2017 SFDDA Summer Newsletter

sfdda Volume 59, No. 1 www.sfdda.org Summer 2017

Michael D. Eggnatz, D.D.S President Florida Dental Association

South Florida District Dental Association Affiliate Societies Kick off the Season in September with these great lectures for Members!

While you enjoy the summer, taking vacation and spending time with your familes and friends, please take a moment to mark your calendars and save the dates for these wonderful lectures presented by your

September 12, 2017

September 13, 2017

September 19, 2017

Speaker: Mark A. Limosani, DMD

Speaker: Tom GIbson, CPA

Speaker: Lauren Levi, DMD

6:30pm - 9:00pm

"Strategic Dentin Preservation in Endodontics"

Location: Novecento Restaurant 18831 Biscayne Blvd Aventura, FL 33180

SFDDA affiliate societies are sponsored by SFDDA Platinum Sponsors:

6:30pm - 9:00pm

“A Proven Way to Pay Less Taxes and Improve Cash Flow” sponsored in part by:

Location: Tropical Acres Steak House 2500 Griffin Road Fort Lauderdale, FL 33312

6:30pm - 9:00pm

“A Lecture that Won’t Make you ZZZZ: Dental Sleep Medicine 101” Location: Graziano’s 394 Giralda Avenue Coral Gables, FL 33134

President’s Message Joseph E. Pechter,

Dear fellow SFDDA members,

I am truly honored and excited to serve you as our 20172018 SFDDA president!

I would like to start by telling you a little bit about my background. I grew up in Vero Beach, Florida, with my twin brother and two sisters. I graduated from Dartmouth College in New Hampshire, and dental school at Tufts University School of Dental Medicine in Boston, Massachusetts, where I also met my beautiful wife, Chrissy. I then completed a specialty training program in periodontology, also at Tufts University. Following residency, I moved back to sunny Florida and started a periodontal practice in Hollywood.

I have served in many positions in organized dentistry during the past five years, including one as president of the South Broward Dental Society, and I have come to know many of you on a personal level. I am very grateful for the mentorship of leaders before me and for all of the current leaders of our organization. This includes our executive team, volunteers, speakers, and our sponsors. Thank you for all that you do!

This year, the SFDDA has exceptionally strong representation on the state and national levels. Dr. Michael Eggnatz is our FDA President, Dr. Irene Marron is the ADA 1st Vice President, and Dr. Cesar Sabates is our ADA 17th District Trustee.

I would like to see the SFDDA remain focused on membership value, leadership development, being proactive about the issues, and community service. We will be starting a task force on leadership that will foster new leaders in organized dentistry. We will keep you informed about the current issues, such as the hygiene rule changes, mid-level providers, and community service opportunities, which this

D.M.D.

year includes the South Florida Baptist Mobile Dental Unit, the annual FDA Mission of Mercy (MOM) event in Fort Myers, and with a possibility of a South Florida event in the future.

Our affiliate societies this year promise to have more great speakers, with 15 dinner meetings between the three societies to choose from. These meetings are a great way to get CE credit and network with your peers.

In order to stay abreast of our calendar of events, member benefits, video content, and to stay informed about our other local happenings, please make sure we have your updated contact information (e-mail address, cell phone number, office locations) on file. Call Yolanda or Jackie at the SFDDA office to make sure your information is updated.

You can also visit our website, www.sfdda.org and click on “Stay Connected” to add yourself to our email list.

We will be using more social media as well to promote and highlight our events. “Like” us on Facebook, or “follow” us on Twitter.

Finally, we will be sending out an e-mail survey to see how we can better serve our members. If you have questions or comments, feel free to contact any of your board members or our executive director, Yolanda Marrero, at (305) 6673647, ext 11, or at ymarrero.sfdda@gmail.com.

Please join me in making the South Florida district the most well-attended and well-represented organization this year!

Sincerely,

Joseph Pechter, DMD

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In My Opinion

Time To Speak Up: Report From (Currently Dysfunctional) Board of Dentistry May 19 Meeting: BOD Votes to Lower

Required Level of Supervision for Dental Hygienists; Pattern of Condescending Verbal Abuse from Board Chair Continues - Richard A. Mufson, DDS, Editor This op-ed appeared in our last electronic-only Spring newsletter. By request, a decision was made to rerun the article (with minor edits) in this, our Summer newsletter, which is published in both print and electronic format.

It should also be noted that soon after the May 19 BOD meeting, the Chairman, Dr. Joseph Thomas, reached the statutory limits of his term on the Board, and respectfully resigned, effective June 1, 2017. _____________________________________

I have often heard the suggestion made to other dental colleagues over the years (something to the effect of), “You should attend a Board of Dentistry (BOD) meeting, for you will be enlightened as to what occurs.” And I have attended a limited number of BOD meetings in the past.

However, I am saddened to report that after attending the recent May 19 Meeting and Rule Hearing at the Hilton Orlando Airport, I did not feel “enlightened” or “heartened,” or any such related emotions. The words I would use to describe my experience were more along the lines of disheartened, disenchanted, bewildered, vicariously insulted, and others.

I would love to share each of the specific reasons, verbiage or outcomes during the meeting that would explain such feelings, but I almost would not know where to begin.

This did not have so much to do with the reason for which I had largely chosen to attend - to speak on behalf of my state oral surgery society (FSOMS) against a recent BOD rule change lowering the level of supervision required for two relatively advanced procedures performed by dental hygienists, root planing and placement of subgingival doxycycline and chlorhexidine – from “indirect” to “general” (no) supervision.

Rather, it had very much to do with the entire process of the meeting, including the disciplinary proceedings brought forth against a number of dentists (as in most BOD meetings) and one dental radiographer.

It also had very much to do with the Board Chair, Dr. Joseph Thomas choosing to berate his colleagues who were presenting testimony with a notably condescending and disrespectful tone. He also questioned in some cases their professionalism and ethics, while ironically displaying a general lack of knowledge of his own on a number of issues before him.

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This next observation is directed to a least several members of the BOD, but certainly not the entire BOD. Contrary to the very purpose and intent of a Rule Hearing, it was readily apparent to even the most untrained of eyes and ears that minds were already “made up,” and there would be no attempt whatsoever to actually listen or learn from any of the testimony given – much of which would be delivered by experts in their respective specialties, such as periodontology.

However, my own personal revelation, after witnessing the overall process unfolding that day, consisted of the realization that: “We, as licensed dental professionals, along with significant risk to our licenses to practice dentistry, must answer to a body of individuals sitting around a board table – and the sad and discouraging part – a good number of whom demonstrate deficits relative to their own awareness and knowledge of the practice of dentistry.”

Allow me to share several examples.

(1) On the apparent lack of knowledge displayed by several BOD members - of the difference between “root planing” and ordinary “scaling” or other more routine dental hygiene/cleaning procedures: In prior testimony before the BOD at the December, 2016 meeting given by periodontal specialist, Dr. David Boden, and in my own testimony at the May meeting, it was stated that, “root planing is not totally innocuous, but rather is a ‘definitive’ procedure, inherently designed to remove cementum and/or dentin that is rough, may be permeated by calculus, or contaminated with toxins or microorganisms,” and which many educators and clinicians also feel has irreversible components in terms of removal of tooth structure (as opposed to scaling).

However, this information appeared to fall on deaf or uncomprehending ears, and as a result of back-and-forth comments made by one or more BOD members, it was apparent that they were incapable of, or perhaps in denial of, appreciating the clinical differences between the procedures being discussed.

(2) On the issue of potential complications: I reported to the Board that when complications have arisen over the years from either of the two procedures under discussion, such as bleeding, infection, myofascial pain, allergic reactions, and others, patients are typically referred to members of my specialty, oral and maxillofacial surgery, and as such, we are the ones who tend to see them first hand when they occur.

Several BOD members, however, and in particular the Chair, refused to acknowledge such complications could occur, or are an issue of any concern, nor would there be any difference (in his words) whether the dentist was in the next room within the office or “on the golf course” (a phrase used repeatedly throughout the discussion).

When I also related concerns that an unsupervised hygienist may fail to recognize important aspects or changes within a patient’s medical history, or medications being taken, such as potent blood thinners, or the need for premedication, or the presence of other significant medical conditions - which should require the training, judgment and presence of a licensed dentist - this information once again did not seem to register as a potential concern with a number of BOD members. _____________________________________

“We, as licensed dental professionals, along with significant risk to our licenses to practice dentistry, must answer to a body of individuals sitting around a board table – and the sad and discouraging part – a good number of whom demonstrate deficits relative to their own awareness and knowledge of the practice of dentistry.” ____________________________________________________

I was then questioned by one of the two hygienists on the Board as to why there is a lack of data available to support the occurrence of such complications. I then responded with the reason: Such adverse outcomes do not share the same reporting requirements as other categories of medical/ dental complications, such as those resulting from anesthesia delivery, or other more serious, or sentinel, events. Many or most outcomes have also not likely resulted in civil lawsuits or FDOH/ BOD complaints, and as such, would not otherwise be apparent to the BOD or other agencies seeking to regulate these procedures.

I was then admonished by the BOD Chair that such complications are required to be reported by Board rule. However, I then respectfully replied that I believed this was incorrect – as the rule he was apparently referring to (under Anesthesia, 64B5-14) only requires reporting if a patient requires transport directly from one’s office to a hospital or other emergency facility, and further, applies only to patients we ourselves have treated and to whom we have administered medications.

(3) On the issue of whether local anesthesia (a non-delegable task under general/no supervision) is required: More than one board certified periodontal specialist testified before the BOD (and one, a former Board member with over 29 years in practice) that - in order for root planing to be performed in a (key words) competent, proper, and effective manner, it would require, in most cases, the use of local anesthesia. And, this would then seem to negate the logic of the recent rule change when considering that local anesthesia is not a delegable task under general/no supervision.

However, more than one BOD member, none of whom are periodontal specialists, refuted this fact and proclaimed this is not true. Oh, really? This would be analogous to a dentist

who is not a specialist in oral surgery telling me that IV anesthesia is not indicated or required for most patients undergoing most cases of removing four impacted wisdom teeth.

As those in attendance continued to listen, it became apparent that the reason for this lack of acceptance or understanding was likely related to a lack of appreciation of: (a) the difference between root planing and other hygiene procedures, and (b) the key words: competent, proper and effective.

(4) On the issue of subgingival placement of medicaments: Dr. Thomas tried to make a mysterious distinction between “internal” versus “external” administration of medications relative to body tissue (or in this case, periodontal pockets, I presume). However, virtually no one in the room knew what the heck he was even talking about.

“If” he was referring to a “topical” medication, as opposed to drug taken internally, a collective sense of disbelief was both audible and palpable – that he was clearly demonstrating a lack of knowledge of a concept very basic relative to the anatomy, physiology and pharmacology of an inflamed periodontal pocket – i.e., that the otherwise protective layer of epithelium has been all but destroyed by either disease or therapy, and therefore, medications enter directly, and immediately, into the bloodstream.

Another board member, the one oral surgeon on the Board, Dr. T. J. Tejera, respectfully clarified the misunderstood point, and advised that medications placed subgingivally are not simply “topical,” but rather are subjected to entry into the bloodstream, and then undergo a “first pass” effect throughout all body tissues.

(5) More on the failure to differentiate root planing from other periodontal procedures: During the testimony by former BOD member and periodontist, Dr. Carol Stevens, she attempted to illustrate that a similar lack of understanding may often result in insurance coding errors by other dentists, such as when cleaning/scaling procedures may be “upcoded” and wrongly submitted as “root planing.” She then made the point that such errors have often prevented her from treating her patients who need root planing for reasons relating to limitations in frequency by insurance carriers.

Rather than ask for clarification, or attempting to understand the message, Dr. Thomas was quick to jump on her, and all but accuse her of being unethical for reasons implying she was arguing for insurance reimbursement and monetary gain as a talking point against the rule change. Dr. Stevens was also quick to fire back and, in no uncertain terms, express her sense of indignation of having been unjustly offended by the apparent inappropriate questioning of her ethics.

(6) On the improper use of the term, “standard of care:” During one of the disciplinary proceedings, which involved a failed implant case, the BOD Chair asked the defendant, in a seemingly condescending manner, what type of x-rays or imaging she had utilized. Upon receiving a logical answer, he apparently or indirectly attempted to assail what she had done (or not done) by stating that 3-D CT imaging is the “standard of care.” His rationale? As far as I can understand, he made the case by saying that we have a lot of high-tech cont. on pg.9

SFDDA 2017-2018 Officers and Executive Council President Joseph Pechter, D.M.D. (954) 981-0012

President Elect Enrique Muller, D.M.D. (305) 931 0607

Volunteers N eeded!

Southern Ba ptist Mobile Denta l Unit

Secretary Oscar Peguero, D.M.D.

Treasurer Orlando Dominguez, D.D.S. (305) 386-2766

Immediate Past President Mark A. Limosani, D.M.D., Msc (954) 800-3453 Young Member Monica Gonzalez, D.M.D.

Trustees & FDA Line Officer

Michael D. Eggnatz, D.D.S., FDA President (954) 217-8888 Jeannette Peña Hall, D.M.D., Trustee 305-667-8766 Beatriz Terry, D.D.S., Trustee (305) 279-2828 Alternate Trustees

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) Mariana Velazquez, D.D.S.(MDDS) Richard Mufson D.D.S (ND/MBDS) Isaac Garazi, D.M.D. (ND/MBDS) Affiliate Society Presidents

Mariana Velazquez D.D.S. (MDDS) Evan Rubensteen, D.M.D. (ND/MBDS) Alfredo Tendler, D.M.D. (SBDS) Richard A. Mufson, D.D.S., Editor Yolanda Marrero, Managing Editor Jackie Quintero, Advertising Manager SFDDA NEWSLETTER Copyright: © SFDDA 2017 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.

Join Your Fellow Colleagues in Volunteering at the Southen Baptist Mobile Dental Unit!

We are looking for volunteers to serve the underserved community

October 23-27, 2017 First Baptist Church of Cutler Ridge 0301 Caribbean Blvd Cutler Bay, Florida 33189.

October 30-November 3, 2017 Iglesia Bautista La Hermosa de Leisure City (La Hermosa Baptist Church in Leisure City, Florida) 28140 SW 152nd Avenue Leisure City, Florida 33033

Keeping with tradition, volunteers will be provided with a $25 gasoline card and one pair of movie tickets.

And as always you will be provided with appropriate documentation of your community service hours for CEU credit.

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cont. next page 8

cont. from pg. 5

devices in life, such as Tesla automated vehicles and others, and therefore should use them because we have them.

It personally makes my skin crawl when the phrase, “standard of care” is thrown about, clearly misunderstood and used inappropriately, especially no less in a serious legal proceeding, by others who have no idea what the phrase, in legal terms, actually means.

It is legally defined as (with some variation), “… a given level of care, skill and knowledge exercised by a reasonably prudent similar heath care practitioner under same or similar circumstances.”

More important - is what the phrase does not mean. It does not equate with concepts such as, “more and more people are using [a given technique, such as CT] lately or, that “it’s high-tech,” and so it must be great, and therefore it must be the “standard of care.”

No, that’s not what it means. And, when misused, it caries with it a significant negative impact from a medico-legal perspective, on all practicing dentists because it also implies that if the given technique is not used, one is then practicing below the prevailing standard of care.1

(7) Procedural “faux pas” and a flawed vote on hygiene rule: The one current sitting consumer member/“lay” person on the BOD (the second consumer seat had remained longempty due to inaction by the Governor), Mr. Tim Pyle of Pensacola, asked other BOD members for clarification of (a) the difference between root planing and scaling, or other more routine dental hygiene procedures, and (b) the difference between indirect and general supervision.

However, the explanation provided to him by the BOD Chair was a combination of inaccurate and/or difficult to comprehend, especially for a non-dentist (sadly, I’m a dentist, and I could not comprehend it either). As a result, many in the room believe the lack of proper understanding likely had the effect of turning a 5-5 vote, preventing the new problematic rule from going forward, into a 6-4 vote – which gave a green light for the BOD rule change .

(8) A final “dagger” was then metaphorically inserted into what had seemed like an endless display of missteps and misplaced abuse of authority on many levels. This was not only my own perception, but also that of others in the room,

and not the least of whom would include a dentist facing disciplinary action for a very unfortunate IV sedation-related death of a patient.

The Board was apparently rightfully poised to accept permanent relinquishment of the dentist’s IV sedation permit due to an apparent lack of knowledge, awareness and actions/inactions on her part allegedly contributing to the death. However, the Board then heard an understandably justified, highly emotional and heart-wrenching testimony from the parents of the deceased patient, that also included a plea that the dentist be prevented from practicing again. Apparently moved by this, the BOD then made, voted on, and passed a motion (by an 6-2 vote; 2 were recused), to permanently revoke, not only her IV sedation permit, but her license to practice dentistry.

A “gasp” of disbelief was heard when announced, and the apparent message, I feel – was that pure emotions and/or politics, rather than what may be justified by the facts of the case – would play such a role in so heavily influencing the actions of the Board, and the future life and livelihood of the dentist. She thankfully retains the right to appeal.

“So,” I ask, “you want to attend that BOD meeting that others have suggested be on everyone’s to-do list?” I don’t think so.

Not a good idea. Well, at least, maybe not this BOD. You may need to wait a small while.

In the meantime, you can encourage the Governor to fill both a long-open consumer position on the Board, and as of June 1, a second seat vacated by Dr. Thomas. Encourage your friends and colleagues to apply for a position, as term limits will soon affect a few others on the Board. Encourage others and offer additional help and lobbying efforts as part of an increasingly concerned and frustrated contingent of members within organized dentistry. _______________________________________________ References: 1. Mufson, RA, Ragan, MR. Today’s FDA Article Touting Cone Beam CT as New “Standard of Care” False and Misleading, South Florida District Dental Association Newsletter, Vol 52, No. 2, Fall 2010, p 4-5.

Note: 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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-2deserves proper oversight and supervision by a doctor who understands and can treat complications when they happen.

Finally, permit me to voice a philosophical reason for my objection to this illconceived proposal. Throughout my career in our great profession, from matriculation to now near retirement (maybe!), I have always worked to better our care as dentists to our patients. I am saddened that all too often in recent LJĞĂƌƐ ƚŚĞ ĞŵƉŚĂƐŝƐ ŽĨ ͞ĂĚǀŽĐĂƚĞƐ͕͟ ŐŽǀĞƌŶŵĞŶƚ ƌĞŐƵůĂƚŽƌƐ͕ ĂŶĚ ĞǀĞŶ ŽƵƌ ŽǁŶ dentists and students has been on making things easier, not better. I am a believer, as my wonderful students can attest, in constantly raising the bar in service to our patients, not, as noted by our CDCA presenters at the November 18th board meeting, ŶŽƚ ͞ƌĂĐŝŶŐ ƚŽ ƚŚĞ ďŽƚƚŽŵ͟ ďLJ ĐŽŶƐŝƐƚĞŶƚůLJ ůŽǁĞƌŝŶŐ ĂŶĚ chipping away our standards of care as a convenience. / ƐĂLJ͕ ůĞƚ͛Ɛ ǁŽƌŬ ƚŽŐĞƚŚĞƌ͕ ĂƐ we have for 150 years, to ELEVATE our standards of care rather than being seduced into just making things convenient for a hygienist, dentist, or student.

Thank you for your service to our profession and citizens as a member of this board.

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`February 8, 2017 Department of Health Board of Dentistry 4052 Bald Cypress Way Bin C-08 Tallahasseee, FL 32399-3258 RE: Dental rule 16.007 changes at the Dec 22nd teleconference meeting Sirs: I write thiss, after several weeks of conte o mplation, to strenuously object to the Board of Dentistry rule made in December 20 016 to change periodontal scaling and root planing for a dental hygienist from indirect superrvision to unsupervised. The reasons we re given during my recorded testimony at that meeting. g It was the first time I tesstified at the BoD. As a periodontist, dental educator in perriodontics, and as an expert in Code on Dental Procedures and Nomenclature (CDT) periodontal a coding, I was surprised at the lack of knowledge on the part of sevveral members of the BoD, but was shocked when board member dental hyggienist Ms. Cabanzone relied on a dental hygiene textbook for her definittions instead of the origin nal source material----the CDT, which I had quoted. She stated the ADA ma m terial was out of date. Well, that code and its definitions are reviewed annually and the per e iodontal codes specificaally were updated in 2017. For me to be put down that way, and then to be insulted by the new wly elected chai a r, Dr. Thomas, was unten e able. It was apparent to all attending that the Bo oard had ŶŽƚ ĚŽŶĞ ŝƚƐ ƉƌŽƉĞƌ ĂŶĚ ŶĞĐĞƐƐĂƌLJ ŚŽŵĞǁŽƌŬ͕ ƚŚĂƚ Ă ƉŽůŝƚŝĐĂů ͞Ĩŝdž ǁĂƐ ŝŶ͟ ĂŶĚ Ăůů ĚŽĐƚŽƌ testimony was to be ignored and put down. In fact, the only testimony apparently ac cepted was a masss template mailing from dental hygienists.

I must tell all of you that given my first i experience with the Fllorida Board of Dentistry , and ĚĞƐƉŝƚĞ ĐĞƌƚĂŝŶ ŵĞŵďĞƌƐ͛ pronounccements to the contrary, as a an ethicist I no longer have confidence the Board places the safety and welfare of the Flor o ida citizenry over political a and agenda am mbitions in making serious decisions. And personallly, after the way I was treated as an in i divid i iduall docttor giv i in i g testtimony off my own free will, ill and the unproffession i a l way thatt meeting was conducted with observved verbal bullying and intimidation of certain mem mbers, I sadly no lo onger have respect for thiss Florida Board of Dentistry. r Changes sh hould, and must be made.

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Congratulations to the 134th President of the Florida Dental Association Michael D. Eggnatz, D.D.S On June 24, 2017, at the Florida Dental Association (FDA) House of Delegates, our very own Dr. Michael D. Eggnatz was installed as the 134th President of the FDA. As he took the mantle of state leadership by thanking everyone for the honor of serving as president for the coming year, Dr. Eggnatz took a moment to convey that he does not take the responsibility lightly. “Dentistry is more than a career. It has become the central hub that connects me to some of the brightest minds and the most generous people I know.”

He continued his address by quoting Sir Isaac Newton. "If I have seen further than others, it is by standing upon the shoulders of giants." He also stated that, “a man of such brilliance was humble enough to credit those who came before him and laid the foundation for the discovery of gravity. That kind of self-awareness, perspective and appreciation demonstrates leadership.” Quickly adding that he was not an “Isaac Newton,” he credits much of what he has known, perceived, and valued to his predecessors the mentors in his life.

As a third-generation dentist, Dr. Eggnatz came from a rich tradition of leadership in dentistry and community in South Florida.

Both his father and grandfather before him were proud to be dentists and gave back to their beloved profession. They instilled the values of community in Dr. Eggnatz, and he is proud to carry on

that tradition in his own way.

Among those who have inspired and mentored him throughout his career in organized dentistry, Dr. Eggnatz recognized, (1) Dr. Clifford Marks, who was an orthodontist from Miami, the first trustee of the then-newly-formed ADA 17th district, and a thoughtful man who spoke with authority and wisdom, (2) Dr. Edmund Parnes, who was never afraid to think outside the box, and among the first to propose the then-radical idea of becoming our own trustee district of the ADA, (3) Dr. Alan Friedel, a mentor of many young dentists, and a critical thinker who lives by the courage of his convictions, (4) Dr. Cesar Sabates, our current ADA Trustee, and a compassionate man who has led the FDA through a time of turmoil and transition.

He credited other state leaders as well, including Dr. Larry Nissen, Dr. Robert Ferris, and Dr. Terry Buckenheimer, all of whom possess qualities that Dr. Eggnatz acknowledged have greatly influenced his own leadership skills. He also took time to express his thoughts and admiration for those in his district who have continued to nurture and help create pathways for young members to succeed in leadership. He recognized Dr. Richard Mufson, whose intelligence, and his gentle and fair nature, has permeated throughout our component newsletter and biennial mandated course lectures. He also recognized Dr. Laurie Gordon Brown, a faculty member of NSU

XzzÇtàé YtÅ|Äç itÄâxá Dr. Eggnatz is quick to remind everyone that no leader of any organization can be effective without the shared dedication and support of family, especially his wife, Marian. “She is my life partner, my biggest supporter, a gentle critic when I get off message and without a doubt, the love of my life.” His two children are also very supportive. Kristina, his daughter, runs his front office, making her the fourth generation working with her father in dentisty. His son, David, works in commercial real estate. Both have grown up understanding and supporting his devotion to the dental profession, even when it encroached upon their lives.

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College of Dental Medicine, who was the first female president of the South Broward Dental Society, and has taken a keen interest in introducing her students to organized dentistry, some of whom now serve as FDA member delegates for the SFDDA. Dr. Eggnatz’s Mission

Encouraging the leadership of the tripartite, along with our grass roots members, Dr. Eggnatz’s message is one of working together to help our members navigate through a demanding world. “Leaders are defined, not only by the conflicts they face, but how they energize the members whom they serve.” He asks that the leadership not lose sight of the real needs of our members - those dentists who go to work in a world of uncertainty over modes of practice, overhead, and government intervention, and who look to their professional association for help.

“The FDA will be asked to decide our position on a whole host of subjects which are hurling toward us at lightning speed. We must put our best minds to these problems, in helping us decide what positions to take, and then to make our mission a reality.”

a long list of challenges to be faced, and far too many for the few to tackle alone. These challenges include advances in electronic communication, evolving models of delivery of care, the expense of incorporating state-of-the-art-dentistry and technology into practice, corporate consolidation, expanding scope of midlevel providers, licensure portability, the appropriate testing and examinations process, possible Medicare delivery of dentistry, tele-dentistry, and the education of increasing numbers of new legislators in our state than has ever been seen before. “As you can clearly see, these are the real issues in dentistry, and this is the real purpose of our association! Indeed, we have our work cut out for us!”

Simply stated, and as expressed by Dr. Eggnatz, “We live in interesting times. Like most of my predecessors, I have come up through the ranks of leadership and have served as affiliate president, component president, and this year with your help, as FDA president. I am here to listen to your ideas, and ask you for your support, because together we can make good things happen and help our community succeed.”

He reminds his colleagues that, “We are the oral healthcare experts in Florida. Our mission is to become the effective association we aspire to be. We must respect the diversity of all opinions and debate them on the merits of their ideas with intellectual honesty and focus on the message, not the messenger.” Dr. Eggnatz learned by the examples of his father and grandfather that for those to whom much is given, there is much expected in return.

“It is our responsibility to give back to dentistry and keep it the highly educated, skilled, learned profession that it has become. It is a guiding principle which I still believe to this day.”

With that philosophy in mind, Dr. Eggnatz looks forward to everyone rolling up their sleeves and getting busy, working on behalf of the profession and the patients we are grateful to serve. There is

Three Generations in Dentistry

Dr. Michael D. Eggnatz with his grandfather, Dr.Meyer Eggnatz and father, Dr. F. Lee Eggnatz

Dr. Eggnatz is one of six children born to Dr. F. Lee Eggnatz, one of the first pediatric dentists in Hollywood, Florida, and his wife, Marian. His father is no longer with us, but his legacy and family values are apparent in the form of his son Michael and his siblings, all of whom were present in the audience along with their spouses and children when Dr. Eggnatz delivered his first presidential speech at the FDA House of Delegates.

Dr. Eggnatz with five of his siblings and his mother pictured l-r: Marcy, Michael, Sue, Marian, Richard and Laurie. Not pictured is Dr. Eggnatz’s brother, Steve.

Below are Kristina and David Eggnatz with their cousins and friends at the FDA Awards Luncheon

Dr. Eggnatz recognized his staff for their patience and support during his involvement with organized dentistry, and two of whom have been with him for almost twenty years.

Staff is family too!

Pictured l-r: Maureen Laguer, Nora Wallace, Ayli Garcia, Dr. Eggnatz, Marian Eggnatz, Laura Santiago and Kristina Eggnatz

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Affiliates Corner...

A Great Member Benefit that provides you with continuing education and a nice dinner in the company of your friends and colleagues is offered by the SFDDA’s three affiliate societies. See page 19 for information on upcoming events..

Miami Dade Dental Society

Usually meets in the Coral Gables Area on the 2nd Tuesday of select months between September and April President: Dr. Mariana Velazquez

North Dade Miami Beach Dental Society

Usually meets in the Aventura area on the 1st Tuesday of select months between September and April President: Dr. Evan Rubensteen

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Usually meets in the Davie area on the second Wednesday of select months between September and April President: Dr. Alfredo Tendler

like us on facebook and see highlights of the past year

new members Dr. Debora Shapiro Dr. Fredericka Salbo Dr. Mina Adinemehr Dr. Carmen Gonzalez Dr. Malena Fernandez Dr. Ana Tellez Dr. Alvaro Maya Dr. Joel Figueredo Dr. Amanda Caravia Dr. Gloria Mondragon Velez Dr. Ivet Romero Vazquez Dr. Ximena Checa

South Broward Dental Society

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

Dr. Ada Chung Dr. Elianet Diaz Dr. Lizette Garcia Dr. Roshan Kalra Dr. Annabel Perez Dr. Miguel Rielo Dr. Karolina Rincon Dr. Alan Seidenfeld Dr. Vu Tran Dr. Manuel Estrada Dr. Camilo Rodriguez Dr. Claudia Ferreiro

Dr. Sandor Valls Dr. Adam Lau Dr. Karina Hernandez Dr. Hanna Butenko Dr. Paridhie Patel Dr. Ruben Villarreal Dr. Sinai Rey Consuegra Dr. Jean Paul Taveras Dr. Lisset Gata-Garcia Dr. George Khazoum

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News from the American Dental Association

Dr. Irene Marron – Tarrazi ADA 1st Vice President Friends and Colleagues,

I would like to provide you with a brief update on two ADA initiatives - the Find-a-Dentist marketing campaign, and advocacy, in addition to informing you of an “imminent threat” occurring in our own home state of Florida.

Find-a-Dentist Last fall, the House of Delegates approved a major initiative to encourage the public to see an ADA dentist.

The campaign, which includes consumer advertising and a brand new user-friendly online tool for finding an ADA dentist, is now well underway. National advertisements launched on July 10.

Advocacy On the ADA’s advocacy efforts related to the Affordable Care Act (ACA): The ADA believes that any effort to replace the existing law should: (1) not result in Americans losing dental coverage gained under the ACA, (2) emphasize value while supporting the doctor-patient relationship, (3) ensure a competitive insurance marketplace, and (4) safeguard the most vulnerable among us who rely on Medicaid for their health coverage.

With health care reform efforts in the U.S. Senate currently frozen, the ADA is focusing its efforts on Medicaid. Drastic funding cuts and structural changes to the oral health system will undermine the gains that famiThe success of the campaign is dependent upon your lies have made in accessing dental care and ultimately participation! We are relying on you to complete your be detrimental to the entire healthcare system. As a reFind-a-Dentist profile, and to get the word out to other sult, we are reinforcing our need to project oral health ADA members. Please also consider informing your gains in Medicaid and urging Congress to reject drastic non-member friends and colleagues, as a means of let- reductions of the Medicaid program, which currently ting them know of this initiative, one of the many ben- provides coverage to over 70 million Americans, including 37 million children. More information about these efits of belonging to the tripartite. efforts is available on ADA.org/Advocacy.

What do patients see when they view your profile?

Even if you’ve updated your profile in the past, please Information on an Imminent Threat in Florida do so again. First and foremost, take just a minute A few foundations (including Pew, Kellogg) have deto add your photo. Profiles with photos get 11 times cided to make our state the battleground in their atmore clicks from consumers. Our search engine priori- tempt to solve the “access to care” problem. They are tizes the search by completed fields in the profile, and supporting a new dental workforce model, dental therthe first criteria is a photo. Update your profile today apists (also known as mid-level providers, DHAT) at ADA.org/myADA. Response from the public has been throughout the United States. strong, and use of the new Find-a-Dentist tool will concontinued on next page tinue to grow. Help us to help you.

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As you are probably well aware, the ADA has, over the course of many years, looked closely at the issue of dental therapists.

Having diligently studied this topic, the ADA has found that the potential risks to patients outweigh any beneďŹ ts. In Florida, it has not been proven there is an access to care problem. As in all states, the problem lies in educating the public on the beneďŹ ts of seeking oral health care. The ADA is actively providing us with their guidance and support on this challenge.

As your ADA Vice President, I want you to know that I am always available to you. Feel free to call me or send me an email.

Irene Marron-Tarrazzi, D.M.D., M.S., First Vice President, ADA 848 Brickell Avenue, Suite 940, Miami, FL 33131 305.646.1524, 305.436.3677 fax marrontarrazzii@ada.org

Advocacy Begins with You...

South Florida in the spotlight with three of our very own receiving recognition for their contribution to leadership in organized dentistry. Congratulations to all!

FDA Leadership Award Recipient Michael D. Eggnatz, DDS

Prior to becoming the FDA’s president, Dr. Michael Eggnatz has held leadership positions at every level of the tripartite. Dr. Eggnatz has served as a 17th District delegate to the ADA House of Delegates and on two reference committees. He has been an FDA trustee, Governmental Affairs Committee member, Legislative Contact Dentist, Donated Dental Services board member and FDA Board of Trustees liaison to the Committee on Conventions and Continuing Education. Dr. Eggnatz is a past president of the South Broward Dental Society and the South Florida District Dental Association, and also served as the general program chair for the Miami Winter Meeting for nine years. He also served as the president of the Greater Miami Chapter of Alpha Omega as deputy and state regent. Dr. Eggnatz has been on the FDA House of Delegates since 1997, and is a fellow of the American College of Dentists and the International College of Dentists.

Dr. Eggnatz is a native Floridian and in 1988 became a third-generation dental graduate from University of Maryland School of Dentistry. He is most proud of his beautiful grown children, Kristina and David, his wife, Marian, and his family legacy in dentistry.

New Dental Leader Award Recipient Mark A. Limosani, DMD

Dr. Mark Anthony Limosani received his dental degree from the University of Montreal in 2007, and then completed a multi-disciplinary 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 received his master’s degree in dental science. He won the Robert A. Uchin Endodontic Award for his presentation during Nova’s Endodontic Alumni Day. He currently is the South Florida District Dental Association (SFDDA) immediate past president and is a past president of the South Broward Dental Society (SBDS) and Nova’s Alumni Association.

He also has held the positions of the SFDDA secretary and president-elect, SBDS president-elect, and the Miami Dade Dental Society secretary and treasurer. Dr. Limosani is a former adjunct faculty member at Community Smiles and Nicklaus Children’s Hospital. He also is a Baptist Bus participant. Dr. Limosani has lectured locally and internationally on many topics in endodontics including dental traumatology, restoration of endontically treated teeth, and restoratively minded endodontics. Dr. Limosani enjoys family time, competitive running and traveling.

FDA Leadership Award Recipient Rodrigo Romano, DDS

Dr. Romano is a board-certified periodontist and is a diplomate of the American Board of Periodontology. He earned his dental degree at the Universidad Autonoma de Guadalajara in Mexico and then completed an internship in oral and maxillofacial surgery at Hospital General de Zapopan, Jalisco. He continued his postgraduate education in periodontology at Tufts University School of Dental Medicine where he received his master’s degree.

Dr. Romano is a fellow of the International College of Dentists and the Pierre Fauchard Academy.

He currently is a member of the FDA Board of Trustees (BOT), ADA Council on Membership; a delegate to the FDA House of Delegates (HOD); alternate delegate to the ADA HOD; and, chair of the FDA Council on Financial Affairs. Dr. Romano has served as treasurer of the South Florida District Dental Association; president and treasurer of the Miami Dade Dental Society;representative of the Tufts Alumni Admissions Program; periodontology department chair at Community Smiles Dental Clinic; and, secretary of the Community Smiles Dental Clinic BOT.

Miami has been Dr. Romano’s home since moving from Mexico in 1985. He stays active by running with his team, “SoleRunners.”

It used to be, that we would type up a letter, fold it, place it in an envelope, address it, put a stamp on it, and hand it to the postman.

Then, a few days later, you would receive our letter. But life is not like that any more.

Life is moving at a rapid pace and communication happens in seconds. Your SFDDA must keep up with what is going on in the world of dentistry, and delivering that information to you, our members, is happening as quickly as the rest of the world is moving.

We communicate via email, social media and text message whenever possible. Please be sure that your contact information is updated and ready to receive our communciations. You never know when you will be called to action, or invited to attend a lecture or event.

You may confirm or update your information by calling the SFDDA at (305) 667-3647, or email us at southfloridadistrict@gmail.com or click on â&#x20AC;&#x153;Stay Connectedâ&#x20AC;? on our website, www.sfdda.org.

REGISTER AT https://2017.microscopedentistry.com/

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Classifieds OPPORTUNITIES AVAILABLE

RECEIVE CONTINUING EDUCATION CREDITS: on a personalized level at my office. David Vine, D.D.S. over 44 years of experience and author of the book “Understanding First Class Dental Care”, Call 305.538.1115.dvine@davidvinedentist.com

FLORIDA (SOUTHEAST AND ORLANDO–Over 50 practices): Sage Dental is 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-ofthe-art facilities. We take care of the administration tasks (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/career-opportunities/ or email your CV to bcabibi@mysagedental.com today!

Call us at 561-999-9650 ext. 6146

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 ).

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

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

DENTAL PRACTICE FOR SALE

GENERAL DENTIST SELLING PRACTICE: at 4790 NW 7 street. Leaving patient data, 3ops, digital like new. 1,300 sq. ft. $2,000 rent. Please call Dr. Rey (305) 450-0067

To run a classified or display advertisement in the SFDDA Newsletter, please contact: Jackie Quintero at (305) 667-3647 ext 13 or email jackie.sfdda@gmail.com

The SFDDA Nominating Committee is seeking Candidates for the following: SFDDA Secretary

SFDDA Treasurer Incumbent is Dr. Orlando Dominguez

FDA Secretary

FDA Alt Trustee Incumbent is Dr. Irene Marron

FDA Alt Trustee Incumbent is Dr. Rodrigo Romano

New Candidates may request an FDA Trustee application by calling the SFDDA Incumbent is Dr. Jeannette Peña-Hall office at 305 667 3647 or at download at www.sfdda.org

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