2019 - March/April TFDA

2019 Dentists’ Day on the Hill - March 11-12,64 2019 EXHIBITOR MARKETPLACE —­ PAGE & 65- Page 2

VOL. 31, NO. 2 • MAR/APR 2019 • FDC ISSUE

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

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Orlando Top 10 Things to Do FDC2019 Survival Kit 2019 FDA Award Recipients

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Your FDAS Agent Dan Zottoli P: 561.791.7744 E: dan.zottoli@fdaservices.com

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in every issue 3

Staff Roster

5

President's Message

10 Did You Know?

12 Info Bytes 14 Legislative Corner

8

My Former Employee is Trying to Steal My Patients — Can He Do That?

32 Get Involved!

66 Compleat Dentistry

22

House of Delegates

24

Board of Dentistry

69 Diagnostic Discussion 77 Advertising Index 80 Off the Cusp

27

10 Ways to $ave @FDC2019!

Cover photo: Join Drs. Chris Bulnes and Clay McEntyre, friends and colleagues on Friday, June 28 during FDC2019 for Pirate Island! This family-friendly event will feature live music, entertainment for all ages and pirate adventures!

Costumes are encouraged and all registered attendees are invited.

Dr. Bulnes also is a featured speaker and will be presenting “Top 10 Coding and Insurance Pitfalls: A Panel Discussion” on Thursday, June 27 at 9 a.m. along with Drs. Charles Blair and Douglas Manning, and Ms. Casey Stoutamire. See page 60 for more details.

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Donated Dental Services Patient Achieves a Pain-free Smile

56

16 news@fda 19 Career Center

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

29

Orlando Top 10 Things to Do

39

FDC2019 Survival Kit

FDC2019 Speaker Preview — The Importance of Body Language

58

FDC2019 Speaker Preview — Assembling the Right Team to Open a New Office

60

FDC2019 Speaker Preview — Dealing With Discounts

64

Exhibitor Marketplace

42

2019 FDA Award Recipients

TODAY'S FDA ONLINE: floridadental.org

FLORIDA DENTAL ASSOCIATION MARCH/APRIL 2019 VOL. 31, NO. 2

EDITOR Dr. John Paul, Lakeland, editor

STAFF Jill Runyan, director of communications Jessica Lauria, communications and media coordinator Lynne Knight, marketing coordinator

BOARD OF TRUSTEES Dr. Jolene Paramore, Panama City, president Dr. Rudy Liddell, Brandon, president-elect Dr. Andy Brown, Orange Park, first vice president Dr. Dave Boden, Port St. Lucie, second vice president Dr. Gerald Bird, Cocoa, secretary Dr. Michael D. Eggnatz, Weston, immediate past president Drew Eason, CAE, Tallahassee, executive director Dr. Karen Glerum, Boynton Beach • Dr. Jeannette Pena Hall, Miami Dr. Bernard Kahn, Maitland • Dr. George Kolos, Fort Lauderdale Dr. Eddie Martin, Pensacola • Dr. Jeffrey Ottley, Milton Dr. Paul Palo, Winter Haven • Dr. Howard Pranikoff, Ormond Beach Dr. Rick Mullens, Jacksonville • Dr. Beatriz Terry, Miami Dr. Stephen Zuknick, Brandon • Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Tim Marshall, Spring Hill, Treasurer • Dr. Rodrigo Romano, Miami, Treasurer-elect Dr. John Paul, Lakeland, editor

PUBLISHING INFORMATION Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303 .

FDA membership dues include a $10 subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188.

Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2019 Florida Dental Association.

All rights reserved. Today’s FDA is a refereed publication.

POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303.

EDITORIAL AND ADVERTISING POLICIES Editorial and advertising copy are carefully reviewed, but publication in this journal does not necessarily imply that the Florida Dental Association endorses any products or services that are advertised, unless the advertisement specifically says so. Similarly, views and conclusions expressed in editorials, commentaries and/or news columns or articles that are published in the journal are those of the authors and not necessarily those of the editors, staff, officials, Board of Trustees or members of the Florida Dental Association.

EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste 200, Tallahassee, Fla. 32303.

FDA office numbers: 800.877.9922, 850. 681.3629; fax 850.681.0116; email address, fda@floridadental.org; website address, www.floridadental.org.

ADVERTISING INFORMATION For display advertising information, contact: Jill Runyan at jrunyan@floridadental.org or 800.877.9922, Ext. 7113.

For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.977.9922, Ext. 7115.

Today’s FDA is a member publication of the American Association of Dental Editors and the Florida Magazine Association.

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TODAY'S FDA

MARCH/APRIL 2019

WWW.FLORIDADENTAL.ORG

CONTACT THE FDA OFFICE 800.877.9922 OR 850.681.3629 545 John Knox Road, Ste. 200 • Tallahassee, FL 32303

EXECUTIVE OFFICE DREW EASON, Executive Director deason@floridadental.org 850.350.7109 GREG GRUBER, Chief Operating Officer/ Chief Financial Officer ggruber@floridadental.org 850.350.7111 CASEY STOUTAMIRE, Director of Third Party Payer and Professional Affairs cstoutamire@floridadental.org 850.350.7202 JUDY STONE, Leadership Affairs Manager jstone@floridadental.org 850.350.7123 LIANNE BELL, Leadership Concierge lbell@floridadental.org 850.350.7114

ACCOUNTING BREANA GIBLIN, Director of Accounting bgiblin@floridadental.org 850.350.7137 LEONA BOUTWELL, Finance Services Coordinator Accounts Receivable & Foundation lboutwell@floridadental.org 850.350.7138 DEANNE FOY, Finance Services Coordinator Dues, PAC & Special Projects dfoy@floridadental.org 850.350.7165 ALLEN JOHNSON, Accounting Manager allen.johnson@fdaservices.com 850.350.7140 MITZI RYE, Fiscal Services Coordinator mrye@floridadental.org 850.350.7139 STEPHANIE TAYLOR, Membership Dues Coordinator staylor@floridadental.org 850.350.7119 LESYA WILBUR, Commissions Coordinator lesya.wilbur@fdaservices.com 850.350.7142

COMMUNICATIONS AND MARKETING JILL RUNYAN, Director of Communications jrunyan@floridadental.org 850.350.7113 LYNNE KNIGHT, Marketing Coordinator lknight@floridadental.org 850.350.7112

FLORIDA DENTAL CONVENTION (FDC) CRISSY TALLMAN, Director of Conventions and Continuing Education ctallman@floridadental.org 850.350.7105 KENLEE BRUGGEMANN, FDC Meeting Assistant kbruggemann@floridadental.org 850.350.7162 BROOKE MARTIN, FDC Marketing Coordinator bmartin@floridadental.org 850.350.7103 DEIRDRE RHODES, FDC Exhibits Coordinator drhodes@floridadental.org 850.350.7108

GOVERNMENTAL AFFAIRS JOE ANNE HART, Chief Legislative Officer jahart@floridadental.org 850.350.7205 ALEXANDRA ABBOUD, Governmental Affairs Liaison aabboud@floridadental.org 850.350.7204 JAMIE SHEEHAN, Governmental Affairs Legislative Assistant jsheehan@floridadental.org 850.350.7203

INFORMATION SYSTEMS LARRY DARNELL, Director of Information Systems ldarnell@floridadental.org 850.350.7102 RACHEL STYS, Computer Support Technician rstys@floridadental.org 850.350.7153

MEMBER RELATIONS KERRY GÓMEZ-RÍOS, Director of Member Relations krios@floridadental.org 850.350.7121 DESTINY SIMS, Member Access Coordinator dsims@floridadental.org 850.350.7100 CHRISTINE TROTTO, Membership Concierge ctrotto@floridadental.org 850.350.7136

JESSICA LAURIA, Communications and Media Coordinator jlauria@floridadental.org 850.350.7115

FLORIDA DENTAL ASSOCIATION FOUNDATION (FDAF)

WWW.FLORIDADENTAL.ORG

800.877.7597 or 850.681.2996 545 John Knox Road, Ste. 201 Tallahassee, FL 32303 Group & Individual Health • Medicare Supplement • Life Insurance Disability Income • Long-term Care • Annuities • Professional Liability Office Package • Workers’ Compensation • Auto • Boat

SCOTT RUTHSTROM, Chief Operating Officer scott.ruthstrom@fdaservices.com 850.350.7146 CAROL GASKINS, Commercial Accounts Manager carol.gaskins@fdaservices.com 850.350.7159 ALEX KLINE, FDAS Marketing Coordinator arey@fdaservices.com 850.350.7166 MARCIA DUTTON, Administrative Assistant marcia.dutton@fdaservices.com 850.350.7145 PORSCHIE BIGGINS, North Florida Membership Commercial Account Advisor pbiggins@fdaservices.com 850-350-7149

DAN ZOTTOLI, SBCS Director of Sales — Atlantic Coast 561.791.7744 Cell: 561.601.5363 dan.zottoli@fdaservices.com

877.843.0921 (toll free) Cell: 407.927.5472 dennis.head@fdaservices.com

KELLY DEE, ACDDA Membership Commercial Account Advisor kelly.dee@fdaservices.com 850.350.7157

MIKE TROUT Director of Sales — North Florida 904.249.6985 Cell: 904.254.8927 mike.trout@fdaservices.com

EBONI NELSON, CFDDA Membership Commercial Account Advisor eboni.nelson@fdaservices.com 850.350.7151

JOSEPH PERRETTI, SBCS Director of Sales — South Florida

MELISSA STAGGERS, WCDDA Membership Commercial Account Advisor melissa.staggers@fdaservices.com 850.350.7154

LIZ RICH, Commercial Account Advisor liz.rich@fdaservices.com 850.350.7171

YOUR RISK EXPERTS

DENNIS HEAD, CIC Director of Sales — Central Florida

MARIA BROOKS, SFDDA Membership Commercial Account Advisor maria.brooks@fdaservices.com 850.350.7144

TESSA DANIELS, Commercial Account Advisor tessa.daniels@fdaservices.com 850.350.7158

CARRIE MILLAR Director of Insurance Operations carrie.millar@fdaservices.com 850.350.7155

305.665.0455 Cell: 305.721.9196 joe.perretti@fdaservices.com RICK D’ANGELO, CIC Director of Sales — West Coast 813.475.6948 Cell: 813.267.2572 rick.dangelo@fdaservices.com

To contact an FDA Board member, use the first letter of their first name, then their last name, followed by @bot.floridadental.org.

For example, Dr. John Paul: jpaul@bot.floridadental.org.

R. JAI GILLUM, Director of Foundation Affairs rjaigillum@floridadental.org 850.350.7117 AUSTIN MOSER, Coordinator of Foundation Affairs amoser@floridadental.org 850.350.7161

FDA SERVICES

The last four digits of the telephone number are the extension for that staff member.

TODAY'S FDA MARCH/APRIL 2019

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THE POWER OF THE COMPLETE TEAM

G N I T E E CIAL M

A D F E H T F

I F F O E H T

O FEATURED SPEAKERS:

» » » » » » » »

John Alonge, DDS, MS Charles Blair, DDS Lee Ann Brady, DMD HArald Heymann, DDS, Med Tieraona Low Dog, MD Laci Phillips Todd Snyder, DDS, PC BARbara Steinberg, DDS, FAGD

floridadentalconvention.com

JUNE 27-29, 2019

REGISTER JUNE 27-29,NOW! 2019

GAYLORD PALMS RESORT & CONVENTION CENTER ORLANDO, FLORIDA

leadership

THE TOOTH PARTY ELEVATES THE DENTAL PROFESSION Spring is a time of renewal. In nature, spring means new growth, new life. In Florida, spring means we start swimming in the ocean or the Gulf again. In Tallahassee, it means the Legislature is in session.

“No man’s life, liberty or property is safe while the Legislature is in session.”

– Gideon Tucker, 1866.

You also might add “profession” to this quote.

Though written more than 150 years ago, it still holds true today. Often, I hear members say they don’t want to get involved in politics.

Well, the Florida Dental Association (FDA) is a political organization, as we are greatly affected by our state and national politicians’ decisions. One of the FDA’s key member benefits and a constant focus of its leaders is advocacy. It must be, because with the signing of one bill into law, the way you practice dentistry could change.

My dad was a public policy director — a fancy title for head lobbyist — for a large HMO for many years. He spent many a day and night developing rapport with those who decided and those who influenced those who decided. He made it a point to be a trusted resource who provided sound information.

When legislation that would affect the health care of their members was being considered, he often was consulted for input before the bills were filed.

When I was younger, I considered politics distasteful and did not want to be involved beyond giving money to the FDA Political Action Committee (FDAPAC). As I became WWW.FLORIDADENTAL.ORG

more involved in leadership in the Northwest District, I was expected to attend Dentists’ Day on the Hill (DDOH). I asked my dad for advice and questioned whether it was worth taking a day out of the office to go to Tallahassee and represent my profession. He said, “If your profession doesn’t take part in the political process, the political process will take your profession apart.” Well, alrighty then. My dad elevated my perspective — and I’ve been going ever since.

Under the leadership of Joe Anne Hart, our Governmental Affairs Team is dedicated to the protection of the public and preservation of the dental profession. Joe Anne and Alexandra Abboud work tirelessly to build relationships with legislators, their aides and staff at the Capitol. They organize our Legislative Contact Dentist (LCD) program, which pairs constituent member dentists with legislators, so they can educate their legislator and be the trusted resource on dental issues. Joe Anne and Alexandra travel throughout the state to deliver PAC checks, attend fundraisers and meet with party leaders — never taking a position with the Republican or Democratic Party, but always representing the TOOTH PARTY! Joe Anne, Alexandra and many LCD dentists elevate their relationships.

PRESIDENT’S MESSAGE JOLENE PARAMORE, DMD FDA PRESIDENT

Dr. Paramore can be reached at jparamore@ bot.floridadental.org.

The FDA exists to help its members succeed and help improve the oral and resulting overall health of all Floridians. In spring 2015, the FDA unveiled Florida’s Action for Dental Health (FADH), a comprehensive plan with multiple goals and objectives. Every FDA SEE PAGE 7 TODAY'S FDA MARCH/APRIL 2019

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Awards Luncheon JOIN IN THE RECOGNITION OF YOUR COLLEAGUES. FRIDAY • JUNE 28, 2019 11:30 AM-1 PM FLORIDA DENTAL CONVENTION Gaylord Palms Resort & Convention Center Orlando, Florida

2019 AWARD RECIPIENTS  PRESIDENT’S AWARD Dr. Jolene Paramore  FDA DENTIST OF THE YEAR Dr. Gerald Bird  J. LEON SCHWARTZ LIFETIME SERVICE AWARD Dr. Terry Buckenheimer

 FDA LEADERSHIP AWARDS Dr. Eva Ackley Dr. Leo Cullinan  NEW DENTAL LEADER Dr. Angela McNeight  DENTAL TEAM MEMBER Ms. Dianne Parisi

 FDA PUBLIC SERVICE Mr. Clay Archer Ms. Beth Burwell Dr. Michael Pikos  HELPING MEMBERS SUCCEED TEAM IMPACT AWARD Ms. Brooke Martin

Individual tickets are $40 or table of 10 for $350. Deadline to purchase: June 7th.

Purchase your tickets with your FDC2019 registration.

FROM PAGE 5

member received a copy. Our Governmental Affairs Team has presented it every year since to every legislator and their staff.

We need our Legislature to help us achieve these goals and objectives. But, they need sound information from the experts in oral health.

We need you! Volunteer to help us educate our elected officials. We are the experts on oral health and they need to be exposed to your knowledge base to make good decisions.

Make the time to meet with your legislators and their staff in their district offices during the year. Be a part of the political process. Respond to those Special Alerts and call-to-action emails to contact your legislators when they are sent. We need you to elevate your engagement.

For the last two sessions, legislation has been introduced that would create a new licensed dental provider: the dental therapist. If this legislation passed, dental therapy training would consist of three years of education after high school, and a dental therapist would be licensed to perform procedures such as extractions, restorations and pulpectomies under general supervision. This means a dentist does not have to be present or evaluate the treatment provided. The FDA is adamantly opposed to dental therapy legislation.

I would like to thank everyone who contacted members on the Senate Children, Families, and Elder Affairs Committee and asked them to VOTE NO on SB 684 and SB 686 by Sen. Jeff Brandes (R-St. Petersburg), which would have authorized licensure for dental therapists. Thanks to your hard work, no official vote was taken on the bill. At this time, SB 684 is not expected to be heard again in committee. Additionally, SB 686 was not considered by the committee.

Many proponents of this model cite access to care as the reason for supporting dental therapy and claim there is a shortage of dentists in Florida. This couldn’t be further from the truth.

We are Florida. We are not Alaska or Minnesota. Florida has a robust, highly educated and productive workforce with more than 14,000 licensed dentists and more than 15,000 licensed dental hygienists. The dentist to patient ratio for the state as a whole is adequate. There is a maldistribution of dentists, Medicaid reimbursement rates are less than the average dental office overhead and even with private dental benefit plans, only 50 percent of those with dental coverage see a dentist for care. Those are the issues FADH seeks to address.

Tooth Party MVPs spring into action (L to R): Dr. Paramore, FDA Executive Director Drew Eason, Chief Legislative Officer Joe Anne Hart and FDA President-elect Dr. Rudy Liddell.

Governmental Affairs Liaison Alexandra Abboud talks to FDA members during the legislative briefing.

and oncologists? No. A massive public awareness campaign and smoking cessation education programs were initiated to reduce the incidence of lung cancer. We need to promote education and prevention as the answer to the dental disease epidemic. It may well take a generation to accomplish improved oral health. We must work harder to prevent the need for treatment, especially for underserved Floridians. We must elevate our impact!

I know our members want to elevate our profession. You tell me often. Now show me. Take a minute and go to floridadental.org. Click on “Advocacy” on the top blue toolbar, then join Century Club. It’s $150 for the TOOTH PARTY, your profession’s political party. If you were unable to attend DDOH, donate more to support those of us who were in Tallahassee advocating for oral health for Floridians and for you, our members. Don’t let us be taken apart by the political process.

As always, I remain yours in the bond,

When lung cancer became so prevalent, did the medical profession respond by producing more thoracic surgeons WWW.FLORIDADENTAL.ORG

TODAY'S FDA MARCH/APRIL 2019

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human relations

MY FORMER EMPLOYEE IS TRYING TO STEAL MY PATIENTS — CAN HE DO THAT? Yes, unless you have a valid restrictive covenant in place. Florida, like most states, encourages competition among businesses.

However, also like most states, Florida has a law that offers businesses a way to protect certain business interests. As a group, these protections are referred to as restraints on trade or restrictive covenants. Most of you may have heard them referred to as noncompete agreements.

DEBORAH S. MINNIS

Ms. Minnis practices labor and employment law at Ausley McMullen, and she also represents various local government bodies. She can be reached at dminnis@ausley.com.

This article is for informational purposes only and is not intended to be a substitute for professional legal advice.

If you have a specific concern or need legal advice regarding your dental practice, you should contact a qualified attorney.

Despite its common usage, a non-compete agreement is one of three types of restrictive covenants. The others are non-disclosure agreements and non-solicitation agreements. All three are generally combined into one document, but each serves a different purpose.

1. A non-compete agreement generally prohibits the former employee from either opening his or her own office, going to work for a competitor, or having an interest in another office/company that competes directly with your business.

2. A non-disclosure agreement does not prohibit former employees from competing with you but prohibits them from using or disclosing any confidential or proprietary information or knowledge they obtained as your employee.

3. Finally, a non-solicitation agreement prohibits the former employee from contacting and soliciting your patients and/or employees.

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Under Florida law, to have a validly enforceable restrictive covenant, you must (1) demonstrate that you are protecting a legitimate business interest and (2) have a written agreement signed by the person against whom you wish to enforce the restrictive covenant. Florida has defined legitimate business interest to include, but not be limited to: n trade secrets, as defined by law n valuable confidential business or professional information that otherwise does not qualify as a trade secret n substantial relationships with specific prospective or existing customers, patients or clients n customer, patient or client goodwill associated with:

n an

ongoing business or professional practice, by way of trade name, trademark, service mark or “trade dress�

n a

specific geographic location

n a

specific marketing or trade area

n extraordinary or specialized training Generally, problems arise in meeting the second requirement: having a written agreement. To have an enforceable restrictive covenant, it must be in writing and signed by the employee. Simply having a provision in an employee handbook or having a written policy is not enough. Each employee must sign an agreement for it to be bound. For WWW.FLORIDADENTAL.ORG

convenience, many employers who require employees to sign employment agreements include restrictive covenant provisions within those agreements. Without a signed agreement, other than those items specifically protected by law as trade secrets, the employee can use or disclose information, and yes, solicit your patients.

Employers frequently ask if they can require existing employees to sign a restrictive covenant agreement. Yes, employers can require existing employees to sign an agreement containing restrictive covenants. Courts have held that an employee’s ability to keep their job is adequate consideration for requiring them to sign the agreement. Keep in mind, these agreements must state the legitimate business interest being protected and the terms must be reasonably necessary to protect that interest.

Without a validly executed restrictive covenant, the options to protect your business from competition and the solicitation of your patients are somewhat limited. One possible option would be to bring an action in court for misappropriation of a trade secret. However, patient lists and patient contact information are not automatically considered to be trade secrets under the law. Proving that patient lists and contact information are trade secrets can be difficult.

Information that is publicly available, like names, addresses and telephone numbers, is not usually considered a trade secret. To support a claim that this type of information is a trade secret, you would have to have proof that you had taken extraordinary measures to obtain the information and maintain its confidentiality. Simply creating a list containing this information is not enough to trigger protection under the trade secrets laws. In fact, in a recent opinion, a Florida federal court ruled that where the core contents of the information are publicly available, it cannot be a trade secret. Please note this is quite different from the employee taking patient health information or social security numbers, which are deemed confidential and are protected by HIPAA and other federal laws.

Another potential option would be to get ahead of the patient calls by the former employee. If you know the relationship is ending, be the first to let the patients know about the employee’s departure, let them know you want to keep them as a patient and explain how you plan to meet their needs when the employee leaves. Even when the termination is sudden, the actions above should be taken as soon as is practicable.

Though other options may be available, none are as comprehensive or enforceable as having a valid restrictive covenant in place.

WWW.FLORIDADENTAL.ORG

TODAY'S FDA MARCH/APRIL 2019

9

DIDYOU

BOD

?

INFORMATION ABOUT THE FLORIDA BOARD OF DENTISTRY

DR. DON ILKKA FDA LIASON TO THE FLORIDA BOARD OF DENTISTRY

CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

MEDICAL EMERGENCY KIT, DEFIBRILLATORS AND ANESTHESIA PERMITS Did you know there is no specific Board of Dentistry (BOD) rule or Florida statute that dictates the items that must be in your medical emergency kit? The best practice is to use your best clinical judgment; you also can speak with your medical malpractice representative. However, BOD rules do require that every dental office must have an automatic external defibrillator (AED), and if your office does not have one, the rule states you shall be considered practicing below the minimum standard of care (see Rule 64B5-17.015). In addition, if you have an anesthesia permit, depending on the type of

If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@ floridadental.org or 850.350.7202, or FDA Liaison to the Florida Board of Dentistry Dr. Don Ilkka at donjilkkadds@aol.com or 352.787.4748.

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TODAY'S FDA

permit you possess, the BOD rules require you to have specific types of equipment, emergency equipment and medicinal drugs in your office (see Rules 64B5-14.008, 14.009 and 14.010). The text of all rules can be found at floridasdentistry.gov/resources under the Florida Statutes and Administrative Codes tab.

MARCH/APRIL 2019

WWW.FLORIDADENTAL.ORG

WWW.FLORIDADENTAL.ORG

TODAY'S FDA MARCH/APRIL 2019

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info bytes

“I’M SORRY, DAVE, I’M AFRAID I CAN’T DO THAT.” LARRY DARNELL, MBA, CAE FDA DIRECTOR OF INFORMATION SYSTEMS

Mr. Darnell can be reached at ldarnell@floridadental.org.

We are far removed from “2001: A Space Odyssey” and the HAL 9000 (referenced in the title). That movie was made more than 50 years ago and yet, some parts of it are still relevant today. Digital assistants that respond to questions and even perform certain tasks for us are the here and now. Perhaps you’ve wondered how Alexa, Siri, Cortana and Google Assistant (the Big Four) work? You’re not alone. There are essentially three parts to any question you put forth to these digital assistants.

The first part involves getting your question.

This can be a multi-faceted issue. I’m sure you’ve had speech-to-text “mishear” what you said (think autocorrect). This can be a problem when you need a question answered or a certain task performed. If the digital assistant does not get your question or task request properly parsed, the results will be wildly inconsistent — and often quite funny.

It begins with voice recognition and involves some complex modeling and probability assessments to determine what you said or asked for in the first place.

The next part involves understanding the context of the question or command asked.

There’s a lot of computing power that goes into just understanding what you said. The context can be even more complicated. That’s why the most valuable digital assistants must be connected to the Big Network (the internet) so they can harness the comput-

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ing power necessary to understand what you want. Remember that the turnaround time for most questions or tasks is a matter of seconds, even nanoseconds, which still seems to be too long for some people.

The last part is simply providing you the answer or performing the task. This involves taking the results of parts one and two and using a massive database of answers or tasks and then providing that response or performing that action. Imagine the complexity with a question like “How is Washington?”

Are you referring to D.C. or the state? Maybe it’s Denzel, George or Booker T.? Perhaps it’s the Redskins, Nationals, Wizards or Capitals?

Questions you’ve asked before, your location, your interests and many other factors determine the context to provide you with an expected answer.

Perhaps the biggest elephant in the room is whether your digital assistants are listening to every conversation you have. While not stated by any of the Big Four, court-ordered subpoenas for such information suggest that they are indeed listening and recording. With the advent of so many smart devices, I’m not sure this is a total surprise. The real question is, what do they do with that data? One day you are talking about backpacks and the next day backpacks show up in sponsored posts on your Facebook. Coincidence? Not likely.

No tin foil hats or conspiracy theorists here.

It’s “modem-day” target advertising.

WWW.FLORIDADENTAL.ORG

1. Digital assistants are a part of life now and are useful for specific purposes. An assistant should assist you in some way. If not, then you don’t need it.

2. Pick one that you’ll want to use. I have all four and it can be confusing. Each seemed like a novelty at first and then that wore off.

G

I’m relatively sure digital assistants are here to stay. I’m not sure you can avoid them entirely. How much access you give them is totally within your control for now. Proceed with caution, Dave.

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5. Use them in limited ways. If you give control over everything to something or someone else that doesn’t always have your best interests at heart, who is really to blame?

HT

&

3. Spend some time learning what it can and cannot do for you. For instance, I have a voice-controlled thermostat.

Nice for those super lazy mornings.

4. Decide if it’s worth the risk to allow a third party to hear your conversations. Take appropriate security precautions seriously. Assume they do listen to everything.

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So, what are we to do with these digital assistants? Here are a few things to keep in mind.

Online reservations: floridadentalconvention.com WWW.FLORIDADENTAL.ORG

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legislative corner

ACCESS TO DENTAL CARE NOW OR LATER

The Florida Dental Association (FDA) supports promoting legislative initiatives to help Floridians access dental care now rather than investing state resources in proposals that will delay care for up to five years.

JOE ANNE HART FDA CHIEF LEGISLATIVE OFFICER

For additional information on legislative issues, you can reach Joe Anne Hart at jahart@floridadental.org or 850.350.7205.

To achieve this goal, several FDA-supported bills have been filed for the 2019 Legislative Session and could have an immediate impact on Floridians accessing dental care around the state. HB 465 by Rep. Mike Grant (R-Port Charlotte) and SB 716 by Sen. Ed Hooper (R-Palm Harbor) would reinstate the dental student loan repayment program by providing a financial incentive for dentists to practice as full-time Medicaid providers in rural and underserved areas. Dentists participating in the program would be eligible to receive $50,000 per year for a maximum of five years. Since this is not a new program, the dental student loan repayment program could be implemented quickly and will create immediate access today for many people who struggle to find routine dental care in their community.

Additionally, HB 465 and SB 716 would codify in statute the Donated Dental Services program and establish financial support from the state to fund two full-time coordinators and operating expenses for dentists and dental labs to donate care to individuals who are medically compromised, elderly and/or disabled.

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Legislation has been filed this year to create a new licensed dental provider in Florida called a dental therapist. The FDA does not support dental therapy legislation. SB 684 and SB 686 by Sen. Jeff Brandes (R-St. Petersburg), HB 649 by Rep. Rene Plasencia (R-Titusville) and HB 471 by Rep. Juan Fernandez-Barquin (R-Miami) would create pathways to allow individuals who are not trained to the level of a dentist to perform irreversible surgical procedures like extractions and partial root canals. Proponents of dental therapists argue that this provider is like a nurse practitioner and a physician assistant.

After a review of the procedures a dental therapist would be authorized to do with limited education and training, compared to the education and training of nurse practitioners and physical assistants — there is no comparison. Dental therapists are not like nurse practitioners or physician assistants and are not the solution to increasing access to dental care. Since there are no dental therapy programs accredited in any state, it could take up to five years to implement dental therapy legislation. Groups pursuing dental therapy in Florida would attempt to provide Floridians with perceived access to dental care later, which is not increasing access to those suffering today.

Not only will the FDA pursue legislation that will provide immediate relief for patients,

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but the FDA also will look for ways to start educating our children and youth on the importance of practicing good oral health habits at home. Sen. Gayle Harrell (R-Stuart) has filed SB 374 and Rep. Patricia Williams (D-Ft. Lauderdale) has filed HB 1017 to add a dentist to the Florida Children and Youth Cabinet. The Children and Youth Cabinet was created in 2007 to promote and implement collaboration, creativity, increased efficiency, information sharing and improving service delivery between and within state agencies and organizations. The FDA supports the promotion of early oral health education and prevention as a key component to addressing overall dental care and being a part of this cabinet will provide an opportunity for dental care to be a priority for our children and youth.

The FDA also will continue its efforts to secure state funds for community water fluoridation. For the past four years, the state has allocated approximately $200,000 for grant money for

cities and counties to use for their local efforts. This year, the FDA will be asking the Legislature to appropriate $1 million for community water fluoridation.

For the first time, the FDA will ask the state to appropriate general revenue for the Florida Mission of Mercy (FLA-MOM).

The FDA Foundation has managed to host these two-day dental clinics on donations and grants received from various organizations, foundations and even dentists. The impact that a FLA-MOM has on a community is extremely valuable and will provide a great return on the investment for the state by reducing the number of people going into hospital emergency departments with dental pain. The FDA will ask the state to allocate $580,000 to support future FLA-MOM events. This year’s FLA-MOM was held on March 22-23 in Orlando. For additional information on the FLA-MOM, go to flamom.org.

Florida’s Action for Dental Health Too many Floridians face challenges in accessing routine, preventive dental care. It’s time to get to the root of improving oral health in Florida.

Key FDA initiatives Florida Donated Dental Services

Safety Net Programs

Community Dental Health Coordinator

Student Loan Repayment

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dentalhealthfl.org The Florida Dental Association (FDA) wants you to be as informed as possible about FDA policy issues during the Florida Legislative Session. Visit dentalhealthfl.org to learn about our oral health initiative, Florida’s Action for Dental Health, and the many components that make this a comprehensive solution for addressing access to dental care.

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updates for members *PLEASE NOTE THAT FDA MEMBERS HAVE THEIR NAMES LISTED IN BOLD.

Stay Up to the Minute During Session with the FDA’s Special Alerts If there are any messages that you really should pay attention to, it’s those sent out by the Florida Dental Association (FDA) during Legislative Session.

When you see an FDA Special Alert in your inbox, please make a point to check it out as soon as possible. These messages deliver up-to-the-minute information and important requests from the FDA regarding the hard work being done on behalf of organized dentistry during Session. As always, the FDA wants you to be as informed as possible during the 2019 Legislative Session.

As we push for legislative initiatives to increase access to dental care by maximizing our current dental workforce, there are others who are pushing for the creation of a new licensed dental provider in Florida. Information is powerful, and having the right information is critical this year.

Sign Up Today for New Legislative Text Alerts!

The FDA is unveiling a new text alert system to ensure FDA members have the most up-to-date information to act on legislative alerts. To enroll, text “FDA” to 50457 and you will receive a text back to confirm your enrollment. You will only receive a text message when asked to take action upon a certain legislative issue. Action alerts can range from asking your legislator to co-sponsor a bill, support/oppose certain legislation or thanking them for their vote on a bill. Please note, this is an opt-in system. You will not be texted unless you take the above steps to opt into the program. For more information, or if you have any questions, please contact the Government Affairs Office at 850.224.1089.

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Want FREE FDC2019 Course Tuition?

Volunteer to be a speaker host at the Florida Dental Convention (FDC)! Lecture speaker hosts will receive FREE course tuition and a lunch voucher for Exhibit Hall concessions.

Workshop and certification speaker hosts will receive FREE course tuition for an AM or PM lecture of their choice and a lunch voucher for Exhibit Hall concessions. Go to form.jotform.com/72825600914152 to volunteer to be an FDC speaker host.

Dawson Seminar 1 at FDC2019 FDC2019 is offering “Dawson Seminar 1: Functional Occlusion from TMJ to Smile Design” for only $1,395 during regular registration! As a foundational seminar in the “Concept of Complete Dentistry Series,” attendees will learn the timeless message that good, aesthetic and complete dentistry must begin with a thorough understanding of dental occlusion and the functions of the masticatory system.

Day 1 will be taught by Dr. Peter Dawson, founder of The Dawson Academy!

Go to floridadentalconvention.com to register today!

Tickets Going Fast for Beer Tasting in Paradise at FDC2019!

Join us for a “Beer Tasting in Paradise” at FDC2019! You’ll enjoy a five-course craft beer tasting with small plate pairings, hosted by FDA President-elect Dr. Rudy Liddell. The event will be held on Thursday, June 27 from 6-8 p.m. Don’t wait!

Tickets are going fast, and seating is limited. Purchase tickets online at floridadentalconvention.com during your FDC2019 registration — 100 percent of ticket sales will benefit the FDA Foundation.

This event is sponsored by FDA Services (FDAS) and The Doctors Company.

WWW.FLORIDADENTAL.ORG

FDA History The first Florida National Dental Congress was held in 1984 in Orlando. Today, we continue the tradition by attending the Florida Dental Convention.

Come for the CE, Stay for the MAGIC Extend your stay at FDC2019 and experience the Walt Disney World® Resort magic! FDC attendees can take advantage of discounted partial-day theme park tickets. Experience unforgettable Walt Disney World® Theme Park offerings, including Toy Story Land at Disney’s Hollywood Studios®, World of Avatar at Disney’s Animal Kingdom® Theme Park and much more! Go to mydisneygroup.com/fdc2019 to purchase your tickets today.

FDA Member Attends Caribbean Oral Health Congress

Colgate Oral Health Network Offers Free Webinars The FDA is proud to recognize its partnership with Colgate Oral Health Network (COHN) as its premier source for online continuing education. COHN is offering a FREE webinar for FDA members, “Infant and Child Oral Care: Answers to the Questions that Parents Ask,” presented by Dr. Natalie Carr Bustillo. The webinar is scheduled for May 8 at 8 p.m. EDT. Go to bit.ly/2Ep50sk to register.

New Payroll Service Option for Your Practice FDAS is pleased to announce a new partnership with PayPro HCS that brings valuable savings to FDA members. The PayPro system allows you to pay for your workers’ comp coverage as you go. This option can be applied to your workers’ comp policy at renewal.

Go to bit.ly/2UBx7Lz to learn about exclusive FDA member pricing!

PayPro features: n reduces payroll vendor costs by up to 50 percent. n one-on-one customer service model that is extremely responsive and knowledgeable.

L to R: Dr. Aldo Miranda (PR-AGD president), Dr. Anna Munne (Hispanic Dental Association immediate past president), Dr. Cesar Garcia (periodontist), Dr. Antonia Novello (former Surgeon General of the United States), Dr. Emanuel Cordello (Hispanic Dental Association president), Dr. Ana Lopez (PR School of Dental Medicine former dean), Dr. Elba Diaz-Toro (Colegio de Cirujanos Dentistas de Puerto Rico president), Dr. Jeffrey Cole (ADA president) and Dr. Laurence Grayhills (AGD Region 20 director).

Dr. Laurence Grayhills attended the Caribbean Oral Health Congress held in San Juan, Puerto Rico in February. The Congress addressed the Leadership Exploration and Development Program sponsored by the Colegio de Cirujanos Dentistas de Puerto Rico. His mission was to support the Academy of General Dentistry (AGD) constituent in Puerto Rico headed

by PR-AGD President Dr. Aldo Miranda and to gain insight into the specific issues faced by the Puerto Rican dental community. Dental students also attended and were lauded for their humanitarian participation in Hurricane Maria recovery, encouraged to develop their leadership and communication skills, pursue life-long learning and become active participants in organized dentistry and the future of the profession.

n user-friendly, cloud-based payroll system.

To learn more about PayPro, contact Julie Helfman at 904.763.2232 or jhelfman@payprohcs.com.

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updates for members

In Memoriam The FDA honors the memory and passing of the following member:

Thomas A. Ferretti Pensacola, FL Died: 11/22/19 Age: 72

FROM PAGE 17

Welcome New FDA Members These dentists recently joined the FDA. Their membership allows them to develop a strong network of fellow professionals who understand the dayto-day triumphs and tribulations of practicing dentistry.

Atlantic Coast District Dental Association Sergio Arias, Fort Lauderdale

Central Florida District Dental Association

Kathleen Kamell Rivero, Coral Gables

Monique Belin, Gainesville

Rohit Mathur, Davie

Mary Hunter, Winter Garden

Haitham Nabood, Sterling Heights

Matthew Jackson, Eustis

Mohammed Naser, Miami

Rohan Jagtap, Gainesville

Sandeep Pasumarthy, Miramar

Ramzy Lotfi, Clermon

Hardik Patel, Melbourne

Liliana Marshall, Palm Bay

Teresa Perez-Suarez, Miami

Yesha Patel, Casselberry

Peeyush Ranjan, Weston

George Sonbol, Altamonte Springs

Alina Rodriguez Aguila, Hollywood

Lyne Sy Tangco, Apopka

Marcos Sanoja, Miami

Northeast District Dental Association Paul Wohlgemuth, Jacksonville

Josefina Kinsey, Florida City

Cynthia Savioli de Paula, Miami Shwan Shawkat, Hialeah Renier Suarez, Miami Alexander Trujillo, Miami

Northwest District Dental Association

Maria Vallejos Castillo, Miami

Leah Gagnon, Niceville

Maria Zambrano, Sunrise

Melissa Obrochta, Pace

West Coast District Dental Association

Nisarg Parikh, Orange Park

Priya Vijapura, Miami

Gregory Brandau, Placida

Morgan Coakley, Jupiter

South Florida District Dental Association

Patrick Hoy, Vero Beach

Jaime Casado, Pembroke Pines

Jennifer Depew, Lithia

Emily Newton, Wellington

Milaidy Delgado Espinosa, Hialeah

Nina Guba, Groveland

Jack Piermatti, Parkland

Ahmed Elgalady, Hialeah

Dylan Hagerty, Ruskin

Eilyn Rivero Sanes, Sunrise

Mana Evans, North Miami Beach

Thomas Johnson, Largo

Freddy Vallejo, Plantation

Laura Fernandez, Miami

Aderonke Ogunbameru, Wesley Chapel

Pablo Ferrufino Carvalho, Doral

Edwin Parks, Fort Myers Beach

Jose Franje, Hollywood

James Renner, Dunedin

Ruwa Irsheid, Hialeah

Antoinette Severino, Nokomis

Arianny Arocha, Fort Lauderdale

Katrina Co, Fort Myers

Michael Valancius, Tampa

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THE FDA WELL-BEING COMMITTEE OFFERS YOU CONFIDENTIAL, PROFESSIONAL ASSISTANCE Alcoholism and drug addiction can touch any of us. ADA statistics have shown that almost 20 percent of all dentists will have problems with drugs or alcohol sometime during their careers!

The FDA Well-Being Committee is a group of dental professionals with personal experience with these problems who can give complete confidential assistance to members of the profession, their staff and spouses.

Aftco

For more information and/or help, contact Dr. Barton Blumberg anonymously at 352-446-7910.

(Private Cell #)

PROBLEMS

WITH DRUGS OR ALCOHOL?

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TODAY'S FDA MARCH/APRIL 2019

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FDAS: The Doctors Company

10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 1 8/29/17 2:56 PM 10937A_Tribute-10th_InfoG-WHITE_PartialO 1 8/29/17 2:56 PM

$9,906,

TRIBUTE BALANCE FOR FLORIDA DENTISTS.

$7 MILLION

TRIBUTE BALANCE FOR FLORIDA DENTISTS.

TRIBUTE BALANCE FOR FLORIDA DENTISTS.

$7 MILLION to dentists.

$7 MILLION to dentists.

Are we paying you tribute?

AVERAGE ANNUAL TRIBUTE BALANCE INCREASE.

T

T

T 10 PERCENT

What is the Tribute Plan?

The Tribute Plan is an innovative financial reward for members of The Doctors Company that they would not receive if they were with any other national medical liability insurer. This unique award comes from a well-respected, established carrier with a long track record of strong financial management. The Doctors Company is rated A by A.M. Best Company and Fitch Ratings.

How does it work?

are not offered by any other dental malpractice insurer.

are not offered by any other dental malpractice insurer.

The Doctors Company allocates funds into the Tribute Plan loyalty pool to reward members for advancing and protecting the practice of good medicine throughout their careers. Each eligible member will accumulate an individual balance representing his or her share of the loyalty pool and receive their reward when they reitre.

Outline_Dental_082917m2.pdf 10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 1 8/29/17 2:56 PM 10937A_Tribute-10th_InfoG-WHITE_PartialOutline_Dental_082917m2.pdf 1 8/29/17 2:56 PM 10937A_Tribute-10th_InfoG 1 8/29/17 2:5

r .

720.79 TRIBUTE BALANCE FOR FLORIDA DENTISTS.

TRIBUTE BALANCE FOR FLORIDA DENTISTS.

TRIBUTE BALANCE FOR FLORIDA DENTIS

$7 MILLION to dentists.

$7 MILLION to dentists.

$7 MILLI to dentist

AVERAGE ANNUAL TRIBUTE BALANCE INCREASE. T 10 PERCENT

This is the amount The Doctors Company has set aside for Florida dentists.

AVERAGE ANNUAL TRIBUTE BALANCE INCREASE. T 10 PERCENT

AVERAGE ANNUAL TRIBU BALANCE INCREA

T 10 PERCEN

G e t a n i n s t a nt p r o f e s s i o n al l i a b il it y q u o t e o nl i n e at :

fda se rv ic es. c om/ de ntal- profe ssional- lia bility

are not offered by any other dental malpractice insurer.

are not offered by any other dental malpractice insurer.

are not offered by an dental malpractice

hod meeting

HO U S E O F D E L EG AT ES JAN. 26, 2019 On Jan. 26, the Florida Dental Association (FDA) House of Delegates (HOD) met at the Hillsborough Grand Ballroom in the Tampa airport. The HOD discussed many issues, including the following business:

Report of the 17th District Trustee Dr. Cesar Sabates reported that the following were elected at the American Dental Association (ADA) meeting in October 2018: Dr. Chad Gehani, president-elect; Dr. Craig Herre, second vice president; and, Dr. Ted Sherwin, treasurer. The FDA also was well-represented at the ADA meeting with Dr. Michael Eggnatz serving as chair of the Committee on Credentials Rules and Order, and Drs. Jolene Paramore and Eva Ackley serving on reference committees. Dr. Sabates reported that the Find-A-Dentist program is in its third year and will be funded from reserves. The ADA HOD passed Resolution 26, which included support for the Objective Structured Clinical Examination. Dr. Sabates has been named chair of the Elder Care Workgroup, which will work on the proposed dental benefit in Medicare issue. He informed the HOD that a bill on this topic has been filed in the U.S. House and Senate. He commended the 17th District Delegation on their hard work at the ADA meeting and recognized new delegates, Drs. Natalie Carr Bustillo and Jessica Stilley, as two young superstars on the delegation. He reported that the ADA’s Action for Dental Health legislation was signed into law and commended the ADA and American Dental Political Action Committee (ADPAC) for its advocacy efforts. Dr. Sabates told the HOD that Florida was the envy of the nation regarding membership growth, and while the ADA was not doing as well as Florida, it did see a small uptick in membership over the past year.

FDAPAC Fall 2018 Century Club Challenge Award Dr. Paramore announced the South Florida District Dental Association (SFDDA) as the winner of the Fall 2018 Century Club Challenge and Dr. Irene Marron-Tarrazzi accepted

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the award. Dr. Paramore encouraged members to sign up for Century Club on the FDA’s website and asked members to join the Capital Hill Club.

17th District Delegation Manual Update Nomination and Election of Officers Each year, the delegation will hold a meeting in conjunction with the semi-annual session of the FDA HOD for officer elections. In anticipation of these elections, and within two weeks following the close of the annual session of the ADA HOD, the chair of the delegation shall appoint a Search Committee to motivate and encourage qualified persons to run for office and develop nominations for officer positions on the delegation.

The Search Committee is to fill every position and consider such qualifications as: good communication skills; ability to be physically present to fulfill all duties; depth of understanding of ADA principles and issues; and, an ability to verbalize that depth to members, legislators and the public. During the current 17th District trustee’s final year of office, the same Search Committee also shall be charged with developing nomination(s) for the next term of office of the 17th District trustee-elect.

Notwithstanding anything else to the contrary in this manual, delegation officers may be nominated from the floor at the meeting where officers of the 17th District Delegation are elected.

Once a 17th District trustee-elect is confirmed by the FDA HOD for submission to the ADA HOD, and until the individual is declared elected as 17th District Trustee by the ADA speaker of the House pursuant to the Bylaws of the ADA or until the individual’s nomination is reconsidered by a duly constituted caucus of the 17th District Delegation pursuant to ADA Bylaws, the 17th District trustee nominee shall serve in the capacity of 17th District trustee-elect on the delegation.

In the event of a vacancy in the office of 17th District trustee, the delegation’s chair shall charge the Nominating CommitWWW.FLORIDADENTAL.ORG

tee of the delegation (as defined herein) to promptly develop a recommended nominee for the office of 17th District trustee whose name and written summary of credentials shall be sent to every member of the delegation along with the notice of a meeting of the delegation during which the election of the 17th District trustee nominee shall be held. The delegation’s recommended candidate for 17th District trustee nominee shall thereafter be promptly submitted to the FDA Board of Trustees (BOT), which may hold a regular or special meeting to review the recommendation and either: (a) return the recommendation to the delegation for consideration of an alternative 17th District trustee nominee; or, (b) forward the delegation’s recommendation to the next session of the FDA HOD for confirmation.

District-designated Delegates and Alternates During the normal election cycle, the names of the district dental associations’ designated delegates and alternate delegates shall be forwarded to the FDA at least three weeks before the meeting of the FDA BOT, which occurs immediately prior to the semi-annual HOD meeting. The BOT, in consultation with the chair of the delegation, shall review the designees from each district dental association and make recommendations for approval or disapproval to the HOD for vote.

If the HOD fails to approve any designated district dental association delegate or alternate delegate, the affected district dental association must elect another candidate and forward this person’s name to the BOT for their review and recommendation to the FDA HOD for vote at its next meeting. District dental associations may continue to designate district-based delegates or alternate delegates by submission of such 20 names to the BOT until all such positions are filled by majority vote of the FDA HOD.

At-large Delegates and Alternate Delegates

House of Delegates to Consider Bylaws Changes Council on Ethics, Bylaws and Judicial Affairs will perform an annual review of the FDA bylaws. for any at-large delegate or alternate delegate position on the ADA Delegation.

Peer Review Program The HOD approved the Council on Ethics, Bylaws and Judicial Affairs’ updates to the FDA’s Peer Review Program, which were done in light of the court ruling stating peer review records are now discoverable.

FDA Inclusion Policy The HOD adopted the following resolution, which created the FDA’s Inclusion Policy:

FDA Inclusion Policy The Florida Dental Association strives to support diversity and inclusiveness in all our endeavors. We believe that these principles foster an innovative and dynamic culture and lead to sustainable results. They allow us to advance the dental profession, improve the oral health of the public, and promote equity and access to oral health care.

As a result, we serve and support the different identities, beliefs, perspectives, leadership, workforce and staff, as well as a wide range of communities and organizations.

The objective of an inclusive experience in the FDA is to create comprehensive programs that are reflective of the diversity of our profession and communities served.

It should aim to engage members and non-members in association affairs; reducing oral health disparities across population groups; leadership development; diversity education for FDA leaders; and, encouraging underrepresented students from diverse backgrounds to pursue dental careers.

During the normal election cycle, candidates for the 17th Delegation at-large delegate position must submit a nomination form to the FDA as described above to be added to the slate of candidates to be elected at the semi-annual session of the FDA HOD. Note that the protocol for contested elections for FDA line officers serving as “automatic” delegates and alternate delegates is different than the election process for at-large delegates and alternates.

Date of Next House of Delegates Meeting

At the HOD, the speaker shall present the slate of candidates and call for additional nominations from the floor. Any member of the FDA HOD may nominate any FDA voting member

The next meeting will be June 28 - 29, 2019 at the Gaylord Palms Resort & Convention Center in Orlando.

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BOD meeting

BOARD OF DENTISTRY MEETS IN GAINESVILLE

MS. CASEY STOUTAMIRE FDA DIRECTOR OF THIRD PARTY PAYER & PROFESSIONAL AFFAIRS

If you have any questions, please contact Director of Third Party Payer and Professional Affairs Casey Stoutamire, Esq. at cstoutamire@floridadental.org or 850.350.7202.

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The Florida Board of Dentistry (BOD) met in Gainesville on Friday, Feb. 15 at 7:30 a.m.

The Florida Dental Association (FDA) was represented by FDA BOD Liaison Dr. Don Ilkka and Director of Third Party Payer and Professional Affairs Casey Stoutamire. Other FDA members in attendance included Drs. Gary Altschuler, Andy Brown and University of Florida College of Dentistry (UFCD) Dean Isabel Garcia. Students from UFCD hygiene and assistant programs at Santa Fe Community College also were in attendance.

Eight of the BOD members were present, which included: Dr. Claudio Miro, chair; Dr. Naved Fatmi, vice chair; Drs. Matt Freedman, Nick Kavouklis, TJ Tejera and Nick White; and, Ms. Cathy Cabanzon and Ms. Angie Sissine, hygiene members. Consumer member, Mr. Fabio Andrade, was absent. There is one dentist position and one consumer position open on the board that the governor has not yet filled.

The BOD held a Dental Sedation Workshop on Thursday, Feb. 14, before the full BOD meeting. Dr. Fernando Munoz, an anesthesia inspector, gave an excellent overview of the inspection process for a dental sedation permit. If you would like to review a copy of his presentation, it can be found at bit. ly/2EkOqLv. The BOD needs both general anesthesia-level and moderate-level sedation inspectors in: Gainesville, south through Orlando; Daytona, south through Melbourne; and, Tampa/Sarasota/Bradenton, south through Fort Myers areas. If you are interest-

MARCH/APRIL 2019

ed, please call the FDA office at 800.877.9922 and we can put you in contact with the correct person at the BOD. During his chair’s report, Dr. Miro asked the BOD to reconsider its revision to Rule 64B5-15.018 from its last meeting where it increased the fee for the initial inspection for a General Anesthesia Permit, Moderate Sedation Permit and Pediatric Sedation Permit to $2,000. The BOD voted to withdraw this rule, and the fee for these permits is now set to $300 again. As stated at the last meeting, BOD Executive Director Ms. Jennifer Wenhold reported that the BOD is more than $1 million dollars in the red on its budget and the shortfall is projected to be $8 million plus by 2020. The only way to truly make up the budget shortfall is a fee increase, but legislation must be passed to implement this due to a fee statutory cap on dental licensure fees.

With a Republican-controlled Legislature and a Republican governor, this is not likely.

Please note that the FDA does have policy that supports an increase in the statutory cap on the dental licensure fee.

The BOD heard several motions for rule modifications from the Council on Dental Hygiene. First, the BOD unanimously approved the following modification to Rule 64B5-16.001 Definitions of Remediable Tasks and Supervision Levels. Current rule allows a hygienist to use an assessment device and this modification is clarifying that a hygienist can use a DIAGNOdent™ device.

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64B5-16.001 Definitions of Remediable Tasks and Supervision Levels.

(1) Remediable tasks, also referred to as expanded functions of dental assistants, are those intraoral tasks which do not create unalterable changes in the oral cavity or contiguous structures, are reversible and do not expose a patient to increased risks. The use of a laser or laser device of any type is not a remediable task, unless utilized as an assessment device.

Second, the BOD unanimously approved the following modification to Rule 64B5-17.0105 Ownership of Dental Instruments by a Dental Hygienist. A key note of clarification was put on the record that the only instruments that a hygienist could own under this rule would be the tools they can use under their scope of practice. The services outlined in statute that a dental hygienist can perform when no supervising dentist is required are the application of sealants and fluoride varnish in a health access setting.

64B5-17.0105 Ownership of Dental Instruments by a Dental Hygienist.

For purposes of interpreting Section 466.0285, 466.024, 466.023 and 466.0235, F.S., a Dental Hygienist is not precluded from owning dental instruments used by her or him in the provision of dental hygiene services, working under the authorization of dentist or providing dental hygiene services to carry out provisions outlined in the statute when a supervising dentist is not required. so long as the final authority on the suitability and/or manner in which said instruments will be used in the provision of dental hygiene services remains with the supervising dentist.

Finally, the BOD approved a rule to allow for Restorative Function Dental Auxiliaries (RFDA). On a December conference call, the BOD approved the rule for dental assistants and at its February meeting, the BOD approved the following rule for dental hygienists. While the rule is not yet effective as it’s working its way through the rule-making process, it will allow both assistants, including on-the-job trained dental assistants and hygienists with certain qualifications to attend a program to become an RFDA. After a dentist has prepared a tooth, a dentist may delegate to a dental hygienist or dental assistant who has met the mandatory training requirements of the rule the task of placing, packing and contouring amalgam and composite restorations and the fitting and contouring of stainless-steel crowns. However, stainless steel crowns may WWW.FLORIDADENTAL.ORG

The next BOD meeting is scheduled for Friday, May 17 at 7:30 a.m. EDT in Orlando. not be permanently cemented by the RFDA. The FDA first proposed this type of rule to the BOD in 2011 and supports the creation of the RFDA. The FDA thanks the BOD — and specifically Ms. Angie Sissine, Rules Committee chair — for its hard work on this important issue.

Mr. David Flynn, board counsel, brought forth a proposed modification to Rule 64B5-12.017 Application for Provider Status, to bring it in line with the current process regarding CE Broker. The BOD unanimously approved the following: 64B5-12.017 Application for Provider Status.

(1) Entities or individuals who wish to become approved providers of continuing education shall register with and apply through CE Broker at https://cebroker.com/providers and submit the following information, documentation and fee: must submit the approval fee set forth in subsection 64B5-15.022(1), F.A.C., and an application on the appropriate form set forth in Rule 64B5-1.021, F.A.C., which contains the following information and which is accompanied by the following documentation: (a) The fee set forth in subsection 64B5-15.022(1), F.A.C.; Finally, the BOD approved the following meeting dates for 2020: Feb. 21, May 15, Aug. 21 and Nov. 13. The locations have not yet been determined.

There were five disciplinary cases, two informal hearings not involving disputed issues of material facts, one determination of waiver, one motion for costs, one request for reconsideration, two petitions for modification of final orders and one petition for termination of probation dealt with failing to keep adequate records and failing to meet the minimum standard of care. If you have not yet attended a BOD meeting, it is suggested that you take the opportunity to attend and see the work of the BOD. It is much better to be a spectator than a participant in BOD disciplinary cases.

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27

BREATHE EASY, Florida Dental School Graduates.

The FDA has you covered!

THE GIFT OF COVERAGE

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All new dental school graduates who become FDA members and practice in Florida will have their first year of professional liability coverage from The Doctors Company completely reimbursed by their FDA colleagues!

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34

TODAY'S FDA

MARCH/APRIL 2019

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DENTAL IMPLANT TREATMENT FOR THE GENERAL PRACTITIONER: A TWO-DAY MINI-RESIDENCY

FDC2019 HIGH LIG

MR01  THURSDAY, JUNE 27 & FRIDAY, JUNE 28  9 AM-5 PM, BOTH DAYS ORAL SURGERY/IMPLANTS  CE CREDITS: 14  AUDIENCE: DENTISTS

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This mini-residency will address basic concepts for dental implantology treatment for the general practitioner. Principles discussed will include basic concepts of patient evaluation and planning, including medical history evaluation, pharmacologic treatment, treatment planning and radiology assessment. Dental implant surgical protocols and techniques will be covered, including bone augmentation and techniques for ridge preservation. Attendees also will be exposed to peri-implant disease complications, treatment and periodontal maintenance principles. Attendance is limited to 16.

Participants will be able to:  identify critical anatomical structures for surgical implant treatment planning.  recognize the importance of radiology and cone beam computed tomography

(CBCT) in implantology treatment planning.

 locate anatomical structures seen in dental CBCT radiographs to avoid critical

structures during surgery.

 distinguish potential implant site and hard-tissue evaluation to indicate neces-

sity for bone augmentation.

 apply principles of regeneration and products used for periodontology and

oral implantology.

 recognize the significance of alveolar ridge preservation following dental

extraction and clinical outcomes without regeneration techniques.

 differentiate the classifications of peri-implant mucositis and

peri-implantitis.

 explain the concepts of and indications for treatment options of

peri-implant complications.

Participant Requirements: Loupes are recommended.

The equipment for this mini-residency is partially sponsored by BRINGING THE BEST TO DENTISTRY SINCE 1895

DR. KEVIN SUZUKI earned his dental degree from Nova Southeastern University College of Dental Medicine. He then earned a master’s degree and completed a periodontics and oral implantology residency at Temple University School of Dentistry. Dr. Suzuki is a Diplomate of the American Board of Periodontology, Fellow and Diplomate of the International Congress of Oral Implantologists and past president of the Washington State Society of Periodontists.

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TODAY'S FDA

MARCH/APRIL 2019

WWW.FLORIDADENTAL.ORG

FDC2019 HIGH LIG

MANAGEMENT OF COMMON AESTHETIC DILEMMAS: AN INTERDISCIPLINARY APPROACH C55  SATURDAY, JUNE 29  9 AM-5 PM AUDIENCE: DENTISTS, DENTAL STUDENTS REGISTRATION CATEGORY



ORTHODONTICS



CE CREDIT: 6

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$130

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What aesthetic principles are fundamental to generating consistently successful results? How can restorative/orthodontics interdisciplinary treatments be optimized?

This full-day course will address a variety of contemporary topics in the realm of conservative aesthetic dentistry. Coordinated approaches to the diagnosis and treatment of interarch tooth size discrepancies as well as appropriate space distribution for cases involving undersized teeth will be discussed, with special emphasis on the orthodontics/restorative interactions that are needed to optimize results. The use of directly bonded restorations for tooth shape alteration as well as insights and step-bystep procedures for successful porcelain veneers will be chronicled.

Participants will be able to:  identify the various aesthetic parameters and artistic princi-

ples required for aesthetic success and apply them to various conservative aesthetic procedures.  describe the conservative restorative and orthodontic concepts used in restorative anterior space closure and the management of interarch tooth size discrepancies.  chronicle the various clinical techniques for the prevention and conservative treatment of white spot lesions.  relate keys to long-term clinical success for placing and temporizing etched porcelain veneers.  describe the interdisciplinary treatment planning considerations and treatment options for interim replacement of missing anterior teeth, including the Carolina bridges.

DR. GAVIN HEYMANN earned his dental degree and master’s degree in orthodontics from the University of North Carolina (UNC) School of Dentistry. He is a Fellow of the American and International College of Dentists and an adjunct assistant professor in the department of orthodontics at UNC School of Dentistry. Dr. Heymann has a private practice in Chapel Hill and Durham, NC.

DR. HARALD HEYMANN earned his dental degree from the University of North Carolina (UNC) School of Dentistry. He is the past chair and graduate program director of the Department of Operative Dentistry and has been the inaugural Thomas P. Hinman Distinguished Professor of Operative Dentistry at UNC School of Dentistry. Dr. Heymann is also a Fellow in the International College of Dentists, the American College of Dentists, and the Academy of Dental Materials.

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2019 FDA

Award Recipients J. Leon Schwartz Award Dr. Terry Buckenheimer

Dentist of Year Dr. Gerald Bird

Awards Luncheon

Dr. Terry Buckenheimer was Dr. Gerald Bird was born in born in a small Western PennChicago in 1954 and knew at sylvania town to John and Jean a young age that he wanted to Buckenheimer. He graduated be a dentist. Dr. Bird received from the University a bachelor’s degree in biology JOINof Pittsburgh IN THE RECOGNITION School of Dental Medicine in with a minor in chemistry in OF YOUR COLLEAGUES. 1980 and moved to Tampa where 1976 from Western Michigan FRIDAY he has been a general dentist for• JUNE 28, 2019 University and graduated from 38 years. Dr. Buckenheimer has AM-1 PM the University of Detroit Den11:30 been dedicated to the oral health tal School in 1980 knowing he DENTAL CONVENTION of his patientsFLORIDA and the advancewanted to be an oral surgeon.

Gaylord Palms Resort Dr. & Convention ment of the dental profession. He’s served as a past president Bird married hisCenter wife, Jerilyn, in 1984 when he finished Orlando, Florida of the Hillsborough County Dental Association, West Coast his residency program at the Veterans Administration Medical District Dental Association (WCDDA) and Florida Dental Center in Detroit. They moved to Cocoa, Fla. in 1985 and Dr. Association (FDA). He’s also served as an American Dental Bird opened his office in oral and maxillofacial surgery where Association (ADA) trustee and continues to serve on the ADA he still practices today. Upon this move to Florida, Dr. Bird and FDA Foundations. Dr. Buckenheimer has been inducted joined the Brevard County Dental Society and began his volto several honorary dental organizations and has received such unteer service in organized dentistry. He has brought a large awards as the FDA Dentist of the Year, Hillsborough County contingent of local dentists to Dentists’ Day on the Hill since Distinguished Service Award and the University of Pittsburgh’s its inception. He has represented the Central Florida District Distinguished Alumnus Award. His leadership efforts were Dental Association on the FDA Board of Trustees and is curinstrumental in establishing the Florida Mission of Mercy rently the FDA secretary. He has served as the chair of the (FLA-MOM), a large-scale, two-day, professional dental clinic FDA Political Action Committee (FDAPAC) for several years that provides care to patients at no cost to them, with the goal and has AWARDS served on the American PAC committee as a  PRESIDENT’S AWARD  FDA LEADERSHIP  FDADental PUBLIC SERVICE of serving the representative from Florida for and chair-elect for Dr. underserved and Jolene Paramoreuninsured in Florida.Dr. Eva Ackley Mr.four Clayyears Archer one year.

Dr. Bird is an outstanding leader who goes above and Dr. Leo Cullinan Ms. Beth Burwell  FDA DENTIST OF THE YEAR beyond for the profession and individual dentists. Both Dr.for Michael Pikos Dr. Gerald Bird  NEW DENTAL LEADER Dr. Bird and his wife Jerilyn are active in organized dentistry.

Dr. Angela McNeight  HELPING MEMBERS SUCCEED Together they have two children, Kevin and Stephanie.  J. LEON SCHWARTZ TEAM IMPACT AWARD LIFETIME SERVICE AWARD  DENTAL TEAM MEMBER Ms. Brooke Martin Dr. Terry Buckenheimer Ms. Dianne Parisi 42 TODAY'S FDA MARCH/APRIL 2019 WWW.FLORIDADENTAL.ORG

2019 AWARD RECIPIENTS

Individual tickets are $40 or table of 10 for $350. Deadline to purchase: June 7th.

Purchase your tickets with your FDC2019 registration.

President’s Award Dr. Jolene Paramore

Dr. Paramore is a proud Gator; she received her dental degree in 1988 and completed her residency in periodontology in 1990 at the University of Florida College of Dentistry (UFCD) and has practiced as a periodontist in Panama City for 29 years. She has been happily married to her wonderful husband, John, for almost 35 years and they enjoy traveling, photography, being on or in the water, and spending time with family and friends.

Dr. Jolene Paramore is a seventh generation Floridian and fourtime Gator graduate. She has a wealth of experience in serving the dental profession and advocating for oral health on the state and national levels. She is a past president of the Bay Dental Society and the Northwest District Ms. Brooke Martin Dental Association and served Ms. Brooke Martin began workas chair of the Florida Delegaing at the FDA as the assistant to tion to the ADA for five years. She is a Fellow of the American the executive director in 2014.

College of Dentists, the International College of Dentists and She then moved into the Florida the Pierre Fauchard Academy. Dr. Paramore was honored Dental Convention (FDC) meetas the FDA’s Dentist of the Year in 2010 and currently is the ing coordinator position in 2015, NOItoTserve INGinOthat CER EHT NI NIOJ FDA president — and only the second woman which later evolved into her capacity since 1884. .SEUGAELLOC RUOY FO current position as FDC marketDr. Paramore also served as the chair of the FDA’s 910Workforce 2 ,82 ENUJ • YADIRF ing coordinator in 2017. In her Innovation Task Group, which led to the development of current role, Ms. Martin oversees MP 1-MA 03:11 Florida’s Action for Dental Health, the FDA’s comprehensive the production of all marketing initiative to improve the oral health and resulting NOITNoverall EVNOC LAT N E D A D I R O L F material for FDC and has overseen a significant increase in health of Floridians. This initiative includes retneCefforts noitto neexpand vnoC & trmarketing oseR smoutreach laP drofor lyaboth G attendees and sponsors. She is a public health dentistry, promote attainable care for uninsured adirolF ,odresource nalrO to FDA members for FDC registration and licensure and underserved Floridians, and advocate for dental student biennium needs, including reporting all FDA-earned continuloan repayment legislation. ing education (CE) credit to CE Broker in their behalf and acting as liaison with CE Broker to assist in their licensure Recently, the Journal of the American Dental Association renewal process. Ms. Martin works directly with the FDA featured a cover story on the FLA-MOM Impact Study, which Committee on Conventions and Continuing Education to aid Dr. Paramore co-authored as principal investigator. This firstin the facilitation of a successful convention, which has had an of-a-kind study sought to gain a better understanding of the patients who seek care at a FLA-MOM event, learn their needs, increase in attendance of 12 percent since 2014. In 2016, Ms. Martin was named a “20 Under 30” honoree from the Internashare the data with collaborative partners like hospitals and tional Association of Exhibitions and Events, which recognizes foundations, and strategically plan for sustainable, communiyoung professionals in the industry. She also is highly involved ty-specific emergency department referral programs and other Florida where she definitive solutions.

ECIVRES CILBUP ADF  SDRAWA PIHSREDinAthe EL A DF Society of Association DRAWAExecutives, S’TNEDISE RP  currently serves as chair of the Young Professional Task eromaraP eneloJ .rD Force. rehcrA yalC .rM yelkcA avE .rD llewruB hteB .sM nanilluShe C ohas eL been .rD a member of the Junior League of TallahasRAEY EHT FO TSITNED ADF  sokiP leahciM .rD see since 2014. She enjoys spending her time outdoors with REDAEL LATNED WEN  driB dlareG .rD her husband, Tyler, their son, Luke, and their pets, Piper and DEECCUS SREBMEM GNIPLEH  thgieNcM alegnA .rD ZTRAWHCS NOEL .J  Gatsby.

DRAWA TCAPMI MAET REBMEM MAET LATNED  DRAWA ECIVRES EMITEFIL nitraM ekoorB .sM SEE PAGE 44 isiraP ennaiD .sM remiehnekcuB yrreT .rD TODAY'S FDA MARCH/APRIL 2019 43 WWW.FLORIDADENTAL.ORG

Helping Members Succeed Team Impact Awards

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FROM PAGE 43

Leadership Award Dr. Eva Ackley

of the FDA Foundation; co-chair of the inaugural FLA-MOM event in Tampa in 2014; and, statewide FLA-MOM committee co-chair during subsequent events in Jacksonville, Pensacola, Fort Myers and Orlando. He feels that the real privilege in these experiences is working with the incredible leaders and volunteers in the FDA who personify Albert Schweitzer’s quote, “The purpose of human life is to serve, and to show compassion and the will to help others.”

Dr. Eva Ackley has been a general dentist with her husband for 37 years. Having a partner has allowed her the time to serve the community and be politically active both locally and nationDr. Angela McNeight ally. She’s been involved in the developing stages of numerous Dr. Angela McNeight was born organizations, such as the Ameriand raised in Melbourne, Fla. can Student Dental Association She received her bachelor’s at UFCD and the inclusion of degree from Emory University, Hernando County as an affiliate. She was appointed to the double majoring in neurosciFlorida Board of Dentistry in the 90s, where she served two ence and behavioral biology and terms and was chair for two years. She became involved with general biology. She graduated JOIN IN THE RECOGNITION many councils and committees and served as a delegate for the cum laude from UFCD and was OF dependent, YOUR COLLEAGUES. FDA House of Delegates. She grew up as a military inducted into the prestigious so her family lived in many states and countries.FRIDAY She and her• JUNE 28, 2019 Omicron Kappa Upsilon Honor husband have a continued interest in travel, which they pursue Society. Dr. McNeight then com11:30 AM-1 PM with a great respect for cultures and humanity. However, her pleted a three-year orthodontic residency program and Master greatest accomplishments are her children, Richard, Amy of Science degree at the UFCD School of Advanced Dental FLORIDA DENTAL CONVENTION and Andrea. She finds it tremendouslyGaylord rewarding Palms to have her She has been selected as an Emerging Leader of the ResortSciences. & Convention Center daughter (Dr. Amy) and daughter-in-law (Dr. Kelly) work in American Orlando, FloridaAssociation of Orthodontics (AAO) and a finalthe practice with her and her husband. ist for the Journal of Clinical Orthodontics Student of the Year

New Dental Leader

Awards Luncheon

Award. Her master’s thesis research won multiple national awards including the Dentsply GAC G-Care Research Award and the Joseph E. Johnson Clinical Award for Table Clinics at Dr. Leo Cullinan the AAO Annual Session. Upon graduating from her orthDr. Leo Cullinan established a odontic residency program in 2016, Dr. McNeight returned private orthodontic practice in to her hometown to join Dr. Ryan Caudill in practice, creatNaples, Fla. in 1987. Dr. Cullinan ing Caudill & McNeight Orthodontics. After she returned to is incredibly proud of the dental Melbourne, she created and implemented a new Give Kids a profession. With the highest Smile program, which over the past three years, has grown to standards, he has worked hard treat more than 100 children with preventive and restorative  PRESIDENT’S AWARD  FDA  FDA PUBLIC SERVICE over the years to represent hisLEADERSHIP AWARDS care during a one-day event.

Dr. Jolene Paramore Eva Ackley Mr. Clay Archer patients, colleagues and Dr. orgaDr. Leo Cullinan Ms. Beth Burwell nized dentistry within his local  FDA DENTIST OF THE YEAR Dr. Michael Pikos state.

Dr. Gerald Bird community and across  the NEW DENTAL LEADER He’s served in leadershipDr. posiAngela McNeight  HELPING MEMBERS SUCCEED  J. LEON SCHWARTZ tions at the local, district and state levels: president of the ColTEAM IMPACT AWARD SERVICE AWARD  member DENTAL TEAM MEMBER lier CountyLIFETIME Dental Association and WCDDA; board Ms. Brooke Martin Dr. Terry Buckenheimer Ms. Dianne Parisi

Leadership Award

2019 AWARD RECIPIENTS

44

Individual tickets are $40 or table of 10 for $350. Deadline to purchase: June 7th.

MARCH/APRIL 2019 WWW.FLORIDADENTAL.ORG Purchase your tickets with your FDC2019 registration.

TODAY'S FDA

Public Service

Ms. Beth Burwell

he has worked with hundreds of dental practices across the southeast designing and supporting their IT infrastructure.

Since 2015, he’s been a major sponsor for the FLA-MOM, contributing more than $140,000, and has served as the lead for the FLA-MOM data services at each event. DPC Technology has made it possible for the FLA-MOM to operate as a professional dental clinic with the electronic capabilities of a dental office. Mr. Archer and his team worked for four days alongside the committee for each of the past three FLA-MOM events.

His other community involvement includes the Muscular Dystrophy Association, Sulzbacher Clinic and Baker/Clay Health Department Dental Clinic. He and his wife, Margaret, enjoy travel and are avid Jacksonville Jaguars fans.

Ms. Beth Burwell has worked at Florida Combined Life and Blue Cross Blue Shield of Florida (BCBSFL) for more than 30 years, holding a multitude of leadership positions in various areas, including: information technology, system development, project management, customer service, operations and business development. She received her bachelor’s degree in computer science engineering in 1985 from UF and an MBA in 1993 from the University of North Dr. Michael Pikos Florida (UNF). She currently is the vice president of dental opDr. Micheal Pikos is originally from Campbell, Ohio. He erations responsible for member and provider service, claims attended Ohio State UniverNOoptimization ITINGOCER EHT NI NIOJ administration, project management, business sity (OSU) where he graduated and cost management. Ms. Burwell and Florida .SECombined UGAELLOC RUOY FO summa cum laude and was inLife have partnered with the FDA Foundation for the past ducted into the prestiguious Phi 9102totaling ,82 ENUJ • YADIRF three FLA-MOM events. In addition to sponsorships Beta Kappa Honor Society. He MP 1-MA 03:11 more than $30,000, she has assisted in an additional $10,000 also graduated with honors from in sponsorships from an affiliated organization. Mrs. Burwell OSU College of Dentistry. Dr. NOITNEVNOC LATNED ADIROLF also has provided an in-kind sponsorship of all printed patient retneC noitnevnoC & troseR smlaP drolyaG Pikos completed an internship forms for the past two FLA-MOM events, and along with her at Miami Valley Hospital and dirolF ,odnalrO team, prepared more than 4,000 patient charts for the a events residency training in oral and at their office in Jacksonville before sending them to Pensacola maxillofacial surgery at the Uniand Fort Myers. She and her husband, Richard, have been versity of Pittsburgh, Montefiore Hospital. He is the founder married for 32 years and have three children. Ms. Burwell and CEO of the Pikos Institute. As an oral and maxillofacial enjoys traveling, the beach and spending time with family and surgeon, he was one of the first clinicians to recognize the friends. relevance of cone beam CT and interactive CT technology for comprehensive diagnosis and treatment planning, along with its implementation in implant-based oral rehabilitation. As a Mr. Dan (Clay) Archer result, Dr. Pikos has made this high technology a cornerstone of both his private practice and the Pikos Institute. Since 1990, Mr. Clay Archer grew up in he has been teaching advanced bone and soft-tissue grafting Jacksonville, and a SRED ECIVRES CILBUP ADF  Fla. S DRreceived AWA PIH AEL ADF  DRAWA S’TNEDISERP  courses, with alumni who now number more than 4,000 from degree in economics from UF. eromaraP eneloJ .rD rehcrA yalC .rM yelkcA avE .rD all 50 states and 43 countries. Dr. Pikos maintains a private llewruB hteHe B .is sMthe president and CEO nanilluC oeL .rD RAEFla., Y EH T FOisTlimited SITNEDexclusively ADF  to practice in Palm Harbor, which sokiP leahcof iMDPC .rD Technology (formerly REDAEL LATN ED WEsurgery.

N  Dr. Pikos has been the drioral B dlsurgery areG .rDco-lead implant Dental PC), an IT consulting DEECCUS SREBMEM GNfirm IPLEhe H started  gieNcM at aleevery gnA FLA-MOM. .rD He treats his patients with the utmost in 1995. Hethwent ZTRAWHCS NOEL .J  DRAWA TCAPMI MAET respect and compassion during the on to receive an MBA from UNF REBMEM MAET LATNED  DRAWA E CIFLA-MOM VRES EMITevents, EFIL volunnitraM ekoorB .sM in 2001. Over the last 23 years,isiraP ennaiD .sM remiehnekcuB yrreT .rD SEE PAGE 47

noehcnuL sdrawA Public Service

Public Service

STNEIPICER DRAWA 9102

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WWW.FLORIDADENTAL.ORG

45

FROM PAGE 45

teering his time year after year even though he is a busy oral surgeon, speaker and educator. In addition, he also is involved in the following organizations: Gulf Coast Dental Outreach, Florida Sheriff ’s Youth Ranch, Honor Flight, Shepherd Center and Wounded Warriors.

Dental Team Member Dianne Parisi

years before deciding to share her “real-world experience” with future hygiene students. In 2003, she become an adjunct clinical instructor one day a week at Pasco-Hernando State College (PHSC). Working with fellow educators led her to complete a Bachelor of Applied Science in Dental Hygiene at St. Petersburg College in 2009. Ms. Parisi has continued with her position at PHSC for 15 years and maintained her clinical position with Drs. Steven Lieber and Jessica Stilley for 29 years. She has completed extensive continuing education, which includes licensure in dental local anesthesia to provide the most current treatment modalities for patients. Ms. Parisi lives in New Port Richey with her husband, David, and enjoys her free time with family and friends.

Ms. Judith Dianne Parisi received an associate degree in dental hygiene in 1978 from the University of Medicine and Dentistry of New Jersey. After 11 years in private practice, she moved to Florida and became a team member for Periodontal Health Center. Ms. Parisi worked at RECOGNITION JOINfull INtime THE Periodontal Health Center for 17 COLLEAGUES. OF YOUR

Awards Luncheon

FRIDAY • JUNE 28, 2019 11:30 AM-1 PM THE POWER OF THE

IT PAYS TO BE AN FDA FLORIDA DENTAL CONVENTION IT MEMBER PAYS TODENTIST! BE

COMPLETE TEAM

Gaylord Palms Resort & Convention Center Orlando, Florida

AN FDA MEMBER DENTIST!

EETING

IAL M E OFFIC

TH

OF

A D F E H T

INCLUDED IN YOUR FREE REGISTRATION: » Discounted course pricing » Up to 18 hours of FREE CE » Access to the exhibit hall

2019 AWARD RECIPIENTS » Nightly social events

 PRESIDENT’S AWARD Dr. Jolene Paramore

 FDA LEADERSHIP AWARDS Dr. Eva Ackley Dr. Leo Cullinan

 FDA PUBLIC SERVICE

» Free keynote sessions Mr. Clay Archer

Ms. Beth Burwell FREE » discounted registration Dr. Michael Pikos fees  NEW DENTAL LEADER PRE-REGISTRATION REGISTER TODAY! for team members Dr. Angela McNeight  HELPING MEMBERS SUCCEED  J. LEON SCHWARTZ FOR FDA MEMBERS FLORIDADENTALCONVENTION.COM TEAM IMPACT AWARD  FDA DENTIST OF THE YEAR Dr. Gerald Bird LIFETIME SERVICE AWARD Dr. Terry Buckenheimer

WWW.FLORIDADENTAL.ORG

 DENTAL TEAM MEMBER Ms. Dianne Parisi

Ms. Brooke Martin

TODAY'S FDA MARCH/APRIL 2019

Individual tickets are $40 or table of 10 for $350. Deadline to purchase: June 7th.

Purchase your tickets with your FDC2019 registration.

47

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donated dental services

DONATED DENTAL SERVICES PATIENT ACHIEVES A PAIN-FREE SMILE DENTAL LIFELINE NETWORK • DONATED DENTAL SERVICES

Cindy, an elderly woman living in Cen-

“When Dr. Sangalang did the extrac-

tral Florida, enjoys spending time with

tions on my bad teeth, I didn’t have any

her grandchildren, reading and sewing.

pain when I went home and any other

Before becoming ill, she worked as a tax

day after,” said Cindy. “When I got my

preparer and as a medical transcription-

dentures, I loved them! They’re so pretty

ist. A series of strokes and other health

and I can smile again. I’m so grateful for

issues left her medically fragile and

Donated Dental Services and Dr. S for

unable to work; she now relies on social

all the work they’ve done to help me get

security disability income.

back to being me.”

Unfortunately, Cindy’s dental health

Since 1997, Florida DDS volunteer den-

also was poor — she did not have the

tists and labs have provided more than

financial ability to pay for dental visits.

$8.7 million in treatment to more than

She had no remaining lower teeth and

1,900 people with special needs. DLN

the remaining upper teeth she had were in need of extractions.

DDS patient Cindy with Dr. Sangalang

Services (DDS) program on the internet and was linked to two generous volunteers.

FDA member Dr. Gabriel Sangalang, a new volunteer who started in 2018, was able to help Cindy. He extracted 10 teeth and fitted a set of full upper and lower dentures with the help of Team Solutions Dental Lab.

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sociation (FDA) and the FDA Foundation for their long-time support of DDS.

Cindy found Dental Lifeline Network (DLN) and the Florida Donated Dental

• Florida thanks the Florida Dental As-

“[DDS] has a system of effectively screening those really in need,” said Dr. Sangalang. “Our office staff see more of what kind of culture we are wanting to build in our office.”

Will you see one patient this year? Visit willyouseeone.org to sign up online or contact Florida DDS Coordinator Megan Manor at 850.577.1466 or mmanor@ dentallifeline.org.

With her pain-free mouth, Cindy could now focus on her other health issues.

She expressed her gratitude for the work of Dr. Sangalang’s office:

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The Importance of Body Language From projecting self-confidence in an interview to landing a hot date, never underestimate the importance of body language in non-verbal communication.

TRACI BROWN

Ms. Brown is an internationally recognized body language expert and can be reached at traci@tracibrown.com. She will be speaking at the 2019 Florida Dental Convention and is the keynote speaker on Thursday, June 27. Her keynote, “Liar, Liar, Pants on Fire,” will be at 7:45 a.m. and her lecture, “Master Magnetic Persuasion,” will be at 10 a.m. with a repeat at 2 p.m.

Actions speak louder than words. How many times have you heard that? Probably a lot. Body language helps you read between the lines of what’s being said to understand what’s not being said — and the person’s true message.

It’s proven that body language is one of the most important ways we communicate the meaning of our message. And many times, body language is the only way we communicate. A shrug of the shoulders, wink or smirk say so much without saying a word. These are great signals to look for in a normal conversation. But what about when the stakes get higher?

What is that job applicant not saying in the interview? Can you trust that investment guy who has a deal that sounds too good to be true? Did your kids eat the donuts off the counter … or did the dog? Body language can be the key to lie detection and missing the signs can be expensive.

Communication Some studies say that body language is up to 93 percent of our communication. Let’s debunk that a bit. The study was done at UCLA

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and has been misconstrued and misquoted for years. The tests were conducted one word at a time and participants were asked to give the emotional meaning of the communication. So, don’t expect to be able to understand a chemistry lecture in Italian based on body language.

The more technical the communication, the less of it you’ll understand using body language.

But in highly emotional conversations, body language can be crucial to understanding what’s really being said. And most conversations have an emotional component, even though people won’t admit it. As smart and logical as we think we are, we act primarily on feelings, not logic.

The police, FBI and Transportation Security Administration think body language is so important that they’re spending piles of money to train their staff to use it to solve crimes and even to monitor you at the airport security line. A person who isn’t telling the whole truth may clear their throat, stammer or change their pitch as if to try and sway your attention away from their lie or to stall so they may have time to think up a valid answer or plausible explanation. Additionally, foot tapping or bouncing, blushing, putting their hand to their face, turning away or raising their shoulders may all be indicators that they are uncomfortable with the

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THE POWER OF THE COMPLETE TEAM

conversation because they are not telling the truth. Lie detection is just one of the things that is important for everyday communication. Body language also impacts first impressions, persuasion in sales and negotiations, and generally your ability to get what you want out of any exchange.

In highly emotional conversations, body language can be crucial to understanding what’s really being said.

Business and Job Interviews Body language can be a significant component in job interviews. Are you sitting up straight and looking the interviewer in the eye to show that you mean business? Or, are you slouching in your chair, looking like you don’t care? Are you bouncing your knee? That says you want out of there! Or, are you still and composed? Are you wringing your hands and playing with your cuffs? That sends signs of nervousness.

Remember, first impressions last. Are you hunched over your phone in the waiting area for your interview, making yourself look small and powerless … and creating the perception of a lack of confidence in yourself? If nothing else, stand up in the waiting room for a job interview. Give yourself a chance to emanate confidence and look powerful to your interviewer.

Let them know you’re at ease and confident with the subject matter and can handle whatever assignment they give you.

Dating Body language is the safest way to test the waters in a potentially romantic relationship. Sending cues that you’re into someone via body language sets you up for the least amount of failure. Yep, it’s flirting, and the safety it provides is why it happens all the time.

attraction. The longer the gaze, the more he’s into you! Leaning toward you is a sign that the other person is interested and wants to be connected. Similarly, crossing legs toward someone is a sign that’s where your energy is going, even if your head is pointed away and talking to someone else. Our feet are the part of us that we have the least control over but are the telltale of what we’re really interested in. So, if you find another person talking to you with one or both feet pointed toward the door, you know that’s where they want to go!

So yes, body language is important. Take the time to study and use it, and you’ll start to see the results quickly.

Eye contact and letting your gaze last a little longer than it normally would is one of the most common ways that men show

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Assembling the Right Team to Open a New Office KEN JORGENSON, CARR HEALTHCARE REALTY

Mr. Jorgenson is a managing broker at Carr Healthcare Realty and can be reached at ken.jorgenson@carrhr.com.

He will be speaking at the 2019 Florida Dental Convention and his lecture, “Maximizing Profitability Through Your Real Estate,” will be on Saturday, June 29 at 9 a.m.

One of the most significant business decisions you’ll make is the strategic choice of your office’s location. In many markets, the incentives offered by landlords to new tenants make relocation more appealing than renewing a lease in your existing space. Before signing any lease renewal, you should evaluate all the options in your area. If you decide to open a new office, whether as a relocation, startup practice, property purchase or second office, having the right team in place is paramount and can make the process successful, profitable and maybe even fun!

The unique office needs of health care providers are foreign to most real estate brokers, architects and other service providers.

Experienced professionals with a health care focus provide the expertise needed to address issues such as patient flow, privacy and compliance, medical technology integration, parking and accessibility requirements, and aesthetics. When choosing your team, seek out experienced, health care-focused professionals to fill each role and you’ll end up with an office that will serve you and your patients for years to come.

Here are some guidelines and ideas for putting your team together to help you find the best possible location and terms, keep your costs low and create an ideal office to meet your patients’ needs.

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Real Estate Agent A real estate agent is one of the first roles you will need to identify and fill. A real estate agent helps make sure the entire new office process goes smoothly, and should provide guidance in choosing the best location, negotiate the most competitive rates and terms with the landlord or seller, and assist in assembling the rest of the team. He or she will be able to advise you on current market conditions, vacancies, costs to open a new office and help you avoid common pitfalls in choosing a suitable space. Should you choose to lease an office, your agent’s experience in representing health care tenants also can help you achieve concessions that landlords only make available to the highest quality tenants. If the agent is well-connected within the health care community, he or she also can introduce you to the other players you will need on your team and help them all to work together on your behalf. Your agent’s services are typically paid for by the landlord or seller, so there’s usually no out-of-pocket cost to you.

Attorney A real estate attorney plays a critical role to ensure that all the legal terms of the lease or purchase are drafted to protect your interests

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THE POWER OF THE COMPLETE TEAM

in the short term and long term. Choosing an attorney who specializes in real estate transactions will help the legal negotiations with the landlord or seller move faster and thereby reduce legal fees.

Lender Many office projects will require financing for additional build-out, equipment and furniture, and operating capital, and it’s essential to bring in a practice lending specialist. Many major banks now have special departments that exclusively deal with commercial loans for health care providers and can provide rates and terms not available to other customers. The lender will be closely involved with the agent and attorney to ensure that the underwriters’ requirements are included in the terms of the lease or sale and will help determine the size and quality of office that you can afford.

Architect An experienced, health care-specific architect is the key to transforming your new space into your ideal office. He or she will meet with you, your equipment and technology providers, and building engineers and determine the best way to achieve your design ideas while completing your new office. The architect is responsible for the overall design, obtaining permits and complying with building codes, and coordinates the work of the engineers, contractors and suppliers. Through constant oversight and communication with the whole team, the architect holds everyone accountable to meet deadlines and makes sure your space is done on time, on budget, and will meet your functional and aesthetic requirements.

Equipment and Technology Providers If your new office will require new equipment or technology, your providers will meet with the real estate agent and architect early in the process to ensure that the design can accom-

modate the new equipment and they’ll coordinate delivery and installation within the proper timeframe set by the architect.

The terms you negotiate during the lease or purchase combined with the loan package you receive usually will determine the amount you can invest in your new office’s initial equipment, so it’s beneficial for these providers to work with your lender and real estate agent early in the process as well.

General Contractors and Sub-contractors Your architect will be able to recommend several general contractors with a good track record for their quality of service.

The contractor has the task of building what was designed — within the budget and on time. Your architect will recommend whether it makes more sense to hire a general contractor on a negotiated basis or to competitively bid the project to multiple contractors. In either scenario, costs, communication and service are key determinants in choosing the right contractor.

When you assemble your team, you want to ensure that everyone is an expert in his or her specialty and collaboratively works together with the goal of making the process go as smoothly as possible. Having the right team causes the project to be on time, on budget and of the highest quality. Equally as important, having the right team protects your time and frees you to focus on your practice and enjoy your new office.

Carr Healthcare Realty is the nation’s leading provider of commercial real estate services for health care tenants and buyers.

Every year, thousands of health care practices trust Carr to achieve the most favorable terms on their lease and purchase negotiations. Carr’s team of experts assist with startups, lease renewals, expansions, relocations, additional offices, purchases and practice transitions. Health care practices choose Carr to save them a substantial amount of time and money, while ensuring their interests are always first.

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Dealing with Discounts

DR. CHARLES BLAIR

Dr. Charles Blair is dentistry’s leading authority on insurance coding strategies, fee positioning and strategic planning. He’s individually consulted with thousands of practices, helping them identify and implement new strategies for increasing legitimate reimbursement. To learn more about Dr. Blair and his coding and insurance-related resources, visit practicebooster.com or contact him charles@drcharlesblair.com Dr. Blair will be speaking at the 2019 Florida Dental Convention and presenting four courses.

On Thursday, June 27, “Top 10 Coding and Insurance Pitfalls: A Panel Discussion” will be at 9 a.m. and “Coding with Confidence” will be at 2 p.m. that same day. On Friday, June 28, “Medical Billing for the Dental Professional” will be at 9 a.m. and on Saturday, June 29, “The Administration Playbook for Seamless Claims” will be at 9 a.m.

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Dental practices may offer discounts for a variety of reasons. Sometimes discounts are given at the request of the patient because there is an extenuating circumstance. Other times discounts are offered as a way to entice new patients to join the practice or to encourage patients to accept a treatment plan.

Dentists also may offer discounts to family, friends or staff members as a gesture of good will.

While providing a discount may seem like an innocent and well-intentioned offer, there are rules, regulations, contractual obligations and/or laws that must be followed.

The American Dental Association (ADA) suggests that dental claims should always accurately report the fee the practice will accept as payment in full for the service provided.

There are two ways to report the discounted fee paid by the patient. The first option is to report the full practice fee on the claim form and in the remarks section state, “The fee shown was discounted by 50 percent.”

However, the reality is that many claims are auto-adjudicated and are not examined by an actual person. So, the payer may overlook the remark and pay the benefit based on the full, submitted fee. If this occurs, the practice is obligated to refund the excess reimbursement to the payer. The second and best option is to report the discounted fee that is actually charged for the procedure. By reporting the actual discounted fee, there will not be an overpayment from the payer. Thus, there is less risk to the practice.

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The practice should always report the actual fee assessed on all dental claims, regardless of whether it participates with the patient’s dental plan. The fee noted on the claim form should reflect the fee for the service, taking into consideration any discounts, coupons, courtesies and any other fee reductions the practice offers. This does not mean that a contracted fee should be reported on a claim.

If the dentist participates with the patient’s plan and has a contractual agreement with the payer to accept the contracted fee as payment in full for the service provided, the fee listed on the claim form should still be the full practice fee, even if the contracted fee is lower.

All preferred provider organization (PPO) contracts mandate that their covered patients be treated and charged the same as all other patients. Therefore, a contract may require that its covered patients receive the same discounted rate as any other non-covered patient. Requiring that the true fee for service be reported for all patients — including patients covered by “regular” plans, PPOs or without coverage — ensures that PPO patients are treated the same as all non-PPO patients.

Most dental contracts, including state and federally regulated plans, require that deductibles and copayments be collected from the patient. It’s considered fraudulent to write off any portion of the patient’s copayment and/or deductible without disclosing the

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THE POWER OF THE COMPLETE TEAM

discount(s) to the payer. This is referred to as copay forgiveness and is illegal in every state and federal program, and is prohibited by all PPO contracts. Typically, the discount must be applied to the full fee and not to the patient’s copayment and/or deductible. Therefore, the payer receives the benefit of any discounts made for the service provided.

Payers are aware that many practices do not disclose discounts that are provided to family and friends and often do not collect copayments and/or deductibles from them. Because of this widespread abuse, payers have taken action to restrict payment to providers for covered services provided to immediate family members.

Dental claims typically are auto-adjudicated; however, paper claims and/or claims submitted with electronic attachments are generally reviewed by the payer and are not auto-adjudicated. So, the disclosure of discounts should be submitted on a paper claim or as part of an electronic attachment to call attention to the discount. This alerts the payer of the discount so that the claim may be manually reviewed (not auto-adjudicated) and the appropriate action taken. The payer may take one of three possible actions: 1. Deny the claim outright.

Always consult a health care attorney before routinely waiving any portion of the copayment and/ or deductible and providing discounts to patients.

2. Decrease the reimbursement, accordingly.

3. Pay the claim without any adjustment and/or action.

Alerting the payer of a discounted rate could raise a red flag, making the practice vulnerable to a potential insurance audit.

The practice should always consult a health care attorney before waiving any portion of a copayment and/or deductible and before routinely providing discounts or courtesies to patients. Often, there are stringent rules that prohibit discounts.

Let’s review a few examples of how discounts may be provided and reported.

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PSC Group Inc.

THE POWER OF THE COMPLETE TEAM FROM PAGE 61

The Out-of-network Provider A patient covered by XYZ Insurance presents in need of a crown. The doctor does not participate with the patient’s insurance. The practice’s crown fee is $1,000 and is within the payer’s allowable fee for the crown. The crown is covered at 50 percent and there is a $50 patient deductible for major services.

The patient is a reliable, long-term patient who always pays on time and never misses appointments. So, the dentist offers a 5 percent courtesy discount to the patient and agrees to accept $950 as payment in full.

The practice collects the $50 deductible. A claim is filed with the patient’s insurance, and the discounted fee of $950 is reported on the claim. The payer will provide a reimbursement of $425 (half of the crown fee, less the $50 patient deductible)

• $950 discounted fee x 50 percent coverage = $475 • $475 - $50 patient deductible = $425 insurance reimbursement

The In-network Provider A patient covered by ABC Insurance, a PPO plan, presents in need of a crown. The doctor participates with this PPO plan.

The practice’s crown fee is $1,000; the contracted PPO fee is $800. The crown is covered at 50 percent of the PPO fee and there is a $50 deductible for major services. The practice has a promotion in place, which offers a 15 percent discount on all crowns. Thus, the practice’s promotional rate on crowns is $850. The patient wants to take advantage of this promotion.

The practice reports its promotional (discounted) fee of $850 for the crown on the claim form. The practice has agreed, via the participation agreement, to accept the contracted rate of $800 as payment in full. Therefore, the patient receives a better

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deal as a member of the PPO. The PPO write-off is $50, after the $150 discount is taken. The payer provides reimbursement for $350 and the patient’s portion is $450.

• $800 PPO fee x 50 percent coverage = $400 • $400 payer responsibility - $50 deductible = $350 • $400 patient responsibility + $50 deductible = $450

Summary When providing discounts remember:

•

The claim should always report the actual discounted fee when discounts are given, not the practice’s full, non-discounted fee. The discounted fee is the fee actually paid by the patient.

•

All patients must be treated equally when providing discounts. That is, both insured and uninsured patients should be offered the same discounted fee.

•

Discounts or courtesies are to be taken off the full fee, not selectively applied to the patient’s portion (as forgiveness of the copayment and/or deductibles). Both the payer and the patient should benefit from the discount.

Finally, a strong word of warning: Always consult a health care attorney before routinely waiving any portion of the copayment and/or deductible and providing discounts to patients. When discounts are offered, be sure that they are handled properly; to do otherwise could jeopardize the doctor and the practice.

Note: This article does not provide legal guidance for offering discounts. Furthermore, any changes to the facts and circumstances of the scenarios provided could change the outcome.

Always seek the advice of a health care attorney for your specific scenario.

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compleat dentistry

CENTRIC IS SACRED

DR. EDWARD HOPWOOD

Dr. Hopwood is a restorative dentist in Clearwater and can be reached at edwardhopwood@gmail.com. He also is the FDC2019 scientific program chair.

Compleat dentistry is a slower-paced, deliberate style of dentistry, espoused

by Pankey, Dawson and so many others, in which the dentist knows the patient well, knows the work, knows their own abilities and limitations, and uses this knowledge to take care of the patients who trust them with their care.

The world will change, but the principles of compleat dentistry will remain the foundation of an exceptional practice. The spelling is an homage to Isaak Walton, whose book, “The Compleat Angler,” was about so much more than fishing.

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I was delighted when I read the quote on the following page by George Pocock. He’s speaking about rowing in a crew, but he’s speaking to all of us who aspire to do our very best.

He touches on that feeling of euphoria when you’re performing at your best. But, most importantly, he’s speaking about being part of a team where everyone is performing at their very best and in harmony. Being a part of a group of people performing at such a level — well, that touches your soul. And not just your soul, but also the soul of every member of your team.

Daniel Pink, in his wonderful book, “When,” writes that for a group to perform at its highest level, it must synchronize on three levels: to the leader, the group and the heart.

And, he quite literally means the heart: Studies have shown that groups performing in synchronization can literally match their heart rates, not just in crew, but also in other endeavors, such as choral singers. He cites all sorts of other physiological benefits from synchronizing with a group, including improved immunity and increased pain threshold.

As for synching to the group, Pink continues, there is a fundamental human need to belong to a group. When people belong to a group, they are happier, more motivated to participate and perform at a higher level. Indeed, when all members are synched to the group, they each do their part to help the group get closer to perfection — and they get the benefits of being part of the symphony.

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All groups need a leader who sets the direction and pace. Every orchestra needs a conductor; same goes for trains. The most obvious leader in a crew team is the coxswain. If the direction and pace are given somewhere outside of the boat, then synchronicity is difficult and the performance is inferior. The most obvious leader in a dental office is the dentist.

I was so excited to see the theme for this year’s Florida Dental Convention (FDC). The photograph of the crew working in synch is a perfect analogy for a dental office. A well-run dental office is much like a crew team — a symphony of motion. When it’s running well, it touches the soul of its members. While I’m not sure that perfection is possible, I am certain that there is great pleasure to be had from pursuing perfection.

If the leader is to set the direction and the pace, then it is crucial for the leader to have a sense of what direction to pursue. Fortunately for me, the direction was set early in my career. It came in the form of a diminutive Indian prosthodontist at the University of Pennsylvania School of Dental Medicine.

Dr. Bal Goyal was a tough professor who terrified many, but I loved that he was tough because he wanted to make us better dentists. My favorite quote of his was “Centric is sacred.” As a dental student, I had a limited understanding of centric relation, but the conviction he held when he said those three words was enough to show me the path that I wanted to follow.

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Fortunately for me, I went on to a residency under the direction of Dr. Thomas Porter and he taught me the meaning behind the words that Dr. Goyal had expressed so passionately.

He introduced me to the teachings of Dr. Peter Dawson, who teaches centric relation like he invented it (although he would say that God invented it). I’m forever grateful for Dr. Porter and his patience in helping start me on my way to applying the teachings of Dr. Dawson. With their help, I took my first few steps down that path.

After graduating from my residency, the learning continued.

I would try to apply the information, fail, then learn more. As I encountered obstacles, I would seek help from others: Dr. Frank Spear for aesthetics; Dr. Mike Schuster for management; Dr. Carl Misch for implants; and, the wonderful programs at The Pankey Institute. I came to realize that all these diverse programs working within the construct of centric relation truly is sacred.

Now at the midpoint of my career, I’m so excited by the future.

Technology is impacting our profession in so many wonderful ways. But, it can be confusing: Which are worthwhile technologies and which are costly mistakes? It’s more important than ever for a clinician to have a good foundation in true, solid science so that one does not veer off the proper path. My office team is on the journey with me, each pulling forward to move us down the line. Each of us is proud of our careers and our pursuit of perfection, and it has indeed touched our souls.

It’s a great art, is rowing. It’s the finest art there is. It’s a symphony of motion and when you’re rowing well, why it’s nearing perfection. And when you near perfection, you’re touching the divine. It touches the you of you’s, which is your soul.

– George Pocock, legendary boat designer, as quoted in “The Boys in the Boat” by Daniel James Brown

So, it is with great excitement that we are offering for the first time — and at great discount to our members! — The Dawson Academy Seminar 1 at this year’s FDC. If you are struggling with direction or your team is lacking synchrony, then this seminar is the one you need. It changed my life and started me down the path I’ve taken. I hope you take advantage of this opportunity and I hope you enjoy the journey. Godspeed.

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FDA: Eiagnostic Discussion: Read, Learn & Earn!

Superior

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DRS. SAJA ALRAMADHAN*, NEEL BHATTACHARYYA, DONALD M. COHEN AND NADIM M. ISLAM

A 70-year-old male presented to Dr. Steven Fontana for extraction of tooth No. 17. Following routine dental radiographic examination, tooth No. 17 was horizontally impacted, and a jagged, not so well-defined radiolucency was noted distal to tooth No. 18 (Fig. 1) in association with the crown of tooth No. 17. However, the patient was asymptomatic. Dr. Fontana performed the disimpaction of impacted tooth No. 17 and curetted the adjacent area with removal of the associated fol-

Fig. 1: Ill-defined radiolucency noted around the crown of horizontally impacted tooth No. 17.

licular connective tissue and scrapings of bone. This was then submitted to the University of Florida Oral Pathology Laboratory biopsy service for a diagnosis. An intraoral photograph taken prior to the surgery was submitted as well (Fig. 2).

Question: Based on the above history, clinical image and radiograph, what is the most likely diagnosis?

A. Periapical/Dental abscess B. Dentigerous cyst C. Ameloblastoma D. Odontogenic keratocyst E. Squamous cell carcinoma arising in a follicular cyst

Fig. 2: A reddish, white lesion located distal to the lower left second molar (tooth No. 18).

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diagnostics FROM PAGE 69

Diagnostic Discussion A. Periapical/Dental abscess Incorrect. Periapical abscesses are almost always very painful, and the patient will usually provide a history of dental pain and/or drainage, which was absent here. In addition, these lesions are almost always associated with non-vital teeth. Moreover, tooth-related abscesses tend to cause more soft-tissue enlargement and rarely cause considerable bone destruction as noted here. Also, examination will always reveal involved tooth/teeth as obvious sources of dental infection. Usually with an abscess, constitutional symptoms such as fever, malaise, lymphadenopathy, etc. are not uncommon. Despite the fact that the clinical presentation was a growth that an abscess may demonstrate, such growth in an abscess is again symptomatic.

B. Dentigerous cyst Incorrect — a good choice though. Follicular or dentigerous cyst is the most common type of developmental odontogenic cyst associated with the crown of an impacted tooth.

It originates by the separation of follicle from around the crown of an unerupted tooth. Hence, it encloses the crown of an unerupted tooth and is attached to the tooth at the cementoenamel junction, which is not consistent with the radiographic finding of this case. Most involve the mandibular third molars, with maxillary canines, maxillary third molars and mandibular second premolars also being frequently involved. These cysts are unusual in children younger than 10.

Most patients are between their teens to 30 years of age, with a slight male predilection. Small cysts are asymptomatic and discovered on routine radiographs. In rare occasions, larger cysts may cause a painless expansion and resorption of roots of adjacent/involved teeth. Radiographs show a unilocular radiolucency associated with the crown of an unerupted tooth.

Histopathologically, the cyst shows a thin nonkeratinized epithelial lining.

C. Ameloblastoma Incorrect. Ameloblastoma is the most common clinically significant odontogenic tumor. It tends to be aggressive and

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frequently causes expansion of bone and resorption of roots of teeth. Ameloblastoma originates from rests of dental lamina, developing enamel organ, epithelial lining of an odontogenic cyst or very rarely, surface epithelium. These slow-growing tumors are locally infiltrative and if left untreated, can grow to massive proportions. Most patients are in the third to seventh decades of life. Most cases occur in the posterior mandibular region. Small lesions are asymptomatic and radiographically detected. Larger lesions cause a painless expansion. Radiographically, it presents as a unilocular or multilocular welldefined, mostly corticated radiolucency. When large, it may be associated with buccal and lingual cortical expansion and this may be clinically evident. Histopathologically, follicular pattern is the most common and presents with multiple islands of odontogenic epithelium demonstration peripheral columnar differentiation with reverse polarity. The central zone of these islands resembles stellate reticulum and may exhibit foci of cystic degeneration.

D. Odontogenic keratocyst Incorrect. Odontogenic keratocysts (OKCs), unlike the radiographic presentation noted here, demonstrate a welldefined radiolucent area with smooth and often corticated margins. Lesions may occur over a wide age range with majority occurring between 10 to 40 years of age. In addition, OKC often is seen in the posterior body and ramus of the mandible and tends to grow in anteroposterior direction without causing expansion. It’s a common developmental odontogenic cystic lesion arising from cell rests of the dental lamina. Unlike other developmental cysts, the growth of this cyst is related to genetic factors inherent in the epithelium itself or enzymatic activity in the fibrous wall. OKCs are significant because of their growth potential, higher recurrence rate and association with the nevoid basal-cell carcinoma syndrome (Gorlin-Goltz syndrome). It has a slightly higher male predilection.

Typically, the lesion is clinically asymptomatic and discovered on routine examinations. However, large lesions may be associated with pain, swelling or drainage. Approximately 25 to 40 percent of lesions associated with an unerupted tooth are mostly the mandibular third molars. Histopathologically, the cyst shows a thin, friable luminal epithelial lining six to eight cells thick, with hyperchromatic and palisaded basal cell.

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This makes it difficult to enucleate, which is directly attributable to the high recurrence rate; estimates at higher than 30 percent have been reported. Treatment of choice is enucleation and curettage along with long-term follow-up. Patients under 18 years of age with this lesion should be evaluated for the Gorlin-Goltz or nevoid basal-cell carcinoma syndrome.

E. Squamous cell carcinoma arising in a follicular cyst Correct! Squamous cell carcinoma (SCC) is always an important entity to consider in the differential diagnosis of an unexplained lesion in the oral cavity. About 51,500 new cases of oral and oropharyngeal cancers are diagnosed annually and approximately 10,030 people die of this disease each year in the U.S. Therefore, one should always keep this diagnosis in mind.

to have arisen in orthokeratinized odontogenic cysts rather than the regular OKCs. The diagnosis is made only after microscopic examination of a presumed odontogenic cyst. Histopathologically, the lesion appears as a well-differentiated or moderately well-differentiated SCC (Fig. 3). The transition from a normal-appearing cyst lining to invasive SCC might be detectable in some cases.

SCC has a varied clinical presentation and often is asymptomatic in the initial stages. Carcinoma arising within bone is rare and it’s limited to the jaws. The source of the epithelium giving rise to the carcinoma is from the epithelial lining of odontogenic cysts. Several studies have shown that 1–2 percent of all carcinoma cases in the oral cavity may originate from odontogenic cysts.

Lesions may occur over a wide age range with majority occurring in older patient. Males are almost twice as likely to be affected as females. The patient often complains of swelling with pain. However, many patients have no symptoms, as in our case.

Radiographically, the features of odontogenic cyst with SCC apparently show an irregular, ill-defined radiolucency, varying in size, shape and margins. Cone beam computed tomography is a reliable diagnostic measure and may help in the diagnosis of lesions that exhibit a destructive pattern that is not visible on two-dimensional radiographs.

The most common cyst associated with malignant transformation is residual periapical cyst, although other odontogenic cysts also can exhibit malignant change. This patient’s lesion appeared to have arisen in a dentigerous (follicular) cyst.

Carcinoma arising in a dentigerous cyst accounts for about 16 percent of cases. Several cases have been reported as carcinoma arising in an OKC. Although, some reported cases appear WWW.FLORIDADENTAL.ORG

Fig. 3: Carcinoma arising in a cyst; islands of invasive epithelium cells.

The treatment options for patients with carcinomas arising in cysts range from a wide local excision to radical dissection, with or without adjunctive therapy such as chemotherapy or radiation.

More studies are required to evaluate the prognosis, as most reports consist of isolated cases. Metastases to regional lymph nodes have been reported in a few cases. One review reported an overall two-year survival rate of 62 percent, but the fiveyear survival rate dropped to 38 percent.

The potentiality that the tumor represents a metastatic carcinoma of an intraoral or extraoral site must be excluded with advance tests and studies before a definitive diagnosis of carcinoma arising in a cyst is established. The pathogenesis of SCC arising in odontogenic cysts is unclear. Hence, each case SEE PAGE 72 TODAY'S FDA MARCH/APRIL 2019

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diagnostics FROM PAGE 71

specimens the service receives every year from all over the United States.

of odontogenic cysts that may or may not be associated with an impacted tooth requires careful thought and evaluation for each individual patient.

Clinicians are invited to submit cases from their own practices. Cases may be used in the “Diagnostic Discussion,” with credit given to the submitter.

References: Bodner L, Manor E, Shear M, et al: Primary intraosseous squamous cell carcinoma arising in an odontogenic cyst — a clinicopathologic analysis of 116 reported cases, J Oral Pathol Med 40:733–738, 2011.

DR. BHATTACHARYYA

Conflict of Interest Disclosure: None reported for Drs. Bhattacharyya, Cohen and Islam.

Chaisuparat R, Coletti D, Kolokythas A, et al: Primary intraosseous odontogenic carcinoma arising in an odontogenic cyst or de novo: a clinicopathologic study of six new cases, Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101:196–202, 2006.

Neville, BW., et al. Oral and Maxillofacial Pathology. Elsevier, 2016.

DR. COHEN

Tadashi Yasuoka, Kazuhiro Yonemoto, Yukihiro Kato, Norichika Tatematsu, Squamous cell carcinoma arising in a dentigerous cyst, Journal of Oral and Maxillofacial Surgery, Volume 58, Issue 8, 2000.

Diagnostic Discussion is contributed by UFCD professors, Drs. Indraneel Bhattacharyya, Don Cohen and Nadim Islam who provide insight and feedback on common, important, new and challenging oral diseases.

The dental professors operate a large, multi-state biopsy service.

The column’s case studies originate from the more than 12,000

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Drs. Bhattacharyya, Cohen and Islam, can be reached at oralpath@dental.ufl.edu.

The Florida Dental Association is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp.

DR. ISLAM

*First year resident in oral and maxillofacial pathology at the University of Florida College of Dentistry

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career center

The FDA’s online Career Center allows you to conveniently browse, place, modify and pay for your ads online, 24 hours a day.

Our intent is to provide our advertisers with increased flexibility and enhanced options to personalize and draw attention to your online classified ads!

As an added benefit, we will continue to publish the basic text of paid, online Career Center ads in Today’s FDA, at no additional cost to you. All ads posted to the online career center will be published during the contracted time frame for which you have posted your online classified advertisement.

Today’s FDA is published bimonthly; therefore, all active ads online will be extracted from the Career Center on roughly the following dates of each year: ISSUE

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Please visit the FDA’s Career Center at careers.floridadental.org.

General Dentist: Bradenton, FL— Full Time. If you’re looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of Bradenton, FL while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success.

You’ll enjoy the following: Base salary with performance incentives to earn more; Sign-on bonus of $5000; Relocation package; Full time benefits include CE allowance, professional liability, 401K and group health/wellness plans; Practice 4-5 days per week with family friendly days/hours. Candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license.

Please apply at www.dental-partners.com.

Endodontist. General practice is seeking a part-time Endodontist. Locations on Florida’s West Coast include Clearwater, Largo, St. Petersburg, and Bradenton.

Established in 1981. No capitation. Send CV to CorpOffice@FloridaDentalCenters.com, fax: (727) 445-8382 or call: (723) 461-9149.

Endodontist – Melbourne Supplement your Schedule!

Christie Dental is a multispecialty group practice, founded in 1999. Since our founding, we’ve used our core values of fiscal, social, and ethical excellence to guide us. Today, our group is a PPO/Fee for Service dental group practice with 16 locations serving communities across central Florida. We are interested in speaking with Endodontists to join our team one day a week in Melbourne. This is a great opportunity to supplement your schedule. We are firm believers that the practice of dentistry must always be based on the doctor-patient partnership. That means that our behavior must demonstrate a conviction of honesty and the utmost integrity. Dentists are given full clinical autonomy so they can work with patients in choosing the best course of action for treatment and prevention. Social responsibility is one of Christie Dental’s core values. Whether it is partnering with the Brevard County Schools Supply Zone, participating in the Making Strides against Breast Cancer Walk, sponsoring the local little league team, or being involved with Reach Out and Read book drives, we are proud to support the Marion, Brevard and Osceola communities. DDS/DMD/ BDS, Certificate in Endodontics, FL State Dental License or Eligibility. Contact Kate Anderson at Kateanderson@ amdpi.com or 781-213-3312.

General Dentist – Sebastian. Christie Dental is a PPO/ FFS multi-specialty dental group with 16 practice locations in the Brevard and Ocala Florida area. Christie Dental offers individuals and families a full range of dental care, including general dentistry, hygiene and specialty care, such as pedodontics, oral surgery, endodontics, orthodontics and periodontics. We currently have a wonderful opportunity for an General Dentist to join our growing team in a prime Sebastian practice.

Contact Kate Anderson at kateanderson@amdpi.com or 781-213-3312.

Endodontist – Supplement your Schedule in Ocala!

Christie Dental is a multispecialty group practice, founded in 1999. Since our founding, we’ve used our core values of fiscal, social, and ethical excellence to

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guide us. Today, our group is a PPO/Fee for Service dental group practice with 16 locations serving communities across central Florida. We are interested in speaking with Endodontists to join our team one day a week. This is a great opportunity to supplement your schedule. Our specialists enjoy a built-in referral system from our general dentists. We are firm believers that the practice of dentistry must always be based on the doctor-patient partnership. That means that our behavior must demonstrate a conviction of honesty and the utmost integrity. Dentists are given full clinical autonomy so they can work with patients in choosing the best course of action for treatment and prevention. Social responsibility is one of Christie Dental’s core values. Whether it is partnering with the Brevard County Schools Supply Zone, participating in the Making Strides against Breast Cancer Walk, sponsoring the local little league team, or being involved with Reach Out and Read book drives, we are proud to support the Marion, Brevard and Osceola communities. DDS/DMD/ BDS, Certificate in Endodontics, FL State Dental License or eligibility. Contact Kate Anderson at Kateanderson@ amdpi.com or 781-213-3312.

Part-Time Oral Surgeon, Sebastian. Christie Dental is a multi-specialty dental group with 16 practice locations in the Brevard and Ocala Florida area. Christie Dental offers individuals and families a full range of dental care, including general dentistry, hygiene and specialty care, such as pedodontics, oral surgery, endodontics, orthodontics and periodontics. We currently have a wonderful opportunity for an Oral Surgeon to join our team in our Merritt Island and Palm Bay specialty practices, on a part-time basis. This is an opportunity that provides a high number of referrals from inside and outside the Christie Dental group. Contact Kate Anderson at Kateanderson@amdpi.com or 781-213-3312.

General Dentist – Full time in Melbourne! Christie Dental is a multispecialty group practice, founded in 1999. Since our founding, we’ve used our core values of fiscal, social, and ethical excellence to guide us.

Today, our group is a PPO/Fee for Service dental group practice with 16 locations serving communities across central Florida. We’re interested in talking with Doctors to join our team in the Melbourne area. We are firm believers that the practice of dentistry must always be based on the doctor-patient partnership. That means that our behavior must demonstrate a conviction of honesty and the utmost integrity. Dentists are given full clinical autonomy so they can work with patients in choosing the best course of action for treatment and prevention. Doctors are supported with a network of resources and support, including mentor programs, leadership opportunities, continuing education and even a clear path to ownership. New dentists are able to shadow and learn from experienced professionals in their field, and seasoned professionals appreciate the camaraderie and collaborative environment.

Social responsibility is one of Christie Dental’s core values. Whether it is partnering with the Brevard County Schools Supply Zone, participating in the Making Strides against Breast Cancer Walk, sponsoring the local little league team, or being involved with Reach Out and Read book drives, we are proud to support the Marion, Brevard and Osceola communities. DDS/ DMD/BDS, FL State Dental License or eligibility. NOTES:

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Additional Salary Information: Christie Dental is proud to provide a competitive compensation package, including comprehensive health benefits (Health, Vision, Dental), Life Insurance, Long Term Disability, Professional Liability Insurance, a 401(k) program with employer matching, and established mentor programs and leadership opportunities. Contact Kate Anderson at Kateanderson@amdpi.com or 781-213-3312.

GENERAL DENTIST OPPORTUNITY: Pinellas Park, FL — Sign on bonus! If you’re looking to make your professional mark on a community, this is your chance.

Build valuable relationships with patients and get involved with the greater community of Pinellas Park, FL while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Base salary with performance incentives to earn more; Sign-on bonus of $5,000; Relocation package; Full time benefits include CE allowance, professional liability, 401K and group health/wellness plans; Practice 5 days per week with family friendly days/hours.

Candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. www.dental-partners.com. NOTES: Employer will assist with relocation costs. abrooker@ dental-partners.com.

General Dentist. General Dentist needed for 2 days a week with potential for more depending on patient base. inievesdmd@gmail.com.

General Dentist. The General Dentist that joins our team will be responsible for performing dental examinations and treatment in a collaborative, patient centric practice environment. Continuing education and leadership development opportunities are available and encouraged for this role. Excellent communication skills are required to maintain our group’s mission of providing the highest quality of patient service, and asserting our position as a provider of choice in the communities we serve. Job Duties: Examine, diagnose, prescribe, and carry out (or direct others in carrying out) oral health care services that are in the best interest of the patient; Contribute towards a team oriented and collegiate environment by working with other clinical and non-clinical staff members as necessary; Uphold the policy, protocol, and procedures which are in compliance with the most current accepted professional standards; Improving your clinical skills and acumen through participation in continuing education and training opportunities (continuing education support is available); Participate in various community outreach initiatives as necessary. Christie Dental is a multispecialty group practice, founded in 1999. Since our founding, we’ve used our core values of fiscal, social, and ethical excellence to guide us. Today, our group is a PPO/ Fee for Service dental group practice with 13 locations serving communities across central Florida. We are firm believers that the practice of dentistry must always be based on the doctor-patient partnership. That means that our behavior must demonstrate a conviction of honesty and the utmost integrity. Dentists are given full clinical autonomy so they can work with patients in choosing the best course of action for treatment and prevention. Doctors are supported with a network of resources and support, including mentor programs,

WWW.FLORIDADENTAL.ORG

leadership opportunities, continuing education and even a clear path to ownership. New dentists are able to shadow and learn from experienced professionals in their field, and seasoned professionals appreciate the camaraderie and collaborative environment.

Social responsibility is one of Christie Dental’s core values. Whether it is partnering with the Brevard County Schools Supply Zone, participating in the Making Strides against Breast Cancer Walk, sponsoring the local little league team, or being involved with Reach Out and Read book drives, we are proud to support the Marion, Brevard and Osceola communities. Christie Dental is proud to provide a competitive compensation package, including comprehensive health benefits (Health, Vision, Dental), Life Insurance, Long Term Disability, Professional Liability Insurance, a 401(k) program with employer matching, and established mentor programs and leadership opportunities. DDS/ DMD from a dental education program accredited by the Commission on Dental Accreditation. Current, valid license to practice dentistry in state where providing care (License must be in good standing) or eligible for licensure. Other certifications as required by state to include- CPR, DEA, etc. Christie Dental is a multispecialty group practice, founded in 1999. Since our founding, we’ve used our core values of fiscal, social, and ethical excellence to guide us. Today, our group is a PPO/ Fee for Service dental group practice with 16 locations serving communities across central Florida. Come join our thriving group practice! Contact Kate Anderson at Kateanderson@amdpi.com or 781-213-3312.

Associate Dentist in Jacksonville — Great area, Great team, Busy practice! Harbour Dental Care is growing by leaps and bounds and is looking for an amazing general dentist. This is a privately held office, not corporate, not DSO. At HDC, you will be provided with mentoring, training and development, continuing education, and a very competitive compensation package. We take great pride in what we do, and how we do it! If you love to make patients happy, be empowered to perform at your peak, use the highest technology available, and deliver premium service then you are going to love it here! This is a privately owned office, not corporate. 3D CBCT, CEREC, All digital, Brand new office environment, Great location, huge new patient flow! Please contact us if you are ready for an amazing opportunity to jump start your career! Sincerely, Kevin W. Snyder DDS. drsnyder@harbourdental.care. www.harbourdental.care. Private practice experience recommended. GPR/AEGD a plus. Florida License.

GREAT ATTITUDE, HARD WORKING, SELF MOTIVATED, RESPONSIBLE, AND THE ABILITY TO DELIVERY 5 STAR CUSTOMER SERVICE. General Dentist Associate for a Private Office in Orlando FL. ORLANDO FLORIDA Dentist, Immediate Opening. An Excellent opportunity for a General Dentist to join an Upscale Private Established Dental Office North of Downtown Orlando, providing excellent patient care with the latest State-of-the-Art technology including Digital Paperless records, Digital x-rays, Intraoral Camera, Cerec, Laser, Invisalign. And doing ALL aspects of dentistry including Cosmetic, Ortho, Surgery and Dental Implants. we are 100% FFS/ PPO. — (No HMO/No Medicaid). Our practice has grown immensely throughout a short period of time

and we are looking to continue moving forward. We are a very successful dental health model designed to help our patients and the community achieve a healthy and beautiful smile by providing great dental care and excellent customer service. We offer superior quality and excellent patient care, provide attention to details and our patients love us. Great compensation plus base salary with a huge potential for the right person, in addition to the on-the-job experience, mentoring and clinical support. If you have GPR-AEGD Residency it is a Plus ...This is a Full-Time position, but willing to discuss Part Time if requested. Please Fax Resume to Fax 407327-1018 or Email: Doctor@OrlandoDentalCenter.Com. FL Dental License, DEA, NPI, Malpractice Ins. Ability to start soon. NOTES: Additional Salary Information: Full Time/Part Time.

Amazing Associate Opportunity. This is an opportunity for the right dentist to join one the fastest growing dental practices in Florida. A chance to get in now and enjoy the continued rapid expansion of our office. We have moved our almost 50 year established practice into a brand new state of the art facility on the same site as the old building. This allowed us to maintain our entire patient base and referral sources and at the same time become the best place to go for dentistry in the County. Our new patients have skyrocketed over the past year and we need a talented general dentist to join our team and help us keep up with demand. You will have plenty of new patients and hygiene exams from your very first day allowing you to ramp up your monthly production extremely fast. We are strictly Fee For Service and PPO only, no managed care, discount plans, or Medicaid of any sort. That translates into being well compensated for each and every procedure you perform or supervise. Use our proven systems to help maximize your case acceptance and production, and therefore your income. Our current associates are taking home over $300k working only 4.5 days a week.

This allows them time to enjoy all the wonderful activities that the Beautiful Florida Panhandle has to offer.

Sign on/Relocation bonus available to those who qualify. Medical insurance, 401k, disability available to full time providers. Call or e-mail today to take advantage of this tremendous opportunity. Florida Dental License is required to practice. NOTES: Additional Salary Information: $600 daily guarantee or 30% of collections whichever is greater. smilemaker80@gmail.com.

Associate Dentist. Looking for a great opportunity to practice in Central Florida? Our well-established, privately owned practice in Saint Cloud has a position for an outstanding Associate Dentist. We offer an excellent earnings potential for the individual who is dedicated to providing high quality, compassionate care for our growing patient base. Key tasks include: Examination and treatment planning; Providing appropriate care for patients ages 6 and up; Being a friendly, professional practice ambassador both within and outside of the office; Being receptive to mentoring when needed and appropriate; Being dedicated to professional growth; Four (4) Day practice week to include 2 early evenings.

Compensation includes: Base salary to start and incentives for exceeding production goals; Malpractice insurance, CE allowance and Retirement contribution

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career center FROM PAGE 75 is also provided. Would you like to be considered as a member of our friendly, professional, and dedicated team? If so please send us your CV along with a brief paragraph explaining why you should be considered.

Lakeshore Dental Care, PLLC. info@mylakeshoredental. com. Fax: 407-957-6762. DMD/DDS degree from an accredited dental school. Current Florida Dental License, 2 years clinical experience or graduate of an Advanced GPR program.

Pediatric Dentist — Tampa, FL. Available Spring/Summer 2018. Private Pediatric dental practice — Noncorporate. Two office locations in the Tampa bay area.

One office has 8 chairs and is 5 days a week. 2nd office has 6 chairs and is a couple of days per week, with potential for growth. The ideal candidate I am seeking is full time, 5 days per week. PPO insurance and feefor-service patients in both practices. High-income potential approximately, can easily clear $300,000 in the first year with our compensation structure. Both offices have digital radiographs and digital charting. In office IV-sedation provided on a monthly basis with a certified Anesthesiologist. Fully trained and certified pediatric dental staff in place. Orthodontic treatment is provided in both locations by an orthodontist in our practice. Full autonomy over treatment plans. Position is available starting Spring/Summer of 2018. Must have a current Florida dental license, previous experience in private practice is preferred but not necessary. Must have graduated or soon to graduate from a certified pediatric dental residency program. Candidate should have excellent communication skills and enjoy a fast pace, fun work environment. We are now interviewing qualified candidates so if interested please email current CV to, sugarbugdude@gmail.com. Prior to interviewing we ask you to sign a non-disclosure agreement in order to protect our practice information.

We are looking forward to speaking further about this amazing opportunity with an interested candidate. CV to sugarbugdude@gmail.com. Requirements: Must have a current Florida dental license. Previous experience in private or corporate offices is preferred. Must be a pediatric dental specialist. No general dentist limited to children. Excellent communication and people skills. Must enjoy a fast-paced work environment.

Associate Dentist — Melbourne. Viera Modern Dentistry is currently looking for a full-time Associate Dentist to add to our successful and growing practice in Melbourne, Florida. This office is fully digitized and equipped with SiroLaser, CEREC® CAD/CAM, intraoral cameras, VELscope®, and digital X-rays. Dr. Pham offers: Competitive earning potential, with no earning cap; Benefits, including: Medial, Dental, Vision, 401K; Dr. Pham pays all lab & Supply fees, malpractice insurance, and any CE credits taken through the PDS institute®; Mentorship and training; Great working environment, with a fun, friendly, and supportive team.

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Full-time General Dentist Needed. Veteran (10-30 years’ experience) Full-time general dentist needed to join our rapidly growing practice. High tech offices with well trained staff await you. Medical insurance and malpractice insurance paid by the office. We offer a 401K match program and profit sharing. We have 6 offices surrounding the Tampa area, with 2 new offices opening soon. Unlimited salary potential, with a first-year guarantee. Only serious, experienced dentists please apply. 10-30 years of general dentistry experience.

Active Florida License. NOTES: 2 openings. Additional Salary Information: Medical, mal-practice, 401K, profit sharing. vmonti@happydentistry.com.

Part Time/Full Time Pediatric Dentist. Our thriving Orlando, FL private practice office is seeking a part time associate to join our busy practice. We have a modern office, a wonderful patient base, and a loyal and committed team. We are looking for a fun, caring, compassionate individual committed to providing excellence in total oral health care to our little patients (and big ones). Our office creates an environment that encourages family-centered preventative care and a team approach with our parents and children. Our practice is committed to excellent service that exceeds the expectations of our patients and their parents. Our goal is to build trust with our patients and parents and make each and every visit a positive experience. We are located in a very desirable area of sunny Orlando, FL. This opportunity is perfect for the individual interested in working part time with the potential for full time.

We offer a competitive compensation and benefits package including health insurance and 401k. To become part of our outstanding team email your C.V. to mlkdentistry@icloud.com.

General Dentist Opening — South Florida and Orlando Markets. Looking for an opportunity with a successful and growing company? Sage Dental currently has opportunities for qualified General Dentists & Specialists at our South and Central Florida practices. Sage Dental offers you: Excellent Earning Potential – Sage Dental operates more efficiently and we share the results with our doctors through a higher compensation model; Ability to Focus on Patient Care – By delegating all the management and administrative stresses to us, our doctors can focus on providing the best patient care possible; State-of-the-Art Facilities – Our dentists enjoy working in state-of-the-art facilities with the latest dental technology and equipment; Quality of Life – Since you don’t have to worry about insurance claims, payroll, staffing, accounting and marketing, you have the time to enjoy everything Florida life has to offer, including our many golf courses and beautiful beaches. If you are ready to take the next step in your career as a General Dentist or Specialist and want a position with excellent earning potential, Sage Dental has what you are looking for. Apply today! Contact:

Bradford Cabibi - Doctor Recruitment. Email: bcabibi@ mysagedental.com; careers@mysagedental.com. website: http://www.mysagedental.com/; https://www. mysagedental.com/career-opportunities/. Phone: 561999-9650 Ext. 6146, Fax: 561-526-2576. Florida Dental License. NOTES: Additional Salary Information: Highly Competitive.

General Dentist- Gainesville, FL - Northwest Family Dental. If you’re looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of Gainesville, FL while providing top-notch dental care. Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the follow-ing: Base salary with performance incentives to earn more; Relocation benefit for full time team mem-ber; Full time benefits include professional liability insurance, yearly CE allowance, 401K with company match and health/wellness plans. Practice full time, 4 days per week with family friendly days/hours in a small team environment. Candidate must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license and be up to date on all required CE. Prefer experi-enced General Dentist with additional skills in molar endodontics, oral surgery and place-ment/restoration of implants. NOTES: Employer will assist with relocation costs.

General Dentist – Family Practice. North Jacksonville Florida (Amelia Island, Fernandina Beach FL). If you’re looking to make your professional mark on a community, this is your chance. Build valuable relationships with patients and get involved with the greater community of North Jacksonville, FL (Amelia Island, Fernandina Beach) while providing top-notch dental care as a General Dentist in our family practice.

Our talented and dedicated support team will work alongside you to help ensure your success. You’ll enjoy the following: Base salary with performance incentives to earn more. Sign on bo-nus of $5000; Family friendly days and hours. Current opportunity is for 3 consecutive days per week: Tuesday - Thursday. Potential for full time in near future; Part time benefits to include yearly CE allow-ance and 401K with company match; Small team environment. www.puredentalbrands.com.

Equal Opportunity Employer/Drug Free Workplace.

Candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. Prefer 3-5 years of prior gen-eral dentistry experience with advanced skills in oral surgery and molar endodontics. Will consider residency grad.

WWW.FLORIDADENTAL.ORG

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Quick Email Tips 5 to Keep You Out of Trouble 1.

Never assume that an email is from whom it says it is from. Email can be — and is — easily “spoofed.” A spoof is an email that looks like it came from someone you likely know.

2.

Never blindly click links in any email. No matter if it is from someone you know, your bank, Apple, UPS, FedEx or even your system administrator, you can hover over the link and likely see it is not what it seems to be. If you have a question, call the person or use a separate method to communicate with a company to verify before taking any action. Attachments also can be corrupted, so be extremely cautious of those as well.

3.

Never send information like passwords, your Social Security number, bank information or any other personal data via email. You don’t know who sees it on the other end and potentially while in transit. Unencrypted email is easy to access, even without your email being hacked. Suffice it to say, your email can be “overheard” — similar to someone standing at your door while you are on the phone.

4.

Be extremely cautious when using “Reply All” and forwarding email strings. There may be conversations in the thread that others don’t need to see or may be proprietary. It also may have unintended consequences for other users who use “Reply All” back and didn’t notice all the people on the email.

5.

Often, email can carry a certain tone even if you didn’t mean for it to, so take great consideration before clicking send. It is the same as what you say out loud — once it’s out there, you can’t take it back — and in electronic form, it lives forever.

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VOLUNTEER TO BE AN FDC SPEAKER HOST! Lecture speaker hosts will receive free course tuition for the hosted course and a lunch voucher for Exhibit Hall concessions. Workshop and certification speaker hosts will receive FREE course tuition for an AM or PM lecture course of their choice and a lunch voucher for Exhibit Hall concessions.*

Duties include introducing the speaker and making announcements, passing out and collecting surveys and assisting the speaker, if necessary.

Volunteer today at floridadentalconvention.com Questions? Contact Kenlee Bruggemann at 850.681.3629 or kbruggemann@floridadental.org. * Exclusions apply.

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off the cusp

BLIMEY!

WORK ISN’T EVERYTHING I’m not actually from Tampa, but I get it. Everybody wants to be a pirate (except for the Rough Riders). It seems like a pretty good gig: You wear flashy clothes, swagger about town and talk up your plans to take over the city. Everyone wants your attention and your beads. They love you because you’re giving them a reason to have a party in the streets and relax the rules just a bit.

You wouldn’t expect to find many dentists among the crew of pirates (formally or informally). Relaxing the rules just isn’t what we do. Our profession is fairly black and white.

It’s either decay or it isn’t, and if it is, it must go. Plus or minus a millimeter tends to be the recipe for dental failure.

I’m impressed at the number of y’all I’ve met who have a little captain in you. Some are pirates who can clean up for the weekday office gig and others are straight-laced professionals who can turn the lock and walk away on Friday. Either way, I think it’s fantastic.

We practice the greatest profession in the world, but it can be a grind.

In order to stay sane, I have to find some things that don’t require the precision or carry the consequences of my day job. Cooking is one choice. You gotta eat anyway. You don’t have to spend a lot of money — relax the rules and mix a few flavors. Who knew cheddar cheese, basil and cayenne would make for good scrambled eggs! You might find something pleasantly unexpected and if not, takeout is right around the corner.

I first heard Dr. Pete Dawson about 25 years ago and he would devote a fair amount of his lecture to discussing the work-life balance. Work is serious, and done well brings its own reward, but it’s meaningless without a life well lived. This June at the Florida Dental Convention (FDC), you have a chance to see Dr. Dawson himself and he may be the first to remind you that it’s not all about the dentistry. Understanding that our conventions are about much more than the perfect line angle, FDC will offer you a few things outside of dentistry to balance out your time in the lecture seat. Invest in yourself and take the opportunity to experience all of it.

JOHN PAUL, DMD FDA EDITOR

Dr. Paul can be reached at jpaul@bot.floridadental.org.

JOHN PAUL, DMD, EDITOR, TODAY'S FDA

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