May 2015 Nugget

the

May 2015

Facing Fear Looking Beyond Dentistry To Ease Dental Anxiety Inside:

2014 Foundation Annual Report A PUBLICATION OF THE SACRAMENTO DISTRICT DENTAL SOCIETY

DON’T MISS THESE UPCOMING EVENTS!

lunch & learn

general meetings

11:30am–1:30pm • SDDS Classroom • 2 CEU, core • $50

3 CEU, core • 5:45pm–9:00pm • Hilton, Arden West • $60

Got OSHA / GHS NOT GPS? Presented by: Marcella Oster, RDA

Wednesday, May 6, 2015 This course will help you understand the new regulation changes and help train you and your employees on the Hazard Communication Standard including hazard classification, labels and safety data sheets.

business forum

Foundation Night

The Dentists, the Patients, and the Community Presented by: Craig S. Yarborough, DDS, MBA

Tuesday, May 12, 2015 This course will provide an overview of the dental profession from your patients’ view to the dentists’ challenges, as well as a foundation for an exchange of best practice tips from the audience and the presenter.

• The entering dental workforce—dental students of today • Challenges facing the new dentist— the profession and their patients • The practice of tomorrow?

6:30pm–9:00pm • SDDS Classroom • No CEU, core • $69

Debt & Taxes—Minimizing Tax Liabilities Presented by SDDS Vendor Members

Thursday, May 7, 2015 As requested by our SDDS members, this Business Forum will give member dentists the opportunity to learn and discuss tax strategies.

Whether or not you own a practice now, plan to in the future, or never plan to own a practice, our forum speakers, SDDS Vendor Member CPAs: Ben Anders, CPA; Craig Fechter, CPA; and John Urrutia, CPA; will present, discuss and answer questions that will help minimize your tax liabilities now and for the future.

This course will include, but not be limited to, the following tax topics: • Tax credits • Special deductions • Good and bad debt • Business structure benefits • Benefits of employing your children

licensure renewal 8:30am–3:30pm • SDDS Classroom • 6 CEU, core • $160

CA Dental Practice Act & Infection Control Presented by: Leslie Canham, CDA, RDA

Friday, May 22, 2015 • 2-hours of California Dental Practice Act for California licensees • 2-hours of Infection Control for California licensees • 2-hours of OSHA refresher

hr webinar

Order the recording!

Noon–1:00pm • In your office! • 1 CEU, 20% • $35

California Paid Sick Leave Law Presented by: Mari Bradford (California Employers Association)

Tuesday, May 26, 2015

Contents May 2015

COVER IMAGE CREDIT: ISTOCK

FEATURES

VOLUME 61, NUMBER 5

Nugget Editorial Board Carl Hillendahl, DDS • Editor-in-Chief Paul Binon, DDS, MSD Donna Galante, DMD Matthew Hall, DDS Brandon Martin, DDS, MS James Musser, DDS Hana Rashid, DDS Ash Vasanthan, DDS, MS

Editors Emeritus William Parker, DMD, MS, PhD Bevan Richardson, DDS

Awards

International College of Dentists (ICD) 2014 • Outstanding Cover, honorable mention 2014 • Golden Pen, honorable mention 2013 • Outstanding Cover 2012 • Overall Newsletter 2010 • Platinum Pencil Outstanding use of graphics

2007 • Overall Newsletter 2007 • Outstanding Cover 2007 • Golden Pen, honorable mention

10

Psychological Reflections

13 15

Psychological Strategies for Dentists

16 18

A Patient’s Perspective

on Dental Anxiety Ken Mazey, PhD

Alison Kemps, DBH, LCSW

Understanding Children’s Behavior

in the Pediatric Dental Office Cindy Weideman, DDS

Criss Speake

Healing with Hypnosis in Dental Practice Peter Stone, DDS

Specials 20-27 2014 Foundation Annual Report

Regulars:

4 5 7 9 11 20-27 29 31 33

President’s Message Cathy’s Corner You Should Know From the Editor’s Desk Volunteer Opportunities Foundation Trustee Report Committee Corner An Ethical Dilemma

34-35 36 37 38 39–41 42 43 44

YOU: The Dentist… the Employer We’re Blowing Your Horn!

Membership Update Advertiser Index Vendor Members Job Bank Classified Ads SDDS Calendar of Events

Article / series of articles of interest to the profession

The Nugget • Sacramento District Dental Society • www.sdds.org

President’s Message

By Viren Patel, DDS 2015 SDDS President

Because We Care

W

ith an issue dedicated to dental anxiety, I have to mention my anxiety as CDA Cares Sacramento approached last month. Fortunately, I didn’t need any special handling or medications and the event was an incredible success. A special call out to Dr. Gary Ackerman who was our Local Arrangements Chair and worked so hard to make this amazing event happen. Thank

Specializing in Complete Dental Offices and Tenant Improvements

you, Gary! We had more than 1,700 volunteers and provided more than $2 million in care. As per usual, our members stepped forward to help CDA Foundation make impactful changes in the lives of over 2,000 people. It is great to know how dedicated and committed our Dental Society is to helping those individuals who are especially in need. Thank you to all! 

Kids Care Dental

Rancho Cordova, CA

Olson Construction, Inc. is a design/build construction firm who can take your office from design to finish. They have proven themselves to be the go-to company when you want your dental office done on time and within budget.

David Olson, General Contractor License #822960 (209) 366-2486 www.olsonconstructioninc.com

4 | The Nugget • Sacramento District Dental Society

Cathy’s Corner LEADERSHIP President: Viren Patel, DDS Immediate Past President: Kelly Giannetti, DMD, MS President Elect/Treasurer: Wallace Bellamy, DMD Secretary: Nancy Archibald, DDS Editor: Carl Hillendahl, DDS Executive Director: Cathy Levering Guy Acheson, DDS Dean Ahmad, DDS, MS Margaret Delmore, MD, DDS Volki Felahy, DDS Bryan Judd, DDS Beverly Kodama, DDS Lisa Laptalo, DDS Peter Worth, DDS (RIP) Robert Gillis, DMD, MS Terry Jones, DDS

EXECUTIVE COMMITTEE

BOARD OF DIRECTORS

TRUSTEES

CPR: Greg Heise, DDS Ethics: Jag Heir, DMD, MD Leadership Development: Kelly Giannetti, DMD, MS Membership: Kristen Adams, DDS Peer Review: Brett Peterson, DDS

COMMITTEES

CE Task Force: Nancy Archibald, DDS Social Media Task Force: Kristen Adams, DDS/Bryan Judd, DDS 1T1B Task Force: Guy Acheson, DDS GMC Denti-Cal Task Force: Terry Jones, DDS/ Warren McWilliams, DDS Large Group Practice Task Force: Peter Worth, DDS Amalgam Advisory: Wai Chan, DDS/Viren Patel, DDS Budget & Finance Advisory: Wallace Bellamy, DMD Bylaws Advisory: Kelly Giannetti, DMD, MS Fluoridation Advisory: Kim Wallace, DDS/ Rick Kennedy, DDS Forensics Advisory: Mark Porco, DDS Legislative Advisory: Steve Leighty, DDS Strategic Planning Advisory: Wallace Bellamy, DMD/Nancy Archibald, DDS

TASK FORCES ADVISORY WORKGROUPS

STANDING

By Cathy B. Levering

SDDS Executive Director

Happy May!

I

can’t believe it’s May already! Our program year comes to an end in May, and we are feverishly working to contract all of our speakers and programs that run September 2015 through May 2016.

We’ve met with members who attend Continuing Education programs, polled past attendees, surveyed and surveyed our members, and the Membership Committee is working on the Business Forums.

The CE Task Force, led by Dr. Nancy Archibald, strategized, suggested and connected us with many of their friends, professors, and beloved programs and lecturers. I think we will have an AWESOME Program to offer—it will be announced June 15 with our new “Program at a Glance” brochure.

We have not raised our CE prices since 2000, and we are happy to announce that they will stay level next year as well. In October we will offer our “DOCS” Oral Conscious Sedation renewal class. In September, Amy Morgan from Pride Institute will teach a Business Forum and a CE Course (this was rescheduled from March, so, if you thought you missed it, you are in luck!).

Along with all this, we are almost finished planning the program for the next MidWinter Convention, which will be held Feb. 18-19, 2016. If you have a suggestion for us, please email me at cathy@sdds.org (the sooner the better, though). We’ll try to integrate all the suggestions we get.

Foundation: Kevin Keating, DDS, MS Golf Tournament: Damon Szymanowski, DMD SacPAC: Matthew Campbell, Jr. DDS Smiles for Kids: Donald Rollofson, DMD

SPECIAL EVENTS OTHER

In the vein of “Member Benefits Countdown,” our program is indeed a member benefit. But, this month I had a hard time deciding our #5 Member Benefit.

But, alas…. I got a phone call just yesterday thanking us for the Job Bank— another match made through this special benefit. So, with that great news, our SDDS Job Bank is this month’s highlight in the countdown!

Cathy Levering | Executive Director Julia Marino | Publications Manager Justine Parker | Programs & Member Recruitment Marina Miller | Membership Coordinator Delia Ramirez | SFK Coordinator/Member Liaison Shelly Farrand | Office Manager

SDDS STAFF

Ironically, currently we have more dentists looking to HIRE than we have looking to be HIRED. With dental school graduations coming up, I think things will even out soon. We know you are out there… so please call us. There are matches to be made! 

The Nugget is an opinion and discussion magazine for SDDS membership.

Opinions expressed by authors are their own, and not necessarily those of SDDS or The Nugget Editorial Board. SDDS reserves the right to edit all contributions for clarity and length, as well as reject any material submitted.

The Nugget is published monthly (except bimonthly in June/July and Aug/Sept) by the SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825 (916) 446-1211.

Acceptance of advertising in The Nugget in no way constitutes approval or endorsement by Sacramento District Dental Society of products or services advertised. SDDS reserves the right to reject any advertisement.

Postmaster: Send address changes to SDDS, 2035 Hurley Way, Ste 200, Sacramento, CA 95825.

Top 10 Member Benefit Countdown!

1. January: You received a FREE 2015 Employment Law poster!

2. February: SDDS Midwinter Convention & Expo!

3. March: Amy Morgan Pride Institute programs (now Sept. 17-18, 2015)!

4. April: SDDS Vendor Members!

5. May: SDDS Job Bank! (See page 42) www.sdds.org • May 2015

|5

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Know

you should

Following up on Medicare: The Deadline to Opt-in or Opt-out is June 1

Second Reminder from Dr. Nancy Archibald, SDDS Secretary: By June 1 you must choose to “opt in, opt out or become a referring Medicare provider.

Doing “nothing” is not an option. If you do “nothing,” your Medicare patients may have to pay out of pocket for a prescription or procedure that would have otherwise been covered by their Medicare benefits. This expense may apply to certain surgical procedures. A sample of the affidavit form is provided on the ADA website. For more information, read the article below.

By Greg Alterton, CDA Dental Benefit Plan Specialist

A Dentists, and other health care providers, have a deadline of June 1 to decide whether they will become part of the Medicare program or not. In considering whether to opt-in or to opt-out of the program, here are some things to consider.

While allowing dentists to opt-into the program, Medicare does not cover routine dental procedures. It will cover certain dental procedures that have a corresponding medical code—mainly oral surgery, perio surgery, and lab work, for example. For specialists, or generalists for that matter, who perform procedures for which there are medical cross-codes, the federal Centers for Medicare and Medicaid Services is allowing an opt-in to Medicare as a provider, which will allow dentists to be reimbursed for those procedures. But again, for basic oral health care—preventive, diagnostic, basic restorative —Medicare doesn’t provide coverage, and most dental care provided to patients who are beneficiaries within Medicare, that care will have to be paid on a cash basis.

Medicare is giving dentists until June 1 to decide if they want to opt-in or optout. The opt-out, which most dentists are going for, lets CMS know that you are choosing not to participate in Medicare, and that any services provided to a senior who is in the Medicare program will be provided through private arrangement between the practice and the patient. The provider who optsout will not be able to submit a claim to Medicare, even if a procedure is a covered benefit in Medicare.

The third option is to enroll with Medicare as an ordering and referring provider. This is a kind of in-between status – neither in nor out. Such a status does not allow the provider to bill Medicare for services, but does put the provider into the Medicare system and eases the care and coverage for a Medicare patient when they are referred to another provider such as an oral surgeon who may be a provider who has opted-in.

What if a dentist chooses to do nothing – neither opt-in, opt-out, nor enroll as a referring provider? A couple of negative things may result. If one does nothing in regard to Medicare, and refers out covered procedures, let’s say a biopsy to a lab, or prescribes medication through a pharmacy, the lab or pharmacy would not be reimbursed by Medicare if the order came from a dentist who wasn’t opted-in, opted-out, or enrolled as a referring provider. So it makes payment for services problematic down the line for the patient if the dentist does nothing. The other negative that could result is that a provider who stays off the grid, so to speak, who treats a Medicare beneficiary, bills that beneficiary for the treatment provided, if then the patient files a claim on their own with Medicare, the provider will likely get a notice from the Medicare administrator (Noridian in California) that they have received a claim from a patient treated by the provider, and that the provider isn’t in the system, so the provider needs to enroll in the system. CDA has received calls from dentists who have received such notices. We have communicated to the

administrator that the provider is a dentist, that Medicare will never pay for what the dentist provided the patient, and the administrator has agreed that the dentist doesn’t need to enroll in Medicare. But still, the provider off the books, so to speak, will continue to get these notices when patients submit their own claims to the Medicare administrator. So what CMS has done with the opt-in and opt-out opportunity, and by including dentists in this, is to enable Medicare administrators to either pay dentists for covered medical care, or to recognize that the dentist has opted-out and has the ability to enter into private arrangements with Medicare patients to pay for their own dental care. There is an advantage to a dentist who performs care that is covered under Medicare to opt-in; while there is also an advantage to a dentist who may likely never provide care that is covered under Medicare, to opt-out.

The third alternative—enrolling as a referring provider for Medicare beneficiaries – isn’t an opt-in, and is more like the opt-out. The main benefit of this status is to the patient, and to CMS, which is interested in following a Medicare beneficiary from entry into the healthcare system for their treatment, and follows them to wherever they receive treatment – to a specialist, to use of a lab, to a hospital, a clinic…wherever.

We’re not telling dentists what they should do, but if a dentist wants to occasionally receive some reimbursement for treating a Medicare beneficiary, or if they want nothing to do with Medicare and yet want to make sure they aren’t occasionally badgered by the Medicare administrator about “enrolling,” we hope dentists will consider submitting one of the three options.

The opt-in application, as well as the opt-out affidavit, are to be sent to Noridian Healthcare Solutions, Provider Enrollment, P.O. Box 6770, Fargo, ND 581086774 (for northern California, or zip 58108-6775 for southern California).

Provider Enrollment at Noridian can be reached at 855-609-9960.  Here are some additional resources: Opt-in/opt-out resource on cda.org: cda.org/news-events/deadline-to-opt-in-out-as-medicare-provider.

ADA’s opt-out information (requires log-in), which includes a sample affidavit form and private contract for Medicare patients: success.ada.org/en/practice/medicare/medicare/opting-out-of-medicare Nordian’s information: med.noridianmedicare.com/web/jeb/enrollment/opt-out CMS: Medicare Enrollment Guidelines for Ordering/Referring Providers: cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ MLNProducts/downloads/MedEnroll_OrderReferProv_FactSheet_ ICN906223.pdf A good description of the opt-out process on the website of the Medicare administrator for four Midwest states: wpsmedicare.com/j5macpartb/departments/enrollment/b_opt_enroll.shtml www.sdds.org • May 2015

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From the Editor’s Desk Looking Beyond Dentistry for Easing Dental Anxiety

By Matt Hall, DDS Associate Editor

One of my first patients in dental school was an old Southern philosopher—an expert on Jefferson, a relaxed sort of man who leaned back, narrowed his eyes, and crossed his leg over his knee before delving into a long-thought-out idea. Even breaching 90 years old, his keen wit kept us entertained in the long lines of the radiology department.

A

fter three hours spent probing and exploring the depths of his gums and the crevices of his teeth, I still had not discovered all of his problems. The normally stern, white brows of my attending faculty actually broke in pity for both of us. We did eventually get to treatment, starting with hours and hours of debriding decades and decades of tartar. Some of his teeth, however, could not be saved, and so we appointed in the oral surgery department.

anxiety is widespread —we can often literally feel the tension gripping our patients’ bodies and the constriction of our own aortas in response. It greatly affects the quality of life of patients and dentists, and yet dental anxiety is largely ignored in our training.

Mind you, this patient was a logical, rational man who had endured with grace all of the injecting, scaling, and drilling I had done to him thus far. But, as I entered the narrow oral surgery reception area the morning of his extraction appointment, I encountered a scene. Here, the man, hair out of place and wife wringing her hands behind him, was vehemently arguing with the receptionist.

He was speaking in rapid, short phrases that seemed to meander around a moot point regarding when what would be billed and how. His clear and aristocratic Southern diction was gone, he was wiping his brow and pacing on the spot.

gradually slowing the pace and

Fear is the electric buzz and heavy silence hanging in the air when you first enter the op, the sweaty palm you shake when you greet the patient, the ragged breaths of anticipation with the approach of the needle, the constant shifting and swallowing while you wrestle that ever-so-mercurial tongue.

In some situations, fear may increase our chances of survival, but it often misfires, causing more harm than good. Everyone in dentistry has seen the purulence, the pain, and the pure misery that fear and its cousin anxiety may cause. We all know that dental

An anxious patient’s racing heart and mind can be calmed by dropping the tone of your voice.

Finding this surprising hole in my education, I began to look outside of conventional dentistry for skills that would help me treat anxious patients. I ended up in the psychiatry department of the nearby medical school, where I learned clinical hypnosis in a year-long, post-grad seminar. Among many techniques, one of the key skills I learned was how to adapt the rhythm and timbre of my voice to a patient’s body language and breathing. An anxious patient’s racing heart and mind, for example, can be calmed by gradually slowing the pace and dropping the tone of your voice.

Using formal hypnosis takes more time than allotted for routine dental appointments, so I have integrated what I learned into my regular chairside manner. For example, I use a soothing, slightly-monotone voice during injections, directing the patient’s focus toward comfort. I might suggest the patient notice the twinge they were feeling is beginning to change into a pleasant tingling

feeling. Simply using dissociative phrasing, like “the” versus “your” tooth helps patients put distance between themselves and the dental experience. I do occasionally provide formal hypnosis by request, such as for a patient of mine who had not been able to endure even a simple dental exam in over a decade. Possibly the most important aspect of hypnosis is that it allows you to connect with patients and thereby convey empathy to them in a deep and meaningful way. Patients have told me, “I know you really care about me,” “I can feel your good intentions,” and, “thank you for working so hard to keep me comfortable.” I thank them for trusting me to take care of them.

One pitfall of hypnosis, however, is that it requires the patient to fully engage with you, and some patients just cannot or will not.

Contrary to urban legend, people cannot be unwillingly controlled by hypnotic techniques. And so, for anxious patients whom I am not able to otherwise calm, I offer oral conscious sedation (OCS). OCS is a great tool, which allows patients who would otherwise forego treatment to receive the much needed care they have been putting off, often times, for many years.

Certainly, not every day is a slice of pie, and not every patient interaction goes swimmingly. There are techniques, however, which can increase comfort and decrease stress in the dental operatory. My hope is that you find the insight and wisdom shared by the following cross section of qualified professionals (and one thoughtful patient) useful in your practice. It may reaffirm what is already working for you, and you might just learn some new tricks, too.  www.sdds.org • May 2015

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DENTAL ANXIETY

Psychological Reflections on Dental Anxiety

Most dentists would agree that a variety of skills are necessary for building and sustaining a successful dental practice. Unfortunately, often neglected in overcrowded dental school curricula are psychosocial, communication, and cultural competence skills training. Learning in these areas promotes understanding the patient as a person with particular needs, emotions, and expectations.

By Ken Mazey, PhD

C

linical training should include stress management for the practitioner (to protect his or her well-being, as well as that of the patient), doctor-patient interactions, and the psychodynamics of patient behavior.

As a psychologist working with dentists for over two decades, I have found that understanding how to work with anxious patients provides leverage for resolving many clinical problems and providing optimal dental care, while alleviating many stressors associated with the demands of contemporary dental practice.

Dentistry is unique among medical specialties since the oral cavity—the mouth—represents a personal psychological boundary for many people. Especially for patients predisposed to anxiety, dental procedures are experienced as intrusive and as a violation of their personal space.

Prior to treatment, dental staff can assess a patient’s attitude toward dentistry by asking the

10 | The Nugget • Sacramento District Dental Society

right questions. Long gaps between appointments may be an indicator of avoidance due to fear, anxiety, and/or phobic preoccupations. Absence of care may reflect a period of disability, low self-esteem and personality dysfunction. Simply asking a patient how they are feeling while they sit in the operatory chair may not always produce an accurate report since many dental patients, struggling to maintain self-confidence, often minimize their distress and say they’re “fine.”

Thus, observing the non-verbal signs of anxiety, facial or bodily tension, holding one’s breath, and white knuckles clutching the armrest, is an important skill to develop.

Immediately displaying concern and empathy for distressed patients builds trust. Asking a frightened patient if he needs a break, or telling him the procedure is almost complete, establishes open and reassuring communication. Empathy from the practitioner and trust from the patient cement the therapeutic alliance, and when both

dentist and patient collaborate in monitoring and maintaining the pace of treatment, the likelihood of greater patient satisfaction is enhanced. Sometimes, conceding a bit of control to the patient builds his confidence and may help achieve greater overall control of the treatment plan.

For patients with more ingrained anxiety patterns and specific personality dispositions (narcissistic, obsessive-compulsive, passive-dependent) empathy alone is not sufficient to calm them down. A dental patient who panics and/or faints when he is forced to seek treatment (based on acute pain, abscess or periodontal disease) requires active therapeutic interventions. More careful assessment is required to establish the personal profile of a dental patient who displays symptoms of a phobia. This may be a person with no psychiatric history since avoidance of dental care has relieved him or her of the more acute manifestations of anxiety. A person afraid of dentistry who scrupulously avoids care may not be able to identify particular fears when asked, “What about dentistry bothers you the most?” Fear of pain, which is the most commonly Identified stressor for dental patients, appears to be rooted more in perceived lack of control and vulnerability than in physical pain.

The irony is that dental patients with phobias typically have high thresholds for pain. They tolerate pain from caries resulting from years of avoidance of dental care at the same time they claim fear of pain as a cause of their avoidance of treatment.

Tailoring treatment to the needs of the patient requires an accurate assessment of the patient’s dental fear schema. While one patient fears the pain of an anesthetic injection, or drilling, another patient may be terrified of a fear of dying under anesthesia.

Different fears (gagging, losing control, X-rays) require different therapeutic responses. The ability to diagnose and differentiate the signs and symptoms of highly anxious patients is based on precise multileveled observation that cuts across different domains of the patient’s experience: the physical signs (faint voice, tremor, pale skin); the cognitive (I can’t do this; I’ll die); the emotional (embarrassed, ashamed, “I’m afraid it’s going to hurt”); and the behavioral (squirming, holding one’s breath, crying).

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In the near future, clinical training in the management of dental emergencies will target psychological and behavioral interventions that relieve the suffering of patients by providing coping strategies that reduce their excessive anxiety and panic.

Fear reduction protocols and anxiety management skills will become the norm. Expanding the domain of expertise for dentists by providing rigorous psychological training and encouraging interdisciplinary collaboration between dentists and psychologists are two important ways to improve the quality of dental service and advance the therapeutic goals of oral medicine.  Ken Mazey, PhD, is a board certified clinical psychologist in private practice, serving West Los Angeles, Santa Monica and the Valley for over 20 years. As a psychotherapist, by integrating concepts and methods from various schools of thought—psychodynamic, cognitivebehavioral and phenomenological—Dr. Mazey seeks to expand the availability of these robust therapeutic tools to a wider audience.

Helping clients manage their phobias and anxiety syndromes to become more productive in their lives and to achieve greater well-being is a mainstay for Dr. Mazey. In addition to his private practice, Dr. Mazey teaches undergraduates in the Honors Collegium Program at UCLA, as well as teaching The Psychology of Fear at UCLA Extension.

VOLUNTEER Opportunities SMILES FOR KIDS VOLUNTEERS NEEDED: Doctors to “adopt” patients seen on Smiles for Kids Day 2015 for follow-up care.

TO VOLUNTEER, CONTACT: SDDS office (916.446.1227 • smilesforkids@sdds.org)

SMILES FOR BIG KIDS VOLUNTEERS NEEDED: Dentists willing to “adopt” patients for immediate/emergency needs in their office.

TO VOLUNTEER, CONTACT: SDDS office (916.446.1227 • sdds@sdds.org)

UCSF JAMAICA MISSION TRIP CDA CARES, SACRAMENTO September 18–27, 2015 • Ochos Rios, Jamaica March 27–28,NEEDED: 2015 Dentists needed to attend as faculty VOLUNTEERS Cal Expo to help UCSF meet required dentist/student ratio.You do not need to be affiliated with UCSF. TO VOLUNTEER, CONTACT: Robyn Alongi (916.554.5305) TO VOLUNTEER, CONTACT: www.cdafoundation.org/cda-cares Brittany Vacura at Brittany.Vacura@ucsf.edu

THE GATHERING INN VOLUNTEERS NEEDED: Dentists, dental assistants, hygienists and lab participants for onsite clinic.

TO VOLUNTEER, CONTACT: Kathi Webb (916.743.5351 • kwebbft@aol.com)

GLOBAL BRIGADES VOLUNTEERS DENTISTS AND AUTOCLAVES NEEDED. TO VOLUNTEER ABROAD VISIT: www.globalbrigades.org TO DONATE AN AUTOCLAVE, CONTACT: Dagon Jones, DDS (dagonjones@gmail.com)

CCMP

(COALITION FOR CONCERNED MEDICAL PROFESSIONALS)

VOLUNTEERS NEEDED: General dentists, specialists, assistants and hygienists.

ALSO NEEDED: Dental labs and supply companies to partner with; home hygiene supplies TO VOLUNTEER, CONTACT: Ed Gilbert (916.925.9379 • ccmp.pa@juno.com)

www.sdds.org • May 2015

| 11

Not EvEry Job SavES LivES. yourS CaN! SacramentO, ca

The Physiologic Approach to Treating

Registration Fee: Doctor: $995 Team: $595

Did you know that 80% of people with Sleep Apnea go undiagnosed and untreated?

(may 15-16 // Oct 2-3) Presented by: Dr. David Miller 8am–5pm • 16 CE Credits

To Register: 888.584.3237 concierge@lviglobal.com www.lviglobal.com Speaker’s Bio: Dr. David Miller obtained his D.D.S. from the University of Illinois College of Dentistry. A graduate of the L.D. Pankey Institute and the Las Vegas Institute for Advanced Dental Studies, Dr. Miller has a special interest in Sleep Disordered Breathing problems.

He started treating Sleep Apnea and Snoring in 1992 and first joined the American Academy of Dental Sleep Medicine in 1996. He is also a member of the American Academy of Sleep Medicine. Dr. David Miller is a Master of the Academy of General Dentistry and a Master of International College of Cranio-Mandibular Orthopedics; a Diplomate of the American Board of Craniofacial Pain, the American Board of Orofacial Pain, and the American Academy of Pain Management.

SLEEp apNEa

Dentists role in treating Sleep Breathing Disorders is the Future of our Profession.

Learning Objectives • Why treating sleep breathing disorders is important to your practice • Why the PHYSIOLOGIC approach is not only the best way, but the only way you should be treating your patients for this disorder • How to recognize the sleep disorder patient… things you are unaware of • Your role in SBD treatment • OSA and children • Mandibular advancement device therapy, when and how • Patient education and screening • The physiologic bite technique… you’ll use it on Monday • How to incorporate dental sleep medicine into your practice • The critical specifics of appliance delivery • Advanced issues that no other program talks about • The connection between OSA and TMD and how to co treat Every doctor attending will receive, at no charge, a personal home scan for sleep apnea as well as an MAD for their own mouth.

This LVI Event is Sponsored by

Academy of General Dentistry Approved PACE Program Provider FAGD/ MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 6-1-11 to 5-31-15 Provider ID 208412

MDL_150426

Las Vegas Institute for Advanced Dental Studies, LVI Global is an ADA Recognized Provider ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp.

DENTAL ANXIETY

Psychological Strategies

for Dentists

education in partnership with

By Alison Kemps, DBH, LCSW

A

s a dental provider, there are many interventions that can be utilized to create positive experiences for patients. Three strategies are suggested below for the alleviation of anxiety in the dental patient.

1. Do not overlook the physical environment of the dental office.

Waiting and reception areas should be warm, inviting and open. Closed or “sliding glass” reception windows, sterile waiting rooms and rest rooms, health literature and blank walls exude “medical setting.” For patients with anxiety and dental phobia, walking into that environment can automatically evoke a “fight or flight” response. When possible, front line staff should be able to dress in professional attire, rather than traditional scrubs, which should be reserved for the staff providing treatments. Furthermore, although it should be a standard of excellence to be running “on time,” scheduling and unforeseen complications can occur. Having the front line staff feel empowered to communicate with the anxious patient to give updates, allows them to understand that they have not been forgotten.

Environment and communication at the front end can help to alleviate anticipatory anxiety and induce a more positive, receptive state for the dental treatment.

2. Be open, collaborative and flexible.

As a dentist, you have the ability to decrease a patient’s anxiety, just by opening the door to discussion. Allowing them to have some control over their encounter translates into the patient experiencing you as a caring and professional provider.

Building trust begins with first impressions.

Introducing yourself and engaging in a brief social exchange allows the patient to see you as someone who is professional, personable and invested in their comfort and well-being.

Asking them the question, “How can I make this the best experience for you today?” shows them you care about their well-being.

Case planning and staff a psychotherapist enriches

Discussing what is occurring during the appointment allows for patients to feel more in control and experience less fear. Being flexible during the initial appointment is also a productive strategy. For example, you may ask the patient if they would prefer to sit in the dental chair or in an upright chair during an examination. This simple act of giving the patient the choice, allows for them to feel more at ease and start building trust.

Furthermore, explaining to a patient that you understand they are nervous allows for the anxiety to have less power. Inviting them to “be in the driver’s seat” can empower them to communicate when they need a break, some water, or suctioning. Having hand signals gives them the tools to communicate when they cannot speak. Lastly, having a support person in the room can help the patient remain calm and focused. Being open to this demonstrates your ability to be flexible and collaborative.

3. Distractions like music, television, audio books or conversation can provide great opportunities for the patient to be “in their world.”

Keep in mind, however, that these methods can also isolate the patient and decrease their ability to communicate with you. Asking for their preference allows for more opportunity for trust building. As with any of these interventions, choice is the key to success.

For people with more severe dental phobia, interventions prior to their first procedure appointment with you may be necessary. Consider utilizing a quick and simple assessment tool like the Modified Dental Anxiety Scale (MDAS) to screen for anxious patients, thus allowing you to make modifications in your examination or treatment as necessary. Licensed psychotherapists specializing in dental anxiety can help you develop a plan that involves distress tolerance. In vivo exposure therapy, education, relaxation techniques, guided

your dental practice, and ultimately, the field of dentistry. imagery and other methods have proved successful in the treatment of dental anxiety and phobias, and therefore, collaborating with behavioral medicine specialists can provide comprehensive care to the patient. From the moment a patient calls your office, they are provided with information about your level of care and compassion. Case planning and staff education in partnership with a psychotherapist enriches your dental practice, and ultimately, the field of dentistry.  Alison Kemps is a Doctor of Behavioral Health and Licensed Clinical Social Worker.

She has over 20 years of experience providing direct clinical services and has held various management positions at Kaiser Permanente in the Department of Psychiatry. Currently, she is employed by UC Davis Medical Center as a crisis social worker in the Emergency Department and Inpatient Services. Dr. Kemps also works occasionally for Veteran Affairs and has a private practice specializing in mood and anxiety management, PTSD and crisis management. She has also contributed to the profession as a professor, clinical supervisor and continuing education provider. Dr. Kemps is married and a mother of three active children ages 2, 5 and 9, who keep her running from one sporting event to another. She also enjoys sports (Go Giants!), cooking and wine tasting.

REFERENCES 1. American Psychiatric Association. (2013).

Diagnostic and statistical manual of mental disorders (5th ed.).

2. Humphris GM, Morrison T and Lindsay SJE (1995) “The modified Dental Anxiety Scale; Validation and United Kingdom Norms.”

Community Dental Health, 12, 143-150.

3. Dailey YM, Humphris GM, Lennon MA. (2001) “The use of dental anxiety questionaires: a survey of a group of UK dental practitioners. British Dental Journal, 190, 8.

www.sdds.org • May 2015

| 13

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DENTAL ANXIETY

Understanding Children’s

By Cindy Weideman, DDS

Behavior in the Pediatric Dental Office Once, while I was beginning to administer an IAN block to a child, the mother suddenly jumped up and grabbed my hand. The boy yelled out a huge scream. All I could do was hold my hand steady and say to her firmly and loudly, “Let go of my hand right now!” She wouldn’t let go. I repeated my demand three times, and, finally, as though a light went on, she relented. The boy was terrified, but the mother insisted that I resume the procedure. Even after she had behaved in a way that clearly frightened her child, she could not understand that her own fears were dangerous for him.

T

he psychology of children is complex.

You must see them as individuals, while keeping in mind family history, genetic variability, and home life. When treating children, be ready to treat the parent or even the whole family.

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Families that value teeth and show excitement, trust and confidence in going to the dental office tend to produce children who are comfortable in the chair. Since children pay close attention to how adults characterize their dental experiences, what gets said before the appointment is important. For example, misguided attempts to improve behavior, such as, “You are going to get a shot if you don’t brush your teeth!,” usually result in challenging situations. Unfortunately, impressions can become generalized in a child’s mind, which can make any dental procedure, simple or complex, anxiety producing and difficult for him or her to handle successfully.

Children often have similar fears as adults in the dental chair, such as: vulnerability of laying down on a dental chair; needle phobia; gagging; and fear they won’t be able to breathe, which could lead to death. It is important to remember that very young children may have difficulty processing and understanding situations, or may even have an undiagnosed disability. Empathy, patience, and understanding are key qualities of a successful practitioner.

Rapport begins the moment a child enters the office—the way she is welcomed, the toys

and décor, the wait time (short to none!).

When treating children, you must be flexible and creative, involve the parent if necessary, be willing to stoop over, twist your necks and use simple explanations.

It is healthy to start with the notion that all children are innocent. Quickly assess for traits such as mood (happy, unhappy, shy, or analytical) to help you better understand the patient. The body language of the patient can help you predict if he/she is approachable, resistant or withdrawn.

Efficiency is important in pediatric dentistry.

Getting as much done in the smallest amount of time is highly desirable to the patient, parent and dental team. The use of two or three dental personnel at a work appointment is not uncommon in a pediatric environment.

We may have one main assistant appointed to control suctioning, air and water; another to hand instruments and medicaments; and a last one there to constantly talk to the child, hold their hands, and reassure them throughout the appointment. It is stressful and challenging, yet exciting to go through this process and build a bond with the child that may last a lifetime.

In the end, I believe we are given children and difficult patients to help us flourish and become more spiritual. As we go through the process of helping others, we learn, grow, and sometimes turn to books, but more often our own intuition. Children teach us that trust and love are attainable for everyone if we cultivate an understanding and empathetic

environment. All practitioners have the chance to experience this type of closeness and joy with patients. This is what I love about our profession and why I am content with my life as a dentist, especially a dentist for children. What an interesting journey we have as dental professionals, understanding human worries and building trust. And we thought we were just fixing teeth!  Cindy Weideman, DDS, received her BS in psychology from UC Davis, her DDS from UOP Arthur A. Dugoni School of Dentistry and completed her Specialty Training in Pediatric Dentistry at UCLA School of Dentistry. She is Board Certified, a Diplomate of the American Board of Pediatric Dentistry, and a Fellow of the American College of Dentists. Her greatest joy is spending time with her family and appreciating nature. www.sdds.org • May 2015

| 15

DENTAL ANXIETY

A Patient’s Perspective

Finding Relief From Fear

By Criss Speake

I remember exactly when I became afraid of needles. I was 5 and staying overnight in a hospital room, awaiting a medical procedure. I shared my room with another child who was awakened every few hours for some sort of injection. She screamed every time, and by morning I was sure that whatever that injection thing was, it was BAD! It took two doctors and three nurses to hold me down for my injection when the time came for my operation.

Anxiety is not fun for the patient. It’s not fun for the dentist. But at least there is relief available.

I

t is now some 40 years later, and I know on a rational level that I don’t have to be afraid of needles. But fear isn’t rational. I remain so anxious about injections that I will avoid going to the doctor or dentist if there is a shot involved. I have gotten better at the blood draws required for insurance purposes, but I still almost pass out during those.

I can’t get past the high anxiety with dental injections. I’m sure you’ve experienced patients like me. Quiet, a little sweaty, gripping the armrest like a vise and completely scared.

The night before I’m supposed to go in, I can’t sleep. But it doesn’t start then. I dread that appointment from the moment I make it.

That’s only if I don’t cancel, which I probably will. This anxiety is strong.

Then I discovered a solution. I went to a dentist with “gas.” I had moved to a new town and started going in for my teeth cleaning and explained my anxiety to the hygienist. She told me they had a great solution for me—gas. I had never heard of it. It seemed unreal. You go in, they put a little nose mask on you, and you breath this gas in until you relax.

They do the procedure. They turn off the gas. You walk out and drive back to work.

WHAT?! That can’t be available. Oh, but it was. And it was glorious.

I need to clarify that this “gas” didn’t make me 100 percent relaxed. It made it possible to get into the chair and make it through the procedure without extremely high anxiety.

I was still a little anxious, but it was WAY better, and I could do it. I could make an appointment and keep it.

16 | The Nugget • Sacramento District Dental Society

It was a huge relief for me, and I’m sure for the dentist as well. I became a normal patient and had work done in normal time frames. No more delaying for months or even years!

Now the “gas” is gone. I guess there is some sort of issue with the gas that has made many offices stop using it. I’m now using another form of sedative dentistry, which involves medication.

I prefer the “gas” to the pills, because the pill approach is an all-day ordeal. There’s no walking in or out of the dentist office on your own. You need someone to take you, pick you up and monitor you for a few hours afterward (someone who won’t take you to the bank – literally).

The good news about the pills, though, is they DO work to ease my anxiety.

I wish I could breeze in and get a dental injection without needing a sedative. But I can’t, and I know many others must feel the same way.

Anxiety is not fun for the patient. It’s not fun for the dentist. But at least there is relief available.  Criss Speake is a business consultant living in Sacramento, CA. She graduated from CSU, Sacramento, and has worked for the same Fortune 500 company for over 25 years. Criss provides business recommendations and education on workflow efficiencies and document distribution for some of the largest California State departments.

She is dedicated to helping clients achieve the greatest return on their investments. Criss enjoys travel, scuba diving and warm beaches.

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| 17

DENTAL ANXIETY

Healing with Hypnosis in Dental Practice

By Peter Stone, DDS

Hypnosis is very rewarding for my patients. It is even more rewarding for me. I don’t charge patients for hypnosis, because hypnosis helps me produce better quality dentistry in less time.

H

ourly production increases in a relaxed office. Workdays are very pleasant when everyone is calm. Referrals increase from happy patients. Staff appreciates the relaxed atmosphere. It’s much easier for all involved to work on a patient who is comfortable and sits still. I now speak in a hypnotic manner with all my patients. It is part of my professional persona.

Formal and informal hypnosis language reduces treatment time for all my patients.

For example, if a typical procedure takes an hour to perform, a nervous patient might require an extra 10 minutes. Frequently, using hypnosis language, we reduce treatment time for nervous and other patients to less than an hour. The half hour it takes to relax patients with hypnosis the first time saves many hours of treatment time with that patient over the years.

One doesn’t need to use formal hypnosis to achieve successful results with hypnosis.

Informal hypnotic language will help with all of your patients.

Prison Camp Dreams About 20 years ago, a patient came into University of Southern California School of Dentistry who had the body of a teenager, but the face of a middle aged woman. She was 29 year old, of Asian origin. Her shoulders were forward, to diminish her figure, even though she was quite small. She became more frightened as I approached. She refused the dental student’s treatment plan to place implants and crowns; she wanted only fixed bridges. I asked her why she didn’t want the best dentistry.

Her story was horrific. She said she had been in a concentration camp when she was 14 years old. One day, the guards took her away, forced her mouth open, and extracted a

18 | The Nugget • Sacramento District Dental Society

lower molar without anesthesia, so she would do everything they wanted her to do. A few months later, the guards repeated the process on the other side of her mouth. She said after that, she did everything she thought the guards wanted her to do, even before they told her what they wanted. She said, “My mouth hurts for the past two weeks as much as it did on the days they took my teeth out, because I’m so afraid to come here. My mouth will hurt for weeks, because I was here today. I can’t have any more dental surgery.”

I knew that people in prison are kept alive by thinking of a happy future far away from where they are. I didn’t attempt to convince her there was a difference between torture in a concentration camp and modern dentistry with anesthesia. Instead, I repeated back to her everything she told me, so she would know that I heard every word she said. I also repeated the treatment plan the student dentist, her cousin, recommended. But, I added something that she didn’t know. I explained that the student was giving up two bridges that he needed in order to graduate. While I didn’t say so, I implied the bridges were a loving sacrifice on his part for her benefit. This offered her a different viewpoint about dentistry.

I then asked her, “So, I’m wondering, if you are willing (increased volume) to think-about (change in pitch and tempo) having the very best dentistry?” She said, “I’m willing to think about it.” She accepted the informal hypnotic suggestions I gave when I used altered speech patterns.

Approximately a year and a half later, I was in the elevator going from the basement seminar room to my office on the fourth floor, when she entered the elevator on the first floor. I smiled and said, “Hello.” She looked down at the floor. She got off on the third (orthodontics) floor, and so did I. I said, “Aren’t you Jane

Doe?” She looked startled and said, “I didn’t think you’d remember me.” I replied, “Oh, no! I often wondered what you decided to do.” She spread her lips to show me full mouth braces. We chatted until her appointment time, which was in less than 10 minutes. We met this way about five to six times over the next several weeks. She was surprised—the orthodontics was much easier than she expected. I didn’t see again for another three years.

The elevator door opened on the first floor.

A cheery voice greeted me with a big smile, “Hello, Dr. Stone.” Jane Doe and others piled in, including a guy with a Baby Bjorn. Her face and body looked like that of a 21 year old model dressed very stylishly. On the fourth floor, she introduced me to her husband and new son. John Doe towered over me. He had blond hair and blue eyes. Her prison camp dreams came true.

We only spoke for less than two hours over a fiveyear period. I accepted her as she was. She recovered when she stopped looking to the past. She replied on the first visit that she was willing to think about having the very best of things (dentistry) for herself in the future. Informal hypnotic suggestions are a valuable tool for dentists.  Peter Stone, DDS, is clinical associate professor of the USC Ostrow School of Dentistry, course director for the hypnosis externship in the undergraduate DDS program, and has taught in the section of behavioral dentistry. He has taught the techniques and dental applications of hypnosis since 1981 for the Southern California Society of Clinical Hypnosis (SCSCH). Dr. Stone has been on the SCSCH Board of Directors of for 30 years, serving as President in 1991 and 2008.

He was an “approved consultant in clinical hypnosis” for the American Society of Clinical Hypnosis until he retired from private practice. Dr. Stone has practiced in Beverly Hills for more than 40 years.

Self Hypnosis A simple way for dentists to learn these techniques is through self-hypnosis. When I first work with a patient who needs to relax, I talk calmly in the first person from scripts I aggregated to suit my manner of speaking.

I begin by saying that my voice should be their voice while they are listening to me.

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I give them a copy of the script and suggest they make a recording in their own voice for them to listen to, starting with, “I am now in a…”

Make a recording for yourself and give yourself a treat. The first part should be spoken with calming pauses between the sentences and thoughts, and the rousing up should be done in an enthusiastic voice, beginning with, “Now, as I come back…”

Informal hypnotic language will help with all of your patients.

Sample Script Please close your eyes. While you’re listening to me, please imagine that my voice is your own voice. Accept the suggestions as though you’re giving them to yourself. Picture the scenes described. Imagine yourself feeling just the way your voice says. Let yourself drift along into comfortable, deep relaxation.

I am now in a comfortable position.

My hands and feet are apart. My eyes are closed. Now, I take a deep breath and hold it. As I hold my breath, I can feel the tensions in various parts of my body. Now, I exhale and breathe normally, and the tensions are draining from me like the tightness of a balloon, when the air is let out. I am smoothly, deeply relaxing. Easily letting myself go. Relaxing. As I relax and let myself go, I picture myself reclining on soft foamy cushions in a quiet and peaceful place. It’s the perfect setting to relax. I am alone.

It’s a very peaceful and restful feeling.

I can feel my arms and legs touching the cushions as I relax. My entire body feels light as I lie quietly, peacefully, in this relaxing atmosphere. My feet and legs become lighter and buoyant. The relaxed feeling spreads up into my body. My hands and arms are relaxed now. All the muscles in my face are letting go. As I relax more and more deeply, completely, easily relaxed, my hands and arms feel loose and limp. As limp as wet leaves. All of the tension has drained from them. Limp and relaxed. The loose, relaxed feeling is moving up my arms and into my body. My feet and legs feel as though they are floating.

Very buoyant, very light. Completely, completely relaxed. The light feeling is moving slowly up into my body.

Slowly relaxing my entire body. The face muscles, around my eyes, my forehead, my chin, my cheeks, are relaxed now. Easily relaxed.

I feel completely, wonderfully peaceful. My breathing is deep and regular now. And with each breath I take, I

feel happier and more deeply relaxed.

A wonderful sensation of peace, quietness, and contentment is spreading over me with each breath I take.

Now, as I count from one to ten, I can feel myself sinking more and more deeply into the quiet, relaxed, enjoyable feeling. More relaxed with each count.

One. Quietly and peacefully relaxed.

Two. Very buoyant in body and spirit.

Three. Floating restfully.

Four. More and more deeply relaxed.

Five. More buoyant with each number.

Six. Very peaceful, very relaxed.

Seven. My entire body is limp & floating.

Eight. Comfortable, happy.

Nine. Completely, peacefully relaxed.

Ten. I am now deeply relaxed, comfortable, peaceful, & serene.

I will feel as good or better when I re-alert myself. I will practice, and each time I do, I will re-experience these good feelings. I enjoy myself. I enjoy being myself. I enjoy being with myself. I enjoy being the sort of person I respect and admire. As long as what I hear is positive, constructive, and useful, I will not interfere. Each time I practice relaxation, it becomes easier and easier for me. I can relax quickly and easily, whenever I wish to. I can return to full energetic alertness at will.

Now, as I come back from ten to one, the limp lightness leaves my body and an abundant supply of enthusiastic energy flows through my entire system. With each number, I feel myself become more alert, aware.

When I reach number one, I’ll be wide awake, rested and refreshed.

Ten, nine, eight. I can feel the energy flowing back through me.

Seven, six, five. More and more alert with every count.

Four, three, two, one. I’m wide awake, feeling rested, happy, and full of energy. www.sdds.org • May 2015

| 19

Foundation of the Sacramento District Dental Society

The Foundation is the heart of the Society

T

he heart of our Dental Society is our Foundation. The heart supplies life. It supplies sustenance, meaning, wellbeing, strength to carry on, and love for others.

It is what drives us, gives us our energy, allows us to reach new goals and new heights. The heart of our Dental Society is strong because of all the many hearts who sustain us by their gift of time, energy, talents and financial contributions. We have lost one of those great hearts— Dr. Bob Gillis. Bob recently passed away due to illness. This is not only a great personal loss for me, but a significant loss to our community and our Society. Bob was not only a leader in our dental community here in Sacramento, but also at the state and national level. Bob was clearly one who clearly lived and led with his heart.

Bob has made many significant contributions to our Society through his leadership of both SDDS and the Foundation. His push for and development of what has become our Smiles for Big Kids program will leave a lasting legacy of good for our community. This program enables us to give the gift of a smile to those adults in need. It is a wonderful addition to our already existing programs and another avenue for charitable giving.

Bob will be missed, but the gift from his heart will continue to give through the heart of SDDS, our Foundation.

The day after Bob passed away, we were informed by the California Wellness Foundation that we received a three-year, $150,000 grant for Smiles for Big Kids. We know that our special angel is making sure that we continue the good work he helped us begin.

Our Foundation this year was also a significant contributor to CDA Cares Sacramento this past March. Our Foundation donated

$10,000 to CDA Cares in honor of Gary Ackerman, who served as the Local Chair, and in memory of Dr. Bob Gillis. Gary worked tirelessly to recruit and organize the thousands of volunteers who provided over $2 million in free dental care at Cal Expo.

While 2015 is beginning with great success, a look back at 2014 makes me smile with a great sense of pride.

Here is a recap of what the heart of our dental society accomplished this past year:

The heart of our Dental Society is strong because of all the many hearts who sustain us by their gifts of time, energy, talents and financial contributions.

Smiles for Kids 2014 We screened 25,000 kids in 103 schools in the fall of 2014. Our new puppet show, in partnership with Puppet Art Theater, taught little kids how to brush and have good dental health habits, while the “game show” puppet show entertained the older kids, teaching the same thing. Smiles for Kids in February 2014 again hosted 425 kids at 20 sites with 250 volunteers. When the 2015 stats are finalized, I think we will continue to see the value of this important service to the kids of our community. The upshot is that we are connecting more kids to insurance and benefits, and those who really fall through the cracks can be helped by our Foundation!

20 | The Nugget • Sacramento District Dental Society

By Kevin Keating, DDS, MS 2014 Foundation President

Smiles for Big Kids 2014 was a Smiles for Big Kids year where we finished up many of the Women’s Empowerment “Big Kids” and began our other outreach. From treating the elderly and veterans who “fall through the cracks” to those on limited income with “no insurance,” the thanks and gratitude for our program is overwhelming. One case in particular is featured in this issue of The Nugget. Please take a moment to read Melissa Gandy’s story.

Smiles for Sacramento Gala Our gala on Oct. 18, 2014 at the Hyatt Regency was a wonderful success—people were happy, their wallets were open and it was a wonderful event to highlight our Foundation, its work and its volunteers. The gala was attended by more than 300 people and raised $90,000 for the Foundation, which helps to support our many projects benefitting the community.

To close, we were blessed to have more than 400 members of our Foundation join for $75.

Our goal is to reach 500 members by 2016.

This dues contribution helps to keep our Foundation running smoothly and ensures that we can continue our fundraising, grant writing, special events (like the Golf Tournament and Broadway series) and other fundraising activities so that we can continue our good work. Thank you to all who are members of our Foundation. And if you aren’t, you can sign up any time!

To those wonderful people who have contributed to the Foundation, thank you.

The pages that follow show the kindness and generosity from our members, our friends and the community. It is impressive to say the least. We look forward to a great 2015 —with your continued help and loyalty. 

A CHARITABLE 501-C3 ORGANIZATION

1

2

Above: Smiles for Big Kids patients from Women’s Empowerment express gratitude to the volunteers who gave them treatment during CDA Cares Sacramento. 1. Third graders from the Esparto Unified School District have fun learning about good dental health habits with the “game show” puppet show presented by Puppet Art Theater. 2. Young patients show off their smiles at DiTomasso Dental on Smiles for Kids Day 2014. 3. Smiles for Sacramento Gala attendees and Foundation supporters gather before the live auction begins.

I cannot thank you enough for what you’ve done for my fatherin-law. The whole experience was professional and caring. He couldn’t have been more pleased.

— Gary Wilson, son-in-law of CDA Cares patient and disabled veteran Harvey Fischer.

Harvey had his teeth extracted at CDA Cares after SDDS referred him to the program for care.

3

www.sdds.org • May 2015

| 21

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A CHARITABLE 501-C3 ORGANIZATION

Celebration of Foundation Donors as of December 31, 2014 Foundation Members (2014) Dentist Members

Reza Abbaszadeh, DDS Guy Acheson, DDS Gary Ackerman, DDS Terry Adair, DDS Eva Adams, DDS Gregory Adams, DDS, MS Kristen Adams, DDS Nima Aflatooni, DDS Dean Ahmad, DDS Craig Alpha, DDS Brad Archibald, DDS Nancy Archibald, DDS Mark Backhus, DDS Daisuke Bannai, DDS Richard Behl, DDS Wallace Bellamy, DMD Robin Berrin, DDS Paul Bianchi, DDS Paul Binon, DDS, MSD John Birch, DDS Ronald Blanchette, DDS Hendrick Blom, DDS Thais Booms, DDS, MSD Michael Boyce, DDS Damon Boyd, DDS Colleen Buehler, DDS Rodney Bughao, DDS David Burke, DDS Robert Burkhard, DDS Matthew Campbell, Jr., DDS Adrian Carrington, DDS Erin Carson, DDS Vince Castaldo, DMD Steven Cavagnolo, DDS Thad Champlin, DDS, MSD Wai Chan, DDS Richard Chang, DDS Shareen Char-Fat, DDS Kevin Chen, DMD, MS Ru Chen, DDS Regina Cheung, DDS Sonney Chong, DMD Stephen Christensen, DMD Lawrence Chu, DDS Michael Chu, DDS Darrell Chun, DDS Scott Churchill, DMD Matt Comfort, DDS Patrick Cook, DDS Christopher Cooper, DMD James Coyle, DDS Lee Crane, DDS, MPH Brian Crawford, DMD Paul Cripe, DDS David Crippen, DDS Gina Crippen, DDS Shama Currimbhoy, DDS John Cutter, DDS Jerome Daby, DDS Robert Daby, DDS Kent Daft, DDS Vincent D’Ascoli, DDS David Datwyler, DDS Jeffrey Davidson, DDS Martha De Los Rios, DDS

Teresa DeGuzman, DMD James Delehanty, DDS Margaret Delmore, MD, DDS Paul Denzler, DDS Friz Diaz, DDS Shaina DiMariano, DDS Pamela DiTomasso, DMD Hung Do, DDS Jerome Dobak, DDS Lisa Dobak, DDS Gordon Douglass, DDS Jennifer Drew, DDS, MSD Aly Elsayed, DDS James Everhart, DDS Diana Fat, DDS JC Fat, DDS, MS Kenneth Fat, DDS David Feder, DDS Volkmar Felahy, DDS Debra Finney, DDS Brian Fong, DMD, MD Leslie Fong, DDS Michael Forde, DDS, MS Rikard Forsberg, DDS Lora Foster Rode, DDS Beatriz Galofre, DDS Spencer Gedestad, DMD Richard Gere, DDS Kelly Giannetti, DMD, MS Herbert Gibbs, DDS Robert Gillis, DMD, MSD Mitchell Goodis, DDS Jennifer Goss, DDS Wayne Grossman, DDS Edi Guidi, DDS Dan Haberman, DDS, MS Gregory Hailey, DDS Nicky Hakimi, DDS, MSD Harold Hanefield, DDS Lauren Hanschu, DDS Kerry Hanson, DDS Daniel Harlan, DDS David Hatcher, DDS Elizabeth Harmon, DDS Victor Hawkins, DDS Robert Hays, DDS Jagdev Heir, DMD, MD Greg Heise, DDS Marsha Henry, DDS Timothy Herman, DDS Steven Higashi, DDS Carl Hillendahl, DDS Dennis Hiramatsu, DDS Craig Hollingsworth, DDS Michael Holm, DDS Mark Holt, DDS, MS Wesley Honbo, DDS Herbert Hooper, DDS Elizabeth Huynh, DDS Richard Jackson, DDS Herbert Jensen, DDS Elizabeth Johnson, DDS Daniel Jones, DDS Terrence Jones, DDS Bryan Judd, DDS Lynn Judd, DDS Robert Katibah, DDS Paul Katz, DDS David Keating, DDS Kevin Keating, DDS, MS

Richard Keilson, DDS Sidney Kelly, DMD Richard Kennedy, Jr., DDS Neelofar Khan, BDS Jin Kim, DDS Peter Kim, DDS George Koch, DDS Beverly Kodama, DDS Matthew Korn, DDS Kevin Kurio, DDS Jeffrey Kwong, DDS, MSD Laurie LaDow, DDS Lisa Laptalo, DMD Lawrence Larsen, DDS Skip Lawrence, DDS Gordon Lee, DDS Grace Lee, DMD, MD Leland Lee, DDS Alan Leider, DDS Steve Leighty, DDS Donald Liberty, DDS Steve Longoria, DDS David Lopes, DDS Carol Lopez-Shams, DDS L. Neil Loveridge, DDS Donald MacDonald, DMD Abdon Manaloto, DDS Janine Ma-Golding, DDS William Marble, DDS Greg Maroni, DDS James McNerney, DDS Warren McWilliams, DDS James Meinert, DDS Timothy Mickiewicz, DDS Glenn Middleton, DDS David Miller, DDS Dwight Miller, DDS Daniel Miyasaki, DDS Edward Montalbo, DMD Rhonda Montalbo, DMD Jack Moore, DDS Kathryn Ann Moore, DDS Kenneth Moore, DDS Sydney Moore, DDS Megan Moyneur, DDS Steve Patrick Murphy, DMD Tania Nelson-Chrystal, DDS John F. Nelson, DDS Minh Nguyen, DDS Thanh-Truc Nguyen, DDS Daniel Nolan, DDS James Oates, DDS Michael O’Brien, DDS Kevin O’Dea, DDS, MS Kevin O’Neill, DDS, MSD John Oshetski, DDS Stephen Ott, DDS Deborah Owyang, DDS Gregory Owyang, DDS Viren Patel, DDS Michael Payne, DDS, MSD James Peck, DDS Joel Pedersen, DDS Patrick Penney, DDS Joshua Perisho, DDS Stacey Peters-Nelson, DDS Flaviane Petersen, DDS Brett Peterson, DDS Dennis Peterson, DDS Robert Phillips, DDS

Paolo Poidmore, DDS, MSD Mark Porco, DDS Robert Pretel, DDS Michael Quessenberry, DDS Dexter Quiggle, DDS Alan Rabe, DDS Moji Radi, DDS Darryl Ragland, DDS Hana Rashid, DDS Ibtisam Rashid, DDS Gabrielle Rasi, DDS Ron Rasi, DDS Paul Raskin, DDS Joseph Rawlins, DDS Justin Reich, DDS Sean Rhee, DDS Bevan Richardson, DDS Lindsey Robinson, DDS Roda Leon III, DDS Christy Rollofson, DDS Donald Rollofson, DMD Nicholas Rotas, DDS Sean Roth, DDS Brian Royse, DDS Benton Runquist, DDS Navneet Sahota, DDS John Santamaria, DDS Cherag Sarkari, DDS William Schaedler, DDS Christopher Schiappa, DDS David Seman, DDS, MS Howard Shempp, DDS Richard Shipp, DDS Stefanie Shore, DDS James Silverman, DDS Walter Skinner, DDS William Sloan, DMD Andrea Sosa, DDS Norman Spalding, DDS Joelle Speed, DDS Charles Stamos, DDS Visse Storm, DDS Jeffrey Sue, DDS Victoria Sullivan, DDS Damon Szymanowski, DMD Art Tanimoto, DDS Larry Templin, DDS R. Bruce Thomas, DDS H. Scott Thompson, DDS Robert Tilly, DDS J. Alex Tomaich, DDS, MD Pedram Towfighi, DDS, MS Leo Townsend, DDS Patrick Tsai, DDS Kelvin Tse, DDS Glen Tueller, DDS Gregory Tuttle, DDS Lucy Valencia, DDS Asvin Vasanthan, DDS, MS Jenny Vassilian, DDS Jenny Victoria, DDS Chang Vong, DMD Tom Wagner, DDS Kim Wallace, DDS Melvin Walters, DDS Wayne Walters, DDS Kingsley Wang, DDS Glen Warganich-Stiles, DDS Ernie Watson, DDS Russell Weaver, DDS

2014 ANNUAL REPORT Russell Webb, DDS Cynthia Weideman, DDS Michael Weideman, DDS Mark White, DDS Gregory Wilcox, DDS Ryan Wilgus, DDS Michael Wilson, DDS Bingson Wong, DDS Dennis Wong, DDS Ian Wong, DDS Kenneth Wong, DDS Timothy Wong, DDS Daniel Woodson, DDS Janice Work, DDS Peter Worth, DDS Jamson Wu, DDS, MSD Rosemary Wu, DMD, MS Lynn Yamamoto, DMD Thomas Yamamoto, DDS Bradley Yee, DDS H. Wesley Yee, DDS

Associate Members California Dental Association CDA Foundation Comel Ahmad Debra Burke Irene Campbell Stephanie Cripe Lori Daby, RDH Peggy Daft JP DeGuzman Rachelle Doyle Kayla Nguyen Dringenber Fechter & Company Kathleen Ford Lori Forsberg Mary Ann Harris Beverlee Hawkins Margaret Jackson Kathy Jones Marion Jones Linda Judd Joe Kalinowski, CPA/PFS Sue Keating, RDH Leigh Kurio Cookie Lawrence Deborah Lee Karen Leighty Steve Leininger, CPA/PFS Cathy Levering Joyce Oates Ann Peck Gayle Peterson Julie Rawlins Kim Stiles Sherry Sue Brent Thomas, CPA/PFS Annette Tomaich Hans Walde Karen Walters Michelle Wang Kim Warganich-Stiles Kathi Webb Shelley Wong Gilbert Wyse Ruby Yu, MD

www.sdds.org • May 2015

| 23

Foundation of the Sacramento District Dental Society Continued…

2014 ANNUAL REPORT

Memorials

in memory of: Dr. Leo Angel SDDS Dr. Bev Kodama Dr. Liz Bunz’ father Dr. Bev Kodama Dr. Barbara Castle SDDS Dr. Robert Clements SDDS Dr. Jerry Dobak SDDS Dr. Bev Kodama Dr. Don Rollofson Cathy & Bruce Levering Dr. John Haw SDDS Dr. August Rademacher SDDS Dr. Jared Ruminson SDDS

Member Contributions

Dr. Greg Adams Dr. Rina Ambaram Dr. Wallace Bellamy, in honor of Dr. Kevin Keating Dr. Richard Brown Dr. Matt Campbell, in honor of Dr. Kevin Keating Dr. Robert Catron Dr. Steve Cavagnolo Dr. Wai Chan & Dr. Ruby Yee, in honor of Cathy & Bruce Levering Dr. Chuen Chie Chiang Dr. Jude Crutchfield Dr. Robert Daby Dr. Kent Daft Dr. James Delehanty Dr. Paul Denzler Dr. Pamela Di Tomasso Dr. Lisa Dobak Dr. Gordon Douglass Dr. Brian Fahey Dr. Kelly Giannetti Dr. Edi Guidi Dr. Dan Harlan Dr. Victor Hawkins Dr. Carl Hillendahl Dr. Bruce Holt Dr. Kevin Keane Dr. Richard Kennedy Dr. Bev Kodama, in honor of Herb & Wes Yee’s birthdays Dr. Laurie La Dow Dr. Skip Lawrence Dr. Samantha Lee Dr. Jesse Manton Dr. Dwight Miller Dr. Megan Moyneur Dr. Michael O’Brien Dr. Josh Perisho Dr. Dennis Peterson Dr. Brett Peterson Dr. Robert Phillips Dr. Hana Rashid Dr. Dale Redig Dr. Bevan Richardson Dr. Don & Janet Rollofson

Dr. Dean Sands Dr. Patrick Shannahan Dr. Richard Shipp Dr. Stefanie Shore Dr. Larrry Templin Dr. Glen Tueller Dr. Greg Tuttle Dr. Wen-Li Wang Dr. Russ & Kathi Webb Dr. Brandon Webb Dr. Dennis Wong, in honor of Dr. Kevin Keating Dr. Herbert & Inez Yee Dr. Wes Yee Dr. James Zimmerman Mr. Michael Korn

Other Contributions Heartland Company Debbie Holt Cathy & Bruce Levering Kari McKinley Alan Olson Debra Payne Pierre Fauchard Academy SDDS Becky Wood

Perpetual Endowment Fund Contributions & Pledges

Dr. Wallace Bellamy Dr. Steve & Robin Cavagnolo Dr. Wai Chan & Dr. Ruby Yee Dr. Robert & Lori Daby Dr. Robert & Marylou Gillis Dr. Victor & Bev Hawkins Dr. Kevin & Sue Keating Cathy & Bruce Levering Oates Charitable Trust Dr. Donald & Janet Rollofson Dr. Russ & Kathi Webb Dr. Dennis Wong Dr. Herbert & Inez Yee Dr. Wesley & Nancy Yee

Crowns for Kids Dr. Guy Acheson Dr. Gary Ackerman Dr. Dean Ahmad Dr. Robin Berrin Dr. Carlos Bonilla Dr. Damon Boyd Dr. Vince Castaldo Dr. Christopher Chan Dr. Richard Chang Dr. Kristen Chang Dr. Kevin Chen Dr. Garth Collins Dr. Shama Currimbhoy Dr. Jerome Daby Dr. Robert Daby Dr. Margaret Delmore Dr. Julianne Digiorno Dr. Pamela Di Tomasso Dr. Vivian Fernandez Dr. Debra Finney Dr. Reza Fouladi Dr. Kasi Franck Dr. Robert Gillis Dr. Mitchell Goodis Dr. Edi Guidi Dr. Dan Gustavson

24 | The Nugget • Sacramento District Dental Society

Dr. Laurie Hanschu Dr. Victor Hawkins Dr. Gregory Heise Dr. Ryan Higgins Dr. Nam Hoang Dr. Michael Holm Dr. Dick Huang Dr. Elizabeth Hurnh Dr. Nidhi Jain Dr. Richard Kennedy Jr. Dr. Shahryar Khodai Dr. Matthew Korn Dr. Laurie LaDow Dr. Judith Lane Dr. Grace Lee Dr. James Lee Dr. Steve Leighty Dr. Steve Longoria Dr. Luis Mendez Dr. Edward Montalbo Dr. Kenneth Moore Dr. Khari Nelson Dr. Tania Nelson-Chrystal Dr. Charles Newens Dr. Minh Nguyen Dr. Thanh-Truc Nguyen Dr. Michael O’Brien Dr. Siamak Okhovat Dr. Viren Patel Dr. Michael Preskar Dr. Robert Pretel Dr. Robert Phillips Dr. Jean Rabadam Dr. Moji Radi Dr. Hana Rashid Dr. Ibitsam Rashid Dr. Mark Redford Dr. Jeffery Rho Dr. John Riach Dr. Christy Rollofson Dr. Purvi Shah Dr. Howard Shempp Dr. Richard Shipp Dr. Stefanie Shore Dr. Jonathan Szymanowski Dr. Alex Tomaich Dr. Pedram Towfighi Dr. Amy Tran Dr. Sang Tran Dr. Carl Trubschenck Dr. Hoang Truong Dr. Steven Tsuchida Dr. Glen Tueller Dr. Alex Vilderman Dr. Kim Wallace Dr. Ian Wong Dr. Rosemary Wu Dr. James Yang Dr. Wesley Yee Dr. Michael Young

Broadway Series Dr. Gary Ackerman Dr. Kreston Anderson Dr. Nancy Archibald Dr. Michael Atherly Dr. Sean Avera Dr. Michael Barks Dr. Maria Bautista Dr. Wallace Bellamy Dr. Robin Berrin Jim Bowman Sharon Bush Dr. Matt Campbell Dr. David Cernik Dr. Jayson Chalmers Dr. Richard Chang

Dr. James Childress Dr. Sonney Chong Regina Collins Dr. G. Croft Dr. Kent Daft Dr. Jennifer Datwyler Dr. Lisa Dobak Dr. Mark Endo Dr. David Feder Dr. Sindy Fondren Dr. Wesley Fong Dr. Lora Foster-Rode Dr. Calvin Garland Dr. Kelly Giannetti Dr. Arlenita Gomez-Croddy Dr. Gene Gowdey Dr. Mark Greenmun Dr. Dan Gustavson Dr. Adam Haney Tom & Nancy Harvey Dr. Victor Hawkins Dr. Carl Hillendahl Dr. Brock Hinton George Hullin Pamela Ishisaka-Nolfi Dr. Paul Johnson Dr. David Jolkovsky Kathy Jones Bill Kahrl Dr. Kevin Keating Dr. Richard Keilson Dr. Beverly Kodama Dr. Lisa Laptalo Rashida Lilani Teresa Lua Jenifer McDonald Dr. Warren McWilliams Dr. Tania Nelson-Chrystal Dr. Edward Orgon Dr. Brett Peterson Ms. Beth Phillips Dr. Jerome Pielago Dr. Sean Rhee Dr. Gerald Roberts Dr. Morton Rosenberg Dr. Ma Sayoc Dr. Darce Slate Dr. Charles Stamos Dr. Allan Tangaan Dr. Kevin Tanner Dr. Stephen Taylor Dr. John Tomaich Dr. Kenneth True Dr. Kim Wallace Dr. Dina Wasileski Dr. Cindy Weideman Roxanne Weideman Janelle Willing Viviane Winthrop Dr. Keith Wood Dr. Janice Work Dr. James Yokota Dr. Mark Young Dr. Agnes Yumiaco

Holiday Party

Auction Bidders & Donors Dr. Gary Ackerman Dr. Wallace Bellamy Dr. Thais Booms Dr. Forrest Boozer Lori Daby Shelly Farrand Dr. Volki Felahy Dr. Kelly Giannetti

Dr. Robert Gillis Debra Griffin Dr. Vic Hawkins Dr. Carl Hillendahl Dr. Herb Hooper Innovative Solutions, CPAs Dr. Bev Kodama Bruce Levering Dr. Viren Patel Dr. Don Rollofson Dr. Glen Warganich Stiles Della Yee Dr. Wes Yee

Golf Tourney (2014) Sponsors & Golfers

Dr. Craig Alpha Drs. Alpha & Heise American River Bank Dr. Todd Andrews Bank of the West Dr. Daisuke Bannai Dr. Wallace Bellamy Blue Northern Builders Dr. Gary Borge Burkhart Dental Supply Carestream Dental Dr. Kevin Chen Dr. James Cho Consolidated Communications Dr. Rocky Crang Dr. Kent Daft Drs. Daft & Stamos Dentsply Rocklin Dr. Kelly Giannetti Henry Giano Matthew Gibson Dr. Victor Hawkins Dr. Gregory Heise Dr. Ryan Higgins Dr. Carl Hillendahl Dr. Brock Hinton Dr. Mark Holt Dr. Brian Hull Infostar Dr. Chad Jensen Dr. Jeremy Dr. Jeffrey Kwong Laguna Dental Arts Levering Company Dr. Donald Liberty Liberty Dental Plan Mann, Urrutia, Nelson CPAs Dr. George Mayweather Robert Miller North Valley Bank Northwestern Mutual Sac Olson Construction Patterson Dental Supply Dr. Paolo Poidmore Prosthodontic Dental Group Drs. Jeffrey Nordlander; Brock Hinton; & Herlin Dyal RelyAid Dr. Jeffrey Rosa Frank Sanchez Sultan Healthcare Supply Doc, Inc. Dr. Cas Szymanowski Dr. Damon Szymanowski Dr. Jonathan Szymanowski Bryan Thomas Jake Vinz Wells Construction Wells Fargo Bank

Smiles for Sacramento Gala Sponsors

Adelda Health Analgesic Services, Inc. Delta Dental First Community Credit Union Morgan Stanley Smith Barney, Tim McDonald, David Fritz, & Jeff Won Heise & Alpha OMS Beverly Kodama & Will Galloway Merchants Bank Patterson Dental Supply Sutter Health Sacramento Sierra Region TDIC Insurance Solutions

Captains

Dr. Gary Ackerman Dr. Kosta Adams Dr. Nancy Archibald Dr. Wallace Bellamy Dr. Matt Campbell Dr. Richard Chang Dr. James Coyle Dr. Robert Daby Dr. Kent Daft Dr. Margaret Delmore Dr. Debra Finney Dr. Kelly Giannetti Dr. Robert Gillis Deanna Hanson Dr. Deanna Hanson Dr. Victor Hawkins Dr. Tim Herman Dr. Carl Hillendahl Dr. Richard Jackson Dr. Terry Jones Dr. Viren Patel Dr. Dennis Peterson

Dr. Aaron Reeves Dr. Wesley Yee Capital Performance Advisors Endodontic Associates Henry Schein Dental MTI Business College Prosthodontic Dental Group

Live Auction Donors & Bidders

Thank you to our generous

Dr. Craig Alpha Dennis & Jenny Barnes Dr. Wallace Bellamy Dr. Matt Campbell Dr. Wai Chan Dr. Richard Chang Dr. David Crippen Urijah Faber Dr. Kelly Giannetti Randy & Jeannie Graham Debra Kubin Bruce Levering Bill Mahoney Tim & Jenifer McDonald Louis Sanchez Matt Sanchez Dr. Brian Steele Todd Stone Dr. Robert Tilly Thomas Wirig Doll Nancy Yee

Smiles for Kids 2014 Grantors & Partners

Wells Fargo Foundation

Sacramento Region Community Foundation Knapp Fund

Ronald McDonald House Charities

Smiles for Kids Contributions

Craig Harris Gordon & Mary Ann Harris Charitable Trust Karen Harris Vern Park United Concordia Blue Northern Builders

Smiles for BIGKids

®

Thank you to our generous

Smiles for Big Kids 2014 Grantor d Awar

!

Del E. Webb Foundation

The Del E. Webb Foundation (DEWF) named SDDS and the Foundation an “Exceptional Organization” oin 2014.The DEWF Board of Directors went through their records for the past 10 years and found 22 exceptional organizations out of the 1,024 they had dealt with in that time. All these organizations “have at least one grant unanimously approved by all DEWF board members, have outstanding management and leadership commitment, provide consistent excellent service to a great many people and make excellent use of the funds received.”

Look for the Smiles for Kids 2015 Recap in the June / July Issue!

CURRENT ASSETS

LIABILITIES & EQUITY

CHECKING / SAVINGS

LIABILITIES

2013

2014

Charitable Fund (Smith Barney)

$181,110

$221,087

General Fund (Smith Barney)

$484,932

$410,631

2013

2014

Accounts Payable

$17,516

- $8,750

Deferred Revenue

$10,310

$5,747

$27,826

- $3,003

(Other Current Liabilities)

$151,128

$182,514

$619,024

$776,145

TOTAL CHECKING / SAVINGS: $1,436,195

$1,590,377

Retained Earnings

$1,052,828

$1,432,181

Net Income

$379,359

$195,430

Helen Hamilton Fund (Vanguard) Operating, program and grants monies

Perpetual Endowment Fund (Vanguard)

TOTAL LIABILITIES:

EQUITY

ACCOUNTS RECEIVABLE:

$4,030

$33,212

PREPAID EXPENSES:

$19,788

$1,019

TOTAL EQUITY:

$1,432,187

$1,627,611

$1,624,608

TOTAL LIABILITIES & EQUITY:

$1,460,013

$1,624,608

TOTAL ASSETS: $1,460,013

www.sdds.org • May 2015

| 25

Foundation of the Sacramento District Dental Society

By Melissa Gandy Smiles for Big Kids Patient

Giving Gratitude for a Smile & a Fresh Start

Smiles for BIGKids®

There may not be enough rain, but that is not stopping spring for making its way in the valley. It is a message I am taking to “heart.” The gift I have been given goes far beyond simply fixing my smile—it is essentially a second chance to enjoy life, a fresh start.

The gift I have been given goes far beyond simply fixing my smile—it is essentially a second change to enjoy life, a fresh start.

A

s I see the world around me bloom, I hope that I am doing the same. I wish to express the gratitude I have for all of the amazing people that helped me over the last year and a half. I can hardly remember the last time I felt this free to smile with confidence, the last time I had bright hopes for my future. For the last five years, I cringed and cried as I saw and felt my teeth and my potential crumble before me. I tried a couple of times to see what I could do to fix it, but it was never something I could seem to afford, and yet I couldn’t afford not to either.

In October 2013, a friend got me in touch with Cathy Levering of SDDS. I met Cathy just a few days later full of nervous excitement as we went over what the Smile for Big Kids program was about and what I could potentially expect.

We discussed my family history of bad teeth and my personal story of what led me to that moment. Most of the meeting is a blur with the exception of Cathy saying she thought they could help and wanted to get started right away (before duck hunting season started for the dentist!) I was given the contact information for Dr. Robert Daby and was told that they were expecting my call. It was an amazing feeling that this could really be the beginning of my adventure to a new smile.

Dr. Daby’s staff should all be given gold stars.

The first visit was so easy, from the courteous professionalism and assistance I received from Jennifer filling out all the paperwork,

26 | The Nugget • Sacramento District Dental Society

to the teeth cleaning that Lori gave me. This was my first dentist visit in almost 18 years, so I was told I would need a second, deeper cleaning but Lori was so patient dealing with my anxiety over having dental work done, I almost didn’t mind. Dr. Daby was able to save a few of my teeth and we spent a few weeks getting my gums in shape, as well as filling the cavities in the teeth that were staying. The fact that they took the time and effort to make some of my teeth viable is something I will always appreciate.

By late winter, I was meeting Dr. Currimbhoy, the surgeon, for my consult for extraction at Sacramento Oral Surgery. On March 25, 2014, I went in for my tooth extraction. I heard after, that Dr. Preskar assisted with the surgery, but I was out of it and don’t recall meeting him. That was the closest I had ever been to having surgery and it was a difficult recovery for me. The procedure went flawlessly, but I wasn’t prepared for the emotional impact that I experienced while I was convalescing.

I received excellent post-op care from Dr. Currimbhoy and had no complications. I remember the surgeon saying it was textbook healing. I did have some issues getting the temporary dentures to work, but after a little healing and Dr. Daby messing with the fit, we were able to get them to mostly work.

Having those temporary dentures made a huge difference for me emotionally. I spent weeks hiding from everyone after surgery, because

A CHARITABLE 501-C3 ORGANIZATION I felt even more ashamed of my appearance than before. With the boost of confidence that the dentures gave me, I felt brave enough to experience some firsts in my life. I walked at my graduation ceremony in May 2014, which was a really big deal for my family, especially my mother, since I am the first person in my family to have graduated from college. By July, I had my permanent set and could show a beaming smile. For the first time in years, and with a degree in hand, I started looking for more employment opportunities without worrying about interviews. This past November, I was a bridesmaid for a very close friend and that is a precious memory I treasure. If I had not had received all of this help I would have never had the courage to stand on a stage in front of all those people (in a dress no less!) and smile for the happy couple.

This March, I volunteered with CDA Cares at their dental clinic at Cal Expo. Seeing all of those grateful people getting the access to dental care they needed was an amazing opportunity and a small chance to pay it forward. I will forever be changed because of Cathy, SDDS, the Smile for Big Kids program and the doctors who are giving back to their community. It is a wonderful thing that you all are doing. 

Top left: Melissa on graduation day from Sacramento City College in May 2014.

Left: Melissa as a bridesmaid in her friend’s wedding in November 2014.

Above: Melissa visits with her Smiles for Big Kids dentist, Dr. Robert Daby, at the SDDS office in December 2014.

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| 27

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28 | The Nugget • Sacramento District Dental Society

Trustee Report Respectfully Submitted by Terrence Jones, DDS CDA Trustees

March 14-15, 2015 Highlights of the CDA Board of Trustees Meetings Actions Taken

final annual report be filed on the progress of the Process Review Subcommittee implementation steps by omitting the recommendation to eliminate assigned board dinner seating.

*All actions of the Board will be moved to the House of Delegates for ratification (board report 3) or as a separate resolution.

•

Minutes and Appointments: The Board approved prior meeting minutes and ratified the presidential appointment to the Council on Peer Review.

•

2014 Evaluation for the CDA Executive Director: The Board, in closed session, approved the CDA executive director’s 2014 evaluation as recommended by the Evaluation Committee.

•

Ratification of the CalDPAC Board of Directors: The Board ratified the 2015-2016 CalDPAC Board of Advisors.

•

Thirteenth District Delegation Appointment for Special Circumstances: The Board ratified the 2015 CAPP membership dues payment.

•

CAPP 2015 Membership Dues: The Board ratified the 2015 CAPP membership dues payment.

•

Center for Oral Health Funding Request: The Board ratified the contribution of $25,000 to the Center for Oral Health.

•

Report on Implementation of Process Review Subcommittee Recommendations: The Board amended and approved that the

•

Member Relationship Survey Funding: The Board approved an expenditure of $200,000 to support the member relationship survey.

•

2015 Management by Objectives of the CDA Executive Director: The Board approved the revisions to the CDA executive director’s 2015 objectives in an effort to further align them with this year’s anticipated strategic plan activity.

•

Election of Trustee to Committee on Volunteer Placement: The Board elected Brenda J. Buzby, DDS, to serve on the Committee on Volunteer Placement through the 2016 House of Delegates.

•

Component Aptify Business Plan: The Board approved an expenditure of up to $36,000 to support the creation of a comprehensive business plan for the development and implementation of Aptify for the component dental societies.

•

Membership Offer – Connect Now: The Board approved the Connect Now membership promotion to leverage the significant benefit of CDA Presents and

closely align existing dues structures among the tripartite.

•

Peer Review Appeal Criteria: The Board amended and approved editorial modifications to the Peer Review Manual to inform appellants about requirements for submitting an appeal.

Discussions •

Review of Strategic Plan Tactics: The Board received and discussed the strategic plan and the recommended tactics to achieve the plan’s strategies and objectives.

•

Updates: The Board received updates on activities associated with The Dentists Services Company, TDIC’s strategic business plan, the Governance Review Advisory Committee, upcoming CDA Cares events and the Senate and Assembly Health Committees joint hearing on the impact of Medi-Cal reimbursement rates on access to care. In addition, the board, in closed session, received verbal updates on matters related to the Delta Dental litigation and the Supreme Court decision regarding the North Carolina Dental Board.

Next Board of Trustee Meeting: May 29-30, 2015

3021 El Camino Ave Dental Building Between Watt Ave. and Fulton Ave. For Rent $2400/Mo Or Option To Buy Highly successful, free standing dental building over the years (approx. 1750 sq ft perimeter) for rent or option to buy. Excellent visibility from El Camino Ave on a highly trafficked street. Ample parking for 10 cars with handicap parking and ramp. Office interior has 4 operatories, 2 private business offices, waiting room, large lab area, and 3 rest rooms (patient bathroom, employee bathroom, and dentist bathroom). This office will be available very soon.

Call John Morrisey, DDS for further details and negotiations: 916.833.7326

www.sdds.org • May 2015

| 29

General Meeting

April 14, 2015

•

Alma Mater Night

•

X-rated Imaging Pearls

2

1 4

3

2 6 5

5 7 9 10

8

1 2 3 4 5

Drs. David Keating (left) and Upendra Patel.

6

Dr. Upendra Patel wins a bottle of wine raffled off by Vendor Member Innovative Solutions, CPAs.

Drs. James Kelso (left) and Gilbert Yee show off their alma mater flags.

New member Dr. Shikha Rathi introduces herself. She works with Dr. Hatcher!

Drs. Angel Soto (left) and Carla Gutierrez.

From left to right: Dr. Mitch Goodis, Dr. Elizabeth Johnson, Audrey Goodis and Lydia Barton, RDH.

7 Drs. Jennifer Drew, Justine Fong and Forrest Boozer.

8 Brian Flanagan of Integrity Practice Sales (Vendor Member) 9 Drs. Volki Felahy and Monica Gugale.

10 Dr. Thad Champlin (left) and Dr. David Hatcher, the evening’s speaker.

Next General Membership April 14, 2015 Next General Membership Meeting: MAY 12,Meeting: 2015 • Foundation Night!

See General Meeting insert or visit ww.sdds.org/general-meetings

See General Meeting insert or go to sdds.orgtotosign signup! up!

30 | The Nugget • Sacramento District Dental Society

98

Committee Corner Social Media Task Force

Presents ‘SDDS ToothTube!’

By Kristen Adams, DDS

Social Media Task Force Co-Chair Membership Chair

Jimmy Fallon and many others did it. Now SDDS is doing it.

Welcome to the ToothTube! Our Dental Society’s presence on YouTube is here to stay.

I

op one is getting numb? Brush up on snore guard design with “Snore Appliance 101.” Need a laugh after delivering some bad news? Join me in my kitchen for an “Apple Smile” tutorial.

n an effort to continue to engage our current members, this biweekly video platform will allow our community to stay up-to-date on what’s going on around us.

On behalf of the membership committee and social media task force, our goal is to provide our friends and colleagues with informative messages, tips or tricks from your neighbor dentist, and some light-hearted laughter. These topics, and your future suggested topics, are yet another member benefit our Dental Society provides.

Join me in my kitchen for an “Apple Smile” tutorial on the SDDS ToothTube channel!

Want to get in on the fun? Just subscribe to our YouTube channel, “SDDS ToothTube.” Also, don’t forget to like, share and comment!

We appreciate your feedback and participation! Finally, if you would like to star in an upcoming episode, please feel free to contact me at KristenJAdamsDDS@gmail.com. 

Have five minutes to spare while

LINK OF THE MONTH! www.sdds.org/ToothTube

2015 SDDS Committee Schedule TASK FORCES

ADVISORY COMMITTEES

1T1B

Amalgam Advisory Schedule as needed

CE

Budget and Finance

GMC Denti-Cal

Bylaws

Large Group Practice/ Corporate (6:30pm)

Fluoridation

Foundation Board (6:15pm)

Forensics (6:30pm)

Golf Tournament

Meeting Dates TBA

Meeting Dates TBA Meeting Dates TBA

May 26

Social Media

Schedule as needed Schedule as needed Schedule as needed Oct 26

LEADERSHIP

STANDING COMMITTEES

May 5 • Sept 1 • Nov 3

Board of Directors (6:00pm)

CPR (6:00pm) May 18 • Aug 7 • Nov 6

Executive Committee (7:00am)

Ethics (6:15pm)

Aug 14 • Oct 9

FOUNDATION May 19 • Sept 14 • Dec 2 May 8

Legislative (6:00pm)

OTHER

WORKGROUPS

Meeting Dates TBA

Dental Careers

Nugget Editorial (6:15pm)

Schedule as needed

Schedule as needed

May 18 • Oct 26

Geriatric Outreach

Strategic Planning

Sep 28 • Oct 7

May 26

Schedule as needed

Schedule as needed

Sac Pac

CDA Delegates (6:00pm)

May 5 • Oct 27

Membership (6:30pm) May 26 • Sept 14 • Nov 18

Leadership Development Completed

Peer Review (6:00pm) May 20 • July 15 • Aug 20 • Sept 16 Oct 15 • Nov 18 • Dec 10

Wells Fargo Practice Finance Formerly Matsco

We’re here to help you take the next step Whether you’re starting, acquiring, or expanding a practice, Wells Fargo Practice Finance can help. With more than 20 years of specialized practice financing experience, we understand the business of running a dental practice and provide the investment capital, planning resources, and expert support to help you succeed throughout your career.

Use our customized financing solutions to meet your practice goals: • Purchase or start a practice

• Performance-based lending, which allows those with fewer assets to make the leap to ownership or invest in growing their practices

• Expand or update your office

– Credit decisions based on practice cash flow

• Use the equity in your practice to finance upgrades, fund your retirement, or invest in other growth opportunities

– Deferred and graduated payment options available for acquisition and start-up loans

• Refinance business debt • Purchase commercial real estate

As our client, you may benefit from: • Up to 100% financing + additional 15% for working capital • A customized payment schedule with preferred rates for ADA® members • Practice Success planning tools that guide you through each phase of your acquisition, start-up, or expansion project

– A new graduate program available for practitioners less than one year out of school • Expert project support by experienced financing specialists • Qualified referrals to the best professional providers in the dental industry • Management of the administrative details of your loan so you can focus on your project and building your practice

Let’s talk about starting, acquiring, or expanding your practice.

1-888-937-2321 wellsfargo.com/dentist

Philip Kong Business Acquisition Consultant

(916) 533-6882 philip.kong@wellsfargo.com

Brian Kerfoot (916) 704-1429 brian.kerfoot@wellsfargo.com

© 2010 Wells Fargo Bank, N.A. All rights reserved. Wells Fargo Practice Finance is a division of Wells Fargo Bank, N.A. All practice financing is subject to credit approval. Commercial real estate financing is provided by Wells Fargo SBA Lending.

Wells Fargo Practice Finance is the only practice lender selected especially for ADA® members and endorsed by ADA Business ResourcesSM. ADA® is a registered trademark of the American Dental Association. ADA Business ResourcesSM is a service mark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc., a wholly owned subsidiary of the American Dental Association.

IS-WFPF-D 10/10

An Ethical Dilemma The Dilemma:

You are seeing a patient for the first time at your practice and as you’re doing your exam, you notice tooth #30 has PFM with an open margin and needs replacement. The patient tells you that it was done just a year ago by her dentist out of state prior to her moving to Sacramento. What would you do? Refer to the possible options in the box to the right.

What Would You Do?

Recommendation:

A

ccording to the American Dental Association’s Principles of Ethics and Code of Professional Conduct, section 4.C.1, the patient should be informed about the status of her current oral health but “the dentist should exercise care that the comments made are truthful, informed and justifiable. This should, if possible, involve consultation with the previous treating dentist(s), in accordance with applicable law, to determine under what circumstances and conditions the treatment was performed. A difference of opinion as to preferred treatment should not be communicated to the patient in

By Hana Rashid, DDS

Ethics Committee Member

a manner which would unjustly imply mistreatment.” Therefore, choice “A” is not a recommended path to take.

A. Tell the patient that the crown on #30 is the worst dentistry you have ever seen and she needs to file a complaint with the board and get her money back.

Your patient trusts that your diagnosis and treatment planning is what is best for her oral health needs and deserves to know all of your findings. It is unfair to the previous dentist if you speak negatively of their work in front of the patient without knowing the full details of what had lead to the resulting open margin. Be as objective as possible to your patient without letting finances or insurance plan restrictions prevent proper diagnosing and treatment planning. 

B. Let the patient know about the open margin, without placing any blame on the previous dentist. Patient will also receive and understand the Risks, Benefits and Alternatives for all treatment options.

C. Contact the previous dentist to let them know about the open margin and see what had transpired to cause that outcome and whether he/she was aware of it. Maybe there was a plan to replace it and the patient suddenly moved out of state.

D. Contact your liability insurance carrier and get advice if you’re completely unsure.

SD Reliance Management is your Sacramento-based resource for processional, reliable billing and IT services.

We offer a full service, off-site billing department with a dynamic, effective collections process, expert insurance billing and aging account maintenance, and a dedicated billing department line just for your patients. Account questions, missed payments, past due balances – let us take care of those! We are also proud to offer comprehensive, dental-specific IT support, including proactive regular network security monitoring, HIPAA compliancy, and protection against an IT catastrophe. We want to make sure that your practice and your cash flow run smoothly and safely.

You provide excellent dental care, why shouldn’t you also have superior billing and IT support.

We are excited and honored to be an SDDS Vendor Member! Please call us for a free practice evaluation and discover what SD Reliance can do for you.

www.sdreliance.com

(916) 367-4252 www.sdds.org • May 2015

| 33

YOU

YOU ARE A DENTIST. You are also an employer. Employee evaluations, hiring and firing, labor laws and personnel files are an important part of that. This monthly column, will offer current employment

THE DENTIST, THE EMPLOYER

law information pertinent to you —

BER MEM IT! F E N BE

The HR Hotline, Powered by CEA—

the dentist, the employer.

SDDS HR Hotline FREE TO SDDS MEMBERS!

1.800.399.5331

Your Human Resource Partner

By Mari Bradford CEA Regional Director and ‘HR Hotline Lady”

Staying in compliance with California Labor Laws can be difficult and time consuming. As a member of the Sacramento District Dental Society (SDDS), you have FREE access to the HR Hotline, powered by the California Employer’s Association (CEA). Anytime you have an employee related problem, between Monday and Friday, from 8 a.m. to 5 p.m., just pick up the phone and receive the support you need and a fast solution to your human resource problem at NO CHARGE!

D

o you wonder if anyone calls?

Perhaps you are the only one that has questions and you are afraid to ask?

Well, don’t be. You are definitely not alone and we can help. In 2014, the SDDS HR Hotline received over 383 calls from member dentists just like you! Take a look at our call volume over the past three years. Do you

think it’s getting easier to manage employees in California? Think again.

challenges, required forms at hire as well as termination and much more!

And what is everyone calling about?

Anything and everything—the HR Hotline can assist you with a myriad of HR issues and personnel dilemmas: overtime, alternative workweeks, rest period issues, meal break

Your calls are confidential and we are here to help YOU, the employer. We are not here to report you to the state or tell you that you are doing it all wrong; we’re here to give you sound HR advice so you can make the decisions that make the most sense to you and your business.

So don’t be worried, give us a call today and we can help you with your HR questions and you can focus on doing what you are great at doing! You can reach the HR Hotline at 1.800.399.5331 and identify yourself as a member of the SDDS. Give us a call so we can start making your life easier, today!

So many times we hear employers say, “I’ve got a wonderful staff, I’ve never had an employee problem and I’ve been in business for over five or 15 years now.” At CEA, we have business owners calling us all year long with horror stories about ex-employees (who used to be the best friends/trusted employees/ team players) who are now looking for an ax to grind. Think you’ve got a good handle on labor laws? Here are some of the questions we answer for dentists everyday.

34 | The Nugget • Sacramento District Dental Society

Take this short quiz to see how much you know:

• Written notice to employee regarding the change in relationship.

1. You are terminating an employee today.

How many pieces of documentation are you required to provide the employee?

• Health Insurance Premium Program (HIPP)

2. How would you know if your State/ Federal Labor Law poster is up to date?

3. If you never ask employees to take a polygraph (lie detector) test, are there any consequences for not posting a Polygraph Protection Act poster?”

4. Can you refuse to hire someone because of their tattoos?

• COBRA information (only if Health Insurance was provided) 2. To be in compliance with California’s most recent changes your labor law poster would need to be dated January 2015 and include the most recent changes regarding the new Paid Sick Leave Law and other new legislation.

3. Yes—a $10,000 civil penalty!

5. What Is Required On A Pay Stub? What are the fines if anything is missing?

4. Yes. If an employees’ job involves contact with the public, you may require them to dress in a manner that Answers is consistent with the company image.

1.

Documents required when So, you can restrict most types of clothing, terminating an employee: fashions or other items employees wear • A final paycheck which includes all that do not fit the company image (i.e. accrued vacation paid out at the final inappropriate hairstyles, jewelry, tattoos rate of pay. and other dress and grooming choices).

• EDD Pamphlet 2320 entitled “For And, you can also refuse to hire an Your Benefit” It is a misdemeanor if applicant if their attire is inappropriate you do not give this document to an for your company image, or require them employee when they are discharged, to conform to your dress code if you do laid off or placed District on a leave of absence. Nuggett_Layout eventually hire1them.

UB80059 Sacramento Dental_2015_The 2/9/15 11:26 AM Page 1

5. Requirements on paystubs: • Gross wages earned • Total hours worked • Number of piece-rate units earned • Deductions • Net wages earned • Dates of the period for which the employee is paid • Employee’s name • Last four digits of employee’s Social Security number, or an ID number instead of a Social Security number • Name and address of the employer • All applicable hourly rates (this includes hygienists who are hourly employees – even if you pay them a flat daily rate) If your pay stubs are missing any of this information, get ready to open your checkbook. The employee is entitled to the greater of all actual damages (if there was a financial error) or $50 for the initial pay period in which a violation occurs and $100 for each subsequent pay period to a maximum of $4,000 per employee. 

You provide the vision. We provide financial solutions.

Our bankers are here to help you grow your business by applying a personalized, hands-on approach to understanding your business needs. For over 150 years, Union Bank® has been a presence in the West, financing growth and working with companies to make the right financial decisions.

For more information, contact: Business Banking Group — 700 L Street, Suite 300, Sacramento, CA 95814 Melonie Smith, VP & Business Client Advisor, 916-449-1346 Sacramento Downtown Branch — 700 L Street, Sacramento, CA 95814 Lydia Ramirez, VP & Branch Manager, 916-321-3145

©2015 MUFG Union Bank, N.A. All rights reserved. Visit us at unionbank.com. Union Bank is a registered trademark and brand name of MUFG Union Bank, N.A.

www.sdds.org • May 2015

| 35

We’re Blowing

Your Horn!

Congratulations to...

Drs. Forrest Bond, Richard Fife, Thomas Holloway, William Schaedler and Marlon Smith on their retirement!

Dr. Jose Juarez on his new office build out—Smile Kingdom!

Dr. Juarez used our Vendor Member Blue Northern Builders, and his office came out beautifully. All the best to Dr. Juarez in his new office. (photo credit: Sean Seymour) (1)

Sacramento Study Club Presents

Brandon Light, son of Dr. Jeffrey Light and a high school senior at Bella Vista High School, on being named a Regent’s scholar at UC Santa Barbara and UC Davis. Brandon achieved perfect scores of 800 on both the math and reading comprehension, portions of the SAT, as well as on the SAT subject tests of math II, biology and chemistry. He will be attending Santa Barbara School of Engineering this fall with a major in chemical engineering. Go Gauchos! 

1

Order the rst edition limited print now!

For a free copy please send us your order via E-Mail at drantipov@drantipov.com with your doctor’s name and mailing address.

5

Also available at Amazon Kindle and iTunes.

Join us at our Study Club continuing education monthly courses/lectures. sacramentostudyclub.com

Send your request to Alexander V. Antipov, D.D.S.

Galleria OMS 911 Reserve Dr, #150 Roseville, CA 95678 Office: 916-783-2110 Fax: 916-783-2111

Guide To Immediate Implants And Teeth

Patient Guide To Corrective Jaw Surgery

A must-have 32-page educational paperback for doctors and their patients planning to undergo extractions of teeth, immediate implant placement, immediate loading, and final restoration.

A step-by-step Guide to surgical and restorative stages.

A 68-page Guide contaning real patients’ “Before” and “After” photos. Includes post-op rehabilitation notes taken by an actual patient.

36 | The Nugget • Sacramento District Dental Society

sacramentostudyclub.com

WELCOME to SDDS’s new members, transfers and applicants.

New Members BRIAN CHU, DDS

Transferred from Santa Clara County Dental Society General Practitioner 10357 Fairway Dr., Ste 100 Roseville, CA 95678 408.472.5947 Dr. Brian Chu graduated from Loma Linda University in 2014.

KARI FOWLER, DDS

IMPORTANT NUMBERS: SDDS (doctor’s line) . . . . . (916) 446-1227 ADA . . . . . . . . . . . . . . . (800) 621-8099 CDA . . . . . . . . . . . . . . . (800) 736-8702 CDA Contact Center . . . . (866) CDA-MEMBER

(866-232-6362) CDA Practice Resource Ctr . cdacompass.com TDIC Insurance Solutions . (800) 733-0633 Denti-Cal Referral . . . . . . (800) 322-6384 Central Valley Well Being Committee . . . (559) 359-5631

Transferred from Redwood Empire Dental Society General Practitioner 4515 Fermi Pl., Ste 106 Davis, CA 95618 808.203.8952 Dr. Kari Fowler graduated from UOP Arthur A. Dugoni School of Dentistry in 2013.

ANDREW KIM, DDS

Transferred from Tri-Country Dental Society General Practitioner 7275 E Southgate Dr., Ste 204 Sacramento, CA 95823 916.428.3788 Dr. Andrew Kim graduated from UOP Arthur A. Dugoni in 2006.

LUCILLE LAM, DDS

Transferred from San Francisco Dental Society General Practitioner 8013 Laguna Blvd., Ste 2 Elk Grove, CA 95758 916.691.6020

KEEP US

UPDATED! Moving?

Opening a new office?

Offering new services?

Share your information with the Society!

We can only refer you if we know where you are; and we rely on having your current information on file to keep you informed of valuable member events!

Dr. Lucille Lam graduated from UOP Arthur A. Dugoni School of Dentistry in 2010.

FELIX ONUEGBU, DMD

Transferred from Tri-Country Dental Society General Practitioner Pending Office Address Dr. Onuegbu graduated from Western University of Health Sciences College of Dental Medicine in 2014.

MAY

2015

Pending Applicants FELIX TSE, DDS

TOTAL MEMBERSHIP (AS OF 4/10/15): 1,613 NEW MEMBERS FOR 2015: 33 TOTAL ACTIVE MEMBERS: 1,301 TOTAL RETIRED: 240 TOTAL DUAL MEMBERS: 4 TOTAL AFFILIATE MEMBERS: 11 TOTAL STUDENT/PROVISIONAL MEMBERS: 10 TOTAL APPLICANTS: 1 TOTAL DHP MEMBERS: 47

MARKET SHARE: 78%

Back in time…

Can you identify this SDDS Member?

The first SDDS member to call the SDDS office (916.446.1227) with the correct answer wins $10 OFF his or her next General Meeting registration.

Only the winner will be notified. Member cannot identify oneself.

ANGEL PINTO, DDS

Transferred from Monterey Dental Society General Practitioner 925 Secret River Dr., Ste A2 Sacramento, CA 95831 831.207.5072

WATCH FOR THE ANSWER IN THE JUNE/JULY 2015 NUGGET! Answer from the April 2015 issue: Dr. Daniel Jue

Dr. Angel Pinto graduated from Univ Particular San Martin de Porre in 1998.

CLIP OUT this handy NEW MEMBER UPDATE and insert it into your DIRECTORY under the “NEW MEMBERS” tab.

Give us a call at (916) 446-1227

www.sdds.org • May 2015

| 37

Advertiser INDEX Dental Supplies, Equipment, Repair Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Benco Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Burkhart Dental Supply . . . . . . . . . . . . . . . . . . 22, 39, 40 DESCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28, 40 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Patterson Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Procter & Gamble Distributing Co (Crest / Oral B). . . . 40

Education LVI Global. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Sacramento Study Club. . . . . . . . . . . . . . . . . . . . . . . 36

Financial & Insurance Services Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Ameriprise Financial - The Chandler Group . . . . . 28, 40 Bank of the West . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Fechter & Company, CPAs . . . . . . . . . . . . . . . . . . . . 42 Financial Management Associates, LLC. . . . . . . . . . 40 First U.S. Community Credit Union . . . . . . . . . . . . . 40 Innovative Solutions CPAs & Advisors LLP . . . . . . 14, 40 Kaneski Associates . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Lilani Wealth Management. . . . . . . . . . . . . . . . . . . 17, 40 Mann, Urrutia & Nelson, CPAs . . . . . . . . . . . . . . . . . 40 Union Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . 35, 40 Wells Fargo Bank . . . . . . . . . . . . . . . . . . . . . . . 32, 41

Financial & Investment Services Vendor Member TDIC & TDIC Insurance Services . . . . . . . . . . . . . . 8, 41

Human Resources Vendor Member California Employers Association (CEA) . . . . . . . . . . . 41 Vendor Member Resource Staffing Group . . . . . . . . . . . . . . . . . . . . . . 41

IT, Billing & Security Vendor Member Pact-One . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Vendor Member SD Reliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33, 41 Vendor Member xTerraLink, Inc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Legal Services Vendor Member Wood & Delgado . . . . . . . . . . . . . . . . . . . . . . . . . . 6, 41

The Goldman Law Firm. . . . . . . . . . . . . . . . . . . . . . . 42

Media & Advertising Vendor Member Comcast Business . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Vendor Member iHeartMEDIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27, 41 Vendor Member Sacramento Magazine . . . . . . . . . . . . . . . . . . . . . . . 41

Medical Gas Services Vendor Member Analgesic Services, Inc. . . . . . . . . . . . . . . . . . . . . . . . 40

Office Design & Construction Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member Vendor Member

Blue Northern Builders, Inc. . . . . . . . . . . . . . . . . 14, 41 Healthcare Cabinet Co. . . . . . . . . . . . . . . . . . . . . . . . 41 Henry Schein . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Olson Construction, Inc. . . . . . . . . . . . . . . . . . . . 4, 41 Wells Construction. . . . . . . . . . . . . . . . . . . . . . . . . . 41 Western Contract. . . . . . . . . . . . . . . . . . . . . . . . 39, 41

Practice Sales, Lease, Management &/or Consulting Vendor Member Henry Schein Wagner . . . . . . . . . . . . . . . . . . . . . . . . . 38 Vendor Member Integrity Practice Sales . . . . . . . . . . . . . . . . . . . . . .17, 41 Vendor Member Western Practice Sales . . . . . . . . . . . . . . . . . . . . . . . 41

John Morrisey, DDS. . . . . . . . . . . . . . . . . . . . . . . . . . 29

Real Estate TRI Commercial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Waste Management Services Vendor Member Star Group Dental Refining . . . . . . . . . . . . . . . . . . 22, 41

38 | The Nugget • Sacramento District Dental Society

Gordon Senior GordonStevenson, Stevenson, Senior VP VP

Real Healthcare Specialist RealEstate Estate Healthcare Specialist Dental/Medical Building Sales/Leasing Dental/Medical Office Office Building Sales/Leasing

“The Gordon Group” The Gordon Group Helping Those Who Help Others

Helping Those Who Help Others

• 33 Years Real Estate Experience •

(UNITED STATES DISABLED VETERAN OWNED BUSINESS)

♦ 50 Years Combined Real Estate Experience ♦

(UNITED STATES DISABLED VETERAN OWNED BUSINESS) Dental / Medical Office Buildings Available:

2233 Park Towne Circle, Sacramento • ±2,250 Sq. Ft. • High end Building Improvements • Negotiable Tenant Improvement allowance Blue Oaks Plaza, Roseville, CA

AVAILABLE FOR LEASE AVAILABLE FOR LEASE • ±3,820 SF - ±6,311 SF space size 1600 CREEKSIDE DR., FOLSOM 6403 COYLE AVE., CARMICHAEL • Professional Park Setting • Negotiable Tenant Improvements

• ±1,449 & ±1,464 Sq. Ft. • ±1,198 - ±8,191 Sq. Ft.• High growth area of South Placer • Located On Dignity/Mercy • Located On Dignity/Mercy Folsom Campus Campus 5400 Park Dr., Rocklin • Fully Built-Out Medical Office • Private Balconies • Beautiful setting - seasonal greenbelt • Tenant Improvement •Funds ±4,592 Sq. Ft. • Private Balconies Available • Building signage • Walking distance to Rocklin High School

Visit our website www.gordongrouphcp.com to view more properties.

TRICommercial Commercial - Roseville TRI gstevenson@tricommercial.com 2250 Douglas Blvd., Suite 200, 916.677.8150 | BRE # 01092461 Roseville, CA 95661 916●677●8150 gstevenson@tricommercial.com BRE Lic. #: 01092461

VENDOR MEMBER SPOTLIGHTS: I N T E R I O R

Founded by Dr. William Burkhart in 1888 as an adjunct to his dental practice, Burkhart Dental provides equipment sales, repair, supplies, consulting, continuing education and other services to over 5,000 dentists. With more than 400 employees, we are not a small company, yet we continue to provide the attention and service of a private, family-owned business.

Burkhart is distinguished by its values, ethics and people. Acting with integrity to earn our clients trust, being a knowledgeable resource, and always working in the clients’ best interest to help them succeed, differentiates us from our competitors. Through providing the Exceptional Client Experience (ECE), we focus on consistently delivering service that is valuable to our clients. We represent all major brands, and our fill rates are 99.1% with distribution centers located in Tacoma, Washington, Dallas, Texas and Reno, Nevada.

For more than 35 years, we have lowered the total cost of dental supplies for thousands of dental practices through our Supply Savings Guarantee (SSG) program. This continues to be the most sound business approach to managing your supplies. We’re so confident we can lower your supply purchase; we’ll put it in writing. Burkhart’s Supply Savings Guarantee (SSG) clients consistently have a lower supply overhead percentage than the national average. That difference means reduced costs and increased profitability for your practice.

Provider of the Following Equipment & More: • Adec • Pelton & Crane • Midmark • Belmont

• XL Dent • Gendex • Planmeca • Instrumentarium

• Air Techniques • SciCan • Forest Dental

Benefits, Services, Special Pricing and/or Discounts Extended to SDDS Members: • New customers receive 10% off any order over $100 in their first month with Burkhart • Complimentary Practice View for Burkhart customers – a treatment plan for your practice • Complimentary Inventory Management for Supply Savings Guarantee (SSG) customers • Complimentary Office Design Consultation Dave Little, Branch Manager / Equipment Specialist dlittle@burkhartdental.com 916.425.7400 cell 916.784.8200 office www.burkhartdental.com

D E S I G N

S T U D I O

Western Contract’s Interior Design Studio, a single resource for all design, construction management, and furnishing needs.

Designs are tailored to meet individuals taste, special requirements, and budgetary constraints. Using time-proven methods and an impressive palette of materials, finishes, lighting, and furnishings, designers from our Studio will transform these elements into a high-performing interior that accurately reflects office’s culture and brand.

Western’s project management team goes to work, taking advantage of over 50 years of installation expertise to coordinate all communication between you, your architect, and your contractor—so that projects are completed on time, within budget, and to your satisfaction.

Products & Services: Western Contract’s Interior Design Studio brings together a team of talented and knowledgeable designers who have more than 30 years of combined experience in the field. As such, they are extremely wellversed in all aspects of the design process, whether the project requires designing from the ground up or a simple update.

Interior Design Services

Additional Services

• Space Planning • Interior Finishes Specification • Construction Documents and Code Compliance • Interior Architecture • Custom Millwork Design • Furniture Specification • Materials Research • Material Boards and Concept Drawings • 3D Modeling and Rendering • Signage System Design • Equipment Inventory and Layout • Facilities Programming

• Project Management and Permit Assistance • Contractor Qualification and Selection • Subcontracting • Furniture Purchasing, Leasing, and Installation • Supervision • ADA Conformance • Art Specification and Purchasing • Project Marketing Materials • LEED Certification • Branding and Graphic Design

Benefits, Special Pricing and/or Discounts Extended to SDDSSpecial Members: Benefits, Services, Pricing and/or Discounts Extended to SDDS • Free 2-hour design consultation for SDDSMembers: members • Hole sponsorship at SDDS Foundation Golf Tourney Blocker • Claire Annual donations to Smiles forApril KidsFiggess 916.202.0624 blockerc@westerncontract.com

916.812.8438 figgessa@westerncontract.com

westerncontract.com/studio

NEW THIS YEAR! www.sdds.org • May 2015

| 39

Dave Little, Branch Manager 916.784.8200 www.burkhartdental.com

Lauren Herman • 209.969.6468 Kevin McKittrick • 916.765.9101 www.dentalcare.com

DESCO Dental Equipment

Henry Schein Dental

Tony Vigil, President 916.259.2838 www.descodentalequipment.com

Mark Lowery, Regional Sales Manager 916.626.3002 www.henryschein.com

VENDOR A / SINCE 2012

Crest / Oral B

DENTAL

VENDOR A / SINCE 2011

Robert Kiddoo, Regional Manager 800.462.3626 www.benco.com

VENDOR B / SINCE 2005

Geary Guy, VP / Steve Shupe, VP 888.928.1068 www.asimedical.com

VENDOR B / SINCE 2013

Burkhart Dental Supply

VENDOR B / SINCE 2004

Benco Dental

VENDOR B / SINCE 2002

Dental Supplies, Equipment, Repair

Analgesic Services, Inc.

Tim Giroux, DDS, President John Noble, MBA 800.641.4179 www.westernpracticesales.com

VENDOR A / SINCE 2014

Wood & Delgado

Kim Parker, Executive VP Mari Bradford, HR Hotline Manager 800.399.5331 www.employers.org

Debbie Kemper 916.993.4182 www.resourcestaff.com

Patrick J. Wood, Esq. Jason Wood, Esq. 800.499.1474 www.dentalattorneys.com

VENDOR B / SINCE 2003

Resource Staffing Group VENDOR B / SINCE 2004

CA Employers Association

xTerraLink, Inc.

Dan Edwards, President 866.722.8663 www.pact-one.com

Dennis Krohn Jr., President 916.367.4244 www.sdreliance.com

Rami J. Zreikat / Alnore Deen 916.608.9902 • 916.206.1858 www.xterralink.com

VENDOR A / SINCE 2014

SD Reliance Management VENDOR B / SINCE 2011

PACT-ONE Solutions

iHeartMEDIA

Sacramento Magazine

Lisa Geraghty 916.817.9284 lisa_geraghty@cable.comcast.com business.comcast.com

Lori Grbac, Account Manager 916.576.2131 www.iHeartMedia.com

Becki Bell, Marketing Director 916.452.6200 www.sacmag.com

40 | The Nugget • Sacramento District Dental Society

VENDOR A / SINCE 2014

Comcast Business

VENDOR A / SINCE 2007

Brian Flanagan & Kirsi Kilpelanien 855.337.4337 www.integritypracticesales.com

www.descodentalequipment.com

VENDOR A / SINCE 2010

Western Practice Sales

VENDOR A / SINCE 2014

Integrity Practice Sales

4095 Del Mar Ave. #13 Rocklin, CA 95677

VENDOR B / SINCE 2002

916-624-2800 800-649-6999

VENDOR A / SINCE 2014

Media & Advertising

IT, Billing & Security

HR & Legal

James Ryan 800.736.4688 www.pattersondental.com

VENDOR A / SINCE 2003

Patterson Dental

Practice Sales

The Dental Equipment Specialists

Fechter & Company

Mary Alajou, VP Sacramento / Butte Area Manager 916.949.2687 www.bankofthewest.com

Craig Fechter, CPA 916.333.5360 www.fechtercpa.com

VENDOR A / SINCE 2009

The Chandler Group

Bank of the West VENDOR A / SINCE 2014

Thomas Chandler 916.789.9393, ext. 03197 www.ameripriseadvisors.com

VENDOR A / SINCE 2015

Financial Services

Ameriprise Financial — The Chandler Group

Ben Anders, CPA 916.646.8180 www.innovativecpas.com

916.774.6250 800.316.3129 www.kaneskiassociates.com

Rashida Lilani 916.782.7752 www.lilaniwealthmanagement.com

John Urrutia, CPA, Partner Chris Mann, CPA, CFP, Partner 916.774.4208 www.muncpas.com

Western Contract

Nicole Wells 916.788.4480 www.wellsconstruction.com

Claire Blocker 916.202.0624 www.westerncontract.com/studio

VENDOR B / SINCE 2014

Wells Construction, Inc.

I N T E R I O R

D E S I G N

S T U D I O

VENDOR A / SINCE 2011

VENDOR A / SINCE 2013

Insurance Services

David Olson 209.366.2486 www.olsonconstructioninc.com

VENDOR A / SINCE 2004

Gordon St. Cyr and Gary St. Cyr 916.853.9556 www.dentalcabinets.biz

Chris Stafford 800.733.0633 www.tdicsolutions.com

Star Group Global Refining Jim Ryan, Sales Consultant 800.333.9990 www.stargrouprefining.com

www.sdds.org • May 2015

VENDOR A / SINCE 2009

Marc Davis / Morgan Davis / Lynda Doyle 916.772.4192 www.bluenorthernbuilders.com

The Dentists Insurance Company

Olson Construction, Inc.

Waste Management

Healthcare Cabinet Co.

VENDOR A / SINCE 2007

Blue Northern Builders, Inc.

VENDOR B / SINCE 2013

Philip Kong 916.533.6882 - cell philip.kong@wellsfargo.com www.wellsfargo.com

VENDOR A / SINCE 2015

VENDOR A / SINCE 2010

Lydia Ramirez, Vice President 916.321.3145 www.unionbank.com

Wells Fargo Bank

VENDOR A / SINCE 2010

Mann, Urrutia, Nelson, CPAs

VENDOR A / SINCE 2014

Lilani Wealth Management VENDOR A / SINCE 2015

Kaneski Associates

Union Bank

Office Construction

Gordon Gerwig, Business Services Mgr 916.576.5650 www.firstus.org

Innovative Solutions CPAs & Advisors, LLP

VENDOR A / SINCE 2013

Ted Darrow, Client Relations/Marketing 916.985.9559 www.fmacentral.com

First US Community Credit Union

VENDOR A / SINCE 2005

Financial Management Associates, LLC

VENDOR B/ SINCE 2011

A financial advisory practice of Ameriprise Financial Services, Inc.

| 41

Job Bank For contact information of any of the job bankers listed below please check our website at www.sdds.org.

ASSOCIATE POSITIONS AVAILABLE Jose Acosta-Cuevas, DDS • Elk Grove • part (3 days) • GP Ashkan Alizadeh, DDS, FAGD • Sacramento • part (2-3 days) • GP Darryl Azouz, DDS • Rocklin • full (2 associates, 2 days) • GP Forrest Boozer, DDS • Cameron Park • part • GP Bright Smile Dental • part • GP George Chen, DDS • Folsom • part • GP Gary Clusserath, DMD • Roseville/Citrus Heights • part (1-2 days) • GP Matthew Comfort, DDS • Roseville • part/full • GP Monica Crooks, DDS • Roseville • part • GP Binh Dao, DDS • Roseville • part/full • GP Gwendelyn Enriquez, DMD • Roseville • part/full • GP Shahryar Khodai, DDS • Sacramento • GP Sonny Lim, DMD • Woodland • part/full • GP Neelofar Khan, DDS • Sacramento • part/full • GP Kids Care Dental • Sacramento • part • Pedo/GP Thomas Ludlow, DDS • Folsom • part • GP (Endo/Ortho experience) Make a Smile Dental • Multiple Locations • full • Pedo Alex Moradzadeh, DDS • Sacramento • part/full • GP/Endo/Pedo/OS David Roholt, DDS • Auburn • full • GP/Perio Smile Island Pediatric and Adult Dental • Rocklin • part/full • GP/Pedo Waleed Soliman, DDS • Yuba City • part/full • Ortho Christopher Schiappa, DDS • Pioneer • part • Endo/Ortho/OS Norman Spalding, DDS • Walnut Grove • part/full • GP Dennis Wong, DDS • Sacramento/Pocket • part (Sat./on call) • GP Capitol Periodontal Group • Associate with potential for buy-out • Perio Wellspace Health • Multiple Locations • fill-in/part/full • GP DOCS SEEKING EMPLOYMENT Russell Anders, DDS • temp/ fill-in work; M-F • GP Andrea Azevedo, DDS, MPH • part; 1-2days/wk. • GP & Pedo Amanda Chen, DDS • full/part • Ortho Ryan Hecht, DDS, MS • full • Ortho Shahryar Khodai, DDS • part/full (Mondays and Thursdays) • GP Maryam Hoang, DMD • part/on-call on Fridays • GP Christopher Myers, DDS • part/full • Ortho Steve Murphy, DMD • part/full • Endo Sadia Niazi, DDS, MMSc • part • Ortho Azadeh Rahmatian, DDS • part/full • GP Ronald Rott, DDS • part • Perio Michael Sunwoo, DDS • full • Ortho Harpreet Tiwana, DDS • full/part • GP Brandon Webb, DDS • part/full • Endo DOCS LOOKING TO BUY A PRACTICE Darryl Azouz, DDS • Rocklin • GP Ryan Hecht, DMD, MS • Folsom, Sacramento, Roseville • Ortho Shahryar Khodai, DDS • Sacramento • GP Michael Sunwoo, DDS • Sacramento, Roseville, Folsom, El Dorado • Ortho Harpreet Tiwana, DDS • GP

42 | The Nugget • Sacramento District Dental Society

Cash Into the

SDDS Job Bank!

S

acramento District Dental Society’s Job Bank is a service offered only to SDDS members. One of our top member benefits, the Job Bank provides a forum for job-seekers to reach other Society members who may be looking for dentists to round out their practice, and vice versa. Our Job Bank consists of several categories: • Doctors Seeking Employment • Associate Positions Available • Doctors Looking to Buy a Practice • Practices Available Whether you are a new member seeking employment or to buy into a practice, or if you have been a member with us for years and are looking to hire…you can have a spot on our Job Bank.

We are all about our members and we want to help you find a happy place to practice, sell your practice or find another associate for your office. Every time we have an update in our Job Bank, we send you a list of members who could be your potential match. For example, if we have a new “Associate Position Available” we send that job opening to all of our “Doctors Seeking Employment.”

We want our member doctors to know that we really care and want to help them in any way that we can. A handful of our doctors have found a job, sold their practice or filled a position in their office through the SDDS Job Bank. Our Job Bank can be found on our website as well as The Nugget. If you are interested in being placed on our Job Bank please contact the SDDS Office or complete the SDDS Job Bank form inserted in this issue of The Nugget! 

Classified Ads EMPLOYMENT OPPORTUNITIES

PRACTICES FOR SALE

FOR LEASE

WELLSPACE HEALTH ORGANIZATION (an FQHC) is taking applications for fill-in/part-time/full-time dentists. Send your 01/15 resume/CV to kdubois@wellspacehealth.org.

ESTABLISHED GENERAL PRACTICE OFFICE FOR MORE THAN 8 YEARS. Digital/paperless. PPO. Good location at high traffic area in Sacramento. 4 rooms. 1200 sq ft. 3 fully equipped ops, 4th op includes plumbing. + 2 rest rooms and 1 office for dentist.

For more information call 916.256.0158.

05-15-C

DENTAL OFFICE SUBLEASE AVAILABLE IN EL DORADO HILLS. Incredible opportunity to start your own practice without incurring tremendous debt. Fully furnished with state-of-theart equipment. Perfect for general dentist or pediatric dental specialist. Call 916.622.9707 for more details.

02-15

GRASS VALLEY—FULLY EQUIPPED PRACTICE. Ideal for satellite/start-up. 140K production 2014 on one day/week + one day/week hygiene. All for 50K quick sale. Health issue.

05-15-C 925.360.1991.

SACRAMENTO DENTAL COMPLEX has one small suite which can be equipped for immediate occupancy. Two other suites total 1630 sq. ft which can be remodeled to your personal office design with generous tenant improvements. 2525 K 10-11 Street. Please call for details: (916) 448-5702.

PEDIATRIC—Kids Care Dental seeks another SUPER STAR dentist to join our AMAZING team and help open our newest LODI location. Position available to pedos or generals who LOVE kids. Our non traumatic philosophy focuses on superior customer service and exceptional patient care in a non threatening environment. We get kiddos to actually look forward to coming to the dentist. Beautiful high end private offices and a CULTURE that can’t be beat provide a great place to practice and a great income for our doctors! Patients love us...come find out why! 4 days/ Week starting in April. Email dboyes@kidscaredental.com.

03-15 GENERAL/PEDIATRIC—Make a Smile is currently seeking a passionate and dedicated General/Pediatric associate dentist who loves working with children and who is interested in joining an awesome team. Looking for FT &PT. Please forward CV to resume@makeasmile.com or fax 916.817.4376.

03-15

EQUIPMENT FOR SALE

BRAND NEW CAVITRON PLUS ultrasonic scaling unit in unopened box. Tap-on wireless foot pedal and Steri-mate handpiece included. $2,000. Call 530.622.6370.

12-14

DENTISTS SERVING DENTISTS — Western Practice Sales invites you to visit westernpracticesales.com to view our practices for sale and see why we are the broker of choice in Northern California.

Please call (800) 641-4179.

03-09 SACRAMENTO DENTAL OFFICE/CONDO FOR SALE— Equipped. Great Start up or Satellite Space. 3 Ops with office could be plumbed for a 4th 1,200 Sq. ft. $235,000. Arden Mall. Contact Joe Hruban at 530.746.8839 or joe@omni-pg. com, Omni Practice Group #01821307.

11-14

POSITIONS WANTED

LOCUM TENENS. UOP grad to work in your office while you are on vacation, sick or maternity leave or emergency. Great references. Please call (530) 644-3438.

04-13

The SDDS LCD projector is available for rent!

LOCATION, LOCATION, LOCATION: DENTAL OFFICE AVAILABLE, 3000 L Street 1,535 sf with 5 operatories, recently remodeled.

Fully serviced lease with ample free parking. Contact Kelly Gorman (916) 929-8100.

03-13 SUNRISE DENTAL PLAZA, SUITE #106 FOR LEASE, 7916 Pebble Beach Dr., Citrus Heights. Four operatories and a lab with 1304 square feet. Well established professional dental building. For more information, please call or email Marty at (916) 966-5772 or mshep6944@aol.com.

08/09-14

PROFESSIONAL SERVICES

MONEY IS WALKING OUT THE DOOR. Have implants placed in your office and keep the profits. Text name and address 916.769.1098.

12-14 LEARN HOW TO PLACE IMPLANTS IN YOUR OFFICE OR MINE. Mentoring you at your own pace and skill level.

Incredible practice growth. Text name and address to 916.952.1459.

04-12

3 days — $100 Members only Call SDDS at 916.446.1227 for more information or to place a reservation.

SDDS member dentists can place classified ads

FOR FREE! Selling your practice? Need an associate? Have office space to lease? SDDS member dentists get one complimentary, professionally related classified ad per year (30 word maximum). For more information on placing a classified ad, please call the SDDS office at (916) 446-1227.

MEMB E BENEF R IT!

PRSRT STD US POSTAGE PAID PERMIT NO. 557

2035 Hurley Way, Suite 200 • Sacramento, CA 95825 916.446.1211 • www.sdds.org

SACRAMENTO, CA

ADDRESS SERVICE REQUESTED

SDDS CALENDAR OF EVENTS MAY

8 Annual Golf Tourney: Swing for Smiles

5 SDDS Board of Directors Meeting 6:00pm / SDDS Office

Ethics Committee Meeting 6:15pm / SDDS Office

6 Lunch & Learn Continuing Education Got OSHA / GHS NOT GPS? CE 11:30am–1:30pm SDDS Classroom

7:00am / Empire Ranch Golf Course

12 General Membership Meeting The State of Dentistry — The Dentists, the Patients, and the Community CE Craig S. Yarborough, DDS, MBA Foundation Night 5:45pm Social / 6:45pm Dinner & Program Hilton Sacramento Arden West

6:30pm–9:00pm / SDDS Classroom

26 HR Webinar Paid Sick Leave “For Dentists Only” 12:00pm–1:00pm (or order CE Membership Committee Meeting 6:30pm / SDDS Office

18 Nugget Editorial Board Meeting

JUNE

19 Foundation Board of Directors Meeting

18 RiverCats Game

6:15pm / SDDS Office

7 Business Forum Debt & Taxes — Minimizing Tax Liabilities

22 Licensure Renewal CE California Dental Practice Act, Infection Control & OSHA Refresher LR 8:30am–3:30pm / SDDS Classroom

7:00pm / Raley Field

6:15pm / SDDS Office

For more calendar info and to sign up for courses ONLINE, visit: www.sdds.org

SAVE THE DATE FOR THE 36TH ANNUAL MIDWINTER CONVENTION & EXPO TONS OF CE & A FUN TIME! SAVE THE DATE FOR: FEBRUARY 18–19, 2016 EARN

3

CE UNITS!

May 12, 2015: The State of Dentistry

Presented by: Craig Yarborough, DDS, MBA

LEARNING OBJECTIVES: • The entering dental workforce—dental students of today

• Challenges facing the new dentist—the profession and their patients

FOUND

• The practice of tomorrow?

5:45pm: Social & Table Clinics 6:45pm: Dinner & Program Hilton Sacramento Arden West (2200 Harvard Street, Sac)

This course will provide an overview of the dental profession from your patients’ view to the dentists’ challenges.

Dentistry will remain a “people business,” but to provide the very best care and environment for your patients, there will need to be a strong foundation of business principles for a practice to remain competitive and even thrive. The course will also provide a foundation for an exchange of best practice tips from the audience and the presenter.

MAY GENERAL MEMBERSHIP MEETING: FOUNDATION NIGHT SMILES FOR KIDS AWARDS!

ATION

NIGHT

!