Shreveport, LA 71106 (318) 865-1600 jeffreykerst@gmail.com
EDITORIAL BOARD
Dr. Gary Caskey
Dr. Robert Hill
Dr. David Austin
LDA OFFICERS
Dr. Sean Owens President
Dr. Roman Farrar President-Elect
Dr. Mike Luminais
Secretary-Treasurer
Dr. Catherine Hebert
Speaker of the House of Delegates
LDA STAFF
Annette B. Droddy Executive Director
Jacob DeBlieux
Director of Membership Development
Tiffany Waddell
Director of Accounting
Jeanne McFall
Director of Conference Services
Amber Allen
Executive Assistant
Rebecca Bordelon
Director of Communications and Public Affairs
A Member Publication of the American Association of
Dental Editors
JOURNAL of the Louisiana Dental Association (USPS284620) is published quarterly at 818 Pierremont Rd., Shreveport, LA 71106, in March, June, September and December, and is the official publication of the Louisiana Dental Association. Opinions and statements expressed, however, are those of the writer and not necessarily those of the Association. Original articles published herein become the property of this publication. Subscription price is $18 per year for members, $30 per year for non-members and $65 per year for foreign subscribers. Periodicals postage paid at Baton Rouge, Louisiana, and additional mailing offices.
The publication of an advertisement in the LDA Journal is not to be construed as an endorsement or approval by the Louisiana Dental Association or any of its component associations of the product or service being offered.
Postmaster: Send address changes to Louisiana Dental Association, 5637 Bankers Ave., Baton Rouge, LA 70808.
Established in 1878, the Louisiana Dental Association (LDA) is the largest professional health organization for dentists
tect the
On the cover: In 2023, the Louisiana Dental Association worked with LSUSD and LSUA to secure $520,000 in the state budget for the creation of the LSUSD Hygiene Program Alexandria off campus instructional site. To learn more, visit pgs. 2 and 20.
LDA, What Have You Done for Me Lately?
By Dr. Brian Basinger Editor, LDA Journal EDITOR
That’s a loaded question. Since I sit on the LDA Board of Directors as a non-voting member due to being the editor of this publication, I know the answer to the question. Actually, I know a lot of different answers to that question. There are so many different things the LDA is working on simultaneously for the betterment of our profession in Louisiana, but I wanted to focus on one main thing for this issue of the Journal. Workforce issues. In particular, the shortage of dental hygienists and what the LDA has been doing to try and help. We’re spotlighting it here because I know that if I wasn’t on the LDA board, I would have no idea.
“Help! I need somebody, Help! Not just anybody, Help! You know I need someone, Help!”
- from The Beatles song, “Help!”
Many dentists can relate to this song as they search for a dental hygienist. For years, there had been a slight shortage of hygienists in some areas but generally a precarious situation of graduating about the same number each year as the number leaving the profession. COVID changed that. A wave of hygienists retired as offices were reopening and there haven’t been enough new graduates to fill those positions. Research done over the past two years by the American Dental Association’s Health Policy Institute demonstrates the current challenges: It shows that 38% of American dentists report
not having enough hygienists on staff, while nine out of 10 say it is “extremely” or “very challenging” to recruit them. So if you didn’t realize or haven’t felt the effects of this problem in your practice, you’re fortunate, because more than one in 3 dentists have.
Now you might be thinking, “You’re telling me there’s a problem, so how do we fix it?” I’m glad you asked!
The LDA has had a task force working on this issue for several years and we are now starting to see some tangible results. A new hygiene program was started in Alexandria at LSUA in 2023 and they celebrated their first graduates in May (see our cover photo). It is an off campus instructional site of LSUSD New Orleans. All of their new grads are from central Louisiana and plan to practice there. Dr. John Gallo, the dean at LSUSD in New Orleans, was made aware of the shortage situation and was more than willing to help by applying to CODA to accept six additional students in New Orleans. They are now at their max as
the additional six started in August. In Monroe at ULM, after several years of construction and funding delays, renovations to open a new hygiene clinic are finally underway. Once completed (tentatively scheduled for May 2026), they will be able to comfortably take a full allotment of students in each class.
These are all tangible things that are actually happening in several different areas of our state to address a real area of concern and need. As a solo practitioner in private practice, I would have no hope of trying to get any of these things accomplished myself. But as a member of a bigger community of dentists in the LDA, a lot of little pulls on the same rope can help us achieve what we’re trying to achieve for our profession and for our patients. And, the LDA is not yet finished. More to come soon.
So, thank you, LDA, for your efforts to address the hygiene shortage issue in Louisiana. Sometimes it’s nice to get by with a little help from your friends!
The American Dental Association’s Health Policy Institute states that:
• 38% of American dentists report not having enough hygienists on staff. • 9 out of 10 dentists say it is “extremely” or “very challenging” to recruit hygienists. ada.org/hpi
A Trip to Italy, Clinic Experience, and a New School Year
By Carson Basinger D3 Dental Student at LSUSD
It feels like just yesterday that I finished up my second year of dental school and was getting started on a month-long break from school. Following my last entry, my wife and I went on our long-awaited honeymoon trip to Italy. Over those 12 days, we visited Milan, Lake Como, Venice, Florence, Rome, and finally, the Amalfi coast. We got to see so many amazing sites and taste so much incredible food! It was everything that we could’ve imagined and was such a great experience that we’re already dreaming of our next (hopefully soon!) trip to Europe. Just a few days after arriving back in the States, I started school again. Luckily, this year is filled with less sitting in class and more time spent in the clinic. After about a month of courses and brushing up on clinical procedures and our clinical skills in the simulation lab, we started clinic at the beginning of August.
My first week in the clinic, I had a pediatrics rotation and wasn’t sure what to expect. To start the week, we performed recall appointments, doing intraoral and extraoral exams, bitewings and prophies. Later, I was able to do some operative for a 16-year-old patient, doing several class three fillings. It was a really rewarding experience to be able to have an impact on someone still in the process of forming their oral care habits. Once I got into my normal clinic rotation this year, I noticed that we have much freer rein as to what kind of procedures we’re doing. Last year it was just operative and some limited
perio. This year we do a little bit of everything: fixed and removable prosthodontics, more operative, oral surgery (don’t worry, only “simple” extractions), endo, and diagnosis/ treatment planning. We can only reserve 5 appointment spots at a time, and I’ve tried to fill my schedule as much as possible the first several weeks so far by doing oral diagnosis appointments. We needed to try and reload our mini clinic with patients, as we ended up discharging many patients from the school last year as we finished their treatment. This year I have a new consideration because my “little,” Brandon, is going to start seeing patients come October just like I did last year. I have to make sure that there are suitable D2
operative patients for him to be able to see while also trying to meet my requirements and see patients that I feel will help me develop and hone my operative skills. While our operative requirements are relatively similar to last year in number, this year there’s a heavier emphasis on more class threes to help sharpen our aesthetic dentistry skills. There is also an additional emphasis on more class twos both in composite as well as amalgam. Something new this year is a lot more room for “miscellaneous“ type fillings for us to have various experiences. So far, I have only had two operative appointments, an MOD and a replacement of a large existing class three on a rotated canine which challenged me in ways that I had not thought that it would. I know opportunities like that are valuable because in the real world, things aren’t always going to be just perfect class ones and class twos with easy to replicate contacts. Other requirements this year include performing a minimum of 15 extractions (although we need 50 for an A in the course), four arches of removable prothèses (either RPDs or complete dentures), three crowns/bridges, two new perio patients to perform SRP, and 10 OD patients to present treatment plans on. So far, it’s shaping up to be a very busy year full of new experiences both in and out of the clinic. It’s been a new and exciting change seeing my brother Cameron around school, as he just started as a new D1 this year. Helping him in the benchtop lab waxing teeth really puts into perspective how much time has flown and how much I’ve learned in the two short years I’ve been in school! I can’t wait to see what I continue to learn and what new clinical challenges are waiting for me throughout the rest of this school year! I’ll keep you informed.
Above: My wife and I loved touring the Colosseum in Rome. Left: Florence was an absolute blast! Below left: My brother, Cameron, and I at LSUSD on the first day of the semester.
BThe Power of Persistence
By Dr. Sean Owens President, LDA
y the time this publication reaches you, school will have started. Those of us with school-aged children will have begun the ‘war of attrition’ that is the Fall semester: school nights, athletic practices and games, recitals, school projects, and countless late nights helping with a favorite in the Owens household—homework. Amidst it all, I pose this though: What behaviors are we modeling for those that watch our every move? Specifically, what can we teach a watching world (because we are being watched, whether this is a reality we want to face or not) about our ability to see things through to completion? Persistence, resolve, steadfastness, perseverance, resilience, tenacity. Call it what you will. I truly believe that this is an elite character quality that truly separates the successful minority from the masses.
My friend and CEO/Leadership Speaker Julio Melara (juliomelara. com, melaraenterprises.com) has a great maxim: What’s important for success in life revolves around 3 variables:
1. IQ is important—intelligence on some level is required.
2. More important than IQ, though, is EQ (emotional quotient): your ability to communicate, read people, and relate to them. Without EQ, the blessing of a high IQ will not be readily available for sharing with others.
3. More important than IQ or EQ, though, is your FQ (failure
quotient): your ability to get knocked down but not stay down!
How far you go in life is directly correlated with FQ because, as we all have experienced, life is full of obstacles, challenges, difficulties, and struggles. How we deal with these, how we maintain a positive frame of mind, how we pull the lessons out of the struggles and use them to our advantage in the future—this is the greatest predictor of where we are going as we grow.
Leadership expert John Maxwell states, “The average for entrepreneurs is 3.8 failures before they finally make it in business.” How reassuring is it to know that immediate success is not the standard?! This is what separates the average from the above averagewith failure being an expected part of the equation, those of us that are Hell-bent on rising above it have an incredible advantage! Let’s focus on what is ahead with the lessons we have learned from the past—the continuous cycle of falling down then getting back up then falling down then getting back up is refining you and me, all
the time making us better versions of ourselves.
Despite the chaos of the season ahead, I encourage you not to let the small challenges and disappointments of life and business get you down or hold you back from the constant, daily pursuit of excellence, not just for your benefit, but for the behavior modeling that this provides those who are watching. Your sphere of influence extends much further than you may recognize, and people are ALWAYS watching. Show up, every day! You never know who you can make a permanent, lasting impact on by flexing your FQ muscles and attacking your challenges. Your people are counting on you, whether they (or you) know it.
We all look out for one another in this community; that’s the power of the LDA. Our small staff combined with our statewide leadership and our incredible members are persistent in our mission of promoting, advocating, and protecting the dental profession. You can count on it!
ILDA Qualified to Provide EDDA Program Through Louisiana Department of Labor’s Incumbent Worker Training Program
By Annette Droddy Executive Director, LDA
n our quest to continue providing savings and value for our members, the LDA is proud to announce it is qualified to provide the EDDA program through the Louisiana Department of Labor’s Incumbent Worker Training Program (IWTP).
What does this mean for our members?
If your office qualifies to participate in this program, there is a reimbursement from the state training program for $330 per employee trained, which is almost half the cost of the EDDA course for LDA member dentists’ assistants. The registration cost for the course is $699 for assistants who work for LDA members and $899 for assistants who work for non-members.
What’s the gist of the training program?
The grant application should be made at least 30 days prior to the course to ensure approval. Payment for the course to the LDA is required by IWTP prior to approval, and a paid invoice from the LDA must be provided in the initial application. Once approved, the course taken, and certificate obtained, this information along with a pay stub from the current pay period and the final IWTP invoice is required back to IWTP for your company’s reimbursement.
Who is eligible for IWTP Funds?
Any business which has operated in Louisiana AND has contributed to the state’s Unemployment Insurance System for at least 3 years
and employs 50 OR LESS employees is qualified. Contract workers within your company are not eligible.
What is the Small Business Employee Training (SBET)?
The IWTP Small Business Employee Training Program (SBET) is designed to benefit business and industry by assisting in the skill development of existing employees through individual, standardized (off-the shelf) training. Employers are reimbursed for tuition and required textbooks and manuals once the training has been completed and proper documentation has been submitted to the Louisiana Department of Labor (LDOL). Training costs cannot exceed $3,000 per trainee per state fiscal year (July 1 – June 30). Funding is provided through the Workforce Development Training Account, at 2.3% of all IWTP funds available.
How do I submit an application?
SBET applications must be submitted online and the signature page and appropriate documentation mailed to LWC. Applications must be submitted for review and approved prior to training.
Helpful links:
To find all of this information on our website, including links to program information or the application, visit ladental.org/SBET. For more information on obtaining a grant through the SBET program to be used towards the LDA’s EDDA program, contact Tiffany Waddell at the LDA at (225) 926-1986 or tiffany@ladental.org.
Many dental offices can benefit from this program. Once you learn the process, qualified employees can take other courses on topics like computer skills.
Items you will need to complete the initial application:
• Laworks.net login and password
• LA unemployment insurance account number
• Date of EDDA course
• Employee’s name and social security number
• The LDA is training type “G4”
• Training provider: please type in “Louisiana Dental Association”
• Course title: Expanded Duty Dental Assistant
• Course hours: 8
• Tuition: List the actual tuition – IWTP will only reimburse the allowable for the program which is $330 once the course is completed and invoice submitted with the required documentation.
beyond accounting.
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• Practice Management
• Startup Services/Consulting
• Bookkeeping
• Tax Preparation
• Tax Minimization Techniques
• Retirement Planning
AA New Investment in Your Financial Future: LDA and 401GO
By Dr. William Hadlock President, Louisiana Dental Services, Inc.
s dentists, we dedicate our lives to improving the oral health of our patients, building trust in relationships, and serving our communities. But many of us also share another reality: running a dental practice means operating a small business, managing a team, and planning for a secure future—both for ourselves and for the employees who make our practices thrive. Today, I am pleased to share some exciting news that will directly benefit our members in all these areas.
The Louisiana Dental Association has endorsed 401GO, a modern retirement plan provider designed specifically to make 401(k) plans simple, affordable, and accessible for small and mid-sized practices. 401GO is now part of the LDA Member Perks Program. This endorsement is part of our ongoing commitment to bring valuable resources to members that not only enhance practice management but also improve longterm financial security.
Why Retirement Planning Matters
Too often, small practices put off setting up retirement plans because of concerns about cost, complexity, or compliance burdens. Unfortunately, this delay leaves dentists and their staff without the critical tools needed to build a solid retirement foundation. In today’s competitive job market, offering a retirement plan is no longer just a benefit; it is a necessity to recruit and retain quality staff.
Studies show that employees are far more likely to stay with an employer that provides access to retirement savings. For dentists, this means reduced turnover, stronger team loyalty, and ultimately, smoother patient care. For practice owners, it means the chance to take advantage of significant tax benefits while putting away money for your own retirement.
Why We Endorse 401GO
We chose to add 401GO as an endorsed company because they have reimagined what a retirement plan can look like for
smaller organizations. Many of us have been discouraged in the past by outdated providers with complicated fee structures, slow processes, and limited support. 401GO takes a different approach.
Some of the most valuable benefits include:
• Simplicity: Plans are easy to set up (often in just a few days) without mountains of paperwork or confusing steps.
• Affordability: Pricing is transparent, flat, and designed for smaller employers, avoiding the excessive costs that have kept many dentists from offering plans in the past.
• Automation: Payroll integration, compliance testing, and plan administration are automated to reduce errors and save valuable time.
• Flexibility: Each practice can tailor the plan to meet its needs—whether that’s offering matching contributions, setting eligibility rules, or choosing vesting schedules.
• Employee-Friendly Experience: Employees enjoy a straightforward portal, easy enrollment, and educational tools that help them understand and appreciate the benefit you are providing.
• Industry-Leading Support: Practice owners get dedicated relationship managers, and employees enjoy live, human support by phone, email, or chat.
Members of the Louisiana Dental Association have access to these advantages with the added assurance of working with a provider that understands the unique needs of small professional practices.
Cash Balance Plans
In addition to 401(k) solutions, our endorsement of 401GO also includes opportunities to explore cash balance plans, a type of
defined benefit plan that can be particularly powerful for dentists.
Cash balance plans allow practice owners to make much larger annual contributions than traditional 401(k)s permit, often in the range of $100,000 or more per year depending on age and income. For high-earning dentists who want to accelerate retirement savings or reduce taxable income, cash balance plans can be a game-changer.
Even more, when paired with a 401(k), cash balance plans create a layered retirement strategy that maximizes flexibility and savings potential. Employees can still benefit from the 401(k), while owners enjoy the additional advantages of significant tax deductions and rapid wealth accumulation.
How to Get Started
To get started, visit ladental.org/lds to connect with Justin at 401GO and let him know you are a member of LDA. He and his team will walk you through the process and help you make the retirement decisions that are right for your practice.
As president of Louisiana Dental Services, I am proud to announce the inclusion of 401GO to our list of endorsed companies. This endorsement reflects our commitment to empowering dentists not only in clinical excellence but also in financial well-being.
Who’s Who LDA Endorsements
Sure, the LDA endorses some great companies, but what do they actually do? Find out here!
401GO
ADS Lovelace and Associates
Small Business Retirement Programs
Practice Transition/Sales Specialists
AHI Travel Travel Planning
AT&T Cellular Services
Best Card Credit Card Processing
Brown & Brown of LA Insurance - Business, Property, Life, & More
Campus Federal Credit Union Practice Loans
CareCredit Patient Financing Program
CGI Digital Practice Marketing and Communications
Compliancy Group
HIPAA & OSHA Compliance
CyraCom Translation Service
Dentistry On Hold
D-MMEX EasyRefine
On-Hold Messaging
Scrap Metal Return
Fortress Professional Liability Insurance
GE Appliances Store Appliances
Lands’ End Outfitters Professional Logo’d Apparel
Laurel Road Student Loan Refinancing
Lenovo Computers & Technology
Medical Waste Management Medical Waste Disposal Services
Mercedes-Benz Vehicles for Purchase or Lease
ODP Business Solutions - Formerly Office Depot Office Products
OnPay Payroll Processing
ProSites
Prosperident
TDSC - The Dentists Supply Company
Threadfellows
Time Traveler Backups
Websites, Marketing, & Patient Communications
Embezzlement Protection
Dental Supplies & Small Equipment
Branded Apparel
Computer Backup & Disaster Recovery
UPS Shipping
U.S. Bank Card Credit Card
Volvo Vehicles
Louisiana Weather Wins This Round, But We’ll Be Back in 2026!
By Jeanne McFall Director of Conference Services, LDA
Unfortunately, the Louisiana Dental Association had to make the difficult decision to cancel the 2025 Big Bite Fishing Rodeo due to unpredictable weather conditions along the coast. While it’s always disappointing to cancel an event we look forward to all year, the safety of our members and their families is always our top priority.
But if there's one thing we know about our members, it's that they’re resilient and ready to reel in a good time when the opportunity returns! That’s why we’re already shifting gears and turning our excitement toward 2026. We’re thrilled to announce that the LDA Big Bite Rodeo will return to the Grand Isle Marina, July 17-18, 2026. We plan to bring back everything you’ve come to love: the camaraderie, the competition, the Saturday night fish fry, and of course, the big fish and even bigger fun!
Thank you to everyone who registered this year along with our wonderful LDA Events Partners and rodeo sponsors! Your continued support of the Big Bite Rodeo keeps this tradition alive, and we can’t wait to see you at the marina next summer with an award-winning fish in hand!
Until then, keep your tackle boxes ready!
PREMIER EVENTS PARTNERS
SPONSORS
The 2026 Big Bite Fishing Rodeo will take place July 17-18, 2026.
Tickets: $25 1 Prize: st $1,000
All proceeds from the LDA’s Split the Pot Raffle benefit the LDA’s grassroots legislative efforts.
Prizes:
1st Prize: $1,000
2nd Prize: $500
3rd Prize: $250
The drawing will be held at the LDA's Last Chance Seminar on Friday, December 12, 2025, at the Baton Rouge Marriott. You don’t need to be present to win!
TMinimizing Board Complaints: An In-Depth View
By Dr. Jeetendra Patel President, Louisiana State Board of Dentistry
he busiest time of the year for dentists is typically in the Fall, specifically August through November, and again at the end of the year, particularly December. This is due to a combination of factors, including the back-to-school rush, holiday travel, and the end-of-year push to use up remaining dental insurance benefits. Unfortunately, with an uptick in patient visits, there can be an uptick in complaints. As Summer concludes, the board has received 57 complaints to date for 2025. Board complaints can be emotionally taxing for dentists and hygienists. While there is no assurance that a complaint will not be encountered during one’s professional career, there are proactive measures that can be taken to minimize the incidence of complaints. The following is a list of what I have seen resulting in board complaints:
1. Inadequate Radiographic X-Rays: Ensure clarity and obtain post-operative X-rays, particularly after extractions or implant placements.
2. Although the board lacks jurisdiction over fees, personality conflicts, rude behavior, or appointment scheduling, patients have still filed board complaints. Effective communication among all staff can address these issues.
3. Patients dictating treatment can lead to complications.
4. Failure to refer to specialists when necessary.
5. Inadequate record keeping: Medical history forms should be meticulously reviewed and completed accurately. Informed consents must be obtained. Clinical notes should be meticulously detailed. In the event of adverse outcomes during procedures or errors, proper documentation and patient notification are imperative.
6. Prescribing medication: Louisiana dentists bear a broad responsibility in prescribing medications, necessitating adherence to their professional boundaries and specific regulations, particularly regarding controlled substances.
7. Inadequate HIPAA Protocol: Staff must be vigilant about the confidentiality of patient discussions.
8. Inadequate records of autoclave spore testing and improper waste management practices.
9. Incomplete or inaccurate anesthesia records.
10. Incorrect implant placement and multiple failed implants.
11. Overtreatment: Refraining from unnecessary procedures or treatments that could potentially harm the patient or result in financial exploitation.
12. Issues with dentures: Improper communication regarding denture fit, dental assistants taking impressions and
conducting wax try-ins for final dentures instead of the dentist.
In addition, if a medical malpractice payout is related to a dentist or hygienist, the insurance company will transmit this information to the state board via the National Practitioner Data Bank.
Ethical dentistry upholds principles that ensure patient well-being and trust. It requires providing care to all patients regardless of their background, including race, religion, socioeconomic status, or health condition. All patients should receive the same level of respect, attention, and quality of care. Dentists must provide patients with all necessary information about their treatment options, including potential risks, benefits, and costs, enabling them to make informed decisions about their care.
For any questions or concerns regarding a complaint, please contact Rachel Daniel (rachel@lsbd.org) or Dr. Arthur F. Hickham, Jr. (ahickham@lsbd.org).
ASummer Enrichment Program, New Department Chair, Campus Improvements, and Alumni Day
By John R. Gallo, III, DDS, MS Dean and Professor, LSUHSC School of Dentistry
fter making a strong return, the LSU Health New Orleans School of Dentistry Summer Enrichment Program welcomed 14 students for this year’s session. Designed to support minority and disadvantaged students on their path to dental school, the program offered hands-on preparation and resources to help them become strong applicants.
Over just two days, students received guidance on the dental school admissions process, housing and transportation, a full DAT Bootcamp subscription, and open, candid conversations about navigating academic and professional challenges. This year’s participants represented Alabama State University, Louisiana State University, Spelman College, University of Alabama, University of Louisiana at Lafayette, University of New Orleans, and Xavier University.
The program’s success was made possible thanks to the involvement of LSU School of Dentistry faculty, local general dentists, specialists, and a dedicated group of guest speakers, including: Dr. Brandon Bean, Dr. Caylin Greene, Dr. Corinthia Wilkerson, Dr. Francis Giacona, Dr. George Arch, Dr. Nicholas Mosca, Dr. Rachel Potter-Spears, Dr. Remington Richardson, Dr. William Yeadon, Mr. Edwin Kee, Mr. Julio Zavala, and Mr. Hamadan Suleiman.
Third-year dental student and Student National Dental Association (SNDA) LSU School of Dentistry Chapter President Tiyuana “Keke” Myres led the program with the support of LSUSD-SNDA executive board members, including Dr. Toby Cheramie, Dr. Stephen Brisco, Ms. Lynn Pittman, and Ms. Mindy Guillotte. We would also like to give special thanks to Dr. Joey Lacoste, founder and CEO of Louisiana Dental Center, for his generous sponsorship and ongoing support.
We’re also excited to welcome Dr. Victoria Sullivan as Chair of the Department of Pediatric Dentistry. Dr. Sullivan brings nearly three decades of clinical, academic, and hospital-based experience to the role. She earned her undergraduate degree from the University of California–San Diego, a master’s from Rutgers University, and her Doctor of Dental Surgery from the University of the Pacific. She completed her specialty training in pediatric dentistry at the University of Southern California and Children’s Hospital Los Angeles.
A board-certified pediatric dentist, Dr. Sullivan has practiced since 1996 and held affiliations with institutions such as Stanford University Hospital, Kaiser
Permanente, Shriner’s Hospital–Houston, Dignity Health, Children’s Hospital Los Angeles, and Sutter Hospital. Her clinical work focuses on interdisciplinary care teams serving patients with hematologic conditions, cleft palate, and long-term pediatric care needs. Her current research interests include behavioral management in pediatric dentistry and the use of lasers in clinical treatment. She is a member of the American Dental Association, the American Academy of Pediatric Dentistry, and several local and state dental societies. Looking ahead, we’ve begun developing a new five-year strategic plan to guide LSUSD through 2030. This effort will ensure our mission, vision, and values continue to reflect the dedication and excellence of our students, faculty, and staff. Campus improvements are also in progress. Thanks to support from LSU Health New Orleans Chancellor Dr. Steve Nelson, the Louisiana Legislature, and generous alumni and donors, we’re making much-needed upgrades to enhance our clinical and educational spaces. I look forward to sharing more as these exciting developments take shape.
As I begin my second year as dean, I’m proud of all we’ve accomplished, and deeply grateful to be part of a school filled with such heart, talent, and purpose.
Summer Enrichment Program Student Volunteers
Summer Enrichment Program Student Volunteers and Attendees
Dr. Victoria Sullivan
AUse Safeguarding Success: Asset Defense Strategies for Dentists
By Chad Olivier CEO®,CEPA, CERTIFIED FINANCIAL PLANNER™
s a dental professional, you've worked hard to build your practice and accumulate wealth—but protecting that wealth is just as important as growing it. Asset defense is the process of using legal strategies to shield both individual and business assets from potential loss due to lawsuits, creditors, taxes, or unexpected life events.
In today’s litigious environment, the risks are very real. According to the American Dental Association, nearly 1 in 5 dentists will face a malpractice claim during their career [1]. Moreover, over 40% of small business owners worry about being sued, and more than 60% of high-net-worth individuals lack a formal asset protection plan [2][3].
Asset defense strategies can help you mitigate these risks—but once a lawsuit or claim is filed, it may be too late to act. Proactive planning is essential.
Steps in Asset Defense
1. Assess Your Financial Vulnerabilities
Begin by taking inventory of what you own—your dental practice, real estate, retirement accounts, and personal investments. Then clarify your goals. Do you want your assets to support your family, fund your retirement, or pass to future generations? Your answers shape your strategy.
2. Identify Potential Risks
Common risks include malpractice lawsuits, business debts, divorce, and personal liability. Dentists who both own and operate their practices face compound exposure across both personal and professional spheres.
3. Choose the Right Legal Structures
Depending on your goals and exposure, the following tools can offer protection:
• Irrevocable Trusts
These trusts remove designated assets from your estate and place them under the control of a trustee for your beneficiaries. Since the assets are no longer under your control, they are generally excluded from lawsuits or creditors [4].
• Family Limited Partnerships (FLPs)
FLPs can be used to consolidate family assets, maintain control, and reduce estate tax exposure. They offer a level of protection from creditors and allow for tax-efficient gifting, but must be carefully drafted and comply with IRS rules [5].
• Business Incorporation (LLCs, S Corps, C Corps)
If you own your practice as a sole proprietor, your personal assets may be at risk. Forming a Limited Liability Company (LLC) or corporation can separate business and personal liabilities. As of recent data, over 70% of small businesses in the U.S. now operate as LLCs or S Corporations, primarily for liability and tax advantages [6].
• Insurance Coverage
Regularly review your malpractice, liability, property, and umbrella policies to help ensure your coverage reflects your current needs. Umbrella insurance can extend coverage limits across multiple policies and provide protection against large, unexpected claims. Specialty policies, such as data breach insurance, may also be warranted in today’s digital environment [7].
• Professional Advisors
Because asset protection involves intersecting areas of law, finance, and taxation, it’s essential to involve a certified financial planner and an estate planning attorney. A well-structured plan not only offers risk mitigation, but can align with your long-term goals and estate planning strategy.
Final Thought
Asset protection isn’t just for the ultra-wealthy—it’s for any dentist who wants to preserve what they’ve worked so hard to build. These strategies are about more than worst-case scenarios; they’re about confidence and smart financial planning. Don’t wait until you’re facing a crisis. Start the conversation early. A proactive, well-designed plan can help secure your future and your family and keep your practice strong—no matter what challenges arise.
Sources
[1] American Dental Association, “2021 Survey of Dental Practice – Professional Liability Claims.”
[2] U.S. Small Business Administration, “Litigation Trends Impacting Small Businesses,” 2022.
[3] Wealth-X, “High Net Worth Handbook,” 2023 Edition.
[5] U.S. Tax Court Case Study: Estate of Strangi v. Commissioner, T.C. Memo. 2003-145.
[6] National Small Business Association, “2023 Small Business Taxation Survey.”
[7] Insurance Information Institute (III), “Umbrella Insurance and Professional Liability,” 2024.
This material is not intended to provide specific legal, tax, or other professional advice. For a comprehensive review of your personal situation, always consult with a tax or legal advisor. Neither Cetera Wealth Services LLC nor any of its representatives may give legal or tax advice. A diversified portfolio does not assure a profit or protect against loss in a declining market.
The opinions contained in this material are those of the author, and not a recommendation or solicitation to buy or sell investment products. This information is from sources believed to be reliable, but Cetera Wealth Services, LLC, cannot guarantee or represent that it is accurate or complete.
Securities offered through Cetera Wealth Services, LLC, Member FINRA/SIPC. Investment advisory services offered through CWM, LLC, an SEC Registered Investment Advisor. Cetera Wealth Services LLC is under separate ownership from any other named entity. Carson Partners, a division of CWM, LLC, is a nationwide partnership of advisors. 4609 Bluebonnet Blvd., Ste. A, Baton Rouge, LA, 70809 or call 225-757-9484
HNODC/LDAAS Returns to Hilton Riverside April 9-11, 2026
By Dr. Kay Jordan General Chair of the 2025 NODC/LDA Annual Session Committee
ello, LDA members! The 2026 NODC/LDAAS Conference Committee has been hard at work to bring in worldclass speakers for the return to the beautifully-renovated halls of the New Orleans Hilton Riverside. Be sure to set aside all three days for the conference so that you won’t miss out. We promise there will be something for everyone, including business managers, hygienists, dental assistants, and dentists.
Dr. Richard Madow will be speaking on providing memorable patient experiences in your practices as well as a practical guide to practice success. Be prepared to laugh and be entertained while gaining valuable business and dental practice knowledge. Dr. Madow has been featured at over 500 events garnering rave reviews from attendees nationwide. He has consistently been one of the top-rated speakers at numerous meetings.
Another must-see speaker will be Dr. Eugene Antenucci, who has recently moved to New Orleans from New York and is currently Clinical Assistant
Professor at LSU Health Sciences Center School of Dentistry. He will offer “A Day in the Life of a Digital Dentist” in a morning lecture featuring some of the applications of the most important clinical technologies followed by an afternoon hands-on workshop. In addition to this course, Dr. Antenucci will offer a half-day course where he imparts practical, science-backed strategies to deal with the physical and lifestyle challenges of dentistry.
It has been fast and furious work within the NODC board to ensure that the April 2026 meeting will be memorable for attendees and family members. I will bring you up to date next issue on exhibit hall activities, various speakers, plus more fantastic courses from Malamed, Viola, Nový, and Rasner, to name a few! Mark all three days on your calendars now! Take advantage of all the conference has to offer in addition to the food, beverage, entertainment, and beautiful weather in our beloved city of New Orleans.
Dr. Richard Madow
Dr. Eugene Antenucci
INow Hiring: LDA’s Response to Dental Hygienist Staffing Shortages
By Dr. Lance Savoie Past President, LDA; Chair, LDA’s Dental Staffing Task Force
don’t need to tell most of you, but Louisiana, along with most of the country, has been experiencing a shortage of dental hygienists. As a very important part of the dental team, it can be detrimental to both our patients and our practices to not have a fully functioning hygiene department within our offices.
Due to rising rent costs, it was decided that the Lafayette hygiene program (graduating 6 hygienists a year) would be cut in 2019. COVID office closures and layoffs seemed to have exacerbated the shortage.
While moving up the ranks to LDA President, several past-presidents before me highlighted the importance of having the LDA get involved in the shortage. So, we created a Dental Staffing Task Force. The reality in increasing hygiene workforce is that it is not a problem to be solved overnight. We need time, effort, and money to increase class sizes or create hygiene schools. For instance, there is a 1/5 faculty/student ratio for hygiene schools and the person who runs the school must be a hygienist with a master’s degree or a dentist.
The task force members, made up of various past-presidents and officers from around the state met with both Kimberly Whorton of ULM and Dr. John Gallo of LSUSD. The LDA Council on Government Affairs and the Central component had already worked with LSUSD and LSUA to create an off campus instructional site in Alexandria. In exciting news, the first six dental hygiene students graduated from the Alexandria off campus
instructional site in May 2025, and I’m told they all found jobs right away!
The reality in increasing hygiene workforce is that it is not a problem to be solved overnight. We need time, effort, and money to increase class sizes or create hygiene schools.
In our meeting with Whorton from ULM, we found out that Sugar Hall would be remodeled, going from a 16-chair clinic to a 30-chair clinic, with an expected move-in date of May 2026. At that point, there is potential for growing capacity and ULM can look into the possibility of applying to the Commission on Dental Accreditation (CODA) for more students. ULM currently is approved for 30 students. LDA will continue to support ULM as needed with government affairs support or discussions with CODA.
In our meeting with Dr. Gallo, he explained that the LSUSD hygiene program is at capacity at 38 with the six additional students they applied to CODA for this year. These six students would replace the six that went to Alexandria. LSUSD was approved by CODA and those additional students were part of the class
that started this Fall. So LSUSD, along with the Alexandria off campus instructional site, has 44 hygiene students.
As you, our valued members, have discussed the shortage within your communities, we had the city of Lake Charles request information regarding some sort of extension program. There’s been an administration change there but we will continue to pursue any interest they may have.
There is also one additional school looking into developing a proposal for a dental hygiene program. The LDA, along with the LSUSD, are 100% on board with assisting this school and their proposal. Stay tuned for exciting developments!
Most of you likely already know that the LDA immediately took over the expanded duty dental assistant (EDDA) course in 2023 when there was no longer a program in the State of Louisiana. We also have and will continue to offer an online radiographics course for dental assistants.
It is our intent to continue searching for every opportunity we can find that would provide relief to our members and their communities. Please support and participate actively as called upon to help to ensure future success for our efforts to alleviate these workforce staffing shortages.
LDA Edda Courses
The Expanded Dental Duty Assistant (EDDA) certification is the next step for dental assistants who want to perform expanded duty dental assisting functions as specified by Louisiana law.
This is NOT a beginner course. You must have 6 months of chairside assisting experience to register for this course.
Date
November 6-8, 2025
December 4-6, 2025
January 15-17, 2026
February 26-28, 2026
March 26-28, 2026
April 23-25, 2026
April 30-May 2, 2026
June 4-6, 2026
July 9-11, 2026
August 20-22, 2026
September 24-26, 2026
October 8-10, 2026
November 5-7, 2026
December 3-5, 2026
Location
Lafayette, LA
New Orleans, LA
Gonzales, LA
Lafayette, LA
New Orleans, LA
Shreveport, LA
Gonzales, LA
New Orleans, LA
Lafayette, LA
Gonzales, LA
Lafayette, LA
New Orleans, LA
Gonzales, LA
New Orleans, LA
Dentistry gives us the skills to diagnose, relieve pain, and restore form and function. DLN’s DDS program links us in the most efficient way to patients who urgently need those skills.
Dr. Frank Martello
DLN • LA Board Director & DDS Volunteer
LAD PAC
We aim to educate and empower dentists to participate in the legislative process to address their legislative priorities. Your contribution directly funds these efforts.
LDA Winter C.E. & Ski
Dates: February 15–17, 2026
Location: Big Sky, Montana
CE Hours: Up to 12 hours
Enjoy a family-friendly and tax-deductible trip* with two daily lectures and plenty of time for snowy adventures!
Our group block at the resort is almost full! Visit ladental.org/ski for information on booking your room.
*Consult your tax professional for details on making this trip tax deductible.
OUpdates to the Dental Medicaid Program
By Dr. Don Donaldson Chair, Medicaid Task Force, and Treasurer, DAP-PAC
ur Dental Access & Prevention Political Action Committee (DAP-PAC) has worked diligently to continue to advocate successfully for dental Medicaid providers. Our efforts really came to fruition in 2023 when we achieved a $52 million across the board Medicaid increase, including the first increase to the adult denture program in over 20 years. And, as you all know, this increase also made a huge difference to the dental practices who treat children and IDD patients.
There is a lot going on with our dental Medicaid program and the Louisiana Department of Health (LDH). Things are not necessarily bad, but they are very confusing. I deal with these issues at the state level nearly every day and even I’m confused!
First, the quality incentive program that was initiated and prompted by the LDA’s Medicaid Task Force with the additional $12 million dollars was innovative and a difficult concept for LDH to grasp. We were able to redirect their efforts midway through last year, but the end result was still a disaster.
The good news is that most everyone who does prophies, fluoride varnish, and restorative work received some additional money if their parameters were met. The bad news is that LDH did not use tax IDs in processing the formula and some providers got paid too much and some too little. I cannot tell for certain at this junction how they will correct this, but LDH is having the formula reapplied to the data using tax ids and they will correct it.
I know that many of you are frustrated at the incentive program confusion. I know I am! However, it is not the fault of either of the plans (MCNA or DentaQuest). They were simply given a spreadsheet from LDH that listed the incentive amounts. I will continue to work with the LDA to make sure that we are fairly compensated. We’ve come up with innovative methods of getting additional dollars to the dental Medicaid providers and with that comes some growing pains. Know that we will continue to work with LDH on getting this right.
It is imperative that we show improvement on our recall, or this program will eventually go away. The $12 million that was in the program last year was lobbied for again this year and is being repeated in 2025. I’m very excited about the potential of improving results in the state of Louisiana for dental care for Medicaid children. This is a win for all the children in the state and the dentists that see these kids.
Second, we were able to initiate an additional dental program for special needs kids of approximately $9 million dollars. The process of putting it into action is being worked on but there should be a fair amount of reimbursement money for treating these children. I have always maintained that it takes twice as long to treat special needs children and there needs to be additional compensation as it is very important that we provide this dental care.
For those Medicaid providers who have not made significant contributions to DAPPAC this year, I would ask you to do so. It is just not fair for a few of us to carry the load for those dentists not helping. I cannot do this without money for contributions.
I ask that you assist me in fighting for both the children of our great state, but also for all of you who are serving those children and other vulnerable patients.
Please make checks out to DAPPAC, and send to the LDA at 5637 Bankers Ave., Baton Rouge, LA 70808.
YOU CAN RELY ON US.
Rely on Henry Schein’s network of trusted advisors to help take care of your business, so you can focus on taking care of your patients.
Looking for solutions? Contact your Henry Schein Sales Consultant or visit: www.henryschein.com/relyonus.
PRACTICES FOR SALE
Alexandria • Baton Rouge
Covington • Cut Off
Orthodontic - Monroe
Periodontal Practice x2: SE LA
Lafayette • Lake Charles Morgan City
New Orleans • Pineville Thibodaux Washington Parish
ASSOCIATE POSITIONS
Carencro
Lafayette • Lake Charles Lutcher • Shreveport
View updated Listings and Associate Positions on our website! All
companies are independently owned & operated.
Congratulations to Dr. Haley Line for acquiring the New Orleans practice of Dr. Tim Delcambre
Congratulations to Dr. Brooks Hummel for acquiring the Zachary, LA orthodontic practice of Dr. Jeff Machen
WThings Your Dental Lab Isn't Telling You
By Tristan Hall, Certified Dental Technician President, Bayou State Lab
hen it comes to restorative dentistry, your dental lab plays a crucial role in the success of your cases. Yet, in an industry where time is tight and communication is often transactional, there are important truths your lab might not be saying aloud, truths that could elevate your work, reduce remakes, and ultimately deliver better outcomes for your patients.
1. Most Remakes Are Preventable, And Often Not The Lab's Fault:
Let's address the elephant in the operatory: the majority of remakes we see aren't due to lab error. More often, they come from inadequate retraction, undefined margins, rushed preps, or incomplete bite records, or lack of communication. This isn't finger-pointing, it's a reality we can improve together.
For example, over a 14-month period, Doctor A had a 1.4% remake rate using standard zirconia and iTero digital scans. Doctor B, with the exact same scanner, material, and lab, had a 9.7% remake rate. What changed? Doctor A uses a disciplined process: two-cord retraction, prep refinement after the initial scan, a second scan, and a consistent bite registration. That attention to detail makes a measurable difference, every time.
Digital impressions are powerful, but only when they're accurate. Poor scan technique, unverified margins, and incomplete data can still derail a great case. We can help you optimize this process, but strong outcomes still depend on foundational clinical habits.
2. Ego Can Sabotage Excellence
One of the biggest barriers to excellent outcomes isn't technique, it's ego. We once sent a letter to all our clients with retraction tips, including alternatives to cord like
pastes and foam systems. One long-time office took offense, assuming it was directed at them. It wasn't. It was about education, not correction.
There's no room for ego in this work. We all make mistakes, and none of us knows it all. Humility and collaboration are key. If we're too proud to listen or grow, we're not just limiting ourselves, we're limiting patient care.
3. Your Lab Is a Resource, Not Just a Vendor
We see hundreds of cases each week, which gives us unique insight into what consistently works, and what doesn't. So when we call, text, or email with a suggestion, it's not just an opinion, it's informed by thousands of real-world outcomes. We want your case to succeed just as much as you do.
I'm part of several national lab groups where we share trends, techniques, and technologies with clinicians and lab owners across the country. We stay current so we can better serve you. I don't want to be your crown or denture vendor, I want to be your trusted partner. Your success is our success.
4. The More Information, the Better
Successful cases start with detailed communication. Yet we receive dozens of prescriptions every day with minimal info, no shade, no patient age or sex, no stump shade, no implant brand or platform, nothing from the surgeon. This lack of information limits what we can do and increases the chance of a less-than-ideal result.
The more you tell us—shade, material preferences, implant specs, patient expectations, the better the outcome. It's that simple.
5. Dentures Require More Than Just an Impression
Denture cases are especially sensitive to information. I've lost count of how many resets we've seen because lip lines are off, teeth are too large or small, or the smile doesn't feel natural. Just recently, we had an office send back three or four resets on a single patient. The patient was frustrated, and understandably so.
We suggested the use of a bite rim with marked midline, high-smile, lip line, and cuspid lines to prevent another reset. The response from the office was, "I've been doing this for decades and never do a bite rim." That mindset is exactly what holds us back. If we want different outcomes, we have to be willing to try different approaches. Growth requires openness, and teamwork.
6.
We're On the Same Team
The best results come from partnership, not production. When we communicate openly, collaborate humbly, and trust one another's expertise, the entire workflow improves, from first scan to final seat.
At the end of the day, your lab is here for one reason: to help deliver excellence. We care about your results because we care about your patients. And we believe the more aligned we are, the more successful we'll all be, together.
About the Author:
Tristan Hall CDT, is the President of Bayou State Lab and has been a dental technician for 24 years. He's been a Certified Dental Technician for the past 15 years and has served as a board member for the Louisiana Dental Laboratory Association as well as President of the Dental Technician Society. He has spoken at both local and national lab meetings on implementing digital workflows in the modern dental lab. His expertise lies in bridging the gap between the dental practice and the dental laboratory, ensuring patients get the highest level of care through collaborative partnerships.
Sip & C.E. in Sonoma Valley
Dates: September 16-18, 2026
Location: Fairmont Sonoma Mission Inn & Spa
This trip is perfect for combining professional development with leisure in beautiful Sonoma Valley!
Schedule:
Wednesday–Friday: Breakfast at 7:30 a.m., course from 8:00–11:00 a.m. (3 credit hours each day)
After each session, enjoy free time for the rest of the day.
When our room block opens, more information will be available at ladental.org/sonoma.
ladental.org/sonoma
TPractice Housekeeping - Patient Credit Balances and Accounts Receivable
By Preston Lovelace J.D., M.S. ADS Lovelace and Associates (LDA/LDS Endorsed Company)
he most common surprise my clients experience when transitioning their dental practice concerns the accounts receivable. Every dentist knows that they have accounts receivable, but very few are aware that those receivables also include patient credits. These credits are both a financial and legal liability for the practice and can build up to astounding sums over the span of a career. When you sell or close your practice, these liabilities need to be satisfied. No matter what stage of your career, addressing patient credits regularly is essential.
First, identify the extent of your problem. All practice management software packages have a ledger that tracks billing and payments and can generate an accounts receivable aging report. You can usually filter these reports by account balance or check a box in the menu for a credit balance report. (In Dentrix, go to Office Manager> Reports>Ledger>Aging Report and check the “Credit balances” box). Alternatively, you can generate a standard A/R aging report and just look for negative numbers, which indicate a credit balance. If you need help with this, call me and I can set up a time to walk you through it.
Patient credit balances are usually from three sources (i) funds paid by patients in advance of treatment, (ii) funds from overpayments by the patient or insurance claim payments which exceeded the estimated amount, and (iii) bookkeeping errors or employee fraud. To address credits, first compare the practice ledger to the
Many of my clients are amazed to find they have $20,000 or more in credit balances on their books when they get ready to sell their practice.
patient charts to make sure the credit is not an accounting error. Before refunding any money, you should audit the account. Clerical errors or malicious errors and fraud from past employees may result in false positive balances on your books. You should track down the actual payment that caused the positive balance to make sure it was not a clerical error. Your computer will show the payments in the patient’s ledger and should also show a copy of that payment on the computer deposit slip for that day. If it is an accounting error, document the error before adjusting it off the practice ledger.
If the credit is legitimate, try to contact the patient and schedule them for treatment. You would rather work off the credits than refund them, and your staff can use the credit as an incentive for the patient (“It’s time for your cleaning and you have a credit on the account, so it will only cost X”). If the patient does not wish to return to your office, you should refund the patient’s money.
If the credit is old and the patient cannot be located, the situation gets more complicated. Unlike old receivables, which dentists can decide to write off as uncollectable, credit balances never expire. In Louisiana and many other states, there are laws concerning how long a business can
hold unclaimed property before it is obligated to refund those amounts or send them to the state. The holding period for different types of property varies. For patient credits and other retail business transactions, the period is 36 months. Consequently, if a patient has not been seen and the money remains on your ledger for three years without activity, it should either be refunded or sent to the State Treasurer if the patient cannot be located. More information on reporting unclaimed property can be found at https://louisiana.findyourunclaimedproperty.com.
Though the law on unclaimed property is clear, very few dentists ever file a report and write a check to the State Treasurer. Most dentists are not aware about even having credits, there is little enforcement against small businesses, and no one likes to send the government money. However, that is not an excuse, and our state’s unclaimed property law provides that holders who fail to comply with the law may be audited, and the holder may be required to pay the costs of the examination. Additionally, all holders are required to pay interest at the annual rate as provided in Louisiana Civil Code Article 2924 on all property not reported or delivered when due as required by law.
Because there is almost no enforcement against dentists, many practitioners let the credit balance problem fester for their entire career. Many of my clients are amazed to find they have $20,000 or more in credit balances on their books when they get ready to sell their practice. Like a bank loan or any other practice liability, credit balances must be satisfied in order to sell an unencumbered asset to the buyer. How this is addressed can be negotiated between the parties, but usually the buyer is either given proof the credits have been satisfied (directly to patients or to the state treasurer) or is given a reduction in the price paid in return for assuming responsibility for refunding or treating patients with credits.
Start working on your accounts receivable today. Write off or send to collection any unpaid accounts over 2 years old, and then have your staff start working through the credit balances. By discounting services
based on what you already owe them, you may get some of your reluctant patients back into your office to complete their work. Bite the bullet and send old credits to the State Treasurer before they become unmanageable, and educate your staff on handling positive balances in order to avoid the problem in the future. Doing so will also provide you with a healthier practice when it is time to retire and a little larger check from the sale of your practice.
Preston Lovelace, JD, MS is the president of ADS Lovelace and Associates, Inc., which has been endorsed by the LDA for practice transition services. He has been evaluating and transitioning dental practices in Louisiana for 17 years. He is an attorney admitted to practice in Louisiana. All LDA members are eligible for a free consultation lasting up to two hours as well as discounts on transition and valuation services. He may be reached at 225-614-7700 or PLovelace@ gmail.com.
Thank you for being a member of the LDA!
Case Dismissed: The Strength of Documentation in the Defense of Alleged Negligence
By Glen Donnarumma, DDS Fortress Patient Safety and Risk Management Committee Member
This Closed Claim Summary is based on an actual claim and has been adapted for educational purposes.
Afemale in her late 40’s presented to the insured’s office as a new patient with complaints of pain related to teeth #3 and #14. She stated she had not received dental care in several years. Upon exam, it was found that both teeth had deep caries involving the pulp. The insured’s documentation noted that #3 had a guarded prognosis and included the discussion of treatment options such as a root canal (RCT) or extraction. The patient opted to have both #3 and 14 extracted and returned one week later for the procedure. The insured confirmed the treatment plan and obtained informed consent.
Following the extraction of tooth #3, the patient became distressed and requested a break. When she returned, the patient alleged that the insured extracted the wrong tooth, believing that tooth #5 should have been extracted, and that tooth #3 should have received RCT. The insured referenced the documented treatment plan and informed consent discussions with the patient that were obtained prior to the extractions. The patient agreed to return to the operatory and to proceed with the extraction of tooth #14 which was completed without
complication. After the surgery, the patient never returned to the dental office. The staff documented several missed follow-up appointments.
Three years later, the patient filed suit alleging that the insured deviated from the standard of care by not performing a RCT for #3 and for extracting #3 without consent. The patient also alleged the wrong tooth had been extracted. The insured’s detailed clinical and informed consent documentation provided sufficient evidence to refute the patient’s allegations. The patient could not obtain a clinical expert to support her allegations, which was required to comply with state malpractice law, and the case was dismissed.
Risk Management Tips
Documentation tells the story of the patient’s care and treatment. When a patient alleges harm or negligence, comprehensive and detailed documentation can provide support for the treatment provided, and aid in your defense. Incomplete documentation can impact the defense team’s ability to defend your care and refute treatment allegations. Documentation of a patient’s treatment plan may include:
• The patient’s presenting complaints, the clinical exam, the indications for treatment, and the radiographic findings.
• Your efforts to educate the patient, including any verbal
discussions, responses to patient questions, treatment options provided, and any patient refusal of treatment including the reason for refusal.
• Unique clinical notes, specific to each patient. If using note templates, adapt or remove them if the template content is not relevant to subsequent visits.
In addition to these chart notes, the agreed upon treatment plan and the patient education efforts regarding the risks, benefits, and alternatives to the proposed treatment can be memorialized via a patient’s signature on a procedure-specific informed consent form.
This article is intended to provide information only on certain risk management topics, and is not to be construed as providing legal, medical, or professional advice of any form whatsoever. It is your responsibility to evaluate the usefulness of the information provided herein. OMSNIC and its related, affiliated, and subsidiary companies disclaim any and all warranties, expressed or implied, as to the quality, accuracy, or completeness of the information provided. Because federal, state, and local laws vary by location, nothing in this article is intended to serve as legal advice or to establish any standard of care. Legal advice, if desired, should be sought from competent counsel in your state.
Fortress Insurance Company is a professional liability insurance company owned and operated by dentists, endorsed by the LDA. Fortress only insures dentists and knows firsthand how to protect you and your practice. Your local Fortress agents are Stormy Blair and Grace Boggs, of Brown and Brown. Contact Stormy or Grace at (985) 674-3880 or Stormy.Blair@bbrown.com or Grace.Boggs@ bbrown.com with any insurance questions.
Date: Friday, December 12, 2025
Location: Baton Rouge Marriott
C.E. Hours: 7 lecture, in-person, clinical hours
LAST CHANCE SEMINAR
LDA What’s Going On? Component Happenings from Around the State
NODA
Dr. Gretchen Juncker’s (NODA) and Dr. Brooke Naquin’s (NODA) practice, Sweet Tooth Dental, appeared in Old Metairie Living! Congrats on the feature, y’all!
A patient at Dental Arts NOLA Drs. Gizelle Richard, NODA; Gabrielle Richard, NODA; and Brent Benoit, Bayou) rescued a kitten from the garden with an empty chart box! Anyone looking to adopt?
Dr. Leslie Gottsegen (NODA) and Dr. Brad Gottsegen (NODA) created a scholarship to provide financial support to an LSUSD student each year, regardless of background, race, gender, etc. Thank you for supporting future dentists, Drs. Gottsegen!
Dr. Linda Cao (NODA) and Dr. Phuong Nguyen created a scholarship named the “Drs. Linda Cao and Phuong Nguyen Opportunity Scholarship,” which covers a portion of the cost of tuition for two students who qualify. This scholarship exists to provide broader access to education for students of all backgrounds, ethnicities, and socioeconomic statuses. Thank you for your generosity to LSUSD and its students, Drs. Cao and Nguyen!
Northlake and NELDA
Dr. Charlie Foy (Northlake) and Dr. Jeff Hooton (NELDA), both past-LDA presidents, visited Mount Rushmore together this summer! Can you spot all six presidents?
Greater Baton Rouge
Swollfest, a fishing rodeo that raises money for Our Lady of the Lake Children’s Hospital and other organizations, had a record-breaking year, as someone caught the “swollest” fish in the event’s history, a 350.8 lb. swordfish! Dr. Nick Rauber (GBR) started Swollfest at 17 years old, and now the event has grown to include over 1,000 fishers and sponsors in 2025.
Class of 1994 Fishing Trip
Dr. Daniel Shea (Public Health Service, OK), Dr. Ashley Fish, Dr. Beth Saacks, Dr. Amy Schoening, and Dr. Carlos Suadi (GBR), went fly fishing in Big Sky, Montana, and visited Yellowstone National Park. This yearly trip includes LDA members, nonmembers, and dentists from other states, but they’re all from the class of 1994!
Help us welcome our new Director of Membership Development, Jacob DeBlieux!
Jacob joined the LDA staff in July of 2025. Prior to arriving at the LDA, DeBlieux was the manager of the McNeese State University Ticket Office and also worked at the University of Louisiana at Lafayette in their athletics marketing and foundation teams. He received his bachelor’s degree and master’s degree at the University of Louisiana at Lafayette.
LDA
Continuing Education and LDA Events Calendar
For information on a specific event, contact the event’s provider. To list your course in the next calendar, contact the LDA office at (800) 388-6642 or (225) 926-1986. Check ladental.org/statewidecalendar for the most up-to-date listings.
Event: A 50 Year Retrospective-My Failures and Lessons Learned
Location: Grand Isle Marina, Grand Isle, Louisiana
Provider: LDA Foundation
Details: ladental.org/fishingrodeo
Event: Kick-Off C.E.
Date: August 28, 2026
Location: VIA ZOOM
Provider: Louisiana Dental Association
Details: ladental.org/events
Event: Sip & C.E. in Sonoma Valley
Date: September 16-18, 2026
Location: Sonoma Valley, California
Provider: Louisiana Dental Association
Details: ladental.org/events
Event: Last Chance Seminar
Date: December 11, 2026
Location: Baton Rouge, Louisiana
Provider: Louisiana Dental Association
Details: ladental.org/events
Event: Winter C.E. - Walt Disney World
Date: February 7-9, 2027
Location: Walt Disney World, Orlando, FL
Provider: Louisiana Dental Association
Details: ladental.org/events, (225) 926-1986
Event: Winter C.E. - Walt Disney World
Date: February 27-29, 2028
Location: Walt Disney World, Orlando, FL
Provider: Louisiana Dental Association
Details: ladental.org/events, (225) 926-1986
CrossGates Dental is seeking a full-time dentist to join our practice.
We provide a full range of general and implant dentistry with clinical autonomy. Enjoy competitive pay, full benefits, malpractice coverage and an above-market sign-on bonus. Grow your career in an established and supportive environment.
If interested, Contact Laura Cloud at LCloud@stardentalpartners.com or call (469) 850-9450. This practice is located at 2300 Gause Blvd East, Slidell, LA 70461.
Smart Dental Care, led by Dr. Tyler Mullins, is excited to welcome a talented and motivated Associate Dentist to our high-performing team in Prairieville, Louisiana, just 30 minutes south of Baton Rouge!
What We’re Looking For:
We are seeking a full-time Associate Dentist who is confident in all aspects of general dentistry and enjoys a fast-paced environment. Ideal candidates are passionate about patient care, have excellent clinical and communication skills, and thrive in a collaborative setting.
What We Offer:
• High earning potential
• Daily minimum during credentialing period
• Robust patient flow in a modern PPO/FFS practice
• Active Louisiana dental license (or in progress)
• Minimum of 2 years’ clinical experience preferred
Ready to take the next step in your dental career? Apply by emailing doctorapps@mb2dental.com to learn more about this outstanding opportunity!
Nuvia Dental Implant Center is looking for Prosthodontist or General Dentist with extensive knowledge of dental implants along with a fixed/ removable prosthodontic background.
Full-time hours, 4-5 day workweek. Compensation: base salary + % of production. For full job description: https://nuvia.rec. pro.ukg.net/NUV1500NUMS/JobBoard/cc9a1de7-5088-4024-
For more information, contact Trey Welch - (972) 878-9089trey@nuviasmiles.com
Sulphur Dental Office and Equipment for sale, 210 N. Cities Service Hwy., Sulphur, LA
Excellent location in busy commercial district. Two operatories equipped and third operatory plumbed for dental chair and unit. Newly refurbished (2) bedroom condo for sale connected behind office, making it convenient for new dentist out of school. Call office at (337) 625-2025.
CHRISTUS Coushatta Dental Clinic in Coushatta, LA offers dental care for the entire family.
Understanding that dental health is a key part of overall physical and mental health, the clinic provides a wide range of services including cleanings, X-rays, crowns, bridges, dentures, extractions, implant restorations and in-house, same day bleaching.
Location: 1401 Industrial Drive Coushatta, LA
Requirements:
• Three years of practice in a hospital and/or a clinic setting preferred
• Louisiana State Board of Dentistry
• BLS Certification required
• ACLS Certification required
Work Schedule: Monday - Thursday
Work Type: Full Time Recruiter: Richelle Howell; richelle.howell@christushealth.org
1800 sq ft, four operatory dental practice for sale in Baton Rouge.
Asking price is $325,000. Owner is retiring and complete transition to take place December 31st, 2025. This is a turn key opportunity including equipment, computers, furnishings, inventory, and management/digital software. The lease on the office space is transferable. Contact the dentist’s accountant for more information by email: jguerin@appleguerin.com
Air Techniques VacStar 50
Gently used and well-maintained Air Techniques Vacstar 50 Dental Vacuum Pump. Purchased two years ago. 3 more years transferrable warranty. Pick up only. Call or text Dr. Camenzuli (504) 579-4440
Associate Dentist — Dentists of Lake Charles 4750 Nelson Rd, Lake Charles, LA 70605. At Dentists of Lake Charles with Dr. Jacob Dent, we’re leading integrated healthcare with a patient-centric approach. The Associate Dentist role is an exceptional opportunity for recent dental graduates and experienced professionals alike to deliver high-quality care, grow their careers, and receive mentorship from Dr. Dent. With advanced technology, CE, and a collaborative environment, this role supports clinicians committed to excellent patient outcomes and clinical growth. Competitive earnings, healthcare benefits, including medical, dental, and vision, plus 401(k) with company contributions and malpractice insurance. If you’re ready to advance your career, deliver exceptional patient care, and join a supportive and innovative team, we’d love to hear from you! Email: angela.darling@ pdshealth.com
Explore Your Dental Hygiene Career in Mandeville, LA!
Job Description:
We are seeking a talented and compassionate dental hygienist to join our team and play a vital role in delivering outstanding oral health care to our patients. The ideal candidate will possess excellent clinical skills, a passion for patient education, and a commitment to providing gentle and thorough dental care. Responsibilities include conducting dental cleanings, performing periodontal assessments, and providing patient education on oral hygiene practices.
Requirements:
• Graduate of an accredited dental hygiene program
• Valid dental hygiene license in the state of Louisiana
• Proficiency in performing dental cleanings, scaling and root planing, and administering local anesthesia
• Strong communication and interpersonal skills
• Dedication to providing compassionate care and ensuring patient comfort and satisfaction
Benefits:
• Competitive compensation package with opportunities for advancement
• Flexible scheduling options to accommodate work-life balance
• Supportive work environment with a collaborative team approach
• Access to advanced dental technology and continuing education opportunities
• Comprehensive benefits package, including health insurance, retirement plans, and more
We are seeking a talented and compassionate dental hygienist to join our team and play a vital role in delivering outstanding oral health care to our patients. The ideal candidate will possess excellent clinical skills, a passion for patient education, and a commitment to providing gentle and thorough dental care. Responsibilities include conducting dental cleanings, performing periodontal assessments, and providing patient education on oral hygiene practices.
Requirements:
• Graduate of an accredited dental hygiene program
• Valid dental hygiene license in the state of Louisiana
• Proficiency in performing dental cleanings, scaling and root planing, and administering local anesthesia
• Strong communication and interpersonal skills
• Dedication to providing compassionate care and ensuring patient comfort and satisfaction
Benefits:
• Competitive compensation package with opportunities for advancement
• Flexible scheduling options to accommodate work-life balance
• Supportive work environment with a collaborative team approach
• Access to advanced dental technology and continuing education opportunities
• Comprehensive benefits package, including health insurance, retirement plans, and more
Sarah Bellah
Grand Family Dentistry
22464 Hwy. 435
Abita Springs, LA 70420
Phone: (985) 778-0096 x 301
Email: careers@grandfamilydentalcare.com
Website: abitafamilydentistry.com/
Explore Your Dental Hygiene Career in the Vibrant Heart of Baton Rouge, LA!
Job Description:
We are seeking a talented and compassionate dental hygienist to join our team and play a vital role in delivering outstanding oral health care to our patients. The ideal candidate will possess excellent clinical skills, a passion for patient education, and a commitment to providing gentle and thorough dental care. Responsibilities include conducting dental cleanings, performing periodontal assessments, and providing patient education on oral hygiene practices.
Requirements:
• Graduate of an accredited dental hygiene program
• Valid dental hygiene license in the state of Louisiana
• Proficiency in performing dental cleanings, scaling and root planing, and administering local anesthesia
• Strong communication and interpersonal skills
• Dedication to providing compassionate care and ensuring patient comfort and satisfaction
Benefits:
• Competitive compensation package with opportunities for advancement
• Flexible scheduling options to accommodate work-life balance
• Supportive work environment with a collaborative team approach
• Access to advanced dental technology and continuing education opportunities
• Comprehensive benefits package, including health insurance, retirement plans, and more Sarah Bellah
Grand Family Dentistry
5422 Jones Creek Rd.
Baton Rouge, LA 70471
Phone: (985) 778-0096 x 301
Email: careers@grandfamilydentalcare.com
Website: grandfamilydentistryjonescreek.com/
Classified Advertising Online Go to www.ladental.org/classifieds
For all classified advertising, payment is required in advance and ads will be placed on the LDA website on the next possible business day after payment is received. Make checks payable to the Journal of the Louisiana Dental Association. Placement of a classified ad up to 30 words is $30 for LDA members and $55 for non-LDA members. For each additional word, LDA members pay $0.15 and non-LDA members pay $0.30. Ads will remain on the LDA website for three months and will appear in one issue of the LDA Journal. A photo with an ad is an additional $50.
For more information or to place a classified ad, contact Rebecca Bordelon at rebecca@ladental.org or (225) 926-1986.
Why our classified ads are popular among
Louisiana dentists:
• On average, ladental.org/classifieds receives 450 views per month
• We send issues of the Journal to all LDA members (about 1,900), and to additional subscribers.
TheLast Word
We know that our members are incredible, but we can’t nominate them for LDA Awards; only YOU can do that! Visit ladental.org/awards or scan the QR code to nominate a colleague for an LDA Award. All nominations are due by November 1.
Tiffany Waddell LDA Director of Accounting
Jacob DeBlieux
LDA Director of Membership
We have a new way for you to purchase 2025 LDA Raffle tickets! Just scan this QR code with your phone to access our secure online form. The grand prize is $1,000, so get your tickets today.
