June 2012 TDA TODAY

JUNE 2012 JUNE, 2008

VOLUME 13, ISSUE66 9, ISSUE

AVAILABLE ONLINE AT TDA.ORG AVAILABLE ONLINE AT TDA.ORG

UTSDMember Celebrates Opening of New Building Inside Inside Every Matters The University of Future Texas School of Dentistry at Houston (UTSD) on Rise’ Lyman, DDS, TDA Focus Committee

June 8, 2012, celebrated the opening of its new building located on the south campus of the Texas Medical Center.

It’s 1tomile of the pink Membership growth is vital any south thriving organization.

The Texas Dental Association (TDA) Board is strongly granite building that served ascommitted home to the school for nearly 60 years. todental the Membership goal within the “TDA 2009” strategic plan, which addresses continued growth.

I am proud to report that, as evidence of that commitment and for the second year in a row, the TDA received “As a dentist, educator, and alumnus of thisADA school, I’m especially the following awards in 2008: grateful to the people of Texas for this new building, which represents a major investment in Texas had a net gain of 198 members in the year 2007.

• Greatest Percentage Membership Net Gain: oral health for the 21st century and beyond,” said John A. Valenza, DDS, dean of Percentage of Non-Members to Membership: • Top Constituent Dental Society with Greatest UTSD. Represents a conversion of 4.7 percent of non-members into membership at end of year 2007.

• building Top Constituent Improve Retention Rate Percentage in 2007: Represents a 97 The 6-story, 300,000-square-foot will allowDental UTSD Society to train to more dentists, percent Association retention rate, which is an increase of 7 percent from the previous year. dental hygienists, and dental specialists, incorporate new technology into that • Greatest Percentage of New Dentist Members: training, and expand its research enterprise. The new building also will allow UT Represents a gain of 111 new dentist members (those dentists are 1-9 yearscapacity. out of school).

Dentists, the faculty practice at UTSD, to who increase its clinic The practice

will have 14 dental treatment rooms, almosttodouble what of it had its old location.

Another example of the commitment the growth our in Association is the TDA Externship Program, which builds student awareness of organized dentistry. This innovative program, created in 2007, offers students the opportunity to gain insight into the different components Enrollment the Doctor of Dental Surgeryand (DDS) program is expected to of organizedindentistry including legislative regulatory affairs, membership, governance, continuing education, and charitable dentistry and increase approximately 20%ofbeginning the August class.The program The new home of The of Texas School Dentistry, a part of UTHealth. to gain aby better understanding their rolewith as future leaders2012 of theincoming dental team. is open toUniversity dental students fromofeach of the three Photo Credit: Brian Schnupp.

Currently, nearly 500 students attend UTSD. program will take place June 20 – June dental schools in Texas.

This year the externship 27 in Austin at the TDA central office.

As an ongoing effort to enhance the value and benefits of the Association, the TDA Council on Membership developed a survey that was sent to all members in 2006. The results clearly showed that members have a high satisfaction rating with benefits such as the TEXAS Meeting, TDA publications, and the ability to participate philanthropically in the TDA Smiles Foundation. A great number of the discounted programs offered to members through the TDA Perks Program also received a high satisfaction rating. In accordance with the strategic plan, the Council on Membership, will survey members again in 2009.

MoreParticipation than 200 distinguished guests attended the dedication on between May 9, 2012, of theTDA, University of Texas Health Science Center at keys Houston’s from all members and a collaborative effort the ADA, and local component societies are the to (UTHealth) first conference center, The Denton A. Cooley, MD, and Ralph C. Cooley, DDS, University Life Center. successful membership recruitment and retention. We encourage every member to get involved whether it is by attending local meetings, taking part in Give Kidsconference a Smile! Day activities, volunteering a Texas Mission of Mercy, or participating TDA Legislative Day activities The 14,000-square-foot center, informally known asatThe Cooley University Life Center, provides in classroom and conference space for in Austin.

Each member matters and is essential to the continued growth of our Association and of organized dentistry.

UTHealth schools and activities. It is adjacent to the new University of Texas School of Dentistry at Houston (UTSD) building.

This is the seventh and final in a series of articles focused on the TDA’s accomplishments guided by the strategic plan. To view the entire plan, log at www.tda.org on “TDA under “Current Issues” on theand member homepage.

Forofmore information, please contact Theinbuilding is namedand forclick Dr Denton A.2009” Cooley, surgeon-in-chief, founder president emeritus the Texas Heart Institute at St. Lyda Luke’sCreus Episcopal Molanphy, staffhisliaison theRalph FutureC.Focus Committee, at the TDA central office, (512) 443-3675.

Hospital, and father,toDr Cooley, a 1908 alumnus of the dental school.

The construction of the facility was supported by a recent gift by Dr Denton Cooley. It also helped establish the Ralph C. Cooley, DDS, Distinguished Professorship in Biomaterials at UTSD. Mission: To be The Voice of DenTisTry in Texas During the early to mid-1900s, Dr Ralph Cooley rose to prominence as a pioneer who transformed the field of restorative dentistry. He refined dental techniques and invented products to restore smiles. Described in the May 1955 edition of Public Organizational Development Membership Manpower Advocacy the Texas Dental Journal as “one of the better known and admired dentists of Image Excellence this country and one of the relatively few dentists with an enviable international Membership reputation,” the late Cooley was perhaps best known for his invention of Copalite. will designed value membership participation in before the TDA. TheDentists varnish was to coat andand desensitize a tooth a cavity was filled.

UTHealth Dedicates Facility Named for Dr Ralph C. Cooley and Son

Objectives The former president of the Texas Dental Association and the American Academy 1. Improve perceived value and benefits of membership in TDA. of Restorative Dentistry died in 1954 at the age of 65. a. Increase members’ knowledge about the impact and benefits of TDA membership. b. Ensure thatdean components anCooley’s integral gift aspect of the membership process.

John A. Valenza, DDS, of UTSD,are said perpetuates the legacy of Create awareness of the others availability of the Peer Review, Ethics & Judicial, and Risk Management benefits.

Dr Ralphc.Cooley, angreater innovator who inspired to continue the advancement d. Actively promote adherence to the Code of Ethics. of dentistry. e. Enhance communication with members and non-members.

John A. Valenza, DDS, dean of UTSD, and Giuseppe Colasurdo, MD, f. Cooley Build said student awareness and interest in organized in TDA. Dr Denton it provides himofemotional comfort to knowdentistry that the and membership president ad interim of UTHealth, present a gift to Dr Denton A. Cooley during with students dental school. memoryg.of hisEnsure father’songoing place incontact dental history lives onthroughout at UTHealth.

“People say the dedication of UTHealth’s new Denton A. Cooley, MD and Ralph C. Cooley, h. the Work dental school faculty. my dad was bestclosely dentistwith in the world.”

DDS University Life Center. Photo credit: Dwight Andrews. i. Evaluate number of nonmember dentists who attend and participate in TDA activities (TEXAS Meeting, TDA Smiles Foundation programs, etc.).

Metrics 1. Seventy percent of active licensed dentists in TX will be members of TDA by 2009 (baseline of 68.5% in January 2007); increase membership retention rate to 97 percent by April 2007 (baseline 96% in 2006). a-d. Increase the number of dentists serving on component peer review and ethics and judicial affairs committees to attain a The Texas Dental Association Political Action Committee (DENPAC) continues to play a significant role in electing public officials that support participation rate of 2-5 percent relative to the total number of component society members by August 2009. organized dentistry in Texas. Every 10 years after the census is taken, the Texas Legislature is constitutionally required to draw new districts for 2. Ninety percent of TX dental school graduates actively licensed in TX will be members of TDA five years after graduation (89% legislative, congressional, and board of education seats. Post-redistricting election cycles are unique because all districts are considered to be new. As a dental student conversion from the graduating class of 2005 in Texas). result, all seats are on the ballot. Turnover, voluntary or involuntary, is often high after new districts are drawn.

3. Increase the number of member dentists actively participating in TDA by 1 percent a year (as measured by a variety of means – participation at TX Meeting, TMOM, TXDDS, programs, legislative day) with annual During the 82nd legislative session, the legislature passed newFSI district maps DENPAC which wereparticipations, challenged on TDA the basis that they violated minority voting reportmonths to TDA by the Council on which Membership. rights. Many of Board legal proceedings ensued delayed the normal election cycle. Texas finally held its primary election on May 29, 2012, and 4. Establish baseline of nonmember participation DENPAC was involved in many of the primary races. at TDA activities (CAS, TDA Smiles Foundation, Membership) 5. Established baseline of members’ understanding of and satisfaction with the benefits of their TDA membership through Member In the Texas House, members voluntarily decided to seek re-election, incumbents their Benefits and30 Services Survey (completed Novnot 2006), re-evaluate % 7increase at thatlost time forprimary 2009. races, and 3 incumbents are headed for a run-off.

Notable losses in the House include Rep Rob Eissler (R – The Woodlands), Rep Mike Hamilton 6. Sixty-five percent of all full-time faculty will be TDA members by 2009 (2006 baseline = 63%). (R – Lumberton), Rep Vicki Truitt (R – Southlake), and Rep Leo Berman (R – Tyler).

DENPAC Plays Significant Role in Texas Primaries

In theTDA Texas Senate, 4 members arestrategic voluntarily vacating their seats, no incumbents lost theirretreat primary races, and 1 is headed for a run-off. Notably, The will update it’s plan with another statewide in August of 2008.

Senator Jeff Wentworth (R – San Antonio) is headed for a run-off with Dr Donna Campbell, a physician from Columbus, and State Rep Charles Schwertner (R – Georgetown) is poised to win the senate seat being vacated by Steve Ogden (R – College Station). Detailed primary election results, including races DENPAC was involved with, are available at this link: http://tinyurl.com/txprimaries.

The primary run-off election dates are as follows:

• July 23 — First day of early voting

• July 27 — Last day of early voting

• July 31 — Primary runoff election

DENPAC continues to build on its strong grassroots initiative. If you have a personal relationship with a candidate running for state office or an elected official, we would like to know. For more information, questions, or contributions to DENPAC, please contact the TDA Department of Public Affairs at 512-443-3675.

Join DENPAC today by visiting website at denpac.org and confirm your commitment to advocating for organized dentistry in Texas.

In 2003, Texas Dental Association members fromits across the state develop TDA’s first strategic plan, TDA 2009.

TDA Smiles Foundation

Medicaid in My Office?

Thank you, Sponsors Yes, I Think So! Richard M.Changes Smith, DDS Future to Texas Medicaid Dental Program

TDA Smiles Foundation TMOM gains ardent advocate 2012 Annual Session Award Highlights

Ask the President Dr Patricia L. Blanton, Gold Medal for Incoming President’s message Distinguished Service Hilton Israelson, DDS Dr Ernesto Treviño, New Dentist Leadership Award Let’s Talk 50 YearPresident’s Members message Outgoing Life Members A. David May, Jr., DDS Service Recognition Awards

2008-2009 TDA Board of Directors Evidence-based Tip of the Month

Meet Your TDA Staff President’s ProseDirector TDA’s new Finance Dee Dee Delagarza TSBDE Rule Update

Congratulations to TDA Q&A with TSBDE Component Societies Streamline June Your Insurance Claims Speeding up confirmation of benefits Journal News and eligibility El Paso Dental Conference

TSBDE Rule Update Requirements forthe dental office of Addresses to TDA House radiograph machines Delegates In the News Comparison of Technique Errors of TDA members in the news

Intraoral Radiographs Taken on Film v Photostimulable Phosphor (PSP) Plates

July Journal News

Tooth Whitening: A Clinical Review Biologically Based Treatment of Permanent Teeth with TDAImmature Historical Perspectives Pulpaldental Necrosis: A Case Series Dentists, hygienists, and the

dental team

Evaluation of an Ameloblastic TheFibro-Odontoma 2007 C.T. Rowland withAward Cone Beam Orthodontic report Tomography Computercase Computed

The El Paso Dental Conference

Around the State

Around July 28 the State Texas Mission of Mercy

August Brady14: TDA Board Meeting Austin, Texas

Click & Connect

October 15-19: Join us on Facebook ADA Annual Session groups.to/texasdental San Antonio, Texas Follow us on Twitter

Click &twitter.com/theTDA Connect

Update Profile Get LinkedIn tda.org – Membership Info “Texas linkedin.com, search Dental Association” Ask a Colleague tda.org – Features

Using your TEXAS Meeting Photos smartphone, texasmeeting.com/estore scan this barcode to access the TDA Volunteer for ‘08 ADA website.

tda.org/volunteerada08

happy, healthy smiles...that’s our mission!

TDA Smiles Foundation would like to THANK the sponsors of the 2012 Health Smiles Golf Classic for making it a huge success.

Title Sponsor:

As of March 1, 2012, most children and young adults age 20 and younger enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) began receiving their dental services through one of the 3 state selected dental plans: Delta Dental, DentaQuest, and MCNA Dental.

To help dentists and clients adjust to the transition, the Health and Human Services Commission (HHSC) again extended suspension of the Main Dentist requirement until August 31, 2012. This gives clients even more time to contact their dental plan (ie, Delta Dental, DentaQuest, and MCNA Dental), and choose their preferred Main Dentist without any disruption in service.

Eagle Sponsors:

Birdie Sponsors: BioHorizons Dr. Hilton Israelson Greater Houston Dental Society Westlake Endodontics/Dr. Jeff Shell Dallas County Dental Society TDA Financial Services/Team Tiedtke Dr. Don Lutes/Dr. Larry Spradley

Future Changes to Texas Medicaid Dental Program

Alliance of Greater Houston Dental Society Southwestern Society of Orthodontists Texas Association of Orthodontists Dr. Barry Currey/Dr. Kurt Loveless Dr. Beverly Zinser/Dr. Kent Macaulay Capital Area Dental Foundation The Hindley Group Republic Print & Mail

Errata The editorial staff regrets the inadvertent inclusion of incorrect information in the May 2012 TDA Today “In the News.” Dr Kelly Rynchek was awarded Woman of the Year 2012 and has been practicing in Palacios since 1998. She is the current president of the Palacios Medical Foundation.

This month, the TDA is participating in a Dental Implementation Roundtable hosted by HHSC. During the meeting, the TDA will share dentist concerns about the new Texas Dental Program including best practices and program development and improvement.

The TDA’s Committee on Access, Medicaid and CHIP (CAMC) is hard at work designing a Texas Dental Program webpage that may be accessed on the member side of the TDA’s website. CAMC hopes to launch the webpage in July 2012 as a “one-stop shop” for the Medicaid/CHIP dental information.

The TDA’s next meeting with the dental plans is scheduled for July 26, 2012 and the Association wants to hear from YOU! E-mail your feedback about the dental plans to TDA Policy Manager Ms Diane Rhodes at diane@tda.org before July 9, 2012.

2012 Annual Session Award Highlights Narrative by Paul H. Schlesinger. Photos by Jowdy Photography and Paul H. Schlesinger.

2011-12 TDA Awards Committee Dr T. Beth Vance, Chair, Senior Director, Southwest Division Dr Rita M. Cammarata, Senior Director, Southeast Division Dr Michael J. Goulding, Senior Director, Northwest Division Dr Arthur C. Morchat, Senior Director, Northeast Division

New Dentist Leadership Award

Gold Medal for Distinguished Service Dr Patricia L. Blanton of Dallas (right) is this year’s recipient of TDA’s highest honor. Dr Blanton, a periodontist, has held countless leadership positions throughout her career. These include serving as president of the TDA (2003-2004) and chairing the TDA Forum on TSBDE Proposed Rule Changes for Anesthesia/ Sedation. The current TDA Strategic Plan was initiated during Dr Blanton’s presidency. She currently serves as an ADA 1st vice president, and as president of the American College of Dentists. She continues to operate her fulltime periodontic and implantology practice in Dallas.

Presenting the award is TDA President Dr J. Preston Coleman.

50-Year Members

Dr Ernesto G. Treviño of McAllen (left) is TDA’s outstanding new dentist leader of the year. He graduated from the UTHSC San Antonio Dental School in 2006, and completed his endodontic specialty training in 2009. Dr Treviño is very active on the local level as well as within his community. He currently serves as treasurer and alternate delegate for the Rio Grande Valley District Dental Society, has a full-time endodontic practice with offices in Edinburg and Harlingen, and serves as part-time faculty for UTHSC-SA’s endo department. Dr Treviño is recently married; he enjoys many outdoor sporting activities, is active in his church, and is a pianist and cellist. Presenting the award is Dr Rita Cammarata.

Certificate of Merit

Ms Estelle Luckenbach (center), director of dental services for the San José clinic in downtown Houston, accepts a Certificate of Merit on behalf of the Clinic.

The organization is recognized for providing primary and specialty dental care and laboratory services to the uninsured, low-income residents in the Greater Houston area in an environment respecting the dignity of each person. Presenting the award are Drs Michael Goulding (left) and Rita Cammarata.

June 2012 / TDA Today / 2

Bottom row (L-R): Drs Freddy Ray Cessac, R. Norman Dodson, John W. Myers, Joe Weldon Christina, Billy Bruce Bridgford, Billy Noel Lovett, Blake Vincent Fisher Jr, and Bob Preston Foster. Back row (L-R): Drs Rene M. Rosas, Joel Ray Coker, Fred Bailey Willard, A. Weldon Parks, William Randolph Clyde, Frank Santos Jr, Jennings Carroll Clement Jr, Thomas N. Lawrence, John David Hamblen, and Harold H. Reed Jr.

Life Members

Bottom row, seated, (L-R): Drs June Goodall, Joseph Harold Emmert Jr, Curtis Glenn McDonald, George W. Moss III, Charles Wayne Anderson, Dennis Ross Spence, Dennis C. Vaughn, John David Chandler, and Glenda F. Smith. Middle row, standing, (L-R): Drs. Ronald C. Trowbridge, Thomas W. Vitz, Kenneth Aubrey Crossland, Steve Wade Karbowski, Thomas N. Ewing, Bobby Neil Taylor, Douglas Wayne Bogan, Peter M. Spradling, James D. Condrey, John Martin Purdy, Robert Wesley Graham, and David Ray Gustafson. Back row, standing, (L-R): Drs. William T. Henson, David C. Woodburn, Thomas Colyer Shields, Joe L. Kethley Jr, David Harry Hunt, Stephen B. Hutchings, Stephen R. Matteson, Julius W. Eickenhorst, Harvel Loveless Jr, Brett Hensley Mueller, and David Allen White.

Evidence-Based Practice Tip of the Month

President’s Prose

Stephen R. Matteson, DDS, Editor

Michael L. Stuart, DDS, TDA President

Oh, Those White Spots Patients and parents get unhappy when the braces come off only to discover white spots on the patient’s front teeth. Here is a Cochrane Summary on this topic (1). It is recommended that fluoride-containing bonding materials such as glass ionomers be used “to reduce the prevalence and severity of white spots” after orthodontic treatment. Also recommended is “the daily use of 0.05% sodium fluoride mouth rinse to reduce the severity of dental decay” surrounding the brackets.

You may view the Cochrane summary at: CD003809.

1. Benson PE, Parkin N, Millett DT, Dyer F, Vine S, Shah A. Fluorides for the prevention of white spots on teeth during fixed brace treatment. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003809.pub2/ otherversions.

TDA members, visit the Publications site at tda.org for the new online archive of the Evidence-based Tips of the Month. You can find all of the tips published since 2009.

Outgoing Past President Dr Ronald L. Rhea of Houston (right) served on the TDA Board of Directors as presidentelect, president, and past president from 2009 to 2012. Presenting the award is TDA President Dr Michael L. Stuart.

Outgoing Vice Presidents

As we’re preparing for the first day of summer this month, I know we’re in for another scorcher. Hopefully it won’t be as bad as last year, but Texas summers are always hot! And, as president of the Association, I am privileged to visit all of the regions in Texas and experience the different weather in the state. When the coast has clear skies, the Panhandle has rain, like today as I’m writing this message. With a state this big, there’s always something brewing … in weather, and in dentistry.

A topic that occupies much of my conversations during my visits to the component societies is the importance of the Texas Dental Association Political Action Committee (DENPAC). DENPAC played a significant role in the recent primary elections in the state. Since the legislature redrew the districts, there are more seats on the ballots and more races to follow. Our DENPAC dollars go toward electing public officials that support organized dentistry in Texas. The success of DENPAC is dependent on you.

The runoff elections are next month in July. I’m sure that these elections aren’t at the top of your summer To Do list, but know that they are important — our efforts support elected officials who support our legislative efforts.

As you make your plans to get away … maybe to somewhere cooler … please also make plans to contact the DENPAC office. Contribute or become a key contact dentist if you know someone running for elected office.

Enjoy your summer and travel safely!

Service Recognition Awards

Ms Mary Kay Linn of Austin (center) is recognized for her years of service to the Association, beginning with executive secretary for the San Antonio District Dr Glen D. Hall of Abilene Dr Michael L. Stuart of Sunnyvale Dr J. Preston Coleman of San (right) is recognized for his (center) is recognized for his service Antonio (center) is recognized for Dental Society (1990-1992), followed by assistant to the TDA executive director guidance and dedication to and dedication to the Association his service to the Association as (1992-1995), and finally as TDA the Association as speaker as parliamentarian from 2004 to secretary-treasurer from 2003 to of the house from 2000 2010. Dr Coleman left his position executive director (1995-2012). Ms Linn 2011. Dr Stuart left his position to to 2012. Dr Hall is a become TDA president-elect in 2011. to become TDA president-elect in plans to retire at the end of this year. A candidate for House Speaker Presenting the award are Drs Michael 2010. Presenting the award are Drs commemorative video presentation in of the American Dental Goulding (left) and Rita Cammarata. Michael Goulding (left) and Rita her honor was shown before the House.

Presenting the award are TDA President Association. Presenting the Cammarata.

Dr Preston Coleman (left) and Presidentaward is TDA President Dr elect Dr Michael L. Stuart.

Michael L. Stuart.

Alliance Service Recognition Award

Incoming President Award

Outgoing President Award

Dr Michael L. Stuart of Sunnyvale (right) assumes the presidency of the TDA at the Sunday House of Delegates. Turning the office over to him is outgoing president Dr J. Preston Coleman of San Antonio.

Dr J. Preston Coleman of San Antonio (right) receives the Outgoing President’s Award from new TDA President Dr Michael L. Stuart at the Sunday House of Delegates.

(L–R): Drs Robert E. Wiggins Jr of Abilene, Lisa B. Masters of San Antonio, Larry D. Herwig of Dallas, and Karen E. Frazer of Austin.

Each served on the TDA Board of Directors from 2009 to 2012.

Host Society Chair Dr William C. Roddy (right) of Fort Worth is recognized for serving as the host society chair.

The Fort Worth (12th) District Dental Society efficiently and graciously hosted TDA’s 142nd Annual Session. Presenting the award is Dr Rita Cammarata.

Mr Joshua A. De Graffenried (right) of TAMHSC Baylor College of Dentistry is presented the TDA Outstanding Senior Dental Student award for his leadership, academic accomplishments, professionalism, ethical conduct, and volunteer activities promoting dentistry. Presenting the award is Dr Lawrence Wolinsky, dean of the dental school.

Other Awards Dr John G. Hackbarth of Bridge City, Outgoing Council Member — Constitution and Bylaws

(Photo courtesy Ms Nelda Potter, UTHSCSA Dental School.)

(L–R): Dr C. Roger Macias Jr of San Antonio — Annual Session.

Presenting the award is Mr Paul Schlesinger, TDA awards committee liaison.

Outstanding Senior Dental Student Awards (presented at the dental schools)

(Photo courtesy Mr Brian Schnupp, UTSD.)

(L–R): Drs John M. Weaver of Odessa — Peer Review; Gregory W. Rashall of Liberty — Dental Education, Trade, and Ancillaries; Lynne E. Gerlach of Plano — Membership; and Greg A. Grave of Richardson — Ethics and Judicial Affairs.

Mrs Sharon Bryant of Duncanville (center) receives recognition for serving as president of the Alliance of the Texas Dental Association, 2011-2012. Presenting the award are Drs. Michael Goulding (left) and Rita Cammarata.

(Photo courtesy Ms Moira Allen, TAMHSC BCD.)

Outgoing Council Members

Mr Adam C. Shisler (left) of UT School of Dentistry at Houston is presented the TDA Outstanding Senior Dental Student award for his student leadership, academic accomplishments, professionalism, ethical conduct, and volunteer activities promoting dentistry. Presenting the award is Dr H. Phillip Pierpont, the associate dean for student affairs.

Mr Steven M. Hogan (left) of UTHSC San Antonio Dental School is presented the TDA Outstanding Senior Dental Student award for his student leadership, academic accomplishments, professionalism, ethical conduct, and volunteer activities promoting dentistry. Presenting the award is Dr Ivy Schwartz, professor, Department of Comprehensive Dentistry.

Dr Mark F. DuVernois of El Paso, Outgoing Council Member — Dental Economics

Dr Richard C. Black of El Paso — President’s Award

Dr Michael L. Stuart of Sunnyvale — President’s Award

Mr Julio Seretti, CDT, of Seretti Dental Laboratory, Austin — Certificate of Merit

Dr W. Kurt Loveless of Lubbock — President’s Award

Dr Michael D. Vaclav of Amarillo — President’s Award

June 2012 / TDA Today / 3

TSBDE Rule Update

This recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices.

Texas State Board of Dental Examiners Approves Rule Changes The Texas State Board of Dental Examiners (TSBDE) recently adopted 2 new rules and 1 rule change as published in the June 1, 2012, issue of the Texas Register. The effective date for the rules is June 10, 2012.

A brief summary of the rules follows.

22 Texas Administrative Code §101.6: The new rule enacts requirements set forth in Senate Bill (SB) 1733, 82nd Legislature, which directs occupational licensing agencies to adopt rules for the expedited issuance of dental licenses for the spouses of persons serving on active duty as a member of the United States military.

EDITORIAL STAFF Stephen R. Matteson, DDS, Editor Nicole Scott, Managing Editor Lauren Oakley, Publications Coordinator Barbara Donovan, Art Director Paul H. Schlesinger, Consultant

22 Texas Administrative Code §103.6: The new rule enacts requirements set forth in Senate Bill (SB) 1733, 82nd Legislature, which directs occupational licensing agencies to adopt rules for the expedited issuance of dental hygiene licenses for the spouses of persons serving on active duty as a member of the United States military.

BOARD OF DIRECTORS Michael L. Stuart, DDS, President David A. Duncan, DDS, President-elect J. Preston Coleman, DDS, Immediate Past President Vice Presidents Arthur C. Morchat, DDS, Northeast Rita M. Cammarata, DDS, Southeast T. Beth Vance, DDS, Southwest Michael J. Goulding, DDS, Northwest Senior Directors Jean E. Bainbridge, DDS, Northeast Gregory K. Oelfke, DDS, Southeast Yvonne E. Maldonado, DDS, Southwest David C. Woodburn, DDS, Northwest Directors Jerry J. Hopson, DDS, Northeast William S. Nantz, DDS, Southeast Joshua A. Austin, DDS, Southwest Steven J. Hill, DDS, Northwest

22 Texas Administrative Code §108.8 Records of the Dentist: The amendment requires dentists to document findings from tactile and visual examinations of the soft and hard tissues of the oral cavity (eg, oral cancer exam). The amendment does not require the dentist to conduct such an examination; however, it does require the dentist to document findings from such an examination if it is performed. By adopting this amendment to the rule (§108.8), the TSBDE hopes to: “Encourage dentists to perform and document exams of the oral cavity and to examine for abnormal medical conditions in the mouth. An exam of the oral cavity by a dentist has the greatest propensity for discovering oral cancer or any other condition that is not within normal limits.”

For more information, please contact TDA Policy Manager Ms Diane Rhodes at 512-443-3675, diane@tda.org.

Question and Answer with the Texas State Board of Dental Examiners (Patient Abandonment) TDA’s central office has received numerous inquiries seeking information about the laws governing patient abandonment in Texas. The Q &A below between the TDA and the Texas State Board of Dental Examiners gives guidance to dentists regarding the issue.

Q: Please detail the criteria the Texas State Board of Dental Examiners (TSBDE) considers when determining whether a dentist has abandoned a patient in violation of the Texas Dental Practice Act and TSBDE rules?

A: The basic determination that the board considers in a potential abandonment case is outlined in the Board’s rule 108.5. That rule is as follows: RULE § 108.5 Patient Abandonment (a) A dentist, without reasonable cause, shall not abandon a dental patient. Once a dentist has undertaken a course of treatment, the dentist, absent reasonable cause, shall not discontinue that treatment without giving the patient adequate notice and the opportunity to obtain the services of another dentist. A dentist shall exercise the level of care necessary to prevent jeopardizing the patient’s oral health during this process. (b) Under this section, a dentist shall give a minimum of 30 days written notice of his/her intent to discontinue undertaken treatment. Notice shall be either hand-delivered to the patient or sent via certified mail, return receipt requested to the patient’s last known address, with the dentist retaining a copy of the notice letter in the patient’s file along with proof of service.

Adequate notice shall include the following:

JUNE 2012

VOLUME 13, ISSUE 6

(1) a short description of the patient’s current status, including the patient’s current diagnosis and a summary of the patient’s current treatment plan; (2) a short description of the patient’s present and future needs; (3) an explanation regarding the consequences of nontreatment; (4) a recommendation that the patient continue care with another dentist; and (5) a clear statement emphasizing that the dentist is available to provide any emergency treatment necessary to prevent patient harm during the 30-day period. (c) A dentist shall remain reasonably available to render any emergency treatment necessary under (b)(5) of this section for up to 30 days from the date of such notice.

Although this rule allows a dentist to dismiss a patient, other additional factors that may become relevant to the dentist’s decision to dismiss a patient include issues of fair dealing (rule 108.2), minimum standard of care (rule 108.7), records of the dentist (rule 108.8), and professional conduct (108.9). These rules require a dentist to consider the need to provide the services for which payment has been received, whether the patient’s oral health would be compromised, whether the records document the need for dismissal, etc. The board always considers these situations on a case-by-case basis.

Ron Collins, DDS, Secretary-Treasurer John W. Baucum, III DDS, Speaker of the House David H. McCarley, DDS, Parliamentarian Stephen R. Matteson, DDS, Editor Mary Kay Linn, Executive Director William H. Bingham, Legal Counsel TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental Association, 1946 S IH-35 Ste 400, Austin, Texas 78704-3698, 512-443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S IH-35 Ste 400, Austin, TX 78704-3698.

Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental Association (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30.

Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6.

Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda. org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Association, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in Member Publication products or services described in their articles.

Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.

The board’s rules can be read in their entirety on the TSBDE’s website at tsbde.state.tx.us.

Information provided by Ms Joy Sparks, general counsel, Texas State Board of Dental Examiners.

AVAILABLE ONLINE AT TDA.ORG

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