January 2010

January 2010

Journal TEXAS DENTAL

The TEXAS Meeting

140th Annual Session of the Texas Dental Association May 6 – 9, 2010 San Antonio, Texas

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Contents

TEXAS DENTAL JOURNAL n Established February 1883 n Vol. 127, Number 1, January 2010

NOTICES

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Official Call for Secretary/Treasurer Nominations Notice of Grant Availability

FEATURE

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Is Your Office Prepared for an Accidental Needlestick

or Other Unexpected Exposure Incident?

Roger E. Alexander, D.D.S. Sharon Limes, R.N., COHN-S

Recommendations and mandatory guidelines for preventing and managing needlestick incidents and other accidental exposures to bloodborne pathogens in healthcare facilities have been published by OSHA and the CDC for more than 2 decades. Over the years, the

incidence of official enforcement actions has declined and a complacency about the standards may have evolved in some dental offices.

FEATURE

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Following Your Moral Compass Michael Meru, D.D.S.

This article was published in the Journal of the American Student Dental Association’s journal Mouth and won the American Association of Dental

Editor’s Award for Dental Journalism presented at the annual meeting of that

organization in October 2009. A court case is described and related aspects

of the ethical standards of dental students and recommendations for dental

educators are presented.

FEATURE

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Power in the “Present”

The XV District (Texas) Trustee to the American Dental Association Dr. Jerry Long said recently, “You have to be present to win.” This article is intended to elaborate on what “to be present” means, how you are represented at the ADA, and how you can better understand the process of representation, if not actually participate in it.

Patricia L. Blanton, D.D.S., Ph.D.

COVER STORY

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The TEXAS Meeting

140th Annual Session of the Texas Dental Association May 6 – 9, 2010 San Antonio, Texas

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Welcome to to the the TDA TDA Annual Annual Session, Session, May May 6-9, 6–9,2010, 2010,ininSan SanAntonio.

Antonio.

Welcome The TDA TDA Council on Annual Session is proud to present The present you you with with more more than than 85 of of the the finest finest speakers speakers in in dentistry dentistry today today in in formats formats designed designed to to make make 85 your

your learning learning experience experience aa memorable memorable one. one.

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The 140th Annual Session of the Texas Dental Association

January 2010

DEPARTMENTS

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The President’s Message

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The View From Austin Dental Artifacts

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TEXAS Meeting Preview

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What’s on tda.org?

122 124 126 128 130

In Memoriam / TDA Smiles Foundation

BOARD OF DIRECTORS TEXAS DENTAL ASSOCIATION President Matthew B. roberts, d.d.s.

(936) 544-3790, crockettdental@gmail.com President-elect ronald l. rhea, d.d.s.

(713) 467-3458, rrhea@tda.org iMMediate Past President Hilton israelson, d.d.s.

(972) 669-9444, drisraelson@yahoo.com Vice President, soutHeast craig s. armstrong, d.d.s.

(832) 251-1234, carmst@aol.com

Value for Your Profession

Vice President, soutHwest Johnny G. cailleteau, d.d.s.

(915) 581-3391, endoman@att.net

Oral and Maxillofacial Pathology Case of the Month

Vice President, nortHwest J. Brad loeffelholz, d.d.s.

Calendar of Events

(817) 924-0506, jbldds@birch.net Vice President, nortHeast arlet r. dunsworth, d.d.s.

Oral and Maxillofacial Pathology Case of the Month

Diagnosis and Management

132 146

(214) 363-2475, arletd@sbcglobal.net senior director, soutHeast r. lee clitheroe, d.d.s.

Advertising Briefs

(281) 265-9393, rlcdds@adamember.net

Index to Advertisers

senior director, soutHwest John w. Baucum iii, d.d.s.

(361) 855-3900, jbaucum3@msn.com

EDITORIAL ADVISORY BOARD

texas dental Journal (issn 0040-4284) is published monthly, one issue will be a directory issue, by the texas dental association, 1946 s. ronald c. auvenshine, d.d.s., Ph.d. iH-35, austin, texas, 78704-3698, (512) 4433675. Periodicals Postage Paid at austin, texas Barry K. Bartee, d.d.s., M.d. and at additional mailing offices.

Patricia l. Blanton, Ph.d., d.d.s.

PostMaster: send address changes to texas william c. Bone, d.d.s.

Phillip M. campbell, d.d.s., M.s.d. dental Journal, 1946 s. interregional Highway, austin, tx 78704. tommy w. Gage, d.d.s., Ph.d.

Annual subscriptions: texas dental asarthur H. Jeske, d.M.d., Ph.d. sociation members $17. In-state ADA Affililarry d. Jones, d.d.s. ated $49.50 + tax, Out-of-state ADA Affiliated Paul a. Kennedy, Jr., d.d.s., M.s. $49.50. In-state Non-ADA Affiliated $82.50 + scott r. Makins, d.d.s. tax, Out-of-state Non-ADA Affiliated $82.50. robert V. walker, d.d.s.

Single issue price: $6 ADA Affiliated, $17 william F. wathen, d.d.s.

Non-ADA Affiliated, September issue $17 ADA robert c. white, d.d.s.

Affiliated, $65 Non-ADA Affiliated. For in-state leighton a. wier, d.d.s. orders, add 8.25% sales tax. douglas B. willingham, d.d.s.

Contributions: Manuscripts and news items of interest to the membership of the society are EDITORIAL STAFF solicited. the editor prefers electronic submissions although paper manuscripts are acceptstephen r. Matteson, d.d.s., editor able. Manuscripts should be typewritten, double edwina J. shires, Managing editor spaced, and the original copy should be submitnicole scott, Publications coordinator ted. For more information, please refer to the Barbara s. donovan, art director instructions for contributors statement printed The Texas Dental Journal is a in the september annual Membership directory peer-reviewed publication. or on the tda website: www.tda.org. every effort will be made to return unused manuscripts if a request is made but no responsibility can be texas dental association accepted for failure to do so. all statements of 1946 south iH-35, suite 400 opinion and of supposed facts are published on austin, tx 78704-3698 authority of the writer under whose name they Phone: (512) 443-3675 appear and are not to be regarded as the views of Fax: (512) 443-3031 the texas dental association, unless such statee-Mail: tda@tda.org ments have been adopted by the association. website: www.tda.org articles are accepted with the understanding that they have not been published previously. aa texas dental Journal is a member of the american association of dental editors.

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senior director, nortHwest Kathleen nichols, d.d.s.

(806) 698-6684 toothmom@kathleennicholsdds.com senior director, nortHeast donna G. Miller, d.d.s.

(254) 772-3632 dmiller.2thdoc@grandecom.net director, soutHeast Karen e. Frazer, d.d.s.

(512) 442-2295, drkefrazer@att.net director, soutHwest lisa B. Masters, d.d.s.

(210) 349-4424, mastersdds@mdgteam.com director, nortHwest robert e. wiggins, d.d.s.

(325) 677-1041, robwigg@suddenlink.net director, nortHeast larry d. Herwig, d.d.s.

(214) 361-1845, ldherwig@sbcglobal.net secretary-treasurer J. Preston coleman, d.d.s.

(210) 656-3301, drjpc@sbcglobal.net sPeaKer oF tHe House Glen d. Hall, d.d.s.

(325) 698-7560, abdent78@sbcglobal.net ParliaMentarian Michael l. stuart, d.d.s.

(972) 226-6655, mstuartdds@sbcglobal.net editor stephen r. Matteson, d.d.s.

(210) 277-8595, smatteson@satx.rr.com executiVe director Mary Kay linn

(512) 443-3675, marykay@tda.org leGal counsel william H. Bingham

(512) 495-6000 bbingham@mcginnislaw.com

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President’s Message Matthew B. Roberts, D.D.S., TDA President

Happy New Year to all! I hope that with this new year comes a renewed excitement about the prospects for our practices, educational opportunities, and service to the people who put their trust in our hands.

This issue of the Texas Dental Journal gives us a preview of the upcoming annual session in San Antonio. These past 8 to 9 months, at least in my mind, have flown by. In 3 short months, we will once again meet in San Antonio for the 2010 Annual Session. The TDA Council on Annual Session begins work years in advance of the upcoming meeting to put together a package of speakers, entertainment, and support for everyone that is a part of this great event. If it is continuing education that is needed, we have it. How about a chance to reconnect with classmates from the past? There are receptions hosted by all three Texas dental schools. Are you a part of an allied association?

There are meetings and continuing education to satisfy the needs of our dental hygienists and dental assistants, not to mention opportunities to improve on the business side of our practices. Are policy issues and the direction of our profession of interest to you? Then the TDA House of Delegates, the division caucuses, and candidates forums will be high on your priority list.

You cannot come to San Antonio without at least sampling the fine restaurants and night life along the river walk. So, whether it is educational needs, TDA politics, or just a chance to enjoy time with your colleagues and get away from the office for a few days, San Antonio in May is the place to be. Plan now, and I look forward to seeing you in San Antonio.

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The rapid approach of the 2010 Annual Session also brings with it a shrinking timeline for your TDA Board of Directors to complete important work for debate in the House of Delegates. Reviewing all of last year’s resolutions, working on the 2011 (yes, the 2011!) budget, and staying on top of the moving healthcare issues in both Washington and Austin take more than a passing review. The Texas State Board of Dental Examiners is working to finalize the new rules for the expanded functions of our dental assistants. As news develops we will pass it on to you. Resolutions dealing with the unlicensed practice of dentistry, the oral healthcare report, and information on the building annex can all be expected for discussion in May. As your dental societies meet during these next few months, look for and visit with the TDA Board member who will be attending your component meeting. Make it a point to let him or her know what you like and dislike about our Association. Your leadership strives to keep you informed on the issues that matter the most, and feedback is one way that we can continue to improve the member benefits of the TDA. Enjoy the articles on preparation for accidental needlesticks or other unexpected exposures and an ethics reprint from Mouth magazine that follow in this edition.

Again, Happy New Year! Register early for the annual session in San Antonio.

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Texas Dental Journal l www.tda.org l January 2010 9 ARKANSAS • INDIANA • IOWA • KENTUCKY • LOUISIANA • OHIO • OKLAHOMA • TEXAS

The View From Austin Stephen R. Matteson, D.D.S., Editor

New TDA Publications Website Features Interactive Texas Dental Journal Stefanie Clegg, TDA Web Manager, and Nicole Scott, TDA Publications Coordinator As you know, the Texas Dental Journal was established in 1883.

Now, 127 years later, it is making its interactive debut for members on TDA’s new publications website in a user-friendly format called EZ Flip. More and more of us are turning to the web for news and information, and the addition of the Journal allows you to conveniently search for scientific reports, articles, and advertisements featured in the Journal. The EZ Flip Journal will not replace the printed Journal, rather serve as a supplement and added member benefit.

EZ Flip is a visually appealing online application program designed to allow readers to: • • • • • •

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flip each page like reading a magazine. print one page at a time or both facing pages at once. zoom in and out of each page. click on participating advertisers to access websites for more information. jump to specific pages or read cover to cover. view all pages at once.

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Readers will have flexible access to the online Journal because of its availability at the office, home, or portable online devices. “Headline readers” who scan headlines and skip to articles of interest can easily facilitate that preference. Advertisers in the Journal will be offered the option of placing their ads in the EZ Flip Journal in addition to the printed publication.

The editor expects an expanded number of submissions and he will be able to accommodate case reports and other short articles in an online only format. Other professional journals employ this strategy and list these in their Table of Contents as such.

The interactive Journal is available on the new TDA publications website which includes archives, history, and awards for the Journal and TDA Today newsletter as well as advertising / subscription information and the editorial staff. Visit tda.org/tdapublications to read the Journal in this new format.

January 2010

Dr. Brian Gurinsky, a Fortress Dentist.

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Official Call for Secretary/ Treasurer Nominations TDA secretary-treasurer Dr. J. Preston Coleman will not seek re-election at the May 2010 TDA House of Delegates. Therefore, the position is open for nominations.

Only an active, life, or retired member in good standing of this Association shall be eligible. A curriculum vitae (CV) must accompany a letter of intent and the nominee will also have to sign a conflict of interest statement. We request that nominations are made as early as possible so that membership eligibility can be verified and the House of Delegates can be prepared for an informal vote.

Duties of the Secretary-Treasurer are enumerated in the Bylaws and include the following: • • • • • •

Serve as chair of the Budget Committee; Serve as chair of Assets Management Committee; Examine income and expenses of TDA and report at each Board meeting; Ensure that House of Delegates and TDA Board minutes are maintained; Serve as a non-voting member of TDA Executive Committee; and Perform other duties as specified by the Board of Directors.

Nominations are to be mailed to Dr. J. Preston Coleman, TDA Secretary-Treasurer, Texas Dental Association, 1946 South IH-35, Suite 400, Austin, Texas 78704; or e-mailed to TDA Executive Director Ms. Mary Kay Linn, marykay@tda.org.

(According to Article V, Section 10 of the Constitution of the Texas Dental Association and the TDA Bylaws, Chapter IV — Section 30, Chapter V — Section 40, Chapter VI — Sections 10, 20, 30 70 and 90).

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Texas Dental Association Notice of Grant Availability 501(c)(3) Non-Profit Dental Organizations The TDA announces availability of financial assistance for qualifying 501(c)(3) non-profit organizations affiliated with dentistry. The monies are derived from TDA Relief Fund interest income earned over the previous fiscal year.

Grantees will be determined by the TDA Board of Directors.

Eligibility: Grantees must be 501(c)(3) nonprofit organizations affiliated with dentistry.

Application: Letters of Interest — detailing the proposed project(s) and including a budget(s) — should be mailed to: TDA Board of Directors 1946 South IH-35, Suite 400, Austin, TX 78704 Attn: Terry Cornwell Deadline: Letters of Interest must be received no later than January 31, 2010.

Approval: Letters of Interest will be reviewed and considered by the Texas Dental Association’s Board of Directors at its March 2010 meeting.

Notification: All applicants will be notified in writing by May 15, 2010.

Previous Recipients: In 2009, grants were awarded to Christian Community Action (Lewisville), Community Health Center of Lubbock (Lubbock), Dental Health for Parker County (Weatherford), Dental HELP Project (Houston); HOPE Clinic (Alvin), and HOPE Project (Tenaha, Shelby County).

For more information, please contact Terry Cornwell, TDA central office, (512) 443-3675 or terry@tda.org.

Is Your Office Prepared for an Accidental Needlestick or Other Unexpected Exposure Incident?

Roger E. Alexander, D.D.S., and Sharon Limes, R.N., COHN-S

For more than 2 decades, the Centers for Disease Control and Prevention (CDC) and the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA) have periodically issued and updated recommendations and standards (rules) for healthcare professions, including dentistry, to reduce the risks to healthcare workers from occupational exposures to blood and other hazardous body fluids while providing care in healthcare facilities (1-5). Generally, the OSHA standards are based on and parallel the CDC recommendations. These documents include general infection control guidelines for dental offices from the CDC, which were last

Abstract Recommendations and mandatory guidelines for preventing and managing needlestick incidents and other accidental exposures to bloodborne pathogens in healthcare facilities have been published by the Occupational Safety and Health Administration (OSHA) and the Centers for Disease Control and Prevention (CDC) for more than 2 decades. Over the years, the incidence of official enforcement actions has declined and a complacency about the standards may have evolved in some dental offices. Some practitioners may not have written an occupational exposure incident protocol or made appropriate arrangements for medical laboratory testing and postexposure medical evaluation following an unexpected needlestick or other exposure incident in the office. When an unexpected event occurs, practitioners may become confused regarding the steps to be taken, and may turn to their local dental society or fellow practitioners for guidance. The provided information may or may not be complete, accurate and/or current. Implementation of periodic personnel training to prevent exposure incidents is extremely important and could ultimately save a dental practice thousands of dollars in expenses related to the occurrence of even one exposure incident, as well as save the life and/or career of a dental healthcare provider. This article does not comprehensively detail all infection control and bloodborne pathogen transmission prevention requirements for dental offices. Rather, the article provides suggestions for dental practitioners regarding the step by step management of exposure incidents, and provides resource information for additional steps that can be taken towards prevention, improved office compliance, and improved litigation protection.

Key words: Alexander

Limes

Dr. Alexander is a Professor Emeritus, Department of Oral & Maxillofacial Surgery, Texas A&M University Health Science Center, Baylor College of Dentistry, Dallas, TX; Email: ralexander@bcd. tamhsc.edu.

Sharon Limes RN, COHN-S is Director, Health Clinic, Texas A&M University Health Science Center, Baylor College of Dentistry, Dallas, TX; Email: slimes@bcd.tamhsc.edu.

(Reprints will not be available from the authors.)

Accidental Needlesticks, Dental Offices Occupational Exposure Management Post-Exposure Prophylaxis OSHA Compliance, Dental Offices Dental Office Infection Control Bloodborne Pathogen Transmission

Tex Dent J;127(1):15-25.

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Accidental Needlestick — updated in 2003; recommendations for post-exposure prophylaxis to Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV) in 2001 by the U.S. Public Health Service (USPHS); and updated recommendations for post-exposure prophylaxis for HIV exposure from the U.S. Public Health Service (USPHS) in 2005, which consolidated all of the previous recommendations for occupational exposures to HIV into a single set of guidelines (3–5). While OSHA rules were created primarily to protect chairside and laboratory personnel and other at-risk dental office employees, the CDC guidelines were broader in scope and intended to also address the safety of patients and the general public (e.g. with additional guidance in areas such as biohazardous waste disposal). The standards also apply to any temporary office employees (2).

When first introduced, these guidelines caused consternation within the profession, and were accompanied by extensive media coverage, numerous professional articles, and many continuing education presentations on compliance, as well as posturing and protests from some organizations and politicians. Over time, the intensity of OSHA surveillance has been significantly reduced or deferred to state agencies in some states, providing their standards are at least as high as the federal standards. Federal enforcement of the standards applies in Texas.

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Is Your Office Prepared?

OSHA has not gone away!

Guidelines for the prevention and management of bloodborne infections have undergone many changes over the years but they have not disappeared. Since 1981, it is estimated that more than 1.1 million Americans have become infected with the Human Immunodeficiency Virus (HIV), and a cumulative total of >1 million have developed AIDS (Acquired Immunodeficiency Syndrome) since the early 1980’s (6).

Approximately 58 percent of the latter have died. In recent years patients with AIDS have been living longer and the annual incidence of deaths has declined due to the availability of improved drug regimens and increased awareness. The disease remains a significant concern, however, because of the generally-fatal outcome.

The CDC also estimates that there are 1.2 million Americans who are carriers of Hepatitis B infection (7). Although the availability of an effective vaccine against HBV seemingly has led many dentists to have a lower level of concern regarding this potentially career- or life-ending disease, the hardy virus remains the target of healthcare infec-

tion control strategies. Hepatitis C should be as great a concern to the profession because of the lack of an available vaccine against HCV. Hepatitis C is now the most-prevalent bloodborne infection in the United States, with an estimated 3.9-4.0 million patients chronically infected (8).

Post-exposure actions (e.g. after an accidental needlestick) seem to be particularly confusing despite having been in the national guidelines for over 2 decades.

Some practitioners may be unaware that OSHA has mandated that every dental office have written guidelines covering prevention and management of occupational exposures to bloodborne pathogens, and those guidelines must be annually reviewed and updated when indicated. Dentists should consider periodically taking a refresher course in the essential elements of office infection control and OSHA compliance, to update their knowledge and keep current on changes in regulatory rules and recommendations for preventive actions.

We believe it is prudent for every office to keep copies of the current CDC and OSHA guidelines for dentistry on file for ongoing reference. The guidelines are free of charge and readily available for downloading from

internet websites (www.osha. gov and www.cdc.gov). It takes only one anonymous complaint to the local OSHA office (or the state board of dental examiners) and a dentist could potentially face sanctions that could include thousands of dollars in fines.

The profession has not faced intense OSHA scrutiny lately, but the situation could change if regulators perceive that dental employees are at risk or standards are being broadly ignored.

What does OSHA require a dental office to do?

It is beyond the scope of this article to review all the details found in the Bloodborne Pathogens Standard (29 CFR 1910.1030) (9). That section contains the largest number of requirements, which can be summarized to include (but not limited to) the following steps that every office should take: •

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Create a written exposure control plan to minimize office exposure risks, which is reviewed and updated at least annually.

Make a list of all office job classifications based on a determination of the level of

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Accidental Needlestick —

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•

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employees’ exposure risks.

Routinely use “Standard Precautions” (called “Universal Precautions” prior to 1996), including the use of Professional Protective Equipment (PPE). PPE covers the use of fluid-resistant barrier gowns, disposable gloves, masks, and protective eyewear with side shields.

Provide the use of appropriate PPE at no cost to employees, including disposable barrier gowns that are not worn home by personnel.

(Note: Barrier attire should not be worn outside the office. If personnel do not wear

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disposable, fluid-resistant gowns while treating patients, their scrub attire/uniforms are then considered to be the biohazardous barrier and the dentist is required to provide an area where personnel can change in and out of personal clothing that is worn to and from the office, and also launder the used scrub attire at no cost to the employees.)

Provide no cost Hepatitis B vaccine to unvaccinated employees whose duties place them at risk for exposure.

Provide no cost medical evaluation, prophylactic medica-

•

•

tion and follow-up following a significant occupational exposure incident, pursuant to the current USPHS recommendations.

Use properly labeled containers for sharps disposal, regulated waste, contaminated laundry, and tissue specimens.

Assure that high-risk dental workers (e.g. dentists, dental hygienists, chairside assistants, and laboratory personnel) have current recommended immunizations for health-care workers: Hepatitis B series, influenza, measles, mumps, rubella,

Is Your Office Prepared?

• •

• •

and varicella (10). Additionally, it is advised that personnel have current vaccinations for tetanus, diphtheria and pneumococcal infections (10). These vaccinations are especially important for workers who are >65 years of age, pregnant, and/or have other concomitant chronic medical conditions.

Prohibit eating, drinking, smoking, cosmetics use, and handling of contact lenses in patient care/work areas.

Provide and document employee bloodborne pathogen transmission education and training upon initial hiring and at least annually thereafter.

Document and implement Work Practice Controls (read the OSHA guidelines for further explanations).

Maintain proper documentation on each employee to include a medical records file and a training records file. These confidential files must be retained (securely and confidentially) by the office for the duration of employment plus 30 years.

For additional guidance and information, readers can contact a local OSHA office to request a copy of the guidelines, or access the OSHA website (9).

In dentistry, studies have shown that exposure incidents seem to occur mostly from accidental needlesticks during local anesthesia injections, or contact with

What is occupational exposure incident?

An occupational exposure incident is defined as percutaneous (in other words, penetrating the skin or mucous membranes) contact with a patient’s blood, saliva, or other potentially-infectious body fluids or tissues, contact of infectious fluids or tissues with non-intact skin, or mucous membrane splashes (a healthcare worker’s mouth, eye, nose) by such fluids during the performance of the worker’s duties (4). The risk of significant exposure incidents is less in dentistry than in other healthcare professions and normally limited to superficial scratches or punctures (11). In one study, conducted over a 6-year period, 175 dental professionals reported 208 exposure incidents to the CDC (12).

One-third of them were needlesticks. In dentistry, studies have shown that exposure incidents seem to occur mostly from accidental needlesticks during local anesthesia injections, or contact with contaminated surgical instruments, suturing needles, burs, scalpel blades, scalers, explorers, or wires (in that order). Mucosal splashes usually occur when a healthcare worker fails to wear the required personal protective equipment (PPE) recommended by the CDC (e.g. eyewear with side shields and a well-fitting facemask).

contaminated surgical instruments, suturing needles, burs, scalpel blades, scalers, explorers, or wires.

The severity of the exposures is generally classified according to three factors: type of device, presence of visible blood on the device, and the depth of the injury (12).

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Accidental Needlestick — Create a non-punitive office reporting environment It is critically important that each dental office establish a non-punitive environment that encourages all office staff to immediately and unhesitatingly report all occupational exposures, whether they are needlesticks, abrasions or scratches (e.g. from a bur), mucous membrane splash (eyes, mouth, or nostrils), or other exposures. If office personnel fear reporting occupational exposures and fail to do so, then everyone in the office may be adversely affected and it creates a potential liability risk.

If a source patient is HIV-positive, HBV-positive, or HCV-positive, then post-exposure prophylactic medications may be needed and should be started within a few hours of the exposure for maximum effectiveness, as discussed later in this paper. Taking action the next day or even at the end of the workday may be too late! A data collection form should be filled out and laboratory testing should be performed on both the patient and the employee (at the dental office’s expense) immediately following the incident. This testing is voluntary and cannot be imposed against the patient’s will in most states, but refusal should be documented.

If the exposure does not occur until after the patient is discharged (e.g. while later cleaning a sharp instrument that had been used during the procedures), then the patient should be contacted and asked to return to the office as soon as possible. All recorded exposure information is considered CONFIDENTIAL and must be treated as such.

A data collection form should be filled out and laboratory testing should be performed on both the patient and the employee (at the dental office’s expense) immediately following the incident.

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Arrangements to make before an incident occurs When planning for how a practice is going to respond to an unexpected exposure incident, it is important for the dentist to identify an accessible and knowledgeable local physician who can and will evaluate affected office personnel and appropriately prescribe anti-viral medications, if indicated. In larger urban areas, an infectious disease specialist is the optimal choice whereas rural practices might have to depend on the knowledge and skills of a local internist or knowledgeable emergency room physician.

Practitioners should not assume that every hospital emergency room has a qualified physician to manage occupational exposure evaluations. A 2002 survey of emergency department physicians indicated >95 percent were unfamiliar with the current CDC guidelines, were unfamiliar with how to evaluate unknown or uncooperative source patients and workers, were inexperienced in managing post-exposure incidents, and had insufficient time available to properly counsel affected workers due to the demands of the busy emergency rooms (5). For these reasons, a dentist may need to spend some time and effort finding and making arrangements with a local

Is Your Office Prepared? medical provider that has the willingness and expertise to serve as the urgent-referral provider for the dental office following any future incidents.

Furthermore, a medical laboratory, recommended by the selected medical provider, with the ability to expeditiously perform the appropriate screening tests, needs to be identified so blood test results can be made available to the evaluating physician as soon as possible following the exposure incident. This is not only very important for optimal assessment of the risk to the dental worker, but also could result in significant medical cost savings to the practice. When test results are not available quickly, the affected dental worker may be placed on expensive anti-viral medications as a precaution, and the costs of treatment, testing and re-testing will be higher (12). It is therefore in the interests of each dental office to identify a local laboratory that can prioritize the performance of the recommended blood tests and immediately report the results to the identified referral physician.

In rural locales, the only laboratory with such capabilities might be located within the local or regional hospital. Upon request, most laboratories will provide blank test ordering forms for the dental office to keep on file, and billing arrangements can be formalized.

The dentist should adopt or create an exposure incident data collection form, and have it reviewed by the office’s attorney for completeness and regulatory compliance. Examples of such forms, which can be modified or adopted by any dental office, are available from many different sources. Such a form ideally should include (but not necessarily be limited to) all of the following information: •

•

• • • • •

• •

•

•

•

time and date of the exposure incident and date the incident was actually reported by the employee; demographic information regarding the employee (name, age, gender, job description) relevant employee medical history, if applicable; tetanus booster status; HBV vaccination history/ status; HIV, HCV testing history/ status; involved patient’s name, demographics, contact information, relevant medical history patient’s HBV, HIV, HCV history/testing; description of the exposure incident and any emergency care rendered (e.g. first aid); type, cause, severity of exposure (needlestick, mucosal splash, etc.); type of bodily fluid employee was exposed to (e.g. blood, saliva, other); post-exposure testing information: name of laboratory referred to, date and results

•

•

of tests ordered (both patient and employee), or documentation of refusal to undergo testing; name, contact information for the medical expert that the employee was referred to for evaluation; and employee signature, date.

The form should be designed in such a way that the collection and recording of the necessary information is easily performed, and can be reviewed, in a time-efficient manner. A form with check boxes and “fill-inthe-blanks” prompts is helpful.

Assuring the form contains as much information as possible will be helpful to the medical expert evaluating the patient on referral and also useful for legal protection.

If the dentist does not take the time and make the effort to establish these pre-arranged protocols, part of the written office exposure plan, then an affected worker may be referred to a laboratory (and/or physician) that is not equipped to deal with such referrals following an exposure incident. This, in turn, could potentially delay appropriate prophylaxis treatment, compromise the outcome of the incident, and/or endanger the life and/or career of the affected worker.

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Accidental Needlestick — Steps to take for management of an occupation exposure incident Once a dental worker has experienced an exposure incident, significant time loss, inconvenience, and medical costs will be experienced. This is why it is in a dental practice’s best interests to support an intensive and ongoing exposure-prevention program.

In the long term, providing ongoing staff education, stressing attention to details and insisting on guidelines compliance will not only save the practice money but will also reduce inconveniences, stress, lost time, and costs when dealing with an incident.

The reader will undoubtedly understand this concept when considering the following steps in the management protocol: Step 1. Stop dental treatment as quickly as possible. Do not re-use the needle or sharp instrument involved.

Step 2. Immediately wash the affected (bare) skin area with soap and water. Use of a disinfectant soap has not been shown to be of any additional value but is not contraindicated. Squeezing soft tissues to express blood from the wound has not been shown to have any additional benefit. Administer any necessary first aid care to the injury site. In the case of mucous membrane splashes, the involved area should be flushed with water at an eyewash station or sink.

Step 3. Immediately notify the designated office staff person (or dentist) who has been trained to assist with exposure incidents.

The severity of the exposure and degree of risk to the affected worker should be evaluated, to ascertain whether medical referral will be needed. The created exposure incident data collection form (previously noted) should be filled out as completely as possible. Written consent (or refusal) should be obtained from the affected dental worker and the source patient to obtain blood samples for laboratory testing. Sample consent forms that can be adapted by any dental office are provided by numerous companies and internet resource sites, but it is important that dentists consult with their office’s attorney(s) before utilizing

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Once a dental worker has experienced an exposure incident, significant time loss, inconvenience, and medical costs will be experienced.

Is Your Office Prepared? these forms, to assure they meet all legal requirements. All forms must be treated with the highest level of confidentiality and should be placed in the affected worker’s OSHA medical file, which must be stored in a secured location. A copy of the data collection form should be given to any affected dental worker who is referred for evaluation, to pass on to the evaluating physician.

Step 4. Refer patient for laboratory testing. The exposure source person (patient) should be informed of the incident, given an explanation of the need for bloodborne pathogen testing and asked for their consent to undergo testing at the practice’s expense. If consent is given, testing should be performed as soon as possible (ideally the same day.)

Among the tests to be performed would be an FDA-approved rapid HIV-antibody test (or other HIVantibody test, if the rapid test is not available at any local laboratory), HCV-antibody test, and HB surface antigen test. If all those test results are negative, then no further testing is required of the patient. If the patient is thought to be a carrier of Hepatitis C, then baseline testing for liver disease is also recommended (i.e. a test for ALT activity) (3). If the source patient refuses testing, then an effort should be made to question the patient and document details regarding any past testing results, a history of risk behaviors for the diseases, and any past or present clinical symptoms. If the source patient is known to be HIV-positive,

then they should be specifically asked about recent symptoms, CD4+ T-cell counts, viral load tests, and which anti-retroviral medication(s) are being taken.

If the source of the blood or saliva or other hazardous bodily fluid is unknown and the source patient’s identity cannot be determined, then it is not recommended that blood from the needle or other involved sharp device be tested (3).

Step 5. Counsel the affected dental worker. The affected worker will usually be counseled by the referral physician on all aspects of the evaluation, the degree of any risks, post-exposure prophylaxis details, and prognosis. It is appropriate for the dental office to answer any early questions if the dentist can provide accurate information; otherwise the affected worker should be informed that the referral physician will answer the questions the worker may have.

Details of the exposure incident, relevant medical history, and results of any past testing the worker has undergone are documented on the confidential exposure incident data form, as noted above. The affected worker should be advised that all testing, evaluation, and prophylaxis medication costs will be paid for by the dental office, as required

by OSHA rules.

Step 6. Refer the affected dental worker for laboratory testing. The affected dental worker should also be referred to the

medical laboratory for an FDAapproved rapid HIV-antibody test (or other HIV-antibody test, if the rapid test is not available at any local laboratory), HCV-antibody test, and HBV-antibody test (if the dental worker has completed his/her series of Hepatitis B vaccinations). If consent is given, testing should be performed as soon as possible following the exposure incident. Do not delay testing until the end of the working day, or the following day.

If the affected worker refuses testing, then he/she needs to be reminded of the potential medical consequences of the refusal, the consequences of delaying the initiation of any indicated prophylactic medications and the seriousness of the potential infection(s). He/she should be encouraged to telephone their personal physician or other trusted medical authority to discuss the matter before making his/her final decision. The refusal and counseling should be documented.

Step 7. Contact the Referral Physician and Refer the Affected Worker for Medical Evaluation (and PEP treatment, if indicated). The pre-arranged physician (e.g., infectious disease specialist, or internist) should be immediately contacted to schedule an evaluation of the affected dental worker as soon as possible. The written consultation should include a request for the evaluating physician to provide a confidential written report to the affected employee that outlines

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Accidental Needlestick — the findings and any post-exposure prophylactic (PEP) treatment prescribed. The standards state the dentist-employer is not entitled to a copy of the report, or disclosure of the contents, without the employee’s consent (2). That written report must be provided to the affected worker within 15 days following completion of the evaluation. If the report is not provided by the referral physician, then the dentist should intervene and attempt to get the report sent to the employee. Those efforts on behalf of the affected worker should be documented by the dentist in case any questions are raised later by regulatory authorities (2).

If the physician determines that the risk for HIV exposure is high, then ideally the affected dental worker is generally started on a regimen of two to three antiretroviral medications within 2 hours of the incident even if testing results cannot be expeditiously obtained. If the source patient is found to be HIVpositive then the post-exposure medications are continued for 4 weeks if the dental worker can tolerate them and does not experience severe adverse reactions or side effects.

If the source patient is determined to be a Hepatitis B carrier and the affected dental worker has not started and completed their HBV vaccination series, then Hepatitis B immune globulin (HBIG) and Hepatitis B vaccine are generally administered to the affected worker. If the

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source patient is determined to be a Hepatitis C carrier, then available data suggest that prophylactic medications should not be provided to the affected dental worker because the treatment (interferon) has not been shown to prevent development of the infection (3). The recommendations for post-exposure management of Hepatitis C are focused on early identification and treatment of the infection, if and when it develops. Readers are referred to the USPHS guidelines for further information (3).

Exposed dental workers can continue working with patients during the post-exposure period, even if it is confirmed they have been exposed to HBV or HCVpositive blood during the exposure incident (3).

The standards only require dental offices to pay for testing, evaluation and PEP. If the dental worker actually becomes infected (which does not commonly follow most exposures), then treatment of a disease itself may be covered by workers’ compensation coverage or other disability insurance coverage (13).

Step 8. Follow-up Testing.

For HIV exposures, the affected dental worker may be retested for HIV antibodies at 6 weeks, 3 months, and 6 months following the incident, or sooner if any signs and symptoms of active disease are noted. For HBV exposures, the worker will be retested for surface antigen antibodies 1-2 months after the last Hepati-

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tis B vaccine dose or 3-4 months after receiving HBIG. For HCV exposures, the worker will be retested for HCV antibodies and ALT activity 4-6 months after the exposure incident. In some cases, an HCV RNA test may also be ordered by the managing physician 4-6 weeks after exposure to a known carrier source patient (3). All of these tests must be performed at no cost to the affected dental worker.

Summary Prevention of occupational exposures during dental treatment can help dental offices minimize the stress and expense of managing an exposure incident, such as accidental needlestick or other percutaneous exposure. Once a dental healthcare professional has experienced an exposure incident, however, it is essential that the exposure incident be handled correctly and documented thoroughly. Pre-incident research, preparations and creation of a written office protocol for managing such incidents, as required by OSHA rules, help to reduce the risks, stress, and expense of exposure incidents if and when they occur. This article has provided a summary of eight essential steps to be taken in the event of an accidental needlestick or other occupational exposure incident. The reader is encouraged to become familiar with the following online and published resources to gain additional insight.

Is Your Office Prepared?

Resources for more guidance and information:

References 1.

The National Clinicians’ Post-Exposure Prophylaxis Hotline (PEPLine) (888) 448-4911 (24/7) Offers clinicians one-on-one advice on who should receive prophylaxis and which drugs are appropriate, following an occupational exposure.

On-call experts are available after hours for emergencies (a service of the University of California, San Francisco, CA).

Internet Resources: • www.osha.gov./SLTC/dentistry/standards.html (Index and links for OSHA dentistry standards) • www.ada.org/prof/resources/topics/osha/intro.asp (Post Exposure Evaluation & Followup Requirements Under OSHA’s Standards for Occupational Exposure to Bloodborne Pathogens,” 1997) • www.ada.org/prof/resources/topics/icontrol/index.asp (other aspects of office infection control policy) • www.ada.org/prof/resources/topics/osha/refs.asp (A reference list for post-exposure evaluation and follow-up) • www/cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm (“Guidelines for Infection Control in Dental Health-care Settings,” 2003) • www.osap.org/displaycommon.cfm?an=7 (Resources available from The Organization for Safety and Asepsis Procedures, a respected source of information on all aspects of dental office infection control programs) • www.osap.org/associations/4930/files/OSAP%20CHECKUP%202 003%20CDC%20Guidelines.pdf (a downloadable checklist for dental office infection control programs’ compliance with CDC recommendations and OSHA guidelines) • www.needlestick.mednet.ucla.edu (Offering help to clinicians for managing needlestick incidents. Developed and maintained by UCLA Emergency Medicine Center, UCLA School of Medicine) Useful Publications: • Cleveland JL, Cardo DM. “Occupational exposures to human immunovirus, Hepatitis B virus, and Hepatitis C virus: risk, prevention, and management”; Dent Clinics of NA 2003; 47:681-696.

Regional OSHA Offices: OSHA regional offices can be found in the following Texas cities: Austin, Corpus Christi, Dallas, El Paso, Fort Worth, Houston, Lubbock, and San Antonio. Consult the osha.gov website or local telephone directories for telephone numbers.

Occupational Safety and Health Administration, U.S. Department of Labor. Controlling occupational exposure to bloodborne pathogens in dentistry. OSHA publication No. 3129, 1992.

2. Centers for Disease Control and Prevention. Recommended infection-control practices for dentistry, 1993. MMWR Morb Mortal Wkly Rep January 15, 1993; 41 (RR-8), 1-12.

3. Centers for Disease Control and Prevention. Updated U.S.Public Health Service guidelines for the management of occupational exposures to HBV, HCV and HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep, June 29, 2001; 50(RR-11):1-52.

4. Centers for Disease Control and Prevention. Guidelines for infection control in dental health-care settings – 2003. MMWR Morb Mortal Wkly Rep December 19, 2003; 52 (RR-17):1-66.

5. Centers for Disease Control and Prevention. Updated U.S.Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis. MMWR Morb Mortal Wkly Rep September 30, 2005; 54 (RR-09):1-17.

6. Centers for Disease Control and Prevention. HIV/AIDS surveillance report: Cases of HIV infection and AIDS in the United States and dependent areas, 2007. Vol 19.

Available from: http://www.cdc.gov/hiv/ topics/surveillance/basic.htm.

7. Centers for Disease Control and Prevention. Incidence of acute Hepatitis B – United States, 1990-2002. J Amer Med Assoc 2004; 52:1252-1254.

8. Cleveland JL, Gooch BF, Shearer BG, et al.

Risk and prevention of Hepatitis C virus infection; implications for dentistry. J Amer Dent Assoc 1999; 130:641-647.

9. Occupational Safety and Health Administration, U.S. Department of Labor.

Regulations – occupational safety and health standards (29 CFR), Bloodborne Pathogens. Available from http://www. osha.gov/pls/oshaweb/owadisp.show_ document?p_table=STANDARDS&p_ id=10051.

10. Centers for Disease Control and Prevention. Immunization of health-care workers: Recommendations of the advisory committee on immunization practices (ACIP) and the hospital infection control practices advisory committee (HICPAC). MMWR Morb Mortal Wkly Rep 1997; 46 (RR-18): 1-42.

11. Cuny E, Carpenter WM. Occupational exposure to blood and body fluids: new postexposure prophylaxis recommendations.

Calif Dent Assoc J 1998; 26:261-271.

12. Cleveland JL, Barker L, Gooch BF, et al.

Use of HIV post-exposure prophylaxis by dental health care personnel. J Amer Dent Assoc 2002; 133:1619-1626.

13. American Dental Association. Post-exposure evaluation and followup requirements under OSHA’s standard for occupational exposure to bloodborne pathogens: Questions and answers for dental employers.

Available from: http://www.ada.org/prof/ resources/topics/osha/qa.asp.

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Following Your Moral Compass Michael Meru, D.D.S. This article was originally published in the Spring 2008 issue of Mouth and is reprinted with permission from the American Student Dental Association. Mouth is the publication of American Student Dental Association, and this article was directed to dental students. It received the American College of Dentists/American Association of Dental Editors Prize for Dental Journalism at the 2009 Annual Meeting of the American Association of Dental Editors in Hawaii.

On an unusually tropical day in San Francisco, former dentist Tony Protopappas appeared before the U.S. Supreme Court March 24, 2004, with a writ of habeas corpus petitioning his release from prison. Twenty years earlier, in 1984, Protopappas was charged with second-degree murder and sentenced to three concurrent terms of 15 years to life for the deaths of three young women that occurred while they were under general anesthesia.

Protopappas’ career began shortly after he graduated from dental school when he opened his Costa Mesa California Dental Clinic in 1974. By 1982 the practice was flourishing. Protopappas employed five other dentists, as well as many office staff.

He was the only practitioner in the office with a license to administer general anesDr. Meru, first year orthodontic resident, University of Southern California, meru@usc.edu.

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thesia and was responsible for standardizing doses given to patients that were prepared by his office assistants. on september 28, 1982, a feeble Kim andreassen presented at the costa Mesa clinic for a root canal, three fillings and a crown. Andreassen’s medical history consisted of lupus, total kidney failure (requiring thrice weekly dialysis), high blood pressure, anemia, a heart murmur, and a chronic seizure disorder. Her physician informed Protopappas that she was not to be placed under general anesthesia. despite having been warned by her physician, andreassen was placed on an i.V. general sedation setup. during the procedure signs of respiratory distress were noted by the assistant, yet Protopappas’ reply was, “Maybe that’s normal for her because she is so ill.” ten to 15 minutes later the respiratory distress worsened, her pulse became weak, and her face turned blue. shortly thereafter the paramedics were called and brought andreassen to the hospital. upon arrival, andreassen was pronounced clinically dead. after the tragic events of september 28, Protopappas continued practice as usual until the week of February 6, 1983. on tuesday the 8th, Protopappas saw 13-year-old Patricia craven for

the removal of her third-molars, as well as for eight fillings and a crown. Craven was active and healthy aside from her swollen tonsils. during the procedure, which was done under general anesthesia, craven was given massive amounts of drugs, which caused her to go into a coma later that day. on Friday the 11th, while craven was still in a coma, another patient, 31-year-old cathryn Jones, sought dental care under general sedation at Protopappas’ clinic. she was also given massive amounts of drugs, which caused her to go into a coma as well. Both craven and Jones died days later and were found to have suffered massive drug overdoses. after the third victim was pronounced dead, tony Protopappas was brought to trial. one expert witness, an oral surgeon, testifying in regards to andreassen’s death, reported that the combination of drugs administered did not make any sense. He stated, “It is not a regimen to sedate a patient. It is illogical. it is — i don’t know anybody who does this kind of thing for sedation or anesthesia. it is really an illogical approach to treating people.”

From the People v. Protopappas case notes: “Dr. Frank Mccarthy, chair of the anesthesiology department at the university of southern california’s Texas Dental Journal

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Moral Compass dental school, testified that Andreassen’s irregular breathing was symptomatic of severe toxicity and should have been interpreted as urgent and life threatening. He concluded Protopappas did not recognize or respond to Andreassen’s Cheynes-Stokes breathing.”

In his own defense, and throughout the trial, Protopappas maintained that he felt he was treating the patients correctly, to the best of his ability, and with no intent of harming anyone.

One aspect of his life that doesn’t surface in his trial notes are the allegations he faced while in dental school. According to an ethics class taught at the University of Southern California School of Dentistry, many people, including faculty and other students, knew very well that Protopappas had problems with academic dishonesty and that he cheated numerous times. He put getting ahead in life, in the easiest manner possible, in front of the learning process that dental schools grant to each student in order to ensure proper breadth and depth of education.

There may or may not be a correlation between Protopappas cheating in dental school and his eventual killing of three women.

But as one study of medical students found, academic dishonesty during medical school does predispose a person to cheating in patient care later in life (10).

As dental students and future practitioners, we are committed to being life-long learners. Not only is that important for each of us to

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be successful, but it also ensures that those that we care for will also be protected. The arduous nature of continued study and practice should never take a back seat to finding the easy way out.

Protopappas’ petition for writ of habeas corpus was denied on March 24, 2004, and he is currently serving his term in Folsom State Prison.

Academic dishonesty is a pandemic that has existed in our nation for decades and has continually worsened. In a study of college students at the University of Georgia, Fred Schab found that from 1969 to 1989, the percentage of students who admitted to cheating had doubled, going from 34 percent to 68 percent.

The profession of dentistry is ranked by consumers as one of the 10 most trusted and ethical professions in America (4).

So one might be inclined to believe that issues of academic dishonesty and cheating would be much less severe. But in the August 2007 edition of the Journal of Dental Education, Andrews et al. reported a study in which 1,153 dental students were surveyed in regards to academic integrity (3). The survey found that nearly 75 percent of the respondents admitted to some level of cheating. And during the past several years, the dental education community has been shaken with cheating scandals at dental schools around the nation.

According to the Oxford American Dictionary, “Schools of ethics

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in Western philosophy can be divided, very roughly, into three sorts. The first, drawing on the work of Aristotle, holds that the virtues (such as justice, charity, and generosity) are dispositions to act in ways that benefit both the person possessing them and that person’s society. The second, defended particularly

by Kant, makes the concept of duty central to morality: humans are bound, from a knowledge of their duty as rational beings, to obey the categorical imperative to respect other rational beings.

Thirdly, utilitarianism asserts that the guiding principle of conduct should be the greatest happiness or benefit of the greatest number.” The Oxford American Dictionary goes on to define ethics as, “Moral principles that govern a person’s or group’s behavior.”

Nash, in the May 2007 issue of the European Journal of Dental Education, stated, “Ethics is about the basic moral standards inherent in the structure of social living, incumbent on all human beings regardless of the presence or absence of any religious convictions (5).”

In dentistry ethics is crucial, owing to the fact that patients seeking care place their wellbeing in the dentist’s hands. In the American Dental Association’s (ADA) Principles of Ethics and Code of Professional Conduct, it states, “The dental profession holds a special position of trust within society. As a consequence, society affords the profession certain privileges that are not available to members of the

public-at-large. In return, the profession makes a commitment to society that its members will adhere to high ethical standards of conduct.” Nash added that, “The goal of the relationship in which one assumes the role of health professional and the other that of the patient is the benefiting of the patient.”

Academic dishonesty is a pandemic that has existed in our nation for decades and has continually worsened. In a study of college students at the University of Georgia, Fred Schab found that from 1969 to 1989, the percentage of students who admitted to cheating had doubled, going from 34 percent to 68 percent.

The ADA’s Principles of Ethics and Code of Professional Conduct set forth five major ethical principles that dentists must adhere to. They are: patient autonomy (self governance), nonmaleficence (do no harm), beneficence (do good), justice (fairness), and veracity (truthfulness). The document states that, “Members of the ADA voluntarily agree to abide by the ADA Code as a condition of membership in the Association. They recognize that continued public trust in the dental profession is based on the commitment of individual dentists to high ethical standards of conduct.”

In 2002, ASDA adopted its own code of ethics, which states, “The American Student Dental Association recognizes the importance of high ethical standards in the dental school setting. Therefore, the association believes students should conduct themselves in a manner reflecting integrity and fairness in both the didactic and clinical learning environments.

Ethical and professional behavior by dental students is characterized by honesty, fairness, and integrity in all circumstances; respect for the rights, differences, and property of others; concern for the welfare of patients, com-

petence in the delivery of care, and preservation of confidentiality in all situations where this is warranted.”

All ASDA members are also members of the ADA, and we commit to abide by the ethical principles within these two codes. Not only do we commit to observe these two codes, but also it is likely that we have codes of ethics and ethics curricula specific to our dental schools.

Despite the codes of ethics that we agree to live by and the principles taught to us by experts in the field of dental ethics, the harrowing statistic still stands — that nearly 75 percent of dental students admit to some form of cheating.

So in what nature do dental students cheat, and why? Instances that have been reported include cheating on exams, students paying for patients, stealing lab equipment, charging out fake procedures to patients to earn points, stealing faculty usernames and passwords to increase their production, stealing exams, using old exams, paying for outside lab work to be graded as their own, compiling illegal national board exam questions, among many others. With advances in technology and the use of items such as cell phones, PDAs, cameras, hacking software, online file sharing sources, etc., cheating has never been so accessible to the masses.

For example, Andrews et al. reported an instance where “10 students each using camera cell

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Moral Compass phones, taking one picture of one page of an exam at varying times in an exam, then collaborating and putting them into a Word document to distribute to the next year’s class” used technology to not only cheat themselves, but to tempt future classes into cheating as well (3).

In a survey of dental school deans conducted by Beemsterboer, et al., 83 percent of schools reported incidences of copying during a didactic exam, 52 percent had occurrences of students writing untrue treatment records in patients’ charts, and 50 percent reported that students had signed faculty names in a patient’s chart.

Now we know how they cheat, but why? In the article written

by Andrews, et al. many reasons as to why dental students cheat were revealed. Some of the prominent motivations were: “Everyone does it” — students felt that in order to be on a level playing field with the rest of their classmates, they had to cheat also; stress, pressure and workload; belief that their administration does not enforce school policies on cheating; they did not agree with the school’s definition of cheating.

Academic dishonesty is contagious: to oneself and to those around you. The basis of academic dishonesty being contagious to oneself is that continued cheating breeds two outcomes.

First, it causes the person cheating to become desensitized to the inherently wrong nature of the act, making it easier to justify

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that same behavior in the future.

Secondly, it fosters an attitude of complacency rather than hard work, because the cheater gets all of the glory without any of the stresses that come along the road to success.

students who were delaying treatment of patients, over-radiating their patients, over-treating lesions, and paying outside services for the supply of patients to use during the exam. How can this be ethical?”

The rationale for academic dishonesty being contagious to those around you is twofold as well. First and foremost is the reason stated by Andrews, et al. that when some students cheat, giving themselves an unfair advantage, the remainder of the students feel they must cheat in order to maintain equality.

Secondly, the supposed ease at which those who cut corners have in getting high grades and into residency programs causes others who may not have behaved that way to follow suit.

So wherein lies the problem? The blame cannot be assigned to one group or individual. It is a shared burden — one that students, faculty, administrators, and the profession have to recognize, speak out against, band together and conquer.

Issues of cheating are not the only ethical problems facing dental education today. One major ethical issue facing our profession is the use of live patients in the current format of clinical licensure exams. Dr. Brooke Loftis, ASDA’s immediate past president, stated, “ASDA continues to fully support the elimination of live patients in its current format for the use of initial clinical licensure. How can we continue to allow an examination process that encourages marginally unethical behavior from students? We must protect our patients and provide them with the best care possible. After 4 years, the clinical licensure exam procedures I recently completed are the last clinical procedures I will perform within my dental school. I will never forget the

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Current dental ethics literature agrees that change must be made. The question isn’t if, it’s how to change. Below is a series of suggestions found in the literature and compiled by the author.

Lead by example “Faculty must not look the other way, nor take the easy way out, but be a firm monitor of the ideals that our code of ethics explains as our special privilege,” stated Dr. Maitland in his article “Disturbing Trends in Dental Education” in the June 2006 issue of The Journal of Esthetic and Restorative Dentistry.

In the Andrews et al. article, one student was quoted as saying, “There is a huge double standard implemented by the faculty of my school. They often get upset at us for using old tests to focus our studying; however, they ask us to memorize questions on National Boards to help the classes below us.”

We must not back down at the threat of lawsuits or bad press. Doing the right thing may have an immediate negative effect publicity-wise, but not punishing unethical behavior fosters continued unethical actions that will pollute and ultimately undermine an institution and our profession.

Enforce school policy “We must insist on accountability and responsibility. Discipline, when indicated, should be fair, swift, and strong, without the image of weakness and forgiveness,” Dr. Maitland stated (9). “We not only have to reconnect with honor, we have to send a clear message.”

In the Andrews et al. article, another student was quoted as saying administrations must “actually follow the enforcements that are listed in the handbook for students caught cheating. Come down hard on cheaters; we had 10 accounts against the same student in writing and signed ... nothing happened.”

We must not back down at the threat of lawsuits or bad press.

Doing the right thing may have an immediate negative effect publicity-wise, but not punishing unethical behavior fosters continued unethical actions that will pollute and ultimately undermine an institution and our profession.

Dr. Loftis stated, “When students see other students behaving unethically and no punishment is applied, it becomes harder and harder for students who struggle in ethical situations to maintain an ethically sound mentality.”

Write new exams This applies not only to professors and individual schools, but to the ADA as well.

When an exam such as the NBDE1 is offered nationwide and can be taken on almost any given day, with a limited variety of tests that are not routinely changed, it is inevitable that students will begin to cheat and write down remembered questions. It only takes one person to start the domino effect. If the tests cannot be changed on a regular basis, it may be beneficial to go back to offering the test twice per year in order to avoid such behavior.

Regarding tests in individual institutions, the suggestion would be

to write new exams for each class in order to minimize cheating.

Move to methods of testing that are difficult to cheat with Ideally students would self-govern and there would be no worry of academic dishonesty. Since that is not the case, we must move to methods of testing that make it difficult to cheat.

Andrews et al. reported that students felt that “there should be increased surveillance within the testing area to help discourage cheating. Suggestions including changing seating arrangements, videotaping, or having specific rooms designed for testing.” It was noted that the number of proctors should increase as well.

Institutions must also stay current with technology and literature regarding academic dishonesty so that they are better equipped to combat new strains of cheating.

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Moral Compass Continually teach professional ethics in dentistry

Protopappas didn’t want or mean to commit the crimes that perchance may have been avoided had he not taken shortcuts in his professional career.

Nash stated, “The justification for teaching professional ethics in dentistry is to facilitate the personal and professional development of aspiring dentists into socially and professionally responsible human beings.”

May each of us follow the ASDA Code of Ethics that states that we will conduct ourselves in a manner reflecting integrity and fairness and that we will maintain high standards of moral and ethical behavior. If each one of us follows our code and bands together to speak out against academic dishonesty, our profession will remain one of the most trusted professions in America.

Increase research into the specifics of dental ethics There are very few studies with scientific backing in the arena of dental ethics and academic integrity.

In order for the profession of dentistry and dental education to better understand this pandemic and to verify and pinpoint where the problems lie, we must have correct and specific data. This data will enable the profession to accurately propose and execute solutions.

Notwithstanding the fact that the situation of dental ethics hitherto portrayed may appear disheartening, there is reason to be hopeful. Organizations around the nation are coming together and collaborating in order to find solutions, including organizations such as ASDA, the ADA, the American College of Dentists, the American Society of Dental Ethics, the American Dental Education Association, the Student Professionalism and Ethics Club, numerous state dental societies, individual schools, among many others. As stated earlier, we have an obligation to our patients, to ourselves and to our profession to be ethical in all senses of the word.

In looking back at the Protopappas murder case, the trial notes conclude, “The most troubling aspect of this case is that Protopappas has been convicted of murder for acts committed as a practicing, licensed dentist under circumstances where there can be no doubt he did not truly intend to kill anyone. Certainly every reasonable dentist or physician examining this opinion would agree Protopappas was grossly negligent in each of these three homicides, but where is the evidence of the malice necessary to justify a murder conviction? For the benefit of the concerned dental or medical professional, the answer to that question is simple: This case is highly unusual and, hopefully, unlikely to recur; for it is the health care equivalent of shooting into a crowd or setting a lethal mantrap in a dark alley.”

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Resources 1. People v. Protopappas (1988) 201 Cal.App.3d 152 [246 Cal. Rptr.915]. Court of Appeals of California, Fourth Appellate District, Division Three.

2. Supreme Court Minutes, Wednesday, March 24, 2004. San Francisco, California.

3. Faculty and Student Perceptions of Academic Integrity at U.S. and Canadian Dental Schools. Andrews K, Smith L, Henzi D, Demps E. Journal of Dental Education, August 2007.

4. American Dental Association dental careers fact sheet. http:// www.ada.org/public/careers/team/dentistry_fact.pdf 5. Commentary on ethics in the profession of dentistry and dental education. Nash DA. European Journal of Dental Education 2007; 11: 64-74.

6. American Dental Association’s Principles of Ethics and Code of Professional Conduct. http://www.ada.org/prof/prac/law/code/ ada_code.pdf 7. ASDA Code of Ethics, 2002. http://asdanet.org/_AboutPage. aspx?id=1556 Section E-7.

8. Issues of Academic Integrity in U.S. Dental Schools. Beemsterboer P, Odom J, Pate T, Haden K. Journal of Dental Education, December 2000, volume 64.

9. Perspectives — Disturbing Trends in Dental Education. Maitland R. Journal of Esthetic and Restorative Dentistry. Volume 18, number 6, 2006.

10. Attitudes Toward Cheating in Dental School. Westerman G, Grandy T, Lupo J, Tamisiea P. Journal of Dental Education, March 1996, Volume 60.

11. Knowledge of Ethical Lapses and Other Experiences on Clinical Licensure Examinations. Feil P, Meeske J, Fortman J. Journal of Dental Education, June 1999, volume 63.

12. Enhancing Ethical Behavior: Views of Students, Administrators, and Faculty. Koerber A, Botto R, Pendleton D, Albazzaz M, Doshi S, Rinando V. Journal of Dental Education, February 2005, volume 69.

13. Dental Students’ Attitudes Toward Cheating. Warman E, Harvan R, Weidman B. Journal of Dental Education, Vol. 58/No.6/1994 14. Enhancing Academic Integrity: Formulating Effective Honor Codes. Turner S, Beemsterboer P. Journal of Dental Education, October 2003, volume 67.

15. The American Student Dental Association (ASDA) — asdanet.org 16. The American Dental Association (ADA) — ada.org 17. The American College of Dentists (ACD) — acd.org 18. The American Society of Dental Ethics (ASDE) — societyfordentalethics.org 19. The American Dental Education Association (ADEA) — adea.org 20. The Student Professionalism and Ethics Club (SPEC) —

specdental.org 21. Hearts and Minds: Understanding the New Culpability. Nourse VF. Buffalo Criminal Law Review [Vol. 6:361].

22. Judging Evil: Rethinking the Law of Murder and Manslaughter.

Pillsubury S. 1998, NYU Press.

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Power in the “Present” How You Are Represented at the American Dental Association Patricia L. Blanton, D.D.S., Ph.D. Vice Chairman, XV Trustee District Chairman, Planning and Review Committee

The XV District (Texas) Trustee to the American Dental Association Dr. Jerry Long said recently, “You have to be present to win.” This article is intended to elaborate on what “to be present” means, how you are represented at the ADA, and how you can better understand the process of representation, if not actually participate in the process.

Texas dentists are represented at the national level by 23 delegates and 19 alternate delegates selected from the various divisions (NE, NW, SE, SW) of Texas.

Those serving in one of these 42 positions are selected in meetings (caucuses) of each division. These caucus meetings occur at the annual meeting of the Texas Dental Association and are open to all interested members of the TDA. Dates, times, and places of caucus meetings are announced in the annual session program and usually occur on late Friday afternoon.

It is important that the people who serve in these delegate positions be representative of the dentists in their division. It is important that you “be present” to vote in the Texas caucus. Delegates and alternates selected in caucus are then presented to the House of Delegates of the Texas Dental Association where they are duly elected to be delegates to the ADA. These individuals assume a crucial role in determining the future of dentistry. The ultimate duty of the delegation is to represent the XV Trustee District to affect the policies and actions of the American Dental Association through its House of Delegates in a manner calculated to strengthen the leadership and influence of the ADA. Historically, the XV District delegation has been engaged and, it would seem to many, successful despite a lack of coordination and long-term planning. But the delegation has probably not fulfilled its potential for leadership and shaping the

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agenda for the ADA, having “reinvented” itself each year according the pressing issues of the day.

Long-term goals were not necessarily identified in the past; and a culture of drifting from one ADA Annual Session to the next has existed for many years. The number of resolutions presented by the XV District has often been subject to the wishes of certain motivated delegates, and not always based on the long-term interests of the ADA, Texas dentists, or delegation interests. The main coordinated business of the delegation in the past has been to elect a Texas dentist to one of the ADA officer positions.

The present delegation, under the leadership of Trustee Jerry Long, recognizes the opportunity to strengthen its impact by acknowledging the weaknesses of the past, enhancing the strategic plan of the delegation, and establishing longterm goals. As a result of a recent planning effort, the XV District delegation has identified four strategic goals: 1. Educate (provide a forum for the delegates to be informed and promote discussion of the issues).

2. Resolve (develop issues and resolutions to influence the policies and influence of the ADA).

3. Consensus Build (develop strategy to ensure that the mission of the XV is successful).

4. Represent (properly represent the interests of the patients and dentists of Texas).

To accomplish these goals, “team leaders” from among the delegation will be appointed to each category goal to coordinate efforts for the purpose of achieving each goal.

In addition to these goals, the delegation has the responsibility to elect/support dentists from Texas for nomination to the ADA House of Delegates to serve in one or more of the ADA Officer positions. These positions can range annually from XV District trustee (serves 4-year term), to speaker of the house and secretary-treasurer (elected annually with the incumbent usually serving more than 1 year), to vicepresident (serves 2-year term), to president-elect.

Designed to facilitate Texas dentists desiring to serve in an ADA officer position, the XV District Delegation has a standing committee, the Planning and Review Committee. Specifically, the Planning and Review Committee, has the responsibility to announce to the TDA membership appointive and/or elective ADA positions available. These announcements are to be made in a timely manner through the Texas Dental Journal and/or other communications.

Secondly, the Planning and Review Committee will receive in writing and forward to the delegation the names and resumes of members qualified and interested in elective ADA office. The committee meets with each candidate, other than candidate for ADA trustee or ADA Councils, and: 1. appraises them of others seeking the same office; 2. discusses electability; and

3. discusses the effect on other XV Trustee District campaigns both present and future.

Additionally, the Planning and Review Committee will receive and forward to the trustee the names and resumes of members interested in being appointed to ADA councils, committees, and commissions.

For your understanding, the Planning and Review Committee is comprised of five members of the Texas delegation who have served at least 2 years as either delegate or alternate delegate with at least one more year to serve, one from each division of the TDA and elected by the Delegates and Alternates of each division. The vice-chair of the delegation serves as the chair of the Planning and Review Committee. The committee meets during the meetings (caucuses) of the delegation. If you are qualified and interested in an ADA elective office, you must be “present to win.” The appropriate meeting of the Planning and Review Committee for you to make your interest known occurs in conjunction with the delegation caucus in the late summer/early fall, usually several weeks prior to the annual meeting of the ADA. It is hoped that you find this article helpful to your understanding of how you are represented at the ADA and how you can become a representative. You can expect a follow-up article in the Texas Dental Journal regarding opportunities and/or elective ADA positions available in the upcoming future.

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Texas Meeting the

May 6-9  2010

Save the Date!

Can’t wait to see you there! Be sure

om fr s g n i t Gree

to register

X T , O I N O T N SAN A

140 

TH

ANNUAL SESSION

OF THE

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 WELCOME Dr. Bill Nantz  2010 TEXAS Meeting Chair Welcome to the 140th Annual Session of the Texas Dental Association. The Council on Annual Session is proud to present you with over 85 of the finest speakers in dentistry today in formats designed to make your learning experience a memorable one. From traditional dental topics, to health related issues, practice management, and just plain fun – it’s all here for you, your staff, and guests.

Please take time to review the program to maximize your experience. You will see many speakers who are new to the TEXAS Meeting, as well as familiar names from past years. In addition to lectures and participation courses, be sure to allow plenty of time to visit the Exhibit Hall where you can see the newest products and equipment for your office, not to mention goods and services designed to improve your life outside the workplace. The Exhibit Hall is also where you can find the TDA Pavilion, Texas Meeting Store, TDA Smiles Foundation, DENPAC Silent Auction, Perks Program Partners, a caricature artist, and happy hours on Thursday and Friday.

As always, fun at the TEXAS Meeting complements the continuing education. The Texas Party on Thursday night features the local band “Nightfire.”

Your registration badge brings you an evening of food, drink and entertainment. Look for a new location and theme in 2010. Friday offers golfers a chance to play in the Texas Smiles Golf Tournament. Don’t forget the Graduate of the Last Decade (GOLD) Reception on Friday afternoon, as well as school alumni events, and the division caucuses, all on Friday afternoon.

The TDA House of Delegates meets on Thursday and Saturday, so come and see your Association leadership in action!

We have also scheduled several events outside the convention center.

You’ll have the opportunity to experience an Azucu’s cooking class and glass blowing demonstration. Don’t miss a trip to Sandy Oaks Olive Orchard where you will enjoy lunch prepared by the orchard owner and be amazed at the many products made from olives. As always, the beautiful and everchanging San Antonio Riverwalk presents a multitude of shopping and dining options guaranteed to please.

Many thanks to TDA’s 2nd, 7th, and 9th Districts, our host societies for this year’s meeting. Countless volunteers have worked diligently and given their time to make sure the meeting runs smoothly for us all. Their support and participation is critical to the success of the TEXAS Meeting.

The Council on Annual Session and the TDA Staff welcome you to the 2010 TEXAS Meeting. Enjoy all it has to offer.

 Ask a RED CO AT

Have a Question? Need Directions?

Our friendly Red Coats are here to help!

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The TEXAS Meeting May 6-9, 2010 Henry B. Gonzalez Convention Center 200 E. Market San Antonio, TX 78205

Council on Annual Session Dr. Bill Nantz, Chair Dr. Roger Macias Dr. Frank Higginbottom Dr. Victor Rodriguez Dr. Karen Frazer, TDA Board Liaison

2010 Host Societies Dr. Ron Risinger, Host Society Chair Clinicians Dr. Ron Risinger, District 2 Golf TDA Smiles Foundation Photography Contest Dr. Barton Allen, District 5 Registration Dr. Taylor Cotton, District 7 Information Booth & Social Events Dr. Kathy Gibson, District 9

Texas Dental Association Annual Session & Meeting Services Staff Sandra Blum, Director Donna Musselman, Meetings Associate Ann Pargac, Meetings Manager Paula Tait, CEM, Exhibits Manager

On the cover, Dr. Victor Rodriguez, Dr. Roger Macias, Dr. Bill Nantz, Dr. Matthew Roberts, Dr. Frank Higginbottom, and Dr. Karen Frazer.

Photograph by Sue Ellen Pesl of FallCreekPhotography.com.

Photo location compliments of The University of Texas.

TA B L E O F C O N TT RE AN VE TS L  Registration

Governance

Corrections/Changes . . . . . . . . . . . . . . . . . . . . . . . 44

Caucus Meetings . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Important Deadlines . . . . . . . . . . . . . . . . . . . . . . . . 44

House of Delegates . . . . . . . . . . . . . . . . . . . . . . . . . 47

Lost Badges/Tickets Policy . . . . . . . . . . . . . . . . . . . 44

Reference Committees . . . . . . . . . . . . . . . . . . . . . . 47

Cancellation/Refund Policy . . . . . . . . . . . . . . . . . . . 44

102 103 Schedule of Events . . . . . . . . . . . . . . . . . . . . . . . . . 45

Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Registration Form . . . . . . . . . . . . . . . . . . . . . . . .

Continuing Education

Scientific Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Speakers At-A-Glance . . . . . . . . . . . . . . . . . . . . . . . 92 Speakers By Topic . . . . . . . . . . . . . . . . . . . . . . . .

100

ADA/TDA Leadership Candidates Forum . . . . . . . 47

Hotel & Travel

106 Listing of Hotels . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Hotel Reservation Form . . . . . . . . . . . . . . . . . . .

Miscellaneous

Alliance of the TDA . . . . . . . . . . . . . . . . . . . . . . . . . 48 Concurrent Meetings . . . . . . . . . . . . . . . . . . . . . . . 46 Photography Contest . . . . . . . . . . . . . . . . . . . . . . . 99 Texas Dental Assistants Association . . . . . . . . . . . 48 TEXAS Meeting Sponsors . . . . . . . . . . . . . . . . . . . . 43

 Thank you to our TEXAS Meeting sponsors!

DOUBLE DIAMOND TDA Perks Program DIAMOND Medical Protective GOLD Astra Tech CareCredit Dental Oncology Education Program DENTSPLY Caulk DENTSPLY Tulsa Dux Dental NuSmile Primary Crowns P&G Oral Health TDA Smiles Foundation SybronEndo

SILVER Alliance of the Texas Dental Association American College of Dentists Committee on Access, Medicaid & CHIP iMagDent International College of Dentists Texas Association of Women Dentists Texas Society of Periodontists BRONZE ESA Construction HM General Contractors Kerr Corporation Med Tech Construction, Inc. Total Practice I.T.

The TDA regrets the omission of any sponsors due to print deadlines.

CONTRIBUTOR Align Technology (Invisalign) Banc Of America Practice Solutions Brasseler USA Dental Laboratory Association of Texas Dentrix DENTSPLY Professional Fortress Insurance IMTEC, a 3M Company Patterson Dental Perio Institute Texas Academy of General Dentistry Texas Academy of Pediatric Dentistry Texas Society of Oral and Maxillofacial Surgeons Ultradent

Their support helps the Texas Dental Association produce one of the best dental meetings in the country!

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 R E G I S T R AT I O N

 I M PO RTA N T

dates to remember Save Time and Money Avoid lines in the registration area–– advanced registrants receive their badges and tickets by mail. Individuals who register before the April 6, 2010 deadline do not pay increased on-site registration fees. Fees for on-site registration will increase by $30 per registrant. See the registration form on page 103 or register online at www.texasmeeting.com.

Save Your Seat All continuing education programs are ticketed and many programs fill up early! Reserve your seat early and take advantage of over 80 clinicians and more than 200 sessions.

Special Nonmember Offer!

Nonmember dentists in Texas are invited to experience the benefits and networking that over 7,700 TDA members currently enjoy. Join us at the TDA Annual Session and take advantage of the wide-variety of continuing education courses, tradeshow, social events and networking opportunities to meet member dentists. Come see what the largest dental meeting in Texas is all about! * Those individuals who registered for the 2008 or 2009 meetings and took advantage of this nonmember offer are not eligible to register at this discounted fee for future meetings. In addition, any Texas Dental Association member in good standing in 2009 is not eligible to register for the meeting at the non-member discounted fee.

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TUESDAY, APRIL 6, 2010 Pre-registration Deadline

Wednesday, May 5 • 3 PM – 6 PM Thursday, May 6 • 7 AM – 5 PM Friday, May 7 • 7 AM – 5 PM Saturday, May 8 • 8 AM – 2 PM

TUESDAY, APRIL 6, 2010 Registration Cancellation/ Refund Deadline

Corrections/Changes

TUESDAY, APRIL 13, 2010 Housing Cancellation Deadline

Corrections/changes can be processed after original registration has been submitted. If an attendee registers online, changes/corrections can be made online at www.texasmeeting.com.

Send corrections/changes via mail to QMS, 6840 Meadowridge Court, Alpharetta, GA 30005, via fax to (678) 341-3099 or via email to tda@qmsreg.com.

Cancellation/ Refund Policy

The TDA is offering a unique opportunity for you to join us. The registration fee for the nonmember dentist in Texas has been reduced from $995 to $75! *

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On-site Registration Hours:

Registration, course ticket and event ticket cancellations must be received in writing by April 6, 2010.

Cancellations received by this date will receive a full refund, less a 20 percent (20%) administrative fee per cancellation. Please mail your cancellation request to: Texas Dental Association, 1946 S. IH 35, Suite 400, Austin, TX 78704 or fax to (512) 692-4168.

No refunds will be made for cancellations received after April 6, 2010.

Lost Name Badge/ Course Tickets Policy There is a $10 fee for lost name badges. If a course ticket is lost, the attendee will be required to repurchase the ticket at full price in order to attend the class. If the original course ticket is later found, please stop by registration or contact the TDA and a refund will be given 4 – 6 weeks after the meeting.

January 2010

TUESDAY, APRIL 6, 2010 Housing Deadline

EARLY APRIL, 2010 Begin mailing pre-registrants badges and course tickets HANDOUTS HANDOUTS AVAILABLE AVAILABLE ONLINE ONLINE

Electronic Handouts Attendees should download and print their handouts prior to the meeting.

Course handouts will be available online at www.texasmeeting.com one month prior to the meeting. A handout email confirmation will be sent to the email address you provide us during your registration process. Please be sure to list your email address via online registration or manual registration. Your badge number is your user name and your zip code will be your password.

Attendees who wish to print their handouts on-site can take advantage of a special 20 percent discount provided by the UPS Business Center, located on the street level of the Convention Center. There will not be printed handouts available at the meeting.

Course Disclaimers

The Texas Dental Association (TDA) makes every effort to present high caliber speakers in their respective areas of expertise. Seminars of the TDA are offered as information only and not as financial, accounting, legal or other professional advice. Attendees must consult with their own professional advisors for such advice. The ideas and comments expressed during the seminars are not necessarily endorsed by or those of the TDA. All programs may be subject to change due to circumstances beyond our control.

SCHEDULE

OF

MAJOR EVENTS 

All Sessions are scheduled at the Henry B. Gonzalez Convention Center unless noted.

WEDNESDAY, MAY 5 12:00 PM – 6:00 PM

3:00 PM – 6:00 PM

Registration & Ticket Sales

Pierre Fauchard Academy Breakfast Marriott Rivercenter Registration & Ticket Sales TDA House of Delegates TDAA Program Marriott Riverwalk Continuing Education Classes Sandy Oaks Olive Orchard Tour Exhibit Hall Open – Exhibit Halls C & D Alliance to TDA Program Marriott Rivercenter Reference Committee “A” Hearing

12:00 PM 1:00 PM 1:30 PM 1:30 PM – 2:00 PM 3:30 PM – 4:30 PM – 5:00 PM – 6:00 PM –

Reference Committee “E” Hearing Reference Committee “B” Hearing Reference Committee “C” Hearing CPR Certification Marriott Riverwalk Reference Committee “D” Hearing Wine Seminar And Tasting Exhibit Hall Happy Hour Delta Sigma Delta Reception The Texas Party with Nightfire

Christian Medical Dental Society Breakfast International College of Dentists / American College Of Dentists Breakfast Marriott Rivercenter Registration & Ticket Sales The Healthy Smiles Golf Classic Pecan Valley Golf Course Alliance to TDA Program Marriott Rivercenter Continuing Education Classes TDAA Program Marriott Riverwalk CPR Certification Class Marriott Riverwalk Peer Review Committee Training Session Marriott Riverwalk Texas Academy of Pediatric Dentistry Marriott Riverwalk Enchilada Cooking Class with Art Glass Demonstration DENPAC General Meeting Exhibit Hall Open Exhibit Halls C & D DENPAC Board Meeting Extended lunch time in the Exhibit Hall

1:00 PM – 4:00 PM

Exhibitor Registration

THURSDAY, MAY 6 6:30 AM –

8:00 AM

7:00 AM – 5:00 PM 8:00 AM – 10:00 AM 8:00 AM – 5:00 PM 8:00 AM – 5:30 PM 9:30 AM – 1:30 PM 10:00 AM – 6:00 PM 10:00 AM – 7:30 PM 11:00 AM

5:00 PM 5:00 PM 6:00 PM 6:00 PM 9:00 PM

FRIDAY, MAY 7 7:00 AM – 7:00 AM –

8:30 AM 9:00 AM

7:00 AM – 7:30 AM –

5:00 PM 1:00 PM

7:30 AM – 5:00 PM 8:00 AM – 5:30 PM 8:00 AM – 8:00 PM 8:00 AM – 11:30 AM 8:30 AM – 12:00 PM 8:30 AM –

4:30 PM

9:30 AM – 12:30 PM 10:00 AM – 11:00 AM 10:00 AM – 6:00 PM 11:00 AM – 12:00 PM 11:30 AM – 1:30 PM

1:00 PM – 4:30 PM 1:30 PM – 3:30 PM 1:30 PM – 2:00 PM – 3:00 PM – 3:00 PM – 4:30 PM – 4:30 PM – 5:15 PM 6:00 PM –

5:00 PM 4:00 PM 4:00 PM 5:00 PM 5:30 PM 6:00 PM 7:30 PM

6:00 PM – 7:30 PM 6:00 PM – 8:00 PM 6:30 PM

UTHSC San Antonio Dental School Alumni Board Meeting Ethics & Judicial Affairs Committee Training Session – Marriott Riverwalk Baylor College of Dentistry Alumni Association Council / Committee Meeting CPR Certification Class Marriott Riverwalk DDR Trust ADA/TDA Leadership Candidates Forum UTDB at Houston Alumni Board Meeting GOLD Reception Exhibit Hall Happy Hour Divisional Caucus Meetings UTDB at Houston Alumni Association Reception Marriott Rivercenter Baylor College of Dentistry Alumni Association Reception Marriott Rivercenter Texas Academy of Pediatric Dentistry Reception Marriott Riverwalk UTHSC San Antonio Dental School 40th Anniversary Gala Marriott Plaza Hotel

SATURDAY, MAY 8 7:00 AM – 7:00 AM –

8:30 AM 8:30 AM

7:00 AM –

8:30 AM

7:00 AM –

8:30 AM

8:00 AM – 11:30 AM 8:00 AM – 12:00 PM

Dallas County Dental Society Caucus Breakfast Greater Houston Dental Society Caucus Breakfast TDA Past Presidents Breakfast Marriott Rivercenter TDA Past Vice Presidents Breakfast Marriott Rivercenter CPR Certification Class Marriott Riverwalk Texas Academy of Pediatric Dentistry Breakfast & Business Meeting Marriott Riverwalk

8:00 AM – 2:00 PM 8:00 AM – 3:30 PM 8:00 AM – 4:00 PM 8:30 AM – 5:00 PM 9:30 AM – 2:00 PM 11:00 AM – 1:30 PM 2:00 PM 5:00 PM – 7:30 PM

Registration & Ticket Sales Continuing Education Classes TDAA Program Marriott Riverwalk TDA House of Delegates Exhibit Hall Open – Exhibit Halls C & D 50 Year & Life Awards Reception/Luncheon Exhibit Hall Closes Texas Society of Oral & Maxillofacial Surgeons Reception Hilton Palacio del Rio

TDAA Program Marriott Riverwalk TDA House of Delegates Marriott Rivercenter

2:00 PM – 4:00 PM

TDA Board of Directors Meeting Marriott Rivercenter

SUNDAY, MAY 9 8:00 AM – 8:30 AM –

1:00 PM 2:00 PM

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 CONCURRENT MEETINGS

DENPAC Friday, May 7 General Meeting 10:00 AM – 11:00 AM Board Meeting 11:00 AM – 12:00 PM Convention Center Ethics & Judicial Affairs Committee Training Session Friday, May 7 1:00 PM – 4:30 PM Marriott Riverwalk Hotel GOLD Reception Friday, May 7 4:30 PM – 5:30 PM Convention Center

Alliance to TDA Program Thursday, May 6 - Friday, May 7 Marriott Rivercenter Hotel

Greater Houston Dental Society Caucus Breakfast Saturday, May 8 7:00 AM – 8:30 AM Convention Center

Baylor College of Dentistry Alumni Association Friday, May 7 Council/Committee Meeting 1:30 PM – 3:30 PM Convention Center

Healthy Smiles Golf Classic Friday, May 7 7:30 AM – 1:00 PM Pecan Valley Golf Course

Reception 6:00 PM – 7:30 PM Marriott Rivercenter Hotel Christian Medical Dental Society Breakfast Friday, May 7 7:00 AM – 8:30 AM Convention Center

International College of Dentists / American College of Dentists Breakfast Friday, May 7 7:00 AM – 9:00 AM Marriott Rivercenter Hotel

Dallas County Dental Society Caucus Breakfast Saturday, May 8 7:00 AM – 8:30 AM Convention Center

Peer Review Committee Training Session Friday, May 7 8:30 AM – 12:00 PM Marriott Riverwalk Hotel

DDR Trust Friday, May 7 2:00 PM – 4:00 PM Convention Center

Pierre Fauchard Academy Breakfast Thursday, May 6 6:30 AM – 8:00 AM Marriott Rivercenter Hotel

Delta Sigma Delta Thursday, May 6 5:00 PM – 6:00 PM Convention Center

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TDA Past Presidents Breakfast TDA Past Presidents Breakfast Saturday, May Saturday, May 8 8 7:00 – 8:30 7:00 AMAM – 8:30 AMAM Marriott Rivercenter Hotel Marriott Rivercenter Hotel TDA Past Vice Presidents Breakfast TDA Past Vice Saturday,Breakfast May 8 Presidents 7:00 AMMay – 8:30 Saturday, 8 AM Marriott Rivercenter Hotel 7:00 AM – 8:30 AM Marriott Rivercenter Hotel Texas Academy of Pediatric Dentistry Texas Academy of Pediatric Dentistry Friday, May 7 Reception Friday, May 7 6:00 PM – 8:00 PM Reception 6:00 PM – 8:00 PM Saturday, May 8 Breakfast & 8Business Meeting Saturday, May 8:00 AM&–Business 12:00 PMMeeting Breakfast Marriott 8:00 AM – Riverwalk 12:00 PM Hotel Marriott Riverwalk Hotel Texas Dental Assistants Association Program Texas Dental Assistants Thursday, Program May 6 – Sunday, May 9 Association MarriottMay Riverwalk Hotel May 9 Thursday, 6 – Sunday, Marriott Riverwalk Hotel Texas Society of Oral & Maxillofacial Texas Society ofSurgeons Oral & Reception Saturday, May 8 Maxillofacial Surgeons Reception 5:00 PMMay – 7:30 Saturday, 8 PM Hilton del Rio Hotel 5:00 PM –Palacio 7:30 PM Hilton Palacio del Rio Hotel UTDB at Houston Alumni Association UTDB at Houston Friday, May 7 Alumni Association Friday, May 7 Board Meeting 3:00 Meeting PM – 5:00 PM Board Convention 3:00 PM – 5:00 Center PM Convention Center Reception 6:00 PM – 7:30 PM Reception Marriott Rivercenter Hotel 6:00 PM – 7:30 PM Marriott Rivercenter Hotel UTHSC – San Antonio Dental– School UTHSC San Antonio Friday, May 7 Dental School Friday, May 7 Alumni Board Meeting 1:00 PM – 4:00 PM Alumni Board Meeting Convention 1:00 PM – 4:00 Center PM Convention Center Gala 40th Anniversary 6:30 PM 40th Anniversary Gala Marriott 6:30 PM Plaza Hotel Marriott Plaza Hotel

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GGOOVVEERRNNAANNCCEE 

TDA TDA Members Members - GetGet Involved Involved TheThe House House of Delegates of Delegates is the is the legislative legislative body body of the of the TDA. TDA. It isItcomis comprised prised of 109 of 109 deledelegates gates representing representing 26 26 component component societies, societies, thethe 15 voting 15 voting members members of the of the Board Board of Directors, of Directors, thethe Speaker Speaker of the of the House House andand oneone student student delegate delegate from from each each of the of the three three Texas Texas dental dental schools. schools.

TheThe House House meets meets during during thethe TDA’s TDA’s Annual Annual Session.

Session.

House House of of Delegates Delegates Schedule: Schedule: Thursday, Thursday, May May 6 8:00 6 8:00 AMAM – 10:00 – 10:00 AMAM Saturday, Saturday, May May 8 8:30 8 8:30 AMAM – 5:00 – 5:00 PMPM Sunday, Sunday, May May 9 98:30 8:30 AMAM – 2:00 – 2:00 PMPM

Reference Reference Committees Committees Reference Reference Committee Committee hearings hearings offer offer an opportunity an opportunity for for anyany member member to participate to participate in the in the TDA TDA policy-making policy-making process. process.

All All members members are are encouraged encouraged to attend to attend thethe hearings hearings scheduled scheduled on Thursday, on Thursday, MayMay 6. All 6. 2009-2010 All 2009-2010 resolutions resolutions willwill be disbe discussed cussed before before presentation presentation to the to the TDA TDA House House of Delegates of Delegates for for policy-making policy-making decisions. decisions.

Starting Starting times times are:are: Reference Reference Committee Committee A: A: 11:00 11:00 AMAM Reference Reference Committee Committee B: B: 1:00 1:00 PMPM Reference Reference Committee Committee C: C: 1:30 1:30 PMPM Reference Reference Committee Committee D: D: 2:00 2:00 PMPM Reference Reference Committee Committee E: E: 12:00 12:00 PMPM Reference Reference Committee Committee times times are are subject subject to change. to change.

HOD HOD Gets Gets Wired Wired Delegates Delegates andand alternates alternates willwill receive receive their their House House book book in ain a searchable searchable PDFPDF format. format.

Reference Reference Committee Committee reports reports willwill be be e-mailed e-mailed in PDF in PDF format format to all to participants all participants andand these these reports reports cancan be downloaded be downloaded from from anyany location location withwith Internet Internet access. access.

WeWe are are looking looking forward forward to high-tech to high-tech capabilities capabilities at the at the 2010 2010 House House of of Delegates Delegates andand hope hope to see to see youyou there! there!

ForFor more more information, information, contact contact thethe OffiOffi ce of cethe of the Executive Executive -mail Director Director at (512) at (512) 443-3675 443-3675 or eor e-mail Mary Mary KayKay LinnLinn at at marykay@tda.org; marykay@tda.org; or Terry or Terry Cornwell Cornwell at terry@tda.org. at terry@tda.org.

Caucus Caucus Meetings Meetings GetGet involved involved by attending by attending Divisional Divisional Caucus Caucus Meetings Meetings andand selecting selecting your your representatives representatives on the on the state state andand national national levels. levels.

ADA ADA delegates delegates andand alternates alternates from from your your division division andand thethe divi-divisional sional directors directors of the of the TDA TDA Board Board of Directors of Directors are are nominated nominated in in thisthis forum. forum.

TheThe meetings meetings willwill be held be held on Friday, on Friday, MayMay 7 at75:15 at 5:15 PM.PM. Rooms Rooms to be to announced be announced in the in the on-site on-site program. program.

ADA/TDA ADA/TDA Leadership Leadership Candidates Candidates Forum Forum Friday, Friday, MayMay 7, 3:00 7, 3:00 PMPM – 4:00 – 4:00 PMPM

Headquarters Headquarters Hotel Hotel – Marriott – Marriott Rivercenter Rivercenter (MRC) (MRC) To To make make hotel hotel reservations, reservations, please please visitvisit www.texasmeeting.com www.texasmeeting.com . .

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 ALLIANCE / TDAA Texas Dental Assistants Association 2010 Program Marriott Riverwalk | San Antonio, Texas Thursday, May 6

The Alliance of the Texas Dental Association 80th Annual Session May 6- 7, 2010 Marriott Rivercenter Hotel

8:00 AM – 10:00 AM

Strategic Planning Meeting

10:00 AM – 12:00 PM

Finance Meeting

12:00 PM – 1:00 PM

TDAA Registration

1:00 PM – 5:00 PM

Pre-convention Board

1:30 PM – 5:00 PM

CPR Training

THURSDAY, MAY 6

Friday, May 7

9:00 AM – 4:00 PM

Registration

8:00 AM - 9:00 AM

New Delegates Workshop

9:30 AM – 11:30 AM

ATDA Committee Meetings

8:00 AM – 10:00 AM

TDAA Registration

10:00 AM – 4:00 PM

Guest Vendors Boutique

8:00 AM – 11:30 AM

CPR Training

11:45 AM – 1:45 PM

Past President’s Luncheon (by invitation only) Hosted by TDA Perks Program

9:00 AM – 10:00 AM

General Assembly

10:00 AM – 12:00 PM

First House of Delegates

12:00 PM – 2:00 PM

Past Presidents Luncheon

Gourmet Cooking Class Ticketed Event, Open to all ATDA Members and Guests

1:00 PM – 3:00 PM

Dental Assisting Student Table Clinics

1:30 PM – 5:00 PM

CPR Training

2:30 PM – 3:30 PM

Balloting

6:00 PM – 7:30 PM

President’s Farewell Reception *

2:00 PM – 4:00 PM

6:00 PM – 7:30 PM

President’s Reception (by invitation only)

Saturday, May 8

FRIDAY, MAY 7 7:30 AM – 12:00 PM

Registration

7:30 AM – 9:30 AM

Executive Board Breakfast Buffet/Meeting

8:00 AM – 2:00 PM

Guest Vendors/Boutique

9:45 AM – 11:45 AM

General Meeting 1st Session

12:00 PM – 1:30 PM

Ticketed Alliance Luncheon

1:45 PM – 3:30 PM

General Meeting 2nd Session

3:00 PM – 3:30 PM

Installation of New Officers

4:00 PM – 5:00 PM

2009-2010 Executive Board Orientation (by invitation only)

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8:00 AM – 9:00 AM

TDAA Registration

8:00 AM - 9:00 AM

Membership Forum

8:00 AM – 11:30 AM

CPR Training

9:00 AM – 12:00 PM

Second House of Delegates

12:00 PM – 2:00 PM

President’s Luncheon

2:30 PM – 4:00 PM

Closing Ceremonies & Installation

Sunday, May 9 8:00 AM – 9:00 AM

Directors Workshop

9:00 AM – 1:00 PM

Post Convention Board

*Time subject to change

Thursday

Highlights  The Key Essentials Of

 Caries Management

A Successful Practice

In Children

Rhonda Savage, DDS 8:30 AM – 11:30 AM

Joel Berg, DDS 8:00 AM – 11:00 AM

 The Joys And

 Tough Cases Made

Challenges Of Clinical And Business Assisting

Simply Beautiful

Thomas Dawson, DDS and Jack Shirley, DDS 1:30 PM – 4:30 PM

 The Secrets of Life:

Rhonda Savage, DDS 1:30 PM – 4:30 PM

 Exhibit Hall Happy Hour

Keys To Wellness And Successful Aging Randolph Martin, MD 1:30 PM – 4:30 PM

4:30 PM – 6:00 PM

 The Texas Party

Featuring “Nightfire” 6:00 PM – 9:00 PM

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 T H U R S D AY c o u r s e s KEY

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Lab Technician

Dentist

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Business Assistant

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Dental Assistant

Linda Altenhoff, DDS and Paul Kennedy, Jr., DDS, MS

Thomas Angeloni and Chris Maurer, MBA

2:00 PM - 5:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T01 3 Credit Hours Fee: $15

9:00 AM - 12:00 PM Audience: D, ST Course Code: #T02 3 Credit Hours Fee: $15

First Dental Home Training For Dentists – Presented By Linda Altenhoff, DDS First Dental Home training provides necessary information and reviews skills needed to provide dental checkups and dental anticipatory guidance for children 6 through 35 months of age. This training is required in order for Texas Medicaid enrolled dentists to bill CDT D0145 and receive enhanced reimbursement. Educational funding provided by the Committee on Access to Dental Care, Medicaid, and CHIP. AGD SUBJECT CODE 430

Practice Start Up For New Dentists Join us in an intimate setting where dentists will have the opportunity to discuss the various aspects of starting a new practice. The round-table format meeting features one-hour sessions, each hosted by industry leaders. You can get all of your questions answered in one place.

Don’t wait to reserve a space for this opportunity. Learning outcomes include the following: understand how to use space effectively while gaining efficiencies through the use of technology; avoid first practice “pit-falls” and learn how planning early can lead to a successful practice; and understand practice financing options, develop a business plan and identify the best location for your practice. Educational funding provided by Banc of America Practice Solutions. AGD SUBJECT CODE 550

Head Start Dental Home Initiative – Presented By Paul Kennedy, Jr., DDS, MS The Texas Dental Association is partnering with the American Academy of Pediatric Dentistry and the Office of Head Start to provide dental homes to all Head Start children in Texas. A dental home means that each child’s oral health care is delivered in a comprehensive, continuously accessible, coordinated and family-centered way by a licensed dentist. This explains how your office can participate in this ground breaking project. Educational funding provided by the Committee on Access to Dental Care, Medicaid, and CHIP. AGD SUBJECT CODE 430

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Stephanie Bass, RDH, BSDH 9:00 AM – 12:00 PM Audience: D, BA, A, H Course Code: #T03 3 Credit Hours | Fee: $15 EagleSoft Practice Management Managing your office in an efficient and time saving manner is a critical component of any successful practice. This course is designed for doctors and front office staff looking to become more efficient in EagleSoft’s practice management features. The following topics will be covered: the benefits of tracking multiple recalls; how to save time by creating batches using SmartDoc and Letters; find hidden money in your practice using “The Money Finder”; and latest news and information on EagleSoft version 16.0 software upgrade.

Educational funding provided by Patterson Dental. AGD SUBJECT CODE 561

Stephanie Bass, RDH, BSDH 1:30 PM - 4:30 PM Audience: D, BA, A, H, ST, SP Course Code: #T04 3 Credit Hours | Fee: $15 Becoming A Chartless Dental Practice Because everything about your day is determined by the ability of your staff to move patients in and out quickly and efficiently, this course is designed to help cover those specific areas of the software.

Doctors, front office and clinical staff are encouraged to attend. Let us show you how EagleSoft can help with your transition to a paperless environment and help you implement a plan that best fits the needs of your office. The following topics will be covered: the benefits of being paperless; Patterson hardware and software solutions; and valuable electronic services. Educational funding provided by Patterson Dental. AGD SUBJECT CODE 561

T H U R S D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Judy Bendit, RDH, BS

Judy Bendit, RDH, BS

8:30 AM - 11:30 AM Audience: D, H Course Code: #T05 3 Credit Hours Fee: $155 LIMITED ATTENDANCE

1:30 PM - 4:30 PM Audience: H, ST Course Code: #T06 3 Credit Hours | Fee: $155 LIMITED ATTENDANCE

The Perfect Fit: Practical Principles For Matching Instrument Designs With Root Anatomy This powerful 3- 4-hour workshop provides a high-impact for dentists and dental hygienists focused on innovative solution driven approaches to the inevitable challenges encountered when providing mechanical non-surgical periodontal therapy. Each participant will have the opportunity to individually examine the operating features and design characteristics of some of the newest and most advanced periodontal debridement devices available today. We will concentrate on the current trend toward the use of powered scalers to increase productivity and profitability, and to decrease physical stress and strain for both you, as the clinician, and your patients. You will learn how to select the most appropriate magnetostrictive ultrasonic inserts and piezoelectric tips for maximum effectiveness and ease in debriding the areas most frequently missed due to challenging root anatomy. You will derive greater results by combining new magnetostrictive inserts and/or piezoelectric tips with various hand instruments to provide the perfect fit. AGD SUBJECT CODE 490

Audio Recorded Course

Five Keys To Working With Ease: Effective Utilization Of Hand Instruments This course will focus on the interrelationship between cumulative trauma disorders and instrumentation techniques. A variety of handson activities utilizing a wide array of dental instruments with typodonts will give participants the opportunity to discover new approaches to providing routine dental hygiene procedures to help reach peak performance with minimal stress and strain. The workshop will provide practical principles for enhancing dexterity, preserving strength, and increasing confidence when confronting clinical challenges.

AGD SUBJECT CODE 490

Joel Berg, DDS 8:00 AM – 11:00 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #T07 3 Credit Hours | Fee: $55 Caries Management In Children This lecture will provide the attendee with the most up-to-date information regarding emerging technologies in caries detection and risk assessment in children. Dental caries, the most prevalent disease in humans, affects 97 percent of the population in their lifetime. Yet, dental professionals are still primarily using >100 yearold technologies to diagnose this most prevalent infectious disease.

Recently, new ways of assessing and dealing with dental caries as an infectious disease have been

Workshop

proposed, and new products have been introduced. It is anticipated that the progression of this most significant technological development in dentistry will do more to change the way we practice than anything in recent decades. This course will review the science behind these developments, and will introduce clinically relevant information to practitioners to prepare them to understand related new information as it is introduced to the professionals and consumers. In addition, application of these techniques to early intervention protocols to mitigate the incidence of early childhood caries will be described.

Educational funding provided by NuSmile Primary Crowns. AGD SUBJECT CODE 490

Joel Berg, DDS 1:00 PM – 4:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T08 3 Credit Hours | Fee: $55 Restorative Dentistry For Children This course will provide the attendee with the most up-to-date information regarding restorative dentistry technologies in pediatric dentistry.

The course will review a variety of dental material including glass ionomers, resin-modified glass ionomers, and resin composites, and their specific use in children.

Adhesives and their delivery systems and proper utilization will be elucidated from a clinical application perspective. With so many new choices out there, including a variety of new categories of materials, the clinician can find it challenging to differentiate properly between the materials and techniques available. With the trend toward simpler “1-step” or (cont.)

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 T H U R S D AY c o u r s e s KEY

D

LT

Lab Technician

Dentist

BA

Business Assistant

“all-in-one” and “self-etching” adhesives, the clinician needs to know what the constraints and requirements are of these materials, and the relative advantages for children. The course will also describe and discuss pulp therapy techniques and will guide the clinician through a step by step approach to pulp therapy for primary teeth. Educational funding provided by NuSmile Primary Crowns. AGD SUBJECT CODE 490

Charles Blair, DDS 8:30 AM - 11:30 AM Audience: LT, BA, A, H, ST, SP Course Code: #T09 3 Credit Hours Fee: $45 Stay Out Of Jail: The Top Coding Errors Insurance coding errors are predictable! Through predictive error correction, typical coding errors will be identified and explained. Also, clinical protocol sequences will be examined such as evaluations, x-rays, and periodontal treatment. Other issues will be addressed such as fee forgiveness, discounting, multiple fees, etc. AGD SUBJECT CODE 554

A

Dental Assistant

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Student

SP

Spouse

Charles Blair, DDS

Doug Brandt, DDS

1:30 PM - 4:30 PM Audience: D, H, SP Course Code: #T10 3 Credit Hours | Fee: $45

8:00 AM – 5:30 PM Audience: D, LT, BA, A, H, ST, SP Dentist Course Code: #T12 Staff Course Code: #T12S 8 Credit Hours | Fee: $1,695 LIMITED ATTENDANCE

Practice Booster – Dentistry’s Answer To Intensify Clinical Treatment Are you over treating compared to other dentists and hygienists? Up to now, no one has had the statistics to spotlight by percentile, all the “money left on the table.” A recent invention, PracticeBooster provides a road map for dramatically improving patient care while boosting practice profitability. This lecture spotlights the Clinical Treatment Intensity (CTI) of dentists and hygienist. AGD SUBJECT CODE 550

Jen Blake, CDA, EFDA, MADAA 8:30 AM – 11:30 AM Audience: A Course Code: #T11 3 Credit Hours | Fee: $50 LIMITED ATTENDANCE ADAA Learning In The Round Created especially for the dental assistant. Don’t miss this hands-on opportunity to learn about new products, updated techniques, services available, and share ideas with other dental assistants in this fun, small group setting. You will come away energized, with product samples for your office and the possibility of great door prizes for yourself. Different topics are covered at each session so register early, this small group fills up fast. AGD SUBJECT CODE 551 Non-ADAA member dental assistants will receive a free 6-month membership in the American Dental Assistants Association. Current members will receive a special gift (be sure to bring your ADAA membership card with you.)

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Invisalign: Clear Essentials I This 1-day course is designed specifically for the general practitioner and team members that wish to incorporate the Invisalign® system into their practice. This casebased training provides participants with the clinical and operational confidence to successfully treat a range of highly predictable cases. In addition to providing your entire team with essential clinical, operational and marketing skills, the course presents a full range of support resources specifically designed to meet the needs of the non orthodontic practice. The course fee includes the doctor and up to four auxiliary staff. Dentists should use Course #T12 and staff should register using Course #T12S. Educational funding provided by Invisalign. AGD SUBJECT CODE 377

Jeff Carter, DDS and Pat Carter, IIDA 8:30 AM - 11:30 AM Audience: D, ST, SP Course Code: #T13 3 Credit Hours | Fee: $15 Planning, Designing, And Constructing Dental Facilities – Part I Attendees will learn about all phases of planning, designing and constructing a state-of-the-art dental facility.

In-depth topics include selecting a great location, projecting realistic costs, the latest in design trends and technology, floor plan development and working with contractors. This lecture is a prerequisite for Course #T14. AGD SUBJECT CODE 553

T H U R S D AY c o u r s e s î ˛ KEY

SBDE Approved CE

Jeff Carter, DDS and Pat Carter, IIDA 1:30 PM - 4:30 PM Audience: D, ST, SP Course Code: #T14 3 Credit Hours | Fee: $15 Planning, Designing, And Constructing Dental Facilities – Part II Attendees will learn about all phases of planning, designing and constructing a state-of-the-art dental facility. In-depth topics include selecting a great location, projecting realistic costs, the latest in design trends and technology, floor plan development and working with contractors. Course #T13 is a prerequisite for this lecture.

AGD SUBJECT CODE 553

Mark Chambers, DMD, MS 8:30 AM - 11:30 AM Audience: D, A, H Course Code: #T15 3 Credit Hours | Fee: $45 Oral Complications Of Cancer Therapy: Prevention And Management This lecture offers the healthcare provided practical ways to approach challenging oral sequelae of cancer therapy: chemotherapy, radiation therapy, and surgical intervention.

Multiple topics will be presented: oral complications secondary to cancer therapy, current management strategies for oral sequelae of cancer therapy, prosthetic rehabilitation of the head and neck cancer patient, and ongoing research efforts in oral oncology practical to the dental practitioner, (i.e., xerostomia, caries, osteoradionecrosis, and mucositis).

Educational funding provided by Dental Oncology Education Program. AGD SUBJECT CODE 730

New Dentist

Audio Recorded Course

Workshop

Mark Chambers, DMD, MS

Bruce Christopher

1:30 PM - 4:30 PM Audience: D, A, H Course Code: #T16 3 Credit Hours Fee: $45

9:00 AM - 12:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T17 3 Credit Hours Fee: $35

Current Oncologic Principles And Therapies: What A Dentist Should Know!

This lecture offers the health care provider a practical approach to understanding current oncologic therapy at a major comprehensive cancer center. Multiple topics will be presented: fundamentals of clinical oncology principles and current oncologic therapy (chemotherapy, radiation therapy, surgical intervention, or combination treatment), multidisciplinary approach in treatment of the head and neck oncology patient, and ongoing research in the head and neck cancer therapeutics, i.e., developing new, non-invasive tools for detecting and treating premalignancies of the upper aerodigestive tract, novel clinical protocols integrated into the multidisciplinary management of head and neck cancer, and enhancing the therapeutic margin and reducing the treatment-related morbidity of radiation therapy, either as a single modality or as a combined treatment with chemotherapy. Lastly, this presentation will demonstrate how current therapies are maximizing both disease control and quality of life after head and neck cancer treatment. Educational funding provided by Dental Oncology Education Program.

AGD SUBJECT CODE 730

Are We Having Fun Yet? Humor And Peak Performance In The Dental Practice As practices attempt to achieve their goals, no barriers are greater than attitude, self-esteem and team enthusiasm. This humorous session will help your practice to leap from procrastinations and crash through comfort zones. Your team will learn how to make fears disappear, work together, move forward, and have fun doing it! AGD SUBJECT CODE 550

Bruce Christopher 2:00 PM - 5:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T18 3 Credit Hours Fee: $35 Bambi vs. Godzilla: Dealing With Difficult People Difficult people are everywhere!

They can be patients, staff, doctors, almost anyone. This program humorously reveals the six basic difficult personality styles that are out to drain you and your practice of vital energy. You will learn what they do, why they do it, and what you can do about it! AGD SUBJECT CODE 550

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 T H U R S D AY c o u r s e s KEY

D

LT

Lab Technician

Dentist

Douglas Damm, DDS

1:30 PM - 4:30 PM Audience: D, LT, A Course Code: #T21 3 Credit Hours | Fee: $15

Clinical Photography For The Oral Health Care Practitioner This course will teach the basics of photography that relate to intraoral photography. The discussion includes shutter speed and aperture, with their effects on stopping action and depth of field. An in-depth discussion of digital single lens reflex cameras, lenses and digital-compatible flashes is included, along with a detailed description of available dental photography equipment. A step-by-step technique for intraoral photography is presented.

AGD SUBJECT CODE 138

Thomas Dawson, DDS and Jack Shirley, DDS

Has Your Practice Ceased To Function?

This course is designed to focus on the steps necessary to establishing healthy vital signs. Two experienced clinicians with a combined 65 years of commitment to excellence will explain the steps necessary to make the heart of your practice fresh, fun, exciting and productive. We will begin with an evaluation of your practice philosphy and end with the most basic elements of everyday dentistry. Educational funding provided by the TDA Smiles Foundation.

AGD SUBJECT CODE 180

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Tough Cases Made Simply Beautiful The production of absolutely exquisite restorative dentistry is very difficult. We will share a few secrets in treatment planning that will never leave you guessing again. You will learn: the steps in full mouth reconstruction; the rules for predictable restorative dentistry; the PMS restorative sequence; a simple impression technique that works; the top ten secrets of esthetic dentistry learned over the last 15 years; and how to choose the best restorative material.

Educational funding provided by the TDA Smiles Foundation.

AGD SUBJECT CODE 250

Robert Edwab, DDS

8:30 AM - 11:30 AM Audience: D, LT, A Course Code: #T20 3 Credit Hours | Fee: $15

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Dental Assistant

Thomas Dawson, DDS and Jack Shirley, DDS

1:30 PM - 4:30 PM Audience: D, LT, A, H, ST Course Code: #T19 3 Credit Hours Fee: $45

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8:30 AM - 4:30 PM Audience: D, A, H, ST Course Code: #T22 6 Credit Hours Fee: $95 Dentist / $75 Staff Oral Surgery For The General Practitioner: Learn It Today Do It Tomorrow Make your oral surgeries productive and uneventful by spending the day with this clinician, who shares the lessons he’s learned from 30 years of private oral surgery practice. A complete office visit is reviewed, starting with a basic health history that places the patient into a physical status category that indicates whether you should treat or refer. Prepare for common office emergencies with an inexpensive homemade emergency kit. The

H

Hygienist

S

Student

SP

Spouse

clinician teaches you which instruments to use and avoid and how to choose suture materials and needles.

Review procedures for root removal, alveoplasties, frenectomies, biopsies, impaction removals, and tori reduction. Learn to avoid and treat surgical complications and review a simple technique to quickly calculate a safe dose of local anesthetic for adults and children. At the end of this program, the practitioner will be able to perform various oral surgical procedures with greater confidence and possess the knowledge to handle any complications that may arise. AGD SUBJECT CODE 310

Robert Fazio, DMD 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #T23 3 Credit Hours Fee: $55 Antibiotics In Dentistry This course will discuss the changing antibiotic options in dentistry for acute infections and prophylaxis for old and new antibiotic categories and formulations. The new 2007 American Heart Association at-risk patients and those for the Orthopedic Surgeons’ 2009 patients will be compared. The bottom line on stents, vascular repairs, hydrocephalus shunts, fistulas, IVC filters, and Hickman catheters will be reviewed.

Educational funding provided by P&G Oral Health. AGD SUBJECT CODE 016

T H U R S D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

Robert Fazio, DMD

Alex Fleury, DDS, MS

Gregory Folse, DDS

1:30 PM - 4:30 PM Audience: D, A, H, ST Course Code: #T24 3 Credit Hours Fee: $55

1:30 PM – 4:30 PM Audience: D, ST Course Code: #T26 3 Credit Hours | Fee: $195 LIMITED ATTENDANCE

1:30 PM - 4:30 PM Audience: D, LT, A, H, ST Course Code: #T28 3 Credit Hours | Fee: $225 LIMITED ATTENDANCE

Medicine And Dentistry Develop an evidence based dental treatment plan. Review most common medical problems and medications potentially altering that treatment plan. Develop an algorithm for the most common dental prescriptions relative to cardiovascular disease, potential bleeding disorders, diabetes mellitus, and the myriad medications physicians prescribe. Learn the most efficient way to retrieve critical information from the physician’s office. Educational funding provided by P&G Oral Health. AGD SUBJECT CODE 750

The Endo-Restorative Continuum Workshop The hands-on session provides the participants the opportunity to use “Precision-Based” techniques to “machine a preparation” and obturate canals utilizing the latest Real World Endo technology. Time will be dedicated to “Preventing the Separation of Rotary Files,” as well as, developing safe and efficient techniques. Course #T25 is a prerequisite for this workshop. Educational funding provided by Brasseler USA. AGD SUBJECT CODE 070

Difficult Denture Patients: Real World Solutions Hands-On Workshop This hands-on participation course provides hands-on experiences with modified impression and bordermolding techniques, highly efficient and precise occlusal rim procedures (5-10-minute chair time) and formulation of patient specific occlusal schemes. Once applied, these unique treatment techniques will decrease treatment and chair time, decrease adjustment rates, and increase denture success. Course #T27 is a prerequisite for this workshop. AGD SUBJECT CODE 670

Alex Fleury, DDS, MS 8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #T25 3 Credit Hours Fee: $45 The Endo-Restorative Continuum This presentation will concentrate on endodontic instrumentation and obturation techniques that will allow the clinician to satisfy the biologic requirements of performing root canal therapy while enhancing the long-term prognosis of the treated tooth. New Bioceramic technology, along with improved post techniques will be presented. This lecture is a prerequisite for Course #T26.

Educational funding provided by Brasseler USA. AGD SUBJECT CODE 070

For the ultimate Real World Experience, attendees are encouraged to bring two to four accessed, extracted teeth.

Gregory Folse, DDS 8:30 AM - 11:30 AM Audience: D, LT, A, H, ST Course Code: #T27 3 Credit Hours | Fee: $45 Difficult Denture Patients: Real World Solutions Difficult denture patients, especially frail elders, require special attention, understanding, and unique treatment approaches for successful patient outcomes. This clinically based common sense lecture uses unique video clips to detail modified impression and border-molding techniques, highly efficient and precise occlusal rim procedures, and patient specific occlusal schemes.

Successful? Try 412 patents, 792 prostheses, and only 63 adjustments.

See you in the auditorium. This lecture is a prerequisite for Course #T28. AGD SUBJECT CODE 670

Ellen Gambardella, CDA, MEd and Rita Johnson, RDH, MA 8:00 AM - 11:00 AM Audience: D, LT, A, H, ST Course Code: #T29 3 Credit Hours | Fee: $55 Perfect Alginates From A-Z And More Join this power packed session and become more valuable by enhancing your ability in impression taking. In addition, numerous helpful hints for maximizing office efficiency are included throughout this lecture.

You will learn: chromatic agent advantages; latest technologies for alginate impression taking; criteria for tray selections including triple trays; hints for maximizing anatomical structures; proper mixing techniques; loading and seating of the trays; removal of impression from the oral cavity; (cont.)

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inspection of the impression; guidelines for infection control; patient management; manipulation techniques for latex sensitive patients and operators; and alternative methods for mixing. AGD SUBJECT CODE 017 Participants will receive a copy of “Handy Dandy Dental Book...tips and tricks every office should know.”

Ellen Gambardella, CDA, MEd and Rita Johnson, RDH, MA 1:00 PM - 4:00 PM Audience: D, LT, A, H, ST Course Code: #T30 3 Credit Hours | Fee: $45

The Art And Science Of Pouring Models/Casts A step-by-step approach for obtaining perfect models as well as many useful hints are incorporated into this fun and informative session. You will learn: inspection of impression; correct mixing techniques; various pouring methods; elimination of air bubbles; how to create a base; separation procedures; storage of gypsum materials; proper recording of bite registrations; numerous cost saving tips; and tricks for maximizing office efficiency. AGD SUBJECT CODE 017

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Business Assistant

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Dental Assistant

Gretchen Gibson, DDS, MPH 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #T31 3 Credit Hours | Fee: $25 Case Studies In Geriatric Dental Care This course will utilize clinical cases commonly faced when treating older or medically compromised dental patients. Diagnostic tools and material suggestions will be put forth, as well as discussion of the drawbacks and benefits of various treatment options in patients with medical or psychological issues. Dental issues covered include root caries, xerostomia, removable techniques and preventive and MID strategies. AGD SUBJECT CODE 752

Gretchen Gibson, DDS, MPH 1:30 PM - 4:30 PM Audience: D, A, H Course Code: #T32 3 Credit Hours | Fee: $25 Changes In Dentistry: An Update For The Dental Assistant This presentation is intended as an overview of philosophies and technology available in general dentistry today. This presentation will provide insight into the science, advantages, disadvantages and various choices available in today’s general dental practice. Topics will include preventive products, CAMBRA, dental lasers, MID (minimally invasive dentistry) and choices regarding restorative dentistry. AGD SUBJECT CODE 149

January 2010

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Hygienist

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Student

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Spouse

Mary Govoni, RDH, MBA 8:30 AM – 11:30 AM Course Code: #T33 1:30 PM – 4:30 PM (Repeat) Course Code: #T34 Audience: D, LT, BA, A, H, ST, SP 3 Credit Hours | Fee: $35 How To Work All Day And Go Home Without A Back And Neck Ache This course is designed to provide the entire dental team with an introduction to ergonomics and the risk factors that may cause work related musculoskeletal injuries.

The program focuses on creating a healthy work environment at the front desk as well as in the treatment rooms, through proper posture, appropriate work place design, and equipment selection. The program also emphasizes the patient benefits of proper positioning and increased visibility within the oral cavity.

Specific recommendations will be given to prevent back, neck and shoulder pain; reducing stress through greater efficiency and maximizing patient comfort during treatment. The course will also provide an update on OSHA’s voluntary ergonomics standard.

AGD SUBJECT CODE 018

Casey Hein, BSDH, MBA 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #T35 3 Credit Hours | Fee: $55 Diabetology In 21st Century Dentistry: The New Practice Imperative This course blends a compelling vision for the very important role of dentists and dental hygienists in screening for diabetes, pre-diabetes, obesity, and Metabolic Syndrome with practical case-based learning.

Course participants will learn how to

T H U R S D AY c o u r s e s î ˛ KEY

SBDE Approved CE

screen patients for obesity, prediabetes and diabetes in the dental setting, and customize treatment plans for patients with diabetes.

AGD SUBJECT CODE 010

Casey Hein, BSDH, MBA 1:30 PM - 4:30 PM Audience: D, BA, A, H, ST Course Code: #T36 3 Credit Hours | Fee: $55 Preventive Cardiology In Dentistry: A New Frontier In Medical Dental Collaboration This course empowers oral healthcare professionals to incorporate the latest evidence on the relationship of periodontal and cardiovascular disease, screen patients to identify those who may be at risk for cardiovascular disease, and build collaborative relationships with nondental healthcare providers to increase point-of-care screening and cross referral of patients at risk for cardiovascular disease and periodontal disease. AGD SUBJECT CODE 011

Charles Hoopingarner, DDS 1:30 PM - 4:30 PM Audience: D, LT, A Course Code: #T37 3 Credit Hours | Fee: $65 Reflections Of An Aging Warrior On The State Of The Occlusion Wars Occlusal determinations should be anatomic and physiologic rather than philosophic. Evidence shown will allow the practitioner to make informed choices for patients based on structure and scientific principle.

Techniques for individual restorations, anterior guidance, quadrants, single arch and complete reconstruction and a brief description TMD related treatments will be presented.

AGD SUBJECT CODE 180

New Dentist

Audio Recorded Course

Michaell Huber, DDS 8:30 AM - 11:30 AM Audience: D, H, ST Course Code: #T38 3 Credit Hours | Fee: $45 Update On Managing Common Oral Lesions The purpose of this course is to update the practitioner on the diagnosis and management of the numerous mucosal conditions encountered in dental practice.

Utilizing actual case presentations, and emphasis on recognizing the historical and clinicial clues that help distinguish the annoying from the serious will be provided. AGD SUBJECT CODE 319

Michaell Huber, DDS 1:30 PM - 4:30 PM Audience: D, H, ST Course Code: #T39 3 Credit Hours | Fee: $45 Update On The Etiology And Diagnosis Of Oral Cancer The purpose of this course is to update the practitioner on recent scientific advances addressing our understanding of oral cancer risk and the value of risk reduction strategies.

An objective discussion of new and future diagnostic adjuncts for mucosal assessment will also be provided. AGD SUBJECT CODE 310

Curtis Jansen, DDS 8:30 AM - 11:30 AM Audience: D, LT, A, H, ST Course Code: #T40 3 Credit Hours | Fee: $55 Are Implants Changing The Way You Practice?

This lecture will review the latest advances in implant dentistry and how they are changing the way we

Workshop

will practice in the future. An update on CAD/CAM technology will be discussed from a laboratory and office perspective. CAD/CAM can increase efficiency by decreasing chair and lab time for many procedures, allowing time on more productive procedures. AGD SUBJECT CODE 690

Curtis Jansen, DDS 1:30 PM – 4:30 PM Audience: D, ST Course Code: #T41 3 Credit Hours | Fee: $145 LIMITED ATTENDANCE Blue Tooth Dentistry, Ensuring The Success Of Single Tooth Implant Restorations This hands-on workshop will show participants how to contour, stain, glaze and crystallize an implant restoration. A model will be used in the course, which can be taken home to use as an educational aid to discuss implant restorations with patients. Material selection, cementation and abutment selection will also be discussed. AGD SUBJECT CODE 690 Participants should bring eye magnification (loupes).

Amy Kirsch 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST, SP Course Code: #T42 3 Credit Hours Fee: $55 Dentist / $35 Staff Scheduling For Success The key to a stress free day and productive day is directly related to the way the day is scheduled. In this fast paced and exciting workshop you will learn advanced scheduling techniques to decrease cancellations, increase production and stay on schedule. AGD SUBJECT CODE 560

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Amy Kirsch

LONESTAR LECTURES

1:30 PM - 4:30 PM Audience: D, BA, A, H, ST, SP Course Code: #T43 3 Credit Hours Fee: $55 Dentist / $35 Staff

Time: 12:30 PM - 5:15 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T45 1-4 Credit Hours (One hour credit per session.)

Fee: $25

Dynamic Internal Marketing And Customer Service Skills In today’s competitive dental market, both doctors and staff need to deliver excellence in patient service.

The success of a practice depends on the patient perceived value of care provided. A practice in which the provided service not only meets, but exceeds all expectations, means everything to patients and in turn, your practice success.

AGD SUBJECT CODE 550

James Kohner, DDS 8:00 AM - 4:30 PM Audience: D, ST Course Code: #T44 7 Credit Hours | Fee: $295 LIMITED ATTENDANCE One Day Crown Lengthening This 7 hour hands-on course is intended for the general dentist that wants to do some or most of their own crown extensions. The course is designed to provide the dentist with all the principles of hard and soft tissue surgery necessary to plan and carry out crown extension procedures. Crown extension is one of the most commonly required procedures in operative dentistry.

Relocation of the structures comprising the biologic width requires varying degrees of soft and hard tissue removal. We will explore indications and contraindications for crown lengthening and methods of gradualizing surrounding bone to create positive architecture.

Educational funding provided by Perio Institute. AGD SUBJECT CODE 491

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Gustav Gates, DDS 12:30 PM - 1:30 PM The Digital Difference: Using Digital Photography To Help Patients Visualize And Ask For Services Seeing is believing…and that’s the digital difference. Using digital photography, you can help your patients visualize services they might not otherwise ask for. This practical course will provide simple steps on how to incorporate digital photography into your new patient exams and use these photos in a power point presentation to improve diagnosis and case acceptance. The course will provide tips and techniques on how to use digital photography in your practice to make a difference in the dental care you provide to your patients. AGD SUBJECT CODE 138

Edward Wright, DDS, MS, MAGD 1:45 PM – 2:45 PM Advances In TMD TMD clinical trials will be presented that will probably change the way you evaluate and treat TMD patients.

These trials include characteristics for patients whose TMD symptoms are probably due to a tooth pulpalgia, patients whose TMD is probably causing ear symptoms, and efficacy of various TMD therapies. AGD SUBJECT CODE 182

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Hygienist

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Student

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Spouse

Stephen Schmitt, DDS, MS 3:00 PM - 4:00 PM Digital Imaging And CAD-CAM Designed Dental Restorations Modern imaging and design systems can create virtual models of bone, teeth and soft tissues easily. The movement and timing of the mandible can also be recorded digitally to precisely orient these models in function. These computer systems not only create visual models, but also provide the physical sensation of touch with haptic devices. Solid modeling techniques allow for patient diagnosis and the creation of dental restorations using advanced manufacturing techniques. This lecture will review the process of recording and aligning three dimensional images of the teeth, soft tissues and bone in computer space, the creation of dental restorations using solid modeling and the manufacturing of these designs using rapid prototyping and 5 axis milling.

AGD SUBJECT CODE 697

Charles Streckfus, DDS, MA 4:15 PM – 5:15 PM Saliva Testing For Cancer Detection In the last 10 years, saliva as a diagnostic fluid has bridged the gap between medicine and dentistry.

Today it is used to diagnose disease, predict disease progression, and even study the epidemiology of several bacterial and viral agents in infections. The purpose of the presentation will be to review the progress of salivary diagnostics (i.e., breast cancer detection), and illustrate the future direction of this type of research. AGD SUBJECT CODE 736

T H U R S D AY c o u r s e s  KEY

SBDE Approved CE

Ernest Luce, DDS 8:30 AM – 11:30 AM Course Code: #T46 1:30 PM – 4:30 PM (Repeat) Course Code: #T47 Audience: D, A, H, ST 3 Credit Hours Fee: $35 Emergency Medicine This presentation will focus primarily on the role each member of the dental team should play in the management of a medical emergency.

There will be significant emphasis on creation of a system that will guide the team through an emergency.

AGD SUBJECT CODE 142

Lisa Mallonee, BSDH, MPH, RD 8:30 AM - 11:30 AM Audience: D, A, H, ST, SP Course Code: #T48 3 Credit Hours Fee: $35 Healthy Mouth, Healthy Body, Healthy Practice!

As dental practitioners we must be knowledgeable about many facets of patient care. Coupling the basic concepts of cariology and periodontal disease with ongoing research and emerging information regarding diet and nutrition as it relates to oral health – will not only keep our patients healthier, but our practice will benefit as well! AGD SUBJECT CODE 150

New Dentist

Audio Recorded Course

Lisa Mallonee, BSDH, MPH, RD 1:30 PM – 4:30 PM Audience: D, A, H, ST, SP Course Code: #T49 3 Credit Hours Fee: $35 U R What U Eat . . . And Drink!

The American diet resembles a small child’s finger painting – it’s a mess! Together we’ll walk through the nutrition maze taking a look at emerging information regarding diet and nutrition as it relates to your personal health and your patient’s health. AGD SUBJECT CODE 150

Mike Malone, DDS 8:30 AM - 11:30 AM Audience: D, LT, A Course Code: #T50 3 Credit Hours Fee: $45 Smile Design And Advanced Provisional Fabrication Cosmetic reconstruction is much more predictable when using superbly made provisionals to serve as a blueprint for the final restoration. This presentation will review the principles of smile design and provide the details of a technique used to fabricate multilayered composite provisional restorations for porcelain veneers and complex full-arch cases. Educational funding provided by Dux Dental.

AGD SUBJECT CODE 780

Workshop

Mike Malone, DDS 1:30 PM - 4:30 PM Audience: D, LT, A Course Code: #T51 3 Credit Hours Fee: $145 LIMITED ATTENDANCE Advanced Provisional Fabrication Workshop This presentation will provide the details of an indirect technique used to fabricate multilayered composite provisional restorations for porcelain veneers and a three-unit bridge.

Participants will be provided all materials for indirect fabrication of provisional restorations using a new system from Dentsply called Radica.

Educational funding provided by Dux Dental. AGD SUBJECT CODE 780 Participants should bring magnification loupes.

Randolph Martin, MD 8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #T52 3 Credit Hours Fee: $45 You Don’t Have To Die Of Heart Disease And Cancers – The Critical Importance Of Diet, Exercise, And Lifestyle Choices What if I told you that 90% of heart attacks and strokes and nearly 2/3 of cancer deaths could be prevented by lifestyle choices and simple activities? This program is going to provide you with the latest scientifically sound information that’s going to arm you with ways that you, your loved ones, and your co-workers can not only live a healthier and fuller life, but prevent the #1 and #2 killers of American men and women. AGD SUBJECT CODE 150

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Randolph Martin, MD

8:00 AM – 11:00 AM Course Code: #T55 1:00 PM – 4:00 PM (Repeat) Course Code: #T56

The Secrets Of Life: Keys To Wellness And Successful Aging Our life appears to fly by and at times we’re overcome by the stresses of modern life. In this program you will learn the “Secrets of Life: - keys that will lead you in living a longer, healthier, and happier life - one in which you can become contented both personally and professionally.

There is a real science on how to keep yourself physically and mentally healthy and young. This program will give you keys and, besides that, it is guaranteed to entertain you and make you laugh - one of the key “Secrets of Life.” AGD SUBJECT CODE 150

Orlando Martinez, BA, MA 1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T54 3 Credit Hours | Fee: $35 Espanol 101: Learning Basic Spanish In The Dental Office Spanish 101 for the dental office will provide basic terminology, phrases and sentences that will allow you and your dental team to communicate effectively with Spanish-speaking patients. Spanish 101 will offer commands that are needed for effective dialogue in operative applications, as well as business communication. “Graduates” of this intensive, informative and entertaining course will benefit greatly when working with Spanish speaking patients.

AGD SUBJECT CODE 550

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Jaimee’ Morgan, DDS and Stan Presley, DDS

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T53 3 Credit Hours Fee: $45

60

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Business Assistant

Audience: D, LT, A, H, ST 3 Credit Hours | Fee: $95 LIMITED ATTENDANCE Put A Sparkle In Your Patients’ Smiles And In Your Practice With Tooth Whitening Have all the bleaching systems got you confused? Do you wonder if take home tray whitening or in-office power bleaching is more effective?

Do lights and/or heat really enhance in-office bleaching treatments? Are you looking for a competitive edge when it comes to over-the-counter bleaching systems? For the answers to these questions and more, join us for this hands-on course for the latest and most current information on bleaching materials and techniques.

This course will show you how to achieve optimal results inexpensively, easily, quickly, safely, and consistently.

Educational funding provided by Ultradent. AGD SUBJECT CODE 781

Paul Mullasseril, DDS, MS 8:30 AM - 4:30 PM Audience: D, LT, A, H Course Code: #T57 6 Credit Hours | Fee: $95 MDI Certification Seminar IMTEC MDI Certification Seminars are designed for dentists who want to expand their practice regimens by adding the innovative MDI minimally invasive implant system as a definitive solution for patients’ loose dentures.

These hands-on courses emphasize MDI treatment planning, case selection, implant placement protocol, restorative techniques and MDI marketing strategies. Educational funding provided by IMTEC, a 3M Company. AGD SUBJECT CODE 690

January 2010

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Student

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Spouse

John Olmsted, DDS, MS 1:00 PM – 4:00 PM Audience: D, BA, A, ST, SP Course Code: #T58 3 Credit Hours | Fee: $45 You Did What To Whom?

They Want How Much?

This session will introduce the dentist and endodontist to the process of reporting an endodontic incident; the claims process by underwriting and claims insurance staff; claim review by a panel of dentists and insurance staff; gathering information for defense; and the decision to proceed with settlement or trial. Educational funding provided by Sybron Endo.

AGD SUBJECT CODE 070

Chris Page 2:00 PM - 5:00 PM Audience: D, ST Course Code: #T59 3 Credit Hours | Fee: $15 Practice Transitions For Dentists Join us to review the various aspects of buying or selling a practice. The round-table format offers invaluable insight and information to ensure a successful and profitable practice transition. You can get all of your questions answered in one place.

Don’t wait to reserve a space for this opportunity. Learning objectives include the following: properly prepare your practice for transition; understand practice financing options for both buyer and seller; and avoid common “pit-falls” of selling a practice. Educational funding provided

by Banc of America Practice Solutions. AGD SUBJECT CODE 556

T H U R S D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Charles Palenik, MS, PhD, MBA

Edwin (Ted) Parks, DMD, MS and Gail Williamson, RDH, MS

8:30 AM - 11:30 AM Audience: D, BA, A, H Course Code: #T60 3 Credit Hours Fee: $25

8:30 AM – 11:30 AM Course Code: #T62

Improving The Effectiveness And Efficiency Of Your Infection Prevention Program Dental practices expend significant resources to establish and maintain their infection prevention and control office programs. The themes of this presentation are to share practical methods to improve program efficiency (less can be more) and to offer suggestions to help select the most effective products, equipment, and procedures. AGD SUBJECT CODE 148

Charles Palenik, MS, PhD, MBA 1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T61 3 Credit Hours Fee: $25 Infection Prevention Today, Infection Prevention Tomorrow Dental practices develop infection prevention programs applicable to their offices. New materials and techniques, however, emerge every year.

This presentation will assist practices to inventory their current procedures and then share what improvements lay in the near future. This should help practices decide which program components to retain and which new items to consider. AGD SUBJECT CODE 148

1:30 PM – 4:30 PM (Repeat) Course Code: #T63

Workshop

these laboratory restorations.

Educational funding provided by DENTSPLY Caulk. AGD SUBJECT CODE 780

Stephen Poss, DDS

Audience; D, A, H, ST 3 Credit Hours | Fee: $165 LIMITED ATTENDANCE Are Your Pictures Perfect? How To Produce Quality Radiographs Participants will improve radio-graphic skills and produce high-quality radiographs via lecture and hands-on instruction. Techniques presented will produce optimal intraoral, panoramic, and digital radiographs. This course is recommended for all dental professionals. Attendees will: review radiation safety and patient management strategies; identify and correct intraoral and panoramic errors; and learn optimal techniques for intraoral and panoramic radiography.

AGD SUBJECT CODE 731

Stephen Poss, DDS 8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST Course Code: #T64 3 Credit Hours | Fee: $45

1:30 PM - 4:30 PM Audience: D, A, ST Course Code: #T65 3 Credit Hours Fee: $225 LIMITED ATTENDANCE Advanced Anterior Esthetics Hands-On This afternoon portion will allow the dentist to prepare and place a class IV composite using the layering technique. The participant will also prepare various veneer preparations as well as an all-ceramic crown.

The dentist will then place a quick efficient provisional. The clinician will have the opportunity to use some of the latest resin cements as well. At the end of this half day lecture, the participant should feel comfortable providing these services in their office on Monday morning. Educational funding provided by DENTSPLY Caulk. AGD SUBJECT CODE 780 Participants may want to bring loupes.

Advanced Anterior Esthetics This first half-day lecture demonstrates a direct Class IV composite and how to layer to achieve optimal aesthetics. There will be discussion on when to veneer a tooth over providing an all-ceramic crown. Various preparation designs will be shown as well as the different types of material that can be utilized. The last portion of the morning will entail the process of creating beautiful provisionals in less than 15 minutes. Dr. Poss will finish the morning portion demonstrating proper cementation of

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BA

Business Assistant

Kathleen Roman, MS

A

Dental Assistant

Jeffrey Rouse, DDS

8:00 AM - 12:00 PM Audience: D, LT, ST Course Code: #T68 4 Credit Hours | Fee: $75

9:00 AM – 12:00 PM Course Code: #T66 2:00 PM – 5:00 PM (Repeat) Course Code: #T67 Audience: D, ST 3 Credit Hours | Fee: $15 Ten Reasons Why Dentists Lose Malpractice Actions This program will help dentists and their staffs identify clinical and business oversights that make it difficult to defend the doctor against allegations of negligence. The program offers examples, case studies, and numerous risk tips that dentists can use to improve patient safety and satisfaction – and decrease liability risk. Educational funding provided

by Medical Protective.

AGD SUBJECT CODE 555 Seminar attendees will have the opportunity to purchase a supplemental home study course. Medical Protective insureds who attend the seminar and successfully complete the home study course test may be eligible to earn a five percent premium credit on their next three policy periods.

Complex Prosthodontic Rehabilitations: Everyday Challenges On Steroids The challenges faced in complex dentistry cases can feel overwhelming. This lecture will provide a toolbox full of tricks to improve practitioner’s predictability. Attendees should leave being able to: identify the need for pre-restorative orthodontics, obtain a centric relation registration, make provisionals that mimic the wax-up, accomplish perfection in final impressions, and control daytime and nighttime bruxism. Educational funding provided by International College of Dentists/American College of Dentists. AGD SUBJECT CODE 610

Maria Emanuel Ryan, DDS, PhD 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #T69 3 Credit Hours | Fee: $55 To Head Off Disease Start At The Top: Oral Systemic Connections This presentation will summarize the evidence relating periodontal disease to systemic conditions such as atherosclerotic heart disease, stroke, respiratory infections as well as conditions that are prevalent in females such as rheumatoid arthritis, and osteopenia/osteoporosis. In addition, the link between periodontal disease and adverse pregnancy outcomes will be presented including the results of recent intervention trials. Educational funding provided by the Texas Society of Periodontists. AGD SUBJECT CODE 730

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Maria Emanuel Ryan, DDS, PhD 1:30 PM - 4:30 PM Audience: D, A, H, ST Course Code: #T70 3 Credit Hours | Fee: $55 Non-Surgical Therapies To Manage Perio Diseases Major advances that have been made in our basic understanding of periodontal diseases. The importance of risk assessment and risk reduction will be discussed.

Practitioners now have a wide array of treatment options for the improved management of periodontal disease. The participant will be brought up-to-date on the use of antimicrobials and host modulatory agents. Educational funding provided by the Texas Society of Periodontists. AGD SUBJECT CODE 495

Rhonda Savage, DDS 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #T71 3 Credit Hours Fee: $55 Dentist / $35 Staff The Key Essentials Of A Successful Practice This lively session outlines what Dr. Savage finds as a common thread among top clients who have the finest care, along with a happy, productive work environment. But most of all, they also have a healthy bottom line. Follow these five easy steps to success. It’s great to go home “happy-tired” rather than “stressed-out tired.” AGD SUBJECT CODE 550

T H U R S D AY c o u r s e s î ˛ KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

Rhonda Savage, DDS

David Senn, DDS

David Senn, DDS

1:30 PM - 4:30 PM Audience: D, BA, A, H Course Code: #T72 3 Credit Hours Fee: $55 Dentist / $35 Staff

8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #T74 3 Credit Hours Fee: $45

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #T75 3 Credit Hours | Fee: $45

The Joys And Challenges of Clinical And Business Assisting As a former dental assistant and front office coordinator, Dr. Savage knows how hard you work for your doctor and the challenges you face on a daily basis. This lively and informative program will outline ways that will create an office environment that has great camaraderie and an atmosphere of teamwork. AGD SUBJECT CODE 550

Forensic Odontology: Dental Identification, Multiple Fatality Incident (Mass Disaster) Dental Identification, Dental Age Estimation Forensic Dentists are consulted to identify humans who die and are not easily identified by the conventional means of visual identification or fingerprints. In disasters there may be many unidentified bodies and Forensic Dentists become members of teams of professionals charged with identifying these victims and returning them to their families.

Among the many reasons for scientifically estimating the age of an individual, Forensic Dentists become involved in the large (and growing) problem of illegal immigration; they assist law enforcement agencies by estimating the ages of detainees to facilitate their proper management as juveniles or adults. These areas of Forensic Dentistry will be discussed and case examples will demonstrate the methodology for each. AGD SUBJECT CODE 145

Laurie Semple, CDA, RDA, BS 8:00 AM - 5:00 PM Audience: A, H Course Code: #T73 7 Credit Hours | Fee: $155 LIMITED ATTENDANCE Nitrous Oxide Monitoring Review This program is specifically designed to prepare the dental auxiliary to obtain certification in nitrous oxide monitoring as mandated by the State Board of Dental Examiners. A comprehensive review on the general guidelines and industry standards for nitrous oxide conscious sedation will be presented. Upon completion of the review, the participant will be administered the required examination. AGD SUBJECT CODE 132

Forensic Odontology: Bitemark Analysis, Human Abuse, Dental Professionals’ Responsibility In Human Abuse Humans bite other humans. In some of these cases Forensic Odontologists can determine the likelihood that bitemark(s) were made by a specific individual. Excluding individuals as biters is critical in some cases, for example abuse cases where multiple persons had access to a child who cannot identify his/ her abuser. Forensic Dentists are consulted in abuse cases involving bitemarks, injuries to the face, and oral injuries. This session will cover the background, history, methodology and case examples of bitemark and abuse casework. AGD SUBJECT CODE 145

Participants must download, print, and bring the study guide to this course in addition to a highlighter and (2) #2 sharpened pencils. A study guide will be sent electronically approximately three weeks prior to the program. This class is only available through the pre-registration process. No one will be allowed to register on-site.

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LabTechnician Technician Business BusinessAssistant Assistant Dental DentalAssistant Assistant Hygienist Hygienist Student Student Spouse Spouse Lab

Dentist Dentist

Thomas Snyder, DMD, MBA

Debra Stewart, DDS

Udell Webb, DDS

9:00 AM - 12:00 PM Audience: D, ST, SP Course Code: #T76 3 Credit Hours | Fee: $25

9:00 AM – 12:00 PM Course Code: #T78

Is Your Practice Ready For An Associate When is the right time to hire an associate? This program can help you create a successful associate relationship. Topics include the question of how many patients are needed to make an associateship work, strategies to effectively transfer patients and market your associate, designing a fair compensation package, the key elements of associate contracts and establishing a baseline practice value for a future buy-in.

AGD SUBJECT CODE 556

Audience: A 3 Credit Hours | Fee: $95 LIMITED ATTENDANCE

8:30 AM - 11:30 AM Audience: D, BA, A, H, ST, SP Course Code: #T80 3 Credit Hours Fee: $45

2:00 PM – 5:00 PM (Repeat) Course Code: #T79

Thomas Snyder, DMD, MBA 2:00 PM - 5:00 PM Audience: D, ST, SP Course Code: #T77 3 Credit Hours Fee: $25 Practice Transitions. . .

If Not Now. . . When?

Planning your exit strategy properly is more critical now in today’s economic climate. Topics include establishing a realistic practice value, getting your practice ready for a sale, the deferred sale, steps to take to enhance your practice’s value, the growing trend of partnerships and what is critical to their success, and selling your partnership interest, and merging your practice for sale. AGD SUBJECT CODE 556

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January 2010

Dental Potpourri: Essentials For The Dental Assistant!

Today Dentistry is faced with many changes and challenges. The rapidly changing area of clinical dental assisting has become one of today’s challenging professions. By maximizing the knowledge and skills of each team member, the dental practice operates more efficiently while delivering the highest quality of care. Participants of this workshop will gain valuable knowledge and explore some of the duties for today’s dental assistant. Seminar participants will learn: documentation of dental charts; barrier techniques and rubber dams; placement of retraction cords, hemostatic agents and other products for gingival retraction; and minor in-house denture and partial repair.

AGD SUBJECT CODE 149 Participants need to bring the following items to this workshop: Retraction cord that you use in your office; retraction cord packer or plastic instrument; repair acrylic for denture repairs--Lang or Bosworth; dappen dishes—5; cement spatula and dropper for acrylic liquid; hemostats, explorer, scaler, crown and bridge/fingernail scissors; burs--(for a HP--straight handpiece)—Axis, Brasseler, Schein, Ultradent; acrylic burs--shapes needed--#557, taper acrylic bur, barrel acrylic bur **You only need to get burs from one of the companies!; rubber dam material used in the office--5 pieces; rubber dam clamps or wedjets, rubber dam frame, rubber dam forceps; dental floss; gloves—3 pair; safety glasses, lab jacket and face mask.

Using Medical Insurance Increases Case Acceptance And Cash Flow Using medical insurance routinely can create a huge increase in patient satisfaction. They’ll buy more treatment, more often, and more readily.

If there is trauma involved, medical will most often pay 100%. Learn how the medical insurance model relates to changes in the health care delivery system. AGD SUBJECT CODE 554

Udell Webb, DDS 1:30 PM - 4:30 PM Audience: D, BA, A, H, ST, SP Course Code: #T81 3 Credit Hours Fee: $45 It Ain’t Just A Prophy Anymore Coding Hygiene Defensively Implement proper CDT/ICD-9 codes, especially those related to prophies, multiple prophies, soft tissue management and advanced perio treatment. Understand narratives for the insurance company so that you no longer need to send x-rays or probing measurements. Learn how to code hygiene/perio for litigation protection, quality and profit. AGD SUBJECT CODE 554

Friday

Highlights  Local Anesthesia: 35 Years Of Hits, Misses And Near Misses— Part I and Part II

 Tiger Traits: Nine

Success Secrets All Dental Professionals Can Discover From Tiger Woods Nate Booth, DDS 1:30 PM – 4:30 PM

 Dispelling The “CSI Effect” Myth, An Overview Of Contemporary Forensic Dentistry Anthony Cardoza, DDS 8:30 AM – 11:30 AM

Mel Hawkins, DDS 8:30 AM – 11:30 AM 1:30 PM – 4:30 PM

 Translating Smile Analysis

Into Restorative Dentistry Van Haywood, DMD 1:30 PM – 4:30 PM

 The Real Simple Diet: How To Eat Well In A Fast – Paced World

Elizabeth Somer, MA, RD 1:30 PM – 4:30 PM

 GOLD Reception 4:30 PM – 5:30 PM

The Texas Texas Meeting 2009 | May 6th-9th San Antonio,65 TX Dental Journal l www.tda.org l January 2010

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Lab Technician Technician Lab

Dentist Dentist

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Business Assistant Assistant Business

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Dental Assistant Assistant Dental

Linda Altenhoff, DDS and William Steinhauer, DDS

Robert Anderton, DDS, JD, LLM

2:00 PM - 5:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F01 3 Credit Hours Fee: $15

7:30 AM - 5:15 PM Audience: A Course Code: #F02 8 Credit Hours Fee: $95 LIMITED ATTENDANCE

Taking The Mystery Out Of Texas Medicaid Recent increases in Medicaid reimbursement rates in Texas have made the inclusion of Medicaid patients into a dental practice very feasible.

You will learn how to incorporate Medicaid patients successfully into your practice and how to effectively bill Medicaid. This is a must for doctors and staff! Educational funding provided by the Committee on Access to Dental Care, Medicaid, and CHIP. AGD SUBJECT CODE 430

The TDA Dental Assistant Registration Course The TDA Dental Assistant Registration Course provides dental assistants with a comprehensive review of the essential elements of Radiology, Infection Control, and Jurisprudence. Successful completion of the course and accompanying exam will enable a dental assistant to qualify for a certificate of radiology registration issued by TSBDE. Dental assistants participating in the course will receive an illustrated study guide, valued at $20, that provides detailed information about subjects covered by the course. The course examination will be administered following the lecture. AGD SUBJECT CODE 731 The study guide will be mailed to the attendee approximately 3 weeks before the meeting. A box lunch will be provided in the classroom for all attendees, the cost is included in the registration fee. This class is only available through the pre-registration process. No one will be allowed to register on-site.

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Lois Banta 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST, SP Course Code: #F03 3 Credit Hours Fee: $35 Insurance Strategies That Work Nothing is more confusing than trying to sort through the maze of proper billing, coding and reimbursement procedures. Learn the proven techniques for writing a detailed narrative, documenting in the patient’s chart, how to use the dental coding systems to maximize reimbursement for your patients.

Develop key communication techniques when dealing with insurance companies. Educational funding provided by CareCredit.

AGD SUBJECT CODE 554

Lois Banta 1:30 PM - 4:30 PM Audience: D, BA, A, H, ST, SP Course Code: #F04 3 Credit Hours Fee: $35 Playing The Insurance And Accounts Receivable Game Your Way Are your accounts receivables out of control? Learn to develop proven systems to track A/R more effectively and follow up on past due claims more efficiently without stressing yourself to the max.

Design systems for collecting from patients without being perceived as the bad guy. Educational funding provided by CareCredit.

AGD SUBJECT CODE 554

F R I D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

Nasser Barghi, DDS, MA

Judy Bendit, RDH, BS

Joel Berg, DDS

8:30 AM - 11:30 AM Audience: D, LT, BA, A Course Code: #F05 3 Credit Hours | Fee: $55

8:30 AM - 11:30 AM (Repeat) Audience: H, ST Course Code: #F07 3 Credit Hours Fee: $155 LIMITED ATTENDANCE

8:00 AM – 11:00 AM Audience: D, BA, A, H Course Code: #F09 3 Credit Hours Fee: $55

Bonded Porcelain Veneers And/Or Direct Composite Resin: Achieving Better Esthetic Results Advances in adhesive dentistry and developments in materials and techniques enable us to provide our patients with more esthetically pleasing direct and indirect restorations.

New generation of composite resins has been developed and designed to achieve the same esthetic results observed with porcelain. This presentation will discuss criteria for selection as well as the ideal use of porcelain and composite resin for achieving best possible esthetic results. AGD SUBJECT CODE 780

Nasser Barghi, DDS, MA 1:30 PM - 4:30 PM Audience: D, LT, A Course Code: #F06 3 Credit Hours | Fee: $55 Bonded Porcelain Restorations In 2010: Using Advanced Materials And Technologies Longitudinal observations of porcelain veneers reveal an overwhelming success if the basic principles of bonding and minimal invasive procedure for the preservation of enamel are followed. This course is designed to provide participants with practical and clinical information on bonded porcelain restorations in light of current scientific information and long-term clinical observation. Emphasis will be placed on enhancing the durability of these restorations using evidence-based information, technological advancements and new products. AGD SUBJECT CODE 253

Five Keys To Working With Ease: Effective Utilization Of Hand Instruments See page 51 for a complete course description.

Judy Bendit, RDH, BS 1:30 PM - 4:30 PM Audience: D, H, ST Course Code: #F08 3 Credit Hours Fee: $45 Enamel Therapy: The Next Generation Of Care A changing paradigm in caries management has widened our decisions in dental preventive care. This program will review the historic trends in caries control and introduce the exciting new trends in desensitization, topical fluorides, prophy pastes and varnish therapies. We will even explore many of the over the counter aids such as zylitol and recaldent found in chewing gums and mints.

AGD SUBJECT CODE 258

Building An Infant And Toddler Friendly Practice This comprehensive program will give you the science, information, clinical tools and logistics you will need to make an infant and toddler program work in your office. We all know that caries is the most prevalent infectious disease in humans and is chiefly preventable. A key to effective prevention is seeing patients early. AAPD and ADA guidelines dictate a first dental visit no later than age 1, and soon after the first teeth erupt. If you’ve always wanted to bring a program into your office but haven’t had access to all the pieces of information you need to make it work, here’s your chance.

You will learn the proper periodicity – how often to bring kids back based on their individual risk assessment – and you will learn how to manage all of your patients individually, based on their caries risk. Logistics of implementing a comprehensive program in your office will be provided.

Educational funding provided by NuSmile Primary Crowns. AGD SUBJECT CODE 430

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Lab Technician

Dentist

Charles Blair, DDS and Casey Hein, BSDH, MBA

A Clinical Pathway In Progressive Diagnosis And Treatment Of Periodontal Disease And The Opportunity Cost Of The UnderDiagnosis Of Periodontal Disease Evidence is mounting to support the relationship between periodontal disease and systemic inflammation, leading to serious whole body damage. In this two - part program, Ms. Hein will present the scientific and clinical rationale for a clinical pathway approach to the diagnosis and treatment of periodontal disease. Dr. Blair will provide an overview of the economic impact of ‘periodontal optimization’. Both speakers will conclude by offering specific recommendations for building a practice committed to excellence in periodontal therapeutics.

AGD SUBJECT CODE 490

Nate Booth, DDS 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #F11 3 Credit Hours Fee: $55 Dentist / $35 Staff The “Yes” System In The “Yes” System, you will learn the six stages patients go through to accept comprehensive dentistry.

Now, your entire team can be there for people every step of the way making it easy for them to say “Yes” to bigger cases. AGD SUBJECT CODE 550

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Dental Assistant

Nate Booth, DDS

8:30 AM - 3:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F10 5 Credit Hours Fee: $75

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Business Assistant

ATTENTION COURSE CHANGE

H

Hygienist

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Student

SP

Spouse

Jeff Brucia, DDS

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F12 3 Credit Hours Fee: $55 Dentist / $35 Staff

8:30 AM - 11:30 AM Audience: D, LT, A, ST Course Code: #F14 3 Credit Hours Fee: $65

If Disney Ran Your Dental Practice: 5 Things You Would Do Differently When it comes right down to it, all business is show business – even your dental practice. In Nate’s If Disney Ran Your Dental Practice program, you will learn how to organize your office systems to create emotional connections so compelling that loyalty is guaranteed.

AGD SUBJECT CODE 550

Adhesive And Restorative Materials Update This course provides detailed insight into the total spectrum of adhesive dental treatment. The numerous choices in restorative materials has confused the clinician as to what is best indicated in a given situation.

Dr. Brucia will guide you through the step-by-step clinical technique.

Educational funding provided

by Texas Academy of General Dentistry. AGD SUBJECT CODE 250

Doug Brandt, DDS 8:00 AM – 5:30 PM Audience: D, A Course Code: #F13 8 Credit Hours Fee: $350 LIMITED ATTENDANCE Invisalign: Clear Essentials II A lecture and workshop for Invisalign Certified GPs. Advanced topics and techniques using Invisalign are discussed to help doctors effectively select and treat more complex malocclusions. We recommend that participants have experience submitting and finishing Invisalign cases prior to attending Invisalign: Clear Essentials II. Doctors are encouraged to bring cases to the course. The orthodontic instructor will select some cases to discuss during part of the course and be available for Q&A after the course. Educational funding provided by Invisalign.

AGD SUBJECT CODE 377 Attendees must have completed the Invisalign Certification I course in order to register for this course.

Jeff Brucia, DDS 1:30 PM - 4:30 PM Audience: D Course Code: #F15 3 Credit Hours Fee: $225 LIMITED ATTENDANCE Direct Aesthetic Posterior Restorations; An Adventure In Excellence Direct aesthetic restorations are the most requested and preformed procedures in any dental practice today.

This in-depth workshop provides details to perfect the posterior Class II composite restoration. You should leave with a high level of predicable success when applying these techniques clinically. Educational funding provided by Texas Academy of General Dentistry. AGD SUBJECT CODE 255

F R I D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

Joe Camp, DDS

Anthony Cardoza, DDS

Anthony Cardoza, DDS

8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F16 3 Credit Hours | Fee: $45

8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #F18 3 Credit Hours Fee: $45

1:30 PM - 4:30 PM Audience: D, BA, A, H, ST Course Code: #F19 3 Credit Hours Fee: $45

Dispelling the “CSI Effect” Myth, An Overview Of Contemporary Forensic Dentistry Because of the current popularity of forensic fair in television, the general public is getting a skewed view of the true nature of forensic investigation. This issue is commonly known as the “CSI effect”. In this seminar, Dr. Cardoza will dispel this myth as it relates to forensic odontology. Topics will include forensic dental identification of decedents of varying postmortem states including: skeletal, fragmented, decomposed, burned remains and pattern injuries as they relate to bite mark investigation not only in human bites but animal bites as well.

Participants will: learn the varied roles of forensic dentists; understand the forensic value of dental records; and recognize how to cooperate with the legal system. AGD SUBJECT CODE 145

Dentistry’s Role In A Bioterrorism/ Mass Disaster Scenario If a disaster occurred in your community, would you be prepared?

Does your local public health department have enough trained personnel to handle such a disaster?

Learn how dental professionals may be asked to assist during a disaster.

Receive an introduction to basic triage principles and learn what you should have on hand to help you survive during a disaster. In addition, Dr. Cardoza will discuss the evolution of mass disaster management from a perspective of forensic dentistry.

Participants will: learn dentistry’s potential role in a bioterrorism/mass disaster; recognize the use of dental records in a mass disaster; and understand the role of the forensic dentist in a mass fatality. AGD SUBJECT CODE 145

Mechanical Instrumentation Of Root Canals And MTA Uses Nickel titanium rotary files used in a crown-down technique virtually eliminates the need for hand filing.

This produces a cleaner canal while eliminating ledging and transporation of canals. Principles, concepts, comparison of instrument sequences and prevention of breakage will be discussed. It can be altered to accommodate any filling technique.

Use of MTA for pulp capping, pulpotomy, root end fillings, apical closure and sealing of perforations and resorptions has dramatically changed these treatments. Techniques of MTA placement are included.

Educational funding provided by DENTSPLY Tulsa.

AGD SUBJECT CODE 070

Joe Camp, DDS 1:30 PM - 4:30 PM Audience: D, A, H, ST Course Code: #F17 3 Credit Hours | Fee: $45 Endodontic Diagnosis Diagnosis can often times be the most difficult phase of dental treatment. Endodontic diagnosis is frequently complicated by many other conditions which mimic pulpal disease. This lecture will sort through the many complexities involved in arriving at a correct diagnosis while presenting a systematic approach including all appropriate endodontic diagnostic tests and how to access the level of treatment difficulty. This lecture is a prerequisite for Course #S06. Educational funding provided

by DENTSPLY Tulsa.

AGD SUBJECT CODE 072

In recognition of the Beverly Bane Lectureship Fund, the TDA Smiles Foundation is proud to support the following lectures:

Thomas Dawson, DDS & Jack Shirley, DDS Thursday, May 6, 2010 8:30 AM - 11:30 AM Has Your Practice Ceased To Function?

Course Code: #T20

1:30 PM - 4:30 PM Tough Cases Made Simply Beautiful Course Code: #T21

Founded in 1990 as the nonprofit, philanthropic arm of the TDA, the TDA Smiles Foundation seeks to improve patient care in Texas through the support of education and research. To forward these efforts, the TDA Smiles Foundation hosts the Beverly Bane Honorary Lectureship, which fosters continuing education to broaden the scope of Texas dentists and enables them to better serve their patients.

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Lab Technician

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Timothy Caruso, PT, MBA, MS 8:30 AM - 11:30 AM Audience: D, LT, A, H, ST Course Code: #F20 3 Credit Hours Fee: $35 Posture, Pain, And Productivity In Dentistry Posture is a key ingredient in the dental profession which can positively and negatively impact the bottom line. Pain and stress are serious threats to personal and professional achievement. This hands-on approach reviews the problems that dental professionals face everyday. . .

Posture, productivity, career satisfaction and the bottom line. AGD SUBJECT CODE 018

Posture, Pain, And Productivity In Dentistry Workshop Posture is a key ingredient in the dental profession. Tuning in to proper posture can limit the amount of stress one feels during the course of the treatment day. This program presents a hands-on approach to solving the problems that dental professionals face in the work place everyday…posture, productivity, career satisfaction and the bottom line. There will be an opportunity to discuss individual concerns in an operatory environment following the presentation. AGD SUBJECT CODE 070

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Hygienist

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Student

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Spouse

Bruce Christopher

Harold Crossley, DDS, PhD

8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F22 3 Credit Hours Fee: $35

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F24 3 Credit Hours Fee: $55

Why Are Women So Strange And Men So Weird?

At the heart of any practice are relationships among staff, patients, and doctors. There is no doubt that communication runs your office!

This session takes a very humorous look at how men and women think, speak, and make decisions differently. Interpersonal effectiveness is a key factor in personal and practice success. Laugh & learn about men and women. AGD SUBJECT CODE 550

What’s The Real Deal About Street And Prescription Drug Abuse The dental team is in a unique position providing dental care to a patient population that may be regular users or experimenting with mood altering drugs. This presentation will help you to identify and manage the substance abusing patient, and includes the types, signs, and symptoms of commonly abused prescription and illicit drugs.

AGD SUBJECT CODE 016

8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F23 3 Credit Hours Fee: $55

1:30 PM - 4:30 PM Audience: D, LT, A, H, ST Course Code: #F21 3 Credit Hours Fee: $95 LIMITED ATTENDANCE

Texas Dental Journal

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Dental Assistant

Harold Crossley, DDS, PhD

Timothy Caruso, PT, MBA, MS

70

BA

Business Assistant

Your Patient’s Medication Profile And Its Dental Implications This presentation includes the indications, contraindications, and side effects of the fifty most commonly prescribed medications. These medications represent 30 percent of all prescription medications taken by your dental patients. Familiarity with these drugs will provide the dental practitioner with a better appreciation for the health profile of your dental patient. AGD SUBJECT CODE 016

Douglas Damm, DDS 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F25 3 Credit Hours Fee: $45 Red, White, And You – Part I These courses will present a systematic pattern for performing an oral soft tissue examination. Numerous unusual variations of normal and several subtle presentations of serious neoplasms are illustrated.

In addition, the pros and cons of several of the newer diagnostics aids will be included. The patterns of facial and intraoral squamous cell carcinoma will be presented along with a discussion of the differential diagnosis of red and white mucosal alterations. Educational funding provided by Dental Oncology Educational Program.

AGD SUBJECT CODE 739

F R I D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

Douglas Damm, DDS

Kevin Donly, DDS, MS

Robert Edwab, DDS

1:30 PM – 4:30 PM Audience: D, A, H, ST Course Code: #F26 3 Credit Hours Fee: $45

8:30 AM – 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F27 7 Credit Hours Fee: $90 Dentist / $45 Staff

Red, White, And You – Part II These courses will present a systematic pattern for performing an oral soft tissue examination.

Numerous unusual variations of normal and several subtle presentations of serious neoplasms are illustrated. In addition, the pros and cons of several of the newer diagnostics aids will be included.

The patterns of facial and intraoral squamous cell carcinoma will presented along with a discussion of the differential diagnosis of red and white mucosal alterations. The association between a number of chronic atrophic and vesiculoerosive diseases with squamous cell carcinoma will be highlighted during this session. Educational funding provided by Dental Oncology Educational Program.

AGD SUBJECT CODE 739

Contemporary Pediatric Dentistry Dental Materials This course will discuss the early diagnosis of tooth demineralization, focusing on the use of quantitative light fluorescence (QLF). Intervention with fluoride (including fluoride varnish), glass ionomer surface protectants, sealants and minimally invasive products and procedures will be presented. Risk assessment utilization in decision-making for restorative care will be discussed and related to recommendations made by the American Academy of Pediatric Dentistry for restorative dentistry care in children. The formulation of glass ionomer cements and their clinical utilization, including advantages and disadvantages, will be presented.

Compomers, their unique formulation, and clinical utilization will also be addressed. The effectiveness of caries inhibition and remineralization enhancement of fluoride-releasing glass ionomer cements and resins will be addressed. The use of composite resins in Pediatric Dentistry will be reviewed, including the concept of using hybrid, flowable and condensable composite resins. Appropriate clinical utilization, indications, contraindications, advantages and disadvantages will be discussed. Explanation of the enamel microabrasion technique and how microabrasion can be enhanced with bleaching will be presented.

Educational funding provided by Texas Academy of Pediatric Dentistry. AGD SUBJECT CODE 430

8:30 AM - 11:30 AM Audience: D, ST Course Code: #F28 3 Credit Hours Fee: $225 LIMITED ATTENDANCE Oral Surgery Workshop For The General Practitioner: See It And Then Do It! Step-by-step techniques to broaden your scope of practice and make oral surgery more enjoyable and income producing are performed on fresh pig mandibles. Each attendee then performs the surgical procedure on his or her own pig mandible. Perform a frenectomy, biopsy, flap techniques, and I and D’s. Proper use of the Cowhorn forcep for extracting posterior teeth and the Ash forcep for extracting anterior teeth are demonstrated along with the use of a rongeur when doing alveoplasties and root removals. All materials and instruments are provided. Just bring your enthusiasm to learn. AGD SUBJECT CODE 310

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LT

Lab Technician

Dentist

BA

Business Assistant

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Dental Assistant

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Hygienist

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Student

SP

Spouse

Robert Edwab, DDS

Robert Fazio, DMD

Paul Feuerstein, DMD

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F29 3 Credit Hours Fee: $125 LIMITED ATTENDANCE

8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F30 3 Credit Hours | Fee: $55

2:00 PM - 5:00 PM Audience: D Course Code: #F32 3 Credit Hours Fee: $145 LIMITED ATTENDANCE

Treatment Of Medical Emergencies In The Dental Office Workshop Life-threatening medical emergencies in the dental office can occur anytime. The clinician discusses common office emergencies seen in the dental office. Learn how to evaluate a patient and determine who to treat and who to refer for a medical evaluation. Learn to recognize patients who have a tendency to cause medical emergencies and how to modify their treatment plan. The clinician teaches you how to make your own emergency kit, identify an emergency, and perform the appropriate treatment. Learn what are the most appropriate drugs for a dentist to have, determine proper dosages, and see how to administer them.

Finally determine the maximum dose of local anesthetic for your patient and quickly calculate a safe dose.

All materials, syringes, and drugs are supplied by the clinician. AGD SUBJECT CODE 142

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The Good, The Bad, And The Ugly: Periodontitis And Peri-Implantitis What must the hygienist and the doctor know chairside every day to successfully treat periodontitis in both the compliant and noncompliant patient? Do the same principles apply to peri-implantitis?

Which cases are the winners and losers? Know specfic protocols; from curettes to toothbrushes, antiobiotics to analgesics, medical disease and drugs, to mouthrinses and toothpaste. Educational funding provided by P&G Oral Health.

AGD SUBJECT CODE 495

Paul Feuerstein, DMD 8:00 AM - 11:00 AM Audience: D, A Course Code: #F31 3 Credit Hours | Fee: $145 LIMITED ATTENDANCE Demonstrations Of The Latest High Tech Products In an overview of the latest high tech products being integrated in today’s practices, learn about specific products in the following areas: cameras—digital and intraoral; digital radiography; caries and oral disease detection; computer imaging, shade taking, patient education, digital practice and recall management and the latest tech products.

Many of the actual products, devices, and software will be in the room and will be presented, for hands on demonstrations and discussed in a non-sales, roundtable, academic setting. AGD SUBJECT CODE 561

Diagnosis, Planning, And Treatment Using New 3D Technology Follow the workflow from digital impressions, Conebeam CT, implant and restoration planning and lab processes all with the latest digital devices including CAD/CAM. Many of the actual products, devices, and software will be in the room and will be presented, demonstrated, and discussed in a non-sales, roundtable, academic setting. AGD SUBJECT CODE 561

Michael Fling, DDS 8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F33 3 Credit Hours Fee: $55 The Seven Steps Of Treatment Evaluation – Understanding The Envelope Of Parafunction Restorative occlusal concepts have historically been managed within an “envelope of function”. When we chew, teeth actually don’t touch, thus it isn’t during the envelope of function that failure occurs. It is when we extend into the “envelope of parafunction” that destruction occurs. This presentation introduces seven specific steps that must be considered when developing any treatment plan, reinforcing the need to treat within the parafunctional envelope. AGD SUBJECT CODE 735

F R I D AY c o u r s e s  KEY

SBDE Approved CE

Michael Fling, DDS 1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F34 3 Credit Hours Fee: $55 The Power Of PowerPoint This is a hands-on PC-based course that involves basic to advanced use of Microsoft Powerpoint 2007. These techniques can be utilized in office for case presentation and consultation appointments or more advanced techniques can be used in everyday education and lecture possibility.

AGD SUBJECT CODE 561 Each participant will use his or her own laptop which should have installed PowerPoint 2007. Apple users should have Office 2007 with PowerPoint installed. You will operate in Windows.

Gregory Folse, DDS 8:30 AM - 11:30 AM (Repeat) Audience: D, LT Course Code: #F35 3 Credit Hours Fee: $225 LIMITED ATTENDANCE Difficult Denture Patients: Real World Solutions Hands-On Workshop Course #T27 is a prerequisite for this workshop. See page 55 for a complete course description.

New Dentist

Audio Recorded Course

Ellen Gambardella, CDA, MEd and Rita Johnson, RDH, MA

Workshop

Gretchen Gibson, DDS, MPH and Linda Niessen, DMD, MPH 8:00 AM - 11:00 AM Audience: Dentist only Course Code: #F38 3 Credit Hours | Fee: $135 LIMITED ATTENDANCE

8:30 AM – 11:30 AM Course Code: #F36 1:30 PM – 4:30 PM (Repeat) Course Code: #F37

Root Caries Update: A Hands-On Workshop With the increased retention of teeth by adults of all ages, dentists are seeing a dramatic increase in root caries lesions. This program will focus on the diagnosis, prevention and treatment of root caries in adults. It will provide a hands-on experience to evaluate the use of various materials for restoring and preventing root caries. AGD SUBJECT CODE 258

Audience: LT, A, H, ST 3 Credit Hours Fee: $135 LIMITED ATTENDANCE Hands-On Alginate Impressions You will learn chromatic agent advantages; latest technologies for alginate impression taking; criteria for tray selections including triple trays; hints for maximizing anatomical structures; proper mixing technique; loading and seating of the trays; removal of impression from the oral cavity; inspection of the impression; guidelines for infection control; patient management; manipulation techniques for latex sensitive patients and operators; alternative methods for mixing; and numerous helpful hints for maximizing office efficiency. AGD SUBJECT CODE 495

Participants should bring dental loupes.

Mary Govoni, RDH, MBA 8:00 AM - 11:00 AM Audience: D, BA, A, H Course Code: #F39 3 Credit Hours | Fee: $35

Participants should bring personal, protective equipment, including mask, gloves, protective eyewear, and gown.

The Seven Strategies Of Highly Successful Dental Hygiene Teams Learn the key skills needed to move your dental hygiene practice to the next level of success. By following the seven strategies, participants will learn to fully develop the communication and leadership skills of the team, empower the hygienists to take charge of their success, create a comfortable and efficient work environment, utilize technology to enhance delivery of patient care, differentiate between “doing prophys” and treating periodontal disease, how to measure and monitor practice growth, and finally to enjoy the success. This seminar is appropriate for dentists, hygienists, hygiene assistants, and office administrators.

AGD SUBJECT CODE 560

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Lab Technician

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Business Assistant

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Dental Assistant

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Hygienist

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Student

SP

Spouse

Renee’ Graham, RDH, MEd

Jim Grisdale, DDS

David Guichet, DDS

8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F40 3 Credit Hours Fee: $45

8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F42 3 Credit Hours Fee: $55

8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F44 3 Credit Hours Fee: $55

Dental Caries: Advances In Detection And Disease Management Dental caries is a chronic infectious disease affecting children and adults.

This course will address trends in caries epidemiology, describe new diagnostic technologies, and discuss minimally invasive approaches to managing this disease. With earlier detection, the clinician will be able to redirect management from a restorative (surgical) approach to a medical (preventive) approach.

Educational funding provided

by DENTSPLY Professional. AGD SUBJECT CODE 257

Treatment Versus Prevention: New Insights On Common Oral Conditions There is no “trap door” at the neck that separates oral health from the health of the rest of the body. This is a paradigm shift that has significant implications for the treatment of oral conditions and for the role of the dental practitioner as a healthcare professional. Among topics covered in this course are: an overview of biofilms, commonly encountered oral conditions, and prevention strategies versus treatment modalities. AGD SUBJECT CODE 730

Renee’ Graham, RDH, MEd

Jim Grisdale, DDS

1:30 PM – 4:30 PM Audience: D, H, ST Course Code: #F41 3 Credit Hours Fee: $155 LIMITED ATTENDANCE

1:30 PM - 4:30 PM Audience: D, H, ST Course Code: #F43 3 Credit Hours Fee: $55

The Digital Dental Office Many technologies are used to enhance patient care in modern restorative dental practice. Learn how to identify and integrate new technologies to make your practice life more effective. From the initial examination to treatment; computers in dental practice continue to have a profound effect on the way we practice today. Will you go chartless? How will you begin? Find out how to get past the steep learning curve and avoid the obstacles that exist. Dental applications like digital photographic and radiographic imaging were initially viewed as diagnostic or educational tools.

Today these systems have matured to provide patients an interactive experience. Additionally with the emergence of 3D technologies there exists new frontier: digitally enhanced treatment. Clear aligner orthodontics, Guided implant surgery, and CADCAM abutments and restorations and are examples of 3D output currently in use. Course #F44 or Course #F45 is a prerequisite for Course #S19. Educational funding provided by Astra Tech and iMagDent. AGD SUBJECT CODE 561

Ultrasonics: An Evidence Based Approach To Nonsurgical Periodontal Therapy Workshop This course is based on current scientific literature and evidence based strategies to give the clinician practical guidelines regarding the use of ultrasonic instrumentation for nonsurgical periodontal therapy.

Ultrasonic instrumentation techniques will be covered extensively following the dental hygiene process of care and utilization of hands-on activities. Educational funding provided by DENTSPLY Professional.

AGD SUBJECT CODE 495

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Keys To Successful Bone Grafting Techniques For Ridge Preservation And Augmentation For Implants And Prosthetic Dentistry Prevention of alveolar bone loss and maintenance of alveolar bone structure are mandatory for long term stability of conventional or implant-supported prosthetic replacements. Topics covered in this course include diagnosis and treatment of soft and hard tissue defects; contemporary ridge preservation/ augmentation techniques and the choice of appropriate graft materials and membranes for successful regeneration. AGD SUBJECT CODE 499

January 2010

F R I D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

David Guichet, DDS

Mel Hawkins, DDS

Van Haywood, DMD

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F45 3 Credit Hours Fee: $55

8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F46 3 Credit Hours Fee: $35

8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #F48 3 Credit Hours | Fee: $45

Computer Guided Implant Treatment And The Immediate Load Prosthesis New technology has impacted the delivery of predictable and esthetic implant therapy. Advances in diagnostic CBCT imaging, implant interface technology, restorative design, and minimally traumatic surgical protocols make esthetic implant treatment results the norm.

Combining these procedures with modified surgical and laboratory techniques enable the immediately loaded prosthesis to be delivered efficiently. Additionally with the emergence of 3D technologies there exists new frontier: digitally enhanced treatment. Guided implant surgery, and CADCAM abutments and restorations are examples of 3D output currently in use. Patient selection criteria, treatment planning and restorative design controversies will be presented. Course #F44 or Course #F45 is a prerequisite for Course #S19. Educational funding provided by Astra Tech and iMagDent. AGD SUBJECT CODE 616

Local Anesthesia: 35 Years Of Hits, Misses, And Near Misses - Part I “Why do we only get a bad batch in the mandible?” In this presentation, the reasons for lack of effective anesthesia, especially in the mandible will be discussed. We will examine the causes for failure, including anatomy and other variables affecting Conventional Block Techniques. Clinical pharmacology, case reports, pediatrics and patient issues such as apprehension and chronic drug abuse will be reviewed.

There will also be an overview of a new intraosseous technique (IntraFlow), the reversal of local anesthesia (OraVerse) and more.

AGD SUBJECT CODE 132

Bleaching Update 2009: Bleaching Options From The Youngest To The Oldest Patient Tooth bleaching has swept the country and includes older adults age 80 down to young children age ten. Indication and contraindications for each age group and tooth discoloration will be presented. Also research on tray bleaching, in-office bleaching with and without a light, and over-the-counter bleaching will be discussed. Clinical protocols for the treatment of unusual discolorations such as brown and white spots, as well as nicotine and tetracycline-stained teeth will be demonstrated. AGD SUBJECT CODE 781

Van Haywood, DMD 1:30 PM – 4:30 PM Audience: D, BA, A, H, ST Course Code: #F49 3 Credit Hours | Fee: $45

Mel Hawkins, DDS 1:30 PM - 4:30 PM Audience: D, A, H, ST Course Code: #F47 3 Credit Hours Fee: $35 Local Anesthesia: 35 Year Of Hits, Misses, And Near Misses - Part II “Perfect Performance, but Imperfect Results.” This course presents advanced and adjunctive techniques, including Akinosi Closed Mouth, Gow-Gates High Ramus and Mixed Hybrid approaches. You will also improve your understanding of vasoconstrictor influences and drug interactions. Hear tips and tricks, including infiltration of mandibular permanent molars, as well as an update on the use of Articaine – panacea or problem? AGD SUBJECT CODE 132

Translating Smile Analysis Into Restorative Success Prior to initiating bleaching or any esthetic treatment, it is important for the dentist to examine and diagnose the overall esthetic condition of the patient. Performing a smile analysis includes an evaluation of how the teeth are positioned in the face, as well as a tooth-by-tooth analysis.

Conservative treatments include re-contouring, bleaching with composite augmentation, composite or porcelain veneers, or crowns.

The occlusal scheme of the patient must be evaluated to maintain the life of esthetic restorations, and may involve a post-treatment splint. AGD SUBJECT CODE 780

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LT

Lab Technician

Dentist

Charles Hoopingarner, DDS and Donald Coluzzi, DDS 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F50 3 Credit Hours Fee: $65 The Wonderful World Of Lasers In Dentistry Learn, see, touch, and watch a variety of dental lasers. This presentation will include fundamentals, tissue interaction, and safety including a review of current available instruments. Clinical cases demonstrating hard and soft tissue procedures with several instruments will be shown, and there will be discussion of the benefits, advantages, and limitations of lasers. This lecture is a prerequisite for Course #F51 or Course #S22. AGD SUBJECT CODE 135

Charles Hoopingarner, DDS and Donald Coluzzi, DDS 1:30 PM - 4:30 PM Audience: D, H, ST Course Code: #F51 3 Credit Hours Fee: $125 LIMITED ATTENDANCE The Wonderful World Of Lasers In Dentistry Workshop A hands-on workshop that will enable the participants to perform simulated surgical procedures utilizing a variety of lasers that will allow the participant to: compare lasers to other modalities; observe and understand various clinical procedures; analyze various lasers and their features; and perform several surgical simulations with different types of lasers. Course #F50 is a prerequisite for this workshop.

AGD SUBJECT CODE 135 Participants should bring loupes and laser safety glasses if available.

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BA

Business Assistant

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A

Dental Assistant

H

Hygienist

S

Student

SP

Spouse

Michaell Huber, DDS

Dave Hutt

1:30 PM - 4:30 PM (Repeat) Audience: D, H, ST Course Code: #F52 3 Credit Hours Fee: $45

1:30 PM - 5:00 PM Audience: D, LT, A, H, ST Course Code: #F54 4 Credit Hours | Fee: $95

Update On Managing Common Oral Lesions See page 57 for a complete course description.

Dave Hutt 8:00 AM - 11:30 AM Audience: D, LT, A, H, ST Course Code: #F53 4 Credit Hours | Fee: $45 Choosing A Camera, Using A Camera This program has two main objectives: 1) to help dental professionals be informed consumers when purchasing new digital equipment or upgrading to professional equipment, and 2) to teach the dental professional how to use the camera and flash system for intraoral and extraoral photography in a way that will maximize image quality while making the process simple, workable, and consistent. AGD SUBJECT CODE 138 Participants should bring a digital camera.

Shade Matching Photography This program has two main objectives: 1) To familiarize the dental professional with the theories, practices, and challenges involved in accurately assessing and recording color, and 2) to provide training in the use of digital camera and flash systems to address those challenges in order to effectively communicate with the dental lab. AGD SUBJECT CODE 138

Mark Hyman, DDS 8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F55 3 Credit Hours Fee: $55 Dentist / $35 Staff Inspire Before You Expire Practice Leadership Discover the five key principles of inspirational leadership during turbulent times. Learn how to inspire your team, your patients, and yourself as we refuse to engage in the recession. Embrace proven cutting-edge skills that Top Gun teams thrive upon. “Go where there is no path, and leave a trail today!”

AGD SUBJECT CODE 550

F R I D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

Mark Hyman, DDS

Laney Kay, JD

Wayne Kerr, DDS

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F56 3 Credit Hours Fee: $55 Dentist / $35 Staff

8:30 AM - 11:30 AM Course Code: #F58

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F61 3 Credit Hours Fee: $25

Take This Job And Love It! If you find too many of your days very busy, yet not as profitable as you would like, this seminar is definitely for you and your staff. In this course you will: discover the critical issues involved in successful handling of the new patient; make certain the time you devote to the new patient is worthwhile and productive; and learn new techniques for keeping your team focused and enthused- even when things go wrong. Learn how to capitalize on the individual skills of each dental team member and how these skills can improve the productivity of your practice and the quality of the service your practice provides.

AGD SUBJECT CODE 550

Curtis Jansen, DDS 8:00 AM -11:00 AM Audience: D, LT, BA, A, H, ST Course Code: #F57 3 Credit Hours Fee: $145 LIMITED ATTENDANCE Modern Dentistry At Your Fingertips This interactive workshop will explore all that digital impressions and CAD CAM dentistry can offer to grow your practice, your team and your patient satisfaction. Each participant will be able to use a digital impression system to scan models and impressions and then design the ultimate restorative option. Ideal for all team members. AGD SUBJECT CODE 615

1:30 PM - 4:30 PM (Repeat) Course Code: #F59 Audience: D, LT, BA, A, H, ST SP 3 Credit Hours Fee: $15 Blood, Spit, And Fears: A Painless OSHA Update Let’s face it, most OSHA training courses are anything but fun. Join us for a class that will change your mind forever! It’s fun, it’s fast, it’s informative, and it satisfies your annual OSHA requirements. We’ll cover the newest guidelines, new disease information, HIPAA highlights, and other relevant regulations. AGD SUBJECT CODE 148

Wayne Kerr, DDS 8:30 AM - 11:30 AM Audience: A, H, ST Course Code: #F60 3 Credit Hours Fee: $25 Clinical Tips, Tricks, And Techniques!

This presentation will enhance the clinical skills of assistants and hygienists. Learn how to quickly stabilize a broken tooth, obtain better alginates, sealants, and models, stop dentinal hypersensitivity, polish effectively, pulp test, temporize teeth efficiency, consider chairside education software, understand why restorative materials are selected, and more.

AGD SUBJECT CODE 551

After The Diploma. . .

Now that all of the hard work is behind you (yeah, right…), examine stress management and life planning techniques. Learn ten tips to enhance your chances for financial success, and consider the needs of your loved ones with eight important points they’ll thank you for. Serious topics, presented with humor. AGD SUBJECT CODE 550

Amy Kirsch 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST, SP Course Code: #F62 3 Credit Hours Fee: $55 Dentist / $35 Staff The High Performing Dental Team Inspiring commitment, teamwork, and cooperation. Team members demonstrating loyalty, who are committed to the practice, and are motivated to achieve results, are key in today’s practice environment. This team building seminar will empower the entire team to excel with the ability and willingness to deliver excellence in care. AGD SUBJECT CODE 557

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D

LT

Lab Lab Technician Technician

Dentist Dentist

BA

Business Business Assistant Assistant

A

Dental Dental Assistant Assistant

James Kohner, DDS

Fred Margolis, DDS

8:00 AM - 4:30 PM Audience: D, LT, BA, A, H, ST Course Code: #F63 7 Credit Hours | Fee: $295 LIMITED ATTENDANCE

8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F65 3 Credit Hours | Fee: $125 LIMITED ATTENDANCE

One Day Connective Tissue Grafting Dentists are obtaining predictable Connective Tissue Grafting results with clinical techniques that utilize proven, regenerative materials.

Indications for CTG include: Multiple teeth with root exposure; esthetic concerns; and multiple teeth with root exposure in combination with minimal attached gingiva. Learning objectives include: Learn diagnostic criteria for grafting selection; understand indications for each type of graft; understand limitations of each type of graft; step-by-step harvesting, placing and suturing; and step-by-step use of specialized instruments. Educational funding provided by Perio Institute. AGD SUBJECT CODE 492

Esthetic Dentistry For Tots And Teens Today’s parents demand the restoration of their children’s and teen’s teeth for function and esthetics. Self-image of our patients is very important. Glass ionomers, resinomers, composites, and various types of crowns will be illustrated on children and adolescents. Esthetic facings for stainless steel crowns will be illustrated and chairside/laboratory steps necessary will be given.

Esthetic space maintainers will be shown and the participant will learn the ease with which these can be fabricated. Enamel microabrasion, direct-bonded and porcelain veneers will be shown for esthetics for our teenage patients. AGD SUBJECT CODE 430

Mike Malone, DDS

Fred Margolis, DDS

8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #F64 3 Credit Hours | Fee: $45

1:30 PM - 4:30 PM Audience: D, A, H, ST Course Code: #F66 3 Credit Hours | Fee: $125 LIMITED ATTENDANCE

Getting Your Patients To Say Yes To Cosmetic Dentistry Dr. Malone will discuss techniques he uses to get most patients to schedule, to look forward to, and to rave about their comprehensive new patient examination. He will go over his step-by-step process for achieving predictable case acceptance for optimum dentistry of all types of patients and case sizes. Educational funding provided by Dux Dental.

AGD SUBJECT CODE 557

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Interceptive And Minor Orthodontics In this course the participant will learn the rationale behind early interceptive and minor orthodontic treatment. The participant will learn how to diagnose and treat orthodontic problems in the early mixed dentition stage of development. The hands-on portion will review “Mixed Dentition Analysis” and teach orthodontic band selection, seating, cementation, and removal. Interceptive and minor orthodontic treatment will be taught in a step-by-step

January 2010

H

Hygienist Hygienist

S

Student Student

SP

Spouse Spouse

approach so that the participant will be able to utilize the practical knowledge. Utilizing slides, models, and videotapes, the participant will learn how to diagnose, treat, prescribe to the laboratory, and adjust both removable and fixed orthodontic appliances. AGD SUBJECT CODE 373

Randolph Martin, MD 8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F67 3 Credit Hours | Fee: $45 Stress, Depression, And Happiness: Modern Life Can Be Hazardous To Your Health, But The Solution Lies With You Current events make all of us feel stressed and you, as dentists and dental healthcare workers, are subjected to tremendous stresses in your offices. This program is going to show you the toll that stress and even depression can take on you and your loved ones, but, most importantly, give you methods to not only deal effectively with stress, but to obtain true happiness and contentment in your personal and professional lives. AGD SUBJECT CODE 770

Orlando Martinez, BA, MA 2:00 PM - 5:00 PM (Repeat) Audience: D, LT, BA, A, H, ST, SP Course Code: #F68 3 Credit Hours | Fee: $35 Espanol 101: Learning Basic Spanish In The Dental Office See page 60 for a complete course description.

F R I D AY c o u r s e s  KEY

SBDE Approved CE

Kristy Menage Bernie, RDH, BS, RYT 8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F69 3 Credit Hours | Fee: $35 Advancing The Art And Science Of Dentistry Through Yoga This session will include a review of yoga research as it relates to total health and repetitive stress injury management as well as the impact of yoga on the various body systems.

In addition, specific methods to enhance ergonomic clinical positioning will be explored and include techniques to prevent repetitive stress related injuries. Participants will also be introduced to the various styles of yoga practice and basics relating to various equipment and props designed to assist those with repetitive stress related issues.

AGD SUBJECT CODE 770

New Dentist

Audio Recorded Course

Linda Niessen, DMD, MPH 1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST SP Course Code: #F71 3 Credit Hours | Fee: $25 Will You Still Need Me? Will You Still Treat Me When I’m 64?

Sixty is the new 40 and 80 is the new 60! The stereotypes about aging are changing rapidly. This program will discuss the unique oral health needs of an aging population. The program will examine common medical conditions and the medications patients take that increase their risk for caries, periodontal disease and other oral problems. You will learn how to develop preventive protocols for these diseases and apply the new guidelines for prescribing prophylactic antibiotics for prevention of infective endocarditis and joint replacements. Educational funding provided by Texas Association of Women Dentists. AGD SUBJECT CODE 752

Kristy Menage Bernie, RDH, BS, RYT 2:00 PM - 4:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F70 2 Credit Hours | Fee: $55 LIMITED ATTENDANCE Advancing The Art And Science Of Dentistry Through Yoga Workshop This session will introduce participants to the basics with respect to yoga practice. The practice session will include breath work (pranayama) and basic yoga poses (asana).

Please wear comfortable clothing.

This workshop will energize you and create an awareness of the benefits of yoga practice as they relate to the practice of dentistry. Open to all levels of experience. AGD SUBJECT CODE 770 Participants should bring a yoga mat or a large towel.

John Olmsted, DDS, MS 8:00 AM - 11:00 AM Audience: D, ST Course Code: #F72 3 Credit Hours | Fee: $225 LIMITED ATTENDANCE R U Ready 4 The 2 Nu R’s N Endo? Rotary NiTi Instrumentation Workshop Root canal therapy requires a high level of technical skills. You will be introduced to the 12 components of comprehensive diagnosis, new concepts with irrigation, and improvements with rotary NiTi files. You will also learn of the new AAE case difficulty assessment form and other patient information pamphlets.

Workshop

Educational funding provided by Sybron Endo. AGD SUBJECT CODE 070 Each participant will be required to bring two or three multirooted teeth not mounted with access cavities prepared. Teeth must be patent to accommodate #8 or #10 hand file.

Participants should also bring an endo explorer (DG-16), gloves, mask, loupes, and disposable gown. All other supplies and endo equipment will be provided.

John Olmsted, DDS, MS 1:30 PM - 4:30 PM Audience: D, ST Course Code: #F73 3 Credit Hours | Fee: $225 LIMITED ATTENDANCE R U Ready 4 The 2 Nu R’s N Endo? Resin Bonded Obturation Workshop The new resin bonded obturation materials have the properties of gutta percha, but exhibit superior sealing abilities as a root canal filling material. At the conclusion of this course, the attendee will be able to: demonstrate the various steps of resin bonded 3D techniques; and understand the importance of coronal seal. Educational funding provided by Sybron Endo. AGD SUBJECT CODE 070 Each participant will be required to bring two or three multirooted teeth not mounted with access cavities prepared. Teeth must be patent to accommodate #8 or #10 hand file.

Participants should also bring an endo explorer (DG-16), gloves, mask, loupes, and disposable gown. All other supplies and endo equipment will be provided.

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D

LT

Lab Technician

Dentist

BA

Business Assistant

A

Dental Assistant

Charles Palenik, MS, PhD, MBA

Edwin (Ted) Parks, DMD, MS and Gail Williamson, RDH, MS

8:30 AM - 11:30 AM Audience: D, LT, BA, A, H Course Code: #F74 3 Credit Hours Fee: $25

1:30 PM - 4:30 PM Audience: D, A, H, ST Course Code: #F76 3 Credit Hours | Fee: $165 LIMITED ATTENDANCE

Infection Prevention That Is Both Effective And Sensitive To The Environment Green infection control involves prevention and safety procedures and products that reduce adverse health and environmental impact.

“Greening” can include reductions (less waste, chemicals, water, paper, and energy use) and a review of safety procedures. Offices can “go green,” but still must keep things “clean.” The challenge is to use less, without compromising effectiveness.

AGD SUBJECT CODE 148

Digital Radiography: Join The Revolution This course will provide lecture and hands-on instruction in the basic concepts and techniques in digital radiography. The lecture portion includes an overview of digital imaging, receptors and common errors. Clinicians who are planning to purchase digital technology or those who are current users but need help with image acquisition will find this course useful. Dentists, dental hygienists and assistants will benefit from this workshop. This course will: describe basic principles and techniques involved in digital radiography; discuss the different types of sensors used for digital radiography; compare digital radiography to filmbased radiography; evaluate claims, enhancements and diagnostic tools in digital radiography; and determine steps to take to incorporate digital radiography in the office. AGD SUBJECT CODE 731

Edwin (Ted) Parks, DMD, MS and Gail Williamson, RDH, MS 8:30 AM - 11:30 AM (Repeat) Audience: D, A, H, ST Course Code: #F75 3 Credit Hours | Fee: $165 LIMITED ATTENDANCE Are Your Pictures Perfect? How To Produce Quality Radiographs See page 61 for a complete course description.

Stephen Poss, DDS 8:30 AM - 11:30 AM (Repeat) Audience: D, A, ST Course Code: #F77 3 Credit Hours | Fee: $225 LIMITED ATTENDANCE Advanced Anterior Esthetics Hands-On See page 61 for a complete course description.

Participants may want to bring dental loupes.

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Hygienist

S

Student

SP

Spouse

Jill Rethman, RDH, BA 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F78 3 Credit Hours | Fee: $45 An Update In Periodontics What Every Dental Hygienist Should Know Part I Part I: Evidence-based care . . .

Periodontal medicine . . .

The mouth/body connection . . .

Are you aware? In order to best treat patients, the dental hygienist must be knowledgeable in all aspects of periodontal care. This course begins with an overview of the concept of evidence-based (EB) care followed by the latest information on perio/ systemic links. AGD SUBJECT CODE 495

Jill Rethman, RDH, BA 1:30 PM - 4:30 PM Audience: D, A, H, ST Course Code: #F79 3 Credit Hours Fee: $45 An Update In Periodontics - What Every Dental Hygienist Should Know Part II Part II: Biofilms. . . Prevention and intervention strategies. . . Are you aware? In order to best treat patients, the dental hygienist must be knowledgeable in all aspects of periodontal care. Periodontal assessment, treatment and prevention methods are discussed. Learn the latest concepts in nonsurgical therapy. . . And more!

AGD SUBJECT CODE 495

F R I D AY c o u r s e s  KEY

SBDE Approved CE

Maria Emanuel Ryan, DDS, PhD 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #F80 3 Credit Hours Fee: $55 Special Considerations For The Dental Professional In Managing Patients With Diabetes Diabetes Mellitus affects over 20 million Americans. This presentation will summarize the evidence relating periodontal disease to diabetes mellitus. Treatment strategies that can positively impact the periodontal condition in patients with diabetes and potentially improve on overall health will be discussed based on published studies and case presentations. Educational funding provided by the Texas Society of Periodontists. AGD SUBJECT CODE 754

Rhonda Savage, DDS 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #F81 3 Credit Hours Fee: $55 Dentist / $35 Staff Leadership: A Total Team Effort Don’t go down with the ship! Learn how to be a leader in your practice and survive! This revealing course will unlock the keys to successful leadership from the dentist to the newest hire.The practice is only as strong as its weakest link. Attend this course and leave with a fresh new outlook. Strong leadership develops “owner-mentality” rather than “unionized thinking,” a much better way to practice dentistry.

AGD SUBJECT CODE 550

New Dentist

Audio Recorded Course

Workshop

Rhonda Savage, DDS

David Senn, DDS

1:30 PM - 4:30 PM Audience: D, BA, A, H, ST Course Code: #F82 3 Credit Hours Fee: $55 Dentist / $35 Staff

8:30 AM - 11:30 AM (Repeat) Audience: D, LT, BA, A, H, ST, SP Course Code: #F84 3 Credit Hours Fee: $45

Communication And Teamwork When teamwork is present, the office runs smoothly. When teamwork is missing, the days seem longer and much more stressful. This program outlines the importance of a positive attitude, accountability, and leadership at all levels. Many dentists and team members say they are burned out. But until they “catch on fire” for dentistry, how can they burn out? In many practices, burn-out is a cop-out for a lack of teamwork.

AGD SUBJECT CODE 550

Forensic Odontology: Dental Identification, Multiple Fatality Incident (Mass Disaster) Dental Identification, Dental Age Estimation See page 63 for a complete course description.

Laurie Semple, CDA, RDA, BS 8:00 AM - 5:00 PM (Repeat) Audience: A, H Course Code: #F83 7 Credit Hours Fee: $155 LIMITED ATTENDANCE Nitrous Oxide Monitoring Review See page 63 for a complete course description.

Participants must download, print, and bring the study guide to this course in addition to a highlighter and (2) #2 sharpened pencils. A study guide will be sent electronically approximately three weeks prior to the program. This class is only available through the pre-registration process. No one will be allowed to register on-site.

Nader Sharifi, DDS, MS 8:30 AM - 11:30 AM Audience: D, LT, ST Course Code: #F85 3 Credit Hours | Fee: $45 A Partial Course On Partial Dentures Hit the high points on fabricating esthetic, comfortable partial dentures using basic clinical materials and techniques. Review state-ofthe-art procedures for impression making for easy results in a clinical setting. Simplify partial denture frameworks with basic rules that always apply. Learn “claspless” partial designs as well as attachments and their alternatives.

Highlights include: clasp design options for the free-end saddle; esthetic partial denture framework designs; success and pitfalls with attachments; and the functional impression technique. This lecture is a prerequisite for Course #F86.

AGD SUBJECT CODE 672

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 F R I D AY c o u r s e s KEY KEY

D

LT

Lab Lab Technician Technician

Dentist Dentist

BA

Business Business Assistant Assistant

A

Dental Dental Assistant Assistant

H

Hygienist Hygienist

S

Student Student

SP

Spouse Spouse

Nader Sharifi, DDS, MS

Thomas Snyder, DMD, MBA

Elizabeth Somer, MA, RD

1:30 PM - 4:30 PM Audience: D, LT, ST Course Code: #F86 3 Credit Hours | Fee: $225 LIMITED ATTENDANCE

8:30 AM - 11:30 AM Audience: D, ST, SP Course Code: #F88 3 Credit Hours Fee: $25

1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F90 3 Credit Hours | Fee: $45

Partial Denture Attachments: The Hardest Job In Dentistry Participants will learn when attachments are indicated. Clinical cases are used to reinforce framework design for attachment partials.

During the hands-on workshop, participants will make an impression for an attachment RPD framework and pick up an attachment from a cast that will be taken home as a patient demonstration model. Course #F85 is a prerequisite for this workshop.

AGD SUBJECT CODE 672

Getting Started: Associate - Start Up - Practice Purchase - Partner?

Most graduates begin their careers as associates, but many career options follow. This program will guide participants to develop a successful associate arrangement and a “win-win” associate compensation package. Other topics include the key points of valuing a dental practice, the pros and cons of a practice start-up, what it takes to become a partner and what to look for when purchasing a practice. AGD SUBJECT CODE 556

Participants may want to bring magnification to wear.

Elizabeth Somer, MA, RD Jack Shirley, DDS

8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #F89 3 Credit Hours | Fee: $45

1:30 PM – 4:30 PM Audience: D LT, A, H Course Code: #F87 3 Credit Hours Fee: $55 Occlusion Made Simple A walk down occlusion lane is not a walk that we often want to take, but I say; “Give it another chance; it might change your whole practice and the way you do dentistry.” This course on occlusion has received rave reviews from dentists around the country.

One dentist’s comment was, “This is the first time I have ever understood occlusion, and I have been a dentist for 28 years.” Another dentist said, “Finally, someone is giving me something I can use in my practice.”

AGD SUBJECT CODE 184

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Age-Proof Your Body You needn’t take growing old laying down! You can slow, stop, and even in some cases reverse the aging process by making a few changes in what you eat, when you exercise, and how you think. New research shows you can reduce the risk for almost all of the leading age-related diseases, from heart disease and diabetes to cataracts and high blood pressure.

The anti-aging diet can protect your mind and help you stay mentally vital with a strong memory and quick reaction times well into your 90s and beyond. In this presentation, the latest research will be shared on diet and aging, plus easy diet, fitness, and supplement guidelines that add health to your years and years to your health. AGD SUBJECT CODE 150

January 2010

The Real Simple Diet: How To Eat Well In A Fast - Paced World Nutrition information is doubling every 18 months. How do you stay up to date when information seems to flip flop daily? Besides, is it really all that important how well you eat as long as you give it your best try and take a multi to be on the safe side?

Ms. Somer distills the latest research into a simple, no-fuss plan for eating well and feeling your best. She also explains why, what, and when to eat, supplement, and exercise in this upbeat, fun presentation.

AGD SUBJECT CODE 150

Jamison Spencer, DMD, MS 8:30 AM - 11:30 AM Audience: D, BA, A, H Course Code: #F91 3 Credit Hours Fee: $35 The Dentist’s Role In The Treatment Of Sleep Disordered Breathing The diagnosis and treatment of obstructive sleep apnea and snoring has exploded! Dentists are uniquely placed as primary care clinicians to be instrumental in the screening, referral and treatment of patients with sleep apnea and snoring problems as part of a medical/dental team. Oral appliance therapy has become a first line therapy for many patients, and is often the only viable hope for patients who have given up on CPAP. This lecture will give the attendee the background and tools they need to literally save the lives of patients with obstructive sleep apnea. AGD SUBJECT CODE 160

F R I D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Jamison Spencer, DMD, MS

Udell Webb, DDS

1:30 PM - 4:30 PM Audience: D, A, H Course Code: #F92 3 Credit Hours Fee: $125 LIMITED ATTENDANCE

8:30 AM - 11:30 AM Audience: D, BA, A, H, ST, SP Course Code: #F93 3 Credit Hours | Fee: $45

Dental Sleep Medicine Workshop Dental Sleep Medicine is an extremely exciting and growing field.

This hands-on course is intended for those who already have a basic understanding of sleep medicine and dental sleep medicine principles (or those who attend the didactic course on Friday). In this session various popular, FDA approved appliances will be discussed along with the pros and cons of each appliance and guidance for selecting the right appliance for the right patient.

Bite registration techniques will be discussed and each student will take a “George Gauge” bite registration.

Non-custom oral appliances will also be discussed and each student will have the opportunity to fit a “boil and bite” appliance and the Silent Sleep temporary appliance. AGD SUBJECT CODE 185 Participants should bring a George Gauge with one or two bite forks; one cartridge of Blue Mousse or equivalent bite registration material; two mixing tips; a mixing gun for the bite registration material cartridge; and scissors for trimming the impression material used to fit the Silent Sleep (please see fitting videos at www. mysilentsleep.com). The attendee will be provided: a boil and bite appliance (the Norad or similar appliance); a Silent Sleep temporary appliance; and material to fit the Silent Sleep (denture reline material or other PVS material).

Audio Recorded Course

New Face Of Insurance Today We will review the changes brought about in the insurance industry by the political system, how those changes impact your practice, how the patients’ perception of the changes impacts you, the new role of medical insurance in your practice and how codes and fees are affected by today’s environment. AGD SUBJECT CODE 554

Edward Wright, DDS, MS, MAGD

Workshop

Edward Wright, DDS, MS, MAGD 1:30 PM - 4:30 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #F95 3 Credit Hours | Fee: $35 TMD For Dental Hygienists And Staff Members Participants will be taught TMD signs and symptoms, masticatory and cervical palpations (with demonstration), TMD contributing factors, and effective treatments with emphasis on self-management strategies. Guidelines for when to refer a patient to their dentist for a TMD evaluation and for a nightguard evaluation will be provided. AGD SUBJECT CODE 182

8:30 AM - 11:30 AM Audience: D, LT, A, H, ST Course Code: #F94 3 Credit Hours | Fee: $35 Differential TMD Diagnoses And Treatments For General Practitioners A recommended initial TMD evaluation and treatment protocol will be provided for identifying non-TMD disorders that appear as TMD and for integrating multidisciplinary TMD therapies. This protocol will be applied to 19 cases in which the patient’s symptoms and clinical evaluation results are presented.

AGD SUBJECT CODE 182

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Saturday KEY

Lab Technician Technician Lab

Dentist Dentist

Business Assistant Assistant Business

Dental Assistant Assistant Dental

Hygienist Hygienist

Student Student

Spouse Spouse

Highlights  Practice Management From The Ground Up Lois Banta 8:30 AM – 11:30 AM

Receive! The Art Of Getting To “Yes”

 Tailoring Pain

Mark Hyman, DDS 8:30 AM – 11:30 AM

Medication To Your Patients’ Needs Harold Crossley, DDS, PhD 8:30 AM – 11:30 AM

 Diagnosis And

 Ask And Ye Shall

Treatment For Predictable Advanced Restorative Dentistry

 The Erbium Laser: The Star Wars Of Dentistry

Fred Margolis, DDS 9:00 AM – 12:00 PM

Jeff Brucia, DDS 9:00 AM – 12:00 PM

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The Texas Meeting 2009 | May 6th-9th San Antonio, TX

44 

S AT U R D AY c o u r s e s  KEY

SBDE Approved CE

Lois Banta 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST, SP Course Code: #S01 3 Credit Hours Fee: $35 Practice Management From The Ground Up Do you have written systems for practice management in your office?

Are you consistently frustrated by your numbers? Do you know what numbers to track in your practice?

Does your dental team know and share in your goals? You will learn how to monitor your practice effectively through proven systems, streamlined scheduling, effective communication and internal marketing strategies. See the magic happen within your dental team right before your eyes! Educational funding provided by CareCredit. AGD SUBJECT CODE 554

Nasser Barghi, DDS, MA 9:00 AM - 12:00 PM Audience: D, LT, A Course Code: #S02 3 Credit Hours Fee: $255 LIMITED ATTENDANCE Porcelain Veneers in 2010: Clinical Steps New and improved products have been introduced along with volumes of clinical information to enhance the esthetic and longevity of porcelain veneers. Having a practical knowledge of these developments allows us to increase the life expectancy and minimize unexpected and less desirable clinical outcomes; i.e., debonding and discoloration. This hands-on participation course is designed to provide participants with practical and clinical information on porcelain veneers. AGD SUBJECT CODE 613

New Dentist

Audio Recorded Course

Jen Blake, CDA, EFDA, MADAA

Workshop

Jeff Brucia, DDS 9:00 AM - 12:00 PM Audience: D, LT, A, ST Course Code: #S05 3 Credit Hours | Fee: $45

9:00 AM – 12:00 PM (Repeat) Audience: A Course Code: #S03 3 Credit Hours Fee: $50 LIMITED ATTENDANCE ADAA Learning In The Round See page 52 for a complete course description.

Non-ADAA member dental assistants will receive a free six-month membership in the American Dental Assistants Association. Current members will receive a special gift (be sure to bring your ADAA membership card with you.)

Nate Booth, DDS

Diagnosis And Treatment For Predicable Advanced Restorative Dentistry Advanced diagnosis and treatment planning for comprehensive restorative dentistry is absolutely necessary to ensure the best possible chance for successful treatment.

Learn when occlusal factors may play a role in restorative failure and TMD and how to restore patients using the latest materials coupled with the time-tested approach of occlusion.

Educational funding provided by Texas Academy of General Dentistry. AGD SUBJECT CODE 183

Joe Camp, DDS

9:00 AM - 12:00 PM Audience: D, BA, A, H, ST Course Code: #S04 3 Credit Hours Fee: $35 Challenging Times Never Last Resilient Dental Offices Do Some dental offices live at the mercy of challenging times. Others try to cope and just “hang in there.”

Smart practices are different.

They’re resilient! They know that tough times level the playing field and create unique opportunities for those who know the rules of the new game. AGD SUBJECT CODE 552

9:00 AM - 12:00 PM Audience: D, ST Course Code: #S06 3 Credit Hours | Fee: $225 LIMITED ATTENDANCE Hands-On Automated Endodontic Workshop The use of hand files has virtually been eliminated except to pathfind and negotiate dilacerated curves.

Participants in this course will learn to instrument root canals mechanically with rotary nickel-titanium files.

Demonstration followed by hands-on participation will teach the attendee how to achieve preparation mechanically to accommodate any filling material. Course #F17 is a prerequisite for this workshop.

Educational funding provided by DENTSPLY Tulsa. AGD SUBJECT CODE 074 Participants must bring extracted teeth which have had endodontic access prepared. Several anterior, bicuspid and molar teeth are recommended. Gloves and face masks may be brought by participant if desired.

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 S AT U R D AY c o u r s e s KEY

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LT

Lab Lab Technician Technician

Dentist Dentist

BA

Business Business Assistant Assistant

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Dental Dental Assistant Assistant

Anthony Cardoza, DDS

Harold Crossley, DDS, PhD

8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #S07 3 Credit Hours Fee: $125 LIMITED ATTENDANCE

8:30 AM - 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #S09 3 Credit Hours | Fee: $35

The Role Of Forensic Dentistry In The Identification Of Individuals This course is intended to acquaint the dental community with the procedures forensic dentists utilize in identifying decedents specifically in a mass disaster. The presentation will discuss the fundamentals of dental identification. The hands-on exercise will allow attendees to participate in a mock airplane disaster by developing and entering dental data into the standard forensic dental identification software program adopted for mass fatality incidents.

AGD SUBJECT CODE 145 Participants should bring a laptop computer. Participants must also bring a copy of the on-line handout with them to the course.

Timothy Caruso, PT, MBA, MS 9:00 AM - 12:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #S08 3 Credit Hours Fee: $35 Fitness And Function In Dentistry: Exercising Your Options For years dental professionals have been constrained by the limitations of their profession and the negative effect on their bodies. How do you care for your most important instrument? If you find yourself taking a rest every time you get the urge to exercise, this seminar is for you!

AGD SUBJECT CODE 770

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Tailoring Pain Medication To Your Patients’ Needs Is it safe to prescribe the NSAIDs in patients with cardiovascular disease or who have been prescribed ACE inhibitors? When is it safe to discontinue aspirin in a patient? What are the indications/contraindications for the use of opiate analgesics? These questions and more will be answered in this highly informative lecture.

AGD SUBJECT CODE 016

Douglas Damm, DDS 8:30 AM - 11:30 AM Audience: D, A, H, ST Course Code: #S10 3 Credit Hours | Fee: $35 Fire In The Hole This course will concentrate on acute oral ulcerations, which are the most common symptomatic mucosal pathoses encountered by oral health practitioners. During the discussion of each disorder, the clinical features, differential diagnosis, route toward definitive diagnosis, appropriate therapy, and prognosis will be presented. AGD SUBJECT CODE 739

Thomas Dawson, DDS Michael Fling, DDS and Jack Shirley, DDS 9:00 AM - 12:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #S11 3 Credit Hours | Fee: $55 What’s Your Next Move This panel has been assembled and designed for the entire team to brainstorm your future in dentistry.

Almost a century of clinical and

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private practice experience teamed together to discuss the issues from beginning a new practice to transitioning to retirement and anything in between. Clinical trends of today and the digital possibilities of the future will be discussed. AGD SUBJECT CODE 149

Melinda Dyches, CDA 8:00 AM – 11:00 AM Course Code: #S12 12:30 PM – 3:30 PM (Repeat) Course Code: #S13 Audience: D, LT, BA, A, H, ST, SP 3 Credit Hours Fee: $15 Are You Utilizing Dentix To The Fullest?

Come and learn about all the new features that are available in Dentrix G4 and G5 and also the new Practice Profitability Coaching program! This is an incredible opportunity to identify your office’s needs and achieve a more profitable practice. Educational funding provided by Dentrix. AGD SUBJECT CODE 561

Paul Feuerstein, DMD 8:00 AM - 11:00 AM (Repeat) Audience: D, A Course Code: #S14 3 Credit Hours | Fee: $145 LIMITED ATTENDANCE Demonstrations Of The Latest High Tech Products See page 72 for a complete course description.

S AT U R D AY c o u r s e s  KEY

SBDE Approved CE

Mary Govoni, RDH, MBA 9:00 AM - 12:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #S15 3 Credit Hours | Fee: $35 Success Strategies - How To Get What You Want This course will discuss success strategies that can be implemented by all members of the team that will increase profitability and decrease stress. The strategies include the importance of goal setting, leadership and communication; organization, systems and team meetings; comprehensive diagnosis and treatment planning; efficiency and the use of technology. AGD SUBJECT CODE 550

Renee’ Graham, RDH, MEd 9:00 AM - 12:00 PM (Repeat) Audience: D, H, ST Course Code: #S16 3 Credit Hours | Fee: $125 LIMITED ATTENDANCE Ultrasonics: An Evidence Based Approach To Nonsurgical Periodontal Therapy Workshop See page 74 for a complete course description.

Jim Grisdale, DDS 8:30 AM - 11:30 AM Audience: D Course Code: #S17 3 Credit Hours | Fee: $225 LIMITED ATTENDANCE Cutting Edge Periodontal Surgery For The General Practitioner: A Workshop This course is designed for the general practitioner using practical and predictable techniques to focus on periodontal flap surgery. Case selection, flap management from incisions, flap elevation and correct

New Dentist

Audio Recorded Course

Workshop

easily provide input in a collaborative fashion than with previous techniques. This workshop has been designed to identify the treatment algorithm for 3D planning. The participant will be introduced to the treatment planning pathway and crucial steps for success. Course #F44 or Course #F45 is a prerequisite for this workshop. Educational funding provided by Astra Tech, iMagDent, and the Texas Society of Periodontists. AGD SUBJECT CODE 690

flap positioning to suturing techniques will be covered. Participants will benefit from both a didactic component and a hands-on component. AGD SUBJECT CODE 490

David Grogan, DDS and Ernest Luce, DDS 8:00 AM - 2:30 PM Audience: D Course Code: #S18 6 Credit Hours | Fee: $195 Enteral Conscious Sedation Renewal Course This presentation is designed to satisfy the Texas State Board of Dental Examiners requirement that enteral sedation permit holders obtain 6 hours of continuing education in this subject area every 3 years.

Subjects discussed will include rules and regulations, patient selection, sedation pharmacology, monitor use and emergency management. AGD SUBJECT CODE 016

Participants should bring a laptop to the course to load Facilitate One Shot. This can be downloaded for free prior to the meeting from www.astratechdental.com. From the website, click on “system and products”, then click on “Facilitate”, then click “software installation”, then click on “Facilitate One Shot Free”.

Otherwise, attendees need to arrive 30 minutes early and disks will be available for upload to your computer.

Mel Hawkins, DDS 8:30 AM - 11:30 AM Audience: D, BA, A, H, ST, SP Course Code: #S20 3 Credit Hours | Fee: $185 LIMITED ATTENDANCE

David Guichet, DDS and Todd Scheyer, DDS 9:00 AM - 12:00 PM Audience: D, A, H Course Code: #S19 3 Credit Hours | Fee: $125 LIMITED ATTENDANCE Beyond Virtual Reality; Implant Treatment Technology Workshop Confidently bridge the gap between “virtual reality” and “physical reality” with implant treatment planning applications. The merging of Cone Beam CT, with 3D computer technology and CAD/CAM surgical guides has enabled dentists to accurately access the available bone and to communicate amongst team members and achieve optimal results. Team members can more

Medical Emergencies In The Dental Practice And In Life – A Hands-On Workshop “30 hours per week in-office, 168 hours per week in life!” Participation opportunity bell ringer with a brief slide/DVD format followed by four stations to include: 1) airway, oxygen delivery, cannula, full mask, big-valve mask; 2) monitoring, blood pressure, pulse oximetry, automated external defibrillators; 3) drug preparation/ the IM injection; 4) simulated emergency management featuring a patient. AGD SUBJECT CODE 142 Participants may wish to bring their own blood pressure cuffs and stethoscope.

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 S AT U R D AY c o u r s e s KEY

D

LT

Lab Technician

Dentist

BA

Business Assistant

Van Haywood, DMD

Dave Hutt

8:30 AM - 11:30 AM Audience: D, BA, A, H, ST Course Code: #S21 3 Credit Hours Fee: $95 LIMITED ATTENDANCE

9:00 AM - 12:00 PM Audience: D, LT, A, H, ST Course Code: #S23 3 Credit Hours | Fee: $35 LIMITED ATTENDANCE

Tray Fabrication Options For Bleaching, Sensitivity And Caries Control: Custom, Boil & Form, & Disposable Trays Explore the variation in custom tray designs, and participate in the construction of a custom bleaching tray on a properly trimmed cast. Casts will be provided to use and take for patient demonstrations. Other tray options such as single tooth trays, TMD trays, boil & form and disposable trays will be described for their use in bleaching, in sensitivity treatment and caries control. AGD SUBJECT CODE 781 Participants may bring a horseshoeshaped cast of their own mouth, trimmed with no vestibule, to make a tray so they can communicate to patients how it feels to wear a tray.

Charles Hoopingarner, DDS and Donald Coluzzi, DDS 9:00 AM - 12:00 PM (Repeat) Audience: D, H, ST Course Code: #S22 3 Credit Hours | Fee: $125 LIMITED ATTENDANCE The Wonderful World Of Lasers In Dentistry Workshop Course #F50 is a prerequisite for this workshop. See page 76 for a complete course description.

Participants should bring loupes and laser safety glasses if available.

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Digital Photography: Hands-on Practice In The Operatory This workshop will provide attendees the opportunity to gain hands-on experience in intraoral and extraoral photography. This will include: using mirrors and retractors to make the full range of intraoral photographs; making successful photographs of the central anteriors, incorporating the use of contrasters, shade tabs, and gray neutralizing tabs for effective shade-matching; extraoral and portrait techniques; and file transfer and file management techniques: getting the images into and out of your computer. If you have them, bring your camera and your laptop to this session. This is an ideal opportunity to practice with your camera in an informative and nonstressful environment.

AGD SUBJECT CODE 561 Participants should bring a laptop computer and a digital camera.

Mark Hyman, DDS 8:30 AM – 11:30 AM Audience: D, LT, BA, A, H, ST, SP Course Code: #S24 3 Credit Hours Fee: $55 Dentist / $35 Staff Ask And Ye Shall Receive!

The Art Of Getting To “Yes” Most people never receive optimal care because NO ONE ever asked!

Your team’s skill, talent, and abilities are wasted if the patient doesn’t say yes – Learn 10 characteristics of super dental teams; 10 steps to hear yes every time; 5 questions you must answer; 5 keys to effective listening; and 10 keys to success – “It’s what you learn, after you know it all, that counts”. AGD SUBJECT CODE 550

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Spouse

Laney Kay, JD

8:30 AM - 11:30 AM (Repeat) Audience: D, LT, BA, A, H, ST, SP Course Code: #S25 3 Credit Hours | Fee: $15 Blood, Spit, And Fears: A Painless OSHA Update See page 77 for a complete course description.

David Little, DDS and Aquileo Cortes, MA, CDT 8:30 AM – 11:30 AM Audience: D, LT, A, H Course Code: #S26 3 Credit Hours | Fee: $15 Developing A Team Approach For Successful Implant Dentistry Today’s practice of implant dentistry can be a rewarding experience when elements leading to failure can be significantly reduced. This presentation can guide practitioners to gain an insight into using their clinical expertise, as well as using their technical support. The professional union of clinicians and technicians brings about positive results at the prosthetic level. Through the use of different case presentations, discussions of types of implant systems and exposure to dental materials, attendees will gain enhanced knowledge that could bring their practice to a higher degree of clinical satisfaction.

Educational funding provided by the Dental Laboratory Association of Texas. AGD SUBJECT CODE 692

S AT U R D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

LONESTAR LECTURES Time: 8:30 AM – 1:15 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #S27 1-4 Credit Hours (One hour credit per session.)

Fee: $25

Wayne Kerr, DDS 8:30 AM - 9:30 AM Start Smart This dynamic and fast-paced presentation will touch on many factors necessary to operate your practice successfully. Learn what must be considered in your business plan, understand classic business stages, how to market and assess your practice, hire successfully, learn staff leadership skills, and more! Great for young practices!

AGD SUBJECT CODE 550

Fred Margolis, DDS 9:00 AM - 12:00 PM Audience: D, BA, A H, ST Course Code: #S28 3 Credit Hours | Fee: $25 The Erbium Laser: The Star Wars Of Dentistry This course will teach the participant how lasers work and the different types of lasers. Clinical cases will be shown to compare the differences in hard tissue laser procedures versus the high-speed handpiece and air abrasion. Soft tissue cutting and cauterization techniques will be illustrated. Class I through V cavity preparations will be shown. The research on lasers in dentistry will be reviewed. Purchasing a laser, marketing, and return on investment will be discussed. AGD SUBJECT CODE 135

Chris Maurer, MBA 9:45 AM – 10:45 AM Successful Financing Options For Your Practice Learn how to finance the growth of your practice in this course. Whether you’re expanding or relocating your practice, buying a new practice, purchasing state-of-the-art equipment, or buying commercial real estate, Banc of America Practice Solutions has loan products to fit your needs. AGD SUBJECT CODE 552

Michaell Huber, DDS 11:00 AM - 12:00 PM Oral Cancer Diagnostic Adjuncts And The Future Recently introduced oral mucosal assessment devices are being

Orlando Martinez, BA, MA 8:30 AM - 11:30 AM (Repeat) Audience: D, LT, BA, A, H, ST, SP Course Code: #S29 3 Credit Hours | Fee: $35

Espanol 101: Learning Basic Spanish In The Dental Office See page 60 for a complete course description.

marketed to assist in the early recognition of oral dysplasia and malignancy.

The pros and cons of these devices, along with possible future devices will be briefly discussed. AGD SUBJECT CODE 739

Harold Crossley, DDS, PhD 12:15 PM – 1:15 PM The Nuts And Bolts Of Drug Interactions This brief presentation will focus on the drug interactions that could be potentially life-threatening to your patients. Alternative treatments to avoid these interactions will be included. Spend an hour with Dr. Crossley and learn how to minimize your liability with this important aspect of medication selection. AGD SUBJECT CODE 016

Kristy Menage Bernie, RDH, BS, RYT 9:00 AM - 12:00 PM Audience: D, A, H, ST Course Code: #S30 3 Credit Hours | Fee: $25 Calcium, Phosphate, And Fluoride: Essential Strategies For Success This session will introduce participants to the latest advancement in remineralization strategies, including fluoride, calcium and phosphate delivery systems. A review of science will include the desensitizing action, as well as the research reporting remineralization among other clinical benefits. Additional topics will include a review of Caries Management by Risk Assessment (CAMBRA) and of calcium phosphate technologies, their differences and the products they are found in, as well as how they work with fluoride.

AGD SUBJECT CODE 258

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LT

Lab Lab Technician Technician

Dentist Dentist

Jaimee’ Morgan, DDS and Stan Presley, DDS

9:00 AM - 12:00 PM Audience: D, A, H, ST Course Code: #S34 3 Credit Hours | Fee: $35

12:30 PM – 3:30 PM (Repeat) Course Code: #S32 Audience: D, A, H, ST 3 Credit Hours | Fee: $95 LIMITED ATTENDANCE Finessing Orthodontics With Bleaching, Bonding, And Gingival Recontouring; A Workshop For General Dentists This presentation will show you how to add finesse and sparkle to orthodontic cases by combining tooth whitening, microabrasion polishing, direct bonding, and gingival recontouring. The step-by-step approach used in the case presentations will provide you with the knowledge to achieve remarkable results in your dental office quickly, efficiently, and profitably using the latest state-ofthe-art materials, methods, and techniques. Educational funding provided by Ultradent. AGD SUBJECT CODE 780

Edwin (Ted) Parks, DMD, MS 9:00 AM - 12:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #S33 3 Credit Hours | Fee: $25 Mold And Maggots 101: An Introduction To Forensic Odontology Overview of the forensic odontologist’s (FO) role & tasks performed: data collection, comparison techniques needed to complete a dental ID; bitemark analysis; mass fatality incident involvement. This course will: define the term FO; describe common tasks performed; describe the FO’s role in a mass fatality incident; and describe procedures for collecting potential bitemark evidence. AGD SUBJECT CODE 145

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Jill Rethman, RDH, BA

8:00 AM – 11:00 AM Course Code: #S31

90

BA

Business Business Assistant Assistant

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Determining Risk, Refining Treatment - The Next Level Of Care Risk assessment is key in determining the most appropriate care for patients. This program demonstrates how proper risk assessment can lead to effective preventative and treatment strategies. You’ll acquire the enhanced skills to provide the next level of periodontal care. AGD SUBJECT CODE 495

Nader Sharifi, DDS, MS 9:00 AM - 12:00 PM Audience: D, LT, ST Course Code: #S35 3 Credit Hours | Fee: $45 Complete Denture Techniques For The 21st Century: Improving George Washington’s Wooden Teeth Review state-of-the-art procedures for the highest quality removable prosthodontics – and discuss materials and techniques to simplify every aspect of complete dentures. Overcome the difficulties associated with centric relation and vertical dimension of occlusion – and cover different options of occlusal design. Learn different impression techniques and the requirements for successful prosthesis delivery. AGD SUBJECT CODE 671

Elizabeth Somer, MA, RD 9:00 AM - 12:00 PM Audience: D, LT, BA, A, H, ST, SP Course Code: #S36 3 Credit Hours | Fee: $15 Food & Mood: How To Eat Your Way To Happiness Don’t you wish there was a happy pill that boosted your spirits when you felt out of sorts? Well, it’s not a pill,

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but there is something as convenient as your refrigerator that could do the trick. How you feel has a lot to do with what you eat (or didn’t eat). Certain foods can tweak brain chemistry and help you stay happy, energized, and even calm. “Food & Mood” made clear the link between what we eat and how we feel, think, act, and sleep and has been the go-to book for more than a decade for adopting a diet that helps you feel your best.

Educational funding provided by the Alliance of TDA. AGD SUBJECT CODE 150

Jamison Spencer, DMD, MS 9:00 AM - 12:00 PM Audience: D, A, H, ST Course Code: #S37 3 Credit Hours Fee: $35 Capsulitis, Trismus Or NonReducing Disc Displacement?

Craniofacial Pain Disorders Common To The General Dental Practice Craniofacial pain and TMJ disorders are often confusing and difficult to accurately diagnose and treat. This lecture will provide the attendee with the background and knowledge to differentially diagnose and treat the most common craniofacial pain and TM disorders encountered in the dental practice. Included in the lecture will be a head and neck anatomy review, principles of examination, imaging techniques, differential diagnosis and basic treatment protocols. When correctly diagnosed, all of these disorders tend to respond very well to early treatment. When ignored or misdiagnosed, these relatively simple problems may quickly become chronic and complex pain disorders. AGD SUBJECT CODE 181

S AT U R D AY c o u r s e s  KEY

SBDE Approved CE

New Dentist

Audio Recorded Course

Workshop

Debra Stewart, DDS

Lee Walker, MD, DDS

Clark Whitmire, DMD, JD

8:00 AM – 11:00 AM Course Code: #S38

9:00 AM – 10:30 AM Course Code: #S40

8:00 AM – 11:00 AM Course Code: #S42

12:30 PM – 3:30 PM (Repeat) Course Code: #S39

12:30 PM – 2:00 PM (Repeat) Course Code: #S41

12:30 PM – 3:30 PM (Repeat) Course Code: #S43

Audience: D, A 3 Credit Hours | Fee: $85 LIMITED ATTENDANCE

Audience: D, LT, A, ST 2 Credit Hours | Fee: $15

Audience: D, A, BA, H, ST 3 Credit Hours | Fee: $15

The Role Of The Dental Implant Team in Growing Your Practice Today’s consumer demands better function and aesthetics with dental implant restorations. The traditional relationship between the surgeon and dentist involves independent roles in the care of the implant patient. Because of the heightened functional, aesthetic demands and pressures from the consumer for more immediate rehabilitation, traditional dental professional relationships may fall short of achieving the desired outcome.

Functional and aesthetic outcomes rely on proper treatment planning, case work up, interaction between all team members and feedback from the patient regarding decisions needed to achieve optimal form and function. Dental implant restorations are no longer a tooth replacement.

It is an emergency extraction and immediate tooth replacement achieving prevailing aesthetic results.

The power of a dental implant team permits predictable, simple and cost effective dental restorations that meet the demands of the consumer.

In the end, it is best for the dentist and best for the patient. Educational funding provided by the Texas Society of Oral and Maxillofacial Surgeons. AGD SUBJECT CODE 310

Liability Challenges In A Modern Dental Practice The Fortress seminar, Liability Challenges in a Modern Dental Practice, seeks to improve the understanding of litigation as it applies to the clinical issues commonly seen in dental claims as well as to highlight the risk management techniques that are used to lessen the risk of claims.

At the conclusion of the seminar, attendees will be able to: understand how risk management affects claims and their defensibility; and implement risk management techniques leaned to reduce their exposure and provide improved patient care.

Educational funding provided by Fortress Insurance. AGD SUBJECT CODE 554

Temporary Crowns And Bridges Made Easy!

Achieving excellence in dental assisting today demands the mastering of techniques taught in this lecture and hands-on workshop. Attendees will gain valuable knowledge and explore different techniques and various materials used in the fabrication of temporary crowns and bridges. Learn the importance of contours, finishing margins and occlusal adjustments of temporary crowns and bridges. This course will also cover shade verification techniques and laboratory prescriptions.

Dr. Stewart will share her techniques that are easily delegated to the dental assistant. AGD SUBJECT CODE 149.

Participants are required to bring the following supplies: Acrylic or Bis-Acryl Composite for making temporary crowns and bridges (i.e. Snap, Jet, Pro Temp Garant, Integrity, Cool Temp, Luxatemp, etc.) -- whatever you use in your office; eye dropper; Coe-Sep , Ultrasep III (from Ultradent), Modern Foil, Pam or Vaseline and 8 Q-Tip applicators; dappen dish to mix acrylic - (Mini-Bowls--Small--Schein); cement spatula; hemostats, explorer, scaler, crown and bridge/fingernail scissors; burs - (for a HP straight handpiece) — Axis, Brasseler, Schein, Ultradent; Acrylic Burs--shapes needed--flame and small taper (**You only need to get burs from one of the following companies: Axis—ask for Debra G. Stewart’s Bur Kit (Stewart Temp Set)—LS-909—Also carried by Sullivan Schein and Patterson; Ultradent-- #820 & #865--1-800-5525512; Harry Bosworth -- ask for customizing bur kit--1-800-323-4352); red pencil and regular #2 pencil; gloves—3 pair; safety glasses, lab jacket, and face mask.

Fortress insureds that attend the course will be eligible to receive a 10% risk management premium credit on their policy applicable to the next three policy periods.

Texas Dental Journal

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 S P E A K E R S AT A G L A N C E T H UR S D AY CODE

COURSE TITLE

CLINICIAN

TIME

FEE

T01 First Dental Home Training For Dentists And Head Start Dental Home Initiative

Altenhoff / Kennedy

2:00 PM - 5:00 PM

$15

T02 Practice Start Up For New Dentists

Angeloni / Maurer

9:00 AM - 12:00 PM

$15

T03 EagleSoft Practice Management

Bass

9:00 AM - 12:00 PM

$15

T04 Becoming A Chartless Dental Practice

Bass

1:30 PM - 4:30 PM

$15

T05 The Perfect Fit: Practical Principles For Matching Instrument Designs With Root Anatomy

Bendit

8:30 AM - 11:30 AM

$155

T06 Five Keys To Working With Ease: Effective Utilization Of Hand Instruments

Bendit

1:30 PM - 4:30 PM

$155

T07 Caries Management In Children

Berg

8:00 AM - 11:00 AM

T08 Restorative Dentistry For Children

Berg

1:00 PM - 4:00 PM

$55

T09 Stay Out Of Jail: The Top Coding Errors

Blair

8:30 AM - 11:30 AM

$45

T10 Practice Booster - Dentistry’s Answer To Intensify Clinical Treatment

Blair

1:30 PM - 4:30 PM

$45

T11 ADAA Learning In The Round

Blake

8:30 AM - 11:30 AM

$50

$55

T12 Invisalign: Clear Essentials I

Brandt

8:00 AM - 5:30 PM

T13 Planning, Designing, And Constructing Dental Facilities - Part I

Carter, J. / Carter, P.

8:30 AM - 11:30 AM

$15

T14 Planning, Designing, And Constructing Dental Facilities - Part II

Carter, J. / Carter, P.

1:30 PM - 4:30 PM

$15

T15 Oral Complications Of Cancer Therapy: Prevention And Management

Chambers

8:30 AM - 11:30 AM

$45

T16 Current Oncologic Principles And Therapies: What A Dentist Should Know!

Chambers

1:30 PM - 4:30 PM

$45

T17 Are We Having Fun Yet? Humor And Peak Performance In The Dental Practice

Christopher

9:00 AM - 12:00 PM

$35

T18 Bambi vs. Godzilla: Dealing With Difficult People

Christopher

2:00 PM - 5:00 PM

$35

$1,695

T19 Clinical Photography For The Oral Health Care Practitioner

Damm

1:30 PM - 4:30 PM

$45

T20 Has Your Practice Ceased To Function?

Dawson / Shirley

8:30 AM - 11:30 AM

$15

T21 Tough Cases Made Simply Beautiful

Dawson / Shirley

1:30 PM - 4:30 PM

$15

T22 Oral Surgery For The General Practitioner: Learn It Today - Do It Tomorrow

Edwab

8:30 AM - 4:30 PM

$95 D / $75 S

T23 Antibiotics In Dentistry

Fazio

8:30 AM - 11:30 AM

$55

T24 Medicine And Dentistry

Fazio

1:30 PM - 4:30 PM

$55

T25 The Endo-Restorative Continuum

Fleury

8:30 AM - 11:30 AM

$45

T26 The Endo-Restorative Continuum Workshop

Fleury

1:30 PM - 4:30 PM

T27 Difficult Denture Patients: Real World Solutions

Folse

8:30 AM - 11:30 AM

T28 Difficult Denture Patients: Real World Solutions Hands-On Workshop

Folse

1:30 PM - 4:30 PM

$195 $45 $225

T29 Perfect Alginates From A-Z And More

Gambardella/Johnson

8:00 AM - 11:00 AM

$55

T30 The Art And Science Of Pouring Models/Casts

Gambardella/Johnson

1:00 PM - 4:00 PM

$45

T31 Case Studies In Geriatric Dental Care

Gibson

8:30 AM - 11:30 AM

$25

T32 Changes In Dentistry: An Update For The Dental Assistant

Gibson

1:30 PM - 4:30 PM

$25

T33 How To Work All Day And Go Home Without A Back And Neck Ache

Govoni

8:30 AM - 11:30 AM

$35

T34 How To Work All Day And Go Home Without A Back And Neck Ache

Govoni

1:30 PM - 4:30 PM (repeat)

$35

T35 Diabetology In 21st Century Dentistry: The New Practice Imperative

Hein

8:30 AM - 11:30 AM

$55

T36 Preventive Cardiology In Dentistry: A New Frontier In Medical Dental Collaboration

Hein

1:30 PM - 4:30 PM

$55

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S P E A K E R S AT A G L A N C E  THURSDAY CODE

COURSE TITLE

CLINICIAN

TIME

FEE

T37 Reflections Of An Aging Warrior On The State Of The Occlusion Wars

Hoopingarner

1:30 PM - 4:30 PM

$65

T38 Update On Managing Common Oral Lesions

Huber

8:30 AM - 11:30 AM

$45

T39 Update On The Etiology And Diagnosis Of Oral Cancer

Huber

1:30 PM - 4:30 PM

$45 $55

T40 Are Implants Changing The Way You Practice?

Jansen

8:30 AM - 11:30 AM

T41 Blue Tooth Dentistry, Ensuring The Success Of Single Tooth Implant Restorations

Jansen

1:30 PM - 4:30 PM

$145

T42 Scheduling For Success

Kirsch

8:30 AM - 11:30 AM

$55 D / $35 S

T43 Dynamic Internal Marketing And Customer Service Skills

Kirsch

1:30 PM - 4:30 PM

$55 D / $35 S

T44 One Day Crown Lengthening

Kohner

8:00 AM - 4:30 PM

$295

T45 LONESTAR LECTURES: The Digital Difference: Using Digital Photography To Help Patients Visualize And Ask For Services Advances In TMD Digital Imaging And CAD-CAM Designed Dental Restorations Saliva Testing For Cancer Detection

Gates Wright Schmitt Streckfus

12:30 PM - 1:30 PM 1:45 PM - 2:45 PM 3:00 PM - 4:00 PM 4:15 PM - 5:15 PM

T46 Emergency Medicine

Luce

8:30 AM - 11:30 AM

$25

$35

T47 Emergency Medicine

Luce

1:30 PM - 4:30 PM (repeat)

$35

T48 Healthy Mouth, Healthy Body, Healthy Practice!

Mallonee

8:30 AM - 11:30 AM

$35

T49 U R What U Eat . . . And Drink!

Mallonee

1:30 PM - 4:30 PM

$35

T50 Smile Design And Advanced Provisional Fabrication

Malone

8:30 AM - 11:30 AM

$45

T51 Advanced Provisional Fabrication Workshop

Malone

1:30 PM - 4:30 PM

T52 You Don’t Have To Die Of Heart Disease And Cancers The Critical Importance Of Diet, Exercise, And Lifestyle Choices

Martin

8:30 AM - 11:30 AM

$145 $45

T53 The Secrets Of Life: Keys To Wellness And Successful Aging

Martin

1:30 PM - 4:30 PM

$45

T54 Espanol 101: Learning Basic Spanish In The Dental Office

Martinez

1:30 PM - 4:30 PM

$35

T55 Put A Sparkle In Your Patients’ Smiles And In Your Practice With Tooth Whitening

Morgan / Presley

8:00 AM - 11:00 AM

$95

T56 Put A Sparkle In Your Patients’ Smiles And In Your Practice With Tooth Whitening

Morgan / Presley

1:00 PM - 4:00 PM (repeat)

$95

T57 MDI Certification Seminar

Mullasseril

8:30 AM - 4:30 PM

$95

T58 You Did What To Whom? They Want How Much?

Olmsted

1:00 PM - 4:00 PM

$45

T59 Practice Transitions For Dentists

Page

2:00 PM - 5:00 PM

$15

T60 Improving The Effectiveness And Efficiency Of Your Infection Prevention Program

Palenik

8:30 AM - 11:30 AM

$25

T61 Infection Prevention Today, Infection Prevention Tomorrow

Palenik

1:30 PM - 4:30 PM

T62 Are Your Pictures Perfect? How To Produce Quality Radiographs

Parks / Williamson

8:30 AM - 11:30 AM

$165

T63 Are Your Pictures Perfect? How To Produce Quality Radiographs

Parks / Williamson

1:30 PM - 4:30 PM (repeat)

$165

T64 Advanced Anterior Esthetics

Poss

8:30 AM - 11:30 AM

T65 Advanced Anterior Esthetics Hands-On

Poss

1:30 PM - 4:30 PM

$25

$45 $225

T66 Ten Reasons Why Dentists Lose Malpractice Actions

Roman

9:00 AM - 12:00 PM

$15

T67 Ten Reasons Why Dentists Lose Malpractice Actions

Roman

2:00 PM - 5:00 PM (repeat)

$15

T68 Complex Prosthodontic Rehabilitations: Everyday Challenges On Steroids

Rouse

8:00 AM - 12:00 PM

$75

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 SSSPPPEEEA AAKKKEEERRRSSS AT AT AT AAA G GGLLLAAAN NNCCCEEE TTH THH UUU RS RS RS DDD AY AY AY(continued) (continued) (continued) CODE CODE CODE CODE

COURSE COURSE COURSE COURSE TITLE TITLE TITLE TITLE

CLINICIAN CLINICIAN CLINICIAN CLINICIAN

T69 T69 T69 ToTo Head To Head Head Off Off Disease Off Disease Disease Start Start Start AtAt The At The The Top: Top: Top: Oral Oral Oral Systemic Systemic Systemic Connections Connections Connections Ryan Ryan Ryan

TIME TIME TIME TIME

FEE FEE FEE FEE

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM

$55 $55 $55

$55 $55 $55

Non-Surgical Non-Surgical Non-Surgical Therapies Therapies Therapies ToTo Manage To Manage Manage Perio Perio Perio Diseases Diseases Diseases T70 T70 T70

Ryan Ryan Ryan

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

T71 T71 T71 The The The Key Key Key Essentials Essentials Essentials OfOf AOf A Successful A Successful Successful Practice Practice Practice

Savage Savage Savage

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM$55 $55 $55 DD / $35 D / $35 / $35 SS S

T72 T72 T72 The The The Joys Joys Joys And And And Challenges Challenges Challenges ofof Clinical of Clinical Clinical And And And Business Business Business Assisting Assisting Assisting

Savage Savage Savage

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$55 $55 $55 DD / $35 D / $35 / $35 SS S

T73 T73 T73 Nitrous Nitrous Nitrous Oxide Oxide Oxide Monitoring Monitoring Monitoring Review Review Review

Semple Semple Semple

8:00 8:00 8:00 AM AM AM - 5:00 - 5:00 - 5:00 PM PM PM

$155 $155 $155

T74 T74 T74 Forensic Forensic Forensic Odontology: Odontology: Odontology: Dental Dental Dental Identifi Identifi Identifi cation, cation, cation, Multiple Multiple Multiple Fatality Fatality Fatality Incident Incident Incident Senn Senn Senn (Mass (Mass (Mass Disaster) Disaster) Disaster) Dental Dental Dental Identifi Identifi Identifi cation, cation, cation, Dental Dental Dental Age Age Age Estimation Estimation Estimation

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM

$45 $45 $45

Dental T75 T75 T75 Forensic Forensic Forensic Odontology: Odontology: Odontology: Bitemark Bitemark Bitemark Analysis, Analysis, Analysis, Human Human Human Abuse, Abuse, Abuse, Dental Dental Professionals’ Professionals’ Professionals’ Responsibility Responsibility Responsibility InIn Human In Human Human Abuse Abuse Abuse

Senn Senn Senn

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$45 $45 $45

T76 T76 T76 Is Is Your Is Your Your Practice Practice Practice Ready Ready Ready For For An For An Associate An Associate Associate

Snyder Snyder Snyder

9:00 9:00 9:00 AM AM AM - 12:00 - 12:00 - 12:00 PM PM PM

$25 $25 $25

T77 T77 T77 Practice Practice Practice Transitions.

Transitions.

Transitions. . . .If. .Not If. Not If Not Now. Now. Now. . . .When? . .When? . When?

Snyder Snyder Snyder

2:00 2:00 2:00 PM PM -PM 5:00 - 5:00 - 5:00 PM PM PM

$25 $25 $25

T78 T78 T78 Dental Dental Dental Potpourri: Potpourri: Potpourri: Essentials Essentials Essentials For For The For The The Dental Dental Dental Assistant!

Assistant!

Assistant!

Stewart Stewart Stewart

9:00 9:00 9:00 AM AM AM - 12:00 - 12:00 - 12:00 PM PM PM

$95 $95 $95

T79 T79 T79 Dental Dental Dental Potpourri: Potpourri: Potpourri: Essentials Essentials Essentials For For The For The The Dental Dental Dental Assistant!

Assistant!

Assistant!

Stewart Stewart Stewart

2:00 2:00 2:00 PM PM -PM 5:00 - 5:00 - 5:00 PM PM (repeat) PM (repeat) (repeat)

$95 $95 $95

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM

$45 $45 $45

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$45 $45 $45

6:30 6:30 6:30 AM AM AM - 8:00 - 8:00 - 8:00 AM AM AM

$27 $27 $27

Rod Rod Rod Jensen Jensen Jensen && Associates & Associates Associates 1:30 1:30 1:30 PM PM -PM 5:00 - 5:00 - 5:00 PM PM PM

$50 $50 $50

T84 T84 T84 Sandy Sandy Sandy Oaks Oaks Oaks Olive Olive Olive Orchard Orchard Orchard Tour– Tour– Tour– AA Texas A Texas Texas Taste Taste Taste OfOf Tuscany Of Tuscany Tuscany

9:30 9:30 9:30 AM AM AM - 1:30 - 1:30 - 1:30 PM PM PM

$60 $60 $60

T85 T85 T85 Wine Wine Wine Seminar Seminar Seminar And And And Tasting Tasting Tasting

3:30 3:30 3:30 PM PM -PM 5:00 - 5:00 - 5:00 PM PM PM

$45 $45 $45

Webb Webb T80 T80 T80 Using Using Using Medical Medical Medical Insurance Insurance Insurance Increases Increases Increases Case Case Case Acceptance Acceptance Acceptance And And And Cash Cash Cash Flow Flow FlowWebb T81 T81 T81 It It Ain’t Ain’t It Ain’t Just Just Just AA Prophy A Prophy Prophy Anymore Anymore Anymore - Coding - Coding - Coding Hygiene Hygiene Hygiene Defensively Defensively Defensively

Webb Webb Webb

SPECIAL SPECIAL SPECIAL EVENTS EVENTS EVENTS ——THURSDAY, — THURSDAY, THURSDAY, MAY MAY MAY 66 6 T82 T82 T82 Pierre Pierre Pierre Fauchard Fauchard Fauchard Academy Academy Academy Breakfast Breakfast Breakfast T83 T83 T83 CPR CPR CPR Class Class Class

FFRI FRI RI DAY DAY DAY F01 Taking The Mystery Out Texas Medicaid F01 F01 Taking Taking The The Mystery Mystery Out Out OfOf Texas Of Texas Medicaid Medicaid

Altenhoff Altenhoff Altenhoff / Steinhauer / Steinhauer / Steinhauer 2:00 2:00 2:00 PM PM -PM 5:00 - 5:00 - 5:00 PM PM PM

$15 $15 $15

F02 The TDA Dental Assistant Registration Course F02 F02 The The TDA TDA Dental Dental Assistant Assistant Registration Registration Course Course

Anderton Anderton Anderton

7:30 7:30 7:30 AM AM AM - 5:15 - 5:15 - 5:15 PM PM PM

$95 $95 $95

Insurance Strategies That Work F03 F03 F03 Insurance Insurance Strategies Strategies That That Work Work

Banta Banta Banta

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM

$35 $35 $35

F04 F04 F04 Playing Playing Playing The The The Insurance Insurance Insurance And And And Accounts Accounts Accounts Receivable Receivable Receivable Game Game Game Your Your Your Way Way Way

Banta Banta Banta

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$35 $35 $35

F05 F05 F05 Bonded Bonded Bonded Porcelain Porcelain Porcelain Veneers Veneers Veneers And/Or And/Or And/Or Direct Direct Direct Composite Composite Composite Resin: Resin: Resin: Achieving Achieving Achieving Better Better Better Esthetic Esthetic Esthetic Results Results Results

Barghi Barghi Barghi

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM

$55 $55 $55

F06 F06 F06 Bonded Bonded Bonded Porcelain Porcelain Porcelain Restorations Restorations Restorations InIn 2010: In 2010: 2010: Using Using Using Advanced Advanced Advanced Materials Materials Materials and and and Technologies Technologies Technologies

Barghi Barghi Barghi

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$55 $55 $55

F07 F07 F07 Five Five Five Keys Keys Keys ToTo Working To Working Working With With With Ease: Ease: Ease: Effective Effective Effective Utilization Utilization Utilization OfOf Hand Of Hand Hand Instruments Instruments Instruments

Bendit Bendit Bendit

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM (repeat) (repeat) (repeat) $155 $155 $155

F08 F08 F08 Enamel Enamel Enamel Therapy: Therapy: Therapy: The The The Next Next Next Generation Generation Generation OfOf Care Of Care Care

Bendit Bendit Bendit

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$45 $45 $45

8:00 8:00 8:00 AM AM AM - 11:00 - 11:00 - 11:00 AM AM AM

$55 $55 $55

$75 $75 $75

F09 F09 F09 Building Building Building AnAn Infant An Infant Infant And And And Toddler Toddler Toddler Friendly Friendly Friendly Practice Practice Practice

Berg Berg Berg

F10 F10 F10 AA Clinical A Clinical Clinical Pathway Pathway Pathway InIn Progressive In Progressive Progressive Diagnosis Diagnosis Diagnosis And And And Treatment Treatment Treatment OfOf Periodontal Of Periodontal Periodontal Disease Disease Disease And And And The The The Opportunity Opportunity Opportunity Cost Cost Cost OfOf The Of The The Under-Diagnosis Under-Diagnosis Under-Diagnosis OfOf Periodontal Of Periodontal Periodontal Disease Disease Disease

Blair/Hein Blair/Hein Blair/Hein

8:30 8:30 8:30 AM AM AM - 3:30 - 3:30 - 3:30 PM PM PM

F11 F11 F11 The The The “Yes” “Yes” “Yes” System System System

Booth Booth Booth

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM $55 $55 $55 DD /$35 D /$35 /$35 SS S

F12 F12 F12 If IfDisney Disney If Disney Ran Ran Ran Your Your Your Dental Dental Dental Practice: Practice: Practice: 5 5T5hings Things Things Yo You u Yo Would uWould Would Do DoDo DiDiffer ffer Differ ently ently ently

Booth Booth Booth

1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$55 $55 $55 DD / $35 D / $35 / $35 SS S

F13 F13 F13 Invisalign: Invisalign: Invisalign: Clear Clear Clear Essentials Essentials Essentials II II II

Brandt Brandt Brandt

8:00 8:00 8:00 AM AM AM - 5:30 - 5:30 - 5:30 PM PM PM

$350 $350 $350

F14 F14 F14 Adhesive Adhesive Adhesive And And And Restorative Restorative Restorative Materials Materials Materials Update Update Update

Brucia Brucia Brucia

8:30 8:30 8:30 AM AM AM - 11:30 - 11:30 - 11:30 AM AM AM

Brucia Brucia F15 F15 F15 Direct Direct Direct Aesthetic Aesthetic Aesthetic Posterior Posterior Posterior Restorations; Restorations; Restorations; AnAn Adventure An Adventure Adventure InIn Excellence In Excellence ExcellenceBrucia

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1:30 1:30 1:30 PM PM -PM 4:30 - 4:30 - 4:30 PM PM PM

$65 $65 $65 $225 $225 $225

S P E A K E R S AT A G L A N C E  FR IDAY CODE CODE CODE

COURSE COURSE TITLE COURSETITLE TITLE

CLINICIAN CLINICIAN CLINICIAN

TIME TIME TIME

FEE FEE FEE

F16

Mechanical Instrumentation Of Root Canals And MTA Uses

Camp

8:30 AM - 11:30 AM

$45

F17

Endodontic Diagnosis

Camp

1:30 PM - 4:30 PM

$45

F18

Dispelling The “CSI Effect” Myth, An Overview Of Contemporary Forensic Dentistry

Cardoza

8:30 AM - 11:30 AM

$45

Dentistry’s Role In A Bioterrorism/Mass Disaster Scenario

Cardoza

1:30 PM - 4:30 PM

$45

F19 F20

Posture, Pain, And Productivity In Dentistry

Caruso

8:30 AM - 11:30 AM

$35

F21

Posture, Pain, And Productivity In Dentistry Workshop

Caruso

1:30 PM - 4:30 PM

$95

F22

Why Are Women So Strange And Men So Weird?

Christopher

8:30 AM - 11:30 AM

$35

F23

Your Patient’s Medication Profile And Its Dental Implications

Crossley

8:30 AM - 11:30 AM

$55

F24

What’s The Real Deal About Street And Prescription Drug Abuse

Crossley

1:30 PM - 4:30 PM

$55

F25

Red, White, And You - Part I

Damm

8:30 AM - 11:30 AM

$45

F26

Red, White, And You - Part II

Damm

1:30 PM - 4:30 PM

$45

F27

Contemporary Pediatric Dentistry Dental Materials

Donly

8:30 AM - 4:30 PM

$90 D / $45 S

F28

Oral Surgery Workshop For The General Practitioner: See It And Then Do It!

Edwab

8:30 AM - 11:30 AM

$225

F29

Treatment Of Medical Emergencies In The Dental Office Workshop

Edwab

1:30 PM - 4:30 PM

$125

F30

The Good, The Bad, And The Ugly: Periodontitis And Peri-Implantitis

Fazio

8:30 AM - 11:30 AM

$55

F31

Demonstrations Of The Latest High Tech Products

Feuerstein

8:00 AM - 11:00 AM

$145

F32

Diagnosis, Planning, And Treatment Using New 3D Technology

Feuerstein

2:00 PM - 5:00 PM

$145

F33

The Seven Steps Of Treatment Evaluation - Understanding The Envelope Of Parafunction

Fling

8:30 AM - 11:30 AM

$55

F34

The Power of PowerPoint

Fling

1:30 PM - 4:30 PM

$55

F35

Difficult Denture Patients: Real World Solutions Hands-On Workshop

Folse

8:30 AM - 11:30 AM (repeat)

$225

F36

Hands-On Alginate Impressions

Gambardella/Johnson

8:30 AM - 11:30 AM

$135

F37

Hands-On Alginate Impressions

Gambardella/Johnson

1:30 PM - 4:30 PM (repeat)

$135

F38

Root Caries Update: A Hands-On Workshop

Gibson / Niessen

8:00 AM - 11:00 AM

$135

F39

The Seven Strategies Of Highly Successful Dental Hygiene Teams

Govoni

8:00 AM - 11:00 AM

$35

F40

Dental Caries: Advances In Detection And Disease Management

Graham

8:30 AM - 11:30 AM

$45

F41

Ultrasonics: An Evidence Based Approach To Nonsurgical Periodontal Therapy Workshop

Graham

1:30 PM - 4:30 PM

F42

Treatment Versus Prevention: New Insights On Common Oral Conditions

Grisdale

8:30 AM - 11:30 AM

$55

Keys To Successful Bone Grafting Techniques For Ridge Preservation And Augmentation For Implants And Prosthetic Dentistry

Grisdale

1:30 PM - 4:30 PM

$55

F44

The Digital Dental Office

Guichet

8:30 AM - 11:30 AM

$55

F45

Computer Guided Implant Treatment And The Immediate Load Prosthesis

Guichet

1:30 PM - 4:30 PM

$55

F46

Local Anesthesia: 35 Years Of Hits, Misses, And Near Misses - Part I

Hawkins

8:30 AM - 11:30 AM

$35

F47

Local Anesthesia: 35 Years Of Hits, Misses, And Near Misses - Part II

Hawkins

1:30 PM - 4:30 PM

$35

F48

Bleaching Update 2009: Bleaching Options From The Youngest To The Oldest Patient

Haywood

8:30 AM - 11:30 AM

$45

Translating Smile Analysis Into Restorative Success

Haywood

1:30 PM - 4:30 PM

$45

F43

F49

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$155

95

 S P E A K E R S AT A G L A N C E F RI DAY CODE

(continued)

COURSE TITLE

CLINICIAN

TIME

F50 The Wonderful World Of Lasers In Dentistry

Hoopingarner/Coluzzi

8:30 AM - 11:30 AM

F51 The Wonderful World Of Lasers In Dentistry Workshop

Hoopingarner/Coluzzi

1:30 PM - 4:30 PM

FEE $65 $125

F52 Update On Managing Common Oral Lesions

Huber

1:30 PM - 4:30 PM (repeat)

$45

F53 Choosing A Camera, Using A Camera

Hutt

8:00 AM - 11:30 AM

$45

F54 Shade Matching Photography

Hutt

1:30 PM - 5:00 PM

$95

F55 Inspire Before You Expire Practice Leadership

Hyman

8:30 AM - 11:30 AM

$55 D / $35 S

F56 Take This Job And Love It!

Hyman

1:30 PM - 4:30 PM

$55 D / $35 S

F57 Modern Dentistry At Your Fingertips

Jansen

8:00 AM - 11:00 AM

$145

F58 Blood, Spit, And Fears: A Painless OSHA Update

Kay

8:30 AM - 11:30 AM

$15

F59 Blood, Spit, And Fears: A Painless OSHA Update

Kay

1:30 PM - 4:30 PM (repeat)

$15

F60 Clinical Tips, Tricks, And Techniques!

Kerr

8:30 AM - 11:30 AM

$25

F61 After The Diploma. . .

Kerr

1:30 PM - 4:30 PM

$25

F62 The High Performing Dental Team

Kirsch

8:30 AM - 11:30 AM

F63 One Day Connective Tissue Grafting

Kohner

8:00 AM - 4:30 PM

F64 Getting Your Patients To Say Yes To Cosmetic Dentistry

Malone

8:30 AM - 11:30 AM

$45

$55 D/ $35 S $295

F65 Esthetic Dentistry For Tots And Teens

Margolis

8:30 AM - 11:30 AM

$125

F66 Interceptive And Minor Orthodontics

Margolis

1:30 PM - 4:30 PM

$125

F67 Stress, Depression, And Happiness: Modern Life Can Be Hazardous To Your Health, But The Solution Lies With You

Martin

8:30 AM - 11:30 AM

F68 Espanol 101: Learning Basic Spanish In The Dental Office

Martinez

2:00 PM - 5:00 PM (repeat)

$35

F69 Advancing The Art And Science Of Dentistry Through Yoga

Menage Bernie

8:30 AM - 11:30 AM

$35

2:00 PM - 4:00 PM

$55 $25

F70 Advancing The Art And Science Of Dentistry Through Yoga Workshop Menage Bernie

$45

F71 Will You Still Need Me? Will You Still Treat Me When I’m 64?

Niessen

1:30 PM - 4:30 PM

F72 R U Ready 4 The 2 Nu R’s N Endo?

Rotary NiTi Instrumentation Workshop

Olmsted

8:00 AM - 11:00 AM

$225

F73 R U Ready 4 The 2 Nu R’s N Endo?

Resin Bonded Obturation Workshop

Olmsted

1:30 PM - 4:30 PM

$225

F74 Infection Prevention That Is Both Effective And Sensitive To The Environment

Palenik

8:30 AM - 11:30 AM

$25

F75 Are Your Pictures Perfect? How To Produce Quality Radiographs

Parks / Williamson

8:30 AM - 11:30 AM (repeat)

$165

F76 Digital Radiography: Join The Revolution

Parks / Williamson

1:30 PM - 4:30 PM

$165

F77 Advanced Anterior Esthetics Hands-On

Poss

8:30 AM - 11:30 AM (repeat)

$225

F78 An Update In Periodontics What Every Dental Hygienist Should Know Part I

Rethman

8:30 AM - 11:30 AM

$45

F79 An Update In Periodontics What Every Dental Hygienist Should Know Part II

Rethman

1:30 PM - 4:30 PM

$45

F80 Special Considerations For The Dental Professional In Managing Patients With Diabetes

Ryan

8:30 AM - 11:30 AM

$55

F81 Leadership: A Total Team Effort

Savage

8:30 AM - 11:30 AM

$55 D / $35 S

F82 Communication And Teamwork

Savage

1:30 PM - 4:30 PM

$55 D / $35 S

F83 Nitrous Oxide Monitoring Review

Semple

8:00 AM - 5:00 PM (repeat)

F84 Forensic Odontology: Dental Identification, Multiple Fatality Incident (Mass Disaster) Dental Identification, Dental Age Estimation

Senn

8:30 AM - 11:30 AM (repeat)

96

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S SP PE EAAKKE ERRS SAT ATAAGGL LAANNCCE E  F RI F RI D DAY AY (continued) (continued) CODE CODE

COURSE TITLE COURSE TITLE

CLINICIAN CLINICIAN

TIME TIME

FEEFEE

F85 F85 A Partial A Partial Course Course On Partial On Partial Dentures Dentures

Sharifi Sharifi

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

F86 F86 Partial Partial Denture Denture Attachments: Attachments: The Hardest The Hardest Job In Job Dentistry In Dentistry

Sharifi Sharifi

1:30 1:30 PM -PM 4:30- 4:30 PM PM

$225$225

F87 F87 Occlusion Occlusion Made Made Simple Simple

Shirley Shirley

$45 $45

1:30 1:30 PM -PM 4:30- 4:30 PM PM

$55 $55

Snyder F88 F88 Getting Getting Started: Started: Associate Associate - Start - Start Up - Up Practice - Practice Purchase Purchase - Partner?

- Partner? Snyder

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$25 $25

F89 F89 Age-Proof Age-Proof Your Your BodyBody

Somer Somer

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$45 $45

F90 F90 The Real The Real Simple Simple Diet:Diet: HowHow To Eat ToWell Eat Well In A In Fast A Fast - Paced - Paced World World

Somer Somer

Spencer F91 F91 The Dentist’s The Dentist’s RoleRole In The In Treatment The Treatment Of Sleep Of Sleep Disordered Disordered Breathing BreathingSpencer

1:30 1:30 PM -PM 4:30- 4:30 PM PM

$45 $45

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$35 $35

F92 F92 Dental Dental Sleep Sleep Medicine Medicine Workshop Workshop

Spencer Spencer

1:30 1:30 PM -PM 4:30- 4:30 PM PM

F93 F93 NewNew FaceFace Of Insurance Of Insurance Today Today

Webb Webb

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$45 $45

Wright Wright F94 F94 Differential Differential TMDTMD Diagnoses Diagnoses And And Treatments Treatments For General For General Practitioners Practitioners F95 F95 TMDTMD For Dental For Dental Hygienists Hygienists And And StaffStaff Members Members

$125$125

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$35 $35

Wright Wright

1:30 1:30 PM -PM 4:30- 4:30 PM PM

$35 $35

Pecan Pecan Valley Valley

7:30 7:30 AM AM

SPECIAL SPECIAL EVENTS EVENTS — FRIDAY, — FRIDAY, MAYMAY 7 7 7th Annual 7th Annual Healthy Healthy Smiles Smiles Golf Golf Classic Classic

$199$199

F96 F96 CPR CPR ClassClass

Rod Rod Jensen Jensen & Associates & Associates 8:00 8:00 AM -AM 11:30 - 11:30 AM AM (repeat) (repeat)$50 $50

F97 F97 CPR CPR ClassClass

Rod Rod Jensen Jensen & Associates & Associates 1:30 1:30 PM -PM 5:00- 5:00 PM (repeat) PM (repeat) $50 $50

F98 F98 Enchilada Enchilada Cooking Cooking ClassClass with with Art Glass Art Glass

9:30 9:30 AM -AM 12:30 - 12:30 PM PM

$75 $75

F99 F99 Christian Christian Medical Medical Dental Dental Society Society Breakfast Breakfast

7:00 7:00 AM -AM 8:30- 8:30 AM AM

$20 $20

F100F100 International International College College Of Dentists/American Of Dentists/American College College Of Dentists Of Dentists Breakfast Breakfast

7:00 7:00 AM -AM 9:00- 9:00 AM AM

$30 $30

S AT S ATUR U R DD AY AY Practice Management The Ground S01 S01 Practice Management FromFrom The Ground Up Up

Banta Banta

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$35 $35

S02 S02 Porcelain Porcelain Veneers Veneers in 2010: in 2010: Clinical Clinical StepsSteps

Barghi Barghi

9:00 9:00 AM -AM 12:00 - 12:00 PM PM

$255$255

S03 S03 ADAA ADAA Learning Learning In The In Round The Round

Blake Blake

9:00 9:00 AM -AM 12:00 - 12:00 PM (repeat) PM (repeat)$50 $50

S04 S04 Challenging Challenging Times Times Never Never Last Last — Resilient — Resilient Dental Dental Offices OffiDo ces Do

Booth Booth

9:00 9:00 AM -AM 12:00 - 12:00 PM PM

$35 $35

S05 S05 Diagnosis Diagnosis And And Treatment Treatment For Predictable For Predictable Advanced Advanced Restorative Restorative Dentistry Dentistry

Brucia Brucia

9:00 9:00 AM -AM 12:00 - 12:00 PM PM

$45 $45

S06 S06 Hands-On Hands-On Automated Automated Endodontic Endodontic Workshop Workshop

Camp Camp

9:00 9:00 AM -AM 12:00 - 12:00 PM PM

$225$225

S07 S07 The Role The Role Of Forensic Of Forensic Dentistry Dentistry In The In Identifi The Identifi cation cation Of Individuals Of Individuals Cardoza Cardoza

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$125$125

S08 S08 Fitness Fitness And And Function Function In Dentistry: In Dentistry: Exercising Exercising Your Your Options Options

Caruso Caruso

9:00 9:00 AM -AM 12:00 - 12:00 PM PM

$35 $35

S09 S09 Tailoring Tailoring Pain Pain Medication Medication To Your To Your Patients’ Patients’ Needs Needs

Crossley Crossley

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$35 $35

S10 S10 Fire In Fire The In Hole The Hole

Damm Damm

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$35 $35

S11 S11 What’s What’s Your Your NextNext Move Move

Dawson Dawson / Fling / Fling / Shirley / Shirley9:00 9:00 AM -AM 12:00 - 12:00 PM PM

$55 $55

S12 S12 Are You Are Utilizing You Utilizing Dentrix Dentrix To The To Fullest?

The Fullest?

Dyches Dyches

8:00 8:00 AM -AM 11:00 - 11:00 AM AM

$15 $15

S13 S13 Are You Are Utilizing You Utilizing Dentrix Dentrix To The To Fullest?

The Fullest?

Dyches Dyches

12:3012:30 PM -PM 3:30- 3:30 PM (repeat) PM (repeat)$15 $15

S14 S14 Demonstrations Demonstrations Of The Of Latest The Latest HighHigh TechTech Products Products

Feuerstein Feuerstein

8:00 8:00 AM -AM 11:00 - 11:00 AM (repeat) AM (repeat) $145$145

S15 S15 Success Success Strategies Strategies - How - How To Get To What Get What You Want You Want

Govoni Govoni

9:00 9:00 AM -AM 12:00 - 12:00 PM PM

S16 S16 Ultrasonics: Ultrasonics: An Evidence An Evidence Based Based Approach Approach To To Nonsurgical Nonsurgical Periodontal Periodontal Therapy Therapy Workshop Workshop

Graham Graham

9:00 9:00 AM -AM 12:00 - 12:00 PM (repeat) PM (repeat) $125$125

S17 S17 Cutting Cutting EdgeEdge Periodontal Periodontal Surgery Surgery For The For General The General Practitioner: Practitioner: A Workshop A Workshop

Grisdale Grisdale

8:30 8:30 AM -AM 11:30 - 11:30 AM AM

$225$225

S18 S18 Enteral Enteral Conscious Conscious Sedation Sedation Renewal Renewal Course Course

Grogan Grogan / Luce / Luce

8:00 8:00 AM -AM 2:30- 2:30 PM PM

$195$195

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 SSPPEEA AKKEERRSS AT AT AA G GLLAAN NCCEE SSAT ATUURRDDAY AY (continued) (continued) CODE CODE CODE

COURSE TITLE COURSE COURSETITLE TITLE

CLINICIAN CLINICIAN CLINICIAN

TIME TIME TIME

FEE FEE FEE

S19 Beyond Virtual Reality; Implant Treatment Technology Workshop S19 S19 Beyond BeyondVirtual VirtualReality; Reality;Implant ImplantTreatment TreatmentTechnology TechnologyWorkshop Workshop

Guichet Scheyer Guichet Guichet / Scheyer / /Scheyer

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$125 $125 $125

S20 Medical Emergencies The Dental Practice And Life S20 S20 Medical MedicalEmergencies EmergenciesInIn InThe TheDental DentalPractice PracticeAnd AndInIn InLife Life- -Hands-On Workshop AAAHands-On Hands-OnWorkshop Workshop

Hawkins Hawkins Hawkins

8:30 AM - 11:30 AM 8:30 8:30 AM AM - 11:30 - 11:30 AM AM

$185 $185 $185

S21 Tray Fabrication Options For Bleaching, Sensitivity S21 S21 Tray TrayFabrication FabricationOptions OptionsFor ForBleaching, Bleaching,Sensitivity Sensitivity And Caries Control And AndCaries CariesControl Control

Haywood Haywood Haywood

8:30 AM - 11:30 AM 8:30 8:30 AM AM - 11:30 - 11:30 AM AM

$95 $95 $95

S22 The Wonderful World Of Lasers Dentistry Workshop S22 S22 The TheWonderful WonderfulWorld WorldOf OfLasers LasersInIn InDentistry DentistryWorkshop Workshop

Hoopingarner/Coluzzi Hoopingarner/Coluzzi Hoopingarner/Coluzzi

9:00 AM - 12:00 PM (repeat) $125 $125 9:00 9:00 AM AM - 12:00 - 12:00 PM PM (repeat) (repeat) $125

S23 Digital Photography: Hands-On Practice The Operatory S23 S23 Digital DigitalPhotography: Photography:Hands-On Hands-OnPractice PracticeInIn InThe TheOperatory Operatory

Hutt Hutt Hutt

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

S24 Ask And Ye Shall Receive!

The Art Of Getting To “Yes” S24 S24 Ask AskAnd AndYe YeShall ShallReceive!

Receive!The TheArt ArtOf OfGetting GettingTo To“Yes” “Yes”

Hyman Hyman Hyman

8:30 AM - 11:30 AM $55 $55 D/$35 $35 8:30 8:30 AM AM - 11:30 - 11:30 AM AM $55 D/D/$35 SS S

S25 Blood, Spit, And Fears: Painless OSHA Update S25 S25 Blood, Blood,Spit, Spit,And AndFears: Fears:AAAPainless PainlessOSHA OSHAUpdate Update

Kay Kay Kay

8:30 AM - 11:30 AM (repeat) 8:30 8:30 AM AM - 11:30 - 11:30 AM AM (repeat) (repeat)

$15 $15 $15

S26 Developing Team Approach For Successful Implant Dentistry S26 S26 Developing DevelopingAAATeam TeamApproach ApproachFor ForSuccessful SuccessfulImplant ImplantDentistry Dentistry

Little Cortes Little Little / Cortes / /Cortes

8:30 AM - 11:30 AM 8:30 8:30 AM AM - 11:30 - 11:30 AM AM

$15 $15 $15

S27 LONESTAR LECTURES: S27 S27 LONESTAR LONESTARLECTURES: LECTURES: Start Smart!

Start StartSmart!

Smart!

Successful Financing Options For Your Practice Successful SuccessfulFinancing FinancingOptions OptionsFor ForYour YourPractice Practice Oral Cancer Diagnostic Adjuncts And The Future Oral OralCancer CancerDiagnostic DiagnosticAdjuncts AdjunctsAnd AndThe TheFuture Future The Nuts And Bolts Of Drug Interactions The TheNuts NutsAnd AndBolts BoltsOfOfDrug DrugInteractions Interactions

Kerr Kerr Kerr Maurer Maurer Maurer Huber Huber Huber Crossley Crossley Crossley

8:30 AM - 9:30 AM 8:30 8:30 AM AM - 9:30 - 9:30 AM AM 9:45 AM 10:45 AM 9:45 9:45AM AM- 10:45 - 10:45AM AM 11:00 AM 12:00 PM 11:00 11:00AM AM- 12:00 - 12:00PM PM 12:15 PM 1:15 PM 12:15 12:15PM PM- 1:15 - 1:15PM PM

S28 The Erbium Laser: The Star Wars Of Dentistry S28 S28 The TheErbium ErbiumLaser: Laser:The TheStar StarWars WarsOf OfDentistry Dentistry

Margolis Margolis Margolis

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$25 $25 $25

S29 Espanol 101: Learning Basic Spanish The Dental Offi ce S29 S29 Espanol Espanol101: 101:Learning LearningBasic BasicSpanish SpanishInIn InThe TheDental DentalOffi Offi ce ce

Martinez Martinez Martinez

8:30 AM - 11:30 AM (repeat) 8:30 8:30 AM AM - 11:30 - 11:30 AM AM (repeat) (repeat)

$35 $35 $35

S30 Calcium, Phosphate, And Fluoride: Essential Strategies For Success Menage Bernie S30 S30 Calcium, Calcium,Phosphate, Phosphate,And AndFluoride: Fluoride:Essential EssentialStrategies StrategiesFor ForSuccess Success Menage Menage Bernie Bernie

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$25 $25 $25

S31 Finessing Orthodontics With Bleaching, Bonding, S31 S31 Finessing FinessingOrthodontics OrthodonticsWith WithBleaching, Bleaching,Bonding, Bonding, And Gingival Recontouring; Workshop For General Dentists And AndGingival GingivalRecontouring; Recontouring;AAAWorkshop WorkshopFor ForGeneral GeneralDentists Dentists

Morgan Presley Morgan Morgan / Presley / /Presley

8:00 AM - 11:00 AM 8:00 8:00 AM AM - 11:00 - 11:00 AM AM

$95 $95 $95

S32 Finessing Orthodontics With Bleaching, Bonding, And S32 S32 Finessing FinessingOrthodontics OrthodonticsWith WithBleaching, Bleaching,Bonding, Bonding,And And Gingival Recontouring: Workshop For General Dentists Gingival GingivalRecontouring: Recontouring:AAAWorkshop WorkshopFor ForGeneral GeneralDentists Dentists

Morgan Presley Morgan Morgan / Presley / /Presley

12:30 PM - 3:30 PM (repeat) 12:30 12:30 PM PM - 3:30 - 3:30 PM PM (repeat) (repeat)

$95 $95 $95

S33 Mold And Maggots 101: An Introduction To Forensic Odontology S33 S33 Mold MoldAnd AndMaggots Maggots101: 101:An AnIntroduction IntroductionTo ToForensic ForensicOdontology Odontology

Parks Parks Parks

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$25 $25 $25

S34 Determining Risk, Refi ning Treatment The Next Level Of Care S34 S34 Determining DeterminingRisk, Risk,Refi Refi ning ningTreatment Treatment- --The TheNext NextLevel LevelOf OfCare Care

Rethman Rethman Rethman

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$35 $35 $35

S35 Complete Denture Techniques For The 21st Century: S35 S35 Complete CompleteDenture DentureTechniques TechniquesFor ForThe The21st 21stCentury: Century: Improving George Washington’s Wooden Teeth Improving ImprovingGeorge GeorgeWashington’s Washington’sWooden WoodenTeeth Teeth

Sharifi Sharifi Sharifi

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$45 $45 $45

S36 Food Mood: How To Eat Your Way To Happiness S36 S36 Food Food&&&Mood: Mood:How HowTo ToEat EatYour YourWay WayTo ToHappiness Happiness

Somer Somer Somer

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$15 $15 $15

S37 Capsulitis, Trismus Or Non-Reducing Disc Displacement?

S37 S37 Capsulitis, Capsulitis,Trismus TrismusOr OrNon-Reducing Non-ReducingDisc DiscDisplacement?

Displacement?

Spencer Craniofacial Pain Disorders Common To The General Dental Practice Spencer Craniofacial CraniofacialPain PainDisorders DisordersCommon CommonTo ToThe TheGeneral GeneralDental DentalPractice Practice Spencer

9:00 AM - 12:00 PM 9:00 9:00 AM AM - 12:00 - 12:00 PM PM

$35 $35 $35

S38 Temporary Crowns And Bridges Made Easy!

S38 S38 Temporary TemporaryCrowns CrownsAnd AndBridges BridgesMade MadeEasy!

Easy!

Stewart Stewart Stewart

8:00 AM - 11:00 AM 8:00 8:00 AM AM - 11:00 - 11:00 AM AM

$85 $85 $85

S39 Temporary Crowns And Bridges Made Easy!

S39 S39 Temporary TemporaryCrowns CrownsAnd AndBridges BridgesMade MadeEasy!

Easy!

Stewart Stewart Stewart

12:30 PM - 3:30 PM (repeat) 12:30 12:30 PM PM - 3:30 - 3:30 PM PM (repeat) (repeat)

$85 $85 $85

S40 The Role Of The Dental Implant Team Growing Your Practice S40 S40 The TheRole RoleOf OfThe TheDental DentalImplant ImplantTeam TeamInIn InGrowing GrowingYour YourPractice Practice

Walker Walker Walker

9:00 AM - 10:30 AM 9:00 9:00 AM AM - 10:30 - 10:30 AM AM

$15 $15 $15

S41 The Role Of The Dental Implant Team Growing Your Practice S41 S41 The TheRole RoleOf OfThe TheDental DentalImplant ImplantTeam TeamInIn InGrowing GrowingYour YourPractice Practice

Walker Walker Walker

12:30 PM - 2:00 PM (repeat) 12:30 12:30 PM PM - 2:00 - 2:00 PM PM (repeat) (repeat)

$15 $15 $15

S42 Liability Challenges Modern Dental Practice S42 S42 Liability LiabilityChallenges ChallengesInIn InAAAModern ModernDental DentalPractice Practice

Whitmire Whitmire Whitmire

8:00 AM - 11:00 AM 8:00 8:00 AM AM - 11:00 - 11:00 AM AM

$15 $15 $15

S43 Liability Challenges Modern Dental Practice S43 S43 Liability LiabilityChallenges ChallengesInIn InAAAModern ModernDental DentalPractice Practice

Whitmire Whitmire Whitmire

12:30 PM - 3:30 PM (repeat) 12:30 12:30 PM PM - 3:30 - 3:30 PM PM (repeat) (repeat)

$15 $15 $15

Rod Jensen &Associates Associates8:00 8:00 AM - 11:30 AM (repeat) Rod Rod Jensen Jensen &&Associates 8:00 AM AM - 11:30 - 11:30 AM AM (repeat) (repeat)

$50 $50 $50

$35 $35 $35

$25 $25 $25

SPECIAL EVENTS — SATURDAY, MAY SPECIAL SPECIALEVENTS EVENTS— —SATURDAY, SATURDAY,MAY MAY888 S44 CPR Class S44 S44 CPR CPRClass Class

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PHOTOGRAPHY CONTEST  2010 TEXAS Meeting Photography Contest From the amateur photographer to the casual or experienced, enter your photos in the 2010 TEXAS Meeting Photography Contest! All the photographs and winners will be displayed at the Photography Contest Pavilion in the registration area. Best in Show and Best of Texas will receive a special engraved plaque! First, Second, Third, and Honorable Mentions will receive ribbons!

5 CATEGORIES Portraits (people and animals); Sports/Human Endeavor (action); Built Environment (cityscapes, architecture); Natural Wonders (landscapes, wild animals, rural life); Black & White/Abstract/Artistic.

NOTE: Any of these categories can be considered for Best of Texas if noted as Texas on entry form.

RULES & REGULATIONS  All participants must be registered for the 2010 TEXAS Meeting.  A maximum of five entries per photographer.  All photographs must be matted (maximum size of mat board is 16” x 20”; maximum size of image is 11” x 14”).

Any photos not matted will not be entered in the contest and will be returned after the 2010 TEXAS Meeting.

 Entry fee is $15.00 per person. Please make checks payable to Texas Dental Association and reference Photo Contest.

 Each photograph must have a label on the back to include: name, address, phone, title of photograph and category.  All photographs must be received in the TDA central office by March 26, 2010.  All photographs can be picked up on show-site at the TDA show office located in H-62, after 2 PM on Saturday, May 8. Please include a self-addressed stamped mailer if you prefer photos to be returned by mail after the meeting.

 All photographs can be displayed at the TEXAS Meeting and in future TDA Publications.

P H OTOGRAPHY CONTES T ENTRY FO R M Name: Phone:

print

signature

E-mail:

Number of Entries:

Titles & Category (& Location – if for TEXAS category) 1. Title

Category:

2. Title

Category:

3. Title

Category:

4. Title

Category:

5. Title

Category:

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99

î ˛ SPEAKERS BY TOPIC TOPIC

THURSDAY, MAY 6 T H

FRIDAY, MAY 7 T H

SATURDAY, MAY 8 TH

Adhesion/Materials

J. Brucia, AM & PM

J. Brucia, AM

Anesthesia

M. Hawkins, AM & PM

Assistants/Staff

J. Blake, AM E. Gambardella & R. Johnson, AM & PM D. Stewart, AM & PM

R. Anderton, AD E. Gambardella & R. Johnson, AM & PM

J. Blake, AM M. Govoni, AM

Bleaching/Whitening

J. Morgan & S. Presley, AM & PM

V. Haywood, AM & PM

V. Haywood, AM J. Morgan & S. Presley, AM & PM

Business/Finance

C. Blair, AM & PM

Communication

O. Martinez, PM

O. Martinez, PM

O. Martinez, AM

P. Feuerstein, AM & PM M. Fling, PM D. Guichet, AM & PM

P. Feuerstein, AM

Computers/High Tech

Emergency Medicine

E. Luce, AM & PM

R. Edwab, PM

M. Hawkins, AM

Endodontics

A. Fleury, AM & PM J. Olmsted, PM

J. Camp, AM & PM J. Olmsted, AM & PM

J. Camp, AM

Enteral Sedation

D. Grogan & E. Luce, AD

Ergonomics

M. Govoni, AM & PM

Esthetics

T. Caruso, AM & PM K. Menage Bernie, AM & PM

T. Caruso, AM K. Menage Bernie, AM

M. Malone, AM

Forensics

D. Senn, AM & PM

A. Cardoza, AM & PM D. Senn, AM

A. Cardoza, AM E. Parks, AM

General Audience

L. Altenhoff & P. Kennedy, PM B. Christopher, AM & PM R. Savage, AM & PM

L. Altenhoff & W. Steinhauer, PM N. Booth, AM & PM B. Christopher, AM R. Savage, AM & PM

N. Booth, AM

Geriatrics

G. Gibson, AM & PM

G. Gibson & L. Niessen, AM L. Niessen, PM

Hygiene

J. Bendit, AM & PM C. Hein, AM & PM

J. Bendit, AM & PM M. Govoni, AM R. Graham, AM & PM W. Kerr, AM & PM J. Rethman, AM & PM

R. Graham, AM J. Rethman, AM

Implants

C. Jansen, AM & PM P. Mullasseril, AM

C. Jansen, AM

D. Guichet & T. Scheyer, AM D. Little & A. Cortes, AM L. Walker, AM & PM

Indirect/Direct Resins

S. Poss, AM & PM

N. Barghi, AM & PM S. Poss, AM

N. Barghi, AM

Infection Control

C. Palenik, AM & PM

L. Kay, AM & PM C. Palenik, AM

L. Kay, AM

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SPEAKERS BY TOPIC î ˛ TOPIC

THURSDAY, MAY 6 T H

FRIDAY, MAY 7 T H

SATURDAY, MAY 8 TH

Insurance

U. Webb, AM & PM

L. Banta, AM & PM U. Webb, AM

L. Banta, AM

Lasers

C. Hoopingarner & D. Coluzzi, AM

C. Hoopingarner & D. Coluzzi, AM & PM

H. Crossley, PM M. Huber, AM W. Kerr, AM C. Maurer, AM

Lone Star Lectures

G. Gates, PM S. Schmitt, PM C. Streckfus, PM E. Wright, PM

Nitrous

L. Semple, AD

L. Semple, AD

Nutrition/Health/ Fitness

L. Mallonee, AM & PM R. Martin, AM & PM

R. Martin, AM M. Ryan, AM E. Somer, AM & PM

E. Somer, AM

Office Design

J. Carter & P. Carter, AM & PM

Oncology/Oral Path/ Oral Med

M. Chambers, AM & PM M. Huber, AM & PM

D. Damm, AM & PM M. Huber, PM

D. Damm, AM

Oral Surgery

R. Edwab, AD

R. Edwab, AM

Orthodontics

D. Brandt, AD

D. Brandt, AD

Pediatrics

K. Donly, AD

Pedodontics

J. Berg, AM & PM

J. Berg, AM F. Margolis, AM & PM

F. Margolis, AM

Periodontics/ Perio Surgery

J. Kohner, AD M. Ryan, AM & PM

C. Blair & C. Hein, AD R. Fazio, AM J. Grisdale, AM & PM J. Kohner, AD

J. Grisdale, AM

Pharmacology

R. Fazio, AM & PM

H. Crossley, AM & PM

H. Crossley, AM

Photography

D. Damm, PM

D. Hutt, AM & PM

D. Hutt, AM

Practice Management

T. Angeloni & C. Maurer, AM S. Bass, AM & PM

M. Hyman, PM

M. Dyches, AM & PM

C. Page, PM T. Snyder, AM & PM

T. Snyder, AM

Prosthodontics

G. Folse, AM & PM J. Rouse, AM

G. Folse, AM N. Sharifi, AM & PM

Provisionals

M. Malone, AM & PM

Radiology

E. Parks & G. Williamson, AM & PM

E. Parks & G. Williamson, AM & PM

Restorative

T. Dawson, & J. Shirley AM & PM

M. Fling, AM

Risk Management

K. Roman, AM & PM

Practice Transition

Sleep Apnea

N. Sharifi, AM D. Stewart, AM & PM

T. Dawson, M. Fling, & J. Shirley, AM C. Whitmire, AM & PM

J. Spencer, AM & PM

Team Building

A. Kirsch, AM & PM

M. Hyman, AM A. Kirsch, AM

M. Hyman, AM

TMD/Occlusion

C. Hoopingarner, PM

E. Wright, AM & PM J. Shirley, PM

J. Spencer, AM

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 R E G I S T R AT I O N I N F O R M AT I O N T H E T E X A S M E E T I N G  TEXAS DENTAL ASSOCIATION 140TH ANNUAL SESSION Registration form for all registrants – Please type or print and photocopy as needed.

Registration form also available on the TEXAS Meeting website: www.texasmeeting.com There will be a charge of $30 per person for on-site registration.

Your 2010 TDA dues must be paid before you (or your staff) can register at the member rate.

A. TDA Member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0

I.I.Dental DentalStudent StudentNon-member Non-memberASDA ASDA. . . . . . . . . . . . . . .$25 . .$25

B. Retired Dentist (ADA/TDA) . . . . . . . . . . . . . . . . . . . . . . .$0

J.J.Hygienist Hygienist(of (ofmember memberdentist) dentist). . . . . . . . . . . . . . . . . . . . .$0 . .$0

C. ADA Member Resident Outside TX/ International Dentist Ass. Member . . . . . . . . . . . . . .$100

K.K.Dental DentalAssistant Assistant(of (ofmember memberdentist) dentist). . . . . . . . . . . . . . .$0 . .$0

D Non-member Dentist in Texas (one time only) . . . . . .$75*

M. M.Business BusinessAssistant Assistant(of (ofmember memberdentist) dentist). . . . . . . . . . . . .$0 . .$0

L.L.Lab . . . . . . . . . . . . . . . . . . . . . .$0 LabTech Tech(of (ofmember memberdentist) dentist) . .$0

E. Post Graduate Student . . . . . . . . . . . . . . . . . . . . . . . . .$25

O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0 O.Pre-Dental Pre-DentalStudent Student . .$0

F. Family Member (of member dentist) . . . . . . . . . . . . . . .$0

1.1.Hygienist Hygienist(not (notemployed employedbybyTDA TDAmember) member). . . . . . . . .$50 . .$50

G. Active Duty Military/ADA Member . . . . . . . . . . . . . . . .$50

2.2.Dental DentalAssistant Assistant(not (notemployed employedbybyTDA TDAmember) member). . .$50 . .$50

Q. Non-member Dentist . . . . . . . . . . . . . . . . . . . . . . . . . .$995

3.3.Lab . . . . . . . . . .$50 LabTech Tech(not (notemployed employedbybyTDA TDAmember) member) . .$50

H. Dental Student/ASDA Member . . . . . . . . . . . . . . . . . . .$0

4.4.Business BusinessAssistant Assistant(not (notemployed employedbybyTDA TDAmember) member). ..$50 .$50

* Not applicable if registered in category “D” in 2008 & 2009.

If you were a member in good standing for the 2009 year you are not eligible for category D in 2010.

4. Registration INFORMATION

3. NAME for Badge

A $0

REG. CATEGORY #

Attendee 1 ing) (list dentist here if attend FIRST LAST

John Doe

REG. FEE $

S

SES 5. Register for COUR fees . course #s, events, and include A.M. and P.M SATURDAY FRIDAY THURSDAY COURSES/FEES

T46 $75 T76 $75

A.M. #

P.M. #

AM

COURSES/FEES

F07 $65

$1$14400 S32 $45 $120 COURSES/FEES

FEE $

A.M. #

FEE $

A.M. #

FEE $

P.M. #

FEE $

P.M. #

E L P

S SPECIAL EVENTS/FEE EVENT#

FEE $

EVENT#

FEE $

S SPECIAL EVENTS/FEE

6. TOTAL $ registration & course fees

FEE $

A.M. FEES $

FEE $

P.M. FEES $

S SPECIAL EVENTS/FEE

F98 $60 S44 $60 $1$13300 F100 $50 EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

Receipt ReceiptofofRegistration RegistrationBadges: Badges:Those Thosepersons personssubmitting submittingforms formspostmarked postmarkedbybyAPRIL APRIL66will willreceive receivebadges badgesbybymail. mail.

Those Thosepersons personssubmitting submittingforms formspostmarked postmarkedafter afterAPRIL APRIL6,6,but butbefore beforeAPRIL APRIL14, 14,may maypick pickup upbadges badgeson-site. on-site.

Please Pleasedo donot notmail mailforms formsafter afterApril April14.

14.Any Anyregistration registrationforms formsnot notmailed mailedprior priortotoApril April1414must mustbe bebrought broughtdirectly directly totoon-site on-siteregistration. registration.

NO NOREFUNDS REFUNDSWILL WILLBE BEGIVEN GIVENFOR FORCANCELLATIONS CANCELLATIONSPOSTMARKED POSTMARKEDAFTER AFTERAPRIL APRIL6.6.

Questions?

Questions?Call CallQMS QMS(678) (678)341-3039.

341-3039.Email: Email:tda@qmsreg.com tda@qmsreg.com If Ifregistration registrationform formisisprocessed processedelectronically, electronically,DO DONOT NOTMAIL MAIL– –May Mayresult resultininduplicate duplicateregistration registration Return Returnto: to:TDA TDARegistration, Registration,C/O C/OQMS QMSServices, Services,Inc., Inc.,6840 6840Meadowridge MeadowridgeCourt, Court,Alpharetta, Alpharetta,GA GA30005 30005

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R E G I S T R AT I O N F O R M  T H E T E X A S M E E T I N G  TEXAS DENTAL ASSOCIATION 140TH ANNUAL SESSION REGISTRATION FORM FOR ALL REGISTRANTS

Only one form is necessary for each office and it can be photocopied to accommodate additional registrants in your office. Be sure to fill out both pages of this form. Use a ballpoint pen.

1. Dentist/Attendee Name ______________________________________________________ ADA Member Number__________________ Business Address___________________________________________________________ City_____________________

State____________ Zip____________

Business Phone (_____) ____________________

Fax (_____) _________________ Email_______________________________________

__ 2. Year of Graduation (Dentist) _____________

Emergency Contact Name Emergency Contact Phone (

)

Registration Categories & Fees

Please make certain to complete all sections of form.

See reverse to register additional attendees, total all fees, and complete payment information section.

3. NAME for Badge

4. Registration INFORMATION

5. Register for COURSES include A.M. and P.M. course #s, events, and fees THURSDAY COURSES/FEES

Attendee 1 (list dentist here if attending)

FRIDAY

SATURDAY

COURSES/FEES

COURSES/FEES

6. TOTAL $ registration & course fees

REG. CATEGORY # A.M. #

FEE $

A.M. #

FEE $

A.M. #

FEE $

A.M. FEES $

P.M. #

FEE $

P.M. #

FEE $

P.M. #

FEE $

P.M. FEES $

REG. FEE $ FIRST LAST

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

COURSES/FEES

Attendee 2 FIRST LAST

COURSES/FEES

COURSES/FEES

REG. CATEGORY # A.M. #

FEE $

A.M. #

FEE $

A.M. #

FEE $

A.M. FEES $

P.M. #

FEE $

P.M. #

FEE $

P.M. #

FEE $

P.M. FEES $

REG. FEE $

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

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 R E G I S T R AT I O N F O R M T H E T E X A S M E E T I N G  TEXAS DENTAL ASSOCIATION 140TH ANNUAL SESSION 3. NAME for Badge

4. Registration INFORMATION

5. Register for COURSES include A.M. and P.M. course #s, events, and fees THURSDAY

FRIDAY

COURSES/FEES

Attendee 3

COURSES/FEES

SATURDAY

6. TOTAL $ registration & course fees

COURSES/FEES

REG. CATEGORY # A.M. #

FEE $

A.M. #

FEE $

A.M. #

FEE $

A.M. FEES $

P.M. #

FEE $

P.M. #

FEE $

P.M. #

FEE $

P.M. FEES $

REG. FEE $

FIRST LAST

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

COURSES/FEES

Attendee 4

COURSES/FEES

COURSES/FEES

REG. CATEGORY # A.M. #

FEE $

A.M. #

FEE $

A.M. #

FEE $

A.M. FEES $

P.M. #

FEE $

P.M. #

FEE $

P.M. #

FEE $

P.M. FEES $

REG. FEE $

FIRST LAST

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

COURSES/FEES

Attendee 5

COURSES/FEES

COURSES/FEES

REG. CATEGORY # A.M. #

FEE $

A.M. #

FEE $

A.M. #

FEE $

A.M. FEES $

P.M. #

FEE $

P.M. #

FEE $

P.M. #

FEE $

P.M. FEES $

REG. FEE $

FIRST LAST

REGISTRATION FEE TOTAL

COURSES & EVENTS FEE TOTAL

+

$

$

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

SPECIAL EVENTS/FEES

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

EVENT#

FEE $

EVENT#

FEE $

EVENT#

FEE $

EVENT FEES $

+

HANDLING

$5 =

GRAND TOTAL

$

Include all registration and course fees

METHOD OF PAYMENT (ALL PAYMENTS IN U.S. FUNDS) ❒ CHECK: All checks should be made payable to the Texas Dental Association. Please check calculations for correct total. ❒ CREDIT CARD: _____ VISA _____ Mastercard _____ AMEX _____ Discover Credit card number ____________________________________________ Exp. ____________ Name as it appears on card _____________________________________Signature____________________________________ RETURN TO: TDA REGISTRATION, C/O QMS SERVICES, INC. 6840 MEADOWRIDGE COURT, ALPHARETTA, GA 30005

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HOTELS  OFFICIAL TDA HOTEL LISTINGS & LOCATION MAP

Texas Dental Association Annual Session The TEXAS Meeting May 6-9, 2010 Please support the TDA by booking your room within the Annual Session hotel room block.The TDA has secured special rates at these official hotels. For the best savings, make your hotel reservations through the TDA via www.texasmeeting.com or complete the Official Housing Reservation Form. Indicate six hotel choices. Please use the codes listed below. If you are physically impaired or in the need of special assistance, please indicate this by checking the box on the Housing Reservation Form under “Item 9 -Special Requests.” Hotel preference is subject to availability. Early Returns receive first consideration.

Please return the completed form to: Mail: TDA Housing, 203 S. St. Mary’s, Suite 200, San Antonio, TX 78205 Fax: TDA Housing (210) 207-6702 Online hotel reservations: www.texasmeeting.com

Hotels

Hotel codes

Single/ Double

Triple

Quad

1. Emily Morgan Hotel 705 E. Houston

EMA

$149

$ 159

$169

2. Fairmount 401 S. Alamo

FAIR

185

185

185

3. Four Points by Sheraton Downtown 524 S. St. Mary’s

FOUR

125

135

135

4. Grand Hyatt 600 E. Market

GHYR

199

219

239

5. Hampton Inn Downtown 414 Bowie

HAM

135

135

135

6. Hilton Palacio del Rio 200 S. Alamo

HPR

199 city* 219 river*

219 city* 229 river*

239 city*

7. Historic Crockett Hotel 320 Bonham

HIC

129

139

139

8. Historic Menger Hotel 204 Alamo Plaza

MEN

129

139

149

9. Holiday Inn Riverwalk 217 N. St. Mary’s

HIR

139

139

139

10. Homewood Suites by Hilton 432 W. Market

HOM

165 sngle 175 dble

185

195

11. Hyatt Place San Antonio Riverwalk 601 S. St. Mary’s

HYPL

144

154

154

12. Hyatt Regency 123 Losoya

HYR

195

215

235

LQC

141

151

151

14. Marriott Rivercenter 101 Bowie HEADQUARTERS HOTEL

MRC

199

219

239

15. Marriott Riverwalk 711 E. Riverwalk

SAM

199

219

239

16. Marriott Plaza 555 S. Alamo

PLZ

187

201

201

17. Hotel Valencia 150 E. Houston

VAL

179

189

199

18. Westin Riverwalk 420 W. Market

WES

199 city* 219 river*

219

239

13. La Quinta Inn & Suites Convention Center

*indicates city or river view

303 Blum

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 H O T E L R E S E R V AT I O N F O R M

Housing for 2010 TDA will open on December 1, 2009. To secure your hotel choice and receive immediate confirmation, make your reservation via Internet. Faxed & mailed housing requests will take longer to process and choice hotels may not be available.

INTERNET RESERVATIONS www.texasmeeting.com FAXED/MAILED RESERVATIONS Fax reservations to 210-207-6702.

Mail reservations to: 2010 TDA Housing 203 S. St. Mary’s, Suite 200, San Antonio, TX 78205.

ACKNOWLEDGEMENTS To insure you receive the email acknowledgement, please add acknowledgement@pkghlrss.com to your address book The 2010 TDA Housing Bureau will send an acknowledgement of your reservation via email, fax or mail, depending on information provided on your housing form. Please review all information for accuracy. Acknowledgements will be emailed within 6 hours of reservation being processed directly online. Housing forms received via fax & mail will require 3 - 5 days for processing & sending of acknowledgement. If you do not receive your acknowledgement in this time frame, please contact 2010 TDA Housing Bureau by fax at 210-207-6702, or email: housing@visitsanantonio.com.

You will not receive a written confirmation from the hotel.

ROOM RATES/TAXES To take advantage of the special 2010 TDA rates, please book your reservation by April 6, 2010. After April 6, 2010, hotel room blocks will be released and hotels may charge higher rates. All rates are per room and are subject to 16.75% occupancy tax, (subject to change). Special requests cannot be guaranteed; however, hotels will do their best to honor all requests. Hotels will assign specific room types upon check-in, based on availability.

The TEXAS Meeting May 6-9, 2010 Uif!UFYBT!Nffujoh!Nbz!7.:-!3121

RESERVATION WILL NOT BE PROCESSED IF FORM IS INCOMPLETE. Telephone requests are not accepted. Keep a copy of this form for your records.

DO NOT MAIL AFTER FAXING. Acknowledgements are emailed, mailed or faxed only to the email or fax provided and name listed in field #8. Photocopy this form if you need more than one room.

1. SELECT SIX HOTELS: Rooms are assigned first come/first served. If choices are not available, a room will be secured at a hotel based on your preference of rate or proximity, and availability. Use code only, not numbers. See Hotel Listing for rates and codes.

1st choice

2nd choice

3rd choice

4th choice

5th choice

6th choice

If hotel Choices are sold out, which is more important? ❑ Room Rate ❑ Location 2. ARRIVAL:

Date:

Time:

3. DEPARTURE: Date: Time: ❑ am ❑ pm (Make air reservations before filling out arrival/departure dates on this form.

Requests for more than 2 days pre/post-convention may not be available through the housing department. Acknowledgement will advise you to call the hotel direct for additional nights (not always available at convention rates) 4: CHECK APPROPRIATE BOX: ❑ One Bed ❑ Two Beds Suites must be requested in writing to TDA Housing Bureau via email at housing@visitsanantonio.com, or fax 210-207-6702.

(210) 207-6702.

5. TOTAL PEOPLE IN ROOM: The housing department will request room type, hotel will confirm if available.

6. ROOM GUARANTEE: All rooms must be guaranteed. Some hotels require a non-refundable 1st night room and tax deposit. If this applies, the credit card provided below will be charged for that amount.

GUARANTEE All reservations require a credit card valid through May 2010 or check guarantee at the time of confirming reservations. Requests received without a valid guarantee will be returned and will not be processed. Credit cards may be billed anytime after April 6, 2010, at the discretion of your confirmed hotel.

7. LIST ALL OCCUPANTS first name first:

CHECK DEPOSITS If you choose to mail a check deposit, it should be made payable to “2010 TDA Housing” in the amount of $200 and mailed along with your housing form to the address provided.

8. SEND ACKNOWLEDGEMENT TO:

CANCELLATIONS 2010 TDA Housing must receive all cancellations on or prior to March 8, 2010, to avoid a penalty. Any cancellations received after March 8, 2010, will be assessed a $50 cancellation fee. This fee will be charged within seven days of the cancellation.

CHANGES Continue to use TDA Housing for changes & cancellations through April 12, 2010. Beginning April 13, 2010, all requests for changes & cancellations must be directed to your confirmed hotel. Reservations must be cancelled within 72 hours of arrival or hotel will charge a first night’s room and tax. Hotel may access a fee for departure date changes at check in.

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❑ am ❑ pm

Card type (AE, MC, VS) Credit Card Number / Exp. Date

1.

2.

3.

4.

FIRST NAME

MI

Name on Card

LAST NAME

AFFILIATION/COMPANY STREET ADDRESS OR P.O. BOX NUMBER

CITY

COUNTRY

ZIP CODE

DAYTIME PHONE NUMBER

FAX NUMBER

(If International, Indicate Country/City Code) EMAIL ADDRESS

9. SPECIAL REQUESTS: ❑ Smoking ❑ Non-Smoking ❑ Check here for disability

List special or other needs:

STATE

Dental Artifacts

Reviewing the Gold Standard Kim Freeman, M.A., D.M.D., M.S. Like the dinosaur, the time of the gold foil restoration has come and gone. From its beginning over 100 years ago, until the 1960’s, the gold foil restoration was considered the finest of all restoration techniques.

A gold foil restoration, for the dentist under the age of 40, was a method using heated, annealed, extremely thin sections of gold that were combined into a prep. This was accomplished by forcibly pounding the gold foil flakes into one another until they became one mass. This was primarily done on class five and inlay preps.

This force was initially propagated using hand pluggers and mallets (Figures l & 1A). By the turn of the last century, automatic mallets had become commonplace. When pushed into the mass of gold foil, the plugger would recoil similar to the way a jackhammer works to break up concrete (Figures 2 & 2A). To relieve resulting hand fatigue, gold foil operators

Figure 1

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Figure 2

Figure 2A

in the 1920’s and beyond would typically use a small compressor (Figure 3) that drove small increments of air into the plugger to combine the foil.

The gold foil was normally used until the restoration reached the cavosurface margin. In many cases, even the well-executed gold foil restoration had dire consequences to the pulp. The constant pounding of the plugger could devitalize the pulp; or in a worst-case scenario, it could even crack the tooth.

However, when done carefully, and if the pulp survived, these were almost considered lifetime restorations. In some ways, they were considered status symbols for those that could afford the finest restoration possible.

Figure 3 Texas Dental Journal

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EXPRESS Customize your homepage to show only the content you’re interested in. PLUS:

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Check out the NEW! TDA Video library Add your own links Hide links you’re not interested in Select text size Personalize your weather center Make TDA Express your homepage Choose news headlines to display Search TDA’s interactive calendar Check stocks Perform MedLine, Google, WebMD, or Answers.com searches Utilize tools such as conversion, business, time zone, and deadline calculators Access reference and meeting planner

Start your day with TDA Express!

Log in at tda.org to get started today!

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P

w e i v re

A Secret New Source of Money for Your Office Udell Webb, D.D.S. One year ago the stock market crashed; a symptom of the economic upheaval that was about to burst onto the scene. The tsunami of job losses, foreclosures, and a general feeling of insecurity has washed

across all areas of the United States. Some dentists have responded

successfully while others have grown scared and/or cynical. One thing

Using Medical Insurance Increases Case Acceptance and Cash Flow Thursday, May 6 8:30 AM – 11:30 AM

has been universal: money has gotten scarcer than during the previous few years of the economic “housing bubble”.

It Ain’t Just a Prophy Anymore — Coding Hygiene Defensively Thursday, May 6 1:30 PM – 4:30 PM

Regardless their previous feelings towards dental insurance, many offices are discovering that medical insurance covers a wide array of procedures performed in both the general and specialty dental practice; and that more and more patients are using their medical insurance to help pay for their dentistry. The good news — it works! Patient acceptance of case presentations are growing out of the economic rubble. Many offices regard the money coming to them from the medical insurance companies as their economic stimulus package. Their patients are elated to have the financial assistance. Medical insurance coverage of dental procedures is the secret new source of money for your office.

New Face of Insurance Today Friday, May 7 8:30 AM – 11:30 AM

“Great news — I want to get a big fat check from a medical insurance company for my services to an insured patient!” you say. But then, the inevitable questions: Does it hurt? How much will it cost? Will it work for my office and my practice? How do I train my staff to handle medical insurance? Are you sure? Yes, I am sure.

The TDA makes every effort to present high caliber speakers in their respective areas of expertise at the TEXAS Meeting. Speakers presented by TDA are offered for the purpose of providing information only and not as dental, financial, accounting, legal, or other professional advice. Attendees must consult their own professional advisors for such advice. The ideas and comments expressed during the seminars and the articles presented herein are not necessarily endorsed by, or those of, the TDA. Programs actually presented at the TEXAS Meeting may be subject to change by the TDA.

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When Can a Dentist Use the Patient’s Medical Coverage?

Do you ever treat trauma patients? A fall because of a change in medications, a motor vehicle accident, sports related accidents, altercations, kicked or butted by an animal, the shock absorber that he was installing bounced back and hit him in the face; these are recent reasons to use medical insurance that have crossed my desk in the last few weeks. “Almost all”, you can never say “all”, trauma situations are payable under the patient’s medical plan, with no deductible. One hundred percent of your full fee is the typical response. OK, that means all offices can use the patients’ medical l

January 2010

insurance coverage to help their patients pay for dental services.

Do you place implants? Do you use a CT scanner? Do you use Periolase? Do you treat patients with any medical history related to diabetes, cardiovascular disease, stroke, taking any medications, cancer, or inflammation? Do you do extractions, evaluations, and/or radiographs? Do you do any surgery related to periodontal disease, endodontics, or oral surgery? If you answered yes to any of these, then you can successfully file for medical insurance benefits on behalf of your patients.

Where Do You Get Medical Insurance Codes and Where Do They Go on the Form?

black and white one off the Internet following a Google search. Remember, you must now use the red-lined form, which means you will need to buy some. They are very cheap, as you will see online. The basic name, address, and ID information for the patient and the provider are required. No, you don’t need to be an “approved” provider for anything in order to use the medical form.

Lines 21 and 24 are the heart of the matter.

Line 21 gives you four places to enter the related diagnostic code(s).

You only need one, more is better, if appropriate. Here is the test question, the take-away for line 21: the order listed is very important! In order to get paid, you need to show “medical necessity”. The code for a fractured jaw should be listed before the code that indicates the injury was incurred during a car accident.

List the most critical, medically-related diagnostic codes first. Then list the codes related to the patient’s medical status or history and finally the codes related to the traumatic accident (if there is one).

Line 24 includes date, place of service, treatment code, fee etc., much like a dental insurance claim form.

Line 24 column E is labeled Diagnosis Code. This box is critical. This box identifies which of the diagnostic codes from line 21 apply to the treatment code on the same line as the box. The evaluation and radiology treatment lines will use the same diagnostic codes as the actual “treatment” codes. Said another way, the reason you did the exam and x-ray is the same reason you did the treatment. So, in the box in column E, you would put the number(s) 1 and/or 2 and/or 3 and/or 4. This tells the computer at the insurance company that the reason you did the

You will need a dental-to-medical code cross-coder. Medical insurance requires both a diagnostic code and a treatment code. The diagnostic codes are called ICD codes, which stands for International Classification of Disease. Treatment codes are CPT, Current Procedural Terminology codes. They also require a red-ink HCFA 1500 medical insurance form. Check online for more information about buying the forms and coding information. This whole subject will be part of the TDA Meeting agenda, including specific classes, this spring (2010).

Don’t want to wait until next spring?

That’s smart; you could get a lot of money in the mail between now and then. You can use the course(s) to formalize and perfect the training.

Let’s go over some of the basics.

The form is very similar to a dental insurance form. You can print a

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Medical Insurance Reim treatment is because of the problems described with the diagnostic codes listed on line 21.

There are specific medical diagnostic codes for more dental situations than you would ever think. There are codes related to: orthodontic relationships, periodontal conditions, TMJ problems, ill-fitting restorations, broken teeth, fractured jaws, caries, and many, many more. You choose the best ones from the lists. The purpose of the cross-coding manuals is to narrow your choices to only those appropriate for the related treatment code.

As with the diagnostic codes, there are hundreds of very specific and well-related treatment codes for most of the ADA CDT codes. Again, the cross-coding manuals will guide you in choosing the best medical treatment codes as they relate to the common dental treatment codes.

At the bottom of the form it asks for the provider’s signature. Use DDS or DMD, not “Dr” on this line. Yes, dentists, for sure, can use this form. In fact, why not get started today?

The Secret to Successful Medical Insurance Reimbursement Are you ready for the success secret? Let me set the stage so that the lesson is clear. I am going to use an analogy, comparing light sensors to insurance claims processors. That should illuminate the whole idea, right?

By now, digital radiology is very commonplace in the dental office. And, most of you own a point-and-shoot digital camera. X-rays are a form of “light” energy, at a wavelength not visible to the human eye. In the office, there is a small sensor attached to your computer.

That small sensor is placed in the mouth and the system captures an image (shadow) of the subject area in the mouth and projects the image to your computer screen after the sensor is exposed to the X-ray. With your camera, the lens directs the visible light waves to a sensor in the camera. The data from the sensor

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is again sent to your computer and, with a different computer program, you see the photo unfold on your computer’s monitor. What happens if you hold your radiology sensor up to the sunlight and take a photograph? Nothing! What if you aim an X-ray beam at your camera, then what happens?

Nothing good happens!

Medical insurance claims processors, human or digital, are programmed to receive only medical information. The critical information that they are programmed to process is called “medical necessity”. That is the wavelength that they require. The question you must answer is: “Why was this medically necessary, today?” If you will always answer that question first, on line 21 of the HCFA 1500 form, the sensors will pick up your message and a check will materialize on your desk. Got the picture?

Dentists often want to write a letter to the medical insurance company explaining the importance of TMJ, the preventive nature of treatment in periodontics, the human need to be seen as attractive, the efficiency of the new laser, or some other non-medical issue. The sensors don’t receive it. The processors won’t process it. They don’t care. It’s not their job. That’s not the point of medical coverage. They want you to tell them why this should be covered under the medical policy.

Medical Necessity Examples An example: The patient was kicked in the mouth by a goat.

The two front teeth were fractured. This necessitated an evaluation, radiology, endodontics, and restorative measures. The diagnostic codes can tell the processor about the goat kick, the fracture, the pain, etc. The treatment codes describe the treatment. The probability of payment in this example is extremely high. No deductible is applied. The check is for 100 percent of the total fee. Trauma cases are the easiest example of medical necessity.

It must be time for the disclaimer: Not all insurance coverage pays all claims all the time. I think you knew that, right?

But, with trauma, many, most, almost all medical policies allow payment when the medical necessity is demonstrated.

bursement Another example: The patient’s third molars are partially erupted, causing discomfort (pain) to the patient. The pain is the best point in the “medical necessity” requirement. Then the improper position of the partially erupted tooth, etc. is the next best reason for medical necessity to be allowed. The fact that the tooth’s position may or may not lead to future problems does NOT create medical necessity.

Final example: The patient, a goat herder, has a history of heart disease. The patient presents with active periodontal inflammation. The inflammation is the primary factor in medical necessity. The patient’s medical history is important, but is secondary in creating medical necessity. The idea that a goat may, in the future, kick the patient in the face does not create medical necessity.

Conclusion The best way to become a good photographer is to go take a lot of pictures. You will see what works and what doesn’t. The best way to get good at medical insurance reimbursement for your patients is to start sending in some claims. The patients will love you for it; they like to receive benefits that they have purchased. They will help you become good at submitting medical claims – they want to get the check too. So, get started today, not tomorrow. You can then bring your success stories to my class at the TEXAS Meeting.

And, during lunch hour, go take a few photographs. You may see the world in a whole new light!

Udell Webb, D.D.S., graduated from Baylor College of Dentistry in 1976. He can be contacted at webbdental. com or (877) 628-3366.

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Confidential and experienCed LegaL RepResentation

foR

texas physicians

Representation before the Texas Medical Board, The Texas Medical Foundation and Medical Staff Peer Review.

Medical Practice Act and Medical Board Actions (hearings, settlement conferences and licensure) • Personal Counsel in Medical Liability Cases • Probation Modification / Termination • Managed Care Exclusions • Licensure • Reinstatement • Medico-legal Issues • Expert Review • Telemedicine • Medicare/Medicaid Appeals • Medical Ethics Opinions • Physician Assistants. tony cobos*

MichaeL shaRp*

couRtney newton

chRis shaRp Of Counsel

shaRp & cobos, P.C. Attorneys At LAw 4705 spicewood spRings Road • suite 100• austin, texas 78759 • 512 473 2265 • fax: 512 473 8525 • www.sharpcobos.com * Board Certified in Administrative Law by the Texas Board of Legal Specialization.

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Stefanie Clegg, TDA Web Manager Department of Member Services & Administration

Pay 2010 dues online: tda.org/paydues Save time, pay it online! All member types can now pay their 2010 dues online using a VISA, Master Card, or American Express. Paying dues online is safe, quick, and easy.

INSTRUCTIONS 1. Go to tda.org/paydues 2. Click on your member payment type.

• If you are not sure of your member type, click on

the link provided.

3. Choose ADA, TDA, Local Society, and Mandatory Dues Assessment from the drop down menu.

4. Choose your voluntary contributions for ADPAC, DENPAC, TDA Smiles Foundation Endowment Fund, and Alliance State/Local Dues.

• Suggested contributions and giving levels are

printed on the screen. Please refer to your paper

statement to check your previous level of giving.

5. Verify your name and e-mail address.

6. Using your Visa, MasterCard, or American Express enter your credit card number and expiration date.

7. Enter billing information. If it’s the same as the contact information, check the box and it will automatically fill in.

8. Review all information and click “Submit” once to confirm transaction.

9. A receipt will be sent via e-mail to confirm this transaction. If you do not receive a receipt please contact TDA’s membership department.

Contact Rachael Daigle with any DUES questions at (512) 443-3675 or rachael@tda.org.

Contact Stefanie Clegg with any WEB questions at (512) 443-3675 or stefanie@tda.org.

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Register for the 2010 TEXAS Meeting: texasmeeting.com/registration The 140th Annual Session of the Texas Dental Association will be held May 6-9, 2010 in San Antonio, TX. Registration Dates • Opens January 1, 2010 • Deadline April 6, 2010 *Be sure 2010 membership dues are paid to get TDA member registration rates.

INSTRUCTIONS 1. Go to texasmeeting.com/registration 2. Click on “Online Registration.”

3. Log in and create a password. *Must create a new log in and password each year 4. Enter attendee(s) information, courses, and payment information.

5. Review all information and click “Submit.”

6. A receipt will be sent via e-mail to confirm your registration.

Housing Dates • Opens December 1, 2009 • Deadline April 6, 2010 INSTRUCTIONS 1. Go to texasmeeting.com/hotelinformation 2. Click on “Online Housing.”

3. Select your dates and enter the number of guests.

4. Review available lodging and make your selection.

5. Enter contact information, special requests, and

payment information.

6. Review all information and click “Submit.”

7. A receipt will be sent via e-mail to confirm your reservation.

Contact Donna Musselman or Ann Pargac with any housing or registration questions at (512) 443-3675 or donna@tda. org, ann@tda.org.

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In Memoriam Those in the dental community who have recently passed

Clark, Glenn R.

Garland, Texas March 20, 1951 – October 27, 2009

Cox, E. Brady, Jr.

Abilene, Texas August 12, 1925 – October 22, 2009 Good Fellow, 1979 Life, 1990 Fifty Year, 2002

Hurt, Clifton H.

Henderson, Texas December 15, 1926 – October 12, 2009 Good Fellow, 1980 Life, 1991 Fifty Year, 2008

Memorial and Honorarium Donors to the Texas Dental Association Smiles Foundation

In Memory of: Dr. Derek G. Ellis

By Bob & Cynthia Vittetoe

By The Castleberry Sisters: Betsy, Suzy & Kim

By Sue Gove & Family

By Tom & Jennifer Gibson

By Deb and Ron Moss Frances Schuchardt

By Robert C. Cody, D.M.D. Al Davis

By Robert C. Cody, D.M.D. Adolph Wittner

By Robert C. Cody, D.M.D.

Ann Lee

By Charles A. Robertson, D.D.S. Robert Bracey

By Charles A. Robertson, D.D.S. Samantha Hartfield

By Charles A. Robertson, D.D.S. Sharon Wilkinson

By Dr. and Mrs. Russell Owens Wm. M. Young

By M.B. Smith and Lydia A. Smith D. A. Jung

By M.B. Smith and Lydia A. Smith

Your memorial contribution supports: • educating the public and profession about oral health; • enhancing the public image of dentistry; and • improving access to dental care for the children of Texas.

Nicosia, Ralph Ignatius

Dallas, Texas March 31, 1920 – October 26, 2009 Good Fellow, 1970 Life, 1985 Fifty Year, 1993

Please make your check payable to:

TDA Smiles Foundation, 1946 S IH 35, Austin, TX 78704

Reed, John Harvey

Denton, Texas October 18, 1950 – November 28, 2009

Reynolds, William John, Jr.

El Paso, Texas August 7, 1919 – September 22, 2009 Good Fellow, 1969 Life, 1984 Fifty Year, 1993

Ridout, Robert M.

Port Arthur, Texas July 18, 1921 – November 6, 2009 Good Fellow, 1975 Life, 1986 Fifty Year, 2001

Ulmer, L. Barton

San Antonio, Texas July 17, 1939 – October 24, 2009 Life, 2005

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January 2010 4970_TX_bw_Ads_02.indd 1

11/18/08 9:42:28 AM

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Presented by David Canfield, DDS, FADSA and Clark Whitmire, DMD, JD At Houston Renaissance Hotel Greenway, 6 Greenway Plaza East, Houston, TX 77046

(This is a one day course that you can take either on Friday or Saturday)

Dr. David Canfield

Credit:

18 hours lecture

Time:

7:00 am – 7:30 am — Registration 8:00 am – 5:30 pm — Presentation Both Days

Presented by David Canfield, DDS, FADSA and Clark Whitmire, DMD, JD At Houston Renaissance Hotel Greenway, 6 Greenway Plaza East, Houston, TX 77046

AGD Code: 132 Anesthesia & Pain Control This continuing education program fulfills the TSBDE Rule 110 practitioner requirement for an Enteral Conscious Sedation course

Dr. David Canfield

9 hours lecture

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AGD Code: 132 Anesthesia & Pain Control This continuing education program fulfills the TSBDE Rule 110 practitioner requirement for an Enteral Conscious Sedation course every three years

Continental breakfast and lunch is provided.

Dr. Clark Whitmire

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Call us at (214) 384-0796 to register, or find us on the Web at www.sedationce.com

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Dr. David Canfield

Credit: 8 hours lecture Time: 7:30 am – 8:00 am — Registration 8:00 am – 5:00 pm — Presentation AGD Code: 132 Anesthesia & Pain Control This continuing education program fulfills the TSBDE renewal training requirement for Enteral Conscious Sedation Permit

Call us at (214) 384-0796 to register, or find us on the Web at www.sedationce.com CE credits provided by Baylor College of Dentistry, Office of Continuing Education Texas Dental Journal

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Provided by TDA Perks Program

Financial

Advantages

“Motivate” Patients and Increase Retention Gary Kadi, for CareCredit Attracting new patients is one of the top concerns of practic-

ing dentists. This concern most likely stems from new patients

that come through the front door of practices, and quietly leave through the “back door.” Instead of putting resources into attracting new patients, practices should shift their focus to retaining patients. Following are techniques that can help you keep new and existing patients returning to your practice.

The key to achieving patient retention is building a relationship with each patient by finding out what he wants, and giving him more. To do this, you must:

1.

Remove pre-conceived notions — or “filters” — you may have about your patients.

For example, you might believe a particular patient can’t afford a $10,000 treatment plan, so you recommend a $2,500 plan. The treatment plan would then be based on your assumptions about the patient, instead of the patient’s needs or desires. Overcoming the tendency to make assumptions takes practice, and the technique of “blank slating.” Be sure to present a treatment plan that addresses the disease profile presented by the patient. If financial constraints are present, establish a staged treatment schedule or set up a flexible payment plan. Optional esthetic treatments can be suggested and if desired by the patient, the costs of these treatments can also be staged accordingly. Don’t second guess the patient and hold back treatments based on your perception that the patient cannot afford the plan.

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2. “Blank slate” your patients A patient and his circumstances may change from one appointment to the next. Consciously choose to start each patient’s visit with a blank slate, instead of assume that decisions she made concerning her oral health will indicate her future decisions. For example, just because Mrs. Smith didn’t accept recommended dentistry in the past, don’t assume she won’t today. Instead, try to find out what motivates her to receive dental care — or what her “personal motivator” is.

“You’ve been a loyal patient here, Mrs. Smith, and it’s been a privilege for me to work with you over the last several years. Part of my commitment to you as your dentist is to keep myself updated on any changes in your life that may impact your dental needs. So, before we get started today, could you share with me what’s important to you when you come to the dentist?”

From this conversation, you can identify the patient’s wants, or her personal motivator. When these wants are met, the foundation for retention and case acceptance is laid.

The Re-Care Call Designate a “re-care” coordinator in your office. This person has two roles: reactivate and recover the patient, if he is not returning, with a “re-care call.” It’s important the coordinator has a complete and accurate list of patients that are due back, along with the patients’ personal motivators, so he can connect with each patient.

If the coordinator doesn’t have the personal motivators for a patient, ask him to speak to the patient in terms of what returning for oral care means to the patient, not what it means to you or your staff. I don’t believe in scripting, but I believe if you have good intentions, the right words will come. Here’s an example of how a recare call might go, if you don’t have a patient’s personal motivator: “Hi, this is Gary. I’m calling from Dr. Smith’s office. Is Leslie there? Hi, Leslie, do you have a moment?” (Any time you call a patient, ask him if he has time to talk to you. If he says, “yes,” you have his attention and permission.)

“I’m calling on behalf of Carrie, your hygienist.

She’s concerned that we haven’t seen you in our practice this year. Is everything okay? Is there something related to our practice that is preventing you from coming back? We want to make sure everything is right, so you get the care you need.”

It’s important to have a caring perspective, and to let a patient know he’s genuinely missed. If the patient indicates that the practice has done nothing to prevent him from coming in, your next question should focus on getting him scheduled.

If you have a patient’s personal motivator, the call would be much more personal. Let’s say the patient, Leslie, indicated the reason she wants good oral health is because she wants to look professional for her business and great for her husband. Here’s how that call might sound: “Hi, Leslie. How are you? Wow, winter is here already. Did you get a chance to get away and spend time with your family? We haven’t seen you for a while. We want to make sure you’re maintaining your oral health, so you can keep your teeth for life. Can we help you schedule your next appointment now?”

Breaking Down Barriers During re-care calls, patients often put up barriers to avoid making a new appointment. For example, Leslie might respond, “I’d like to make an appointment; but yes, I did take a ski vacation with the family, and I really don’t have the extra cash right now for dental care.

I’ll call you back in a few months.” Again, always be patient-centric and provide solutions for anything that prevents the patient from returning for care. “Leslie, I have a family myself and understand your hesitation.

As your dental provider though, I must say that our preventative dentistry approach to dental care is the best way to maintain your dental health and is the best way to keep the costs of care as low as possible. You know how Dr. Smith is — he wants to find any cavities as soon as possible so that the fillings are smaller and less expensive, and he wants to be sure you have your teeth cleaned every 6 months to prevent gum disease.

Our practice offers several payment options to make your care financially comfortable, including no-interest payment plans.”

Ultimately, patient retention is a process that is dependent on the effort the team makes to create patient relationships. When you treat patients like they’re friends and family, they’ll be less likely to leave out the back door, and more likely to invite their friends and family to your front door.

If you’d like to learn more about this topic, Mr. Kadi’s free educational audio CD “3 Steps to Grow Your Practice Starting Today,” is available, compliments of TDA Perks Program partner, CareCredit. Call (800) 300-3046 for your free copy, or access CareCredit’s complete audio library at www.carecredit.com/resource-center. To learn more about other Perks programs, visit tdaperks.com, or call (512) 443-3675.

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Oral and Maxillofacial Pathology Case of the Month

Clinical History

Yi-Shing Lisa Cheng, D.D.S.,

sor, Department of Diagnostic

M.S., Ph.D., Associate Profes-

A 22-year-old male went to

his general dentist for a routine oral examination. His dentist found an elevated lesion with a red irregular or rough surface in the left palatal mucosa adjacent to tooth #14 (Figure 1). The

Sciences, Texas A&M University Health Science Center

— Baylor College of Dentistry; John Wright, D.D.S., M.S.,

Regents Professor and Chair,

Department of Diagnostic Sci-

Cheng

Wright

ences, Texas A&M University

Health Science Center — Bay-

lesion was asymptomatic and

lor College of Dentistry; James

the duration of the lesion was unknown. Tooth #14 was previously treated endodontically

Lucente, D.D.S., M.D., private practice in oral and maxillofa-

cial surgery, Mesquite, Texas;

and showed a radiolucency at

Michael J. McQuade, D.D.S.,

the apices on the panoramic

M.S., private practice in peri-

radiograph (Figure 2). The

odontics, Carrollton, Texas

patient was a heavy smoker,

Lucente

but did not have any known systemic disease. The patient was referred to an oral surgeon for biopsy of the palatal le-

uniform depth. The hyperplastic epithelium was covered by a thickened parakeratin layer that filled spaces between surface projec-

sion with a clinical diagnosis of inflammatory tissue from apical abscess and rule out malignancy. Histological examination revealed a hyperplastic surface stratified squamous epithelium showing a papillary architecture (Figure 3). The rete ridges were sometimes narrow and typically

tions. There were numerous large cells with uniformly round nuclei and foamy cytoplasm in the papillary region of the lamina propria (Figure 4); these were not found in deeper stroma. Chronic inflammation was present in both the lamina propria and the epithelium.

What is your final diagnosis?

See page 130 for the answer and discussion.

elongated to approximately a

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Figure 1. The clinical photograph shows an asymptomatic, somewhat pedunculated mass with a red, irregular surface of the left palatal mucosa.

Figure 2. The panoramic radiograph reveals a radiolucency at the apices of tooth #14.

Figure 3. The histological photomicrograph of the lesion shows a papillary architecture of the stratified squamous epithelium with parakeratin plugging into the invaginations of the epithelium (hematoxylin and eosin stain, original magnification Ă—5).

Figure 4. Photomicrograph of higher magnification demonstrates the xanthoma cells, large cells with uniformly round vesicular nuclei and foamy cytoplasm in the papillary region of the lamina propria (hematoxylin and eosin stain, original magnification Ă—20).

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Calendar of Events 128

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February 2010 5 The Give Kids a Smile Day occurs nationwide. For more information, please contact Ms. Lynn Mangan, ADA, 211 East Chicago Avenue, Chicago, IL 60611-2678. Phone: (312) 440-2500; FAX: (312) 440-7494; E-mail: online@ada.org; Web: ada.org.

24 – 25 The American Equilibration Society will hold its 55th Annual Meeting at the Chicago Downtown Marriott in Chicago, IL. For more information, please contact Mr. Kenneth Cleveland, AES, 207 E. Ohio St., Suite 399, Chicago, IL 60611. Phone: (847) 965-2888; FAX: (856) 579-7007; E-mail: exec@aes-tmj.org; Web: aes-tmj.org.

25 – 27 The Academy of Osseointegration will hold its 25th Annual Meeting at the Walt Disney Swan-Dolphin Hotel in Orlando, FL. For more information, please contact Ms. Gina Seegers, AO, 85 W. Algonquin Rd., Suite 500, Arlington Heights, IL 60005-4422. Phone: (847) 709-3030; FAX: (847) 709-3029; E-mail: academy@osseo.org; Web: osseo.org.

27 – 28 The American Academy of Restorative Dentistry will hold its annual meeting at the Drake Hotel in Chicago, IL. For more information, please contact Dr. Alan H. Brodine, AARD, 220 Linden Oaks, Suite 340, Rochester, NY 14625. Phone: (918) 455-2380; FAX: (918) 455-8919; E-mail: admin@restorativeacademy.com; Web: restorativeacademy.com.

March 2010 3–7 The American Academy of Dental Practice Administration will hold its annual meeting at the Hyatt Grand Champion Resort in Palm Springs, CA. For more information, please contact Ms. Kathy S. Uebel, AADPA, 1063 Whippoorwill Lane, Palatine, IL 60067. Phone: (847) 934-4404; FAX (847) 934-4410; Email: executivedirector@aadpa.org; Web: aadpa.org.

17 – 24 The American Student Dental Association will hold its 39th annual session in Pittsburgh, PA. For more information, please contact Ms. Meghan Keelean, ASDA, 211 East Chicago Avenue, Chicago, IL 60611.

Phone: (312) 440-2845; FAX: (312) 440-2820; E-mail: meghan@asdanet.org; Web: asdanet.org.

April 2010 12 – 14 The American Dental Association Washington Leadership Conference will be held in Washington, D.C. For more information, please contact Ms. Cynthia Taylor, ADA, 1111 14th St., NW, Suite 1200, Washington, D.C. Phone: (202) 789-5172; FAX: (202) 898-2437; E-mail: taylorc@ada.org.

15 – 17 The Greater Houston Dental Society will hold the Star of the South Dental Meeting at the George R. Brown Convention Center in Houston, TX. For more information, please contact Ms. Charlotte Bolls, GHDS, 1001 Avenida de las Americas, Houston, TX 77010. Phone: (713) 961-4337; FAX: (713) 9613617; E-mail: cbolls@ghds.org; Web: starofthesouth.org.

15 – 17 The American Society of Dental Anesthesiologists will hold its Annual Scientific Session and House of Delegates at the Farmont Olympic Hotel in Seattle, WA. For more information, please contact Ms. Amy Brown, ASDA, 6038 Callaway Court, Centreville, VA 20121. Phone: (703) 266-2335; FAX: (703) 2663114; E-mail: asda@asdahq.org; Web: asdahq.org.

27 – May 1 The American Academy of Cosmetic Dentistry will hold its annual scientific session, Excellence in Cosmetic Dentistry 2010, at the Gaylord Texan Resort & Convention Center in Grapevine, TX. For more information, please contact Ms. Kelly Radcliff, AACD, 540 World Dairy Dr., Madison, MI 53718. Phone: (800) 543-9220; FAX: (608) 222-9540; E-mail: kelly@aacd.com; Web: aacd.com.

29 – May 1 The American Dental Society of Anesthesiology will hold its annual meeting at the Ritz Carlton Key Biscayne in Key Biscayne, FL. For more information, please contact Mr. R. Knight Charlton, ADSA, 211 E. Chicago Ave., Ste. 780, Chicago, IL, 60611. Phone: (312) 664-8270; FAX: (312) 642-9713; E-mail: adsahome@mac.com; Web: adsahome.org.

30 – May 4 The American Association of Orthodontists will hold its annual session at the Washington Convention Center in Washington, D.C. For more information, please contact Ms. Pam Hoffman, AAO, 401 N. Lindbergh Blvd., St. Louis, MO 63141. Phone: (314) 993-1700; FAX: (314) 997-1745; E-mail: phoffman@ aaortho.org; Web: aaomembers.org. l

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Calendar of Events

May 2010 6–9 The Texas Dental Association will hold its 140th annual meeting, The TEXAS Meeting, at the San Antonio Convention Center in San Antonio, TX. More than 530 booths will be on exhibit. For more information, please contact Ms. Sandy Blum, TDA, 1946 S. IH35, Ste. 400, Austin, TX 78704. Phone: (512) 443-3675; FAX: (512) 443-3031; E-mail: sblum@tda.org; Web: texasmeeting.com.

20 – 23 The Society of American Indian Dentists will hold its annual conference at the Embassy Suites in Omaha, NE. For more information, please contact Dr. Tamana Begay, Society of American Indian Dentists, 4212 N. 16th St., Phoenix, AZ 85016. Phone: (602) 263-1200; E-mail: doctorbegay@hotmail.com.

27 – 30 The American Academy of Pediatric Dentistry will hold its 63rd annual session at the Hilton Chicago in Chicago, IL. More than 120 booths will be on exhibit. For more information, please contact Ms. Kristin Olson, AAPD, 211 E. Chicago Ave., Ste. 1700, Chicago, IL 60611-2663. Phone: (312) 337-2169; FAX: (312) 337-6329; E-mail: kolson@aapd.org; Web: aapd.org.

June 2010 10 – 13 The Organization for Safety & Asepsis Procedures will hold its annual Infection Prevention and Safety Symposium at the Hyatt Regency Tampa in Tampa, FL. For more information, please contact Ms. Therese Long, OSAP, PO Box 6297, Annapolis, MD 21401. Phone: (410) 571-0003; FAX: (410) 571-0028; E-mail: tlong@osap.org; Web: osap.org.

11 – 12 The TDA Smiles Foundation will hold a Texas Mission of Mercy in Williamson County, Taylor, Texas. For more information, please contact the TDA Smiles Foundation, 1946 S. IH 35, Ste. 300, Austin, TX 78704.

Phone: (512) 448-2441; Web: tdasf.org.

24 – 26 The ADA will hold its 24th New Dentist Conference in San Diego, CA. For more information, please contact Mr. Ron Polaniecki, ADA, 211 East Chicago Avenue, Chicago, IL 60611. Phone: (312) 440-2599; FAX: (312) 440-2883; E-mail: polanieckir@ada.org; Web: ada.org.

24 – 26 The American Association of Women Dentists will hold its annual meeting, A Taste of Dentistry in Chicago, in Chicago, IL. For more information, please contact Ms. Deborah Gidley, AAWD, 216 W. Jackson Road, Ste. 625, Chicago, IL 60606. Phone: (800) 920-2293; Fax: (312) 750-1203; E-mail: info@aawd.org; Web: aawd.org.

July 2010 8 – 11 The Academy of General Dentistry will have its annual meeting at the Ernest Morial Convention Center in New Orleans, LA. For more information, please contact Ms. Rebecca Murray, AGD, 211 E. Chicago Avenue, Suite 900, Chicago, IL 60611-2616. Phone: (312) 440-3368; FAX: (312) 440-0559; E-mail: agd@ agd.org; Web: agd.org.

8 – 13 The American Dental Association Kellogg Executive Management Program will be held in Chicago, IL. For more information, please contact Mr. Ron Polaniecki, ADA, 211 E. Chicago Avenue, Chicago, IL 60611.

Phone: (312) 440-2599; FAX: (312) 440-2883; E-mail: polanieckir@ada.org; Web: ada.org.

16 – 20 The National Dental Association will hold its 97th annual convention at the Hilton Hawaiian Village Resort in Honolulu, HI. For more information, please contact Ms. LaVette Henderson, NDA, 3517 16th Street NW, Washington, DC 20010-3041. Phone: (202) 588-1697; FAX: (202) 588-1244; E-mail: 1henderson@ ndaonline.org; Web: ndaonline.org.

22 – 24 The American Academy of Craniofacial Pain will have its 25th Anniversary International Clinical Symposi at the Grand America Hotel in Salt Lake City, UT. For more information, please contact Mr. Gary Shaw, AACFP, 1901 N. Roselle Rd., Suite 920, Schaumburg, IL 60195. Phone: (847) 885-1272; FAX: (847) 8858393; E-mail: central@aacfp.org; Web: aacfp.org.

The Texas Dental Journal’s Calendar will include only meetings, symposia, etc., of statewide, national, and international interest to Texas dentists. Because of space limitations, individual continuing education courses will not be listed. Readers are directed to the monthly advertisements of courses that appear elsewhere in the Journal.

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Oral and Maxillofacial Pathology Diagnosis and Management

Verruciform Xanthoma Oral and Maxillofacial Pathology Case of the Month (from page 128)

Discussion Verruciform xanthoma (VX) is a benign hyperplastic condition of the epithelium that is characterized by accumulation of lipid-laden histiocytes beneath the epithelium (1). The lesion derives its name from its clinical architecture (verruciform) and the presence histologically of lipid laden histiocytes (xanthoma cells). It is a disease affecting oral mucosa, skin and genitalia, with oral mucosa being the most common location. The prevalence of oral VX is unknown, although a relative frequency rate of 0.025 percent has been estimated by Buchner et al (2). In our oral pathology practice, we have seen an average of 7 cases (range from 3-11 cases) of oral VX in about 7,500 biopsies per year during the 1999- 2008 time period. Oral VX typically occurs in whites, 40 to 70 years of age, with a slight male predilection (male to female ratio of 1.1 to 1) (1, 3).

The etiology of VX is still unknown. The current hypothesis is that VX probably represent an unusual reaction or immune response to localized epithelial trauma or damage (1). This hypothesis is based on the evidence that several cases of VX were found to develop in association with disturbed epithelium, such as in lesions of lichen planus, lupus erythematosus, epidermolysis bullosa, pemphigus vulgaris, graft-versus-host disease, warty dyskeratoma, epithelial dysplasia and squamous cell carcinoma (4-10). Although VX typically appears as a papillary lesion, human papilloma virus (HPV) could be found in only a small num-

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ber of cases and a definitive role for this virus in the pathogenesis of VX has not been established (1).

Although the rare occurrence of multiple lesions has been reported, oral VX typically occurs as a single lesion (11-12). It occurs most often on the gingiva, followed in descending order of frequency by hard palate, tongue, buccal mucosa/vestibule, floor of mouth and soft palate (3). Clinically, it appears as a well-demarcated, painless, sessile, slightly elevated mass. The surface is typically papillary or verrucous in texture and it can be white, yellow, pink or red in color (1, 3).

However, lesions occasionally present as a flat-topped elevated mass (Figure 5). The clinical diagnoses for VX often include papilloma, condyloma acuminatum or squamous cell carcinoma.

Histologically, VX exhibits papillary epithelial hyperplasia with elongated rete ridges. The epithelial surface

Figure 5. Verruciform xanthoma can sometimes present as a well-delineated elevated lesion (gingiva of #29) with a color similar to the adjacent normal tissue.

is covered by a thickened layer of parakeratin that often shows a distinctive orange color and extends into deep clefts between the papillary projections (parakeratin plugging). The diagnostic hallmark is the presence of numerous large foam cells (xanthoma cells) in the connective tissue papilla between the rete ridges of the squamous epithelium. These foam cells have been found to be histiocytes or macrophages, based on positive immunohistochemical reactivity to macrophage scavenger receptor -1, monocyte chemoattractant protein -1, CCR2, oxidized lowdensity lipoprotein and CD68, and ultra-structural evidence of accumulated lipid droplets, myelin figures, and cytoplasmic inclusions of lysosomal and nonlysosomal forms (13-16).

There has been no intra-bony lesion linked to the development of VX. Therefore, the periapical radiolucency in the presenting case (shown in Figure 2) most likely represents an independent periapical inflammatory disease, such as periapical granuloma or apical periodontal cyst. The recommended treatment for VX is conservative surgical excision.

Recurrence after removal is rare (1).

References 1. Neville BW, Damm DD, Allen CM, Bouquot JE. Verruciform Xanthoma.

Oral and Maxillofacial Pathology. 3rd ed. St. Louis: Saunders Elsevier; 2009. p. 372-4.

2. Buchner A, Hansen L, Merrell P. Verruciform xanthoma of the oral mucosa. Report of five cases and review of the literature. Arch Dermatol 1981;117:563-5.

3. Philipsen H, Reichart P, Takata T, Ogawa I. Verruciform Xanthoma-Biological Profile of 282 Oral Lesions Based on a Literature Survey With Nine New Cases From Japan. Oral Oncology 2003;39:325-36.

4. Polonowita A, Firth N, Rich A. Verruciform xanthoma and concomitant lichen planus of the oral mucosa. A report of three cases. Int J Oral Maxillofac Surg 1999;28:62-6.

5. Miyamoto Y, Nagayama M, Hayashi Y. Verruciform xanthoma occurring within oral lichen planus. J Oral Pathol Med 1996;25:188-91.

6. Gehrig R, Baughman R, Collins J. Verruciform xanthoma in a young male patient with a past history of pemphigus vulgaris.. Oral Surg Oral Med Oral Pathol 1983;55:58-61.

7. Drummond J, White D, Damm D, Cramer J. Verruciform xanthoma within carcinoma in situ. J Oral Maxillofac Surg 1989;47:398-400.

8. Neville B, Weathers D. Verruciform xanthoma. Oral Surg Oral Med Oral Pathol 1980;49:429-34.

9. Coleman P, Richardson M. Verruciform xanthoma associated with an oral warty dyskeratoma. Oral Surg Oral Med Oral Pathol 1996;81:3-4.

10. Allen CM, Kapoor N. Verruciform xanthoma in a bone marrow transplant recipient. Oral Surg Oral Med Oral Pathol 1993;75:591-4.

11. Blanco C, Miranda C, Fernandez F, Val-Bernal J, Garijo F, Saiz-Bustillo R. Verruciform xanthoma of the lip: two lesions in a woman. Am J Dermatopathol 1988;10:176-8.

12. Travis W, Davis G, Tsokos M, Merrick H, Miller S, Gregg R. Multifocal verruciform xanthoma of the upper aerodigestive tract in a child with a systemic lipid storage disease. Am J Surg Pathol 1989;13:309-16.

13. Ide F, Obara K, Yamada H, Mishima K, Saito I, Kusama K. Cellular basis of verruciform xanthoma: immunohistochemical and ultrastructural characterization. Oral Disease 2008;14:150-7.

14. Mostafa K, Takata T, Ogawa I, Ijuhin N, Hiromasa N. Verruciform xanthoma of the oral mucosa: a clinicopathological study with immunohistochemical findings relating to pathogenesis. Virchows Archiv A Pathol Anat 1993;423:243-8.

15. Cobb C, Holt R, Denys F. Ultrastructural features of the verruciform xanthoma. J Oral Pathol Med 1976;5:42-51.

16. Zegarelli D, Zegarelli-Schmidt E, EV Z. Verruciform xanthoma. A clinical, light microscopic, and electron microscopic study of two cases. Oral Surg Oral Med Oral Pathol 1974;38:725-34.

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Briefs

IMPORTANT: Ad briefs must be in the TDA office by the 20th of two months prior to the issue for processing.

For example, for an ad brief to be included in the January issue, it must be received no later than November 20th. Remittance must accompany classified ads. Ads cannot be accepted by phone or fax. *

Practice Opportunities

Advertising brief rates are as follows: 30 words or less — per insertion…$35. Additional words 10¢ each.

If TDA box number is used, add $5 when figuring a cost.

AUSTIN: Periodontial specialty practice in the Austin area. Well-established practice with solid referral base. Very good, newer equipment. Really nice office. ID #070.

The JOURNAL reserves the right to edit copy of classified advertisements.

CHILDRESS: Free-standing brick building in excellent location. All new equipment, 44-year-old pactice, fee-for-service, excellent opportunity. ID #019.

MCLERRAN AND ASSOCIATES: AUSTIN: Five operatory general family practice with high quality fee for service patient base. State-of-the-art, all digital and paperless office is as attractive as they come. Grossing above mid six figures with very low overhead. ID #103.

Any dentist advertising in the Texas Dental Journal must be a member of the American Dental Association.

CORPUS CHRISTI: Three operatory, fee-for-service crown and bridge oriented family practice in a great location. The practice is grossing high six figures. ID #098.

All checks submitted by non-ADA members will be returned less a $20 handling fee.

CORPUS CHRISTI: Doctor retiring, six op office with excellent visbility and access. Good numbers, excellent patient base, good upside potential. Excellent practice for starting doctor. Priced to sell. ID #023.

* Advertisements must not quote revenues, gross or net incomes. Only generic language referencing income will be accepted. Ads must be typed.

HILL COUNTRY: General family practice in vibrant, quick growing hill country town. Well-established practice with collections in mid six figures. Practice and building are for sale. Great opportunity to get into thriving small town practice. ID #079.

HILL COUNTRY AREA: Well-established family practice located in desirable hill country town. Practice would be an excellent satellite office or starter practice. The doctor currently works 2

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days per week. The practice is located in growing area with new subdivisions being built, is 20 minutes from Concan Country Club (a top rated new course in Texas) and is in an excellent retirement area. ID #063.

RIO GRANDE VALLEY: Excellent four opertory, 20-year-old general practice.

Modern, new finish out in retail location with digital radiography. Fee-forservice patient base and very good new patient count. Great numbers. Super upside potential. ID #093.

SAN ANTONIO: High gross and net income general family practice located in high income area in very visible retail office center. The seven op office is in excellent condition, has a modern design, and is equipped with almost new equipment, all digital X-rays, and is fully computerized. Practice grossed seven figures last year. Price slashed!

ID #094.

SAN ANTONIO: Excellent four-chair general family practice in high traffic retail center across from busy mall location. Solid income on 30 hours a week.

Ideal opportunity for doctor wanting a quick start in low overhead operation.

ID #086.

SAN ANTONIO — Prosthodontic practice with almost new equipment and build out. Doctor wants to sell and continue to work as associate. Beautiful office! Perfect for stand alone or satellite office. ID #060.

SAN ANTONIO — Three operatory general practice in condominium located in highly desirble and conveniently located medical center area. This practice would be an excellent starter practice

and has tremendous upside potential.

The condo is also for sale. ID #084.

SAN ANTONIO, NORTH CENTRAL — Small, two-op practice just off major freeway; perfect starter office. Terrific pricing. ID #009.

SAN ANTONIO — High grossing practice in highly visible, free standing building on busy thoroughfare. Attractive, spacious office has six ops and ortho bay and large reception area. Tremendous upside!

SOUTH TEXAS BORDER: General practitioner with 100 percent ortho practice. Very high numbers, incredible neet. ID #021.

NEW! SAN ANTONIO: Solid, five op general family practice located in high visibility retail project in medical center.

Good equipment, nice decor, and loyal patient base.

NEW! SAN ANTONIO: Four operatory general family practice located in professional office building off of busy thoroughfare in affluent north central side of town. Very nice equipment and decor. Excellent opportunity.

NEW! WACO AREA: Modern and hightech three op general family practice grossing in mid six figures with high net income. Office is well equipped for doctor seeking modern office.

NEW! HILL COUNTRY, NORTH SAN ANTONIO: Doctor retiring from extremely successful general practice. Four operatory free-standing building. Excellent location, equipment, staff, and patient base. Located in a very desirable area.

HOUSTON AREA PRACTICE OPPORTUNITIES! MCLERRAN & ASSOCIATES. HOUSTON/CONROE AREA — Associate to buy-in oportunity. Six operatory family practice with well-established patient base and high net income. Doctor retiring. Great opportunity. ID #041.

HOUSTON — This well-established, 100 percent fee-for-service practice produced mid-six figures on 2 days per week last year. Located in a spacious, three op facility with room for expansion. ID #076.

HOUSTON — Three-year-old Medicaid/ insurance practice with nice build-out (three operatories with two equipped and room for expansion), digital X-rays (including panoramic), high traffic location. Ideal demographics and tremendous upside potential for a buyer willing to open more than 3 days per week. ID #092.

GOLDEN TRIANGLE — Eight operatory general family practice grossing in the low seven figures. The office is in great shape and has a modern, open concept design. The practice is in a highly residential area, sees a healthy amount of new patients per month with a solid cash flow. ID #104.

HOUSTON AREA — Highly profitable, multi-doctor, investor size practice.

The office has more than 10 ops and presents multi-specialty opportunities for owning doctor. Great return on investment.

HOUSTON — Galleria area practice with high visibility in a retail location.

This well decorated office has hardwood floors and high ceilings and is bright Texas Dental Journal

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and appealing. Practice has digital Xrays with computers in the treatment rooms. Operated as a satellite office, with strong new patient flow, a fulltime dentist can take this practice to the next level.

NEW! HOUSTON: 20-year-old crown and bridge oriented family practice inside 610 Loop in highly visible office.

FFS practice has new equipment with digital X-rays, production in mid-six figures. Low overhead practice refers out a number of procedures, giving this office tremendous upside potential.

NEW! HOUSTON / GULF COAST: Established general practice in a beautiful Gulf Coast community. Located on a highly visible retail center, has five operatories (four equipped), a consultation room, and boasts an attractive ambience. Seller is available for transition. Priced to sell at only $237,000.

Contact McLerran Practice Transitions, Inc.: statewide, Paul McLerran, DDS, (210) 737-0100 or (888) 6560290; in Austin, David McLerran, (512) 750-6778; in Houston, Tom Guglielmo and Patrick Johnston, (281) 362-1707.

Practice sales, appraisals, buyer representation, and lease negotiations. See www.dental-sales.com for pictures and more complete information.

GARY CLINTON — PMA: ABILENE / SAN ANGELO PRACTICES FOR SALE. S1-Abilene: Retiring dentist outright sale/PRN transition; great location on south side of Abilene. S2-San Angelo: Excellent, well-established restorative practice. Very nice, newer equipment.

Dentist relocation. Transitional/out-

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right sale. We have the best sources for 100 percent buyer funding. Gary Clinton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation.

Authorized closing agent/escrow agent for numerous financial institutions.

Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal (specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

GARY CLINTON — PMA: NORTH OF LUBBOCK PRACTICE FOR SALE. L1) Highly productive practice. Large growing patient base. Transitional phased retirement. He will work for purchaser as needed. Purchase building outright or lease/purchase. We have the best sources for 100 percent buyer funding. Gary Clinton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation. Authorized closing agent/escrow agent for numerous financial institutions. Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal (specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

GARY CLINTON TEXAS — THREE ORTHODONTIC PRACTICES TRANSITIONAL AND OUTRIGHT SALES: O1-Within 90 miles of Austin: Flexible, will transition. Seven-figure practice, beautiful office. O2-West Central Texas mid-sized community: Professional referral based; traditional fee-for-service, referral, highly productive. Gorgeous building with room for two in this 50/50 partnership. O3-South Texas: Retiring orthodontist, transition flexible. Seven-figure practice collections; over 60 percent profits; lovely building.

He is ready to spend time with grandchildren. We have the best sources for 100 percent buyer funding. Gary Clinton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation.

Authorized closing agent/escrow agent for numerous financial institutions.

Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal (specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

GARY CLINTON / PMA ORAL SURGERY PRACTICE FOR SALE, HOUSTON AREA: Northwest Houston (many referring dentists). Outright sale / transition as associate PRN. Seven figure gross. Seller will work 1-2 days as associate for purchaser PRN, phased retirement. We have the best sources for 100 percent buyer funding. Gary Clin-

ton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation.

Authorized closing agent/escrow agent for numerous financial institutions.

Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal (specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

GARY CLINTON / PMA JUST OUTSIDE TYLER AREA: Great value! Plenty of new patients. This area is growing.

Loyal patients; full recall; will transition. Pine trees surround his office. We have the best sources for 100 percent buyer funding. Gary Clinton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation. Authorized closing agent/escrow agent for numerous financial institutions. Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal (specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

GARY CLINTON / PMA SOUTH TEXAS / BROWNSVILLE / HARLINGEN AREA: Excellent practice with flexible Texas Dental Journal

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transition. Primarily fee-for-service and Delta Dental. High operating profits; more than seven figures in collections.

Lovely office. Some ortho easily expanded to larger percentage of practice.

Outright sale. Seller with transition / work for new owner as needed. We have the best sources for 100 percent buyer funding. Gary Clinton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation.

Authorized closing agent/escrow agent for numerous financial institutions. Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal (specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

GARY CLINTON / PMA AMARILLO PRACTICE FOR SALE: Well established practice. Doctor relocating. High collections/net. Five operatory full hygiene; high productivity. Possible buy-out in future. We have the best sources for 100 percent buyer funding. Gary Clinton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation.

Authorized closing agent/escrow agent for numerous financial institutions.

Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal

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(specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

GARY CLINTON / PMA FRISCO / MCKINNEY / NORTH DALLAS AREA: Practice limited to orthodontics. Great location; mid-size practice. We have the best sources for 100 percent buyer funding. Gary Clinton is senior member of the Institute of Business Appraisers, Inc. “For over 35 years, you’ve seen the name ... a name you can trust.” I personally handle every appraisal/transition/sale. No conflict of interest/dual representation. Authorized closing agent/escrow agent for numerous financial institutions. Certified appraisals based upon the comparables. More than 2,000 comparables to insure accuracy of appraisal (specialty and general). Our listings, no fee to buyers of our listings. Very confidential. DFW: (214) 503-9696; WATS: (800) 583-7765.

SOUTHEAST HOUSTON GENERAL DENTAL PRACTICE — SALE: Incredible general dental practice with six operatories in a new facility. High revenues with excellent profit margin.

Doctor relocating but is most interested in smooth transition. This is a wonderful opportunity to accumulate a substantial retirement “nest egg” with a low level of risk. Contact The Hindley Group at (800) 856-1955. Visit us at www.thehindleygroup.com.

CORPUS CHRISTI GENERAL DENTAL — SALE: Moderate revenues with a very healthy profit margin. Experienced and

loyal staff. Totally digital and highly efficient facility layout. If you need to practice to refund your retirement but don’t want to fight the competitiveness of the city, come see this practice. Contact The Hindley Group at (800) 856-1955. Visit us at www.thehindleygroup.com.

EAST TEXAS ORAL & MAXILLOFACIAL SURGERY PRACTICE — SALE: Beautiful and spacious facility located in the heart of a rapidly growing Texas metropolis. Great opportunity for highly qualified surgeon with desire to assume responsibility for a wide spectrum of OMS procedures, expand surgical treatment, and dramatically increase income. Strong revenues and high profit margins; flexible acquisition terms! Must see opportunity! Contact The Hindley Group at (800) 856-1955.

Visit us at www.thehindleygroup.com.

SAN ANTONIO PROSTHODONTIC — SALE: Located inside the 410 loop, this 10-year-old practice produces moderate revenues on 3 days per week. Specializing in prosthodontics, the office could be expanded to a broader scope of restorative general dental treatment. Located in beautiful new offices, there are three treatment rooms with new equipment. Outstanding staff. Doctor must sell for health reasons but can transition over period of 3-6 months. Contact The Hindley Group at (800) 856-1955. Visit us at www.thehindleygroup.com.

HOUSTON ORAL SURGERY PRACTICE FOR SALE: Well-established 35year-old practice with strong revenues

and high profit margin due to limited competition. Outstanding mentor to transition. Wonderful staff. Practice building also available for sale. Whether you are just completing your residency or after 20 years in practice, you are tired of the snow, call us and come and meet this doctor. Contact The Hindley Group, (800) 856-1955. Visit us at www.thehindleygroup.com.

WACO PEDIATRIC DENTAL PRACTICE — SALE: Well-established practice with moderate revenues and high profit margin on 4 days per week. Due to limited competition and a large facility, there is ample room to grow in this community that is home to Baylor University. All ortho cases are being completed, unless purchaser would like to expand new cases. No Medicaid being seen, but good opportunity with enhanced state fee schedule. Experienced staff and steady new patient flow. Wonderful mentor! Building also available. Contact The Hindley Group at (800) 856-1955. Visit us at www. thehindleygroup.com.

GOLDEN TRIANGLE GENERAL DENTAL PRACTICE — SALE: Outstanding practice for sale developed by published mentor. Supported by outstanding staff and latest in dental equipment. Strong revenues and profit margin. Excellent new patient flow. Given high level of FFS revenues, doctor to transition to comfort level of purchaser. Come build your retirement in low competition community. Contact The Hindley Group at (800) 856-1955. Visit us at www.thehindleygroup.com.

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CENTRAL EAST TEXAS — SALE: Outstanding practice for sale in beautiful East Texas. Moderate FFS revenues with three fully equipped operatories and an excellent staff. Doctor leaving for the mission field and interested in optimal transition. If you are an older doctor who needs to re-complete his retirement package after the stock market drop, and want to practice in a less competitive more relaxed environment, this is a must-see opportunity. Contact The Hindley Group at (800) 856-1955.

Visit us at www.thehindleygroup.com.

NORTHWEST SAN ANTONIO GENERAL DENTAL PRACTICE — SALE: General dentistry practice with strong revenues and excellent new patient flow.

Practice is located in highly visible location on well-traveled road. Four treatment rooms. Doctor is most anxious to facilitate strong transition. Contact The Hindley Group at (800) 856-1955. Visit us at www.thehindleygroup.com.

DALLAS / FORT WORTH: Area clinics seeking associates. Earn significantly above industry average income with paid health and malpractice insurance while working in a great environment.

Fax (630) 274-0760 or e-mail dwolle@ gmail.com.

SOUTH OF DALLAS GENERAL DENTAL PRACTICE — SALE: Well-established practice providing full range of dental services and patient friendly focus. Strong revenues and very high profit margin. Excellent and loyal staff with steady new patient flow. Smaller community with easy access to big city

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amenities. Contact The Hindley Group at (800) 856-1955. Visit us at www. thehindleygroup.com.

SOUTH OF HOUSTON GENERAL DENTAL PRACTICE — SALE: Outstanding practice with very high growth potential experiencing a strong new patient flow.

Moderate revenues with a healthy profit margin on 4 days per week. Building also for sale. Contact The Hindley Group at (800) 856-1955. Visit us at www.thehindleygroup.com.

SUGAR LAND GENERAL DENTAL PRACTICE — SALE: Located at busy intersection with high traffic flow. Easy access to Houston. Strong revenues in high growth aera. Excellent mentor to transition. Contact The Hindley Gropu at (800) 856-1955. Visit us at www. thehindleygroup.com.

ASSOCIATESHIPS: SOUTH CENTRAL TEXAS PERIODONTAL — Wonderful practice completing periodontal treatment seeks long-term associate who desires to be a partner within 1-2 years. Great location with strong new patient flow. Pre-determined purchase and partnership terms. Wonderful mentor looking for an “equally-yoked” individual. Excellent staff. DFW METROPLEX ORAL AND MAXILLOFACIAL SURGERY — Parkland trained surgeon seeking an “equally yoked” associate desiring to acquire the entirety of his practice within the next 35 years. Well-established practice enjoying 2008 revenues exceeding seven figures from two locations. Wonderful opportunity for a resident who has re-

cently completed their program and who desires transition into practice ownership. You could not find a more superior partner! MIDLAND GENERAL DENTAL PRACTICE — Well established and growing practice with strong revenues and healthy profit margin on 4 days per week. Wonderful mentor with plenty of room to grow. SAN ANTONIO PERIODONTAL — Associateship with pre-determined buy-in for very active, multi-office periodontial practice. Outstanding mentor and cohesive staff.

If you are the right person, this is an oustanding opportunity. Contact The Hindley Group at (800) 856-1955. Visit us at www.thehindleygroup.com.

HOUSTON SOUTHWEST GENERAL PRACTICE: Well-established general practice for sale with recent build out and equipment. Great merger candidate or stand-alone office. Call Jim Robertson, (713) 688-1749 or (713) 822-5705.

HOUSTON CLEAR LAKE GENERAL PRACTICE: Small Clear Lake practice for merger opportunity or second office.

Call Jim Robertson, (713) 688-1749 or (713) 822-5705.

HOUSTON PASADENA ORTHO PRACTICE: Small ortho practice for merger opportunity or second office. Call Jim Robertson, (713) 688-1749 or (713) 822-5705.

HOUSTON NORTHWEST ORTHO PRACTICE: Profitable, well-established ortho practice for sale. Call Jim Robertson, (713) 688-1749 or (713) 822-5705.

ADS WATSON, BROWN & ASSOCIATES: Excellent practice acquisition and merger opportunities available.

DALLAS AREA — Four general dentistry practices available (Highland Park, Dallas, Allen, McKinney), one oral maxillofacial surgery, and three orthodontic practices. FORT WORTH AREA —Four general dentistry practices (Flower Mound, Lewisville, Fort Worth, North Richland Hills). HOUSTON AREA — Two general dentistry practices (Dickinson, Lake Jackson) and one periodontal practice. EAST TEXAS AREA — Three general dentistry practices and one pediatric practice.

CENTRAL TEXAS — One pediatric and one periodontal practice. PANHANDLE — One general dentistry practice and one orthodontic practice. NEW MEXICO — Two general dentistry practices (Santa Fe, Albuquerque). For more information and current listings, please visit our website at wb-associates.com or call ADS Watson, Brown & Associates at (940) 455-2299.

DALLAS / FORT WORTH: Dental One is opening new offices in the upscale suburbs of Dallas and Fort Worth. Dental One is unique in that each office of our 60 offices has its own, individual name such as Riverchase Dental Care and Preston Hollow Dental Care. All our offices have top-of-the-line Pelton and Crane equipment, digital X-rays, and intra-oral cameras. We are 70 percent PPO, 30 percent full fee. We take no managed care or Medicaid. We offer competitive salaries and benefits. To learn more about working for Dental One, please contact Rich Nicely at (972) 755-0836.

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HOUSTON DENTAL ONE is opening new offices in the upscale suburbs of Houston. Dental One is unique in that each office of our 50+ offices has its own individual name. All our offices have top-of-the-line Pelton and Crane equipment, digital X-rays, and intraoral cameras. We are 100 percent FFS with some PPO plans. We offer competitive salaries, benefits, and equity buyin opportunities. To learn more about working for Dental One, please call Andy Davis at (713) 343-0888.

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growing area. Building has been a dental office for many years. Ideal for a second dental location, a dentist who wants to slow down, or a dentist who wants a full-time practice. For more information, call (979) 836-2880.

ASSOCIATE FOR GENERAL DENTISTRY PRACTICE: Experienced general dentist needed for established, rapidly growing private group practice in Northwest Houston. Flexible schedule.

Competitive compensation with retirement plan. Great opportunity for quality oriented person with future buy-in interest. Please send CV to bwilson@ easdds.com.

TEXAS PANHANDLE: Well-established 100 percent fee-for-service dental practice for immediate transition or complete sale at below market price by retiring dentist. Relaxed work schedule with community centrally located within 1 hour of three major cities. The office building can be leased or purchased separately and is spaciously designed with four operatories, doctors’ private office and separate office rental space. This is an excellent and profitable opportunity for a new dentist, a dentist desiring to own a practice, or a satellite practice expansion. Contact C. Vandiver at (713) 205-2005 or clv@ tauruscapitalcorp.com.

FULLY-EQUIPPED MODERN DENTAL OFFICE SPACE AVAILABLE FOR LEASE: Have four ops, current doctor is only using 2 days a week. Great opportunity to start up new practice (i.e. endo perio, oral surgery). Available days are Monday, Tuesday, and Thursday per week. Call (214) 315-4584, or e-mail ycsongdds@yahoo.com.

SUGAR CREEK / SUGAR LAND: General dentist looking for periodontist, endo, ortho specialist to lease or sell.

Suite is 1,500 sq. ft. with four fullyequipped treatment rooms, lab, business office, telephone system, computers, reception and playroom; 5 days per week. If seriously interested, please call (281) 342-6565.

FOR SALE — BRENHAM DENTAL OFFICE: Attractive building in the center of three vacant, landscaped lots; 1,500 sq. ft., free-standing building with three large operatories, large lab, and storage area. Office is fully equipped with many amenities and in a high traffic, rapidly

NON-PROFIT ORGANIZATION IN SOUTHWEST HOUSTON is seeking part-time dentist to work in their indigent clinic. Please fax resumes to (281) 403-1143 or contact the director of health services, (281) 261-9199 ext 291. Also, looking for volunteer den-

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tist, hygienist, and RDAs to assist us in serving those who are uninsured and are in need of quality care.

TOP OF THE HILL COUNTRY GENERAL PRACTICE FOR SALE. Beautiful free-standing building in growing Clifton medical/arts district. Well established, quality oriented, five ops, FFS. Easy proximity to Dallas, Austin, and Lake Whitney. Doctor relocating but willing to provide flexible transition terms. If you are tired of patient turnover and want to make a difference in patients’ lives, this it the opportunity you’ve been looking for. Call (254) 6753518 or e-mail dnicholsdds@earthlink. net.

AUSTIN: Unique opportunity. Associateship and front-office position available for husband/wife team. Southwest Austin, Monday through Thursday. Option to purchase practice in the future. Send resume and questions to newsmile@onr. com.

GALVESTON ISLAND: Unique opportunity to live and practice on the Texas Gulf coast. Well-established fee-forservice, 100 percent quality-oriented practice looking for a quality oriented associate. Ideal for a new graduate or for an experienced dentist wanting to relocate and become part of an established practice with a reputation for providing comprehensive, quality dental care with a personable approach.

Practice references available from local specialists. Contact Dr. Richard Krumholz, (409) 762-4522.

ROUND ROCK GENERAL PRACTICE FOR SALE. High visibility location. I want to move to my satellite office fulltime. Only one PPO (Delta). E-mail inquiries to buyaroundrockdentalpractice@ yahoo.com or call (512) 965-6725.

GENERAL DENTIST NEEDED to provide comprehensive dental services for community health center dental practice. Services include examination, diagnosis, and treatment of registered patients of the center. Scope of services include diagnostic, preventive, restorative, oral surgery, and endodontics.

The center is a non-profit FQHC located in Bryan-College Station. E-mail cover letter and resume to Dr. Alonge at oalonge@bvcaa.org.

IRVING PRACTICE FOR SALE: Long-established, four operatory (three equipped and one plumbed/ unequipped) GP located in a popular and growing area of Irving. Efficient management systems, a trained staff, and stable patient base are in place for the next dentist to step in and begin practicing dentistry. The seller is retiring. Contact Practice Transition Partners at (888) 789-1085 or visit www.practicetransitions.com.

EL PASO: FULL- OR PART-TIME ASSOCIATE NEEDED. Would be sole practitioner at location. Three operatories for DDS plus one for hygienist, equipment less than 1 year old. Past compensations up to 5-figures per week. No administrative responsibilities. Call (702) 510-7795 or e-mail drartbejarano@gmail.com.

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ASSOCIATE NEEDED — NE TEXAS: Pittsburg is surrounded by beautiful lakes and piney woods. Well-established, quality-oriented, busy cosmetic and family practice. Associate to partnership opportunity. Call Dr. Richardson at (903) 856-6688.

HOUSTON: Small group practice with three locations in and around Houston area seeking highly motivated general dentist to share in a fee-for-service, wellestablished private practice. High income potential with full doctor autonomy.

Please send CV to amihuynh@yahoo.com.

HOUSTON: A great opportunity to start your own practice without the financial commitment. Dental office southwest Galleria area. Lease, purchase, or become an associate with the potential of owning. Please call Jasmine Rodriguez, (281) 917-0986.

GREAT OPPORTUNITY FOR PEDIATRIC DENTIST in Austin/Round Rock group practice. Competitive compensation. Potential partnership. State-ofthe-art technology. Fee for service, PPO insurance and Medicaid. E-mail CV to austinpediatricdds@yahoo.com.

WELL-ESTABLISHED GENERAL DENTIST IN TYLER with 30+ years experience seeks a caring and motivated associate for his busy practice. This practice provides exceptional dental care for the entire family. The professional staff allows a doctor to focus solely on the needs of their patients.

Our office is located in beautiful East Texas and provides all phases of quality

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dentistry in a friendly and compassionate atmosphere. The practice offers a tremendous opportunity to grow a solid foundation for the doctor. The practice offers excellent production and earning potential with a possible future equity position available. Our knowledgeable staff will support and enhance your growth and earning potential while helping create a smooth transition. Interested candidates should call (903) 509-0505 and/or send an e-mail to steve.lebo@sbcglobal.net.

HOUSTON: Would you enjoy owning a well-established neighborhood dental practice in the Heights section of Houston? Located in a mixed use professional building, this practice has enabled the current owner to retire without financial stress. My client is ready to transition this great two operatory facility to the right dentist. It is priced right and ready to take you to the next level of your career. Call Jack Sayyah, (877) 905-1515.

EXPERIENCED RESTORATIVE DENTIST (PANKEY/LVI TYPE) who enjoys aesthetics and full-mouth rehab needed to lead a first-class, full service practice. Unique practice model affords the opportunity to earn high income doing big cases and coordinating patient care with our specialty teams. Practice with the support of a veteran team in a beautiful practice. Contact Dr. John Bond at jbond@6daydental.com.

6 DAY DENTAL & ORTHODONTICS is an established group practice model, providing all dental services to our pa-

tients under one roof. Our general dentists and sepcialists work together to provide the most convenient and quality dental care possible. We are growing and have an immediate opportunity for a general dentist or prosthodontist with future partnership/equity opportunity.

6 Day Dental & Orthodontics just may be the premier fee-for-service alliance of dental practices in the country. Our doctors earn more, see fewer patients, and have plenty of time off to enjoy a rich and healthy lifestyle. New grads and experienced dentists/prosthodontists welcomed. Our dentists earn in

the top 10 percent of extractions, as well as performing all types of dentistry. Please send CV or contact Dr. John Bond at jbond@6daydental.com. Visit www.6daydental.com.

Office Space SPACE AVAILABLE FOR SPECIALIST. New professional building located southwest of Fort Worth in Granbury between elementary and junior high schools off of a state highway with high visibility and traffic. Call (817) 3264098.

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HIGH TRAFFIC SHELL BUILDING IN ROUND ROCK, north of austin, in one of the fastest-growing counties. available at $155 / sq. ft. For more information, e-mail jacque@rgtate.com or call (512) 848-2509.

DENTAL / MEDICAL OFFICE in Medical Center area, 3,509 sq. ft. Nicely finished out; move-in ready, space can be demised. all bills paid. Please call shannan or christine / brokers, (210) 930-3700.

DENTAL OFFICE SPACE AVAILABLE MARCH 2010 IN WIMBERLEY, a true

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“small town” in the heart of the Hill country. originally designed/built for a dentist; excellent location across the street from wimberley High school and Middle school. Parking, ada accessible, high-speed internet available, community water supply. call leslie Howe at (512) 847-9361.

FULL-EQUIPPED DENTAL OFFICE FOR SALE OR LEASE. three to four ops, graet opportunity for start up, low rent. Please call (817) 808-5086 or email hpdentaltx@yahoo.com.

Interim Services TEMPORARY PROFESSIONAL COVERAGE (Locum Tenens): Let one of our distinguished docs keep your overhead covered, your revenue-flow open wide, your staff busy, your patients treated and booked for recall, all for a flat daily rate not a percent of production. Nation’s largest, most distinuished team. Short-notice coverage, personal, maternity, and disability leaves our specialty. Free, no obligation quotes. Absolute confidentiality.

Trusted integrity since 1996. Some of our team seek regular part-time, permanent,

or buy-in opportunities. Always seeking new dentists to join the team. Bread and butter procedures. No cost, strings, or obligations — ever! Work only when you wish. Name your fee. Join online at www. doctorsperdiem.com. Phone: (800) 6000963; e-mail: docs@doctorsperdiem.com.

OFFICE COVERAGE for vacations, maternity leave, illness. Protect your practice and income. Forest Irons and Associates, (800) 433-2603 (EST). Web: www.forestirons.com. “Dentists Helping Dentists Since 1983.”

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Professional Recovery Network pu Dec p 1246

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AFTCO.......................................................................37 A.J..Riggins.Co................................................144/145 American.Dental.Association................................122 Anesthesia.Education.and.Safety. .....Foundation..................................................107/123 Crown.Dental.Studio................................................11 DDS.Marketing........................................................112 Dental.One................................................................36 Dental.Practice.Specialists....................................112 Dental.Systems.......................................................121 Doctors.Per.Diem...................................................143 E-Vac........................................................................119 Fortress.Insurance...................................................11 Greater.Houston.Dental.Society.............................40 Hanna,.Mark.—.Attn..at.Law....................................36 Henderson,.Sherri.L..&.Associates.........................13 High.Tex...................................................................112 Hindley.Group.........................................................118 JKJ.Pathology........................................................108 Kennedy,.Thomas.John,.D.D.S.,.P.L.L.C...............145 Kool.Smiles.................................................................7 LVI.Global..................................................................27 Ocean.Denal................................................................9 Paragon,.Inc............................................................121 Patterson.Dental...........................Inside.Front.Cover The.Phan.Law.Firm.................................................109 Portable.Anesthesia.Services...............................119 PPC.Loan.................................................................144 Practice.Management.Associates.........................117 Professional.Recovery.Network......................14/146 Professional.Solutions,.Inc.......................................6 Sharp.&.Cobos........................................................118 Southern.Dental.Associates......................................3 Southern.Anesthesia.and.Surgical.......................109 SPDDS.......................................................................37 Stern.Empire.......................................................Insert Sybron.......................................................................35 TDA.Express...........................................................113 TDA.Financial.Services.Insurance. .....Program................................................Back.Cover TDA.Perks..................................... Inside.Back.Cover Texas.Dental.Network............................................107 UTDB-Houston........................................................108 UTHSC-SA.Oral.&.Maxillofacial...............................26 Waller,.DDS,.Joe.—.Attn..at.Law...........................113 Watson,.Brown.&.Associates..................................26

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