Articulatorv20iss4

ARTICULATOR MDDS

Connections for Metro Denver’s Dental Profession

Spring 2016 Volume 20, Issue 4

RMDC16 IS DONE...

...BUT THE PARTY IN DENVER HAS JUST BEGUN!

You and Your Sleep Deprived Patient 8 Chairman's Remarks - 2016 RMDC What a Show! 14 Member Update on Your Mountain West Dental Institute 16 "It Depends..." A Practical Approach for Today's All-Ceramic Restorations 20

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ARTICULATOR MDDS

Connections for Metro Denver’s Dental Profession

Volume 20, Issue 4

MDDS Articulator Editor Brandon Hall, DDS Associate Editor Jeremy Kott, DDS

Creative Manager & Managing Editor CT Nelson Director of Marketing & Communications Cara Stan MDDS Executive Committee President Ian Paisley, DDS President-Elect Sheldon Newman, DDS Treasurer Nicholas Chiovitti, DDS Secretary Brian Gurinsky, 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.

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Spring 2016

Inside This Issue:

President's Letter .............................4

MDDS Member Changes Life of U.S. Veteran..............................................18

Member Matters ..............................5 "It Depends..." A Practical Approach for Use that Momentum........................6

Today's All-Ceramic Restorations ... 20

You and Your Sleep Deprived Patient ..8

Non Profit News ................................23

Member Spotlight............................... 10

How to Avoid 4 Communication Pitfalls ................................................24

Show Me the Money! ...................... 12 Event Calander ............................. 28 Chairman's Remarks - 2016 RMDC What a Show! ................................14

Classifieds..................................... 31

Member Update on Your Mountain West Dental Institute .....................16

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

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

Inquiries may be addressed to: Metropolitan Denver Dental Society 925 Lincoln Street, Unit B Denver, CO 80203 Phone: (303) 488-9700 Fax: (303) 488-0177 mddsdentist.com ©2011 Metropolitan Denver Dental Society

Member Publication

Advertisers Directory ADA ada.org/meeting .............................. 25

Northwest Mutual shawncopeland.nm.com ................... 11

ADS Precise Consultants adsprecise.com ................................ 31

Pacific Continental Bank therightbank.com ............................. 29

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

PDA Dental Lab pdacolorado.com ............................. 30

Best Card bestcardteam.com .............................. 9

Peebles Prosthetics, Inc. peeblesdentallab.com ....................... 19

Car Healthcare Realty carrhr.com .......................... Back Cover

Rocky Mountain Oral X-Ray rmox.com ........................................ 26

Catalyst Retirement Advisors, LLC catalystretirement.com ...................... 21

SAS Transitions sastransitions.com ............................ 26

Copic Financial Services Group copicfsg.com .................................... 13

SEO.com seo.com....................Inside Front Cover

CTC Associates ctc-associates.com ........................... 11

Summit Accounting Solutions summitaccountingsolutions.com........... 7

Dentists Professional Liability Trust of Colorado tdplt.com ......................................... 22

The JawDropper thejawdropper.com ............................. 7

Design Resource Group design-resource.com......................... 27

3

PRESIDENT'S LETTER

THE KIDS ARE ALRIGHT

In Fact, Some of Them are Downright Outstanding!

By Ian Paisley, DDS

A

few years ago, as a representative of

has been instrumental in organizing the Wine & Politics night at

the MDDS, I attended a new dentist

the Mountain West Dental Institute. This event allowed her fellow

social event. The group had also invited

dental students, as well as local dentists, to learn more about some

dental students from The University of

critical legislative issues facing dentistry.

Colorado and many were in attendance. I met several students who were ASDA members, but

Recently, Natalie invited me to the ASDA District Nine Regional

two in particular stood out: Jenna Hyer and Nicole Hall. The reason

Meeting in Breckenridge as a representative of MDDS. Our

these individuals stood out was because one comes from my small

local student leaders organized a wonderful event with over 50

hometown of Kalispell, MT and the other from Whitefish; a town

students from Texas, Oklahoma and Colorado. They had speakers

15 miles from Kalispell. I was shocked to find that not one but two

discussing topics critical to students. I certainly never attended an

students in the same class were from my tiny part of the country,

event like this in my ASDA days-I hadn’t even heard of one.

which also happens to be the hometown of Broncos quarterback, Brock Osweiler. I was impressed even as firstyear students, they were already involved in organized dentistry. They invited me to attend a pre-dental event for local college students hoping to enroll in dental school.

I attended the event some time later and was again impressed by the level of organization, primarily from the student leaders. It was there that I met second-year dental student and current CO ASDA President Kyle Larson.

He talked to me about programming offered to pre-dental students as well as the organization

"Coming from a very active and organized ASDA chapter at the University of the Pacific, I realized this local chapter really had their act together and I was eager to learn more."

During the skiing portion of the weekend, I was very glad to spend time with forth-year CU student Christian Piers. I met Christian before and heard much about him. He has been one of the students at CU most involved in the ASDA. Through his work on the editorial board for the Journal of the ASDA, he displayed his dedication and leadership abilities to students across the country. As a result, he was elected as this year’s national ASDA President. His duties include advising the ADA Board of Trustees on issues critical to dental students.

He has won numerous

of CU's ASDA chapter. He sent me a link to the chapter website and

national awards for his hard work serving the ASDA. The best part

I was blown away. There were blogs, videos, information resources

is that at the core of all of this is a really fun, kind, intelligent young

and opportunities to get involved. Coming from a very active and

leader with whom I had a blast hitting the slopes.

organized ASDA chapter during my dental school years at the University of the Pacific, I realized this local chapter really had

As I move through my last year as MDDS President of the MDDS,

their act together and I was eager to learn more.

I am excited to see what the future holds for our Society. These students I mentioned are just a few of the leaders you will hear

I began inviting some of the ASDA student leaders to our quarterly

about in the pages of the Articulator over the years to come. Also,

MDDS New Member Welcome Events. At one of these events I met

as I spend my year as President attending all the individual MDDS

Natalie Lesinski, a second-year dental student at the time. She had

committee meetings, I am very pleased to see them filled with

a serious interest in ASDA and also recognized the importance of

awesome new dentists who will make an impact even sooner. I

meeting MDDS dentists who could advise her on a future career

won’t put them on the spot by mentioning their names but they

in dentistry. Natalie is now the student member of our MDDS

know who they are and you’ll be hearing from them before long.

Membership Services and also serves as the student representative

I know they will make me proud to be a life-long member of the

to the CDA Governance Council. Thanks to her understanding

MDDS.

of the importance of dentistry’s role in the legislative process, she

4

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Articulator

Spring 2016

MEMBER MATTERS CU Research Day 2-12-16

New Members, Welcome!

Dr. Qussay Al Jawhar

Dr. Michael D. Kantor

Dr. Maryhen Arrieta

Dr. Lauren E. Kight

Dr. Nathanael D. Bannon

Dr. Yoolim Kim Dr. To Yong M. Kim

Dr. Jon C. Bauman

Dr. Andrea L. Leung

Dr. Chase A. Bennett

Dr. William McReynolds

Dr. Chad R. Brown

Dr. Darlene C. Melton

Dr. Jeremy F. Catmull

Dr. Nicholas W. Miner

Dr. Evan T. Cettie Clifton Carey, PhD; Tim Watson, DDS, PhD; Sheldon Newman, DDS; Virginia Ferguson, PhD and Jeff Stansbury, PhD

CU students present their research posters

Dr. Nathan J. Mollner

Dr. Stacey Y. Cha

Dr. Erada Noor

Dr. Brandy M. Dale

Dr. Jonathan Plaza

Dr. Sharon Dickerson Dr. Laura M. Dumbell Dr. David Flack

Dr. Brian J. Hirsbrunner Dr. Andres M. Hurtado

Dr. Fernando Astorga discusses research with CU students

ASDA President Christian Piers presents his research to Jeff Stansbury, PhD

Dr. Robert D. Jefferies

Dr. Ahmed B. Salman Dr. Phillip G. Sanchez

Dr. Priya Goyal

Dr. Danijela Jankovic

Dr. Leonid Polinkovsky

Dr. Thomas J. Strauss Dr. Vinicius Tavares Dr. Ellen W. Vyas Dr. Clay F. Ziegler

Dental Line 9 1-26-16

MDDS member dentists answer question live on NBC Channel 9 News.

Drs. Anil Idicula, Amy Riffel, Jennifer Thompson and Carrie Mauterer

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The phones rang off the hook at Dental Line 9 with questions about low income resources.

Articulator

Spring 2016

5

REFLECTIONS

USE THAT MOMENTUM

By Brandon Hall, DDS, Editor

W

ell, we had a terrific RMDC! Thank you

pride themselves on making us feel comfortable and secure. Whether that’s

to everyone who organized, contributed,

social media, TV, food, whatever. It’s everywhere and it’s easy. However, you

volunteered and/or attended. Now that we

won’t achieve goals in life if you are comfortable or always take the “easy”

have a successful RMDC in the books, it’s

route. When you put yourself in uncomfortable situations you grow. Not

time to look forward to a great year and a dynamic ADA

only do you grow, but you learn new things about yourself and how you react

meeting in October.

to certain situations.

I’ve talked with a number of dental colleagues over the last few months who

Stop avoiding that team issue you know you need to fix, but are procrastinating

said 2015 was their “best year ever.” I, myself, couldn’t agree more. My

on. You know what I’m talking about - that team member that is always five

practice, which has been open for five years, had our busiest year yet. A lot of

minutes late to huddles each morning. Or the front desk person who isn’t

things seemed to come together to make it the most memorable year of my

scheduling the way you would like them to. Nip these in the bud now so it

dental career.

With the start of a new year and the advent of the ADA meeting coming to Denver, it’s important to use the momentum of 2015 moving forward to 2016 and beyond. Don’t fall into that trap of stagnancy. If you aren’t improving, you are regressing. Here are a few things to do at the beginning of each year to help you have a strong one:

doesn’t become a monster later on.

"With the start of a new year and the advent of the ADA meeting coming to Denver, it’s important to use the momentum of 2015 moving forward to 2016 and beyond."

Set a Vision and Goals

in the cold and snow. You never know, maybe early morning workouts will become part of your routine.

Add to Your Arsenal There are a plethora of resources out there to help you be more successful. Hopefully you made some connections at RMDC. Do in your office? Do you have a therapist you

and professional. Set aside time for yourself in

can sit down with to talk about life issues?

the next week or two and think about what you

Maybe it’s finally time for you to get CAD/

would like to accomplish this year. WRITE IT

CAM for your practice? Think about a few

DOWN and revisit it every day. If you could

things in your practice that you may need

set everything aside and achieve whatever you

help on. Build up your weaknesses. We think

wanted, what would it be? Perhaps traveling

we can, but we can’t do it all. Most of us have

internationally? Finally starting and sticking

practices where we are constantly juggling

to that fitness goal you’ve always wanted to?

treating patients, paying bills and writing

Maybe it's committing to a relationship you've

charts, among a multitude of other things.

been scared of, or improving a relationship you

Next, sit down with your dental team and have everyone talk about what their

5:00am and workout. Heck, go run six miles

you have a coach that helps you with systems

Your vision and goals should be both personal

already have?

Maybe it’s something physical. Get up at

There are people and companies out there to help you with things you struggle on. I encourage you to look and seek assistance.

goals are for the year. What do you want your dental practice to look like?

What types of patients do you want to treat more of? What procedures do

I hope everyone out there is hitting their stride to start 2016. I don’t know

you love? Which ones do you hate? Setting financial goals is important as

about you, but I can’t wait for the ADA meeting this fall. Between now and

well. Each team member should have 2-3 goals they are constantly working

then, don’t let the momentum of last year wane. Try some of my advice above

toward, revisit these goals quarterly to make sure everyone is on track.

so you can “crush it” this year.

Do Something Uncomfortable Every Day Essentially, do something that sucks every single day. Society and media

6

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Articulator

Spring 2016

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RMDC SPEAKER

YOU AND YOUR SLEEP DEPRIVED PATIENT

By Uche Odiatu, DMD

Y

ou thought you had it all figured out – during your new patient exam health history section you ask patients what meds they take; if they have ever been in a motor vehicle accident; and some dentists ask about specific supplements their patients are taking. Well, that is only part of the equation when it comes to your patients’ health history. Current sleep research has shown if you are regularly sleeping less than seven hours a night you are more likely to suffer from cardiovascular disease, stroke, cancer, diabetes and any number of other inflammatory conditions.

Think gingivitis and periodontitis.

Most dental professionals are aware of sleep apnea and its grave consequences on the heart and brain. If sleep apnea is severe a CPAP machine is prescribed by the patients’ health care professional. If the diagnosis is mild a MAD or Mandibular Advancement Device can be made by the dentist. This article is not about obstructive breathing issues, but about patients who simply do not get to bed on time, work shift work or have evening habits that disturb their sleep quality and quantity. If you read this article you will receive insights that will help you expand your new patient exam questions or it will support your own healthy living goals.

1. Current sleep research has shown that 4 out of 10 people reported they sleep poorly.

2. 20-40% of Americans work some type of evening or overnight shift. Michael Howard, PhD has reported that people who do shift work spend most of their waking time in a “jet lag” state.

3. There is an important part of your brain – suprachiasmatic nucleus – that is your brain’s circadian clock which does not function well with cross country travel/ time zone changes, poor sleep habits, nights shifts, sleep apnea, etc .

4. When working into the wee hours of the morning, cross time zones with cross country air travel to “four on four off” shifts, the body’s reserves do not get

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5. Cumulative sleep debt costs you and your patients. People with disrupted sleep from rotating shifts have three times as many GI problems such as constipation, abdominal pain, heartburn and reflux (think acid erosion of lower molars) than those who have regular day time work hours 6. REM (rapid eye movement) sleep is a vitally important part of your night.

For optimal emotional health, adults need approximately 100 minutes of REM a night. (This can only be measured in a formal sleep study – called polysomnography). REM sleep has also been shown by UC Berkeley experts to help processes stressful memories and experiences and bring enhanced well-being into your life. Are you thinking of certain patients with bruxism habits?

"Current sleep research has shown if you are regularly sleeping less than seven hours a night you are more likely to suffer from cardiovascular disease, stroke, cancer, diabetes and any number of other inflammatory conditions."

“There is plenty of compelling evidence supporting the argument that sleep is the most important predictor of how long you live, perhaps more important than whether you smoke, exercise or have high blood pressure or cholesterol levels” ~ Dr William Dement, one of the world’s most prominent sleep researcher and founder of the Stanford University Sleep Disorder Clinic.

8

replenished. From wound healing to trying to recover from a cold or a flu, a sleep debt can bankrupt your good intentions.

7. Research has shown that visual learning, especially learning to do NEW things gets consolidated while you are asleep - especially during REM sleep. A 2010 Harvard study on memory had their 100 volunteers do a test on finding their way around a maze on a computer. During a five hour break some stayed awake another group napped before taking the test again. The group who napped did the maze 162 seconds faster than the ones who stayed awake when doing the test again. Those who actually dreamed while napping did their second test maze 225 seconds faster. TAKEAWAY for dentists on three day intense implant courses or leadership training? Take a nap midday or after an 8-hour workshop to internalize, consolidate the information and make it your own.

8. A prominent Canadian dental journal Oral Health had a cover story demonstrating a relationship between obesity and periodontitis. This relationship was based on the inflammatory mediators released from visceral fat.

CDC reported that 30% of Americans are overweight or obese (BMI over 30).

What’s the link between lack of sleep and developing an overweight condition?

Case Western University research showed that women who sleep less than seven hours a night were 15% more likely to become overweight; women who had less than five hours were 30% more likely to develop obesity. A 2010 JADA article reported that dentists are interested in giving wellness guidance but felt they needed more evidence that losing weight would make for a healthy oral environment. If you are reading current periodicals, the evidence is arriving.

9. Sleep is a critical time enabling the body to heal, repair, restore and regenerate itself reports Mary O’Brien, MD author of "The Healing Power of Sleep." Next time when giving post-op instructions after an extraction or periodontal surgery tell your

Articulator

Spring 2016

patient to get 7-9 hours sleep for the next week for optimal healing and recovery.

10. Alcohol is the most common drug people use to get to sleep. Admittedly it does get you to sleep quickly. Downside, your sleep is lighter – you don’t get enough of the DEEP SLEEP where your pituitary gland releases growth hormone (the youth hormone for fat burning and maintaining muscle mass). A single glass of wine before bed spikes your insulin which also takes you out of fat burning mode. Alcohol before bed encourages snoring and sleep experts report even snoring reduces valuable oxygen flow to your brain 11. As dentists we are aware of the link between inflammation in the mouth and a diabetic condition. Did you realize that poor sleep disrupts may disrupts good blood sugar management? Four nights of shift work has been shown in scientific studies to bring about pre-diabetic blood glucose levels in those workers during their shifts. If someone is not responding favorably to your soft tissue management therapy, you need to question those patients about their sleeping habits.

12. Contrary to belief, older people still require eight hours sleep if they want to age gracefully. Sleep architecture changes with age (they spend less time in deep sleep and more time in light sleep) and with slower wound healing, people over 60 need quality shut eye.

Recommendations: 1. Sleep in a cool (65-68F) bedroom for deeper sleep.

2. Create a pitch black environment so your melatonin levels remain high during the night.

3. Don’t eat before bed as it subtracts from the rejuvenating role sleep plays as your body is trying to digest a meal that should have been eaten at supper time.

4. If you have to cross multiple time zones and want to perform well in business or a sporting event, give yourself an extra day for each hour off your regular time zone.

5. Sleep scientists say if you are going to workout 4:00-7:00pm is the ideal time in terms of supporting muscle adaptation to also to take advantage of the post exercise body temperature adaptation that sets the mood for sleep in the following 3-4 hours. Early AM workouts are still very productive and they are the best strategy to make time for exercise in a busy life. Current research by Michael Howard, PhD has shown that late afternoon evening exercise sets the tone for a healthy sleep later at night 6. “If you are not sleeping well it is almost impossible to heal well.” - National Sleep Foundation 7. Guided visualization and relaxation exercises are two of the best ways to support healthy rejuvenating sleep.

8. A clear conscious and a peaceful mind make for a short “sleep latency” (the time it takes to get to sleep – ideally 5-15 minutes).

9. If you want to support healthy REM sleep and utilize its ability to process emotion and consolidate memory, give yourself a mental suggestion right before you sleep to focus on a specific subject or challenge you are currently undergoing.

10. Napping for 20-30 minutes in the midafternoon has been shown in numerous studies to enhance emotional well-being and productivity. As long as the naps don’t go longer than 30 minutes, night time sleep will not be impacted.

11. Find the right mattress for your body type. There is no one best type.

Studies have shown that medium to firm is most likely to fit most people’s needs.

12. If you get up in the AM earlier than you wanted to, stay up. After a long QQcontinuous sleep, expose yourself to bright full spectrum light or sunlight and get your sleep-wake routine formalized.

13. Don’t do anything else in bed except for the two S’s (sleep and sex).

Watching TV, doing your taxes or eating will distract you from one of the most important health habits you might have. The brain loves cues that it is preparing to sleep. Lugging your laptop onto your lap to answer emails is highly distracting for your night-time brain.

14. Develop a bedtime ritual which cues your brain for slumber. Following the same steps before bed gets your brain ready for sleep.

15. Many over the counter sleep aids are meant only for short-term challenges with sleep. Prescription meds work wonders but they too have a number of side effects and many are not designed for long-term use. There are herbal supplements, but can pale in comparison to learning relaxation techniques and developing good sleep hygiene rituals (evening/pre-night time sleep habits).

This subject is new for the dental industry and I hope to share with you further information in the future. In the meantime, “sleep well tonight and don’t let the bed bugs bite.”

REFERENCES: Wamsley & Stickgold, Current Biology, 2010, 20(23) National Sleep Foundation CDC Center for Disease Control Obesity and Periodntal Health: What’s the link? Should I be concernded? W. Ward et al. OralHealth October 2012 Sleep and Your Memory by Michael Howard PhD © 2010 Biomed The Healing Power of Sleep by Mary O’Brien MD Biomed © 2012 “Dentists Attitudes About Their Role in Addressing Obesity in Patients” Curran et al. JADA 2010 Geyer, Talachi & Carney, Introduction to Sleep and Polysomnography, 2005 Dr Uche Phillip Odiatu BA, DMD is the author of The Miracle of Health and Fit for the LOVE of IT! This busy practicing dentist is also a NSCA Certified Personal Trainer and a professional member of the American College of Sports Medicine (ACSM). He lectures at most of the major dental conferences in the USA, Canada, the Caribbean and England.

About the Author: Dr. Uche Odiatu is a Certified Nutrition & Wellness Consultant, a National Strength and Conditioning Association (NSCA) certified trainer, a Certified Holistic Lifestyle Coach, co-author of "The Miracle of Health and Fit for the LOVE of It!" and a professional member of the America College of Sports Medicine. He maintains a thriving dental practice in Toronto.

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9

MEMBERSHIP SPOTLIGHT DR. JEROME GREENE

S

ome call him a legend, others call him “the nitrous guy.” One thing is for sure, he’s been doing dentistry longer than I’ve been alive. He’s none other than Dr. Jerome Greene.

At the 2015 Rocky Mountain Dental Convention, he was the recipient of the MDDS Member Service Award. It is long overdue that we feature Dr. Greene in a member spotlight and thank him for the multitude of expertise he has brought to our dental community.

renewed interest in the procedure. His enthusiasm and persistence in his teaching (even until this last year) and work with the National Dental Analgesia Society expanded his reputation as a pioneer in reawakening the use of nitrous oxide as an important method of helping anxious patients receive dental care and building a successful practice.

A heartfelt congratulations is in order for Dr. Greene on a distinguished career and accolades well deserved. The next time you tell your patient to “breath deep through your nose” while their “toes and fingers get tingly,” you’ll stop and think about Dr. Greene – “the nitrous guy.”

A Denver native, Dr. Greene graduated from the University of Michigan Dental School in 1957. After a short stint in a Detroit private practice, he returned to Littleton, CO where he began his own practice. After 11 years, with an already established practice and patient base, he made the decision to move to a Hampden Avenue address where he practiced for the remainder of his career.

Dr. Greene was an early pioneer in the use of nitrous gas as an analgesic in dental treatment. After hearing about its use at a Denver course in 1961, he traveled to Manhattan, NY for a two-day seminar. Seeing the opportunity to be an adopter of this new technology, he returned to Denver and promptly purchased the equipment needed to administer nitrous. His foresight paid off and patients flocked to see him. In fact, he first tried it out on his six-year-old son to remove a loose primary tooth.

He found the effects to be very pleasing and never looked back.

In the late 1960s, he began teaching the use of nitrous gas to his dental colleagues in various Denver study clubs and at Denver General Hospital. He also teamed up with an anesthesiologist at the University of Colorado to do further research on the physiologic effects of this combination of gases when used solely as an anti-anxiety agent rather than in general anesthesia.

Dr. Greene continued teaching about the use of nitrous oxide analgesia in dentistry including presentations at the Denver Mid-Winter Meeting (now the Rocky Mountain Dental Convention), which at the time was held at the Shirley Savoy Hotel and the Ritz Carlton. Although there were some dentists who resisted the idea of "laughing gas," remembering the early use of nitrous oxide with poor results due to improper administration, Dr. Greene popularized its reintroduction with a more controlled, safe and practical technique. He presented this at the Colorado State Dental Meeting in Colorado Springs and spurred

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11

TRIPARTITE NEWS

SHOW ME THE MONEY!

By Brett Kessler, DDS, CDA Immediate Past President

I

n June, it's time for CDA members elect a new treasurer. That's where you come in as a Metro Denver Dental Society member. Per the CDA bylaws, the CDA Treasurer must come from MDDS. We’re looking for someone who wants to get involved, someone who can think outside the association box and someone with an inclination toward finance. No CPA degree or junior accountant skills are needed—just an interest in numbers and an ambition to make a difference.

Based on my experience as a past CDA Treasurer, I can tell you first-hand how important this position is to the organization.

They say it's not what you know but rather who you know. In my case, it was then-treasurer Dr. Ken Peters, who asked me if I was interested in running for the position. I was shocked and excited to be asked. But despite running a successful dental practice for years, I questioned whether I knew enough for the job. After spending some time with Dr. Peters discussing the mechanics of the position, I decided to go for it.

job of the treasurer is to be a visionary—to see where the association can creatively use the resources available in the best possible way.

The Finance Council, with Treasurer at the helm, is tasked with overseeing many initiatives, including evaluating potential new companies for CDA Endorsed Products. One of the biggest pushes to bring in additional revenue to the association involves a new campaign that focuses on better marketing these endorsed companies. A big portion of the CDA’s revenue comes from companies, products and services the CDA endorses. These are companies that offer huge benefits to members in cost savings, and products or services that are valuable to our practices.

The Treasurer is tasked with building relationships with these companies and helping reach the CDA membership with these values. By increasing the reach, CDA members and the association benefit.

"Based on my experience as a past CDA treasurer, I can tell you first-hand how important this position is to the CDA."

Becoming Treasurer of the CDA wasn't part of my long-term plans, but being president of the CDA was, and this was the perfect stepping stone for me. That said, times have changed and so have the needs of the CDA. When I was Treasurer, the position was the first step in moving up the ladder to become CDA President. But that’s not the case anymore.

A bylaws change several years ago made it a standalone position, so treasurers who were passionate about finances could remain in the position for up to three two-year terms, if elected to do so.

When I became Treasurer, my initial impression was that it would be my job to pay the bills. I quickly found out that this was not the case. The CDA has an amazing Chief Financial Officer to take care of that. The

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The Treasurer has a seat at the Executive Board table and is actively involved in the discussions regarding all CDA business. Most of the decisions are made during monthly Executive Committee meetings and quarterly Finance Council and Board of Trustees meetings. This is the most exciting aspect of the job—the ability to raise the bar in Colorado on how dentistry is delivered is—what an honor. As I completed my first year as Treasurer, I realized every activity the CDA is involved in passes through the Finance Council. This gave me an amazing understanding of the workings of the CDA and its effect on our members and the communities we serve.

Of course, these aren’t the only job requirements. The position of Treasurer is officially responsible for the following, as excerpted from the CDA Bylaws, Chapter VI—Elected Officials, Section 8: It shall be the duty of the Treasurer: 1. To serve as custodian of all monies, securities and deeds belonging to the Association which may come into the Treasurer's possession, and

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shall hold, invest and disburse same, subject to the direction and procedures as established by the Board of Trustees.

profession, everyone must contribute to the betterment of it. If we don't, we will become a trade.

2. To submit an annual report to the House of Delegates.

Leadership in the CDA means many things. It means seeing the future of organized dentistry and molding the association’s goals based on where the profession is headed and not where it’s been. It means mentoring new dentists who will take over these leadership positions and keep the CDA successful and organized dentistry relevant. And it means wearing many hats and putting to use skill sets other than the ones dentists use every day to treat their patients.

Do you have what it takes to become a CDA Treasurer? If you are interested in having a voice in the future of how dentistry is practiced and delivered in our state, this is your opportunity to contribute.

3. To serve as an ex-officio member of the House of Delegates without the right to vote.

4. To serve as a voting member of the Board of Trustees.

5. To serve as a voting member of the Executive Committee.

6. To perform such other duties as may be provided in these Bylaws.

7. To prepare and submit to the Board of Trustees, as Chair of the Council on Finance, the proposed annual budget.

8. To serve as the Chair of the Association’s for-profit subsidiary.

Accepting the position of Treasurer means accepting the challenges the CDA is working hard to overcome. This is where the Treasurer, as a visionary, will be extremely valuable.

I welcome you to contact CDA Associate Executive Director Pam Brockhaus at (303) 996-2843 or pam@cdaonline.org to learn more or to ask questions.

About the Author: Dr. Brett Kessler is an active member of the ADA, ACD and Alpha Omega Dental Fraternity. He was elected Treasurer of the Colorado Dental Association in 2010. He currently serves as Immediate Past President of the organization and is featured in CDA advertising. He holds a Bachelor of Science degree in Biomedical Engineering from the University of Iowa and a Doctor of Dental Surgery degree from the University of Illinois.

A mentor of mine told me early on in my career that if we are to remain a

figure 2

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Dentists and team members head to the exhibit hall to learn about the latest offerings from vendors.

Thousands of dentists attended the world-class education sessionsavailable at the 2016 RMDC.

Chairman’s Remarks - 2016 RMDC - WHAT A SHOW!

By Eric Rossow, DDS

W

hat an exceptional Rocky Mountain Dental Convention! I want to thank all who attended. I also hope even more of you can attend our next RMDC in 2018. A special thanks is in order for the many volunteers who contributed to this unique regional dental convention as speaker hosts, greeters, exhibitor hosts, committee members and students of learning.

The Opening Ceremony had a record 2200 in attendance and our keynote, Mr. Ron Culberson, was well worth getting there at 8am. The knowledge shared by our elite dental speakers was well received and attendees were able to get some hands-on experience at both the Convention Center and the Mountain West Dental Institute. Thanks to all the speakers who brought their expertise and insight to Denver.

You were outstanding patrons on our Expo Hall floor with a number of our over 220 exhibitors reporting record sales. Exhibitors had outstanding things to say about the dentists and auxiliary who attend our convention.

We wish to extend our heartfelt thanks to all the exhibitors for their tremendous support of the meeting.

The social events provided great networking and were just plain fun. Dr. Ian Paisley’s Presidential Gala had dinner, dancing and an awards presentation to some outstanding MDDS volunteers and staff. This year’s Exemplary Staff Member was Ms. Jennifer Wissel. Dr. Karen Foster was named Chair of the Year and Dr. Sheldon Newman was awarded Volunteer of the Year.

The Society’s highest honor, the Honus Maximus Award, was presented to the very deserving Dr. Nelle Barr for a lifetime of service to organized dentistry and our community. A thousand of you gathered together for the Friday Night Party, sponsored by Henry Schein Dental and Children’s Dentistry, where the video DJ got everyone up and moving on the dance floor. For those that didn’t dance the night away at the Hyatt party, the After

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Party at Tryst allowed another few hundred the opportunity to dance to any style of music they preferred.

I was proud to be Chair of this year’s convention and am humbled to have observed the work of MDDS Executive Director Elizabeth Price, RMDC Convention Director Shelly Fava and the Metropolitan Denver Dental Society staff over the two years we worked on this convention. We are very lucky to have a dental society staff this impressive in our metro Denver area.

They make the work of the volunteer dentists a breeze.

As I mentioned above, the next RMDC will be in January 2018. MDDS will not be holding the 2017 RMDC so that that dentists, staff and exhibitors can focus on the 2016 ADA Annual Session being held October 20-25 at the Colorado Convention Center in Denver. The ADA has not held their meeting here since 1930. Let’s show the visitors from all over the nation our Denver hospitality and dental expertise by attending this great meeting.

Please also consider signing up as an Annual Session volunteer. As with RMDC, the volunteers play a large role in the meeting’s success.

After you’ve had a great experience at the ADA Annual Session, we look forward to seeing you all back for the 2018 RMDC. With two uninterrupted years to plan, you can expect to see lots of new and exciting things in 2018.

It is posed to be our best convention yet!

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Ron Culberson engages the audience during Opening Session.

Team members work on pig jaws during one of RMDC’s many hands-on courses.

Dentists try out the latest technology in the expo hall.

The expo hall was the place to be during the Thursday and Friday receptions!

MDDS President, Dr. Ian Paisley, addresses guests during dinner at the MDDS Awards Gala & President's Dinner.

Attendees enjoyed dinner and dancing at the MDDS Awards Gala & President's Dinner.

Raffle winners collect their prizes from KIND at the Friday Night Party.

The Friday Night Party15

MDDS NEWS

MEMBER UPDATE ON YOUR MOUNTAIN WEST DENTAL INSTITUTE

By Elizabeth Price, MBA, CAE, CDE, MDDS Executive Director

M

DDS’s Mountain West Dental Institute (MWDI) had a wonderful year of success and is on track for an exciting year. Our office space is almost fully rented and will come in over budgeted income for the year. Our course room rentals to affiliated dental groups, vendors and other community groups are on track to reach our budgeted income for the year and our MDDS-sponsored CE courses are hitting overall attendance goals.

Attaining these goals is important for our Society and our community.

The income enables us to cover our building expenses and pay off the mortgage and property taxes of our beautiful, centrally-located headquarters and institute. It also allows us to supply space for groups like Kids In Need of Dentistry (KIND) to deliver charitable dental care to those in need in our community. Our main goal, of

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course, is to provide our region with an affordable, state-of-the-art learning center yielding hands-on dental learning which is accessible to any group who desires it. Another goal is to provide a community outreach center where our members can provide services to the community. Look for more of these community outreach programs in the future.

We have some big names now renting at the MWDI and running regular programs. The Dawson Academy is still a major course provider at the MWDI (register for their courses at thedawsonacademy.com). OBI Foundation for Bioesthtic Dentistry just graduated their first Denver class (register for their courses at www.bioesthetics.com). F.A.C.E., the Foundation for Advanced Continuing Education, will be hosting their first, of what we hope to be many, lectures in April of this year (register for their courses

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at www.facedentistry.org). We are so lucky to have these well respected institutes right here in Denver and highly encourage all members to take full advantage of their offerings.

In addition to these regularly returning CE groups, we are proud to announce that the MWDI will be hosting some of the hands-on learning courses during the ADA Annual Meeting in October 2016. It is a huge feather in our cap to be recognized by the most prestigious provider of dental CE and be able to host their courses here at our facility.

MDDS will also be partnering with the Perio Institute, hosting our first cadaver course tentatively planned for August 2016. This course will fill up fast, so keep an eye on the Byte Register and mddsdentist.com for your chance to register.

The MWDI wouldn’t be successful without the support of our dental trade community. Henry Schein Dental is still providing free service to our clinic and has been amazing at sending their techs quickly and effectively solving any problems we have encountered. This month, thanks to help from Henry Schein, we will be receiving a new Planmeca ProMax3D® Mid machine courtesy of Planmeca and their local sales manager, Steven Griffith. The Planmeca ProMax® 3D Mid is a genuine all-in-one CBCT (Cone Beam Computed Tomography) unit including 3D imaging, 3D photo, digital 2D panoramics and cephalometry, all in the same unit.1 This will give groups the ability to learn, hands-on, all of the procedures offered by this technology. According to Dr. Gordon Christensen, “the procedures listed here are the majority of uses of cone beam radiology in dentistry. They are not listed in any priority: 3-D observation of overall oral/facial bony characteristics, allowing easier diagnosis and placement of dental implants. Surgical guide fabrication for implant placement, 3-D observation of teeth for endodontic diagnosis and treatment. Diagnosis and treatment of tooth impactions. Identification of inferior alveolar

nerve and mental foramen location. Identification of the location of the maxillary sinus. Identification of the presence of odontogenic lesions.

Trauma evaluation and treatment. Analysis of temporomandibular joint characteristics leading to diagnosis and treatment. Integration with CAD/CAM devices for fabrication of prosthodontics or orthodontic appliances. Identification for referral of numerous conditions or diseases not normally within the realm of dentistry, but that can be shown on typical cone beam images.”1. The new Cephalometric features will also allow for more in-depth, hands-on orthodontic courses to be taught at the MWDI. According to the Planmeca website, “It is also an excellent tool for diagnosing ear, maxillary sinus, and respiratory tract diseases.”

In 2016, MWDI also acquired the new Planmeca FIT System allowing our CE and outreach groups to have access to intraoral scanning as well as chairside milling. The MWDI is always looking for new dental technologies to house in our institute. We encourage vendors to contact us if they would like to donate a product to be used at the MWDI. The MDDS Board of Directors would like to thank our members, vendors and the local community for making the MWDI such a success. With your help, the MWDI has become one of the most advanced and soon-tobe most recognized places for dentists and team members to receive high quality, high-tech dental continuing education. Congratulations, MDDS members!

1. Christensen, Gordon, J., DDS, MSD, PhD (2012). Do you need cone beam radiography?

Dental Economics, 102(8)

Thank you to our newest donors!

Colorado Orthodontic Foundation - 5280 Club Dr. Jeff Sterns - 5280 Club Dr. Brian Gurinsky Thank you to our donors who increased their original contributions over the last year! We are grateful that the MWDI is still a top priority for you.

Colorado Orthodontic Association (COA) donated $5,280 to the MWDI in show of their support for high quality dental continuing education in Colorado. The check was presented during the COA Annual Meeting during the 2016 RMDC. Pictured above (Left to Right) Dr. Amy Shearer, Dr. Dana Gamblin, MDDS Executive Director Elizabeth Price, MDDS President Dr. Ian Paisley and COA & MDDS past board member Dr. Anil Idiculla.

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Dr. Nick Chiovitti - 5280 Club + Dr. Michael Burnham - 5280 Club + Dr. Mark Wheeler & Dr. Matt Johanson - 5280 Club + Dr. Mark Ehrhardt - 5280 Club + Dr. Sean W. Shaw - 5280 Club Dr. Joseph K. Will - 5280 Club Dr. Charles Danna - 5280 Club Dr. Troy Fox Dr. Paul Glick Dr. Jeffrey Lodl

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NON PROFIT NEWS

MDDS MEMBER CHANGES LIFE OF U.S. VETERAN Volunteer for DDS to Help People in Need

T

here’s something very special about being able to give comfort and joy to someone in the last stages of life – especially if that person served his or her country in the U.S. Armed Forces.

Denver resident Prince, 88, is a kind man, proud father and grandfather and a veteran, living in hospice care with prostate cancer. "He would be helped by dentures to maintain weight, energy and quality of life,” his doctor wrote to Dental Lifeline Network’s Donated Dental Services (DDS) program. In poor oral health, Prince’s remaining teeth were extracted to eliminate his pain but he could not afford further treatment and longed to eat “real food.”

couldn’t chew properly,” William joked with Dr. Rentz.

“It took a couple of times to get his final dentures,” Dr. Rentz said. “Once he got the final piece he was very happy.”

“Veterans have a special place in my heart and in this office,” Dr. Rentz commented.

“My office manager was in the service. Prince was very pleasant from the get-go. It was a pleasure to meet and treat him."

“Volunteering for DDS has been good. The only complaint I have is that I want to do more. I think it has a great effect on the entire staff. DDS is rewarding and not super time-consuming. l like getting the background of the person beforehand and learning about them. My office manager always reminds me that we don’t have to take a case if it’s not a good fit. It’s well worth it!”

Prince continues his daily routine of watching TV programs and meeting with the nurses who provide his care, and now he can eat “real food.”

Figure 1

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Volunteer Now! Through DDS, a program of Dental Lifeline Network • Colorado, volunteers provide full dental treatment to people with disabilities or who are elderly or medically fragile.

In metro Denver, 352 dentists, including 215 general dentists, are part of this program, but more are needed with fifty-four patients on the wait lists. You can treat one patient per year or as many as you choose.

A DDS coordinator ensures that patients arrive on time for appointments, arranges for assistance from specialists and laboratories and serves as the liaison between your staff and the patient to facilitate everything.

Prince (left) with Denver Donated Dental Services (DDS) volunteer Dr. Devin Rentz

Two DDS volunteers came to Prince’s rescue. Dr. Devin Rentz, a general dentist, feels strongly about helping veterans. He fitted Prince with full upper and lower dentures, fabricated by Peebles Prosthetics, a generous long-time DDS volunteer laboratory.

“DDS was a God-send to my uncle,” said his nephew William, who took Prince to his appointments. “The office people were wonderful. Prince is so proud of his teeth and thankful, as they have had no fit issue."

“Uncle Prince was ready to chew his arm off, because even with his old dentures, he

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Volunteering is easy. Your staff will love the experience!

• Patients are prescreened.

• Review the patient profile in advance and choose to see or decline any patient.

• Determine your own treatment plan.

• See patients in your office on your schedule.

• Never pay lab costs.

• No extra paperwork for your staff.

Volunteers say they never expected how much their staff appreciates the DDS experience. Staff members celebrate the success of patients and value the teamwork they provide with their dentists.

For more information about volunteering, contact Denver DDS Coordinator Kevin McGrellis at (303) 534.3931 or kmcgrellis@DentalLifeline.org, or visit DentalLifeline. org/colorado.

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CLINICAL

“IT DEPENDS…” A Practical Approach for Today’s All-Ceramic Restorations By “Diamond” Dave Andrus, CDT Denistry by Julia Kasper, DDS

H

ow do you know if you should take the time to

When our restorative choices were limited to PFM’s and gold crowns,

read this article?

the options available to technicians to “make cases work” were almost

• If your all-ceramic restorations come back

from the laboratory or out of your in-office mill with little to no occlusal anatomy.

about any case. If the margin design was a feather for a PFM, we could use a metal collar. If the occlusal clearance was limited, we could create a metal occlusal. If the distal molar clearance on a bridge wasn’t enough

• If the margins of your all-ceramic restorations come back from the

for porcelain, we could make it an all-metal abutment and make the

laboratory or out of your in-house mill short or bulky.

more anterior units PFM’s. In-office adjustments and cementation were

• If your laboratory has had to reduce an opposing tooth for an all-ceramic

and cementation techniques were mostly up to the personal choice of the

restoration more than once in the last two years.

• If your laboratory has suggested an alternate allceramic restoration than you prescribed.

• If your laboratory has suggested a metal based restoration rather than your prescribed all-ceramic restoration.

• If you have had any all-ceramic restorations fail up to five years after being placed.

• If you have had an all-ceramic restoration fail at the

almost an afterthought as the choice of rotary instrumentation, cements

“One of the most frequent questions I am asked regarding all-ceramic restorations is, “what material would be best to use on a particular case?” The answer is always, “It depends.”

seating appointment.

clinician. Dentistry has experienced a paradigm shift in that we have seemingly unlimited

number

of

all-ceramic

restorative options but they leave an extremely limited number of options available to technicians and dentists to “make cases work” when all the criteria are either not attainable or not met.

All-ceramic restorations have brought the necessity for the dentist-technician collaboration to an all-time high. On

the technician’s side there are two primary factors that can cause an all-

• If you believe any of the above scenarios is normal with all-ceramic

ceramic restoration to have a catastrophic failure; fabricating prosthesis

restorations.

on cases where the dentist has not followed correct reduction protocol

One of the most frequent questions I am asked regarding all-ceramic restorations is, “what material would be best to use on a particular case?”

The answer is always “It depends.” The vast number of all-ceramic options available in dentistry with their list of indications and contra-indications present a restoration Rubik’s cube where all the colors must match perfectly on all sides of the puzzle to achieve the highest degree of success. The risk of catastrophic failure increases exponentially with each seemingly insignificant protocol that is not met in the laboratory and in the dental office.

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unlimited. Technicians could make any type of preparation work on just

for the requested material and incorrect laboratory procedures. When the reduction and margin design protocol has not been followed by the clinician, the list of viable options for long term success is almost nonexistent because the end result most often is an all-ceramic restoration that is too thin to survive the forces in the mouth resulting in catastrophic failure. The most common technique infraction technicians make is not following correct firing procedures, which usually means the technician has rushed the heating and/or cooling procedure when the restoration is going into or coming out of the porcelain oven. Rushing the firing cycle can create residual stress in the porcelain resulting in fractures that may not

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show up for weeks or even years after a case has been seated.

practical the better restorative option may be one that is not all-ceramic.

On the dentist’s side, the likelihood of catastrophic failure increases

Posterior e.max:

exponentially with each protocol that is violated and the “sweep it under the

Occlusal reduction….2.4mm

carpet” rule comes into play. It’s only a matter of time before one will trip

Axial wall reduction……….1.7mm

over the growing pile of protocol violations that have been accumulating

360 Butt margin reduction…1.2mm

under that all-ceramic carpet. With all-ceramic restorations, it is vitally important to know and follow the reduction, margin design, chair-side adjustment and cementation protocol of each all-ceramic material.

Anterior e.max: Lingual surface….1.5mm Incisal reduction…2.0mm

Let’s look at a quote from the Ivoclar Vivadent e.max press monolithic

Labial reduction…1.5mm

solutions technical instruction manual #CE0123 (page 15) which

360 butt margin….1.0mm

states,“Reduce the anatomical shape and observe the stipulated minimal thickness.” It is vital to understand that the necessary reduction of 1.5 mm to “the anatomical shape” (occlusion) and the required “minimum thickness” of 1.5mm of the all-ceramic material (or occlusal surface of a molar crown) which are bundled together in the quoted statement should be stated as two different things. This statement calls for the occlusal

Posterior full contour Zirconium restorations: Occlusal reduction….1.5mm Axial wall reduction…1.3mm 360 Butt margin reduction….8.0mm Anterior layered zirconium based restorations with zirconium lingual: Lingual….1.0 mm Incisal….2.0 Labial…1.5mm 360 Butt margin…1.0mm Conclusion: An e.max or zirconium based all-ceramic restoration that is doomed for failure can last years before breaking. The best option is to do them right the first time which first and foremost requires the dentist to reduce enough for adequate strength of the prescribed material and the

Number 8 layered e.max crown immediately after delivery.

Excellent clinical results can be achieved when manufacturer’s requirements are followed by clinician and technician.

reduction of the ”anatomical shape,” or occlusal surface of a molar to be 1.5mm but also calls for the “minimum thickness” of the e.max material to

laboratory to handle the materials correctly.

About the Author Dave Andrus has owned and operated Diamond Dental Studio in Byers, CO for 29 years. He has been a technician for 37 years and can be reached at andruscompanies@netecin.net or (303) 822-6666.

be 1.5mm leaving no room for occlusal anatomy. For argument sake, let’s say the depth of “nice occlusal anatomy” is about 0.7mm deep in the central groove of a molar, then add the 1.5 mm “minimum” material “thickness” making the minimum occlusal reduction of the occlusal surface of a molar 2.2mm. If a technician is expected to produce an e.max crown which meets the manufacturer’s minimum material thickness and have decent occlusal anatomy, we also need to add 0.1mm for cement spacer film on the die and 0.1mm for super eruption of the prepared tooth bringing a real world grand total of 2.4mm occlusal reduction on a molar to meet all the criteria and have a “pretty” e.max crown with anatomy.

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The intent of this article is not to list all the manufacturer’s protocol, which can readily be found on the Internet, but to bring a simple and common sense approach to successful all-ceramic restorations. The following Rule of Thumb list is designed to help you quickly determine what type of allceramic restoration is appropriate to prescribe for the amount of reduction

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attained. If the following reduction measurements are not possible or

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GIVE KIDS A SMILE (2-5-16)

CU students treat patients during GKAS.

NON PROFIT NEWS

S

ince its national launch in 2003, the American Dental Association has held this annual event in February to provide underserved children and teens with much-needed dental care.

Through the hard work of volunteers, more than 5 million children have benefitted from these services. In fact, this year alone, over 287,000 kids were served by more than 24,000 volunteers including 7,118 dentists nationally.

MDDS and KIND partnered to provide dental services at the Mountain West Dental Institute (MWDI), which stayed busy throughout the day. A heart-felt thank you to the MDDS member dentists that participated in 2016’s Give Kids A Smile Day!

KIND @ the MWDI

FOUNDATION FAREWELL

A

fter 10 years of service to the Denver community, the Metro Denver Dental Foundation (MDDF) made the difficult decision to close its doors.

A heartfelt thank you goes out to the hundreds of dentists who contributed to the Foundation and donated their time and services to MDDF’s flagship charity, The Smile Again Program™.

The Smile Again Program™, created in 2005, provided donated dental services to victims of domestic abuse. Over the course of this program, approximately 400 patients were given the blessing of a new smile. However, since the state Medicaid program was expanded to include a limited adult dental benefit, the Smile

mddsdentist.com

Again Program™ was challenged in finding new patients.

Although we are all saddened to see the closing of MDDF, it does not mean our outreach to the Denver community is over. MDDS now oversees the Education Station and has supplies and educational materials available free of charge for members participating in various oral health outreach programs such as health fairs, lectures, etc. Information about this member benefit can be found under the Public Resource section of mddsdentist.com.

Furthermore, the Community Outreach & Public Relations Committee is hard at work looking for opportunities to make a positive impact in

the community and raise awareness about the importance of oral health. MDDS volunteers have already participated in the Making Strides Against Breast Cancer Walk and a Boys & Girls Club Health Fair. They are sponsoring an access to care float in Denver’s St. Patrick’s Day Parade and plan for much more. If there is a worthy cause or event you believe the Committee should know about, email us! Send a note to marcom@ mddsdentist.com with details and we will research further involvement.

Thank you to Amy Boymel, former MDDF Executive Director, and all past MDDF Board of Directors for the time and dedication you put into such an admirable organization – it will be missed!

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RMDC SPEAKER

HOW TO AVOID 4 COMMUNICATION PITFALLS Assumptions, Perceptions, Comparison Expectations and Commitments

By Judy Kay Mausolf, Owner & President of Practice Solutions, Inc.

I

was recently talking with a good friend about how frustrating and difficult communicating with others can be. When we don’t say anything, an assumption is made — and in most cases, it’s negative. If we do say something, it may be perceived incorrectly. If that is not enough, there are all the “shoulds” from others — their comparison expectations on how we should do something or be something or live our life a certain way.

IN OTHER WORDS, THEIR WAY! Because of assumptions, perceptions and comparison expectations, we often make commitments to either do things we don’t want to do or don’t have time for. Just writing this makes me feel exhausted! Wouldn’t it be nice if we didn’t have to worry about all these communication pitfalls? But that is not reality.

Our success in life depends on our ability to communicate. Therefore, it is necessary to learn how to communicate and overcome these pitfalls regardless of how frustrating or difficult they may be. That is unless you interact only with animals and live on a deserted island!

I have found the best way to get good at something is to remove or overcome the obstacles. The rest of this article is dedicated to doing just that.

ASSUMPTIONS Let’s start with assumptions. This one is a biggy!

How Can We Stop Making Assumptions?

We Make Assumptions Every Minute Of Every Day. Something Happens And We Instantly Assign Meaning To It. That Is An Assumption.

It may be correct or it may be incorrect. We won’t know unless we take the next step. That step is asking. It sounds easy but it’s not. We often fear that if we ask, we may open ourselves up to an emotional reaction. I call that emotional reaction an eggshell. Eggshells spawn many of the assumptions in our lives and

in our dental practices today. It’s the fear of these potential eggshells that stop us from asking and allow us to start assuming.

Some of the eggshells I am referring to are: • Anger • Judgment • Retaliation • Hurt feelings We can’t let fear stop us from asking if we want to avoid assumptions. We don’t know what someone meant by their actions or words or the way they said something. Sometimes even what they say or the words they use can mean something different than what we believe them to mean. Stop making assumptions and start asking questions regardless of potential eggshells.

Action Plan: When you get that twinge in your gut and you think, “Hmmm — I wonder what they meant by that?” Or you find yourself saying “I think they meant this” — you don’t really know! Stop yourself immediately from wondering and speculating and ASK! You will be surprised how many of your initial assumptions are incorrect once you hear their intent.

Ask with care, concern and respect. A simple question to ask is “I am not quite sure what you meant, please tell me more?” or “I am not quite sure what happened. Can we talk about it?” Continue to respectfully ask questions until you understand the other person’s true intent. If you are still thinking, “I think they meant…”, you are assuming and it is important ask more questions to achieve a deeper understanding.

PERCEPTIONS Perceptions are next. They are just as dangerous as assumptions. Both the person speaking and the person listening play a role in perceptions. I often hear team members say, “I didn’t mean it that way! They just took it wrong!

So it’s not my fault!” If you are always being misunderstood, it is important to reflect on how you are communicating. It is not just what you say that counts in communication. It is also how the message is being perceived. The listener bases their perception on the past experiences they had with you as well as your words, body language and tone of voice. They assign meaning based on (Continued on page 27)

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Save the Date ADA 2016 – America’s Dental Meeting® is coming to our back yard! Earn CE, network with colleagues from across the country and catch up with friends at one of the many events throughout ADA 2016.

Registration will open in the spring. For more information, visit ADA.org/meeting.

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(Continued from page 24)

what it would mean if they said or did that same thing, which in many cases does not accurately reflect the other person’s intent.

Inaccurate perceptions also happen when we don’t hear the entire story or all the reasons or steps.

“Because of assumptions, perceptions and comparison expectations, we often make commitments to either do things we don’t want to do or don’t have time for.”

Action Plan: For the communicator to avoid false perceptions, it is important to slow down and take the time to clearly explain your intent. Ask the listener to give you feedback on what they heard and what it means for them. As the listener, ask questions until you are confident you know their intent and what they mean. Give your family, friends, co-workers and colleagues the benefit of the doubt and ask questions before assuming it was negative intent.

COMPARISON EXPECTATIONS Expectations aren’t a negative thing as long as they are realistic and not based on a comparison. Comparison Expectations create negative expectations. They are the “shoulds” that guilt us into doing things we aren’t comfortable doing or make us feel terrible about ourselves when we don’t.

We have all heard and even said, “You should!” Comparison Expectations happen when we compare ourselves to others, or when others compare us to them. The comparison is what creates the expectations for who, what, when, where, why and how we should do something based on what others do. Comparing is toxic; someone always loses. For example, if we learn another office is seeing more NPs than we are, we think we must see more.

If a colleague makes more than we do, we may feel bad about our salary or feel unsuccessful even though we were happy before we knew. We may even believe that others are wrong when they don’t do something our way.

Comparison expectations can make us feel or do something out of guilt.

Guilt creates shame and shame inhibits communication because if we feel shameful about something, we are less likely to communicate openly and honestly.

scenario and commit to the longer time frame. I am often asked to write articles for dental publications just like this one. If I know I can have it done in a week, I may ask for two to three weeks, as long as it doesn’t delay their deadline. Then, I finish early and I look like a hero! Stop creating fires for yourself by asking for more time. If your plate is already overflowing or the time limit is to tight, respectfully decline. If it is something you really want to do, remove something else from your plate and allow yourself room to say yes.

Our success depends greatly on how well we communicate in our personal and professional lives. When we communicate openly, honestly, respectfully and with understanding, we can avoid false assumptions, perceptions and comparison expectations and instead make commitments that we are excited about and can achieve!

About the Author Ms. Judy Mausolf is a dental practice management coach, speaker and author with expertise in helping others get happier and more successful! She is Past President of the National Speakers Association Minnesota Chapter, a member of the National Speakers Association, Academy of Dental Management Consultants and Director of Sponsoring Partners for the Speaking Consulting Network.

Action plan: Stop the comparison noise from yourself and others and quit “shoulding” on yourself and others! In other words, quit allowing the “shoulds” from yourself and others to dictate your actions and quit expecting others to do things your way. Instead, start setting goals and live your life based on the end results YOU want to achieve.

COMMITMENTS We will end with commitments. There should be a group called Over Committers Anonymous! I know a few of you! Sorry - I just “shoulded” on you! Some of us were taught as children that being nice meant always saying yes. When we overcommit we are not being nice. We are dropping the ball by not being truthful about what we can realistically accomplish.

Sometimes we have to say no before we can really say yes. Others may continue to ask us to do more and more. They don’t know nor can they regulate whether they are asking for too much. They have no idea what we already have on our plate, we have to tell them. If we don't, we will allow others to use us to the point of exhaustion. The bottom line is that it is important to care for ourselves before we can care for others. A great analogy (for my fellow frequent fliers) is putting our own oxygen masks on first before assisting others.

Action Plan: Over committers, it’s time to under promise and over deliver.

Instead of thinking “What is the quickest I can do this?” think worst case

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

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Visit MDDSdentist.com for a full schedule of other upcoming courses at the MWDI! • 140-seat Auditorium (can be divided in two) • Banquet Hall • 20-seat Executive Board Room • Hands-on Learning Lab Benches for 40 participants • Large Wet Lab • Four (4) Educational Operatories including one (1) equipped for surgery • 2D/3D Digital Imaging Suite • Planmeca PlanScan™ (mill & scanner) • Equipped to capture and stream live video • MDDS members receive a 15% discount • Multi-day & multi-room discounts • A/V always included • No catering restrictions • Free Wi-Fi • Two (2) free parking structures Metro Denver Dental Society | 925 Lincoln Street, Unit B Denver, CO 80203 | (303) 488-9700

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EVENT CALENDAR MARCH 2016 March 12 MDDS float at Denver's St. Patrick's Day Parade Downtown Denver All Day March 18 Can You Adapt to the New Twist in Rotary Reciprocation, Negative Apical Pressure Irrigation, Cordless Obturation?

–Dr. John Olmsted Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:30am-5:30pm (303) 488-9700 March 19 Can You Adapt to the New Twist in Rotary Reciprocation, Negative Apical Pressure Irrigation, Cordless Obturation?

–Dr. John Olmsted Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:30am-5:30pm (303) 488-9700

APRIL 2016 April 1 Advances in Dental Pharmacotherapy: How to Maximize Success While Limiting Risk in Everyday Practice –Dr. Karen Baker Mountain West Dental Institute 925 Lincoln Street, Unit B 8:30am-5:30pm (303) 488-9700

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April 8-9 Botulinum Toxin & Dermal Fillers Levels I & II & Frontline TMJ & Orofacial Pain Level I –The American Academy of Facial Esthetics Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 April 8 8:30am-5:00pm April 9 8:30am-2:00pm (303) 488-9700 April 15 Business of Dentistry Day Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 9:00am-1:00pm (303) 488-9700

MAY 2016 May 6 HANDS-ON Soft Tissue Grafting: Enhancing Restorative Results –Dr. James Kohner Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 9:00pm-4:30pm (303) 488-9700 May 7 HANDS-ON Crown Lengthening: Predictable Restorations –Dr. James Kohner Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 9:00pm-4:30pm (303) 488-9700

May 15 MDDS Annual Spring Family Fun Event Washington Park Boathouse 701 S. Franklin Street Denver, CO 80209 11:30am-1:30pm (303) 488-9700 May 21 Behavior Guidance Emphasizing Immobilization/Protective Stabilization –Drs. Nelle Barr & Sean Whalen Mountain West Dental Institute 925 Lincoln Street, Unit B Denver, CO 80203 8:00am-3:00pm (303) 488-9700

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Job Board: Senior Associate Dentist: 1 Sr. Assoc. Dentist. Aurora CO. Duties incl. exam teeth, gums & tissues; diagnose dental cond., injuries; opr. dentistry. Work w/ children. Rqd: DDS/DMD; CO License; CPR Training +3 yrs. exp. Send CV: A.Walker, Aurora Youth Dentistry PC; 14251 E 6th Ave, Aurora CO 80011.

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Registered Dental Hygienist (SE Denver): Busy SE Denver General Dental Office seeking self-motivated RDH.Experience in EagleSoft and Schick Digital Imaging helpful. Must be current: RDH license, CPR and Hepatitis B covered.

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GP: Aurora, CO: General Practice: Aurora, CO (CO 1527) Annual Revenues $500K, 3 ops, 3 days per week, Dr. Retiring. ADS Precise Consultants, frontdesk@adsprecise.com, www.adsprecise.com, 888-909-2545.

Perio: Tucson Area, AZ: PERIO Practice - Annual Revenues $611K, Practice Price $120K, Bldg also for sale - bldg price $125K, Dr. Retiring. ADS Precise Consultants, 800-307-2537, frontdesk@adsprecise.com, www.adsprecise.com.

OMS-Western Mts, Ann Rev $840K: OMS practice, western mountains near Vail & Aspen, Annual Revs $840K,Price $489K, 3 ops, 1260 sf, MTTF 8a-5p, bus. office open Wed (no pts).

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GP-Eastern Plains, 3 ops: GP-Eastern Plains, Sale Price $349,000,Annual Revenues $624K,1,000 sq ft, 3 ops fully equipped,2 staff, Mon-Th 8:30a-5p, Fri 8a-12p (no patients), space available to expand (CO 1327)

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