD in those who brux and clench? What about the role of acupuncture in atypical facial pain or TMJ? Or the role of cognitive behavioral therapy and other mind-body practices in chronic pain? How and when do you make a referral? She says, “Integrative medicine isn’t so much about which modality you use, it’s about stepping back and taking a broader look at the interconnectedness of the human body. Just like a cardiologist has to think beyond the cardiovascular system, the dentist needs to think beyond the oral cavity. They do not exist in isolation, but as part of a complex, dynamic system.

My hope is for attendees to leave with some practical tips to use in their practice, resources to get more information, and inspiration to keep learning and growing professionally.”

Dr. Harold Crossley - Two sessions examine medications and street drugs Clues to Your Patients’ Health? Look in Their Bag of Medications, Parts 1 & 2 Audience: Dentists, hygienists, assistants, front office staff Part 1, Thursday, June 21 from 8 - 11:30 a.m. and Part 2, Thursday, June 21 from 1:30 - 5 p.m.

CE Credits: Each session 3.5 Credits

Everything You Wanted to Know About Street Drugs, but Were Afraid to Ask!, Parts 1 & 2 Audience: All attendees Part 1, Friday, June 22 from 7:30 - 11a.m. and Part 2, Friday, June 22 from 12:30 - 4 p.m.

CE Credits: Each session 3.5 Credits

Dr. Harold Crossley brings two full-day sessions related to drugs and their intersection with dentistry to PNDC 2018. Ideally, he’d like you to attend Parts 1 and 2 both days to ensure that you capitalize on all the information he has to offer. In both lectures, the pace of the day is determined in part by audience participation, making it difficult to predict the flow of information. For instance, in the “Clues” sessions, Crossley says, “If there are a lot of questions in the morning session, I may only get through a few medications in the morning, but if there are no questions, I may get through 10 drugs in the morning. The same is true of the street drug program, where I talk about the disease and chemical dependency in the morning, and the afternoon is more of a session devoted to examples of street drugs, such as bath salts and Flakka.”

How do you determine what medications your patient is taking?

Sounds easy, right? Not necessarily. Sometimes it requires sleuthing on your part, and a good medical history is the best place to

start. Still, the complications of a normal day at the practice can stymie even the most dedicated practitioner. Crossley says, “Time is money in the practice, and you may have a patient who arrived late in the morning, and in an attempt to catch up on the day, miss some of the medications that patients are taking.” But even if you have the time for a proper medical history, sometimes patients don’t remember what they take and often don’t consider over-thecounter (OTC) medications, which can have an impact on oral health. He explains, “We’ll discuss all of the most prescribed drugs — such as Levothyroxine for hypothyroidism, Lisinopril for high blood pressure — and we’ll cover the new standards for high blood pressure and the abuse of Levothyroxine by teenage girls.

And when we talk about hydrocodone with acetaminophen, I will explain how the number of prescriptions for the drug has dropped off by about 40 million because clinicians are prescribing more NSAIDS, and why you should be doing the same.”

Crossley’s street drug sessions are a gritty, hard-hitting expose of what people all across the country are discovering: that their patients, or someone they know and love, are addicted to drugs.

The morning session will be devoted to the disease and resources to find out whether someone you know is doing drugs. Crossley will also discuss the ways that drug abuse affects you, even if no one you know is a user. And for those of you who insist that you’re untouched by drug abuse, Crossley has some sobering news: “Maybe your nephew or your grandkids will become addicted to something. Everyone is affected by it. If nothing else, you can take the information you’ll learn and do a presentation at a school, a youth group, or a church or synagogue.”

But, we wondered, how does this issue present in the practice?

In many ways, says Crossley, explaining, “We will talk about how to approach the subject with patients you suspect may be using drugs or have used them in the past. If they’re in recovery, dentists need to be informed, so they don’t give patients anything that might cause them to relapse because chemical dependency is a relapsing disease.”

Dr. Uche Odiatu breaks it down for you: From exercise to inflammation Posture Perfect: Let’s Get Your Mojo Back!

Audience: All attendees • Friday, June 22 from 1 - 4 p.m.

CE Credits: 3 Credits

Oral Systemic Dynamics: 50 Shades of Inflammation!

Audience: All attendees • Friday, June 22 from 7:30 - 10:30 a.m.

CE Credits: 3 Credits Dr. Uche Odiatu has to stay healthy. He and his wife have four children ranging from a toddler to a teen, he runs an active practice, and he is a personal trainer, author, media personality, and international lecturer. In his Posture Perfect session, Odiatu will address the need for practitioners to up their game by exercising more. The good news? He has a seven-minute workout that he

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VALUE PROPOSITION:

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GETTING YOUR BADGES:

This year, we’ll be mailing packets with badges and information three weeks before the conference. It’s all part of our pledge to you to make the conference experience seamless.

claims will jump start your way to better health. It’s important, he says, noting that it’s easier for in-shape practitioners to encourage their patients to pay more attention to their health, and that patients who are in good shape physically usually have better oral health. Odiatu will explore the mind-body connection in this lively and popular session.

In fact, both of Odiatu’s sessions will address the need for oral health teams to practice what they should be preaching, saying, “It’s only a difficult subject to broach if we as healthcare providers aren’t taking action ourselves. I’m a firm believer that you can’t take someone on a journey if you haven’t been there yourself.

Patients are starving for healthcare providers who can provide them with information and access to the big picture. So, while lifestyle might seem foreign in the dental practice, it shouldn’t, as lifestyle management can be a factor in suppressing everything from cancer to oral health issues. If we can learn to share what we’re learning about lifestyle management with an obese patient, for example, not only will we help the patient, but we’ll be achieving some of the core values we should be addressing as oral health practitioners.”

We wondered though, how can a dentist or hygienist approach a subject like weight with an obese patient, and what lessons can we hope to impart in such a short time? Odiatu will cover these questions in his sessions. He says, “It all depends on how you approach it. We might not get healing in two minutes, but ultimately we have to address it. Doctors in hospitals are dealing with the end result of lifestyle choices, but it’s too late for intervention at that point. We’re on the front lines, and we need to learn how to make this part of our conversation with patients because we might be the only one who does. If we’re passionate about overall health, we need to be the ones responsible for the messaging. If our patients see us two, three, or four times a year, and we’re always the one on point with lifestyle messaging, they’ll see that we care. It’s easier to do if we, as practitioners, are living a healthy lifestyle ourselves.

Even though it might be awkward to start the conversation, I think that patients appreciate authentic conversations.”

Oral System Dynamics

And where do microbiomes enter the conversation about health?

Odiatu explains, “Microbiomes, or gut flora, have been with us for 4 billion years. If patients ask why they get decay so easily compared to a sibling, or if they ask why their stomach gets upset for seven days after taking an antibiotic, we can look to microbiomes for the answer. The Human Microbiome Project finished the first phase two years ago. We’re learning that gut flora has as much impact on our health as our genes do. That’s information we can share with patients. The biggest impact we have on our gut flora is what we eat, and dentists and hygienists are in charge of taking care of the gateway, which is our teeth. We look at saliva quality, we look at the patient’s ability to chew, we look at TMJ. So we, as dentists and hygienists, are profoundly linked to a key new area that we have never talked about before. Obviously in the few minutes that we

have with patients, we can mention new research and the National Institute of Health, and likewise during secondary appointments, so that over time, we can have impact and patients will be moved into action.” How do you make this a conversation you can have in a few minutes? That’s what Odiatu will help you with in this fascinating offering. Being a part of this ongoing conversation will make you an invaluable member of your patients’ overall health team, and let patients know they’re in an office that stays current. “Patients who think ‘my hygienist and dentist stay current’ aren’t going to leave you. They’re relying on us,” Odiatu says.

Kathy Bassett, local star, comes back to PNDC 2018 Complementary and Alternative Local Anesthesia: Beyond the Basics Audience: Dentists, hygienists Friday, June 22 from 7:30 - 10:30 a.m.

CE Credits: 3 Credits

Kathy Bassett, who teaches hygiene in Tacoma, is a true star in our midst. She didn’t set out to be a sought-after lecturer, it evolved over time. She explains, “Never in a million years did I think I would go out and develop myself as a speaker. The opportunity to talk about a subject that I find fascinating presented itself, and I was able to dig in, keep talking to people, and look at the subject from different angles and perspectives. It’s been a lot of fun!”

When she’s not in a classroom, Bassett’s proselytizing nationwide about her favorite subject: anesthesia. In 2015, she spoke at 14 conferences. Last year she did a few less, but she has been taking speaking opportunities that bridge classic hygiene therapy with naturopathic and orofacial myofunctional therapies to create integrative healthcare, which, she says, has been really interesting. Her newest program focuses on commonalities among the various modalities. In this session, Bassett will cover the nasal-delivered product Kovanaze, the newest form of anesthesia. As she explains, “Everyone really needs to look at it to see what patients it will be appropriate for and whom it will not. We’ll review what it can and cannot be used for. It’s not for everyone, nor is it for all teeth. I don’t know what the market for it will be, but it is the newest delivery method we have.”

Additionally, Bassett will cover computer-controlled local anesthetic delivery, or CCLAD, which not only benefits the patients, it’s also much better ergonomically for the provider. “If we don’t pay attention to ergonomics,” Bassett says, “it will shorten our career. The devices we use and the nature of the hand motions and positions we use when delivering dental care can result in cumulative trauma disorders. Computer-controlled devices manage many of the ergonomic issues that can be injurious to us. Additionally, I totally trust computers over a human. They have the ability to modulate and control how the fluid escapes the needle. It’s calibrated to be as comfortable as possible in different types of tissue, and humans just don’t have the ability to be as precise, nor to sustain a very controlled

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We know that it’s the cutting edge CE that gets you to the conference, but there’s no reason you can’t mix business and fun at PNDC 2018.

With a complimentary Happy Hour for all attendees, events for new dentists, and more, we’ve got you covered! rate.” Bassett will discuss bursting phenomena, delivery rates, and how computers can take the guesswork out of the entire procedure.

She believes in the technology so much, she owns a CCLAD system herself. She’ll tell you why in this fascinating full-day session, which is not just for hygienists. It may be primarily designed for them, but dentists often attend, she says, and that feedback has been great.

The session helps broaden everyone’s perspective about anesthesia.

Kristy Menage Bernie: trends and perio #Top Trending Topics in Dentistry

Audience: Dentists, hygienists, assistants, front office staff Thursday, June 21 from 8 - 11 a.m.

CE Credits: 3 Credits

Paradigm Shifts in Periodontal Therapy: Implementing Evolving Protocols Audience: Dentists and hygienists, Thursday, June 21 from 2 - 5 p.m.

CE Credits: 3 Credits

Kristy Menage Bernie brings two sessions to PNDC 2018, and they couldn’t be more different! In her #Top Trending Topics session, she’ll let the audience choose the content and live stream questions directly to her. She’ll discuss the ways in which social media covers and influences topics in dentistry, and the questions patients bring to their providers. She says, “You would be shocked at how much dentistry gets discussed on social media. Everything from ‘Don’t ever call a dental hygienist a dental assistant,’ to ‘Is anyone using charcoal toothpaste or pulling oil?’, or whatever the newest fad is. Those are just some of the dental-related stories trending on social media sites like Facebook, Instagram, and Snapchat. When you do a dental search on any of those platforms, it’s really amazing how much of it applies directly to what we do.

Some of the content is good, but much of it is bunk, and patients don’t have the time, or don’t bother, to check the veracity of claims made on social media. They simply accept them as fact.”

A great example was the flossing controversy that burned up social media last year, she says. Practitioners need to be aware of what’s trending so they can address questions and concerns patients have. Menage Bernie explains, “We’ll do searches online in real time to see what is trending now, and I’ll ask attendees what’s being talked about most in their practices. It’s typically oil pulling, flossing or not, and charcoal toothpaste.” Participants will learn where and how to search for answers to questions patients have on social media. But Menage Bernie emphasizes this isn’t just a social media class. She says, “It’s science at its most core level. The clinicians will figure out how to address patients, and how to do their own searches on a phone or tablet. You don’t have to have a computer to get the answers to these questions in real time, while patients are sitting there. It’s not just millennials asking questions

about subjects like oil pulling, either. The older generation uses Facebook, and that’s where a lot of this information comes from.”

Menage Bernie also will talk about the ADA Morning Huddle and how it is a fount of information for providers and patients.

“The Morning Huddle matches current headlines with ADA policy and position on the issue,” she explains. “It’s what inspired me to create this session, because it is the only virtual newsletter that covers what the consumer is reading and organized dentistry’s position on it. And they’re not advocates for the crazy ideas out there, they’re debunking them with science. You can’t stop magazines from printing these stories, but you can take the time to shine a light on why they’re not scientifically sound. It’s gold because the ADA tells us what patients are reading and why.”

She’ll cover the recent “flossing crisis,” which began when consumers were told there was no data to support flossing (“There is,” she says, “but it isn’t in an obvious place. It’s research that compared water irrigation or other interdental brushes, so it’s not data about flossing on its own.”), and how even the ADA has softened its stance on flossing. Menage Bernie says, “The ADA is now asking, ‘How do you clean between teeth?’ to open up a dialogue about toothpicks, brushes, floss, whatever! People clean between their teeth with fingernails, pieces of paper, and paper clips. We need to be more flexible in the way we approach this with our patients, and encourage them to use whatever method that’s safe and that they’ll use regularly. Talk about a paradigm that needs to shift. There is even research that suggests that flossing can be a detriment if you have restorations or implants that are not as smooth as they should be.”

Paradigm shifts in periodontal therapy

Menage Bernie says, “Perio is hot, but then it’s always hot.” Four years ago a CDC study showed that more than 50 percent of adults have some form of periodontal disease. “We’re not treating it,” she says, “and yet you hear about cases where practitioners are being accused of overtreating periodontal disease. I’m not sure that’s possible because like diabetes, periodontal disease requires lifelong management.” Menage Bernie and other speakers have long called for a paradigm shift in regard to perio treatment, adding, “Quadrant scaling and root planing are just the beginning of the process and maintaining health. The seminar looks at that, and looks at standardizing initial periodontal therapy so that it takes into account the seriousness of the disease. If someone needed an appendectomy, we wouldn’t send them away and have them come back in two weeks. The same is true of periodontal disease. We examine why we should be getting patients back in the chair within 24 hours, half the mouth one day, half the mouth the following day. That’s the ideal, and one to two weeks is the outside boundary, if you will. Initially, people think they can’t make a tighter schedule work in their practice, but they can, and once it is their protocol, it becomes even easier. We start out by defining what paradigms are, and discuss why they change and how they can be a liability. They’re important, but they can hold us back, too.”

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cover stor y pndc

SOCIAL CIRCLE:

cover stor y pndc

Dr. Lee Ann Brady composites and top tips for the dental team Posterior Composites That Last

Audience: Dentists, assistants Thursday, June 21 from 2 - 5 p.m.

CE Credits: 3 Credits

Today’s Top Clinical Tips

Audience: Dentists, hygienists, assistants, front office staff Thursday, June 21 from 8 - 11 a.m.

CE Credits: 3 Credits

Posterior composites that last

In this posterior composite session, Dr. Lee Ann Brady recommends that dentists and assistants attend together, so that they can be in synch in terms of the materials, the steps, and the techniques used to make lasting, esthetically pleasing posterior composites.

“It will make using the new information back in the practice much smoother,” Brady says. “We’re going to be talking about the newest eighth-generation adhesive (or universal adhesives), and we’ll also take a look at new bulk fill composite and bioactive materials.”

Brady is excited about bonding materials, and the revolutionary ways in which they’re changing. “It’s still true that we don’t get the same longevity out of adhesive dentistry that we will get out of a silver filling,” she says. “However, because of the new universal dentin adhesive, the materials are less technique sensitive, and there is less risk or worry about oral contamination, so we should see greater longevity. We have this burgeoning field of bioactive materials — tooth-colored filling materials that are more biologically compatible to the tooth structure — designed to increase longevity closer to that of metal fillings. This is really a new area that people have only been talking about for a year or two. Most GPs are not using these in their practice yet. They may have heard the term, but they aren’t sure if they should implement them. They’re going to leave feeling like they have new tips, tricks, and techniques to improve their posterior composite dentistry, from predictability to reduced sensitivity and improved results for their patients.”

Top clinical tips

of baby boomers, whitening and the new materials at our disposal, and bonding and cementation, which is always a popular and confusing topic in the world of dentistry. We wondered, caries prevention in baby boomers — why is that even a thing? Brady says, “We’re starting to see a pretty good rise in the rate of people getting cavities, especially among boomers. People over 50 are now the largest demographic in our population base, and we’re all trying to figure out how to help patents keep their teeth into their 80s and 90s.” The culprits, she explains, are the medications they’re on. “Medications for type 2 diabetes and blood pressure reduce salivary flow, and all of a sudden they start to get cavities like they did when they were little kids. We’ll review the CAMBRA (caries management by risk assessment) protocol, which provides a series of steps to determine the proper protocol for patients so they’re no longer getting cavities.

We’ll talk about indirect restorations. One of the biggest questions today is what category of cement or resin should I use with my restorations. Should I cement or should I bond, and then which one of the zillion products out there should I use?”

What’s the biggest trend in restorative dentistry, we asked? “Probably the use of all ceramic restorations, which we’ll cover in this session,” Brady says. “The prep is totally different, bonding techniques are totally different, so there is a lot of material to cover on this subject. There is a lot of confusion about the materials. It’s tough to know which product is the best, and we’ll cover that as well.

Our expertise around the materials we’re using is going down, and the more we’re forced to do our own research, the more that problem persists. We’ll be reviewing tried-and-true procedures as well, things that still work today and make procedures easier.”

Many more sessions at PNDC 2018

We’ve really just scratched the surface of the variety of sessions that will be presented at PNDC 2018. We encourage you to go online to peruse the complete selection, and to watch your mailboxes for the PNDC 2018 Program, which mails concurrently with this issue of the News. Whether you watch your mailbox or surf online (wsda.org/pndc), please take a look at the sidebar below with the information about preplanning your conference experience. With a little prep, you’ll not only help us determine space needs at the conference, but you’ll also streamline your CE experience.

In this session, Brady will cover caries prevention in the world

We need your input before the conference!

Team PNDC didn’t just toil to gather the best speakers and content for three days of impressive CE at an incredibly low

price. They listened to your concerns and are implementing a program this year aimed at reducing or eliminating full sessions. This year, we’ll ask each of you to indicate which sessions you’re interested in attending at PNDC 2018 when you register your team. This will help PNDC place in-demand speakers in larger rooms, allow you and your team to plan ahead, and let us create the best possible experience for all attendees! You should receive your PNDC 2018 Program very soon, and when you do, you’ll find a handy place on pages 12 and 13 for dental team members to initial the sessions they would like to attend. One important note: These selections don’t guarantee you a seat, as conference seating will still be first come, first served. You’re free to change your mind at the conference. We’re excited about this new program!

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GIVES $55,000 FOR RESIDENCIES IN OLYMPIA

2018 Donors

Supporting Residencies in the state

Some donors gathered for a photo at this year’s House of Delegates

GOLD CLUB* $1,000 Donation or $500 for 5 Years Pledged Dr. Dexter Barnes Dr. Dennis Bradshaw Dr. Lisa Buttaro Dr. Robert Chen Dr. Christopher Delecki Dr. Christopher Dorow Dr. Bryan Edgar Dr. Linda Edgar Dr. Sarah Fraker Dr. Spencer Jilek Dr. Michael Karr Mr. Bracken Killpack Dr. Bruce Kinney Dr. Christine Kirchner Dr. Silvia La Rosa Dr. Bernard Larson Dr. Larry Loveridge Dr. David & Sue Minahan Dr. Craig Neal Dr. Jeffrey Parrish Dr. Cynthia Pauley Dr. William Petersen Dr. Kathryn Poleson Dr. Nathan Russell Dr. Pat Sharkey

Dr. Dr. Dr. Dr. Dr. Dr.

Mary Smith Ronald Snyder Kathleen Stambaugh Andrew Tellington Mark & Barb Walker Amy Winston

SILVER CLUB* $500-999 Donation Dr. Albert Bird

BRONZE CLUB* $250-499 Donation Dr. Dr. Dr. Dr. Dr. Dr.

John Carbery Susan Hollinsworth Donald Jayne Michael Johnson Jason Pehling J.D. Troy

Donations were calculated from 10/1/2016 to 12/12/2017 and apply toward donor’s 2018 status. Donations will be tracked through the end of the calendar year and all who meet donation requirements will achieve Gold Club status.

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When the Washington State Dental Association Foundation redefined itself two years ago, the goal was simple: to fund projects throughout the state that would make a difference in local communities and continue to reinforce the good work being done by dentists in Washington.

To that end, at a recent fundraiser, the WSDA Foundation pledged $55,000 in matching funds to help support a new dental residency and clinical care program planned for Olympia.

Dr. Amy Winston, a WSDA member who has long championed residency programs in the state, said, “As a WSDA member, I was incredibly grateful and proud to see the representation from our membership.

In addition to a strong showing from the Thurston-Mason County Dental Society, dentists traveled from Spokane and Seattle to attend. The collective generosity and enthusiastic support are deeply appreciated by all involved with this project.”

Peter Brennan, Executive Director of the Providence St. Peter Foundation, added, “We are so grateful to WSDA for the generous matching gift announced at the Christmas Forest Gala. The response from our generous donors for the Providence St. Peter Hospital dental residency program was overwhelming, with the Fund-a-Need totaling more than $300,000.”

Fundraising efforts are being spearheaded

by Providence St. Peter Hospital. According to the hospital, the program is being “modeled after similar programs in Seattle and Spokane,” and will “… significantly improve dental care access among the poor and vulnerable citizens and improve outcomes of dental-related EC visits.” The clinic will be housed at Providence St. Peter Hospital and provide primary and emergency care to lowincome and medically compromised adults.

The startup cost of the residency and clinic is $1.8 million. Currently, two major foundations have expressed interest in participating in fundraising efforts. Additionally, the project has been endorsed by the Thurston-Mason County Dental Society.

wsda foundation news foundation donors and news

WSDA FOUNDATION NEWS THANKS TO YOUR SUPPORT, WSDA FOUNDATION

11th district news dr. rickland asai

DR. RICKLAND ASAI THE 11TH DISTRICT TRUSTEE TALKS TO THE WSDA NEWS

Dr. Rickland Asai is finishing up his four-year term as 11th District Trustee, the most recent post in a career filled with service to organized dentistry. Asai served in many roles for the Oregon Dental Association, including President, Speaker of the House, and Washington County Trustee. Nationally, he served on the ADA’s CERP committee and its Council on Ethics, Bylaws and Judicial Affairs, which he chaired in 2006-07. The WSDA News recently reached out to him to talk about his time with the ADA and his goals for the organization.

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WSDA News: What does the ADA need to do better?

Dr. Asai: I am pleased to have been a member of the board of

always room for some improvement. Our members are still struggling, even with an improving economy. Nearly one-third of dentists still experience open chair times. The ADA can help us do three things: educate the public to put a higher priority on regular dental care; increase the perceived value of membership in the ADA; and operate more efficiently by aligning programs and services with resources at the local, state, and national levels to reduce, or even eliminate, duplication of effort.

trustees when we decided to go all in on partnering in a student loan consolidation program through DRB now called Laurel Road.

Helping new members of the profession lower loan costs by nearly $30,000 is a tangible way to help newer graduates face down the high educational costs of entering the profession. I am also pleased to have been on the board as we developed the “See Your ADA Dentist” campaign, now in its second year. The campaign was complex to implement because it required updating and improving IT infrastructure and the integration of Aptify, our database management system. Conversion to Aptify took a tremendous amount of time and energy, but was a necessary step to advance the association in many ways. This collective work with the states and components has provided more complete and accurate information for all levels of the tripartite. Better information facilitates improved decision making, governance, and management. I was proud to be among the leaders in the discussion of granting the New Dentists the vote in their participation on ADA Councils. And lastly, I am proud to have been a part of the board decision to embark on a new business model. It’s still under wraps, but represents an exciting new direction for the ADA, and we’re eager to unveil it. It’s been a great leap of faith for the ADA, and is far different from anything it has done before.

WSDA News: What do you hope to do with your remaining time with the ADA? Dr. Asai: In my remaining time on the board of trustees, there

are several areas of focus that immediately come to mind. First, continuing to improve our “See Your ADA Dentist” campaign, and leverage that in two ways. One, grow our ADA brand, and two, explore partnering with other national organizations in a meaningful way.

Additionally, I will advocate to adopt the second and third phases of our new business model project coming to market this year.

This sort of “outside the box” thinking is both exciting and unnerving, as there is less control throughout the process. Thirdly, I will focus on developing our next strategic plan. I’ll start by revisiting our vision statement, so that we can have a clear focus for the ADA going forward.

And lastly, I believe that we can continue to utilize technology to both improve some of the efficiencies of governance and lower the cost of membership, while maintaining a high level of member participation that makes our professional association unique.

WSDA News: In your opinion, what does the ADA do well?

Dr. Asai: Advocacy, which aligns with what our members tell us

they want from the ADA. In Washington, D.C., our team of staff and volunteers supports the states with the SPA program, which provides strategic direction, support, and day-to-day oversight for public affairs activities undertaken by state dental societies, helping guide public affairs programs within the states, and assisting them in identifying their own active solutions for challenging issues. It’s an important and effective way that the ADA looks out for the profession. Without this coordinated and organized advocacy effort, practicing dentists would be more negatively impacted by onerous and overreaching government regulations. Two recent examples are the amalgam separator rule making and Medicare Part D prescription writing.

Dr. Asai: As well as the ADA does on so many levels, there is

WSDA News: Name one or two things the ADA does well that people don’t know about.

Dr. Asai: In a word, standards. Developing, updating, and main-

taining standards for the profession is costly and time consuming, but it helps dentistry in myriad ways. Typically, it does not come to mind when we think about what the ADA does for us, but it includes things like standardizing testing in the DAT, ADAT, and National Board Exams.

Standards in informatics and products become national and international standards for the profession, which allow different brands of hardware to communicate with different versions of software. This leads to innovation that creates better products for our patients and the profession. Standards in evidence-based dentistry and clinical guidelines save members valuable time and effort. Every time ADA staff and volunteers sift through mountains of studies and data and put the results into practical guidelines for care, it saves us the effort of having to do it. Distilling and aggregating data is a great service for our members and the patients they serve. By establishing guidelines like the usefulness and limitations of antibiotics, sealants, fluoride and more, we can better serve our patients, as well.

If we don’t have standards, we don’t have a profession. If we don’t establish these standards, then someone else will. How many times have we seen governmental bodies with the best of intentions set out to create a policy for dentistry that would have turned out all wrong if the ADA had not been there to take up the slack?

This expertise within the ADA has taken years to develop, and we must not let those without the experience and knowledge usurp our self-regulation in these matters. These are some of the bestkept secrets of what the ADA does well.

WSDA News: What kind of changes would you like to see at the ADA? Dr. Asai: I would like to see the ADA get the recognition and re-

spect for all of the great things it does now for its members and the profession. But I also would like to see the ADA continue to move in new directions. For instance, our new business model will attract members in new and novel ways by creating products and services that dentists need and want. I believe that we are on the right path, and we are beginning to turn the corner on innovating, rather than just improving what we have. Both are important, but innovation will get us there faster and take us farther than just improvement alone.

And as I stated earlier, I would like to see maximized alignment of all levels of the tripartite, embracing the Hedgehog concept* that each does what they do best for our members. This will allow us to conserve precious resources for maximum member value.

We need to provide the programs that save our members time and hard-earned dollars. *Editor’s note: To read more about the Hedgehog concept, visit http:// www.jimcollins.com/concepts/the-hedgehog-concept.html

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11th district news dr. rickland asai

WSDA News: What accomplishments are you most proud of from your time as the 11th district trustee?

legislative news legislative preview 2017/2018

2018 LEGISLATIVE SESSION OPENS

JANUARY 8, 2018

The Washington State Legislature convened its 60day legislative session on January 8, 2018. Because it is the second year of the biennium, all legislation that did not pass last year will be automatically reintroduced this year and will be “alive,” along with all of the legislation that will be introduced during the current session.

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Anticipated Legislation Capital Budget

WSDA teamed up with Providence Health & Services to support capital budget requests to help fund facilities and infrastructure needed to expand dental residency programs in Spokane and Olympia. Both the House and Senate versions of the capital budget included the requested funding, as well as funding requested by the Community Health Network for construction and equipment directly associated with dental facilities in local communities. Unfortunately, as noted above, the legislature did not pass a capital budget last year. WSDA will continue to encourage them to pass a budget that includes the dental-related requests this year.

Insurance Reform

House Bill 1316, sponsored by dentist Representative Michelle Caldier in 2017, would have required carriers to maintain a utilization review program description and written criteria based on the prevention of dental disease and chronic disease implications.

It also would have prohibited a carrier from retrospectively denying coverage for care that had prior authorization, and would have prohibited carriers from subjecting providers to additional oversight based on the provider filing an appeal or grievance on behalf

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legislative news legislative preview 2017/2018

In addition to addressing policy bills, the 60-day “short” sessions that occur during even-numbered years are designed for making minor adjustments to the biennial budgets that passed during the previous year. However, the philosophically divided legislature failed last year to pass a “capital budget,” used to fund infrastructure and special projects, so negotiations over that budget should continue this year. Additionally, while the legislature believed they had sufficiently addressed the Supreme Court’s mandate to fully fund K-12 education, the Supreme Court recently ruled that last year’s plan isn’t moving fast enough. Requiring the legislature to speed up their funding plan may prove challenging.

As a result of a special election to fill a vacancy in the 45th district, the Democrats will take control of the Senate, for the first time since 2012, with a one-vote margin. Similarly, Democrats lead the House of Representatives by only two votes. Despite democratic control of both houses and the governor’s mansion, with the vote count being so close, it is unlikely that any really controversial bills will pass this year unless compromise between the two parties can be achieved.

Because the legislative session ran very long in 2017 – into July – and because 2018 is a significant election year for the state legislature, we anticipate that the 2018 legislative session will adjourn close to its 60-day deadline in March.

legislative news legislative preview 2017/2018

of a patient. The bill also would have required the Office of the Insurance Commissioner (OIC) to review current practices relating to explanations of benefits, a task the OIC took on despite the bill not passing. WSDA supports ensuring patients have the same protections when accessing dental care as when accessing medical care and supports eliminating the unfair insurance practices of some dental insurance companies. We will continue to support this bill and look for opportunities to improve insurance practices in Washington.

Defending Against Midlevel Providers

House Bill 1364 and Senate Bill 5224, introduced last session, would have created a new licensed health profession called “dental therapists.” Dental therapists would only need about three years of post-secondary school education, but would be allowed to perform many of the procedures a dentist (with eight or more years of education) is authorized to do, including drilling and extracting teeth. WSDA will continue to oppose this legislation, which will be reintroduced this year.

Dental Labs

Last session, the National Association of Dental Laboratories proposed legislation to address supply chain accountability through dental laboratory registration and disclosure. WSDA believes House Bill 1782 will enhance patient health and safety, and that a state-maintained registry will assure dentists that their dental laboratory is compliant and operating under high standards.

We will continue to support this bill in the 2018 session.

Opioids

The overuse and abuse of opioids has become a national and statewide crisis. In an attempt to address this crisis, Washington’s legislature introduced a number of bills last year related to opiates.

WSDA successfully defended against onerous infringements into the dentist-patient relationship and worked toward more wellrounded legislation (House Bill 1427) that requires the health care provider disciplinary authorities, like the Dental Quality Assurance Commission and Medical Quality Assurance Commission, to work together to develop rules establishing requirements for prescribing opioid drugs.

Despite that bill’s passage, and the workgroup meetings currently underway, Washington’s Attorney General is requesting legislation to restrict the number of pills that may be prescribed (House Bill 2272) and to require prescribers to consult the Prescription Drug Monitoring Program before writing a prescription.

WSDA will continue to work with legislators and others to develop thoughtful solutions that do not hinder a provider’s clinical decision-making and reflect the needs of each individual patient.

Practice Efficiencies

At the request of the Dental Quality Assurance Commission, WSDA will propose legislation that will allow dental assistants to clean and sterilize operatories under the general supervision of a dentist. Under current law, close supervision, meaning the dentist must be present in the office, is required. Changing this law will allow for greater efficiency and flexibility for the dental office and staff.

Other Important Public Health Legislation

WSDA will also support legislation to protect the public’s health by expanding the ABCD program to cover children ages 6-20 with disabilities; creating a system for the safe and secure collection and disposal of unwanted medications; raising the legal age for the sale or distribution of tobacco or vapor products to 21; updating administrative requirements for the Dental Quality Assurance Commission; and expanding scholarship and loan repayment opportunities for health professionals who work in underserved areas. We will also continue to oppose any legislation that inappropriately interferes with the dentist-patient relationship or improperly infringes on a dentist’s ability to operate their practice.

Stay Informed and In Touch

Despite its short timeframe, it is clear that WSDA will stay busy during the 2018 legislative session. We look forward to working with Washington’s dentists to promote policies that protect and maintain quality oral health in Washington State while proactively addressing the changing landscape of dentistry. The decisions made by legislators today have the ability to affect both your profession and your patients for years to come, and WSDA will be in Olympia every day to represent you. But, you can help, too.

Get involved as a Grassroots Dentist

Grassroots dentists are dentists who follow dental legislative issues and are willing to communicate the positions of organized dentistry with legislators through in-person meetings, phone calls, and emails. This is dentistry’s most effective tool in influencing the outcome of legislation that will impact the way you practice, run your business, protect the public’s health, and provide the highest quality oral health care. When a dental-related issue comes before the legislature, legislators want to hear from you as the experts in your field.

Sign up for WSDA’s Legislative Action Alerts

Signing up for WSDA’s new text message-based action alerts will enable you to receive updates to your phone at the moment when action is most necessary on critical dental issues. By simply clicking a link in a text message, you will be able to contact legislators about dental issues by email, phone, and various social media platforms. To sign up, text “WSDA” to the number “52886.” Once you text “WSDA” to 52886, you will be asked for your name, the zip code for where you are registered to vote, and email address.

After answering these questions, you will be entered into the system and will receive a text message every time we need you to respond to an action alert.

Attend Dental Action Day 2018

Please consider coming to Olympia for Dental Action Day (DAD). DAD is a free grassroots lobbying event in Olympia, during which WSDA staff set up appointments with dentists and their local legislators to discuss issues important to the dental profession. WSDA will host a reception for dentists to mingle and meet informally with legislators on January 24 and facilitate formal meetings for dentists and their legislators on January 25. To register for the legislative reception and DAD 2018, please go to www.

WSDA.org.

2 0 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

th e wsda ne w s 路 issue 3, januar y 路 2018 路 www.wsda.org 路 21

ada news dr. kathy o’loughlin

WOMEN IN DENTISTRY: DR. KATHY O’LOUGHLIN TELLS US WHY THEY’RE “NOT DONE YET”

2 2 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

The average dentist in the United States is a white male who is engaged in private practice. He is married, has 2.4 children, a fairly wellworn Chevrolet and a home about which the bank still has something to say…. His feet, very often, hurt him except after thirty-six holes of golf when they feel fine because of the exercise….

All in all, the average dentist and private practitioner is a pretty good American in a casual sort of way. He is a pretty good fisherman, shoots a respectable game of golf, likes a nip or two on occasion, and smokes more cigarettes than are good for him. He’s going to quit smoking and drinking ‘pretty soon,’ but never does.

It is this very human bundle of contradictions, superstitions, likes, dislikes, failings and virtues that we call the average American dentist in private practice.

This colorful, if incomplete, description of the average dentist may have been accurate in the 1940s, and likely for many decades after that, but no part of this assessment of old rings true today, except perhaps the last line of it. While I enjoy thirty-six holes of “exercise” as much as the next dentist, it’s about time to let go of the idea that there is such a thing as an “average” dentist in America.

And that’s ok.

Different is good. Diverse perspectives make us stronger, and that’s one of the reasons we should strive to embrace and promote diversity and inclusion at all levels of our Association. Best practice leadership standards across a variety of industries suggest that an organization’s leadership and governance composition should reflect the varied constituents it serves. There is an abundance of well-done business research that strongly suggests that increasing diversity enhances team performance in very measureable ways.

Many dentists and dental students understand this. We need our associations as a whole to understand this, too. We have to first acknowledge—all of us—that we have the ongoing need to build and sustain a truly diverse and inclusive environment.

I speak from firsthand experience.

One in 20 dentists was a woman the year I graduated from dental school. Instances of sexism were rampant. I remember clearly, after graduating with my doctorate as valedictorian and president of my class, having no job offers on the table, despite the fact that the previous class valedictorian had an abundance of offers. When I was ready to open a private practice, I was denied a bank loan unless my husband co-signed. I refused and we cashed in his life insurance instead! More than once, during dental meetings, I was given drink orders or coats to check. It was always my role in organized dentistry meetings to take the notes and check on the snacks. My experience was not unique. I still hear similar stories from female dentists and dental students alike.

To be honest, none of this bothered me. I always saw myself as equal to a man, which often got me into some difficulty. My parents would often ask me “why” and at that time, I honestly did not know why it was so important to me to compete toe to toe with men in so many aspects of my life: sports, school, career choices, leadership positions. In the years when I was in high school and college, women had just started going to college at the same rate as men, and yet the jobs we could access once we completed our education were not the same. Right or wrong, I believed that I had to be smarter, faster, better, more persistent, and more strategic than men to win at whatever I was aiming for. I didn’t see women stockbrokers, engineers, or CEOs of companies. I didn’t see women being tenured faculty in medical schools or dental schools.

While the number of women getting a higher education changed

dramatically, the culture to support that achievement didn’t come along for the ride. I was still expected to manage the home front and raise perfect children.

Looking back at the 60s and 70s, American culture did not change as quickly as its demographics. Society still held onto a culture with moms at home wearing pumps and aprons, looking perfectly made-up and coiffed. This “normal” was perpetuated by the media right up until the 1970s.

Today, one in two dental school graduates is a woman, and just as our society was slow to embrace women in science-based professions and shift away from the mother-knows-best culture, organized dentistry is at times slow to embrace women in leadership roles. To many, the bias is invisible, but it rears its ugly head in damaging ways. For example, women are labeled when they speak their mind. You’ve heard the old adage: An assertive male leaders is considered an asset, while an assertive female leaders is considered a liability. A woman who complains about lack of parity is a “whiner.” There are leaders in organized dentistry who call seasoned and well-accomplished women “young ladies” or “girls.”

The problem isn’t that there aren’t women who are willing and able to fill leadership positions, but rather, that the American culture of men in leadership is deeply embedded. Women of talent perform equally well in leadership roles—and they deserve respect. Women and men exercise that role in fundamentally different ways, each successfully. Make no mistake: any and all instances of sexism, big and small, perpetuate gender bias and widen the cultural divide between men and women.

The risk this poses for organized dentistry is great. If we do not intentionally embrace and encourage women in leadership roles, I believe it highly unlikely that organized dentistry will achieve long term sustainability and growth in the future. The tsunami of women coming through dental school means that if we disenfranchise women dentists now, we’ll see membership numbers drop consistently for the next 25 years. It will happen slowly in the beginning, until these women become the majority group of our mid- and late-career dentist cohorts.

If the current trend continues, diverse women will be the majority, the most established, and the majority of full dues payers in the coming decades. If we get to the point where we have not engaged them in meaningful ways, and they don’t join, we’ll all be impacted. This is a significant risk for our future.

Culture does not change itself. We need to drive our behavior to the culture we want and must have in order to be relevant to the profession of the future. A culture of inclusion, of integrity, of excellence, of science, of service to our members and our communities.

What can you and I do? Women need sponsors who pull them through, endorse them, support them, and help them be true to themselves while they play by the rules of volunteer politics— rules that they, by the way, had no role in creating. We have to stop prejudging gender and ethnicity, using terms like “girls” and “young ladies” when referring to accomplished women. And we have to not only stop engaging in this behavior ourselves, but call it out when we witness it. We must be self-aware of our normal natural bias and be intentional to be inclusive.

When you look at families where the father is a dentist, and he has two or three kids who have gone into dentistry, there’s no question in that father’s mind that his daughter can be just as successful as the son. We have to embrace that attitude at all levels of leadership in our organization. We have to embrace “different” as the new “normal.”

Many dentists have gotten there. Organized dentistry needs to get there, too.

This story appeared in the November/December 2017 edition of the Oklahoma Dental Association Journal. Copyright © 2017 Oklahoma Dental Association. All rights reserved. Reprinted with permission.

th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org · 23

ada news dr. kathy o’loughlin

How do you describe the average dentist in America?

A paper written in the 1940s that was co-authored by Dr. Harold Hillenbrand, a former executive director of the American Dental Association, made an attempt:

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2 4 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

WSDA’S NEW WEBSITE ADDS APTIFY INTEGRATION INTO A SINGLE WEB PRESENCE If you have logged on to either wsda.org or wsdasource.org recently you probably noticed something different about the sites - they look entirely different, and they’ve been combined into one!

The task has been years in the making — we were never satisfied with having two sites, but it was crucial that we be able to have propriety information that was for members only, and we wanted database integration. Now we have everything in one place. For the user it means more ease of use; log in once and you’re set, no more toggling between two sites for information — you now have a single source for everything from continuing education to legislative information.

Explore the new site. You should find that past bookmarks still work, but if you don’t, please send an email describing any issue you find to kainoa@wsda.org. We hope that you’ll enjoy the newly designed wsda.org.

th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org · 25

wsda news new website is live!

WELCOME HOME

wdia news it’s time for your annual insurance checkup

Director of Insurance Services, Matt French · Assistant Director of Insurance Services, Kerri Seims

The Obvious Choice for Washington Dentists

2 6 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

INSURANCE CHECKUP As your practice grows, your earnings increase or your family gains new members, your insurance needs increase as well. Many dentists forget to keep their insurance coverage in step with changes in their life and business, which can leave them in a difficult situation financially if an accident where to occur.

Washington Dentists’ Insurance Agency recommends that all dentists review their insurance coverage at least once each year to determine if what they currently have meets their present and future needs.

Ask yourself the following questions to determine if your insurance coverage needs to be reevaluated:

Personal Disability is considered income protection, so you

would receive benefits equal to a percentage of your pre-disability income.

Loan Protection covers your loans, interest and principle for the duration of the loan in case of disability.

Overhead Expense Protection will cover the expenses in the day

to day operations of you practice during a short-term disability.

Overhead Expense Protection can be used to cover: your rent or mortgage payments, staff salaries, electricity and water bills, professional fees, etc.

• If I should become disabled, will my Personal and Professional Disability cover my personal and business expenses?

Long Term Care Insurance covers you at any age for the cost of

• If I should die, do I have enough Term Life Insurance to cover my business and personal debt and still have enough left over for my family?

ing your office after physical damage such as fire or water damage.

• Would the current content limit on my Business Owners Coverage replace all my office equipment if it were destroyed?

If the answer is “no” to any of these questions, you may want to consider increasing your existing coverage or looking into the types if insurance on the right:

care if you should need assistance with activities of daily living.

Business Owners Policy covers the replacement costs of rebuild WDIA would like to encourage you to keep all your insurance policies in force and to make sure that you have the amount of coverage you need.

If you would like to review your current coverage or get quotes for additional coverage, please contact WDIA at 1-800-282-9342 or info@wdiains.com.

wdia news it’s time for your annual insurance checkup

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2 8 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

Dr. William J. Brummitt

He was preceded in death by his parents; his wife, Barbara; his daughter, Colleen Riggs; his sister, Ann Brown; and his mother-in-law, Estelle Behlke.

He is survived by his daughters and sonsinlaw, Mary and Dave Enders of Mount Vernon; Julie and Don Erickson of El Dorado Hills, CA; Nancy and Tom Thramer of Bellevue; and Sarah and Jeff Steiner of Burlington; his son and daughter-in-law, Joe, Jr. and Cheryl Brummitt of Bellevue; his daughter Jill Brummitt of Greenwich, NY; his grandchildren, Eric Enders; Matt Erickson (Hillary); Katie Kirschling (Ryan); Emily Thramer; Robb Riggs; Marissa Stender (Mike); Samantha Brummitt; and Mary Grace Brummitt; and his great-grandchildren, Lincoln and Kerrington Erickson; and Gavin and Kellen Kirschling.

Mark Taylor, DDS

PNDC 2018

continued

th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org · 29

guest editorial

Dr. Mark Taylor passed away unexpectedly in Seattle on September 17, 2017 at the age of 61. He was born in Preston, Idaho in 1956 and was raised in Auburn. Taylor attended the University of Washington School of Dentistry and had a dental practice in Seattle’s Madison Park neighborhood. He enjoyed travel and loved animals, especially dogs and cats.

He is survived by his wife Vicky; mother Anna Viola and step-father Ray Viola of Federal Way; brother Tony Viola of Seattle and sister Valerie O’Hara of San Diego, California; sister Julie Poppleton of Logan, Utah and sister Teri Gneiting of Preston, Idaho; and sister-in-law Pennie Burton of Hellingly, England. His father Ronald Taylor preceded him in death.

At his request, no service will be held.

A celebration of life will be held at a later date. Memorial donations may be made to Doctors Without Borders or Best Friends Animal Society.

that can be utilized by dentists. A midlevel would also be less productive and unable to offer a full complement of services our patients need. Put simply, dental midlevel providers are a “solution” to a problem that we do not have.

A continued debate about adding dental midlevel providers distracts us from a much more important conversation. Even though we have achieved tremendous access in Yakima County and have worked hard to reduce the amount of untreated decay to only 8 percent, the actual number of newly decayed teeth is on the rise. The caries experience for 3-5-year-olds has gone from 45 percent in 2005 to 49 percent in 2015. The sad fact is that Yakima children’s teeth are decaying faster than the dentists can restore them. Medicaid spends millions of dollars in Yakima County alone to address children’s dental needs. In the past five years, an average of $8.8 million has been spent annually just to treat the dental needs of the 0-5-year-old Yakima County Medicaid-eligible children.

As I come to the close of my career, I realize that the focus of the oral health care delivery system for our most vulnerable must expand beyond treatment of decay. Dental caries is probably the only chronic disease where case management has not been used in a meaningful way.

I’m a big fan of dentists utilizing dental assistants and/or hygienists trained as Community Dental Health Coordinators to do the case management. I’ve seen the CDHC curriculum and have talked to this new member of the dental team. I realize the value of that training, especially with regard to motivational interviewing and other case management skills.

I also believe that we should examine how we can better integrate dental and medical care delivery. Our Yakima Valley Farmworkers Clinics are experimenting with providing some limited prevention procedures during medical visits in Oregon.

The problems facing our dental safety net will not be solved by providers with lower levels of training performing surgical procedures. Instead, we need to build upon the demonstrated success of the dental Medicaid program for children by expanding access to enhanced funding for all Medicaid populations and make meaningful investments into dental case management and preventive care. I look forward to participating in these important conversations that I know are the best way to improve our state’s oral health.

drs. brummitt, taylor

Dr. William J. Brummitt passed away August 8, 2017 at Skagit Valley Hospital.

He was born May 31, 1928, and was the son of L. D. and Thelma (Patton) Brummitt. He greatly enjoyed childhood summers spent with his sister and cousins at his grandparents’ farm in Hickory Creek.

He hunted, fished, and watched his grandfather and uncle piloting their Rock Island Railroad locomotives through the Missouri countryside waving and tooting the train whistles for the grandchildren.

When he was nine his family moved west. They spent time in Washington, Oregon, and California. He graduated from Palm Springs High School. He attended the University of California, Santa Barbara where he was a member of the golf team.

Following college, Brummitt became a Navy pilot. He flew the Lockheed P2V Neptune Anti-Submarine Warfare / Maritime Patrol Aircraft in various patrol squadrons at NAS Coronado Island, NAS Whidbey and NAS Barbers Point, Hawaii. While stationed at NAS Whidbey, he met Barbara Behlke of Oak Harbor. They were married at NAS Barbers Point, Hawaii in 1951.

After his service in the Navy, Joe attended the University of Washington School of Dentistry, graduating with the class of 1958. He and Barbara moved their family to Mount Vernon in 1958, and he practiced dentistry in Burlington for 34 years. During his retirement years, Brummitt was able to indulge his lifelong love of golf. He was a member of Skagit Golf and Country Club for almost 50 years. He was proud of often shooting his age or better in his 80’s, and of shooting several holes-in-one during his years as a snowbird at Sunrise Country Club in Rancho Mirage. Great memories were made during a golf trip to Scotland with his son Joe.

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All Lewis County Dental Society Meetings are held at the Sweet Inspirations Restaurant from 6:00 - 7:30 p.m.

Monday, February 5, 2018 WSDA update

Dr. Cindy Pauley, WSDA President

Monday, March 5, 2018 TMD – Surgical management Dr. Mike Werner

Mount Baker Dental Society Friday, February 2, 2018 Simplifying and selling the case and moving past insurance entitlement Dr Mark Murphy, Pankey Institute Midwinter Meeting Four Points by Sheraton, Bellingham

Mar 13, 2018 Interdisciplinary dentistry: The key to success!

Tuesday, February 27, 2018 Top 15 mistakes employers make that lead to litigation Speaker: Bob Howie, attorney 6:00 – 9:00 pm The Bellevue Sheraton Hotel Credits: 2

Friday, March 9, 2018 Methods, materials and madness · Stuff that matters Speaker: Dr. Michael C. Fling 8:30 am – 4:30 pm Lynnwood Convention Centerter Credits: 7

Tuesday, April 24, 2018 Annual officer installation and member recognition event 6:00 – 9:00 pm Salty’s on Alki Credits: 2

Friday, May 18, 2018 Green dentistry: marijuana, opioids and the effects on oral health

Dr Alan Yassin Bellingham Golf and Country Club

Speakers: Dr. Barry Taylor and Dr. Caroline DeVincenzi 8:30 am – 4:30 pm Marriott – Seattle Airport Credits: 7

Pierce County Dental Society

Snohomish County Dental Society

Upcoming Meetings

Register Online At: www.pcdentists.org

Tuesday, February 27, 2018 Customer service excellence

Robert Spector, author of “The Nordstrom Way” General Membership Meeting 5:30 p.m., $41.00, includes dinner Tacoma Country & Golf Club To register: www.pcdentists.org Credits: 2

Tuesday, March 20, 2018 Head and neck cancer

Dr. Dean Mastras General Membership Meeting 5:30 p.m., $41.00, includes dinner Tacoma Country & Golf Club To register: www.pcdentists.org Credits: 2

Seattle-King County Dental Society Tuesday, January 30, 2018 Transition planning for mid-life dentists Speaker: Verlin Frickel, AFTCO consultant 6:00 – 9:00 pm The DoubleTree Southcenter Hotel Credits: 2

Visit our website for more details and contact the SCDS office to register.

All SCDS General Membership meetings are held at the Mill Creek Country Club starting at 6:00 p.m with a social hour, followed by dinner at 6:45 p.m. and a one hour CE program at 7:30 p.m. Guests are welcome to attend.

Wednesday, February 21 Periodontal surgical procedures to facilitate orthodontic outcomes Pamela Nicoara, DDS, MSD SCDS General Meeting Credits: 1

Spokane District Dental Society Friday and Saturday, February 9 and 10 Ski/CE event Schweitzer Ski Resort

Thursday-Saturday, April 19-21, 2018 Inland Northwest Dental Conference Northern Quest Resort www.indc-spokane.com

CE AROUND THE STATE

th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org · 31

ce news component continuing education

Lewis County Dental Society

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3 2 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org © 2015 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors. 15PT3680

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ISDA Annual Session 2018 Diagnosing the Future Join us June 13-15, 2018 at the new Boise Centre East.

This is a great opportunity for the whole team for CE & networking!

Featured Speakers: Dr. Joseph Crowley, ADA President, & Dr. Tierona Low Dog, internationally recognized expert in the field of integrative medicine. http://www.theisda.org/events/annual-session

th e wsda ne w s 路 issue 3, januar y 路 2018 路 www.wsda.org 路 33

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ASSOCIATE WANTED — Established Bothell general practice seeking associate for Mondays-Thursdays for three weeks out of every month. Potential for purchasing in the future, after a 6 - 12 month trial period to establish compatibility and alignment of goals. Bothell is a wonderful community with good middle-class families, bike trails, restaurants, and some of the best schools in the state. Please send your resume to: dr.mep012@hotmail. com along with a cover letter introducing yourself, and we look forward to meeting you!

ASSOCIATE — We have a great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $150,000 plus bonuses. Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Position available in Yakima/Sunnyside, Washington. Come try out the East side of the state where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities! Please send inquiries to jbabka@applesmiles.com.

DENTIST - General FT Assoc. Eagle River, AK. Fantastic career opportunity! Permanent position 4 to 5 days per week immediately available for an Alaska licensed general dentist. Legacy Dental Arts is looking for a compassionate, general dentist who will deliver excellent care to mainly our adult patients. Our office is staffed by a group of dedicated team members committed to proving a wide range of preventive, restorative services, cosmetic and implant services with Sedation options available, all in a relaxing atmosphere providing the best experience for each and every patient. Located 15 miles from Anchorage, our beautiful practice is designed specifically with adults in mind, is surrounded by scenic mountain views and breathtaking Eagle River. Competitive compensation and benefits. Contact Leanne 907-351-3459 for more details.

RESIDENCY DIRECTOR — Oregon Health & Science University is seeking a full-time 1.0 FTE General Practice Residency Director. Responsibilities include directing the daily administration of the General Practice Residency (GPR) Program, developing, evaluating, and implementing program curriculum, supporting and maintaining the standards and accreditation of CODA standards, recruitment and oversight of resident selection process, recruiting and involving community based faculty into program, and supervising residents in clinical activity. *Please apply online at www. ohsujobs.com, then search using IRC58347. The School of Dentistry shares the mission of the Oregon Health & Science University to provide educational programs, basic and clinical research, and high quality care and community programs. We strive to foster an environment of mutual respect where the free exchange of ideas can flourish. The dental school prepares graduates in general dentistry and the dental specialties to deliver compassionate and ethical oro-facial health care. Required Qualifications: • Dental degree (DDS/DMD) from a CODA accredited school • Completion of GPR program from CODA accredited school • Current BLS certification from the American Heart Association • Oregon Dental License (or eligibility to obtain prior to employment) • Eligible for hospital privileges at OHSU • Oregon Moderate IV Sedation Permit, parenteral and enteral (or eligibility to obtain upon offer) • Able to perform the essential functions of the position with or without accommodation Preferred Qualifications: • Experience in teaching, research, service, patient care, and academic management • Demonstrated achievement in research including publications in peer reviewed journals • Course director or codirectorship, and • Demonstrated service activities such as committee participation at the school and university level.

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

SEEKING ASSOCIATE DENTIST — Part-time or Fulltime, Port Angeles, WA. Are you searching for an opportunity in dentistry that rises above the ho-hum of traditional private practice as well as the binding constraints of the corporation? Do you yearn for a setting that tirelessly cultivates clinical compassion and excellence alongside extraordinary teamwork and practice health? If so, we invite you to contribute your talent and passion to a leading dental organization that embodies Washington’s innovative spirit. Our aim is simple: We preserve the integrity of private practice while leveraging the power of the cooperative group. And here’s the real deal: You’ll work shoulderto-shoulder with some of the most talented and committed dental professionals and industry leaders. The tools, technology, and clinical support are unparalleled, and practice partnership is the end-game. The field of dentistry is progressively changing, and we’re at the forefront of the positive transformation. We hope you’ll consider joining us -- or at least exploring the opportunity — as we continue to strengthen an extraordinary culture that shines through our service to each and every patient. Please email resume to adam@atlasdentistry.com.

DENTIST NEEDED, SOUTH KING COUNTY — Outstanding career opportunity for patient focused dentist in South King County. Looking for an associate leading to ownership. Must be experienced in many facets of dentistry with a strong desire to learn. Most dental procedures done in house. Our office is FFS and PPO. Solid staff and hygienists with digital X-rays and new CBCT. Please send resume to dentalassociate36@ gmail.com.

DENTIST NEEDED Puyallup-seeking FT General Dentist to join established family, cosmetic and implant dental practice. Dentist should be skilled and personable and willing to be an integral part of the practice and community. It would be ideal to find a dentist who wants a long term opportunity and a practice to call home. Partnership buy-in is desired and will be part of the discussion. Please e-mail resume and inquiries to: docvan99@aol.com.

ASSOCIATE — We have a great associate opportunity for a new graduate or a long term home for a seasoned dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $150,000 plus bonuses. Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry.

Mix of State and private insurance. Come try out the East side of the state where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities! Position is for the Tri-Cities area.

Please send inquiries to jbabka@applesmiles.com.

GENERAL DENTIST — Spokane’s Dental Providers is looking for a driven, dedicated, and skilled general dentist to join our Maple Street Family Dentistry location in beautiful Eastern Washington. We have multiple privately held practices in the Spokane WA area that specialize in patient focused dentistry. Full schedule immediately in a family friendly environment. There are no management headaches with this well managed private practice. This practice has all the systems and pieces put together for an associate to have tremendous success. All aspects of dentistry here from same day crowns Cerac, restorative, cosmetics, endo, and implants and more. Future partnership and buy out opportunity here if we find the right fit for owner and associate. Generous Compensation Package depending on experience. Send Resume or Contact us! roxie@libertylakefamilydentistry.com. Visit our locations: www.libertylakefamilydentistry.com, www.latahcreekfamilydentisty.com, www.northpointefamilydentistry.com, www.maplestreetfamilydentistry.com.

DENTIST — Pedodontist, FT Associate, Eagle River, Alaska. Permanent position, 4-5 day work week, immediately available for an Alaska Licensed pediatric dentist.

Discovery Dental Kids is looking for a compassionate, pediatric dentist who will deliver excellent care to children of all ages from infants to teens. We provide a range of preventive and restorative services, oral sedation and GA with an onsite anesthesiologist. All in a beautifully custom designed practice located 15 miles from Anchorage and surrounded by mountain views and Eagle River.

Competitive compensation. Contact Leanne 907-3513459 for more details.

ASSOCIATE DENTIST — Earn Up to $220,000/yr.+!

Great respect, benefits and bonuses! Fast growing, privately owned dental office seeking additional talented and enthusiastic associate dentist to join us full time: enjoyable, respectful and professional environment. Great income potential and opportunity for advancement! Excellent benefits. educational support and training! Morning, evening and weekend Hours. Earn as high as $220,000/yr…. plus bonuses! $588 restorative production/exam average, you see 125 hyg. patients/mo., you get 30% of production.

No patient cherry picking by senior dentists. Send Resume and Cover Letter to Jason@hildefamilydentistry.com.

th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org · 35

DENTIST NEEDED — Family Health Center, Longview WA is looking for a DDS or DMD with at least 1 yr experience. NonProfit Community Health Center. WA State DEA license. Apply to jobs@cfamhc.org.

GENERAL DENTIST — This is a fantastic opportunity in beautiful Eastern Washington for a general dentist. We are seeking a part-time 1-2 days a week, flexible schedule associate to be apart of our growing family dental practice in north Spokane Washington. Dr. Robb Heinrich and the team are seeking an associate that is experienced in all aspects of general dentistry, enjoys implant and minor oral surgery types of procedures as well, feels comfortable working independently. Eastern Washington is ideal for enjoying outdoor activities from snow skiing, water skiing, hiking, and fishing. Please email your CV to Julie@ trgcoaching.com.

DENTIST NEEDED — Seeking skilled dental associate with 2+ years experience. 3-4 days/week for a general practice. Offices in Lynnwood/North Seattle. Must be able to work on Saturdays. Please send resumes to dentaladsml@gmail.com.

GENERAL DENTIST ASSOCIATE POSITION — Option to buy. Existing DDS is looking to be retired within the next year or sooner. This private practice (30+ year patient base) is open Mon-Thurs (Mon-Wed 8-5, and Thurs 9-3). Prefers someone with at least five years of experience. Part time to start, (3 days) building into full time.

Substantial patient base! Salary DOQ. Email: lori.leonarddds@outlook.com.

SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable. Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com.

DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position. If interested please call Bob at (206) 767-4851.

GENERAL DENTIST NEEDED — We are interviewing for a general dentist position in our growing practice. The dentist should have at least five years of experience and should feel comfortable doing molar root canals and surgical extractions. We have clinics in South Seattle and Kent. We need a dentist that can work 2 to 4 days in a week. Please send us your Resume to jobs@buriendentalcare.com or call 425-647-4318.

ORTHODONTIST NEEDED — We are looking for an orthodontist for 1 to 2 days a week in our Kent clinic. The orthodontist needs to bring his/her team and supplies. We get 10 new ortho patients per week. We provide excellent compensation based on collection. Please send us your resume to jobs@buriendentalcare.com or call 425-647-4318.

classifieds issue 3, januar y, 2018

OPPORTUNITIES AVAILABLE

clinical corner issue 3, januar y, 2018

CLINICAL CORNER Large unilocular radiolucency with scalloped border, left anterior mandible Contributed by:

Dr. Philip Chen, Bellingham Oral and Maxillofacial Surgery, WA

History of present illness

This is a 44-year-old Caucasian male who was referred to an oral surgeon by his general dentist due to an incidental finding of a large radiolucency on a routine periapical (PA) dental radiograph. The patient denied any symptoms; therefore, the duration of this lesion is unknown. The oral surgeon took a panoramic radiograph (Figure 1). It showed a large radiolucency with a scalloped border between teeth #s 20 and 24. This patient’s past medical history is unremarkable.

Test your knowledge!

Visit https://dental.washington.edu/oralpathology/case-of-the-month/ and see if your assessment of the case is correct.

Figure 1

Have you been injured or are you sick/ill?

We can help. The WSDA is ready to aid dentists and their spouses.

Cancer, depression, substance addiction, it doesn’t matter.

Call the Disability Hotline (206) 973-5226 or email info@wsda.org for assistance.

3 6 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

OPPORTUNITIES WANTED

OFFICES FOR SALE OR LEASE

OPPORTUNITY AVAILABLE PEDIATRIC DENTIST – RENTON Our pediatric dental practice is seeking a friendly associate dentist with excellent clinical skills and the ability to communicate at a high level with both patients and staff. This is an opportunity beginning in June of 2018 to fill in for a pediatric associate who is going on maternity leave for up to eight weeks. This is also a practice purchase opportunity if the candidate is interested and qualified. Our growing office is located in Renton adjacent to Valley Medical Center. We are a professional practice focused on maintaining first class standards with an emphasis on patient care and comprehensive treatment. Presently, we have two pediatric specialists and one orthodontic specialist on staff. We have been established for over thirty five years. If interested, email a personal statement and your curriculum vitae to Chantel at Chantel@OBrienChildrensDentistry.com

OPPORTUNITY WANTED — 2018 Graduate of Eastman Institute for Oral Health / University of Rochester seeks pediatric dentistry position in Washington or Oregon. View my CV here: https://drive.google. com /file /d /0B8SwPI V IQ5TfOUt xW FJ Y NmM3SUE / view?usp=sharing.

SILVERDALE - Stand alone dental office building for sale.

The building is about 1800 square feet and has five operatories with custom cabinetry, two accessable restrooms, business office with three work stations, staff room, private office, lab, storage, etc. Operatories have a view of a salmon creek, and a deck overlooks the woods and creek. Offered for sale for $489,000. For more information e mail Dr. Morton at andhilldent@hotmail.com or contact by phone at 360-621-4399.

MULTI-SPECIALTY GROUP PRACTICE OPPORTUNITIES — With more than 400,000 patients throughout our 50+ practice locations in Oregon, Washington, and Idaho, and a built-in specialty referral network to more than 30 specialists, Willamette Dental Group has been a leader in preventive and proactive dental care since 1970. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. We currently have openings in Oregon and Washington for general dentists, endodontists, oral surgeons, pediatric dentists, and locum tenens dentists.

As a member of the Willamette Dental Group team, we offer a competitive salary commensurate with experience. We are a performance based culture and offer a generous and comprehensive benefit package. Among the many amenities we offer are competitive guaranteed compensation, benefits, paid vacation, malpractice insurance, in-house CEs, and an in-house loan forgiveness program. Please contact Courtney Olson at colson@willamettedental.com and visit www.willamettedental.com/careers to learn more!

GENERAL DENTIST NEEDED — For busy Community Health Center in Yakima County. Dentist will see all ages, children and adults. Support staff include bilingual dental assistants, Registered Hygienists, and connection to a strong integrated team of medical and behavioral health, nutrition, optical, and essential needs providers. Clinic has integrated Electronic Health Records, and state of the art equipment. Looking for compassionate individual interested in serving low income individuals, including agricultural works and homeless. Dentist works four 10hour days, competitive compensation package. YNHS is an eligible site for National Health Service Corps scholars, loan repayment, and Washington Health Loan Repayment. Contact rhonda.hauff@ynhs.org.

DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Fulltime position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, longterm position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.

GENERAL DENTIST NEEDED At established Mukilteo general practice, Wednesday and Thursday.Minimum 3 years experience please contact us at soundfamilydentistry@frontier.com.

OPPORTUNITIES WANTED OPPORTUNITY WANTED — 2015 Graduate of Rutgers University, School of Dental Medicine, seeks periodontics and dental implant surgery position in greater Seattle area. View my CV here: http://drive.google.com/file/ d/0BzGC80fBfjslaHY5djN6aDFnRms/view?usp=sharing.

OPPORTUNITY WANTED — 2017 University of Washington SoD graduate looking for a general dentist position in the Tri Cities area. View my CV here: http://docs. google.com/document/d/1oABbEGKJsaW-X9jzY7bFDbbfHGwfnswRDPX0juWzhE0/edit.

OPPORTUNITY WANTED — 2018 graduate of Arizona School of Dentistry and Health seeks general dentistry position in western Washington. View my CV here: https://drive.google.com/file/d/1Yd6Q5PIt034w2_HzJoQoE7juix81l72V/view?usp=sharing.

OPPORTUNITY WANTED — 2107 Graduate of Midwestern University College of Dental Medicine - Illinois, seeks general dentistry position in northwest Washington. View my CV here: http://drive.google.com/file/d/0BNJym6Wa0I1N3lxU1lwT2pUNmM/view?usp=sharing.

OPPORTUNITY WANTED — 2015 Graduate of Marquette University seeks a general dentistry position in the greater Kitsap County area. View my CV here: https:// drive.google.com/file/d/1WbAAgD-ENPhOKKmF08USlqtr1afko7z0/view?usp=sharing OPPORTUNITY WANTED — 2018 Graduate of Midwestern University/Arizona seeks general dentistry position in Western Washington. View my CV here: alexandraquiroz.com.

ENDODONTIST SEEKS WORK — Experienced endodontist seeking part-time work. Commuting from Kirkland. Licensed in WA. Review my resume: https://www. dropbox.com/s/pnuhyi43volgxne/Resume.pdf?dl=0.

OPPORTUNITY WANTED — 2017 Graduate of Roseman University of Health Sciences seeks general dentistry position in the Tumwater, Olympia, Lacey, Yelm, Elma areas. View my CV here: https://www.dropbox.com/s/rbs19i1oll5jf9h/Copy%20of%20LanceCV.pdf?dl=0.

OPPORTUNITY WANTED, WESTERN WA — 2017 Graduate of NYU College of Dentistry seeks general dentistry position in Western Washington. View my CV here: https://www.dropbox.com/s/oh4gtxom7gtdi3p/k.zhezherya%20resume%20PDF%201%20mb.pdf?dl=0

OFFICES FOR SALE OR LEASE DENTAL PRACTICE FOR SALE — Great location in Lynnwood. Three operatory, fully equipped dental office. Dentist is retiring. Contact Dirk at dirk1@msn.com for details.

PANTHER LAKE AREA-KENT: Rare opportunity of a 1250 sq. ft. dental space available in a well-established dental building located on a high traffic main road. Ample parking with an attractive lease structure and re-modeling allowance. For further information, please call Dr. Trevor Bryant (360) 468-4252 or email: tbryant@rockisland.com.

MUKILTEO, WA — Custom boutique dental and medical Spa with panoramic views of Puget Sound. Built in 2012, 3 ops, nitrous plumbed, fully digital, with strong patient base for both dentistry and injectables. Practice being sold due to relocation of DDS due to unexpected death in family. An amazing opportunity for the right person. Contact: Donald Kearney (425) 308-1918.

FOR SALE — Periodontal practice for sale in Washington state. Realize your dream and tax advantages of practice ownership. South Puget Sound well established periodontal practice. Established in 1975 with large hygiene following. New office location designed by owner in 2013 with new Adec equipment, multiple implant systems, Piezo surgery units, Waterlase Express hard tissue and Picasso diode lasers. Experienced delightful staff. Owner willing to stay on to assist with transition. Respond to helmstetter.barbara@gmail.com or 503-799-4743.

CLE ELUM — Well established, general practice for sale, located in a fast growing area. 4 complete operatories, 1850 square feet. Option to lease or purchase building. Located 1.5 hours east of Seattle, 10 minutes from Suncadia. Contact Dr. Lorin Peterson at klcehome@msn.com or 509-674-1389.

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FOR LEASE — High exposure commercial spaces in Sequim Professional medical/dental office spaces within 5th Avenue Medical Specialists complex. Excellent front plaza corner lot exposure in busy area of medical and dental offices in Sequim. Bring your business ideas to this great location. Water, sewer, garbage & grounds maintenance included. Tenant pays all other utilities.1229 SF @ $1600 per month-gross lease. Contact: Dollie Sparks. (360)582-7361 cell. (360)683-6880 office dolliesparks@gmail.com.

FOR LEASE — A dental office is available (12/1/2017) for lease. Currently, it is a dental office with three chairs set up.

Total square feet is 1100 square feet. Total rent is $3300.

Flexible term. Possible signage along busy 148th Avenue in Bellevue. Call (206) 498-3668 for showing.

SPACE TO SHARE — Looking for someone to share dental office in Auburn close to Lakeland Hills. Fully plumbed two ops for sublease, one of them is a private room. X-ray (Heliodent/Shick33 sensors) can be shared with current dentist. Satellite office or start-up with minimal cost. Located along with Chiropractor & Starbucks contact: gilsun@ hotmail.com.

NORTH WHATCOM COUNTY PRICE REDUCED! — North Whatcom County general dental practice for sale.

Annual collections of $400,000. Located on busy street.

Newer equipment, pano, etc., Beautiful city near the Canadian border. Contact Rod Johnston at 877-866-6053 ext 1 or rod@omni-pg.com. (WD120) GRAYS HARBOR FEE FOR SERVICE GENERAL DENTAL PRACTICE FOR SALE — Annual collections over $200,000, four operatories, lots of parking on busy street.

Good opportunity to own your own practice inexpensively and then grow from there. C ​ ontact Rod Johnston of Omni Practice Group at rod@omni-pg.com. (WD131) DOWNTOWN SEATTLE GENERAL DENTAL PRACTICE – Pending — Annual collections of $1 million in newly remodeled four operatory practice. Join Amazon, Microsoft and other large corporations in growing North Downtown Seattle area. Contact frank@omni-pg.com. (WD167) DOWNTOWN SEATTLE PRACTICE FOR SALE — Practice located just east of the freeway. Great location with built in referral sources. Annual collections of $620,000 in 2016.

Four operatories. Nearly all specialty procedures referred out. Great opportunity to own a downtown Seattle practice.

Email frank@omni-pg.com for details. (WD168) SOUTH SOUND ORTHO PRACTICE FOR SALE — Annual collections of over $600,000 in six chair office in a stand-alone building. Some DSHS patients. Good visibility.

Contact rod@omni-pg.com. (WD169) FEDERAL WAY GENERAL DENTAL PRACTICE FOR SALE — Annual collections over $1 million. Very nice design and well kept modern office. 4 operatories with room to grow.

Contact frank@omni-pg.com. (WD170) DES MOINES GENERAL DENTAL PRACTICE FOR SALE — Nice location in newer office. Annual collections over $600,000. Good new patient flow. Four operatories with room to grow. Contact frank@omni-pg.com. (WD171) SKAGIT COUNTY GENERAL DENTAL PRACTICE FOR SALE — Annual Collections over $250,000. Four operatories.

Be the only dentist in town. If you’re desiring an easy-paced practice and a relaxing, outdoor lifestyle, this may be the practice for you. Contact Frank at frank@omni-pg.com. (WD172) WESTERN SKAGIT COUNTY GENERAL DENTAL PRACTICE — Located near the water in Western Skagit County.

Annual collections of approximately $400,000 per year.

Four operatories. Downtown practice location. Contact Frank at frank@omni-pg.com. (WD173)

classifieds issue 3, januar y, 2018

OPPORTUNITIES AVAILABLE

DG Transitions LLC

DG Advisors

5808 Lake Washington Blvd NE Suite 101

Dental Wealth Advisors LLC

LLC

Kirkland, WA 98033

We’re your Transitions Specialist,CPA,& Wealth Advisor 3/6 ops > Collecting $415K

RENTON

4 Ops > Collecting $693K

OLYMPIA

8 ops > Collecting $2.2M

SOUTH SNOHOMISH COUNTY

3 Ops > Collecting $674K

425-216-1612

Transitions Done Right

SM

We bring all of our tools and expertise to bear to achieve your desired transition and through tax and other planning, leaving more of your hard earned value in your pocket.

The Dentist’s Advisor

SM

For dentists and specialists who believe that planning, implementation and monitoring are crucial to long-term financial success and quality of life.

The Dentist’s Wealth Advisor

SM

Comprehensive Financial Planning* Wealth Management Investment Management Retirement Plan—CFO Services

General Dental Practice Opportunities KENT

|

*Personal financial planning, Investment & Wealth Management Services provided by Dental Wealth Advisors, LLC a Registered Investment Advisory

Specialty Dental Practice Opportunities SOUTHEAST LAKE WASHINGTON

Ortho/Pedo > Collecting $1.9M

Pending Transitions WHIDBEY ISLAND

General Practice > Collecting $1.2M

EASTSIDE - NORTH [CLOSED]

General Practice > Collecting $582K

GREATER OLYMPIA AREA

General Practice > Collecting --

Coming Soon Many more...watch for details coming soon!

sam@cpa4dds.com

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mmb@cpa4dds.com

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nate@wealth4dds.com

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karrie@cpa4dds.com

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Jennifer@cpa4dds.com

3 8 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

Call 425-216-1612 or jennifer@cpa4dds.com us today to see how we can help you!

DG Transitions LLC

The Dental Group

Comprehensive | Professional | Tax Efficient LLC A DENTAL GROUP COMPANY

OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

GENERAL DENTAL PRACTICE NEAR UNIVERSITY OF WASHINGTON — Three operatories with annual collections of $350,000 on 3.5 days per week. Area is being regentrified with new restaurants and buildings. Contact frank@omni-pg.com. (WD174)

MAPLE VALLEY DENTAL OFFICE FOR LEASE — Startup or move your existing practice. Fully built out with five operatories, Plenty of parking in plaza. Approximately 1,524 sq. ft. with favorable lease terms. Email Steve Kikikis - steve@omni-pg.com.

LYNNWOOD BOUTIQUE PRACTICE FOR SALE — In medical condo which is also for sale. Three operatories.

Great merger opportunity, or small solo practice. Contact frank@omni-pg.com. (WD175)

BELLEVUE MEDICAL/DENTAL OFFICE SPACE FOR LEASE — Bellevue Medical/Dental office space for lease – 2,890 sq ft. of space. Prime location on the future light rail corridor. Contact steve@omni-pg.com.

PRACTICE FOR SALE — Own a high potential office. Collection at 670K+ at three doctor days with two hygiene days. Growing population/jobs. Work FT to bring office to $1 million. Four fully functional operatories, w/a 5th operatory plumbed. Digital-Xray, implants, panorex, electric handpieces. contact thuandp@hotmail.com for info.

NEW LISTING! BURIEN GENERAL DENTAL PRACTICE FOR SALE — Five ops with room for five more. Collections over 1m. Office condo also for sale. Email frank@omni-pg. com for more details. (WD186)

LYNNWOOD DENTAL OFFICE AVAILABLE — Plumbed dental office in Lynnwood. The space is roughly 1,400 sq. ft., it is plumbed for four ops including Nitrous and O2, and has reception, waiting area, doctor’s office, bathroom, plus there is plenty of parking. The building visibility from 44th Ave W. Next to Lynnwood Library and Fred Meyer.

Lynnwood Dental Office: 4410 194th St SW, Lynnwood, WA 98036. $24.00 per sq. ft. + $3.62nnn. Contact Steve Kikikis by email steve@omni-pg.com.

WHATCOM COUNTY GENERAL DENTAL PRACTICE AND BUILDING FOR SALE — Annual collections of approximately $250,000. Located on a busy street with traffic count of 25,000 cars per day. Nice building also for sale with another space for rental income. Area of growth with views of Mt. Baker. Email rod@omni-pg.com for more info. (WD177) NORTH KING COUNTY GENERAL DENTAL PRACTICE FOR SALE — Annual collections of $180,000, three operatories on busy corner lot. 1,000 sq. ft. Building is for sale at $650,000. For details, email rod@omni-pg.com. (WD178) NORTH SNOHOMISH COUNTY PRACTICE FOR SALE — Annual collections over $650,000. Great visibility with awesome signage. Located 40 miles north of Seattle. Email frank@omni-pg.comfor more details. (WD179) EAST OF LAKE WASHINGTON PRACTICE FOR SALE — Just off of I-90. Annual collections over $400,000. Great location. Two ops with possible room to grow. Email frank@ omni-pg.com for more details. (WD180) OLYMPIA GENERAL DENTAL PRACTICE FOR SALE — Annual collections over $1.1 million with good cash flow to doctor. Building also for sale. Strong hygiene program.

Contact frank@omni-pg.com. (WD176) ENDO PRACTICE FOR SALE IN SOUTHERN OREGON — Annual collections of. $600,000 on 100 days of work. Incredible potential for growth. Doctor will introduce you to all referrals. Asking $300,000. Email megan@omni-pg.com. (OD105) AVAILABLE IN MAPLE VALLEY — Frontier Square is outstanding investment/development opportunity located in Maple Valley. This mixed-use retail is ideally located on 272nd St. minutes from Tahoma High School, the new Ten Trails 6,050 home development in Black Diamond. (https://youtu.be/4QWcR4cD0-Q) and among many other residential developments. The property consists of a mix of office and retail uses – tenants include day spa, therapists, salon and daycare. There are currently two available spaces - 1,200 SF retail/office space and a 1,524 SF dental/medical office. This is an incredible opportunity to own a very well located, investment property in one of the fastest growing & most desirable areas in the state. Contact Steve Kikikis by email - steve@omni-pg.com.

KENT — High Visibility space next to Yardley Chiropractic - Signage available along Pacific Highway. 1,300 sq. ft. includes three exam rooms (or office rooms), x-ray room, darkroom, lab area, executive office, kitchenette, great signage and plenty of parking. Asking $2,275.00 a month modified gross. Woodmont Place Shopping Center: 2623426238 Pacific Hwy South, Kent, WA 98032. Contact Steve Kikikis by email - steve@omni-pg.com.

BOTHELL — 2,000 SF of premier retail space available at North Creek Plaza. Located near UW Bothell, Cascade Community College, and the Bothell Technology Corridor.

Other tenants include Subway, Teriyaki, and more. Site parking does not allow for more restaurant uses. Contact Steve Kikikis by email - steve@omni-pg.com.

LYNNWOOD MEDICAL/DENTAL OFFICE SPACE FOR LEASE — Lynnwood Medical/Dental Office Space for Lease – 1,400 sq ft. with four ops. Located within the City Center.

Contact steve@omni-pg.com.

MARYSVILLE DENTAL BUILDING FOR SALE — 6,065 sq. ft. three tenant medical dental building + additional 12,870 sq. ft. for sale. One dental office available to occupy – great user/owner potential. Contact steve@omni-pg.com.

GRANDRIDGE DENTAL/MEDICAL OFFICE FOR LEASE — Excellent opportunity to do a start-up or move your existing practice. Fully built out with four equipped operatories, reception, waiting area, lab, sterile, doctors office, and staff lounge. Contact Steve Kikikis by email steve@ omni-pg.com.

MEDICAL DENTAL BUILDING FOR SALE IN NORTH SEATTLE — Currently built out as an orthodontic office - reception, waiting area, two consultation rooms in the front, patient restroom, wash stations, open dental chair space, lab, doctor offices, staff lounge, and restroom. 12 parking stalls for the sole use of property. Could work well for converting to a general office use. Contact Steve Kikikis at steve@omni-pg.com.

NORTHGATE DENTAL OFFICE FOR SALE/LEASE — Turn key dental office for sale near Northgate Mall. Very nice, fully built dental office with up to six operatories, reception, waiting area, restroom, lab, sterile, doctors office, staff lounge. Four operatories are fully operational with ADEC chairs, fully operational CT scanner. The office is located on the 2nd floor of a quality professional/medical office building. Excellent opportunity to do a start-up or move your existing practice. No patients, assets only, and space is for lease. Asking price $50,000.00. Contact Steve Kikikis at steve@omni-pg.com.

FOR LEASE — Last remaining space available in immaculate dental/medical building. Located in Olympia, WA near Providence St Peter Hospital. Great visibility and parking.

Approximately 2140 SF. Generous TI allowance for qualified tenant. Contact Quint Newell (360) 688-8333.

FOR LEASE — Medical/Dental suites. 1,004 SF - 2,413 SF. Campus setting with other medical professionals located at 2317 SW 320th Federal Way, WA 98023 Contact Brian Clapp at Kidder Mathews (206) 248-7316.

BELLINGHAM — Lease turnkey dental suite. Formerly successful pediatric and orthodontic Class-A office space.

Save $200,000+ construction costs. Ample parking. Interstate-5 access. High-traffic/visibility location. Customization available. Lincoln Professional Center: 360-739-1421 adengst@gmail.com.

FOR SALE — Lynnwood established general dental practice available for purchase. Five ops, collections in the mid $800’s consistently for past three yrs. Please call (206) 920-6217.

SE KING COUNTY PRACTICE FOR SALE — WOW! GP doctor retiring, loyal staff and patients. Five ops approx.

2,000 sq. ft. 45 minutes to skiing or Seattle. Growing family community. Collecting approx. $500K. mortsgreb2aol.com.

SPANAWAY/SOUTH TACOMA — Practice for sale. Asking $355K. Beautiful. Brand new office - 1 Yr Old. Collection at 130K+ a year, with two doctor days. Growing population/ jobs. High Visibility facing a busy Freeway. Work FT to bring office to 1 million. four fully functional operatories, with a fifth operatory plumbed. Digital-Xray, panorex, touch screen computers. contact thuandp@hotmail.com for info.

FOR SALE — Well-established (40 years) dental office for sale in stand alone building. Othello, Washington. Call (509) 989-1143 for details.

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FOR SALE — New practices for sale, located in Bellevue, Burien, Tukwila, Olympia, Tacoma. Also numerous preexisting dental spaces for lease. Call today. New office development consultants for over 35 years. Annie Miller at REMAX (206) 715-1444.

FOR SALE — S. King county general practice, three op (two equipped) with a room for a forth op on a busy intersection. Collection averaging 285K per year in the past four years and netting approx 130K on 3.5 days/week, 10 - 10.5 months/ year. Endo, OS & full dentures referred out. Priced at 249K. Using Dentrix. Dentist is retiring. Contact email; Dental.practicea@gmail.com.

GENERAL PRACTICE FOR SALE — South Snohomish County. General dental practice with fantastic visibility from prime roadway within close proximity to prime aerospace giant. Collecting $625K. Three fully-equipped operatories. Lab. Services provided: Oral Hygiene and Preventative; Pain Management; Restorative & Cosmetic; Implant Restoration; Root Canals; Partial & Full Denture. 1,000 sq/ ft (approximate). For more details and information please contact: Jennifer Paine at (425) 216-1612 or email Jennifer@ cpa4dds.com.

GENERAL/COSMETIC PRACTICE FOR SALE — Olympia.

Beautiful, state-of-the-art practice in the heart of the State’s capital! Buy-in/out option available. 8 fully-computerized operatories w/Adec chairs. Digital radiography & pano.

Lasers. Nitrous. Rotary endo /elements obturation. Dexis CariVu. Intra-oral cameras. iTero. Dentrix/Dexis. 3,900 sq/ ft approx. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com.

PEDIATRIC w/ORTHO PRACTICE FOR SALE — SE Lake Washington. Dual-specialty practice. Large modern facility collecting $1.9M w/ latest computerization, ortho imaging Pan/Ceph & software. Long-term lease available. Staff trained expanded duties, modern premedication techniques & general anesthesia. 8 chairs fully-plumbed for all utilities/N2O. Ample parking near major area hospital. Owner willing to work-back. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com

GENERAL PRACTICE FOR SALE — Kent. Excellent opportunity poised for growth! Collecting $415K. 3 fullyequipped operatories w/ 3 additional available. Digital radiography. Private office. X-ray. Storage. Lab. 2,370 sq/ft. approx. Currently referring out: Implant placement; Third molar removal & Molar endo. For more information contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com

GENERAL PRACTICE FOR SALE — Renton. Tremendous growth potential. Collecting $693K. 4 fully-equipped digital operatories. Referring out: some 3rd molar; endo, implants & gum grafts. Avg. 30 new patients in past 90 days.

X-ray. Pano. For more information contact: Jennifer Paine at (425) 216-1612 or emailJennifer@cpa4dds.com.

PERIODONTAL, IMPLANT, RESTORATIVE PRACTICE for Sale. Poulsbo, WA. Turn-Key. $683K Production.

Digital, Piezo, Nobel/Straumann Systems. Active Periodontal/Restorative Patients. Build Practice starting with Immediate Income Patients. Todd McVay at todd@knutzenmcvaygroup.com or (800) 953-7296.

SPACE FOR LEASE, WENATCHEE — Dentist moving to new location. 3,504 sq.ft + 300 sf basement. Presently 10 ops can be split-up call 509-421-4914 or email drharveyopenwide@gmail.com.

FOR SALE — Bellevue practice for sale, close to Microsoft.

Digital rad, panoramic, 1700 sq ft with 4 ops, 600k+ collections on 3 day week reply to Bel.Red.Dental@gmail.com.

EASTERN WASHINGTON CHELAN — Practice for sale.

Established 1978. New building and equipment 2006.

Four complete ops, 1500 sq.ft building, digital x-rays and pano. By owner/ dentist. Doctor wishes to retire. Will stay to transition new doctor. Reply: crgav523@aol.com.

classifieds issue 3, januar y, 2018

OFFICES FOR SALE OR LEASE

first person continued

continued from page 42

to that now than they did in 1840. I asked three local oral surgeons about the presence of dental chairs at hospitals in my home of Snohomish County (population 750,000-plus), and they knew of none, with one commenting that there may not even be an X-ray machine.

To drive the point home, Otto offers an in-depth account of the Maryland tragedy, wherein 12-year-old Deamonte Driver died as a result of a dental abscess. She describes the unfortunate circumstances around his death as a mix of clerical ineptitude and complicated layers of private insurance running a public program, along with Medicaid’s shockingly low reimbursement rates. The conclusion is one every dentist knows, but should be echoed to the public: Medicaid is a disaster, and it needs way more funding. Otto also hints (again) that hospitals staffed with dentists could have helped stop this from happening.

What happens with those who are far from hospitals? Midlevel providers will fix them, of course. Otto describes midlevel provider clinics as a way of providing

cheaper care in more locations. She compares the issue to medicine, noting the addition of nurses and physician assistants cheapened the delivery of medical care, so dentistry ought to do the same. She cites data that reveals similar outcomes of treatment between dentists and midlevels, but ignores the obvious follow-up question: How could all the extra education required of a dentist truly yield the same result? Or was dental school just a waste of time for all of us?

“Teeth” also has little to say about other ways of delivering care to rural areas, such as better incentive programs for student loan repayment and post-doctoral residency programs, which is a shame because they are a meaningful part of the answer. While the ADA and WSDA have made efforts to really start promoting residency programs, “Teeth” generally views organized dentistry in a negative light.

Instead of looking at advocacy efforts to promote oral health, Otto portrays organized dentistry as an uncooperative group of self-protectionists. Many ADA

members probably disagree with certain aspects of organized dentistry, but on the whole, most dentists will agree that organized dentistry on the local, state, and national levels has worked to protect the interests of dentists and patients.

Unfortunately, Otto tends to pounce on the troublesome actions of a few state associations without looking at the larger picture of how organized dentistry has been an advocate for oral health.

Overall, “Teeth” is worth reading.

Very little is published on the history of dentistry in the United States, so it’s nice to get a history lesson on our profession. Additionally, many current issues facing dentistry are well outlined, if sometimes one-sided. As dentists, we can’t forget that the rest of the world sees us differently than we see ourselves, and whether fair or unfair, “Teeth” is a strong reminder of that. So go find a copy and give it a read. You might not like all of it, but it will force you to think.

After more than 30 years of coaching Doctors, Blatchford Solutions is excited to announce a new, full-service brokerage business, Blatchford Transitions, Inc. Blatchford Transitions will offer services nationwide, helping dentists to buy and sell dental practices.

We are here to help Doctors prepare for and make rewarding transitions by expanding their thinking beyond what is presently being offered by other brokerage firms.

Dr. Bill Blatchford

We look forward to working with you when it is your time to buy, sell or merge a practice. Please visit our website blatchfordtransitions.com or call us toll-free at (844) 735-7600 to discuss your transition needs.

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OFFICES FOR SALE OR LEASE

FOR SALE, BELLEVUE — Ideal for a specialist or a general dentist start-up. Beautiful turn-key dental space for sale in Bellevue, top quality construction, DanNix design. Located on the growing Bel-Red corridor close to Microsoft, 520, new multi-family development, and the new REI corporate headquarters. Fully equipped with three operatories, all ADEC, Pano, plumbed nitrous, and separate storage space with compressor. The lease term is excellent and structured simply with base monthly rent.

There is no triple NNN pass through for expenses. Please contact financial@belmoddental.com for more details.

RARE OPPORTUNITY — Dental practice for sale on the island of Haida Gwaii, B.C. in the waterfront village of Queen Charlotte City. Five operatories, well trained staff, booked 1 month in advance, produced $600,000+. Vancouver is a 1.5 hour flight away, world class fishing on the island. 100% financing available as is immigration assistance. Contact Ms. Shauna Lenius at shauna@purtski. com or 778-866.1187.

G/P PRACTICE FOR SALE IN NORTH KING COUNTY — Annual collections almost $900,000. Five operatories, Dexis Digital X-rays w/ two sensors. Office located in the prime location in town. Practice has been in same location since 1975. Well trained and tenured staff will assist with the transition and stay on with the practice.

Seller is a Delta Premier Provider. Seller does no endo, oral surgery, or pedo. Low overhead and hi net practice with great cash flow. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366.

G/P PRACTICE FOR SALE IN GRAYS HARBOR COUNTY — Doctor has two practices that are 30 miles apart.

One practice is the only dental office for 30 miles. Annual collections of $580,000. If you are seeking a small community to raise your family and become an active member in the community then this is a great opportunity.

The main office has four fully equipped operatories. Well trained and experienced staff will assist and continue in the transition. Well-established practice that has been in the same location for 25 years. Outstanding and productive hygiene program in place. Excellent collection policy.

Contact: Buck Reasor, DMD-Practice Transition Broker, Reasor Professional Dental Services. info@reasorprofessionaldental.com, 503-680-4366.

FEE FOR SERVICE PRACTICE FOR SALE IN SEATTLE — 2016 collections of $1,350,000. Cosmetic/reconstructive in the Kois philosophy. Fee for service practice Great cash flow. Four fully equipped operatories, digital XRays, refers out endo and oral surgery. Well trained and experienced staff will continue and assist with the practice transition . Well established practice that has been in the same location for over 20 years. Selling Dr. will mentor purchasing Dr. for a limited time. Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366.

FOR LEASE — Downtown Redmond medical/dental office space for lease. Up to 2,800 sq ft. of space on the second floor, floor to ceiling windows on all sides. Prime location in City Center Building across the street from City Hall, Library, School, and Bus Stop. Perfect for high visibility. Building currently occupied by two GPs, an endodontist, chiropractor, and physical therapy clinic.

Please email redmonddds@gmail.com.

BELLEVUE/FACTORIA — Newly renovated (incl hardwood floor & granite reception countertop, etc.) dental office for lease. 1,200 sq. ft. Three-ops (fourth op can be added) in a stylish off bldg. Winner location. Easy I-90/I-405 frwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd (206) 915-2263 Mark.

AVAILABLE, SOUTHCENTER — Just available. 1200 square foot fully equipped four operatory dental space.

Cerec , Panoral, four chairs, lights, nitrous, air and vacuum all available and in place. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Please call Dr. Jerome Baruffi at Medical Centers Management (206) 575-1551.

FOR SALE — General practice in Battle Ground, WA. Three fully equipped operatories, busy main street location. Contact Vicki at (360) 521-8057 or lyledkelstrom@ gmail.com.

FOR SALE — General practice in beautiful Central Washington, same owner since 1979, consistent annual collections: $700,000, 60 percent OH, largely FFS, digital technology, 3,400 sq. ft., five ops, asking $546,000.

Email: FredH@arizonaTransitions.com.

GENERAL PRACTICE FOR SALE — Bainbridge Island Well-established practice; collecting 920k on 4 days/wk Refers out most endo, implants, 3rds, pedo Letters of interest to: bainbridgedentaloffice@gmail.com.

FOR LEASE — Quality professional office space for lease in the heart of the Renton Highlands in the Highlands Professional Plaza medical dental building. Excellent place for an oral surgeon and/or endodontist to open a satellite office or start up practice. Currently there are two GP dentists, a pedodontist, an orthodontist and a large physical therapy clinic. This building has a proven track record of successful businesses because of its location and quality. The building sits across the street from Bartells, QFC, and Starbucks. There are six elementary schools and four high schools within two miles. Get close to where the people live and enjoy fast practice growth.

Call (206) 595-9100.

FOR SALE — Seattle general practice w/ great hygiene program for sale. Collects 300K+ on 3 days. All specialties referred. All cash and insurance. 15 new patients a month. Associate in place. 3 op, 1268 Sq ft. New equipment. mihendeavors@gmail.com

SERVICES INTRAORAL X-RAY SENSOR REPAIR — We specialize in repairing Kodak/Carestream, Dexis Platinum, Gendex GXS 700. Repair & save thousands over replacement cost. We also buy & sell dental sensors. www.RepairSensor.com / 919-924-8559.

VANCOUVER/LONGVIEW/KELSO AREA - I would like to introduce a new concept for rewarding younger patients’ good behavior and encouraging them to look forward to regular visits. Treasure Tower® toy-dispensing machine will hold 8 different choices of toys. Please contact Treasure Trinkets at 503-522-8414 or email treasure_trinkets@yahoo.com for more information. References available upon request.

DENTAL EQUIPMENT FOR SALE USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800488-2446 or http://cascade-dental.net.

OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www.constantinebuilders.com for additional information and how you can become another satisfied client. Telephone (206) 957-4400, O. George Constantine.

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classifieds issue 3, januar y, 2018

OFFICES FOR SALE OR LEASE

first person dr. stephen lee

Book review: Mary Otto’s Teeth

Dr. Stephen Lee Editorial Advisory Board

“Overall, ‘Teeth’ is worth reading. Very little is published on the history of dentistry in the United States, so it’s nice to get a history lesson on our profession.

Additionally, many current issues facing dentistry are well outlined, if sometimes one-sided.

As dentists, we can’t forget that the rest of the world sees us differently than we see ourselves, and whether fair or unfair, ‘Teeth’ is a strong reminder of that. ”

The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.

Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America Mary Otto · The New Press · 2017 ISBN 978-1-62097-144-4 Rarely is a book written on oral health for a mainstream audience, but not too long ago, just such a book was released. “ Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America” by Mary Otto, attempts to raise public awareness of America’s oral health problems.

Once readers get past the exaggerated claims about this “shattering new work” that will “change the way we view society and ourselves,” they will find it well-written. Mary Otto, a Washington, D.C.-based freelancer, is AHCJ’s topic leader on oral health and the author of “Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America.” is an effective storyteller, and regardless of one’s agreement of the message, her style is easy to read and draws the audience into the narrative. She weaves together stories of dental issues past and present, using each of them to illustrate a different point. Formerly with The Washington Post, Otto has done her homework, using a fellowship to spend an academic year at the Harvard School of Dental Medicine, and her extensive bibliography cites hundreds of sources. Otto’s history narrative is the most enjoyable aspect of the book, presenting thorough histories of dentistry, dental hygiene, and organized dentistry in the United States. “Teeth” details the efforts of two dentists in Baltimore whose actions changed the course of the profession. As legend goes, in 1840, Horace Hayden and Chapin Harris attempted to found a professorship of dentistry at the University of Maryland College of Medicine, but they were not welcome there. Undaunted, they went on to formalize dental education independently of the medical school by founding the Baltimore College of Dental Surgery.

This leads to one of Otto’s most interesting speculations, that if this “historic rebuff” hadn’t happened — if the University of Maryland instead embraced a dental professorship — that dentistry would have been more intimately intertwined with medicine, and that we would see dentists practicing in hospitals alongside medical doctors. She uses the federally qualified Brexton Health Services clinic in Baltimore as an example, noting that its underserved patients receive a wide variety of medical and dental treatment, and argues that having every service under one roof makes for better treatment outcomes.

Unfortunately, she also uses the hospital concept to stick it to dentists, pointing out that the ADA Code of Ethics says nothing of being required to treat people who will not pay, unlike hospitals, which are required to do so. She opposes the model that dentists are reimbursed by procedure, asserting that it motivates dentists to do more procedures, rather than prevent the need for more procedures in the future. Perhaps, but then some administrators would just find other ways to push care providers into bad decisions. Additionally, Otto fails to appreciate that dentists are professionals, who are duty bound to do what is best for the patient.

Why the mistrust? In her field research, Otto attended a Roger Levin seminar, which offered some cringeworthy quotes, ranging from which “power words” help dentists sell elective (unnecessary?) procedures, or his ill-considered comments on Medicaid patients, “They take over your entire reception room. Some things from your reception room go home with them... If you have a basket of lovely things in your restroom, they take things home.” Unfortunately, as a result of attending his lecture, Otto has latched onto this as though that’s how most dentists practice, and the tone is evident throughout the book. She should have added a footnote saying, “Don’t worry, most dentists don’t implement anything they hear in practice management lectures anyway.”

It seems Otto would like the idea of practice management to disappear entirely; she prefers putting dentists in hospitals. She explains what every dentist laments: What a waste it is for everyone when a patient goes to the emergency room for a toothache. She contends that getting more dentists in hospitals could save the medical system money, and maybe a few lives. She might be right, but hospitals don’t seem much more receptive continued on page 40

4 2 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org

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When the insurance company denied treatment to which my wife was entitled, Matt went to bat for us contacting the Washington State Insurance Commissioner and the insurance company. With his assistance, we were able to get the insurance company to agree that they were responsible to assist paying for the proposed treatment.

In addition to assisting me with my office policies, Matt and his staff have always been both gracious and extremely helpful in assisting our kids and former employees as their insurance needs have changed.

My wife and I both highly recommended Matt French and his wonderful staff at WDIA. We will always be indebted for the service he provides us. He always exceeds our expectations and for that we will be eternally grateful.

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The Obvious Matt French · Kerri Seims Choice for 206.441.6824 · 800.282.9342 Washington www.wdiains.com th e A wsda ne w s · issue 3, januar y · 2018 · www.wsda.org · 43 Dentists WSDA Company

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4 4 · th e wsda ne w s · issue 3, januar y · 2018 · www.wsda.org