Sfdda newsletter 2015 16 spring

sfdda Volume 57, No. 4 www.sfdda.org Spring 2016

New Member Benefit!

Affiliate Continuing Education meetings are included in your Tripartite Membership Dues! pg. 15 President’s Message, pg. 3

Ethical Aspects of Patient Referrals In Dentistry, pg. 4 Legistlative Highlights, pg. 8 Affiliate Officer Installation and Annual Business Meeting,pg.16 Classifieds, pg. 19 SFDDA Annual Poster Contest, pg 20

SOUTH BROWARD D E N TA L S O C I E T Y

❤ ❤ ❤

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

NORTH DADEMIAMI BEACH D E N TA L S O C I E T Y

SFDDA 2015-2016 Officers and Executive Council President ELAINE DEROODE, D.D.S. (305) 373-7799 Vice President Mark A. Limosani, D.M.D., Msc (954) 800-3453

President’s Message Elaine deRoode, D.D.S.

Secretary Joseph Pechter, D.M.D. (954) 981-0012 Treasurer RODRIGO ROMANO, D.D.S., M.S. (305) 667-8766 Immediate Past President MARCOS DIAZ, D.D.S. (954) 659-9990 Young Member ENRIQUE MULLER, D.M.D. (305) 931 0607 Trustees & FDA Line Officer Michael D. Eggnatz, D.D.S., FDA 2nd Vice President (954) 217-8888 Jorge Centurion, D.M.D., Trustee 305-662-22167 Beatriz Terry, D.D.S., Trustee (305) 279-2828 Alternate Trustees Jeannette Peña Hall, D.M.D. Rodrigo Romano, D.D.S., M.S.

Hold on to Your Seats - Member Benefits are About to Change!

Your local, district and state leaders are listening to member requests and are working tirelessly to advocate for our profession, increasing membership and improving member benefits. If you haven’t done so already, follow the link below to fill out your member survey and let your voice be heard:

Delegates to the Executive Council from the Affiliates Societies Carlos Sanchez D.M.D. (MDDS) Esteban Leon, D.M.D. (MDDS) Richard Mufson D.D.S (ND/MBDS) Isaac Garazi, D.M.D. (ND/MBDS) Ross Schwartz, D.M.D. (SBDS) Affiliate Society Presidents Alexandra Castillo, D.M.D. (MDDS) Chandy Samuel, D.D.S.(ND/MBDS) Mark Limosani, D.M.D. (SBDS) 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.

http://www.surveygizmo.com/s3/26 91061/Florida-Dental-AssociationMember-Survey Under the direction of the Florida Dental Assocation (FDA) Executive Director, Drew Eason, and extensive efforts from FDA members and staff, membership increased by 232 members at year end 2015. South Florida welcomed 60 of those new members. This increase in membership is instrumental in strengthening the FDA’s voice in both legislative and professional realms.

in to assist with member application, renewal, sponsorship, marketing and event registration.

With the legislation passed at the SFDDA Annual Business Meeting, a $40 increase in dues will enable all SFDDA members to join their affiliate society and benefit from the meetings. Please take advantage of this NEW member benefit and join your local affiliate society! Look for announcements to come via newsletter and email for lecture schedules for Miami Dade, South Broward Dental and North Dade/ Miami Beach Dental societies.

Please direct any questions on how to join your local affiliate to the SFDDA office: 305.667.3647.

Thank you for your support during this dynamic time in our profession.

If I do not see you at the Gaylord Palms for the Florida Dental Convention ( June 16-18), entitled, “The The implementation of the Strategic Art of Modern Dentistry,” I will cerPlan for SFDDA is moving in a pos- tainly look forward to seeing you at itive direction.

In an effort to our local affiliate society meetings! streamline the administrative duties and system protocols of the affiliate societies, the SFDDA has stepped 3

Ethical Aspects of Patient Referrals In Dentistry The fourth of a five­part series:

Factors Affecting Our Choice of Specialist, Importance of Communication, Respect for the Referring Dentist­Patient Relationship Richard A. Mufson, D.D.S., Editor

The beginning of this series took place in our Summer, 2015 issue. The initial premise sought to inspire a thought process and discussion among us regarding some of the changes occurring within dentistry over the past decade or more, many of which seem to have shared a common theme of bearing some relation to issues involving ethics, or ethical decision-making.

Several issues of concern were raised for our consideration – such as questions as to whether our care of patients may be influenced by varying insurance plans, practice models, increasing student debt, myriad hands-on courses empowering our sense of perceived competence, intensive marketing which may drive our increasing use – whether necessary in many cases or not - of graft materials, 3-D imaging and other new products and technology, and the concern as to whether the care our patients receive may be adversely influenced by the increasing numbers, frequency and locations of so-called traveling “surgeons.”

Indeed, a thought process and discussion has ensued, as I have received significant interest and feedback from you, our readers, on many of these issues. However, most of the series has been focused on the ethical aspects of one small, but very significant, part of our every day practice – and that being “referral” of patients in dentistry.

Continuing to Share A Chapter Written For an Ethics Textbook Part 4 of 5 The following represents the fourth part (of five) of a chapter I had been asked to write several years ago for a textbook on the subject of “Ethical Aspects of Referrals Within Dentistry.” I have repeatedly shared disclaimers that I do not consider myself an “expert” in the field of ethics,

The remaining topics I would like to share in the remaining two parts of this series include: 5. Factors affecting our choice of specialist of consulting doctor, 6. The importance of effective “communication” in the referral process, 7. Ethical considerations from the perspective of the specialist/ consulting doctor, 8. The importance of respecting the referring dentist-patient relationship, 9. When “justifiable criticism” is indicated, and finally, 10. Choosing words carefully when speaking about others Factors Affecting Our Choice of Specialist or Consulting Doctor: By virtue of the inherent mutual faith and trust which develops over time within a given dentist-patient relationship, it is presumed that the basis for any and all decisions made regarding oral health needs – including the decision to refer to another specialist or consulting practitioner for care - would consist of that which is medically and clinically in the best interest of the patient. Of equal, if not greater, importance than a decision of when to refer, from a patient’s perspective, would also be to whom one is referred.

Patients tacitly assume, for obvious reasons, that the dentist they have come to know and trust over the months and years would only choose to refer their care to an individual who would possess the highest level of skill and expertise to address their unique clinical needs. In addition to didactic or clinical considerations, patients would also like to feel that the individual chosen would possess a similar high level of character and personal attributes as they have come to know and appreciate in their own dentist. In many instances, patients are provided with not

Patients tacitly assume, for obvious reasons, that the dentist they have come to know and trust over the months and years would only choose to refer their care to an individual who would possess the highest level of skill and expertise to address their unique clinical needs. and do not perceive myself as more “ethical” than those of you reading this (and therefore do not want to be perceived as lecturing to anyone), but rather someone who is merely attempting to share thoughts and information . I would also remind you that the initial stated target audience for this chapter was that of dental students, graduate students and residents in training.

The topics previously discussed have included: 1. Indications for referral and knowing “when to refer,” 2. Indications for “when not to refer,” 3. Misrepresentation of specialty status or training, 4. Referrals based on financial considerations.

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just one, but two or more names and contact information of practitioners who are presumed to be worthy of the confidence of both the referring dentist and their patient.

Although most referrals made on a daily basis within dentistry take place with these goals and sentiments in mind, some clearly do not. One example of many could include the aforementioned scenario of a group dental practice, consisting of one or more general dentists in combination with one or more dental specialists, some of whom may only be present in the office one day or morning per week, or per month.

Notwithstanding the fact that many such specialists working within such group practices may be highly qualified in their respective fields, a percentage of “in house” referrals take place with less consideration given

to clinical or personal qualifications as compared to other situations. As discussed earlier, such referrals may be made with the goal of simply keeping the patient, and their discretionary spending money, “in house,” rather than have such funds go elsewhere if an outside specialist were selected.

Other examples of referral choices, which may not necessarily be based on high clinical or personal attributes of the specialist/consulting doctor, may include those based more upon who may have given the best gift around holiday time, or who may be a fishing buddy of the referring dentist, member of one’s golf foursome, or social networking club, rather than on clinical competence.

The disparity in such referral patterns may often become all the more obvious or transparent when a dentist chooses to refer only his or her closest friends and family members to a particular specialist in the neighborhood, while an “in-house” or some other local specialist inexplicably is the known recipient of all other referrals from that same dentist.

In any event, choice of a specialist or consulting practitioner, from an ethical standpoint, should be based on clinical considerations and patient needs rather than on the basis of gifts received or inducements.3 From a legal perspective, a dentist may also be held responsible for treatment performed by a specialist or consulting dentist, and for this reason, it is recommended that dentists consider the training, knowledge and overall qualifications as related to the individual needs of the patient.2 Communication The importance of adequate and accurate communication between all parties involved in the process of patient referrals cannot be overstated.

According to the ADA General Guidelines for Referring Dental Patients, “…dentists have an ethical obligation to discuss their referral information with the patient in an appropriate manner.” 2 The communication process, which may be viewed as a conversation, or a forthright sharing of information and ideas, would be expected to begin at or about the time a decision is first made to refer a patient to a specialist or other consulting practitioner. Rather than a patient simply be handed the business card of a local specialist by office staff at the front desk and told to make an appointment, it is generally expected and considered far more helpful for the patient to receive a thoughtful and meaningful explanation from their dentist relative to any and all decisions leading up to the referral. The information imparted would most

fice. Regardless of the timing or method of communication, a thorough understanding of shared information between all parties is of paramount importance relative to the success of the desired benefits and goals of the referral and the overall clinical care of the patient.

In some situations, however, proper or ideal communication does not occur, and may regrettably involve little or no thought devoted toward a given patient referral. It is not highly unusual for a patient to arrive at the office of a specialist with virtually no knowledge or previous explanation given as to the reason for the referral. It is not uncommon for the patient to hand a referral slip from the referring dentist to the specialist’s front desk staff, but with no information filled out on the form, or of greater concern in some cases – the wrong treatment requested (i.e., a request for lower left first molar endodontic therapy or removal, when the treatment intended was for a lower right first molar).

Communication is also of obvious importance in the other direction as well – that is, from the specialist/consulting practitioner back to the referring dentist. The information shared may typically include, but would not be limited to, findings, relevant opinions, recommended plans of treatment, clinical procedures performed, any unanticipated or unusual findings or outcomes, or any plans for follow-up care.

The method of communication may consist of a phone conversation (which should be documented in the medical record, if possible) or letter. Electronic (e-mail) communication is also more commonplace in today’s world of sharing medical and dental information, although mutual treating doctors and other health care entities must exercise significant caution due to laws governing patient privacy and confidentiality when considering the transmission of any information which may be regarded as sensitive or confidential, while also avoiding the use of specific names or other identifying data, where possible.

A multitude of other situations occur in daily practice between the time of a patient’s arrival and final evaluation or treatment in which communication back to the referring dentist also takes on great importance. A common example would include any comments or questions regarding the specific nature of the evaluation or treatment requested, if not adequately specified in advance. Certainly, there will also be instances in which the proposed rationale for evaluation or the specified treatment plan suggested by the referring dentist may not coincide with the view or opinion of the consulting dentist, whereupon a respectful disagreement may occur.

One example may include cases in which the consulting dentist discovers that a patient’s pain and/or other symptoms are arising from a dif-

It is not uncommon for the patient to hand a referral slip from the referring dentist to the specialist’s front desk staff, but with no information filled out on the form, or of greater concern in some cases – the wrong treatment requested often be expected to include pertinent clinical information as to the specific rationale for the referral, or in other words, an explanation supporting the perceived need for a different or higher level of knowledge and expertise for the particular clinical situation involved.

Communication between the referring dentist and specialist/consulting practitioner is also highly important. This may take place in person, or in the form of a phone conversation, a written or typed letter, or a specific referral slip (which specialists often provide to referring dentists in advance for this purpose), in which important information is shared regarding the nature of the requested evaluation or treatment. In many cases, such communication may take place in advance of the patient referral and in other cases –although often not as ideal - while the patient is in the office of the referring dentist or after the patient has left the of-

ferent source than originally assumed, such as from within the TM joint rather than the lower molar referred for removal or endodontic therapy.

Another may include a recommended periodontal or endodontic therapy, but which may appear precluded by an apparent poor or hopeless prognosis associated with the tooth in question. The consulting dentist may in turn feel that an alternative plan offering the patient a more predictable outcome may be warranted, such as removal of the tooth and placement of a dental implant.

Whether it be a simple question, a clarification, or a “respectful difference in opinion” (as one example of an appropriate choice of words in such situations) on the part of the consulting dentist, communication back to the referring dentist and/or office staff becomes a common, necessary and important natural consequence of every day practice. continued on pg.7

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“Ethical Apsects of Patient Referrals”, continued from pg.7

During the course of such communication, whether taking place by phone conversation, letter, or e-mail, it is also highly important that the concepts and words used when speaking to either the patient or referring doctor are chosen with utmost of thought and care. The reason for this would clearly relate to the goal of having all parties involved in the referral process perceive any such lack of information or differences of opinion as positive, helpful, or respectful, rather than implying the opposite, or with any suggestion or tone which may sound condescending.

Patients may also arrive at the office of the consulting dentist with radiographs (or a poor copy thereof), or other types of imaging, lab results or related documentation, which may be perceived to be insufficient or inadequate. It is also important to take into account that the referring dentist, physician and/or patient may have undergone significant effort, time, and often cost in providing or obtaining such records. Once again, any form of verbal, or even non-verbal, communication on the part of the consulting dentist or office staff which may suggest any level of ineptitude or inadequacy associated with such provision of records would be counterproductive to the referring practitioner’s good intentions and the patient’s confidence.

Rather than have a patient question the process or perceive their dentist or records provided as “inadequate” in this very common situation, there are ways of tactfully explaining the need to obtain additional information, or a different “type” or “angle” of radiograph or other study which will facilitate a higher quality, efficacy and safety of patient care.

As one common everyday example, oral surgeons are aware of the need for a radiograph which adequately demonstrates the position of the inferior alveolar nerve canal or maxillary sinus in relation to the roots of third molars or certain other teeth, as part of an evaluation for extraction.

Reasons for this include the need to accurately assess the relative risk of potential nerve or sinus complications, adequately inform a patient of the potential risks versus benefits, and in some cases, perform modifications of treatment designed to minimize these inherent risks.

In summary, the importance of effective and thorough communication between mutual treating dentists or other health care practitioners, both from an ethical point of view, as well as that of helping to ensure optimal patient care, cannot be overemphasized.

Ethical Considerations From the Specialist/Consulting Dentist’s Perspective Much of the aforementioned information, such as an awareness of one’s limitations, knowing “when to refer,” or the significance of adequate communication, has largely been presented from the viewpoint of the referring dentist. However, the referral of patients within dentistry is a “two way street.” When patients are asked to travel along this metaphorical roadway of clinical care, it becomes important to also consider several key issues from the perspective of the practitioner on the receiving end, and the resultant effect he or she may have on the patient and the quality of their care.

First and foremost would be an appreciation for the fact that, in many or most referral situations, patients are, in effect, asked to leave the familiar and comfortable surroundings of their dentist, staff, the office and dental “home” to which they have grown most accustomed. Although on a temporary basis, they are asked to go elsewhere, to a foreign and unfamiliar place, to a practitioner with whom they have little or no knowledge, faith, trust, or established relationship. It therefore becomes important for a consulting practitioner and their staff to understand this, while striving to make a patient feel comfortable and “at home” in the new environment.

This concept is closely related to one discussed earlier in this chapter, when considering the topic of factors influencing one’s choice of referring doctor or specialist. It may be viewed as a reciprocal thought process, which asks that we stop to consider the reasons why a given choice of specialist or consulting practitioner was made, and quite literally, how and why a patient sitting in the office waiting room with a referral slip in hand came to be there in the first place.

Therefore, in the event a radiograph were to provide insufficient information in this regard, a tactfully worded explanation may be necessary to communicate the need for a different radiograph, most often (but not always) of the panoramic type, which better reveals the position of teeth in relation to adjacent anatomic structures, such as the maxillary sinus or underlying nerve canal. When stated appropriately, such a dialogue may go a long way toward a patient or referring doctor feeling more at ease or confident, especially when considering that potential reduction in the risks of sinus or nerve complications and overall patient safety are at stake and a common goal shared by all. The importance of choosing our words carefully when speaking to others during the referral process is also addressed in further detail later in this chapter.

When one considers the important relationship which exists between a patient and their referring dentist, and a patient’s tacit assumption that the dentist they have come to know and trust would only choose to refer them to an individual worthy of a similar level of faith and trust, it becomes apparent that the consulting doctor should strive to deliver a level of clinical and personalized care befitting that confidence.

As a final example, and perhaps among the most common and important of those requiring communication in daily practice, is the situation involving the need for the consulting dentist to recommend or refer a patient to another third party consulting specialist. Rather than unilaterally send a patient elsewhere and perform such a referral with no communication with, nor input from, the primary referring dentist, a combination of (a) common courtesy, (b) ethics and (c) a “respect for the referring dentist-patient relationship” (a topic addressed more in depth in a subsequent section) underscores the importance of communicating first with the primary dentist to ascertain any opinion or preference he or she may have in choosing another needed specialist. Such conversations may also often result in a referral selection mutually agreeable to both parties in the conversation. However, referrals made in absence of such communication may serve as an unwelcome surprise, or may be interpreted as hurtful or disrespectful to the patient’s primary referring dentist and their relationship with one another.

Respect for the Referring Dentist-Patient Relationship The importance of awareness and respect for the relationships of others, both in the personal and professional sense, is an important concept applying to all aspects of life, whether inside or outside the dental office.

An unmarried individual in a social setting, as one example of many, would not be expected make inappropriate personal advances or intrude on the relationship of another individual, if he or she were known to be married. A similar sentiment could apply to intrusion into a parent-child relationship with unjustified actions or commentary on how one’s child should be raised from well-meaning relatives or others outside the boundaries of that relationship.

Although the preceding section may perhaps seem overly analytical or “psychological” to some, or something resembling the thoughts encountered in a group therapy or sensitivity session, it serves as an important segue leading to an understanding of information presented in the next section.

Although a far cry from resembling a marital or parent-child relationship – an awareness of, and respect for, the ongoing and existing relationship between a patient and their primary referring dentist is, from a personal, professional and ethical perspective, a very important concept within the context of patient referrals and how we choose to interact with one Continued on pg.11

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“Ethical Apsects of Patient Referrals”, continued from pg.7

another. The same could also be said for an existing relationship between a patient and a prior treating specialist, whereby consideration should be given toward preserving and continuing the relationship (if so desired) in the event the patient would require referral for the same or similar treatment as previously performed.

As for the meaning of “awareness of” and “respect for,” this would generally be regarded as a combination of thoughts, communication and/or actions, which are 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 their dentist, or in the referral process itself. This well known ethical principle within the daily practice of dentistry, when violated, is generally viewed as unjust and unfair to the mutual interests of both the patient and their dentist, and counterintuitive to the delivery of optimal care for the patient.

In order to express this principle more concretely into words applying to everyday life within dentistry, a consulting dentist or practitioner should be mindful of arguably the most commonly accepted and important tenet – which many would even consider the number one “cardinal” or “golden rule” - of referrals within dentistry, and 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.

As also addressed and stated within section 2.B. of the ADA Code, “The specialists or consulting dentists, upon completion of their care, shall return the patient…to the referring dentist.” An exception or caveat to this principle, and also cited within the same sentence of the Code, would be, “…unless the patient expressly reveals a different preference.”1,2 Relative to the latter concept, consulting dentists may occasionally face an unexpected and uncomfortable ethical dilemma in the event a patient may choose to share, for whatever reason, a loss of confidence, appreciation, or desire to maintain a relationship with their current primary dentist. For reasons stated earlier, in addition to the known benefits of continuity of medical care, as opposed to that which may be disjointed or fragmented, a consulting dentist may very well be in a position to verbally address patient concerns about their dentist in a positive or helpful way, rather than in a negative or hurtful one.

Negative feelings toward one’s dentist, in many situations, may be limited to only a small misunderstanding, communication problem, or legitimate misconception regarding some aspect of their care. However, if appropriately discussed in a thoughtful and logical manner, it may often have the beneficial effect of restoring a patient’s view of their treating dentist to a more positive one.

As a topic covered in the final section of this chapter, our very choice words, when speaking to our patients about other professionals involved in their care, may have a significant impact on resulting impressions a patient may have regarding all parties involved, and perhaps their overall level of confidence in dentistry as a whole. In many or most instances in which a patient may question or consider leaving their dentist and “going elsewhere,” others involved in the process, such as the consulting dentist, or even a well meaning office staff, may be in a position to allay concerns, rectify any misconceptions, and serve to protect and preserve that important relationship.

However, there is admittedly a point beyond which a patient may be justifiably concerned about, and feel an irreconcilable lack of confidence in, the relationship with their primary dentist and in turn, a point beyond which the consulting dentist would feel justified in attempting to preserve that relationship.

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.

This article is the fourth in a series on the topic of ethical considerations in the practice of 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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DEFENSE

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.

Three Great Places to get your Continuing Education!

SOUTH BROWARD D E N TA L S O C I E T Y

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.

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Davie/Ft Lauderdale

Enjoy a very nice meal while receiving CE credit at the many interesting lectures being presented.

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

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

From information on the latest science, technology and practice management to programs designed to inspire, the SFDDA and its affiliate societies are always thinking of ways to help you succeed.

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Dr. Menchel has been in practice in S. Florida since 1981. He received the majority of his training at the University of Florida Parker Mahan Facial Pain Center under the tutelage of Drs. Mahan and Gremillion from 1992ÇŚ 1999. He achieved the prestigious Diplomate of the American Board of Orofacial Pain in 2000.

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continued on page 17

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First Annual South Florida District Dental Association Business Meeting & Officer’s Installation 2016 Kovens Conference Center, North Miami Beach May 3, 2016 The South Florida District Dental Association and it’s Affiliate Societies joined in celebrating the end of the year with an evening that included dinner, karaoke and business.

President, Dr. Elaine deRoode delivered the State of the Association address, a re-cap of the year’s activities, including accomplishments of the SFDDA, FDA and a video presentation of the ADA’s activites as well.

President-elect, Dr. Mark Limosani delivered an inspiring speech themed around the value of relationship building, camaraderie and collaboration. He touched on the effects these values have on the future of organized dentistry, the profession and the careers of all dentists.

This year, twenty SFDDA Members received Life Member status with the ADA, FDA and SFDDA. Receivng thier certificates were Drs. Jeffrey Auerbach,. Zalman Bacheikov, Paul Benjamin, Uri Elias, Donald Elsman, Alan Hoffman, Stanley Kanowitz, Alan Kaplan, Robert Marx, Billy Mayfield, Dennis Nielson, Jeffrey Nullman, Robert Powell, Glenn Rubin, Steven Samuelson, Gary Senk, Seth Shapiro, Herbert Snyder, Sheryl Fensin, William Grant and Steven Rosenstein.

The members voted to ammend the SFDDA Bylaws pertaining to the Treasurer by removing language that required the treasurer to serve on the FDA CFA. The members also voted to a $40 dues increase that will be used to cover affiliate dues for all.

Once the business of the association was complete, FDA First Vice President, Dr. Michael Eggnatz presided over the Installation Ceremony of the Officers of the district and its affilaite societies.

Congratulations...

To the following officers who will take up the mantle of leadership at the close of the 2016 FDA June House of Delegates.

South Florida District Dental Association: President: Dr. Mark Limonsani President-Elect: Dr. Joseph Pechter Secretary: Dr. Enrique Muller Treasurer: Dr. Orlando Dominguez Young Member: Dr. Monica Gonzalez Miami Dade Dental Society: President: Dr. Oscar Peguero Secretary: Dr. Carlos Gonzalez Treasurer: Dr. Mariana Velazquez Young Member: Dr. Pablo Duluc

North Dade -Miami Beach Dental Society: President: Dr. Enrique Muller Vice President: Dr. Katherine Rodriguez Secretary: Dr. Jeremy Kay Treasurer: Dr. Norman Browner South Broward Dental Society President: Dr. Brian Nitzberg Vice President: Dr. Alfredo Tendler Secretary: Dr. Joel Baez Treasurer: Dr. Helena Urrea-Feldsberg FDA Trustees: Trustee: Alt. Trustee

Dr. Jeannette Peña Hall Dr. Irene Marron

Left: Dr. Mark Limosani presents Dr. Elaine deRoode with an award to commemorate her year as SFDDA President.

Below left: Dr. Gary Senk receives Life Member Certificate, presented to him by Dr. Rodrigo Romano, ADA Membership Representative.

Below: Dr. Michael Eggnatz, FDA First Vice President, performs the installation ceremony on behalf of the district and affiliate societies

The incoming Officers for the South Florida District Association and it’s affiliate societies for the 2016-17 fiscal year. (l-r.) Drs. Norman Browner, Enrique Muller, Carlos Gonzales, Monica Gonzalez, Alfredo Tendler, Joel Baez, Brian Nitzberg, Orlando Dominguez Mark Limosani, Helena Urrea-Feldsberg, Pablo Duluc, Mariana Velazquez, Oscar Peguero.

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Buy, sell, hire, or announce?

Place advertising in the SFDDA Newsletter Call Ms. Jackie Quintero at (305) 667-3647 ext. 13.

Or visit us on-line at www.sfdda.org.

Classifieds

OPPORTUNITIES AVAILABLE FULL TIME DENTAL ASSISTANT NEEDED: immediately in educational setting.

Proficiency in four handed dentistry required to assist faculty and participants. Responsibilities include, but are not limited to: set-up and breakdown of clinic and laboratory for courses, pour and articulate study casts accurately, and demonstrate procedures to participants. If you think you have what it takes to succeed in a dynamic and rewarding environment, please send your resume to the South Florida District Dental Association office attention Box # 5529.

GENERAL DENTIST WANTED: Dr. Julio C. Rosado is looking for an Associate Dentist to work 2 to 3 days a week in our fee for service practice. Need experience in RC / crown & bridge and extractions. Eng/Spanish required.

Email resume to rosadooffice345@gmail.com Contact Olga for appointment 305-223-4546.

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 ).

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 615202-8864

PEDIATRIC DENTIST WANTED: Excellent opportunity for Pediatric Dentist to share office space in a well established Orthodontic practice in Plantation Fl. Office is available 13 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 A BLOCKBUSTER OPPORTUNITY: Full or part time for General Dentists, Pedodontists, Periodontists, Oral Surgeons, Orthodontists and Endodontists. Generous compensation with unlimited potential. Guaranteed referrals.

Join our group specialty care practice with a significant general dental component. Established in 1975 in Aventura, Coral Springs, Delray Beach, Boynton Beach, Stuart, Ft. Pierce and Melbourne. Call: Kelly Oliver at (954) 461-0172. Fax resume to:(954) 678-9539 Email: careers@dentaland.net.

FLORIDA (SOUTHEAST AND ORLANDO): 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 (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 www.gentledentalgroup.com/career or email your CV to careers@gentledentalgroup.com today!

ORTHODONTIST WANTED: We are a growing dental group looking for an Orthodontist to join our dental team. Excellent compensation. English/Spanish required. Call Manuel 305.915.2953

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) 770-1232 or call Kathy (954) 430-2188 or email to haroldhui@aol.com GENERAL DENTIST WANTED: Hialeah, Pembroke Pines or Kendall area, excellent compensation and bonus with guarantee income. Eng/Spanish required. Call Manuel 305.915.2953 BUSY DENTAL PRACTICE: Looking for PT associate dentist in Fort Lauderdale and Delrey Beach. Competitive % compensation based upon experience. Ask Dr. Martin 786525-9946

OFFICE SPACE-SALE OR RENT 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 FOR RENT: Beautifully appointed turn key ready 2500-3000 Sq. Ft. Dental Office in highly desirable location, East Fort Lauderdale. 6-10 operatories. Photos and info upon request. 954-854-8153 or barrykligerman@gmail.com

Volunteer for the South Florida Baptist Mobile Dental Unit 2016 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

2016 SFDDA Annual Poster Contest Winners!

Sugar Wars! was the them for this year’s annual Dental Health Month Poster Contest.

This event is celebrated at the South Florida District Dental Association (SFDDA) in conjunction with Miami Dade County Public Schools (MCDPS).

The poster contest which is designed to create awareness of good oral health care habits has been a staple of the SFDDA and MDCPS for over thirty years.

The awards breakfast which has been traditionally held at the Denny’s Restuarant in Coral Gables each year was hosted by SFDDA President, Dr. Elaine deRoode.

Dr. Elaine deRoode poses with this years winning posters.

The winners attend along with their parents, teachers and school principles, and also joining them is Mabel Morales, District Supervisor Visual Arts for MDCPS.

2016 Poster Contest Winners: Special thanks to their teachers: Third Grade Division: 1st Place, Evaly Perez 2nd Place, Maria Rodriguez 3rd Place, Yoriesky Castellanos Fourth Grade Division: 1st Place, Diana Aldana 2ndPlace,Chaveli Formoso 3rd Place, Andy Hernandez Fifth Grade Division: 1st Place, Emilie Trenhs 2nd Place, Julia Carvajal 3rd Place, Aracelys Bravo

Ms. Mona Schaffel - Meadowlane Elem. Ms. Lillian Villalba - Emerson Elem.

Ms. Rachel Silver - South Hialeah Elem.

Mr. Ray Jui -Hialeah Elem.

Special thanks to their Principles: Emerson Elem. - Mr. Carrigo Meadowlane Elem. - Mr. Kevin Hart South Hialeah Elem. - Ms. Denise Vega Hialiah Elem. - Ms. Rosa Iglesias

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