MDDS Articulator Volume 16 Issue 2

ARTICULATOR MDDS

Connections for Metro Denver’s Dental Profession

Winter 2011 Volume 16, Issue 2

LET IT SNOW! Winter Time is Renewal Time!

Are You Maximizing Your Membership Benefits?

Strength in Numbers

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That's Right. No Charge For Awesomeness 5280 Top Dentists Investigation Part I: Up in the Clouds

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The Best Benefit You Haven’t Heard About

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Insurance Tips for the Dental Professional

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ARTICULATOR MDDS

Connections for Metro Denver’s Dental Profession

Volume 16, Issue 2

MDDS Articulator Editor Carrie Seabury, DDS Managing Editor Jason Mauterer Creative Manager Chris Nelson Communications Committee Anil Idiculla, DMD, Chair Michael Diorio, DDS Karen Franz, DDS Kelly Freeman, DDS Brandon Hall, DDS Kyle Klepacki, DDS Jeremy Kott, DDS Maria Juliana DiPasquale, DMD Nicholas Poulos, DDS Maureen Roach, DMD MDDS Executive Committee President Charles S. Danna, DDS President-Elect D. Diane Fuller, DDS Vice President Mitchell N. Friedman, DDS

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Winter 2011

Inside This Issue:

Leadership Corner……………………………4

Event Calendar.....…...........…………......18

Reflections………………………………………..6

Practice Management.........................20

Featured Story - 5280.................................8

Non-Profit News...........…....................22

Member Matters…................………………10

Ask A Professional................................24

Featured Story - Up in the Clouds....………12

Classifieds..............................................26

Clinical......................................………………14

Financial News..................................... 30

Featured Story - Peer Review...............16

Secretary Larry Weddle, DMD Treasurer Scott M. Maloney, DMD Executive Director Elizabeth Price, MBA, CDE Printing Dilley Printing The Articulator is published bi-monthly by the Metropolitan Denver Dental Society and distributed to MDDS members as a direct benefit of membership.

Editorial Policy All statements of opinion and of supposed fact are 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. 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 3690 S. Yosemite St., Suite 200 Denver, CO 80237-1827 Phone: (303) 488-9700 Fax: (303) 488-0177 mddsdentist.com ©2011 Metropolitan Denver Dental Society

Member Publication

Get To Know Your MDDS Staff Shelly Fava - Director of Convention & Events Shelly Fava joined MDDS as Associate Convention Director in 2005 and became the Director of Convention & Events in 2010. Shelly grew up in upstate New York near Woodstock, where her parents owned Duey’s, a family-style restaurant.

She received two Bachelor’s degrees in History and International Relations and then went on to earn her Master’s in History; all from Boston University (go Terriers!). After graduation, she worked at the Boston University Office of Conference Services for 10 years where she coordinated thousands of events for both campus and corporate clients. Some of the events included: the first Betty Davis Award presentation to Meryl Streep, an Evening with Prince Albert of Monaco, the Alumni Awards featuring Bill O’Reilly, housing during the 2004 Democratic National Convention, countless weddings and the Massachusetts Special Olympics.

As Director of Convention & Events, Shelly is responsible for overseeing all aspects of the Rocky Mountain Dental Convention, as well as the planning for all non-convention CE and selected special events. She is the staff liaison for the Convention Arrangements Committee (CAC), RMDC Programming Committee and the CE & Events Committee.

Shelly is ecstatically married to Joseph and together they have one adorable threeyear-old son, William. Outside MDDS, Shelly is an avid reader, loves watching movies, skiing and spending time with her family. She’s a Red Sox fan from back in the days when she used to listen to games on the radio with her grandfather and was witness to the city of Boston coming apart when the curse of the Bambino was finally broken. On fall Sundays she can be found cheering for the Patriots. She is also a long-time fan of all things related to “Buffy the Vampire Slayer.” You can reach Shelly at (303) 488-9700, ext. 3273 or sfava@ mddsdentist.com.

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LEADERSHIP CORNER Strength in Numbers

By Charles Danna, DDS

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ne of the most fun and rewarding MDDS committees is the Committee on Member Services. A few years ago I was the committee Chairman. As Chair I was always struggling with trying to meet the needs of our members. Today, the committee is chaired by Dr. Brian Gurinsky and it is filled with volunteer dentists who are excited about the opportunities they can provide to our members. They are spending much time focusing on the needs and interests of our new, young members in the society. This is a very pleasant change compared to what was happening when I first joined the society in 1977. Back then it seemed like it was an “old boy’s club” that offered continuing education on the side. I really didn’t get the feeling back then that anyone cared if I succeeded or not.

The atmosphere was, "Good luck and see you at the next meeting." The society today is striving to provide valuable benefits to all of its members by following its strategic plan which was formed three years ago and is constantly being updated. Hopefully, by following this plan, members of all ages and interests will realize the benefits of being a member in organized dentistry.

The society offers benefits in numerous areas. It is obvious that MDDS is a frontrunner in continuing education for the entire dental community. MDDS also keeps watch on areas that affect our practices such as legislative developments, OSHA changes, possible fraudulent activities and employment issues to name a few. Peer review is offered to our members as a way to settle patient disputes; this in itself is a great benefit. MDDS now has regular networking events for its members and welcome events highlighting new members.

One of our most widely consumed member benefits, something that I have attended

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every year since joining, is of course the Rocky Mountain Dental Convention (RMDC) . I have always used this midwinter meeting as a means of recharging my batteries at the beginning of the year. I look forward to the CE and the exposure to new products. The networking alone is always worth the time out of my office. I always make it a point to stay downtown in order to take advantage of the after hour events sponsored by MDDS and some of the attractions in downtown Denver. It also gives my wife and me a mini vacation away from our practice and kids.

One of our less obvious member benefits is in representation at the highest level. MDDS

“The biggest benefit of being a member of MDDS as far as I am concerned is the fellowship with the other members." sends delegates every year to the House of Delegates at our state and national meetings.

At these meetings part of the discussion is focused on the value of our organizations as perceived by our members. The other portion of the discussion at these meetings focuses on patient care and the environment in which we run our practices. MDDS is so well represented at these meetings that in fact two of the highest offices in the ADA are actually held by MDDS members: Dr. Kenneth Versman, the ADA Second Vice President and Dr. Edward Leone the Treasurer of the ADA. Another form of representation takes place in our local community; MDDS is always recruiting members to be spokespersons and advocates for dentistry in our area.

Sometimes these presentations will take place on local television or radio; other times it might be in front of a lawmaker for the state.

We have several dedicated volunteers who give their time freely to make the metro area

a better place to practice dentistry.

The biggest benefit of being a member of MDDS as far as I am concerned is the fellowship with the other members. It just seems like too many of us mimic the character that Tom Hanks portrayed in the movie ‘Cast Away’. We are isolated on a lonely island where our only companion is an imaginary character, a volleyball named Wilson. I have been blessed to be able to network with other members for over thirtyfive years. I have learned different techniques, practice management ideas and skills to put up with the stress in both my professional and private life. I have received a multitude of membership benefits over the years and it is the responsibility of every member to become aware of what is offered and take advantage of the benefits. Sometimes all it takes is a call to the MDDS office, a look at our web site or a chat with other members or volunteers to get a better understanding of the benefits that are offered.

I know there are a number of dentists who are not members of MDDS. They all have their reasons for not being a member. As you know, MDDS is part of the tripartite organization; we represent the local Denver and surrounding areas of the Colorado Dental Association and the American Dental Association. Our past MDDS president, Dr. George Gatseos, was always quizzing me on the benefits of being a member of organized dentistry. Luckily, the ADA has published an easy to read quick list - 150 Reasons to Be a Member. I would always pull out this list so that I was never at a loss for reasons for being a member when talking with Dr. Gatseos. Many of the 150 Reasons are centered around ADA membership, but are enhanced with what is offered by our local organization-MDDS. Another source to research is our newly updated website at www.mddsdentist.com. It is filled with information on the many benefits of membership. There is a continuing education and event calendar listing not only MDDS

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Winter 2011

GET CONNECTED▶ events but others in the area, a classified section free to members, a job posting section, a general listing of member benefits, copies of our publication and information on the RMDC. MDDS also sends out weekly emails, known as the Byte Register, to our members keeping everyone up-to-date on what is happening in our dental community. Please take time to read these articles and see if there is a CE course that might interest you or a fun event that you might want to attend. All I can say is that I hope you put Wilson in the closet where he belongs and get involved. I know it is a decision that you will not regret. Remember that this is YOUR organization. It is MDDS’s mission to provide membership service. Please take advantage of your membership. The more members that become active the better MDDS can understand your needs in dentistry today and can help you succeed.

As I have stated before, this is not the same society that I had joined in 1977. To coin an advertising slogan it is a new and improved model. That also describes the staff at MDDS. We have assembled one of the most talented and energetic groups I have ever been associated with in my involvement with the society. They are working regularly on ways to enhance MDDS’ services for the members.

It is fun to be around them and watch the paths they take to provide for changes and advancements in our society.

I recently had dinner with one of our younger board members, Dr. Ian Paisley. He expressed concerns about the challenges that he feels will affect his professional career. He shared opinions on what he felt had to be accomplished to address these challenges.

None of his actions involved him doing this alone; they all involved organized dentistry.

Listening to him reminded me of my dad when he was working in the steel mills back in the 50’s. The mill was not that safe and did not provide a lot of security for his family’s future. He became active in the Union and helped change a lot of the challenges that were facing him and his fellow employees. He

realized that he needed a united front to make changes. To be honest, some of the early results were painful for him, the other steel workers and their families. I remember a few holidays where the Christmas tree was bare. However, the steelworkers managed to create a safe environment to work in and security for their families’ future. I doubt I will see Dr. Paisley on a picket line turning over the cars of the scabs trying to enter the plant; however, he portrays the same passion my father and his coworkers had several years ago. Could my father have accomplished this alone? I doubt it.

Dentistry the way I knew it is being attacked daily. The majority of the dentists that chose this profession chose it because of the potential freedom of how they would run their practices. They are finding a very complicated environment when they enter the field from dental school. I really feel that all levels of organized dentistry from the ADA down to our local society are constantly trying to address the problems faced by our new practitioners. Each dentist who is not a member takes away some of organized dentistry’s effectiveness. I remember asking my dad one night when he came home from the picket line if it was hard to show up everyday.

He told me that he didn’t ever think about that because all of his friends were involved and he was loyal. They had the support and the vision of a better place to work. Dad retired from the steel mill and the pension and medical care plan took care of him until he died in 1998. He died at the age of 77 after fighting Alzheimer’s and Parkinson’s disease toward the end. I could not have imagined him doing this without the pension and healthcare he and the union had fought for in those early days.

It really resembles where we are today in our field. Is our chosen profession what we want it to be and are we willing to unite to change it to meet our expectations? When talking about my dad, I described a man that was raised in an orphanage with a sixth grade education and yet he knew there was strength in numbers.

Hopefully, we are not too over-educated to realize the same lesson.

3G

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Messages

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REFLECTIONS That's Right. No Charge For Awesomeness.

By Carrie Seabury, DDS, MDDS Editor

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Like stuff. I like learning stuff.

I especially like learning stuff when there are great classes offered through the Rocky Mountain Dental Convention.

The RMDC classes offer a trifecta of benefits that out of state classes cannot compete with. At the RMDC your brain grows while enjoying better convenience, more socialization with your favorite colleagues, and increased local synergy between general dentists and specialists.

use my spare time to call my kids and subject myself to the inevitable guilt trip of child abandonment and maternal failure. (My kids have a bit of a dramatic flair - not sure where they get it..) Last year in Denver, however, I was able to pop upstairs during breaks and place some orders with a few vendors. My kids were happy to see me home that night, and my office staff was happy to have a new plastic model of a disgusting, decrepit, diseased mouth we could use to gently motivate our patients into better home care. In short, everyone was a winner.

Last year I attended the Dawson Academy at the RMDC. Getting to my class felt way too easy. I set my alarm, rolled out of bed, got ready, peeled my three kids off my legs and drove down to Denver. As I walked into my classroom, BAM! I was assaulted with much glory and greatness. Three days later it became rather difficult to move because my brain was so heavy with the pearls of wisdom it had collected. As much as I enjoy planes, cabs and swanky hotel rooms, I would prefer a thirty minute drive any day. The only thing easier than attending the Dawson class would have been hooking electrodes up to my brain and downloading the class directly into my hippocampus. I just bet a buddy that I could work the word hippocampus into my editorial.

All I have to say is - I want my two dollars!

“When our Denver Metro generalists take the same courses as our specialists, a beautiful thing occurs.

We develop a mutual language and a system of communication with each other.�

The convenience of pursuing my continuing education credits at the RMDC did not end with the quick commute. When I go out of state for conventions and CE, I normally

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A surprise benefit of taking the Dawson class in Denver was the giant class reunion that occurred. For the first time in 6 years my two partners and I were all able to attend the same class at the same time. It felt like the planets all aligned themselves while the earth rotated backwards during a solar and lunar eclipse as the tides simultaneously rose and fell. In other words, it is pretty rare to have the three of us together. We never could have pulled off attending a Dawson course together if it had been out of state. We tried. We really did. I also connected with many friends from around Colorado and reacquainted

myself with a few old faces from back in my dental assisting days. The class was enormous and there were many of Denver's elite dentists in attendance. I felt like it was a reunion of the entirety of my fifteen years in this field. It was a blast!

Synergy is one of the hottest buzz words going right now. Leaders of the business world use the word "synergy" as much as home decorators use the word "pop." These people use their trendy words almost as much as I use "awesome" and... "quotation marks."

This being said, I feel unabashed in using the word synergy to describe what happens when we take our CE classes locally as a large group. When our Denver Metro generalists take the same courses as our specialists, a beautiful thing occurs. We develop a mutual language and a system of communication with each other.

The patient hand-off is a smooth transition and expectations are clear on all sides. Our team of outstanding Denver dentists benefits from joining up and expanding our brains together.

Plus it is just more fun doing it with people we already know and love.

The Denver Metro patient population is a lucky group to have such a spectacular conglomeration of general dentists and specialists. MDDS works hard to bring unbelievable classes to the RMDC program so we can participate in high quality education right in our back yard. I am so proud to be a part of such a great group of dentists and to be part of MDDS. We are all working hard to improve our community and ourselves. I hope to see you all in January at the RMDC of awesomeness!

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Winter 2011

Share Your Knowledge – Share Your Passion!

Teach interested young students (ages 14-21) specific skills and help them understand how fulfilling a career in dentistry truly is. Volunteer to participate in the Metro Denver Dental Foundation 2012 Careers in Dentistry Explorer Post 269 this winter.

Provide hands-on opportunities for young people to help them gain insights and practical experience while considering a career in dentistry. Giving students an understanding of what a dental career is really like can help them make the right educational choices now to succeed later.

This program is co-sponsored by MDDF and the Colorado Dental Association through an alliance with Exploring, a national subsidiary of the Learning for Life program.

To get involved please contact Amy Boymel, MDDF Executive Director, at 303.957.3272 or aboymel@mddf.org.

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Articulator

Winter 2011

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5280

TOP DENTISTS INVESTIGATION PART I:

What Happens In-House at 5280?

S

ince 2008, every June edition of the 5280 magazine contains a list of Colorado's top dentists. This list has attracted a lot of attention because of the widespread circulation of the magazine. 5280 currently has 85,000 copies in circulation consisting of 50,000 subscribers, 33,000 sales at newsstands and an additional 2,000 free copies given to hotels and waiting rooms of our local health care providers. According to the staff of 5280, this magazine is consistently one of the top three sellers locally across all magazine titles. They also stated that the Top Dentists June issue is always one of the best selling issues and the online list of dentists is the most visited area of their website everyday. This list of dentists carries substantial weight with our Colorado public and warrants a closer look at the methodology behind the creation of the list.

5280 has compiled a list of the top physicians for the past 18 years.

To produce the list, the editorial staff writes a survey, mails the

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ballots for the peer vote, then runs the results through a committee to evaluate each physician's educational background and licensure.

This process is extremely painstaking and time consuming. The editorial staff stated that they dedicate so much time and effort into this list because "We want to know that what we are telling our readers is the absolute best."

The list of top Colorado physicians is such a big job that they do not have the man power to compile other lists like top dentists or top lawyers using their thorough in-house methodology. In 2008 the USA Top Dentists company approached 5280 magazine to consider outsourcing the dentist list to them. USA Top Dentists described the methodology used in collecting the data to the editorial staff of 5280. Once debriefed, the staff decided the process was rigorous enough to warrant their stamp of approval. 5280 has outsourced the dentist list compilation since 2008. During our interview with the editorial staff, it was stated that "The editorial Articulator

Winter 2011

FEATURED STORY standard for any of our selection processes has to be of a certain caliber for it to make it into the magazine. If we recommend a restaurant it is because we ate there, we loved it, we talked to the chef. Our dining reviewer goes back to the restaurant three, four, five times.

So working with a company like USA Top Dentist is unique because they meet our standard. We feel comfortable using them. We don't need to bring this in house - we are going to use this company instead to reach that high level of standard that we have for everything."

5280 tries to avoid a popularity contest when compiling the top physician list by asking questions in a personal way.

They feel that when a doctor is asked "Who would you refer your mother or best friend to?" the answer given is not a golfing buddy or the doctor down the hall but instead a more thoughtful honest response. USA Top Dentists gave the impression to the 5280 staff that they concur with this process and word the surveys with the same thought in mind. When the editorial staff of 5280 was asked if this type of question was currently being used on the surveys sent out by USA Top Dentists, the response was that they have not seen the survey "for a while" and they could not confirm. One concerned 5280 staff member stated, "If they (USA Top Dentist) are telling us that this is how the question goes out let's make sure that happened."

Further questioning of the 5280 staff regarding the USA Top Dentist's methodology was also inconclusive.

The 5280 staff was unsure on whether specialists vote only for general dentists and vice versa. They were also unsure

left to right: Dr. Anil Idiculla , Zach Wolfel, Senior Account Executive, Brett Garfield, Advertising Director, and Natasha Gardner, Senior Editor/Digital Editor

whether one type of specialist was able to vote for a specialist in a different specialty. They stated that it is probably worth getting a copy of the survey since they don't "necessarily get to see how that survey goes out." They recommended that MDDS contact USA Top Dentist for further questions on specifics of the methodology used.

5280 adheres to strict advertising guidelines created by the City and Regional Magazine Association. They cannot combine advertising with the editorial sections of the magazine.

One cannot pay to be on the list of top dentists. If a dentist purchases an advertisement in the magazine, that ad must be placed away from the pages that contain the list of top dentists and must be clearly labeled as an advertisement. If a dentist decides not to advertise in 5280's magazine, this does not prevent that dentist from being listed as a top dentist. The publication risks being kicked out of their association if they cross the line and so they have to be very mindful about advertising rules and strictly adhere to the guidelines.

Plaques that are purchased with the 5280 status are not sold by the

magazine. The staff of 5280 states that many other magazines in other areas of the country are in the plaque selling business, but 5280 does not sell plaques at this time. They stated that plaques are available for purchase through USA Top Dentists.

We look to our MDDS members for ideas on how to get a fair sampling of our local dentists. The 5280 staff regards the polling and publication process as a fluid process and would like to hear feedback on how to improve. Some ideas given to the 5280 staff were to ask USA Top Dentist to poll all dentists via email so that all local dentists are able to vote and we do not rely on a random survey sampling. MDDS can assist the polling process by warning members that the polls are about to open and if they care to participate they should watch for the upcoming email.

Please look for part II of this article that will focus on the methodology that USA Top Dentist uses for compiling the list of 5280's top dentists. MDDS is dedicated to assisting our members and offering as many solutions as we can. Please contact Jason Mauterer at jmauterer@mddsdentist.com with comments or ideas.

We would like to thank 5280 for their time.

mddsdentist.com

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MEMBER MATTERS MDDS Honored by KIND Kids in Need of Dentistry presented MDDS with an award for Outstanding Contributing Organization at its Expressions of KINDness event at the Wine Loft on Thursday, November 3, 2011. MDDS originally founded KIND 100 years ago and continues to support them. The Friday Night Party at the 2012 Rocky Mountain Dental Convention will be a birthday celebration and benefit for KIND UNLOCK A SMILE at the 2012 RMDC Friday Night Party. Buy a key for $25 (or 5 for $100) to unlock a kid’s smile and possibly win one of the fantastic prizes given away at the party. You must be present to win. left: KIND's Outstanding Contributing Organization Award

Membership Spotlight: Dr. Brian Gurinsky Dr. Brian Gurinsky is a periodontist in Denver.

He has volunteered countless hours in a variety of organizations including: Donated Dental Services Organization, Diana Price Fish Foundation, Habitat for Humanity, Big Brothers Big Sisters, 9 Health Fair (2004-20010), Moderator for Dentist Transitioning Seminar, Metropolitan Denver Dental Foundation (2006-present), Great American Beer Festival (2006-present), Doors Open Denver 2007, Colorado Safehaven, MDDS Dental Explorers Jaw Surgery and Suturing Course 2008-2011, Aetna Park to Park for Pancreatic Cancer, Dental Line 9, Dental Services for the Homeless, and National Sports Center for the Disabled.

Q. What have you gained personally from volunteering with organized dentistry?

A. Volunteering with the Explorers program and MDDS committees has been quite rewarding. As far as the Explorers program is concerned, there is no better way to influence (or dissuade) students on a career in dentistry than having them suture up a pig jaw! When I was in high school I never had the opportunity to interact with real life practitioners in such a way.

Because of this, I know how important it is to show these kids what we actually do, even if it's for just an hour or so.

Being involved with the MDDS has been a privilege but also a duty to some extent. We all share the benefits gained from the efforts of countless dentist volunteers. While I relish the opportunity to have a voice in our society and seeing the success of the organization, I also feel it is incumbent upon all of us to get involved. Whether it is as simple as being an ambassador or

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“Celebrating Five Years!” at Lowry Family Dentistry Dr. Makala Hubbell is pictured in the center with her crew (from left to right) Abby, Brittany, Cayla and Ashtyn chairing a committee, every bit of time and energy contributed goes a long way. I have met some great mentors, colleagues and friends as a result. For that, I can't really imagine not being involved with the MDDS or organized dentistry in general.

Q. Congrats on your second office due to open in December. What was your most valuable resource to help design and build the space?

A. As if there were any doubts that I am a little insane, I am gearing up to open a second office soon. I relied on input and suggestions from colleagues that have recently designed and built out new space. Anyone looking to do the same should certainly talk with colleagues to get ideas. Ask them as many questions as possible about architects, builders, specific instruments or equipment because nothing is more helpful than hearing firsthand experience.

Q. Your past research project topics have varied from shark teeth to new soft tissue graft material. Why is participating in research studies persistently important to you?

A. I have always been interested in clinical research. Early on I was fortunate to be involved in some research that has enabled me to find other projects. Periodontists are inherently trained to evaluate materials, techniques, and products based on the research. Knowing that, I decided that I wanted to put my thumbprint there, however small it may be. Clinical research also makes going to work more fun. I am not always looking to do publishable research, sometimes it is just for my knowledge, and I think that is okay too. While most research is far from landmark, it changes the way we look at studies and how we evaluate them.

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Winter 2011

New Members - Welcome!

Dr. Katie S. Bratlien-Kirby

Denver

Dr. Kate M. Brokaw

Denver

Dr. Anne Casson

Littleton

Dr. Jesse Friedman

Denver

Dr. Aaron P. Goodman

Castle Rock

Dr. Lauren Gulka

Denver

Dr. Matthew J. Hawn

Denver

Dr. Khiem D. Hoang-Xuan

Lakewood

Dr. Michael G. Jacobs

Littleton

Dr. Jessica Klein

Denver

Dr. Jodi B. Kuhn

Denver

Dr. James H. Mason

Thornton

Dr. Robert B. McDonald

Aurora

Dr. Michael G. Mingle

Aurora

Dr. Shivali Nayak

Arvada

Dr. Deise Oliveira

Aurora

Dr. Rajesh R. Patil

Littleton

Dr. Katherine C. Scholond

Arvada

Dr. Dania Turcios

Edgewater

MDDS Members In Action

Dr. Mitchell Friedman, MDDS Vice President and official dentist of the CU Buffs, on the sidelines protecting teeth at the CSU rivalry game.

GO BUFFS!

MDDS New Members Event

New MDDS members networking at Bar Louie, Stapleton at the November 18 MDDS New Member Networking Event.

We Would Like to Thank our November New Member Networking Event Sponsors!

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UP IN THE CLOUDS

By Brandon Hall, DDS & Carrie Seabury, DDS

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ne of the biggest new buzzwords out there is "cloud computing."

Some dentists are already familiar with this term. In fact, many dentists are already using websites like Facebook and Flickr that employ the cloud. Some dental practice management software (PMS) manufacturers are just beginning to utilize cloud-based software as an alternative to traditional client-based dental PMS software like Eaglesoft, Softdent or Dentrix. Before going further, it is time to clear out the clouds and figure out exactly what cloud computing means.

Cloud-based software is also referred to as "SaaS" (software as a service), web-based software, or ASP (application service provider). Cloud computing is essentially computing delivered as a service rather than a product. It's where shared resources, software and information are provided to computers and other devices (tablets, mobile phones, etc.) over a network. Users can access this network from all over the world granted they have a compatible device and internet service.

Proponents of the cloud-based system say it offers several advantages over a localized client-based computing system.

1) Data storage and backup - since the data is stored via the internet on large servers located off-site, you have much larger and more reliable storage capabilities. Also, there's less need to backup your data locally (via CD, DVD, hardisk or remote/offsite companies) since it's consistently and reliably backed up on the servers maintained by the company supplying the software.

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2) Cost - there's no need to purchase expensive data-storing servers, minimal upfront costs for software with no cost for upgrades and lower fees for IT support. Furthermore, service provider costs can often be spread along the users making it cheaper for access and software updates.

3) Access and security - users have the ability to access their data or software from anywhere (office, home and remotely) with a PC, tablet or their mobile device. Rather than individually having to locally set up firewalls and antivirus programs, the security is provided by the software and exists within the network. Cloud-based software companies claim they offer security levels that are HIPPA compliant and just as secure as most bank websites.

Several concerns have arisen since cloud-based dental practice management software first hit the market.

1) Difficulties in transitioning from an existing client-based system (Dentrix, EagleSoft, etc.). The practice is disrupted and the verification process to ensure accurate data transfer can be time consuming.

2) Trouble with digital imaging capabilities. This issue has been the biggest hurdle for cloud-based software companies.

3) An ongoing monthly fee. Using cloud-based software is like leasing a car. You never own the software free and clear but always pay to use it.

4) The need for high-speed internet access. There are some areas of the country that do not have internet access fast enough to make cloud-based

Articulator

Winter 2011

FEATURED STORY dental software a viable option.

5) Dental offices still need to back up any internal documents that they store on their local hard drives.

One of the up-and-comers for cloud-based dental software is Curve Dental and their Hero web-based PMS. They currently offer one of the more comprehensive cloud-based dental software packages. Other cloud-based dental software options are Denticon (planetdds.com) and MediaDent (gazellecloud.net). These companies provide all the features that Dentrix or EagleSoft has (charting, patient education, billing, training for staff) but also data backup and imaging.

The biggest challenge that faces the cloud-based dental software companies is integration of radiology using digital sensors. Each software company is addressing this problem in their own way. Denticon has their own web based imaging software called Dentiray that integrates with their Denticon software. Their website states that the Dentiray software will work with a “sensor system that uses standard TWAIN driver” and they state they are “currently involved in adding compatibility for other sensor systems." Curve currently works with Schick, Gendex and Suni sensors with Kodak coming soon. Dexis sensors will not work with Curve at this time.

A local Colorado dentist recently set up his practice using Curve and ran into a few problem areas. He stated that the digital radiographs were problematic for a while and the software is not set up to submit UCR fees to insurance while simultaneously creating a real time estimate of a patient’s copay. His front office has to manually calculate most treatment plans resulting in frustrating human errors. He stated that if Curve can fix the current issues he would choose them again, but he currently feels that Curve is charging a premium fee without providing premium service. He enjoys the ease of access and the ability to have all patient information at his fingertips no matter where he is. He also stated the software is very esthetically pleasing.

We will likely see most client-based softwares offering a cloud-based system in the future. The companies offering software like Curve and Denticon have a head start so it may prove to be a challenge for traditional client based dental software companies to catch up.

It's no mystery that the computing world is moving towards a cloud-based environment. Yet, with all of the major advantages it offers (cost, storage and access) as with most software revolutions there will be hiccups and headaches along the way. Client-based software will continue to be the overwhelming majority but at some point, dentists will likely ask themselves, "Do I wanna work in the clouds?"

mddsdentist.com

Articulator

Winter 2011

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CLINICAL Oral Surgeon Panel Discussion: BRONJ prevention and treatment protocols

B

RONJ (Bisphosphonate-Related Osteonecrosis of the Jaw) is a much debated topic in dentistry today.

The American Association of Oral and Maxillofacial Surgeons released its most recent position paper in 2009 (http://www.aaoms.org/docs/position_papers/bronj_ update.pdf). The position paper defines BRONJ, suggests a protocol for reducing the risk of BRONJ development and a protocol for treating BRONJ. The paper states “Based on case series, case-controlled and cohort studies, estimates of the cumulative incidence of BRONJ range from 0.8%-12%” With so little known about this condition, it is difficult to define a standard of care. We touched base with three excellent MDDS oral surgeons and asked about their protocols and responses to the position paper.

Barry S. Keogh, DDS, MD Prior to oral surgery, patients on oral bisphosphonates have a serum CTX study drawn. If their CTX value is greater than 150, I proceed with surgery. If the CTX is between 100-150, I discontinue the bisphosphonate for 1-2 months prior to proceeding. If below 100, I discontinue the bisphosphonate for 2-3 months, anticipating a 25 point increase per month off of the bisphosphonate.

My protocol for patients treated with IV bisphosphonates is conservative management. Endodontic therapy, even if not restorable, is preferred over extraction. Similar to the Oral form, I order a pre-operative CTX to guide in management.

To date, there is no full proof indicator in predicting BRONJ. The CTX study indicates the degreee of compromise of the osteoclastic activity necessary for bone remodeling needed for healing after surgery. Patients developing BRONJ or presenting with BRONJ are prescribed anti-bacterial mouth rinses (chlorhexidine), oral antibiotics if symptomatic (pain) or clinical sign of infection; Penicilin 500mg QID; and flapless surgical debridement only when clinically indicated (pain not managed by palliatively/or sharp bone causing tongue ulceration).

Greg K. Ingalls, DDS Of the many different medications and disease processes that can and do affect dentoalveolar surgery patients, the use of bisphosphonate medications and their link to

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the development of BRONJ is arguably one of the most potentially devastating to a patient. Though studies are in progress at multiple institutions, they remain inexact as to the pathology behind the development of BRONJ, and who predictably will exhibit it clinically.

Position papers, like that put forth by the AAOMS, serve practioners like myself in many ways. First, they provide a wonderful source of information in a succinct, detailed summary that would otherwise take an immense amount of time to personally compile. Second, they provide the closest alterative to a standard of care for those of us treating these complex patients.

I attempt to follow the position paper’s recommendations to the extent that it is possible. Staging a patient’s disease begins the thought process, and culminates in the treatment that best allows for an uneventful healing, or at least a cessation of advancement. I do, when practical, obtain a serum CTX blood test, prior to treatment. Though disputed by many bone metabolism physicians, it is the only study currently available that attempts to gage patients susceptibility to BRONJ development.

The greatest challenge in this group of patients, in my estimation, is the treatment of those who develop the full-blown BRONJ subsequent to treatment. The goals of eliminating pain, controlling infection and minimizing the progression of the bony exposure is difficult at best. What my partners and I tend to see however, is that many of the patients with the worst oral conditions are those least able to undergo extensive surgical care. Depending upon the staging, treatment can vary from close observation, to use of parenteral antibiotics and chlorhexadine rinses, to debridement and or resection techniques to encourage healing. In many practices like my own, even the stagethree patient is most commonly managed medically with debridement done only when the patient becomes symptomatic.

Research that is ongoing will in time provide us with a better understanding and hopefully more predictable management techniques.

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Winter 2011

Clyde E Waggoner, DMD My protocol for treating patients using oral bisphosphonates is the following. I order CTX test on all patients taking any form of bisphosphonates. With protocols established in the literature, the CTX levels help me determine the best course of treatment for my patient. Additionally, from a medical legal standpoint it would seem hard to defend a poor outcome without obtaining a CTX. When interpreting the CTX test results, I use Dr. Robert Marx protocols which say that 150 pg/cc or greater is low risk.

A level of 100 pg/cc to 150 pg/cc has moderate risk. High risk is a level of less than 100 pg/cc. My protocol for treating patients on IV bisphosphonates is the same as the previous protocol.

However, I am much more conservative and attempt to nonsurgical if at all possible. If surgical intervention is indicated I am very conservative in my approach.

My treatment protocol for an established BRONJ condition is to be conservative. I use penicillin 500mg Q6H, chlorhexidine gluconate 0.12% and minimal surgical intervention. I follow the patient weekly until the pain ceases. Then I will see the patient every two to four weeks. I have the patient either stop the penicillin or reduce the dose to only one 500 mg tab per day once the pain has resolved. I will continue the oral rinse until the problem resolves. Should pain start after dropping the dose of penicillin to once a day, I will then increase the dose back to q6H.

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CONNECT

BENEFITING

RMDCFRIDAY NIGHTPARTY Capital Ballroom at the Hyatt Regency

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FRIDAY NIGHT AFTER-PARTY at Hosted by Convention Chairman Dr. Ian Paisley

JET Lounge 9pm-2am

1612 Wazee Street Denver, CO

Contact Debra Arneson at darneson@mddsdentist.com or 303-488-9700 for table sponsorship including bottle service.

Peer Review The Best Benefit You Haven’t Heard About.

S

ome would say the best insurance you have is the kind you never have to exercise. Although included in your membership with MDDS are a litany of terrific benefits, perhaps one of the most important could be the peer review process.

Like insurance, if you aren’t familiar with it, or haven’t needed it, you still need to be aware that it is available to minimize and prevent patient /dentist disputes from escalating.

The typical complaint begins at the CDA Peer Review Committee. It is there that a determination is made as to whether it is a state board issue or a dispute that can be handled at the component society level. If the case is accepted and involves an MDDS dentist then the MDDS Peer Review Committee will work on the complaint.

Initially what we call a "mediation" begins. A patient makes a complaint asking for some type of resolution. The dentist can agree to the resolution, disagree or offer an alternative to the proposal. It is my experience that at

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this point cases fall into two distinct areas.

The first occurs when there is a breakdown in communication with the dentist or dental office and the second involves money. Money disputes tend to involve payments that have been made or a desire for monies to be returned due to some form of dissatisfaction.

Surprisingly, many of these cases originate from the proverbial “poor chairside manner.”

These types of cases can involve the patient’s complaint of poor quality as well.

Regardless of the circumstance it is the committee’s responsibility to act as a middleman in helping to resolve the dispute.

During mediation we do not see records, radiographs, charts or anything relative to the case. We act as strictly an intermediary. It is designed to be a nonjudgmental process in regards to both the patient and the dentist.

The goal is to find resolution whereby both sides are comfortably satisfied. This may involve many attempts in a back and forth process between the patient and the dentist until a middle ground is agreed upon. As I had

By Douglas A. Heller, DMD

mentioned, some of these cases stem from a disconnect in the communicative process.

If the mediation is unsuccessful, meaning that one or both of the parties is unwilling to agree to a resolution, then the complaint can go to arbitration. At this stage a committee of three dentists evaluates all records from participating dentists and may even examine the patient. This is a binding process and judgment is made as to the nature of the complaint. If, for example, it is an ill fitting crowns then that will be determined based on films, statements from both parties and examination if applicable. A binding judgment is then determined.

The committee meets on a case determined basis, and I am happy to say over the course of the year we have not had to meet too frequently. The purpose of keeping complaints out of the judicial system remains a significant benefit to the patient and to the member dentist in equal measure. Hopefully, peer review will continue to be the best benefit you haven’t heard about.

Articulator

Winter 2011

FEATURED STORY

SPECIAL DELIVERY

YOU SPOKE, WE LISTENED This year we are mailing the Rocky Mountain Dental Convention badges and tickets directly to YOU. There won’t be any standing in lines; just bring your badge and walk right into opening session. Go online to rmdconline.com to register for 2012 RMDC TODAY!

Rocky Mountain Dental Convention

20 CONNECT 12 RMDC ▶ DENVER,CO

EVENT CALENDAR JANUARY 2012 January 19-21

RMDC - The 2012 RMDC is going to sport a heavy-hitting educational lineup plus the natural winter attractions and beauty of Denver, Colorado.

Some of the speakers include: Dr. Peter E. Dawson & The Dawson Academy The Pankey Institute Dr. Gordon Christensen Dr. Terry Tanaka For more info go to: rmdconline.com

FEBUARY 2012 February 2

MDDS New Member Event Blake Street Tavern, Denver, CO (dates and locations are subject to change) For more info go to: mddsdentist.com

February 10

Metro Denver Dental Society: Basic Radiation Presented By: Dr. Brad Potter Metropolitan Denver Dental Society Headquarters (303) 488-9700 8:00 am - 11:30 am For more info go to: mddsdentist.com

February 13

Colorado Prosthodontic Society - Laser Dentistry Today: What we can Achieve with this Technology in Restorative & Implant Dentistry Presented by Dr. Georgios Romanos Doubletree by Hilton Hotel Denver More Info: coloradoprosthodonticsociety.com

February 28

Metro Denver Dental Society: CPR & AED Training Metropolitan Denver Dental Society Headquarters 6:00 pm - 9:00 pm (303) 488-9700 For more info go to: mddsdentist.com

MARCH 2012 March 2 & 3

Metro Denver Dental Society Hands-on Course: Pankey Institute: Introduction to Bonded Porcelain Restorations Details TBD For more info go to: mddsdentist.com

March 3

UC Denver School of Dental Medicine: Being Informed About the Medications Your Patients Are Taking Anschutz Medical Campus Aurora, CO 9:00 am to 12:00 pm www.ucdenver.edu/academics/colleges/ dentalmedicine/ProgramsAdmissions/ ContinuingDentalEducation/Pages/events.aspx

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2011-2012 LAWRENCE H. MESKIN CLINICAL UPDATE SERIES "Implant Treatment Planning and Restorative Options" Anschutz Medical Campus Aurora, CO 8:00 am -12:00 pm www.ucdenver.edu/academics/colleges/ dentalmedicine/ProgramsAdmissions/ ContinuingDentalEducation/Pages/events.aspx

March 21

Metro Denver Dental Society: CPR & AED Training Metropolitan Denver Dental Society Headquarters 6:00 pm - 9:00 pm (303) 488-9700 For more info go to: mddsdentist.com

APRIL 2012 April 5

MDDS New Member Event Bar Louie – Streets of South Glenn, Centennial, CO (dates and locations are subject to change) For more info go to: mddsdentist.com

April 7

UC Denver School of Dental Medicine: FIRST SATURDAY "MORNING NEWS" (2011-2012) "Oral Pathology Potpourri" Anschutz Medical Campus Aurora, CO 9:00 am to 12:00 pm www.ucdenver.edu/academics/colleges/ dentalmedicine/ProgramsAdmissions/ ContinuingDentalEducation/Pages/events.aspx

April 18

2011-2012 LAWRENCE H. MESKIN CLINICAL UPDATE SERIES "Pediatric Dentistry Highlights" Anschutz Medical Campus Aurora, CO 8:00 am -12:00 pm www.ucdenver.edu/academics/colleges/ dentalmedicine/ProgramsAdmissions/ ContinuingDentalEducation/Pages/events.aspx

April 21

May 5

UC Denver School of Dental Medicine: FIRST SATURDAY "MORNING NEWS" (2011-2012) "Innovations in Air Polishing: Procedural Solutions for Non-Surgical Periodontal Therapy" Anschutz Medical Campus Aurora, CO 9:00 am to 12:00 pm www.ucdenver.edu/academics/colleges/ dentalmedicine/ProgramsAdmissions/ ContinuingDentalEducation/Pages/events.aspx

May 9

2011-2012 LAWRENCE H. MESKIN CLINICAL UPDATE SERIES "Oral Manifestations of Systemic Disease" Anschutz Medical Campus Aurora, CO 8:00 am -12:00 pm www.ucdenver.edu/academics/colleges/ dentalmedicine/ProgramsAdmissions/ ContinuingDentalEducation/Pages/events.aspx

May 17

Metro Denver Dental Society: Annual Meeting Inducting Dr. D. Diane Fuller The Brown Palace 321 17th Street Denver CO 80202 5:30 pm - 9:00 pm For more info go to: mddsdentist.com

MAY 27 - JUNE 3

Metro Denver Dental Society: CE Cruise Dr. Henry A. St. Germain, Jr., DMD, MSD, MEd Round Trip from Port Canaveral, Florida Invite your family and friends to join you on the beautiful beaches and sparkling blue waters of Labadee (Rccl Private Island), Jamaica, Grand Cayman and Cozumel For more info go to: mddsdentist.com

JUNE 2012 June 14

MDDS New Member Event The Dive Lounge, Denver, CO (dates and locations are subject to change) For more info go to: mddsdentist.com

Metro Denver Dental Society Clinical Course: How to Choose the Right Laser Wave Length for Your Practice Metropolitan Denver Dental Society Headquarters 6:00 pm - 9:00 pm (303) 488-9700 For more info go to: mddsdentist.com

June 21-24

MAY 2012

August 16

May 3

Metro Denver Dental Society: CPR & AED Training Metropolitan Denver Dental Society Headquarters 6:00 pm - 9:00 pm (303) 488-9700 For more info go to: mddsdentist.com

Metro Denver Dental Society: Family Fun Event Devil’s Thumb Ranch 3530 County Road 83 Tabernash, CO 80478 For more info go to: mddsdentist.com

AUGUST 2012 MDDS New Member Event Amato’s Ale House, Denver, CO (dates and locations are subject to change) For more info go to: mddsdentist.com

MDDS at the ASDA Vendor Fair Dr. Karen Franz, Mrs. Elizabeth Price, MDDS Executive Dir., and Mr. Jason Mauterer, MDDS Marketing Dir., represented the Metro Denver Dental Society at the American Student Dental Association Vendor Fair held at the University of Colorado School of Dental Medicine Anschutz Medical Campus. They informed students of the benefits of organized dentistry and being a member of the Tripartite, along with promoting the 2012 RMDC. MDDS supported the ASDA cause by donating a $200 REI gift certificate to a very appreciative student.

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PRACTICE MANAGEMENT How Can an Associate Buy-Out Go Wrong?

By Susan A. Spear, Practice Transition Specialist, Broker/Business Intermediary

A

ssociate buy-outs are much more complex than most dentists realize. There are so many details that are often overlooked. They require a comprehensive planning process to help ensure a successful outcome.

This is a story about an owner dentist who decided she would bring in a new graduate for an associate buy-out process. The owner dentist was under the impression that buyers were hard to find and her goal was to sell within a year or so. The associate buy-out seemed like the only solution. She never considered other options. The associate that she found was a referral from a trusted colleague, received glowing references from the colleague (although some other references were sketchy) and seemed committed to the process. During the interview, the associate told the owner dentist that his first objective was to work in a private practice to gain experience and the thought of purchasing the practice was exactly what he wanted. He said he wanted more than just a job!

The owner dentist and the associate proceeded forward with what she thought were all good intentions. The owner dentist actually stopped seeing patients so that the new graduate had enough to keep him busy. After a short time, it was apparent the associate had some issues with his quality of patient care, displayed questionable work ethic behaviors, and he had problems with staff relationships. The owner dentist still stayed true to her word and was committed to selling the practice after the one year associate process. She had the practice appraised and believed she was taking the steps forward for a buy-out. She did admit that she also needed to discuss the performance issues with the associate to improve working conditions. She, however, was afraid to rock the boat and wasn’t sure how to approach the situation. Then unexpectedly, the associate told the owner dentist that he had decided he wasn’t interested in purchasing her practice.

In fact, the associate planned to purchase a

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practice somewhere else. Was it the associate’s intention to back out all along? Or was the process doomed to derail because of other circumstances? Without proper preparation of the buy-out process, there are many situations that can arise that can make it too late to bring both parties to the closing table.

What happens? Often a dentist will bring in an associate before he or she is ready. The owner dentist isn’t prepared for dealing with the nuances of an associate experience, let alone the process of selling the business. The owner dentist begins by finding a buyer before outlining how the process will unfold. He or she may place a classified ad “just to see who is out there,” answer a letter he or she receives in the mail that contains a stunning Curriculum Vitae, or maybe he or she is approached by a past dental school professor who has the perfect new graduate in mind to join the practice. The buy-out is a disorganized process which can end in incompatibility, disagreement, misunderstanding and lost opportunity. For the sake of all parties, resist the impulse to act too quickly.

Here are a few thoughts to consider before you bring another dentist into your practice for a buy-out: 1. Take enough time to ensure this method of selling your practice is best for you. Explore options and compare the pros and cons of each. Talk with a licensed broker/business intermediary who knows the current market trends.

2. Know ahead of time if you can afford to add another provider to your practice. Ask the question, “Will I have to give up some or all of my income to make this work?” (Be careful about expecting your buyer to “build” his or her own portion of the practice. This method usually fails.)

3. Have a clear idea of when you want to sell your practice. Is it now? Six months? One year? Two years? Five years? Use a timeline reasonable for an associate buy-out process.

4. Determine who would be the right buyer for your practice. Know the skill sets, personality, and background that would help your associate become successful in your practice.

5. Establish a value or purchase price prior to bringing an associate into the practice. Make sure all parties are in agreement.

6. Create a fair and definitive process for the buy-out that will help ensure the dentist associate you bring in will be your buyer.

Identify the essential steps forward.

7. Understand the different types of financing available to the buyer including credit qualifications and the benefits and risks of third party or seller carry financing.

8. Know what is reasonable with regard to possibly purchasing new equipment before you sell. Recognize that there will be other costs that you need to consider.

9. Prepare your dental team for what they might expect when working with a new dentist. Most sellers want the team to stay intact after the sale. Is this possible?

10. Determine the agreements you need now and later.

11. Be prepared to start over if things don’t work out!

Associate buy-outs can be very rewarding for many dentists. It does take more than just a good candidate. With a sound plan in place you can help to make your experience a positive one!

Want to contribute an article to the MDDS Articulator?

We would love to hear from you!

Contact Jason Mauterer at jmauterer@mddsdentist.com or call 303.488.9700 x3270

Articulator

Winter 2011

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Articulator

March/April 2011

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NON-PROFIT NEWS MDDF Benefits You!

MOLARS Raises $6,625 for Smile Again Program®

By Amy Boymel, MDDF Executive Director

By Amy Boymel, MDDF Executive Director

Y

ou may know that the Metropolitan Denver Dental Foundation (MDDF) benefits others in our community through the programs and services it provides; but did you know that it benefits you too?

As a member of MDDS, you have the opportunity to participate in MDDF activities as a volunteer, and that’s a valuable member benefit. You chose this profession to help others, and MDDF provides you with ways to do that beyond the scope of “business as usual.”

MDDF welcomes you to get involved – share your skills and your passion for dentistry with others by volunteering for one (or more!) of these community-enhancing activities:

O

n September 16, one of those picture-perfect Colorado days, 92 golfers played the beautiful and challenging course at The Ridge at Castle Pines North for the sixth annual MOLARS Dental Golf Championship. A phenomenal $6,625 was raised to help support the Metropolitan Denver Dental Foundation’s (MDDF) Smile Again Program® - which provides dental care with a focus on overall health, empowerment and transformation - to individuals who have overcome domestic abuse and who have demonstrated great potential for eventual self-sufficiency.

Explorer Post 296: If you want to share your skills and knowledge with high school and college students who want to gain insights and practical experience as they consider a future career in dentistry, this is the place for you. Help teach a session in your area of expertise to a group of eager learners.

Presentation Center: Spread the word about the importance of oral health to a healthy life when schools, community groups or religious organizations look to MDDF as they host events like Health Fairs and Career Days. These are usually short-term commitments (a few hours at a time) that range from giving a small-group presentation to providing general information to hundreds of participants.

Smile Again Program®: Help a survivor of domestic abuse transform their life by treating existing dental conditions to alleviate pain, restore function and give them the confidence to smile again. Dental services are performed in your office; lab fees are paid by MDDF with the help of our generous supporters.

It’s been said that nobody can do everything, but everyone can do something. Please call me at 303-957-3272 or visit us at www.mddf.org to find your something.

BEST CARD IS PROUD TO BE THE CREDIT CARD PROCESSOR OF THE METROPOLITAN DENVER DENTAL SOCIETY AND THOUSANDS OF DENTISTS WHO SAVE AN AVERAGE 23%/YEAR

BEST CARD OFFERS: GREAT RATES, INCLUDING DEBIT AS LOW AS 0.54% 1 DEPOSIT, 1 STATEMENT (VISA, MC,DISCOVER & AMEX)

DO THE MATH: IF TOTAL FEES ÷ $PROCESSED > 2% YOU MAY BE PAYING TOO MUCH! Fax a recent credit card processing statement to

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MDDF Board Members Wendy Heckman & Judy Holmes with MDDF Executive Director, Amy Boymel Each year endodontist Dr. Scott Whitney and his staff work tirelessly to present this top-tier golf outing and this year was no exception. Golfers enjoyed the course all morning and were treated to a delicious post-round lunch. “Dr. Whitney’s commitment to MDDF’s mission to influence positive health outcomes through quality patient care and education is a valued gift to the foundation. His contributions over the years continue to result in hope and health for so many. We are truly grateful for his dedication to help others smile again,” said MDDF President, Dr. Michael Poulos.

All of us at MDDF, and especially participants in the Smile Again program®, express our deep appreciation to Dr. Whitney and the incredible staff of ParkRidge Endodontics and Southlands Endodontics for their year-round efforts to make MOLARS one of the most highly anticipated events of the year. We also extend sincere thanks to all of the golfers and the following sponsoring organizations for their commitment to this tournament and the Smile Again Program ®: Agency of Credit Control, BioHorizons, Care Credit, Care Pilot, Carr Healthcare Realty, COPIC Financial, CTC Associates, Dentsply, Guardian, Henry Schein, HPCS, Perry and Young, and Utex. We thank you all for helping others to smile again.

AND THE WINNERS ARE… Mr. Cory Thornton was the 2011 champion and second and third place honors were earned by Dr. Nick Poulos and Dr. Jason Blanchard respectively.

SAVE THE DATE…The 7th annual MOLARS Dental Golf Championship is scheduled for Friday, September 14, 2012. Call (303) 397-7668 to reserve your spot today. See you next year!

Articulator

Winter 2011

Support Your Office Manager – Make your Business Thrive!

Article by: Colorado Dental Manager’s Association

T

Brighter Smiles

By Melanie Arouhalt, MMN

he responsibility for the successful day-to-day operation of most dental offices falls upon the dental office manager. As an essential member of the team, the office manager wears many “hats” and is an individual with unique abilities, skills and characteristics.

The Colorado Dental Manager’s Association (CDMA) was formed to insure that office managers everywhere have a resource to help them grow their knowledge and skills.

A “Study Club” for Office Managers! - CDMA is a nonprofit association dedicated to dental office managers by providing an environment for education, networking, support and mentorship in a “workshop” environment for implementing new ideas and skills. Initiated by a group of individuals with diverse backgrounds including dentistry, management, insurance and finance, this association has attracted the attention of dental office managers from all over the Denver area and as far away as Eagle. With an auspicious beginning just a year and a half ago, this group has continued to grow in size and influence with over 50 members and will be a holding a special workshop and “Round Table” program at the 2012 Rocky Mountain Dental Convention!

The CDMA objective? – To help office managers prepare for the challenges of building, managing and maintaining a productive dental practice in today’s demanding market.

What does the CDMA offer?

Keynote speakers presenting and training on a variety of topics relevant to the Manager’s position “Hands On” Leadership and Team building exercises Coaching Skills workshops Interactive “Round Table” Discussions Mentorship and Networking Friendship A “Common Ground”

How often do we meet?

Five meetings annually on Fridays.

Courtyard by Marriott 1475 S. Colorado Blvd.

Denver, Co. 80222 “How do I sign up my office manager?”

CDMA dues are $150 per year and are tax deductible or your office manager can attend individual meetings for $45.

For more information on membership please contact Leigh Olson at (720) 233-0574 or leigh.olson@comcast.net www.mycdma.org

A

Dr. Quentin Dahm and Sue Ciarvella

s you enter the Denver Rescue Mission’s (DRM) clinic at the Lawrence Street Shelter, you are greeted with a spirit of compassion from the health care volunteers. These are men and women who give their time and talent, after working long hours or retiring from a 35year career, as dental professionals.

The duo team of Dr. Quentin Dahm and Sue Ciarvella, his assistant, are just two of the clinic’s many devoted dental volunteers. After retirement, they both knew they weren’t ready to officially quit dentistry, and that’s when they met Kathy Collins, former DRM clinic coordinator. The rest they say is history, and they have been dedicated to the clinic once a week since 2003.

“Coming to the clinic is more than just restoring teeth,” said Dr. Dahm. “Our patients at the Denver Rescue Mission clinic are men and women who have decided to restore their lives, so I get a chance to bring back their smiles.”

“It’s rewarding to watch the program participants gain their self-confidence after years of hardship,” said Sue. The Denver Rescue Mission is the oldest full-service Christian charity in the Rocky Mountain region. It has been serving homeless and low-income families and individuals since 1892. For more than 50 years, the Denver Rescue Mission clinic has opened its doors to provide free to low-cost health care services to program candidates, participants and outside guests. The clinic is fully furnished with donated equipment and staffed with medical, dental and optical volunteers. Currently, the clinic needs dental hand pieces, cabinetry and x-ray film. Please see the classified section for a complete list and details on how to donate.

The Denver Rescue Mission would like to thank all of our health care volunteers as well as everyone who has donated medical equipment. A special thanks to all MDDS dental volunteers and supporting organizations: Richard O’Day, Michael Petersen, Jeffrey Lodl, Jon Caulfield, Patrick Foley (U.S. Army Reserves), James Sexton, Richard Smith, Mark Kessler, James Jack, Barbara Moyer, Donna Seaman, U.S. Army Reserves and Assistants on Call.

For more information about volunteering, contact Melanie Aronhalt at MAronhalt@DenRescue.org or 303-294-0157 ext. 2103.

mddsdentist.com

Articulator

Winter 2011

23

ASK A PROFESSIONAL Insurance Tips for the Dental Professional

By Kristin Stepien, CIC at COPIC Financial Services

K

nowing when and where to take a risk is an important trait for any successful business owner. However, taking a risk on safety, security, and insurance coverage could be the last business decision you make. The following recommendations can help you avoid or recover from a loss.

1. Consider adding yourself to your workers’ comp policy In the state of Colorado, business owners have the option to opt out of their workers’ comp coverage. But before you check that exclusion box you need to be aware of the following: a. Most personal health insurance policies exclude work related injuries, so the cost to have yourself checked and/or medicated after a sharps incident will come out of your own pocket if you are not on workers’ comp. b. The cost is only about $230 a year on average to add yourself! c. When covered not only are your medical bills paid, but medications, some rehabilitation and (if disabled) a portion of your lost salary will be covered as well.

2. Look into cyber liability coverage The new digital world of network connectivity has significantly exposed every organization to both internal and external dangers.

Data system integrity problems and security breaches are just a few of the exposures we face in this automated world. Breach of security of a dentist’s network can cause loss of revenues as well as cause a catastrophic blow to an organizations reputation.

Network Security Insurance Insured’s network suspends or interrupts third parties network.

Damage, destruction, or theft of information residing on insured or third party’s network.

Insured’s networks transmits malicious code/computer virus.

Coverage for allegations of breach of privacy, libel, identity theft, slander, and defamation.

Government Investigation Defense Cost Insurance Defense for Regulatory claims regarding privacy law violations.

Defense coverage for government investigations.

Data Recover Costs Insurance First party coverage for recovery of electronic data lost because of computer virus attack.

First party coverage for data loss by hackers.

First party coverage for other unauthorized system invasions.

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3. Review your lease Review your lease for any insurance provisions that can cost you money. Oftentimes, there are unnecessarily high or odd coverage requirements that can cost you thousands annually. More importantly, a good agent will notice language in your lease that alleviates your landlord’s responsibility and instead places the onus of liability and certain repairs on you.

4. Buy an Employment Practices Liability Policy It has been said that these days you are more likely to be sued by an employee than a patient. Laws have broadened the scope under which employees can sue, so even though we are an “at will” state if an employee believes that you have discriminated or harassed them or that your office was a hostile work environment, you might have a lawsuit on your hands.

An Employment Practices Liability policy will pay any damages on your behalf and most importantly provide you as the practice owner with defense coverage in the event of an employee lawsuit. Contact us or your agent to obtain quotes on this type of policy to ensure that you have adequate protection.

5. Consider factors beyond your control Develop a disaster recovery plan that takes into account continuity of your computer operations, protection of vital records and communication with employees and customers in the event of an emergency or disaster that interrupts your normal business operations.

Flood and other natural disasters are not covered by most commercial property and casualty insurance policies, but should be considered as a separate purchase. Insuring only a percentage of the replacement cost puts you at risk of not being able to cover the costs associated with rebuilding your business.

Articulator

Winter 2011

6. Take stock of your property Knowing what you own and being able to verify ownership is critical information you need when reporting a loss and filing a claim. Before a loss occurs, inspect and take a full inventory of your property. Photos and videos are helpful in supplementing your written records.

Maintain a file of original purchase invoices in a secure, fireproof location. Keep office equipment’s serial numbers on file & review your property at least annually, making sure to note any upgrades to furniture, fixtures, equipment or carpeting that may affect the value of your business. After review, discuss these changes with your insurance agent who can then adjust your coverage limits.

7. Annually review coverage limits Your coverage limit should be an amount that can sufficiently rebuild your structure and replace damaged items at current costs (replacement value). Complete replacement value is highly recommended and should be included in your existing business owners policy.

Moreover, be certain that your policy is written correctly, covering your Tenant Improvements & Betterments if you have made them to your office and if you own a condo, be sure that your policy is written to insure that condo accurately. Having the appropriate insurance coverage can help ensure your business will recover from loss or damage.

Kristin Stepien, CIC is a Senior Account Executive at COPIC Financial Services Group kstepien@copic.com, 720-858-6297

Saturday February 18, 2012 6:00 ~ 11:00 pm Casselman’s 2620 Walnut Street

Chris Parente, Emcee

TV anchor and entertainment reporter, FOX31 and CW2

BINGO with the effervescent Nuclia Waste Dancing with the Mary Louise Lee Band Live & Silent Auctions Fabulous Food

Early Bird Ticket Prices: Patron Table of 8 ~ $1,200 Host Table of 8 ~ $800 Individual ~ $100 Young Professional ~ $50 (under 30)

To benefit:

To purchase tickets: www.howarddental.org For information: 303.863.0772, ext 382

GeT YouR HaT oN!

Thank you

for anoTher successful year

as the 2011 Disc seminar series has come to a close, we would like to thank our speakers, attendees and sponsors for another phenomenal year.

We are looking forward to shaping up the 2012 seminar series by working alongside great sponsors and fantastic speakers presenting on new and improved topics of interest.

For additional detailed information visit: www.knowledgefactoryco.com/discschedule.

And, remember to check back often. The 2012 DISC schedule, along with course titles and descriptions, will be completed

by December 2011.

look for The new 2012 Disc scheDule

coMing soon for aDDiTional inforMaTion visiT: www.knowleDgefacToryco.coM/DiscscheDule

2012

aldo leopardi, BDs, DDs, Ms Prosthodontist /// P. 720.488.7677 /// F. 720.488.7717

CLASSIFIEDS Denver Rescue Mission Dental Clinic needs volunteer dentists, oral surgeons, hygienists and dental assistants to come in for three hours per month. Also needed: x-ray film, x-ray machine, portable cabinetry and hand pieces. Please contact Melanie Aronhalt at 303-294-0157 ext 2103 or maronhalt@ denrescue.org.

Space Sharing: Broomfield, Colorado Share space in “high end” facility in excellent location! Future opportunity for practice purchase! Includes disposable supplies and computer support! Digital radiography, Pano, Staff availability negotiable. Susan 303-973-2147 or susan@sastransitions.com SAS Dental Practice Brokers GENERAL DENTAL PRACTICE: Northeastern, Colorado Established Practice 1 hour from Denver with the amenities of country living! Great Purchase Value at $242K. Owner willing to stay on pt after sale. Loyal staff and good location.

Growth potential! Susan 303-973-2147 or susan@sastransitions.com SAS Dental Practice Brokers!

Space Sharing opportunity in the DTC. Beautiful, new, all digital office in excellent location. 4 ops+ Perfect satellite office for a specialist or general dentist start up or part-time opportunity. Contact Cate at 303770-1116 GENERAL DENTAL PRACTICE: Lakewood, Colorado Established practice with approx 1950 active patients! Owner dentist is retiring but willing to assist with the transition post sale. Good location, 4 treatment opts, plus 1 designated hygiene opt. Digital Radiography, new equipment, computerized, with modern treatment philosophy! This won’t last…Susan 303-973-2147 or susan@sastranstions.com SAS Dental Practice Brokers!

GENERAL DENTAL PRACTICE: Englewood, Colorado Lease to Own Start-up with 50+ active patients. Great location near Swedish Hospital. Perfect for small start-up, great lease opt, low cost investment. Must see before investing hundreds of thousands of dollars! Motivated Seller! Susan 303-973-2147 or susan@ sastransitions.com SAS Dental Practice Brokers!

Micro-Etcher (Danville) needed. Used, good condition. Kids In Need of Dentistry, 303-733-3710 ext. 17 GENERAL DENTAL PRACTICE: Colorado Mountain Practice! Ski! Ski! Ski! Great transition opportunity! Annual collections $300K with good growth potential. Beautiful facility, newer equipment, digital and computerized! Established patient base.

Seller refers out all endo, implant placement and orthodontics. Available now! Susan 303973-2147 or susan@sastransitions.com SAS Dental Practice Brokers PRACTICES FOR SALE: New Listings Available for 2012!! Stop by my Booth “239” at 2012 RMDC! Metro Denver, Pueblo, Southern Colorado, Cherry Creek and more! Also, call today for specific information. Inventory changes before my ads! Susan Spear, Practice Transition Specialist / Licensed Broker, SAS Transitions, Inc. SAS Dental Practice Brokers 303.973.2147 susan@sastransitions.com Hire me to SELL your practice! Choose a Broker You Can Trust! I get results! Ask your friends! I find the BEST Buyers and make you proud of your decision! Direct Sales! Associate to Partnerships! Associate Buy-outs! 17 Years Experience in Dental Practice Transitions! Practice Transition Specialist / Licensed Broker SAS Transitions, Inc. SAS Dental Practice Brokers 303.973.2147 susan@sastransitions.com Need Help BUYING a Practice? Help with Appraisals, Reports, Financing and More!

I provide expert advice on how to Purchase Your Practice, Negotiate on your behalf, and help you successfully become the New Owner! Why go it alone? Susan Spear, Practice Transition Specialist / Licensed Broker SAS Transitions, Inc. SAS Dental Practice Brokers 303.973.2147 susan@ sastransitions.com Milling unit and many accessories. Call Lori or Ann-Marie at Dr. Carpenter's office, 303-427-4120.

Space Sharing: Broomfield, Colorado Share space in “high end” facility in excellent location! Future opportunity for practice purchase! Includes disposable

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Enter the digital age for less cost! Both of these items are in perfect condition, up-todate servicing and available only because I have upgraded and consolidated equipment.

PlanMeca Digital Pro Max Panograph with Tomography features. Best machine on the market, easily upgradable to 3D CBCT. Also, newer CEREC Acquisition Scanner/ CPU and all current software, Compact Milling unit and many accessories. Call Lori or Ann-Marie at Dr. Carpenter's office, 303427-4120.

For information about the Articulator Classifieds contact Jason Mauterer at jmauterer@mddsdentist.com or call 303.488.9700 x3270

Articulator

Winter 2011

Banking on Your Terms ORTHO

Ops Produc t ion

Dental-Banking Team

Practice Build-Out

Days Of Hyg iene

When Pacific Continental bankers Scott Beard and Amanda Mombert talk to their dental-banking clients, they know the difference between a pano and an intraoral camera. Whether helping to grow a practice with a line of credit or just financing a digital x-ray, their dental knowledge makes a world of difference. At Pacific Continental, our bankers not only speak dental, they’re experts in delivering the financial services you need, when you need them…on your terms.

THERIGHTBANK.COM

PAC-009_DentalT_Metro_Denver_Dental_Soc_10x7.5.indd 1

877-231-2265

7/22/11 8:21 AM

Metro Denver Dental Society ~ 10 X 7.5 ~ 4C ~ Aug/Sept 2011 ~ Portland Dental ~ Scott Beard & Amanda Mombert

PLAYRELAXLEARN SAVE DATE

2 CEU’S

THE

mddsdentist.com

MDDS@DEVIL’S JUNE 21-24 THUMB RANCH 2012

Course Subject: Non-Smoking HPV Associated Oral Cancer (2 CEU’S) Saturday, June 23, 2012 from 9:00am - 11:00am Robert O. Greer, DDS – doctor, author, rancher Dr. Greer is Professor of Pathology, Medicine and Dentistry at the University of Colorado Health Sciences Center where he specializes in head and neck pathology and cancer research.

By - Esprit Dental ■ Want to increase your bottom line?

■ Want to offer your patients the best in dental implant technology?

■ Want to learn to place dental implants but don’t want to travel?

Mark your calendar and attend our dental implant course right here in Denver October 28th and 29th. This is a course you don’t want to miss and will be limited to the first 50 dentist wanting to offer their patients the best in dental implants

Esprit Dental

15000 W. 6th Ave., STE 150 Golden, CO 80401 Phone 720-435-9052

Expect more...

Check Out Our Newly Designed MDDS Website!

Karlton D. Childress, CFP®, helps dentists plan for their financial futures. He was raised in a dental family; he understands dentists.

Karlton is another reason why you can expect more with us.

CALL TODAY FOR A FREE FINANCIAL CONSULTATION

303.639.5100

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MARK YOUR

CALENDAR January 19 ▶ 21, 2012

Rocky Mountain Dental Convention

20 CONNECT 12 RMDC ▶ DENVER,CO

Check out our heavy-hitting educational lineup at the Rocky Mountain Dental Convention!

Photo by: Steve Crecelius and VISIT DENVER

Learn more at RMDCONLINE.COM

▶ Dr. Peter Dawson & The Dawson Academy ▶ Dr. Gordon Christensen ▶ Dr. Terry Tanaka ▶ The Pankey Institute

Above: The Convention Center’s Famous “Blue Bear” Sculpture Below: The Beautiful and Modern Colorado Convention Center

See You Here at the RMDC this January!

Photoby: by:Scott ScottDressler-Martin Dressler-Martinand andVISIT VISITDENVER DENVER Photo

29

FINANCIAL NEWS It’s the Economy

By: By Edward Leone Jr. DMD MBA RFC

T

he nature of the economy deserves our attention given the economic health of our households and businesses.

Perhaps we should examine where we have been, where we are now and where we are going.

From 1802 through 2007, yields after inflation on several now popular investments look as follows: gold .1%, US bonds 3.5%, equities 6.8% according to Jeremy Siegel of the University of Pennsylvania’s Wharton School of Business. Ibbotson Associates does some excellent research on past economic performance.

Looking back to 1926, if you had a dollar, you would need $12 in 2010 to have the same buying power. If you invested a dollar in US Treasury Bills in 1926, you would have $21 in 2010, one dollar in large cap stocks in 1926, you would have $2,982 in 2010 and one dollar in small cap stocks in 1926, you would have $16,055 in 2010. According to Fidelity Management since 1926, there have been 57 rising stock market moves and 20 corrections. The S & P 500 index has gone from 18 prior to WWII to 1,333 this past April. We have also experienced fourteen recessions and recoveries (including the Great Depression) during the period of eighty four years between 1926 and 2010.

The observation has to be that business cycles occur regularly. Expansion of the money supply is integral to the expansion of business opportunities and economic growth. The level of return on investment is related directly to the level of risk. Along with growth in the money supply, comes inflation.

A key consideration is whether or not inflation is under control. In other words, is there discipline in monetary policy? Along with this dynamic, it is evident that economic growth over the

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long- term out paces inflation.

Our current status is a matter for concern. In 2010 the average US household income was $49,777. This number is five percent lower than it was in 2000. The economy based on

slow path of recovery. Projected GDP growth for 2011 is between 2.8% and 3.5% depending on the source. The 2010 inflation rate at the consumer level was 3.1%. It is possible that we will experience another year in which growth compared to inflation is stagnant. Liquidity created by the monetary policy of the Federal Reserve is winding down. Fiscal policy as established by the US Congress has not attracted capital to our shores, but rather continues incentives to invest overseas. None of these dynamics are sustainable over an extended number of years. The lessons of history as demonstrated by Ibbotson research tells us that over the past ninety years, there have been only two decades in which investment returns have been flat or negative. The total equity investment return over those ninety years averages 10.6% per year. We are at the door step of the second decade of this century. Will it be one of growth and prosperity?

GDP growth has increased 20%, but inflation over that ten year period has been 23.7%. Economic growth is behind the growth in the money supply for this period and we are earning less in compensation for our work. How did this happen? The lessons of history tell us that our monetary and fiscal policy over this past ten- year period has not been synchronized with the business cycle, global-economic and geopolitical events.

Sources: “Stocks, Bonds, Bills, and Inflation 19262010” by Ibbotson Associates-2010 “Ibbotson SBBI 2009 Classic Yearbook” “Big Trends” by Birger and Cendrowski Fortune June 13, 2011 Vol. 23 #8 pg. 108-116

Where are we going? Not one of us has a crystal ball, but we are presently on a

Dr. Leone is a past President of the Metropolitan Denver Dental Society and a past President of the Colorado Dental Association. He currently serves the profession of dentistry as the Treasurer of the American Dental Association. Dr. Leone is also an Associate with GHP Investment Advisors in Denver, Colorado.

Articulator

Winter 2011

Join MDDS On a 7-Night

Hosted by:

Western Caribbean Cruise!

MAY 27 - JUNE 3, 2012 Round Trip from Port Canaveral, Florida

Invite your family and friends to join you on the beautiful beaches and sparkling blue waters of LABADEE (RCCL PRIVATE ISLAND), JAMAICA, GRAND CAYMAN and COZUMEL. 8 CEU’s offered to Dentists and Dental Team Members Education Fee: $350 Dentists and $195 for Dental Team

Hot Topics in Clinical Restorative Dentisty Dr. Henry A. St. Germain, Jr., DMD, MSD, MEd Associate Professor and Chairman, Adult Restorative Dentistry College of Dentistry, University of Nebraska Medical Center • • •

Management of Tooth Discolorations • Clinical Cases with Veneer Restorations • Pulpal Considerations for Restorative Procedures •

Basics of CAD-CAM Restorative Dentistry Caries Management by Risk Assessment – CAMBRA Caries Research Update and Occlusal Caries Detection

For more details about this and other events visit:

mddsdentist.com

Excellence in Dental Architecture

Battista Design Group, P.C.

Featuring the office of Dr. Erich Zimmermann of 5280 Dental

3650 Wadsworth Boulevard Wheat Ridge, Colorado, 80033 (303) 428- 4895 www.battistadesign.net Follow us on Facebook