FEB 2013 TDA TODAY

FEBRUARY JUNE, 2008 2013

VOLUME 14, ISSUE 2 VOLUME 9, ISSUE 6

AVAILABLE AVAILABLEONLINE ONLINEAT ATTDA.ORG TDA.ORG

TDA Taskforce on Relevancy Determines Recommendations Inside Every Member Matters Inside Members of the TDA Taskforce on Relevancy met Friday, February 1, 2013, at the TDA Conference

Texas Dental Program Medicaid/

Center in Austin to determine recommendations for Board approval at its February 21-22 meeting.

Rise’ Lyman, DDS, TDA Future Focus Committee

Medicaid CHIPin My Office?

Yes, I Think So! Richard M. Smith, DDS What Dentists Need to Know

The group reviewed current TDA Perks Programs internal andthriving externalorganization.

Association communications, as Association well Membership growthand is vital to any The Texas Dental (TDA) Board is strongly as the Taskforce on Relevancycommitted Report prepared Sarah L. Sladek, CEO ofthe XYZ University author of “The to thebyMembership goal within “TDA 2009” and strategic plan, which addresses continued growth.

End of Membership As We Know MstoSladek presentedofthe to the November 2012 Boardyear in a row, the TDA received I am It.” proud reportpreviously that, as evidence thatreport commitment and for the second About the Affordable Care Act of Directors. The report recognizes that the membership TDA has the potential to “age out” in the next 10 the following ADA awardsininthe 2008: TDA Smiles Foundation years as a majority of its members are 55 and older andMembership considering retirement. growth • Greatest Percentage Net Gain: The TexasTDA’s had apotential net gain for of 198 members in the year 2007.

TMOMTEXAS gainsMeeting ardent advocate dentists and Dental minoritySociety dentistswith — and the Association struggles to target in Texas is in 2 target markets •— female Top Constituent Greatest Percentage of Non-Members to Membership: current members who are 35 to 44Represents years old. a conversion of 4.7 percent of non-members into membership at end of year 2007.

Ask the President • Top Constituent Dental Improvefor Retention Ratewhen Percentage Meet Your Staff The taskforce determined 8 recommendations that range fromSociety creatingtoa checklist new dentists openingin 2007: Represents a 97 Incoming President’s message percent Association retention rate, which is an increase of 7 percent from the previous year. a practice to creating a mentor program within the Association.

Cassy Gutierrez, Receptionist • Greatest Percentage of New Dentist Members: Represents a gain of 111 new dentist members (those Hilton Israelson, DDS The TDA Taskforce on Relevancy dentists who are 1-9 years out of school). meets for the final time on February

TDA Smiles Foundation

Another example of the commitment to the growth of our Association is the TDA Externship Program, which builds student awareness 1, 2013, at the TDA Conference Let’s Talk Center in Austin as it prepares 8 Outgoing President’s message of organized dentistry. This innovative program, created in 2007, offers students the opportunity to gain insight into the different components TDA Perks recommendations for the TDA of organized dentistry including legislative and regulatory affairs, membership, governance, continuing education, and charitable dentistry and A. David May, Jr., DDS Board of Directors. TDA President to gain a better understanding of their role as future leaders of the dental team. The program is open to dental students from each of the three Dr Michael Stuart appointed TDA Member Spotlight dental schools in Texas. This year the externship program will take place June 20 – June 27 in Austin at the TDA central office.

TDA Board of Directors 12 members to the taskforce to 2008-2009 As an ongoing effort to enhance the value and benefits of the Association, the TDA Council on Membership developed a survey that waslook sentat future TDA Andy C. Doerfler, DDS strategically structure,TDA communications, meeting to all members in 2006. The results clearly showed that members have a high satisfaction rating with benefits such as the TEXAS Meeting, Marble Falls, Texas Meet Your TDA Staff venues,offered and programs publications, and the ability to participate philanthropically in the TDA Smiles Foundation. A great number of the discounted programs to to become TDA’s new Finance Director relevant to new dentists while members through the TDA Perks Program also received a high satisfaction rating. In accordance with the strategic plan, the Councilmore on Membership, remaining viable to its current Dee Dee President’s Prose Delagarza will survey members again in 2009. members.

Participation from all members and a collaborative effort between the ADA, TDA, and local component societies are the keys to EDitorial: Thoughts Congratulations to TDA from Your ED successful membership recruitment and retention. We encourage every member to get involved whether it is by attending local meetings, Component Societies taking part in Give Kids a Smile! Day activities, volunteering at a Texas Mission of Mercy, or participating in TDA Legislative Day activities in Austin. Each member matters and is essential to the continued growth of our Association and of organized dentistry.

Evidence-based Tip of the Month 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, Streamline Your Insurance Claims log in at www.tda.org and click on “TDA 2009” under “Current Issues” on the member homepage. For more information, please contact Lyda Creus Speeding up Rule confirmation TSBDE Update of benefits The Dallasstaff County SocietyFocus (DCDS) welcomed 10,000office, dental Molanphy, liaisonDental to the Future Committee, at thealmost TDA central (512) 443-3675. and eligibility professionals from across the country to its 86th annual Southwest Dental Conference (SWDC) January 17-19, 2013, at the Dallas Convention Center.

February TSBDE Rule Update M ission: To be The Voice of DenTisTry in Texas The 3-day SWDC provides quality continuing education for dental professionals, Journal Requirements for News dental office including lectures, hands-on workshops, special events, and live-patient radiograph machines demonstrations. More than 140 sessions provide the latest in dental research Missed Canal Systems are the Organizational and technology hygienists, dental assistants, lab technicians, andPublic Development Membership Manpower for dentists,Advocacy In theMost NewsLikely Basis for Endodontic Image Excellence business assistants. In addition to the CE opportunities, a trade show featured TDA members in the Retreatment of news Molars approximately 350 exhibit booths.

Thousands Attend Southwest Dental Conference

Membership

July Journal News

will value membership and participationorincontact the TDA. ForDentists more information, please visit swdentalconf.org the DCDS office DCDS President Dr Jacqueline Plemons and SWDC Chair Dr Robert Hamilton, both CAD/CAM and Lithium Disilicate: of Dallas, present TDA President Dr Michael Stuart of Sunnyvale with the conference’s at 972-386-5741.

In 2014, the SWDC is January 30-February 1.

Objectives An Anterior Esthetic Case Study trademark hat at the Chairman’s Dinner on January 18, 2013, at the Omni Dallas 1. Improve perceived value and benefits of membership in TDA. Hotel. Photo credit: Wade Barker.

Tooth Whitening: A Clinical Review a. Increase members’ knowledge about the impact and benefits of TDA membership.

Around the State b. Ensure that components are an integral aspect of the membership process.

TDA Historical Perspectives c. Create greater awareness of the availability of the Peer Review, Ethics & Judicial, and Risk Management benefits.

Dentists, dental hygienists, and the d. Actively promote adherence to the Code of Ethics.

February 20 dental team e. Enhance communication with members and non-members.

Legislative Day, Austin f. Build student awareness of and interest in organized dentistry and membership in TDA. The 2007 C.T. Rowland Award g. Ensure ongoing contact with students throughout dental school.

February 21 & 22 The Texas Department of Public Safety recently unveiled aOrthodontic case report h. Work closely with dental school faculty.

TDA Board of Directors Meeting, new secure online prescription i. Evaluate number of nonmember dentists who attend and participate in TDA activities (TEXAS Meeting, monitoring TDA Smiles program providing controlled substance prescription history to authorized dentistsThe ElAustin Foundation programs, etc.).

Paso Dental Conference and Texas State Board of Dental Examiners investigators. The Metrics Access in Texas (PAT) program is designed to March 7-9 1. Seventy percent of active licensed dentists in TX will be members of TDA by Prescription 2009 (baseline of 68.5% in January 2007); increase assist Texas health care and law enforcement officials in quickly membership retention rate to 97 percent by April 2007 (baseline 96% in 2006).

Star of the South Dental Meeting, identifying potential prescription abuse. a-d. Increase the number of dentists serving on component peer review and ethics and judicial affairs committeesdrug to attain a Houston August 14: participation rate of 2-5 percent relative to the total number of component society members by August 2009.

The online program is accessible 24 hours a day, 7 days a week 2. Ninety percent of TX dental school graduates actively licensed in TX will be members of TDA five years after graduation (89% Meeting and includes 365 days worth of data showing patient prescriptionTDA Board Click & Connect dental student conversion from the graduating class of 2005 in Texas).

Austin, Texas history and physician and dentist prescribing information.

3. Increase the number of member dentists actively participating in TDA by 1 percent a year (as measured by a variety of means Dentists may register with PAT at https://www.texaspatx.com/ Join us on Facebook – participation at TX Meeting, TMOM, TXDDS, FSI programs, DENPAC participations, TDA legislative day) with annual Login.aspx.

October 15-19: report to TDA Board by the Council on Membership. groups.to/texasdental ADA Annual Session 4. Establish baseline of nonmember participation at TDA activities (CAS, TDA Smiles Foundation, Membership) San Antonio, Texas 5. Established baseline of members’ understanding of and satisfaction with the benefits of their TDA membership through Member Follow us on Twitter TDA President Dr Michael Stuart welcomes new TDA Executive Director Aaron Washburn at Benefits and Services Survey (completed Nov 2006), re-evaluate % increase at that time for 2009. the San District Dental of Society (SADDS) general December 2012. SADDS twitter.com/theTDA 6. Antonio Sixty-five percent all full-time facultymeeting will beinTDA members by 2009 (2006 baseline = 63%).

SADDS Welcomes TDA Executive Director Aaron Washburn

New Prescription Monitoring Program

Around the State

presented Aaron with a desk accessory, a replica of The Alamo with “Welcome to Texas” and the SADDS logo. Aaron began the position January 1, 2013. Before TDA, he served as the assistant executive director for the Missouri Dental The TDA will update it’s Association. strategic plan with another statewide

Click & Connect

retreat in August of 2008.

MEETING NOTICE

Get LinkedIn

Update Profile linkedin.com, search “Texas tda.org – Membership Info Dental Association”

Ask a Colleague Component Peer Review Committee and Judicial Committee 2013 Training Dates tda.org – Features Thursday, February 21, 2013 — Beaumont (Peer Review only) Friday, March 8, 2013 — Houston, Star of the South Dental Meeting Friday, May 3, 2013 — San Antonio, The TEXAS Meeting

Please contact Donna Cortez at 512-443-3675 ext. 139 for pre-registration and details including meeting times and specific room locations.

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

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

tda.org/volunteerada08

Texas Dental Program Medicaid/CHIP On January 24, 2013, the Texas Dental Association (TDA) hosted the fourth in a series of quarterly meetings with the dental plans administering Medicaid/CHIP — DentaQuest and MCNA Dental.

Representatives from the TDA, the dental plans, and the Health and Human Services Commission (HHSC) attended the meeting to discuss HHSC’s continued enforcement of the Main Dentist requirement, patient Medicaid/CHIP eligibility verification, Medicaid/ CHIP clinic policy and administrative decisions, and dentist provider network adequacy.

By preserving the existing Main Dentist requirement as the relationship between the patient and individual dentist, HHSC is ensuring that parents have the opportunity to make informed choices about their child’s dental services because the parent retains the ability to voluntarily and affirmatively choose the specific dentist that will treat their child.

HHSC and the dental plans acknowledge that eligibility information across all systems does not always agree. However, dentists must verify eligibility through MEHIS/Your Texas Benefits Card AND with the patient’s dental plan on the date services are rendered. HHSC is working with its enrollment broker and the dental plans to address concerns about accuracy of eligibility information.

The TDA asked HHSC to require the dental plans have consistent administrative processes and procedures to minimize barriers to dentist participation and enhance prompt claims reimbursement. Ideally, this consistency would also extend to the clinical criteria utilized by each dental plan. Additionally, the TDA asked HHSC to create a Dental Advisory Workgroup to give the Association and participating dentists an opportunity to provide constrictive clinical commentary as HHSC determines future Medicaid/CHIP policy changes.

The TDA remains concerned about the adequacy of the dental plans dentist provider networks including specialists. The Association encouraged HHSC to strictly enforce state contract provisions requiring the dental plans to (1) “encourage[s] participation of board-eligible and board-certified providers in the provider network,” and (2) request from the dental plans, “information on the percentage of board-eligible and board-certified specialty providers, by specialty (8.1.5.6 Board Eligibility and Certification Status).

Participating dentists with both dental plans should be using CDT 2013 dental codes as of January 1, 2013. Recognizing that dentist providers may bill the outdated 2012 codes improperly in 2013, both dental plans have procedures in place for assisting dentists with the coding changes. Contact the dental plans provider relations department for additional information.

The TDA Committee on Access, Medicaid & CHIP continues refining the Texas Dental Program webpage on the member side of the TDA website. It will be a “one-stop shop” for Medicaid/CHIP dental information from the state and the dental plans and should be available by the end of February 2013.

What Dentists Need to Know About the Affordable Care Act — Part 1 President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law March 23, 2010 (P.L. 111-148), as arguably the most significant legislative health reform since the creation of Medicare and Medicaid in 1965.

Several ACA provisions will impact dentists as both health care providers and small business owners and employers.

This is the first in a 2-part series of articles designed to help dentists prepare for the future under the ACA. According to the National Association of Dental Plans, 11 million adults will likely drop dental insurance coverage as a result of the ACA and the ability to separately access dental coverage for their children both within the ACA’s health insurance exchanges and as stand-alone coverage.

Conventional wisdom dictates that the more immediate and significant changes in coverage occurring over the next couple of years will be among the small and midsized employers that currently offer health and dental benefits. For example, the small employer sector (less than 100 employers) currently provides dental coverage for 43 million persons, 23 million of which are children.

Most people receive dental insurance through employer group plans, not individually purchased plans. This trend is supported by a U.S. Department of Health and Human Services Survey indicating that 8 of 10 people with employer sponsored health insurance had dental insurance compared to 3 of 10 people that purchased their own health insurance.

Assuming variation in the expected trends and statistics, it is safe to assume for your dental practice that the ACA’s economic changes have already started and will continue to take place. These changes, namely, a shift toward adults no longer having dental coverage through their employer, will impact how you conduct the “business” of running a dental practice and helping your patients build a good plan for their oral care in light of the circumstances.

Part 2 in the March 2013 TDA Today will outline “The Exercise for Preparing Your Practice.”

May 2-5, 2013 San Antonio

It’s Not Too Late Frank L. Higginbottom, DDS, TDA Council on Annual Session The 143rd Annual Session of the Texas Dental Association, The TEXAS Meeting, is here. By this time you have heard from most of my fellow Council on Annual Session members about the annual session. We have tried to instill in you the same passion that we have for the TEXAS Meeting. Chair Dr Victor Rodriquez and the council have crafted a lineup of speakers and events for you and your staff’s enjoyment and continuing education credits. You will find that this slate is one of the best in the United States.

You have been schooled about the meeting and how to register and book a hotel room. If you have not registered, it is not too late. If you have registered, thank you. I am here to enlighten you on some of the attractions and events that surround our meeting.

Thursday morning kicks off with the Pierre Fauchard Academy breakfast, followed by the TDA House of Delegates and the reference committee meetings.

The day ends with The Texas Party and a return appearance of The Klocks, a local San Antonio variety band. Your badge is admission to the party, which also features Southwestern cuisine to satisfy your palate.

Friday begins with breakfast for the International College of Dentists and American College of Dentists, as well as the Christian Medical Dental Association.

Friday activities continue with The TDA Smiles Foundation Healthy Smiles Golf Classic at The Quarry Golf Club, the ADA/TDA Candidates Forum, the district caucuses, and The GOLD Reception (Graduates of the Last Decade).

The day finishes with the Texas dental school alumni receptions.

A major attraction of the meeting is the exhibit hall. The exhibitors support us in such a special way. We need you to shop the hall and support our exhibitors.

Come to the happy hours in the hall each afternoon, and you’re sure to bumpinto a friend or classmate. Most importantly, save your purchases for the meeting and take advantage of the specials at the hall.

You, your family, and your staff will enjoy the bright spots of historic San Antonio: the famous River Walk, the Mexican Market, Sea World, and Fiesta, Texas. The tradition and history of San Antonio were really brought to life in the council photos photos taken at several of the San Antonio missions. The photos are featured throughout the TEXAS Meeting website, Facebook, and printed programs. Google “Missions of San Antonio,” and visit the missions along the San Antonio river that ends at the Alamo.

Sign up if you have not done so and confirm your hotel reservations. Go to texasmeeting.com and do it today! See you in San Antonio!

Meet Your Staff — Cassy Gutierrez, Receptionist

TDA Receptionist Cassy Gutierrez is often the first person you will speak or interact with when calling or visiting the Association.

Cassy might be the first person you speak to when calling the TDA. She is the receptionist and is in the Executive Department. Cassy Gutierrez moved to Austin from Houston and joined the TDA in 2011. In addition to answering phones and greeting guests, she assists the executive director and governance manager to organize and prepare for meetings and keep the Association running at full speed.

What did you do before you came here?

I worked for Clear Creek ISD as an attendance clerk/registrar in one of the elementary schools.

Where did you go to college?

M.T.I. College of Business & Technology Why did you decide to come to the Texas Dental Association?

My husband’s job moved headquarters to Austin and was asked to move with the company. Upon my arrival to Austin, I applied at a temporary agency where I got the assignment to work for TDA. I later joined the TDA team as a full-time employee.

What is your favorite thing about the job?

Being able to interact with all of the membership on a daily basis.

What is one thing about you that might surprise people?

I am a Pinterest/DIY/home decorating ADDICT. I tend to try to replicate anything I like on the DIY Network or online, which usually involves the help of my husband. Oddly, he doesn’t display as much enthusiasm as I do for the projects.

Perks Partner News

2012 Scholarship Recipients

(L-R) TDA Smiles Foundation Board of Trustee Member Dr Larry Spradley, Texas A&M Baylor College of Dentistry (TAMBCD) students Carla Hugus and Haley Hoffman, and TAMBCD Dean Dr Larry Wolinsky.

TDA Smiles Foundation congratulates Carla Hugus and Haley Hoffman for being the 2012 Texas Dental Association Smiles Foundation (TDASF) scholarship recipients. Both Hugus and Hoffman are students at Texas A&M Baylor College of Dentistry.

2013 Golf Classic It’s never too early to register for the annual Healthy Smiles Golf Classic!

This fun, charity golf tournament benefits the TDA Smiles Foundation, and is held on the Friday of the TEXAS Meeting, May 3, 2013, at the Quarry Golf Club in San Antonio, with a shotgun start at 7:00 AM. To register as a player, foursome, or become a sponsor, please contact anyone at TDASF. Help us improve access to dental care for thousands of your fellow Texans in need, and have a great time doing it!

February 2013 / TDA Today / 2

Baylor University 2012 Winner of the TDASF Bragging Rights Challenge

It’s time to put your money where your mouth is with the Texas Dental Association Smiles Foundation (TDASF) Bragging Rights Challenge.

Every dollar you donate on behalf of your alma mater supports charitable dental care programs in Texas. The alma mater that raises the most money for TDASF will be recognized at the TDA Annual Session, highlighted at the TDASF Healthy Smiles Golf Classic, and will maintain school bragging rights for an entire year!

Currently, Texas State is in the lead with 1,425 points followed by Texas A&M and TCU. If you want to see your alma mater colors take over the Foundation for a whole year, donates today!

Don’t miss out on this opportunity! To donate, contact the 105 TDASF office at 512-448-2441 or visit tdasf.org.

TDA Perks Preparing Educational Program Lineup TDA Perks Program is coordinating a series of educational programs for TDA dentists and their staff. Its popular new-dentist series, “Creating Your Successful New Office,” will make stops in Austin, Dallas/Fort Worth, and Houston in 2013. New, just-for-staff educational events will be held at TEXAS Meeting in May, as well as in Fort Worth. Check tdaperks. com often to see what programs are scheduled in a city near you. Questions about TDA Perks Program? Call 512443-3675.

Andy C. Doerfler, DDS Marble Falls, Texas TDA Member Spotlight

President’s Prose

Bella Vista.

I

t’s Spanish for “beautiful view,” which is exactly what you get when you visit the Bella Vista Bed & Breakfast on Lake Travis, a quaint and charming little B&B, owned and operated by Dr and Mrs Andy Doerfler in Marble Falls.

Dr Doerfler and his wife Mary have always enjoyed meeting new people, cooking for others, and entertaining. Recently Dr Doerfler sold his general dentistry practice in Spring, Texas, to help Mary operate Bella Vista full time. Up until then, they commuted to the hill country, but now Dr Doerfler has partnered with a dentist in Horseshoe Bay, so he again has 2 “jobs.”

Dr Doerfler graduated from the University of Texas Dental School in Houston. He and Mary married more than 35 years ago, and they have 3 adult children, Kristan, Matthew, and Marisa.

Michael L. Stuart, DDS, TDA President TDA has been blessed for many years with great relationships with our Texas state legislators. We are very pleased that Senator Jane Nelson (R—Flower Mound) was reappointed chair of the Senate Public Health Committee and Representative Lois Kolkhorst (R—Brenham) was reappointed chair of the House Public Health Committee. TDA Council on Legislation and Regulatory Affairs members and TDA legislative consultants have an excellent relationship with both of these members, having worked with them on the important issues affecting dentistry for several years. As the 2013 legislative session continues, both Sen. Nelson and Rep. Kolkhorst will be integral to the success of our TDA goals.

TDA Legislative Day on February 20, 2013, affords all of us the opportunity to make a positive impact on dentistry for the state of Texas.

See photos and an update in the March 2013 issue of the TDA Today.

The Bella Vista Bed & Breakfast on Lake Travis is pictured from the air.

Dr and Mrs Andy Doerfler of Marble Falls own and operate the B&B.

EDitorial: Thoughts from Your ED

Their children visit often and also enjoy the opportunity to help their parents welcome guests who are in town for honeymoons, anniversaries, and vacations. “We always wanted to have a B&B,” Mary says. “When we found this property in 1999, we couldn’t wait to share our good fortune with others.”

So, they cleared the land and built the 3-bedroom cottage in 2002. The Doerflers welcome about 150 visitors a year to the house on 35 acres of water-front property flanked by Hamilton and Penny Branch Creeks and the Colorado River (Lake Travis). It’s also home to deer, foxes, coyotes, groundhogs, birds, and waterfowl. Not to forget the property’s welcome ambassador, the Doerflers’ rescue Labrador mix Bella, named after the B&B. With her white hair and freckles, Bella swims the creeks in the mornings and greets the guests on the porch as they sip their coffee and enjoy homemade breakfasts.

Aaron Washburn, TDA Executive Director

Dr Andy Doerfler and his wife Mary own and operate the Bella Vista B&B on Lake Travis. They welcome about 150 visitors a year to their 35 acres of water-front property flanked by Hamilton and Penny Branch Creeks and the Colorado River.

The Doerflers prepare the meals with ingredients from their organic gardens. “We harvested about 800 peaches and 3,000 plums along with 5 varieties of squash, various tomatoes, peas, beans, and corn,” Dr Doerfler says. “We have 7 raised garden beds with about 300 square feet of soil.”

Most people find that line of work unappealing. Many have become cynical, deride the system, and dismiss the process (well publicized examples of unscrupulous officials have certainly made it easy to do that).

While I certainly witnessed my share of bad apples, my experience also allowed me to see the good in our government and our systems.

I had the chance to see the power of one person’s passion in affecting legislative change. I witnessed the power of one volunteer in building support for a candidate or a cause. I observed the power of one meeting to alter a public project or program.

A former home economics teacher, Mary says becoming an innkeeper felt natural. “I love decorating, entertaining, and preparing meals for others,” she says. “As a gift, all the guests receive warm, homemade cookies.”

One of the hardest steps in opening a B&B was choosing an appropriate name, says Dr Doerfler. “We had a lot of help from Dr Terry Dickinson, actually.” Dr Dickinson is the current executive director of the Virginia Dental Association and a former member of the TDA Board of Directors and Texas State Board of Dental Examiners.

Before my involvement with associations, I worked in the legislative field.

During that career I had the opportunity to work for federal and state officials, aid their efforts to pass laws and assist their constituents, and support their campaigns for election and reelection. I was part of the “sausage making.”

As we prepare for TDA Legislative Day on February 20, I invite you to witness the power of one as well. Join with your colleagues in support of your profession, your practice, and the patients you serve.

Dr Doerfler enjoys the fruits of his labors from the organic gardens at the Bella Vista B&B on Lake Travis.

He and his wife use ingredients from their 7 raised garden beds to prepare meals for their guests.

Evidence-Based Practice Tip of the Month

“We were having dinner at the ADA meeting in Philadelphia,” Dr Doerfler recalls. “Going through the thought process to pick something unique and descriptive, he asked about the view. I said, ‘It’s beautiful!’ And, Dr Dickinson said, ‘There’s your name … Bella Vista.’”

For more information on Bella Vista Bed & Breakfast on Lake Travis, visit bellavistabedandbreakfast.com.

This recurring section highlights the lives of TDA members outside of the office. If you have an interesting story about yourself, if you are working on a project that your peers might find interesting, or if you have a hobby that keeps you busy, please contact TDA Managing Editor Nicole Scott, nicole@tda.org, 512-443-3675.

The Root of It In 1912 U.S. Senator Albert Jeremiah Beveridge of Indiana was thought to have coined the phrase “grassroots” when he referred to the Progressive Party as a party that "has come from the grass roots” and “grown from the soil of people's hard necessities."

Many after him took hold of this grassroots philosophy and embraced the idea of ordinary people doing extraordinary work to improve the world in which they live. These various grassroots movements would soon recruit, train, and mobilize people to raise awareness and advocate for positive change.

The Texas Dental Association has utilized grassroots initiatives to tackle issues facing Texas dentists for decades. From championing community water fluoridation to battling statewide scope of practice concerns, member dentists throughout the state continue to work

with their federal, state, and local officials to protect the practice of dentistry in Texas.

In the outcome of the 2012 election, 6 senators and 49 representatives did not return to the Texas Legislature. Therefore, in January many new faces reported for duty as the 83rd legislative session got underway.

Grassroots continues to be the backbone that supports the TDA’s legislative agenda and the relationships our members establish with legislative officials are crucial to its success. If you have a relationship with an elected official or would like to participate in the TDA key contact dentist program, please contact Jess Calvert at jcalvert@tda.org or Leigh Ann Montague at lmontague@tda.org.

Stephen R. Matteson, DDS, FICD, TDA Editor The Brodie Bite-Weak Evidence High-level evidence such as meta-analysis or systematic reviews may not be available for rare conditions because large sample sizes are not available for analysis. In these circumstances, case reports may be the only available evidence. The Brodie Bite is an example. Occurring during the primary or mixed dentition, the maxillary molars are located buccally to the mandibular teeth. Two recent case reports describe the successful use of a quad helix device to treat this malocclusion. For a 9-year-old patient, Nojima reported, “covering the occlusal surfaces of the maxillary molars with resin and attaching a bonded constriction quad-helix and a bi-helix appliance to the mandibular dentition. Cervical headgear was fitted and the patient observed for 5 months (1). Chung et al described the use of “a specially designed slow maxillary contraction appliance (that) could achieve this goal of treatment of this malocclusion” for a 12-year-old patient (2).

Clinicians must use caution when low-level evidence such as in these case reports, however, for rare conditions requiring treatment information supplied in case reports may be somewhat helpful. Hopefully over time, higher level of evidence will be published and previously published case reports may form a foundation for the upgraded studies or may prove to be out of date.

References 1.

* denpac.org

Hua X, Xiong H, Han G, Cheng X. . Correction of a dental arch-width asymmetric discrepancy with a slow maxillary contraction appliance.Am J Orthod Dentofacial Orthop. 2012 Dec;142(6):842-53. PMID: 23195370.

2. Chugh VK, Sharma VP, Tandon P, Singh GP. Brodie bite with an extracted mandibular first molar in a young adult: a case report.Am J Orthod Dentofacial Orthop. 2010 May;137(5):694-700. PMID: 20451791.

February 2013 / 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.

Business Promotion Rules As reported in the TSBDE Rule Update in the January 2013 TDA Today, the Texas State Board of Dental Examiners (TSBDE) adopted new Business Promotion Rules (ie, advertising) under 22 Texas Administrative Code (TAC) §§108.50 – 108.63. This update begins the first in a series of articles devoted to summarizing the new rules.

During the recent January 2013 TSBDE meeting, the board voted to extend the enforcement delay for the rules from May 1, 2013, to September 1, 2013, in order to give licensees ample time to comply with the new requirements.

22 TAC §108.50 Objective of the Rules specifies that dentists have a duty to communicate truthfully at all times. The purpose of the rules is to provide guidance to licensees for communications to the public.

22 TAC §108.51 Definitions includes a broad description of “advertisements” encompassing virtually all communications, written an oral, made to the public to solicit and secure patients. Electronic media includes radio, television, and internet. Print media includes newspapers, magazines, telephone directories, handbills, flyers, billboards, and stationary and business cards. For example, cards for any occasion (eg, thank you and holiday) may be construed as advertisements if they are sent to persons that are not patients of record. In addition to regulating media and print communications, the advertising regulations also govern “location signage.”

22 TAC §108.52 Names and Responsibilities requires that a licensed dentist in Texas include in all professional communications the dentist’s dental degree; the words “general dentist” or “general dentistry;” or an American Dental Association (ADA) approved specialty if the dentist is a specialist in the designated field. Texas licensed dentist also authorized to practice medicine in Texas may use the initials “MD” or “DO” along with their dental degree.

Any person practicing dentistry MUST display his or her full name as it appears on their license or renewal certificate issued by the TSBDE outside the primary entry of each location where he or she practices dentistry.

A dentist practicing dentistry under any name or trade name must provide full and outward disclosure of his or her full name as it appears on his or her license or renewal certificate issued by the TSBDE. This requirement also applies to any person who “owns, maintains, or operates an office or place of business” in which the person employs, either directly or indirectly, another person to practice dentistry including any person who operates, manages, or is employed in any facility where dental services are rendered.

If the names of allied dental personnel (ie, dental hygienists and dental assistants) are displayed in any manner or in media and/or print advertising, they must be clearly identified by title along with the name of the supervising dentist.

Each dental office must post “at or near” the entrance to the office, in an area visible to the public, the name of, and each professional degree received by, and each school attended by each dentist practicing in the office. This information is required by Texas Occupations Code (statute) §259.002 Notification of Qualifications.

The name of the owner dentist must be “prominently” displayed at an office location and only the names of the dentists who are practicing dentistry at a particular location shall be used. Furthermore, the name of a deceased or retired dentist may only be used for 1 year following the dentist’s departure from the dental practice. The name of a dentist transferring or selling their practice may be used by the acquiring dentist for no more than 40 days following the transfer unless the transferring dentist remains “actively engaged” in the practice of dentistry within the transferred practice.

A dentist may practice under their own name or use a corporation or trade name as provided by Texas Occupations Code (statute) §259.003 Use of Trade Name. However, a dentist practicing under a corporation or trade name must give the patient, upon request, the written name and license number of the treating dentist either before or after each office visit. Additionally, upon initial application for licensure and annual license renewal, a dentist practicing under a corporation or trade name must file notice with the TSBDE of every corporation or trade name under which that dentist practices.

Any advertisement (eg, media or print) under a corporation or trade name must prominently include the name of the owner(s) and at least 1 dentist actually engaged in the practice of dentistry under the trade name at each location advertised. This provision does not apply to location signage.

Regarding the liability of dentists engaged in advertising, the TSBDE realizes that staff dentists exercise little control over advertising. However, the Board expects owners, partners, or principles of dental practices to be aware of advertising regulations and the content of their business advertisements. Thus, the responsibility for the form and content of advertisements shall be jointly and severably liable, “among each licensed professional that is an owner, principle, partner, or officer of the firm or entity identified in the advertisement.”

The TDBDE Rule Update in the March 2013 TDA Today will summarize §§108.53 – 108.57.

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

EDITORIAL STAFF Stephen R. Matteson, DDS, Editor Nicole Scott, Managing Editor Lauren Oakley, Publications Coordinator Barbara Donovan, Art Director Paul H. Schlesinger, Consultant 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 Ron Collins, DDS, Secretary-Treasurer John W. Baucum III DDS, Speaker of the House David H. McCarley, DDS, Parliamentarian Stephen R. Matteson, DDS, Editor Aaron Washburn, 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 products or services described in their articles.

Member Publication 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.

COMPLIANCE FEBRUARY 2013

VOLUME 14, ISSUE 2

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