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ACT ION

THE JOURNAL OF THE GEORGIA DENTAL ASSOCIATION

DECEMBER 2010


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VOLUME 30, NUMBER 12 • DECEMBER 2010

ACTION

on the cover

ACT ION

THE JOURNAL OF THE GEORGIA DENTAL ASSOCIATION

DECEMBER 2010

GDA ACTION (ISSN 0273-5989) The official publication of the Georgia Dental Association (GDA) is published monthly. POSTMASTER: Send address changes to GDA Action at 7000 Peachtree Dunwoody Road N.E., Suite 200, Building 17, Atlanta, GA 30328. Phone numbers in state are (404) 636-7553 and (800) 432-4357. www.gadental.org. Closing date for copy: first of the month preceding publication month. Subscriptions: $17 of membership dues is for the newsletter; all others, $75 per year. Periodicals postage paid at Atlanta, GA. Dr. Jonathan Dubin GDA Editor 2970 Clairmont Rd Suite 195 Atlanta, GA 30329

Delaine Hall GDA Managing Editor 7000 Peachtree Dunwoody Rd NE Suite 200, Building 17 Atlanta, GA 30328

The Georgia Dental Association recently completed its sixth biennial membership survey. The article on page 13 examines some key responses to the 2010 survey. To view the full survey results, please visit the GDA web site at www.gadental.org.

2010-2011 Georgia Dental Association Officers John F. Harrington Jr., DDS, President Michael O. Vernon, DMD, President Elect Sidney R. Tourial, DDS, Vice President James B. Hall III, DDS, MS, Secretary/Treasurer Jonathan S. Dubin, DMD, Editor

GDA/GDIS/PDRS Executive Office Staff Members Martha S. Phillips, Executive Director Nelda Greene, MBA, Associate Executive Director Delaine Hall, Director of Communications Skip Jones, Director of Operations (PDRS) Courtney Layfield, Director of Member Services Victoria LeMaire, Medical Accounts Manager Melana Kopman McClatchey, General Counsel Denis Mucha, Director of Operations (GDIS) Margo Null, Property and Casualty Accounts Manager Patrice Williams, Administrative Assistant Phyllis Willich, Administrative Assistant Pamela Yungk, Director of Membership & Finance GDA Action seeks to be an issues-driven journal focusing on current matters affecting Georgia dentists, patients, and their treatment, accomplished through disseminating information and providing a forum for member commentary. © Copyright 2010 by the Georgia Dental Association. All rights reserved. No part of this publication may be reproduced without written permission. Publication of any article or advertisement should not be deemed an endorsement of the opinions expressed or products advertised. The Association expressly reserves the right to refuse publication of any article, photograph, or advertisement.

other features

sections

9

Remembering Dentists Who Passed Away in 2010

4

Parting Shots

5

Editorial

Dentists Care: Waycross Area Dentists Volunteer with Kingdom Care

6

News and Views

8

Calendar of Events

27

Classifieds

10 12

GDA Public Relations Campaign Promotes Dentistry

16

GDA Advocates for Struggling Medicaid Patients, Dentists

21

Workforce Issues Dominate ADA Business Meetings

Member Publication American Association of Dental Editors

index of advertisers Note: Publication of an advertisement is not to be construed as an endorsement or approval by the GDA or any of its subsidiaries, committees, or task forces of the product or service offered in the ADS South . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 AFTCO Transition Consultants . . . . . . . . . . . . .18 Atlanta TMD Dentist—Dr. Padolsky . . . . . . . . .23 Center for TMJ Therapy . . . . . . . . . . . . . . . . . .21 Dental Care Alliance . . . . . . . . . . . . . . . . . . . . .25 The Doctor’s Safety Net . . . . . . . . . . . . . . . . . .24 Elite Dentistry—Dr. Clemans . . . . . . . . . . . . . .20 GDA Dental Recovery Network . . . . . . . . . . . .25

advertisement unless the advertisement specifically includes an authorized statement that such approval or endorsement has been granted.

Georgia Academy of Cosmetic Dentistry . . . .22 Georgia Mission of Mercy . . . . . . . . . . . . . . . .31 Georgia Dental Insurance Services . . . . . . . . .32 Great Expressions Dental Centers . . . . . . . . . . .9 Hinman Dental Society . . . . . . . . . . . . . . . . . . . .2 Law Office of Stuart J. Oberman . . . . . . . . . . . .7 Med Tech Construction . . . . . . . . . . . . . . . . . . .8 New Orleans Dental Conference . . . . . . . . . . .16

New South Dental Transitions . . . . . . . . . . . . .30 Paragon Dental Practice Transitions . . . . . . . .28 Professional Debt Recovery Services . . . . . . .17 Professional Practice Management . . . . . . . . .26 Southeast Transitions . . . . . . . . . . . . . . . . . . . .29 Tripalay Dental Lab . . . . . . . . . . . . . . . . . . . . . .11


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editorial perspective Seeing the Light

Jonathan S. Dubin, DMD

Sometimes life gets so busy. We are immersed in our own worlds enough that we get complacent. Much like a river that flows by us, we see the surface, never noticing any change, and assume the river will continue to flow. But there is more to the river than surface water, and there are many nuances that factor into its continued existence. Dentistry is like that river. Its ecosystem requires constant monitoring. Outside sources may attempt dumping toxins, while others seem to desire re-routing the flow to suit their needs. Guardianship of such a resource is not a trivial matter, nor is it an easy task. It may appear a given that protection is there and worry but a distant nuisance. But watchfulness happens not by chance, and diligence keeps worry at bay. Your Georgia Dental Association is the guardian of your river, the lifeblood of your practice, your livelihood. Dues statements are in the mail. It is easy to put your statement aside, or to make excuses for dropping membership. Perhaps you know of a non-member who fails to recognize the value of membership, be it immediate or extended. To me, there is the extrinsic value that is easy to distinguish. These include insurance benefits, contract analysis, continuing education, and the GDA Action you are holding in your hand as you read this. Those are some of the tangibles. Then there are those benefits you can’t really put your arms around, but they are there and they are even more important than what you

can put a dollar figure on. It may be a simple response such as the one the American Dental Association made to a National Public Radio piece that slandered our profession. Or, it may be the extended efforts to shape legislation that affects your business or your ability to administer the medicine of dentistry. Well, sometimes you can put a dollar figure on such a benefit. Take the $300 x-ray equipment ‘tax’ that was put upon our profession. But with mobilization of our GDA contacts with the proper government figures consulted, that $300 ‘tax’ was quickly rescinded. What a powerful illustration of the value that a strong membership organization can have. The gist is that we have a strong voice as long as we are collectively strong in numbers and percentages. It may be a daunting task to convince a non-member to ‘see the light,’ but the efforts are worthwhile. Likewise, it is important to maintain those already in the fold and remind ourselves that we must be conscientious about our own membership. We need to tend our own ecosystem. Feel the value, and know your dues check is important and a commitment to a strong and viable advocacy.

GDA ACTION DECEMBER 2010

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general news EASTERN Eastern District Scott DeRossi, DMD, chairman of the Medical College of Georgia School of Dentistry Department of Oral Health and Diagnostic Sciences, recently served as a consultant at the Fifth Annual World Workshop on Oral Medicine. The workshop featured 75 oral medicine experts from 24 countries who reviewed literature and discussed the future of research, patient care, and education in oral medicine. Dr. DeRossi focused on facial pain and international oral medicine practice. Workshop participants will publish their findings in several key areas in Oral Diseases in early 2011. Dr. DeRossi is a diplomate of the American Board of Oral Medicine. He co-authored the Burket’s Oral Medicine textbook and has lectured and published numerous articles and textbook chapters on aspects of oral medicine including temporomandibular joint disorder and oro-facial pain, medicine and dentistry, salivary gland disorders, and oral mucosal diseases.

NORTHWESTERN Northwestern District Lee Silverstein, DDS, and Peter Shatz, DDS, periodontists in Kennesaw, have published the textbook Principles of Hard Tissue Regeneration Therapy: A Step-by-Step Guide. The book is intended to be a resource for performing hard tissue regeneration and implant placement. Techniques covered in the 400 pages include socket preservation, immediate implants, ridge expansion, sinus augmentation, and block grafting. Interested dentists may contact the doctors through www.kennestoneperiodontics.com.

her husband Dr. Richard Drisko. All married students and their spouses were invited to dine Italian style under the stars. More than 90 people attended the event. The students learned tips from the dentists in attendance about the benefits of joining the GDA, and spouses were informed about the importance of being involved in the Alliance by staying connected to their spouse’s profession. This was the largest student spouse event due in large part to Alliance Student Spouse President Korey Anderson whose wife Lindsey is a sophomore. Korey and Chad Brown were the first male student spouse attendees at the 2010 national Alliance conference. Korey came home with great ideas that led to 30 spouses joining the Alliance at the event. During October’s national Alliance convention in Orlando, the Georgia Alliance won 15 awards for Legislative, Dental Health Education, and Well-Being member projects. Three awards went to the MCG student spouses for their Dipper Dan, Dental Health Month Posters, and Santa’s Workshop projects. Shari Carter, past president of the GDA Alliance, won the prestigious Thelma J. Neff Distinguished Service Award. This is the highest honor the Alliance gives to recognize the significant impact a member has contributed. The Alliance welcomed a large group to the GDA office in October on a Saturday to pack 950 dental kits for Georgia legislators

and staff. The volunteers, including three dental student spouses who traveled from Augusta, enjoyed a Chick-Fil-A breakfast donated by Crest / Oral-B’s Steve Fortmann. Thanks to volunteers Korey Anderson, Alliance President Molly Bickford, Brad Bonner, Fran Brown, Dr. Celeste Coggin, Jean Harrington, GDA President Dr. Jay Harrington, Dawn Hutchinson, Dr. Ken Hutchinson, Sherry Kendrick, Houston Lennard, Linda Lipson, Offa McCollum, Cheryl O’Donnell, Dr. Bob O’Donnell, Kathleen O’Donnell, Ryan O’Donnell, Helaine Sugarman, Tammie Talbot, Dr. Jimmy Talbot, and Debbie Torbush.

HCR Health Care Reform The much-maligned provision of the Health Care Reform law that would require businesses to file 1099 tax forms on transactions of more than $600 may not be repealed during the lame-duck Congressional session. In November, U.S. Senators Max Baucus (D) and Mike Johanns (R) both introduced amendments that would have killed the 1099 provision outright. However, neither proposed amendment received enough votes to be attached to a food safety bill that the Senate passed November 30. The provision in the HCR bill requires businesses and tax-exempt organizations to file the 1099 forms for purchases and service

ALLIANCE GDA Dental Spouses The Alliance held its third annual MCG student spouse event on October 1. Hosts were dental dean Dr. Connie Drisko and

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Alliance and GDA member volunteers at the GDA office after assembling 950 dental kits for Dental Health Day at the Capitol on January 10.


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transactions over $600. It was intended to ensure greater tax law compliance and raise an estimated $17 billion in revenues over 10 years to help cover the cost of expanding health coverage to the uninsured. The 1099 reporting requirement, which goes into effect in 2012, sparked an outcry from small business groups. They argue it will increase tax compliance costs and tie up small business owners in red tape while they are already struggling in a poor economy.

AMALGAM Dental Regulations The Environmental Protection Agency (EPA) recently announced plans to propose a rule requiring all dentists to separate amalgam waste. Currently, only 12 states require this. This would effectively supercede the current voluntary arrangement that the American Dental Association (ADA) and EPA have had for several years. The EPA will formally propose the rule in 2011. Once the EPA has received public comments and addressed and debated any issues, the proposal of a “final rule” is targeted to be released and implemented in 2012.

The ADA will continue to work with the EPA to make the language and implementation of this EPA proposal as minimally burdensome to dentists and dentistry as possible. The good news is that although amalgam waste does appear to be an issue that will continue to attract more attention in the immediate future, the solution is the installation of amalgam separators. “Individual” unit systems exist and there are “whole office” systems as well. Once collected, the amalgam waste can then be forwarded on to any of several companies that will then properly dispose of the waste materials. The ADA is currently working to finalize the specific protocol for satisfying the requirements of a final EPA directive.

PASSAGES In Memoriam The GDA extends sympathy to the family and colleagues of GDA Past President Marvin M. Sugarman, DDS, who died November 8, 2010, at the age of 95. A graduate of Boys High School in 1933, Dr. Sugarman attended college at Emory University and then graduated from Atlanta-Southern

Dental College, which later became the Emory University School of Dentistry. Dr. Sugarman opened his private practice of dentistry in 1938 and retired in December 2009. He completed the American Board of Periodontology in 1950 and limited his practice to periodontics after that. Dr. Sugarman was the founding director of Post-Graduate Periodontics at Emory and taught at the dental school for 30 years. He served as Consultant to the U.S. Navy Dental Corps at Bethesda Hospital and was a Consultant to the U.S. Army Dental Corps at Fort Benning. He served as the 101st GDA President in 1970 and was also president of the Southern Academy of Periodontology and the American Academy of Periodontology. He was the recipient of the AAP’s Master Clinician Award and the Gold Medal Award, their highest honors. His sons Dr. Edward Sugarman and Dr. Richard Sugarman joined him practice in 1966 and 1978 respectively. Dr. Sugarman is survived by his three children, 10 grandchildren, and 13 greatgrandchildren. Memorial contributions may be made to the Jewish Home, Weinstein Hospice, or to the charity of your choice.

GDA ACTION DECEMBER 2010

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Upcoming Dental Events December 24: GDA Office Closed for Christmas Holiday. December 31: GDA Office Closed for New Year’s Holiday. January 3: Northern District Executive Council Meeting, GDA Office. January 5: Northwestern District Executive Council Meeting, Cartersville Country Club.

February 10: Northern District CE Meeting, Villa Christina, Atlanta. “OSHA Update Blood, Spit, and Fears,” Laney Kay. February 16: LAW Day (Northern District Northern Branch), Capitol.

January 7: GDIS / PDRS / GDHC Board Meetings, GDA Office.

February 23: LAW Day (Eastern District / Northern District Southern Branch), Capitol.

January 8: Nominating / Finance / Board of Trustees Meetings, GDA Office.

March 2: LAW Day (Northwestern District), Capitol.

January 9: House of Delegates, 9AM, Marriott Perimeter Center, Atlanta (same as Jan. 2010).

March 3-5: Alliance of the ADA Conference, Omni Hotel, Richmond, VA.

January 10: Opening Day of State Legislature / GDA and Alliance Distribute Dental Kits. January 12: Northern District CE Meeting, Villa Christina, Atlanta. “Bisphosphonates and Bone Regeneration,” Dr. Wilkie Stadeker. January 21: Southwestern District Meeting. January 21: Southeastern District Meeting / GDA Officer Visit. CE: “A Potpourri of Pathology,” Dr. Doug Damm, Oral Pathology Dept, University of Kentucky. January 26: LAW Day (MCG Students), Capitol. February 2: LAW Day (Alliance / Northern District Eastern Branch), Capitol. February 4: Give Kids a Smile Day. February 6-8: ADA Board of Trustees Meeting, Chicago.

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February 9: LAW Day (Southeastern District / Northern District Hall County and Central Branches), Capitol.

GDA ACTION DECEMBER 2010

March 7: Northern District Executive Council Meeting, GDA Office.

March 9: LAW Day (Central District), Capitol. March 16: LAW Day (Southwestern District), Capitol. March 23: LAW Day (Western District / Georgia Dental Society), Capitol. March 24-26: Hinman Dental Society Meeting, www.hinman.org April 1-2: ADA Membership Conference, Chicago. GDA districts are each encouraged to send a representative. Email yungk@gadental.org for more information. April 12: Northern District CE Meeting, Villa Christina, Atlanta. “Clinical Tips, Tricks, and Techniques,” Dr. Wayne Kerr.


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Remembering GDA Dentists Who Passed Away in 2010 These dentists made significant contributions to the profession, their patients, their families, and their communities. If you know of other deceased GDA dentists whose names do not appear on

this list, please send their names to the GDA executive office. These names were received by November 17, 2010.

William L. Callahan Jr., DDS

Britt A. Gilmer, DMD

Fred C. Kazlow, DDS

Northern District

Northwestern District

Southeastern District

Emory University 1951 November 25, Age 88

Medical College of Georgia 1987 October 8, Age 52

New York University 1956 March 21, Age 80

William D. Culpepper, DDS

Lester Gretenstein, DDS

Paul H. Nichols Jr., DDS

Northern District

Southeastern District

Northern District

Emory University 1951 May 30, Age 81

Atlanta-Southern Dental College 1943 August 17, Age 89

Atlanta-Southern Dental College 1944 May 19, Age 88

David J. Dickey, DMD

Carl F. “Fritz” Hagemann Jr., DDS

W. Marion Reed, DDS

Eastern District

Northwestern District

Eastern District

Medical College of Georgia 1978 November 23, Age 57

Ohio State University 1955 November 15, Age 80

Atlanta-Southern Dental College 1941 August 6, Age 91

James W, Dougherty, DDS

Mary Amelia Grant Hughes, DMD

Mark S. Ritz, DDS 140th GDA President

Northern District University of Tennessee 1968 July 20, Age 68

Northwestern District Medical College of Georgia 1984 April 29, Age 52

Southwestern District University of Illinois 1979 January 31, Age 55

James W. Sikes, DDS Western District Emory University 1972 January 5, Age 63

Marvin M. Sugarman 101st GDA President Northern District Atlanta-Southern Dental College 1938 November 8, Age 95

Steve B. Taylor, DMD Northwestern District Medical College of Georgia 1983 April 11, Age 53

William Byrd “Chipper” Webster Jr., DDS Northwestern District Emory University 1976 January 20, Age 58

GDA ACTION DECEMBER 2010

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Southwestern District Dentists Volunteer for Kingdom Care The Dentists Care column will regularly feature charitable dental efforts created or supported by GDA member dentists. If you know of a charitable dental event or organization that could be featured here, contact Delaine Hall at hall@gadental.org.

What the Charitable Effort Involves Kingdom Care is a non-profit, volunteerbased free clinic established in 2006 that provides health care services to working, uninsured residents of Brantley, Charlton, Clinch, Pierce, or Ware counties. These residents must verify that they have a household income at or below 200% of the Federal Poverty Level and are not eligible to receive Medicaid, Medicare, or other coverage. The clinic moved into a permanent facility in Waycross in 2009. Typically, the dental services provided by clinic volunteers are cleanings, extractions, restorations, and pain relief. Volunteer

dentists regularly refer patients to oral surgeons and endodontists within the community who also treat the patients at no charge. The clinic is primarily supported with grant funding from the Georgia Baptist Health Care Ministry Foundation, the Healthcare Georgia Foundation, and the United Way of South Georgia. However, the clinic also receives support from a local ministerial association, private donors, a private foundation, three local churches, and local civic organizations. Oversight is provided by its board, which includes a chairman, the dental director, the medical director, and the chief executive officer. This individual, a family nurse practitioner, is the organization’s only paid employee. The Kingdom Care volunteers, in addition to working at the permanent clinic, also took part in a community care dental event in Fall 2010 in Waycross coordinated with the Georgia Baptist Mobile Dental Unit.

Patients were seen in the mobile unit. Plus, several volunteer dentists see Kingdom Care dental patients throughout the year in their private dental offices.

The Volunteers Who Make a Difference Several Southwestern District volunteer dentists took part in the 2010 community care dental clinic. They included Dr. Jeff Cauley, Dr. Keith Crummey, Dr. Jon Drawdy, Dr. Kim Hood, Dr. John Hopkins, Dr. Andrew Jackson, Dr. Jason Lucas, Dr. Page Manus, Dr. David Morton, Dr. Ralph Proenza, Dr. Duane Robert, Dr. Matt Smith, Dr. Celestine Varnedoe, and Dr. George Thomas. Additionally, 10 dental hygienists and 25 dental assistants volunteered their services. Dentists who saw Kingdom Care patients in their private offices or in the Waycross permanent clinic in 2010 included Dr. Keith Crummey, Dr. Kim Hood, Dr. Jason Lucas, Dr. Page Manus, Dr. David Morton, Dr. Matt Smith, Dr. George Thomas, Dr. Jeff Capes, Dr. Randy Stevens, Dr. Rick Joseph, and Dr. Andrew Jackson.

The Impact of Dentists’ Giving

Kingdom Care volunteer dentist Dr. Ralph Proenza caring for a patient with help from dental assistant Amber Day.

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GDA ACTION DECEMBER 2010

According to Waycross dentist Dr. George Thomas, who serves as Dental Director for the clinic, dental care is the number one need and request made by patients. “Many of our patients have not seen a dentist in years, if ever,” said Dr. Thomas. How busy is Kingdom Care? Between February 1, 2009, and November 26, 2010, Kingdom Care volunteers provided care during 3,611 visits, including 430 dental visits, at no charge to the patient. Total professional hours for this time period approach 3,500 hours with the value of services calculated to be $920,455. Dental care comprised $197,800 of the total. Of the 420 dental patients having received care to-date, 107 received care by volunteer dentists during the three-day community dental clinic in Fall 2010. The services provided at the community event


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included 85 simple extractions, 20 surgical extractions, 9 surface amalgam restorations, 74 composite restorations, 42 dental cleanings, 83 x-rays, and 3 examinations only. The value of dental services provided during the event totaled $49,220.

How You Can Become Involved Dentists interested in volunteering with Kingdom Care may contact Dr. Thomas at (912) 285-3140. The clinic is always in need of donations. Dentists may donate to the clinic via their 2011 GDA dues statements, or contact Dr. Thomas for information on donations.

Dr. Duane Robert and dental assistant Monica Cato share a smile with a patient who received free care during the Kingdom Care community dental clinic in October.

GDA ACTION DECEMBER 2010

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GDA Public Relations Campaign Promotes Dentistry One goal that GDA President Dr. Jay Harrington announced for his year was for the GDA to project a more positive image of dentistry. “We are dentists but we are doctors, and we need to toot our own horns louder,” he stated in the July 2010 Action. “I want us to work on our perception of trustworthiness and move ourselves back to the top of public opinion polls.” He tasked the GDA Public Relations Committee with incorporating this goal into its statewide public relations radio campaign for 2011. After several meetings and calls, the committee came up with a script that incorporated the “your dentist is a doctor” message to present to the Board of Trustees for approval. The Board

unanimously approved the radio script below at its November 2010 meeting. This radio message will run from January 3 until February 5, 2011 throughout the state. The GDA will conduct the radio campaign by utilizing the “GAB-Time” buy through the Georgia Association of Broadcasters. The “GAB-Time” buy is a program for non-profit organizations that could not otherwise afford to purchase advertising. The cost to the GDA is $37,000 versus a “retail” cost of $232,005 if the GDA purchased radio spots separately and not as a part of this buy. Typically, listeners will hear the GDA message broadcast on 400 radio stations statewide thousands of times during the six week campaign. All spots are

scheduled to air Monday through Saturday between 6 a.m. and midnight. Read the script of the radio message below and listen for the spot to air in your area starting January 3. You may also visit the GDA web site at www.gadental.org to hear the spot. Kudos to the committee, including Chair Dr. Robin Reich; members Dr. Lindsay Holliday (C), Dr. Andy Allgood (E), Dr. Celia Dunn (E), Dr. David Pumphrey (N), Dr. Richard A. Smith (N), Dr. Stuart Loos (NW), Dr. Jennifer Hall (SE), Dr. Larry Black (SW), Dr. Brent Depta (SW), and Dr. John Scuba (W); and staff support Associate Executive Director Nelda Greene for their work on educating the public about the importance of dentistry.

2011 GDA “Your Dentist is a Doctor” Radio Script Sound Effects: Rustling of newspaper.

a physician after seeing signs of diabetes, heart disease, and even cancer.

Jim: Hey honey, check this out.

Sara: Really? A dentist can do that?

Sara: (Coming in from another room) What’s up?

Jim: Yeah, well they are doctors. Dentists have at least four years of dental school following college.

Jim: I was just reading this article in the paper about dentists. Pretty interesting stuff. Sara: Oh, and I thought you just pretended to read while napping?

Sara: Makes sense; no wonder I’ve always trusted our dentist. Hey, you just reminded me … we’re due for our six-month dental examinations and cleanings. Jim: And you just reminded me I’m due for a nap.

Jim: Ha, ha, very funny. You know I always knew that seeing a dentist regularly was important, but did you know they can detect signs of medical conditions based on your oral symptoms? Sara: Well, I have always heard that good oral health leads to good overall health. Jim: Yeah, the article goes on to point out a few examples where dentists referred their patients to 12

GDA ACTION DECEMBER 2010

Sara: Ha, ha, very funny. Announcer: See your Georgia Dental Association member dentist regularly to help you avoid costly procedures in the future and to keep your healthy smile. Remember, good oral health leads to good overall health. Get a referral to a GDA member dentist by calling 800-GDA-HELP or visit www.gadental.org today.


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GDA Survey Reveals High Opinion of GDA Services, Issues with Busyness The Georgia Dental Association (GDA) recently completed its sixth biennial membership survey. As in previous years, the survey document was sent only to currently practicing dentists (no retired or student members) due to the nature of the numerous questions related to manpower, scope of practice, and other issues relevant only to active practitioners. The GDA received 880 completed surveys from the 2,795 mailed, which represents a 31.4% response rate. This is a sharp decline from the 2008 response rate of 52.7%. However, this is still an excellent response rate for any survey instrument. Dentists had the option of completing and mailing a paper survey to the GDA office or going to a web site and completing it online; 445 respondents completed online (compared to 93 in 2008) and 435 completed paper surveys. This article examines some key responses to the 2010 survey. To view the full survey results, please visit the GDA web site at www.gadental.org. If you did not respond to the 2010 survey, please respond when the GDA conducts another survey in 2012. The GDA utilizes survey responses in strategic planning, committee assignments, legislative initiatives, and in numerous other ways. Answering the survey is a simple but important way to make your voice heard.

Who Was the Typical Survey Respondent? Based on the leading percentages in each demographic category, the typical GDA respondent was a white male general dentist from the Northern District between the ages of 55 and 64 who has been in practice for more than 20 years and owns his dental practice. The GDA did see higher percentages of minority dentists, dentists in the 25 to 34 year age range, and female dentists respond to the survey in 2010 than in 2008.

Highlights: “Busyness” Issues Survey responses revealed that Georgia dentists are definitely feeling the effects of the recession. Fully 84.3% of dentists responded that they have experienced a decline in patients seeking and scheduling treatment within the past year (up from 70.2% in 2008). Of those who responded that they are experiencing such a decline, 87.6% (86.3% in 2008) noted “patients of record are delaying treatment;” 68% (67.1% in 2008) noted that they are “scheduling fewer new patients;” and 59.1% (48.9% in 2008) are seeing “patients stretching their appointments for preventive care.” Some 30% of dentists responded that they had laid-off employees or reduced the hours of employees within the past 12 months. The most affected staff members were dental assistants, followed by office staff, and finally dental hygienists.

Fully 24.5% of respondents are delaying retirement or have started practicing again due to the current economic climate (up 8.7% from 2008). And 56.5% reported that they have more than 10 hours open in their schedule (including hygiene) within a month (compared to 42.2% in 2008).

Highlights: Practice and Access Issues The survey found that 46.5% of respondents employ a full-time staff person who deals exclusively with insurance matters (down from 52.2% in 2008), and 40.3% indicate that 51-75% of their practice income is from dental insurance (not much changed from 2008). The percentage of practices that take no insurance increased slightly from 2008 (4.8% in 2010; 3.2% in 2008). The percentage of dentists who practice more than 40 hours per week (including lab and administrative time was 16.8% (up from 14.1% in 2008). Fully 75.7% of dentists responding to this survey are not Medicaid providers. Reasons given for not participating included lack of stability, program / administrative hassles, and reimbursement rates. Of those who are Medicaid providers, 77.5% stated that they are accepting new patients (down from 83.5% in 2008) and 20.4% indicated their practice is more than 50% Medicaid (up from 12.4% in 2008). Some 52% of respondents gave old Fee-For-Service dental Medicaid administrator ACS a “no” when it comes to acceptable levels of service; 61.4% gave DentaQuest a “no” (up 7% from SURVEY Continued on page 14 GDA ACTION DECEMBER 2010

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SURVEY Continued from page 13 2008). Almost 80% of respondents stated they obtain information and assistance on Medicaid and PeachCare for Kids issues from the GDA (up by 10.4% from 2008). This seems to indicate that information such as blast faxes and articles in Action and on the web site help members.

Of dentists who refer to specialists, 95.6% indicate that their patients are seen in a timely manner. In 2008 endodontics and oral surgery were the specialties with the longest appointment wait time (45.2%). However, in 2010 endodontics is down to 28% and oral surgery is at 36.6%. Concerning shortages for staff, general dentists, and specialists, 62.5% responded that they believe no shortage exists (compared to 41.6% in 2008). The perception in 2010 is that there is an ample workforce for staff, general dentists, and specialists in Georgia.

Some 65%, or 500, respondents reported that they treat nursing home patients in their office and 13.2%, or 101, respondents treat nursing home patients within a nursing home. Regarding treatment of young children, 50.6% responded that they are general dentists and treat children ages 0-4 in their practice; 3% reported that they are general dentists and limit their practice to adults. In 2008, the percentages were 48% and 3%. This could indicate the GDA’s dental home initiative, which encouraged general dentists to see very young patients in their practices, had an impact.

Highlights: Manpower Issues The survey found that 70.2% of respondents are aware of mid-level provider programs compared to 2008 where 44.5% responded that they needed more information to form an opinion. Fully 96.4% responded that they are not in favor of creating mid-level providers and 98.5% are not in favor of allowing non-dentists to perform surgical / irreversible procedures. Just over half of the respondents (52.3%) indicated that they had read the “GDA White Paper on Georgia’s Oral Health Status, Access to and Utilization of Oral Health Care Services.” (The paper was published in the August 2010 Action and is available online.) This paper examines problems with the mid-level provider model and offers common sense, state-specific recommendations on improving access to care by properly utilizing the current dental team format. Of those dentists trying to hire staff, 86.8% replied that they are having no difficulty in hiring any staff (dental assistants, dental hygienists, front desk, receptionist, insurance staff, dentist), compared to 69.7% of respondents in 2008.

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Highlights: Charitable Care The numbers are close to those reported in 2008 regarding dentists who voluntarily provide dental services for free or at a substantially reduced fee to the needy other than through participation in Medicaid. The number of respondents who provided annual donated services in the $5,001 to $10,000 range, the $10,001 to $25,000 range, and the $25,001 to $50,000 range actually increased over 2008.


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Highlights: Communications Fully 98.6% of respondents reported that they read some part of GDA Action each month; 93.7% ranked GDA Action as ‘Excellent’ or ‘Good.’ Of respondents who read Action, 80.5% report that Action is where they go primarily each month for information on dentistry and its issues. The majority of respondents, 80.6% prefer to receive a printed monthly journal as opposed to receiving their issue electronically. However, with urgent news, 77% prefer email as their mode of communication. This would seem to indicate that the GDA could utilize emails more if dentists would disclose their email addresses and notify the GDA office of changes. A solid majority of respondents, 80.3%, check their email at the dental office. When it comes to social media, 48.8% of respondents have visited Facebook.com at least once in the past six months and 39.7% have visited YouTube.com. Some 37% of respondents stated they had not used any social media within the past six months.

Highlights: Association Effectiveness / Public Relations The overwhelming response to the member’s perception of the effectiveness of the GDA was positive, with 91.3% responding either ‘excellent’ or ‘good.’ Relevancy of GDA services was also favorable with 81.1% responding that the services offered by their association were ‘extremely relevant’ or ‘relevant.’ The key GDA services of legislative advocacy and communications were rated the most valuable with 97.3% of respondents rating both of these services as ‘extremely valuable’ or ‘valuable.’

In the 2010 survey, 52.8% of respondents said that they favored a more extensive public relations campaign. In 2006, respondents were split 50-50 on the question concerning the GDA having a more extensive public relations campaign. In the 2008 survey, respondents slightly favored a ‘no’ response (51.6%) to a ‘yes’ response (48.4%). To the 2010 follow-up question that asks whether the respondent is willing to pay a $300-$500 assessment for a more extensive campaign, 75.5% responded with a no. GDA ACTION DECEMBER 2010

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GDA Continues Advocacy For Patients, Dentists in Medicaid Program In January 2010, the GDA Action article “Children’s Dental Medicaid Program: A Crisis Brewing” related the troubled state of dental Medicaid in Georgia under the Care Management Organizations (CMOs) Amerigroup, WellCare, and Peach State. Dentists enrolled in the program run by the three CMOs and their dental administrator were constantly dealing with conflicting administrative directives, layers of bureaucracy, steep fee cuts, and dramatic limitations on the care they could provide. Nearly one year later, dentists and patients who are a part of dental Medicaid in Georgia are facing new administrative upheavals and a state budget that could mean additional reimbursement and care cuts. But with a new governor coming into office, and the GDA’s continued powerful focus on Medicaid provider and patient legislative advocacy, there are some signs of hope during this continuing crisis.

The Budget Hammer— Falling on Dental Medicaid? As everyone is well aware, 2010 has been a tough recessionary year and the state has certainly felt the pinch. Georgia is currently saddled with a record budget deficit of over $2 billion. Governor Sonny Perdue let every state-funded program know early on this year that it would be a painful process for all those expecting to have programs funded in 2010 and beyond. At the start of the 2010 legislative session, dentists were scheduled to be hit with a 1.98% cut in Medicaid and PeachCare for Kids reimbursement fees. Fortunately, dentistry and other health care providers scheduled for a cut had some guardian angels in State Reps. Mickey Channell and Ben Harbin and State Sens. Greg Goggans and Jack Hill who kept the cuts from happening. In the end, funding the hole left by not cutting the Medicaid fees was a huge challenge and likely would not have happened if the hospital provider tax had not been agreed to under duress by the hospital association.

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Medicaid and PeachCare did not escape for long, however. A review of the Amended FY10 Budget was presented at the May 13 Department of Community Health (DCH) board meeting. Overall, the department’s budget was cut by $190 million, including a reduction of $116 million in the Medicaid and PeachCare programs. The FY11 budget presented at the June DCH board meeting contained another $200 million in cuts overall with another $124 million cut from Medicaid and PeachCare. Changes to the FY11 budget included implementation of the new hospital provider fee (adding an estimated $82 million) and moving approximately 14,000 foster care children into the CMO program, saving the state $2.9 million. In August, DCH released their Amended FY11 and FY12 budgets and the

numbers continued to look grim. All state agencies were asked to submit budget proposals with recommended 4, 6, and 8 percent cuts for the amended FY11 budget and recommended 6, 8, and 10 percent cuts for the FY12 budget. Due to federal restrictions, DCH cannot make certain cuts to the Medicaid program (for example, tightening eligibility). DCH has also already cut or reduced many services and is operating on a tight budget. Unfortunately, that leaves provider reimbursement rates and optional services, like adult dental, as prime areas for cuts. Only hospitals are excluded from proposed cuts due to their new hospital provider tax. The GDA leadership and staff members have worked hard to get dentistry excluded from any additional cuts. Efforts have included meetings with senior level DCH officials and a strongly-worded letter sent


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in October to DCH Commissioner Clyde Reese regarding further proposed cuts to the Medicaid and PeachCare for Kids programs that could come as early as January 2011. The letter basically stated that while the GDA appreciates the implications of Georgia’s recessionary economy and the need for the state government to present a balanced budget, the GDA does not feel that additional provider reimbursement cuts for the dental Medicaid program are in the best interests of Georgia’s children. Dentists, unlike other health care providers, have already experienced numerous onerous cuts and any further cuts will likely devastate an already beleaguered program. Commissioner Reese met with the GDA on November 22 to discuss the issue, and the GDA will report the outcome in a later Action. Bottom Line: Georgia is in a deep budget hole, and provider reimbursements could be on the chopping block as a new state administration strives to make the state solvent. The GDA’s

excellent legislative advocacy program and relationships with legislators have staved off cuts before. The fight will be difficult in 2011, but rest assured the GDA continues to fight.

DCH Staff— Potential Changes On March 11, 2010, Dr. Rhonda Medows announced her resignation as DCH commissioner effective March 21. Dr. Medows was appointed in 2005 by Gov. Perdue and oversaw the transition of the Georgia Medicaid program to the current CMO system. On April 16, Gov. Perdue appointed Clyde Reese, general counsel for DCH, to succeed Dr. Medows as Commissioner. On December 8, 2010, GovernorElect Nathan Deal announced that effective January 10, 2011, he had selected Medical Association of Georgia (MAG) Executive Director David Cook to head DCH. Cook, an attorney, has served as MAG’s executive director and CEO since 2001. From 1992

to 1995 Cook served as then-Congressman Deal’s chief of staff in Washington. Bottom Line: The GDA will meet with and educate any new state administrative officials about the dental Medicaid program’s ills, and offer concrete ways to save the state money and ensure Georgia’s children receive the dental care they need.

Fee-for-Service Medicaid Program Changes— Good and Bad On November 1, DCH officially went live with a changeover from ACS to the HP Enterprises Medicaid Management Information System (MMIS) for the fee-for-service (FFS) side of Georgia Medicaid. In addition to processing all

ADVOCACY Continued on page 18

GDA ACTION DECEMBER 2010

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ADVOCACY Continued from page 17 FFS claims, HP will also take over provider credentialing. There is a backlog of provider applications that could take up to a month or more to resolve; however, once HP catches up, provider credentialing should proceed much more smoothly than in the past. Since the go-live date, complaints received at the GDA office about the transition have centered around web portal access and provider PIN numbers, accessing remittance advices, and web portal limitations with accessing Health Check and Service Limit information. GDA staff is staying in constant communication with HP and is working to resolve these issues. Also as of November 1, the state terminated the Medicaid Disease Management Program, also known as Georgia Enhanced Care. The program was designed to improve health outcomes and disease management, but did not perform as

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anticipated. Therefore, DCH made the call to discontinue the program and enroll participants into the Georgia Better Health Care (GBHC) program, which is a primary care management program. Due to the transition of patients into the GBHC program, the GDA office has noticed an increase in the number of referral calls from Medicaid patients looking for a dentist. GDA staff members are sending out lists of low-cost clinics and other resources, and continuing to work with DCH to transition these patients. Unfortunately, as these patients are FFS Medicaid patients and have only emergency adult dental coverage, finding them assistance can be difficult. Bottom Line: The GDA welcomes the mostly-smooth transition of Fee-ForService Medicaid patients to the HP Medicaid Management Information System, but will continue to monitor the transition as well as the difficulties encountered by adults enrolled in Medicaid in finding care.

The State of the CMOs— More Administrative Upheavals Dentists and their patients continue to suffer under the administration of the three CMOs. The GDA still has reason to believe that the CMOs are overstating the numbers in their dental networks and is conducting a survey of Medicaid providers in order to obtain accurate data. In addition, following a request from DCH, the GDA has sent a letter to Medicaid Division Chief Dr. Jerry Dubberly with the GDA definition of what qualifies as a Full Time Equivalent (FTE) dentist in Georgia. By using this FTE methodology, the GDA feels DCH will be able to make a more accurate assessment of the participating dentists’ actual capacity for Medicaid recipients to access oral health care. The GDA learned at a May DCH board meeting that the current CMO contracts expire in June 2012 and that the


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loss ratio for the CMOs is 88 to 90%, which means they are making money. At a subsequent meeting with DCH, GDA leaders also learned that DCH is formulating the Request for Proposal (RFP) for the next CMO contract cycle and is soliciting input from provider groups. (DCH hopes to have the RFP out by February 2011.) The GDA is currently gathering information to submit recommendations to DCH regarding the dental side of the program. On October 21, Amerigroup announced the termination of DentaQuest as their dental subcontractor. Amerigroup will change to SCION Dental as their administrator effective February 15, 2011. GDA staff met with representatives from Amerigroup and SCION following this announcement and expressed concerns regarding this new arrangement. Specifically, the GDA was concerned about a clause in the contract relating to global budgeting, or pooling payments. Amerigroup informed the GDA that it was not their intention to use this reimbursement methodology, that this clause would be removed from the contract,

and that the current fee schedules would remain in place. Once the revised contract is available, the ADA / GDA will complete an analysis of the contract and will provide a copy to any member who requests it. If a dentist has already signed the initial contract, SCION has promised to provide you with a new contract.

Single Administrator Bill— A Bright Spot

Medicaid dental program. This bill would have required the dental program to be bid and managed separately when the current CMO contracts expire in June 2012. The excessive administrative costs and profits of 17% to 26% associated with four entities currently administering the program would go away. This would then allow more money to be available for direct dental care. The GDA was successful in getting the bill passed through both the House and Senate with only five total dissenting votes. Despite overwhelming legislative support, however, Gov. Perdue vetoed the bill on June 4, 2010. The GDA plans to re-introduce the single administrator bill during the legislative session that begins on January 10, 2011. With a new governor and many new legislators in place, the GDA leadership is confident

Dentistry saw a big win during the 2010 legislative session with the passage of House Bill (HB) 1407 which would have created a single administrator for the state

ADVOCACY Continued on page 20

Bottom Line: The three CMOs are likely to continue to institute administrative changes, and the CMOs themselves may change depending on the outcome of the RFP. SCION Dental is a relatively unknown entity. The GDA will continue to monitor DCH, CMO, and dental administrator meetings and take action as needed.

GDA ACTION DECEMBER 2010

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ADVOCACY Continued from page 19 that the bill will pass and be signed into law during the upcoming session. Bottom Line: The GDA has received assurances from incoming Governor Nathan Deal that a single administrator bill will enjoy positive attention— something that Gov. Perdue was not interested in providing to any GDA initiatives.

PeachCare for Kids— Premium Increases on the Way There have been no recent significant changes to the PeachCare program. However, beginning in FY11, PeachCare recipients will begin to see a premium increase on a graduated scale. Details on this increase should be forthcoming from DCH in the coming months.

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You Can Help the GDA Advocate for Dental Patients Because of attention that legislators will be giving budget issues in 2011, moving any bill through the legislature will be a challenge. Your presence is requested at your district LAW Day at the Capitol so that dental voices are heard by key legislators. In addition to advocating against provider reimbursement cuts and for the dental Medicaid single administrator bill, the GDA will advocate for legislation that prevents dental insurance carriers from capping fees on non-covered services, a bill that would provide transparency and regulation of so called “silent PPOs” and “rental networks,” and legislation that would expand the prompt pay requirements to all insurance plan administrators and not just the insurers. See page 26 for LAW Day dates. If you cannot attend a LAW Day, consider contacting your legislator by mail,

phone, fax, or email and helping to educate them about the issues surrounding children’s access to oral health care. Talking points and other helpful materials are available on the GDA web site or from the GDA office. Encourage your patients who are Medicaid / PeachCare recipients to convey their concerns to the Department of Medical Assistance Office of Constituent Services at (404) 656-4495 or constituentservices@dch.ga.gov. As always, you may contact Courtney Layfield at the GDA office with your Medicaid / PeachCare issues and with items you would like to see covered in future issues of Action regarding this issue.


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Workforce Issues Dominate ADA Annual Session Business Meetings Jim Reynierson, DMD Chairman, GDA Delegation to the ADA

GDA Vice President Dr. Sidney Tourial, who has attended 11 American Dental Association (ADA) annual sessions as part of the GDA delegation, said something at the November 2010 GDA Board of Trustees I agree with 100 percent. “I’ve never been so proud of a group of people [our delegation] in my life,” he told the Board. We had an outstanding group of ADA veterans and new delegates who worked incredibly hard for our profession and patients in October. The result: successes at every level, including ensuring that ADA policy stated clearly that only a dentist should perform irreversible / surgical procedures. Please help me thank your delegates who volunteered hundreds of hours of

their time to study the issues, participate in conference calls, answer emails, and attend meetings in order to create success for our profession and patients. And please read the Reference Committee reports below from the GDA reporting chairs to gain insight into the main issues that affected your profession this year.

Delegates: Dr. Tom Broderick (SE) Dr. Robert Carpenter (W) Dr. Chris Hasty (SW) Dr. Ed Green (SW) Dr. Kara Moore (C) Dr. Jay Harrington (C) Dr. Donna Thomas Moses (NW)

Dr. Carol Wolff (N) Dr. Richard Weinman (N) Dr. Jim Reynierson (E)

Alternates: Dr. Jack Bickford (NW) Dr. Joe Dufresne (NW) Dr. Tom Field (N) Dr. Marshall Mann (NW) Dr. Kent Percy (NW) Dr. Mike Vernon (E) Dr. Doug Torbush (N) Dr. Pete Trager (NW) Dr. Jonathan Dubin (N) Dr. Annette Rainge (E)

Ex Officio: Ty Ivey (C), GDA Secretary / Treasurer (substitute for Dr. Jim Hall) Sidney Tourial (N), GDA Vice President

Administrative: Martha Phillips, GDA Executive Director

Workforce Reference Committee (Reporting Chair Dr. Doug Torbush) Workforce was a priority issue for your Delegation. The resolutions we considered, especially involving non-dentists performing irreversible dental procedures, were ones that would seriously affect our dental practices in the future. Working with the states that formed the Austin Group, a collection of states that oppose mid-level or other non-dentist providers performing surgical or irreversible dental procedures, your Delegation was able to forge an impressive collaboration with many of the ADA Trustee Districts. Together, we wielded a broad sphere of influence in the ADA House of Delegates.

ADA ANNUAL SESSION Continued on page 22

GDA ACTION DECEMBER 2010

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ADA ANNUAL SESSION Continued from page 21

the full efforts of our Georgia Delegation, your ability to practice dentistry as you do currently remains intact.

In the Workforce Reference Committee, a select few members of the Council on Dental Practice testified in favor of changing the current scope of dental practice to allow non-dentists to perform surgical and irreversible procedures. Opposing views, which centered on maintaining the practice and scope of dentistry with dentists, came from ADA members across the nation. On the floor of the House of Delegates, 95 percent of the ADA House of Delegates members agreed with our position to proclaim the dentist as the individual who is best trained in both the diagnosis of dental needs and in the performance of any surgical or irreversible procedure. Thanks to Martha Phillips for her expertise, insight, and hard work in coordinating the efforts of the Austin Group and our Delegation. Together with

Budget, Business, and Administrative Matters Reference Committee (Reporting Chair Dr. Marshall Mann)

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Our group handled several resolutions of significant interest to our members, including the approval of the ADA budget. The budget started at $114,951,700 in ongoing expenses. We referred this budget back to the ADA Board of Trustees after decision packages (when the ADA Board and / or councils request funding for particular items outside of the budget passed by the Board) inflated the budget, which would have forced a $23 dues increase. After cuts were made and Resolutions 35 and 36 were passed, the budget came in at $116,000,000. This required a $7 dues increase. We also saw the passage of Resolution 37, which added a one-time assessment

fee of $23 for information technology infrastructure improvements that the ADA needed to update computer hardware and software. The Reference Committee issued Resolution 56RC in response to a 2009 House of Delegates resolution to have a special committee recommend formation of a Council for Financial Affairs if appropriate. The resolution failed to get a two-thirds majority vote, but the special committee was re-appointed to further study the potential Council’s composition and function. The House approved Resolution 113RC which increased House of Delegates representation on the ADA Audit Committee. This was also a result of resolutions passed at the 2009 House.

Dental Benefits, Practice and Health Reference Committee (Reporting Chair Dr. Michael Vernon) The Council on Dental Benefit Programs introduced resolutions aimed at removing


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the “Usual” and “Reasonable” from UCR language in ADA policy and in other statements. The reasoning was that the dentist should determine what is usual and reasonable and the insurance companies should only consider what is customary. Several references were changed to provide consistent language. Other resolutions dealt with dental consultants and what detailed information about these dentists should be provided to the claims submitter when they review a claim. The ADA will also seek legislation to require dental consultants to be licensed in the United States. CAPIR (the Council on Access, Prevention and Interprofessional Relations) introduced several resolutions that passed. One approves the development of a web site as a resource for school based-oral health programs. Select groups would work together to develop and maintain material for the web site. CAPIR also asked to be able to reach out and “dialogue, collaborate, and affiliate” with organizations that impact dentistry and the way we practice. This resolution had lan-

guage in it that concerned us and we argued to change the wording so as to not help organizations that are trying to introduce mid-level providers. Our efforts were supported by the majority and our amended resolution passed the House. Other resolutions and reports from the Council on Dental Practice dealt with dental laboratories. Dental schools were urged to use U.S. labs and when possible have students use labs housed within the schools. This would allow the students to have valuable interactions with dental laboratory technicians, and enable them to work closely with their local labs after graduating. A fairly long CAPIR report detailed recent activities of the Council and resulted in resolutions to define Primary Dental Care and Primary Dental Care Provider. These resolutions emphasized that the provider is to be a licensed dentist. Another CAPIR report updated the status of the Community Dental Health Coordinator pilot programs. A timeline of the pilot programs may be found at ADA.org.

Dental Education, Science and Related Matters Reference Committee (Reporting Chair Dr. Carol Wolff) Resolution 11, which recognizes special interest areas of general dentistry, passed. The Council on Dental Education and Licensure must define specific criteria for and regulate these special interest areas. These are to be one- to two-year special interest programs, excluding recognized ADA specialty areas, and not weekendtype courses. Resolution 71, which provides funding for the Health Screening Program, passed. The program helps dental care providers monitor their health through screenings at the Annual Session. Resolution 101 (introduced by the ADA Fifth District of Georgia, Alabama, and Mississippi) passed. The resolution directs the ADA to encourage the Food and Drug Administration to require warning labels for medications that cause dry mouth and a resultant increased risk of tooth decay and other potential complications that should be discussed with a dentist. Resolution 103 (introduced by the Fifth District) passed easily. GDA members Dr. Donna Thomas Moses and myself provided testimony during the Reference Committee. This resolution strongly encourages testing agencies to avoid confusing the public by examining candidates for dental licensure separately from candidates for non-dentist licensure. Your Fifth District had concerns that the public and legislators could mistakenly think that non-dental students and dental students were equivalent caregivers if they took the same examination at the same time. Resolution 31, Participation in Dental Outreach Programs, passed with a recommendation to allow only dentists and trained dental students to do surgical and irreversible procedures in these programs. Resolution 42 passed. This resolution involves developing proposals for a new Part Three of the National Board Examination and eliminating live subjects.

ADA ANNUAL SESSION Continued on page 24

GDA ACTION DECEMBER 2010

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ADA ANNUAL SESSION Continued from page 23

Legal and Legislative Matters Reference Committee (Reporting Chair Dr. Jack Bickford) There were a number of “housekeeping” items that passed on consent through the committee. One that passed, introduced by our Fifth District, directed the ADA to keep close tabs on the Health Care Reform law and to lobby where needed. We learned that the ADA feels it needs to hire more lobbyists who are in tune with health care reforms. There were a number of resolutions that sent a message not only to the ADA Board of Trustees but also the ADA staff that the House of Delegates is the supreme governing body of the Association. For instance, we reviewed a number of resolutions dealing with the Board doing a better and more open job of

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informing the House as to what is going on. Some passed and some did not. But I feel that everyone got the message. We also looked at issues relating to who can run for ADA Treasurer. This job needs a person with a financial background. What will now happen is that candidates for treasurer will submit their CV to the Board of Trustees. The Board will then certify those candidates who have the proper background. These candidates will then be presented to and elected by the House of Delegates. This will no longer allow for nominations from the floor of the House for this position, which was controversial. There were some campaign reform resolutions that also came forward. Some representatives wanted to eliminate candidate travel. The House however elected to keep travel allowances. The House passed a resolution directing the ADA to sit down with the EPA to draw up amalgam wastewater guidelines. Since the EPA is to begin mandating the

use of amalgam separators, the ADA must be at the table for these discussions. A resolution calling for a long-term public relations campaign was referred to the Council on Communications.

Membership and Planning Reference Committee (Reporting Chair Dr. Joe Dufresne) We approved several resolutions that should assist the ADA in retaining existing members and attracting new ones. Although the actual number of ADA members is increasing, the percentage of member dentists compared to total dentists is decreasing and is currently at 69.1%, which is the lowest percentage since 1993 when the ADA started tracking this statistic. To address this issue, the House allocated funds to survey dentists in the U.S. who have traditionally been underrepresented. In addition, we’ll see the expansion of a marketing program which will provide funds and expertise to state societies to expand their membership.


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The ADA Council on Membership will monitor the results of any pilot projects designed to recruit and retain dental school faculty members. The Council has also been directed to study the Active Life Member category to determine whether Active Life Members should pay 50% of dues up until the age of 72 when dues would then be the same as Retired Life Members. Finally, two resolutions were passed in memory of Dr. Thomas Grams who lost his life at the hands of the Taliban while providing dental care during a humanitarian relief project in Afghanistan. The first of these directs the Council on Membership to consider a new category of ADA membership for dentists who engage in full-time international humanitarian relief. The second will study and implement, if feasible, an international humanitarian relief project in memory of Dr. Grams.

Facts and Figures: 2010 and 2011 ADA Annual Sessions

dental hygienists, 1,923 dental assistants, 1,372 dental business assistants, 57 lab technicians, and 354 students. • For the first time, attendees of the Annual Session could tell others about their experiences via a special Twitter.com feed and Facebook.com group. • For the first time, attendees could download the ADA Annual Session Mobile Application. The “app” offered the ability to search for continuing education courses, exhibitors, product information, show schedules, event calendars, floor maps, and social media links. • For 2011, the ADA will charge exhibitors $3,475 for standard 10 foot by 10 foot booth. Corner booths will cost $4,325 each. • The 2010 Annual Session featured more than 260 continuing education courses over four days.

• As of October 1, 2010, the total registration for the 2010 Annual Session was 23,546. That includes 7,109 dentists, 1,644

GDA ACTION DECEMBER 2010

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classified ads How GDA members can place classified ads AD FORM: Submit all ads on a GDA Classified Advertisement Form. To obtain a form, call Courtney Layfield at (800) 432-4357 or (404) 636-7553, or email layfield@gadental.org. (Note: The GDA may accept or reject any ad for any reason and in its sole discretion.)

AD DEADLINE: Ads and ad check payments are due by the first of the month before the publication month (i.e., Dec. 1 for January).

AD RATES: ADA member dentists pay $75.00 per 60-word ad per month. There is a 25 cents per-word charge for each word over 60. Non-dentist-owned companies (real estate firms, etc.) pay $195 per 60-word ad per month (additional word charges as above). Non-member dentists may not place ads.

LATE FEE: Ads for which full prepayment is not received by the first day of the ad’s publication month (i.e.; Nov. 1 for a November ad) will incur a $25 late fee in addition to the ad rate.

FORMS OF PAYMENT: Submit a check or money order with the ad form. (Make checks payable to GDA.) Credit cards are not accepted as payment.

WEB SITE PLACEMENT: Prepaid ads will appear on the GDA Web site www.gadental.org for the month the ad appears in print. Non-prepaid ads will NOT be placed online.

Dentists Available for Locum Tenens Dentist Available Daily (DAD): Dentist available during vacations, emergencies, and CE courses. Leave your practice in well-trained hands. I am licensed, insured, and have a DEA registration number so I can write prescriptions. Call Dr. Richard Patrick at (770) 993-8838. DENTIST: Need Part Time Fill In? Vacation, Illness, Maternity? GENERAL DENTIST SOLD LONG-ESTABLISHED PRACTICE. GA & DEA LICENSED. (Available Expanded Atlanta Area.) Cell: (404) 219-4097 Home: (404) 842-1196 Jesse Hader, DDS. Dentist available during emergencies, vacation, CDE courses. I have a current license, DEA certificate, and insurance. Contact me at (706) 291-2254 or cell (706) 802-7760. I hope I can be of service to you. Patrick A. Parrino, DDS, MAGD.

Dental Related Services X-RAY SAFETY CERTIFICATION for assistants is required by Georgia law. This up-to-date take-home course has effectively certified thousands of x-ray machine operators. Send $149.99 per registrant with name(s) to: Dr. Rick Waters, 285 Pinewood Circle, Athens, GA 30606. Visit www.gaxray.com for credit card payment or to use the immediateaccess online version. Call (706) 255-4499 for more information.

Equipment for Sale For Sale: Great working 1985 Siemens OP-10 Panorex Machine. Includes light tight box, one box of film, and used 810 Basic Processor—$4,000.00. There is the option of upgrading to digital for $12,000.00. Please email smiles@rexwhitemandds.com or call (770) 446-5700.

Criticare Systems Vital Signs Monitor— Compact, portable, model 506DXN2 series; rolling stand with basket included. Measures blood oxygen saturation (SpO2), heart rate and non-invasive blood pressure (NIBP). Never used. Purchased new in 2007. Contact Whitney at gumdoc5@aol.com.

Positions Available Associate Dentist. Established dynamic practice offers a unique opportunity for motivated professionals. Multiple locations available. No empty chairs … No insurance claims problems … With career high income potential and no daily office / overhead challenges. Contact Tina Titshaw at tina@myrockdale.com, call (678) 4138130, or fax resume to (770) 760-1375. Special Dental Associate Opportunity: Are you looking for a place to grow and prosper? Our exceptional practice in West Cobb County is primarily fee for service and has a robust hygiene department. We have a dedicated and well trained team that provides family, cosmetic, sedation and implant dentistry in a modern facility. The senior doctor has 22 years of practice experience to enrich a unique opportunity for a special candidate who has similar goals and values. After an introductory period, an invitation to purchase a portion of this high quality practice may be extended, with more buy in potential in the future. Please only serious inquires for this once in a lifetime opportunity need to apply by email to: drmulkey@att.net. Full-Time and Part-Time Dentists Wanted: Immediate openings available for General and Pediatric Dentists with a keen focus on quality care and a passion for working with children and young adults. We are a General and Orthodontic Dental Group with locations in Georgia and Mississippi. This position will entail light traveling between same state clinics. Please contact Beth Gannon at (678) 3872783 for additional information. CLASSIFIEDS Continued on page 28 GDA ACTION DECEMBER 2010

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CLASSIFIEDS Continued from page 27 We have an outstanding Full-Time opportunity for a Pediatric Dentist in our successful, well-respected, qualityoriented private pediatric dental practice for the right candidate. We are seeking a special, motivated, personable individual to join in our success. We are a booming practice with tremendous growth and earning potential. We offer in-office sedation. We offer excellent compensation and benefits. For more information, please contact Amanda Moseley (678) 352-1090 / (770) 720-0079 / (678) 429-9931. Part Time Associate Position Available. We specialize in Implant, Cosmetic and Reconstructive Dentistry. This is a wonderful job opportunity. We are a paperless office and use state-of-the-art technology. Applicant should have at least 3 years of clinical experience. Must be a team player and a leader. Salary BOE, great benefits available, fantastic team. Email resume to yefrusidds@gmail.com.

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GDA ACTION DECEMBER 2010

Atlanta’s Good Samaritan Health Center needs volunteer dentists to see patients. CE credits may be earned by volunteering! Opportunities available Monday through Friday. Volunteer as many or as few days as you like. Support staff volunteers welcome, but not required. Other health care and general volunteer opportunities also available. Contact Kimberly Stillwachs at specialtycare@goodsamatlanta.org for details. The Good Samaritan Health Center is a health care ministry to uninsured, low-income families in greater Atlanta. Contact www.goodsamatlanta.org or call (404) 523-6571 for information.

Practices / Office Space Available Looking for an upscale, quality office in which to see your patients? New office with operatories to spare for PartTime Dentist, one with kids or one looking to avoid hassles of ownership. Duluth / Suwanee. Dr. Bob Finkel—(770) 497-9111.

Specialist Wanted: Ideal opportunity in one of Georgia’s fastest growing communities. Great schools and neighborhoods. 12003600 sf of Class A office space in a dental complex. Existing 50+ year old general practice with on-site cone beam technology, Pediatric and Orthodontic practices. Competitive rent, generous build-out allowance, and existing opportunity for subletting vacated space through March 2011. Any inquiries call (770) 235-2288. Duluth, GA. Modern Pediatric Dental Office Space—2620 sq ft and lots of storage. With Lease Hold Improvements, Equipment, Furnishings. Easy start up with min. costs. High traffic area near Gwinnett Place Mall. Available August 2010. Tammy or Fran at (770) 497-9111. Kennesaw / Cobb County: Beautiful dental suite available immediately. There are 3 operatories plumbed. General dentist is looking to share space with a specialist. The suite is also available for sale / lease / rent to a dental specialist. Please contact Dr Kay Kalantari at (404) 452-0786.


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HOSCHTON / BRASELTON, GA: 20,000 square foot dental office building for lease w/ option to purchase in the #4 most economically developing area in the country! In the design phase and slated to be opened in June 2011 (perfect timing for graduating residents). Great lease rates & TI allowance available. Goal is to create a “one-stop” dental facility in the fastest growing area around! ORTHO already committed … Looking for PEDO, ENDO, PERIO, ORAL, PROS, etc. in a highly visible area where NO specialists are located at this time! Be the first in the area for a promising long term career location. Whether you want 1,500 or 5,000 square feet, space will be tailored to each individual’s needs. Perfect location for a new practice startup or a 2nd satellite location! Close to the newly approved satellite location for Northeast Georgia Medical Center. Demographics are off the charts and schools are unbelievable … literally one of the most sought after locations around! Priority will be given on a first come/first serve basis. Please email: SpoutSpringsProfessionalPark@gmail.com for more information.

SPECIALISTS: North Georgia Mountains. Space available for rent in growing area. Five equipped operatories, business office and reception furniture in place, wired for your computer system, ready to move right in. Eye-catching two story glass building in high-traffic area. One general dentist and a government agency already in building. Great for satellite office, solo or shared, or full-time. (706) 745-6848. North GA Mountains: Well-established PRACTICE for sale in beautiful consistently growing area. Modern equipment. Computers in all operatories. Mountain views. Enthusiastic cross-trained staff. Ideal for solo or group practice. Also for sale ten year old eye-catching glass professional BUILDING available separately or with practice. National recognition for office design. 10,000 square feet housing this practice plus a state agency. Highly traveled highway frontage. The best of a big-city practice in a relaxed country atmosphere and a warm, friendly patient environment. (706) 745-6848.

DULUTH / GWINNETT PLACE— Dental Space Available. 1,670 square foot space operated as successful dental office for 15+ years. Has all necessary plumbing, only need paint, carpet, and equipment upon moving in. 4 Chairs. Perfect for first time user. Floor plan is available. Competitive rental rates. Call (770) 9160484 or e-mail matt@glenwoodco.com. CUMMING, GA. This opportunity provides a great way to grow a practice and make it your own. This practice has 4 operatories, 2 plumbed with new equipment. On track to produce $250K this year. Seller is distracted with other projects. Call (678) 482-7305 or email info@southeasttransitions.com or visit www.southeasttransitions.com for more details.

CLASSIFIEDS Continued on page 30

GDA ACTION DECEMBER 2010

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Inside This Issue • GDA Public Relations Campaign Promotes Dentistry • GDA Advocates for Struggling Medicaid Patients, Dentists

DATED MATERIAL PLEASE DELIVER AS SOON AS POSSIBLE

ACTION

Suite 200, Building 17, 7000 Peachtree Dunwoody Road Atlanta, Georgia 30328-1655 www.gadental.org

GDA Action  

GDA Action is the Journal of the Georgia Dental Association

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