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July 2013

incision bone graft

bone flap tissue

CT scan

SimPlant data

Dental

stent

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osseous jawstereolithography

Implants

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linkow

implant failure osteotomy

stent

root replacement saline ridge augmentation

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oral surge

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titanium screw

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tooth replacement

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TEXAS DENTAL

maxillary sinus

inferior alveolar nerve osteotomy

inferior alveolar Texas Dental Journal l www.tda.org l July 2013 565 canal rehabilitation

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Texas Dental Texas DentalJournal Journal l l www.tda.org www.tda.orgl lJune July2010 2013

Looking for Dental CE? Free CEup Credits Are Just aDentistry.

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Continuing Education for multiple disciplines will be provided for these events.

To view courses online, visit www.txhealthsteps.com.

• Dentists and dental hygienists can earn • 1 hour of Dental CE credit for these • courses: • First Dental Home • • O• ral Health Examinations by Dental Professionals • • • • txhealthsteps.com • • • • Texas Dental Journal l www.tda.org l July 2013

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Dr. Ed Silva, a Fortress Dentist.

When you choose Fortress Insurance Company for your professional

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I plan to expand our practice to a network of offices in the metro area. I like the business

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Reducing Term Disability for Buy-outs, Loan Coverage

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Q ues Call, 1-800-677-8644 Visit www.TDAmemberinsure.com

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Retirement Plan Contributions Protection

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PRACTICES ARE SELLING FOR CASH NOW! INCREASE PRACTICE VALUE ANALYZE KEY AREAS OF YOUR PRACTICE

LOCATION

DEMOGRAPHICS STUDY

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TAKE PHOTOS OF EVERY AREA

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HYGIENE PROFITS MOST IMPORTANT

As an Appraiser/Consultant, I must know the practice in order to educate the Buyer concerning the practice future potential. A bunch of numbers/proformas do not give necessary information about your practice. My appraisals provide all the data above and more. Numbers alone rarely sell a practice. My appraisal is a 75 – 100 page Management Study with the Goodwill/Intangibles based upon comparable area practice sales (plus Tangibles). Routinely, our Practice Sales will bring 97% – 100% of the Appraised Value.

FOR OVER YEARS NO CHARGE FOR37REAL ESTATE YOU HAVE SEEN THE NAME…

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GARY CLINTON Senior Appraiser

Member of The Institue of Business Appraisers, Inc. CALL 1-800-583-7765 OR DFW AREA 214-503-9696

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Journal l www.tda.org l June 2011 2011 TexasTexas DentalDental Journal l www.tda.org l October

509 1103

Pre-screened vendors. Excellent customer service. Exclusive discounts and benefits.

FINANCIAL COLLECTIONS

TekCollect: (866) 652-6500, ext. 539

CREDIT CARD — TDA PERKS

CREDIT CARD PROCESSING

E-Claims & Eligibility Connect: (866) 325-2467

Bank of America: (800) 497-6076; Code: 1D7F3

PATIENT FINANCING

CareCredit: (800) 300-3046 ext. 4519

HUMAN RESOURCES EMPLOYMENT AGENCY, ONLINE DentalSpots.com: (800) 971-8008

MEDICAL PLAN, DISCOUNT

TDA Perks Card has three available packages.

This is NOT insurance, nor is it intended to replace insurance. http://tinyurl.com/perkscard

COMPLIANCE/TRAINING

OSHA Review, Inc.: (800) 555-6248

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OFFICE SUPPLIES

Office Depot: (512) 284-3392

OFFICE, SETUP/STARTUP

PHILIPS SONICARE, ZOOM! Philips Zoom!: (800) 422-9448 Philips Sonicare: (800) 676-7664

EQUIPMENT, USED (BUY, SELL)

Atlas Resell Managment: (512) 377-6077

REAL ESTATE (COMMERCIAL)

SEDATION EQUIPMENT, SUPPLIES

Dental Space Advisors: (972) 231-8900 Corporate Headquarters: Dallas/Ft. Worth (With Offices in Houston & Austin/San Antonio)

MARKETING

Sedation Resource: (800) 753-6376

OTHER AUTO LEASING

Autoflex Leasing: (800) 678-3539

ON-HOLD PHONE MESSAGING Ace Media Products: (800) 892-9179

ONLINE MARKETING AND COMMUNICATIONS Demandforce: (800) 210-0355

PRINTING, PROMOTIONAL PRODUCTS, DIRECT MAIL

TRAINING/RECERTIFICATION (ACLS, PALS, BLS, CPR)

WEBSITE DESIGN

HeartSafe America: (877) 731-7467

DISINFECTANT, SPORE TESTING

Insurance Answers Plus: (800) 683-2501

COMPLIANCE TRAINING (OSHA, HIPAA, HB300)

Smart Training, LLC: (469) 342-8300

HeartSafe America: (877) 731-7467

TDA Financial Services Insurance Program All types: office and personal: (800) 677-8644

INSURANCE INFORMATION

LOANS (PRACTICE)

DEFIBRILLATORS

INSURANCE

Bank of America Business: (866) 570-1601 (Code: UABOI9) Consumer: (800) 932-2775 (Code: VABQ92) Best Card: (877) 739-3952

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Scan the QR code above to learn more about TDA Perks.

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For more information, call:

(512) 443-3675

Revised 06/26/13

Or visit Perks online:

tdaperks.com 575

Texas Dental Journal l www.tda.org l July 2013

YOUR PATIENTS TRUST YOU. YOUR PATIENTS TRUST YOU. WHO CAN YOU TRUST? WHO CAN YOU TRUST? If you or a dental colleague are experiencing impairment

If you a dental colleague are experiencing impairment due or to substance use or mental illness, The Professional dueRecovery to substance use or illness, support The Professional Network is mental here to provide and an Recoveryopportunity Network is for here to provide recovery. support and an confidential opportunity for confidential recovery.

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PRN Helpline (800) 727-5152 PRN Helpline www.tda.org l July 2013 (800) 727-5152

Visit us online www.txprn.com Visit us online www.txprn.com

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OUR MISSION: To provide affordable, quality anesthesia education with knowledgeable and experienced instructors, both in a clinical and academic manner while being a valuable resource to the practitioner after the programs. Courses are designed to meet the needs of the dental profession at all levels.

OUR GOAL: To teach safe and effective anesthesia techniques and management of medical emergencies in an understandable manner.

WHO WE ARE: We are licensed and practicing dentists in Texas, and we understand your needs. While other providers are in the process of contemplating program development, our courses have met the ADA Guidelines for more than 10 years. The new anesthesia guidelines were recently approved by the Texas State Board of Dental Examiners. As practicing dental anesthesiologists and educators, we have established continuing education programs to meet these needs.

McKinney, Texas: Credit: Time:

Approved PACE Program Provider FAGD/MAGD Credit.

Approval does not imply acceptance by a state of provincial board of dentistry or AGD endorsement.

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Dr David Canfield

Dr Clark Whitmire

Nitrous Oxide/Oxygen Conscious Sedation Course for Dentists:

Each course date is by appointment with Dr. Canfield, please call for details 14 hours (clinicians must complete the online portion, first) 7:00 am – Registration; 7:30 am – 5:00 pm – Clinical Presentation

Level 1 and Level 2 Enteral Sedation Renewal Courses (only 1 day needed to renew):

McKinney, Texas: Houston, Texas: Austin, Texas: Credit: Time:

Friday, September 6, 2013 or Saturday, September 7, 2013 Friday, September 13, 2013 or Saturday, September 14, 2013 Friday, September 20, 2013 or Saturday, September 21, 2013 8 hours lecture 7:00 am – Registration; 7:30 am – 5:00 pm – Presentation

McKinney, Texas: Houston, Texas: Austin, Texas: Credit: Time:

Friday & Saturday, September 6-7, 2013 Friday & Saturday, September 13-14, 2013 Friday & Saturday, September 20-21, 2013 18 hours lecture with 20 clinical experiences 7:00 am – Registration; 7:30 am – 5:00 pm – Presentation

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Level 1 to Level 2 Transitional Moderate Sedation Permit Course (must have a Level 1 permit):

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ACLS (Advanced Cardiac Life Support) & PALS (Pediatric Advanced Life Support) Program:

Austin, Texas: McKinney, Texas: Credit: Time:

Friday, August 2, 2013 Friday, September 27, 2013 8 hours lecture/Participation 7:30 am – Registration; 8:00 am – Presentation start time

Austin, Texas: McKinney, Texas: Credit: Time:

Friday and/or Saturday, August 2-3, 2013 Friday and/or Saturday, September 27-28, 2013 16 hours lecture for 2-day program; or 8 anesthesia hours for 1 day program 7:30 am – Registration; 8:00 am – 5:00 pm – Presentation

Level 3 & Level 4 Parenteral Sedation Permit Renewal & ACLS Course:

Level 2 Initial Moderate Sedation by Oral Administration Permit Course:

McKinney, Texas: Friday – Sunday, September 6-8, 2013 Houston, Texas: Thursday – Saturday, September 12-14, 2013 Austin, Texas: Friday & Saturday, September 20-21, 2013 & October 4, 2013 (San Antonio) Credit: 24 hours lecture/participation with clinical experiences and 3 live sedations Time: 7:00 am – Registration; 7:30 am – 5:00 pm – Presentation

AGD Codes for all programs: 132 Anesthesia & Pain Control; 163 Conscious Sedation; 164 Oral Sedation The above continuing education programs fulfill the TSBDE Rule 110 practitioner requirement in the process to obtain selected Sedation permits.

We are continually adding programs to help you satisfy your requirements.

This is only a partial listing of sedation courses. Please consult our website for updates and new programs.

Find us on the web at www.sedationce.com Call us at 214-384-0796 to register for any program

Texas Dental Journal l www.tda.org l July 2013

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When faced With a malpractice claim, Who do you Want in your corner?

When your career and reputation are on the line, you want the strongest dog in your corner. Many dentists don’t realize how important their dental malpractice insurance is until they need it most. Medical Protective has more than 100 years of proven experience, national expertise and a balanced defense that focuses on your best interest. And, today, more than ever, the big financial strength, integrity and powerful backing of a Warren Buffett Berkshire Hathaway Company are crucial to the quality of your dental malpractice protection.

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ORAL and MAXILLOFACIAL PATHOLOGY LABORATORY Anne Cale Jones, DDS H. Stan McGuff, DDS

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Telephone consultation available For additional information, please call (888) 728-4211 or (210) 567-4073.

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The Texas Academy of General Dentistry & the Texas Academy of Pediatric Dentistry presents

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Southwest Dental Conference January 30 - February 1, 2014

9 MARK YOUR CALENDARS TODAY!

Kay Bailey Hutchison Convention Center Dallas, Texas Sponsored by Dallas County Dental Society

More information coming soon to swdentalconf.org

WE’RE FOR DENTISTS.

Smile Brands affiliated dentists earn 20% more than the average U.S. dentist in private practice.

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We free you, so you can do more in and out of the office.

Our provider-focused culture is designed to support your ambitions and expand your skills - and be flexible. Through our network of nearly 400 affiliated offices in 18 states, no matter your situation or lifestyle, we’re here to help you reach your goals.

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CONNECT WITH US

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LAW OFFICES OF HANNA & ANDERTON EXPERIENCED LAWYERS REPRESENTING TEXAS DENTISTS MARK J. HANNA, JD Former General Counsel, Texas Dental Association

* Representation Before the Texas State Board of Dental

Examiners

* Medicaid Audits and Administrative Hearings * Employment Issues - Texas Workforce Commission

Hearings

FRANK B. WALKER, JD Former General Counsel, Texas State Board of Dental Examiners

* Standard of Care Reviews and Expert Opinions * Employment/Associateship Contract Reviews * Practice Acquisition and Sales * Business Organizations, PAs, PCs, and LLCs

ROBERT M. ANDERTON, DDS, JD, LLM Past President, Texas Dental Association and American Dental Association

* Risk Management Consultation and Compliance

Reviews

* Civil Litigation

900 Congress Avenue, Suite 250 Austin, Texas 78701 Phone: 512.477.6200 Fax: 512.477.1188 Not Board Certified by the Texas Board of Legal Specialization

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References 1. Br책nemark PI, Albrektsson T. Titanium implants permanently penetrating human skin. Scand J Plast Reconstr Surg. 1982; 16:17-21.

2. Turkyilmaz I, Company AM, McGlumphy EA. Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients.

Gerodontology. 2010;27:3-10.

3. Turkyilmaz I, Jones JD. Long term success of 6 implants supporting a mandibular screw-retained fixed dental prosthesis: a clinical report. J Prosthet Dent. 2012;107:280-3.

4. Takahashi T, Gunne J. Fit of implant frameworks: an in vitro comparison between two fabrication techniques. J Prosthet Dent. 2003; 89:256-60.

5. de Aguiar FA Jr, Tiossi R, Rodrigues RC, Mattos Mde G, Ribeiro RF. An alternative section method for casting and posterior laser welding of metallic frameworks for an implant-supported prosthesis. J Prosthodont. 2009;18:230-4.

6. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003;90:121-32.

7. Turbush SK, Turkyilmaz I. Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study. J Prosthet Dent. 2012;108:181-8.

8. Turkyilmaz I, Corrigan CL. A custom-milled titanium complete-arch mandibular framework and a maxillary complete denture fabricated in 3 appointments: a dental technique. Tex Dent J. 2012;129:695-701.

9. Al-Fadda SA, Zarb GA, Finer Y. A comparison of the accuracy of fit of 2 methods for fabricating implantprosthodontic frameworks. Int J Prosthodont.

2007;20:125-31.

10. Ehrenkranz H, Langer B, Marotta L. Complete-arch maxillary rehabilitation using a custom-designed and manufactured titanium framework: A clinical report. J Prosthet Dent. 2008;99:8-13.

11. Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, H채mmerle CH, Tahmaseb A. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants. 2009;24 Suppl:92-109.

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REPRESENTING DENTISTS THROUGHOUT TEXAS BEFORE THE STATE BOARD OF DENTAL EXAMINERS

Thomas John Kennedy of Texas, DDS, PLLC Progressive, team-oriented practice seeking full-time associate dentists in DFW, Austin, San Antonio and Houston. Provide dental care in surroundings geared toward patient satisfaction. Starting salary of at least $150,000 (five days per week with minimum 5 years experience) with innovative, production-based bonus structure. Full benefits package includes 401(k), licensure payment, paid vacations/ holidays, health, life and malpractice insurance.

Earn what you deserve now, not later.

Please contact me in complete confidence for more details: Dr Tom Kennedy Office: 800-658-2177 Facsimile for CVs: 800-393-5188 drtom@oksupportgroup.com

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EDWARD P. “JOE” WALLER, JR., D.D.S., J.D. ATTORNEY AT LAW BRIN & BRIN, P.C.

6223 IH 10 West SAN ANTONIO, TEXAS 78201 (210) 341-9711 FAX (210) 341-1854 jwaller@brinandbrin.com * Not certified by the Texas Board of Legal Specialization

Texas TexasDental DentalAssociation Association143rd 143rdAnnual AnnualSession Session 2013 2013TEXAS TEXASMeeting MeetingPhoto PhotoContest Contest

Grand GrandPrize PrizeWinner Winner Photographer: Photographer: William William Tom Tom Parker, Parker, DDS, DDS, ofof Dallas Dallas Title: Title: “Enjoying “Enjoying the the View” View” Award: Award:Best Best inin Show Show Information Information onon thethe 2014 2014 TEXAS TEXAS Meeting Meeting Photo Photo Contest Contest willwill bebe available available onon texasmeeting.com texasmeeting.com in December in December 2013.

2013.

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TDA 1-2 page ads_plus sedation_half page ad 5/30/13 4:09 PM Page 7

New TSBDE video streaming course Review Course in Enteral (Oral) Conscious Sedation Level 1 Sedation

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scan this code using your smartphone or go to www.smile.uthscsa.edu and click on the Renewal Course Click Here Tag to get started!

1

4/11/13

10:28 AM

Take this Summer (and all future Summers) off!

Many professionals believe that the value of your dental practice may be at an

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DENTAL PRACTICE TRANSITIONS

ALL TIME HIGH. Take some time to talk to your PARAGON practice

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transition consultant and find out what the current

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Sign up for our free newsletter at paragon.us.com Contact us at 866.898.1867 or info@paragon.us.com

Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement 4/1/2012 to 3/31/2016 Provider ID# 302387

Texas Dental Journal l www.tda.org l July 2013

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Speakers

The TEXAS Meeting May 1–4, 2014

Ms Nancy Andrews Ms Lois Banta Mr Kirk Behrendt Dr Patricia Blanton Dr Jeff Brucia Dr Anthony Cardoza Mr Tim Caruso Ms Debbie Castagna Dr Gordon Christensen Mr Bruce Christopher Dr Harold Crossley Ms Karen Davis Ms Mary Ann Digman Dr Alex Fleury Dr Michael Fling Dr Paul Feuerstein Dr Mitchell Gardiner Dr J. Mel Hawkins Dr Randy Huffines Dr Mark Hyman Dr Mark Kleive Dr Denis Lynch Dr Joseph Massad Mr Lance McCollough Dr Ed McLaren Dr David Meinz Dr Dale Miles Dr John Molinari Ms Virginia Moore Dr Stephen Poss Dr David Rothman Dr Rhonda Savage Ms Laurie Semple Dr Lee Silverstein Dr Joel Small Dr Debra Stewart Dr John Svirsky Dr Richard Young Ms Rita Zamora

TDA MEMBER

SPOTLIGHT Is there something extraordinary about you that your peers might not know?

Do you have a hobby you’d like to tell us about?

Are you working on a project that others might find interesting?

WE WANT TO HEAR FROM YOU! The TDA Today newsletter now includes a new feature article — “TDA Member Spotlight” — so you can learn more about your fellow dentists, their families, and their lives away from the office. If you would like to be included or if you know of someone with an interesting story to tell, contact the publications team in the TDA Department of Member Services.

E-mail TDA Managing Editor Nicole Scott at nicole@tda.org or call 512-443-3675.

a n d m a n y m or e texasmeeting.com Texas Dental Journal l www.tda.org l July 2013 Member Spotlight Flyer_TDJ half vertical.indd 1

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Your online dental industry job board

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ADVERTISING BRIEFS CARROLLTON: Great opportunity for orthodontist or pedodontist. Fully-equipped orthodontic office with 5 ops in main treatment area, separate private office, consult room, pano/ceph room, and lab. All dental chairs, units, equipment and furnishings included. Located in professional building with 4 general dentists and a board certified periodontist, all with established practices and would be good referral sources. An excellent opportunity for a new orthodontist, pedodontist or one seeking a satellite office. Ready to start patients tomorrow! Space is for rent and/or purchase. Premier location just 1 block south George Bush turnpike and 1 block north of Newman Smith High School. Please call 214-850-8087.

DALLAS AND ROCKWALL: Orthodontic or other specialty office for lease to share with owner. Furnished and equipped. Dallas office is 4,000 sq ft in Lake Highlands

area. Rockwall office is 1,800 sq ft in antique building and furnishings. E-mail rcppc@sbcglobal.net.

EAST TEXAS DENTAL PRACTICE: Malakoff, Texas, dental practice for sale. Malakoff is near Athens, Texas. Dentist retiring due to health. General practice established in this location in 1974. Location will make a great place for a start-up or satellite practice due to numerous surrounding small towns. The practice, equipment and real estate are available for purchase. Lot on main highway is also available for future office site. There is a great potential for growth. Current practice is only 3 days a week. For more information contact either of the following: Stanley Fulgham, 817-657-7239, 9:00 am to 8:00 pm Monday through Saturday or e-mail to stanleyf@sbcglobal.net.

Donna Fulgham, 214-642-2038 9:00 am to 8:00 pm or e-mail to rodneyshouse@comcast.net.

DDR Dental Trust

Serving Texas Dentists for more than 40 Years

• Practice Appraisals • Practice Sales • Associate Agreements

800-930-8017

James L. Dunn, Trustee Texas Dental Journal l www.tda.org l July 2013

643

DENTAL CHAIR UPHOLSTERY KITS If your dental chair upholstery snaps, bolts or Velcros to a chair frame, you have a ‘kit’ style chair. These cushions remove easily and the new upholstery goes on just as easily. If you are not sure if your chair is a ‘kit’ style, give us a call, or e-mail us a picture. Kit style chairs include, Adec, Pelton Crane, Belmont, Healthco, and others We have specialized in upholstering dental chairs since 1985, shown at the Chicago Midwinter for 23 years, and are experienced in all makes and models.

Our shippable, kit style chairs can be half the cost of on-site upholstery, or new upholstery from the manufacturer. We also replace broken plastic original parts, with sturdier plastic or plywood parts, where needed. Call us today to discuss your upholstery needs!

MILLER DENTAL UPHOLSTERY STEVE MILLER 630-761-1450 E-DENTALUPHOLSTERY.COM S.MILLER8@COMCAST.NET

Veatch consulting serVices

Starting a new practice? Do you need help with demographics, hiring staff, implementing systems, designing a logo and web site? Would you like to be guaranteed your practice will produce a half a million or more your first year or we will give you 110% of our fee back?

Would you like to grow your practice by more than 6 figures this year? Would you like help with office systems and insurance? If so, Veatch Consulting can help! We will guarantee in your first year of working with us we will grow your office by 6 figures in revenue or we will give you our fee back!

Please call Matthew with Veatch Consulting for details at 303-621-5387 or e-mail at veatchconsulting@comcast.net. Also, please visit us at veatchconsulting.com.

Texas Dental Journal l www.tda.org l July 2013

645

Texas Dental Journal l www.tda.org l July 2013

647

PROTECT...

Your Income | Your Family | Your Lifestyle Against Career-Ending Accidents and Illnesses

Up To $1,000,000 of Lump Sum Disability Benefits for TDA Members

Will your disability insurance be enough? Texas Dental Association Members have a unique opportunity to obtain a special benefit with these key features: You will be paid up to $1,000,000 of lump sum benefits when an accident or illness prevents you from practicing in your specialty.

Benefit is paid in addition to current in-force DI coverage with no offsets.

No medical exam required or the need to answer medical questions.

Enroll online in less than five minutes:

www.TDAmemberinsure.com 648

Texas Dental Journal l www.tda.org l July 2013

Enrollment period ends soon!