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sfdda Volume 58, No. 1 www.sfdda.org Summer 2016

Millennials, Gen-X & Boomers Connect in the Most Extraordinary Way


President’s Message Mark Anthony Limosani, D.M.D., M.Sc Your Issues, Your Organization, Your Voice… How To Take Ownership of the Future of Your Profession. I can’t begin to express how humbled and honored I am to serve as your president this upcoming year. Having served on many boards at the affiliate level, while also climbing up the ladder here in our district dental association, I am truly looking forward to creating a positive impact on our organization. To many of us, the world in which we live in today is far more complex than that of the recent past. As we welcome the recent graduates to our beautiful profession, we must be mindful that their code of conduct will only be up to the standard that their mentors, community leaders and senior colleagues uphold. A mindset of collaboration and camaraderie is crucial in order to pass on the value system by which generations of admirable dentists have lived by. As your leader, one of my primary goals is to attempt to break down the invisible barriers that we create between ourselves as dentists. We sometimes fool ourselves into thinking our issues and challenges are unique to us and that we have no other model upon which to base ourselves in order to troubleshoot our problems. When we choose to engage with our cohort on a local, state or even national level, we come to realize that we are all in the same boat.

Inside this Issue: Ethical Aspects of Patient Referrals in Dentistry, pg 4 SFDDA Member Runs for House Seat, pg 7 Volunteer to be a Dental Examiner, pg 10 Medicare Part D Information, pg 12 New Way to Renew your Dental License, pg 12

From a practical standpoint, your wonderful staff, combined with one of the most youthful and dynamic boards the district has seen, will be working toward streamlining our systems in order to further coincide with the vision of a tripartite organization. Our goal is to leverage our voice in order to provide you with the member benefits you deserve. We plan on providing you with content from all levels of membership in a format that speaks to you. Should you be unfamiliar and uncomfortable using electronic means of communciation, we encourage you to read our printed newsletters, or better yet, attend our affiliate or district meetings. Remember, we are here to relay your concerns. We encourage you to take ownership of your organization and to mold it into that which best represents our voice. Finally, a whole host of events, both social and educational, are being planned with your benefit in mind. We strongly encourage you to attend these venues. I am confident you will come to realize how beneficial these experiences will be, both personally and professionally. I look forward to meeting and engaging with many of you this year! Together, may we take pride in shaping our organization and profession. New Members, pg 13 Affiliate Dues Included in Your Tripartite Dues, pg 15 Millennials, Gen-X & Boomers Connect, pg 16 FDC Highlights, pg 19 Classifieds, pg 23

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Ethical Aspects of Patient Referrals In Dentistry The fifth of a five­part series Justifiable Criticism Choosing Words Carefully When Speaking About Others Summary Richard A. Mufson, D.D.S., Editor OK, is anyone sick and tired of hearing about ethics at this point? If you are, I have some good news for you. This is the final installment (cue the applause) of this 5-part series. The series of articles began in our summer newsletter one year ago, and was a result of my wanting to share a chapter I had previously written for a textbook on ethics in dentistry. In the event the information may appear somewhat “basic” in nature, please again keep in mind the target audience of the book was to be undergraduate and graduate dental students. I sincerely hope you will have enjoyed and/or taken away information which may be both useful and thought provoking. I also welcome any feedback or questions you may have regarding any of the aspects discussed in this or previous sections.

As also addressed and stated within section 2.B. of the ADA Code, “The specialist/consulting dentist, upon completion of their care, shall return the patient…to the referring dentist.” However, an exception or caveat to this principle, also stated at the end of the very same sentence in the ADA Code, is “…unless the patient expressly reveals a different preference.”1,2 However, there are in fact unexpected and uncomfortable situations in which a patient may share a justifiable loss of confidence in, appreciation for, or desire to maintain a relationship with, their current primary dentist, and in turn, a point beyond which the specialist/consulting dentist would feel justified in attempting to preserve that relationship.

Ethical Aspects of Patient Referrals – Part 5 of 5

Justifiable Criticism The previous set of circumstances brings to mind yet another important ethical principle known as “justifiable criticism.” 1,2

Respect for the Referring Dentist-Patient Relationship At the conclusion of previous section in our last newsletter (part 4 of 5), the importance of respecting the referring dentist-patient relationship was discussed and emphasized. This concept may be viewed as a combination of thoughts, communication and/or actions, which would be positive, helpful and supportive to the mutual goals and expectations of both the patient and their primary referring dentist. This would also translate into the avoidance of any negative, contradictory, or unsupportive communication or actions, or any other form of unwanted intrusion or interference leading to potential disruption in that relationship, a patient’s confidence in

A question often raised as part of discussions on ethics in dentistry is as follows: “What would you do, as a consulting dentist, if you were to examine a new patient and find that a fixed bridge did not fit properly, and had significant open margins, thereby allowing recurrent decay to occur in one or more teeth supporting the bridge?” Or, what if a broken piece of an endodontic instrument were observed on a radiograph within the root of a failing, infected molar in an unsuspecting patient? What about the discovery that a wrong tooth had been removed? What if a surgeon were to encounter a gauze unintentionally left within a recent surgical site resulting in infection?

“…arguably the most commonly accepted and important tenet – a ‘cardinal’ or ‘golden rule’ - of referrals within dentistry… (1) Do not refer the patient elsewhere (i.e., to a different primary dentist), and (2) Make every attempt, upon completion of care, to have the patient return to their referring dentist for continued care. their dentist, or in the referral process itself. A natural result of this principle is arguably the most commonly accepted and important tenet – a “cardinal” or “golden rule” - of referrals within dentistry, which may be appropriately stated as two closely related dictums: (1) Do not refer the patient elsewhere (i.e., to a different primary dentist), and (2) Make every attempt, upon completion of care, to have the patient return to their referring dentist for continued care. 4

Would you inform the patient of such findings in each of these circumstances? If so, how would you choose to inform the patient, and what repercussions might that information hold for the patient, their previous treating or referring dentist, or the attitudes and relationships at stake among the involved parties? Such real life situations may infrequently occur in which a consulting dentist may become aware of recent or previous care clearly perceived to be substandard, while potentially having also resulted in harm or injury to the patient. Although seemingly going against the grain of the purported goal of interacting with patients in only


the most positive and helpful of ways possible, consulting dentists in such instances bear a moral, ethical, and often a legal, responsibility to objectively inform patients of relevant findings and clinical diagnoses pertaining to their existing oral health care. Conversely stated, it would be considered a violation of multiple ethical principles discussed earlier if one were to knowingly conceal information affecting a patient’s health and well being, or that which any reasonable person would want to know, and should have the right to know, under the same or similar circumstances. In many such instances, realizing that, as human beings, we are not perfect, nor infallible- tactfully worded discussions and mutually accepted plans of action and treatment may be all that is necessary to resolve the perceived problem. A bridge can often be remade, or the failing endodontic tooth successfully treated with additional therapy, or the gauze removed, leading to resolution of infection. The “wrong tooth” extraction may be a more challenging situation to rectify, given that additional time, cost, or even surgical therapy (i.e., bone grafting, implant placement) may be involved. However, notwithstanding the aforementioned challenges, or the potentially negative feelings or outcomes which may result, informing patients of clinical findings pertaining to their overall health and well being in an honest and objective manner, without the use of disparaging comments about prior treatment, is both an ethical and legal responsibility, and more over, is the “right thing to do” under such circumstances.

of opinion may exist, of which there are countless examples in dentistry, or when a dentist may feel that, “I would have done this procedure differently,” or “I could have achieved a better result.” We must therefore use a high level of judgment and discretion when making comments about another dentist’s treatment, or perceived mistreatment, if not supported by objective facts or findings. In the absence of supportive evidence or justification, the act of making negative claims or commentary is itself unethical, and may be the basis for disciplinary action against a member dentist by local, state or national dental associations. This last concept would again serve as a very fitting segue for the final section in this chapter regarding the ethical requisite that all dentists choose their words very carefully when conversing with patients and/or other mutual treating practitioners. Choosing Words Carefully When Speaking About Others A concept alluded to throughout this chapter, and yet another example of a principle we should strive to embrace in every day life, much less within the daily confines of a dental office, relates to how thoughtfully and carefully we choose our words when speaking about others around us. “If you don’t have anything nice to say – then don’t say it!” This is a phrase many of us may recall from childhood when parents, other loved ones, or other role models attempted to teach this important golden “do-unto-others” rule of respecting the feelings of others we interact with. Although certainly not limited to the profession

“What would you do, as a consulting dentist, if you were to examine a new patient and find that a fixed bridge did not fit properly, and had significant open margins, thereby allowing recurrent decay to occur in one or more teeth supporting the bridge?”

In more egregious cases of negligence involving poor, ill-conceived or errant treatment, especially when resulting in obvious patient harm, dentists have an ethical, and in many jurisdictions, a legal responsibility to report such information to appropriate local or state regulatory agencies. This duty to the public of “justifiable criticism” is addressed within Section 4.C. of the ADA Code. “Dentists shall be obliged to report to the appropriate reviewing agency…instances of gross or continual faulty treatment by other dentists.” 1 One of the more challenging aspects of this concept, however, is the very determination of when such opinions or comments to a patient or reporting agency are indeed considered “justifiable.” With the understanding that the practice of medicine and dentistry is not always a perfect or exact science, it must also be appreciated that results of care are not always clear or “back and white.” Rather, as a result of different levels of experience, training, talent, or differing approaches among practitioners, treatment outcomes may fall within a spectrum of varying shades of grey between the two extremes of perfect and imperfect results of care. As a natural consequence, there will exist many situations in which the judgment as to whether the care delivered or perceived patient harm inflicted by another dentist would exceed a given threshold for being regarding as substandard, or indeed, whether comments made would truly be considered “justifiable.” As professionals, we must exercise great caution in situations which may not meet such a threshold, such as when a simple difference

of dentistry alone, it has become apparent throughout the years that many of us within dentistry have either not heard, nor learned, nor chosen to recall this important lesson from childhood. The habit of speaking unfavorably or negatively to patients or others about our colleagues and/or the results of prior treatment has been a pervasive problem within our profession, and threatens our patients and the health of our profession with a far-reaching impact

“If you don’t have anything nice to say – then don’t say it!” that so few of us may stop to consider. Negative comments may, in many cases, be obvious and flagrant. Your bridge [with an open margin] was made improperly.” “If you had only come to me in the first place, I could have done a better job, and you wouldn’t be having this problem right now.” Or, “The root canal fill in your tooth is too short. Where did you have this done (as if implying it may have been on another planet)?” Or, “The post within the tooth is too long and was placed improperly.” In other cases, comments may be more subtle or less obvious, but potentially harmful or hurtful nonetheless, and with the implication nonetheless being that one is striving to position themselves, whether consciously or subconsciously, a notch or two higher, in the patient’s eyes, than another practitioner. “Yes, I would have used a slightly different color shade to match your adjacent tooth. I use continued on pg.6


“Ethical Apsects of Patient Referrals”, continued from pg.5

a different material that looks more natural and lasts longer.” Or, “I would normally have placed a different type of implant in this area. The type of implant you have in place has not been used for many years.” Or, “Yes, the swelling you have is normal after having a tooth extracted, although it is a bit more than I usually see with most of my patients.” Or, “Yes, the clicking noise in your joint must be related to the recent bridge you had placed. Did the dentist who made it check your bite afterwards?”

senting the pattern of a typical patient referral within dentistry, one may picture an object similar to an equilateral triangle, with each corner representing the three parties involved – namely the referring dentist, the patient, and consulting practitioner.

Looking past the psychological reasons to help explain why many of us choose to engage in such negative commentary - whether to boost our own ego, elevate our perceived position in a competitive marketplace, encourage a new patient to stay in the practice, or even to incite litigation (as a very small percentage of dentists regrettably take pleasure in doing) – such talk is no doubt very harmful to our profession and our patients.

If one could then envision, in the sense of a 3-D spatial relationship, the relative height of each corner of this triangle, with the height of each representing the personal impressions each person may have relative to others within the group, whether positive or negative, one may then begin to discuss the importance of maintaining the triangle as a “level playing field.” Through the use of thoughtful words and actions, the parties involved may strive to maintain a sense of respect or integrity for one another, and not allow any one person’s impression of another, or corner of the triangle, to sink to a lower level than another.

The net effect of this unethical behavior is that it has the effect of perpetuating the ever-increasing and downwardly-spiraling cynicism and distrust that many patients already have regarding physicians, dentists, and their overall ability to obtain good and trustworthy medical or dental care. And the fact is, that when patients mistrust us, they are less likely to be responsive to our findings, undergo recommended treatment, follow our post-treatment instructions, keep follow-up appointments, or accept reassurance that certain outcomes or symptoms are “normal.” Hence, they may be more likely to be upset with us, our care, and in some cases, more likely to initiate litigation against us if treatment does not result as intended or expected. In each and every example of the negative comments cited above, or in any similar situation, I would challenge each and every one us to choose our words more carefully, and in such a manner that is more objective, less hurtful, and less likely to have the effect of “putting another person down” in the eyes and mind of a patient. This could include alternative choices of expressing information to a patient who, for example, may be experiencing discomfort or infection following a recent endodontic procedure such as, “When a root canal is performed properly, even in the best of hands, infection may still remain or recur in a small percentage of cases.” When conversing with a patient concerned about a tooth having fractured and requiring removal – rather than choosing comments such as, “the post in your tooth is too large” or “was placed improperly” – a more helpful, less hurtful and more objective choice could be, “A tooth with a root canal may often be very weak and brittle, and in a rare case, may fracture, even if everything was performed with the best of skill and intention.” We need to heighten our awareness. We need to heighten our professionalism. We need to choose our words more carefully, think before we speak, and truly ask ourselves what goals we are trying to accomplish by speaking negatively about others or their care. We need to weigh our own selfishness or desire to inflate our ego against what we truly derive by hurting another practitioner’s feelings, relationship with a patient, their practice, or by further eroding the public’s trust in the delivery of dental or medical care. How does this apply to the “referral process?” The simultaneous participation by multiple individuals in the care of patients, as mentioned earlier, provides numerous opportunities for needed communication and commentary in varying directions by all parties involved. If one could envision a physical object or visual metaphor repre6

Patient Referring Doctor

Consulting Doctor

The theoretical benefit of doing so would then translate into preserving the quality of the relationships of each of the individuals involved, and therefore the anticipated effectiveness of the referral and outcome of care delivered. Should the impression of, or confidence in, any one of the three individuals sink to a lower level in relation to another, relationships and/or care may suffer. While admittedly somewhat of an abstract concept, it may go a long way toward helping a consulting doctor visualize the potential negative impact it may have, should he or she say or imply to a patient anything interpreted as unfavorable regarding their referring dentist, such that it would cause the patient’s impression of their dentist to become lower than it had been previously (as shown below), Patient Consulting Doctor Referring Doctor

…or should a referring doctor say anything interpreted as unfavorable about the consulting doctor, the triangle may instead take on this appearance: Patient Referring Doctor

Consulting Doctor

Situations in which negative comments are shared at a patient’s expense may also stand to harm the relationship and ultimate effectiveness of care delivered: Referring Doctor

Consulting Doctor

Patient

For the ultimate benefit of respect for the feelings of others, the inContinued on pg.8


SFDDA Member Running for the House

Pictured from l-r: Drs. Michael Eggnatz, Beatriz Terry, Carlos Pria and Irene Marron One of our very own is running for the Florida House of Representatives to represent District 118. Dr. Carlos Pria (Republican) will be on the ballot for the August 30, 2016 primary election. He is a periodontist from Doral and is past president of the CeolaHelo Dental Association. It is always good to see our members active in the political process who are willing to work on behalf of organized dentistry! For a list of candidates supported by the Florida Dental Association Political Action Committee (FDAPAC), be sure to check your July/August Today's FDA for your insert.

Are YOU a Dental Voter? Do you vote? It's a simple question, but 31% of ADA member dentists are not even registered to vote. As dentists, we are health care providers, business owners, employers, and leaders in our community. We have an obligation to our patients, our practice, and our profession to exercise our unique perspective in November. Check out our "I Am a Dental Voter" video here. ADPAC seeks and encourages you to take a moment and ensure you know what the rules are in your state for voter registration, absentee and early voting by checking out our 2016 Election Center. 7


“Ethical Apsects of Patient Referrals”, continued from pg.6

tegrity and effectiveness of the referral process, and the quality of patient care, each party in the process should strive to maintain a positive impression and confidence in one another, and a “level triangle” to the greatest extent possible.

incorporating these tenets into our daily words and actions, we may better be in a position to make the process of patient referrals all the more rewarding to us, and most important, maintain the care of our patients at the highest level possible.

In situations involving the need for referral to a second consulting practitioner, and now involving a fourth individual in the process, one may instead envision a quadrangle, rather than a triangle, while continuing to maintain the same principles in mind.

References: 1. Principles of Ethics and Code of Professional Conduct, with official advisory opinions, American Dental Association, revised to 2011. 2. General Guidelines for Referring Dental Patients, American Dental Association, Council on Dental Practice, revised 2007. 3. American Association of Oral and Maxillofacial Surgeons Code of Professional Conduct, September, 2011. 4. Principles of Ethics and Code of Professional Conduct, American Association of Orthodontists, adopted May, 1994, amended through May, 2009. 5. Ethics Handbook for Dentists: An Introduction to Ethics, Professionalism, and Ethical Decision Making, American College of Dentists, Gaithersburg, MD, 2008. 6. Mufson, RA, Dentists Talking Negatively About Dentists, East Coast District Dental Society Newsletter, Volume 40: No 1, pg 4-5, September/October, 1998. 7. Policy on the Ethical Responsibility To Treat or Refer, American Academy of Pediatric Dentistry, Reference Manual, Council on Clinical Affairs, Vol 33 (6), p 94, 2003. 8. Antoon, J A, Ethical Moment, J Am Dental Assoc, 138[3]: 393–4, March, 2007.

Patient

Referring Doctor

Consulting Doctor Second Consulting Doctor

Summary A seemingly endless number of varied and potentially complex permutations of referral situations occur within the daily practice of dentistry, and to address and discuss the entire range of ethical concepts applicable to each and every possible scenario was beyond the scope and intent of this chapter. Rather, an attempt was made to identify and discuss the most widely known and accepted ethical concepts as applicable to the more common situations we encounter in private practice. Patient referrals within dentistry, and the process of our sharing in the mutual treatment of patients for the benefit of their overall care and well being, is not only a necessary and ubiquitous aspect of our profession, but is also arguably one of the most rewarding aspects of our daily practice as dentists. By maintaining a high level of awareness of the ethical concepts and principles discussed, and by

This article was the final submission of a five-part series on the topic of ethical aspects of patient referrals in dentistry. Dr. Mufson is the editor of the SFDDA Newsletter, and may be contacted at (305) 935-7501 or MufsonOralSurg@aol.com

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Summary from 5-Part Series - Ethical “Do’s” and “Don’ts” of Patient Referrals Table 1 Ethical “Do’s” of Referrals 1. Treat others as you would expect to be treated, and “do the right thing.” 2. Maintain awareness of personal limitations in training, experience, and “when to refer.” 3. Seek consultation, by referral, when the welfare of a patient will be safeguarded or advanced by utilizing others with special skills, knowledge and experience. 4. Base the choice of a specialist/consulting dentist on clinical and personal qualifications consistent with clinical considerations, needs and overall welfare of the patient 5. Engage in thorough and effective communication with all parties in the referral process. 6. Respect the importance and integrity of existing dentist-patient relationships. 7. Return the patient, upon completion of care, to their referring dentist, unless the patient expressly reveals a different preference. 8. Choose words carefully when conversing with patients and other treating practitioners. 9. Inform patients in an honest and objective manner of findings and clinical diagnoses pertaining to their existing oral health status. 10. Recognize the importance of “justifiable criticism” when supportive facts and evidence reveal substandard or faulty treatment harmful to the welfare of the patient. Table 2 Ethical “Dont’s” of Referrals 1. Do not refer for disingenuous, self-serving reasons, or those based on race, religion, sexual orientation, or infectious disease status (including HIV/AIDS). 2. Do not engage in fee-splitting or other hidden plans or incentives for patient referrals. 3. Do not allow financial considerations to supersede the best interest of the patient. 4. Do not allow insurance carriers, their plan contracts, or paid insurance consultants to dictate clinical decisions which may supersede optimal patient care. 5. Do not base a choice of specialist/consulting dentist on personal, self-serving reasons, or for those involving hidden motives or incentives. 6. Do not send the patient elsewhere, to a different primary dentist, unless the patient expressly reveals a different preference. 7. Do not engage in actions or words disruptive to the existing relationship of the patient and their dentist. 8. Do not make negative claims or comments about another dentist’s care in the absence of objective supportive findings or justification. 9. “If you don’t have anything nice to say, then don’t say it.”


SFDDA 2016-2017 Officers and Executive Council President Mark A. Limosani, D.M.D., Msc (954) 800-3453 President Elect Joseph Pechter, D.M.D. (954) 981-0012 Secretary Enrique Muller, D.M.D. (305) 931 0607 Treasurer Orlando Dominguez, D.D.S. (305) 386-2766 Immediate Past President Elaine deRoode, D.D.S. (305) 373-7799

VOLUNTEER VOLUNTEER TO BECO BECOME ME AN EXAMINER FOR FOR ENT TAL A THE FLORIDA FLORIDA D DENTAL LI LICENSURE CENSURE EXAM ARE YOU: • actively engaged in the practice of dentistry in Florida for five years; • interested in continuing dental education; • and, not connected in any way with any medical or dental college?

Young Member Monica Gonzalez, D.M.D.

Trustees & FDA Line Officer Michael D. Eggnatz, D.D.S., FDA President-Elect (954) 217-8888 Jeannette Peña Hall, D.M.D., Trustee 305-667-8766

IF Y YOU OU O ANS ANSWERED WERED YES!

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Beatriz Terry, D.D.S., Trustee (305) 279-2828 Alternate Trustees

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Irene Marron, D.M.D. M.S. Rodrigo Romano, D.D.S., M.S. Delegates to the Executive Council from the Affiliates Societies Carlos Sanchez D.M.D. (MDDS) Oscar Peguero, D.M.D. (MDDS) Richard Mufson D.D.S (ND/MBDS) Isaac Garazi, D.M.D. (ND/MBDS) Brian Nitzberg, D.M.D. (SBDS) Joel Baez, D.M.D. (SBDS) Affiliate Society Presidents Oscar Peguero, D.M.D. (MDDS) Enrique Muller, D.M.D. (ND/MBDS) Brian Nitzberg, D.M.D. (SBDS)

IF SELECTED SELECTED TO TO SER SERVE VE AS AN EXAMINER yo you um must ust a attend ttend ever every ry sessi session on of of th the e pre-exa pre-examination mination sta ndardization ex xercise e co standardization exercise conducted nducted b y the the Depa rtment o eal e th. by Department off H Health.

Richard A. Mufson, D.D.S., Editor Yolanda Marrero, Managing Editor Jackie Quintero, Advertising Manager SFDDA NEWSLETTER Copyright: © SFDDA 1996 Published by the South Florida District Dental Association 420 S. Dixie Highway, Suite 2E Coral Gables, FL 33146 Send announcements and correspondence to the Editor: 420 S. Dixie Hwy, 2-E Coral Gables, FL, 33146-2271 Phone: (305) 667-3647 FAX: (305) 665-7059 or email to: sfdda@sfdda.org Disclaimer: Opinions stated in the SFDDA Newsletter are not necessarily endorsed by the South Florida District Dental Association, its Executive Council or Committees. Advertisements printed should not be construed as an endorsement by the Association of the company, product or service.

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EXAMINERS EX AMINERS MAY MA AY SERVE SERVE F FOR OR FOUR CONSECUTIVE FOUR CONSECUTIVE YEARS.

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DID YOU KNOW? Information Regarding Medicare Part D Dentists now have until Feb. 1, 2017, to take action, otherwise Part D prescription drug claims for Medicare eligible patients will not be covered. If dentists want Part D plans to continue covering drugs prescribed for their Medicare patients, they must either enroll as an ordering/referring provider by filling out form 855O or enroll as a Medicare provider through form 855I. For more information please visit sfdda.org - members section.

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new members 2015-16 Dr. Adi Suta Dr. Alejandro Canosa Dr. Alessandra Sigillo Dr. Aliuska Garcia Fernandez Dr. Ana Mejia Dr. Anahi Garcia-Labori Dr. Astrid Cardenas Sarracino Dr. Bettina Krennerich-Hobeich Dr. Boris Lipovetskiy Dr. Claudia Montoya-Lopez Dr. Daiana Atari Dr. Dena Riechmann Dr. Diego Romero Dr. Erik O. Calderon Dr. Ernest R. Perez Dr. Evan Rubensteen Dr. Giselle Fernandez-Dominguez Dr. Hilma Rodriguez Dr. Idalmes Garcia Dr. Ilieg O. Perez Dr. Jaime Marquez Dr. Jeremy Kay

Dr. Joel Baez Dr. Jonathan Mandel Dr. Juan Gonzalez Dr. Karen Martinez Dr. Karim Revoredo Dr. Maria Cook Dr. Mariam Mesa Garcia Dr. Michelle Luis Dr. Nestor Guzman Dr. Osmil Reyes Canals Dr. Pablo Duluc Vega Dr. Patricia Ramirez Dr. Pedro Quesada Dr. Raiko Rojas Dr. Ramon A. Rodriguez Dr. Salomon M. Nahon Dr. Tawana M. Jenkins Dr. Vianca E. Cabrera Dr. Yitsy Conde Dr. Yolanda Iduate Bandore Dr. Juan K. Packer Dr. Julie Sugar

SFDDA Members, visit our website at sfdda.org and create your own login to update your referral details and to access members only information. If you’re looking for something and didn’t find in on our website, let us know, we’ll try to find it for you. (305) 667-3647 13


W WEE HHAVE AVE RRETURNED ETURNED OOVER VER $$370 370 M MILLION ILLION TTO O OU OUR R MEMBERS MEMBERS THROUGH THROUGH OUR OUR DIVIDEND DIVIDEND PROGRAM. PROGRAM. W When hen oour ur iinsured nsured d doctors octors iin n tthe he sstate tate ooff F Florida lorida keep keep patients patients ssafe afe aand nd keep keep claims claims low, low, we we all all win. win. The The D Doctors octors Company Company is is sstrong, trong, with with 78,000 78,000 members members aand nd $ $4.3 4.3 b billion illion iin n as assets. sets. T This his sstrength trength aallows llows us us to to defend, defend, protect, protect, and and reward reward the the practice practice ooff ggood ood medicine medicine llike ike n o oother. ther. no

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You Do Not Have to Join an Affiliate Society You are Already a Member! It’s Included in Your Tripartite Dues! At the last South Florida District Dental Association (SFDDA) Business Meeting, which took place May 3 at the Koven’s Conference Center on the North Miami Campus of FIU, members voted to include a $40 dues increase to make all of you in the tripartite (ADA/FDA/SFDDA) a member of an affiliate society. The SFDDA affiliate societies offer many opportunities for you to receive continuing education, participate in personal enrichment and meet and mingle with your colleagues.

There are three affiliate societies under our umbrella including Miami Dade, North Dade - Miami Beach and South Broward Dental Society. And each society meets in an area near your practice or your home, making it easy for you to attend continuing education dinner meetings through out the year. Enjoy a very nice meal while receiving CE credit at the many interesting lectures being presented. From information on the latest science, technology and practice management to programs designed toinspire, the SFDDA and its affiliate societies are always thinking of ways to help you succeed.

South Florida District Dental Association Has Three Great Affiliate Societie where you can get your Continuing Education! Check on our website for dates times, topics and speakers. www.sfdda.org SOUTH BROWARD D E N TA L S O C I E T Y

NORTH DADE/ MIAMI BEACH D E N TA L S O C I E T Y

Davie/Ft Lauderdale Aventura

Coral Gables

MIAMI DADE D E N TA L S O C I E T Y


Millennials, Gen-X & Boomers Connect in the Most Extraordinary Way If one were looking for evidence of diversity in our leadership and representation of our members whether relative to gender, nationality, culture, or generational differences - one need look no further than our new officer board. Our leadership is indeed represented by Boomers, Millenials, and the enigmatic Generation-X in between. One may assume the transition between the three would be as seamless as in decades past. However, swift advances in technology, changing economic climates and cultural differences have made it much more complicated than that. And, if we understand such complicating factors, we may find ways to make it easier to foster interest and appreciation for each other and our differences. The SFDDA for decades has navigated 16

successfully in unifying culturally, and now it is working hard to bridge the generational divides. Past leadership is now working side by side with the next generation to support modern ideas, communication and outreach for the future of the profession. It is a testament to our veteran leadership who paved the way through experience, mentorship, example and encouragement that young members have begun to embrace the roles of leadership and foster the desire to be part of something larger by way of organized dentistry.

Meet the new board


SFDDA President, Dr. Mark Anthony Limosani hails from Canada and now makes his residence here in South Florida. He received his D.M.D. degree from the University of Montreal in 2007. Since then, he completed a one year multidisciplinary residency at the Queen Elizabeth Oral Health Center, a McGill University-affiliated program. Following one year of private practice, he attended the specialty program in endodontics at Nova Southeastern University, where he also received his Masters Degree in Dental Science. Dr. Limosani is a Fellow of the Royal College of Dentists of Canada and a diplomate of the American Board of Endodontics. He is Past President of the South Broward Dental Society and has served as Secretary and Vice President of the SFDDA. He currently maintains a private endodontic practice in Weston. When he is not busy saving teeth, he enjoys life with his wife, Valentina, and little boy, Lucci. Young Member Representative, Dr. Monica Gonzalez has been practicing dentistry since 2013. She received her degree from the University of Florida College of Dentistry and completed her AEGD at UF Dental Clinic in Seminole, FL. Prior to then, she received her B.S. in Microbiology and Cell Science from the University of Florida. Dr. Gonzalez is a proud Florida Gator! She participated in the Tampa Mission of Mercy in 2015 and also volunteers with the advocacy organization, Autism Speaks. Spending time with her family, friends, and her dog, Lucas is an important part of her life. Apart from dentistry, Dr. Gonzalez enjoys attending local food, art, and music shows in the beautiful city of Miami.

SFDDA President-Elect, Dr. Joseph Pechter graduated with high honors in computer science from Dartmouth College and Tufts University School of Dental Medicine, Magna Cum Laude. He completed a 3 year residency in periodontology at Tufts and is a Diplomate of the American Board of Periodontology. Dr. Pechter is Past-President of the South Broward Dental Society, and he currently serves as President-Elect of the South Florida District Dental Association. Dr. Pechter runs a state-of-the-art periodontal practice in Hollywood, Florida. SFDDA Secretary, Dr. Enrique Muller is not new to leadership. He held the Young Member position prior to Dr. Gonzalez, and serves as President on the board of the North Dade – Miami Beach Dental Society. Dr. Muller received his D.M.D. degree from Boston University Henry M. Goldman School of Dental Medicine, where he also specialized in Periodontology. Dr. Muller also enjoys family life with his wife, Judith and their two children, 18 month old Johanna and 4 year old Eitan.

SFDDA Treasurer, Dr. Orlando Dominguez obtained his B.S. from Auburn University in Alabama, followed by completing graduate school at the University of Florida. He received his D.D.S. degree from the University of Medicine and Dentistry of New Jersey. He brings years of wisdom in leadership, having served as President of the SFDDA, West Dade Dental Society and Ceola- Helo. He is also married to a dentist, Dr. Marina Blay.

Immed. Past President, Dr. Elaine deRoode Originally from the Netherlands, Dr. deRoode graduated from UCLA, School of Dentistry and went on to specialize in Orthodontics at Columbia University. She is a past president of the Miami Dade Dental Society and her leadership experience includes Delta Sigma Delta Fraternity, Secretary; Association of Women Student Dentists, UCLA Chapter, President; UCLA School of Dentistry Class of 2003, Secretary; Secretary and co-founder of the Association of Women Student Dentists.


FDC Highlights... It’s Hard to Say Goodbye Dr. Jorge Centurion received the Outgoing Trustee Award from FDA President, Dr. Ralph Attanasi, at the FDA Awards Luncheon this past June at the FDC (pictured left). He served for over 7 years as a South Florida District Dental Association Trustee to the Florida Dental Association. And, that was not all he did for the SFDDA. Dr. Centurion is a past President of South Dade Dental Society and served as a delegate to the FDA, and held both Treasurer and Secretary positions of West Dade Dental Society. He was a member of the Dentist Day Committee, as well as the Miami Winter Meeting Council, eventually becoming program chair in 1997, and general chair in 1999. We are sure everyone agrees that, “You, Dr. Centurion, will surely be missed.”

During the FDC, members of the professional dental community attend lectures and visit vendors at the exhibit hall. Some members attend the legislative and governing body of the FDA, the House of Delegates. And when the work is done, it’s time to build relationships. From Karaoke Night to a rollicking After-Party, the members of the SFDDA Delegation to the House of Delegates didn’t waste a moment of enjoying some serious fun. Pictured below l-r: Drs. Jorge Centurion, Jeannette Peña Hall and Cesar Sabates at the Heroes & Villains party in the hotel Atrium.

19


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Buy, sell, hire, or announce? Place advertising in the SFDDA Newsletter

Classifieds

OPPORTUNITIES AVAILABLE FLORIDA (SOUTHEAST AND ORLANDO – Over 45 practices): Seeking experienced General Dentists and Specialists to come grow with us! We offer excellent earning potential and the opportunity to focus on patient care in our state-of-the-art facilities. We take care of the administration (insurance claims, payroll/staffing, marketing, etc.) for you so that you can enjoy a work-life balance again! Take the next step in your career and apply online at https://www.mysagedental.com/careeropportunities/ or email your CV to bcabibi@mysagedental.com today! PEDONTIST/ENDODONTIST: Excellent opportunity for associate dentist position available PT. Start working immediately 2 Locations Miami/Aventura area. State-of-Art facilities. Please fax resume to (305) 553-9688 or email to onestopsmileshop@hotmail.com PART TIME: High quality prosthodontist and periodontist needed for selective cases at my office. Please call or e-mail. David Vine, D.D.S. 305.538.1115 (dvine@davidvinedentist.com).

Call Ms. Jackie Quintero at (305) 667-3647 ext. 13. Or visit us on-line at www.sfdda.org.

SEEKING: an “on call” substitute General Dentist in Dade Co. Salary Negotiable. Ideal opportunity for retired or persons needing extra income. Please call for details. Judy Jones 615-202-8864 PEDIATRIC DENTIST WANTED: Excellent opportunity for Pediatric Dentist to share office space in a well established Orthodontic practice in Plantation Fl. Office is available 1-3 days per week. Ideal location in a spacious & modern facility located directly next to a large Pediatrician group practice. Perfect situation for an initial start up or satellite office location. Contact: pltnortho@gmail.com GENERAL / SPECIALIST: Ft/Pt Great opportunity for General Dentist / Specialist. Excellent compensation, bonus and partnership positions. Multiple locations in South Florida. Please fax resume to (305) 7701232 or call Kathy (954) 430-2188 or email to haroldhui@aol.com BUSY DENTAL PRACTICE: Looking for PT associate dentist in Fort Lauderdale and Delrey Beach. Competitive % compensation based upon experience. Ask Dr. Martin 786-525-9946

OFFICE SPACESALE OR RENT SHARED OFFICE SPACE FOR RENT: at a specialist office with new equipment and street front presence on Bird Road. Contact endo@donticscenter.com SPECIALTY DENTAL OFFICE: space available to share. Modern updated office, centrally located in a class A building with free parking. For info call 305-984-3240. ESTABLISHED DENTAL OFFICE: Looking for a Specialist or General Dentist to share Downtown Miami office space. Updated office comes complete with Pano, two dental chairs, and private office. For more information, email dentalsurgerycenter@gmail.com

It Feels Good to do Good. Volunteer Today.

Volunteer for the South Florida Baptist Mobile Dental Unit 2016 It’s one of the nicest ways to give back to the community October 24-28, 2016: First Baptist Church of Cutler Ridge 10301 Caribbean Blvd, Cutler Bay, FL 33189

October 31-November 4, 2016: New Life Baptist Church 5005 NW 173rd Drive, Miami Gardens, FL 33055

call (305) 667-3647 ext 13 or visit www.sfdda.org 23


Profile for South Florida District Dental Association

2016 17 summer issuu  

SFDDA Member's Newseltter

2016 17 summer issuu  

SFDDA Member's Newseltter

Profile for sfdda