MDDS Articulator Volume 17 Issue 1

ARTICULATOR MDDS

Fall 2012 Volume 17, Issue 1

Connections for Metro Denver’s Dental Profession

FALL FOR YOUR

FOUNDATION Foundation of Giving Back 6 MDDF is My Foundation, Shouldn't it be Yours? 9 Smile Again Volunteers: Denver Dentists Changing Lives 10 Feed the Foundation Restaurant Spotlight - Coohill's 18 Ignorance of "Mercury Amalgam" 27

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ARTICULATOR MDDS

Connections for Metro Denver’s Dental Profession

Volume 17, Issue 1

MDDS Articulator

mddsdentist.com

Fall 2012

Inside This Issue:

Editor Carrie Seabury, DDS

A Letter from the President..............4

A Great Year for MDDF..................16

Director of Marketing and Communications Staff Photographer Jason Mauterer

Foundation of Giving Back..............6

Feed the Foundation Restaurant

Creative Manager & Managing Editor Chris Nelson Communications Committee Anil Idiculla, DMD, Chair 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 D. Diane Fuller, DDS President-Elect Mitchell N. Friedman, DDS Treasurer Larry Weddle, DMD Secretary Ian Paisley, DDS Executive Director Elizabeth Price, MBA, CDE, CAE 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

Spotlight - Coohill's........................18 Gee, I Didn't Know...........................8 Event Calendar..............................20 MDDF is My Foundation, Shouldn't it be Yours?.....................................9

2012 CDA Annual Meeting - A New Dentist/New Delegate Perspective....22

Smile Again Volunteers: Denver Dentists Changing Lives................10

MDDF Member Spotlight................24

Member Matters............................12

Ignorance of "Mercury Amalgam"...27

5280 Top Dentists Investigation

Sunset Review of the Colorado Dental

Part 2............................................14

Practice Act......................................28

Can You Make the Correct Diagnosis?...15

Classifieds......................................30

Get To Know Your MDDS Staff Korinna J. Milam, MS - Finance Manager Korinna Milam joined MDDS as convention director in December 1996, just three weeks before the 1997 Midwinter. She spent 14 years in that role, working to upgrade the look of the convention, expand the educational program, and introduce online registration.

In 2010, she graciously offered to serve as our Interim Executive Director and then went on to become our Finance Manager.

Korinna is a Colorado native, growing up in Colorado Springs and attending the University of Northern Colorado, where she earned a BA in Journalism and Mass Communications. Following graduation she went west to Northern California where she edited college science textbooks. She returned to Colorado for graduate school and received an MS in Technical Communications from Colorado State University.

Korinna is happily married to Duxton, a Captain in

the US Air Force. Together they have a wonderful 11-year-old daughter, Harper. Korinna enjoys being outdoors, drinking wine, watching NFL football, and learning to shoot her new .45 cal Colt 1911.

As Finance Manager, Korinna is responsible for managing the Society’s accounts payables and receivables, preparing monthly financial statements and assisting with the annual audit. In addition to handling the Society’s finances, she also coordinates our peer review process and serves as staff liaison to the Peer Review Committee. Korinna is MDDS’s longest standing employee and will be celebrating 16 years with the society this December. She is truly one of our most valuable resources and her corporate memory is priceless. She is always willing to look for improvements to our processes and highly values and adds to the innovative atmosphere at MDDS. Her integrity and attention to detail help MDDS maintain transparency and accuracy in all areas of finance and peer review. We are hopeful that she will be with us for another 16 years! You can reach Korinna at (303) 488-9700, ext. 3268 or kmilam@mddsdentist.com.

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A LETTER FROM OUR PRESIDENT A Letter From the President

By D. Diane Fuller, DDS

W

hen I graduated from dental school, I made a vow to myself that I would never do anything on a patient that I wouldn’t do on myself or a loved one. I’m betting most of you did too. With all the activity we face on a day to day basis, we may forget this basic vow we made to take care of people. We need to deliver care that comes from the purest place in our hearts. We have an obligation to care for each patient in our chair, and furthermore, care for people who do not have the opportunity to secure a place in our chair. Caring for our community as a whole is a duty we all share. If we want to remain the only dental providers who are able to deliver diagnostic and restorative care to our patients, we need to broaden our vision beyond what happens directly in our chairs and see how our actions affect the community as a whole. Awareness of our community’s trust is paramount and we must all make efforts together to show our local community how much we care.

Dental advertising affects our local community’s public trust. Some 90 years ago, the so-called “learned professions” stopped advertising.

They did not stop because it wasn’t effective, but rather they felt they were misleading the public they had promised to serve (snake-oil and such). When my brother graduated four years before I did, he put a tiny announcement in a neighborhood newspaper stating that he would be associating with my uncle. All heck broke loose with the Iowa dental board. When I started, I literally sat in an office and waited for someone to walk in off the street. It only took an hour or so after that to convince the person I really was the dentist, not the receptionist, and that I really could do the procedure. I’m not

trying to encourage dentists to stop advertising, but let’s be sure our ads are dignified and accurate.

Our efforts in volunteerism affect our local community’s public trust as well. The Metro Denver Dental Foundation (MDDF) is making efforts to reach out to community members in order to educate and treat them. The entire mission of MDDF is to influence positive health outcomes through quality patient care and education. The foundation is our biggest chance to show the community how caring their local dental professionals are. The foundation is working to achieve a high level of effectiveness.

“The entire mission of MDDF is to influence positive health outcomes through quality patient care and education.

The foundation is our biggest chance to show our community how caring our local dental professionals are.”

It has real potential to be an influential force in Denver. Membership should know that all of the charitable programs that are now under MDDF; for example Smile Again, shred event and Explorers, were instituted by and run under the auspices of MDDS. Our foundation was created 6 years ago to enable us to function under a different tax code and enable us to qualify for grants. In these economic times, those grants are hard to come by. Currently, MDDF has not secured enough membership donations or grant funding to cover the costs associated with its operation. MDDF is at its most vulnerable place. We hope to rely on our MDDS member contributions to keep

this foundation functioning.

Our individual interaction with patients is the most important influence on our local community’s trust. Our profession’s reputation relies on day to day decisions made by our community’s dentists. Our patients look up to us and trust that what we’re doing is in their best interest. They deserve no less. NOTHING should interfere with your best professional diagnosis. Unfortunately, I fully understand the financial and economic pressures some of us are undergoing. It is not our patient’s fault that we have the debt we do and they should never be the one who pays the price. There is still no substitute for professional integrity and doing the best dentistry of which we are capable. We must, as a profession, decide what we stand for.

It is a useful exercise to broaden our vision beyond our practice and evaluate what our actions may say to our community. Together we are responsible for the oral health of our community members and we are also responsible for maintaining a dignified reputation as dental professionals. All any of us can really do is control the integrity of our individual lives and encourage others to do the same.

I am so proud of our MDDS membership.

We do really care about our profession. Those of you who are non-members, I urge you to join with us and help stand against the huge challenges we face. No one can hope to champion the cause of our dental profession and professionalism alone. Now, more than ever before in the history of dentistry, we need to unite and stand together.

CORRECTION: In the Summer 2012 (Vol. 16, Issue 5) edition the article "Rules of Thumb", was mistakenly attributed to Daniel C. Flanscha and should have been credited to Dr. Edward Leone Jr. The Articulator staff would like to apologize for this error.

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Fall 2012

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REFLECTIONS Foundation of Giving Back

By Carrie Seabury, DDS

W

hat motivates you to give? Are you drawn to a cause that truly pulls on your heartstrings? Do you feel it is an obligation as a dental professional and member of our community to give? Do you give when there is social pressure to do so? When you look at our community’s largest contributors, our biggest philanthropists, you have to wonder why they give. Who or what taught them to give so endlessly, so generously? Why do some people feel compelled to give so much?

Take, for example, the tooth fairy. Why does the tooth fairy do what she does? It seems to me a somewhat thankless job working night shifts, sneaking under drool-soaked pillows to extract teratoma-like nubbins. As if this is not enough, the tooth fairy is forced to leave her hard earned Washingtons (though I have heard she may leave a Jefferson or two if the tooth is in mint condition). It has to be hard on her, knowing her gift is going to be blown on trips to Vegas and movie tickets for Magic Mike. Kids these days. Sheesh.

Let’s take another example of one of our greatest givers of all time. William Shatner. This guy gave us the greatest TV entertainment of all time out of the pure goodness of his heart. Captain Kirk taught us the true meaning of bravery, audacity, tenacity, and…smarmy. He has helped us through some of our darkest times. Was that enough to satisfy him? Not even close, Bub. Next he gave us the ground breaking

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performance of Rocket Man. If you have not YouTubed this, you must put down the Articulator (after reading cover to cover, of course) and find “The Internet”. Type in “greatest gift to humanity” in your Google bar and Shatner will lead the way to musical nirvana. He has accomplished all of this and more while simultaneously striving to find us the lowest hotel and air fares available.

How does one man do so much for the

“We have so many givers in our profession. We all entered this field to help people.” human race? What have we done to deserve this love and compassion? (I wonder if he gives so generously to the Klingons?)

We all love to hear stories about the givers in our field. The doctors who give time, services, and money to our Colorado community members who truly need a helping hand.

The reason why we love these stories so much is because deep down inside we all want to be that honored philanthropist. The major Denver Metro dental philanthropists have a vibe…a mental attitude that we all strive to attain. These men and women have the calm presence of a person who is at peace with all aspects of life. They have no problems they can’t handle – life seems to spew out a never ending supply of rainbows and lollipops to pave their way. They start the evening with a fiver at the craps table and by the end of the night they are buying rounds for 50 of their new best friends.

Their practice is steady, their staff is drama free, and their family life is perfect. They are untouched by the problems of the mortal man. Since they don’t have to deal with the issues we face everyday, of course they have time to dedicate to charity work and lending a hand where it is needed. At least that’s how it looks from the outside. The truth of the matter is, our heroes and heroines have the same problems we do. The same battles at work and home. The same odds in Vegas.

Any of us can do what they do. We just need to commit to the cause.

We have so many givers in our profession.

We all entered this field to help people.

I know this because the year I sat on the admissions committee for dental school I heard every single applicant say “I just want to help people. I want to make a difference.”

We all said it. We all believed it. Do you believe it still? I still do, and I believe I always will.

Let me tell you about my most recent experience with the Smile Again program through MDDF. My current patient has survived some awful times. She has been missing all of her upper teeth for over fifteen years. No prosthesis. 15 years.

Victims of domestic violence so often are told repeatedly that they are unworthy. They hear the message that they are unworthy of happiness, unworthy of validation, and unworthy of love. Once they start believing the message, they are often ill inclined to take care of their health and their needs.

How are these women going to truly escape dependence on their abusers with

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Fall 2012

broken mouths? Rehabilitation of their mouths gives them a greater chance of finding decent wages, finding stable relationships, and finding admiration and respect from their children and family.

Investing in these women’s lives has the potential to create a nice ripple effect in our community.

Imagine a child who has never seen his mother with any upper teeth. Now imagine that child watch his mother swell with pride because of a new job offer or housing opportunity that she earned. Do you think that moment may change this child’s pathway in life? Watching his mother overcome great odds will certainly grab his attention. Am I tugging on your heartstrings? Not yet? Maybe I should have added a bit involving homeless bunnies and unicorn tears.

Obviously I jest. My passion for the Smile Again Program is pure. I believe our community of dentists and dental auxiliaries who participate in this program are angels on earth. The women who receive help from our program

are so deserving and so thankful.

What a tremendous service to our community. We have the power to truly change lives. If we all chip in, we can turn this small charity into a community movement. There has never been a more important time to reach out to our Denver community and show that the MDDS dentists care about the well-being of all of our neighbors.

The Smile Again Program is a noble program designed to help people who need it more than most. You can get involved by either volunteering time and services (you get to pick a patient off the Smile Again list) or donating money to the MDDF. Because we feel our foundation is essential to the character of our society, each board member for MDDS has pledged to contribute to MDDF this year. The Board of MDDS feels the Smile Again Program speaks volumes about the type of dentist who decides to join our society. We invite you to join us in our movement. Come on people. Let’s make William Shatner proud.

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Gee, I didn't know we had a Foundation....what does it do?

By Amy Boymel, MDDF Executive Director

I

'm so glad you asked! The short answer is, “We change lives.” But let me give you a slightly longer answer. If you’re a member of MDDS, MDDF is your foundation.

We’re here to help you connect with the community through volunteerism, and that benefits you as well as our community. All of our programs exist and succeed because of our volunteers. If you volunteer your time with an MDDF program, you already know that; and on behalf of those whose lives you touch – thank you!

Last year, with the help of volunteers, MDDF touched the lives of more than 8,500 people in the Denver Metro area through its programs. Many of you are familiar with MDDF’s hallmark program, the Smile Again Program®, which provides restorative dental care to survivors of domestic abuse. It’s no exaggeration to say that this program, because of the more than 175 dentists who give their time freely and compassionately, truly changes lives.

Read more about Smile Again in Judy’s article in this issue.

In addition to quality dental care provided by Smile Again, MDDF is committed to education in two significant ways.

We all know good oral health – along with good physical and mental health – is an essential component of a healthy life. The Presentation Center helps you educate large numbers of people

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of all ages about how they can develop good oral care habits and achieve life-long healthy mouths and smiles. We can lend you all sorts of cool teaching aids like puppets, giant toothbrushes and tooth models to help you and your associates do presentations, whether they are for your kids’ pre-school, a community group you’re involved with, or a booth at a health fair. We’ll even provide tooth brushes, tooth paste & floss you can give participants (when we have them in stock).

Maybe you always knew you wanted a career in dentistry. Maybe somebody or something along the way inspired you. We’ve been helping to inspire young people through the Explorer Program over the last several years. If you’ve ever participated in “pig jaw night” you know first-hand the feeling of excitement you get when you see a young person extract a tooth for the very first time. Helping students figure out if this is what they want to do with their lives is another way we educate our community and another way you can be involved with your foundation.

I hope you know a little more about MDDF now than you did when you started reading this article, but there’s still a lot to tell you. I’d love to talk with you on the phone, over a cup of coffee, or whatever works best for you. Please get in touch with me at (303) 957-3272 or aboymel@mddf.org and we can talk about your foundation. I think you’ll be glad you did.

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FOUNDATION MDDF is My Foundation, Shouldn’t it be Yours?

By Nelle Barr, DMD

I

n the summer of 2008, Dr. Mike Scheidt called me and asked me to be a Metropolitan Denver Dental Foundation (MDDF) board member.

Even today, after having been on the board for 4½ years, I am deeply humbled by the confidence he placed in me and equally humbled to help guide the MDDF Board, a group of committed people.

MDDF is a unique charity providing potentially life changing dental care to victims of domestic abuse. Volunteer dentists restore these women’s smiles, giving them a renewed sense of self confidence that can help them reinvent their lives. I have always thought: MDDF changes smiles/changes lives. Our volunteer dentists are invaluable and a critical part of the Foundation. Giving of your time and talent is vital. It is also important to give of your treasure. Monetary donations are imperative.

Your support truly makes a difference. I have seen first hand the immense impact that your gifts have had. Take it from me; your donations are an integral part of MDDF’s continued success. Donors enable the Foundation to pay for staff, grant writing, dental laboratory fees and administrative costs. Your support ensures the Foundation remains viable.

People give for a variety of reasons; 1. out of obligation “because they should”, 2. it makes them feel good, 3. the incentive of a tax write-off, and 4. karma.

When Frank Sinatra died he had a cardinal officiate his funeral.

My mother asked a family friend, who happens to be a priest, “How is it possible that Frank Sinatra had a cardinal at his funeral after the multiple marriages and the obviously less than holy life he lead?”

Father Alan responded, “Well, charity forgives a multitude of sins.”

Can’t we all use that karma?

When I wake up every morning I know I have the best job in the world. As corny as it seems, I feel so lucky. There are so many people that are not as fortunate. As my 100 year old father says, “a few with many, most without enough”. I know that is why I give back. My sister Betty says, like Frank Sinatra, I need to give back to forgive all my sins.

Why I give to the Foundation is easy. I belong to MDDS and

mddsdentist.com

"Every day a charitable organization asks me for a donation. I give to MDDF first." this is our charity. Every day a charitable organization asks me for a donation. I give to MDDF first.

You don’t have to give a million dollars. Gifts can come in all sizes. Even if each MDDF member donated only $100.00 every year, we would be financially secure. Why is it that a $100.00 donation to charity always feels like more than $100.00 you would spend shopping? If you went in Nordstrom’s and saw a cashmere sweater on sale for $100.00 many people would buy it without a second thought. But ask someone for $100.00 donation to a charity and now that $100.00 suddenly seems like a large amount of money.

Giving should be unbegrudging in a spirit of generosity. Give with sincere gratitude. Money is critical to safeguard our Foundation.

You can give now online at mddf.org or write a check. Don’t forget about us during your estate planning. If you are interested in other gift planning opportunities please contact Amy Boymel, our executive director. I promise you your gift will be used prudently.

If you want happiness for an hour, take a nap.

If you want happiness for a day, go fishing.

If you want happiness for a year, inherit a fortune.

If you want happiness for a lifetime, help somebody.

-Chinese Proverb

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SMILE AGAIN VOLUNTEERS: DENVER DENTISTS CHANGING LIVES

By Judy Holmes, JD

"I

want to thank you from the bottom of my heart. It is so wonderful to have my smile again and regain some of my self-esteem. Life has improved so much since my smile is back. I now have new goals and new dreams, thanks to you. It has been a long time since I’ve had a smile on my face. Thank you. “ - Elaine That quote came from a patient who received much-needed dental care from a dentist who volunteered to work with the Smile Again Program.

Smile Again was created in 2002 by the Metropolitan Denver Dental Society and was developed for people in transition who are trying to turn their lives around. Its purpose is to provide restorative dental care to survivors of domestic abuse and to treat conditions resulting from trauma and neglect. The Program has expanded its services to include those who have been successfully treated for substance abuse and dependency.

residential treatment facility associated with the University of Colorado.

“My experience in the Smile Again Program has been wonderful – a true blessing in my life. Thank you for being willing to give back to people who have made poor choices in the past and are now able to take steps in building their lives back.” - Anonymous Tracy Thompson, the Program Coordinator of The Haven, works with Amy Boymel to screen Smile Again candidates. Tracy has seen first hand the effect the Smile Again Program has on those women fortunate enough to be chosen to participate. “I’ve never seen people so happy to have their teeth pulled –because they know that is the first step to a new life.”

Many of those who are in the resident treatment program at The Haven have been addicted to methamphetamines. According to Tracy, “Having The Smile Again Program is administered by the Metropolitan Denver rotten teeth affects them to the core of their being. It affects how they Dental Foundation, established by MDDS as its non-profit arm. Amy view themselves. It’s not just a woman’s teeth – it’s how she feels about Boymel, Executive Director of the MDDF, is instrumental in matching herself. They ask themselves ‘Am I volunteer dentists with potential "...when Dr. Sperling takes on a new patient, wanted?’ ‘Will I ever be accepted?’” patients. According to Amy, “survivors of domestic abuse are often people he is so compassionate. He asks ‘who’s in Tracy believes the Smile Again being held back because of the way pain?’ or ‘who’s been waiting the longest?'"

Program is “an incredible resource they look. They are embarrassed to talk in class or to apply for a job. They have no insurance and have no – it’s such a big deal to the women who are recovering from their financial means to pay for the dental treatment needed.” addictions.” Tracy explained that many of those participating in the Smile Again Program are women who need front teeth. She has observed Only those individuals who have demonstrated a strong chance for that when participants in the Smile Again Program get front teeth “that success will qualify to participate in the program. They must be a resident changes everything- they think they can do anything. It opens up the of the eight-county Metropolitan area, and the damage must be related world and makes such a difference in their lives. They can’t stop smiling!” to compromised dental health resulting from domestic abuse. Domestic abuse applicants must have been out of the abusive relationship for at least Tracy shared a story of Allison, who came to The Haven addicted to 14 months. They must provide a “readiness assessment” from a domestic methamphetamines and “beaten up by the world.” Once she had become violence advocate, social worker or counselor. drug-free and qualified for the Smile Again Program, she received Over 175 dentists volunteer their time to participate in the Smile extensive dental work from a Smile Again volunteer dentist. As Tracy Again Program. Unfortunately, the number of abuse victims in need of describes Allison’s transformation, “the light inside her came on. People treatment far exceeds the number of dentists who are available to accept can’t believe the difference between now and how she looked before.” She a case. Many applicants wait months or even years to be accepted. As is currently in a 12-step group and gives back to The Haven by taking a result, the application process is competitive and the requirements for the women to court appearances and dental appointments. She is even acceptance into the Smile Again Program are rigorous. Each applicant starting her own dog-grooming business. must demonstrate that they have made a strong effort in turning their life around. Although some applications are received from the general public, Tracy also relayed her experience with Elaine. She had lost custody of her most patients are pre-screened and come from referral sources such as four children because of drug issues. When she came to The Haven, she Warren Village, Mi Casa, Work Options for Women, and The Haven, a had no front teeth. She overcame her addiction, but was not motivated to

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FEATURED STORY move forward until after she received dental care through the Smile Again Program. According to Tracy, “once she had new front teeth, she completely turned her life around. She looks 15 years younger and has a glow. The best part is that she now has 3 of her children back and is helping other women at the Haven.” She’s a model for what others can accomplish.”

“Thank you for making my dream come true.

Having my smile back gave me my confidence to succeed in my future. My life is not on hold anymore. I am blessed to be part of such a generous program. Your impact is incredible!

Thank you.” - Felicity.

The dentists who volunteer to work with the Smile Again Program make a valuable contribution to the future of patients. For example, Dr. Morton

Sperling has been a volunteer since 2002.

According to Amy, when Dr. Sperling takes on a new patient, “he is so compassionate. He asks ‘who’s in pain?’ or ‘who’s been waiting the longest?’” Dr. Sperling has a simple but powerful philosophy: “There are so many in the world less fortunate. In dentistry, there are so many goodhearted people. We can make a big difference in the lives of those people who need help.”

Dr. Sperling takes on challenging cases, but feels he is rewarded in the process. “Some come to us and because of the domestic abuse and drug abuse, they can’t eat and can’t chew and can’t smile. When you change all that, you are turning their lives around. Now they know someone cares, so they know they are not in this world alone. Former patients come in and thank me and hug me. When they get through they are so

COMOM 2012

appreciative. They have a happier life, and it helps them keep up the fight to stay off drugs."

Dorene, who is receiving treatment at The Haven, has seen the profound effects the Smile Again Program has had on other Haven residents fortunate enough to have received treatment.

Although she is still waiting for the opportunity to participate in the program, she wrote a note of thanks to the MDDF: “Thank you for providing The Haven with beautiful smiles. I look forward to having one too. God Bless You." - Dorene Will you be the Smile Again volunteer dentist to change Dorene’s life?

Catastrophes don’t make courtesy calls.

Injuries, illness, weather disasters, accidents… these things don’t make courtesy calls before knocking on your door. When they show up and interrupt your practice, all you need to know is that you’re covered. Period.

September 28-29

Colorado State Fair Grounds Pueblo, CO

“I’ll be there next Tuesday, between 10:00 a.m and noon...”

• Property & casualty insurance – workers compensation – business owners package – employment practices liability • Individual and group – disability – health – life

Visit comom.org to volunteer!

mddsdentist.com

www.copicfsg.com • 720-858-6280/800-421-1834

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MEMBER MATTERS

MDDS New Member Event - Lucky Strike MDDS members, ambassadors, staff and board directors mingled and bowled on Thursday, August 9, 2012 at Lucky Strike in Downtown Denver.

Mrs. Lauren Beckman

Dr. Darren Bennett

Official Call for MDDS Volunteers to Help Victims of the July 20, 2012 Aurora Theater Tragedy and their Families We are deeply saddened over the shooting tragedy that occurred on July 20, 2012 in Aurora, and our hearts go out to everyone who was affected by this event. We know that there are many in our dental community that want to help the victims any way they can. The Metro Denver Dental Society has teamed up with other community healthcare organizations and the City of Aurora to give you the opportunity to personally help individuals whose lives have been so deeply affected by this tragedy.

Open House on Smokey Hill

(Left to right) Dr. Darren Bennett, Dr. Jeremy Kott, Mr. Brad Hubbell, Dr. Brian Gurinsky, Dr. Justin Baltz

To register go to mddsdentist.com and volunteer to Bring a Smile Back to Aurora.

Planning an open house? Send an invite to

Dr. Brian Gurinsky, MDDS member periodontist, welcomed guests to the open house on August 2, 2012 for his second office located at 20250 E. Smoky Hill Rd., Unit #4 in Centennial.

New Members - Welcome!

Dr. Paul A. Andrews Dr. Russel Ash Dr. David Baer Dr. Eric Beckman Dr. Brandon D. Campbell Dr. Nathaniel C. Cejka Dr. Elizabeth D. Crespi Dr. Kenneth R. Ence Dr. Lisa M Feheley Dr. Cody G. Garrison Dr. Adam J. Gentry Dr. Michael Gross Dr. Colleen E. Halligan Dr. Patrick D. Hannaway Dr. Bryan S. Hilton Dr. Rocky E. Horton Dr. Carla J. Janda

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Dr. Jessica Klabak Dr. Max Klingenstein Dr. Anjuli N. Kramer Dr. Julia Laskin Dr. Thomas S. Michalik Dr. Kenneth W. Ostrov Dr. Jeffery K. Poulson Dr. Michael Raizen Dr. Rebecca C. Rees Dr. Diana Rubino Dr. Justin M. Smatz Dr. Ashley Spooner Dr. Marc D. Thomas Dr. John W. Thousand IV Dr. Eric J. Wilson Dr. Matthew R. Wimmer

Elizabeth Price and/or Jason Mauterer at MDDS and we will cover it in the Articulator. MDDS - 3690 South Yosemite Street, Suite 200, Denver, CO 80237

ARTICULATOR WINS SILVER SCROLL AWARD! The International College of Dentists has selected your Articulator to receive the Silver Scroll Award this year!

This award is presented to the editor whose publication demonstrates the most overall improvement. The Articulator was chosen as having the most improvement in overall quality in the use of color and graphics in 2011. Congratulations to Dr. Carrie Seabury, MDDS Editor, the Communications Committee and the MDDS staff for all of your hard work!

Articulator

Fall 2012

SAVE THE DATE & SIGN UP EARLY

2012

Nov. 16-17, 2012 8:00am - 4:00pm

Metro Denver Dental Society & Dr. Barry Glassman Present:

Comprehensive Oral Sleep Medicine Barry Glassman, DMD, is a Diplomate of the Academy of Dental Sleep Medicine. We are very fortunate, once again, to have him join us and take our dentists one step further into oral sleep medicine and appliances!

Through this course you will learn – This unique exciting two day advanced course in dental sleep medicine will review the basic concepts of sleep medicine and proceed in-depth into critical areas required to fully and confidently implement dental sleep medicine into a dental practice: 1. How to identify potential patients in your practice and increase referral base 2. Managing all potential muscle, joint, and occlusal untoward effects of oral appliance therapy 3. A Step-by-Step guide to appliance therapy and the use of home studies in guiding titration and in outcome measurement 4. Case presentations of more complex cases and an opportunity to bring your cases to present and/or discuss 5. Bruxism as a movement disorder of sleep and the relationship between pain and sleep as well as bruxism’s role in dental health

}

only three lectureS left:

august 23 BioHorizons

}

Avoiding and managing complications of implant therapy

october 11 Astra Tech

}

Parameters for integration of aesthetics and function in implant dentistry

november 15 Zimmer Dental

}

dr. Bach le, oral and Maxillofacial Surgeon Burbank, California dr. Sergio rubinstein, Prosthodontist Chicago, Illinois

Interdisciplinary implant dentistry: current concepts and techniques in aesthetics and immediacy dr. John P. davliakos, Prosthodontist Annapolis, Maryland

Location: MDDS Building, 3690 S. Yosemite Street Denver, Colorado 80237

Time: 5:30 PM to 8:30 PM /// Complimentary light dinner at 5:30 PM. Lecture begins promptly at 6:00 PM. /// CE credits are available. Fees for 2012 are waived due to corporate sponsorship.

Please Note: Capacity is limited. If interested in attending, please call 720.488.7677 to reserve your place.

aldo leopardi, BdS, ddS, MS Prosthodontist /// P. 720.488.7677 /// f. 720.488.7717

Scan thiS code for the full Schedule or viSit: www.knowledgefactoryco.com/disc-schedule-2012

6. A comprehensive literature review No prerequisite required to take this class

Register today at mddsdentist.com or call (303) 488-9700 mddsdentist.com

Articulator

Fall 2012

13

5280

TOP DENTISTS INVESTIGATION PART 2

Our investigation into how 5280 Magazine’s Top Dentists are selected led us to USA Top Dentists where we uncovered the process.

By Anil Idiculla, DMD

I

n the Winter edition of the 2011 Articulator, the MDDS Communications Committee published an article entitled, “What Happens In-House at 5280”. It provided much needed insight into the 5280 Top Dentist List that has been routinely generated each summer in past years. We wrote this article to try and communicate the information from the parties involved in generating and publishing this list. This article has raised so much of a buzz that we felt as if we needed to gather more information for our readers. The following information does not represent the views or opinions of MDDS, but like our winter 2011 article, we are gathering information to keep everyone informed about the 5280 Top Dentist list.

In the highly anticipated part deux of our research into the methodology of the 5280 Top Dentist List, our committee was led to the company that actually generates the Top Dentist list which 5280 Magazine publishes.

That company is called USA Top Dentists and we decided to interview one of its managing partners, Mark Barkley.

Company Background and Information: USA Top Dentists currently participates in surveys in 49 states throughout the US, with results published in 48 different magazines. It has two main competitors, the Consumer’s Research Council and Pro Research Services.

Mark claims that USA Top Dentists is the most thorough of the three companies, and we asked him to expound on this. They have partnered with 5280 Magazine since 2008, when the magazine decided to bring back the Top Dentist List. In terms of statewide volume of distribution, 5280 is the largest partner that Mark’s company has. They also are the preferred polling company for cities such as Seattle, Indianapolis, and Charlotte.

Polling Methodology: According to USA Top Dentists, a list of dentists and specialists is obtained from the ADA, which is then cross-checked with lists from local dental societies. USA Top Dentists also obtains lists from other professional organizations, and then pools all of them together to generate a master list. This is done every year to stay current with membership. Barkley has assured us that approximately 85% of the time when someone writes-in a name of a dentist or specialist to be nominated, that USA Top Dentists already have them listed.

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The current methodology consists of general dentists nominating specialists, and vice-versa. The geographical area included in each poll is on average 20-25 miles, but in urban areas such as Denver, the radius is greatly decreased by the number of dentists/specialists per square mile. There can be anywhere from 100 to 200 names on each ballot.

One of the key aspects that Mark wanted to point out is that not every dentist receives a ballot. This is by design. The computer software at USA Top Dentists determines a sample population to receive the ballot for that given year. The sample is changed each year.

This past year, approximately 1000 ballots were sent out. Barkley gets anywhere from 15-40% return rate depending on the area (this year he received 350 ballots completed from Colorado). As of 2010 there is also the option to send in a ballot online. Barkley feels this is the trend to follow and should increase the return rate over time.

Barkley estimates that every 3-4 years, each dentist should receive at least 1 ballot. He promised us that if anyone contacts his company and asks for a ballot, they would receive one. He encourages dentists to call him to ensure their inclusion.

Selection Criteria: The top 15-20% of vote-getters of all practitioners based on category are selected as a USA Top Dentist. The rating scale is from 1-5, and other factors are considered as well; such as how long the practitioner has been licensed (minimum of 5 years), the write-in comments on the ballots, a background check with the State Board, special certificates of advanced education (FAGD, MAGD, etc), and board certification, to name a few.

5280 Magazine can have no say as to which dentists make the list, whether by veto or approval. Advertising in the magazine has zero bearing on the selection of the dentists.

Future Improvements: USA Top Dentists is constantly updating their database and trying to add every dentist that is in a specific area. Two years ago, it was only possible to list one office but now they have the capabilities to record the data for multiple offices. 5280 Magazine, however, chooses to only publish one office per dentist. Mark is trying to move to a digital process, so look for those changes as well.

Articulator

Fall 2012

DIAGNOSIS CHALLENGE

Can you make the Correct Diagnosis?

By John D. McDowell, DDS

T

his 23 year-old woman presents to your office for diagnosis and treatment of what she describes in her chief complaint as, “a bump under the front part of my tongue.” She is a new patient to your practice having moved six months ago to the town in which you practice. She is healthy (her review of symptoms shows no systemic diseases) with no reported surgeries or hospitalizations. Her only medication is an oral contraceptive which she has been taking for approximately two years. She does not use tobacco but by the patient’s history drinks “no more than four beers per week” and has done so for about three years. Throughout her life, she has received periodic oral exams and describes having her teeth “cleaned and checked” about twelve months ago. At the dental appointment twelve months ago, the dentist did not tell her there was anything under her tongue that would suggest the “bump” was there at that most recent exam.

She says the “bump” first appeared 5-6 months ago, initially noticing it as a small “bump about the size of a pea that has grown to the size it is now.” She does not remember any event that caused the “bump” to first appear. It is not presently painful nor has it been painful since it first appeared.

The lesion is a single, firm (but not bony hard), solid nodule. The mucosal surface of the lesion appears smooth and intact. It demonstrates a broad base and feels like it extends approximately 0.5 cm into the body of the tongue. It does not appear to adhere to the muscles of the tongue.

Other than this lesion, the oral exam is within normal limits. There is no detectable lymphadenopathy.

Diagnosis on page 21

NEW MEMBER NETWORKING EVENT All MDDS members are welcome to attend

All MDDS members are welcome to attend Under the Sea for the final New Member Networking Event of the year.

Enjoy appetizers, an open bar and rare aquatic wildlife while mingling with fellow dentists as well as MDDS ambassadors, staff and board members. Don’t miss the boat on this special event – save the date today!

The Dive Lounge – Downtown Aquarium

HOSTED BY:

DIVE INTO A FUN NIGHT WITH MDDS

700 Water Street Denver, CO 80211 Thursday, October 25, 2012 6:00pm – 8:00pm

For more information 15 visit mddsdentist.com

Dr. Rick Murdoch shows students how to reconstruct a tooth

Dr. Betty Barr shows Explorer students how to use light

Dr. Jeff Hurst points out the finishing touch needed on a tooth restoration

Dr. Michael Scheidt with Explorer students at “Pig Jaw” night

A Great Year for MDDF Thanks to MDDS Members!

These photos help tell the story of a great year for MDDF. And it couldn’t have happened without the many MDDS members who volunteered their time and shared their skills.

From treating Smile Again patients to providing hands-on learning opportunities through the Explorer program; from shooting targets at the Clay Shoot to crushing cardboard boxes at the Shred Event, a big Thank You to everyone who supported MDDF through volunteering!

Dr. Charles Danna helps a student with an extraction

16 16

Volunteers hard at work at the Shred Event

Happy Shred Event volunteers Dr. Charles Danna, Ms. Judy Holmes, Dr. Sheldon Newman, Dr. Karen Foster and Dr. Nicole Furuta

Dr. Michael Poulos teaches injection technique

Dr. Brett Kessler and Dr. Jennifer Garza chat with Explorer students

“Right there,” says Dr. Ken Peters to an Explorer student about a tooth repair

“Perfect!” compliments Dr. Michael Scheidt to a student on her first extraction

Dr. Brian Gurinsky teaches the art of the suture

Dr. Jennifer Garza provides hands-on instruction in orthodontics

Dr. Nelle Barr guides a student on proper form

Team MDDF/MDDS had a perfect Colorado day for last fall’s BVB Clay Shoot Event

The winning team (Best Team Score) at the BVB Clay Shoot (l-r): Dr. Terry Egert, 17 Dr. Michael Poulos, Dr. Charles Danna, Mr. Vince Vinolla and Dr. Mitchell Friedman

FEED THE

FOUNDATION

RESTAURANT SPOTLIGHT:

COOHILL’S RESTAURANT 1400 Wewatta St., Denver - For Reservations Call 303-623-5700

Mention MDDF when making your reservation in September and 10% of your tab goes to benefit MDDF!

By Jeremy Kott, DDS & Nicholas Poulos, DDS

O

pening its doors in November 2011, Coohill’s Restaurant in LoDo came with great expectations. Executive Chef, Tom Coohill, began his classic French training at the age of 17 and has worked in some of the nation’s highest regarded fine dining establishments. He is a former winner of the US Chef’s Open and Georgia Chef of the Year. He has been a guest chef at both the famed Cordon Bleu in Paris and James Beard House in New York City. In addition, his Atlanta restaurant, Ciboulette, was named one of the nation’s top 25 by Esquire magazine. Tom and his wife Diane moved their family from Georgia to Colorado for the love of the outdoors and together opened Coohill’s in November of last year. Their new European style restaurant features dishes inspired by the wine growing regions of Southern France, Italy, Portugal and Spain. The menu features hand-crafted cocktails, beers from local and European breweries and an impressive wine list. For more information about the owners of Coohill’s visit coohills.com/about-us.

Chef Coohill has a commitment to local and fresh ingredients which is reflected in his seasonal menu changes. That being said, there are a few “mainstays” on the Coohill’s menu regardless of the season. A few of my favorite menu items are served as small plates or “starters”. The Peking Duck Confit with brussel sprouts and Blue Crab Flan are two of the most popular dishes on the menu, but my favorite is the Burgundy Snails Provecale. I was amazed at the depth and richness of flavors developed from

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Articulator

Fall 2012

FEED THE FOUNDATION with a complex and delicious jous.

such humble ingredients. San Marzano tomatoes, garlic, pernod and leeks come together to make the luscious sauce which transforms the humble snail into an other worldly delight.

Coohill’s always features an assortment of wonderful charcuterie and cheese for snacking as well as a few fun salads. The escarole salad is served with some diced fennel, Berkshire bacon and garlic chips with a Dijon vinaigrette. But what puts this salad over the top is the Parmesan Crusted Poached Farm Egg which is served alongside the dressed greens. The salad takes on a whole new texture and creaminess once the egg is pierced and the yolk is allowed to mingle with the rest of the dish.

Snake River Farms Wagyu Strip Steak, Berkshire Pork Ribeye, and Eggless Gnocchi are a few of the “patron favorites” listed under “Mains” on the Coohill’s Menu. But if you go, make sure to try the Colorado Lamb Rack with smoked Black Mission Figs, wild rice and mushrooms.

The individual bones are cooked to a perfect temperature atop a smoky sweet bed of rice and mushrooms and served

mddsdentist.com

The desserts at Coohill’s, however, truly take this place to the next level of dining.

From the Lemon Tart with mascarpone sorbet and raspberry jam to the Veloute of Valrhona Chocolate with Colorado honey ice cream and chocolate syrup; do yourself a favor and save room for a treat at the end of the meal. And the one you absolutely must not miss is the famed “Marjolaine”.

The recipe for this indescribable dessert originated with renowned French Chef Fernand Point and is known only to a select few lucky enough to come up under his tutelage. The sinful dish, featuring flavors of vanilla, chocolate and hazelnut is rumored to have been named for the chef’s favorite mistress and is absolutely not to be missed.

So what are you waiting for? Call up and make your reservations today to Feed The Foundation.

Chef Tom (left)and his wife, Diane, have graciously offered to donate 10% of every MDDF food bill (Sunday - Thursday evening in the month of September) to the Foundation.

I recommend getting a group of people to go together and order a wide selection of small plates, salads and mains for everyone to share and enjoy. But don’t forget to pay a visit to Marjolaine at the end of the night, you won’t regret it!

Coohill’s (1400 Wewatta St.) is located on the corner of of Wewatta & Speer on the Cherry Creek trail. Parking is available in the building lot for $5 after 5 pm. Call 303-623-5700 to make a reservation or visit them online at coohills.com.

Calling all foodies & philanthropists We would like to introduce a new fundraising program for the Metropolitan Denver Dental Foundation you will not want to miss: “Feed the Foundation”. We will be partnering with a series of Denver culinary hot-spots to feed you some amazing meals while helping to raise money for our foundation at the same time. The program could not be simpler.

So how does it work?

Step 1: When the Articulator shows up on your desk at work, do not push it to the side. Instead, find the “Feed the Foundation” page and read all about the amazing food and people at that month’s partnering restaurant. (You’ve already made it through that step – see how easy this is?)

Step 2: Get a group of friends, family, co-workers, strangers, etc. together and make plans for a fabulous dinner. Call the featured restaurant to make a reservation (must be for dinner on Sunday through Thursday and make sure to mention that you are with MDDF and you want to “Feed the Foundation”.

Step 3: Eat, drink and be merry. The restaurant will track all MDDF parties for the month and donate 10% of every food bill back to us at the end. (It probably wouldn’t hurt to remind your server when you check in just to be sure).

We are going to work very hard to try and partner with the Denver area's best restaurants to give you a wonderful experience. Please help us by spreading the word and getting this program off to a great start! Our first spotlighted restaurant is Coohill’s in Denver, so let’s get out there and Feed Our Foundation.

Articulator

Fall 2012

19

EVENT CALENDAR AUGUST 2012 August 21

Metro Denver Dental Society: CPR & AED Training, a Two-Year Certificate Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 6:00pm - 9:00pm (303) 488-9700 For more info go to: mddsdentist.com

September 2012 September 14

Metro Denver Dental Society: Negotiating Office Leases and Purchases Capitalizing on the Current Market Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 9:00am - 12:00pm For more info go to: mddsdentist.com

September 19

Metro Denver Dental Society: CPR & AED Training, a Two-Year Certificate Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 6:00pm - 9:00pm (303) 488-9700 For more info go to: mddsdentist.com

OCTOBER 2012 October 6

Multidisciplinary Care of Oral Cavity and Pharyngeal Tumors The Inverness Hotel and Conference Center 200 Inverness Drive West, Englewood, CO 7:00am - 4:00pm For more info go to: mddsdentist.com

October 11

D.I.S.C - Avoiding and Managing Complications of Implant Therapy Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 6:00pm - 9:00pm (720) 488-7677 For more info go to: knowledgefactoryco com/2012/05/disc-schedule-2012/

October 18

Metro Denver Dental Society: CPR & AED Training, a Two-Year Certificate Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 6:00pm - 9:00pm (303) 488-9700 For more info go to: mddsdentist.com

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October 25

Metro Denver Dental Society: New Member Event The Dive Lounge – Downtown Denver Aquarium 700 Water Street Denver, CO 80211 6:00pm – 8:00pm For more info go to: mddsdentist.com

JANUARY 2013 January 24-26

Metro Denver Dental Society: 2013 Rocky Mountain Dental Convention Colorado Convention Center (303) 488-9700 For more info go to: rmdconline.com

NOVEMBER 2012

February 2013

November 2

February 22

Metro Denver Dental Society: Women Dentist Event Balistreri Vineyards 6:00pm - 8:00pm For more info go to: mddsdentist.com

November 3

Metro Denver Dental Society: Behavior Management Strategies in Pediatric Dentistry with Special Consideration of Medical Immobilization - Dr. Ulrich Klein Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 8:00am-3:00pm (303) 488-9700 For more info go to: mddsdentist.com

November 15

D.I.S.C - Interdisciplinary Implant Dentistry: Current Concepts and Techniques in Aesthetics and Immediacy Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 6:00pm - 9:00pm (720) 488-7677 For more info go to: knowledgefactoryco com/2012/05/disc-schedule-2012/

November 16 & 17

Metro Denver Dental Society: Comprehensive Oral Sleep Medicine - Dr. Barry Glassman Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 8:00am-4:00pm (303) 488-9700 For more info go to: mddsdentist.com

Metro Denver Dental Society: Basic Radiation Education for Unlicensed Dental Personnel Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 8:00am-12:00pm (303) 488-9700 For more info go to: mddsdentist.com

March 2013 March 8

Metro Denver Dental Society: Endo Mini Residency -Dr. John West Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 (303) 488-9700 For more info go to: mddsdentist.com

April 2013 April 19 & 20

Metro Denver Dental Society: Botox and Dermal Fillers Training: Course I American Academy of Facial Esthetics Dr. Louis Malcmacher Metropolitan Denver Dental Society Headquarters 3690 S. Yosemite St., Denver, CO 80237 8:30am-5:00pm (303) 488-9700 For more info go to: mddsdentist.com

May 2013 May 16

DECEMBER 2012 December 14 & 15

Metro Denver Dental Society: Nitrous Oxide/Oxygen Administration Training Dr. Jerome Greene Cody Dental Group 4301 E. Amherst Avenue Denver, CO 80222 Friday, 8:00am–5:00pm Saturday, 8:00am–12:00pm (303) 488-9700 For more info go to: mddsdentist.com

MDDS 116th Annual Meeting Wings Over the Rockies Air & Space Museum 7711 E Academy Blvd Denver, CO 80237 6:00pm - 9:00pm (303) 488-9700 For more info go to: mddsdentist.com

(dates and locations are subject to change)

DIAGNOSIS ANSWER Continued from page 17

Can you make the Correct Diagnosis?

Based on the patient history and the results of the physical examination, the lesion is most likely a: 1.

2.

3.

4.

5.

minor salivary gland tumor squamous cell carcinoma papilloma caused by one of the human papilloma viruses hemangioma Fibroma

1. document the lesion in the patient’s record and re-evaluate in 12 months.

2. perform or refer for an excisional biopsy as soon as reasonably possible (it’s not an emergency).

3. immediately refer to a medical oncologist because you believe this is a malignancy that requires immediate medical evaluation.

4. perform an immediate “brush biopsy.”

Suggested management of this case The history and physical examination support the working diagnosis of “fibroma.” Because these lesions are most often caused by local trauma, these lesions can also be called “irritation fibroma,” or “traumatic fibroma. ” These lesions can additionally be termed “focal fibrous hyperplasia” or accurately described as a “fibrous nodule.” Fibromas are not thought to be a true neoplasm having unlimited growth potential. Fibromas usually have limited growth frequently growing to the less than 1.5 cm. in diameter.

Fibromas most commonly occur on the buccal mucosa along the occlusal line but are very common on the tongue, particularly the lateral border.

Most fibromas have a broad base (sessile) but can be found arising on a narrow base (pedunculated).

mddsdentist.com

The surface is often the same color as the surrounding tissue but can appear to have a white surface from hyperkeratosis that results from chronic trauma.

The patient history, the findings upon palpation and the fibroma’s classic clinical appearance (including anatomic location) allow for a presumptive diagnosis of “fibroma.”

True connective tissue neoplasms (benign and malignant) of the oral tissues are not common. Notwithstanding their uncommon occurrence, neoplasms of the lipocytes, nerve sheaths, endothelial cells, skeletal and smooth muscle do occur intraorally. Oral health care providers should be aware that true neoplasms do occur and can—in the uncommon case —be sarcomas. When confronted with an intraoral mass, biopsies should be performed to rule out potentially serious pathologic conditions.

Although a brush biopsy can help rule out an epithelial malignancy, since the epithelial surface is intact (there is no evidence of erosion or ulceration), a brush biopsy does not have diagnostic value.

Following receipt of informed consent, excisional biopsy is the treatment plan of choice.

In this case, there is a high probability that the fibroma diagnosis is accurate. Histologic findings of a dense mass of fibrous connective tissue and collagen with a surface of “normal” mucosal epithelium will support the dentist’s clinical impression of fibroma.

Once the pathology report confirms the dentist’s clinical impression, patients should be informed that fibromas are a common, benign, reactive process which most likely originated from local tissue trauma. Although excision consistently results in resolution, these lesions may occur again if the area is retraumatized.

Articulator

Fall 2012

21

MEMBER PERSPECTIVE 2012 CDA Annual Meeting A New Dentist/New Delegate Perspective

By Kenneth Burson, MS, DDS

L

ooking back at all the years in school, one transcendent theme I can follow is my want to be involved. From finding a place in recruitment in my undergraduate years, to student body representative in my masters, to a multitude of avenues for involvement during dental school, I find the need to be involved important and instrumental as I grow in a new profession. Involvement is needed for the continuation and development of the profession of dentistry to maintain the autonomy that our profession has been accustomed to.

affect my business and my future in dentistry and I was able to have a voice in the final decision.

As the house of delegates meeting was brought to order, I shortly came to the conclusion that it was a good 'ol boy network with tons of presumptions coming to mind. I feared my voice may not matter, since all of these senior dentists were settling in for a long day of debates and discussions. I instantly felt my age, and became more reserved in my social nature.

The first thing that was done after the meeting was

The CDA meeting ran three days, from Thursday through Saturday, with the house of delegates meeting all day Friday. I arrived first thing Friday morning to go to the MDDS caucus meeting so they could quickly brief all of the delegates on what would be presented to the house and answer any questions.

Immediately, I was able to see from a number of the initiatives, what types of decisions are voted on for the profession of dentistry in Colorado. When I heard the issues that were to be discussed and voted on, I knew then and there how important it is to be involved in this decision making process. Real, impactful regulation was being discussed that will

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Soon into the process my anxiety from feeling new was put to rest. I noticed that these older dentists were not brash, or harsh, and actually were very welcoming. My preconceptions and concerns were proven wrong. The gentlemen all sitting around me were engaging in light banter and having fun with the whole process. This lighthearted approach cut away all tension, and at that point I can honestly say I felt at ease and welcomed as a new delegate.

Very soon after, the resolution to allow a new dentist (in practice ten years or less) to have a guaranteed alternate delegate seat at the ADA annual session was voted on. It was interesting to hear pros and cons mentioned. The one point that came across loud and clear is the welcoming desire from all dentists that involvement by the new dentists is welcomed, wanted, and ecstatically desired.

After moving to Denver and starting an associate position with Pacific Dental Services, I soon started seeking out areas of opportunity for participation in organized dentistry. I quickly found the new dentist committee which is part of the Colorado Dental Association. I went to a few of the events and networked with other local dentists and an array of specialists. These relationships started developing and my network in the Denver area started growing.

I began to feel more associated with dentists in the area and welcomed in my community as a dentist.

As my first two years passed, I engaged in growing my involvement within organized dentistry. I set up roots in Highlands Ranch and in Lone Tree by buying two practices with Pacific Dental Services. As this transition occurred I sought out an opportunity that presented itself with the Metro Denver Dental Society and joined their Membership Services Committee. Soon after joining the Membership Services Committee, I was asked if I would be interested in serving as a delegate at the CDA annual meeting. Given my background and my thirst for involvement, I jumped on the opportunity.

to a show of standing votes “Yay” or “Nay”.

brought to order, was my acceptance to the house as a delegate. My imagination started running wild with impromptu questions or cases that they were going to ask me in order to judge my ability to be a delegate.

I ran through G.V. Black classifications and designs hoping I would not be put on the spot. Logically and with no surprise, no pop quiz was given to confirm my dental IQ. The process was short and sweet, and as soon as the governing board and all other delegates gave their voice of approval, the other potential delegates and I were approved. We were then asked to take our seats on the floor with the other delegates and the meeting was under way.

As many resolutions started coming across the house, it was interesting to see the process of how everything unfolded. The resolutions were stated, time was given to all delegates to speak in favor or against the resolution at hand. The more senior members had been there a time or two and were well versed on topics of concern and had their opinions articulated well. After all questions and concerns were raised, discussed, and weighed, the house would do a verbal vote, which came with some subtle nostalgia of early time parliamentary ways. If the vote was not clear one way or another verbally, then the vote was taken

At noon we were encouraged to walk around the vendor booths, and see what sponsors made this event possible. We then broke for lunch, where some awards were given. This was a nice opportunity to mix and mingle with the delegates. I felt that the table I sat at welcomed the chance to engage with me because I was a new dentist. After lunch, there was still time for all the new dentists to meet at the bar for just one drink and trade stories of the day thus far.

After lunch it was back to more resolutions and back to voting and debating the future of dentistry in Colorado for the next year. I know my first time was limited in understanding the full process, but I was happy to be there. I know in years to come, I will be more prepared and more engaged in the process.

I believe that as my career in organized dentistry is just beginning, in order for this profession to maintain the autonomy, success, and respect we have grown to enjoy and demand; it is needed for the younger dentists to reach out, get involved, and mentor those that have done an extraordinary job to date. The changing of the guard is happening every year, it is up to the youth of the profession to ensure the change that occurs is for the better and growth of this profession in Colorado for years to come.

Articulator

Fall 2012

Stability · Strength · Service Did you realize we offer: • Malpractice Coverage Administrator of the Dentists Professional Liability Trust • Workers Compensation - Low Rates • Business owners Package - tailored to your needs • Medical Insurance Personal and Group

www.dentalliability.com

Berkley Risk Services of Colorado 2000 S Colorado Blvd, Annex Building, Suite 410 Denver, CO 80222

• Disability - True own occupation • Business Disability • Business Insurance • Life Insurance • ERISA Bonds • Employment Practices Liability Coverage • Group Disability • Long Term Care • Home and Auto

Phone: (303) 357-2600 Fax: (866) 699-1559 Toll Free: (877) 502-0100

MDDF SPOTLIGHT MDDF Member Spotlight Kevin M. Patterson, DDS, MD Denver Metro Oral and Maxillofacial Surgery

D

r. Kevin Patterson practices oral surgery in Cherry Creek at the Denver Metro OMS. He has been a community leader in treating our Metro Denver Dental Foundation’s Smile Again patients. The Smile Again Program aids survivors of domestic abuse in regaining oral function, esthetics, and health.

How long have you participated in the Smile Again Program? What range of services have you provided?

I have been providing oral surgery care for patients through the Smile Again Program for the past 5-6 years (I think - it may have been longer). I have seen patients for all ranges of oral surgery care including extractions, pre-prosthetic surgery, dental implants, etc.

Has the process of seeing Smile Again patients run smoothly? What is the administrative element to volunteering? Does it require a lot of paperwork?

Is it difficult to be reimbursed for lab invoices by MDDF? The entire process with the Smile Again Program, in my mind, could not run any more smoothly! Amy Boymel (Executive Director of MDDF) is fabulous and has always provided all the necessary information and has helped facilitate treatment in a very efficient manner. I feel that the paperwork is minimal and requires only a few minutes to complete. I have not filed for any type of reimbursement from the Smile Again Program. Any costs for supplies (implants, etc.) I have provided and have not asked for reimbursement.

Tell us about some of your patients’ stories? Did your donated services help get your patients back on their feet?

No one patient stands out in my mind but I can honestly say that the patients I have seen have been very appreciative of the care I have provided. They are always on time for their appointments and always say THANK YOU (I wish I could say this for all patients). I think the group of patients who show the biggest gain in self-esteem are the pre-prosthetic patients who before surgery and prosthetic delivery have a very hard time smiling. After treatment they are the ones who can’t stop smiling!

Why does the Smile Again program draw you in? Why do you volunteer your time to this program rather than another?

I think the biggest reason I volunteer with the Smile Again Program is due to Amy and the rest of the staff. They all make every step of the process seamless!

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I volunteer with a number of programs in addition to the Smile Again, as well as being a volunteer faculty member at the University of Colorado School of Dentistry and General Practice Residency Program. I do this because I feel a deep responsibility to give back and help people who otherwise may not receive the care they need. My staff constantly asks me “is it OK to schedule a patient from this organization” and my answer is always that there is no need to ask, just find a time that works for them. Amy will send a group email looking for someone to see a patient and I always send the note back saying there is no need to ask, just give him or her my number and we will take care of him or her.

Who influenced your passion to give back to the community in this way?

I completed my oral and maxillofacial training and medical school at the Mayo Clinic in Rochester, Minnesota. The core value instilled in me was that each patient should be treated first as a person and then as a patient. EVERY person deserves the same level of care; whether they can afford to pay for this care should not enter into the equation. I am so disappointed with our current health care system that makes it necessary for organizations to work very hard to find individuals willing to provide donated care. I think we forget that we are all only a few steps away from being in the same position as these individuals who we care for. In the end everyone on this planet is part of the same team (the human race)!

Tell us about your family. Who supports you at home?

I have been married to my wife Ann for 23 years and everyday she amazes me with how she manages her life. She is the CFO of the Bonfils-Stanton Foundation, she volunteers with numerous organizations, oversees our family life, my office and our daughter.

She has a never-ending supply of energy and is someone I truly respect and admire!

I have a teen-age daughter who is the joy of my life! She is caring, intelligent, athletic and always willing to try anything. She is considering a career in medicine or vet medicine and given her innate qualities would make a great contribution to either profession.

Articulator

Fall 2012

MDDS WOULD LIKE TO ENCOURAGE ITS MEMBERS to volunteer for this

year’s Fall 9Health Fair. Volunteering for oral health screenings is easier than ever with the new 9Health Fair website, and crucial to so many of the area’s underserved. To volunteer, go to 9healthfair.org and hover over “Volunteer” in the blue box to the left of the page. Choose “Sign Up to Volunteer” from the menu. At the bottom of the Volunteer Sign-up form is the option labeled “I am volunteering as a part of a group” – choose yes and enter “MDDS” as the group name. It takes about five minutes to sign up, and can affect the lives of so many. We hope to see you there!

Kids In Need of Dentistry (KIND) is excited to celebrate 100 years of KINDness and saving children’s smiles into the next century.

Our year long celebration will culminate with a Gala: Kids In Need of Dentistry’s Expressions of KINDness. Not only will we celebrate with the people most supportive of our organization, we will recognize the journey and progress of an organization dedicated to bridging the gap for families struggling to provide quality dental care and education for their children.

This premier event will take place on Saturday, September, 29, 2012, 6 p.m., at the newly opened, History Colorado Center, located at 1200 Broadway, Denver, CO. Sponsorships are still available for this event. For more information regarding sponsorships and ticket sales, please call Julie Collett, 303-733-3710, ext. 11 and check our website, www.kindsmiles.org.

Watch Dental Line 9 on Channel 9

Tuesday Sept. 18, 2012 4:00pm Thursday Sept. 20, 2012 6:00am

MATERIALS MATTERS Ignorance of “Mercury Amalgam”

By Sheldon Newman, DDS

T

here is no such thing as mercury amalgam. Amalgam is defined as an alloy of a metal with mercury. Thus the term “mercury amalgam” is a redundancy that is utterly meaningless. Such terminology has been spread across the internet with the intent to disparage the use of dental amalgam.

Using the term “mercury amalgam” reveals the ignorance of the individual using it. The term has been so widespread on the internet and elsewhere that even scientists who may be well educated in other fields have demonstrated that they do not know the metallurgy of silver dental amalgam, and do not understand the physical properties of the material.

The 4th of 5 meetings of the International Negotiating Committee (INC4), of the United Nations Environment Program (UNEP), was recently held in Uruguay. The last meeting is scheduled for next year. At these series of meetings they intend to ban all industrial use of mercury including dental amalgam. These groups have used the term, mercury amalgam, in their descriptions. They have also taken advice from such groups as the International Academy of Oral Medicine and Toxicology (IAOMT) (http://www.iaomt.org/ ), and the SafeMinds organization (http://www.safeminds.org/ ). The former is a dental organization established in the 1980s dedicated to the elimination of amalgam and fluoride from dentistry.

Their website contains misleading information that appears convincing in their images. The latter is a group that has decided that mercury in vaccines is causing neurological disorders, i.e., autism. Such concepts have been denied in scientific work yet they both continue to exercise influence through their activities and web presence. At the INC4 there are unsupported statements like, “The general public’s highest exposure to mercury is from mercury dental amalgam fillings,” and “mercury vapour (sic) continuously evolves from in-place dental amalgam.” There are suggestions like, “Such control measures could range from phasing out mercury amalgam for dental fillings, for which, some dental associations argue, substitutes are available at no additional cost, to retrofitting industrial plants at a much higher cost.” These kinds of statements suggest that the UNEP may propose a ban on silver dental amalgam.

mddsdentist.com

There has been a ban on the use of silver dental amalgam in Norway. But the environmental concern that instigated the ban has been thoroughly reviewed by Dr. Derek Jones (Jones, Derek; Has Dental Amalgam Been Torpedoed and Sunk?

Journal of Dental Research 87(2), 101-102, 2008) where he identifies the extreme sensitivity of the Norwegian government due to its mishandling of a relatively recently discovered sunken German submarine from WWII that was carrying 65 thousand kilograms of mercury.

The literature has abundant information on the safety of dental amalgam use in patients, and the effectiveness of this restorative treatment. Some of it is reviewed by the American Dental Association in reports from 2009 and 2010. There is much, much more positive data in the scientific literature. The ADA also has a statement on Hg waste management on their site as well as Specification 109 on amalgam waste. Such control of potential environmental impact, as small as it has been documented, is still a concern that must be addressed.

In addition, there are responses from the ADA on the INC meetings urging the US to oppose any agreement that would limit the use of silver dental amalgam, and these responses are posted online. To reach this information, members of the ADA must log on to “ada.org”, and then search on the term, “amalgam.”

The INC5 scheduled for 2013 is apparently leaning towards a ban on the use of silver dental amalgam. It is hoped that a reasonable set of recommendations can be made that does not respond to hysteria. But if one concludes that dentistry should just give up on the benefits of amalgam worldwide, just wait and see what is in store for composite. The news (http://www.reuters.com/article/2012/07/16/us-tooth-fillingsidUSBRE86F02Z20120716 ) has recently sensationalized an article in Pediatrics that suggests that there might be some limited association between use of composite and impaired psychosocial function whereas amalgam has no such effect. (http://pediatrics.aappublications.org/content/ early/2012/07/11/peds.2011-3374.full.pdf+html ).

Articulator

Fall 2012

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LEGISLATIVE Sunset Review of the Colorado Dental Practice Act

By Dr. Ken Peters, DDS, CDA President 2012-2013, Chair for the Sunset Review Committee

W

ay back in 1889 the state of Colorado determined that the practice of dentistry affected the health, safety, and welfare of Coloradans, and for the last 123 years, the profession has had a set of laws its providers are obligated to abide by. Those laws have one purpose – to protect the public’s health, safety, and welfare. Over the years, those laws have gradually changed as dentistry and Colorado changed. Today, we have the Sunset Review process to help that change occur.

If you treat patients, you have a vested interest in knowing those laws that govern the way you practice on a day-to-day basis.

In 1977, Colorado led the way when they established the first Sunset law in the nation, and since then, most states have followed suit. So, what is Sunset?

It’s a process that professions go through to determine whether there is a continued need for its regulation, and once that is decided, what improvements need to be made to its laws. It’s probably the most significant way that professional laws are changed, and professions in Colorado go through it on a regular basis. Dentistry currently has its laws reviewed every ten years, and our turn comes up in 2014. But for most of the stakeholders, this process started long ago.

Way back in mid-2011, we began identifying members that had experience covering a broad scope of the dental profession – former State Board members; members that had strong relationships with other stakeholder groups, such as pediatric dentists and oral surgeons; members who have “know-how” of the political process; general dentists; CU’s dental school administration and educators; members with past experience with the Sunset process; and others. Our

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committee was assembled and the task of reviewing the Dental Practice Law began.

The Sunset Review Committee started meeting in August of 2011 and began to pick apart the Dental Practice Law (DPL) literally line by line. Seven months later, in March of this year, we finally got through it all and came up with our list of priorities for revising the DPL, and we brought

these priorities before CDA’s House of Delegates in June for approval.

The process did not stop there, and the Sunset Review Committee continues to press on. Over the coming months, we will meet with as many of the other stakeholders in this process as we need to, to find out what changes they are seeking and to try to stand together on common ground. This may include dental specialty groups, hygienists, educators, dental assisting groups, lab technicians, the Colorado Medical Society, and public health organizations.

Come March of 2013, we will have the opportunity to present our list of recommendations to the Department of

Regulatory Agencies (DORA) and begin discussions with them. At the same time, DORA will be meeting with any other groups that have a vested interest in the DPL. Once those meetings are concluded, DORA will assemble their report to the legislature and the lawmaking process begins, with the legislative sponsor writing the bill that ultimately becomes the Dental Practice Law in 2014. Oftentimes, the recommendations that find their way into DORA’s report ultimately become part of the bill that our lawmakers will vote on, so we will spend as much time discussing the recommendations with DORA as we can.

Over the last month, we have been discussing a number of issues with many of the candidates for the House and Senate, one of those being the DPL, and have found considerable agreement between them and the profession concerning the proposed changes. Nevertheless, it may be important to mention at this point that the dental profession (or any other profession for that matter) doesn’t get to decide what goes into that bill. Our legislators first and foremost are concerned with the safety of the public, but fortunately most agree that laws shouldn’t be burdensome on the profession, especially if there’s minimal benefit to the public.

What are the priorities we’ve identified?

Out of the 47 potential changes we noted to the DPL, 15 were identified as priorities and include the use of lasers in dentistry; advertisement laws; pediatric anesthesia permits; training in anesthesia programs; and who is responsible for the care provided in group practice settings.

Complete information on each of those resolutions voted on by CDA’s House of Delegates can be found in this year’s issue of the CDA Directory, and online at cdaonline.org/journal.

Articulator

Fall 2012

CLASSIFIEDS I am looking for a Hy-GENIUS! If you have a team mentality, and believer your role is more than just cleaning teeth – then you may be the one I am seeking. I have a small practice in Lakewood, CO. with a huge focus on personalized, health oriented care for my patients. Certification in anesthesia, laser, nitrous. Flexible thinking & very good people skills are key! Please e-mail me at stewartsmiles@hotmail.com for an interview.

Aurora, Colo. Professional dental office space consisting of 1003 sq. ft. available for lease. Some existing dental equipment, currently in suite, may also be available to purchase making for an affordable, smooth and quick practice start up. Suite is partitioned, plumbed, and wired for three dental operatories. Ideal location with great traffic visibility and easy access. Call Dr. Trompeter at: 303-688-3838, (C: 720-2441523) or e-mail at trompeternotes@msn.com

PRACTICES FOR SALE! ASSOCIATE BUY-OUTS AND BUY-INS! New Listings Available for 2012! Metro Denver!

Northern Colorado! Eastern Colorado!

Western Colorado! Southern Colorado!

SEE ADS at www.sastransitions.com Inventory changes fast! Call or contact me today for specific information. Susan Spear, Transition Specialist / Licensed Broker, SAS Transitions, Inc. SAS Dental Practice Brokers 303.973.2147 susan@sastransitions.com

Transition Services: For more information on how to sell your practice or bring in an associate, please contact Larry Chatterley and Susannah Hazelrigg with CTC Associates at (303)795-8800 or visit our website for practice transition information and current practice opportunities ctc-associates.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! Susan Spear, 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? Fair fees without risk! Susan Spear, Practice Transition Specialist / Licensed Broker SAS Transitions, Inc. SAS Dental Practice Brokers 303.973.2147 susan@sastransitions.com

General Practices for Sale: Practice listings in Denver, Loveland, Fort Collins, Centennial, Colorado Springs, Lamar, and Eagle County. For more information on current practice opportunities, including an summary of practice details, please visit our website www.ctc-associates.com or call Larry Chatterley and Susannah Hazelrigg with CTC Associates at (303)795-8800.

SPACE AVAILABLE: Rare opportunity to take over downtown space previously occupied by well-established General Dental Practitioner. 3,442 sq. ft. in Denver’s historical University Building located on the 16th Street Mall. Includes 7 operatories, sterilization area, lab, waiting room, reception, private office, patient consultation room, break room and internal bathroom.

Space is fully plumbed and connected to centralized compressor system. Available October 2012. For information call David at (303) 825-1887 or email dkaufman@universitybldg.com.

Practices for Sale: Listings in Colorado: Denver, Boulder, Arvada, Parker, Colorado Springs, South-Central & Western Colorado, Grand Junction and WY, KS & NE. For more information and listing description(s), please visit our website: www.adsprecise. com; new listings added frequently; Peter Mirabito, D.D.S., Jed Esposito, M.B.A., ADS Precise Consultants 888-886-6790. Practice Sales, Practice Appraisals, Partnerships & Buy-In’s.

Pediatric Dentist: Private practice in SE Aurora, CO seeks associate for future buy-in opportunity.

Dynamic individual to work in team oriented, high tech office averaging 90+ new patients/mo.

Contact pedodoc94@gmail.com.

We are a family dental practice in the Lowry area of Denver. We provide personalized science based care for our patients. We are looking for an associate dentist for 2 days a week. If you love dentistry and helping people have healthy, attractive smiles give us a call at 303-3412501 or email us at drferrell@ymail.com.

Denver Nuggets Season Tickets For Sale.

10 or 15 game package. Mid-court. Section 126 Row 10 Seats 3 & 4. $115 per seat. Call 303-819-2475

3 bedroom time share at the ST. James in Beaver Creek. September 1st to 8th – Labor Day Weekend! Could also be rented as a 2 bdrm &/or a lockoff. $175 per night for entire unit. Any other breakdown could be negotiated as well as # of days. Lots of activities up there the entire week. 303-758-4900

DENTAL OFFICE SPACE: Arvada/ Westminster, 1 story professional building complex. 1,100 sq. ft. professional office.

Fronted by busy Old Chicago restaurant and adjacent professional massage therapy practice. Modern, well-designed and attractive unit with 4 Tx rooms dental equipment installation-ready with cabinetry, gas lines, plumbing, electrical in place.

Plenty of storage & Dr. private office with private entrance. Great drive-by & walk-by exposure with ample dedicated parking.

New carpet tenant finish allowance. Contact: Jim True at 303-425-9200

ADVERTISE IN THE AWARD WINNING ARTICULATOR! Market your business to the Metro Denver dental profession!

For more details visit mddsdentist.com or contact Jason Mauterer at jmauterer@mddsdentist.com or call (303) 488-9700 x3270 Download the ad kit at this address mddsdentist.com/articulator/advertising.asp

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“I

t was my lucky day when I decided to ask for your help with my recent lease renewal. Your knowledge of the dental real estate market really helped me reach a very successful conclusion.

I would never have thought of the concessions that you suggested and obtained for us. Not only did you get us free rent, but our base monthly rate will be below what we’re currently paying for the next 5 years. Thanks again for everything!”

Stephen L. Carter, DDS Carter Orthodontics

At Carr Healthcare Realty…

We provide experienced representation and skilled negotiating for dentists’ office space needs.

Whether you are purchasing, relocating, opening a new office, or renewing your existing lease, we can help you receive favorable terms and concessions.

Every transaction is unique and provides substantial opportunities on which to capitalize. The slightest difference in the terms negotiated in a lease or purchase can impact your practice by hundreds of thousands of dollars. With this much at stake, expert representation and skilled negotiating are essential to receive the most favorable terms.

Colin Carr President

303.817.6654 colin@carrhr.com

Christian Gile Principal Denver Metro

303.960.4072 christian@carrhr.com

Roger Hernandez Colorado Springs Southern Colorado

719.339.9007 roger@carrhr.com

Kevin Schutz

Boulder • Northern Colorado Western Slope • Wyoming 970.690.5869 kevin@carrhr.com

If your lease is expiring in the next 12 – 18 months, allow us to show you how we can help you capitalize on your next lease or purchase.

Lease Negotiations • Office Relocations • Lease Renewals • Purchases