TFDA MayJune 2024

INTRAORAL SCANNER ISSUE

18 FDA Governance Update

31 Staying Ahead of the Curve: Benefits of Dental Equipment Financing

32 Intraoral Scanners and Accessories

34 Comparing Intraoral Scanners in Pre-doctoral Education: A Student Perspective

40 Why Buy a Scanner When You Can Get the Best for Free?

44 Scanning Versus a Good First Impression

48 FDC2024 Speaker – Scanners are an Integral Part of Our Landscape

50 FDC2024 Speaker – Esthetic Crown Lengthening with Osseous Resection Using a 3D Printed Guide

52 FDC2024 Speaker – Within Normal Limits or a Dangerous Assumption?

60 Dental Lifeline Network's DDS Program Transforms Lives

Off the Cusp

EDITOR

Dr. Hugh Wunderlich, CDE Palm Harbor

BOARD OF TRUSTEES

PRESIDENT

Dr. Beatriz Terry Miami

FIRST VICE PRESIDENT

Dr. John Paul Lakeland

IMMEDIATE PAST PRESIDENT

Dr. Gerald Bird Cocoa

TREASURER

Dr. Rodrigo Romano Miami

TRUSTEES

Dr. Tom Brown Orange Park

Dr. John Coroba Lake Mary

Dr. Bethany Douglas Jacksonville

Dr. Fred Grassin Spring Hill

Dr. Bertram Hughes Gainesville

Dr. Richard Mufson Miami

PRESIDENT-ELECT

Dr. Jeffrey Ottley Milton

SECOND VICE PRESIDENT

Dr. Dan Gesek Jacksonville

SPEAKER OF THE HOUSE

Dr. Don lIkka Leesburg

EXECUTIVE DIRECTOR Drew Eason, CAE Tallahassee

Dr. Christopher Bulnes Tampa

Dr. Sam DeSai Cape Coral

Dr. Karen Glerum Boynton Beach

Dr. Reese Harrison Lynn Haven

Dr. Eddie Martin Pensacola

Dr. John Pasqual Delray Beach

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 deason@floridadental.org Ext. 7109

Greg Gruber • chief operating officer/chief financial officer ggruber@floridadental.org Ext. 7111

Casey Stoutamire • chief legal officer cstoutamire@floridadental.org Ext. 7202

Lianne Bell • leadership affairs manager lbell@floridadental.org Ext. 7114

Lywanda Tucker • peer review coordinator ltucker@floridadental.org Ext. 7143

ACCOUNTING

Breana Giblin • director of accounting bgiblin@floridadental.org Ext. 7137

Leona Boutwell • finance services coordinator lboutwell@floridadental.org Ext. 7138

Jannella Rose • fiscal services coordinator jrose@floridadental.org Ext. 7119

Mitzi Rye • fiscal services coordinator mrye@floridadental.org Ext. 7139

Kaitlinn Sendar • fiscal services coordinator ksendar@floridadental.org Ext. 7165

COMMUNICATIONS AND PUBLICATIONS

Renee Thompson • director of communications and marketing rthompson@floridadental.org Ext. 7118

Jill Runyan • director of publications jrunyan@floridadental.org Ext. 7113

Mike Reino • graphic design coordinator mreino@floridadental.org Ext. 7112

FDA FOUNDATION

R. Jai Gillum • director of foundation affairs rjaigillum@floridadental.org

Kristin Badeau • foundation coordinator kbadeau@floridadental.org

7117

7161

Madelyn Espinal • foundation assistant mespinal@floridadental.org Ext. 7122

FLORIDA DENTAL CONVENTION AND

CONTINUING EDUCATION

Crissy Tallman • director of conventions and continuing education ctallman@floridadental.org Ext. 7105

Alyssa Bynum • FDC meeting assistant abynum@floridadental.org Ext. 7162

Brooke Martin • FDC marketing specialist bmartin@floridadental.org Ext. 7103

Lisa O’Donnell • FDC program coordinator lodonnell@floridadental.org Ext. 7120

Deirdre Rhodes • FDC exhibits coordinator drhodes@floridadental.org Ext. 7108

Heather Slager • FDC program coordinator hslager@floridadental.org Ext. 7106

GOVERNMENTAL AFFAIRS

Joe Anne Hart • chief legislative officer jahart@floridadental.org Ext. 7205

Jamie Graves • legislative assistant jgraves@floridadental.org Ext. 7203

INFORMATION SYSTEMS

Larry Darnell • director of strategic initiatives and technology ldarnell@floridadental.org Ext. 7102

Charles Vilardebo • computer support technician cvilardebo@floridadental.org Ext. 7153

MEMBER RELATIONS

Kerry Gómez-Ríos • director of member relations krios@floridadental.org Ext. 7121

Megan Bakan • membership coordinator mbakan@floridadental.org Ext. 7136

Bettie Swilley • membership coordinator bswilley@floridadental.org Ext. 7110

Austin White • member access coordinator awhite@floridadental.org Ext. 7100

Scott Ruthstrom • chief operating officer scott.ruthstrom@fdaservices.com Ext. 7146

Carrie Millar • director of insurance operations carrie.millar@fdaservices.com Ext. 7155

Carol Gaskins • commercial accounts manager carol.gaskins@fdaservices.com Ext. 7159

Tessa Pope • customer service manager tessa.pope@fdaservices.com Ext. 7158

Marcia Dutton • membership services assistant marcia.dutton@fdaservices.com Ext. 7148

Porschie Biggins • Central FL membership commercial account advisor porschie.biggins@fdaservices.com Ext. 7149

Maria Brooks • South FL membership commercial account advisor maria.brooks@fdaservices.com Ext. 7144

Davis Perkins • Atlantic Coast membership commercial account advisor davis.perkins@fdaservices.com Ext. 7145

Danielle Basista • commercial account advisor dbasista@fdaservices.com Ext. 7156

Kelly Dee • commercial account advisor kelly.dee@fdaservices.com Ext. 7157

Jamie Idol • commercial account advisor jamie.idol@fdaservices.com Ext. 7142

Maddie Lawrence • commercial account advisor maddie.lawrence@fdaservices.com Ext. 7154

Liz Rich • commercial account advisor liz.rich@fdaservices.com Ext. 7171

Karina Scoliere • commercial account advisor karina.scoliere@fdaservices.com Ext. 7151

YOUR RISK EXPERTS

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

Award Winners 2024

Dental STUDENT AWARD

Ms. Gabriela Hunter RodriGuez

New Dental Leader

Dr. KaYcee Wilcox

Public Service Awards

Dr. Bao Tran Dao

Dr. Christopher Starr

Dr. Samira Meymand

Leadership Awards

Dr. GregORY Chace

Dr. Sudhir Agarwal

SPECIAL RECOGNITION AWARD

Dr. Katie Miller

HELPING MEMBERS SUCCEED TEAM IMPACT AWARD

MS. LIANNE BELL

FDA President Award

Dr. Beatriz Terry

Dentist of the Year

Dr. ChrisTOPHER Bulnes

J. Leon Schwartz Lifetime SERVICE Award

Dr. Jolene Paramore

Join in the recognition of your colleagues. Friday, June 21 | 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 7 to purchase tickets.

sponsored by:

The Evolution of Dentistry: Balancing Technology and Artistry

By FDA President Beatriz E. Terry, DDS, MS

In the ever-evolving field of dentistry, the introduction of intraoral scanners has undoubtedly revolutionized dental practices worldwide. These innovative devices, designed to capture detailed 3D images of a patient’s oral cavity, offer unparalleled precision and efficiency in dental diagnostics and treatment planning. However, with this technological leap forward, there’s a growing concern among practitioners, including myself, that the artistry inherent in traditional dentistry might be fading.

Intraoral scanners are sophisticated tools that have significantly streamlined various dental procedures. By replacing traditional impressions with digital scans, these scanners provide highly accurate representations of a patient’s teeth and soft tissues. This technology

enables us to diagnose issues with greater clarity and plan treatments more effectively. It is very educational as well. Patients can clearly understand their dental issues visually and why we are recommending a particular procedure. I recently purchased my first intraoral scanner and am thrilled at the speed and accuracy of this technology. Not to mention the absence of the messy impression materials!

One of the greatest advantages of intraoral scanners is their role in facilitating digital dentistry. These devices seamlessly integrate with computer-aided design and manufacturing (CAD/CAM) systems, creating custom restorations like crowns, bridges and aligners with remarkable precision. This translates to faster turnaround times for patients and often more comfortable treatment experiences.

president’s message

One of the greatest advantages of intraoral scanners is their role in facilitating digital dentistry. This translates to faster turnaround times for patients and often more comfortable treatment experiences.

Despite the undeniable benefits, I worry about the potential loss of the artistic aspects that have long defined our profession. Traditional dentistry, rooted in craftsmanship and an intimate understanding of dental anatomy, requires a delicate touch and keen attention to detail. Every restoration should be a unique work of art tailored to the patient’s individual needs and function. I think of Sturdevant’s “The Art and Science of Operative Dentistry” and how I learned to carve amalgam restorations and stack porcelain to replicate the beautiful pits and fissures of real teeth.

With the rise of intraoral scanners and CAD/CAM technology, the artistry of dental anatomy risks becoming a rare commodity. Restorations, though functional and durable, may lack the intricacies and nuanced craftsmanship that characterized handcrafted dental work of the past. Instead of meticulously sculpting restorations, I have seen restorations primarily focused on digitally designing and milling standardized prosthetics. Too many “white boxes” are being cemented into patients’ mouths and sold as final restorations.

Much like artificial intelligence has impacted other artistic professions, such as architecture and carpentry, dentistry is gradually shifting towards a more scientific and technically-driven discipline. While this evolution improves efficiency and outcomes, it poses a fundamen-

tal question about the soul of dentistry: Is the science of dentistry losing its art form?

Mastering the fine art of dental anatomy is at risk of fading due to the attraction of cutting-edge technology and speed of delivery. As intraoral scanners become more common, dentists must strike a delicate balance between embracing innovation and preserving the craftsmanship that defines our profession’s heritage.

Dental education should continue to emphasize the importance of dental artistry and anatomy, which could help nurture a new generation of dentists who value science and craft. Additionally, advancements in digital dentistry should be accompanied by a commitment to patient-centered care and the preservation of individualized treatment approaches, not simply getting a crown in an hour.

While I have embraced this new technology, I have valid concerns about the potential diminishment of dental artistry. Striking a balance between technological innovation and the timeless artistry of dentistry will ultimately define the future landscape of our great profession.

FDA President Dr. Terry can be reached at bterry@bot.floridadental.org.

Digital Scanning Versus Impressions:  did you know?

Who can perform them, and are there differences in supervision level?

By FDA Chief Legal Officer Casey Stoutamire

In this issue, you will learn about different types of intraoral scanners and the various technologies available. However, let’s step back and investigate who can perform digital scanning. Hygienists? Assistants? What training is required? What is the supervision level you, as the dentist, must provide? Is there a difference between digital scanning and the taking of wet impressions?

I’ll answer that last question first. Wet impressions and digital scanning are treated the same under the Board of Dentistry (BOD) rules regarding remediable tasks delegated to hygienists and assistants. Yes, I know it is archaic, but promulgating a rule through the administrative process moves at a snail’s pace. Furthermore, the Florida Statutes were recently amended to include a definition of digital scanning thanks to legislation championed by the

Florida Dental Association (FDA) and Florida Association of Orthodontists (FAO). Digital scanning, as defined in the dental practice act, means the use of digital technology that creates a computer-generated replica of the hard and soft tissue of the oral cavity using enhanced digital photography, lasers or other optical scanning devices (Chapter 466.003(8), Florida Statutes). This new section now gives the BOD the statutory authority to create rules around digital scanning. Time will tell if it decides to make the training level and supervision requirements different for hygienists and assistants performing digital scanning versus impressions.

The next question you may be asking is, what is the level of supervision and training required when a hygienist performs a wet impression (and, by default, a digital scan)? First, you need to refresh your memory of what impressions a hygienist and assistant can make. All of

Remember that since assistants are not licensed by the BOD, if an assistant is allowed to practice beyond their scope, you, the dentist, will be on the hook as their supervising dentist, but the BOD cannot discipline them because there is no license.

this can be found in Rule 64B5-16.005, at bit.ly/3UYK0Rt and 64B5-16.006, at bit.ly/3UFCidN, Florida Administrative Code. Next is a reminder of what each level of supervision means.

Direct supervision requires that a licensed dentist examine the patient, diagnose a condition to be treated, authorize the procedure to be performed, be on the premises while the procedure is performed, and approve the work performed prior to the patient’s departure from the premises.

Indirect supervision requires that a licensed dentist examine the patient, diagnose a condition to be treated, authorize the procedure to be performed, and be on the premises while the procedure is performed.

General supervision requires that a licensed dentist authorizes the procedures to be performed but need not be present when the authorized procedures are being performed. The authorized procedures may also be performed at a place other than the dentist’s usual place of practice.

Finally, let’s address training levels. For assistants, there is formal training and on-the-job training. Formal training requires the successful completion of an expanded duty

course or program; on-the-job training is, you guessed it, training that you provide in the office. This is similar for hygienists as some procedures require formal or on-thejob training, which is defined in the same way I previously told you for assistants. Hygienists are also licensed by the BOD so you will see in the rule “pre-licensure education,” which would be education received in a dental hygiene program completed for licensure.

And remember that since assistants are not licensed by the BOD, if an assistant is allowed to practice beyond their scope, you, the dentist, will be on the hook as their supervising dentist, but the BOD cannot discipline them because there is no license. However, because a hygienist is licensed by the BOD, they can be disciplined for practicing outside of their scope, but this does not mean you are blameless because you are still the supervising dentist.

Reading through the BOD rules and definitions is sometimes as clear as mud! If you have questions, please make the FDA your first call. I’m happy to discuss these rules with you and, hopefully, provide some clarity.

FDA Chief Legal Officer Casey Stoutamire can be reached at cstoutamire@floridadental.org.

FDA’s Big Legislative Wins!

By FDA Chief Legislative Officer Joe Anne Hart

During the 2024 Legislative Session, the Florida Dental Association (FDA) prioritized passing legislation that would address dental insurance reforms, protect patients from direct-to-consumer dental products, increase funding for dental in the Medicaid program, secure state support for the Veterans Dental Care Grant Program, as well as the Florida Mission of Mercy (FLA-MOM). Well, the FDA accomplished that and so much more!

This year, the legislature focused on health care initiatives to help prepare Florida for its aging population, which grows by 1,000 people daily. Additionally, the legislature approved a budget totaling $117.4 billion, including several consumer-friendly sales tax exemptions, ranging from the “back-to-school” sales tax holiday to the “Freedom Month” sales tax holiday. Once the governor signs the budget into law, it will go into effect on July 1.

APPROVED

Dental Insurance Reform (prior authorization and virtual credit card payments)

SB 892 prohibits denying claims for procedures receiving prior authorizations (with exceptions). Prohibits dental insurance plans from specifying credit card payments as the only method of payment to dentists. Specifies that dental insurance plans must get the dentist’s consent for virtual credit card payments and provide instructions for selecting alternative payment methods.

Patient Protection Measures for Direct-to-Consumer Dental Products

HB 855 will require dentists to provide patients with their contact information and after-hours contact information for emergencies. Creates definitions for “in-person” exams, advertisements and digital scanning. The bill requires a designation of dentist of record for dental

partnerships, corporations or other business entities that advertise dental services. Creates grounds for the Board of Dentistry to impose regulatory discipline on a dentist’s license for failure of an in-person exam prior to use of orthodontic appliance and failure to provide patients with contact information.

Expansion of the Dental Student Loan Repayment Program

SB 7016 expands the Dental Student Loan Repayment Program to include dental hygienists. This legislation makes the program a continuous five-year program as long as eligibility is maintained, removes the 10 new applicants per year cap on the program and increases the funding from $1.8 million to $8 million.

Dental Medicaid Fee Increase

SB 7016 appropriates $35 million for a dental fee increase in the Medicaid program.

Veterans Dental Care Grant Program

$1 million was allocated to implement the Veterans Dental Care Grant Program. Funding will help charitable organizations and clinics across the state provide critical oral health care services and treatment to veterans at no cost.

Florida Mission of Mercy

$250,000 was allocated to support the 2025 FLA-MOM to be held in Volusia County.

DEFEATED

Dental Therapy

Legislation was filed this year to authorize dental therapists in Florida. The FDA opposes legislation supporting dental therapy and was able to defeat this legislation.

And There's More!

For a comprehensive report on the 2024 Legislative Session, read the Sine Die edition of Capital Report, available at bit.ly/3Q9sdEl. *At time of print, bills are still waiting the governor’s approval.

Members

• Dr. Beatriz E. Terry, Chair

• Dr. Josh Allore, CFDDA member

• Dr. Gerald Bird, Immediate Past President

• Dr. Bethany Douglas, NEDDA member

Governmental Action Committee

• Dr. Reese Harrison, NWDDA member

• Dr. Steve Hochfelder, BOD liaison

• Dr. Franziska Klostermyer, SFDDA member

• Dr. Jeff Ottley, President-elect

• Dr. Queanh Phan, WCDDA member

• Dr. Jay Singer, ACDDA member

Consultants

• Dr. Andy Brown

• Dr. Dan Gesek

• Dr. Zack Kalarickal

• Dr. Jacinta Lamontagne

• Dr. John Paul

• Dr. Rachel Perez

FDA Staff

• Drew Eason, CEO/Executive Director

• Joe Anne, Chief Legislative Officer

• Casey Stoutamire, Esq., Chief Legal Officer

• Alexandra Abboud, Governmental Affairs Liaison

• Jamie Graves, Legislative Assistant

FDA 2024 Legislative Award Recipients

This legislative session was focused on health care from the beginning until the end. Among the crowd, several legislators stood out from the rest by supporting the FDA’s legislative priorities and helping to get them to the finish line.

Legislators of the Year

It was amazing to witness Sen. Gayle Harrell’s tenacity as she held steadfast on pushing forward SB 892, the dental insurance reform legislation, to address prior authorization issues and virtual credit card payments. With the tag-team of Sen. Kathleen Passidomo and Sen. Colleen Burton, the Live Healthy legislation (SB 7016) will help to increase access to dental care across the state.

The FDA also appreciates legislators who spoke up in House and Senate committees for dentistry and continue to work to ensure that Florida dental standards and quality are not diminished, but maintained to ensure patients’ safety.

FDA Chief Legislative Officer Joe Anne Hart can be reached at jahart@floridadental.org.

Champions for Dentistry

Sen. Gayle Harrell (R-Stuart)

Sen. President Kathleen Passidomo (R-Naples)

Sen. Colleen Burton (R-Lakeland)

Sen. Tracie Davis (D-Jacksonville)

Rep. Joel Rudman (R-Navarre)

Sen. Clay Yarborough (R-Jacksonville)

Rep. Dean Black (R-Jacksonville)

Rep. Daryl Campbell (D-Ft. Lauderdale)

Dr. Lewis Earle Legislative Service Awards

Sen. Lori Berman (D-Boynton Beach)

Rep. Fentrice Driskell (D-Tampa)

Rep. Wyman Duggan (R-Jacksonville)

Rep. Tyler Sirois (R-Merritt Island)

Tuesday, March 25, 2025

A portion of your 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.

FDA Career Center

Is your organization seeking high-quality, professional individuals to be a part of your team? Expand your exposure through the FDA Career Center today!

Connect with our network of elite professionals through our state-of-the-art recruiting platform. Designed to specifically match you with qualified industry candidates, no other commercial job board can deliver quality professionals looking to take the next step in their careers.

• Quick and easy job posting

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• Online reports providing job activity statistics

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When Should You Call Your Malpractice Carrier?

By FDA Services Chief Operating Officer Scott Ruthstrom

As a dentist, you strive to provide the best care for your patients. However, despite your best efforts, there may be instances where complications arise or patients are dissatisfied with the outcome of their treatment. So, it begs the question: When is the right time to call your malpractice insurance carrier?

Here are some scenarios in which you should consider reaching out to your insurance company:

1. Allegations of Negligence: If a patient accuses you of providing substandard care or negligence leading to injury or harm, it’s prudent to notify the insurance carrier promptly. This could include cases where a procedure resulted in unexpected complications or adverse outcomes beyond your control.

2. Patient Complaints and Dissatisfaction: Persistent complaints or dissatisfaction from a patient regarding their treatment should not be dismissed lightly. Even if you believe your actions were appropriate, escalating patient dissatisfaction could signal potential legal action. Early consultation with the insurance carrier can help assess the situation and determine the appropriate course of action.

3. Adverse Events and Complications: In cases where a procedure results in unexpected complications or

preventive action

Proactively assess situations that could lead to malpractice claims or lawsuits. By knowing when to call, you can confidently navigate challenging situations and safeguard your professional reputation.

adverse events, such as infections, nerve damage or prolonged pain, you should consider contacting your malpractice insurance carrier. Timely communication ensures that the insurer is informed of the situation and can provide guidance on managing the consequences.

4. Failure to Obtain Informed Consent: If a patient alleges that they were not adequately informed about the risks, benefits and alternatives of a procedure before giving consent, it can lead to legal challenges. You should document the informed consent process thoroughly, but it is advisable if there are disputes or claims of inadequate communication involving the insurance carrier.

5. Suspected Breach of Standard of Care: Any situation where you suspect a deviation from the standard of care, either on your part or that of a colleague, should trigger a discussion with the malpractice insurancarrier.

6. Threat of Legal Action: If a patient or their representative threatens legal action through formal communication or informal statements, it’s a clear indication to involve the malpractice insurance carrier. Prompt notification allows the insurer to initiate the necessary steps to protect your interests.

7. State Licensing Board Inquiries: If a complaint is filed with the state licensing board or any regulatory body, you should inform your malpractice insurance carrier immediately. Regulatory inquiries can have serious implications for your license and reputation, necessitating expert guidance and support.

8. Any Situation of Uncertainty: When in doubt about whether a particular incident or circumstance warrants the involvement of the malpractice insurance carrier, it’s always better to err on the side of caution and seek guidance. Insurance carriers have experienced professionals who can provide insights and recommendations tailored to the situation.

In conclusion, proactively assess situations that could lead to malpractice claims or lawsuits. Timely communication with your malpractice insurance carrier is crucial for mitigating risks, protecting your practice and ensuring proper representation in the event of legal proceedings. By knowing when to call, you can confidently navigate challenging situations and safeguard your professional reputation.

FDAS Chief Operating Officer Scott Ruthstrom can be reached at scott.ruthstrom@fdaservices.com.

FDA Editor

Two-year term, one to be elected

Speaker of the House

Two-year term, one to be elected

FDA At-large Trustee

Three-year term, six to be elected

FDA Governance Update:

Candidates for FDA Trustees, Speaker of the House and Editor

By FDA Leadership Affairs Manager Lianne Bell

Embarking on the journey towards effective governance is pivotal for any organization. The selection of individuals to serve on the Board of Trustees (BOT) and other key leadership positions holds significant weight in shaping the future trajectory and mission of the organization.

Jasmine Shafagh, DMD Hugh Wunderlich, DDS Don Ilkka, DDS

Tom Brown, DMD Christopher Bulnes, DMD John Cordoba, DDS Sudhanshu “Sam” Desai, DDS

Karen Glerum, DMD Eddie Martin, DMD Samira Meymand, DDS ElÍas Morón, DDS Merlin Ohmer, DDS

governance

To learn more about each candidate and to view their full application, visit the FDA’s website at bit.ly/4bw8mHK.

The Florida Dental Association (FDA) spent several years reviewing and updating the governance structure of the association to modernize it and allow for a larger pool of candidates to apply for leadership roles. It is exciting to see the vision and the changes come to fruition this year as the House of Delegates (HOD) will hold its first election at its June meeting. The HOD will be voting to elect six at-large trustees to the FDA Board and will also elect a Speaker of the House and Editor.

On May 7, the FDA hosted a virtual candidate forum that featured each candidate running for various positions. The forum cast a spotlight on the candidates vying for these positions and gave them an opportunity to showcase their backgrounds, aspirations and visions for the future of the FDA. The candidates expressed the perspectives and experiences they bring to the table. From seasoned incumbents to those who bring in a wealth of outside experience in a variety of other organizations, it was very clear that the HOD would be choosing from a group of highly qualified and passionate individuals, instilling confidence in the potential leaders of the FDA.

LEADERS EMERGING AMONG DENTISTRY

LEAD

The newly formed search committee has done the job of recruiting qualified members to run for the open positions. The leaders elected from among those running will be poised to navigate the challenges and opportunities that lie ahead for organized dentistry at all three levels of the tripartite. If you couldn’t watch the forum live, please check out the recording from the FDA’s new Leadership Central section of the website at floridadental.org.

The candidates will continue their campaigns leading up to the June meeting, during which they will deliver live speeches at the first session of the HOD. Following their speeches, they will field questions from members of the FDA’s component delegations. While the voting privilege lies exclusively with FDA delegates, the proceedings are open to all who wish to witness the process in action, fostering a sense of inclusivity and encouraging active participation. The HOD will meet Friday, June 21, at 1:30 p.m. at the Gaylord Palms Resort & Convention Center.

FDA Leadership Affairs Manager Lianne Bell can be reached at lbell@floridadental.org.

Looking to get more involved with your professional organization? Don't miss LEAD, the FDA's leadership development program. Jan. 17, 2025•Orlando, FL•Registration opens this fall

6. EXHIBIT HALL

Thurs., June 20 – 11 AM-6 PM

6. EXHIBIT HALL

Fri., June 21 – 8:45 AM-6 PM

Thurs., June 20 – 11 AM-6 PM

Sat., June 22 – 9 AM-2 PM

Fri., June 21 – 8:45 AM-6 PM

Sat., June 22 – 9 AM-2 PM

1. ON-SITE BADGE PICKUP HOURS & LOCATIONS

Wed., June 19 – 4-9 PM (Hotel Lobby)

1. ON-SITE BADGE PICKUP HOURS & LOCATIONS

Thurs., June 20 – 6:30 AM-8 PM (New – City Hall Lobby)

Wed., June 19 – 4-9 PM (Hotel Lobby)

Fri., June 21 – 7 AM-6 PM (City Hall Lobby)

Thurs., June 20 – 6:30 AM-8 PM (New – City Hall Lobby)

Sat., June 22 – 7 AM-3 PM (City Hall Lobby)

Fri., June 21 – 7 AM-6 PM (City Hall Lobby)

Sat., June 22 – 7 AM-3 PM (City Hall Lobby)

• If you are registered as “Exhibit Hall Only,” you will pick up your badge at the first-floor rotunda outside the Exhibit Hall on Thurs., 10 AM-5 PM, Fri., 8 AM-5 PM or Sat., 8 AM-1 PM.

2. FREE OFFSITE PARKING & SHUTTLE SERVICE

• If you are registered as “Exhibit Hall Only,” you will pick up your badge at the first-floor rotunda outside the Exhibit Hall on Thurs., 10 AM-5 PM, Fri., 8 AM-5 PM or Sat., 8 AM-1 PM.

2. FREE OFFSITE PARKING & SHUTTLE SERVICE

Free parking and shuttle service to the Gaylord Palms will be available for attendees at Disney's Blizzard Beach Water Park located at 1534 Blizzard Beach Dr., Orlando, FL 32836. Please allow ample time, at least one hour prior to course start, for parking and shuttle service.

Shuttle Hours:

Free parking and shuttle service to the Gaylord Palms will be available for attendees at Disney's Blizzard Beach Water Park located at 1534 Blizzard Beach Dr., Orlando, FL 32836. Please allow ample time, at least one hour prior to course start, for parking and shuttle service.

Thurs., June 20 – 7 AM-11:30 PM

Shuttle Hours:

Thurs., June 20 – 7 AM-11:30 PM

• REMINDER: Courses begin at 8 AM on Thursday! Please plan your time accordingly.

• REMINDER: Courses begin at 8 AM on Thursday!

Fri., June 21 – 7 AM- 11 PM

Sat., June 22 – 7 AM-6 PM

Please plan your time accordingly.

Fri., June 21 – 7 AM- 11 PM

Visit floridadentalconvention.com for the detailed shuttle schedule.

3. FDC2024 FREE MOBILE APP

Sat., June 22 – 7 AM-6 PM Visit floridadentalconvention.com for the detailed shuttle schedule.

3. FDC2024 FREE MOBILE APP

Download the mobile app by searching “FDC2024” in the Apple App store or Google Play one week prior to FDC . To view your personalized course schedule and course/event location, you must log into the app with your registration ID and last name. You can also download handouts, search exhibitors, view the event schedule, access the Gaylord Palms maps and more with the app! Be sure to turn on your notifications for on-site updates.

4.

COURSE HANDOUTS

Download the mobile app by searching “FDC2024” in the Apple App store or Google Play one week prior to FDC . To view your personalized course schedule and course/event location, you must log into the app with your registration ID and last name. You can also download handouts, search exhibitors, view the event schedule, access the Gaylord Palms maps and more with the app! Be sure to turn on your notifications for on-site updates.

4. COURSE HANDOUTS

Course handouts will be available within your online registration dashboard two weeks prior to FDC. In an effort to “go green,” FDC will not provide handouts onsite. Please print, download on your mobile device or view in the mobile app on-site. Note: some handouts may be too large to view within the mobile app. Please download and save to your device or print ahead of time.

5. FREE KEYNOTE SESSIONS

Course handouts will be available within your online registration dashboard two weeks prior to FDC. In an effort to “go green,” FDC will not provide handouts onsite. Please print, download on your mobile device or view in the mobile app on-site. Note: some handouts may be too large to view within the mobile app. Please download and save to your device or print ahead of time.

5. FREE KEYNOTE SESSIONS

Add free motivational keynote sessions to your FDC2024 itinerary! Register for these courses online ahead of time to secure your seat.

Thurs., June 20 - 11:15 AM-12:15 PM (NEW TIME!)

Add free motivational keynote sessions to your FDC2024 itinerary! Register for these courses online ahead of time to secure your seat. Thurs., June 20 - 11:15 AM-12:15 PM (NEW TIME!)

• The Mental Dental Connection: The Secret to Being a Better Clinician and Leader Keynote (PM02), Dr. Josuha Austin

Fri., June 21 - 7:45- 8:45 AM

• The Mental Dental Connection: The Secret to Being a Better Clinician and Leader Keynote (PM02), Dr. Josuha Austin

Fri., June 21 - 7:45- 8:45 AM

• “The Bucket List Life” – Create More Experiences, Share More Stories and Live More Fulfilled! (NC06), Mr. Kenyon Salo

• “The Bucket List Life” – Create More Experiences, Share More Stories and Live More Fulfilled! (NC06), Mr. Kenyon Salo

• View the current exhibitor listing and find FDC-exclusive exhibitor coupons at exhibithall.floridadentalconvention.com

• View the current exhibitor listing and find FDC-exclusive exhibitor coupons at exhibithall.floridadentalconvention.com.

• Exhibit Hall concessions are available daily from 11 AM-2 PM (Purchase lunch and use your lunch voucher here!)

• Exhibit Hall concessions are available daily from 11 AM-2 PM (Purchase lunch and use your lunch voucher here!)

7. SOCIAL EVENTS INCLUDED IN YOUR REGISTRATION

Make plans to attend the social events included in your registration.

7. SOCIAL EVENTS INCLUDED IN YOUR REGISTRATION

Thurs., June 20

Make plans to attend the social events included in your registration. Thurs., June 20

• Welcome Cocktail Reception – 4-6 PM (a drink ticket for this event will be loaded on your badge)

• LIVE! at FDC Party*– 8-11 PM

• Guitarist in Wreckers – 10 PM-1 AM

• Welcome Cocktail Reception – 4-6 PM (a drink ticket for this event will be loaded on your badge)

• LIVE! at FDC Party*– 8-11 PM

Fri., June 21

• Guitarist in Wreckers – 10 PM-1 AM Fri., June 21

• Puppy Cuddle Break – 3-5:45 PM

• Alumni Receptions – 5-7 PM

• Puppy Cuddle Break – 3-5:45 PM

• Jurassic Party* – 7:30-10:30 PM

• Alumni Receptions – 5-7 PM

• The After Party – 10 PM-12 AM

• Jurassic Party* – 7:30-10:30 PM

* Events are not included in the free “Exhibit Hall Only” registration.

• The After Party – 10 PM-12 AM

8. ATTENDEE LUNCH VOUCHERS

* Events are not included in the free “Exhibit Hall Only” registration.

8. ATTENDEE LUNCH VOUCHERS

If you have purchased a Thursday morning and afternoon course or have signed up to be a speaker host, you will receive a $25 lunch voucher for Exhibit Hall concessions. Vouchers can be used in the Exhibit Hall on Thursday through Saturday, 11 AM-2 PM.

Your lunch voucher will be automatically loaded onto your badge. Just tap and go during checkout to use.

9. CE VERIFICATION/REPORTING

If you have purchased a Thursday morning and afternoon course or have signed up to be a speaker host, you will receive a $25 lunch voucher for Exhibit Hall concessions. Vouchers can be used in the Exhibit Hall on Thursday through Saturday, 11 AM-2 PM. Your lunch voucher will be automatically loaded onto your badge. Just tap and go during checkout to use.

9. CE VERIFICATION/REPORTING

• Per the Florida Board of Dentistry, you must be present in a course 50 of 60 minutes to receive 1 hour of CE credit. Your badge will be scanned when you enter and exit a course to calculate your hours attended.

• Per the Florida Board of Dentistry, you must be present in a course 50 of 60 minutes to receive 1 hour of CE credit. Your badge will be scanned when you enter and exit a course to calculate your hours attended.

• Your CE certificate will be emailed to you on Monday, June 24 . CE certificate printing stations will be available on-site Thursday and Friday, 9 AM-6 PM and Saturday, 9 AM-5:30 PM.

• Your CE certificate will be emailed to you on Monday, June 24 . CE certificate printing stations will be available on-site Thursday and Friday, 9 AM-6 PM and Saturday, 9 AM-5:30 PM.

• CE credit will be reported to CE Broker for all Florida-licensed attendees by July 20, 2024.

10.

• CE credit will be reported to CE Broker for all Florida-licensed attendees by July 20, 2024.

GET

STEP-BY-STEP DIRECTIONS AT THE GAYLORD PALMS

Need help navigating to your FDC courses at the Gaylord Palms?

10. GET STEP-BY-STEP DIRECTIONS AT THE GAYLORD PALMS

Download the “Gaylord Hotels” app in the Apple App store or Google Play upon arriving at FDC.

Select the hotel “Gaylord Palms” and then click “Find My Way” to have the app access your location and give you step-by-step navigation to your courses.

Need help navigating to your FDC courses at the Gaylord Palms? Download the “Gaylord Hotels” app in the Apple App store or Google Play upon arriving at FDC. Select the hotel “Gaylord Palms” and then click “Find My Way” to have the app access your location and give you step-by-step navigation to your courses.

dental benefits spotlight

It's You, Not Me ...

By Bertram J. Hughes, DMD

Breaking up with an insurance company as a provider is not always the easiest thing to do. From low reimbursement to administrative burdens, patient care through the insurance market has presented challenges. When considering going “out of network,” many concerns and individual factors must be considered. Obviously, one of the most important factors to be weighed is the financial impact on your practice. Understanding that ending your relationship with the insurance carrier does not mean you must end your relationship with the patients you serve who rely on these benefits. Before making any decision, the provider should review their contract and consider retaining an attorney to decipher the disenrollment language. Another suggestion would be to determine what patients would potentially be affected and begin an education campaign so that they have potential “buy-in” of the practice decision. As more third-party payers have entered the marketplace with evermore intricate benefit programs, it is important to help your patients understand how important the doctor-patient relationship is in providing

Before making any decision, the provider should review their contract and consider retaining an attorney to decipher the disenrollment language.

the highest quality care possible. The American Dental Association (ADA) has specific tool kits designed to help the private practicing dentist better understand the key steps in ending your relationship with a dental benefit carrier. In addition, the Florida Dental Association’s (FDA) Chief Legal Officer Casey Stoutamire can help answer questions if you are considering going out of network. However, if you choose to approach this decision, a good rule of thumb is to try to remain patient centric, ensuring that the health needs of the patient are prioritized.

Dr. Bert Hughes is the FDA’s representative on the ADA Council on Dental Benefits program and can be reached at berthughes@me.com.

Experience FDC With Me

By ArNelle Wright, DMD, MS

High fives and hugs. Laughter and learning.

Exhibitors and entertainment.

This is what I cherish about the Florida Dental Convention (FDC).

I remember the first time I attended FDC. I was a dental student who had never experienced anything like our annual meeting. It was overwhelm-

ing in all the best ways. Dental students from other schools throughout the state were present, and the emphasis about organized dentistry taught by my faculty members finally made sense. As I explored the Gaylord Palms, I saw my future colleagues engaged in rich conversation with their peers, heading in and out of classes to improve themselves from every angle and taking what I now know to be a much-needed break.

I realized early on that FDC isn’t just about continuing education (CE), although that’s a common thought, and I’ll bet it’s the aspect that’s sought after the most. FDC brings people together, and not just people from the state of Florida. Doctors and their dental teams often travel across the country, as attending our annual meeting is part of their yearly schedule.

Whether it’s solely for CE, team adventure, family vacation or reuniting with beloved colleagues, FDC helps dental teams check several boxes that make us better clinicians, friends, instructors and team leaders.

From a Wellness Standpoint

Most people never think of the conference in their profession as an opportunity to recharge. This could be due to limited on-site events that encourage rest or the mindset of attendees to do more and keep going before the work week rolls around again. However, FDC not only encourages registrants to prepare for a wellness check, but the planning team also includes various options to take advantage of. From morning yoga on the lawn to puppy breaks in the exhibit hall and nightly social events, when you attend our state meeting, you can expect to return supercharged on your first day back in the dental office. Now, one may question how social events count towards our well-being, and to that, I’d share this friendly reminder, “All work and no play makes Jack a dull boy.”

As a Growing Clinician

Lifelong learning is a principle attached to the dental profession, especially if you plan to evolve as new developments become available. As you register for the meeting, you may wonder about the best courses to take and the process to finalize the daily schedule. The best advice I have is to reflect on where you are in your professional journey. Are you in dental school? Are you an early career (new) dentist? Are you ready to elevate your skills and add more complicated procedures to your suite of services? Are you in transition as it relates to your practice modality? The most important question you can ask and answer is, what do you need? Despite your response, FDC hosts a variety of courses, workshops and even mini-residencies for those in the dental profession to grow to the next level and refine the skills they already have.

As a Dental Leader

Being strong in clinical dentistry is one thing; however, the treatment rarely begins without the team handoff. Dentists are leaders of themselves first, in the community for their patients and, most importantly, their teams. When browsing the course schedule, assigning practice management, communication and administration courses to the auxiliary staff hired for those positions is easy. However, a certain level of non-clinical understanding is critical for the dentist at the helm, and these less appealing subjects are low-hanging fruit available to

Our state meeting is one that’s revered by dental associations and individuals across the country. This year you can expect to leave with a fresh perspective and new resources to design a future to admire.

close such knowledge gaps. Outside of official courses and workshops addressing leadership, keynote sessions are available to inform and calibrate the entire team around the importance of leadership, personal growth and teamwork.

Starting with a reflective mindset will help you find the courses to support where you are personally and professionally, while teaching you to build the skills you and your patients so desperately need. Our state meeting is one that’s revered by dental associations and individuals across the country. This year you can expect to leave with a fresh perspective and new resources to design a future to admire.

Dr. ArNelle Wright is the FDA’s 17th District Alternate Delegate to the ADA and can be reached at arnellewrightdmd@gmail.com

Photo captions:

1. (L to R) Executive Director of the ADA Ray Colhmia, ADA 17th District Trustee Dr. Rudy Liddell, Dr. ArNelle Wright, FDA Executive Director Drew Eason and ADA Past President and FDA Past President Dr. Ceaser Sabates attend FDC2022.

2. Dr. Wright and her son take a puppy break at FDC2023.

3. FDA Past President Dr. Jolene Paramore, Dr. Sabates and Dr. Wright attend FDC2022.

news@FDA

FDA New Dentist Task Force

2024 Hurricane Guide

The Florida Dental Association (FDA) New Dentist Task Force is spearheading efforts to enhance engagement with new dentists* and the FDA. Chaired by Dr. ArNelle Wright and consisting of a representative from each component, the task force will work with the FDA Board of Trustees and other leaders to convey the needs and concerns of new dentists. (Top L-R) Drs. ArNelle Wright, Lauren Andrade and Abelardo Daya Attie. (Bottom L-R) Drs. Patrick Fitzgerald, James Nguyen, Jasmine Shafagh and Ashley Wagler.

*A new dentist is a dentist who graduated from dental school fewer than 10 years ago.

It is almost hurricane season, and having the proper insurance in place is vital. Please call or text FDA Services (FDAS) at 850.681.2996 to have an agent review your current office insurance policy limits due to inflation and remember to ask for a separate flood insurance proposal. Flood insurance is not included in the office insurance policy; FDAS recommends it for all practice owners. Go to bit.ly/4a9CUy8 to view the 2024 Hurricane Guide.

FDA Launches Jumpstart Initiative to Utilize Pre-Dental Students in Solving Workforce Challenges

In an effort to contribute solutions to the workforce challenges faced by Florida dentists, the FDA has implemented Jumpstart. Jumpstart is an initiative to connect pre-dental students interested in volunteering or working with dental offices in need of staff. The brainchild of FDA President Dr. Beatriz E. Terry, Jumpstart is a new tool exclusively offered to FDA members.

Of course, areas near colleges and dental schools may have the most demand; however, students often travel

to other parts of the state for summer or other breaks. The best way for dentists to know is to take a look at the Jumpstart directory at bit.ly/3UPgdKW and contact students to start a dialogue. The idea is to transform students’ enthusiasm to experience while providing a needed service for dentists.

Interested students are still being encouraged to register at floridadental.org/jumpstart so the directory may continue to grow. Dentists who have staffing opportunities should look through the directory to see if there are any students who fit their needs. Some students may be looking for community service hours and others may be interested in shadowing or paid employment; they may also have differing hours or days of availability. While we acknowledge this may not be a solution for all, it is a first step in connecting interested parties and hope to build out the program with networking and educational components.

Beware of Scammers: Mailing Lists and Hotel Rooms

Many of you have received emails from scammers trying to sell you the FDA/Florida Dental Convention (FDC) mailing list or getting you to book a hotel room directly with them. Some have even gotten as bold as to spoof

our logo. The Federal Trade Commission (FTC) is cracking down on these types of scams, and as of April 16, the new FTC rule went into effect that now allows us to report them, whereas before, we had no recourse.

Going forward, impersonation scams, such as hotel reservation scams and email list sale scams, can be reported to the FTC here: reportfraud.ftc.gov/#/. We encourage you to report.

FBI States Dental Practices at Heightened Risk of Cyberattacks

The Federal Bureau of Investigation (FBI) has issued a warning about a credible cybersecurity threat against dental practices; the most immediate targets appear to be oral and maxillofacial practices but the FBI is concerned that practices of general dentists and other specialists may be targeted next. Now is the time to educate yourself and your staff members about the critical importance of cybersecurity and to consider insurance coverage.

Cybercriminals use email phishing, text messaging, bogus phone calls and social media programs as tools to deploy malware on computers, phones and tablets to gain access to data they steal and extort for a ransom payment. This could be personal information or, on work machines, patients’ protected health information.

In addition to prevention, it is important for dental practices to have a comprehensive cyber liability policy in place. FDA Services (FDAS) recommends Coalition Insurance, a specialty carrier with an A rating, recognized for its focus on cybersecurity. Coalition policies are designed to not only respond to incidents but also provide proactive tools to prevent them. Get a quick quote from Coalition at affinity.coalitioninc.com/fda/cyber or easily call or text FDAS at 850.681.2996 to learn more.

Updated Licensure Experience for Health Care Practitioners

The Florida Department of Health’s (DOH) Division of Medical Quality Assurance (MQA) reminds you of the updated licensing expe-

rience for health care practitioners. Since mid-2023, electronic licenses (e-license) have replaced the current practice of printing and mailing paper-based licenses.

Combining the growing health care workforce and the use of mobile devices, it is critical that MQA continues to develop innovative strategies to meet the needs of practitioners and streamline access to key documents that provide credibility to entering the workforce. e-Licensing demonstrates the commitment of the DOH to expedite licensure and verification processes so that health care practitioners can get to work quickly and continue working through successful licensure renewal cycles without interruption.

To learn more, please visit bit.ly/4bduneL.

ADA Now Providing Mayo Clinic's Well-being Index Free to Members

As dental professionals, there’s an obligation to take care of patients. However, you also must take care of yourself physically and mentally. The FDA is excited to share that the American Dental Association (ADA) is now offering the Mayo Clinic’s Well-being Index free to all members. In just under a minute, you will be able to assess your well-being and access resources tailored to your needs. Visit ada.org to get started today.

Welcome New FDA Members

Learn more by visiting our virtual Member Center at floridadental.org

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. Ana Bernard, Lighthouse Point

Dr. Blair Cohen, Boca Raton

Dr. Camila Diaz, Boca Raton

Dr. Margaret Farrell, Delray Beach

Dr. Kathryn Gorczyca, West Palm Beach

Dr. Joseph Khawand, West Palm Beach

Dr. Rinkle Kundaria, Palm Beach Gardens

Dr. Amir-Eldin Omar, Vero Beach

Dr. Katherine Paulett, Jupiter

Dr. Ralph Pierre, Palm Beach Gardens

Dr. Peter Rivera, Wellington

Dr. Riya Walia, Fort Lauderdale

Central Florida District Dental Association

Dr. Drake Allen, Gainesville

Dr. Muneera Almedaires, Gainesville

Dr. Bijal Amin, Gotha

Dr. Ghasseem Ansari, Gainesville

Dr. Marina Awad, Rockledge

Dr. William Carter III, Ocala

Dr. Mallory Garshnick, Ocala

Dr. Carmen Guerra, Deer Island

Dr. Hyunjung Hwang, New Smyrna Beach

Dr. Amalou Lim, Melbourne

Dr. Yaseen Makhzan, Lake Mary

Dr. Matthew McLeod, Orlando

Dr. Bradley Prast, Longwood

Dr. Syed Qadir, Orlando

Dr. Mirna Rezkalla, Winter Park

Dr. Marangely Ruiz Medina, South Daytona

Dr. Cristina Sanchez, Gainesville

Dr. Mohamed Shawi, Port Saint John

Dr. Yvonne Sidawi, Orlando

Dr. Addi Yin, Gainesville

Northeast District Dental Association

Dr. Jack Bansbach, Jacksonville

Dr. Ina Han, Jacksonville

Northwest District Dental Association

Dr. Andrea Jones, Tallahassee

South Florida District Dental Association

Dr. Faisal Abu-Saleh, Miramar

Dr. Jose Araujo Marquez, Miami

Dr. Emmanuel Courchia, Bay Harbor Islands

Dr. Madelaine Fajardo Bechara, Coral Gables

Dr. Andee Goldstein, Davie

Dr. Adriana Hernandez, Hialeah

Dr. Robert Lemberg, Sunny Isles Beach

Dr. Christopher Mariani, Miami

Dr. Niravkumar Patel, Key Largo

Dr. Vidhi Patel, Miami

Dr. Sabrina Salgueiro, Coral Gables

West Coast Dental Association

Dr. Hiba Abdulhadi, Wesley Chapel

Dr. Dante Amelotti, Apollo Beach

Dr. Don Dau, Tampa

Dr. Michael DeLuke, Naples

Dr. Douglas Edwards, Tampa

Dr. Andrew Farahat, Tampa

Dr. Adam Gray, Tampa

Dr. Melinda Lian, Clermont

Dr. Sebastian Ocampo, St. Petersburg

Dr. Alia Osseiran, Port Charlotte

Dr. Shruti Pandhi, Wesley Chapel

Dr. Angelo Pereira, Zephyrhills

Dr. Ian Turchan, Naples

Dr. Katherine Velasco, Clearwater

Dr. Nicole Viola, Tampa

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

James Guttuso

Delray Beach

Died: 3/18/24

Age: 90

Where in the World is Today’s FDA?

Thank you, Dr. Paul Miller, for taking Today’s FDA to Vietnam.

Do you have vacation plans year? On your next trip, take a copy of Today’s FDA with you, take a photo and send it to jrunyan@floridadental.org to see it featured in an upcoming issue.

Where will Today’s FDA venture next?

Remembering Dr. Gerald Harrison

Florida Dental Association (FDA) Past President Dr. Gerald (Jerry) Harrison died on April 2, 2024. Upon graduating from Emory University College of Dentistry, Dr. Harrison entered the dentistry profession as a general dentist, practicing until he was 87 years old. During his career, Dr. Harrison became an active member of the FDA, where he held virtually every leadership position throughout the 1990s — including serving as the association’s 111th president from 1994 to 1995.

Because of his significant leadership and contributions, Dr. Harrison was able to leave lasting changes that have improved the recruitment, retention and professional development of Florida dentists, resulting in improved care for millions of patients across Florida. This included furthering the development of FDA programs vital to dentistry’s success — such as Project: Dentists Care and the Independent Dental Education for Assistants. In his own words, he previously stated that when people look back at his presidency, he wanted to be remembered mostly for his unselfishness and willingness to get things done.

Aside from his love of dentistry, Dr. Harrison’s love for his family was even greater. He was a proud and devoted father and grandfather. His children describe Dr. Harrison’s life as “defined by daily hard work, constant achievements and accomplishments and earning one’s own way.” The FDA sends its sincerest condolences to Dr. Harrison’s family and friends.

THANK YOU, FDA SERVICES! FOR CONTRIBUTING MORE THAN $16 MILLION TO ORGANIZED DENTISTRY IN THE PAST 10 YEARS!

dental equipment financing

Staying Ahead of the Curve: Benefits of Dental Equipment Financing

By Bank of America Practice Solutions

Southeast Regional Executive Jonathan Burns

The world of dentistry is constantly evolving, with new technologies and advancements emerging rapidly. While these innovations hold immense potential for improving patient care and practice efficiency, acquiring the latest equipment can often come with a sizeable price tag. Dental equipment financing can offer a strategic solution for dentists to bridge the gap between financial limitations and technological advancements.

One of the primary benefits of dental equipment financing is its ability to preserve working capital. By spreading the cost of equipment over a set period through monthly payments, dentists can avoid depleting their cash reserves.

This allows them to invest in other crucial areas of their practice, such as marketing, staff training or even expanding their service offerings.

Furthermore, financing enables access to cutting-edge technology. With the rapid evolution of dental equipment, staying ahead of the curve is crucial for offering patients the best possible care and attracting new clients. With financing, dentists can acquire the latest advancements without waiting years to save for the total purchase price.

Finally, financing can be a flexible and accessible option for dentists in all stages of their careers. Whether a recent graduate is setting up a new practice, an established dentist is looking to upgrade existing equipment, or someone is seeking to expand their service offerings, financing programs cater to diverse needs. By strategically utilizing equipment financing, dentists can effectively bridge the gap between financial limitations and technological advancements, ultimately leading to improved patient care, increased practice efficiency and long-term success.

Jonathan Burns can be reached at jonathan.burns@bofa.com. Bank of America and the Bank of America logo are registered trademarks of Bank of America Corporation. ©2024 Bank of America Corporation.

By spreading the cost of equipment over a set period through monthly payments, dentists can avoid depleting their cash reserves.

Intraoral Scanners and Accessories

By TDSC.com

Digital dentistry has become a reliable and outstanding alternative to the traditional dental practice. The development of intraoral scanners allows dentists to improve their workflow and patient satisfaction.

Although many brands are available on the market, we ensure that you receive only high-quality equipment at The Dentists Supply Company (TDSC). For this reason, we offer the Medit Intraoral Scanner series, the perfect solution for every dentist who wants to upgrade their practice. In this article, we will

talk about intraoral scanners and end-to-end procedures involving them.

Medit Intraoral Scanners

Medit is a company that specializes in intraoral scanners and computer-aided design (CAD) – computer-aided manufacturing (CAM) solutions. Their technology provides accurate 3D measurements that ensure treatment success.

Unlike most brands, the high-end technology inside these scanners allows dentists to connect to the comput-

Intraoral scanners allow dentists to mill their restorations, such as crowns and inlay/onlays, in the office without requiring a dental lab. This advantage improves the workflow drastically as the patient does not need to wait several days for the restoration.

er wirelessly or to use a single delivery cable while having modern scanner features.

At TDSC.com, we offer the following Medit Intraoral Scanners:

• Medit i600: bit.ly/44sf539

The Medit i600 scanning frame is 35 fps. It is equipped with adapting anti-fogging technology to ensure high-quality scans. It is also lightweight and easy to handle. Its tip can withstand 100 autoclave cycles. Furthermore, you can upgrade your set by buying a specialized tip that withstands up to 150 cycles.

• Medit i700: bit.ly/4aY8xfc

The Medit i700 has an enhanced scanning frame of 70 fps, making it ideal for most situations. It also features the same adaptive anti-fogging technology. Likewise, its standard tip can withstand 150 autoclave cycles.

• Medit i700 (wireless): bit.ly/4a9FyUE

The Medit i700’s wireless version has the same power as its regular counterpart. However, it does not need to be plugged into the computer via cable, reducing the number of items necessary for a scan.

Improved Workflow and In-office Solutions for Patients

Intraoral scanners allow dentists to mill their restorations, such as crowns and inlay/onlays, in the office without requiring a dental lab. This advantage improves the workflow drastically as the patient does not need to wait several days for the restoration.

The dentist simply needs to perform an intraoral scan and process it using specialized software. Afterward, the dentist can design the restoration digitally and mill it on a machine.

Additionally, it is possible to print a 3D model of the scan using a specialized resin. This procedure allows the dentist to obtain a physical model of the patient’s mouth without the need for putty and a cast. Furthermore, the professional can also make retainers, clear aligners and mouthguards using this technology.

Fortunately, we offer you all the dental supplies needed for this on TDSC.com.

Authorized Source for Trusted Brands

When buying dental supplies, it is highly recommended that you do so from an authorized source for trusted brands. Brands with a long successful trajectory, such as Dentsply Sirona, Kerr, 3M ESPE and Henry Schein, can guarantee the quality of their products.

At TDSC, you can find all these high-quality brands and more. Furthermore, we offer next-day delivery for most in-stock items and free shipping on orders above $99.

Contact us at 888.253.1223 or visit our website at www.tdsc.com and improve your dental practice with high-quality equipment.

Comparing Intraoral Scanners in Pre-doctoral Education: A Student Perspective

By Panagiotis Zoidis DDS, MS, PhD, FICD; Georgios Kouveliotis DDS, MS; Mateus Rocha DDS, MS, PhD; Dayane Oliveira DDS, MS, PhD; Margeaux Johnson, MLS; Sherif Hosney BDS, MS, FACP

Intraoral scanning (IOS) and CAD-CAM technology have become integral to pre-doctoral dental education. However, selecting and purchasing an IOS system upon graduation is a difficult decision and a substantial investment without previous hands-on experience with these systems.

To assist in this decision, three IOS systems were evaluated by 15 students enrolled in a digital dentistry elective course at the University of Florida College of Dentistry (UFCD) and hands-on sessions were completed for each. The students were asked to assess their learning outcomes and system preferences in digital workflow, ease of use, organization and user-friendliness through a qualitative narrative and quantitatively, using a five-item survey.

The IOS systems included Emerald S (Planmeca), Cerec Primescan (Dentsply Sirona) and Trios 3 (3Shape). Students were asked to scan a full arch maxillary and mandibular arch and a bite scan according to the manufacturer’s suggested scanning patterns (Figs. 1, 2, 3).

Students evaluated the systems on validated measures for technology adoption, including performance, ease of use, social influence, system compatibility assistance, support and behavioral intention on a scale of one to five.

Performance expectancy: Trios stands out as the fastest scanner and the most capable for full arch scanning. Cerec and Planmeca showed comparable performance with Cerec acquiring a broader range of opinions.

Ease of use: Trios was rated the easiest to use, learn and master the suggested scanning protocol. The students in this category appreciated Cerec and Planmeca equally.

Social influence: Social trends and encouragement suggest using Trios for full arch scanning and extensive prosthodontic rehabilitation, followed by the Cerec system, whereas Planmeca is more suggested for quadrant dentistry and 3-unit Fixed Dental Prostheses.

Compatibility and support: All systems showed good support and available resources. However, Planmeca and Cerec’s findings suggest a better student perception of assistance, support and compatibility with existing workflows.

Behavioral intention: Planmeca users showed a strong intention to continue with the system once they graduate, followed by Cerec users, while Trios users showed less commitment towards future use.

Trios is highly appreciated for its performance, ease of use and social endorsement. Planmeca, while slightly trailing in social influence and performance expectancy, shows strong future use intentions among its current users. Cerec occupies a middle ground, with solid performance and facilitating conditions but more variability in user intentions and social influence perceptions.

Dr. Zoidis

Fig. 1. Trios 3 Scanner

Fig. 2. Emerald S

Fig. 3. Cerec Primescan

The lower performance of Trios on compatibility, support and behavioral intention resulted from the recent addition of this scanner to our college’s IOS armamentarium. Planmeca Emerald S was already a part of our preclinical education (used in our Aesthe-Tec Clinic). In contrast, Cerec Primescan was used in our graduate prosthodontics program, where our students were exposed to both IOS systems.

UFCD Digital Center

In the summer of 2023, the UFCD Digital Center (3Shape technology) was created in addition to our existing Aesthe-Tec Clinic (Planmeca technology) to enhance the digital laboratory and clinical education of our pre-doctoral students and to provide CAD-CAM restorations for our patients. This state-of-the-art digital center brings together multiple hardware and software technologies and devices, being home to 25 Trios five scanners (3Shape) (Fig. 4), four Tabletop E4 Scanners (3Shape), two Programil 7 milling machines (Ivoclar) (Fig.6), and three 3-D printers (two Sprintray and one Formlabs 3BL).

two IOS systems for pre-doctoral education and the first in the U.S. to acquire the state-of-the-art Trios 5 intraoral scanner.

Clinical Professor and Associate Dean for Clinical Affairs and Quality Assurance for the Department of Restorative Dental Sciences at UFCD, Dr. Panagiotis Zoidis can be reached at pzoidis@dental.ufl.edu

Clinical Assistant Professor and Director of Digital Center for the Department of Restorative Dental Sciences at UFCD, Dr. Georgios Kouveliotis, can be reached at gkouveliotis@dental.ufl.edu.

Clinical Assistant Professor for the Center for Dental Biomaterials in the Department of Restorative Dental Sciences at UFCD, Dr. Mateus Rocha, can be reached at mrocha@dental.ufl.edu.

Our students will scan in our pre-doctoral clinics and design the restorations in the digital center (Fig. 5) under faculty guidance and supervision. The option of milling or 3-D printing their restoration will be case-based (Figs. 6,7,8).

UFCD is one of the few dental colleges offering

Clinical Assistant Professor for the Center for Dental Biomaterials in the Department of Restorative Dental Sciences at UFCD, Dr. Dayane Oliveria, can be reached at doliveira@dental.ufl.edu.

Margeaux Johnson is an IT Analyst II at the Learning Innovation Technologies, Center for Instructional Technology & Training, UFIT at UF and can be reached at margeaux@ufl.edu.

Clinical Assistant Professor and Director of Graduate Prosthodontics for the Department of Restorative Dental Sciences at UFCD, Dr. Sherif Hosney, can be reached at shosney@dental.ufl. edu

Fig. 4. Trios 5 scanners

Fig. 5. UFCD Digital Laboratory

Fig. 6. Ivoclar PM7 Mills

Fig. 7. Spintray and Formlabs 3D Printers

Fig. 8. Milling and 3D printing by pre-doctoral students.

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Can a Digital Scanner be More Than a Scanner?

By Jennifer Bell, DDS, FAGD

A scanner is a scanner is a scanner, RIGHT? Well, in some ways, that might be true, but my personal experience has proven that they can be so much more to your practice. Our office has had scanners since 2015, when we started with a closed scanning and in-house milling system. The system worked well for our in-house fabrication, but we had challenges when sending it to laboratories. Out of that frustration, we bought our first iTero in 2018. We wanted an open system scanner that most laboratories in the country were comfortable with and, quite frankly, seemed to prefer receiving. And, wouldn’t you know, our deliverables became more predictable when we started sending iTero scans to our local laboratory for fixed prosthetics.

At the time, I did not know how valuable the scanner would become to our daily practice of dentistry. Yes, it can do incredible restorative scans that can be used for both in-house and outsourced restorative care, but its role in patient education was unexpected. Our iTero 5D Plus is now an integral part of our conversations with patients to help them understand or visualize their current clinical conditions. Of course, we still use the iTero scanner for traditional uses like removable implants, direct and indirect restorative and orthodontics. However, we also deploy

I did not know how valuable the scanner would become to our daily practice of dentistry. Yes, it can do incredible restorative scans that can be used for both in-house and outsourced restorative care, but its role in patient education was unexpected.

it quite frequently in diagnosis, treatment planning, patient education, caries diagnostic support and patient record keeping.

In less than five minutes, I can capture the same amount of information that would have previously required mounted diagnostic casts, extraoral and intraoral photographs and radiography to document a case equally. Enhanced, more detailed visualizations with wider viewing angles provide an unmatched patient experience. The integrated intraoral camera eliminates the need for a second device while enhancing patient experience and communication. Near-infrared technology (NIRI) aids in diagnosing and monitoring interproximal carious lesions above the gingiva. The Align Oral Health Suite is a comprehensive digital suite that provides an innovative clinical framework to empower engaging oral health conversations, helping to build patient understanding, trust and treatment acceptance.

The most advanced iTero intraoral scanner yet, the iTero Lumina™ scanner with iTero Multi-Direct Capture™ (MDC) technology, pushes the boundaries of what intraoral scanners can do and sets the new

standard for practice performance. Our office has really enjoyed the wand’s small footprint and the ability to scan without a strict protocol. This newfound flexibility of the no-scanning protocol with the iTero Lumina has allowed the non-scanners in my office to pick up the technology successfully and become scanners faster.

So yes, in some ways, a scanner is a scanner, but for my office, I want to invest in technology that will be an integral part of our everyday practice. The multifaceted uses of the iTero in my office allow us to truly maximize our return on investment on these big purchases. For us, the iTero scanning ecosystem is best positioned to take us to the next level of clinical dentistry.

A native North Carolinian, Dr. Jennifer Bell earned her undergraduate and doctoral degrees at the University of North Carolina at Chapel Hill. She currently runs two practices in the Raleigh area where she practices full-time. Dr. Bell is a graduate of the Kois Continuum and a fellow in the Academy of General Dentistry, Pierre Fauchard Academy and the International College of Dentists. As an active member of the Academy of General Dentistry, Dr. Bell serves on the Dental Practice Council and

2.

Photos:

1.iTero Plus Series scanner

2. iTero Lumina scanner

as a national spokesperson. She currently is an educator and product evaluator for several companies while also serving on their North America GP advisory board for Align Technology, Inc. When not practicing dentistry, Dr. Bell is busy raising three kids with her husband, Brian. Dr Bell can be reached at jenniferbelldds.com

Why Buy a Scanner When You Can Get the Best for Free?

Dandy, the leading 100% digital lab, offers a 3Shape TRIOS for free to practices who work with them.

By Head of Content at Dandy Rocky Rakovic

First, let’s get to your question: “What is the catch of Dandy’s free intraoral scanner program?” It is simply a nominal monthly lab spend with Dandy. Second question: “How much is baked into each dental lab product?”

Our prices are highly competitive with other top dental labs, and in some product lines, we beat them. We are in no way the least expensive all-around option — cheap dental work doesn’t provide your patients with the quality of life they deserve.

The lab work is only going to be as good as the impression; by giving our partner practices the best edentulous scanner, we are setting us both up for the ideal patient outcome. Dandy’s Research and Development (R&D) team has tested and continues to retest more than 50 intraoral scanners on the market and found that the

3Shape TRIOS line is the Goldilocks. “It is an incredibly versatile scanner — can be used for dentures, standard, crown, bridge, multiple-unit implant cases and more,” says head of Dandy research and development Kenn Butler.

Along with its edentulous prowess, the Dandy team has found the 3Shape TRIOS line to be best-in-class for patient comfort, image capture, ease of use, accuracy and efficiency. “When it comes to image capture and image speed, a TRIOS is second to none,” says Butler.

Most of Dandy’s thousands of dental practice partners utilize the gold-standard 3Shape TRIOS 3. However, we

The lab work is only going to be as good as the impression; by giving our partner practices the best edentulous scanner, we are setting us both up for the ideal patient outcome.

have just begun to offer the new TRIOS 5 — for a higher monthly lab spend — to those interested in a wireless scanner.

The perks don’t stop at the tool. Dandy also provides for free: a laptop for the scanner, continuing education-credited training, digital dentistry software, approval of the lab product’s design before our world-class lab begins design and immediate clinical support ... while the patient is still in your chair.

Again, the aim is to provide predictable and incredible patient outcomes while allowing dental practices to adopt and go further with digital dentistry.

“Going 100% digital forces you to get the hang of good digital scanning,” says Dr. Chantal Botros of Optima Dental in Kirkland, WA. “Then you reap the benefits of faster turnaround times, faster outcomes and happier patients.”

“Dandy is your perfect guide to the digital dental world,” says Dr. Brigitte White of BrightWhites in Alexandria, VA.

“If you’re new to scanning, it will make your workflow more efficient, and if you’re simply looking for ways to grow your business, Dandy’s interactive tools will impress your patients and inspire your team.”

Dandy’s lab offers a large portfolio of dental products such as crowns, bridges, implants, night guards, clear aligners, sleep apnea devices and dentures. We’ll train you and your staff on any of our revolutionary digital workflows so you can add treatments to your practice or take advantage of streamlined 2-Appointment Dentures.

“Dandy has allowed us to cut down chair time by 1520%,” says Dr. Ashley Ciapciak of Brede Ciapciak Dental in Needham, MA. “Now I can see four more patients in my day because I can scan in about a minute.”

If you are interested in a free 3Shape TRIOS scanner by working with Dandy’s digital workflows and lab please visit meetdandy. com or contact sales@meetdandy.com

2. The 3Shape TRIOS 5 is wireless for practice portability.

3. The 3Shape TRIOS 3 paired with Dandy's intuitive portal.

Photos:

1. 3Shape TRIOS 5 scanner - free with Dandy.

Scanning Versus a Good First Impression

By Saimon A . Ramos, DMD, FAGD

Scanners have become very popular in dental offices and can make our lives easier and help us achieve predictable results when appropriately used. Scanners today are accurate, fast and easy to use. Your restorations should fit just as well when you scan. However, this will only be the case if you can produce an accurate scan. To do this, you will need to change your technique slightly when scanning. This short article aims to give you some simple tips to help you achieve predictable scans, regardless of which scanner you use.

Scanners depend on light to capture an image; when your margin is supragingival, you should have no problems capturing it. However, the challenge is when your margin is equigingival or subgingival. You can scan it, but your lab will have difficulty tracing your margin unless you separate it from the soft tissue. You can achieve conventional impression material by packing cord, removing it, and using a light body material. If you try this same technique and remove the cord before scanning, you will not get the same result. This is because the light from your scanner can’t flow into the sulcus. The solution is to pack the cord and leave it in the sulcus during your scan.

If you don’t want to pack the cord and your margin is equigingival or subgingival, a laser can also be a great tool. My preference is still to pack cord; in most cases, I will use the double cord technique. Not packing cord or using a laser will leave your lab guessing where your margin starts and where it ends. I never want to put my lab in that situation, and I will do everything I can to have easily traced margins. Trust me — your lab will love you for that. After packing cord I will use 3M’s Astringent Retraction paste with a Comprecap. The Astringent Retraction paste

not only retracts but also helps with hemostasis. After waiting three minutes, rinse the prep thoroughly and dry it. Be careful not to desiccate your prep and remember to leave the cord in the sulcus during your scan.

Same preps, this time after cord packing, but before Astringent Retraction Paste application.

Scan of preps without any retraction cord. Prep 1 without cord.

Prep 2 without cord.

Prep 1 with cord only.

Prep 2 with cord only.

Remember, when applying the Astringent Retraction Paste pressure is your friend. You’ll get much better retraction when it’s applied this way.

Astringent Retraction Paste.

I find my stress level much lower because of the predictable results we’re achieving. I hope you are as excited about the digital world as I am and that you’ll find these tips helpful.

Same preps after packing two cords and three minutes of Astringent Retraction Paste.

Prep 1 after cord and paste.

It is also important to mention that it is not always necessary to pack two cords; sometimes a single cord will do. Some clinicians prefer to use a single larger cord. As long as the gingiva is separated from your margin, you should get a great scan. You should also consider getting a timer for your operatory. Three minutes is a long time to wait after applying the Astringent Retraction Paste. I will often walk away from the operatory. If I stay in the operatory, I often can’t resist the urge to rinse before time is up.

My final tip is to put patients on Chlorhexidine, for one week before prep day. A four-ounce. bottle of Chlorhexidine can save you a lot of time. It is beneficial with some selected patients. If they were compliant with the Chlorhexidine, I can often pack cord and go right to scanning. Even though it takes me a little extra time to follow these steps, I find it worth my time and look forward to my deliveries. I find my stress level much lower because of the predictable results we’re achieving. I hope you are as excited about the digital world as I am and that you’ll find these tips helpful.

Dr. Saimon A. Ramos is a general dentist and can be reached at saimon.ramos.dmd@gmail.com

Prep 2 after cord and paste.

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Scanners are an Integral Part of Our Landscape

By Mark Kleive, DDS

Intra-oral scanning (IOS) has become an integral part of the landscape in clinical care for the last decade. The demands for this technology will continue to increase and advances will be incorporated into new devices entering the market regularly. My upcoming courses at the Florida Dental Convention (FDC) 2024 will help clarify which companies and products are innovating the digital space regarding functionality, affordability, clinical applications and technology advancements. The content will explore the brands I prefer, why I like them and how they contribute to digital dentistry’s future.

Most scanners on the market have a resolution of around 15 to 50 microns, which is clinically undetectable. Many clinicians get caught up on this now ancillary detail.

First, I’d like to dispel a common myth about accuracy. Most scanners on the market have a resolution of around 15 to 50 microns, which is clinically undetectable. Many clinicians get caught up on this now ancillary detail. There is no standardized method for testing scanner accuracy. Similar to the standard impression, the most common human errors also lead to poor accuracy on a scan. With proper technique, a scanner’s accuracy maintains its integrity.

Initially, consider device cost. IOS options are available at every price point. Quality intra-oral scanners that meet the preferences mentioned without concession can be purchased for under $15,000 and, in some cases, under $12,000.

Another determining factor is device hardware. The device should be adaptable to a variety of hand sizes and maneuvers. Tip heating ensures the device does not fog as the scan is captured. Image capture tips should be adaptable and have size options to accommodate a broader patient demographic.

Software is essential from a clinical perspective. Ideally, the screen should appear uncluttered, with an easy user interface and various applications. Options in the software should account for the multiple applications, including diagnosis, restorative, prosthetic and orthodontic services.

Consider the clinical workflow as a whole. What is the practitioner intending to do with the scan? Will

it be sent to a lab for fabrication or designed and milled or printed in the office? The process should be simple and communicate seamlessly with multiple third-party devices. The software should have the option to export a variety of file types (.stl/ply/obj) and be able to connect to any laboratory to send case files.

File storage is also an important aspect of any IOS purchasing decision. The most common output file type (-.stl -) takes up much space on a standard PC. The ideal solution is a cloud storage platform that is HIPAA compliant with low costs and low maintenance fees.

I encourage thorough research of the manufacturers and how they adapt in the marketplace. Examine the company and how it reinvests

in the dental space and learn from their end users. Can you reach them locally? How is their support? In my experience, it is best to go with a company that can support dental offices locally and collect their valuable feedback for future development.

Dr. Mark Kleive will be presenting the course “Essential Business Systems for Every Dental Practice” (NC01) on Thursday, June 20, “Mastering Dental Photography With Your Smartphone Workshop” (W09 and W18) on Friday, June 21 and “Utilizing 3D Printing and Other Digital Integration in General Dentistry” (C65) and “Making a Great First Impression! Improving Both Digital and Analog Techniques Workshop” (W27) on Saturday, June 22. Learn more and register for these courses at floridadentalconvention. com. Dr. Kelieve can be reached at mark@blackmountaindentist.com.

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Esthetic Crown Lengthening with Osseous Resection Using a 3D Printed Guide

By Guenther Schuldt Filho, DDS, MSc, PhD

Approximately 10% of all periodontal surgical procedures are performed to increase the crown length. The main indications for the crown lengthening surgical procedure include treatment of subgingival caries, crown or root fractures, cervical root resorption, short clinical abutment and altered passive eruption.

The latter is an abnormal development where a large portion of the tooth remains covered by the gingival tissue. This results in an unattractive silhouette form (Fig. 1a and Fig. 1b) by not respecting teeth proportion parameters and is often called a gummy smile (excessive gingival display). Regarded as therapeutic approach to treating gummy smiles, anterior crown

lengthening is described as part of a multidisciplinary (restorative) treatment plan, as shown in this case.

As one of the etiological factors of gummy smiles, altered passive eruption can be classified into two distinct types (I and II). Type I can be subdivided into subcategories A and B. This subclassification depends on the relationship between the bone crest and the cementoenamel junction (CEJ) of the tooth. Our case illustrates the treatment of an altered passive eruption subcategory B (limited distance

between the bone crest and the CEJ). The diagnosis was confirmed by clinical, radiographic findings (Fig. 1c) and cone-beam computerized tomography (CBCT) (Fig. 1d). Specifically, in our case, it was observed that the bone crest was located near (<2mm) to the CEJ (Fig. 1d), which is a precise indication for bone resection.

The rationale of esthetic crown lengthening to correct an altered passive eruption is, in most cases, to keep 3 mm from the CEJ to the bone crest. The aim is to provide space to re-establish the biologic width (e.g. the natural distance between the base of the gingival sulcus and the height of the alveolar bone). Biologic width comes from a classic histologic study, which measured the average dimension of the junctional epithelium (0.97 mm) and connective tissue attachment (1.07 mm) in humans. The integrity of these structures is considered a mandatory step to maintain healthy soft tissues around restorative and prosthetic rehabilitations.

During the surgical procedure, to gain direct access to the bone, a full-thickness facial flap was raised, and the buccal osteotomy was performed using a high-speed bur under copious irrigation. A 3D printed guide (Fig. 1e) was used intraoperatively to orient our primary incision, and for precision in maintaining the 3mm distance from the CEJ to the bone crest. Once the osteotomy was finished, osteoplasty was performed using chisels aiming to remove nonsupporting bone and eliminate any osseous ledges. Vertical mattress sutures (Fig. 2a) were used to approximate partially raised interdental papillae. After 90 days of healing (Fig. 2b), tooth #9 was prepared (Fig. 2c) to receive a direct composite veneer (Fig. 2d). It is

Fig. 2a: Vertical mattress sutures. Fig. 2b: 90 days of healing. Fig. 2c: Tooth #9 preparation. Fig. 2d: Direct composite veneer.

important to mention that tooth bleaching and tooth preparation were only performed after visual analysis that the soft tissues were completely healed (Fig. 2b). As conclusion, the key to successful treatment is case selection, correct diagnosis, selecting the appropriate techniques, maintaining the biologic width, and achieving the visualized final esthetic result.

Photo:

1. Fig. 1a: Preoperative intraoral evaluation of tooth #8 using a Chu gauge to assess tooth proportions. Fig. 1b: Frontal view. Fig. 1c: Periapical x-ray. Fig. 1d: CBCT #8 showing the proximity between bone crest and CEJ. Fig. 1e: 3D printed guide positioned.

Special acknowledgement to Paulo Gabriel Warmling, DDS, MSc for the restorative work.

References available upon request

Dr. Schuldt Filho earned his dental degree, master’s degree and PhD in implant dentistry from the Federal University de Santa Catarina in Brazil. He is a past visiting researcher at the University of Bern in Switzerland. Dr. Schuldt Filho is an associate professor of periodontology at Nova Southeastern University’s Tampa Bay Campus.

Dr. Filho will be presenting the course “Aesthetic Crown Lengthening with Osseous Resection Using a 3D-Printed Surgical Guide” on Thursday, June 20, during the Florida Dental Convention (FDC) in Orlando. This course is free for FDA member dentists. Learn more about his course and register for FDC2024 at floridadentalconvention.com. Dr. Filho can be reached at gschuldt@nova.edu.

Within Normal Limits or a Dangerous Assumption?

By Jo-Anne Jones, RDH

Our professional community was rocked by the passing of a young dentist in 2021. Dr. Manu Dua woke up one morning close to his 33rd birthday with the discovery of a lesion on his tongue. He immediately thought that he had possibly bitten his tongue while asleep. He texted a picture of it to his sister, Dr. Parul Dua, a practic-

ing dentist in New York. She pleaded with him to ‘get it biopsied.’ The lesion persisted for months. Biopsy was delayed as Manu, like many of us in dentistry, felt somewhat immune or invincible to the disease.

“It can't be cancer. I'm too young. I'm a healthy individual with no risk factors.” A dangerous assumption. Dr. Manu Dua, a young man possessing none of the typical etiologic risk factors that bring a person to oral cancer, died from metastatic squa-

Post-op CBCT (left) and verification of unchanged VDO (right)

mous cell carcinoma at the age of 34. His life and wisdom are immortalized in the publishing of his series of blogs entitled “Life Interrupted. Dr. Dua’s Survival Guide.” Manu’s story is an all-too-common event today, with many suspect lesions continuing to be monitored or dismissed.

This isn’t another article focused on oral cancer statistics. It is a life-sustaining and practice-sustaining cautionary advicement accompanied by a strong plea from the American Dental Association (ADA), the Oral Cancer Foundation and countless others to ethically carry out our professional responsibilities.

I challenge you to read on. Your practice may be at risk unknowingly.

Within Normal Limits (WNL)

This is a bold and broad sweeping statement that definitively distinguishes between health and disease and, in some cases, an outcome of life versus death. The responsibility of this statement and the onus to the patient is of grave consequence and may be a very dangerous assumption. Any lesion and/or symptom that persists beyond 14 days always warrants secondary evaluation, whether that is interpreted to mean re-appointing to confirm resolution or referral for further microscopic evaluation. A secondary dangerous assumption is identifying and assuming the patient in your chair to be low risk. The unintentional exclusion of cancer evaluation in younger patients or those who do not possess typical and historical risk factors is leading to delays in diagnosis. In

2019, the ADA announced an expansion to its policy on oral cancer detection, recommending that dentists and dental hygienists perform routine examinations for oral cancer, including oropharyngeal cancer, for all patients. Passed by the ADA House of Delegates, this change was brought about to align with concerns from the Centers for Disease Control and Prevention (CDC) over the escalating numbers of diagnosed cases of oropharyngeal cancer linked to the human papillomavirus (HPV). The ADA’s policy also aligns with support for the HPV vaccine due to the vast majority of oropharyngeal cancers in the U.S. related to HPV, according to the CDC.

We now understand that two distinct etiologic pathways bring most people to a diagnosis of oral and oropharyngeal cancer. The first pathway is through the use of tobacco and alcohol; however, this etiologic pathway has declined by 50% for more than two decades, with HPV-associated oropharyngeal cancer increasing by 225% over the same period. This is the same virus that is responsible for the majority of cervical cancers in women. Oropharyngeal cancer is now considered the most common cancer caused by HPV in the U.S., with nearly 81% of oropharyngeal squamous cell carcinoma cases classified as HPV-associated (between 2007-15).

This growth trajectory continues to escalate, occurring in epidemic proportions. However, observational studies underscore a significant shift in the trajectory of the HPV-associated oropharynx cancer epidemic in the U.S., which retreated from younger individuals to an exaggeration of the epidemic in older individuals. Overall, a continued exponential solid increase is expected in the incidence of oropharyngeal cancer over the next decade. Survival rates have improved; however, this is due to an increase in HPV-related oropharyngeal squamous cell carcinoma, which represents a change in etiology responding more favorably to treatment regiments rather than earlier discovery or improved treatments as a primary cause for improvement.

If your interest in reading further is dwindling, let me elaborate on how screening practices can affect your bottom line. Now we are talking about your business.

Medical and dental litigation is swiftly changing. Both medical and dental malpractice insurance premiums in the U.S. have continued to escalate due to the litigious nature of our society. There has been a significant rise in failure to diagnose and failure to biopsy. Misdiagnosis of oral cancer is the third leading cause of malpractice in dentistry. The frank truth is that if a dentist is found guilty of malpractice for misdiagnosing or failing to diagnose oral cancer, it could lead to bankruptcy. Any clinical suspicion without substantive follow-up is incurring risk for the practice. The stage of disease at diagnosis also will require more extensive treatment options associated with greater health costs and patient morbidity. It is interesting to note the amount of indemnity payment awarded in malpractice litigation correlates with the length of delay in diagnosis. This outcome strongly emphasizes the importance of thorough screening practices to rule out cancer. Something to consider when employing a “watch and wait” management pathway.

Reviews of verdicts were analyzed between 2000-10 and 2011-19. The average adjusted amount awarded between 2000-10 was $1,721,068 compared to $3,925,504 between 2011-19. Failure to diagnose was the most common allegation across both decades. A 2015 review of malpractice cases in head and neck cancer from three U.S. legal databases examined claims and outcomes of malpractice litigation. The outcomes reported reflected the surge in diagnosis and deaths of HPV oropharyngeal cancer and the inherent challenge of identifying early changes in anatomical areas with limited visual acuity. Unfortunately, with this surge, litigation has also increased with judgments exceeding $2 million for misdiagnosis of oral and oropharyngeal cancer.

WNL: Within Normal Limits or We Never Looked?

As mentioned above, litigation from a failure to diagnose has been the most common allegation. Allegations leading to malpractice claims more commonly involved the initial failure to diagnosis rather than any of the complications that were incurred during treatment of the cancer following appropriate diagnosis. This is consistent with findings of delayed diagnosis representing an increase in plaintiff awards. t

A four-minute examination is all that is required of your time to possibly prevent a death. Those few minutes could translate into a lifetime for one of your patients.

The Good News

WNL, or we never looked? The basic requirement for a thorough extraoral and intraoral examination, including oral cancer screening, is annually for all adults; however, it may be required more frequently due to patient-specific risk profiles. Published studies (Horowitz et al. in two studies 10 years apart) show that less than 15-25% of those who visit a dentist regularly report having had an oral cancer screening. We can interpret this data differently by realizing that 75 – 85% of the population is not being screened. This is simply NOT acceptable. We must do better.

The examination itself takes approximately four minutes. There are many resources available online, including videos that depict the examination. Watch the following video at bit.ly/44BHdkz with your dental team to review the extraoral and intraoral examination steps.

Despite our best efforts, the patient has a potential role in delayed diagnosis. Failure to maintain appointments for follow-up or further evaluation due to anxiety or denial can strongly influence the outcome. Thorough notation in the patient record, including action taken supported by extraoral and intraoral photography as applicable, reflects comprehensive recordkeeping. Thorough documentation of patient preferences and decision-making should also be included.

Did you know that more than 90% of all future HPV-attributable cancers can be prevented? The 9-valent Gardasil® vaccine addresses all nine HPV strains that can cause cancer. As dental professionals, we are powerfully situated to relay this information to the public. At present, the vaccine is offered through a school immunization program to male and female students aged 11/12. A two-dose series (0, 6-12 months) for most persons who initiate vaccination at ages nine through 14 years is recommended. The current dosing schedule is a three-dose series (0, 1-2, 6 months) for persons who initiate vaccination at ages 15 through 45 years and for immunocompromised persons.

Some malpractice insurance companies may reduce premiums for users of an adjunctive screening device, VELscope in recognition of the efforts and investment made by a dental practice to truly offer the best possible opportunities for the earliest discovery of a deadly cancer. Finally, a practice's investment in technology to best serve its patient base is being recognized and rewarded. VELscope employs a proprietary wavelength to enable direct fluorescence visualization beyond what can be seen with a traditional white light examination at the mucosal surface. Given that abnormal cellular differentiation begins at the basement membrane, with close to 70% of cancers of the oral cavity discovered in the later stages, the employment of an evidence-based technology such as VELscope holds strong value.

In conclusion, will this be the year you save a life? A four-minute examination is all that is required of your time to possibly prevent a death. Those few minutes could translate into a lifetime for one of your patients.

We can make an impact on earlier discovery of oral and oropharyngeal cancer. Thank you in advance for employing thorough, opportunistic screening on all adults in your patient base. This will save lives and sustain your practice.

Reprinted with permission from “Dentistry Today.” Jones, JD. WNL: Within Normal Limits or a Dangerous Assumption. Dentistry Today Vol. 42; Number 7. September 2023. Available online: dentistrytoday.com/viewpoint-wnl-within-normallimits-or-a-dangerous-assumption/

Ms. Jones is a registered dental hygienist. She is the president of RDH Connection Inc. and she can be reached at jjones@jo-annejones.com

Ms. Jones will be presenting the courses "Xerostomia: Etiology, Evaluation, and Innovative Strategies to Treat" (C73) and "Cleaning Teeth Versus Impacting Lives … It's Your Choice!" (C18) on Thursday, June 20 and "WNL: Within Normal Limits or a Dangerous Assumption?" (C34) and "What's In Your Oral Cancer Screening Toolkit? Workshop" (W21) on Friday, June 21 during the Florida Dental Convention in Orlando. Learn more about her courses and register for FDC2024 at floridadentalconvention. com

References available upon request

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Dental Lifeline Network’s DDS Program Transforms Lives

By Dental Lifeline Network - Florida

For the past 50 years, Dental Lifeline Network (DLN) has provided oral health care to those who cannot afford treatment and desperately need it. Whether a person is medically fragile, has disabilities, or is age 65 or older, through DLN • Florida’s Donated Dental Services (DDS) program, individuals can get the comprehensive dental care they need. Through a network of volunteer dentists and labs, the DLN • Florida program has contributed more than $11 million in donated treatment to more than 2,200 Floridians in need.

The Need

The DDS program transforms the lives of individuals like Cristie, 47, a Pensacola resident. Cristie had rheumatic fever as a child, a rare autoimmune disease, which led to the development of many other health issues including chronic fatigue, rheumatoid arthritis, fibromyalgia, high blood pressure and more.

In addition to her health issues, Cristie’s dental health had significantly deteriorated. She had not been to a dentist in more than 10 years, and most of her teeth were broken or missing. No longer able to work due to her health, Cristie gets by on a disability benefit and was unable to afford the dental treatment she desperately needed. The care she required seemed far beyond her reach, leaving her feeling hopeless and in pain.

The Solution

Thankfully, this all changed when a team of DDS volunteers stepped in and helped. A general dentist, Dr. Andrew Trammell, extracted 22 of Cristie’s teeth and partnered with a volunteer lab to donate a permanent set of full upper and lower dentures.

Thanks to this generous team of volunteers, Cristie received thousands of dollars in donated treatment that restored her oral health and her desire to smile.

Here is what Cristie said about her experience with the program. “Thank you so much. First time I’ve smiled in years. Thank you again for everything. I truly appreciate it all.”

How You Can Help

Currently, hundreds of people like Cristie in Florida are on the waitlist and in desperate need of care. DLN provides an easy way to give back to those who need oral health care.

Sign up

to volunteer by scanning the QR code to

the right and make a difference in the lives of those in need of life-changing and saving dental care.

“The DDS program gives us a unique opportunity that combines the altruism of volunteering with the practical efficiency of being able to deliver care in our own office. It enables us to make a significant impact without stepping away from our practice environment, thus maintaining high levels of productivity and care quality,” said Dr. Trammell when asked about his participation in the DDS program. “This approach maximizes our ability to help and introduces a sustainable model for volunteerism in the dental profession. By treating DDS patients in our

familiar workspace, we can more easily integrate these acts of service into our regular schedules, encouraging broader participation across the dental community.”

Don’t wait! Sign up to be a volunteer by scanning the QR code above or visit WhyIDental.org and make a difference in the lives of countless individuals in need of life-changing dental care.

million

160.4

For detailed methodology and analysis of economic impact for each state visit ADA.org/economicimpact

For more information, visit ADA.org/HPI or contact the Health Policy Institute at hpi@ada.org.

FDA Services has teamed up with Coalition to offer cyber insurance coverage of up to $1 million through their platform. This coverage can help protect your dental practice from the financial impact of a cyber attack.

With FDA Services and Coalition, you can have peace of mind knowing that you have a comprehensive cyber insurance policy that covers the most common and costly cyber losses.

All dental practices need coverage ― no matter the size. With Coalition, your business income is covered.

Scan the QR code or visit affinity.coalitioninc.com/fda/cyber to get an instant quote! Call or text FDA Services at 850.681.2996 to learn more.

ON YOUR SCHEDULE

DENTAL RADIOGRAPHY CERTIFICATION ON YOUR SCHEDULE

Take the first step on the path to dental radiography certification. Train online, at your own pace. Study anywhere! The Florida Dental Association (FDA) Online Radiography Training Program provides you the formal training you need, with the professional development you want. Enrich your career path while contributing a vital service to your patients and dental team. It’s the most convenient and economical way to get the radiography training required by Florida law. It’s affordably priced, too — just $285 per student* for FDA members!

diagnostic discussion

Diagnostic Quiz

By Drs. Njood Nawari*, Neel Bhattacharyya, Nadim M. Islam and Sam Sumita

Case History:

A nine-year-old male was referred to oral surgeon Dr. Eli Oppenheimer in Aventura for an unusual radiographic finding. The patient was asymptomatic and his medical history was non-contributory. A panoramic radiograph revealed a well-defined, corticated radiolucency engulfing tooth #27 and extending past the cemento-enamel junction (CEJ). The radiolucency caused thinning of the cortex, and some expansion was noted upon biopsy. An incisional biopsy was performed, and the tissue was submitted to the Oral Pathology Biopsy Service at the University of Florida in Gainesville.

Question:

What is the most likely diagnosis based on the given history and panoramic radiograph?

A. Eruption cyst

B. Calcifying Epithelial Odontogenic Tumor

C. Odontoma

D. Ameloblastoma

E. Adenomatoid Odontogenic Tumor

A.

shaped epithelial cells are arranged in whorled masses, nests and cords. B. Numerous duct-like spaces (circle) are lined by columnar and cuboidal cells.

Fig. 1. Well-defined radiolucency associated with tooth #27.

Fig. 2:

Spindle

diagnostic discussion

A. Eruption Cyst

Incorrect. Eruption cysts are the soft tissue counterpart to dentigerous cysts and develop in association with an erupting tooth. They are usually present in the first decade of life. Clinically, they appear as a dome-shaped mucosal swelling on the alveolar ridge. The swelling may appear as a translucent blue lesion surrounding an erupting tooth’s crown.

In contrast with the current case, radiographic findings are not observed with an eruption cyst since it exclusively involves the soft tissue. Treatment is usually not required since patients are often asymptomatic, and the lesion resolves upon eruption of the involved tooth. Clinical correlation and absence of radiographic findings are important to diagnose this entity.

B. Odontoma

Incorrect. Odontomas are benign odontogenic tumors most commonly observed in the first two decades. Odontomas are often discovered during routine radiographic evaluation and are characterized by multiple tooth-like calcifications with a radiolucent periphery. In addition, odontomas may be classified as compound or complex depending on their morphology. Clear tooth-like structures characterize a compound odontoma and are usually present in the anterior jaw. Complex odontomas appear as an amorphous mass of enamel and dentin and are typically present in the posterior jaw. In the current case, a diagnosis of odontoma is not supported since tooth-like structures are not observed within the radiolucency. Under the microscope, masses of dentin, enamel and pulp-like structures resembling teeth are appreciated. Odontomas have a low recurrence potential and are treated with simple surgical excision.

C. Ameloblastoma

Incorrect. Ameloblastoma is a benign odontogenic tumor with a locally aggressive clinical behavior. These tumors involve all age groups, with a peak incidence within the third and fourth decades. Ameloblastoma is often found in the posterior mandible and ascending ramus but may

occur anywhere in the mandible or maxilla. Clinically, buccal and/or lingual expansion are commonly observed. Radiographically, ameloblastoma may be unilocular but most often presents with a multilocular “soap-bubble” radiolucency. Root resorption, expansion and cortical destruction are not uncommon findings. While ameloblastoma may present with a pericoronal radiolucency, as seen in the current case, it is not the most likely answer based on the patient’s age and location of the tumor. Microscopically, ameloblastoma presents with various patterns, including the most notable follicular pattern consisting of islands of odontogenic epithelium, peripheral palisading cells and reverse polarity. These histologic features were not observed in the current case. Treatment for ameloblastoma is aggressive since the tumor has a significant propensity for recurrence. Management often involves marginal resection, which reduces the likelihood of recurrence. Cone Beam Computed Tomography imaging is also helpful in assessing tumors and mapping cortical destruction.

D. Calcifying Epithelial Odontogenic Tumor

Incorrect. A calcifying epithelial odontogenic tumor (CEOT), also called Pindborg tumor, is a rare developmental odontogenic tumor that likely arises from the stratum intermedium of the enamel organ. CEOT is most commonly observed in the fourth to fifth decades of life, and two-thirds of cases develop in the posterior body of the mandible. The tumor is frequently associated with an impacted tooth. Clinically, a slow-growing, asymptomatic swelling is often noted. Radiographically, CEOT may present with a unilocular or multilocular radiolucency. While CEOT can be entirely radiolucent, radiopaque structures that represent calcifications are often observed within the lesion. These calcifications may appear scattered, creating a “driven snow” appearance. CEOT may also demonstrate evidence of expansion causing cortical thinning. CEOT is not commonly observed in the first decade of life compared to the current case. In addition, the histopathologic features for the current case are not

compatible with CEOT. Conservative local resection, including a margin of bone, is recommended for treatment. A substantial recurrence rate (15%) may be associated with more conservative measures, such as curettage, which may result in incomplete tumor removal.

E. Adenomatoid Odontogenic Tumor

Correct! Adenomatoid Odontogenic Tumor (AOT) is a rare benign odontogenic tumor with limited growth potential. The origin of the tumor has been attributed to various odontogenic sources such as the enamel organ, reduced enamel epithelium, and the rest of Malassez. AOT is most commonly observed in children and adolescents, with a higher incidence among females than males. Clinically, AOT is often asymptomatic but occasionally exhibits swelling. AOT most commonly arises in the anterior region of the jaw with a predilection for the maxilla. Radiographically, around 75% of AOTs present a well-defined radiolucency associated with an impacted tooth. As observed in the current case (Fig. 1), the radiolucency often extends past the CEJ, which is a helpful feature that distinguishes it from other odontogenic cysts and tumors. Less commonly, AOT appears as a well-defined unilocular radiolucency without associating an unerupted tooth. Occasionally, the radiolucency may contain fine calcifications. Histopathologic evaluation reveals spindle-shaped epithelial cells, which form a rosette and duct-like structures arranged in strands or sheets (Fig. 2). Evidence of a capsule may be observed as well; this correlates to the ease of removal during surgery. Treatment involves conservative enucleation since the tumor shells out easily from the bone. AOT has a negligible recurrence rate and an excellent prognosis. In the current case, the patient’s age, radiolucent extension past the CEJ, and histopathologic findings support a diagnosis of AOT.

References:

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

2.Roza ALOC, Carlos R, van Heerden WFP, et al. An international collaborative study of 105 new cases of adenomatoid odontogenic tumors. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;132(3):327-338.

3.Sam SS, Fitzpatrick SG, Bhattacharyya I, Cohen DM, Islam MN. Adenomatoid odontogenic tumor: a series of 28 cases from a biopsy service. Quintessence Int. 2022;53(3):260-269.

4.Şen-Tunç E, Açikel H, Sönmez I S, Bayrak Ş, Tüloğlu N. Eruption cysts: A series of 66 cases with clinical features. Med Oral Patol Oral Cir Bucal. 2017;22(2):e228-e232. Published 2017 Mar 1.

Diagnostic Discussion is contributed by University of Florida College of Dentistry professors and Drs. Indraneel Bhattacharyya, Nadim Islam and Sumita Sam 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 16,000 specimens the service receives annually from all over the United States.

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

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

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

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.

* Resident, Oral & Maxillofacial Pathology

Dr. Bhattacharyya

Dr. Islam

Dr. Sumita

career center

FDA’s 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!

Cosmetic Dentist Position

Available in Fort Lauderdale. My clientis seeking a skilled and passionate Cosmetic Dentist to join their team in the sunny city of Fort Lauderdale, FL. They are a state-of-the-art dental practice dedicated to providing exceptional care and creating beautiful smiles that boost confidence and improve lives. Position: Cosmetic Dentist Location: Fort Lauderdale, FL Job Type: Full-Time . Responsibilities: - Conduct comprehensive dental examinations and develop treatment plans. - Perform cosmetic procedures, including but not limited to veneers, bonding, whitening, and smile makeovers. - Collaborate with dental staff to provide holistic oral care. - Stay updated with the latest trends and technologies in cosmetic dentistry. - Educate patients on oral health and cosmetic options. We Offer:Competitive pay with performance bonuses. - Professional development opportunities. - Modern facilities with the latest dental technology. - A supportive and collaborative work environment. Join Our Team: If you are committed to excellence and want to make a difference in people’s lives, we would love to hear from you. Please send your resume and a cover letter to carrie@1stchoicenationalconsulting.com. My clientis an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all staff and clients. Visit careers.floridadental. org/jobs/20023939/

General Associate Dentist, Plantation. Plantation Dental Associates is a busy family practice just west of Fort Lauderdale, Florida. We are seeking

an associate general dentist for full or part time to join us as we grow the practice into our newly renovated and expanded office space. PDA is a privately owned office that has been well established in the community for over 30 years, and currently supports 3 dentists and 6 hygienists, each working between 30-38 hours weekly. We are a full service general dentistry office providing care in cosmetic crown and bridge, restorative, orthodontics, endodontics, and implant placement and restoration, including ALL on X cases. We have a healthy mix of fee for service and insurance patients that come to us mainly from the tri county areas of Palm Beach, Broward, and Dade counties. As an associate here at PDA, you will be practicing with state of the art equipment including digital imaging, scanning, x-rays, and CBCT. Our office also provides a daily income to start with a competitive production based compensation to follow. In addition, for full time, PDA also provides access to our 401(k) savings plan with percentage matching along with choices for health care plan. Visit careers.floridadental.org/jobs/20007685/

Tampa Oral & Maxillofacial Office for Sale. Available for sale is a highly-profitable, fee-for-service Oral & Maxillofacial Surgery practice located in the Tampa Bay metropolitan area. 2023 collections totaled just over $1.9 million with the selling doctor seeing patients 4.5 days / 25 hours per week. Overhead 37 %.The facility occupies about 4,000 sq. ft. of space within a single-story, stand-alone building and includes 3 fully-equipped operatories. There is an excellent staff in place. Contact: nupro1958@gmail.com for more infor-

mation. Visit careers.floridadental.org/ jobs/20003582/

Associate Dentist in Ocoee. Associate Dentist needed for Private Family Practice. Ocoee, Florida 34761. Are you the type of person who appreciates stability? Would you like to work in a dental office who has an excellent reputation in their community and is known for their integrity. Do you want to work side by side with satisfied co-workers who have been a part of our team for years? We seek a qualified Dentist to work along side our family while earning a competitive salary, working in a professional and respectful environment. State of the Art Technology, 8 operatory practice. Looking for someone personable, communicates efficiently and effectively and enjoys working with people Must be licensed Dentist in State of Florida. Visit careers.floridadental.org/jobs/19781714/

Fort Lauderdale, FL General Dental Practice for Sale. Southeastern Florida, especially the Fort Lauderdale area, is famed for its sun-kissed beaches, intricate canal system often dubbed the ‘Venice of America,’ and vibrant boating and yachting communities. New to the market is an esteemed dental practice near Fort Lauderdale that has served its community for over three decades. With a legacy built on trust, quality, and dedication, the practice is now ready for its next chapter as the respected doctor explores transition options. This exceptional practice represents an unmatched opportunity for both individual dentists aiming to set down roots or a dental support organizations

Visit the FDA’s Career Center at careers.floridadental.org.

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. We reserve the right to edit excessively long entries.

eyeing strategic expansion in southeastern Florida. The facility boasts ten operatories, ensuring the capacity to serve a multitude of patients with ease and efficiency. It’s not just about infrastructure; the numbers speak for themselves. With an impressive intake of 85 new patients monthly, the demand is robust and growing. A unique selling point of this practice is its diversified service offering. Not only does it sustain the owner-doctor, but it also collaborates with a skilled periodontist contractor, adding depth to its implant work spectrum. This harmonized blend of general and specialized dental services propels the practice’s revenues, generating an impressive EBITDA of over $330,000. Don’t miss this golden chance to own a thriving dental practice in a prime location. Dive into the thriving dental market of southeastern Florida and carry forward a legacy of over 30 years! FOR AN OVERVIEW OF THIS FORT LAUDERDALE DENTAL PRACTICE: 10 operatories. Collections of $2.531 million. EBITDA of $338,000. 85 new patients/month. Supports multiple doctors. Fort Lauderdale, often referred to as the “Venice of America,” is a gem nestled in Southeast Florida that offers an unrivaled quality of life. With its intricate and picturesque network of canals, this city is a haven for boating enthusiasts and water lovers. The arts and cultural scene is both vibrant and diverse, with venues such as the NSU Art Museum, which hosts international art exhibitions, and the Broward Center for the Performing Arts, which showcases top-tier performances spanning theater, ballet, and music. Families are drawn to the area because of its commendable school systems, some of which rank among the

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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.

Clinical Assistant/Associate Professor of General Dentistry, University of Florida, Gainesville Visit careers.floridadental. org/jobs/19968157/.

Associate position, Islamorada. Have you ever dreamed of living the Island Life? Seasoned General Dentist opportunity in beautiful Islamorada in the Florida Keys. Busy dental practice (avg. 30 new patients per month) can accommodate a full or part time associate with a future buy-in possibility. 5 dental operatories, 2 full time hygienists, state of the art equipment, room for expansion. Contact confidentially: jjjdmd93@ gmail.com. Florida Dentist Licensure. Visit careers.floridadental.org/jobs/20073037/.

career center

Orlando, FL Metro Area Dental

Practice for Sale. Orlando, FL, is widely celebrated for its world-class attractions, thriving economic landscape, and a warm, welcoming climate that attracts residents and tourists alike. Situated within the dynamic Orlando-Kissimmee-Sanford MSA and just 20 miles from downtown Orlando, a modern general dental practice presents an exceptional opportunity for prospective buyers. The current owner, open to various transition options, including a complete sale or a partnership, plans to remain involved for several years to facilitate a seamless transition to the new ownership. This practice boasts a contemporary setup with six fully operational operatories, plus an additional operatory plumbed and ready for equipment, underscoring it’s readiness for expansion. Located in a sought-after suburb of Orlando, the practice is conveniently in network with most major PPOs and maintains a robust clientele of 1,750 active patients, with an average influx of 35-40 new patients monthly. Generating over $100,000 in EBITDA, this dental practice offers a lucrative turn-key solution for anyone looking to establish or expand their footprint in Florida’s flourishing dental care industry. HIGHLIGHTS OF THIS ORLANDO AREA DENTAL PRACTICE: 7 total operatories, 6 equipped + 1 plumbed, Collections of $1.072 million, EBITDA over $100,000, 1,750 active patients. Orlando, FL, offers an appealing blend of cultural, recreational, and economic attributes that make it a desirable place to live. The city thrives on a dynamic art scene and regular cultural festivals that cater to diverse interests. Outdoor enthusiasts enjoy year-round sports and recreation, including numerous lakes and parks ideal for boating, fishing, and hiking. Home to major sports teams and frequent sporting events, Orlando keeps sports fans engaged. Its cost of living remains relatively

affordable compared to other major cities, and the school systems are well-regarded for their innovation. The business environment is robust, supported by a growing tech sector and business-friendly policies. Orlando has received positive ratings for its overall quality of life, making it an attractive location for both young professionals and families. Interested in learning more and reviewing the prospectus of this Orlando, FL dental practice? Contact Professional Transition Strategies. Email Bailey Jones: BAILEY@PROFESSIONALTRANSITION.COM or call: 719.694.8320. REFERENCE #FL50124. We look forward to speaking with you! professionaltransition.com/ properties-list/orlando-fl-metro-areadental-practice-for-sale/. Visit careers. floridadental.org/jobs/20080529/.

Daytona Beach, FL Area Dental Practice for Sale. Daytona Beach, Florida, is famed for its breathtaking beaches, exhilarating motorsports, and as a beloved destination for tourists seeking sunshine and outdoor activities. In this setting, an established dental practice is on the market, presenting a rare opportunity for dental professionals or groups looking to establish or expand their presence in a thriving community. For over a decade, the dedicated doctor behind this practice has been a pillar of dental care in the Daytona Beach area, building a reputation for excellence and comprehensive patient care. The practice operates out of a standalone building, with the enticing option for buyers to acquire the real estate along with the business. This flexibility offers a unique advantage for those considering a buy-out or interested in exploring partnership opportunities. The facility boasts seven well-equipped operatories, demonstrating its readiness to handle a high volume of patient care and services. Additionally, there’s potential for further

growth through a physical expansion of the premises, signaling an opportunity for the new owner to scale the practice. With a robust base of over 2,700 active patients and an average influx of 15-20 new patients monthly, the practice ensures a steady stream of business and potential for continued growth. This is complemented by its status as a 100% FFS practice, highlighting its profitability and the high level of trust it enjoys within the community. The current doctor’s commitment to remaining at the forefront of dental techniques through continuing education—balanced with a fourday workweek—reflects the practice’s ethos of professional development coupled with the enviable lifestyle afforded by Florida’s east coast. HIGHLIGHTS OF THIS DAYTONA AREA DENTAL PRACTICE: 7 operatories, Collections of $1.540 million, EBITDA of $300,000, Real estate available, FFS practice. Daytona Beach offers a balanced lifestyle with its affordable cost of living, diverse art and culture scene, and excellent school systems. The area is renowned for outdoor sports and recreation, including famous motorsport events. With a supportive business environment and high ratings for livability, residents enjoy a mix of leisure and opportunity. Its beaches and community events underscore Daytona Beach as an attractive place to live, blending natural beauty with a rich cultural tapestry. Interested in learning more and reviewing the prospectus for this Daytona Beach dental practice? Contact Professional Transition Strategies. Email Bailey Jones: BAILEY@ PROFESSIONALTRANSITION.COM or call: 719.694.8320. REFERENCE #FL40224. We look forward to speaking with you! Visit careers.floridadental.org/jobs/20080519/

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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 2024 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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Today’s FDA is a member publication

Recruit for Rewards Caring • Connections • Create • Commitment

You know first-hand the value you receive from your ADA membership. Through the community and resources you’ve come to count on, the ADA provides the support you need to help achieve your goals. You can help colleagues and friends thrive by inviting them to join the ADA.

For every 5 new members

you recruit, you’ll receive a chance to win a 7-day interisland Hawaiian cruise* for you and a guest.

Eligibility

Who can recruit? Any ADA member dentist (including graduate student, resident, active licensed, active life, retired and retired life) is eligible to participate as a recruiter

Who can be recruited? Any degreed dentist who was not an ADA member in 2023 (including graduate students, residents)

Who is not eligible to be recruited for this program?

• A renewing member (someone who was a member in 2023)

• Dental students

• Retired dentists

How to Participate

• Newly recruited members are required to indicate the recruiter’s name and contact information as a referral on the membership application.

• ADA member recruiters will receive an email notification after the dentist referred has been accepted into membership.

• A raffle entry for quarterly drawings will be awarded for each new, active member recruited who pays national dues (as applicable) in the current year. Recruiters will receive a chance to win a 7-day Hawaiian cruise* for every five new recruited members who pay national dues (as applicable).

Recognition

• All recruiters will be recognized at SmileCon 2024. Top recruiters will receive additional recognition.

• Quarterly winners and top recruiters will be announced in ADA Morning Huddle.

For each new member

you recruit, you’ll be entered into a quarterly drawing for a chance to win $1,000 in prizes from ADA-endorsed providers or products from the ADA Store.

Program Rules

• This program will run January 1 – August 31, 2024.

• For each new, active member who joins in that timeframe, the referring member’s name will be entered into quarterly drawings for a chance to win $1,000 in prizes from ADAendorsed providers or products from the ADA Store. Referring members will also receive a chance to win a 7-day interisland Hawaiian cruise* for every five new, eligible members they recruit.

• Referring members will receive a qualifying entry each time their name is listed as the “referring member” on the new member’s application (one entry for quarterly drawings for every one member recruited, one entry for the grand prize drawing for every five members recruited). There is no limit to the number of new members who can be recruited or entries in the drawing.

• Referring members will automatically win a quarterly prize (up to $1,000 value) when they recruit 25 eligible new members. Quarterly prize winners are also eligible to win the grand prize should they recruit at least five new members.

• The grand prize drawing will take place at SmileCon® 2024 in New Orleans. SmileCon attendance is not required to win.

* The grand prize winner will receive a 7-day interisland Hawaiian cruise with a balcony room and airfare for two to be redeemed in 2025, an estimated value of $7,500. If winners do not wish to claim the Hawaiian cruise package, they are able to select another trip from AHI’s catalog at equal or lesser value, or take a cash prize option of $3,500. Learn more about the available cruises provided by ADA Member Advantage endorsed partner, AHI Travel.

The ADA Member Recruitment Initiative is subject to all applicable federal, state and local laws and regulations, and is void where prohibited by law. Visit ADA.org/R4R for more details.

A Bridge Too Far off the cusp

By Hugh Wunderlich, DDS, CDE, FDA Editor

This lady was new to my practice. She wanted a new four-unit bridge because she was unhappy with the color. Not an unusual request, except this was a mandibular posterior bridge, and the bridge was 34 years old. The bridge probably matched very well during the Clinton administration. It was plain in color, but she never had any pain or problem with it. Radiographs showed the distal margin on the distal abutment was well short. You could have held a boat show on that margin. Who could leave a margin like that? What a clod. Fortunately, it was self-cleansing as there was no sign of decay even after all that time; so I felt glad about replacing it. We took preliminary models and rescheduled her for the following week. I really had no idea how difficult this was going to be until I fumbled through the lower block. The access was so small I could hardly identify

the ramus, let alone the mandibular foramen. I should have used a cardiac needle. Finding her bridge was just as difficult. I was convinced her tongue was in fact a lobe of her liver. This lady was blessed with the smallest mouth, largest-strongest tongue, most-ropiest saliva and biggest gag reflex I ever saw. I had great intentions of refining the margins but could not find them even though the radiographs showed they were supragingival.

Many “trial” final impressions were made that mixed with her breakfast and shirt. I wished I referred her to a distant periodontist for a tongue and slobberectomy. The final-final impression was a curious marriage of a custom tray and copper tube in hydrovinyl rubber stuff mixed with prayer and hope. First and last time I ever prepped a bridge without ever seeing it. I took a post-op radiograph

to evaluate the Herculean effort. There it was as big as ever. The boat show was back. It may have had more dockage than before. I informed the patient of the condition and limitations, made notes and put that bridge-to-bed boat show and all. In this case I thought this was as good as it could get. The shade was better, but the margin was not. I should have cemented it with 3M’s 5200. Sailors will recognize this moisture-tolerant adhesive, and it seems best considering the boat show. That series of events left a better impression on me than on my patient’s abutment. It was very easy to judge another dentist and the quality of work by the radiograph alone. My opinion of this dentist went from clod to king. A purist may suggest that we both were wrong. I submit that here was a “wrong” prosthesis in excellent service 34 years. Do not be so quick to judge your colleagues. Every wet-gloved dentist knows the materials we use are good but may often fall short in the difficult environment we are asked to work. Even a digital scanner is of no help here. In 34 more years, I will tell you if my “wrong” bridge was right or whether it was a bridge too far.

FDA Editor Dr. Hugh Wunderlich can be reached at hwunderlich@bot.florida dental.org.