Articulator Volume 22, Issue 1

ARTICULATOR MDDS Connections for Metro Denver’s Dental Profession

3rd Quarter, 2017 Volume 22, Issue 1

DANGER HIDING IN PLAIN SIGHT

THE OPIOID EPIDEMIC

pg.12

the 16 Leveling Playing Field in Your Next Office Lease Negotiation Your Dental Practice 24 IsRunning Cash Poor? Five Ways to Improve Cash Flow

B

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3rd quarter 2017

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p.

what's inside?

features 10 Member Spotlight 11 Get To Know Your MDDS .....

OPIOID FEATURES pgs.12, 15

Board of Directors

12 The Opioid Epidemic: .............

Dentistry on the Front Lines of Battle

15 Opioid Facts B:11.25”

T:11”

S:10”

16 Leveling the Playing Field .... in Your Next Office Lease ...

Negotiation

Advertisers Directory ADA ada.org/findadentist.......................... 25 ADS Precise Consultants adsprecise.com................................. 31

22 Caring for Aging Parents

Berkley Risk Services of Colorado berkleyrisk.com................................. 19

24 Is Your Dental Practice ...........

Best Card bestcardteam.com............................. 17

Running Cash Poor? Five ......

Ways to Improve Cash Flow

departments 4 President's Letter

Carr Healthcare Realty carrhr.com........................... Back Cover Catalyst Retirement Advisors, LLC catalystretirement.com......................... 4 Colorado Dental Association cdaonline.org.................................... 20

Copic Financial Services Group copicfsg.com..................................... 14 CTC Associates ctc-associates.com/............................ 29 Dentists Professional Liability Trust of Colorado tdplt.com.......................................... 26 Denver Implant Study Club https://disc.events/............................ 29 Healthcare Medical Waste Services, LLC hcmws.com......................................... 5 Northwest Mutual shawncopeland.nm.com...................... 5

Commerce Bank commercebank.com/dentistry....Inside Front Cover

SAS Transitions sastransitions.com............................. 19

Guest Editor Allen Vean, DMD

Editorial Policy All statements of opinion and of supposed factare published under the authority of the authors,including editorials, letters and book reviews. They are not to be accepted as the views and/or opinions of the MDDS.

7 Member Matters 8 Reflections 18 The Relentless Dentist 21 Peer Review Puzzler 27 In Memoriam 28 Nonprofit News 30 Event Calendar 31 Classifieds

Creative Manager & Managing Editor CT Nelson Director of Marketing & Communications Cara Stan MDDS Executive Committee President Nicholas Chiovitti, DDS President-Elect Brian Gurinsky, DDS, MS Treasurer Nelle Barr, DMD Secretary Kevin Patterson, DDS, MD

The Articulator encourages letters to the editor, but reserves the right to edit and publish under the discretion of the editor.

Advertising Policy MDDS reserves the right, in its sole discretion,to accept or reject advertising in its publications for any reasons including, but not limited to, materials which are offensive, defamatory or contrary to the best interests of MDDS. Advertiser represents and warrants the advertising is original; it does not infringe the copyright,trademark, service mark or proprietary rights of any other person; it does not invade the privacy rights of any person; and it is free from any libel,libelous or defamatory material. Advertiser agrees to indemnify and hold MDDS harmless from and against any breach of this warranty as well as any damages, expenses or costs (including attorney’s fees) arising from any claims of third parties.

Inquiries may be addressed to: Metropolitan Denver Dental Society 925 Lincoln Street, Unit B Printing Denver, CO 80203 Dilley Printing Phone: (303) 488-9700 Fax: (303) 488-0177 The Articulator is published bi-monthly by the Metropolitan Denver Dental Society and distributed to MDDS members as a direct benefit of membership. mddsdentist.com ©2017 Metropolitan Denver Dental Society Executive Director Elizabeth Price, MBA, CDE, CAE

Member Publication

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PRESIDENT'S LETTER

Maintaining Excellence at MDDS

By Nicholas Chiovitti, DDS

T

hank you for the privilege of allowing me to

Butler, Sarah Conroy, Greg Psaltis and many more. We also have some

serve the Metro Denver Dental Society as

new gems in the speaking world, yet to be discovered by other dental

President for the 2017/2018 year. For those

shows. Remember that hands-on courses at the Mountain West Dental

of you who don’t know me, I am a Colorado

Institute (MWDI) and the Rocky Mountain Dental Convention fill up

native, born at St. Anthony’s Hospital in

quickly. It is important that you and your staff register early!

Denver, a long time ago. I am a Regis High School graduate and received my dental degree from the University of Southern California. I returned

Social and networking events will continue with Friday Night Party,

home to Colorado to practice for 38 years. I am proud of the effort that

After Party and affiliated group events. I am personally requesting that

every one of you has shown to make the Metro Denver Dental Society

you attend the MDDS Awards Gala & President’s Dinner, held at The

the envy of the nation. It is a challenging time for our country and the

Pinnacle Club by Grand Hyatt. This will give us a great opportunity to

profession of dentistry. We have choices and decisions to make that can

touch base about your needs for the coming year and listen to some great

lead us to excellence or limit us to mediocrity.

gypsy jazz in a relaxed setting after your busy day at RMDC. Please make your table reservations early!

I have set several goals for the

"I will be making visits to member dentists’ offices during my tenure. Please allow me to sit down with you and hear your voice, to hear the issues you are facing in your careers and businesses and how MDDS can help you succeed."

coming year as President. I

The Mountain West Dental Institute continues to thrive, serving as the

am an advocate for the voice

center for dental education in the Rocky Mountain region. We have a

of the member dentist. I will

jam-packed CE calendar planned for you this year. Look for courses

be making visits to member

from Drs. Chase Bennett, Brian Gurinsky, Sam Low, Charles Schlesinger,

dentists’ offices during my

Dania Tamimi, John West and others. More information and registration

tenure. Please allow me

is available online for upcoming courses.

to sit down with you and hear your voice, to hear the

Please allow us at the Metro Denver Dental Society to make organized

issues you are facing in your

dentistry work for you. Any ideas or suggestions, are always welcome –

careers and businesses and

MAKE YOUR VOICE HEARD!

how MDDS can help you succeed. In my first two weeks as president, I have spoken to two study clubs, and I know that together we

can address these issues. Please do not pat me on the back, I want you to push me towards meeting your needs for the coming year.

We have made it a priority to take the Rocky Mountain Dental Convention (RMDC) Expo Hall to the next level. The committees and staff have worked hard to make it the hub of technology and networking for everyone at the convention. We have an exciting new layout, an educational and product display stage, receptions on both Thursday and

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Along with all these improvements, we continue to present some of the top speakers in the nation. Names including Drs. Pascal Magne, Howard Glazer, Paul Feuerstein, Van Haywood, Randy Huffines, Maryanne

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3rd Quarter 2017 mddsdentist.com

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MDDS

CAREER CENTER

Check out the newest member benefit at careers.mddsdentist.com

Find Qualified Practice Help Search Resumes Browse Open Positions Resume Tips and Interview Advice

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3rd Quarter 2017 mddsdentist.com

MDDS Springs Into Fun at Dry Dock Brewing

Dr. Michael Elevich and his son enjoyed the games at the Spring Into Fun event.

Kids and adults alike enjoyed posing for the caricaturist.

MEMBER MATTERS

New Members, Welcome!

Dr. Lilit Alikhanyan

Dr. Kyu Jung

Dr. Cory Andrews

Dr. Kelly Kostelnik

Dr. Marisela Arritola

Dr. Matthew Lake

Dr. Kellie Bateman

Dr. Natalie Lesinski

Dr. David Belmont

Dr. Alexandra Lindauer

Dr. Chad Belongea

Dr. James Little

Dr. Anne Bielinski

Dr. Kari Miller

Daniel Briskie

Dr. Phuc Nguyen

Dr. Nicholas Bussa

Dr. Bethany Pandes

Dr. Quinyue Cai

Dr. Deepti Patil

Dr. Evan Cettie

Dr. Christina Pham

Dr. Kristin Christiansen

Dr. Paul Redpath

Dr. Ryan Cooper

Dr. Alyssa Rudawsky

Dr. Scott Czarnik

Dr. Wyatt Sessions

Dr. Rabia Farrkh

Dr. Patrick Shock

Dr. Chad Fruithandler

Dr. Ashley Silvas

Dr. Lisa Greenstein

Dr. Paul Stavrakas

Dr. Timothy Gutierrez

Dr. Melissa Stroup

Dr. Farah Hagman

Dr. Olesya Tsurkina

Dr. Bond Harman

Dr. Kendar Velasquez

Dr. Kevin Hertich

Dr. Brian Warner

Dr. Robert Judd

Dr. Ryan Woody Dr. Lilit Alikhanyan

Attendees enjoyed sampling the craft beer options at Dry Dock Brewing.

Delegates Head to the Mountains for CDA Annual Session

I

spring 2016 mddsdentist.com Dr. Erica Derby and her family enjoy dinner and refreshments in Beaver Creek, CO.

Drs. Litvak and Lodl spend time catching up with friends and colleagues at the MDDS Delegate Reception during the CDA Annual Session.

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REFLECTIONS

The Power of Giving Back

By Allen Vean, DMD

I

recently served as a Clinical Director for the Special Olympics of

familial, catastrophic, etc.), they cannot proceed with the proposed treatment plan or

Colorado at their state games in Grand Junction. Our team consisted

choose a less expensive option. Sometimes, we triage their treatment and proceed a little

of dentists, hygiene students, dental assistants and office staff.

bit at a time so their dental health is not compromised. I have another option: complete the

Athletes, ranging in age from 7-60, were screened for preventive

treatment at no charge. What will this cost your practice? A small amount for materials and

medical issues (height, weight, bmi, etc.), hearing tests and dental

time. If a laboratory must be involved, communication with the lab regarding the situation

issues. Our team screened almost 200 intellectually and/or physically-

may result in them waiving all fees. Your patient will be forever grateful. The resultant sense

disabled athletes as part of the new Special Olympics Healthy Initiative

of fulfillment and satisfaction that you and your staff will achieve is an indescribable feeling that will go straight to your heart.

Program. This is a tremendous event but what really impressed me was the outpouring of support from the city of Grand Junction, Colorado Mesa University (which donated the entire campus and facilities), the media and, of course, the volunteers.

Every day, we are deluged both personally and professionally with requests for donations in the form of money, goods or services. Beginning – and maintaining – a professional career has an overwhelming number of daily stressors. One must set their priorities in perspective. The balance between our professional and

"We will not be remembered for our accomplishments. We will be remembered for what we have accomplished for others."

personal lives is a delicate one. There is the argument that there is no

Giving back can apply to our daily lives as well. I assisted with the first group of dogs in the Prescription Pet Program at Children’s Hospital Colorado. Pet therapy programs such as this are now in other pediatric hospitals, general hospitals, assisted living facilities and nursing homes. Pet therapy has become an important and integral part of patient care.

No matter where you are in your career, please consider giving back.

You will have no regrets. One of my mentors said to me, “We will

time for volunteer work or there is no money to donate right now. However, it is important

not be remembered for our accomplishments. We will be remembered for what we have

to realize that our profession is in a unique position because of our education, skills and

accomplished for others.” Enjoy the issue.

talent. We CAN give back to our communities. Our purpose is to make people healthier.

So many organizations need volunteers to carry out their programs. They will gladly take donations, but to get a true vision of the organization, your time is much more valuable.

Editor’s Note: It has come to the attention of the Articulator editorial team that an error was printed on the cover of the 3rd Quarter 2017 issue of the magazine. We strive to produce a quality publication and sincerely apologize for this error. Please refer to the Articulator online at mdddentist.com for an updated edition of the magazine. We encourage you to reach out if you ever have any corrections or contributions to

We all have patients in dire need of dental work. However, for a variety of reasons (monetary,

MEMBER BENEFIT

HIGHLIGHT

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the quarterly Articulator or weekly Byte Register.

MDDS offers continuing education year-round from nationallyrecognized speakers at the Mountain West Dental Institute (MWDI). Members enjoy a 25% discount on cutting-edge clinical topics and hands-on learning right in their backyard. The 2017/2018 calendar includes courses from Drs. Chase Bennett, Sam Low and John West. Learn more about the courses offered at MWDI by flipping to page 30 of this issue or visiting mddsdentist.com/eventcalendar.

“My broken,

decaying teeth are fixed and

I can eat again.”

Will you see ONE to CHANGE a life?

WillYouSeeONE.org

You can change a life From clearing up painful dental infections and being able to eat again to rejoining

the workforce – volunteering with Dental Lifeline Network’s Donated Dental Services program will make a life-changing difference for the people we serve.

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MEMBER SPOTLIGHT

Being new to the Denver area, what brought you to the Centennial State?

BRYCE WILLIAMS, DDS, PC, FACS

Oral Surgeon, Williams Dental Implant & Oral Surgery, Centennial, CO

"I've always loved Denver and its suburbs. I like the mountains, the lifestyle, and the people in Colorado.

Centennial is a beautiful area where downtown is accessible but outdoor activities are nearby. I feel lucky to have found this community and am excited to start my practice here."

How do you stay up on ever-changing dental technology?

"I like to read. I am continually searching for new technology, techniques, or materials that make surgery a little more bearable for patients. There are so many dentists and specialists with creative ideas and I'm grateful they are willing to share with the rest of us!"

What is the best advice you ever received?

"Never be afraid to fail. One of my leaders in Boy Scouts told me this and I've never forgotten it. It's shaped my life. Fear limits our ability to progress, learn and grow. Being optimistic about new challenges fosters creativity, determination and preparation. It's my mantra."

What influenced your decision to specialize?

What are three of your goals for 2017?

What is the most rewarding part of your job?

"Patients never cease to amaze me. They are continually optimistic about having to undergo surgery, and they are determined to heal. My patients inspire me and make me want to serve them the best that I can."

"I have always wanted to be an oral surgeon. I lost several teeth in a traumatic accident as a child and required surgery as a teenager to replace the teeth. An oral surgeon, who later became my mentor, did a major bone graft to reconstruct my What would you be jaw and later placed implants so I could have front teeth. doing if you were not in It changed my life. "

the dental industry?

"I really like to play music, but I don't really have the talent for it. I'd like to say that I would be playing guitar in a band. But at least, I'd like to be a music reviewer/writer. I'm not getting my hopes up."

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"My goals every year are the same: learn one new skill, read about one new topic all year, and do something I've never done before. For this year, I'm learning how to play the ukulele, reading books about leadership techniques, and, hopefully, going to explore New York City for the first time."

What do you do when you are not at work?

"My wife and I like to cook. We cook dinner together almost every night of the week. Cooking allows us to spend time together and talk about our day. Being with my family is what recharges me for the next day."

MEMBER MATTERS

GET TO KNOW YOUR NEW MDDS

BOARD OF DIRECTORS SECRETARY Kevin Patterson, DDS, MD

Dr. Kevin Patterson is a full-scope oral and maxillofacial surgeon in Denver. He earned his DDS from the University of Colorado where he additionally completed a general practice residency. In 1998, he completed his oral surgery residency at The Mayo Clinic where he also earned his medical degree. In addition to private practice, Dr. Patterson serves as an Associate Professor at the University of Colorado School of Dental Medicine and the University of Colorado GPR program. He is past president of the Colorado Society of Oral and Maxillofacial Surgeons and is section chair for oral and maxillofacial surgery at Swedish Medical Center. He has served on the Board of Directors for the Metro Denver Dental Foundation (MDDF) and is finishing his term on the MDDS Board of Directors. He holds active memberships in the American Medical Association, American Academy of Oral and Maxillofacial Surgeons, ADA, CDA and MDDS.

DIRECTORS Justin Baltz, DDS

Dr. Justin Baltz is a graduate of both University of Wisconsin-Madison and Marquette University School of Dentistry. He is a partner at Highpoint Dental Care, a private practice in Aurora. He has volunteered his time serving dental missions to under served children in both Leh, India and Nicaragua. Dr. Baltz spent his first day as a licensed dentist at the Wisconsin Mission of Mercy and continues to serve in the Colorado Mission of Mercy (COMOM) events. He takes an active role in the tripartite as a member of the MDDS CE & Events Committee, MDDS Ambassador, RMDC/ADA Speaker Host, CDA New Dentist Committee and MDDS delegate during CDA Annual Sessions.

Alan Gurman, DDS

Dr. Alan Gurman received his Bachelor’s degree from Indiana University and earned his DDS from Indiana University School of Dentistry. He has practiced general dentistry in the Denver area for 30 years and currently maintains a private practice in Thornton. Throughout his career, Dr. Gurman has worked as a volunteer with many organizations including Kids In Need of Dentistry (KIND), Colorado Mission of Mercy (COMOM) and Urban Peak. He has served on various MDDS committees, including the Rocky Mountain Dental Convention (RMDC) Program Committee. He has served as an MDDS delegate at numerous CDA Annual Sessions. Dr. Gurman is a member of ADA, CDA, MDDS and the 5280 Study Club. He has been recognized by 5280 Magazine as one of Colorado’s Top Dentists.

Jennifer Thompson, DDS

Dr. Jennifer Thompson is a Colorado native. Dr. Thompson received her BS in biology and DDS from The Ohio State University. In 2011, she received her certificate in pediatric dentistry from Temple University Hospital.

Dr. Thompson is a diplomat of the American Board of Pediatric Dentistry and is a member of the American Academy of Pediatric Dentistry, Colorado Academy of Pediatric Dentistry, ADA, CDA and MDDS. She serves on the Board of Directors, is a committee chair and clinic volunteer for Kids In Need of Dentistry (KIND). She is a member of the MDDS Community Outreach & PR Committee and volunteers her time and resources to Dental Lifeline Network, 9 News Health Fair, Colorado Mission of Mercy (COMOM), Give Kids a Smile Day (GKAS) and Smile for a Lifetime.

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THE OPIOID EPIDEMIC:

DENTISTRY ON THE FRONT LINES OF BATTLE

A

By Amisha Singh, DDS gentleman stands at the counter, shaking

autopilot now. He takes out a checkbook and his hand shakes as he asks

from fear. I look up, my uniform

who to make it out to. I tell him and as he struggles, the realization hits

neatly pressed, and say, “Sir, give me

me like a brick wall: he is illiterate. I have never met another person who

your last name and I will check if your

cannot read or write. My circle of peers struggles with Shakespearean

prescription is ready.” I am working

theory and quantum physics. I struggle with how to help and finally

part-time as a pharmacy technician

pull out a business card with the company name. He writes it on the

while I attend college. As I near the end of my shift

check, almost as if copying a picture. I push it through the machine

at the local drugstore, I eye the clock. It has been a long day. The man

and he hastily grabs the bag. I ask him to wait. I need to make sure the

hesitantly gives his name and I grab the prescription, Fentanyl patches.

check processes before he leaves. The machine beeps with a failure error.

I ring it up as I have done countless times before. This process is almost

I try again, another beep. I look down at the error code, “Insufficient

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Funds.” I take the bag back behind the register and he begins to cry. My

for example, saw such a stark increase in drug overdose related medical

pharmacist comes over and gently presses my shoulder. “I am sorry, Sir. It

emergencies that they signed legislation requiring pharmacies to carry

declined again. There is nothing we can do.” I look over as he leaves and

over-the-counter reversal agents. Traditionally, naloxone, or Narcan, is

the pharmacist says, “He’s been here before. He used to be an accountant.

the primary reversal agent for opioid overdose. Naloxone is the immediate

Now he is homeless. More patches may be the last thing he needs. It’s a

reversal agent typically used in dental offices as well. In two years since this

heartbreaking story.”

public health initiative was created, there have been over 950 individuals have been revived using naloxone.2

This was almost 10 years ago. Before I got into dental school, I worked as a pharmacy technician and this day was the first time I learned that over

Solving this crisis takes a unique public health perspective and efforts

1.3 million Americans face an opioid addiction.1 At the pharmacy, we were

are still ongoing. As the epidemic grows, there has been a demand for

trained to fill and dispense drugs. We had an area of the pharmacy called

more drugs to help fight the battle. Buprenorphine, otherwise known as

the “Fast Rack,” where the popularly prescribed drugs were kept for easy

Suboxone, has recently become more popular as a reversal agent. This

access. The rest were alphabetized further back. Over 50% of the Fast Rack

drug can be taken regularly by recovering addicts at home to curb cravings

at all eight stores I worked in were prescription pain medications. These

or withdrawal symptoms, decreasing the chances of relapse. A special

stores varied from the poorest neighborhoods to some of the richest in the

licensure is required for MD’s to be able to prescribe the drug due to its

city. It made no difference in our patient pool; the young and old, rich and

properties, which mimic opioids. Suboxone patients must be monitored

poor alike were all cashing in pain medication at an alarming rate.

very closely, including frequent urine checks, to ensure they do not abuse or sell this medication. “The number of doctors certified

Now, 10 years later and a doctor, I am on the other

"Before I got into dental school, I worked as a pharmacy technician and this day was the first time I learned that over 1.3 million Americans face an opioid addiction."

side of this equation. I am no longer dispensing; I have the ability to prescribe. On a weekly basis, I have patients come in on “prophylactic doses” of their pain medication. Class II controlled medicines are regularly being prescribed and dispensed for every day, long term use. Not all of this is unneeded. Of course, there are conditions or procedures that warrant pain control. There are also a wide variety that do not and medications are being prescribed at an alarming rate

to prescribe buprenorphine has more than doubled since 2011, to about 36,000 from approximately 16,000, according to the Substance Abuse and Mental Health Services Administration. Yet the drug remains out of reach for many rural Americans.” 2 With more potent, popular and readily-accessible drugs coming onto the market, Narcan and Suboxone are quickly becoming obsolete. For example, a newer drug hit the illegal markets in 2016, a fentanyl analogue,

from “pill mill” clinics. These clinics compromise one

called Carfentanil. It is “an elephant tranquilizer 5,000

of the largest feeder systems for the current opioid crisis

times stronger than heroin. An amount smaller than a

2

the U.S. is facing.

few grains of salt can be a lethal dose.” The day this drug hit the market in Akron, OH, 17 people overdosed and one person died within a matter of

In 2015, over 33,000 people died from prescription drug abuse and

nine hours. In six months, over 140 overdose related deaths occurred in

overdoses2. That jumped to 59,000 in 20163 - the largest peak in recorded

this county, almost 150% more than the entire previous year.3 With drugs

history. This was the first-time heroin related deaths passed gun violence.

as strong as these, Narcan is beginning to seem like “a squirt gun in a house

These numbers are quickly approaching and are expected to surpass deaths

fire.” An EMT account describes administering “12, 13, 14 hits of Narcan

by car accidents if the current pace continues. This is a very real problem

with no effect.”

2

affecting people from all walks of life and all the parts of the country. It is easy to think this issue is relegated to the homeless and poor, but as the

Due to this acceleration, public health officials are having to get even more

New York Times outlined in their feature on the epidemic, everyone from

creative with their proposed solutions. We are moving to a system which

honor students in upstanding districts to the medical examiner’s son in

is now more centered around “harm reduction,” generating controversy.

small county Milwaukee are victims.2

Harm reduction entails providing a safe area and safe materials to decrease the amount of drug related deaths. Many critics hold their position that this

This epidemic is costing our country money and lives. Recent data shows

is enabling and allows more users to consume drugs.

that over “1.27 million emergency room visits or inpatient stays [are] for opioid-related issues in a single year,” which is a staggering 64% increase in

Tacoma, WA opened the nation’s first clean needle exchange in 1988

inpatient visits and 99% increase in ER visits from 2014. This problem is

and now is continuing to pioneer efforts with Seattle to host the first

changing the face of society. People are no longer having medical emergencies

safe injection site. Here, addicts can come to a safe place where health

in poor neighborhoods alone. They are overdosing in seemingly “clean”

professionals supervise, can tend to immediate emergencies and, perhaps

areas such as libraries, schools and the pharmacies themselves. Maryland,

most important, can help start the discussion regarding recovery.2 This

2

Continued on pg. 14

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13

Continued from pg. 13 movement of creating safe spaces and arming citizens in the battle against the opioid epidemic is penetrating society at a rapid rate. Even the most unlikely professionals are needing to be prepared for opioid related emergencies on a daily basis. In three major cities, Denver, Philadelphia and San Francisco, librarians are now trained in the use of Narcan for immediate reversal in the case of emergencies.4 In the short time frame of two months, one librarian in Philadelphia used the drug to save six people at her branch.

This problem may seem insurmountable, but as dentists we are on the front lines of battle. We can do our part as prescribers to help combat the speed at which this dilemma is gaining momentum. By using state and national databases and being vigilant of drug seeking behavior, we are able to turn the faucet off at the source. We must be very intentional with our prescribing power. A few extra hydrocodone tablets left in a bathroom medical closet may seem benign, but it is the fuel this fire needs to continue.

Standing in that pharmacy 10 years ago, I was doubled over with the stark reality change that occurred for that patient. I saw his addiction and what it had done to his life in a simple two-minute exchange. Knowing what I know now, I can’t help but wonder which doctor had written the prescription for those Fentanyl patches without any attention to his plight.

Refrences: 1 - Achenbach, J., & Keating, D. (2017, June 20). In just one year, nearly 1.3 million Americans needed hospital care

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for opioid-related issues. The Washington Post. Retrieved from https://www.washingtonpost.com/news/to-your-health/ wp/2017/06/20/in-just-one-year-nearly-1-3-million-americans-needed-hospital-care-for-opioid-related-issues/?utm_ term=.91290f65f639 2 - Inside a Killer Drug Epidemic: A Look at America’s Opioid Crisis. (2017, January 6). New York Times. Retrieved from https://www.nytimes.com/2017/01/06/us/opioid-crisis-epidemic.html 3 - Katz, J. (2017, June 5). Drug Deaths in America Are Rising Faster Than Ever. New York Times. Retrieved from https://www.nytimes.com/interactive/2017/06/05/upshot/opioid-epidemic-drug-overdose-deaths-are-rising-faster-thanever.html 4 - Simon, D. (2017, June 24). The opioid epidemic is so bad that librarians are learning how to treat overdoses. CNN. Retrieved from http://www.cnn.com/2017/06/23/health/opioid-overdose-library-narcan/index.html 5 - About the Opioid Epidemic. (2017, June 15). Retrieved June 28, 2017, from https://www.hhs.gov/opioids/about-theepidemic/index.html 6 - The Opioid Epidemic - By the Numbers. (2016, June). Retrieved June 28, 2017, from https://www.hhs.gov/sites/ default/files/Factsheet-opioids-061516.pdf

About the Author Dr. Amisha Singh is a Denver native and loves living in beautiful Colorado. She is currently a member of the ADA, CDA, and MDDS. She serves on the CDA New Dentist Committee and Membership Counsel and MDDS Member Services Committee. She is a blogger and professional speaker who works with IgniteDDS and IgniteDA to inspire other dental professionals and provide them resources to be the best clinicians possible. When not practicing dentistry she loves to get lost in a good book, cook, and do all things creative.

OPIOID FACTS

1 in 10 people receive specialized treatment to manage their opioid addiction.1

Deaths from synthetic opioids jumped 72% from 2014 to 2015.3

Nationwide overdoses from opioids have quadrupled since 1999.2

An opioid prescription lasting more than 8 days increases the chances of addiction 13.5%.4

Colorado ranks 12th in the country for the misuse of opioid prescriptions.9

442 998 372

%

The number of people that died in Colorado from an opioid overdose last year.5

Increase in opioid fatalities in Denver over 14 years.8

Times Denver Health administered naloxone in a 12 month period.6

The 80204 and 80202 There are zip codes draw the 8 different highest number of commonly overdose calls prescribed to paramedics.7 drugs that are classified as opioids.

1 –2016 Surgeon General’s Report https://addiction.surgeongeneral.gov/ 2 – Centers for Disease Control and Prevention https://www.cdc.gov/drugoverdose/epidemic/index.html 3 – Centers for Disease Control and Prevention https://www.cdc.gov/mmwr/volumes/65/wr/mm655051e1. htm?s_cid=mm655051e1_w 4 – Centers for Disease Control and Prevention https://www.cdc.gov/mmwr/volumes/66/wr/mm6610a1. htm?s_cid=mm6610a1_w 5 –Denver Post http://www.denverpost.com/2017/04/28/opioid-overdoses-naloxone/ 6 –Denver Post http://www.denverpost.com/2017/04/28/opioid-overdoses-naloxone/ 7 –Denver Post http://www.denverpost.com/2017/04/28/opioid-overdoses-naloxone/ 8 –Westword http://www.westword.com/news/denver-opioid-deaths-2001-2016-8847936 9 –CBS News http://denver.cbslocal.com/2017/06/07/opioid-colorado-hospital-association-sky-ridge/

Resources General Information & CE: ADA.org/opioids Turn the Tide Pledge: turnthetiderx.org/join Colorado Medication Take Back Locations: www.colorado.gov/cdphe/colorado-medication-take-back-program Drug Abuse Screening and Assessment Resources: www.drugabuse.gov/nidamed-medical-health-professionals/ tool-resources-your-practice/additional-screening-resources Free Naloxone Training Materials: www.opioidprescribing.com/naloxone_module_1-landing Colorado Prescriptions Drug Monitoring Program: www.colorado.gov/dora/PDMP

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Leveling the Playing Field in Your Next Office Lease Negotiation

By Dan Gleissner

T

he current commercial real estate market has been

One of the keys to a successful negotiation is to take advantage of the free

dramatically affected by the economy in the past

services of a real estate broker or agent. This is important because most

several years. This has resulted in a very favorable

landlords are in the business of real estate and typically have the upper

environment for tenants, as landlords are extremely

hand when negotiating with tenants directly. Additionally, the majority of

motivated to attract new tenants and retain existing

landlords hire a real estate broker to represent their interests and provide

ones—especially high quality tenants such as healthcare

expertise. Though dramatic concessions are available, a specific posture and

practices. Some of the current opportunities include

negotiation strategy are paramount to achieving the best possible terms.

reducing your monthly rent payment, upgrading your office’s appearance through an improvement allowance, as well as obtaining free rent and other

When the time comes to evaluate your current lease situation, you’ll need

favorable concessions.

to consider the pros and cons of renewing the lease in your current location

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versus relocating to a new property. Since economics and concessions will

properties’ lease rates, build out allowances, and other concessions, which

have a dramatic impact on the decision, it is essential to understand all

can then be used as valuable leverage on your behalf in the negotiations with

of your available options and implement a strategy to leverage them. It is

the landlord. Ideally, you should select an agent with experience representing

critical to the success of your negotiation that your landlord knows that you

healthcare practices because they will be able to achieve specific terms and

have the option to relocate, which means that you need to begin negotiations

concessions that are not generally available to other types of tenants. Your

well in advance of your lease’s expiration; ideally 9 – 24 months before your

agent will handle all the research and communication with the landlords,

current term ends.

while maintaining a professional negotiating posture on your behalf.

When you begin negotiations, you have two options available to you: You can

Fortunately for you as a tenant, landlords and sellers have agreed to pay for

work with the landlord’s agent and represent yourself, or you can hire a real

an agent’s services on your behalf, so it costs you nothing. Commercial real

estate broker. Here are some things you need to know if you choose to represent yourself in a lease negotiation.

Under state law, a real estate broker can enter into an agreement to serve clients as an Agent. An agent is obligated to serve his or her client’s interests with the utmost good faith, loyalty and fidelity. Clearly, it is not practical for an agent to act with utmost loyalty to two parties on opposite sides of a transaction, meaning the landlord or landlord’s broker should not also represent your interests.

Simply put, if you do not bring an agent into the negotiations, no one will be protecting your interests but yourself. If you deal directly with the landlord or

estate is structured similarly to residential real estate.

"Some of the current opportunities include reducing your monthly rent payment, upgrading your office’s appearance through an improvement allowance, as well as obtaining free rent and other favorable concessions."

landlord’s agent, it is crucial to remember that he or she

If you were to sell your home, you might list it with a broker and agree to pay a commission. The commission is split between the listing broker and the broker who brings the buyer. If the listing broker is able to find the buyer directly, then he or she would earn a double commission. The same kind of arrangement is made in the commercial real estate market, and you as a tenant or buyer have access to professional representation at the seller’s expense.

Most healthcare providers have plenty to do serving their patients and running a successful practice.

Spending hours on end making sure your lease renewal is competitive and handled properly is typically not the best use of your time. Since professional representation

is not legally or logically in a position to advocate on your behalf, so it is

does not cost you anything as a tenant, it makes a lot of sense to let a licensed

important to exercise discretion with the information you share with the

real estate professional review your lease, represent your interests in your

landlord’s agent.

negotiations, and then help you capitalize on the current market conditions so you can achieve the best possible terms.

Even if your building’s ownership and management are pleasant to work with, respond to issues quickly, and maintain the building well, their primary interest is maximizing profits. Landlords know that without market knowledge, tenants have no baseline against which to compare a lease offer.

Therefore a landlord will most likely offer the highest lease terms that they believe an uninformed tenant will accept.

About the Author Dan Gleissner is an experienced commercial real estate broker with Carr Healthcare Realty and has represented over 100 dentists with their office space needs throughout Colorado.

The only way to know if any offer is truly competitive is to compare it to the market. To do this you need to identify all the available properties which suit your needs, and then tour a significant number of them to determine

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You then need to negotiate with the landlord at each property to receive the best offers for a suitable space for your practice. These offers will include terms for the base lease rate and any increases in the lease rate, as well as concessions such as free rent and an improvement allowance. You’ll also need to know the lease terms and concessions that new tenants in your current building are receiving from your landlord. At each step along the way, you’ll be dealing with a professional real estate broker who is hired to achieve the best possible terms for the landlord.

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THE RELENTLESS DENTIST

Improving Your Dental Practice

by Applying the Pareto Principle

By David Maloley, DDS, FAGD

I

n your dental practice, you’re constantly reviewing

success while minimizing your effort, expense and resources.

numbers. Whether it’s your payroll expenses, the number of new patients in your chairs or your bottom

Because your patients are the lifeblood of your practice, let’s start there.

line growth, numbers are critical to your success.

There’s no denying that a few of your patients are worth exponentially more

However, most dental practitioners are oblivious

to your practice. If you were to dive into the numbers, about 20% of your

to a numbers principle that’s always working in the

patients bring in nearly 80% of your collections.

background. Once you begin leveraging this principle, you’ll understand why it holds the power to significantly expand your practice in a variety of

To expand your practice, you should craft a business and marketing plan

ways.

to target these top 20% patients. Start by communicating more frequently with these diamond-level patients. Next, begin a referral program. Because

It’s called the Pareto Principle or 80/20 Rule. Italian economist, Vilfredo

these patients have shown you the most loyalty, they are most likely to refer

Pareto, first noted the 80/20 connection when he observed that 80% of the

their family, friends and colleagues. Also consider creating a loyalty program

peas in his garden came from only 20% of the peapods. Later, in 1869, he

for these high-valued patients. After all, losing just a few of these top 20%

published a paper that pointed out that roughly 80% of Italian property was

patients could seriously set your practice back.

owned by 20% of the population.

Of course, not everyone is an ideal patient. Keeping with the Pareto Principle Simply put, this principle says nothing if life is evenly distributed.

theme, 20% of your patients cause 80% of your practice’s headaches and

Approximately 80 percent of your results come from just 20 percent of your

problems. These patients share common negative traits, including being slow

efforts. Likewise, just 20 percent of your results come from 80 percent of your

to pay, skipping appointments and even arguing with your team.

efforts. Oftentimes the ratio is even more skewed like 90/10 or 95/5.

These are the patients who negatively affect your productivity, your growth Without leveraging this “law of the vital few”, you will experience a massive

and your overall quality of life. You must identify them and take action.

amount of waste in your productivity, your budgets and your results. Let’s

Either come to a win-win agreement with them or gracefully help them to

take a closer look at a few ways you can maximize your practice’s growth and

find a new dentist.

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Continued on pg. 21

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Make your giving count!

Donate Today! cdaonline.org/cdagives

#CDAgives IS TRENDING We Support Dental Education #CDAgives The CDA Foundation is proud to support dental education at the University of Colorado School of Dental Medicine. The foundation’s dental education campaign is dedicated to dentistry’s next chapter.

The CDA Foundation’s 2017 Bitte Geben Biergarten (Beer Garden of Giving) raised more than $6,000 to support the future profession. Prost!

FOUNDATION

Continued from pg. 18 Beyond your patients, you rely on our team to make your practice shine. In most dental practices, the majority of your growth and success are driven by just a few of your employees. Therefore, 80% of your team may essentially be holding your practice back.

Unfortunately, most leaders use an ill-advised way to combat this employee inefficiency. They focus too much of their time trying to “fix” the 80% of

"Once you begin leveraging this principle, you’ll understand why it holds the power to significantly expand your practice in a variety of ways."

employees who are less optimistic and productive.

A better approach is to focus on the 20% of team members who are most productive and get greater results. It starts with your hiring processes. Be very specific on the role you’re recruiting for and the type of person you wish to fill the spot. Your best bet is to use your top 20% employees as a recruitment mirror. Your new hires should have similar traits, experience and motivation as these outstanding employees.

While your patients and staff are the cornerstone of your practice, the right procedure mix can really build your reputation. Think about which few procedures best enhance your practice and bring in more patients.

Perhaps it’s sedation or implants. Which services do you enjoy the most

The answer can become your niche. By focusing on growing those one or two services, you can quickly become among the top of dental practices in your region.

Applying the 80/20 Principle can transform every facet of your dental practice. Look intently at your best patients, top performing team members and highest valued procedures. Make the necessary changes looking through your new paradigm and your practice will be primed for perpetual growth.

About the Author Dr. David Maloley hosts the very popular podcast, The Relentless Dentist Show. David grew up working on a family farm in Lexington, NE. He attended the University of Nebraska in Lincoln, where he earned his bachelor’s degree and later his DDS. In 2003, Dr. Maloley completed an Advanced Education in General Dentistry residency in Ft. Jackson, SC, then served as a Dental Officer in the US Army for the next five years. While in the army, Dr. Maloley was stationed at dental clinics in Giebelstadt, Germany for two years and Vicenza, Italy for another two years, providing general dentistry services for the local military communities. After he returned to the US in 2007, he worked at a private practice near Charlotte, NC for two years before relocating to Colorado to open Vail Valley Dental Care.

that your patients also value? Maybe it’s orthodontics or sleep apnea. Is it time to add a new skill set to your repertoire?

CLINICAL

PEER REVIEW PUZZLER

Peer Review is a member benefit of the Metro Denver Dental Society. The following is a sample of an actual event, with real patients and real dentists that was reviewed and mediated by the MDDS Peer Review Committee.

Case The patient had a permanent metal crown on tooth #9. Dr. M had discussed the

options with Dr. M’s staff and was informed

advantages of a porcelain crown with the patient since 2008. After consideration,

that additional alternatives would need to be

the patient opted to have the porcelain crown placed in January 2013. At the

completed before a refund would be granted. On

appointment, the patient reported they were anesthetized and a chair-side program

March 20, 2013, the patient returned to Dr. M’s

was used to create the permanent crown in-house. After the crown was placed,

office where a crown adjustment was made and

the patient reported to Dr. M’s dental assistant that the prosthetic felt "too large."

a referral to an endodontic practice was given.

An evaluation was completed by Dr. M and it was determined that the crown was indeed too large and the staff set about milling a new crown.

On August 30, 2013, the patient sent a certified letter to Dr. M requesting a refund for the original services performed in January 2013. The patient reports that email

The patient reported being kept waiting for an extended period of time due to

correspondence was exchanged but neither resolution nor reimbursement was

malfunctions in the milling process and three additional crowns needed to be

ever agreed upon.

created before tooth #9 was placed. After the appointment, the patient noted pain in their teeth, gums and nerves persistent to the time of the complaint.

The patient received a second opinion and completed the following course of treatment: examination, mouth splint, removal of crown placed on tooth #9, new

Between the period of January 28, 2013 – February 21, 2013, the patient reported

temporary crown, root canal and evaluation for asymptomatic odontoma behind

making four follow-up visits to Dr. M for the newly place crown on #9. During

tooth #9.

these visits, the patient was advised to give the crown a bit of time to settle and that endodontic treatment might be necessary. The patient discussed refund

Peer Review answer on page 27

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Caring for Aging Parents

By David Easton, CFP® and Ron Lottridge, CFP®

R

ecently we made a presentation to a dental study

Mom? Dad? We need to talk.

group on investing and financial planning. In

The first step you need to take is talking to your parents. Find out their needs

the course of the presentation the question about

and wishes. In some cases, however, they may be unwilling or unable to talk

how to help aging parents came up several times.

about their future. This can happen for a number of reasons, including:

So here are some ideas about how you can help

• Incapacity

Mom and Dad as they grow older.

Caring for aging parents is something you hope you can handle when the time comes, but it's the last thing you really want to think about. Whether the time is now or somewhere down the road, there are steps that you can take to make your life (and theirs) a little easier. Some

people live their entire lives with little or no assistance from family and friends, but today Americans are living longer than ever before. It's always better to be prepared.

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• Fear of becoming dependent • Resentment toward you for interfering • Reluctance to burden you with their problems If such is the case with your parents, you may need to do as much planning as you can without them. If their safety or health is in danger, however, you may need to step in as caregiver. The bottom line is that you need to have a plan.

If you're nervous about talking to your parents, make a list of topics that you need to discuss. That way, you'll be less likely to forget anything.

Here are some things that you may need to talk about:

Evaluating your parents' abilities

• Long-term care insurance: Do they have it? If not, should they buy it?

If you're concerned about your parents' mental or physical capabilities, ask

• Living arrangements: Can they still live alone, or is it time to explore other options?

their doctor(s) to recommend a facility for a geriatric assessment. These

• Medical care decisions: What are their wishes, and who will carry them out?

your parents' capabilities for day-to-day activities (e.g., cooking,

assessments can be done at hospitals or clinics. The evaluation determines housework, personal hygiene, taking medications, making phone calls).

• Financial planning: How can you protect their assets?

The facility can then refer you and your parents to organizations that

• Estate planning: Do they have all of the necessary documents (e.g., wills, trusts)?

provide support.

• Expectations: What do you expect from your parents and what do they expect from you?

"Caring for aging parents is something you hope you can handle when the time comes, but it's the last thing you really want to think about."

Preparing a personal data record Once you've opened the lines of communication, your next step is to prepare a personal data record. This document lists information that you might need in case your parents become incapacitated or die. Here's some information that should be included: • Financial information: Bank accounts, investment accounts, real estate holdings • Legal information: Wills, durable power of attorneys, health-care directives

If you can't be there to care for your parents, or if you just need some guidance to oversee your parents' care, a geriatric care

manager

(GCM)

can also help. Typically, GCMs are nurses or social workers with experience in

• Funeral and burial plans: Prepayment information, final wishes • Medical information: Health-care providers, medication, medical history

geriatric care. They can assess your parents' ability to live on their own, coordinate round-the-clock care if necessary, or recommend home health care and other agencies that can help your parents remain independent.

Get support and advice

• Insurance information: Policy numbers, company names

Don't try to care for your parents alone. Many local and national caregiver

• Advisor information: Names and phone numbers of any professional service providers

support groups and community services are available to help you cope with caring for your aging parents. If you don't know where to find help,

• Location of other important records: Keys to safe-deposit boxes, real estate deeds

contact your state's department of elder care services. Or, call (800) 6771116 to reach the elder care locator, an information and referral service sponsored by the federal government that can direct you to resources

Be sure to write down the location of documents and any relevant account

available nationally or in your area. Some of the services available in your

numbers. It's a good idea to make copies of all of the documents you've

community may include:

gathered and keep them in a safe place. This is especially important if you live far away, because you'll want the information readily available in the event of an emergency.

Where will your parents live?

If your parents are like many older adults, where they live will depend on their health. As your parents grow older, their health may deteriorate so much that they can no longer live on their own. At this point, you may need to find them in-home health care or health care within a retirement community or nursing home. Or, you may insist that they come to live with you. If money is an issue, moving in with you may be the best (or only) option, but you'll want to give this decision serious thought. This decision will impact your entire family, so talk about it as a family first.

A lot of help is out there, including friends and extended family. Don't be afraid to ask.

• Caregiver support groups and training • Adult day care • Respite care • Guidelines on how to choose a nursing home • Free or low-cost legal advice

Once you've gathered all of the necessary information, you may find some gaps. Perhaps your mother doesn't have a health-care directive or her will is outdated. You may wish to consult an attorney or other financial professional whose advice both you and your parents can trust.

About the Author David Easton, CFP® and Ron Lottridge, CFP® are founding partners of Catalyst Retirement Advisors. Catalyst Retirement Advisors specializes in serving the retirement planning needs of dentists, orthodontists, oral surgeons and other dental professionals.

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IS YOUR DENTAL PRACTICE RUNNING CASH POOR?

FIVE WAYS TO IMPROVE CASH FLOW

By Paul Jerez

T

his may come as a surprise to some dentists, but the biggest threat to a dental practice’s long-term success is not a lack of profit. It’s a lack of cash flow.

A dentist that collects an average of $75,000 a month, for example, will see $27 million move in and out of the practice’s bank accounts over a 30-year career.

But the flow of cash is not always even and it’s not always enough. That “multimillionaire” dentist could still run in the red some months and end up on the short end of the financial stick when retirement looms.

Slow and non-paying patients are often a big reason why. There are many things you can do to help keep cash flowing in a dental practice. Here are five of them: 1. Scrutinize your cash-flow statement. Dentists often prefer to delegate cash

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management activities to others so they can focus on patient care. But it’s still important they know where they stand financially at all times.

Having enough cash on hand to pay the bills requires estimating income and expenses over a period of time and planning how to deal with any expected shortfall. You’ll be more likely to pre-empt problems if you can accurately predict cash flow for the following three months.

2. Establish payment and credit policies. Dentists sometimes forget that credit is a courtesy and not a requirement of doing business. It’s important to establish clear payment and credit policies, and communicate them up front to patients.

You must also enforce these policies consistently, reminding patients sooner rather than later if a bill is past due. If patients see that you are lax in your collection efforts, some will stretch your patience – and your cash flow – as

long as you allow it. Teaching patients your expectations can help avoid difficult collection situations.

3. Use technology to your advantage. At many dental practices, money is coming in, just not fast enough. In some cases, the practice itself is partly to blame. You can help speed the collection process by using your bank’s lock box service. By having customer payments sent directly to your bank, you can ensure funds are deposited on the same day they’re received. That eliminates the typical two or three day lag you might otherwise experience.

When was the last time you had a merchant services check-up? Advances in the payment processing industry have made speeding up cash flow easier with next day funding. Many clients prefer to pay with plastic, so make sure they have the ability to make payments on your website as soon as they receive a bill.

A perk to this mode of payment is the accompanying reporting tools offered for your convenience, which makes balancing and reconciling your receivables easier. Subtle changes in how you process plastics can save you money and help control the fees you are being charged.

4. Enhance your payment process. You can improve your cash flow even more by revamping your payment process so you request payment authorization for the amount the customer will be responsible for right at the point of care.

An updated payment process may enable your practice to eliminate back end billing, as well as the confusion it can create among patients who aren’t sure if or when to pay a bill. This not only has the potential to improve collection rates, it can also reduce an office’s administrative workload.

Extending credit to your customers is a strategic decision to increase billings while recognizing that some patients do not have the capacity to fully pay at the time of their treatment. However, not all patients should be extended credit if you expect your default percentage to be high. Developing and adhering to a financing policy allows for longer term repayment will help make your treatments affordable and build goodwill with your clients. Risk parameters should be built around the stability and creditworthiness of the client. One way to gauge the risk of a patient is pull credit reports on a client with long term repayment needs. A credit grading system (such as ZACC getzacc.com) is a tool that can help with patient financing.

5. Keep your banker up to date. Your bank can help you more quickly if you’ve kept them apprised of your financial situations and challenges. For example, a line of credit can help even out cash flow when your practice experiences peaks and valleys in payment. In some cases, you might be better served to restructure an existing loan or consolidate debts to reduce current payments.

The best time to talk to your banker, of course, is before cash flow begins to slow. The better your banker knows you, the better able he or she will be able to recommend solutions that keep your practice running strong.

About the Author Paul Jerez joined Commerce Bank in 2014 as a Small Business Banking Specialist. With over 12 years of business lending experience in the Colorado Market. Paul’s alma mater is the University of Arizona and he is working toward his Master’s in Business Administration.

Don’t miss out on new patients! Update your NEW ADA Find-a-Dentist® profile.

The new Find-a-Dentist tool makes it easier than ever for patients to find you. Take 5 minutes to update your profile with the information patients look for most: ü ü ü ü ü ü ü

Photo Business address Office hours Practice email Payment options Insurance types Languages spoken

IS THIS YOU? Don’t be left out.

To update your profile and access resources to help promote your practice, visit ADA.org/findadentist

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mddsdentist.com

Articulator Winter 2015

26

FREEDOM DAY USA October 12, 2017

Sign up to take part of America’s largest military appreciation day!

On Thursday, October 12, 2017 we encourage you to open your doors to active military, veterans and their families and offer no cost dental services to those who have sacrificed so much.

Benefits of Participation Include: Opportunity to give back to the community Increased marketing exposure Great team building For more information or to sign up visit freedomdayusa.org/dental-teams.

IN MEMORIAM Christopher Vairin

Dr. Vairin was a general dentist who practiced in Lakewood, passed away on May 7, 2017. He was a Colorado native, received his DDS from Northwestern University Dental School in 1997 and returned to Colorado in 1998 to begin his private practice. Dr. Vairin was known for his kindness and gave generously of his time to help others.

Jeffrey Snell

Jeffrey Snell, a sales representative for NSK Dental, passed away on June 27. Jeff was instrumental in helping the Mountain West Dental Institute acquire and maintain a large percentage of handpieces used in its continuing education workshops. Jeff played high school, college and semi-professional baseball and moved to Colorado with his family in 2002. He could always be seen with a smile on this face and was an outstanding man to work with.

Answer to the Peer Review Puzzler (continued from page 21) The Peer Review Committee conducted interviews with both the patient and Dr. M, after informing them of the complaint filed. Dr. M granted a refund of $357.60 to the patient and $461.40 to the patient’s insurance company and the patient signed release of liability forms to protect Dr. M against future litigation.

Litigation and claims on a dentist’s malpractice insurance can be an expensive and lengthy process – one that is best avoided. If you have questions about the peer review process or are interested in joining the committee, please contact Marlene Pakish, MDDS Finance and Operations Manager, at finance@mddsdentist.com or (303) 488-9700.

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NONPROFIT NEWS

SIGN UP TO TAKE PART OF AMERICA’S LARGEST MILITARY APPRECIATION DAY!

By Cara Stan

T

he soft-spoken elderly gentleman bows his head

In fact, MDDS Community Outreach Committee member Dr. Carrie

in humble acknowledgment when thanked for his

Mauterer, general dentist at Appletree Dental in Thornton, estimated that

service. After a 40-year career in the armed forces,

their office donated $11,000 worth of dental services during past Freedom

including time spent in Vietnam and carting his

Day events. Dr. Mauterer feels the expense was well worth it. “The patients we

family across the globe, he still feels undeserving

see on Freedom Day have given so much to our country and despite this, they

of the care being provided for him.

are so humble and thankful for the work we are doing. The smiles on their faces and hugs our staff get is the best kind of payment.”

The same scene, or one similar, is replayed across the country each year on Freedom Day USA. Entering its fourth year, Freedom Day USA was

If you are interested in participating in 2017 Freedom Day, please visit

created as a national “thank you” movement by West Virginia’s Dr. Robert

freedomdayusa.org. MDDS, with the help the Community Outreach

Martino for those who have bravely served and sacrificed for this country.

Committee, is committed to the promotion and success of Freedom Day

Dr. Martino’s vision was for businesses to open their doors on this day each

in Colorado. If you have questions about marketing your involvement,

year to provide free services, goods or products to active military, veterans

we encourage you to contact Cara Stan, MDDS Director of Marketing &

and their immediate families.

Communications, at marcom@mddsdentist.com or (303) 488-9700 ext.

3270. You can also find tips and tutorials, including how to utilize social

Colorado is one of 27 states currently participating in the Freedom Day

media and event follow-up, at freedomdayusa.org/businesses.

movement. The 2017 Freedom Day will be held on Thursday, October 12.

Dental offices from the metro area including Denver, Lakewood, Littleton,

“It is not the style of clothes one wears, neither the kind of automobile one

Wheat Ridge, Thornton and more, have made the commitment to give back for

drives, nor the amount of money one has in the bank, that counts. These

this year’s event. Services provided include oral cancer screenings, cleanings,

mean nothing. It is the simply service that measures success.” – George

fillings, root canals, simple extractions and crowns, to name a few. Payment

Washington Carver

is not accepted for the services rendered during this outreach event and many dentists report that Freedom Day is their team’s favorite day of the year.

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28 3rd Quarter 2017 mddsdentist.com

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3rd Quarter 2017 mddsdentist.com

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Be sure to check out the RMDC HANDS-ON COURSES being held at the:

MOUNTAIN WEST DENTAL INSTITUTE!

Visit MDDSdentist.com for a full schedule of other upcoming courses at the MWDI! • 140-seat Auditorium (can be divided in two)

• Planmeca PlanScan™ (mill & scanner)

• Banquet Hall

• Equipped to capture and stream live video

• 20-seat Executive Board Room • Hands-on Learning Lab Benches for 40 participants

• MDDS members receive a 15% discount • Multi-day & multi-room discounts

• Large Wet Lab

• A/V always included

• Four (4) Educational Operatories including one (1) equipped for surgery

• No catering restrictions

• 2D/3D Digital Imaging Suite

• Two (2) free parking structures

• Free Wi-Fi

MWDI.ORG Metro Denver Dental Society | 925 Lincoln Street, Unit B, Denver, CO 80203 (303) 488-9700

EVENT CALENDAR SEPTEMBER September 13 CPR & AED Training Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 6:00pm-9:00pm (303) 488-9700 September 22 Sleep Explained: The Science of Dental Sleep Medicine -Dr. Chase Bennett Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:00am-5:00pm (303) 488-9700 September 23 Straightforward Ultrasonic Debridement/ HANDS-ON A Simplified Approach to Ultrasonic Instrumentation -Ms. Cynthia Fong Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 9:00am-1:00pm 2:00pm-4:00pm (303) 488-9700

October October 6 Periodontal Disease: From Probing to Presenting to Planning -Ms. Jamie Marboe Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 9:00am-4:00pm (303) 488-9700

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30 3rd Quarter 2017 mddsdentist.com

November October 7 Womens Dentist Event Location TBD (303) 488-9700 October 12 Freedom Day USA All Day (303) 488-9700 October 13-14 COMOM Pueblo, CO All Day (720) 648-0918 October 26 New Member Event Location TBD (303) 488-9700 October 27-28 Advanced Grafting and Implantology Utilizing a Cadaver Specimen -The Perio Institute/ Dr. Charles Schelesigner Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:00am-5:00pm/day (303) 488-9700

November 11 CBCT Boot Camp: The Implant Edition -Dr. Dania Tamimi Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 9:00am-12:00pm (303) 488-9700 November 14 CPR & AED Training Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 6:00pm-9:00pm (303) 488-9700 November 17-18 Dental Sleep Principles: Where the Rubber Meets the Road -Chase Bennett, DDS and James Bieneman, DDS Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:00am-5:00pm (303) 488-9700

DECEMBER December 2 Nitrous Oxide/Oxygen Administration Training -Dr. Jeffrey Young Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:00am-4:00pm (303) 488-9700

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General Practice: SE Metro Denver, CO (CO 1621) Annual Revenues $800K, 4 Ops + room for 1 more, 1,500 square feet, Condo sold with practice, Dr. Retiring. ADS Precise Consultants, adsprecise.com, email: frontdesk@adsprecise.com, 800-307-2537.

General Practice: Major Ski Resort, CO (CO 1520) Practice & Condo $725K, 3 Ops + 1 needs chair, 1,150 sf, rare opportunity!

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“Carr reduced my lease rate, secured free rent and a substantial tenant improvement allowance!”

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Carr Healthcare Realty is the nation’s leading provider of commercial real estate services for healthcare tenants and buyers. Our team of experts assist with start-ups, lease renewals, expansions, relocations, additional offices, purchases, and practice transitions.

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