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Advancing Excellence in Dentistry Newsletter

Issue 35 | Dec 2015

Alphabet Soup - One Dentist’s Journey [pg 8-9] Night in Atlantis [pg 12] What Marketing Tactics are Worth the Investment? [pg 18-19]


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 WAGD Newsletter | December 2015

What’s in this Issue

Innovative Periodontics: “Creating Success in Today’s Dental Practice” ..................................... 4-5 Washington AGD Leadership Roster 2015-2017 .............................................................................. 6-7 Alphabet Soup - One Dentist’s Journey ............................................................................................. 8-9 ‘Tis the Season for Tax Planning ..................................................................................................... 10-11 Night at Atlantis ....................................................................................................................................... 12 Dr. Hess “Asks the Experts” .............................................................................................................. 14-15 The Need for Long Term Care Insurance ............................................................................................. 16 You’re Only as Good as Your Practice! ................................................................................................. 17 What Marketing Tactics are Worth the Investment ..................................................................... 18-19 Program Approval for Continuing Education (PACE) ......................................................................... 20 2016 AGD Membership Application ..................................................................................................... 22 “Live Patient” Orthodontic Program .................................................................................................... 23

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Innovative Periodontics: “Creating Success in Today’s Dental Practice” Samuel B. Low, DDS, MS, MEd Sponsored by the Washington Academy of General Dentistry, University of Washington & Seattle King County Dental Society

Date: Time: Credits: Location:

Friday, April 29th, 2016 8:30 AM - 4:30 PM 7 Lecture Subject Code: 490 Bellevue Westin Hotel - 600 Bellevue Way NE, Bellevue, WA 98004

Want to utilize your Hygienist’s time more productively? Looking for a quality resource for “what’s new” in dental products, systems and technology? With periodontitis being the major contributor for tooth loss in the practice of dentistry, resolving the disease process requires the entire dental team’s commitment to a systematic approach. This presentation will provide the participant with user-friendly protocols and technological solutions to find and manage periodontal disease. Take the frustration out of delivering periodontal care and gain success with patient case acceptance, tooth retention and financial reward.

Learning Objectives: •

Standardizing the collection of periodontal data in an

wavelengths in sulcular decontamination, degranulation,

of restorative abutments considering when to extract and

new attachment, and bone regeneration

Reviewing successful parameters to determine tooth survival in short and long term prognosis

Empowering the dental hygienist with expanded work descriptions beyond the “prophy”.

Determining the efficacy of utilizing various laser

efficient manner to accurately determine the prognosis place implants.

Establishing a quality periodontal maintenance program

Investigating computer system approaches to risk

that enhances the restorative practice including third

assessment determination

party reimbursement.

Developing “realistic” non-surgical therapies and the

Creating positive interactions between dentists,

respective reevaluation with emphasis on “new” anti-

periodontists, and dental hygienists through

inflammatory systems including micro-ultrasonics and

communication skills and continuous quality

laser technology, and nutraceuticals as probiotics and

improvement to enhance esthetics, tooth retention, and


implant placement

4 WAGD Newsletter | December 2015

Washington AGD Leadership Roster 2015-2017

WAGD President 2015-2017 WAGD CDE Webmaster WAGD CDE Orthodontic Program Coordinator Puneet S. Aulakh, DDS, FAGD

WAGD Past President 2015-2017

WAGD Treasurer 2013-2016 Joseph F. Sepe, DDS, FAGD

WAGD President-Elect 2015-2017

At Large Board Member 2015-2018

James O. Cunnington, DDS, FAGD

Steven L. Thomas, DMD, MAGD

WAGD CDE Comittee Teresa K. Kang, DDS

WAGD Editor 2013-2016 Brady Bates, DDS

WAGD CE Chairperson

WAGD PACE Program Approval

Mastertrack Program Coordinator


At Large Board Member

Membership Chair & At Large Board

WAGD CDE Committee

WAGD Executive Director

WAGD Legislative Chairperson

Region 11 AGD Executive Director

Bryan C. Edgar, DDS, MAGD

Valerie Bartoli, ED, CDA

Sept 2014-2016

Member Sept 2014-2017

Gary E. Heyamoto, DDS, MAGD

Linda J. Edgar, DDS, MEd, MAGD

At Large Board Member September 2013-2016

WAGD Dental Care & PIO Chairperson At Large Board Member September 2013-2016 Carl W. Youngquist, DDS, FAGD

C/O Membership Chairperson

Himanshu Nigam, DMD, FAGD

6 WAGD Newsletter | December 2015

Not Pictured Guy M. Hanson, DDS, MBA, MAGD - Region 11 AGD Trustee November 2017 At Large Board Member September 2015-2016 Thanh Dung N. Nguyen, DMD, MAGD

WAGD UW Dental School Chairperson

Ravi S. Sinha, DDS - Region 11 AGD Regional Director

At Large Board Member Sept 2014-2017 Ernesto Ricardo Schwedhelm, DDS

Tar C. Aw, DDS - WAGD UW Dental School Advisor, At Large

November 2017 Board Member, September 2015-2018

WAGD-UW Dental Student Representatives

Not Pictured

Nicole Voeller Class of 2016

Rochell Burke Class of 2017

Meg Hurd Class of 2017

Kooroush Mansourzadeh - Class of 2016 Lynda Phan - Class of 2018 Evan Mitchell - Class of 2018 Christine Chen - Class of 2019 Amelia Skifstad - Class of 2019

WAGD Federal Advisers Liaisons George J. Holzer, DDS, MAGD, ABGD Cynthia V. Feleppa, DDS, FAGD Tyler J. Rumple, DDS

Renew Your AGD Membership

Please renew or rejoin the AGD, contact the AGD Membership Services Center at 888.243.3368 (toll-free) or 312.440.4300, email us at membership@agd.org. Our member representatives are available to assist you Monday through Friday from 7:30 a.m. to 5:30 p.m. CST. We would love to have you back!




Alphabet Soup - One Dentist’s Journey Richard B. Winter DDS, MAGD, DIC.OI, DABOI/ID, FAAID, FIC.D, FADI

Why do you belong to the AGD? To track C.E.? Discounts

become a Master in the AGD. Well, I decided to take these

for national meetings? Insurance Discounts? Well this is

weekend long participation and lecture courses and see

an article of why I got involved in the AGD and the journey

where it led. I would find myself working on my slides—yes

it has taken me on. After graduating from the University

I didn’t have a digital camera when I began my journey—

of Minnesota’s School of Dentistry in 1988, I got to join a

and realized that presenting my homework was exciting,

practice with my father and brother. That gave me incredible

challenging and rewarding. The day I received my Mastership

insight in to how much I DID NOT know about dentistry.

award in San Diego with my family present was one of the

So with my father’s love of continuing education I was

most exciting days of my dental career and the background of

motivated to start taking courses to fill in the gaps left by a

the USS Midway was spectacular. That’s it I told myself- I am

4-year dental education. I took courses by Harold Shavell,

finally done! Not so fast, said Dr. Sy, you haven’t yet achieved

Lloyd Miller, Peter Dawson, Jack Turbyfill and others. It

your LLSR (Life Long Service Recognition.)

wasn’t long before I started questioning denture techniques, esthetics, centric relation and beginning a journey that I am still on 27 years later.

Let’s fast-forward to what that springboard has done for me. I met two mentors in Dr. Leonard Machi (past president of the WiAGD and current Board of Director) and Dr. John

After taking several AGD sponsored courses and realizing

Werwie (past WiAGD president) who both opened their

that I would need to track these hours I started my track

offices to me to learn and get motivated to understand

toward Fellowship in the AGD. The 600 hours of C.E. seemed

implant dentistry. I went through the Misch International

like a lot but I was already amassing a lot of C.E. and thought

Implant Institute and went through the Prosthetic and a

it should go toward something. That’s when I took a serious

few years later the surgical continuums. Well, the AGD

look at becoming a Fellow of the Academy of General

was always on my mind, so I continued to photograph my

Dentistry. This was my organization as they were formed,

cases (even the failures), and document all the cases I was

run and advocates for general dentists. I signed up for the

performing. This habit allowed me to effortlessly get my

review course at Marquette dental school and for several

Fellowship, Mastership and Diplomate in the International

days I received updates on all aspects of dentistry. Under

Congress of Oral Implantologists. By now the quest for the

the guidance of Lou Boryc (a leader in the WiAGD) and the

best information, the best courses and self-fulfillment led

wonderful instruction, I studied vigorously for the fellowship

me to pursue the Diplomate in the ABOI or American Board

exam and wondered why I would ever subject myself to

of Oral Implantologists/Implant Dentistry. Again as I was

something this hard after completing dental school! Well,

studying everything from pharmacology and anatomy as

always enjoying a good challenge I took the exam and

well as prosthetic principles. I would ask myself why are you

passed. The award ceremony in Nashville Tennessee further

doing all of this studying? Well, the review course taught by

cemented my relationship with the AGD as the doctors I met

Dr. James Rutkowski alone was worth challenging the boards,

like Chris Hansen and John Olson (current Board members

as it was the best review course on implant dentistry I have

and past Presidents of the WiAGD) showed me the caliber of

ever taken! The materials they sent home with me to learn

people that pursued high-level dental education and made

were worth the price of admission alone. I felt that I had met

me want to be a part of this group even more.

more amazing dentists on my journey and had a true Deja Vu

I thought this is good I am DONE! Not so fast said Sy Wachtenheim the Illinois AGD Mastertrack coordinator and another of my many mentors. You can take world class C.E.

experience studying for the DABOI like I was studying for the FAGD exam. I began to realize that these awards meant very little to others but the journey was everything to me.

here in Chicago, get homework to do that you are already

I am a general dentist. I joined the AGD to take good classes

doing in your practice and before you know it you can

and track my C.E. credits. I have just decided that as long

8 WAGD Newsletter | December 2015


as I am practicing a profession I love, perhaps I should

specialists in Implants, Sleep Apnea, Pathology, Dermal

continue to get better, learn and practice at as high a level as

Fillers, Botox, TMJ, and Cosmetics to help put on quality

I personally can achieve. The article I wrote entitled,” General

continuing education and preserve our rights as general

Dentistry As A Specialty” sums up my feelings on the role

dentists to perform all aspects of dentistry at the highest

continuing education should play in your career. We all need

levels! The letters after our names may seem like alphabet

to be specialists at our profession of general dentistry.

soup with the awards we have achieved but in reality they are

So I ask all of you, “What do you do to enjoy your profession?” I don’t think we are unique in Wisconsin in that we have had to cancel two of our CE courses due to poor attendance. As a member of the board we have tried to ask people what they need and want for quality CE and we still don’t completely understand what AGD dentists want. We like many of our fellow constituents are fortunate to have leaders in the WiAGD that are general dentists who are truly

crafted from love of life long learning, pursuit of our ideals, diligence, discipline, and patient centered and evidence based dental pursuit of our own self-actualization. I invite all of our members to write, call and participate in our programming. Please drum up interest in the AGD and help us become the leaders of continuing education and pursuit of excellence that our charter mandates. I invite all of you along with me on my journey! Where will your journey lead?

Richard B. Winter DDS, MAGD, DIC.OI, DABOI/ID, FAAID, FIC.D, FADI AKA Alphabet Soup! Master Academy of General Dentistry Diplomate International Congress of Oral Implantologists Diplomate American Board of Oral Implantologists/Implant Dentistry Fellow American Academy of Implant Dentistry Fellowship International College of Dentists Fellowship Academy of Dentistry International




‘Tis the Season for Tax Planning Jenny Smerud CPA and David Strom QKA, QPA

In case you hadn’t noticed, it’s beginning to feel a lot like year-end. The weather has turned colder in most parts of the country. The days are growing shorter. Retail stores have their holiday decorations on display. With all the balls in the air, you might be tempted to sacrifice a face-to-face meeting with your tax professionals so you can focus on getting prepared for the holidays. You might think that you already know what to do for your dental practice. Or, you might think that this year’s tax season will simply be “business as usual,” and so you’ll put off thinking about it until next Spring. However, here are three really good reasons to make time for your tax professional now to get your dental practice and your personal financials in the best shape possible.

One: It’s Time to Get Your Financial House in Order

Two: It’s Time to Leverage Your Financial Data for Business Planning Year-end is the appropriate time for a retrospective look on the past year. A clean set of books and the associated management reports transforms your “gut feel” for the

Before your tax professionals can prepare your annual

health of the dental practice into concrete metrics to evaluate

tax filings, your books will be evaluated to ensure that all

revenue streams, operational efficiency, and financial

transactions have been posted correctly. By starting the


process before year-end, your tax professionals can help you tidy up your records for the majority of the year and institute

These reports generated from your dental practice can help

process changes to address any systematic errors.

you answer key questions about the business, such as:

This quick turnaround provides multiple benefits including:

month of the New Year.


investments in your dental practice, employee compensation, wealth management, and tax planning.

Is the mix of services at your dental practice attaining target profitability?

You’ll have a clear sense of where you stand financially when making important year-end decisions regarding

to reach the target reimbursement rates for services

You’re in a position to satisfy bank covenants by supplying accurate financial statements during the first

Has your dental practice attracted the right clientele

Is the dental practice managing receivables to minimize late payments and delinquencies?

You’ll get ahead of the curve when you aren’t bumping

A dental practice with soft performance can leverage this

up against a filing deadline.

data and associated expert advice to institute strategies,

In other words: Since you’ll need to do it anyway, why not get a head start?

10 WAGD Newsletter | December 2015

process changes, scripting changes, and/or employee


development initiatives to render improvements in 2016. Even

when it makes the most sense for your dental practice. And

the strongest dental practice can find room for improvement.

you can outline your mutual obligations to ensure thorough

A year-end review by your tax professionals can provide information to help you make investment decisions with respect to the dental practice – e.g., leasehold improvements or capital equipment procurement. It may trigger a review and update on insurance coverage for your practice as well.

Three: Meet with Your Tax Professional to Develop Your 2016 Plan A year-end conference with your tax professionals places you in the driver’s seat for the work you’ll do together in 2016. You can take the opportunity to outline your anticipated financial reporting requirements – e.g., tax returns for bank loans, student loans. You can schedule your collective resources

and professional accounting services and tax filings with the least effort on both sides of the table. It’s good for your dental practice and good for the bottom line.

Summary Without a doubt, the insights that you glean can inform actions that will benefit you and your dental practice in the coming year and save you money during tax season. What better gift could you give yourself? If you would more information or would like a free consultation regarding your tax or retirement plan status, please contact Doug Fettig at dfettig@aktcpa.com or 503716-9316.

Jenny Smerud, CPA Jenny Smerud, CPA, specializes in tax planning, consulting and compliance services for businesses and business owners in a variety of industries including dental, healthcare, real-estate, and agribusiness. She has been a practicing CPA for nearly 15 years and was a former business owner, who together with her husband operated a company with over 150 employees.

David Strom, QKA, QPA David Strom, QKA, QPA, has over 25 years of experience as a retirement plan consultant and specializes in designing retirement plans for profitable businesses. He is a member of the American Society of Pension Professionals and is designated as a Qualified Pension Administrator and a Qualified 401(k) Administrator.




Night at Atlantis Teresa Kang, DDS

AGD held its third annual gala, “Night at Atlantis”on October

WAGD and the AGD promote early oral cancer screening

9, 2015 The sold-out event was attended by over 200 guests

and publicly advocate for oral cancer awareness. Dr. Dzon

at the beautiful Seattle Aquarium. The evening was both

Nguyen, WAGD member and oral cancer survivor, was this

a celebration of our members as well as an opportunity to

year’s speaker. Our members appreciated him sharing his

support the fight against oral cancer. With early registration,

story and reminding all of the importance of early oral cancer

members received a complimentary ticket as WAGD’s thank

detection. During the event, there were a silent auction and

you to our members. It was a fun-filled night with sumptuous

live auction where the attendees raised their paddles and

food, live steel drums, wine raffle and casino games - with the

donated generously.

top chip winner receiving a holiday trip to Hawaii.

This event not only supported a good cause, but also

During the event the current year’s fellows, masters and LLSR

recognized our members. There was networking among the

recipients were recognized for their significant achievements.

local dental community. And for one night, members were

It was also a special year for the event marked by the

able to dress up and come together as a group to celebrate

attendance of Dr. Mark Donald, the national AGD president

their WAGD membership; and have a bit of fun while raising

and WSDA president Dr. Bryan Edgar. Two WAGD members

funds to support causes important to the WAGD and its

Dr. Rochelle Nguyen and Dr. Gary Heyamoto also received


their LLSR award. This award is given to only 1% of the 37,000 AGD dentists. Of all general dentists, less than .3% receive this recognition.

The Gala is only one among many member benefits. In addition to its role as advocate for our profession, the WAGD also offers complimentary classes and many quality

2015 FAGD

CE courses at member discounted rates e.g.Fellowtrack, Mastertrack and Orthotrack. Most importantly the WAGD

Steven L. Stallings, DMD

Mina Katchooi, DDS

Justin D. Sjulson, DDS

Nicholas G. Velis, DDS

Zachary D. Bergevin, DDS

Ryan D. Murphy, DMD

Sean F. Simper, DDS

Mark C. Stockwell, DDS

Eric N. Wenzel, DDS

Steven M. Haws, DDS

James M. Sweeney, DDS

Liana Groza, DDS

Richard F. Weatherill, DDS

Lance B. Timmerman, DMD

Brian J. Jacobsen, DMD

Syed R. Bashar, DDS

and AGD continually are the public voice for general dentists. The Gala would not have been possible without generous contributions from our corporate sponsors: Nordic/WDIA, Henry Schein, AKT CPA, Legwork, Amerinet & Hiossen and Constantine Construction. Individual donors included: Drs. Bryan and Linda Edgar, Drs. Michael and Teresa Kang, Dr. Dzon Nguyen, Dr. Marta Costa, and Dr. Ravi Singha. As a reminder, there will be

2015 MAGD

another great event next year and

Scott A. Martin, DDS, FAGD


Jason H. Chang, DDS, FAGD Edward R. McLeary, DDS, FAGD Brice B. Chang, DDS, FAGD Dzon M. Nguyen, DDS, FAGD Connie M. Manuel, DDS, FAGD Daniel J. Reese, DDS, FAGD, ABGD

12 WAGD Newsletter | December 2015

all members are encouraged to

Thanks to all attendees from the 2015 Gala Committee: Dr. Teresa Kang, Valerie Bartoli, Dr. Linda Edgar and Dr. Gary Heyamoto.

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Dr. Hess “Asks the Experts” Each issue of the Washington Academy of General Dentistry Newsletter will feature two of your questions posed to well known dental experts by Dr. Hess. This issues questions are being answered by Drs. Steve Carstensen and Edmond Truelove. Dr. Steve Cartensen maintains a private dental practice in Bellevue, WA with a special focus on dental sleep medicine and is the Editor in Chief for Dental Sleep Practice magazine. Dr. Edmond Truelove is the Director of Oral Medicine Clinical Services and Professor Department of Oral Medicine at the UWSoD as well as leading the Truelove Literature Review for over 25 years. Please forward your questions to Dr. Hess at drhess@tahessdds.com

Question: I’ve begun talking with patients about sleep problems, and many of them admit to snoring, but they say they don’t have apnea. They ask if I can make them a snoring appliance only. I’m thinking ‘why not?’ And, if they are tooth grinders, can’t I claim this on their dental insurance as a bruxing guard?

Answer: First of all, congratulations for adding sleep questions to your history! As we all do this, dentists are going to be able to find many people in our communities that need help. Someone answers ‘yes’ to snoring - now what do you (and your whole team!) need to say next? Let’s think a bit about what’s going on here -

Timothy A Hess, DDS, MAGD Director of the Tucker Institute Affiliate Instructor Restorative Dentistry Affiliate Faculty Oral Medicine University of Washington School of Dentistry

all you know is that the patient has been told of snoring - you don’t know how much snoring or if it is accompanied by pauses and recovery of breathing. Every study that’s ever been done says patient and bed partner reports are unreliable indicators of severity of apnea. There was a study published in 2015 that found a 90% positive predictive value of sleep apnea if a bed partner reports snoring; it’s really hard to make a case for believing the patient who professes ‘snoring only.’ What might be the consequences? This falls back to your dental-office history taking - which is inadequate for assessing cardiovascular, endocrine, and neurological health, all of which might be significantly affected by sleep apnea. If your patient ends up with some cardiovascular event, do you want to take questions from them or the family about a lack of diagnosis? Or from a lawyer or your insurance company? One pathway might be enlisting the help of the patient’s PCP - if she/he signs off on the patient’s health status, you can go ahead. While bruxing and sleep disordered breathing are commonly found together (another clue) mandibular advancement devices are Class 2 medical devices indicated to treat sleep breathing. The definitions that accompany bruxing codes for dental claims do not include language about sleep and breathing, so

Steve Carstensen, DDS, FAGD, ABDSM DrSteve@PremierSleepAssociates.com www.PremierSleepAssociates.com

14 WAGD Newsletter | December 2015

the code does not describe what you are doing. You run the risk of defending


“Ask the Experts” cont. your actions in an insurance audit, so work with the patient

manifestations. Treatment includes identifying any ongoing

on a fee for service basis and don’t try to claim benefits that

triggers (medications including some antidepressants and

don’t really apply.

neuroleptics as well as other psychoactive medications).

This is also a chance for you to make a values statement to your team. While trying to ‘help the patient’ by fudging on the insurance may seem well-motivated, cracking open the

Onset after a traumatic event (traumatic brain injury – concussion) should suggest to the clinician that further evaluation for the presence of dystonia is wise.

door to falsified claims may lead to even more egregious

Treatments and treatment success is highly varied and

missteps. You set the culture for your office. Choose wisely.

includes medications (muscle relaxants, anti-Parkinson’s

Sleep apnea on-demand CE offerings by Dr. Steve Carstensen can be viewed at: www.mapleleafce.com

medications, Baclofen, and other central acting agents). Local therapies including trigger point injections, massage, physical therapy and “Botox” injections into the affected muscles have shown benefit. Use of “sensory tricks” that

Question: I understand that much of what we refer to as temporomandibular dysfunction is muscle related. What are dystonias and how do they differ from other muscle issues?

temporarily counter stimulate central nervous system signaling can reduce symptoms. Such “sensory tricks” can include oral appliances, mucosal stimulation and topical agents. Currently, one of the major treatment approaches is the periodic injection of “Botox” into the involved muscles at 3 to 4 month intervals. The temporalis and masseter muscles


are usually receptive to “Botox” therapy. There is no definitive

Interesting question. Dystonias are a group of movement

is long term management.

disorders that can affect most muscles and muscle groups including those involving mastication. They can involve one muscle or an entire group of muscles involved in particular functional activities (mastication, cervical stability, etc.). They can be localized or generalized even to the extent of involving most skeletal muscles. The etiology varies and includes genetic forms, post-traumatic, medication induced, and spontaneous without clear causation. Dystonias that involve the muscles of mastication cause chronic contraction

cure for the condition and once active the standard approach

Dr. Truelove has leads the Truelove Literature Review to multiple study clubs in the Seattle area. Recordings of the review can be viewed at: http://www. mapleleafce.com under “TLR Study Club”.

and tensing of the muscles, leading to limited or strained mandibular opening. The clinical presentation often confuses clinicians into assuming that the problem arises from meniscus displacement in the TMJ when the mandibular restriction is muscular in nature. The muscles are usually tender to palpation but standard treatments often fail to achieve the level of relief expected by the treating clinician. In some patients the dystonia involves cervical and facial muscles including blepharospasm (rapid blinking of the eyes). Patients sometimes describe the symptom as a strong “pulling” sensation in the muscles of the jaw, face, or neck. Diagnosis can be difficult in those with less severe

Dr. Edmond Truelove Director Oral Medicine Clinical Services Professor Oral Medicine, University of Washington https://dental.washington.edu/oral-medicine/




The Need for Long Term Care Insurance As you build your financial portfolio

and Life Insurance, Long Term Care

both for your financial security now

Insurance will protect your family and

and in anticipation of enjoying a long

you from the large financial burden

retirement, you need to factor in

that an accident or illness may cause.

the cost of care for when you need

Purchasing coverage will relieve your

assistance in performing the activities

family of having to center their lives

of daily living. This care can take

around your personal care while giving

place in your home or as a resident in

you the freedom to choose where you

an assisted living facility or a nursing

would like your care to take place.

home. The average length of stay at

41% of people receiving long term care are between the ages of 18 and 64.

a nursing home is 2.4 years, which would cost you over $200,000. You can designate money in your portfolio to cover the costs or you can purchase Long Term Care Insurance.

70% of people over the age of 65 will require Long Term Care services at some point.

Since the need for assistance, not age, is the trigger for receiving long term care benefits, this insurance will cover you should the unexpected happen at any age. For example, if at age 47 an illness or accident leaves you needing care, you would be eligible to receive

Long Term Care Insurance is similar to Disability or Life

benefits. This would allow your spouse to continue working

Insurance in that you are paying a monthly premium to

or caring for your children while a professional caregiver

have a pool of money available to you when you need

comes to your home to help you with your daily needs such

it. Unfortunately, “Long Term Care” is not an accurate

as bathing, dressing or getting in and out of bed.

description of the benefits provided on a Long Term Care Insurance policy: “Family Freedom Coverage” may be a bit more accurate. This type of insurance frees you from the substantial financial burden of paying for care while it frees your family from the burden of caring for you at the detriment of their time, finances and physical and emotional well being.

Having Long Term Care Insurance will help you meet the cost of your spouse’s and your care should you need assistance with daily living at any age. It gives you the flexibility to choose when and where you receive care and to provide emotional and financial support for your family. WDIA encourages dentists to consider a Long Term Care Insurance

In 2014, the average annual cost of a nursing home in Washington was $102,000; an assisted living facility was $51,000 and inhome care with a health aide was $52,500.

policy as additional insurance protection for your financial

Washington Dentists’ Insurance Agency strongly believes in


the need for Long Term Care Insurance. Along with Disability

16 WAGD Newsletter | December 2015

security. To learn more about Long Term Care Insurance and to receive quotes, please contact Washington Dentists’ Insurance Agency at 206-441-6824 or 1-800-282-9342 or at info@


You’re Only as Good as Your Practice! James Moquin, Owner, HeartStart Medical, HeartStartMedical.com

minutes, every 4-6 months added to a staff meeting. You would be surprised what a difference it makes to go over your communication, expectations and your hands on practice. Your hands on practice should entail everything I have been teaching Emergency Medical Preparedness in Dental offices for almost 30 years. I have been to many offices and seen many different levels of Emergency preparedness. I think the key to how well you and your staff handle a medical emergency is in the attitude of The Boss, “The Dentist”. The only problem with this is that medical emergencies come along so seldom that it is easy to take them lightly. How hard can it be? It’s only 5-6 minutes until the EMTs and Paramedics arrive. We will figure it out. Some times that will get you by, but what about the serious ones were a patient’s emergency is life threatening and every minute matters? This is where your “Prior Practice” will make all the difference, and I’m not talking about your CPR class that you took 2 years ago. The ability for each and every office to handle an emergency well is completely within your grasp. It will simply require a slight attitude change. When I teach, one of the first things I ask an office is how many times in the last 2 years have you gone over your procedures for handling medical emergencies? Usually it’s one of two answers: None or yesterday before this class. This usually brings a smile to my face, because it’s honest. Imagine if you took the same approach to a dental procedure? So how do we get there? Simply said, you need to prioritize the amount and frequency of your practice. I’m not talking

from equipment familiarity and function, to a simple walk through discussing the idiosyncrasies of your office. Here is what Dr. Susan Hollinsworth in Kent had to say: “I have taken many CPR classes over the Years, but never one in my office. I thought I had it down fairly well, but I was wrong. Going over our own equipment and simulating an emergency we had to respond to, showed us how unprepared we really were. Now we have a protocol and are practicing regularly. I would highly recommend HeartStarts course for every dental office…in fact I would say it’s a must! This testimonial simply shows how one office, with a little bit of awareness of what to expect in a real emergency, helped to prepare themselves properly to handle a medical emergency in a manner they can be proud of. If you would like help getting your office prepared please feel free to call HeartStart Medial at 360-201-2052 or visit our website at HeartStartMedical.com. Follow the email link and we will be happy to email you a free emergency preparedness check list to use at your next staff meeting. Or call us to schedule an in office training session with our simple guarantee “Love it or your class is FREE!”

about hours. I’m talking about minutes; approximately 15-20




What Marketing Tactics are Worth the Investment? Jeff Weber, COO, Legwork, legworkprm.com

NEW DATA SAYS INVESTING IN YOUR TEAM IS AT THE TOP OF THE LIST. Recently, a leading marketing company, Hubspot, asked marketers from all over the world which marketing strategies they thought were the most overrated. After surveying 4,000 marketers and salespeople from around the world it was nearly unanimous on what the number one overrated marketing tactic is. Respondents were asked to pick from the following marketing tactics: blogs, content development, social tactics, SEO, email, traditional advertising, online advertising, and PR efforts and Sales Enablement. What was considered the best tactic? Sales Enablement. “Sales Enablement” (enabling your own team to better market and sell) was considered the number one best investment you could make in your marketing and sales.

Sales Enablement: Here’s what the data is telling us. 4000 marketers and sales people across the globe agree, one of the more effective marketing tactics you have is Sales Enablement. Sales Enablement you say? For those unfamiliar with the term, Sales Enablement is the use of tools, processes and training within your own staff to market and sell your services. You might ask, “How can our internal staff be a crucial part of our marketing? Marketing is all about ads and social media and our website.” The logic is this. Most practices are getting more leads than they realize but aren’t equipped or trained to convert them. At Legwork we work with countless practices that say their marketing isn’t effective. However, when we look further into their marketing they are getting leads. In most cases, when the time comes to convert they aren’t trained on how to effectively get a new patient into the practice. So where do you start? How do you enable your staff to better market and sell for your practice? Sales Enablement can be broken down into three basic categories: Tools, training, and processes.

18 WAGD Newsletter | December 2015

Tools: Out of the three categories of Sales Enablement, tools represent the foundation to which the other two facets of Sales Enablement will be molded around. The tools you use will be a large part of how you train your staff. The tools will be a large factor in the processes you create. You simply must provide good tools for your team to work with. So what kinds of tools can help your team market your practice better? Good question. While there are a variety of tools that can make your team more effective I’m going to focus primarily on technology because I believe it delivers the biggest opportunities to impact your marketing efforts.

Drip Marketing: Drip marketing is a great way to stay in contact with people who express interest in your services. And to be clear, this isn’t your monthly newsletter or a random email blast to your patient list. Drip marketing is


a very specific and highly targeted way to deliver focused

the boxes that make her a great hire. After 2 months she’s

content to a patient. Tools such as Legwork can automate

learned the ropes and Molly is now the first person that

this “drip” of information. This keeps you connected to the

90% of your callers will speak with. So what’s wrong with

patient all the while giving them the information they’ve

this scenario? Whether you know it or not, Molly is now

expressed interest in.

marketing and selling your practice. How well she handles

Call Tracking and Recording: How many of us would

the call and what kind of experience she provides will,

consider ourselves experts in public speaking or persuasion? Not many. It takes practice. It takes repetition to feel comfortable conveying concise information. Often times, when we implement call recording to help a dental practice with their marketing, staff members are pretty surprised by the things they say (or don’t say) while on the phone. “I said what?!?!” Listening to your calls is a very effective way to train and enable staff members to be more effective

often times, determine if you get a new patient or not. And remember…Molly is 23 years young. She hasn’t had to sell anything since running her lemonade stand when she was 6. Ask yourself…Do I feel confident in her ability to distinguish us from our competitors and get new patients in the door when they call? Most dental practices simply hope that Molly has enough natural instincts to get the patient in the door. But rarely is she equipped to do so.

marketers on the phone.


Ready-to-Send Content: In most industries if a customer

Russell Wilson, the quarterback of the Seattle Seahawks

wants to know more about a product, they simply request

and a favorite player of mine, is famous for saying: “The

it from the service provider. Somehow, in dental marketing,

separation is in the preparation”. I’ve always liked that

that’s most often not the case. Some practices have

quote. It’s says a lot and frankly it holds true in many areas

materials on hand but most simply try to convey their

of business. We need to be prepared in the areas we hope to

services verbally. Not very memorable. Using pre-crafted

be successful in.

materials and an efficient delivery system allows you to email

So what kind of preparation can be done to better enable

or mail materials to interested parties. Good automation software can deliver branded, attractive content that can be sent at the click of a button to reach people who express interest in your service.

Rewards: What better way for your staff to create a great patient experience than to enable them to say thanks to patients who refer your practice. Referral marketing is the

staff members to market a practice? Dental practices are busy places. Often times the phone can be an annoyance. But the phone is our friend. Typically when we’ve setup call tracking at a dental practice one of the first things that jumps out is the number of calls that go to voicemail. With good processes and training, phone should be covered nearly 100% of the time by staff members who are ready to talk with new

most powerful way to get new patients in the door. And if


that’s the case then you had better make it easy for your staff

You should have specific processes in place for walk-ins,

to say thanks when people kindly refer your practice.

phone inquiries and online form submissions. How you

Saying thanks can happen in a number of ways. You can

follow up (or if you follow up) in an effective way can result

send them a nice card, a treat, or something else that says “thanks” in a meaningful way like a card. A good dental marketing solution can enable you to do all of these.


in gaining or losing dozens of new patients per year that otherwise might go down the street. Enabling your team by building processes around these scenarios can make a huge difference in your marketing success. For most of business owners, Sales Enablement doesn’t come

Here’s a typical scenario: You have new staff member,

naturally. Give it a try this year when considering where you

Molly. She’s 23 years old and full of energy. She checks all

place your efforts. You’ll be surprised at the results.




Program Approval for Continuing Education (PACE) AGD Credit for Study Clubs, existing or new, Dr. Linda Edgar wants to hear from You.

Each year, thousands of continuing education courses are presented by hundreds of program providers—dental schools, dental societies, and companies that specialize in course presentations. Most provide dentists with valuable information that can be successfully integrated into the dental practice. The Academy of General Dentistry (AGD) Program Approval for Continuing Education (PACE) was created to assist members of the AGD and the dental profession in identifying and participating in quality continuing dental education. PACE is an evaluation of the educational processes used in designing, planning, and implementing continuing education. Approval by the AGD does not imply endorsement of course content, products or therapies presented, nor does this approval imply that a state or provincial board of dentistry will accept courses for re-licensure. Approved program providers are expected to comply with all relevant state and federal laws. Continuing education offered by approved program providers will be accepted by the Academy for Fellowship/Mastership credit. PACE reviews and approves program providers, not individual speakers or specific courses content. The applicant may be a major unit or department within an institution. To be eligible for Program Approval for Continuing Education the following criteria must be met: 1. The program provider must have been offered a planned program of continuing dental education activities for at least 12 months. 2. The program provider must ensure that all courses offered have a sound scientific basis in order to adequately protect the public. PACE reserves the right to require acceptable substantiation from providers that their courses have a sound scientific basis, proven efficacy, and ensure public safety. 3. The program provider must ensure that the educational methods and the facilities selected are appropriate to accomplishing the stated objectives of each activity. 4. You MUST NOT be representing a company. 5. You cannot provide these courses out of the state of Washington

Contact Dr. Linda Edgar to request a PACE application form. Email drlinda@edgardentistry.com or by phone 206-940-6112. There is an application fee $175 for AGD member, $550 for Non-AGD member. Please make checks out to the WAGD. If you are a specialist, it is not required but it is appreciated if you support the AGD by joining as an Associate member. A membership application will be sent with your PACE Approval Application. If a program provider offers courses or programs in more than one state/province, draws a significant amount of participants from more than one state/province or offers self-instruction programs that provider must apply for national approval.

Linda Edgar, DDS, MAGD Washington AGD PACE Chairperson Email: drlinda@edgardentistry.com 1911 SW Campus Drive, Federal Way, WA 98023

The Academy of General Dentistry does not endorse any course content, products, processes, services or therapies presented by AGD PACEapproved providers. The views and opinions of program providers expressed during education programs do not necessarily state or reflect those of the AGD. AGD PACE-approval may not be used for product or program endorsement purposes; nor does it imply acceptance by a state or provincial board of dentistry; nor does it imply accreditation of a program. If you have questions, you may email PACE@agd.org. Or call AGD headquarters 1-888-243-3368.

20 WAGD Newsletter | December 2015



We look forward to seeing you at next year’s meeting. July 14 to 17, 2016 Hynes Convention Center Visit www.agd2016.org for more information.

Approved PACE Program Provider FAGD/MAGD Credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. 6/1/2014 to 5/31/2018



Promotional code:_______________________

2016 AGD Membership Application

Referral Information If you were referred to the AGD by a current member, please note his or her information below:

For more information: Join online at www.agd.org. Call us at 888.243.3368 or 312.440.4300.

Member’s name

City, state/province, or U.S. Federal Services branch

Member Information

First name


Last name

Designation (e.g. DDS, DMD, BDS)

Date of birth (mm/dd/yyyy) Required for access to the members-only sections of the AGD website

Do you currently hold a valid dental license in your country of practice? q No q Yes: ____________________________________________________________________________________________ License number State/province Country Date renewed (mm/yyyy) Type of membership (See back page for definitions.): (Check one.) q Active general dentist q Associate (dental specialist) q Resident q Dental student q Affiliate If you are not in general practice, please indicate your specialty: _______________________________ Current dental practice environment: (Check one.) q Solo q Associateship q Group practice q Hospital q Resident q Corporate q Other____________________________ q Faculty _________________________________________________________________ Please indicate institution

q U.S. Federal Services ___________________________________________________________________ Please indicate branch

If you are a member of the Canadian Forces Dental Service, please indicate your preferred constituent: q U.S. military counterpart q Local Canadian constituent

Contact Information

Your AGD constituent (local chapter) is determined by your business address, unless one is not available.

Preferred billing/mailing address: q Business q Home Preferred method of contact: q Email q Mail q Phone

Business address


ZIP/postal code




ZIP/postal code


Name of business (If applicable)

Home address



Primary email

Educational Information



Website address

Are you a graduate of an accredited* U.S./Canadian dental school? q Yes q No q Currently enrolled

Dental school



Date of graduation (mm/yyyy)

Are you a graduate of (or resident in) an accredited* U.S. or Canadian postdoctoral program? q Yes q No q Currently enrolled Type: q AEGD q GPR q Other ________________________ *See back of form.

__________________________________________________________________________________________________________________________________________________________________________ Postdoctoral institution State/province Country Start date (mm/dd/yyyy) End date (mm/dd/yyyy)

Stay Social With the AGD!

Optional Information

Search “Academy of General Dentistry” to connect with us on:

Gender q Male q Female Ethnicity q American Indian q Asian q African-American q Hispanic q Caucasian q Other I am interested in participating in the AGD Mentor Program as a: q Mentor q Mentee

Dues Information


Please check membership type applying for:



Puerto Rico

q Active General International (in Canadian dollars) Dentist ..................... $386 ..................$427 ................ $324 q Associate ..................... 386 ....................427 .................. 324 q Affiliate ....................... 193 ....................214 .................. 162 q Resident ....................... 77 ......................86 .................... 65 q 2015 Graduate ............. 77 ......................86 .................... 65 q 2014 Graduate ........... 154 ....................171 .................. 130 q 2013 Graduate ........... 231 ....................256 .................. 194 q 2012 Graduate ........... 308 ....................341 .................. 259 q Dental Student .............. 17 ......................22 .................... 17

q Check (enclosed) q Visa q MasterCard

q American Express

Note: Payments for Canadian members can only be accepted via Visa, MasterCard, or check.



Expiration date (mm/yyyy) Please print name as it appears on the card. I hereby certify that all of the above information is correct, and that by signing this application agree to all terms of membership, including completion of 75 hours of continuing education every three years for active general dentist and associate members.

1. AGD Headquarters Dues: ............................. _________ 2. AGD Constituent Dues: ............................... _________ Please refer to back side for constituent dues.



Total Amount Enclosed: ............................. _________

Return this application with your payment to: Academy of General Dentistry, 560 W. Lake St., Sixth Floor, Chicago, IL 60661-6600, USA.

Dues rates effective through Sept. 30, 2016.

If paying by credit card, fax to 312.335.3443.


“Live Patient” Orthodontic Program

Dentists will be provided “live” patients from initial consultation to final retainer delivery Dates:


March 4, 2016 April 8, 2016 May 6, 2016 June 3, 2016 July 8, 2016 August 5, 2016 September 9, 2016 October 7, 2016 November 4, 2016 December 2, 2016 January 13, 2017 February 3, 2017

Dr. Binh Tran’s office 1014 S. 320th St. Federal Way, WA

Course tuition: $10,000 for 12 sessions AGD Member Dentist (Before December 31, 2015) $12,000 for 12 sessions AGD Member Dentist (After January 1, 2016) $2,000 for 12 sessions for CDA with AGD Member Dentists $12,000 for 12 sessions for Non-AGD Member Dentist (Before December 31, 2015) $14,000 for 12 sessions for Non-AGD Member Dentist (After January 1, 2016) $4000 for 12 sessions for CDA with Non-AGD Member Dentists

Credit Hours: 12 per session.

When registering, enjoy No Payments and No Interest if paid in full in 6 months on Bill Me Later purchases of $99 or more. This option is available upon checkout through our Paypal service.

Course Content/Objectives: Dr. Binh Tran has been an exceptional instructor. He teaches, motivates and inspires us to achieve goals – and students and dentistry. He is the only instructor that I know who is available to answer our questions and guide us throughout the course. This Washington AGD sponsored course is highly recommended because we learn and treat real patients, which provides us with the confidence to take on ortho cases in our practices. In addition we have his support outside the class that helped me add over20ortho cases in the last eight months since I started Dr. Tran’s course. I have driven every month from Portland and stayed in hotels just to take this course, and it is the best investment I’ve ever made in my dental education. The class is so much fun that I have not skipped a single session.”

Rose Bailey, DDS

Initial orthodontic examination and comprehensive treatment plan. Orthodontic records and management system Photography and case presentation Orthodontic office and financial management system Ceph analysis and FACE principles Orthodontics Principles and Mechanics for Angle class 1,2, and 3 Clinical orthodontic practice: from banding to debanding. Orthodontic supplies ordering and managing inventory Post treatment retention and monitor Surgical and TAD in Orthodontic. Pediatric to Geriatric orthodontics. All training manuals are in digital format/Flash Driverelated reference papers is included. Attendee will be trained in how to start orthodontic service in their office. Attendee will treat and present a minimum of two of Dr. Tran patients. Attendee is requested to start treatment in their own office and present those cases. Monthly quiz and a final exam will be given to confirm learned concepts

Final Plaque and Certificate presentation with Diner (spouse invited)

At the completion of this course, attendees will be able to

confidently identify orthodontic problems and provide treatment solutions in their

Ravi Sinha, DDS “Washing ton AGD Ortho course led by Dr. Binh Tran is one of the best courses I have ever taken. I can’t say enough about the way Dr. Tran has organized the course to provide a comprehensive program. His knowledge and skill is vast, and his way of making sure you totally understand is great. I highly recommend Dr. Tran and this Washington AGD program.”

• • • • • • • • • • • • • • • •

Course Goals:

own office. This course will provide additional office income while enhancing all other treatment results that the doctor is providing.

Course Requirements:

Attendance, office capacity, patients’ availability,

supporting staff. The doctor is encouraged to select one CDA from the office to


attend a staff training course if possible. However, past doctors have trained their own staff to provide care. *As




Washington AGD

does not endorse, partner or solely support companies,

products or speakers, but rather recognizes speakers, products and sponsors for their services to our

Washington AGD

educational programs.


views and opinions of the speaker expressed during the

educational program, do not necessarily state or reflect those of the

Washington AGD.



Constituent of the Academy of General Dentistry Valerie A. Bartoli, Executive Director 900 Meridian E. Suite #19-361 | Milton, WA 98354

Pre-Sorted Standard U S Postage PAID Wenatchee, WA 98801 Permit #241

Washington AGD Mission: “The Washington AGD provides its membership professional development through quality education for comprehensive patient care.�


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Washington Academy of General Dentistry 2015 Winter Newsletter  

Washington Academy of General Dentistry 2015 Winter Newsletter