TFDA March/April 2023 Issue

floridadental.org

FDC/AWARDS issue

23 | Board of Dentistry: ADEX Licensure Exam and Updated Language for DMD/MD Licensees

26 | FDC2023 ... It’s a Team Thing! 10 Reasons to Bring Your Team

27 | FDC2023 Scientific Program Chair Q&A

30 | 2023 Award Winners

36 | FDC2023 Speaker Preview: Healthy Breathing is Nasal Breathing

40 | FDC2023 Speaker Preview: Taking Your Dental Practice to the Next Level: Successful Formulas for Digital Dental Marketing

44 | FDC2023 Speaker Preview: Injection Molded Composite Dentistry

50 | Exhibit Marketplace

54 | Responding to the Mental Health Needs of Dentists

58 | Treatment of Patients with Intellectual and Development Disabilities in a Family Dental Practice

66 | What’s Really Required of HIPAA Compliant Email?

CHECK OUT TODAY’S FDA ONLINE!

545 John Knox Road, Ste. 200 • Tallahassee, FL 32303 • 800.877.9922 or 850.681.3629

EDITOR

Dr. Hugh Wunderlich, CDE • Palm Harbor

DIRECTOR OF PUBLICATIONS

COMMUNICATIONS AND MEDIA COORDINATOR

GRAPHIC DESIGN COORDINATOR

AJ Gillis

Jill Runyan

Kelsey Simmons PRESIDENT

Dr. Gerald Bird • Cocoa

BOARD OF TRUSTEES

SECRETARY

PRESIDENT-ELECT Dr. Beatriz Terry • Miami

Dr. Dan Gesek • Jacksonville

FIRST VICE PRESIDENT Dr. Jeffrey Ottley • Milton

IMMEDIATE PAST PRESIDENT

Dr. Dave Boden • Port St. Lucie

SECOND VICE PRESIDENT Dr. John Paul • Lakeland

EXECUTIVE DIRECTOR Drew Eason, CAE • Tallahassee

Dr. Tom Brown • Orange Park | Dr. Christopher Bulnes • Tampa | Dr. John Coroba • Lake Mary | Dr. Bethany Douglas • Jacksonville

Dr. Karen Glerum • Boynton Beach | Dr. Reese Harrison • Lynn Haven | Dr. Bertram Hughes • Gainesville | Dr. Mark Limosani • Weston

Dr. Irene Marron-Tarrazzi • Miami | Dr. Eddie Martin • Pensacola | Dr. Paul Palo • Winter Haven | Dr. Mike Starr • Wellington

Dr. Don lIkka • speaker of the house, Leesburg | Dr Rodrigo Romano • treasurer, Miami

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, to email Dr. Hugh Wunderlich, his email would be hwunderlich@bot.floridadental.org.

To call a specific staff member below, dial 850.350. followed by their extension.

EXECUTIVE OFFICE

Drew Eason • chief executive officer/executive director

Greg Gruber • chief operating officer/chief financial officer

Casey Stoutamire • chief legal officer

Lianne Bell • leadership affairs manager

Lywanda Tucker • peer review coordinator

ACCOUNTING

Breana Giblin • director of accounting

Leona Boutwell • finance services coordinator

Deanne Foy • finance services coordinator

Jamie Idol • FDAS support services coordinator

Mitzi Rye • fiscal services coordinator

deason@floridadental.org • Ext.

7109

• Ext. 7202 lbell@floridadental.org

• Ext. 7114 ltucker@floridadental.org

• Ext. 7143

Renee Thompson

• director of communications and marketing

Jill Runyan • director of publications

AJ Gillis • graphic design coordinator

Kelsey Simmons • communications and media coordinator

FDA FOUNDATION

R. Jai Gillum • director of foundation affairs

bgiblin@floridadental.org

• Ext. 7137 lboutwell@floridadental.org •

FLORIDA DENTAL CONVENTION AND CONTINUING EDUCATION

Crissy Tallman • director of conventions and continuing education Mackenzie Johnson

Porschie Biggins

FDC meeting assistant

FDC program coordinator

FDC marketing specialist Isabelle McCreless

Lisa O’Donnell

FDC exhibits coordinator

FDC program coordinator Deirdre Rhodes

GOVERNMENTAL AFFAIRS

Joe Anne Hart • chief legislative officer

Alexandra Abboud • governmental affairs liaison

Jamie Graves • legislative assistant

INFORMATION SYSTEMS

Larry Darnell • director of information systems

Charles Vilardebo • computer support technician

MEMBER RELATIONS

Kerry Gómez-Ríos • director of member relations

Megan Bakan • member access coordinator

Bettie Swilley • membership coordinator

Scott Ruthstrom • chief operating officer

Carrie Millar • director of insurance operations

Carol Gaskins • commercial accounts manager

Marcia Dutton • membership services assistant

• Central FL membership commercial account advisor

Maria Brooks • South FL membership commercial account advisor

Davis Perkins

• Atlantic Coast membership commercial account advisor

Melissa Staggers

• West Coast membership commercial account advisor

Danielle Basista • commercial account advisor

Tessa Daniels • commercial account advisor Kelly Dee • commercial account advisor

Liz Rich • commercial account advisor

Karina Scoliere • commercial account advisor

Dan Zottoli, SBCS, DIF, LTCP director of sales • Atlantic Coast 561.791.7744

cell: 561.601.5363

dan.zottoli@fdaservices.com

Dennis Head, CIC director of sales • Central Florida 877.843.0921

cell: 407.927.5472

dennis.head@fdaservices.com

Mike Trout director of sales • North Florida cell: 904.254.8927

mike.trout@fdaservices.com

Joseph Perretti, SBCS director of sales • South Florida 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

Catherine.Bridges@flhealth.gov

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CATHERINE E. BRIDGES, DMD

KAYCEE WILCOX, DMD FDA COMMITTEE ON CONVENTIONS & CE, 2023 SCIENTIFIC PROGRAM CHAIR Kayceewilcox@hotmail.com

ALAN BUDD, DMD alanb@dcdma.org

JOSH GINDEA, DDS jgindea@doctorsinternet.com

ROBERT MCDERMOTT PRESIDENT AND CEO, ICORECONNECT sales@icoreconnect.com

STEVE CARSTENSEN, DDS seattlesleeped@gmail.com

DAVID CLARK, DDS drclark@bioclearmatrix.com

SAJA ALRAMADHAN, BDS SAlramadhan@dental.ufl.edu

Page 71

LIANNE BELL FDA LEADERSHIP AFFAIRS MANAGER lbell@floridadental.org

Page 16

INDRANEEL BHATTACHARYYA, DDS IBHATTACHARYYA@dental.ufl.edu

Page 71

JERRY BIRD, DDS FDA PRESIDENT gbird@floridadental.org

850.681.3629

Page 7

JOE ANNE HART FDA CHIEF LEGISLATIVE OFFICER jahart@floridadental.org

850.350.7205

Page 10

NADIM M. ISLAM, DDS MIslam@dental.ufl.edu

Page 71

SCOTT RUTHSTROM FDA SERVICES CHIEF OPERATING OFFICER scott.ruthstrom@fdaservices.com

850.350.7146.

Page 14

CASEY STOUTAMIRE, ESQ. FDA CHIEF LEGAL OFFICER

cstoutamire@floridadental.org

850.350.7202

Page 9

HUGH WUNDERLICH, DDS, CDE FDA EDITOR hwunderlich@bot.floridadental.org

850.681.3629

Page 79

Join in the recognition of your colleagues.

Friday, June 30, 2023 | 11:30 AM – 1:00 PM

Gaylord Palms Resort & Convention Center | Orlando, FL

Individual tickets are $55 or a table of 10 for $550. Please contact Lianne Bell at lbell@floridadental.org or 850.681.3629 by June 9 to purchase tickets.

Relentless, Positive Action

By Jerry Bird, DMD, FDA President

Soon we will come together to attend the Florida Dental Convention (FDC) at the end of June. While there, we will celebrate our Florida Dental Association (FDA) leaders who have improved our association and kept us moving forward positively. We will celebrate our friends and colleagues, their achievements and all the good we have accomplished this year. We will see old friends and make new friends. We will learn new ways to do things, improve our patients’ care and be excited about new possibilities.

As FDA president this year, I hope I have built on my predecessor’s achievements and been a positive leader. I may not be as I once was before my bicycle accident, but I make the best of the life I have. I believe in “Relentless, Positive Action” – our FDA motto, which is printed on the blue wristband many of us wear. Beyond the Bite’s December issue focused on “Relentless, Positive Action” too. I have chosen to be happy, positive and make a difference. Each of us sets the tone for the day, whether in our office, with our team or with our family. As dentists, we are all leaders in one way or another. We set the tone. You may have heard the saying that a challenge or a problem is an opportunity. We can view a challenge as something bad or choose to view it as an opportunity for good. We can choose to be eager, engaged and proactive as we move through each day. Every day is a gift to be opened. Each challenge is an opportunity for us, our association and our profession as we move forward into the future.

Choose “Relentless, Positive Action” and plan to attend FDC June 29 - July 1, 2023, at the Gaylord Palms Resort in Orlando. Don’t delay. Do it today! The Gaylord Palms is a beautiful venue and a place that you, your team and your family will enjoy. There will be many opportunities to learn from excellent speakers, embrace new techniques, gain continuing education credits, have fun and return home invigorated with positive and exciting ideas for your practice. I will be there with my FDA team, my work team and my family and I hope to see you there too.

We can view a challenge as something bad or choose to view it as an opportunity for good. We can choose to be eager, engaged and proactive as we move through each day.

HEALTH CARE PROVIDER CHECKLIST:

INFORM

Non-opioid alternatives for pain treatment, which may include non-opioid medicinal drugs or drug products are available

Non-opioid interventional procedures or treatments, which may include: acupuncture, chiropractic treatments, massage, physical or occupational therapy, or other appropriate therapy are available.

DISCUSS

OPIOIDS

SUMMARY:

DOCUMENT IN PATIENT’S RECORD

PROVIDE

“Alternatives to Opioids,” an educational information pamphlet created by the Florida Department of Health printed or in electronic format (required, available at bit.ly/2KXvZ2h). Also, a checklist and poster.

Exclusive Member Benefit!

FOR THE LATEST ON OPIOIDS, GO TO: FLORIDADENTAL.ORG/NYK

All health care providers must include non-opioid alternatives for pain and pain management electronically or in printed form in their discussions with patients before providing anesthesia, or prescribing, ordering, dispensing or administering a schedule II controlled substance for the treatment of pain. Effective July 1, 2021.

NON-OPIOID ALTERNATIVES

LAW: GO TO bit.ly/2KXvZ2h

did you know?

Are You Registered with the U.S. Drug Enforcement Admininstration?

By Casey Stoutamire, FDA Chief Legal Officer

Did you know that you must indicate to the Board of Dentistry (BOD) if you are registered with the U.S. Drug Enforcement Administration (DEA)?

To indicate if you are registered with the DEA:

1. Visit flhealthsource.gov/mqa-services. Do you already have an account?

a. Click “yes” and log in using your MQA Online Services user ID and password (this is what you used when you renewed your license during the last biennium).

b. Click “no” and follow the instructions provided to complete your one-time account registration.

2. Once logged in:

a. Go to the “Manage My License” section.

b. Select “Add/Change DEA Registration” in the dropdown list and follow the instructions to indicate if you hold a current registration with the DEA.

i. If you are using the DEA registration of an institution or supervisor and do not have an individual DEA registration

• Indicate that you are NOT registered with the DEA.

ii. If you hold a current individual DEA registration

• You MUST provide your DEA number.

iii. If you do not have a current individual DEA registration

• Indicate that you are NOT registered with the DEA.

IN THE KNOW WITH GAO

Webinar series for FDA members to stay informed on legislative and political issues.

The Florida Dental Association’s Governmental Affairs Office (GAO) would like to invite you to join in on our listening sessions to learn about legislative issues that may have an impact on the dental profession, political issues that could affect the dental industry, and a number of other hot topics that may be of interest to you!

The listening sessions will be scheduled for mid-afternoon, 30-minutes long and will allow you to ask questions of the speakers. These sessions are meant to give you a quick update on issues and topics during your lunch hour, without interrupting the flow of your day.

POTENTIAL GUESTS:

• Elected officials (federal, state and local)

• Candidates running for office

• State agency and department heads

• FDA Members

• National dental leaders/experts

GOVERNMENTAL AFFAIRS TEAM:

JOE ANNE HART Chief Legislative Officer jahart@floridadental.org

ALEXANDRA ABBOUD Governmental Affairs Liason aabboud@floridadental.org

JAMIE GRAVES Legislative Assistant jgraves@floridadental.org

A portion of your required dues is transferred to the Florida Dental Association Political Action Committee (FDAPAC). FDAPAC provides campaign contributions to dental-friendly candidates.

FDAPAC Century Club members provide additional financial support of $150 or more for state campaigns. FDAPAC dues and contributions are not deductible for federal income-tax purposes.

“Your support of the PAC helps the FDA build relationships with leaders who will be making important decisions in Tallahassee that will impact our profession and our patients.”

Dr. Rudy Liddell FDAPAC Chair

— Dr. Rudy Liddell

Dental Practitioners Handle Sensitive Information About Patients Everyday:

Make Sure You Are HIPAA Compliant

By Scott Ruthstrom, COO, FDA Services

Dentists are responsible for ensuring the confidentiality of their patients’ health information, security and privacy. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that was enacted to protect patient health information. Since dental practitioners handle sensitive information about their patients every day, it is crucial that they comply with HIPAA regulations. This article will discuss why dentists should take HIPAA seriously and how they can ensure they are compliant.

Why HIPAA matters for dental practitioners

Dentists handle sensitive patient information, including medical histories, x-rays and other critical data. HIPAA requires that dental practitioners maintain this information’s confidentiality, integrity and availability and ensure that it is protected from unauthorized access or disclosure. Demonstrating compliance is vital in maintaining patients’ trust in their dental care providers and safeguarding their privacy. Moreover, HIPAA violations can result in substantial fines, negative publicity and loss of patient trust.

How to ensure HIPAA compliance

Dentists can ensure HIPPA compliance by taking the following steps:

1. Educate Staff: HIPAA training should be provided to all employees who handle or access patient information, including receptionists, hygienists and dental assistants.

2. Implement Privacy Policies: Dental offices should have written policies and procedures for handling patient information and ensure that all staff members know them. These policies should include guidelines for handling sensitive information, disposing of confidential data and ensuring the privacy of patients.

3. Secure Electronic Information: Electronic Health Records and other electronic systems should be protected with strong passwords, encryption and firewalls. Dental practitioners must take steps to secure electronic patient information from unauthorized access, theft or loss.

4. Limit Access: Only authorized individuals should have access to patient information, and access should be restricted based on the “need to know” principle. Dentists must ensure that patient information is only accessible to those who require it for their job responsibilities.

5. Dispose of Information Securely: When disposing of physical or electronic patient information, it should be done to ensure that it cannot be accessed by unauthorized individuals. Confidential information must be disposed of securely to prevent any breaches of privacy.

HIPAA compliance is a critical aspect of a dental practice, and dentists have a legal and ethical obligation to protect the privacy of their patients. Having complete and accurate policies and procedures is essential to any compliance program to ensure patient information is handled properly and securely. By implementing a HIPAA compliance program, practitioners can avoid legal and financial consequences, protect their patients’ information and maintain their trust. As an ongoing process requiring constant attention and diligence, it is vital to provide quality dental care.

Are you looking for the right partner to help you implement and sustain compliance? Check out our preferred vendor partner, Abyde. Their HIPAA for Covered Entities and OSHA for Healthcare was built by health IT professionals, legal experts and seasoned developers. Abyde’s revolutionary software is the easiest way for any sized dental practice to become compliant. With Abyde, never stress over compliance again.

With Abyde’s HIPAA for Covered Entities solution, you will experience ease of use from start to finish. From the Security Risk Analysis to dynamically generated policies and procedures, Abyde automates your HIPAA compliance journey so you can focus on what matters most, your patients. And they don’t just stop at the software. By leading with education, Abyde offers training for all staff and removes the stress of knowing when and how to complete your annual requirements. Should you ever experience a true HIPAA emergency, Abyde and their customer success team have your back.

Go to app.abyde.com/demo/selectstate to schedule your demo.

Demonstrating compliance is vital in maintaining patients’ trust in their dental care providers and safeguarding their privacy. Moreover, HIPAA violations can result in substantial fines, negative publicity and loss of patient trust.

By Lianne Bell, FDA Leadership Affairs Manager

On Friday, Jan. 20, 2023, the FDA’s Leadership Development Committee (LDC) hosted its premier program, Leaders Emerging Among Dentistry (LEAD), at the Tampa Airport Marriott hotel. LEAD is free for any Florida Dental Association (FDA) member dentist and Florida dental students. Hosted annually by the LDC with support from the FDA’s Board of Trustees (BOT), LEAD aims to provide attendees with various offerings that teach leadership skills and showcase leadership opportunities within the FDA.

This year, LEAD kicked off with guest speaker Velma Knowles, a certified leadership coach, who gave a presentation on communication styles. Ms. Knowles guided the attendees through a process by which they could identify their primary style of communicating and learn more about other communication styles. Insight into how people communicate and receive communication is essential for dentists who interact daily with team members and patients.

Attendees heard two presentations from FDA staff. The first, from FDA Chief Legislative Officer Joe Anne Hart, gave attendees background on the FDA’s legislative efforts at the state level

and the importance of grassroots advocates. Attendees had the opportunity to see what happens at committee meetings and how subject matter experts debate proposed legislation before the committee. The FDA and its leadership work hard to keep Florida legislators informed of issues impacting the profession of dentistry as well as working to protect the oral health of all Floridians. FDA Director of Foundation Affairs

R. Jai Gillum shared about the state’s premier charitable organization for dentistry, the FDA Foundation. The Foundation is the philanthropic arm of the FDA. It runs several highly successful programs throughout the state to unite people and organizations to make a difference through better oral health.

Finally, the program wrapped up with roundtable discussions about leadership. It ended with a networking reception that included the members of the House of Delegates and the FDA’s BOT.

Thank you to the members of the LDC for their time and efforts in planning and hosting such a successful event!

For more information on the LEAD program and to view future dates and plans, please visit floridadental.org/lead

Photo Captions:

1. Dental students from Nova and LECOM.

2. LEAD attendees participating in learning more about their communication styles.

3. Dr. Jenna Schwibner

4. LEAD attendees listening to a presentation on communication styles.

5. Dr. James Nguyen

6. LEAD 2023 hosted by the Leadership Development Committee at the Tampa Airport Marriott.

2023 LEAD Attendees

• Dr. Victoria Adams, Clearwater • Dr. Matthew Ahrens, Gibsonton • Dr. Salma Atassi, Nova College of Dental Medicine • Dr. David Boden, Port Saint Lucie • Dr. Gregory Chace, Melbourne • Dr. Abelardo Daya, Weston

• Dr. Mikhail Daya, Pompano Beach • Dr. Bethany Douglas, Saint Johns • Dr. Glori Enzor, Sarasota

• Dr. Donovan Essen, Stuart • Dr. Ellys Fernandez, Lake Worth • Dr. Mariangel Fuchs, LECOM School of Dental Medicine • Dr. Chinara Garraway, Tallahassee • Dr. Peter Gostout, Cape Coral • Dr. Reese Harrison, Inlet Beach

• Dr. Steve Hochfelder, Lake Mary • Dr. Alana Humberson, Vero Beach • Dr. Sergio Jacas, Fort Lauderdale

• Dr. Nick Kaleel, Boynton Beach • Dr. Avanika Khanna, Orlando • Dr. Roderick MacIntyre, Daytona Beach

• Dr. Angela McNeight, Satellite Beach • Dr. Paul Miller, New Port Richey • Dr. Sasha Minor, Chipley

• Dr. Nancy Montgomery, Largo • Dr. James Nguyen, Jacksonville • Dr. Ovy Quintanal, Fort Lauderdale

• Dr. Joe Richardson, Eustis • Dr. Juan Rodriguez, Naples • Dr. John Russo, Nova College of Dental Medicine

• Dr. Jenna Schwibner, Vero Beach • Dr. Melissa Sedeno, Miami Lakes • Dr. Vrinda Shah, Melbourne

• Dr. Mary Shehata, Riverview • Dr. Matthew Sheldon, Melbourne • Dr. Doug Starkey, West Palm Beach

• Dr. Rick Stevenson, Jacksonville • Dr. Millie Tannen, Jacksonville • Dr. Toby Thomson, Tallahassee

• Dr. Sean Tomalty, Boynton Beach • Dr. Huy Tran, Melbourne • Dr. Carl Treyz, Pompano Beach

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Institute for Diversity in Leadership Applications Due April 28

Since 2003, the American Dental Association (ADA) Institute for Diversity in Leadership has admitted over 285 dentists from diverse racial, ethnic and gender backgrounds who have been traditionally underrepresented in leadership roles. The award-winning program is designed to strengthen leadership skills and build professional networks. As part of the program, with all expenses paid, participants attend three sessions at ADA headquarters in Chicago, learn from Duke University faculty and participate in 10 virtual sessions throughout the year. In addition, participants are required to develop and complete a new leadership project addressing a need in their community or dental association.

Applications are now being accepted for the 2023-24 class and societies are encouraged to share this information widely. Applications must be submitted on ADA.org by April 28. All expenses are covered for this program, partly through support from Crest + Oral-B and Henry Schein, Inc.

Military Spouses with Dental Licenses Now Have Reciprocity in Other States

tion (FDA) was a leader in this space by passing related legislation in 2018. Previously advocated for by the ADA, the new law will make it easier for military families who move to another state. In a 2021 letter to lawmakers, the ADA insisted that the passing of the Military Spouse Licensing Relief Act would help reduce employment barriers, ensure family stability and improve the quality of life for the families of service members. In that letter, the ADA said: “The ADA routinely supports these spouses through the onerous licensure process upon transfer of duty stations. By simply having a license in good standing according to the requirements in the jurisdiction that issued the license; and by complying with the new state’s standards of practice, discipline and fulfillment of any continuing education (CE) requirements, a military spouse could receive professional license reciprocity and easily resume the practice of dentistry.” The Military Spouse Licensing Relief Act — included as a provision of the Veterans Auto and Education Improvement Act — also provides portability of professional licensure or certification to the relocating service member. Source: bit.ly/3STie6f

Medication Access and Training Expansion Act Included in Appropriations Bill

Thanks to a new law passed at the end of 2022 — The Military Spouse Licensing Relief Act — military spouses with valid dental licenses in one state will now have licensure recognition in the state where their spouse is serving. The Florida Dental Associa-

Provision includes continuing education requirement for DEA registration

The Medication Access and Training Expansion Act, or MATE Act, was included in the omnibus spending bill that passed Congress at the end of 2022. The new law requires dentists to complete eight hours of training before receiving or renewing a Drug Enforcement Administration registration.

The ADA successfully advocated for Congress to amend certain provisions of the MATE Act to comport with ADA policy. This

included prompting lawmakers to remove a requirement from the original bill that meant dentists would have to complete three hours of specialized training to safely prescribe buprenorphine, which is outside the scope of dental practice.

The MATE Act was also amended to allow:

l Dentists to apply CE credits accepted for state licensure towards his/her federally required training, as well as courses taken through ADA CERP providers.

l New dentists who are less than five years out of dental school to use their dental school courses towards the federally required training.

For more information on all the ADA’s advocacy efforts, visit ADA. org/Advocacy and stay tuned for the FDA to share additional information as it’s available.

ADA Addresses Frustration for Dentists: Deceptive Online Reviews

The FDA House of Delegates Will Consider Bylaws Changes

The Council on Ethics, Bylaws and Judicial Affairs will perform an annual review of the FDA bylaws and propose changes if necessary.

The Next House of Delegates Meeting Will be Held

Friday, June 30, and Saturday, Juy 1, 2023

at the Gaylord Palms Resort and Convention Center

reviews without violating the prohibition as long as the disclosure is limited to the scope of the topics addressed in the review.

The ADA also urged the FTC to require reviewers to self-identify and for the social media site to verify that identity. If the reviewer does not self-identify in the review, then the ADA suggested that the dental practice should have an avenue to request that identification from the social media site. This would help the dentist to determine if the review is fraudulent or, with legitimate reviews, assist with responding to and addressing the patient’s concerns by reaching out either on social media or directly.

Many dentists are annoyed by online reviews that are misleading, inaccurate or blatantly false, especially because dentists may feel as if they have limited means of responding. Confirming the patient’s name or commenting about a procedure could place the dentist at risk of a HIPPA violation.

The ADA, in January, responded to an advanced notice of proposed rulemaking from the Federal Trade Commission (FTC) about deceptive or unfair uses of reviews and endorsements. Go to bit.ly/3ZzlyWV to view the letter which expresses the ADA’s concerns about online reviews by people who are not actually patients of the dental practice, or who are misrepresenting his/ her experiences with the dental office. The ADA urged the FTC to create an exception to the enforcement in order to permit health care providers to disclose patient information in response to

According to the ADA’s letter: “These regulatory provisions would protect the dental practice from misleading and deceptive reviews, ensure fair competition between dental practices, help consumers to choose the right dental practice for them and assist dentists in addressing the questions and concerns of their patients.”

Dr. Dan Gesek, chair of the ADA’s Council on Government Affairs, first shared this information with the FDA. It’s powerful to have Florida dentists involved at the national level, and it’s nice to have organized dentistry working to resolve members’ pain points. Here’s to hoping for a policy change!

In the meantime, the FDA can assist with questions or guidance under the current landscape and share best practices — and what to avoid — when responding. Call the FDA at 850.681.3629.

Welcome New FDA Members

The following dentists recently joined the FDA. Their memberships allow them to develop a strong network of fellow professionals who understand the day-to-day triumphs and tribulations of practicing dentistry.

Atlantic Coast District

Dental Association

Dr. Keith Chiarello, Fort Lauderdale

Dr. Diana Tadros, Fort Lauderdale

Central Florida District Dental Association

Dr. Yocasta Pastora, Gainesville

Northwest District

Dental Association

Dr. Andrew Horbaly, Pace

Dr. Jared Ure, Crestview

South Florida District

Dental Association

Dr. Harini Chitta, Davie

West Coast Dental Association

Dr. Dennis Bailey, Sarasota

Dr. Delaney Clayton, Clearwater

Dr. Yulia Eve, Boston, MA

Dr. Chelsea Fullgrapp, Fort Myers

Dr. Nicholas Peracchio, Bradenton

Dr. Kai On-Art, Tampa

Where in the World is Today’s FDA?

Do

In Memoriam

The FDA honors the memory and passing of the following members:

Nelson Castellano

Tampa

Died: 2/12/2023

Age: 83

Michael Chanatry Jacksonville

Died: 2/12/2023

Age: 72

Silas Daniel Seminole

Died: 1/10/2023

Age: 74

Robert Ettleman Tampa

Died: 1/23/2023

Age: 69

Wendell Hall Tampa Died: 2/12/2023

Age: 88

Charles Infante Plantation Died: 2/15/2023

Age: 92

Gilbert Principe Longwood

Died: 1/12/2023

Age: 80

Edward Stokes

Died: 1/11/2023

Age: 76

Volunteer

Volunteers provide an invaluable service to the Florida Dental Convention. Speaker Hosts will be responsible for introducing the speaker, making announcements in front of the course, passing out and collecting surveys, and contacting convention staff if AV assistance is needed.

Volunteering has its perks!

• All Speaker Hosts receive a $20 lunch voucher for Exhibit Hall concessions.

• Lecture Speaker Hosts receive free course tuition for the hosted course.

Volunteer today at education.floridadentalconvention.com

QUESTIONS? Contact

FLORIDA DENTAL CHATTER

This Facebook group is designed for dentists to interact with other members, receive the latest updates and information, and engage with FDA leaders and sta across the country. This is the place to be in the know!

ADEX Licensure Exam and Updated Language for DMD/MD Licensees

By Casey Stoutamire, FDA Chief Legal Officer

The Florida Board of Dentistry met in Tampa on Friday, Feb. 17, at 7:30 a.m. The Florida Dental Association (FDA) was represented by Board of Dentistry (BOD) Liaisons Dr. Andy Brown and Dr. Steven Hochfelder and Chief Legal Officer Casey Stoutamire. Dr. Jim Haddix was also in attendance. Several dental hygiene students from Hillsborough Community College also attended the meeting.

BOD members present included: Dr. Claudio Miro, chair; Dr. Nick White Drs. Christine Bojaxhi, Brad Cherry, Tom McCaw ley, Jose Mellado and T.J. Tejera; hygiene member, Ms. Angela Johnson and consumer members, Mr. Fabio Andrade and Mr. Ben Assad Mirza. Ms. Karyn Hill, hygienist, was absent (excused).

As a reminder, in November, the board heard from the Commis sion on Dental Competency Assessments (CDCA), which admin isters the ADEX licensure exam. The Florida rule (modeled after the initial CDCA rule) requires an applicant to complete and pass all parts of the ADEX exam within 18 months of taking the first part of the exam. However, the CDCA rule now states that all parts of the ADEX exam must be completed within 18 months of an applicant starting his/her D4 year. As part of that discussion, the board asked the FDA to work with board staff to review the dental examination statute and propose clean-up changes to ensure it aligns with current procedures. Legislation supported by both the FDA and BOD has been introduced in this session to clean up the statutory language. In addition, the Rules Committee approved a modification to Rule 64B5-2.013 to mirror the CDCA language for how long an applicant has to complete the ADEX exam. This

eliminates the 18-month issue the board has been seeing due to students taking the curriculum-integrated format of the exam.

The BOD also passed modifications suggested by the Rules Committee to Rules 64B5-12.013 and 64B5-16.0051. The updated language in 64B5-12.013 allows DMD/MD licensees to take the medical errors and controlled substances CE courses once per biennium to fulfill the BOD and the Board of Medicine requirements. Currently, dual licensees must take these courses twice per biennium to comply with the Boards of Dentistry and Medicine. The modifications to Rule 64B5-16.0051, supported by both the FDA and University of Florida (UF), updated language on the Restorative Function Dental Auxiliary training requirements. Now, a portion of the training on live patients can be done in a local dentist’s office under his/her supervision. The dentist must complete training beforehand and be calibrated on the clinical requirements and procedures. UF should now be able to include an additional class while also reducing the course tuition.

There were two disciplinary cases, two informal hearings, two determinations of waivers and one recommended order. The board revoked the licenses of two dentists due to criminal convictions. It is much better to be a spectator than a participant in BOD disciplinary cases.

DID YOU KNOW ...

Did you know FDA Services (FDAS) is overseen by a board of directors made up of Florida dentists who guide our mission to support FDA members throughout their dental careers?

Did you know FDAS specifically negotiated the FDA dental professional liability program with The Doctors Company to get FDA members the best coverage, rates and benefits possible?

Did you know revenue generated from FDAS insurance sales goes directly toward funding FDA programs and lobbying efforts that are important to members, as well as keeping member dues at their lowest possible level?

Did you know FDAS saves members $314 in dues reductions per year?

We need your support to keep dues low—use FDAS for your insurance needs.

The FDA honors the memory and passing of the following members:

Came for the insurance ...

Stayed to support my profession.

RUN BY AND FOR DENTISTS

Finding the right insurance and business resources to help you run your practice securely and efficiently can be a headache, but as an FDA member you can find all of your solutions in one place.

FDA Services is overseen by a board of directors made up of Florida dentists who guide our mission to support FDA members throughout their dental careers.

or visit bit.ly/tdcquote to get an instant quote.

FDC2023 ... IT’S A TEAM THING! COME FOR THE CE,

STAY FOR THE FUN

FDC2023 | JUNE 29-JULY 1, 2023

GAYLORD PALMS RESO RT & CONVENTION CENTER ORLANDO, FLORIDA

10 REASONS TO BRING YOUR TEAM

Reward your team for “having your back” with a trip of learning, CE earning and networking!

Having fun with your coworkers = happier employees!

Create synergy and new ideas with team building courses.

Show your comradery in matching o ce T-shirts.

Build team morale at the free keynote sessions.

Connect and unwind at the nightly social events.

Be [rock]stars with the VIP experiences. Learn new skills to implement in the o ce. Discover new products in the Exhibit Hall.

And most importantly, HAVE FUN with your team!

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

FDC2023 SCIENTIFIC PROGRAM CHAIR Q&A

By Kaycee Wilcox, DMD, FDC2023 Scientific Program Chair

What are you most looking forward to at FDC2023?

I am most looking forward to sharing the Florida Dental Convention (FDC) experience with my team! My entire office will be joining us for outstanding continuing education (CE) opportunities, networking and social events. It is not only about learning new skills to bring back to the office but also building team moral.

Why should I bring my team?

What can they get out of FDC2023?

You should bring your team to FDC because there is something for everyone, and it is a fantastic team-building time! We have specific courses designed for the entire dental team on topics such as wellness, communicating with patients, systemic health and more, as well as clinical courses for each role on the dental team. Then, after a day full of learning, you and your team can come together to relax and have some fun at the free nighttime festivities.

What makes FDC unique compared to other dental meetings?

FDC is unique because it is a meeting that feels like no other! The hospitality you receive from the Florida Dental Association (FDA) Committee on Conventions & CE team and Gaylord Palms’ Stars as you walk in the door is like being welcomed home. FDC is a big dental family reunion! Add the superb CE opportunities, the venue and the nighttime events … FDC is a meeting that can’t be topped. It’s not your average dental meeting.

Another feature that makes FDC unique is that FDA member dentists register for free and get many other benefits for registering!

These benefits include discounted courses, free course options and discounted team member registrations.

What course topics are you most excited to see in this year's program?

There are so many great courses with more than 130+ lectures and workshops. If I were to narrow it down, I’m most excited to be offering courses on 3D printing, implant advancements, sleep medicine, clear aligner therapy and periodontal progressions. FDC is also again offering The Dawson Academy’s introductory course, “Functional Occlusion – Protocols to Put Your Practice in the Top 10%,” at an up to 20% discount.

What are three can't-miss things to do at FDC outside of education?

There are so many “Come for the CE, Stay for the FUN!” moments, but if I had to pick three, I'd say:

1. Don’t miss the “Blonde Ambition Band” live Thursday night at the new LIVE! at FDC party.

2. Make plans to attend the “Out of this World” space-themed party Friday night for stellar fun and entertainment.

3. Enjoy some time at the Gaylord Palms’ Cypress Springs Water Park, home to the FlowRider Surfing experience and free fall drop slide!

Join us!

The 2023 Florida Dental Convention will be held June 29-July 1 at the Gaylord Palms Resort & Convention Center.

LIVE MUSIC

COSTUMES ENCOURAGED FAMILY-FRIENDLY ENTERTAINMENT

FRIDAY, JUNE 30

7:30-10:30

RDH @ FDC

It’s not your average dental meeting … learn new skills, enhance your techniques and connect with your peers all while having FUN at FDC2023!

COME FOR THE RDH CE.

+ Amber Auger, RDH, MPH – Treating Periodontal Disease Systemically (C45)

+ Ashley Clark, DDS – Oral Pathology for the Dental Hygienist (C05)

+ Cynthia Fong, RDH, MS – A Simplified Approach to Ultrasonic Instrumentation Workshop (W12/W18)

+ Mia Geisinger, DDS, MS – Killer Smile? The OralSystemic Connection (C57)

+ Angie Gribble-Hedlund, DMD – Salivary Diagnostics as Part of a Complete Care Practice (C15)

+ Carol Jahn, RDH, MS – Vaping, Nicotine and Tobacco: Facts, Stats, Trends (C23)

+ Connie Kugel, RDH – Care and Maintenance of Aesthetic Dental Materials Workshop (W31)

+ Diane Millar, RDH, MA – Advanced Scaling and Ergonomics Workshop (W03)

+ Lancette VanGuilder, RDH – Au Naturale: Oral Health and Homeopathic Trends (C44)

+ plus more than 75 courses designed for the RDH. Look for the courses with “hygienist” listed as the audience for all courses recommended for you!

NOT LOOKING FOR CE?

A free Exhibit Hall Pass gives you access to the Exhibit Hall all three days of FDC and the Welcome Cocktail Reception on Thursday.

STAY FOR THE FUN!

+ Nightly social events included in your registration

• LIVE! At FDC Party on Thursday

• Out of This World Party on Friday

• The After Party on Friday

+ Yoga on the Lawn on Thursday and Friday for only $15

+ Free Welcome Cocktail Reception in the Exhibit Hall (don’t forget to get swag bag!)

+ Resort-style pool and water park at Gaylord Palms

+ Discounted tickets to Walt Disney World theme park

+ Free motivational keynote sessions on Thursday and Friday

+ Access to the 300+ vendor Exhibit Hall

+ plus endless networking and team building opportunities

TWO FREE COURSES FOR DENTAL HYGIENISTS!

PROGRESSIVE PERIODONTAL THERAPY: A COMPREHENSIVE APPROACH TO PERIODONTAL MANAGEMENT (C02)

THURSDAY, JUNE 29 | 9 AM-12 PM | AMBER AUGER, RDH, MPH

HIGH-TECH DENTAL HYGIENE (C61)

SATURDAY, JULY 1 | 9 AM-12 PM | CONNIE KUGEL, RDH

award winners

Award Winners 2023

FDA President Award: Dr. GerALD Bird

Dr. Gerald Bird is an oral and maxillofacial surgeon in Cocoa. Dr. Bird received his Bachelor of Science in biology from Western Michigan University and then his DDS from the University of Detroit Mercy School of Dentistry in 1980. He completed a residency in general practice in Oral and Maxillofacial Surgery at the VA Medical Center in Detroit. Dr. Bird has served in leadership within the Central Florida District Dental Association, the Florida Dental Association (FDA), and the American Dental Association (ADA) for many years and has held multiple roles. His passion has always been legislative advocacy for the FDA and ADA. Dr. Bird spent years on the ADA’s Political Action Committee (PAC), serving as chair from 2017-18, and on the FDA’s PAC board from 1996-2008, where he served many years as chair. He continues to serve his profession and advocate for all dentists as a legislative contact dentist in Florida while leading the FDA as President. He is an avid athlete and enjoys swimming, biking and running. Dr. Bird is married to his wife, Jerilyn Bird, and together they have two children, Kevin and Stephanie, a daughter-in-law, Taylor, and their grandson, Carter, who is three years old.

Dentist of the Year: Dr. Cesar R. Sabates

Dr. Cesar Sabates is a general dentist from Coral Gables, Florida. Dr. Sabates earned his dental degree and certificate in advanced education in general dentistry from the University of Missouri-Kansas City School of Dentistry and has an undergraduate degree in electrical engineering from the University of Miami. Dr. Sabates is the founding president of the Dental Lifeline Network-Florida. Among the many awards received for his dedicated service, Dr. Sabates was the 2021 recipient of the FDA’s J. Leon Schwartz Lifetime Achievement Award, the FDA’s Presidents Choice Award – 2018, the South Florida District Dental Association (SFDDA) Service and Leadership Award – 2018, the Hispanic Dental Association Award for his continued commitment to oral health – 2012 and Dentist of the Day – Florida House of Representatives, April 2, 1997. From 2016 to 2020, Dr. Sabates served as the 17th District Trustee to the ADA Board of Trustees. He is also a past president of the FDA and the SFDDA. Most recently, Dr. Sabates served as the president of the ADA from 20212022 as the first person from Florida to hold this role. Dr. Sabates and his wife Lydia reside in Orlando and have two children, Albert and Cesar III, and a grandson, Bruce.

J. Leon SChwartz LifetIme AChievement Award: Dr.

Kim JerNIgan

Dr. Kim Jernigan is a native of Pensacola, where she lives with her husband of 40 years, Greg. Dr. Jernigan began her career as a dental hygienist at the office of Dr. Bert Dannheisser. After 18 years in this position, she left to attend dental school at the University of Florida College of Dentistry (UFCD), where she graduated in 1997. While in dental school, she was active in the American Student Dental Association and, during this time, helped to move a resolution allowing dental students to vote at the FDA House of Delegates. With the passing of this policy, she became the first dental student to vote on an issue before the FDA’s House. After graduation, she returned to Pensacola and began practicing beside Dr. Dannheisser in his office. Dr. Jernigan went on to buy the practice where she still practices. Dr. Jernigan stayed active in organized dentistry upon graduation when she was selected as the chief liaison for the Florida Board of Dentistry. She also worked with FDA staff and leaders to create the FDA’s Leadership Development Committee (LDC), which recruits and trains new leaders. Dr. Jernigan wrote the curriculum and online modules for the Leadership Institute that was created to help LDC fulfill its mission. Dr. Jernigan has held many leadership positions in all levels of organized dentistry, including being the first female chair of the 17th Delegation and the first female president of the FDA. Additionally, she is the first female to receive the J. Leon Schwartz award honor. She considers her greatest opportunity to serve others as her role of co-chair for the Florida Mission of Mercy (FLA-MOM) held in Pensacola in 2017, where she helped to start the Veterans First initiative, which prioritizes free dental care for veterans and continues at FLA-MOM to this day.

Leadership Award: Dr. Joseph RiChardson

Dr. Joseph Richardson grew up in Tavares, Fla. Dr. Richardson obtained a Bachelor’s in chemistry from Wichita State University, Kansas, in 2002. He then acquired his dental degree, periodontics specialty certificate and master’s degree from UFCD in 2010. He also served as the Dental Class President from 2003-2007. Dr. Richardson maintains a courtesy teaching appointment at UFCD in the graduate periodontics department and teaches three lectures per year to undergraduate dental students. He plays several roles in organized dentistry as part of the FDA and ADA delegations and has served as the FLA-MOM sterilization clinical lead from 2019 to present. Dr. Richardson owns two private practices in Eustis and Winter Park. He currently lives in Eustis with his wife of 20 years and twin 7-year-olds, Thomas and Sydney.

Leadership Award: Dr. Walter “Beau” Biggs

Join in the recognition of your colleagues.

Friday, June 30, 2023 | 11:30 AM – 1:00 PM

Gaylord Palms Resort & Convention Center | Orlando, FL

Individual tickets are $55 or a table of 10 for $550.

Dr. Beau Biggs was born and raised in Pensacola. He earned his DMD at UFCD in 1984. Dr. Biggs developed the concept of constructing Provisionals for dental implants to guide gingival healing and has had two articles published in the Journal of Prosthetic Dentistry and another, Antibiotic Recommendations Have Changed, in Today’s FDA July/August 2021 issue. He has participated in many FLA-MOM events and served as cochair in 2017 for the Pensacola event. Dr. Biggs has been in private practice in Pensacola for most of his career. Having owned a practice for many years, he now enjoys working as a part-time associate for Dr. Alan Adkins and his fabulous team. Dr. Biggs and his wife, Shay

Please contact Lianne Bell at lbell@floridadental.org or 850.681.3629 by June 9 to purchase tickets.

past nine years. She has organized several local charity events, such as a Thanksgiving food drive that has been successful for eight years running. In addition, Ms. Schutte has been co-lead in sterilization at FLA-MOM for the past four events. She enjoys exercising, shooting at the gun range and spending time with her 17-year-old son, Bryan, in her free time.

Dental StUdent Award:

Ms. Emily Fuqua

Emily Fuqua is a fourth-year dental student at UFCD. She was born and raised in Florida Panhandle in the small town of Marianna. Emily credits the charm and quaintness of life in a small town for shaping her into who she is today. Following in her family’s footsteps, she attended the University of Florida (UF), where she received a Bachelor of Science in Microbiology and Cell Science. She stayed at UF in the “swamp” for dental school, where she is a proud Gator dentist. Emily served as the student representative on the FDA’s Committee for Conventions and Continuing Education. She worked with committee members to plan and host the annual Florida Dental Convention. She is excited to complete her time at UFCD this year and looks forward to beginning her career in dentistry. In her free time, Emily loves to travel and experience new adventures with her fiancé.

PublIc Service Award

Dr. Susan ByrNE

Join in the recognition of your colleagues.

Friday, June 30, 2023 | 11:30 AM – 1:00 PM

Gaylord Palms Resort & Convention Center | Orlando, FL

Individual tickets are $55 or a table of 10 for $550.

Please contact Lianne Bell at lbell@floridadental.org or 850.681.3629 by June 9 to purchase tickets.

Dr. Susan Byrne was born and raised on Long Island, N.Y. She graduated from Florida State University (FSU) in 1994 with a degree in biology and is still a diehard Seminole fan. After undergrad, she attended

UFCD, where she received her DMD in 1999. Dr. Byrne is a general dentist who practices in Tallahassee. She has owned her practice in Tallahassee for over 20 years. In 2022 FLA-MOM was held in Tallahassee, and Dr. Byrne served as co-chair for the event. Dr. Byrne has been married to her husband, Richard, for 23 years. Together they have three children, Samantha and Nick, who are both in college, and Jake, who is in high school.

PublIC Service Award Dr. Tracy EcKLes

After many moves, Dr. Tracy Eckles, found a home at FSU. Following dental school in San Antonio and a General Practice Residency in Augusta, she practiced comprehensive care in Georgia before moving back to Tallahassee. Dr. Eckles now limits her practice to dental surgery, IV sedation and therapeutic Botox. Relieving chronic myofascial and migraine pain has become an emotionally rewarding passion for her. Her newest love is her new practice, Sleep Tight Tallahassee, dedicated to increasing awareness of sleep apnea and the endless list of comorbidities it causes. Dr. Eckles and her husband Michael (FLA-MOM 2022 Parking Chair extraordinaire) chase around their three kids under 8, Ellie, Grover and Fletcher. The Eckles are homebodies who love their community, the nearby beaches and their newly renovated labor-of-love home. When not busy with family, Dr. Eckles tries to learn about Tallahassee and how she can help make it a better place to live, work and visit.

PubLIc Service Award Dr. BRAndon AlegRE

2001, and then earned his DMD at UFCD in 2005. He graduated from the advanced education in general dentistry residency program at Bay Pines VA Hospital, St. Petersburg, Fla. in 2006. Then he returned to South Florida to start a private practice in Boca Raton in 2007. Dr. Alegre has served as committee chair for FLAMOM since 2016 and volunteers monthly at the Caridad Center, where at-risk patients receive free dental care. Dr. Alegre is also involved in 4Kids of South Florida, an organization that is dedicated to caring for orphans in the South Florida area. Dr. Alegre currently lives in Boca Raton with his daughter, Caroline. He enjoys golfing, running and family time at the beach.

Helping Members SuCCeed Team Impact Award: Ms. Mitzi Rye

Join in the recognition of your colleagues.

Mitzi Rye has worked in the accounting department at the FDA for six and a half years. She has streamlined the processes for all accounts payable and FDA payroll during this time. She handles the many reimbursements that arrive at the office efficiently and accurately. Mitzi and her husband, Bart, just celebrated their 25th wedding anniversary. They have one daughter, Ada, who has recently graduated high school and Tallahassee Community College and will be starting at a university this fall. Mitzi and her family live in rural Wakulla County with their three dogs, where she enjoys reading, puzzles, walking in the forest, hunting and spending time with family and friends. Mitzi is active in her church and serves as the music director, clerk and assistant treasurer. She loves teaching and sharing the Bible and Jesus with kids during vacation bible school. Mitzi loves her job and enjoys being a part of the FDA family.

Dr. Brandon Alegre was born in Norwood, Mass. and raised in South Florida. Dr. Alegre attended UF, earning a bachelor’s in microbiology and cell science in

Friday, June 30, 2023 | 11:30 AM – 1:00 PM

Gaylord Palms Resort & Convention Center | Orlando, FL

Individual tickets are $55 or a table of 10 for $550.

Please contact Lianne Bell at lbell@floridadental.org or 850.681.3629 by June 9 to purchase tickets.

LAUNCHING DENTISTRYFORWARD

THE OFFICIAL MEETING OF THE

FLORIDADENTALCONVENTION.COM

HOT TOPICS:

+ 3D Printing

+ Bioactive Dentistry

+ Clear Aligner Therapy

+ Crown Lengthening

+ Geriatric & Special Needs Care

+ Implant Advancements

JUNE 29-JULY 1, 2023

GAYLORD PALMS RESORT & CONVENTION CENTER

ORLANDO

+ New Restorative Techniques

+ Platelet Rich Fibrin Therapy

+ Salivary Diagnostics

+ Sleep Disorders

+ And many more!

FREE REGISTRATION FOR FDA MEMBERS!

HEALTHY BREATHING IS NASAL BREATHING

By Steve Carstensen, DDS

You think you’ve successfully managed your patient’s sleep apnea with the oral device you carefully chose and expertly fitted. The apnea-hypopnea index (AHI) is below five; the oxygen levels are always higher than 90%. Could they still be unhealthy?

People who breathe through their mouths, with or without upper airway collapse, are not healthy. Dentists are trained to look for signs of periodontal disease and ask about halitosis or changes to taste — did you know these are some of the most common symptoms of mouth breathing? We are the only medical professionals who address these health and quality-of-life issues with expertise.

Dentists are the only health care providers trained to fit manufactured devices to the teeth. Sleep-related breathing disorders can be managed by posturing the jaw forward to stent the airway open, and the easiest way to do that is to create a custom oral device. Therapy is often not free from side effects which require a dentist’s skills to address.

Pulmonologists and other physicians have deep knowledge of the entire physiologic process of respiratory health. But if air cannot pass the upper airway or arrives at the delicate lung tissue cold, dry and dirty, doctors and patients must work much harder to achieve homeostasis.

Screening your patients for sleep-related breathing disorders involves asking eight simple questions — two such instruments are the Epworth Sleepiness Scale and STOP-BANG — and discussing the results. The American Dental Association adopted a policy statement in 2017 encouraging dentists to step up and be part of the breathing disorder solution by screening their patients. A simple screen for nose breathing is to ask your patient to keep their lips together for two minutes while breathing normally through their nose. If they ‹must› part their lips, take visibly deeper and more effortful breaths, and/or feel like they are not getting enough air, they are mouth breathers.

Mouth breathing is more harmful than its unpleasant appearance would imply. Let’s compare the function of the oral tissues to that of the nasal passage from the nares to the palate:

l The nose humidifies the air. In the mouth, the air robs oral mucosa of its moisture.

l The nose brings outside air to body temperature by the time it hits the back of the nose.

l The nose filters the air of particulates. The air passing through the mouth moves unhindered, full of whatever is in the environment.

l Nitric oxide produced in the paranasal sinuses diffuses into the air passing through the nose. Oral mucosa produces no nitric oxide.

l Microbes, such as bacteria and viruses, are killed by nitric oxide.

l Deep in the lungs, thin-walled alveoli facilitate gas exchange with the blood. A surfactant that cannot be produced without nitric oxide keeps these weak tissues from sticking to each other.

l To keep the capillaries in the lungs open for blood flow, the smooth muscles in vessel walls maintain tone facilitated by the diffusion of nitric oxide from inspired air into the alveolar walls.

l Oral mucosa produces no nitric oxide. Repeated for emphasis.

l A regular airflow pattern in the nose sends electrical signals to the limbic system — the part of the brain controlling memory, emotion, cognition and influencing the autonomic nervous system. That implies unsettled science, but the presence of the signals with nose breathing, not mouth breathing, has been verified in humans.

l Air expired through the nose is de-humidified, preserving body hydration. Air passing over the lips carries water, depleting this vital resource’s body.

As dentists become more involved in fundamental health concerns like breathing, the services provided must reflect more than basic dental education. Dentists must claim their area of expertise as the only health care providers who can do what they do but also expand their view beyond the oral cavity to consider the function of the adjacent tissues. Assessment and therapy aimed at nasal breathing improvements widen the scope of what dentists can do to help people get healthier without diminishing the critical contributions dentists are already making. This expansion of service has not yet become part of the dental school curriculum — thankfully, our profession is one of continual learning.

As clinician-scientists, we love to see numbers — and objective data about nasal breathing performance is possible with specialized equipment just coming into dentistry from the Ear, Nose & Throat world.

Just like an AHI, we can measure nasal breathing. Normalizing AHI and SpO2 without considering what else the body must compensate for on the journey to homeostasis is not optimum health care. It’s not good enough to ‘hit the numbers’ of obstructive events and blood oxygen nadirs.

What Can Dentists do to Encourage Nose Breathing?

There are courses to learn exercises that patients can use to change habits. Medications and rinses to improve nasal airway function are within our scope to prescribe or recommend. We can provide or encourage stents for the nasal passages. During

sleep, people must keep their lips together — if they wake with a dry mouth, they’ve been mouth-breathing. Simple medical paper tape strips can keep the lips from opening passively, promoting nasal breathing. If an oral device is used for stenting the oropharynx, it must allow lip closure or create a mouth seal. Above all, dentists must commit to being nose-breathing advocates and create a culture in their office where mouth breathing is no more acceptable than skipping brushing and flossing would be.

We must be good doctors to our patients. Make sure their oropharynx remains uncrowded during sleep. Help them breathe easily through their nose, every breath, every day and every night. The earlier in life the person establishes these breathing habits, the healthier they will be.

Dr. Carstensen has treated sleep apnea and snoring in Bellevue, Wash. since 1998. He’s the consultant to the ADA for sleep-related breathing disorders and heads the ADA’s Children’s Airway Initiative. He trained at UCLA’s Mini-Residency in Dental Sleep Medicine and is a Diplomate of the American Board of Dental Sleep Medicine. He lectures internationally, directs sleep education at Airway Technologies and the Pankey Institute, and is a guest lecturer at Spear Education and Louisiana State Dental School, in addition to advising several other sleep-related manufacturers. In 2014, he helped found Dental Sleep Practice Magazine and currently serves as Chief Dental Editor. In 2019, Quintessence published A Clinician’s Handbook for Dental Sleep Medicine, written by a co-author.

Dr. Carstensen will offer “Dental Sleep Medicine Intensive: A Two-day Mini-residency” (MR01) – Friday, June 30 and Saturday, July 1, 9 a.m.-5 p.m, both days. Learn more about Dr. Carstensen’s course being offered at the 2023 Florida Dental Convention at floridadentalconvention.com.

As dentists become more involved in fundamental health concerns like breathing, the services provided must reflect more than basic dental education.

3D PRINTING WORKSHOP FOR THE EVERYDAY DENTIST (W16)

FRIDAY, JUNE 30 | 9 AM-5 PM | CE CREDIT: 7

TRACK: DENTAL MATERIALS | AUDIENCE: DENTISTS & ASSISTANTS

DIGITAL SMILE DESIGN WORKSHOP (W24)

SATURDAY, JULY 1 | 8 AM-12 PM | CE CREDIT: 4

TRACK: RESTORATIVE | AUDIENCE: DENTISTS

In this full-day 3D printing hands-on workshop, attendees will learn what 3D printing is, how it is used in dentistry and get to experience the workflows, materials and design themselves. This workshop will start off with an overview of the dental indications for 3D printing followed by a simple four-step workflow for success in your practice come Monday morning. Overview of design for nightguards, surgical guides and flippers will be shown as well as hands-on learning with the printers and materials themselves. The full-day workshop will wrap up with an understanding of post processing and how to successfully implement this into a busy practice. A one-hour break for lunch will be provided during this course. Attendance is limited to 30.

Digital smile design is one of the greatest keys to closing more aesthetic cases, understanding and treatment planning them appropriately, and delivering amazing results. This workshop will go through an overview using exocad software to show what can be done with digital mockups. Using photography, intraoral scans and trial smiles, you can simulate exactly what a patient could get with cosmetic dentistry and show them, not only digitally, but how to transfer that to the patient’s mouth. Attendees will learn how to transfer digitally-designed smiles to the patient’s mouth and how to use those for fabricating long-term temporaries that could be preprinted. This workshop will leverage the fundamentals of solid smile design with the future of cosmetic dentistry. Attendance is limited to 30.

Participant Requirements for both workshops: Laptop Computer

The equipment for both workshops are partially sponsored by

Dr. Richard (Sully) Sullivan earned his dental degree from the University of Tennessee College of Dentistry. He is an instructor at 3D Dentists and has a private practice in Brentwood, TN.

RADIOGRAPHY TRAINING ONLINE. CONVENIENT. SELF-PACED.

AFFORDABLE.

The Florida Dental Association (FDA) Online Radiography Training Program is the most convenient and economical way to ensure your assistants receive the radiography training required by Florida law. No need for travel or time away from work. Your dental assistants train online, under your supervision, at their own pace.

It’s affordably priced, too — just $285 per student for FDA members! To find out more or to get started, visit MyDentalRadiography.com/fda.

TAKING YOUR DENTAL PRACTICE TO THE NEXT LEVEL: Successful Formulas For Digital Dental Marketing

By Josh Gindea, DDS, Exec. Vice President of DoctorsInternet.com

In a competitive dental marketplace, most prospective patients have multiple choices in care. For this reason, it’s essential for practices to have a well-planned marketing strategy that successfully reaches and captures the attention of their target audience.

Today, it’s more challenging than ever to keep up with emerging developments in the ever-changing internet marketing landscape. Focusing on patient care while also trying to promote your practice can feel overwhelming. It’s best to develop a trusting partnership with marketing professionals who understand dentistry, offer the solutions to catalyze practice growth and will do the legwork for you.

Here’s some helpful advice and valuable marketing strategies to reach your target audience and bring new patients to your door:

It’s Essential to Have a Plan and a Budget.

While this step requires the most thought, there are recommendations for new and existing practices that provide clarity. The latest studies state that 3-5% of your gross profits should be spent to market your practice. One effective marketing tool is digital and most of your marketing budget should be spent in that arena.

l Develop your brand

Define your practice and present a consistent message that resonates with your target audience. Identifying what’s unique about your practice, what makes it special and the key services you want to highlight is essential. Be consistent with your mission and your story across all marketing platforms.

l Establish a robust online presence

With a growing number of patients looking to online searches for care, it’s vital to have an attractive and engaging website that functions as well on a mobile device as on a PC. It must also provide the best possible user experience, be easy to navigate, quick to load, be search engine optimized, Americans with Disabilities Act accessible, secure and HIPAA compliant.

l Employ effective Organic SEO strategies

Whenever a prospective patient in your area is looking for information or care, it’s critical that your practice is one of the first results to appear. With nearly 80% of consumers using search engines to find local information, it’s essential to get to page one in searches.

In addition to building authority with Google and other major search engines with relevant, authoritative and engaging content, other less visible or unseen aspects of your website must also be designed to meet search engine requirements for optimal ranking.

l Be active across popular social media platforms.

Social media platforms such as Facebook, Instagram and YouTube effectively connect your practice with the larger audiences you want to reach! Beyond providing an ongoing and inexpensive way to get your practice noticed by more potential patients, a strong and engaging social media presence also offers additional points of entry to drive traffic to your website.

l Invest in Pay-Per-Click ads and other types of paid search

While Search Engine Optimization (SEO) is vital to achieving top placement in organic search engine results, it’s a process. The best way to supplement organic SEO traffic and see immediate results in terms of online visibility and page-one rankings is with targeted Pay-Per-Click ads. With Pay-PerClick campaigns, you can optimize your advertising budget and achieve quick and guaranteed page-one results. In addition to Google ads, you may also participate in ad retargeting or other highly effective paid search options, such as Facebook ads.

l Generate positive online reviews and patient testimonials

Today, online reviews are the new “word of mouth.” In an age when more than 75% of new patients select health care professionals based on online reviews, what your patients say and how they rate their experiences can affect practice growth. Establishing an online reputation that reflects the professional, compassionate and high-quality experience your practice provides is essential.

Positive reviews, glowing testimonials and five-star ratings offer prospective patients valuable “social proof” that choosing your practice is a wise decision. Establishing a simple system that can provide a continuous flow of positive reviews for

your practice is essential.

Periodically review and assess your marketing strategies. Effective marketing strategies depend upon ongoing supervision and periodic review. You need to determine if your efforts demonstrate results and if any areas require improvement. Adapting your strategies to marketplace changes, demographic shifts, competition and other factors that can influence practice growth is essential.

l Select the right internet marketing partner

Your primary focus is providing excellent patient care! You need to gain the expertise and time to dedicate to your marketing efforts. It is, therefore, essential to choose the right internet marketing company. It should be operated by a team that knows dentistry and the everyday issues your practice encounters. It should be a company that reflects the latest health care marketing trends and can reach your target audience. It should be dedicated to growing your practice and creating efficiencies that can lead to revenue growth.

Dr. Gindea earned his dental degree from the New York University College of Dentistry. He is the co-founder of DoctorsInternet. Dr. Gindea has a private practice in New York, N.Y.

Dr. Gindea will offer “2023: The Internal and External Marketing Tools You Must Incorporate to Grow Your Practice in Economically Challenging Times” – Friday, June 30, 9 a.m.-12 p.m. Learn more about Dr. Gindea’s course being offered at the 2023 Florida Dental Convention at floridadentalconvention.com.

”

“Whenever a prospective patient in your area is looking for information or care, it’s critical that your practice is one of the first results to appear.

DENTAL SLEEP MEDICINE INTENSIVE: A TWO-DAY MINIRESIDENCY (MR01)

FRIDAY, JUNE 30 & SATURDAY, JULY 1

9 AM-5 PM , BOTH DAYS | CE CREDITS: 14

TRACK: SLEEP DISORDERS

AUDIENCE: DENTISTS, ASSISTANTS, PRACTICE ADMINISTRATORS

Take the information you find in this intensive, two-day mini-residency in dental sleep medicine home to your practice and put it to work! Dr. Carstensen will cover the basics of sleep, why breathing disorders matter and what the dental team can do to truly make a difference. Pediatric airway problems are different than adult sleep-related breathing disorders and require unique approaches to help families, so Dr. Carstensen will talk about how to start early in life. Using technology to score treatment effectiveness is part of every practice. Since each dental practice is a business, getting paid is a critical part of success. Each participant will experience taking a proper bite registration to begin patient treatment and understand why that position is chosen. Interim professional appliances are important to therapy so each participant will make one for themselves. Overnight, between the days, some attendees will be able to experience an objective monitor for all course attendees to discuss the second day. A one-hour break for lunch will be provided both days of this course. *Paid team member learning is a co-learning experience with a paid doctor attendee. Attendance is limited to 30.

The equipment for this mini-residency is partially sponsored by

Steve Carstensen, DDS earned his dental degree from Texas A & M University Baylor College of Dentistry. He is a diplomate of the American Board of Dental Sleep Medicine and chief dental editor of the Dental Sleep Practice Magazine. He is also visiting faculty at The Pankey Institute and a guest lecturer at Louisiana State University School of Dentistry. Dr. Carstensen has a private practice in Bellevue, WA.

VISIT THE EXHIBIT HALL FOR FREE!

Connect with 300+ Exhibitors with a FREE Exhibit Hall Only Pass!

Register as “Exhibit Hall Only” to take advantage of this offer.*

» BUILD RELATIONSHIPS with current and existing vendors.

» NETWORK with colleagues and vendors at the Welcome Cocktail Reception in the Exhibit Hall Thursday, June 29, 4-6 PM.

» DISCOVER new products, services and technologies.

FDC2023 Exhibit Hall Hours

Thursday, June 29 | 11 AM-6 PM

» MAXIMIZE your time with industry-leading exhibitors.

Friday, June 30| 8:45 AM-6 PM

Saturday, July 1 | 9 AM-2 PM

View the current list of exhibitors at exhibithall.floridadentalconvention.com. *Available

INJECTION MOLDED COMPOSITE DENTISTRY

By David Clark, DDS

Traditional composites have historically been hand-packed and layered into retentive cavity preparations for Class II restorations. They are hand-spackled around the tooth for anterior restorations, such as attempting to close a black triangle. Until recently, layered composites were considered the gold standard. Dr. Richard Price of Dalhousie University demonstrates that layering creates knit lines that compromise a Class II restoration’s structural and optical integrity and that a monolithic injection molding approach can create a superior structural outcome. (Fig. 1)

This article will present posterior and anterior cases demonstrating injection over-molding of heated composite into transparent anatomic matrices. This allows us to go “around” the tooth rather than “in” the tooth. This solves many problems, such as C-factor issues, pulpal death and tooth fracturing.

Case 1: Treating Severe Black Triangles

This 31-year-old female presented with the chief complaint of post-orthodontic black triangles. (Fig. 2) She lacked confidence in using the teeth for mastication because of the mobility of the teeth and chronic embarrassing food impaction. Black triangles are a very common problem in adults, especially after adult orthodontics.1-4 This case was treated with the Bioclear BT matrix kit. The color-coded sizing gauge is inserted buccal-lingually under the contact to aid in matrix selection. (Fig. 3) Corresponding Black Triangle matrices with a range of four different emergence profiles are tried in to verify fit (Fig. 4).

The rubber dam was then placed over the anterior segment, and after properly tucking the dam into the sulci, the teeth were dried, disclosed with disclosing solution and rinsed. Teeth were then cleared of all biofilm and protein pellicles with a blasting using aluminum tri-hydroxide powder under a high-pressure water spray.

Fig. 1. Image courtesy Dr. Richard Price. In his novel research, Class II restorations are placed into flexible tooth molds so that the restoration can be easily removed and studied.

Fig. 2. Pre-operative view of post-orthodontic black triangles that cause significant functional and esthetic impairment.

Fig. 3. Black triangle gauge is a guide for matrix selection. The color where the tapered gauge binds will indicate the matching color matrices with the corresponding emergence profile.

Before placing the matrices, interproximal contacts were entered with the Tru-Contact® serrated handheld strip and then lightly sanded with Tru-Contact® diamond sanders. This allows further biofilm removal in these tight areas and complete seating of the matrices as contact tightness is reduced. The final amount of black triangle closure can be visualized by placing the matrices before the rubber dam is applied. The dentist can assess whether the matrices are correct to close the space. If not, the matrix can be customized or replaced with another that might improve the outcome.

Then, 37% Phosphoric acid was used to etch the entire tooth, rinsed after 15 seconds and excess water was removed. 3M® Scotchbond Universal Adhesive was scrubbed into exposed dentin areas for 20 seconds and air thinned. Then the entire tooth was copiously wetted with more adhesive to act as a surfactant for the composite as it is injection molded. No pre-curing was done to the adhesive.

Warmed 3M® Filtek Supreme Flowable Restorative was slowly injected into the matrices around the teeth by placing the tip of the syringe into one interproximal area on the facial side, allowing the composite to flow slowly to the lingual half of the tooth. The same process was repeated to the other interproximal area. The lingual half of the tooth was then filled to completion. Great care was taken to ensure that void-free flowable composite had filled much of the matrix system before adding the paste composite. Heated 3M® Filtek Supreme Ultra Universal paste composite was then injection-molded into the matrix system. The heated paste composite displaces excess adhesive and much of the flowable composite leaving a dense monolithic mass composed chiefly of

“

”

Layering creates knit lines that compromise a Class II restoration’s structural and optical integrity and that a monolithic injection molding approach can create a superior structural outcome.

Fig. 4. Tooth #25 is set for injection molding with the “matrix aquarium,” allowing predictable injection molding of heated flowable and heated paste composite.

Fig. 5. Two-year post-operative result is shown. The patient was ecstatic with the treatment.

the paste composite. The two-year postoperative result demonstrates healthy tissue and restoratively-driven papilla regeneration. (Fig. 5)

Case 2: Deep Posterior Caries Management.

As the Bioclear Learning Center works with multiple dental schools, it is challenging to standardize restorative protocols, especially standardized cavity preparations and caries removal methods. For example, Selective Caries Removal (SCR) is now taught at some level in nearly each of the 76 dental schools in North America. However, implementation in the actual clinics is another story, as there is a general lack of consensus among instructors.

This case demonstrates a recipe for success in a very challenging tooth, Fig. 6. SCR with the benefit of pre-wedging is shown in Fig. 7. Pre-wedging is a splendid trick. Place the appropriate wedges before the cavity prep is begun. This will protect the rubber dam and soft tissue. Greater visual access is afforded because the prewedges retract the soft tissue.

Finally, pre-wedging can create tighter contacts as the periodontal ligament is being stretched while the cavity prep is being performed. When treating multiple teeth, it can be advantageous to a matrix and wedge them at once. (Fig. 8) Then, each tooth can be individually injection molded, and the matrices and wedges removed before moving o to the next tooth (not shown).

Powerful separators (Fig. 9) can create more tooth separation than even the largest wooden wedge in your wedge kit. Use them in addition to your wedges. The postoperative view of the restorations demonstrates the durable look of a monolithic restoration. (Fig. 10) There was a small initial layer of Filtek Bulk fill flowable composite placed and cured in the interproximal areas before injection molding, because the interproximal areas were deeper than 5mm. 5mm is the max depth of cure for 3M Filtek One Bulk Fill Restorative composite. Pre and Postoperative radiographs (Fig. 11) demonstrate excellent marginal integrity and a seamless restoration.

Fig. 6. Pre-operative view of the “pumpkin-shell” second bicuspid. Caries’ progression has changed with the advent of fluoride dentifrices and an abundance of fermentable carbohydrates in today’s diets.

Fig. 7. Mid–treatment image showing selective caries removal, a clean periphery, and caries–free CEJ area. The cavity style is a compression-based overlay preparation.

Fig. 8. Bioclear Matrix and Diamond wedge placement is complete. When treating a quadrant, a strategy is vital.

Dr. Clark earned his dental degree from the University of Washington School of Dentistry. He is the director of Bioclear Learning Centers International, founder of the Academy of Microscope Enhanced Dentistry and developer of Bioclear Matrix System. Dr. Clark has a private practice in Tacoma, Wash. Dr. Clark will offer “The Epidemic of Cracked Teeth: New Science of Strong Teeth” (C31), Friday, June 30, 9 a.m.-12 p.m., “21st Century Composites: Stop Layering and Start Injecting” (C46), Friday, June 30, 2-5 p.m. and “Modern Monolithic Injection-Molded Composite Dentistry Workshop: Concepts, Materials, Instruments and Techniques” (W25 & W29), Saturday, July 1, 9 a.m.-12 p.m. & 2-5 p.m. Learn more about Dr. Clark’s courses being offered at the 2023 Florida Dental Convention at floridadentalconvention.com.

References

1) Kurth J, Kokich V. Open gingival embrasures after orthodontic treatment in adults: prevalence and etiology. Am J Orthod Dentofacial Orthop 2001; 120:116-123.

2) Ko-Komura N, Kimura-Hayasi M et al. Some factors associated with open embrasures following orthodontic treatment. Aust Orthod J 2003; 19:19-24.

3) Joshi K, Baiju CS, Khashu H, Bansal S, Maheswari IB. Clinical assessment of interdental papilla competency parameters in the esthetic zone. J Esthet Restor Dent. 2017 Jul 8;29(4):270-275. doi: 10.1111/jerd.12307. Epub 2017 May 25. PMID: 28544578.

4) An SS, Choi YJ, Kim JY, Chung CJ, Kim KH. Risk factors associated with open gingival embrasures after orthodontic treatment. Angle Orthod. 2018 May;88(3):267-274. doi: 10.2319/061917399.12. Epub 2018 Jan 16. PMID: 29337634; PMCID: PMC8288320.

Fig. 9. Separators are now placed. No more than two separators such as these Twin-Ring separators should be placed at a time for maximally tight contacts.

Fig. 10. Post-operative view of the second bicuspid and first molar. These injection-over-molded teeth should serve the patient well for decades.

Fig. 11. Pre and post-operative radiograph demonstrates what is often seen in careful SCR cases. An astute clinician who could inherit this case should not misdiagnose the selective caries removal for recurrent decay.

Practice financing1

• New office start-ups

• Practice sales and purchases

• Business debt consolidation 2

• Office improvement and expansion

• Owner-occupied commercial real estate3

• Equipment financing

Save

Buyer & Seller Transition Seminars

Fort Lauderdale

Funky Buddha Brewery

1201 NE 38th St., Oakland Park, FL 33334

Buyers—April 19, 2023

Sellers—April 20, 2023

Tampa

Maggiano’s Little Italy

203 Westshore Plaza, Tampa, FL 33609

Buyers—April 27, 2023

Sellers—April 28, 2023

Register now! dg.boaevents@bofa.com

For more information or to get started today, please contact us. We look forward to speaking with you soon.

Ilya Kogan

Practice project and real estate financing, Vendor South Florida 646.321.6047 | ilya.kogan2@bofa.com

Nilesh Patel

Practice project and real estate financing, Vendor North Florida 850.443.6944 | nileshpatel@bofa.com

Chad Clark

Practice acquisition financing, PSA Florida

813.599.4978 | chad.clark@bofa.com

1 All programs subject to credit approval and loan amounts are subject to creditworthiness. Some restrictions may apply. Bank of America may prohibit use of an account to pay off or pay down another Bank of America account.

2 Bank of America may prohibit use of an account to pay off or pay down another Bank of America account.

3 For Owner-Occupied Commercial Real Estate loans (OOCRE), terms up to 25 years and 51% occupancy are required. Real Estate financing options are subject to approval and product availability is subject to change. For SBA loans, SBA eligibility and restrictions apply Bank of America Practice Solutions is a division of Bank of America, N.A. Bank of America and the Bank of America logo are registered trademarks of Bank of America Corporation. ©2022 Bank of America Corporation | MAP 4794600 | Rev. 01/23.

CLEAR ALIGNER FUNDAMENTALS WORKSHOP (W05)

THURSDAY, JUNE 29 | 9 AM-5 PM | CE CREDITS:

7

TRACK: AESTHETIC | AUDIENCE: DENTISTS & ASSISTANTS

Participants will attend this full-day, hands-on workshop to learn clear aligner fundamentals, optical scanning, digital orthodontic record making and fundamentals of the digital workflow for clear aligner treatment. Clinical photography will be incorporated to allow participants to return to their office and begin utilizing the digital workflow within their practices. This course aims to describe the procedures related to intraoral optical image production. Participants will actively utilize intraoral scanners to become comfortable with scanning techniques and will have hands-on experience of bonding engagers to feel comfortable to return to their practices and begin treatment. Participants also will have the opportunity to explore the business skills necessary to incorporate clear aligners into their practices. A one-hour break for lunch will be provided. *Paid team member learning is a co-learning experience with a paid doctor attendee. Attendance is limited to 30.

Participation Requirements: Loupes, if desired.

The equipment for this workshop is partially sponsored by

Dr. Melissa Shotell earned her dental degree from Nova Southeastern University College of Dental Medicine and master’s degree in orthodontics and dentofacial orthopedics from Loma Linda University. She completed her general practice residency at the Ohio State University. Dr. Shotell has a private practice in Sonora, CA.

EXHIBIT HALL

Free preregistration for FDA Members!

BIOCLEAR MATRIX SYSTEMS

BIOGAIA PROBIOTICS

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0 PERCENT

A-DEC

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ACTEON NORTH AMERICA

ADA PRACTICE TRANSITIONS

ADA SMILECON

ADIT

ADS DENTAL SYSTEM INC.

ADVANTAGE DENTAL

ADVANTAGE TECHNOLOGIES

AFLAC BENEFITS SOLUTIONS

AIR TECHNIQUES

AIR2ZED

ALATUS SOLUTIONS

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AMERITAS

ANDAU MEDICAL INC.

ARGEN

ARTCRAFT DENTAL INC.

ASEPTICO INC.

ASPEN DENTAL MANAGEMENT INC.

ATLANTA DENTAL SUPPLY

ATLANTIC DENTAL SOLUTIONS

AUGMA BIOMATERIALS USA INC.

AVZ BENEFIT SOLUTIONS

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BAYSHORE DENTAL STUDIO

BENCO DENTAL

BEQUEST

BEST INSTRUMENTS USA

BEUTLICH PHARMACEUTICALS

BHG FINANCIAL

DENTALREE.COM INTERNATIONAL INC.

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DENTAQUEST

DESIGNS FOR VISION INC.

DIGITAL DOC LLC

DIGITAL HEALTHCARE PROFESSIONALS

DIGITAL RESOURCE

DOCTOR MULTIMEDIA

DOCTOR’S CHOICE PRACTICE TRANSITIONS

DOCTORSINTERNET

DORAL REFINING CORPORATION

DPC TECHNOLOGY

DR. MARKETING

DREVE AMERICA CORPORATION

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EKOS DENTAL GROUP

ELEVATE ORAL CARE

ENOVA ILLUMINATION

ENVOLVE BENEFIT OPTIONS INC.

EQUITABLE - ADA MEMBERS RETIREMENT

BIOLASE

BIOTECH DENTAL

BIRDEYE

BISCO

BQ ERGONOMICS LLC

BRASSELER USA

BURST

CAO GROUP

CARECREDIT

CARESTREAM DENTAL

CARL ZEISS MEDITEC USA

CARR

CGX RADIOS

CLASSIC CRAFT DENTAL LABORATORY

CLEARCORRECT

COAST DENTAL & ORTHODONTICS

COGENT BANK

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CREST + ORAL-B

CROWN WORLD DENTAL LAB

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CUTCO CUTLERY

D-F

DANDY

DANSEREAU HEALTH PRODUCTS

DENTAL CONSULTING PROFESSIONALS LLC

DENTAL DYNAMIC STAFFING

DENTAL EQUIPMENT LIQUIDATORS INC.

DENTAL INTELLIGENCE

DENTAL TRIBUNE

PROGRAM

ESSENTIAL DENTAL REPAIRS

ESTHETIC PROFESSIONALS

EVENLY TECHNOLOGIES

FIRST CITIZENS BANK & TRUST COMPANY

FLORIDA COMBINED LIFE

FLORIDA DENTAL ASSOCIATION (FDA)

FDA FOUNDATION

FDAPAC

FDA SERVICES INC.

FLORIDA MEDICAL ADVISORS

FLORIDA PROBE CORP.

FOTONA

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G-K

GARFIELD REFINING COMPANY

GARRISON DENTAL SOLUTIONS

GC AMERICA INC

GETSEE & DEMEOLA CPA BUSINESS ADVISORS

GLIDEWELL DENTAL

GOLDENDENT

GPS DENTAL LAB

GREATER NEW YORK DENTAL MEETING

GROWTHPLUG

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HALYARD GLOBAL PRODUCTS

HAWAIIAN MOON

HENRY SCHEIN DENTAL PRACTICE TRANSITIONS

HIOSSEN

HUFRIEDYGROUP

HUMANA

HUNTINGTON BANK PRACTICE FINANCE

HUNZA DENTAL

ICORECONNECT INC.

IMPLADENT LTD.

IMPLANT EDUCATORS ACADEMY

IMPLANT SEMINARS

INTELLISCAN 3D

INTERNET ACCOUNTANT

IOTECH INTERNATIONAL

ITX PROS

JRA REAL ESTATE & PRACTICE ADVISORY

KAVO

KETTENBACH LP

KLAS SOLUTIONS

L-Q

LEGALLY MINE LLC

LIBERTY DENTAL PLAN

LONE PEAK DENTAL GROUP

LUMADENT INC.

M PAUL GENERAL CONTRACTORS

MCNA DENTAL

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MEGAGEN AMERICA

MEISINGER USA

MODERN DOC MEDIA

MYOFUNCTIONAL RESEARCH CO.

MYRIAD CAPITAL

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NAK DENTAL GROUP

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NEOSS INC.

NEW TEETH NOW

NEXHEALTH

NOTA3D

NSK AMERICA

O-SO PURE

OLSEN USA

ONE BEAT MEDICAL & TRAINING

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PETER J. FREULER JR., PA, CPA

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PLANMECA

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PRACTICE BY NUMBERS

PRACTICE PATHWAYS - ZIONS BANK

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PROFESSIONAL SALES ASSOCIATES INC.

PROMA INC.

PROSPAY INC

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PURE DENTAL BRAND

Q-OPTICS & QUALITY ASPIRATORS INC.

R-Z

RADIATION DETECTION COMPANY

REALTIME CPAS

RGP DENTAL INC.

RITTER DENTAL USA

ROSE MICRO SOLUTIONS LLC

ROYAL DENTAL GROUP

SAIBERDENT

SALVIN DENTAL SPECIALTIES INC.

SDI

SGA DENTAL PARTNERS

SHAMROCK DENTAL CO. INC.

SHATKIN F.I.R.S.T. LLC

SHOFU DENTAL CORPORATION

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SIZEMORE & ASSOCIATES, CPA’S LLC

SMILE DESIGN DENTISTRY

SNAP ON OPTICS

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ULTRADENT PRODUCTS INC.

ULTRALIGHT OPTICS INC.

VAKKER DENTAL INC.

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VATECH AMERICA

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FDC2023 EXHIBIT HALL

HOURS & EVENTS

Times are subject to change.

THURSDAY, JUNE 29

11 AM-6 PM

Exhibit Hall Open to Attendees

11 AM-2 PM

Lunch available to purchase

4-6 PM

Welcome Cocktail Reception

FRIDAY, JUNE 30

8:45 AM-6 PM

Exhibit Hall Open to Attendees

11 AM-2 PM

Lunch available to purchase

SATURDAY, JULY 1

9 AM-2 PM

Exhibit Hall Open to Attendees

11 AM-2 PM

Lunch available to purchase

EXHIBITORS IN PINK ARE FDAS CROWN SAVINGS PARTNERS.

Only $15 to reserve your seat and will be refunded back to you after you attend the event!

Lunch & Learn

PROPER USE OF LEGAL ENTITIES FOR LAWSUIT PROTECTION AND TAX REDUCTION

NC08 | Friday, June 30 | 12:15-1:15 PM | CE Credits: 0

Dentists and their guests are invited to attend this lunch and learn sponsored by Legally Mine on Friday, June 30. Let Dan McNeff, CEO of Legally Mine, show you how to stop the threat of lawsuits before they ever get started by protecting your assets in time-tested and proven legal structures while enjoying a plated lunch. Seating is limited – Register today!

BY

Room Rate: $212 per night

Includes free self-parking

Includes resort amenities

Call 877.491.0442 for reservations

Room Rate: $124 per night

Includes free self-parking

Includes free breakfast

Call 407.390.1532 for reservations

Dan McNeff CEO, Legally Mine

SPONSORED

Responding to the Mental Health Needs of Dentists

By Alan Budd, DMD

When first-year students at Tufts University School of Dental Medicine feel overwhelmed, they might unwind with a yoga class or meditation session. Dr. Christina DiBona Pastan, an endodontist and director of Mind-Body Wellness at Tufts, has developed a course on wellness that is required of all students. The curriculum focuses on lowering stress to improve students' overall wellbeing, decreasing burnout and increasing resilience.

Support for a dentist's health and wellness has come a long way. The first programs formed in the late 1970s consisted of dentists in recovery; think Alcoholics Anonymous for dentists. These groups were a lifeline for dental professionals with substance use. Due to stigma, they were also a well-kept secret. To an extent, they still are. According to the 2021 American Dental Association (ADA) Wellbeing Survey, only 46% of dentists know that their state association has a wellbeing program.1 The notion that patient care and self-care can coexist continues to escape many of our colleagues.

Front-line worker health suffered terribly during the pandemic. Dentists have had their share of challenges. The percentage of dentists diagnosed with anxiety more than tripled in 2021 compared to 2003, according to the ADA's 2021 Dentist Health and Wellbeing Survey Report.2

Remember, it’s OK not to be OK.

Even before the COVID-19 pandemic, health workers were experiencing alarming levels of burnout – broadly defined as a state of emotional exhaustion, depersonalization and a low sense of personal accomplishment at work. Burnout can also be associated with mental health challenges such as anxiety and depression.3

Anxiety and depression aren't the only mental health issues. Many are also experiencing notably higher rates of insomnia, anxiety, stress, fatigue, burnout, depression, somatization, obsessive-compulsive symptoms and post-traumatic stress disorder.4 More than 50% of public health workers reported symptoms of at least one mental health condition, such as anxiety, depression or increased levels of post-traumatic stress disorder (PTSD).5

There has been a notable increase in substance use.6,7,8,9 Experts say misuse of opioids and stimulants is also on the rise.10 In response to a CAGE-AID questionnaire, 12% of dentists agreed with one statement, and 11% agreed with two or more. A "yes" answer to even one item indicates a possible substance use disorder and a need for further testing.11

The isolation of private solo practice, access to controlled substances, denial of a problem because of higher education and enabling coworkers may be partly to blame for difficulty identifying ill or impaired dentists. Direct observation is vital to detecting diversion and may be the only way to identify an impaired colleague.12

These findings and some high-profile suicides among leaders of organized dentistry have spurred the ADA and ADA Council on Dental Practice to take action on supporting the wellness of dentists:

• The House passed Res. 95H-2021, Prioritizing the Mental Health of Dentists, which stipulated that the ADA, in conjunction with mental health consultants, analyze the availability of resources to support the mental health of dentists.13 The ADA is an active contributor to the National Academy of Medicine's Action Collaborative on Clinician Wellbeing and Resilience.14 This program was launched in 2017 to improve baseline understanding of challenges

to clinician wellbeing, raise the visibility of clinician stress and burnout and elevate evidence-based, multidisciplinary solutions.15 "The stressors of the dental profession begin with dental students in their first year of dental school. At Tufts, we teach our students practical applications of mindbody practices in the academic and clinical settings and we are seeing the benefits in them personally and professionally. Stress management resilience building skills are essential for overall wellbeing and also contribute to developing grounded professionals enabled to deliver mindful and compassionate patient care," according to Christina

DiBona Pastan, DMD, Director of Mind-Body Wellness Office of Student Services.

• The ADA is training the first cohort of dental professionals called to serve on its new initiative, the Wellness Ambassador Program, in which volunteers will work to ensure that peer dentists struggling with health obstacles are aware of support services. Chief among the ambassadors' messaging is that members and nonmembers can download the ADA Dentist Well Being Program Directory at bit.ly/3YZWdEZ for free through the ADA store to find their state program director's contact information, with all calls or emails kept strictly confidential.16

• The National Council of Dentist Health Programs is a national member organization of state dentist wellness programs (DHP) established in 2022. State member programs provide a confidential, therapeutic alternative to discipline and have the support of organized dentistry in their state, often through legislation, exceptions to mandated reporting, or other safe haven provisions. In addition to working with participants, DHPs provide education, outreach and advocacy to their communities to support dentist health and wellbeing.

If you or a dental colleague are experiencing substance use or other mental health crises, we encourage you to contact the ADA Dentist Wellbeing Advisory Committee. All calls are confidential.

References Available Upon Request

WHOSE INTERESTS

does your malpractice insurer have at heart?

Yet another of Florida’s dental liability insurers has transitioned from focusing on dentists to focusing on Wall Street. This leaves you with an important question to ask: Do you want an insurer that’s driven by investors? Or do you want an insurer that’s driven to serve you—one that’s already paid $140 million in awards to its members when they retire from practice?

Join us and discover why delivering the best imaginable service and unrivaled rewards is at the core of who we are.

patients with disabilities

Treatment of Patients with Intellectual and Developmental Disabilities in a Family Dental Practice

By Catherine E. Bridges, DMD, State Dental Executive Director, Florida Department of Health

This article discusses the prevalence of shared intellectual and developmental disabilities, the need for early intervention, helpful tips in patient treatment and training opportunities.

In 2021, the Centers for Disease Control and Prevention (CDC) reported that one in 44 children in the U.S. is diagnosed with autism spectrum disorder (ASD). The prevalence is higher in boys than in girls.1 The estimated number of children ages three to 17 years who are diagnosed with attention deficit/ hyperactivity disorder (ADHD) is six million. The prevalence is higher in boys than girls.2 The CDC estimates that cerebral palsy affects approximately three live births out of every thousand in the U.S.3 The CDC also estimates that one out of every 700 babies are born with Down Syndrome in the U.S.4 According to HealthyPlace, the internet’s largest consumer mental health site, one in five children, or 20%, have learning and attention issues. Children in the U.S. who receive special education services for a learning disability number approximately 2.5 to 2.8 million. Seven out of 10 children with an individualized education plan for a learning disability or other health impairment spend 80% or more of their school day in their regular education classroom instead of a special education classroom or resource room.

How do these statistics relate to dental providers? The prevalence of patients diagnosed with intellectual or developmental disabilities (IDD) is increasing. Most children with IDD are now

in mainstream education classrooms and grow up socially inclusive. We may interact with them in our families, friendships, places of worship, community functions, the grocery store and other places. It is imperative that dental providers make the extra effort to include patients with IDD in their regular patient care. Dental care should begin early, and visits should be frequent. America’s Academy of Pediatric Dentists, a not-for-profit professional membership association representing the specialty of pediatric dentistry, recommends that every child have a dental home no later than 12 months of age.6 Early visits allow the dentist and hygienist to provide early education, prevention and intervention in children’s dietary habits and oral home care so that the child can grow up disease-free.

In Florida, more dentists are needed to provide family dentistry, including seeing children and adults on Medicaid. Care of young children can certainly be challenging, but early intervention is critical to guiding them toward success. Another reason for early intervention is in December 2016, the Food and Drug Administration issued a Drug Safety Communication warning that “repeated or lengthy use of general anesthetic and sedation drugs during surgeries or procedures in children younger than three years or pregnant women during their third trimester may affect the development of children’s brains.” 7 While sedation is sometimes necessary, other options are available such as arresting caries with silver diamine fluoride, providing treatment while using nitrous oxide or medical immobilization/protective stabiliza-

tion. In addition to early education, detection and treatment of caries, the dental provider can help the child become desensitized to dental visits. Since patients with ASD and ADHD often are hypersensitive to light, noises, vibration, touch and smells, early and regular desensitization will enable the child to become more acclimated to the dental world. Some additional challenges in patients with ASD and ADHD are that they often crave sweets, and many caregivers resort to using sweets as a reward for good behavior. In addition, patients with ASD often pouch their food, keeping it in their cheeks long after mealtime. Often children with ADHD chew on objects such as pens, cell phones, remotes, clothes and blankets. Since caregivers face multiple challenges caring for patients with IDD, many tend to provide reactive health care practices, such as taking the patient to the dentist when something hurts, or there is an infection. Early education could intervene in this negative process by urging the caregiver on the importance of regular brushing, flossing if able, using positive rewards that are not sweets and visiting a dental professional every three to six months.

Before the initial dental visit for children, especially children and adults with IDD, the office should initiate a pre-visit phone call or teledentistry visit. Many insurance companies, including Medicaid and Florida Healthy Kids, reimburse Teledentistry. This pre-visit helps the dental provider and caregiver be prepared for the dental visit. During the pre-visit, ask the caregiver about special health care needs and consult the patient’s medical provider if necessary. Ask about the best time of day to see the patient and avoid scheduling him/her when their medications are less effective. Children, particularly children and adults with IDD, are not the patients to treat before lunch or at the end of a long day. Ask what the patient likes and dislikes and what items or objects the patient enjoys. Ask the

caregiver to bring some of those items to the visit. Ask how the patient communicates, verbal or non-verbal. Approximately 40% of patients with ASD are non-verbal.8 Consider communicating with a picture board for common words and phrases. Ask the caregiver what strategies they use to calm the patient and what reward system they use to achieve positive behavior. Incorporate these strategies as applicable. Finally, ask the patient or caregiver if there is a particular concern or chief complaint to be addressed in the visit, and be sure to address it promptly. Consider sending a short storybook with pictures to show the steps of a dental visit. Dental storybooks are available for purchase, or get creative and make one of your own.

Dental visits should be organized, thorough and flexible. Having the pre-visit appointment helps facilitate the initial in-person visit. Minimize noise in the waiting room or move the patient and caregiver to a safe space where he/she can play with their sensory items. Minimize the wait time before the patient is brought in for the treatment. In addition, consider taking training offered by the American Academy of Developmental Medicine and Dentistry (AADMD). Go to bit.ly/3WHirtA to view Optimizing Comfort — AADMD, 9 this is an excellent resource from an occupational or physical therapist’s vantage point to assist in treating patients with IDD.

During visits, greet and talk to the patient, not just the caregiver. Tell the patient what you will do before you do it, and ask permission before you touch them. Consider providing plastic sunglasses for the patient to help with light sensitivity and headphones with the patient’s favorite music to help with noise sensitivity. Ask the caregiver if he/she could bring headphones the patient uses at home. Vibration sensitivity can be tough to overcome but wrapping the child up in their favorite blanket (with or without the caregiver holding them)

”

Before the initial dental visit for children, especially children and adults with intellectual or developmental disabilities, the office should initiate a pre-visit phone call or teledentistry visit.

patients with disabilities

often soothes the child. As the child ages, a weighted blanket may be used if it is not more than 10% of their body weight. Weighted blankets may decrease anxiety and allow the patient to calm down and cooperate. According to physical and occupational therapists, patients with IDD tend to respond to deep pressure more favorably than light touch, which may be why weighted blankets have a positive effect and a firm touch is more pleasing than a soft touch. Light touch often triggers the fight or flight response.6

Smells are a unique challenge. Patients with IDD love to make choices just like neurotypical patients do. This is a great time to introduce some options and allow the patient to choose. Consider purchasing a few flavors of prophy paste, floss and fluoride varnish and letting them choose which flavor they want. If possible, let him/her smell it. Let him/her choose the flavor of topical anesthetic if applicable for restorative procedures. Be sure to practice “tell-show-do” with any procedure. If appropriate, allow the patient to see and touch the instrument, handpiece or material being used. Patients prefer to avoid surprises, which may violate the trust the dental provider is attempting to build. Use short phrases when communicating, such as “look at me” and “hands-on your tummy.” Use the picture board if needed. Use specific positive reinforcement, such as “thank you for looking at me,” “good job keeping your hands on your tummy” and “keeping still helps me work faster.” Consider using distraction when having to complete tasks such as administering anesthetic. Using information gained during the pre-visit about what the patient likes, the provider can create a happy place to help them focus on a more positive event. It is recommended to have the patient see the same provider at each visit. This helps establish a routine and build trust. When transition in staff is necessary, consider having a familiar face present during the visit to provide a “warm handoff.”

In summary, the people of Florida need your help. Please consider expanding your scope of practice to include children, patients on Medicaid and those with IDD. Early prevention is vital, however, using the above techniques can build trust in many older children and adults who need your help. He/ she need to know you care. Treatment in the office allows resources to be used more effectively, with only those needing sedation referred to by a specialist. After the referred dental treatment has been completed, routine visits are essential to minimize future sedation needs. For more resources, please visit the AADMD at aadmd.org/, Penn Dental Medicine Center for Persons with Disabilities Presentation Series - Penn Dental Medicine at bit.ly/3H4xHuZ, and the American Dental Association developmental disabilities continuing education courses Search Results | American Dental Association at bit. ly/3iYruc5

References

1. autismspeaks.org/autism-statistics-asd

2. cdc.gov/ncbddd/adhd/data.html

3. Data and Statistics for Cerebral Palsy | CDC at cdc.gov/ncbddd/cp/data.html

4. Facts about Down Syndrome | CDC at bit.ly/3WxuQAk

5. Learning Disabilities Statistics and Prevalence | HealthyPlace at bit.ly/3XWOZ3P

6. Overview (aapd.org) at bit.ly/3Rek6FZ

7. FDA Advisory on Anesthesia and Sedation Medication in Children - Society for Pediatric Sedation (pedsedation.org) at bit.ly/3Hbsb9E

8. Autism Statistics and Facts | Autism Speaks at bit.ly/3WFuDLk

9. Optimizing Comfort — AADMD at aadmd.org/optimizing-comfort

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The Dawson Academy’s timeless principles remain the foundation of quality care dentistry. True longterm success, otherwise known as predictability, in restorative care is the merger of aesthetic, functional and phonetic parameters. The foundation of The Dawson Academy’s philosophy is a complete understanding of how the TM joints, muscles, proprioceptive input, lower anterior teeth, upper anterior teeth, lower posterior teeth and upper posterior teeth are designed to function in harmony with one another.

In this course, a sharpened eye has been placed on The Dawson Academy’s Concepts of Complete Dentistry and how to implement this knowledge into your practice after attending. With a collection of take-home resources and checklists, attendees will learn the requirements for occlusal stability to improve your practice – from examination and records to treatment planning to practice management – as you envision yourself in the top 10%.

Material in this occlusion-focused course includes patient communication, case acceptance, converting to a fee-for-service model and more. Examples will be presented for both analog and digital workflows–with bonus content catered to implementation and business management. Attendees will understand how integrity and fulfillment are intertwined to create the most efficient and predictable outcomes and results. This course will give you an insight and understanding that will change not only how you practice and manage, but your enjoyment of practice as well. A one-hour break for lunch will be provided during this course.

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What’s Really Required of HIPAA Compliant Email?

By Robert McDermott, President and CEO, iCoreConnect

Even though most of us understand the importance of HIPAA regulations, it doesn’t change the fact that compliance has been a hurdle at best and a hindrance at worst, particularly when it comes to emailing Protected Health Information (PHI). Finding the right tool to leverage modern technology and stay HIPAA compliant will improve communication and efficiency while protecting your patient data.

Why HIPAA Compliant Email is Important for Patients and Providers

Leaked health care data can potentially be devastating for patients and providers alike. PHI is one of the bigger targets for cybercriminals as that compromised information

The right HIPAA email solution doesn’t just provide security and compliance, but it also enhances the way you work. Turn HIPAA compliance from an obstacle to an opportunity to improve your business.

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can then be used or sold to expose information or steal an individual’s identity. Not only is data most vulnerable when in transit, but the email itself is risky. 91% of all cyberattacks begin with an email, making it one of the riskiest but most invaluable tools in your practice.

While the financial impact on an individual with a stolen identity can be significant, costing individuals $6.1 billion in 2021, the cost to the businesses and organizations responsible for the leak is even higher. In fact, according to an IBM Security report, the price for health care organizations that suffered a data breach “increased by $1 million from March 2021 to March 2022 to hit $10.1 million. That’s up more than 40% since the 2020 report.”

What Does HIPAA Compliant Email Require?

There’s really no simple answer or single factor that makes email HIPAA compliant. Instead, it requires the assurance of security and privacy when it comes to PHI, and electronic health records sent via electronic mail. There are a few key things to understand regarding HIPAA-compliant emails.

● Emails with PHI should not be sent unless encrypted. Depending on where PHI is stored, you can encrypt either the body of the email or attachments. Patient-initiated emails do not share this exact requirement, nor do emails shared within a health care organization.

● PHI should absolutely never be sent through a personal email.

● Internet-based email providers like Yahoo, AOL, Hotmail and more are not inherently HIPAA compliant.

● Business Associate Agreements only cover data held on a server by the business associate. Your organization is still responsible for the rest of the journey (which is risky). That’s why end-to-end encryption is best.

And those are just the basics. HIPAA compliance also requires the following:

● Access Control. Restrict access to PHI to only authorized people.

● Audit Control. Keep and monitor an auditable trail of email history and transmissions.

● Integrity Controls. Implement policies to ensure ePHI is not improperly destroyed or altered.

● Transmission Security. Implement technical security measures, such as encryption or an equivalent, to prevent unauthorized access when electronically sending ePHI.

● Authentication. Implement procedures to verify that a person or entity seeking access to electronically protected health information is who they claim to be.

The bottom line is that your organization is responsible for protecting any PHI sent via email, which means making the safest and smartest choice to ensure that security. But it’s also important to know that not all HIPAA-compliant email platforms are the same or as secure.

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HIPAA regulations are clear that what you need goes beyond encryption. The right encrypted, HIPAA-compliant email solution:

● Is cloud-based with multiple secure servers, so your data is always safe, and you can access it from anywhere.

● Blocks unsolicited, non-provider senders from your inbox. Essentially, you must initiate any email conversation with a third party.

● Won’t limit the type, number or size of files you can attach.

● Should include a pre-vetted referral network.

The right HIPAA email solution doesn’t just provide security and compliance, but it also enhances the way you work. Imagine data security, peace of mind, enhanced communication, protected inboxes and a built-in referral network — all in one solution. Turn HIPAA compliance from an obstacle to an opportunity to improve your business.

FDA Services endorses iCoreExchange encrypted HIPAA email from iCoreConnect. iCoreExchange provides cloud-based, compliant email along with a built-in referral network and unlimited attachments. Book your free demo and access significant member discounts at iCoreConnect.com/FL6

Event Information

West Palm Beach, FL

Drive Shack

1710 Belvedere Rd, West Palm Beach, FL 33406

Seller Seminar

Friday, February 17th, 2023

9:00 a.m. to 1:30 p.m.

Aspiring Owner Seminar

Saturday, February 18th, 2023

9:00 a.m. to 5:00 p.m.

Tampa, FL

Top Golf

10690 Palm River Rd, Tampa, FL, 33619

Seller Seminar

Friday, September 29th, 2023

9:00 a.m. to 4:30 p.m.

Aspiring Owner Seminar

Saturday, September 30th, 2023

9:00 a.m. to 5:00 p.m.

Are You Ready for Ownership or Retirement? Start Planning Today.

We cordially invite you to attend this immersive seminar about planning for your future. Learn from industry experts on how to successfully navigate selling or buying a practice as well as starting a practice from scratch. RSVP today and choose the location closest to you.

Topics of Discussion

Aspiring Owner Seminar

● Zero down financing: Acquisitions, startups and commercial real estate

● Buying or starting from scratch –What is right for you?

● Learn the 13 steps to a successful startup

● Taxes, allocation, and financial reporting. Designed for success and growth

● Legal review: LOI, lease, asset purchase agreement and more

● Trends to attract/retain employees in today's marketplace

● Do's & Don'ts of personal insurance and financial planning

Seller Seminar

● How to prepare for a future practice transition

● What a dental practice is worth and what determines value

● Market conditions & trends

● Should I sell my practice to a DSO (Corporate Dentistry)

● Legal review: From LOI through closing and everything in between

● Pitfalls of the legal process

● How to prepare your business financials and documentation

● Taxes, allocation, and how to minimize costs

Featured Speakers

Scan to register today!

Greg Jones, Dental Practice Broker Doctors Choice

Jason Kaplan, Esq. Palm Beach Law Group Michael DeMeola, CPA, CVA, CFE Getsee & DeMeola CPA

Practice Consolidation Is Cresting

Silent Partners Buy Part of Your Practice

Dozens of Invisible Dental Support Organization (IDSO) silent partners are paying record values for partial interests in Endodontic practices advised by LPS. Endo-only IDSOs compete fiercely with the multi-specialty and Specialty Surgical Trifecta IDSOs, driving up values. You should understand all of your options.

IDSOs purchase 51% to 90% of practices for cash now at low tax rates. Doctors retain ownership and have significant upside in the equity value. Some LPS clients have achieved 3x to 7x equity returns in only three to five years.

Long-Term Wealth Building Partnership

Doctors continue to lead their practice with their brand, team and strategy for years or decades. Practices benefit from the resources of a larger, silent partner, but are not micromanaged or homogenized.

IDSO partnership is not a short-term transition strategy, but rather a long-term wealth building partnership. Some happy LPS Endodontic clients are under 35!

Six or More Choices in Partnership

LPS clients have 6 to 10+ qualified bidders. LPS completed over $500 million of transactions for dentists of all types, in the last 12 months. LPS’ size enables our clients to achieve record values that the little advisors cannot match. Multiple Endodontic clients have achieved values of over 3x collections.

Your Value in Today’s Consolidation Frenzy

Great practices with at least $1.4 million in collections have many options today. You should understand the value of your practice in an LPS-advised process. Doctors who deal directly with IDSOs often leave millions on the table and do not get to consider ALL of their options.

Contact us to schedule a confidential, no obligation discussion to learn the value of your practice; you might be surprised at today’s values!

Read, Learn and Earn!

By Drs. Saja Alramadhan, Neel Bhattacharyya, Nadim M. Islam

A 74-year-old Caucasian female was referred to Dr. Barton Blumberg, an Oral & Maxillofacial Surgeon in Lady Lake, Fla., for evaluation of a pigmented lesion. Clinical examination revealed a dark-black, non-ulcerated macule with diffuse borders on the left ventral tongue surface (Fig 1). The lesion measured 1.5 cm in the largest dimension, and the patient reported no symptoms. The patient's medical history was non-contributory. Dr. Blumberg performed an incisional biopsy that was submitted to the Oral Pathology Biopsy Service at the University of Florida College of Dentistry in Gainesville for a diagnosis. Microscopically, a noticeable pigmentation was noted along the orientation of elastic and collagen fibers and around blood vessels. Also, large particulate aggregates of black material were seen with associated giant cells. (Fig 2).

Question:

Based on the above history, clinical presentation and microscopic findings, what is the most likely diagnosis?

A. Melanotic macule

B. Malignant melanoma

C. Smoker's melanosis

D. Melanoacanthoma

E. Amalgam tattoo

Fig. 1. Dark black, smooth surfaced macule with diffuse borders on the left ventral tongue.

Fig. 2. Aggregates of black material associated with giant cells (arrow).

A. Melanotic Macule

Incorrect, but great guess! Oral melanotic macules appear as a flat, brown mucosal discoloration. The lower lip vermillion is the most common location, followed by the buccal mucosa, gingiva and palate. Though the lesion is observed over a broad age group, it is most frequently diagnosed during the fifth decade with a 2:1 female predilection. Unlike the present case, the lesion typically appears as a focal, well-demarcated macule less than six mm in diameter. Once it develops, the macule remains consistent in size, a feature that helps distinguish it from melanoma. All oral pigmented lesions, especially if observed on the hard palate or gingiva, should be monitored for changes in size, shape and color, all of which would warrant a biopsy.

B. Malignant Melanoma

Incorrect, but good differential to consider! Malignant melanoma represents the third most common skin malignancy; however, it is rare in the oral cavity. The estimated incidence of oral malignant melanoma (OMM) is four cases per 10 million per year. OMM affects middle-aged patients with a female predilection. The average age of patients with OMM is somewhat younger than that of those with Cutaneous Malignant Melanoma (CMM) (~56 years vs. 65 years). OMM exhibits a more even racial distribution compared to CMM, which predominantly affects white patients. The hard palate and maxillary gingiva are most frequently involved. Clinically, OMM often presents as a brown to black macule or nodular lesion with ill-defined, irregular borders. Ulceration, bleeding and tooth mobility are not uncommon, these features are not seen in the present case. However, all unexplained oral pigmented lesions should be biopsied to rule out melanoma.

C. Smoker’s Melanosis

Incorrect. Oral mucosal pigmentation secondary to smoking tobacco is known as "smoker's melanosis." The condition is estimated to affect about 18% to 22% of smokers. The frequency and intensity of oral mucosal pigmentation strongly correlate with the number of cigarettes smoked daily. Several studies have reported a female predilection that may suggest an association between tobacco smoking and sex hormones; however, the exact etiopathogenesis is unclear. Clinically, smokers' melanosis appears as brown macules, but unlike the present case, it is usually multifocal or diffuse. In cigarette smokers, the anterior facial gingiva is

commonly affected. In contrast, the buccal mucosa and commissure are affected more in pipe smokers, and in reverse-smokers, the palatal mucosa is the leading site of involvement. However, in the present case, the ventral tongue is not a usual location for smokers' melanosis, in addition to a negative smoking history.

D. Melanoacanthoma

Incorrect. Specific clinical characteristics make this diagnosis untenable, mainly the presence of this lesion in a Caucasian male and the lingual location of the lesion. Melanoacanthoma (melanoacanthosis) is a benign, focal melanosis characterized by a proliferation of both melanocytes and keratinocytes that result in pigmented macular or plaque-like lesions of the skin or oral mucosa. It is considered to be a reactive lesion precipitated by a traumatic event. Importantly, these lesions occur almost exclusively in African American females with a mean age at diagnosis of 35 years. The buccal mucosa is commonly involved. However, these lesions may rarely be seen in any oral sites. Melanoacanthoma usually presents as a single or occasionally multiple smooth, flat or slightly raised, dark brown to black macules. Notably, the lesion often demonstrates an alarmingly rapid increase in size. It may reach several centimeters in length within a few weeks, which may induce patients and clinicians to seek further attention to rule out melanoma. Melanoacanthoma is entirely asymptomatic and discovered during a routine examination. Cutaneous lesions are reported almost exclusively in Caucasian patients, and oral mucosal lesions almost exclusively in African American patients.

E. Amalgam Tattoo

Correct. It is the most common iatrogenic cause of oral pigmentation and results from dental amalgam implantation. Amalgam particles can be inadvertently introduced into the mucosa via abrasions or lacerations, following dental extractions, or by the force of a high-speed air turbine. Flossing the proximal contact of a newly placed restoration can even incorporate amalgam into the gingiva. Amalgam tattoo clinically appears as a blue, gray or black macule with well to poorly-defined borders. The gingiva, alveolar and buccal mucosae are commonly involved; however, other intraoral sites may be affected. Lateral spreading of the pigmentation occurs for several months after implantation, a feature that may arouse suspicion for melanoma. Large amalgam parti-

cles may be detected radiographically as radiopaque fragments. However, the particles are often too small to be detected in this manner. Therefore, all oral-pigmented lesions that cannot be reasonably explained after clinical correlation must be biopsied to rule out melanoma.

Diagnostic Discussion is contributed by University of Florida College of Dentistry professors, Drs. Saja Alramadhan, Indraneel Bhattacharyya 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 14,000 specimens the service receives every year from all over the United States.

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

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

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

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.

References:

1. Neville, BW, Damm DD, Allen CM, and Chi AC. (2016) Oral and Maxillofacial Pathology. 4th edition, WB Sanders, Elsevier.

2. Meleti M, Vescovi P, Mooi WJ, van der Waal I. Pigmented lesions of the oral mucosa and perioral tissues: a flow-chart for the diagnosis and some recommendations for the management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(5):606-616. doi:10.1016/j. tripleo.2007.07.047

3. Ashok S, Damera S, Ganesh S, Karri R. Oral malignant melanoma. J Oral Maxillofac Pathol. 2020;24(Suppl 1):S82-S85. doi:10.4103/jomfp. JOMFP_5_19

4. Bhullar RP, Bhullar A, Vanaki SS, Puranik RS, Sudhakara M, Kamat MS. Primary melanoma of oral mucosa: A case report and review of literature. Dent Res J (Isfahan). 2012;9(3):353-356.

5. Chae YS, Lee JY, Lee JW, Park JY, Kim SM, Lee JH. Survival of oral mucosal melanoma according to treatment, tumour resection margin, and metastases. Br J Oral Maxillofac Surg. 2020;58(9):1097-1102. doi:10.1016/j.bjoms.2020.05.028

6. Altieri L, Wong MK, Peng DH, Cockburn M. Mucosal melanomas in the racially diverse population of California. Journal of the American Academy of Dermatology. 2017 Feb;76(2):250-257. DOI: 10.1016/j. jaad.2016.08.007.

7. Monteiro LS, Costa JA, da Câmara MI, et al. Aesthetic Depigmentation of Gingival Smoker's Melanosis Using Carbon Dioxide Lasers. Case Rep Dent. 2015;2015:510589. doi:10.1155/2015/510589

8. Hedin, C.A., Pindborg, J.J., Daftary, D.K. and Mehta, F.S. (1992), Melanin depigmentation of the palatal mucosa in reverse smokers: a preliminary study. Journal of Oral Pathology & Medicine, 21: 440-444. https://doi. org/10.1111/j.1600-0714.1992.tb00971.xAbed SS, Fitzpatrick SG, Bhattacharyya I, Islam MN, Cohen DM. Oral Melanoacanthoma: Case Series of 33 Cases and Review of the Literature [published online ahead of print, 2022 Dec 7]. Head Neck Pathol. 2022;10.1007/s12105-022-01506-w. doi:10.1007/s12105-022-01506-w

9. K. Lundin, G. Schmidt, C. Bonde, "Amalgam Tattoo Mimicking Mucosal Melanoma: A Diagnostic Dilemma Revisited", Case Reports in Dentistry, vol. 2013, Article ID 787294, 3 pages, 2013. https://doi. org/10.1155/2013/787294

10. Burchner and L. S. Hansen, "Amalgam pigmentation (amalgam tattoo) of the oral mucosa. A clinicopathologic study of 268 cases," Oral Surgery Oral Medicine and Oral Pathology, vol. 49, no. 2, pp. 139–147, 1980.

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!

Post an ad on the FDA Career Center and it will be published in our journal, Today’s FDA, at no additional cost! Today’s FDA is bimonthly; therefore, the basic text of all active ads will be extracted from the Career Center on roughly the 5th of every other month (e.g., Jan. 5 for the Jan/Feb issue, March 5 for the March/April issue, etc). Please note: Ads for the Nov/Dec issue must be placed no later than Nov. 1.

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

Prosthodontist - Ft. Lauderdale. We are looking to hire an enthusiastic and experienced Prosthodontist to examine patients and restore missing, damaged, or discolored teeth. This is a new position in a growing FFS practice using the latest technology. If you are interested, please reply with your CV @ everett3@eh-staffing.com or call/text 720.255.1849 and you will be put in direct contact with the CMO. The Prosthodontist’s responsibilities include identifying and treating the root cause of oral deterioration, repairing patients’ dentures, as well as treating facial pains and temporomandibular disorders. You should also be able to advise patients on sound oral hygiene practices. Ultimately, our exceptional Prosthodontist should demonstrate outstanding communication, analytical, and problem-solving skills to ensure that patients receive the highest standard of Prosthodontic care possible. You should also be able to assist in the management of the practice and promoting better oral hygiene. Visit careers.floridadental. org/jobs/18266725/

Dental Office Space for Rent – Miami.

Beautiful dental office located in South Miami (on Sunset Drive close to Baptist hospital) looking to rent space. Lease from one to four operatories. Our office has an ample reception area, sterilization room, full laboratory, kitchen, and plenty parking for all your patients. It has a panorex and digital radiographs in each operatory. Please call Veronica at 305) 798-2961 for details--Specialists preferred. Visit careers. floridadental.org/jobs/18207555/

Associate Dentist FT – Jupiter. FT Associate Dentist needed for busy private practice. Florida Dentist Licenses needed. Provide general

dentist treatment, diagnose dental needs, and formulate treatment plans to prevent and eliminate dental disease and restore patient to natural form and function. Trained implant placement and restoration is valuable but not required. Must be able to multitask and manage ops and delegate tasks to assistants.We offer same-day treatment to our patients, as a result, the schedule can quickly change, and your willingness to be flexibility is essential. Reviews and follows all dental protocols, policies and procedures for compliancy Works to ensure the productivity and effectiveness of the dental staff, in terms of utilization and patient satisfaction. Promotes oral health by providing educational information on all phases of preventative and restorative dentistry and oral Hygiene. Demonstrates positive personal attributes such as honesty, integrity and professionalism in all aspects of the role. DMD or DDS degree, 2+ years of experience. Confidence doing all restorative, crown and Bridge, extractions & RCT (All aspects of dentistry). Outstanding relationship-building, interpersonal and leadership skills. Ability to create a high morale, collegial, high-effective environment. High comfort with ambiguity and working in a fast-paced, high growth and fast-changing entrepreneurial environment. Visit careers.floridadental.org/jobs/18207187/

Dental Hygienist – Sarasota. DENTAL HYGIENIST – Waterside of Venice. Sign-On Bonus of $5,000. Student Loan Repayment Program $10,000. CE Allowance. Join our certified GREAT PLACE TO WORK! Are you looking for a new dental family? We have an opportunity for a friendly, patient-centered individual to join our team. Making a difference each and every day is what we do at The Gentle Dentist Practice! Our teams serve our patients by building valuable relation-

ships, providing excellent dentistry and a range of services to suit the needs of the community. If you are looking for a Full-Time opportunity to be a part of a well-established and successful dental practice, consider scheduling a confidential appointment with us today. We are seeking a Dental Hygienist to work in a fast paced, well established dental office. You must enjoy working with all ages of patients and educating them on how to have a healthy and beautiful smile. **NEW GRADS welcome to apply** We follow all CDC protocols with regards to COVID and provide all the PPE, Daily Health Checks, and training to keep you safe and healthy. We have what makes you smile! • Competitive compensation with performance incentives • Hygiene coaching and mentorship through our Mentor program. • Keep your clinical skills up to date with various CE’s offered throughout the year and through our mentor program • Saving for retirement with a best-in-class 401K plan with employer match • Paid time off program from day 1 • Paid Holidays from day 1 • Free uniforms • Free dental insurance for full time team members and a discount for legal dependents • Health and Wellness plans to keep you and your dependents healthy which includes medical, dental, vision, free life, and other policies. • Internal wellness program with opportunities for education and prizes for participation • Participate in group and individual charity initiatives in your community • Busy, fast paced friendly team atmosphere. Sound interesting? We’d love to speak with you today! www.puredentalbrands.com. Certified Great Place to Work, Inclusive Culture, Drug Free workplace, equal opportunity employer. AARP Hiring Pledge, Veteran’s Hiring Pledge. You want to work with the best organization, and we want to work with the best providers. Therefore, all

candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have valid X-ray license. Visit careers. floridadental.org/jobs/18157595/

Dental Hygienist – Gainesville. Gainesville Dental Associates. $3k Sign-on Bonus. $10k Student Loan Repayment Program. Making a difference each and every day is what we do at our Practices in Gainesville, Florida! Our teams serve our patients by building valuable relationships, providing excellent dentistry and a range of services to suit the needs of the community. If you are looking for a Full Time or Part Time opportunity to be a part of a a well-established and successful dental practice, consider scheduling a confidential appointment with us today. We are seeking a Dental Hygienist to work in a fast paced, well established dental office. You must enjoy working with all ages of patients and educating them on how to have a healthy and beautiful smile. **NEW GRADS welcome to apply** . Our talented team of dental professionals will work along side you to ensure your successful entry into the practice and long term success. As a team member, you’ll enjoy the following: Competitive hourly rate with performance incentives, $3k Sign-on Bonus, $10k Student Loan Repayment Program, Hygiene coaching and mentorship through our Mentor program, Saving for retirement made easy with a best in class 401K program and generous employer match, Keep your clinical skills up to date with various CE’s offered throughout the year and through our mentor program, Full time benefits also include group health/wellness plans and a robust in-house wellness program we call Wellness Works, Opportunities to contribute to your community through education and charity events, Practice Full-Time with family friendly days/hours. Sound interesting? We’d love to speak with you today! We are an Equal Opportunity Employer and Drug Free Workplace with opportunities for all. We pride ourselves on our diverse organization and our family friendly and inclusive culture. We have a Veteran’s and AARP Hiring Pledge. We are a certified Great Place to Work company! www.puredentalbrands.com. #WeHaveWhatMakesYouSmile. You want to work with the best organization and we want to work with the best providers. Therefore, all candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have valid X-ray license. Visit careers. floridadental.org/jobs/18157584/

General Dentist – Gainesville Dental Associates. Sign-On Bonus Incentive $10,000. $50K Student Loan Repayment Program. Relocation Incentive. Making a difference each and every day is what we do at Gainesville Dental Associates! Our teams serve our patients by building valuable relationships, providing excellent

dentistry and a range of services to suit the needs of the community. If you are looking for a Full-Time opportunity to help lead a well-established and successful dental practice, consider scheduling a confidential appointment with us today. We are seeking a General Dentist to work in a fast paced, well established dental office. We prefer a candidate with a minimum of 2 years work experience and who is able to perform a range of services to our patients. Our talented team of dental professionals will work along side you to ensure your successful entry into the practice and long term success. As a team member, you’ll enjoy the following: • Competitive Daily base rate with % production performance incentives • Sign-On Bonus of $10,000 • Student loan repayment program available for this location! Let us help you pay your student loans down! • If you do not live in the area, we will help you get here with our relocation benefit. • Full health and wellness benefits. Employer paid life insurance and contribution to a Health Savings Account. • Saving for retirement made easy with a best in class 401K program and generous employer match • Keep your clinical skills up to date through CE with our yearly allowance program • Opportunities to contribute to your community through education and charity events • Practice Full-Time with friendly days/ hours. A full team of support from qualified and educated dental assistants to work along side you, to a regional leadership team and finally a corporate service center with all the departments to ensure your practice runs smoothly. You take care of providing great care to your patients and we will take care of the rest. Sound interesting? We’d love to speak with you today! We are an Equal Opportunity Employer and Drug Free Workplace with opportunities for all. We pride ourselves on our diverse organization and our family friendly and inclusive culture. We have a Veteran’s and AARP Hiring Pledge. We are a certified Great Place to Work company! www.puredentalbrands.com. #WeHaveWhatMakesYouSmile. You want to work with the best organization and we want to work with the best providers. Therefore, all candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have a valid DEA license. Visit careers.floridadental.org/ jobs/18157541/

Dental Hygienist – Melbourne. DENTAL HYGIENIST @ Dental Partners of Melbourne & Merritt Island, FL. Sign-On Bonus of $2,500. CE Allowance. Join our certified GREAT PLACE TO WORK! Are you looking for a new dental family? We have an opportunity for a friendly, patient-centered individual to join our team. Making a difference each and every day is what we do at The Gentle Dentist Practice! Our teams serve our patients by building valuable relationships, providing excellent dentistry and a range

Seeking Qualified Dental Radiographer?

Train your dental assistants to expose radiographs using the FDA’s MyDentalRadiography online course that combines self-paced learning with clinical proof of competency. Call Lywanda Tucker at 850-350-7143 for details or visit mydentalradiography.com/FDA to create a supervising dentist account and complete the necessary tutorial on how the program works.

of services to suit the needs of the community. If you are looking for a Full-Time opportunity to be a part of a well-established and successful dental practice, consider scheduling a confidential appointment with us today. We are seeking a Dental Hygienist to work in a fast paced, well established dental office. You must enjoy working with all ages of patients and educating them on how to have a healthy and beautiful smile.

**NEW GRADS welcome to apply** We follow all CDC protocols with regards to COVID and provide all the PPE, Daily Health Checks, and training to keep you safe and healthy. We have what makes you smile! • Competitive compensation with performance incentives • Hygiene coaching and mentorship through our Mentor program • Keep your clinical skills up to date with various CE’s offered throughout the year and through our mentor program • Saving for retirement with a best-in-class 401K plan with employer match • Paid time off program from day 1 • Paid Holidays from day 1 • Free uniforms • Free dental insurance for full time team members and a discount for legal dependents • Health and Wellness plans to keep you and your dependents healthy which includes medical, dental, vision, free life, and other policies. • Internal wellness program with opportunities for education and prizes for participation • Participate in group and individual charity initiatives in your community • Busy, fast paced friendly team atmosphere.

Sound interesting? We’d love to speak with you today! www.puredentalbrands.com . Certified Great Place to Work. Inclusive Culture. Drug Free workplace, equal opportunity employer. AARP Hiring Pledge. Veteran’s Hiring Pledge. You want to work with the best organization, and we want to work with the best providers. Therefore, all candidates must be licensed to practice in the State of Florida with no board reprimands or issues and have valid X-ray license. Visit careers. floridadental.org/jobs/18157567

Interim Services. HAVE MIRROR AND EXPLORER, WILL TRAVEL ANYWHERE IN FLORIDA: Sick Leave, maternity leave, vacation or death, I will cover your practice so that production continues while you are out. Please call or text Robert Zoch, DDS, MAGD at 512-517-2826 or email: drzoch@yahoo.com. Visit careers.floridadental.org/jobs/18047931/

Dental Office for Sale in Margate. Great Opportunity to start your own practice or add an additional location. Dentist is relocating and selling the current Set-Up. Low investment to become the owner of your own practice. Office has 4 Ops., all equipped with dental chair, LED light and intra-oral xray. All major equipment also included: compressor, vacuum, amalgam separator, autoclave. All wired and ready for digital xrays. Tile through out, great condition. Aprox 1,200 sf. Located in a Shopping Center in a highly transited intersection. No intermediaries. The suite has been a dental practice for more than 25 years, anchoring one successful dentist after another. Please, call or text if interested: (786) 303-1732. Visit careers.floridadental.org/ jobs/18007915/

Faculty and Adjunct Positions: Assistant/ Clinical Assistant Professor Midwestern University – Downers Grove, Illinois. Midwestern University College of Dental Medicine-Illinois in Downers Grove, IL. We are seeking full time and part time dental faculty members who are responsible for working with students in a patient clinic or simulation clinic setting. Faculty members will be responsible for teaching in one?to?one, small group and plenary settings. Candidates must be able to demonstrate dental procedures in clinical or simulation situations; have strong clinical experience in the use of CAD/CAM dentistry and lasers; must possess a DDS/DMD degree; must be eligible for licensure in Illinois with at least 5 years of experience in general dentistry or their respective discipline. Previous teaching experience not required. Interested applicants may apply online at https:// www.midwestern.edu/faculty-and-staff/employment. Inquires may be sent to Dr. Stephen Palatinus, Associate Dean of Clinical Education at spalat@midwestern.edu, or Dr. Kaveh Adel, Associate Dean of PreClinical Education at kadel@midwestern.edu. Midwestern Universi-

ty is an Equal Opportunity/Affirmative Action employer. Visit careers.floridadental.org/ jobs/18007016/

Associate/Associate to Partner Opportunity on the Florida Beach!!! Daytona Beach. Come join us! If you are looking for an associate opportunity with room for growth, an excellent earning potential, and opportunity to partner (if desired) in a great office. We are currently seeking a fulltime associate for our Volusia County location but are open to discussing part-time availability. Mentorship and guidance will be provided for recent residency graduates. We are a well-established, privately owned endodontic practice with two locations in Central Florida. Our office is looking for a compassionate, energetic, quality-oriented endodontist to join our team. Our newly renovated offices have the latest technology including but not limited to: LED surgical microscopes, digital radiographs, CBCT on site, intraoral cameras, and remotely accessible practice management software. This is the perfect opportunity for someone looking to be the only associate in an office with access to, and support from, a great clinical/business mentor. Associate will have their own desk, scheduling autonomy, and monthly marketing budget. Compensation will be 47% of collections with a $1,000 daily minimum guarantee. Florida Dental License acquisition assistance is available for those who are not currently licensed in Florida. This is a unique opportunity that will fill fast! Ideal for someone who would like to see what private practice ownership is like, or practice in an “owner style” associateship. If you are interested in this opportunity, please send your CV/Resume and a copy of the qualification documents listed below listed below to office@daytonaendo.com. Be sure to include contact information in the body of the email and our doctor will contact you as soon as possible. We look forward to connecting with you! Required for consideration:

1. DDS/DMD from an accredited Dental School 2. Certificate of Completion from an accredited US Endodontic Residency Program 3. Active Florida Dental License. Visit careers.floridadental.org/ jobs/17999677/

Practice in HIGH & DRY Florida! Fee For Service in North Central Florida – Belleview. Are you tired of evacuating for hurricanes? Tap into the market of CASH PAYING retirees of The Villages, Del Webb, and Stonecrest 55+ communities, many of whom have relocated from coastal Florida. There is also an untapped population of hundreds of young families moving into new homes in the immediate area! The only other dentist in the immediate vicinity is a Heartland office. Two fully equipped operatories occupy a free-standing 950 sq. ft. building built in 2008 plumbed for three operatories. It is situated on one beautiful acre of land on busy US 301 just north of THE VILLAGES. Practice grossed 150K

taking no insurance at 30% overhead in 2021 on 15-20 patients/week with dentist doing all hygiene. 4-5 internally referred new patients per week are being referred to a colleague. All surgery, endo, and pedo are referred out. Immediate two full days of hygiene are scheduled and will keep the buyer busy with a loyal patient base. Modern chartless office is equipped with digital sensors and Patterson Fuse cloud-based software. There is plenty of room to expand existing building or even build a new office and rent the current space. Please message me for more pics or to arrange a visit. Office is a 1 hour commute from either North Orlando/Winter Garden/Clermont or Gainesville, 1.5 hours from Tampa. It is an easy drive off of I-75 Exit 341 or off the Turnpike on US 301. $450k includes practice and building/property. I will consider owner financing for building with adequate down payment. Visit careers.floridadental. org/jobs/13686503/

Part-time Associate Dentist – Orange Park. The practice need an Associate Dentist in Orange Park, Jacksonville. Need a Dentist (Working Part time ). Duties include: Examine patients’ medical records; Prepare patients for treatment (e.g. by applying oral sedation or anesthesia); Check teeth, gums and other parts of the mouth, along with X-rays and tests, to diagnose dental problems; Identify tooth decay and replace cavities with fillings; Design and fit dental prosthetics, such as bridges, crowns and dentures; Apply teeth-whitening treatments; Conduct tooth extractions and root canal procedures; Perform surgeries on diseased tissues and bones; Prescribe medication as needed; Educate patients on proper brushing techniques, flossing and fluoride use; Promote good oral health and preventive dental care (e.g. by scheduling regular check-ups). DDS OR DMD. Visit careers. floridadental.org/jobs/18287407/

Periodontist – Tallahassee. Great career opportunity in a growing practice in Tallahassee, FL. Full time associateship with opportunity to buy into the practice. Visit careers.floridadental.org/jobs/18287250/

General Dentist Seeking Part-time or Fulltime Associate Dentist Position in Miami, FL Area. 2021 New York University College of Dentistry Graduate Seeking Part-time or Full-time Associate Dentist Position in the Miami, FL Area. Proficient in Spanish. Invisalign certified. Please call/text with opportunities at 410-703-4036. Visit careers.floridadental.org/jobs/18287181/

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Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly by the Florida Dental Association (FDA), 545 John Knox Road, Ste. 200, Tallahassee, FL 32303. FDA membership dues include a complimentary subscription to Today’s FDA. Nonmember subscriptions are $150 per year; foreign, $188. Periodical postage paid at Tallahassee, FL and additional entry offices. Copyright 2023 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, FL 32303.

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All Today’s FDA editorial correspondence should be sent to Dr. Hugh Wunderlich, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, FL 32303. FDA office numbers: 800.877.9922, 850.681.3629; fax: 850.561.0504; email address: fda@floridadental.org; website address: floridadental.org.

THURSDAY, JUNE 29

PROGRESSIVE PERIODONTAL THERAPY: A COMPREHENSIVE APPROACH TO PERIODONTAL MANAGEMENT | C02

MS. AMBER AUGER

9 AM-12 PM | CE CREDITS: 3

Sponsored by Procter & Gamble, Crest + Oral B

PREPARING FOR PRACTICE OWNERSHIP | NC02

MR. CHAD CLARK, MR. ILYA KOGAN AND MR. NILESH PATEL

9 AM-12 PM | CE CREDITS: 0

Sponsored by Bank of America Practice Transitions

CYBERSECURITY 101: PROTECTING YOUR PRACTICE AND PATIENTS | C24

MR. ROBERT MCDERMOTT AND MR. DAVID FIDANZA

2-4 PM | CE CREDITS: 2

Sponsored by iCoreConnect Inc.

GROWING YOUR PRACTICE WITH DIGITAL MARKETING AND HOW TO AVOID LEGAL PITFALLS WHILE DOING SO | NC03

MR. SHAY BERMAN AND MR. JASON KAPLAN

2-5 PM | CE CREDITS: 0

Sponsored by Digital Resource

RESTORATIVE AND MATERIAL OPTIONS WHEN TREATING TMD PATIENTS | C16

DR. JOSEPH BARTON

2-4 PM | CE CREDITS: 2

Sponsored by Kettenbach USA

FRIDAY, JUNE 30

2023: THE INTERNAL AND EXTERNAL MARKETING TOOLS YOU MUST INCORPORATE TO GROW YOUR PRACTICE IN ECONOMICALLY CHALLENGING TIMES | NC06

DR. JOSHUA GINDEA

9 AM-12 PM | CE CREDITS: 0

Sponsored by DoctorsInternet

COMPLETE HOLISTIC FINANCIAL AND WEALTH MANAGEMENT FOR YOUR DENTAL PRACTICE | NC07

MR. RIAD SHANAWANY

9 AM-12 PM | CE CREDITS: 0

Sponsored by Myriad Capital

ARE YOU READY FOR OWNERSHIP OR RETIREMENT? START PLANNING TODAY! | NC10

MR. GREG JONES,

MR. MICHAEL DEMEOLA AND MR. JASON KAPLAN

2-5 PM | CE CREDITS: 0

Sponsored by Doctor’s Choice Practice Transitions LLC

THE EPIDEMIC OF DENTAL EMBEZZLEMENT: DIAGNOSIS, TREATMENT AND PREVENTION | NC09

MR. MICHAEL DEMEOLA

2-5 PM | CE CREDITS: 0

Sponsored by Getsee & DeMeola CPA Business Advisors

SATURDAY, JULY 1

FDC2023 CORPORATE CLASSROOMS FREECOURSES FORFDA&ADAMEMBERS!

ONE STEP ALVEOLAR RIDGE PRESERVATION WITHOUT THE NEED FOR A MEMBRANE | C60

DR. TIMOTHY KOSINSKI AND DR. STEPHANIE TILLEY

9-11 AM | CE CREDITS: 2

Sponsored by Impladent Ltd.

RAVING PATIENTS: GET VISIBLE, GET CREDIBLE, GET MORE NEW PATIENTS | NC14

DR. LEONARD TAU

9-11 AM | CE CREDIT: 0

Sponsored by Birdeye Inc.

A PRACTICE OWNER’S GUIDE TO THE BUSINESS SIDE OF DENTISTRY | NC16

MR. CASEY HIERS

2-4 PM | CE CREDITS: 0

Sponsored by Four Quadrants Advisory MINI DENTAL IMPLANTS FOR LONG TERM FIXED AND REMOVABLE PROSTHETICS | C73

DR. TODD SHATKIN

2-4 PM | CE CREDITS: 2

Sponsored by Shatkin F.I.R.S.T. LLC

By Hugh Wunderlich, DDS, CDE, FDA Editor

To the dental graduates and new Dentists, I say ...

you have it so easy.

Chances are you haven’t cast your own crowns, dispensed elemental mercury, nor hand-dipped your radiographs. I cast and miscast my first crown in 1965. That same year I mishandled my first amalgam and under-fixed my first radiographs. Maybe I could’ve done better if I had not been so tired walking from Broadway Elementary school to my father’s dental office. After all, I was only eight years old.

Back then, a “casting machine” was a small 1-inch bucket attached to a 10-inch chain, which in turn was joined to a short wooden handle, forming a spinnable sling. A good “cast” was timed such that the very second one ounce of torched glowing gold turned liquid. The bucket was yanked off the counter and spun overhead in the same fashion that David slew Goliath with a rock. A bad cast (as in that bad day in 1965) meant the bucket, in mid-flight was interrupted by a protruding shelf which scattered the molten 2000° metal down in a shower of 100 golden flaming meteorites. Oops. t

But do not expect the world to appear at your feet automatically. It will take hard work, and you’re only entitled to what you earn. But now, as it was then, there will always be room for a good dentist.

My father’s dental office was only about four blocks away from school, and at least once a week, I would go there in the afternoon and “help” my father in his practice — that and the fact that he had a “candy drawer” for pedo-patients that I could pilfer. And yes … it was a happier time. However, when I was not burning down the lab by casting crowns, I was processing radiographs in his dark room converted closet. The films were clipped to a metal rack and made a ba-da-bada blop sound when dipped into a series of tanks. A dim 10-watt red bulb was the only light guiding the rack from developer to fixer to water. Ba-daba blop ba-da-ba-blop. I would then run the wet films down the hallway for my father to read before they turned an unreadable green. What a great “help” I was.

Of course, my mishandled amalgam was really playing with elemental mercury. Back then, it was fun to squirt liquid mercury into a dime-sized glob from a mercury Pez dispenser and cascade it slinky between your cupped bare hands. This was great fun for a long time, maybe seven seconds, until the silver prize slipped away and scattered into 1 billion beads on the floor. Oddly no hazmat cleanup was required.

Things much improved in the ‘70s. Your self-etching self-priming self-tax paying light-cured composite has not arrived as yet. You had to scoop a brown base material out of a white plastic jelly jar and mix it by hand on a paper pad with an equal glob of white catalytic goop. Using a Chinet knife, you gently slop the sticky mess over an overly desiccated cavity preparation, then you would handhold the patient and the material motionless for five minutes until the material was set. At this point, the finished

restoration stuck to your gloveless finger and pulled out. So, you placed the gold foil instead. Who doesn’t like to flash their new gold tooth? Thus, was born the wonderful world of pins. Need to get that MODBL amalgam or cold-cure composite to stick? Tack it down by placing a pin in the pulp chamber or the interproximal bone that should hold it. Oh, and what about dental boards? We had to do a class IV gold foil on a live badger … in the snow … uphill … both ways.

With the advent of new materials and techniques, more procedures can be performed in a shorter time and to the greater satisfaction of your patients. Interest rates and practices to purchase have never been better. But do not expect the world to appear at your feet automatically. It will take hard work, and you’re only entitled to what you earn. But now, as it was then, there will always be room for a good dentist. Your diploma is yours, and nobody can take that away, but your license to practice dentistry is on loan to you from the state. Just because you were legally allowed to place implants doesn’t mean you should. Stay within a conservative yet expanding comfort zone of knowledge. Think your education is over? Think again. You will get a big dose of education on your first day, and it never ends. Maybe find a friend or a mentor you can call upon. Chances are they will always be more than happy to share their experiences with you — the good and the bad. Even better yet, dedicate a line item and budget for continuing education every year. Did I mention FDC is right around the corner? This is just another reason to be in the fold and fellowship of organized dentistry.

Now about that badger, I was lying … it wasn’t snowing.